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NT3 Series Veterinary monitor

Operation Manual

Newtech.Inc.

Information contained in this document is copyrighted by Newtech and may not be duplicated in
full or part by any person without prior writte approval of Newtech. Its purpose is to provide the
user with adequately detailed documentation to efficiently install, operate, maintain and order
spare parts for the divice supplied. Every effort has been made to keep the information contained
in this document current and accurate as of the date of publication or revision. However, no
guarantee is given or implied that the document is error free or that it is accurate regarding any
specification.

Manufacturer: Newtech., Inc.
Address: R1-B1, Hi-Tech Park, Nanshan District,
Shenzhen, Guangdong 518057,
P. R. China
Tel: +86 755 26525910
Fax: +86 755 26525912
Website: www.sznewtech.com
Email: sales@sznewtech.com

Content

Content
1. Overview.................................................................................................................................................................1

1.1 Brief introduction ..............................................................................................................................................1
1.2 Working principles ............................................................................................................................................1
1.3 Warranty............................................................................................................................................................1
1.4 Battery use and maintenance.............................................................................................................................1
1.5 Safety information.............................................................................................................................................2
1.5.1 The electrical safety classifications ...........................................................................................................2
1.6 Functions...........................................................................................................................................................3

2. The equipment installation ...................................................................................................................................4

2.1 Installation and working environment...............................................................................................................4
2.2 Inspection ..........................................................................................................................................................4
2.3 Connect AC power and network .......................................................................................................................4
2.4 Connect external equipment and requirements .................................................................................................5
2.5 Turn on the unit.................................................................................................................................................5
2.6 Connect sensors.................................................................................................................................................5
2.7 Check Recorder (if recorder has been installed) ...............................................................................................5

3. Description of Monitor ..........................................................................................................................................6

3.1 Description of external appearance ...................................................................................................................6
3.1.1 Front panel.................................................................................................................................................6
3.1.2 Side panel ..................................................................................................................................................6
3.1.3 Rear panel..................................................................................................................................................7
3.2 Display ..............................................................................................................................................................7

4. Basic Operation....................................................................................................................................................10

4.1 How to use rotating knob ................................................................................................................................10
4.2 How to use the volume knob...........................................................................................................................10
4.3 How to use keys ..............................................................................................................................................10
4.4 Password and Character input method ............................................................................................................10
4.5 Set date and time .............................................................................................................................................10
4.6 Set language ....................................................................................................................................................11
4.7 Set measurement unit ......................................................................................................................................11
4.8 Change waveform speed .................................................................................................................................11
4.9 Setting monitoring format ...............................................................................................................................11
4.10 Preparatory work...........................................................................................................................................11
4.11 Remote maintenance .....................................................................................................................................12
4.12 Menu operation .............................................................................................................................................12
4.13 Main Menu....................................................................................................................................................12
4.14 Display menu ................................................................................................................................................12
4.15 Tools menu....................................................................................................................................................15
4.16 Review menu.................................................................................................................................................15
4.17 Patient menu..................................................................................................................................................16
4.18 System Setup menu .......................................................................................................................................16

I

....31 7....................................1...........................................................................................................................................................................................................................................................................37 10...........................................................2.......................... Monitoring ECG ........................................33 9...........27 6.......1............................2 Alarm level................................4 Alarm status bar..................................1..........................................................................28 7...........................................................................................2 Switch on/off alarm sound...........5 Titration process table .................................................................................................4 Alarm printing (see alarm ) .......................................................................................................................................................................................2............................... Freeze Waveform and Replay ..................2......................................................................................................................................................................................................................1 Menu description......20 5.....................................34 9................7 Recalculation...........................................................................................................................................................22 5............................................................................................4 Drug calculation execution ................................................................................................................. Content 4.......................24 5...................21 5................................................2........................................22 5...................................................................................39 11...................................................................................................................6 Alarm control ...................................................................................................27 6..................................................................32 9........................2....................................................33 9..............................2...............................37 10..................................1 Alarm type........................................2............................................ Trend Analysis ..............7 Alarm print .........................................................................3 Switch on/off alarm sound and five status.............. Alarm ..............................25 5..................................................38 10.............................................................8 Adjust alarm tone ............1 General alarm.............................................................................................................................36 10...........2 Measurement unit.................................................................2.....................1 Installing the ECG electrode...................20 5..........................................................41 II .............................33 9.................................................................................20 5.....................................................................................................................................................................................................23 5...........................................................................................................................................................................................................................................1 Connect to the printer...........2 Set printing parameters ................................................................................................................................................................................................1 On/Off alarm ... Record Events ........................................2 Trend analysis ......................................................................................39 11.................................................25 6..................................................................................................................20 5.............2 Set alarm ....................35 9.................36 9.............................................................39 11........................................................................20 5........................1 ECG electrode monitoring.................... Printing............4 Identify alarm and erase alarm ..............3 Printing....................................................................................................................................................19 Recorder Setup (for details see on Printing Function).................................................3 Glossary ............................................................................37 10..........33 9....................31 8..................................................22 5........................................6 The titration table ........................................................9 Restore alarm default settings .................................................................................24 5............1................24 5.................................................................3 Alarm Review ....................................................3 Alarm mode....................................................................................................................................5 Setting alarm limits ........................................................................................38 11...............................................2 Main ECG display ................ Drug Calculator ....19 5....................................................................................1 Enter drug calculator function......................................................1......................................................................................2................1 Main screen trend analysis .........22 5.............................................20 5........................................................

...............................................................................................................................................3 Screen showing other leads channels ..................................62 III ...........................................61 17..........................1 Connecting electrodes ......................................................................................................................................... Monitoring Nasal Tube Respiration...................................................................49 12......60 17..............................6.................................. Content 11......................................46 12.3 Monitoring menu...........48 12.57 16........................................................................ Monitoring Temperature ...................1 Installing temperature senor ...................................................................................................4 SpO2 monitoring procedures ...................................50 12............................................................................................................................................................................................50 13......................................................2 RESP monitoring preparation ...........................................................................3 Precautions in SpO2 monitoring .......................................................................................56 15................58 16........................................... Monitoring Impedance Respiration .........................................................................................................................................1 Blood pressure measurement...3 Application Guide .............................60 16.......................................................................................................................................................................................2 Venipuncture..............................................................................54 15......................................................................................8 Trouble shooting ..........................................................48 12..............1 Overview...........................................................................................................................................................................................................................7 Maintenance and cleaning.......................................................43 11..................................58 16...................59 16.....52 13............................................................55 15...................................................52 13...........................................................................................2 SpO2 Pleth priciple .................................................................................................................3 Trouble shooting.........................................................................................2 Messages .......2 General cleaning of the monitor...............47 12.......................................43 11..........1 Overview.52 13...............................................................................................................................................................................................................................................4 Maintenance and cleaning.................................................................................................................................46 12...............................................5 Display ..6 Functions................................................................... Monitoring SpO2 ...................................................................................57 16........................................................4 Messages ...................................................................................................................................................................................................2 Cuff Selection and Placement ................................................................................55 15.........................................................................................6.....................54 14.......................................................2 Parameter display ..........................................................................................................3 Cuff sites on differents animals......................................................................................................................................................................4 Disinfecting................................3 Cleaner ............................57 16..........61 17........................................................54 14........................... Maintenance and Cleaning ........................44 12.....................7 SpO2 setting menu ..................................................5 Application Guide ..............55 15...............1 Maintenance and Inspection..............................................................56 16........................................................................53 14..........................................................................................................................2 Body temperature menu .........................................................................................................................................................61 17.........................49 12................................................................................................................4 Measurement limitations .....................8 Maintenance and Cleaning ..................61 17................................46 12.................................................................52 13.............................................................................46 12..................................................................................................................................................................................................................1..................................1 Monitoring menu.......6 Measurement limitations ..............................................................57 16............................................................................................ Monitoring NIBP .......................

................................................................................................................................................70 B...................72 B............................................................................................................................................................................1 ECG accessories......................................................................2 SpO2 accessories.........................8 TEMP ..63 18....................................................9 SpO2.......................................................................63 Appendix A: EMC (Electro-Magnetic Compatibility) .. Monitor’s Accessories and Purchase Information ............................................................................................................................................................................................69 B........................................................69 B......................................................................................63 18...........12 Factory default value of alarm parameter ..............................................................................................3 Normal working environment ......................... transportation and storage ...........................13 Settings range and allowable tolerance of alarm high/low limits ........71 B...................................................................................................................................................18 Explanations of interfaces .........................................................................................................................................16 Dimensions and weight ....................................................................................................................5 RESP accessories .....................................................14 Continual working time:.......................................................................................................................................................................................................................................................................................................15 Data memory ........................68 B....5 ECG..............................71 B..............17 Packaging......................68 B....... Content 18.................................................................................................................................................................................................................................................71 B..............................................................70 B...............................................................................68 B................71 B........69 B.......................................................................................................................4 Safety requirements and classifications.............63 18....................6 NIBP.....3 TEMP accessories ...........................................................................................................1 Basic parameters.....69 B..........................11 Alarm.............68 B..........4 NIBP accessories......................................................................69 B.....2 Average working time without malfunction ≥ 1000 hours ...........68 B......19 Compliance standards................................................................................................................................................63 18.........................................................................................................................................................68 B..................................................................................................................................63 18.............................71 B.................64 Appendix B: Technical Specifications.............................................................................................................................................72 IV ...............................................................................10 PR ....................................................7 RR......................................

network communication. routine installation. Before use. and BP hose. body temperature sensor.4 Battery use and maintenance The monitor is equipped with an internal lithium battery which supplies power during transportation or in a situation where no AC power is available. Attention: Only authorized service person can replace the battery. This product has multi-parameter functions which can be selected. SpO2. blood pressure cuff. The detailed performance indexes. SpO2 sensor. blood pressure cuff. Each parameter result may be stored in a certain timeframe. Overview Welcome to use NT3 Series Veterinary monitor!The main purpose of this Manual is to provide operating guide. 1. blood pressure etc. 3. The monitor was damaged due to accident. 1. connect the monitor with an AC power for 6 hours. operation and maintenance method as well as safety information are illustrated in this Manual. the battery will be fully charged. The user modified the monitor without manufacturer’s written authorization. a one year warranty for the NT3 Series Veterinary monitor.1 Brief introduction The NT3 Series Veterinary monitor is used to monitor physiological signals: ECG. RESP.2 Working principles Human physiological signals (ECG.3 Warranty The manufacturer offers. The serial number of the monitor was ripped off or unreadable. and TEMP of patients in hospitals. NIBP. This product has four input/output interfaces for printer. instrument repair and maintenance information to users. The monitor was damaged due to improper connection with other equipment. The following situations are not included in the warranty: 1. Overview 1. 2. 1 . 1. since the date of the purchase. The battery needs to be replaced every two years. If this monitor is stored for 2 months. 1. For protect environment. The results can be printed if required. The internal battery may discharge during long-term storage or in transportation. external CRT and external telephone line. and communicated with the main control board. it is necessary to charge the battery for about 30 minutes before use. The consumables are excluded from this warranty. ECG cable and body temperature sensor. The main control board displays measurement results on the monitor screen by waveform and numeric form. transmitted through extension cable to various parameter modules. the user shall carefully read this Manual in order to properly and correctly operate this monitor to ensure its safety standards and performance functions. combined and configured by the user according to his/her requirements. Regardless normal use or power off of the monitor. Callback or deal with the exhaust batteries in correct ways are necessary. A fully charged battery enables the monitor to function continously for 2 hours (under the condition of blood presure measuring for every 10 minutes).) are enlarged by each sensor connected to both patients and monitor. a three-month warranty for the SpO2 sensor. 4. Therefore the NT3 Series Veterinary monitor which you are using probably only has the parameters and corresponding accessories selected by you at the time of purchase. This product is composed of main unit and corresponding functional accessories such as ECG cable.

Unplug the monitor before cleaning or sterilizing. Prohibition: Do not use the NT3 Series Veterinary monitor for asphyxiation monitoring. the hospital must provide power sockets with proper wiring. refer to the Alarm System in this Manual). Or the hospital bears all consequences. Because parts of the equipment are not provided with protections against burning. The marked symbol on the Manual means: attention. gas fumigation or liquid immersion.5. The symbol (electrocardiogram) indicates CF defibrillation prevention type. Do not use the NT3 Series Veterinary monitor in an environment filled with inflammable gas and anaesthesia gas. high pressure. Do not put the monitor in an environment such as high temperature. configure adequate alarm settings according to different conditions of each patient (for detailed setting methods. pay attention to the danger of any leakage. In order to avoid time loss for diagnosis or treatment. or caution/warning. Keep the monitor dry from water and humidity. and operates according to the instruction for use. Overview 1. Caution: The monitor should be operated by qualified person! The operator should have special medical application skills. zero line and protective grounding in accordance with national standard. The symbol indicates BF defibrillation prevention type. When various equipment are connected to the same patient. in case of burn to endanger patient’s lives. NT3 Patient monitor just can be used on one patient one time In order to make the monitor with safe grounding. and avoid strong collision. operator or equipment. the F-type application section can not be connected to other conductivity or ground. pay more attention to guarantee the safety of the patient. Only recommended accessories may be used for the monitor. The maintenance and upgrade of the monitor shall be carried out by qualified and authorized service personnel. refer to document attached with the machine. the monitor can not be used with electricity surgical equipment. Do not use the NT3 Series Veterinary monitor during magnetic resonance imaging (MRI) or CT inspection process. When using this monitor. 2 .5 Safety information 1. Do not open the case of the monitor at will for possible electric shock.1 The electrical safety classifications The electrical safety classification of this product is class I.

Use the accessories recommended by the manufacturer to avoid possible mal-function of the monitor. saturation oxygen (SpO2).6 Functions The NT3 Series Veterinary monitor can be used to monitor major parameters such as electrocardiogram (ECG). 3 . 1. body temperature (TEMP). Overview NT3 Series Veterinary monitor has no defibrillation synchronization. respiration (RESP). so it cannot be connected to defibrillation instruments. display function and output function to form a compact and portable monitor. All equipment connecting to the monitor must conform to EN60601-1-1. No requirement for warm-up time before the monitors and sensor be used. It integrates parameter measurement. and noninvasive blood pressure (NIBP).

Build/increase barrier between the interfering equipment and this monitor. z Electric balancing terminal (refer to the rear panel introduction) should be connected to the grounding end of the public power grid or properly connected to the other protective grounding ends. z Count the accessories according to the packing list; z Check the monitor and accessories for any mechanical damage. it will not work properly because of 4 . The equipment installation 2. By turning the monitor on without using AC power. it may cause interference to the nearby equipement.3 Connect AC power and network z Confirm the AC power source is in conformity with the requirements of this equipment: 100~240V ac. they must be recharged after the monitor has been transported or stored. z Connect the monitor to the AC power. Change the direction of other equipment or change its installation place.1 Installation and working environment z Ground The installation place should be suitable for Monitor’s size in a hospital. check the environment and locate the sources of the inference. there may be some interference.2 Inspection Open the package according to the marks on the box. If unstable readings. Not suitable for home use. 2. 50/60Hz. If any of the above happens. z Working Environment Suitable for hospital use. 2. Then take some measures to remove the interference sources. If installed or used not according to the instruction of the manual. z The connection with the external equipment should be in conformity with the requirements pecified in this Manual. Conduct a switch test on nearby equipment to determine interference sources. There should be power with ground line within the length of Monitor’s power cable. Monitor should be placed stable with appropriate height so it will not hurt people in case it falls. Friendly reminder: The packaging material should be saved for future transportation and storage. The equipment installation 2. or malfunction of the monitor occur. If there are any problems. interruption of operation without any obvious reasons. Caution: The monitor power cable must be connected to the special socket for hospital use. contact the distributor immediately. use and emit radio frequency. z Work condition safety Environment temperature: (5 ~ 40)℃ Relative humidity range: ≤ 80 % Atmosphere pressure: (86 ~ 106)kPa Power Voltage: AC 100V ~ 240V Power Frequency: 50/60Hz z Influence to other ambient equipment The monitor can produce. If internal batteries are installed. Take out the monitor and its accessories carefully.

Refer to the printing for instructions.4 Connect external equipment and requirements There are paralle printer interface (for external printer) and network interfact (for future software upgrade) on the rear panel of the monitor. the batteries get recharged even if the monitor is not turned on. Do not block the vents on the back and the sides of the monitor. The internal batteries must be recharged every time after use to assure full power.It means system enters main monitoring mode with a successful self-test. The User now can start operating the monitor. the monitor can not be used for monitoring patients. green. After about 3 seconds. LED will twinkle one time among red. There should be one minute before turning on the monitor again.5 Turn on the unit Turn on the power switch.7 Check Recorder (if recorder has been installed) Check if the recorder is installed on the monitor’s left side.6 Connect sensors Connect the needed sensors to the monitor and the patient. To connect external equipement through this machine’s interface. 2. By connecting to AC power. The equipment installation weak battery power. refer to EN60601-1-1 standards. Check all usable monitoring funtions to make sure they function normally. 2. if there is no “du” during self-test or no LED twinkle. the system will trigger a “dee” sound. Refer to the appropriate s for instructions and requirements. 2. If you have found and proved that the functions of the monitor have been damaged or it has shown error messages. 2. yellow. At the same time. Caution: Do not place the monitor close to the wall. You shall contact Newtech’s service department. Attention: Please stop use monitor. 5 .

2 Side panel The side panel of the NT3 Series Veterinary monitor is shown as Figure 3. alarm and measuring parameters are displayed here. (6) FREEZE: Freeze button. press this button to freeze the displayed waveforms. Whatever status the menu appears in.1: Figure 3.1. Description of Monitor 3. Press the knob to operate the menu item. In NIBP measuring mode. and NT3F do not have it. press this button to activate printout of the monitoring results. menu. NT3B. 3. press this button to stop printing.1 Front panel The front panel of the NT3 Series Veterinary monitor is shown as Figure3. press this button to stop current NIBP measurement. press this button to start NIBP measurement. Description of Monitor 3. (5) ALARM: Alarm setting button. (2) CHARGE INDICATOR: The built-in battery is being charged when the indicator is on. (12) BRIGHTNESS ADJUSTING KNOB: Rotate the knob clockwise to increase the brightness. (11) VOLUME ADJUSTING KNOB: Rotate the knob to adjust the monitor’s sound volume. exit the menu by pressing this button. it indicates that the machine is turned on. In NIBP manual mode.1. Rotate the knob anti-clockwise to decrease in volume.2 6 . When the device is equipped with a recording/printer device. (10) ROTATING KNOB: Rotate the knob clockwise or anti-clockwise to select the menu item. NT3E. Reminder: Only NT3A. (4) SILENCE: Silence setting button. (7) START/STOP: Start/stop NIBP measuring button. (3) POWER INDICATOR: When lit. Rotate the knob clockwise to increase in volume. (9) MENU: Main menu button. Rotate the knob anti-clockwise to decrease the brightness. When no menu is shown on display. (8) PRINT: Print button. Press this button to enter alarm setting. When the printer is operating. When the waveforms are updated. NT3C have brightness adjusting knob. Press this button to start or stop the monitor alarm sound. press this button to show the system's main menu.1 Description of external appearance 3.1 (1) DISPLAY: Waveforms.

The status bar is displayed on the top of the screen. Description of Monitor Figure 3. when poped up.1. When the monitor is used in conjunction with other equipment. (7) Means: BF defibrillation prevention type.connect to the central monitor ③Printer interface ④CRT interface ⑤AC socket ⑥Voltage balance interface with symbol.2 Display The display of this monitor is divided into four major areas: channel display area. 3.2 (1) Temperature sensor 1 (2) Temperature sensor 2 (3) NIBP cuff connector (4) SpO2 probe connector (5) ECG lead connector (6) Means: CF defibrillation prevention type. ⑦Telephone interface 3. The basic layout of the display is as 7 . use this to balance electrical voltage. refer to manual of this monitor. The parameters are always displayed on the right of the screen. status bar and menu bar. The channel display area is under the status bar on the left of the screen. The menu bar is always displayed at the bottom of the screen.3 ①Vents ②Network interface . The menu bar is a pop-up one. (8) Means: Aattention. it will block part of the channel display area and parameter display area. parameter display area.3 Rear panel Figure 3.

so that each parameter can be equally displayed at the right part or lower right part of the screen along with corresponding waveform channels. yellow. body temperature (T1/T2) and noninvasive blood pressure (NIBP) are displayed in this area. ⑨ Memory icon: Blinking means the system is memorizing. 60s. the ALARM menu and the FREEZE menu can be activated and displayed in singe line. Parameter display area The heart rate (HR). Status bar ① Information bar: Display the Monitor status information. The operational menu of each parameter can be accessed by selecting parameter label. ⑥ The alarm silence status icon: Audio alarm is allowed. or parameter name < low limit. Every parameter has a corresponding label. ⑦ Central monitoring network function status icon: The red icon means the monitor is not connected to the central monitoring system. Menu bar When no menu is displayed on the screen. Caution: When the symbol shows. The name of each channel is usually displayed on the left corner of the channel. yellow characters separately. including patient’s and alarm information. Alarm is prohibited. Audio alarm is prohibited. Pause or resume alarm sound is carried out by silence key. ② Patient type: HORSE. ⑧Alarm information: Parameter name > high limit. Description of Monitor following: The display content at the channel display area can be set by the operator. the system can not produce alarm sound. blood Pleth waveform. ③ Date: Its display format can be modified through menu. The prohibition signs are displayed on the left side of the label. middle and low priority alarm display as red. The blue icon means the monitor is connected to the central monitoring system. The font color display: The high. Displayed on the same row of the channel is the status information for this channel. RESP waveform. The important parameters are configured with alarm prohibition signs. ④ Time: Its display format can be modified through menu. Channel display area The channel display area is divided into several channels. 120s respectively. 、 、 Audio alarm is paused 30s. The parameter display area can be automatically adjusted according to the channel configuration format. and DOG. the MENU. Total seven channels are provided. so the operator shall be 8 . oxygen saturation (SpO2). CAT. ⑤ The alarm status icon: Alarm is allowed. respiration rate (RESP). trend map. the relevant menus can also be activated by selecting the labels under the display with the rotating knob. and trend table. Select one channel to enter its menu. turn off alarm sound is carried out by menu<alarm sound/off>. The content of the channel can be selected to display ECG waveform.

It is recommended that the operator does not use alarm forbitten function unless it is necessary. the system will prohibit alarm. 9 . Description of Monitor especially cautious to use this function. When the symbol appears.

or you can click at the current parameter name to prompt the corresponding functional menu. capital letters group(A-Z). Locate the cursor at password frame . Select can insert character at the cursor in password frame. 6. the following characters input bar will appears. 7. 5. 2. Arabic numerals group(0-9). Select .4 Password and Character input method 1. Move cursor to . 5. 4. punctuations group. 3.5 Set date and time Caution: Change date or time will influence the memory of the trend and events. you must restart the Monitor! Select Menu -> System Setup -> Set Time 10 . password you input will appears in password frame. Basic Operation 4. 6. Turn anti-clockwise. 4. can delete the characters before the cursor in password frame. Menu key: Activate menu. 4. Press can switch the character group in the text frame . the volume decreases. press 4. You can select different parameter names with the rotating knob. Basic Operation 4. 2. Select or . 4. small letters group(a-z). rotate the mouse and select the password characters you want to input one by one. the volume increases. Printing key: Print waveforms.2 How to use the volume knob By turning the volume knob you can adjust the volume. there are four groups switchable. can page the characters in the text frame . Silence key: Control alarm sound. there is a framed label which indicates your current position. 3. Start key: Iinflate the air when measuring the blood pressure. Press the rotating mouse.1 How to use rotating knob At the main display. Freeze key: Activate freeze menu. 4. turn clockwise. Alarm key: Activate alarm menu.3 How to use keys 1. After modification of time or date.

including all external cables. Portuguese。 When you can not clear about display present language. If necessary. the waveform will be compressed to show longer time quantum. and accessories. alarm volume. press the “on/off” Key on the Monitor. large numeric display.7 Set measurement unit Select Menu -> System Setup -> Region Settings -> Select Units 4. z Power off Press the “on/off” Key. Basic Operation 4. Verify Monitor setting. English. 4. z Connecting the power After connecting the power. The detailed information for the format required. If it is not the language you need.6 Set language Select Menu -> System Setup -> Region settings ->Language The monitors can supply four languages: Chinese.10 Preparatory work z Check the Monitor Before measurement. 11 . check for Monitor’s mechanical failure.8 Change waveform speed Decrease the waveform speed. the optional window is as above.9 Setting monitoring format The common monitoring formats include Standard 7 ECGs. and pacing impulse status suitable to the patient. patient category. and five formats defined by the user. z Setting parameters Configure the parameters to be monitored and check if the patient cables and sensors are properly connected. The user can change ECG waveform speed and RESP waveform speed. press [OK]. then un-plug. refer to the format setting. Increase the wave speed. please consult Newtech or the local Newtech representatives. Spanish. alarm limit. Please press MENU -> Press the fifth menu frame-> Press the third menu frame -> Press the fourth menu frame. For detailed information on monitoring required parameters. 4. 4.Select the language you need. the waveform will be expanded to display more detailed view. z Starting monitoring Connect the patient to the Monitor. refer to appropriate s and sections. change these settings.

Using the rotating knob to select the required field.13 Main Menu ①<Display> sets the display interface. Basic Operation 4. 4. the corresponding menu will pop up. the Monitor will automatically exit all menus. Select the concerned waveform parameter label on the screen using the rotating knob. If no key is pressed for more than one minute. 12 . 2. The menu field with green background and black character means the menu to be operated. then press it down. ④<Patient> sets patient’s information. FREEZE. ②<Tools> sets the practical tools. Return to the previous menu: Select “exit” at the far right end of the menu bar to return to the previous menu. ⑥<Recorder Setup> sets the printer parameters. the field with black background and white character is the field selected by the cursor. the Central Management System can remotely upgrade the Monitor. 4. 3ECGS.12 Menu operation Start menu: Press corresponding menu keys (MENU. 2ECGS. there are three different menu colors corresponding to three different menu status: 1. The menu field with black background and white character means the current operating menu.11 Remote maintenance Select Menu -> System Setup -> Maintenance -> Remote maintenance Enter Remote Maintenance mode. ③<Review> observes the historical data. Press down the knob. 7ECGS. the corresponding menu pops out. It means that current field is forbidden to operate or has not been configured. Press <Menu> key to exit all menu. or large numerics. Menu status: In the menu bar. ⑤<System Setup> sets the system information. ALARM). when you would like to accessing the Remote Maintenan. Menu browse: In the menu bar. 4. The Monitor provided with the second cofirm information.14 Display menu ①<Fixed Format> set the display channel as 1ECG. 3. The menu field with gray background and black character is an inactivated field.

③<Format Setup> define the display channel. 13 . It supports five user-defined channel formats. Basic Operation z 2ECGS z 7 ECGS z Large numerics ②<User Format> sets the display channel as the channel format defined by the user.

Select the ECG channel. Blank means no channel can be displayed at this position. SpO2. and can be selected later at any time from <User Format>. Basic Operation Attention: The same channel can not be displayed repeatedly. 14 . ④<oxyCRG> HR. The configured channel can be saved as a user-defined format. ⑥<Waveform Speed> adjust waveform speed of the ECG / PLETH and RESP. the system will automatically configure the lead of the ECG channel. ⑤<Alarm Limit> Display or hide the alarm limit parameter area. RESP collectively displayed.

16 Review menu ①<Trend> used to review trend data. Basic Operation ⑦<Other Settings> set other display formats. 4. Refer to s and sections on Trend Setting. ②<Drug Calculator> adjust drug calculator. z Menu font can be switched between large font and small font. z Three NIBP display formats are switchable. ③<Standby> turn The Monitor into standby mode.15 Tools menu ①<Event> set events. z Screen Font can be switched between large font and small font. ③<Alarm Review> used to review alarm memory records. z Pleth waveform can be switched between filled and blank. ②<Wave Review> used to replay waveform. Refer to sand sections on Trend Setting. 15 . See alarm review. 4.

② <Set Sound> sets up volume of current alarm sound and pulse sound. Sound setting menu as below: Click <Device Tone> and enter to set up Pulse Tone and Alarm Tone: ③<Region Settings> sets parameters relating to the following areas: z Select Units 16 . switch on/off pulse sound. 4.18 System Setup menu ① ② ③ ④ ⑤ ⑥ ①<Set Time> sets the current time for the Monitor. Basic Operation 4.17 Patient menu Patient information can be set or modified.

④<Network Setting> z IP Address The user can set the IP address of the Monitor. otherwise the signal noise of ECG can be loud. z Server: Sets up server for monitor z Device Name: sets the name of the Monitor ⑤<Maintenance> sets maintenance function. Reserved 1. Spanish. The maintenance function includes: System Status. z Language It can be set in English. Remote Maintenance. Attention: This maintenance function can only be set by the Administrator. 17 . Maintenance Login and Change Password. DEMO. Reserved 2. Refer to the s and sections of the network settings. or Portugese. Basic Operation z Date Format z Power Frequency Attention: Set appropriate power frequency.

the menu is as follows: <Main Settings> sample list is as follows: <Software version> sample list is as follows: z DEMO:Used to show demo screen. Basic Operation The Menu maintenance is as follows: z System Status Checks relevant system status. Attention: Don’t use the DEMO function with monitoring the paitent The Monitor provided with the second cofirm information. z Maintenance Login: Used for Seller and Producer to login in. when you would like to accessing theDEMO. 18 .

⑥ <Default Settings> :Restores factory default settings. 4. Reserved 2. Basic Operation z Change Password:Used to change passwords. z Setup password: password protection.19 Recorder Setup (for details see on Printing Function) 19 . z Demo Switch: Turns on the demonstration display. z Reserved 1. The user should pay more attention to the following operation functions: z Remote maintenance: used to upgrade the Monitor’s software.

1. monitor mal-function or inaccurate measurement.1. only the highest priority alarm is displayed. 2. Overall alarm setting: Presses down “ALARM” button. Alarm 5. the alarm exceeding limit of related parameters is setted as median alarm. z Technical alarm is triggered by system abort. sensor off. z Minor alarm: This is a general alarm. Numerics blinking frequency: 0. 20 . Visual alarm is displayed on the monitor screen with appropriate blinking numerics. The user may select the parameter field by the rotating knob and set alarm limits.3 Alarm mode NT3 series have both audible and visual alarm modes. z Physiological alarm happens when patient’s physiological parameters exceed limits (e. heart rate and blood pressure exceed limits). Each individual parameter has alarm function and alarm limits can be set. For example: low battery. z Mid level alarm: This is a major alarm. This is different from the first two alarm types but needs attention. 5. Audible alarm is through the monitor’s speaker. For example: Leadwires off.2 Alarm level z High level alarm: When a patient’s life is threatened or the monitor appears to have serious technical problems. 5. Medium priority: Continued three “Dee” with an interval of 18 seconds. z Normal alarm is within the normal range. 1. monitor abort.625Hz. the patient suffocates. press it down and follow the menu. technical alarm. High priority: Two groups of five “Dee” with an interval of 10 seconds. Numerics blinking frequency: 1.g. It may not threaten the patient’s health. sensor off.2 Set alarm Monitor can set overall alarm functions. Alarm 5. and normal alarm. Attention: Only doctors can set physiological parameters’ upper limits for alarm level according to patient's conditions and his/her own experiences. This is the most serious alarm. the pulse search failed. Low priority: one “Dee” with an interval of 20 seconds.1 General alarm 5. Technical alarm is system error message also. plug off.g. Attention: When different priority alarms occur simultaneously.1. as well as separate parameter’s alarm function. e.1 Alarm type This monitor includes physiological alarm. 5. or the alarm exceeding limit of related parameters is setted as upper alarm. For example: the alarm exceeding limit of related parameters is setted as lower alarm. No blinking. choose alarm menu to carry on the setting.5Hz. 3.

When the overall alarm is switched on.2.1 On/Off alarm z Switch on or off some parameters’ alarm Select parameter field . z Switch on or off all parameters’ alarm (overall alarm switching) Select ALARM key -> Alarm On/Off When switching off all parameter alarms. but no audible sound. Alarm Partial parameter alarm setting: Select some parameters. press down the knob. Restarting this monitor. choose [alarm switch]. Yet the words relating to technical alarm will blink.> choose alarm switch menu The following chart shows “HR” alarm prohibition icon in a red circle. a confirmation dialog bar appears as a reminder. [alarm setting] menu to carry on the operation. 5. alarm setting remains the same as when the monitor is turned off. there will be no alarm sound and no blinking numerics. Attention: When overall alarm is switched off. 21 . Warning: User should pay serious attention to the overall alarm switching. there is no need for confirmation. When the monitor is turned on for the first time. The below chart shows alarm prohibition icon in a red circle. It is recommended not to turn off this switch.> press down the knob . the default alarm switch is ON. if physiological parameters exceed limits.

5. Interval 30s. z Alarm format: “parameter > high limit”. they are displayed on the left side of the status bar. alarm parameters will be displayed alternately on the left side of the status bar. It is recommended not to switch off overall alarm sound. On the current parameter. To switch on or off alarm sound. When an alarm disappears. Interval 120s. or “parameter < low limit”. interval 60s. z Set partial parameter alarm Select parameter field .2. These represent five alarm sound status: On. Low = yellow words.2. To pause alarm sound. z If multi alarm occurs. use Silence key. “parameter name >high limit” or “parameter name <low limit” replaces parameter name.5 Setting alarm limits From alarm menu.> press down the knob . different icons indicate current status of alarm sound. enter [Alarm Settings] to configure current parameter alarm high and low limits. z Alarm location: in the status bar. go to menu [Alarm Sound/off]. z Set all parameter alarm Select ALARM key -> Alarm Settings Click “page up” or “page Dn” to review or modify parameters in question. Medium = yellow. enter [Alarm Settings] to configure all parameter alarm high and low limits. the parameter name returns. 5.2.> choose alarm switch menu 22 . Alarm 5. Off.2. 5. Select ALARM key -> Alarm Sound/off When switching off alarm sound. a confirmation dialog bar will appear as a reminder.2 Switch on/off alarm sound Warning: User need to pay serious attention to use switch alarm sound function.3 Switch on/off alarm sound and five status On the right of the status bar. press knob. z Alarm level colors: High = red.4 Alarm status bar When alarms occur. When an alarm occurs.

Alarm printing is also off. z Print switch (with printer option) can be set as On or Off. Alarm priority chart: Alarm content Type Priority HR Over limit above medium SpO2 Over limit above medium ST Over limit Set different priority RR Over limit based on patient NIBP Over limit conditions IBP Over limit Temperature Over limit asphyxiate alarm Physiological high alarm (SpO2) pulse search over due Physiological high alarm 23 . 5. Otherwise its alarm limits remain the same as when the monitor is turned off. its alarm limits are for the current patient. Attention: Alarm high limit cannot be lower than low limit. Alarm See attachment "Product Technical Specifications" for the range of various parameters alarm limits and factory default value. Once the overall alarm switch is set as Off. this parameter’s alarm sound and the blinking is shielded. the user should reset alarm limits based on new “patient type”. it has adult’s alarm configuration as default. When the monitor is turned on for the first time. If high limit is lower than low limit. If the monitor restarts after 30 minutes. any single parameter printer switch will not be active. any single parameter alarm switch will not be active. z Priority sequence based on patient conditions can be set as high. or low. But HR and SpO2 cannot be set as minor alarm.2. Select ALARM key -> Alarm Control z Alarm switch: If the single parameter alarm switch is set as Off. medium.6 Alarm control Alarm control is used to shield and set priority sequence when all parameter alarms occur. the monitor will not respond. If [patient information] has been reset. Once overall print switch is set as Off.

2.2. otherwise [Printer Setup] is not activated). its alarm print switch remains the same as when the monitor is turned off. 5. Alarm will not be printed) 5.2. alarm control remains the same as when the monitor is turned off.9 Restore alarm default settings Select ALARM key -> Alarm Default 24 . Restarting the monitor after 30 minutes. 5. MENU key -> Printer Setup (only with printer option. z Set single parameter print switch ALARM key -> Alarm Control z To obtain alarm printing for partial parameters. its alarm control has factory default. Otherwise. its alarm limits return to factory default. Alarm (ECG)lead off Technical alarm high (ECG) channel full Technical alarm high (SpO2) sensor off Technical alarm high (SpO2) without sensor Technical alarm high (NIBP) cuff leakage Technical alarm high (NIBP) without cuff Technical alarm high (NIBP) cuff over pressure Technical alarm high (NIBP) test over time limit Technical alarm high When the monitor is turned on for the first time.7 Alarm print z Set overall alarm print switch The monitor has factory default for this function. When the monitor restarts. the following conditions should be met: „ General Alarm Switch: On „ Current Parameter Alarm Switch: On „ General Alarm Printing Switch: On „ Current Parameter Printing Switch: On „ Recorder in working status (if the recorder is busy.8 Adjust alarm tone Adjust alarm tone by MENU> System Setup > Set Sound > Device Tone Adjustment range for alarm tone: 400 Hz ~ 2950 Hz. Factory default: 900 Hz.

There are three sets of default values for alarm limits: adult. See Product Specifications for detailed alarm default values for all parameters. check the patient's conditions first. 5. Warning: There will be no saved records when the monitor is Off.3 Alarm Review The user can review 100 alarm records. alarm switch. pediatric. Page up. and neonate. Select MENU key -> Review -> Alarm Review Alarm records can be arranged by alarm time sequence. alarm sound and all other related values. alarm limits. Line Dn. or Page Dn to review more records.4 Identify alarm and erase alarm Warning: When an alarm happens. Press Line up. 25 . Alarm Returning to default setting applies to all parameters. Parameters' name and definition: Name Definition HR Heart Rate ST_I ST segment ST_II ST_M SBP(NIBP) Shrink Blood Pressure MAP(NIBP) Mean Average Blood Pressure DBP(NIBP) Diastolic Blood Pressure T1 Temperature 1 T2 Temperature 2 SPO2 SpO2 RR Respiration Rate ET et CO2 INS ins CO2 5.

Identify which parameter is alarming or which type of alarm is occurring 3. Alarm When there is an alarm sound from the speaker. Check if alarm is off after the alarm status has been adjusted. Silence alarm when necessary 5. the user can not determine which physiological parameter or which type of alarm is occurring. 26 . Check the patient’s condition 2. Identify the alarm’s reason 4. The user must look at the display and the blinking numerics to judge the alarm type and reason. The following are some actions to take: 1.

Use “Page Dn” for the recent trend data. click OK. The trend map or trend table can be prepared according to the parameters selected by the user. Trend Analysis Trend data is a patient’s data collected during a period of time. Interval: as shown below: the image will be compressed or expanded according to selected intervals. Field: click the parameter field and enter menu. The trend map (table) can provide time zoom and range zoom for detailed analysis of the patient’s conditions. Select trend map (table). The corresponding trend map will be displayed in the trend map display area. z Display the trend map (table): Press MENU and enter display mode. [Page Dn]. 27 . Trend Analysis 6. Parameter selection menu: select any parameter. the trend map displays the data from the most recent time line. time frame and adjust time spans. Except noninvasive blood pressure. all trends are consecutive curves.1 Main screen trend analysis Main screen trend map (table) The main screen trend map (table) displays the latest trend data distribution in real time. 6. the trend map automatically rolls leftwards. 4. ②Measurement scale: Marks the value scale of the trend map. z Trend map distribution: ①parameter field: Used for trend map operation. 3. Trend analysis is patient condition chart displayed based on the trend data. Click format setting. The user can select parameters. Select ascending trend map (table). Trend map display area: in the nomal wokring mode. 2. When the data is over the one screen display. ③Trend map display area: The trend map is on top of the time line. the targeted trend map (table) appears as below. The color of the image is determined by the parameters. Gray shows invalid field. Use “Page Up” to get to the previous trend data chart. Time frame of the trend map: click [Page Up]. Menu description: 1.

The new data in the trend table will be added accordingly. ②Scale: Marks the value range of the trend map. Use [Line Up]. the trend data of the the most recent time frame is displayed in this area. z Trend table distribution ① Menu field: used to enter the trend table operation. It will be applied when the monitor restarts. When the data is over one screen. it is used to control the Y axel value range of the trend map. The adjusted range will be stored in the Monitor. Menu description: 1. [Line Dn]. Range: as shown below. it automatically rolls up or down. [Page Up]. the trend data takes the upper limit/lower limit according to this range. The trend window can show analysis of one parameter or several parameters via the trend map or trend table. [Line Dn]. and manual adjustment. click the trend display. Any value over the limit is not valid. [Page Up]. z Trend map distribution: ①Parameter field: Marks the required parameter selected by the user. maximum range. 3. 28 . Trend Analysis 5. Adjust the time frame of data: use [Line up]. [Page Dn] to view the trend data of the previous time frame. Enter menu: 2. and [Page Dn]. ② Data display area: in the normal working mode. Adjust the intervals: as shown below: the data in the trend table is compressed or expanded according to the desired intervals. ③Cursor: Use menu to move this cursor. The user can expand the time frame and adjust the value range manually. 6.2 Trend analysis Enter the history database from the system menu. Once the user sets the range. The range has three adjustment modes: alarm limit range.

5. the median time is the cursor time value in the trend map. The trend map will be compressed or expanded according to the selection and displayed in the trend map display area. Alarm Limit: The alarm limit range set by the user will be used for the value limit range. ⑩Event mark: It is used to mark all events recorded in the current page. Below the parameter list is the area to display events and step. Trend Analysis ④Parameter table: The corresponding value of the parameters at the current cursor time is displayed in this area. The selected parameter is highlighted in the parameter table. Any value above or below the range will be invalid. the corresponding trend map will be displayed in the trend map display area. the user can browse the trend map back and forth until the required time frame is shown on the screen. ⑾Time frame: It is used to mark the time frame of the current page. Page Dn. Menu description: The menu is as follows: 1. 4. The color of the curve is determined by the parameter. The trend data will take this range as the upper limit or lower limit value. Manual Adjust: Used to adjust upper/lower limit range. Its value range is limited by the maximum range. 6. In the trend table. ⑥Starting time of the trend data: It is used to mark the start time of the trend data recording. and manual adjustment for the use to choose. The adjusted range will be saved in the Monitor and applied in the next start up. Range: As shown below. 3. Click [OK]. Trend table The information in the trend table is displayed as a list. ⑦Cursor time: It is used to mark the current time. ⑨The time cursor in the trend data: It marks the cursor time value in the trend data with a red dot. Intervals: Select any time interval as shown below. this is used to control the Y axel on the trend map. The NIBP value is the first value in the current interval. Select the parameter: The user can select up to three parameters combination in the menu. Black letters represent the selected parameter(s). Click the selected parameter again will reverse the selection. The parameter number and category are the same as the trend map. 2. The value of each parameter is date and time (except NIBP). The map time frame: Using Page Up. maximum range. There are three areas: alarm limit range. Cursor: Click this knob and rotate it to move the cursor. ⑧End time of the trend data: It is used to mark the finish time of the trend data recording. Gray represents invalid value. The time value and events where the cursor is will be displayed in the parameter table. Max Range: The default range of this Monitor serves as the value range. ⑤Trend map display area: Displays the trend map of the selected time frame in the trend data. Menu description: 29 .

■ Adjust time intervals: Select one interval for the time frame of each data in the trend table. 30 . [Page Dn] to set the time frame. Trend Analysis ■ Adjust data display time frame: Use [Line Up]. [Page Up]. [Line Down].

Browse waveform: Use [Page Up] and [Page On] to review different waveforms. Browse the waveform: Use [Page Up] and [Page Dn]. Waveform replay allows the user to review pages up or down to get overall waveform for several seconds. Press [Select File]. ②Selectable files Move the cursor to position ② the user can select a corresponding time. the following appears: ①Start time of the selected file. 31 . the previous frozen waveform is displayed on the screen. Save waveform: Press [Save] to save the frozen waveform section to replay it later. the following appears: Press [Wave Review]. If the waveform is successfully saved. the corresponding waveform will be generated on the screen. or to save the required waveform for further analysis.1 Menu description Press <Freeze> to freeze the waveform on the screen. Click [Ok]. Freeze Waveform and Replay 7. Freeze Waveform and Replay Doctors can freeze the current waveform on the monitor screen to examine the waveform. 7.

Browse events: The user can see event records at the corresponding time of the day in the event display area of the trend analysis. Use [Tools]. the following appears: ①Recordable event serial numbers. click [Event]. ②Event display. Record Events Events can be recorded for future reference. the position ② will display that the event was successfully recorded. Menu description: Record events: Click [Event1]. Freeze Waveform and Replay 8. [Event3]. [Event2]. 32 . or [Event4].

9.1 Enter drug calculator function To enter drug calculator function. 9. the unit is ml/min.2 Measurement unit Drug unit When the drug name is “any drug”. The user cannot modify it. The drug calculator will calculate the dosage based on the entered value. mEq. ml/hr. z Dosage/(kg*min) or dosage/(kg*hr): The amount of drug per 1kg of a patient’s weight injected in the patient within the unit time period (per minute or hour) dosage/(kg*min) * patient weight = dosage/min dosage/(kg*hr) * patient weight = dosage/hr z Infusion speed: The volume of the drug solution injected into a patient’s body within unit time (per minute. infusion speed/kg * patient weight = transfusion speed 33 . the unit is set by the drug calculator automatically. correct calculation unit and patient weight should be considered. z Infusion speed/kg: The volume of the drug solution per 1kg of a patient’s weight injected into the patient within unit time (per minute. and concentration. consult the hospital pharmacy. infusion speed. press MenuÆappurtenanceÆdrug calculation. you can select: g. If there are doubts regarding these. Drug Calculator The information of the drugs given through intravenous infusion includes dosage. Time unit Min (minute) and hr (hour) are used for time unit. Once the drug name is identified. Drug Calculator 9. the unit in the drug calculator changes accordingly as well as the pace of the infusion process. volume.3 Glossary z Total drug volumn: The total weight of the drug used by a patient within a certain time period. After the drug measurement unit is set. ml/hr. the weight unit in the drug calculator changes accordingly as well as the pace of the infusion process. Caution: Before applying any drug. m unit. unit. It is always a doctor’s decision to determine the type of drug and its dosage to be applied to a patient. It can not verify the validity of the calculated data. mcg. 9. z Liquid volume: The volume of the solution including the drug. The drug calculator function can help calculate unknown value by the known formula and therefore help control drug infusion. z Dosage/min or dosage/hr: The drug quantity injected into a patient within unit time (per minute/hour). After setting the time unit. hour). The unit is ml/min. mg. hour) . k unit.

it displays 0. drug unit.9. No application range is prompted for the dose or concentration. z Pressing calculate knob returns to the initial status of the entry. z All digits after the decimal point will be rounded up. z The user can enter at least three known items according to the calculation requirements. Press the rotating knob and enter the digit selection status. it will jump back to the first digit repeatedly. z The known items entered by the user are expressed with blue background. 34 . 9. it displays ---. After the user inputs the known item. When it is smaller than the display value. time .00.00 means to cancel this entry. the unit is GTT.--. d) Conduct calculation for any drug z When the drug selection is any drug. When it reaches the last. b) Calculation rules z The equation for drug volume: total drug=dosage/min* duration dosage/min=dosage/(kg*min)*patient weight z The equation for solution volume liquid volume=infusion speed*duration Infusion speed=infusion speed/kg*patient weight z concentration=total drug/liquid solution volume c) Known value and calculation results z Total drug. The calculation result is then locked. z Input the drug information into corresponding fields. concentration = total drug / liquid volume z guttae speed/ min. Turning the rotating knob the cursor will select each digit consecutively from left to right. z Input three items such as body weight. The drug calculator will automatically calculate using the default equations. infusion speed. concentration can be entered as known items or be put out as a calculation result.00 and can be filled with value. z All fields are initially displayed as 0. the drug calculator start calculating and the result will be displayed in real time. volume. The user can only modify the entered value.4 Drug calculation execution a) Entered numbers z To enter numbers. guttae speed/ hr: The infusion within unit time z guttae/ml: The volume of each guttae dropped form the infusion device. dosage/(kg*min). z When the digit is larger than the display value. and the drug calculator will calculate relevant value. the cursor selects the first digit from the left. z Concentration: The concentration of the drug in the solution. infusion speed/kg. the drug calculator only provides the calculation for the infusion liquid. hr). z The selection range for each digit is 0 . time unit. dosage/min. The calculation result is expressed with gray background. To put in 0. Drug Calculator z Time: The consumed time for drug infusion (the unit is min.

z The unit for the total drug amount is the same as the unit entered at the drug calculator main window. z The titration process table displays the remaining amount of the drug and liquid at each time frame after the user inputs the data into the drug calculator.5~1mg/ml <25mg/min 250~500mg Amrinone Lactate 1~3mg/ml 5~10ug/kg/min 5 ~10mg/kg Bretylium Tosilate 10mg/ml 1~50mg/min 5~10mg Dobutamine 0.01U/ml 0.001~0.5~5mg/ml 2. z The drug dosage over range prompted from the drug calculator can only warn the user to pay attention to apply appropriate dosage of the current drug. When any information entered or any calculation result is out of range. the drug calculator will show it in red color. Aminophylline and Amrinone Lactate (see Drug Dosage Range Limitation Table). Once a drug name is selected.g. z Press “OK” to exit the table and return to the drug calculator main widow.5~10ug/kg/min 50mg Nitroglycerin 50~400ug/ml 5~200ug/min 5~10mg Oxytocin 0.1~1mg/ml 0. Drug Calculator e) Conduct calculation for certain drug z The drug calculator has been preset to do calculation for more than ten types of general drugs. and how much time remains. listing the total drug amount and liquid volume for each segment. according to the total infusion process. z All the fields in this window can not be modified. z The left side of the screen shows the data (and calculation result) entered by the user. e.025~1mg Heparin Sodium 20~40U/ml 15~20U/kg/h±10% 6000~20000U Isuprel 2~4ug/ml 2~20ug/min 0. The liquid volume unit is ml. Drug Dosage Range Limitation Table Drug name concentration speed dosage Aminophylline 0. the drug’s relevant value such as concentration.5~5U Procainamide 2~4mg/ml 1~6mg/min 10~15mg/kg 9.5~1mg Lidocaine <8mg/ml 1~4mg/min 1~2mg/kg Morphine 0. total drug amount.2mg/ml 1~30ug/kg/min 10~20mg Epinephrine <64ug/ml 1~4ug/min 0. The final infusion dosage and infusion process should be determined by the physitian in charge.5 Titration process table The “Titration Process Table” allows the user a quick glance of how much liquid has been infused into the patient’s body.5~40ug/kg/min 250mg Dopamine <3. 35 . dosage/min will have corresponding limitation ranges.5~5mg/ml <2mg/min 5~15mg hydrochloride Nitroprusside 0. z Select “titration process table” to enter this function. The right side is equally divided into 15 segments.04U/min 2.

the larger the gaps between the segments of the table.7 Recalculation The drug calculator result remains in the monitor when the user exits this function or turns off the Monitor. Drug Calculator 9. z The range used in calculating the Dosage/min (dosage/hr) is one to two times of the value entered by the user in the drug calculator at the beginning. The higher the infusion speed. The right side is equally divided into 30 segments showing the relationship between the dosage/min and infusion speed. then this field will be dosage/hr) and infusion speed. z The titration table shows the relationship between the dosage/min and the infusion speed under the condition of the same liquid concentration. the latest data appears. When the user enters the drug calculator function again. If the user wants to start a new calculation. 36 . 9. z There are two fields in the list: dosage/min (in the case where the unit selected is hr.6 The titration table At a glance the user can see the drug dosage accepted by the patient at different infusion speeds. z Press OK to return to the drug calculator screen. z Select the “titration table” to enter this function. press “Recalculation” in the drug calculator screen which clears all existing data and a new calculation starts. z The left side of the screen shows the data (and calculation result) entered by the user.

the printer indicator will be green when the monitor is turned on. SpO2. Caution: When the printer is printing. 10. “the printer can not be normally detected” will appear. which may cause damage to the printer. while “Mode 2” prints two waveforms: the main lead ECG + blood Pleth waveform. respiration rate and body temperature. Press printer knob to open the cover. Printing The printing function is optional with NT3 series monitors. 37 . Do not print without paper. the Monitor will dismiss this timer printing. The minimum length is 5 seconds. Printing 10. “Timer printing” prints only parameters. Do not install any other types of printers which may cause damage to the monitor. When it is time to perform a timer printing but the printer is printing. or 12. the following appears: Curve mode is used to select the number of curve channels and content to be printed. The unit is second. including heart rate. it means that the printer is without paper.5 mm/s. The maximum is 30 seconds. 10. The user needs to determine whether to include this function which prints one real time waveform of the main lead ECG (see other s and sections for the main lead definition) or two real time waveforms of the main lead ECG and blood Pleth volume.2 Set printing parameters Select “printer setting”. The user can select printing speed: 25mm/s. The default setting for both “alarm printing” and “timer printing” is off. “Alarm printing” is to print all parameters when alarms occur.1 Connect to the printer The printer used for this Monitor is a thermal printer which is installed on the side of the Monitor. Timer printing and alarm printing are also available. If not. “Total length” is the total printing length after “print” is pressed.5mm/s. ■ The printing paper is single sided thermal printing paper. Contact the manufacturer immediately for any questions. If it is red. it can not be configured. ■ Check to see if the printer is properly connected. ■ If the printer is properly installed. Insert the paper with the smoother side up and close the printer door. “Mode 1” prints one main lead ECG. This function has two printing speeds: 25mm/s and 12. blood pressure. Tthe red error alarm indicator should be off.

While the printer is printing. Caution: When the thermal recorder is printing. the user can retrieve the print-out. press “print” again to stop the current printing job. 10. the user should not open the printer’s cover. The printing paper needs to be installed before restarting the recorder.3 Printing Press “print” to start printing. Printing 10. Never start printing without printing paper. Only after it stops printing. It will stop when it finishes.4 Alarm printing (see alarm ) 38 .

(1) Completely clean the skin with soap and water. (6) Make sure the Monitor is power on. Monitoring ECG 11. The Monitor can detect individual lead off and display them on the screen. It also controls the gain (in automatic mode). Normal electrodes should enable the monitor to display and maintain data in 5 seconds after the defibrillation electric discharge. refer to the ECG electrode installation as shown in Figure 11. 1) Selection and use of electrodes The electrodes use for monitoring ECG are disposable electrodes made from Ag-AgCl (silver . The ECG channel displayed on the top part of the screen is the main channel which is used to calculate the heart rate. but not with aether or pure alcohol which will increase skin resistance. The ECG cable includes two parts: the main cable connecting the Monitor and the electrode leads connecting the patient. make sure the electrode has valid expiration date.1. Apply some conducting gel first if the electrode comes without it.1 Installing electrode for five-lead device 39 . or it will lead the safety problem in defibrillating Using five-electrode ECG cable can obtain up to 12 selectable ECG leads. 11. It can simultaneously display seven ECG channels.1 Installing the ECG electrode (1) For the installation of the five–lead ECG electrodes. and the trunk cable are not connected with any other conductor parts including the ground. 2) Skin preparation Because the skin is not a good conductor. (7) Make sure the electrode. Monitoring ECG This Monitor adopts 5-lead ECG cable to collect the ECG signals from a patient. wire leads. (2) If necessary.silver chloride) with the disposable electrode mark: . (3) Rub the skin to accelerate blood flow and get rid of the dead cells and greases on the skin. shave the body hair where the electrode is to be affixed. Before use. (4) Install the electrode on the patient. which do not belong to our company. it needs to be treated before affixing the electrodes.1 ECG electrode monitoring Warning: Do not use the ECG-cables. The Monitor displays a patient’s ECG waveform from those pre-selected. 11. effective leads. Defected electrodes can lead to inaccurate data. All 5 leads adopt the same gain control and same measurement mode. (5) Connect the electrode lead with the patient cable.

installing ECG lead electrode is based on the type of operation. Avoid placing the electrode on the upper arm where small ECG waveforms are produced. The square brackets [-] indicate European standard. In the operating room. The chest lead electrode can be placed on the left side of the center of the chest. Montior will count the packmaker pulse as the normal ECG wave.2 Three-lead ECG electrode installation positions Attention: If there are cardiac pacemaker inside the patient’s body. The label name and color of the electrode is American standard. the electrodes can be placed on two shoulders. To reduce the interference. the electrode is placed on the sides of the chest or on the back of the patient. For example. or the right and left sides near the abdomen. the application of the surgical electrocauterize unit sometimes may cause interference on the ECG waveform.1 Five-lead ECG electrode installation positions (2) ECG lead-electrode installation recommended for surgical patients For surgical patients. Figure 11. ■ black (left arm) lead: on the left foreleg ■ green (reference) lead: on the right hind leg ■ red (left leg) lead: on the left hind leg ■V lead: exploring lead Figure 11. ■ white (right arm) lead:on the right foreleg. Caution: 40 . during open chest operation. Monitoring ECG . it caused the ECG signal of patient can not be measured.

The main lead is the most important lead. 11. all leads should be connected to the patient. The top ECG channel is the main channel as shown below: ①main lead type ②gain mode ③gain ④measurement mode ⑤Waveform speed ⑥scale ⑦scale range ⑧lead off sign ⑨ECG waveform Select ① position with the cursor. V for selection.1. Check daily to see if the ECG electrode patch irritates the skin. press the rotating knob and the ECG menu appears. press the knob. Attention: To protect the environment. If irritation occurs. The electrodes should have equal distance to the electrocauterize blade and its ground. The electrode should be affixed tight to the skin to ensure proper conduction. II. The electrosurgical unit (ESU) and non-grounded equipment near the patient may disturb waveform. the lead 41 . Never put the electrode near the grounding of a surgical electrocauterize unit. Always make sure all leads are nomal before start monitoring. There are seven lead types: I. the doctor should select the lead with large range and little noise as the main lead. Caution: To ensure patient’s safety. which will cause huge interference to the ECG signals. To get accurate heart rate and gain control performance. Caution: To avoid duplicate leads. the screen will show “lead off”. Monitoring ECG Select a place with stable ECG signals or little activities to place the electrodes. aVL. 【lead selection】: To switch lead type.2 Main ECG display The ECG waveform is green including two ECG channels. when switching the lead type in the current channel. For the five-lead configuration. aVR. place chest (V) electrode in the above mentioned position. If the ECG cable is not connected. all used electrodes must be recycled or disposed properly. aVF. replace the electrode or change the electrode position every 24 hours. III.

which can get the detailed ECG signals. Then under the condition of x2 magnification. the gain and waveform range becomes larger. the gain and waveform range becomes smaller. Under the standard waveform display format. After the regulation is done. press down the rotating knob again. x1 is one time magnification.5Hz~90Hz Least Least 42 . This monitor has five magnifying stages: x1/4.05Hz~125Hz most most Monitoring 0. x1/2. the length of the scale ⑥ is 10mm.5 mV. These two modes can be switched using【gain mode】. Under this magnification. the monitor will automatically regulate the gain to amplify the ECG waveform from the main lead without possible distortion. The ECG gain is regulated via the【gain regulation】menu. This detailed information helps to accurately interpret the status of the ECG signals. Below is a detailed table: Gain factor Automatic gain Manual gain 10mmscale range X1/4 adopted applicable 4 mV X1/2 adopted applicable 2 mV X1 adopted applicable 1 mV X2 adopted applicable 0. 【measurement mede】: The measurement mode refers to the filter bandwidth of the ECG channel.05Hz~100Hz Medium Medium Operation 0. This mode generates fast response. press the knob once. the monitor provides two measurement modes: the monitoring mode and the theater operation mode. therefor the true ECG signals can be difficult to distinguish. and x4. Gain means to magnify the ECG signals. Monitoring ECG types in other channels will be changed automatically. The user can choose for appropriate situations. The waveform will change immediately after the gain is regulated.g. the range ⑦ of the scale ⑥ at the left side of the ECG waveform is 1mV. the filter bandwidth is set to the widest. press down the rotating knob. Under diagnostic mode. Rotate anti-clockwise. the manual mode for【gain regulation】is not activated. Rotate clockwise. e. 【gain mode】: To switch between automatic gain and manual gain. 【gain regulation】: To manually regulate ECG gains. narrower bandwidth is used to obtain smoother signals. The automatic mode can be slow. noise of the HF electrotome. The noise is mixed with the real ECG signals. In these two modes. x1. x2.25 mV Caution: All leads should use the same gain control. To accommodate noisy environment. Manual mode: In manual mode. See below noise comparison table: Measurement Mode Bandwidth Details Noise Diagnosis 0. This Monitor provides two methods to regulate the electrocardiogram waveform range: Automatic mode: In automatic mode. and can be amplified with some distortion. the monitor will not automatically regulate the ECG gain value. the waveform of the 10mm displayed on the standard screen will be for the ECG signal of 0.5 mV X4 adopted applicable 0. Yet the detailed information may be accompanied with some ambient noise. Using this mode.

including all ECG channels and blood Pleth waveform channel.5 mm/s. 12. and press down the rotating knob to use heart rate setting menu. ①ECG waveform ②heart rate and main lead ST alarm limit ③heart rate alarm off sign ④heart rate label ⑤heart rate source ⑥heart rate ⑦main lead ST section ⑧other lead STsection ⑨ST section label Move the cursor to the heart rate label. 【Alarm Setting】: Used to check and regulate alarm settings of the heart rate.2 Parameter display ECG parameters include the heart rate and ST section.25 mm/s. 【Waveform speed】: Used to regulate the waveform speed for parameters relating to the heart. 【1mV standard signal】: Used for the square wave signal 1Hz 1mV. 【HR Source】: Used for selection strategy for the heart rate source. Monitoring ECG Caution: All leads should be in the same measurement mode.1. Except in large numeric mode. 11. as shown below: 【Alarm On/Off:】: Used to switch between alarm on and alarm off. 25 mm/s. Press the knob down and the menu shows: 43 .3 Screen showing other leads channels ①lead type ②scale ③lead off sign ④ECG waveform Select the position ② with the cursor. 11. 50 mm/s. the heart rate and ST sections are displayed on the right corner of the screen. press the rotating knob to switch lead types. See below. There are four speeds: 6.

Refer to accordance with the local power frequency. Pulse rate or heart rate can be displayed in the area of the heart rate. Three. V Form ECG signal pulse rate yellow SpO2 From SpO2 signal Attention: Pulse rate and heart rate share the same set of alarm limits and alarm on/off. This selection is called heart rate source selection. Press down the knob and the following menu appears: 【ST On/Off】: Open and close the ST section display.】: Used to set up calculation average periods of the heart rate and ST section. aVF. it should be replaced immediately. the monitor measures the pulse rate.3 Trouble shooting Problem Possible reasons Suggested remidies lead off ECG electrode fell off from the patient’s Ensure the electrode lead and cable body or the ECG cable fell off from the are properly connected. Monitoring ECG 【AVRG. as shown in below: Display the ST section Hide the ST section Heart rate source selection: During the oxygen saturation testing process. The heart rate source mark and heart rate label both show the current heart rate source. Warning: If the ECG cable is damaged or aged. II. 11. The power frequency is not set in Set right power frequency. monitor. III. see below comparison list: Label The color of the heart rate value Heart rate source mark Source heart rate green I. This monitor supports two heart rate source selections: automatic selection and manual selection. aVL. ECG signal noise too The measurement mode is not correctly set Change the electrocardiogram loud. 44 . according to the environment. aVR. measurement mode.

If it is in manual gain regulation. tune the gain to the right magnification. Correctly set the patient type. The patient type is not set correctly.25mV. Channel Saturation ECG monitoring equipment overload or Decrease gain by manual amplifier saturation caused equipement in abnormal working status 45 . The gain is not enough. Check the connection between the electrode and patient to ensure No heat beat sound The electrode is not connected to the patient proper contact of the electrode and properly. Monitoring ECG The monitor is not grounded properly Check the grounding system of the monitor. No heat rate display The ECG signal is very weak. <0. patient’s skin. The electrode is not connected properly to the patient Keep the patient stable to obtain reliable connections of the electrodes.

2 Cuff Selection and Placement To place the cuff. 4. ■The noninvasive blood pressure (NIBP) measurement is applicable to horse. mean blood pressure and diastolic blood pressure. Verify the cuff is completely deflated. place the cuff around the metatarsus just proximal to the tarsal pad or around the hind leg next to the hock. If the dog is in a sitting position. Monitoring NIBP 12. Placement of Cat Cuff ■For a Dog Concerning measurements in dogs. For anesthetized patients. most surgeries are done on the posterior part of the body so that the metacarpal area of the forelimb is most convenient In situations where this is not possible. Place the cuff over the proper site of the patient.1 Overview ■The noninvasive blood pressure (NIBP) measurement is achieved by oscillometric method. metatarsus and anterior tibial are recommended for the cuff placement. between the elbow and carpus. 3. bicycle pump. automatic. Hair need not be clipped except when heavily matted. and consecutive. ■The measurement modes: manual. 2. For conscious patients. 46 . 12. followed the bellowed procedure: 1. measurements from the median artery on the foreleg can be used by wrapping the cuff around the forelimb.3 Cuff sites on differents animals ■For a CAT For a conscious patients. place the cuff around the leg above the elbow to obtain measurements from the brachial artery. ■NIBP monitoring system including components and accessories like some pressure sensor. 12. Select an appropriate cuff which is identified with a specific lim circumference. place the front paw on the operator’s knee and take the measurements from the metacarpus. Each mode displays the systolic blood pressure. verify that the cuff is not wrapped too tightly around the limb. dog and cat or similar size animals. Identity the patient limb/tail circumference. Monitoring NIBP 12. it’s preferable to use the right lateral. The metacarpus. measurements from the coccygeal artery can be used to over tail site. stemal or dorsal recumbent position.NIBP cuff. For cats less than five pounds when measurements are difficult to obtain. For anesthetized patients. battery valve. measurements from the coccygeal artery can be taken by wrapping the cuff around the base of the tail.

which can make measurement become unreliable or a longer measurement time. Make sure that hoses are not kinked. use a larger cuff. Blood pressure measurements should be interpreted by a physician. compressed or restricted. The wrong size cuff can cause erroneous reading. such as a horse and cow. The limb chosen for taking the measurement should be placed at the same level as the patient’s heart. measurement can become impossible. Monitoring NIBP Placement of Dog Cuff ■For Larger animals It’s preferable for a large animal. Extremity and cuff motion should be minimized during blood pressure determinations. his or her physiologic condition and other factors. If the cuff size is in questions. standing still. Any blood preesure recording can be affected by the position of the patient.4 Measurement limitations The blood pressure measurement of this monitor uses oscillometric method. Measurements from the coccygeal artery on the ventral surface may be used by placing the cuff around the base of tail. Warning: Use only the accessories approved by the manufacturer to avoid any malfunction of the monitor. The width of the cuff should be either 40% of the limb circumference or 2/3 of the upper limb length. If this happens. 47 . Caution: Verify the proper cuff size before each measurement. The inflatable part of the cuff should be long enough to circle 50-80% of the limb. 12. If a patient’s conditions are not applicable to use this method. This method looks for a regular artery pressure pulsation. Don’t apply the cuff to a limb that has an intravenous infusion or catheter in place. to be in a stock. the measurement may become unreliable and the time needed for measurement will be increased. The tube between the blood pressure cuff and the monitor should be unobstructed and cannot be tangled. The following situations may have some interference to this measurement method. If the animal’s hair over the artery site is too thick or matted for good contact. This could cause tissue damage around the catheter when infusion is slowed or blocked during cuff inflation. Proper blood pressure cuff size and placement are essential to the accuracy of the blood pressure determination. it should be clipped.

Severe coma: If the patient is in coma or with very low body temperature. Monitoring NIBP Patient’s movements: If the patient is moving. this sign will be displayed.6 Functions The NIBP has two functions: blood pressure measurement and the venipuncture function. If one parameter alarm is allowed. diastolic blood pressure and mean pressure is prohibited. diastolic blood pressure and mean blood pressure. 【Start Test】To start the continuous measurement. the measurement will be unreliable. Obese patient: The excess body fat level can reduce the accuracy of the measurement. 【Auto/Manual】 To switch between automatic measurement mode and manual measurement mode. 【Venous Puncture】 To enter and exit the venipuncture status. Unstable blood pressure: if the patient’s blood pressure changes rapidly during certain measurement process. the measurement will be unreliable or can not be conducted. The measurement time will be prolonged as well. 48 . and prolong the measurement time needed. 【Alarm Setting】 To check and set the alarm for systolic blood pressure. it will make the measurement result unreliable or even impossible. The insufficient blood flow to the periphery can lead to the decrease of the artery pulsation. diastolic blood pressure and mean blood pressure. Extreme heart rate: when the heart rate is below 30bpm (heart beat /minute) or over 300bpm. ④ Press here NIBP setting menu appears. 12. ⑤ Pressure measurement unit ⑥ Systolic blood pressure and diastolic blood pressure ⑦ Mean blood pressure ⑧. Heart-lung machine: if the patient is connected to a heart-lung machine. because the fat can block the artery pulsation to reach the cuff. 12. These conditions may interfere the artery pressure pulsation measurement. Arrhythmia: If the patient has irregular heart beat due to cardiac arrhythmia. the measurement result will be unreliable or impossible. this sign will disappear. ⑨ Information status bar for NIBP The NIBP setting menu is as below: 【Alarm On/Off:】 To switch simultaneously alarm on/off for systolic blood pressure. the measurement can not be carried out. the measurement cannot be carried out. shivering or jerking.5 Display ① Systolic blood pressure alarm limit ② Diastolic blood pressure alarm limit ③ NIBP alarm off sign: When the alarm for systolic blood pressure. 【Test Interval】 To set automatic measurement intervals in automatic measurement mode.

The setting for venipuncture is as follows: ① Venipuncture mode switch ② Pressure ③ Duration. pressing <start> will begin the blood pressure measurement. When position ⑨ displays “automatic”. conducting one manual blood pressure measurement will restart the automatic measurement operational status and the clock at position ⑧ begins to run. the blood pressure cuff air pressure is set manually. the monitor stops the blood pressure measurement immediately and deflates the cuff at the same time. „ Manual measurement: Each blood pressure measurement process shall start manually. Position ⑧ does not display any information. To enter manual measurement mode. and consecutive. A normal measurement process takes about 40 seconds. Press 【automatic/manual】to switch to this function. The systolic blood pressure.6. The time starts from the air is inflaed until the air is deflated. Monitoring NIBP 12.2 Venipuncture In venipuncture mode. „ Automatic measurement: The monitor will periodically start the blood pressure measurement according to the selected time intervals. it indicates that it is in manual measurement mode. this can also switch the automatic measurement operational status to pause status. 12. 49 . Attention: No matter in automatic mode or manual mode. the blood pressure cuff will be inflated.6. The user can switch between automatic measurement and manual mode. Automatic measurement mode has two statuses: pause with the clock at position ⑧ stopped. „ Consecutive blood pressure measurement The consecutive blood pressure measurement mode is used during operations or emergencies. press 【automatic/manual】. the monitor returns to the previous status (automatic or manual). Press <start> during the blood pressure measurement can stop the measurement immediately. There are three methods for blood pressure measurement: manual. automatic. Press <Start> on the panel of the monitor. With the clock at position ⑧ running. diastolic blood pressure and mean blood pressure are measured through sensors. The clock at position ⑧ indicates how much time still remains before next measurement. it means the automatic measurement cycle has been started. the automatic measurement cycle has not been started yet. During blood pressure measurement process. During pause status. press <start>. When the “manual” displays on the position ⑨. it indicates that it is in automatic measurement mode. the monitor inflates the blood pressure cuff to the pre-assigned level and stabilizes it for the pre-assigned time period before deflating the cuff. It means that although it has entered automatic mode.1 Blood pressure measurement When starting blood pressure measurement. After five minutes. The position ⑧ now will show automatic measurement interval time. This mode measures blood pressure consecutively for five minutes with a simpler method.

Do not allow water or detergent solution to get inside the NIBP connector on the monitor panel. information shown below indicates the venipuncture mode: In venipuncture mode. 12. Refer to the relevant for information on the monitor setting. To protect the environment. disposable blood pressure cuffs should be disposed properly. Do not use the same blood pressure cuff on different patients. When the reusable blood pressure cuff is not connected to the monitor or being washed. Monitoring NIBP Patient Pressure range Default pressure Maximum duration default type duration HORSE 20-120 mmHg 60 mmHg 170 s 100s CAT 20-50 mmHg 40 mmHg 85 s 60s DOG 20-80 mmHg 40 mmHg 170 s 100s ④ After setting. press OK. The instrument may be damaged. inform the supplier to dispatch qualified maintenance personnel to repair. Do not clean the interior of the monitor. Disposable blood pressure cuffs can not be sterilized with high pressure.7 Maintenance and cleaning ■ Disposable blood pressure cuffs Disposable blood pressure cuffs are intended to be used on the same patient. press <start> to begin or stop the air inflation. connected properly tied up or no cuff pressure cuff 50 . Only clean the exterior of the connector sockets. do not allow any liquid to enter the tube to avoid accidental leakage into the monitor.8 Trouble shooting Problems Possible reasons Suggested remidies Failure to start Monitor hardware error Stop the NIBP measurement function. 12. Blood pressure cuff not Blood pressure cuff is not Tie up the blood pressure cuff. Caution: The blood pressure measurement type should be appropriate with each patient type. When entering venipuncture mode. Set correct patient type to ensure safety. They can be washed with soap and water to control infection. Warning: Do not squeeze the tube of the blood pressure cuff.

stop the NIBP measurement protection specified safety upper limit. leakage connector is damaged inform the supplier to dispatch qualified maintenance personnel to repair. If necessary. function and inform the supplier to dispatch qualified maintenance personnel to repair. bladder or Check and replace the leakage part. Over pressure The pressure is above the If failure continues. loose or the patient’s pulse is too weak. Monitoring NIBP Blood pressure cuff air Blood pressure cuff. Weak signal Blood pressure cuff is too Use other method to measure the blood pressure. 51 .

Avoid placing the cable above liver and ventricle to reduce false readings produced by the heart coverage or pulsation blood flow. Because of different signal strength. See Figure 2. 2) Install clamps or snaps on the electrodes. III. 13. This respiration movement waveform is used to calculate human respiration rate and analyze human respiration patterns. Respiration monitoring is achieved via electrocardiogram I. The monitor measures three-lead respiration waveforms: I. II or III lead and their corresponding electrodes.8 for recommended placements of five lead electrodes in respiration monitoring. Then install electrodes on a patient’s body (Figure 14. the monitor provides two gain adjustment functions: automatic and manual. of which lead II is generally used.2 RESP monitoring preparation 1) Prepare skin before installing electrodes. Setting appropriate gain can make respiration waveforms clearer and without distortion.3 Monitoring menu Impedance respiration monitoring menu is as shown below: 52 . It may lead to faulse alarm. Warning: The respiration monitoring is not recommended on patients with activity. II. Monitoring Impedance Respiration This monitor measures human respiration movement waveform from the electrocardiogram lead using impedance plethysmography. With some patients.1 13. Monitoring Impedance Respiration 13. Install white and red electrodes in opposite positions to obtain optimum respiration waveform. Figure14. 13.1) 3) Connect power for the monitoring system.1 Connecting electrodes The impedance plethysmography is to monitor a patient’s respiration by the impedance variation between two electrocardiogram electrodes. No additional electrodes are required and the installation of the electrodes is very important. it is better to place the two respiration electrodes at the central line from the right armpit or the most active area on the left side of the thoracic cage to obtain optimum respiration waveform.

The respiration rate is displayed on the right side of the monitor. [RR Source]: signal source for respiration rate calculation. ⑨ The range unit is Ohm. If the connection is good. 25mm/s.Resp]: selects nasal tube respiration as the respiration rate source. This also adjusts the speed for impedance respiration and nasal tube respiration. the below menu appears: [Alarm On/Off:]: allows and prohibits respiration rate alarm limits.25mm/s. as shown below: Select the respiration rate label. Connection off: it means that the impedance respiration function is cut off internally. x1. ② Press “Lead” to select lead types. ⑤ Status prompting bar ⑥ Press “Waveform Speed” for four levels: 6. and 50mm/s. ⑦ Respiration waveform. If the impedance respiration lead is off. ④ Press “Adjust Gain” for four levels: x1/2. [T. [ECG]: selects the impedance respiration as the respiration rate source. x2.4 Messages Lead off: it means that currently the leads are not properly connected. 12. this message appears. Op’s normal: except the above mentioned two conditions. the respiration rate source comes form the nasal tube respiration or CO2. Go to settings in the <menu>Î[System Setup]Î[Calibration Function]Î[ECG On/Off]Î[Impedance Respiration]. Refer to ECG On/Off operation s and sections. ③ Press “Gain Mode” for automatic or manual. See below menu: [Auto]: the monitor determines respiration rate source based on its detection of the connection of the impedance respiration lead. and x4.5mm/s. The range and scale vary with different gains. [Alarm Setting]: checks and sets respiration rate alarm settings. the system will prompt “Op’s normal”. Monitoring Impedance Respiration ① Press “Resp mode” to enter respiration measurement mode and then choose between impedance respiration and nasal tube respiration. the respiration rate comes from the impedance respiration. 53 . ⑧ Scale. 13. When the lead cable is not inserted into the monitor or connected to the patient.

Refer to s on impedance respiration monitoring for relavant information.25mm/s. x2. This also adjusts the speed of the impedance respiration and nasal tube respiration. 54 . ④ Press “Adjust Gain” for four levels: x1/2. x1.5mm/s. ① Press “T-Resp” to enter respiration measurement mode and then choose between impedance respiration and nasal tube respiration. Monitoring Nasal Tube Respiration 14. 12. and 50mm/s. 14. and x4. ⑤ Status prompting bar ⑥ Press “Waveform Speed” for four levels: 6.2 Messages Op’s normal: the system always shows “Op’s normal”. ③ Press “Gain Mode” for automatic or manual. 25mm/s. Monitoring Nasal Tube Respiration 14.1 Monitoring menu This monitoring function is optional.

2 Body temperature menu 【Alarm On/Off】 allows or prohibits temperature alarm. Caution: Before monitoring starts. ⑥ Temperature 1. Be cautious when handling temperature sensors and cables. ④ Temperature unit. In this monitor. Stable temperature values will be get mesureemnt for about 3 min. This will not affect normal operation of the monitor. Tightly folded cable can cause mechanical damage. If calibration is needed. internal mentions anus. check if the sensor cable is properly connected. the sensor and cable ought to be in a loose loop. ② Temperature alarm off sign. When it is not in use. ⑤ Temperature difference. The same happens with the other channel. Place temperature sensors nicely on a patient’s body to obtain two body temperatures and their difference. Here external mentions forehead and oxter. Monitoring Temperature 15. contact the manufacturer. Disposable temperature senors should only be used once. Temperature difference is the absolute value of temperature 1 and temperature 2. The temperature measurement result is displayed on the screen as shown below: ① Temperature alarm upper/lower limit. Temperature calibration should be done once a year (or according to the schedule specified in the hospital procedure).5. measurement range: 35. ③ Temperature parameter label. Temperature difference has no alarm function. Select this label to enter menu.5. ⑦ Temperature2. measurement range: 35. Monitoring Temperature 15. During monitoring process. an error message “T1 sensor is off” is displayed on the screen and the alarm sound can be heard. 15.5-45. Pull the temperature sensor cable from the channel 1 jack. 【Mode】 Three display modes as shown below: 55 .5-45. 【Alarm Setting】 checks and configures temperature alarm setting. the temperature measurement instrument will conduct a self-check every hour lasting for two seconds.1 Installing temperature senor The NT3 Series Veterinary monitor uses two types of temperature sensors: internal and external. two temperature channels share the same alarm limits and alarm on/off.

disposable temperature senor should be recycled or properly disposed. 2. 3. and then sterilize it by dipping it in rubbing alcohol. Allow your pet to stand. Push it in gently until only about half an inch is sticking out. Sterilize the sensor by dipping it in rubbing alcohol. or lay her on her side. Wipe or rinse the sensor after use. Slowly but firmly raise the tail up and to the side.3 Application Guide 1. and insert the sensor. Then. 15. 4. Allow it to dry. It can only endure for a short time period 80℃ (176℉) ~ 100℃ (212℉). 56 . clip the alligator clamp on the horse's tail hair. and gently hold her down. Warning: Disposable temperature senors should not be sterilized and reused. Reusable temperature senor The heat for the temperature senor can not be over 100℃ (212℉).4 Maintenance and cleaning Caution: When cleaning the sensor connected to the monitor. always power off and unplug the AC. Application site 15. 6. 5. then apply petroleum jelly or a similar lubricant to the tip. To protect the environment. Monitoring Temperature Doctors can select any display mode as needed. hold the front end with one hand and use the other hand to wipe the sensor towards the connector with a wet cloth(scrub away for two times. Conncect the sensor to monitor. use a 1:10 bleach solution. surface-clean sensor and cable with a soft gauze pad by saturating it with a solution such as 70% isopropyl alcohol. if low-level disinfection is required. Leave the sensor in for about three minutes 7. 1) The sensor can not be sterilized with high pressure vapor. 2) After use. 3) When cleaning the sensor. inspect it carefully to make sure it doesn’t damaged.

don’t attempt to monitor the patient. If any of the integrity checks fail. SpO2 value will be affected. inspect each sensor. Use another sensor or contact your local distributor for help if necessary. Typical sites are tongue.3 Precautions in SpO2 monitoring 1. most of which are permenant. Monitoring SpO2 16. “sensor off” will appear on the screen. pulse rate. If a sensor appears damaged. Sensor cable should be on the back of the hand. methemoglobin or dyestuff dilution chemistry medicine. If the SpO2 sensor cable is unpluged. SpO2 measurement is a non-invasive. blood flow abstruction can influence SpO2 reading. oxygen saturation of artery is obtained.1 Overview SpO2 measures functional blood oxygen saturation. It does not measure carboxyhemoglobin or methemoglobin. For example. Warning: Using a damaged sensor may cause inaccurate readings. z SpO2 value and Pleth waveform can be shown on the main screen. Do not use the same limb for both SpO2 sensor and NIBP cuff. This meausre can generate “Pleth” waveform and PR signal. toe. And touch off audio alarm at same time. Do not autoclave. and correct alignment at least every 4 hours. 3. Infrared light is 940nm wavelength light band. 4. There are three types of display for SpO2: percentage (%). paw.2 SpO2 Pleth priciple z SpO2 measurement is a non-invasive. Make sure the finger nail blocks the light window. or immerse the sensor in liquid. Change sensor site and check skin integrity. One of those factors is artery current changing with time. Prolonged use or the patient’s condition may require changing the sensor site periodically. 16. The monitor SpO2 value reading would be 97. circulatory status. continuous measurement through an SpO2 sensor attached to a patient’s finger. check if the sensor cable is in good condition. 2. then blood has 97% blood oxygen saturation. If the package or the sensor seems to be damaged. do not use this SpO2 sensor and return it to the manufaturer. PR value displays only when the “HR source” is set fom SpO2. and SpO2 waveform. Caution: SpO2 and PR are not proportaional. Through measurement of the light absorbed during pulsation. The sensor is connected directly to the SpO2 module. ethylene oxide sterilize. 57 . Use another sensor or contact your local distributor. Before monitoring starts. z The quantity of light passing through depends on many factors. It measures the percentage of oxyhemoglobin. z The red light used is 660nm wavelength light band. don’t use it. if 97% of red blood cells in the artery are oxygenated. 16. Warning: If there are presence of carboxyhemoglobin. possibly resulting in patient injury or death. During NIBP measuring. It uses a light emitter with red and infrared LEDs that shine through a reasonably translucent site with good blood flow. Monitoring SpO2 16. The biggest LED output power is 4mW. continuous method.

Power on the monitor. cheeks. 2. ear. the lingual clip may also be positioned on toe. and clip hair if needed. Connect the sensor to the monitor. Clean or disinfect the sensor. Monitoring SpO2 Caution: Unplug the sensor from the monitor before cleaning or disinfecting. ear. vulva or prepuce of the animal. paws and well-vascularized areas) If necessary. Toget better reading on the samller tongues. Keep the tongue moist during longer procedures and monitor for significant temperature loss. bringing the sides of the tongue up and pass the light through both layers. Choose the sensor and clip that is appropriate for the patient. Attach the sensor to the proper site of the patient. the sensor and clip may be placed to the toe. Position the lingual clip on the base of the tongue. 4. Select the appropriate size. The clip will work on a cat’s tongue.4 SpO2 monitoring procedures 1. 5. 58 . a small animal or a medium animal. lip. 16. with the optical components of the sensor positioned to the tongue. The small clip proves effective on the small breeds and especially on smaller cats. and placement is dependent on the thickness of the tongue. Ensure that there is a pulse strength bars displayed on the pulse oximeter. 3. Moisten the hock area with isopropyl alcohol. Veterinary sensor with large clip Veterinary sensor with small clip (Applicate site: tongue. canine and equine animal is on the tongue. ear and toe-webbing. Alternatively. lip. Don’t fold the tip of the tongue back because you will restrict blood flow to the tongue. either for a large animal. Always direct the light downward (towards the floor) regardless of the animal’s position to reduce the effects of ambient light. inspect it carefully to make sure it doesn’t damaged. 16. The small clip also works well on larger animals. Start at the tip and work your way towards the base. water. prepuce or vulva of the animals.5 Application Guide The preferred sensor site for feline.

Monitoring SpO2

Small clip
In order to protect the animal from injure by clip, and confirm the the Y-type sensor easily.
Solaris has the two sizes of cushions for its clips accordingly. See followed photo.

Large & Small clips with cushions
Tongue sensor placement

Place the tongue sensor as shown below.

Tongue sensor placement
Note:

Make sure the sensor cable is positioned along the side of the animal’s face and body to avoid
entanglement with animal.

16.6 Measurement limitations

Caution:

The maximum time duration for one sensor site in use should not be over 4 hours. The sensor
surface temperature should not be higher than 41ºC, or it may cause burn.

59

Monitoring SpO2

During continous monitoring, sensor site should be cleaned at least every 12 hours. Otherwise it
may result in inaccurate measurements.

SpO2 display:
① SpO2 alarm high/low limits
② Symbol for SpO2 alarm off
③ SpO2 parameter label. Press it, SpO2 menu will appear.
④ SpO2 value

16.7 SpO2 setting menu

Select SpO2 label, press rotating knob to enter SpO2 menu.

In SpO2 menu, the user can set alarm switch, alarm high/low limits, and alarm priority.

Average periods: calculate average time of SpO2 value. Select [AVRG.], there are 3 options. Select “4 Beats”,
the result is more sensitive. Select “16 Beats”, the result is more accurate.

16.8 Maintenance and Cleaning

Warning:

Must power off and disconnect AC power before cleaning monitors or sensors.

Do not disinfect sensors using high pressure.

Do not immerse sensors in liquid.

Do not use if sensor or cable is damaged.
Cleaning:
1. Wipe the sensor, sensor’s LED, and other parts with cloth dampened with alcohol and wipe them dry.

2. Clean and disinfect cables with 3% hydrogen peroxideor, 70% isopropyl alcohol.

60

Maintenance and Cleaning

17. Maintenance and Cleaning
17.1 Maintenance and Inspection

Before start using the monitor, do the following inspection:
z Check any mechanical damage.
z Inspect thoroughly wire, cables, and accessories.
z Inspect all the functions to be used on patients. Make sure the monitor is in good working condition.
If any signs of damage found and evidenced, the monitor should not be used for any patient care. Contact
the service department or a local office of Newtech, Inc.
Inspect the monitor’s functions and safety every 6-12 months or after each service by authorized
personnel.
All safety and maintenance inspection should be done by qualified maintenance personnel. Newtech, Inc.
is happy to provide the contact information for local maintenance/service centers.

Warning:

During examination or proofread, if found equipment aging or performance changing caused by
circumstance changed, should replace spare parts in time. Because performance changing will
cause incorrectly measured data or dead-block.

If the hospital/institution does not implement a satisfactory maintenance plan, it will result in
malfunction of the equipment, which in turn may threaten human lives.

Change internal batteries every two years.

When equipment is in accidental humidity, please notice do not power-on, ask qualified service
personal open the monitor and airing it immediately

Dispose or callback to the dispose spare parts (including batteries) should keep to local
garvenment’s rules about the related dispose or callback to the spareparts.

17.2 General cleaning of the monitor

1. Switch off power and unplug AC before cleaning the monitor or sensor.
2. Monitor should be dust free.
3. Clean the surface with soap and water.
4. Do not use strong solvents such as acetone.
2. Use diluted cleaning agents according to the manufacturer's instructions.
3. Do not scrub the monitor with metal brush.
4. Do not allow any liquid into the monitor or immerse any part in liquid.
5. Do not leave any cleaner residue on the surface of the monitor.

17.3 Cleaner

The following liquid can be used as cleaner.
z Diluted Ammonia
z Diluted Sodium hypochlorite
Caution:

Sodium hypochlorite with consentration range about 500ppm (Diluted bleaching powder for
family use 1:100) to 5000 ppm (Diluted bleaching powder for family use 1:10) is very effective. The
ppm can be determined by the amount of stain (blood, mucilage glue of animal or plant) on the
surface of the monitor.

61

4 Disinfecting Only when it is necessary as deemed by the hospital/institution. Do not immerse any part of the monitor into liquid. Let it air-dry or wipe it dry with cloth. should the monitor be disinfected. Clean the monitor before disinfecting it. Maintenance and Cleaning Clean the surface of the monitor and sensors using medical grade alcohol. Do not use ECG leadwires. Do not pour liquid over the monitor during sterilization. 17. Always clean the monitor before disinfecting it. See relevant s for sterilization materials for ECG leads and NIBP cuffs. Disinfect the monitor when necessary. Do not let any liquid enter the monitor. Disinfect the monitor when necessary. Attention: Dilute solutions per manufacturer’s instructions. transportation and operation,Clean the monitor before disinfecting it. SpO2 sensor. NIBP cuff. 62 . Suggested cleaning materials are: Ethanol and Acetaldehyde. temperature probe between infections and non-infections without disinfection. Do not leave any cleaner stain on the surface of the monitor. especially equipement are polluted by animalcules during the storage. Warning: Do not desinfect the monitor with EtO gas or formaldehyde. Wipe with wet cloth immediately.

18.1 cm C101D 18.2 SpO2 accessories Name PN(Model) Y-type digital SpO2 Sensor Y400N-160087 Y-type digital SpO2 Sensor Y400A-160087 Y-type digital SpO2 Sensor Y400N-300087 Y-type digital SpO2 Sensor Y400A-300087 18. temperature. Note: The life for 5 pin ECG cable.7cm C101A Solaris Disposable NIBP cuff 4. Use other models may cause damage to the monitor.3 TEMP accessories Name Model PN Rectal temperature sensor 30104000000022 18. SpO2 sensor.0 cm C101B Solaris Disposable NIBP cuff 5.5 RESP accessories Name Model PN Nose tube JEIII-A 63 .1-5. NIBP cuff is one year. Monitor’s Accessories and Purchase Information Attention: The following accessories are recommended by manufacturer.1 ECG accessories Name Model PN 5 leads ECG cable and lead HP-12PIN 30101112R00042 ECG clip 31078135,KENDALL 30106310781352 18. Monitor’s Accessories and Purchase Information 18.8-10.3-8.4 NIBP accessories Name Cuff size (cm) P/N(Model) Solaris Disposable NIBP cuff 3.1-13.9 cm C101C Solaris Disposable NIBP cuff 7.

Emission test Compliance Electromagnetic environment-guidance RF emissions NT3 uses RF energy only for its internal function. Medical Device Directive 93/42/EEC. The user of NT3 should make sure that it is used in such environment.  2 kV for  1 kV for If display data reading is not stable. the relative humidity should be at least 30%. RF emission Class A CISPR 11 NT3 is suitable for use in all establishments other than domestic Harmonic emissions Class A and those directly. 61000-3-3 Guidance and manufacture’s declaration-electromagnetic immunity For all EQUIPMENT and SYSTEMS Guidance and manufacturer’s declaration-electromagnetic immunity NT3 is intended for use in the electromagnetic environment specified below. Immunity test EN 60601 Compliance Electromagnetic environment-guidance test level level Electrostatic kV Floors should be wood. IEC 61000-3-2 Voltage Connect to the public low-voltage power supply network that fluctuations/flicker applicable emissions IEC supplies buildings used for domestic purposes. The user of NT3 should make sure that it is used in such environment. concrete or ceramic discharge(ESD) ±6 kV contact ±4contact tile. If floor are covered with synthetic IEC 61000-4-2 ±8 kV air ±4 kV air material.5 kV for collateral line with close quarters. Guidance and manufacturer’s declaration-electromagnetic emissions For all EQUIPMENT and SYSTEMS Guidance and manufacturer’s declaration-electromagnetic emission NT3 is intended for use in the electromagnetic environment specified below. Appendix A Appendix A: EMC (Electro-Magnetic Compatibility) Caution: NT3 complies with the requirements for medical devices EN60601-1-2: 2001. NT3 has passed tests for CISPR 11 class A.  2 kV  2 kV line(s) to line(s) to earth earth 64 . should use Electrical fast power power spare stable-pressure supply and try to make transient/burst supply lines supply lines the functional ground line and supply cable IEC 61000-4-4  1 kV for  0. input/output input/output lines lines Surge  1 kV  1 kV IEC 61000-4-5 line(s) to line(s) to Mains power quality should be that of a typical line(s) line(s) commercial or hospital environment. Therefore its CISPR 11 Group 1 RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

The recommended separation distance calculated from the equation applicable to the frequency of the transmitter. including cables. Conducted 3 Vrms 3 Vrms RF 150 kHz to 80 Recommended separation distance IEC MHz 61000-4-6 3 V/m ⎡ 3.5 ⎣ V 1 ⎥⎦ IEC GHz 61000-4-3 ⎡ 3.5 GHz ⎣ E1⎦ 65 . it is recommended input lines (30 % dip in (30 % dip in that the NT3 be powered from an IEC 61000-4-11 UT) UT) uninterruptible power supply or a battery. 61000-4-8 Guidance and manufacturer’s declaration-electromagnetic immunity For EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING Guidance and manufacturer’s declaration-electromagnetic immunity NT3 is intended for use in the electromagnetic environment specified below. for 25 cycles for 25 cycles <5 % UT <5 % UT (>95 % dip in (>95 % dip in UT) UT) for 5 sec for 5 sec Power frequency Power frequency magnetic fields should be at (50Hz) magnetic 3A/m 3A/m levels characteristic of a typical location in a field IEC typical commercial or hospital environment.5 ⎤ d= ⎢ P 80 MHz to 800 MHz ⎣ E1 ⎥⎦ ⎡7⎤ d= ⎢ ⎥ P 800 MHz to 2.5 ⎤ d= ⎢ P Radiated RF 3 V/m 80 MHz to 2.5 cycle 40 % UT 40 % UT Voltage dips. Immunity EN 60601 test Compliance Electromagnetic environment – guidance test level level Portable and mobile RF communications equipment should be used no closer to any part of the NT3. Appendix A <5 % UT <5 % UT (>95 % dip in (>95 % dip in UT) UT) for 0. short (60 % dip in (60 % dip in Mains power quality should be that of a typical interruptions and UT) UT) commercial or hospital environment.5 cycle for 0. If the user voltage variations for 5 cycles for 5 cycles of the NT3requires continued operation during on power supply 70 % UT 70 % UT power mains interruptions. The user of NT3 should make sure that it is used in such environment.

Electromagnetic propagation is affected by absorption and reflection from structures. To assess the electromagnetic environment due to fixed RF transmitters.1 0.37 0.37 0.75 1 1.17 1.17 2.33 10 3.69 3.69 7.37 100 11.67 11.67 23.33 For transmitters rated at a maximum output power not listed above. b Over the frequency range 150 kHz to 80MHz. However. NOTE1 At 80 MHz and 800 MHz. Field strengths from fixed RF transmitter asa determined by an electromagnetic site survey should be less than the compliance level in each frequency range b .5 ⎤ ⎡7⎤ d= ⎢ ⎥ P d= ⎢ ⎥ P d= ⎢ ⎥ P ⎣ V1 ⎦ ⎣ E1 ⎦ ⎣ E1⎦ 0. because of the proliferation of radio-frequency transmitting equipment and other sources of electrical noise in the health-care and home environments (for 66 . Field strengths should be less than 1 V/m. Interference may occur in the vicinity of equipment marked with the following symbol: NOTE 1 At 80 MHz. Separation distance according to frequency of transmitter (m) Rated maximum 150 kHz to 80 MHz 80 MHz to 800 MHZ 800 MHz to 2. If the measured field strength in the location in which the NT3 is used exceeds the applicable RF compliance level above. the higher frequency range applies.12 0. Appendix A Where p is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m). a Field strengths from fixed transmitters. NOTE2 These guidelines may not apply in all situations. If abnormal performance is observed.23 0. AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. an electromagnetic site survey should be considered.01 0. the NT3 should be observed to verify normal operation. Recommended separation distances between portable and mobile RF RF communications equipment and the EQUIPMENT or SYSTEM For EQUIPMENT or SYSTEM that are not LIFE-SUPPORTING Recommended separation distances between Portable and mobile RF communications equipment and the NT3 NT3 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The user of NT3 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the NT3 as recommended below according to the maximum output power of the communications equipment. the recommended separation distance d in metres (m) can be estimated using the equation applicable to the frequency of the transmitter.5 ⎤ ⎡ 3.5 GHz output power of transmitter (W) ⎡ 3. additional measures may be necessary. Electromagnetic propagation is affected by absorption and reflection from structures. such as reorienting or relocating the NT3. NOTE 2 These guidelines may not apply in all situations. objects and people. These limits are designed to provide reasonable protection against harmful interference in a typical medical installation. objects and people. amateur radio.12 0. such as base stations for radio(cellular/cordless) telephones and land mobile radios. Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. the separation distance for the higher frequency range applies.

67 . Appendix A example. Take below actions to eliminate the source: ● Turn the equipment in the vicinity off and on to isolate the offending equipment. If this occurs. and can radiate radio frequency energy and. Disruption may be evidenced by erratic readings. If assistance is required. cellular phones. mobile two-way radios. NT3 generates. ● Reorient or relocate the other receiving devices. contact Technical Services Department or your local representatives. cessation of operation. may cause harmful interference with other devices in the vicinity. ● Increase the separation between the interfering equipment and NT3. electrical appliances). the site of use should be surveyed to determine the source of this disruption. if not installed and used in accordance with these instructions. or other incorrect functioning. it is possible that high levels of such interference due to close proximity or strength of a source. uses. may result in disruption of performance of this device.

5. Safety on flammable gas: not suitable to use where flammable gas is present.c 10. except ECG and TEMP which are CF type. Disinfection: follow manufacturer’s recommended methods. ■ ECG display sensitivity: step-type. SpO2. b) Relative Humidity:≤ 80 %. Lower limit: 30 bpm~200bpm,allowable tolerance ±10%. RESP.1 Basic parameters ECG. Electric shock degree: all application parts are BF type.4dB Diagnostic mode:(0.5 ~ 40)Hz( -3dB ) 。 +0. Input power: no bigger than 80VA.4dB Monitoring mode:(0.c 12. 3. 6.6 V. e) Power frequency:50/60Hz. Appendix B Appendix B: Technical Specifications B. Electric shock type: type I equipment with inside power supply and internal power supply. B. ×1 step 10mm/mV tolerance less than ±5% ×1/2 step 5mm/mV tolerance less than ±5% ×1/4 step 2.3 Normal working environment a) Temperature Range:(5 ~ 40)℃. ■ HR alarm response time <12s ■ ECG noise ≤ 30μV. c) Air pressure range:(86~106)kPa. f) Battery:d.2 V~d. B. ■ ECG frequency response: +0.5 ECG ■(HR)heart rate: a) measurement range: 30 bpm ~ 300 bpm; b) measurement accuracy: 1 bpm or ±1%. d) Power voltag AC:100 V -240V. Harmful liquid material proof degree:: ordinary equipment (no seal agains liquid).05 ~ 100)Hz( -3dB ) ■ ECG input loop current: ≤0.1μA. NIBP. B. 4.5mm/mV tolerance less than ±5% ×2 step 20mm/mV tolerance less than ±5% ■ Display sensitivity: 68 . take the bigger one.2 Average working time without malfunction ≥ 1000 hours B. 7. The monitor is a continual working system.4 Safety requirements and classifications 1. TEMP. 2. ■ Settings and allowable tolerance for HR alarm: Upper limit: 60 bpm~300bpm,allowable tolerance ±10%.

between the cathode and the N electrode is no smaller than 5MΩ.5 mm/s.7 RR ■ Measurement range: (0 ~ 120 )bpm. The changes of sensitivity error should be displayed ±5% ■ Scanning velocity and error Scanning velocity: 6.3 seconds B.negative electrode and N electorde.4 kPa (3 mmHg) or ±2%,take the bigger one. ■ Measurement accuracy: ±1 bpm or ±5 %,take the bigger one. ■ Module signal suppression ability:≥89 dB ■ Time constant: Diagnostic mode ≥3.The shifting average of baseline should be no more than 0. Appendix B a) Time shift:: initiate at the baseline after 15min's energizing. ■ Measurement accuracy: ±0.9 SpO2 ■ Measurement range: 0 %~ 100% ■ Measurement accuracy: ±2% during 70 %~ 100%.6 NIBP ■ Measurement range Horse: 20~250mmHg Dog: 20~250mmHg Cat: 20~250mmHg ■ Measurement accuracy: ±0. ■ Display unit: kPa or mmHg.25 mm/s. b) Temperature shift: the scope is from 5℃ --40℃.2℃.8 TEMP ■ Measurement range: 25℃~ 45℃. B. ■ Input impedance: The impedance between positive electrode and the N electrode.2 seconds Monitoring mode ≥0. Scanning velocity error: ± 10%. B.10 PR ■ Measurement range: 25 bpm ~ 400bpm. d) The poling voltage at ±300mv is added between positive electrode and N electrode. 69 .The sensitivity changes should be displayed ±10%. and 50 mm/s.The shift scope of the baseline is not beyond 5mm after 60min's. B.5mm/℃. c) The shift of waved baseline of supply voltage should be no more than 1mm. 25 mm/s. ■ Response time: ≤3 min. B. not required during 0 %~ 69%. 12.

1 37. B. the alarm exceeding limit of related parameters is setted as upper alarm. Numerics blinking frequency: 0. ■ Alarm priority: 1. High priority:include (SpO2) sensor off.visual alarm.625Hz.12 Factory default value of alarm parameter Default value of alarm high limit Default value of alarm low limit Alarm parameter (unit) Horse Dog Cat Horse Dog Cat HR(bpm) 100 110 120 60 70 80 SYS(mmHg) 150 180 200 40 70 90 NIBP DIA(mmHg) 60 90 105 20 35 40 MAP(mmHg) 70 125 150 20 45 50 SpO2(%) 99 99 97 85 85 85 RR 30 40 50 8 8 8 TEMP℃ 38. Take the bigger one. 3. Low priority:the alarm exceeding limit of related parameters is setted as lower alarm.(ECG) lead off.6 36. the alarm exceeding limit of related parameters is setted as median alarm. (3)and normal alarm. (2)technical alarm. ■ Alarm object:(1) physiological alarm. the pulse search failed. the patient suffocates. No blinking.1 38. Alarm express mode: Continued three “Dee” with an interval of 18 seconds. Appendix B ■ Measurement accuracy: 1 bpm or ±2%. 2. Medium priority::Battery Level .11 Alarm ■ Alarm modes:audible alarm.1 36. B.1 et CO2(mmHg) 50 50 100 20 20 40 ins CO2(mmHg) 20 20 20 0 0 0 Ⅰ(mV) 23 22 20 -23 -22 -20 Ⅱ(mV) 20 20 20 -20 -20 -20 Ⅲ(mV) 20 20 20 -20 -20 -20 aVR(mV) 23 22 20 -23 -22 -20 aVL(mV) 20 20 20 -20 -20 -20 aVF(mV) 20 20 20 -20 -20 -20 V(mV) 20 20 20 -20 -20 -20 70 .1 36.5Hz. Alarm express mode:Two groups of five “Dee” with an interval of 10 seconds. Numerics blinking frequency: 1.Alarm express mode: one “Dee” with an interval of 20 seconds.

15 Data memory ■Memory time of tendency data Memory time of complete tendency data: ≥72h. transportation and storage ■Packaging 71 .55 mV ~2.5℃~43.17 Packaging.55 mV -2.16 Dimensions and weight Model Dimensions (mm)L*W*H Net weight(kg) Gross weight(kg) NT3A-V 595*370*350 4.5 7 NT3E-V 595*370*350 4 6.5 NT3F-V 595*370*350 3. ■Alarm review The most recent 100 alarm history reports can be reviewed.5 6 B. c) Dynamic waveform is provided with freeze function and ice-out function.5℃~43.13 Settings range and allowable tolerance of alarm high/low limits Alarm parameter Setting range of alarm high limit Setting range of alarm low limit HR 60 bpm ~300 bpm 30 bpm ~200bpm ST -2. b) Accumulative capture times of dynamic waveform: In the memory of 24h tendency data situation.55 mV NIBP 0 mmHg ~300 mmHg 0 mmHg ~300 mmHg IBP -59 mmHg~300 mmHg -59 mmHg~300 mmHg SPO2 0%~100% 0%~100% PR 25 bpm ~400 bpm 25 bpm ~400bpm TEMP 35. Appendix B B.5 7.5℃ RR 0 bpm -120 bpm 0 bpm -120 bpm Int CO2 0mmHg~76mmHg 0mmHg~76mmHg Et CO2 0mmHg~76mmHg 0mmHg~76mmHg B.5 NT3B-V 595*370*350 5 8 NT3C-V 595*370*350 4.55 mV ~2. the accumulative times to catch entire dynamic waveform ≥ 8 times.5℃ 35. B.14 Continual working time: Internal power supply: ≥2 hours(the fully charged battery under condition of blood presure measuring for every 10 minutes) B. ■Dynamic waveform memory time a) Each dynamic waveform memory time: ≥8 s.

■Transportation The monitor can be transported by airplane.1:2001) 8 EN ISO 14155-1:2003 Clinic research for Medical equipment be used on body> 9 EN ISO 14155-2:2003 <Clinic research for Medical equipment be used on body> 10 EN 1041:1998 <Information from Medical equipment supplier> 11 EN 980:2003 <Figure and signal of Medical equipement’s label> (YY 0466:2003) 12 ISO 21647:2004 Medical electrical equipment — Particular requirements for the basic safety andessential performance of respiratory gas monitors 72 . Prevent fierce collision during transportation. no corrosive gas. train. or automobile. Testing & Guidance for Medical Electrical Equipment 5 EN ISO 9919:2005 Special Requirements for Pulse Oximetry in Medical Patient Monitors 6 EN ISO Risk Analysis for Medical Equipment 14971:2000/A1:2003 7 EN ISO 10993-1:2003 Biological Evaluation & Testing of Medical Equipment (GB 16886. B. Place it in a corrugated carton filled with the foam or other fillers. Appendix B Place the monitor in a plastic bag. Requirements & Testing for Medical Electrical Equipment 3 EN Programmable Medical Electrical Equipment 60601-1-4:1996/A1:1999 4 IEC 60601-1-8:2005 Alarm System Requirements. and with good ventilation.18 Explanations of interfaces CRT(connect to external monitor) Standard VGA interface (optional) PRINTER(connect to external printer) PC/AT Parallel interface NET(connect to central monitoring) Ethernet interface LINE(connect to telephone) MODEM interface B. Seal the carton. Do not keep it with perishables. relative humidity ≤80%.19 Compliance standards Item Standard number Standard name 1 EN General Medical Electrical Equipment Safety Requirements 60601-1:1990+A1:1993 +A2:1995+A13:1996 2 EN 60601-1-2: 2001 Electromagnetic Compatibility. The transportation environment should be: a) b) Environment temperature range:-20℃~+70℃ c) Relative humidity range:≤95% d) Air pressure range: 500kPa~1060kPa ■Storage The monitor should be stored indoors with a temperature range -10℃~+40℃.

Appendix B 13 EN 1060-1:1995/A1:2002 General Rrequirements 14 EN 1060-3:1997/A1:2005 Supplemental Requirements for Mechanical-Electronic Blood Pressure Measurement Systems 15 EN 60601-2-30:2000 Medical Electrical Equipment Part II: Safety and Performance Requirements for Autocycle NIBP Patient Monitoring Equipment 16 EN 12470-4:2000 Performance of Continuous Electronic Temperature Monitoring 17 EN 60601-2-27:1994 Special Safety Requirements for ECG Monitoring Equipment 18 EN 60601-2-49:2001 Special Safety Requirements for Multi-Parameter Monitoring Equipment 19 IEC 60601-2-34:2000 Special performance and safety requirements for IBP monitoring equipment <Multi-parameter monitor> production specification 73 .