Professional Documents
Culture Documents
Mennen Medical 1
93/42/EEC,
:
Mennen Medical Ltd.
4 Hayarden Street, Yavne, 81228
P.O. Box 102, Rehovot, 76100, Israel
.: +972-8-9323333
: +972-8-9328510
:
Charter-Kontron Limited
Unit 18 Avant Business Centre
21 Denbigh Road
Milton Keynes
MK1 1DT England
.: 01908 646070
: 01908 646030
:
Mennen Medical Corp
101 Witmer Road
Suite 100
Horsham, PA 19044
.: 215-259-1020X1026 :800-223-2201
: 215-223-6212
®
2 Mennen Medical
Vitalogic 4000®
1
......................................................................................................... 1
1:
...........................................................................................................1-1
................................................................................................. 1-1
...................................................................... 1-1
.................................................................................................. 1-1
.................................................................................................. 1-2
.............................................................................................. 1-2
2:
........................2-1
............................................ 2-1
............................................................................................................ 2-3
................................. 2-3
......................................................................................... 2-3
.................................................................................. 2-3
.................................................................................................................... 2-4
.................................................................................... 2-6
........................................ 2-6
3:
............................................................................................................3-1
................................................................................................................................ 3-1
................................................................................ 3-2
................................................................................................ 3-5
4:
.............................................................................................4-1
....................................................................................... 4-1
...................................................................................................... 4-1
......................................................................................................... 4-1
5:
...........................................................5-1
Vitalogic 4000® ................................................... 5-1
....................................................... 5-2
6:
................................................................................6-1
®
Mennen Medical 1
Vitalogic 4000®
....................................................................................................................... 6-1
........................................................................................... 6-2
............................................................................................................ 6-2
........................................................... 6-3
........................................................................................................................ 6-8
.............................................................................................. 6-12
2
................................................. 1
7:
..................................................................................................................7-1
................................................................................................. 7-1
................................................................................... 7-2
..................................................................... 7-4
............................................................................................... 7-6
........................................................................................... 7-6
.................................................................. 7-8
............................................................................................... 7-8
........................................................................... 7-10
.................................................................................................... 7-11
8:
...........................................................................................................8-1
(Display Controls) ..................................................................... 8-2
(CRG).......................................................................... 8-5
(Remote View) ................................................................ 8-9
9:
..................................................................9-1
..................................................................................................... 9-1
, ................... 9-1
(Monitoring Profiles) .......................................... 9-17
10:
................................................................................ 10-1
........................................................................................................................... 10-1
ST Watch ........................................................................................................................ 10-3
........................................................................................................................10-10
(Full Disclosure).............................................................10-13
(Overview) ..........................................................................................................10-19
(Event Strips) ................................................................................10-21
..........................................................................................................................10-25
11:
.............................................................. 11-1
®
2 Mennen Medical
Vitalogic 4000®
................................................................................................ 11-1
................................................................................................... 11-3
....................................................................................................... 11-4
...................................................................................................... 11-5
......................................................................................... 11-6
12:
........................ 12-1
Medications ........................................................................................... 12-1
Medication Calculation ......................................................................... 12-2
............................................... 12-3
...................................................... 12-4
.............................................................................................. 12-6
13:
.......................... 13-1
.................................................................................................. 13-1
.................................................................................................................. 13-5
3
.......... 1
14:
................................................................................................................................................. 14-1
.............................................................................................................................. 14-1
.................................................................................. 14-1
................................................................................................... 14-2
.................................................................................... 14-5
....................................................................................... 14-5
................................................... 14-7
...................................................................................14-10
........................................................................................................14-14
QRS..........................................................................14-15
............................................................................14-17
........................14-19
........................................14-20
............................................................................................................14-21
15:
.................................................................................................................................... 15-1
................................................................................................ 15-3
Arrhythmia .............................................................................................. 15-4
..................................................................... 15-4
............................................................................ 15-8
®
Mennen Medical 3
Vitalogic 4000®
16:
ST ........................................................................................................ 16-1
................................................................................................ 16-2
ST ............................................................................................................. 16-2
ST......................................................................................... 16-3
............................................................................................. 16-3
17:
............................................................................................................................ 17-1
.............................................................................................................................. 17-1
................................................................................................... 17-1
................................................................................................ 17-2
............................... 17-3
....................................................................... 17-4
......................................................................... 17-7
....................................................... 17-9
.................................................17-11
18:
(BP) ..................................................... 18-1
.............................................................................................................................. 18-1
........................................................................................................... 18-2
..................................................................... 18-3
......................................................................................... 18-3
BP ............................................................................................................. 18-4
.............................................................................................. 18-4
......................................................................................................... 18-6
.................................................................................. 18-7
........................................................................................................18-11
PCWP....................................................................................18-13
........................................................18-14
.............................................................18-16
19:
(C.O.) ............................................................................................... 19-1
.............................................................................................................................. 19-1
........................................................................ 19-2
.................................................................................................. 19-2
.................................................................................. 19-5
...........................................................19-10
20:
......................................................................................................................... 20-1
.................................................................................................................. 20-1
..................................................................... 20-1
.................................................................. 20-2
®
4 Mennen Medical
Vitalogic 4000®
..................................................................... 20-3
........................................... 20-6
................................................................. 20-7
................................................................................... 20-8
21:
(NIBP)........................................... 21-1
.................................................................................................................. 21-1
............................................................. 21-2
.............................................................. 21-3
........................................................................................................... 21-3
................................................................................. 21-4
NIBP..................................................................................................... 21-5
.................................................. 21-5
................................................................................................... 21-8
NIBP .................................................................................. 21-9
NIBP ........................................................21-12
NIBP............................................................21-13
..............................................................................................21-14
22:
(SpO2) .................................................................................. 22-1
.................................................................................................................. 22-1
............................................ 22-2
.................................................................................................. 22-4
SpO2 ..................................................................................................... 22-5
SpO2 ................................................................................... 22-5
SpO2.................................................................................22-10
, SpO2.....................................22-11
SpO2 ............................................................................22-13
SpO2 .......................................................................................22-14
Masimo .....................................................................................................22-14
23:
CO2 (EtCO2) ..................... 23-1
........................................................................................................ 23-1
................................................................................. 23-2
EtCO2 ............................................................................... 23-2
............................................ 23-3
............................................................................................. 23-4
.............................................................................................. 23-4
............................................................................................................................ 23-4
................................................................................................................... 23-4
......................................................... 23-5
........................................................... 23-5
.................................................................................................. 23-5
EtCO2 ................................................................................................... 23-6
®
Mennen Medical 5
Vitalogic 4000®
................................................................................................26-11
4
................................................................................................... 1
:
.................................................................................... 1
:
.................................................................................1
..................................................................................... -1
........................................................ -2
............................................................ -2
EtCO2 ................................................................................................................................ -3
:
........................................................................................................................... 1
:
5 ..................... 1
........................................................................................................................... -2
........................................................................................... -7
......................................................................................................... -11
............................................... -14
........................................................................................................... -18
...................................................................... -19
.......................................................................................................... -21
(VS) .................................................................... -23
.................................................................................................. -53
.............................................................................. -55
:.............................................................................................. -58
......................................................................................................... -59
............................................................................................................. -65
.................................................................... -66
....................................................................................................... -68
....................................................................... -69
......................................................................................................................... -70
............................................................................ -74
....................................................... -75
Enmove™ .............................................................................. -76
................................................................................................................ -77
............................................................................................................. -78
............................................................................................... -78
............................................................... -79
.................................................................................. -80
®
Mennen Medical 7
Vitalogic 4000®
®
8 Mennen Medical
1
:
1.
2.
3.
4.
5.
6.
1-1
Vitalogic 4000®
®
1-2 Mennen Medical
1 1:
4 .
• 1
Vitalogic4000® , .
• 2 « ».
,
.
• 3
, Vitalogic4000®.
• 4 ,
.
,
Mennen Medical.
,
,
.
Vitalogic4000®
.
Vitalogic4000®
/ ,
) , , ,
, , CO2
.
.
,
, .
®
Mennen Medical 1-1
Vitalogic 4000®
Vitalogic4000®
,
, .
:
•
•
•
• ( )
•
Vitalogic 4000 :
Vitalogic 4000
: , NIBP (
), SpO2 ( ), ,
EtCO2 ( CO2 ).
Vitalogic 4500
:
, NIBP, SpO2, ( ) , CO/2
Temp ( / 2 ) EtCO2.
Vitalogic4000
IEC 60601-1, IEC
60601-1-2, IEC 60601-1-8, IEC 60601-2-23, IEC 60601-2-27, IEC 60601-2-34, IEC
60601-2-30 AAMI
).
93/42/EEC
Vitalogic4000 IIb. NIBP (
) SpO2 ( )
BF. ECG ( ) Dual BP (
) CO/2 Tmp ( / 2 )
CF
.( . 2-4 ,
.)
10 .
CF
( ) .
®
1-2 Mennen Medical
2 2:
,
.
,
.
,
,
,
.
Vitalogic4000®
AAMI.
!!!: ,
.
.
!!!: ,
.
( )
. ( )
, ,
.
. « »,
.« » ,
.
®
Mennen Medical 2-1
Vitalogic 4000®
, ,
100 (
). ( ) 100 000,
,
1 ,
. ,
.
, ,
.
,
.
.
,
. ,
. , -
.
-
.
, , ,
, . .
Vitalogic4000®
.
, .
,
, .
.
, ,
.
:
1. .
2.
.
3.
.
4.
.
5.
.
®
2-2 Mennen Medical
Vitalogic 4000®
( ) .
.
,
.
. ,
,
.
.
:
1. .
2. .
3. .
Vitalogic4000®,
Mennen Medical, Ltd.,
.
.
, ,
,
.
®
Mennen Medical 2-3
Vitalogic 4000®
• .
Vitalogic4000® .
,
,
!
. (
.
, ).
.( )
.( )
CF,
,
CO/2 TMP
®
2-4 Mennen Medical
Vitalogic 4000®
. 2 -1:
:
• : (P/N), (S/N)
• : ,
• :
,
Vitalogic4000®
:
• :
1. ! ! .
• :
1.
, 21
, J
2. 15
3.
®
Mennen Medical 2-5
Vitalogic 4000®
60601-1-2 ( .
A).
• Vitalogic4000®
Mennen Medical , , ,
,
: ECG, BP/CO/Temp, NIBP, SpO2, EtCO2.
• .
.
•
( ).
• .
.
.
®
2-6 Mennen Medical
3 3:
Vitalogic4000® - ,
.
Vitalogic4000®
.
,
, .
Vitalogic4000®
.
QuicKnob
.
Quicknob.
3-1: Vitalogic4000®
®
Mennen Medical 3-1
Vitalogic 4000®
Vitalogic4000®
. :
•
.
• ( )
.
• CO/2TMP
.
• TEMP.
•
.
• .
• End Tidal CO2 (EtCO2) CO2
(EtCO2) (inCO2), .
•
.
Vitalogic4000®:
•
.
• .
• ,
.
• , .
Vitalogic4000®:
•
,
.
•
, , .
•
, ,
.
®
3-2 Mennen Medical
Vitalogic 4000®
Vitalogic4000® ,
.
. « ».
, , .
, , ,
.
6
.
5 Quicknob,
.
.
,
, , ,
, .
.
. 6-
3« ».
:
•
•
•
•
. 6-3 «
».
. :
• 12
• (Dual BP)
• CO/2TMP
•
• NIBP ( )
• SpO2 ( )
• EtCO2 Micro Stream ( )
®
Mennen Medical 3-3
Vitalogic 4000®
3-2: Vitalogic4000®
QuickKnob
9- D
®
3-4 Mennen Medical
Vitalogic 4000®
•
•
• 12,1
• II ( )
BF : , SpO2,
EtCO2
-
CF : , BP, CO/2
• Intel X86
• , 4
• 128 ( )
• : 1 ,
8 ,
• : QNX
• : Photon
•
• QuicKnob™
• : 9,0 /3,625
• : 33,0 /13,0
• : 37,0 /14,5
• : 8 /17,6
• 120 , 2A, 60 (
)
• 230 , 1A, 50 (
)
• 3,15 A
®
Mennen Medical 3-5
Vitalogic 4000®
•
-3
-6
•
-3
-6
• : 12,1 ;
.
• : 1 - 8,
• : 1024 x 768
•
12
•
- 640
- 22
•
- 0,05 - 150
- 0,5 - 40
- 1,0 - 25
• (QRS)
- 0,25 - 5,0
- 70 - 120
•
- 20 - 350
- :±2
: 20 .
•
- : 20 - 350 ,
®
3-6 Mennen Medical
Vitalogic 4000®
• :
-
•
• :
I, II, III, aVR, aVL, aVF, V ( 5 )
I, II, III, aVR, aVL, aVF, Va, Vb ( 6 ); V1-V6
12 )
-
• 120 ,
- :
-
• :2 - 700
• : 0,1 - 2,0
•
• ST
•
• ST: -0,9 … +0,9
• ST: -0,6 … +0,6
• :
-
-
-
- ST
-
-
®
Mennen Medical 3-7
Vitalogic 4000®
•
- RA-LA RA-LL
•
- 0,2 - 5,0
•
- 100 … 3000 100
•
- 8 … 150
•
- 0,13 … 2,5 (-3 )
- : 640
•
- : 0 - 150
- : 8 - 150
- : 10-90
-
• ( ):
-
- « »-
- « »-
•
• :
- BPX, ART, PAP, CVP, RAP, LAP, ICP
•
- 5 / .
•
- : -50 … +350 .
- : ±150 .
- : -200 … +450 .
®
3-8 Mennen Medical
Vitalogic 4000®
•
- +7,5
-
•
- ±0,2 .
•
- ±0.2 . 24 ( )
•
- ±2 . ±2%, ,
•
- 1%
•
- 0 - 15
•
-320
•
-
-
-
• ( ):
- ,
• YSI 400
- : 0°C 45°C
- : 0°C 45°C
- : 0°C 45°C
• : 25°C 45°C
®
Mennen Medical 3-9
Vitalogic 4000®
•
- COSet™
- Ice Bath
- (ysi-400)
•
- : 0°C 45°C
- : 0°C 45°C
- : 0°C 45°C
•
- : ±0.1°C
- : ±0.1°C
•
- 10 A,
•
- 0 - 20
•
- 1, 3, 5, 10 .
•
-
•
- , , ,
, ,
,
®
3-10 Mennen Medical
Vitalogic 4000®
• ( ):
• :
-
-
-
• :
-
-
•
•
•
- ,
- ,
•
- , , ,
• –
- - 20 .
- - 5 .
- : 150 .,
- : 120 .,
• -
•
- : 290 . .
- : 145 . .
•
- : 300 … 330 . .
- : 150 … 165 . .
®
Mennen Medical 3-11
Vitalogic 4000®
• (
)
- 25 ; 120/80 75 ,
- 20 ; 120/80 75 , ,
STAT ( )
- 20 ; 60/30 160 ,
• : 60 - 180 .
• ( . .) /
- : 30-255
- : 15-220
- : 20-235
• ( . .),
- : 30-135
- : 15-110
- : 20-125
• : , , , STAT,
• ( )
- ±3 . . ±2%,
• ( ):
- ,
-
-
• Masimo
• ( )
(Sp02) - 50% … 100% Sp02
• Sp02
- % SpO2 ± 1
•
- 20 … 250 ±3
®
3-12 Mennen Medical
Vitalogic 4000®
• : 50% … 100%
• ( ):
- O2
-
•
•
CO2
(EtCO2) •
Microstream -
- EtCO2, inCO2
• CO2: 0-100 . .
• :
- ±2 . . CO2 0-38 . .
- ±5 . . CO2 39-99 . . + 0,08%
1 . . 38 . .
•
- 0 - 70 +/- 1
- 71 - 120 +/- 2
- 121 - 150 +/- 3
• 190 (10% - 90%)
• 2,7 (10% - 90%), .
• CO2: 0 … 100 . ./0 - 10%/0-15
• :
- : 0,1%
- . .: 1
®
Mennen Medical 3-13
Vitalogic 4000®
• :
- : 0 … 150
- : 0-50
• : 130
• :
- 30 .
• : 1
• :
- 0-65° C
- 10-40° C
• : 10-95%,
• : 430-795 . . (1250 - 15,000
.)
• :
- EtCO2, inCO2
- « »
- « »
®
3-14 Mennen Medical
Vitalogic 4000®
®
Mennen Medical 3-15
Vitalogic 4000®
®
3-16 Mennen Medical
4 4:
Vitalogic 4000®
.
Mennen Medical,
.
.
,
.
.
Mennen Medical.
.
Vitalogic 4000® : ,
.
.
.
, .
. .
Mennen Medical
.
Vitalogic 4000®
: ,
. ,
,
.
®
Mennen Medical 4-1
Vitalogic 4000®
, ,
.
, .
Vitalogic 4000®.
:
• .
• , , , ,
.
• .
• ,
.
• ( ) ,
( ),
( ?),
.
• : ,
,
Vitalogic 4000®.
24
.
.
Vitalogic 4000®
.
.
–
.
:
• : 10° … 32° C (50° … 90° F)
• : 30% … 95% ( )
Vitalogic 4000®
, .
,
, .
.
®
4-2 Mennen Medical
Vitalogic 4000®
Vitalogic 4000® .
,
( )
.
, .
!!!
.
,
.
, ,
.
!!! ,
, ,
,
, ,
®
Mennen Medical 4-3
Vitalogic 4000®
1
.
Vitalogic 4000®
.
( )
,
– .
, .
( )
, .
. ,
, .
!!! ( )
,
,
, .
,
,
.
10
.
.
. «
» « ».
!!! ,
.
,
.
.
®
4-4 Mennen Medical
Vitalogic 4000®
Vitalogic 4000®
.
!!!
.
Mennen Medical
.
(System Setup).
.
1:
100 200 –1
30 100
20
, ./ ./ . 50/20/20 . 90/60/70
-Art, ./ ./ . 50/20/30 . 90/60/70 –
-PAP, ./ ./ . 24/-4/12 . 60/4/26 –
2 10 –
, .
, . 2 10 –
SpO2 80% 95% –
EtCO2 35 . 45 . –
36,0 °C (96,8 °F) 39,0 °C (102,2 °F) – 1
TcpO2 / TcpCO2 60/35 . 90/45 . –
CRG CRG1 = ,
CRG 2 = SpO2,
: «
», .
®
Mennen Medical 4-5
Vitalogic 4000®
®
4-6 Mennen Medical
5 5:
Vitalogic 4000®
Vitalogic 4000®
,
.
– .
Vitalogic 4000® :
1. .
2. . , ,
, .
– .
3. ,
, Ajax Windex. , .
– .
:
. « » (System Setup) (
) Touch Screen.
.
4.
.
.
5. ,
. (1/3
, 2/3 ) , , Scholl
Double Seal. ( , ,
, . .) – .
6. .
.
EtO ( ).
®
Mennen Medical 5-1
Vitalogic 4000®
.
:
• .
• .
•
, .
Vitalogic 4000®
.
Mennen Medical.
, ,
, ,
.
,
, , ,
– .
, , .
, ,
.
Mennen Medical.
Mennen Medical.
®
5-2 Mennen Medical
Vitalogic 4000®
6 6:
. .
. Setup
) Shutdown ( ).
Shutdown:
6-1:
• Cancel ( ) .
• Restart ( ) .
®
Mennen Medical 6-1
• Shutdown ( ): .
,
. Vitalogic 4000®
.
,
.
Mennen Medical .
. Vitalogic 4000® 3 (6
). ,
.
Vitalogic 4000®
; , ,
, .
:
.
®
6-2 Mennen Medical
Vitalogic 4000®
. 6-2:
:
•
•
•
•
®
Mennen Medical 6-3
:
• , .
• , .
• , . .
7-11 « ».
:
•
•
•
.
,
.
®
6-4 Mennen Medical
Vitalogic 4000®
:
• ,
, .
• ,
.
,
.
: ,
( ).
.
.
.
.
. - ,
.
, .
:
•
•
•
®
Mennen Medical 6-5
-
.
.
.
,
– ST –
.
,
Vitalogic 4000®, ,
:
ARRY
ART
CO
CVP
ECG
CO2 EtCO2
LAP
LVP
NIBP
SpO2
PAP
RSP
RAP
RVP
ST ST
®
6-6 Mennen Medical
Vitalogic 4000®
TMP X
TX -TY
PRX
.
. :
•
•
•
•
:
•
•
• ,
•
, ,
.
(30 , 20
),
.
, , , , .
.
8 . ,
. .
,
, .
®
Mennen Medical 6-7
« »
« »
.
.
, .
12
,
.
. ,
Data Review
Charts Data Review QuicKnob
Charts .
.
System
Configuration.
: .
QuicKnob.
, , .
, , ,
.
, .
12
QuicKnob.
Vitalogic 4000®.
®
6-8 Mennen Medical
Vitalogic 4000®
Vitalogic 4000®
.
. .
Silence Silence 60
. ,
.
, Silence .
NIBP : NIBP
.
Record Record
. Vitalogic 4000
,
Enscribe.
®
Mennen Medical 6-9
(Escape)
Escape :
1. .
2. .
3.
.
: ,
, , Alarm Settings ( ).
4. Monitor Name ( )
, ).
Main Menu ( ).
:
• Patient Data ( )
• Vital Signs ( )
• Setup ( )
• Utilities ( )
Utilities HW (
),
:
• Record ( )
• Timer ( )
• All Alarms Off ( )
• Silence ( )
• Freeze ( )
Main Screen ( )
Main Screen ,
, .
QuicKnob
QuicKnob ,
. QuicKnob
,
. , , .
QuicKnob.
, ,
, QuicKnob
. Patient Information
).
®
6-10 Mennen Medical
Vitalogic 4000®
QuicKnob .
QuicKnob Main Screen ( ).
QuicKnob .
: QuicKnob
Alarms.
.
QuicKnob
QuicKnob :
:
• , . QuicKnob
.
• ,
. .
• .
,
. QuicKnob
.
. QuicKnob
.
®
Mennen Medical 6-11
On/Off ( .
) .
Power Supply AC (
).
)
RGB .
PS-2
USB
Compact Flash
Vitalogic 4000®.
Vitalogic 4000® 4 :
•
•
•
•
.
. 6-15 « ».
, ,
.
, , .
,
.
®
6-12 Mennen Medical
Vitalogic 4000®
,
,
,
, , ,
.
, , .
, .
:
,
.
, ,
.
:
®
Mennen Medical 6-13
( ,
Patient Information ( )).
:
(a-z) (a-z) ,
(0-9) (0-9) ,
,/ -
« »
2 . ,
.
:
• ,
.
• .
.
Quicknob .
®
6-14 Mennen Medical
Vitalogic 4000®
6-9:
( ) :
• – ,
. , EtCO2 Alarm Limits,
, Vital Signs.
• – , .
• – . .
®
Mennen Medical 6-15
• – .
.
• – . .
:
• – . ,
Discard Changes .
• – , .
, , .
• – ( ).
, . –
.
• – .
, .
.
• –
.
• – , ,
.
• – .
, .
, ,
, Vitalogic 4000®.
All Alarm
Off, .
®
6-16 Mennen Medical
Vitalogic 4000®
,
,
.
! ,
,
.
«Delete All Recordings»
) «Patient Data».
CHECK PRINTER
CHECK PRINTER ,
22 ,
.
Silence.
: «Check Printer»,
«Delete All Recordings» «Patient Data» ,
, .
, Patient Information.
. ,
.
,
.
Vital Signs.
®
Mennen Medical 6-17
Vital Signs ,
Vitalogic 4000®. Vital Signs
CO2/Temp.
:
. , : BP1
(Unassigned). ART , ART
1 .
Zero All Pressure ( ).
6-4:
(Setup)
Setup Setup ( ),
:
6-1:
A-D-T ( ; 9- 1
; )
Alarm Volume ( 7-6
)
Display Controls ( 8-2
)
CRG 8-6
Select Monitor Profile ( 9-17
)
Software Version ( 3-18
)
10-21
®
6-18 Mennen Medical
Vitalogic 4000®
6-1:
HemoCis 9-13
Alarm Watch Setup ( 8-13
)
Shutdown ( ) 6-1
System Setup ( 5 .«
) »
: HemoCis HemoCis
System Setup ( ).
(Patient Data)
®
Mennen Medical 6-19
®
6-20 Mennen Medical
2
:
1.
2.
3.
4.
5.
6.
7.
1-1
Vitalogic 4000®
®
1-2 Mennen Medical
7 7:
Vitalogic 4000®
.
.
:
• .
• .
• .
, , ,
.
(
. .« », . 7-6).
!!!
. ,
.
:
•
•
– ,
,
.
. 4 8 .
, 60 - 120 , 4
, 120 - 30 7 .
®
Mennen Medical 7-1
Vitalogic 4000®
System Setup (
) 3, 5 10 .
.
Mennen 5
(0) .
8 – 14 .
Vitalogic 4000®
.
.
(C1)
(C2)
.
, .
( . « »).
.
, .
:
*** : (C1)
**: (C2)
*:
. ,
(
).
Vitalogic 4000® 5 .
®
7-2 Mennen Medical
Vitalogic 4000®
: *.wav,
. ,
.
ST.
( )
, .
.
, ,
. ,
, .
C-1 ,
. C-2 C-1.
System Configuration
.
:
( ).
®
Mennen Medical 7-3
Vitalogic 4000®
,
. :
1:
HRT (3- (
) )
ART ART
,
.
:
• 1 (C-1) – .
, .
• 2 (C-2) – . ,
.
• 3 (C-3) – .
• 4 (C-4) - .
• 1 (T-1) -
.
• 2 (T-2) -
,
, .
.
Alarm Response
.
®
7-4 Mennen Medical
Vitalogic 4000®
:
2:
1 ( -1) ,
2,5
2 ( -2) ,
5
3 ( -3) 15
4 ( -4) 20
1 ( -1) 10
2 ( -2) 2 20
SpO2
)
5
: ,
.
, .
, C-2,
C-1.
7-3
.
3:
-2 -2 -1
-3 -3 -2
-3 -2 -2
®
Mennen Medical 7-5
Vitalogic 4000®
: .
Alarm Limits.
Alarm Response.
.
. , .
Silence ( )
– ,
.
System Setup/Alarm Volume & Control 30
300 .
System Setup
:
•
•
: Silence
. Enguard Ensemble
.
( , )
60- .
. ,
, .
, .
Alarms Off
60 .
.
. ,
.
. ,
.
®
7-6 Mennen Medical
Vitalogic 4000®
,
.
Silence, Alarms Off
. System Configuration.
Mennen Medical .
, , .
:
.
Alarm Master
Volume, Setup.
:
1. Setup . Setup.
2. Setup Alarm Master Control.
3. 1 10.
4. Off .
5. Main Main ( ).
6. Main Screen .
.
:
• -
•
.
.
®
Mennen Medical 7-7
Vitalogic 4000®
.
.
. .
.
SpO2
SpO2
, , SpO2.
±5% , ,
2 (C-2). ±5%
, ,
3 (C-3).
,
( , SpO2 ART) ,
:
20
75% ,
1 (C-1) 2 (C-
2). .
Alarm Status ,
.
.
®
7-8 Mennen Medical
Vitalogic 4000®
Alarm Status ( )
Alarm Status Vital Signs.
Alarm Status:
1. Vital Signs,
. Vital Signs.
Vital Signs Alarm Status. Alarm
Status.
: Alarm Status
. .
7-1:
Alarm Status:
1. QuicKnob .
. , Alarm Limits,
Alarm Status.
2. All HRT Alarms
–
Enable Alarm,
®
Mennen Medical 7-9
Vitalogic 4000®
.
3.
QuicKnob . QuicKnob
. Quicknob,
, .
Low and High Limit ( ).
– –
Auto-Set to Defaults
.
4. Vital Signs Vital Signs
– –
Main Screen .
,
.
: .
.
, .
.
.
.
,
.
. . 7-11 « ».
,
.
( 5-17)
,
.
®
7-10 Mennen Medical
Vitalogic 4000®
Vitalogic 4000®:
4:
) ”High Alarm” (
)
) ”Low Alarm” (
)
) ”Fault” ( )
) ”Artifact” ( )
) ”Cable Out” ( )
“RL Fault” ( RL)
RL
• “Lead V Fault” 1
V1 • “Lead Va Fault” 2
• “Lead V1 Fault”
V-
• “Lead Vb Fault” 2 V-
V2
• “Lead V2 Fault”
V-
“Lead V3 Fault” ( V3)
“Lead V4 Fault” ( V4)
“Lead V5 Fault” ( V5)
“Lead V6 Fault” ( V6)
“Lead RA Fault” ( RA)
“Lead LA Fault” ( LA)
“Lead LL Fault” ( LL)
“All Leads Fault” (
)
“PVC” ( )
“Bigeminy” ( )
“Trigeminy” ( )
“Couplet”
“Triplet”
“Interpolated PVCs” (
)
“Multifocal PVCs” (
)
“R on T”
“Idioventricular rhythm” (
)
“Pause” ( )
®
Mennen Medical 7-11
Vitalogic 4000®
4: ( )
“Supraventricular rhythm”(
)
“PAC”
“Extreme Tachycardia” (
)
“Extreme Bradycardia” (
)
“Asystole” ( )
V- “V-Tach”
V- “V-Fib”
“Run”
“Irregular Rhythm” ( )
“Pacer not sensed” (
)
“Pacer non function” (
)
“Pacer non capture” ( )
“High Systolic Alarm” (
)
“High Diastolic Alarm” (
)
“High Mean Alarm” ( )
“Low Systolic Alarm” (
)
“ Low Diastolic Alarm” (
)
“ Low Mean Alarm” ( )
“Not Zeroed” ( )
“Zero in progress” ( )
“Zero Failure” ( )
/ “Transducer Fault” ( )
®
7-12 Mennen Medical
Vitalogic 4000®
4: ( )
®
Mennen Medical 7-13
Vitalogic 4000®
®
7-14 Mennen Medical
8 8:
Vitalogic 4000®
,
.
( , . .).
:
•
•
• ( , , . .)
• .
.
,
,
. , ,
,
, .
:
.
12 .
, Mennen Medical,
. 9 System Configuration,
(Quick Admissions Library),
.
System Configuration
.
®
Mennen Medical 8-1
Vitalogic 4000®
:
• (Default Admit) – .
: ,
( ART PAP ( )), SpO2 .
, .
• (Pre-Admission) –
.
• (Re-Admit) -
(
).
(Display Controls)
Display Controls .
:
•
•
Display Controls:
• Setup Display Controls
Setup.
®
8-2 Mennen Medical
Vitalogic 4000®
Sweep Speed. :
6,25, 12,5, 25, 50 100 . : 25 .
: Respiration
Display Options.
:
1. Display Controls Sweep Speed
. : 25 .
2. Setup Setup
– –
Main Screen .
®
Mennen Medical 8-3
Vitalogic 4000®
:
• (Waveforms and Trend Format) –
• (Regular Format) –
.
8-2:
:
1. Setup. Setup.
2. Setup Display Controls. Display Controls.
3. Display Format WaveForm + Trend
.
:
• .
• Trend Time Scale : 15,
30, 60 120 .
4. .
.
®
8-4 Mennen Medical
Vitalogic 4000®
5. Main Screen .
.
:
SpO2 ( ), Temp ( ), NIBP ( ) ART
Systolic/Diastolic ( , ) Respiration Rate (
) EtCO2/Resp Rate ( CO2/ ).
, .
8-3:
(CRG)
1,5 30 ( ,
).
, ,
.
:
• 1,5
•3
•6 ( )
• 12
• 30
®
Mennen Medical 8-5
Vitalogic 4000®
:
CRG-1 CRG-2. ,
- 4 .
.
CRG ,
.
CRG :
• /CO2
•
: , /CO2 SpO2.
: .
CRG
CRG « ».
:
CRG,
. CRG
.
CRG (CRG-1 CRG-2)
. ; ,
– .
CRG .
CRG ,
;
Setup « » (left)
» (right)
( ) .
CRG-1 CRG-2,
:
• (CRG-1): ( ) SpO2 ( );
• (CRG-2): ( ) ARTd/mmHg
).
• ;
®
8-6 Mennen Medical
Vitalogic 4000®
• .
• (Grid Units, )
( ).
. 8-4:
: Left Param ( ) Right Parm ( )
Vital Sign CRG.
CRG .
: ,
.
®
Mennen Medical 8-7
Vitalogic 4000®
, ,
CRG:
1. Setup Setup CRG.
CRG.
2. CRG-1.
3. Duration ( 1,5 30 ).
4. , CRG:
• Left Param Vital Sign
.
.
• CRG-1,
Right Param Vital Sign
.
.
®
8-8 Mennen Medical
Vitalogic 4000®
. 8-6: CRG
5. Grid .
6. CRG On/off CRG.
: Duration ( ), Grid ( ) CRG On/off
)
( ).
7. CRG-2 2 - 7.
(Remote View)
. Remote View
, .
.
.
.
: Bed-to-Bed Remote View
.
®
Mennen Medical 8-9
Vitalogic 4000®
:
1. Setup . Setup.
2. Setup Remote View. Remote View.
3. .
4. Accept. , ,
.
®
8-10 Mennen Medical
Vitalogic 4000®
. 8-8:
.
.
, .
.
Remote View
.
:
• – , ,
.
• –« »
.
:
• – , ,
.
• – :
.
®
Mennen Medical 8-11
Vitalogic 4000®
: .
Remote View
. Remote View
.
•
Silence . 2
. .
•
Alarms Off .
.
Remote View .
: .
.
.
Print Record .
:
• Main Screen.
,
.
Main
Screen .
:
.
, (1, 2, 4 10 «
»).
:
, Remote View.
®
8-12 Mennen Medical
Vitalogic 4000®
(Alarm Watch)
.
Alarm Watch
.
» ,
.
,
.
. .
®
Mennen Medical 8-13
Vitalogic 4000®
Alarm Watch:
1. Setup . Setup.
2. Setup Alarm Watch Setup. Alarm Watch Setup.
3. .
®
8-14 Mennen Medical
Vitalogic 4000®
Alarm Watch
Automatic View ( ),
,
3/4 .
.
.
, .
. Remote View
.
(
2 ) Main Screen. Automatic
View ( ),
®
Mennen Medical 8-15
Vitalogic 4000®
,
1. Patient Data Alarm Watch
2. Alarm Watch.
3. Alarm Watch , ,
Beds in Alarm
4. Quicknob Beds in Alarm
5. Alarm Off (
),
6. Display Patient ( )
7. Refresh List –
,
.
®
8-16 Mennen Medical
Vitalogic 4000®
Main
Screen .
:
.
, (1, 2, 4 10 ).
:2 .
( ).
System Setup General Settings Timeouts “none”.
Main
Screen .
®
Mennen Medical 8-17
Vitalogic 4000®
®
8-18 Mennen Medical
9 9:
, .
ADT ( , )
ADT :
• Patient Identification ( )
• Discontinue Monitoring ( )
• Save and Discharge ( )
• Discharge Patient ( )
:
•
.
Patient Identification
. .
.
®
Mennen Medical 9-1
Vitalogic 4000®
Vitalogic 4000®
(Monitoring Profile).
Mennen Medical.
, ,
. Admit as Previous
.
,
,
(Monitoring Profiles). 12
, , .
. 9-17 « ».
:
1. .
2. , , .
3. , ,
– –
Admit as Previous ,
.
4. .
5.
.
: Mennen Medical
.
, ,
.
®
9-2 Mennen Medical
Vitalogic 4000®
Patient Identification:
•
–
Setup Setup.
ADT Patient Identification. Patient Identification.
Patient Identification :
• Room number ( )
• Patient ID # ( )
• Patient name (last, first, middle initial) ( , )
• Date of Birth ( )
• Height ( )
• Weight ( )
• Body Surface Area (BSA) ( ) –
.
•Sex ( )
• HID ( )
• Doctor ( )
Patient Identification:
1. QuicKnob
. .
®
Mennen Medical 9-3
Vitalogic 4000®
• .
• ,
QuicKnob.
• Sex. Male ( ) Female
).
2.
Discard Changes.
3. Main
Screen.
Discontinue
Monitoring.
:
•
•
:
1. Setup Setup.
ADT Discontinue Monitoring.
, Resume ( ),
.
2. , Resume.
: , .
. :
•
•
•
• ( )
:
1. ADT
2. Save & Discharge -
« »- . . 9-3 . 9-6.
®
9-4 Mennen Medical
Vitalogic 4000®
Discharge Patient.
:
•
• , ,
• :
.
:
1. Setup Setup.
ADT Discharge Patient. Discharge Patient.
2. Discharge
.
–
Cancel . Discharge Patient
.
3. Main Screen Discharge Patient
.
®
Mennen Medical 9-5
Vitalogic 4000®
Ensemble
.
Vitalogic 5000® Vitalogic 4000®, Envoy™.
:
•
•
•
®
9-6 Mennen Medical
Vitalogic 4000®
• ( )
:
1. ADT
2. Save & Discharge -
« »- . . 9-3 . 9-6.
3. Discharge , Save &
Discharge ( . ).
: (Full Disclosure) ,
, .
: ADT
.
3 (10
) .
3 (10 ) ,
« , » (FIFO).
:
1. System Setup
2. Remove Saved Patient –
3.
:
1. ADT
®
Mennen Medical 9-7
Vitalogic 4000®
. 9-5: ADT
®
9-8 Mennen Medical
Vitalogic 4000®
HemoCis
Admit from HemoCis ( )
Vitalogic 4000®, HemoCis.
Transfer to HemoCis ( ) ,
Vitalogic 4000® Cathlab Suite, HemoCis .
. System Setup Cathlab Suite. ,
HemoCis.
HemoCis Vitalogic 4000®
Option 55-OPT-078 ( );
System Server 550-OPT-080. ,
HemoCis.
System Setup Cathlab Suite
Vitalogic 4000® Cathlab- :
1. HemoCis , ,
Cathlab
2. Vitalogic 4000®
3. System Setup Vitalogic 4000®,
®
Mennen Medical 9-9
Vitalogic 4000®
5. , Shutdown Setup –
HemoCis
6. Setup HemoCis View –
HemoCis.
®
9-10 Mennen Medical
Vitalogic 4000®
:
HemoCis.
HemoCis
Ensemble Vitalogic 4000®
HemoCis (HemoCis Clinical
Information System).
:
•
• Cath-Lab (Cath-Lab Occurrence)
• (Case ID).
HemoCis :
1. Patient Identification ADT
®
Mennen Medical 9-11
Vitalogic 4000®
3. Look For
– Show All Patients
HemoCis
: HemoCis Vitalogic
4000® ,
« » (Today) HemoCis .
®
9-12 Mennen Medical
Vitalogic 4000®
HemoCis View
HemoCis Vitalogic 4000®
®
Mennen Medical 9-13
Vitalogic 4000®
2. HemoCis View,
.
3. Discontinue ( )
Discharge ( ), .
HemoCis HemoCis View
Setup
HemoCis
HemoCis Vitalogic 4000®
System Setup Cathlab Suite monitor.
Cathlab Suite monitor
1. , System Setup >> Network Setup
2. HemoCis Information Cath Lab Suite
monitor
Vitalogic 4000® Cathlab Suite monitor, Save &
Discharge ( ) Send, Save and
Discharge ( , ). Vitalogic
4000® HemoCis
Occurrence ID, HemoCis.
®
9-14 Mennen Medical
Vitalogic 4000®
HemoCis
1. CathLab ADT
2. Save & Discharge – ( )
Vitalogic 4000® HemoCis
, » (Ready for Transfer file) – . . 9-3 .
3. Discharge ,
Save & Discharge ( . ).
: (Full Disclosure) ,
, HemoCis
.
:
Clinicase, ADT Occurance ID,
HemoCis.
4. HemoCis, Save & Discharge
Save & Discharge.
Discharge Discharge.
®
Mennen Medical 9-15
Vitalogic 4000®
®
9-16 Mennen Medical
Vitalogic 4000®
. 9-15: Discharge
(Monitoring Profiles)
.
(Monitoring Profiles),
( , , ). Monitoring Profiles
,
Vitalogic 4000® ( , ,
).
12 : 11 1
Admit as Previous, ,
. ,
.
®
Mennen Medical 9-17
Vitalogic 4000®
,
Monitoring Profiles.
Monitoring Profiles,
Setup. ,
.
.
:
1.
».
2. Setup , Monitoring Profiles
Setup. Monitoring Profile.
3. Select.
4. . ,
.
5. Save.
:
1. Select Monitoring Profiles.
2. QuicKnob .
®
9-18 Mennen Medical
Vitalogic 4000®
3. Label. .
4. Accept.
. .
:
1. Monitoring Profiles Select.
2. . ,
, .
• , Show/Hide.
,
.
• , Show/Hide. ,
.
Monitoring Profile ,
. .
:
1. Monitoring Profiles Select.
2. QuicKnob .
, , .
3. Right
– –
Left .
,
.
:
1. Monitoring Profiles Select.
®
Mennen Medical 9-19
Vitalogic 4000®
2. QuicKnob .
, , .
3. Clear. Monitoring Profiles
.
®
9-20 Mennen Medical
10 10:
Patient Data , ,
Vitalogic 4000®, .
: Trends ( ), ST Watch ( ST), Charts
), Full Disclosure ( ) Overview ( ).
Trends .
.
.
. 8
.
.
, 3 .
: 30 , 1 , 2 , 3 , 4 , 6 , 8 , 12 24 .
. ,
.
.
Trend Display Trend:
: – .
: – .
ECG Alarms Off ( )– .
: (Manual, C.O., NIBP PCWP) - .
: HTR.
®
Mennen Medical 10-1
Vitalogic 4000®
. 10-1: Trends
Trends Display:
1. Patient Data Patient Data.
2. Patient Data
–
Patient Data , ,
Trends.
3.
.
, .
4. Duration .
5. 1 Axis 4 ; 2 Axes
8 .
6. Autoscale
.
7. Scroll Right Scroll Left
1/3 . ,
2 , Scroll Right 40 .
®
10-2 Mennen Medical
Vitalogic 4000®
8. :
. ( . 11).
. QuicKnob Mark Hold Segment –
, , .
. QuicKnob .
. (H) Mark and Hold
.
. . , –
. Mark Hold Segment Clear Hold (
).
9. Clear Hold. .
10. Zoom in/Zoom Out
.
11. Quicknob Cursor.
12. Quicknob, Cursor .
13. Quicknob Cursor.
14. Grid .
15.
:
Go to, Date and the Time, Go to.
16. Patient Data Charts ( ), Full Disclosure
) Overview ( ). Trends ,
,
Trends.
17. Main Screen.
ST Watch
ST Watch ST . ST Watch
ST .
(QRS)
.
ST .
ST leads . ST
.
, 3 .
: 30 , 1 , 2 , 3 , 4 , 6 , 8 , 12 24 .
®
Mennen Medical 10-3
Vitalogic 4000®
.
ST , ST
1 .
. 10-2: ST Watch
®
10-4 Mennen Medical
Vitalogic 4000®
. :
1.
2. , ,
3.
, .
:
•
• Patient Data
•
• Print ( )
• Main Screen ( )
ST SST.
:
• Scale ( )
• Display Option ( )
• Duration ( )
• Scroll ( )
• Cursor ( )
• Reference setting ( )
• Menu ( )
• Go to ( …)
®
Mennen Medical 10-5
Vitalogic 4000®
ST Trend Display:
1. Patient Data Patient Data.
2. Patient Data
–
Patient Data , ,
ST Watch.
3. ST.
.
4. Quicknob .
Quicknob
.
5. SST ( ST) HRT
. :
• None ( )
• STave --- ST
• STsum --- ST
• STVM --- ST ( 12- )
10-3:
6. Scale .
• Autoscale
.
®
10-6 Mennen Medical
Vitalogic 4000®
SST
HRT
(Top), (Middle) ST
( 1 )
SST AREA (1 - 8 ).
7. Display Options. .
• ST measurement Points
ST
• ECG Calibration Scale:
• ECG Grid:
• Fill SST Area: SST
8. Duration ST, 1 - 8
9. Scroll Right Scroll Left
1/3 . ,
2 , Scroll Right 40 .
10. Quicknob Cursor.
:
®
Mennen Medical 10-7
Vitalogic 4000®
• ST
• ,
: (Full Disclosure)
, ,
. , Full Disclosure 6
(6 ).
11. Quicknob,
12.
13. Reference :
• .
.
•
•
®
10-8 Mennen Medical
Vitalogic 4000®
14. Menu :
• Print ( )
• Mark Event ( )
• Full Disclosure, Overview, Chart, Trend
• Exit ( )
15.
:
Go to, Date and the Time, Go to.
16. Patient Data Charts ( ), Full Disclosure
) Overview ( ). ST Trends ,
,
ST Watch.
17. Main Screen.
Scale ,1-8 .
®
Mennen Medical 10-9
Vitalogic 4000®
, (Event) ,
AREA. : AREA, AREA1, AREA Treatment
[mm x minute] ( x ).
( ).
.
,
Scale, , , .
, , .
.
, .
, ,
.
Vitalogic 4000®
, .
.
.
.
:
•
• ST
•
•
•
•
.
®
10-10 Mennen Medical
Vitalogic 4000®
:
1. :
•
•
•
•
•
.
2. ,
System
Setup.
Charts.
Charts.
. 10-7: Charts
®
Mennen Medical 10-11
Vitalogic 4000®
, .
: 1, 2, 5, 10, 15, 30 ,1 2 .
: 10 .
,
. .
.
( ., , , .). ,
, .
.
:
----
.
:
• Manual. .
• Alarm. .
• Cardiac Output. .
• PCWP. .
• NIBP. .
• CVP. PAP.
• Apnea. .
• Time Interval. .
Charts:
1. Patient Data Patient Data.
2. Patient Data
–
Patient Data , ,
Charts.
®
10-12 Mennen Medical
Vitalogic 4000®
3. Filters.
4. Find Date/Time
Date and Time.
5. Find Event
. , ,
.
6. First Page .
7. Last Page .
8. Previous Page .
9. Next Page .
10. - .
.
11. Patient Data Trends, Full Disclosure Overview.
Charts ,
, Charts.
–
QuicKnob
. . Trends, Full Disclosure
Overview Chart Delete
.
12. Main Screen .
(Full Disclosure)
Full Disclosure
33
.
Full Disclosure Ten Minute Display,
10- .
10- Ten Minute Display
Ten Second Display.
10- .
:
•
• (QRS complex)
• ,
.
®
Mennen Medical 10-13
Vitalogic 4000®
Full Disclosure.
Full Disclosure Patient Data,
,
.
Full Disclosure Patient Data
, Charts), ,
. Ten Minute Display
, .
®
10-14 Mennen Medical
Vitalogic 4000®
, ,
.
.
, ,
.
. , -
.
Date and Time .
.
Ten Minute Display:
1.
.
2. (1 2
) Gain.
3. 10 Page Up.
4. 10 Page Down.
®
Mennen Medical 10-15
Vitalogic 4000®
5. 10- Go To
Date
Time. , ,
.
6. 10- Zoom In
QuicKnob ;
QuicKnob Full
Disclosure.
, 10-
. , QuicKnob.
7. :
Zoom in ( )
Mark event ( )
Print ( )
Overview ( )
Chart ( )
Trend ( )
Cancel ( )
8. Ten Second Display Zoom in.
9. , , Patient Data
Charts, Trends Overview. Ten Minute Display
, ,
Ten Minute Display.
10. Ten Minute Display
Main Screen.
®
10-16 Mennen Medical
Vitalogic 4000®
®
Mennen Medical 10-17
Vitalogic 4000®
®
10-18 Mennen Medical
Vitalogic 4000®
Chart ( )
Trend ( )
Cancel ( )
Zoom Ten Minute Display.
6. Print Ten Second Full Disclosure
7. Ten Second Display
Main Screen.
(Overview)
Overview ,
, 6 (6 ),
.
Overview
.
:
* ,
*
* ,
.
Overview:
1. Patient Data
–
Patient Data,
QuicKnob Patient Data
Data Review.
2. Patient Data
–
Patient Data , ,
Overview Overview.
®
Mennen Medical 10-19
Vitalogic 4000®
. 10-10: Overview
,
.
.
.
: , .
.
Date Time .
, ,
.
10 :
• , 10-
• 10- .
®
10-20 Mennen Medical
Vitalogic 4000®
Overview:
1.
Cursor. : 1 , 500 , 250 , 125 , 62,5 31,25 .
2.
(1 2 ) Gain.
3. 5 Move Right.
.
4. 5 Move Left.
.
5. Scroll
QuicKnob . ,
.
6. 10- Go
To Date
Time. , ,
.
7. Overview Print .
8. , , Patient Data
Charts, Trends Overview. Overview
, ,
Overview.
9. Main Screen.
(Event Strips)
Full Disclosure Overview
6 (6 ).
75
.
.
(Event Strips)
, .
(Event Strip):
1. Full Disclosure Overview
®
Mennen Medical 10-21
Vitalogic 4000®
2. , , :
Zoom in 10- Full Disclosure
Zoom out 10- Full Disclosure
3. :
Zoom out ( )
Mark Event ( )
Print ( ), .
4. Mark Event
5.
6. Edit -
7. 20
:
1. System Setup
2. Set Event Labels System Setup
3. :
Insert ( ), Edit ( ) Delete ( ) .
4. Insert Edit ,
.
:
1. Patient Data
2. Event Strip Patient data
3.
®
10-22 Mennen Medical
Vitalogic 4000®
4. – :
• Event Full Disc. ( )
• Event Overview ( )
• Edit Label ( )
• Delete ( )
®
Mennen Medical 10-23
Vitalogic 4000®
Event Overview
8. Event
Overview ECG Full disclosure .
®
10-24 Mennen Medical
Vitalogic 4000®
.
,
.
. 10-12:
8 .
®
Mennen Medical 10-25
Vitalogic 4000®
. 10-13:
, .
,
( : 07:00, 15:00, 23:00).
System Setup ( ) - Report
Setup ( . . 5.12 « »).
/ :
1. Patient Data ( ) Patient Data.
®
10-26 Mennen Medical
Vitalogic 4000®
10-14: Report
2. .
3. .
: System Setup - Report Setup.
Duration .
4. .
: Current Shift Previous Shift
.
5. :
• Print Report .
• Report Preview .
®
Mennen Medical 10-27
Vitalogic 4000®
. 10-15:
, ,
, , ,
.
1:
Previous
Next
Print all Pages
Print Current Page
Cancel
®
10-28 Mennen Medical
11 11:
Vitalogic 4000®
,
.
:
•
•
•
•
.
,
. .
.
.
:
• –
• – ,
®
Mennen Medical 11-1
Vitalogic 4000®
:
1. Patient Data .
2. Data Review Calculations.
3. Calculations :
• Hemodynamics ( )
• Respiratory Mechanics ( )
• Oxygenation ( )
• Renal Clearance ( )
, .
: ,
. 11-1:
,
.
®
11-2 Mennen Medical
Vitalogic 4000®
(NORMVAL)
(NORMIND). , ,
.
.
:
• Discard Changes –
• Accept –
Hemodynamics
.
:
1. Patient Data .
2. Data Review Calculations.
3. Calculations Hemodynamics.
Hemodynamics, .
. 11-2: Hemodynamics
4.
.
®
Mennen Medical 11-3
Vitalogic 4000®
. ,
, .
5. Accept .
Hemodynamic.
Charts Data Review.
Respiratory Mechanics
.
:
1. Patient Data .
2. Data Review Calculations.
3. Calculations Respiratory Mechanics.
Respiratory Mechanics, .
4.
.
. ,
, .
®
11-4 Mennen Medical
Vitalogic 4000®
5. Accept .
Respiratory Mechanics
Chart.
Charts Patient Data.
Oxygenation
.
:
1. Patient Data .
2. Patient Data Calculations.
3. Calculations Oxygenation.
Oxygenation, .
. 11-4: Oxygenation
4.
.
. ,
, .
5. Accept .
Oxygenation.
Charts Data Review.
®
Mennen Medical 11-5
Vitalogic 4000®
Renal Clearance ,
.
:
1. Patient Data .
2. Data Review Calculations.
3. Calculations Renal Clearance.
Renal Clearance, .
4.
.
. ,
, .
5. Accept .
Renal Clarence.
Charts Patient Data.
®
11-6 Mennen Medical
12 12:
, ,
Vitalogic 4000® ,
.
Mennen Medical
.
Mennen Medical.
Medications
, :
1. Patient Data .
2. Data Review Calculations.
3. Calculations Medications.
Medication, .
, QuicKnob.
®
Mennen Medical 12-1
Vitalogic 4000®
. 12-1:
:
• QuicKnob ,
. QuicKnob.
: (Infusion
Rate), (Drug Concentrate) (Injection Amount)
. .
Medication Calculation
( , )
, , ,
, .
:
1. Medication calculation, QuicKnob
. QuicKnob.
2. QuicKnob, /
.
.
®
12-2 Mennen Medical
Vitalogic 4000®
:
• Calculate –
• Drug List –
• Dosage units –
• Discard Changes –
• Main Screen –
(IV)
, ,
.
:
1. .
2. Function Infusion Rate. Infusion Rate.
®
Mennen Medical 12-3
Vitalogic 4000®
,
.
3. .
4. Calculate. .
.
, , .
. 12-3:
: Medications Review.
, ,
, ,
.
:
1. .
2. Function Drug Concentrate. Drug Concentrate.
®
12-4 Mennen Medical
Vitalogic 4000®
,
.
3. .
4. Calculate. ,
. 12-5:
®
Mennen Medical 12-5
Vitalogic 4000®
: Medications Review.
,
, .
:
1. .
2. Function Injection Amount. Injection Amount.
, .
3. .
4. :
• ,
• ,
• IM ( )
• SC ( )
• PO ( )
®
12-6 Mennen Medical
Vitalogic 4000®
• NG/ND ( )
5. Calculate. .
. 12-7:
: ,
Medication Chart.
®
Mennen Medical 12-7
Vitalogic 4000®
®
12-8 Mennen Medical
13 13:
:
– ( , ,
) .
40 .
, ,
.
– Record Alarm Response
,
.
–
.
, .
. . 10 «
».
Vitalogic 4000® .
, Enscribe
Mennen Medical.
40 , . Vitalogic
4000®
.
®
Mennen Medical 13-1
Vitalogic 4000®
.
:
•
•
.
/
.
System Setup
. .
Stop .
/
out
.
, , ,
.
.
®
13-2 Mennen Medical
Vitalogic 4000®
, .
Selective Recording,
.
:
• Recording in progress ( )
• Designated recorder(s) not found ( )
• Recorder busy ( )
• Recorder out of paper ( )
• Recorder door open ( )
• Recorder fault ( )
: ,
» .
, « »
.
«Delete All Recordings» ( )
«Patient Data».
.
: , .
, .
.
:
. RM.
, ( . 16
). ,
16 .
®
Mennen Medical 13-3
Vitalogic 4000®
• Manual ( )
• Alarm ( )
• Multi-ECG ( )
• Selective ( )
• All Waveforms ( )
,
.
(“<“ “>”). (“/”)
.
• - <n mm/mv> (n – )
• - <highscale/lowscale> ( )
, :
<5 mm/mv>/<300-0>
,
System Configuration.
,
.
.
( , ART –
, HRT –
).
.
:
“a” :
“s” :
20 .
: , ,
.
®
13-4 Mennen Medical
Vitalogic 4000®
:
•
. .
•
.
.
•
.
.
Stop .
System Setup
.
: ,
, Enscribe .
:
• Manual ( )
• Alarm ( )
• Multi-ECG ( )
• Selective ( )
• All Waveforms ( )Manual Recording
Record .
.
Record .
®
Mennen Medical 13-5
Vitalogic 4000®
:
1. Alarm Response.
2. Record. ( ,
– ),
.
3. Main Screen .
, ( ).
.
5 .
. ,
Stop .
:
1. Patient Data.
2. Patient Data Selective Recording.
3. Multi-ECG.
, Selective Recording : “Recording now in progress”
).
.
.
®
13-6 Mennen Medical
Vitalogic 4000®
. 13-2:
:
1. Patient Data.
2. Patient Data Selective Recording.
3. Selective.
4. Paper Speed .
5. Waveform1, .
6. Waveform2, .
7. Start Recording. , Stop
Recording. Stop Recording .
.
5 . ,
. .
, Stop .
:
1. Patient Data.
2. Patient Data Selective Recording.
3. All Waveforms.
, Selective Recording : “Recording
now in progress” ( ).
®
Mennen Medical 13-7
Vitalogic 4000®
®
13-8 Mennen Medical
3
,
Vitalogic 4000.
:
1.
2.
3. ST
4.
5. ( )
6.
7.
8. ( )
9. (SpO2)
1-1
Vitalogic 4000®
®
1-2 Mennen Medical
14 14:
12
.
3, 5, 6 12 , 12
12 .
. 14-1:
:
.
, QRS
,
“all fault” ( )
,
“active lead fault” ( )
®
Mennen Medical 14-1
Vitalogic 4000®
. ,
.
, , .
.
.
"Artifact" ( ),
QRS .
(severe) , –
(-------------).
:
QRS .
QRS,
“Artifact” ,
.
QRS, “Artifact”
, .
.
®
14-2 Mennen Medical
Vitalogic 4000®
RA ( )–
LA ( )–
LL ( )– , 6- 7-
,
. 14-2:
RA ( ) – , V1 – ,
V2 – ,
LA ( ) – , V3 – V2 V4
V4 – ,
RL ( ) – 6- 7- , V5 – V4
LL ( ) – 6- 7- , V6 – V4
C( )– .
V.
. 14-3
®
Mennen Medical 14-3
Vitalogic 4000®
1. .
2.
, .
3.
.
4. .
5. .
6. , , .
7. .
,
.
:
I)
:
II)
RA ( )– , 2,5
LA ( )– , 2,5
LL ( )– (
)
. 14-4:
®
14-4 Mennen Medical
Vitalogic 4000®
1. .
2. .
3. .
4. , ( ).
,
.
.
, .
: ,
, .
: EtCO2
.
ECG, .
. ECG
( ):
Leads/Gain ( )
. . «
», . 14-7.
Alarm Limits ( )
. .
», . 14-10.
Display Options ( )
. .
», . 14-14.
QRS Tone Volume ( QRS)
QRS. . «
QRS», . 14-15.
®
Mennen Medical 14-5
Vitalogic 4000®
Alarm Response ( )
. .
», . 14-12.
Pacemaker Detection ( )
. . «
», . 14-17.
Heart Rate Source ( )
. .«
», . 14-20.
Filter ( )
.
.« », . 14-21.
Arrhythmia ( )
Arrhythmia
: Arrhythmia
System Setup.
ST Analysis ( ST)
ST.
: ST
System Setup.
All ECG Leads ( )
.
Main Screen .
ECG ECG
ECG.
ECG
ECG Vital Signs .
ECG Vital Signs:
• Vital Signs ECG Vital
Signs. ECG.
ECG :
• QuicKnob ECG
. ECG.
®
14-6 Mennen Medical
Vitalogic 4000®
, , .
.
: I, II, III, aVR, aVL, aVF V1.
V2. 12
: I, II, III, aVR. aVL, aVF, V1, V2, V3, V4, V5 V6.
,
, Screen Format.
.
:
R .
.
1/3 R.
T.
. 14-5: 12
®
Mennen Medical 14-7
Vitalogic 4000®
.
.
: 1/4, 1/2, 1, 2, 4 8.
: 1.
:
QRS. QRS
0,25 5 . 4 1 ,
QRS .
! QRS
QRS 0,25 . Mennen
QRS .
,
QRS.
( 1 7) .
.
. – A B: A
II, B Va 1.
(Set All to Same Gain)
A.
®
14-8 Mennen Medical
Vitalogic 4000®
®
Mennen Medical 14-9
Vitalogic 4000®
3. Lead .
.
. , ,
.
4. Gain .
5. Set All to Same Gain
, A.
.
5. Vital Signs Vital Signs,
–
Main Screen .
: Alarm Limits
) Alarm Response ( ).
. Alarm Limits
Alarm Limits
. : 20
350 (BPM).
,
System Configuration. :
50-150 BPM. 20 BPM .
: QRS
20 BPM
.
®
14-10 Mennen Medical
Vitalogic 4000®
:
1. ECG ECG Alarm Limits
–
ECG,
, ECG Alarm Limits. ECG Alarm
Limits.
2. All ECG Alarms
.
–
Enable Alarm,
.
: All ECG Alarms ,
.
®
Mennen Medical 14-11
Vitalogic 4000®
3. ,
QuicKnob . QuicKnob
.
Quicknob,
. Low Limit High Limit.
–
Auto-Set to Defaults
.
4. Vital Signs Vital Signs,
–
Main Screen .
:
1. ECG
®
14-12 Mennen Medical
Vitalogic 4000®
–
ECG,
, ECG Alarm Response. ECG
Alarm Response.
2. Heart Rate Alarm Response:
• Record
.
• Tones .
3. ECG Lead Fault Response:
• Tones .
• Artifact Tones
, (
).
• Use as 3 Lead .
.
Only leads RA, LA & LL are used ( RA,
LA LL).
• 12 Use as 5
Lead .
.
4. Pacemaker Alarm Response:
• Record of
.
• Tones .
: ,
, – , .
5. Vital Signs Vital Signs,
–
Main Screen .
®
Mennen Medical 14-13
Vitalogic 4000®
®
14-14 Mennen Medical
Vitalogic 4000®
QRS.
.
3. ECG Color
. .
4. Vital Signs Vital Signs,
–
Main Screen .
: ,
, – , .
QRS
QRS ,
. QRS Tone Volume
Off ( ) 10.
.14-14 « ».
:
.
®
Mennen Medical 14-15
Vitalogic 4000®
QRS:
1. ECG
–
ECG,
, ECG QRS Tone Volume. ECG
QRS Tone Volume.
2. QuicKnob
. QuicKnob
.
Off.
3. Vital Signs Vital Signs,
–
Main Screen .
®
14-16 Mennen Medical
Vitalogic 4000®
Pacemaker Detection
.
:
Fixed ( ) – Fixed
2 0,2 2,0
.
Adaptive 1 ( 1) - Adaptive 1
. (
) 0,5 0,2 2,0
.
Adaptive 2 ( 2) - Adaptive 2
.
Fixed ,
(
). : 2,0
0,2 2,0 .
: I, II, III V.
: (aVR, aVL aVF)
.
. ,
.
®
Mennen Medical 14-17
Vitalogic 4000®
. 14-14:
12
QRS; ,
QRS.
1. Fixed .
2. - I, II, III, V1. ,
.
3. Adaptive 1 .
: Adaptive 2, .
,
.
Pacemaker Detection
1. ECG
–
ECG,
, ECG Pacemaker Detection.
Pacemaker Detection.
®
14-18 Mennen Medical
Vitalogic 4000®
,
"Paced" ( ). "Paced" 5
10 .
: ,
, .
"Paced" "Relearn" ECG.
:
Pacer Non Capture ( )
QRS.
Pacer Non Function ( )
QRS .
.
Pacer Non Sense ( QRS)
, , QRS.
QRS.
1 .
®
Mennen Medical 14-19
Vitalogic 4000®
,
, .
,
.
( ,
)
,
.
) ( Sp02),
.
Heart Rate Source
: Heart Rate ECG ( , ), Pulse
Rate Sp02 ( , Sp02) Pulse Rate ABP ( ,
).
.
: Sp02,
( Sp02).
®
14-20 Mennen Medical
Vitalogic 4000®
:
1. ECG
–
ECG,
, Heart Rate Source. ECG Heart
Rate Source.
2. .
3. Vital Signs Vital Signs,
–
Main Screen .
, (
), « »
. : Monitor
), Diagnostic ( ) Exercise ( ).
Monitor – .
, .
Diagnostic – ,
. , ,
R.
Exercise –
.
: Monitor. Diagnostic Exercise
.
.
®
Mennen Medical 14-21
Vitalogic 4000®
:
1. ECG
–
ECG,
, Filter. ECG Filter.
2. .
3. Vital Signs Vital Signs,
–
Main Screen .
: ST ST Filter,
.
®
14-22 Mennen Medical
15 15:
.
, :
• None ( )
Arrhythmia ECG.
•Basic ( )
Arrhythmia Alarms.
• Extended ( )
Arrhythmia Alarms.
Basic Arrhythmia :
• Asystole ( )
QRS 5 .
Asystole Pause.
• VFib ( )
,
. ,
2-10
.
• V-Tach ( )
600 .
, ( : 5-12).
VTach Run.
• Runs
,
(PVC) ( : 2-12).
®
Mennen Medical 15-1
Vitalogic 4000®
• PVC
,
( : 1-15).
• Pause
, QRS
( : 1-3 ). :1 .
Extended Arrhythmia
:
• (BGM)
,
(N-V-N-V-N-V...).
N-V- ,
.
•
, 50 .
•
, 100 .
• SV Irregular Rhythm ( )
,
QRS .
,
.
•
,
QRS 120 , 1250 .
•
(N-V-V-N-N).
•
(N-N-V-V-V-N-N).
•
,
(N-N-V-N-N-V-N-N) .
®
15-2 Mennen Medical
Vitalogic 4000®
•R On T
,
.
•
, QRS
,
.
• Supraventricular Tachycardia ( )
QRS
120 .
• Multi-Focal PVCs ( )
,
QRS .
• Interpolated PVCs ( )
, ,
N-N.
Arrhythmia
.
Arrhythmia:
• Arrhythmia Alarms ( )
.
,
,
,
. . «
» . 15-4.
• Activate ( )
. .«
» .15-8.
®
Mennen Medical 15-3
Vitalogic 4000®
Arrhythmia
Arrhythmia .
Arrhythmia :
1. Vital Signs . Vital Signs.
2. Vital Signs ECG Arrhythmia.
Arrhythmia.
Arrhythmia :
• QuicKnob ARR
. Arrhythmia.
.
Arrhythmia Alarms « » current
.
: ,
Arrhythmia Alarms .
,
.
,
.
) , .
,
.
:
1. Arrhythmia
–
Arrhythmia Activate,
, Arrhythmia Alarms. Arrhythmia
Alarms.
®
15-4 Mennen Medical
Vitalogic 4000®
2.
Arrhythmia Alarm
3. All Alarm ON ( ) OFF (
) .
4. All Record ON ( ) OFF (
) .
5. All Tone ON ( ) OFF (
) .
: OFF ON All Alarms
.
. . .
Vitalogic 4000®
.
: V-Tach
), Runs, PVC, Pause BGM ( ).
®
Mennen Medical 15-5
Vitalogic 4000®
:
•
:
. 15-2:
• ,
:
. 15-3:
®
15-6 Mennen Medical
Vitalogic 4000®
• ,
,
. 15-4:
:
1. Arrhythmia
–
Arrhythmia Activate,
Arrhythmia Alarms. Arrhythmia
Alarms.
2.
–
Arrhythmia,
(Arrhythmia type)
.
3. Record
.
4. Tones .
5. Alarm .
6. Accept Arrhythmia Alarms.
®
Mennen Medical 15-7
Vitalogic 4000®
7. ,
QuicKnob.
8.
Display Area.
9. Alarm .
.
10. Accept
Arrhythmia Alarms.
Activate.
:
1. Arrhythmia
–
Arrhythmia,
Activate.
2. Activate .
.
3. ECG ECG
–
Main Screen .
®
15-8 Mennen Medical
16 16:
ST
ST
. ST
ST ,
,
.
Vitalogic 4000® ST.
ST ,
ECG. ST
30 .
ST ISO ST
ST .
ST .
,
.
. 16-1: ST
ST Trends
Charts.
: ST
ST, .
.
. .
», . 16-2.
®
Mennen Medical 16-1
ST Vitalogic 4000®
ST . ST
ST.
ST:
• Activate ( )
ST. .« ST», . 16-
3.
• Alarm Setup ( )
ST. .« ST »,
. 16-3.
• Alarm Response ( )
ST. .«
ST», . 16-5.
• Display Options ( )
ST . . «
», . 16-6.
• ST Adjustment ( )
ST ISO. .«
»( . . 16-1)», . 16-7.
• ST Variation ( ST)
, ST. .
ST», . 16-8.
ST
ST .
ST :
1. Vital Signs . Vital Signs.
2. Vital Signs, ECG ST.
ST.
ST :
QuicKnob ST ( )
. ST.
®
16-2 Mennen Medical
Vitalogic 4000® ST
ST
ST Activate.
ST:
1. ST
–
ST,
Activate.
2. Activate ST.
.
: ,
, – , .
3. ECG ECG
–
Main Screen .
ST ,
Alarm Limits Alarm Response,
.
Alarm Limits ST
.
Select Type ,
,
.
®
Mennen Medical 16-3
ST Vitalogic 4000®
ST:
1. ST
–
ST,
Alarm Limits.
2. Select Lead All Leads ( )
.
3. QuicKnob
.
–
Auto-Set to Defaults .
4. ST Alarms
ST.
: ,
, – , .
®
16-4 Mennen Medical
Vitalogic 4000® ST
5. ECG ECG
–
Main Screen .
ST
Alarm Response ST.
ST:
1. ST
–
ST,
Alarm Response.
2. Alarm Response:
• Record
. .
• Tones .
.
®
Mennen Medical 16-5
ST Vitalogic 4000®
: ,
, – , .
3. ECG ECG
–
Main Screen .
®
16-6 Mennen Medical
Vitalogic 4000® ST
:
All Leads – ( . . 16-1).
Displayed Leads - .
Max ST - ST ,
.
ST ISO
ST
ISO ST ST.
ST Adjustment.
. 16-5: ST Adjustment
ST Adjustment ,
, ,
QRS . QRS
«R». ISO ST,
, «R».
®
Mennen Medical 16-7
ST Vitalogic 4000®
.
«ST MAN» ST
.
ISO ST:
1. ST
–
ST,
ST Adjustment.
2. Auto Mode.
3. ISO Adjust ISO,
QuicKnob ISO 500 «R»
Adjust ISO.
4. ST Adjust ST,
QuicKnob ST 500 «R»
Adjust ST.
5. Accept ISO ST, ST
Adjustment .
6. Cancel ST Adjustment
.
ST
ST
.
Vitalogic 4000® ST
ST
ST.
.
, ,
ST. ST Variation ST
. ST
,
ST.
: ST Variation , ST VAR
, ST
.
ST Variation ST
Variation.
®
16-8 Mennen Medical
Vitalogic 4000® ST
. 16-6: ST Variation
ST Variation:
1. ST
–
ST,
ST Variation.
2. ST Variation ST
Variation. .
: ,
, – , .
3. ECG ECG
–
Main Screen .
®
Mennen Medical 16-9
ST Vitalogic 4000®
ST:
1. ST
–
ST,
ST Variation.
2. Set BaseLine ST
.
3. ECG ECG
–
Main Screen .
®
16-10 Mennen Medical
17 17:
(Resp.) .
. ,
. .
,
,
.
RA LA LL.
- 65 .
,
65 .
- 1 1000 .
« »
.
Vitalogic 4000® .
:
•
: ,
EtCO2.
( .
», . 17-2.).
, . 14-2:
, . 14-3: . 14-4: T
.
®
Mennen Medical 17-1
Vitalogic 4000®
:
.
,
LA RA ( RA LL).
Respiration.
.
:
• Lead/Gain ( )
.
.« », . 17-3.
• Alarm Limits ( )
. . «
», . 17-4.
• Alarm Response ( )
. . «
», . 17-6.
• Display Options ( )
. .
», . 17-7.
• Heart Rate Coincidence ( )
,
. « », . 17-9.
• Activate ( )
. . « /
», . 17-11.
Resp.
Respiraion (RSP)
Resp :
• Vital Signs
• .
®
17-2 Mennen Medical
Vitalogic 4000®
Lead/Gain:
• Lead Selection - RA-LL RA-LA.
• Gain Control - (AGC), 1/8, 1/4, 1/2,
1, 2, 4 8.
®
Mennen Medical 17-3
Vitalogic 4000®
:
1. Respiration
–
Respiration,
Lead/Gain.
2. RA-LL, RA-LA. .
3.
. : Automatic, 1/8, 1/4, 1/2, 1, 2, 4 8.
(AGC) .
AGC: 10 5 .
4. RSP RSP
–
Main Screen .
Alarm Limits
. :
• Respiration Rate ( )–
, ,
. ,
( 0 150 ).
.
• Apnea ( ) -
. ,
( ).
, System Configuration
. ,
.
.
:
• .
• 0 150 BPM.
®
17-4 Mennen Medical
Vitalogic 4000®
• , .
: 10, 15, 20, 30 45 .
: 20 .
• .
:
1. Respiration
–
Respiration,
Alarm Limits.
2. Enable Alarm,
,
.
3.
. .
.
0-150 BPM.
5 BPM.
1 BPM.
®
Mennen Medical 17-5
Vitalogic 4000®
–or–
Auto Set to Defaults .
4. All Resp Alarms
. ,
.
5. RSP RSP
–
Main Screen .
®
17-6 Mennen Medical
Vitalogic 4000®
:
1. Respiration
–
Respiration,
Alarm Response. Alarm
Response.
2. Respiration Rate Alarm:
• Tones .
.
• Record
.
3. Apnea Alarm:
• Record
.
• Tones .
.
4. RSP RSP
–
Main Screen .
: ,
, – , .
Display Options
. .
Display Options :
• ,
« ».
• 5x5 .
• .
, ,
.
, .
®
Mennen Medical 17-7
Vitalogic 4000®
• : ,
, , ,
.
,
.
• (Sweep Speed).
:
1. Respiration
–
Respiration,
Display Options. Display
Options.
2. Display Area .
: Waveform ( ), Secondary VS area
) Big Numbers ( ).
: Waveform.
3. Sweep Speed .
: ECG Sweep Speed ( ), 6,25 12,5 .
®
17-8 Mennen Medical
Vitalogic 4000®
4. Display Features:
• Grid .
,
.
• Alarm Limits
.
• Lead Selection
.
• Apnea Information
.
• Breath Symbol
.
5. Resp Colors .
16 . .
6. RSP RSP
–
Main Screen .
: ,
, – , .
ECG/RSP
,
, ,
(CVA). ,
AGC .
. ,
7%
.
®
Mennen Medical 17-9
Vitalogic 4000®
:
1. Respiration
–
Respiration,
H/R Coincidence. H/R Coincidence.
2. «On» «Off»
.
3. Record
.
4. Tones .
.
5. RSP RSP
–
Main Screen .
: ,
, – , .
®
17-10 Mennen Medical
Vitalogic 4000®
Activate.
.
:
1. Respiration
–
Respiration,
Activate. Activate.
2. Activate
.
3. RSP RSP
–
Main Screen .
®
Mennen Medical 17-11
Vitalogic 4000®
®
17-12 Mennen Medical
18 18:
(BP)
(BP)
Vitalogik 4000®, .
BP ( ,
). BP ( , CVP
LAP).
BPx
ART
AO
PAP
CVP
RAP
LAP
ICP
CPP
®
Mennen Medical 18-1
Vitalogic 4000®
« » (12 ,
).
mmHg ( .). ,
. (
, )
.
.
. ,
.
. Swan-Ganz™ ,
.
(PCWP)
.
PCWP .
Swan-Ganz ,
,
PAP CVP. , Dual BP
CO/2 TMP, , PAP CVP.
Swan-Ganz, ( PAP)
( CVP) .
• .
• .
• (
, , ),
.
®
18-2 Mennen Medical
Vitalogic 4000®
BP
. .
:
• Zero Pressure ( )
. .« », . 18-4.
• Scale ( )
. .
», . 18-6.
• Alarm Limits ( )
. .
», . 18-7.
• Alarm Response ( )
. .« », . 18-9.
• Display Options ( )
. .
», . 18-11.
®
Mennen Medical 18-3
Vitalogic 4000®
• Activate ( )
. . «
» .18-16.
• PCWP from PAP ( )
PCWP. . « PCWP», . 18-14.
, PAP .
• CVP from PAP ( )
CVP PAP. . «
», . 18-14.
, PAP .
BP
BP Vital Signs .
BP Vital Signs:
1. Vital Signs . Vital Signs.
.
2. Vital Signs BP. BP.
BP :
QuicKnob BP
. BP.
.
, , .
:
• Zero 2BP CO/2 TMP ,
.
• Zero Pressure , ,
.
®
18-4 Mennen Medical
Vitalogic 4000®
:
1. BP Zero Pressure.
2. Zero BP
–
Zero All Pressures
.
3. BP BP
–
Main Screen .
®
Mennen Medical 18-5
Vitalogic 4000®
Scale
.
.
.
. 18-2: BP Scale
®
18-6 Mennen Medical
Vitalogic 4000®
4. BP BP menu
–
Main Screen .
• :
1. High Scale Low Scale.
2. BP BP
–
Main Screen .
: Alarm Limits
Alarm Response. .
Alarm Limits
.
, .
( , )
.
System Configuration. .
®
Mennen Medical 18-7
Vitalogic 4000®
• :
1. BP
–
BP Alarm Limits.
2. Select Type ,
.
3. All BP Alarms
. ,
.
4. QuicKnob ,
; ,
. High Limit Low Limit.
–
Auto Set to Defaults
.
®
18-8 Mennen Medical
Vitalogic 4000®
5. BP BP
–
Main Screen .
: ,
, – , .
Alarm Response
.
:
• BP Alarm Response, .
• BP Fault Response, .
®
Mennen Medical 18-9
Vitalogic 4000®
• :
1. BP
–
BP Alarm Response.
.
2. BP Alarm Response:
• Record
. .
• Tones .
.
3. BP Fault Response:
• Record
. .
• Tones .
.
4. BP BP menu
–
Main Screen .
: ,
, – , .
®
18-10 Mennen Medical
Vitalogic 4000®
BP Display Options
, :
• ,
« ».
• .
• , S/D/M
.
• ( ART).
• , CVP PAP (
PAP).
• (CPP) ( ICP).
• (
). .
:
– ART -
– BP -
– CVP -
– -
®
Mennen Medical 18-11
Vitalogic 4000®
:
1. BP
–
BP Display Options.
2. Numeric Formats SSS/DDD
MMM, SSS/DDD mmm SSS/DDD. BPx, ART
PAP: SSS/DDD MMM. CVP, LAP, RAP ICP:
MMM.
3. Display Area .
: Waveform ( ), Secondary
VS ( ) Big Numbers («
). Waveform.
4. Display Features:
• Grid
. . ,
.
®
18-12 Mennen Medical
Vitalogic 4000®
PCWP
Vitalogic 4000®
.
(PCWP) .
: ,
PAP.
PCWP.
.
PCWP, .
.
PCWP Hemodynamics
and Vital Signs .
. 18-6: PCWP
®
Mennen Medical 18-13
Vitalogic 4000®
:
1. Swan-Ganz
. .
2. BP
–
BP PAP
PAP, PCWP from PA Start Procedure ( ).
PCWP : “Inflate
balloon” ( ).
3. PAP Autoscale.
4. PAP RSP,
Sweep Speed . :
6,25, 12,5, 25 50 .
.
5.
: “Catheter Wedged” ( ).
PCWP PCWP.
6. Accept .
–
Adjust. PAP ,
PCWP. QuicKnob
. Accept. PCWP
, PCWP PAP
.
7. .
: 20 ,
PCWP , :
“Deflate balloon” ( ). ,
. PAP
.
Vitalogic 4000®
(CVP)
(PAP) PAP Swan-Ganz.
®
18-14 Mennen Medical
Vitalogic 4000®
: CVP ,
CVP.
CVP, ,
CVP from PA.
.
Vital Signs .
CVP PAP:
1. Swan-Ganz
,
.
2. BP
–
BP PAP
PAP, CVP from PA Start Procedure ( ).
CVP from PA : “
Change stopcock and press Adjust” ( Adjust).
3. Swan-Ganz, PAP
. CVP
CVP from PA.
4. Accept .
–
Adjust. PAP ,
CVP. QuicKnob
. Accept. CVP from PA
, CVP PAP
.
5. CVP Autoscale.
®
Mennen Medical 18-15
Vitalogic 4000®
6. CVP RSP,
Sweep Speed . :
6,25, 12,5, 25 50 .
.
.
.
:
1. BP
–
BP Activate. BP
Activate.
2. Activate .
3. Site Name .
4. BP BP
–
Main Screen .
®
18-16 Mennen Medical
Vitalogic 4000®
®
Mennen Medical 18-17
Vitalogic 4000®
®
18-18 Mennen Medical
19 19:
(C.O.)
. .
,
.
6 .
Vitalogic 4000®
.
.
Patient Identification
,
(BSA). ,
Patient Identification Cardiac Output.
! ,
. ,
.
.
(C.O.)
Swan-Ganz.
.
C.O.
®
Mennen Medical 19-1
Vitalogic 4000®
• C.O.
• , ( ,
) C.O.
C.O.
• Acquire ,
.
• , Patient Identification.
• Acquire .
• ( 6)
Edit Curves.
, , Cardiac Output,
.
Cardiac Output.
C.O.
:
• Acquire ( )
. .
», . 19-3.
• Catheter Information ( )
. .«
», . 19-6.
• Patient Identification ( )
(BSA),
. .« », . 19-7.
• Edit Curves ( )
6 ,
.
.« », . 19-7.
Cardiac Output.
®
19-2 Mennen Medical
Vitalogic 4000®
Cardiac Output
Cardiac Output Vital Signs.
Cardiac Output:
1. Vital Signs.
Vital Signs.
2. Vital Signs Cardiac Output.
. :
Current, , Previous,
( 6).
:
• Wait ( )
• Ready ( – )
• Injecting ( )
• Done ( )
“Wait”
. “Six valid
injections already conducted” ( 6 ).
,
:
• Baseline Temperature Error ( )
0,067° C
“Ready”.
, .
• Curve Error ( )
C.O. -
»( )
. C.O .
• Delta Temperature Exceeds 10% ( 10%)
( COSet™) (
) C.O..
. 19-6.
®
Mennen Medical 19-3
Vitalogic 4000®
C.O.:
1. .
2. Ready Start, “Start
Injection” – « »( )
.
12 .
.
.
, .
®
19-4 Mennen Medical
Vitalogic 4000®
• .
• .
• .
• ( , ).
,
• .
• .
• .
• .
• .
• .
• .
• .
• .
®
Mennen Medical 19-5
Vitalogic 4000®
(Computation Constant).
,
COSet™. Catheter Information.
,
. K-
, ,
.
.
Vitalogic 4000®
.
, , ,
.
.
:
1. Cardiac Output Acquire.
2. Computation Constant. QuicKnob
( : ).
3. CO CO
–
Main Screen .
®
19-6 Mennen Medical
Vitalogic 4000®
, C.O.
(BSA). BSA
. Patient Identification
, , Patient
Information Cardiac Output.
:
1. Cardiac Output
–
Cardiac Output,
Patient Information. Patient Information.
2. Height and Weight.
• QuicKnob ,
.
• QuicKnob
.
• , QuicKnob
. ,
Patient Identification.
3. CO CO
–
Main Screen .
Edit Curves
, .
, .
.
,
.
.
: (C.O.),
(C.I.), (PVR), (SV),
(PVRI) (SVI).
( ) .
Delete ( ).
®
Mennen Medical 19-7
Vitalogic 4000®
Delete C.O. ,
Restore ( ). Restore
C.O.;
Delete.
. ,
.
C.O.:
1. Cardiac Output
–
Cardiac Output,
Edit Curves.
–
Acquire, Edit Curves.
2. Delete
C.O. ,
, Restore.
3. Restore ,
C.O. Delete.
4. Clear All Measurements .
®
19-8 Mennen Medical
Vitalogic 4000®
®
Mennen Medical 19-9
Vitalogic 4000®
. :
• SpO2
• SvO2
•
•
, .
:
: , , ,
, ,
, .
.
C.O. C.O.
:
1. Cardiac Output Fick Method. Fick Method.
®
19-10 Mennen Medical
Vitalogic 4000®
2. .
,
.
• HRT ( )– Vitalogic 4000®
• HB ( )-
• SpO2 - Vitalogic 4000®/
• SvO2 - Vitalogic 4000®/
• Age ( )- Vitalogic 4000®
• BSA ( )- Vitalogic 4000®
.
3. O2
Consumption ( ) Cardiac Output ( ).
, , .
4. Accept. Hemodynamics,
. ,
, .
. 19-4: ,
®
Mennen Medical 19-11
Vitalogic 4000®
®
19-12 Mennen Medical
20 20:
Temp
. (CO) ,
.
CO/2Temp, 2Temp
CO/2Temp.
.
, , .
, .
.
®
Mennen Medical 20-1
Vitalogic 4000®
,
.
.
:
. «
» 20-3.
–
. . « »
20-5.
,
. . «
» 20-6.
,
,
. . « »
20-7.
Temperature
).
Temperature
®
20-2 Mennen Medical
Vitalogic 4000®
Temperature :
,
QuicKnob ,
.
. QuicKnob. Temperarure.
Alarm Limits
Alarm Response.
.
.
,
.
.
.
20-1:
®
Mennen Medical 20-3
Vitalogic 4000®
:
1. Temperature Temperature,
Alarm Limits
). .
2.
ALL TEMP Alarms.
3. QuicKnob
.
,
. : 25-43 C.
:
Auto-Set to Defaults
.
4. Temp Temp
Main Screen .
: , –
.
®
20-4 Mennen Medical
Vitalogic 4000®
Alarm Response
Vitalogic 4000®.
20-2:
1. Temperature
Temperature, ,
, Alarm Response.
2. Record
.
.
3. Tones
. .
4. Temp Temp.
Main Screen .
: , –
.
®
Mennen Medical 20-5
Vitalogic 4000®
Display options ,
. ,
, .
20-3:
1. Temperature
Temperature, ,
, Display Options.
2. Display Area ,
. :
Secondary VS Big Numbers. Secondary VS.
3. Units
. .
4. Temp Color , ,
.
®
20-6 Mennen Medical
Vitalogic 4000®
5. Temp Temp
Main Screen .
: , –
.
Activate
.
1. Temperature
Temperature, ,
, Activate.
2. Activate
. .
3. Temp Temp.
Main Screen .
:
,
.
Temp:
1. Vital Signs.
2. Temp ( ).
3. Site Name – :
TMP1, TMP2, TMP3, TMP4, TMP5, TMP6, TMP7, TMP8.
4.
.
Temp:
1. TMPNum TMPNum –
.
2. Active .
®
Mennen Medical 20-7
Vitalogic 4000®
3. Unassign Temp ,
.
.
.
, ,
, . ,
.
: .
,
, .
. ,
, , ,
Activate.
.
,
.
, .
1. TMP3-TMP4
TMP3-TMP4,
2. Alarm Limits
.
.
3. QuicKnob
. ,
– .
Auto-Set to defaults
.
®
20-8 Mennen Medical
Vitalogic 4000®
4. T3-T4 T3-T4
Main Screen .
:
, ; .
« »:
®
Mennen Medical 20-9
Vitalogic 4000®
®
20-10 Mennen Medical
21 21:
(NIBP)
NIBP.
,
. ,
,
. ,
.
Vitalogic 4000®
NIBP: , .
NIBP .
.
,
.
: NIBP
,
.
,
.
: , NIBP
, . ,
, .
2/3 .
50-80%.
®
Mennen Medical 21-1
Vitalogic 4000®
. NIBP
.
, ,
.
.
:
–
, NIBP.
– , ,
NIBP
NIBP. , .
–
,
,
, .
– , ,
. NIBP
.
.
–
40 300 , NIBP
.
-
. NIBP
.
–
,
.
NIBP
:
1. ,
NIBP . 1,5 .
2. .
5 .
®
21-2 Mennen Medical
Vitalogic 4000®
.
40% , 2/3
.
.
.
,
. ,
Air Leak ( ),
.
: 1. ,
,
.
2.
.
NIBP
.
,
.
,
.
Vitalogic 4000® ,
.
! ,
NIBP, ,
NIBP ,
.
,
.
NIBP, ,
,
, NIBP ,
,
.
®
Mennen Medical 21-3
Vitalogic 4000®
NIBP ,
NIBP.
NIBP.
NIBP:
NIBP Start Measurement ( NIBP)
«Start NIBP», NIBP,
NIBP.
.
Reading Intervals ( )
. ,
,
. . «
» 21-5.
Cuff Type ( )
,
. . « »
21-8.
Alarm Limits ( )
,
NIBP.
,
. . « NIBP» 21-9.
Alarm Response ( )
Vitalogic 4000®. . «
NIBP» 21-11.
Display Options ( )
NIBP . . «
NIBP» 21-12.
Activate ( )
NIBP. .
NIBP» 21-13.
®
21-4 Mennen Medical
Vitalogic 4000®
NIBP
NIBP Vital Signs,
.
NIBP :
1. ( )
NIBP, QuicKnob ,
NIBP.
. QuicKnob
NIBP.
2. NIBP
, QuicKnob ,
NIBP , .
NIBP.
NIBP
.
.
:
Off ( ) NIBP.
Single-T Interval - .
.
,
. ,
10:23, T-15,
, 10:38,
10:53, 11:08 .
Single-Q Interval – .
,
. ,
10:23, Q15,
11:00,
11:15, 11:30, 12:00 .
Multiple-T Interval –
). .
®
Mennen Medical 21-5
Vitalogic 4000®
Multiple-Q Interval – (
). ,
.
:
Single T
.
.
Start NIBP.
Stat Mode
.
!!!
,
.
, .
, , .
.
Off ,
, ,
.
®
21-6 Mennen Medical
Vitalogic 4000®
21-1: NIBP
NIBP
1. NIBP
NIBP,
Reading Intervals.
2. Cuff Type .
: Adult ( ) Neonatal ( ). Adult.
3. Automatic Reading
. : Off, Single-T Interval, Single-Q Interval, Multiple-T Interval
Multiple-Q Interval.
4. (T Q) Single Interval
( ).
: T2, T3, T4, T5, T10, T15, T20, T30, T40, T50 T60 T
Q1, Q2, Q5, Q10, Q15, Q30, Q60 Q120 Q .
5. (T Q) Multiple Interval
.
, .
®
Mennen Medical 21-7
Vitalogic 4000®
Main Screen .
: , – .
, , ,
Adult ( ).
21-2: NIBP
®
21-8 Mennen Medical
Vitalogic 4000®
1. NIBP
NIBP,
Cuff Type.
2. : Adult Neonatal.
3. NIBP NIBP
Main Screen .
NIBP
NIBP : Alarm Limits
Alarm response.
NIBP.
NIBP
NIBP Alarm Limits.
, ,
NIBP.
21-3: NIBP
®
Mennen Medical 21-9
Vitalogic 4000®
NIBP:
1. NIBP
NIBP,
Alarm Limits.
2. Select Type Systolic, Diastolic,
Mean .
3. Systolic/diastolic/mean ALL NIBP Alarms
.
4. QuicKnob
.
, – .
– 0-300.
Main Screen .
®
21-10 Mennen Medical
Vitalogic 4000®
NIBP
NIBP , NIBP
.
21-4: NIBP
NIBP:
1. NIBP
NIBP,
Alarm Response.
2. NIBP Alarm Response:
Record
.
.
Tones .
.
3. NIBP NIBP
Main Screen .
: , –
.
®
Mennen Medical 21-11
Vitalogic 4000®
NIBP
NIBP , NIBP
.
.
21-5: NIBP
NIBP:
1. NIBP
NIBP,
Display Options.
2. Display Area,
, NIBP. : Waveform,
Secondary VS Big Numbers. NIBP
Secondary VS. Waveform
NIBP Waveform.
®
21-12 Mennen Medical
Vitalogic 4000®
3. Numeric Formats,
NIBP. mmHg, : SSS/DDD
MMM, SSS/DDD mmm, SSS/DDD mmm mmm.
, : SS.SS/DD.DD MM.MM.
SSS/DDD MMM ( Hg/mm) SS.SS/DD.DD ( ).
4. Current Interval, S/D/M Label Units
.
.
5. NIBP Color , ,
NIBP .
6. NIBP NIBP
Main Screen .
: , –
.
NIBP
NIBP NIBP
Activate.
Activate:
1. NIBP
NIBP Activate.
2. Activate
NIBP. .
3. NIBP NIBP
Main Screen
.
, – .
®
Mennen Medical 21-13
Vitalogic 4000®
3
9
11 (
)
12
13
14
15
( , )
16
17 ( ,
)
18 ( ,
)
19
20
21
: .
NIBP ,
.
, ,
.
®
21-14 Mennen Medical
22 22:
(SpO2)
SpO2
.
. , 95%
, 95%.
SpO2 ,
.
Vitalogic 4000®
.
( , )
, .
. ,
, .
. , 660
905 , 0,13 ( ) 0,79 ( ), .
Vitalogic 4000®
, .
.
. SpO2
.
22-1: SpO2.
®
Mennen Medical 22-1
Vitalogic 4000®
.
SpO2,
.
, , ,
, .
SpO2 .
, . ,
, .
.
, ,
. SpO2 . .
.
!!! :
-
,
.
. ,
,
, , .
.
– 90. 50,
. ,
( . 22-10).
SpO2:
«Cable Out» ( ) «Relocate Probe» ( )
:
.
.
.
®
22-2 Mennen Medical
Vitalogic 4000®
, «Alarm
Response» ( . ).
, SpO2 .
«Relocate Probe» .
,
.
:
- :
( )
. .
- :
.
- :
. .
- :
.
, ,
, .
,
, , .
! .
.
,
.
,
.
, 70% .
.
! .
.
, .
SpO2
.
SpO2.
®
Mennen Medical 22-3
Vitalogic 4000®
,
.
. , , ,
,
.
SpO2
SpO2 ,
SpO2.
NIBP.
SpO2.
SpO2
SpO2. . «
SpO2» 22-6.
, ,
,
. . «
SpO2» 22-8.
Vitalogic 4000®. . «
SpO2» 22-8.
( Masimo)
.
:
,
.
, SpO2
. . «
SpO2» 22-10.
. . «
SpO2» 22-11.
®
22-4 Mennen Medical
Vitalogic 4000®
SpO2 . . «
SpO2» 22-13.
SpO2
SpO2 Vital Signs
.
SpO2 Vital Signs:
1. Vital Signs. Vital Signs.
2. Vital Signs SpO2. SpO2.
3. .
SpO2 :
1. ( )
SpO2, QuicKnob ,
SpO2.
. QuicKnob
SpO2.
2. Big Number
SpO2, QuicKnob ,
SpO2, QuicKnob .
SpO2.
SpO2
SpO2 : Alarm
Limits, Pulse Rate Alarms Alarm Response.
SpO2.
SpO2
SpO2. ,
SpO2. SpO2
.
®
Mennen Medical 22-5
Vitalogic 4000®
22-2: SpO2
SpO2:
1. SpO2:
SpO2,
Alarm Limits.
2. QuicKnob
.
: 85-100%
Main Screen .
®
22-6 Mennen Medical
Vitalogic 4000®
SpO2
SpO2.
,
SpO2.
SpO2.
22-3: SpO2
SpO2:
1. SpO2
SpO2,
Pulse Rate Alarms.
2. All Pulse Rate Alarms
( All Pulse Rate Alarms
, ,
, .).
®
Mennen Medical 22-7
Vitalogic 4000®
3. QuicKnob
.
,
. : 0-300 .
Auto-Set to Defaults
.
4. SpO2 SpO2
Main Screen .
SpO2
22-4: SpO2
®
22-8 Mennen Medical
Vitalogic 4000®
SpO2:
1. SpO2
SpO2,
, Alarm Response.
2. SpO2:
Record
.
.
Tones
. .
3.
SpO2 SO2.
4. Vital Signs Vital Signs
Main Screen .
: NIBP SpO2,
SpO2,
Disable SpO2 Alarms NIBP.
: , –
.
®
Mennen Medical 22-9
Vitalogic 4000®
SpO2
Display Options , SpO2
.
.
22-5: SpO2
SpO2:
1. SpO2
SpO2,
Display Options.
2. Display Options ,
. : Waveform,
Secondary VS Big Numbers. SpO2
Secondary VS.
®
22-10 Mennen Medical
Vitalogic 4000®
3. :
Pulse Rate
SpO2.
Signal Strength
SpO2 .
: SpO2
,
,
.
Alarm Limit
SpO2 .
Pulse Symbol
.
Display units
(%)
, .
Grid
SpO2 . .
, SpO2
.
4. SpO2 Color , ,
SpO2 .
5. SpO2 SpO2
Main Screen .
, SpO2
Pulse Tones ,
, .
: Pulse ( ) Pitch and Pulse ( ).
Pulse , .
Pitch and Pulse SpO2,
.
. , , .
®
Mennen Medical 22-11
Vitalogic 4000®
22-6: , SpO2
, :
1. SpO2:
SpO2,
Pulse Tones.
2. Pulse Tone Pulse, Pitch and Pulse.
3. . : – 10.
10, , ,
.
4. SpO2 SpO2
Main Screen .
®
22-12 Mennen Medical
Vitalogic 4000®
SpO2
SpO2
. : 3, 6 12 . 6 .
22-7: SpO2
1. SpO2
SpO2,
Response Time.
2. 3, 6 12 .
3. SpO2 SpO2
Main Screen .
®
Mennen Medical 22-13
Vitalogic 4000®
SpO2
Activate SpO2 SpO2
SpO2:
1. SpO2
SpO2,
Activate.
2. Activate SpO2.
SpO2 .
3. SpO2 SpO2
Main Screen .
Masimo
SpO2 .
LNOP – < 10
:
3 :
. 3 : .
LNOP – <1
:
.
1. .
2. ( ) ( ).
3. ,
.
4. , ,
.
5. .
6. .
7. 8 .
®
22-14 Mennen Medical
Vitalogic 4000®
– SpO2
SpO2 Masimo:
LNOP – DCI –
LNOP – > 30
LNOP – > 10 < 50
LNOP – < 10
LNOP – <1
SpO2 Nellcor:
Sp02 OxiMax
Sp02 OxiMax, ,
OxiMax Dura-Y, D-YS
, , OxiMax Dura-Y, D-YSE
OxiMax, , N-25
(24 . )
OxiMax, I-20 (24 .
)
OxiMax, D-20 (24
. )
®
Mennen Medical 22-15
Vitalogic 4000®
®
22-16 Mennen Medical
23 23:
CO2 (EtCO2)
.
.
.
(NDIR) CO2
, CO2 (EtCO2) (FiCO2)
.
EtCO2
(
) CO2.
CO2.
50
,
.
CO2,
(15 ). ,
,
.
.
CO2. .
®
Mennen Medical 23-1
(CO2) (EtCO2) Vitalogic 4000®
23-1: EtCO2
CO2 (EtCO2)
.
(EtCO2), (InCO2) .
EtCO2:
( ,
)
EtCO2
, .
.
,
.
, .
CO2.
0,45 , .
,
.
, ,
®
23-2 Mennen Medical
Vitalogic 4000® (CO2) (EtCO2)
,
.
CO2 .
1:
800-060-141 800-060-142
>2 <2
72 72
4,5 3,7
210 210
3 3
7,3 0,5
,
(FRS)
, , .
,
.
.
,
.
.
, .
, .
, , ,
.
EtCO2
.
®
Mennen Medical 23-3
(CO2) (EtCO2) Vitalogic 4000®
!!! .
,
.
EtCO2 ,
.
EtCO2 ,
Mennen Medical.
.
O2 EtCO2
CO2.
O2, N2O NO .
,
.
.
EtCO2
.
12
.
1200
CO2.
5« »
.
®
23-4 Mennen Medical
Vitalogic 4000® (CO2) (EtCO2)
!!! O2
EtCO2
CO2.
1. .
2. EtCO2,
.
3. .
4. CO2
.
1. EtCO2,
.
2. .
3. CO2
.
EtCO2 ,
EtCO2.
CO2 .
EtCO2:
EtCO2, InCO2 . .
EtCO2» 23-6.
Alarm Response ( )
EtCO2, InCO2 . . «
EtCO2» 23-9.
Display Options ( )
,
EtCO2 . . «
EtCO2» 23-10.
Activate ( )
®
Mennen Medical 23-5
(CO2) (EtCO2) Vitalogic 4000®
EtCO2.
. « EtCO2» 23-12.
EtCO2
EtCO2 Vital Signs
.
EtCO2 :
1. ( ) -
EtCO2, QuicKnob ,
EtCO2. .
QuicKnob EtCO2.
2. Secondary Vital Sign Big Number
EtCO2, QuicKnob ,
EtCO2, .
EtCO2.
EtCO2
EtCO2 : Alarm
Limits Alarm Response.
EtCO2.
EtCO2
EtCO2, InCO2
, .
Select Type ,
,
.
®
23-6 Mennen Medical
Vitalogic 4000® (CO2) (EtCO2)
EtCO2:
1. EtCO2
EtCO2,
Alarm Limits.
2. Select Type EtCO2, InCO2 Resp (
) .
3. CO2/ EtCO2/Resp Alarms .
®
Mennen Medical 23-7
(CO2) (EtCO2) Vitalogic 4000®
4. QuicKnob
;
.
,
.
10-90 . 20 .
6. EtCO2 EtCO2
Main Screen .
®
23-8 Mennen Medical
Vitalogic 4000® (CO2) (EtCO2)
EtCO2.
Alarm Response EtCO2.
EtCO2:
1. EtCO2
EtCO2,
Alarm response.
2. EtCO2 Alarm Response:
Record
.
.
Tones .
.
®
Mennen Medical 23-9
(CO2) (EtCO2) Vitalogic 4000®
4. EtCO2 EtCO2
Main Screen .
: ,
.
EtCO2
Display Options EtCO2 .
.
®
23-10 Mennen Medical
Vitalogic 4000® (CO2) (EtCO2)
1. EtCO2
EtCO2,
Display Options.
2. Display Area ,
EtCO2. : Waveform, Secondary VS Big
Numbers. Waveform.
3. Sweep Speed .
: 6,25 , 12,5 25 .
6,25 .
4. Display Features:
Grid
. .
Resp Rate
. .
InCO2
CO2 . .
Alarm Limit
EtCO2 .
Apnea Information
.
.
Display Units
. . % EtCO2,
.
Display Units Display Labels
.
.
®
Mennen Medical 23-11
(CO2) (EtCO2) Vitalogic 4000®
7. EtCO2 EtCO2
Main Screen .
EtCO2
Activate EtCO2.
: EtCO2
.
Vitalogic 4000® EtCO2
.
EtCO2:
1. EtCO2
EtCO2,
Activate.
2. Activate EtCO2.
EtCO2 .
3. EtCO2 EtCO2
Main Screen .
FilterLine®
FilterLine®
/ .
23-5: .
®
23-12 Mennen Medical
Vitalogic 4000® (CO2) (EtCO2)
1.
2.
3.
4. FilterLine®
5.
23-5:
,
. ,
ET,
( . 23-6).
FilterLine®, /
.
1.
2.
3.
4.
5. FilterLine®
23-6:
: ,
.
®
Mennen Medical 23-13
(CO2) (EtCO2) Vitalogic 4000®
FilterLine® H HME?
FilterLine®
HME .
FilterLine®
( 23-7),
EtCO2.
1.
2. FilterLine®
3. HME
23-7: FilterLine®
,
,
( ) HME
23-8).
:
150—300 , HME
.
CO2
. 25
( , ) ,
EtCO2 (
).
1.
2. HME
3. FilterLine®
23-8:
®
23-14 Mennen Medical
Vitalogic 4000® (CO2) (EtCO2)
FilterLine® H
, RSP ?
FilterLine® H
. RSP
,
.
FilterLine® H
, ET . RSP
,
.
– ,
RSP
ET RSP.
. FilterLine® H?
. ET.
.
®
Mennen Medical 23-15
(CO2) (EtCO2) Vitalogic 4000®
®
23-16 Mennen Medical
24 24:
4800.
Vitalogic 4000®
(NIDS) ,
.
CO2, N2O .
O2 O2.
. ,
.
CO2 %, . . %.
24-1:
,
.
.
,
.
,
.
.
®
Mennen Medical 24-1
Vitalogic 4000®
Vitalogic 4000®
.
CO2 (EtCO2),
, CO2 (InCO2), N2O
, .
,
,
Vitalogic 4000®.
. , UIM
.
,
.
, , ,
.
. ,
.
,
Mennen Medical.
.
.
®
24-2 Mennen Medical
Vitalogic 4000®
,
. .
,
. , 12
.
,
.
, .
: –
, – .
AnaGas
.
.
.
: CO2 5%, N2O 40%,
3% ( ), O2 52%.
: , ,
,
, .
.
: CO2 5%, N2O 40%, O2 55%.
.
, .
®
Mennen Medical 24-3
Vitalogic 4000®
Mennen Medical.
O2 CO2 , ,
, .
O2 20% :
, ( ,
), , .
.
. .
:
Scott Medical Products PA, USA, . 215-766-8861, 215-766-7250.
: 1,2 15 . 5%, CO2 5%, N2O 42%,
O2, 8 .
®
24-4 Mennen Medical
Vitalogic 4000®
24-2:
1. , .
2. .
3. Lurer
.
4. .
5.
.
: ,
3
Vitalogic 4000®: 120 ,
3
220 .
®
Mennen Medical 24-5
Vitalogic 4000®
High Alarm (
)
Low Alarm (
)
Cable Out ( )
Apnea (+ time stamp) CO2
(+ )
No Comm ( ) :
7
800-060-998
Nafion (Zefon ZML-9223)
(5 .
800-060-991
) (Pryon)
,
551-145-507
551-145-505
551-145-506
®
24-6 Mennen Medical
Vitalogic 4000®
: :
0-90 CO2 < 350
N2O < 400
< 300
, , ,
, : < 500
: ±2 :
2
8
: :
0,2% <5 200
< 10 120
: :
. 11 200 ,
,
: :
120 200 90-264 (48-62 ),
110
: :
: O2, CO2, N2O, , 14,5 × 18,3 ×
. 43,2
: O2, 5 × 7,2 ×
CO2, N2O, , 17
. 7,6 (16,7 )
.
:
CO2, N2O, : NDIR
)
O2:
:
O2, CO2, N2O, , , ,
, .
®
Mennen Medical 24-7
Vitalogic 4000®
:
CO2: 0 100
N2O: 0 100%
: 0 100%
: 0,0 10,0%
: 0,0 10,0%
: 0,0 10,0%
: 0,0 10,0%
: 0,0 24%
:
CO2: 0 40 ±2,5
40 60 ±2,5
60 80 ±4
N2O: ±1,5% , ±5%
: ±2,5% , ±5%
: 0-7,5% ±0,2% , ±4%
: 0-7,5% ±0,1% , ±4%
: 0-7,5% ±0,1% , ±4%
: 0-9% ±0,1% , ±4%
: 0-20% ±0,1% , ±4%
:
1. .
2. , ,
, .
3.
.
,
,
.
®
24-8 Mennen Medical
25 25:
.
. N2O
. CO2
. O2, CO2,
N2O .
Vital Signs ,
.
.
: CO2, N2O,
, O 2.
.
EtCO2
EtCO2 ,
.
EtCO2:
EtCO2, InCO2 ,
.
Alarm Response ( )
EtCO2, InCO2, .
Display Options ( )
®
Mennen Medical 25-1
Vitalogic 4000®
,
EtCO2 .
Activate ( )
EtCO2.
Scale ( )
EtCO2
EtCO2 :
1. ( )
EtCO2, QuicKnob ,
EtCO2.
. QuicKnob
EtCO2.
2. Secondary Vital Sign Big Number
EtCO2, QuicKnob ,
EtCO2, . EtCO2.
®
25-2 Mennen Medical
Vitalogic 4000®
25-1: EtCO2
EtCO2
EtCO2 : Alarm
Limits Alarm Response.
EtCO2.
®
Mennen Medical 25-3
Vitalogic 4000®
EtCO2
EtCO2, InCO2
, .
Select Type
,
.
EtCO2:
1. EtCO2:
EtCO2,
Alarm Limits.
2. Select Type EtCO2, InCO2 Resp (
) .
3. All CO2 / EtCO2 / Resp Alarms
.
®
25-4 Mennen Medical
Vitalogic 4000®
4. QuicKnob
,
.
6. EtCO2 EtCO2
Main Screen .
EtCO2
Alarm Response EtCO2.
®
Mennen Medical 25-5
Vitalogic 4000®
EtCO2:
1. EtCO2
EtCO2,
Alarm Response.
2. Alarm Response:
Record
.
.
Tones .
.
Main Screen .
®
25-6 Mennen Medical
Vitalogic 4000®
EtCO2
1. EtCO2
EtCO2,
Display Options.
2. Display Area ,
EtCO2. : Waveform, Secondary VS
Big Numbers. EtCO2 Waveform.
3. Sweep Speed .
: 6,25 , 12,5 25 .
6,25 .
®
Mennen Medical 25-7
Vitalogic 4000®
4. Display Features:
Grid
. .
Resp Rate
. .
InCO2
CO2 . .
Alarm Limit
EtCo2 .
Apnea Information
. .
Display Units
. % EtCO2,
.
Display Units Display Label
.
.
5. EtCO2 EtCO2
. 16 . .
6. EtCO2 EtCO2
Main Screen .
Scale EtCO2
.
. %.
. . :
0 – 75 . .
0 – 100 . .
% :
0 – 6%
®
25-8 Mennen Medical
Vitalogic 4000®
0 – 10%
0 – 15%
EtCO2:
1. EtCO2 Scale.
2. .
3. Vital Signs Vital Signs
Main Screen .
EtCO2
Activate EtCO2.
: EtCO2
.
Vitalogic 4000®
EtCO2.
®
Mennen Medical 25-9
Vitalogic 4000®
EtCO2:
1. EtCO2
EtCO2,
Activate.
2. Activate EtCO2.
3. EtCO2 EtCO2
Main Screen .
O2, N2O
O2, N2O Anesthetic Agent ,
O2, N2O .
O2, N2O .
:
(HAL)
(ISO)
(ENF)
(SEV)
(DES)
: « » .
Alarm Limits ( )
EtO2,
EtN2O, EtAgent, InO2, InN2O, InAgent,
.
Alarm Response ( )
®
25-10 Mennen Medical
Vitalogic 4000®
Scale ( )
Activate ( )
O2, N2O .
: O2, N2O
, (
Activate). O2 , ,
N2O .
1. ( )
O2, N2O Agent, QuicKnob
, .
.
QuicKnob .
2. Secondary Vital Sign Big Number
O2, N2O Agent, QuicKnob
, ,
QuicKnob. .
®
Mennen Medical 25-11
Vitalogic 4000®
O2, N2O
O2, N2
: Alarm Limits Alarm Response. Alarm Limits
EtO2, InO2, EtN2O, InN2O, EtAgent,
InAgent, .
Alarm Response EtO2, InO2,
EtN2O, InN2O, EtAgent, InAgent.
O2, N2O
EtO2, InO2,
EtN2O, InN2O, EtAgent, InAgent,
. Select Type
,
.
®
25-12 Mennen Medical
Vitalogic 4000®
O2, N2O
,
.
Auto-Set to Default
O2, N2O Agent .
5. Gas Name (O2, N2O Agent) Gas
Name
Main Screen .
®
Mennen Medical 25-13
Vitalogic 4000®
Record
.
.
Tones .
.
Main Screen .
®
25-14 Mennen Medical
Vitalogic 4000®
O2, N2O
Display Options , O2, N2O
.
.
®
Mennen Medical 25-15
Vitalogic 4000®
4. Display Features:
Grid
. .
Alarm Limit
O2, N2O Agent .
Display Units Display Labels
.
.
EtO2/EtN2O/EtAgent
O2, N2O Agent .
Main Screen .
O2, N2O
®
25-16 Mennen Medical
Vitalogic 4000®
25-9: O2 Scale
O2, N2O :
Main Screen .
®
Mennen Medical 25-17
Vitalogic 4000®
O2, N2O
.
O2 N2O
O2, N2O:
Main Screen .
Vitalogic 4000® ,
.
Agent.
1. Agent:
Agent,
Activate. Activate.
®
25-18 Mennen Medical
Vitalogic 4000®
2. Activate .
Main Screen .
MAC ( ( ))
( )-
, 50%
( ).
, .
.
1,3
.
®
Mennen Medical 25-19
Vitalogic 4000®
% Ex( ) % ExN 2O
( )
x( ) 100
x( ) – , Vital Signs,
«Agent Setup»
:
x( ): Hal = 0,75%, Enf = 1,7%, Iso = 1,15%, Sev = 2,05% Des = 6,0%
( ).
®
25-20 Mennen Medical
Vitalogic 4000®
26 26:
Vitalogic 4000®
(UIM) Vitalogic 4000®. UIM
Vitalogic 4000®.
Vitalogic 4000® ,
.
.
, .
.
.
: Vitalogic 4000®
, Mennen Medical,
.
. Vitalogic 4000®
.
.
Vitalogic
4000® .
,
:
– RR t/s
– MV t/s
®
Mennen Medical 26-1
Vitalogic 4000®
– VT t/s
/
PIP/MAP
PEEP/ Auto PEEP
–
COPM St/Dy
– RES St/Dy
I:E
PLTP
NIP
O2: FiO2
Ventilator ,
.
:
Alarm Limits ( )
Alarm Response ( )
.
Display Options ( )
,
.
Activate ( )
.
®
26-2 Mennen Medical
Vitalogic 4000®
Ventilator
Ventilator Vital Signs
.
®
Mennen Medical 26-3
Vitalogic 4000®
Ventilator :
1. QuicKnob , Ventilator,
QuicKnob Ventilator.
:
Alarm Limits Alarm Response.
.
:
,
.
Alarm Limits
.
.
:
.
.
®
26-4 Mennen Medical
Vitalogic 4000®
Auto-Set to Defaults
.
5. Main Screen .
®
Mennen Medical 26-5
Vitalogic 4000®
Alarm Response
.
:
, .
, .
,
.
Record
.
.
Tones .
.
®
26-6 Mennen Medical
Vitalogic 4000®
3. Ventilator Fault:
Record
.
.
Tones .
.
4. Main Screen .
Display Options :
Cell Size ¼
, .
.
, ,
.
.
.
.
:
®
Mennen Medical 26-7
Vitalogic 4000®
3. Cell Size .
. :
, .
4. Vent Color
. 16 .
5. Main Screen .
®
26-8 Mennen Medical
Vitalogic 4000®
26-5:
®
Mennen Medical 26-9
Vitalogic 4000®
- -
O2 -
-
.
, .
®
26-10 Mennen Medical
Vitalogic 4000®
Vitalogic 4000®
:
®
Mennen Medical 26-11
Vitalogic 4000®
®
26-12 Mennen Medical
4
:
:
:
1-1
Vitalogic 4000®
Vitalogic 4000®
, , .
Mennen Medical,
.
(P/N)
551-306-5905 , ,
(I.P.)
*
3 , * 551-306-080
3 , 551-306-085
3 * 551-306-016
3 , DIN, ( 551-306-116
)
3 , 551-306-024
*
3 , 551-306-028
( )
3 , 551-306-132
5 551-306-017
5 , 551-306-025
*
5 , 551-306-029
*
5 , 551-306-133
5 , , 551-306-090
*
5 , - 551-306-091
5 , 551-306-093
®
Mennen Medical -1
Vitalogic 4000®
(P/N)
6 , , 551-306-100
*
6 , 551-306-101
6 , 551-306-103
6 ( ), * 551-306-020
6 * 551-306-018
6 , * 551-306-026
6 , - 551-306-030
*
6 , 551-306-134
10 , - 551-306-150
10 , 551-306-170
10 551-306-019
10 , - 551-306-031
*
10 , 551-306-135
*
**
3 , , 551-306-280
**
3 , - 551-306-281
( )**
3 , ** 551-306-285
3 ** 551-306-216
3 , DIN, ( 551-306-316
)
3 , ** 551-306-224
3 , - 551-306-228
( ) **
3 , ** 551-306-332
5 , , 551-306-290
**
5 , - 551-306-291
5 , 551-306-293
5 ** 551-306-217
®
-2 Mennen Medical
Vitalogic 4000®
(P/N)
5 , ** 551-306-225
5 , - 551-306-229
**
5 , 551-306-333
10 , - 551-306-250
10 , 551-306-370
10 551-306-219
10 , , 551-306-231
**
10 , * 551-306-335
®
Mennen Medical -3
Vitalogic 4000®
(P/N)
( ) 551-306-011
, MX860 800-060-580
MX860 800-060-582
MX860 800-060-584
MX860 (5 . ) 800-060-586
MX860 800-060-588
MX860 800-060-589
MX860, 800-060-670
10
MX 950 (5 . ) 800-060-596
MX 950 800-060-595
CO 551-306-110
551-306-023
, , 800-060-010
, , 800-060-020
®
-4 Mennen Medical
Vitalogic 4000®
(P/N)
, 800-060-030
NIBP, 551-306-370
NIBP, 551-306-371
NIBP, 551-306-372
NIBP, 551-306-373
NIBP, 551-306-370
, (25 × 35 ) 800-271-322
, (33 × 47 ) 800-271-329
(46 × 66 ) 800-271-327
, (18 × 25 ) 800-271-328
(6 × 11 ) 800-271-324
(25 × 35 ) 800-271-322
NIBP, (CAS)
NIBP, 551-306-272
NIBP, 551-306-271
NIBP, 551-306-270
NIBP, 551-306-273
NIBP, 551-306-272
NIBP, 551-306-271
, (23 × 33 ) 800-261-322
, (31 × 40 ) 800-261-329
(38 × 50 ) 800-261-321
, (17 × 25 ) 800-261-328
®
Mennen Medical -5
Vitalogic 4000®
(P/N)
(12 × 19 ) 800-261-323
(8 × 13 ) 800-261-324
NIBP
551-306-274
NIBP ( )
(10 )
, 1 (3 × 6 ) 800-260-332
, 2 (3 × 8 ) 800-260-333
, 3 (6 × 11 ) 800-260-334
, 4 (7 × 14 ) 800-260-335
, 5 (8 × 15 ) 800-260-336
( )
, 800-260-326
, 800-260-337
(Nellcor) (SpO2)
SpO2 551-306-015
SpO2 800-306-730
Nellcor Dura-Y, D-YS 800-060-930
Nellcor Dura-Y, D-YSE 800-060-940
Nellcor, , 800-060-970
, D-20 (24 . )
Nellcor, 800-060-950
, N-25 (24 . )
Nellcor, 800-060-960
, I-20 (24 . )
®
-6 Mennen Medical
Vitalogic 4000®
(P/N)
(Masimo) (SpO2)
SpO2 551-339-000
SpO2 551-339-004
551-339-001
551-339-002
, 551-339-003
(12 .) 551-339-053
(100 .) 551-339-054
(P/N)
EtCO2
®
Mennen Medical -7
Vitalogic 4000®
®
-8 Mennen Medical
Vitalogic 4000®
,
, :
1. 1. ,
. .
2. ECG/Resp 2. ,
. .
3. . 3.
Mennen Medical.
«ECG Cable Out» 1. . 1. ,
.
HR/Resp
1. 1. ,
. .
2. 2. ,
.
3. .
3. , ,
.
4. ,
3 , 2 3
. .
4. , 2 3
,
5 .
, 1. Resp 1. ,
Resp . Resp .
2. 2. ,
.
.
. .
®
Mennen Medical -1
Vitalogic 4000®
1:
. .
. .
1. .
, 2. .
.
1. 1. (
PAP. ,
).
2. 2. ,
.
.
®
-2 Mennen Medical
Vitalogic 4000®
1.
,
. .
2.
,
. .
3. .
. (
4. 3-4 )
. .
5. ,
.
.
6.
.
.
7.
.
1. 1.
.
.
.
2. .
2. .
EtCO2
. 1.
( -
) . .
.
. ,
.
2.
.
. ,
. . , -
.
,
.
, .
, -
Mennen Medical.
®
Mennen Medical -3
Vitalogic 4000®
, ,
, -
.
.
,
Mennen Medical.
-
, - .
,
, Mennen
Medical.
®
-4 Mennen Medical
Vitalogic 4000®
,
.
Envoy™/Vitalogic 4000®
ART (SYS, . .
DIAS, MEAN)/
BP
BP <= 25 BP – 5 0,86*BP + 32
25 < BP <= 200 0,68*BP + 6 0,86*BP + 32
BP > 200 0,68*BP + 6 BP + 8
®
Mennen Medical -1
Vitalogic 4000®
Envoy™/Vitalogic 4000®
®
-2 Mennen Medical
Vitalogic 4000® 5
:
5
5
Vitalogic 4000®:
( touch screen)
NIBP
(VS)
®
Mennen Medical -1
5 Vitalogic 4000®
5.1
,
,
Vitalogic 4000®.
. -
,
.
System Setup ,
,
, .
System Setup
:
Store Diagnostic File ( )
Vitalogic 4000®.
Mennen Medical .
Date & Time Setup ( )
,
Vitalogic 4000®. .
« » 5-7.
General Settings ( )
, ,
, . .
« » 5-9.
Disable/Enable Touch Screen ( )
.
Alarm Volume & Controls ( )
®
-2 Mennen Medical
Vitalogic 4000® 5
,
, , . . «
» 5-12.
Sound Event ( )
. . « » 5-15.
Default Alarm Limits ( )
. . «
» 5-17.
Event Strip ( )
,
Vitalogic 4000® Mark Key.
Leakage Test ( )
NIBP
. ( Event Strip).
Vital Sign (VS) Setup ( )
,
Vitalogic 4000®.
,
. . « »
5-18.
Parameter Hierarchy ( )
. . « » 5-51.
Monitor Profiles ( )
.
. « » 5-52.
Admit By Defaults ( )
Vitalogic 4000®. . « »
5-56.
Report Setup ( )
.
. 5.8 « » 5-57.
Automatic Reports ( )
. . « » 5-63.
Network Setup ( )
®
Mennen Medical -3
5 Vitalogic 4000®
, , ,
. . . « » 5—64.
Recorder Setup ( )
. .
« » 5-65.
Trends Setup ( )
. . «
» 5-78.
Quick Keys ( )
«QuicKeys»
. . « »
5-67.
Tabular Charts ( )
,
. . « »
5-69.
Software Version ( )
Software Version
, ,
. . «
» 5-73.
Parallel Port Setup ( )
Vitalogic 4000®
( , )
. . «
» 5- .
Change Password ( )
System
Setup. . « » 5-74.
Check Disk ( )
.
. .
» 5-75.
Permission Editor ( )
:
, -
. . « »
5-83. System Setup
, Vitalogic
4000® .
,
.
,
.
: 1:
1:
++ ++
++ —
++ —
++ ++
++ ++
++ ++
++ —
++ ++
— ++
CO2 — ++
++ —
(VS)
— ++
— ++
++ —
++ ++
++ ++
++ ++
++ ++
++ ++
— ++
®
Mennen Medical -5
5 Vitalogic 4000®
1:
++ ++
++ –
++ ++
++ –
++ ++
++ ++
Cancel ,
.
.
System Setup.
System Setup:
1. Setup, Setup.
2. QuicKnob , System Setup,
. System Password .
®
-6 Mennen Medical
Vitalogic 4000® 5
3. . System Setup.
,
Vitalogic 4000®.
Vitalogic 4000®
, , LAN,
, .
. ,
,
.
30
.
®
Mennen Medical -7
5 Vitalogic 4000®
Vitalogic 4000® ,
, . ,
, .
Enguard
, , Enguard.
Ensemble
, .
: :
«Date
& Time».
®
-8 Mennen Medical
Vitalogic 4000® 5
, .
. ,
15:00, ,
15:00. Date & Time Setup
: , .
Display Format ( )
Display Format ,
.
:
1. Date. .
2. QuicKnob , .
QuicKnob , ,
QuicKnob .
QuicKnob .
, Qui Knob.
QuicKnob ,
. , -
. .
®
Mennen Medical -9
5 Vitalogic 4000®
QuicKnob , ,
QuicKnob . QuicKnob
. QuicKnob
. QuicKnob
.
3. Cancel Changes
4. Time. Hour/Minute ( ).
Hours/Minutes QuicKnob .
QuicKnob .
QuicKnob .
QuicKnob
.
6. Display Format:
Date Format ( ).
: ddmmmmyy, ddmmyyyy mmddyy.
mmddyy.
Separator ( ). .
,
( , «.» «/»). .
7. Display Leading Zeros Date Time
( , 01/01/98 01:30).
.
24 Hour Display
24 (00:00 – 24:00).
12 (12 A.M. 12 P.M.).
®
-10 Mennen Medical
Vitalogic 4000® 5
8. Discard Changes
Main Screen .
, :
( .)
, ,
.
, .
General Settings : ,
, .
General
:
,
. ,
.
.
®
Mennen Medical -11
5 Vitalogic 4000®
( ). 50-60
.
Freeze
,
. : 10, 20 30 .
. : Right-Left Left-Right.
Units
, .
: CM ( ) IN ( ).
.
Timeouts ,
, , ,
.
. :
, , ,
, .
: ( ), 1 ,2
,4 10 . ,
:2 .
Hospital Name
.
.
®
-12 Mennen Medical
Vitalogic 4000® 5
General Settings
1. General , ,
.
2. Charts Default Frequency.
3. Units .
4. Timeouts .
5. Hospital Name Hospital Name. -
. QuicKnob
.
6. Discard Changes
Main Screen .
®
Mennen Medical -13
5 Vitalogic 4000®
,
, .
,
. ,
, . 7 « »
Vitalogic 4000®.
. , ,
. :
, , SpO2.
. : , ( ),
, , .
,
. Alarm Volume and
Control.
, ,
«Enable
Alarm Off» .
Alarm Off Vitalogic 4000®
.
.
®
-14 Mennen Medical
Vitalogic 4000® 5
Suspension Time ,
Alarms Off. : 30,
60, 90 120 . Alarms Off (
). Alarms Off
"Permanent" Suspension Time.
60 .
Silense , ,
, .
: 30, 60, 90 120 . 30 .
SpO2
, SpO2
, . : Standard Unique.
,
.
: 1, C2, C3, C4, T1, T2 SpO2.
:
.WAV ( ),
. : C1.WAV,
C2.WAV, C3.WAV, T1.WAV, T2.WAV SpO2.WAV.
.
*.WAV.
®
Mennen Medical -15
5 Vitalogic 4000®
1:
Inter-burst interval
C1 0–5
C2 2,5 – 30
C3 >C2
C4 > = C2
( )
,
( 10 , 20 .). : 10, 20, 30, 40,
50 60 . Play
. :
C1, C2, C3 C4 – 20
T1 – 30
T2 – 60
SpO2 – 5
: 0 ,
.
: (Initial Volume)
(End
Volume). ,
,
. : 0 100.
.
( ) ,
( ) .
( )
( ) .
10 60.
®
-16 Mennen Medical
Vitalogic 4000® 5
( )
.
0 20 ( 4).
.
,
.
1. .
2. Enable Alarm Off.
3.
(Suspension Time).
4. Silence Time .
5. SpO2 Alarm Tone SpO2.
6. Priority Level .
7. ,
Accept.
8. File Name .WAV
.
9. Repeat Every (sec)
. Stop
.
10. End and Init Volume
.
11. Delay ( ).
12. Step
.
13. Increase Intensity .
.
®
Mennen Medical -17
5 Vitalogic 4000®
Main Screen .
,
.
:
®
-18 Mennen Medical
Vitalogic 4000® 5
1. Event ,
.
2. File Name ,
. ,
.
3. Volume , Play
.
4. Main Screen .
: Inject Now Deflate Balloon
60, – 0.
, ,
Default Alarm Limits.
.
. ,
.
.
Dynamic Alarm Limits
, Set to Default.
®
Mennen Medical -19
5 Vitalogic 4000®
1. QuicKnob ,
, QuicKnob.
.
2. Default Type Fixed Dynamic.
3. Pressure Type ( ).
4. ( ), QuicKnob
, QuicKnob
. QuicKnob .
5. Escape
Vital Sign.
6. 1-5 ,
.
®
-20 Mennen Medical
Vitalogic 4000® 5
7. Discard Changes
Main Screen .
Event Setup ,
«Mark Event».
:
1. Event Strip List Mark Event –
2. Label
3. Insert –
Vitalogic 4000®
4. Accept
5. ( 2)
:
1. Event Strip List Mark Event –
2. Label
3. Delete –
:
1. Event Strip List Mark Event –
®
Mennen Medical -21
5 Vitalogic 4000®
2. Label
3. Edit –
Vitalogic 4000®
4. Accept
5. .
Mark Event:
+
+ +
Mark Event .
.
+
,
«Manual Event».
10 Mark Event,
10 .
+ +
, .
.
,
.
NIBP
Leakage Test
NIBP, .
NIBP
1. ,
.
2. «Leakage Test» - .
3. – .
: «Disconnect Patient from Cuff before Testing»
).
®
-22 Mennen Medical
Vitalogic 4000® 5
4. , «Test».
5. 200 . .( )
120 . .( ).
6. ,
4 .
7. : «Pressure after 1 minute»
«Pressure difference»,
3 .
:
, 1
(VS)
®
Mennen Medical -23
5 Vitalogic 4000®
ECG Setup
.
:
,
.
.
C-1 C-2.
C-1.
. : Off ( ), Visual ( )
) On ( )(
). OFF.
. : OFF
), Basic ( ) ( Asystole, Vfib, V-tach, Run, PVC Pause)
Extended ( ) ( Bradycardia, Supraventricular Tachycardia, SV
Irregular Rhythm, Idioventricular Rhythm, Couplats of PVCs, Triplets of PVCs, Bigeminy,
Trigeminy, R on T, Vfib, V-Tach, Multifocal PVCs, Interpolated PVCs, Asystole, Run,
Pause, Premature Artrial Contraction Sinus Tachycardia).
. :
2:
-1 -2 -3
-1
®
-24 Mennen Medical
Vitalogic 4000® 5
2:
(VFIB) -1
(VTACH) -1
PVC (RUN) -2
(BGM) -2
PVC (PVC) -2
(PAUSE) -3
(BRADY) -1
(TACHY) -1
(IRREGULAR) -2
(IDIOVENT) -2
PVCs (COUPLET) -2
PVCs (TRIPLET) -2
(TRIGEM) -2
R on T -2
(PAC) -2
(AFIB) -2
(SVTACH) -2
PVCs (MULTIFOCAL) -2
PVCs (INTPVC) -2
. 3, 5 10
. 5 .
. 16 .
.
®
Mennen Medical -25
5 Vitalogic 4000®
6. ST: ST ( )
ST.
7. OR:
(ESF), ( ).
®
-26 Mennen Medical
Vitalogic 4000® 5
Main Screen .
:
. System
Setup, System Setup.
. :
,
.
. (
).
,
C-1, C-2 -3.
:
: C-2
: -2.
. (
). : Off, Visual (
) On ( ).
Off.
. 3, 5 10 .
5 .
,
. :2 ,3 4 .
®
Mennen Medical -27
5 Vitalogic 4000®
. 16 .
.
:
1. System Setup Vital Signs Setup. Vital Signs.
2. Vital Signs Respiration Setup.
Respiration Setup.
3. Extended Alarm Response:
-
Resp Rate Apnea.
: On
Off.
4. Alarm Detection Delay
( ).
5. Apnea Reset ,
.
6. Respiration Default Colour. .
. .
7. Discard Changes Respiration Setup
Main Screen .
®
-28 Mennen Medical
Vitalogic 4000® 5
. ,
,
( , ART, CVP .).
BP Fault Alarms
. . (
).
.
: Off, Visual ( ) On (
). Off.
.
3, 5 10 . 5
.
.
After Zero
.
: Always ( ), Never ( ) Only after first zero (
). Type .
: Normal ( ) Only Upper Limit (
)( , ).
, .
®
Mennen Medical -29
5 Vitalogic 4000®
.
: . ., .
.
. ., :
SSS/DDD/MMM, SSS/DDD/mmm SSS/DDD.
SSS/DDD/MMM.
, : SS.S/DD.D
MM.M. SS.S/DD.D/MM.M.
. :
– 250, 300 350
: -15, -10 0.
. 16 .
:
ART/UA –
PAP –
CVP –
–
®
-30 Mennen Medical
Vitalogic 4000® 5
:
1. System Setup Vital Signs Setup. Vital Signs
Setup.
2. Vital Signs BP Setup. BP Setup.
3. Extended Alarm Response:
-
BP Fault Alarms.
Latching
: On Off.
4. Alarm Detection Delay
( ).
5. Auto Scale:
After Zero Always, Never Only After
First Zero.
Type Normal Only Upper Limit.
®
Mennen Medical -31
5 Vitalogic 4000®
Main Screen .
NIBP
NIBP.
NIBP Pulse Rate, ,
NIBP.
NIBP
. . (
).
NIBP: -1, -2 -3. -1.
7 « »
Vitalogic 4000®. : Off, Visual
) On (
). Off.
Vitalogic 4000®.
: .
.
®
-32 Mennen Medical
Vitalogic 4000® 5
T Q. . 11
NIBP» Vitalogic 4000®,
.
NIBP. : . ., .
. . .
NIBP.
. ., : SSS/DDD
MMM, SSS/DDD mmm SSS/DDD. SSS/DDD MMM.
, : SS.S/DD.D MM.M.
SS.S/DD.D.
NIBP
NIBP .
16 .
NIBP :
®
Mennen Medical -33
5 Vitalogic 4000®
Main Screen .
:
Single T, Single Q.
.
SpO2
SpO2
. SpO2,
Pulse Rate Fault, ,
SpO2
NIBP.
®
-34 Mennen Medical
Vitalogic 4000® 5
. . (
).
SpO2 Pulse Rate :
-1, -2 -3. -1.
: -1 -2.
-1.
7 « »
Vitalogic 4000®. : Off,
Visual ( ) On (
). Off.
. 3, 6 12 .
6 .
SpO2
SpO2 .
16 .
®
Mennen Medical -35
5 Vitalogic 4000®
SpO2 :
Main Screen .
.
, ,
. . (
).
:
-1, -2, -3 -4. -4.
®
-36 Mennen Medical
Vitalogic 4000® 5
7 « »
Vitalogic 4000®. : Off,
Visual ( ) On (
). Off.
. 3, 5 10
5 .
.
: .
.
. 16 .
5-13: Temperature
®
Mennen Medical -37
5 Vitalogic 4000®
Latching
: On Off.
4. Alarm Detection Delay
( ).
5. Units
( ).
6. Temperature Default Colour.
. .
7. Discard Changes
Main Screen .
EtCO2
EtCO2
. EtCO2,
,
,
EtCO2 .
EtCO2
. . (
« »).
EtCO2 : -1, -2
-3. -2.
. 7
» Vitalogic 4000®.
: Off, Visual ( )
On ( ).
Off.
. 0, 3, 5 10 .
0 .
®
-38 Mennen Medical
Vitalogic 4000® 5
EtCO2 .
:% . . %.
EtCO2
EtCO2 .
16 .
®
Mennen Medical -39
5 Vitalogic 4000®
5-14: EtCO2
EtCO2
EtCO2 .
Latching
: On Off.
Main Screen .
®
-40 Mennen Medical
Vitalogic 4000® 5
EtCO2
EtCO2
CO2 1200
.
®
Mennen Medical -41
5 Vitalogic 4000®
(CO)
CO .
CO
CO, .
16 .
. 5-16: CO
CO :
1. System Setup Vital Signs Setup (
). Vital Signs.
2. CO Setup ( CO).
CO Setup.
3. CO Default Color ( CO ). ,
. .
4. Discard Changes, ,
-
Main Screen, .
: Vital Signs Setup
. ,
System Setup, System Setup.
®
-42 Mennen Medical
Vitalogic 4000® 5
(TcGas)
TcGas
.
TcGas ,
TcGas.
TcGas
.
«
».
TcGas C-1, C-2 C-3.
: C-2.
TcGas T1
T2. : T2.
T2.
7« »
Vitalogic 4000®. Off ( .), Visual
) On ( ,
). : Off.
.
3, 5 10 . :5 .
,
. . . Tc PO2/Tc Co2.
: . .
.
: .
TcGas
TcGas, .
16 .
®
Mennen Medical -43
5 Vitalogic 4000®
. 5-17: TcGas
TcGas :
1. System Setup Vital Signs Setup. Vital Signs.
2. Vital Signs TcGas Setup ( TcGas).
TcGas Setup.
3. Extended Alarm Response (
):
TcGas
.
Latching ( ) On ( .)
Off ( .).
4. Alarm Detection Delay (
) ( ).
5. TcGas
( . . ). Sensor
Temperature units ( )
( ).
6. TcGas Default Color ( TcGas ). ,
. .
7. Discard Changes, ,
-
Main Screen, .
: Vital Signs Setup
. ,
System Setup, System Setup.
®
-44 Mennen Medical
Vitalogic 4000® 5
CO2 ( )
CO2
.
CO2 ,
CO2.
CO2
.
«
».
TcGas C-1, C-2 C-3.
: C-2.
7« »
Vitalogic 4000®. Off ( .), Visual
) On ( ,
). : Off.
.
0, 3, 5 10 . :0 .
, CO2 .
% . . : . .
CO2
CO2, .
16 .
®
Mennen Medical -45
5 Vitalogic 4000®
. 5-18: CO2
CO2 :
1. System Setup Vital Signs Setup. Vital Signs.
2. Vital Signs CO2 Setup ( CO2).
CO2 Setup.
3. Extended Alarm Response:
CO2 .
Latching ( ) On ( .) Off
.).
4. Alarm Detection Delay (
) ( ).
5. CO2
(% . .).
6. CO2 Default Color ( CO2 ). ,
. .
7. Discard Changes, ,
-
Main Screen, .
®
-46 Mennen Medical
Vitalogic 4000® 5
O2
O2 .
O2
,
O2.
O2
.
«
».
O2 C-1, C-2 C-3.
: C-2.
7« »
Vitalogic 4000®. Off ( .), Visual
) On ( ,
). : Off.
.
0, 3, 5 10 . :0 .
O2
O2, .
16 .
. 5-19: O2
®
Mennen Medical -47
5 Vitalogic 4000®
O2 :
1. System Setup Vital Signs Setup. Vital Signs.
2. Vital Signs O2 Setup ( O2).
O2 Setup.
3. Extended Alarm Response:
O2 .
Latching ( ) On ( .) Off
.).
N2O
N2O
.
N2O ,
N2O.
N2O
.
«
».
N2O C-1, C-2 C-3.
: C-2.
7« »
Vitalogic 4000®. Off ( .), Visual
) On ( ,
). : Off.
®
-48 Mennen Medical
Vitalogic 4000® 5
.
0, 3, 5 10 . :0 .
N2O
N2O, .
16 .
. 5-20: N2O
N2O :
®
Mennen Medical -49
5 Vitalogic 4000®
6. Discard Changes, ,
-
Main Screen, .
,
.
.
«
».
C-1, C-2 C-3.
: C-2.
7« »
Vitalogic 4000®. Off ( .), Visual
) On ( ,
). : Off.
.
0, 3, 5 10 . :0 .
, .
16 .
®
-50 Mennen Medical
Vitalogic 4000® 5
. 5-21:
:
1. System Setup Vital Signs Setup. Vital Signs.
2. Vital Signs Anesthetic Agent Setup ( ).
Anesthetic Agent Setup.
3. Extended Alarm Response:
.
Latching ( ) On ( .) Off
.).
®
Mennen Medical -51
5 Vitalogic 4000®
.
,
.
«
».
C-1, C-2 C-
3. : C-2.
7« »
Vitalogic 4000®. Off ( .), Visual
) On ( ,
). : Off.
.
0, 3, 5 10 . :5 .
, .
16 .
. 5-22:
®
-52 Mennen Medical
Vitalogic 4000® 5
:
1. System Setup Vital Signs Setup. Vital Signs.
2. Vital Signs Ventilator Setup ( ).
Ventilator Setup.
3. Extended Alarm Response:
.
Latching ( ) On ( .) Off
.).
4. Alarm Detection Delay (
) ( ).
5. Ventilator Default Color ( ).
, .
.
6. Discard Changes, ,
-
Main Screen, .
: .
Parameter Hierarchy ( )
« » ,
– .
®
Mennen Medical -53
5 Vitalogic 4000®
. 5-23:
®
-54 Mennen Medical
Vitalogic 4000® 5
Parameter Hierarchy:
1. System Setup Parameter Hierarchy. Parameters list
).
2. Parameters list .
3. , Promote
).
4. , Demote ( ).
5. Main Screen ( ).
.
.
(Monitoring Profiles),
( , , ). Monitoring Profiles
,
Vitalogic 4000® ( , ,
).
Vitalogic 4000® 12 : 11
“Admit as previous” (
), ,
, .
.
,
Monitoring Profiles.
®
Mennen Medical -55
5 Vitalogic 4000®
. 5-24:
Monitor profiles,
Setup. ,
Vitalogic 4000® .
.
1.
».
2. Setup , Monitoring Profiles
Setup. Monitoring Profile.
3. Select.
4. . ,
.
. 5-25:
1.
« ».
®
-56 Mennen Medical
Vitalogic 4000® 5
. .
Monitoring Profile ,
. .
®
Mennen Medical -57
5 Vitalogic 4000®
2. QuicKnob .
, , .
3. Right
– –
Left .
, .
:
,
(Mennen Medical).
.
®
-58 Mennen Medical
Vitalogic 4000® 5
. 5-26:
:
1. .
2. System Setup.
3. System Setup Admit by Default ( ).
Vitalogic 4000® .
10 .
Report Setup ( ).
Reports List ( ).
,
Report List. .
, ,
“Hemodynamics” Edit Report (
) . ,
Charts ( ) Trends ( ).
®
Mennen Medical -59
5 Vitalogic 4000®
. 5-27:
Report 1, Report 2 .
, .
: .
, ,
. Vitalogic 4000®
,
.
®
-60 Mennen Medical
Vitalogic 4000® 5
, ( , Tabular
Charts).
, , .
.
. 5-28:
-
Unselect All Filters ( ) ,
. : Alarm, Manual, Cardiac
Output, PWedge, Apnea Alarm, NIBP, and CVP.
®
Mennen Medical -61
5 Vitalogic 4000®
Main Screen, .
. 5-29:
Trends .
. ,
.
.
8 . Edit Report
.
, .
: , , .
. , ,
,
.
®
-62 Mennen Medical
Vitalogic 4000® 5
. 5-30:
Vital Sign
.
Parameter Color ( ) .
®
Mennen Medical -63
5 Vitalogic 4000®
Scaling ( ) Fixed ( -
) Dynamic ( ).
, QuicKnob
. . , .
Grid ( ),
.
10. Discard Changes, ,
Main Screen, .
Reports List
Reports List:
, .
®
-64 Mennen Medical
Vitalogic 4000® 5
. 5-31:
1. System Setup.
2. System Setup Automatic Reports.
3. .
4. : (End Of
Shift), .
:
.
Network Setup ( )
, .
, ,
.
®
Mennen Medical -65
5 Vitalogic 4000®
ID- IP- ,
. LAN,
.
. 5-32:
Vitalogic 4000® ,
,
. Vitalogic 4000® ,
, . :
®
-66 Mennen Medical
Vitalogic 4000® 5
Manual Recording ( )
.
: 20, 30, 45, 60
Continuous ( ).
Alarm Recording ( )
, ,
, , -
( ).
ECG1 ( 1).
ECG2 ( 2)
, .
Selective Recording ( )
,
. : 20, 30, 45
60 .
. Vitalogic 4000®
,
. ,
, Vitalogic 4000®,
. 5-33:
®
Mennen Medical -67
5 Vitalogic 4000®
,
.
. 5-34:
: .
Fixed ( )
.
Dynamic ( )
,
.
®
-68 Mennen Medical
Vitalogic 4000® 5
: ,
.
12
,
.
. ,
Data Review Charts
Data Review Quicknob
Charts . .
System Configuration.
: .
Quicknob.
. 5-35:
. 5-36:
1. System Setup.
2. System Setup Quick Keys.
®
Mennen Medical -69
5 Vitalogic 4000®
3. Quicknob –
.
4. Quicknob, .
5. , –
Quicknob .
, ,
. Vitalogic 4000®
,
.( 5.8 « »
. 5-49).
Vitalogic 4000® ,
(UDC), .
Tabular Charts ( ).
System Setup.
UDC, UDC, UDC User
Defined Charts List. UDC
.
. 5-37:
®
-70 Mennen Medical
Vitalogic 4000® 5
5.17.1 UDC
, , Tabular Chart 1,
Tabular Chart 2 .
.
5.17.2 UDC
UDC :
, .
,
Vitalogic 4000®.
.
.
– ,
. :
• Manual. .
• Alarm. .
• Cardiac Output. .
• PCWP. .
• NIBP. .
• CVP.
.
• Apnea. .
• Time Interval. .
, :
®
Mennen Medical -71
5 Vitalogic 4000®
. 5-38:
3. ( ) ,
, UDC .
.
4. UDC,
Move left ( ) Move
right ( ) , .
,
Remove Parameter ( ).
5. Insert alarm (
).
6. Accept, Tabular Charts.
: Tabular Charts,
, Back to UDC List ( UDC).
®
-72 Mennen Medical
Vitalogic 4000® 5
. 5-39:
®
Mennen Medical -73
5 Vitalogic 4000®
Software Version
, ,
.
.
. 5-40:
®
-74 Mennen Medical
Vitalogic 4000® 5
. 5-41:
3. ,
.
. , ,
.
4. QuicKnob.
.
5. Yes, .
6. Main Screen, .
®
Mennen Medical -75
5 Vitalogic 4000®
. 5-42:
Enmove™
Vitalogic 4000®
Ensemble EN, (Network Number)
Enmove Vitalogic 4000®. ,
: System Setup >> Enmove Interface Setup,
1 64.
System Setup >> Network Setup :
Vitalogic 4000® to MCS interface.
®
-76 Mennen Medical
Vitalogic 4000® 5
Change Password ( )
System Setup. System Setup
,
.
. 5-43:
2. (3 ) Accept.
®
Mennen Medical -77
5 Vitalogic 4000®
3. .
Accept.
Check Disk ( )
.
! .
Check Disk:
Permission Editor ( ) ,
Vitalogic 4000® , .
, .
. , ,
. Permission Editor
Vitalogic 4000® ,
Vitalogic 4000®.
:
On ( .) – , .
, .
Off ( .) – ,
. .
Dimmed ( ) – ,
. .
®
-78 Mennen Medical
Vitalogic 4000® 5
. 5-44:
,
Vitalogic 4000®.
1. – :
Delete ( )–
Sort the list ( )
Close ( )
®
Mennen Medical -79
5 Vitalogic 4000®
: , ,
.
®
-80 Mennen Medical