Vista 120: Instructions For Use

Instructions for Use
Vista 120
WARNING
To properly use this medical device, read
Patient Monitor
and comply with these Instructions for Software 1.n
Use. Release date April 25 2011
Screen images
Schematic renderings of screen images are used, which may differ in appearance or in
configuration from the actual screen images.
Definition of Safety Information

This guide is designed to give key concepts on safety precautions.
WARNING
A WARNING statement provides important information about a potentially
hazardous situation which, if not avoided, could result in death or serious injury.
CAUTION
A CAUTION statement provides important information about a potentially hazardous
situation which, if not avoided, may result in minor or moderate injury to the user or
patient or in damage to the medical device or other property.
NOTE:
A NOTE provides additional information intended to avoid inconvenience during
operation.
Abbreviations and Symbols

For explanations refer to sections “Abbreviations” and “Symbols” in chapter
“Overview”.
Table of Contents
For Your Safety and that of Your Patients....................................................................... 1
General safety information.......................................................................................................1
Strictly follow these Instructions for Use ........................................................................1
Maintenance.......................................................................................................................1
Accessories ........................................................................................................................1
Connected devices............................................................................................................2
Not for use in areas of explosion hazard .......................................................................2
Safe connection with other electrical equipment..........................................................2
Patient safety .....................................................................................................................2
Information on Electromagnetic Compatibility ..............................................................3
Sterile accessories ............................................................................................................3
Installing accessories........................................................................................................3
Product-specific safety information.........................................................................................3
Application......................................................................................................................... 6
Intended use...............................................................................................................................6
Restrictions for use ...................................................................................................................6
Overview ............................................................................................................................ 7
Front view ...................................................................................................................................8
Side view...................................................................................................................................10
Back view.................................................................................................................................. 11
Abbreviations ...........................................................................................................................12
Symbols ....................................................................................................................................14
Vista 120 configuration ...........................................................................................................15
Getting started................................................................................................................. 16
Initial inspection .......................................................................................................................16
Installing the monitor...............................................................................................................16
Installing the monitor on a flat surface .........................................................................16
Installing the monitor on a wall ......................................................................................16
Installing the monitor on a roll stand/trolley .................................................................16
Connecting the power cord ....................................................................................................16
Checking the monitor ..............................................................................................................16
Checking the strip recorder....................................................................................................17
Setting the date and time .......................................................................................................17
System Configuration..................................................................................................... 18
Opening User Maintain Menu................................................................................................18
Entering Demo Mode ..............................................................................................................18
Selecting Lead Placement .....................................................................................................18
I
Operation ......................................................................................................................... 19
Using keys ................................................................................................................................20
Changing monitor settings .....................................................................................................21
Adjusting screen brightness...........................................................................................21
Changing date and time .................................................................................................22
Adjusting volume .....................................................................................................................22
Adjusting key volume ......................................................................................................22
Adjusting alarm volume ..................................................................................................22
Adjusting beat volume ....................................................................................................22
Checking the monitor version ................................................................................................22
Setting languages....................................................................................................................22
Understanding screens...........................................................................................................23
Calibrating screens .................................................................................................................23
Alarms.............................................................................................................................. 24
Alarm category.........................................................................................................................24
Physiological alarms .......................................................................................................24
Technical alarms ..............................................................................................................24
Prompts.............................................................................................................................24
Alarm levels ..............................................................................................................................24
Controlling alarm .....................................................................................................................25
Switching the individual alarm off..................................................................................25
Temporary alarm mute....................................................................................................25
Alarm mute .......................................................................................................................25
Setting alarm limits ..........................................................................................................25
Latching alarms........................................................................................................................26
Testing alarms ..........................................................................................................................26
Alarm information ........................................................................................................... 27

Physiological alarm information ............................................................................................27
Technical alarm information ...................................................................................................30
Prompts.....................................................................................................................................35
Adjustable range of alarm limits ............................................................................................37
Managing patients........................................................................................................... 39
Admitting a patient...................................................................................................................39
Patient category and paced status ...............................................................................39
Quick admit...............................................................................................................................40
Editing patient information......................................................................................................40
Update a patient ......................................................................................................................40
User interface .................................................................................................................. 41

Setting interface style .............................................................................................................41
Selecting display parameters ................................................................................................41
Changing waveform position .................................................................................................41
Changing interface layout ......................................................................................................41
Viewing short trend screen ....................................................................................................41
Viewing OxyCRG screen........................................................................................................41
Viewing large font screen.......................................................................................................42
II
Monitoring ECG............................................................................................................... 43
Overview ...................................................................................................................................43
ECG safety information ..........................................................................................................43
ECG display..............................................................................................................................44
Changing the size of the ECG waveform ....................................................................44
Changing the ECG filter settings...................................................................................45
Using ECG alarms...................................................................................................................45
Selecting calculation lead.......................................................................................................45
Monitoring procedure ..............................................................................................................46
Preparation .......................................................................................................................46
Connecting ECG cables .................................................................................................46
Selecting lead type ..................................................................................................................46
Installing electrodes ................................................................................................................46
Electrode placement for 3-lead .....................................................................................47
Electrode placement for 5-lead .....................................................................................47
Recommended ECG lead placement for surgical patients .......................................49
ECG menu setup .....................................................................................................................50
Setting alarm source .......................................................................................................50
Smart lead off...................................................................................................................50
Setting beat volume ........................................................................................................50
ECG display......................................................................................................................50
Setting pace status..........................................................................................................51
ECG calibration................................................................................................................51
ECG waveform settings..................................................................................................51
ST segment monitoring ..........................................................................................................51
Setting ST analysis..........................................................................................................52
ST display .........................................................................................................................52
ST analysis alarm setting ...............................................................................................52
About ST measurement points......................................................................................52
Adjusting ST and ISO measurement points ................................................................53
Arrhythmia monitoring.............................................................................................................53
Arrhythmia analysis.........................................................................................................53
ARR ANALYSIS menu ....................................................................................................55
Monitoring RESP............................................................................................................. 56
Overview ...................................................................................................................................56
RESP safety information ........................................................................................................56
Resp display.............................................................................................................................56
Electrode placement for monitoring resp.............................................................................56
Cardiac overlay ........................................................................................................................57
Chest expansion ......................................................................................................................57
Abdominal breathing ...............................................................................................................57
Selecting resp lead..................................................................................................................57
Changing hold type .................................................................................................................58
Changing the size of the respiration waveform ..................................................................58
Using Resp alarms ..................................................................................................................58
Changing the apnea time .......................................................................................................58
III
Monitoring SpO2 .............................................................................................................. 59
Overview ...................................................................................................................................59
SpO2 safety information..........................................................................................................59
Measuring SpO2 .......................................................................................................................60
Measurement procedure ........................................................................................................60
Understanding SpO2 alarms ..................................................................................................61
Adjusting alarm limits ..............................................................................................................61
Setting SpO2 as pulse source................................................................................................61
Setting pitch tone.....................................................................................................................61
Setting sensitivity.....................................................................................................................61
Monitoring PR.................................................................................................................. 62
Overview ...................................................................................................................................62
Setting PR volume...................................................................................................................62
Using pulse alarms..................................................................................................................62
Selecting the active alarm source.........................................................................................62
Monitoring NIBP .............................................................................................................. 63

Overview ...................................................................................................................................63
NIBP safety information..........................................................................................................63
Measurement limitations ........................................................................................................64
Measurement methods...........................................................................................................64
Measurement procedures ......................................................................................................65
Operation prompts...................................................................................................................66
Correcting the measurement if limb is not at heart Level .................................................66
NIBP alarm ...............................................................................................................................66
Resetting NIBP ........................................................................................................................66
Calibrating NIBP ......................................................................................................................67
Leak test ...................................................................................................................................67
Procedure for leak testing ..............................................................................................67
Monitoring TEMP............................................................................................................. 68
Overview ...................................................................................................................................68
TEMP safety information ........................................................................................................68
TEMP monitoring setup ..........................................................................................................68
Calculating temp difference ...................................................................................................68
Monitoring IBP (optional)................................................................................................ 69

Overview ...................................................................................................................................69
IBP safety information.............................................................................................................69
Monitoring procedures ............................................................................................................69
Selecting a pressure for monitoring......................................................................................70
Zeroing the pressure transducer...........................................................................................70
Troubleshooting the pressure zeroing (taking art for example) .......................................71
IBP pressure calibration .........................................................................................................71
Troubleshooting the pressure calibration.............................................................................72
IBP alarm ..................................................................................................................................73
IV
Monitoring CO2 (optional) ............................................................................................... 74
Overview ...................................................................................................................................74
CO2 safety information............................................................................................................74
Monitoring procedures ............................................................................................................75
Zeroing the sensor ..........................................................................................................75
C5 CO2 module................................................................................................................75
Setting CO2 waveform setup .................................................................................................77
Setting CO2 corrections ..........................................................................................................77
Changing CO2 alarms.............................................................................................................77
Changing apnea alarm ...........................................................................................................78
Freeze............................................................................................................................... 79
Overview ...................................................................................................................................79
Entering/exiting freeze status ................................................................................................79
Entering freeze status.....................................................................................................79
Exiting freeze status........................................................................................................79
Reviewing frozen waveform...................................................................................................80
Review.............................................................................................................................. 81
Trend graph review .................................................................................................................81
Selecting trend graph of specific parameter................................................................81
Setting resolution.............................................................................................................81
Scrolling the screen.........................................................................................................81
Switching to the trend table............................................................................................82
Record...............................................................................................................................82
Trend table review ...................................................................................................................82
Setting resolution.............................................................................................................82
Switching to trend graph.................................................................................................82
Recording .........................................................................................................................83
NIBP review..............................................................................................................................83
Recording .........................................................................................................................83
Alarm review.............................................................................................................................83
Selecting alarm event of specific parameter ...............................................................83
Setting time index ............................................................................................................83
Recording .........................................................................................................................84
Arr review..................................................................................................................................84
Selecting specific arrhythmia event ..............................................................................84
Deleting arrhythmia events ............................................................................................84
Recording .........................................................................................................................84
Calculation and titration table........................................................................................ 85

Drug calculation .......................................................................................................................85
Calculation procedures...................................................................................................85
Calculation unit ................................................................................................................86
Titration table............................................................................................................................86
V
Strip recording ................................................................................................................ 87
General information.................................................................................................................87
Performance of the recorder..................................................................................................87
Recording type.........................................................................................................................87
Starting and stopping strip recording....................................................................................88
Recorder operations and status messages.........................................................................89
Record paper requirement .............................................................................................89
Proper operation ..............................................................................................................89
Paper out ..........................................................................................................................89
Installling paper................................................................................................................89
Removing paper jam.......................................................................................................91
Other Functions .............................................................................................................. 92

Nurse call ..................................................................................................................................92
Using battery ................................................................................................................... 93

Battery power indicator...........................................................................................................93
Battery status on the main screen ........................................................................................93
Checking battery performance ..............................................................................................93
Replacing the battery ..............................................................................................................94
Recycling the battery ..............................................................................................................95
Care and cleaning ........................................................................................................... 96

General points..........................................................................................................................96
Cleaning ....................................................................................................................................96
Cleaning the monitor.......................................................................................................96
Cleaning the accessories ...............................................................................................97
Sterilization ...............................................................................................................................98
Disinfection ...............................................................................................................................98
Maintenance .................................................................................................................... 99
Inspecting .................................................................................................................................99
Maintenance task and test schedule ....................................................................................99
Replacing fuse .......................................................................................................................100
Disposal ......................................................................................................................... 101
Service policy ................................................................................................................ 102
Accessories ................................................................................................................... 103

ECG accessories...........................................................................................................103
SpO2 accessories ..........................................................................................................104
NIBP accessories ..........................................................................................................104
Temp accessories..........................................................................................................105
IBP accessories .............................................................................................................105
CO2 accessories ............................................................................................................105
Device accessories .......................................................................................................105
Spare parts .....................................................................................................................105
VI
Technical Data ............................................................................................................... 106
Classification ..........................................................................................................................106
Device specifications ............................................................................................................106
Ambient conditions ................................................................................................................106
Leakage current.....................................................................................................................106
Power supply..........................................................................................................................107
Display.....................................................................................................................................107
Recorder .................................................................................................................................107
Review.....................................................................................................................................108
ECG .........................................................................................................................................108
3-, 5-lead monitoring .....................................................................................................108
RESP....................................................................................................................................... 111
NIBP ........................................................................................................................................ 112
SpO2 ........................................................................................................................................ 113
TEMP....................................................................................................................................... 114
IBP ........................................................................................................................................... 114
CO2 .......................................................................................................................................... 114
EMC Declaration.............................................................................................................116
General information............................................................................................................... 116
Electromagnetic emissions .................................................................................................. 116
Electromagnetic environment .............................................................................................. 116
Electromagnetic immunity .................................................................................................... 117
Recommended separation distances to portable and mobile RF telecommunication
devices ....................................................................................................................................120
Default settings ............................................................................................................. 121

Patient information default settings ....................................................................................121
Alarm default settings ...........................................................................................................121
ECG default settings .............................................................................................................121
RESP.......................................................................................................................................123
SpO2........................................................................................................................................123
PR ............................................................................................................................................123
NIBP ........................................................................................................................................124
TEMP.......................................................................................................................................124
IBP ...........................................................................................................................................125
CO2 ..........................................................................................................................................125
Passwords ..................................................................................................................... 128
VII
Instructions for Use Vista 120 Patient Monitor
For Your Safety and that of Your Patients

General safety information
The following WARNING and CAUTION statements apply to general operation of the
medical device.
WARNING and CAUTION statements specific to subsystems or particular features of the
medical device appear in the respective sections of these Instructions for Use or in the
Instructions for Use of another product being used with this device.
Strictly follow these Instructions for Use

WARNING
Any use of the medical device requires full understanding and strict observation of
all sections of these Instructions for Use. The medical device must only be used
for the purpose specified under "Intended Use". Strictly observe all WARNING and
CAUTION statements throughout these Instructions for Use and all statements on
medical device labels. Failure to observe these safety information statements
constitutes a use of the medical device that is inconsistent with its intended use.
Maintenance
WARNING
The medical device must be inspected and serviced regularly by professionals
who possess the required qualifications due to their training and their experience.
Repair of the medical device must also be performed by trained personnel with
additional product-specific DrägerService training.
Dräger recommends that a service contract is obtained with DrägerService and
that all repairs are performed by DrägerService. Dräger further recommends that
only authentic Dräger repair parts are used for maintenance.
If the above are not complied with, the correct functioning of the medical device
may be compromised.
See chapter "Maintenance".
Accessories
WARNING
Only the accessories indicated on the chapter “Accessories” have been tested and
approved for use with the medical device.
Therefore, it is strongly recommended that only these accessories are used in
conjunction with the medical device. Otherwise, the correct functioning of the
medical device may be compromised.
-1-
Connected devices
WARNING
Risk of electric shock and of device malfunction.
Any connected devices or device combinations not complying with the
requirements mentioned in these Instructions for Use may compromise the correct
functioning of the medical device. Before operating any combination of devices,
refer to and strictly comply with the Instructions for Use for all connected devices
and device combinations.
Not for use in areas of explosion hazard

WARNING
Not for use in areas of explosion hazard
This medical device is neither approved nor certified for use in areas where
combustible or explosive gas mixtures are likely to occur.
Safe connection with other electrical equipment

CAUTION
Risk of patient injury
Electrical connections to equipment not listed in these Instructions for Use or these
Assembly Instructions must only be made when approved by each respective
manufacturer.
Patient safety
The design of the medical device, the accompanying documentation, and the labeling on
the medical device are based on the assumption that the purchase and the use of the
medical device are restricted to professionals, and that certain inherent characteristics of
the medical device are known to the user. Instructions and WARNING and CAUTION
statements are therefore largely limited to the specifics of the Dräger medical device.
These Instructions for Use do not contain references to various hazards which are
obvious to professionals who operate this medical device as well as references to the
consequences of medical device misuse, and to potentially adverse effects in patients
with different underlying diseases. Medical device modification or misuse can be
dangerous.
CAUTION
Risk of patient injury
Do not make therapeutic decisions based solely on individual measured values and
monitoring parameters.
-2-
Information on Electromagnetic Compatibility

General information on electromagnetic compatibility (EMC) according to international
EMC standard IEC 60601-1-2:
Medical electrical equipment is subject to special precautionary measures concerning
electromagnetic compatibility (EMC) and must be installed and put into operation in
accordance with the EMC information provided in this Instructions for Use.
Portable and mobile RF communications equipment can affect medical electrical
equipment.
WARNING
Do not connect connectors with an ESD warning symbol and do not touch
the pins of such connectors without implementing ESD protective
measures. Such protective measures may include antistatic clothing and
shoes, touching a ground stud before and during connection of the pins,
or using electrically insulating and antistatic gloves. All relevant personnel
must be instructed in these ESD protective measures.
Sterile accessories
CAUTION
Do not use sterile-packaged accessories if the packaging has been opened, is damaged
or there are other signs of non-sterility. Disposable articles must not be reprocessed and
resterilized. Reuse, reprocessing, or resterilization can lead to a failure of the medical
device and cause injury to the patient.
Installing accessories
CAUTION
Install accessories to the basic device in accordance with the Instructions for Use of the
basic device. Make sure that there is a safe connection to the basic device system.
Strictly observe Assembly Instructions and Instructions for Use.
Product-specific safety information

WARNING
Before using Vista 120, patient cables, electrodes etc. should be checked.
Replacement should be taken if there is any evident defect or signs of aging which
may impair the safety or performance.
WARNING
The power receptacle must be a three-wire grounded outlet. A hospital grade outlet
is required. Never adapt the three-prong plug from the monitor to fit a two-slot
outlet.
-3-
WARNING
Route all cables away from patient’s throat to avoid possible strangulation.
WARNING
Do not rely exclusively on the audible alarm system for patient monitoring.
Adjustment of alarm volume to a low level or off during patient monitoring may
result in a hazard to the patient. Remember that the most reliable method of patient
monitoring combines close personal surveillance with correct operation of
monitoring equipment.
WARNING
When interfacing with other equipment, a test for leakage current must be
performed by qualified hospital technical personnel before using with patients.
WARNING
During monitoring, if the power supply is off and there is no battery for standby,
the monitor will be off. After reconnecting the power supply, the user should turn
on the monitor for monitoring.
WARNING
Keep away from fire immediately when leakage or foul odor is detected.
WARNING
The device and accessories are to be disposed of according to local regulations
after their useful lives. Alternatively, they can be returned to the dealer or the
manufacturer for recycling or proper disposal. Batteries are hazardous waste. Do
NOT dispose them together with house-hold garbage. At the end of their life hand
the batteries over to the applicable collection points for the recycling of waste
batteries. For more detailed information about recycling of this product or battery,
contact your local Dräger sales representative.
WARNING
This equipment is not intended for home usage.
WARNING
Devices connected to the equipment must meet the requirements of the applicable
IEC standards (e.g., IEC 60950 “Safety standards for information technology
equipment” and IEC 60601-1 “Safety standards for medical electrical equipment”)
The system configuration must meet the requirements of the IEC 60601-1-1
“Medical electrical systems” standard. Any personnel who connect devices to the
equipment’s signal input/output port is responsible for providing evidence that the
safety certification of the devices has been performed in accordance to the IEC
60601-1-1.
CAUTION
Do not immerse transducers in liquid. When using solutions, use sterile wipes to avoid
pouring fluids directly on the transducer.
-4-
CAUTION
Do not use autoclave or gas to sterilize the monitor, recorder or any accessories.
CAUTION
Disposable devices are intended for single use only. They should not be reused as
performance could degrade or contamination could occur.
CAUTION
Remove a battery whose life cycle has expired from the monitor immediately.
CAUTION
Avoid liquid splash on the device. The temperature must be kept between 5 and 40 °C
while working. And it should be kept between -20 and +55°C during transportation and
storage.
NOTE
• Position the device in a location where the operator can easily see the screen and
access the operating controls.
• The monitor can only be used on one patient at a time.
• If the monitor gets damp, put it in dry circumstance to dry it until it can work normally.
If liquid pours on the monitor, contact DrägerService.
• Do not use this monitor for diagnostic purposes.
• When the monitor is shut off, only the patient information and alarm settings can be
saved.
• The pictures and dialog boxes in these Instructions for Use are for reference only.
• Regular preventive maintenance should be carried every two years. The user is
responsible for any requirements specific to their country.
-5-
Application
Intended use
The Vista 120 monitors parameters such as ECG (3-lead or 5-lead selectable), respiration (RESP),
functional arterial oxygen saturation (SpO2), invasive or non-invasive blood pressure (dual-IBP,
NIBP), temperature (dual-TEMP), and expired CO2.
Vista 120 is intended to be used only under regular supervision of clinical personnel. It is
applicable to adult, pediatric, and neonatal usage in a hospital environment and during patient
transport inside a healthcare facility.
Restrictions for use

CAUTION
Device for use in health care facilities only and exclusively by persons with specific
training and experience in its use.
-6-
Overview
Vista 120 is optimized for surgical, cardiac, medical and neonatal care environments, and can
store data for both trends and events. The user can also view and record graphical and tabular
trends (vital signs).
Vista 120 has a 15-inch TFT color flat panel display. Up to 11 waveforms can be displayed on
the screen.
-7-
Front view
A
B
C
D
E
F
G
I
A Alarm When an alarm occurs, the alarm indicator will light or flash. The alarm
indicator level is color coded.
B Alarm Mute Press this button to pause the alarm. All audio alarms stop and the
Temporary Alarm Mute **s and the symbol are displayed in the
information area. If the user presses the button again or if the pause time
ends, the system will resume normal monitoring status and the Temporary
Alarm Pause **s and icon will clear.
The symbol is displayed in the information area. Pressing or holding
the button again resumes the alarm.
C NIBP Press to inflate the cuff and perform NIBP measurement. Press again to
measurement stop the measurement and deflate the cuff.
D Trend Press this button to enter trend table review dialog box.
E Freeze In normal mode, press this button to freeze all the waveforms on the screen.
In Freeze mode, press this button to restore the waveform refreshing.
F Recording Press this button to start a real-time recording. Press again to stop
recording.
G Menu Press to return to the main dialog box.
H Rotary Knob The user can turn the rotary knob clockwise or counter-clockwise to
-8-
highlight the desired item. Press the rotary knob to select the item.
I Mains/Battery Refer to chapter “Battery power indicator” for details.
indicator
J On/Off When connected to the AC power supply, press the key to turn the monitor
on. Press the key again to turn the monitor off.
Further Alarm Mute information can be found in the chapter “Audio Off”.
-9-
Side view
A
B
C
D I
E
F
G
H
A NIBP port
B ECG port
C etCO2 port
D SpO2 port
E T1 port
F T2 port
G IBP 1 port
H IBP 2 port
I Recorder
J Battery compartment door
- 10 -
Back view
A
L
K
J B
I
C
H G F E D
A Fan
B Speaker
C Equipotential grounding terminal. If the monitor is used with other devices, connect this
terminal to eliminate potential ground differences between devices.
D Security lock. Used to prevent the power cord from detaching.
E Ventilation grid
F Anti-theft lock
G USB interface. This port is used to connect the USB device.
H RJ45 network interface
I RS232 interface
J VGA output
K Analog output. Vista 120 outputs the waveform through the auxiliary output port.
L Nurse Call port. This port may be connected to an external nurse call system, not provided
by Dräger.
- 11 -
Abbreviations
Abbr. Explanation Abbr. Explanation
AC Alternating current Adu Adult
AHA American Heart Association Art Arterial
aVF Left foot augmented lead aVL Left arm augmented lead
aVR Right arm augmented lead awRR Airway respiration rate
BP Blood pressure BTPS Body temperature and pressure,
saturated
CISPR International Special Committee CO2 Carbon dioxide
on Radio Interference
COHb Carboxyhemoglobin CVP Central venous pressure
DC Direct current Dia Diastolic
ECG Electrocardiogram EEC European Economic Community
EMC Electromagnetic compatibility EMI Electromagnetic interference
ESU Electrosurgical unit et End-tidal
etCO2 End-tidal carbon dioxide FCC Federal Communication
Commission
FiCO2 Fraction of inspired carbon dioxide Hb Hemoglobin
Hb-CO Carboxyhemoglobin HR Heart rate
IBP Invasive blood pressure ICP Intracranial pressure
ICU Intensive care unit ID Identification
IEC International Electrotechnical IEEE Institute of Electrical and
Commission Electronic Engineers
LA Left arm LAP Left arterial pressure
LCD Liquid crystal display LED Light emitting diode
LL Left leg MAP Mean arterial pressure
MDD Medical Device Directive MetHb Methemoglobin
N/A Not applicable Neo Neonate
NIBP Non-invasive blood pressure O2 Oxygen
oxyCRG Oxygen cardio-respirogram PA Pulmonary artery
PAWP Pulmonary artery wedge pressure Ped Pediatric
Pleth Plethysmogram PR Pulse rate
PVC Premature ventricular complex R Right
- 12 -
Abbr. Explanation Abbr. Explanation

RA Right arm RAP Right arterial pressure
Resp Respiration RHb Reduced hemoglobin
RL Right leg RR Respiration Rate
SYS Systolic pressure TD Temperature difference
USB Universal serial bus TEMP Temperature
- 13 -
Symbols
Alarm Pause USB port
NIBP measurement RS232 port
Trend graph VGA output, External Monitor
Freeze Signal output port
Recording Signal output port
Menu Nurse call port
Protection class type CF

Locked position
(defibrillation-protected)
Defibrillation-proof type BF
Battery indicator
applied part
Alternating current
Mains indicator
Serial number
Power supply switch
Equipotential bonding Disposal instructions
Caution Recycle
Network port Part number
Conformitè Europèenne Directive

Manufacturer 93/42/EEC concerning medical
products
China RoHS (Restriction of
Date of manufacture
Hazardous Substances) label
GOST label Consult Instructions for Use
- 14 -
Vista 120 configuration
Size (L×W×H) Shape Function Configuration
ECG, RESP, SpO2, NIBP, TEMP, IBP,

408 mm × 157 mm × 316 mm Square
CO2
- 15 -
Getting started
Initial inspection
Before unpacking, check the packaging and check that there are no signs of mishandling or
damage. If the shipping cartons are damaged, contact your local supplier for assistance.
Open the package carefully and remove the monitor and accessories. Check that all correct
options and accessories are included.
If you have any question, contact your local supplier.
Installing the monitor

Installing the monitor on a flat surface
Place the monitor on a flat surface. Make sure the surface does not vibrate and is free of corrosive
medicine and dust.
Installing the monitor on a wall

Refer to Wall-Mounting Bracket Assembly Instruction.
Installing the monitor on a roll stand/trolley

An Assembling Instruction will be delivered with the roll stand/trolley. Refer to that Assembly
Instruction for details of installing the monitor on a roll stand/trolley.
Connecting the power cord

1. Make sure the AC power supply complies with the following specifications: 100 V to 240 V~,
50 Hz/60 Hz.
2. Connect the power cord provided with the monitor to the power input of the monitor. Connect
the other end of the power cord to a grounded 3-phase power output.
Checking the monitor

Make sure there is no damage to the measurement accessories and cables. Turn on the monitor
and verify that the monitor starts normally. Make sure all alarm lamps light up and the alarm
sound is heard when turning on the monitor.
WARNING
Do not use the device if you detect any damage or if the monitor displays error
messages. Contact your hospital technical personnel or Customer Service Center
immediately.
- 16 -
NOTE
• Check that all monitor functions are operating correctly.
• If rechargeable batteries were provided, charge them each time before using the
device to ensure adequate power.
• If you power the monitor off, wait at least 60 seconds before powering it on again.
Checking the strip recorder

If your monitor is equipped with a strip recorder, verify that paper is properly installed in the strip
recorder by opening the strip recorder’s door. Refer to the chapter “Recording” for details
regarding installing paper.
Setting the date and time

To set the date and time:
1. Select Menu > System Setup > Date Time Setup.
2. Adjust the date display format as desired.
3. Set the correct time of Year, Month, Day, Hour, Min and Sec from the pop-up menu and
press Exit.
- 17 -
System Configuration
The user can not change the system configuration of the monitor. After the monitor is installed
and checked properly, a service engineer needs to change the system configuration.
Opening User Maintain Menu

1. Select the Menu item on the main interface.
2. Select Maintenance > User Maintain
3. Type the password into the displayed dialog box and press OK to enter the User Maintain
menu.
Entering Demo Mode

WARNING
The Demo Mode is for demonstration purposes only. You must not change to
Demo Mode during patient monitoring. In Demo Mode, all stored trend information
is deleted from the monitor’s memory.
To change from operating mode to demo mode:
1. Select Menu > Common Function > Demo Mode from the pop-up dialog box.
2. Type the password into the displayed dialog box.
After entering the Demo Mode, the monitor will perform the following:
• Stops detecting alarms and generating alarm signals.
• Stops storing data and clears previously stored data from memory.
• All real-time data and historical data are simulated rather than actual patient data.
To exit the Demo Mode, select Menu > Common Function > Demo Mode
Selecting Lead Placement

ECG lead names have two styles: American standard (AHA) and European standard (EURO).
To set the correct style:
1. Select User Maintain > Lead Placement
2. Select AHA or EURO from the list and press the knob to confirm the selection.
- 18 -
Operation
Everything the user needs to operate the monitor is displayed on its screen. Nearly every element
on the screen is interactive. Screen elements include measurement numerics, waveforms, screen
keys, information fields, alarms fields and menus. The monitor can be configured in a number of
different ways. For example, the user can access an item through the on-screen setup menu, via a
hard key, or via a shortcut key. This Instructions for Use describes how to access items via an
on-screen menu.
1 2 3 4 5
16
15 14 13 12 11 10 9 8
1 Department 10 Date and time
2 Bed number 11 Battery status symbol
3 Patient name 12 AC power supply symbol
4 Patient type 13 Shortcut key area
5 Alarm status area 14 Scroll left to display more shortcut keys
6 Alarm off 15 Mute key
7 Measurement value 16 Parameter waveform
8 Menu
9 Scroll right to display more shortcut keys
- 19 -
Using keys
The monitor has four different types of keys:
Permanent keys
A permanent key is a graphical key that is permanently located at the bottom of the main screen
allowing fast, direct access to functions.
Menu Display the main setup menu
Mute Permanently silences auditory alarm signals
Shortcut keys
A shortcut key is a configurable graphical key located at the bottom of the main screen. It gives
the user direct access to functions. The selection of shortcut keys available on the monitor
depends on the monitor configuration and options purchased. The following functions are
available:
Admission Admit a patient
Trend Graph Access the trend graph review dialog box
Trend Table Access the trend table review dialog box
AlarmReview Access the alarm event review dialog box
NIBP Review Access the NIBP review dialog box
ARR Review Access the ARR review dialog box
Standard Access the standard dialog box
TrendScreen Access the Trend Screen dialog box
OxyCRG Access the OxyCRG dialog box
Large Font Access the Large Font dialog box
ModulSwitch Access the module switch dialog box
Key Volume Change the key volume
- 20 -
Brightness Adjust the screen brightness
Touch Calib Calibrate the touch screen
IBP Zero Zero the IBP sensor
Alarm Setup Access the alarm setup dialog box
Beat Volume Change the beat volume
Menu Enter the menu
Mute Mute the alarm
Standby Standby mode
Hardkeys
Hardkeys are the physical keys on the front panel of the monitor. The Vista 120 has the following
hardkeys: Mute, NIBP, Trend, Freeze, Recording, and Menu. Refer also to the chapter “Front
view”.
Pop-up keys
Pop-up keys are task-related graphical keys that appear automatically on the screen when
required. For example, the confirmation pop-up key appears only when the user need to confirm a
change.
Changing monitor settings

Adjusting screen brightness
To change the screen brightness:
1. Press the Brightness key on the screen directly or.
2. Select Menu > Common Function > Brightness, and select the appropriate setting for the
screen brightness. 10 is the brightest, 1 is the least bright.
The monitor can be configured with lower brightness in standby mode and also for transport to
conserve battery power.
- 21 -
Changing date and time

To change the date and time, refer to chapter “Setting the date and time”.
WARNING
Changing date and time will affect the storage of trend data.
Adjusting volume
Adjusting key volume
The key volume is audible when the user selects any field on the monitor screen or when the user
turns the knob. To adjust the key volume:
1. Select the Key Volume key on the screen directly or
2. Select Menu > System Setup > Key Volume, then select the appropriate setting: Five is the
loudest and Zero is the quietest.
Adjusting alarm volume

The monitor provides five levels of alarm volume: 1, 2, 3, 4 and 5.
To change the alarm volume:
1. Select Menu > Alarm Setup > Alarm Volume, and select the desired setting from the
pop-up dialog box.
Adjusting beat volume

To change the beat volume, press the Beat Volume key on the screen directly or refer to chapter
“Adjusting beat volume”.
Checking the monitor version

To check the monitor version, select Menu > Common Function > About to check the monitor
revision menu.
Setting languages
To change the language:
1. Select Menu > Maintenance > User Maintain, then type the maintenance password into the
displayed dialog box.
2. Select the Language option on the pop-up dialog box to display the language list.
3. Select the desired language from the list. To make the change permanent, restart the monitor.
- 22 -
Understanding screens
The monitor has a set of preconfigured screens, which are optimized for common monitoring
scenarios such as OR adult or ICU neonatal. A screen defines the overall selection, size and
position of waveforms, numerics and shortcut keys displayed when the user starts the monitor.
The user can switch between different screens during monitoring. Screens do not affect alarm
settings, patient category etc. If the user changes from a complex to a less complex screen layout,
some measurements may not be visible but are still monitored in the background. For detailed
information, refer to chapter “User Interface”.
Calibrating screens
To calibrate the screen:
1. Select the Touch Calib shortcut key on the screen directly or select Menu > Maintenance >
User Maintain, then type the maintenance password into the displayed dialog box, then
select TouchScr Calibration from the pop-up dialog box.
2. The symbol appears on the screen.
3. Click the center of the symbol .

4. After calibration, the message Screen Calibration completed appears on the screen. Select
Exit to finish the calibration.
- 23 -
Alarms
The following alarm information is applicable for all measurements. Refer to chapters on specific
alarms for more information.
WARNING
A potential hazard can exist if different alarm presets are used for the same or
similar equipment in different areas, e.g., an intensive care unit or an cardiac
operating room.
Alarm category
The monitor has physiological, technical, and prompt alarms.
Physiological alarms
If one or more physiological parameters monitoring the patient exceed the predefined alarm limit
(for example: APNEA and SpO2 value exceed the alarm limit), the monitor alarms. For more
information, refer to chapter “Physiological alarm information”.
Technical alarms
If, for example, the device has a low battery or defective lead the monitor will initiate a technical
alarm. Technical alarms cannot be disabled. For more information, refer to chapter “Technical
Alarm Information”.
Prompts
The device monitors processes and other functions, such as: ARR Relearning. For more
information, refer to chapter “Prompts”.
Alarm levels
There are three alarm levels consisting of high, medium, and low.
1. High level alarms
A life threatening situation exists and emergency treatment is required.
2. Medium level alarms
The patient’s vital signs or system status is abnormal. Response is required.
3. Low level alarms
The patient’s vital signs or system status is abnormal. Attention is required.
- 24 -
Alarm sound
The high/medium/low-level alarms have the following audible characteristics:
Alarm level Prompt
Mode is “DO-DO-DO------DO-DO, DO-DO-DO------DO-DO”, which
High is triggered once every 5 seconds. The alarm indicator flashes in red,
with a frequency of 1.4Hz～2.8Hz.
Mode is “DO-DO-DO”, which is triggered once every 25 seconds. The
Medium
alarm indicator flashes in yellow, with a frequency of 0.4Hz～0.8Hz.
Low Mode is “DO-”, which is triggered once every 30 seconds.
The sound pressure range for audible alarm signals is from 45 dB to 85 dB.
Controlling alarm
Switching the individual alarm off
To switch the alarm off, select XX Setup > Alarm Setup (XX stands for parameter name) and
set the alarm from the pop-up list.
Temporary alarm mute

If the monitor is in temporary alarm mute status, the monitor will:
• Not generate an auditory alarm signal.
• Visually display alarm information.
The temporary alarm mute symbol is displayed and the remaining pause time is displayed on
a red colored background.
The user can set the audio pause to 60 s, 120 s, or 180 s.
Alarm mute
To mute the alarm, select Menu > Maintenance > User Maintain > Alarm Setup, and set Mute
to On.
Press the key on the front panel for more than three seconds or the shortcut key Mute on the
screen to mute the alarm.
Setting alarm limits
WARNING
Prior to monitoring, make sure that the alarm limit settings are appropriate for your
patient.
- 25 -
WARNING
Setting alarm limits to extreme values may cause the alarm system to become
ineffective.
To change individual measurement alarm limits:

1. Select the HR Parameter area.
2. Select HR Setup > Alarm Setup. Then set the alarm limit to the desired value from the
pop-up dialog box. See the following figure:
High
Alarm Limit
Upper arrow or
lower arrow to
increase or decrease
the alarm limit
Setting value of
high alarm limit
Setting value of Low Alarm

low alarm limit Limit
Latching alarms
To set the alarm latch function, select Menu > Maintenance > User Maintain > Alarm Setup
and set Alarm Latch from the pull-down list. If set to On, when an alarm occurs, the monitor
will display the alarm message of the parameter in the alarm status area. If several parameters
latch alarms, each message is displayed in two second intervals.
To deselect the alarm latch, set Alarm Latch to Off. When Alarm Latch is set to Off, the latch
function is invalid.
Testing alarms
When the user switches the monitor on, a self test is started. Verify that the alarm indicator lights
and emits a single tone. The self test verifies that the visible and audible alarm indicators are
functioning correctly. For further testing of individual measurement alarms, perform the
measurement on a subject or use a simulator. If necessary, adjust the alarm limits and check that
the system is operating correctly.
- 26 -
Alarm information
Physiological alarm information
Message Cause Alarm level
ECG Too Weak Cannot detect the signal in designated time period. High
ST-X high ST value is above the upper alarm limit. User-selectable
(X stands for I, II, III, aVR, aVL, aVF, V)
ST-X low ST value is below the lower alarm limit. User-selectable
(X stands for I, II, III, aVR, aVL, aVF, V)
ASYSTOLE No QRS is detected for 4 consecutive seconds User-selectable
VFIB/VTAC Ventricular tachycardia: The fibrillation waveform lasts User-selectable
for 4 consecutive seconds; or the number of continuous
Vent beats is larger than the upper limit of cluster Vent
beats (>5). The RR interval is less than 600 ms.
VT>2 3< the number of cluster PVCs < 5 User-selectable
COUPLET 2 consecutive PVCs User-selectable
BIGEMINY Vent bigeminy User-selectable
TRIGEMINY Vent trigeminy User-selectable
R ON T A type of single PVC under the condition that HR<100， User-selectable
R-R interval is less than 1/3 the average interval, followed
by a compensating pause of 1.25X the average R-R
interval (the next R wave advances onto the previous T
wave).
PVC Single PVCs not belonging to the type of above User-selectable
mentioned PVCs.
TACHY 5 consecutive QRS complex, User-selectable
RR interval is less than 0.5 s.
BRADY 5 consecutive QRS complex, User-selectable
RR interval is longer than 1.5 s.
MISSED When HR is less than 100 beats/min., no heart beat is User-selectable
BEATS detected during the period 1.75 times of the average RR
interval; or
When HR is higher than 100beat/min, no beat is detected
within 1 second.
IRR IRREGULAR RHYTHM: The patient has irregular heart User-selectable
rate, check patient’s condition, electrodes, cables and
leads.
- 27 -

PNC PACE NOT CAPTURE: After the pacemaker is paced, User-selectable
QRS complex can not be detected during 300 ms.
PNP PACER NOT PACED: After the QRS complex, no pace User-selectable
is detected during 1.75 times of RR interval.
VBRADY VENTRICULAR BRADYCARDIA: The patient has User-selectable
irregular HR, and his average HR is less than 60 bpm.
Check his condition, electrodes, cables and leads.
VENT VENTRICULAR RHYTHM: The patient has irregular User-selectable
heart rate, check patient’s condition, electrodes, cables
and leads.
RESP APNEA RESP cannot be measured within specific time interval. High
RR High RESP value is above upper alarm limit. User-selectable
RR Low RESP value is below lower alarm limit. User-selectable
HR High HR value is above the upper alarm limit. User-selectable
HR Low HR value is below the lower alarm limit. User-selectable
SpO2 High SpO2 value is above upper alarm limit. User-selectable
SpO2 Low SpO2 value is below lower alarm limit. User-selectable
SpO2 No Pulse The signal of the measurement site is too weak, so the High
monitor can not detect the pulse signal.
PR High PR value is above upper alarm limit. User-selectable
PR Low PR value is below lower alarm limit. User-selectable
T1 High Value of T1 channel is above upper alarm limit. User-selectable
T1 low Value of T1 channel is below lower alarm limit. User-selectable
T2 High Value of T2 channel is above upper alarm limit. User-selectable
T2 Low Value of T2 channel is below lower alarm limit. User-selectable
TD High Value of TD channel is above upper alarm limit. User-selectable
TEMP High Value of TEMP is above upper alarm limit. User-selectable
TEMP Low Value of TEMP is below lower alarm limit. User-selectable
SYS High SYS value is above upper alarm limit. User-selectable
SYS Low SYS value is below lower alarm limit. User-selectable
DIA High DIA value is above upper alarm limit. User-selectable
DIA Low DIA value is below lower alarm limit. User-selectable
MAP High MAP value is above upper alarm limit. User-selectable
- 28 -

MAP Low MAP value is below lower alarm limit. User-selectable
Art SYS High Art SYS value is above upper alarm limit. User-selectable
Art SYS Low Art SYS value is below lower alarm limit. User-selectable
Art DIA High Art DIA value is above upper alarm limit. User-selectable
Art DIA Low Art DIA value is below lower alarm limit. User-selectable
Art MAP High Art MAP value is above upper alarm limit. User-selectable
Art MAP Low Art MAP value is below lower alarm limit. User-selectable
PA SYS High PA SYS value is above upper alarm limit. User-selectable
PA SYS Low PA SYS value is below lower alarm limit. User-selectable
PA DIA High PA DIA value is above upper alarm limit. User-selectable
PA DIA Low PA DIA value is below lower alarm limit. User-selectable
PA MAP High PA MAP value is above upper alarm limit. User-selectable
PA MAP Low PA MAP value is below lower alarm limit. User-selectable
CVP MAP High CVP MAP value is above upper alarm limit. User-selectable
CVP MAP Low CVP MAP value is below lower alarm limit. User-selectable
ICP MAP High ICP MAP value is above upper alarm limit. User-selectable
ICP MAP Low ICP MAP value is below lower alarm limit. User-selectable
LAP MAP High LAP MAP value is above upper alarm limit. User-selectable
LAP MAP Low LAP MAP value is below lower alarm limit. User-selectable
RAP MAP High RAP MAP value is above upper alarm limit. User-selectable
RAP MAP Low RAP MAP value is below lower alarm limit. User-selectable
P1 SYS High P1 SYS value is above upper alarm limit. User-selectable
P1 SYS Low P1 SYS value is below lower alarm limit. User-selectable
P1 DIA High P1 DIA value is above upper alarm limit. User-selectable
P1 DIA Low P1 DIA value is below lower alarm limit. User-selectable
P1 MAP High P1 MAP value is above upper alarm limit. User-selectable
P1 MAP Low P1 MAP value is below lower alarm limit. User-selectable
P2 SYS High P2 SYS value is above upper alarm limit. User-selectable
P2 SYS Low P2 SYS value is below lower alarm limit. User-selectable
P2 DIA High P2 DIA value is above upper alarm limit. User-selectable
P2 DIA Low P2 DIA value is below lower alarm limit. User-selectable
- 29 -

P2 MAP High P2 MAP value is above upper alarm limit. User-selectable
P2 MAP Low P2 MAP value is below lower alarm limit. User-selectable
EtCO2 High EtCO2 value is above upper alarm limit. User-selectable
EtCO2 Low EtCO2 value is below lower alarm limit. User-selectable
FiCO2 High FiCO2 value is above alarm limits. User-selectable
AWRR High AwRR value is above upper alarm limit. User-selectable
AWRR Low AwRR value is below lower alarm limit. User-selectable
CO2 APNEA In a specific time interval, no RESP were detected by the High
CO2 module.
Technical alarm information

NOTE
The lead names in the table below use the AHA (American Heart Association)
denomination. For the corresponding IEC lead names, refer to chapter “Installing
Electrodes”.
Message Cause Alarm Level Action Taken

ECG Lead Off More than one ECG Low Make sure that all
electrode is off the skin or electrodes, lead wires
ECG cable is disconnected and patient cables are
from the monitor. properly connected.
ECG V Lead Off ECG electrode V is off the Low
skin or that lead wire is
disconnected.
ECG LL Lead Off ECG electrode LL is off the Low
disconnected.
ECG LA Lead Off ECG electrode LA is off the Low
disconnected.
ECG RL Lead Off ECG electrode RL is off the Low
disconnected.
ECG RA Lead Off ECG electrode RA is off the Low
disconnected.
- 30 -

ECG Signal Exceed ECG value is beyond High Check lead connection
measuring range. and patient condition
ECG Comm Fail ECG module failure or High Stop monitoring ECG
communication failure and notify hospital
technical personnel or
customer support.
ECG Noise ECG signal is too noisy. Low Check lead connection
and patient condition
ECG Signal The amplitude of ECG is too Low Modify the ECG gain.
Overflow tall.
RESP Comm Fail RESP module failure or High Stop monitoring RESP,
customer support.
SpO2 Sensor Off SpO2 sensor may be Low Ensure the sensor is
disconnected from the properly connected to
patient or the monitor. the patient’s body.
SpO2 No Sensor SpO2 sensor was not Low Ensure the monitor and
connected well or connected sensor are properly
to the monitor, or the connected. Reconnect
connection is loose. the sensor.
SpO2 Low Perfusion The pulse signal is too weak Low Reconnect the SpO2
or the perfusion of the sensor and change the
measurement site is too low. measurement site. If
the problem continues,
notify hospital
customer support.
SpO2 Comm Fail SpO2 module failure or High Stop monitoring SpO2
customer support
NIBP Comm Fail NIBP module failure or High Stop monitoring NIBP
customer support
- 31 -

NIBP Loose Cuff Cuff is no properly wrapped Low Rewrap the cuff
or no cuff exists
NIBP Weak Signal Cuff is too loose or patient Low Use a different method
pulse is too weak. to measure blood
pressure.
NIBP Excessive Due to arm motion, signal Low Ensure that the patient
Motion noise is too large or pulse being monitored is still.
rate is not regular
NIBP Excessive Pressure has exceeded the Low Measure again, if
Pressure specified upper safety limit failure persists, stop
monitoring NIBP and
notify hospital
customer support.
NIBP Signal Signal amplitude too strong Low Stop the patient from
Saturated moving.
NIBP Init Pressure The initial pressure is too High Measure again, if
High high during measuring failure persists, stop
monitoring NIBP and
notify hospital
customer support.
NIBP Invalid Reset The hardware pressure is too Low Measure again, if
high failure persists, stop
monitoring NIBP and
notify hospital
customer support.
NIBP Time Out Measuring time has Low Measure again or use
exceeded 120 seconds other measuring
(adult/pediatric) or 90 method.
seconds (neonatal).
NIBP Tube Leak NIBP cuff or pump has a Low Check the NIBP cuff
leakage and pump for leakages
NIBP Cuff type The cuff type used is Low Confirm the patient type
Error inconsistent with the patient and change the cuff
type
- 32 -

Air Pressure Error Environment atmospheric Low Check whether the
pressure abnormal or system airway is occluded or
pressure abnormal pressure sensor works
properly in pressure
meter mode. If the
problem still exists,
contact your service
personnel.
NIBP Self Test Error Sensor or other hardware High Contact your service
errors personnel.
NIBP Pneumatic NIBP cuff or pump has a Low Check the NIBP cuff
Leak leakge and pump for leakages
NIBP System Hardware abnormal High Contact your service

Failure personnel.
NIBP Cuff Leak Cuff, pumnp or airway has a Low NIBP cuff is not
leakage properly connected, or
there is a leak in the
airway.
NIBP Leak Test Hardware abnormal High Check whether the
Error airway is occluded or
pressure sensor works
properly in pressure
meter mode. If the
problem still exists,
contact your service
personnel.
NIBP Range The patient’s blood pressure Low The patient’s blood
Exceeded is beyond the measurement pressure is beyond the
range measurement range
NIBP Air Leak The cuff pressure cannot Low Check the connections
reach the set value within 60 and the wrapped cuff to
sec. or 20 sec. Neo mode see whether they are all
well prepared.
- 33 -

NIBP Pressure Low The module is unable to Low Inflate gain and retry
detect the SYSTOLIC. three times. Check
Measure the pressure again. whether the patient has
an overly high blood
pressure or it is
interfered by
movement.
NIBP Pulse Abnormal oscillometric Low Retry twice. Check for
Abnormal waveform hyperkinesia or
arrhythmia.
NIBP Pulse Signal Pulse is too low to measure Low Check the patient’s
Weak condition or the
wrapped cuff.
TEMP T1 Sensor Temperature cable of TEMP Low Make sure that the cable
Off channel 1 may be is properly connected
disconnected.
TEMP T2 Sensor Temperature cable of TEMP Low Make sure that the cable
Off channel 2 may be is properly connected.
disconnected.
Excessive T1 TEMP1 measuring value is High Check sensor

beyond measuring range. connection and patient
condition
Excessive T2 TEMP2 measuring value is High Check sensor
beyond measuring range. connection and patient
condition
TEMP Comm Fail TEMP module failure or High Stop monitoring TEMP
customer support.
YY Sensor Off IBP sensor falls off monitor. Low Make sure that cable is
(YY stands for the properly connected.
IBP label name)
YY Comm Fail IBP module failure or High Stop monitoring IBP
(YY stands for the communication failure and notify hospital
label name) technical personnel or
customer support.
CO2 Out Of Range The CO2 concentration High Reduce CO2
exceeds the accuracy range concentration
of the gas module
- 34 -

CO2 Sensor Faulty CO2 module failure High Stop monitoring CO2
and notify hospital
CO2 Sensor Over technical personnel or
Temp customer support.
CO2 Comm Fail CO2 module failure or High

communication failure
CO2 Ram Error CO2 module failure High
CO2 Rom Error CO2 module failure High
CO2 Zero Required Zero calibration failure Low
CO2 Check Adapter The cannula is off or Low

disconnected
Battery Low Battery low High Change the battery or
recharge it
Recorder Out Of Recorder out of paper Low Insert new paper

Paper
Recorder setup The user presses the Low Notify hospital

needed RECORD button when the technical personnel or
monitor is not installed with customer support to
a recorder. install and set the
recorder.
Prompts
Message Cause
ECG Arr Learning The QRS template building required for Arr. Analysis is in
process.
SpO2 Search Pulse When the sensor is connected to the patient, the SpO2 is
analyzing the patient signal and searching for the pulse to
compute the saturation.
Manual Measuring In manual measuring mode
Continual Measuring In continuous measuring mode
Auto Measuring In automatic measuring mode
- 35 -
Message Cause
Measure Abort Measurement over
Calibrating During calibrating
Calibrate Abort Calibration over
Leak Testing During pneumatic test
Leak Test Ok NIBP module has passed leak test
Leak Test Abort Pneumatic test over
Resetting NIBP module in resetting
Please Start NIBP module is in idle status
Done NIBP measurement successfully done
Continual Measuring NIBP module performs continuous measuring
Stat Measuring NIBP module performs STAT measurement
Please Switch To Maintain NIBP module is in normal mode, the user can not start leak
Mode test and pressure calibration. Enter User Maintain > NIBP
Maintain and switch to Maintain Mode to perform leak test
or pressure calibration.
Please Switch To Normal NIBP module is in maintain mode, the user can not start blood
Mode pressure measurement. Enter User Maintain > NIBP
Maintain and switch to Normal Mode to perform blood
pressure measurement.
CO2 Standby Changing from measuring to standby mode places the module
in energy-saving status.
CO2 Sensor Warm Up The CO2 module is in warm-up state.
- 36 -
Adjustable range of alarm limits

ECG alarm limits are listed as follows (unit bpm):
Patient Type ALM HI ALM LO
HR ADU 300 15
PED 350 15
NEO 350 15
ST analysis alarm limits are listed as follows (unit mV):

ALM HI ALM LO
ST 2.0 -2.0
PVCs alarm upper limits are listed as follows:

ALM HI ALM LO
PVCs 10
RESP alarm limits are listed as follows (unit rpm):

ADU 120 6
PED 150 6
NEO 150 6
SpO2 alarm limits are listed as follows (unit %):

ALM HI ALM LO
SpO2 100 0
PR alarm limit is listed as follows (unit bpm):

ALM HI ALM LO
PR 300 30
NIBP alarm limits are listed as follows (unit mmHg):

ADU SYS 270 40
DIA 215 10
- 37 -
MAP 235 20
PED SYS 200 40
DIA 150 10
MAP 165 20
NEO SYS 135 40
DIA 100 10
MAP 110 20
TEMP alarm limits are listed as follows:

ALM HI ALM LO
T1 50 °C (122 °F) 0 °C (32 °F)
T2 50 °C (122 °F) 0 °C (32 °F)
TD 50 °C (90 °F) 0 °C (0 °F)
IBP alarm limits are listed as follows (unit mmHg):

ALM HI ALM LO
Art 300 0
CVP 40 -10
ICP 40 -10
LAP 40 -10
P1 300 -50
P2 300 -50
PA 120 -6
RAP 40 -10
CO2 alarm limits are listed as follows:

ALM HI ALM LO
EtCO2 150 mmHg 0
FiCO2 50 mmHg 3 mmHg
AwRR 150 rpm 2 rpm
- 38 -
Managing patients
Admitting a patient
The monitor displays patient physiological data and records the information in trends. This allows
the user to monitor unadmitted patients. It is recommended, however, that the user admit patients
to record their information in reports.
During admission, the patient category setting determines the algorithm that the monitor uses to
process and calculate measurements. These include safety limits that are applied for specific
measurements and alarm limit ranges.
To admit a patient:
1. Select the Admission shortcut key on the screen or
2. Select Menu > Patient Setup > New Patient, then a message is displayed to ask the user to
confirm to update patient.
3. Click No to cancel this operation; click Yes, the Patient Info window is displayed.
4. Enter the patient information:
• Serial No: Enter the patient’s medical record number (MRN), for example 12345678.
• Last name: Enter the patient’s last name (family name), for example Smith.
• First name: Enter the patient’s first name, for example Joseph.
• Gender: Choose Male or Female.
• Type: Choose the patient type, either Adult, Pediat, or Neonat.
• BloodType: Choose the patient type N/A, A, B, AB, or O.
• Pace: Choose On or Off (The user must use On if the patient has a pacemaker).
• Date of Birth: Enter the patient’s date of birth.
• Date of Admission: Enter the patient’s date of admission.
• Height: Enter the patient’s height.
• Weight: Enter the patient’s weight.
• Doctor: Enter any extra information about the patient or treatment.
5. Select Exit to save the changes and exit this screen.
Patient category and paced status

The patient category setting determines which algorithm the monitor uses for specific
measurements, the safety limits that are applied for specific measurements, and the alarm limit
range.
The paced setting determines whether the monitor shows pacemaker pulses. When Pace is set to
Off, pace pulses are filtered and do not show in the ECG waveform. Refer to chapter “Setting
Pace Status”.
- 39 -
WARNING
Changing the patient category may change the arrhythmia and NIBP alarm limits.
Always check alarm limits to make sure that they are appropriate for your patient.
WARNING
For paced patients, you must set Pace to On. If it is incorrectly set to Off, the
monitor could mistake a pace pulse for a QRS and fail to alarm during asystole.
Quick admit
If the user does not have the time or information to fully admit a patient, fill in the rest of the
patient information later.
The user can quickly admit a patient as follows:
1. Select Menu > Patient Setup > Quick Admit, a message is displayed requesting that the
user confirm the patient update.
2. Click No to cancel this operation; click Yes to continue and the Patient Info window is
displayed, choose Type and Pace and set them to the correct mode.
3. Select Exit to save the changes and exit this screen.
Editing patient information

To edit the patient information after a patient has been admitted, select Menu > Patient Setup >
Patient Info, and make the desired changes through the pop-up dialog box.
Update a patient
The user should always perform an update before starting monitoring for a new patient. To
update a patient:
• Select Menu > Patient Setup > New Patient or Menu > Patient Setup > Quick Admit, a
menu is displayed.
• If the user selects Yes, the monitor will update the patient information.
• If the user selects No, the monitor won’t update the patient information and returns to
patient setup dialog box.
NOTE
Discharging a patient will clear all associated data in the monitor.
- 40 -
User interface
Setting interface style
The user can set the interface style. The following options are available:
• Waveform sweep
• Monitored parameters
Only authorized personnel should set the interface style.
Selecting display parameters

The user can select the display parameters based on specific monitoring and measurement
requirements. To select the parameter:
1. Select Menu > System Setup > Module Switch.
2. Select the parameters from the pop-up dialog box.
3. Press Exit to exit the menu. The screen will adjust the parameters automatically.
Changing waveform position

The user can exchange the waveform positions of parameter A and parameter B as follows:
1. Select waveform A and display the setup menu of waveform A.
2. Select Change from the pop-up menu and select the desired label name of waveform B from
the pull-down list.
Changing interface layout

To change the interface layout:
1. Select Menu > Display Setting.
2. Select one dialog box from the pop-up menu.
3. The user can implement one kind of function screen based on the requirements. If the user
selects the Large Font option, there is no function screen to be selected.
Viewing short trend screen

To view the short trend screen, press the Trend Screen key on the screen directly or select
Menu > Display Setting > View Selection > TrendScreen.
Viewing OxyCRG screen

To view the oxyCRG screen, press the OxyCRG key on the screen or select
Menu > Display Setting > View Selection > OxyCRG.
- 41 -
This is a NICU only feature. Monitoring of SpO2, HR and Resp is different for neonates than for
adults.
Viewing large font screen

To display the large font screen:
1. Select the Large Font key on the screen directly or.
2. Select Menu > Display Setting > View Selection > Large Font to select this display mode.
To view the large font dialog box of specific parameter, select the parameter pull-down dialog on
the dialog box (the red rectangle shown in the following figure).
- 42 -
Monitoring ECG
Overview
The electrocardiogram (ECG) measures electrical activity in the heart and displays it both
numerically and as a waveform. This chapter also describes arrhythmia and ST segment
monitoring.
ECG safety information

WARNING
Do not touch the patient, table, or the monitor during defibrillation.
WARNING
Use only compatible ECG cables for monitoring.
WARNING
When connecting the cables and electrodes, make sure no conductive part is in
contact with the ground. Verify that all ECG electrodes, including the neutral
electrode, are securely attached to the patient but not a conductive part or ground.
WARNING
Check every day whether there is skin irritation resulted from the ECG electrodes.
If yes, replace electrodes every 24 hours or change their sites.
WARNING
Place the electrode carefully and ensure a good contact.
WARNING
Check if the lead connection is correct before monitoring. If you unplug the ECG
cable from the socket, the screen will display the error message “ECG LEAD OFF”
and an audible alarm sounds.
WARNING
When using the monitor with the defibrillator or other high-frequency equipment,
use defibrillator-proof ECG leads to avoid burns.
WARNING
When using electrosurgery (ES) equipment, do not place an electrode near the
grounding plate of the electrosurgery device: otherwise, more interference will be
evident on the ECG waveform.
WARNING
For paced patients, you must set Pace to On. If it is incorrectly set to Off, the
monitor could mistake a pace pulse for a QRS and fail to alarm during asystole.
WARNING
The simultaneous use of cardiac pacemaker and other patient-connected
equipment may cause a safety hazard.
- 43 -
CAUTION
If patients may be defibrillated, be sure to use defibrillation-proof ECG cables, otherwise,
the ECG cables will be damaged.
NOTE
• Interference from a non-grounded instrument near the patient and ESU interference
can cause inaccuracy of the waveform.
• IEC/EN60601-1-2 (protection against radiation is 3 V/m) specifies that the electrical
field density exceeding 1V/m may cause measurement error in various frequencies. It
is accordingly suggested to not use equipment generating electrical radiation near
ECG/RESP monitoring devices.
• In the default settings of the monitor, the ECG waveforms are the first two waveforms
from the top in the waveform area.
• For measurements in or near the heart connect the monitor to the potential
equalization system.
• For protecting the environment, the used electrodes must be recycled or disposed of
properly.
ECG display
The figure below is for reference only.
The symbol “①” indicates the lead name of the displayed waveform; refer to chapter “Selecting
calculation lead”.
The symbol “②” indicates waveform gain; refer to chapter “Changing the size of the ECG
waveform”.
The symbol “③” indicates Filter setting; refer to chapter “Changing the ECG filter setting”.
Changing the size of the ECG waveform

If any of the displayed ECG waveforms are too small or clipped, the size can be changed. Select
ECG Waveform Setup > ECG Gain, then select an appropriate factor from the pop-up box to
adjust the ECG waveform.
X0.125 to make strength of ECG signal waveform of 1 mV become 1.25 mm;
- 44 -
X0.25 to make strength of ECG signal waveform of 1 mV become 2.5 mm;

X0.5 to make strength of ECG signal waveform of 1 mV become 5 mm;
X1 to make strength of ECG signal waveform of 1 mV become 10 mm;
X2 to make strength of ECG signal waveform of 1 mV become 20 mm;
Auto let the monitor choose the optimal adjustment factor for all the ECG waveforms.
Changing the ECG filter settings

The ECG filter setting defines how ECG waveforms are smoothed. An abbreviation indicating
the filter type is shown under the lead label on the monitor display. Filter settings do not affect
ST measurement.
To change the filter setting in the ECG Setup menu, select Filter and then select the appropriate
setting.
• Monitor: Use this mode under normal measurement conditions.
• Surgery: The filter reduces interference to the signal. It should be used if the signal is
distorted by high- or low-frequency interference. High frequency interference usually results
in large amplitude spikes making the ECG signal look irregular. Low-frequency interference
usually leads to a wandering or rough baseline. In the operating room, the Filter reduces
artifacts and interference from HF surgical equipment. Under normal measurement conditions,
selecting Surgery may distort the QRS complexes too much and thus interfere with the
clinical evaluation of the ECG displayed on the monitor.
• Diagnos: Use when diagnostic quality is required. The unfiltered ECG waveform is displayed
so that changes such as R-wave notching or discrete elevation or depression of the ST
segments are visible.
Using ECG alarms

ECG alarms can be switched on and off. Changes to high and low alarm limits can be made using
the same methods used in other measurement alarms. Refer to chapter “Alarms” for more
information. Only ECG special alarm features are described in this chapter.
Selecting calculation lead

On the Normal dialog box, the user can select either 3 LEADS or 5 LEADS for this item.
Normal QRS complex is defined as:
• The normal QRS should be either completely above or below the baseline and it should not be
biphasic. For paced patients, the QRS complexes should be at least twice the height of pace
pulses.
• The QRS should be tall and narrow.
• The P-waves and the T-waves should be less than 0.2 mV.
- 45 -
Monitoring procedure
Preparation
Skin is a poor conductor of electricity. Prepare the patient's skin to facilitate good electrode
conductivity.
• Select sites with intact skin, without impairment of any kind.
• Shave hair from sites, if necessary.
• Wash sites thoroughly with soap and water. (Never use ether or pure alcohol, because this
increases skin impedance).
• Rub the skin briskly to increase capillary blood flow in the tissues and remove skin scurf and
grease.
Connecting ECG cables

1. Attach a clip or snap to the electrodes prior to placement.
2. Place the electrodes on the patient. Before attaching, apply some conductive jelly on the
electrodes if the electrodes are not electrolyte self-supplied.
3. Connect the electrode lead to the patient's cable.
Selecting lead type

To change the lead type:
1. Select the ECG parameter area, display the ECG Setup menu;
2. Set Lead Type to 3 Leads or 5 Leads based on the lead used.
Installing electrodes
NOTE
The following table gives the corresponding lead names according to IEC (used in
Europe) and the AHA (USA) respectively.
AHA (American Standard) IEC (Europe Standard)
Electrode
Color Electrode Labels Color
Labels
RA White R Red
LA Black L Yellow
LL Red F Green
RL Green N Black
V Brown C White
- 46 -
Electrode placement for 3-lead

For the AHA standard for example, see the following figure:
• RA: directly below the clavicle and near the right shoulder.
• LA: directly below the clavicle and near the left shoulder.
• LL: on the left hypogastrium.
Electrode Placement for 3-lead
Electrode placement for 5-lead

For the AHA standard for example, see the following figure:
• RA: directly below the clavicle and near the right shoulder.
• LA: directly below the clavicle and near the left shoulder.
• RL: on the right hypogastrium.
• LL: on the left hypogastrium.
• V: on the chest, the position depends on the desired lead selection.
- 47 -
Electrode Placement for 5-lead

NOTE
To ensure safety, all leads must be attached to the patient.
For 5-lead, attach the V electrode to one of the indicated positions as below:
• V1 On the 4th intercostal space at the right sterna margin.
• V2 On the 4th intercostal space at the left sterna margin.
• V3 Midway between V2 and V4 electrodes.
• V4 On the 5th intercostal space at the left clavicular line.
• V5 On the left anterior axillary line, horizontal with V4 electrode.
• V6 On the left middle axillary line, horizontal with V4 electrode.
• V3R-V6R On the right side of the chest in positions corresponding to those on the left.
• VE Over the xiphoid position.
• V7 On the 5th intercostal space at the left posterior axillary line of back.
• V7R On the 5th intercostal space at the right posterior axillary line of back.
- 48 -
V-Electrode Placement for 5-lead
Recommended ECG lead placement for surgical patients

WARNING
When using HF surgical equipment, leads should be placed in a position in equal
distance from the cautery knife and the electrosurgery grounding plate to avoid
burning the patient. HF surgical equipment wires and ECG cable must not be
tangled up.
ECG leads are used mainly for monitoring patient vital signs. When using the patient monitor
with other HF surgical equipment, use defibrillator-proof ECG leads.
The placement of the ECG leads depends on the type of surgery. For example, during open heart
surgery the electrodes can be placed laterally on the chest or back. In the operating room, artifacts
may affect the ECG waveform due to the use of ES (electrosurgery) equipment. To help reduce
this interference, the electrodes can be placed on the right and left shoulders, the right and left
sides near the abdomen and the chest lead on the left side at mid-chest. Avoid placing the
electrodes on the upper arms, which might result in a small waveform.
NOTE
• If an ECG waveform is not accurate (with electrodes are tightly attached), change the
lead.
• Interference from a non-grounded instrument near the patient can cause inaccurate
waveforms.
- 49 -
ECG menu setup

Setting alarm source
To change the alarm source, select ECG Setup > Alarm Source. Select from the following
options:
HR: HR is HR/PR alarm source;
PR: PR is HR/PR alarm source;
AUTO: If the Alarm Source is set to Auto, the monitor will use the heart rate from the ECG
measurement as the alarm source whenever the ECG measurement is switched on. At least one
ECG lead can be measured. The monitor will automatically switch to Pulse for the alarm source
if:
• a valid ECG lead can no longer be measured and
• a Pulse source is switched on and available.
The monitor uses the pulse rate from the currently active measurement as system pulse. While
Pulse is the alarm source, all arrhythmia and ECG HR alarms are switched off. If an ECG lead
becomes available again, the monitor automatically uses HR as alarm source.
Smart lead off

In 5 LEADS mode, if CH1 and CH2 are disabled due to lead off for example, the system selects
other modes to collect an ECG waveform.
To change the smart lead off setting, select ECG Setup > Smart Leadoff. Select options from
the pop-up menu.
Setting beat volume

Beat volume is derived from HR or PR, depending on the HR alarm setting. To change the beat
volume, select ECG Setup > Beat Volume, and select the desired volume from the pop-up menu.
Six selections are available: 0, 1, 2, 3, 4, 5. 5 is maximum volume. 0 is mute.
ECG display
The ECG display varies with the Lead Type. When Lead Type is set to 3 Leads, Display can be
set to Normal, and displays one ECG waveform on the main screen.
When Lead Type is set to 5 Leads, Display can be set to Normal, Full-Scr and Half-Scr. Select
Normal to display two ECG waveforms on the main screen. Select Full-Scr to display seven
ECG waveforms. Half-Scr displays seven ECG waveforms on the screen in an area of four
waveforms.
NOTE
If 3 Leads is selected in the ECG Setup menu, only Normal can be selected for Display
in the sub-menu.
- 50 -
Setting pace status

Set the paced status correctly when starting ECG monitoring. To change the paced status in the
Setup ECG menu, select Pace to toggle between On or Off. When Pace is set to On:
- Pace Pulse Rejection is switched on. This means that pacemaker pulses are not counted as
extra QRS complexes.
- Paced symbol is displayed as | on the main screen.
NOTE
• When monitoring a patient with a pacemaker, set Pace to On. If monitoring a patient
without a pacemaker, set Pace to Off.
• If Pace is set to On, the system will not perform some types of ARR analysis.
WARNING
Some pace pulses can be difficult to reject. When this happens, the pulses are
counted as a QRS complex, and could result in an incorrect HR and failure to
detect cardiac arrest or some arrhythmias. Keep pacemaker patients under close
observation.
ECG calibration
Selecting this item from the ECG Setup menu inserts a square wave into the ECG waveform that
can be used to estimate the amplitude accuracy of that waveform. Select the item again to turn off
the square wave.
NOTE
The patient is not monitored while this square wave is displayed.
ECG waveform settings

To change the speed, select ECG Wave Setup > Sweep, then select from the pop-up list. The
bigger the value, the wider the waveform.
ST segment monitoring
The monitor performs ST segment analysis on normal and atrially paced beats and calculates ST
segment elevations and depressions. This information can be displayed in the form of ST
numerics and snippets on the monitor.
ST segment monitoring function is shut off by default. It can be switched to On when necessary.
When using the ST analysis function, the result is displayed on the main screen. Refer to the
following figure.
- 51 -
Setting ST analysis
To change ST analysis, select ECG Setup > ST Setup > ST Analysis, then select On or Off
from the pop-up list.
ST display
The screen may look different from the illustrations.
ST I 0.08 aVR -0.09 V 0.04

II 0.10 aVL 0.03
III 0.02 aVF 0.06
NOTE
• ST Analysis can be used only in Adu mode.
• If ST Analysis is on, the monitor must be in Diagnos mode.
• ECG monitoring must be in Diagnos mode.
ST analysis alarm setting

The user can select Alarm > ST Alarm Setup > ST Setup to set the upper and lower alarm limit.
ALM HI can be set to 0.2 to 2.0 mV, and ALM LO to -2.0 to +0.2 mV. ALM HI must be higher
than ALM LO.
About ST measurement points

The ST value for each beat complex is the vertical difference between the isoelectric (ISO) point
and the ST point, as shown in the diagram below. The ISO point provides the baseline, and the
ST point is at the midpoint of the ST segment. The J point is where the QRS complex changes its
slope. It is a fixed distance away from the ST point and can be useful during positioning.
DEF POINT
- 52 -
The ST and ISO measurement points need to be adjusted when monitoring is started, and if the
patient's heart rate or ECG morphology changes significantly. Always ensure that ST
measurement points are appropriate for the patient. Abnormal QRS complexes are not considered
in ST segment analysis.
Adjusting ST and ISO measurement points

Depending on the monitor’s configuration, the ST point can be positioned as well.
These two points can be adjusted by turning the knob. When adjusting ST measurement point, the
system shows the ST measurement point window. The system displays the QRS complex
template in the window and can be adjusted using the highlight bar. The user can select ISO or
ST by switching the knob left or right to move the cursor line. When the cursor is at the desired
position, the base point or the measurement point can be selected.
Arrhythmia monitoring
Arrhythmia analysis
The arrhythmia algorithm is used to monitor clinical neonatal and adult ECG. It also detects heart
rate and ventricular rhythm changes, arrhythmia events, and generates alarm information. The
arrhythmia algorithm can monitor paced and non-paced patients. Qualified personnel can use
arrhythmia analysis to evaluate patient condition (such as heart rate, PVCs frequency, rhythm and
ectopic beat). The arrhythmia algorithm can also monitor patients and generate arrhythmia
specific alarms.
The monitor can support up to 16 different arrhythmia analyses.
ARR Types Occurring Condition
ASYSTOLE No QRS is detected for 4 seconds
Ventricular tachycardia: The fibrillation waveform lasts for 4 consecutive
seconds; or the number of continuous Vent beats is larger than the upper limit
VFIB/VTAC of cluster Vent beats (>5).
The RR interval is less than 600 ms.
VT>2 3< the number of cluster PVCs < 5
COUPLET 2 consecutive PVCs
BIGEMINY Vent bigeminy
TRIGEMINY Vent trigeminy
A type of single PVC when HR<100，R-R interval is less than 1/3 the average
R ON T interval, followed by a compensating pause of 1.25X the average R-R interval
(the next R wave encroaches on the previous T wave).
PVC All other single PVCs.
- 53 -
TACHY 5 consecutive QRS complex, RR interval is less than 0.5 s.

BRADY 5 consecutive QRS complex, RR interval is longer than 1.5 s.
When HR is less than 100 beats/min. no heart beat is detected during the period
MISSED 1.75 times of the average RR interval; or
BEATS
When HR is higher than 100 beats/min. no beat is detected within 1 second.
The patient has an irregular heart rate. Check patient condition, electrodes,
IRR
cables and leads.
PNC After the pacemaker fires, QRS complex was not be detected for 300 ms.
After the QRS complex, no pacemaker activity is detected during 1.75 times of
PNP
RR interval.
The patient has an irregular HR, and his average HR is less than 60 bpm.
VBRADY
Check patient condition, electrodes, cables and leads.
The patient has an irregular heart rate. Check patient condition, electrodes,
VENT
cables and leads.
- 54 -
ARR ANALYSIS menu

Switching ARR analysis on and off
To switch ARR Analysis on or off: From the ARR Analysis Setup menu, select ARR Analysis
and toggle between On and Off.
PVCs alarm
Select On in the menu to enable the prompt message when an alarm occurs. Select Off to disable
the alarm function. The symbol appears.
WARNING
When the PVCs Alarm is set to OFF, the monitor won’t give an alarm prompt even if
an alarm occurs. In order to avoid endangering the patient’s life, the user should
use this function cautiously.
ARR relearning
Select this item to start a learning procedure. ECG ARR LEARNING is displayed on the screen.
The ECG ARR LEARNING will start automatically the following:
• Changing lead type;
• Connecting leads;
• Updating the patient category;
• Starting ARR learning manually;
• After the ARR analysis is switched on;
• The module is set to on;
• Calibration mode is changed to normal measurement mode;
• Exiting the Demo mode;
• Exiting the standby mode;
ARR alarm
The user can switch on or off all arrhythmia alarms by selecting ECG Setup > ARR Analysis >
ARR Setup > ARR Alarm. Individual arrhythmia alarms can be turned on or off. These are:
ASYSTOLE, VFIB/VTAC, R-ON-T, VT>2, COUPLET, PVC, BIGEMINY, TRIGEMINY,
TACHY, BRADY, MISSED BEATS, IRR, PNC, PNP, VBRADY and VENT.
To switch individual alarms on or off, select ECG Setup > ARR Analysis > ARR Setup > ARR
Alarm.
- 55 -
Monitoring RESP
Overview
The monitor measures respiration from the amount of thoracic impedance between two ECG
electrodes. The change of impedance between the two electrodes, (due to the thoracic movement),
produces a respiratory waveform on the screen.
RESP safety information

WARNING
If you do not set the detection level for the respiration correctly in manual
detection mode, it may not be possible for the monitor to detect apnea. If you set
the detection level too low, the monitor is more likely to detect cardiac overlay, and
to falsely interpret cardiac overlay as respiratory activity in the case of apnea.
WARNING
The respiration measurement does not recognize obstructive and mixed apneas - it
only initiates an alarm when a pre-adjusted time has elapsed since the last
detected breath.
WARNING
If operating under conditions according to the EMC Standard EN 60601-1-2
(Radiated Immunity 3 V/m), field strengths above 1 V/m may cause erroneous
measurements at various frequencies. Therefore it is recommended to avoid the
use of electrically radiating equipment in close proximity to the respiration
measurement unit.
NOTE
The RESP monitoring is not recommended to be used on patients who are very active, as
this can cause false alarms.
Resp display
Resp 30
8
14
Electrode placement for monitoring resp
Correct patient skin preparation for electrode placement is important for Resp measurement.
Refer to the chapter on ECG for more information.
- 56 -
The Resp signal is always measured between two of the ECG electrodes. There are two standard
ECG leads for selection: I lead (RA and LA) and II lead (RA and LL).
Electrodes Placement for 5-lead
Cardiac overlay
Cardiac activity that affects the Resp waveform is called cardiac overlay. This occurs when Resp
electrodes detect impedance changes caused by rhythmic blood flow. Correct electrode placement
can reduce cardiac overlay.
Chest expansion
Some patients, especially neonates, expand their chests laterally. In this case, place the two
respiratory electrodes in the right midaxillary and left lateral chest areas at the maximum
expansion point. This placement optimizes respiratory waveform results.
Abdominal breathing
Some patients with restricted chest movement breathe mainly abdominally. In this case, place the
LL electrode on the left abdomen at the point of maximum abdominal expansion. This placement
optimizes respiratory waveform results.
NOTE
Place the red and green electrodes diagonally to optimize the respiration waveform. Do
not position electrodes over the liver or the heart’s ventricles. This is an especially
important safety procedure for neonates.
Selecting resp lead

To change Resp lead: From the Resp Setup menu, select Resp Lead, then choose the appropriate
lead from the pop-up list.
- 57 -
Changing hold type

To change the calculation mode: From the Resp Setup menu, set Hold Type to Manual or Auto.
When set to AUTO mode, Hold High and Hold Low are unavailable, and the monitor calculates
the respiration rate automatically. When set to Manual mode, the broken lines in RESP area can
be adjusted by using Hold High and Hold Low.
Changing the size of the respiration waveform

Select the Resp waveform area to display the Resp waveform menu:
• Select AMP and select the desired value. Larger values increase the waveform amplitude.
• Select Sweep: Select an appropriate setting from the pop-up list.
Using Resp alarms

The User can turn Resp alarms on and off and set high and low alarm limits using the same
procedures as described in the chapter “Alarms”.
Changing the apnea time

The apnea alarm is a high priority red alarm. The apnea alarm delay time is the period between
no detected respiratory activity and alarm activation.
1. In the Resp Setup menu, select RESP APNEA.
2. Select the desired setting from the pop-up list
- 58 -
Monitoring SpO2
Overview
The SpO2 value is derived from the absorption of pulse blood oxygen by red and infrared light
using a finger sensor and a SpO2 measuring unit. SpO2 Plethysmogram measurement is employed
to determine the oxygen saturation of hemoglobin in the arterial blood. If, for example, 97 % of
the hemoglobin molecules in the red blood cells of the arterial blood combine with oxygen, then
the blood has a SpO2 oxygen saturation of 97 %. The SpO2 numeric on the monitor will read
97 %. The SpO2 numeric shows the percentage of hemoglobin molecules which have combined
with oxygen molecules to form oxyhemoglobin. The SpO2/PLETH parameter can also provide a
pulse rate signal and a plethysmogram waveform.
SpO2 safety information

WARNING
If the SpO2 sensor does not work properly, reconnect the sensor or use a new one.
WARNING
Do not use sterile supplied SpO2 sensors if the packaging or the sensor is
damaged.
WARNING
Prolonged and continuous monitoring may increase the risk of unexpected change
of dermal condition such as abnormal sensitivity, rubescence, vesicle, repressive
putrescence, and so on. It is especially important to check the sensor placement of
neonatal patients and patients with poor perfusion or immature dermogram by
light collimation and proper attaching strictly according to changes of the skin.
More frequent examinations may be required for different patients.
WARNING
Tissue damage may be caused by incorrect application or prolonged measurement
duration using the sensor (more than 4 hours). Inspect the sensor periodically
according to the sensor user manual.
WARNING
Neonate SpO2 sensor can only be used when required, no more than 20 min at a
time.
WARNING
Use only Dräger permitted sensors and extension cables with the oximeter. Other
sensors or extension cables may cause improper monitor performance and/or
minor personal injury.
NOTE
• Make sure the fingernail covers the light window. The wire should be placed on the
backside of the hand.
• The amplitude of the SpO2 waveform is not proportional to the pulse volume.
- 59 -
• Avoid placing the sensor on extremities with an arterial catheter, or intravascular

venous infusion line.
• Do not use a functional tester to access the SpO2 accuracy.
• The function of SpO2 measurement does not require calibration.
• The materials with which the patient or any other person can come into contact must
be conforming to standard ISO10993.
Measuring SpO2
1. Select the correct patient category setting (adult/pediatric and neonatal). This is used to
optimize the calculation of the SpO2 and pulse numerics.
2. During measurement, ensure that the application site:
- has a pulsatile flow, ideally with a good circulation perfusion.
- has not changed in its thickness, causing an improper fit of the sensor.
Measurement procedure
1. Switch on the monitor.
2. Attach the sensor to the appropriate site of the patient finger.
3. Plug the sensor extension cable connector into the SpO2 socket on the SpO2 module.
Mounting of the Sensor
WARNING
Inspect the application site every two to three hours to ensure skin quality and
correct optical alignment. If the skin quality changes, move the sensor to another
site. Change the application site at least every four hours.
NOTE
Injected dyes such as methylene blue or intravascular dyshemoglobins such as
methemoglobin and carboxyhemoglobin may lead to inaccurate measurements.
- 60 -
Interference can be caused by:

• High levels of ambient light or strobe lights or flashing lights (such as fire alarm lamps).
(Hint: cover application site with opaque material.)
• Electromagnetic interference.
• Excessive patient movement and vibration.
Understanding SpO2 alarms

This chapter describes SpO2 specific alarms. See the chapter “Alarms” for general alarm
information. SpO2 alarms are adjustable and have high and low limits.
Adjusting alarm limits

In SpO2 Setup menu:
• Select the SpO2 High Alarm Limit and chose the desired high alarm limit.
• Select the SpO2 Low Alarm Limit and chose the desired low alarm limit.
WARNING
High oxygen levels may predispose a premature infant to retrolental fibroplasia. If
this is a consideration do not set the high alarm limit to 100 %, which is equivalent
to switching the alarm off.
Setting SpO2 as pulse source

1. In the PR Setup menu, select PR Source;
2. Select SpO2 from the pop-up list.
Setting pitch tone

If tone modulation is on, the PR sound lowers when the SpO2 level drops. In SpO2 Setup menu,
select pitch tone to toggle between On and Off.
Setting sensitivity
Sensitivity allows the user to set the refresh frequency. High is the highest SpO2 refresh
frequency value. To change the sensitivity:
1. Select the SpO2 Setup menu;
2. Select Sensitivity and set the desired sensitivity from the pop-up list.
- 61 -
Monitoring PR
Overview
The pulse numeric counts the arterial pulsations that result from heart mechanical activity in beats
per minute (bpm) from the measured SpO2 signal.
Setting PR volume
Six selections are available: 0, 1, 2, 3, 4, and 5. 5 is the maximum volume. 0 is mute. PR Volume
can be changed in the PR Setup menu.
Using pulse alarms

The user can change pulse rate alarm limits in the PR Setup menu by selecting PR Alarm Limit.
Pulse alarms are only generated when the active alarm source is set to Pulse. The pulse source is
set as system pulse and pulse alarms are switched on.
Selecting the active alarm source

In most cases, the HR and Pulse numerics are identical. To avoid simultaneous alarms on HR and
Pulse, the monitor uses either ECG or Pulse as its active alarm source. To change the alarm
source, select Alarm Source in the ECG/Pulse Alarms menu, then select
• HR: If HR should be the alarm source for HR/Pulse.
• PR: If Pulse is selected as the active alarm source, the monitor will prompt the user to
confirm his choice. If Pulse is selected as the alarm source, all arrhythmia and ECG HR
alarms are switched off.
• AUTO: If the Alarm Source is set to Auto, the monitor will use the heart rate from the ECG
measurement as the alarm source whenever the ECG measurement is switched on and at least
one ECG lead can be measured without a technical alarm condition. The monitor will
automatically switch to Pulse as the alarm source.
- 62 -
Monitoring NIBP
Overview
This monitor uses the oscillometric method for measuring NIBP. It can be used for adult,
pediatric and neonatal patients.
Oscillometric devices measure the amplitude of pressure changes in the occluding cuff as the cuff
deflates from above systolic pressure. The amplitude suddenly increases as the pulse breaks
through the occlusion in the artery. As the cuff pressure decreases further, the pulsations increase
in amplitude, reach a maximum (which approximates to the mean pressure), and then diminish.
In adult and pediatric mode, the blood pressure measurements determined with this device comply
with the American National Standard for Electronic or Automated Sphygmomanometers
(ANSI/AAMI SP10-1992) in relation to mean error and standard deviation, when compared to
auscultatory measurements in a representative patient population. For the auscultatory reference,
the fifth Korotkoff sound was used to determine the diastolic pressure.
In neonatal mode, the blood pressure measurements determined with this device comply with the
American National Standard for Electronic or Automated Sphygmomanometers (ANSI/AAMI
SP10-1992) in relation to mean error and standard deviation, when compared to intra-arterial
measurements in a representative patient population.
NIBP safety information

The monitor and peripheral devices are protected against high-frequency interference from
defibrillators and electrosurgical units and against 50- and 60-Hz power line interference.
WARNING
Do not measure NIBP on patients with sickle-cell disease or any condition where
skin damage has occurred or is expected.
WARNING
Use clinical judgment to decide whether to perform frequent unattended blood
pressure measurements on patients with severe blood clotting disorders because
of the risk of hematoma in the limb fitted with the cuff.
WARNING
Before starting a measurement, verify that you have selected a setting appropriate
for your patient (adult, child, or neonate). An incorrect setting may be dangerous
for children, because of higher measurement pressures.
WARNING
Do not apply the cuff to a limb that has an intravenous infusion or catheter in place.
This could cause tissue damage around the catheter when infusion is slowed or
blocked during cuff inflation.
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WARNING
Make sure that the air tubing connecting the blood pressure cuff and the monitor is
neither blocked nor tangled.
NOTE
• Do not start NIBP measurements during low battery conditions (the monitor may turn
off automatically).
• If an alarm occurs or measurement fails, discontinue the measurement.
• If you spill liquid onto the equipment or accessories, particularly if there is a chance
that it can get inside the tubing or the measurement device, contact your service
personnel.
• Continuous use of the automatic measuring mode for short intervals may lead to the
discomfort of the patient.
Measurement limitations
Measurements are impossible with heart rate extremes of less than 40 bpm or greater than 240
bpm, or if the patient is on a heart-lung machine.
The measurement may be inaccurate or impossible in the following situations:
• A regular arterial pressure pulse is hard to detect.
• Patients with cardiac arrhythmias.
• Patients with excessive and continuous movement such as shivering or convulsions.
• Patients with rapid blood pressure changes.
• Patients with severe shock or hypothermia that reduces blood flow to the periphery.
• Obese patients, where a thick layer of fat surrounding a limb dampens the oscillations coming
from the artery.
• Patients with an edematous extremity.
Measurement methods
There are three methods of measuring NIBP:
• Manual - measurement on demand.
• Auto - continually repeated measurements (between 1 and 480 minute adjustable interval).
• Continual - NIBP measurements run consecutively in five minutes, and then the monitor
switches to manual mode.
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WARNING
Prolonged non-invasive blood pressure measurements in Auto mode may be
associated with purport, ischemia and neuropathy in the limb wearing the cuff.
When monitoring a patient, examine the extremities of the limb frequently for
normal color, warmth and sensitivity. If any abnormality is observed, stop the
blood pressure measurements.
Measurement procedures
1. Connect the air hose and switch on the monitor.
2. Attach the blood pressure cuff to the patient's arm or leg and follow the following
instructions. Ensure that the cuff is completely deflated.
Attach the appropriate size cuff to the patient (For information about cuff size selection, refer
to the chapter “NIBP accessories”), and ensure the symbol "Φ" is over the artery. Ensure that
the cuff is not wrapped too tightly around the limb. Excessive tightness can cause
discoloration and ischemia of the extremity.
NOTE
The width of the cuff should be either 40 % of the limb circumference (50 % for neonates)
or 2/3 of the upper arm length. The inflatable part of the cuff should be long enough to
encircle 50-80 % of the limb. The wrong size of cuff can cause erroneous readings. If you
are unsure what size to use, consult a physician or use a large size cuff.
Cuff Usage
3. Connect the cuff to the air tubing.
4. Check if the patient mode is appropriate. Access the Patient Setup menu from Menu and
select Type. Turn the knob to select the desired patient Type.
5. Select a measurement mode in the NIBP Setup menu. Refer to chapter “Operation Prompts”
for information.
6. Press the button on the front panel to start a measurement.
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Operation prompts
1. Manual measurement
- Access the NIBP Setup menu and set the Measure Mode item to Manual.
Press the button on the front panel to start a manual measurement.
- During the idle period between AUTO measurements, press the button on the front
panel at any time to start a manual measurement. Press the button again to stop the
manual measurement. This allows the system to continue to take AUTO measurements
according to the selected time interval.
2. Automatic Measurement
Access the NIBP Setup menu and set the Measure Mode item to Auto.
Press the button on the front panel to start the AUTO measurement according to the
selected time interval.
3. Continuous measurement
Access the NIBP Setup menu and select the Continual item to start a continuous
measurement.
The continuous measurement will last 5 minutes.
4. Stopping continuous measurement
During continuous measurement, press the button on the front panel at any time to
stop.
Correcting the measurement if limb is not at heart Level

The following measurement corrections should be applied if the limb is not at heart level:
Add 0.75 mmHg (0.10 kPa) for each cm higher Subtract 0.75 mmHg (0.10 kPa) for each cm
or lower or
Add 1.9 mmHg (0.25 kPa) for each inch higher Subtract 1.9 mmHg (0.25 kPa) for each inch
lower
NIBP alarm
When NIBP Alarm is On, the physological alarm occurs if any measurement value of Systolic
pressure, Mean pressure, Diastolic pressure is outside the alarm limits. The user can adjust the
alarm limit by accessing NIBP Setup > Alarm Setup > Sys Alarm/Mean Alarm/Dia Alarm.
Resetting NIBP
When NIBP does not work properly and the system does not generate an error message, select
Reset in the NIBP Setup menu to activate the self-test procedure. This function restores the
system.
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Calibrating NIBP
NIBP is not user-calibrated. Cuff-pressure transducers must be verified and calibrated, if
necessary, at least once every two years by a qualified service professional. See the Service
Guide for details.
Leak test
This item is used for the leak test. Turn the knob to select the Leak Test item in the User
Maintain > NIBP Maintain menu to start the air leakage test. When the item is selected, it will
change to Stop. If this item is selected again, the system will stop air leakage test and the item
returns to Leak Test.
WARNING
This pneumatic test, other than being specified in the EN 1060-1 standard, is to be
used by the user to simply determine whether there are air leaks in the NIBP airway.
If, at the end of the test, the system gives the prompt that the NIBP airway has air
leaks, contact the manufacturer for repair.
Procedure for leak testing

1. Connect the cuff securely with the socket for NIBP air hole.
2. Wrap the cuff around the cylinder of an appropriate size.
3. Access User Maintain > NIBP Maintain
4. Turn the knob to the Leak Test item and press the item. Then the prompt of Leak Testing
will appear indicating that the system has started performing the leak test.
5. The system will automatically inflate the pneumatic system to about 180 mmHg.
6. After 20 seconds, the system will automatically open the deflating valve, which marks the
completion of a pneumatic measurement.
If the prompt of Leak Test OK appears, it indicates that the airway is in good condition and no
air leaks exist. However if the alarm information of NIBP Cuff Leak appears, it indicates that the
airway might have air leaks. In this case, the user should check for loose connections. After
confirming secure connections, the user should re-perform the pneumatic test. If the failure
prompt still appears, contact DrägerService.
Diagram of NIBP Air Leakage Test
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Monitoring TEMP
Overview
Body temperature is measured using a thermistor probe (a semiconductor whose resistance
changes with temperature) placed appropriately on the patient.
Two TEMP probes can be used simultaneously to measure two TEMP values. The monitor
automatically calculates the temperature difference. The default configuration is axilla sensor for
adult.
TEMP safety information

WARNING
Verify probe cables fault detection before using the probe to monitor the patient. If
you unplug the temperature probe cable of channel 1 from the socket, the screen
will display the error message TEMP1 SENSOR OFF and the audible alarm is
activated. It is the same for the other channel.
WARNING
Handle the TEMP probe and cable carefully. When they are not in use, you should
coil the probe and cable into a loose circle. Pulling the wire inside the cable may
mechanically damage the probe and the cable.
NOTE
Disposable TEMP probe can only be used once per patient.
TEMP monitoring setup

• If disposable TEMP probes are used, connect the TEMP cable to the monitor and then
connect the probe to the cable. With a reusable TEMP probe the probe can be connected
directly to the monitor.
• Apply the TEMP probes securely to the patient.
• Switch on the monitor
It takes 2 to 3 min for the body temperature to stabilize.
Calculating temp difference

The monitor can calculate and display the difference between two temperature values by
subtracting the second value from the first. The difference is labeled TD.
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Monitoring IBP (optional)

Overview
IBP is measured by means of a catheter inserted into the circulatory system. A pressure
transducer connected to the catheter converts the mechanical force exerted by the blood into an
electrical signal. This is displayed graphically as pressure versus time and as numerics on the
monitor screen.
The monitor measures direct blood pressure of one selected blood vessel through two channels
and displays waveforms and numerics for the measured direct blood pressure (SYS, DIA and
MAP).
For further information on the IBP Kit, refer to the accompanying Instructions for Use of the
manufacturer.
IBP safety information

WARNING
The operator should avoid contact with the conductive parts of the device when it
is connected to the patient.
WARNING
When the monitor is used with HF surgical equipment, avoid conductive
connections of the transducer and the cables to the HF surgical equipment. This is
to protect against burns to the patient.
WARNING
Disposable IBP transducer or domes should not be reused.
WARNING
If any kind of liquid, other than solution to be infused in pressure line or transducer,
is splashed on the equipment or its accessories, or enters the transducer or the
monitor, contact your service personnel immediately.
NOTE
• Use only the pressure transducer listed in the IBP accessories
Monitoring procedures
Preparatory steps for IBP measurement:
1. Connect the pressure cable to the corresponding socket and switch on the monitor.
2. Flush the system with a normal saline solution. Ensure that the system is free of air bubbles.
3. Connect the patient’s catheter to the pressure line. Ensure there is no air present in the
catheter or pressure line.
4. Position the transducer so that it is at the same level as the patient’s heart, approximately
mid-axillary line.
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5. For the label name selection, refer to chapter “Selecting a Pressure for Monitoring”.
6. To zero the transducer, refer to chapter “Zeroing the Pressure Transducer”.
WARNING
If there are air bubbles in the pressure line or the transducer, flush the system with
the infused solution.
Selecting a pressure for monitoring

The user can assign a pressure label to uniquely identify each pressure. The monitor then uses
that label’s stored settings (i.e., for color, scale and alarm settings) and selects which algorithm is
used to process the pressure signal. An incorrect label can lead to incorrect pressure values. To
select the label, refer to the following table:
Label Description
ART Arterial blood pressure
PA Pulmonary artery pressure
CVP Central venous pressure
ICP Intracranial pressure
LAP Left atrial pressure
RAP Right atrial pressure
P1-P2 Alternative non-specific pressure labels
Zeroing the pressure transducer

To avoid inaccurate pressure readings, the monitor requires a valid zero. Zero the transducer in
accordance with your hospital’s policy (at least once per day).
Zeroing must be performed:
• When a new transducer or tubing is used;
• Every time the transducer cable is reconnected to the monitor;
• If the monitor’s pressure readings seem to be incorrect.
When using a pressure module, the zero information is stored in the module.
To zero a pressure measurement:
1. Turn off the stopcock to the patient.
2. Vent the transducer to atmospheric pressure. This compensates for the static and atmospheric
pressure exerted on the transducer.
3. In the setup menu for pressure, select Zero <Press>.
4. When the message <Press> zero done is displayed, close the stopcock to atmospheric
pressure and open the stopcock to the patient.
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Troubleshooting the pressure zeroing (taking art for example)

The status message lists the probable cause of an unsuccessful calibration.
Message Corrective Action
Art ZERO FAIL Make sure that the transducer is not attached to the patient
Art SENSOR OFF, FAIL Make sure that transducer is not off, and then proceed
zeroing
IN DEMO, FAIL Make sure that the monitor is not in DEMO mode. Contact
service technician if necessary
PRESSURE OVER RANGE, Make sure that the stopcock is vented to atmosphere. If the
FAIL problem persists, contact service technician
PULSATILE PRESSURE Make sure that the transducer is vented to air, not connected
ZERO FAIL to a patient, and try again.
IBP pressure calibration

• Mercury calibration should be performed by the hospital technical personnel either whenever
a new transducer is used, or as frequently as dictated by your hospital’s policy.
• The purpose of the calibration is to ensure that the system gives accurate measurements.
• Before starting a mercury calibration, a zero procedure must be performed.
If the user needs to perform this procedure himself, he will need the following equipment:
• standard sphygmomanometer
• 3-way stopcock
• tubing (approx. 25 cm long).
The Calibration Procedure:

1. Close the stopcock that was open to atmospheric pressure for the zero calibration.
2. Attach the tubing to the sphygmomanometer.
3. Ensure that connection to patient is off.
4. Connect the 3-way connector to the 3-way stopcock that is not connected to the patient
catheter.
5. Open the port of the 3-way stopcock to the sphygmomanometer.
6. Select the channel to be calibrated in the menu and select the pressure value to which the IBP
is to be adjusted.
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7. Inflate to make the mercury bar rise to the setup pressure value.
8. Adjust repeatedly until the value in the menu is equal to the pressure value shown by the
mercury calibration.
9. Press the Start button, the device will begin calibrating.
10. Wait for the calibrated result. Corresponding measures should be taken based on the prompt
information.
11. After calibration, disassemble the blood pressure tubing and the attached 3-way valve.
2 5
1: Hydrargyrum pressure meter; 2: 3-way connector; 3: 3-way stopcock; 4: Pressure transducer; 5:

Pressure transducer interface cable; 6: Monitor
IBP Calibration
Troubleshooting the pressure calibration

The status line lists the probable cause of an unsuccessful calibration.
Message Corrective Action
Art SENSOR OFF, FAIL Make sure that sensor is not off, and then start the calibration.
Contact service technician if necessary.
IN DEMO, FAIL Make sure that the monitor is not in DEMO mode. Contact
service technician if necessary.
PRESSURE OVER RANGE, Make sure that transducer value has been selected in IBP CAL,
FAIL and then start the calibration. Contact service technician if
necessary.
Pulsatile Pressure Calibration Make sure that pressure value shown by hydrargyrum pressure
Fail meter is changeless. Contact service technician if necessary.
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IBP alarm
When Alarm Switch is On, the physological alarm occurs if any measurement value of Systolic
pressure, Mean pressure, or Diastolic pressure is outside the alarm limits. The alarm limit can be
adjusted by accessing XX Options (XX stands for the label name) > Setup > SYS Alarm >
MEAN Alarm > DIA Alarm.
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Monitoring CO2 (optional)

Overview
The monitor uses a Capnostat 5 CO2 module (c5) as the means for MainStream method CO2
monitoring. MainStream measurement uses a CO2 sensor attached to an airway adapter that is
directly inserted into the patient’s breathing system.
The principle of CO2 measurement is primarily based on the fact that CO2 molecules absorb
4.3μm infrared rays. Absorption intensity is proportional to the CO2 concentration of the patient
sample.
CO2 safety information

WARNING
Do not use the device in the environment with flammable anesthetic gas.
WARNING
The device should be used by trained and qualified medical personnel.
WARNING
Nitrous oxide, elevated levels of oxygen, helium, xenon, halogenated
hydrocarbons, and barometric pressure can influence the CO2 measurement.
WARNING
The monitor will be damaged if any tube from the CO2 module is disconnected, or
the air tube/the air inlet/the air outlet are plugged by water or other materials.
WARNING
The accuracy of the CO2 measurement will be affected by the following reasons:
the airway was highly obstructed; a leaky airway connection or quick variation of
environment temperature.
WARNING
Follow precautions for electrostatic discharge (ESD) and electromagnetic
interference (EMI) to and from other equipment.
WARNING
In the presence of electromagnetic devices (e.g., electrocautery), patient
monitoring may be interrupted due to electromagnetic interference.
Electromagnetic fields up to 20V/m will not adversely affect module performance.
WARNING
Do not place the sensor cables or tubing in a way that may cause tangling or
strangulation.
WARNING
Do not store the CO2 Module at temperatures less than -40 ºC or greater than
+70 ºC. Do not operate the CO2 Module at temperatures less than 0 ºC or greater
than 40 ºC.
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NOTE
After the low battery alarm appears, do not start the CO2 measurement. The monitor may
turn off from lack of battery power.
Monitoring procedures
Zeroing the sensor
Zeroing must be performed according to the following procedure when using a new airway
adapter:
1. Expose the sensor to room air, but not to any source of CO2. This includes the ventilator,
patient, and operator.
2. Select CO2 Setup, and change Work Mode from Standby to Measure.
3. In the CO2 Setup menu, select Zero Calibration.
4. If the system briefly displays Zeroing, the process is successful. After the zeroing calibration
is finished, you can start CO2 Monitoring. If the system displays Breath detected or Zero
required, zeroing has failed. Zero calibration must be performed again.
C5 CO2 module
NOTE
You must perform a zero calibration as described in this procedure each time you use a
new airway adapter.
C5 CO2 module
Measurement steps
1. Attach the sensor connector to the CO2 connector on the monitor.
2. Wait two minutes, allowing the sensor to reach its operating temperature and a stable thermal
condition.
3. Choose the appropriate airway adapter and connect it to the sensor head. The airway adapter
clicks into place when seated correctly.
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Connecting Sensor
4. To zero the sensor, refer to zeroing the sensor;
5. Install the airway adapter at the proximal end of the circuit between the elbow and the
ventilator Y-section.
Connecting Airway Adapter
WARNING
Accuracy is affected by temperature and barometric pressure.
WARNING
Installing or removing the CO2 module when the monitor is working may make the
monitor unstable. If you do it inadvertently, turn off the module in menu
immediately. The module enters STANDBY mode if you reconnect it to monitor
which it is powered on. If the readings are inaccurate, you should do calibration.
NOTE
• Replace the airway adapter if excessive moisture or secretions are observed in the
tubing or if the CO2 waveform changes unexpectedly without a change in patient
status.
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• To avoid infection, use only sterilized, disinfected, or disposable airway adapters.

• Inspect the airway adapters prior to use. Do not use if airway adapter appears to have
been damaged or broken. Observe airway adapter color coding for patient population.
• Periodically check the flow sensor and tubing for excessive moisture or secretion
buildup.
Removing exhaust gases from the system

WARNING
Anesthetics: when using the CO2 measurement on patients who are receiving or
have recently received anesthetics connect the outlet to a scavenging system, to
avoid exposing medical staff to anesthetics.
Use an exhaust tube to remove the sample gas to a scavenging system. Attach the tube to the
mainstream sensor at the outlet connector.
Setting CO2 waveform setup

Select the CO2 waveform area to display the CO2 waveform menu:
1. Set Mode to Curve or Filled as desired.
2. Set Sweep to an appropriate value from the pop-up list. The larger the value, the faster the
speed.
Setting CO2 corrections

Temperature, water vapor in the patient’s breath, barometric pressure, and the proportions of O2,
N2O and Helium in the mixture all influence CO2 absorption. If values seem inaccurately high or
low, check that the monitor is using the appropriate corrections. Baro Press, O2 Compens,
Balance Gas and Anes Agent can be selected.
Changing CO2 alarms

This chapter describes specific CO2 alarms. See the chapter “Alarms” for general alarm
information. To change the alarm, refer to the following steps:
1. Select the CO2 Setup menu to display that menu.
2. Select etCO2 Alarm Setup, FiCO2 Alarm Setup or AwRR Alarm Setup to adjust the
alarm limit.
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Changing apnea alarm

This function allows the user to set an apnea alarm that monitors a time limit if a patient ceases
breathing.
1. Select the CO2 Setup menu.
2. Select Apnea Alm.
3. Choose the apnea alarm time from the pop-up list.
WARNING
Safety and effectiveness of the respiration measurement method in the detection
of apnea, particularly the apnea of prematurity and apnea of infancy, has not been
established.
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Freeze
Overview
When monitoring a patient, the user can freeze waveforms and examine them. Generally, the user
should not view frozen waveforms for longer than 60 seconds. The Freeze function has the
following features:
• Freeze status can be activated on any operating screen.
• Upon freezing, the system exits all other operating menus. The system freezes all waveforms
in the Waveform area of the Basic Screen, the Full Lead ECG waveforms and extra
waveforms on the Full Lead ECG interface (if any). The Parameter area refreshes normally.
• The frozen waveforms can be reviewed and recorded.
Entering/exiting freeze status

Entering freeze status
In the non-Freeze status, press the hardkey on the monitor control panel to exit the current
menu. Freeze status is entered and the pop-up Freeze menu is displayed. In Freeze status, all
waveforms are frozen and will not be refreshed.
Exiting freeze status

Executing any of the following operations will exit Freeze status:
1. Select Exit option in/from the Freeze menu;
2. Press hardkey on the control panel again;

3. Execute any operation that triggers the adjustment of the screen or displays a new menu.
After exiting Freeze status, the system will clear screen waveforms and resume displaying
real-time waveforms. In the Screen Refresh mode, the system will sweep the waveforms from left
to right in the Waveform Area.
Press the hardkey on the control panel, and the Freeze menu will appear on the bottom part
of the screen. At the same time, the system freezes the waveforms.
• REC WAVE: can be set to any waveform of 8 s, such as IBP1, CO2, PLETH etc. It can also
be set to OFF.
• Review: Used to review frozen waveforms.
• Exit: The system closes the Frozen menu and exits Freeze status.
NOTE
Pressing the hardkey repeatedly over a short period of time may result in
discontinuous waveforms on the screen.
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Reviewing frozen waveform

By moving the waveform, the user can review 120 seconds of the waveform before it was frozen.
For a waveform of less than 60 seconds, the remaining part is displayed as a straight line. The
rotary knob on the control panel can be used to move the cursor to the Review option in the
Freeze menu. Press the knob. By turning the knob left or right, frozen waveforms on the screen
will move left or right correspondingly. There is an arrow indicating upward on the right side of
the last waveform.
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Review
The monitor provides 120-hour trend data of all parameters, storage of 1200 NIBP measurement
results and 60 alarm events. This chapter gives detailed instruction for review of all data.
Trend graph review

• The latest 1-hour trend displays data taken every 1 or 5 seconds.
• The latest 120-hour trend displays data taken every 1, 5 or 10 minutes.
To review the Trend Graph, press the Trend hardkey on the front panel or select
Menu > Review > Trend Graph.
In the trend graph, the y-axis is the measurement value and x-axis represents time.
Selecting trend graph of specific parameter

The monitor can display trend graphs of different parameters. To select a different parameter’s
trend, select Menu > Review > Trend Graph and select the desired parameter name from the
pop-up list (as shown in red text on the above figure).
Setting resolution
To set an appropriate resolution, select Menu > Review > Trend Graph. Choose Resolution to
display the list and select a resolution ranging from 1 sec, 5 sec, 1 min, 5 min and 10 min.
Scrolling the screen

Not all trend graphs are displayed on the current screen. To see other trend graphs, press the
symbols and displayed on the trend graph.
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Switching to the trend table

To switch to the trend table, select Trend Table.
Record
The monitor can print the data in the current trend window. For more information, refer to
chapter “Strip recording”.
Trend table review

To review the trend table, press the Trend Table shortcut key on the screen or select
Menu > Review > Trend Table.
Setting resolution
To set an appropriate resolution, select Menu > Review > Trend Table. Choose Resolution to
display the list and select a resolution ranging from 1 sec, 5 sec, 1 min, 5 min and 10 min, 30
min and 60 min.

Not all trend tables can be displayed on the current screen. To see other measurement trend tables,
press the symbols , , and displayed on the trend graph.
Switching to trend graph

The user can switch to the trend graph on the Trend Table dialog box.
Select Menu > Review > Trend Graph and select the Trend Graph option from the pop-up
dialog box.
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Recording
The monitor can make a tabular trend recording of the data in the current trend graph window.
The report uses the current trend interval settings. For more information, refer to chapter
“Recording”.
NIBP review
To review the NIBP measurement data, select the NIBP Review key on the screen or select
Menu > Review > NIBP Review. The NIBP Review window is displayed.

Not all measurement data is displayed on the current screen. To see other measurement data,
press the symbols and displayed on the NIBP Review dialog box.
Recording
The monitor can record the measurement data in the NIBP review window. For more information,
refer to chapter “Recording”.
Alarm review
The monitor can store up to 60 alarm events and displays the last 10 alarm events.
To review the alarm event, select the Alarm Review key on the screen or select Menu > Review
> Alarm Review. The Alarm Review dialog box is displayed.

Not all alarm events are displayed on the current screen. To see other alarm events, press the
symbols and displayed on the Alarm Review dialog box.
Selecting alarm event of specific parameter

The monitor can review an alarm event of a specific parameter. To view the alarm event of the
specific parameter, select Menu > Review > Alarm Event and choose Event Type to select the
desired parameter name from the pop-up list.
Setting time index

The user can set End time of alarm review by selecting the Time Index option displayed on the
Alarm Event Review dialog box.
If the user selects Current Time on the pop-up dialog box, the alarm events occurring before the
current time are displayed on the alarm event review dialog box.
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If the user selects User Define, he can define the review time by setting Year, Month, Day,
Hour, Min and Sec. The alarm events occur before the User Define option is displayed on the
alarm event review dialog box.
Recording
The monitor can record the alarm event in the alarm event review window. For more information,
refer to chapter “Recording”.
Arr review
Select ECG Setup > Arr Analysis> Arr Review or Menu > Review > Arr Review to display
the Arr Review dialog box. The dialog box displays the latest arrhythmia events.
Selecting specific arrhythmia event

The monitor can review a specific arrhythmia event. To view the specific arrhythmia event, select
Menu > Review > Arrhythmia Review > Rename and choose the desired name from the
pop-up list.

Not all arrhythmia events can be displayed on the current screen. To see the other arrhythmia
events, press the symbol and displayed on the Arrhythmia Review dialog box.
Deleting arrhythmia events

The user can delete the arrhythmia events displayed on the current screen by selecting Delete on
the Arrhythmia Review dialog box.
Recording
The monitor can record the waveforms of the arrhythmia events displayed on the current screen.
For more information, refer to chapter “Recording”.
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Calculation and titration table

The monitor provides a calculation function and titration table. Calculations are patient data that
are not directly measured but calculated by the monitor.
The monitor can perform drug calculations. Hemodynamic calculations are not described in this
Instructions for Use. To perform a calculation, select Menu > Common Function > Drug Cal.
NOTE
The drug calculation function acts only as a calculator. The patient weights in Drug
Calculation menu and in Patient Information menu are independent of each other.
Therefore changing the Weight in Drug Calculation menu will not change the weight in
the Patient Information menu.
Drug calculation
Calculation procedures
1. The drug calculation window is displayed by selecting Menu > Common Function > Drug
Calc.
2. Select the right pull-down Drug Name option and select the desired drug name among the 15
drugs which are listed as follows. The names of drug Drug A, Drug B, Drug C, Drug D and
Drug E can be defined by the user.
• Drug A, Drug B, Drug C, Drug D and Drug E
• AMINOPHYLLINE
• DOBUTAMINE
• DOPAMINE
• EPINEPHRINE
• HEPARIN
• ISUPREL
• LIDOCAINE
• NIPRIDE
• NITROGLYCERIN
• PITOCIN
3. The system generates default values that cannot be treated as calculation results. The user
must input the correct parameter values.
4. Input the patient’s weight.
5. Input the correct parameter value.
6. Confirm if the calculation result is correct.
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Calculation unit
Each drug has the fixed unit or unit series that is used for it. Within the same unit series, the
numeric value is automatically scaled up or down as needed.
The calculation units of the drugs are as follows:
Drug Unit
DRUG A, DRUG B, DRUG C, AMINOPHYLLINE, g, mg, mcg
DOBUTAMINE, DOPAMINE, EPINEPHRINE,
ISUPREL, LIDOCAINE, NIPRIDE, NITROGLYCERIN
DRUG D, PITOCIN, HEPARIN Ku, mu, Unit
DRUG E mEq
When defining a drug, select Drug A, Drug B, Drug C, Drug D, and Drug E based on the unit
series.
NOTE
• The drug calculation is displayed as invalid prior to data entry.
• Drip Rate and Drop Size are invalid in neonatal mode.
Titration table
After completing the drug calculation, the user can display the Titration on the Drug Calc dialog
box.
The user can change the following items in the titration table:
• Basic
• Step
• Dose Type
The data in the trend table will vary with the changes above. The user can perform the following:
• Scroll up and down the screen by selecting the symbol and displayed on the trend
graph.
• Record the data displayed in the current dialog box by selecting the button Record.
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Strip recording
General information
A thermal dot matrix recorder is used for the monitor and can support a number of recording
types and output patient information, measurement data, and review data waveforms.
4 1
1 Start/Stop key. Press this key to start or stop recording task.

2 Recorder door
3 Paper outlet
4 Recording indicator
Performance of the recorder

• Waveform record printed at the rate of 25 mm/s or 50 mm/s.
• 48 mm wide printout paper.
• Record up to three waveforms.
• User-selectable real-time recording time and waveform.
• Auto recording interval is set by the user and the waveform displays in real time.
NOTE
You should not use the strip recorder with a low battery as recorder usage will more
quickly deplete the battery.
Recording type
The monitor provides several types of strip recordings:
• Continuous real-time recording
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• Time recording
• Alarm recording
• Trend graph, trend table recording
• Arrhythmia review recording
• Drug calculation titration recording
• NIBP review recording
• Alarm review recording
Starting and stopping strip recording

The strip recording can be started and stopped in the following ways:
Continuous real-time recording Press the Start/Stop hardkey on the printer or the
Recording hardkey on the monitor to start the strip
recording, and repress it to stop the strip recording.
Auto recording Record the three waveforms selected in the Record menu
for the duration defined in the Record menu. The strip
recording automatically stops in 8 seconds.
Alarm recording When alarm recording is ON, it automatically starts when
alarm occurs.
Trend graph recording Display the Trend Graph menu, and then press the Record
button in the dialog box to start strip recording.
Trend table recording Display the Trend Table menu, then press the Record
Arrhythmia review recording Display the ECG Setup menu via shortcut key, select ARR
Analysis > ARR Review, and then press the Record button
in the dialog box to start strip recording.
Alarm review recording Display the Alarm Review menu, then press the Record
NIBP review recording Display the NIBP Review menu, then press the Record
button in the dialog box to start recording.
Titration table recording Display the Drug Calc menu from the Menu. Pick the
Titration button in the menu to access the Titration
window. Press the Record button to print out the currently
displayed titration table.
- 88 -
The recorder will stop recording in the following situations:

• The strip recording task is finished.
• When the Start/Stop button on the front panel of the printer is pressed while the printer is
printing.
• No paper in the recorder.
• Because of malfunction.
Recorder operations and status messages

Record paper requirement
CAUTION
Only use standard thermo-sensitive record paper. If non-standard record paper is used,
the recorder might not function, the recording quality may be poor, and the
thermo-sensitive printhead could be damaged.
Proper operation
• When the strip recorder is operating, do not pull the paper.
• Do not operate the strip recorder without record paper.
Paper out
When the Recorder Out Of Paper alarm is displayed, the strip recorder will not start.
Installling paper
1. Pull out the upper arc of the strip recorder casing as shown in the following figure.
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2. Insert a new roll of paper into the paper cassette, printing side facing upwards.
3. Position the paper correctly.
4. Pull 2 cm of paper out and close the strip recorder casing.

NOTE
Be careful when inserting paper. Avoid damaging the thermo-sensitive print head. Do not
leave the strip recorder door open except to insert paper or troubleshoot printing
problems.
- 90 -
Removing paper jam

When the strip recorder malfunctions, open the strip recorder door to check for a paper jam.
Remove the paper jam in the following way:
• Cut the record paper from the feeding edge.
• Open the strip recorder door.
• Re-install the paper.
NOTE
• If the monitor is not installed with a strip recorder, it will indicate RECORDER SETUP
NEEDED after pressing the Record button in the dialog box.
• Do not touch the thermo-sensitive print head when performing continuous recording.
- 91 -
Other Functions
Nurse call
The monitor provides a dedicated nurse call port which can be connected to the hospital’s nurse
call system.
- 92 -
Using battery
Battery power indicator
The indicator labeled Battery on the front panel of the monitor illuminates green when the
monitor is battery powered and yellow when being charged. The indicator is not illuminated
when the monitor is not powered or when using AC power.
Battery status on the main screen

The Battery Status shows the status of each battery detected and the combined battery power
remaining. It also includes an estimate of the monitoring time remaining.
Icon is shown when the battery is being charged. The yellow section represents the
battery charge level. When fully charged, the section turns green.
Icon is shown when the monitor is not equipped with a battery.
Icon is shown is there is insufficient power.
When the monitor is battery powered, the monitor switches off automatically if there is no power.
Checking battery performance

NOTE
Remove the battery from the monitor when the monitor is not used for a long periods of
time.
The performance of rechargeable batteries may deteriorate over time. The battery should be
conditioned regularly as follows:
1. Disconnect the patient from the monitor and stop all monitoring and measurement.
2. Switch the monitor power on and charge the battery for more than 6 hours continuously.
3. Disconnect the monitor and let it run until there is no battery power remaining and the
monitor shuts off.
4. Reconnect the monitor to mains.
This should improve the battery running time. If the running time is less than listed in the
specification, change the battery or contact the customer service.
WARNING
Before using the rechargeable lithium-ion battery (hereinafter called battery), be
sure to read these Instructions for Use and follow all safety precautions.
WARNING
Do not destroy, disassemble or modify the battery in any way. Do not short circuit
the battery, or its terminals, to a metal object.
- 93 -
WARNING
Do not unplug the battery while the monitor is monitoring a patient.
WARNING
Do not heat or throw battery into a fire.
WARNING
Do not store the battery at temperatures above 60 °C.
WARNING
Do not immerse, throw, or wet battery in water/seawater.
WARNING
Use the battery only in the monitor. Do not connect battery directly to an electric
outlet or cigarette lighter charger.
WARNING
If liquid leaking from the battery gets into your eyes, do not rub your eyes. Wash
them well with clean water and go to see a doctor immediately. If liquid leaks of the
battery splash onto your skin or clothes, wash well with fresh water immediately.
WARNING
Keep away from fire immediately when leakage or foul odor is detected.
WARNING
Stop using the battery if abnormal heat, odor, discoloration, damage, deformation,
or abnormal condition is detected during use, charge, or storage. Keep it away
from the monitor.
Replacing the battery

To install or replace the battery:
Battery
door
1. Pull the battery door downwards to open it.

2. Pull the metal retainer until the battery can be removed.
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3. Insert the new battery into the battery compartment.

4. Pull the metal retainer downward to fix the battery and close the battery door.
Recycling the battery

When the battery no longer holds a charge, it should be replaced. Remove the old battery from
the monitor and recycle it properly.
NOTE
To prolong the life of rechargeable battery, charge it at least once every six months for a
charging time of about five hours.
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Care and cleaning

Use only the Dräger-approved substances and methods listed in this chapter to clean or disinfect
the equipment. The warranty does not cover damage caused by using unapproved substances or
methods.
Dräger makes no claims regarding the efficacy of the listed chemicals or methods as a means for
controlling infection. Contact infectious disease experts in your hospital for details.
General points
WARNING
Before cleaning, sterilizing, or disinfecting the monitor or any accessory, make
sure that the equipment is switched off and disconnected from the power line.
Keep the monitor, cables, and accessories free of dust and dirt.
CAUTION
To prevent the device from damage, follow this procedure:
• Always dilute cleaning, sterilizing, or disinfecting agents according to the
manufacturer’s instructions or use the lowest possible concentration.
• Do not immerse any part of the equipment or any accessory in liquid or pour liquid
onto them.
• Never use bleach.
• Do not allow liquid to enter the case.
• Never use abrasive material (such as steel wool or silver polish).
CAUTION
If you spill liquid on the equipment, battery, or accessories, or they are accidentally
immersed in liquid, contact your service personnel or DrägerService.
Cleaning
Cleaning the monitor
Regular cleaning of the monitor shell and the screen are strongly recommended. Use only
non-caustic detergents such as soap and warm water (40 °C maximum) to clean the monitor shell.
Do not use strong solvents such as acetone or trichloroethylene.
Exercise caution when cleaning the monitor screen. Do not permit liquids to enter the monitor
case. Do not allow water or cleaning solution to enter the measurement connectors.
Examples of disinfectants that can be used on the instrument casing are as follows:
• Tenside;
• Diluted Ammonia Water < 3%;
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• Diluted Sodium Hypochlorite (Bleaching agent);

• Diluted Formaldehyde 35 to 37 %;
• Hydrogen Peroxide 3 %;
• Alcohol;
• Isopropanol.
NOTE
• The diluted sodium hypochlorite from 500 ppm (1:100 diluted bleaching agent) to
5000 ppm (1:10 bleaching agents) is very effective. The concentration of the diluted
sodium hypochlorite depends on how many organisms (blood, mucus) on the surface
of the chassis to be cleaned.
• The monitor and sensor surface can be cleaned with hospital-grade ethanol and
allowed to air dry or dried using a clean cloth.
Cleaning the accessories

Cleaning the Cables and Lead Wires
CAUTION
Do not use acetone or ketone solvents for cleaning; do not use an autoclave or steam
cleaner.
CAUTION
The decision to sterilize must be made per your hospital’s policy with an awareness of the
effect on the integrity of the cable and leadwire.
Cables and leadwires can be cleaned with a warm, damp cloth and mild soap, or isopropyl
alcohol wipes. Refer to the previous page for safe cleaning techniques.
Cleaning the blood pressure cuff

Use a soft brush to wash the cuff surface and clean as follows:
NOTE
• Do not immerse the rubber tube or allow liquid to enter either the cuff or the tube when
washing it.
• Do not scrub or knead the cuff.
Cleaning the CO2 sensor

Clean the sensor surface with a damp cloth. Ensure the sensor windows are clean and dry.
• Do not immerse the sensor.
• Do not attempt to sterilize the sensor.
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An adapter can be cleaned by rinsing in a warm soapy solution, followed by soaking in a liquid
disinfectant, pasteurized, or cold sterilized (glutaraldehyde). It should then be rinsed with sterile
water and dried. Before reusing any adapter, ensure the windows are clean and free of any
residue.
For other applied parts, the manufacturer must be consulted for cleaning, sterilization, or
disinfecting methods.
Other accessories
For cleaning other accessories, contact the manufacturers for details.
Sterilization
To avoid extended damage to the equipment, sterilization is only recommended when stipulated
as necessary in the hospital’s policy. Sterilization facilities should be cleaned first.
Recommended sterilization material: Ethylate and Acetaldehyde.
Appropriate sterilization materials for ECG lead and blood pressure cuff are described in those
chapters.
WARNING
Sterilize and disinfect as needed to prevent cross infection between patients.
CAUTION
Use a moistened cloth to wipe up any agent remaining on the monitor.
Disinfection
WARNING
Mixing bleach and ammonia (or other disinfecting solutions) may produce
hazardous gases.
To avoid extended damage to the equipment, disinfection is only recommended when stipulated
as necessary in the hospital’s policy. Disinfection facilities should be cleaned first.
Appropriate disinfection materials for ECG leads, SpO2 sensor, blood pressure cuff, TEMP probe,
IBP sensor are described in those chapters.
Recommended types of disinfecting agents are:
• Alcohol
• Aldehyde
CAUTION
Do not use etO gas or formaldehyde to disinfect the monitor.
- 98 -
Maintenance
WARNING
Failure on the part of the responsible institution to implement a satisfactory
maintenance schedule may cause undue equipment failure and possible health
hazards.
WARNING
If the monitor is mechanically damaged, or if it is not working properly, do not use
it. Contact your technical personnel.
WARNING
If you discover a problem with any of the equipment, contact your service
personnel or your authorized supplier.
Inspecting
The overall check of the monitor, including the safety check, should be performed by qualified
personnel every 24 months, and following repair.
The following items should be checked:
• If the environmental condition and power supply meet requirements.
• If the power supply cord is damaged and the insulation is not cut.
• If the device and accessories are damaged.
• Specified accessories.
• If the alarm system works properly.
• If the recorder works properly and there is sufficient paper.
• Battery performance
• If all monitoring functions are in good condition.
• If grounding resistance and leakage function properly.
If any damage or abnormality is found, do not use the monitor and contact customer support.
Maintenance task and test schedule

The following maintenance tasks are for Dräger-qualified service professionals only. Contact a
Dräger-qualified service provider if the monitor needs a safety or performance test. Clean and
disinfect equipment before testing or maintaining it.
Maintenance and Test Schedule Frequency
Safety checks. Selected tests on At least once every two years, or as needed, following
the basis of IEC 62353 any repairs where the power supply is removed or
replaced, or if the monitor has been dropped.
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Maintenance and Test Schedule Frequency

Check ECG synchronization of the At least once every two years, or as needed.
monitor
NIBP leakage inspection and At least once every two years, or as specified by local
calibrations laws.
CO2 calibration and performance At least once every two years, or if you suspect the
test measurement values are incorrect.
Replacing fuse
To replace the blown fuse:
1. Switch off the monitor and unplug the power cable.
2. Carefully place the monitor upside down on a flat surface covered with cloth or other
protecting pad.
3. Pull ot the fuse box from the groove and you will see the fuse.
4. Remove the old fuse. Take out a new fuse with the following specifications:
Ф 5 mm x 20 mm: Model: T1.6AL 250 V.
5. Place the new fuse in the fuse socket and push the box back into position.
- 100 -
Disposal
CAUTION
The device and its components must be disinfected and cleaned before disposal!
For countries subject to EU Directive 2002/96/EC:

This device is subject to EU directive 2002/96/EC (WEEE). In order to comply with its
registration according to this directive, it may not be disposed of at municipal collection
points for waste electrical and electronic equipment. Dräger has authorized a company to
collect and dispose of this device. To initiate take-back or for further information, visit us
on the Internet at www.draeger.com and navigate to the DrägerService area where you
will find a link to “WEEE”. If you have no access to our website, contact your loacal
Dräger organization.
- 101 -
Service policy
Repair of the device may only be carried out by trained service personnel otherwise the correct
functioning of the device may be compromised.
Regular bi-annual maintenance (functional and safety test) according to IEC 62353 is
recommended, in addition to national regulations and laws (for example, accident prevention
regulations).
Connecting the medical device to other medical devices could result in additional maintenance
requirements.
Consult the documentation for these other devices to identify additional requirements.
Dräger recommends contracting with DrägerService for any repairs. Use only authentic Dräger
repair parts during maintenance. Using non-Dräger repair parts may adversely affect the
operation of the device.
If the product fails to function properly, or if assistance is needed, for service and for spare parts,
contact Dräger’s service center. A representative will assist in troubleshooting the problem and
will make every effort to solve it over the phone or e-mail, avoiding potential unnecessary
returns.
In case a return can not be avoided, the representative will record all necessary information and
will provide a Return Material Authorization (RMA) form that includes the appropriate return
address and instructions. An RMA form must be obtained prior to any return.
If you have any questions about maintenance, technical specifications, or malfunctions of devices,
contact your local distributor.
- 102 -
Accessories
Accessories can be ordered from your local Dräger representative.
WARNING
Never reuse disposable transducers, sensors or other accessories that are
intended for single-use or single patient use only. Reuse may compromise device
functionality and system performance and cause a potential hazard.
WARNING
Only use accessories that are approved by Dräger. Using accessories that are not
approved by Dräger may compromise device functionality and system
performance and cause a potential hazard.
WARNING
Do not use a sterilized accessory if its packaging is damaged.
NOTE
Transducers and sensors have a limited shelf life. Refer to the package labeling.
The following cables may not all be available in all countries. Check availability with your local
Dräger supplier.
ECG accessories
The following table lists the optional configuration for the monitor:
Part Number Accessory

2606185 ECG trunk cable, 5-lead, Defib, IEC, 2.6 m, reusable
2606186 ECG limb wires, 5-lead, snap, IEC, 0.9 m, reusable
2606187 ECG limb wires, 5-lead, clip, IEC, 0.9 m, reusable
2606192 ECG cable, 5-lead, snap, Defi, AHA, 3.5 m, reusable
2606193 ECG cable, 5-lead, clip, AHA, 3.5 m, reusable
2606195 ECG cable, 3-lead, snap, AHA, 3.5 m, reusable
2606196 ECG trunk cable, 3-lead, Defib, IEC, 2.6 m, reusable
2606197 ECG limb wires, 3-lead, clip, IEC, 0.9 m, reusable
2606245 ECG Electrodes, adult, disposable, 30 pieces
2606200 ECG Electrodes, adult, disposable, 100 pieces
2606246 ECG Electrodes, child, neo disposable, 50 pieces
- 103 -
SpO2 accessories
2606201 SpO2 Finger Sensor, adult, 2.5 m, reusable
2606202 SpO2 Finger Sensor, adult, 1 m, reusable
2606205 SpO2 Silicone Soft-tip Sensor, adult, 1 m, reusable
2606206 SpO2 Silicone Soft-tip Sensor, pediatric, 1 m, reusable
2606207 SpO2 Extension cable, 2m
2606208 SpO2 Sensor, adult, 0.5 m, disposable, 25 pieces
2606209 SpO2 Sensor, pediatric, 0.5 m, disposable, 25 pieces
2606210 SpO2 Sensor, Infant, 0.5 m, disposable, 25 pieces
2606211 SpO2 Sensor, Neonate, 0.5 m, disposable, 25 pieces
NIBP accessories
2606212 NIBP Cuff, Adult, 25 cm – 35 cm, reusable
2606213 NIBP Cuff, Larger Adult, 33 cm – 47 cm, reusable
2606214 NIBP Cuff, Child, 18 cm – 26 cm, reusable
2606215 NIBP Cuff, Infant, 10 cm – 19 cm, reusable
2606271 NIBP Cuff, Neonatal #1, 3 cm – 6 cm, disposable
2606218 NIBP Tube, 3 m
2606219 NIBP Tube, for neonatal cuff, 3 m
- 104 -
Temp accessories
2606220 Temperature Probe Skin, adult, 3 m, reusable
2606221 Temperature Probe, rectal / oral, 3 m, reusable
IBP accessories
2606224 IBP Pressure transducer interface cable, BD
2606225 IBP Pressure transducer kit, BD, disposable, 5 pieces
CO2 accessories
2606226 EtCO2 Module with disp. Adult airway adapter
2606227 CO2 Airway Adapter, Adult, disposable, 10 pieces
2606228 CO2 Airway Adapter, Neonatal (infant/pediatric), 10 pcs.
Device accessories
2606229 Vista 120 Rechargeable Lithium-Ion Battery
2606231 Vista 120 Printing paper, 4 rolls
2606232 Vista 120 Ground Cable
2606233 Vista 120 Mounting adaptor
Spare parts
2606229 Vista 120 Rechargeable Lithium-Ion Battery
2606260 Fuse
- 105 -
Technical Data
Classification
Protection class Class I equipment and internal powered equipment
EMC class Group I, Class A
Degree of protection against CF: ECG (RESP), TEMP, IBP
electric shock BF: SpO2, NIBP, CO2
Liquid ingress protection IPX1
Disinfection/sterilization method Refer to chapter “Care and Cleaning” for details.
Mode of operation Continuous
Device specifications
Size 408 mm (L) × 157 mm (W)× 316 mm (H)
Weight 7 kg
Ambient conditions
Temperature
Operating +5 to +40 °C
Transport and storage -20 to +55 °C
Relative humidity
Operating 25 to 80 % (non-condensing)
Transport and storage 25 to 93 % (non-condensing)

Altitude
Operating 860 to 1060 hPa
Transport and storage 700 to 1060 hPa
Leakage current
Applied part Normal condition Single fault condition
Earth leakage current <0.5 mA <1 mA
Enclosure leakage current <0.1 mA <0.5 mA
Patient leakage current CF AC: <0.01 mA AC: <0.05 mA
DC: <0.01 mA DC: <0.05 mA
BF AC: <0.1 mA AC: <0.5 mA
- 106 -
DC: <0.01 mA DC: <0.05 mA

Patient leakage current CF < 0.05 mA
(Mains on applied parts)
BF < 5 mA
Patient auxiliary current CF AC: <0.01 mA AC: <0.05 mA
DC: <0.01 mA DC: <0.05 mA
BF AC: <0.1 mA AC: <0.5 mA
DC: <0.01 mA DC: <0.05 mA
Power supply
Power supply 100 to 240 V~, 50 Hz/60 Hz
Pmax = 110 VA
FUSE T 1.6 AL, 250 V
Battery (optional)
Quantity 1
Capacity 4.2 Ah
Battery life 120 min (At 25 °C, continuous SpO2 measuring mode and
NIBP automatic measuring mode)
Battery charge time 320 min (Monitor is on or in standby mode.)
Display
Display Messages
Display screen: 15” color TFT A maximum of 11 waveforms
Resolution: 1024 × 768 One power LED
Two alarm LEDs
One charge LED
Recorder
Record width 48 mm
Paper speed 25 mm/s, 50 mm/s
Trace Up to 3
- 107 -
Recording types 8 second real-time recording

Auto 8 second recording
Parameter alarm recording
Trend recording
Titration table recording
Review
Trend review
Short 1 hr, 1 sec. resolution
Long 120 hrs, 1 min. resolution
Review 1200 sets NIBP measurement data
ECG
3-, 5-lead monitoring
Lead mode 3-Lead: I, II, III
5-Leads: I, II, III, aVR, aVL, aVF, V
Waveform 3-Lead: 1-channel waveform

5-Lead: 2-channel waveform, max. seven waveforms;
Lead naming style AHA, IEC

Display sensitivity 1.25 mm/mV (×0.125), 2.5 mm/mV (×0.25), 5 mm/mV
(×0.5), 10 mm/mV (×1), 20 mm/mV (×2), AUTO gain
Sweep 12.5 mm/s, 25 mm/s, 50 mm/s
Bandwidth (-3dB) Diagnosis: 0.05 to 150 Hz

Monitor: 0.5 to 40Hz
Surgery: 1 to 20Hz
CMRR (Common Mode Diagnosis: >95 dB (the notch filter is off)
Rejection Ratio) Monitor: >105 dB (the notch filter is on)
Surgery: >105 dB (the notch filter is on)
Notch 50 Hz/60 Hz (notch filter can be selected manually）

Differential input impedance >5 MΩ
Input signal range ±8 mVPP
- 108 -
Electrode offset potential ±500 mV

Tolerance
Auxiliary current (Leads off Active electrode: <100 nA
detection) Reference electrode: <900 nA
Input offset current ≤0.1 μA
Recovery time after <5 s
defibrillation
Patient leakage current <10 μA (normal condition)
Scale signal 1 mVPP, accuracy is ±5 ％
System noise <30 μVPP

ESU protection Cut mode: 300 W
Coagulation mode: 100 W
Recovery time: ≤10 s
Meets the requirements of ANSI/AAMI EC13-2002:
Sect. 4.1.2.1 a)
ESU noise suppression Tested according to the test method in EC13: 2002
Sect.5.2.9.14, it complies with the standard.
Pace pulse
Pulse indicator Pulses are marked if the requirements of ANSI/AAMI
EC13:2002, Sect. 4.1.4.1 are met:
Amplitude: ±2 to ±700 mV
Width: 0.1 to 2 ms
Rise time: 10 to 100 μs
Pulse rejection For heart rate meter, pulse is rejected if the requirements of
ANSI/AAMI EC13:2002, Sect. 4.1.4.1 are met:
Amplitude: ±2 to ±700 mV
Width: 0.1 to 2 ms
Rise time: 10 to 100 μs
Heart rate
Range ADU: 15 to 300 bpm
PED/NEO: 15 to 350 bpm
Accuracy ±1 % or ±1 bpm, whichever is greater
Resolution 1 bpm
- 109 -
Sensitivity ≥300 μVPP

PVC
Range ADU: 0 to 300 PVCs/ min
PED/NEO: 0 to 350 PVCs/ min
Resolution 1 PVCs/min or 2% of measurement, whichever is greater
ST value
Range -2.0 to +2.0 mV
Accuracy The max. of ±0.02 mV or 10% (-0.8 to +0.8 mV)
Resolution 0.01 mV
HR averaging method
Method 1 Normally, heart rate is computed by averaging the 12 most
recent RR intervals.
Method 2 If each of three consecutive RR intervals is greater than
1200 ms, then the four most recent RR intervals are
averaged to compute the HR.
Range of sinus and SV rhythm
Brady ADU: 120 to 300 bpm

Normal ADU: 41 to 119 bpm
Tachy ADU: 15 to 40 bpm
Range of ventricular rhythm
Ventricular tachycardia The interval of 5 consecutive ventricular beats is less than
600 ms
Ventricular rhythm The interval of consecutive ventricular beats ranges from
600 ms to 1000 ms
Ventricular bradycardia The interval of 5 consecutive ventricular beats is more than
1000 ms
Time to alarm for tachycardia
Ventricular tachycardia Gain 1.0: 10 s
1 mV 206bpm Gain 0.5: 10 s
Gain 2.0: 10 s
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Ventricular tachycardia Gain 1.0: 10 s

2 mV 195 bpm Gain 0.5: 10 s
Gain 2.0: 10 s
Response time of heart rate HR range: 80 to 120 bpm
meter to change in HR Range : 7 to 8 s, average is 7.5 s
HR range: 80 to 40 bpm
Range : 7 to 8 s, average is 7.5 s
Tall T-wave rejection Exceeds ANSI/AAMI EC13:2002, Sect. 4.1.2.1 c)
minimum recommended 1.2 mV T-Wave amplitude
Accuracy of heart rate meter and According with ANSI/AAMI EC13:2002, Sect.4.1.2.1 e)
response to irregular rhythm The HR value after 20s:
Ventricular bigeminy: 80 ±1 bpm
Slow alternating ventricular bigeminy: 60 ±1 bpm
Rapid alternating ventricular bigeminy: 120 ±1 bpm
Bidirectional systoles: 90 ±1 bpm
16 different arrhythmia analyses Non-paced patient Paced patient
ASYSTOLE R on T ASYSTOLE
VFIB/VTAC PVC TACHY
COUPLET TACHY BRADY
VT>2 BRADY PNC
BIGEMINY MISSED BEATS PNP
TRIGEMINY VWNT
IRR VBRADY
RESP
Method Impedance between RA-LL, RA-LA
Baseline impedance range 200 to 2500 Ω (cable resistance = 0 K)
2200 to 4500 Ω (leads cables 1KΩ resistance)
Measuring sensitivity 0.3 Ω (baseline impedance 200 to 4500 Ω)
Noise < 0.1 Ω (3, 5-lead monitoring)
Max. dynamic range 500 Ω resistance, 3 Ω variable resistance, no clipping
Waveform bandwidth 0.2 to 2.5 Hz (-3 dB)
- 111 -
RR measuring range:
Adult 0 to 120 rpm
Neo/Ped 0 to 150 rpm
Resolution 1 rpm
Accuracy ±2 rpm
Gain selection ×0.25, ×0.5, ×1, ×2, ×3, ×4, ×5
Respiration excitation < 400 μA, sinusoid, 62.8 kHz (± 10%)
waveform
NIBP
Method Oscillometric
Mode Manual, Auto, Continuous
Measuring interval in AUTO 1/2/3/4/5/10/15/30/60/90/120/240/480 min
mode
Continuous 5 min, interval is 5 s
Measuring type Systolic Pressure, Diastolic Pressure, Mean Pressure
Alarm type SYS, DIA, MAP
Measuring and alarm rang
Adult mode SYS: 40 to 270 mmHg
DIA: 10 to 215 mmHg
MAP: 20 to 235 mmHg
Pediatric mode SYS: 40 to 200 mmHg
DIA: 10 to 150 mmHg
MAP: 20 to 165 mmHg
Neonatal mode SYS: 40 to 135 mmHg
DIA: 10 to 100 mmHg
MAP: 20 to 110 mmHg
Cuff pressure measuring 0 to 300 mmHg
range
Pressure resolution 1 mmHg
Maximum standard 8 mmHg
deviation
- 112 -
Maximum measuring period

Adult/Pediatric 120 s
Neonate 90 s
Typical measuring period 30 to 45 s (depend on HR/motion disturbance)
Overpressure protection (Dual overpressure protection)
Adult 297 ±3 mmHg
Pediatric 240 ±3 mmHg
Neonatal 147 ±3 mmHg
PR
Measuring range 40 to 240 bpm
Accuracy ±3 or 3.5%, whichever is larger
SpO2
Measuring Range 0 to 100 %
Alarm Range 0 to 100 %
Resolution 1%
Accuracy
Adult (including Pediatric) ±2 % (70 to 100 % SpO2)
Undefined (0 to 69 % SpO2)
Neonate ±3 % (70 to 100 % SpO2)
Undefined (0 to 69 % SpO2)
Pulse Rate
Measuring range 25 to 300 bpm
Alarm range 30 to 300 bpm
Accuracy ±2 bpm
Data update period 1s
Wave length
Red light 660±3 nm
Infrared light 905±5 nm
- 113 -
TEMP
Channel 2
Measuring range 0 to 50 °C
Alarm range 0 to 50 °C
Sensor type YSI-10K
Resolution +0.1 °C
Accuracy (without sensor) ±0.1 °C
Refresh time Every 1 to 2 s
IBP
Pressure measuring range -50 to +300 mmHg
Resolution 1 mmHg
Accuracy (without sensor) ± 2 % or ±1 mmHg, whichever is larger
Pressure sensor
Sensitivity 5 (μV/V/mmHg)
Impedance 300 to 3000 Ω
Frequency response d.c. to 12.5 or 40 Hz
Zero Range: ±200 mmHg
Accuracy: ±1 mmHg
Measuring and alarm range
Art 0 mmHg to 300 mmHg
PA -6 to +120mmHg
CVP/RAP/LAP/ICP -10 to +40 mmHg
P1/P2 -50 to +300 mmHg
Volume displacement of MSI 4.5 x 10-4 in3 / 100 mmHg
CO2
Method Infra-red Absorption Technique
Unit mmHg, %, kPa
Measuring range
EtCO2 0 to 150 mmHg
- 114 -
FiCO2 3 to 50 mmHg
AwRR 0 to 150 rpm (MainStream)
Resolution
EtCO2 1 mmHg
FiCO2 1 mmHg
AwRR 1 rpm
EtCO2 Accuracy ± 2 mmHg, 0 to 40 mmHg
± 5 % of reading, 41 to 70 mmHg
AwRR Accuracy ± 1 rpm
Apnea Alarm Delay 10 s, 15 s, 20 s (default), 25 s, 30 s, 35 s, 40 s
Calculation Method BTPS (Body Temperature Pressure Saturated)
Sample Gas Flowrate 50 ml/min
Stability
Short Term Drift Drift over 4 hours < 0.8 mmHg
Long Term Drift 120 hour period
O2 Compensation
Range 0 to 100 %
Resolution 1%
Default 16 %
Response time 60 ms
- 115 -
EMC Declaration
General information
The EMC compliance of the medical device is also applicable to the external cables, transducers,
and accessories specified in the list of accessories. In addition, accessories which do not affect
EMC compliance may be used if no other reasons forbid their use (see other sections of the
Instructions for Use). The use of non-compliant accessories may result in increased emissions or
decreased immunity of the medical device.
The medical device may only be used adjacent to or stacked with other devices when the
configuration is approved by Dräger. If adjacent or stacked use of non-approved configurations is
inevitable, the medical device must be observed to verify normal operation in the said
configuration. In any case, strictly observe the Instructions for Use of the other devices.
Electromagnetic emissions
When selecting wireless systems (wireless communication devices, pager systems, etc.) for use in
installations where wireless networking is used, ensure that operating frequencies are compatible.
Low-level signals such as ECG are particularly susceptible to interference from electromagnetic
energy. While the equipment meets the testing described below, it will not ensure perfect
operation. The ‘quieter’ the electrical environment the better. In general, increasing the distance
between electrical devices decreases the likelihood of interference.
Electromagnetic environment
The medical device is intended for use in an electromagnetic environment as specified below.
The user must ensure its use in such an environment.
Emissions Compliance according to Electromagnetic environment

Radio frequency emissions Group 1 The medical device uses RF energy
(CISPR 11) only for its internal function.
Therefore, its RF emissions are very
low and are not likely to cause any
interference in nearby electronic
equipment.
Class A The medical device is suitable for
Harmonic emissions Class A use in all establishments other than
(IEC 61000-3-2) domestic establishments and those
Voltage fluctuations/flicker Complies directly connected to the public
emissions (IEC 61000-3-3) low-voltage power supply network
that supplies buildings used for
domestic purposes.
- 116 -
Electromagnetic immunity
The medical device is intended for use in an electromagnetic environment as specified below.
The user must ensure its use in such an environment.
Immunity against Test level Compliance level Electromagnetic

(IEC 60601-1-2) environment
Electrostatic Contact discharge: Contact discharge: Floors should be wood,
discharge (ESD) ±6 kV ±6 kV concrete or ceramic tile.
(IEC 61000-4-2) Air discharge: Air discharge: If floors are covered
±8 kV ±8 kV with synthetic material,
the relative humidity
should be at least 30 %.
Electrical fast Power supply lines: Power supply lines: Mains power quality
transients/ bursts ±2 kV ±2 kV should be that of a
(IEC 61000-4-4) Longer input / output Longer input / output typical commercial or
lines: ±1 kV lines: ±1 kV hospital environment.
Surge on AC mains Common mode: Common mode: Mains power quality
lines (IEC ±2 kV ±2 kV should be that of a
61000-4-5) Differential mode: Differential mode: typical commercial or
±1 kV ±1 kV hospital environment.
Power frequency 3 A/m 3 A/m Power frequency
magnetic field (50/60 magnetic fields should
Hz) (IEC 61000-4-8) be at levels
characteristic of a
typical location in a
typical commercial or
hospital environment.
Voltage dips and Dip >95 %, 0.5 Dip >95 %, 0.5 Mains power quality
short interruptions on periods periods should be that of a
AC mains input lines Dip 60 %, 5 periods Dip 60 %, 5 periods typical commercial or
(IEC 61000-4-11) Dip 30 %, 25 periods Dip 30 %, 25 periods hospital environment. If
Dip >95 %, 5 seconds Dip >95 %, 5 seconds the user of the medical
device requires
continued operation
during mains power
supply interruptions, it
is recommended that
the medical device be
powered from an
uninterruptible power
supply or a battery.
Radiated RF (IEC 80 MHz to 2.5 GHz: 3 V/m Portable and mobile RF
61000-4-3) 3 V/m communications
equipment should be
used no closer to any
part of Vista 120,
including cables, than
the recommended
- 117 -

Conducted RF (IEC 150 kHz to 80 MHz: 3 VRMS separation distance
61000-4-6) 3 VRMS calculated from the
equation applicable to
the frequency of the
transmitter.
Recommended
separation distance
⎡ 3 .5 ⎤
d =⎢ ⎥ P
⎣ V1 ⎦
⎡ 3 .5 ⎤
d = ⎢ ⎥ P 80 MHz
⎣ E1 ⎦
to 800 MHz
⎡7⎤
d = ⎢ ⎥ P 800
⎣ E1 ⎦
MHz to 2.5 GHz
Where P is the
maximum output power
rating of the transmitter
in watts (W) according
to the transmitter
manufacturer and d is
the recommended
separation distance in
meters (m).
Field strengths from
fixed RF transmitters,
as determined by an
electromagnetic site
survey1, should be less
than the compliance
level in each frequency
range2.
Interference may occur
in the vicinity of
equipment marked with
the following symbol:
- 118 -

NOTE
At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE
These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
1
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV
broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which Vista 120 is used
exceeds the applicable RF compliance level above, Vista 120 should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating Vista 120.
2
Over the frequency range 150kHz to 80MHz, field strengths should be less than 3V/m.
- 119 -
Recommended separation distances to portable and mobile RF

telecommunication devices
The separation distances below are in accordance with IEC 60601-1-2.
Rated maximum Separation distance according to frequency of transmitter(m)
output power of
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
transmitter
⎡ 3 .5 ⎤ ⎡ 3 .5 ⎤ ⎡7⎤
(W) d =⎢ ⎥ P d =⎢ ⎥ P d =⎢ ⎥ P
⎣ V1 ⎦ ⎣ E1 ⎦ ⎣ E1 ⎦
0.01 0.12 0.12 0.23
0.1 0.36 0.37 0.74
1 1.16 1.17 2.33
10 3.69 3.69 7.38
100 11.67 11.67 23.33
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer.
NOTE
At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE
These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
- 120 -
Default settings
This appendix documents the most important default settings of the monitor as it is delivered
from the factory.
Note: If the monitor has been ordered preconfigured to your requirements, the settings at delivery
will be different from those listed here.
Patient information default settings

Patient information settings
Patient type Adult
Pace Off
Alarm default settings

Alarm settings
Pause time 120 s
Alarm Mute On
Sensor off alarm On
Alarm latch Off
ECG default settings

ECG settings ADU PED NEO
Alarm switch On
Alarm record Off
Alarm level Medium
Alarm high limit 120 160 200
Alarm low limit 50 75 100
Pace Off
Lead type 5 Leads
Display Normal
Filter Monitor
Smart lead off Off
Heart volume 3
- 121 -
ST analysis ADU PED NEO

ST analysis On
Alarm switch Off
Alarm level Medium
Alarm record Off
Alarm high limit 0.2
(ST-X)
Alarm low limit -0.2
(ST-X)
X stands for I, II, III, aVR, aVL, aVF, V.
ARR analysis
ARR analysis Off
PVCs alarm level Medium
PVCs alarm switch Off
PVCs alarm record Off
ARR alarm settings Alarm switch Alarm level Alarm record
ASYSTOLE On Medium Off
VFIB/VTAC On Medium Off
R ON T On Medium Off
VT > 2 On Medium Off
COUPLET On Medium Off
PVC On Medium Off
BIGEMINY On Medium Off
TRIGEMINY On Medium Off
TACHY On Medium Off
BRADY On Medium Off
MISSEDBEATS On Medium Off
IRR On Medium Off
PNC On Medium Off
PNP On Medium Off
VBRADY On Medium Off
VENT On Medium Off
- 122 -
RESP
RESP settings ADU PED NEO
Alarm switch On
Alarm record Off
Alarm level Medium
Apnea time 20 s
Calculation type Auto
Resp hold type Auto
Sweep 12.5 mm/s
Amplitude 1
SpO2
SpO2 settings ADU PED NEO
Alarm switch On
Alarm record Off
Alarm level Medium
Pitch tone Off
Sweep 12.5 mm/s
PR
PR settings ADU PED NEO
PR source SpO2
Alarm switch On
Alarm record Off
Alarm level Medium
Pulse volume 3
- 123 -
Alarm source Auto
NIBP
NIBP settings ADU PED NEO
Alarm switch On
Alarm record Off
Alarm level Medium
Alarm high limit (SYS) 160 120 90
Alarm low limit (SYS) 90 75 40
Alarm high limit (Mean) 110 90 70
Alarm low limit (Mean) 60 50 30
Alarm high limit (Dia) 90 70 60
Alarm low limit (Dia) 50 40 20
Inflation value 160 140 100
Unit mmHg
Interval Manual
TEMP
TEMP settings ADU PED NEO
Alarm switch On
Alarm record Off
Alarm level Medium
Alarm high limit (T1) 39.0 39.0 39.0
Alarm low limit (T1) 36.0 36.0 36.0
Alarm high limit (T2) 39.0 39.0 39.0
Alarm low limit (T2) 36.0 36.0 36.0
Alarm high limit (TD) 2.0 2.0 2.0
Unit °C
- 124 -
IBP
IBP settings ADU PED NEO
Alarm switch On
Alarm record Off
Alarm level Medium
Unit mmHg
Filter 12.5 Hz
SYS, DIA, SYS, DIA, MEAN SYS, DIA, MEAN
MEAN
Alarm high limit 160, 90, 110 160, 90, 110 160, 90, 110
(ART, P1, P2)
Alarm low limit 90, 50, 70 90, 50, 70 90, 50, 70
(ART, P1, P2)
Alarm high limit (PA) 35, 16, 20 35, 16, 20 35, 16, 20
Alarm low limit (PA) 10, 0, 0 10, 0, 0 10, 0, 0
MEAN MEAN MEAN
(CVP, RAP, LAP, ICP)
(CVP, RAP, LAP, ICP)
CO2
CO2 settings ADU PED NEO
Alarm switch On
Alarm record Off
Alarm level Medium
Work mode Measure
Unit mmHg
Apnea time 20 s
O2 compensate 16 %
Anes agent 0%
Alarm high limit (EtCO2) 50 50 45
Alarm low limit (EtCO2) 15 20 30
- 125 -
Alarm high limit (FiCO2) 4 4 4

Alarm high limit (AWRR) 30 30 100
Alarm low limit (AWRR) 8 8 30
Sweep 12.5 mm/s
Amplitude Low
- 126 -
- 127 -
Passwords
The following dialog boxes are protected by a password to prevent unauthorized changes:
• User Maintain
• Demo Mode
The password can be found on this page of these Instructions for Use. Cut out this section and
store it in a safe place to keep it from unauthorized persons.
If the section with the password has been removed, ask the person responsible for the device
about the possibility of making changes in the above mentioned dialog boxes.
If the password is lost, contact DrägerService.
Passwords for Vista 120
Cut out this section and store it in a safe place to keep it from unauthorized persons.
The following dialog boxes are protected by a password to prevent unauthorized changes:
Dialog box Password
Menu > Maintenance > User Maintain ABC
Menu > Common Function > Demo Mode 3045
- 128 -
These instructions for use apply only to
Vista 120 SW 1.n
with the Serial No.:
If no Serial No. has been filled in by Dräger,
these Instructions for Use are provided for
general information only and are not intended
for use with any specific machine or unit.
This document is provided for customer
information only, and will not be updated or
exchanged without customer request.
Directive 93/42/EEC
concerning Medical Devices
Manufacturer:
Dräger Medical GmbH

Moislinger Allee 53-55
D-23542 Lübeck
Germany
+49 451 8 82-0
FAX +49 451 8 82-20 80
http://www.draeger.com
2606251 – GA 6498.020 enUS

© Dräger Medical GmbH
Edition: 3 – 2011-06
(Edition: 1 – 2010-12)
Dräger reserves the right to make modifications
to the equipment without prior notice.

Vista 120: Instructions For Use

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Vista 120: Instructions For Use

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Instructions for Use

Definition of Safety Information

Abbreviations and Symbols

Alarm information ........................................................................................................... 27

User interface .................................................................................................................. 41

Monitoring NIBP .............................................................................................................. 63

Monitoring IBP (optional)................................................................................................ 69

Calculation and titration table........................................................................................ 85

Other Functions .............................................................................................................. 92

Using battery ................................................................................................................... 93

Care and cleaning ........................................................................................................... 96

Disposal ......................................................................................................................... 101

Service policy ................................................................................................................ 102

Accessories ................................................................................................................... 103

Default settings ............................................................................................................. 121

Passwords ..................................................................................................................... 128

For Your Safety and that of Your Patients

Strictly follow these Instructions for Use

Not for use in areas of explosion hazard

Safe connection with other electrical equipment

Information on Electromagnetic Compatibility

Product-specific safety information

Restrictions for use

Abbr. Explanation Abbr. Explanation

Alarm Pause USB port

NIBP measurement RS232 port

Trend graph VGA output, External Monitor

Freeze Signal output port

Recording Signal output port

Menu Nurse call port

Protection class type CF

Equipotential bonding Disposal instructions

Network port Part number

Conformitè Europèenne Directive

GOST label Consult Instructions for Use

Vista 120 configuration

Size (L×W×H) Shape Function Configuration

ECG, RESP, SpO2, NIBP, TEMP, IBP,

Installing the monitor

Installing the monitor on a wall

Installing the monitor on a roll stand/trolley

Connecting the power cord

Checking the monitor

Checking the strip recorder

Setting the date and time

Opening User Maintain Menu

2. Select Maintenance > User Maintain

Entering Demo Mode

Selecting Lead Placement

Menu Display the main setup menu

Mute Permanently silences auditory alarm signals

Admission Admit a patient

Trend Graph Access the trend graph review dialog box

Trend Table Access the trend table review dialog box

AlarmReview Access the alarm event review dialog box

NIBP Review Access the NIBP review dialog box

ARR Review Access the ARR review dialog box

Standard Access the standard dialog box

TrendScreen Access the Trend Screen dialog box

OxyCRG Access the OxyCRG dialog box

Large Font Access the Large Font dialog box

ModulSwitch Access the module switch dialog box

Key Volume Change the key volume