Professional Documents
Culture Documents
Cinema Series
User Manual
Copyright
Our company owns all rights to this unpublished work and intends to maintain this work as confidential. We may also seek to maintain this work as
an unpublished copyright. This publication is to be used solely for the purpose of reference, operation, maintenance, or repair of our equipment.
No part of this can be disseminated for other purposes.
In the event of inadvertent or deliberate publication, our company intends to enforce its right to this work under copyright laws as a published work.
Those having access to this work may not copy, use, or disclose the information in this work unless expressly authorized by our company to do so.
All information contained in this publication is believed to be correct. We shall not be liable for errors contained herein nor for incidental or
consequential damages in connection with the furnishing, performance, or use of this material. This publication may refer to information and
protected by copyrights or patents and does not convey any license under the patent rights of our company, nor the rights of others. Our company
does not assume any liability arising out of any infringements of patents or other rights of third parties.
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Cinema Series Manual
CONTENT
CHAPTER 1 INTRODUCTION ............................................................... 7
1.1 About the Manual ................................................................................................................................7
1.2 Safety Information...............................................................................................................................7
1.3 Explanation of Symbols ......................................................................................................................8
1.4 Description of Abbreviation ...............................................................................................................8
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6.2 Volume................................................................................................................................................26
6.3 Printer .................................................................................................................................................26
6.3.1 Performance of the recorder .............................................................................................................................. 26
6.3.2 Printing paper ...................................................................................................................................................... 26
6.3.3 Operation of the recorder menu ......................................................................................................................... 27
6.3.4 Printed content by the build-in recorder ............................................................................................................ 27
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Appendix ............................................................................................ 67
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CHAPTER 1 INTRODUCTION
1.1 About the Manual
This manual explains how to set up and use the patient monitor. Important safety information relating to general use of the patient monitor
appears in front of this manual. Other important safety information is located throughout the text where appropriate. Before using the patient
monitor, read this manual carefully so that the user can operate the patient monitor properly and make it reach the specific safety standard
and performance index.
Note: The illustrations used in this manual may differ slightly from the appearance of the actual product.
The patient monitor is intended for use only as an adjunct in patient assessment. It must be used in conjunction with clinical signs and
symptoms.
To avoid an electrical hazard, never immerse the unit in any fluid or attempt to clean it with liquid cleaning agents. Always disconnect
monitor from AC Main Power before performing cleaning of maintenance.
If monitor becomes accidentally wet during use, discontinue operation of the monitor until all affected components have been cleaned
and permitted to dry completely. Contact our local representative if additional information is required.
By replacing the fuse, please use the safety device of the same type and rated fuse.
Before using the equipment, check out whether all the cables are in good condition, the damaged cables and connectors must be
replaced. Operator should examine whether the system is in correct working state and operating condition.
As with all medical equipment, carefully route patient cabling to reduce the possibility of patient entanglement or strangulation.
To avoid monitor fall, secure monitor on the shelf or bracket prior to use.
Be sure to use anti-defibrillation electrodes and ECG cable if the monitor is used with defibrillation equipment.
If any parameters displayed on monitor and working station are not accurate, adopt the other methods to diagnose patient.
The medical equipment must be manipulated by professional personnel who have already got relative training of operation.
For safe and accurate operation, use only our company recommended patient cable, lead wires, cuffs, hose, sensors, tubing, etc.
Request for the special accessories for pediatric or infant when monitor infant.
Do not use the monitor in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.
The system may not conform to all performance specifications if stored or used outside the environmental specification identified in
specification.
If you are uncertain about the accuracy of any measurement, first check the patient‟s vital signs by alternate means and then make
sure the monitor is functioning correctly.
Alarm must be set up according to different situation of individual patient. Make sure that audio sound can be activated when alarm
occurs.
When an “X” appears in the Alarm Bell symbol, the audible alarm tone will not sound for any reason.
Do not only depend on the alarm system, the doctor and nurse will not draw attention when an alarm turn down or turn off.
When connecting the monitor to any instrument, verify proper operation before clinical use. Refer to the other device‟s manual for full
instructions. Accessory equipment connected to the monitors data interface must be certified according to IEC Standard 60601-1 for
electro medical equipment. All combinations of equipment must be in compliance with IEC Standard 61601-1-1 systems requirements.
To avoid potentially hazardous leakage currents, always check the summation of leakage currents when several item of equipment
are interconnected.
For proper equipment maintenance, perform the service procedures at the recommended intervals as described in the manual.
If the patient monitor needs to be used continuously chronically, please note to connect the patient monitor with the main power
supply by the alarm of battery, otherwise, the patient monitor will automatically shut down, which leads to the break-off of the
monitoring.
Do not use the patient monitor during Magnetic Resonance Imaging (MRI) scanning. Induced current could potentially cause burns.
The patient monitor may affect the MRI image, and the MRI unit may affect the accuracy of the patient monitor measurements.
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Cinema Series Manual
Do not place the monitor in any position that might cause it to fall on the patient. Do not lift the monitor by the power supply cord or
patient connections.
As to the other points for attention, please carefully read the relevant chapter in this instruction.
If any code label of parts is damaged or missing, the warranty shall become null and void. For more information, please refer to
Chapter 16.3 Warranty and Repair.
DO NOT put the batteries together with metal objects, such as keys, pens, knives, etc. As these may cause short circuit.
BE SURE TO USE OR CHARGE THE TWO BATTERIES TOGETHER for monitor M10 OR M12.
Charge the batteries about two months if the batteries will not be used for a long time, because of the battery self-discharge.
Sound on Silence
This symbol indicates that the instrument is IEC 60601-1 Type CF equipment. The unit displaying this symbol contains
an F-type isolated (floating) patient applied part providing a high degree of protection against shock, and is suitable for
use during defibrillation.
This item is compliant with Medical Device Directive 93/42/EEC of 14 June 1993, a directive of the European Economic
Community.
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Cinema Series Manual
The patient monitor can be connected to the central monitoring system via our company‟s network so as to form a network monitoring system.
2.3.1
Fig. 2-9
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ALARM button, pressing the button will prohibit all the technically audio alarm and physically audio alarm for 3 minutes. The audio alarm
function will be restored automatically after 3 minutes or be activated when new alarm occurs. As pressing the button, the icon in menu
status shows ,which indicates all the audio alarms have been shut off. And there will be the information of 180s counts down for alarm
on the position same as one of DEMO on the top of the screen.
NOTE: When mark appears, the system can not give the audible alarm prompt. Therefore, the operator should use this
function carefully.
③ SILENCE
SILENCE button, when pressing the button, this icon appears in the menu status, indicating that all kinds of sound including the audio
alarm and heart beep have been manually muted until the button has been pressed again, the system will immediately restore the normal
status, and the icon is shown as .
④ FREEZE
FREEZE button, pressing the button can freeze the waveform of ECG. The screen displays two traces of ECG waveform. When one trace is
active, pressing the FREEZE button will freeze another trace. Pressing “FREEZE” button again will restore the normal monitor status. In
ECG EXT, 7-leads ECG waveforms are frozen once you press “FREEZE” button.
⑤ NIBP
Start/Cancel NIBP measuring button, pressing the button will inflate the cuff to start a new NIBP measurement. When measuring, press to
cancel the measurement and deflate the cuff, including the “CYCLE” and “STAT (NON-STOP)” measuring mode.
⑥ PRINT
PRINT button, pressing this button will motivate the recorder or desktop printer to output the results if the monitor is equipped with recorder
(optional).
⑦ REFRESH
REFRESH button, pressing the button will exit the submenu and refresh the screen.
⑧ Rotary Knob
The operator uses the rotary knob to select the menu item and modify the setup. It can be rotated clockwise or
counter-clockwise and pressed like other buttons. The operator uses the knob to realize the operations
When STANDARD mode is selected, the display screen is shown as Fig. 2-21 in which the screen is divided into six areas: (A) monitor status
frame, (B) graphic display area (waveforms), (C) the table of historical data, (D) numeric display area, (E) menu bar, (F) frame of menu status.
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Fig. 2-21
When IBP EXT mode is selected, the display screen is shown as Fig. 2-22 in which the screen is divided into five areas: (A) monitor status frame,
(B) graphic display area, (C) numeric display area, (D) menu bar, (E) frame of menu status.
Fig. 2-22
(1) BED: indicates the bed number of the patient being monitored when the patient monitor is connected with the Central Monitoring System
Workstation.
(2) DEMO: indicates the device is in DEMO monitoring mode now. In clinical application, this function is not recommended because the DEMO will
mislead the hospital workers to treat the waveform and parameter as actual data of the patient, which may result in delay of treatment or
mistreatment.
In normal monitoring mode, this position shows Battery Status Icon and monitor inner temperature.
Remaining Battery Power Indicator (Battery Status Icon ): The icon is dynamic. It is in the form of a “gauge” providing a graphic indication
of remaining battery power. There are four shapes of the indicator: the centre with 3 bars (full), 2 bars, 1 bar, empty and the frame in red. The
frame of indicator turns red when low battery power is detected by the monitor. At this time you should immediately plug the AC power supply
cable into the socket. Or else, the indicator displays with a red frame constantly when battery capacity reaches critical condition at which time
the monitor shuts down.
The Monitor Inner Temperature Indicator( shown as 53 ℃): The indicator‟s color will turn red when the monitor inner temperature is higher than
the alarm limit. You can set the alarm limit, for the detailed information, please refer to Section 6.6 Extend.
(3) Start Time: indicates the time powered on the monitor, which is shown as “18:28”.
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(4) Current Time: indicates the date and the current time, which is shown as “12/24/2007 19:12:57”
The graphic displaying area is on the left side of display screen. It can maximally display 4, 6 or 9 waveforms. The displaying order of the
waveforms on the screen can be adjusted. The colour of waveform matches with the parameters‟ colour on the right of the screen. For the
maximum configuration, the waveforms provided by the system for selection are (from up to down):
① 2-lead: When you select the STANDARD mode or IBP EXT mode, it will display 2-channal ECG waveforms. The two channels of ECG
waveforms show different leads, lead selection is I、II、III、aVL、aVR、aVF、V ,you can set it as you like, the lead status of showing waveform
displays on the left of ECG waveform.
② 7-lead: When you select the ECG EXT(ECG extension) mode, it will display 7-channal ECG waveforms. The seven channels of ECG
waveforms show different leads, the lead status of showing waveform displays on the left of ECG waveform. Please refer to chapter 6 System
Menu.
There are two ways to gain RESP waveform, trans-thoracic impedance and Et-CO2 (optional).If operator selects Et-CO2 (side stream) to
monitor the patient‟s respiration, the CO2 waveform will instead of the RESP waveform acquired by Trans-thoracic impedance. For the detailed
operation, please refer to Chapter15 Et-CO2 Monitoring.
If operator selects STANDARD mode, the table of historical data will be instead of 2 IBP waveforms. For the detailed operation, please refer to
Chapter 14 IBP monitoring.
The numeric displaying area lies on the right side of the graphic area, which includes:
(10) NIBP: there are Systolic pressure, Mean pressure and Diastolic pressure (unit: mmHg or kPa)
(11) IBP: the BP of channel 1 and 2. There are Systolic pressure, Mean pressure and Diastolic pressure (unit: mmHg or kPa).
Menu bar
The menu always occupies the fixed position on the bottom of the screen. It shows the different sub-menu of every operation, users can set the
system configuration and perform operation. For the detailed operation please refer to Chapter 6 to Chapter 15.
(15) System setup: you can configure various aspects of the monitor, including system time, simulation, print setup, color, display wave mode,
language, etc. For the detailed operation please refers to Chapter 6 System Menu.
(16) Table&Trend: the function is for operator observing the patient‟s latest 72 hours change, including historical data table, HR, NIBP, SpO2,
ST,TEMP,CO2. For the detailed operation please refer to Chapter 7 Table&Trend.
(17) Alarm on/off: shows the status of alarm on or off . For the detailed operation please refer to Chapter 8 Alarm and Silence.
(18) Silence on/off: shows the status of silence on or off . For the detailed operation please refers to Chapter 8 Alarm and Silence.
2.5 Specification
Environment
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Display
Displayed Parameters
ECG
ST segment
SpO2
Pulse Rate
NIBP
Technique Oscillometric method (with inflatable cuff)
Determines systolic, diastolic and mean arterial pressures
Patient Types Adult and Infant
Cuff Inflation Time 3-15 seconds depending on cuff size.
Cuff Inflation Pressure Adult/Infant, inflation pressures determined by the settings.
Deflation mode Stepwise pressure deflation
Manual: Immediate upon operator command
Measurement Modes AUTO: Determinations automatically made with selectable intervals
STAT: Determinations continues in 5 minutes
The Initial Inflation Pressure Adult: 140,150,160,180mmHg; Infant: 70,100,120mmHg
Measurement Interval Time 1-240min
Step:1min(1-10min),5min(10-30min),10min(30-90min), 30min(90-240min)
Measurement Range Adult
Systolic 30-255mmHg
Mean Arterial 20-235mmHg
Diastolic 15-220mmHg
Measurement Range Infant
Systolic 30-135mmHg
Mean Arterial 20-125mmHg
Diastolic 15-110mmHg
Pressure Resolution 1mmHg
Cuff Pressure Accuracy Cuff Pressure Range: 0 to 280mmHg, Accuracy: ±3mmHg
Dynamic Accuracy Mean difference: ±5mmHg; Standard deviation: ±8mmHg
Sofetware Overpressure Protection Automatically releases cuff pressure if inflation pressure exceeds: 28010 mmHg (Adult)
/ 1455 mmHg (Infant)
Hardware Overpressure Protection Automatically releases cuff pressure if inflation pressure exceeds: 30010 mmHg (Adult)
/ 15010 mmHg (Infant)
RR
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Alarm delay Respiration rate high and low limits alarm delay<7s
Apnea alarm 5-90 seconds
Differential Input Impedance >2.5M ohm
Measurement impedance range 0.5~3 Ohm
Baseline impedance range 500~4000 Ohm
Frequency response 0.16 ~ 1.5 Hz
TEMP
Technique Resistance
Channel 2 (T1 and T2)
Scales ℉Or ℃
Probes Resistive; recta and skin (reusable and disposable)
YSI 400 Series types
Range 0~60℃
Revolution 0.1℃
Accuracy ±0.1℃
Alarm delay Body temperature high or low limit alarm delay<7s
IBP (Optional)
Range -6.67kPa(-50mmHg)~46.67kPa(350mmHg)
Accuracy ≤13.33kPa (100mmHg) ±0.27kPa (2mmHg) ;
≥ 13.33kPa (100mmHg) ±2%
Gain Accuracy 0.5%
Bandwidth 0 to 12 Hz
Sensitivity 5uV/V/mmHg
Inspiration Voltage 5V (DC)
Isolation Voltage 4 kV
ETCO2 (Optional)
Sampling Method Side-stream sampling system with a 50 ml/minute low sampling rate
Measurement Mode: Side-stream
Display range: 0-150rpm
Measurement range: 0-150 rpm
0 - 40 mmHg, ± 2 mmHg
41 - 70 mmHg, ± 5% of reading
Accuracy:
71 - 100 mmHg, ± 8% of reading
* NOTE: Gas temperature at 25° C.
Resolution 1 mmHg
Power Requirements
Battery information
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The cycle life of the battery is more than 500 cycles while with capacity ≥70% after 300 cycles.
S6 345mmX198mmX240mm 3.8kg
P6 350mmX190mmX250mm 3.9kg
SF 345mmX200mmX240mm 4.0kg
VF6 380mmX220mmX330mm 4.2kg
M3 285mmX120mmX243mm 3.5kg
M10 312mmX173mmX294mm 4.4kg
M12 312mmX197mmX258mm 5.4kg
S61 345mmX212mmX240mm 4.5kg
P61 368mmX200mmX240mm 3.9kg
Alarm Range
Systolic Mean Arterial TEMP
HR Diastolic (kPa) SpO2 RR CO2 PR
Parameter (kPa) (kPa) (℃)
(bpm) (mmHg) (%) (rpm) (mmHg) (bpm)
(mmHg) (mmHg) (Fº)
12.0-34.0 8.0-29.3 4.6-29.3 25.5-45
Upper limit 40-300 80-100 10-120 20-75 40-254
90-255 60-220 35-220 77.9-113
8.0-29.3 4.0-24.0 4-26.6 25-44.5
Lower limit 15-160 70-99 5-80 5-70 20-160
60-220 30-180 30-200 77-112.1
Notes:
◇ Specifications may be changed without prior notice.
◇ The circuit diagrams, the list of components, the illustration of diagrams, and the detailed rules of calibration, are provided exclusively to
professional personnel authorized by our company.
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3.1 Environment
Follow the instructions below to ensure a completely sage electrical installation. The environment where the patient monitor will be used should be
reasonably free from vibration, dust, corrosive or explosive gases, extremes of temperature, humidity, and so on. For a cabinet mounted
installation, allow sufficient room at the front for operation and sufficient room at the rear for servicing with the cabinet access door open.
The Patient Monitor operates within specifications at ambient temperatures between 5℃ and 40℃. Ambient temperatures that exceed these limits
could affect the accuracy of the instrument and cause damage to the modules and circuits. Allow at least 2 inches (5cms) space around the
instrument for proper air circulation.
3.2 Condensation
Make sure that during operation, the instrument is free of condensation. Condensation can form when equipment is moved from one building to
another, thus being exposed to moisture and differences in temperature.
3.3 Grounding
To protect the patient and hospital personnel, the cabinet of the patient monitor must be grounded. Accordingly, the patient monitor is equipped
with a detachable 3-wire cable which grounds the instrument to the power line ground (protective earth) when plugged into an appropriate 3-wire
receptacle. If a 3-wire receptacle is not available, consult the hospital electrician. If the capacity of the protective grounding wires is in doubt, the
equipment must be operated with internal power supply.
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⑴ Apply the power line provided with the monitor. Plug the power line to the power socket on the rear panel.
⑵ Connect the other end of the power line to a grounded 3-phase power output.
NOTE
Connect the power line to the jack special for hospital usage.
The battery needs to be charged after transportation or storage. If the power supply is not properly connected before turning on
the monitor, it may not work properly because of insufficient power. Connect the power supply to charge the battery.
NOTE
Check all the functions that may be used to monitor and make sure that the monitor is in good status.
The battery must be recharged to the full electricity after each use of monitoring so as to reserve sufficient power in battery.
The interval between twice presses of POWER should be more than 1 minute.
WARNING: If any sign of damage is detected, or the monitor‟s display some error message, do not use it on any patient. Contact the biomedical
engineer in the hospital or the distributor immediately.
Fig. 4-2
Battery maintenance:
Charge the batteries about two months if the batteries will not be used for a long time, because of the battery self-discharge.
BE SURE TO USE OR CHARGE THE TWO BATTERIES TOGETHER for monitor M10 OR M12.
DO NOT put the batteries together with metal objects, such as keys, pens, knives, etc. As these may cause short circuit.
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To get more information for each setting, you can refer to each Chapter.
For the monitor working properly, you should pay attention to the following NOTE.
PROMPT
Color: there are 15 colors for each parameters, the clockwise sequence is: red, purple, brown, light blue, blue, peak green, aqua, rosiness,
pink, yellow, white, black, sky blue, green, cyan. You‟d better keep the background color to black for getting the better view.
SYSTEM SETUP-EXTEND-SYSTEM: the function is set by manufacturer, please keeps them constant.
NIBP mode: if the inflating pressure is selected between 70~120mmHg, the monitored patient should be an infant; if the inflating pressure is
selected between 140~180mmHg, the monitored patient should be an adult.
YEAR
SYSTEM MONTH
TIME
SETUP DAY
HOUR
MINUTE
SECOND
VOLUME 1-7
ON
GRID
OFF
5SECONDS
TIME
10SECONDS
15SECONDS
20SECONDS
25SECONDS
30SECONDS
ON
ALARM
OFF
OFF
CYCLE
1--480MIN
NONE
WAVE
ECG
SpO2
BP ECG+SPO2
COLOR
SPO2 RESP
RESP ECG+RESP
TEMP SPO2+RES
ECG 3 CHANNEL
BGROUND
STANDARD
MODE
GRAPH EXT
ECG EXT
LARGEFONT
IBP EXT
EXTEND SYSTEM
AUTO
DEMO
OFF
SWITCH ON
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OFFLINE
BED
1~250
RETURN
GRAPH HR
NIBP/IBP1/IBP2
SPO2
ST
CO2
TEMP
ALARM HR HIGH
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
LEAD ALM ON
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OFF
BP SYS HIGH
LOW
MEAN HIGH
LOW
DIAS HIGH
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
ON
CALIBRAT
OFF
SPO2
PR ALARM PR HIGH
PR LOW
ON
ALARM OFF
ON
PROBEALM
OFF
HIGH
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
RESP HIGH
LOW
OFF
HIGH
MEDIUM
ALARM
LOW
ON
APNEA
OFF
TEMP HIGH
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
0.1--20.0
DIFFEREN
OFF
CO2 HIGH
LOW
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OFF
ALARM
HIGH
MEDIUM
LOW
The icon indicates the sound is on; the icon indicates the sound is off.
ALARM HIGH
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
ON
LEAD ALM
OFF
ANALYSIS
ST SETUP POSITIVE
NEGATIVE
ON
ALARM
OFF
FAST
REPLAY
NORMAL
SLOW
TIME
> >
HR V CHART
ON
ANA
OFF
FAST
HR A
SLOW
ANALYSIS
NIBP CTR
ON
CASCADE
OFF
12.5 mm/s
SPEED
25mm/s
50mm/s
DIA-MODE
OTHER FILTER
MON-MODE
OPR-MODE
ON
BEEP
OFF
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ECG
HR FROM
SPO2
ON
SWITCH-F
OFF
RETURN
LOW
MEAN HIGH
LOW
DIAS HIGH
LOW
OFF
ALARM
High
Medium
Low
ON
CALIBRATE
OFF
mmHg
UNIT
kPa
MANUAL
CYCLE
1-240min
AUTO
MODE
70-180mmHg
ON
STAT
OFF
4
AVERAGE
8
16
ON
PR SOUND
OFF
LOW
ALARM
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Cinema Series Manual
ON
PROBE ALARM
OFF
HIGH
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
FILL
WAVEFORM
LINE
TYPE IMPED
CO2
ALARM HIGH
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
OFF
APNEA
5-90 sec
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
ON
InsCO2
OFF
①
BAR PRE >> 400-850
O2 >> 0-100
ANE AGEN >> 0.0-20.0
FGTEMP >> 0.0-50.0
COMPENSA
BAL GAS >> Helium
ZERO >> OK
ETCO2
OTHERSET
NORETIME
ZEROGT
UNIT
②
90ml/min
PUMP
150ml/min
200ml/min
OFF
UNIT mmHg
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RETURN
NOTE: The menu ① OTHERSET will be available when the CO2 module “LOFLO” has been set; the menu ② PUMP and UNIT will be available
when the CO2 module “WELLyn” or “CPT” has been set. The related operations are described in the Chapter 15 Et-CO2 MONITORING.
ALARM HIGH
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
OFF
DIFFEREN
0.1-20.0
HIGH
ALARM SYS
LOW
HIGH
MEAN
LOW
HIGH
DIAS
LOW
OFF
ALARM
HIGH
MEDIUM
LOW
ZERO
CALIBRATE
ADJUST
mmHg
UNIT
KPa
BASELINE 0-50
5, 10, 20,
SCALE 40mmHg
60, 80mmHg
100, 200, 300,
400mmHg
ABP
LABEL
CVP
PAP
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Cinema Series Manual
In monitoring status, rotate the knob to highlight the MENU icon, and then press the knob, the menu bar of “system setup” appears on the
bottom of screen.
Fig. 6-1
The “system setup” menu includes 6 items. Rotating and pressing the knob to select the menu to be set. Having finished the setup, just press
“RETURN”, the system will return to the previous menu. All the settings will be stored automatically when powering off the monitor.
6.1 Time
Select “TIME” item in “SYSTEM SETUP” menu to access the sub-menu of “TIME” as shown below:
Fig. 6-2
System time is in format of day, month, year, hour, minute and second. Pick the item you wish to modify and turn the knob, the figure will increase
or decrease by 1 at each switch. Then select “Return” to the previous menu.
6.2 Volume
Users may select different level of volume as per clinical requirement. There are 7 levels for you to select. Along with the number increasing, the
volume will be loud.
6.3 Printer
6.3.1 Performance of the recorder
⑷ Auto recording interval is set by the user, the waveform is in accordance with the real time recording.
Only standard 50(+0/-1) mm thermosensitive record paper can be used, otherwise the recorder may not function, the recording quality may be
poor, and the thermosensitive printhead may be damaged.
NOTE
When the recorder is working, the record paper goes out steadily. Do not pull the paper, or the recorder will be damaged.
Do not operate the recorder without record paper.
⑵ Paper replacement
Fig. 6-3
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Cinema Series Manual
Fig. 6-4
(1) PRINTER: set the drive program type of the thermal recorder. Please keep “CS_TR48” remained.
(2) GRID: Select whether the grid is shown on printing paper or not. Pressing “ON” item, the grid will appear on the paper, which is for doctor to
have more facility for observe the patient‟s status. Pressing “OFF”, there will be only printed waveforms on the paper.
⑶TIME: represents the length of the printing time, 6 selections are available : “5s,10s,15s,20s, 25s,30s”. It means that the recorder will last
to print the waveform for the length of time you chosen.
⑷ ALARM: Select “ON” for this item, the printer will print alarm event when it occurs.
⑸ CYCLE: Represent “time interval between two times of timing recording”. “OFF and 1Min ~480Min” is available to select. It means the system
will activate the recording operation according to the selected time interval. The length of printing time is in accordance with the setup in “TIME”
item.
NOTE: If you select “OFF” item in this menu, the real-time recording will be performed.
(6) Wave:The waveforms to be printed can be selected. The options are available “ECG, SpO2, ECG+SpO2, RESP, ECG+ RESP, SpO2+RESP,
3 CHANNEL, None”.
① ECG: The ECG waveform can be printed on the screen. If no ECG waveform is currently displayed on the screen, the waveform will be
printed as a beeline on the paper.)
② SpO2: The SpO2 plethysmogram can be printed on the screen. If there is no SpO2waveform being currently displayed on the screen,
the waveform will be printed as a beeline on the paper.
④ RESP: The Respiration waveform can be printed on the screen. If no RESP waveform is currently displayed on the screen, the
waveform will be printed as a beeline on the paper. If Et CO2 module is working, CO2 waveform will be printed instead of RESP
waveform.
⑤ ECG+RESP: The ECG waveform and Respiration waveform can be printed on the screen.
⑥ SpO2+RESP: The SpO2 plethysmogram and Respiration waveform can be printed on the screen.
⑦ 3 CHANNEL: Three channels, including: ECG waveform, SpO2 waveform, RESP waveform will be entirely printed.
Fig. 6-5
The printed-paper is shown as Fig. 6-5:
① Bed No.
② The printed data and time, they are shown as “07/28/2004 15:17:36”.
③ Waveforms: Waveforms will be printed according to your settings. When recorder prints 3 waveforms, they will overlap.
④ Parameters: Parameters are recorded on the bottom of the printing paper, the contents are: RR, HR, SpO2, ECG lead, sweep speed, PR,
TEMP.
6.4 Color
The item is used to define the color of the waveform and parameters displayed on the screen. Rotate the knob to select the “COLOR” item to
access the sub-menu shown in the Fig. 6-6. There are 15 colors for each parameters, clockwise rotating the knob, the sequence is: red, purple,
brown, light blue, blue, peak green, aqua, rosiness, pink, yellow, white, black, sky blue, green, cyan. You‟d better keep the background color to
black for getting the better view.
Fig. 6-6
6.5 Mode
It is for defining how many waveforms will be represented on the screen. Rotate the knob to select the “MODE” item, then choose “STANDARD”,
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“GRAPH EXT”, “IBP EXT”, “ECG EXT” or “LARGEFONT” to display as your requirement.
“STANDARD” mode indicates that there are 4 waveforms and data table displayed on the screen, including: two traces of ECG waveform, SpO2
waveform, RESP waveform and one table (shown as Fig. 6-7). Rotate the knob to make the cursor be on the type of lead in the ECG frame, then
press and rotate the knob to select the ECG waveforms of various leads displayed on the screen.
Fig. 6-7
“GRAPH EXT” mode indicates that there are 4 waveforms, data table and trend graphs displayed in the screen, including: two traces of ECG
waveform, SpO2 waveform, RESP waveform and one-hour trends of ECG, NIBP, SpO2, RESP (shown as Fig. 6-8).
Fig. 6-8
“IBP EXT” mode indicates that there are 6 waveforms on the display screen, including: two traces of ECG waveform, SpO2 waveform, RESP
waveform and two traces of IBP waveform (shown as Fig. 6-9).
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Fig. 6-9
“ECG EXT” mode indicates there are 9 waveforms displayed on the screen, including: 7 channels of ECG waveforms, SpO2 waveform, RESP
waveform without IBP waveform. (As shown in Fig. 6-10)
Fig. 6-10
NOTE: If operator selects Et-CO2 (side stream) to monitor the patient’s respiration, the CO2 waveform will instead of the RESP
waveform acquired by Trans-thoracic impedance to display on the screen.
“LARGEFONT” mode indicates there are paremeters measurement in large font and 2 waveforms displayed on the screen, including: an ECG
waveform and a SpO2 waveform (Shown as Fig. 6-11).
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Fig. 6-11
6.6 Extend
Rotate the knob and select “EXTEND” item to access the sub-menu shown as below:
Fig. 6-12
(1) SYSTEM: this function is set by the distributor, please keep them unchanged.
(3) FAN: Rotate the knob and select “FAN” item to access the sub-menu shown as below :
Fig. 6-13
SWITCH: By this menu you can select ON, OFF or AUTO. In AUTO mode, the fan will automatically be opened when the monitor inner
temperature is higher than the fan-on limit (the default setting is 65℃), and will automatically be closed when the monitor inner temperature
reaches the fan-off limit (the default setting is 55℃).
ALARM: If you set ALARM on, the alarm beep sounds with high level mode, and the temperature value will turn red and flash when the
monitor inner temperature is higher than the temperature alarm limit.
HIGH: You can set the temperature alarm limit by this item. When the monitor inner temperature is higher than the temperature alarm limit,
the alarm function will be triggered.
NOTE: The monitor inner temperature limits for fan-on or fan-off can not be set by user.
(4) Setup: By this item you can realize communication with the 808 module.
Fig. 6-14
① SEND: Select the “send” item and confirm, you will see the following menu.
Fig. 6-15
LEAD SEL: The type of lead. (When the type is “LEAD Ⅲ” ,the heart rate is only can be computed from the ChannelⅠ.)
ECG FROM: The screen only can display one channel‟s waveform. You can set which channel‟s waveform is displayed.
PACE SEL: You can set the information that If the patient using the pace maker.
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Fig. 6-16
(5) BED: Indicates the bed number of the patient being monitored when the patient monitor is connected with the workstation, it always shows
on the top left corner in the monitor status frame.
NOTE: The item “EXTEND” is useful to the engineers and technicians to adjust the monitor’s configurations. But for the doctors we do
not propose them to use this item. As for the details of the item’s usage please refer to the SERVICE MANUAL correspondingly.
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CHAPTER 7 TABLE&TREND
The Patient Monitor provides 72-hour trend data of parameters and 72-hour table data.
Table &Trend Setup
In monitoring status, rotate the knob to highlight the TABLE icon , and then press the knob, the menu bar of “Trend setup” appears on the
bottom of screen.
Fig.7-1
7.1 Table
Please select the TABLE to enter into the interface shown as Fig. 7-2:
Fig. 7-2
The latest 72-hour data table can be displayed at every 1 minute. The first column shows the items of the parameters. The first and the second line
of the table indicate the date and time of measurement respectively. The left column of the table always shows the latest measurement. Rotate the
knob to turn pages. The page number is displayed on the bottom right corner. When “END” appears, it indicates this is the last page of records.
When the interface shown as Fig. 7-2, press “FREEZE/SILENCE” function key to enter the “set page”. Rotate the knob to set the passing pages at
each switch. Press “FREEZE/SILENCE” again to exit the page set,and then rotate the knob to turn the pages you want.
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7.2 BP table
Pick BP TABLE in the TREND MENU to call up the following chart as Fig. 7-3:
Fig. 7-3
In the menu, when you press the “START” button which on the front panel, you will call up the following chart:
Fig. 7-4
7.3 GRAPH
Pick GRAPH in the TREND MENU to call up the following chart as Fig. 7-5.
Fig. 7-5
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7.3.1 HR
Pick HR in the GRAPH MENU to call up the following chart as Fig. 7-6:
Fig.7-6
7.3.2 NIBP
Pick NIBP in the GRAPH MENU to call up the following chart as Fig. 7-7:
Fig. 7-7
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7.3.3 SpO2
Pick SpO2 in the GRAPH MENU to call up the following chart as Fig. 7-8:
Fig. 7-8
7.3.4 ST
Pick ST in the GRAPH MENU to call up the following chart as Fig. 7-9:
Fig. 7-9
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7.3.5 CO2
Pick CO2 in the GRAPH MENU to call up the following chart as Fig. 7-10
Fig.7-10
7.3.6 TEMP
Pick TEMP in the GRAPH MENU to call up the following chart as Fig. 7-11:
Fig. 7-11
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7.4 OxyCRG
Pick OxyCRG in the TABLE MENU to call up the following chart as Fig. 7-12:
OxyCRG show HR trend、SpO2 trend、RR trend in one screen. The first one is HR trend, the second one is SpO2 trend, and the third one is RR
trend.
Fig. 7-12
7.5 ALARM
Pick the ALARM item to enter the setup of alarm event storage shown as Fig. 7-13:
Fig. 7-13
7.6 Time
Four selections are available: 8-hour, 24-hour or 72-hour and erase. Rotate the knob to select the item you want to set for “TIME” item. The length
of trend of every parameter is accordance with the time length you set in this sub-menu. “Erase” indicates deleting all the stored data.
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ALARM function button on the front panel of the monitor, pressing the button will prohibit all the technically and physically audio alarm for 3
minutes. The audible alarm will restore automatically after 3 minutes or be activated when new alarm event occurs. As press the button, the icon in
menu status shows ,which indicates all the audible alarms have been shut off.
NOTICE: The SILENCE button of the M3 monitor performs the function of the“ALARM” button above.
Audible Alarm
The high/medium/low-level alarms can be set according to the user‟s setup in following different audio ways, Level 1 is the most serious warning,
level 2 is the serious warning and level 3 is the general warning.
Visual alarm
When an alarm event occurs, the parameter measurement or corresponding prompt information display will be highlighted.
Fig. 8-1
PROMPT
There are two methods to set the alarm of each parameter, one of which is setting all alarms of every parameter when you press the icon,
another is setting “ALARM” in the individual menu of each parameter setup.
⑴ Select “HR” in alarm menu to call up the sub-menu shown as below Fig. 8-2:
Fig. 8-2
⑵ Four items are available for the user to set up, which are HIGH (high limit), LOW (low limit), and ALARM (OFF, HIGH, MEDIUM, and LOW).
LEADOFF ALM (alarm of the leadoff).When use the knob to select each item and press the knob, a pull-down list appears for the user to choose
his/her desired selection.
NOTE:
Selecting “ON/OFF” item for “OFF” in sub-menu of the parameter only prohibits the alarm of the relevant parameter individually.
If you select “ON/OFF” item in sub-menu for OFF, even if the alarm icon is on, shown as , the relative alarm will not be
activated.
Triggering the alarm function should simultaneously satisfy the three requests:
(1) Rotate knob and highlight in the frame of menu status to call up alarm
sub-menu of each parameter, keep “ON/OFF” items be ON. OR enter the each parameter menu to keep “ON/OFF” item to be ON to
open the alarm function of the monitor.
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(2) Make sure that the “SILENCE” icon in the frame of menu status is shown as .
(3) Make sure that the “ALARM” icon in the frame of menu status is shown as .
Only when the user finished the three steps, the monitor can alarm orderly when the alarm event happens to the patient. The method for setting
the alarm information of other parameters is the same as HR.
8.4 Silence
In monitoring status, rotate and press the knob on the icon , the icon will change into , indicating that all kinds of sound including the
audible alarm and heart beep have been manually silenced. Until press the knob again, the system will immediately restore the normal status, and
the icon shows .
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Use only the original patient Monitor ECG cable for monitoring.
When connecting the cables and electrodes, make sure no conductive part is in contact with the ground. Verify that all ECG
electrodes, including neutral electrodes, are securely attached to the patient.
9.3.1 Precondition
⑴ For patient‟s skin is not in a good condition, which need to be preconditioned before placing electrode in order to make the leads connect to
skin tightly.
a) Washing skin completely using soap and water. Ether and pure alcohol is prohibited because they can increase skin‟s impedance.
b) Shave body hair on where electrodes are placed, if necessary.
c) Rub skin briskly to increase capillary blood flow in the tissues and remove skin scurf and grease.
d) If electrodes without conducting cream are used, conducting cream should be smeared on skin before placement.
⑵ Attach clip or snap to electrodes prior to placement.
⑶ Put the electrodes on the patient. Before attaching, apply some conductive jelly on the electrodes if the electrodes are not electrolyte
self-supplied.
⑷ Connect the electrode lead to the patient‟s cable.
⑸ Make sure the monitor is ready with power supply.
WARNING
Check everyday whether there is skin irritation resulted from the ECG electrodes. If so, replace electrodes every 24 hours or
change their sites.
Verify lead fault detection prior to the start of monitoring phase. Unplug the ECG cable from the socket, the screen will display the
error message “LEAD OFF” and the audible alarm is activated.
Fig. 9-1
Electode’s position, identification and color:
AHA IEC
Color Electrodes Color Position on body surface
Electrodes Identifier
Code Identifier code
RA White R Red Right arm
LA Black L Yellow Left arm
LL Red F Green Left leg
RL Green N Black Right leg (neutral electrode)
V Brown C White Signal movable chest electrode
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NOTE: To ensure patient safety, all leads must be attached to the patient.
For 5-lead set, attach the C (V)- electrode to one of the indicated positions as below Fig. 9-2:
WARNING
When using electrosurgery equipment, leads should be placed in a position in equal distance from electrosurgery electrotome and the
grounding plate to avoid cautery. Electrosurgery equipment wire and ECG cable must not be tangled up.
The placing of ECG electrodes placement is depended on the type of operation. For example, electrode can be placed in back or flank of chest for
operation of opening chest. Sometime ECG wave can be influenced with artificial because of using ES in operation room. In this case, place
electrodes at left and right shoulder close with left and right side of abdomen and chest lead at left side of internal in chest to avoid placing in upper
arm, which will lead ECG wave smaller.
WARNING
When using electrosurgery equipment, never place an electrode near the grounding plate of the electrosurgery device, otherwise there
will be a great deal of interference with the ECG signal.
ATTENTION
For the movement of the lead will result in the inaccurate HR value, try to avoid the interference.
The Patient Monitor can detect ECG signal when at least standard three ECG leads are properly attached to the patient. Should one or
more of the leads come off (or lose good electrical contact), after the monitor has established that all related leads are attached, a
low-priority “Lead Off” alarm will be issued, alerting the caregiver to remedy the problem.
When the leads are unattached from patient‟s skin, “LDOFF” technical alarm will be displayed in the ECG displaying area.
“ECG ERROR” indicates ECG board with trouble. Please stop ECG monitoring at once and contact with the distributor or Customer Service
Dept.
All the information related to ECG is displayed at ECG display area on the right upper of the screen.
Fig. 9-3
HR: Heart rate value.
ST mm: The height of ST segment.
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PROMPT:
By picking ECG, the monitor prompts HR and activates HR beep. By picking SpO2, the monitor prompts PULSE and activates pulse
beep. Both of the modes display HR and PR simultaneously, when this item is picked, PR parameter is displayed to the right side of
SpO2. As for the sound of HR or PR, HR is given the priority, i.e., if HR is available, whose sound will be sent out, but if HR is not
available, then the sound will be for PR.
The ECG waveform shows on the left of the ECG numeric display area, whose color matches with the color of ECG parameter. A scale bar is
displayed to the right side of ECG waveform as Fig.9-4.
Fig. 9-4
9.5.1 AMPLITUDE
Pick this item to access the amplitudes setup of ECG waveform. 7 selections are available: 2.5mm/mv,5mm/mV, 7mm/mV, 10mm/mV, 15mm/mV,
20mm/mV, and 25mm/mV. As adjusting, the scale bar will change accordingly.
Fig. 9-5
9.5.2 ALARM
Prompt: The operation and function are the same as the ECG sub-menu when pressing alarm icon in the frame of menu status.
Select “ALARM” in ECG menu to call up the sub-menu shown as below Fig. 9-6:
Fig. 9-6
NOTE: It only sets HR alarm individually; the alarms of other parameters will not be affected.
Four items are available for the user to set up, which are HIGH (upper limit), LOW (lower limit), ALARM (OFF, HIGH, MEDIUM, LOW), LEAD ALM
(LEADOFF ALARM). When using the knob to select each item and press the knob, a pull-down list appears for the user to choose his/her desired
selection. The detailed operation, please refer to Chapter 8 Alarm and Silence.
NOTE: Doctor should not only rely on the diagnosis made by the monitor, the accurate result must be combined with doctor’s
experience and knowledge.
Select “ANALYSE” item in ECG setup menu to access the sub-menu shown as below Fig.9-7:
Fig. 9-7
ST SETUP
The information of ST segment is useful for physician‟s diagnosis. Normally, the doctor observes its graph carefully to judge whether the patient‟s
heart work orderly.
NOTE:This menu is available on the condition that you select “DIA-MODE” for “FILTER MODE”, the relevant operation of “FILTER
MODE” please refer to 9.5.6 instruction.
Pick “ST setup” item to call up the sub-menu as below Fig. 9-8:
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Fig. 9-8
It defines the alarm setup of ST segment. There are three items are available for the user, which are POSITIVE, NEGATIVE and ALARM. When
using the knob to select each item and press the knob, a pull-down list appears for the user to choose.
NOTE: If you select “OFF” for alarm item, the alarm will not be activated when alarm event occurs.
(1) Press “REPLAY” item to call up the sub-menu shown as below Fig. 9-9:
Fig. 9-9
The menu defines the speed and length of replaying waveform.
FAST: replay the ECG waveform in the fast speed.
NORMAL: replay the ECG waveform in the normal speed.
SLOW: replay the ECG waveform in the slow speed.
TIME: 10 selections are available for the length of replaying waveform:
30s, 60s, 90s, 120s, 150s, 180s, 210s, 240s, 270s, 300s
(2) If the CASCADE item is ON, after you select “FAST”, “NORMAL” or “SLOW” item, the first trace of ECG waveform goes on showing the
real-time patient‟s status, the second trace will replay the previous ECG waveform shown as Fig.9-10.
Fig. 9-10
If the CASCADE item is OFF, after you select “FAST”, “NORMAL” or “SLOW” item, two traces will replay the previous ECG waveform
individually.
(3) Pick “HR V” item to call up the analyzing chart of heart rate variation as Fig. 9-11:
Fig.9-11
Lorenze chart
Lorenze chart is a kind of way to analyze HR V by statistical method. The X axis of the Lorenze chart is the n times RR interphase value (RR
interphase is another way to denote the HR value, it represents the time between the twice of R wave, if the HR value is 60 times/min, then the RR
Interphase should be 1000ms), The Y axis is (n-1) times, namely the previous time interphase value according to the n time in the X axis. Thus, if
supposing the ideal situation, the HR is steady and does not vary, the Lorenze chart should be a line whose slope is 1 namely the bevel is 45
degree. If the HR varies, Lorenze chart is the figure composed by the dots upper or lower than the line whose bevel is 45 degree. The different
statistic chart has different analysis and diagnosis meaning in the clinic situation.
The data in the Lorenze chart are selected from the data table, one dot per minute, totally 24 hours for a complete chart.
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(4) Select “ANA” item to startup the analyzing software of monitor. Rotate the knob to pick “ON”, the analyzed result will be shown on the right of
ECG display area in time.
NOTE:We don’t recommend use this function while monitoring the patient. The analysis results are only references helping doctor to
make diagnosis.
(5) Select “HR A” item to enter into the submenu shown as Fig.9-12
Fig.9-12
The items in this menu are for setting the alarm of arrhythmia. The numerical options are the period of RR interval. The patient monitor calculates
the patient‟s heart rate via reckoning the times of RR interval. Therefore, in the fixed time, shorter the period of RR interval is, faster the heartbeat
is.
① FAST: the alarm is for tachyrhythmia. As Fig.9-11 shown, the alarm will be activated if RR interval is less than 500ms.
② SLOW: the alarm is for bradycardia. As Fig.9-11shown, the alarm will be activated if RR interval is more than 2000ms.
③ ANALYSE: the menu is for setting the standard of judging arrhythmia. Pick “ANALYSIS” item to enter the analyzed results shown as below
screen Fig.9-13.
Arrhythmias are disorders of the regular rhythmic beating of the heart. The monitor offers 13 kinds of arrhythmia for reference. When
arrhythmia occurs, alarm Messages will be displayed in the ECG display screen, and the audio and visual alarms will be activated if the
parameter value exceeds the limit.
Fig.9-13
The monitor can judge the ECG abnormal events include: ASYST, TACHY, VENT TACHY, BRADY, MISS BEAT, FREQ PVC, RUN
PVC, TRIG, BIG, RonT, INTER PVC, COUPL, PVC.
ASYST: Asystole
TACHY: Tachycardia
VENT TACHY : Ventricular Tachycardia
BRADY: Bradycardia
MISS BEAT: Miss Beat
FREQ PVC: Frequent PVC
RUN PVC: Run PVC
TRIG: Trigeminy
BIG: Bigeminy
RonT: RonT
INTER PVC: Interposal PVC
COUPL: Couplet PVC
PVC: Premature Ventricular Counter
Press “WAVE” menu to call up the stored abnormal waveforms as Fig. 9-14:
Fig. 9-14
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NOTE: We don’t recommend using this function while monitoring the patient. The analysis results are only references helping
doctor to make diagnosis.
④ NIBP CTR: This function relates the NIBP with the ECG. When the user start-up this function, once the value of ECG is beyond the
limitation of arrhythmia, the NIBP function will be auto-run to measure the patient.
NOTE: The limitation is according to the value of FAST and SLOW. For example, when the FAST value is 500ms,which means that
the low limitation is the 120bpm, meanwhile, when the LOW value is 2000ms, wich means that the high limitation is the 300bpm. If
the ECG value is beyond this interzone value, the NIBP function will be auto-run.
NOTE: Doctor should not only rely on the diagnosis made by the monitor, the accurate result must be combined with doctor’s
experience and knowledge.
The Patient Monitor adopts the standard 5-lead to detect the patient‟s electrocardiogram.
When the ECG is 5-lead, the selectable leads are Ⅰ, Ⅱ, Ⅲ, aVL, aVF, aVR, V, AUTO.
CASCADE
When you select the “STANDARD”, ”GRAPH EXT” or “IBP EXT” mode in the MODE of SYSTEM SETUP, the „cascade‟ item is available and be
displayed in the ECG menu.
Fig.9-12
When you set it “ON”, two traces of ECG waveform only show one lead status. In another word, the two frames form a cascaded waveform,
effectively presenting a sample over twice the time interval of one frame. If you set it off, 2-lead waveform will display on the screen synchronously,
each of leads can be set individually.
LEAD
When you select the “ECG EXT” mode, the „lead‟ item will be displayed in the ECG menu, Ⅰ,Ⅱ,Ⅲ,aVL,aVF,aVR,V, AUTO can be set by
you, the selected lead is main lead, which is the ECG waveform printed by the recorder and sent to workstation.
Fig.9-13
PROMPT
LeadⅡis default which can get the best view of ECG waveform.
AUTO: the ECG waveforms of various lead display on the screen circularly when the item is selected.
The menu defines the sweep speed of ECG waveform, the available options are 12.5mm/s, 25mm/s, 50mm/s, select the proper sweep speed
according to the clinical requirement.
9.5.6 OTHER
Fig. 9-14
1) FILTER: used for displaying clearer and more detailed waveform.
There are three filter modes for selection. DIA-MODE, MON-MODE, OPR-MODE can reduce interference from other electrosurgery equipment.
The difference mode is the corresponding bandwidth.
OPR-MODE: Operation mode, bandwidth: 1 - 25 Hz
MON-MODE: Monitor mode, bandwidth: 0.5 - 75 Hz
DIA-MODE: Diagnosis mode, bandwidth: 0.05 - 120 Hz
3) HR FROM:
The monitor can use ECG to get the value of HR and use SpO2 to get the value of PR. Normally When we setup this item to “ECG” which means
we select to use ECG to get the value of HR. On the other side if we setup this item to “SpO2” which means we select use SpO2 to get the value of
HR, and the item indicator in the ECG numeric display area will be shown as “PR” not “HR”, such as the following two pictures. Normally we use
ECG to get the value of HR and there is a little difference between the HR and PR. But if we select “SpO2” in this item then the value in ECG HR
position and the PR value in SpO2 area are same.
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⑶ There are three modes of measurement available: manual, cycle and STAT(Not-stop). Each mode displays the diastolic, systolic and mean
blood pressure.
WARNING
You must not perform NIBP measurements on patients with sickle-cell disease or under any condition which the skin is damaged or
expected to be damaged.
For a thrombasthemia patient, it is important to determine whether measurement of the blood pressure shall be done automatically.
The determination should be based on the clinical evaluation.
Ensure that the correct setting is selected when performing measurements on infants. It may be dangerous for infants to use an
over pressure level.
Apply the appropriate size cuff to the patient, and make sure that the symbol “Ф” is over the appropriate artery. Ensure that the cuff is
not wrapped too tightly around the limb. Excessive tightness may cause discoloration and eventual ischemia of the extremities.
NOTE
The width of the cuff should be either 40% of the limb circumference (50% for infants) 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 the
cuff size is in question, then use a larger cuff.
Infant 6~11cm
Pediatric 18~26cm
Adult 25~35cm
Outsize 33~47cm
Make sure that the cuff edge falls within the range of mark <->. If it does not, use a larger or smaller cuff that fits better.
⑶ Connect the cuff to the air hose. The limb chosen for taking the measurement should be placed at the same level as the patient‟s heart. If this is
not possible you should apply the following corrections to the measured values.
① If the cuff is placed higher than the heart level, add 0.9 mmHg(0.10kPa) for each inch of different.
② If it is placed lower than the heart level, deduct 0.9 mmHg (0.10kPa)for each inch of different.
⑷ Check whether the patient mode is appropriately selected. The detailed operation please refers to Section 10.4.5 MODE.
⑸ Select a measurement mode in the NIBP SETUP menu. The detailed operation please refers to Section 10.4.4 CYCLE and Section 10.4.6
STAT.
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Fig. 10-1
ADULT: The type of current measuring patient, two selections are available: INFANT and ADULT, the detailed operation please refers to Section
10.4.5 MODE.
MANUAL: The present measurement mode, MANUAL, AUTO and STAT (NON-STOP) modes are available, the detailed operation please refer to
Section 10.4.4 CYCLE and Section 10.4.6 STAT.
Fig.10-2
10.4.1 BP TYPE
BP TYPE: after selecting this item, rotate the knob to select the different BP type, NIBP, IBP1, IBP2.
10.4.2 ALARM
PROMPT
The operation and function are the same as the BP sub-menu when pressing alarm icon in the frame of menu status.
Select “ALARM” in NIBP menu to call up the sub-menus. Different ALARM sub-menus respond the different BP types. If you have picked NIBP
type and pressed ALARM item, ALARM sub-menu will be shown as Fig.10-3:
Fig.10-3
NOTE:
It only sets NIBP alarm individually; the alarms of other parameters will not be affected.
Five items are available for the user to set up, which are SYS (systolic limit), MEAN (the limit of mean arterial pressure), DIAS (diastolic limit),
ALARM (OFF, HIGH, MEDIUM, and LOW), and CALIBRATE (ON/OFF). When use the knob to select each item and press the knob, a pull-down
list appears for the user to choose his/her desired selection.
10.4.3 UNIT
10.4.4 CYCLE
NIBP Measurement Modes
There are three methods to conduct NIBP measurement: manual, cycle and STAT (Not-stop). In manual mode, only one measurement is
conducted for each time. In the AUTO mode, the measurement is cycle; you can set the interval time to 1/2/3/4/5/6/7/8/9/10/15/20/25/30/40/50/
60/70/80/90/120/150/180/210/240minutes.
Manual
In which one measurement of each of the three blood pressures (Systolic/Mean Arterial Pressure/Diastolic) is made and displayed in the numeric
frame.
Press START (NIBP) button on the front-panel. A single blood pressure measurement will be made. Press START (NIBP) button again to cancel
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this measurement.
The measurements remain in the numeric frame as long as what you set up.
As soon as an NIBP measurement begins, any existing NIBP values in the numeric frame are removed, and the current, variable value of the cuff
pressure is shown. Systolic, diastolic and MAP values are presented when the measurement is completed. If fail to measure, the numeric frame
displays “_ _”.
Automatic
NIBP measurements are performed at the intervals as per you set.
Access NIBP SETUP menu and pick the CYCLE item to set measuring mode. Select the CYCLE selection. Then press START (NIBP) button on
the front panel to start the first auto measuring. Selected interval indicates you have set AUTO Monitoring Mode, the device will successively
measure patient‟s BP after taking break for the time you set in “CYCLE” item If you press “START” menu during AUTO mode, the measurement in
progress will stop to another manual measurement. After this manual measurement, the device will enter AUTO monitoring mode again. You want
to get the patient‟s NIBP value by manual operation, just pick “MANUAL” in “CYCLE” item.
10.4.5 MODE
Access NIBP SETUP menu and pick the MODE item to set the type of monitoring patient.
If the inflating pressure is selected between 70~120mmHg, the monitored patient should be an infant; if the inflating pressure is selected between
140~180mmHg, the monitored patient should be an adult. The AUTO mode is adult.
When setting the auto adult mode, inflated pressure is 22 kPa (165 mmHg). Normally, due to the oscillometric technique, the setup of inflated
pressure greatly affects the result of the monitored NIBP value. The highest inflated pressure is +4 kPa (30 mmHg) more than the Systolic
pressure.
10.4.6 STAT
If you set the STAT item ON, the monitor will measure the blood pressure continuously in 5 minutes. After completion of last measurement it waits
5 seconds, and then measures the pressure again.
NOTE: Ensure that the correct setting is selected when performing measurements on infants. It may be dangerous for infants to use an
over pressure level.
How to stop the NIBP Measurements
If a measurement is in process, press the START (NIBP) button whenever that you wish to cancel the current measurement. If an automatic
measurement is underway, the interval time will be reset.
The measurement values will be displayed after normally measurement. Alarm will be activated if those values out of limit. Only visible alarm can
be seen when the audible alarm be disabled. Refer to the ALARM chapter for more information.
WARNING
This monitor displays results of the last blood pressure measurement until another measurement is completed. If a patient’s
condition changes during the time interval between measurements, it will not detect the change or indicate an alarm condition.
Prolonged non-invasive blood pressure measurement in AUTO mode may be associated with purpuric, 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.
The blood pressure cuff should not be applied to the limb attaching the SpO2 sensor, since cuff inflation will disrupt SpO2
monitoring.
Do not place the cuff on an extremity being used for intravenous infusion or any area where circulation is compromised or has the
potential to be compromised.
When the measurement be performed on the infant and infant. Make sure that correct mode setting has been selected (refer to
NIBP menu setting section). For higher adult NIBP doesn’t fit for infant and infant, wrong selection of patient mode may be
dangerous to them.
Automatic deflation will be activated when the continuous inflation last more than 30 seconds.
If there is no value when measurement time exceeds 120 seconds under the adult mode and 90 seconds under the infant mode, the
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You can press the START (NIBP) button to cancel a NIBP measurement when necessary.
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⑵The amount of light transmitted depends on many factors, most of which are constant. However, one of these factors, the blood flow in the
arteries, varies with time, because it is pulsating. By measuring the light absorption during a pulsation, it is possible to derive the oxygen saturation
of the arterial blood. Detecting the pulsation gives a PLETH waveform and pulse rate signal.
WARNING
ES (Electrosurgery) equipment wire and SpO2 cable must not be tangled up.
Do not put the sensor on extremities with arterial catheter or venous syringe.
Verify sensor cable fault detection before beginning of monitoring phase. Unplug the SpO2 sensor cable from the socket, the
screen will display the error message “PROBE OFF” and the alarm is activated. If “PLETH ERROR” message displays on the
displaying area, which means the SpO2 board with trouble.
Do not use the sterile supplied SpO2 sensor if the packaging or the sensor is damaged and return them to the vendor.
Prolonged and continuous monitoring may increase jeopardy of unexpected change of dermal condition such as abnormal
sensitivity, rubescent, vesicle, repressive putrescence, and so on. It is especially important to check the sensor placement of
infant and patient of poor perfusion or immature dermogram by light collimation and proper attaching strictly according to
changes of the skin. Check the sensor placement every 2~3 hours and move it when the skin deteriorates. More frequent
examinations may be required for different patient.
NOTE
Do not perform SpO2 measuring and NIBP measuring in same limb, because obstruction of blood flow during NIBP measuring
may adversely affect the reading of SpO2 value.
Make sure the nail covers the light window.
The wire should be on the backside of the hand.
⑵ Plug the connector of sensor into SpO2 socket on the side panel of the monitor.
NOTE: Ensure the finger insert the sensor completely (has touched the bottom of the sensor).
High-frequency electrical noise, including noise created by the host system, or noise from external source, such as electrosurgical
apparatus, which is admitted by the host system.
Do not use oximeter and oximetry sensors during magnetic resonance imaging (MRI) scanning. Induced current could potentially cause
burns.
Sensor temperature (maintain between 28℃ and 42℃ for the best operation)
Placement of the sensor on an extremity that has a blood pressure cuff, arterial catheter, or intravascular line
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External illumination more than 5,000 lumens/square meter (typical office lighting)
Venous pulsations
Fig. 11-1
SPO2: Measured value of SpO2
ERROR: A technical alarm. It means that communication between the main board and the function board is malfunction.
PROBE OFF: A technical alarm. It indicates that the sensor detects no finger in it, please check whether the sensor has been well connected.
Fig. 11-2
11.5.1 AMPLITUDE
The amplitude indicates the status of the patient‟s blood circulation. Pick this item to access the amplitudes setup of SpO2 waveform. 5 selections
are available: 1, 2, 3, 4, 5. the amplitude of SpO2 waveform will be changed as setting.
11.5.2 AVERAGE
The Patient Monitor calculates SpO2 value with quantity of the SpO2 full wave (one top appearance of the SpO2 wave). You can find three
selections which is 4,8,16 in this menu, which indicate that the monitor use 4, 8 or 16 full waves to calculate the SpO2 value.
11.5.3 PR SOUND
It is for setting sound on/off of pulse beep.
11.5.4 ALARM
PROMPT
The operation and function are the same as the SpO2 sub-menu when pressing alarm icon in the frame of menu status.
Select “ALARM” in SpO2 menu to call up the sub-menu shown as Fig.11-3:
Fig. 11-3
NOTE
It only sets SpO2 alarm individually; the alarms of other parameters will not be affected.
Both audible and visual alarm will be activated when alarm events occur.
Five items are available for the user to set up, which are PR ALARM (HIGH, LOW, ALARM), PROBEALM (ON/OFF for ALARM of probe off), HIGH
(high limit of SpO2), LOW (low limit of SpO2%) and ALARM (OFF, HIGH, MEDIUM, and LOW). When you rotate the knob to select each item and
press the knob, a pull-down list appears for you to choose your desired selection.
11.5.5 WAVEFORM
It is for setting the mode of displaying SpO2 waveform. Pick the “FILL” item in “WAVEFORM” menu, SpO2 waveforms displaying on the screen is
filled as Fig.11-4:
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Fig. 11-4
Select “LINE” item in “WAVEFORM” menu, SpO2 waveform is in line as Fig. 11-5:
Fig. 11-5
Do not immerse sensor completely in water, solvents, or cleaning solutions because the sensor and connector are not
waterproof.
Do not soak the sensor in the detergent liquid; if any abnormity of the sensor or cable is detected, stop using it immediately.
Cleaning:
Moisten the soft cloth or gauze with alcohol and use it to wipe the surface of sensor, and then use the clean cloth to dry it. The same method can
be used to clean the light source and photo detector.
Cables can be disinfected by 3% of hydrogen-peroxide or 7% of isopropyl alcohol. Do not immerse the connector into the liquid.
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NOTE:The RESP monitoring is not recommended to be used on patients who are very activated, as this can cause false alarm.
⑵ Attach snap or clip to the electrodes and attach the electrodes to the patient as described as Fig.9-1.
NOTE: Place the red and green electrodes diagonally to optimize the respiration waveform. Avoid the liver area and the ventricles of
the heart in the line between the RESP electrodes so as to avoid cardiac overlay or artifacts from pulsating blood flow. This is
particularly important for infants.
WARNING
The respiration signals are acquired using the ECG. For information about patient connection, please refer to the ECG Monitoring
section.
Respiration signals are relatively more sensitive than any other physiological signals. It can cause inaccurate respiration
readings by the interference of patient activity and electrical surgery equipments. Do not rely entirely on the respiration readings
of this monitor for patient assessment.
Fig. 12-1
RR: Respiration Rate (the value is 16 here)
CO2: This function is optional; the result will be displayed on the screen only the module has been installed. (the value is 33 here)
ERROR: Technical alarm of module. It means that the module may be in trouble.
LDOFF: Technical alarm means lead off. It displays in the RESP graphic display area. If the alarm occurs, please check the connector of lead
cable and electrodes connection.
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Fig. 12-2
12.5.1 AMPLITUDE
Pick this item to access the WAVE amplitudes setup of RESP waveform. 12 selections are available: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12. The
amplitude of RESP waveform will be correspondingly changed as setting.
12.5.2 TYPE
It is for setting the type of RESP measurement. Two methods are available: IMPED (trans-thoracic impedance); CO2 (end tidal CO2).
NOTE
When you set “RESP-TYPE” to “CO2” item, the Et-CO2 waveform will be instead of RESP waveform gained by trans-thoracic
impedance.
12.5.3 ALARM
Select “ALARM” in RESP menu to call up the sub-menu shown as below:
Fig.12-3
NOTE
It only sets RESP alarm individually; the alarms of other parameters will not be affected.
Four items are available for the user to set up, which are HIGH (upper limit), LOW (lower limit), ALARM(OFF, HIGH, MEDIUM, LOW) , APNEA
(OFF, 10-90 seconds). When use the knob to select each item and press the knob, a pull-down list appears for the user to choose his/her desired
selection.
Description of APNEA:
You can set the standard of judging an apnea case by this menu. Apnea alarm is triggered according to the time set by user. The time ranges from
5 to 90 seconds. You also set the Apnea alarm off.
Fig.12-4
⑴. RES FROM: The respiration signal is acquired using the ECG electrodes, leads and cable. You can select the ECG lead (LL, LA or OFF) for
respiration signal.
⑵. RES MUL: You select the different signal gains for respiration signal. There are four options: 0.5, 1,2 and 4.
For detailed information, please refer to Section 9.6 ECG Maintenance and Cleaning.
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Fig. 13-1
T1: Temperature 1 (the value is 35.7 here).
T2: Temperature 2 (the value is 36.8 here).
Difference: The difference between T1 and T2 (the value is 1.1 here).
It will not be shown if “DIFFEREN” item in ALARM sub-menu is set to OFF.
Fig. 13-2
13.3.1 ALARM
Select “ALARM” in TEMP menu to call up the sub-menu shown as below Fig. 13-3:
Fig. 13-3
NOTE: It only sets TEMP alarm individually; the alarms of other parameters are not affected.
Five items are available for the user to set up, which are HIGH (high limit), LOW (low limit), ALARM (OFF, HIGH, MEDIUM, and LOW) and
DIFFEREN (Different-Limit). When use the knob to select each item and press the knob, a pull-down list appears for the user to choose his/her
desired selection. Rotate and press the knob to enter the submenu, and proceed to the relevant setup.
DIFFEREN (Different-Limit): it indicates the difference of TEMP(△T). The Patient Monitor offers two channels of TEMP, one of the channels can
connect with the skin probe, the other can connect with the rectal probe, which would induce the difference of TEMP. you can set the limit of
difference of TEMP to trigger the alarm. you can set OFF to this item, then you do not hear the audible alarm of △T.
13.3.2 UNIT
Pick this item to set measurement unit: Centigrade (℃) or Fahrenheit (℉).
Cleaning
⑴ The TEMP probe should not be heated above 100℃ (212℉). It should only be subjected briefly to temperatures between 80℃(176℉) and 100
℃ (212℉).
⑷ The rectal probes should be used, if possible, in conjunction with a protective rubber cover.
⑸ To clean the probe, hold the tip with one hand and with the other hand rubbing the probe down in the direction of the connector using a moist
cloth.
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The operator should avoid contact with the conductive parts of the appurtenance when being connected or applied.
When the monitor is used with high frequency surgical equipment, the transducer and the cables must be avoided conductive
connection to the high frequency equipment to protect against burns to the patient.
Calibrate the instrument either whenever a new transducer is used, or as frequency as dictated by your Hospital Procedures
Policy.
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 may enter the transducer or the monitor, contact the Hospital Service Center immediately.
⑴ Plug the pressure cable into corresponding socket and check that the monitor is switched on.
⑵ Prepare the pressure line and transducer by flushing through the system with normal saline solution. Ensure that the system is free of air
bubbles.
⑶ Connect the patient catheter to the pressure line, making sure that there is no air present in the catheter or pressure line.
WARNING
If there are air bubbles in the pressure line or the transducer, you should flush the system with the solution to be infused.
⑷ Position the transducer so that it is at the same level with the patient‟s heart, approximately mid-axillary line, as shown in Fig. 14-1.
Note: if the transducer will not zero, check that the transducer is open to atmospheric air and that it is connected properly. Retry to zero the
transducer again. If the error condition still does not clear, contact the Hospital Service Center.
Fig. 14-1
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Fig. 14-2
S: systolic pressure (the value for IBP1 is 115 here. and the value for IBP2 is 117 here.)
D: diastolic pressure (the value for IBP1 is 79 here, and the value for IBP2 is 81 here.)
M: mean arterial pressure (the value for IBP1 is 95 here, and the value for IBP2 is 97 here.)
Labels: ABP, CVP, PAP (both the labels for IBP1 and IBP2 are ABP here.)
14.5.1 BP TYPE
Press the knob to switch from one mode to other mode. There are three modes are viable: NIBP, IBP1, IBP2. NIBP is none invasive blood
pressure, IBP1, IBP2 channels are invasive blood pressure, whose menus are different as per various modes.
If you select IBP1 item for “BP TYPE”, the BP sub-menu will be shown as Fig. 14-3:
Fig. 14-3
If you select IBP2 item for “BP TYPE”, the BP sub-menu will be shown as Fig. 14-4:
Fig. 14-4
14.5.2 ALARM
If you have picked IBP1 type and pressed ALARM item, the sub-menu will be shown as Fig.14-5:
Fig.14-5
If you have picked IBP2 type and pressed ALARM item, the sub-menu will be shown as Fig.14-6:
Fig.14-6
NOTE: It only sets IBP alarm individually; the alarm of other parameters will not be affected.
Five items are available for the user to set up, which are SYS (systolic limit), MEAN (the limit of mean arterial pressure), DIAS (diastolic limit),
ALARM (off, high, medium, low), and CALIBARTE. When use the knob to select each item and press the knob, a pull-down list appears for the
user to choose his/her desired selection.
14.5.3 UNIT
14.5.4 BASELINE
The user may adjust the BASELINE of the waveforms displayed on the screen. Available options are: 0-50.
Fig.14-7
14.5.5 SCALE
Used to access the sub-menu of IBP SCALE ADJUST, in which the user may adjust the amplitude of the two waveforms displayed on the screen.
Six options are available: 20mmHg/cm, 40mmHg/cm, 60mmHg/cm, 80mmHg/cm, 100mmHg/cm, and 200mmHg/cm.
14.5.6 Label
There are three options for selection: ABP, CVP, PAP. You can set the data according to the tube location of monitoring BP, the relevant label will
be displayed in the IBP displaying area.
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WARNING
You must never perform this procedure while patient is being monitored.
Close the 3-way that was open to atmospheric pressure for the zero calibration.
Attach the tubing to the sphygmomanometer.
Make connection that would lead to patient is off.
1. Connect the transducer with cable, install DOME. The both ends of DOME should be connected with air (e.g.: IBP1)
3. The pressure value will be shown on the IBP channel1, S, D value also will be shown, and please take the shown S value as criterion
5. If the error exceeds the tolerance, please enter into IBP1 pressure revising item to adjust IBP1 revising value and let S value be zero.
Select the “CALIBRATE” item in Fig. 14-6 and then the following menu will be appear on the bottom of the screen. And select the “ZERO” to
zeroing the transducer.
Fig.14-8
NOTE: Mercury manometer calibration should be processed when starting to use the new transducer or regularly be processed
according to hospital’s rules.
The purpose of the calibration is to insure that the system can give accurate measure result.
You must zero the transducer before the mercury manometer calibration.
If you want to calibrate the transducer by yourself, required equipment should be:
Standard sphygmomanometer
3-way switch
About 25 centimeters long pipeline
Calibration steps
Fig. 14-9
1. Close the 3-way that was open to atmospheric pressure for the zero calibration
4. Connect another 3-way switch with the 3-way that disconnects with the patient‟s pipeline. Connect injector to one port of the 3-way, then the
sphygmomanometer and pipeline be connected the other port, open one way of the 3-way which connect with sphygmomanometer. Ensure
pressure value is zero, press “ZERO” item to set the value as “0”.
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Fig. 14-10
Fig. 14-11
5.Inflating the sphygmomanometer to the 200 mmHg (or other appointed value)
6. Then set the” ADJUST” as 200 mmHg (or other appointed value) which is same as sphygmomanometer value. When press “ADJUST”, the
menu shows as follow:
Fig. 14-12
7. After one time calibration the mercury manometer can be deflated, then add pressure renewably, checking the transducer‟s veracity after
calibration. If not correct, please repeat the above steps and redo calibration operation.
NOTE
The disposable transducer or domes must not be re-sterilized or reused.
For protecting environment, the disposable transducers or domes must be recycled or disposed of properly.
Sterilization
Liquid Chemical Sterilization
Remove obvious contamination by using the cleaning procedure described previously. Select a sterilant that your hospital or institution has
found to be effective for liquid chemical sterilization of operation room equipment. Buffered gluteraldehyed (e.g. Cidex or Hospisept) has
been found to be effective. Do not use quaternary cationic detergents such as zephiran chloride. If the whole unit is to be sterilized, immerse
the transducer but not the electrical connector into the sterilant for the recommended sterilizing period. Be sure that the dome is removed.
Then rinse all transducer must be thoroughly dried before storing.
Gas Sterilization
For more complete asepsis, use gas sterilization.
Remove obvious contamination by using the cleaning procedure described previously. To inhibit the formation of ethylene glycol when
ethylene oxide gas is used as the disinfectant, the transducer should be completely dry.
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Fig. 15-3
2. Connect the CO2 module to the trap receptacle on the monitor side panel.
NOTE: The interface used to connect with the CO2 module is marked with the word “ET-CO2”, this interface is usually configured on the
side panel of monitor.
Fig. 15-4
CAUTION:
The nasal and nasal/oral cannula kits are intended for single patient use. Do NOT reuse or sterilize the cannula kit as system
performance will be compromised.
Directions for use of single patient use nasal and nasal/oral sidestream kits:
1. Verify that the cannula kit is clean, dry and undamaged. Replace the cannula kit if necessary.
2. Insert the sample cell into the sample cell receptacle. A “click” will be heard when properly inserted.
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4. Place the nasal cannula kits onto the patient as shown in Fig. 15-4.
5. Some patients are prone to mouth breathing. The oral/nasal sampling cannual should be used on these patients, as most, if not all of the CO2 is
exhaled through the mouth. If a standard nasal CO2 sampling cannula is used with these patients, the ET CO2 number and capnogram will be
substantially lower than actual.
6. When using the nasal or oral/nasal CO2 sampling kits with oxygen delivery, place the cannula on the patient as shown in Fig. 15-4 and then
attach the oxygen supply tubing to the oxygen delivery system and set the prescribed oxygen flow.
7. If the oral/nasal cannula is used, the oral sampling tip may need to be trimmed to adequately fit the patient (see Fig. 15-5). Place the cannula
onto the patient as shown in Fig. 15-5. Observe the length of the oral cannula tip. It should extend down past the teeth and be positioned in the
mouth opening. Remove the cannula from the patient if the tip needs to be trimmed.
Fig. 15-5
CAUTION
● Do NOT cut the oral cannula tip when the cannula is on the patient.
● Remove the LoFlo sampling kit sample cell from the LoFlo CO2 module inlet port when not is use.
WARNING
Ensure to select “CO2” for “TYPE” item in RESP sub-menu before monitoring patient’s Et-CO2.
NOTE
When you set “TYPE” to “CO2” item, the Et-CO2 waveform (plethysmogram) will be instead of RESP waveform (line) gained by
trans-thoracic impedance.
Fig. 15-6
⑴ HIGH: The high limit of alarm
⑶ ALARM: Set the alarm on or off and the level of the alarm
⑷ InsCO2: Inspiratory CO2, there are two options in this item ON or OFF, if you select ON for this item, the value of
inspired CO2 will be presented on the RESP frame as Fig.15-15, select OFF, the value will not presented on the
RESP frame.
Fig. 15-8
⑶ ALARM: Set the alarm on or off and the level of the alarm
⑷ InsCO2: Inspiratory CO2, there are two options in this item ON or OFF., if you select ON for this item, the value of inspired CO 2 will be
presented on the RESP frame as Fig.15-15, select OFF, the value will not presented on the RESP frame.
⑸ PUMP: Pump mode, it offers 50ml/min, 100ml/min and 150ml/min to select. We recommend adopt standard mode 100ml/min. If the
patient‟s respiration is quite weak, please use 150ml/min mode.
⑹ UNIT: There are 2 items are available: mmHg, %, select proper unit as the clinical request.
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Fig. 15-9
Fig. 15-10
And then select “OTHERSET” to enter into the following calibration menu:
Fig. 15-11
COMPENSA: By selecting this menu you can set the compensation items (refer to Fig. 15-12).
ET-CO2: By selecting this menu you can set the calculation time of the ET-CO2.
NORETIME: The numeric displaying time after without respiration. 10s~60s for selection
ZEROGT: By selecting this menu you can set the measuring environment. There are “Room air” and “100% Nitrogen”.
UNIT: By selecting this menu you can set the unit of measurement. There are mmHg, % and Kpa for selection.
Fig. 15-12
BAR PRE: By selecting this menu you can set the current air pressure. The setting range is from 400 to 850.
O2: By selecting this menu you can set the O2 compensation. The compensation numerical value is from 1% to 100%.
ANE AGEN: By selecting this menu you can set the compensation of anesthetic. The compensation range is from 0.0% to 20.0%.
FGTEMP: By selecting this menu you can compensate the temperature of the flowing gases. The compensation range is from 0.0% to 50.0%.
BAL GAS: By selecting this menu you can select the balance gas. There are Helium, N2O and None for selection.
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⑴ An effective maintenance plan should be designed for the product and its reusable accessories. It includes periodic inspections and cleaning. It
should be accord with the policy of local infection control department or health institution.
⑵ Be sure to disconnect power line to the product before cleaning and inspecting.
⑶ Periodic cleaning (accordance with the policy of local infection control department or health institution). Dampen a cloth with a commercial,
nonabrasive cleaner and wipe the tip, bottom, and front surfaces lightly. The following admissive liquor can be used:
● Ammonia (diluted),
● Glutaraldehyde,
● Sodium hypochlorite bleacher (diluted)
● Mildness suds (diluted).
Please obey the following rules to prevent from damaging the product:
● Always using diluted liquor recommend by the manufacture.
● Always wipe up cleaning liquor after cleaning.
● Always not use cleaning matter containing wax.
● Always not spray water or cleaning liquor over the product, neither allows any liquid to flow into power switcher, connector, or other
intake.
● Always not use the following cleanser:
○ any kinds of abrasive cleaner and menstruum
○ acetone
○ ketone
○ spirituous cleanser
○ lycine.
● In order to clean display, please use clean flexible cloth and make it wet with cleanser in the glass. Always not spray cleanser in the
glass on the screen, neither use alcohol or medical disinfector, such as glutaraldehyde or lycine.
● Please use warm wet cloth and mildness suds to clean cables and lead wires. Other cleaning ways may reduce the life of cables and
lead wires.
Recommendation:
● Do not power on/off frequently.
● Take down and safekeeping probes, lead wires, gluey tube after using product.
● Please hold the product in packaging if the product would not work for a long time.
● Do not make the product contact with chemical medicine and reagent.
● Battery Maintenance
If the monitor has not been used for a long period of time, you should charge the battery fully every two months. To charge the battery,
connect the monitor to an AC outlet. Usually, a complete battery recharge requires 8 hours. The battery should be stored in the
temperature of 25℃.
Note: Storing the battery for a long period more than one year without charging the battery may degrade the battery capacity because
of self-discharge.
Please use the battery in temperature range: from -15℃ to 50℃(from 5℉ to 122℉).
Note: If the monitor equipped with the battery is always operated beyond normal temperature range, the useful life of the battery may
be shortened.
Note: Dispose of this product and used batteries in accordance with the local ordinances and regulations for the disposal of electronic
products.
If there is any abnormity, stop working. It can be reused after inspecting and repairing by technician.
16.2 Troubleshooting
No display after power on
⑴Repair response time: AM9:00 to PM17: 30 on Monday to Friday except legal holiday.
Telephone support: we can give guidance to customer‟s engineer to inspecting the instrument when you dial our service line.
Professional repair engineer online provides technical support.
Field inspecting: we will send engineers to repair the instrument if necessary. Certified engineers of our company or local repair team
trained by our company provide this service.
Fittings replacement: if necessary, we will replace the damaged fittings according to contract. The damaged fittings should be returned to
us expect for special reason.
⑶ Spare machine for repair: it is used to replace the damaged machine for customer using, customer should send the damaged machine to us to
repair.
⑷ Repair for sponsoring and contributing machine: customer should send the machine to us to repair.
⑴ Warranty does not apply to the damage or loss sustained due to well-known act of god, such as fire, earthquake, flood, thunder, cyclone, hail,
electrical storm, blast, building collapse, commotion, etc.
⑵ Non-service items:
① The cost and insurance of dismantling and testing, overhauling, reinstall, transfer, moving the instrument or parts.
② Damage or loss sustained due to inspected or repaired by other institute that is not certified
③ Damage or alteration by anyone other than our company authorized service personnel.
⑶ The damage or lose sustained due to connection to peripheral equipment (such as printer, computer etc.), that are not provided by our
company are not covered by the warranty.
⑷ Obligation restriction: In the duration of warranty, if the operators use other fittings that are not provided by us, we reserve the right to cancel
warranty.
⑵ Operation and maintenance according to the user manual, and guarantee the requests of power and environment.
● The work environment is not eligible. For example, if the relative humidity exceeds 70%, circuit boards of the instrument may be
damaged due to condensate.
● If voltage of power supply is fluctuant and exceeds 240VAC, the power adapter may be damaged.
● There is smear or marks that are not belong to the instrument and cannot be removed from the outside surface of the instrument.
● The circuit is short and damaged due to liquor or other stuff flow in the instrument or its fittings.
● Leakage of air cell of blood pressure sleeve due to improper storage or operation is not free replacement.
● The malfunction with result from improper repair by anyone other than our company authorized service personnel.
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● If any code label of parts is damaged or missing, this warranty shall become null and void. For example of code label.
Due to we stipulate the warranty period according to the relevant electronic regulation of country, which we stipulate is on year, accessory is three
months. When customer requires to extending the warranty period, you should consider whether it is reasonable. Because electronic product
quickly replace, as to the warranty period over three years, purchased accessories may be out of stock. In this case, we will adopt to entirely
upgrade or replace the old, you should pay the minimum acceptable cost of renewed device.
16.3.6 Repackaging
Remove all the detectors, leads and accessories and put them into the plastic bag.
Try to use the original packaging case and materials. Any damage due to the improper packaging during the transportation shall be responsible by
the user.
If you are still within the period of warranty, please present the warranty card and one copy of the invoice or receipt.
Please present a written note detailing all the troubles when repairing the instrument.
Transportation: Transportation: via road, rail or aviation after properly insured and packaged.
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Cinema Series Manual
Appendix
List of Accessories
The accessories list below is specified to be used in this device of our company. The user can order the various accessories according to the
hospital requirements.
The standard accessories:
2 Electrode 2153
4 SpO2 finger clip probe and extension cable (for adult) A0209-SA126PV
8 Operator‟s manual ――
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Cinema Series Manual
TEPA is an ISO EN 13485 certified company. Our products are designed to meet EN 60601-1 patient safety specifications. All Rights Reserved. Copyrights © Tepa Inc.2010,
Ankara.
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