Professional Documents
Culture Documents
CNS-9701
CNS-9701A
CNS-9701J
CNS-9701K
2
GENERAL HANDLING PRECAUTIONS.................................................................... i
WARRANTY POLICY................................................................................................ ii 3
EMC RELATED CAUTION........................................................................................iii
Conventions Used in this Manual and Instrument..................................................... v 4
Warnings, Cautions and Notes........................................................................ v
Explanations of the Symbols in this Manual and Instrument........................... v
5
Check that you have everything before starting installation......................................vii
6
7
Section 1 General.................................................................................... 1.1
Introduction....................................................................................................................... 1.2
Central Monitor Composition............................................................................................ 1.3
Local Purchase Units.............................................................................................. 1.4
Dual Display Monitoring.......................................................................................... 1.5
System Composition......................................................................................................... 1.6
Installation Conditions....................................................................................................... 1.7
Caution Label and Caution Mark...................................................................................... 1.8
Central Monitor Main Unit....................................................................................... 1.8
VL-971R/RK LCD Unit............................................................................................ 1.8
Installation Flowchart........................................................................................................ 1.9
Important Safety Information.......................................................................................... 1.10
General................................................................................................................. 1.10
Installation............................................................................................................ 1.10
UPS...................................................................................................................... 1.11
Network................................................................................................................ 1.12
Turning the Power On/Off..................................................................................... 1.12
Discharge and Receiving Channel Change.......................................................... 1.13
Alarm.................................................................................................................... 1.13
Please read these precautions thoroughly before attempting to operate the instrument.
1. To safely and effectively use the instrument, its operation must be fully understood.
(1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly
ventilated areas, and dust, saline or sulphuric air.
(2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport.
(3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage.
(4) The power line source to be applied to the instrument must correspond in frequency and voltage to product
specifications, and have sufficient current capacity.
(5) Choose a room where a proper grounding facility is available.
3. Before Operation
4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.
(3) Avoid direct contact between the instrument housing and the patient.
(1) Turn power off with all controls returned to their original positions.
(2) Remove the cords gently; do not use force to remove them.
(3) Clean the instrument together with all accessories for their next use.
6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is
not functioning properly, it should be clearly marked to avoid operation while it is out of order.
9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or
location of electrodes and/or transducers to avoid possible burn to the patient.
10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator
discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.
WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year
from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded
from the warranty.
NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period,
provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals.
No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any
other warranty, either implied or in writing. In addition, service, technical modification or any other product change
performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding
this warranty.
Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.
This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the original identification marks have been
removed.
CAUTION
United States law restricts this device to sale by or on the order of a physician.
The following describes some common interference sources and remedial actions:
1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station
or cellular phone:
Install the equipment and/or system at another location if it is interfered with by an emitter source
such as an authorized radio station. Keep the emitter source such as cellular phone away from the
equipment and/or system.
2. Radio-frequency interference from other equipment through the AC power supply of the equipment
and/or system:
Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.
4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden
representative for additional suggestions.
The CE mark is a protected conformity mark of the European Community. The products herewith comply with
the requirements of the Medical Device Directive 93/42/EEC.
This equipment complies with EUROPEAN STANDARD EN-60601-1-2:1993 which requires EN-55011, class A.
Class A EQUIPMENT is allowed in domestic establishments when used under the jurisdiction of a health care
professional.
When measuring SpO2, various interference may produce false waveforms which look like pulse
waveforms. SpO2 value and pulse rate may be measured from these false waveforms, causing the alarm to
function improperly.
When installing the monitor, avoid locations where the monitor may receive strong electromagnetic
interference such as radio or TV stations, cellular phone or mobile two-way radios.
WARNING
A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative methods or
supplemental information.
Power on Fuse
1 2 3 4 5
6 7 8 9 10
11 12 13 14
15 16
Introduction........................................................................................................................................................... 1.2
Central Monitor Composition................................................................................................................................ 1.3
Local Purchase Units................................................................................................................................. 1.4
Dual Display Monitoring............................................................................................................................. 1.5
System Composition............................................................................................................................................. 1.6
Installation Conditions.......................................................................................................................................... 1.7
Caution Label and Caution Mark.......................................................................................................................... 1.8
Central Monitor Main Unit........................................................................................................................... 1.8
VL-971R/RK LCD Unit................................................................................................................................ 1.8
Installation Flowchart............................................................................................................................................ 1.9
Important Safety Information.............................................................................................................................. 1.10
General..................................................................................................................................................... 1.10
Installation................................................................................................................................................ 1.10
UPS.......................................................................................................................................................... 1.11
Network.................................................................................................................................................... 1.12
Turning the Power On/Off......................................................................................................................... 1.12
Discharge and Receiving Channel Change............................................................................................. 1.13
Alarm........................................................................................................................................................ 1.13
Introduction
NOTE
• For simplicity, the suffix A/J/K will be omitted in this manual. There is
no difference in operation among models with different suffixes unless
otherwise specified.
• Use only Nihon Kohden parts and accessories to assure maximum
performance from your instrument.
1
Central Monitor Composition
keyboard mouse
UPS
laser printer
These units are used as examples for connecting the system in this installation
guide. When using locally purchased units, read the manual provided with these
units.
• Mouse
For the Windows settings necessary when using dual displays and connection
procedure, refer to Section 3.
System Composition
In a central monitor network, on a central monitor you can see data of any bed in
the network. On a bedside monitor, you can see data of any bed in the network
using the interbed function.
The data that can be displayed on the bedside monitor or central monitor depends
on the type of bedside or central monitor used. The number of central monitors
and bedside monitors that can be connected to a central monitor network and
the method of network communication depend on the type of monitor used. The
network system and the units required for composing the network depend on the
monitors.
For details, refer to the Network System installation guide or contact your Nihon
Kohden representative.
Central monitors
Bedside monitors
CNS-9300 series
Network group CNS-9701 Central monitor CNS-9300 series
e.g. ICU
Central monitor CNS-9701 Central monitor
Printer
Network group
e.g. CCU Central monitor Central monitor Central monitor
Transmitter Transmitter
WARNING WARNING
Install all network devices, including printer and Check the software version number of the
hubs, outside the patient environment (IEC monitor before connecting it to the network.
60601-1-1). If they are installed inside the patient Different software versions have different
environment, the patient or operator may receive communication methods. More than one
electrical shock or injury. For installation, contact communication method in a network may cause
your Nihon Kohden representative. communication failure. For details, refer to the
Network and System Installation Guide.
1
Installation Conditions
Put the central monitor on a stable and flat surface in a suitable location where
the screen is easy to see and does not reflect light. Follow the instructions below.
WARNING WARNING
Never use the central monitor in the presence of Never use the central monitor in a hyperbaric
any flammable anesthetic gas or high oxygen chamber. Failure to follow this warning
concentration oxygen atmosphere. Failure to may cause explosion or fire.
follow this warning may cause explosion or fire.
WARNING CAUTION
Install the central monitor and external Connect only the specified instrument to the
instruments outside the patient environment (IEC central monitor and follow the specified
60601-1-1). If they are installed inside the patient procedure. Failure to follow this warning may
environment, the patient or operator may receive result in electrical shock or injury to the patient
electrical shock or injury. For installation, contact and operator, and cause fire or instrument
your Nihon Kohden representative. malfunction.
CAUTION CAUTION
• Avoid placing the central monitor near a heater Make sure that there is more than 5 cm of space
or humidifier. between the central monitor and the wall for
• Avoid a location where the central monitor is adequate ventilation. When the instrument is
sprinkled with liquids. Avoid direct sprinkling, surrounded, make sure that there is about 10 cm
spray or moist air from a nebulizer or a of space above the central monitor for ventilation
humidifier. so that the operating temperature does not
• Avoid locations where the central monitor may exceed 35ºC (95ºF).
receive strong electromagnetic interference
such as radio or TV stations, cellular phones or
CAUTION
mobile two-way radios.
Do not place blankets or cloth over the central
• Avoid exposing the central monitor to direct
monitor. It may affect monitoring.
sunlight.
• Do not place the central monitor in a dusty
area.
CAUTION CAUTION
Connect the power cord to an AC outlet which When there is any problem on the central monitor,
can supply enough AC current to the central turn off the power immediately and disconnect the
monitor. The telemetry system cannot function power cord from the AC outlet. Take the central
properly with low current. monitor out of service and check for damage.
CAUTION
Do not move the VL-971R/RK LCD unit with the
display facing down. The display may tip over.
CAUTION CAUTION
Follow the specified procedure to turn off the While the central monitor is on, do not touch
central monitor. Otherwise, patient data will be unused sockets. Failure to follow this caution
deleted and data in the hard disk and the hard damages the monitor by static electricity and
disk itself may be damaged. causes malfunction.
WARNINGs and
CAUTIONs about all
sockets on the rear
panel Refer to Section 3.
WARNING
WARNINGs and CAUTIONs about all
Do not turn off the display to which the speaker sockets on the rear panel
cable is connected. The alarm sound cannot be Refer to Section 3.
heard.
1
Installation Flowchart
1. Install UPS.
6. Connect the central monitor, bedside monitors and laser printer to a network.
10. Assign a bed name/CNS name and group name to the monitors.
12. Change settings on each window of the System Setup, Patient Setting and
Setup on the central monitor.
General
WARNING WARNING
Never use the central monitor in the presence of Never use the central monitor in a hyperbaric
any flammable anesthetic gas or high oxygen chamber. Failure to follow this warning
concentration oxygen atmosphere. Failure to may cause explosion or fire.
follow this warning may cause explosion or fire.
WARNING WARNING
Do not install any software other than specified by Do not install the CNS-9701 system software into
Nihon Kohden and run it in the central monitor. a personal computer which is not specified by
Otherwise Nihon Kohden does not warrant normal Nihon Kohden and use it for monitoring.
operation of the CNS-9701 system program. • If the personal computer does not satisfy the
performance specifications which are required
by Nihon Kohden, the system software may not
WARNING
function normally.
While the central monitor is on, do not insert any
• If the personal computer does not satisfy the
CD-ROM or floppy disk into it. Nihon Kohden
safety standards which are required by Nihon
does not warrant the normal operation of the
Kohden, the patient and operator may get
central monitor in the case that an application or
electrical shock through another instrument in
software installation starts automatically.
the network.
CAUTION CAUTION
If fluids are accidentally spilled on the central While the central monitor is on, do not touch
monitor, take the central monitor out of service unused sockets. Failure to follow this caution may
and contact your Nihon Kohden representative. damage the monitor by static electricity and may
The central monitor must be cleaned, dried and cause malfunction.
tested for safety and function.
Installation
WARNING
Install the central monitor and external
instruments outside the patient environment (IEC
60601-1-1). If they are installed inside the patient
environment, the patient or operator may receive
electrical shock or injury. For installation, contact
your Nihon Kohden representative.
1
CAUTION CAUTION
Only use the provided power cord. Using other Connect only the specified instrument to the
power cords may result in electrical shock or central monitor and follow the specified
injury to the patient and operator. procedure. Failure to follow this warning may
result in electrical shock or injury to the patient
and operator, and cause fire or instrument
malfunction.
CAUTION CAUTION
Before connecting or disconnecting instruments, Keep the cable out of the way by running it along
make sure that each instrument is turned off and the floor or wall. Otherwise people may trip over
the power cord is disconnected from the AC it, causing the instrument to fall and injure the
socket. Otherwise, the patient or operator may patient and operator.
receive electrical shock or injury.
UPS
WARNING WARNING
Install the UPS outside the patient environment Use a UPS which satisfies the safety standards
(IEC 60601-1-1). If it is installed inside the patient specified by IEC and UL. Otherwise, lack of
environment, the safety standards which are safety may cause electrical shock to the patient
required by Nihon Kohden are not satisfied and it or operator.
may cause electrical shock to the patient or
operator.
WARNING
Periodically check the lifetime of the UPS battery.
Replace the battery when the lifetime expires. If
the battery is used beyond its lifetime, liquid
leakage, smoke, fire or explosion may occur.
CAUTION CAUTION
Make sure that the UPS is properly grounded. To assure an uninterrupted power supply, we
Otherwise the operator may receive electrical recommend using the specified UPS. A sudden
shock. loss of power supply or an extreme power surge
can damage the central monitor and delete
stored data.
Network
WARNING WARNING
Connect the central monitor to network as Check the software version number of the
specified. Otherwise the patient and operator may monitor before connecting it to the network.
receive electrical shock or injury. To connect the Different software versions have different
network, contact your Nihon Kohden representative. communication methods. When there is more
than one communication method in the network,
communication may malfuction.
WARNING
Install all network devices, including printer and
hubs, outside the patient environment (IEC
60601-1-1). If they are installed inside the patient
environment, the patient or operator may receive
electrical shock or injury. For installation, contact
your Nihon Kohden representative.
CAUTION CAUTION
Network settings and Windows 2000 system The network must be managed by the network
settings must only be set by a qualified service administrator. Make sure that each monitor in the
personnel. Contact your Nihon Kohden network has a different IP address. Otherwise,
representatives. data communication cannot be performed
properly. When adding a monitor to an already
operating network, set the IP address on the
monitor before connecting the monitor to the
network.
WARNING WARNING
Do not turn off the display to which the speaker When monitoring with two displays, do not turn
cable is connected. The alarm sound cannot be off either display. Otherwise some monitored
heard. beds cannot be monitored.
CAUTION CAUTION
Follow the specified procedure to turn off the After turning the power on, confirm that there is a
central monitor.Otherwise, patient data will be test sound from the built-in speaker of the display.
deleted and data in the hard disk and the hard
disk itself may be damaged.
WARNING
Check that the channel number of the transmitter corresponds to the
receiving channel (the channel displayed on the monitor screen).
Otherwise, the telemetry system monitors a different patient.
CAUTION
When you change the receiving channel to monitor a new patient,
first delete all data of the previous patient. Otherwise, the data of the
previous patient and new patient will be mixed together and cause
misunderstanding of the patient history.
Alarm
WARNING WARNING
Securely connect the sound cable. There is no Do not adjust the sound volume at the display
sound if the cable comes off. unit. If you decrease the display unit volume to
the minimum, there is no alarm sound.
WARNING
While the central monitor is on, do not insert any CD-ROM or floppy
disk into it. Nihon Kohden does not warrant the normal operation of
the central monitor in the case that an application or software
installation starts automatically.
CAUTION
While the central monitor is on, do not touch unused sockets. Failure
to follow this caution may damage the monitor by static electricity
and may cause malfunction.
Front Panel
Power switch
Turns main unit on or off when the main power switch on the rear
panel is on ( ).
Power lamp
Lights when the power is on.
Reset switch
Normally not used.
Rear Panel
NOTE
Do not remove the covers from the unused sockets on the rear panel of
2
the central monitor main unit.
AC SOURCE socket
KEYBOARD socket
MOUSE socket
RS-232C socket
NETWORK socket
Name Description
AC SOURCE socket Connects to a UPS via the power cord provided with the central monitor main
unit.
Main power switch Turns on or off to supply power to the main unit. Under normal conditions keep
this switch turned on ( ).
KEYBOARD socket Connects to the keyboard.
MOUSE socket Connects to the mouse.
RS-232C socket Connects to an instrument to receive or send serial data.
RECORDER socket Connects to the WS-971R recorder unit via the recorder cable provided with the
central monitor main unit.
SOUND socket Connects to the SOUND socket on the display.
NETWORK socket Connects to network system via a network cable.
PROTECT KEY socket Connects to the protection key via the connection cable provided with the central
monitor main unit. This protection key can be connected to the protection keys
for the QP-971P/972P/973P/974P program kits. Some monitors do not have
protection keys and you do not need to connect the protection keys.
VIDEO1/VIDEO2 socket Connects to the VIDEO socket on the LCD unit via the RGB connection cable
provided with the VL-971R/RK LCD unit.
TOUCH 1/TOUCH 2 socket Connects to the TOUCHSCREEN socket on the LCD unit via the touchscreen
connection cable provided with the VL-971R/RK LCD unit.
WARNING
Do not turn off the display to which the speaker cable is connected.
The alarm sound cannot be heard.
Front Rear
Up/Right Down/Left
Power switch
Turns on ( ) or off ( ) the LCD
unit. Under normal conditions keep
this switch turned on.
WARNING WARNING
Do not turn off the display to which the speaker Do not adjust the sound volume at the display
cable is connected. The alarm sound cannot be unit. If you decrease the volume to the minimum,
heard. there is no alarm sound.
For the specifications that Nihon Kohden recommends, refer to “Local Purchase
Units” in Section 1. Read the display manual together.
The recommended model may be changed without notice. Contact your Nihon
Kohden representative when you locally purchase a display.
WARNING
POWER lamp
Lights when the power is on.
Fuse holder
Two fuses (1A) are contained.
Fuse must be replaced by
CHECK RECORDER lamp qualified service personnel.
Lights when communication
between the recorder unit and Power switch
central monitor is disconnected Turns the power ON ( ) or OFF
or when there is abnormality in ( ).
the recorder unit. Usually, keep the power ON.
Paper magazine release lever
Power socket
Press to open the magazine.
Connects to a UPS with a power
Paper magazine cord provided with the central
Contains the recording paper. monitor main unit and supplies
power (100 to 240 V) to the
recorder unit.
PC socket
Connects to the RECORDER socket on the
rear panel of the central monitor main unit
with the recorder cable provided with the
central monitor main unit.
Laser Printer
Use the laser printer that Nihon Kohden recommends. Read the printer manual
together.
The recommended model may be changed without notice. Contact your Nihon
Kohden representative when you locally purchase a laser printer.
UPS
2
WARNING
Periodically check the lifetime of the UPS battery. Replace the
battery when the lifetime expires. If the battery is used beyond its
lifetime, liquid leakage, smoke, fire or explosion may occur.
CAUTION
Make sure that the UPS is properly grounded. Otherwise the
operator may receive electrical shock.
The recommended model may be changed without notice. Contact your Nihon
Kohden representative when you locally purchase a UPS.
WARNING
Install the central monitor and external
instruments outside the patient environment (IEC
60601-1-1). If they are installed inside the patient
environment, the patient or operator may receive
electrical shock or injury. For installation, contact
your Nihon Kohden representative.
CAUTION CAUTION
Connect only the specified instrument to the Before connecting or disconnecting instruments,
central monitor and follow the specified make sure that each instrument is turned off and
procedure. Failure to follow this instruction may the power cord is disconnected from the AC
result in electrical shock or injury to the operator, socket. Otherwise, the patient or operator may
and cause fire or instrument malfunction. receive electrical shock or injury.
CAUTION CAUTION
Only use the provided power cord. Using other Keep the cable out of the way by running it along
power cords may result in electrical shock or the floor or wall. Otherwise people may trip over
injury to the operator. it, causing the instrument to fall and injure the
patient and operator.
NOTE
Do not remove the socket cover from the MU-971RA/RJ/RK main unit
when not using that socket.
Connection Diagram
3
CAUTION CAUTION
Connect only the specified instrument to the Before connecting or disconnecting instruments,
central monitor and follow the specified make sure that each instrument is turned off and
procedure. Failure to follow this instruction may the power cord is disconnected from the AC
result in electrical shock or injury to the operator, socket. Otherwise, the patient or operator may
and cause fire or instrument malfunction. receive electrical shock or injury.
Mouse Keyboard
5
4
Recorder unit
6 WS-971R
7
3
1 AC adapter
UPS
10 9
8
Laser printer
11 12
To the grounding To the AC outlet
terminal on the wall on the wall
13
To network system To the AC outlet on the wall
UPS
TVSS GND terminal 11 Equipotential grounding lead Equipotential grounding terminal on the
(UPS option) wall
--- 12 UPS power cord 3-prong AC outlet on the wall
Laser printer
AC source socket 13 power cord AC outlet on the wall
(provided with the laser printer)
* Some monitors do not have a protection key and you do not need to connect the connection cable and protection key.
3
CAUTION CAUTION
Connect only the specified instrument to the Before connecting or disconnecting instruments,
central monitor and follow the specified make sure that each instrument is turned off and
procedure. Failure to follow this instruction may the power cord is disconnected from the AC
result in electrical shock or injury to the operator, socket. Otherwise, the patient or operator may
and cause fire or instrument malfunction. receive electrical shock or injury.
Recorder unit
WS-971R
UPS
Laser printer
WARNING WARNING
Install the UPS as specified in this guide and Periodically check the lifetime of the UPS battery.
UPS manual. Otherwise the installation may not Replace the battery when the lifetime expires. If
satisfy safety standards. the battery is used beyond its lifetime, liquid
leakage, smoke, fire or explosion may occur.
CAUTION
Make sure that the UPS is properly grounded.
Otherwise the operator may receive electrical
shock.
NOTE
• The battery lifetime of the UPS may be shortened when the
environmental temperature rises. Install the UPS as described in the
UPS manual and make sure that the vent holes of the UPS are not
obstructed. Install the UPS where it is easy to periodically check the
UPS.
• Install the UPS where the alarm sound can be heard. If the alarm
cannot be heard, the battery may become dead without anyone’s notice
and result in data loss and instrument damage.
• Do not exceed the capacity of the UPS. Otherwise the UPS may not
operate properly when there is a power failure.
• When there is a power failure, immediately shut down the central
monitor system and turn the central monitor power off. Otherwise
data may be lost or the instrument may be damaged when the battery
lifetime of the UPS expires.
• We recommend using the specified UPS. However, if the recommended
UPS cannot be acquired, use a UPS which satisfies the following
specifications.
- It has an equipotential grounding terminal.
- The output wave is a sine wave. (When the output wave is a square
wave, the AC voltage may become lower due to the AC filter.)
- Inverter type. (With a switch type, noise may interfere when the power
changes from AC to battery.)
- An alarm sound is generated at the power failure and the alarm
cannot be turned off.
1. Connect the UPS power cord to the 3-prong AC outlet on the wall.
CAUTION
Do not connect the power cord of the laser printer to the UPS which 3
the central monitor main unit is connected to. An extreme power
surge may be caused by the laser printer which may interfere with
the UPS operation and turn off the system.
Connect the power cord of the laser printer to the AC outlet on the
wall.
TVSS GND terminal 2. Connect the equipotential grounding lead of the UPS (optional) to the TVSS
GND terminal on the UPS and to the equipotential grounding terminal on the
wall.
CAUTION
Make sure that the UPS is properly grounded. Otherwise the
Power cord
operator may receive electrical shock.
UPS
3. Connect the power cord provided with the LCD unit to the UPS and the
power cord socket on the AC adapter.
Ring
DC IN socket
AC adapter cord
UPS
UPS
Laser Printer
Connect the power cord provided with the laser printer to the AC outlet on the
wall and the AC source socket on the rear panel of the laser printer.
CAUTION
Do not connect the power cord of the laser printer to the UPS which
the central monitor main unit is connected to. An extreme power
surge may be caused by the laser printer which may interfere with
the UPS operation and turn off the system. Connect the power cord
of the laser printer to the AC outlet on the wall.
CAUTION CAUTION
Before connecting or disconnecting instruments, Connect only the specified instrument to the
make sure that each instrument is turned off and central monitor and follow the specified
the power cord is disconnected from the AC procedure. Failure to follow this instruction may
socket. Otherwise, the patient or operator may result in electrical shock or injury to the operator,
receive electrical shock or injury. and cause fire or instrument malfunction.
Mouse Keyboard
Recorder unit
WS-971R
Laser printer
To network system
3
1. Remove the paper from the double-stick tape on the power switch cover.
2. Attach the cover to the main unit so that you can see the power switch
Window through the window on the cover when the cover is pushed up utmost.
When you let go off the cover, the cover slides down to the position where you
can see the power lamp through the window on the cover and the power switch is
hidden behind the cover.
Power switch
2. Connect the RGB connection cable provided with the LCD unit to the
VIDEO socket on the LCD unit and the VIDEO socket on the central
monitor main unit.
NOTE
Do not put the RGB connection cable near the power cord, central
monitor main unit and display. Noise from the power cord may interfere
with the display unit operation.
WARNING
Make sure that the speaker cable is connected to the display and
main unit. Otherwise the alarm sound cannot be heard.
SOUND socket 1. Connect the sound cable provided with the central monitor main unit to the
SOUND socket on the rear panel of the display unit.
LCD cable clamp
2. Remove the LCD cable clamp from the rear panel of the display unit.
4. To prevent the sound cable from coming off, reattach the LCD cable clamp
Sound cable to the rear panel of the display unit with no slack in the cable.
Sound cable 5. Connect the sound cable to the SOUND socket on the central monitor main
unit.
6. To prevent the sound cable from coming off, attach the sound cable bracket
(provided with the central monitor main unit) to the central monitor main unit.
WARNING WARNING
Do not turn off the display to which the speaker Do not adjust the sound volume at the display
cable is connected. The alarm sound cannot be unit. If you decrease the display unit volume to
heard. the minimum, there is no alarm sound.
NOTE
Do not put the signal cable near the power cord, central monitor main unit
and display. Noise from the power cord may interfere with the display unit
WARNING
operation.
WARNING
Make sure that the speaker cable is connected to the display and
main unit. Otherwise the alarm sound cannot be heard.
Most displays have holes 2. Put the sound cable through the LCD cable clamp provided
regulated by VESA standard. with the central monitor main unit.
Use the hole to attach the
sound cable. 3. Attach the LCD cable clamp to the hole near the connector
LCD cable clamp
on the back of the display with the screw provided with
M4 binding head screw the central monitor main unit. To prevent the cable from
coming off, do not leave slack on the cable.
WARNING WARNING
When monitoring with two displays, do not turn Do not turn off the display to which the speaker
off either display. Otherwise some monitored cable is connected. The alarm sound cannot be
beds cannot be monitored. heard.
1. Shut down the central monitor system program. Refer to “Turning the Power 3
Off” in Section 4.
2. Right-click on the screen and select Property. The “Screen Properties” dialog
box opens.
NOTE
Windows 2000 must be restarted. Otherwise the central monitor may shut
down abnormally.
Connect the keyboard cable to the KEYBOARD socket on the central monitor
main unit. Connect the mouse cable to the MOUSE socket on the central monitor
main unit.
1. Attach two hex nuts to the connection cable for the protection key.
Connection cable
for protection key
Hex nuts
2. Connect the protection key to the connection cable. Align both connectors
on the protection key and the connection cable and firmly fit the key into the
connector. Turn the screws on the protection key to fix the connection.
Protection key
3. Connect the connection cable to the PROTECT KEY socket on the the
central monitor main unit. Turn the screws on the connector to securely
connect it.
Recorder unit
WS-971R
The connection method and grounding method depends on the location where 3
the central monitor is installed and the types and installation locations of other
instruments. For details, refer to the Network System installation guide and
contact your Nihon Kohden representative.
WARNING WARNING
Connect the central monitor to the network as Do not use a damaged network cable. The patient
specified in the Network and System Installation or operator may receive electrical shock when the
Guide. Otherwise patient and operator may get damaged part is touched.
electrical shock or other injury. For connecting the
network, contact your Nihon Kohden
representative.
CAUTION CAUTION
Connect only the specified instrument to the Before connecting or disconnecting instruments,
central monitor and follow the specified make sure that each instrument is turned off and
procedure. Failure to follow this instruction may the power cord is disconnected from the AC
result in electrical shock or injury to the operator, socket. Otherwise, the patient or operator may
and cause fire or instrument malfunction. receive electrical shock or injury.
The network installation must comply with IEC 60601-1-1 “Safety Requirements
for Medical Electrical Systems”. Consult with a biomedical engineer or Nihon
Kohden representative.
NOTE
Make sure that the correct cable is used for connecting the instruments.
Otherwise communication between the instruments cannot be performed
properly.
4
Turning the Power On........................................................................................................................................... 4.2
Power On Flowchart................................................................................................................................... 4.2
Turning the UPS Power On........................................................................................................................ 4.2
Turning the Display Unit and Central Monitor Main Unit Power On............................................................ 4.3
Starting the Central Monitor System.......................................................................................................... 4.4
Turning the Recorder Power On................................................................................................................. 4.4
Check After Installation and Connection.............................................................................................................. 4.5
Setting the Transmitter Channel on the Central Monitor....................................................................................... 4.5
Setting the Date and Time.................................................................................................................................... 4.6
Setting on the Central Monitor.................................................................................................................... 4.6
Setting on the Bedside Monitor.................................................................................................................. 4.6
Turning the Power Off........................................................................................................................................... 4.7
Power On Flowchart
Turn on the power of the instruments in the following order.
1. UPS
Turning the Display Unit and Central Monitor Main Unit Power On
1. Press the power switch on the display unit to turn the power on ( ).
NOTE
• When using the VL-971R/RK LCD unit, turn the LCD unit power on
before turning the central monitor main unit power on. Otherwise the
4
touch screen does not function.
• When using the recommended local purchase display, refer to the
display manual.
Power switch
2. Press the main power switch on the rear panel of the main unit to turn on the
main power ( ).
3. Slide the power switch cover on the front panel of the main unit and press
the power switch to turn the power on. The power lamp lights. After the
system check finishes, there is a test sound from the built-in speaker of the
display.
CAUTION
After the power on, confirm that there is a test sound from the built-in
speaker of the display.
Power switch
The All Beds screen appears.
Power lamp
NOTE
• If the power lamp does not light, confirm the power cord connection.
The lamp does not light when the specified power is not supplied to the
instrument.
• It takes a few minutes for the LCD screen to reach full brightness.
• The shadow of the previous screen may remain for a few minutes after
changing screens.
• There may be some dots on the LCD screen which are always on or
always off, but it does not affect monitoring. This is normal for all LCD
screens.
When using the touchscreen function, calibrate the screen after the first power
on. For the procedure, refer to the CNS-9701 operator’s manual. You don’t need
to calibrate the screen after every power on.
After you finished installation and connection of the central monitor and other
instruments, turn the power of all instruments on to start the system and check
the following items. If there is any problem, confirm that all installation and 4
connection are done correctly.
• After turning the power on, the central monitor system automatically starts and
the All Beds screen is displayed.
• The touch keys function properly. (When you use the central monitor for the
first time, you need to calibrate the screen before use.)
• No error message is displayed on the central monitor screen.
• When you monitor with two displays, both screens display correctly. (To
monitor with two displays, you need to enable VIDEO2 output in Windows
2000.)
• The keyboard, mouse and switches operate properly.
• After the central monitor power on, the “CHECK RECORDER” lamp on the
WS-971R Recorder Unit is NOT lit.
• The “RECORDER POWER OFF OR DISCONNECTED” message is not
displayed on the central monitor screen.
When the central monitor receives transmitter data via multiple patient receiver,
you need to set the receiving channels on the central monitor. For details, refer to
the CNS-9701 operator’s manual.
WARNING
Check that the channel number of the transmitter corresponds to the
receiving channel (the channel displayed on the monitor screen).
Otherwise, the telemetry system monitors a different patient.
When the date and time setting is changed on one of the instruments in a network
system, the date and time settings of all instruments in the network change to the
same setting.
When correction is necessary, you can set the date and time on the central
monitor or bedside monitors on the network. To change the date and time setting,
refer to the instrument operator’s manual.
NOTE
• Changing the date and time settings affects the entire network.
• Date and time cannot be set on the multiple patient receiver.
NOTE
The date and time on OEC-6000 series bedside monitors must be
set individually. Their date and time settings do not change with the
instruments in the network.
2. Display unit
3. Other instruments
CAUTION
The central monitor power must be turned off in the specified order.
Otherwise, patient data will be deleted and other data in the hard
disk or the hard disk may be damaged.
NOTE
When the patient is transferred from one central monitor to the other, the
data before the patient transfer is stored on the first central monitor. If
this first central monitor power is turned off, the data before the patient
transfer cannot be displayed on the second central monitor.
Power switch
4. Turn the WS-971R recorder unit and laser printer power off if necessary.
NOTE
Leave the power of the UPS and multiple patient receiver on.
• IP address
• Install the laser printer (network printer) on the central monitor
• Check the network connection
• Assign a bed name and group name to the monitors.
• Select the monitored beds on the central monitor.
• Adding an instrument to the network during system operation
CAUTION
The network must be managed by the network administrator. Make
sure that each monitor in the network has a different IP address.
Otherwise, data communication cannot be performed properly and it
causes incorrect monitoring. When adding a monitor to an already
operating network, the IP address of the monitor must be set before
connecting the monitor to the network.
NOTE
• To avoid communication trouble, do not connect the network cable to
each instrument before IP address setting is complete.
• Contact your Nihon Kohden representative when changing the IP
address manually.
2. Click the “Network and Dial-up Connections” icon. Or, select Start →
Settings → Control Panel → Network and Dial-up Connection. The
“Network and Dial-up Connection” dialog box opens.
3. Click “Local Area Connection”. The “Local Area Connection Status” dialog
box opens and shows the network connection status.
Set the time zone on the central monitor in respect to GMT (Greenwich Mean
Time). This setting must be the same on all monitors in the same network.
Otherwise data communication problems may occur.
2. Select Start → Settings → Control Panel. The “Control Panel” dialog box
opens.
5. Select the time zone in respect to GMT. This setting must be the same on all
monitors in the same network.
NOTE
Do not check “Automatically adjust clock for daylight saving changes”
because the central monitor does not support daylight saving.
NOTE
• The procedure in this section describes how to install a Hewlett Packard
LaserJet 4100n, 4200n, 4250n, P4015n or P4515n. When using other
printers, refer to the printer manual.
• When more than one central monitor uses the printer, set the following 5
settings on each central monitor.
• Connect the printer to each central monitor as a local printer, not as a
network printer.
2. Set the IP address of the printer. For how to set the address, refer to the
operator’s manual of the printer.
If the IP address of the central monitor is the factory default setting, set the
IP address of the printer as follows:
• IP address: 10.255.255.1 to 10.255.255.254
• Sub net mask: 255.0.0.0
If “HP Standard Port Monitor” is displayed in the list, the TCP/IP port
is already installed. Skip the “Installing the HP Standard TCP/IP Port”
procedure and do the “Installing the Laser Printer” procedure.
1. Shut down the central monitor system. Refer to “Turning the Power Off” in
Section 4.
2. Click the Windows Start menu on the desktop and select “Programs” →
“Accessories” → “Windows Explorer”. The “Windows Explorer” dialog box
opens.
6. Click the Next button. The software license agreement window opens.
7. Read the license agreement and click the Yes button. The Setup Type
window opens.
8. Select “HP Standard TCP/IP Port Monitor” and click the Next button.
The following message appears.
1. Click the Windows Start menu on the desktop and select “Settings” →
“Printers”. The “Printer” window opens.
2. If there is any icon in the Printer window, click the printer icon and click the
Delete button. The confirmation message appears.
3. On the Printer window, select “Server Properties” from the File menu. The
“Printer Server Properties” window opens.
4. Click the Ports tab and select the printer port you want to use for a new
printer and click the Delete Port button.
5. Click the Drivers tab and select any driver which is not necessary for the
new printer and click the Remove button.
4. Click Next>.
1) Check the “Create a new port” radio button and click the arrow button
beside the Type box and select one of the following.
Hewlett Packard LaserJet 4100n, 4200n or 4250n: Standard TCP/IP Port
Hewlett Packard LaserJet P4015n or 4515n: HP Standard TCP/IP Port
2) Click Next>.
3) Enter IP address of the printer you want to install and click Next.
10. Select “Do not share this printer” and click Next>.
NOTE
Even if more than one central monitor uses one printer, select the “Do not
share this printer”. You can use the printer with the two or more monitors
connected.
13. Files are copied and a test page is printed. After the test page is printed, click
OK.
14. On the Printers window, confirm that HP Laser Jet 4000 Series PCL is added
with a check mark. Close the Printers window.
16. After the CNS-9701 system starts, print something to check that the printer
works.
Refer to the Network and System installation guide and Section 3 “Connecting
the Central Monitor to the Network System”.
NOTE
Confirm that the “LINK” LCD is lit on the hub and network connectors
for each instrument. If it is not lit when each instrument is turned on,
electrical connection is not complete. Confirm the wiring.
You can see the network connection on the Maintenance window of the System
Setup on the central monitor. All instruments which are connected to the network
and are turned on are listed on the Maintenance window of the System setup.
Confirm the number of connected instruments.
To identify the monitors, each monitor has an instrument name (bed name/CNS
name) and a group name. Every bed and every central monitor belongs to one of
up to 16 groups. A local bed is assigned to the same group as the central monitor.
Group name
Bed name CNS name
ICU
Network
Group name
Bed name CNS name
CCU
The CCU central monitor can monitor and store data of the beds in
the ICU group. However, it is recommended to monitor and store
data of the CCU beds in the CCU group so that data will not be lost.
CAUTION
When the monitor is connected to a central network, set the Bed
name/CNS name and Group Name on the monitor. Otherwise, the
default settings are used for the bed name and group name and the
bed may be incorrectly identified on the central monitor.
Central monitor:
Exit the central monitor system and assign a name in Windows 2000.
Bedside monitors:
Assign the bed name to bedside monitors on the SYSTEM SETUP screen on
each bedside monitor. Refer to the bedside monitor operator’s manual.
3. Click the “System” icon. The “System Properties” dialog box opens.
Central monitor:
Set the group name on the Name Registration window of the System Setup on 5
the central monitor. Refer to the CNS-9701 operator’s manual.
Bedside monitors:
Assign the group name to bedside monitors on the SYSTEM SETUP screen on
each bedside monitor. Refer to the bedside monitor operator’s manual.
When the group name does not appear on the SYSTEM SETUP screen on the
bedside monitors:
1. Turn off then turn on the bedside monitor.
2. Wait for 30 seconds and display the SYSTEM SETUP screen. The group
name appears on the screen.
Group name
One bedside monitor can be monitored on several central monitors, but the data
can only be stored on one central monitor. When you register a monitored bed
on the Monitor Settings of the System Setup, you will be asked if you want the
central monitor to store the bed’s data. Availability of setting and operations
depends on whether or not the bed’s data is saved in the central monitor or
another central monitor. Refer to the CNS-9701 operator’s manual.
A central monitor can monitor and store data of beds in a different group.
However, it is recommended to monitor and store data of the beds in the same
group as the central monitor so that data will not be mixed or lost.
Group name
Bed name CNS name
ICU
Network
Group name
Bed name CNS name
CCU
The CCU central monitor can monitor and store data of the beds in
the ICU group. However, it is recommended to monitor and store
data of the CCU beds in the CCU group so that data will not be lost.
CAUTION
The data of a bedside monitor cannot be stored on more than one
central monitor. If the data of the same bedside monitor is stored on
two central monitors, data communication cannot be properly
performed or the data may be lost. Make sure that the bedside
monitor data is saved only on one central monitor.
NOTE
For a 8000 series bed whose data is stored in a CNS-9301/9302
central monitor, some waveforms cannot be displayed on the Individual
Bed screen of the CNS-9701 central monitor while the same patient’s
Individual Bed screen is displayed on the CNS-9301/9302 central monitor.
Network
ORG/JJ
Before starting monitoring, confirm the settings on each window of the System
Setup, Patient Setting and Setup and change them if necessary. Refer to the CNS-
9701 operator’s manual.
If you change the units and date and time when the network is in operation, the
change on any instrument affects all instruments in the network.
CAUTION
The network must be managed by the network administrator. Make
sure that each monitor in the network has a different IP address.
Otherwise, data communication cannot be performed properly and it
causes incorrect monitoring. When adding a monitor to an already
operating network, the IP address of the monitor must be set before
connecting the monitor to the network.
• Assign the instrument name (bed name/CNS name) and group name to the
instrument.
CAUTION
When the monitor is connected to a central monitor network, set the
Bed Name/CNS name and Group Name on the monitor. Otherwise,
the default settings are used for the bed name and group name and
the bed may be incorrectly identified on the central monitor.
• Check that the date and time and unit setting is the same as the other
instruments in the network.
General
The QP-973P Full Disclosure Filing Program Kit enables full disclosure
waveform data storage, Full Disclosure window display and multiple waveform
display on the Arrhythmia Recall window.
The QP-974P 12 Lead ECG Interpretation Filing Program Kit enables the ECG
12 Lead Analysis window display and ECG 12 lead analysis result storage.
When the protect keys are provided with the central monitor, you do not need to
install the expansion program kit. Connect the protect keys by referring to the
expansion program kit operator’s manual.
Installation Procedure
1. Acquire the unlock code from Nihon Kohden. Use the registration form on
the back page of this guide.
2. Enter the unlock code and install the expansion program kit.
You can also use the expansion program kit without the unlock code for
30 days. To do this, install the kit by referring to “Installing the Expansion
Program Kit without the Unlock Code” later in this section.
When you install the expansion program kit without the unlock code, the
available period appears. Click OK.
5. Fill in the registration form and send it to your Nihon Kohden representative.
Registration Code
5. Click Installation.
6. In the Password box, enter the unlock code and click OK. If the correct
unlock code was not entered, enter the unlock code again.
7. Close all windows and restart Windows. The CNS-9701 system program
starts. Check that the expansion program operates on the CNS-9701 system
program.
You can use the expansion program kit without the unlock code for 30 days.
Register the software after this procedure.
NOTE
After 30 days, you cannot use the expansion program kit.
6. Close all windows and restart Windows. The CNS-9701 system program
starts. Check that the expansion program operates on the CNS-9701 system
program.
Enter the unlock code within 30 days. Refer to “Installing the Expansion
Program Kit” section.
When you install the expansion program kit without the unlock code, the central
monitor name on the screen is displayed in reverse character.
When you open the Registration Wizard dialog box, the message appears and
you can check the remaining time in evaluation period.
Standard Accessories
NOTE
• Use only Nihon Kohden specified parts and accessories to assure
maximum performance from your instrument.
• When ordering the following accessories, specify the supply code no.
When the supply code no. is not provided with the accessory, specify
the code no.
6 7 8 9 10
11 12 13 14
6 7 8 9 10
11 12 13
6 7 8 9 10
11 12 13 14
Options
Name Model Qty
LCD unit VL-971R 1
LCD unit VL-971RK 1
Recorder unit WS-971R 1
12 Patient Expansion Program Kit QP-971P 1
16 Patient Expansion Program Kit QP-972P 1
Full Disclosure Filing Program Kit QP-973P 1
12 Lead ECG Interpretation Filing Program Kit QP-974P 1
Consumables
Name Qty Model Supply code no.
Recording paper 1 FQW50-3-100 A723
Pin Assignment
CAUTION
Connect only the specified instrument to the central monitor and
follow the specified procedure. Failure to follow this warning may
result in electrical shock or injury to the patient and operator, and
cause fire or instrument malfunction.
7
SOUND Socket
TOUCH1/TOUCH2 Socket
VIDEO1/VIDEO2 Socket
RECORDER Socket
PROTECTKEY Socket
When more than one electrical instrument is used, there may be electrical
potential difference between the instruments. Potential difference between
instruments may cause current to flow to the patient connected to the
instruments, resulting in electrical shock (micro shock). Therefore, electrical
instruments must be appropriately installed as specified in IEC 60601-1-1.
1 A
PE
2 A B
PE PE
3 A B
PE PE
7
4 A B
PE
PE
5 A B
PE
(V)
PE
6 A >< B
PE
(V)
PE
Legend:
(V) = Potential difference between different localities.
> < = SEPARATION DEVICE.
PE = Protective earth.
Thank you for purchasing the QP-971P 12 Patient Expansion Program Kit. The
unlock code is required when using this kit. We will send you the unlock code
within three days after we receive your registration form.
After you receiving the unlock code, refer to Section 6 “Adding the Expansion
Program Kit” and add the expansion program kit.
Please complete the following form. Otherwise, Nihon Kohden cannot send you
the unlock code.
Hospital/Institution
Address
Phone Number
Fax Number
Date of Purchase
Thank you for purchasing the QP-972P 16 Patient Expansion Program Kit. The
unlock code is required when using this kit. We will send you the unlock code
within three days after we receive your registration form.
After you receiving the unlock code, refer to Section 6 “Adding the Expansion
Program Kit” and add the expansion program kit.
Please complete the following form. Otherwise, Nihon Kohden cannot send you
the unlock code.
Hospital/Institution
Address
Phone Number
Fax Number
Date of Purchase
Thank you for purchasing the QP-973P Full Disclosure Filing Program Kit. The
unlock code is required when using this kit. We will send you the unlock code
within three days after we receive your registration form.
After you receiving the unlock code, refer to Section 6 “Adding the Expansion
Program Kit” and add the expansion program kit.
Please complete the following form. Otherwise, Nihon Kohden cannot send you
the unlock code.
Hospital/Institution
Address
Phone Number
Fax Number
Date of Purchase
Thank you for purchasing the QP-974P 12 Lead ECG Interpretation Filing
Program Kit. The unlock code is required when using this kit. We will send you
the unlock code within three days after we receive your registration form.
After you receiving the unlock code, refer to Section 6 “Adding the Expansion
Program Kit” and add the expansion program kit.
Please complete the following form. Otherwise, Nihon Kohden cannot send you
the unlock code.
Hospital/Institution
Address
Phone Number
Fax Number
Date of Purchase