Professional Documents
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cns9601 Om-C
cns9601 Om-C
Central Monitor
CNS-9601K
3
GENERAL HANDLING PRECAUTIONS.............................................................................. i
WARRANTY POLICY.......................................................................................................... ii 4
EMC RELATED CAUTION...................................................................................................iii
Conventions Used in this Manual and Instrument.............................................................. vi 5
Warnings, Cautions and Notes................................................................................. vi
Explanations of the Symbols in this Manual and Instrument....................................vii
6
Related Documentation...................................................................................................... ix 7
8
Section 1 General.................................................................................... 1.1
8-1
Introduction....................................................................................................................... 1.3
Central Monitor Composition............................................................................................ 1.5 8-2
Network Composition........................................................................................................ 1.6
Operation Restriction by Monitored Bed Type........................................................ 1.7 9
Alarm Function............................................................................................. 1.7
10
Parameter Setup/Personal Setup/Setup....................................................... 1.7
Operation Restriction Depending on Whether Data Is Stored in the Central 10-1
Monitor.................................................................................................................... 1.8
Monitored Bed and Overview Bed.......................................................................... 1.8 10-2
Monitored Bed.............................................................................................. 1.8
10-3
Overview Bed............................................................................................... 1.8
Types of Screens and Windows........................................................................................ 1.9 10-4
All Beds Screens.................................................................................................... 1.9
Overview Bed Menu Window................................................................................ 1.10 10-5
Menu Window....................................................................................................... 1.10
Individual Bed Windows........................................................................................ 1.10 10-6
Connecting the Components of the Central Monitor and Other Instruments and 1
Systems............................................................................................................................ 3.3
Connecting the Components of the Monitor and Other Instruments...................... 3.3 2
Standard Instruments................................................................................... 3.3
3
Optional Instruments.................................................................................... 3.3
Connecting to a Network System........................................................................... 3.3 4
Operation Flowchart......................................................................................................... 3.4
Loading the Recording Paper........................................................................................... 3.5 5
Handling the Recording Paper................................................................................ 3.5
Loading the Recording Paper in the WS-960P Recorder Unit................................ 3.5
6
Loading Paper in the Laser Printer......................................................................... 3.6
7
Turning Power On/Off....................................................................................................... 3.7
Preparation Before Power On................................................................................. 3.7 8
Turning the Central Monitor Main Unit Power On................................................... 3.7
8-1
Turning the RU-960P Multiple Patient Receiver Power On..................................... 3.8
Checking Items After Power On................................................................... 3.8
8-2
Turning the Power Off............................................................................................. 3.9
Preparation After Turning the Power On......................................................................... 3.10 9
Changing Settings on the System Setup Screen................................................. 3.10
Before Starting Monitoring.................................................................................... 3.11 10
Check Before Use........................................................................................................... 3.12
10-1
Check Before Turning On the Monitor................................................................... 3.12
Check After Turning On the Monitor and During Monitoring................................. 3.12 10-2
10-3
Section 4 System Setup Screen............................................................ 4.1
10-4
Overview of the System Setup Screen............................................................................. 4.2
Displaying the System Setup Screen..................................................................... 4.3 10-5
Sound Control................................................................................................................... 4.4
Setting Alarm Sound Volume.................................................................................. 4.4 10-6
10-4
6
Section 9 Individual Bed Window.......................................................... 9.1
Overview........................................................................................................................... 9.2 7
Displaying the Individual Bed Window.................................................................... 9.2
From the All Beds Screen............................................................................. 9.2 8
From Any Window Other than the All Beds Screen...................................... 9.2
8-1
From the Menu Window................................................................................ 9.2
Window Description................................................................................................ 9.3 8-2
Wave Display Window............................................................................................ 9.3
ECG 12 Lead Display Window..................................................................... 9.4 9
All Vital Signs Window.................................................................................. 9.4
10
Changing Display Types......................................................................................... 9.5
Changing the Beds................................................................................................. 9.5 10-1
Freezing Waveforms............................................................................................... 9.5
Temporarily Silencing/Suspending Alarms............................................................. 9.5 10-2
Learning ECG......................................................................................................... 9.5
10-3
Starting NIBP Measurement................................................................................... 9.6
Changing the Individual Bed Window Display Settings..................................................... 9.7
10-4
Setting on the Indiv. Bed Screen Setup Window..................................................... 9.7
Selecting the Waveform Sensitivity and Scale on the Wave Display 10-5
Window......................................................................................................... 9.7
Selecting the Waveform Displayed on the Wave Display Window................ 9.8 10-6
18
Operator’s Manual CNS-9601 C.11
CONTENTS
8-1
10-3
5
Section 16 Error Messages and Troubleshooting................................ 16.1
6
Troubleshooting............................................................................................................... 16.2
System.................................................................................................................. 16.2 7
Network................................................................................................................ 16.3
Measurement Value.............................................................................................. 16.3 8
Alarm.................................................................................................................... 16.3
8-1
Admitting/Discharging........................................................................................... 16.4
All Beds Screen/Individual Bed Window............................................................... 16.5 8-2
Trend Window....................................................................................................... 16.6
Tabular Trend Window........................................................................................... 16.6 9
Hemodynamics List Window................................................................................. 16.6
10
Arrhythmia Recall Window.................................................................................... 16.7
ST Recall Window................................................................................................ 16.7 10-1
Full Disclosure Window........................................................................................ 16.8
ECG 12 Lead Analysis Window............................................................................ 16.8 10-2
Report Window..................................................................................................... 16.8
10-3
Recording............................................................................................................. 16.9
Overview Bed Window........................................................................................ 16.10
10-4
Parameter Setup................................................................................................. 16.10
RU-960P Multiple Patient Receiver.................................................................... 16.11 10-5
General..................................................................................................... 16.11
ECG Monitoring........................................................................................ 16.11 10-6
10-9
10-10
11
12
13
14
15
16
17
18
Operator’s Manual CNS-9601 C.17
Differences Between the CNS-9601 Central Monitor and
Previous Models
The CNS-9601 Central Monitor and previous models; CNS-9701 and CNS-9300
series have following differences. Pay careful attention when you use this central
monitor and previous models together.
When you use this central monitor and previous models side by side or in the
same room, we recommend to uniform the settings to avoid possible confusion.
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.
3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is combined with other instruments to avoid misdiagnosis or other
problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.
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.
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.
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. Keep the emitter source such as cellular phone
away from the equipment and/or system, or turn off the cellular phone.
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.
5. Interference of lightning:
When lightning occurs near the location where the equipment and/or system is installed, it may induce
an excessive voltage in the equipment and/or system. In such a case, disconnect the AC power cord
from the equipment and/or system and operate the equipment and/or system by battery power, or use
an uninterruptible power supply.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden
representative for additional suggestions.
In IEC 60601-1-2 Medical Electronic Equipment, Part 1: General Requirements for Safety, 2. Collateral
Standard: Electromagnetic compatibility-Requirements and test. Section 36. 202. 2 Radiated radio-
frequency electromagnetic fields, PATIENT COUPLED EQUIPMENT and/or SYSTEMS applicable
IMMUNITY test methods are under consideration at SC62A/WG13. The 3 V/m IMMUNITY level may be
inappropriate especially when measuring SpO2 because physiological signals can be much smaller than
those induced by a 3 V/m electromagnetic field.
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.
The CE mark is a protected conformity mark of the European Community. Products with the CE mark
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.
NOTE about Waste Electrical and Electronic Equipment (WEEE) Directive 2002/96/EEC
For the member states of the European Union only:
The purpose of WEEE directive 2002/96/EEC is, as a first priority, the prevention of waste electrical and
electronic equipment (WEEE), and in addition, the reuse, recycling and other forms of recovery of such
wastes so as to reduce the disposal of waste.
Contact your Nihon Kohden representative for disposal.
• Austria
• Belgium
• Cyprus
• Czech Republic
• Denmark
• Estonia
• Finland
• France
• Germany
• Greece
• Hungary
• Iceland
• Ireland
• Italy
• Latvia
• Liechtenstein
• Lithuania
• Luxembourg
• Malta
• The Netherlands
• Norway
• Poland
• Portugal
• Slovakia
• Slovenia
• Spain
• Sweden
• Switzerland
• The U.K.
Notice:
• Refer to “Restriction of Radio Equipment (European Union countries only)” in the “Specifications”
section for more details.
• This device is also authorized for use in Norway in accordance with regulation no.1399 of 20
December 2000.
As this equipment complies with Class 1.7 (Receive-only radio equipment), “Alert Sign” is not displayed.
This equipment complies with International Standard IEC 60601-1-2: 2001, Amendment 1: 2004 which
requires CISPR11, Group 1, Class B. Class B EQUIPMENT is equipment suitable for use in domestic
establishments and in establishments directly connected to a low voltage power supply network which
supplies buildings used for domestic purposes.
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.
On Screen
All beds
Close a window
Electrocardiogram
Symbol Description
Antenna
For the symbol marks on the laser printer and bar code reader, refer to each manual.
The CNS-9601K Central Monitor comes with the following manuals in addition
to the Operator’s Manual.
Administrator’s Guide
Describes how to install the central monitor. It also explains about the password
protected settings on the System Setup screen and System Configuration window
which only an administrator can change.
Service Manual
Describes information on servicing the central monitor. Only qualified service
personnel can service the central monitor.
Introduction........................................................................................................................................................... 1.3
Central Monitor Composition................................................................................................................................ 1.5
Network Composition........................................................................................................................................... 1.6
Operation Restriction by Monitored Bed Type............................................................................................ 1.7
Alarm Function................................................................................................................................. 1.7
Parameter Setup/Personal Setup/Setup.......................................................................................... 1.7
Operation Restriction Depending on Whether Data Is Stored in the Central Monitor................................ 1.8
Monitored Bed and Overview Bed.............................................................................................................. 1.8
Monitored Bed.................................................................................................................................. 1.8
Overview Bed................................................................................................................................... 1.8
Types of Screens and Windows............................................................................................................................ 1.9
All Beds Screens........................................................................................................................................ 1.9
Overview Bed Menu Window................................................................................................................... 1.10
Menu Window........................................................................................................................................... 1.10
Individual Bed Windows........................................................................................................................... 1.10
Review Windows...................................................................................................................................... 1.11
Multi Patient Alarms Windows.................................................................................................................. 1.12
System Setup Screen............................................................................................................................... 1.12
Setup Window.......................................................................................................................................... 1.12
Personal Setup Window........................................................................................................................... 1.13
Parameter Setup Window......................................................................................................................... 1.13
Basic Operation.................................................................................................................................................. 1.14
Control and Input...................................................................................................................................... 1.14
Touchkeys Input............................................................................................................................. 1.14
Keyboard Input............................................................................................................................... 1.14
Mouse Input................................................................................................................................... 1.14
Key Operation at the Bottom of the Screen.............................................................................................. 1.15
Switching Windows................................................................................................................................... 1.15
Opening Other Windows from the Menu Window.......................................................................... 1.15
Returning to the All Beds Screen................................................................................................... 1.15
Returning to the Previous Screen/Window.................................................................................... 1.15
Opening the Individual Bed Window from the All Beds Screen...................................................... 1.16
Changing the Bed to Display or Change Settings.......................................................................... 1.16
Opening Other Windows with Tabs................................................................................................ 1.16
Opening Other Windows with Function Keys................................................................................. 1.17
Changing Settings.................................................................................................................................... 1.18
Scrolling Data and List............................................................................................................................. 1.18
Entering Letters and Numbers................................................................................................................. 1.19
Basic Keyboard Operation........................................................................................................................ 1.19
Backup Battery................................................................................................................................................... 1.20
Caution Mark...................................................................................................................................................... 1.21
MU-960R Central Monitor Main Unit........................................................................................................ 1.21
Important Safety Information.............................................................................................................................. 1.22
1
Introduction
WARNING
Do not diagnose a patient based only on data acquired by the central
monitor. Overall judgement must be performed by a physician who
understands the features, limitations and characteristics of the
central monitor and by reading the biomedical signals acquired by
other instruments.
You can compose a patient monitoring network with central monitors, bedside
monitors, multiple patient receivers and transmitters. One network can include
up to 300 beds. A patient’s data can be accessed simultaneously at up to four
central monitors. The system offers monitoring flexibility to best meet your
patient’s clinical needs. A single central monitor can continuously monitor up to
8 beds (16 beds when QP-962P 16 Patient Expansion Program Kit is installed).
The overview bed function allows you to temporarily monitor a bed that is on the
network but not continuously monitored by the central monitor. This provides
quick and easy access to any patient’s data similar to being monitored at the
central monitor.
The central monitor provides various types of recordings. Both a thermal array
recorder and a laser printer can be used.
Alarm limits and other bedside monitor settings can be set or changed remotely
from a central monitor.
Please read this manual thoroughly before operation in order to obtain full use of
the central monitor. Also read the manuals for the bedside monitors, transmitters
and multiple patient receiver.
NOTE
• This central monitor must be used by qualified medical personnel with a
full knowledge of operating this monitor.
• Only use Nihon Kohden parts and accessories to assure maximum
performance from your central monitor.
• Upgrade the main unit and each optional unit to the Nihon Kohden
recommended software version. Only use the specified configuration of
units. If more than one CNS-9601K central monitor is used in the same
facility, make sure the central monitors have the same software version.
If CNS-9601K central monitors with different software versions are used
together, correct system operation cannot be guaranteed.
1
Central Monitor Composition
RU-960P*
YL-960P Alarm Indicator WS-960P Recorder Unit
Multiple Pateint Receiver
ZR-920P Receiver
Network 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. For details, refer to the Network and System
installation guide.
Network group
e.g. ICU
CNS-9701 Central monitor RU-960P Multiple
CNS-9601 patient receiver
Printer Central monitor Transmitter
Network group
e.g. CCU
Central monitor Central monitor Central monitor
The models for the monitor, transmitter and multiple patient receiver
are the same as those for the ICU group.
Transmitter Transmitter
WARNING WARNING
Install all network devices, including printer and Check the software version number of the central
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.
Alarm Function
Alarm function
Monitored bed type Temporarily
silence/suspend Turning alarm On/Off Priority
alarms
Not available
When all alarms are set to OFF
BSS/BSM series bedside
on the bedside monitor, the alarm The alarm priority at the central
monitor Temporarily silence
function is OFF on the central monitor coincides with the alarm
any current alarms
monitor. priority at a bedside monitor.
Multiple patient receiver
Not available
with transmitter
Not available The alarm priority at the central
BSM series bedside Temporarily When all alarms are set to OFF monitor does not coincide with
monitor through QI- suspend all alarm on the bedside monitor, the alarm the alarm priority at the bedside
910R interface functions function is OFF on the central monitor. They are set independently
monitor. on each monitor.
Personal setup
Monitored bed type
Alarm settings Other settings
BSS/BSM series
The settings at the bedside
bedside monitor
monitor and central monitor are Some of the setting at the bedside monitor
BSM series bedside
synchronized. Changing one changes and central monitor are synchronized.
monitor through QI-
the other.
910R interface
Multiple patient receiver
Set on the central monitor
with transmitter
Screen/Window Operations
All Beds screen Alarm notice
Basic information area Arrhythmia notice
• Admit*1
• Discharge/Data deletion
• Pause monitoring
Admit/Discharge window
• Patient transfer
• Change monitor/multiple patient
receiver*2
Channel window Setting a receiving channel
Arrythmia recall window Deleting a recall file
Full disclosure window Selecting saved waveforms
ECG 12 Lead Analysis window Deleting analysis result files
Alarm History window Displaying the list of all alarms
Alarm Events window Displaying alarm events
Report window Automatic report recording
Remote recording requested from
Recording
bedside monitors
*1 You can enter and edit patient data for an admitted bed whose data is not
saved in the central monitor.
*2 “Change Remote Filing Bed” is available for a bed whose data is not saved in
this central monitor.
Overview Bed
An overview bed is a bed which is in the same network as the central monitor but
not registered as a monitored bed. You can temporarily monitor an overview bed
on the central monitor whenever necessary.
1
Types of Screens and Windows
16 patients (1 waveform)
Operator’s Manual CNS-9601 1.9
1. GENERAL
Review Windows 1
Basic Operation
Touchkeys Input
When using the Nihon Kohden specified LCD display, you can operate the
central monitor through the touchkeys.
To operate, directly touch an area of the screen with your finger. When the key is
touched, there is a pip sound.
In this manual, directly touching the XX key on the screen with your finger is
referred to as “Touch ‘XX’.”.
Keyboard Input
From the keyboard, you can input letters and numbers. You can also select an
item and scroll data with the arrow keys on the keyboard.
In this manual, pressing the XX key on the keyboard is referred to as “Press the
XX key”.
Mouse Input
Mouse input is also available throughout the screens. Click items and menus on
the screen to select them. This technique has basically the same effect on screen
operations as the touchkeys input.
NOTE
The right mouse button has no function.
Switching Windows
Opening Other Windows from the Menu Window
To display the Menu window, touch “Menu”. The Menu window has all keys to
open all windows.
Opening the Individual Bed Window from the All Beds Screen
Touch the wave area of the patient you want to display the Individual Bed
window for.
Function keys
Changing Settings
Touch the setting on the screen. This can select and unselect and display the
setting window for the item.
Touch to change selection/non-selection.
Touch “NONE” to
The corresponding setting list appears according to the
unselect all items.
touched key in the Displayed Parameters box.
Backup Battery
CAUTION
Replace the backup battery once a year with a new one. Otherwise
the backup battery may deteriorate so that if there is a sudden power
failure, all data saved in the central monitor may be lost.
NOTE
• Connect the power cord immediately to central monitor when the power
cord is disconnected from the central monitor.
• The central monitor shut down after two seconds when the battery is
not charged.
• The “Battery Error” message appears if the battery is deteriorated or
there is a battery failure. Contact your Nihon Kohden representative.
• The “Battery Power Charging” message appears when the central
monitor restart the AC operation after the power failure. If the message
is displayed for more than one day, the battery may be deteriorated.
Contact your Nihon Kohden representative.
• Do not remove the power cord while the “Battery Power charging”
message is displayed.
• When the central monitor stored for a long time with the power cord
disconnected, the battery is self-discharged. Connect the power cord
for more than two weeks for the maximum performance of the backup
function.
• The central monitor restarts automatically when the AC power supplied
after power supply is interrupted, switches to the battery operation and
shutdown.
• The central monitor restarts automatically when there is a short power
interruption and switches to the battery operation without shutdown.
Approximately
30 seconds
Shutdown
1
Caution Mark
CAUTION
While the central monitor is on, do not touch unused sockets or cables
connected to the sockets. Failure to follow this instruction may damage
the central monitor by static electricity and cause malfunction.
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 or run any software not specified by Do not monitor the patients over the number of
Nihon Kohden in the central monitor. Nihon receivers in a multiple patient receiver (up to 8
Kohden does not warrant normal operation of the patients) by changing the channels. The patient’s
CNS-9601 system program if unspecified data will be mixed together. It can only monitor
software is installed or used. the patients who are set at the receiving channels
in the central monitor. You cannot know the
information if there is a sudden change in
condition of a patient who is not set in the central
monitor.
WARNING WARNING
While the central monitor is on, do not connect After attaching electrodes, probes and sensors
any external devices such as USB memory. on the patient and connecting cables to the
Nihon Kohden does not warrant the normal bedside monitor and/or transmitter, check that
operation of the central monitor if an application there is no error messages and the waveforms
or software installation starts automatically. and numeric data are appropriately displayed on
the screen. If there is an error message, or
waveform or numeric data is not appropriate,
check the electrodes, probes and sensor
attachment, patient condition and settings on the
bedside monitor and/or transmitter and remove
the cause.
WARNING WARNING
Do not diagnose a patient based only on data When the signal is unstable, keep the patient
acquired by the central monitor. Overall under close observation. When the signal is
judgement must be performed by a physician unstable, the monitoring and alarm are not
who understands the features, limitations and reliable and the central monitor cannot detect a
characteristics of the central monitor and by sudden change of the patient’s condition. This
reading the biomedical signals acquired by other may cause critical changes in the patient
instruments. condition to be overlooked. Install an appropriate
antenna system to ensure stable signal condition.
1
CAUTION CAUTION
While the central monitor is on, do not touch If fluids are accidentally spilled into the central
unused sockets or cables connected to the sockets. monitor, take the central monitor out of service
Failure to follow this instruction may damage the and contact your Nihon Kohden representative.
central monitor by static electricity and cause The central monitor must be disassembled,
malfunction. cleaned, dried and tested for safety and function.
CAUTION CAUTION
When receiving bedside monitor data through the When receiving data from a ZS-530P transmitter
ZB-800P, ZB-900P or ZS-900P transmitter, check or from a bedside monitor which has a ZB-800P,
the alarm, arrhythmia and monitoring settings on ZB-900P or ZS-900P transmitter, there may be a
the bedside monitor and central monitor. The delay or difference in the waveforms and data on
alarm, arrhythmia and monitoring setting the central monitor. Be careful when reading the
information of the bedside monitor is not data and waveforms.
transmitted.
Installation
WARNING
Install the central monitor outside the patient
environment (IEC 60601-1-1). If the central
monitor 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 When installing, connecting and assembling the
central monitor and follow the specified central monitor, only use specified instruments
procedure. Failure to follow this instruction may and parts and follow the specified procedure.
result in electrical shock or injury to the operator, Otherwise, the operator may receive electrical
and cause fire or instrument malfunction. 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.
CAUTION CAUTION
Before connecting or disconnecting instruments, Install the antennas indoors. When installed
make sure that each instrument is turned off and outdoors, they may be struck by lightning.
the power cord is disconnected from the AC
socket. Otherwise, the patient or operator may
CAUTION
receive electrical shock or injury.
Turn off the power of mobile phones, small
wireless devices and other devices which
produce strong electromagnetic interference
around a patient (except for devices allowed by
the hospital administrator). Radio waves from
devices such as mobile phones or small wireless
devices may be mistaken as pulse waves and the
displayed data may be incorrect.
Network
WARNING WARNING
Connect the central monitor to the network as Install all network devices, including printer and
specified in the Network and System Installation hubs, outside the patient environment (IEC
Guide. Otherwise the patient and operator may 60601-1-1). If they are installed inside the patient
receive electrical shock or injury. To connect the environment, the patient or operator may receive
network, contact your Nihon Kohden electrical shock or injury. For installation, contact
representative. your Nihon Kohden representative.
WARNING
Check the software version number of the central
monitor before connecting it to the network.
Different software versions have different
communication methods. More than one
communication method in a network may cause
communication failure. For details, refer to the
Network and System Installation Guide.
CAUTION CAUTION
The network and system must be managed by The network must be managed by the network
the network or system administrator. Incorrect administrator. Make sure that each instrument in
settings may cause instrument or network failure. the network has a different IP address.
Otherwise, data communication cannot be
performed properly. When adding an instrument
to an already operating network, set the IP
address on the instrument before connecting the
instrument to the network.
CAUTION CAUTION
Follow the specified procedure to turn off the When the monitor is turned on, check that a
central monitor. Otherwise, patient data will be single beep sounds and the red, yellow, cyan and
deleted and the storage device and data in the green alarm indicator lamps blink once. This
storage device may be damaged. shows that the alarm is functioning properly.
Transmitter
WARNING
The following actions must be taken to properly
receive the transmitter signal of the correct
patient on the receiving instrument. Otherwise,
there may be signal loss or signals may mix
causing a serious accident, such as monitoring a
different patient.
• Assign a channel administrator in the hospital
and only he or she should manage channel
assignment.
• The channel administrator must manage the
channels in the facility so that there is no signal
interference.
• When the transmitter channel is changed,
the channel administrator must check that
the channel on the receiving monitor is also
changed and the signal is properly received.
• The channel administrator must replace the
channel number label on the transmitter with
the new one after changing the channel.
WARNING WARNING
After admitting a patient at a bedside monitor, Check that the channel number of the transmitter
confirm that the patient is also admitted at the corresponds to the receiving channel (the
central monitor and that the central monitor starts channel displayed on the monitor screen).
monitoring the patient. Otherwise, the central monitor monitors a
different patient.
CAUTION CAUTION
When admitting a new patient, first discharge the When you change the receiving channel to
previous patient and delete all data of the monitor a new patient, first delete all data of the
previous patient. Otherwise, the data of the previous patient. Otherwise, the data of the
previous patient and new patient will be mixed previous patient and new patient will be mixed
together. together and it will cause misunderstanding of the
patient history.
Pause Monitoring
WARNING
When you resume monitoring of the paused bed
at the bedside monitor or transmitter, check that
monitoring is also resumed at the central monitor.
Monitoring of the paused bed automatically
resumes at the central monitor when the Auto
Resume After Pause setting on the System Setup
screen are met. When Auto Resume After Pause
is set to Off, resume monitoring at the central
monitor by pressing the “Resume” key.
Changing Monitor
CAUTION
Keep the current bedside monitor and the new
bedside monitor power on and connected to the
network until the monitor is changed. Otherwise
the patient data is lost. After changing the
monitor, confirm that the data and settings before
changing the monitor are displayed in the new
monitor.
Patient Transfer 1
CAUTION CAUTION
Keep the source bedside monitor and the On the central monitor, when the patient is
destination bedside monitor power on and transferred between different central monitors in
connected to the network until the patient transfer the network, the data for that patient is saved
is complete. Otherwise the patient transfer fails only on the new monitor and the previous
and the data is lost. After transferring the patient, monitor. If the patient is transferred from monitor
confirm that the data before the patient transfer A to monitor B, then transferred again to monitor
can be displayed at the destination bed. C, the data is saved on monitor B and C but
deleted from monitor A.
CAUTION CAUTION
When transferring a patient, confirm the After patient transfer, settings other than patient
destination bed you want to transfer by the information and alarm settings are returned to the
message on the screen. If you select the wrong default settings. Change the settings if necessary.
destination bed, the patient data of the source
bed overwrites the patient data of the destination
bed and the overwritten data cannot be
recovered.
Alarm
WARNING WARNING
A physician must be within the range where he/ Do not diagnose a patient based on only the
she can hear the alarm sound of the central alarm information of the central monitor. An alarm
monitor while monitoring a patient on the central may not be indicated due to alarm level or alarm
monitor. If the physician cannot hear the alarm on/off setting and critical changes on the patient
sound, critical changes on the patient may be may be overlooked.
overlooked.
WARNING WARNING
When an alarm occurs: If more than one medical equipment is used
• Check the patient first and take necessary together in the same facility, make sure all
measure to ensure patient’s safety. equipments have the same alarm default settings
• Remove the cause of the alarm. (alarm master). If the medical equipments have
• Check the alarm settings on the central monitor different alarm default settings and when
and change the alarm settings if necessary. initialized, the alarm settings differ with the other
equipments and alarm cannot be managed
appropriately in the facility. If using different alarm
default settings according to areas or wings in the
facility, manage the alarms appropriately.
WARNING WARNING
When admitting a new patient, confirm alarm When alarm is suspended by pressing the
settings. Also check the alarm settings during SUSPEND ALARM key on the transmitter, all
monitoring and change the settings according to alarms are turned off for that transmitter. Be
the patient condition. For a bed monitored via careful when you suspend the alarm.
multiple patient receiver, the alarm settings
become the Alarm Master 1 settings in the
WARNING
following cases:
When the communication loss alarm is set to
• When the bed is discharged
OFF, there will be no communication loss alarm.
• When you touch the “Delete Data” key on the
When it is set to OFF, always pay careful
Delete Data window of the Admit/Discharge
attention to the communication status.
window
• When you delete all data of the bed when the
receiving channel is changed
WARNING
If the communication between the central monitor
and an overview bed is lost, there will be no
communication loss alarm or overview bed alarm.
Do not rely solely on the overview bed function to
monitor the patient vital signs.
CAUTION CAUTION
When the alarm limit is set to OFF, there will be When the communication loss alarm in the Single
no alarm for that limit. Be careful when you set Sound mode is silenced, an alarm for the same
the alarm limit to OFF. alarm condition does not occur again while
communication is still lost. In Single Sound mode,
always pay careful attention to the
communication status.
CAUTION CAUTION
When the alarm is turned OFF for an arrhythmia, While the “SIGNAL LOSS” message is displayed,
there will be no alarm for that arrhythmia type. parameters are not monitored and the alarms do
There is no message or mark to indicate that a not function. Check the transmitter and
certain arrhythmia alarm is turned off. Therefore, communication status and remove the cause.
be careful when you turn off an arrhythmia alarm.
CAUTION
When the “CONNECTOR OFF” message
appears on the screen, check that the connection
cords are connected to the sockets properly. The
patient cannot be monitored and the alarm does
not function while this message is displayed.
ECG Monitoring 1
WARNING WARNING
Turn the pacing pulse detection* to ON when For arrhythmia monitoring, set Arrhythmia
monitoring a pacemaker patient. Otherwise the Analysis on the ECG window to ON. Otherwise,
pacemaker pulse is not rejected. However, even there is no sound or indication for arrhythmia
when the pacing pulse detection is set to ON, the alarms (except for ASYSTOLE).
pacemaker pulse might not be rejected. When the
pacemaker pulse is not rejected, the pacemaker
WARNING
pulse is detected as QRS and false heart rate
Even when the pacing pulse detection is set to
may be indicated or critical arrhythmia such as
ON, the pacemaker pulse can be overlooked or
asystole may be overlooked. Keep pacemaker
detected as QRS. You cannot confirm the
patients under close observation.
pacemaker operation only from the detected
* For the pacemaker pulse rejection capability of RU- pacemaker pulse.
960P/ORG-9100 Multiple Patient Receiver, refer to
“Specifications - Arrhythmia Specifications on RU-960P/
ORG-9100 Multiple Patient Receiver” in Section 18.
CAUTION CAUTION
When the ECG measurement is OFF, ECG The central monitor does not perform ECG
alarms do not occur even if each ECG alarm item analysis. Therefore, the QRS sync sound at the
is set to ON. central monitor might not synchronize with the
patient’s actual QRS during pacing or when
complicated arrhythmias occur.
CAUTION CAUTION
If there is any doubt about the arrhythmia The sync sound at the central monitor has a time
analysis, make the monitor relearn the patient’s delay of several seconds because of network
ECG and check that the dominant QRS is connection.
appropriate. Otherwise, an important arrhythmia
may be overlooked.
CAUTION CAUTION
• Although the ST algorithm has been tested When the full disclosure waveform is expanded in
for accuracy of the ST analysis result, the actual size, the steep slant such as QRS may be
significance of the ST level changes need to be distorted because it has been compressed then
determined only by a physician. expanded. When reading the expanded ECG
• The ECG from the transmitter other than waveforms, be aware of this distortion.
ZM series is not processed by a 3.2 second
time constant filter. Therefore, the ST level
measurement is not designed to be accurate
enough for diagnosis. Do not rely on this ST
level measurement.
CAUTION CAUTION
When the “CHECK LEADS” message is At the start of ECG monitoring, check that the
displayed, ECG is not monitored properly and the correct patient type is set for QRS Detection Type
ECG alarm does not function. Check the on the following window.
electrode, electrode leads and connection cord, • When using a multiple patient receiver: QRS
and if necessary, replace with new ones. Detection window of the ECG window.
• When using a bedside monitor and transmitter:
Home screen or ECG window of the monitor.
If an inappropriate patient type is set, heart rate
cannot be counted accurately and noise or P
waves may be counted as QRS and cardiac
arrest may be overlooked.
CAUTION CAUTION
When the “NOISE” or “CANNOT ANALYZE” Use the RU-960P Multiple Patient Receiver only
message is displayed, ECG data and alarm are with the specified version of MU-960P Central
not reliable. Remove the cause by checking the Monitor Main Unit. If the multiple patient receiver
electrodes, electrode leads, patient’s body is used with the unspecified version of the central
movement, EMG and peripheral instruments monitor main unit, heart rate might be counted
grounding. Also check that no electric blanket is incorrectly or noise and P-waves might be
used. incorrectly counted as QRS because the QRS
detection type cannot be set on the multiple
patient receiver. This could cause failure to detect
asystole.
Respiration Measurement
CAUTION
When measuring respiration by impedance
method and Impedance Respiration
Measurement on the RESP window is set to OFF,
respiration alarms do not occur even if each
respiration alarm item is set to ON.
Temperature Measurement
CAUTION
When receiving temperature data through a ZB-
800P, ZB-900P or ZS-900P transmitter,
measurement values below 5°C (41°F) and
above 45°C (113°F) are not transmitted and the
value is not displayed on the central monitor.
SpO2 Monitoring 1
CAUTION CAUTION
When the probe is attached on an appropriate The sensitivity of the pulse waveform measured
site with sufficient circulation and an error by a ZM-930P transmitter is automatically
message about probe attachment repeatedly changed inside the transmitter. When the
appears, the probe may be deteriorated. Replace sensitivity is changed, the waveform becomes flat
it with a new one. for about one second.
CO2 Monitoring
CAUTION CAUTION
When the “CHECK SENSOR” message is When receiving CO2 data from a bedside monitor
displayed, check the CO2 sensor kit and replace it through a ZB-800P, ZB-900P or ZS-900P
if necessary. CO2 cannot be monitored while the transmitter, if a measured value is out of the
message is displayed. range of the central monitor, only the maximum
value of the central monitor is displayed. Be
careful when reading the value.
NIBP Measurement
WARNING
When performing long term measurement at
intervals less than 2.5 minutes, perform
measurements while observing the state of the
patient, blood vessels and limb to ensure
adequate circulation. Congestion may occur at
the measurement site. When performing periodic
measurement for a long time, periodically check
the circulation condition.
CAUTION
Before you remotely start and stop NIBP
measurement from the central monitor, confirm
the state of the patient at the bedside monitor.
Carefully start and stop NIBP measurement from
the central monitor.
Extended Units
WARNING WARNING
When using the Extended Units setting, the When using the Extended Units, before you
following parameter unit settings only affect the perform the patient transfer, make sure that all
individual bedside monitor, not on all monitors unit settings on the source and destination beds
connected to the network. The unit settings must are set to the same units. If the unit settings differ
be the same on all bedside monitors and central between the beds, the alarm settings may
monitors in the network. Otherwise, different change and cause incorrect measurement on the
measurement values and alarms will be destination bed.
displayed on different monitors depending on the
unit settings on each monitor.
• CO2 Unit
• Respiration Unit
• tcPO2/tcPCO2 Unit
WARNING
When using the Extended Units, before you
change a monitor for a patient, make sure that all
unit settings on the source and destination
monitors are set to the same units. If the unit
settings differ between the monitors, the alarm
settings may change and cause incorrect
measurement on the destination monitor.
CAUTION CAUTION
When using the Extended Units, you cannot set When using the Extended Units setting, do not
the following vital sign alarm limits and alarm connect the monitor which does not have
master settings on the central monitor. Extended Units setting.
• ETCO2
• FiCO2
• tcPO2/tcPCO2
Maintenance
CAUTION CAUTION
Before maintenance, cleaning or disinfection, turn Restart the central monitor once every three
the central monitor power off and disconnect the months. Otherwise operation becomes unstable
power cord from the AC socket. Failure to follow and monitoring may stop. While restarting,
this instruction may result in electrical shock and patients monitored by the central monitor must be
central monitor malfunction. monitored by alternate instruments such as
bedside monitors.
1
CAUTION CAUTION
During maintenance and servicing, patients Never disassemble or repair the central monitor.
monitored by the central monitor must be If there is any problem with the central monitor,
monitored by alternate instruments such as contact your Nihon Kohden representative.
bedside monitors.
CAUTION CAUTION
Do the regular inspection twice a year. Otherwise, Replace the backup battery once a year with a
a decrease and loss in function will not be new one. Otherwise the backup battery may
noticed and this results in incorrect monitoring. deteriorate so that if there is a sudden power
failure, all data saved in the central monitor may
be lost.
CAUTION
Dispose of Nihon Kohden products according to
your local laws and your facility’s guidelines for
waste disposal. Otherwise, it may affect the
environment. If there is a possibility that the
product may have been contaminated with
infection, dispose of it as medical waste
according to your local laws and your facility’s
guidelines for medical waste. Otherwise, it may
cause infection.
LCD Display
(Local purchase)
RU-960P
WS-960P
Multiple Patient Receiver MU-960R
Recorder Unit
Central Monitor Main Unit
WARNING CAUTION
While the central monitor is on, do not connect While the central monitor is on, do not touch
any external devices such as USB memory. unused sockets or cables connected to the sockets.
Nihon Kohden does not warrant the normal Failure to follow this instruction may damage the
operation of the central monitor if an application central monitor by static electricity and cause
or software installation starts automatically. malfunction.
Rear
Panel
Front
Panel
5
18
6
17
16 7
15 8
1
14 9
2
13 10
3
12 11
4
For details on the part descriptions of the display, refer to the manual provided
with the display.
Overview
1
1 Alarm indicator
Blinks or lights when an alarm is activated. Blinks with
sync sounds.
2 Alarm indicator cable
3 Alarm indicator connector
Connects to the alarm indicator socket on the MU-960R
3
Central Monitor Main Unit.
2
Front
Panel
Front Panel
1 2 3 4
6 5
Rear Panel
7 8
1 Receiver serial number label column 6 SERIAL socket (behind the cover)
For attaching the serial number label provided with the Connects to an equipment for checking the multiple
receiver. The column number corresponds to the slot patient receiver.
number in the multiple patient receiver.
2 POWER lamp NOTE
Lights when the power cord is connected and the AC • Do not connect any other equipment.
current is supplied.
• Do not remove the cover.
3 ERROR lamp
Lights for about 15 seconds after power on. 7 Antenna sockets
Continuously lights when an error is detected. Connects to the antenna cables. When using only one
antenna, use the ANT 1 socket.
4 LINK lamp
Lights when connected to the MU-960R Central 8 MU-960R socket
Monitor Main Unit. Connects to the MU-960R Central Monitor Main Unit.
5 INITIALIZATION switch
Initializes the multiple patient receiver when the power
cord is connected while this switch is pressed.
Rear Panel
Front Panel
4
2
3
Use the laser printer that Nihon Kohden recommends. Connect to the network
when you use the network printer. Refer to the printer manual.
The recommended model may be changed without notice. Contact your Nihon
Kohden representative when you locally purchase a laser printer.
Installation Conditions
Install the central monitor where the screen can be seen clearly and does not
reflect light.
WARNING
Install the central monitor outside the patient
environment (IEC 60601-1-1). If the central
monitor 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
Do not install the monitor where it will be exposed Avoid exposing the monitor to direct sunlight.
to water or chemical solutions. Avoid direct Otherwise, the temperature rises and it causes
sprinkling, spray or moist air from the nebulizer or malfunction and shortens the life of the monitor.
humidifier. These cause malfunction and shorten
the life of the monitor.
CAUTION CAUTION
Make sure that there is enough space between Do not place blankets or cloth over the monitor. It
the monitor and the wall for adequate ventilation. may affect monitoring.
Otherwise the internal temperature of the monitor
rises, which leads to inaccurate operation and
CAUTION
shortens the monitor life.
Do not install the monitor in a dusty area.
• Leave more than 5 cm of space between the
wall and vent holes on the sides and rear
panels of the monitor. CAUTION
• When the monitor is surrounded, leave more Connect the power cord to an AC outlet which
than 10 cm of space above the monitor can supply sufficient AC current to the monitor.
for ventilation. Do not let the surrounding The monitor cannot function properly with low
temperature exceed 35°C (95°F) during current. Also the breaker trips and it causes
operation. electric power failure.
CAUTION CAUTION
When there is any problem with the monitor, turn Do not place cables in the way or where people
off the power immediately and disconnect the walk.
power cord from the AC outlet. Take the monitor
out of service and check for damage.
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.
Optional Instruments
• Bar code reader
• Laser printer (Nihon Kohden specified printer)
• Bedside monitor
WARNING
Connect the central monitor to the network as specified in the
Network and System Installation Guide. Otherwise the patient and
operator may receive electrical shock or injury. To connect the
network, contact your Nihon Kohden representative.
Operation Flowchart
NOTE
Contact your Nihon Kohden representative for system connection. System
connection and system setup settings must be managed by a system
administrator in your hospital and qualified service personnel.
For system connection and procedure before turning the power on, refer to the
Administrator’s Guide.
This section explains turning the central monitor power on/off, preparation at the
central monitor after turning the power on and setting recording paper.
1. Mount the central monitor and other units on the J frame and connect the
YL-960P Alarm Indicator, LCD display, WS-960P Recorder Unit, RU-960P
Multiple Patient Receiver, keyboard and mouse to the MU-960R Central
Monitor Main Unit. Refer to the Administrator’s Guide.
2. Turn the central monitor power on and other instruments on the system.
6. Start monitoring.
CAUTION
Avoid high humidity, high temperature, direct sunlight and direct
fluorescent light when storing recording paper. Otherwise the paper
may discolor. Store the recording paper in a dry, cool place.
CAUTION CAUTION
Do not touch the recording head with any hard Clean the head surface with the provided head
material. When the head is tapped with hard cleaner pen before loading new paper. After a
material, the head may crack and the heater period of usage, paper dust may accumulate
element wire may short-circuit. between the paper and the head surface, and
good printing cannot be obtained.
NOTE
• Only use the specified recording paper, FQW50-2-100.
• Do not allow paper to contact pastes, adhesive agents, oil-based felt
pen tips or diazo process (ditto/spirit) copying paper. These discolor the
paper surface.
• Do not allow paper to contact any materials containing vinyl chloride,
plastic eraser, adhesive tape, fluorescent felt tip pen, or cinnabar seal
ink because these discolor the recorded waveforms and data.
• Do not apply strong pressure to the paper. Rubbing or scratching
discolors the paper surface.
1. Move the paper magazine release lever in the direction of the arrow (▲) to
release the lock.
3. Set the recording paper inside the recorder so that the detection mark
(small black square on corner) of the paper is on the right side. Draw out
one page of paper toward you.
NOTE
When “Recording Start Position” is set to “After Mark” on the
Recording window of the System Setup screen, feed the paper to
the mark position before starting the recording.
Detection mark
Refer to the Administrator’s Guide and confirm that the system connection is
properly done. Load the recording paper in the recorder and printer. Prepare
other instruments on the system.
Lamp lit
CAUTION
When the monitor is turned on, check that a single beep sounds and
the red, yellow, cyan and green alarm indicator lamps blink once.
This shows that the alarm is functioning properly.
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.
Lit Lit
CAUTION
Check that there is no smoke or smell from the multiple patient
receiver. If there is smoke or smell, remove the power cord from the
multiple patient receiver and contact your Nihon Kohden
representative.
If the find problems after checking the above items, confirm the connection.
When the LINK lamp does not light, confirm the connection and other
connecting instruments power is turned on.
CAUTION
Follow the specified procedure to turn off the central monitor. 3
Otherwise, patient data will be deleted and the storage device and
data in the storage device may be damaged.
NOTE
Data before the patient transfer is saved in the source central monitor. To
observe the data before the patient transfer, keep the power of the source
central monitor on.
1. Touch “System Setup”. The Revision window of the System Setup screen
opens.
2. Keep touching “POWER OFF” for five seconds to turn the central monitor
power off until the countdown ends.
NOTE
When the central monitor is operated on battery power and perform this
power off procedure, the central monitor restarts. Perform the central
monitor power off procedure again to turn the central monitor power off.
3. Turn the other instruments, such as printer (network printer) power off (as
needed).
NOTE
The shaded settings need an administrator password to access. These
settings must be entered or changed by authorized personnel in your
hospital.
3
WARNING
When admitting a new patient, confirm alarm settings. Also check
the alarm settings during monitoring and change the settings
according to the patient condition. For a bed monitored via multiple
patient receiver, the alarm settings become the Alarm Master 1
settings in the following cases:
• When the bed is discharged
• When you touch the “Delete Data” key on the Delete Data window
of the Admit/Discharge window
• When you delete all data of the bed when the receiving channel is
changed
1. Admit a patient.
When you monitor a patient through a multiple patient receiver, set the
receiving channel.
Check the following items before turning on the monitor. If any problem is
detected, take the proper countermeasure according to the troubleshooting and
maintenance sections. If there is any damage or the instrument is suspected to be
faulty as a result of checking, attach an “Unusable” or “Repair request” label to
the instrument and contact your Nihon Kohden representative.
Do not use anything sharp to touch the LCD screen (touchkeys), power switches
and other keys. Sharp objects may damage the instrument.
CAUTION
When the monitor is turned on, check that a single beep sounds and
the red, yellow, cyan and green alarm indicator lamps blink once.
This shows that the alarm is functioning properly.
NOTE
After turning the monitor on and when admitting a patient on the monitor,
make sure that the time displayed at the upper right of the screen is
correct. The clock may gain or lose time during operation.
When the date or time is changed during monitoring, the date and time of
all stored data is also changed and may not match the date and time on
the printout.
4
Overview of the System Setup Screen................................................................................................................. 4.2
Displaying the System Setup Screen......................................................................................................... 4.3
Sound Control....................................................................................................................................................... 4.4
Setting Alarm Sound Volume..................................................................................................................... 4.4
Setting Sync Sound.................................................................................................................................... 4.5
Turning the Sync Sound ON/OFF.................................................................................................... 4.5
Changing the Sync Sound Pitch...................................................................................................... 4.5
Setting the Sync Sound Bed............................................................................................................ 4.5
Setting Sync Sound Volume....................................................................................................................... 4.5
Recording............................................................................................................................................................. 4.6
Touchkeys Setting................................................................................................................................................ 4.6
On the System Setup screen, you can set settings that affect the system.
NOTE
The shaded settings need an administrator password to access. These
settings must be entered or changed by authorized personnel in your
hospital.
4
Touch to open another window
Central monitor
information
Monitored bed
information
Sound Control
Set alarm sound volume, sync sound on/off, sync sound pitch, sync sound bed
and sync sound volume.
The volume can be set in seven steps. Touch the or key to increase or
decrease the volume. To check, there is a sound of the selected level every time
you touch the or key. You can also change the volume by directly touching
the bar.
CAUTION CAUTION
The central monitor does not perform ECG The sync sound at the central monitor has a time
analysis. Therefore, the QRS sync sound at the delay of several seconds because of network
central monitor might not synchronize with the connection. 4
patient’s actual QRS during pacing or when
complicated arrhythmias occur.
Recording
Touchkeys Setting
Admitting a Patient
WARNING
After admitting a patient at a bedside monitor, confirm that the
patient is also admitted at the central monitor and that the central
monitor starts monitoring the patient.
CAUTION
When admitting a new patient, first discharge the previous patient
and delete all data of the previous patient. Otherwise, the data of the
previous patient and new patient will be mixed together.
NOTE
This operation can only be performed for the monitored beds whose data
is saved in this central monitor.
1. Touch “Admit” on the All Beds screen or the basic information area of the
bed you are going to admit a patient in. The Admit/Discharge window opens.
2. Touch “Admit”.
4. Enter the patient information. First touch the item you want to enter and then
enter information from the keyboard on the screen or the keyboard.
Item Description
Name Up to 32 alphanumeric characters
Patient ID Up to 16 alphanumeric characters
Blood type A−, A+, B−, B+, AB−, AB+, O−, O+, unknown
Gender Male, Female, unknown
Date of birth YYYY-MM-DD
0 year 0 month to 127 years 11 months
Age Automatically calculated when the date of birth is
entered.
Height* 0.1 to 299.9 cm/0 to 9 ft, 0.0 to 11.9 inch
Weight* 0.1 to 449.9 kg/0.1 to 654.9 lb
Automatically calculated when the height and weight are
BSA
entered.
Physician Up to 20 alphanumeric characters
Diagnosis Up to 40 alphanumeric characters, maximum 5 lines
Note Up to 80 alphanumeric characters
* For the height and weight, you can select units at the System Configuration
window of the System Setup screen.
NOTE
The BSS-9800 Bedside Station and BSM-9510 Bedside Monitor do
not include physician’s name and diagnosis in the patient information.
Therefore, for these monitors, if you enter “Physician” and “Diagnosis” at
the central monitor, these items are deleted.
3. Confirm the scanned information displayed on the Bar Code window and
touch “Writing”.
1. Touch the basic information area of bed you are going to change the patient
information.
2. Touch “Bar Code” on the Admit window. The Bar Code window opens.
4. Confirm the scanned information displayed on the Bar Code window and
touch “Writing”.
NOTE
Only the scanned information overwrites the information on the Admit
window.
Discharging a Patient
CAUTION
When admitting a new patient, first discharge the previous patient
and delete all data of the previous patient. Otherwise, the data of the
previous patient and new patient will be mixed together.
NOTE
This operation can only be performed for the monitored beds whose data
is saved in this central monitor.
1. Touch the basic information area of the bed you are going to discharge a
patient from.
When the patient is temporarily away from the bed and no data from that bedside
monitor is sent to the central monitor, you can pause monitoring of the patient
without deleting the patient data and settings.
5
The pause function pauses displaying measurement values, alarm function and
data saving for review windows without losing patient information and settings.
While monitoring is paused, a reason is displayed beside the paused bed on the
central monitor screen. You can select a reason from different customizable
reasons.
You can customize the reasons on the System Configuration window of the
System Setup screen. Refer to Section 7-1 “Changing the System Setup Screen
Settings for Administrator” of the Administrator’s Guide.
NOTE
• The pause operation can only be done at the central monitor where the
bed’s data is saved.
• The monitoring pause reason only appears on the central monitor and it
does not appear on the bedside monitor.
1. Touch the basic information area of the bed for which you are going to pause
monitoring.
6. Touch “Pause”. Monitoring pauses and the selected reason appears on the
screen.
Pause Timer
During pause you can display a timer on the All Beds screen and Individual Bed
window. To set the timer on or off, edit pause reason and set the default pause
timer interval, refer to Section 7-1 “Changing the System Setup Screen Settings
for Administrator” of the Administrator’s Guide.
3. Touch “Pause”. Monitoring pauses and the information such as pause reason
appears on the All Beds screen and Individual Bed window.
3
1 2
NOTE
• Monitoring does not automatically resume when the set time elapses.
Touch “Resume” on the Admit/Discharge window to resume monitoring.
• The pause time only appears on the central monitor. It does not appear
on the bedside monitor.
Pause reason
Pause time
When the Pause Time is set
to Free, Expected Return and
Remaining Time do not appear
and the Reduce and Extend
buttons do not function.
Reduce Extend
Every touch of the key reduces Every touch of the key extends
the pause time by 15 minutes. the pause time by 15 minutes.
Elapsed time
Elapsed time
Resume Monitoring
WARNING
When you resume monitoring of the paused bed at the bedside
monitor or transmitter, check that monitoring is also resumed at the
central monitor. Monitoring of the paused bed automatically resumes
at the central monitor when the Auto Resume After Pause setting on
the System Setup screen are met. When Auto Resume After Pause 5
is set to Off, resume monitoring at the central monitor by pressing
the “Resume” key.
1. Touch “Resume” on the All Beds screen or on the basic information area.
The Pause window opens.
When Auto Resume After Pause on the System Configuration window of the
System Setup screen is set to 10 sec, 30 sec, 1 min, 2 min or 3 min
When monitoring at the bedside monitor (transmitter) resumes and properly
continues for this period, monitoring automatically resumes at the central
monitor.
When you want to move a patient to a different bed in the patient monitoring
network, transfer the patient to the destination bed on the central monitor by the
procedure described below. This is called “patient transfer”. By doing the patient
transfer, the patient’s data of the current bed can be observed at the destination
bed.
After patient transfer, the following data can be observed at the destination bed:
• Patient information (except for “Note”)
• Alarm settings
• Trend data
• Hemodynamics list data
• Arrhythmia recall data
• ST recall data
• Full disclosure waveform
• ECG 12 lead analysis file (Only when the data of the source bed and
destination bed are saved in the same central monitor, or when the data of the
source bed and destination bed are saved in different central monitors but both
central monitors are CNS-9601.)
• Alarm History (Only when the data of the source bed and destination bed are
saved in the same central monitor.)
WARNING
When using the Extended Units, before you
perform the patient transfer, make sure that all
unit settings on the source and destination beds
are set to the same units. If the unit settings differ
between the beds, the alarm settings may
change and cause incorrect measurement on the
destination bed.
CAUTION CAUTION
Keep the source bedside monitor and the On the central monitor, when the patient is
destination bedside monitor power on and transferred between different central monitors in
connected to the network until the patient transfer the network, the data for that patient is saved
is complete. Otherwise the patient transfer fails only on the new monitor and the previous
and the data is lost. After transferring the patient, monitor. If the patient is transferred from monitor
confirm that the data before the patient transfer A to monitor B, then transferred again to monitor
can be displayed at the destination bed. C, the data is saved on monitor B and C but
deleted from monitor A.
CAUTION CAUTION
When transferring a patient, confirm the After patient transfer, settings other than patient
destination bed you want to transfer by the information and alarm settings are returned to the
message on the screen. If you select the wrong default settings. Change the settings if necessary.
destination bed, the patient data of the source
bed overwrites the patient data of the destination
bed and the overwritten data cannot be 5
recovered.
NOTE
• After the patient transfer, all data other than the data listed on the
previous page and “Note” of the patient information are deleted from the
central monitor and the source bedside monitor.
• The data about ECG 12 lead analysis is moved if bed movement
occurs in the same central monitor or between CNS-9601 and CNS-
9701 Central Monitors. The data about alarm history is moved if bed
movement occurs in the same central monitor. No data will be moved
from any other bed movement.
• Before the patient transfer, confirm that the bedside monitors for the
destination bed and the source bed are both turned on.
• Data before the patient transfer is saved in the source central monitor.
To observe the data before the patient transfer, keep the power of the
source central monitor on.
• The patient transfer can only be performed for the monitored beds
whose data is saved in this central monitor.
• Notes in the patient information are deleted after the patient transfer.
• While a patient is being transferred between different central monitors,
up to one minute of full disclosure waveform and trend data is lost.
OR-011
A “CNS group” consists of a central monitor and all the monitors
OR-001
B B whose data is stored on that central monitor.
OR group
B
• When transferring a patient to a different CNS group
B
ICU-002 ICU-014 A patient can be transferred to a different CNS group once without
data being lost. If the patient is transferred to a third CNS group,
General-001 General-027 General-028 the data is deleted from the first central monitor.
B B B
General group
For example, when a patient is transferred from monitor OR-001
B B Saves data for
→ General-001 → ICU-015, the data saved for General-001 can
General-002 General-003 the General be displayed on CNS-9601X as the data of ICU-015, but data
group
CNS-9601Y saved for OR-001 is lost and cannot be displayed on CNS-9601X.
B: bedside monitor
Operator’s Manual CNS-9601 5.15
5. ADMITTING/DISCHARGING PATIENTS
Transferring a Patient
1. Touch the basic information area of the bed you want to transfer.
5. Touch a bed in Select Destination Bed to select the bed the patient is
transferred to.
Touch “Yes” to continue the registration of the bed. Touch “No” to cancel
registering.
6. When the Extended Units setting is set to ON, the confirmation dialog box
about unit settings appears.
Touch “Yes” to transfer the patient to the destination bed. Touch “No” to
cancel transferring the patient.
8. Touch “All Beds” to return to the All Beds screen. When transferring the
patient, the source bed becomes discharged and the patient is admitted to the
destination bed.
NOTE
When the transferred bed is monitored through an RU-960P/ORG-9100
series multiple patient receiver, the following settings return to the Alarm
Master 1 settings after transfer:
• Alarm
• Arrhythmia Analysis ON/OFF
• QRS Detection Type
This procedure is only for a bed whose data is saved in this central monitor.
WARNING
When using the Extended Units, before you change a monitor for a
patient, make sure that all unit settings on the source and destination
monitors are set to the same units. If the unit settings differ between
the monitors, the alarm settings may change and cause incorrect
measurement on the destination monitor.
CAUTION
Keep the current bedside monitor and the new bedside monitor
power on and connected to the network until the monitor is changed.
Otherwise the patient data is lost. After changing the monitor,
confirm that the data and settings before changing the monitor are
displayed in the new monitor.
This operation is available when “Change Device” is set to “ON” on the System
Configuration window of the System Setup screen. Refer to the Administrator’s
Guide.
1. Connect the new monitor to the central monitor network and turn the power
on.
2. On the central monitor, touch the basic information area of the bed you want
to change the monitor for.
NOTE
You cannot select a monitored bed whose data is saved in another central
monitor.
8. Confirm that the monitor names in the Current Monitored Device and New
Device boxes are correct, and touch “Yes”. The “Changing Device” message
appears and it changes to “Change Device:success”.
9. Touch “OK”.
10. Touch “All Beds” to return to the All Beds screen. The patient is
automatically admitted on the new bedside monitor.
NOTE
After changing the monitor, check that the old monitor is no longer
monitored by other central monitors. If other central monitors are still
monitoring the old monitor, change it to an appropriate monitor on those
central monitors. Refer to “Changing the Monitor for a Bed Whose Data is
Saved on Another Central Monitor”.
This procedure is only for a bed whose data is saved in another central monitor
and also monitored on this central monitor. 5
NOTE
Keep both the current monitor and the new monitor connected to the
network and do not turn them off until changing the monitor is finished. If
either monitor is turned off, the central monitor may keep monitoring the
old bed or it may be unable to monitor either bed.
1. Confirm that the monitor is changed on the central monitor which stores the
bed’s data.
2. On this central monitor, touch the basic information area of the bed you want
to change the monitor for.
5. Touch “Change Remote Filing Bed” to display the Change Remote Filing
Bed window.
NOTE
You cannot select a monitored bed of this central monitor.
8. Confirm that the monitor names in the Current Monitored Bed and New
Bed boxes are correct, and touch “Yes”. The “Changing remote filing bed”
message appears and it changes to “Change Remote Filing Bed: success”.
9. Touch “OK”.
You can set the background color of the bed name and telemetry channel on the
All Beds screen and basic information area.
1. Touch the basic information area of the bed you want to set the bed color. 5
5. Touch the desired color. On the left window, you can confirm the display on
the All Beds screen.
You can select from five group colors when the “Changing Bed Color Also
Changes Bed Group” is set to “ON” on the System Configuration window
of the System Setup screen. When the color is changed, the bed color of all
beds in the same group is also changed.
You can select from eight colors when the “Changing Bed Color Also
Changes Bed Group“ is set to “OFF” on the System Configuration window
of the System Setup screen.
NOTE
• When “Changing the Bed Color Also Changes the Beds Groups” is
set to “ON” on the System Configuration window of the System Setup
screen, the bed color and the group color for the Multi Pat. Alarm
Events window changes to the same color.
• The bed color can also be set on the All Beds screen. Refer to “Setting
the Bed Color” in Section 7.
WARNING
Check that the channel number of the transmitter corresponds to the
receiving channel (the channel displayed on the monitor screen).
Otherwise, the central monitor 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 it will
cause misunderstanding of the patient history.
NOTE
• The receiving channel number is set at the moment you confirm “Yes”
or “No” of all data deletion.
• The receiving channel can be set only when receiving data from a
transmitter through a multiple patient receiver.
• This operation can only be performed for the monitored beds whose
data is saved in this central monitor.
1. Touch the basic information area of the bed you want to set the channel for.
NOTE
When the Prohibit Duplicate Channels is set to “ON” on the System
Configuration window of the System Setup screen, the same channel as
the admitted bed (includes paused bed) cannot be set. “This channel is
being used for another bed. Select a different channel.” message appears
and entered channel number is not applied.
NOTE
• You cannot set a channel number which is not included in the
connected multiple patient receiver.
• Do not set receiving channels which interfere with each other.
Otherwise, the “There is a possibility of channel interference.” message
appears. If you use those channels, signals may be difficult to receive
by the multiple patient receiver.
NOTE
When you delete all data of a bed that is monitored by an RU-960P/ORG-
9100 series multiple patient receiver, the alarm settings change to the
Alarm Master 1 settings.
Overview of Alarms
WARNING WARNING
A physician must be within the range where he/ Do not diagnose a patient based on only the
she can hear the alarm sound of the central alarm information of the central monitor. An alarm
monitor while monitoring a patient on the central may not be indicated due to alarm level or alarm
monitor. If the physician cannot hear the alarm on/off setting and critical changes on the patient 6
sound, critical changes on the patient may be may be overlooked.
overlooked.
WARNING WARNING
If more than one medical equipment is used When an alarm occurs:
together in the same facility, make sure all • Check the patient first and take necessary
equipments have the same alarm default settings measure to ensure patient’s safety.
(alarm master). If the medical equipments have • Remove the cause of the alarm.
different alarm default settings and when • Check the alarm settings on the central monitor
initialized, the alarm settings differ with the other and change the alarm settings if necessary.
equipments and alarm cannot be managed
appropriately in the facility. If using different alarm
default settings according to areas or wings in the
facility, manage the alarms appropriately.
The table below shows which alarm functions are available on which instrument.
Transmitter through
Alarm functions Central monitor Bedside monitor
multiple patient receiver
Setting Alarms Available Available Not available
• Vital sign alarm (When the monitored bed is (You can set the settings on
• ST alarm a bedside monitor, settings the central monitor.)
• Arrhythmia alarm at the central monitor
and bedside monitor are
synchronized.)
Judging when an No Yes The multiple patient receiver
alarm condition exists (Displays alarms from judges and the transmitter
and what parameters bedside monitors and generates the CALL alarm.
are alarming multiple patient receivers)
Silencing/suspending For a bedside monitor Temporarily silence current Not available at the multiple
alarms same function as the bedside alarms patient receiver
monitor
8000 series beds Pressing the alarm suspend
For a multiple patient temporarily suspend all key on the transmitter
receiver alarm functions suspends all alarm functions
temporarily silence current for 3 minutes.
alarms
Turning all alarm Not available Depends on the bedside Not available
functions On/Off monitor model
Alarm indication Sound, alarm indicator lamp Sound, blinking lamp, screen No indication
(when YL-960P Alarm indication, recording
Indicator is connected),
screen indication, recording
Alarm Types
Alarm Level
There are three alarm levels.
Alarm Indication
The central monitor can indicate alarms both visually and audibly:
• Alarm sound (see the table below)
• Alarm indicator: alarm indicator indicates three alarm level.
CRISIS: Red blinking, WARNING: Yellow blinking, ADVISORY: Cyan or
yellow lit
• Alarm message or highlighted numeric data on the screen
• Alarm recording starts
*1 The alarm sound, advisory alarm sound interval and advisory alarm color can
be changed on the Alarm window of the System Configuration window.
*2 Display on the All Beds Screen and the basic information area only.
*3 Blinks in orange when WARNING is the highest priority in all the alarm
generated on the monitored bed. Lits in orange in other alarms.
When the following alarm and other alarm occur simultaneously, the message
displayed alternately: All alarm off, Alarm suspended, Battery, Arrhy Analy Off.
When two or more alarms on the same channel occur at the same time, the
message is displayed according to the priority.
When an arrhythmia alarm is generated, even if the patient recovers quickly from
the arrhythmia, the alarm status continues for a short time. The time depends on
the alarm level.
• CRISIS: 30 s
• WARNING: 20 s
• ADVISORY: 10 s
Display examples
With numeric display Without numeric display
Arrhythmia Alarm
The arrhythmia alarm occurs when an arrhythmia occurs. A highlighted
arrhythmia name in the color according to the level is displayed in the bed
display area. When several alarms occur simultaneously, only the highest priority
alarm is displayed.
NOTE
A message is not displayed when:
• Alarm functions are set to OFF on the bedside monitor.
• Alarm for the arrhythmia is set to OFF.
Display examples
All Beds screen
Highlighted arrhythmia name in
the color according to the level
The frame of waveform display is
highlighted according to the alarm
level. (CRISIS and WARNING
only)
Technical Alarm
When an alarm about instrumental abnormality occurs, a highlighted alarm
message in the color according to the level is displayed in the bed display area.
Display examples
All Beds screen
Display examples
With numeric display Without numeric display
At the central monitor, you can silence alarms occurring at all the monitored
beds which are directly connected to the network. When you silence alarms at
the central monitor, they are also silenced at the bedside monitor. Also, when
you silence alarms at the bedside monitor, they are also silenced at the central
monitor.
For the 8000 series beds, refer to At the central monitor, you can temporarily suspend all alarm functions of all the
Section 1. 8000 series monitored beds. During alarm suspend, there is no alarm sound, no
alarm message display and no alarm recording.
6
To suspend all alarm functions of the 8000 series monitored beds, touch “Silence
Alarms”. During alarm suspend, the alarm suspend mark with the remaining
minutes indication and the “Alarm Suspended” message are displayed in the
display area of the suspended beds.
WARNING
When alarm is suspended by pressing the SUSPEND ALARM key
on the transmitter, all alarms are turned off for that transmitter. Be
careful when you suspend the alarm.
By pressing the SUSPEND ALARM key on the transmitter, you can suspend all
alarms before occurrence. This is useful to prevent unnecessary alarms during
electrode replacement, treatments and so on.
When the SUSPEND ALARM key on the transmitter is pressed, all alarm
function for the patient is suspended for 3 minutes. The alarm suspend mark
is displayed in the display area of the patient on the All Beds screen, Individual
Bed window and basic information area of each screen.
Mark Description
When certain alarm functions are not available, an alarm control mark is
displayed on the display area for the patient.
NOTE
Some bedside monitor models allow you to set the conditions to display
the vital sign alarm off mark on the bedside monitor screen. The vital sign 6
alarm off mark is displayed on the central monitor depending on the setup
of the bedside monitor.
Alarm Recording
Recording Waveforms
Waveforms displayed on the All Beds screen beginning nine seconds before the
alarm occurrence.
Recording Time
Select from 10, 20, 30, 40, 50, 60 seconds. Set at “Alarm/Call Recording” on the
Recording window of the System Setup screen.
Recording Speed
Select 25 mm/s or 50 mm/s. Set “Recording Sweep Speed” at “Other” on the
Recording window of the Setup.
Recording Sensitivity
Refer to Section 11.
There are two setting windows to turn alarm recording on or off. Changing
settings on one window changes the settings on the other window.
• ON/OFF key at “Recording” on the each alarm window.
• ON/OFF key for each alarm recording at “Alarm Recording” on the Recording
window of the Setup.
6.14 Operator’s Manual CNS-9601
6. ALARM FUNCTION
6
Arrhythmia Alarm Recording
NOTE
When the following necessary settings for automatic alarm recording are
set, the arrhythmia alarm recording starts even when there is no alarm
indication on the central monitor.
ST Alarm Recording
• Set “ST Alarm Recording” to “ON” on the ST Alarm window of the Personal
Setup or set “ST Alarm Recording” to “ON” at the Alarm Recording window
of the Recording window of the Setup. The settings on both windows are
synchronized. Changing one changes the other.
• Set the upper and lower alarm limits on the ST Alarm window.
NOTE
When the necessary settings for automatic alarm recording are set, the
arrhythmia alarm recording starts even in situations where there is no
alarm indication on the central monitor such as:
• All alarm function is set to OFF at the bedside monitor.
• An arrhythmia occurs whose alarm setting (“Alarm”) is set to OFF on
the Arrhythmia Alarm setting window.
Setting Alarms
CAUTION
When receiving bedside monitor data through the ZB-800P, ZB-900P
or ZS-900P transmitter, check the alarm, arrhythmia and monitoring
settings on the bedside monitor and central monitor. The alarm,
arrhythmia and monitoring setting information of the bedside monitor
is not transmitted.
NOTE
• Do not change alarm settings on the bedside monitor and the central
monitor simultaneously.
• For a bed monitored through RU-960P/ORG-9100 Multiple Patient
Receiver, the alarm settings are saved even when the central monitor is
tuned off. In the following cases, the alarm settings become the Alarm
Master 1 settings:
- When the bed is discharged
- When you touch the “Delete Data” key on the Delete Data window of
the Admit/Discharge window
- When you delete all data of the bed when the receiving channel is
changed
CAUTION
When the alarm limit is set to OFF, there will be no alarm for that
limit. Be careful when you set the alarm limit to OFF.
1. Touch the basic information area of the bed you are going to set alarms for.
The Individual Bed window for the bed opens.
Increase/Decrease
key
Touch to increase or
decrease the value
of the upper or
lower limit. To set to
OFF, keep touching
this key until the
setting changes to
OFF.
Current measurement value Current upper/lower limits are displayed Lower limit
in a bar. You can also change the limit by Current value is
directly touching the bar. displayed. Touch
this button to set the
lower limit.
IBP (MAX/MIN/ UV, CVP, RAP, LAP, ICP, 0 to 298 2 to 300 2 mmHg
MEAN) ICP2 to 4
0.0 to 39.5 0.5 to 40.0 0.5 kPa
Tskin, Tskin2 to 3, Trect, 0.0 to 44.9 0.1 to 45.0 0.1 °C
TEMP Tcore, Tnaso, Teso, Ttymp,
Tblad, Taxil, T1 to 8 32.2 to 112.8 32.4 to 113.0 0.2 °F
delta-T 0.0 to 44.9 0.1 to 45.0 0.1 °C
delta-T
delta-T2 to 4 0.0 to 112.9 0.1 to 113.0 0.1 °F
0.0 to 44.9 15.1 to 45.0 0.1 °C
Tb
59.0 to 112.8 59.2 to 113.0 0.2 °F
FiO2 18 to 99 19 to 100 1
O2 %
EtO2 10 to 99 11 to 100 1
1 to 5 1 mmHg
FiCO2 ––
0.1 to 0.7 0.1 kPa
CO2
1 to 98 2 to 99 1 mmHg
ETCO2
1.0 to 12.5 1.5 to 13.0 0.5 kPa
FiN2O 0 to 99 1 to 100 1
N2O %
EtN2O 0 to 99 1 to 100 1
FiHAL 0.0 to 6.9 0.1 to 7.0 0.1
HAL %
EtHAL 0.0 to 6.9 0.1 to 7.0 0.1
FiISO 0.0 to 6.9 0.1 to 7.0 0.1
ISO %
EtISO 0.0 to 6.9 0.1 to 7.0 0.1
FiENF 0.0 to 6.9 0.1 to 7.0 0.1
ENF %
EtENF 0.0 to 6.9 0.1 to 7.0 0.1
FiSEV 0.0 to 6.9 0.1 to 7.0 0.1
SEV %
EtSEV 0.0 to 6.9 0.1 to 7.0 0.1
FiDES 0.0 to 19.9 0.1 to 20.0 0.1
DES %
EtDES 0.0 to 19.9 0.1 to 20.0 0.1
SvO2/SvO2 (CCO) 30 to 96 31 to 97 1 %
CCO 1.0 to 19.9 1.1 to 20.0 0.1 L/min
0.0 to 44.9 15.1 to 45.0 0.1 °C
Tb (CCO)
59.0 to 112.8 59.2 to 113.0 0.2 °F
MV 0 to 29.9 0.1 to 30 0.1 L/min
Ppeak 0 to 99 1 to 100 2
cmH2O/hPa
PEEP 0 to 49 1 to 50 2
0 to 795 5 to 800 5 mmHg
tcPO2
0 to 109.5 0.5 to 110.0 0.5 kPa
0 to 195 5 to 200 5 mmHg
tcPCO2
0 to 29.5 0.5 to 30.0 0.5 kPa
To set vital sign alarm upper/lower limits by the Auto Alarm Setting, touch
“AUTO”.
NOTE
The setting range depends on the bedside monitor. The central monitor
setting might not be applied to the bedside monitor. For the setting range
of the bedside monitor, refer to the bedside monitor operator’s manual.
WARNING
For arrhythmia monitoring, set Arrhythmia Analysis on the ECG
window to ON. Otherwise, there is no sound or indication for
arrhythmia alarms (except for ASYSTOLE).
CAUTION
When the alarm is turned OFF for an arrhythmia, there will be no
alarm for that arrhythmia type. There is no message or mark to
indicate that a certain arrhythmia alarm is turned off. Therefore, be
careful when you turn off an arrhythmia alarm.
1. Touch the basic information area of the bed you are going to set alarms for.
Detection Condition
Item
Setting Range Dependence Step Unit
ASYSTOLE OFF, 3 to 10 — 1 s
V. FIB OFF, --- —
OFF, 16 to 300* V BRADY < V TACHY = VPC RUN beats/min
V. TACHY
3 to 9* VPC RUN ≤ V TACHY beats
EXT TACHY OFF, 16 to 300 TACHY ≤ EXT TACHY
EXT BRADY OFF, 15 to 299 EXT BRADY ≤ BRADY beats/min
OFF, 16 to 300* V BRADY < VPC RUN = V TACHY
VPC RUN ≤ V TACHY
VPC RUN (Applied when a bedside monitor which
3 to 8 beats
arrhythmia type is set to “EXTENDED”
is connected.)
V BRADY OFF, 15 to 299* V BRADY < V TACHY = VPC RUN 1 beats/min
OFF, 16 to 300*
SV TACHY —
3 to 9* beats
OFF (Available when
BRADY < TACHY ≤ EXT TACHY*
the alarm setting of EXT
TACHYCARDIA (* Applied when the alarm setting of EXT
TACHY is set to OFF),
TACHY is set to ON.)
16 to 300
beats/min
OFF (Available when
EXT BRADY* ≤ BRADY < TACHY
the alarm setting of EXT
BRADYCARDIA (* Applied when the alarm setting of EXT
BRADY is set to OFF),
BRADY is set to ON.)
15 to 299
PAUSE OFF, 1.0 to 3.0* — 0.1 s
COUPLET
EARLY VPC OFF, ---
MULTIFORM
— —
V RHYTHM OFF, ---*
BIGEMINY OFF, ---
TRIGEMINY OFF, ---*
FREQ VPC OFF, 1 to 99 — 1 beats/min
VPC ---
IRREGULAR RR OFF, ---*
— —
PROLONGED RR OFF, ---
NO PACER PULSE OFF, ---*
PACER NON-
OFF, 40 to 480* 4 ms
CAPTURE
* For these items, alarm detection condition can be set when arrhythmia type for bedside monitor is set to “EXTENDED”.
Upper limit
Current value is
displayed. Touch
this button to set the
upper limit.
Increase/Decrease
key
Touch to increase or
decrease the value of
the upper or lower
limit.
Lower limit
AUTO Current Current upper/lower limits are Current value is
Touch to automatically set the measurement value displayed in the bar. Touch the displayed. Touch
upper/lower limit of all the bar to set the value of the upper this button to set the
measurable leads for the bed. or lower limit. lower limit.
Setting range
Item Step Unit
Lower limit Upper limit
ST −2.00 to +1.99 −1.99 to +2.00 0.01 mV
To set ST alarm upper/lower limits of the setting lead for the bed by Auto Alarm
Setting, touch “AUTO”.
To set ST alarm upper/lower limits of the all leads for the bed by Auto Alarm
Setting, touch “AUTO”.
6. Confirm that the selected alarm settings of the selected alarm master are
displayed on the screen. Touch “Apply”. The confirmation message window
appears.
7. Touch “Yes”. The alarm master settings displayed on the screen are applied
as the alarm settings.
Adjust the alarm sound volume at the Sound Control window on the System
Setup screen. There are seven volume levels.
NOTE
• Depending on the environment where the central monitor is used, set
the alarm volume appropriately. 6
• You cannot set the alarm sound volume to off.
• You cannot set the alarm sound volume to the value lower than the
volume set at “Alarm Volume Limit” on the Alarm window of the System
Configuration window.
3. Touch the or key in “Alarm Volume” to adjust the volume. Every time
you change the volume, there is a sound at the selected volume. You can also
change the volume by directly touching the bar.
The central monitor has two types of notice function. Only one type can be
activated at a time.
Alarm notice: An alarm notice icon appears on the All Beds screen and
basic information area of the bed when an alarm history file
is created.
Arrhythmia notice: An arrhythmia notice icon appears on the All Beds screen
and basic information area of the bed when an arrhythmia
recall file is created.
NOTE
• To activate the alarm notice or arrhythmia notice function, you need to
set the notice mode at Alarm/Arrhythmia Notice Icon on the System
Configuration - Alarm window of the System Setup screen. Alarm is the
factory default setting.
• The alarm notice and arrhythmia notice function are only available for
beds whose data is saved in this central monitor.
• When you use the alarm notice or arrhythmia notice function and there
are two or more central monitors in the network, confirm that all central
monitors in the network have the same settings for Alarm/Arrhythmia
Notice Icon on the System Configuration - Alarm window of the System
Setup screen. If some central monitor activates the alarm notice or
arrhythmia notice function and others do not, you might misjudge
that there was no alarm for a bed by observing the bed at the central
monitor where the notice function is not activated.
Alarm Notice
The alarm notice icon can be displayed on the All Beds screen and basic
information area of the bed when an alarm history file is created. You need to set
the alarm levels for displaying alarm notice icon at “Alarm Notice Level” on the
System Configuration - Alarm window of the System Setup screen.
You can display the Alarm History screen by touching the notice icon. Alarms
for the bed are silenced/suspended when the alarm notice icon is touched. For
details, refer to “Temporarily Silencing or Suspending Alarms” in Section 6.
NOTE
The maximum number of alarm history file is 5000 for each bed and the
oldest file is automatically deleted to create a new file. When the alarm
history file with a notice icon was deleted before you touch the icon on
the All Beds screen or basic information area, the icon remains on the
All Beds screen and the basic information area. When you touch the icon
and the Alarm History window is displayed, the “No Data” message is
displayed on the screen.
Alarm history
The cursor is on the
newest file among
alarm history files
with the alarm notice
icon.
Arrhythmia Notice
The arrhythmia notice icon can be displayed on the All Beds screen and basic
information area of the bed when an arrhythmia recall file is created. You need to
select the arrhythmia types for which the arrhythmia notice icon is displayed at
“Arrhythmia Notice Events” on the System Configuration - Alarm window of the
System Setup screen.
You can display the Arrhythmia Recall window by touching the arrhythmia
notice icon.
NOTE
The arrhythmia notice icon is displayed when the arrhythmia recall file
is created, not when the arrhythmia occurs. To display the arrhythmia
notice icon, you must set “Recall” to ON for the arrhythmia type on the
Arrhythmia Alarm window. Otherwise the arrhythmia notice icon is not
displayed even when the arrhythmia is selected at “Arrhythmia Notice
Events” on the System Configuration window.
NOTE
• When there is only one recall file with an arrhythmia notice icon, you
can directly open the expanded waveform window by touching the
arrhythmia notice icon on the All Beds screen or basic information area.
Refer to the Administrator’s Guide.
• The maximum number of arrhythmia recall file is 768 for each bed.
The oldest file is automatically deleted to create a new file. When the
arrhythmia recall file with a notice icon was deleted before you touch
the icon on the All Beds screen or basic information area, the icon
remains on the All Beds screen and the basic information area. When
you touch the icon and the Arrhythmia Recall window is displayed, the
“No Data” message is displayed on the screen.
• When the newest arrhythmia recall file with arrhythmia notice icon is
deleted manually and the Arrhythmia Recall window is displayed by
touching the icon, the cursor is at the previous file of the deleted file.
Technical Icon
ECG or SpO2 technical icons can be displayed on the All Beds screen when
the ECG or SpO2 technical status become yellow or red on the Alarm Events
window.
When a technical icon is touched, the Alarm Events window and action message
for the icon are displayed.
The technical icon disappears when the technical status becomes green or Yes is
touched for the action message.
NOTE
• To display the technical icons, Technical Icon on the Display Setting of
the Monitor Setting in the System Setup screen must be set to “On”.
The default setting is “Off.” Refer to the Administrator’s Guide.
• The technical icon can only be displayed on the bed which data is
saved in the central monitor.
• When the central monitor is connected to a central monitor network, set
the technical icon to On on all central monitors. Otherwise, the technical
icon is not displayed on the central monitor on which the technical icon
is set to off and the patient condition may be misjudged.
When Yes is touched, the technical icon and action message disappear. When No is
touched, the message disappears but the icon is displayed continuously.
When Yes is touched, the technical icon and action message disappear. When No is
touched, the message disappears but the icon is displayed continuously.
When the ECG and SpO2 measurement conditions become yellow or red at the
same time, only the ECG technical icon is displayed. When the icon is touched,
both ECG and SpO2 action messages are displayed.
Overview............................................................................................................................................................... 7.2
Displaying the All Beds Screen.................................................................................................................. 7.2
Screen Description..................................................................................................................................... 7.3
16 beds (One waveform).................................................................................................................. 7.3
12 beds (Up to two waveforms)........................................................................................................ 7.4 7
8 beds (One waveform).................................................................................................................... 7.4
8 beds (Up to three waveforms)....................................................................................................... 7.5
6 beds (Up to two waveforms).......................................................................................................... 7.5
6 beds (Up to four waveforms)......................................................................................................... 7.6
4 beds (Up to three waveforms)....................................................................................................... 7.6
4 beds (Up to six waveforms)........................................................................................................... 7.7
Freezing Waveforms................................................................................................................................... 7.7
Temporarily Silencing/Suspending Alarms................................................................................................. 7.7
Changing the All Beds Screen Display Setting..................................................................................................... 7.8
Setting Individually for Each Bed................................................................................................................ 7.8
Setting the Sensitivity and Scale of the Displayed Waveform.......................................................... 7.8
Selecting the Displayed Waveform on the All Beds Screen............................................................. 7.9
Selecting the Parameters of the Displayed Measurement Data..................................................... 7.11
Setting the Bed Color..................................................................................................................... 7.12
Selecting the Heart Rate Display................................................................................................... 7.13
Selecting the Pulse Rate Display................................................................................................... 7.14
Selecting the Source Pulse Rate................................................................................................... 7.15
Setting for All Beds on the System Configuration Window of the System Setup Screen......................... 7.15
Setting for All Beds on the Monitor Setting Window of the System Setup Screen................................... 7.15
Setting Parameter Priority.................................................................................................................................. 7.16
Recordings on the All Beds Screen.................................................................................................................... 7.17
All Beds Manual Recording...................................................................................................................... 7.17
Necessary Settings for All Beds Recording................................................................................... 7.17
Overview
On the All Beds screen, you can view waveforms and numeric data of all
monitored beds at the same time.
A single central monitor can continuously monitor up to 8 beds. Install the QP-
962P 16 Patient Expansion Program Kit to monitor 12 or 16 beds.
NOTE
Sometimes numeric data and messages disappear for a moment. This is
normal and occurs when the display is refreshed.
NOTE
When a screen other than the All Beds screen is displayed and there is
no key operation for a certain period, the screen automatically returns to
the All Beds screen. You can set the period at “Screen Timeout” on the
System Configuration window of the System Setup screen. The factory
default setting is set to 5 minutes.
Screen Description
You can choose the number of beds to be displayed from 16 beds (one waveform
per bed), 12 beds (two waveforms per bed), 8 beds (one or three waveforms per
bed), 6 beds (two or four waveforms per bed) and 4 beds (three or six waveforms
per bed). For each bed, you can select the parameter of the displayed waveform
and its sensitivity and scale, the numeric data to be displayed and the bed color.
Bed name Message area Transmitter channel Patient name Date and time
Scale
Freezing Waveforms
NOTE
• You need to assign the waveform freezing function to a function key in
advance.
• Numeric data are not frozen. Numeric data are always updated.
Touch “Freeze” to freeze all waveforms of all beds. The clock time when the
freezing started is displayed below the date on the top of the screen.
Set the following settings for the All Beds screen display.
For each bed:
• Set sensitivity and scale of the displayed waveforms.
• Select the displayed waveforms.
• Select the parameter of the displayed numeric data.
• Select the bed color.
• Select the display type for ECG numeric data.
This setting coincides with the setting on the Indiv. Bed Screen Setup of the
Individual Bed screen.
1. On the All Beds screen, touch “SETUP” of the bed you want to change
settings for. The setting window for the bed is displayed.
To change the All Beds Screen Patient Key, Refer to “Setting Display
Setting” in Section 7-1 of Administrator’s Guide.
2. Touch “Sensitivity”.
3. Set the sensitivity and scale for each displayed waveform. The left window
shows the display on the All Beds screen.
1. On the All Beds screen, touch “SETUP” of the bed you want to change
settings for. The setting window for the bed is displayed.
To change the All Beds Screen Patient Key, Refer to “Setting Display
Setting” in Section 7-1 of Administrator’s Guide.
NOTE
• If Auto (2 waves) or Auto (3 waves) is selected and only one waveform
is being measured, Auto (1 wave) is automatically selected instead.
• For a bed connected through the RU-960P/ORG-9100 Multiple Patient
Receiver with auto lead change function, when Wave Selection is set to
Auto, the display lead of ECG waveform is the same as the setting for
arrhythmia analysis lead. For details, refer to “Setting the Analysis Lead”
of “ECG Settings” in Section 13.
You can preview the display When displayed beds is 16, Auto (2 waves)
on the All Beds screen here. and Auto (3 waves) do not appear.
• Manual: The waveforms of the parameters you select here are displayed on
the All Beds screen.
i) Touch the key for the waveform position you want to set. The
key position corresponds to the display position on the screen.
ii) Touch the parameter on the right. You can choose the parameter
from the currently measured parameters or parameters selected
on the Parameter window of the System Setup screen.
You can preview the display
on the All Beds screen here.
i) NONE
ii) No waveform for the
selected position.
The first parameter is displayed in large size and the other parameters are 7
displayed in the remaining area in equal size.
However, when you select the S/D/M display format of blood pressure
measurement values (refer to Section 13), it is displayed as large as possible.
You can select whether VPC and ST value are displayed together with HR
when HR is the first display parameter. Refer to “Selecting the Display for ECG
Numeric Data”.
1. On the All Beds screen, touch “SETUP” of the bed you want to change
settings for. The setting window for the bed is displayed.
To change the All Beds Screen Patient Key, Refer to “Setting Display
Setting” in Section 7-1 of Administrator’s Guide.
NOTE
If the number of measured parameters is less than the selected maximum
number of parameters, the number of displayed parameters decreases
automatically. The measurement value may not follow the parameter
priority when displaying S/D/M format blood pressure measurement
values.
• Manual: Set the parameter display order. Touch the key of the parameter
to display the waveform. You can choose the parameter(s) to be
displayed on the All Beds screen from the currently measured
parameter(s) or from the parameter(s) selected on the Parameters
window of the System Setup screen. On the left window, you can
confirm the display on the All Beds screen.
NOTE
Whey you select the S/D/M display format of the blood pressure
measurement values, the blood pressure measurement value is displayed
widely. Therefore, some selected parameters may not be displayed.
You can choose the background color of the bed name and telemetry channel on
the All Beds screen and basic information area.
1. On the All Beds screen, touch “SETUP” of the bed you want to change
settings for. The setting window for the bed is displayed.
To change the All Beds Screen Patient Key, Refer to “Setting Display
Setting” in Section 7-1 of Administrator’s Guide.
3. Touch the desired color. On the left window, you can confirm the display on
the All Beds screen.
You can select from five group colors when the “Changing Bed Color Also
Changes Bed Group” is set to “ON” on the System Configuration window of
the System Setup screen.
You can select from eight colors when the “Changing Bed Color Also
Changes Bed Group” is set to “OFF” on the System Configuration window
of the System Setup screen.
When HR is selected as the first display parameter on the All Beds screen, you
can select whether VPC count and ST value are displayed together with the heart
rate.
1. On the All Beds screen, touch “SETUP” of the bed you want to change
settings for. The setting window for the bed is displayed.
To change the All Beds Screen Patient Key, Refer to “Setting Display
Setting” in Section 7-1 of Administrator’s Guide.
3. Select the display type. The left window shows the display on the All Beds
screen.
HR: HR only
HR+VPC+ST: VPC count and ST value are displayed together with the
heart rate.
1. On the All Beds screen, touch “SETUP” of the bed you want to change
settings for. The setting window for the bed is displayed.
To change the All Beds Screen Patient Key, Refer to “Setting Display
Setting” in Section 7-1 of Administrator’s Guide.
NOTE
When “Manual” is selected for the Numerical Selection, the parameter
is a selected parameter. Depending on the selected parameter, the PR
Display setting is not used.
To change the All Beds Screen Patient Key, Refer to “Setting Display
Setting” in Section 7-1 of Administrator’s Guide.
7
3. Select the source pulse rate.
PRESS: Displays the PRESS pulse rate.
SpO2: Displays the SpO2 pulse rate.
NOTE
• The PR Source can be selected when monitoring through RU-960P/
ORG-9100 multiple patient receiver with correspond version.
• The PR Source is displayed when “ON” is selected for the PR Display
or “Manual” is selected for the Numerical Selection.
• When the PRESS or SpO2 is monitored, the pulse rate display changes
to the monitored parameter.
Setting for All Beds on the System Configuration Window of the System Setup Screen
You can select the size of the patient’s name display on the All Beds screen.
Refer to Section 7-1 “Changing the System Setup Screen Settings for
Administrator” of the Administrator’s Guide.
Setting for All Beds on the Monitor Setting Window of the System Setup Screen
The Monitor Setting window of the System Setup screen has settings that affect
all beds. Refer to Section 7-1 “Changing the System Setup Screen Settings for
Administrator” of the Administrator’s Guide.
1. On the All Beds screen, touch the basic information area of the bed you want
to change settings for.
4. Touch a key on the left in “Priority” to select the position you want to insert
the parameter and touch the key on the right to select a parameter.
When you lower the priority of the parameter, it is inserted below the selected
position. When raising the priority of the parameter, it is inserted above the
selected parameter.
Displays other
parameters.
On the All Beds screen, the following recordings are available with the WS-960P
Recorder Unit. For details, refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
7
All Beds Manual Recording
All beds recording records waveforms and numeric data of all the monitored
beds on the All Beds screen with the WS-960P Recorder Unit.
To start recording, touch the “Record All” key. The recording stops when the
recording of all beds is finished. To cancel recording, touch “REC Stop”.
Set “Recording Sweep Speed” at “Other” on the Recording window of the Setup.
Refer to Section 11 for detail.
Select the real time recording or delayed recording at the Recording window of
the System Setup screen. Refer to Section 11.
8-2
Overview
There are two types of Multi Patient Alarms windows. The Multi Patient Alarm
Events window displays alarm events of up to eight patients on one window. The
Multi Patient Limits window displays the alarm limits of up to eight patients on
one window and the vital sign alarm limits can be set.
2. Touch “Multi Pat. Alarm Events” or “Multi Pat. Limits” to display one of the
Multi Patient Alarms windows.
NOTE
The settings on the Multi Patient Alarm Events window and Multi Patient
Limits window are synchronized. Changing one changes the other.
On the Multi Patient Alarms window, you can display eight patients on one
window (Patient 1 to 8 or Patient 9 to 16). You can also assign patients to one or
more groups (group A to E). The group name can be edited.
2. In the row for the bed you want to change, touch the key in the column for
the desired group. The bed is assigned to the new group.
The displayed window depends on the “Changing Bed Color Also Changes
Bed Group” setting on the System Configuration window.
8-1
8-2
When “Changing Bed Color Also Changes Bed Group” is set to OFF on
the System Configuration window of the System Setup screen
One bed can be assigned to the several groups. The bed color does not change if
the group changes.
1. On the Multi Patient Alarm Events window or Multi Patient Limits window,
touch “Group Name”. The setting window opens.
2. Touch the key for the group you want to change the name for and enter a
name from the keyboard on the window.
Overview
The Multi Patient Alarm Events window displays up to 72 hours of alarm events
for up to eight patients on one window. The most recent 5000 files for each
bed are saved as an alarm history. Limits, arrhythmia and technical alarms are
included.
NOTE
• The Multi Patient Alarm Events window is only available at the central
monitor where the bed’s data is saved.
• After 5000 files are created for the patient, the oldest file of the patient
is automatically deleted to create a new file.
2. Touch “Multi Pat. Alarm Event” to display the Multi Patient Alarm Events
window.
Window Description
Alarm events of up to eight patients are displayed on one window. Each alarm
event is displayed in the color corresponding to its alarm level.
8-1
8-1
*1 Typical labels of arterial pressure (ART, ART2, RAD, DORS, AO, and FEM)
*2 For details about technical alarms, refer to “Error Messages” in Section 16.
*3 “COMMUNICATION LOSS” is displayed when using a hard-wired bedside
monitor.
* “COMMUNICATION LOSS” alarm is displayed when using a hard-wired
4
bedside monitor.
The technical status is judged by the number of technical alarms in the last hour
and indicated by specified color.
Displaying the Multi Patient Alarm Events Window for a Group of Beds
To display a group of beds, touch the “Patient 1 to 8” or “Patient 9 to 16” tab or
touch the tab for one of the user-defined groups.
User-defined group
8-1
Other Recordings
On the Multi Patient Alarm Events window, the following recordings are
available with the WS-960P Recorder Unit. Refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
Overview
On a Multi Patient Limits window, you can display and set the alarm limits for
up to eight patients on one window.
2. Touch “Multi Pat. Limits” to display the Multi Patient Limits window.
Touch “Multi Pat. Limits” to display the Multi Patient Limits window.
Window Description
On one window, display the setting window of alarm limits for up to eight
patients.
Multi Pat. Alarm
Scroll key Event key
Scrolls the parameter Displays the Multi
Tabs Current value display. Patient Alarm Events
Touch a desired tab to Currently measured Current upper/lower window of all the
change the patient group. value is displayed. limit displayed patients.
Bed name
Patient 8
name
8-2
User-defined group
8-2
2. On the left side of the window, touch the key for one of the 12 positions. The
currently set parameter is displayed.
3. In the right side of the window, touch the key of the parameter to assign.
Touch “NONE” to select nothing.
Available Parameters
Setting Items
HR
PR
ST (I, II, III, aVR, aVL, aVF, V1 to V6)
RR
APNEA
NIBP (SYS, DIA, MAP)
SpO2
SpO2-2
ART(SYS, DIA, MEAN)
ART2 (SYS, DIA, MEAN)
CVP (MAX, MIN, MEAN) 8
PAP (SYS, DIA, MEAN)
ICP (MAX, MIN, MEAN)
ICP2 (MAX, MIN, MEAN)
ICP3 (MAX, MIN, MEAN) 8-2
ICP4 (MAX, MIN, MEAN)
TEMP (T1 to T8)
O2 (FiO2, EtO2)
CO2 (FiCO2, ETCO2)
GAS (ETCO2, FiCO2, EtN2O, FiN2O, EtO2, FiO2, EtHAL, FiHAL, EtISO,
FiISO, EtENF, FiENF, EtSEV, FiSEV, FiDES, EtDES)
BIS
EEG (SEF, TP)
Other Recordings
On the Multi Patient Limits window, the following recordings are available with
the WS-960P Recorder Unit. Refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
Overview............................................................................................................................................................... 9.2
Displaying the Individual Bed Window........................................................................................................ 9.2
From the All Beds Screen................................................................................................................ 9.2
From Any Window Other than the All Beds Screen.......................................................................... 9.2
From the Menu Window................................................................................................................... 9.2
Window Description.................................................................................................................................... 9.3
Wave Display Window................................................................................................................................ 9.3
ECG 12 Lead Display Window......................................................................................................... 9.4
All Vital Signs Window...................................................................................................................... 9.4
Changing Display Types............................................................................................................................. 9.5
Changing the Beds..................................................................................................................................... 9.5
9
Freezing Waveforms................................................................................................................................... 9.5
Temporarily Silencing/Suspending Alarms................................................................................................. 9.5
Learning ECG............................................................................................................................................ 9.5
Starting NIBP Measurement...................................................................................................................... 9.6
Changing the Individual Bed Window Display Settings........................................................................................ 9.7
Setting on the Indiv. Bed Screen Setup Window........................................................................................ 9.7
Selecting the Waveform Sensitivity and Scale on the Wave Display Window.................................. 9.7
Selecting the Waveform Displayed on the Wave Display Window.................................................... 9.8
Selecting the Measurement Data Displayed on the Wave Display Window..................................... 9.9
Changing the Sweep Speed.......................................................................................................... 9.11
Changing the Sweep Speed of the Respiration Waveform............................................................ 9.11
Changing the IBP Waveform Display Mode................................................................................... 9.11
Selecting the Pulse Rate Display................................................................................................... 9.12
Selecting the Source Pulse Rate................................................................................................... 9.12
Setting on the Wave Display Windows of the Indiv. Bed Window............................................................. 9.13
Selecting the Waveform Sensitivity and Scale on the Wave Display Window................................ 9.13
Setting Vital Sign Alarms and Measurement Conditions for the Parameters Displayed on the
Individual Bed Window................................................................................................................... 9.14
Changing the All Bed Screen Display Setting.................................................................................................... 9.15
Setting Parameter Priority.................................................................................................................................. 9.15
Recording on the Individual Bed Window........................................................................................................... 9.16
Dual Waveform Recording........................................................................................................................ 9.16
Necessary Settings........................................................................................................................ 9.16
Multi-Wave Printing.................................................................................................................................. 9.17
Necessary Setting.......................................................................................................................... 9.17
ECG 12 Lead Printing.............................................................................................................................. 9.17
Necessary Setting.......................................................................................................................... 9.17
Overview
The Individual Bed window displays waveforms and numerical data of one bed
selected from the monitored beds. The Individual Bed window has the following
three types of data display windows and the Indiv. Bed Screen Setup window.
• Wave Display window
Displays all currently measured waveforms and selected numeric data.
• ECG 12 Lead Display window
Displays 12 lead ECG and ST level of each lead.
• All Vital Signs/All Vital Signs 2 window
Displays all numerical data.
NOTE
Sometimes numeric data and messages disappear for a moment. This is
normal and occurs when the display is refreshed.
Window Description
The Individual Bed window displays waveforms and numerical data of one bed
selected from the monitored beds. Up to eight waveforms can be displayed for
the patient. At the top of the screen, there is the basic information area where one
or two waveform and numeric data are displayed for all monitored beds.
9
Wave Display Window
Data area for each bed
When you touch inside the frame, the Individual Bed screen for Silence Alarms key
that bed opens. The selected bed is filled in with the transparent Transmitter channel Refer to Section 6.
color.
QRS mark Message area Patient name Date and time
Bed name
Bed color
Tab to switch
display types
Scale
ST value
Numeric data (maximum 11) All vital signs numeric data Parameter name
Touch to switch the screen to the setting With the All Vital Sign window, maximum
window for each parameter. When a vital 56 data With the All Vital Sign window and
sign alarm occurs, the numeric data is All Vital Sign 2 window, maximum 112 data.
highlighted. When a vital sign alarm occurs, the alarmed
data is highlighted.
Freezing Waveforms
NOTE
• You need to assign the waveform freezing function to a function key in
advance. Refer to Section 7-1 of Administrator’s Guide.
• Numeric data are not frozen. Numeric data are always updated.
Touch “Freeze” to freeze all waveforms of individual bed window. The clock
time when the freezing started is displayed below the date on the top of the
screen.
Learning ECG
CAUTION
If there is any doubt about the arrhythmia analysis, make the monitor
relearn the patient’s ECG and check that the dominant QRS is
appropriate. Otherwise, an important arrhythmia may be overlooked.
NOTE
• When you touch “Learning ECG” at the central monitor, the bedside
monitor relearns ECG.
• Some bedside monitors automatically relearn ECG whenever the
pattern of normal ECG changes.
If there is any question about the arrhythmia analysis result, relearn the dominant
ECG. While learning, the “LEARNING” message appears on the window.
1. Touch the heart rate on the Wave Display window, ECG 12 Lead Display
window or All Vital Signs window. The ECG window is displayed.
When “Learn ECG” is assigned to one of the function keys, you can display
the ECG window by touching the function key from any window.
2. Touch “Learn ECG” to display the learning window. For details about ECG
learning, refer to “ECG Settings” in Section 13.
WARNING
When performing long term measurement at intervals less than 2.5
minutes, perform measurements while observing the state of the
patient, blood vessels and limb to ensure adequate circulation.
Congestion may occur at the measurement site. When performing
periodic measurement for a long time, periodically check the
circulation condition.
CAUTION
Before you remotely start and stop NIBP measurement from the
central monitor, confirm the state of the patient at the bedside
monitor. Carefully start and stop NIBP measurement from the central
monitor.
You can remotely start a NIBP measurement from the central monitor.
1. Touch the NIBP value on the Wave Display window, ECG 12 Lead Display
window and All Vital Signs window. The NIBP window is displayed.
When “NIBP Measurement” is assigned to one of the function keys, you can
display the NIBP Measurement window by touching the function key from
any window.
Set the following settings for the Individual Bed window display.
i) Touch the basic information area of the bed you want to change the
setting for.
iii) Touch “Indiv. Bed Screen Setup” to display the setting window.
2. Select the parameter you want to set the sensitivity or scale of and touch the
desired sensitivity or scale key.
NOTE
For the beds connected through the RU-960P/ORG-9100 Multiple Patient
Receiver with auto lead change function, when Wave Selection is set to
Auto, the display lead of ECG waveform is the same as the setting for
arrhythmia analysis lead. For details, refer to “Setting the Analysis Lead”
of “ECG Settings” in Section 13.
• Manual: The waveforms of the parameters you select here are displayed
on the wave display window. Select the parameter(s) and their
display position on the wave display window. Up to eight
waveforms can be selected for the Individual Bed window and
11 waveforms on the Expand Individual Bed window.
i) Touch the key for the display position you want to set. The
key position corresponds to the display position on the
window.
ii) Touch the parameter on the right. You can choose the
parameter from the currently measured parameters or
parameters selected on the Parameter window of the System
Setup screen.
You can preview the display.
i)
ii)
These keys are
displayed only when
“Manual” is selected.
NONE 9
No waveform for the
selected position.
The first parameter is displayed in large size and the other parameters are
displayed in the remaining area in equal size.
However, when you select the S/D/M display format of blood pressure
measurement values (refer to Section 13), it is displayed as large as possible.
When the first parameter is HR, VPC and ST are also displayed.
NOTE
The measurement value may not follow the parameter priority when
displaying S/D/M format blood pressure measurement values.
• Manual: Select the parameter display order. Touch the key of the
parameter to display its numeric data. You can choose the
parameter(s) to be displayed on the Wave Display window,
ECG 12 Lead Display window and All Vital Signs window from
currently measured parameter(s) or the parameter(s) selected
on the Parameters window of System Setup screen. On the left
window, you can confirm the display on the each window.
NOTE
When you select the S/D/M display format of the blood pressure
measurement values, the blood pressure measurement value is displayed
widely. Therefore, some selected parameters may not displayed.
3. Touch “25” (When the sweep speed setting of previous section is 50 mm/s,
the display of this tab changes to 50) or “6.25” for “Respiration Wave Sweep
Speed”.
NOTE
When “Manual” is selected for the Numerical Selection, the parameter
is a selected parameter. Depending on the selected parameter, the PR
Display setting is not used.
NOTE
• The PR Source can be selected when monitoring through RU-960P/
ORG-9100 multiple patient receiver with correspond version.
• The PR Source is displayed when “ON” is selected for the PR Display
or “Manual” is selected for the Numerical Selection.
• When the PRESS or SpO2 is monitored, the pulse rate display changes
to the monitored parameter.
2. Touch the waveform you want to set the sensitivity or scale of. The setting
window opens.
2. On the window, touch a numeric data for which you want to set the vital sign
alarm and measurement condition. The setting window for the parameter
opens.
To open the All Bed Screen Setup window, touch the All Bed Screen Setup
tab on the Individual Bed window. For the details of each setting item, refer to
“Changing the All Beds Screen Display Setting” in Section 7.
Parameters are displayed according to the parameter priority set in Auto function
on the Individual Bed window. Automatic selection is based on the parameter
priority and changes according to the situation. Refer to “Setting Parameter
Priority” in Section 7.
On the Individual Bed screen, the following recordings are available with the
WS-960P Recorder Unit. For details, refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
Touch “Record” on the Individual Bed window to start dual waveform recording.
During recording, the “Record” key changes to “REC Stop”. To stop recording,
touch “REC Stop”.
Necessary Settings
1. At “Recording Pattern” on the Recording window of the Setup, select two
parameters for the waveforms to be recorded. (When “Second Wave” is set
to None, only one waveform is recorded.)
2. Set the record sweep speed at “Other” on the recording window of the Setup.
NOTE
When you perform dual waveform recording while freezing waveforms,
the recording period is fixed to 6 seconds and the recorded waveforms
are those frozen and displayed on the window.
Multi-Wave Printing
All displayed waveforms and numeric data on the Wave Display window are
printed on one A4 or letter size page by the laser printer. Each waveform is 10
seconds. On the Wave Display window, touch “Print”. When printing of all
waveforms is finished, printing automatically stops.
NOTE
When you perform multi waveform printing while freezing waveforms, the
printing period is fixed to 6 seconds and the printing waveforms are those
frozen and displayed on the window.
Necessary Setting
Set the record sweep speed at “Other” on the recording window of the Setup.
9
ECG 12 Lead Printing
All ECG waveforms (maximum 12 leads) displayed on the ECG 12 Lead
Display window are printed on one A4 or letter size page by the laser printer.
Touch “Print” on the ECG 12 Lead Display window. When printing of all
waveforms is finished, printing automatically stops.
Necessary Setting
1. Select printing format (number of leads × number of traces) of the all ECG
waveforms (maximum 12 leads) display at the ECG 12 Printing Format on
the System Configuration window of the System Setup screen.
2. Set the record sweep speed at “Other” on the recording window of the Setup.
NOTE
When you select 3 rows × 4 cols in ECG 12 Lead Printing Format, the
record sweep speed is fixed to 25 mm/s regardless of the recording
sweep speed setting in “Other” on the Recording window in Setup.
Overview.......................................................................................................................................................... 10.0.2
Displaying the Review Window.............................................................................................................. 10.0.3
Common Description of Review Windows....................................................................................................... 10.0.4
Section 10-1 Trend Window......................................................................................................................... 10.1.1
Section 10-2 Tabular Trend Window............................................................................................................ 10.2.1
Section 10-3 Hemodynamics Window......................................................................................................... 10.3.1
Section 10-4 Arrhythmia Recall Window..................................................................................................... 10.4.1
Section 10-5 ST Recall Window.................................................................................................................. 10.5.1
Section 10-6 Full Disclosure Window.......................................................................................................... 10.6.1
Section 10-7 ECG 12 Lead Analysis Window.............................................................................................. 10.7.1
Section 10-8 Alarm History Window............................................................................................................ 10.8.1
Section 10-9 Alarm Events Window............................................................................................................ 10.9.1
Section 10-10 Report Window..................................................................................................................... 10.10.1 10
10-1
10-2
10-3
10-4
10-5
10-6
10-7
10-8
10-9
10-10
Overview
You can review saved data of a monitored bed on the following windows.
When you change to a different Review window for data display, a cursor is
displayed at the position of the corresponding time.
You can save the following review data for each bed in the central monitor. The
data is saved for the following files/time even when the central monitor is turned
off.
NOTE
When a new file is created over the maximum number, the oldest file is
automatically deleted.
1. Touch the basic information area of the bed you want to display the review
windows for.
3. Touch the key for each review window you want to display.
10
10-1
10-2
10-3
10-4
10-5
10-6
10-7
10-8
10-9
10-10
Each review window consists of a basic information area (upper half of the
screen) and review data display area (bottom half of the screen). On the basic
information area, one numeric data and waveform for each monitored patient is
displayed.
Bed color
REC key
Tab to switch
display types
Overview.......................................................................................................................................................... 10.1.2
Displaying the Trend Window................................................................................................................ 10.1.2
Window Description............................................................................................................................... 10.1.3
Parameters and Display.............................................................................................................. 10.1.4
Viewing Trend Window..................................................................................................................................... 10.1.8
Scrolling the Trendgraph........................................................................................................................ 10.1.8
Viewing Numerical Data (Cursor Moving)............................................................................................. 10.1.8
Changing the Display Width of the Trendgraph..................................................................................... 10.1.8
Changing the Trend Window Display Setting................................................................................................... 10.1.9
Setting the Displayed Parameters......................................................................................................... 10.1.9
Changing the Scale............................................................................................................................... 10.1.9
Selecting Displayed Events................................................................................................................. 10.1.10
Printing Trendgraphs...................................................................................................................................... 10.1.11 10
10-1
Overview
The Trend window displays trendgraphs of four parameters and two events of
the most recent 72 hours. Measurement values of the measured parameters are
displayed as trendgraphs.
Window Description
Each parameter data is displayed in the color for each parameter.
You can select two of “ASYSTOLE”, “V-FIB”, “V. TACHY”, “VPC RUN”,
“COUPLET”, “Off/Noise” and “ALL” for event trendgraphs. A mark is put at
the time the selected event occurred.
Cursor
The numerical data and date
Touch a desired tab to and time at the cursor position
change the review windows. Cursor is displayed.
Parameter select
key
Touch to open the
Trend Parameter
Setting window.
Trend Scale 10
Touch to open the
Trend Scale Setting 10-1
window.
measurement max
max value measurement
mean value
min
0 0 0 min 0
standard VPC PRESS Temp
10
10-1
By touching the time bar, you can jump to the trendgraph at the touched time.
1. Touch the Parameter select key on the position you want to change
the displayed parameter. The Trend Parameter Setting window opens.
Parameters which are currently measured are displayed. When the parameter
you want to choose is not displayed, first register it on the Parameter window
of the System Setup screen.
2. Touch the key of the parameter you want to display. Touch “NONE” to
select nothing.
10
10-1
3. Touch the button to close the window. The trendgraph with the changed
scale is displayed.
1. Touch the Select event key to display the Display Event window.
2. Touch the key of the event you want to display. Touch “NONE” to select
nothing.
Printing Trendgraphs
The displayed trendgraphs are printed by the laser printer. Touch “Print” to print
trendgraphs.
On the Trend window, the following recordings are available with the WS-960P
Recorder Unit. For details, refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording 10
10-1
Overview.......................................................................................................................................................... 10.2.2
Displaying the Tabular Trend Window.................................................................................................... 10.2.2
Window Description............................................................................................................................... 10.2.3
Viewing the Tabular Trend Window.................................................................................................................. 10.2.4
Scrolling the Tabular Trend.................................................................................................................... 10.2.4
Displaying a Different Tabular Trend...................................................................................................... 10.2.4
Changing the Tabular Trend Window Display Setting...................................................................................... 10.2.5
Changing the Display Interval............................................................................................................... 10.2.5
Setting the Patterns of Tabular Trend.................................................................................................... 10.2.5
Selecting Parameters for Each Tabular Trend............................................................................. 10.2.5
Registering Names for Each Tabular Trend................................................................................. 10.2.7
Printing Tabular Trend...................................................................................................................................... 10.2.8
10
10-2
Overview
The Tabular Trend window displays tabular trend of measured parameters of the
most recent 72 hours.
Window Description
Ten rows of tabular trend are displayed at the same time. The numerical data is
updated every one minute. You can select the time width on the screen.
The numerical value is displayed in the color for each parameter.
The blood pressure and temperature are displayed by their labels.
10
10-2
Scroll keys Tabular trend Time bar Print Touch to open the Tabular
Scrolls the tabular trend. Touch to print the tabular Trend Setting window for the
trend on the screen with currently displayed tabular
a laser printer. trend.
Touch a key at “Interval” to change the display interval of the tabular trend. After
changing, the tabular trend is displayed in the selected interval.
10
10-2
You can choose the parameter(s) to be displayed on each tabular trend from
currently measured parameters or the parameter(s) selected on the Parameter
window of the System Setup screen.
To display another tabular trend, touch the tab of the desired tabular trend.
3. In “Displayed Parameters”, touch the key for the position you want to
change the parameter for. They are displayed at 1 to 18 in order on the
Tabular Trend window.
For NIBP tabular trend, three of 18 parameters are fixed to NIBP SYS, NIBP
DIA and NIBP MAP.
You can select measuring labels and leads for PRESS, TEMP and ST.
NOTE
When a transmitter measures SpO2 at a finger that is used for NIBP
measurement, select “PR (SpO2)” to display the PR measured at the
transmitter on the NIBP tabular trend.
NOTE
The list name “NIBP” can not be changed.
10
10-2
The displayed tabular trend is printed by the laser printer. Touch “Print” to print
tabular trend.
On the Tabular Trend window, the following recordings are available with the
WS-960P Recorder Unit. For details, refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
Overview.......................................................................................................................................................... 10.3.2
Displaying the Hemodynamics List Window.......................................................................................... 10.3.2
Window Description............................................................................................................................... 10.3.2
Viewing the Hemodynamics List Window........................................................................................................ 10.3.3
Scrolling the Hemodynamics List.......................................................................................................... 10.3.3
Abbreviations................................................................................................................................................... 10.3.4
Printing the Hemodynamics List...................................................................................................................... 10.3.5
10
10-3
Overview
The hemodynamics list created on the bedside monitor can be viewed on the
Hemodynamics List window.
Window Description
A Hemodynamics List of up to 256 measurements can be displayed. 8 rows at a
time are displayed.
Touch to change to
Data stored date and time Cursor another review window.
Parameters
Up to 17 parameters
can be displayed.
By touching the scroll bar, you can jump to the desired list.
Scroll bar
10
10-3
Abbreviations
The following table shows the abbreviations, units and calculations of the
parameters used in the hemodynamics data.
The displayed hemodynamics list is printed by the laser printer. Touch “Print” to
print the hemodynamics list.
On the Hemodynamics List window, the following recordings are available with
the WS-960P Recorder Unit. For details, refer to Section 11. 10
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording 10-3
Overview
The list of arrhythmia recall files (date and time the file is created, arrhythmia
event, condensed arrhythmia recall waveform) is displayed on the Arrhythmia
Recall window.
Up to 768 files can be created for the most recent 768 arrhythmias for each bed.
One arrhythmia recall waveform is 8 seconds of ECG waveforms (10 seconds for
some bedside monitors). An arrhythmia recall file is created so that the detected
arrhythmia is displayed in the center of the recall waveform.
NOTE
To create arrhythmia recall files:
• Arrhythmia analysis must be set to ON at the bedside monitor.
• For beds through the multiple patient receiver, arrhythmia analysis must
be set to ON at the central monitor.
• “Recall” must be set to ON on the Arrhythmia Alarm window for the
arrhythmia you want to save as recall files.
• When more than 768 files are already saved and another file is created,
the oldest file is automatically deleted.
Arrhythmia Notice
You can display the Arrhythmia Recall window by touching the arrhythmia
notice icon on the All Beds screen or basic information area.
NOTE
To activate arrhythmia notice, “Alarm/Arrhythmia Notice Icon” must be set
to “Arrhythmia” on the System Configuration window of the System Setup
screen. The factory default setting is Alarm.
Window Description
The waveform can be expanded. You can individually put a deletion mark and/or
printing mark for each file.
Printing mark
Touch to sort the list
by printing mark.
10
10-4
Lead/
sensitivity
Touch to
delete the
Sweep
displayed
speed
file.
Previous, Next Numeric File information
Touch to display data - Creation date and time Touch to put a Touch to switch to
the previous or next - Compressed waveform deletion mark on the file list window.
file. - Arrhythmia name the displayed file.
Touch to put a
printing mark on
Touch to record the displayed file the displayed file.
with the WS-960P Recorder Unit.
10-4
Touch the file you want to expand at the “Event” position on the file list.
Touch to return to
the file list window.
You can select either single waveform display or multiple waveform display on
the Expanded Waveform window. Measurement with caliper are available on
both display types.
Returns to single
waveform display.
10
Multiple waveforms
(10 seconds)
10-4
You can also scroll the waveform by touching the desired position on the
condensed arrhythmia recall waveform.
Annotation Meaning
N Normal QRS Complex
S Supraventricular Contraction
V Ventricular Premature Contraction
A Abnormal Beat
E Early VPC
P Paced QRS
QRS which cannot be analyzed because of noise, or
―
QRS which is currently being learned
? QRS which cannot be judged
Annotations are not displayed for some beds depending on the bedside monitor
type.
On the expanded waveform window, you can measure the distance between any
two points on an arrhythmia recall waveform.
Measured
Item Direction Unit
waveform
R-R R-R: ms
(HR is also displayed) HR: /min
P-R
Horizontal
QRS-WIDTH
ms ECG
Q-WIDTH
Q-T
ST
Vertical mV
Q-HEIGHT
PR Horizontal /min
Amplitude
IBP (SYS/DIA)
SYS/DIA Vertical mmHg
measurement
PR Horizontal /min
IBP (MEAN)
Amplitude Vertical mmHg
PR PR
/min
RR
Horizontal
Inspired time
ms Respiration
Expired time
wave (Gas)
I:E (measurement
–– ––
value)
Measured
Item Direction Unit
waveform
Inspired pressure
(concentration) Respiration
Vertical mmHg
Expired pressure wave (Gas)
(concentration)
RR /min
Inspired time Horizontal
msec Respiration
Expired time
wave (Others)
I:E (measurement
value) –– ––
None Others
NOTE
• “SYS/DIA measurement” selects the highest and lowest point of the
waveform.
• “I:E (measurement value)” is a calculation value. When the inspired time
and expired time is measured, inspired time is “1”.
• Select either one of the Inspired pressure (concentration) or Expired
pressure (concentration).
10
3. Touch any two points on the waveform. A line appears between the two
points and the vertical or horizontal distance between the two points is
displayed. To continuously measure another distance, touch any two points
on the waveform. The previous measurement result disappears and the new
measurement result is displayed.
NOTE 10-4
• The line and measurement result on the waveform are lost when you
exit the caliper measurement mode.
• If you change the following settings during caliper measurement, the
line and measured value are deleted.
- Display zoom
- Sweep speed
- Measured waveform
NOTE
Caliper measurement results are saved only when measuring on a
central monitor where the bed’s data is saved. When measuring on a
central monitor where the bed’s data is not saved, the “Caliper information
is not saved” message appears on the screen.
Automatic Deletion
Up to 768 files can be created for each bed. When more than 768 files are
created, the oldest file is automatically deleted.
NOTE
Deletion of arrhythmia recall files can only be performed at the central
monitor where the bed’s data are saved. The “Delete” and “Mark to
Delete” are not available (dim) on the screen of the central monitors which
do not save the bed’s data.
1. Do one of the following to add a deletion mark to files you want to delete.
• Touch the file on the file list window. Then, under “Mark to Delete”, touch
“OFF” for each file you want to delete. The key changes to “Del”.
10-4
• Display the file on the expanded waveform window and touch “Mark to
Delete”.
3. Touch “Yes”. All files with a deletion mark are deleted. To cancel deletion,
touch “No”.
You can touch “Mark to Delete All Off” to cancel all delete marks.
You can select whether to create arrhythmia recall files individually for each
arrhythmia type on the Arrhythmia Alarm window of the Personal Setup. Set
“Recall” to “ON” to create recall files for the arrhythmia.
Every touch toggles between ON and OFF.
10
10-4
Message Meaning
ASYSTOLE Asystole
V FIB Ventricular fibrillation
V TACHY Ventricular tachycardia
EXT TACHY Extreme tachycardia
EXT BRADY Extreme bradycardia
VPC RUN VPC short run
V BRADY* Ventricular bradycardia
SV TACHY* Supraventricular tachycardia
TACHYCARDIA Tachycardia
BRADYCARDIA Bradycardia
PAUSE* Pause
COUPLET VPC couplet (Paired VPCs)
EARLY VPC Early VPC
MULTI FORM Multi-form ECG
V RHYTHM* Ventricular rhythm
BIGEMINY Ventricular bigeminy
TRIGEMINY* Ventricular trigeminy
VPC Ventricular premature contraction
IRREGULAR RR* Irregular RR
PROLONGED RR Prolonged R-R interval
NO PACER PULSE* Oversensing
PACER NON-CAPTURE* Non-capture
Select the arrhythmia types to display recall files on the file list window.
Touch the arrhythmia key of the desired arrhythmia type. Every touch toggles
between selected and unselected.
Touch “ALL” to select all arrhythmia types. If you touch “ALL” again, all
arrhythmia types become unselected.
10
10-4
During recording, the “Record” key changes to “REC Stop”. To stop recording,
touch “REC Stop”.
1. Add a printing mark to every file you want to print by either of the following
methods.
• Under “Mark to Print”, touch “OFF” for each file you want to print on the
file list window. The key changes to “Prt”.
• Display the file on the expanded waveform window and touch “Mark to
Print”.
Touch “Mark to Print All Off” to set all the printing marks off.
1. Do caliper measurement.
10
2. Touch “Print”. The displayed arrhythmia recall waveform and its caliper
measurement data are printed.
To stop printing, touch “Print Stop”.
10-4
NOTE
When you use the printing marks to print many files at the same time,
caliper measurement results are also printed.
Other Recordings
On the Arrhythmia Recall window, the following recordings are available with
the WS-960P Recorder Unit. For details, refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
Overview.......................................................................................................................................................... 10.5.2
Displaying the ST Recall Window.......................................................................................................... 10.5.2
Window Description............................................................................................................................... 10.5.3
Viewing the ST Recall Window........................................................................................................................ 10.5.4
Scrolling the ST Recall Files................................................................................................................. 10.5.4
Scrolling the ST Waveform.................................................................................................................... 10.5.4
Changing ST Recall Window Display Settings................................................................................................ 10.5.5
Setting the Display Position of the ST Waveform.................................................................................. 10.5.5
Changing Sensitivity.............................................................................................................................. 10.5.6
Setting ST Analysis Method.................................................................................................................. 10.5.6
Changing the Interval............................................................................................................................ 10.5.6
Recording on the ST Recall Window............................................................................................................... 10.5.7
ST Recall Recording............................................................................................................................. 10.5.7 10
Recording a Selected File........................................................................................................... 10.5.7
Printing Files............................................................................................................................... 10.5.7
Other Recordings.................................................................................................................................. 10.5.7
10-5
Overview
The ST Recall window displays ST recall files. ST recall files are created at
every preset interval. Maximum 4320 files can be saved.
CAUTION
• Although the ST algorithm has been tested for accuracy of the ST
analysis result, the significance of the ST level changes need to be
determined only by a physician.
• The ECG from the transmitter other than ZM series is not
processed by a 3.2 second time constant filter. Therefore, the ST
level measurement is not designed to be accurate enough for
diagnosis. Do not rely on this ST level measurement.
NOTE
When 4320 files are already saved and another file is created, the oldest
file is automatically deleted.
Window Description
The ST Recall window displays date and time of file storage, heart rate, ST
waveform and ST value for each lead. Up to seven files are displayed at the same
time.
10
You can also scroll the file list by touching the time bar.
2. Select the lead by touching the desired lead key in “Position” and select the
desired lead in “Lead”. The lead display position is changed.
10
Changing Sensitivity
You can change the sensitivity of the displayed ST waveform. Touch in the “ST
Sens” to change the sensitivity.
ST Recall Recording
Recording a Selected File
To record a file with the WS-960P Recorder Unit, touch the file and touch
“Record”.
During recording, the “Record” key changes to “REC Stop”. To stop recording,
touch “REC Stop”.
Printing Files
NOTE
Up to 24 printing marks can be set.
1. Touch “Mark to Print” on all files you want to print. A printing mark appears 10
at each selected file.
Other Recordings
On the ST Recall window, the following recordings are available with the WS-
960P Recorder Unit. For details, refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
Overview.......................................................................................................................................................... 10.6.2
Displaying the Full Disclosure Screen................................................................................................... 10.6.2
Window Description............................................................................................................................... 10.6.3
Zoom Display.............................................................................................................................. 10.6.3
Expanded Waveform Display (Actual Size Display).................................................................... 10.6.4
Stored Waveforms and Displayed Waveforms............................................................................ 10.6.5
Display Color............................................................................................................................... 10.6.5
Triangle Waveform....................................................................................................................... 10.6.6
Viewing the Full Disclosure Window................................................................................................................ 10.6.6
Scrolling the Full Disclosure Waveform................................................................................................. 10.6.6
Automatic Scroll.......................................................................................................................... 10.6.6
Changing the Sensitivity and Scale....................................................................................................... 10.6.7
Changing the Number of Displayed Waveforms.................................................................................... 10.6.7 10
Changing the Scaling of the Full Disclosure Waveform......................................................................... 10.6.7
Zooming In and Out the Full Disclosure Waveform..................................................................... 10.6.7
Expanding the Full Disclosure Waveform into Actual Size........................................................ 10.6.10
Changing Display Zoom and Sweep Speed............................................................................. 10.6.10
Measuring a Full Disclosure Waveform with the Calipers................................................................... 10.6.11
Selecting the Measured Waveform........................................................................................... 10.6.12
Deleting All Measurement Results............................................................................................ 10.6.12
Ending Caliper Measurement.................................................................................................... 10.6.13
Changing the Stored Waveforms................................................................................................................... 10.6.14
Using the Stored Wave Master............................................................................................................ 10.6.15 10-6
Changing the Stored Wave Master........................................................................................... 10.6.15
Changing the Full Disclosure Window Display.............................................................................................. 10.6.16
Changing the Displayed Waveforms.................................................................................................... 10.6.16
Recording on the Full Disclosure Window..................................................................................................... 10.6.17
Full Disclosure Waveform Printing....................................................................................................... 10.6.17
Recording/Printing Expanded Waveform............................................................................................. 10.6.17
Other Recordings................................................................................................................................ 10.6.18
Overview
NOTE
• The Full Disclosure window is only available when the QP-963P Full
Disclosure Filing Program Kit is installed.
• When you open the Full Disclosure window from another review
window, the full disclosure data of the time that was displayed on the
previous review window is displayed.
Window Description
The Full Disclosure window displays full disclosure waveform for up to six
parameters. The displayed time length depends on the number of displayed
waveforms.
Zoom Display
Select whether
to display one
parameter or all 10
selected parameters.
Touch to zoom
in or out on the
full disclosure
waveform at the
cursor position.
Touch to scroll Touch to display the data Set to ON to Touch to expand waveforms
waveforms. of the touched time. automatically scroll at the cursor position.
waveforms. 10-6
When you touch on the Touch to print the full disclosure
screen, the waveform on waveforms displayed on the Select the stored waveforms.
the touched position is screen by the laser printer.
expanded.
Expanded waveform Caliper measurement Select the zoom and sweep speed
(10 seconds) results of the expanded waveform.
Date and time
Sensitivity
Parameter
and lead
Sweep speed
Display Color
When an arrhythmia alarm is not generating, the full disclosure waveform is
displayed in the color selected for each type of waveform at the Parameter
Colors window of the System Setup screen. However, when an arrhythmia alarm
is generated, the ECG waveforms are displayed in the corresponding arrhythmia
10
alarm color as specified in the table below.
NOTE
When arrhythmia analysis is set to OFF, the display color does not
change.
Triangle Waveform
Triangle waves are displayed in the following situations.
• No communication between the central monitor and bedside monitor. (The
bedside monitor is turned off, or the bedside monitor is not connected to the
central monitor.)
• Signal loss
• Electrodes off
• The parameter is not measured.
• Before the patient is admitted.
• During monitoring is paused.
• The waveform was not selected as a storage waveform.
CAUTION
When the full disclosure waveform is expanded in actual size, the
steep slant such as QRS may be distorted because it has been
compressed then expanded. When reading the expanded ECG
waveforms, be aware of this distortion.
Automatic Scroll
This function scrolls by one page every three seconds.
1. Touch “ON” at “Automatic Scroll” to activate the automatic scroll function.
NOTE
• If you do any key operation other than touching the or key while
automatic scroll function is ON, the function automatically turns to OFF.
• When you scroll up to the oldest or newest data, scroll automatically stops.
2. Touch the desired value. The changed sensitivity and scale settings take
effect at this moment.
10
Changing the Scaling of the Full Disclosure Waveform
Zooming In and Out the Full Disclosure Waveform
You can zoom in and out the waveform display in five steps without changing the
cursor position. Touch “Zoom In” and “Zoom Out” to change the magnification.
Zoom In: Waveform display is larger. Display time length is shorter.
Zoom Out: Waveform display is smaller. Display time length is longer.
10-6
To expand the waveform, touch the full disclosure waveform where you want
to expand. The cursor moves to the touched point and the expanded waveform
appears on the grid background.
Cursor
On the Expanded Waveform window, you can measure the distance between any
two points on full disclosure waveform.
Measured
Item Direction Unit
waveform
R-R R-R: ms
(HR is also displayed) HR: /min
P-R
Horizontal
QRS-WIDTH
ms ECG 10
Q-WIDTH
Q-T
ST
Vertical mV
Q-HEIGHT
PR Horizontal /min
Amplitude
IBP (SYS/DIA)
SYS/DIA Vertical mmHg
measurement
PR Horizontal /min
IBP (MEAN)
Amplitude Vertical mmHg
PR PR
/min 10-6
RR
Horizontal
Inspired time
ms
Expired time
I:E (measurement
–– –– Respiration
value)
wave (Gas)
Inspired pressure
(concentration)
Vertical mmHg
Expired pressure
(concentration)
RR /min
Inspired time Horizontal
msec Respiration
Expired time
wave (Others)
I:E (measurement
value) –– ––
None Others
NOTE
• “SYS/DIA measurement” selects the highest and lowest point of the
waveform.
• “I:E (measurement value)” is a calculation value. When the inspired time
and expired time is measured, inspired time is “1”.
• Select either one of the Inspired pressure (concentration) or Expired
pressure (concentration).
Operator’s Manual CNS-9601 10.6.11
10. REVIEW WINDOWS
3. Touch any two points on the waveform. A line appears between two points
and the vertical or horizontal distance of the two points is displayed.
To continuously measure another distance, touch any two points on the
waveform.
The previous measurement result disappears and the new measurement result
is displayed.
NOTE
• The line and measured value on the waveform are lost when you exit
the caliper measurement mode.
• If you change the following settings during caliper measurement, the
line and measured value on the window are deleted.
- Display zoom
- Sweep speed
- Measured waveform
1. Touch the key at “Measured Waveform” to open the Select Meas. Waveform
window.
NOTE
Caliper measurement results are saved only when measuring on a
central monitor where the bed’s data is saved. When measuring on a
central monitor where the bed’s data is not saved, the “Caliper information
is not saved” message appears on the screen.
10
10-6
NOTE
This setting is only available at the central monitor where the bed’s data is
stored.
You can select which waveforms will be stored in the full disclosure file.
Only the current measurement parameters and the parameters selected on the
Parameter window of the System Setup screen can be selected. You can select up
to 6 waveforms.
2. After you select a key at “Stored Waves”, touch the key of waveform you
want to store from the options displayed at “Available Waves”.
3. Touch the button to close the window. The confirmation window opens
to ask you if you want to change the parameters to be displayed on the Full
Disclosure window to the same as the stored waveform settings.
To select the stored waveforms by copying the master, touch “Master 1 Waves”,
“Master 2 Waves” or “Master 3 Waves” on the Stored Waves window. You can
change individual settings after copying the master.
10
You can select whether or not to copy stored wave master 1 to a bed when the
bed is discharged or the bed’s data is deleted. Refer to “Copying Settings for a
Bed to Other Beds” in Section 7-2 of Administrator’s Guide.
1. Touch the key of the item you want to change. The Displayed Waves
window opens.
Touch NONE
to unselect all
items.
Printing on ���������������������������������
the������������������������������
Normal Individual Bed Window –�������������
�� Zoom
������������
Display
No. of Displayed Waveforms Length of Printed Waveform
1 waveform 30 minutes
2 waveforms 15 minutes
3 waveforms 10 minutes
4 waveforms 7 minutes
5 waveforms 6 minutes
6 waveforms 5 minutes
The printed time length depends on the number of waveforms displayed on the
screen. The printed waveform is from the currently displayed time to the past.
10
When the display is zoomed in to the utmost, all the displayed waveforms are
printed in the same format as the printing of the Expanded Waveform window.
During recording, the “Record” key changes to “REC Stop”. To stop recording,
touch “REC Stop”.
Other Recordings
On the Full Disclosure window, the following recordings are available with the
WS-960P Recorder Unit. For details, refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
10-7
Overview
NOTE
This window is only available when the QP-964P 12 Lead ECG
Interpretation Filing Program Kit is installed.
The ECG 12 Lead Analysis window displays the results of ECG 12 lead analysis
performed at bedside monitors. Up to 64 files can be saved for each bed at the
central monitor.
Window Description
The results of ECG 12 lead analysis performed at bedside monitors are
displayed. The ECG 12 Lead Analysis window has four display types.
Reference
file 10
Scroll files in
the table.
Comparison Display
10-7
NOTE
For details about the analysis and the clinical findings, refer to the ECAPS
12C Program User’s Guide.
Comparison Display
10
10-7
2. Touch “Reference File Setting”. The selected file becomes the reference file.
Analysis waveforms
Averaged waveforms
Automatic Deletion
Up to 64 files can be saved for each bed at the central monitor. When there are
already 64 files saved and a new file is created at the bedside monitor, the oldest
file is automatically deleted at the central monitor.
NOTE
Deletion of ECG 12 lead analysis files can only be performed at the
central monitor where the bed’s data are saved. The “Delete” key is not
available (dim) on the screen of the central monitors which do not save
the bed’s data.
10
1. Change the display type to Tabular Trend display.
2. Touch the file you want to delete in the measurement value table.
Cursor
Indicates the selected
file.
10-7
Scroll files
in the table.
4. Touch “Yes” to delete the selected file. To cancel deletion, touch “No”.
You can print the displayed ECG 12 lead analysis result with the laser printer.
Printed items are different depending on the display types.
2. Touch “Print”.
Other Recordings
On the ECG 12 Lead Analysis window, the following recordings are available
with the WS-960P Recorder Unit. For details, refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
Overview.......................................................................................................................................................... 10.8.2
Displaying the Alarm History Window................................................................................................... 10.8.2
Alarm Notice.......................................................................................................................................... 10.8.2
Window Description............................................................................................................................... 10.8.3
Viewing the Alarm History Window.................................................................................................................. 10.8.4
Scrolling the Alarm History Files........................................................................................................... 10.8.4
Sorting the List...................................................................................................................................... 10.8.4
Selecting the Alarm Levels and Types Displayed on the File List.................................................................... 10.8.5
Printing the Alarm History............................................................................................................................... 10.8.6
Alarm History Printing........................................................................................................................... 10.8.6
Printing a Selected File............................................................................................................... 10.8.6
Other Recordings.................................................................................................................................. 10.8.6
10
10-8
Overview
The lists of all alarms such as arrhythmia alarm, vital sign alarm, ST alarm and
technical alarm on monitored beds are displayed on the Alarm History window.
The most recent 5000 files can be saved for each bed.
NOTE
• Alarm History window is only available at the central monitor where the
bed’s data is saved.
• When more than 5000 files are created for the patient, the oldest file of
the patient is automatically deleted to create new files.
• IBP (SYS/DIA/MEAN) technical alarms are treated as one file and
displayed on the Alarm History window as one file.
Alarm Notice
You can display the Alarm History window by touching the alarm notice icon on
the All Beds screen or basic information area.
NOTE
To activate alarm notice, “Alarm/Arrhythmia Notice Icon” must be set to
“Alarm” on the System Configuration window of the System Setup screen.
The factory default setting is “Alarm”.
Window Description
The Alarm History window displays file lists such as report creation date and
time, alarm levels, parameters and descriptions.
You can switch the file list by alarm levels and alarm types.
Date and time (Duration) Level Parameter Description
Touch to change to
Touch to change the
Touch to sort the list. another review window.
alarm level or type.
10
Alarm notice
Cursor Scroll bar Touch to print the list Scroll keys
mark
with the laser printer. Touch to scroll the list.
NOTE
When you display the Arrhythmia Recall window from the Alarm History
window and the cursor on the Alarm History window is at a file whose
parameter is “Arrhythmia” on the Arrhythmia Recall window, the cursor
appears at the file with the nearest clock time to the selected file on the
Alarm History window, regardless of the arrhythmia type.
10-8
Selecting the Alarm Levels and Types Displayed on the File List
Select the alarm levels or types whose alarm history is displayed on the file list
window. Every touch toggles between selected and unselected.
Touch “All” to select all alarm levels or all alarm types. If you touch “All” again,
all alarm levels or all alarm types become unselected.
10
10-8
Other Recordings
On the Alarm History window, the following recordings are available with the
WS-960P Recorder Unit. For details, refer to Section 11.
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
Overview.......................................................................................................................................................... 10.9.2
Displaying the Alarm Events Window.................................................................................................... 10.9.2
From the Multi Patient Alarm Events Window............................................................................. 10.9.2
From the Menu Window.............................................................................................................. 10.9.2
Technical Icon........................................................................................................................................ 10.9.3
Action Message..................................................................................................................................... 10.9.3
Window Description......................................................................................................................................... 10.9.4
Display Type: Limit + Technical.................................................................................................... 10.9.4
Display Type: Arrhythmia + Technical.......................................................................................... 10.9.4
Viewing the Alarm Events Window.................................................................................................................. 10.9.5
Scrolling the Alarm Events.................................................................................................................... 10.9.5
Moving the Cursor................................................................................................................................. 10.9.5
Viewing Other Review Windows of the Selected Time.......................................................................... 10.9.5 10
Changing the Displayed Alarm Type..................................................................................................... 10.9.5
Zooming In and Out on Alarm Events................................................................................................... 10.9.6
Displaying a Multi Patient Alarms Window............................................................................................ 10.9.6
Changing the Alarm Events Window Display Settings.................................................................................... 10.9.7
Setting Items......................................................................................................................................... 10.9.8
Alarm Limit/Technical.................................................................................................................. 10.9.8
Arrhythmia/Technical................................................................................................................... 10.9.8
Printing the Alarm Events................................................................................................................................ 10.9.9
Alarm Events Printing............................................................................................................................ 10.9.9
Other Recordings.................................................................................................................................. 10.9.9
10-9
Overview
The Alarm Events window displays up to 72 hours of alarm events for one
patient. The most recent 5000 files are saved as an alarm history. Two alarm
types can be displayed in the Alarm Events window: technical alarm events and
either limits or arrhythmia alarm events.
NOTE
• The Alarm Events window is only available at the central monitor where
the bed’s data is saved.
• After 5000 files are created for the patient, the oldest file of the patient
is automatically deleted to create a new file.
1. Touch the basic information area of the bed you want to display the Alarm
Events window of.
Technical Icon
ECG or SpO2 technical icons can be displayed on the All Beds screen when
the ECG or SpO2 technical status become yellow or red on the Alarm Events
window.
When a technical icon is touched, the Alarm Events window and action message
for the icon are displayed.
Technical icon
NOTE
To display the technical icons, Technical Icon on the Display Setting of
the Monitor Setting in the System Setup screen must be set to On. The
default setting is Off. Refer to the Administrator’s Guide.
Action Message
When ECG or SpO2 technical status become yellow or red on the All Beds screen
and display the Alarm Events window, an action message is displayed on the
Alarm Events window. 10
When Yes is touched on the action message window, the past technical alarms
are cleared and technical status becomes green.
Window Description
All alarm events of one patient is displayed on one screen. Each alarm event is
displayed in the color corresponding to its alarm level.
Scroll key Time bar Alarm event Print Zoom in/Zoom out
Touch to scroll the Each alarm event is the Prints the displayed Show a longer or
trendgraph. color for its alarm level. alarm events on a laser shorter period of
printer. alarm events.
By touching the time bar, you can jump to the alarm event at the touched time.
10
You can view other review windows for a particular date and time by moving the
cursor to the date and time and touching the tabs of review window.
Select the events to display on the Alarm Events window. You can select up to 12
events for each “Limit + Technical” and “Arrhy + Technical” window.
NOTE
When both the upper and lower alarm limits are set to OFF on the Alarm
Limits window of the Personal Setup, an alarm off mark is displayed
beside the display position and the alarm event cannot be displayed on
the Alarm Events window.
10-9
3. On the left side of the screen, touch the key for the displayed alarm events
position you want to change.
4. On the right side of the screen, touch the key of the item you want to display.
Setting Items
Alarm Limit/Technical Arrhythmia/Technical
Default Default
Alarm Displayed Alarm Displayed
Settings Settings
Alarm Limit on the Alarm Arrhythmia on the Alarm
(Display (Display
Events window Events window
Order) Order)
HR Upper and lower 1 ASYSTOLE Each arrhythmia 1
PR limit alarm of each 2 V. FIB alarm 2
ST parameter –– V. TACHY 3
RR 7 EXT TACHY 4
APNEA 8 EXT BRADY 5
NIBP 3 VPC RUN 8
SpO2 5 V BRADY ––
ART*1 4 SV TACHY ––
CVP –– TACHYCARDIA 6
PAP –– BRADYCARDIA 7
ICP ALL –– PAUSE ––
TEMP ALL –– COUPLET ––
O2 –– EARLY VPC ––
CO2 6 MULTIFORM ––
GAS ALL –– V RHYTHM ––
BIS –– BIGEMINY ––
EEG –– TRIGEMINY ––
FREQ VPC 9
VPC ––
IRREGULAR RR ––
PROLONGED RR ––
NO PACER
––
PULSE
PACER NON-
––
CAPTURE
Default Default
Alarm Displayed Alarm Displayed
Settings Settings
Technical on the Alarm Technical on the Alarm
(Display (Display
Events window Events window
Order) Order)
ECG Technical LEAD OFF alarm, ECG Technical LEAD OFF alarm,
9 10
NOISE alarm NOISE alarm
SpO2 Technical SpO2 technical SpO2 Technical SpO2 technical
alarm*2 11 11
alarm*2
ART*1 + NIBP ART and NIBP ART*1 + NIBP ART and NIBP
10 ––
technical alarm*2 technical alarm*2
TEMP Technical TEMP technical TEMP Technical TEMP technical
–– ––
alarm*2 alarm*2
CO2 Technical CO2 technical CO2 Technical CO2 technical
–– ––
alarm*2 alarm*2
SIGNAL LOSS*3 SIGNAL LOSS SIGNAL LOSS*3 SIGNAL LOSS
12 12
alarm*4 alarm*4
*1 Typical labels of arterial pressure (ART, ART2, RAD, DORS, AO, and FEM).
*2 For details about technical alarms, refer to “Error Messages” in Section 16.
*3 “COMMUNICATION LOSS” is displayed when using a hard-wired bedside monitor.
*4 COMMUNICATION LOSS” alarm is displayed when using a hard-wired bedside monitor.
Other Recordings
On the Alarm Events window, the following recordings are available with the
WS-960P Recorder Unit. For details, refer to Section 11. 10
Manual recording: Single bed recording, All beds recording, Dual waveform
recording
Automatic recording: Periodic recording, Alarm recording
Remote recording: Call recording, Remote delayed recording
10-9
Overview........................................................................................................................................................ 10.10.2
Displaying the Report Window............................................................................................................ 10.10.2
Window Description............................................................................................................................. 10.10.2
Report Mode....................................................................................................................................... 10.10.3
Manual Printing......................................................................................................................... 10.10.3
Automatic Printing..................................................................................................................... 10.10.3
Printing Items...................................................................................................................................... 10.10.3
Report Creating Flowchart.................................................................................................................. 10.10.3
Changing Report Settings............................................................................................................................. 10.10.4
Setting Printing Format....................................................................................................................... 10.10.4
Setting the Report Mode........................................................................................................... 10.10.4
Selecting Printing Items............................................................................................................ 10.10.4
Setting Report Range............................................................................................................... 10.10.4 10
Setting Trend Data Printing................................................................................................................. 10.10.6
Changing Trend Interval............................................................................................................ 10.10.6
Changing Printing Parameters.................................................................................................. 10.10.6
Entering Comments....................................................................................................................................... 10.10.7
Using Template to Enter a Comment........................................................................................ 10.10.8
Printing the Report........................................................................................................................................ 10.10.8
Manual Printing......................................................................................................................... 10.10.8
Automatic Printing..................................................................................................................... 10.10.8
10-10
Overview
Window Description
Touch to change to
another review window.
Report Mode
Select report printing
mode.
Report Items
Select whether the
following items are
printed.
- Tabular trend
- Trendgraph
- Full disclosure
compressed
waveform
Report Mode
There are two types of report printing: manual and automatic.
NOTE
Automatic printing is only available at the central monitor where the bed’s
data are saved. The report mode is fixed to manual at central monitors
where the bed’s data is not saved.
Manual Printing
In manual printing, a patient’s past data (data which is already saved in the
central monitor) can be printed as a report.
Automatic Printing
In automatic printing, reports of preset contents are automatically printed at the
preset intervals.
Printing Items
10
You can print the following items.
• Patient information
• Report creation date and time
• Report creation conditions
• Comment
• ECG waveform (5-second waveform 5 minutes before the end time of the
printing data)
• Tabular trend
• Trendgraph
• Full disclosure compressed waveform
Patient information, report creation date and time, report creation conditions,
comment and ECG are printed on the report cover.
To print the cover, set “Report Cover Sheet” to ON on the System Configuration
window of System Setup screen. The default setting is OFF.
10-10
Report Creating Flowchart
A report is created and printed by the following steps.
Settings are categorized into format settings and trend data settings. Touch the
tab to change the setting window.
NOTE
Automatic printing is only available at the central monitor where the bed’s
data are saved. The report mode is fixed to manual at central monitors
where the bed’s data is not saved.
NOTE
When the patient’s data is not saved at any central monitor, these settings
are not available.
Manual recording
The patient’s past data is printed as a report. To change settings, touch the item
you want to set and then touch a numeric pad key. Set printing start time and
printing duration and then touch “Print” to start printing.
NOTE
When the selected report range includes future time, the data of the
future part is not included in the report.
Date
Touch the key for the
start date of printing
data.
Print Time,
Duration
Touch the item you
want to set and
then enter from the
numerical pad to the
right.
Approximate printing
pages
The white part is printed.
Automatic Printing
Reports of preset contents are automatically printed at the preset intervals. The
report of the preset printing duration is automatically created. Data up until the
10
printing start time is printed. When one report printing finishes, the printing start
time is automatically renewed according to the printing interval setting.
NOTE
You cannot set the printing interval shorter than the printing duration. If a
printing interval shorter than the printing duration is entered, the printing
interval is automatically modified to the same value as the printing
duration.
Approximate printing
pages.
NOTE
When “NIBP” is selected, only the data for the time NIBP is measured is
printed.
NOTE
When “NIBP” is selected for trend interval, all the NIBP related
parameters are automatically added as printing parameters at the end of
the list.
Touch to unselect
all items.
Entering Comments
10
You can print comments in the report.
NOTE
• The comment is printed on the cover page. To print the cover, set
“Report Cover Sheet” to ON on the System Configuration window of
System Setup screen. The default setting is OFF.
• When a bed is monitored by several central monitors, the comment
entered at one central monitor is saved only in that central monitor.
Other central monitors and the bedside monitor do not share comments
entered at a different central monitor.
Saving a Template
Enter the comment in the template and then touch “Save”.
Recalling a Template
Touch “Recall”. The comment in the template is copied to the comment column.
Any previous comment in the comment column is overwritten.
You need to confirm report setting before printing. To print comments, enter
them in advance. To print the cover page, set “Report Cover Sheet” to ON on
the System Configuration window of System Setup screen. The default setting is
OFF.
Manual Printing
Touch “Print” to start printing.
To cancel printing, touch “Print Stop”.
Automatic Printing
Reports of preset contents are automatically created and printed at the preset
intervals.
To cancel printing, touch “Print Stop”. If you cancel printing, all pending
printing reports are also canceled.
Overview............................................................................................................................................................. 11.2
Description of Recording Modes.............................................................................................................. 11.3
Manual Recording.......................................................................................................................... 11.3
Automatic Recording...................................................................................................................... 11.5
Remote Recording......................................................................................................................... 11.5
Recording Priority..................................................................................................................................... 11.6
Recorder Unit (WS-960P).............................................................................................................. 11.6
Laser Printer.................................................................................................................................. 11.6
Recording Sensitivity................................................................................................................................ 11.7
Recorded/Printed Data............................................................................................................................. 11.7
Manual Recording.............................................................................................................................................. 11.8
Single Bed Recording............................................................................................................................... 11.8
Necessary Settings for Single Bed Recording............................................................................... 11.8
Starting Single Bed Recording....................................................................................................... 11.9
Automatic Recording.......................................................................................................................................... 11.9
Periodic Recording................................................................................................................................... 11.9
Necessary Settings for Periodic Recording.................................................................................... 11.9
Alarm Recording.................................................................................................................................... 11.10
Remote Recording............................................................................................................................................ 11.10
Necessary Settings for Remote Recording............................................................................................ 11.10
Call Recording.............................................................................................................................. 11.10
Remote Delayed Waveform Recording........................................................................................ 11.10
Starting Remote Recording.................................................................................................................... 11.10
Call Recording.............................................................................................................................. 11.10
Remote Delayed Waveform Recording........................................................................................ 11.10
Changing Recording Settings........................................................................................................................... 11.11
Changing Settings on the Recording Window of the Setup.................................................................... 11.11
Changing Alarm Recording Settings............................................................................................ 11.12
Setting Recording Waveforms for Dual Waveform Recording...................................................... 11.12
Changing Recording Interval of Periodic Recording.................................................................... 11.13
Setting the Record Sweep Speed................................................................................................ 11.14
Changing Settings on the Recording Window of the System Setup Screen.......................................... 11.15 11
Displaying the Recording Window of the System Setup Screen.................................................. 11.15
Changing the Recording Time...................................................................................................... 11.16
Selecting the Real Time Recording or Delayed Recording.......................................................... 11.16
Changing the Recording Start Position........................................................................................ 11.16
Changing Settings on the Arrhythmia Alarm Window of the Personal Setup......................................... 11.16
Overview
This central monitor can be connected to the following two optional devices
below.
Laser printer
(A4 or letter paper size)
Touch the “Print” key on the screen to print with the laser printer.
Automatic Recording
These recordings automatically start at the preset time and under preset
conditions.
How to start
Recording type Recorded data Recording time Available screen
recording
• Waveforms beginning five
Set at “Periodic
seconds before the recording
Recording” on the
start time on the All Beds
Periodic recording Recording window
screen
of the System Setup
• Numerical data at the recording
screen
start time Automatically All screens and
• Waveforms beginning nine starts windows
Set at “Alarm/Call
seconds before the alarm
Recording” on the
occurrence on the All Beds
Alarm recording Recording window
screen
of the System Setup
• Numerical data at the alarm
screen
occurrence
Remote Recording
Remote recording is performed when there is a recording request from a
transmitter or a bedside monitor that is not connected to a recording device.
NOTE
• Remote recording is available only at the central monitor where the
bed’s data is saved.
• The BSS-9800 bedside station and BSM-9510 bedside monitor select
the central monitor which performs remote recording, and remote
recording is only available at the selected central monitor.
How to start
Recording type Recorded data Recording time Available screen
recording
• Waveform on the All Beds
Set at “Alarm/Call
screen, beginning 9 seconds
Recording” on the CALL
before the CALL button is All screens and
Call recording Recording window button on the
pressed windows
of the System Setup transmitter
• Numerical data of the recording
screen 11
start time
NOTE
Remote recording from the 8000 series beds are not available.
How to start
Recording type Recorded data Recording time Available screen
recording
• Waveform selected at the
Request from
Remote delayed bedside monitor Continues until “REC” All screens and
the bedside
waveform recording • Numerical data at the recording for the bed is touched windows
monitor
start time
Recording Priority
Recorder Unit (WS-960P)
When using the WS-960P recorder unit, the following recording priority applies.
High Priority
Stop recording
Postponed Canceled
• Alarm recording • Manual recording of the frozen waveform
• Periodic recording • Manual recording on each review window
• Call recording • Remote delayed recording
Low Priority
If more than one recording mode is activated at the same time, only the highest
priority mode is used.
If single bed recording, dual waveform recording, or all beds recording occurs
during any other type of recording, the other recording is canceled.
During call recording, alarm recording and periodic recording, if a higher priority
recording occurs, the current recording changes to standby and is continued as
soon as the recording device is available.
If the recorder is currently recording when you touch the REC key, the current
recording stops and the single bed recording you requested starts.
Laser Printer
When printing with the laser printer there is no priority; priority does not apply.
Recording Sensitivity
The sensitivity of the waveforms recorded on the recording paper depends on the
sensitivity of the waveforms displayed on the screen.
Recording Sensitivity
Display Sensitivity
Single Wave Dual Wave
× 1/4 × 1/2 × 1/4
× 1/2 × 1/2 × 1/4
× 3/4 ×1 × 1/2
×1 ×1 × 1/2
× 3/2 ×1 × 1/2
×2 ×2 ×1
×4 ×2 ×1
Recorded/Printed Data
WS-960P Recorder Unit
Single wave recording
Recording date and time or QRS detection Numeric data when recording
File creation date and time Patient name type* ECG filter* starts or file is created.
Bed name
Lead and
sensitivity
Recorded
waveform
Parameter name
Recording time 11
* QRS detection type and ECG filter are recorded only when the bedside monitor
which sends QRS detection type and ECG filter data to the central monitor and
the followings recordings are performed:
• Single bed recording
• All beds recording
• Dual waveform recording
• Periodic recording
• Alarm recording
• Call recording
Manual Recording
Manual recordings, except for single bed recording, all beds recording, alarm
history recording and report recording, are also available on the overview bed
screen.
This section explains single bed recording that can be done in the same way on
each screen. For other manual recordings, refer to each section that explains the
screen where the recording is performed.
Automatic Recording
Recording starts automatically at the preset recording condition. There are two
automatic recording modes: periodic recording and alarm recording.
Periodic Recording
Waveform beginning 5 seconds before the recording start time on the All Beds
screen and numerical data are recorded at the preset interval with the WS-960P
Recorder Unit.
11
Alarm Recording
For alarm recording, refer to Section 6.
Remote Recording
NOTE
• Remote recording is available only at the central monitor where the
bed’s data is saved.
• The BSS-9800 bedside station and BSM-9510 bedside monitor select
the central monitor which performs remote recording, and remote
recording is only available at the selected central monitor.
To start recording, press the CALL button on the transmitter. The recorder
automatically stops when recording of the preset recording time finishes.
To stop recording, touch “REC” on the bed on the All Beds screen or basic
information area.
This recording starts when there is a recording request from a bedside monitor
that is not connected to a recording device. The waveform and numerical data
displayed on the bedside monitor is recorded with the WS-960P Recorder Unit.
On the bedside monitor press the key with the function to start recording.
The recorder automatically stops when recording of the preset recording time
finishes.
To stop recording, touch “REC” on the bed on the All Beds screen or basic
information area.
You can change recording settings on the Recording window of the Setup or the
Recording window of the System Setup screen.
11
ST Alarm Recording
NOTE
ST alarm recording is not available for 8000 series beds.
Call Recording
NOTE
This setting is available only when the central monitor is receiving data
from a transmitter.
3. Touch the desired parameter at “Record Wave Selection” to set the parameter
of the waveform.
NOTE
When “Second Wave” is set to “NONE”, only one waveform is recorded in
dual waveform recording.
2. Touch the desired recording interval (OFF, 30 min, 60 min, 120 min, FREE).
The factory default setting is OFF. Periodic recording is not performed when
OFF is selected.
3. Touch “ENTER” to set the interval. If you don’t touch “ENTER”, the setting
is not valid.
11
2. Touch either “25 mm/s” or “50 mm/s” key. The default setting is 25 mm/s.
11
Overview............................................................................................................................................................. 12.2
Displaying the Overview Bed Menu Window............................................................................................ 12.2
Alarm Function for an Overview Bed........................................................................................................ 12.3
Window Description.................................................................................................................................. 12.4
Selecting Another Bedside Monitor as an Overview Bed................................................................................... 12.5
Switching to Other Windows of the Overview Bed Window................................................................................ 12.5
Recordings on the Overview Bed Window......................................................................................................... 12.6
12
Overview
You can select an overview bed from up to 300 bedside monitors in the
network that the central monitor is not continuously monitoring, and display the
waveforms and data of the bedside monitor on the Overview Bed window.
The following table shows the available operations on the Overview Bed
window.
WARNING
If the communication between the central monitor and an overview
bed is lost, there will be no communication loss alarm or overview
bed alarm. Do not rely solely on the overview bed function to monitor
the patient vital signs.
Alarm indication (alarm sound and window indication) on the Individual Bed
window of the Overview Bed window are the same as those on the Individual
Bed window of the monitored bed. Alarm level for each alarm type is also the
same. However, alarm recording is not performed for an overview bed.
When a window other than the Overview Bed window is displayed and an alarm
occurs on the currently selected overview bed, the alarm message is displayed in
red at the top of the screen.
Overview bed alarm occurs only for the alarm on the currently selected overview
bed displayed on the Overview Bed window.
To stop the overview bed alarm, touch “Stop monitoring” on the Overview Bed
Menu window.
12
Window Description
The Overview bed window consists of the Overview Bed Menu window and
windows access from it. From the Overview Bed Menu window, you can go to
any kind of overview bed window.
Scroll keys
Touch to see all
bedside monitors
that are available
as an overview
bed.
On the Overview Bed Menu window, touch the desired bed name key in “Select
Overview Bed”.
12
For the overview bed, recording/printing except for the following are available.
• Single bed recording
• All beds recording
• Automatic recording
• Remote recording
• Alarm history recording
• Alarm events recording
• Report recording
3. Touch each parameter key of Parameter Setup to display the setting window
for the parameter.
Or,
On the Individual Bed window, touch the parameter you want to display the
setting window for. The setting window for the parameter opens.
(example: when opening the ECG window)
ECG Settings
CAUTION CAUTION
When the “CHECK LEADS” message is When the “NOISE” or “CANNOT ANALYZE”
displayed, ECG is not monitored properly and the message is displayed, ECG data and alarm are
ECG alarm does not function. Check the not reliable. Remove the cause by checking the
electrode, electrode leads and connection cord, electrodes, electrode leads, patient’s body
and if necessary, replace with new ones. movement, EMG and peripheral instruments
grounding. Also check that no electric blanket is
used.
ECG settings are set on the ECG window. On the Menu window, touch “ECG”
to display the ECG window. The ECG window is divided into the following nine
categories. Touch the tab of the category name to display another category.
13
CAUTION
When the ECG measurement is OFF, ECG alarms do not occur even
if each ECG alarm item is set to ON.
NOTE
• This setting is only available for the beds monitored through the RU-
960P/ORG-9100 Multiple Patient Receiver.
• This setting cannot be set to OFF while ECG is being monitored.
• When “ECG Measurement” is set to OFF at the central monitor when
ECG monitoring starts at the monitoring device (bedside monitor,
transmitter, etc.), ECG measurement automatically turns to ON at the
central monitor. If ECG does not appear on the screen in 10 seconds,
manually turn it to ON.
• When “ECG Measurement” is set to OFF, PR alarm automatically turns
to ON.
• After setting “ECG Measurement” to ON, confirm that ECG is displayed
on the screen.
• You can fix “ECG Measurement” to ON on the System Configuration
window of the System Setup screen. Refer to Section 7-1,
Administrator’s Guide.
2. Touch ON or OFF.
ON: ECG waveform and numeric data of the ECG related parameters are
displayed on the screen. ECG related alarms generate.
OFF: ECG waveform and numeric data of the ECG related parameters are
not displayed on the screen.
Select the ECG lead for arrhythmia analysis. When monitoring multiple ECG
leads, you can also set the second lead for arrhythmia analysis.
Select single or multiple leads for analysis before selecting the analyzing lead.
Single: One lead is used for arrhythmia analysis.
Multi: Two leads are used for arrhythmia analysis.
13
The lead of the displayed ECG waveform does not match the arrhythmia analysis
lead setting here when auto lead change function is on. For auto lead change
function, refer to “Turning Auto Lead Change ON/OFF” of “Setting Other
Settings” in this section.
The lead of the displayed ECG waveform does not match the arrhythmia analysis
lead setting here while the analysis lead is automatically changed to a stable lead
by auto lead change function. For auto lead change function, refer to “Turning
Auto Lead Change ON/OFF” of “Setting Other Settings” in this section.
NOTE
• When “Adult” or “Neonate” is selected, QRS Detection Sensitivity
setting is not displayed.
• You can set the QRS Detection Type when using a RU-960P/ORG-9100
multiple patient receiver which accepts QRS detection type setting.
• When discharging or deleting data, the QRS Detection Type setting
returns to the setting of Alarm Master 1.
CAUTION
At the start of ECG monitoring, check that the correct patient type is
set for QRS Detection Type on the following window.
• When using a multiple patient receiver: QRS Detection window of
the ECG window.
• When using a bedside monitor and transmitter: Home screen or
ECG window of the monitor.
If an inappropriate patient type is set, heart rate cannot be counted
accurately and noise or P waves may be counted as QRS and
cardiac arrest may be overlooked.
CAUTION
Use the RU-960P Multiple Patient Receiver only with the specified
version of MU-960P Central Monitor Main Unit. If the multiple patient
receiver is used with the unspecified version of the central monitor
main unit, heart rate might be counted incorrectly or noise and P-
waves might be incorrectly counted as QRS because the QRS
detection type cannot be set on the multiple patient receiver. This
could cause failure to detect asystole.
The following table shows the difference of each QRS detection type.
2. Touch the key for the desired sensitivity in “QRS Detection Sensitivity”.
(The factory default setting is ×1)
13
When heart rate counting is incorrect because the ECG waveform is too large or
small, change the QRS detection sensitivity.
- For too large ECG: Select lower sensitivity.
- For too small ECG: Select higher sensitivity.
Operator’s Manual CNS-9601 13.9
13. PARAMETER SETUP
NOTE
• This setting is only available for beds connected through an RU-960P/
ORG-9100 Multiple Patient Receiver.
• This setting only changes the lead name displayed on the screen. It
does not change the ECG lead measured at transmitters or bedside
monitors. This setting can only be set when receiving from a transmitter
without lead switching function.
2. After you select the key in “Lead”, touch to select the label in “Name”.
ST Settings
CAUTION
• Although the ST algorithm has been tested for accuracy of the ST
analysis result, the significance of the ST level changes need to be
determined only by a physician.
• The ECG from the transmitter other than ZM series is not
processed by a 3.2 second time constant filter. Therefore, the ST
level measurement is not designed to be accurate enough for
diagnosis. Do not rely on this ST level measurement.
NOTE
This setting is only available for beds connected through an RU-960P/
ORG-9100 Multiple Patient Receiver.
2. Touch or at ISO point and ST point to set each value. One touch of
or increases or decreases the value by 4 ms. The cursors on the screen that
represent each point move together with the value. You can also move the
cursor by touching the waveform.
Time from the ISO point Time from the
current R point ST point current R point
Learning ECG
CAUTION
If there is any doubt about the arrhythmia analysis, make the monitor
relearn the patient’s ECG and check that the dominant QRS is
appropriate. Otherwise, an important arrhythmia may be overlooked.
NOTE
• This settings only available for beds connected through the RU-960P/
ORG-9100 Multiple Patient Receiver.
• When you touch “Learn ECG” at the central monitor, the command is
sent to the bedside monitor and the bedside monitor relearns ECG.
• Bedside monitors of some models automatically learn ECG whenever
the pattern of normal ECG changes.
If there is any doubt about the arrhythmia analysis result, relearn the dominant
ECG. While learning, the “LEARNING” message appears on the screen.
WARNING
For arrhythmia monitoring, set Arrhythmia Analysis on the ECG
window to ON. Otherwise, there is no sound or indication for
arrhythmia alarms (except for ASYSTOLE).
NOTE
• This setting is only available for beds connected through the RU-960P/
ORG-9100 Multiple Patient Receiver.
• When arrhythmia analysis is set to OFF, the following operations for
arrhythmia analysis are not performed.
- Display of VPC count and ST measurement value
- Generating arrhythmia alarms
- Creating arrhythmia recall files
- Arrhythmia alarm recording
- Creating ST recall files
WARNING WARNING
Turn the pacing pulse detection* to ON when Even when the pacing pulse detection is set to
monitoring a pacemaker patient. Otherwise the ON, the pacemaker pulse can be overlooked or
pacemaker pulse is not rejected. However, even detected as QRS. You cannot confirm the
when the pacing pulse detection is set to ON, the pacemaker operation only from the detected
pacemaker pulse might not be rejected. When the pacemaker pulse.
pacemaker pulse is not rejected, the pacemaker
pulse is detected as QRS and false heart rate
may be indicated or critical arrhythmia such as
asystole may be overlooked. Keep pacemaker
patients under close observation.
NOTE
• When the patient has an implanted cardiac pacemaker, the pacing
pulse may be counted as QRS and the heart rate may be miscounted.
• The pacing pulse is a very small wave which cannot be displayed on
the monitor.
• When pacing detection is set to ON, the pacemaker spikes are rejected
which allows correct heart rate counting.
• When pacing detection is set to OFF, a Non-paced mark is displayed on
the Individual Bed window when the bedside monitor sends the pacing
detection information to the central monitor.
• When you monitor a premature baby or infant and the monitor
miscounts the narrow width QRS, set this to OFF.
• When pacing mark is set to ON, the pacing mark is displayed on the
ECG. Refer to the “Turning Pacing Mark ON/OFF” section.
Select whether or not to reject the pacemaker spike from the heart rate count.
Touch “ON” or “OFF” in “Pacing Detection”.
Pacing Mark
When set to “ON”, the analysis leads 1 and 2 can automatically change to
stable leads when there is an electrode detachment on the analysis lead. When
the analysis leads become stable again, the analysis leads change back to the
original lead. When the analysis lead 1 changes automatically, the “AUTO
LEAD CHANGE” message is displayed, but when there is a message of a
higher priority, this message is not displayed. When the analysis lead 2 changes
automatically, no message is displayed.
13
RESP Settings
CAUTION
When measuring respiration by impedance method and Impedance
Respiration Measurement on the RESP window is set to OFF,
respiration alarms do not occur even if each respiration alarm item is
set to ON.
NOTE
• Respiration settings are only available while measuring respiration.
• This setting is only available for beds connected through the RU-960P/
ORG-9100 Multiple Patient Receiver.
2. Touch the key for the desired sensitivity in “Sensitivity”. (The factory
default setting is ×1)
13
SpO2 Settings
NIBP Settings
WARNING
When performing long term measurement at intervals less than 2.5
minutes, perform measurements while observing the state of the
patient, blood vessels and limb to ensure adequate circulation.
Congestion may occur at the measurement site. When performing
periodic measurement for a long time, periodically check the 13
circulation condition.
NOTE
When the measurement interval less than 2.5 minutes is set, the
confirmation window appears. Touch “Yes” to set.
CAUTION
Before you remotely start and stop NIBP measurement from the
central monitor, confirm the state of the patient at the bedside
monitor. Carefully start and stop NIBP measurement from the central
monitor.
NOTE
The NIBP measurement cannot be stopped from the BSM series bedside
monitor through QI-910R interface. Stop the NIBP measurement from the
bedside monitor.
3. When the NIBP measurement is finished, the individual bed window of the
bed is displayed with the measured values. When “Measurement Interval” is
set to “STAT”, the individual bed window is not displayed.
PRESS Settings
13
You can change the display pattern of the blood pressure measurement value and
the label of the blood pressure measurement site.
2. After you touch the key for the display pattern or label name you want to
change, touch one of the “Select Display Pattern” keys.
Selectable display patterns are:
S/D/M: systolic/diastolic/mean
Mean
NOTE
You can set the arterial pressure detection sensitivity when using a
RU-960P/ORG-9100 multiple patient receiver which accepts the arterial
pressure detection sensitivity setting.
13
TEMP Settings
You can set the label for the temperature measurement site and the equation for
ΔT.
2. After you touch the key for the label name or equation for ΔT you want to
change, touch one of the “Select Label” keys.
Selectable labels are:
Tskin: Skin temperature
Up to 3 sites can be set. (Tskin, Tskin2, Tskin3)
Trect: Rectum temperature
Tcore: Core temperature
Tnaso: Nasal cavity temperature
Teso: Esophagus temperature
Ttymp: Tympanic membrane temperature
Tblad: Bladder temperature
Taxil: Axillary temperature
T1 to T8: Others
13
CO2 Settings
O2 Settings
13
On the Menu window, touch “Anesthesia Gas”. The Anesthesia Gas window
opens.
NOTE
• Alarms at the external instrument such as ventilator multigas etc.
cannot be set at the central monitor.
• Parameter priority setting is not for each parameter of GAS but GAS.
13
Ventilator Settings
NOTE
Parameter priority setting is not for each parameter of Ventilator but
Ventilator.
Every touch of key in “Wave Display” and “Numerical Display” toggles between
selected and unselected.
CCO Settings
13
Perform this setting when you limit the CCO parameters on the All Beds screen
and Individual Bed window. Only the parameters you set in this “Parameter
Setup” are displayed.
PiCCO Settings
Perform this setting when you limit the PiCCO parameters on the All Beds
screen and Individual Bed window. Only the parameters you set in this
“Parameter Setup” are displayed.
14
Personal Setup and Setup have the following settings for each bed.
Item Description
Patient admission and discharge, Pause
monitoring, Patient transfer, Change
Admit/Discharge
monitor/multiple patient receiver, Change
Personal remote filing bed
Setup Alarm Limits Setting vital sign alarms
Arrhythmia Alarm Setting arrhythmia alarms
ST Alarm Setting ST alarms
Alarm Master Display Setting alarms using alarm masters
Recording Setting recording
Setup
Channel Setting receiving channel
3. In “Personal Setup” or “Setup”, touch the key of the desired setting. The
setting window opens.
15
General
This version of RU-960P Multiple Patient Receiver can be used with MU-960R
Central Monitor Main Unit version 01-06 or later.
CAUTION
Use the RU-960P Multiple Patient Receiver only with the specified
version of MU-960P Central Monitor Main Unit. If the multiple patient
receiver is used with the unspecified version of the central monitor
main unit, heart rate might be counted incorrectly or noise and P-
waves might be incorrectly counted as QRS because the QRS
detection type cannot be set on the multiple patient receiver. This
could cause failure to detect asystole.
NOTE
• Upgrade the RU-960P Multiple Patient Receiver and central monitor
to the Nihon Kohden recommended software version. Only use the
specified configuration of units. If more than one RU-960P Multiple
Patient Receiver is used in the same facility, make sure the multiple
patient receivers have the same software version. If multiple patient
receivers with different software versions are used together, correct
system operation cannot be guaranteed.
• When Arrhythmia Type is set to Extended on the ORG Setting of the
central monitor and RU-960P Multiple Patient Receiver is connected to
the central monitor network, check that the version of other instruments
in the network corresponds to the Extended setting. Otherwise,
monitoring is not available.
ZR-920P Receiver
Install in the multiple
patient receiver.
Transmitter
(Refer to next page)
15
15
Preparation
Attaching Antennas
For details about antennas and antenna constructions, contact your Nihon
Kohden representative.
Display on the Central Monitor when Not Receiving Data from the Transmitter
When the central monitor cannot receive data from the transmitter, “SIGNAL
LOSS” message appears and triangle waveforms are displayed on the screen.
When “ECG Measurement” on the ECG window is set to OFF, only the
“SIGNAL LOSS” message appears.
Changing Settings
After turning on the power of multiple patient receiver, change the settings on
the central monitor so that the data can be properly received from and sent to the
other instruments.
ECG Monitoring
Refer to Section 7 “All Beds Screen” and Section 9 “Individual Bed Window”
for monitoring screen/window. Refer to Section 13 “Parameter Setup” for the
settings.
CAUTION
• Although the ST algorithm has been tested for accuracy of the ST
analysis result, the significance of the ST level changes need to be
determined only by a physician.
• The ECG from the transmitter other than ZM series is not
processed by a 3.2 second time constant filter. Therefore, the ST
level measurement is not designed to be accurate enough for
diagnosis. Do not rely on this ST level measurement.
Respiration Monitoring
Refer to Section 7 “All Beds Screen” and Section 9 “Individual Bed Window”
for monitoring screen/window. Refer to Section 13 “Parameter Setup” for the
settings.
15
SpO2 Monitoring
Refer to Section 7 “All Beds Screen” and Section 9 “Individual Bed Window”
for monitoring screen/window. Refer to Section 13 “Parameter Setup” for the
settings.
CAUTION
The sensitivity of the pulse waveform measured by a ZM-930P
transmitter is automatically changed inside the transmitter. When the
sensitivity is changed, the waveform becomes flat for about one
second.
NIBP Monitoring
Refer to Section 7 “All Beds Screen” and Section 9 “Individual Bed Window”
for monitoring screen/window. Refer to Section 13 “Parameter Setup” for the
settings.
IBP Monitoring
Refer to Section 7 “All Beds Screen” and Section 9 “Individual Bed Window”
for monitoring screen/window. Refer to Section 13 “Parameter Setup” for the
settings.
Temperature Monitoring
Refer to Section 7 “All Beds Screen” and Section 9 “Individual Bed Window”
for monitoring screen/window. Refer to Section 13 “Parameter Setup” for the
settings.
NOTE
Only the numeric data is displayed on the central monitor for Temperature
and NIBP.
CO2 Monitoring
Refer to Section 7 “All Beds Screen” and Section 9 “Individual Bed Window”
for monitoring screen/window. Refer to Section 13 “Parameter Setup” for the
settings.
NOTE
Initializing the multiple patient receiver does not initialize the Arrhythmia
recall files, tabular trend data and trend data.
3. When the ERROR lamp lights then turns off, release the INITIALIZATION
switch.
NOTE
Do not press the INITIALIZATION switch unless initialization is necessary.
15
Troubleshooting
System
Network
Measurement Value
Alarm
Admitting/Discharging
16
Trend Window
ST Recall Window
Report Window
Recording
16
Parameter Setup
ECG Monitoring
16
Respiration Monitoring
SpO2 Monitoring
NIBP Monitoring
16
IBP Monitoring
Temperature Monitoring
CO2 Monitoring
16
Error Messages
Error messages are categorized into two types, messages sent from bedside
monitors/multiple patient receiver and messages generated at the central monitor.
Some messages displayed at the bedside monitor/multiple patient receiver are not
displayed or different on the central monitor.
Parameter Message
* CHECK LEADS
* CHG ELECTRODE
* NOISE
* CANNOT ANALYZE
Arrhy Analy Off
ECG SMALL QRS
RHYTHM CHG
LEARNING
LOW mV
HIGH mV
PACING
Parameter Message
* Module Failure
* Too Many Params
* Connector Off
* Probe Off
* Probe Broken
SpO2 No Pulse
* Light Interfer.
Pulse Search
* Check Probe Site
M (Unstable Pulse)
Small Pulse
Parameter Message
* Module Failure
* Too Many Params
RESP
* Connector Off
* Check Sensor
Parameter Message
* Module Failure
* Too Many Params
* Connector Off
* Safety Valve Open
* No Pulse
* Meas Time Out
NIBP * Check Cuff/Hose
* Systolic Over
Re-measuring
Please Wait
Small Pulse
Zeroing
Noise
Parameter Message
* Module Failure
* Too Many Params
* Check Label
* Connector Off
* Check Sensor
PRESS
Out of Range
Zero Imbalance
Zero Unstable
Zero Out of Range
Zeroing Complete
Parameter Message
* Module Failure
* Too Many Params
TEMP * Check Label
* Connector Off
* Check Sensor
Parameter Message
* Module Failure
* Too Many Params
CO2 16
* Connector Off
(Mainstream)
* Check Sensor
* Adapter Error
Parameter Message
* Module Failure
* Module Overheat
CO2
* Line Block
(Sidestream)
* Filter Line Off
* Replace Scubber
Parameter Message
* Module Failure
* Too Many Params
* Connector Off
O2
* Check Sensor
Cal?
Calibrating
Parameter Message
* Module Failure
* Connector Off
FLOW * Check Sensor
* Change Sensor
Calibrating
Parameter Message
* Module Failure
* OM2 Disconnected
SvO2 * Check OM2
* OM2 Failure
Out of Range
Parameter Message
* Unit Failure
* Connector Off
* Check Catheter
CCO * Catheter Location
CO<1.0L/m
Signal Adapting
Unstable Tb
Parameter Message
* Module Failure
* Connector Off
PiCCO
* Check Sensor
* Alarm
Parameter Message
* Unit Failure
Anesthesia Gas * Too Many Params
* Com Error
Parameter Message
* Module Failure
tcPO2/tcPCO2 * Connector Off
* Com Error
Parameter Message
* Module Failure
* Too Many Params
BIS
* Connector Off
* Com Error
Parameter Message
* Unit Failure
* Connector Off
* Check Sensor
CNIBP
Pulse Search
Sensor Expired
Out of Range
Parameter Message
* Module Failure
* Too Many Params
EEG * Connector Off
* Check Sensor
* Alarm
Parameter Message
* Connector Off
VENT
* Alarm
16
Other
*1 SIGNAL LOSS, BATTERY and CALL are displayed only when receiving
data from a transmitter.
* “This channel is already in use” is displayed only when using a transmitter or
2
multiple patient receiver which accepts the “This channel is already in use”
message.
* The battery replacement indication message on the monitor disappears after
3
CAUTION
While the “SIGNAL LOSS” message is displayed, parameters are not
monitored and the alarms do not function. Check the transmitter and
communication status and remove the cause.
Laser Printer
16
Other
16
ECG Monitoring
SpO2 Monitoring
* This applies only when data is being sent from a combination of a vital sensor
(a monitor from A&D Co., Ltd.) and a ZB-900P or ZS-900P.
16
NIBP Monitoring
CO2 Monitoring
17
Daily Check
4. Touch the exact center of the mark. Touch before the bar on the screen is
finished. When the mark is correctly touched, the mark appears in another
place. The mark appears in three places.
When all three places are touched correctly, the screen changes.
17
5. Touch the button. The calibration finishes and the screen returns to the
Touchkeys window.
When the calibration screen opens at a display that does not have a Touchkeys
function and you want to exit the calibration screen, press the Esc key on the
keyboard.
You can print a screen hard copy with the laser printer. Press the Print Screen
key on the keyboard. You can select “Enable” or “Disable” printing a screen hard
copy on the System Setup screen. The factory default setting is “Disable”. Refer
to Section 7-2 of Administrator’s Guide for enabling and disabling the screen
hard copy printing. The waveforms are not printed.
17
CAUTION
Before maintenance, cleaning or disinfection, turn the central monitor
power off and disconnect the power cord from the AC socket. Failure
to follow this instruction may result in electrical shock and central
monitor malfunction.
MU-960R Central Monitor Main Unit and RU-960P Multiple Patient Receiver
Cleaning
CAUTION CAUTION
This instrument is not waterproof. Be careful not If the instrument accidentally gets wet,
to let any liquid get inside the instrument. immediately stop using it and disconnect the
power cord from the AC outlet. Contact your
Nihon Kohden representative for inspection.
CAUTION
Do not use volatile liquid such as thinner or
benzine as these agents will melt or crack the
materials.
Wipe the panel with a soft cloth moistened with water, neutral soap or alcohol
(76.9 to 81.4 vol%) and wrung out. Wipe off moisture with a dry cloth or gauze
and thoroughly dry before use.
Check if the vent hole is dusty. Wipe the dust off with a cotton swab or vacuum it
with a cleaner.
Disinfecting
CAUTION CAUTION
Do not use volatile liquids such as thinner or This instrument is not waterproof. Be careful not
benzine as these agents will melt or crack the to let any liquid get inside the instrument.
materials.
CAUTION CAUTION
If you put spray on the instrument, wipe off the Do not sterilize. It deteriorates and damages the
instrument with a dry cloth after spraying. instrument surface and causes malfunction.
To disinfect, wipe the panel with a soft cloth moistened with any of the
disinfectants listed below. Use the recommended concentration. Wipe off
moisture with a dry cloth or gauze and thoroughly dry before use.
LCD Display
Disable the touchkeys function before cleaning.
4. Click the mouse or press any key on the keyboard to restore the touchkeys
function. Or, wait for 120 seconds to restore the touchkeys function.
Thermal Head
To protect the thermal head from abrasion or damage and assure optimum
performance for a long time, clean the head surface of the recorder with the
thermal head cleaning pen (recorder unit accessory) after every 10 to 15 sets of
recording paper.
CAUTION
Be careful not to cut yourself with the paper cutter on the recorder.
17
2. Push down the magazine release lever and open the magazine.
3. Clean the black part of the thermal head with the thermal head cleaning pen.
Sensor
The paper sensor is located by the thermal head. Clean the sensor surface with a
dry cotton swab.
Network Printer
Refer to the network printer manual.
Disposal
CAUTION
Dispose of Nihon Kohden products according to your local laws and
your facility’s guidelines for waste disposal. Otherwise, it may affect
the environment. If there is a possibility that the product may have
been contaminated with infection, dispose of it as medical waste
according to your local laws and your facility’s guidelines for medical
waste. Otherwise, it may cause infection.
Follow your local laws for disposing of the main unit, LCD display, Recorder
unit, multiple patient receiver and battery.
17
Regular Inspection
CAUTION CAUTION
Software upgrade must only be done by qualified Do the regular inspection twice a year. Otherwise,
service personnel or a person with technical a decrease and loss in function will not be
knowledge. If upgrade is not done correctly, the noticed and this results in incorrect monitoring.
central monitor may freeze.
CAUTION CAUTION
During maintenance and servicing, patients Restart the central monitor once every three
monitored by the central monitor must be months. Otherwise operation becomes unstable
monitored by alternate instruments such as and monitoring may stop. While restarting,
bedside monitors. patients monitored by the central monitor must be
monitored by alternate instruments such as
bedside monitors.
CAUTION
Never disassemble or repair the central monitor.
If there is any problem with the central monitor,
contact your Nihon Kohden representative.
17
CAUTION
Replace the backup battery once a year with a new one. Otherwise
the backup battery may deteriorate so that if there is a sudden power
failure, all data saved in the central monitor may be lost.
When the battery is discharged, the main unit cannot shut down
correctly and patient data may be initialized.
WS-960P Recorder Unit
Thermal array head (AJ048-8E802) Approx. 370 stacks of recording paper
After 370 stacks of recording paper, the recording becomes thin.
Paper drive motor (CD-0004 Motor Assy) Approx. 9,000 stacks of recording paper
After 9,000 stacks of recording paper, the paper drive motor is
deteriorated and cannot feed the recording paper.
Platen roller (Platen roller Ø 8) Approx. six years
When the platen roller is deteriorated, the paper cannot be fed.
Nihon Kohden Corporation (NKC) shall stock repair parts (parts necessary to
maintain the performance of the instrument) for a period of 8 years from the
date of delivery. In that period NKC or its authorized agents will repair the
instrument.
This period may be shorter than 8 years if the board or part necessary for the
faulty section is not available.
OK: The copy settings and backup settings are available. When changing the
monitor for a bed whose data is saved on another central monitor, the setting
is maintained.
NO: The copy settings and backup settings are not available. When changing the
monitor for a bed whose data is saved on another central monitor, the setting
returns to default setting.
–: The displayed setting is the setting maintained on the bed. When changing
the monitor for a bed whose data is saved on another central monitor, the
settings are changed to new bed settings
Change
Factory
Copy Backup Remote
Items Setting Values Default
Settings Settings Filing
Setting
Bed
×1/4, ×1/2, ×3/4, ×1, ×3/2,
ECG ×1
×2, ×4
×1/4, ×1/2, ×3/4, ×1, ×3/2,
RESP ×3/4
×2, ×4
×1/8, ×1/4, ×1/2, ×1, ×2, ×4,
SpO2 ×2
×8
0-20, 0-50, 0-75, 0-100, 0-160,
0-200
0-200, 0-300, 50-200 (mmHg)
PRESS 0.0-3.0, 0.0-7.0, 0.0-10.0,
0.0-14.0, 0.0-22.0, 0.0-28.0, 0.0-28.0
All Beds Screen Setup
18
Operator’s Manual CNS-9601 18.3
18. REFERENCE
Change
Factory
Copy Backup Remote
Items Setting Values Default
Settings Settings Filing
Setting
Bed
Auto
Manual (ECG II)*1
(maximum
Auto (1 wave), Auto (2 waves)*2, Auto (3
number of
waves)*2
Wave Selection waveforms)
1, 2 (When the Wave Selection
Number of OK
is set to “Auto (2 waves)” or 1
ECG Waves
“Auto (3 waves)”)
All Beds Screen Setup
Change
Factory
Copy Backup Remote
Items Setting Values Default
Settings Settings Filing
Setting
Bed
Group No
Select from group registered at “Group Name”.
Assignment registration
Factory Default Setting: OK OK OK
Group Name
Group A, Group B, Group C, Group D, Group E
Parameters Refer to Section 13.
Change
Factory
Copy Backup Remote
Items Setting Values Default
Settings Settings Filing
Setting
Bed
Sensitivity
Same as the All Beds screen
Manual (ECG (II), RESP (IMP), SpO2, P1, P2,
Wave Selection Auto
ART, CVP)*1, Auto
Numerical Manual (HR, P1, P2, ART, CVP, IMP(RR),
Indiv. Bed Screen Setup
Auto
Selection SpO2, NIBP)*1, Auto
Sweep Speed mm/s 25, 50 25
Same as the sweep
Respiration Wave Sweep speed selected for OK OK OK
25
Speed mm/s “Sweep speed mm/
Display Setting s” above, 6.25
Separate or
BP Scale Separate
Common
PR Display ON, OFF ON
PR Source*2 PRESS, SpO2 PRESS
Parameter Priority Same as the All Beds screen
Review Window
Change
Factory Default Copy Backup Remote
Items Setting Values
Setting Settings Settings Filing
Bed
Measured parameters
(except for parameters that Parameters that were
cannot be displayed on measured when the
Trend Parameter Setting the central monitor) and Trend window is
registered parameters at the opened the first time
Parameters window of the after power on.
System Setup screen.
Trend
OK OK OK
ASYSTOLE, V FIB,
V TACHY, VPC RUN, First: ALL
Trend Event Setting
COUPLET, Off/Noise, Other: NONE
ALL, NONE
Refer to “Parameters and Display” in Section 10-1
Trend Scale Setting
“Trend Window”.
Full Scale 72, 24, 8 hours, 1 hour 8 hours
18
Operator’s Manual CNS-9601 18.5
18. REFERENCE
Change
Factory Default Copy Backup Remote
Items Setting Values
Setting Settings Settings Filing
Bed
Interval 1, 5, 10, 15, 30, 60 minutes 5 minutes
Measured parameters
Parameters that were
(except for parameters that
Tabular measured when
cannot be displayed on
Tabular Trend
OK
EXT BRADY, VPC RUN,
V BRADY, SV TACHY,
TACHYCARDIA,
BRADYCARDIA, PAUSE,
COUPLET, EARLY
Displayed Arrhythmia ALL
VPC, MULTIFORM, V
RHYTHM, BIGEMINY,
TRIGEMINY, VPC, OK OK
IRREGULAR RR,
PROLONGED RR, NO
PACER PULSE, PACER
NON-CAPTURE, OFF
×1/4, ×1/2, ×3/4, ×1, ×3/2,
ST Sens ×1
×2, ×4
ST Recall
ADVISORY, All
Alarm
Arrhythmia, Limit,
Alarm Type All
Technical, All
Change
Factory Default Copy Backup Remote
Items Setting Values
Setting Settings Settings Filing
Bed
HR, PR, ST, RR, APNEA,
NIBP, SpO2, ART (ART2, HR, PR, NIBP, ART,
RAD, DORS, AO, FEM), SpO2, CO2, RR,
CVP, PAP, ICP ALL, TEMP APNEA,
ALL, O2, CO2, GAS ALL, ECG (Technical),
Limit BIS, EEG, LEAD OFF + ART + NIBP,
Technical NOISE, SpO2 (Technical), SpO2 (Technical),
ART + NIBP, TEMP SIGNAL LOSS
(Technical), CO2 (Technical), (wireless)
SIGNAL LOSS (wireless) (COMMUNICATION
(COMMUNICATION LOSS LOSS (wired))
(wired))
ASYSTOLE, V. FIB, V.
TACHY, EXT TACHY,
EXT BRADY, VPC RUN,
Alarm Events
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Operator’s Manual CNS-9601 18.7
18. REFERENCE
Parameter Setup
Change
Factory Default Copy Backup Remote
Setting Item Setting Range
Setting Settings Settings Filing
Bed
Alarm Limits Refer to Section 6. *1
Arrhythmia Alarm Refer to Section 6. *1
ECG Measurement ON, OFF ON* 2
Change
Factory Default Copy Backup Remote
Setting Item Setting Range
Setting Settings Settings Filing
Bed
Alarm Limits Refer to Section 6. *1 –– –– ––
Wave All the parameters
Anesthesia
Display related to anesthesia All parameters
Gas Display
Numerical gas which can be selected
Display displayed.
OK OK OK
Wave All the parameters
Display related to ventilator All parameters
Ventilator Display
Numerical which can be selected
Display displayed.
Alarm Limits Refer to Section 6. *1 –– –– ––
All the parameters
CCO Numerical All parameters
Display related to CCO which OK OK OK
Display selected
can be displayed.
All the parameters
Numerical related to PiCCO
PiCCO Display PCCO, PCCI OK OK OK
Display which can be
displayed.
*1 • For a bed being monitored through the RU-960P/ORG-9100, “Alarm Master 1” is set as the default. Any other
bedside monitor depends on the setup value on the bed side.
• For a bed being monitored through the RU-960P/ORG-9100 “Alarm Master 1” is set as the default when the
following operation is performed: Discharge, Delete data, or Delete data upon transmitter channel change. Any other
bedside monitor depends on the setup value on the bed side.
* Depends on the settings at the bedside monitor.
2
*3 QRS Detection Sensitivity can be set only when the QRS Detection Type is set to “Child”.
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Operator’s Manual CNS-9601 18.9
18. REFERENCE
Personal Setup
Refer to Section 6 for the following settings.
• Alarm Limits
• Arrhythmia Alarm
• ST Alarm
• Alarm Master Display
Change
Copy Backup Remote
Setting Item Setting Range
Settings Settings Filing
Bed
Name Up to 32 alphanumeric characters
Patient ID Up to 16 alphanumeric characters
Blood Type A−, A+, B−, B+, AB−, AB+, O−, O+, unknown
Gender Male, Female, unknown
Date of
YYYY-MM-DD
Birth
0 year 0 month to 127 years 11 months
Age Automatically calculated when the date of birth
–– –– ––
Admit/Discharge is entered.
Height 0.1 to 299.9 cm/0 to 9 ft, 0.0 to 11.9 inch
Weight 0.1 to 449.9 kg/0.1 to 654.9 lb
Automatically calculated when the height and
BSA
weight are entered.
Physician Up to 20 alphanumeric characters
Up to 40 alphanumeric characters, maximum 5
Diagnosis
lines
Note Up to 40 alphanumeric characters NO OK NO
Alarm Limits
Arrhythmia Alarm Refer to Section 6. –– –– ––
ST Alarm
Setup
Change
Factory
Copy Backup Remote
Setting Item Setting Range Default
Settings Settings Filing
Setting
Bed
Alarm Limits
ON, OFF OFF
Recording
Alarm
ST Alarm
Recording ON, OFF OFF
Recording
Recording Call Recording ON, OFF OFF OK OK OK
Dual Waveform Recording Differs from bed to bed.
OFF, 30 min, 60 min,
Periodic Record Interval OFF
120 min, FREE
Recording Sweep Speed 25 mm/s, 50 mm/s 25 mm/s
System Setup
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Operator’s Manual CNS-9601 18.11
18. REFERENCE
Parameter Priority
The central monitor follows the priority in automatic selection function and
numeric data sorting. Followings are the priority of factory default settings.
Specifications
Display
Number of patients on the display: 8 (16 when 16 Patient Expansion Program Kit is installed)
With overview bed function, 16 patients plus one other patient.
Number of transmitters: 16
Display type: 19 inch color TFT
Waveform display method: Non-fade, fixed method
Number of waveform traces: 24 (On the All Beds screen, displaying 12 patients)
Sweep speed: 25 mm/s, 50 mm/s, 6.25 mm/s (respiration measurement)
Sound
Synchronization source: ECG
Alarm sound: Crisis, Warning, Advisory
Sound volume: changeable for Heart rate sync mark and sound
Alarm Function
Alarm decision is done at each bedside monitor and multiple patient receiver. The central monitor only displays the alarm
and generates sound by receiving the alarm information from bedside monitors and multiple patient receivers.
Alarm silence: Available (except for beds connected via the QI-910R interface)
Alarm recording: Available
Alarm volume: 45 to 85 dB (A) (Requirement of IEC 60601-2-49: 2001) (at 1 m in front of
central monitor) Crisis ≥ Warning ≥ Advisory
* Essential performance in EMC standard
Trend
Trend parameters: Depends on the connected bedside monitor or transmitter
Trend display times: 1, 8, 24, 72 h
Trend display formats: Trendgraph and tabular trend
Events related to trendgraph: ASYSTOLE, V. FIB, V TACHY, VPC RUN, COUPLET, Off/Noise
Waveform Sensitivity
ECG display sensitivity: ×1/4, ×1/2, ×3/4, ×1, ×1.5, ×2, ×4
Respiration curve sensitivity: ×1/4, ×1/2, ×3/4, ×1, ×1.5, ×2, ×4
IBP display scale (mmHg): 0-20, 0-50, 0-100, 0-200, 50-200, 50-250, 0-300 mmHg
Overview
Displays user-selectable vital signs, up to 12 ECG waveforms, trend data, alarm events, and status messages associated
with the selected overview bed. The overview bed can be any bed in the network that the central monitor is not
continuously monitoring.
Remote Setting
Alarm setting of bedside monitors and multiple patient receivers, Individual setting of bedside monitors and multiple
patient receivers, Channel setting of multiple patient receivers
Hemodynamics List
Saves up to 256 files of hemodynamics list created for each bed on the CO measurement window or IBP value input
window of the bedside monitor.
Arrhythmia Recall
Saves up to 768 files of arrhythmia recall files created for each bed.
ST Recall
Saves up to 4,320 files of ST recall files created for each bed.
Full Disclosure
Saves 72 hours of full disclosure waveform data for up to six waveforms and displays them on the Full Disclosure window
(when the QP-963P Full Disclosure Filing Program Kit is installed).
Alarm History
Saves up to 5,000 alarms history for each bed.
Alarm Events
Saves 72 hours of alarm events data for each bed.
Report
A report is created and printed.
File Saving
Trend
Arrythmia recall file
Hemodynamic data list
ST recall
Full disclosure data (when the QP-963P Full Disclosure Filing Program Kit is installed.)
ECG 12 Lead analysis result filing (only when the QP-964P 12 Lead ECG Interpretation Filing Program Kit is installed.)
Caliper data
Alarm history
Power Requirements
Line voltage: AC 100 to 240 V
DC 24 V (RU-960P Multiple Patient Receiver)
Line frequency: 50 or 60 Hz
Power consumption: AC 180 VA or less
Environment
Operating temperature: 10 to 40°C (50 to 104°F)
10 to 35°C (When two RU-960P are used) (50 to 95°F)
Operating humidity: 30 to 90%
30 to 85% (RU-960P)
(10 to 40°C noncondensing)
Operating atmospheric pressure: 700 to 1060 hPa
Storage temperature: –20 to +65°C (–4 to +149°F)
–15 to +55°C (recording paper) (5 to 131°F)
Storage humidity: 10 to 95%
Storage atmospheric pressure: 700 to 1060 hPa
Safety Standard
Safety standard: IEC 60601-1: 1988
IEC 60601-1 Amendment 1: 1991
IEC 60601-1 Amendment 2: 1995
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
IEC 60601-1-6: 2006
IEC 60601-1-8: 2006
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Operator’s Manual CNS-9601 18.17
18. REFERENCE
Electromagnetic Compatibility
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
Electromagnetic Emissions
This Model CNS-9601 is intended for use in the electromagnetic environment specified below.
The customer or the user of the CNS-9601 should assure that it is used in such an environment.
Electromagnetic Immunity
This Model CNS-9601 is intended for use in the electromagnetic environment specified below.
The customer or the user of the CNS-9601 should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance
Electrostatic discharge ±6 kV contact ±6 kV contact Floors should be wood, concrete or ceramic
(ESD) ±8 kV air ±8 kV air tiles. If floors are covered with synthetic
IEC 61000-4-2 material, the relative humidity should be at least
30%.
Electrical fast ±2 kV for power ±2 kV for power Mains power quality should be that of a typical
transient/ burst supply lines supply lines commercial or hospital environment.
IEC 61000-4-4 ±1 kV for input/output ±1 kV for input/output
lines lines
Surge ±1 kV differential ±1 kV differential Mains power quality should be that of a typical
IEC 61000-4-5 mode mode commercial or hospital environment.
±2 kV common mode ±2 kV common mode
Voltage dips, short <5% UT (>95% dip in <5% UT (>95% dip in Mains power quality should be that of a typical
interruptions and UT) for 0.5 cycle UT) for 0.5 cycle commercial or hospital environment.
voltage variations on If the user of the CNS-9601 requires continued
power supply input 40% UT (60% dip in 40% UT (60% dip in operation during power mains interruptions, it
lines UT) for 5 cycles UT) for 5 cycles is recommended that the CNS-9601 be powered
IEC 61000-4-11 from an uninterruptible power supply or a
70% UT (30% dip in 70% UT (30% dip in battery.
UT) for 25 cycles UT) for 25 cycles
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Operator’s Manual CNS-9601 18.19
18. REFERENCE
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
*1 Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the CNS-9601 is used exceeds the applicable RF
compliance level above, the CNS-9601 should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the CNS-9601.
*2 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
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Operator’s Manual CNS-9601 18.21
18. REFERENCE
18
Operator’s Manual CNS-9601 18.23
18. REFERENCE
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.
LCD Display
DM-960P J Frame
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
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.