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    Nihon Kohden Vismo PVM 2701 2703 Patient Monitor User Manual PDF

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    J Vk

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    © All Rights Reserved
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    OPERATOR’S MANUAL Vismo Bedside Monitor PVM-2701/PVM-2703 Fin Eaton: 231Mev 2010 Fite Edtion: 22.Apr 2013 oe Ba NIHON KOHDEN Contents About this Manual Related Documentation. Intended Purpose... Precautions... Genoral Handing Proeautions EMC Related Caution... Resnonsibiity of the Manufacture Conventions Used in this Manual and instrument Warnings, Cautions and Notes... ‘Text Conventions in this Manual. Explanations of the Symbols in this Manual and Instrument. General Sataly Information, Panel Description Front Panel Left Side Panel . Right Side Pana Rlear Panel... Caution Labels on the Monita Rear Panel... Right Side Panel Left Side Panel. Adgitianal Satey Measures for Connecting External Devices Environment for External Instruments... ‘Warnings and Cautions for Gannasting the Monitarto a Network... Loading Recording Paper. Installing the Battery Pack. Using a Transmitter... Turning the Monitor OnvOt! Turning the Monitor On. Check Before Tuming On the Powe! Turning the Power On... i Chick Alter Turning On the Power and During Monitoring... Power and Battery Status Indications. Battery Pack Hanging and Operaben When Not Using tno Moniter or Battary ..... ‘When the “BATTERY WEAK” Massage Appears. ‘Charging the Battery Pack Monitor Status on Power interruption. ‘Turning tne Monitor Of... Operator's Manual PVM-2700. (Check Aftar/Botore Turning the Power Oit....... Basic Operation... Home Serean Daserption Settings for tha Home Sersen.. Freezing Wavelorms Large Numerics Screen. Using Sleep Mode MENU Windorr Description... Changing Parameter Sellings and Other Settings ‘Changing Settings ... Adimritting/Discharging a Patient Admitting a Patignt 5 Importing Patient Information from the Hospital Network. Discharging a Patient... Alarms, Alarm Types and Levels... ‘Alarm Control Marks... Flow of Alarm Function... Sifencing/Suspending Alsrms.... ‘Silencing Alarms... ‘Changing Vital Sign Upper/Lower Alarm L IIS ane ional Checking the ‘Ayton Alarm Settings ‘Changing All Alarm Limits to the Alarm. Master... Alarm Escalation Inerbed Alarm. Review Windows. General. Time Bar. TREND TABLE Window. NIBP TABLE Window. TREND GRAPH Window. RECALL Window.. FULL DISC Window ALARM HISTORY Window. Recording... - Recording Modes... ‘When More than Ona Recording Mode i= Triggered .... Changing Recording Settings. Selecting Recording Wavetorms Ghanging Recording SRC ems Turning Alarm Recording ON/OFF... Turning Periodic Recording ON/OFF, INTERBED Window. Registering/Removing interbed Beds. Displaying the Interbed Bed Data... Interbed Alarm Function.. Interbed Alarm Setting Monitoring Parameters ECG on Preparation. Monitoring Arthythmia. Changing ECG Seings Respiration .. 7 Prepavation.. a4 Changing Respiration Seti 74 CO, (PVN-2703 only). 75 Prep rathoM esate 78 Changing CO. Senngs .... 79 Inspection of Measuring Accuracy 80 Use wth Volatile Anesthetic Agents 80 Starling and Stopping NIBP Measurement .. IP (PVM-2703 only) Preparation. Connecting Gabies to the Unt. Assembling the Transducer. Adjusting Zero Balance. ‘Changing IBP Sattings.. Temperature Preparation. Using the Insulation Pad Changing Temperature Settings. Screen Messages.. Troubleshaotng .. Monitoring. Printing ECG. Respiration GO, (PYM-2703 only) Mainstream Mathod. Sp», NIBP . IBF (PYM-2703 only). Temperature Maintenance on Bedside Monitor 7 : Cleaning and Disinfecting the Bedside Monitor. - Cleaning the Touch Seren Disposing of the Bedside Monitor. WS-201P Recorder Mewule ‘Cleaning the Thermal Head Cleaning the Sensors Disposing of the Recorder Module S8-201P Battery Pack. Battery Lifotime = Replacing the Battery Pack. Disposing of Battery Pack 28-000PG/PK Transmitter Leads, Cables and Cords Cleaning the Leads, Cables and Cords. Disintacting tie Leads, Cables and Cords Disposing ot Leads, Cables and Cords... Electrodes, Probes, Cutts-and Oth Consumabies.. Yearly Inspection Speattications... Measuring Parameters Influence on Measuring Accuracy by Electrosurgery/Defibrillatin/Electrostatic: Discharge Display... Alarm...... Alarm Delay Time. ECG (IEG 60601-2-27: 2008).. Respiration (impedance metho), ‘SpO, (ISO 9919: 2006}... Non Imasive Blood Pressure, NIBP (IEC 60601-2-20: 1990)... Invasive Blood Pressure, [BP (PVN-2703 only). ‘Temperature (EN 12470-4: 2000). = 198 Carbon Dioxide. CO, (Mainstream method) (PVM-2703 only) . 127 Operator's Manual PVM-2700 WS-201P Recorder Madulo 2S-900PG/PK Transmitter Gattory (SB-201P Batiery Pack). Powor Requirement. 128 128 120 wo Clock Accuracy. 19 Environment... 129 Mechanical Strength... 129 Elpetromagnetic Compalibiliy.... 120 Satety Standatt.......... 123 Dimensions and Weight (appraximate] 130 Electromagnetic Emissions. 13 132 Electromagnetic immunity Recommended Separation Distaneos between Portable and Mobile AF Communications Equipment... ‘System Composition for EMC Test. Factory Delaut Settings. TREND TABLE Window. NIBP TABLE Window... TREND GRAPH Window. RECALL Window... ee ADMIT DISCHARGE Window ALARM LIMITS Window... ARRHYTH ALARMS Window. DATE Window. DISPLAYISOUND Window RECORD Window ECG Window. RESP Window (PYM-2701), RESP/CO, Windows (PYM-2703) . ‘Sp, Wincow NIBP Window PRESS Window (PVM-2703 only) TEMP Window... INTERBED Window. Standard Accessories . Gptions/Consumabies .. Accessory Set. PYM-27012703 Bedside Monitor NOtWORK ness Cart and Attaching Part.. 143 Interface for Connecting External Instruments . 143 For ECG and Respiration (Impedance Method) Momitarinng..sxsistvosnsie estes For CO, Monitoring (Mainstream Method, PVM-2703 only) For S20, Monitoring, Fer NIBP Monitoring. For IBP Monitoring (PVM-2703 oni... Operator's Manual PVM-2700 For Temperature Monitoring Gonoral Raquirements for Connecting Medical Electrical Systems cs About this Manual Thi Operator's Manual deseribes the mast cominan features ara functions of the PVM-2701 and PYM-2701 bedside monitor, Related Documentation The PYM-2701 amd PYM operaor’s manvat 2703 bedside monitor comes with the following manuals ia addition to the: Administrator's Guide Describes how to install the bedside monitor, [1 sisa explains about the password protected settings which ‘only am administrator can change. User's Guide Gives supplemental information on the operation of the bedside monitor and describes the features and settings of the monitoring paraiseters, Service Manual Describes information on servicing the bedside monitor. Only qualified service personnel ean service the bedside moaitor. ‘Operator's Manual PYM:2700 1 Intended Purpose Je monitor is For one patient. This bedside monitor has 10.4 inch The PYNE2700 and PV! TFT eoloe iisplay which displays up to 4 waveforms on the screen, YMEZTOI bedside monitor is installed newer 2. paticnt and displays the paticnt’s vital vigns.susht a, temporal, SPO. seu respiration, and generate ators pe PVIM=2705 bes ito is installed near 3 patien( snd lisplays the patient's vital signs suchLts E CG_NIBP IBP temperature, CO. ‘spO.amLzsspration, snd ycncues aor? Tive monitor is designed s0 the operator can cliteetly touch the sereen fram the operator position + Essemial performance in EMC standard WARNING WARNING Do not use the same monitor on more than one De not diagnose a patient based only on data patient at the same time, [Da not connect different acquired by the bedside moor. Overall ‘sensors on different patients to the Same monitor. judgement must be performed by a physician who understands the features, limitations and characteristics of the bedside monitor and by reading the biomedical signals acquired by other instruments. ‘The following options are available for the PVM-2701 and PVM-2703 bedside monitors, + WS.201P recorder module ‘$B-201P franery pack, + QL-201P interface and ZS-900PG/PK transmittse + QE-202P interface far connecting to.a central monitor network NOTE: + This monitor must be used by qualified medical personnel with a full knowledge of operating this monitor. + Only use Nihon Kohden paris and accessories to assure maximum performance trom your instrument. 2 Operator's Manual PVM-2700 Precautions General Handling Precautions * This device isiimended for use oaly by qualified medical personnel * Only use Nibea Kohden approved products with this device. Use of nan-appraved products or in a ‘non approved mance may aflect the performance specifications of the device. This includes, but is not limited to, batieries. recording poper, extension cables, electrode leads, input boxes and AC power, + This device must receive expert, professional attention for maintenance and repairs, When the device is nist functioning property, it should he clearly marked to auold operation while itis out of order. + This device must not be altered or msliffed fn any wary, EMC Related Caution ‘This equipment and/or system complies with IEC 60601-1-2 International Standard for electromagnetic compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that exceeds the limits or levels stipulated in IEC 60601-1-2, can cause harmful interference to the equipment and/or system or cause the equipment and/or system te tail to perform its intended function or degrade its intended performance. Therefore, during the operation of the equipment and/or system, if there is any undesired deviation from Its Intended operational performance, you must avoid, identity and resolve the adverse electromagnetic effect before continuing to use the equipment and/or system, ‘The following describes some common interferences sources and remedial actions: Strong electromagnetic interference from a nearby emitter source such as an authorized radio station or cellular phone: Install the equipment andlor system at another location. Keep the emitter source euch 5 cellular phone away from the equipment and/ar system, or turn off the cellular phone. 2. Radio-Irequency interference from other equipment through the AC power supply of the equipment and/or system: Identify the cause ol this interference and if possible remove this interterence source. It this is not possibie, use a different power supply. 3. Effect of direct or indirect electrostatic discharge: Make sure all users and patients in contact with the equipment and/or system are free from direct or indirect electrostatic energy before using it. A humid room can help lessen this problem. 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 tne equipment and/or system as far as possible from the radio wave receiver. 5. Interference of lightning: When lightning oceurs near the location where the equipment and/or system is instatted, it may induee an excessive voltage in the equipment and/or system. In such Operator's Manual PVM-2700 3 Caso, disconnect the AC powor cord from the equipment and/or system and operate the equipment and/or system by battery power, or use an uninterruptible power supply. 6, Use with other equipment: When the equipment and/or system Is ndjacent ta or stacked with other equipment, the equipment and/or system may affect the other equipment. Before use, cheek that the equipment and/or system operates normally with the ether equipment. 7. Use of unspecified accessory, transducer andlor cable: When an unspecified accessory, transducer and/or cable is connected to this: equipment andor sysiem, it may cause increased electromagnetic emission oF decreased electromagnetic immunity. The specified configuration of this equipment and/or system compiles with the electromagnetic requirements with the specified configuration. Only use this equipment and/or system with the specified configuration. 8. Use of unspecified configuration: When the equipment and/or system is used with the unspecified system configuration different than the configuration of EMC testing, it may cause increased electromagnetic emission or decreased electromagnetic immunity. Only use this equipment and/or system with the specified configuration. 9. Measurement with excessive sensitivity: The equipment and/or system is designed to measure bioelectrical signals with 2 epecitied censitivity. it the equigment and/or system Is used with excessive sensitivity, artifact may appear by electromagnetic interference and this may cause mis-diagnosis. When unexpected artifact appears, Inspect the surrounding ‘electromagnetic conditions and remove this artifact source. It the above suggested remedial actions do not solve the problem, consult your Nihon Kohden representstive tor Sdditional suggestions. ‘The CE mark is a protected conformity mark of the Eurapean Cemmunily, Products with the CE mark comply with the requirements of the Medical Device Directive 93/42/EEC, Operator's Manual PVN-2700 Responsibility of the Manufacturer [Nihon Kolker Corporation| (NIGC) shall wowrant its products against all defects in materials and ‘workmanship far one year fiom the date of Uetivery. However, consumable materials such as recording, eper ink, sty hoe and battery sre exeludee! foun the warranty. NC or its authorized agents will epi or replace any products which prowe to be defective during the \warranty period, provided these products are used as prescribed by the operating inutzuctions given im the User's puide, operator's and service monaals ‘This warranty doses not opply: to prodhicts that have been modified, disastcrnbled, reinstalled or repaized without Nihow Koliden approval or which have been subjected to neglect or accident, darmaze due to accident, fir, lightning, vanalism, water er other casualty, improper installation or application, or on which the original identification marks have ben remaved! ‘Operator's Manual PVM-2700 ‘ Conventions Used in this Manual and Instrument Warnings, Cautions and Notes Warnings, cautions and notes are used ia this manu! to alert or signal the reader to specific information, WARNING A warning alerts the user to possible injury or death associatad with the use or misuse of the instrument aa | CAUTION | A caution alerts the user to possible injury or problems with the instrument associated with | fs use or misuse such as instrument mallunction, instrument failure. damage to the | instrument, or damage to other property. NOTE: A note provides specific information, in the form of recommendations, prerequirements, akernative methods ar supplemonial information. Text Conventions in this Manual + Names of hardsare keys on the monitor are enctosed in square brackets: [CHECK] + Messages that are displayed on the sereen are enclased in quotation marks: “CHECK ELECTRODES" + Names of items that are displayed on the screen are enclosed in angle brackets: (Operator's Manual PVM-2700 Explanations of the Symbols in this Manual and Instrument (On panel or inside casing Symbol Description | Symbot Description Ont only for 2 par of instrument Date of manufacture “OMT caly fora pan of instrument High voltags Akerating current (Output (ZS socket. When QI-201P interface is installed.) Biamery charge Bxa inpevouper lepusiounput terminal (Serial socket. When QF 2020 interface is installed.) Nenwork socket (When Q1-202P interface is installed.) SDesrd slot Prective earth Deftellation-proof type CF applied part ‘The CE mark is aprosected conformity mark of the European Coramunity. Preduees marked with this symbol comply with the requirements of the Medical Device Directive 93"42EEC. Foaipotential terminal Attention, consult operator's manual >a Products marked with this symbol comply with the European WEEE dircetive 200296/EC and require separate waste collection, For Nihon Kohden products marked with this symbol, contact your Nikon Kohden representative for disposal. Respiration syne mark Batiery status On eereen ‘Symbol Description Tsymboi Description TS | atamsitence | Recorder door open ZS |atemsuspences | | checking sb card BE latatem or | & {so card faitare 2) lou orpaper | & [war FZ] [Recon () NIBP interval ® | meos DD |yiarstar 7 A |rtome @ | xiwrscop LF | Now paces TYSTT=] | Aju setting Scraft date @ Zoom in/Zoom out i) ‘Touch panel calibration Operator's Manual PVM-2700 WS-201P Recorder Unit —! iptl Semel | Dascriptt ‘Symbol Deseription A , a ie The CE mark isa protected com forn eos paid the Parapean Community. Products marked with, [SN] [scat a cé this aymho! comply with the fequitements oF the == EF | Atedical Device Directive 93/42/TEC. Pe] lsc etnaeitaione ‘SB-201P Battery Pack [Syma Deseription [symbol Deseription Recycle mark Attention, consult operator's manual Insert direction Prociacts marked with this symbol comply with environmental protection use period of 10 years acconfing to the STA11364 "Marking for Control ‘of Pollution Caused by Elcetroaie Information Products” of the People's Repablic of China Electronic Indusity Standard. ce The CE mark is a protected conformity mark of the Uurepean Community, Proxtucts marked wit this symbol comply with the requirementsoft ‘Medical Device Directive 93:42 EEC. Products marked with this symbol require seperate waste collection according to EU batiery dircetive 2006/66°FC- O1-201P Interface [_Symbot | Description Symbol Description Ane | consult operator's manual Scrial number ‘The CE mark isa protected conformity mark of the European Community, Products marked swith this symbol camiply: with the requirements of the Medical Device Directive 93442/EEC, Date of manufacture QI am ‘Outpur (2S socket) Q1-202P Interface Oascription Symbol ‘Attention, consult operator's manual Serial number [The CE mack is x protected conformity mak of the European Community, Products marked with this symbol comply swith the requirements of the Medical Device Directive 93/42/EEC, Inpuvowrpar terminal Date of manufeture ale|®| Bm Network socket ‘Operator's Manual PVM-2700 General Safety Information WARNING Never use the monitor in the presence nf any flammable an ntration oxy jn 2 10 fol thie warning may cause explosion or tre. WARNING When the manitor is used with an electrosurgical unit (ESU}, firmly attach the entire area of the ESU return piste, Othenvige, the eurrent from the ESU ffows into the electrodes of tne monitor, causing electrical bum where the electrodes are attached. For detais, refer to the ESU manual WARNING e defitriliation. all persons must keep clear a! xd and must not toueh the patient or any cord connected to the patient. Failure to follow this warning mey cause electrical shock or injury. WARNING Do not allow the conductive part of the connector which is conneoted to the patient to contact other conductive parts including earth. This causes leakage current and incorrect measurement value -and leads to wrong diagnosis. WARNING After attaching electrodes, probes and sensors on the patient and connecting cables to the bedside mmontor, check tat thars is no arror messages and the waveforms and numeric data are appropriatcty displayed on the screen. there is an error message, or waveformmer numeric dala is not appropriate, check the electrodes, probes and sensor allachment, patient condition and settings on ihe bedside moniter and remove the causa. (Operator's Manual PVM-2700° WARNING Never use the manitor in a hyperbaric oxygen ‘chamber, Failure to follow this warning may cause explosion or fire, WARNING When performing detibniation, discharge as far as possible from electrodes, patches and any gel, cream of medicine on the ches! of the patient. I! there is a possbilty that the defibrilator paddie could touch these materials, remove them fromthe patient. If the defibrillator paddle directly contacts thase materials, the gischarged energy may cause skin burn to tne pationt WARNING ‘Do not perform delibriliation when the cables are located between the dafibrillator paddies. The discharged energy may be insufficient WARNING When performing MAI test, remove all electrodes and transducers from the patiant whieh are connected to this instrument. Failure to follow this warning may cause skin burn on the patient. For details, refer to the MAI manual. WARNING Do not use the same monitor an more than one: patient at the same time. Oo not connect different sensors on diferent patients to the same monitor. WARNING Do not leave the $0 card near the patient or in Feaoh of children, CAUTION and sensors. Othenwvise, the maximum performance from the monitor cannet be ‘guaranteed. CAUTION Make sufe that the electrodes and cards attached to the patient are properly connected to the ‘monitor. Otherwise, incerract data may De displayed and lead to wrong diagnosis. CAUTION ‘Tum olf the power of maniie phones, small wiroloss devices and ather devices which produce ‘strong electromagnetic interference around patient (except for devices allowed by the hospital administrator). Radio waves from devioes such 8s mobile phones or small witeless devioes may be || mistaken as pulse waves and the cisplayed data may be incomect, When the “CONNECTOR OFF message appears con the screen, check that the connection cards ars connected to the sockets peper'y. The patient cannot be menitored and the alarm d6e5 not function while this message is displey90. CAUTION Do not fift the monitor by the powar cord or patient cable; use only the handle on the monitor. Only use Ninon Kohden specified electrodas, probes || For caution and the manual ofthe electrode and transducer aie monitored. CAUTION poo not reuse disposable parts and accessories rage ofthe eleteode and transdUeer, fe to CAUTION Atter the monitor power is tumed am: parameter tebated alarms do not function until ine parameters CAUTION \Wuhon admitting a new pabent, first delete all dete of the previous patient. Otherwise, the data of tha previous patient and new patient wal De mixed together. It fluids are accidentally spilled into the monitor, take the moniter out of service and contact your Nihon Kohden representative. The menitor must be disassembled, cleaned, dried and tasted for salaty and function. NOTE! Operate tha monitor on battery power if you cannot confirm the grounding or wiring in your fae. Pimaratre’a Lfare nl PULE-2700 Panel Description Front Panet ‘Alarm indicatar Reed or yellow lamp blinks or yellow or cyan amps lights acconfing tothe alarm senings, ‘Green lamp blinks in synchronization with the patient's QRS or pulse Touch serean Displays monitoring data. Touching a key ‘ordata on the screen changes the displayed screen and settings, Power switch Press to tum te monitor power an. When ‘tuming the monitor power off, press and old for more than one second, Powerlamp [Lights when the monitor power is tumed on Battery lamp Lights when the power cord is Indicates the bamery situs of connected between the AC SOURCE. the battery pack in the battery socket and AC outlet pack halder, Left Side Panel Operators Marwal PVM-2700 Handle Fox carrying the monitor. PRESSICO, socket (PVM-2703 only) Connects to the connection cord of the parameter to be monitored (HBP and CO:), The type of porameies fs Aulomatically recognized. SpO. socket ‘Conazets to the SpQ, connection cord. ECGIRESP socket ‘Connects to the ECG connection cord, ‘NIBP socket ‘Connects to the air hose, TEMP sockat ‘Connects to the termperature pene cable. Right Side Panel SD card slot For an SD cand or program card, CHECK key F For disiaying the DIAGNOSTIC CHECK sereen, Recardar module holder For mounting a recorder module, Rear Panel Equipotential grounding terminal For an equipotential grounding tead. 25 socket For £5-900PG/PK transminer, (When Q1-201P interface is installed) Network socket Connects to monitor network system vvia the network separation unit. (When QL-202P interface is installed) Seria! socket For serial communication, (When Q1-202°* interface is installed) Recorder module holder ACG SOURCE power cord socket Battery pack holder Fot mounting a recardcr module, For the AC power cord. 12 ‘Operator's Manual PVM-2700 Caution Labels on the Monitor Rear Panel Refer to “Grounding the Monitor in ‘Section 1 of the Administrator's Ginide, Refer te "Connecting the Pewter Cont” in Section 1 of the Administrator's Guide. Refer to “Battery Pack Refer wo~Auaching the 25-900PG’ Refer to “Connecting the External Handling and Operation”. PK Transmitter” in Section | ofthe Instruments to the Mentor” and Administrator's Guide. Connecting the Monitor to the Network” in Scction I of the Administrator's Guide. el (| When Q1-201P is installed ‘When QI-202P is installed at aa gue a a a i a liar Right Side Pano! _= Refer “Displaying 1 MeN FICiURATION Serer!” in Section 2 ofthe Addoninistrator’s Guide, Referto “Loading [sso | WS.201P Recomer Module i installed When Lett Side Panel Refer to “Monitoring Parameters”. Installation General WARNING ‘Oniy use the provided power cord, Using other power cords ry result in electrical shock or injury to tho patient and operator. WARNING Connect only the specified instrument to the moniter and toliow the specified procedure. Failure te fellow this wearning may result in electrical shock Ct injury to the pation! and aperator, and cause fre of instrument mattunction. CAUTION (Only use the speciied cart ar equipment for installing the monitor and instruments, Using non- ‘specified equioment may result in the instruments lalling and causing injury. | CAUTION || Belera connecting or disconnecting instruments, socket. Otherwise, the patient or operator may receive electrical shock or injury. ‘Operators Manual PVM 1 installed by qualified personnel. Betaily are inthe Administrator's Guide, WARNING When several medical instruments are used Jogether, ground ail instruments to the same one- point ground. Any potential ditference ketwean instruments may cause electrical SM0¢k to the patient and operator WARNING * Do not install the mentor above the patient. + Only use the specified tools or equipment when instaling the monitor. Failure to follow this warning may msult 9 tha moniter oF unit fling and injufing the patient CAUTION ‘When not using the specttied can, caretully set the ‘monitor Io prevent it from faling ator tipping over. NOTE: Avoid locations where the monitor is sprinkled with liquid. Avaid cireet sprinkling, spray or nist air from a nebulizer or a humidifier, Operstor’s Manual PVM-2700. 1k =~ Make sare that there is moee than S em f'space berween the moniter an the wall for adequate ‘emiilation. When the moti is sumrounded, make sure that there is about 10-em oF space above the ai the operating temperature doe not exceed 40°C (10°F moniter foe ventilation sa. Additional Safety Measures far Connecting External Devices Whea more than one elcetrical instrument is used. there may be electrical potential difference between the instraments, Potential difference ietiveen instruments may cause current to flow to the patient connected to the insiraments, césulling in eleetrical shock. Never we any metlical equipment in patient treatment without proper grounding. "Always perform equipotental grounding as specified im TEC 60601-1-1 when required. Its often required jn the ICL room, CCU rom, cardive sathetertzation room and X-ray room. Consult with a biomedical ‘engineer to determine ifit is required. Refer to the reference "General Requirements for Connecting Medical Electrical Systems”. NOTE. = For details on connecting an extemal instrument to the monitor, contact your Nihon Kohden representative, + Leakage current may increase when interconnecting many medical instruments to the monitor, Environment for External Instruments, ng environmen ‘Oncretnre Manual PYM-2700 Warnings and Cautions for Connecting the Monitor to a Nolwork WARNING Install all network devices, including priator and ‘hubs, outside the pationt environment (IEC GOGO! 1-1) If they are installed inside the patent environment, {he patient or eperator may receive etectrical shock or injury, For installation, contact your Nihon Kohden representative. WARNING Connect the monitor to network as spacilied. Otherwise the patient and operator may receive tlectrical shocker injury. To connect tha nonwork, cartact your Nihon Kohden representative WARNING Do not use 3 damaged network cable. The patient ‘oF operator may receive electrical shoe when the damaged part ig touched. WARNING Chock the software vorsion numbar of they monitor belore connecting it ta tho network, Bitfarent software versions have difforont egenmunication Mothods, Moro than ona communication mained in a notwark may causa communication failure, For dotaits, roler to the Network and Syston Installation Guido, WARNING Ina network where this monitor is connected, connect onty ihe specified instruments. Unspocified insirumonts may cause cloctrical ‘shock oF Injury to the patient and operator or cause instrument malfunction, instrument stop, or data loss CAUTION When the moniter is connected to a central monitor network, Sat tha Bec Name (Bed ID) and ‘Group Name on the monitor. Otherwise, the default | settings are used for the bed name and group | name and tha bed may be incorrectly identified on the central moniter NOTE: When a CNS-9501K of CNS-97010/K central ‘moniter is used, check that the software version of the central monitor is as follows: CNS-S601K: — version 01-06 or later CNS-S7O1UK: version 01-75 or later Onerstre’s Maan PYLSTON CAUTION Tha network must be managed by the network admunisiretor, Make sure thal each monitor in the network has a different IP address. Otherwise, data communication cannot be performed prope ly. When adding a monitor to an already operating nctwork, sei the IP addrass on the monitor belore connecting the moniter to the network. 7 Donne touch the thermal head inside the recordar module. The thermal head may be damaged |) by-static electricity or become girty and cause printing teilure. Open the recorder door. Set the recording paper (FQWS0-2-100) inside the recorder so that the detection raark (senall Black square on camer) of Uae paper icon the right side: Draw out one page of pups toward you. 4. Close the recorder door. Ifthe “CLOSE PAPER MAGAZINE” message and leon ae still displayed, the recorder coor is not closed property. Installing the Battery Pack How to jastall the battery pack is described in the Asministratar”s Guide. Using a Transmitter With the Z5-500PG/PK transmitter, the bedside monitor can transmit moniforing, data ta the central ‘monitor or telemetry system. A muliple patient receiver is necessary with the central monitors. To attach the transmitter, the Q1-201P interface is required. The adapter to attach the transmitter to the bedside monitor is provided With the interface, For deinils, refer to the QI-201P interface installation guide, When the ZS-900PG/PK transmitter is connected, the channel number is displayed on the home screen. qa ‘Operators Manual PVM-2700 CAUTION The transmitter can only transmit temperature data from & t0.45°C {41 10 113°), Be caratul when | reading the valua, When the ZS-S00PG/PK transmitteris attached to the bedside monitor, ches the alarm, arityythmia and monttaring settings cn the central monitor or Telemetry system, The transmitter does not lransmit the alarm, archythmia and monoring setting information, NOTE: CAUTION When using a Z3-S00R6/FK wansmitter, he measurement value on the telemetry system and transmission side monitor may be different due to ‘When transmitting CO, data through aZS-900PG/ PK transrnitter to a receiving monitor, # the |) transmuted data is out of the range of the receiving monitor, the maximum value of the receiving monitor is displayed, Bs careful when reading ine value. + Bolore connecting the transmitter, tum off the monitor paver, * The CE mark does not apaly te the 25-B00PK transmitter. * A.ZB-S00PK of ZB-900PG/PK transmitter cannot be used on this manitor. ‘Cceruice’s Miare ai PVARoTON Turning the Monitor On/Off Tutning the Monitor On The menitor can operate on ether hattery o¢ AC poner. When the mentor i instale! andthe poner con is connected, the AC pemer Lamp lights. When a haery pack is installed and the power cord is isewnnsetet ioe thete tea sexlden pence Taihute, the monitor automatically switches 10 Davlery POWEr. Thy about ¥ hours witha new fully hanged hattcry pack when: moniter can operate + Used im nonmal temperatune. + Optional recenter is not installed. + No alarm occurs, Only Hionitoring LOG. “POWER SAVING MODE> on the SYSTEM SETUP window is set to ON. NIBP is not measured, Check Before Turning On the Power Check the following items before turing om the powcr. + Enough elcetrodes and electrode leaals are ready. + Cleaned and sterilized sensors are ready. rower cond is connected property, + Equipotential grounding lead is connected property when equipotential grounding is required. + All cables are connected propctly. + Enough recording paper in the reconder (when using the optional recorder module). + Pally charged battery pack is installed in the monitor in ease of a sudden power failure, © No sermches, damage or dirt on the moniter, + No damage to the keys cred panels. + No damage to the power cord. + No damave to the electrode leads, sensors, probes and cables. = The monit notin a wet place. INOTE: Whon the AC power lamp ix nat fit, check the power cord conneetion. The AG perrer Jamp does not light when there Is not enough current fo the monitor. ‘Turing the Power On When the power cord is entnected between the bedside monitor an@NC outlet and the AC power amp lights, press the (Power) switch on the front panel ta turn the power on. The power lamp and the AC power lamp light and self check starts. When the check is complete, the home scrcen appears. 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 to show that the alarm functions properly. NOTE: The sound volume when the monitor power is turned on is the volume set on of ne DISPLAY/SOUND window. 20 Cmestncle Riarecsl Pwneo70) When the monitor power is tumed om, alarms are suspended While the monitir is waiting for the electrodes and probe to be attached to the patient. The maitoring starts when the enancetion cord is enmectedita the socket wa the manitor and tho eleetrades or prohe are attached to the pation, The alarm aetivates When ne of the following occu: + ECG we Spb), is monitored! oF NINP is mensured and a value is displayed (when AUTO is selected for ALARM ACTIVATION DELAY> on the ALARM window of the SYSTEM SETUP window) + ECG, SpO; oF TBP is continuously momiicred for the selected tine (alien | min, 2 vin of 3 min is selected for“ALABM ACTIVATION DELAY) + NIBP is measured (when | min, 2 min or3 min is selected for “ALARM ACTIVATION DELAY=) When on the ALARM wiadow of the SYSTEM SETUP window) ond blinking yellow alarm + Operating on battery power => Ea Power lampr Lit AC power lamp: Off Battery lamp: = OM arp + Operating on battery powerand baitery fs damaged => AF Pomerlimp Lit 44% ACpowerlamp: Off Battery lamp: Rapid blinking (4 times per second) Screen indication; “BATTERY ERROR” message Continuous “bing bang” sound (when NK.1 is sclected for on the ALARM window of the SYSTEM SETUP window) and blinking yellow alarm a ee ee XE» + Nomonitorins and charging battery BD tower amp: mr 44% AC power tamp: Lit (ater tam: Battery Pack Handling and Operation WARNING ‘Do not do the following to the battery pack. N mey ‘cause leakage, ovarheating, axplesion and tire. + Short-circuit the + amd — jerminais on the batie: ry pack. * Put the battery pack into fire or heat the battery * Give strong impact 10 ar daform the battery pack. * Use the battery pack on unspecified instrumants. * (Charge the battery pack on unspecified instruments, * Install the Banery pack with the wrong polarity. + Leave the battery pack in the reach of patients, Do not expase the battery pack to direct sunlight ‘ov leave in a high temperature place. The litetime the battery pack maybe shortened, the || Use:tne battery pack between 10°C (50°F) and }} 40°C (104"F). Temperatures out of {his range affect the working of the batlery CAUTION Balore disposing of the battery pact, check with your local sold waste officials for details in your area for recycling options or propar disposal. The baitery ig recyclable, Al the end of ts useful life, under various state and local laws, it may be illegal ta dispose of this battery inlo the municipal waste stream, ‘Stone blinking (ence every 2 seconds) WARNING Whe battery pack is damaged and the substance insida the batlary contacts the eyes arskin, wash immediately and thoroughly with water and see a physician. Never rub your eyes, because you may lose your eyesight. WARNING + Dornot immerse the battery pack in water. The ‘battery may neat up and rust and the substanee inside tie bartery may leak. + Dono! leave the battery pack unused for more than about two years. The battery may leak. CAUTION jj Do not use a battery pack which is past the expiration date written on the label, CAUTION Do nat leave the battery pack near the patient cr in reach of children. Eee: a al “a Raltery Pack Handting Procedures + Always place a battery pack in the moaiior, This ¢ tery pack ready. + Folly ceelrrge the baitery pack before tsing i for me fe When the battery pack is nat used, it selFdischanges, © Replace the hattery pack with a neurone every year, This is because the battery I a chemical produc, \Wwhich gradually deteriorates whether or nwt itis tse + When using.a new battery pack. eset the baltery puck information, Refer to Section | ofthe Administrator’s Guide. + Invorder tw improve the accurncy of the remaining buttery power display, update the battery infarmatiog ‘once a month. Refer to Section 1 of the Administrator's Guide + Store the bamery pricks under the Follawing conditions 20 to 150°C (ooh to + 122° F) (within 30-day) 20 to 40°C (4 to + 14°F) (within 90 days) =20 to +30°C (4 to “R6°F) (more than 90 days) Humidity: 30 10 85% RIN (noncondensing) Sagres it so that you wil alorays have 8 ally charge et time of afer staring it for aver x month, Temperature: ‘When Nat Using the Monitor or Battery "= When the monitor is not used for a long time, remove the battery pack, When a charged or diseharged Daltery is left inside the monitor with the power cord umplugwed, the battery self-discharges and Aeteriorates. When a bantery pack i mot used, fully charge it before storage. When a battery pack is not used fot oer ‘one month, use after resetting the baitery pack information and filly eharge it = When a battery pack is aot used fora long time, it tends to become inactivated and less than 100% of ig capacity is usable, [inactivation occurs, discharge and charge it several times to restore 100% capacin, When the “BATTERY WEAK” Message Appears (Operate the monitor on AC power and/or repisce the intiery pack when the “BATTERY WEAK” messige appears. ‘When the “BATTERY WEAK” message appears, the remaining baciery power is tweak. The yellow alara {amp lights with » continuoms “hing bong” snund, NOTE: * If performing NIBP messurement or recording when the battery is weak, the battery loses power fast and remaining operation time becomes shorter, * Ino AC of battery power is suppiied to the monitor, there is no Measurement and patient data such as trend data may be last. Charging the Battery Pack ‘The battery pack can be charged by the moiaitor. It takes about 12 hours to charge one battery pack doris monitoring, Charging time may be longer at high temperatures, NOTE: = The new battery pack is nol charged. Charge the battory pack belore use. * After a battery pack is replaced, the battery pack may not be charged without resetting the battery information. Be sure to reset the battery information. For details, refer to Section 1. the Administrators Guide. ‘The monitor can operate for ebuut 3 hours with a new fully charged battery pack. a ‘Operator's Manual Fvnrs’” ‘This is when the monitor satisfies all the following cerditions and monitors only CE without installing ‘options, such as recorder monlate. * Use in nomial temperate. alsa oeciuts, Por WING MODIE® on the SYS TEM SETUP window is scttn ON, + NIBP is not micasured, CAUTION ‘When charging the battery pack, keep the ambient temperature at approximately 20°C to ‘maintain the optimal battery operation time. Ifthe battery pack is charged at less than 10°C (S0°F) cr more than 20°C (86°F), the maximum baltery operation lime will be 20% to 30% less than the optimal operation time, Normal charging Daring AC operation the battery pack és auinmatically chanzed without interrupting monitoring, Ietakes: approximately 12 hours of continuous clanging to fully charge a battery pack, Fast charging ‘When the monitor is tumed off, it takes 2.5 hours of continuous charsing to fully charge a artery pack After continuous charging, the monitor automatically switches to trickle ‘charging mode to keep the battery peck fully charged. Trickle charging is necessary because the battery pack can self-discharge even hen itis not in use, NOTE: + Do not disconnect the power cord {torn the monitor during battery charging. * Fully discharge the battery pack once 2 month to reset tha battery information, Monitor Status on Power Interruption ‘When there is a power failure or sudden powrer interruption, the monitor status is as follows. ‘+ When a bomtery pack is instulled in the monitor, the bedside monitor can operate far akout 3 hours on battery power, + When the monitor has na haitery pack installed or the battery is discharged, the moniter tums off. The Dpatieni data and settings are stored for about 30 minwes after power off If the monitor power is tumed ‘off and om again within 30 szcands, monitoring eontieaes. ‘When there is 9 power faihue or sudden ponver interruption, inmediaely connsct te anenitor to the emergency power source. 11s recommended to always keep the battery pack in the monitor. ‘Turning the Monitor Ott Press the [Pomer] switch on the bedside monitor for more than one second ro tum the power off The sereen bectames datk and the power Iarap on the front panel turns off NOTE: ‘= Press the [Power] switch and hold for more than one second te tui the power otf, * Do not disconnect the power cord while the mcnitor power ison. The data may be lost. eT Re Ae en — Check Atter/Botore Turning the Powor Of! ‘Check the following items forthe next use, + Previont potient data ie deleted + Terapeearily chanped settings nee changeit ack tthe previews settings, + There is ne dlr, damage or scrote on the emit + The semen pines, cntfh, and cables are cleaned and sterilize. + Aecesorics arceleaned and “ered properts + There are enough commas eit rere Pottery pack 6 fully charged + The mer snitch on the monitor is tumed off nd the power con! is disconnceted foe the mcmitar, + The monitor snot i a wer place ose of properly. + The moical waste is disposes of properly The moaitor stoned properly. x paper and disposable electrodes for the mest uve, Dat ah nh a Silt Basic Operation Function key The nronitor cart se operated hy the ion cli keys on the xereen, Touch 1 key from the ope function eps on the seresn to pe form an operation, scleet the setting or open’close a window. W' ey is touche, there fs a beep sound, The follow ing is the home screen of the monitor, To set pammeters or change seuings for monitos ouch the Menu hey on the right side of the sereen, reo ~— es ‘When the Menu key is touched, the following MENU window appeors. Tauch the desired keys toset the parameters, ch sor display a review window. Ciceitetie te Ghirense ‘Bits dn: = Home Screen Description ns of the monitoring parameters, varions The home screen displays the n valugs and wave available by changing the settings on the messages and oper: SYSTEMSEL inm keys. Dilferest sereen layouts are tery stmt loaned whee Se away pack simul. Pasa type ana warsatr chan seunbe: (dapleyedelte ate) Rs datecSon ECG ar Fenctonhoye Bea 10, Patect nf mf meas 2 Vn Jee [ sen MEAS EGGuas Sitence arm bey ECCeasesey ark [NIBP laters tay ‘NIBP Sip hy Meru key When a is open. the Mens bey cea Touching the following, items on the home sereen displays the following windows or performs the following fanctfons, + Numeric value: Setup window for the parameter + Patient name: ADMIT DISCHARGE window + Time: DATE window * Function keys; Window assigned to the function key + Silence Alarm key: Silences the alarm sound + NIBP Interval key: MEASUREMENT INTERVAL Window + NIBP StarvStop key; Stans or stopa NIBP measurement + Memu key MENU windew 28 Operator's Manual PYM-2/0° Taclose the pened window and return to the home sereem, touch the |lome key on the sercen. Settings for the Home Sereen The hove seneen has the fall NUMERIC PARAMETER AREA - SIDE + SMALL SOTTON J Ae 19 ,| NUMERIC PARAMETER AREA - BOTTOM > Respiration/CO, waveform sweep speed (On the DISPLAY/SOUND, RESP (PVM-2701) or RESPICO, (PVM-2703) window) *+ ECG and pulse waveform sweep speed (On the DISPLAY/SOUND window) + Sensitivity/scale of the waveform (Parameter windows) + Pulse rate display (On the ECG or Sp, window) avefom on or off (On the DISPLAY window of the SYSTEM SETUP window) Se eee Oey eee a SETUP window) © NIIP pute rate display (€n the NIH window of the SYSTEM AMETERS * (Onthe indow of tse + Select the pacing mark pacitian on the ECG wavetor SYSTIN SETUP windaw) Freezing Waveforms hing the FREEZE fa es of watil they ate un ) the waveforms of the heme se You can theere he waveforms ate frover Large Numerics Screen When LARG NUMERICS key is touched on the MENU window, the nieasurement values It is useful for viewing at a distance. a Operators Manual PWM-er0" Using Sleep Mode Tis prevent the monitor from disturbing the patient daring sleep or ather times. wse the SLTP MONE, tn sleep mole the sereen is daskewed aid xyac sound is tamied ot, Tio tw steep he SLEEP hey on the MENU window. The seep 'S-00PG/PK transmitter is attached to the bedside Isic rinnitor és connected tn the central monitor network toe! inde is only available when the moniter oF the WARNING When the check ox on the ALARM page of the SYSTEM SETUP window is OFF, the bedside monitor alarm cannot be seen or heard ‘on the badside monitor during sleep made. In this ease, monitor the bedside monitor alarms on the caniral monitor of tolometry system. Otherwise, ihe bedside monitor alarms may be overlooked ‘To tum the sleep mode off, tavch the scraen or press the [CHECK] key on the bedside monitor When < SYSTE XIT SLEEP MODE ON CRISIS ALARM> on the SLEEP page of the ALARM page of the ‘SETUP window is set to ON, the sleep mode is tumed off when an alarm occurs, When ZS-900PG/PK transmitter is disconnected from he bedside monitor or the mesitoring from ether monitors such a5 a central monitor cannot be perfarmed duc to an expected error, the sleep mode is turned off. (Operator's Manual PYM-2700 a MENU Window Description window, Any window. except for the heme Tontch the Memo key on tite sereen to display the MENU l displayed from the MENU window. EM CONFIGURATION sereen, can be screen and SYS ind For changing posrncirscatcl (pens the See armor i pens the nee sto ‘Shing CO, and PRES ang only avail fer PYN27ON Spend tm, fndetnitely Is ures 1) ALLLALARMS OFF hey deneniting nthe SYSTEM SETUP settings ates patie information an - Tam he a deletes das sonia available temthe ZS, ‘SOP iit ‘Cheongsam tres: Sie tie monitor ts commaxtsd tw he cena! menace remark. Suspends a atm for these tine (1,23 Displays guide men \\ mites) COyensihe window for cunegag dare and ime, Display ge sypetalare sux volume, scree brightness, SUMEries sree fepeolarme pal emigea (Opens the intcrbed wind "The imerbed Fonctin &-eny ave when the to furctinn heys and adenine sto wind (QE202P imerisce i install ad the moni is connected toe wath, 32 ‘Operator's Manual PVMe"” Guide Menu tectinical alam i generated during monitoring, the Guide key appears at the tap af the sereen. Toweh the hey open ibe guide menu that iy associated with the alarm. Guida kay CG ele CO. and PRESS are only available for PVM-2703 bedside monitor. ey to sec more informacion, eS Gee Cees) fe) 2a (es Operator's Manual PVM-2700 33 Changing Settings Administrator Settings ‘Some settings ean only Kechanged by the edininistratoe, A passe 2s. These settings are: rc is required 10 display the winder gp reiler the sereen for chavyginy these * Settings onthe SYSTEM SETUP window + Scitings on the SYSTEM CONFIGURATION screee “The details foe these Settings ane described im the Administrator's Guide Changing Parameter Settings and Other Settings * DATE window for setting date and time + DISPLAY/SOUND seindow far seting brightness, waveform sweep speed and alarm and syne sound ‘volume + RECORD window forseming recording parameters + SYSTEM window for checking assigned functions 16 the Function keys + Parameter windows forsetting various parameter-related settings Changing Settings 1. Display the MENU ssindow, 2. Touch the desired menu key on the MENU window to display the setting window. 3. Change the desired item by touching the keys oF buttons, or drazging the slider displayed cn the setting window, Example: To correct the date and time 1. Display the DATE window. Touch the Menu key > DATE key. (Or, foweh the date and time at the upper right comer on the home screen. 2, Touch the item key to be changed on the DATE windox 3. Touch the desired number key(s). 4, Repeat steps 2 and 3 40 change other items. 5. Touch the SET key to enter the setting 6. Touch the Home key to return to the Home sereen- Operator's Manual Pvat2™™ F-vaamyples Set the alarm volume 1. Display the DISPIAY/SOUND winder. Trach the Meu key -> DISPLAYIS( pkey. 2. Touch the ARM VOLUME key. The ALARM VOLUME window opens Set the alarm volume with 4! or [*ikey NOTE: Sat the alarm volume depending on the manitoring erwironment. When you drag the slicer or touch the key to the lowest level, the alarm ‘sound goes tothe minimum volume. 4. Touch the EiRey to close the window, S. Touch the Homme Key to tetum to the Home sereem Example: Change the ECG lead 1. Display the ECG window. Toach the Menu key + ECG key. (Or, ;ouch the heart rate value on the home screen. Touch the ECG! LEADISENSITIVITY FILTERS! LEARN key or ECG? LEADISENSITIVITY key. 3. Touch the desired lead key in the in the SYSTEM SETUP window is set to Off and 30 minutes elapse after monitor power off if necessary. The alarm seltings return to tha alarm, | CAUTION | When admiring @ neve patient, first delate al! data of the previous data of tha previous patient and new patient will be mixed together. nt. Otherwise, tha when tne pent is discharged the alza settings, arhythois analysis on/off and QRS detection ype settings revrn othe alores master Sertiags the NIP measurement mode returns to the INTERVAL MASTER sering on the SYSTEM SETUP window and the patient information and data on the review windows are deleted. You can select whether co auiumatically delete the previous patient uta on the DISPLAY window of the SYSTEM SETUP window, When is set to OT and 30 minutes clapse after turning the power aff, the stored data in the monitor is deleted. When the monitor is jurned on in fevs than 30 minutes after tuming the power off, the siored data is not deleted and meniteriog continues. When is set to On, the message cenfiming whether monitoring the new patient appears on the screen after power on. Even if is set to MANUAL. the STANDBY window appears after discharging x patient. Tauch the ADMIT hey aa the STANDBY window. 2, Wiven the QI-202P interface installed, touch the PATIENT ID key. The selting windaw opens 4. Enter the patient [Dusing the Keyboard on the screen and fowch the ENT Key. AL Close the window by touching the elore key (7. 5. Touch the NAME Key. The setting window opens. 6. Enter the patient name using the keyboard on the screen and touch the ENT key. (Or, write the patient name in the free writing areaand touch the SET hey. 7. Close the window by touching the close key (2 3. Tous the PATIENT TYPE key. The setting window apens, 9. Select the patient type and touch the YES key. The QRS detection type, alarm and seale sertings change according to the patient (ype, These settings can be changed oa the setting windows. Te ‘change the QRS detection type, refer to "Chan zing ECG Settings” section, 10, Chesk the information on the window and touch the ADMIT’ key. 11, Check the alarm serting message on the ADMIT window and touch the OK key. See een: Cv we ae a7 Importing Patient Information from the Hospital Network You can automatically impor the paticnt information from the haxpital network. selected for PROTOCOL and USE QRY is set 10 ON. Refer ta tthe Administrator’s Guide. This function is available when 1 NETWORK Window* in Section 2 Tis import the patent information, enter the patient ft>.oa the ADMIT [9}SCHARGE window and touch the FIND PATIENT hey. Check that dhe fimported information is enrrect, Data which i imported froma the hospital network (HIS server) can be edited or aekted manually, Discharging a Patient When monitoring the paticat is no lager reqined. disch: window .erge the patient on the ADMIT DISCHARGE, 1. Display the ADMIT DISCHARGE window by daing any of the following, + Touch the Menukey —* ADMIT DISCHARGE key, wy" _[pio-001 + Touch the patient name area.at the upper part of the home screen. fe oh BUTE + When “ADMIT MODE> is set to MANUAL the STANDBY window appears after discharging a tient, Touch the ADMIT key on the STANDBY window, w Toueh the DISCHRGE key. The message canfi ming the data deletion appears, “Touch the YES key todischarge the patient, IENo key is touched discharging the patice is cancelled, the previous data is not deleted and the settings are not initialized, When is set to MANUAL, the “DISCHARGED” message and the STANDBY window appear, Check thatthe patient mame is deleted from the upper left of the sereen, 5. Press the Home key to return to the home seven. Alarms WARNING When an alarm occurs: + Check the patient first and take necessary measure to ensure patient's satety. + Remove the cause of the alarm. + Check the alarm settings on the bedside monilor and change the alarm suitings if necessary. WARNING Do not diagnose a patient based on only the alarm infermation of ine badsice monitor. An alarm may not be indicated due to alarm level or alarm orvott setting and critical changes on the patient may be overlooked. Alarm Types and Levels: ‘There ars four types of alarms: Operator's Manual P¥M-270” WARNING It more than ong medical equipment is used together in the same facility, maka sure all equipments have the same alarm defauit settings (alarm mastes). the medical equipments have ifferent alarm default settings and when initialized, tha alarm settings differ with the other equipments are) alarm cannot be managed appropriately in the facilty. If using diferent alarm defaull settings according to areas or wings in the facility, manage the alartts appropriately. WARNING AA physician rust be within the range where he/she con hear the alarm sound of the bedside monitor While monitoring a patient on the bedside monitor IWthe physician cannot hear the alarm sound, critical changes on the patient may be overlooked. \s, rrrythmins, tech ico! and interes alarms, and three alsamn levels: crisis, warning and advisory. There is ne Tevel for intexved alarms The menitor can indicate alarms both visually and audibly: + Alarms sound + Alara message or highlighted numeric data on the screen + Alarms indicator: the alarm indicater indicates thoee alarm levels. CRISIS: Red blinking, WARNING: Yellow blisking, ADVISORY; Cyan or yellow fit CRISIS: Puticnt isin critical condition and the paticat’s life may be at risk. Immediate action im be tukem, Electrodes or probe aff, or incorrect lead or other cable eonncetions may also cause this alarm, WARNING: Patient isin critical candition, Prompt action should be taken, Electrodes or probe off, oF incomeet lead or other cable connections may also cause this alarm ADVISORY: Electrodes, probe; cuff, lead and other cable connections or settings on tbe monitor are mot appropriate for accurate measurement. Prompi action should be taken. “The priority and monitor action are different for each level, Operator's Manual PVM-2700 /Alnrm Level ADVISORY l ‘Alarm Display on tha Sereen | Alarm Sound Message | Numeric Data NEY (Continnions pi NK2 (Continuows ping wound standard (ee-8C) NILE (Coontinoans bing bong sonal), SKS (Co eng sound HEC HV shichtiphic Hightighveu yellow Highlighied |parameter color | numeric daca NK and NK2 (Single beep every 20 or 120 seconds) or TEC standard (ce cucry 20 or 120 seconds) Highlighted Howe cyan of message esac, even i Wher an aerhy tha alarm status continues for i short tie, The 305 20s + CRISIS: + WARNING: + ADVISORY: 105 The alarm sourid, al the SYSTEM SETUP wincow Yl sign alge splay ea Crile aterm cisptay aoa Hraming slam clspey re 1 Ee [ itor RTS hte ‘When aS of See wee oes ceteced ares sci aon widens a consaie deereein) pembrerse genres = titers rr am == ae? Igenity the GALEGO! ho geTUMEREN ata a ENCE Wn CTS Bently te caumeot he by pressing tha [Sitance Alarms} hary [onpeposreg Saas areal pees IP Srestacirny ae ae eer pepe scams seemed a Operators Manual PVM-2700 at Silencing/Suspending Alarms Silencing Alarms When sn alae eceurs, sot ean silence the alarm sound an indie : euching the Silence Alarms hey on the sereen. When a vital sigas alarm other then NIBP or arrhythmy, alarm és silenced, the alarm restmes after the alarm silence ends. When a technical alarm other than thy following alarms is silenced, the alarm indication does not resume after the alarm silence ends, ifihe rations for one. 140.0 thee mings a following:alamns are silenced, the alarra resumes after the alarm sifence ends, * BATTERY ERROR + BATTERY WEAK + ECG CANNOT ANALYZE + NIBP CUFF OCCLUSION + NIBPSAFETY CIRCUIT RUNNING — > SpO, CHANGE PROBE When several alarms eseur together and the Silence Alarms key is touched, all slarras are silenced lence. touch the Silence Alarms key. “SILENCE ALARMS SYSTEM SETUP window. To cancel vital sign or anthythmia alarm TIME> is sot on the ALARM window of the When the Monitor is Connected to the Central Manitor Network When the hedside monitors connected to a central monitar netwark, all alarms other than NIBP alarm are temporar'ly silenced by louching the Silence Alarms key on the central monitor. Refer to the central monitor operator's mtawal for details. When the bedside monitor is disconnected from the central monitor nctwork, the “Communication Loss" alarm is indicated accardine to the scitine on the is set to OFF, there will be no ‘communication loss alarm. When it is set to Olf, always pay careful attention to the communication status. ‘+ When «COMMUNICATION LOSS NOTIFICATION: is se! to NO SOUND, an alarm for the ‘same alarm condition dees not occur again while communication is stil last. While @ is i NO ‘SOUND, always pay careful attention to the communication status. ‘Suspending Alarms All alarms can be suspended before they e¢cur, This monitor has three types of alarm suspension: + Suspending. all alarms for one, two ar three minutes by touching the SUSPEND ALARMS key". For example: for electrode replacement, ct, ‘Alarm funetion resumes when the suspend alarm time elapses or the SUSPEND ALARMS key is touched. SUSPEND ALARMS TIME> is set on the ALARM window of the SYSTEM SETUP window. “SUSPEND ALARMS key is available when SUSPEND ALARMS is selected for on the SYSTEM SETUP Condition window [Alara function activaies when ECG, SpO,orIBP"' is | Imonitoced of NIBP* is measured and a value is displayed. AUTO The alarm funetion is also recovered whem the heart rate i. When one of the following requirements is met ECG, Sp, or (iF is continuously monitored for the selected time NIBP is measured (SYS. BIA or MAP vatue is measured), Heart rate becomes 0. Le It *! When SYS > DIA, the difference benween these two values is 3 mmHg and this status continues for more than 3 seconds, "2 When SYS. DIA or MAP value is measured. WARNING WARNING During alarm suspension “ALARMS ‘Do not turn ail alarms ctf with the ALL ALARMS: SUSPENDED" or “ALL ALARMS OFF" message OFF key when there is ne medical staf! around the displayed), all alarms are turned off. Be careful patient or when the patient is connected to a | whan you suspend the alarm, ventitater, Alarm off Keys ‘ALARM INACTIVATION Alar oti setting ee SPEND ALARMS = c = ALLALARMS OFF + SUSPEND MONITORING key, Use this key to temporarily stop patient monitoring for examination. When this key is touched, all alarmas and NIBP STAT/SIM and auto measurements are suspended. Alarms resume when the SUSPEND MONITORING key is touched again or when the «ALARM ACTIVATION DELAY> condition is met. Use this key to suspend all alarms for the time set in . + ALL ALARMS OFF key Use this key to suspend all alarms indefinitely. Alarms resume when the ALL ALARMS OFF key is touched again. ‘The ALL ALARM OFF key is avaitable when ALL. ALARMS OFF is selected for ECG key. 46 Operator's Manual PVM- 2. Touch the parameter hey i the “ALARMS® ho forthe limit you want to change Caner Arexh the dvirliab tn chanpe the mansured vue gland pucinets Curent mesure” — Setting vee 3. Touch or drag the stiders to the d setting sir level om th sting bt, Use the Lor Tey to asthe 4. Touch the Home key to rerum tothe heme screen Automatically Changing All Uipper/Lawer Limits All upperilower ala tims can be set automatically according to the current measured parameter vzlves. NOTE: The alarm limit is not automatically changed far the parameter which is net monitored or ‘whose moasurad value is invalid, 1, Display the ALARM LIMITS window Touch the Menu key ~+ ALARM LIMITS key. 2 Touch the AUTOMATIC key. The confirmation message appenrs 3. Touch the YES key to change ull upper/lower alarm timits sscconding lo the current measured valves. 4. Chock that the settings are appropriate Touch the Home ‘0 retin to the heme screen, | Operator's Manual PVM-2700 47 Checking the Arrhythmia Alarm Settings ‘You can check the current artky emia alanm settings om the ARRIY TH ALARMS pase of the MENty window or ARRIIYTIEALARMS window of the ECG window. The individual arrhythmia alarm on of of? and threshold for some archythmias are set on the ARRETYT), page ofthe PARAMETERS window on the SYSTEM SETUP window. The procedure is described ing, Administrator's Guide. 1. Display the ARRHYTH ALARMS window: Touch the Menu key — ARRHY TH ALARMS key, (Or. touch the Menu hey — ECG kev + ARKHYTH ALARMS key. Displays OPLOFF stones Tiweshols coring 2. Cheekthe arrhythmia alarm sevtines. ‘An administrator can change the settings by touching the SETUP key. Refer to Section 2 of the Administrator's Guide. When EXTENDED is selected for the on the ECG page of the PARAMETERS: window in the SYSTEM SETUP window, touch the L= i hey to display other arhythmias. Changing All Alnem Limits to the Alarm Master Vor fast andl cay alarm setup, a group of alarm items can be set all logetiier Wo one romp oF preset sellin called an sar ntistet, This is usw fal, fine ewattples if thete are typical alarne sertings at 20u¢ hospital, or you have gertain alorn seltings fr certain patients. ‘Your con Also change individal alarm settings, we described in py ‘an aarny master, is pages, after setting all akarras with The alarm mastery ane set by the administrator on the MASTER window of the SYSTEM SETUP winder V._ Display the ALAIN LIMITS windy, Touch the Mem key = ALARM LIMITS key. ‘Touth the YES key to change all settings to the values set on the MAIN ALARMS pare af the MASTER window In the SYSTEM SETUP window. ‘Taueh the NO key to eancel changing the alarm settings tathe alarm master settings. 4. Tovelv the Home key to return to the home screen. Operator's Manual PVM-2700 49 Alarm Escalation Wthe APNEA, SpO,, CHECK ELECTRODES, ECG and ne action is taken fora selected time, th J of the. Adlministrater's Guide. ANNOT ANALYZE ar Sp; CHECK PROBE wm level ean be esealoied. For Ata alam rec “Alarm Window" a Sec Interbed Alarm When an fnterbed alarm wecurs, the monitor acts as fOIlOWS: NOTE: Parameters which cannel be measured on this monitor are displayed as "ALAR" The manitor action dependls on the [NTERBED ALARMS TO DIS For details, reterte th, AINTERBED Window" section of tic manual and Section 3 of the Administrator's Gu INTERBED ALARMS TO DISPLAY ALL, CRISIS AND WARNING, NONE — ‘Setting __ ORISIS. | Alarm Indicator or _ | omtinvous ping sounds (on Noa sound | Am Soimel Taree continvous ping fonly nt | st the alarm Ke datected) The bed 1D of fntesbed |The bed 1D i highlighted in Une alarm The bed 1D is displayed in w stam bod is displayed | priority color.” in the upper right comer, ‘When 10 oF more alarms Home Jare detecteg, the bed IDs Sereen | sttemate. After Bi is touched Bed ID: remain in white fon; | Interbed alarm message is |The bed ID and interbed slarm meszage is high lighted in the alarm priority 1 displayed. ear. °° Muttiple Beds Window Bod ID: displayed in wi - Alarm: remain highlighted Thealarm messaze and — |The bed ID and alarm message is hi bed ID are highlighted in the-alarm priority color. Whes the vital sign alarm ‘occurs, the measurement value is.also higb Window itr Bis tcc Bed! 1D: displayed in white = eel fel cies ‘Alarm: remain high lighted —) ** The alarm priority is displayed as set on the interbed bed. The alarm priority color is set at in the SYSTEM SETUP window is set to Off and the monitor power is turned on mare than 30 minutes atte: turning power off, ne ‘stored data in the monitors Geteted. Even if The oldest fil is deteted when the maximum number of files ara saved, * Bo not disconnect the power cord whi van “i Lal ihe monitor pawer is on, The data may be lost. The time bar is displayed at the lower pan of the feview window. You can display the time by touching the time bar. “The time bur ean be cerotied by touching thef)or(=)key beside the time bar. ‘The latest tin is displayed in white and ‘the older times are displayed in blue ‘and green alternately Operator's Manual PVM-2700 TREND TABLE Window Upto tahoe ofthe vita an TATED setetone The ait oft Toooeh the Memu hey MeN TP SETH Rath of pert tae wor ats Desay the Hf Ose sss para’ otc Weel trcenlceeindae or So ommeted etc prt data of all monitoring pet \ ovens PARAMETERSET UP INTTRNAL «ie z | TREND TAHILE key toisptay the FUE ow fers ean be digplayed on the TREN) J jmterval are displayed, Select the the PARAM TER SE LUIP wick NI} TATE wich, 51 52 Operator's Manual PUM2! NIBP TABLE Window The NINP TARL E-suindow lisp data of the selected parameters af the NIBP measurement, Select the Porameters i fe ieplay eof the PARA NIT TYR SETUP winalowy af the NIIP TAREE: wind, Pisphay® ‘he vital sig data at the NIBP measures O hoary of vital sgt ai a [NIBP meastretnent ean be saved. rast 120 hears, Up Touch the Menu key =» NINP TABLE key to disphy the NIBP-TAILE window, AT indicates NIBP recent ‘on itl sig 1 diate age INP retarcresl Soinetnd to Scat toiplay ser rameter i. Dispense parareterssckstod indie PARAMETER SETUP window Recon Gepmte the NUNP8s —Diplayy the PARAMETER SETUP ofthe select time period eninge lhe WS-291Precondcr mesdulece exes eo prin, Operator's Manual PVM-2700 53 TREND GRAPH Window There are 2 render: 120 hours. The serge, rameters ofthe Fast she. Bach trendgmph displays up-to 3 paraine ETUP Widow, gio the PARAMET nicters and eoenmnan seale ix sekeeted on ma seters, cenmmon oc separate trenisrarh ayy ie SCALE window, you can evans when 3 pa On the PARAMETER SETUP winders, whether to display ma ou can select pa yay values mean valves. : ut by touching the [Jar selecteach scale for the enderaph display. You ean zm in oF 7508 es : es above the time har, Wihcr tn [#] keys touched, se ital efasnbes: 1° TO i heat tae mi 4 hour —«2 hour ~ | hour, When the) key’ is touclsd. te ineereal changes: 11 2 “4 he oa vam and +8 hour —+ 24 hour —+ [20 tr : eNO GRAPH window Touch the Menu key ~+ TREND GRAPH key to display the TREND GRAPH (Cursor (can be dragged! mits your finged) AM peau in ny yy Doplays the poramter select on the PARAMETER SETLP winds Displays tae SCALE SETU? window, Recents or ps oe Aigpayed sont graph om ‘he WS-2OUP esorder rmodile or exenected Changes the wend tere ‘armor prem, SETUP waco 2.4.4.2 120 tou a Operator's Manual PVM-27° RECALL Window Upto 120 bon Toerente anthyth of vecall data can be saved for arthythmias. 101 second ECG is saved fae each recall file reall Hes: ARRHYTHMIA ANALYSIS on the EC page of the PARAMETERS window on the SYSTEM SETUP winder mast be sett ON. Refer (o Section 3 of the Administrator's Guide. * The type afarthythmias you want ao saveas files must he selected on the ARRHYTHMIA E SETUP windows on the RECALL. Window NT Touch the Menu key —* RECALL hey to display the RECALL, window, The fet 120 hours of recall files can be displayed on the RECALL windovs. Use the scroll har to display tthe tiles. Toush the desire file tn diyplay the actual size ECG. iiplayy ether resiew win Caer Pare) DST RTT) Pesto eee (MESO PSTe RN) Care Pee Co Ta SSeuU CEU VEN yy [Serf dingy eed we Eager e ‘clot recall files Sas adn oo sea led se mans ls somos Seer Foster es | Operator's Manual PVM-2700 55 ov display the actual size ECG of the selected recat file, When a file is toniched, the RECALL. win naps oe ete seme Ant! Date anata cot fe ex Vita signs moment Lip 1S seceied any Seplayed acta ee BCG 0 este etmek prac Operatar’s Manual PYM FULL DISC Window The pat [20 Linus of the lint thace 11CCeavefins can he waved. The ft ‘ene into linplay the enfarsed wavelintr Whew the PCCian ats set 19 OFF. Sp, waveform li disph Touch the Menu key + V18 DISC hey tn display the FULL DISC w Fall Divclovure Waveform Touch to display the $ pr Dioplaysether Tome renga Tima a fiers £9. 9¢r8— seconde hil decane The full disclosure waveform can be displayed in actual size. 50 | E68 soonimety Tine of te creation « _—serois tne Viol sigs exemenic wa FC tna ARecondt ce prints he spayed al dele darnon the (W5.201 resend module or eomnecad pce por. | Operator's Manual PVM-2700 = FULL DISC Window play the FULL DISC winghom Ce) Zoom In Window The full disclosure weaveform can be displayed im actual size GAS ametaion ines” SIRO © | =r i _—— EUG sennity Records cr pins the inlay fll desire dt ‘WS-201 Preeeder mule comecesd mete i Operator's Manual PVM-2700 57 ALARM HISTORY Window Displays the afar 8 120 hours. Touch the Menu hey —+ ALARM HISTORY key tadisplay the ALARM HISTORY window. apts thr tesicw winders, Cee meeris Daa RE ee Data andi tin of alarm — ccourrongs See ee Parameter ‘alarm message Record the Boplayed slam bisiens dat on the WS-20P mance male 58 Operators Manual ial Recording Recording can be performed un the optional WS-201P recordicr malule. When the bedside monitor has ‘no recorder menute but is cemnected to the central monitor network. recording can be performed on the Central monitor regorder. When recording wa the ceatral monitor is available, the central monitor nara appears in “RECORD ON CENTRAL MONITOR™ boven the RECORD window of the SYSTEM SETUP winders, Recording Modes There are fourrecending modes: + Manuat recoring Real time'delayed waveform secordina: Three waveforms selected on the RECORD window and vital ‘signs data are recorded whenever the [E] Record key on the home screen ie touched. Recording an the revicw windows: The displayed daza on the review window is recorded when the RECORD key on the review window is touched. * Periodic recording Waveform recording: Three waveforms eleeted on the RECORD window and vital signs dats are revonded austarnatically athe set interval, ‘The interval mode for periodic recording can be sclectedion the SYSTEM SETUP windew, When CLOCK is selected: Periodic recording is performed at the even clock interval When PERIOD is seleeted: Periodic recording is performed at the actual minute. > Alarm recording ‘When 3 vial sign alarm oy oerhythmia lara occurs, tares waveforms selected on the RECORD ‘window end vital signs dca are automatically recorded. NOTE: Alarm recording is nat performed when sn alarm is suspended or

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