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Anyview A6 User Manual

Anyview A6
305 pages
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Product Information
Product Model: AnyView A8/A6/A5/A3
Product Name: Patient monitor
Manufacturer Name: Guangdong Biolight Meditech Co.,Ltd.
After Service Contact Information:
Address: No.2 Innovation First Road, Technical Innovation Coast,
Hi-tech Zone, Zhuhai, P.R. China
Fax: +86-756-3399919
Post code: 519085
Toll-free consultation hot line: +86-400-8818-233
Revision History
This manual has a revision number. This revision number changes
whenever the manual is updated due to software or technical specification
change. Contents of this manual are subject to change without prior notice.
Document No.: J/A8CE-A-010
Revision number: V5.3
Release time: Apr. 2014
Copyright © 2014 Guangdong Biolight Meditech Co., Ltd. All rights
reserved.
CE mark
EC Representative Name:
Shanghai International Trading Corp. GmbH (Hamburg)
EC Representative Address:
Eiffestrasse 80, 20537 Hamburg Germany

Table of Contents

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Anyview A6 Specifications

General IconGeneral
BrandAnyview
ModelA6
CategoryMedical Equipment
LanguageEnglish

Summary

Chapter 1 General Introduction

1.1 Intended Use

Defines the monitor's purpose for monitoring, displaying, storing, and alarming physiological parameters.

1.2 Main Unit

Details the front view of the AnyView A8, A6, A5, and A3 patient monitors.

1.3 Measurement Modules

Lists supported modules like EMS, MPS, IBP, Temp, SpO2, CO2, AG, ICG, C.O., CSM, BIS.

1.4 Equipment Symbols

Provides a guide to common symbols used on the equipment and their meanings.

Chapter 2 Safety

2.1 Safety Information

Covers warnings and cautions for safe operation, including electrical hazards and patient safety.

2.2 General Safety

Provides installation precautions, environmental considerations, and notes on symbols related to safety.

2.3 Important Notes for Safety

Highlights key safety aspects like patient number, interference, liquid ingress, accuracy, and alarms.

2.4 Safe Operation Conditions

Details conditions for safe operation, including sterilization, interference, and defibrillation shocks.

Chapter 3 Basic Operations

3.1 Unpacking and Checking

Guides users through unpacking, inspecting the monitor, and checking accessories for damage.

3.2 Getting Started

Covers inspecting the monitor and starting it up, including power and system checks.

3.3 Starting Monitoring

Outlines steps to decide parameters, install modules, check settings, and begin patient monitoring.

3.4 Shutting off the Monitor

Provides step-by-step instructions for safely shutting down the monitor.

3.5 Standby Mode

Explains how to enter and resume monitoring from standby mode for temporary interruption.

3.6 Networked Monitoring

Details connecting the monitor to a central monitoring system via electrical or Wi-Fi connection.

3.7 Operation Mode

Describes the different operation modes: Monitor, Demo, Configuration, and Service.

3.8 Screen Display

Explains the standard screen layout, detailing areas like patient info, alarm status, and waveforms.

3.9 Using the Smartkeys

Describes how to use parameter and touch smartkeys for quick menu access and operations.

3.10 Setting Measurement Modules

Guides on setting up and configuring measurement modules, including opening/closing parameters and changing labels.

3.11 Using Mouse

Explains how to use a USB-interface mouse with the monitor, including hot plugging and basic operations.

3.12 Using Soft Keyboard

Details the use of the software keyboard for data input in Chinese and English.

3.13 Using SD Memory Card

Explains how to use an SD memory card for data saving during power failures or power offs.

3.14 General Setting

Covers adjusting screen brightness, volume settings, and system date/time configuration.

Chapter 4 User Interface

4.1 Display Style

Covers setting screen layout, managing layouts, displaying alarm limits, parameter color, and sweep mode.

4.2 Main Screen Select

Explains how to set the screen layout by selecting Standard, Big Numerics, 7-lead, 12-lead, HI RES Trend, OxyCRG, NIBP Review, or Other Bed screens.

Chapter 5 Alarm

5.1 Alarm Category

Classifies alarms into physiological, technical, and prompt messages.

5.2 Alarm Level

Details the classification of physiological alarms into high, medium, and low levels.

5.3 Alarm Indicators

Explains how alarms are indicated through tone, lamp, message, and flashing numeric.

5.4 Alarm Status Symbol

Defines symbols for alarm sound status: off, suspended, or parameter alarm off.

5.5 Setting Alarm Volume

Guides on setting the system's alarm volume level.

5.6 Parameter Alarm

Covers setting alarm limits, alarm switch, and alarm level for individual parameters.

5.7 Silence

Explains how to silence audible alarms, noting that visual indicators remain active.

5.8 Pausing Alarms

Details how to suspend all alarm indicators temporarily and how to cancel the pause.

5.9 Acknowledging Alarms

Explains how to acknowledge active physiological and technical alarms, which shuts off audible and visual indicators.

5.10 Latching Alarms

Distinguishes between latching and non-latching alarms, noting exceptions like Arrhythmia alarm.

5.11 When an Alarm Occurs

Provides steps to follow when an alarm occurs, emphasizing checking patient condition first.

Chapter 6 Patient Management

6.1 Admitting a Patient

Guides on admitting a patient, entering information like MRN, name, type, and settings.

6.2 Quick Admitting a Patient

Describes a faster method for admitting a patient when time or information is limited.

6.3 Edit Patient Information

Explains how to edit patient information after a patient has been admitted.

6.4 Discharging a Patient

Details the procedure for discharging a patient from the monitor.

6.5 Transfer a Patient with EMS

Explains how to transfer patient data and settings using the EMS module for uninterrupted monitoring.

Chapter 7 ECG

7.1 Introduction

Explains the principle of ECG measurement, heart electrical activity, and dynamic curve formation.

7.2 Safety Information

Covers imperative safety guidelines for ECG electrodes, cables, and use during defibrillation.

7.3 Monitoring Procedure

Details skin preparation, electrode placement for 3, 5, and 12-lead ECG, and connecting the ECG cable.

7.4 ECG Display

Illustrates the ECG display screen, including waveform and parameter display areas.

7.5 Setting ECG

Guides on setting ECG mode, QRS volume, primary lead, wave gain, wave speed, and filters.

7.6 ST Monitoring

Explains ST segment analysis, its display, switching on/off, and setting ST alarms.

7.7 Arrhythmia Monitoring

Details arrhythmia analysis, switching it on/off, PVCs display, setting arrhythmia alarms, and relearning.

7.8 QT/QTc Interval Monitoring

Covers QT/QTc interval monitoring, its display, switching on/off, and setting alarms.

Chapter 8 Respiration Rate (Resp)

8.1 Introduction

Explains how the monitor measures thoracic impedance to calculate respiration rate (RR).

8.2 Safety Information

Provides safety warnings for Resp monitoring, including ECG cable use and patient motion.

8.3 Monitoring Procedure

Details connecting the ECG cable, placing Resp electrodes, optimizing lead placement, and understanding cardiac overlay.

8.4 Resp Display

Shows the Resp waveform and parameter display, including RR unit and alarm limit.

8.5 Setting Resp

Guides on setting Resp parameters like lead, apnea alarm time, wave gain, and wave speed.

Chapter 9 SpO2

9.1 Introduction

Explains the principle of SpO2 measurement using light spectra and volume tracing.

9.2 Safety Information

Covers safety warnings for SpO2 sensors, including MRI use, skin inspection, and interfering substances.

9.3 Monitoring Procedure

Details selecting, connecting, and applying the SpO2 sensor, with specific warnings.

9.4 SpO2 Display

Illustrates SpO2 parameter display, including signal intensity indicators and values for BLT and Masimo sensors.

9.5 Setting SpO2

Guides on setting SpO2 parameters like NIBP on same limb, QRS volume, wave speed, average time, and PR source.

9.6 Measurement Limitations

Lists factors influencing SpO2 measurement accuracy, such as sensor application and lighting.

Chapter 10 Temperature (Temp)

10.1 Introduction

Explains how the monitor measures temperature using sensors, displaying up to eight channels and TD.

10.2 Safety Information

Provides safety warnings regarding disposable temp probes, calibration, and sensor handling.

10.3 Monitoring Procedure

Details selecting the correct temp probe, connecting it, applying it to the patient, selecting labels, and checking alarm settings.

10.4 Temp Display

Shows how temperature values and differences (TD) are displayed on the monitor.

10.5 Setting TD

Explains how to select parameters A and B for calculating the temperature difference (TD).

Chapter 11 NIBP

11.1 Introduction

Explains the oscillometric method for measuring NIBP in adult, pediatric, and neonatal patients.

11.2 Safety Information

Covers safety warnings for NIBP monitoring, including patient category, sickle-cell disease, and limb restrictions.

11.3 Measurement Limitations

Lists limitations for NIBP measurements, such as extreme heart rates and patient movement.

11.4 Measurement Mode

Describes the three NIBP measurement modes: Manual, Auto, and STAT.

11.5 Monitoring Procedure

Details preparing to measure NIBP, including patient category check, cuff selection, and connecting the cuff.

11.6 NIBP Display

Illustrates the NIBP display screen, showing readings for Sys, Dia, Map, and time indicator.

11.7 Setting NIBP

Guides on setting NIBP parameters like unit, initial cuff inflation pressure, assisting venous puncture, and resetting.

11.8 NIBP Maintenance

States that NIBP maintenance and calibration are necessary every two years and require professional service.

Chapter 12 IBP

12.1 Introduction

Explains IBP measurement as direct BP measurement via pressure sensors and liquid coupling.

12.2 Safety Information

Covers safety warnings for IBP transducers, accessories, and use with HF surgical equipment.

12.3 Monitoring Procedure

Details plugging the IBP cable, connecting the transducer, filling the tube, selecting labels, and zeroing the transducer.

12.4 IBP Display

Illustrates IBP waveform and parameter displays, including labels, scales, and units.

12.5 Setting IBP

Guides on setting IBP parameters like unit, display format, wave speed, wave scale, and high-resolution cursor.

12.6 Calculating Cerebral Perfusion Pressure

Explains how the monitor calculates CPP by finding the difference between mean arterial and intracranial pressure.

12.7 Zeroing the Pressure Transducer

Provides steps for zeroing the pressure transducer to ensure accurate readings, including pre-zeroing procedures.

12.8 Pressure Calibration

States that pressure calibration ensures accurate measurements and should be performed by professional service personnel.

Chapter 13 Carbon Dioxide (CO2)

13.1 Introduction

Explains CO2 measurement using infrared absorption technology and two methods: Mainstream and Sidestream/Microstream.

13.2 Monitoring Procedure

Details monitoring procedures for Mainstream and Sidestream CO2 modules, including attaching cables, adapters, and performing zeroing.

13.3 CO2 Display

Shows the CO2 waveform and parameter display, including EtCO2, FiCO2, and airway respiration rate.

13.4 Setting CO2

Guides on setting CO2 parameters like unit, apnea alarm time, expiring cycle, CO2 corrections, wave scale, and speed.

13.5 Zeroing

Explains the zeroing procedure for Mainstream and Microstream CO2 modules to obtain accurate readings.

13.6 Calibration

States that calibration is done at the factory and may require user intervention for Sidestream modules under specific conditions.

13.7 Removing Exhaust Gases from the System

Provides a warning about connecting the outlet to a scavenging system for anesthetic gases.

13.8 Safety Information

Covers safety information related to sensor cables, tubing, single-use kits, adapters, and module operation.

Chapter 14 Anesthetic Gas (AG)

14.1 Introduction

Explains AG module's purpose for measuring respiratory and anesthetic gases using infrared absorption.

14.2 Monitoring Procedure

Details monitoring procedures for Mainstream and Sidestream AG modules, including preparation and pre-use checks.

14.3 AG Display

Shows the AG display with waveforms and numerics for CO2, O2, N2O, and AA, including MAC calculation.

14.4 Setting Gas Parameter

Guides on setting AG parameters like type, wave scale, and wave speed.

14.5 MAC Calculation

Explains Minimum Alveolar Concentration (MAC) calculation based on end-tidal gas concentrations.

14.6 Safety Information

Covers safety information for Mainstream and Sidestream AG modules, including adapter reuse, secretions, and interference.

14.7 AG Maintenance

Details maintenance for Mainstream and Sidestream AG modules, focusing on zero reference calibration and preventive maintenance.

14.8 Adverse effects on Performance

Discusses factors affecting performance, such as humidity, barometric pressure, interfering gases, and gas measurement units.

Chapter 15 ICG

15.1 Introduction

Introduces Impedance Cardiography (ICG) as a non-invasive method for measuring hemodynamic parameters.

15.2 Calculated Parameters

Lists calculated parameters like HR, SV, SI, CO, TFC, SVR, QI, and DO2I with their formulas and reference ranges.

15.3 Safety Information

Provides safety warnings for ICG sensors, including MRI use, contact with conductive materials, and pacemaker compatibility.

15.4 Monitoring Procedure

Details skin preparation, connecting the ICG cable, placing sensors on the patient, and inputting patient information.

15.5 ICG Parameter

Lists ICG parameters and their full names, units, and values for hemodynamic monitoring.

15.6 ICG Display

Shows the ICG waveform and parameter displays, including primary and secondary parameters.

15.7 Setting ICG Parameter

Guides on selecting secondary parameters A or B and setting wave speed for ICG.

15.8 Measurement Limitation

Lists conditions or anomalies that may reduce ICG measurement accuracy, such as septic shock and patient height.

Chapter 16 C.O.

16.1 Overview

Explains Cardiac Output (C.O.) module using thermodilution method to measure blood flow.

16.2 Safety Information

Provides safety warnings for C.O. measurement, including accessory reuse, cable handling, and sterilization.

16.3 C.O. Display

States there is no waveform display for C.O. measurement on the main interface, only parameter values.

16.4 Measurement of C.O.

Details the steps for measuring C.O., including inserting cables, connecting the catheter, and injecting solution.

16.5 C.O. Setting

Guides on setting C.O. parameters like measure mode, TI source, volume of injecta, catheter constant, weight, height, and alarm settings.

16.6 Measurement Restrictions

Lists restrictions for C.O. measurement, such as patient conditions like poor immune system or right heart valve disease.

16.7 Influencing Factors

Identifies factors influencing cardiac output measurement, including injectate temperature, volume, rate, and catheter position.

Chapter 17 CSM

17.1 Introduction

Introduces CSM for monitoring hypnotic brain state via EEG signals, calculating Cerebral State Index (CSI).

17.2 Safety Information

Provides safety warnings for CSM sensors, HF surgery, conductive parts, and module handling.

17.3 Monitoring Procedure

Details skin preparation, placing CSM sensors, connecting the patient cable, plugging the connection module, and starting the monitor.

17.4 CSM Display

Shows the CSM display with EEG waveform, trend graph, and parameters like CSI, BS%, and SQI.

17.5 Setting CSM

Guides on setting CSM parameters such as alarm level, alarm print, SQI display, impedance display, EEG wave display, scale, and trend format.

Chapter 18 BIS

18.1 Overview

Explains Bispectral Index (BIS) monitoring for assessing patient consciousness level during anesthesia via EEG signals.

18.2 Safety Information

Provides safety warnings for BIS sensors and connectors, HF surgery, and patient interface cable immobilization.

18.3 Monitoring Procedure

Details connecting BISx equipment, placing the sensor, connecting the patient interface cable, and ensuring proper sensor detection.

18.4 BIS Display

Shows the BIS display with EEG waveform, trend chart, and parameters like BIS, SQI, and EMG.

18.5 BIS Setting

Guides on setting BIS parameters like smoothing rate, EEG filter, trend time, impedance check, wave scale, and wave select.

18.5.3 BIS parameter Alarm setting

Explains how to set BIS alarm switch, alarm level, and alarm print options.

Chapter 19 EMS

19.1 Appearance and Structure

Details the front, side, and rear views of the EMS module, including indicators and connectors.

19.2 Operation Mode

Describes the two EMS operation modes: Module Mode (connected to host) and Monitor Mode (independent).

19.3 Basic Operation

Covers starting and shutting off the EMS, entering standby mode, and basic setup procedures.

19.3.5 EMS Setup

Guides on EMS setup for language, date/time, AC frequency, system information, and Wi-Fi connection.

19.4 User’s Screen

Describes the monitor's touch screen capabilities and different screen layouts like Standard and Custom.

19.5 Parameter Measurement

Details measurement procedures and settings for ECG, Resp, PR, SpO2, Temp, NIBP, IBP, C.O., CSM, and BIS.

Chapter 20 Freezing

20.1 Freezing Waveform

Explains how to freeze the waveform on the screen for careful survey of patient condition.

20.2 Reviewing Waveform

Details methods for browsing frozen waveforms using navigation controls for careful survey.

20.3 Releasing Freezing

Explains how to release the frozen waveform condition using smartkey or button.

Chapter 21 Reviewing

21.1 Reviewing Graphic Trends

Guides on reviewing graphic trends, selecting parameters, setting intervals, and browsing trends.

21.2 Reviewing Tabular Trends

Explains how to review tabular trends, select parameters, set intervals, and browse trends.

21.3 Reviewing NIBP Measurement Results

Details how to enter the NIBP review window and browse measurement results.

21.4 Reviewing Parameter Alarm

Explains how to review stored parameter values and waveforms at the time of an alarm event.

21.5 Reviewing Holographic Waveform

Describes how to review holographic waveforms, requiring SD card configuration, and storing waveforms.

Chapter 22 Calculations

22.1 Drug Dose Calculation

Explains drug concentration calculation for physicians, including steps, units, and titration table.

22.2 Hemodynamic Calculation

Details hemodynamic calculation steps, inputting parameters for monitoring and calculation.

22.3 Nephridium Calculation

Explains Nephridium calculation steps, inputting parameters, and output parameters.

22.4 Ventilation Calculation

Covers ventilation calculation steps, inputting parameters, and output parameters.

22.5 Oxygenation Calculation

Details oxygenation calculation steps, inputting parameters, and output parameters.

22.6 NIBP Analyze

Explains ambulatory blood pressure monitoring technology and NIBP analysis steps.

22.7 HRV Analyze

Covers Heart Rate Variability analysis, including R-R histograms, scatter plots, and trend graphs.

Chapter 23 Other Functions

23.1 Nurse Call

Explains the Nurse Call function, connecting to the hospital system, and valid conditions for its operation.

23.2 Analog Signal Output

Details the auxiliary output port for analog signal output to equipment like oscillographs.

Chapter 24 Recording

24.1 Recorder

Describes the thermal recorder, its indicator lamps, paper out port, and door.

24.2 Recording Type

Lists the types of records that can be divided according to trigger modes: real-time, circular, alarm, and manual.

24.3 Setting Recorder

Guides on setting the recorder for waveform selection, record speed, periodic recording interval, and alarm record.

24.4 Starting and Stopping Recording

Explains how to start and stop recording manually or automatically through periodic or alarm triggers.

24.5 Installing Recording Paper

Provides step-by-step instructions for installing recording paper into the recorder.

24.6 Clearing Jam Paper

Details how to clear jammed paper from the recording meter.

24.7 Cleaning Recorder

Explains how to clean the recorder, including precautions for printing head and static discharge.

Chapter 25 Battery

25.1 Introduction

Explains the function of the rechargeable battery for continuous work after AC power failure.

25.2 Installing a Battery

Provides step-by-step instructions for installing or charging batteries in the monitor.

25.3 Optimizing Battery Performance

Guides on optimizing battery performance through initial optimizing cycles and regular conditioning.

25.4 Checking Battery Performance

Explains how to check battery performance by monitoring operating time after charging and discharging cycles.

25.5 Disposing Batteries

Covers proper disposal of damaged or depleted batteries according to local regulations and safety warnings.

Chapter 26 Maintenance and Cleaning

26.1 Equipment Maintenance

Details equipment maintenance procedures, including seasonal safety checks and electrical safety tests.

26.2 Equipment Cleaning

Provides rules for keeping equipment clean, including dilution instructions, avoiding immersion, and using appropriate materials.

26.2 Cleaning of the Monitor

Explains how to clean the monitor using common detergents and non-corrosive disinfectants.

26.3 Cleaning of EMS

Refers to Chapter 26.2 for maintenance and cleaning information of the EMS module.

26.4 Cleaning and Sterilizing of Accessories

Details cleaning and sterilization methods for accessories like ECG cables, SpO2 sensors, Temp sensors, and NIBP cuffs.

Appendix A Product Specifications

A.1 Safety Specifications

Classifies the monitor according to IEC60601-1 for protection against electric shock, liquid ingress, and explosion.

A.2 Environmental Specifications

Lists operating and storage environmental specifications including temperature, humidity, and atmospheric pressure.

A.3 Physical Specifications

Provides physical specifications like weight and size for the mainframe and various modules.

A.4 Power Specifications

Details power specifications including input voltage, frequency, current, fuse, and leakage current.

A.5 Hardware Specifications

Covers hardware specifications for the display, recorder, battery, input/output devices, connectors, and signal outputs.

A.6 Measurement Specifications

Provides detailed measurement specifications for ECG, Resp, NIBP, SpO2, Temp, IBP, CO2, AG, ICG, BIS, and CSM.

Appendix B Factory Defaults

B.1 Monitor Defaults

Lists factory default settings for System, Interface Setup, Alarm, Recorder, and ECG parameters.

B.2 EMS Defaults

Lists factory default settings for EMS System, Wifi, ECG, Resp, SpO2, Temp, NIBP, IBP, C.O., CSM, and BIS.

Appendix C Alarm messages

C.1 Monitor Alarm Messages

Lists alarm messages for System, ECG, Resp, SpO2, Temp, NIBP, IBP, CO2, AG, ICG, C.O., CSM, and BIS with causes and levels.

C.2 EMS Alarm Messages

Lists alarm messages for EMS System, ECG, Resp, SpO2, Temp, NIBP, IBP, CO2, AG, ICG, C.O., CSM, and BIS with causes and levels.

Appendix D Guidance and Manufacturer’s Declaration of EMC

Guidance and manufacturer’s declaration – electromagnetic emissions

Provides guidance on electromagnetic emissions and compliance levels for RF, harmonic, and voltage fluctuations.

Guidance and manufacturer’s declaration – electromagnetic immunity

Details guidance on electromagnetic immunity for ESD, electrical fast transient/burst, surge, and power frequency magnetic field.

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