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20-10 DELTA/DELTA XL/KAPPA VF8

20 M

ICROSTREAM® ETCO2 MONITORING

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Table of Contents

Overview3
- Instructions for Use1
- Table of Contents3
- Indications for Use4
- Intended Use4
- Documentation Features5
- Intended Patient Categories5
- Safety Considerations6
- Electromagnetic Compatibility13
Table of Contents14
- Introduction23
2 Monitor Setup51
- Monitor Setup52
3 Network Applications77
- Network Applications78
4 Admission, Transfer, and Discharge95
- Admitting a Patient96
  - Admission, Transfer, and Discharge96
  - Overview96
- Transferring Patient Data97
  - Data Transfer Using the Memory Card98
    - Network Data Transfer100
- Discharging a Patient101
5 Alarms103
- Overview104
  - Alarms104
    - Testing Visual and Auditory Alarm Signals104
- Alarm Priorities105
  - Networked Alarms105
- Alarm Latching107
- Alarm Management107
  - Suspending Alarms107
- Alarm Setup (Alarm Limits Table)108
  - Alarm Control108
    - Upper and Lower Alarm Limits110
    - Quick Reference - Alarm Limits Table Setup115
- Alarm History Table116
  - Alarm Limits Shortcut116
    - ST and Arrhythmia Alarms116
- OR Alarms117
6 Trends119
- Overview120
- Trend Setup120
- Trend Graphs121
  - Display Mode121
    - Channel Assignment121
- Trend Table124
- Mini-Trends125
7 Recordings127
- Overview128
  - Recordings128
- Recorder Setup134
  - Quick Reference: R50 Series Setup Menu134
    - Primary and Secondary Recorders135
    - Replacing Recorder Paper136
- Print Screen137
- Reports137
  - Quick Reference: Reports Setup138
- Status Messages139
8 Ecg and Heart Rate141
- ECG and Heart Rate142
- Overview142
- ECG Precautions143
  - Pacemakers143
- Patient Preparation148
  - Transcutaneous Electrical Nerve Stimulators148
  - ECG Leads153
- ECG Leads155
  - Trust 12-Lead155
- ECG Signal Processing and Display156
- Alarms and Alarm Conditions157
- ECG Setup Menu158
- Status Messages164
9 Arrhythmia Monitoring167
- Arrhythmia Monitoring168
10 St Monitoring177
- ST Monitoring178
11 Eeg Monitoring189
- Overview190
- Precautions190
- Connecting the EEG Pod191
- EEG Setup194
  - Quick Reference - EEG Setup195
- Status Messages197
12 Respiration199
- Overview200
- RESP Precautions201
- Patient Preparation202
- Display Features203
- RESP Setup Menu204
- Oxycrg (OCRG) Monitoring207
  - Scale208
- Status Messages216
13 Non-Invasive Blood Pressure219
- Display Features220
- Overview220
- NBP Setup221
  - Safety Considerations221
    - Cuff Selection and Placement221
- Invasive Blood Pressure222
  - Setup Menu and Quick Reference Table226
    - Taking NBP Measurements227
  - Status Messages231
14 Invasive Blood Pressure235
- Overview236
- Hardware Setup237
  - Tubing237
    - Transducers237
    - IBP Y-Cables244
- Precautions237
- Display Features245
- IBP Setup247
  - Quick Reference - IBP Setup247
    - Labeling Pressure Channels248
    - Pressure Label Conflicts251
- Pulmonary Wedge Pressure Display252
- Status Messages254
15 Cardiac Output (C.o.)257
- Overview258
  - Cardiac Output (C.O.)258
- Accuracy259
- Main Screen Display260
- C.O. Setup - Hardware261
  - C.O. Setup Menu262
    - Quick Reference - C.O. Setup262
- C.O. Measurement Procedures266
- Averaging C.O. Measurements268
- Status Messages270
16 Calculations273
- Overview274
- Physiological Calculations (Hemo/Oxy/Vent Calculations)275
  - Hemodynamic Parameters277
    - Oxygenation and Ventilation Parameters279
    - Lab Data280
- Hemodynamic Calculations (Hemo-Calcs)282
  - Hemo-Calcs282
- Drug Calculations284
  - Titration Tables284
    - Drug Calculator Setup285
    - Default Drug Setup (Unit Manager)288
17 Pulse Oximetry (Spo )291
- Pulse Oximetry (Spo2)291
18 Transcutaneous Blood Gas Monitoring315
- Overview316
- Precautions317
- Patient Preparation318
  - Applying the Sensor318
- Hardware319
  - Sensor Warm-Up319
- Display Features324
- Tpo2/Co2 Setup324
- Status Messages328
19 Etco (End-Tidal Co ) Monitoring331
- Overview333
- Etco2 (End-Tidal CO2) Monitoring334
® 20 Microstream Etco Monitoring349
- Overview350
- Precautions350
- Connection351
  - Monitor - Pod Connection351
    - Accessory Connection351
- Etco2 Display Features352
  - Parameters352
    - Capnograms353
- Etco2 Setup354
- Calibration355
  - Quick Reference Table - Etco2 Setup355
- Status Messages356
21 Respiratory Mechanics359
- Overview360
- Precautions360
- Hardware Setup362
  - Monitor-Pod Connection362
    - Selecting a Sensor363
- Paw and Vent Setup Menus365
  - Purge Sensor Function365
    - Quick Reference Table: Paw and Vent Setup366
- Display Features368
  - Display Parameters (Main Screen)369
- Alarms381
- Cleaning and Calibration381
- Status Messages382
22 Fio 2 (Fractional Inspired O Monitoring )385
- Fio2 (Fractional Inspired O2) Monitoring385
23 Scio® Four Modules391
- Overview392
  - Scio Four Oxi Plus393
- Precautions395
- Hardware Setup397
  - Site of Operation398
- Scio Setup402
  - Calibration402
- Maintenance and Repair414
  - Dual Agent Display (Scio Four Oxi Plus & Scio Four Plus Only)414
    - Status Messages416
24 Neuromuscular Transmission419
- Neuromuscular Transmission420
  - (NMT) Monitoring420
- Overview420
- Precautions421
- Connections422
- Monitoring Modes423
  - Single Twitch Mode423
    - Train-Of-Four (TOF)423
- Taking NMT Measurements424
  - Post-Tetanic Count (PTC)424
    - Clear NMT References425
    - Quick Reference Table -- NMT Monitoring Settings426
- Status Messages427
25 Bispectral Index (Bisx) Monitoring429
- Overview430
- Precautions430
- Display Features431
- Patient Preparation431
- BIS Setup433
  - Quick Reference Table - bis Setup Menu434
- Checking the Impedance436
- Status Messages437
26 Pulse Contour Cardiac Output (Picco) Monitoring439
- Overview440
  - Body Surface Area (BSA), Predicted Body Weight (PBW), Predicted Body Surface Area (PBSA)443
- Precautions444
- Picco Setup Including IBP446
- Averaging P-CO Measurements450
- Display Features453
- Picco Parameter Setup454
  - Quick Reference - Picco Setup456
- Optimizing Results for Picco Measurements461
  - Arterial Blood Pressure Signal461
- Status Messages464
- 27 Body Temperature469
28 Peripheral Devices and Associated Software475
- Overview476
- Precautions479
- Ventilation and Anesthesia Devices480
- Open Lung Tool486
- Primus, Zeus and Apollo Anesthesia Devices488
- Svo2/Cco Monitors491
- Radiometer Microgas 7650 Monitor493
- Independent Surgical Display (ISD)494
- MIB Status Messages497
- Dräger Infant Incubator C2000/C2000E498
- Dräger Infant Incubator Caleo501
- Dräger Babytherm Infant Warmer504
- Somanetics INVOS Cerebral/Somatic Oximeter 5100C507
29 Cleaning and Disinfecting509
- Overview510
- Ecg511
  - Patient Cables511
    - ESU Block511
- Ibp512
  - Picco Pod513
    - Mpod - Quad Hemo513
    - Spo2514
- Nbp512
- Etco2 and Respiratory Mechanics515
  - Capnostat Sensor515
    - Flow Sensor515
- Trident (NMT) Pod515
- Fio2519
- Temperature520
- Glossary521
B Technical Data527
- Electromagnetic Compatibility (EMC529
  - Electromagnetic Emissions530
  - Electromagnetic Immunity531
  - Recommended Separation Distances533
- Overall Regulatory Standard Compliance529
- Overview529
- System Components534
- System Components535
  - Battery Charger541
  - Medical Information Bus (MIB) II Duo Protocol Converter543
- Displays544
- Monitoring Accessories547
  - Bisx Pod554
  - EEG Pod555
- Monitoring Specifications559
- Power Supply586
- External Connection Accessories589
- Displays and Display Components592
- Monitor Options592
- Ecg593
- Pulse Oximetry (Spo2597
- Temperature600
- Non-Invasive Blood Pressure (NBP601
- Pulse Contour Cardiac Output (Picco602
- Invasive Blood Pressure (IBP603
- Cardiac Output606
- Transcutaneous Blood Gas607
- Etco2/Respiratory Mechanics609
- Fio2609
- Multigas Monitoring610
- NMT Monitoring611
- Bisx Monitoring612
- Eeg612
- Pod Communication612

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