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Patient Monitor User Manual Basic Operation

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Table of Contents

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- Table of Contents5
Chapter 1 Intended Use and Safety Guidance16
- Intended Use/Indications for Use16
- Safety Guidance16
- Protecting Personal Information22
- Explanation of Symbols on the Monitor23
Chapter 2 Installation27
- Initial Inspection27
- Mounting the Monitor27
- Connecting the Power Cable27
- Checking the Monitor28
- Checking the Recorder28
- Setting Date and Time28
- Handing over the Monitor28
- FCC Statement29
- FCC RF Radiation Exposure Statement29
Chapter 3 Basic Operation30
- Overview30
- Main Unit30
- Parameter Amplifier Mainframe39
- Measurement Modules40
- XM Module42
- Im2044
- Operating and Navigating44
- Using Keys46
- Setting Parameters47
- Accessing the Parameter Menu47
- Activating / Deactivating a Parameter Measurement49
- Resolving Module Conflicts49
- Resolving IBP Label Conflicts49
- Operating Mode50
- Demo Mode50
- Standby Mode50
- Night Mode51
- Privacy Mode51
- NFC Mode52
- Changing Monitor Settings53
- Adjusting Screen Brightness53
- Changing Date and Time53
- Adjusting Volume53
- Adjusting Key Volume53
- Adjusting Alarm Volume53
- Adjusting Beat Volume53
- Checking Your Monitor Version54
- Networked Monitoring54
- Setting Languages54
- Calibrating Screens54
- Disabling the Touch Screen55
- Using the Bar Code Scanner55
Chapter 4 Alarms56
- Alarm Category56
- Physiological Alarms56
- Technical Alarms56
- Prompts56
- Alarm Levels56
- Controlling Alarm58
- Setting Parameter Alarm58
- Audio Alarm Paused59
- Audio Alarm off59
- Alarm Reset60
- Latching Alarms60
- Disabling Sensor off Alarms60
- Network Disconnected Alarms61
- Testing Alarms61
Chapter 5 Alarm Information62
- Physiological Alarm Information62
- Technical Alarm Information68
- Prompts86
- Adjustable Range of Alarm Limits90
Chapter 6 Managing Patients94
- Admitting a Patient94
- Patient Category and Paced Status95
- Quick Admit95
- Barcode Admit95
- Editing Patient Information95
- Central Monitoring System96
Chapter 7 User Interface97
- Setting Interface Style97
- Selecting Display Parameters97
- Changing Waveform Position97
- Changing Interface Layout97
- Viewing Trend Screen98
- Viewing Oxycrg Screen98
- Viewing Large Font Screen98
- Viewing the Vital Screen99
- Viewing the Bed View Window99
- Opening the Bed View Window99
- Settings of the Bed View Window99
- Changing Parameter and Waveform Colors99
- User Configuration100
- Default Configuration100
Chapter 8 Monitoring ECG101
- Overview101
- ECG Safety Information101
- ECG Display103
- Changing the Size of the ECG Wave103
- Changing the ECG Filter Settings104
- Selecting Calculation Lead104
- Monitoring Procedure105
- Preparation105
- Connecting ECG Cables105
- Selecting Lead Type105
- Installing Electrodes106
- ECG Menu Setup109
- Setting Alarm Source109
- Setting Beat Source110
- Smart Lead off110
- ECG Display110
- Setting Pace Status111
- ECG Calibration111
- ECG Waveform Settings112
- 12-Lead ECG Monitoring112
- Activating 12-Lead ECG Monitoring112
- Analysis Function112
- Waveform Durations and Isoelectric Segments113
- ST Segment Monitoring113
- Setting ST Analysis114
- ST Display114
- About ST Measurement Points115
- Adjusting ST and ISO Measurement Points115
- Arrhythmia Monitoring115
- Arrhythmia Analysis115
- ARR Analysis Menu120
Chapter 9 Monitoring RESP122
- Overview122
- RESP Safety Information122
- Electrode Placement for Monitoring RESP123
- Cardiac Overlay123
- Chest Expansion123
- Abdominal Breathing124
- Selecting RESP Lead124
- Changing Hold Type124
- Changing the Size and Speed of the Respiration Wave124
- Changing the Apnea Alarm Time124
Chapter 10 Monitoring Spo125
- Overview125
- Spo Safety Information125
- Measuring Spo126
- Measurement Limitations127
- Assessing the Validity of a Spo Reading128
- Spo Alarm Delay129
- Perfusion Index (PI)129
- Measuring Spo and NIBP Simultaneously129
- Setting Pitch Tone130
- Setting Sensitivity130
- Satseconds Alarm Management130
- Describing Satseconds130
- Satseconds "Safety Net131
- Setting Satseconds Duration131
Chapter 11 Monitoring PR132
- Overview132
- Setting PR Source132
- Setting PR Volume132
- Selecting the Active Alarm Source132
Chapter 12 Monitoring NIBP133
- Overview133
- NIBP Safety Information133
- Measurement Limitations135
- Measurement Methods135
- Measurement Procedures135
- Operation Prompts137
- Correcting the Measurement if Limb Is Not at Heart Level137
- NIBP Multi-Review Window137
- Resetting NIBP137
- Calibrating NIBP137
- Leakage Test138
- Setting Inflation Mode139
Chapter 13 Monitoring TEMP140
- Overview140
- TEMP Safety Information140
- Switching T1/T2 On/Off141
- TEMP Monitoring Setup141
- Calculating Temp Difference141
Chapter 14 Monitoring IBP142
- Overview142
- IBP Safety Information142
- Monitoring Procedures143
- Selecting a Pressure for Monitoring144
- Zeroing the Pressure Transducer144
- Troubleshooting the Pressure Zeroing (Taking Art for Example)145
- IBP Calibration145
- Changing the IBP Waveform Ruler145
- IBP Waveform Overlapping145
- Measuring PAWP146
- Measurement Procedures146
- Calculating CPP147
- Calculation Procedures147
- Calculating PPV147
Chapter 15 Monitoring CO149
- Overview149
- CO Safety Information150
- Monitoring Procedures151
- Zeroing the Sensor151
- Sidestream CO151
- Mainstream CO Module154
- Setting CO Corrections155
- Setting Apnea Alarm Time156
- Setting CO Waveform156
Chapter 16 Monitoring C.O157
- Overview157
- Safety Information157
- Monitoring158
- Blood Temperature Monitoring162
Chapter 17 Monitoring AG163
- Overview163
- Safety Information164
- Safety Information for ISA Analyzer164
- Safety Information for Dräger Minimodule166
- Safety Information for IRMA Module167
- Monitoring Steps169
- Monitoring Steps for ISA Module170
- Monitoring Steps for Dräger Minimodule172
- Monitoring Steps for IRMA Module174
- Setting Apnea Alarm Time176
- Working Status of ISA Analyzer176
- Working Status of IRMA Module176
- O 2 Compensations177
- Effects of Humidity177
Chapter 18 Monitoring bis178
- Overview178
- Safety Information180
- BIS Monitoring Setup182
- BIS Continuous Impedance Check183
- BIS Sensor Check183
- Starting a Sensor Check183
- Stopping a Sensor Check183
- BIS Sensor Window184
- Changing the bis Smoothing Rate185
- Switching Secondary Parameters on and off185
- Changing the Scale of the EEG Wave185
- Setting the Trend Length185
- Switching bis Filters on or off185
Chapter 19 Monitoring RM186
- Overview186
- Safety Information187
- Sensor Setup190
- Zero Calibration191
- Purging191
- Automatic Purging191
- Manual Purging191
- Gas Compensation191
- Changing the Concentration of Inspired O192
- And Inspired Agents192
- Changing the Type of Balance Gas192
- Changing the Temperature of the Inspired and Expired Gas192
- Changing the Humidity of the Inspired and Expired Gas193
- RM Configuration193
- Changing the Apnea Alarm Delay193
- Selecting Measured Airway Volume Components193
- Changing the Respiration Mode193
- Selecting Waveform193
- Respiratory Loops193
- Viewing Loops194
- Storing and Reviewing Loops194
- Changing Loop Type194
- Showing/Hiding the Reference Loop194
- Resizing the Loops194
Chapter 20 Monitoring ICG195
- Overview195
- Safety Information196
- ICG Patient Cable196
- Precautions and Limitations197
- Starting a Measurement198
- Measurement Procedure198
- ICG Sensor Application198
- Setting Patient Data199
- Selecting Secondary Parameters199
Chapter 21 V-Link Module200
- Overview200
- Safety Information200
- Connecting an External Device201
- Activating / Deactivating V-Link Module202
- Alarms from the External Device202
- External Device Displaying and Settings on Monitor203
- NMT Displaying and Settings203
- V/A (Ventilator and Anesthetic Device) Displaying and Settings203
- V-Link Maintenance206
Chapter 22 Lidco Module207
- Overview207
- Lidco Displaying and Settings207
- Alarms from Lidco Module207
Chapter 23 Freeze208
- Entering/Exiting Freeze Status208
- Entering Freeze Status208
- Exiting Freeze Status208
- Reviewing Frozen Waveform208
Chapter 24 Review209
- Trend Graph Review209
- Trend Table Review210
- NIBP Review211
- Alarm Review211
- ARR Review211
- 12-Lead Analysis Review212
Chapter 25 Calculation and Titration Table213
- Drug Calculation213
- Calculation Procedures213
- Calculation Unit214
- Titration Table214
- Hemodynamic Calculation215
- Calculation Procedure215
- Input Parameters215
- Output Parameters215
- Oxygenation Calculation216
- Calculation Procedure216
- Input Parameters216
- Output Parameters217
- Ventilation Calculation217
- Calculation Procedure217
- Input Parameters218
- Output Parameters218
- Renal Function Calculation218
- Calculation Procedure218
- Input Parameters219
- Output Parameters219
Chapter 26 Recording220
- Performance of the Recorder220
- Starting and Stopping Recording220
- Recorder Operations and Status Messages222
- Record Paper Requirement222
- Proper Operation222
- Paper out222
- Replacing Paper222
- Removing Paper Jam223
Chapter 27 Printing Patient Reports225
- Printer Settings225
- Starting and Stopping Report Printing225
Chapter 28 Other Functions227
- Nurse Call227
- Wireless Network227
- Storing Data in the Storage Device228
- Data Stored in the Storage Device228
- Activating/ Deactivating Data Storing228
- Selecting a Storage Device229
- Reviewing Data Stored in the Storage Device229
- Deleting Data Stored in the Storage Device229
- Exporting Data Stored in the Internal Storage Device229
- Formatting the Internal Storage Device230
- Ejecting a Removable Device230
- Mews230
- MEWS Score Interface230
- MEWS Score Criteria231
- MEWS Score Method231
- MEWS Score Result231
- MEWS Trend Table232
Chapter 29 Using Battery233
- Battery Safety Information233
- Battery Power Indicator234
- Battery Status on the Main Screen234
- Checking Battery Performance234
- Replacing the Battery235
- Recycling the Battery235
- Maintaining the Battery235
Chapter 30 Care and Cleaning236
- General Points236
- Cleaning236
- Cleaning the Monitor237
- Cleaning the Reusable Accessories237
- Disinfection238
- Disinfecting the Monitor239
- Disinfecting the Reusable Accessories239
- Cleaning and Disinfecting Other Accessories240
Chapter 31 Maintenance241
- Inspecting241
- Maintenance Task and Test Schedule241
Chapter 32 Warranty and Service242
- Warranty242
- Contact Information242
Chapter 33 Accessories243
- ECG Accessories243
- Spo 2 Accessories245
- NIBP Accessories246
- TEMP Accessories248
- IBP Accessories248
- CO Accessories249
- Accessories250
- AG Accessories251
- BIS Accessories251
- RM Accessories252
- ICG Accessories252
- Other Accessories252
- A Product Specifications254
- Classification254
- Physical Specifications254
- Environmental Specifications255
- Power Supply258
- Battery258
- Display259
- Indicators260
- Recorder260
- Data Management261
- Wi-Fi262
- Ecg262
- Resp267
- Nibp268
- Spo 2271
- Temp272
- Ibp273
- C.o279
- Sidestream280
- Mainstream285
- Bis288
- Icg292
- Lidco292
- Interfaces292
- Analog Output292
- Defibrillator Synchronization293
- Nurse Call293
- USB Interfaces294
- VGA Interface294
- DVI Interface294
- RS232 Interface295
- PAM Interface295
- Wired Network Interface295
- V-Link Module295
- B EMC Information296
- Electromagnetic Emissions296
- Electromagnetic Immunity296
- Electromagnetic Immunity298
- Recommended Separation Distances301
- C Default Settings302
- Patient Information Default Settings302
- Alarm Default Settings302
- ECG Default Settings302
- RESP Default Settings304
- Spo 2 Default Settings305
- PR Default Settings305
- NIBP Default Settings305
- TEMP Default Settings306
- IBP Default Settings306
- CO Default Settings307
- AG Default Settings308
- BIS Default Settings308
- RM Default Settings309
- ICG Default Settings310
- V-Link Default Settings310
- V/A (Ventilator and Anesthetic Device) Default Settings311
- D Abbreviation312

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