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24-10 Nightingale PPM3 User's Guide April 2019

Technical Data

IBP Resolution

1 mmHg

Pulse Rate Measurement Range

30 - 250 bpm

Pulse Rate Accuracy

± 2 bpm or ±2 %, whichever greater

Numeric Update Rate

Every 3 seconds

Temperature

Compatibility

YSI 400-series probes

Measurement Mode

Direct (as defined in ISO 80601-2-56)

Input Connector

2-pin connector

Display Units

°F and °C (user-selectable)

Measurement Resolution

0.1 °F (0.1 °C)

Measurement Range

41.0 to 122.0 °F (5.0 to 50.0 °C)

Measurement Accuracy

±0.2 °F (±0.1 °C) plus probe tolerance

Transient Response

Within 30 seconds from 25 to 27 °C

Main Page

User Assistance3
Table of Contents5
General Information11
Overview17
System Diagram17
Figure 1. Nightingale Monitoring System17
Scope of this User's Guide18
PPM3 Diagrams19
Figure 2. PPM3 Front View19
Figure 3. PPM3 Rear View20
Figure 4. PPM3 Left View21
Figure 5. PPM3 Right View22
Figure 6. Partially Engaged Power Connector23
Figure 7. Fully Engaged Power Connector23
PPM3 User Interface24
Figure 8. PPM3 Front Panel24
Figure 9. Sample of PPM3 Main Screen26
Main Features of the PPM327
Getting Started29
Parts You Should Have29
Mounting Solutions30
How to Connect the PPM3 to Power and Communications31
Figure 10. PPM3 Startup Screen32
Figure 11. PPM3 Shutdown Screen33
Figure 12. New Patient Screen with Previous Patient37
Figure 13. Main Screen with no Patient Admitted38
Checklist before Connecting to Patient39
How to Connect the PPM3 to the Patient40
How to Check the PPM3 Setup40
ECG and Heart Rate Monitoring41
Overview of ECG and Heart Rate Monitoring41
Getting Started with ECG on the PPM341
Checking the ECG Signal42
Figure 14. ECG Waveform and HR Value42
Standard Electrode Placement (AHA)45
Figure 15. Standard AHA Electrode Placement45
Standard Electrode Placement (IEC)46
Figure 16. Standard IEC Electrode Placement46
Electrode Placement for Paced Patients (AHA)47
Figure 17. Paced AHA Electrode Placement47
Electrode Placement for Paced Patients (IEC)48
Figure 18. Paced IEC Electrode Placement48
Verifying Proper Pacemaker Handling49
ECG and Heart Rate Monitoring Messages50
Respiration Monitoring53
Overview of Respiration Monitoring53
Getting Started with Respiration on the PPM353
Checking the Respiration Signal53
Figure 19. RR Waveform and Value54
Pediatric Considerations55
Respiration Monitoring Messages56
Pulse Oximetry Monitoring57
Overview of Pulse Oximetry Monitoring57
Getting Started with Pulse Oximetry on the PPM357
Checking the Pulse Oximetry Signal58
Pediatric Considerations60
Pulse Oximetry Monitoring Messages61
Non-Invasive Blood Pressure Monitoring63
Overview of NBP Monitoring63
Getting Started with NBP on the PPM363
Checking the NBP Measurement64
Figure 21. NBP Value with Interval64
Pediatric Considerations68
Hypertensive Considerations68
NBP Monitoring Messages69
Oridion CO Monitoring71
Overview of CO Monitoring71
Getting Started with Oridion CO on the PPM371
Integrated Pulmonary Index72
Checking the CO Signal72
Figure 22. Oridion CO Waveform and Values73
Figure 23. Integrated Pulmonary Index74
Oridion CO Monitoring Messages77
Figure 25. Masimo IRMA Module with Airway Adapter79
Masimo CO Monitoring80
Getting Started with Masimo CO on the PPM380
Figure 26. Nomoline Adpater - Female Luer Lock80
Monitoring81
Figure 27. Snapping IRMA Onto Adapter81
Checking the CO82
Masimo LED Indicator83
Zeroing Masimo CO83
Masimo CO Monitoring Messages89
Invasive Blood Pressure Monitoring91
Overview of IBP Monitoring91
Checking the IBP Signal(S)93
Figure 29. IBP Waveforms and Values93
IBP Monitoring Messages95
Temperature Monitoring97
Checking the Temperature97
Figure 30. TEMP Value97
Temperature Monitoring Messages99
Working with Menus101
Parameter Menus102
ECG and Heart Rate102
Figure 31. Setup HR Menu102
Figure 32. HR/PR Values Sourced from Spo2 or ART103
Respiration104
Figure 33. Setup RR Menu104
Pulse Oximetry105
Figure 34. Setup Spo 2 Menu105
Non-Invasive Blood Pressure107
Figure 35. Setup NBP Menu107
Oridion CO / Capnography109
Figure 36. Setup CO Menu with Oridion Capnography109
Masimo CO / Capnography110
Invasive Blood Pressure112
Figure 38. Setup IBP Menu112
Temperature113
Figure 39. Setup TEMP Menu113
Front Panel Keypad Menus114
SETUP Key and Submenus114
Figure 40. SETUP Key Menu114
Figure 41. Main Screen with Alarms Paused Message & Timer115
Figure 42. Setup Parameters Menu116
Figure 43. Numbers Only Main Screen117
Figure 44. Setup Waveforms Menu118
Figure 45. Setup Waveform Menu with Ibps119
Figure 46. Setup Audio Menu120
Figure 50. Patient Information Menu125
Figure 51. Adult Patient Type125
Figure 52. Restore Department Defaults Menu126
Figure 53. Setup Administration Menu127
Figure 54. Setup Configuration Menu128
Password Protected Menus129
Figure 55. Enter Password Menu129
Figure 56. Setup Alarms Menu130
Figure 57. Setup System Menu132
Figure 58. Set Date and Time Menu133
Figure 59. Save Department Defaults Menu134
NBP INTERVAL Key135
Figure 60. Setup NBP Interval Menu135
STANDBY Key137
TRENDS Key137
MAIN SCREEN Key137
Managing Alarms139
Alarm Presentation Basics140
Audible Alarm Tones140
Visual Alarm Colors140
How to Silence Alarms141
Figure 61. Silenced & Active HR Limit Alarm141
Alarm Messages142
How to Enable or Disable Alarms143
Alarm Validation144
Alarm Handling at Start-Up144
Alarm Reports144
Audible Alarm Tones While Connected to the MPC145
Second Speaker Alarm Tones146
Alarm Conditions147
What to Do When You Hear an Alarm Tone153
Manual Self-Test of the Alarm System154
Centralized Monitoring155
Connecting to the MPC155
Remote Control Settings156
Disconnecting from the MPC156
Viewing Trends157
Figure 62. Trends Menu158
Figure 63. Clear Trends Menu159
Entering Standby Mode161
Figure 64. Standby Menu161
Figure 65. Standby Mode162
Figure 66. Wakeup from Standby Mode162
Battery Operation165
Figure 67. Main Screen with Battery Icon165
Strip Chart Recorder Option167
Basic Operation167
Figure 68. PPM3 Recorder Connection167
Figure 69. Replacing Recorder Paper167
Recorder Settings168
Figure 70. Setup Recorder Menu168
Strip Chart Recordings169
Trend Recordings170
Recorder Messages170
Troubleshooting171
PPM3 Monitor Settings173
Accessories179
Cleaning181
Maintenance and Storage185
PPM3 Functional Tests185
PPM3 Calibration Procedures189
Battery Replacement191
Storage191
Warranty192

ZOE PPM3 - Page 208

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