Colin BP-S510 User manual

Patient Monitor BP-S510
Operation Manual
Part Number: A7072 Rev.1 (1731064B) Revised Date: 04/2006 Printed in Korea
Copyright © 2005-2006 All rights reserved.
Directive
z Copyright law allows no part of this instruction manual to be reproduced without
permission.
z The content of this manual are subject to change without notice. z The contents of this manual should be correct. If, for some reason, there are any
questionable points, please do not hesitate to contact our service center.
z The manual will be replaced if any pages are missing or collation is incorrect.
Warranty
z Please contact your local distributor about the warranty period. z Device failure or damage related to the following situations during the guarantee period
is not covered by this warranty:
z Installation, transfer installation, maintenance and repairs by any person other than
an authorized Colin Medical Technology employee or technician specified by Colin Medical Technology.
z Damage sustained to the Colin Medical Technology product(s) caused by
product(s) from another company excluding products delivered by Colin Medical Technology.
z Damage – caused by mishandling and/or misuse – is the responsibility of the user. z Maintenance and repairs utilizing maintenance components that are not specified
by Colin Medical Technology.
z Device modifications or use of accessories not recommended by Colin Medical
Technology.
z Damage caused by accidents or natural disasters (earthquakes, flooding, etc.).
z Damage resulting from usage where caution statements and operating instructions
shown in this manual have not been followed.
z Damage due to neglect of specified maintenance checks.
z This warranty only covers the hardware of the BP-S510. The warranty does not cover the
following selections:
z Whatever damage or loss results from the attachment of accessories or their
operation.
z In the event of a defect in the product, contact our sales outlet or EU representative
as noted on the back cover.
z The BP-S510 conforms to the EMC standard IEC60601-1-2.
Note that mobile phones should not be used in the vicinity of the BP-S510.
Note, however, any device not complying to the EMC standard that is used with the BP-S510 renders the BP-S510 as non-compliable to the EMC standard.
Trademark
Product brand names shown in this manual are likely to be the trademark or registered trademark of the company concerned.

CONTENTS

CONTENTS....................................................................................................................................................i
SAFETY INFORMATION ..............................................................................................................................1
General Safety Information ...................................................................................................................1
Warning .................................................................................................................................................1
Cautions ................................................................................................................................................3
INTRODUCTION ........................................................................................................................................... 5
Intended Use for the BP-S510 ..............................................................................................................5
About This Manual.................................................................................................................................5
Identifying the BP-S510 monitor Configurations ...................................................................................5
Features for the BP-S510......................................................................................................................6
DESCRIPTION OF THE MONITOR..............................................................................................................7
Front Panel Components ......................................................................................................................7
Rear Panel Components .......................................................................................................................9
Left Panel Components.......................................................................................................................10
Right Panel Components .................................................................................................................... 11
Displays ...............................................................................................................................................13
SETTING UP THE MONITOR.....................................................................................................................17
Unpacking and Inspection ...................................................................................................................17
List of Components..............................................................................................................................18
Power Cable Connections...................................................................................................................21
Measurement Cable Connections ....................................................................................................... 22
BATTERY OPERATION..............................................................................................................................23
Operating the Monitor on Battery Power.............................................................................................23
Battery Status Indication......................................................................................................................24
Charging a Low Battery.......................................................................................................................24
USING THE MONITOR...............................................................................................................................25
Turning on the Monitor ........................................................................................................................25
Setting Date and Time......................................................................................................................... 27
Setting Basic Setup Parameters .........................................................................................................28
ALARMS AND LIMITS................................................................................................................................33
General................................................................................................................................................33
Alarm Priority and Messages ..............................................................................................................34
Visual Alarm Indication ........................................................................................................................ 38
Audible Alarm Indication ......................................................................................................................38
Verifying Visual and Audible Alarm Indication .....................................................................................38
Changing Alarm Limits.........................................................................................................................39
Audible Alarm Silence .........................................................................................................................43
Audible Alarm Suspend .......................................................................................................................44
ECG MONITORING ....................................................................................................................................45
General................................................................................................................................................45
Setup Connections ..............................................................................................................................46
Description of HR/PR Menu Functions................................................................................................48
Description of ECG Waveform Menu Functions..................................................................................49
NIBP MONITORING....................................................................................................................................51
General................................................................................................................................................52
Setup Connections ..............................................................................................................................53
NIBP Measurement Modes .................................................................................................................53
Description of NIBP Menu Functions ..................................................................................................55
SpO
MONITORING....................................................................................................................................57
2
General................................................................................................................................................58
Setup Connections ..............................................................................................................................59
Description of SpO2 Menu Functions..................................................................................................60
i
Description of Pleth Waveform Menu Functions .................................................................................61
RESPIRATION MONITORING....................................................................................................................63
General................................................................................................................................................63
Setup Connections ..............................................................................................................................63
Description of Respiration Menu Functions ........................................................................................64
Description of Respiration Waveform Menu Functions....................................................................... 66
TEMPERATURE MONITORING.................................................................................................................67
General................................................................................................................................................67
Setup Connections ..............................................................................................................................67
Description of Temperature Menu Functions.......................................................................................67
IBP MONITORING ......................................................................................................................................69
General................................................................................................................................................69
Installing an IBP module......................................................................................................................69
Setup Connections ..............................................................................................................................70
Description of IBP Menu Functions..................................................................................................... 70
Description of IBP Waveform Menu Functions....................................................................................72
CAPNOGRAPHY MONITORING................................................................................................................75
General................................................................................................................................................75
Setup Connections ..............................................................................................................................75
Warming Up.........................................................................................................................................76
Sample Line Checks ...........................................................................................................................76
Description of CO
Menu Functions ....................................................................................................77
2
Description of Capno Waveform Menu Functions...............................................................................78
TRENDS......................................................................................................................................................81
General................................................................................................................................................81
Tabular Trend Data..............................................................................................................................81
Graphical Trend Data ..........................................................................................................................83
MENU STRUCTURE...................................................................................................................................85
PRINTING ...................................................................................................................................................99
General................................................................................................................................................99
Print Out Configuration......................................................................................................................100
EXTERNAL INTERFACE..........................................................................................................................103
General..............................................................................................................................................103
Cable Connections ............................................................................................................................103
Nurse Call Interface...........................................................................................................................104
MAINTENANCE........................................................................................................................................105
Recycling and Disposal .....................................................................................................................105
Returning the Monitor and System Components ..............................................................................105
Service...............................................................................................................................................105
Periodic Safety Checks .....................................................................................................................105
Cleaning ............................................................................................................................................106
Battery Maintenance .........................................................................................................................106
Loading Recorder Paper ...................................................................................................................107
TROUBLESHOOTING..............................................................................................................................109
General..............................................................................................................................................109
Corrective Action ...............................................................................................................................109
EMI (Electromagnetic Interference)................................................................................................... 115
Obtaining Technical Assistance ......................................................................................................... 115
FACTORY DEFAULTS.............................................................................................................................. 117
General.............................................................................................................................................. 117
Parameter Ranges and Default Settings........................................................................................... 117
SPECIFICATION ....................................................................................................................................... 121
Display...............................................................................................................................................121
Controls .............................................................................................................................................121
Alarms ...............................................................................................................................................121
Physical Characteristics and Recorder ..........................................................................................
...121
ii
Electrical ............................................................................................................................................122
Environmental Conditions .................................................................................................................122
Measurement Parameters.................................................................................................................123
Trends................................................................................................................................................126
Compliance........................................................................................................................................127
Manufacturer’s Declaration ...............................................................................................................129
Figures
Figure 1. Front Panel Components........................................................................................................................................................ 7
Figure 2. Rear Panel Components......................................................................................................................................................... 9
Figure 3. Left Panel Components ........................................................................................................................................................ 10
Figure 4. Right Panel Components.......................................................................................................................................................11
Figure 5. Displays ................................................................................................................................................................................ 13
Figure 6. AC Power connection ........................................................................................................................................................... 21
Figure 7. Battery Placement ................................................................................................................................................................ 23
Figure 8. Initial Screen......................................................................................................................................................................... 26
Figure 9. Typical Screen during monitoring ......................................................................................................................................... 26
Figure 10. Date/Time Menu ................................................................................................................................................................. 27
Figure 11. Setup Menu......................................................................................................................................................................... 28
Figure 12. Basic configuration display ................................................................................................................................................. 29
Figure 13. CO
Figure 14. IBP option display............................................................................................................................................................... 30
Figure 15. IBP and CO
Figure 16. Alarm Limits Menu.............................................................................................................................................................. 39
Figure 17. Alarm Limits Setting............................................................................................................................................................ 40
Figure 18. Auto Alarm setting menu..................................................................................................................................................... 42
Figure 19.Audible Alarm Silence Display............................................................................................................................................. 43
Figure 20. Audible Alarm Suspend Display.......................................................................................................................................... 44
Figure 21. Standard 3 Electrode Placement........................................................................................................................................ 46
Figure 22. 5 Electrode Placement........................................................................................................................................................ 46
Figure 23. HR/PR display..................................................................................................................................................................... 48
Figure 24. HR/PR Menu....................................................................................................................................................................... 48
Figure 25. ECG Waveform display....................................................................................................................................................... 49
Figure 26. ECG Waveform Menu......................................................................................................................................................... 49
Figure 27. NIBP display....................................................................................................................................................................... 55
Figure 28. NIBP menu.......................................................................................................................................................................... 55
Figure 29. SpO Figure 30. SpO
Figure 31. Pleth Waveform Display...................................................................................................................................................... 61
Figure 32. Pleth Waveform Menu ........................................................................................................................................................ 61
Figure 33. Respiration Display............................................................................................................................................................. 64
Figure 34. Respiration Menu................................................................................................................................................................ 64
Figure 35. Respiration Waveform Display............................................................................................................................................ 66
Figure 36. Respiration Waveform Menu.............................................................................................................................................. 66
Figure 37. Temperature Display........................................................................................................................................................... 67
Figure 38. Temperature Menu.............................................................................................................................................................. 68
Figure 39. IBP Module Installation....................................................................................................................................................... 69
Figure 40. IBP Display ......................................................................................................................................................................... 70
Figure 41. IBP Menu............................................................................................................................................................................ 71
Figure 42. IBP Waveform Display........................................................................................................................................................ 72
Figure 43. IBP Waveform Menu........................................................................................................................................................... 73
Figure 44. Connecting the sample line ................................................................................................................................................ 76
Figure 45. CO Figure 46. CO
Figure 47. Capno Waveform Display................................................................................................................................................... 78
Figure 48. Capno Waveform Menu...................................................................................................................................................... 78
Figure 49. Tabular Trend Screen.......................................................................................................................................................... 81
Figure 50. Tabular Trend Menu............................................................................................................................................................ 82
Figure 51. Graphical Trend Screen...................................................................................................................................................... 83
Figure 52. Graphical Trend Menu ........................................................................................................................................................ 83
Figure 53. 20 Sec Printing ................................................................................................................................................................. 100
option display..............................................................................................................................................................30
2
option display................................................................................................................................................. 30
2
Display....................................................................................................................................................................... 60
2
Menu ......................................................................................................................................................................... 60
2
Display ........................................................................................................................................................................ 77
2
Menu........................................................................................................................................................................... 77
2
iii
Figure 54. Continuous Printing .......................................................................................................................................................... 100
Figure 55. Tabular Trend Printing....................................................................................................................................................... 100
Figure 56. Graphical Trend Printing................................................................................................................................................... 101
Figure 57. Setting Information Printing .............................................................................................................................................. 101
Figure 58. Data Port Pin Layout......................................................................................................................................................... 103
Figure 59. Recorder Paper Replacement .......................................................................................................................................... 107
Tables
Table 1. BP-S510 Controls..................................................................................................................................................................... 8
Table 2. Panel and Label Symbols....................................................................................................................................................... 12
Table 3. Display Symbols..................................................................................................................................................................... 14
Table 4. Display Colors........................................................................................................................................................................ 15
Table 5. Standard Accessories............................................................................................................................................................. 18
Table 6. Optional Accessories.............................................................................................................................................................. 20
Table 7. Front panel Indications for power source............................................................................................................................... 23
Table 8. The Monitor Battery Status Icon............................................................................................................................................. 24
Table 9. Front Panel Indications for Battery Status.............................................................................................................................. 24
Table 10. Date/Time Menu................................................................................................................................................................... 27
Table 11. Setup Menu.......................................................................................................................................................................... 28
Table 12. High Priority Alarm................................................................................................................................................................ 34
Table 13. Medium Priority Alarm.......................................................................................................................................................... 36
Table 14. Low Priority Alarm................................................................................................................................................................ 36
Table 15. Informative Messages.......................................................................................................................................................... 37
Table 16. Visual Alarm Characteristics................................................................................................................................................. 38
T able 17. Audible Alarm Characteristics .............................................................................................................................................. 38
Table 18. Alarm Limits Menu................................................................................................................................................................ 40
Table 19. Alarm Limits Ranges............................................................................................................................................................ 41
Table 20. ECG Lead Colors ................................................................................................................................................................. 47
Table 21. ECG Lead Pairs ................................................................................................................................................................... 47
Table 22. HR/PR Menu ........................................................................................................................................................................ 48
Table 23. ECG Waveform Menu .......................................................................................................................................................... 50
Table 24. Cuff Size............................................................................................................................................................................... 53
Table 25. NIBP Menu........................................................................................................................................................................... 56
Table 26. SpO2 Sensors...................................................................................................................................................................... 59
Table 27. SpO2 Menu.......................................................................................................................................................................... 60
Table 28. Pleth Waveform Menu.......................................................................................................................................................... 61
Table 29. Respiration Menu................................................................................................................................................................. 64
Table 30. Respiration Waveform Menu................................................................................................................................................ 66
Table 31. Temperature Menu ............................................................................................................................................................... 68
Table 32. IBP 1 Menu........................................................................................................................................................................... 71
Table 33. IBP 2 Menu........................................................................................................................................................................... 71
Table 34. (P1 Label) Waveform Menu ................................................................................................................................................. 73
Table 35. (P2 Label) Waveform Menu ................................................................................................................................................. 73
Table 36. CO
Table 37. Capno Waveform Menu ....................................................................................................................................................... 78
T able 38. Tabular Trend Menu.............................................................................................................................................................. 82
Table 39. Graphical Trend Menu.......................................................................................................................................................... 84
Table 40. RS-232 Serial Interface Connections................................................................................................................................. 103
Table 41. Parameter Ranges and Factory Defaults............................................................................................................................117
Table 42. Electromagnetic Emissions (IEC60601-1-2) ...................................................................................................................... 129
Table 43. Electromagnetic Immunity (IEC60601-1-2)........................................................................................................................ 129
Table 44. Electromagnetic Immunity (IEC60601-1-2)........................................................................................................................ 130
Table 45. Recommended Separation Distances................................................................................................................................ 131
Table 46. Cables (IEC60601-1-2) ...................................................................................................................................................... 131
Menu............................................................................................................................................................................. 77
2
iv

SAFETY INFORMATION

General Safety Information

This section contains important safety information related to general use of the BP-S510 multi-parameter patient monitor. Other important safety information appears throughout the manual. The BP-S510 will be referred to as the monitor throughout this manual.
Important! Before use, carefully read this manual, accessory directions for use, all precautionary information and specifications.

Warning

Warnings are identified by the WARNING symbol shown above.
Warnings alert you to potential serious outcomes (death, injury, or adverse events) to the patient or user.
WARNING: Do not take into or use the monitor in locations where highly combustible anesthetics or flammable gases are used or in high-pressure oxygen rooms or inside oxygen tents, as this may cause a flammable explosion.
WARNING: When using the monitor with a commercial electric power source, use the monitor with an electric power wall socket with a grounding wire for medical use. Not doing so could cause electric shock.
WARNING: Do not connect grounding wire to gas pipes. This could cause fire.
WARNING: Only doctors and officially certified personnel should use this monitor. Do not allow patients to touch this monitor. Allowing patients to touch this monitor could cause accidents.
WARNING: This monitor cannot be used when MRI is in progress. If MRI is in use, keep patient attachments away from patients to prevent accidents.
WARNING: The monitor conforms to the requirements of the EMC standard (IEC60601-1-2), and may therefore be used simultaneously with pacemakers and other electrical simulators. It should, however, be noted that the BP-S510 may be affected by electrical scalpels and microwave therapeutic apparatus. Please check operation of the monitor during and after use of such equipment.
WARNING: Do not take mobile phones or transceivers into a room where this monitor is installed, as such devices may cause accidents.
WARNING: In order to avoid accidents, do not use any unauthorized accessories or options.
WARNING: Thoroughly read the instruction manuals supplied with accessories and options to ensure correct use. This instruction manual does not carry the caution selections for such equipment.
WARNING: Do not open cover or disassemble this monitor. Doing so could cause electric shock or fire. It is prohibited by law to modify the monitor without authorization.
WARNING: Do not use power source other than the specified voltage, (100­240V~50/60Hz) as this may cause fire or electric shock.
1
WARNING: Pre-use inspection and preventive maintenance must be performed for safe use.
WARNING: The monitor may be used with electrical surgical equipment.
Follow the instruction manuals for medical instruments – notably electrosurgical and diathermy instruments – when used, as their high – frequency energy units may cause burns to patients via attachments.
WARNING: This monitor is protected against the discharge of a defibrillator. But do not touch the monitor when a defibrillator is being discharged (electrified), as doing so may cause electric shock.
WARNING: The following cautions apply when connecting he monitor with other equipment.
1. Ensure that the connected equipment is in accordance with the IEC60601-1 or IEC safety standards, so that the system complies with IEC60601-1.
2. Employ additional protective measures (e.g. additional protective earthing) as necessary.
WARNING: Do not connect devices that do not meet medical safety standards (such as commercial PCs), as they may cause electric shock. This monitor meets the restricted level of leakage current required for medical devices. Therefore, this monitor cannot be connected to a device that would give a combined total of leakage current beyond the restricted level.
WARNING: Do not place anything on top of this monitor. If something is spilled over the monitor or gets into it, such spillage may cause fire or electric shock. If fluid spills on the monitor accidentally, disconnect power cord, wipe dry immediately, and have the monitor serviced to make sure that no hazard exists.
WARNING: Do not place heavy objects on the power cord, as doing so may cause fire or electric shock.
WARNING: Before conducting maintenance work, turn the power OFF and unplug the power cord from the wall socket to prevent electric shock.
WARNING: When the following occur, turn the power OFF immediately and unplug the power cord from the wall socket. Continued use in such situations may cause fire or electric shock.
z There is smoke or a strange odor leaking out of the device.
z The devices has been dropped or impacted by an object.
z Liquid or foreign matter gets inside the device.
z Device failure has occurred.
Also, when any of the above occurs, promptly do the following:
1. Check to see that the power cord has been unplugged from the wall socket.
2. Place an “Out of Order” sign on the device and do not use it.
WARNING: Do not connect more than one patient to the monitor. Do not connect more than one monitor to a patient.
WARNING: The patient monitor is a prescription device and is to be operated by qualified personnel only.
2

Cautions

Cautions are identified by the CAUTION symbol shown above.
Caution statements identify conditions or practices that could result in damage to the equipment or other property.
CAUTION: The monitor may not operate properly if it is operated or stored at conditions outside the ranges stated in this manual, or subjected to excessive shock or dropping.
CAUTION: When connecting the patient monitor to any instrument, verify proper operation before clinical use. Both the monitor and the instrument connected to it must be connected to a grounded outlet.
CAUTION: Accessory equipment connected to the monitor’s data interface must be certified according to IEC60950 for data-processing equipment or IEC60601-1 for electromedical equipment. All combinations of equipment must be in compliance with IEC60601-1-1 system requirements. Anyone who connects additional equipment to the signal input or signal output port configures a medical system and is therefore responsible that the system complies with the requirements of IEC 60601-1-1 and the electromagnetic compatibility system standard IEC60601-1-2. If in doubt, consult Colin Medical Technology Technical Support Representative
CAUTION: Risk of explosion if battery is replaced by an incorrect type.
CAUTION: Where the integrity of the external protective conductor in the installation or its arrangement is in doubt, equipment shall be operated from its internal electrical power source.
.
3
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4

INTRODUCTION

WARNING: Patient conditions may result in erroneous readings. If the measurements are suspect, verify the reading using another clinically accepted measurement method.

Intended Use for the BP-S510

The BP-S510 is intended to be used to monitor electrocardiography (ECG), heart rate (HR), noninvasive blood pressure (NIBP) - systolic, diastolic and mean arterial pressures, functional arterial oxygen saturation (SpO temperature (Temp), invasive blood pressure (IBP) and capnography (EtCO for adult and neonatal patients in all areas of a hospital and hospital-type facilities. Monitor users should be skilled at the level of a technician, doctor, nurse or medical specialist.
Note: Hospital use typically includes such areas as general care floors, operating rooms,
special procedure areas, intensive and critical care area, within the hospital. Hospital-type facilities include physician office-based facilities, sleep labs, skilled nursing facilities, surgical centers, and sub acute care centers.

About This Manual

This manual explains how to set up and use the BP-S510 patient monitor.
Read the entire manual including the Safety Information section, before you
operate the monitor.

Identifying the BP-S510 monitor Configurations

The following table identities BP-S510 monitor configurations and how they are indicated. The model-option number and serial number are located on the back of the monitor. All information in this manual, including the illustrations, is based on a monitor configured with the Capnography (EtCO not exist, please verify your unit configuration.
and InCO2), IBP and recorder. If the relevant functions do
2
), pulse rate (PR), respiration (RR),
2
and InCO2)
2
Configuration REF No. Description
BP-S510 112580 Standard
(ECG, NIBP, SpO BP-S510P 112581 Standard + Recorder BP-S510C 112582 Standard + Capnography BP-S510PC 112583 Standard + Capnography + Recorder S510-IBP 131324 2-channel IBP module
, 2-channel Temperature, Respiration)
2
5

Features for the BP-S510

Physical/Mechanical
The BP-S510 is a multi-parameter patient monitor which can be battery-operated when AC power source is not available.
Electrical
The BP-S510 is powered by an internal battery pack that typically provides one hour of monitoring from fully charged new batteries. The batteries are continuously recharged when the monitor is connected to AC power source. Refer to the Battery Operation section for details.
Display
The monitoring screen is a color LCD that shows all graphic and numeric patient information as well as status conditions and warning messages.
Jog dial
The jog dial provides user interaction with the display and the monitor functions. Rotating
and pressing the jog dial allows the user to navigate and make changes to the display elements and monitor functions. Refer to the Using the Monitor section for details.
Auxiliary Outputs
The monitor provides RS-232, LAN and USB ports.
6

DESCRIPTION OF THE MONITOR

Front Panel Components

1 Visual alarm indicator 2 Alarm silence button 3 NIBP interval button 4 NIBP start/stop button 5 LCD 6 Jog dial 7 Power on indicator 8 Power on/off button 9 Battery charging indicator 1 10 Battery charging indicator 2 11 Record button 12 Trend button 13 Home button
Figure 1. Front Panel Components
7
Table 1. BP-S510 Controls
Symbols Description
Power on/off button turns the monitor on or off.
Record button
prints measured data if an optional recorder is installed.
Alarm silence button
silences the audible alarm temporarily. suspends the audible alarm by pressing over 2 seconds.
NIBP interval button allow you to set the NIBP auto measurement interval.
NIBP start/stop button toggles between starting and stopping NIBP measurements.
Home button
exits a menu displayed on the screen and goes to the main screen.
Trend button
allows you to set the trend display.
Jog dial
provides user interaction with the monitor to control the functions.
8

Rear Panel Components

1 Handle 4 Equipotential terminal 2 Ventilators 5 Speaker 3 VESA connector holes
Figure 2. Rear Panel Components
9

Left Panel Components

1 ECG connector 7 NIBP connector 2 Temperature channel 1 8 AC power connector 3 Temperature channel 2 9 Water trap (option) 4 SpO 5 IBP channel 1 (option) 11 CO 6 IBP channel 2 (option) 12 CO
connector 10 CO2 connector (option)
2
Filter (option)
2
Exhaust port (option)
2
Figure 3. Left Panel Components
10

Right Panel Components

1 USB port 4 Battery cover 2 LAN port 5 Recorder (option) 3 RS-232 port
Figure 4. Right Panel Components
11
Table 2. Panel and Label Symbols
Symbols Description Symbols Description
Power on indicator EU representative
Battery charging indicator 1
Battery charging indicator 2
Visual alarm indicator
Type CF- Defibrillator proof
ECG connector
Temperature connector
SpO2 connector
NIBP connector
IBP connector
Dust and water resistance
Attention, consult accompanying documents
CE mark
Crossed-out wheeled bin
Manufacturer
Date of manufacture
Reference number
Serial number
Environmental shipping/storage altitude limitations
CO2 connector
CO2 Filter
USB port
LAN port
RS-232 interface port
Battery placement & rating
Equipotential terminal
AC power input rating
Environmental shipping/storage humidity limitations
Environmental shipping/storage temperature limitations
Fragile-handle with care
This way up
Keep dry
Attention: consult accompanying documents
Handle with care
Stack up to 3 boxes
12

Displays

1 Alarm message area 9 Setup icon 2 Title of waveform parameter 10 Alarm limits icon 3 Waveform 11 Time display 4 Waveform area 12 Numerical area 5 Informative message area 13 Alarm icon 6 Battery status icon 14 Alarm limit values 7 Patient mode icon 15 Title of numeric parameter 8 Big number screen icon 16 Numeric value
Figure 5. Displays
13
Table 3. Display Symbols
Symbols Description Symbols Description
ECG waveform icon
NIBP auto mode Interval
ECG lead pair
ECG size scale
ECG size bar
P1 Label
P2 Label
P1 or P2 Label: Arterial Blood Pressure P2 Label: Central Venous Pressure P2 Label: Pulmonary Artery Pressure P2 Label: Left Atrial Pressure
Plethysmograph icon
Capnograph icon
Impedance respiration waveform icon
NIBP elapsed time
SpO2 icon and unit
Pulse amplitude indicator
Respiration rate icon & unit
Respiration source icon: Im
Respiration source icon: Aw
Lung icon
InCO2 icon: Inspired carbon dioxide concentration EtCO2 icon: End-tidal carbon dioxide concentration
Temperature channel 1 icon
Temperature channel 2 icon
Delta T icon |T1-T2|
%
HR/PR icon & unit
HR source icon: ECG
PR source icon: IBP1
PR source icon: IBP1
PR source icon: SpO2
PR source icon: NIBP
NIBP icon
NIBP, IBP or EtCO2 unit: mmHg NIBP, IBP or EtCO2 unit: kPa
EtCO2 unit: %
Systolic pressure icon
MAP or Mean pressure icon
Temperature unit: Celsius
Temperature unit: Fahrenheit
Battery status icon
Big number screen icon
Setup icon
Alarm limits icon
Patient mode: Adult
Patient mode: Neonatal
Time display
Alarm limits value
Alarm icon
Audible Alarm silence icon
14
Diastolic pressure icon
Audible Alarm suspend icon
Symbols Description Symbols Description
NIBP graphical trend icon
T2 graphical trend icon
T1 graphical trend icon IBP graphical trend icon
EtCO2 graphical trend icon
HR/PR graphical trend icon
SpO2 graphical trend icon
Respiration graphical trend icon
Table 4. Display Colors
Function Color
ECG and HR/PR Green Plethysmograph and SpO
Cyan
2
NIBP Yellow Respiration White Temperature Pink Capnograph, InCO2 and EtCO2 Orange IBP1 (P1 Label) Purple IBP2 (P2 Label) Blue General background Black Informative message Black background, White font Low priority alarm message White background, Black font, Medium priority alarm message Yellow background, Black font, High priority alarm message Red background, Black font, Battery status icon (normal) Green Battery status icon (low battery) Yellow or Red (refer to Table 8)
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16

SETTING UP THE MONITOR

WARNING: To ensure accurate performance and prevent device failure, do not expose the monitor to extreme moisture, including direct exposure to rain. Such exposure may cause inaccurate performance or device failure. Refer to
Specification section.
WARNING: The monitor should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the monitor should be observed to verify normal operation in the configuration it is to be used. WARNING: Make sure that the monitor speaker is not obstructed. Failure to do so could result in an inaudible alarm tone.
CAUTION: Recharging the battery is strongly recommended when the battery has not been recharged for 2 or more months.
CAUTION: Follow local government ordinances and recycling instructions regarding disposal or recycling of device components, including batteries.

Unpacking and Inspection

The monitor is shipped in one carton. Examine the carton carefully for evidence of damage. Contact Colin Medical Technology Technical Support Representative immediately if any damage is discovered. Refer to the Maintenance section for instructions on returning damaged items.
Note: Refer to Performance Verification section in the service manual for the detailed
information.
17

List of Components

The following items are standard in the package.
Figure Description REF Q’ty
Main Unit
Table 5. Standard Accessories
For NIBP
BP-S510
- 1
OPERATION MANUAL (English)
1731064 1
AC POWER CORD 046111 1
BATTERY 040074 1
ROLL PAPER *Only when Recorder option is installed.
- 2
18
CUFF No.3 (12cm) A013ZZ 1
CUFF HOSE No.1 (3.5m) A015ZZ 1
For ECG
ECG CABLE No.8 AY1005 1
Figure Description REF Q’ty
For ECG
For SpO2
For CO2
ECG 3-LEAD WIRES No.5 (G,R,Y)
AG1002 1
SpO2 DURA SENSOR DS-100A
- 1
SpO2 EXTENSION CABLE DOC-10
- 1
SAMPLING SET (AIRWAY ADAPTER, NAFION TUBE & SAMPLING TUBE) *Only when CO installed.
option is
2
C010ZZ 1
19
Optional items listed below can be ordered. Contact your local sales supplier for the detailed information.
Table 6. Optional Accessories
REF Description Unit Min.Qty
NIBP A012ZZ CUFF No.2 (9cm) pce -
A014ZZ CUFF No.4(14cm) pce -
AL021Z CUFF No.10(2.5cm) pce 10
AL022Z CUFF No.11(3cm) pce 10
AL023Z CUFF No.12(4cm) pce 10
AL024Z CUFF No.13(5cm) pce 10
A016ZZ CUFF HOSE No.2(1.5m) pce -
AL012Z CUFF HOSE No.3(3.5m) pce -
ECG AG006Z ECG ELECTRODES 25pcs/bag bag 1
AG1003 ECG 5-LEAD WORES No.6(G,R,Y,W,B) pce -
SpO2 - ADULT FINGER OXISENSOR MAX-A - -
- CHILD FINGER OXISENSOR MAX-P - -
- NEONTAL OXISENSOR MAX-N - -
- INFANT OXISENSOR MAX-I - -
- ADULT NASAL OXISENSOR MAX-R - -
- MAX-FAST - -
CO2 C005ZZ WATER TRAP - -
C003ZZ NAFION TUBE pce 10
C004ZZ SAMPLING TUBE pce 10
C002ZZ AIR WAY ADAPTER pce 10
IBP AS012Z IBP DISPOSABLE TRANSDUCER DT-12 pce 10
AS011Z IBP DISPOSABLE TRANSDUCER DT-4812 pce 10
046432 IBP INTERFACE CABLE TC-COL-2 pce 1
TEMP AS004Z BT Sensor Model 401J/Rectum, Gullet
(produced by YSI)
AS005Z BT Sensor Model 402J/Rectum,
Gullet/Small(produced by YSI)
Others 1731064A OPERATION MANUAL (English) pce 1
1731065A OPERATION MANUAL (German) pce 1
1731066A OPERATION MANUAL (French) pce 1
1731093A OPERATION MANUAL (Portugese) pce 1
1731068A OPERATION MANUAL (Spanish) pce 1
1731071A SERVICE MANUAL (English) pce 1
040074 BATTERY (BP-S510) - -
048151 ROLL PAPER BP-S510 - -
A023ZZ GROUDING WIRE TYPE1 pce 1
A024ZZ GROUDING WIRE TYPE2 pce 1
pce 1
pce 1
20

Power Cable Connections

WARNING: Do not connect to an electrical outlet controlled by a wall switch because the device may be accidentally turned off.
CAUTION: If in doubt the integrity of the AC power source, the monitor must be operated from its internal battery.
AC Power
Make sure that the AC outlet is properly grounded and supplies the specified voltage and frequency (100-240V~ 50-60 Hz).
Figure 6. AC Power connection
1. Connect the female connector end of the AC power cord to mains connector on the monitor’s left panel.
2. Plug the male connector end of the AC power cord into a properly grounded mains outlet.
3. If necessary, connect grounding wire. Connect the grounding wire connector to the equipotential terminal on the rear panel. Now attach the clip end of the grounding wire to the medical equipment grounding terminal on the wall.
4. Verify that Battery charging indicator on the monitor’s front panel is lit.
Note: Even if the monitor is not turned on, the Battery charging indicator is lit when the
AC power cord is connected into a mains outlet.
Note: If Battery charging indicator is not lit, check:
z the power cord z the AC power inlet z the power/ mains outlet z No Battery
If the Battery charging indicator still is not lit although any problem is not found,
contact qualified service personnel or your local supplier for assistance.
21

Measurement Cable Connections

WARNING: For best product performance and measurement accuracy, use only accessories supplied or recommended by Colin Medical Technology. Use accessories according to the manufacturer’s directions for use and your facility’s standards. Use only accessories that have passed the recommended biocompatibility testing in compliance with ISO10993-1.
Note: Both frequent checks by the operator on daily basis and more comprehensive
technical checks less frequently are covered by this requirement in order to detect
ECG Cables and Leads
NIBP Hoses and Cuffs
SpO
2 Cables and Sensors
Temperature Probes
IBP Transducers (option)
CO
Sampling set (option)
2
mechanical damage and damage to cables, etc.
1. Connect an ECG cable to the “ECG” connector making sure that the connector arrow is pointing panel.
2. Attach the ECG lead wire to the end of the cable. (see Figure 3)
1. Select an appropriate size cuff for the patient. (Refer to the NIBP Monitoring section.)
2. Connect the hose to the “CUFF” connector making sure to tighten the connector in the clockwise direction.
3. Attach the cuff to the end of the hose. (see Figure 3)
1. Select an appropriate sensor for the patient and desired application. (Refer to the SpO
Monitoring section.)
2. Connect the extension cable DOC-10 to the “SpO
panel.
3. Attach the sensor to the end of the cable. (see Figure 3)
1. Select the appropriate probe(s) for the desired application.(YSI 400 Series)
2. Connect the temperature probes to the “T1” and/or “T2” connector on the monitor’s left
panel. (see Figure 3)
1. Connect the interface cable(s) for the transducer(s) to the IBP connector on the
monitor’s left panel. An interface cable for the transducer has to be selected correctly as it depends on the transducer type. (see Figure 3)
2. Set up the patient circuit according to the directions for use of the transducer,
monitoring kit and IV set.
1. Connect a sampling tube to the “Water Trap” port on the monitor’s left panel. (see
Figure 3)
2. Connect the nafion tube to the sampling tube.
3. Connect the nafion tube to the airway adaptor.
Note: If lead wires/cables, cuffs/hose cables, sensors and/or probes are not connected
firmly, the monitor could lose signals from the patient.
” connector on the monitor’s left
2
2
22

BATTERY OPERATION

CAUTION: Recharging battery is strongly recommended when it has not been fully recharged for 2 or more months.
CAUTION: When the voltage of the battery is very low, it is a possibility of not operating.
Note: It is recommended that the monitor remain connected to AC power source when not
in use. This will ensure a fully charged battery whenever it is needed.
Note: As the battery is used and recharged over a period of time, the amount of time
between the onset of the low battery alarm and the instrument shut-off may become shorter.

Operating the Monitor on Battery Power

The monitor has an internal battery that can be used to power the monitor when AC power source is not available. The battery status icon appears on the screen when the monitor is on battery power.
Figure 7. Battery Placement
1. Turn off the monitor.
2. Open the battery cover by pressing the latch.
3. Insert the battery carefully.
Table 7. Front panel Indications for power source
Power Connections Front panel Indications
AC source Battery charging indicator is lit. Battery Battery status icon appears on the screen.
The monitor cannot operate with a fully discharged battery. Before turning on the monitor with the battery that has been completely discharged, first plug the monitor into an AC outlet to charge the battery for minimum 3 minutes. The monitor may then be powered on.
23
A new, fully charged battery will provide 1 hour monitoring operation under the following conditions:
z Operation of ECG, Respiration, SpO z NIBP automatic measurement per 5 minutes z No audible alarm condition z No external communication operating z No printing z Ambient temperature at 25°C

Battery Status Indication

When operating on batteries, the battery status icon in the lower part of the display indicates the battery charge condition. See Table 8.
Battery Status Icons Battery Status Icon Color
, Temperature, CO2 and IBP
2
Table 8. The Monitor Battery Status Icon
Green (constant)
A low priority alarm occurs when the remaining battery power is only enough for 15
minutes of operation. The alarm message ‘Low Battery’ appears on the screen and the
visual alarm indicator is lit with yellow.
This alarm cannot be silenced while running on battery power. Connecting the monitor to AC power will silence the alarm.
A high priority alarm occurs for about 5 minutes before the monitor shuts off. The alarm
message ‘Critically Low-Battery Condition’ will appears and the visual alarm indicator
will flash with red. After that, the monitor will automatically shut down. Connect the monitor to an AC power source to avoid any loss of trend data or settings.

Charging a Low Battery

1. Connect the monitor to AC power source to charge a low or depleted battery.
(see the Setting up the Monitor section)
2. Verify that Battery charging indicator is lit with orange.
Battery status Battery charging indicator
Full charged Green
Not installed Off
Note: Even if the monitor is turned off, Battery charging indicator is lit while the battery
is recharged.
Note: A full charge of a depleted battery takes over 12 hours per battery.
Table 9. Front Panel Indications for Battery Status
Charging Orange
Yellow (constant) 15 minutes
Red (flashing) 5 minutes
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