Datex-Ohmeda S-5 Light Monitor User manual
Datex-Ohmeda
S/5 Light Monitor
User’s Reference Manual
0537
Conformity according to the Council Directive 93/42/EEC concerning medical devices
CAUTION: U.S. Federal and Canadian law restricts this device to sale by or on the order of a
licensed medical practitioner. Outside the USA and Canada, check local laws for any
Datex-Ohmeda, Inc.
P.O. Box 7550, Madison
WI 53707-7550, USA
Tel. +1-608-221-1551
Fax +1-608-222-9147
www.us.datex-ohmeda.com
restriction that may apply.
Document No. 8000056-2
April 2003
Datex-Ohmeda Division,
Instrumentarium Corp.
P.O. Box 900, FIN-00031
DATEX-OHMEDA, FINLAND
Tel. +358 10 39411 Fax +358 9 146 3310
http://www.datex-ohmeda.com/
Instrumentarium Corp. All rights reserved.
Intended purpose
Datex-Ohmeda S/5 Light Monitor is intended for stationary and mobile monitoring of
patient’s ECG, SpO2, non-invasive and invasive blood pressure, temperature, respiration
and CO2 in hospitals and ambulances. When used outdoors, the monitor must be in the
protective case.
The monitor is intended for use by qualified medical personnel only.
The S/5 Light Monitor is intended for patients with weight from 5 kg (11 lb.) up.
Respiration monitoring is intended for patients three years old and up.
Classification according to IEC 60601-1
− CLASS I EQUIPMENT and INTERNALLY POWERED EQUIPMENT according to the type
of protection against electrical shock.
− TYPE BF or CF equipment according to the degree of protection against electric shock
is indicated with a symbol beside each patient connector.
− Degree of protection against harmful ingress of water as detailed in the
IEC 60529:
Monitor: IPX1, vertically falling water drops shall have no harmful effects (applicable
when the monitor is in upright position, or tilted backwards). In the protective case
IPX4, splash proof, when the case is closed properly, the monitor is intact and
operates on battery power.
Power adapter: IPX0, ordinary equipment.
Power Adapter for Transport Vehicles: IPX1.
− EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANESTHETIC
MIXTURE with air or with oxygen or nitrous oxide.
− CONTINUOUS OPERATION according to the mode of operation.
Classification according to EU Medical Device Directive
− The monitor is classified as IIb.
Responsibility of the manufacturer
Instrumentarium Corp. is responsible for the effects on safety, reliability and performance of
the equipment only if:
− assembly, operations, extensions, readjustments, modifications, service and repairs
are carried out by authorized personnel.
− the electrical installation of the relevant room complies with appropriate
requirements.
− the equipment is used in accordance with this manual.
The CO2 measuring option (N-LCM) is manufactured for Instrumentarium Corp. by
Pryon Corp., 8500 S.W. Creekside Place, Beaverton, OR 97008-7107 USA.
The Nellcor option (N-LNSAT) is manufactured for Instrumentarium Corp. by
Mallinckrodt Inc., 675 McDonnell Boulevard, P.O. Box 5840, St. Louis, MO 63134 USA.
Trademarks
ComWheel, Datex-Ohmeda AS/3, Datex-Ohmeda CS/3, Light, EarSat, FingerSat and
Flexlite are trademarks of Instrumentarium Corp.
© Instrumentarium Corp. All rights reserved.
General
Table of contents
1. How to Use THIS MANUAL 1
Related documents...............................................................................................1
Symbols and abbreviations.....................................................................................2
Symbols on the equipment................................................................................2
Symbols used in this manual ..............................................................................4
Chapter symbols..............................................................................................4
Abbreviations..................................................................................................5
Conventions used in this manual.............................................................................6
2. SAFETY 7
Warnings .............................................................................................................7
EXPLOSION HAZARD ..........................................................................................7
ELECTRICAL SHOCK HAZARD...............................................................................7
PATIENT SAFETY................................................................................................8
Cautions..............................................................................................................9
BATTERY CAUTIONS.........................................................................................10
3. Unpacking and Installation 11
Unpacking..........................................................................................................11
Placing..............................................................................................................11
Electrical Power Adapter .......................................................................................12
Charge batteries............................................................................................13
Connecting to network.........................................................................................13
Configuration.....................................................................................................13
Disposal............................................................................................................14
4. Description 15
Parts of the monitor .............................................................................................15
Rear panel .........................................................................................................16
Keys and controls................................................................................................17
ComWheel....................................................................................................17
Display..............................................................................................................18
Measurement connectors .....................................................................................19
5. Operation 20
Getting started....................................................................................................20
During monitoring ................................................................................................20
In-between patients.............................................................................................20
At the end of the day...........................................................................................20
Using menus......................................................................................................21
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Datex-Ohmeda S/5 Light Monitor
6. Batteries 22
Charging batteries...............................................................................................22
Charging in the monitor...................................................................................22
Removing batteries from the Battery Module...........................................................23
Battery alarms .................................................................................................... 23
Storing and disposing of batteries..........................................................................23
7. Cleaning 25
Dust filter..........................................................................................................26
Monitor casing....................................................................................................26
Pulse oximetry sensors........................................................................................26
ECG cables, temperature probes, NIBP hose...........................................................26
NIBP cuff...........................................................................................................27
Invasive pressure cables ...................................................................................... 27
Airway accessories .............................................................................................. 27
Adapters.......................................................................................................27
Mainstream CO2 sensor .................................................................................. 27
8. ALARMS 29
Alarm categories ................................................................................................. 29
Smart start alarms .......................................................................................... 30
Silencing alarms.................................................................................................30
Silencing alarms for two minutes.......................................................................31
Turning audible alarms on and off.....................................................................31
Alarm messages.................................................................................................32
Alarms setup and adjustments..............................................................................32
Adjusting alarm limits ...................................................................................... 32
Other settings................................................................................................33
Automatic alarm recording .................................................................................... 33
Alarm tables....................................................................................................... 34
Alarm sources................................................................................................ 34
Default limits................................................................................................. 34
Auto alarm limits ............................................................................................ 36
9. MONITOR SETUP 38
Screen setup ..................................................................................................... 38
Selecting waveforms....................................................................................... 38
Selecting numerical display fields ..................................................................... 39
Setting time & date ............................................................................................. 40
Install/Service menu........................................................................................... 41
Default settings .................................................................................................. 41
ii
General
10. TRENDS 45
Viewing graphic trends ......................................................................................... 46
Graphic trend pages........................................................................................ 46
Viewing numerical trend ....................................................................................... 48
Changing trend setup........................................................................................... 49
Erasing trend data............................................................................................... 49
11. Patient Data 50
12. Recording and Printing 52
Recording .......................................................................................................... 52
Selecting the waveforms to be recorded............................................................. 52
Recording trends................................................................................................. 53
Other recorder settings......................................................................................... 53
Recorder paper replacement................................................................................. 54
Printing.............................................................................................................. 54
Selecting the printer ....................................................................................... 54
Selecting the paper size .................................................................................. 55
Printer installation............................................................................................... 55
Printer setup.................................................................................................. 55
13. Network and DataCard 56
Networking......................................................................................................... 56
Patient view and multi view on the Datex-Ohmeda Central screen ........................... 56
Monitor-to-Monitor communication.................................................................... 57
DataCard........................................................................................................... 57
Inserting and removing the card ........................................................................ 57
Collecting data............................................................................................... 58
14. ECG 59
Monitoring ECG...................................................................................................59
Applying electrodes.............................................................................................59
Patient preparation.........................................................................................59
Placing electrodes..........................................................................................60
Electrode coding............................................................................................60
Selecting trunk cable......................................................................................61
What should happen when electrodes are applied ?.............................................61
Selecting ECG lead.........................................................................................61
ECG display........................................................................................................61
Cascaded ECG...............................................................................................62
ECG adjustments................................................................................................62
ECG setup..........................................................................................................63
Setting heart rate alarm.......................................................................................64
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Datex-Ohmeda S/5 Light Monitor
Pacemaker patients............................................................................................64
15. Respiration 65
Monitoring respiration..........................................................................................65
Patient connections............................................................................................65
Respiration setup...............................................................................................65
Limitations of measuring......................................................................................66
Measuring principle ............................................................................................. 67
16. Pulse Oximetry 68
Monitoring pulse oximetry.....................................................................................68
Selecting sensor ................................................................................................. 69
Applying sensors.................................................................................................69
What should happen when sensor is applied ? .................................................... 70
Pulse oximetry display.....................................................................................70
Measuring limitations..........................................................................................70
Adjustments.......................................................................................................71
Setting SpO2 alarms ...........................................................................................72
Measuring principle ............................................................................................. 72
Alternative SpO2 measurement.............................................................................73
Nellcor sensors...........................................................................................73
17. TEMPERATURE 74
Monitoring temperature ....................................................................................... 74
Temperature display ....................................................................................... 74
Temperature testing ............................................................................................ 74
Temperature setup.............................................................................................. 75
18. NON-INVASIVE BLOOD PRESSURE (NIBP) 76
Monitoring NIBP.................................................................................................. 76
Display of NIBP measurement .......................................................................... 77
Automatic NIBP double check........................................................................... 78
Using NIBP functions ........................................................................................... 78
Starting/Stopping autocycle ............................................................................ 79
Starting a manual measurement....................................................................... 79
Canceling any measurement............................................................................ 79
Starting a continuous measurement (STAT) ......................................................... 80
Using venous stasis............................................................................................. 80
NIBP adjustments ............................................................................................... 81
Calibration check................................................................................................ 81
NIBP alarms ....................................................................................................... 82
Measuring principle............................................................................................. 82
iv
General
19. INVASIVE BLOOD PRESSURE 83
Monitoring invasive pressures ............................................................................... 83
Preparing pressure line.................................................................................... 83
Zeroing transducer.......................................................................................... 84
Invasive pressure display................................................................................. 85
Adjustments....................................................................................................... 86
Labeling the invasive line................................................................................. 86
Changing the scale ......................................................................................... 87
Other invasive pressure setup adjustments......................................................... 87
Invasive pressure alarms ...................................................................................... 88
Measuring principle ............................................................................................. 88
20. Carbon Dioxide, CO
Monitoring mainstream CO2.................................................................................. 89
Display of CO2 measurement................................................................................ 90
CO2 adjustments ................................................................................................ 91
Calibration check ................................................................................................ 91
Unit conversions ................................................................................................. 92
Measuring principle ........................................................................................ 92
2
89
21. MAINTENANCE AND TROUBLESHOOTING 93
Maintenance......................................................................................................93
Once a month................................................................................................93
Once a year ...................................................................................................93
Checklist...........................................................................................................93
General........................................................................................................93
ECG/Respiration............................................................................................94
Pulse oximetry...............................................................................................94
Temperature..................................................................................................95
Non-invasive blood pressure NIBP .....................................................................95
Invasive blood pressure...................................................................................96
CO2.............................................................................................................96
Battery packs and Module...............................................................................96
Alarm and information messages...........................................................................97
ECG.............................................................................................................97
Impedance respiration....................................................................................98
Invasive blood pressure...................................................................................98
NIBP.............................................................................................................99
Temperature................................................................................................101
Pulse oximetry.............................................................................................101
CO2...........................................................................................................102
DataCard....................................................................................................103
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Datex-Ohmeda S/5 Light Monitor
Battery ....................................................................................................... 104
Recorder....................................................................................................104
Other messages ........................................................................................... 105
Troubleshooting................................................................................................106
22. GENERAL SPECIFICATIONS 107
Parameter specifications....................................................................................107
ECG ........................................................................................................... 107
Impedance respiration..................................................................................107
Pulse oximetry (SpO2)/Pleth .......................................................................... 108
Temperature................................................................................................109
Non-invasive blood pressure .......................................................................... 109
Invasive blood pressure (F-LMP1 models only)..................................................110
General...........................................................................................................111
Environmental conditions..............................................................................112
Display.......................................................................................................112
Trends........................................................................................................ 113
Alarms........................................................................................................ 113
Light Monitor Battery Module (optional) (w/2 battery slots) ................................. 113
S/5 Light Monitor Backup Battery (optional)..................................................... 113
External Power Adapter ................................................................................. 114
Power Adapter for transport vehicles (optional) ................................................. 114
Option codes.................................................................................................... 114
Nurse call and defibrillator synchronization signals ............................................ 115
23. Accessories 117
24. INDEX i
vi
1. HOW TO USE THIS MANUAL
This manual describes how to use and maintain the Datex-Ohmeda S/5 Light
Monitors F-LM1 and F-LMP1.
The General section gives you information about safety aspects and
installation. Get acquainted with them before using the monitor.
The Basic Operation section helps you through the daily basic use of the
monitor.
The Detailed Operation section describes the monitor functions in detail. These
chapters are necessary if you want to master all the features available in the
monitor.
The Troubleshooting/Specifications and Index sections help you find the
information you need in various situations.
NOTE: Before using your monitor, please read this manual. Pay special attention
to WARNING and CAUTION statements.
General
Related documents
S/5 Light Monitor Technical Reference Manual
The Technical Reference Manual provides detailed technical descriptions and
instructions for the service, maintenance procedures and troubleshooting.
Light Monitor Schematic Diagrams
The Schematic Diagrams provide schematic diagrams and part layouts for the
monitor.
Patient Monitor Supplies and Accessories
The Patient Monitor Supplies and Accessories Catalogue provides information
on all supplies and accessories available for the monitor.
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Datex-Ohmeda S/5 Light Monitor
Symbols and abbreviations
Symbols on the equipment
Attention, consult accompanying documents.
on the rear panel
indicates the warning:
on the rear panel dust
filter indicates the
reminder:
on the patient
connector panel
indicates the
warnings and
cautions:
on the external power
adapter indicates the
cautions:
Electric shock hazard. Do not open monitor frame. Refer servicing to
qualified personnel.
Do not touch any part of the monitor or patient connections during
defibrillation procedure.
Disconnect power supply before servicing.
Check rear panel dust filter regularly, and clean at least once a
month.
Use only the specified cables and accessories.
Ensure proper contact of the return electrode of the electrosurgery
unit to your patient to avoid possible burns at ECG electrode or other
probe sites.
The output signals are not floating and must not be connected
directly to a patient.
For continued protection against fire hazard, replace only with same
type and rating of fuse.
Make sure voltage selector is set according to local voltage.
For indoor use only. For patient transport outdoors, use the monitor
in its protective case and with battery power only.
Do not immerse in liquid or allow any liquid to enter the interior.
on the battery unit
indicates the
warnings and
cautions:
on the CO2 sensor: Do not immerse the sensor in liquids or autoclave it.
Do not put in fire.
Do not short-circuit any terminals.
Do not disassemble or mutilate.
Use only with Battery Module or External Battery Charger.
Discharge and charge batteries fully once a month to restore full
capacity.
Sealed NiCd battery must be recycled or disposed of properly.
Discharge before disposing.
2
Ni-Cd
d
Ni-C
General
SpO2, CO2: Type BF (IEC-60601-1) protection against electrical
shock, not defibrillation proof.
NIBP: Type BF (IEC-60601-1) defibrillator-proof protection against
electrical shock.
Temperature: Type CF (IEC-60601-1) protection against electrical
shock.
ECG, Impedance Respiration, P1, P2: Type CF (IEC-60601-1)
defibrillator-proof protection against electrical shock.
Battery packs contain heavy metal cadmium (chemical symbol Cd)
and in case of disposal, must be separated from other waste
according to local regulations.
Battery packs contain Ni-Cd and they can be recycled.
IPX-class:
IPX0
IPX1
IPX4
Degree of protection against harmful ingress of water as detailed in
the IEC 60529:
- ordinary equipment
- vertically falling water drops shall have no harmful effects
- splash proof
Battery charging LEDs: LEDs are blinking while batteries are being
charged and stay illuminated when batteries are fully charged and
the monitor is connected to mains.
The monitor is connected to the network (optional).
The DataCard (option) is inserted. If symbol is blinking, the card is
faulty or it is not inserted properly.
A blinking heart next to the heart rate or pulse rate value indicates
the beats detected.
A lung next to the respiration rate value indicates that respiration
rate is calculated from the impedance respiration measurement.
Silence alarm indicator. When displayed on the upper left corner of
the screen, indicates that all the alarms are silenced. When in the
menu or digit fields, indicates that the alarm source has been turned
off.
Alternating current
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Datex-Ohmeda S/5 Light Monitor
F
Input voltage
Output voltage
Ethernet connectors
Printer connector
Sample gas outlet
Do not immerse the sensor in liquids.
Symbols used in this manual
Indicates the procedure for making adjustments (turn and press) in the
menus.
Submenu. Selecting a menu item with this symbol opens a new menu.
Chapter symbols
General chapters Measuring parameter chapters
General information ECG
Operation NIBP
Alarms Pulse oximetry
Trends
4
°C
Temperature
°
General
Recorder Invasive pressure
Abbreviations
Monitor setup CO
2
Networking and DataCard Impedance respiration
Patient data
Blood pressure:
Art arterial pressure
CVP central venous pressure
ICP intracranial pressure
Inv. invasive
Mean mean of diastolic and systolic pressures
NIBP non-invasive blood pressure
P blood pressure
PA pulmonary arterial pressure
S/D systolic/diastolic
Temperature:
Temp temperature
AirW airway temperature
Axil axillary temperature
Blad bladder temperature
Eso esophageal temperature
Myo myocardial temperature
Naso nasopharyngeal temperature
Rect rectal temperature
Room room temperature
Skin skin temperature
Temp temperature
Tymp tympanic temperature
Core central temperature
Surf surface temperature
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Datex-Ohmeda S/5 Light Monitor
Miscellaneous:
Casc cascaded ECG waveform
ECG electrocardiography
EL electroluminescence (display)
HR heart rate
LED light emitting diode
Pleth plethysmograph waveform
P/N part number
PR pulse rate
SpO
2
MS mainstream CO2 measurement
SN, S/N serial number
oxygen saturation measured by pulse oximeter
Conventions used in this manual
Names of the keys appear in bold typeface: Normal Screen.
Selectable menu items appear in bold and italic typeface: Previous Menu.
Informative messages displayed on the screen are enclosed in single quotes:
‘Please wait’.
6
Safety
2. SAFETY
Warnings
WARNING Indicates situations in which the user or the patient may be in
danger of injury or death.
EXPLOSION HAZARD
• Do not use the monitor in presence of flammable anesthetics.
ELECTRICAL SHOCK HAZARD
• Do not remove cover. Refer servicing to qualified service personnel.
• Use only hospital-grade grounded electrical outlets and power cord.
Grounding reliability can only be achieved when the equipment is
connected to a receptacle marked ‘hospital grade’.
• Make sure that external equipment is hospital grade grounded before you
connect it to the monitor. Do not connect any external equipment to the
monitor, except that specified by Datex-Ohmeda.
• When connecting external equipment to monitor, make sure that the
whole combination complies with safety standard IEC 60601-1-1 for the
medical electrical systems and with the requirements of local authorities.
A non-medical electrical equipment connected to monitor shall be
supplied from an extra separating transformer with a protectively
grounded power outlet.
• Before cleaning, disconnect the monitor from electrical outlet.
• Do not immerse any part of the monitor in liquids or allow liquid to enter
the interior.
• Do not autoclave any part of the monitor with steam or ethylene oxide.
• After cleaning, or if liquid has accidentally entered the interior of the
monitor, make sure that every part of the monitor is dry before
reconnecting it to the power supply.
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Datex-Ohmeda S/5 Light Monitor
PATIENT SAFETY
• Always make sure that necessary alarm limits are set and operative when
you start monitoring.
• When the alarms are suppressed, observe the patient frequently.
• Connect only one patient to one monitor at a time.
• Constant attention by a qualified professional is needed whenever a
patient is under anesthesia or connected to a ventilator. Some
equipment malfunctions may pass unnoticed in spite of the monitor
alarm.
• Do not use antistatic or electrically conductive breathing tubes. They may
increase the risk of burns when electrosurgery unit is utilized.
• Do not use the monitor during magnetic resonance imaging (MRI).
• ECG, Impedance Respiration, InvBP: Ensure proper contact of the return
electrode of the electrosurgery unit to your patient to avoid possible burns
at sensor sites.
• ECG, Impedance Respiration, InvBP: Make sure that no part of the patient
connections touches any electrically conductive material including earth.
• Impedance Respiration: In obstructive apnea, thoracic movements and
impedance variations may continue.
• NIBP: The monitor sets the inflation pressure automatically according to
the first measurement. Reset the case to reset the inflation limit before
measuring a new patient.
• PATIENTS WITH PACEMAKERS OR ARRHYTHMIAS: Monitor may count the
pacemaker pulses as heart beats during cardiac arrest, some
arrhythmias, and with certain types of pacemakers particularly in ON R
mode. Do not rely entirely upon rate meter alarms. Keep patients with
pacemakers and arrhythmias under close surveillance.
• PACEMAKER PATIENTS: The impedance respiration measurement may
cause rate changes in Minute Ventilation Rate Responsive Pacemakers.
Set the pacemaker rate responsive mode off or turn off the impedance
respiration measurement on the monitor.
• SpO
: A damaged sensor or a sensor soaked in liquid may cause burns
2
during electrosurgery.
8
Safety
• SpO
: Change measuring site frequently. Change the sensor site and
2
check skin and circulatory status every 2-4 hours with adults and every
hour with small children.
• The output signals are not floating and must not be connected directly to
a patient.
• Do not use delayed analog signals for defibrillator or intra-aortic balloon
pump synchronization.
• The monitor is intended for use by qualified medical personnel only.
• InvBP: All invasive procedures involve risks to the patient. Use aseptic
technique. Follow catheter manufacturer’s instructions.
• InvBP: Use only defibrillator proof cables and transducers.
Cautions
CAUTION Indicates situations in which the unit or devices connected to it may
be damaged.
• Use licensed patient cables and accessories only, see Patient Monitor
supplies and accessories catalogue. Other cables and accessories may
damage the system or interfere with measurement.
• Before connecting the power cord, ensure that the input voltage selector
is set correctly in the external power adapter.
• Use the monitor outdoors with the battery power only.
• Do not store the monitor beyond the specified temperature range.
• Do not use hypochlorite, ammonia-, phenol- or acetone-based cleaners.
They may damage the monitor.
• Clean rear panel fan dust filter once a month or whenever needed.
• Leave space around the monitor for ventilation to prevent the monitor
from overheating.
• Do not apply pressurized air to any outlet or tubing connected to the
monitor. Pressure may destroy sensitive elements.
• When used in moving vehicle, mount the monitor properly.
• Dispose of the device and parts thereof in accordance with local
regulations.
9
Datex-Ohmeda S/5 Light Monitor
• Vibrations during transport may disturb SpO
• CO
• DataCards: Do not subject cards to excessive heat, bending, or magnetic
• InvBP: Mechanical shock to invasive blood pressure transducer may
• Electromagnetic interference from radio-frequency transmitting devices in
BATTERY CAUTIONS
• Do not put in fire.
• Do not short-circuit any terminals.
• Do not use damaged or leaking batteries.
• Do not disassemble or break the batteries.
• Use only with Battery Module or External Battery Charger.
, ECG, impedance
2
respiration and NIBP measurements.
, SpO2: Do not apply force to sensors or sensor cables.
2
fields.
cause severe shifts in zero balance and calibration and produce
erroneous readings.
ambulances may affect the performance of this medical device.
• Charge and discharge batteries fully once a month to restore full
capacity.
• Sealed NiCd battery must be recycled or disposed of properly. Discharge
before disposing.
10
3. UNPACKING AND INSTALLATION
Unpacking
The monitor is delivered in one box containing typically (as minimum):
− Datex-Ohmeda S/5 Light Monitor
− Datex-Ohmeda S/5 Light Monitor Power Adapter with power cord or
optional Power Adapter for Transport Vehicles
− User’s Reference Manual
Check that the contents correspond to your order and that all additional options
you have ordered are included. If any of the items appears damaged or is
missing, contact your sales person immediately.
Placing
The monitor can be placed on a flat surface or hung with the handle from bed or
wall rails. Make sure that the surface or rail holds up to at least 10 kg/22 lb.
Installation
Figure 3-1 Installation
A protective case is also available. If using the case, make sure that the monitor
is always in a standing position to ensure proper ventilation. The monitor is
splash-proof (IPX4) when it is in the protective case and all the openings of the
case are closed properly. Make sure the monitor is intact and operates on
battery power. When used outdoors, the monitor must be in the protective case.
NOTE: The pocket in the protective case is not water-proof. Do not place items in
the pocket that may be damaged by moisture.
Universal mounting solutions are sold separately. Contact your local distributor.
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Datex-Ohmeda S/5 Light Monitor
Electrical Power Adapter
Use only the power cord and power adapter provided with the monitor.
• Set the voltage selector on the adapter to the right position (115V/230V)
e.g. with a pen.
• Connect the adapter cord to the connector on the rear panel.
• Connect the power cord to the adapter and then plug onto the wall
electrical outlet.
NOTE: To use the power adapter, it must be lying on a flat surface or hanging
from the holder.
Do not let any liquid enter the adapter.
When external power supply is in use, a green led is lit.
Figure 3-2 Placing Power Adapter
WARNING ELECTRICAL SHOCK HAZARD: Use only hospital grade grounded
electrical outlets.
CAUTION Before connecting the power cord, ensure that the
input voltage selector is set correctly in the power
adapter.
In vehicles with 12 - 32 V power source, use the Power Adapter for Transport
Vehicles, N-LPOWT. For information on how to install and use this adapter, refer
to the instruction sheet provided with it, or contact your local distributor.
12
Installation
CAUTION Electromagnetic interference from radio-frequency transmitting
devices in ambulances may affect the performance of this medical
device.
Charge batteries
Keep the monitor connected to the mains outlet. The batteries are fully charged
when the battery capacity indicators on the screen show FULL and green LEDs
in the Battery Module stop flashing.
CAUTION When stored for longer periods, or used mostly with mains power,
charge and discharge the batteries fully once a month.
Connecting to network
The monitor can be connected to a monitor network for central monitoring and
printing services.
• Connect the Ethernet and location ID plug to the corresponding
connectors on the monitor’s rear panel.
• Configure the location IDs in the Datex-Ohmeda Central.
When the monitor is connected to the network and turned on, the network
symbol is displayed on the upper right corner of the screen:
Configuration
When the monitor is delivered, it is configured with the factory default settings
and is ready to use.
If you want to change the settings and make your own permanent configuration,
refer to chapters “Alarms” and “Monitor setup” of this manual.
Disposal
Dispose of the monitor, or parts of it, in accordance with local environmental
and waste disposal regulations.
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Datex-Ohmeda S/5 Light Monitor
14
4. DESCRIPTION
Parts of the monitor
3
2
Operation
4
5
6
7
8
9
1
12
l
ll
11
Figure 4-1 S/5 Light Monitor
(1) Battery (2 pieces)
(2) Recorder (option)
(3) DataCard slot (option)
(4) Handle with rail hooks
(5) Alarm indicators
(6) Function keys
(7) ComWheel
(8) Power On/Standby
(9) External power indicator
(10) External power adapter, or Power Adapter for Transport Vehicles
(11) Battery Module (option)
(12) Battery charge status LEDs
10
15
Datex-Ohmeda S/5 Light Monitor
Rear panel
4
3
5
2
1
Figure 4-2 Rear panel
(1) Dust filter
(2) Feature connector, X3
(3) Connector for power adapter, X1
(4) Printer connector (serial), X2
(5) Mounting attachment
(6) External VGA connector, X7
(7) Connector for network location ID plug, X6
(8) Network connector, X5
7
8
6
16
Keys and controls
Operation
On/Standby.
Silence
Alarms
Start/Cancel
Zero ALL
Freeze
Recorder
Start/Stop
ComWheel
Normal
Screen
Menu
NIBP
Returns back to normal monitoring display.
Silences the alarm sound for two minutes.
Calls up the main menu which enables changing the monitor
settings.
Opens NIBP mini menu for autocycling or a single non-invasive
blood pressure measurement. Cancels any NIBP measurement.
Zeroes all invasive pressure lines (except ICP which needs to be
zeroed separately, see chapter “Invasive pressure”).
Stops the waveform sweep for 60 seconds. Pressing it again
unfreezes the sweep.
Starts/stops recording of selected waveforms with the built-in
recorder.
Menu functions are controlled by turning and pressing the
ComWheel.
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Datex-Ohmeda S/5 Light Monitor
Display
1
5
2
3
4
Figure 4-3 Parts of the display
(1) Alarm message field (for five messages)
(2) Battery status field
(3) Actual time
(4) Up to four waveform fields with numeric information
(5) Up to four digit fields
The waveform and digit fields are configurable, see chapter “Monitor setup.”
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Measurement connectors
Connectors for measurement sensors are in the right side panel. Connectors are
marked with the measurement abbreviations and symbols specifying the type of
protection against electrical shock.
Operation
P1
NIBP
3
P2
2
SpO
2
CO
2
ECG +
1
Resp
4
5
T
Signal
Out
6
7
Figure 4-4 Connector panel
(1) Mainstream CO2 connector
(2) Connectors for invasive pressure lines
(3) NIBP hose connector
(4) Pulse oximetry sensor connector
(5) ECG trunk cable connector, also used for impedance respiration
measurement
(6) Temperature probe connector
(7) Signal out connector
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Datex-Ohmeda S/5 Light Monitor
5. OPERATION
Getting started
• Turn on the power.
After 10 seconds a start-up display will appear, the CO2 measurement needs to
warm up about 80 seconds in room temperature. If the monitor has been stored
in the temperature below freezing point, it takes approximately one hour to
warm up.
• Make patient connections, check the accessories.
• Zero invasive lines.
• Check that desired parameters are displayed in digit and waveform fields.
If necessary, make appropriate adjustments.
During monitoring
• Ensure that ECG electrodes have a good skin contact.
• Change pulse oximetry measuring site frequently.
• Observe the cuffed limb frequently during NIBP measurement.
• If the monitor is connected to the network, the patient information and
alarms can be followed on the screens of the Datex-Ohmeda Central and
the S/5 monitors connected to the system.
In-between patients
• Print trends: see chapter “Recorder.”
• Reset previous case: Press Menu and select Patient Data - Reset ALL.
• Change single use accessories; clean reusable ones.
• Check the monitor and accessories before use.
• Plug in the power cord to charge batteries.
At the end of the day
• Turn the monitor to standby.
• Remove the power cord.
• Clean the monitor and reusable accessories. Let dry completely.
• Plug in the power cord to charge batteries.
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Using menus
Operation
• Press the Menu key.
• Select the item by turning
and pressing the ComWheel.
• Change settings by turning
and pressing the ComWheel.
Need help?
Short instructions appear in
every menu.
• Press Normal Screen.
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Normal
Screen
Datex-Ohmeda S/5 Light Monitor
6. BATTERIES
The monitor can be equipped with either the Battery Module (F-LBAT) with two
removable batteries, or the Backup Battery (N-LBB) with a built-in battery pack
in the monitor basement.
Battery capacity is displayed on the battery status field. The arrow shows the
discharging (left) and recharging (right) level of the battery.
The Battery Module works for two hours (one hour / battery) and Backup Battery
for 30 minutes with fully charged batteries.
NOTE: Make sure that there is enough battery capacity for a patient transport.
Charging batteries
• Charge the batteries in +10...40 °C (50...104 °F) only.
Charging in the monitor
• Keep the monitor connected to power outlet. The batteries are charged
when the monitor is either ON or STANDBY.
• If monitor is turned ON, an arrow to the right is displayed on the Battery
Status field during charging.
• The green LEDs on the battery module keep flashing until the battery is
fully charged.
Charging empty batteries to full capacity for Battery Module takes
approximately 3.5 hours/battery, and for Backup Battery 1.5 hours. The
protective case may increase the operating temperature so check the charging
status when using it.
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