Nihon Kohden CNS 9701 User manual

CNS-9701A
CNS-9701J
CNS-9701K

CENTRAL MONITOR

CNS-9701

0614-006866D

Model: CNS-9701A/J/K

Manual code no .: 0614-006866D

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CONTENTS

Contents

GENERAL HANDLING PRECAUTIONS .......................................................................i

WARRANTY POLICY ...................................................................................................ii

Conventions Used in this Manual and Instrument.........................................................v

Warnings, Cautions and Notes ...........................................................................v

Explanations of the Symbols in this Manual and Instrument ..............................v

Section 1 General ...................................................................................1C.1

Introduction ......................................................................................................................... 1.1

Central Monitor Composition .............................................................................................. 1.2

Dual Display Monitoring............................................................................................ 1.3

Network Composition.......................................................................................................... 1.4

Operation Restriction by Monitored Bed Type........................................................... 1.5

Alarm function................................................................................................. 1.5

ST Recall window ........................................................................................... 1.5

Parameter Setup/Personal Setup/Setup ......................................................... 1.5

Operation Restriction Depending on Whether Data Is Stored in the Central Monitor 1.6

Expand Individual Bed Screen............................................................................................ 1.7

Types of Windows............................................................................................................... 1.8

All Beds Screen .............................................................................................. 1.8

Overview Bed Menu Window.......................................................................... 1.9

Menu Window ................................................................................................. 1.9

Individual Bed Screen..................................................................................... 1.9

Review Windows........................................................................................... 1.10

System Setup ............................................................................................... 1.11

Setup ............................................................................................................ 1.11

Personal Setup ............................................................................................. 1.11

Parameter Setup........................................................................................... 1.11

Basic Operation ................................................................................................................ 1.12

Control and Input .................................................................................................... 1.12

Touchscreen Input ........................................................................................ 1.12

Keyboard Input ............................................................................................. 1.12

Mouse Input.................................................................................................. 1.12

Switching Windows ................................................................................................. 1.13

Opening Other Windows from the Menu Screen .......................................... 1.13

Returning to the All Beds Screen ................................................................. 1.13

Returning to the Previous Screen................................................................. 1.13

Opening the Individual Bed Screen from the All Beds Screen...................... 1.13

Changing the Bed to Display or Change Settings......................................... 1.13

Opening Other Windows with Tabs ............................................................... 1.14

Opening Other Windows with Function Keys................................................ 1.14

Changing Settings .................................................................................................. 1.15

Scrolling Data and List............................................................................................ 1.15

Entering Letters and Numbers................................................................................ 1.16

Basic Keyboard Operation...................................................................................... 1.16

Operator's Manual CNS-9701 C.1

CONTENTS

Caution Label and Caution Mark ...................................................................................... 1.17

Central Monitor Main Unit ....................................................................................... 1.17

VL-971R/RK LCD Unit ............................................................................................ 1.17

Important Safety Information............................................................................................. 1.18

General................................................................................................................... 1.18

Installation............................................................................................................... 1.19

UPS ........................................................................................................................ 1.19

Network .................................................................................................................. 1.20

Turning the Power On/Off ....................................................................................... 1.21

Discharge and Receiving Channel Change ............................................................ 1.21

Temporary Discharge ............................................................................................. 1.22

Patient Transf er ....................................................................................................... 1.22

Alarm ...................................................................................................................... 1.22

ECG Monitoring ...................................................................................................... 1.23

NIBP Measurement ................................................................................................ 1.23

Maintenance ........................................................................................................... 1.24

Section 2 Panel Description...................................................................2C.1

Central Monitor Main Unit MU-971RA/RJ/RK ..................................................................... 2.1

Front Panel ............................................................................................................... 2.1

Rear Panel................................................................................................................ 2.2

LCD Unit VL-971R/RK ........................................................................................................ 2.3

Front ......................................................................................................................... 2.3

Rear.......................................................................................................................... 2.3

LCD Unit (Locally Purchased Recommended Display)....................................................... 2.4

Recorder Unit WS-971R ..................................................................................................... 2.5

Laser Printer (Network Printer) ........................................................................................... 2.5

UPS .................................................................................................................................... 2.6

Section 3 Preparation.............................................................................3C.1

Installation Conditions......................................................................................................... 3.1

Connecting the Monitor to Other Instruments and Systems ............................................... 3.2

Connecting the Monitor to Other Instruments........................................................... 3.2

Standard Instruments ..................................................................................... 3.2

Optional Instruments ...................................................................................... 3.2

Using a UPS (Uninterruptable Po wer Supply) .......................................................... 3.2

Connecting to a Network System ............................................................................. 3.3

Operation Flowchart ........................................................................................................... 3.4

Loading the Recording Paper ............................................................................................. 3.5

Loading Paper in the WS-971R Recorder Unit ......................................................... 3.5

Loading Paper in the Laser Printer ........................................................................... 3.6

Turning Power On/Off ......................................................................................................... 3.7

Preparation Before Power On ................................................................................... 3.7

Turning the Display and Main Unit Power On ........................................................... 3.7

Starting the Central Monitor System............................................................... 3.8

Turning the Power Off ............................................................................................... 3.8

Turning the WS-971R Recorder Unit Power On........................................................ 3.9

C.2 Operator's Manual CNS-9701

CONTENTS

Preparation After Turning the Power On ........................................................................... 3.10

Changing Settings on the System Setup Screen.................................................... 3.10

Before Starting Monitoring ...................................................................................... 3.11

Check Before Use............................................................................................................. 3.12

Check Before Turning On the Monitor..................................................................... 3.12

Check After Turning On the Monitor and During Monitoring ................................... 3.12

Section 4 System Setup Screen ............................................................4C.1

Overview of the System Setup Screen ............................................................................... 4.1

Displaying the System Setup Screen........................................................................ 4.2

Sound Control..................................................................................................................... 4.3

Setting Alarm Sound Volume .................................................................................... 4.3

Setting QRS Sound .................................................................................................. 4.4

Turning the QRS Sound ON/OFF ................................................................... 4.4

Changing the QRS Tone ................................................................................. 4.4

Setting the QRS Bed ...................................................................................... 4.4

Setting QRS Sound Volume ...................................................................................... 4.4

Recording ........................................................................................................................... 4.5

Touchscreen ....................................................................................................................... 4.5

System Configuration Settings............................................................................................ 4.6

Changing Values on the System Configuration Window ........................................... 4.6

Changing Unit Settings ............................................................................................. 4.7

Temperature Unit ............................................................................................ 4.7

Height Unit...................................................................................................... 4.7

Weight Unit ..................................................................................................... 4.7

Pressure Unit.................................................................................................. 4.7

Changing Recording/Printing Settings ...................................................................... 4.7

Report Cover Sheet........................................................................................ 4.7

ECG 12 Lead Printing Format ........................................................................ 4.7

Changing Admitting/Discharging Settings................................................................. 4.8

Discharge Mode ............................................................................................. 4.8

Auto Resume After P ause .............................................................................. 4.8

Alarm Settings .......................................................................................................... 4.8

Telemetry Silence Time .................................................................................. 4.8

Turning Vital Sign Alarm Off Mark Display ON/OFF ....................................... 4.8

Screen Settings ........................................................................................................ 4.8

Setting Screen Timeout .................................................................................. 4.8

Old NIBP Display Setting................................................................................ 4.8

NIBP Effective Time Setting............................................................................ 4.9

All Beds Patient Name Displa y Siz e ............................................................... 4.9

RS-232C Settings ..................................................................................................... 4.9

Monitor Settings................................................................................................................4.10

Displaying the Monitor Setting Windo w................................................................... 4.10

Registering Monitored Beds ................................................................................... 4.11

Data Storage ................................................................................................ 4.12

Setting Bed Name Setting....................................................................................... 4.12

Setting Display Setting............................................................................................ 4.13

Changing the Number of Displays ................................................................ 4.13

Operator's Manual CNS-9701 C.3

CONTENTS

Expand Individual Bed Screen...................................................................... 4.13

Changing the Number of Patients Displayed on the Main Display and the

Second Display............................................................................................. 4.13

Setting the All Beds Numeric Area ............................................................... 4.14

ORG Settings....................................................................................................................4.15

Mouse Settings ................................................................................................................. 4.16

Displaying the Mouse Setting Window .................................................................... 4.16

Moving the Mouse to Another Display Unit............................................................. 4.17

Selecting the Mouse Position.................................................................................. 4.18

Selecting the Central Monitor Where Mouse Can Operate..................................... 4.18

Parameters ....................................................................................................................... 4.20

Group Name and Temporary Discharge Message Settings .............................................. 4.21

Displaying the Name Registration Window ............................................................. 4.21

Setting the Group.................................................................................................... 4.22

Editing Group Names ............................................................................................. 4.22

Editing the Message on Temporarily Discharged Beds........................................... 4.23

Setting the Parameter Colors............................................................................................ 4.24

Setting the Alarm Master .................................................................................................. 4.25

Setting Function Keys ....................................................................................................... 4.25

Setting Date & Time.......................................................................................................... 4.26

Maintenance .....................................................................................................................4.28

Confirming Instruments Connected on the Network ............................................... 4.28

Changing the Pass w ord.......................................................................................... 4.29

Enabling/Disabling Screen Hard Copy Printing....................................................... 4.30

Section 5 Admitting/Discharging Patients............................................5C.1

Admitting a Patient.............................................................................................................. 5.1

Patient Attribute Information List ............................................................................... 5.2

Discharging a Patient.......................................................................................................... 5.3

Selecting Discharge Mode or Delete Data Mode...................................................... 5.4

Temporarily Discharging the Patient ................................................................................... 5.5

Resume Monitoring................................................................................................... 5.6

Transferring a Patient to a Different Bedside Monitor.......................................................... 5.7

Changing the Receiving Channel Number........................................................................ 5.10

Section 6 Alarm Function.......................................................................6C.1

Overview of Alarms............................................................................................................. 6.2

Alarm T ypes ........................................................................................................................ 6.2

Alarm Level and Indication.................................................................................................. 6.3

Alarm Level............................................................................................................... 6.3

Alarm Indication ........................................................................................................ 6.3

Alarms on Each Screen ...................................................................................................... 6.4

Alarms for Monitored Beds ....................................................................................... 6.4

Vital Signs Alarm/ST Alarm ............................................................................ 6.4

Arrhythmia Alarm............................................................................................ 6.4

Technical Alarm .............................................................................................. 6.5

Alarms for Overview Bed .......................................................................................... 6.6

C.4 Operator's Manual CNS-9701

CONTENTS

Alarms for the Central Monitor and WS-971R Recorder Unit ................................... 6.6

Temporarily Silencing or Suspending Alarms ..................................................................... 6.7

Temporarily Silencing Currently Occurring Alarms ................................................... 6.7

Alarm Silence Time......................................................................................... 6.7

Temporarily Suspending All Alarms .......................................................................... 6.8

Alarm Suspend Time ...................................................................................... 6.8

Suspending All Alarms at the Transmitter ................................................................. 6.8

Alarm Control Marks ........................................................................................................... 6.9

Mark Description....................................................................................................... 6.9

Vital Sign Alarm Off Mark ............................................................................... 6.9

Alarm Off Mark ............................................................................................... 6.9

Alarm Silence Mark/Alarm Suspend Mark...................................................... 6.9

Alarm Silence Mark (from the transmitter)...................................................... 6.9

Alarm Recording Off Mark .............................................................................. 6.9

Priority of Alarm Control Marks ................................................................................ 6.9

Turning the Vital Sign Alarm Off Mark Display On/Off ............................................ 6.10

Alarm Recording ............................................................................................................... 6.11

Alarm Recording Modes ......................................................................................... 6.11

Overview of Alarm Recording ................................................................................. 6.11

Recording Device ......................................................................................... 6.11

Recording Wav eforms .................................................................................. 6.11

Recording Time ............................................................................................ 6.11

Recording Speed.......................................................................................... 6.11

Sensitivity on the Recording Paper............................................................... 6.11

Necessary Settings for Alarm Recording................................................................ 6.11

Vital Sign Alarm Recording........................................................................... 6.12

Arrhythmia Alarm Recording ........................................................................ 6.12

ST Alarm Recording ..................................................................................... 6.12

Starting Automatic Alarm Recording....................................................................... 6.12

Starting Automatic Alarm Recording ............................................................ 6.12

Stopping Automatic Alarm Recording........................................................... 6.12

Setting Alarms ..................................................................................................................6.13

Setting Vital Sign Alarms ........................................................................................ 6.13

Alarm Limits Range ...................................................................................... 6.14

Setting Vital Sign Alarms Automatically (Auto Alarm Setting) ....................... 6.16

Setting the Arrhythmia Alarm.................................................................................. 6.18

Initialization of Arrhythmia Recording ........................................................... 6.18

Alarm Limits Range ...................................................................................... 6.19

Setting the ST Alarm............................................................................................... 6.20

Alarm Limits Range ...................................................................................... 6.21

Setting ST Alarms with Auto Alarm Setting Functions .................................. 6.21

Setting All Alarms to a Preset Pattern (Alarm Master)............................................ 6.22

Turning Signal Loss Alarm On/Off .......................................................................... 6.23

Setting the Lead Off Alarm ..................................................................................... 6.24

Setting an Alarm Master ................................................................................................... 6.25

Setting an Alarm Master ......................................................................................... 6.25

Factory Default Settings of Each Alarm Master...................................................... 6.27

Vital Alarm Master ........................................................................................ 6.27

ST Alarm Master .......................................................................................... 6.30

Operator's Manual CNS-9701 C.5

CONTENTS

Arrhythmia Alarm Master.............................................................................. 6.30

Adjusting the Alarm Sound Volume................................................................................... 6.31

Section 7 All Beds Screen......................................................................7C.1

Overview............................................................................................................................. 7.1

Displaying the All Beds Screen................................................................................. 7.1

Screen Description ................................................................................................... 7.2

16 beds (One waveform) ................................................................................ 7.2

12 beds (Two wav eforms) ............................................................................... 7.3

8 beds (Two waveforms)................................................................................. 7.3

6 beds (Two waveforms)................................................................................. 7.4

4 beds (Two waveforms)................................................................................. 7.4

Freezing W av eforms ................................................................................................. 7.5

Temporarily Silencing/Suspending Alarms ............................................................... 7.5

Changing the All Beds Screen Display Setting ................................................................... 7.6

Setting Individually for Each Bed .............................................................................. 7.6

Setting the Sensitivity and Scale of the Displayed Waveform ......................... 7.6

Selecting the Parameter of the Displa yed Wa veform ...................................... 7.7

Selecting the Parameter of the Displa yed Measurement Data ....................... 7.8

Setting the Bed Color.................................................................................... 7.10

Setting for All Beds on the System Configuration Window of the System Setup .... 7.10

Setting for All Beds on the Monitor Setting Windo w of the System Setup............... 7.10

Setting Parameter Priority................................................................................................. 7.11

Recordings on the All Beds Screen .................................................................................. 7.12

All Beds Recording ................................................................................................. 7.12

Necessary Settings for All Beds Recording .................................................. 7.12

Other Recordings ................................................................................................... 7.12

Section 8 Individual Bed Screen ...........................................................8C.1

Overview............................................................................................................................. 8.1

Displaying the Individual Bed Screen ....................................................................... 8.1

Screen Description ................................................................................................... 8.2

Changing Display Types ........................................................................................... 8.4

Changing the Beds ................................................................................................... 8.4

Freezing W av eforms ................................................................................................. 8.4

Temporarily Silencing/Suspending Alarms ............................................................... 8.4

Learning ECG ........................................................................................................... 8.5

Changing the Individual Bed Screen Display Settings ........................................................ 8.6

Setting on the Indiv. Bed Screen Setup Windo w....................................................... 8.6

Selecting the W aveform Sensitivity and Scale on the Wave Display

Window........................................................................................................... 8.6

Selecting the Parameter of the Displa yed Wa veforms on the Wa ve Display

Window........................................................................................................... 8.8

Selecting the Measurement Data Displayed on the Wave Display Window .... 8.9

Changing the Sweep Speed ......................................................................... 8.10

Changing the Sweep Speed of the Respiration Waveform ........................... 8.10

C.6 Operator's Manual CNS-9701

CONTENTS

Changing the IBP Waveform Display Mode .................................................. 8.10

Setting on Data Display Windows of the Indiv. Bed Screen .................................... 8.11

Selecting the W aveform Sensitivity and Scale on the Wave Display

Window......................................................................................................... 8.11

Setting Vital Sign Alarms and Measurement Conditions for the Parameters

Displayed on the Indiv. Bed Screen .............................................................. 8.12

Changing the All Bed Screen Display Settings ................................................................. 8.12

Setting Parameter Priority................................................................................................. 8.13

Recording on the Individual Bed Screen........................................................................... 8.14

Dual Wav efo rm Recording ...................................................................................... 8.14

Multi-Wave Printing ................................................................................................. 8.14

ECG 12 Lead Printing............................................................................................. 8.15

Other Recordings ................................................................................................... 8.15

Section 9 Review Windows ....................................................................9C.1

Overview of Review Windows

Overview.......................................................................................................................... 9.0.1

Displaying the Review Window .............................................................................. 9.0.1

Common Description of Review Windows ....................................................................... 9.0.2

Example: Trend windo w ............................................................................... 9.0.2

T rend Window

Overview.......................................................................................................................... 9.1.1

Displaying the Trend Window................................................................................. 9.1.1

Window Description ............................................................................................... 9.1.2

Parameters and Displa y............................................................................... 9.1.3

Viewing Trend Window ..................................................................................................... 9.1.6

Scrolling the Trendgraph ........................................................................................ 9.1.6

Viewing Numerical Data (Cursor Moving).............................................................. 9.1.6

Changing the Display Width of the Trendgraph ...................................................... 9.1.6

Changing the Trend Window Displa y Setting ................................................................... 9.1.7

Setting the Displayed Parameters.......................................................................... 9.1.7

Changing the Scale ............................................................................................... 9.1.7

Selecting Displayed Ev ents ................................................................................... 9.1.8

Printing T rendgraphs........................................................................................................ 9.1.9

Other Recordings ........................................................................................ 9.1.9

T abular T rend Window

Overview.......................................................................................................................... 9.2.1

Displaying the T ab ular Trend Window..................................................................... 9.2.1

Window Description ............................................................................................... 9.2.2

Viewing the T abular Trend Window................................................................................... 9.2.3

Scrolling the Tabular Trend..................................................................................... 9.2.3

Displaying a Different Tabular Trend....................................................................... 9.2.3

Changing the T abular Trend Window Display Setting ....................................................... 9.2.4

Changing the Display Interval................................................................................ 9.2.4

Setting the Patterns of Tabular Trend ..................................................................... 9.2.4

Selecting Parameters for Each Tabular Trend .............................................. 9.2.4

Operator's Manual CNS-9701 C.7

CONTENTS

Registering Names for Each Tabular Trend.................................................. 9.2.6

Printing T ab ular T rend ...................................................................................................... 9.2.7

Other Recordings ........................................................................................ 9.2.7

Hemodynamics Window

Overview.......................................................................................................................... 9.3.1

Displaying the Hemodynamics List Windo w .......................................................... 9.3.1

Window Description ............................................................................................... 9.3.1

Viewing the Hemodynamics List Window......................................................................... 9.3.2

Scrolling the Hemodynamics List........................................................................... 9.3.2

Abbreviations ................................................................................................................... 9.3.3

Printing the Hemodynamics List ...................................................................................... 9.3.4

Other Recordings ........................................................................................ 9.3.4

Arrhythmia Recall Window

Overview.......................................................................................................................... 9.4.1

Displaying the Arrhythmia Recall Window.............................................................. 9.4.1

Window Description ............................................................................................... 9.4.2

File List Window........................................................................................... 9.4.2

Expanded Wav eform Window ...................................................................... 9.4.3

Viewing the Arrhythmia Recall Window............................................................................ 9.4.4

Scrolling the List of Arrhythmia Recall Files........................................................... 9.4.4

Sorting the List....................................................................................................... 9.4.4

Displaying Expanded Arrhythmia Recall Wave form ............................................... 9.4.4

Displaying Another File................................................................................ 9.4.5

Changing the Number of Waveforms........................................................... 9.4.5

Scrolling Multiple W aveforms....................................................................... 9.4.6

Annotation List on the Expanded Waveform Window .................................. 9.4.6

Measuring Arrhythmia Recall Waveform with Caliper ............................................ 9.4.7

Changing Display Zoom and Sweep Speed ................................................ 9.4.8

Selecting the Measured W aveform (Multiple Waveform Display Only) ........ 9.4.8

Deleting All Measurement Results............................................................... 9.4.8

Ending Caliper Measurement ...................................................................... 9.4.8

Deleting Arrhythmia Recall Files...................................................................................... 9.4.9

Automatic Deletion................................................................................................. 9.4.9

Deleting Unnecessary Arrhythmia Recall Files...................................................... 9.4.9

Deleting Files with Deletion Marks .............................................................. 9.4.9

Deleting the File Displayed on the Expanded Waveform Window.............. 9.4.10

Setting Arrhythmia Recall File Creation ......................................................................... 9.4.11

Priority of Creating Arrhythmia Recall Files ......................................................... 9.4.11

Selecting the Arrhythmia Types Displayed on the File List............................................. 9.4.12

Recording on the Arrhythmia Recall Windo w................................................................. 9.4.13

Arrhythmia Recall Recording ............................................................................... 9.4.13

Recording/Printing Displayed Files............................................................ 9.4.13

Printing Files with Printing Marks .............................................................. 9.4.13

Printing Caliper Measurement Data..................................................................... 9.4.14

Other Recordings ................................................................................................ 9.4.14

C.8 Operator's Manual CNS-9701

CONTENTS

ST Recall Window

Overview.......................................................................................................................... 9.5.1

Displaying the ST Recall Windo w .......................................................................... 9.5.1

Window Description ............................................................................................... 9.5.2

Viewing the ST Recall Window ........................................................................................ 9.5.3

Scrolling the ST Recall Files.................................................................................. 9.5.3

Scrolling the ST Waveform .................................................................................... 9.5.3

Changing ST Recall Window Display Settings ................................................................. 9.5.4

Setting the Display Position of the ST Waveform ................................................... 9.5.4

Changing Sensitivity .............................................................................................. 9.5.5

Setting ST Analysis Method................................................................................... 9.5.5

Changing the Interval............................................................................................. 9.5.5

Recordings on the ST Recall Window.............................................................................. 9.5.6

ST Recall Recording.............................................................................................. 9.5.6

Recording a Selected File............................................................................ 9.5.6

Printing Files................................................................................................ 9.5.6

Other Recordings .................................................................................................. 9.5.6

Full Disclosure Window

Overview.......................................................................................................................... 9.6.1

Displaying the Full Disclosure Screen ................................................................... 9.6.1

Window Description ............................................................................................... 9.6.2

Compressed Wav ef orm Display................................................................... 9.6.2

Expanded Waveform Display (Actual Size Display)..................................... 9.6.3

Stored Waveforms and Displayed Waveforms ............................................. 9.6.4

Display Color ............................................................................................... 9.6.4

T riangle W av eform ....................................................................................... 9.6.4

Viewing the Full Disclosure Window ................................................................................ 9.6.5

Scrolling the Full Disclosure Waveform.................................................................. 9.6.5

Automatic Scroll........................................................................................... 9.6.5

Expanding the Full Disclosure Waveform into Actual Size..................................... 9.6.6

Measuring an Full Disclosure Waveform with the Calipers .................................... 9.6.7

Changing Display Zoom and Sweep Speed ................................................ 9.6.8

Selecting the Measured W aveform .............................................................. 9.6.8

Deleting All Measurement Results............................................................... 9.6.8

Ending Caliper Measurement ...................................................................... 9.6.8

Waveform Storage Setup ................................................................................................. 9.6.9

Changing the Full Disclosure Window Display ............................................................... 9.6.10

Changing the Displayed Waveforms .................................................................... 9.6.10

Changing the Sensitivity and Scale ..................................................................... 9.6.11

Recordings on the Full Disclosure Window.................................................................... 9.6.12

Full Disclosure W aveform Printing ....................................................................... 9.6.12

Recording/Printing Expanded Wa veform ............................................................. 9.6.12

Printing Caliper Measurement Data..................................................................... 9.6.13

Other Recordings ................................................................................................ 9.6.13

ECG 12 Lead Window

Overview.......................................................................................................................... 9.7.1

Displaying the ECG 12 Lead Analysis Windo w...................................................... 9.7.1

Operator's Manual CNS-9701 C.9

CONTENTS

Window Description ............................................................................................... 9.7.2

T ab ular Trend Displa y .................................................................................. 9.7.2

Zoom In Display........................................................................................... 9.7.3

Comparison Display .................................................................................... 9.7.3

Analysis Report Display............................................................................... 9.7.4

Viewing the ECG 12 Lead Analysis Windo w.................................................................... 9.7.5

Changing the Display Types................................................................................... 9.7.5

T ab ular Trend Displa y .................................................................................. 9.7.5

Zoom In Display........................................................................................... 9.7.5

Comparison Display .................................................................................... 9.7.5

Analysis Report Display............................................................................... 9.7.6

Scrolling the Files in the Measurement Value Table............................................... 9.7.6

Selecting the Displayed File................................................................................... 9.7.6

Selecting the Control File....................................................................................... 9.7.6

Switching Displayed Waveform Types.................................................................... 9.7.7

Deleting ECG 12 Lead Analysis Files .............................................................................. 9.7.8

Automatic Deletion................................................................................................. 9.7.8

Deleting Unnecessary ECG 12 Lead Analysis Files .............................................. 9.7.8

Recordings on the ECG 12 Lead Analysis Window ......................................................... 9.7.9

Other Recordings .................................................................................................. 9.7.9

Alarm History Window

Overview.......................................................................................................................... 9.8.1

Displaying the Alarm History Window .................................................................... 9.8.1

Window Description ............................................................................................... 9.8.2

Viewing the Alarm History Window .................................................................................. 9.8.3

Scrolling the Alarm History .......................................................................... 9.8.3

Sorting the List ............................................................................................ 9.8.3

Selecting the Alarm Levels and Types Displayed on the File List .................................... 9.8.4

Recordings on the Alarm History Window ....................................................................... 9.8.5

Alarm History Recording ............................................................................. 9.8.5

Recording a Selected File.................................................................. 9.8.5

Other Recordings ........................................................................................ 9.8.5

Report Window

Overview.......................................................................................................................... 9.9.1

Displaying the Report Window............................................................................... 9.9.1

Window Description ............................................................................................... 9.9.1

Report Mode .......................................................................................................... 9.9.2

Manual Printing............................................................................................ 9.9.2

Automatic Printing........................................................................................ 9.9.2

Printing Items......................................................................................................... 9.9.2

Report Creating Flowchart..................................................................................... 9.9.2

Changing Report Settings................................................................................................ 9.9.3

Setting Printing Format .......................................................................................... 9.9.3

Setting the Report Mode.............................................................................. 9.9.3

Selecting Printing Items ............................................................................... 9.9.3

Setting Report Range .................................................................................. 9.9.3

Setting Trend Data Printing .................................................................................... 9.9.5

C.10 Operator's Manual CNS-9701

CONTENTS

Changing T rend Interval............................................................................... 9.9.5

Changing Printing Parameters..................................................................... 9.9.5

Entering Comments ......................................................................................................... 9.9.6

Using Template to Enter a Comment ........................................................... 9.9.6

Printing on the Report Window ........................................................................................ 9.9.7

Manual Printing............................................................................................ 9.9.7

Automatic Printing........................................................................................ 9.9.7

Section 10 Recording .............................................................................10C.1

Overview........................................................................................................................... 10.1

Description of Recording Modes............................................................................. 10.2

Manual Recording ........................................................................................ 10.2

Automatic Recording .................................................................................... 10.3

Remote Recording........................................................................................ 10.4

Recording Priority ................................................................................................... 10.5

Recorder unit (WS-971R) ............................................................................. 10.5

Laser Printer ................................................................................................. 10.5

Recording Sensitivity .............................................................................................. 10.6

Recorded/Printed Data ........................................................................................... 10.6

Manual Recording............................................................................................................. 10.7

Delayed W av eform Recording ................................................................................ 10.7

Necessary Settings for Delayed Waveform Recording ................................. 10.7

Starting Delayed Waveform Recording......................................................... 10.7

Automatic W avef orm Recording........................................................................................ 10.8

Periodic Recording ................................................................................................. 10.8

Necessary Settings for Periodic Recording .................................................. 10.8

Alarm Recording ..................................................................................................... 10.8

Remote Recording............................................................................................................ 10.9

Necessary Settings for Remote Recording............................................................. 10.9

Call Recording .............................................................................................. 10.9

Remote Recording........................................................................................ 10.9

Starting Remote Recording .................................................................................... 10.9

Call Recording .............................................................................................. 10.9

Remote Delayed Waveform Recording......................................................... 10.9

Changing Recording Settings ......................................................................................... 10.10

Changing Settings on the Recording Window of the Setup .................................. 10.10

Changing Alarm Recording Settings........................................................... 10.11

Setting Recording Waveforms for Dual Waveform Recording..................... 10.12

Changing Recording Interval of Periodic Recording ................................... 10.12

Setting the Record Sweep Speed............................................................... 10.13

Changing Settings on the Recording Window of the System Setup Screen......... 10.14

Displaying the Recording Window of the System Setup Screen................. 10.14

Changing the Recording Time .................................................................... 10.14

Adjusting the Grid Darkness....................................................................... 10.15

Section 11 Overview Bed Screen ..........................................................11C.1

Overview........................................................................................................................... 11.1

Operator's Manual CNS-9701 C.11

CONTENTS

Displaying the Overview Bed Menu Screen............................................................ 11.1

Alarm Function for an Overview Bed ...................................................................... 11.2

Screen Description ................................................................................................. 11.2

Selecting Another Bedside Monitor as an Overview Bed.................................................. 11.3

Switching to Other Windows of the Overview Bed Screen................................................ 11.3

Recordings on the Overview Bed Screen ......................................................................... 11.3

Section 12 Parameter Setup ..................................................................12C.1

Overview of Parameter Setup........................................................................................... 12.1

Displaying Each Par ameter Setup Window............................................................. 12.2

ECG Settings .................................................................................................................... 12.3

Setting Vital Sign Alarms ........................................................................................ 12.3

Setting Arrhythmia Alarms ...................................................................................... 12.3

Setting the Analysis Lead ....................................................................................... 12.4

Setting QRS Detection............................................................................................ 12.4

Setting QRS Detection Settings.................................................................... 12.4

Setting QRS Detection Sensitivity in Auto Detection .................................... 12.5

Setting QRS Detection Lead and Threshold in Manual Detection ................ 12.5

Setting ECG Lead Name ........................................................................................ 12.6

ST Settings ............................................................................................................. 12.6

Setting the ST Analysis Method.................................................................... 12.6

Setting the ST Interval .................................................................................. 12.7

Setting Other Settings............................................................................................. 12.8

Setting Electrode Lead Off Alarm ................................................................. 12.8

Turning Noise Alarm ON/OFF....................................................................... 12.8

Turning Arrhythmia Analysis ON/OFF .......................................................... 12.8

Turning Pacing Detection ON/OFF ............................................................... 12.9

Turning Hum Filter ON/OFF.......................................................................... 12.9

Turning Pacing Marker ON/OFF ................................................................... 12.9

Respiration Settings........................................................................................................ 12.10

Setting the Vital Sign Alarm .................................................................................. 12.10

Turning the Impedance Respiration Measurement ON/OFF................................. 12.10

Changing the Respiration Detection Sensitivity .................................................... 12.11

SpO2 Settings ................................................................................................................. 12.12

Setting the Vital Sign Alarm .................................................................................. 12.12

Turning the SpO2 Status Alarm ON/OFF .............................................................. 12.12

NIBP Settings ................................................................................................................. 12.13

Setting the Vital Sign Alarm .................................................................................. 12.13

Setting NIBP Measurement Mode and Measurement Interval.............................. 12.13

Starting/Stopping NIBP Measurement .................................................................. 12.14

PRESS Settings.............................................................................................................. 12.15

Setting the Vital Sign Alarm .................................................................................. 12.15

Changing the Display P attern and the Blood Pressure Label ............................... 12.16

Temp Settings ................................................................................................................. 12.17

Setting the Vital Sign Alarm .................................................................................. 12.17

Setting the Label for Temperature Measurement Sites and Equation for ∆T......... 12.17

CO2 Settings ................................................................................................................... 12.19

Setting the Vital Sign Alarm .................................................................................. 12.19

C.12 Operator's Manual CNS-9701

CONTENTS

FiO2 Settings................................................................................................................... 12.20

Setting the Vital Sign Alarm .................................................................................. 12.20

Anesthesia Gas Settings ................................................................................................ 12.21

Setting the Vital Sign Alarm .................................................................................. 12.21

Setting the Displayed Parameters of Waveforms and Numerical Data ................. 12.21

V entilator Settings........................................................................................................... 12.22

Section 13 Personal Setup and Setup...................................................13C.1

Overview of Personal Setup and Setup ............................................................................ 13.1

Displaying Each Setting Window ............................................................................ 13.1

Section 14 Error Messages and T roubleshooting ................................14C.1

Troubleshooting................................................................................................................. 14.1

System.................................................................................................................... 14.1

Network .................................................................................................................. 14.2

Measurement V alue ................................................................................................ 14.3

Alarm ...................................................................................................................... 14.3

Admitting/Discharging............................................................................................. 14.4

All Beds Screen/Individual Bed Screen .................................................................. 14.5

Trend Window ......................................................................................................... 14.6

T ab ular Trend Window............................................................................................. 14.6

Hemodynamics List Window................................................................................... 14.6

Arrhythmia Recall Windo w...................................................................................... 14.7

ST Recall Window................................................................................................... 14.7

Full Disclosure Window........................................................................................... 14.8

ECG 12 Lead Analysis Window .............................................................................. 14.8

Report Window ....................................................................................................... 14.9

Recording ............................................................................................................... 14.9

Overview Bed Screen ........................................................................................... 14.10

Parameter Setup................................................................................................... 14.10

Error Messages .............................................................................................................. 14.11

Messages From Bedside Monitors/Multiple Patient Receiver ............................... 14.11

Messages about Measurement Conditions of Each Parameter.................. 14.11

Other .......................................................................................................... 14.16

Messages From Central Monitor........................................................................... 14.17

WS-971R Recorder Unit............................................................................. 14.17

Laser Printer ............................................................................................... 14.17

Other .......................................................................................................... 14.17

Daily Check..................................................................................................................... 14.18

Checking Sound Generation from the Speaker .................................................... 14.18

Calibrating the Touchscreen ................................................................................. 14.18

Adjusting the VL-971R/RK LCD Unit..................................................................... 14.21

Printing a Screen Hard Copy .......................................................................................... 14.21

Inspection After Use ....................................................................................................... 14.22

Cleaning, Disinfecting and Sterilization........................................................................... 14.23

Central Monitor ..................................................................................................... 14.23

Cleaning the Main Unit ............................................................................... 14.23

Operator's Manual CNS-9701 C.13

CONTENTS

Disinfecting the Main Unit ........................................................................... 14.23

Cleaning the Display................................................................................... 14.24

WS-971R Recorder Unit ....................................................................................... 14.24

Thermal Head............................................................................................. 14.24

Sensor ........................................................................................................ 14.24

Regular Inspection.......................................................................................................... 14.25

Periodical Replacement Schedule .................................................................................. 14.26

Repair Parts Availability Policy........................................................................................ 14.26

Section 15 Reference..............................................................................15C.1

Factory Default Settings.................................................................................................... 15.1

All Beds Screen/Individual Bed Screen .................................................................. 15.1

Review Window....................................................................................................... 15.2

Parameter Setup..................................................................................................... 15.3

Personal Setup ....................................................................................................... 15.4

Setup ...................................................................................................................... 15.4

System Setup ......................................................................................................... 15.5

Parameter Priority............................................................................................................. 15.7

Initializing the System ....................................................................................................... 15.8

Specification ..................................................................................................................... 15.9

Display.................................................................................................................... 15.9

Waveform Display Items ......................................................................................... 15.9

Alphanumeric Display Items ................................................................................... 15.9

Sound ..................................................................................................................... 15.9

Alarm Function ....................................................................................................... 15.9

Trend..................................................................................................................... 15.10

Waveform Sensitivity ............................................................................................ 15.10

Overview............................................................................................................... 15.10

Remote Setting ..................................................................................................... 15.10

Full Disclosure ...................................................................................................... 15.10

File Saving ............................................................................................................ 15.10

2-ch Recorder, WS-971R (option)......................................................................... 15.11

Laser Printer (local purchase) .............................................................................. 15.11

Po w er Requirements ............................................................................................ 15.11

Environment.......................................................................................................... 15.12

Electromagnetic Compatibility .............................................................................. 15.12

Safety.................................................................................................................... 15.12

Dimensions and W eight ........................................................................................ 15.12

Standard Accessories..................................................................................................... 15.13

MU-971RJ Main Unit ............................................................................................ 15.13

MU-971RK Main Unit............................................................................................ 15.14

MU-971RA Main Unit............................................................................................ 15.15

Options and Consumables.............................................................................................. 15.16

Options ................................................................................................................. 15.16

Consumables........................................................................................................ 15.16

General Requirements for Connecting Medical Electrical System.................................. 15.17

C.14 Operator's Manual CNS-9701

GENERAL HANDLING PRECAUTIONS

This device is intended for use only by qualified medical personnel.
Use only Nihon Kohden approved products with this device. Use of non-approved products or in
a non-approved manner may affect the performance specifications of the device. This includes,
but is not limited to, batteries, recording paper, pens, extension cables, electrode leads, input
boxes and AC power.

Please read these precautions thoroughly before attempting to operate the instrument.

1. To safely and effectively use the instrument, its operation must be fully understood.

2. When installing or storing the instrument, take the following precautions:

(1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly

ventilated areas, and dust, saline or sulphuric air.
(2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport.
(3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage.
(4) The power line source to be applied to the instrument must correspond in frequency and voltage to product

specifications, and have sufficient current capacity.
(5) Choose a room where a proper grounding facility is available.

3. Before Operation

(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is in combination with other instruments to avoid misdiagnosis or other

problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.

4. During Operation

(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.
(3) Avoid direct contact between the instrument housing and the patient.

5. To Shutdown After Use

(1) Turn power off with all controls returned to their original positions.
(2) Remove the cords gently; do not use force to remove them.
(3) Clean the instrument together with all accessories for their next use.

6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is
not functioning properly, it should be clearly marked to avoid operation while it is out of order.

7. The instrument must not be altered or modified in any way.

8. Maintenance and Inspection:

(1) The instrument and parts must undergo regular maintenance inspection at least every 6 months.
(2) If stored for extended periods without being used, make sure prior to operation that the instrument is in perfect

operating condition.

Operator's Manual CNS-9701 i

(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for

qualified user technical personnel upon request from your Nihon Kohden distributor.

9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or
location of electrodes and/or transducers to avoid possible burn to the patient.

10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator
discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.

WARRANTY POLICY

Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year
from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from
the warranty.

NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period,
provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals.

No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any other
warranty, either implied or in writing. In addition, service, technical modification or any other product change performed by
someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding this warranty.

Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.

This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the original identification marks have been
removed.

In the USA and Canada other warranty policies may apply.

CAUTION

United States law restricts this device to sale by or on the order of a physician.

ii Operator's Manual CNS-9701

EMC RELATED CAUTION

This equipment and/or system complies with the International Standard IEC 60601-1-2 for electr omagnetic
compatibility for medical electrical equipment and/or system. However, an electromagnetic environment
that exceeds the limits or levels stipulated in the IEC 60601-1-2, can cause harmful interference to the
equipment and/or system or cause the equipment and/or system to fail to perform its intended function or
degrade its intended performance. Therefore, during the operation of the equipment and/or system, if
there is any undesired deviation from its intended operational performance, you must avoid, identify and
resolve the adverse electroma gnetic effect before continuing to use the equipment and/or system.

The following describes some common interference sources and remedial actions:

1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station
or cellular phone:
Install the equipment and/or system at another location if it is interfered with by an emitter source such
as an authorized radio station. Keep the emitter source such as cellular phone away from the
equipment and/or system.

2. Radio-frequency interference from other equipment through the AC power supply of the equipment
and/or system:
Identify the cause of this interference and if possible remove this interference sour c e. If this is not
possible, use a different power supply.

3. Effect of direct or indirect electrostatic discharge:
Make sure all users and patients in contact with the equipment and/or system are free from direct or
indirect electrostatic energy before using it. A humid room can help lessen this problem.

4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.

If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden Corporation
subsidiary or distributor for additional suggestions.

The CE mark is a protected conformity mark of the European Community. The products herewith comply
with the requirements of the Medical Device Directive 93/42/EEC.

The CE mark only applies to the CNS-9701K series central monitors.

This equipment complies with EUROPEAN STANDARD EN-60601-1-2 (1993) which requires EN-55011, class
A. Class A EQUIPMENT is allowed in domestic establishments when used under the jurisdiction of a
health care professional.

Operator's Manual CNS-9701 iii

In IEC 60601-1-2 Medical Electronic Equipment, Part 1: General Requirements for Safety, 2. Collateral
Standard: Electromagnetic compatibility-Requirements and test. Section 36. 202. 2 Radiated radio­frequency electromagnetic fields, PATIENT COUPLED EQUIPMENT and/or SYSTEMS applicable IMMUNITY
test methods are under consideration at SC62A/WG13. The 3 V/m IMMUNITY level may be inappropriate
especially when measuring SpO2 because physiological signals can be much smaller than those induced
by a 3 V/m electromagnetic field.

When measuring SpO2, various interference may produce false waveforms which look like pulse
waveforms. SpO2 value and pulse rate may be measured from these false waveforms, causing the alarm to
function improperly.

When installing the monitor, avoid locations where the monitor may receive strong electromagnetic
interference such as radio or TV stations, cellular phone or mobile two-way radios.

iv Operator's Manual CNS-9701

Conventions Used in this Manual and Instrument

Warnings, Cautions and Notes

Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.

WARNING

A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.

CAUTION

A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.

NOTE

A note provides specific information, in the form of recommendations, prerequirements, alternative
methods or supplemental information.

Explanations of the Symbols in this Manual and Instrument

The following symbols found in this manual/instrument bear the respective descriptions as given.

On MU-971RA/RJ/RK central monitor main unit

Symbol Description Symbol Description

Power ON Hard disk lamp

Power OFF Reset

Attention, consult operator’s
manual

Mouse socket

System start/shutdown Keyboard socket

(Only for CNS-9701K)
The CE mark is a protected
conformity mark of the European

Power lamp (Power ON)

Operator's Manual CNS-9701 v

Community. The products herewith
comply with the requirements of the
Medical Device Directive
93/42/EEC.

On Screen

Symbol Description Symbol Description

Overview Adjust setting/Scroll data

Help Alarm

Print Stop Speaker

Delayed recording start Electrocardiogram

Alarm suspend/silence with

Print mark/Print

Menu (System Setup) Alarm suspend at the transmitter

Previous All alarm off, vital sign alarm off

remaining minutes at the central
monitor

All Beds Alarm recording off

Deletion mark QRS sync mark

Close a window

On VL-971R/RK LCD unit

Symbol Description Symbol Description

“On” only for a part of instrument

Attention, consult operator’s
manual

“Off” only for a part of instrument

On WS-971R Recorder Unit

Symbol Description Symbol Description

Power on Fuse

Power off Type B applied part

For the symbol marks on the locally purchaced LCD display, laser printer and UPS, refer to each instruction manual.

vi Operator's Manual CNS-9701

Section 1 General

Introduction ........................................................................................................................ 1.1

Central Monitor Composition ............................................................................................. 1.2

Dual Display Monitoring........................................................................................... 1.3

Network Composition......................................................................................................... 1.4

Operation Restriction by Monitored Bed Type.......................................................... 1.5

Alarm function................................................................................................ 1.5

ST Recall window .......................................................................................... 1.5

Parameter Setup/Personal Setup/Setup ........................................................ 1.5

Operation Restriction Depending on Whether Data Is Stored in the Central Monitor1.6

Expand Individual Bed Screen........................................................................................... 1.7

Types of Windows.............................................................................................................. 1.8

All Beds Screen ............................................................................................. 1.8

Overview Bed Menu Window......................................................................... 1.9

Menu Window ................................................................................................ 1.9

Individual Bed Screen.................................................................................... 1.9

Review Windows.......................................................................................... 1.10

System Setup .............................................................................................. 1.11

Setup ........................................................................................................... 1.11

Personal Setup ............................................................................................ 1.11

Parameter Setup.......................................................................................... 1.11

Basic Operation ............................................................................................................... 1.12

Control and Input ................................................................................................... 1.12

Touchscreen Input ....................................................................................... 1.12

Keyboard Input ............................................................................................ 1.12

Mouse Input................................................................................................. 1.12

Switching Windows ................................................................................................ 1.13

Opening Other Windows from the Menu Screen ......................................... 1.13

Returning to the All Beds Screen ................................................................ 1.13

Returning to the Previous Screen................................................................ 1.13

Opening the Individual Bed Screen from the All Beds Screen..................... 1.13

Changing the Bed to Display or Change Settings........................................ 1.13

Opening Other Windows with Tabs .............................................................. 1.14

Opening Other Windows with Function Keys............................................... 1.14

Changing Settings ................................................................................................. 1.15

Scrolling Data and List........................................................................................... 1.15

Operator's Manual CNS-9701 1C.1

Entering Letters and Numbers............................................................................... 1.16

Basic Keyboard Operation..................................................................................... 1.16

Caution Label and Caution Mark ..................................................................................... 1.17

Central Monitor Main Unit ...................................................................................... 1.17

VL-971R/RK LCD Unit ........................................................................................... 1.17

Important Safety Information............................................................................................ 1.18

General.................................................................................................................. 1.18

Installation.............................................................................................................. 1.19

UPS ....................................................................................................................... 1.19

Network ................................................................................................................. 1.20

Turning the Power On/Off ...................................................................................... 1.21

Discharge and Receiving Channel Change ........................................................... 1.21

Temporary Discharge ............................................................................................ 1.22

Patient Transfer ...................................................................................................... 1.22

Alarm ..................................................................................................................... 1.22

ECG Monitoring ..................................................................................................... 1.23

NIBP Measurement ............................................................................................... 1.23

Maintenance .......................................................................................................... 1.24

1C.2 Operator's Manual CNS-9701

Introduction

1. GENERAL

The CNS-9701A/J/K Central Monitor is designed for use in various hospital
environments, including the ICU, CCU, recovery room, and general ward. The
central monitor allows hospital staff to monitor patient’s vital signs and waveforms,
along with other patient information.

You can compose a patient monitoring network with central monitors, bedside
monitors, multi-patient receivers and transmitters. One network can include up to
300 beds. A patient’s data can be accessed simultaneously at up to four central
monitors. The system offers monitoring flexibility to best meet your patient’s
clinical needs. A single central monitor can continuously monitor up to 8 beds (12
beds when the QP-971P 12 Patient Expansion Program Kit is installed and 16 beds
when both the QP-971P 12 Patient Expansion Program Kit and QP-972P 16 Patient
Expansion Program Kit are installed).

The overview bed function allows you to temporarily monitor a bed that is on the
network but not continuously monitored by the central monitor. This provides
quick and easy access to any patient’s data similar to being monitored at the central
monitor.

The central monitor has various windows to monitor a patient’s status:

• Monitoring screen

- Wave Display window

- ECG 12 Lead Display window

- All Vital Signs window

• Review window

- Trend window

- Tabular Trend window

- Hemodynamics window

- Arrhythmia Recall window

- ST Recall window

- Full Disclosure window

- ECG 12 Lead Analysis window

- Alarm History window

The central monitor provides various types of recordings. Both a thermal array
recorder and a laser printer can be used.

Alarm limits and other bedside monitor settings can be set or changed remotely
from a central monitor.

Please read this manual thoroughly before operation in order to obtain full use of
the central monitor. Also read the manuals for the bedside monitors, transmitters
and multi-patient receiver.

Operator's Manual CNS-9701 1.1

1. GENERAL

Use Nihon Kohden parts and accessories to assure maximum
performance from your instrument.

For simplicity, the suffix A/J/K will be omitted in this manual. There is no
difference in operation among models with different suffixes unless otherwise
specified.

Central Monitor Composition

NOTE

VL-971R/RK LCD Unit

WS-971R recorder unit

MU-971RA/RJ/RK
central monitor main unit

QP-971P/972P/973P/974P
program kit

Laser printer
(Network printer)

Keyboard

Mouse

UPS

Display selection:

Besides the VL-971R/RK LCD Unit, an LCD display recommended by Nihon
Kohden can also be used. For details, refer to the CNS-9701 installation guide.

1.2 Operator’s Manual CNS-9701

1. GENERAL

Dual Display Monitoring Monitoring with dual displays is available. For example, with two displays

connected to one central monitor, you can display 16 patients, 8 patients on each
display, or you can set both displays to All Bed screen or one display to Expand
Individual Bed screen.

For the setting of the number of monitored beds or Expand Individual Bed screen,
refer to Section 4 “Monitor Setting”.

For the Windows settings necessary when using dual displays and connection
procedure, refer to the CNS-9701 installation guide.

Operator's Manual CNS-9701 1.3

1. GENERAL

Network Composition

Network group
e.g. ICU

In a central monitor network, on a central monitor, you can see data of any bed in
the network. On a bedside monitor, you can see data of any bed in the network
using the interbed function.

The data that can be displayed on the bedside monitor or central monitor depends
on the type of bedside or central monitor used.

The number of central monitors and bedside monitors that can be connected to a
central monitor network and the method of network communication depend on the
type of monitor used. For details, refer to the Network and System installation
guide.

Central monitors

Bedside monitors

CNS-9300 series

Central monitor

Central monitor

CNS-9701

CNS-9300 series

Central monitor

Multiple patient receiver

ORG-9200
ORG-9700

Transmitter

Network group
e.g. CCU

Multiple patient receiver

Transmitter

Transmitter

Bedside monitor

BSM-9800
BSM-9510
BSM-4100 series
BSM-2300 series
BSM-1100 series

Bedside monitors/Transmitters

Printer

Central monitor

Bedside monitor

Central monitor

Bedside monitor

Interface

QI-910R

8000 series beds

Bedside monitors:
BSM-3101
BSM-7000 series
BSM-8000 series
Multiple patient receiver:
ORG-8200

Central monitor

Bedside monitor

WARNING

••

• Install the printer and hubs outside the patient environment (IEC 60601-1-1 2.204). If they are installed

••

inside the patient environment, the patient or operator may receive electrical shock.

••

• Check the software version number of the monitor before connecting it to the network. Different

••

software versions have different communication methods. When there is more than one communication
method in the network, communication may malfunction.

1.4 Operator’s Manual CNS-9701

1. GENERAL

Operation Restriction by
Monitored Bed Type

Monitored Bed

BSS/BSM series
bedside monitor

ORG-9200/9700
multiple patient
receiver with
transmitter

BSM series bedside
monitor via QI-910R
interface

Type

What the central monitor can do depends on the monitored bed type.

Alarm function

Alarm Function

Temporarily

silence/suspend

alarms

Temporarily silence
any current alarms.

Temporarily suspend
all alarm functions

Turning alarm On/Off Priority

Not available
When all alarms are set
to OFF on the bedside
monitor, the alarm
function is OFF on the
central monitor.

Not available

Not available
When all alarms are set
to OFF on the bedside
monitor, the alarm
function is OFF on the
central monitor.

The alarm priority at
the central monitor
coincides with the
alarm priority at a
bedside monitor.

The alarm priority at
the central monitor
does not coincide with
the alarm priority at the
bedside monitor.

ST Recall window

Monitored Bed

Type

BSS/BSM series
bedside monitor

ORG-9200/9700
multiple patient
receiver with
transmitter

BSM series bedside
monitor via QI-910R
interface

Parameter Setup/Personal Setup/Setup

Monitored Bed

Type

BSS/BSM series
bedside monitor

ORG-9200/9700
multiple patient
receiver with
transmitter

BSM series bedside
monitor via QI-910R
interface

ST Recall File

Save Contents of the file

Date and time when the data was saved

Saved at set intervals.
(You can set the interval.)

Not available Not available

Alarm settings Other settings

The settings at the bedside
monitor and central
monitor are synchronized.
Changing one changes the
other.

Can be set on the central
monitor

The settings at the bedside
monitor and central
monitor are synchronized.
Changing one changes the
other.

•

Heart rate when the data was saved

•

Maximum 12 lead ST waveform

•

(Averaging 15 seconds ECG waveform)

Personal Setup

Some of the setting items that can be set on
the bedside monitor can also be set on the
central monitor.

All setting items can be set on the central
monitor.

Some of the setting items that can be set on
the bedside monitor can also be set on the
central monitor.

Operator's Manual CNS-9701 1.5

1. GENERAL

NOTE

BSM in the table includes bedside monitors that receive or display data
from a transmitter connected to the patient.

Operation Restriction
Depending on Whether
Data Is Stored in the
Central Monitor

When registering a patient as a monitored bed, you need to select whether or not
the patient’s data is saved in the central monitor. Some operations are not available
on beds whose data is not saved in the central monitor.

Operations only available when data is saved in the central monitor

Admit/Discharge window

Channel window Setting a receiving channel
Full disclosure window Selecting saved waveforms
Arrythmia recall window Deleting a recall file
ECG 12 Lead Analysis window Deleting analysis result files
Alarm History window Displaying the list of all alarms
Report window Automatic report recording
Recording

* You can enter and edit patient data for an admitted bed whose data is not saved in

the central monitor.

Admit*

•

Discharge/Data deletion

•

Temporary discharge

•

Patient transfer

•

Remote recording requested from
bedside monitors

Monitored Bed

A monitored bed is a bed which is registered on the Monitor Setting window of the
System Setup and is continuously monitored at the central monitor.

1.6 Operator’s Manual CNS-9701