Nihon Kohden CSM-1501, CSM-1502, CSM-1701, CSM-1702 Technical Data

Technical Data

CSM-1501/1502 CSM-1701/1702 Bedside Monitor

This technical data may be revised or replaced by Nihon Kohden at any time without notice.

Some products may not be available in your country.

TD. CSM-1500/1700 Op No. 01K Ver.02-05

FEATURES

Intended Use

Life Scope G5/G7 is intended for continuous monitoring, recording, and alarming of multiple physiological parameters of adults, pediatrics and neonates in the OR, recovery room, ICU, CCU, HCU, NICU, ER, ward and other areas.

Main Components

Display

CSM-1501 (CU-151R): 12.1inch CSM-1502 (CU-152R): 15.6inch CSM-1701 (CU-171R): 15.6inch CSM-1702 (CU-172R): 19inch

Input unit

Several types of input unit are available. See the chart in the following page.

For CSM-1500, an input unit can be directly connected to the main unit and can be used as an integrated monitor. For CSM-1700, an input unit can be connected to the DAU (Data Acquisition Unit) and the input part can be installed away from the main unit.

Transport function

Life Scope G5/G7 supports transport. Patient information and review data can be transferred to another bed by disconnecting the input unit from the source monitor and connecting it to the destination monitor. (Transport function requires an optional QM-600P memory unit in the input unit.)

A Life Scope PT BSM-1700 series transport monitor can also be used as an input unit for the Life Scope G5/G7 bedside monitor.

After connecting the input unit to the destination bedside monitor in the network, the data in the input unit is automatically transferred to the bedside monitor and central monitor. All patient information, including trend and waveforms, is automatically transferred to maintain one seamless patient record.

Nihon Kohden's networking technology enables seamless monitoring across different central monitors. You can see continuous past data even from a different central monitor at a different site.

Up to 11 MULTI connectors are available.

Multilink connectors

A multilink connector receives data from an external device such as an anesthesia machine or ventilator and the monitor displays the external device data with other monitoring data.

Number of Multilink connectors:

 CU-151R/152R/171R/171R core unit: 2  JA-170P data aquisiton unit: 3  QI-151P rear option for CU-151R/152R: 2  QI-171P rear option for CU-171R/172R: 2  QI-152P side option for

CU-152R/171R/172R: 2

User Interface

Operation

Life Scope G5/G7 can be operated by touch screen, mouse, remote control and bar code scanner.

Touch screen operation

The touch screen provides intuitive operation.

Review while monitoring

The G-Scope function lets you review past data without hiding the current vital signs and waveforms. Just flick the side or bottom of the screen to access three pre-assigned review windows.

Wireless remote control

You can operate Life Scope G5/G7 by an RY-910PA wireless remote control. The remote control has six function keys to call up preset windows. You can turn monitor on or off and alarm on or off by a wireless remote control.

One remote control can operate up to 9 monitors by changing the channel.

Smart cables and MULTI connectors

Smart cable technology lets you measure different parameters without the need for dedicated modules. When you plug a smart cable into a MULTI connector, the monitor automatically detects the type of parameter and starts measuring.

Basic parameters of ECG, respiration, SpO2, NIBP and temperature can be measured with dedicated connectors. Other parameters can be measured with MULTI connectors.

Input units

Model Description

Number

of MULTI

connector

Available parameters on

MULTI connector

AY-660P Input unit

1 IBP, CO2(mainstream)

AY-661P Input unit

IBP, CO2, TEMP, CO, BIS,

SpO2-2, TOF

AY-651P

(Nellcor

SpO2)

AY-631P

(Masimo

SpO2)

Input unit

IBP, CO2, TEMP, CO, BIS,

TOF

AY-663P Input unit

IBP, CO2, TEMP, CO, BIS,

SpO2-2, TOF

AY-653P

(Nellcor

SpO2)

AY-633P

(Masimo

SpO2)

Input unit

IBP, CO2, TEMP, CO, BIS,

TOF

AA-672P Smart unit

IBP, CO2, TEMP, CO, BIS,

SpO2-2, TOF

* SpO2-2 is only available in

the NK SpO2 configuration.

AA-674P Smart unit

AA-174P Multi amp unit

Note: AY-660P is not available in Europe.

Optimized for each site and each specialist

OR:

Triple display

Life Scope G5/G7 allows three independent displays. Different displays can provide different information for the anesthesiologist, physician and heart-lung machine operator or other specialist. (CU-152R/171R/172R with QI-152P)

Multi-gas measurement

You can measure CO2, N2O, O2, and five anesthetic agents (Halothane, Isoflurane, Enflurane, Sevoflurane and Desflurane). Gases can be measured quickly with small sampling flow rate. (Requires an optional GF-210R multi-gas unit or GF-220R multi-gas/flow unit.)

MAC value

LifeScope G5/G7 can calculate MAC (Minimum Alveolar Concentration) which helps predict how much anesthetic will be required during surgery. (Requires an optional GF-210R multi-gas unit or GF-220R multi-gas/flow unit.)

more intuitive approach to diagnostic and therapeutic decision making in hemodynamic management.

A target graph for PPV and esCCO provide minimally invasive hemodynamic monitoring.

Life Scope G5/G7 also has the target graph based on Forrester Classification to support the intermittent invasive parameters such as cardiac output by bolus thermodilution and pulmonary wedge pressure.

Bypass function (All alarms off)

You can turn all alarms off indefinitely when a heart-lung machine is connected to the patient.

Neuromuscular transmission

For customers who need an objective way to monitor the dosage of relaxants for patients for a safe anesthesia, surgery and extubation, the NIHON KOHDEN NMT module AF-101P provides patient focused handling with operation buttons directly at the patient near module supporting all common NMT testing methods.

Life Scope G5/G7 shows TOF ratio, TOF counts and PTC on the display.

Respiratory loops

PV loop and FV loop can be displayed. This helps respiration management of patients connected to an anesthesia machine. (Requires an optional GF-220R multi-gas/flow unit.)

BIS monitoring

BIS monitoring helps clinicians determine and administer the precise amount of anesthesia drug to meet the needs of each individual patient.

PPV/SPV

PPV (Pulse Pressure Variability) and SPV (Systolic Pressure Variability) is an indicator of intravascular volume. It is useful in guiding fluid therapy for patients receiving mechanical ventilation.

esCCO

The optional QL-005P esCCO software/ QL-006P esCCO/Hemodynamics review program enable esCCO measurement. esCCO is a new technology to calculate cardiac output non-invasively and continuously. esCCO uses PWTT (Pulse Wave Transit Time) which is obtained from the SpO2 and ECG-signals. It can continuously display esCCO, esCCI, esSV, esSVI, esSVR and es SVRI.

Hemodynamics Review Program

The optional QL-006P esCCO/Hemodynamics Review Program provides trend display to support advanced intensive therapy management.

A hemodynamics graph provides a graphic view of overall hemodynamic information. It allows a

ICU:

PPV/SPV

PPV (Pulse Pressure Variability) and SPV (Systolic Pressure Variability) is an indicator of intravascular volume. It is useful in guiding fluid therapy for patients receiving mechanical ventilation.

esCCO

CVP_ET

Respiration affects the intrapleural pressure and makes the CVP value unstable. Nihon Kohden’s original technology of CVP_ET (end tidal CVP) uses the mainstream CO2 signals to calculate the CVP at the end tidal CO2 point. CVP_ET provides a stable and physiologically correct CVP value.

Hemodynamics Review Program

The optional QL-006P esCCO/Hemodynamics Review Program provides calculation and trend display to support advanced intensive therapy management.

A hemodynamics graph provides a graphic view of overall hemodynamic information. It allows a more intuitive approach to diagnostic and

therapeutic decision making in hemodynamic management.

Mainstream EtCO2 for both intubated and non-intubated patients

Life Scope G5/G7 can use the compact and lightweight TG-980P & TG-920P cap-ONE mainstream CO2 sensor kit to obtain smooth and accurate EtCO2 and respiration rate within 5 or 10 seconds. Unique nasal adapter effectively catches the nasal and oral expired CO2 without dilution for non-intubated patient. cap-ONE mask provides ETCO2 measurement and oxygen supply for non-intubated patients.

8-channel EEG

EEG monitoring is available with the optional AE-918P neuro unit. Up to 8 channels of EEG can be monitored.

CSA/DSA

CSA and DSA show the power in each EEG frequency band plotted over time. CSA and DSA can help spot EEG trends and changes in brain function which might not be obvious from the raw waveforms.

CCU:

12 lead ECG simultaneous display

12-lead ECG waveform can be displayed on the home screen. This makes it easier to recognize multi-focus VPC, ST change and ventricular hypertrophy.

12-lead ECG analysis

The 12-lead ECG analysis of Life Scope G5/G7 has the same accuracy and reliability as a dedicated electrocardiograph. There is no need to change electrodes to another instrument.

Arrhythmia detection

Upgraded arrhythmia detection lets you analyze multi-channel ECG. The multi-template matching method reduces false alarms and assures high quality detection. 25 arrhythmia items can be detected.

ST display and review

ST waveforms of all ECG leads can be displayed. The reference ST waveforms are also displayed so you can see changes in the ST waves. You can adjust the ISO point, J point and ST point for ST level measurement.

ST review shows the ST level on a multi-axis chart. This helps the clinicians easily recognize ST change and location in the heart.

NICU:

Neonate arrhythmia algorithm

Life Scope G5/G7 has software for monitoring neonates. A dedicated neonate arrhythmia recognition algorithm recognizes narrow QRS.

NIBP inflation pressure for neonate

Connection of a neonate NIBP air hose is detected and the inflation pressure range is automatically changed for patient safety.

OCRG

OCRG (oxycardiorespirogram) combines compressed trends of beat-to-beat heart rate, respiration, and oxygenation levels. OCRG can help doctors detect the cause of apnea attack.

Dual SpO2

Monitoring the difference in SpO2 between right upper limb (pre-ductal) and lower limb (post-ductal) is useful to diagnose PPHN (Persistent Pulmonary Hypertension of Newborn), decide the timing to start and stop treatment as well as the operation schedule.

aEEG (amplitude-integrated EEG)

Because the brain of a newborn baby is immature, it is difficult to detect seizures by observation. Life Scope G5/G7 provides aEEG which makes it easier to detect brain seizure. aEEG monitoring is also becoming important in hypothermia therapy for neonatal encephalopathy.

Mainstream CO2 sensors for neonate

Mainstream CO2 monitoring for neonate is available with a cap-ONE TG-980P CO2 sensor kit. The airway adapter YG-213T has a dead space of only 0.5 ml.

PI (Pulse-amplitude Index)

The Pulse-amplitude Index indicates the percentage of pulsatile signal in the entire transmitted IR signal. PI supports to assess peripheral perfusion.

(PI is displayed when using Nihon Kohden SpO2 sensors and Masimo sensors)

SQI bar graph for SpO2

The SQI (signal quality index) bar graph shows the pulse waveform quality for SpO2 measurement. (SQI bar graph is available only with Nihon Kohden SpO2)

Non-adhesive SpO2 probe

The TL-535U (P206) and TL-260T (P205A) Multi-site Y probe are designed so that the adhesive of the attachment tape does not stick to the delicate skin of neonates or low birth weight infants.

Network

LS-NET (Life Scope Networking)

You can connect Nihon Kohden central monitors and bedside monitors by LS-NET (Life Scope Networking with Ethernet LAN).

Interbed

When Life Scope bedside monitors are connected in an LS-NET network, you can exchange and view data of other bedside monitors. Both individual display and 20 bed display are available.

Connecting to a network printer without a central monitor

You can connect a network printer to a Life Scope G5/G7 monitor on the LS-NET through the LAN port.

You can print real time and review data on A4 papers.

Other Features

Screen capture

You can save Life Scope G5/G7 screen capture images and transfer PNG data by USB. This is helpful for preparing clinical reports.

*QM-150P is required.

iNIBP

Nihon Kohden's unique iNIBP inflation algorithm provides fast and painless measurement of NIBP. iNIBP is available.

Nihon Kohden’s YAWARA CUFF 2 NIBP cuffs prevent bruising, increase patient comfort and reduce noise for more accurate NIBP measurement.

PWTT-triggered NIBP measurement

PWTT (pulse wave transit time) is continuously and non-invasively measured from the ECG and SpO2. If a sudden, critical circulation change happens between the periodic NIBP measurements, PWTT may detect it and trigger NIBP measurement to confirm it.

Respiration calculation

Life Scope G5/G7 can calculate respiration dynamics, the flow rates and dosages for medication titration. This is the ideal solution for medical and paramedical personnel who need rapid dose calculation. In addition to preset drugs, you can add custom medications.

Graphical and tabular trends

Up to 72 hours of graphic and tabular trends of all parameters can be saved and reviewed.

*When transport function is ON, up to 24 hours.

Full disclosure

Up to 72 hours of full disclosure waveforms for 5 parameters can be saved and reviewed.

*When transport function is ON, up to 24 hours.

Data time is synchronized between review windows

When one review window is changed to another review window, the new review window open in the same time as the first review window. For example, to check the waveform information for the time of an alarm file in the Alarm History window, select the corresponding file and change the full disclosure window. The full disclosure waveform for the corresponding time is displayed. This makes it easy to compare various vital sign data for the patient at the selected time between the review windows.

Alarm escalation

The alarm escalation function automatically escalates the alarm priority to a selected level if the alarm continues or SpO2 drops. Alarm escalation applies to vital alarms (SpO2 limit, apnea and high pressure system IBP) and technical alarms (ECG and SpO2). Alarm escalation can contribute to decreased medical accidents and improved quality of care.

Sleep mode

Sleep mode prevents the monitor from disturbing the patient during sleep or other times. The screen is darkened and the sync sound and alarm indicator are turned off. Sleep mode is available when the Life Scope G5/G7 bedside monitor is connected to the central monitor.

Drug calculation

Life Scope G5/G7 can calculate the flow rates and dosages for medication titration. This is the ideal solution for medical and paramedical personnel who need rapid dose calculation. In addition to preset drugs, you can add custom medications.

Synthesized 18-lead ECG (synECi18)

Synthesized 18-lead ECG derives the waveforms of the right chest leads (V3R, V4R, and V5R) and back leads (V7, V8, and V9) from the standard 12-lead ECG data. The measurement procedure is the same as the standard 12-lead ECG but more information can be obtained. 18-lead synthesized ECG is expected to be useful in detecting right side and posterior infarction. Optional software QL-004P is required.

Specification

◆

Measuring parameters

ECG(3/6/12 lead), respiration (impedance method), SpO2, SpO2-2, NIBP, IBP, temperature, cardiac output, BIS, CO2 (mainstream method), TOF, CO2 (sidestream method)*1, anesthetic gas*1 (CO2, O2, N2O, agent), Flow/Paw*1, EEG*1, ventilation*2, CCO*2, SvO2*2, tcPO2/tcPCO2*2, rSO2*2, esCCO*3

*1: Optional module/unit is required. *2: External device and interface are required.

*3: Optional software QL-005P/006P is required.

◆

Display

CU-151R

Display size: 12.1inch color TFT LCD Resolution: 1280 x 800 dots Pixel pitch: 0.204 x 0.204 Display type: Resistive touchscreen display

CU-152R/171R

Display size: 15.6inch color TFT LCD display Resolution: 1366 x 768 dots Pixel pitch: 0.252 x 0.252 Display type: Capacitive touchscreen, direct bonding

CU-172R

Display size: 19inch color TFT LCD display Resolution: 1680 x 1050 dots Pixel pitch: 0.244 x 0.244 Display type: Capacitive touchscreen direct bonding

Additional displays: CU-151R

Number of additional display: 1 Output resolution: 1366 x 768 Output connector: HDMI

CU-152R/171R/172R

Number of additional display: 2 First display Output resolution: 1366 x 768 Output connector: HDMI

Second display*

Output resolution: 1680 x 1050 Output connector: DVI

*QI-152P side option board is required.

Number of traces

CU-151R: Up to 15 traces on one display Up to 30 traces on two displays

CU-152R/171R: Up to 15 traces on one display Up to 30 traces on two displays Up to 47 traces on three displays

CU-172R: Up to 17 traces on one display

Up to 32 traces on two displays Up to 49 traces on three displays

Touch panel operation: available Waveform display mode: Moving or fixed Normal Sweep speed: 25, 50 mm/s Slow sweep speed: 1.56, 6.25, 12.5 mm/s Display colors: 32, selectable Displayed waveforms:

ECG (maximum 12 traces), respiration curve, IBP (maximum 8 traces), SpO2 pulse wave, SpO2 -2 pulse wave, CO2 partial pressure curve, EEG waveform, respiratory flow curve, airway pressure curve, respiratory volume curve, EEG waveform (BIS), O2 concentration curve, CO2 concentration curve, anesthetic agent concentration curve (Halothane, Isoflurane, Enflurane, Sevoflurane, Desflurane)

Numerical data display:

Heart rate, VPC rate, QTc, QRSd, ST level, respiration rate, NIBP (Sys, Dia, MAP), IBP (Sys, Dia, Mean), PPV, SPV, SpO2, SpO2-2, delta SpO2, pulse rate, PI, temperature, CO, CI, Ti (injectate temperature), Tb (blood temperature), O2 concentration, EtCO2, BIS, inspired/ expired N2O concentration, inspired/ expired CO2 partial pressure, inspired/ expired CO2 concentration, inspired/ expired O2 concentration, inspired/ expired anesthetic agent concentration (Halothane, Isoflurane, Enflurane, Sevoflurane, Desflurane), MAC (minimum alveolar concentration), Ppeak (peak airway pressure), PEEP (positive end expiratory pressure), Pmean (mean airway pressure), MV (minute volume), TVi (inspiratory tidal volume),TVe (expiratory tidal volume), C (compliance), R (airway resistance), Ri (inspiratory airway resistance), Re (expiratory airway resistance), I:E (inspiration expiration ratio), SEF (90 or 95% spectral edge frequency), MDF (median frequency), PPF(peak power frequency), TP (total power), power of frequency (Absδ, Absθ, Absα, Absβ, Absγ), power ratio of frequency (%δ, %θ, %α, %β, %γ), CSA (compressed spectral array), DSA (density spectral array), TOF cnt, TOF rat, Twitch height (Tw1 to Tw4), double burst stimulation (DBS 3.2, DBS 3.3), tetanic stimulation (TET50, TET100), post tetanic stimulation (PTC), temperature (Temp, measured by the AF-101P NMT module), With AP-170P hemodynamic unit; CO, CVP, ScvO2, Hb, SaO2, PR, A Psys, A Pdia, MAP, PCCO, PCCI, dPmax, SV, SVI, SVR, SVRI, SVV, PPV, CPO, CPI, GEDV, GEDVI, ITBV, ITBVI, EVLW, EVLWI, PVPI, GEF, CFI, CI, DO2, DO2I, VO2, VO2I, O2ER With INVOS monitor; rSO2, SSI indicator, baseline (BL), blood volume index (BVI), area under the curve (AUC), change rate, With CCO monitor; CCO, CCI, SvO2, ScvO2, Tb, SV, SVI, SVV, HR, SVR, SVRI, RVEF, EDV, EDVI, ESV, ESVI, DO2, VO2, O2EI, SaO2, HRV, CF With PiCCO monitor; PCCO, PCCI, SV, SVI, SVR, SVRI, SVV, PPV, dPmax, PR, AP, CO, CI, GEDV, GEDVI, ITBV, ITBVI, GEF, CFI, EVLW, EVLWI, PVPI, TD Time, CPO, CPI, ScvO2, SpO2, DO2, DO2I, VO2, VO2I,

+ 17 hidden pages