Nihon Kohden CSM-1901 User Manual

Bedside Monitor CSM-1901

The genesis of monitoring

Nihon Kohden creates
the future of patient care

The patient monitor of today collects vital signs and notifies the doctor and nurse with
an alarm if it detects an abnormality.

What functions do we need for the patient monitor of the future?

The patient monitor of the future will give advance warning of potential change in
the patient's condition based on not only the vital signs but also on the latest clinical
studies and the clinical history of both the patient and the patient’s family.

With the Life Scope G9 monitor, Nihon Kohden creates the future of patient care.

Site

* Web screen is co mposite pict ure

Evidence

Based

Medicine

Optimization

Decisive

Information

Efficient

Operation

Optimization for each site and each specialist

Each site and each specialist needs different information and different monitor functions.
Life Scope G9 provides the right functions and the right information for each site and each specialist.

OR

Complete information

While the physician is watching the vital parameters, the anesthesiologist can review anesthetic parameters on the other
screen. A heart-lung machine operator can see other vital information on a separate third screen.

ER

Seamless

Life Scope PT can be used as a transport monitor and an input box for
Life Scope G9. With this monitor combination it only takes one action to
transport the patient.

All patient information before and during transport is stored in the
transport monitor and transferred to the central station. No patient
information is lost and you can access the patient information
seamlessly.

* Web screen is

composite picture

ICU/CCU

Reduce morbidity

Sepsis is a common cause of death in the ICU. In severe
sepsis or septic shock, infusion within 6 hours is critical.

Blood pressure together with Life Scope G9’s Target
graph based on the Early Goal-Directed Therapy
can support therapy based on guidelines for initial
resuscitation of severe sepsis and septic shock.

CVP

8-12 mmHg

MAP

≥ 65 mmHg

Next Step

< 8 mmHg

< 65 mmHg

Give uid challenges
of crystalloids
or colloids

Administer
vasopressors

CVP/MAP initial resuscitation
protocol in severe sepsis and
septic shock

NICU

Brain therapy

Because the brain of a newborn baby is immature, it is difficult
to detect seizures by observation. Life Scope G9 provides aEEG
which makes it easier to detect brain seizure. aEEG monitoring
is also becoming important in hypothermia therapy for neonatal
encephalopathy.

Decisive information at your fingertips

The doctor’s decision is helped by decisive information which is required on site and which is useful for the patient's
prognosis and diagnosis.

* Web screen is co mposite pict ure

Faster intervention

By providing lab data, X-ray and medical charts through the HIS (hospital information system), Life Scope G9 can present
the information you need for rapid diagnosis and faster intervention.

Better outcomes

Optimizing fluid administration during
and post operation can lead to benefits
such as shorter length of stay and fewer
complications.

You can realize better fluid control
for the patient by combining esCCO
(Nihon Kohden’s continuous cardiac
output parameter) and PPV/SPV which
indicates fluid responsiveness.

Reliable 12-lead ECG

For many monitors, diagnosis with 12­lead ECG means that the monitor
electrodes must be removed and a
dedicated ECG machine must be used.
This is a burden for the patient and more
work for the caregivers.

The 12-lead ECG of Life Scope G9 has
the same reliability as a dedicated ECG
machine so you don’t need to change
electrodes.

ST review

Vital sign monitoring during review

Life Scope G9 allows reviewing previous data without hiding the current vital signs and waveforms. Just flick the side or
the bottom of the screen and select from three pre-assigned review screens. This G-Scope feature is new on Life Scope
G9.

Side G-Scope Bottom G-Scope

flick

Efficient operation throughout the hospital

Life Scope PT (transport monitor), ViTracTM network server, Smart CableTM system, and interbed function contribute to
efficient operation throughout your hospital. Increasing efficiency gives you more time for your patients.

Superior transportability

Using a Life Scope PT as an input box enables superior transportability. To transport the
patient, just slide out the Life Scope PT and attach it to the gurney, cart or pole beside the
patient. During transport, Life Scope PT continuously monitors the patient while wirelessly
transmitting the patient data and waveforms to a central monitor.

Smart Cable
system supported

™

Smart CableTM system - new modular technology

When you plug a Smart Cable into a MULTI socket, it automatically detects the parameter and starts
measuring. The combination of fixed basic parameters and flexible MULTI socket parameters allows
flexible monitoring for different patient conditions. You get complete modular flexibility at a significantly
reduced cost and without the inconvenience associated with traditional modular systems.

IBP

CO

BIS

SpO

CO

2

-2

2

APCO

Th-RESP

FiO

2

TEMP

RESP

* Available param eters depen d on the unit

Anywhere anytime

ViTracTM network server
provides you with monitoring
information on multiple
patients, any time and any
place.

Interbed monitoring

You can use any bedside monitor to check the vital
information and alarm status of another monitor in the
network, even if there is no central monitor. Numeric
data for 16 patients or numeric data and two waveforms
for 1 patient can be displayed on the interbed screen.

Drag and drop screen builder

If you want to change the position of numeric values,
you don’t have to go into the system setup. Just drag
the vital sign values to where you want. The waveform
positions automatically move with the numeric values.

EBM (evidence-based medicine)
for research and applications

With the Life Scope G9, Nihon Kohden continues its contribution to advancement of clinical applications with next
generation technology.

Evidence-based medicine

Evidence-based medicine (EBM) is defined as treatment
which is based on proven clinical evidence for treatment
effectiveness, side effects and prognosis. The goal is
to seek objective epidemiological observations and
evidence-based treatment from statistics and use this
information to decide the treatment policy with the
patients. This information can be obtained from papers
and clinical evidence published in journals. The emphasis
is on the patient outcome.

One example of EBM is the 100,000 Lives Campaign

which was launched by the Institute for Healthcare
Improvement (IHI) in 2004 in the United States to reduce
harm and deaths. More than 3,000 hospitals and medical
organizations participated and the campaign was a huge
success with an estimated 120,000 deaths prevented in
18 months.

This campaign used the latest medical information to
specify six areas that could be significantly improved then
it developed specific plans for improvement. Provision of
evidence-based treatment for acute myocardial infarction
was especially notable.

The six interventions from the 100,000 Lives Campaign

· Deploy Rapid Response Teams …at the first sign of patient decline

· Deliver Reliable, Evidence-Based Care for Acute Myocardial Infarction …to prevent deaths from heart attack

· Prevent Adverse Drug Events (ADEs) …by implementing medication reconciliation

· Prevent Central Line Infections …by implementing a series of interdependent, scientifically grounded steps

· Prevent Surgical Site Infections …by reliably delivering the correct perioperative antibiotics at the proper time

· Prevent Ventilator-Associated Pneumonia …by implementing a series of interdependent, scientifically grounded steps

www.ihi.org/IHI/Programs/Campaign/

Demand for clinical research

In the past there were more cases where it was difficult to find
sufficient information to do EBM. The internet brought easy access
to medical data such as clinical papers and journals and this has
led to greater demand for EBM. With today’s rapidly expanding
body of evidence, clinical research is becoming more important.

Clinical research can lead to new monitoring applications which
can be realized on the patient monitor.

Contribution to clinical research and
application

Life Scope G9 is designed to support clinical research and
developing clinical applications. For example, you can save a
screenshot of the monitoring screen in a USB memory stick and
use it during a daily review or at a conference presentation.
This helps you review the trend of the patient condition or perform
statistical analysis of pathology.

Life Scope G9 also lets you utilize monitored information to
develop a Windows application.

Life Scope G9 is designed from the most basic level to support
you in implementing existing clinical protocols or creating a new
clinical application.

The genesis of monitoring

Life Scope G9 changes the world of patient
monitoring by revolutionizing relationship among
patients, caregivers, and families.

CAT.No. 63-006A ’ 15 .1. SZ .C

8246

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