Nihon Kohden SVM-7200 Reference Guide

Life Scope® SVM-7200 Series
Vital Signs Monitor
Clinical Reference Guide
Version 1
© 2019 All Rights Reserved
Introduction 1
Life Scope SVM-7200 Series Vital Signs Monitor 2
Front View 2
Le View 3
Right View 4
Top View (With Wireless LAN Module) 4
Rear View 5
Admitting a New Patient and Inputting Patient Information 6
Inputting the Patient ID 7
Inputting the Patient Name 8
Inputting the Date of Birth 9
Inputting the Height and Weight 10
Managing Patient Information 11
Discharging a Patient 12
In Continuous Mode 12
Saving and Sending Patient Information 14
Basic Operation 15
Modified Early Warning Score 16
Monitoring Parameters 17
NIBP Monitoring 17
Starting and Stopping NIBP 17
Changing NIBP Settings 17
NIBP Interval Settings 18
Venous Puncture Mode 18
Cu Size 19
Cu Positioning 19
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Patient Type 19
Measuring Mode 20
SpO₂ Monitoring 21
Starting SpO₂ Measurement 21
Changing SpO₂ Settings 22
Temperature Monitoring 23
Exergen Temporal Scanner 23
Covidien Sensor 24
Applying Probe Covers 24
Setting the Modes of Temperature Measurement 25
Setting Temperature Alarm Limits 26
Alarm Types and Levels 27
Alarm Message Display and Icons 28
Guide Menu 28
Silencing and Suspending Alarms 29
Silencing Alarms 29
Suspending Alarms 29
Alarm O Keys on the Menu Window 30
Changing Parameter Alarm Limits 31
Review Windows 33
Display Review Windows 33
Spot Table Window 34
Trend Table Window (incontinuous mode only) 35
Trend Graph Window (in continuous mode only) 36
Alarm History Window 36
Cleaning and Disinfecting 37
Screen Messages and Troubleshooting 38
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Monitoring 42
Network 43
Recording 44
NIBP 45
SpO₂ 46
Temperature 47
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Introduction
4
Whenever you see this icon in this guide, a one touch
shortcut is available for the particular function. That
. 7/25/2019 10:50 AM
Comment [4]: In title, spelled Lifescope. Which correct?
This Clinical Reference Guide is designed to assist you to learn the monitor’s basic operations during the pre-implementation training class or as a self-study tool as you use the system on your clinical unit. It is also designed as a reference tool when you need a refresher for infrequently performed procedures.
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The procedures in this guide regard the Life Scope
®
SVM-7200 series Vital Signs Monitor. The Vital Signs Monitor can be used in an adult or pediatric environment.
The Clinical Reference Guide is an adjunct to the Operator’s Manual and does not replace it. Please refer to that manual for critical technical and other specic information, and for additional information as directed in this guide.
Whenever you see this icon in this guide, a one touch “shortcut” is available for the particular function. That shortcut is described next to the icon.
For additional assistance, please contact your hospital biomedical services representative. For technical or clinical product assistance, a toll-free customer support service is provided at 1-800-325-0283.
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Life Scope® SVM-7200 Series Vital Signs Monitor
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. 7/25/2019 10:50 AM
Comment [5]: Check spelling consistency.
Front View
8 Handle 7 Alarm indicator
6 SILENCE ALARM key
9 TOUCH screen
5 NIBP START/STOP key
1 POWER key
4 AC power lamp
2
2 Power lamp
Item Description
1
POWER key
2
Power lamp Lights when the monitor power is turned on.
3 Battery lamp
4
AC power lamp
5 NIBP START/STOP key
6 SILENCE ALARM key
7 Alarm indicator
8 Handle
9 Touch screen
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Press and hold for more than 1 second to turn the monitor power on or o.
Indicates the status of the battery pack. Refer to Section 2 for details of the battery pack.
Lights when the power cord is connected between the AC SOURCE socket and AC outlet.
To start or stop NIBP measurement.
To silence the alarm sound and indications.
Red or yellow lamp blinks, or yellow or cyan lamp lights according to the alarm settings. Green lamp blinks in synchronization with the patient’s pulse.
For carrying the monitor.
Displays monitoring data. Touch a key or button on the screen to change the displayed screen and setting.
3 Battery lamp
Left View
6
1 SpO2 socket
. 7/25/2019 11:40 AM
Comment [6]: Note for Diagram label SP02 socket the 2 is written inconsistently throughout this document. In the table below as SpO2
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1 SpO Socket
2 Debrillation-proof part symbol
3 NIBP socket
4 Recorder holder
Item Description
1
SpO2 socket Connects to specied SpO connection cord.
5 Caution label
Defibrilliation-proof
2
part symbol
3 NIBP socket
4
Recorder holder
5
Caution label
Refer to Operator Manual for details.
Part symbol.
Connects to the air hose.
For mounting a recorder.
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Right View
7
7
Description
For mounting a battery pack.
4
1 Battery pack holder
Item Description
1 Battery pack holder
For mounting a battery pack.
Top View (With Wireless LAN Module)
1 WLAN power lamp
3 WLAN lamp
2 WLAN LINK lamp
Item Description
1 WLAN Power lamp
2 WLAN LINK lamp
3 WLAN lamp
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Lights when the WLAN power is turned on.
Lights when the WLAN power is ready.
Lights when WLAN is connected.
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Item
Description
Press and hold for more than 5 seconds to restore to the default setting. Press and hold for 1 second and less to reset WLAN.
For mounting a temperature probe.
For serial communication.
Connects to monitor network system by a network cable.
For USB memory or barcode reader or keyboard.
For the AC power cord.
For a potential equalization terminal conductor.
. 7/25/2019 10:56 AM
Comment [8]: Not capitalized in diagram. Deliberate?
Rear View
1 WLAN setup button
2 Temperature socket
1 WLAN setup button
3 Serial socket
4 Network socket
Item Description
5
7 Potential equalization terminal
6 AC power source socket
5 USB sockets
Press and hold for more than 5 seconds to restore to the default setting. Press and hold for 1 second and less to reset WLAN.
2 Temperature socket
3
Serial socket For serial communication.
4
Network socket Connects to monitor network system by a network cable.
5
USB sockets For USB memory or barcode reader or keyboard.
AC power source
6
socket
Potential
7
equalization terminal
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For mounting a temperature probe.
For the AC power cord.
For a potential equalization terminal conductor.
Admitting a New Patient and Inputting
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Use a barcode reader and scan the barcode of the patient;
Press the [New Patient] key on the main screen when it is customized to the screen;
Press the [Menu] key on the main screen to open the Menu window. Press the [Patient List] key from the Menu window and then press the [New Patient] key to admit a new patient.
. 7/25/2019 11:47 AM
Comment [9]: I haven’t heard this expression before and Im not entirely sure what you mean. Do you mean when the key is highlighted or something similar?
. 7/25/2019 11:07 AM
Comment [10]: Comma not standardly used in this kind of structure.
Patient Information
Open the NEW PATIENT window to add a new patient. There are three methods to open the NEW PATIENT window:
• Use a barcode reader and scan the barcode of the patient;
• Press the NEW PATIENT key on the main screen when it is customized to the screen;
• Press the MENU key on the main screen to open the MENU window. Press the PATIENT LIST key from the MENU window and then press the NEW PATIENT key to admit a new patient.
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Inputting the PATIENT ID
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Touch the [Patient ID] key on the New Patient window and then enter the patient ID by using the touch keys.
Or, on the Home screen, scan the patient ID by using the bar code scanner, the Patient ID will be entered automatically.
Up to 16 characters can be entered.
1. Touch the PATIENT ID key on the NEW PATIENT window and then enter the patient ID by using the touch keys.
Or, on the Home screen, scan the patient ID by using the bar code scanner, the Patient ID will be entered automatically.
Up to 16 characters can be entered.
2. Touch the ENT key to conrm the input and then return to the NEW PATIENT window.
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Inputting the PATIENT NAME
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1. Touch the PATIENT NAME key on the NEW PATIENT window and then enter the patient name in the pop-up window.
OR, on the Home screen, scan the patient name by using the bar code scanner; the patient name will be input automatically (if connected to network ADT server).
Up to 15 characters can be entered.
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2. Touch the ENT key to conrm the input and then return to the NEW PATIENT window.
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Inputting the Date of Birth
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1. Touch the DATE OF BIRTH key on the NEW PATIENT window and then input the date of birth.
2. Touch the SET key to save your input and return to the NEW PATIENT window or PATIENT INFO window by touching the key.
NOTE: If you close the BIRTH DATE/AGE window without touching the ENT key, the date of birth will not be changed.
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Inputting the Height and Weight
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1. Touch the HEIGHT or WEIGHT key on the NEW PATIENT window and then input the height and weight separately.
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2. Touch the ENT key to save your input and return to the PATIENT INFO window by touching the
NOTE: If you close the HEIGHT/WEIGHT window without touching the ENT key, the entered height and weight cannot be saved.
ke y.
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Managing Patient Information
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1. Use the keys on the PATIENT WINDOW to add, delete, and change the patient information.
2. Touch the PATIENT LIST key on the MENU window to display the PATIENT LISTwindow.
3. To delete a patient’s information, select the patient information and touch the DELETE key.
NOTE: A currently admitted patient cannot be deleted.
4. To change a patient’s information, select the patient information and touch the SELECT key to open the NEW PATIENT window.
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Discharging a Patient
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. 7/25/2019 11:23 AM
Comment [11]: in default means to be guilty of not repaying a loan.
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. 7/25/2019 11:23 AM
Comment [11]: in default means to be guilty of not repaying a loan.
In Spot Mode
1. Touch the SAVE key on the Home screen. Open the SAVE window. All the parameters are selected as default.
2. Touch the items to unselect parameters. The unselected item turns gray.
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3. Touch the SAVE* or SAVE & SEND* key to send the selected parameter to EMR and save to le. Aer the data is sent successfully, the patient will be discharged automatically, and the monitor is available for the next patient.
In spot mode, a patient will be discharged automatically aer his or her data is saved. To readmit the patient, touch the PATIENT LIST key to select the patient.
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In Continuous Mode
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Touch the [Menu] key [Patient Info] key.
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Touch the [Menu] key [Patient Info] key.
Touch the [Quit Patient] key on the bottom right of the window. The Quit Patient window appears.
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1. Touch the MENU key
2. Touch the QUIT PATIENT key on the bottom right of the window. The QUIT PATIENT window appears.
W
PATIENT INFO key.
3. Touch the YES key to quit monitoring. The data is cleared from the Home screen.
Or, touch the QUIT PATIENT key on the Home screen when it is customized to the Home screen.
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Saving and Sending Patient Information
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Spotcheck mode: Black background
Continuous mode: Blue background
. 7/25/2019 11:27 AM
Comment [13]: Im not entirely sure what you mean by this. Perhaps you meanlocally’?
In Spot Mode
1. Touch the SAVE key aer admitting a patient. Open SAVE window.
2. All the parameters are selected as default. Touch to unselect parameters.
3. Touch the SAVE key to save the selected data locally.
Or, touch the SAVE & SEND key to save the selected data in local and send to the external system.
When the SAVE & SEND key is touched, if the data is sent to the external system, a corresponding visual and auditory message will appear, and the record of the data will be saved in the SPOT TABLE in dim gray.
Alternatively, a corresponding visual and auditory message indicating failure will appear, and a conrmation window will be displayed. Touch the SAVE & SEND key in the conrmation window to resend. If the data fails to be sent again, a timeout message will appear, and the record of the data will be saved in the SPOT TABLE in black.
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NOTE: When the memory becomes full, the oldest le is deleted to create a new le.
In Continuous Mode
Touch the SAVE key to save the data. The data will be saved in the ID of the patient currently logged in. If there is no patient logged in, the data will be saved in an unused ID assigned by the system.
Display
NOTE: The background color indicates the current mode.
Spot mode: Black background Continuous mode: Blue background
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Basic Operation
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Indication area
Clock
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Menu
Customized keys
[Save] key. Touch this key
to save the measurement
data.
Indication area
Clock
Alarm limits
Setup window
Parameters window
The monitor can be operated by touch keys on the screen. Touch one of the operation keys or function keys on the screen to perform an operation, change a setting, or open/close a window. When a key is touched, there is a beep sound.
There are two monitoring modes within the monitor: spot mode and continuous mode. Change the mode by touching the MODE CHANGE key on the MENU window.
Clinician and Patient Information Indication area Clock
Measuring
data
Measuring
data display
area
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MENU Key. Touch this to open the menu screen.
Menu
Access
to review
screens
PATIENT
window
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Customized keys
SETUP window PARAMETERS window
SAVE Key. Touch this key to save the measurement data.
ALARM window
Modified Early Warning Score
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. 7/25/2019 11:48 AM
Comment [14]: Here also, Im not sure what you mean exactly.
The modied early warning score (MEWS) is a tool to quickly determine the degree of illness of a patient. It is based on vital signs such as SpO, NIBP, temperature, respiratory rate, etc. and can be customized to your facility’s standards or protocols by your system administrator.
To Get a Modified Early Warning Score (MEWS)
1. Display the MENU window.
2. Touch the MEWS key on the MENU window to display the MEWS window.
Or, touch the MEWS key on the Home screen when it is customized to the Home screen.
3. Touch the MEWS key to close the MEWS window and return to the Home screen.
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Monitoring Parameters
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1
Make any necessary changes to the NIBP settings by touching the NIBP parameter, or touch [Menu] [NIBP].
2
Touch the NIBP Start/Stop key on the right of the monitor to start measuring.
3
To stop the measurement, touch the NIBP Start/Stop key again. The cuff will deflate.
NIBP Monitoring
Cu selection should be based on the size of the patient’s arm. The American Heart Association recommends that the cu width be 40% of the circumference of the upper arm. Inappropriate cu sizes can result in inaccurate NIBP results.
Starting and Stopping NIBP Measurement
1. Make any necessary changes to the NIBP settings by touching the NIBP parameter, or touch MENU
2. Touch the NIBP START/STOP key on the right of the monitor to start measuring.
3. To stop the measurement, touch the NIBP START/STOP key again. The cu will deate.
Changing NIBP Settings
W NIBP.
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Change the settings on the NIBP window.
The following settings can be changed by touching the appropriate data eld for monitoring NIBP.
• NIBP alarm limits
• MEASUREMENT INTERVAL (only available in continuous mode)
• INITIAL CUFF PRESSURE TYPE
• INITIAL CUFF PRESSURE
• INFLATE MODE (CAN ONLY BE USED WITH NIHON KOHDEN SPECIFIED CUFFS)
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NIBP Interval Settings
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. 7/25/2019 4:38 PM
Comment [15]: Im not sure why this is written in all caps? Not consistent with other headings of same level.
. 7/25/2019 11:55 AM
Comment [16]: Have changed for consistency with above.
. 7/25/2019 11:55 AM
Comment [17]: Changed for consistency
Manual Measurement – No interval will be set. NIBP measurement is obtained by touching the NIBP START/STOP key on the right side of the monitor.
STAT Measurement – Must be in continuous mode to operate. Measurements are performed continuously according to the measurement program set by your administrator. The program is divided into two stages of interval settings and is limited to 1-minute intervals during the rst stage.
SIM Mode – Must be in continuous mode to operate. Measurements are performed continuously according to the measurement program set by your administrator. The program is divided into two stages of interval settings and is limited to 2.5-minute intervals during the rst stage.
Interval mode (Must be in continuous mode) – An automatic interval can be selected to measure NIBP. To change intervals, touch MEASUREMENT INTERVAL key and select desired NIBP intervals.
Venous Puncture Mode
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NOTE: Venous puncture mode must be set to ON by your administrator to use this function and CANNOT be used if an NIBP interval is set.
For aid in inserting a venous line, you can use venous puncture mode to inate the cu to a target pressure in order to prevent venous backow. Venous backow causes swelling of the veins and makes it dicult to insert a venous line.
In venous puncture mode, the cu automatically deates 2 minutes aer ination in Adult/Child mode or 70 seconds aer ination in Neonate mode.
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Cuff Size
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Ensure that the correct cu size is used for each patient. Larger cus will result in lower readings and smaller cus will result in higher readings.
Each cu covers a range of limb sizes.
Select a cu size that is balanced for the limb. When applying the cu, look at the range marks. Use a cu size that is centered on the range mark. For example, if the limb is 10.5 cm, using a 6 to 11 cm cu will not provide the best readings. Instead, use an 8 to 14 cm cu.
• If readings are higher than expected, try a larger cu, and if readings are lower than expected, try a smaller cu.
• Manual NIBP can be used to check the accuracy of the NIBP measurement.
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Cuff Positioning
NIBP cus use an air bladder to occlude the artery during measurement. To obtain accurate readings, the cu must be correctly positioned over the artery.
• Each cu should have a mark indicating the position of the artery in relation to the cu. The mark is usually close to the air hose. Ensure that the mark is positioned directly over the artery.
Patient Type
Patient type is automatically recognized when the cu is connected to the monitor. The patient type setting on Nihon Kohden monitors is controlled by the type of NIBP hose used. Both Adult/Child and Neonatal hoses are available.
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Measuring Mode
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There are two measuring modes for the monitor: deflation mode and inflation mode. The factory setting is deflation mode, and inflation mode is set to OFF.
NOTE: Inflation mode will only work with Nihon Kohden approved cus.
Deflation Mode
When the pressure deates slowly, the change of artery pulse wave is regarded as the change of cu pressure, and blood pressure is calculated by the amplitude pattern.
Inflation Mode
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When inating the cu gradually, the change of artery pulse wave is regarded as the change of cu pressure, and blood pressure is calculated by the amplitude pattern. In this mode, cu ination is lower than in deation mode and can be measured in a short time.
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SpO2 Monitoring
The Nihon Kohden Vital Signs Monitor uses an SpO cable, which accepts reusable or disposable probes. The monitor comes with three options for pulse oximetry: Nihon Kohden, Nellcor, and Masimo technology. Refer to the Operator’s Manual for specic technology dierences.
Connect the appropriate SpO probe to the monitor cable, attach the probe to the patient, and begin monitoring.
Starting SpO2 Measurement
When the preparation is done properly, the SpO value and pulse waveform appear on the screen.
NOTE: Settings may be dierent depending on the SpO technology utilized on your Nihon Kohden monitor.
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Changing SpO2 Settings
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Change the settings on the SpO window.
The following settings can be changed for SpO monitoring:
• SpO and pulse rate alarm limits
• Pulse waveform sensitivity
• Sync pitch
• Response mode
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• Sensitivity mode
• Average Time (Masimo Only)
• Fast Sat (Masimo Only)
The SpO pulse waveform sweep speed is the speed set for <Sweep Speed> on the DISPLAY/SOUND window.
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Temperature Monitoring
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1
Slide across forehead.
Place probe flush on center of forehead and depress button. Keeping button depressed, slowly slide probe mid-line across forehead to hair line.
2
Slide behind ear. (Skip this step if the patient is an infant.)
Press and hold button, lift probe from forehead, touch behind ear halfway down mastoid process and slide down to soft depression behind earlobe.
3
Release button and review results.
. 7/25/2019 12:08 PM
Comment [20]: If you wish to use a note-writing’ mode where the article the’ is omitted, it must be done consistently.
Taking a Temperature
The SVM-7200 Vital Signs Monitor comes with an Exergen Temporal Scanner or a Covidien Sensor in a blue or red casing for temperature monitoring. Please review the Operator’s Manual for further instructions.
1. Ensure the appropriate probe casing is attached if using the Covidien Sensor (blue for oral/axillary and red for rectal).
2. When the temperature scanner/sensor is withdrawn, the thermometer turns on automatically.
3. Proceed to take the patient’s temperature as explained below.
Exergen Temporal Scanner
1. Slide across forehead.
Place probe ush on center of forehead and depress button. Keeping button depressed, slowly slide probe mid-line across forehead to hair line.
2. Slide behind ear. (Skip this step if the patient is an infant.)
Press and hold button, li probe from forehead, touch behind ear halfway down mastoid process and slide down to so depression behind earlobe.
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3. Release button and review results.
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Covidien Sensor
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. 7/25/2019 1:17 PM
Comment [21]: Would ‘lid’ work here? The repetition of cover is a little confusing to read.
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Peel off probe cover box cover in the direction of the arrow on the box.
Insert a box of probe covers into the top of the temperature sensor casing.
NOTE: A blue casing is indicative of oral and axillary use, and a red casing is indicative of rectal use. Insert the appropriate colored casing before each use. Please see the Operator’s Manual for casing removal.
Withdraw the probe from the probe well. The thermometer is automatically open.
. 7/25/2019 1:17 PM
Comment [21]: Would ‘lid’ work here? The repetition of cover is a little confusing to read.
Use only Filac 3000 AD/ADA Electronic Thermometer probe covers with this device. Use of any other probe cover will result in erroneous temperature readings.
Applying Probe Covers
1. Peel o probe cover box cover in the direction of the arrow on the box.
2. Insert a box of probe covers into the top of the temperature sensor casing.
NOTE: A blue casing is indicative of oral and axillary use, and a red casing is indicative of rectal use. Insert the appropriate colored casing before each use. Please see the Operator’s Manual for casing removal.
3. Withdraw the probe from the probe well. The thermometer is automatically open.
NOTE: The icon screen, reminding the user to apply or remove a probe cover.
4. Insert the probe end into a cover in the box. Push the handle rmly until you feel the cover “snap” into place.
5. Take appropriate temperature measurement (oral, axillary, or rectal).
NOTE:
• Aer measurement, push the top button to eject the used cover into a bio-waste container.
• Probe covers are consumables. Remove, discard, and replace boxes when empty.
is ashing on the display
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Setting the Modes of Temperature Measurement
Open the TEMP window and touch MEAS MODE to change the temperature measurement mode to Quick, Standard, or Direct
Four temperature measurement modes are available: Standard mode,
Direct mode, Quick mode, and Cold mode.
Standard Mode
1. The thermometer normally operates in Predictive mode for accurate temperature measurement. In certain cases, such as with a hypothermic patient, the thermometer will automatically shi to
Direct (slow) mode and will then act as a temperature monitor.
Direct Mode (Oral & Axillary & Rectal)
1. The thermometer can be set to operate exclusively in Direct mode (disable Predictive mode).
2. In Direct mode the device may require up to 60 seconds to reach equilibrium and display patient temperature.
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Quick Mode (Oral Only)
1. Quick mode is provided for more rapid, time consistent, oral
temperature predictions. This mode is indicated by a rabbit icon on the display. In this mode, a temperature measurement prediction is provided in approximately 3.5–4 seconds.
2. Quick mode is not available with Axillary or Rectal Body Sites, with
Cold mode, or when in Direct mode.
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Cold Mode
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Upper limit slider
Upper limit
out of surgery.
2
Cold mode is not available with Quick mode or when in Direct mode.
Setting Temperature Alarm Limits
Touch the [TEMP] key on the Menu screen to open the temperature window and then set the upper and lower alarm limits.
Touch the desired tab to change the
Setting bar
Lower limit
Lower limit slider
Selected
1. Cold mode is provided for use in applications where body temperatures may be lower than normal, such as in patients recently out of surgery.
2. Cold mode is not available with Quick mode or when in
Direct mode.
Setting Temperature Alarm Limits
Touch the TEMP key on the MENU window to open the TEMPERATURE window and then set the upper and lower alarm limits.
displayed parameters
parameter
Current measured value
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Alarm Types and Levels
There are two types of alarms – the vital signs alarm and technical alarm – and three alarm levels – crisis, warning, and advisory.
The monitor can indicate alarms both visually and audibly:
• Alarm sound
• Alarm message on the screen
• Alarm indicator: the alarm indicator indicates three alarm levels.
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Alarm Level Alarm Sound
CRISIS NK1 (Continuous
WARNING
ADVISORY NK1 and NK2 (Single
pip sound), NK2 (Continuous ping sound) or IEC standard (ceg-gC)
NK1 (Continuous bing bong sound), NK2 (Continuous ding ding sound) or IEC standard (ceg)
beep every 20 seconds) or IEC standard (Single beep every 20 seconds)
Alarm Display
on the Screen
Highlighted red message
Highlighted yellow or orange message
Highlighted yellow or blue message
Alarm
Indicator LED Alarm Recording
Blinking red
Recorded at alarm
Blinking yellow
Lights in yellow or blue
occurrence when alarm recording on the Record window is set to ON.
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Alarm Message Display and Icons
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Alarm Types and Levels
There are two types of alarms the vital signs alarm and technical alarm and three alarm levels crisis, warning, and advisory.
The monitor can indicate alarms both visually and audibly:
Alarm sound
Alarm message on the screen
Alarm indicator: the alarm indicator indicates three alarm levels. CRISIS: Red blinking; WARNING: Yellow blinking; ADVISORY: Yellow or blue
Alarm
Level
Alarm Sound
Alarm Display on the Screen
Alarm Indicator
LED
Alarm
Recording
NK1 (Continuous pip sound), NK2 (Continuous ping sound) or IEC standard (ceg- gC)
Highlighted red message
Blinking red
Recorded at
alarm occurrence
when alarm
recording on the
Record window is
set to ON. NK1 (Continuous bing bong sound), NK2 (Continuous ding ding sound) or IEC standard (ceg)
Highlighted yellow or orange message
Blinking yellow
NK1 and NK2 (Single beep every 20 seconds) or IEC standard (Single beep every 20 seconds)
Highlighted yellow or blue message
Lights in yellow or blue
Alarm Message Display and Icons
When two or more alarms occur at the same time, the messages are displayed alternately in the alarm message
Alarm is silenced by touching the Silence Alarm key on the monitor. Remaining minutes appears.
Alarms are suspended (paused) for a certain period. Alarms are suspended infinitely or vital sign alarm limit is set to OFF. Alarms are reset.
Alarm message display area
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Guide symbol
When two or more alarms occur at the same time, the messages are displayed alternately in the alarm message display area.
display area.
Guide Menu
When a technical alarm occurs during monitoring, the guide symbol appears at the top of the screen. Touch the guide symbol to open the guide menu for that alarm.
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Silencing and Suspending Alarms
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Guide symbol
Suspend all alarms for 1, 2, or 3 minutes by touching the [Suspend Alarms] key; for example, for probe replacement, etc. The time allowed will be set by the administrator.
Alarm function resumes when the suspend alarm time elapses or the [Suspend Alarms] key is touched.
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Suspend all alarms indefinitely by touching the [All Alarms Off] key on the Menu window. Your device may not have this function as it is set by the administrator.
Alarm function resumes when the [All Alarms Off] key is touched
Silencing Alarms
When an alarm occurs, you can silence the alarm sound and indications by touching the SILENCE ALARM key on the monitor. When a vital signs alarm other than the NIBP alarm is silenced, the alarm resumes aer the alarm silence ends. When several alarms occur together and the SILENCE ALARM key is touched, all alarms are silenced and technical alarms are reset.
When the vital signs monitor is connected to a central monitor network, all alarms other than the NIBP alarm are temporarily silenced by touching the SILENCE ALARM key on the central monitor. Refer to the central monitor Operator’s Manual for details.
Suspending Alarms
All alarms can be suspended before they occur. During alarm suspension, all alarms are turned OFF for the specied period set by the administrator. This monitor has three types of alarm suspension:
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• Suspend all alarms for 1, 2, or 3 minutes by touching the SUSPEND ALARMS key; for example, for probe replacement, etc. The time allowed will be set by the administrator.
• Alarm function resumes when the suspend alarm time elapses or the SUSPEND ALARMS key is touched.
• Suspend all alarms indenitely by touching the ALL ALARMS OFF key on the MENU window. Your device may not have this function as it is set by the administrator.
• Alarm function resumes when the ALL ALARMS OFF key is touched.
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• Suspend all alarms indenitely by touching the SUSPEND
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Suspend all alarms indefinitely by touching the [All Alarms Off] key on the Menu window. Your device may not have this function as it is set by the administrator.
Alarm function resumes when the [All Alarms Off] key is touched
Suspend all alarms indefinitely by touching the [Suspend Monitoring] key. For example, suspend alarms while the patient is being examined.
When the [Suspend Monitoring] key is touched, all alarms and NIBP measurements are suspended.
Alarm function resumes when the [Suspend Monitoring] key or [Suspend Alarms] key is touched or the desired conditions are met.
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Alarm function resumes when the [All Alarms Off] key is touched
When the [Suspend Monitoring] key is touched, all alarms and
NIBP measurements are suspended.
Alarm function resumes when the [Suspend Monitoring] key or [Suspend Alarms] key is touched or the desired conditions are met.
Alarm off keys
MONITORING key. For example, suspend alarms while the patient is being examined.
• When the SUSPEND MONITORING key is touched, all alarms and NIBP measurements are suspended.
• Alarm function resumes when the SUSPEND MONITORING key or SUSPEND ALARMS key is touched or the desired conditions are met.
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Alarm OFF Keys on the MENU Window
The SUSPEND ALARMS, ALL ALARMS OFF, and SUSPEND MONITORING keys are toggle keys. Touch once to activate and touch again to cancel.
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Changing Parameter Alarm Limits
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Upper limit Upper limit slider
Change upper or lower alarm limits for each parameter individually from each parameter window by touching [Menu] and the desired parameter key, such as [Temp] in the below illustration.
Touch desired tab to change the
Setting bar
Lower limit slider
Lower limit
Current measured value
There are three ways to change vital signs upper/lower alarm limits. Review the Operator’s Manual for further details.
• Change upper or lower alarm limits for each parameter individually from each parameter window by touching MENU and the desired parameter key, such as TEMP in the below illustration.
displayed parameters
Selected parameter
• Change upper or lower alarm limits for each parameter individually from the menu. Touch the MENU key, followed by the ALARM LIMITS key. Adjust alarm limits as desired.
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• Set all alarm limits to the alarm master settings from the menu.
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Upper limit Upper limit slider
Changing Parameter Alarm Limits
There are three ways to change vital signs upper/lower alarm limits. Review the Operator’s Manual for further details.
Change upper or lower alarm limits for each parameter individually from each parameter window by touching [Menu] and the desired parameter key, such as [Temp] in the below illustration.
Change upper or lower alarm limits for each parameter individually from the menu. Touch the [Menu] key, followed by the [Alarm limits] key. Adjust alarm limits as desired.
Set all alarm limits to the alarm master settings from the menu. Touch the [Menu] key, followed by the [Alarm limits] key. Touch the [Alarm Master] key. The “Apply settings from master? message appears. Select desired response.
Touch desired tab to change the
displayed parameters
Setting bar
Lower limit slider
Lower limit
Current measured value
Selected parameter
Selected parameter
Upper limit slider
Upper limit
Lower limit
Lower limit slider
Current measured value
Setting bar
Alarm Master
Touch the MENU key, followed by the ALARM LIMITS key. Touch the ALARM MASTER key. The “APPLY SETTINGS FROM MASTER?” message appears. Select desired response.
ALARM MASTER key
key
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Review Windows
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Review Windows
You can review saved data on the following review windows.
In spot mode, the Spot Table window and Alarm History window are available.
In continuous mode, the Spot Table window, Trend Table window, Trend Graph window, and Alarm History window are available.
NOTE: The oldest file is deleted when the maximum number of files has been saved.
Display Review Windows
Touch the [Menu] key on the screen to display the available review windows. The review windows that are not available will be grayed out.
Review window
Display
Storage
Spot Table window
Displays vital signs data
Up to 10,000 files of vital signs data can be saved
Trend Table window
Displays vital signs data
Up to 10,000 files of vital signs data can be saved
Trend Graph window
Displays vital signs trend graphs
Up to 10,000 files of vital signs graphs can be saved
Alarm History window
Displays a table of technical alarms
Up to 10,000 files of alarm history data can be saved
Review
. 7/25/2019 1:33 PM
Comment [22]: Consider using a comma or thin space after the 10 to make reading easier: 10,000 or 10 000 Thin space can be entered by selecting the ¼ em space from insert Special Characters in Word.
You can review saved data on the following review windows.
In spot mode, the SPOT TABLE window and ALARM HISTORY window are available.
In continuous mode, the SPOT TABLE window, TREND TABLE window, TREND GRAPH window, and ALARM HISTORY window are available.
Review Window Display Storage
SPOT TABLE window Displays vital signs data Up to 10,000 les of vital signs data can
TREND TABLE window Displays vital signs data Up to 10,000 les of vital signs data can
TREND GRAPH window Displays vital signs trend
ALARM HISTORY window
graphs
Displays a table of technical alarms
NOTE: The oldest le is deleted when the maximum number of les has been saved.
DISPLAY REVIEW Windows
Touch the MENU key on the screen to display the available REVIEW
be saved
be saved
Up to 10,000 les of vital signs graphs can be saved
Up to 10,000 les of alarm history data can be saved
windows. The REVIEW windows that are not available will be grayed out.
REVIEW
windows
windows
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SPOT TABLE Window
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1
2
3 4 5
6
When NIBP or TEMP measurement is completed or when SAVE is pressed, the measuring values may be displayed on the SPOT TABLE window.
1. Patient information filter area
Tap the dialog box to choose the patient name or ID. Tap ALL to display all data.
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2. Send key
3. Delete key
4. Details icon
5. Record area
6. Check box
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Tap SEND to send the record you choose.
Tap DELETE to delete the record you choose.
Tap to display SPOT DATA DETAILS window.
The records which have been sent are in gray. The records which have not been sent are in black.
Tap a check box to choose the record you need.
TREND TABLE Window (in continuous mode only)
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1
2
3
1. Patient information filter area
Tap the dialog box to choose the patient name or ID. Tap ALL to display all data.
2. Time interval filter area
Tap the dialog box to choose 1 min, 5 min, 10 min, 15 min, 30 min, or 1 h.
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3. Record area
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The records which have been sent are in gray. The records which have not been sent are in black.
TREND GRAPH Window (in continuous mode only)
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Trend Table Window (in continuous mode only)
1
Patient information filter area
Tap the dialog box to choose the patient name or ID. Tap [ALL] to display all data.
2
Time interval filter area
Tap the dialog box to choose 1 min, 5 min, 10 min, 15 min, 30 min, or 1 h.
3
Record area
The records which have been sent are in gray. The records which have not been sent are in black.
Trend Graph Window (in continuous mode only)
1
2
3
Cursor
Filter and
Setup Time Bar
Scale
Set Up Scale
Record
. 7/25/2019 1:40 PM
Comment [23]: The spelling is set up when used as a verb, and setup
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Alarm History Window
Display review windows
Date and time of file
Selected
Alarm history data
Scroll to
Event Bar
ALARM HISTORY Window
creation
Param eter
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parameters
Graph Selection
file
display additional files
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Cleaning and Disinfecting
Please consult the Operator’s Manual or the Cleaning and Disinfecting Guide for a complete list of approved cleaning and disinfecting agents.
*The use of any other disinfectant solutions may cause damage to the equipment and may void the product warranty.
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Screen Messages and Troubleshooting
Please refer to the Operator’s Manual for further troubleshooting
Screen Message Parameter Possible Cause/Criteria Action
[– – –] Alarm All
*
Air Leak NIBP The cu pressure does
*
parameters
Alarm Silenced All
-
Alarms Suspended/
-
Suspend Monitoring
All Alarms O All
-
Battery Weak System Battery pack is fully
*
parameters
All parameters
parameters
Alarm occurred for the [– – –] (parameter).
not change aer ination even aer a certain period of time.
The cu or air hose is damaged.
The SILENCE ALARMS key was touched to silence the alarm.
The SUSPEND MONITORING key was touched.
The ALL ALARMS OFF key is touched to suspend alarm function.
discharged.
Take appropriate action depending on the alarm level. (Displaying the Home screen may display the alarm in detail.)
Connect the cu to the air hose properly.
Connect the air hose to the socket properly.
Replace the cu or air hose with a new one.
• When the alarm cause is resolved, the alarm is cleared.
• When the SILENCE ALARMS key is touched during alarm silence, all alarms are resumed.
• All alarms resume when the SUSPEND MONITORING key is touched again during alarm suspension.
• Alarm suspension is canceled when monitoring starts.
To resume alarm function, touch the ALL ALARMS OFF ke y.
Switch to AC power and charge the battery pack.
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Screen Message Parameter Possible Cause/Criteria Action
Cannot Detect
*
Pulse
Check Probe SpO The probe cable is
*
Check Probe Site SpO The probe is not
*
Check Sensor TEMP The probe is
*
NIBP The patient’s pulse
wave is small.
The cu is not wrapped around the patient correctly.
SpO Poor blood circulation
for measuring the SpO value.
The probe is attached too tightly and is obstructing blood circulation.
The probe is not attached to the patient properly.
One of the following messages is displayed for 30 seconds.
• LIGHT INTERFERENCE
• CHECK PROBE SITE
• DETECTING PULSE
disconnected from the SpO connection cord.
The probe is not attached to the patient. properly.
The probe is broken or short-circuited.
attached at the appropriate site.
disconnected from the TEMP socket.
The probe is damaged. Replace the probe with a
The measured value is outside the measuring range
Measure by palpation or the invasive blood pressure method.
Wrap the cu around the arm of the patient properly.
Check the patient’s condition and probe attachment, or change the attachment site.
Reattach the probe.
Attach the probe to the patient properly.
Refer to each screen message section and remove the cause of the alarm or message.
Connect the probe cable to the SpO connection cord. If SpO monitoring is not necessary, touch the SILENCE ALARMS key.
Attach the probe to the patient properly.
Replace the probe with a new one. If the message still appears, replace the SpO connection cord with a new one.
Attach the probe to a site 6 to 14 mm thick.
Connect the probe to the TEMP socket.
new one.
Check the probe attachment site.
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Screen Message Parameter Possible Cause/Criteria Action
Communication
*
Loss
Connector O SpO The probe cable is
*
Cu Occlusion NIBP The cu pressure does
*
Detecting Pulse SpO The SpO value cannot
-
Ination Time
-
Passed
Insert Rec Paper Recording No recording paper. Load the recording paper.
-
Light Interference SpO Too much light on the
*
System Network is not
connected.
disconnected from the SpO connection cord.
The SpO connection cord is disconnected from the SpO socket.
not decrease aer measurement has completed.
be obtained because the waveform is unstable.
Poor blood circulation for measuring SpO.
The probe is secured too tightly and is obstructing blood circulation.
The probe is disconnected from the SpO connection cord.
The nger probe is not attached to the patient properly.
NIBP Venous puncture
cu ination time has passed.
The recording paper is not loaded correctly.
probe.
Interference from surroundings.
The probe attachment site is not appropriate.
Connect to network.
Connect the probe cable to the SpO connection cord. If SpO monitoring is not necessary, touch the SILENCE ALARMS key.
Connect the SpO connection cord properly. When SpO monitoring is not necessary, touch the SILENCE ALARMS key to silence the alarm.
Check that the air hose is not bent or squeezed.
Check the probe attachment.
Check the patient condition and probe attachment, or change the attachment site.
Reattach the probe.
Connect the probe to the SpO connection cord.
Attach the nger probe rmly to the patient.
Restart venous puncture.
Correctly load the recording paper.
Remove light or cover the probe site with a blanket.
Remove the interference.
Attach the probe to an appropriate site.
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Screen Message Parameter Possible Cause/Criteria Action
Low Quality Signal SpO Considerable body
-
Meas Timeout NIBP The measuring time
*
Remeasuring
-
(Remeasurement is automatically performed. If the message still appears aer remeasurement, do the counter actions.)
Systolic Over NIBP The maximum blood
*
Weak Pulse NIBP The patient’s pulse
-
NIBP The cu is not attached
SpO Poor peripheral
Zeroing NIBP NIBP zero balance
-
movement.
The probe is not attached to the patient properly.
exceeded the specied time due to noise.
to the patient.
Patient moved during measurement.
Patient’s pulse is too weak.
The cu is not attached properly.
The cu size is not appropriate.
Patient’s pulse and heart rate is unstable.
pressure exceeded 280 mmHg when using the adult cu, or 150 mmHg when using the neonate cu.
wave is too weak.
The cu is wrapped too loosely.
The cu size is inappropriate.
circulation.
The probe is attached too tightly and is obstructing the blood circulation.
adjustment is being performed.
When the message is displayed frequently, check the patient’s condition and, if necessary, change the attachment site.
Remove the cause if due to noise.
Attach the cu to the patient.
Wait for the patient to stop moving and then measure again.
Measure by palpation or the invasive blood pressure method.
Attach the cu properly.
Check that the cu of the correct size is used.
Wait for the patient to relax and stop moving.
Measure by palpation or invasive blood pressure measurement.
Measure by palpation or the invasive blood pressure method.
Wrap the cu around the arm properly.
Use the appropriate cu.
Check the patient condition and change the attachment site.
Reattach the probe.
Do not touch the cu during zeroing and wait for the message to disappear.
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Monitoring
Trouble Possible Cause/Criteria Action
The screen is dark. The brightness of the
No sync sound. The sync sound setting is
The monitor only operates for less than 5 hours with a fully charged battery.
The remaining battery power on the battery status icon on the Home screen suddenly decreases.
The actual battery operation time is dierent than the battery status icon.
Battery charging never ends.
The review data has been lost.
screen is not appropriate.
The backlight is old. Contact your Nihon Kohden representative.
The monitor is operating on battery.
turned OFF.
The sync sound volume is turned down.
Sleep mode is turned on. Sleep mode is turned o when:
The battery pack is old. Replace the battery pack with a fully charged
The battery pack has been changed.
The battery pack is old.
The battery pack has been changed.
The battery pack is old.
The battery is inserted backward.
The monitor power was turned o by disconnecting the power cord.
The power cord was disconnected during shutdown operation.
The power cord was disconnected while the remaining battery power was too low.
Adjust the setting on the Display/Sound window.
If necessary, set <Power Saving Mode> to OFF on the System Setup window.
Select ON for <Sync Sound Volume> on the Display/Sound window.
Adjust the volume setting on the Display/ Sound window.
• The setting time is up.
• The touch screen is touched.
• The POWER key is pressed.
An alarm occurs (Only when <EXIT SLEEP MODE ON CRISIS ALARM> on the Sleep Page of the System Setup window is set to ON.)
Communication with CNS fails. (Network failure).
new one.
Fully charge and discharge the battery pack.
Insert the battery in the right direction.
When the monitor does not shut down correctly, review data for several minutes before power o is not saved. Press the POWER key to turn the power o. Refer to the “Turning the Monitor O” section.
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Network
Trouble Possible Cause/Criteria Action
The monitor cannot be connected to the network.
The monitor cannot be connected to the network with wireless communication.
The network cable is not connected to the monitor properly.
The network settings are not correct.
The monitor is not selected as a monitored bed on the central monitor or receiving instrument.
Discontinuity in the network cable or faulty hub.
Wireless LAN functionality is turned o on the vital signs monitor.
The vital signs monitor is out of range of the wireless network.
Incorrect wireless LAN station setting.
Connect the network cable to the monitor properly.
Set the correct network settings on the Network window of the System Conguration screen.
Select the monitor as a monitored bed on the central monitor or receiving instrument.
Replace the network cable or the hub with a new one.
Set <WLAN> to ON in MENU WLAN. For details, refer to the “Changing Settings” section.
Move the vital signs monitor inside the range of the wireless network.
Save the data in a compatible central monitor.
Setup tab W
W
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Wireless LAN station failure.
The telemetry gateway setting is not correct.
Refer to the Operator’s Manual for the wireless LAN station.
Enter the correct telemetry gateway setting on the NETWORK window of the SYSTEM CONFIGURATION screen.
Recording
Trouble Possible Cause/Criteria Action
There is no printing (only paper feeding).
Waveforms can be recorded but the trend and list recording cannot.
Printing is faint. Nihon Kohden specied
Dots are missing. The thermal head is dirty.
Recording suddenly starts without key operation.
No paper is feeding.
Recorder operates only some of the time.
The recording paper is upside down.
Dust in the sensor inside the recorder.
paper not used.
The thermal head is dirty.
Alarm recording or periodic recording mode is set to ON.
The recorder door is open.
Dust may have collected in the gears.
Dust in the sensor inside the recorder.
Reload the recording paper into the recorder correctly.
Clean the surface of the sensor inside the recorder with a dry cotton swab.
Use the FQW50-2-100 recording paper.
Clean the thermal head with the provided thermal head cleaning pen.
Clean the thermal head with the provided thermal head cleaning pen.
Set the alarm recording or periodic recording to OFF on the Recording window if not needed. Touch the RECORD key on the screen to stop recording.
Push the recorder door closed until it clicks.
Contact your Nihon Kohden representative.
Clean the surface of the sensor inside the recorder with a dry cotton swab.
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NIBP
Trouble Possible Cause/Criteria Action
Cu ination pressure is less than 10 mmHg or NIBP data display disappears for a few seconds.
The cu does not inate when the NIBP START/STOP key is touched.
Abnormal measurement results are displayed.
The cu hose is not connected to the cu socket properly.
The cu is not wrapped around the arm or is wrapped too loosely.
The cu hose or air hose may be folded or squeezed when the cu pressure display on the screen increases quickly, but the actual cu does not inate.
The cu size is not correct.
The cu is not wrapped around the arm correctly.
NIBP data is not correct because of body movement.
Measurement on the wrong site.
Connect the cu hose to the socket properly.
Wrap the cu around the upper arm.
Check the cu hose and air hose.
Select the cu which ts the patient’s limb circumference.
Wrap the cu around the upper arm, not too tightly or too loosely.
Prevent the patient from moving during measurement.
Measure NIBP at the correct site.
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Auto measurement does not start even when the time interval has passed.
The cu suddenly inates.
Cannot connect cu to the air hose.
Cannot measure NIBP. Noise interference which
NIBP data on the screen is dark or “---” appears.
The time interval for the NIBP auto measurement is set incorrectly.
The measurement mode is set to auto mode.
Vital signs alarm occurred.
Unspecied cu used.
disables the calculation of blood pressure.
The air hose is bent or squeezed.
The cu has worn out.
The preset time elapsed from the last measurement.
Set the correct time interval.
Check the time interval.
Set the NIBP Meas On Vital Alarm on the Main tab – NIBP page – Parameter window – System Setup window to OFF.
Use a cu specied by Nihon Kohden.
Remove the cause.
Remove the cause.
Use a new cu.
When NIBP is measured again, the data is displayed in normal brightness.
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SpO
2
Trouble Possible Cause/Criteria Action
Unstable SpO value. The probe size is inappropriate.
The probe is attached to the same limb that is used for NIBP measurement.
An ESU is used.
Measuring on the venous pulse.
Use the correct size probe.
Attach the probe to the other limb.
Locate the ESU as far as possible from the probe and wait until the pulse wave stabilizes.
Cannot measure correctly.
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SpO value on the monitor and CO oximeter do not match.
No SpO data on the screen when using Masimo probe.
No SpO data on the screen when using Nihon Kohden probe.
The probe is not attached properly.
The attachment site is inappropriate.
The measuring site is not clean.
Too much abnormal hemoglobin (HbCO, MetHB, etc.).
Dye (methylene blue or indocyanine green) is injected in the blood.
Measuring during CPR.
SpO probe and/or connection cord other than specied is used.
The probe is not connected to the connection cord correctly.
The JL-500P1 or JL-500P2 SpO adapter is disconnected from the monitor or probe.
Attach the probe correctly. (The emitter and detector of the probe must face each other.)
Attach the probe to a site of 6 mm to 14 mm thick.
If necessary, remove nail polish and clean the measuring site.
Cannot measure correctly.
Only use the specied SpO probe and connection cord.
Connect the probe to the connection cord with the logo labels facing the same direction.
Connect the SpO adapter to the monitor and probe.
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Temperature
Exergen Sensor
Trouble Possible Cause/Criteria Action
The temperature value is not displayed on the screen.
The temperature value displayed on the LCD is dierent from the one displayed on the screen of the monitor.
The temperature probe is faulty or dirty.
Monitor malfunction.
The temperature probe is disconnected from the temperature socket.
The temperature probe is connected to the Network socket.
An incompatible temperature probe is connected to the temperature socket.
Noise interference.
Clean the temperature probe.
Contact your Nihon Kohden representative.
Connect the temperature probe to the temperature socket properly.
Connect the temperature probe to the temperature socket.
Connect a temperature probe which is compatible with the bedside monitor. If the problem is not solved, contact your Nihon Kohden representative.
Remove the noise source. Relocate the sensor.
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Covidien Sensor
Trouble Possible Cause/Criteria Action
Cannot measure temperature.
Out of Range When the probe is not in contact
Module Error When the Covidien Board has an
Probe Error When the probe has an error, it will
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When another working temperature probe is connected to the input jack but the temperature value does not appear.
When connecting to the LAN jack, the temperature value does not appear.
with the patient, it will be out of range.
When the temperature value is too high or low, it will be out of range.
error, it will say "Module Error".
say "Probe Error".
Replace the probe.
Connect the probe to the temperature input jack.
Conrm the probe is in contact with the patient.
Conrm the temperature of the patient is in proper range.
Replace the Covidien Board.
Replace the probe.
For more information, please contact us at 1-800-325-0283 or visit us.nihonkohden.com
Except ional S oluti ons, Sim ply Delivere d is a tradem ark of Nihon Koh den.
Nihon Ko hden Univer sity i s a registered tra demark of Niho n Kohde n.
Life Sco pe is a registe red trade mark of Nihon Kohde n.
MUMG 232 [ A]-C O-240 5
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