Spacelabs Ultraview Care Network Reference guide

Ultraview® Care Network
Reference Guides
Refer to the Operations Manual for full instructions
073-1001-17 Rev. E
To set alarm limits:
1 Touch a parameter key (ECG,
TEMP, etc.). 2 Touch ALARM LIMITS. 3 Ensure ALARMS ON is set. 4 Select HI = or LO =. 5 Use arrow keys to adjust.
To silence an alarm tone for 45 seconds at any monitor, touch the TONE RESET/ALM SUSPEND key once.
To set local alarm tones or key tones:
1Touch MONITOR SETUP. 2 Touch TONES. 3 Select LOCAL ALARMS or
KEY TONE.
4 Select TONES ON. 5Use VOLUME↑ and VOLUME↓
keys to adjust.
To suspend alarms at a bedside monitor when no alarm is sounding, touch the TONE RESET/ALM SUSPEND key once.
To set alarm watch tones or remote view tones:
1 Touch MONITOR SETUP. 2 Touch TONES. 3 Select ALARM WATCH or
REMOTE ALARMS.
4 Select TONES ON. 5Use VOLUME↑ and VOLUME↓
keys to adjust.
To resume normal alarm operation at a bedside monitor within the 3-minute period, touch the TONE RESET/ALM SUSPEND or RESUME ALARMS
To resume alarm tones at a central monitor, touch the TONE RESET/ALM SUSPEND key again.
To enable Alarm Watch:
1 Touch SPECIAL FUNCTIONS. 2 Touch ALARM WATCH. 3a Select a bed or a subnet. 3b If you selected a subnet, then
select a bed. 4 Ensure that the key for the
desired bed(s) has the ON
segment highlighted or is
indented. 5 Touch ALARM WATCH
ENABLE for the UCW and
Ultraview 1700.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
To disable Alarm Watch:
1 Touch SPECIAL FUNCTIONS. 2 Select RV/AW OFF.
To de-select beds for Alarm Watc h:
1 Touch SPECIAL FUNCTIONS. 2 Touch ALARM WATCH. 3a Touch the bed to de-select.
-OR-
3b Touch DESELECT ALL.
(Ultraview 1030, 1050, 1500, and 1600 monitors) key again.
To select parameters for alarm recording and generate automatic recordings on a bedside recorder:
1 Touch MONITOR SETUP. 2 Touch RECORDER CONFIG. 3 Select RECORDING
DESTINATION.
4 Select a destination for the
alarm recording. 5 Touch PREVIOUS MENU. 6 Touch ALARM PARAMS. 7 Select parameter key(s) ON to
initiate a recording in case of
alarm. If the parameter key is
OFF, no alarm recording is
produced for that parameter in
an alarm condition.
Alarms Troubleshooting Guide
Clinical Situation Possible Cause Solution
Duplicate alarm recordings print at the bedside and system printer
Alarm recording directed to both bedside and network printers under the RECORDING DESTINATION key.
Select THIS MONITOR or NETWORK for alarm recordings.
No alarm recordings are printed
Alarms continue to violate after touching TONE RESET
No alarm notification occurs at a central monitor
CANNOT INTERACT WITH ALARM WATCH parameter displayed
Parameters for alarm recordings are set to OFF.
Bedside printer is OFF.
The alarms have not been directed
to the bedside printer.
ALARMS SUSPENDED for 3-minutes.
System printer is not identified as one of two network printers.
Printer is out of paper. Load paper into printer.
More than one alarm may be in
violation.
The Alarm Watch function is not active.
Parameters not displayed. Display the desired parameters using
The monitor may not be configured
to allow interaction with remote parameters.
Select parameters for alarm recordings from the Alarm Parameters menu or Record Alarm Parameters menu.
Turn bedside printer ON.
Ensure that THIS MONITOR or BOTH
is selected.
Ensure that alarms are not suspended.
Have your system administrator verify configuration.
Touch TONE RESET/ALM SUSPEND again.
Activate Alarm Watch for the desired beds at the central.
SCREEN FORMAT under MONITOR SETUP.
Contact your system administrator.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Admit Reference Guide
To enter new patient information (Ultraview 1030/1050/1500/1600):
1 Touch MONITOR SETUP. 2 Touch ADMIT/DISCHARGE. 3 Touch ADMIT. 4 Select YES to purge the
existing data.
5 Select ID and/or NAME. 6 Enter information using the
on-screen keyboard.
7 Touch ENTER. 8 Touch PREVIOUS MENU
(if necessary).
9 Select DATE OF BIRTH and
enter MONTH, DAY, and YEAR.
10 Touch ENTER. 11 Touch PREVIOUS MENU. 12 Select HEIGHT, WEIGHT, or
BSA and enter information using the on-screen keypad.
13 Touch ENTER. 14 Touch MALE/FEMALE until the
correct gender is highlighted.
15 Touch ADULT/NEONATE until
the relevant selection is highlighted.
To enter new patient information (UCW/ Ultraview 1700):
1 Touch MONITOR SETUP. 2 Touch ADMIT/DISCHARGE. 3a Select a subnet or a bed
(central only).
3b If you selected a subnet, then
select a bed.
4 Touch ADMIT. 5 Select YES to purge the
existing data.
6 Select a field on the on-screen
keyboard.
7 Enter information using the
on-screen keyboard.
8 Touch ENTER after completing
each field.
9 Select ADULT or NEONATE. 10 Select MALE or FEMALE. 11 Touch ACCEPT to store the
new patient data.
To change patient information:
1 Touch MONITOR SETUP. 2 Touch ADMIT/DISCHARGE. 3a Select a subnet or a bed
(central only).
3b If you selected a subnet, then
select a bed.
4 Touch CHANGE DATA. 5 Make desired changes as
described under Entering New Patient Information in the Admit chapter of the UCN Operations Manual.
To discharge a patient:
1 Touch MONITOR SETUP. 2 Touch ADMIT/DISCHARGE. 3a Select a subnet or a bed
(central only).
3b If you selected a subnet, then
select a bed.
4 Touch DISCHARGE. 5 Select YES to purge the
existing data.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Admit Troubleshooting Guide
Clinical Situation Possible Cause Solution
Patient name incorrect as entered on keyboard menu
Name exceeds 40 character maximum and system has written over some characters.
No patient name or ID number stored in system.
Re-enter name using 40 characters or less.
Enter name or ID number.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Printing Reference Guide
To start a manual recording via the monitor:
1 Touch RECORD. 2 Touch up to four flashing
parameter keys.
3a Touch CANCEL RECORD
SELECTION(S) to terminate.
-OR-
3b Touch STOP RECORDING in
the PRINTER CONTROLS menu to terminate.
To print group recordings via the monitor:
1 Touch RECORD twice. 2a Touch RECORD ALL.
-OR-
2b Touch RECORD
PRESELECTED A or B.
To load paper in the Ultraview 1030/1050 printer:
1 Press release button on door. 2 Open paper tray door all the
way.
3 Snap new roll into place. 4 Pull out 6 to 12 inches of paper. 5 Close door.
To start a continuous recording via the monitor:
1 Touch RECORD. 2 Touch CONTINUOUS
RECORD, then touch the desired parameter key (up to four, for each parameter to be continuously recorded.
3 Touch CANCEL RECORD
SELECTION to restart the selection process.
To load paper in a bedside printer module (2-channel only):
1 Press eject button next to
PAPER OUT light.
2 Withdraw plastic paper tray. 3 Discard old cardboard retainer
inside tray.
4 Remove label from new paper
but keep cardboard retainer in place around one end.
5 Start inserting paper into tray,
beginning with cardboard retainer end.
6 With paper halfway into tray, lift
up spring-loaded roller.
7 Bring out top fold of paper from
under top end of cardboard retainer.
8 Bring top fold over top of
spring-loaded roller.
9 Release spring-loaded roller
onto remainder of paper.
10 Insert stack fully. 11 Unfold paper and position over
top of black roller at end of tray.
12 Slide tray completely back into
printer module.
To stop a continuous recording via the monitor:
1 Touch RECORD. 2a Touch STOP CONT.
RECORD.
-OR-
2b Touch STOP RECORDING in
PRINTER CONTROLS.
To load paper in a system printer module (2- or 4-channel):
1 Press eject button next to
PAPER OUT light.
2 Withdraw plastic paper tray. 3 Discard old cardboard retainer
inside tray (2-channel only).
4 Remove label from new paper
but keep cardboard retainer in place around one end (2-channel only).
5 Discard 4-channel container. 6 Start inserting paper into tray,
beginning with cardboard retainer end (2-channel only).
7 Make sure black squares are in
the top left corner of the pages (4-channel).
8 Insert stack fully. 9 Unfold paper and position over
top of black roller at end of tray.
10 Slide tray completely back into
printer module.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Printing Troubleshooting Guide
Clinical Situation Possible Cause Solution
Printer displays PAPER OUT message
Printer is out of paper. Load paper (refer to Loading Paper in
Printer door is open.
Paper was loaded improperly.
the Printing chapter of the UCN Operations Manual P/N 070-1001-xx).
Printer fails to print self-test strip
Message UNABLE TO RECORD THE REQUESTED CHANNEL is displayed
CONTINUOUS RECORD key not displayed
Failed internal diagnostics. Notify qualified service person.
Printer not active.
Printer not selected by a system
administrator.
Printer is out of paper.
Menu is at the bottom of the screen. Touch NORMAL SCREEN, then
Toggle PRINTER ON/OFF key.
Check with your hospital biomed or
system administrator.
Load paper.
RECORD.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Bedside Monitors Reference Guide
To adjust screen clarity:
1 Touch MONITOR SETUP. 2 Touch MONITOR CONFIG. 3a Touch BRIGHTNESS.
-OR-
3b Touch CONTRAST.
-OR-
3c Touch
BRIGHTNESS/CONTRAST (for Ultraview 1500 only).
4 Use arrow keys to adjust.
To access the clock menu (UCW and Ultraview 1700 only):
1 Touch MONITOR SETUP. 2 Touch MONITOR
CONFIGURATION.
3 Select CLOCK ON. 4 Touch the clock that appears in
the lower right of the screen.
5 Select DIGITAL,
STOPWATCH, or TIMER.
To connect to an external power supply (Ultraview 1030 and 1050 only):
NOTE: Charging takes place only
when plugged into an AC outlet. 1 Attach the DC outlet cable to
J1.
2 Connect the power cord of the
external power supply to an AC outlet.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
To transfer data:
1 Touch ECG. 2 Touch SETUP. 3 Select TRANSFER DATA. 4 Remove module after DATA
TRANSFER COMPLETED is displayed.
5 Insert module into a monitor to
retrieve the data.
6 Touch RETRIEVE DATA. 7 Touch YES.
To select parameters for display at remote monitors:
1 Touch MONITOR SETUP. 2 Touch OUTBOUND
PARAMETERS.
3 Select the parameters you wish
to display (up to five).
To change parameters for display at remote monitors:
1 Touch MONITOR SETUP. 2 Touch OUTBOUND
PARAMETERS.
3 Deselect the parameter key
that you wish to stop displaying.
4 Select the parameter you wish
to display.
To start capnography monitoring (Ultraview 1030 and 1050 only):
1 Plug the mainstream EtCO2
sensor cable into the EtCO2 receptacle on the capnogra phy panel.
2 If necessary, perform the
sensor calibration:
2a Place the sensor on the zero
cell and wait for the completion message to display on the screen. Sensor cells are located on the sensor cable and are labelled “O” and “REF”.
2b Place the sensor on the
reference cell and wait for the completion message to display on the screen.
3 Prepare the patient according
to hospital procedures.
4 Select the appropriate airway
adapter (neonate or adult).
5 Verify that the windows are
clean and dry.
6 Place the sensor head over the
airway adapter and perform an adapter calibration, if necessary.
7 Remove the airway adapter
from the sensor head.
8 Insert the airway adapter into
the ventilator circuit and Ballard style tracheal suction system (if present) as shown.
9 Attach the sensor head to the
airway adapter.
10 Make the other connections as
shown in Figure 5-13 in the UCN Operations Manual.
11 Ensure that the sensor head is
always positioned above the ventilator circuit so that moisture will not enter the adapter.
Bedside Monitors Troubleshooting Guide
Clinical Situation Possible Cause Solution
Cannot change parameter priority or colors
Monitor may not be set up to allow the user to change priority or colors.
Contact your system administrator.
Changed parameter priority or colors are lost
Transport monitor has no DC power
The STORE key was not touched after the selection was made.
The monitor was not plugged into an AC outlet while not in use.
No batteries installed.
Touch the STORE key to make
changes permanent.
Plug the monitor into an AC outlet to recharge the batteries.
Install one or two batteries.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Central Monitors Reference Guide
To select remote parameters for display:
1 Touch MONITOR SETUP. 2 Touch SCREEN FORMAT. 3 Select a bed (or a subnet, then
a bed).
4 Select the parameter(s) to be
displayed.
5 Select a zone.
To change the network or internal system time and date:
1 Touch MONITOR SETUP. 2 Touch PRIVILEGED ACCESS. 3 Enter Clinical password. 4 Touch TIME/DATE. 5a Select TIME.
-OR-
5b Select DATE. 6a Select 24 HOURS or AM/PM
(12 hours).
-OR-
6b Select MONTH, DAY, and
YEAR.
7 Use arrow keys to set time or
date.
8 Touch ENTER.
To assign color to a zone:
1 Touch MONITOR SETUP. 2 Touch SCREEN FORMAT. 3 Touch the desired color. 4 Touch the zone to be colored.
To enable/disable the clock:
1 Touch MONITOR SETUP. 2 Touch MONITOR
CONFIGURATION.
3a Select CLOCK ON to enable
the clock.
-OR-
3b Select CLOCK OFF to disable
the clock.
To activate the screen saver:
1 Touch MONITOR SETUP. 2 Touch MONITOR
CONFIGURATION.
3 Touch ACTIVATE SCREEN
SAVER.
To access the clock menu:
1 Touch MONITOR SETUP. 2 Touch MONITOR
CONFIGURATION.
3 Select CLOCK ON. 4 Touch the clock that appears in
the lower right of the screen.
5 Select DIGITAL,
STOPWATCH, or TIMER.
To enable Data Communications Watch (must have system administrator menu access):
1 Touch MONITOR SETUP. 2 Touch PRIVILEGED ACCESS. 3 Enter Biomed password. 4 Touch MORE. 5 Touch DATA COMM WATCH. 6 Select COMM WATCH ON. 7 Select ALARM ON to enable
DCW alarms.
8 Select ADMIT REQUIRED ON
to enable DCW for admitted patients only.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Central Monitors Troubleshooting Guide
Clinical Situation Possible Cause Solution
Cannot assign color to a zone
Monitor may not be set up to allow you to assign colors.
Contact your system administrator.
Cannot assign a parameter to a zone
Cannot access the clock menu
CANNOT deselect ALARM WATCH
Zone may not have been cleared of previous assigned waveforms.
Clock may have been left in STOPWATCH or TIMER mode.
The Ultraview Central Monitor is configured with Central Alarm Watch Manager to prevent de-selection of automatically alarm watched beds.
Select CLEAR ZONE, then touch the zone in which to display the new parameter. Repeat the initial SCREEN FORMAT steps.
Touch the clock/timer display, then touch PREVIOUS MENU to restore the clock.
Contact your system administrator.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Module Configuration Manager Reference Guide
To review or change settings:
Module Configurations with ECG
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Touch the hidden key 3 times. 5 Touch USER SETTINGS. 6a Select ECG.
-OR-
6b Select RESP.
-OR-
6c Select VARITREND.
-OR-
6d Select PRESSURE.
-OR-
6e Select SPO2.
-OR-
6f Select NIBP.
-OR-
6g Select TEMP. 7 Use CURSOR and
CURSOR to scroll through the parameter description list.
8 Use ↑ and to change the
settings.
9 Touch NEXT PAGE to continue
to next screen of parameters.
10 Touch STORE to save the new
settings.
11 Touch YES when the STORE
ALL CHANNEL DEFAULTS message is displayed.
To review or change settings:
Module Configurations without ECG
1 Touch TEMP. 2 Touch the hidden key 3 times. 3 Touch USER SETTINGS. 4a Select PRESSURE.
-OR-
4b Select SPO2.
-OR-
4c Select TEMP. 5 Use CURSOR and
CURSOR to scroll through the parameter description list.
6 Use ↑ and to change the
settings.
7 Touch NEXT PAGE to continue
to next screen of parameters.
8 Touch STORE to save the new
settings.
9 Touch YES when the STORE
ALL CHANNEL DEFAULTS message is displayed.
To transfer user-defined settings from the module into the monitor:
Module Configurations with ECG
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Touch the hidden key 3 times. 5 Touch TRANSFER
SETTINGS.
6 Select YES.
Module Configurations without ECG
1 Touch TEMP. 2 Refer to steps 4 through 6
above.
To retrieve user-defined settings from the monitor into another module:
Module Configurations with ECG
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Touch the hidden key 3 times. 5 Touch RETRIEVE SETTINGS. 6 Select YES.
Module Configurations without ECG
1 Touch TEMP. 2 Refer to steps 4 through 6
above.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
ECG Reference Guide
To prepare the patient:
1 Wash the area where you plan
to place an electrode with soap and water.
2 If necessary, shave the area
where you plan to position the electrodes.
3 Clean the skin with alcohol. 4 Dry the skin thoroughly. 5 Abrade the skin.
To apply ECG electrodes:
1 Attach electrode to lead wire. 2 Apply electrode to patient skin. 3 Stress loop the wires as
necessary.
To specify the patient type:
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Select ADULT or INFANT.
To monitor paced patients:
1 Touch ECG. 2 Touch SETUP. 3 Select PACED YES.
To change the lead selection:
1 Touch ECG. 2 Touch LEAD CONTROL. 3 Touch 1ST LEAD or 2ND
LEAD.
4 Select lead.
To display six traces (requires a 12-lead cable):
1 Touch ECG. 2 Touch DISPLAY FORMAT. 3 Select SPLIT VIEW ON.
To display twelve traces (requires a 12-lead cable):
1 Touch ECG. 2 Touch DISPLAY FORMAT. 3 Select FULL VIEW ON.
To check the ECG amplitude:
1 Touch ECG. 2 Touch SIZE. 3 Touch 1 mV CAL.
To select a primary heart rate source:
1 Touch ECG. 2 Touch SETUP. 3 Touch RATE SOURCE. 4 Select the desired primary rate
source (ECG, ART, UA, or SPO2).
To enable alternate rate sources:
1 Touch ECG. 2 Touch SETUP. 3 Touch RATE SOURCE. 4 Set the desired alternate
source(s) to ON (ECG, ART, UA, and/or SPO2).
To print recordings of all leads:
1 Touch ECG. 2 Touch PRINT. 3 Touch ALL LEADS.
To restore default settings:
1 Touch ECG. 2 Touch SETUP. 3 Touch RESTORE SETTINGS. 4 Select YES.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
ECG Troubleshooting Guide
Clinical Situation Possible Cause Solution
AC noise Display resolution set to extended
Baseline wanders Patient moving excessively. Use stress loops to secure lead wires
Low amplitude ECG Skin improperly prepared. Abrade skin and reapply electrodes.
Module won’t learn ECG signal too noisy for
No ECG trace Improper attachment of ECG
Excessive alarms Electrodes dry. Repeat skin preparation and apply
mode (0.05 to 150 Hz).
Electrodes dry. Repeat skin preparation and apply
Patient cable entwined with other
electrical devices.
Respiration artifact. Select another lead or reposition the
Electrodes dry. Repeat skin preparation and apply
Lead selected not showing QR S
complex with greatest amplitude.
Electrodes could be positioned too near bone or muscle mass.
initialization.
ECG voltage below threshold. ECG VOLTAGE TOO LOW message may be displayed.
connector cable to the module/or leads off.
Module is not seated into the monitor or remote housing.
Alarm limits set too close to patient's normal heart rate.
Excessive interference: patient cable or wires routed too close to other electrical devices.
Excessive patient movement or muscle tremor.
Select monitor mode (0.5–40 Hz).
new moist electrodes.
Separate patient cable from all other cables.
and cable to the patient.
electrodes.
new moist electrodes.
Check 12-lead ECG to determine better monitoring lead and reposition electrodes.
Select another lead or reposition electrodes.
Improve signal quality by repeating skin preparation and/or repositioning electrodes.
Perform the following steps as needed.
1. Check cables, lead wires and
electrodes, then relearn patient rhythm.
2. Change lead or reposition
electrodes.
Remove, then re-plug the connector into the module or reconnect the leads.
Remove, then reinsert the module or exchange the module.
new moist electrodes.
Readjust alarm limit.
Reroute cables and leads.
Reposition electrodes and use stress
loops to secure lead wires and cable to the patient.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Precordial Leads: V1 - V Limb Leads: I, II, III, Augmented Leads: aVR, aVL, aVF
RA
V
1
RL
V14th intercostal space, right sternal margin V
4th intercostal space, left sternal margin
2
V
Midway between V2 and V
3
V45th intercostal space, midclavicular line V
Same level as V4 at anterior axillary line
5
V
Same level as V4 at midaxillary line
6
6
V2V
3
V
4
LA
V
5
V
6
LL
4
Adult Lead Placement
Limb Leads: I, II, III
RA LA
LL
With some cables, the chest electrode must be repositioned on the patient’s
chest to view alternate precordial leads
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
Neonate Lead Placement
RA
LA
LL
Maximum Impedance Change:
Position RA and LA electrodes at the nipple level, midaxillary line. Position LL below the diaphragm, preferably below the umbilicus.
RA
Alternate Method:
Position RA and LA electrodes at the 2nd intercostal space, midclavicular line. Position LL below the diaphragm, preferably below the umbilicus.
LA
LL
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system.
Skin Preparation
Select a flat, nonmuscular area for electrode placement.
Shave or clip hair — even fine hair.
Wash skin with soap and water to
remove dirt, oil, surgical scrub solutions and dead skin.
Do not use soaps containing lotion.
Dry skin thoroughly.
Wipe skin with alcohol and let it dry
thoroughly.
Gently abrade the skin using the scratch pad on the back of the electrode or a dry towel.
If the patient is diaphoretic, apply tincture of benzoin or other “skin prep” solution where the electrode patch will be adhered, leaving a hole so the electrode gel will directly contact the skin.
Electrode Application
Verify electrode expiration date has not passed and gel is moist.
Attach lead wires to electrodes prior to applying to the patient.
Affix electrodes to the patient by pressing around the circumference of the patch.
Do not apply pressure directly over the electrode gel to avoid dispersement or air trapping.
Stress-loop lead wire to the chest if the patient is active or ambulatory.
Secure the ECG cable to the patient’s gown.
Keep the ECG cable off the patient’s chest and clear of other electrical devices or wires.
Reprep the skin and apply fresh, moist electrodes every 24 hours.
Left Ventricular Wall Affected
Anterior V
Leads Monitored
1-4
Coronary Artery Involved
Left Coronary Artery
Anteroseptal V
2-4
Left Anterior Descending
Inferior (Diaphragmatic)
Lateral I, aVL,
Posterior V
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
II, III, aVF Right Coronary
Artery
Left Anterior Descending
V
, V
5
6
1-2
(Reciprocal Changes)
Circumflex
Right Coronary Artery Circumflex
Arrhythmia Reference Guide
To set up arrhythmia monitoring:
1 Set up system and patient for
standard ECG monitoring.
2 Touch ECG. 3 Touch SETUP. 4 Touch CONFIG. 5 Ensure ADULT is selected. 6 Select ARR ON.
To disable arrhythmia detection:
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Select ARR OFF.
To review arrhythmias:
1 Touch ECG. 2 Touch REVIEW. 3a Select an arrhythmia class type
for review.
-OR-
3b Touch ARRHYTHMIA
REVIEW and then select an arrhythmia class type for review.
4 Select NEXT CLASS or PRIOR
CLASS keys to display other classes.
To control arrhythmia alarms:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ARRHYTHMIA
REVIEW.
4 Select CPL, ABN or TACH. 5 Select ALARM YES or NO.
To clear a class or the most recent event in a class:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ARRHYTHMIA
REVIEW.
4 Select an arrhythmia class. 5 Touch CLEAR. 6 Select ENTIRE CLASS or
LAST EVENT.
To print recordings of ALL arrhythmia events:
1 Touch ECG. 2 Touch PRINT. 3a Touch PRINT ALL.
-OR-
3b Touch ARR CLASSES.
To merge class or trend data:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ARRHYTHMIA
REVIEW.
4 Select an arrhythmia class. 5 Touch MERGE. 6 Use PRIOR CLASS or NEXT
CLASS to display the two classes you wish to merge.
7 Select MERGE CLASSES or
MERGE TRENDS.
To display a trend graph:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ARRHYTHMIA
REVIEW.
4 Select an arrhythmia class for
review.
5 Select CLASS TREND or
GROUP TREND.
To print selected arrhythmia classes:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ARRHYTHMIA
REVIEW.
4 Select an arrhythmia class. 5 Touch PRINT.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Arrhythmia Troubleshooting Guide
Clinical Situation Possible Cause Solution
Abnormal beat not detected
Inadequate signal: NOISY SIGNAL or ECG VOLTAGE TOO LOW messages appear. Noise level is over allowable range, or signal level is below QRS detection threshold.
Some beats not recognized as morphologically different from the learned dominant beat.
System has not seen 5 abnormals or 3 couplets of like morphology to generate a class.
Arrhythmia detection is not enabled. Enable arrhythmia detection through
Make the necessary adjustments to
restore good signal.
Check all leads to determine a better monitoring lead or select another lead.
Remove the cause of the noise.
No action required; some events that
may be diagnosed as abnormal by a skilled clinician may not meet the module's criteria for abnormality.
No action is required.
the ECG Setup menu.
False Alarms NOTE: Careful attention to good monitoring technique, especially setup, will keep false
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
alarms at a low level. If false alarms do occur, however, check the following.
Noise on the signal caused by poor electrode application is the most common cause of false alarms.
Multiple abnormal classes with atrial fibrillation or flutter waveforms.
Atrial fibrillation continually triggering TACH alarm.
Limits set too close to patient's heart rate.
Amplitude of ECG signal has dropped below threshold of R-wave detector.
Remove the cause of the noise.
Deactivate alarm for the classes that
fill up with repetitive artifact; do not clear these classes.
Merge the class with the dominant or another abnormal class.
Deactivate alarm for these classes, or consider deactivating the ABN PER MIN alarm.
Consider deactivating TACH alarm.
Check and adjust the alarm limits.
Reposition electrodes and relearn
patient's rhythm.
ST Analysis Reference Guide
To set up ST monitoring:
1 Set up system and patient for
standard ECG monitoring.
2 Touch ECG. 3 Touch SETUP. 4 Touch CONFIG. 5 Select ADULT.
To display a real-time ST trend:
1 Touch ECG. 2 Touch REVIEW. 3 Touch REAL TIME ST TREND. 4 Select ON. 5 Select TREND TIMEBASE of
15 or 30 minutes.
To clear the displayed ST data:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ST REVIEW. 4 Touch CLEAR. 5 Select YES.
To print the current trend data:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ST REVIEW. 4 Touch ST TREND. 5 Touch PRINT.
To set or adjust ST alarms:
1 Touch ECG. 2 Touch ALARM LIMITS. 3 Select SINGLE ST or MULTI
ST.
4 Use arrow keys to adjust.
To review ST data:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ST REVIEW.
To print all ST segment data:
1 Touch ECG. 2 Touch PRINT. 3 Touch ST SEGMENTS.
To select a timebase:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ST REVIEW. 4 Touch ST TREND. 5 Select TIMEBASE of 1.5, 3,
6, 12, or 24 hours.
To select or deselect leads for ST alarms:
1 Touch ECG. 2 Touch ALARM LIMITS. 3 Touch ST LEADS. 4 Select or deselect leads.
To view ST trends:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ST REVIEW. 4 Touch ST TREND. 5 Touch the trend plot near the
desired data point. Th en use arrow keys to adjust the cursor position.
To print selected ST segments:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ST REVIEW. 4 Touch PRINT.
To set the ST collection time interval:
1 Touch ECG. 2 Touch REVIEW. 3 Touch ST REVIEW. 4 Touch TIME SAVE. 5 Select OFF, 5, 10, 15, 30, or 60
minutes.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
ST Analysis Troubleshooting Guide
Clinical Situation Possible Cause Solution
No access to ST analysis functions
The system must learn the ST segment level before it can provide access to ST analysis functions.
Wait until the system analyzes sufficient QRS complexes to calculate the ST segment level (approximately one minute).
ST = ?? is displayed ■ Infrequent occurrence of domi nant
beats.
ECG amplitude may be insufficient to detect QRS complexes.
ST analysis not performed on paced, premature dominant or abnormal beats.
Check QRS amplitude.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
12-Lead Diagnostics Reference Guide
To initiate a 12-lead ECG report:
1 Touch ECG. 2 Touch REVIEW. 3 Touch REPORT REVIEW. 4 Touch STAT REPORT.
To schedule 12-lead ECG reports:
1 Touch ECG. 2 Touch REVIEW. 3 Touch REPORT REVIEW. 4 Touch REPORT SETUP. 5 Select AUTO REPORT of
30 minutes, 1 hour, 2 hours, 4 hours, 8 hours, or 24 hours.
6 Touch AUTO PRINT ON or
OFF.
To save/clear a 12-lead ECG report:
1 Touch ECG. 2 Touch REVIEW. 3 Touch REPORT REVIEW. 4a Touch SAVE (while the report
is displayed).
-OR-
4b Touch CLEAR (while the report
is displayed).
5 Touch YES to confirm (for
CLEAR only).
To manually send 12-lead ECG reports:
1 Touch ECG. 2 Touch REVIEW. 3 Touch REPORT REVIEW. 4 Touch SEND ECG.
To view directory of 12-lead ECG reports:
1 Touch ECG. 2 Touch REVIEW. 3 Touch REPORT REVIEW. 4 Touch DIR.
To automatically print 12­lead ECG reports:
1 Touch ECG. 2 Touch REVIEW. 3 Touch REPORT REVIEW. 4 Touch REPORT SETUP. 5 Select ON from the AUTO
PRINT key.
NOTE: Requires a 90838 PrintMaster to print 12-lead ECG reports. NOTE: Once this selection is made each 12-lead report that is generated with be automatically printed.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Respiration Reference Guide
To set up respiration monitoring:
1 Set up system and patient for
standard ECG monitoring.
2 Touch ECG. 3 Touch DISPLAY FORMAT. 4 Select RESP ON. 5 Touch RESP. 6 Select additional keys as
necessary.
To set or adjust rate alarms:
1 Touch RESP. 2 Touch ALARM LIMITS. 3 Select HI/LO ON. 4 Select HI= or LO=. 5 Use arrow keys to adjust.
To set the horizontal time scale:
1 Touch VARI. 2 Select 1.5 MIN or 3.0 MIN.
To define an event:
1 Touch VARI. 2 Touch EVENT TREND. 3 Touch DEFINE EVENT. 4 Select event(s) to define. 5 Use arrow keys to adjust. 6 Touch ENTER.
To specify the patient type:
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Select ADULT or INFANT.
To deactivate CVA filtering:
1 Touch RESP. 2 Touch CVA FILTER OFF/ON.
To set or adjust apnea alarms:
1 Touch RESP. 2 Touch ALARM LIMITS. 3 Select APNEA ON. 4 Touch APNEA=. 5 Use arrow keys to adjust.
To select the type of respiratory display:
1 Touch VARI. 2 Select RESP RATE or RESP
WAVE.
To access Event Trend:
1 Touch VARI. 2 Touch EVENT TREND.
To turn the respiration waveform display ON or OFF:
1 Touch RESP. 2 Select WAVEFORM ON/OFF.
To turn Varitrend 3 ON or OFF:
1 Touch ECG. 2 Touch DISPLAY FORMAT. 3 Select VARITREND ON or
OFF.
To select respiration rate scale:
1 Touch VARI. 2 Touch RESP RATE. 3 Touch SIZE. 4 Touch RESP RATE SC ALE. 5 Use arrow keys to adjust.
To clear events:
1 Touch VARI. 2 Touch EVENT TREND. 3 Touch CLEAR EVENT. 4 Select CLEAR THIS EVENT
OR CLEAR ALL EVENTS.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Respiration Troubleshooting Guide
Clinical Situation Possible Cause Solution
Inaccurate respiratory rate or 0 displayed. Question marks displayed instead of rate
Respiration too shallow for normal detection.
ECG electrode contact or placement poor.
Incorrect lead selection for respiration.
CVA artifact. Assess the patient for apnea. Reselect
Touch the SHALLOW/NORMAL key to
highlight SHALLOW.
Apply new electrodes. Make sure to properly prepare the skin; position electrodes on the chest where the chest expansion is the greatest.
Select the appropriate lead. Best lead selection is typically RA-LA for adults and RA-LL for infants.
lead for better signal quality.
No respiration waveform. LOSS OF SIGNAL message is displayed
No respiration waveform is displayed
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
ECG electrodes or patient cable not attached.
Channels have not been configured to display respiration.
Reconnect the leads or the patient cable.
Select another lead.
Select RESP ON in the ECG Display
Format menu.
NIBP Reference Guide
To set up NIBP monitoring:
1 Attach the cuff tube to the
appropriate module front panel connector.
2 Attach the cuff to the patient. 3 Touch NIBP. 4 Touch additional screen keys
as needed.
To display heart rate on the NIBP table:
1 Touch NIBP. 2 Touch CHANGE CONFIG. 3 Select DISPLAY PR ON.
To stop an immediate measurement:
1a Touch STOP.
-OR-
1b Touch DEFLATE or touch the
STOP button on the module.
To print the most recent measurement (no table):
1 Touch RECORD (monitor key). 2 Touch NIBP.
To set or adjust alarms:
1 Touch NIBP. 2 Touch ALARM LIMITS. 3 Select SYS, DIA, or MEAN. 4 Select ALARM ON. 5 Select HI= or LO=. 6 Use arrow keys to adjust.
To start an immediate measurement:
1 Touch STAT.
To review NIBP measurements:
1 Touch NIBP. 2 Touch REVIEW. 3 Touch or to move
backwards or forwards in time.
To restore user-defined settings:
1 Touch ECG. 2 Touch SETUP. 3 Touch RESTORE SETTINGS. 4 Select YES.
To select the patient type:
1 Touch NIBP. 2 Touch CHANGE CONFIG. 3 Select ADULT or NEONATAL.
To select automatic measurement intervals:
1 Touch NIBP. 2 Select AUTO ON. 3 Touch TIME INTRVL. 4 Use arrow keys to adjust
interval.
To print the NIBP measurements currently displayed:
1 Touch NIBP. 2 Touch REVIEW. 3 Touch PRINT.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
NIBP Troubleshooting Guide
Clinical
Situation
No NIBP screen key is displayed
No NIBP readings can be obtained
Intermittent or complete failure to operate
Apparent incorrect value
Variable readings occur
No NIBP readings or questionable values in the presence of shock
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Module not inserted correctly. Rem ove and re-insert the module.
Incorrect or inoperative cuff in use. Replace with the cuff known to be operative.
Cuff tubing is attached to an adult outlet,
Tubing is kinked. Locate kink and straighten tubing.
Some arrhythmias (for example, atrial
Excessive patient motion or muscle
Blood pressure outside of measurement
Hardware error (codes 10, 20, and 30)
Wrong size cuff for patient. Measure patient’s limbs at the midpoint.
Cuff is damaged. Replace with a good cuff.
Excessive patient motion, shivering or
False high readings may be the result of
Cuff too loose or positioned incorrectly. Tighten the cuff or reposition it appropriately.
Some arrhythmias may cause beat-to-beat
Larger than normal influence of respiratory
Peripheral vascular changes experienced
Possible Cause Solution
but monitor is configured in the neonatal mode (or vice versa).
fibrillation and frequent ventricular ectopy) may cause a single or repeated failure to obtain a reading (may be due to true beat­to-beat variations in pressure).
contractions associated with shivering or severe pain.
range.
detected during previous measure ment.
severe pain.
venous congestion caused by frequent readings.
pressure and NIBP readings.
phases on blood pressure (inspiratory fall in blood pressure; expiratory rise).
during shock may reduce the reliability of blood pressure readings obtained with any indirect method. Peripheral pulses may be diminished or absent.
Connect tubing to the correct outlet. Correlate monitor mode, cuff and patient type.
Document arrhythmia if present, verify pressure with another method, then follow hospital procedure for care of this type of patient.
Ensure that patient is quiet with minimal movement during NIBP readings. Minimize the patient’s shivering.
Verify extremely high or low pressu res with another method.
Check the presence of the RESET NIBP key in the CHANGE CONFIG menu. Touch RESET NIBP to re-enable monitoring.
Remove the module from service and call a qualified service person if this condition occurs repeatedly.
Match limb measurement to the range specified on the cuff (undersizing the cuff results in the greatest degree of error).
Ensure the patient is quiet with minimal movement during NIBP readings. Minimize the patient’s shivering.
Reduce the frequency of the readings.
Document the arrhythmia, if present. Verify
the pressure using another method, then follow hospital procedure for care of this type of patient.
NIBP software usually compensates for normal variation.
Consider invasive pressure measurements in patients with symptoms of shock or in any patient who rapidly becomes unstable for unknown reasons.
SpO2 Reference Guide
To set up SpO2 monitoring (non-telemetry):
1 Connect the adapter cable to
the module.
2 Attach the sensor to the patient
and connect the sensor cable to the adapter cable.
3 Touch SPO2.
To set up SpO2 monitoring (telemetry):
1 Connect the SpO2 adapter
cable to the transmitter.
2 Attach the sensor to the patient
and connect the sensor cable to the SpO2 adapter cable.
3 Initiate ECG monitoring. 4 Touch ECG. 5 Touch CHANNEL FORMAT. 6 Touch SPO2 ON.
To modify display of the waveform (non-telemetry):
1 Touch SPO2. 2 Touch SETUP. 3 Verify WAVEFORM ON. 4 Touch SIZE. 5 Touch SIZE or SIZE to
adjust.
To set or adjust SpO2 alarms (non-telemetry):
1 Touch SPO2. 2 Touch ALARM LIMITS. 3 Touch ALARMS ON. 4 Touch HI=, LO=, ALM DELAY,
or MSG ALARM DELAY (if present).
5 Use arrow keys to adjust.
To set or adjust SpO2 alarms (telemetry):
1 Touch ECG. 2 Touch ALARM LIMITS. 3 Touch SPO2 ALARM LIMITS. 4 Select SPO2 ALARMS ON. 5 Select HI=, LO=, ALM DELAY,
and MSG ALARM DELAY.
6 Use arrow keys to adjust.
To specify a data averaging period:
1 Touch SPO2. 2 Touch SETUP. 3 Touch AVERAGING. 4 Use arrow keys to adjust.
To modify the pulse rate display (non-telemetry):
1 Touch SPO2. 2 Touch PULSE RATE ON/OFF.
To restore user-defined settings:
Configurations with ECG
1 Touch ECG. 2 Touch SETUP. 3 Touch RESTORE SETTINGS. 4 Touch YES.
To restore user-defined settings:
Configurations without ECG
1 Touch TEMP. 2 Touch RESTORE SETTINGS. 3 Touch YES.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
SpO2 Troubleshooting Guide
Clinical
Situation
No SpO2 parameter key is displayed
SpO2 value displays ???
Low signal strength Sensor placement not optimum. Move the sensor to a site which has better
Intermittent or complete failure to operate
Factors which cause significant variances in sensor accuracy
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Possible Cause Solution
Module not inserted correctly. Remove and reinsert the module.
Adapter cable not connected to module
properly.
Sensor not connected to adapter cable. Correctly connect the sensor.
SpO2 is not enabled at the 90343
transmitter.
SpO2 is not enabled at the 90478 receiver.
Sensor not connected to patient. Reattach the sensor.
Excessive patient motion. Urge patient to remain still while reading is
Module is in the initialization phase (the
first 15-seconds after sensor application).
Adapter cable not connected to the module properly.
Sensor not connected to th e adapter cable.
Low battery indicator constantly illuminated (telemetry only).
Sensor is placed below blood pressure cuff.
Module error. Call a qualified service person.
Presence of dysfunctional hemoglobins
(COHb, MetHb).
Presence of intravascular dyes (indocyamine green, methylene blue) depending on their concentration in the blood stream.
High ambient light level. Reduce light levels near the patient.
Electrosurgical interference. Follow hospital procedure for determining
Patient is significantly anemic (Hb less
than 5g/dl) or patient has received large amounts of IV solutions.
Correctly connect the adap ter cable.
Call a qualified service person to check
transmitter DIP switch 1 and 2.
Call a qualified service person to set transmitter DIP switch 8 to OFF.
in progress.
Wait until the initialization is complete.
Correctly connect the adap ter cable.
Correctly connect the sensor.
Call a qualified service person.
perfusion.
Align the LED with the sensor photo detector.
Move the sensor to an alternate limb.
Follow hospital procedure for determining
oxygenation in these patients.
Follow hospital procedure for determining oxygenation in these patients.
oxygenation in these patients.
Follow hospital procedure for determining oxygenation in these patients.
Fetal Monitoring Reference Guide
To set the twin FHR shift:
1 Touch FETAL. 2 Touch SETUP. 3 Touch the TWIN SHIFT key. 4 Select MANUAL, AUTO, or NO
SHIFT mode.
To turn F-Alert ON or OFF:
1 Touch FETAL. 2 Touch SETUP. 3 Touch the F-ALERT limits key. 4 Select F-ALERT ON or OFF.
To set the Toco sensitivity:
1 Touch FETAL. 2 Touch SETUP. 3 Touch the TOCO SENS key.
To initialize uterine activity:
1 Touch FETAL. 2 Touch SETUP. 3 Touch the UA REF key. 4 Press Yes to confirm.
To set fetal alert limits:
1 Touch FETAL. 2 Touch SETUP. 3 Touch the F-ALERT limits key. 4 Select F-ALERT ON. 5 Select the HI= or LO= key. 6 Use the arrow keys to adjust
the limits.
To set ECG HR Edit:
1 Touch FETAL. 2 Touch SETUP. 3 Touch the FETAL ECG key. 4 Select ECG HR Edit ON or
OFF.
To set the time interval for SpO2 and MHR parameters to print on the fetal strip:
1 Touch FETAL. 2 Touch SETUP. 3 Touch PRINT PERIOD. 4 Select numeric value equal to
the number of minutes to set the time interval for SpO2 and MHR parameters to print on the fetal strip.
To silence and reset the alert:
1 Touch FETAL. 2 Touch SETUP. 3 Touch F-ALERT RESET.
To set ECG plot:
1 Touch FETAL. 2 Touch SETUP. 3 Touch the FETAL ECG key. 4 Select ECG PLOT ON or OFF.
To review or change settings:
1 Touch FETAL. 2 Touch SETUP. 3 Touch the hidden key 3 times. 4 Touch DEFAULT STORAGE. 5 Touch USER SETTINGS. 6 Use CURSOR and
CURSOR to scroll through the parameter description list.
7 Use ↑ and to change the
settings.
8 Touch NEXT PAGE to continue
to next screen of parameters.
9 Touch STORE to save the new
settings.
10 Touch YES when the Yes/No
message is displayed.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Temperature Reference Guide
To set up temperature monitoring:
1 Attach the temperature
probe(s) to the patient.
2 Plug the temperature prob e(s)
into the module.
3 Touch TEMP. 4 Select additional keys as
needed during monitoring.
To restore user-defined settings:
Configurations without ECG
1 Touch TEMP. 2 Touch RESTORE SETTINGS. 3 Select YES.
To print a strip chart of current temperature readings:
1 Touch RECORD. 2 Touch TEMP while it flashes.
To restore user-defined settings:
Configurations with ECG
1 Touch ECG. 2 Touch SETUP. 3 Touch RESTORE SETTINGS. 4 Select YES.
To set or adjust alarm limits:
1 Touch TEMP. 2 Touch ALARM LIMITS. 3 Select TEMP 1, TEMP 2,
TEMP 3, TEMP 4, or DELTA TEMP.
4 Select ALARMS ON. 5 Select HI= or LO=. 6 Use arrow keys to adjust limit.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Temperature Troubleshooting Guide
Clinical Situation Possible Cause Solution
Intermittent or no operation
Module error. Call a qualified service person.
Temperature not displayed
Module not inserted correctly. Reinsert the module.
Probe not connected to module. Reconnect the probe.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Digital Telemetry Reference Guide
To initiate telemetry ECG monitoring:
1 Select a transmitter. 2 Note its channel number. 3 Attach lead wires to transmitter. 4 Attach lead wires to electrodes. 5 Set up patient for ECG
monitoring.
6 Apply electrodes to patient. 7 Install a transmitter battery. 8 Close the transmitter case.
To set or adjust ECG, SpO2 and NIBP telemetry alarms:
1 Touch ECG. 2 Touch ALARM LIMITS. 3a Touch ECG ALARM LIMITS.
-OR-
3b Touch NIBP ALARM LIMITS.
-OR-
3c Touch SPO2 ALARM LIMITS. 4a For ECG — Touch HI = or LO =
key.
4b For SpO2 — Touch HI=, LO=,
ALM DELAY, or MSG ALARM DELAY (if present).
4c For NIBP — Touch SYS, DIA or
MEAN , then touch HI= or LO=.
5 Use the arrow keys to adjust.
To discharge a patient:
1 Remove battery. 2 Disconnect the transmitter from
the patient.
3 Touch YES to confirm signal
loss permanent.
4 Touch YES to discharge. 5 Touch YES to purge data.
To control transmitter's Patient Record function:
1 Touch ECG. 2 Touch SETUP. 3 Touch TM SETUP. 4 Select PT RECORD YES or
NO.
To select an ECG channel to display on a central monitor:
1 Touch ECG. 2 Touch SETUP. 3 Touch TM SETUP. 4 Touch ASSIGN TM BED. 5 Select the bed and room. 6 Touch MONITOR SETUP. 7 Touch SCREEN FORMAT. 8 Select the subnet. 9 Select the bed and room. 10 Select PARAMETER. 11 Select the zone to display.
To display the current NIBP reading:
1 Touch ECG. 2 Touch CHANNEL FORMAT. 3 Select NIBP ON.
To tune a receiver module (qualified personnel only):
1 Touch ECG. 2 Touch SETUP. 3 Touch TM SETUP. 4 Access the SET TM CHANNEL
menu.
5 Select the digit to change. Use
the ↑ ↓ keys to select the value for that digit.
6 Repeat for all digits as
necessary.
7 Touch STORE.
To set up NIBP monitoring:
1 Initialize the ABP monitor as
described in the ABP Operations Manual.
2 Apply appropriate cuff to
patient.
3 Attach cuff to ABP monitor. 4 Connect NIBP adapter cable
(012-0588-xx) between ABP monitor and 90343 transmitter.
5 Touch ECG. 6 Touch CHANNEL FORMAT. 7 Select NIBP ON.
To control low battery alarms:
1 Touch ECG. 2 Touch SETUP. 3 Touch TM SETUP. 4 Select LO BAT ON or OFF.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Digital Telemetry Troubleshooting Guide
Clinical Situation Possible Cause Solution
Baseline wanders Patient moving excessively. Use stress loops to secure lead wires
Respiration artifact. Select another lead or reposition the
Electrodes dry. Repeat skin preparation and apply new
Low amplitude ECG Skin improperly prepared. Abrade skin and reapply electrodes.
Lead selected not showing QR S complex with greatest amplitude.
Electrodes could be positioned too near bone or muscle mass.
Module won’t learn ECG signal too noisy for initialization. ■ Improve signal quality by repeating skin
ECG voltage below threshold. ECG
VOLTAGE TOO LOW message may be displayed.
No ECG trace Improper attachment of ECG
Excessive alarms Electrodes dry. Repeat skin preparation and apply new
connector cable to the module/or leads off.
Module is not seated into the monitor or remote housing.
Alarm limits set too close to patient's normal heart rate.
Excessive interference: patient cable or wires routed too close to other electrical devices.
Excessive patient movement or muscle tremor.
and cable to the patient.
electrodes.
moist electrodes.
Check 12-lead ECG to determine better monitoring lead and reposition electrodes.
Select another lead or reposition electrodes.
preparation and/or repositioning electrodes.
Perform the following steps as needed.
1. Check cables, lead wires and electrodes, then relearn patient rhythm.
2. Change lead or reposition electrodes.
Remove, then re-plug the connector into the module or reconnect the leads.
Remove, then reinsert the module or exchange the module.
moist electrodes.
Readjust alarm limit.
Reroute cables and leads.
Reposition electrodes and use stress
loops to secure lead wires and cable to the patient.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Invasive Pressure Reference Guide
To zero the pressure transducer:
1 Touch the desired pressure
parameter key.
2 Open stopcock to air/close to
patient (at phlebostatic axis).
3 Touch ZERO. NOTE: View the message in the
message area for confirmation of ZERO COMPLETE or ZERO REJECTED. 4 Close stopcock to air/open to
patient.
5 Begin monitoring after the
pressure values appear.
To configure the display of pressure waveforms with a vertical scale:
1 Touch the desired pressure
parameter key.
2 Touch SCALES. 3 Select SCALES ON if the
pressure is to remain in scales.
To set or adjust alarm limits:
1 Touch the desired pressure
parameter key.
2 Touch ALARM LIMITS. 3 Select desired alarm. 4 Select ALARM ON. 5 Use arrow keys to adjust a limit
value.
To change the pressure waveform scale:
1 Touch the desired pressure
parameter key.
2 Touch SCALES. 3 Select SCALE 0-xxx. 4 Enter a new scale using the
numerical keys.
5 Touch ENTER.
To freeze the pressure display:
1 Touch the desired pressure
parameter key.
2 Touch SCALES. 3 Select FREEZE ON.
To store values in memory:
1 Touch the desired pressure
parameter key.
2 Touch SCALES. 3 Use arrow keys to position
cursor.
For ART, PRS, UA and UV
4 Select SAVE SYS, SAVE DIA
or SAVE MEAN.
For CVP, RAP, LAP or ICP
5 Touch SAVE MEAN.
For PA
To obtain a pulmonary capillary wedge pressure (PCWP):
1 Touch PA. 2 Inflate PA catheter balloon. 3 Touch SCALES. 4 Touch FREEZE ON. 5 Deflate PA catheter balloon. 6 Use arrow keys to position
cursor.
7 Touch SAVE PCWP.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
To restore user-defined settings:
Configurations with ECG
1 Touch ECG. 2 Touch SETUP. 3 Touch RESTORE SETTINGS. 4 Select YES.
6 Touch SAVE PCWP.
To restore user-defined settings:
Configurations without ECG
1 Touch TEMP. 2 Touch RESTORE SETTINGS. 3 Select YES.
Invasive Pressure Troubleshooting Guide
Clinical Situation Possible Cause Solution
Intermittent or no operation
No pressure key appears
Numeric display does not settle
Pressure display disappears
Pressure shows NOT ZEROED
Shows constant pressure
ZERO REJECTED message appears
CHECK CATHETER key appears on the monitor
Module error. Call a qualified service person.
Module not inserted correctly. Reinsert the module.
Transducer not connected. Reconnect the transducer.
Respiration artifact too high. Select ART REJ ON.
Cable disconnected from the
module.
Cable disconnected from the transducer.
Pressure has not been zeroed. Zero pressure with the ZERO key after
Stopcock(s) are positioned
incorrectly.
Stopcock(s) are positioned incorrectly.
Still unable to zero. Follow transducer manufacturer's
Stopcock(s) are positioned
incorrectly.
UA catheter has become dislodged or occluded.
Reconnect cable.
Reconnect cable.
opening transducer to air.
Reposition stopcock(s) to connect the patient to the transducer (a waveform will appear on the screen).
Reposition stopcock(s) to open the transducer to air. Zero pressure with the zero key.
instructions to correct the problem.
Reposition stopcock(s) to connect the patient to the transducer (a waveform will appear on the screen).
Check UA catheter.
Upon completion of the above, touch
the CHECK CATHETER key to silence the alarm.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Cardiac Output Reference Guide
To set up the system for monitoring cardiac output:
1 Insert the cardiac output cable
into the module.
2 Attach the thermodilution
catheter to the cardiac output cable.
3 Connect either an in-line
injectate temperature probe or a reference solution injectate probe to the cardiac output cable.
To deselect indexing:
1 Touch CO. 2 Touch CARDIAC OUTPUT. 3 Touch CALCS. 4 Select VR INDEX OFF or
SW INDEX OFF.
To average all cardiac output curves:
1 Touch CO. 2 Touch CARDIAC OUTPUT. 3 Touch AVERAGE ALL. 4 Touch YES.
To enter the computational constant:
1 Touch CO. 2 Touch CC =. 3 Touch the appropriate keys
(tenths, hundredths, and then thousandths) and use arrow keys to adjust.
4 Touch ENTER.
To obtain CO measurements:
1 Touch CO. 2 Touch CARDIAC OUTPUT. 3 Select AUTO or MANUAL. 4a Wait for the INJECT WHEN
READY or the TOUCH START THEN INJECT message to display.
-OR-
4b If in manual mode, touch
START.
5 Inject the prepared injectate
into the proximal lumen of the thermodilution catheter.
To clear or store all curves:
1 Touch CO. 2 Touch CARDIAC OUTPUT. 3 Select CLEAR or STORE. 4 Touch YES.
To enter patient height and weight:
1 Touch CO. 2 Touch HEIGHT/WEIGHT. 3 Select HEIGHT = and/or
WEIGHT =.
4 Use arrow keys to adjust. 5 Touch ENTER.
To edit vital sign values:
1 Touch CO. 2 Touch CARDIAC OUTPUT. 3 Touch CALCS. 4 Touch DAY/TIME in the row
you wish to select.
5 Touch VITAL SIGNS. 6 Select the vital sign you wish to
edit.
7 Use arrow keys to edit the
displayed value.
8 Press ENTER.
To clear or store selected curves:
1 Touch CO. 2 Touch CARDIAC OUTPUT. 3 Touch the CO# keys adjacent
to the curves (up to 5) that you wish to clear or store.
4 Select CLEAR or STORE. 5 Touch YES.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Cardiac Output Troubleshooting Guide
Clinical Situation Possible Cause Solution
Invalid pressure reading Stopcock of the CVP or RAP line may
not have been turned OFF quickly enough after injection was made.
Turn the stopcock off immediately after making the injection to provide t he module with the correct pressure value at the time it obtains the curve.
Erroneous CO values using room temperature injectate
Unable to obtain indexed values for calcs
Value of calcs variable displays as +++
Spontaneous CO curves drawn while in AUTO mode
Substantial variance in CO values/irregular curves
Injectate too warm. Injectate temperature is above 25.5° C.
Injection rate too slow. Administer bolus smoothly at a rate of
Did not enter height and/or weight
prior to averaging curves.
Measured value is out of range. Check computation constant (CC)
Infusion of IV drips or medications
through proximal port.
Mechanically ventilated patient causing shifts in PA temperature.
Cardiac arrhythmias causing blood flow variance.
Varied temperature in bolus.
Injection delivered at varying points in
the respiratory cycle.
Movement. Standardize the patient position during
Physiological problems. Any of the following conditions can
Injectate rate too slow. Administer the bolus smoothly at a
Insufficient time has elapsed between
injections to allow blood temperature stabilization.
< 10 cc/4-seconds.
Enter the height/weight and reinject the curves.
If the Calcs option is installed, enter the height/weight in hemocalcs to obtain index values without reinjecting curves.
values for validity.
Turn off the IV solutions temporarily.
Use the Manual mode.
Use the Manual mode and time the
injection during stable ECG rhythm.
Standardize the temperature of bolus.
Use the Manual mode and time the
injection at end expiration, if desired.
procedure.
affect accurate readings: ventricular arrhythmias, low stroke volume, and/or valve insufficiency.
consistent rate.
Wait 60- to 90-seconds between injections.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
SvO2 Reference Guide
To set up SvO2 monitoring:
1 Place the catheter’s optical
connector into the optical module on the connecting cable.
2 Insert the connecting cable into
the SvO2 module.
To initiate light intensity calibration:
1 Touch SVO2. 2 Touch CALIBRATE. 3 Touch LIGHT INTENSITY. 4 Touch YES.
To set or adjust alarm limits:
1 Touch SVO2. 2 Touch ALARM LIMITS. 3 Select ALARMS ON. 4 Select HI= or LO=. 5 Use arrow keys to adjust.
To select a timebase:
1 Touch SVO2. 2 Touch TIMEBASE x HOURS. 3 Select hours.
To initiate pre-insertion calibration:
1 Touch SVO2. 2 Touch CALIBRATE. 3 Touch PRE-INSERTION. 4 Touch YES.
To display a history of light intensity values:
1 Touch SVO2. 2 Touch INTENSITY DISPLAY.
To change trend graph size:
1 Touch SVO2. 2 Touch SCALES. 3 Use arrows to adjust.
To obtain oxygenation calculations:
1 Touch SVO2. 2 Touch CALCS. 3 Select a manually entered
value(s) for PaO2, PvO2, Hgb.
4 Use arrow keys to adjust. 5 Touch ENTER.
To initiate in vivo calibration:
1 Touch SVO2. 2 Touch CALIBRATE. 3 Touch IN VIVO. 4 Touch YES. 5 Draw blood from the distal
lumen when the message DRAW BLOOD is displayed and send to lab for analysis.
6 Use arrow keys to adjust value
if displayed value differs from lab value by more than four saturation units.
To set the light intensity alarm:
1 Touch SVO2. 2 Touch ALARM LIMITS. 3 Select LIGHT IN - ON or OFF.
To print saturation data:
1 Touch SVO2. 2 Touch PRINT. 3 Select SVO2 TREND or CALC
RESULTS.
To read or store data in the optical module:
1 Touch SVO2. 2 Touch STORE READ. 3 Select STORE or READ. 4 Touch YES.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
SvO2 Troubleshooting Guide
Clinical Situation Possible Cause Solution
INTENSITY ALERT or SVO2 DATA OUT OF RANGE message is displayed
Faulty catheter position within vessel.
Clot over catheter tip. Flush distal lumen.
Loose connections between
catheter optical connector and optical module.
Kinked or damaged fiber optics in catheter.
Check for spontaneous wedge or balloon inflation; if present reposition the catheter.
Tighten the connections.
Replace the catheter.
INSUFFICIENT LIGHT message is displayed
CALIBRATION REJECTED message is displayed
??? is displayed in place of SvO2 value
Catheters should be handled according to your hospital’s protocol.
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Catheter exposed to room light during pre-insertion calibration.
Catheter is kinked. Check the catheter.
Faulty connection between catheter
and optical module.
Faulty connection between catheter and optical module.
Optical module not warmed up. Wait one minute and retry.
Value out of range. If optical module error message also is
Poor light intensity. Display light intensity history to verify.
Pre-insertion calibration insufficient. Perform in vivo calibration.
No action required; status message
only.
Fully insert the tip into the optical reference.
Reconnect.
displayed, replace optical module.
Capnography Reference Guide
To start capnography monitoring:
1 Plug the module into the
monitor.
2 Plug the sensor connector into
the monitor.
3 Perform sensor calibration, if
necessary.
4 Prepare the patient according
to hospital procedures.
5 Select appropriate airway
adapter (neonate or adult).
6 Verify that windows are clean
and dry.
7 Place sensor head over the
airway adapter and perform an adapter calibration, if necessary.
8 Remove the airway adapter
from the sensor head.
9 Insert the airway adapter into
the ventilator circuit and Ballard style tracheal suction system (if present).
10 Attach the sensor head to
airway adapter.
11 Ensure that the sensor head is
always positioned above the ventilator circuit so that moisture will not enter the adapter.
To adjust the waveform scale size:
1 Touch GAS. 2 Touch SETUP. 3 Touch SIZE. 4 Select the desired scale.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
To set gas alarm limits:
1 Touch GAS. 2 Touch ALARM LIMITS. 3 Select the parameter for which
you wish to set alarm limits.
4 Touch ON for the parameter
selected in step 3.
5 Select the HI=, LO=, or
APNEA= alarm.
6 Use the arrow keys to set the
high and/or low alarm limits or the apnea alarm delay time.
7 Touch PREVIOUS MENU to
select another parameter for setting alarm limits.
8 Repeat steps 3 through 7 until
all limits are set.
To calibrate the CO2 sensor:
1 Remove the airway adapter
from the sensor head (if present).
2 Place the sensor on the zero
cell.
3 When the message ZERO CAL
COMPLETE appears, remove the sensor from the zero cell and place it on the reference cell.
4 When the message
CALIBRATION VERIFIED appears, remove the sensor from the reference cell (An airway adapter calibration may be required).
5 Sensor is ready for use.
To turn the waveform display ON or OFF:
1 Touch GAS. 2 Touch SETUP. 3 Touch SIZE. 4 Select WAVEFORM ON or
OFF.
To select a measurement unit:
1 Touch GAS. 2 Touch SETUP. 3 Select PERCENT or mmHg
(kPa).
To calibrate O2 using room air:
1 Touch GAS. 2 Touch CAL. 3 Touch O2CAL. 4 Disconnect O2 cell and touch
ZERO.
5 Reconnect O2 cell. 6 Ensure that O2 cell is in room
air.
7 Wait for the O2 reading to
stabilize.
8 Touch ROOM O2 SPAN.
To calibrate O2 by performing a 100% O
1 Touch GAS. 2 Touch CAL. 3 Touch O2 CAL. 4 Flow 100% O2 through the O2
airway adapter and wait for O readings to stabilize.
5 Touch 100% O2 SPAN.
span:
2
2
Capnography Troubleshooting Guide
Clinical Situation Possible Cause Solution
SERVICE REQUIRED ­Send for repair
SENSOR OVER TEMPERATURE
WARMING UP Module or sensor was just plugged in. Allow 2 to 5 minutes to warm up.
ADAPTER ERROR ­Check airway adapter
SENSOR ERROR ­CO2 zero cal required
O2 ZERO REJECTED O2 cell was connected during zero. Disconnect O2 cell and repeat the O2
O2 SPAN REJECTED ­Span value out of range
100% O2 SPAN FAILED ­O2 cell bad or 100% O2 not present
Incompatible or faulty sensor.
Barometric pressure reading error.
Module self-test failure.
Sensor is exposed to extreme heat. Remove the excessive heat source
Airway adapter was removed from the
sensor head.
Optical blockage on airway adapter windows.
Adapter calibration was not performed.
A drift of the source current is detected since the last time that the sensor was either plugged in or zeroed.
O2 cell was not functioning during the room O2 span.
O2 cell was not in room air. ■ Place the O2 sensor in room air and
O2 cell is wearing out. ■ Replace O2 cell and perform 100% O2
100% oxygen was not present in the
O
sensor airway adapter.
2
Return to factory for repair or use compatible sensor.
from the sensor. If problem persists, return to factory for repairs.
Snap airway adapter back into the sensor head.
Clean or replace the airway adapter.
Perform an airway adapter calibration.
Perform a zero and a reference
calibration. If the problem persists, return sensor to factory for repairs.
zero.
Replace O2 cell perform room O2 span. If problem persists, return to factory for repairs.
away from any source of higher level oxygen and perform room O2 span. If problem persists, return to factory for repairs.
span. If problem persists, return to factory for repairs.
Make sure 100% O sensor airway adapter and perform 100% O
2
return to factory for repairs.
is present in the O2
2
span. If problem persists,
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Capnography Troubleshooting Guide
Clinical Situation Possible Cause Solution
O2 SPAN REQUIRED ­Perform a ROOM O2 SPAN
O2 cell requires new span when initially plugged in.
A drift in the O2 cell output voltage level was detected.
Place the sensor in room air and away from any source of oxygen and perform room O2 span. If problem persists, return to factory for repairs.
Place the sensor in room air and away from any source of oxygen and perform room O2 span. If problem persists, return to factory for repairs.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Multigas Reference Guide
To connect the multigas analyzer:
1 Verify that the power cord is
connected as required by local standards.
2 Assemble the cables
necessary for the desired configuration. (Refer to 90518 Multigas Analyzer Service Manual, P/N 070-0643-xx.)
3 Connect the T-cable assembly
between the multigas analyzer and the monitor.
4 Connect the SDLC terminator
to the T-cable.
5 Connect the hospital
scavenging system to the scavenger port.
To set gas alarm limits:
1 Touch GAS. 2 Touch ALARM LIMITS. 3 Select the parameter for which
you wish to set alarm limits.
4 Touch ON for the parameter
selected in step 3.
5 Use the arrow keys to set the
high and low alarm limit or the apnea alarm delay time.
6 Touch PREVIOUS MENU to
select another parameter for setting alarm limits.
7 Repeat steps 3 through 6 until
all limits are set.
To adjust the waveform scale size:
1 Touch GAS. 2 Touch SETUP. 3 Touch SIZE. 4 Select the desired scale size.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
To start multigas monitoring when the unit is OFF:
1 Plug the device power cord into
an AC power outlet and assure that the unit is connected to a monitor.
2 If not present, insert the gas
analyzer filter above the water trap and close the li d.
3 If not present, insert the water
trap with the patient connector on the right side.
4 Check to make certain the
Stand By switch is OFF (in the “out” position).
5 Turn power to patient monitor
ON.
6 Turn power to gas analyzer ON
(ON/OFF switch on back of unit).
7 Prepare the patient according
to hospital procedures.
8 Allow the analyzer to warm up
for a minimum of 2 minutes. Full accuracy is achieved after 30 minutes.
9 Connect one end of the gas
sample line to the gas sampling tee or breathing circuit and connect the other end to the water trap luer connection.
10 Check for a good seal at the top
of the water trap.
11 During the use of anesthetic
agents, ensure that the scavenge line connects to the scavenger port on the multigas analyzer's rear panel.
To start multigas monitoring from Stand By mode:
1 Press STAND BY to deactivate
the Stand By mode (switch is “out”).
2 If the disposable water trap and
filter are not present, install them now.
3 When multigas monitoring is no
longer needed, press STAND BY (switch is “in”) or turn unit OFF (on back of unit). Do not disconnect power to the analyzer or the monitor.
To check O2 sensor:
1 Turn unit on and allow warm up
to occur (4 minutes).
2 Touch GAS. 3 Touch CAL. 4 Touch CHECK O2 SENSOR. 5 At completion of successful
test, normal monitoring will resume.
To select Auto Agent ID:
1 Touch GAS. 2 Touch SELECT AGENT. 3 Touch AUTO ID.
Multigas Troubleshooting Guide
Clinical Situation Possible Cause Solution
FILTER DOOR OPEN ­Close filter access door
The gas analyzer filter door is ajar. Close the door by pressing it downward.
OCCLUSION ­Check T-adapter, sample line
The sample line is blocked. Check the sample line for blockage or crimps,
The gas analyzer filter is plugged. Replace the gas analyzer filter cartridge.
SPAN IN PROGRESS One of the span calibration procedures is in
O2 SPAN FAILED ­Check exhaust port
MIX
NOTE: This message appears in agent numerics area.
progress.
Scavenger port is blocked. Remove sc avenger port blockage and repeat
O
sensor assembly output is very negative. After checking exhaust port, if RAW = 0 in
2
Agent mixture detected. The analyzer is not designed to
and replace as necessary.
Wait until span calibration is completed and
message goes away.
the SPAN. If the SPAN fails again, contact a qualified service person.
SERVICE CAL MODE, service is required. Replacement of the O assembly is indicated.
simultaneously measure multiple anesthetic agents. Inaccurate numeric concentration values may be displayed when two or more agents are mixed.
The displayed value of the mixed condit ion is
based on the combined value of agents using the coefficient factors of the last detected or selected agent type.
The displayed value of the mixed condit ion is
based on the combined value of agents using the coefficient factors of the last detected or selected agent type.
When the analyzer detects an agent mixture:
• In Auto ID Mode — The mixed condition is reported by displaying I MIX and E MIX as the agent labels on all screens.
• In Manual ID Mode — In large text screen, the mixed condition is reported by displaying the word MIX under the parameter label area next to the units of measure. In the small text screen or the split screen central, the parameter label s will alternate between the mix labels in normal video and the selected agent-type labels in reverse video.
sensor electronics
2
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
EEG Reference Guide
To set DSA trend:
1 Touch EEG. 2 Touch SETUP. 3 Touch DSA. 4 Touch DSA TREND. 5 Select trend.
To setup EEG or EMG monitoring:
1 Attach lead wires to EEG or
EMG electrodes.
2 Attach lead wires to patient
cable.
3 Apply electrodes to patient. 4 Insert module into module slot. 5 Attach EEG patient cable to
module.
To freeze the analog EEG:
1 Touch EEG. 2 Touch DISPLAY FORMAT. 3 Select FREEZE ON.
To start processing:
1 Touch EEG. 2 Touch START PROC. 3a Touch ERASE ARCHIVED
EEG DATA for each new patient.
3b Touch RETAIN ARCHIVED
EEG DATA if the data in the module is to be saved.
To display DSA EEG with trend overlay:
1 Touch EEG. 2 Touch DISPLAY FORMAT. 3 Select DUAL FORMAT OFF. 4 Touch DSA. 5 Touch PREVIOUS MENU. 6 Touch SETUP. 7 Touch DSA. 8 Touch DSA TREND. 9 Select desired trend.
To display analog EEG:
1 Touch EEG. 2 Touch DISPLAY FORMAT. 3 Select DUAL FORMAT OFF. 4 Touch ANALOG.
To enter electrode lead placement (processing must be off):
1 Touch EEG. 2 Touch SETUP. 3 Touch INITIAL SETUP. 4 Touch SYSTEM PARAMS. 5 Touch MONTAGE. 6 Touch ERASE ARCHIVED
EEG DATA (if data is stored in module).
7 Touch MONTAGE. 8 Select 2 or 4 channel. 9 Select desired channel. 10 Touch CLEAR CHANNEL. 11 Select desired electrode
placement sites.
12 Repeat steps 9 through 11 until
all channels are defined.
To display DSA EEG with trend overlay and analog EEG:
1 Touch EEG. 2 Touch DISPLAY FORMAT. 3 Select DUAL FORMAT ON. 4 Touch DSA & ANALOG. 5 Touch EEG. 6 Touch SETUP. 7 Touch DSA. 8 Touch DSA TREND. 9 Select desired trend.
To select an EEG label (if using more than one EEG module a monitor):
1 Touch EEG. 2 Stop processing (if started). 3 Touch SETUP. 4 Touch INITIAL SETUP. 5 Touch SYSTEM PARAMS. 6 Touch SELECT LABEL. 7 Select desired label.
To put the module in continuous impedance mode from the Montage screen:
1 Touch EEG. 2 Touch SETUP. 3 Touch INITIAL SETUP. 4 Touch SYSTEM PARAMS. 5 Touch MONTAGE. 6 Touch CONTINUOUS
IMPEDANCE.
To put the module in continuous impedance mode:
1 Touch EEG. 2 Touch SETUP. 3 Touch ANALOG. 4 Touch CONTINUOUS
IMPEDANCE.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
ECG Reference Guide
To access local or remote calcs:
1 Touch SPECIAL FUNCTIONS. 2a Select LOCAL or REMOTE
TRENDS/CALCS.
2b If you selected REMOTE
TRENDS/CALCS, select a bed.
3 Touch CALCS. 4 Select a calcs key (HEMO,
RESP, OXY, RENAL).
To create a new entry:
1 Access Local or Remote Calcs. 2 Touch NEW ENTRY. 3 Touch EDIT INPUTS to input
new data not available in the system.
4 Select an input key. 5 Use the on-screen keypad to
input the value.
6 Touch ENTER on the on-
screen keypad.
7 Touch PREVIOUS MENU. 8 Touch STORE ENTRY to
retain entry in Calcs table.
To enter a drug dose value:
1 Access Local or Remote Drug
Calcs.
2 Touch EDIT INPUTS. 3 Select the desired key. 4 Use on-screen keypad to
change value.
5 Touch ENTER on the on-
screen keypad.
To access local or remote drug calcs:
1 Touch SPECIAL FUNCTIONS. 2a Select LOCAL or REMOTE
TRENDS/CALCS.
2b If you selected REMOTE
TRENDS/CALCS, select a bed.
3 Touch DRUG CALCS. 4 Select DRUG A, B, C, D, E,
or F.
To create a record for a past time:
1 Access Local or Remote Calcs. 2 Touch NEW ENTRY. 3 Highlight the DAY/TIME key on
a new or prior entry.
4 Touch EDIT DAY/TIME. 5 Select DAY, HOURS, or
MINUTES.
6 Use the on-screen keypad to
change.
7 Touch ENTER on the on-
screen keypad.
8 Touch PREVIOUS MENU, then
STORE ENTRY to retain entry in Calcs table.
To store a drug record entry:
1 Access Local or Remote Drug
Calcs.
2 Select a Drug key. 3 Touch STORE ENTRY.
To edit a record:
1 Access Local or Remote Calcs. 2 Touch EDIT INPUTS. 3 Select an input value to edit. 4 Use the on-screen keypad to
change the input value.
5 Touch ENTER on the on-
screen keypad.
6 Touch PREVIOUS MENU, then
STORE ENTRY to retain entry in Calcs table.
To store an entry:
1 Access Local or Remote Calcs. 2 Highlight DAY/TIME key of the
entry to be stored.
3 Touch STORE ENTRY.
To change drug units:
1 Access Local or Remote Drug
Calcs.
2 Touch EDIT INPUTS. 3 Touch UNITS. 4 Select units to change.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Hemodynamic Calculations
Variable Calculation Normal Range*
Cardiac Index (CI) CO BSA
Stroke Volume (SV) CO x 1000 HR
Stroke Volume Index (SVI) SV
Systemic Vascular Resistance (SVR) MAP - CVP x 79.9
Systemic Vascular Resistance Index (SVRI) MAP - CVP x 79.9
Pulmonary Vascular Resistance (PVR) MPA - PCWP x 79.9
BSA
CO
CI
(Converts to SVR x BSA)
CO
Pulmonary Vascular Resistance Index (PVRI) MPA - PCWP x 79.9 CI
(Converts to PVR x BSA)
Left Ventricular Stroke Work (LVSW) (MAP - PCWP) x SV x 0.0136
Left Ventricular Stroke Work Index (LVSWI) (MAP - PCWP) x SVI x 0.0136
(Converts to LVSW/BSA)
Right Ventricular Stroke Work (RSVW) ■ (MPA - CVP) x SV x 0.0136
Right Ventricular Stroke Work Index (RVSWI)) (MPA - CVP) x SVI x 0.0136
(Converts to RVSW/BSA)
(HR = Heart Rate; BSA = Body Surface Area; MAP = Mean Arterial Pulse; CVP = Central Venous Pressure; MPA
= Mean Pulmonary Artery Pressure; PCWP = Pulmonary Capillary Wedge Pressure)
2.5 - 4.0 liters/min/m
2
60 - 130 ml/beat
30 - 65
900 - 1400
1760 - 2600
20 - 130 dynes
2
ml/beat/m
dynes x
5
sec/cm
(dynes x sec/cm5) x m
5
x sec/cm
36 - 235 (dynes x sec/cm5) x m
45 - 75 g x min/m2/beat
4 - 8 g x min/m2/beat
2
2
*Note: The values listed here represent commonly published ranges for adults and are for reference purposes only.
Acceptable values for individuals should be determined by hospital protocol and the attending physician.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
Respiration Calculations
Variable Calculation Units
Respiratory Rate (RR) Monitored Value or Ventilator breaths/min
Partial Pressure of Arterial Carbon Dioxide (PaCO2) ■ Laboratory Measurement ■ mmHg or
Tidal Volume (VT) Ventilator ml/breath
Peak Inspiratory Pressure (PIP) Ventilator cmH2O
Plateau Pressure (PLT) Ventilator cmH2O
Positive End Expiratory Pressure (PEEP) Ventilator cmH2O
Partial Pressure of Expired Carbon Dioxide (PECO2) ■ Data Entry ■ mmHg or
Minute Volume (VMIN) VT x RR/1000 L/min
Static Compliance (Cst) VT/(PLT - PEEP) ml/cmH2O
Dynamic Compliance (Cdyn) VT/(PIP - PEEP) ml/cmH2O
Dead Space Volume (VD) (PaCO2 - PECO2) x
Dead Space to Tidal Volume Ratio (VD/VT) VD/VT (ratio)
Alveolar Ventilation (VA) (VT - VD) x RR ml/min
*Note: The values listed here represent commonly published ranges for adults and are for reference purposes only. Acceptable values for individuals should be determined by hospital protocol and the attending ph ysician.
(VT/PaCO2)
kPa
kPa
ml
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system.
Oxygenation Calculations
Variable Calculation Normal Range*
Arterial Oxygen Saturation (SaO2) ■ Laboratory Measurement (SaO2) or Pulse
Partial Pressure of Arterial Oxygen
(PaO2)
Mixed Venous Oxygen Saturation (SvO2)
Partial Pressure of Mixed Venous Oxygen (PvO2)
Oxygen Availability (O2AV) ■ CTaO2 x CO x 10 ■ 900 - 1100 ml/min
Oxygen Availability Index (O2AVI) O2AV/BSA ■ 497 - 608
Arterial Oxygen Content (CTaO2) ■ (1.34 x Hgb x SpO2/100) +
Mixed Venous Oxygen Content
(CTvO2)
Arterial/Venous Oxygen Difference (avDO2)
Oxygen Consumption (VO2) ■ avDO2 x CO x 10 ■ 200 - 300 ml/min
Oxygen Consumption Index (VO2I) ■ VO2/BSA ■ 110 - 166
Oxygen Extraction Ratio (O2ER) ■ VO2/O2AV (Simplifies to avDO2/CTaO2) ■ 1/ 4 or 0.25
Partial Pressure of Alveolar Oxygen
(PAO2)
Pulmonary Venous Admixture Shunt (Qs/Qt)
PaO2/FiO2 Ratio (P/F) PaO2/FiO
(Hgb = Hemoglobin; PB = Ba rometric Pressure)
*Note: The values listed here represent commonly published ranges for adults and are for reference purposes only. Acceptable values for individuals should be determined by hospital protocol and the attend ing physician.
Oximetry (SpO2)
Laboratory Measurement 80 - 100 mmHg
Laboratory Measurement or Monitored Value 60 - 80%
Laboratory Measurement 35 - 45 mmHg
(PaO2 x 0.0031)
(1.34 x Hgb x SvO2/100) + (PvO2 x 0.0031)
CTaO2 - CTvO
[(FiO2/100) x (PB - 47)] - PaCO2/0.8 ■ 100 mmHg
100 x [ (1.34 x Hgb) + (0.0031 x PAO
(1.34 x Hgb) + (0.0031 x PAO2) - CTvO
2
) - CTaO2)]
2
2
2
95 - 100 %
10.6 - 13.3 kPa
4.6 - 5.9 kPa
2
ml/min/m
18 - 20 ml/dl
14 - 16 ml/dl
3 - 5.5 ml/dl
2
ml/min/m
13.3 kPa
Variable,
depending on FiO
2
Variable, depending on FiO
2
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system.
Renal Calculations
Vari able
Urine Potassium (URK) Laboratory Measurement mEq/L
Plasma Osmolality (PLOSM) Laboratory Measurement mOsm/L
Urine Osmolality (UROSM) Laboratory Measurement mOsm/L
Serum Sodium (SerNa) Laboratory Measurement mEq/L
Serum Creatinine (CR) Laboratory Measurement mg/dl
Urine Creatinine (UCR) Laboratory Measurement mg/dl
Blood Urea Nitrogen (BUN) Laboratory Measurement mg/dl
Urine Sodium (URNa) Laboratory Measurement mEq/L
Urine Volume (URINE) Data Entry ml/day
Urine Sodium Excretion (URNaEX) URNa x URINE/1000 mEq/ day
Urine Potassium Excretion (URKEX) URK x URINE/1000 mEq/da y
Urine Sodium to Urine Potassium Ratio (Na/K) URNa/URK (ratio)
Osmolar Clearance (COSM) ■ (UROSM/PLOSM) x URINE ml/day
Water Clearance (CH2O) ■ URINE - COSM ■ ml/day
Urine Osmolality to Plasma Osmolality Ratio (U/POSM) UROSM/PLOSM (ratio)
Fractional Sodium Excretion (FENa) (URNa/SerNa) x (CR/UCR)
Creatinine Clearance (CRCL) (UCR/CR) x URINE/1440) x
Non-Saline Loss (NSLOSS) URINE -
BUN to Creatinine Ratio (BUN/CR) BUN/CR (ratio)
Urine Creatinine to Serum Creatinine Ratio (U/CR) UC R/CR (ratio)
Acquisition Method or
Calculation
x 100
1.73/BSA
(URINE x URNa/SerNa)
Units
%
ml/min/m
2
ml/day
*Note: The values listed here represent commonly published ranges for adults and are for reference purposes only.
Acceptable values for individuals should be determined by hospital protocol and the attending physician.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system.
Trends Reference Guide
To display a trend:
1 Touch SPECIAL FUNCTIONS. 2a Select LOCAL TRENDS/
CALCS or REMOTE TRENDS/ CALCS.
2b If you touched REMOTE
TRENDS/CALCS, select a bed.
3a Touch GRAPHIC TRENDS.
-OR-
3b Touch TABULAR TRENDS.
(Follow these three steps to start each quickstart in this guide.)
To print the trend display:
1 Adjust trend display as desired. 2 Touch PRINT.
To view additional parameters and data (from a different time):
1a Use the PAGE and SCROLL
up and down arrow keys to move parameter rows vertically.
-OR-
1b Use the PAGE and SCROLL
left and right keys to move data columns horizontally.
To set a trend graph time base:
1 Touch TIME BASE. 2 Select 2, 6, 12, or 24 HRS.
To adjust the scale size:
1 Touch SIZE. 2 Select desired parameter key. 3 Use arrow keys to adjust.
To view additional parameters and data (for Tabular Trends):
1 Select PAGE or SCROLL. 2 Use the and arrow keys to
move parameter rows up or down.
To expand the trend display:
1 Touch either CURSOR key to
move the cursor to the desired location.
2 Select EXPAND ON.
To set a time interval:
1 Touch TIME INTERVAL. 2 Select the desired time interval.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Trends Troubleshooting Guide
Clinical Situation Possible Cause Solution
Current patient data not being added to trends
If alarms are suspended data may not be trended at the bedside monitor.
EXPAND key ON (trend data will not be lost).
ECG or SpO2 processing is suspended.
Cursor not in home position (trend data will not be lost).
Turn ON alarms or have your system administrator enable your system to trend while alarms are suspended .
Change EXPAND to OFF.
Resume ECG or SpO2 processing.
Move the cursor to the extreme right
position.
PCWP trend not available
Incorrect unit of measure displayed
CALCS data not trended
NO TRENDS AVAILABLE FOR THIS BED message is displayed
Numerous entries with ??? instead of vital signs
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
PCWP values not saved. Save the PCWP values.
Incorrect unit of measure configured
for system.
Trends cannot trend CALCS. Use the CALCS menu to display this
No trend data has yet accumulated
for the selected parameter.
Alarm Suspend was selected frequently.
ECG/Resp or SpO2 processing suspended.
Contact your system administrator.
data.
Allow sufficient time for data to accumulate.
Contact your system administrator to collect data during Alarm Suspend periods.
Do not suspend ECG or Sp O processing unless the patient is off the system.
Ensure that ECG/Resp amplitude and signal quality are sufficient.
2
Remote Keypad Reference Guide
To select a parameter:
1 Point the remote keypad at the
monitor’s receiver.
2 Press WAVEFORM for
parameter number 1.
3a Press up or down arrow keys to
desired parameter.
-OR-
3b Press the number of the
desired parameter.
4 Press ENTER.
To verify a remote keypad's current access code:
1 Point the remote keypad at the
monitor’s receiver.
2 Touch ACCESS CODE. 3 Touch ENTER.
To select the unsecured mode:
1 Touch MONITOR SETUP. 2 Touch PRIVILEGED ACCESS. 3 Enter Clinical password. 4 Touch MORE. 5 Touch REMOTE KEYPAD
STATION ADDRESS.
6 Select SECURED MODE OFF.
To operate menu keys:
1 Point the remote keypad at the
monitor’s receiver.
2 Select a parameter key. 3 Press MENU. 4a Press left or right arrow key to
desired position.
-OR-
4b Press the number of the
desired menu key.
To set a remote keypad's access code:
1 Point the remote keypad at the
monitor’s receiver.
2 Touch ACCESS CODE. 3 Select first digit. 4 Select second digit. 4a Touch ENTER.
To print data from a waveform zone:
1 Point remote keypad at the
monitor’s receiver.
2a Press up or down arrow keys to
desired parameter.
-OR-
2b Press the number of the
desired parameter.
3 Press RECORD. 4 Repeat step 2. 5 Press ENTER.
To set the monitor's access code:
1 Touch MONITOR SETUP. 2 Touch PRIVILEGED ACCESS. 3 Enter Clinical password. 4 Touch MORE. 5 Touch REMOTE KEYPAD
STATION ADDRESS.
6 Select SECURED MODE ON. 7 Use the arrow keys to select
the number.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Remote Keypad Troubleshooting Guide
Clinical Situation Possible Cause Solution
Monitor accepts commands from any keypad
Monitor operating in an unsecured mode.
Select an access code and program both the monitor/receiver and the keypad to that code.
During programming, another receiver was inadvertently changed
Monitor does not respond
Remote keypad placed too close to another monitor’s receiver.
Monitor may not support remote keypad.
Depleted battery in remote keypad. Replace battery in remote keypad.
Move the keypad directly in front of the
receiver to be programmed and place your finger over the keypad window during programming.
Press the ACCESS CODE key.
If an A is not displayed (below the NORMAL SCREEN key), contact your system administrator or biomed.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Remote Display Reference Guide
To set up the remote display:
1 Touch MONITOR SETUP. 2 Touch SECONDARY CONFIG. 3 Touch PARAMETER CONFIG. 4 Select a parameter. 5 Select the destination priority. 6 Select a color. 7 Select the parameter key to be
colored (the key and waveform will appear in the chosen color).
8 Touch STORE to store local
color and priority settings.
To copy the stored values of the primary:
1 Touch MONITOR SETUP. 2 Touch SECONDARY CONFIG. 3 Touch PARAMETER CONFIG. 4 Touch COPY PRIMARY
PRIO/COLOR.
5 Touch STORE.
To set factory default values of secondary display:
1 Touch MONITOR SETUP. 2 Touch SECONDARY CONFIG. 3 Touch PARAMETER CONFIG. 4 Touch FACTORY DEFAULTS. 5 Touch STORE.
To copy the primary monitors configuration:
1 Touch MONITOR SETUP. 2 Touch SECONDARY CONFIG. 3 Touch PARAMETER CONFIG. 4 Touch COPY PRIMARY
PARAMETER.
To lock the secondary display:
1 Adjust parameter attributes on
primary to reflect how you want the secondary to appear.
2 Touch MONITOR SETUP. 3 Touch SECONDARY CONFIG. 4 Touch PARAMETER CONFIG. 5 Touch LOCK.
To adjust the scaled display:
1 Touch MONITOR SETUP. 2 Touch PRIVILEGED ACCESS. 3 Enter Clinical password. 4 Touch SCALED DISPLAY. 5 Touch PRIMARY/
SECONDARY key to choose display to change.
6 Select MINOR GRATICULE
ON.
7 Use arrow keys to adjust.
To restore the last stored configuration:
1 Touch MONITOR SETUP. 2 Touch SECONDARY CONFIG. 3 Touch PARAMETER CONFIG. 4 Touch RESTORE.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Patient Data Logger Reference Guide
To set up Patient Data Logger (the user must have System Administrator access):
1 Touch MONITOR SETUP. 2 Touch PRIVILEGED ACCESS. 3 Enter biomed password. 4 Touch SERIAL PORTS and
select a port.
5 Touch ASSIGNMENT. 6 Touch DATALOGGER. 7 Touch PREVIOUS MENU.
To set serial settings:
1 Touch SETTINGS. 2 Touch the desired setting
key(s) to display desired settings.
3 Touch NORMAL SCREEN to
effect changes.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Patient Data Logger Troubleshooting Guide
Clinical Situation Possible Cause Solution
Data is displayed with improper spacing or double spacing
The PDL interface sends a carriage return/line feed sequence at each end-of-line. The external device may not be set up properly.
Set the external device for “0” line feed.
No data is displayed or printed on the external device
Data is lost or garbled The cable is faulty. Check the cables.
There is a power problem or the cables are faulty. The device may not be set up properly.
The parity is set incorrectly. Verify the baud rates and parity
Baud rate settings may be
inappropriate.
Check the power and cables. Ensure that the device is in the online mode and that RS-232 port req uirements are satisfied.
Check for RS-232 compatibility at the monitor and at the external device.
Check the monitor port assignments and port connections.
settings.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
DNA Reference Guide
To set up DNA (must have System Administrator menu access):
1 Touch MONITOR SETUP. 2 Touch PRIVILEGED ACCESS. 3 Enter biomed password. 4 Touch MORE. 5 Touch DNA
CONFIGURATION.
6 Enter desired configuratio n
using the keyboard.
7 Touch OK. 8 Touch RESET MONITOR.
To access DNA:
1 Touch SPECIAL FUNCTIONS. 2 Touch DNA. 3 Touch the desired application
icon.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
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