UTECH VS2000V Operation Manual

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Page 1

VS2000V

Veterinary Vital Signs Monitor

Operation Manual

English

ersion

1.0,

March 2011

2011 UTECH Co., Ltd.

All

rights reserved.

Page 2

Page 3

Table of Contents

Warranty and Service Information ......................................... VII

Proprietary Notice ...................................................................... VII

Limited Warranty ....................................................................... VII

Disclaimer of Warranties ........................................................... VIII

Conditions of Warranty .............................................................. VIII

Limitation of Remedies .............................................................. VIII

Service Support ......................................................................... VIII

Chapter 1: Introduction ......................................................... 1-1

1.1 About this Manual ............................................................... 1-1

1.2 Using the Manual ................................................................. 1-1

1.3 Definition of Symbols ........................................................... 1-1

1.4 Warning Information ............................................................ 1-2

Chapter 2: Intended Use and General Information ................. 2-1

2.1 Intended Use ....................................................................... 2-1

2.2 Measurement Capabilities .................................................... 2-1

Chapter 3: Controls and Features .......................................... 3-1

3.1 Indicators and Displays with Embedded Submenus ............... 3-1

3.2 Keys ..................................................................................... 3-3

3.3 Left Panel ............................................................................. 3-4

3.4 Back Panel ........................................................................... 3-5

3.5 Internal Battery.................................................................... 3-6

Chapter 4: Setting up the Monitor ......................................... 4-1

4.1 Unpacking the Monitor and Check the Shipment .................. 4-1

4.2 Quick Setup Instructions ...................................................... 4-1

4.3 Detailed Setup Instructions .................................................. 4-1

4.4 Basic Operation .................................................................... 4-2

4.5 Systems Setup ...................................................................... 4-3

4.5.1 Time Setup .................................................................................... 4-3

4.5.2 Unit Setup ..................................................................................... 4-4

4.5.3 Net Setup ...................................................................................... 4-4

4.5.4 Volume Setup ............................................................................... 4-5

4.5.6 LCD Brightness Setup .................................................................... 4-6

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4.5.7 Power Setup .................................................................................. 4-7

4.5.8 Language Setup ............................................................................. 4-7

4.6 Set Patient Information ....................................................... 4-8

4.6.1 How to use the keyboard ............................................................. 4-8

4.6.2 Patient Setup................................................................................. 4-9

4.7 Display Setup ..................................................................... 4-10

4.7.1 Customize Display Modes ........................................................... 4-11

Chapter 5: Monitoring the Patient ........................................ 5-1

5.1 General Monitoring Instructions .......................................... 5-1

5.2 Attach the Patient ............................................................... 5-1

5.3 Adjust the Waveforms Settings ............................................ 5-1

5.4 Adjust the Parameter Box Settings ....................................... 5-2

5.5 Set Alarm Limits .................................................................. 5-2

5. 6 Use these Features as Needed............................................. 5-3

5.6.1 Responding to an Alarm ............................................................... 5-3

5.6.2 NIBP Mode .................................................................................... 5-4

5.6.3 Freeze Mode ................................................................................. 5-5

5.6.4 Trends ............................................................................................ 5-5

5.6.5 Viewing Stored Trend Data ........................................................... 5-6

Chapter 6: Alarms ................................................................. 6-1

6.1 Parameter Alarms and Technical Alarms .............................. 6-1

6.2 High, Medium, and Low Priority Alarms ............................... 6-1

6.3 Controlling Alarms ............................................................... 6-2

6.3.1 Change alarm limits ...................................................................... 6-3

6.3.2 Silence alarms ............................................................................... 6-4

Chapter 7: ECG...................................................................... 7-1

7.1 ECG Measurement Capability ............................................... 7-1

7.2 ECG Warnings, Cautions, and Notes ..................................... 7-1

7.3 Theory of Operation ............................................................ 7-1

7.4 Attaching the Patient ........................................................... 7-2

7.5 Choosing the Waveform Settings ......................................... 7-4

7.5.1 Access the ECG Waveform Menu ................................................. 7-4

7.5.2 Change the Primary ECG Lead ...................................................... 7-4

7.5.3 Choose the Waveform Size ........................................................... 7-5

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7.5.4 Choose the Waveform Speed ....................................................... 7-6

7.6 Adjusting the Settings in the Parameter Box ......................... 7-6

7.6.1 HR Alarm Setup ............................................................................. 7-6

7.6.2 Choose the Heart Rate Source ..................................................... 7-8

7.7 Monitoring ST ...................................................................... 7-9

7.1.1 Turn on the ST Switch ................................................................... 7-9

7.1.2 ST Display .................................................................................... 7-10

7.1.3 ST Alarm Setup ........................................................................... 7-10

Chapter 8: Oximetry .............................................................. 8-1

8.1 Oximetry Measurement Capability ....................................... 8-1

8.2 Oximetry Warnings, Cautions, and Notes .............................. 8-1

8.3 Pulse Oximetry Theory of Operation ..................................... 8-2

8.4 Attaching the Patient ........................................................... 8-3

8.5 Performance Considerations ................................................ 8-5

8.6 Choosing the Waveform Settings .......................................... 8-6

8.6.1 Access the Waveform Menu ........................................................ 8-6

8.6.2 Fill the Pleth Waveform ................................................................ 8-6

8.6.3 Choose the Waveform Speed ....................................................... 8-7

8.7 Adjusting the Settings in the Parameter Box ......................... 8-8

8.7.1 SpO2 Alarm Setup ......................................................................... 8-8

8.7.2 Choose the Averaging Period for the Oximetry Parameter ........ 8-9

Chapter 9: Non-invasive Blood Pressure ................................ 9-1

9.1 Non-invasive Blood Pressure Measurement Capability .......... 9-1

9.2 Non-invasive Blood Pressure Warnings, Cautions, and Notes 9-1

9.3 NIBP Theory of Operation..................................................... 9-2

9.4 Measurement Limitations .................................................... 9-3

9.5 Attaching the Patient ........................................................... 9-3

9.6 Adjusting the Settings in the Parameter Box ......................... 9-6

9.6.1 NIBP Alarm Setup ......................................................................... 9-6

9.6.2 Choose the Interval for Automatic NIBP Measurements ............ 9-7

9.6.3 Assist Venous Puncture ................................................................ 9-8

9.7 Measuring Non-invasive Blood Pressure (NIBP) ..................... 9-9

9.7.1 Manual NIBP Mode ...................................................................... 9-9

9.7.2 Auto NIBP Mode ........................................................................... 9-9

9.7.3 STAT NIBP Mode ........................................................................... 9-9

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9.7.4 Canceling the an NIBP Measurement ......................................... 9-10

9.8 Cleaning the NIBP Cuff ........................................................ 9-10

Chapter 10: Respiration Rate (Resp) ..................................... 10-1

10.1 Respiration Rate Measurement Capability ......................... 10-1

10.2 Respiration Rate Warnings, Cautions, and Notes ............... 10-1

10.3 Attaching to the Patient .................................................... 10-1

10.4 Choosing the Waveform Settings ...................................... 10-1

10.4.1 Change the ECG Lead ................................................................ 10-1

10.4.2 Choose the Waveform Size ....................................................... 10-2

10.4.3 Choose the Waveform Speed ................................................... 10-3

10.5 Adjusting the Settings in the Parameter Box ...................... 10-3

10.5.1 RR Alarm Setup ......................................................................... 10-3

Chapter 11: Temperature ..................................................... 11-1

11.1 Temperature Measurement Capability .............................. 11-1

11.2 Temperature Warnings, Cautions, and Notes ..................... 11-1

11.3 Attaching the Patient ........................................................ 11-1

11.4 Adjusting the Settings in the Parameter Box ...................... 11-2

11.4.1 TEMP Alarm Setup .................................................................... 11-2

Chapter 12: Drug Calculator ................................................. 12-1

12.1 Accessing the Drug Calculator ........................................... 12-1

12.2 Measurement Units .......................................................... 12-1

12.3 Glossary ........................................................................... 12-2

12.4 Performing Drug Calculation ............................................. 12-3

12.5 Charting Infusion Progress ................................................ 12-5

12.6 Using the Titration Table ................................................... 12-6

12.7 Recalculation .................................................................... 12-6

Chapter 13: Maintenance and Troubleshooting .................... 13-1

13.1 Cleaning the Monitor's Surfaces ........................................ 13-1

13.2 Long-term Storage ............................................................ 13-2

13.3 Operator's Troubleshooting Chart ..................................... 13-2

13.4 Maintenance Menu .......................................................... 13-4

13.4.1 Access the Maintenance Menu ................................................ 13-4

13.4.2 Back to Factory Default Values................................................. 13-5

13.4.3 Using the Demo Mode .............................................................. 13-5

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Table of Contents

Chapter 14: Optional Supplies and Accessories .................... 14-1

14.1 Ordering Information ....................................................... 14-1

Chapter 15: Specification .................................................... 15-1

15.1 Display ............................................................................. 15-1

15.2 Indicators ......................................................................... 15-1

15.3 Alarm Volume .................................................................. 15-1

15.4 Keys/User Controls ........................................................... 15-1

15.4 ECG .................................................................................. 15-2

15.5 SpO2 ................................................................................ 15-2

15.6 NIBP ................................................................................ 15-3

15.7 Respiration Rate (RESP) .................................................... 15-3

15.8 Temperature (TEMP) ........................................................ 15-4

15.9 Default Alarms Limits ....................................................... 15-4

15.10 Power Requirement ....................................................... 15-4

15.11 Dimensions .................................................................... 15-4

15.12 Environmental ................................................................ 15-5

15.13 Equipment Classification ................................................ 15-5

Veterinary Vital Signs Monitor Operation Manual V

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Table of Contents

This Page is Intentionally Left Blank!

Veterinary Vital Signs Monitor Operation Manual

Page 9

Warranty and Service Information

Proprietary Notice

Information contained may not approval of UTECH detailed spare parts for the device document publication or revision, but

duplicated in full or part by any person without prior written

documentation

is believed to be current and accurate as of the date of

Limited Warranty

Utech Co., Ltd. ("Seller") warrants to the original purchaser that the Product, not including applicable accessories, shall be free from defects in material and workmanship under normal use, if used in accordance with its labeling, for

one year

Seller warrants to the original purchaser that the reusable oximeter sensors supplied as accessories, shall be free from defects in materials and workmanship under normal use, if used in accordance with its labeling, for one year from the date of shipment to the original purchaser.

Seller warrants to the original purchaser that the reusable ECG leads and reusable NIBP purple hose supplied as accessories, shall be free from defects in materials and workmanship under normal use, if used in accordance with its labeling, for 90 days from the date of shipment to the original purchaser.

Blood pressure cuffs carry a (6) six month warranty, pending evaluation by Utech Co., Ltd. (UTECH) Technical Services. Cuffs that are contaminated, have liquid in them, have been misused/ abused or are older than (6) months will not be covered under warranty. The sole obligation of UTECH under this warranty will be to repair or replace, at its option, products that prove to be defective during the warranty period.

The foregoing shall be the sole warranty remedy. Except as set forth herein, seller makes no warranties, either expressed or implied, including the implied warranties of merchantability and fitness for a particular purpose. No warranty is provided if the products are modified without the express written

from the date of shipment to the original purchaser.

in this

document

Co.,

Ltd. Its purpose is to provide the user with

to efficiently install, operate, maintain and order

supplied. All information

does

not

copyrighted

constitute

a warranty.

by Utech

contained

Co., Ltd. and

adequately

this

Veterinary Vital Signs Monitor Operation Manual

VII

Page 10

Warranty and Service Information

consent of Utech Co., Ltd. and seller shall not be liable in any event for incidental or consequential damage. This warranty is not assignable.

Warranties are subject to change. Please contact Utech Co., Ltd. for current warranty information.

Disclaimer of Warranties

THE FOREGOING EXPRESS WARRANTY, AS CONDITIONED AND LIMITED, IS IN LIEU OF AND EXCLUDES ALL OTHER WARRANTIES WHETHER EXPRESS OR IMPLIED, BY OPERATION OF LAW OR OTHERWISE, INCLUDING BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

Seller disclaims responsibility for the suitability of the Product for any particular medical treatment or for any medical complications resulting from the use of the Product. This disclaimer is dictated by the many elements which are beyond Seller's control, such as diagnosis or patient, conditions under which the Product may be used, handling of the Product after it leaves Seller's possession, execution of recommended instructions for use and others.

Conditions of Warranty

This warranty is void of the Product has been altered, misused, damaged by neglect or accident, not properly maintained or recharged, or repaired by persons not authorized by Seller. Misuse includes, but is not limited to, use not in compliance with the labeling or use with accessories not manufactured by Seller. This warranty does not cover normal wear and tear and maintenance items.

Limitation of Remedies

The original purchaser's exclusive remedy shall be, at Seller's sole option, the repair or replacement of the Product.

event will Seller's liability arising out of any cause whatsoever (whether such cause is based in contract, negligence, strict liability, tort or otherwise) exceed the price of the Product and in no event shall Seller be responsible for consequential, incidental, or special damages of any kind or nature whatsoever, including by not limited to, lost business, revenues and profits.

THIS IS THE EXCLUSIVE REMEDY. In no

Service Support

VIII Veterinary Vital Signs Monitor Operation Manual

Page 11

Warranty and Service Information

Web site

www.

chinautech.com

Repairs for devices manufactured by UTECH company under warranty must be made at authorized repair centers. If the device needs repair, contact your local distributor or the UTECH company after-service department. When calling, have the device’s model and serial number ready.

If you need to ship the device, pack the device and accessories carefully to prevent shipping damage. All accessories should accompany the device.

3rd floor, NO.39, Jinqiao Road,

Zhangjiawan, Shapingba District, Chongqing, China

NOTE!

Shipments received without a return number will be returned to

sender.

Phone

Fax

E-mail

(+86)23-6172-8390 (+86)23-6172-8391 [email protected]

Keep all original packing material, including any inserts. If you need to ship the device, use only the original packaging material, including inserts. Box and inserts should be in original condition. If original shipping material in good condition is not available, it should be purchased from Utech Co., Ltd.

Damages occurring in transit in other than original shipping containers are the responsibility of the shipper. All costs incurred returning devices for repair are the responsibility of the shipper.

Veterinary Vital Signs Monitor Operation Manual

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Warranty and Service Information

This Page is Intentionally Left Blank!

X Veterinary Vital Signs Monitor Operation Manual

Page 13

Chapter 1: Introduction

Attention, see in instructions for use

NIBP Start/ Stop

Key

Alarm S

ilence

Battery Supply

LED

Chapter 1: Introduction

1.1 About this Manual

The Operation Manual provides installation, operation, and instructions for health-care professionals and other monitoring respiratory and cardiovascular activity.

users, trained in

maintenance

These instructions contain important information for the safe use of the product. Read the entire contents of these Instructions For Use, including Warnings and Cautions, before using the monitor. Failure to properly follow warnings, cautions and instructions could result in death or serious injury to the patient.

1.2 Using the Manual

The monitor allows you to choose the measurement capabilities you need. A measured value refers to a derived or calculated value; a parameter refers to one or more specific measured values. For example, pulse rate and %SpO2 are measurements; the oximeter parameter consists of both these measured values. Operation of the monitor is the same regardless of the number of parameters you use.

If you are not familiar with the operation of this monitor, follow each chapter in the manual in order. Each chapter builds on the information from the previous chapter. If the monitor is already set up, or if you are familiar with its operation, turn to the chapter that describes the features you will use.

1.3 Definition of Symbols

SYMBOLS

DEFINITION

Type BF Defibrillation

Defibrillator-proof type CF equipment

Freeze Key

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Chapter 1: Introduction

AC Power LED

Battery Charge LED

Date of Manufacturing

Drip Proof (monitor only)

equipment.

CAUTION

Tells you something that could damage the device.

IPX1

Indicates separate collection for electrical and electronic

1.4 Warning Information

KEYWORD

WARNING Tells you something that could hurt the patient or hurt the

operator.

NOTE Tells you other important information.

DEFINITION

General Warning, Cautions, and Notes

WARNING! Do not use this device in the

anesthetics with air, oxygen-enriched environments, or nitrous oxide.

or other flammable substance in combination

WARNING! ELECTRICAL SHOCK HAZARD when cover is removed. Do not

remove covers. Refer servicing to qualified personnel.

WARNING! Do not use this device in the presence of magnetic resonance

imaging (MR or MRI) equipment.

WARNING! Do not plug the monitor into an outlet controlled by a wall

switch.

WARNING! This device is intended for use by persons trained in

professional health care. The operator must be thoroughly familiar with the information in this manual before using the device.

WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the

monitor and other accessories in liquid. Evidence that liquid has been allowed to enter the monitor voids the warranty.

WARNING! This device must be used in conjunction with clinical signs and

symptoms. This device is only intended to be an adjunct in

1-2 Veterinary Vital Signs Monitor Operation Manual

presence

of flammable

Page 15

Chapter 1: Introduction

patient assessment.

WARNING! Equipment is protected against defibrillator discharge. Rate

meters and displays may be temporarily affected during defibrillation, but will rapidly recover.

WARNING! The vital sings monitor is suitable for use within the patient

environment IEC 60950 approved equipment must be placed outside of the patient environment. The patient environment is defined as any volume in which intentional or unintentional contact can occur between the patient and parte of systems or between the patient and other persons touching parts of the system.

WARNING! When connecting this monitor to any instrument, verify proper

operation before clinical use. Use only equipment meeting specifications given in this manual. Refer to the instrument's user manual for full instructions. Accessory equipment connected to the monitor's data interface must be certified according to the respective IED standards, i.e. IEC 60950 for data processing equipment or IEC 60601-1 for electro medical equipment. All combinations of equipment must be in compliance with IEC 60601-1-1 systems requirements. Anyone connecting additional equipment to the signal input port or signal output port configures a medical system, and therefore, is responsible that the system complies with the requirements of the system standard IEC 60601-1-1.

WARNING! Any monitor that has been dropped or damaged should be

checked by qualified service personnel to ensure proper operation prior to use.

WARNING! Use only original manufacturer or recommended patient cables.

Use of accessories other than those specified may result in increased electro-magnetic (EM) emissions or decreased EM immunity of the device. To avoid potential electro-static discharge interference, do not use cables that incorporate metal or metal-coated connectors.

WARNING! Medical electrical equipment, including this device, needs

special precautions regarding electro-magnetic compatibility (EMC) and needs to be installed and put into service according

Veterinary Vital Signs Monitor Operation Manual 1-3

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Chapter 1: Introduction

to the EMC information provided in this manual.

WARNING! There is no defibrillator synchronization output on the monitor.

Make no connections between the monitor and a defibrillator.

WARNING! This monitor will not operate effectively on patients who are

experiencing convulsions or tremors.

WARNING! This monitor is not for home use.

WARNING! The monitor should not be used adjacent to or stacked with

other equipment. If adjacent or stacked use is necessary, the monitor should be observed to verify normal operation in the configuration in which it will be used.

WARNING! This monitor is not for apnea detection. The monitor has not

been tested or validated for use in apnea detection.

WARNING! Verify proper operating mode before attaching patient. See

Select the Patient Type in Chapter of Setting Up the Monitor.

WARNING! Default alarm limits are provided for convenience. Verify that

alarm limits are appropriate for given patient and condition, and adjust according to institutional policy.

WARNING! Ensure the monitor's AC rating is correct for the AC voltage at

your installation site before using the monitor. The monitor's AC rating is shown on the rear panel rating plate. If the rating is not correct, do not use the monitor.

WARNING! Disconnect the AC power supply from the outlet before

disconnecting it from the monitor. Leaving the AC power supply connected to an AC power outlet without being connected to the monitor may result in a safety hazard.

WARNING! Do not allow any moisture to touch the AC power supply

connectors or a safety hazard may result. Ensure that hands are thoroughly dry before handling the AC power supply.

WARNING! Do not place the monitor in the patient's bed. Do not place the

monitor on the floor.

1-4 Veterinary Vital Signs Monitor Operation Manual

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Chapter 1: Introduction

WARNING! Failure to place the monitor away from the patient may allow

the patient to turn off, reset, or damage the monitor, possibly resulting in the patient not being monitored. Make sure the patient cannot reach the monitor from their bed.

WARNING! If there is a risk of the AC power supply becoming disconnected

from the monitor during use, secure the cord to the monitor several inches from the connection.

WARNING! This device is intended for use by trained healthcare

professionals. The operator must be thoroughly familiar with the information in this manual before using the device.

WARNING! Do not disassemble the unit. The unit is not use serviceable.

Refer to qualified service personnel.

WARNING! It is the operator's responsibility to set alarm limits

appropriately for each individual patient.

WARNING! If the accuracy of any measurement is in question, check the

patient's vital sign(s) by an alternative method and then check the monitor for proper functioning.

WARNING! Operation of this device may be affected in the presence of

strong portable and mobile communications equipment.

WARNING! Operation of this device may be adversely affected in the

presence of computed tomography (CT) equipment.

CAUTION! Do not allow water or any other liquid to be spilled onto the

monitor. Unplug the AC power cord from the monitor before cleaning or disinfecting the monitor.

CAUTION! This unit contains a lithium coin battery and a rechargeable

alkaline battery. These batteries are not user replaceable. Refer servicing to qualified personnel.

CAUTION! Pressing front panel keys with sharp or pointed instruments

may permanently damage the keypad. Press the front panel keys only with your finger.

CAUTION! Blocking the ventilation holes on the monitor's rear panel can

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Page 18

Chapter 1: Introduction

prevent air circulation inside the monitor, possibly resulting in damage to the monitor. Leave an air gap behind the monitor to allow air to circulate through the ventilation holes.

CAUTION! Chemicals used in some cleaning agents may cause brittleness

of plastic parts. Follow cleaning instructions in this manual.

CAUTION! If the device becomes wet, wipe off all moisture and allow

sufficient time for drying before operating.

CAUTION! Follow local governing ordinances and recycling instructions

regarding disposal and recycling of device components and packaging.

NOTE! All user and patient accessible materials are non-toxic.

NOTE! Each input and output connection of the monitor is electrically

isolated. Connection of this monitor to other equipment will not increase leakage current.

ECG Warnings, Cautions, and Notes

WARNING! Connect only three-lead or five-lead ECG lead wires from the

patient to the ECG patient cable. Do not connect any other signal source to the ECG patient cable.

WARNING! This monitor does not identify or interpret arrhythmia events.

The indication of heart rate may be adversely affected by the presence of cardiac arrhythmias.

WARNING! Line isolation monitor transients may resemble actual cardiac

waveforms and thus inhibit heart rate alarms.

CAUTION! Only five-lead ECG cable can be used to this monitor. Using the

incorrect cable for the selected mode might lead to a floating reference or additional noise on the ECG signal.

NOTE! Follow institutional standards when applying ECG electrodes.

Silver/Silver Chloride disposable electrodes are strongly recommended to avoid polarization effects that result in large input offset potentials. Use of "squeeze bulb" type electrodes is not recommended.

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Chapter 1: Introduction

NOTE! Use only standard five-lead ECG cable.

Oximetry Warnings, Cautions, and Notes

WARNING! Prolonged use or the patient's condition may require changing

the sensor site periodically. Change the sensor site and check skin integrity, circulatory status, and correct alignment at least every 4 hours.

WARNING! When attaching sensors with micro foam tape, do not stretch

the tape or attach the tape too tightly. Tape applied too tightly may cause inaccurate readings and blisters on the patient's skin (lack of skin respiration, not heat, causes the blisters).

WARNING! Using a damaged sensor may cause inaccurate readings,

possibly resulting in patient injury or death. Inspect each sensor. If a sensor appears damaged, do not use it. Use another sensor or contact your authorized repair center for help.

WARNING! Using a damaged patient cable may cause inaccurate readings,

possibly resulting in patient injury or death. Inspect the patient cable. If the patient cable appears damaged, do not use it. Contact your authorized repair center for help.

WARNING! Failure to carefully route the cable from the sensor to the

monitor may allow the patient to become entangled in the cable, possibly resulting in patient strangulation. Route the cable in a way that will prevent the patient from becoming entangled in the cable. If necessary, use tape to secure the cable.

WARNING! If any of the integrity checks fail, do not attempt to monitor

the patient. Use another sensor or patient cable, or contact the equipment dealer for help if necessary.

WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the

sensors in liquid. Evidence that liquid has been allowed to enter the monitor voids the warranty.

WARNING! Use only SpO

for use with, this device.

Veterinary Vital Signs Monitor Operation Manual 1-7

sensors supplied with, or specifically intended

Page 20

Chapter 1: Introduction

WARNING! SpO2 measurements may be adversely affected in the presence

of high ambient light. Shield the sensor area (with a surgical towel, for example) if necessary.

WARNING! Dyes introduced into the bloodstream, such as methylene blue,

indocyanine green, indigo carmine, patent blue V (PBV), and fluorescein may adversely affect the accuracy of the SpO2 reading.

WARNING! Any condition that restricts blood flow, such as use of a blood

pressure cuff or extremes in systemic vascular resistance, may cause an inability to determine accurate SpO2 and pulse rate readings.

WARNING! Under certain clinical conditions, pulse oximeters may display

dashes if unable to display SpO2 and/or pulse rate values. Under these conditions, pulse oximeters may also display erroneous values. These conditions include, but are not limited to: patient motion, low perfusion, cardiac arrhythmias, high or low pulse rates or a combination of the above conditions. Failure of the clinician to recognize the effects of these conditions on pulse oximeter readings may result in patient injury.

CAUTION! Unplug the sensor from the monitor before cleaning or

disinfecting.

NOTE! Obstructions or dirt on the sensor's red light or detector may cause

a sensor failure. Make sure there are no obstructions and the sensor is clean.

Non-invasive Blood Pressure Warnings, Cautions, and Notes

WARNING! Blood pressure measurements may be inaccurate if cuffs

and/or hoses other than those specified by Utech Co., Ltd. are used.

WARNING! Repeated use of STAT mode for periods longer than 15 minutes

should be avoided to reduce the patient's risk for soft tissue or nerve damage. When using the monitor for long periods of time, select the longest clinically appropriate measurement

1-8 Veterinary Vital Signs Monitor Operation Manual

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Chapter 1: Introduction

interval and periodically examine the patient for signs of injury and ensure proper cuff placement.

WARNING! Make sure that hoses are not kinked, compressed, or

restricted.

WARNING! Check that operation of the equipment does not impair the

circulation of the monitored patient.

WARNING! Blood pressure measurements may not be accurate for

patients experiencing arrhythmias.

WARNING! Do not verify the Non-Invasive Blood Pressure calibration while

the cuff is attached to a patient.

WARNING! Verify cuff size is correct for the selected patient mode on the

monitor.

CAUTION! To ensure that the unit remains in calibration, perform a

calibration verification on a yearly basis.

CAUTION! Extremity and cuff motion should be minimized during blood

pressure determinations.

CAUTION! Proper blood pressure cuff size and placement are essential to

the accuracy of the blood pressure determination.

CAUTION! Any blood pressure recording can be affected by the position of

the patient, his or her physiologic condition, and other factors.

CAUTION! Blood pressure measurements should be interpreted by a

doctor.

NOTE! There are no user-serviceable adjustments for the Non-Invasive

Blood Pressure calibration verification. If the monitor appears to be out of calibration, contact your authorized repair center for help.

NOTE! Systolic and diastolic blood pressure measurements determined

with this device are equivalent to those obtained by the trained observer using the cuff/stethoscope auscultation method.

NOTE! Mean arterial blood pressure measurements determined with this

Veterinary Vital Signs Monitor Operation Manual 1-9

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Chapter 1: Introduction

device are equivalent to those obtained by an intra-arterial blood pressure measurement device as determined by Utech Co., Ltd.

Respiration Rate Warnings, Cautions, and Notes

WARNING! Respiration monitoring is not recommended on active patients.

It may lead to false alarm.

WARNING! Install white and red electrodes in opposite positions to obtain

optimum respiration waveform. Avoid placing the cable above liver and ventricle to reduce false readings produced by the heart coverage or pulsation blood flow. This is very important for neonates.

Temperature Warnings, Cautions, and Notes

WARNING! Before monitoring starts, check if the sensor cable is properly

connected. Pull the temperature sensor cable from the channel 1 jack, an error message “T1 sensor is off” is displayed on the screen and the alarm sound can be heard. The same happens with the other channel.

WARNING! Be cautious when handling temperature sensors and cables.

When it is not in use, the sensor and cable ought to be in a loose loop. Tightly folded cable can cause mechanical damage.

WARNING! Temperature calibration should be done once a year (or

according to the schedule specified in the hospital procedure). If calibration is needed, contact the manufacturer.

WARNING! Disposable temperature sensors should only be used once.

WARNING! During monitoring process, the temperature measurement

instrument will conduct a self-check every hour lasting for two seconds. This will not affect normal operation of the monitor.

NOTE! Use only temperature sensors and interface cables specifically

intended for use with this device.

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Page 23

Chapter 2: Intended Use and General Information

2.1 Intended Use

This vital signs monitor is intended to be used in special procedure labs and other areas of a veterinary hospital or clinic where veterinary monitoring systems are needed. The monitor package includes 5-lead electrocardiography (ECG), non-invasive blood pressure (NIBP), pulse oximetry (SpO2), Respiration Rate (RR) and temperature (TEMP).

The device permits patient monitoring with adjustable alarm limits as well as visible and audible alarm signals. The monitor provides fast, reliable measurement for patients ranging from cats to horses.

WARNING! The monitor was not

monitor.

WARNING! This monitor is not for home use.

2.2 Measurement Capabilities

Heart/Pulse Rate

Heart/pulse rate is measured with the ECG, oximetry, and non-invasive blood pressure (NIBP) parameters. The measured values can be continuously displayed in the ECG and SpO2 parameter boxes. Heart/pulse rate can also be displayed in the NIBP HISTORY, found in the TRENDS menu. You can choose the source (AUTO, ECG, or SpO2) of the heart/pulse rate displayed in the ECG parameter box. If you choose AUTO, the monitor will determine the best source depending on the quality of available data and selected source priority. See Choose the Heart Rate Source in the Chapter of ECG for detailed information regarding the source of the heart/pulse rate displayed in the ECG parameter box.

Electrocardiography (ECG)

The monitor provides continuous five-lead ECG processing, with standard lead selections, and filtering from electrocautery discharge. The ECG measured value (HR) and primary lead selection are displayed in the ECG parameter box, and an ECG waveform is continuously displayed.

VS2000 Vital Signs Monitor Operation Manual 2-1

designed

tested

to be an apnea

Page 24

Chapter 2: Intended Use and General Information

Oximetry

The oximetry parameter provides the continuous non-invasive monitoring of oxygen saturation (%SpO2) in the blood and pulse rate (PR). The measured values for oximetry (%SpO2 and PR) and a pulse strength bar graph are displayed in the SpO2 parameter box. A plethysmogram, or oxygen saturation waveform, can be continuously displayed. A variety of disposable and reusable sensors is available for monitoring patients.

Non-invasive Blood Pressure (NIBP)

The non-invasive blood pressure (NIBP) parameter provides systolic, diastolic, and mean arterial blood pressure values, and heart rate. The measured values for non-invasive blood pressure (SYS, DIA, and MAP) are displayed in the NIBP parameter box. NIBP measurements can be made in automatic, manual, or STAT modes.

Respiration Rate (RR)

The monitor provides respiration rate and Resp waveform by measuring the thoracic impedance between two ECG electrodes on the patient’s chest. The measured RR is displayed in the RR parameter box. And the RR waveform is displayed on the RR waveform Channel.

Temperature (TEMP)

Two independent channels of temperature (T1 and T2) monitoring are available. Each channel is compatible with Utech Co., Ltd. YSI 400-series disposable temperature sensors, or equivalent. The measured value for each temperature channel (T1 and T2) is displayed in the TEMP parameter box.

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Chapter 3: Controls and Features

•

The NIBP mode will be reset to

MANUAL.

Information

Bar

settings, such as alarm limits and

patient information

, and

Chapter 3: Controls and Features

3.1 Indicators and Displays with Embedded Submenus

The monitor has a high-resolution, high-contrast, color LCD display. It provides a continuous, real-time display of up to four waveforms. It also shows measured values, chronological data, measurement trends, alarm limits and patient information.

DISPLAYS DESCRIPTION

Patient Type

Patient

Alarm Status

Main Menu The main menu provides a means of changing monitor

Veterinary Vital Signs Monitor Operation Manual 3-1

Figure 3.1: Display

You must select the patient type (HORSE, DOG, or CAT) before monitoring a patient. When you change the patient type:

•The alarm limits will be reset to their default settings.(if not in STATIC LIMITS mode)

•NIBP inflation pressure settings will be reset for a cat, dog, or horse patient.

Patient name and bed number will be shown here.

Shows active alarm events.

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Chapter 3: Controls and Features

main menu, parameter menus, and

waveform menus.

primary lead and the size of the ECG tracing.

Label

Bar

etc.

percent (%)

unavailable.

performing monitoring functions. There are several points of entry into the monitor's menu system including the

Waveform

Channel

Waveform

Information

Parameter

Box

Up to three waveform channels can be displayed simultaneously. Every channel can be assigned to a waveform from any enabled parameter, graph, table or blank. The waveform label provides access to a menu for each waveform where you can adjust various settings related to the waveform. For some parameters, such as ECG, the waveform label displays information about the

The waveform label shows the name of the waveform.

Shows date and time, battery symbol and volume icon

Figure 3.2 Parameter Box

The parameter box provides access to a menu for the parameter where you can adjust various settings related to the parameter.

The parameter box contains the parameter or measurement name, the numeric values for the selected measurement, the high and low alarm limits, and the measurement unit. In figure 3.2, the parameter is SpO2, the numeric measured value is the pulse oxygen saturation (SpO2), the alarm limits shown are for the pulse oxygen saturation (SpO2), and the measurement unit is

Parameter

Name

Numeric

Measured

Values

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The name of the monitored parameter is displayed.

The number value for the selected measurement (such as HR or SpO2) is displayed. The value may be derived or calculated. Dashes (- - -) in place of a numeric measured value indicate that the measurement is invalid or

Page 27

High and Low

will be used.

off

the monitor.

progress, press the key again.

3 Freeze

Silence

mode and the huge digit mode.

6 Menu Key

alarm limits

Chapter 3: Controls and Features

The high and low alarm limits for the numeric measured values are displayed. If you do not set alarm limits for a new patient, the default high and low limits

3.2 Keys

No. DESRIPTION

1 ON/OFF

Measurement

Unit

Units of measurement can be changed for pressure. Pressure measurement units may be displayed as millimeters of mercury (mmHg) or kilopascals (kPa).

Figure 3.3: Keys

INSTRUCTION

Hold on this key for 3 seconds to turn on or turn

2 NIBP

4 Alarm

5 Mode Key

Veterinary Vital Signs Monitor Operation Manual 3-3

Press this key to activate an immediate non-invasive blood pressure (NIBP) measurement. To cancel an NIBP measurement in

Press this key to freeze the displayed waveform.

Press it in turn to silence the alarm volume for 30 sec, 60sec, 90sec, 120 sec or indefinitely.

Use this key to switch between the four main display modes: 1 ECG mode, 3 ECG mode, oxyCRG

Press it to enter or exit the main menu.

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Chapter 3: Controls and Features

Push the knob to select highlighted options.

Supply LED

Power LED

LED

Status LED

to the patient.

Temp

erature

7 Rotary

Knob

The rotary knob is a dial control with a push selection switch. It is located on the front of the monitor, in the lower right corner. Turn the rotary knob to navigate the cursor around the display.

8 Battery

The green Battery Supply LED will light to indicate that the monitor is supplied by battery.

9 AC

The green AC Power LED will light to indicate that the monitor is connected to an AC power source.

Battery

Charge

Alarm

Silence

The green Battery Charge LED will light to indicate that the monitor is been charging.

The red Alarm Silence LED will flash to indicate that the alarm volume has been silence for 30 sec, 60sec, 90sec, 120 sec or indefinitely.

Work

Green when the monitor is working normal. Red when there is an alarm.

3.3 Left Panel

The left side panel of your monitor contains all of the patient connector receptacles.

Figure 3.4: Left Panel

NO. DESRIPTION INSTRUCTION

1 Oximetry

Connector

(SpO

)

2 Dual

Attach the SpO2 sensor to the monitor. Measured values for oxygen saturation (%SpO2) in the blood and pulse rate (PR) will be displayed when the sensor is attached

If the temperature is installed on your monitor, the TEMP parameter box will appear on the display when

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Connector (T1

displayed when the

sensor is attached to the patient

ECG leads are attached to the patient.

outlet controlled by a wall switch.

Interface

up and T2 low)

Chapter 3: Controls and Features

the patient connector is attached to the monitor. A measured value for temperature (TEMP) will be

Non-Invasive

Blood Pressure

Connector

(NIBP)

ECG Connector Attach the ECG leads to the monitor. A measured value

Attach the NIBP cuff to the monitor. Measured values for non-invasive blood pressure (systolic, diastolic, and mean) will be displayed when the most recent NIBP measurement is complete.

for the ECG heart rate (HR) will be displayed when the

3.4 Back Panel

Figure 3.5: Back Panel

NO. DESRIPTION INSTRUCTION

Battery The monitor is equipped with a lithium battery.

Equipotential Grounding

AC Power Connector

Plug the AC power cord into the AC power receptacle at the back of the monitor. When the other end is plugged into a ground, three wire hospital-grade outlet, the AC Power LED will light. The monitor automatically switches between 100V and 240V AC line voltage sources.

WARNING! Do not plug the monitor into an

USB Connector

Network

Air Vents The monitor has air vents at the top of the back

Veterinary Vital Signs Monitor Operation Manual 3-5

Connect to the central monitor.

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Chapter 3: Controls and Features

panel and on the bottom of the monitor.

3.5 Internal Battery

The installed internal rechargeable battery is intended primarily for backup and switch-over use. Charge the battery after the monitor has operated using battery power or after the monitor has been shipped or stored. To charge the battery, connect the AC power cord to the monitor and to the AC power source. There are no set up requirements for using a charged battery; the monitor operates exactly the same way under AC or battery power.

To replace the installed rechargeable battery:

1. Disconnect AC power and verify that the monitor is off.

2. Remove the battery door from the bottom of the monitor.

3. Disconnect the battery from the battery cable and remove it from the battery compartment.

4. Connect a new battery to the battery cable.

5. Insert the battery and cables into the battery compartment.

6. Reattach the battery door to the bottom of the monitor.

7. Connect the AC power cord to the monitor and to the AC power source and allow the battery to charge fully.

8. Dispose of the battery properly. See the CAUTION below.

CAUTION! The internal rechargeable battery is user-replaceable. It may

contain a Lithium Ion (Li-ion), Nickel Metal Hydride (NiMH), or Sealed Lead Acid (SLA) battery. Disposal of such batteries should be conducted in accordance to local and federal guidelines.

NOTE! Typical battery life is 2 to 5 years depending on usage.

NOTE! When the monitor is connected to AC power, the internal battery

charges whether the monitor is on or off. The Battery Charge LED flashes while the battery is charging; it is steady when the

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Chapter 3: Controls and Features

battery is fully charged. Allow the battery to fully recharge before using the monitor under battery power.

NOTE! When approximately 15 minutes of battery use remains, the red

battery icon is displayed in the information bar and a high priority alarm will occur.

NOTE! Battery charge time will be increased at elevated temperatures

(temperatures above 30 degrees Celsius).

NOTE! A fully charged battery will last 2 to 3.5 hours, depending on

monitor usage.

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Chapter 3: Controls and Features

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Chapter 4: Setting up the Monitor

4.1 Unpacking the Monitor and Check the Shipment

1. Carefully remove the monitor and its accessories from the shipping carton. Save the packing materials in case the monitor must be shipped or stored.

2. Compare the packing list with the supplies and equipment you received to make sure you have everything you’ll need.

4.2 Quick Setup Instructions

Follow these setup steps every time you begin monitoring a patient. See Detailed Setup Instructions in this chapter for a thorough explanation of each step.

1. Choose the installation site.

2. Check the monitor’s AC rating.

3. Connect the AC power cord.

4. Press the ON/OFF key to turn on the monitor.

5. Set the patient information.

6. Use the main menu to define some general configuration information and parameter options.

7. If necessary, set the time and date on the display.

4.3 Detailed Setup Instructions

1. Set up the monitor in a room with a temperature of 0-50° C and a relative

humidity of 15-95%, non-condensing.

a. If the monitor was in an area having a temperature higher or lower than this, wait a few minutes before setting up and using the monitor.

2. Check the monitor's AC rating. Check the monitor's AC rating plate to

ensure the nominal voltage at your installation site matches the monitor's rating.

a. If the AC rating is not correct, do not use the monitor. Contact your authorized repair center for help.

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Chapter 4: Setting up the Monitor

alarm switches.

monitor.

number.

3. Plug the AC power cord into the power connector on the back of the monitor.

4. Plug the other end of the AC power cord into a grounded, three-wire hospital-grade outlet.

5. Verify that the front panel AC Power LED is lit.

WARNING! Do not plug the monitor into an outlet controlled by a wall

switch.

6. Press the ON/OFF key to turn on the monitor.

a. The display will light up, the monitor will begin a brief system check, and then automatically enter the monitoring mode.

NOTE! The monitor performs a number of systems checks during its

start-up time. If the monitor detects an error with its internal circuitry, a message is displayed and the monitor will not enter the monitoring mode.

4.4 Basic Operation

Press the menu key to pop us the main menu. There are 8 options at the main menu which shows as follow,

4-2 Veterinary Vital Signs Monitor Operation Manual

Figure 4.1: Main Menu

OPTIONS INSTRUCTION

Display Set the display modes.

Alarm Adjust the alarm limits for parameters, open/ close the

Tools Choose event and perform drug calculation.

Review Review the trend data, graph and alarms stored on the

Patient Select patient type, sex, add patient name, age and bed

System Setup system information.

Maintenance Back to default settings and conduct some maintenance

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Chapter 4: Setting up the Monitor

4.5 Systems Setup

Press the menu key to pop up the main menu and turn the rotary knob on the monitor to move the cursor to the “System” option. Then press the rotary knob to enter its submenu. The setup window will be shown as below,

Figure 4.2: System Setup

4.5.1 Time Setup

If necessary, set the time and date on the display. The time and date indicator is located in the lower right corner of the display. The monitor's real-time clock and calendar keep track of the time and date, even when the monitor is turned off or is not connected to AC power. The time and date stamp is used for the NIBP tabular trends, the displayed and printed trends, and all other printouts. The time display format is based on the 24-hour clock. For example, 5:00 a.m. is displayed as 5:00 and 5:00 p.m. is displayed as 17:00.

1. Press the menu key to pop up the main menu and turn the rotary knob to

move the cursor to the “System” option.

2. Push the rotary knob to access the “System” submenu. Turn the knob to

highlight the “Time” option.

3. Push the rotary knob to access the time setup submenu and turn the knob

to highlight the desired option.

4. Push the rotary knob to select the option. Turn the rotary knob to increase

or decrease the value. Press it again to move out.

5. Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

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Chapter 4: Setting up the Monitor

4.5.2 Unit Setup

Units of measurement can be changed for TEMP and NIBP. The selected units of measurement will remain in the monitor's memory until changed, even if the monitor is turned off.

Figure 4.3: Unit Setup

1. Press the menu key to pop up the main menu and turn the rotary knob to move the cursor to the “System” option.

2. Push the rotary knob to access the “System” submenu. Turn the knob to highlight the “Unit” option.

3. Push the rotary knob to access the unit setup submenu and turn the knob to highlight the desired unit and push to select.

TEMP can be changed to degrees Celsius (0C) to degrees Fahrenheit (0F).

•0C = 5× (0F - 32)/9

•0F = 9×0C /5+32

PRESSURE can be changed to millimeters of mercury (mmHg) or kilopascals (kPa). The default setting is mmHg.

•kPa = mmHg X 0.133

•mmHg = kPa / 0.133

4. Turn the rotary knob to “OK” or “Cancel” button and push to save or delete your settings.

4.5.3 Net Setup

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Chapter 4: Setting up the Monitor

When connecting the monitor to a computer or a center monitor, you need to setup the IP address.

Figure 4.4: Net Setup

1. Press the menu key to pop up the main menu and turn the rotary knob to

move the cursor to the “System” option.

2. Push the rotary knob to access the “System” submenu. Turn the knob to

highlight the “Net” option and push the knob to select.

3. You can choose to use dynamic IP configuration or set the IP address

manually.

4. Turn the rotary knob to “OK” or “Cancel” button and push to save or delete

your settings.

4.5.4 Volume Setup

You can adjust the volume of the audible alarm and pulse rate to one of seven levels separately. When an alarm occurs (and alarm silence is not enabled), the alarm tones will sound at the chosen volume. The default alarm and pulse volume settings are the fourth level. You cannot set the alarm volume to OFF.

Figure 4.5: Volume Setup

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Chapter 4: Setting up the Monitor

1. Press the menu key to pop up the main menu and turn the rotary knob to move the cursor to the “System” option.

2. Push the rotary knob to access the “System” submenu. Turn the knob to highlight the “Volume” option.

3. Push the rotary knob to access the volume setup submenu and turn the knob to highlight the desired volume and push to select.

4. Turn the knob to increase or decrease the volume and push it to exit.

5. Turn the rotary knob to “OK” or “Cancel” button and push it to save or delete your settings.

4.5.6 LCD Brightness Setup

You can set the brightness of the LCD display. There are seven levels of brightness. And the default setting is the seventh level.

Figure 4.6: LCD Brightness Setup

1. Press the menu key to pop up the main menu and turn the rotary knob to move the cursor to the “System” option.

2. Push the rotary knob to access the “System” submenu. Turn the knob to highlight the “LCD” option.

3. Push the rotary knob to access the LCD setup submenu and turn the knob to highlight the brightness and push to select.

4. Turn the knob to increase or decrease the level of brightness and push it to exit.

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Chapter 4: Setting up the Monitor

5. Turn the rotary knob to “OK” or “Cancel” button and push it to save or

delete your settings.

4.5.7 Power Setup

When the monitor is connected to an AC power source, the frequency should be set relatively.

Figure 4.7: Power Setup

1. Press the menu key to pop up the main menu and turn the rotary knob to

move the cursor to the “System” option.

2. Push the rotary knob to access the “System” submenu. Turn the knob to

highlight the “Power” option.

3. Push the rotary knob to access the power setup submenu and turn the knob

to highlight the desired frequency and push to select.

4. Turn the rotary knob to “OK” or “Cancel” button and push it to save or

delete your settings.

4.5.8 Language Setup

There are two languages available in this monitor: Chinese and English.

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Chapter 4: Setting up the Monitor

Figure 4.8: Language Setup

1. Press the menu key to pop up the main menu and turn the rotary knob to move the cursor to the “System” option.

2. Push the rotary knob to access the “System” submenu. Turn the knob to highlight the “Language” option.

3. Push the rotary knob to access the language setup submenu and turn the knob to highlight the desired language and push to select.

4. Turn the rotary knob to “OK” or “Cancel” button and push it to save or delete your settings.

4.6 Set Patient Information

4.6.1 How to use the keyboard

To enter characters and data to the monitor, the on-screen keyboard will be used. If there is information needs to be entered, push the rotary knob and then the on-screen keyboard will pop up.

Figure 4.9: On-screen Keyboard

BUTTONS INSTRUCTION

Spacebar. Press it when a space is needed. Press this key to access the character board.

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Chapter 4: Setting up the Monitor

switch between capital and lowercase letters.

Press this key to exit the character board.

Press it to change the character board into letters and

Press it to change the character board into numbers and punctuation.

Delete button.

Press these two buttons to move the cursor.

Press it to confirm your writings.

4.6.2 Patient Setup

The monitor displays physiological data and stores it in the trends as soon as a patient is connected. Before monitoring a patient, the doctor should input the patient information correctly.

Figure 4.10: Patient Setup

When monitoring a cat or small animal, set the monitor to cat type. When monitoring dogs or medium-size animals, set the monitor to the dog type. When monitoring horses or large animals, set the monitor to the horse type.

1. Press the menu key to pop up the main menu and turn the rotary knob to

move the cursor to the “Patient” option and push to select.

2. Enter the patient information: select each field and use the on-screen

keyboard or choose from alternatives to input information.

ITEMS INSTRUCTION

NO.

Name

Bed Number

Sex

Enter the patient’s medical record number, for example 678. Enter the patient’s first name and last name (family name). Enter the patient’s bed number, for example: ICU007. Choose Male or Female.

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Chapter 4: Setting up the Monitor

Age

Patient Type

Enter the patient’s age, for example: 10 Choose the patient’s type: DOG, CAT and HORSE.

3. Turn the rotary knob to “OK” or “Cancel” button and push it to save or delete your settings.

4.7 Display Setup

Press the menu key to pop up the main menu and turn the rotary knob to move the cursor to the “Display” option and push it to select.

Figure 4.11: Display Setup

There are four main fixed display modes, and you can switch between them by pressing the Mode key.

a). 1 ECG Display Mode

b). 3 ECG Display Mode

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Chapter 4: Setting up the Monitor

c). Huge Digit Display Mode

d). oxyCRG Display Mode

4.7.1 Customize Display Modes

Besides the above four main display modes, user can also customize the display modes and save as user format modes.

Figure 4.12: Custom Format

1. Press the menu key to pop up the main menu and turn the rotary knob to

move the cursor to the “Display” option.

2. Push the rotary knob to access the “Display” submenu. Turn the knob to

highlight the “Custom Format” option.

3. Push the rotary knob to access the custom format submenu. There are

three waveform channels. You can customize each channel by choosing from ECG, PLETH, Graph, Table, RESP or blank.

4. Push the rotary knob to select and choose the desired display option.

5. Turn the rotary knob to highlight “Not Save”, push to select and turn knob

to choose a format such as Format 1 to save your settings.

6. Turn the rotary knob to “OK” or “Cancel” button and push it to save or

delete your settings.

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Chapter 4: Setting up the Monitor

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Chapter 5: Monitoring the Patient

Follow the steps in Chapter 4: Setting Up the Monitor; the remainder of this chapter assumes that the monitor is properly installed and set up.

5.1 General Monitoring Instructions

Regardless of the parameters or measured values you want to monitor, follow these steps when you are ready to attach a patient. Each step is further explained in this chapter.

1. Attach the patient and sensors.

2. Choose the waveforms to be displayed.

3. Adjust the settings in the parameter boxes.

4. Set the high and low alarm limits.

5. Use these features as needed:



Responding to an alarm



NIBP Mode



Freeze Mode



Trends



Viewing Stored Trend Data

5.2 Attach the Patient

Attach the patient to the desired sensors and connect the sensor cables to the monitor.

Parameters’ values will automatically appear on the display when the sensor cable is connected to the monitor.

5.3 Adjust the Waveforms Settings

Choose the waveforms, trend table, graph or blank to be displayed in the three waveform channels by using the Display Setup function and adjust the settings of each waveform.

Push and turn the rotary knob on the monitor to move the cursor. Highlight the waveform channel and push the knob to access the waveform menu in the

Veterinary Vital Signs Monitor Operation Manual

5-1

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Chapter 5: Monitoring the Patient

middle of the display. The settings available for selected waveform will be displayed.

Refer the chapters dedicated to each parameter for more details regarding waveform settings.

5.4 Adjust the Parameter Box Settings

1. Turn the rotary knob on the monitor to move the cursor. Highlight the parameter box and push the knob to access the parameter menu in the middle of the display. The settings available for the selected parameter will be displayed.

2. Every parameter allows you to turn on or off its alarm detection capability in the parameter menu. For example, if SpO2 alarm is on, an alarm will be issued when the high or low alarm limit is violated. If you turn SpO2 alarm off and the high or low alarm limit is violated, an alarm will not be issued.

NOTE! When you change the patient type or power down, this setting will

default to ON.

3. For the parameters where more than one measurement can be monitored such as blood pressure (systolic, diastolic, and mean), only the settings of SYS and DIA’s high and low limits can be displayed.

5.5 Set Alarm Limits

Set the high and low alarm limits for each parameter.

• When a numeric measured value matches or exceeds the high or low limit set for that parameter, an alarm is issued. For example, if the low alarm limit for SpO2 is 85 and the patient's measured value for SpO2 is 85 or less, an alarm will be issued.

•The Vital Signs Monitor provides clinically appropriate default high and low alarm limits for each numeric measured value. You can choose different high and low limits, depending on the monitoring requirements of each patient. For a list of default alarm limits, see Chapter 15: Specifications.

WARNING! Verify that alarm limits are clinically appropriate for your

patient and adjust according to institutional policy.

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Chapter 5: Monitoring the Patient

NOTE! Alarms may be tested while the monitor is in use by setting alarm

limits such that the measured value is outside the limits. Return the alarm limits to their clinically appropriate settings after testing.

To set the high and low alarm limits:

1. Be sure that the sensor for each parameter is connected to the monitor, and the parameter or measured value is shown on the display.

2. Press the menu key to pop up the main menu at the bottom of the display. Turn the rotary knob on the monitor to move the cursor, highlight “Alarm” and push the knob to select.

3. Highlight the name of each measured value and push the knob to select.

4. Highlight the high alarm limit and push the knob to select.

5. Turn the rotary knob to choose the desired value and push the knob to select.

6. Turn the rotary knob to highlight the low alarm limit and push the knob to select.

7. Turn the rotary knob to choose the desired value and push the knob to select.

8. Turn the rotary knob to “OK” or “Cancel” button and push it to save or

delete your settings.

5. 6 Use these Features as Needed

5.6.1 Responding to an Alarm

1. When a numeric measured value matches or exceeds the high or low limit set for that parameter, an alarm is issued. An audible alarm tone will sound, alarm event will appear in the alarm status bar, and the violating measured value will flash in the parameter box.

2. The alarming action will cease when the measured value is once again within the alarm limits. Your monitor will either automatically stop alarming as soon as the measured value returns to within the alarm limits, or it will require you to manually acknowledge the alarm by pressing the alarm silence key.

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Chapter 5: Monitoring the Patient

NOTE! Only qualified personnel may silence the alarm temporarily, or

enable it indefinite.

3. If the alarm limit is still violated after two minutes, the audible alarm tone will sound again. If, within the two minutes of alarm silence, another measured value matches or exceeds its alarm limits, the alarming action will resume, including the audible alarm tone.

4. If it is appropriate for your patient, you can turn off the alarm detection capability for a single parameter so that when the measured value matches or exceeds the alarm limits, the monitor will not issue an alarm.

5.6.2 NIBP Mode

Non-invasive blood pressure (NIBP) measurements can be made in automatic, manual, or STAT modes. In the automatic mode, the monitor will measure the patient's NIBP periodically, according to the interval you select. In the manual mode, the monitor will measure the patient's NIBP only when you press the NIBP key. In the STAT mode, the monitor will measure the patient's NIBP continuously for five minutes.

Figure 5.1: NIBP Mode

To change the NIBP mode:

1. Push and turn the rotary knob on the monitor to move the cursor. Highlight the NIBP parameter box and push to select.

2. Highlight the test mode and push the rotary knob select.

3. Turn the rotary knob to choose a mode (Auto, Manual, or Stat), and push the knob to select.

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Chapter 5: Monitoring the Patient

5.6.3 Freeze Mode

Use this feature to temporarily hold or freeze all current waveforms, even those that are not displayed. Monitoring does not stop; you can still view the current measured values in the parameter boxes.

When you freeze the waveforms, you may not adjust any waveform settings.

In addition, attempting to perform any other functions will cause the freeze mode to be cancelled. For example, if you freeze the waveforms and then select ALARMS from the main menu, the alarm limits box will be displayed in the waveform area and the waveforms will no longer be in freeze mode.

To freeze the waveforms:

1. Press the Freeze key on the right side of the monitor. The waveforms will stop, or freeze.

2. Press the “Page Up” or “Page Dn” to browse the waveform and press “Save” to store the frozen waveform section in a file.

3. To start the waveforms again, press the Freeze Key again.

5.6.4 Trends

The monitor stores tabular trend data graph every 10 seconds for up to 120 hours for the following parameters:

a. ECG

• Heart Rate

• ST

b. Oximetry

• Oxygen saturation (SpO2)

• Pulse rate, when SpO

is the selected heart rete source

c. Non-invasive blood pressure (NIBP) (systolic, diastolic, mean)

d. Temperature (T1 and T2)

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Chapter 5: Monitoring the Patient

be displayed in the trend graph display area.

of this range. Any value over the limit is not valid.

5.6.5 Viewing Stored Trend Data

To view the stored trend data, press the menu key and turn the rotary knob on the monitor to move the cursor to “Review” option and push to access the review submenu shown as below.

1. Review Trend Graph

In the review submenu, highlight the “Graph” and push the rotary knob to select. The monitor will display the trend graph and the following menu.

ITEMS INSTRUCTION

Select

Parameter

Select a parameter: HR, ST, SpO2, NIBP, RR, or T1/T2 and push the rotary knob to select. The corresponding trend graph will

Page up/ Dn

Cursor

Browse the time frame of the trend graph. Use to select points on the trend graph.

Step Select the time intervals between data points. The trend

graph will be adjusted accordingly. The available time intervals are 1 second, 5 seconds, 10 seconds, 20 seconds, 30 seconds, 60 seconds, 90 seconds and 120 seconds.

Range

It is used to designate the Y axis value range of the trend graph. The adjusted range will be stored in the monitor and will be applied when the monitor restarts. The range has three adjustment modes: alarm limit range, maximum range, and manual adjustment. Once the user sets the range, the trend graph displays data within the upper limit/lower limit

Table

Select this option to access the trend table display.

2. Review Trend Table

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Chapter 5: Monitoring the Patient

minutes, 20 minutes, 30 minutes and 1 hour.

The information in the trend table is displayed as a list. The available number and categories of parameters are the same as with the trend graph. In the trend table, the median time is the cursor time value in the trend graph. The value of each parameter is date and time (except NIBP). The NIBP value is the first value in the current interval.

ITEMS INSTRUCTION

Line Up/Dn

Browse the time frame.

Page Up/ Dn

Step

The trend table’s data compress or append according to step. The available steps are 1 minute, 5 minutes, 10

Graph

Select this option to back to the trend graph display.

3. Review Freeze Wave

In the review submenu, highlight the “Wave” and push the rotary knob to select. The following menu will be displayed:

ITEMS INSTRUCTION

Select File

Page up/ Dn

Select a saved file to review. Browse frozen waveform page by page.

4. Review Alarms

The user can review 1000 alarm records.

In the review submenu, highlight the “Alarm” and push the rotary knob to select. The monitor will display the stored alarms for all the parameters.

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Chapter 6: Alarms

6.1 Parameter Alarms and Technical Alarms

A parameter alarm occurs when a numeric measured value matches or exceeds the high or low limit set for that parameter.

A technical alarm occurs when there is a malfunction with any of the sensors or connections, or when the battery is low or when an error is detected during self-test.

During an alarm, an audible alarm tone will sound and a message will be displayed in the alarm status bar at the top of the display. For parameter alarms, the violating measured value will flash.

6.2 High, Medium, and Low Priority Alarms

Caution! Only qualified doctors can set the physiological parameters’

upper limits for alarm level according to patient's conditions.

Alarms are categorized as high priority, medium priority, or low priority.

High Priority Alarms

A high priority alarm sound consists of two bursts of five single tones over a four-second interval. The sequence is repeated every ten seconds. High priority alarms supersede all other alarms. The alarm message will be displayed in the alarm status bar with a red flashing background; the violating measured value will flash in red.

CAUTION! When different priority alarms occur simultaneously, only the

highest priority alarm is displayed.

Medium Priority Alarms

A medium priority alarm sound consists of two bursts of three single tones that repeats every 18 seconds. The alarm message will be displayed in the alarm status bar with a yellow flashing background; the violating measured value will flash in red.

Low Priority Alarms

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Chapter 6: Alarms

larm

ontent

Type

Priority

HR Ov

er limit

above medium

SpO2

Over limit

above medium

ST Over limit

RR Over limit

NIBP Over limit

Temperature

Over limit

(SpO2) pulse search over due

Parameter

alarm

high

(ECG)

lead off

Technical alarm

high

(ECG) channel full

Technical alarm

high

(SpO2) sensor off

Technical alarm

high

(SpO2) without sensor

Technical alarm

high

(NIBP) cuff leakage

Technical alarm

high

(NIBP) without cuff

Technical alarm

high

(NIBP) cuff over pressure

Technical alar

m high

(NIBP) test over time limit

Technical alarm

high

A low priority alarm sound consists of a single burst of one single tone that repeats every 20 seconds. The alarm message will be displayed in the alarm status bar with a yellow flashing background; the violating measured value will not flash.

Alarm Priority Chart

Set priority based on patient conditions

6.3 Controlling Alarms

You can control many factors in the way the monitor issues an alarm. You can turn off the alarm detection capability for a single parameter. You can change the high and low alarm limits. You can quickly reset the alarm limits relative to the patient's current measured values. You can control the volume of the audible alarm. And you can silence an alarm for two minutes, or indefinitely.

CAUTION! When the overall alarm is switched off and physiological

parameters exceed limits, there will be no alarm sound and no blinking numerics. The words relating to the technical alarm will blink but without audible sound

WARNING! User should pay careful attention to overall alarm switching.

Switching off the overall alarm is not recommended.

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Chapter 6: Alarms

Figure 6.1: Alarm Setup

To change alarm settings,

1. Press the menu key to pop up the main menu and turn the rotary knob to

move the cursor to the “Alarm” option and push the knob to select.

2. Highlight the “System” option and push to select. You can turn on/off

overall alarm switches for all the parameters. You can also silence the overall alarm sound temporarily or indefinitely.

3. To change of alarm settings for a single parameter, you can highlight each

parameter option and change the settings according. Or you can access their parameter menu to change the settings.

4. Turn the rotary knob to “OK” or “Cancel” button and push to save or delete

your settings.

6.3.1 Change alarm limits

The monitor provides clinically appropriate default high and low alarm limits for each numeric measured value. You can change the high and low alarm limits, depending on the monitoring requirements of each patient. You can even set a high or low alarm limit to OFF, so that no alarm will be issued. Check the list of default alarm limits at the chapter of specification.

WARNING! Alarm high limit cannot be lower than low limit. If high limit is

lower than low limit, the monitor will not respond.

WARNING! When the monitor is turned on for the first time, it will default

to the alarm configuration for a horse.

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Chapter 6: Alarms

WARNING! The alarm settings are set to factory defaults. Once reset

according to patient conditions, current alarm settings are saved for up to 30 minutes after the monitor is turned off. If the monitor is not turned back on for 30 minutes, alarm limits are automatically reset to factory defaults.

WARNING! If patient information has been reset, the user should reset

alarm limits based on new “patient type”.

6.3.2 Silence alarms

The monitor is set to allow temporary or indefinite audio alarm silence, then pressing the Alarm Silence key in turn while audible alarms are enabled will do one of the following:

•

Press the Alarm Silence key once. A 30-seconds timer will appear at the right side of the Alarm Since icon. Audible alarms will not be re-enabled if any new alarm occurs. They will only be re-enabled if the 30-seconds timer times out, or if the Alarm Silence key is pressed again.

•

Press the Alarm Silence key twice. A 60-seconds timer will appear at the right side of the Alarm Since icon. Audible alarms will not be re-enabled if any new alarm occurs. They will only be re-enabled if the 60-seconds timer times out, or if the Alarm Silence key is pressed again.

•

Press the Alarm Silence key for three times. A 90-seconds timer will appear at the right side of the Alarm Since icon. Audible alarms will not be re-enabled if any new alarm occurs. They will only be re-enabled if the 90-seconds timer times out, or if the Alarm Silence key is pressed again.

•

Press the Alarm Silence key for four times. A 120-seconds timer will appear at the right side of the Alarm Since icon. Audible alarms will not be re-enabled if any new alarm occurs. They will only be re-enabled if the 120-seconds timer times out, or if the Alarm Silence key is pressed again.

•

Press the Alarm Silence key for five times. The Alarm Since icon will be displayed with a cross and no timer. Audible alarms will not be re-enabled if any new alarm occurs. They will only be re-enabled if the Alarm Silence key is pressed again.

NOTE! Only qualified personnel may change the allowed alarm audio

silence mode.

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Chapter 7: ECG

7.1 ECG Measurement Capability

The Vital Signs Monitor provides continuous five-lead ECG processing with standard lead selections and filtering from electrocautery discharge. The heart rate measured value (HR) and primary lead messages are displayed in the HR parameter box, and a waveform for the primary ECG lead is continuously displayed.

7.2 ECG Warnings, Cautions, and Notes

WARNING! Connect only five-lead ECG lead wires from the patient to the

ECG patient cable. Do not connect any other signal source to the ECG patient cable.

WARNING! This monitor does not identify or interpret arrhythmia events.

The indication of heart rate may be adversely affected by the presence of cardiac arrhythmias.

CAUTION! Only five-lead ECG cable can be used to this monitor. Using the

incorrect cable for the selected mode might lead to a floating reference or additional noise on the ECG signal.

NOTE! Follow institutional standards when applying ECG electrodes.

NOTE! Line isolation monitor transients may resemble actual cardiac

waveforms and thus inhibit heart rate alarms.

7.3 Theory of Operation

Electrical currents influenced by the cardiac impulse flow through the body tissue around the heart. Three or five electrodes, placed on the skin on opposite sides of the heart, transmit the electrical potentials to circuitry in the monitor.

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Chapter 7: ECG

The monitor's ECG circuitry amplifies, filters, and digitizes (converts analog signals to digital signals) the received electrical potentials. The digitized signals are used to display the ECG waveform and calculate the ECG heart rate

7.4 Attaching the Patient

NOTE! Follow institutional standards when applying ECG electrodes.

NOTE! The monitor is protected against damage from defibrillator,

diathermy, and electrocautery discharge.

1. Skin Preparation for Electrode Placement

Good electrode-to-skin contact is important for a good ECG signal, as the skin is a poor conductor of electricity.

Select sites with intact skin, without impairment of any kind.

Clip or shave hair from sites as necessary.

Wash sites thoroughly with soap and water, leaving no soap residue.

We do not recommend using ether or pure alcohol, because this dries the skin and increases the resistance.

Dry skin thoroughly by rubbing briskly to increase capillary blood flow in the

tissues.

Use ECG skin preparation (abrasive) paper to remove dead skin cells and to

improve the conductivity of the electrode site.

2. Connecting ECG Leads

Attach the clips or snaps to the electrodes before placing them. If you are not using pre-gelled electrodes, apply electrode gel to the electrodes before placement.

Place the electrodes on the patient.

NOTE! To remove the ECG cable, grip the connector and pull back firmly.

DO NOT pull on the ECG cable to remove the ECG connector from the monitor.

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Chapter 7: ECG

V 4the Intercostal(left)

Brown

Standard 5-Lead Placement

ECG 5-LEAD ELECTRODE INDENTIFICATION

Electrode Label Location Color

RA Right Arm White

RL Right Leg Green LA Left Arm Black

LL Left Leg Red

Figure 7.1: 5-Lead Placement

WARNING! Electrodes of dissimilar metals should not be used.

CAUTION! To protect the monitor from damage during defibrillation, for

accurate ECG information and to protect against noise and other interference, use only ECG electrodes and cables specified by Utech.

3. Place the ECG leads to the patient. Be sure that the leads are in the correct ECG cable position. The ECG leads and patient cable connector are color-coded.

CAUTION! Ensure conductive parts, including electrodes of the patient

cable, do not come into contact with any conductive surfaces or earth parts.

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Chapter 7: ECG

The monitor will automatically detect when the ECG cable is connected. Heart rate (HR) will be displayed in the HR parameter box and the primary ECG waveform will appear on the waveform channel.

7.5 Choosing the Waveform Settings

Use the ECG waveform menu options to choose the primary ECG lead and adjust the settings for the size and speed of the ECG waveform.

7.5.1 Access the ECG Waveform Menu

The ECG waveform menu is accessible from any ECG waveform channel.

Figure 7.2: ECG Display

To access the ECG waveform menu from the waveform channel:

1. Push and turn the rotary knob on the monitor to move the cursor.

2. Highlight the waveform channel for primary ECG lead and push the knob to select. The ECG waveform menu will appear in the middle of the display.

7.5.2 Change the Primary ECG Lead

Lead II is the default primary lead. You can designate any other lead to be the primary using the ECG waveform menu. The selected primary lead will be displayed in the waveform label.

Figure 7-3: Set Primary ECG Lead

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Chapter 7: ECG

To change the primary lead:

1. On the ECG waveform menu, highlight LEAD and push the knob to access the ECG leads submenu.

2. Highlight the desired primary ECG lead and push the knob to select. See the following tables for the primary lead configuration.

ECG 5-LEAD CONFIGURATION

I Lead I Configuration RA-LA

II Lead II Configuration RA-LL

III Lead III Configuration LA-LL

V Lead V Configuration LA-V AVF Augmented Lead AVF AVL Augmented Lead AVL AVR Augmented Lead AVR

3. Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

7.5.3 Choose the Waveform Size

If any of the displayed ECG waves is too small or clipped, you can change the size of the ECG waveforms on the display. The selected size (X1/4, X1/2, X1, X2, or X4) will appear in the waveform channel. The default size is times one (X1).

Figure 7.4: Choose Waveform Size

To change the size of the ECG waveform:

1. On the ECG waveform menu, highlight Gain Mode and push the knob to select.

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Chapter 7: ECG

2. Highlight the desired size of the waveform (X1/4, X1/2, X1, X2, or X4) and push the knob to select.

3. Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

7.5.4 Choose the Waveform Speed

You can choose the speed at which the ECG waveform is updated.

Figure 7.5: Choose Waveform Speed

To change the speed of the ECG waveform:

1. On the ECG waveform menu, highlight Speed and push the knob to select.

2. Highlight the desired speed of the waveform (6.25, 12.5, 25, or 50 mm/second) and push the knob to select.

3. Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

7.6 Adjusting the Settings in the Parameter Box

7.6.1 HR Alarm Setup

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Chapter 7: ECG

Figure 7.6: HR Alarm Setup

1. Turn Alarm Detection On or Off

You can turn on or off the alarm detection capability for the heart rate value. If HR ALARMS is on, an alarm will be issued when the high or low alarm limit is violated. If you turn HR ALARMS off and the high or low alarm limit is violated, an alarm will not be issued. When you turn off the monitor and turn it on again, HR ALARMS will be reset to ON; the default setting is ON. See Choose the Heart Rate Source in this chapter for information regarding the source of the measured value for heart rate.

To turn on or off the heart rate alarm detection:

Push and Turn the rotary knob on the monitor to move the cursor. Highlight

the HR parameter box and push the knob to access the HR parameter menu.

Highlight HR ALARM and push the knob to select.

Choose ON or OFF and push the knob to select.

Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

2. Set High and Low Alarm Limits

Push and Turn the rotary knob on the monitor to move the cursor. Highlight

the HR parameter box and push the knob to access the HR parameter menu.

Highlight HR ALARM and push the knob to select.

Move the cursor to High/Low and push the knob to select.

Turn the knob to increase or decrease the number and push it to confirm.

Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

3. Choose Alarm Priority

Push and Turn the rotary knob on the monitor to move the cursor. Highlight

the HR parameter box and push the knob to access the HR parameter menu.

Highlight HR ALARM and push the knob to select.

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Chapter 7: ECG

Choose Senior, Junior or Medium and push the knob to select.

Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

7.6.2 Choose the Heart Rate Source

The Vital Signs Monitor can measure the heart/pulse rate using two different parameters: ECG and oximetry (SpO2). Regardless of the source, the measured value for heart rate can be continuously displayed in the HR parameter box. You can choose the source (AUTO, ECG or SPO2) of the heart/pulse rate displayed. The default setting is AUTO.

If you choose ECG, the primary lead label (II) will show in the HR parameter box at the detection of each QRS complex in the waveform. If you choose SpO2 as the source, the SPO2 label identifying the source will be displayed in the HR parameter box at the detection of a pulse.

Figure 7.7: Heart Rate Source

If you choose AUTO, the monitor will determine the best source depending on the quality of available data and the following source priority:

a. If the ECG cable is connected to the monitor, and the ECG reading is valid, then ECG will be the heart rate source.

b. If ECG cable is not connected or the signal is otherwise undetected, an oximetry cable (SpO2) is connected to the monitor, and the SpO2 reading is valid, then SpO2 will be the heart rate source.

To choose the source of the heart rate displayed in the HR parameter box:

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Chapter 7: ECG

Figure7.8: Choose HR Source

1. Push and turn the rotary knob on the monitor to move the cursor. Highlight the HR parameter box and push the knob to access the HR parameter menu.

2. Highlight HR Source and push the knob to select.

3. Choose the desired source of the measured value for heart rate (AUTO, ECG, or SpO2) and push the knob to select.

4. Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

7.7 Monitoring ST

The monitor performs ST segment analysis on normal and atrially paced beats and calculates ST segment elevations and depressions. This information can be displayed in the form of ST numerics and snippets on the monitor.

7.1.1 Turn on the ST Switch

Figure7.9: Turn on ST Switch

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Chapter 7: ECG

1. Push and turn the rotary knob on the monitor to move the cursor. Highlight the HR parameter box and push the knob to access the HR parameter menu.

2. Highlight the ST switch and push the knob to select.

3. Choose AUTO or OFF and push the rotary knob to select.

4. Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

7.1.2 ST Display

The ST section will be displayed in the HR parameter box after you turn on the ST switch.

Figure 7.10: ST Display

7.1.3 ST Alarm Setup

Figure 7.11: ST Alarm Setup

1. Turn Alarm Detection On or Off

You can turn on or off the alarm detection capability for the heart rate value. If ST ALARMS is on, an alarm will be issued when the high or low alarm limit is violated. If you turn ST ALARMS off and the high or low alarm limit is violated, an alarm will not be issued. When you turn off the monitor and turn it on again, ST ALARMS will be reset to ON; the default setting is ON.

To turn on or off the ST alarm detection:

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Chapter 7: ECG

Push and Turn the rotary knob on the monitor to move the cursor. Highlight

the HR parameter box and push the knob to access the HR parameter menu.

Highlight ST ALARM and push the knob to select.

Choose the source of ST section from lead I, II, III, aVR, aVL, aVF, V.

Choose ON or OFF and push the knob to select.

Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

2. Set High and Low Alarm Limits

Push and Turn the rotary knob on the monitor to move the cursor. Highlight

the HR parameter box and push the knob to access the HR parameter menu.

Highlight ST ALARM and push the knob to select.

Move the cursor to High/Low and push the knob to select.

Turn the knob to increase or decrease the number and push it to confirm.

Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

3. Choose Alarm Priority

Push and Turn the rotary knob on the monitor to move the cursor. Highlight

the HR parameter box and push the knob to access the HR parameter menu.

Highlight ST ALARM and push the knob to select.

Choose Senior, Junior or Medium and push the knob to select.

Turn the rotary knob to “OK” or “Cancel” to save or delete your settings.

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Chapter 8: Oximetry

8.1 Oximetry Measurement Capability

The oximetry parameter provides the continuous non-invasive monitoring of oxygen saturation (%SpO2) in the blood and peripheral pulse rate (PPR). The measured values for oximetry (%SpO2 and PPR) and a pulse strength bar graph are displayed in the SpO2 parameter box. A plethysmogram, or oxygen saturation waveform can be continuously displayed. A variety of reusable sensors is available for monitoring patients.

8.2 Oximetry Warnings, Cautions, and Notes