veterinary 3 parameter advisor vital signs monito

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Veterinary 3 ParameterAdvisor Vital Signs Monitor

WW V9230 Operation Manual

- EnglishCatalog Number V1886R3Version 0, February 2009

2009 Smiths Medical amily o companies. All rights reserved.

N I B P

P R I N T

A L A R M

S I L E N C

E

Z E R O I B P

B A T T

O N O F F

AC

Patient ID

TRENDSALARMS SETUP QUICKSET SUSPEND NIBP MODEMANUAL FREEZE


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Table o Contents

Veterinary 3 Parameter Advisor Operation Manual i

Table o Contents

Warranty and Service In ormation ........................................................................................ ixProprietary Notice ...............................................................................................................................................Warranty ............................................................................................................................................................

Limited Warranty ..........................................................................................................................................Loaner Device (Domestic Sales Only) ...........................................................................................................Disclaimer o Warranties ...............................................................................................................................Conditions o Warranty ..................................................................................................................................Limitation o Remedies .................................................................................................................................Warranty Procedure .......................................................................................................................................

CE Notice ...........................................................................................................................................................

Chapter 1: Introduction ....................................................................................................... 1 1About This Manual ..............................................................................................................................................Conventions ........................................................................................................................................................Using the Manual ................................................................................................................................................De nition o Symbols ...........................................................................................................................................General Warnings, Cautions, and Notes ................................................................................................................ECG Warnings, Cautions, and Notes..........................................................................................................................Oximetry Warnings, Cautions, and Notes .............................................................................................................Non-invasive Blood Pressure Warnings, Cautions, and Notes ....................... ....................... ........................ ..........

Chapter 2: Intended Use and General In ormation ........................................................... 2 1Intended Use ........................................................................................................................................................Measurement Capabilities ...................................................................................................................................

Heart/Pulse Rate...............................................................................................................................................Electrocardiography (ECG) ...........................................................................................................................Oximetry ......................................................................................................................................................Non-invasive Blood Pressure (NIBP) .............................................................................................................

Chapter 3: Controls and Features ....................................................................................... 3 1Indicators and Displays with Embedded Submenus ..............................................................................................Parameter Box .....................................................................................................................................................Keys........................................................................................................................................................................Side Panel ............................................................................................................................................................

Back Panel ..........................................................................................................................................................


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Table o Contents

Veterinary 3 Parameter Advisor Operation Manual iii

Chapter 6: Alarms ................................................................................................................. 6 1Parameter Alarms and System Alarms .................................................................................................................Critical Failure Alarm (CFA) ...............................................................................................................................High, Medium, and Low Priority Alarms .............................................................................................................

High Priority Alarms .....................................................................................................................................Medium Priority Alarms ................................................................................................................................

Low Priority Alarms .....................................................................................................................................Controlling Alarms ..............................................................................................................................................

Turn o alarm detection..................................................................................................................................Change alarm limits ......................................................................................................................................Adjust alarm volume .....................................................................................................................................Stop alarms automatically or manually ..........................................................................................................Silence alarms ..............................................................................................................................................

Chapter 7: ECG ......................................................................................................................7 1ECG Measurement Capability .............................................................................................................................

ECG Warnings, Cautions, and Notes..........................................................................................................................Theory o Operation .............................................................................................................................................Using the ECG Parameter.........................................................................................................................................Attaching the Patient ............................................................................................................................................Choosing the Wave orm Settings ..........................................................................................................................

Access the Wave orm Menu ...........................................................................................................................Change the Primary ECG Lead .....................................................................................................................Choose the Wave orm Size .............................................................................................................................Choose the Wave orm Speed ..........................................................................................................................Use Wave orms 2-4 to Display ECG ...............................................................................................................

Adjusting the Settings in the Parameter Box ........................................................................................................Turn Alarm Detection On or O .....................................................................................................................Choose the Heart Rate Source .......................................................................................................................Adjust the Volume o the Heartbeat Beep Tone ...............................................................................................

ECG and Heart Rate Alarms ................................................................................................................................ECG Alarm Messages ........................ ....................... ........................ ....................... ........................ ..............ASYSTOLE...................... ....................... ........................ ........................ ....................... ........................ .......COM ERROR ...................... ....................... ........................ ....................... ........................ ........................ ....LEADS FAIL ....................... ....................... ........................ ....................... ........................ ........................ ...

RA FAIL ....................... ....................... ........................ ........................ ....................... ........................ ..........LA FAIL ....................... ....................... ........................ ........................ ....................... ........................ ..........LL FAIL ........................ ....................... ........................ ........................ ....................... ........................ ..........V FAIL ...................... ....................... ........................ ........................ ....................... ........................ ..............LEADS OVERLOAD ..................... ....................... ........................ ....................... ........................ .................LEAD I OVERLOAD ..................... ....................... ........................ ....................... ........................ ................LEAD II OVERLOAD ........................ ....................... ........................ ....................... ........................ ............LEAD III OVERLOAD ....................... ....................... ........................ ....................... ........................ ............


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iv Veterinary 3 Parameter Advisor Operation Manual

LEAD V OVERLOAD ............................................................................................................................................ECG DISABLED ....................................................................................................................................................

Veri ying ECG Calibration...................................................................................................................................................ECG Technical Data ......................................................................................................................................................

Chapter 8: Oximetry ............................................................................................................. 8 1Using the Oximetry Parameter .......................................................................................................................................Oximetry Measurement Capability .................................................................................................................................Oximetry Warnings, Cautions, and Notes ........................................................................................................................Pulse Oximetry Theory o Operation ...............................................................................................................................Attaching the Patient ......................................................................................................................................................Application Guide ..........................................................................................................................................................

Universal C Sensor (V1707) .................................................................................................................................Mini Clip (V3078) ...................................................................................................................................................Small Re ectance Sensor (V1700) ............................................................................................................................

Checking the Oximeters Per ormance ............................................................................................................................

Choosing the Wave orm Settings .....................................................................................................................................Access the Wave orm Menu .....................................................................................................................................Choose the Wave orm Speed ....................................................................................................................................

Adjusting the Settings in the Parameter Box ...................................................................................................................Turn Alarm Detection On or O ...............................................................................................................................Choose the Wave orm Speed ....................................................................................................................................Turn the Peripheral Pulse Rate (PPR) Display On or O ............................................................................................Choose the Averaging Period or the Oximetry Parameter .........................................................................................

Adjusting the Volume o the Heartbeat Beep Tone ...........................................................................................................SpO2 Alarms ...................................................................................................................................................................Oximetry Alarm Messages ............................................................................................................................................

Chapter 9: Non invasive Blood Pressure ............................................................................ 9 1Using the NIBP Parameter .............................................................................................................................................Non-invasive Blood Pressure Measurement Capability ...................................................................................................Non-invasive Blood Pressure Warnings, Cautions, and Notes ........................ ....................... ........................ ...................NIBP Theory o Operation ..............................................................................................................................................Attaching the Patient ......................................................................................................................................................

Cu Warranty ............................................................................................................................................................Adjusting the Settings in the Parameter Box ...................................................................................................................

Turn Alarm Detection On or O ...............................................................................................................................Choose the Interval or Automatic NIBP Measurements ...........................................................................................Choose the In ation Pressure ....................................................................................................................................Adjust the Volume o the NIBP Completion Beep Tone ...................... ........................ ........................ ......................

Measuring Non-invasive Blood Pressure (NIBP) ............................................................................................................Manual NIBP Mode .................................................................................................................................................AUTO NIBP Mode ..................................................................................................................................................STAT NIBP Mode ....................................................................................................................................................


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Veterinary 3 Parameter Advisor Operation Manual v

Canceling an NIBP Measurement ........................................................................................................................Cleaning the NIBP Cu ........................................................................................................................................NIBP Alarms ...................... ....................... ........................ ........................ ....................... ........................ ...........

NIBP Alarm Messages ....................... ....................... ........................ ....................... ........................ ..............

Chapter 10: Operators Maintenance and Troubleshooting ...........................................10 1Cleaning the Monitors Sur aces ...................... ........................ ........................ ....................... ........................ ......Long-term Storage ..................... ....................... ........................ ........................ ....................... ........................ .....Operators Troubleshooting Chart ....................... ........................ ........................ ....................... ........................ ...

Chapter 11: Optional Supplies and Accessories ...............................................................11 1Ordering In ormation ........................ ....................... ........................ ....................... ........................ ......................

Chapter 12: Service Menu ..................................................................................................12 1Setting De ault Values or the Monitor ...................... ........................ ....................... ........................ ......................

Set De ault Alarm Limits ...................... ....................... ........................ ....................... ........................ ...........Set the ECG Filter Level ........................ ....................... ........................ ....................... ........................ ..........Select the Alarm Audio Silence Operation ...................... ........................ ....................... ........................ ........Select the Alarm Reset Operation ....................... ........................ ....................... ........................ .....................

Changing the Service Menu Password ...................... ........................ ....................... ........................ .....................Veri ying NIBP Calibration...................... ........................ ........................ ....................... ........................ ...........

Using the Static Limits Feature ..................... ........................ ........................ ....................... ........................ .........Using the Factory Service Menu ...................... ........................ ........................ ....................... ........................ .....Using the Demo Mode ..................... ....................... ........................ ....................... ........................ ......................

Auto-Detectable Parameters .................... ........................ ........................ ....................... ........................ ........

Chapter 13: Speci cations .................................................................................................13 1Display ........................ ....................... ........................ ........................ ....................... ........................ ...................

Indicators ....................... ....................... ........................ ........................ ....................... ........................ ................Alarm Volume ...................... ....................... ........................ ....................... ........................ ........................ ..........Keys/User Controls ..................... ....................... ........................ ........................ ....................... ........................ ...ECG....................... ........................ ....................... ........................ ....................... ........................ ........................ ..Oximeter ........................ ....................... ........................ ........................ ....................... ........................ ................NIBP ..................... ........................ ....................... ........................ ....................... ........................ ........................Power Requirements ..................... ....................... ........................ ........................ ....................... ........................ .Dimensions ....................... ....................... ........................ ........................ ....................... ........................ .............Environmental ..................... ....................... ........................ ....................... ........................ ........................ ...........Design Standards ....................... ....................... ........................ ........................ ....................... ........................ ....Equipment Classi cation ..................... ....................... ........................ ....................... ........................ ....................


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vi Veterinary 3 Parameter Advisor Operation Manual

Appendix A: ECG Technical Re erence ................................................................................A 1Tall T-Wave Rejection Capability................................ ........................ ....................... ........................ ....................... .......Heart Rate Averaging Method and Display Update Rate..................... ....................... ........................ ....................... .......Response Time o Heart Rate Meter to Change in Heart Rate .......................................... ........................ .......................Display Aspect Ratio ....................... ....................... ........................ ....................... ........................ ........................ .........Audible Alarms ..................... ....................... ........................ ....................... ........................ ........................ ...................

Visual Alarms ..................... ....................... ........................ ....................... ........................ ........................ ......................Line Isolation Transients ........................ ....................... ........................ ....................... ........................ ........................ ...Electrode Polarization ........................ ....................... ........................ ....................... ........................ ........................ .......Audible Alarm Silencing............................... ........................ ........................ ....................... ........................ ...................

Appendix B: Alarm Limit De aults .......................................................................................B 1Heart Rate ......................................................................................................................................................................Oximetry ........................................................................................................................................................................Non-invasive Blood Pressure (NIBP) ..............................................................................................................................

Appendix C: IEC 60601 1 2 Requirements, 2nd Edition, 2001 ..........................................C 1

Appendix D: Revision History ............................................................................................. D 1


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Veterinary 3 Parameter Advisor Operation Manual vii

Advisor, SurgiVet and the Smiths design mark are trademarks o the Smiths Medical amily o companies. Thesymbol indicates the trademark is registered in the U.S. Patent and Trademark Ofce and certain othercountries. All other names and marks mentioned are the trade names, trademarks, or service marks o theirrespective owners.

The serial autocorrelation technology in the monitor is covered by U.S. Patent No. 5,558,096.


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Warranty and Service In ormation

Veterinary 3 Parameter Advisor Operation Manual ix

Proprietary Notice

In ormation contained in this document is copyrighted by Smiths Medical PM, Inc. and may not be duplicated inull or part by any person without prior written approval o Smiths Medical PM, Inc. Its purpose is to provide the

user with adequately detailed documentation to efciently install, operate, maintain and order spare parts orthe device supplied. All in ormation contained in this document is believed to be current and accurate as o thedate o publication or revision, but does not constitute a warranty.

Warranty

Limited Warranty

Smiths Medical PM, Inc. (Seller) warrants to the original purchaser that the Product, not including applicableaccessories, shall be ree rom de ects in material and workmanship under normal use, i used in accordance withits labeling, orone year rom the date o shipment to the original purchaser.

Seller warrants to the original purchaser that the reusable oximeter sensors supplied as accessories, shall be reerom de ects in materials and workmanship under normal use, i used in accordance with its labeling, or oneyear rom the date o shipment to the original purchaser (USA only).

Seller warrants to the original purchaser that the reusable ECG leads and reusable NIBP purple hose supplied asaccessories, shall be ree rom de ects in materials and workmanship under normal use, i used in accordancewith its labeling, or 90 days rom the date o shipment to the original purchaser (USA only).

Blood pressure cu s carry a (6) six month warranty, pending evaluation by Smiths Medical PM, Inc. (SMPM)Technical Services. Cu s that are contaminated, have liquid in them, have been misused/abused or are olderthan (6) months will not be covered under warranty. The sole obligation o SMPM under this warranty will be torepair or replace, at its option, products that prove to be de ective during the warranty period.

The oregoing shall be the sole warranty remedy. Except as set orth herein, seller makes no warranties, eitherexpressed or implied, including the implied warranties o merchantability and tness or a particular purpose. Nowarranty is provided i the products are modi ed without the express written consent o Smiths Medical PM, Inc.and seller shall not be liable in any event or incidental or consequential damage. This warranty is not assignable.

Warranties are subject to change. Please contact Smiths Medical PM Inc. or current warranty in ormation.

Loaner Device (Domestic Sales Only)

Smiths Medical PM, Inc. (SMPM) will, or the period o warranty, make loaner devices available at no charge(domestic sales only) i , in the opinion o SMPM, the repair o the customers device would require anunreasonable period o time to repair, and there is a suitable loaner available during the time o the repair.

SMPM may make available a loaner device, or a ee, should it be requested while an out o warranty device is inor service.



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x Veterinary 3 Parameter Advisor Operation Manual

Disclaimer o Warranties

THE FOREGOING EXPRESS WARRANTY, AS CONDITIONED AND LIMITED, IS IN LIEU OF AND EXCLUDES ALLOTHER WARRANTIES WHETHER EXPRESS OR IMPLIED, BY OPERATION OF LAW OR OTHERWISE, INCLUDINGBUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULARPURPOSE.

Seller disclaims responsibility or the suitability o the Product or any particular medical treatment or or any

medical complications resulting rom the use o the Product. This disclaimer is dictated by the many elementswhich are beyond Sellers control, such as diagnosis or patient, conditions under which the Product may be used,handling o the Product a ter it leaves Sellers possession, execution o recommended instructions or use andothers.

Conditions o Warranty

This warranty is void o the Product has been altered, misused, damaged by neglect or accident, not properlymaintained 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 manu actured by Seller. This warranty doesnot cover normal wear and tear and maintenance items.

Limitation o Remedies

The original purchasers exclusive remedy shall be, at Sellers sole option, the repair or replacement o theProduct. THIS IS THE EXCLUSIVE REMEDY. In no event will Sellers liability arising out o any causewhatsoever (whether such cause is based in contract, negligence, strict liability, tort or otherwise) exceedthe price o the Product and in no event shall Seller be responsible or consequential, incidental, orspecial damages o any kind or nature whatsoever, including by not limited to, lost business, revenuesand pro ts.


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Veterinary 3 Parameter Advisor Operation Manual xi

Warranty Procedure

To obtain warranty service or repair o SurgiVet equipment in the USA, please contact Veterinary ClinicalSupport to obtain a Return Authorization Number. Please provide the serial number o all equipment thatwill be returned. Any equipment returned or evaluation must be cleaned and decontaminated prior tobeing handled by our service technicians. For cleaning instructions, please re er to the appropriate sectionin the operation manual. I equipment is returned prior to cleaning, and in our opinion it represents a potentialbiological hazard, the equipment will be returned to the sender as is.

Re erence the return authorization number when returning your Product, reight and insurance prepaid byPurchaser, to:

Smiths Medical PM, Inc.Attn: Repairs / return #N7W22025 Johnson DriveWaukesha, WI 53186-1856 USA

Veterinary Clinical SupportTelephone: 1-262-513-8500Toll-Free: 1-888-745-6562 (USA only)Fax: 1-262-542-0718Web: www.surgivet.com

Seller will not be responsible or unauthorized returns or or loss or damage to the Product during the returnshipment. The repaired or replaced Product will be shipped, reight prepaid by Seller, to Purchaser.

To obtain warranty in ormation outside the USA, contact your local distributor.NOTE! Shipments received without a return number will be returned to sender.

Keep all original packing material, including any inserts. I you need to ship the device, use only the originalpackaging material, including inserts. Box and inserts should be in original condition. I original shippingmaterial in good condition is not available, it should be purchased rom Smiths Medical PM, Inc.

Damages occurring in transit in other than original shipping containers are the responsibility o the shipper. Allcosts incurred returning devices or repair are the responsibility o the shipper.

CE Notice

Marking by the symbol5 indicates compliance o this device to the Medical Device Directive93/42/EEC.

@ Authorized Representative (as de ned by the Medical Device Directive):

Smiths Medical International Ltd.Colonial Way, Wat ord, Hert ordshire,WD24 4LG, UK

Tel: (44) 1923 246434Fax: (44) 1923 240273


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Chapter 1: Introduction

Veterinary 3 Parameter Advisor Operation Manual 1-1

About This Manual

This manual provides installation, operation, and maintenance instructions or the equipment supplied. Thismanual is intended or healthcare pro essionals trained in monitoring respiratory and cardiovascular activity.

Conventions

This manual uses visual clues to help convey messages. The ollowing examples show the conventions usedthroughout the manual. Re erences to other sections in the manual are shown in italics, like this: SeeControlling Alarms in Chapter 6: Alarms or more in ormation. Graphics are numbered according to the chapter in which theyare ound, such as Figure 7-3.

Using the Manual

The monitor allows you to choose the measurement capabilities you need. A measured value re ers to a derivedor calculated value; a parameter re ers to one or more speci c measured values. For example, pulse rate and

%SpO2 are measurements; the Oximeter parameter consists o both these measured values. Operation o themonitor is the same regardless o the number o parameters you use.

I you are not amiliar with the operation o this monitor, ollow each chapter in the manual in order. Eachchapter builds on the in ormation rom the previous chapter. I the monitor is already set up, or i you are amiliarwith its operation, turn to the chapter that describes the eatures you will use.



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1-2 Veterinary 3 Parameter Advisor Operation Manual

De nition o Symbols

SYMBOL DEFINITION

6 Federal (U.S.A.) law restricts this device to sale by or on the order o a veterinarian.

q De brillator-proo type CF equipment

f Attention, see instructions or use.1 Dangerous voltage.7 Re er servicing to quali ed service personnel.D Output0 Loudspeakerw Fuse

y Date o Manu acture< Catalog Number

> Serial NumberIPX1 Drip Proo 1 Non AP Devicet Graphical Recorder (NOT USED)8 Use by

x On/O * Q IBP Zero All* (NOT USED)

h NIBP Start/Stop *

F Print Start/Stop * (NOT USED)B Alarm Silence *X AC Power LED *M Battery Charge LED * (NOT USED)

* International Symbols


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SYMBOL DEFINITION

ZCollectSeparately

Disposal (EU Countries)Under the Waste Electrical and Electronic Equipment (WEEE) Directive 2006/96/EC andimplementing regulations, all devices and service items within the scope o the Directivepurchased new a ter August 13, 2005 must be sent or recycling when ultimately becomingwaste. Devices and items must not be disposed o with general waste.

I purchased be ore that date, they may also be sent or recycling i being replaced on a one-or-one, like- or-like basis (this varies depending on the country). Recycling instructions tocustomers using Smiths Medical products are published on the internet at:http://www.smiths medical.com/recycle

Y

Disposal (other countries)When disposing o this device, its batteries or any o its accessories, ensure that any negativeimpact on the environment is minimized. Contact your local waste disposal service anduse local recycling or disposal schemes. Separate any other parts o the equipment wherearrangements can be made or their recovery; either by recycling or energy recovery. Themain batteries are potentially harm ul and will require separate disposal according tomanu acturers instructions or local regulations.

Note: I applicable, EU, national or local regulations concerning waste disposal musttake precedence over the above advice.

KEYWORD DEFINITION

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

CAUTION Tells you something that could damage the device.

NOTE Tells you other important in ormation.

General Warnings, Cautions, and Notes

WARNING! Do not use this device in the presence o ammable anesthetics.

WARNING! ELECTRICAL SHOCK HAZARD when covers are removed. Do not remove covers.

7 Re er servicing to quali ed personnel.

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

WARNING! Do not use this device in the presence o magnetic resonance imaging (MR or MRI)equipment.

WARNING! This device must be used in conjunction with clinical signs and symptoms. This device is onlyintended to be an adjunct in patient assessment.

WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the monitor and other accessories inliquid. Evidence that liquid has been allowed to enter the monitor voids the warranty.

WARNING! In the event that earth ground integrity is lost, the per ormance o this device and/or otherdevices nearby may be a ected due to excessive RF emissions.

WARNING! Where HF (diathermy) is used there is no danger o burning to the patient providedrecommended components are used. Rate meters may be temporarily a ected.


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WARNING! Equipment is protected against de brillator discharge. Rate meters and displays may betemporarily a ected during de brillation, but will rapidly recover.

WARNING! The vital signs monitor is suitable or use within the patient environment IEC 60950 approvedequipment must be placed outside o the patient environment. The patient environment isde ned as any volume in which intentional or unintentional contact can occur between thepatient and parts o the system or between the patient and other persons touching parts o the system.

Figure 1.1: Patient Environment (side)The dimensions are not prescriptive.

Figure 1.2: Patient Environment (top)The dimensions are not prescriptive.

WARNING! When connecting this monitor to any instrument, veri y proper operation be ore clinical use.Use only equipment meeting speci cations given in this manual. Re er to the instrumentsuser manual or ull instructions. Accessory equipment connected to the monitors datainter ace must be certi ed according to the respective IED standards, i.e. IEC 60950 or dataprocessing equipment or IEC 60601 1 or electro medical equipment. All combinationso equipment must be in compliance with IEC 60601 1 1 systems requirements. Anyoneconnecting additional equipment to the signal input port or signal output port con gures amedical system, and there ore, is responsible that the system complies with the requirementso the system standard IEC 60601 1 1.

WARNING! Any monitor that has been dropped or damaged should be checked by quali ed servicepersonnel to ensure proper operation prior to use.

WARNING! Use only original manu acturer or recommended patient cables. Use o accessories other thanthose speci ed may result in increased electro magnetic (EM) emissions or decreased EMimmunity o the device. To avoid potential electro static discharge inter erence, do not usecables that incorporate metal or metal coated connectors.

WARNING! Medical electrical equipment, including this device, needs special precautions regardingelectro magnetic compatibility (EMC) and needs to be installed and put into serviceaccording to the EMC in ormation provided in this manual.


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WARNING! There is no de brillator synchronization output on the monitor. Make no connectionsbetween the monitor and a de brillator.

WARNING! This monitor will not operate e ectively on patients who are experiencing convulsions ortremors.

WARNING! This monitor is not or home use.

WARNING! The monitor should not be used adjacent to or stacked with other equipment. I adjacent orstacked use is necessary, the monitor should be observed to veri y normal operation in thecon guration in which it will be used.

WARNING! This monitor is not or apnea detection. The monitor has not been tested or validated or usein apnea detection.

WARNING! Veri y proper operating mode be ore attaching patient. See Select the Patient Type in Chapter 4: Setting Up the Monitor .

WARNING! De ault alarm limits are provided or convenience. Veri y that alarm limits are appropriate orgiven patient and condition, and adjust according to institutional policy.

WARNING! Ensure the monitors AC rating is correct or the AC voltage at your installation site be oreusing the monitor. The monitors AC rating is shown on the rear panel rating plate. I therating is not correct, do not use the monitor.

WARNING! Disconnect the AC power supply rom the outlet be ore disconnecting it rom the monitor.Leaving the AC power supply connected to an AC power outlet without being connected tothe monitor may result in a sa ety hazard.

WARNING! Do not allow any moisture to touch the AC power supply connectors or a sa ety hazard mayresult. Ensure that hands are thoroughly dry be ore handling the AC power supply.

WARNING! Do not place the monitor in the patients bed. Do not place the monitor on the oor.

WARNING! Failure to place the monitor away rom the patient may allow the patient to turn o , reset, ordamage the monitor, possibly resulting in the patient not being monitored. Make sure thepatient cannot reach the monitor rom their bed.

WARNING! I there is a risk o the AC power supply becoming disconnected rom the monitor during use,secure the cord to the monitor several inches rom the connection.

WARNING! This device is intended or use by trained healthcare pro essionals. The operator must bethoroughly amiliar with the in ormation in this manual be ore using the device.

WARNING! 7 Do not disassemble the unit. The unit is not user serviceable. Re er to quali ed servicepersonnel.

WARNING! It is the operators responsibility to set alarm limits appropriately or each individual patient.

WARNING! I the accuracy o any measurement is in question, check the patients vital sign(s) by analternative method and then check the monitor or proper unctioning.

WARNING! Operation o this device may be a ected in the presence o strong portable and mobilecommunications equipment.


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WARNING! Operation o this device may be adversely a ected in the presence o computed tomography(CT) equipment.

CAUTION! Do not allow water or any other liquid to be spilled onto the monitor. Unplug the AC powercord rom the monitor be ore cleaning or disin ecting the monitor.

CAUTION! This unit contains a lithium coin battery and a rechargeable alkaline battery. These batteriesare not user replaceable.

7 Re er servicing to quali ed personnel.

CAUTION! Pressing ront panel keys with sharp or pointed instruments may permanently damage thekeypad. Press the ront panel keys only with your nger.

CAUTION! Blocking the ventilation holes on the monitors rear panel can prevent air circulation insidethe monitor, possibly resulting in damage to the monitor. Leave an air gap behind the monitorto allow air to circulate through the ventilation holes.

CAUTION! Chemicals used in some cleaning agents may cause brittleness o plastic parts. Followcleaning instructions in this manual.

CAUTION! I the device becomes wet, wipe o all moisture and allow sufcient time or drying be oreoperating.

CAUTION! Follow local governing ordinances and recycling instructions regarding disposal and recyclingo device components and packaging.

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

NOTE! Each input and output connection o the monitor is electrically isolated. Connection o thismonitor to other equipment will not increase leakage current.

ECG Warnings, Cautions, and Notes

WARNING! Connect only three lead or ve lead ECG lead wires rom the patient to the ECG patient cable.Do not connect any other signal source to the ECG patient cable.

WARNING! This monitor does not identi y or interpret arrhythmia events. The indication o heart ratemay be adversely a ected by the presence o cardiac arrhythmias.

WARNING! Line isolation monitor transients may resemble actual cardiac wave orms and thus inhibitheart rate alarms.

CAUTION! A three lead ECG cable must be used i 3 Lead processing is selected. A ve lead ECG cablemust be used i 5 Lead processing is selected. Using the incorrect cable or the selected modemight lead to a oating re erence or additional noise on the ECG signal.

NOTE! Follow institutional standards when applying ECG electrodes. Silver/Silver Chloride disposableelectrodes are strongly recommended to avoid polarization e ects that result in large input o setpotentials. Use o squeeze bulb type electrodes is not recommended.

NOTE! Use only standard AAMI three lead or ve lead ECG cables.


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Oximetry Warnings, Cautions, and Notes

WARNING! Prolonged use or the patients condition may require changing the sensor site periodically.Change the sensor site and check skin integrity, circulatory status, and correct alignment atleast every 4 hours.

WARNING! When attaching sensors with Micro oam tape, do not stretch the tape or attach the tape tootightly. Tape applied too tightly may cause inaccurate readings and blisters on the patientsskin (lack o skin respiration, not heat, causes the blisters).

WARNING! Using a damaged sensor may cause inaccurate readings, possibly resulting in patient injuryor death. Inspect each sensor. I a sensor appears damaged, do not use it. Use another sensoror contact your authorized repair center or help.

WARNING! Using a damaged patient cable may cause inaccurate readings, possibly resulting in patientinjury or death. Inspect the patient cable. I the patient cable appears damaged, do not use it.Contact your authorized repair center or help.

WARNING! Failure to care ully route the cable rom the sensor to the monitor may allow the patient tobecome entangled in the cable, possibly resulting in patient strangulation. Route the cablein a way that will prevent the patient rom becoming entangled in the cable. I necessary, usetape to secure the cable.

WARNING! I any o the integrity checks ail, do not attempt to monitor the patient. Use another sensoror patient cable, or contact the equipment dealer or help i necessary.

WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the sensors in liquid. Evidence thatliquid has been allowed to enter the monitor voids the warranty.

WARNING! Use only SpO 2 sensors supplied with, or speci cally intended or use with, this device.

WARNING! SpO2

measurements may be adversely a ected in the presence o high ambient light. Shieldthe sensor area (with a surgical towel, or example) i necessary.

WARNING! Dyes introduced into the bloodstream, such as methylene blue, indocyanine green, indigocarmine, patent blue V (PBV), and uorescein may adversely a ect the accuracy o the SpO 2 reading.

WARNING! Any condition that restricts blood ow, such as use o a blood pressure cu or extremes insystemic vascular resistance, may cause an inability to determine accurate SpO 2 and pulserate readings.

WARNING! Under certain clinical conditions, pulse oximeters may display dashes i unable to displaySpO 2 and/or pulse rate values. Under these conditions, pulse oximeters may also displayerroneous values. These conditions include, but are not limited to: patient motion, lowper usion, cardiac arrhythmias, high or low pulse rates or a combination o the aboveconditions. Failure o the clinician to recognize the e ects o these conditions on pulseoximeter readings may result in patient injury.

CAUTION! Unplug the sensor rom the monitor be ore cleaning or disin ecting.

NOTE! Obstructions or dirt on the sensors red light or detector may cause a sensor ailure. Make surethere are no obstructions and the sensor is clean.


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NOTE! I the oximeter parameter is being monitored, the pitch o the pulse beep is determined by theSpO 2 value. The higher the SpO 2 value, the higher the pulse beep pitch; the lower the SpO 2 value,the lower the pulse beep pitch.

NOTE! The low SpO 2 alarm limit minimum test value is 85. I you change the low SpO 2 alarm limit to avalue less than 85 and then change the patient type, add a new patient, or power down/power upthe monitor, a minimum value o 85 takes the place o the value you entered.

Non invasive Blood Pressure Warnings, Cautions, and Notes

WARNING! Blood pressure measurements may be inaccurate i cu s and/or hoses other than thosespeci ed by Smiths Medical PM, Inc. are used.

WARNING! Repeated use o STAT mode or periods longer than 15 minutes should be avoided to reducethe patients risk or so t tissue or nerve damage. When using the monitor or long periods o time, select the longest clinically appropriate measurement interval and periodically examinethe patient or signs o injury and ensure proper cu placement.

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

WARNING! Check that operation o the equipment does not impair the circulation o the monitoredpatient.

WARNING! Blood pressure measurements may not be accurate or patients experiencing arrhythmias.

WARNING! Do not veri y the Non Invasive Blood Pressure calibration while the cu is attached to apatient.

WARNING! Veri y cu size is correct or the selected patient mode on the monitor.

CAUTION! To ensure that the unit remains in calibration, per orm a calibration veri cation on a yearlybasis.

CAUTION! Extremity and cu motion should be minimized during blood pressure determinations.

CAUTION! Proper blood pressure cu size and placement are essential to the accuracy o the bloodpressure determination.

CAUTION! Any blood pressure recording can be a ected by the position o the patient, his or herphysiologic condition, and other actors.

CAUTION! Blood pressure measurements should be interpreted by a veterinarian.

NOTE! There are no user serviceable adjustments or the Non Invasive Blood Pressure calibration

veri cation. I the monitor appears to be out o calibration, contact your authorized repair centeror help.

NOTE! Systolic and diastolic blood pressure measurements determined with this device are equivalentto those obtained by the trained observer using the cu /stethoscope auscultation method,within the limits prescribed by the American National Standard, Electronic or Automated Sphygmomanometers . AAMI SP10 1992

NOTE! Mean arterial blood pressure measurements determined with this device are equivalent to thoseobtained by an intra arterial blood pressure measurement device as determined by SmithsMedical PM, Inc.


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Chapter 2: Intended Use and General In ormation


Intended Use

This vital signs monitor is intended to be used in special procedure labs and other areas o a veterinary hospitalor clinic where veterinary monitoring systems are needed. The monitor package includes 3-lead or 5-lead

electrocardiography (ECG), non-invasive blood pressure (NIBP), and pulse oximetry (SpO2).The device permits patient monitoring with adjustable alarm limits as well as visible and audible alarm signals.The monitor provides ast, reliable measurements or patients ranging rom cats to horses when using theappropriate SurgiVetaccessories. The monitor is not intended or home use. The monitor is not intended to bean apnea monitor. It was not designed or validated or use as an apnea monitor.

WARNING! This monitor is not or apnea detection. The monitor has not been tested or validated or usein apnea detection.

WARNING! This monitor is not or home use.

WARNING! Veri y proper operating mode be ore attaching patient. See Select the Patient Type in Chapter 4: Setting Up the Monitor.

Measurement Capabilities

Heart/Pulse Rate

Heart/pulse rate is measured with the ECG, oximetry, and non-invasive blood pressure (NIBP) parameters. Themeasured values can be continuously displayed in the ECG and SPO2 parameter boxes. Heart/pulse rate can also

be displayed in the NIBP HISTORY, ound in the TRENDS menu. You can choose the source (AUTO, ECG, or SPO2)o the heart/pulse rate displayed in the ECG parameter box. I you choose AUTO, the monitor will determine thebest source depending on the quality o available data and selected source priority. SeeChoose the Heart RateSource in Chapter 7: ECG or detailed in ormation regarding the source o the heart/pulse rate displayed in theECG parameter box.

Electrocardiography (ECG)

The monitor provides continuous three-lead or ve-lead ECG processing, with standard lead selections, andltering rom electrocautery discharge. The ECG measured value (HR) and primary lead selection are displayed inthe ECG parameter box, and an ECG wave orm is continuously displayed.

Oximetry

The oximetry parameter provides the continuous non-invasive monitoring o oxygen saturation (%SpO2) in theblood and peripheral pulse rate (PPR). The measured values or oximetry (%SpO2 and PPR) and a pulse strengthbar graph are displayed in the SPO2 parameter box. A plethysmogram, or oxygen saturation wave orm, can becontinuously displayed. A variety o disposable and reusable sensors is available or monitoring patients.

Non invasive Blood Pressure (NIBP)

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



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Chapter 3: Controls and Features


Indicators and Displays with Embedded Submenus

The monitor has a large, high-resolution, high-contrast, color LCD display. It provides a continuous, real-timedisplay o up to our wave orms. It also shows measured values, chronological data, measurement trends, and

alarm limits.

DISPLAYS DESCRIPTIONPatient Type You must select the patient type (HORSE, DOG, or CAT) be ore monitoring a patient.

When you change the patient type:The alarm limits will be reset to their de ault settings.(i not in STATIC LIMITS mode)

NIBP in ation pressure settings will be reset or a cat, dog, or horse patient. Forexample, the de ault cat NIBP in ation pressure setting is 200 mmHg; the de aultdog NIBP in ation pressure setting is 150 mmHg; the de aulthorse NIBP in ationpressure setting is 100 mmHg.

The NIBP mode will be reset to MANUAL.

I the alarm limits or oximetry were adjusted to below 85%, they will be reset to

85%.


Figure 3.1: Display

Patient Type

Patient ID

TRENDSALARMS SETUP QUICKSET SUSPEND NIBP MODEMANUAL FREEZEMessage Line

Wave orm Label

Wave orm

Date and Time

ID and Patient Names

Main Menu

Parameter Box

Alarm Status


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DISPLAYS DESCRIPTION

Alarm Status I the monitor detects that one or more o a patients parameter values are violated, ALARMwill be displayed. I the patients parameter values are within the speci ed limits, the chosenalarm reset mode, either AUTO RESET or MANUAL RESET, will be displayed. SeeSelect the Alarm Reset Operation in Chapter 12: Service Menu or details regarding auto or manual reset.

Bed andPatient Names

You can choose which patient in ormation to display: just the bed, the bed and the patientsname, or the bed and the patient ID. While speci c patient identi cation in ormation isexpected to change, the bed or room to which the monitor is assigned may remain the same.

Main Menu The main menu provides a means o changing monitor settings, such as alarm limits andparameter colors, and per orming monitoring unctions, such as NIBP calibration veri cationand monitor suspension. There are several points o entry into the monitors menu systemincluding the main menu, parameter menus, and wave orm menus.

Wave orm Up to our wave orms can be displayed simultaneously:

Wave orm 1 is dedicated to the primary ECG lead, although you can speci y which lead isto be the primary.

Wave orm 2 can be assigned to another ECG lead (in ve-lead mode only), a cascade(continuation) o the primary ECG lead wave orm, or a wave orm rom any other enabledparameter.

Wave orm 3 can be changed to display a cascade (continuation) o the primary ECG leadwave orm a ter wave orms 1 and 2, or it can be a wave orm rom any other enabledparameter.

Wave orm 4 can be changed to display a cascade (continuation) o the primary ECG leadwave orm a ter wave orms 1, 2, and 3, or it can be a wave orm rom any other enabledparameter.

Wave ormLabel

The wave orm label provides access to a menu or each wave orm where you can adjustvarious settings related to the wave orm. For some parameters, such as ECG, the wave ormlabel displays in ormation about the primary lead and the size o the ECG tracing.

Message Line The message line provides a brie description o the highlighted eld or menu selection.

Date and Time The monitors real-time clock and calendar keep track o the time and date, even when themonitor is turned o or is not connected to AC power. The time and date stamp is used or theNIBP tabular trends and the displayed trends. The time display ormat is based on the 24-hourclock. For example, 5:00 a.m. is displayed as 5:00 and 5:00 p.m. is displayed as 17:00.


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Parameter Box

Parameter Box When you turn on a parameter, a box appears on the display containing the parameter ormeasurement name, the numeric values or the selected measurement, the high and lowalarm limits, a descriptor or the alarm limits displayed, and the measurement unit. In gure2-2, the parameter is ECG, the numeric measured value is the heart rate (HR), the alarm limitsshown are or the heart rate (HR), and the measurement unit is beats per minute (bpm).Parameter Name The name o the monitored parameter is displayed. The parameter

name box provides access to a menu or the parameter where you canadjust various settings related to the parameter.

Numeric MeasuredValues

The number value or the selected measurement (such as HR or SpO2) isdisplayed. The value may be derived or calculated. Dashes (- - -) in placeo a numeric measured value indicate that the measurement is invalidor unavailable.

High and LowAlarm Limits

The high and low alarm limits or the numeric measured values aredisplayed. I you do not set alarm limits or a new patient, the de aulthigh and low limits will be used.

Alarm LimitDescriptor

The alarm limit descriptor indicates which high and low limits aredisplayed. For the parameters where more than one measurement canbe monitored such as blood pressure (systolic, diastolic, and mean) onlyone set o high and low limits can be displayed. You can speci y whichset o limits is displayed. Alarms are issued i any one o the limits isviolated, whether or not it appears on the display.

Measurement Unit Units o measurement can be changed or pressure. Pressuremeasurement units may be displayed as millimeters o mercury (mmHg)or kilopascals (kPa).

Measured Value

Alarm Limits

Parameter NameAlarm Limit Descriptor

Measurement Unit Figure 3.2: Parameter Box


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Keys

DESCRIPTION INSTRUCTION

ON/OFF Press this key to turn on the monitor. To turn o the monitor, press the key and a messagewill be displayed indicating that i you continue to power down, some con guration datawill be lost; press the key again to turn o the monitor.

ZERO IBP NOT USEDNIBP Press this key to activate an immediate non-invasive blood pressure (NIBP) measurement.

To cancel an NIBP measurement in progress, press the key again.PRINT NOT USED

ALARM SILENCE Press the key momentarily to silence alarms or 2 minutes. To reactivate the audible alarmtones within the two minutes, press the key again. Press the key or 3 seconds to silencealarms inde nitely. AUDIO PAUSED will be displayed. A new alarm will cancel silence. Pressthe key or 6 seconds to turn alarm sounds o permanently. AUDIO OFF will be displayed.*

Rotary Knob The rotary knob is a dial control with a push selection switch. It is located on the ront o the monitor, in the lower right corner. Turn the rotary knob to navigate the cursor aroundthe display. Push the knob to select highlighted options.

INDICATOR DESCRIPTION

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

source.BATT NOT USED

*NOTE! Quali ed personnel may change the allowed alarm audio silence mode. See Select the Alarm AudioSilence Operation in Chapter 12: Service Menu or details regarding alarm silence.

Figure 3.3: Keys


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Side Panel

The le t side panel o your monitor contains all o the patient connector receptacles and the AC powerreceptacle.

CONNECTOR DESCRIPTION INSTRUCTION

u OximeteryConnector (SpO2)

The SPO2 parameter box will appear on the display when the patientconnector is attached to the monitor. Measured values or oxygen

saturation (%SpO2) in the blood and peripheral pulse rate (PPR) will bedisplayed when the sensor is attached to the patient.v ECG Connector The ECG parameter box will always appear on the display. A measured

value or the ECG heart rate (HR) will be displayed when the ECG leadsare attached to the patient and the ECG MONITOR menu option isturned on. I ve-lead processing is installed on your monitor, youmust also set the ECG LEADS PROCESSING menu option to ve-leadprocessing. SeeParameter Options in Chapter 4: Setting Up the Monitor or instructions or turning on ECG MONITOR and setting ECG LEADSPROCESSING.

CAUTION! A three lead ECG cable must be used i 3 Leadprocessing is selected. A ve lead ECG cable mustbe used i 5 Lead processing is selected. Using theincorrect cable or the selected mode might lead toa oating re erence or additional noise on the ECGsignal.

w Non-InvasiveBlood Pressure

Connector (NIBP)

The NIBP parameter box will always appear on the display. Measuredvalues or non-invasive blood pressure (systolic, diastolic, andmean) will be displayed when the most recent NIBP measurement iscomplete.

ECG

NIBP

BP2

BP1

TEMP

SPO2

w

2 1

2 100-240AC0.8A 50-60Hz

F 1.6A/250V

REPLACEFUSEASMARKEDRISKOF FIREWARNING:

CAUTION

u

y

w

v

Figure 3.4: Side Panelx


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Chapter 4: Setting up the Monitor


Unpack the Monitor and Check the Shipment

Be ore you begin setting up, care ully remove the AdvisorVital Signs Monitor and its accessories rom theshipping carton. Save the packing materials in case the monitor must be shipped or stored. Compare the

packing list with the supplies and equipment you received to make sure the shipment is complete.

Quick Setup Instructions

Follow these setup steps every time you begin monitoring a patient. SeeDetailed Setup Instructions in thischapter or a thorough explanation o each step.

Choose the installation site.1.

Check the monitors AC rating.2.

Connect the AC power cord.3.

Press the ON/OFF key4. x to turn on the monitor.Select the patient type.5.

Add a new patient.6.

Use the SETUP menu to de ne some general con guration in ormation and parameter options.7.

I necessary, set the time and date on the display.8.

Detailed Setup Instructions

Set up the monitor in a room with a temperature o 0-40 C (32-104 F) and a relative humidity o 15-95%,1.non-condensing.

I the monitor was in an area having a temperature higher or lower than this, wait a ew minutes be orea.

setting up and using the monitor.Check the monitors AC rating. Check the monitors AC rating plate to ensure the nominal voltage at your2.installation site matches the monitors rating.

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

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

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

Veri y that the ront panel AC Power LED5. X is lit.

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

Press the ON/OFF key6. x

to turn on the monitor.The display will light up, the monitor will begin a brie system check, and then automatically enter thea.monitoring mode.

NOTE! The monitor per orms a number o system checks during its start up time. I the monitor detectsan error with its internal circuitry, a message is displayed and the monitor will not enter themonitoring mode.



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Select the Patient Type

The patient type indicator is located on the upper portion o the display. The de ault patient type is DOG.

When you change the patient type:The alarm limits will be reset to de ault settings (unless STATIC LIMITS mode is on).

NIBP in ation pressure settings will be reset or a cat, dog, or horse. For example, the de ault cat NIBP

in ation pressure setting is 200 mmHg; the de ault dog NIBP in ation pressure setting is 150 mmHg; thede ault horse NIBP in ation pressure setting is 100 mmHg.

The NIBP mode will be reset to MANUAL.

I the alarm limits or oximetry were adjusted to below 85%, they will be reset to 85%.

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

Figure 4.1: Patient Type

Change the Patient Type

Turn the rotary knob on the monitor to move the cursor. Highlight HORSE, DOG, or CAT, whichever is1.displayed. Push the knob to access the patient type submenu in the lower le t corner o the display.

Highlight PATIENT TYPE and push the knob to select.2.

Turn the rotary knob to choose the desired type (HORSE, DOG, or CAT) and push the knob to select.3.Highlight MAIN MENU and push the knob to select.4.

ALARMS TRENDS SETUP QUICKSET SUSPEND NIBP MODEMANUAL FREEZE

Patient Type


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Add a New Patient

The patient identity indicator is located in the upper right corner o the display. You can choose which patientin ormation to display: just the bed, the bed and the patients name, or the bed and the patient ID. While speci cpatient identi cation in ormation is expected to change, the bed or room to which the monitor is assigned mayremain the same.

NOTE! When a new patient is added to the monitor, all previous patient in ormation is removed rom themonitors memory, and all parameter options are reset to the unit de aults. The bed name is notremoved.

Figure 4.2: Add a Patient

Choose Which Patient In ormation to Display

Turn the rotary knob on the monitor to move the cursor. Highlight the BED: PATIENT eld in the upper right1.corner o the display. The eld may be blank. Push the knob to access the patient identi cation submenu inthe lower le t corner o the display.

Highlight DISPLAY and push the knob to select.2.

Turn the rotary knob to choose the desired patient in ormation to display (BED ONLY, BED: PATIENT ID, BED3.PATIENT NAME) and push the knob to select. You can add the bed name on the SETUP MENU. SeeBed Name in this chapter or details regarding changing the bed name.

Add a New Patient

Turn the rotary knob on the monitor to move the cursor. Highlight the BED: PATIENT eld in the upper right1.

corner o the display. The eld may be blank. Push the knob to access the patient identi cation submenu inthe lower le t corner o the display.

Highlight ENTER NEW PATIENT and push the knob to select.2.

Turn the rotary knob to choose YES and push the knob to select.3.

I you do not want to add the patients name and ID, turn the rotary knob to highlight MAIN MENU and push4.the knob to select.

ALARMS TRENDS SETUP QUICKSET SUSPEND NIBP MODEMANUAL FREEZE

BED: PATIENT eld


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Add a Patients Name

Turn the rotary knob on the monitor to move the cursor. Highlight the BED: PATIENT eld in the upper right1.corner o the display. The eld may be blank. Push the knob to access the patient identi cation submenu inthe lower le t corner o the display.

Highlight PATIENT NAME and push the knob to select.2.

Turn the rotary knob to access the patient name box and push the knob to select the rst character eld.3.

Turn the rotary knob to highlight the desired character and push the knob to select.4.

Push the knob to select the next character eld.5.

Turn the rotary knob to highlight the desired character and push the knob to select. Repeat steps 4 and 56.until each character in the patients name is selected. A patient name may be up to 14 characters long.

Highlight ENTER and push the knob to select.7.

Add a Patients ID

On the patient identi cation submenu, turn the rotary knob to highlight PATIENT ID and push the knob to1.select.

Turn the rotary knob to access the patient ID box and push the knob to select the rst character eld.2.



Turn the rotary knob to highlight the desired character and push the knob to select. Repeat steps 4 and 55.until each character in the patients ID is selected. A patient ID may be up to 14 characters long.


Setup Menu

On the SETUP menu, you will nd display settings that can be selected according to your pre erences. You canchange the bed name and select new colors or the wave orms and parameter boxes. You will also nd thePARAMETER OPTIONS submenu, which provides setup options associated with speci c monitoring parameters.


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Parameter Options

The PARAMETER OPTIONS submenu provides setup options associated with speci c monitoring parameters. Youcan choose 3-lead or 5-lead ECG processing. You can turn on or o some o the installed parameters. And, youcan change the measurement unit that describes the parameter.

Choose 3 lead or 5 lead ECG processing (the de ault setting is 3 LEAD)

Turn the rotary knob on the monitor to move the cursor. On the main menu at the bottom o the display,1.highlight SETUP and push the knob to select.

Highlight PARAMETER OPTIONS and push the knob to access the parameter options submenu.2.

Highlight ECG LEADS PROCESSING and push the knob to select.3.

Highlight 3-LEAD or 5-LEAD and push the knob to select.4.

CAUTION! A three lead ECG cable must be used i 3 Lead processing is selected. A ve lead ECG cablemust be used i 5 Lead processing is selected. Using the incorrect cable or the selected modemight lead to a oating re erence or additional noise on the ECG signal.

Highlight MAIN or PREVIOUS and push the knob to select.5.

Turn On or O Installed Parameters



Highlight the parameter o interest and push the knob to select.3.

I ECG is turned o and AUTO is selected as the heart rate source, the heart/pulse rate (HR) digitswill continue to be displayed and monitored or alarms as long as there is another active rate source(oximetry). The de ault setting is ON.

Highlight ON or OFF and push the knob to select.4.



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Change the Units o Measurement

Units o measurement can be changed or NIBP. The selected units o measurement will remain in the monitorsmemory until changed, even i the monitor is turned o .



Highlight UNITS OF MEASURE and push the knob to access the units o measure submenu.3.

Highlight UNITS or PRESSURE and push the knob to select.4.

Turn the rotary knob to highlight the desired unit and push to select. PRESSURE can be changed to5.millimeters o mercury (mmHg) or kilopascals (kPa). The de ault setting is mmHg.

kPa = mmHg X 0.133

mmHg = kPa / 0.133


Bed Name

While speci c patient identi cation in ormation is expected to change, the bed or room to which the monitor isassigned may remain the same. The BED NAME menu option makes it possible to associate a room or bed withthe monitor without respect to any particular patient.

To change the bed name:


Highlight BED NAME and push the knob to select.2.

Turn the rotary knob to access the bed name box and push the knob to select the rst character eld.3.



Turn the rotary knob to highlight the desired character and push the knob to select. Repeat steps 5 and 66.until each character in the bed name is selected. The bed name can include up to 14 characters.



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Parameter Colors

You can change the color o the text in each displayed parameter box and its corresponding wave orm. Availablecolors are green, blue, cyan, magenta, white, orange, pink, lime (light green), purple, sky (light blue), and brown.

Red, black, and yellow are reserved system colors and cannot be assigned.

The selected parameter colors can be changed any time but will remain in monitors memory until they are

changed again, even i the monitor is turned o .

The PARAMETER COLORS menu includes a RESTORE FACTORY COLORS option. The actory de ault colors oparameter boxes and corresponding wave orms are shown below.

PARAMETER DEFAULT COLOR

ECG GreenNIBP White

Oximetry (SPO2) Orange

Change the Parameter Colors


Highlight PARAMETER COLORS and push the knob to select.2.

Highlight the desired parameter and push the knob to select.3.

Highlight the desired color and push the knob to select.4.

To restore the actory de ault colors, turn the rotary knob to highlight RESTORE FACTORY COLORS and push5.the knob to select.


So tware Revisions

Use this menu option to identi y the version o so tware installed on the 3 Parameter AdvisorVital SignsMonitor. This in ormation may be use ul to service personnel.

View the So tware Revisions Box


Highlight SOFTWARE REVISIONS and push the knob to select.2.

Highlight PRINT WINDOW and push the knob to select.3.



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Service Menu

Access to the service menu is by authorized password only. Re er toChapter 12: Service Menu or use o thisoption.

Time and Date

I necessary, set the time and date on the display. The time and date indicator is located in the upper le t cornero the display. The monitors real-time clock and calendar keep track o the time and date, even when themonitor is turned o or is not connected to AC power. The time and date stamp is used or the NIBP tabulartrends, the displayed and printed trends, and all other printouts. The time display ormat is based on the 24-hourclock. For example, 5:00 a.m. is displayed as 5:00 and 5:00 p.m. is displayed as 17:00.

Change the Time and Date

Turn the rotary knob on the monitor to move the cursor. Highlight the time and date as they are displayed.1.Push the knob to access the time and date menu in the lower le t corner o the display.

Highlight the item to be changed (YEAR, MONTH, DATE, HOUR, or MINUTE) and push the knob to select.2.

Turn the rotary knob to choose the desired value and push the knob to select.3.Highlight MAIN MENU and push the knob to select.4.


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Chapter 5: Monitoring the Patient


Follow the steps inChapter 4: Setting Up the Monitor ; the remainder o this chapter assumes that the monitor isproperly installed and set up.

General Monitoring InstructionsRegardless o the parameters or measured values you want to monitor, ollow these steps when you are ready toattach a patient. Each step is urther explained in this chapter.

Attach the patient and sensors.1.

Choose the wave orms to be displayed.2.

Adjust the settings in the parameter boxes.3.

Set the high and low alarm limits.4.

Use these eatures as needed:5.

Silence an alarm

Use QUICKSET alarms

NIBP mode

Suspend mode

Freeze mode

Trends

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

Some parameters will automatically turn on when the sensor cable is connected to the monitor and the relatedparameter box will appear on the display. Others require you to turn on the parameter box using the SETUPmenu and the PARAMETER OPTIONS submenu. Re er to the chapters dedicated to each parameter or detailsregarding sensors and speci c parameter box unctions.

Adjust the Wave orms SettingsChoose the wave orms to be displayed in positions 2-4 and adjust the settings or each wave orm.

Turn the rotary knob on the monitor to move the cursor. Highlight the wave orm label and push the knobto access the wave orm menu in the lower le t corner o the display. The settings available or the selectedwave orm will be displayed.

Wave orm 1 is dedicated to the primary ECG lead, although you can speci y which lead is to be the

primary.Wave orm 2 de aults to the SpO 2 wave orm. It can be assigned to another ECG lead (in ve-lead modeonly), a cascade (continuation) o the primary ECG lead wave orm, or a wave orm rom any other enabledparameter.

Wave orm 3 can be changed to display a cascade (continuation) o the primary ECG lead wave orm a terwave orms 1 and 2, or it can be a wave orm rom any other enabled parameter.

Wave orm 4 can be changed to display a cascade (continuation) o the primary ECG lead wave orm a terwave orms 1, 2, and 3, or it can be a wave orm rom any other enabled parameter.

Re er to the chapters dedicated to each parameter or more details regarding wave orm settings.



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Adjust the Parameter Box Settings

Turn the rotary knob on the monitor to move the cursor. Highlight the parameter box name and push theknob to access the parameter menu in the lower le t corner o the display. The settings available or theselected parameter will be displayed.

Every parameter allows you to turn on or o its alarm detection capability in the parameter menu. Forexample, i SPO2 ALARMS is on, an alarm will be issued when the high or low alarm limit is violated. I you turn SPO2 ALARMS o and the high or low alarm limit is violated, an alarm will not be issued. SeeSilence Alarms in Chapter 6: Alarms or in ormation regarding silencing alarms that are in progress, andSelect the Alarm Audio Silence Operation in Chapter 12: Service Menu or in ormation about silencing alarmsinde nitely.

For the parameters where more than one measurement can be monitored such as blood pressure(systolic, diastolic, and mean), only one set o high and low limits can be displayed. You can speci y in theparameter menu which set o limits is displayed.

Re er to the chapters dedicated to each parameter or details regarding other pertinent settings.

Set the Alarm Limits

Set the high and low alarm limits or each parameter.When a numeric measured value matches or exceeds the high or low limit set or that parameter, analarm is issued. For example, i the low alarm limit or SpO2 is 85 and the patients measured value orSpO2 is 85 or less, an alarm will be issue

veterinary 3 parameter advisor vital signs monito

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