dynascope_ds-7300_system_operation_manual__monitori.pdf
Page 1
Dyna Scope 7000 Series
Bedside Monitor
DS-7300 System
Operation Manual
《 Monitoring Operation 》
0086
Page 2
This device bears the CE label in accordance with the
provisions of Medical Device Directive 93/42/EEC.
The above mark "CE" is applied to the product that operates on 230V, 50Hz.
THE PERSONS RESPONSIBLE FOR PLACING DEVICES ON THE EC MARKET UNDER
MDD 93/42/EEC
NAME
ADDRESS
: FUKUDA DENSHI UK
: 13 WESTMINSTER COURT, HIPLEY STREET, OLD WOKING, SURREY
GU22 9LG, U.K.
CAUTION:
• This device for sale by or on the order of a physician.
• The company and product names used in this manual are trademarks or registered
trademarks.
• If this manual has pages missing or out of order, contact Fukuda Denshi for replacement.
• Only physician or persons instructed by physicians are allowed to use the equipment.
• The information contained in this document is subject to change without notice due to
improvement in the equipment.
Copyright © 2006 by Fukuda Denshi Co., Ltd.
No part of this document may be copied or transmitted in any form without the prior written permission
of Fukuda Denshi Co., Ltd.
Printed in Japan
Page 3
Preface
Thank you for purchasing this product.
Before using this product, read the following precautions to make sure the product is
used correctly and safely.
Composition of This Operation Manual ・・・・・・・・・・・・・ ii
Safety Precautions ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ iii
Labels Attached to the Unit ・・・・・・・・・・・・・・・・・・・・・・ iii
Measurement Unit for Each Parameter ・・・・・・・・・・・・・ v
Graphic Symbols ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ vii
Precautions for Safe Operation of
Medical Electrical Equipment ・・・・・・・・・・・・・・・・・・・・ viii
Precautions for Safe Operation of
Medical Telemetry ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ ix
Precautions about the Maintenance ・・・・・・・・・・・・・・・・ x
Precautions about the Pacemaker ・・・・・・・・・・・・・・・・ xi
Non-Explosion Proof ・・・・・・・・・・・・・・・・・・・・・・・・・・・・ xi
Defibrillation Safety ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ xi
Electrosurgery Safety ・・・・・・・・・・・・・・・・・・・・・・・・・・・ xii
Precautions about Magnetic Resonance Imaging ・・・ xii
Precautions about Connections to
Peripheral Devices ・・・・・・・・・・・・・・・・・・・・・・・・・・・・ xiii
Precautions about the Fuse ・・・・・・・・・・・・・・・・・・・・・ xiii
Accessories and Optional Accessories ・・・・・・・・・・・ xiii
Precautions about the DS-7300 System ・・・・・・・・・・ xiv
Precautions about the Wired Network System
(DS-LAN II) ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ xxii
Precautions about the Wired Network System
(AU-5500N 1:N Network) ・・・・・・・・・・・・・・・・・・・・・・ xxiii
Precautions about the Wireless Network System ・・ xxiv
Precautions about the Ventilator Monitoring ・・・・・・・ xxv
Precautions for Use of SpO2 Sensor ・・・・・・・・・・・・ xxvi
Precautions for Use of NIBP Cuff ・・・・・・・・・・・・・・・ xxvi
Disposing of Equipment, Accessories,
or Components ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ xxvi
Precautions about Transportation ・・・・・・・・・・・・・・・ xxvi
Precautions about RTC or Data Backup ・・・・・・・・・ xxvi
To Prepare for Emergency Use ・・・・・・・・・・・・・・・・・ xxvi
Electromagnetic Compatibility・・・・・・・・・・・・・・・・・・ xxvii
Precautions for Safe Operation under
Electromagnetic Influence ・・・・・・・・・・・・・・・・・・・・・ xxvii
EMC Guidance・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ xxvii
●Compliance to the Electromagnetic
Emissions ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ xxviii
●Compliance to the Electromagnetic
Immunity (1) ・・・・・・・・・・・・・・・・・・・・・・・・・・・ xxviii
●Compliance to the Electromagnetic
Immunity (2) ・・・・・・・・・・・・・・・・・・・・・・・・・・・・ xxix
●Recommended Separation Distances between
Portable and Mobile RF Communications
Equipment and the DS-7300 System ・・・・・・・・ xxx
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Composition of This Operation Manual
The DS-7300 System Operation Manual is composed of the following 3 sections.
≪General Description≫
This section is composed of the chapters stating the general description of the device and basic
operation procedure.
1. General Description
2. Basic Operation
3. Vital Application
:
:
:
Describes the outline of this equipment.
Describes the basic operation for monitoring.
Describes the procedure for vital application, etc.
≪Monitoring Operation≫
This section is composed of the chapters explaining the detailed monitoring procedures and setup
procedures.
4. Monitoring Setup
:
5. Admit / Discharge of a Patient :
6. Parameter Setup
:
7. Function
:
8. System Configuration
:
Describes the procedures to set the monitor according to the
monitoring purpose.
Describes the procedure to admit or discharge a patient.
Describes the procedure to set the measurement condition, size,
scale, etc. for each parameter.
Describes about the functions such as arrhythmia analysis, trend,
recall, etc.
Describes about the system configuration such as night mode,
alarm mode, display mode, etc.
≪Maintenance≫
This section is composed of the chapters describing the installation procedure, maintenance, technical
information, accessories, etc.
ii
9. Installation
10. Maintenance
11. Technical Information
:
:
:
12. Accessories
:
Describes about the environment for use, wireless system, etc.
Describes about the maintenance, troubleshooting of this equipment.
Lists the specification, default settings, pin assignments of
external connector, etc.
Lists the accessories and optional accessories for this equipment.
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Safety Precautions
Read the “Safety Precautions” thoroughly before use to ensure correct and safe use of the product.
Be sure to follow the precautions indicated below, as these are important messages related to safety.
Failure to follow this message may cause immediate threat of death or serious
D A N G E R injury, or complete failure of the equipment.
Failure to follow this message may result in death or serious injury, or
W A R N I N G complete failure of the equipment.
C A U T I O N Failure to follow this message may cause injury or failure to the equipment.
NOTE
A note is not related to product safety, but provides information about the
correct use and operating procedures to prevent incorrect operation and
malfunction of the equipment.
Labels Attached to the Unit
Make sure to read the warning labels attached to the unit and comply with these requirements while
operating the unit.
CAUTION
Do not damage or erase the warning labels attached to the unit.
These warning labels contain descriptions important for handling and
operating the unit properly and safely. A damaged label may compromise
safe operation.
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DS-7300 System Main Unit (DSC-7300)
DANGER
Risk of explosion if used in the presence of flammable anesthetics.
CAUTION
Before connecting, read instruction manual.
CAUTION
To reduce the risk of electric shock, do not remove the cover.
Refer servicing to qualified service personnel.
DS-7300 System Super Module
DANGER
Risk of explosion if used in the presence of flammable anesthetics.
CAUTION
Before connecting, read instruction manual.
CAUTION
To reduce the risk of electric shock, do not remove the cover.
Refer servicing to qualified service personnel.
<HS-720E>
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Measurement Unit for Each Parameter
The measurement units for this equipment are as follows.
Detail
Heart Rate / Pulse
Rate
ST Level
VPC
Respiration Rate
Apnea
Invasive Blood
Pressure
Non-Invasive Blood
Pressure
Arterial Oxygen
Saturation
Temperature
End-Tidal CO2
Concentration
Inspiratory CO2
Concentration
Cardiac Output
Blood Temperature
Injectate
Temperature
Airway Flow
Airway Pressure
Tidal Volume
Minute Ventilation
Compliance
Airway Resistance
Airway Pressure
Parameter
Display
Unit
bpm
(beats per minute)
bpm
(beats per minute)
bpm
(beats per minute)
mm, mv
beat/minute
Bpm
(breaths per minute)
Bpm
(breaths per minute)
Bpm
(breaths per minute)
Bpm
s (second)
s (second)
s (second)
mmHg, kPa
cmH2O (CVP only)
Default
ECG
HR
Invasive Blood Pressure
PR_IBP
SpO2
PR_SpO2
ECG
ECG
ST
VPC
Impedance Respiration
RR_IMP
CO2
RR_CO2
Ventilator
RR_VENT
Gas Module
Impedance Respiration
CO2
Ventilator
RR_GAS
APNEA
APNEA
APNEA
Invasive Blood Pressure
BP
Non-Invasive Blood
Pressure
NIBP
mmHg, kPa
SpO2
SpO2
%
Temperature
TEMP
°C / °F
°C
CO2
EtCO2
mmHg, kPa, %
mmHg
CO2
InspCO2
mmHg, kPa, %
mmHg
Cardiac Output
Blood Temperature
CO
Tb
L/minute
°C / °F
°C
Injectate Temperature
Ti
°C / °F
°C
Airway Flow
Airway Pressure
Inspiratory Tidal Volume
Expiratory Tidal Volume
Tidal Volume
Inspiratory/Expiratory Ratio
Minute Ventilation
Spontaneous Minute
Ventilation
Compliance
Static Compliance
Dynamic Compliance
Inspiratory Resistance
Expiratory Resistance
Static Airway Resistance
Dynamic Airway Resistance
Mean Airway Pressure
Maximum Airway Pressure
Pause Airway Pressure
Minimum Airway Pressure
AWF
AWP
I-TV
E-TV
TV
I:E
MV
L/minute
cmH2O
mL
mL
mL
(none)
L/minute
SMV
L/minute
COMP
S_COMP
D_COMP
I-RES
E-RES
S-RES
D-RES
MEAN
PEAK
PAUSE
P_Min
mL/cmH2O
mL/cmH2O
mL/cmH2O
cmH2O/L/Sec
cmH2O/L/Sec
cmH2O/L/Sec
cmH2O/L/Sec
cmH2O
cmH2O
cmH2O
cmH2O
mv
mmHg
mmHg
v
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Detail
Spontaneous
Respiration
Peak End Expiratory
Pressure
Fraction of
Inspiratory Oxygen
Transcutaneous
Partial Pressure
Vigilance Data
・Vigilance
・Vigilance CEDV
・VigilanceII
・Vigileo
Gas Module Data
vi
Parameter
Spontaneous Respiration
Peak End Expiratory
Pressure
Fraction of Inspiratory
Oxygen
Transcutaneous Oxygen
Partial Pressure
Transcutaneous Carbon
Dioxide Partial Pressure
Mixed Venous Oxygen
Saturation
Central Venous Oxygen
Saturation
Arterial Oxygen Saturation
Oxygen Uptake Index
Oxygen Transport
Oxygen Consumption
Stroke Volume
Stroke Volume
(STAT Mode)
Stroke Volume Index
Stroke Volume Index
(STAT Mode)
Display
Unit
Default
S_RR
Bpm
PEEP
cmH2O
FIO2
%
tcpO2
mmHg, kPa
mmHg
tcpCO2
mmHg, kPa
mmHg
SvO2
%
ScvO2
%
SaO2
O2EI
DO2
VO2
SV
%
%
mL/minute
mL/minute
mL
SV_STAT
mL
SVI
mL/m
2
SVI_STAT
mL/m
2
Heart Rate
HR
Mean Arterial Pressure
Central Venous Pressure
Continuous Cardiac Output
Continuous Cardiac Output
(STAT Mode)
Continuous Cardiac Index
Continuous Cardiac Index
(STAT Mode)
Systemic Vascular
Resistance
Systemic Vascular
Resistance Index
Blood Temperature
Ejection Fraction
Ejection Fraction
(STAT Mode)
End-Diastolic Volume
End-Diastolic Volume
(STAT Mode)
End-Diastolic Volume Index
End-Diastolic Volume Index
(STAT Mode)
End-Systolic Volume
End-Systolic Volume Index
Stroke Volume Variance
Expired Carbon Dioxide
Inspired Carbon Dioxide
Expired Oxygen
Inspired Oxygen
Expired Nitrous Oxide
Inspired Nitrous Oxide
Expired Agent gas
Inspired Agent gas
MAP
CVP
CCO
bpm
(beats per minute)
mmHg
mmHg
L/minute
CCO_STAT
L/minute
CCI
L/minute/m
2
CCI_STAT
L/minute/m
2
SVR
dynes-sec/cm
5
SVRI
dynes-sec/cm
5
BT
EF
°C
%
EF_STAT
%
EDV
mL
EDV_STAT
mL
EDVI
mL/m
2
EDVI_STAT
mL/m
2
ESV
ESVI
SVV
CO2-E
CO2-I
O2-E
O2-I
N2O-E
N2O-I
AGT-E
AGT-I
mL
mL
%
mmHg, kPa, %
mmHg, kPa, %
%
%
%
%
%
%
mmHg
mmHg
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Detail
BIS Monitor Data
Parameter
Bispectral Index
Signal Quality Index
Electromyograph
Suppression Ratio
Display
BIS
SQI
EMG
SR
Unit
(no unit)
%
dB
%
Default
Graphic Symbols
The following symbols are used for this equipment.
DS-7300 System: Main Unit
Symbol
Description
Caution; refer to accompanying documents
Indicates the need to refer to related accompanying documents before
operation.
Equipotential Terminal
Indicates the terminal to equalize the potential difference when
interconnecting the devices.
DS-7300 System: Symbols displayed on the screen
Symbol
Description
Alarm OFF
Indicates the alarm is OFF.
Heart Rate Synchronization Mark
This mark flashes synchronizing to the heartbeat.
Respiration Synchronization Mark
This mark flashes synchronizing to the inspiration.
Event Key Mark
Displayed when an alarm generates. Whether or not to display this icon
can be selected on the monitor setup menu.
Device Configuration Icon
Displayed when device configuration has changed. Whether or not to
display this icon can be selected on the monitor setup menu.
Message Icon
Displayed in the parameter key when an alarm message is present for
that parameter. Whether or not to display this icon can be selected on
the monitor setup menu.
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Precautions for Safe Operation of Medical Electrical Equipment
l
l
l
CAUTION
l
l
l
l
l
l
viii
Read the following precautions thoroughly to correctly operate the device.
Users should have a thorough knowledge of the operation before using this
system.
Pay attention to the following when installing and storing the equipment.
Do not install or store in an area where the equipment will be subject to
splashing water.
Do not install or store in an area where the environmental conditions,
such as atmospheric pressure, temperature, humidity, ventilation,
sunlight, dust, sodium, sulfur, will adversely affect the system.
Place the equipment on a stable surface where there is no inclination,
vibration, or shock (including during transportation).
Do not install or store in an area where there are chemical or gasses
stored.
Verify the power frequency, voltage and allowable current (or power
consumption).
Ensure the grounding is proper by connecting the accompanying power
cable to the hospital grade outlet.
Before operating the system, verify the following items.
Verify the power voltage.
Check the cable connection and polarity to ensure proper operation of
the equipment.
Make sure the power system has adequate earth ground.
Ensure that all cables are firmly and safely connected.
Pay special attention when the device is used in conjunction with other
equipment as it may cause erroneous judgment and danger.
Ensure all patient connections are proper and secure.
During operation of the system, verify the following items.
Always observe the system and patient to ensure safe operation of the
equipment.
If any abnormality is found on the equipment or patient, take appropriate
measures such as ceasing operation of the equipment in the safest way
for the patient.
Do not allow the patient to come in contact with the device.
After using the system, verify the following items.
Unplug all the cables from the patient before turning off the power.
When unplugging the cables, do not apply excessive force by pulling on
the cord. Pull by the connector part of the cable.
Clean the accessories and cables, and keep them together in one place.
Keep the unit clean to ensure proper operation of the next use.
If the equipment is damaged and in need of repair, user should not attempt
service. Label the unit “OUT OF ORDER” and contact Fukuda Denshi.
Do not remodel the equipment.
Maintenance Check
Make sure to periodically check the equipment, accessories and cables.
Before reusing the device that has been left unused for a while, make
sure that the device works normally and safely.
When using the electrosurgical knives or defibrillator with this equipment,
verify proper attachment of patient ground plate, ECG electrode type for the
electrosurgical knives, and paste volume, output energy for the defibrillator.
Also, verify that proper ground is selected.
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Precautions for Safe Operation of Medical Telemetry
Precautions for Safe Operation of Medical Telemetry
To operate the device correctly, read the following precautions carefully.
l The medical institution (hereinafter referred as “Institution”) must decide the
telemetry installation plan for the medical institution in order to prevent
interference and interference between transmitters (telemetry based on
destination country’s radio law).
l When using telemetry which requires zone location, the institution is to set
up the zones as an operation unit for each transmitter to prevent electronic
interference between telemetry throughout the medical institution.
l When using telemetry which requires zone location, display and identify
each prepared zone in the equipment.
l When laying receiver antenna for each transmitter, the institution has to be
examined so as not to generate electronic interference.
l Based on the above examination result, the institution places each receiver
antenna as required.
CAUTION
In managing, be sure to follow the precautions below.
l The institution appoints a person to manage the wireless channels for the
whole medical institution. And when using telemetry which requires zone
location, the institution nominates a person to manage the wireless
channels in each zone (a “Zone Manager”). However, when using such
telemetry in a local medical institution, one person can perform both
functions.
l Select a telemetry manager who understands the characteristics and
functionality of telemetry systems, and is skilled in operating telemetry.
l When installing telemetry, the Overall Manager and the Zone Manager
have to understand the precautions for use of the telemetry in advance.
l The Overall Manager takes responsibility of wireless channel management
and transmitter storage for the whole medical institution by giving proper
instruction.
l The Overall Manager creates a management log, list of wireless channels,
management status for the whole medical institution (hereinafter referred to
as the “management log”). When changing a wireless channel, register it
in the log and give proper instructions to the zone manager or to the user.
l The Zone Manager assumes responsibility for managing the wireless
channels, storing, and managing telemetry.
l The Zone Manager assigns the transmitter to the user, and provides
enough education for use inside the zone.
l The telemetry user verifies operation of the transmitter/receiver before use.
l The telemetry user, if using the telemetry in a zone location, follows the
instructions of the zone manager for the zone and gives instructions to the
patient if required.
l When interference or breakdown occurs in telemetry communication, the
user is required to inform the zone manager and the overall manager of the
problems. The zone manager and overall manager are to deal with the
problem properly and/or contact their nearest Fukuda Denshi
representative for service.
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Precautions about the Maintenance
Safety Inspection and Maintenance
For safe operation of the equipment, regular inspection and maintenance is required. Once a year,
check all cables, devices, and accessories for damage, earth impedance, earth and leakage currents,
and all alarm functions. Also, ensure that all safety labels are legible. Maintain a record of these
safety inspections.
Immediate maintenance has to be carried out if ;
the equipment was subjected to extreme mechanical stress, e.g. after a heavy fall.
the equipment was subjected to liquid spill.
the monitoring function is interrupted or disturbed.
parts of the equipment enclosure are cracked, removed, or lost.
any connector or cable shows signs of deterioration.
Reference
Refer to “10. Maintenance” for details.
Never open the housing while the equipment is in operation or connected to
W A R N I N G hospital grade outlet as it may result in electric shock.
Maintenance, Modifications, and Repairs
Fukuda Denshi is liable for the safety, reliability, and performance of its equipment only if;
Maintenance, modifications, and repairs are carried out by authorized personnel.
Components are used in accordance with Fukuda Denshi operating instructions.
A full technical description of the DS-7300 system is available from your local Fukuda Denshi
representative.
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Precautions about the Pacemaker
WARNING
Minute ventilation rate-adaptive implantable pacemakers can occasionally
interact with certain cardiac monitoring and diagnostic equipment, causing
the pacemakers to pace at their maximum programmed rate. The cardiac
monitoring and diagnostic equipment may possibly send wrong information.
If such event occurs, please disconnect the cardiac monitoring and
diagnostic equipment, or follow the procedures described in the operation
manual of the pacemaker.
(For more details, contact FUKUDA DENSHI personnel, your institution’s
professionals, or your pacemaker distributors.)
Reference
“Minute Ventilation Rate-Adaptive Pacemakers”
FDA alerts health professionals that minute ventilation
rate-adaptive implantable pacemakers can occasionally interact
with certain cardiac monitoring and diagnostic equipment, causing
pacemakers to pace at their maximum programmed rate.
[October 14, 1998 (Letter: www .fda.gov/cdrh/safety.html) – FDA]
Non-Explosion Proof
DANGER
Never operate the equipment in the presence of flammable anesthetics, high
concentration of oxygen, or inside hyperbaric chamber. Also, do not
operate the equipment in an environment in which there is a risk of
explosion.
Explosion or fire may result.
Defibrillation Safety
WARNING
l When defibrillating, keep away from the electrodes or medicament
applied to the patient chest. If this is not possible, remove the electrodes
or medicament before defibrillating.
If the defibrillator paddles directly contact the electrodes or medicament,
electrical shock may result by the discharged energy.
l When defibrillating, make sure that the electrodes, sensor cables, or relay
cables are firmly connected to the device.
Contacting the metal part of the disconnected cable may result in
electrical shock by the discharged energy.
l When defibrillating, do not touch the patient and the metal part of the
device or cables. Electric shock may result by the discharged energy.
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Electrosurgery Safety
WARNING
The monitoring system contains protection against interference generated by
electrosurgical instruments. However, operating conditions, surgery site with
respect to the location of ECG electrodes, or the type of instrument used, may
cause noise on the ECG. The noise is generated at the tip of an electrical
knife and is difficult to completely eliminate because of the frequency
components of the ECG. To reduce electrosurgical interference, take the
following precautions:
Location
Locate the electrosurgical unit as far as possible from this unit and the
patient cable. This will help reduce interference on the ECG through the
monitor or cables.
Power Supply
Connect the electrosurgical unit to a power supply that is different from that
of the monitor. This will help prevent interference through the power
cable.
Electrode Placement
The amount of interference is considerably different depending on the
electrode position and surgery site. Place the ECG electrodes as far
away as possible from the surgery site and the ground plate. Do not
place electrodes in the path between the surgery site and the ground plate.
If the electrodes are placed in this path, the amount of interference will be
quite large. Position (+) and (–) electrodes as close as possible to each
other.
Ground Plate
When using electrosurgical instruments, make sure the contact between
the patient and the ground plate is secure. If the connection is
incomplete, the patient may suffer a burn at the electrode site.
Precautions about Magnetic Resonance Imaging
WARNING
xii
l Do not operate this equipment in magnetic resonance imaging (MRI)
environments.
l When conducting MRI test, remove the electrodes and sensors connected
to the patient (test subject).
The local heating caused by the induced electromotive force may cause
burn injury to the patient (subject). For details, refer to the operation
manual for the MRI testing device.
Page 15
Precautions about Connections to Peripheral Devices
In the interest of safe and sufficient performance of this equipment, the connection of other
manufacturers’ equipment to the monitor is not authorized, unless the connection is explicitly approved
by Fukuda Denshi. It is the user’s responsibility to contact Fukuda Denshi to determine the
compatibility and warranty status of any connection made to another manufacturer’s equipment.
WARNING
For the connector with
mark, only the peripheral devices specified by
Fukuda Denshi should be connected with the given procedure. Use of an
unspecified device may cause electric shock to the patient and/or operator due
to excessive leakage current.
CAUTION
All the peripheral device connectors on the DS-7300 system are isolated from
the power supply, but the peripheral devices are not isolated. To prevent
danger of electric shock, always position the peripheral devices away from the
patient.
When connecting peripheral devices to DS-7300 system, it is the user’s responsibility to verify that the
overall system complies with IEC 60601-1-1, “Collateral Standard: Safety Requirements for Medical
Electrical Systems”.
Precautions about the Fuse
If the fuse blows, contact Fukuda Denshi Service Representative.
Do not
D A N G E R continue using it as internal damage to the equipment may be considered.
Accessories and Optional Accessories
WARNING
Use only the cables specified by Fukuda Denshi.
Use of other cables may result in increase in emission or decrease in
immunity.
xiii
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Precautions about the DS-7300 System
When connecting to other device, contact Fukuda Denshi service
D A N G E R representative.
Danger such as electric shock may result to the patient and operator.
WARNING
xiv
l Do not connect unit or cable not authorized by Fukuda Denshi to any I/O
connector. If done so by mistake, the DS-7300 system cannot deliver its
maximum performance and the connected units may be damaged,
resulting in a safety hazard.
l If the DS-7300 system is used under an environment not fulfilling the
specified condition, not only that the equipment cannot deliver its maximum
performance, the equipment may be damaged and safety cannot be
ensured. If using the equipment under condition other than specified,
contact our service representative.
l Use only the accompanying 3-way AC power cable. Use of other cables
may result in electric shock to the patient and the operator.
l The power cable must be connected to AC 100~230V outlet.
l When using multiple ME equipment simultaneously, perform equipotential
grounding to prevent potential difference between the equipment. Even a
small potential difference may result in electric shock to the patient and the
operator.
l The patient type selection influences the precision of the QRS detection
and NIBP measurement. Make sure the correct selection is made.
l The pacemaker use selection influences the precision of the QRS
detection and arrhythmia analysis. Make sure the correct selection is
made.
l If the QRS pace pulse mask function is set to OFF , 10ms or 20ms ,
a decrease in heart rate may not generate HR or ASYSTOLE alarms due to
erroneously detected QRS. Set this function to OFF , 10ms or
20ms only if you are sure that pacing failure will not occur, or when the
patient can be constantly monitored.
l When measuring the SpO2 of patient with high fever or peripheral
circulatory insufficiency, check the sensor attachment periodically and
change the attachment site. The temperature of attachment site will rise 2
~3°C due to the sensor heat which may result in burn injury.
l For the following case, accurate measurement may not be possible.
Patient with excessive abnormal hemoglobin (HbCO, MetHb)
Patient with the pigment injected to the blood
Patient receiving CPR treatment
When a sensor is applied to a limb with NIBP cuff, arterial catheter, or
intracatheter
When measuring at site with venous pulse
Patient with body motion
Patient with small pulse
l Before the measurement, make sure the patient type ( Adult / Child /
Neonate ) is properly selected. Otherwise, correct measurement can
not be performed, and congestion or other injury may result.
l Use the specified sampling tube and nasal prong manufactured by Oridion.
l For HS-710E, 720E, 702E, and HC-500, always consider the
circumference of the intubation tube when using the airway adapter. If
inappropriate airway adapter is used for a patient with low ventilation, CO2
may mix in to the inspired air resulting in incorrect measurement, or apnea
detection may become difficult.
l For HS-710E, 720E, 702E, and HC-500, when measuring CO2
concentration of a patient treated with mouth-to-mouth resuscitation,
Jackson-Rees circuit, Mapleson D circuit of which CO2 gas may mix in, the
value may be displayed lower than the actual value.
Page 17
WARNING
l During tcpO2/pCO2 monitoring, long-term hyperthermia may blister skin.
Also, when producing local hyperemia by means of hyperthermia, a certain
risk of applying a heat exposure that is harmful to the skin is always
present. For special patients, e.g. patients in shock, patients with low
blood pressure, and patients with vascular constrictions, particular care
should be taken whenever hyperthermia is produced.
l During tcpO2/pCO2 monitoring, select the appropriate attachment site,
electrode temperature, and attachment duration according to the patient’s
condition. To avoid burn injury, it is recommended to change the
electrode site every 4 hours.
l When the system alarm is suspended, all the alarm will be suspended even
if the parameter alarm is set to ON. Also, the alarm event will not be
stored as recall.
l If the upper/lower alarm limit of the parameter is set to OFF, or arrhythmia
alarm is set to OFF, alarm will not function even if the system alarm is set to
ON. Pay attention when setting them OFF.
l Objective and constant arrhythmia detection is possible through the fixed
algorithm incorporated in this monitor. However, excessive waveform
morphology change, motion artifact, or the inability to determine the
waveform pattern may cause an error, or fail to make adequate detection.
Therefore, physicians should make final decisions using manual recording,
alarm recording and recall waveform for evaluation.
l The HR/PR alarm will not be generated unless the parameter key
corresponded to the selected HR/PR source is displayed. Be sure to
display the parameter key for the HR/PR source.
l If PURITAN-BENNETT Ventilator is used, APNEA alarm will not generate
when ventilator is the RR/APNEA alarm source.
l When selecting Silence or Time Disp. Only for the night mode, pay
attention not to miss any important alarm by simultaneously monitoring the
bed on other monitors such as central monitor.
l The RR/APNEA alarm will not be generated unless the parameter key
corresponded to the selected RR/APNEA source is displayed. Be sure to
display the parameter key for the RR/APNEA source.
l Fix the monitor on an adapter before setting on the trolley. Verify it is
securely locked. Fixing on with 2 screws will ensure more safe use.
If
not securely fixed, the monitor may fall off the trolley which may damage
the monitor or cause injury.
l When lifting this device, hold the bottom part of the main unit and not the
display unit.
l When attaching the display unit to the main unit, insert the display unit to
the attaching guide on the main unit from top and push in until a click sound
can be heard. Verify that it is securely locked.
l About the Trolley
Use the trolley only with the equipment specified by Fukuda Denshi.
Otherwise, the monitor and trolley may fall down, resulting in injury or
damage to the monitor.
Be sure to lock both casters when using or storing the trolley.
The trolley may move or fall down, resulting in injury or damage to the
monitor.
Do not use or store the trolley where it will be subject to inclination of 10
degrees or more. The trolley or equipment may fall resulting in injury or
damage to the equipment.
l About the Air Filter for Cooling Fan (Super Module, Input Box)
When the air filter is washed with neutral detergent, dry it completely
before reattaching. If the moisture is remained on the air filter, it may
damage the equipment.
The air filter must be attached. If the equipment is used with the air
filter detached, it may damage the equipment.
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CAUTION
xvi
l Systems
This equipment is intended to be used for only one patient.
The installation of this equipment should be performed by our service
representative or a person who is well acquainted with this equipment.
Use only the accessories specified for this device. Otherwise, proper
function cannot be executed.
For quality improvement, specifications are subject to change without
prior notice.
The display panel utilizes exclusive fluorescent light for the backlight.
Since this fluorescent light deteriorates by the life cycle, the display may
become dark, scintillate, or may not light by the long term use. In such
case, contact your nearest service representative.
Always operate the touch panel with fingers or touch panel pen. Do not
touch with a pen-point or other hard-edged instruments. Malfunction or
damage may result.
Do not attach a film on the touch panel. Malfunction or damage may
result.
Due to its material characteristic, the touch panel expands/contracts
depending on the temperature/humidity. When the touch panel is left
unused for a while, or when the ambient temperature is low, the surface
film of the touch panel may expand, but this is not an abnormal condition.
This expansion will be reduced in few hours or half a day after the power
is turned ON.
Turning off the power of the LC-7315T Display Unit will also turn off the
power of the Input Box.
As the Super Module and DSC-7300 communicates via Input Box, the
power of the Input Box must be always turned ON even if the module is
not inserted in the Input Box.
There are following restrictions when recording on the HR-500
Recording Module.
・ Only manual recording, periodic recording, alarm recording, recall
recording can be performed on the HR-500.
・ If the measurement unit of BP is “kPa”, BP waveform, BP numeric
data, and NIBP numeric data will be treated as non-measured data.
・ If the TEMP measurement unit is “°F”, the TEMP numeric data will be
treated as non-measured data.
・ For the non-measured parameter, the waveform will not be printed,
and numeric data will be printed as “- - -” or left blank.
・ The numeric data displayed as “×××” will be printed as “---”.
・ The QRS classification symbol of “S” will be printed as “N” on the
HR-500.
・ The waveform recording is not possible for some scale depending on
the parameter.
・ If the HR alarm source is BP, ECG will not be recorded.
PR_IBP data will be printed for the HR data instead.
・ If the RR/APNEA alarm source is other than impedance respiration,
the respiration waveform will not be recorded.
・ If the RR/APNEA alarm source is other than CO2/GAS, the CO2
waveform will not be recorded.
l ECG Monitoring
The indication for continuous use of the electrode is about one day.
Replace the electrode if the skin contact gets loosen due to perspiring,
etc.
When an electrode is attached at the same location for a long time, some
patients may develop a skin irritation. Check the patient’s skin condition
periodically and change the electrode site as required.
For stable arrhythmia detection and ECG monitoring, verify proper
electrode placement, lead, waveform size, and filter mode selection. If
not properly selected, it may cause erroneous detection.
Page 19
CAUTION
The threshold level for arrhythmia detection and QRS detection changes
with ECG waveform size. Set a proper waveform size for monitoring.
When the waveform size is ´1/4, ´1/2, or ´1, the detection threshold is
250 µV. When the waveform size is ´2 or ´4, the detection threshold is
150 µV.
The QRS detection leads, arrhythmia detection leads, monitoring leads
on the central monitor, recording leads are fixed as ECG1 and ECG2.
Especially for arrhythmia detection, set the most appropriate leads with
high QRS for ECG1 and ECG2.
Automatic size/position of the ECG is effective only at the time the
AUTO key is pressed. This does not continually adjust size and
position.
The electric blanket mode cannot fully attenuate electric blanket noise,
and may still erroneously detect pacemaker spike. Use this mode only
when high frequency noise is too large and generates error on HR
measurement.
There are some cases when pacemaker pulse can not be detected
depending on the pacemaker type, pulse voltage, pulse width, electrode
lead type (unipolar, bipolar), or electrode placement which causes the
pacemaker pulse amplitude to decrease and disables pacemaker pulse
detection.
If signals similar to a pacemaker pulse are present, such as electric
blanket noise or excessive AC frequency noise, these may be
erroneously detected and displayed as a pacemaker pulse.
When spontaneous QRS and pacemaker pulse overlap (ex. fusion beat,
etc.), QRS detection cannot be performed properly. In this case, the
heart rate is degraded.
When continuously detecting AC noise artifact as pacemaker pulses,
QRS detection stops and heart rate is extremely degraded. Also
arrhythmia cannot be detected.
l Respiration Monitoring
When the following relay cables are used, respiration cannot be
measured.
・Relay Cable CI‐700E_3 (Electrosurgery-proof, 3-electrode)
・Relay Cable CI‐700E_4 (Electrosurgery-proof, 4-electrode)
・Relay Cable CI‐700E_5 (Electrosurgery-proof, 5-electrode)
When a defibrillator is used during respiration monitoring, a large offset
voltage will be placed on the ECG electrodes, which may cause
interruption of monitoring for a few seconds.
l SpO2 Monitoring
If the nail is rough, dirty, or manicured, accurate measurement will not be
possible. Change the finger or clean the nail before attaching the probe
and sensor.
If irritation such as skin reddening or skin fit appears with the sensor use,
change the attachment site or stop using the sensor.
When fixing the sensor with a tape, do not wind the tape too tight. At
the same time, check the blood flow constantly so that congestion is not
generated at the peripheral.
Even a short duration of attachment may inhibit the blood flow and
generate compression necrosis and burn injury.
Change the sensor attachment site constantly (every 4 hours). As the
temperature of sensor attachment site normally rises 2~3°C,
compression necrosis and burn injury may generate.
As skin for neonate / low birth weight infant is immature, change the
sensor attachment site more frequently depending on the condition.
Direct sunlight to the sensor area can cause a measurement error.
Place a black or dark cloth over the sensor.
When not performing the measurement, unplug the relay cable and
sensor from the SpO2 connector. Otherwise, the measurement data
may be erroneously displayed by the ambient light.
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Page 20
CAUTION
xviii
The DS-100A is intended for use on finger of adults weighing over 40 kg
(approximate). Do not use them on children or neonates. Also do not
apply them on the thumb or foot.
The light-emitting part of the sensor should be over the root of the
fingernail. Do not insert the finger too far into the sensor as it may hurt
the patient.
Measuring on a limb with NIBP cuff, arterial catheter, or intracatheter
may result in incorrect measurement.
l NIBP Monitoring
Pay attention when measuring the NIBP of patient with bleeding
disorders or hyper coagulation. The cuff inflation may cause petechia
or circulatory failure by the blood clot.
For the following situation, measurements will be terminated.
When the measurement time has exceeded 120 seconds for adult, 90
seconds for child, 60 seconds for neonate.
When the inflation value has exceeded 310mmHg for adult, 210mmHg
for child, 160mmHg for neonate.
If used with the incorrect patient type, it will not only cause erroneous
measurement, but the inflating level for the adult may be applied to child
or neonate causing dangerous situation to the patient.
The 1-minute interval measurement will always start from 00 second.
Pressing the 1min start key will start the measurement from the next
00 second.
The 1-minute interval measurement will automatically stop after 10
minutes or 20 minutes and returns to the previous interval mode setup.
The selection of 10min / 20min can be made on the NIBP
configuration menu.
The alarm function will be ineffective for the BP value measured by Quick
SYS regardless of the ON/OFF selection of NIBP alarm.
If the mean BP display is set to OFF, the mean BP alarm will not be
generated. Also the mean BP will not be displayed for the tabular trend
or the NIBP list function if the display is set to OFF.
l BP Monitoring
When the main power is turned ON, the BP value will not be displayed
until zero balance is performed. However, if the power is turned ON
within 5 minutes after the power is turned OFF, the previous zero
balance information will be maintained, and BP value will be displayed.
If HB-500 BP Module is used, the balance information will be maintained
for 1 minute.
Each time the blood pressure transducer or tubing is replaced, the zero
balance procedure is required to ensure accurate measurements.
“Perform zero balance” message will not be displayed unless the
three-way cocks of all pressure transducers are opened to air. If the
status is not displayed, or if “Open stop cock to air” message is
displayed, check if the three-way cock of pressure transducers are
opened to air.
The zero balance procedure is required for the following case.
When starting the measurement.
When the position of the heart has changed due to body movement.
When the position of the transducer has changed.
When measuring for a long period of time and there is a possibility of
measurement error due to change in ambient temperature, etc.
When the connector is connected / disconnected, or transducer is
replaced.
When the power has been turned OFF for more than 5 seconds.
Note that Systolic Pressure (SYS) = Peak Systolic Pressure (PSP) for
the graphic trend, data base, and alarm setup.
When ECG is not measured, PDP cannot be calculated.
When HB-500 is used, do not set the BP label to IAP. PDP will not be
calculated and displayed as “- - -”. S/D/M will not be displayed either.
The BP data (SYS/DIA/Mean) not displayed will not generate the BP
alarm or be displayed for the tabular trend function. Select the
appropriate display type according to the monitoring purpose.
Page 21
CAUTION
l CO2 Monitoring (HS-710E, HS-720E, 702E)
If the Super Module and the HC-500 (CO2 Module) are simultaneously
used, the CO2 measurement priority will be according to the “CO2
Module Priority” set on the ”Input Box Setup” (Monitor Setup). With the
default setting, the HC-500 will be prioritized.
Perform calibration after 20 minutes when the main power of the
Super Module is turned ON.
Do not disconnect the sampling tube during calibration.
If disconnected, calibration will cease.
Conduct CO2 calibration for the following case.
・ When 6 months has elapsed from the last calibration date.
・ When EtCO2 measurement is not stable or accuracy is degraded
compared with other measuring device.
・ When the patient monitor was not used for a while, or when EtCO2
was not measured for a while.
l CO2 Monitoring (HS-720C, 702C)
If the Super Module and the HC-500 (CO2 Module) are simultaneously
used, the CO2 measurement priority will be according to the “CO2
Module Priority” set on the ”Input Box Setup” (Monitor Setup). With the
default setting, the HC-500 will be prioritized.
The disposable airway adapter should be opened just before use.
Do not sterilize it.
Do not reuse the disposable airway adapter.
Do not sterilize the airway adapter using autoclave methods.
l CO2 Monitoring (HC-500)
The airway adapter should be attached with the thicker side facing to the
patient. If attached oppositely, it may damage the CO2 sensor or airway
adapter.
If the Super Module and the HC-500 (CO2 Module) are simultaneously
used, the CO2 measurement priority will be according to the “CO2
Module Priority” set on the ”Input Box Setup” (Monitor Setup). With the
default setting, the HC-500 will be prioritized.
l Gas Module Monitoring
If the Super Module and the gas module are simultaneously used, the
CO2 measurement will be performed by the gas module.
The measurement unit setup for the CO2 concentration on the gas
module and for the EtCO2 concentration on the Super Module/HC-500
are independent.
When a measurement unit is changed, make sure to set the alarm
condition for that unit. The alarm setup is necessary for each
measurement unit.
l tcpO2/pCO2 Monitoring
Cautions for Monitoring
・ The HC-530 is not a blood gas analyzing device. Measured values
may not agree with those of the blood gas analyzing device.
・ Electrode site, electrode temperature and monitoring period should be
set properly according to patient’s condition.
Measuring Site
・ Optimal condition for performing tcpO2 and tcpCO2 measurements are
obtained in areas of high capillary density, ample capillary blood flow,
thin epidermis and no shunting effects. Clinical studies have shown
the abdomen and chest to be the best measuring sites for both
neonates and adults.
Measuring Temperature
・ For neonates, an electrode temperature ranging from 42°C to 44°C is
recommended. In tests exceeding 4 hours, the electrode
temperature should not exceed 43°C in order to minimize the risk of
skin burns. For adults, an electrode temperature ranging from 43°C
to 45°C is recommended. In tests exceeding 4 hours, the electrode
temperature should not exceed 44°C in order to minimize the risk of
skin burns.
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Page 22
CAUTION
xx
Known Interference
・ If a patient is treated with the anesthetic halothane, the operator
should be aware that halothane may interfere with the tcpO2
electrode’s reduction of oxygen and cause changes in skin blood flow.
Halothane does not affect the tcpCO2 results.
・ When the electrosurgical knife is in use, the high frequency energy
discharged from the knife affects the measuring values of tcpO2 and
tcpCO2.
・ Discharged energy during defibrillation affects the measuring values
of tcpO2 and tcpCO2.
Physiological Measuring Range
・ Clinical studies have shown that transcutaneous measurements can
be used in trend monitoring of oxygen and carbon dioxide levels in
neonates and adults within the physiological range from 40 to 100
mmHg of tcpO2 and the physiological range from 30 to 80 mmHg of
tcpCO2.
The electrode temperature must be set before the calibration.
l Alarm
Alarm messages will be displayed according to the priority. (Level 1 →
Level 2 → Level 3 → Level 4)
For the same alarm level, the alarm message for the newer alarm will be
displayed.
The alarm message for the arrhythmia alarm will continue to be
displayed for 30 seconds after the alarm is resolved.
While the “LEAD OFF” message is displayed, HR alarm and arrhythmia
alarm will not function. Leaving this condition unresolved may result in
missing a sudden change of the patient. Promptly check the electrodes
when this message is displayed.
For HS-710E, 720E, 702E, and HC-500 Module, the upper EtCO2 alarm
will not generate if the upper limit is set to 100mmHg/13.4kPa and above
as the measurement range is 0~99mmHg / 0~13.3kPa.
Whether to use the SEC alarm function and its threshold selection
should be based on the patient’s clinical indication portent and medical
evaluation.
If the SpO2 alarm and SEC alarm setup is set to OFF, the SEC alarm
integral value will be set to 0.The alarm silence ON/OFF setup will
remain effective even when the power is turned OFF. Be cautious not
to miss any important alarm by leaving the alarm silenced.
Pay attention not to set the alarm volume too low to avoid missing any
important alarms.
l System Configuration
When the waveform and numeric data display for each parameter is set
to OFF, the alarm generation and tabular/graphic trend input for the
corresponded parameter will be also set to OFF.
If the display of waveform / numeric data labeled as BP1 or ART is set to
OFF, the BP pulse rate will not be displayed.
When the waveform and numeric data display for SpO2 is set to OFF, the
pulse rate measured by SpO2 will not be displayed either.
When the waveform and numeric data display for CO2 is set to OFF, the
respiration rate measured by CO2 will not be displayed either.
When the waveform and numeric data display for the gas module is set
to OFF, the respiration rate measured by the gas module will not be
displayed.
If the time/date is not correctly set, or changed during monitoring,
malfunction may occur to NIBP measurement, periodic recording, trend,
NIBP list data, and age calculation from the birth date.
Page 23
CAUTION
l Patient Admit / Discharge
If you start monitoring a new patient without performing a discharge
procedure for the previous patient, new data will be added to the
previous data which will result in inaccuracy.
The setup for the alarm mode and display mode remains stored even
when the power is turned off or when discharging procedure is
performed. Before monitoring, make sure the current monitoring mode
is suitable for the patient’s condition.
Resuming monitoring will resume the alarm in suspension.
l ST Measurement
For the lead which the electrode is detached, the reference waveform
setup cannot be performed. Check if the electrode is correctly
attached, and perform the setup again.
l CF Card
Use only the specified CF card.
Use only the CF card formatted with this device.
Restart the system after reading the setup data from the CF card.
The setup data will become effective after the system is restarted.
Reading the patient data from the CF card will erase all previous patient
data stored in the patient monitor.
l Maintenance
Do not clean the touch panel using strong acid.
A special coating is applied to the surface of the touch panel. Wipe the
surface with the soft cleaning cloth provided as optional accessory or
with commercially available eyeglass cleaning cloth.
Clean the equipment frequently so stains can be removed easily.
To prevent injury, it is recommended to wear gloves when cleaning the
equipment.
Do not allow liquids such as alcohol or cleaning solution enter the
equipment or connectors.
Do not use organic solvents, thinner, toluene and benzene to avoid
damaging the resin case.
Do not polish the housing with abrasive or chemical cleaner.
When sterilizing the entire room using a spray solution, pay close
attention not to have liquids get into the equipment or connectors.
Use only neutral detergent to clean the housing. Do not use chemical
cloth, scrub brush, abrasive, polishing powder, hot water, volatile solvent
and chemicals (cleanser, thinner, toluene, benzine, benzol, and synthetic
detergent for house and furniture), or sharp-edged tools. The surface
resin coating may be damaged, resulting in discoloration, scratches, and
other problems.
Do not open the housing.
Replace the components periodically as specified.
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Page 24
Precautions about the Wired Network System (DS-LAN II)
W A R N I N G Do not connect unspecified device to a wired network.
CAUTION
xxii
l If performing wired network transmission, configure the display so that the
numeric data corresponded to the waveform is displayed. If not, the
displayed waveform or numeric data may not be transmitted.
l The Bed ID is factory set to 000. If connected to the wired network with
the ID unchanged, monitoring on the central monitor will not be possible.
l When connecting to the wired network, verify that the Bed ID does not
duplicate with other bedside monitors. Otherwise, monitoring on the
central monitor for both bedside monitors will not be possible.
l To connect to the DS-LAN II network, set the Bed ID in the range from
001 to 048.
l When using on the wired network, the measurement unit should be “°C”
for temperature, and “mmHg” for BP.
l There are following restrictions when connecting the DS-7300 system to
the wired network.
When the measurement unit of BP is kPa, BP waveform, BP numeric
data, NIBP numeric data, NIBP list will not be transmitted. These will
be treated as not measured data, and will not be displayed on the
central monitor. Also, alarm limit setup on the central monitor can not
be performed.
When the temperature unit is °F, the temperature data will not be
transmitted. It will be treated as not measured data, and will not be
displayed on the central monitor. Also, alarm limit setup on the central
monitor cannot be performed.
Arrhythmia alarm of TACHY, BRADY, COUPLET, PAUSE,
TRIGEMINY will not be transmitted.
Arrhythmia alarm of “SLOW_VT” will be transmitted as “VT”.
On a wired network, waveform, numeric data, alarm of BP7, BP8,
TEMP3~8 will not be transmitted. Also, the displayable waveform,
numeric data, alarm differs depending on the connected central
monitor. Refer to the operation manual for the respective central
monitor.
If the HR/PR source is BP, ECG waveform will not be transmitted on a
wired network. On the central monitor, PR_IBP value will be
displayed for HR. However, HR value from ECG will be displayed for
the NIBP list and ST measurement list.
If the RR/APNEA alarm source is other than impedance respiration,
respiration waveform will not be transmitted on a wired network.
If the RR/APNEA alarm source is other than CO2/GAS, CO2 waveform
will not be transmitted on a wired network.
For numeric data displayed as “´´´”, maximum or minimum value of
measurable range will be transmitted.
The numeric data displayed as “- - -” will be treated as not measured
data.
If the measurement unit of CO2 concentration is “mmHg”, and
99mmHg is selected for “CO2 (mmHg) Upper Limit for LAN,
Telemetry” on the monitor setup menu, the CO2 value of 100mmHg or
above will be transmitted as 99mmHg.
MB
l When DS-5800N/NX/NX is used as a central monitor, recall, graphic
trend, and tabular trend will not be displayed. Also, S recording can not
be performed. For the ST display, overlap waveform will not be
MB
displayed on the DS-5800N/NX/NX until 15 minutes have passed since
the reference waveform is set on the DS-7300.
l As the DS-7300 do not have the arrhythmia template display and 12-lead
ST display function, these display on the central monitor will not be
corresponded.
Page 25
CAUTION
l If connected to a wired network, time/date will be the same with the
central monitor. Even if the time/date is changed on the DS-7300
system, it will be corrected to the time/date of the central monitor.
l If ECG lead (ECG1 or ECG 2) is changed on the DS-7300 while
monitoring ST display on the central monitor, the ST display will be
distorted. Redrawing the ST display will return the display to normal.
l The respiration waveform and RR value based on the RR/APNEA alarm
source selected on the DS-7300 will be displayed on the central monitor.
The monitoring RR and APNEA will be the same as the one monitored on
the DS-7300.
l There are following restrictions when recording the DS-7300 data on the
central monitor recorder or the AU-5500N 8ch Recorder.
Only manual recording, alarm recording, periodic recording, and recall
recording can be performed on the AU-5500N.
If the measurement unit of BP is kPa, the BP waveform, BP numeric
data, and NIBP numeric data will be treated as not measured data.
If the measurement unit of temperature is °F, the temperature data will
be treated as not measured data.
When a parameter is not measured, the waveform for that parameter
will not be recorded, and measurement data will be recorded as “- - -”
or blank.
The measurement data displayed as “´´´” will be recorded as “- - -”
on the central monitor recorder.
The “S” (QRS symbol) printed on the HS built-in recorder will be printed
as “N” on the central recorder, AU-5500N, and HR-500 Recorder
Module.
For the waveform recording and graphic trend recording, some
parameters may not be able to be recorded depending on the scale.
When performing tabular trend recording or graphic trend recording on
the central recorder, some numeric data may not be recorded
depending on the parameter. Also, there are some graphic trend
scales that cannot be recorded.
If BP is the HR/PR source, ECG will not be recorded on the central
recorder. PR_IBP value will be printed instead for the HR value.
If the RR/APNEA alarm source is other than impedance respiration,
respiration waveform will not be output on the central recorder.
If the RR/APNEA alarm source is other than CO2/GAS, CO2 waveform
will not be output on the central recorder.
When graphic trend recording, tabular trend recording, or NIBP list
recording is output on the central monitor recorder from the DS-7300,
HR measurement value from ECG will be recorded for the HR value
and ST trend.
Precautions about the Wired Network System (AU-5500N 1:N Network)
CAUTION
l The bed ID is factory set to “000”. If used on a wired network with the
default ID unchanged, recording on the AU-5500N will not be possible.
l When using on a wired network, make sure that there are no other
bedside monitors with the same ID. If there are more than one bedside
monitors with the same bed ID, the duplicated bedside monitors cannot
record on the AU-5500N.
l For 1:N network, set the bed ID in the range from 001 to 016.
l When connecting the AU-5500N to a 1:N network, internal switch setting
of the AU-5500N is required. For details, refer to our service
representative.
xxiii