DynaScope DS-7300 System Operation Manual (Monitoring Operation) June 2006

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

i

Page 4

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.

Page 5

Safety Precautions

Ÿ Read the “Safety Precautions” thoroughly before use to ensure correct and safe use of the product.

Ÿ 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.

iii

Page 6

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＞

iv

Page 7

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

Page 8

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

Page 9

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.

vii

Page 10

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.

Ÿ Do not install or store in an area where the equipment will be subject to

splashing water.

Ÿ 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.

Ÿ Place the equipment on a stable surface where there is no inclination,

vibration, or shock (including during transportation).

Ÿ Do not install or store in an area where there are chemical or gasses

stored.

Ÿ Verify the power frequency, voltage and allowable current (or power

consumption).

Ÿ Ensure the grounding is proper by connecting the accompanying power

cable to the hospital grade outlet.

Before operating the system, verify the following items.

Ÿ Verify the power voltage.

Ÿ Check the cable connection and polarity to ensure proper operation of

the equipment.

Ÿ Make sure the power system has adequate earth ground.

Ÿ Ensure that all cables are firmly and safely connected.

Ÿ Pay special attention when the device is used in conjunction with other

equipment as it may cause erroneous judgment and danger.

Ÿ Ensure all patient connections are proper and secure.

During operation of the system, verify the following items.

Ÿ Always observe the system and patient to ensure safe operation of the

equipment.

Ÿ 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.

Ÿ Do not allow the patient to come in contact with the device.

After using the system, verify the following items.

Ÿ Unplug all the cables from the patient before turning off the power.

Ÿ When unplugging the cables, do not apply excessive force by pulling on

the cord. Pull by the connector part of the cable.

Ÿ Clean the accessories and cables, and keep them together in one place.

Ÿ 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

Ÿ Make sure to periodically check the equipment, accessories and cables.

Ÿ 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.

Page 11

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.

ix

Page 12

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 ;

Ÿ the equipment was subjected to extreme mechanical stress, e.g. after a heavy fall.

Ÿ the equipment was subjected to liquid spill.

Ÿ the monitoring function is interrupted or disturbed.

Ÿ parts of the equipment enclosure are cracked, removed, or lost.

Ÿ 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;

Ÿ Maintenance, modifications, and repairs are carried out by authorized personnel.

Ÿ 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.

x

Page 13

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.

xi

Page 14

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

Page 16

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.

Ÿ Patient with excessive abnormal hemoglobin (HbCO, MetHb)

Ÿ Patient with the pigment injected to the blood

Ÿ Patient receiving CPR treatment

Ÿ When a sensor is applied to a limb with NIBP cuff, arterial catheter, or

intracatheter

Ÿ When measuring at site with venous pulse

Ÿ Patient with body motion

Ÿ 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

Ÿ 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.

Ÿ 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.

Ÿ 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)

Ÿ 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.

Ÿ The air filter must be attached. If the equipment is used with the air

filter detached, it may damage the equipment.

xv

Page 18

CAUTION

xvi

l Systems

Ÿ This equipment is intended to be used for only one patient.

Ÿ The installation of this equipment should be performed by our service

representative or a person who is well acquainted with this equipment.

Ÿ Use only the accessories specified for this device. Otherwise, proper

function cannot be executed.

Ÿ For quality improvement, specifications are subject to change without

prior notice.

Ÿ 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.

Ÿ 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.

Ÿ Do not attach a film on the touch panel. Malfunction or damage may

result.

Ÿ 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.

Ÿ Turning off the power of the LC-7315T Display Unit will also turn off the

power of the Input Box.

Ÿ 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.

Ÿ 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

Ÿ The indication for continuous use of the electrode is about one day.

Ÿ Replace the electrode if the skin contact gets loosen due to perspiring,

etc.

Ÿ 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.

Ÿ 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

Ÿ 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.

Ÿ 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.

Ÿ 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.

Ÿ 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.

Ÿ 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.

Ÿ 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.

Ÿ 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.

Ÿ 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

Ÿ 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)

Ÿ 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

Ÿ 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.

Ÿ If irritation such as skin reddening or skin fit appears with the sensor use,

change the attachment site or stop using the sensor.

Ÿ 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.

Ÿ Even a short duration of attachment may inhibit the blood flow and

generate compression necrosis and burn injury.

Ÿ 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.

Ÿ As skin for neonate / low birth weight infant is immature, change the

sensor attachment site more frequently depending on the condition.

Ÿ Direct sunlight to the sensor area can cause a measurement error.

Place a black or dark cloth over the sensor.

Ÿ 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.

xvii

Page 20

CAUTION

xviii

Ÿ 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.

Ÿ 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.

Ÿ Measuring on a limb with NIBP cuff, arterial catheter, or intracatheter

may result in incorrect measurement.

l NIBP Monitoring

Ÿ 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.

Ÿ 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.

Ÿ 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.

Ÿ 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.

Ÿ 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.

Ÿ The alarm function will be ineffective for the BP value measured by Quick

SYS regardless of the ON/OFF selection of NIBP alarm.

Ÿ 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

Ÿ 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.

Ÿ Each time the blood pressure transducer or tubing is replaced, the zero

balance procedure is required to ensure accurate measurements.

Ÿ “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.

Ÿ The zero balance procedure is required for the following case.

Ÿ When starting the measurement.

Ÿ When the position of the heart has changed due to body movement.

Ÿ When the position of the transducer has changed.

Ÿ When measuring for a long period of time and there is a possibility of

measurement error due to change in ambient temperature, etc.

Ÿ When the connector is connected / disconnected, or transducer is

replaced.

Ÿ When the power has been turned OFF for more than 5 seconds.

Ÿ Note that Systolic Pressure (SYS) = Peak Systolic Pressure (PSP) for

the graphic trend, data base, and alarm setup.

Ÿ When ECG is not measured, PDP cannot be calculated.

Ÿ 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.

Ÿ 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)

Ÿ 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.

Ÿ Perform calibration after 20 minutes when the main power of the

Super Module is turned ON.

Ÿ Do not disconnect the sampling tube during calibration.

If disconnected, calibration will cease.

Ÿ 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)

Ÿ 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.

Ÿ The disposable airway adapter should be opened just before use.

Do not sterilize it.

Ÿ Do not reuse the disposable airway adapter.

Ÿ Do not sterilize the airway adapter using autoclave methods.

l CO2 Monitoring (HC-500)

Ÿ 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.

Ÿ 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

Ÿ If the Super Module and the gas module are simultaneously used, the

CO2 measurement will be performed by the gas module.

Ÿ 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.

Ÿ 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

Ÿ 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.

Ÿ 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.

Ÿ 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.

xix

Page 22

CAUTION

xx

Ÿ 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.

Ÿ 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.

Ÿ The electrode temperature must be set before the calibration.

l Alarm

Ÿ Alarm messages will be displayed according to the priority. (Level 1 →

Level 2 → Level 3 → Level 4)

Ÿ For the same alarm level, the alarm message for the newer alarm will be

displayed.

Ÿ The alarm message for the arrhythmia alarm will continue to be

displayed for 30 seconds after the alarm is resolved.

Ÿ 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.

Ÿ 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.

Ÿ Whether to use the SEC alarm function and its threshold selection

should be based on the patient’s clinical indication portent and medical

evaluation.

Ÿ 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.

Ÿ Pay attention not to set the alarm volume too low to avoid missing any

important alarms.

l System Configuration

Ÿ 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.

Ÿ If the display of waveform / numeric data labeled as BP1 or ART is set to

OFF, the BP pulse rate will not be displayed.

Ÿ When the waveform and numeric data display for SpO2 is set to OFF, the

pulse rate measured by SpO2 will not be displayed either.

Ÿ When the waveform and numeric data display for CO2 is set to OFF, the

respiration rate measured by CO2 will not be displayed either.

Ÿ 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.

Ÿ 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

Ÿ 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.

Ÿ 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.

Ÿ Resuming monitoring will resume the alarm in suspension.

l ST Measurement

Ÿ 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

Ÿ Use only the specified CF card.

Ÿ Use only the CF card formatted with this device.

Ÿ Restart the system after reading the setup data from the CF card.

The setup data will become effective after the system is restarted.

Ÿ Reading the patient data from the CF card will erase all previous patient

data stored in the patient monitor.

l Maintenance

Ÿ Do not clean the touch panel using strong acid.

Ÿ 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.

Ÿ Clean the equipment frequently so stains can be removed easily.

Ÿ To prevent injury, it is recommended to wear gloves when cleaning the

equipment.

Ÿ Do not allow liquids such as alcohol or cleaning solution enter the

equipment or connectors.

Ÿ Do not use organic solvents, thinner, toluene and benzene to avoid

damaging the resin case.

Ÿ Do not polish the housing with abrasive or chemical cleaner.

Ÿ When sterilizing the entire room using a spray solution, pay close

attention not to have liquids get into the equipment or connectors.

Ÿ 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.

Ÿ Do not open the housing.

Ÿ Replace the components periodically as specified.

xxi

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.

Ÿ 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.

Ÿ 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.

Ÿ Arrhythmia alarm of TACHY, BRADY, COUPLET, PAUSE,

TRIGEMINY will not be transmitted.

Ÿ Arrhythmia alarm of “SLOW_VT” will be transmitted as “VT”.

Ÿ 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.

Ÿ 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.

Ÿ If the RR/APNEA alarm source is other than impedance respiration,

respiration waveform will not be transmitted on a wired network.

Ÿ If the RR/APNEA alarm source is other than CO2/GAS, CO2 waveform

will not be transmitted on a wired network.

Ÿ For numeric data displayed as “´´´”, maximum or minimum value of

measurable range will be transmitted.

Ÿ The numeric data displayed as “- - -” will be treated as not measured

data.

Ÿ 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.

Ÿ Only manual recording, alarm recording, periodic recording, and recall

recording can be performed on the AU-5500N.

Ÿ 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.

Ÿ If the measurement unit of temperature is °F, the temperature data will

be treated as not measured data.

Ÿ When a parameter is not measured, the waveform for that parameter

will not be recorded, and measurement data will be recorded as “- - -”

or blank.

Ÿ The measurement data displayed as “´´´” will be recorded as “- - -”

on the central monitor recorder.

Ÿ 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.

Ÿ For the waveform recording and graphic trend recording, some

parameters may not be able to be recorded depending on the scale.

Ÿ 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.

Ÿ 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.

Ÿ If the RR/APNEA alarm source is other than impedance respiration,

respiration waveform will not be output on the central recorder.

Ÿ If the RR/APNEA alarm source is other than CO2/GAS, CO2 waveform

will not be output on the central recorder.

Ÿ 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.

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