Dyna Scope 5700 Operation Manual Rev G Feb 2006

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 : FUKUDA DENSHI UK ADDRESS : 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

Preface Thank you for purchasing the Fukuda Denshi DS-5700 Central Monitor. Before using this monitor, read the following precautions carefully to ensure that product is used correctly and safely.

Safety Precautions Ÿ Read the following precautions thoroughly to ensure proper, correct and safe use of the product. Ÿ The following is a description of the safety and precaution messages used in this manual. These messages contain important points concerning safety and operation of the DS-5700.

DANGER

Failure to follow this message may result in death or serious injury to the patient or operator, or result in failure of the equipment.

WARNING

Failure to follow this message may result in death or serious injury to the patient or operator, or may cause damage to the equipment.

CAUTION

Failure to follow this message may cause injury to the patient or operator, or may cause damage to the equipment.

NOTE

A note is not related to product safety. A note provides information about the proper use and operating methods to prevent incorrect operation and trouble with the unit.

An Example of Safety Symbol The message associated with this symbol contains information concerning danger, warning, or caution.

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●Labels Attached to the Unit Make sure to read the warning labels attached to the equipment and comply with these requirements while operating the equipment.

DSC-5700 Main Control Unit

・Read the operation manual thoroughly for proper operation. ・Follow the operation manual for the installation and operating environmental conditions. ・Use only the specified power cable which should be securely connected to AC power outlet for a hospital grade. ・Check the system operation prior to use. ・When using with or connecting to other devices, please contact Fukuda Denshi.

Removing the cover ①Pull the lower part of the cover. ②Lift upward and remove.

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Reattaching the cover ①Hang the upper part of the cover on the main control unit. ②Close slowly.

RH-5700 Recorder Housing

Read the operation manual thoroughly for proper operation. ・This product constitutes the DS-5700 system, which can be used only with the HR-500. ・Follow the manual operating operation for the installation and environmental conditions. ・Before installing or removing the recorder, turn the power OFF on the main control unit or disconnect the recorder cable from the main control unit. ・The recorder cable should be securely connected to the main control unit. ・When installing the recorder, align the upper right side with the “－” mark on the right side of the Recorder Housing and be sure to lock it. ・Check the system operation prior to use. ・When using with or connecting to other devices, please contact Fukuda Denshi. ・Press the “Release” button when removing the recorder. ・Do not place solution, flammable or combustible material, electrical device, battery, glass or material weighing over 300g in the accessory box.

CAUTION Do not damage or erase the warning labels attached to the DS-5700 Central Monitor. These warning labels contain descriptions important for handling and operating the device properly and safely. A damaged label may compromise safe operation.

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●Unit for Each Parameter The units for the parameters that can be monitored on this equipment are shown below. Parameter (Default Color) ECG (Green) Respiration (White)

Invasive Blood Pressure (Red or Cyan) *1

Non-Invasive Blood Pressure (White) SpO2 (Yellow) Temperature (White) CO2 (White) tcpO2/pCO2 (Yellow)

*

Details

Abbrev.

Unit

Heart Rate

HR

Respiration Rate

Resp

Arterial Pressure Right Atrial Pressure Right Ventricular Pressure Pulmonary Artery Pressure

ART RAP RVP PAP

Central Venous Pressure

CVP

Intra-cranial Pressure Umbilical Artery Pressure Intra-aortic Balloon Pumping Pressure Left Atrial Pressure Left Ventricular Pressure Generic / User Blood Pressure Label 1 Generic / User Blood Pressure Label 2

ICP UAP

bpm (beats per minute) Bpm (breaths per minute) mmHg mmHg mmHg mmHg mmHg / cmH2O*2 mmHg mmHg

IAP

mmHg

LAP LVP

mmHg mmHg

BP1

mmHg

BP2

mmHg

Non-Invasive Blood Pressure

NIBP

mmHg

Arterial Oxygen Saturation

SpO2

Pulse Rate

PR

Temperature 1 Temperature 2 End-Tidal CO2 Inspiratory CO2 Transcutaneous Oxygen Partial Pressure Transcutaneous Carbon Dioxide Partial Pressure

T1 T2 EtCO2 InspCO2

% bpm (beats per minute) °C °C mmHg, kPa, %*2 mmHg, kPa, %*2

tcpO2

mmHg, kPa*2

tcpCO2

mmHg, kPa*2

1 The default color for the BP label will be red if BP1 is selected as the monitoring blood pressure, and cyan if BP2 is selected. * 2 The default unit is mmHg. The selection of the unit can only be made on the beside monitor, and not on the DS-5700.

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●Graphic Symbols The following symbols are used for this equipment. DSC-5700 Main Control Unit (Front Panel:power switch) Symbol

Description Power ON This indicates that the main power switch is in the ON position. Power OFF This indicates that the main power switch is in the OFF position. Caution When this symbol is used, always refer to the operation manual before proceeding. Main Power Indicator This indicates that the power is applied. Hard disc Indicator Lights when the hard disc is accessed.

DSC-5700 Main Control Unit (Rear Panel:connector) Symbol

Description Caution When this symbol is used, always refer to the operation manual before proceeding. TCP/IP network connector Connects to the TCP/IP network. Speaker connector Connector for the speaker. RS-232C connector RS-232C Communication connector for peripheral devices.

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Display (frame) Symbol

Description ON/OFF button Press the button to turn ON/OFF the display. Function button Press this key to navigate through the different OSD (On-Screen Display) menus. Caution When this symbol is used, always refer to the operation manual before proceeding. Electrostatic sensitive devices Directly touching this connector part with hands should be avoided.

Display (display) Symbol

Description Heart Rate Synchronization This indicates the QRS is being detected. Electrode Off This indicates an electrode is off or making poor contact.

Low Battery This indicates the battery of the telemetry transmitter is low. Alarm OFF This indicates the alarm is in the OFF position. Alarm suspend/Event List Displays when alarm occurs. Record Start / Stop Press this key to start/stop recording data.

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SP-5700 Speaker Unit Symbol

Description Caution When this symbol is used, always refer to the operation manual before proceeding. Speaker Connector Connects the speaker cable. Mouse Connector Connects the mouse. Keyboard Connector Connects the keyboard (optional).

RH-5700 recorder housing / HR-500 3 channel recorder Symbol

INPUT

Description Input Inputs the recording data. Eject When this button is pressed, the paper magazine can be removed to install new recording paper.

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●Precautions for Safe Operation of Medical Electrical Equipment

CAUTION Precautions for Safe Operation of Medical Electrical Equipment To operate the device correctly, read the following precautions carefully. l The user should have a thorough knowledge of the operation before using this system. l Installation and Storage of the System: Ÿ Do not install or store in an area where there is splashing water or excessive humidity. Ÿ Do not install or store in an area where the environmental conditions, such as atmospheric pressure, temperature, sunlight, dust, sodium, sulfur, will adversely affect the system. Ÿ Do not install or store in an area where the instrument might be subject to excessive vibration, shock or where the instrument may fall. Ÿ Do not install or store in an area where there are chemicals or gasses stored. Ÿ Always use a 3 Way AC power cable connected to a 3 Way AC power source. Ÿ When using this device near devices generating high-frequency interference, such as mobile phones and electrosurgical knives, verify that recorder operation is normal. Ÿ Verify the power voltage and frequency before connecting to the AC power source. Ÿ Verify that the power source can provide adequate current as indicated on the power rating label on the device. Ÿ Installation must be performed by the specialist who is familiar with the device. Ÿ Do not intertwine cables. The connector may be disconnected or the device may be toppled. l Before operating the system, verify the following items: Ÿ Ensure that all cables are connected firmly and that the system works correctly. Ÿ Make sure the power system has adequate earth ground. If necessary, use the accessory ground cable to connect it to the ground terminal. Ÿ Pay special attention when the device is used in conjunction with other equipment. Ÿ Ensure all patient connections are proper and secure. l During operation of the system, verify the following items: Ÿ Always observe the system for its proper operation. Ÿ To ensure safety, cease operation if any malfunction occurs. Ÿ Do not allow the patient to come in contact with the device. l 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 Keep the unit and cables clean to prepare for the next use. l If the equipment is damaged and in need of repair, the user should not attempt service. Label the unit “OUT OF ORDER” and contact Fukuda Denshi. l Do not remodel the equipment. l Maintenance Check Ÿ Make sure to periodically check the equipment and parts. Ÿ Before reusing the device that has been left unused for a while, make sure that the device works normally and safely.

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●Precautions for Safe Operation of Medical Telemetry

CAUTION Precautions for Safe Operation of Medical Telemetry To operate the device correctly, read the following precautions carefully. Ÿ 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). Ÿ 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. Ÿ When using telemetry which requires zone location, display and identify each prepared zone in the equipment. Ÿ When laying receiver antenna for each transmitter, the institution has to be examined so as not to generate electronic interference. Ÿ Based on the above examination result, the institution places each receiver antenna as required. In managing, be sure to follow the precautions below. Ÿ 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. Ÿ Both the Overall Manager and the Zone Manager should be well informed to take all responsibilities for the whole medical institution. Ÿ Select a telemetry manager who understands the characteristics and functionality of telemetry systems, and is skilled in operating telemetry. Ÿ When installing telemetry, the Overall Manager and the Zone Manager have to understand the precautions for use of the telemetry in advance. Ÿ The Overall Manager takes responsibility of wireless channel management and transmitter storage for the whole medical institution by giving proper instruction. Ÿ 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. Ÿ The Zone Manager assumes responsibility for managing the wireless channels, storing, and managing telemetry. Ÿ The Zone Manager assigns the transmitter to the user, and provides enough education for use inside the zone. Ÿ The telemetry user verifies operation of the transmitter/receiver before use. Ÿ 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. Ÿ 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 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 Do not operate the DS-5700 in the presence of flammable anesthetics, oxygen or hydrogen, and inside the hyperbaric chamber. Do not operate the DS-5700 system in an environment in which there is a risk of explosion. l 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 When using an electrosurgical unit (ESU), refer to the manual of the bedside monitor or the portable telemetry transmitter in order to minimize ESU interference and to ensure safety of user and patient.

WARNING The monitoring system contains protection against interference generated by the electro-surgical instrument. However, operating conditions, surgery site with respect to the location of ECG electrodes, or the type of instrument used, may still cause noise on ECG. The noise is generated at the tip of an electrical knife and is difficult to completely eliminate because of the frequency components of ECG. To reduce electro-surgical interference, take the following precautions: Location Locate the electro-surgical unit as far as possible from this unit and the patient cable. This will help reduce interference on ECG through the monitor or cables. Power Supply Connect the electro-surgical 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 electro-surgical 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 l Do not operate the DS-5700 or its associated components 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.

●Precautions about Connections to Peripheral Devices In the interest of safe and sufficient performance of the 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.

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WARNING For the connector with mark, only the peripheral devices specified by Fukuda Denshi should be connected with the given procedure. Use of unspecified device may cause electric shock to the patient and/or operator by the leakage current.

A wide variety of peripheral devices may be connected to the DS-5700. It is the customer’s responsibility to verify that the overall system complies with EN 60601-1-1, “Collateral Standard: Safety Requirements for Medical Electrical Systems”.

●Precautions about the DS-5700 Central Monitor

DANGER l To avoid the risk of explosion, do not use in the presence of combustible or flammable material such as flammable anesthetic gas or hydrogen. Explosion or fire may result. l When monitoring patients using wireless telemetry, make sure the patient can be monitored on the central monitor. Take care especially when the channel ID is changed. l The slave monitor output of the DSC-5700 main control unit is not isolated. When using the slave monitor, ensure electric leakage does not occur for safety of the operator and the patient.

WARNING l Do not dismantle/remodel the equipment. Electric shock may result. l Make sure the power cable is connected to a proper 3 Way outlet. Use only the accompanying 3 Way AC power cable to provide power and to assure ground reliability. Use a power outlet which can supply sufficient power to the DS-5700. l The power cable must be connected to AC 230V±10% hospital grade outlet. Only when connecting the accompanying 3-way AC power cable to the hospital grade outlet, the ground reliability is assured. Use an outlet which can supply sufficient power to the device. l Before attempting to connect the DS-5700 to another device, contact Fukuda Denshi. Electric shock may result to the patient or operator. l Do not connect any device that is not specified by Fukuda Denshi to the power outlet on the main control unit. l If this device is used under adverse conditions, the function and safety cannot be ensured and damage may result to the device. l Fukuda Denshi is not responsible for the malfunction caused by improper network connection. If changing the network configuration, contact Fukuda Denshi for service.

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WARNING l Be careful not to confuse the HUB used for the DS-LAN II network and the HUB for the TCP/IP network. If used improperly, Fukuda Denshi will not take responsibility. l When connecting the DS-5700 and a device other than printer, or more than one printer to the network, set a unique IP address for each device. l As DS-5700 is not corresponded to DHCP (Dynamic Host Configuration Protocol) IP address, set the IP address excluded at DHCP if DHCP server is in the network configuration. l When connecting to an existing network, follow the instruction of the network supervisor. l Use a 10M HUB for the DS-LAN II network. If a 100M HUB or a switching HUB is used, a communication error may occur. l The power fuse is incorporated in the main control unit and cannot be changed. l When turning off the power of the DS-5700, always follow the proper procedure. If not, the data stored in memory may be lost. l Always select the patient type properly when admitting the patient. This may affect QRS detection, and NIBP algorithm. Patient safety is compromised when the adult compression level is applied to a child or neonate during NIBP measurement. l Select pacemaker ON/OFF on the patient admit/discharge display correctly. Measurement precision for the QRS detection, and arrhythmia analysis will be affected. l When SUSPEND is selected for all alarms, alarms will not be generated or stored in recall memory even if individual parameter alarm is set ON. l When upper and lower alarm limits are set OFF for the parameter or when arrhythmia alarm is set OFF, alarm will not generate even if all alarm is set ON. Be cautious when setting these OFF. l When monitoring using the bedside monitor as a wireless monitor, the alarm is detected by the telemetry receiver. The alarm display of the bedside monitor and the central monitor may be different. The telemetry receiver is also used to calculate HR and RR. HR and RR displayed on the bedside monitor and the central monitor may be different. l Do not insert and remove the CD-ROM disk when the HR-500 3channel recorder is recording. The DS-5700 may stop functioning. l If the channel number is changed without notification to other operators, the incorrect patient may be monitored. Ensure the channel number is correct for the patient to monitor. l Depending on the combination of wireless channels, channels may be confused with other telemetry. l Before selecting the wireless channels, ensure there is no danger of confusion. l When using the wireless channel, report to the responsible person in charge to prevent confusing the telemetry channels. l If telemetry is used in other medical institutions, control and regulate the use of the wireless channels of both to prevent interference. l When changing the channel number of the transmitter, make sure to replace the channel identification number. l Set the group number and receiver channel of the device correctly. If a wireless channel that is out of the band of the receiver is selected, the waveform size may be extremely low, or may not be received.

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WARNING l If using the device with QRS pacemask function OFF, a pacemaker pulse may be mis-detected as QRS, and HR Alarm and Asystole Alarm may not occur regardless of the patient’s heart rate. When using the device with this function OFF, make sure pacing failure will not occur and the patient can always be monitored. l Validity period of the hard disc drive (HDD) is 2 years after starting usage. (after performing maintenance of HDD) l Fukuda Denshi will not guarantee the operation if unspecified software is installed to the HDD. l When changing the air filter, be careful not to touch the fan.

CAUTION System Ÿ For quality improvement, specifications are subject to change without prior notice. Ÿ The DS-5700 Patient Monitor System is intended for use in the ICU, CCU, Recovery areas, or the Emergency areas. Do not operate DS-5700 or its associated components in magnetic resonance imaging (MRI) environments, in a location without air conditioning, for home treatments, or during transportation. Ÿ The hard disc drive and the air filter are consumable. Using them for excessively long periods of time may cause damage to the product. Ÿ The display contrast, channel ID and group ID setup of the telemetry receiver, system upgrade, maintenance test, recorder installation, and demonstration start are to be handled by qualified personnel only. Users should not attempt these procedures as malfunction or trouble may occur. Ÿ Make sure to use the specified accessories. If not, the device may not perform to specifications. Ÿ Do not open the case of this device. Ÿ Before connecting to other devices, always turn OFF the main power. Ÿ The connector part on the rear side of the display panel may be easily damaged by static electricity. Do not touch this part directly with hands. Ÿ Connect only the specified device to the power outlet on the main control unit. Follow the instructions for the order of connection. Ÿ When the device is not in use, turn the power OFF. Ÿ It is recommended to use the mouse for the operation of the device. Ÿ Operate the touch screen with your finger or the electronic pen(accessory for the display). If a sharp edged pen, or other sharp instrument is used, damage to the device may result. Ÿ If the correct power frequency is not selected, the AC filter may not function correctly. Ÿ Before starting monitoring, ensure that the date and time are correct. If not, set the current date and time. Ÿ If the date and time are changed during monitoring, patient data such as trends may have an error. Set the date and time before starting monitoring. Ÿ Depending on the condition of the receiver, the waveforms may have artifact, and error of detection of the pacemaker may occur. Network Communication Ÿ When the DS-5700 and the DS-5800N/NX are connected to the same network, the total number of monitoring patients on the multiple DS-5800N/NX will be restricted to 32 patients. If more than 32 patients are monitored, the exceeded patients will not be displayed on the DS-5800N/NX. The display priority is from the lower central ID, and from the patient displayed from the top.

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CAUTION Network Communication Ÿ When making a network connection, be careful of the limit for the connection of the 100M HUB, and the limit for the length of the 100BASE-TX twist pair cable. Ÿ Do not connect the CJ-522 branch cable for the DS-LAN and the 10/BASE-TX twist pair cable for the TCP/IP to a common HUB. Ÿ The central monitor with central ID 001 functions as the network controller and controls the LAN system. Make sure to set the central ID 001 for only one of the central monitors. Take care not to duplicate the ID numbers with other monitors. Ÿ When using the DS-5700 and the DS-5800N/NX central monitor in the same network, make sure to set the DS-5700 as the network controller (Central ID is 001). If the DS-5800N/NX is selected as ID 001, the network will not function. Ÿ After performing the “printer setup“ in the system configuration, you must cycle the power of the printer off and back on. Ÿ For the IP address setup on the “Network Selection” of the preset menu, do not use numbers for the first letter of the Host Name. Otherwise, the TCP/IP network will not function properly. Ÿ Maximum of 2 external devices (CV-5700, etc.) can be connected to the DS-5700. Operation of the recorder Ÿ Insert the magazine firmly into the AU-5500N until it “clicks” into place. Ÿ If the magazine is installed without paper, the motor may operate and clatter when it detects no paper. This is not a failure of the recorder. Always install the paper in the magazine before installation. Ÿ Press Stop/Feed to feed the paper to the continuous perforation while the recorder is not recording. Admitting / Discharging the new patient Ÿ If monitoring is begun for a new patient without discharging the previous patient, data from the previous patient will remain in the monitor memory, and the data will not be accurate for the new patient. Ÿ If monitoring is suspended at the admit/discharge display of the bedside monitor, patient data will not be displayed on the DS-5700. When monitoring is resumed on the bedside monitor, the data will again be displayed on the DS-5700. Ÿ When using the patient attribute server, make sure to select ADMIT on the patient data search menu. Also, do not change the bed number of the bedside monitor during monitoring. Ÿ When a patient is transferred, all of the monitor set-up information for the new bed will be updated. Ÿ When the monitoring is suspended, alarm will not function. Alarm Ÿ If the alarm volume is too low, the alarm sound may not be heard when the alarm occurs. Ÿ If the same bed is monitored on several central monitors, the same setup should be made for the soft switch “ASYSTOLE, VF, VT (only ASYSTOLE for neonate)” on these central monitors. Also, the same setup should be made on the bedside monitor and central monitor. If the setup is different, ON will be prioritized. ECG Monitoring Ÿ QRS automatic detection, the ECG Drift filter and the AC filter can only be selected for the patient with telemetry.

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CAUTION ECG Monitoring (continued) Ÿ ECG waveforms that are very small (±0.3mV) will be very difficult or impossible to detect when the automatic detection method is selected. Ÿ When only 1 ECG waveform is measured, QRS automatic detection is executed with ECG1, regardless of setting mode. Ÿ QRS detection for the patient that is directly monitored on the bedside monitor conforms to the bedside monitor default. Patient data review Ÿ Event recall data will be erased after 96 hours. If necessary, click the STORE key to save the data. Maintenance Ÿ Dust will be difficult to be removed if the device is left dirty. Clean the device periodically. Ÿ It is recommended to wear gloves to prevent injury. Ÿ Take care that the cleaning solution does not enter into the connectors or the inside of the instrument. Ÿ Do not use any cleanser containing organic solution, thinner, toluene and benzene. These may damage the resin enclosure. Ÿ Do not clean the enclosure with abrasive or chemical cleaning solutions. Ÿ Always use neutral detergent. Do not use chemical cloth, scrubber, metallic scrubber, scourer, cleanser, hot water, volatile solution/medicament (cleanser, thinner, benzene, alcohol, benzol, detergent for housing/furniture), or sharp tools. It may damage the resin enclosure and cause discoloration or damage to the device. Ÿ Do not give shock to the Main Control Unit when changing the air filter. The hard disk may be damaged, and the memory data will be lost. Ÿ The hard disc drive (HDD) is consumable. Using the HDD for excessive hours may result in a failure. The validity period of the hard disc drives is 2 years after starting usage (after performing maintenance of the HDD). Ÿ The keyboard(optional) may be damaged if used for long periods of time. Replace it if judged NG at daily or periodic checks. Ÿ The mouse may be damaged if used for long periods of time. Replace it if judged NG at daily or periodic checks. Ÿ The air filter is consumable. Using it for excessively long periods of time may cause damage to the product. The validity period is 3 months after starting usage.

●Precautions for Use of SpO2 Sensor

DANGER Burn Risk in Using SpO2 Sensor Ÿ In SpO2 monitoring, always use the sensor/relay cable specified by Fukuda Denshi. If any other sensor/relay cable is used, a high temperature rise of the sensor may place the patient in danger of burns. Ÿ If there are any questions regarding the sensor/relay cable use for SpO2 measurements of this device, please contact Fukuda Denshi.

●Precautions for Use of NIBP Cuff

CAUTION This product contains natural rubber latex which may cause allergic reactions.

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●Disposing of Equipment, Accessories, or Components When disposing of the equipment, accessories, or components, use an industrial waste distributor. Do not dispose of as ordinary waste.

●Precautions about Transportation When transporting the DS-5700, pack it with specified packing materials. See

For the environmental condition when transporting the device, refer to “Specifications ■DSC-5700 Main Control Unit”.

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Electromagnetic Compatibility The performance of this device under electromagnetic environment complies with EN60601-1-2 (2001).

●Precautions for Safe Operation under Electromagnetic Influence

CAUTION If any sorts of electromagnetic wave, magnetic field, or static electricity exist around the device, noise interference or malfunction of the device may occur. If any unintended malfunction or noise occurs during monitoring, check the magnetic influence and take appropriate countermeasures. The following are examples of the common cause and countermeasures. l Cellular Phone The radio wave may cause malfunction to the device. Cellular phones and radio sets should be turned off in the room (building) where medical device is located. l Static Electricity In a dry environment (room), static electricity is likely to occur. Take the following countermeasures. Ÿ Both operator and patient should remove any static electricity before entering the room. Ÿ Humidify the room. l Lightning Ÿ A lightning nearby may induce excessive voltage to the equipment. If any danger is suspected, use the uninterruptible power supply system. l High frequency noise interference from other device through the power outlet Ÿ Check where the noise is originated and remove it using filtering device, etc. Ÿ Stop using the device that is originating the noise. Ÿ Use other power outlet.

●EMC Guidance This equipment complies with EN60601-1-2 (2001). However, if portable transmitter or wireless LAN equipment is used extremely nearby, the electromagnetic influence may largely exceed the compliance level and may cause unexpected phenomenon such as noise interference on the waveform, etc. Therefore, this equipment should be used in a location specified by each medical institution. If any unexpected noise interference on the waveform or failure to the peripheral device occurs, stop using the equipment and follow the instruction of the technician. The following is the information relating to EMC (Electromagnetic Compatibility). (When using this equipment, verify that it is used within the environment specified below.)

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