Operators Manual
361 Pages
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CNS- 9701A CNS- 9701J CNS- 9701K
CENTRAL MONITOR CNS-9701
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0614-006866J
CONTENTS
Contents GENERAL HANDLING PRECAUTIONS ... i WARRANTY POLICY ... ii EMC RELATED CAUTION ... iii Conventions Used in this Manual and Instrument ... v Warnings, Cautions and Notes ... v Explanations of the Symbols in this Manual and Instrument ... v
Section 1
General ...1C.1 Introduction ... 1.1 Central Monitor Composition ... 1.2 Dual Display Monitoring ... 1.3 Network Composition ... 1.4 Operation Restriction by Monitored Bed Type ... 1.5 Alarm Function ... 1.5 ST Recall window ... 1.5 Parameter Setup/Personal Setup/Setup ... 1.5 Operation Restriction Depending on Whether Data Is Stored in the Central Monitor 1.6 Expand Individual Bed Screen ... 1.7 Types of Windows ... 1.8 All Beds Screen ... 1.8 Overview Bed Menu Window ... 1.9 Menu Window ... 1.9 Individual Bed Screen ... 1.9 Review Windows ... 1.10 System Setup ... 1.11 Setup ... 1.11 Personal Setup ... 1.11 Parameter Setup ... 1.11 Basic Operation ... 1.12 Control and Input ... 1.12 Touchscreen Input ... 1.12 Keyboard Input ... 1.12 Mouse Input ... 1.12 Switching Windows ... 1.13 Opening Other Windows from the Menu Screen ... 1.13 Returning to the All Beds Screen ... 1.13 Returning to the Previous Screen ... 1.13 Opening the Individual Bed Screen from the All Beds Screen ... 1.13 Changing the Bed to Display or Change Settings ... 1.13 Opening Other Windows with Tabs ... 1.14 Opening Other Windows with Function Keys ... 1.14 Changing Settings ... 1.15 Scrolling Data and List ... 1.15 Entering Letters and Numbers ... 1.16 Basic Keyboard Operation ... 1.16
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CONTENTS Caution Label and Caution Mark ... 1.17 Central Monitor Main Unit ... 1.17 VL-971R/RK LCD Unit ... 1.17 Important Safety Information ... 1.18 General ... 1.18 Installation... 1.19 UPS ... 1.19 Network ... 1.20 Turning the Power On/Off ... 1.20 Admit, Discharge and Receiving Channel Change ... 1.21 Temporary Discharge ... 1.21 Changing Monitor ... 1.22 Patient Transfer ... 1.22 Alarm ... 1.22 ECG Monitoring ... 1.23 NIBP Measurement ... 1.24 Maintenance ... 1.24
Section 2
Panel Description ...2C.1 Central Monitor Main Unit MU-971RA/RJ/RK ... 2.1 Front Panel ... 2.1 Rear Panel ... 2.2 LCD Unit VL-971R/RK ... 2.3 Front ... 2.3 Rear ... 2.3 LCD Unit (Locally Purchased Recommended Display) ... 2.4 Recorder Unit WS-971R ... 2.5 Laser Printer (Network Printer) ... 2.5 UPS ... 2.6
Section 3
Preparation ...3C.1 Installation Conditions ... 3.1 Connecting the Monitor to Other Instruments and Systems ... 3.2 Connecting the Monitor to Other Instruments ... 3.2 Standard Instruments ... 3.2 Optional Instruments ... 3.2 Using a UPS (Uninterruptable Power Supply) ... 3.2 Connecting to a Network System ... 3.3 Operation Flowchart ... 3.4 Loading the Recording Paper ... 3.5 Loading Paper in the WS-971R Recorder Unit ... 3.5 Loading Paper in the Laser Printer ... 3.6 Turning Power On/Off ... 3.7 Preparation Before Power On ... 3.7 Turning the Display and Main Unit Power On ... 3.7 Starting the Central Monitor System ... 3.8 Turning the Power Off ... 3.8
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CONTENTS Turning the WS-971R Recorder Unit Power On ... 3.9 Preparation After Turning the Power On ... 3.10 Changing Settings on the System Setup Screen ... 3.10 Before Starting Monitoring ... 3.11 Check Before Use ... 3.12 Check Before Turning On the Monitor ... 3.12 Check After Turning On the Monitor and During Monitoring ... 3.12
Section 4
System Setup Screen ...4C.1 Overview of the System Setup Screen ... 4.1 Displaying the System Setup Screen ... 4.2 Sound Control ... 4.3 Setting Alarm Sound Volume ... 4.3 Setting QRS Sound ... 4.4 Turning the QRS Sound ON/OFF ... 4.4 Changing the QRS Tone ... 4.4 Setting the QRS Bed ... 4.4 Setting QRS Sound Volume ... 4.4 Recording ... 4.5 Touchscreen ... 4.5 System Configuration Settings ... 4.6 Changing Values on the System Configuration Window ... 4.6 Changing Unit Settings ... 4.7 Temperature Unit ... 4.7 Height Unit ... 4.7 Weight Unit ... 4.7 Pressure Unit ... 4.7 Changing Recording/Printing Settings ... 4.7 Report Cover Sheet ... 4.7 ECG 12 Lead Printing Format ... 4.7 Changing Admitting/Discharging Settings ... 4.7 Discharge Mode ... 4.7 Auto Resume After Pause ... 4.8 Change Device ... 4.8 Alarm Settings ... 4.8 Telemetry Silence Time ... 4.8 Turning Vital Sign Alarm Off Mark Display ON/OFF ... 4.8 Communication Loss Alarm ... 4.8 Screen Settings ... 4.9 Setting Screen Timeout ... 4.9 Old NIBP Display Setting ... 4.9 NIBP Effective Time Setting ... 4.9 All Beds Patient Name Display Size ... 4.10 RS-232C Settings ... 4.10 Monitor Settings ... 4.11 Displaying the Monitor Setting Window ... 4.11 Registering Monitored Beds ... 4.12 Data Storage ... 4.13
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CONTENTS Setting Bed Name Setting ... 4.13 Setting Display Setting ... 4.14 Changing the Number of Displays ... 4.14 Expand Individual Bed Screen ... 4.14 Changing the Number of Patients Displayed on the Main Display and Second Display ... 4.14 Setting the All Beds Numeric Area ... 4.15 ORG Settings ... 4.16 Mouse Settings ... 4.18 Displaying the Mouse Setting Window ... 4.18 Moving the Mouse to Another Display Unit ... 4.19 Selecting the Mouse Position ... 4.20 Selecting the Central Monitor Where Mouse Can Operate ... 4.20 Parameters ... 4.22 Group Name and Temporary Discharge Message Settings ... 4.23 Displaying the Name Registration Window ... 4.23 Setting the Group ... 4.24 Editing Group Names ... 4.24 Editing the Message on Temporarily Discharged Beds ... 4.25 Setting the Parameter Colors ... 4.26 Setting the Alarm Master ... 4.27 Setting Function Keys ... 4.27 Setting Date & Time ... 4.28 Maintenance ... 4.30 Confirming Instruments Connected on the Network ... 4.30 Changing the Password ... 4.31 Enabling/Disabling Screen Hard Copy Printing ... 4.32
Section 5
Admitting/Discharging Patients ...5C.1 Admitting a Patient ... 5.1 Patient Attribute Information List ... 5.2 Discharging a Patient ... 5.3 Selecting Discharge Mode or Delete Data Mode ... 5.4 Temporarily Discharging the Patient ... 5.5 Resume Monitoring ... 5.6 Transferring a Patient to a Different Bedside Monitor ... 5.7 Changing Monitor ... 5.10 Changing the Receiving Channel Number ... 5.12
Section 6
Alarm Function...6C.1 Overview of Alarms ... 6.2 Alarm Types ... 6.2 Alarm Level and Indication ... 6.3 Alarm Level ... 6.3 Alarm Indication ... 6.3 Alarms on Each Screen ... 6.4 Alarms for Monitored Beds ... 6.4
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CONTENTS Vital Signs Alarm/ST Alarm ... 6.4 Arrhythmia Alarm ... 6.4 Technical Alarm ... 6.5 Alarms for Overview Bed ... 6.6 Alarms for the Central Monitor and WS-971R Recorder Unit ... 6.6 Temporarily Silencing or Suspending Alarms ... 6.7 Temporarily Silencing Currently Occurring Alarms ... 6.7 Alarm Silence Time ... 6.7 Temporarily Suspending All Alarms ... 6.8 Alarm Suspend Time ... 6.8 Suspending All Alarms at the Transmitter ... 6.8 Alarm Control Marks ... 6.9 Mark Description ... 6.9 Vital Sign Alarm Off Mark ... 6.9 Alarm Off Mark ... 6.9 Alarm Silence Mark / Alarm Suspend Mark ... 6.9 Alarm Silence Mark (From the Transmitter) ... 6.9 Alarm Recording Off Mark ... 6.9 Priority of Alarm Control Marks ... 6.9 Turning the Vital Sign Alarm Off Mark Display On/Off ... 6.10 Alarm Recording ... 6.11 Alarm Recording Modes ... 6.11 Overview of Alarm Recording ... 6.11 Recording Device ... 6.11 Recording Waveforms ... 6.11 Recording Time ... 6.11 Recording Speed ... 6.11 Sensitivity on the Recording Paper ... 6.11 Necessary Settings for Alarm Recording ... 6.11 Vital Sign Alarm Recording ... 6.12 Arrhythmia Alarm Recording ... 6.12 ST Alarm Recording ... 6.12 Starting Automatic Alarm Recording ... 6.12 Starting Automatic Alarm Recording ... 6.12 Stopping Automatic Alarm Recording ... 6.12 Setting Alarms ... 6.13 Setting Vital Sign Alarms ... 6.13 Alarm Limits Range ... 6.14 Setting Vital Sign Alarms Automatically (Auto Alarm Setting) ... 6.16 Setting the Arrhythmia Alarm ... 6.18 Initialization of Arrhythmia Recording ... 6.18 Alarm Limits Range ... 6.19 Setting the ST Alarm ... 6.20 Alarm Limits Range ... 6.21 Setting ST Alarms with Auto Alarm Setting Functions ... 6.21 Setting All Alarms to a Preset Pattern (Alarm Master) ... 6.22 Turning Signal Loss Alarm On/Off ... 6.23 Setting the Lead Off Alarm ... 6.24 Setting the Noise Alarm ... 6.24
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CONTENTS Setting the Communication Loss Alarm ... 6.24 Setting an Alarm Master ... 6.25 Setting an Alarm Master ... 6.25 Factory Default Settings of Each Alarm Master ... 6.27 Vital Alarm Master ... 6.27 ST Alarm Master ... 6.30 Arrhythmia Alarm Master ... 6.30 Adjusting the Alarm Sound Volume ... 6.31
Section 7
All Beds Screen...7C.1 Overview ... 7.1 Displaying the All Beds Screen ... 7.1 Screen Description ... 7.2 16 beds (One waveform) ... 7.2 12 beds (Two waveforms) ... 7.3 8 beds (Two waveforms) ... 7.3 6 beds (Two waveforms) ... 7.4 4 beds (Two waveforms) ... 7.4 Freezing Waveforms ... 7.5 Temporarily Silencing/Suspending Alarms ... 7.5 Changing the All Beds Screen Display Setting ... 7.6 Setting Individually for Each Bed ... 7.6 Setting the Sensitivity and Scale of the Displayed Waveform ... 7.6 Selecting the Displayed Waveform on the All Beds Screen ... 7.7 Selecting the Parameters of the Displayed Measurement Data ... 7.8 Setting the Bed Color... 7.10 Setting for All Beds on the System Configuration Window of the System Setup ... 7.10 Setting for All Beds on the Monitor Setting Window of the System Setup ... 7.10 Setting Parameter Priority ... 7.11 Recordings on the All Beds Screen ... 7.12 All Beds Recording ... 7.12 Necessary Settings for All Beds Recording ... 7.12 Other Recordings ... 7.12
Section 8
Individual Bed Screen ...8C.1 Overview ... 8.1 Displaying the Individual Bed Screen ... 8.1 Screen Description ... 8.2 Changing Display Types ... 8.4 Changing the Beds ... 8.4 Freezing Waveforms ... 8.4 Temporarily Silencing/Suspending Alarms ... 8.4 Learning ECG ... 8.5 Changing the Individual Bed Screen Display Settings ... 8.6 Setting on the Indiv. Bed Screen Setup Window ... 8.6 Selecting the Waveform Sensitivity and Scale on the Wave Display Window . 8.6
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CONTENTS Selecting the Waveform Displayed on the Wave Display Window ... 8.8 Selecting the Measurement Data Displayed on the Wave Display Window ... 8.9 Changing the Sweep Speed ... 8.10 Changing the Sweep Speed of the Respiration Waveform ... 8.10 Changing the IBP Waveform Display Mode ... 8.10 Setting on Data Display Windows of the Indiv. Bed Screen ... 8.11 Selecting the Waveform Sensitivity and Scale on the Wave Display Window 8.11 Setting Vital Sign Alarms and Measurement Conditions for the Parameters Displayed on the Individual Bed Screen ... 8.12 Changing the All Bed Screen Display Setting ... 8.13 Setting Parameter Priority ... 8.13 Recording on the Individual Bed Screen ... 8.14 Dual Waveform Recording ... 8.14 Multi-Wave Printing ... 8.14 ECG 12 Lead Printing ... 8.15 Other Recordings ... 8.15
Section 9
Review Windows ...9C.1 Overview of Review Windows Overview ... 9.0.1 Displaying the Review Window ... 9.0.1 Common Description of Review Windows ... 9.0.2 Example: Trend window ... 9.0.2 Trend Window Overview ... 9.1.1 Displaying the Trend Window ... 9.1.1 Window Description ... 9.1.2 Parameters and Display ... 9.1.3 Viewing Trend Window ... 9.1.6 Scrolling the Trendgraph ... 9.1.6 Viewing Numerical Data (Cursor Moving) ... 9.1.6 Changing the Display Width of the Trendgraph ... 9.1.6 Changing the Trend Window Display Setting ... 9.1.7 Setting the Displayed Parameters ... 9.1.7 Changing the Scale ... 9.1.7 Selecting Displayed Events ... 9.1.8 Printing Trendgraphs ... 9.1.9 Other Recordings ... 9.1.9 Tabular Trend Window Overview ... 9.2.1 Displaying the Tabular Trend Window ... 9.2.1 Window Description ... 9.2.2 Viewing the Tabular Trend Window ... 9.2.3 Scrolling the Tabular Trend ... 9.2.3 Displaying a Different Tabular Trend ... 9.2.3 Changing the Tabular Trend Window Display Setting ... 9.2.4
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CONTENTS Changing the Display Interval ... 9.2.4 Setting the Patterns of Tabular Trend ... 9.2.4 Selecting Parameters for Each Tabular Trend ... 9.2.4 Registering Names for Each Tabular Trend ... 9.2.6 Printing Tabular Trend ... 9.2.7 Other Recordings ... 9.2.7 Hemodynamics Window Overview ... 9.3.1 Displaying the Hemodynamics List Window ... 9.3.1 Window Description ... 9.3.1 Viewing the Hemodynamics List Window ... 9.3.2 Scrolling the Hemodynamics List ... 9.3.2 Abbreviations ... 9.3.3 Printing the Hemodynamics List ... 9.3.4 Other Recordings ... 9.3.4 Arrhythmia Recall Window Overview ... 9.4.1 Displaying the Arrhythmia Recall Window ... 9.4.1 Window Description ... 9.4.2 File List Window ... 9.4.2 Expanded Waveform Window ... 9.4.3 Viewing the Arrhythmia Recall Window ... 9.4.4 Scrolling the List of Arrhythmia Recall Files ... 9.4.4 Sorting the List ... 9.4.4 Displaying Expanded Arrhythmia Recall Waveform ... 9.4.4 Displaying Another File ... 9.4.5 Changing the Number of Waveforms ... 9.4.5 Scrolling Multiple Waveforms ... 9.4.6 Annotation List on the Expanded Waveform Window ... 9.4.6 Measuring Arrhythmia Recall Waveform with Caliper ... 9.4.7 Changing Display Zoom and Sweep Speed ... 9.4.8 Selecting the Measured Waveform (Multiple Waveform Display Only) ... 9.4.8 Deleting All Measurement Results ... 9.4.8 Ending Caliper Measurement ... 9.4.8 Deleting Arrhythmia Recall Files ... 9.4.9 Automatic Deletion ... 9.4.9 Deleting Unnecessary Arrhythmia Recall Files ... 9.4.9 Deleting Files with Deletion Marks ... 9.4.9 Deleting the File Displayed on the Expanded Waveform Window ... 9.4.10 Setting Arrhythmia Recall File Creation ... 9.4.11 Priority of Creating Arrhythmia Recall Files ... 9.4.11 Selecting the Arrhythmia Types Displayed on the File List ... 9.4.12 Recording on the Arrhythmia Recall Window ... 9.4.13 Arrhythmia Recall Recording ... 9.4.13 Recording/Printing Displayed Files ... 9.4.13 Printing Files with Printing Marks ... 9.4.13 Printing Caliper Measurement Data ... 9.4.14 Other Recordings ... 9.4.14 C.8
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CONTENTS
ST Recall Window Overview ... 9.5.1 Displaying the ST Recall Window ... 9.5.1 Window Description ... 9.5.2 Viewing the ST Recall Window ... 9.5.3 Scrolling the ST Recall Files ... 9.5.3 Scrolling the ST Waveform ... 9.5.3 Changing ST Recall Window Display Settings ... 9.5.4 Setting the Display Position of the ST Waveform ... 9.5.4 Changing Sensitivity ... 9.5.5 Setting ST Analysis Method ... 9.5.5 Changing the Interval ... 9.5.5 Recordings on the ST Recall Window ... 9.5.6 ST Recall Recording ... 9.5.6 Recording a Selected File ... 9.5.6 Printing Files ... 9.5.6 Other Recordings ... 9.5.6 Full Disclosure Window Overview ... 9.6.1 Displaying the Full Disclosure Screen ... 9.6.1 Window Description ... 9.6.2 Compressed Waveform Display ... 9.6.2 Expanded Waveform Display (Actual Size Display) ... 9.6.3 Stored Waveforms and Displayed Waveforms ... 9.6.4 Display Color ... 9.6.4 Triangle Waveform ... 9.6.4 Viewing the Full Disclosure Window ... 9.6.5 Scrolling the Full Disclosure Waveform ... 9.6.5 Automatic Scroll ... 9.6.5 Expanding the Full Disclosure Waveform into Actual Size ... 9.6.6 Measuring an Full Disclosure Waveform with the Calipers ... 9.6.7 Changing Display Zoom and Sweep Speed ... 9.6.8 Selecting the Measured Waveform ... 9.6.8 Deleting All Measurement Results ... 9.6.8 Ending Caliper Measurement ... 9.6.8 Waveform Storage Setup ... 9.6.9 Changing the Full Disclosure Window Display ... 9.6.10 Changing the Displayed Waveforms ... 9.6.10 Changing the Sensitivity and Scale ... 9.6.11 Recordings on the Full Disclosure Window ... 9.6.12 Full Disclosure Waveform Printing ... 9.6.12 Recording/Printing Expanded Waveform ... 9.6.12 Printing Caliper Measurement Data ... 9.6.13 Other Recordings ... 9.6.13 ECG 12 Lead Window Overview ... 9.7.1 Displaying the ECG 12 Lead Analysis Window ... 9.7.1 Operator's Manual CNS-9701
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CONTENTS Window Description ... 9.7.2 Tabular Trend Display ... 9.7.2 Zoom In Display ... 9.7.3 Comparison Display ... 9.7.3 Analysis Report Display ... 9.7.4 Viewing the ECG 12 Lead Analysis Window ... 9.7.5 Changing the Display Types... 9.7.5 Tabular Trend Display ... 9.7.5 Zoom In Display ... 9.7.5 Comparison Display ... 9.7.6 Analysis Report Display ... 9.7.6 Scrolling the Files in the Measurement Value Table ... 9.7.6 Selecting the Displayed File ... 9.7.6 Selecting the Control File ... 9.7.7 Switching Displayed Waveform Types ... 9.7.7 Deleting ECG 12 Lead Analysis Files ... 9.7.8 Automatic Deletion ... 9.7.8 Deleting Unnecessary ECG 12 Lead Analysis Files ... 9.7.8 Recordings on the ECG 12 Lead Analysis Window ... 9.7.9 Other Recordings ... 9.7.9 Alarm History Window Overview ... 9.8.1 Displaying the Alarm History Window ... 9.8.1 Window Description ... 9.8.2 Viewing the Alarm History Window ... 9.8.3 Scrolling the Alarm History Files ... 9.8.3 Sorting the List ... 9.8.3 Selecting the Alarm Levels and Types Displayed on the File List ... 9.8.4 Recordings on the Alarm History Window ... 9.8.5 Alarm History Recording ... 9.8.5 Recording a Selected File ... 9.8.5 Other Recordings ... 9.8.5 Report Window Overview ... 9.9.1 Displaying the Report Window ... 9.9.1 Window Description ... 9.9.1 Report Mode ... 9.9.2 Manual Printing ... 9.9.2 Automatic Printing ... 9.9.2 Printing Items ... 9.9.2 Report Creating Flowchart ... 9.9.2 Changing Report Settings ... 9.9.3 Setting Printing Format ... 9.9.3 Setting the Report Mode ... 9.9.3 Selecting Printing Items ... 9.9.3 Setting Report Range ... 9.9.3 Setting Trend Data Printing ... 9.9.5
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CONTENTS Changing Trend Interval ... 9.9.5 Changing Printing Parameters ... 9.9.5 Entering Comments ... 9.9.6 Using Template to Enter a Comment ... 9.9.6 Printing on the Report Window ... 9.9.7 Manual Printing ... 9.9.7 Automatic Printing ... 9.9.7
Section 10
Recording ...10C.1 Overview ... 10.1 Description of Recording Modes ... 10.2 Manual Recording ... 10.2 Automatic Recording ... 10.3 Remote Recording ... 10.4 Recording Priority ... 10.5 Recorder unit (WS-971R) ... 10.5 Laser Printer ... 10.5 Recording Sensitivity ... 10.6 Recorded/Printed Data ... 10.6 Manual Recording ... 10.7 Delayed Waveform Recording ... 10.7 Necessary Settings for Delayed Waveform Recording ... 10.7 Starting Delayed Waveform Recording ... 10.7 Automatic Waveform Recording ... 10.8 Periodic Recording ... 10.8 Necessary Settings for Periodic Recording ... 10.8 Alarm Recording ... 10.8 Remote Recording ... 10.9 Necessary Settings for Remote Recording ... 10.9 Call Recording ... 10.9 Remote Recording ... 10.9 Starting Remote Recording ... 10.9 Call Recording ... 10.9 Remote Delayed Waveform Recording ... 10.9 Changing Recording Settings ... 10.10 Changing Settings on the Recording Window of the Setup ... 10.10 Changing Alarm Recording Settings ... 10.11 Setting Recording Waveforms for Dual Waveform Recording ... 10.12 Changing Recording Interval of Periodic Recording ... 10.12 Setting the Record Sweep Speed ... 10.13 Changing Settings on the Recording Window of the System Setup Screen ... 10.14 Displaying the Recording Window of the System Setup Screen ... 10.14 Changing the Recording Time ... 10.14 Adjusting the Grid Darkness ... 10.15
Section 11
Overview Bed Screen ...11C.1 Overview ... 11.1
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CONTENTS Displaying the Overview Bed Menu Screen ... 11.1 Alarm Function for an Overview Bed ... 11.2 Screen Description ... 11.2 Selecting Another Bedside Monitor as an Overview Bed ... 11.3 Switching to Other Windows of the Overview Bed Screen ... 11.3 Recordings on the Overview Bed Screen ... 11.4
Section 12
Parameter Setup ...12C.1 Overview of Parameter Setup ... 12.1 Displaying Each Parameter Setup Window ... 12.2 ECG Settings ... 12.3 Setting Vital Sign Alarms ... 12.3 Setting Arrhythmia Alarms ... 12.3 Setting the Analysis Lead ... 12.4 For Beds Connected via Multiple Patient Receiver WITHOUT Auto Lead Change Function ... 12.4 For Beds Connected via Multiple Patient Receiver WITH Auto Lead Change Function ... 12.4 Setting QRS Detection ... 12.5 Setting QRS Detection Settings ... 12.5 Setting QRS Detection Sensitivity in Auto Detection ... 12.6 Setting QRS Detection Threshold in Manual Detection ... 12.7 Setting ECG Lead Name ... 12.7 ST Settings ... 12.8 Setting the ST Analysis Point... 12.8 Setting the ST Interval ... 12.8 Setting Other Settings ... 12.9 Setting Electrode Lead Off Alarm ... 12.9 Turning Noise Alarm ON/OFF ... 12.9 Turning Arrhythmia Analysis ON/OFF ... 12.9 Turning Pacing Detection ON/OFF ... 12.10 Turning Hum Filter ON/OFF ... 12.10 Turning Pacing Marker ON/OFF ... 12.10 Turning Auto Lead Change ON/OFF ... 12.11 Respiration Settings ... 12.12 Setting the Vital Sign Alarm ... 12.12 Turning the Impedance Respiration Measurement ON/OFF ... 12.12 Changing the Respiration Detection Sensitivity ... 12.13 SpO2 Settings ... 12.14 Setting the Vital Sign Alarm ... 12.14 Turning the SpO2 Status Alarm ON/OFF ... 12.14 NIBP Settings ... 12.15 Setting the Vital Sign Alarm ... 12.15 Setting NIBP Measurement Mode and Measurement Interval ... 12.15 Starting/Stopping NIBP Measurement ... 12.16 PRESS Settings ... 12.17 Setting the Vital Sign Alarm ... 12.17 Changing the Display Pattern and the Blood Pressure Label ... 12.18 Temp Settings ... 12.19
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CONTENTS Setting the Vital Sign Alarm ... 12.19 Setting the Label for Temperature Measurement and Equation for DT ... 12.19 CO2 Settings ... 12.21 Setting the Vital Sign Alarm ... 12.21 FiO2 Settings ... 12.22 Setting the Vital Sign Alarm ... 12.22 Anesthesia Gas Settings ... 12.23 Setting the Vital Sign Alarm ... 12.23 Setting the Displayed Parameters of Waveforms and Numerical Data ... 12.23 Ventilator Settings ... 12.24
Section 13
Personal Setup and Setup ...13C.1 Overview of Personal Setup and Setup ... 13.1 Displaying Each Setting Window ... 13.1
Section 14
Error Messages and Troubleshooting ...14C.1 Troubleshooting ... 14.1 System ... 14.1 Network ... 14.2 Measurement Value ... 14.3 Alarm ... 14.3 Admitting/Discharging ... 14.4 All Beds Screen/Individual Bed Screen ... 14.5 Trend Window ... 14.6 Tabular Trend Window ... 14.6 Hemodynamics List Window ... 14.6 Arrhythmia Recall Window ... 14.7 ST Recall Window ... 14.7 Full Disclosure Window ... 14.8 ECG 12 Lead Analysis Window ... 14.8 Report Window ... 14.9 Recording ... 14.9 Overview Bed Screen ... 14.10 Parameter Setup ... 14.10 Error Messages ... 14.11 Messages From Bedside Monitors/Multiple Patient Receiver ... 14.11 Messages about Measurement Conditions of Each Parameter ... 14.11 Other ... 14.16 Messages From Central Monitor ... 14.17 WS-971R Recorder Unit ... 14.17 Laser Printer ... 14.17 Other ... 14.17 Daily Check ... 14.18 Checking Sound Generation from the Speaker ... 14.18 Calibrating the Touchscreen ... 14.18 Adjusting the VL-971R/RK LCD Unit ... 14.21 Printing a Screen Hard Copy ... 14.21 Inspection After Use ... 14.22
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CONTENTS Cleaning, Disinfecting and Sterilization ... 14.23 Central Monitor ... 14.23 Cleaning the Main Unit ... 14.23 Disinfecting the Main Unit ... 14.23 Cleaning the Display ... 14.24 WS-971R Recorder Unit ... 14.24 Thermal Head ... 14.24 Sensor ... 14.24 Regular Inspection ... 14.25 Periodical Replacement Schedule ... 14.26 Repair Parts Availability Policy ... 14.26
Section 15
Reference...15C.1 Factory Default Settings ... 15.1 All Beds Screen/Individual Bed Screen ... 15.1 Review Window ... 15.2 Parameter Setup ... 15.3 Personal Setup ... 15.4 Setup ... 15.4 System Setup ... 15.5 Parameter Priority ... 15.7 Initializing the System ... 15.8 Specification ... 15.9 Display ... 15.9 Waveform Display Items ... 15.9 Alphanumeric Display Items ... 15.9 Sound ... 15.9 Alarm Function ... 15.9 Trend ... 15.10 Waveform Sensitivity ... 15.10 Overview ... 15.10 Remote Setting ... 15.10 Full Disclosure ... 15.10 File Saving ... 15.10 2-ch Recorder, WS-971R (option) ... 15.11 Laser Printer (local purchase) ... 15.11 Power Requirements ... 15.11 Environment ... 15.12 Electromagnetic Compatibility ... 15.12 Safety ... 15.12 Dimensions and Weight ... 15.12 Standard Accessories ... 15.13 MU-971RJ Main Unit ... 15.13 MU-971RK Main Unit ... 15.14 MU-971RA Main Unit ... 15.15 Options and Consumables ... 15.16 Options ... 15.16 Consumables ... 15.16 General Requirements for Connecting Medical Electrical System ... 15.17
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GENERAL HANDLING PRECAUTIONS This device is intended for use only by qualified medical personnel. Use only Nihon Kohden approved products with this device. Use of non-approved products or in a non-approved manner may affect the performance specifications of the device. This includes, but is not limited to, batteries, recording paper, pens, extension cables, electrode leads, input boxes and AC power. Please read these precautions thoroughly before attempting to operate the instrument. 1. To safely and effectively use the instrument, its operation must be fully understood. 2. When installing or storing the instrument, take the following precautions: (1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly ventilated areas, and dust, saline or sulphuric air. (2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport. (3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage. (4) The power line source to be applied to the instrument must correspond in frequency and voltage to product specifications, and have sufficient current capacity. (5) Choose a room where a proper grounding facility is available. 3. Before Operation (1) Check that the instrument is in perfect operating order. (2) Check that the instrument is grounded properly. (3) Check that all cords are connected properly. (4) Pay extra attention when the instrument is in combination with other instruments to avoid misdiagnosis or other problems. (5) All circuitry used for direct patient connection must be doubly checked. (6) Check that battery level is acceptable and battery condition is good when using battery-operated models. 4. During Operation (1) Both the instrument and the patient must receive continual, careful attention. (2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety. (3) Avoid direct contact between the instrument housing and the patient. 5. To Shutdown After Use (1) Turn power off with all controls returned to their original positions. (2) Remove the cords gently; do not use force to remove them. (3) Clean the instrument together with all accessories for their next use. 6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is not functioning properly, it should be clearly marked to avoid operation while it is out of order. 7. The instrument must not be altered or modified in any way. 8. Maintenance and Inspection: (1) The instrument and parts must undergo regular maintenance inspection at least every 6 months. (2) If stored for extended periods without being used, make sure prior to operation that the instrument is in perfect operating condition.
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(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for qualified user technical personnel upon request from your Nihon Kohden distributor. 9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or location of electrodes and/or transducers to avoid possible burn to the patient. 10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.
WARRANTY POLICY Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from the warranty. NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period, provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals. No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any other warranty, either implied or in writing. In addition, service, technical modification or any other product change performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding this warranty. Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure. Shipping costs must be pre-paid. This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism, water or other casualty, improper installation or application, or on which the original identification marks have been removed. In the USA and Canada other warranty policies may apply.
CAUTION United States law restricts this device to sale by or on the order of a physician.
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Operator's Manual CNS-9701
EMC RELATED CAUTION This equipment and/or system complies with the International Standard IEC 60601-1-2 for electromagnetic compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that exceeds the limits or levels stipulated in the IEC 60601-1-2, can cause harmful interference to the equipment and/or system or cause the equipment and/or system to fail to perform its intended function or degrade its intended performance. Therefore, during the operation of the equipment and/or system, if there is any undesired deviation from its intended operational performance, you must avoid, identify and resolve the adverse electromagnetic effect before continuing to use the equipment and/or system. The following describes some common interference sources and remedial actions: 1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station or cellular phone: Install the equipment and/or system at another location if it is interfered with by an emitter source such as an authorized radio station. Keep the emitter source such as cellular phone away from the equipment and/or system. 2. Radio-frequency interference from other equipment through the AC power supply of the equipment and/or system: Identify the cause of this interference and if possible remove this interference source. If this is not possible, use a different power supply. 3. Effect of direct or indirect electrostatic discharge: Make sure all users and patients in contact with the equipment and/or system are free from direct or indirect electrostatic energy before using it. A humid room can help lessen this problem. 4. Electromagnetic interference with any radio wave receiver such as radio or television: If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or system as far as possible from the radio wave receiver. If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden Corporation subsidiary or distributor for additional suggestions.
The CE mark is a protected conformity mark of the European Community. The products herewith comply with the requirements of the Medical Device Directive 93/42/EEC. The CE mark only applies to the CNS-9701K series central monitors. This equipment complies with EUROPEAN STANDARD EN-60601-1-2 (1993) which requires EN-55011, class A. Class A EQUIPMENT is allowed in domestic establishments when used under the jurisdiction of a health care professional.
Operator's Manual CNS-9701
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In IEC 60601-1-2 Medical Electronic Equipment, Part 1: General Requirements for Safety, 2. Collateral Standard: Electromagnetic compatibility-Requirements and test. Section 36. 202. 2 Radiated radiofrequency electromagnetic fields, PATIENT COUPLED EQUIPMENT and/or SYSTEMS applicable IMMUNITY test methods are under consideration at SC62A/WG13. The 3 V/m IMMUNITY level may be inappropriate especially when measuring SpO2 because physiological signals can be much smaller than those induced by a 3 V/m electromagnetic field. When measuring SpO2, various interference may produce false waveforms which look like pulse waveforms. SpO2 value and pulse rate may be measured from these false waveforms, causing the alarm to function improperly. When installing the monitor, avoid locations where the monitor may receive strong electromagnetic interference such as radio or TV stations, cellular phone or mobile two-way radios.
NOTE about Waste Electrical and Electronic Equipment (WEEE) directive 2002/96/EEC For the member states of the European Union only: The purpose of WEEE directive 2002/96/EEC is, as a first priority, the prevention of waste electrical and electronic equipment (WEEE), and in addition, the reuse, recycling and other forms of recovery of such wastes so as to reduce the disposal of waste. Contact your Nihon Kohden representative for disposal at the end of its working life.
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Operator's Manual CNS-9701
Conventions Used in this Manual and Instrument Warnings, Cautions and Notes Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
WARNING A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.
CAUTION A caution alerts the user to possible injury or problems with the instrument associated with its use or misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other property.
NOTE A note provides specific information, in the form of recommendations, prerequirements, alternative methods or supplemental information.
Explanations of the Symbols in this Manual and Instrument The following symbols found in this manual/instrument bear the respective descriptions as given. On MU-971RA/RJ/RK central monitor main unit Symbol
Description
Symbol
Description
Power ON
Hard disk lamp
Power OFF
Reset
Attention, consult operator’s manual
Mouse socket
System start/shutdown
Keyboard socket
Power lamp (Power ON) (Only for CNS-9701K) The CE mark is a protected conformity mark of the European Community. The products herewith comply with the requirements of the Medical Device Directive 93/42/EEC. (Only for CNS-9701K) The products marked with this symbol apply to the European WEEE directive 2002/96/EEC and require separate waste collection. For Nihon Kohden products labeled with this symbol, contact your Nihon Kohden representative for disposal at the end of its working life.
Operator's Manual CNS-9701
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