Creative PC-900PRO User Manual V1.1 Nov 2016

User Manual for Vital Signs Monitor

Instructions to User Dear User, Thank you very much for purchasing our product. Please read the following information very carefully before using this device. Read these instructions carefully before using this monitor. These instructions describe the operating procedures to be followed strictly. Failure to follow these instructions can cause monitoring abnormity, equipment damage and personal injury. The manufacturer is NOT responsible for the safety, reliability and performance issues and any monitoring abnormality, personal injury and equipment damage due to user’s negligence of the operation instructions. The manufacturer’s warranty service does not cover such faults.  WARNING-PACEMAKER PATIENTS. This monitor may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon this monitor ’s alarms. Keep pacemaker patients under close surveillance.  Monitor a single patient at a time.  The monitor is defibrillator proof. Verify that the accessories function safely and normally and the monitor is grounded properly before conducting defibrillation.  Disconnect the monitor and sensors before MRI scanning. This monitor is not MRI compatible.  All combinations of equipment must be in compliance with standard of IEC 60601-1-1 for medical electric system requirements.  Check SpO 2 probe application site periodically (every 30 minutes) to determine circulation, positioning and skin sensitivity.  The SpO 2 measurement in this monitor may not work for all SpO2 test devices/simulators. If stable readings cannot be obtained at any time, discontinue testing and contact the distributor for testing equipment recommendations.  Do not immerse the monitor or its accessories in liquid whilst cleaning.  Do not use accessories other than those provided/recommended by the manufacturer.  Each time the monitor is used, check the patient mode and alarm limits to ensure that they are appropriate f or the patient being monitored.  The monitor is intended only as an adjunct in patient assessment. It must be used in conjunction with clinical signs and symptoms.  When measuring NIBP on paediatric or neonates (less than 10 years old), do NOT operate in the adult mode as the inflation pressure will be too high.  Do not use to measure NIBP for patients who have severe hemorrhagic tendency or sickle cell disease.  DO NOT take blood pressure measurement from a limb receiving ongoing transfusion or intubation or with skin lesions. II

User Manual for Vital Signs Monitor

 Continuous use of the SpO2 sensor may result in discomfort or pain, especially for those with micro-circulatory problem. It is recommended that the sensor should NOT be applied to the same place for over two hours, change the measuring site periodically if necessary.  Do NOT install the SpO2 sensor on the finger with edema or vulnerable tissue.  Although biocompatibility tests have been performed on all the applied parts, some exceptional allergic patients may still have anaphylaxis. Do NOT apply to those who have anaphylaxis.  Keep connecting cables and tubing away from the patient’s neck to prevent any possible suffocation of the patient.  All the parts of the monitor should NOT be replaced at will. If necessary, please use the components provided by the manufacturer or those that are of the same model and standards as the accessories along with the monitor which are provided by the same factory, otherwise, negative effects concerning safety and biocompatibility etc. may be caused.  If the monitor is dropped accidentally, please do NOT operate it before its safety and technical indexes have been tested and found to be within specification.  Manual blood pressure measurement is recommended, with the automatic mode used in the presence of a doctor/nurse.  Please peruse the relative content about the clinical restrictions and contraindication.  When disposing of the monitor and its accessories, follow local and national guidelines.

III

User Manual for Vital Signs Monitor

Table of Contents Chapter 1 Overview ... 1 1.1 Features ... 1 1.2 Product Name and Model ... 1 1.3 Intended Use ... 1 1.4 Safety ... 1 Chapter 2 Operating Principle ... 2 2.1 Overall Structure ... 2 2.2 Conformation ... 2 Chapter 3 Installation and Connection ... 3 3.1 Appearance ... 3 3.1.1 Front Panel ... 3 3.1.2 Side Panel... 5 3.1.3 Rear Panel ... 6 3.1.4 Underside of the Monitor ... 7 3.2 Battery Installation ... 7 3.3 Installation... 8 3.3.1 Opening the Package and Check ... 9 3.3.2 Connecting the Power Supply ... 9 3.3.3 Starting the Monitor ... 9 3.4 Sensor Placement and Connection ... 9 3.4.1 Blood Pressure Cuff Connection ... 9 3.4.3 SpO2 Sensor Connection ... 13 3.4.4 TEMP Transducer Connection ... 14 3.4.5 Loading printer paper (if printer is installed) ... 14 Chapter 4 Operations ... 16 4.1 Initial Monitoring Screen ... 16 4.2 Default Screen ... 16 4.3 NIBP List Screen... 18 4.4 SpO2 Data List Screen ... 18 4.5 Alarm Event List Screen ... 19 4.6 Trend Graph Display ... 20 4.7 Setup Menu Screen ... 21 4.7.1 SpO2 Setup ... 22 4.7.2 NIBP Setup... 23 IV

User Manual for Vital Signs Monitor

4.7.3 TEMP Setup (Optional) ... 25 4.7.4 Patient Info ... 26 4.7.5 Date/Time Setup ... 26 4.7.6 Nurse Call Setup ... 27 4.7.7 Network Setup (Optional) ... 28 4.7.8 System Setup... 28 4.7.9 Reset to Factory Default Settings... 30 4.7.10 About... 30 4.8 Alarm Settings... 30 Chapter 5 Alarms ... 32 5.1 Alarm Priority ... 32 5.2 Alarm modes ... 32 5.3 Alarm Reset and Silence ... 33 5.4 Alarm Settings... 33 5.5 Verifying Alarm Function ... 34 Chapter 6 Technical Specifications... 35 6.1 NIBP Monitoring ... 35 6.2 SpO2 Monitoring ... 35 6.3 Pulse Rate monitoring ... 35 6.4 TEMP Monitoring (optional) ... 35 6.5 Data Recording ... 36 6.6 Other Technical Specifications ... 36 6.7 Operating Environment ... 36 6.8 Classification ... 36 6.9 Guidance and manufacturer’s declaration-Electromagnetic compatibility ... 37 Chapter 7 Packaging and Accessories ... 41 7.1 Packaging ... 41 7.2 Accessories Supplied ... 41 Chapter 8 Monitoring Parameters & Contraindications ... 42 8.1 NIBP Monitoring ... 42 8.1.1 Factors affecting NIBP measuring ... 42 8.1.2 Limitations & Contraindications ... 42 8.2 SpO2 Monitoring ... 42 8.2.1 Sources of interference for SpO2 Measurement ... 42 8.2.2 Pathological reasons for low SpO2 measurements ... 43 8.2.3 Clinical Limitations ... 43 V

User Manual for Vital Signs Monitor

8.2.4 Points to be noted in SpO2 and Pulse Measuring ... 43 8.3 Temperature Monitoring (optional) ... 44 Chapter 9 Troubleshooting ... 45 9.1 No Display on the Screen... 45 9.2 No Blood Pressure and Pulse Oxygen Readings ... 45 9.3 Blank Print-out ... 45 9.4 System Alarm ... 45 Chapter 10 Maintenance ... 46 10.1 Service and Examination ... 46 10.1.1 Daily Examination ... 46 10.1.2 Routine Maintenance ... 46 10.1.3 Battery Maintenance ... 46 10.1.4 Service... 47 10.2 Cleaning and Disinfection ... 47 10.3 Cleaning and Disinfection of Accessories... 47 10.4 Storage ... 48 10.5 Transportation ... 48 Chapter 11 Appendix ... 49 11.1 Prompt information explanations ... 49 11.2 Default Alarming Values and Setup Range ... 50 11.3 Abbreviation of arrhythmia ... 51 11.4 Accessories List ... 52 11.5 Instructions for SpO2 Probe... 53

VI

Chapter 1 Overview 1.1 Features  Blood Pressure, SpO2, and Pulse Rate or Heart Rate on large, bright LED display;  Color LCD to display pleth waveform  Accurate NIBP measurement with over-inflation protection  Unique oximetry technique ensures sensitive and accurate SpO2 and pulse rate measurement, pitch tone function is also available;  Up to 12000 groups of BP measurements can be stored in non-volatile memory and reviewed by list, the stored data can be uploaded to computer;  Historic data records can be reviewed in waveform, list or trend graph;  Multi-level audible & visible alarm function, nurse call output is available;  Network function for connecting to Central Monitoring System;  Option of built-in printer to print out waveform, and text information. Note: The monitor you purchased may not cover all the mentioned functions according to its configuration.

1.2 Product Name and Model Name: Vital Signs Monitor Model: PC-900PRO

1.3 Intended Use This Monitor is a multi-functional instrument designed for monitoring the vital physiological signs of adult and paediatric patients. With the functions of real-time recording and displaying parameters, such as non-invasive blood pressure, body temperature, functional oxygen saturation and so on, it allows comprehensive analysis of patient’s physiological conditions. This instrument is applicable for use in hospitals and clinical institutions and should be operated by qualified personnel only.

1.4 Safety a)

This device conforms to the standard IEC 60601-1, with electric safety classification of Class I, BF and CF type of applied parts.

b)

This device is defibrillator proof and resistant to interference from electro-surgical units

c)

This device has a cardiac pace-maker pulse inhibition function.

d)

DO NOT use this device while the patient is under MRI or CT scanning.

User Manual for Vital Signs Monitor

Chapter 2 Operating Principle 2.1 Overall Structure The overall structure of the monitor is shown in Fig. 2.1.

Figure 2.1

2.2 Conformation The PC-900PRO Vital Signs Monitor is a product with modular design, consisting of an NIBP module, SpO2 module, temperature module, main control unit, printer module (Optional), display panel, and power supply module etc. and the related accessories for NIBP, SpO2 and temperature measurement. ☞ According to user requirements, you can order the device with different configurations to include the necessary functions. Therefore, your monitor may not have all the monitoring functions and accessories described. 1. The SpO2 module detects and calculates pulse rate and functional oxygen saturation (SpO2), and provides plethysmogram and perfusion index. 2. The NIBP module measures blood pressure non-invasively with oscillometric technology, including the diastolic, systolic and mean arterial pressure. The cuffs are designed for adult, paediatric and neonate respectively. 3. The main control unit is in charge of LED and LCD display, keyboard input, data storage, printing and networking function.

2

User Manual for Vital Signs Monitor

Chapter 3 Installation and Connection 3.1 Appearance 3.1.1 Front Panel Model A: PC-900PRO Vital Signs Monitor without ECG function

Figure 3.1A Front panel illustration for monitor (without ECG function)

Description: 1

"

"Alarm indicator Indicator Color Red flashing

Alarm Level

Yellow flashing

Medium priority alarm

Yellow light

Low priority alarm

Green light

Normal

2

SYS: display of systolic pressure value.

3

DIA: display of diastolic pressure value.

High priority alarm

3

User Manual for Vital Signs Monitor

4

PR: display of pulse rate; unit: bpm.

5

SpO2: display of SpO2 value; Unit: “%”.

6

"

7

" ": Power button: A long press of the power button will start or shut off the monitor; a short press enters into or exits from power saving mode.

8

～: AC Power indicator.

9

": LCD panel

: DC Power indicator. Description of AC, DC Power indicator： AC Power indicator DC Power indicator

Status

Descriptions

ON

ON

this device is on and using AC power supply

OFF

ON

the device is on and using built-in battery

ON

OFF

the device is off and battery is being charged while the AC power is connected.

10 "MAP/Time": displays mean arterial pressure at the end of a successful measurement and end time (in Manual or STAT mode) or count down time (in Auto mode) alternatively. Cuff pressure is displayed during measurement. There are 2 types of display when the NIBP measurement finishes: 1) When NIBP measurement mode is set to “Manual” or “STAT”, the mean arterial pressure and the measuring time will be displayed alternately, the time format is "hh:mm". 2) When NIBP measurement mode is set to “AUTO”, the count down time will be displayed, the time format is "mm:ss". If the count down time is over one hour, then it displays "hh:mm". Note: BP value can be displayed in two units, “×××” mmHg” or “××.×” kPa, refer to section “4.9.3 NIBP Setup” to set the display unit of BP value. The conversion between two units is: 1kPa=7.5mmHg, 1mmHg=0.133kPa. 11 "

"NIBP Setup key: A shortcut key to change NIBP measuring mode and the cycle time for Auto mode.

12 "

"Auxiliary key: Holding this key and NIBP setup key (11) will lock or un-lock key operation. A short

press of this key can also enter into or exit from "Power Saving Mode". 13 "

": Patient category indicator: “ ” for adult; “ ” for paediatric; “

” for neonate.

14 "

" Alarm silence key.

15 "

" Print. The internal printer is optional. If installed, press this key to print the current measured data.

16 "。": Alarm silence indicator. When it is on, it indicates that the alarm is silenced. 17 "

" NIBP Operation key: press to start/cancel NIBP measurement.

18 “ ”: Bar-graph of pulse intensity. 19 "

" Up: shifts cursor forward/upward 4

User Manual for Vital Signs Monitor

20 " " OK: In setting menu, press to confirm selection or modification; On history record screen, long press this key to open up delete data dialogue box; On monitoring screen, short press to freeze/unfreeze ECG waveform. 21 "

"Down: shifts cursor backward/downward

22 "

" Display View key: short press to scroll through LCD display views or return to the upper level

screen; long press to enter into root setting menu display screen. 23 TEMP: TEMP probe connector 24 NIBP: NIBP hose connector 25 SpO2: SpO2 sensor connector Note: "

": Type BF Applied Part with Defibrillation-proof

Note: A long press would mean press and hold for 2 seconds.

3.1.2 Side Panel

Fan

Printer status indicator Built-in thermal printer (Optional)

Figure 3.2 Right side of the monitor The right panel of the monitor is as shown in figure 3.2. 

Figure 3.3 Left side of the monitor

Symbol for CF type applied part with defibrillation-proof.

 ECG: ECG cable connector – not in use.  "○": reserved port for future use. The left panel of the monitor is as shown in figure 3.3. The built-in thermal printer is in the left panel. It is easy for user to print waveform and data if this is installed.  "

": printer status indicator. One is for power indication of the printer, the green light shows the power is on, while the monitor is shut down, the green light is off. The other is for error indication, when the paper is empty or the printer is out of order, the red light is on.

5

User Manual for Vital Signs Monitor

3.1.3 Rear Panel

Figure 3.4 Rear Panel The rear panel of the monitor is as shown in figure 3.4. Form 3-1 Real panel Symbols and descriptions Symbol

Description

Symbol

Description

Warning-- Refer to User Manual

FUSE 2XT1.0AL

Fuse holder

USB connector

Equipotential terminal

NET

Nurse-call connector

Fuse specification: T1.0AL/250V φ5*20mm

6

User Manual for Vital Signs Monitor

3.1.4 Underside of the Monitor

Battery cover

Figure 3.5 Underside of the monitor

3.2 Battery Installation 1. Ensure that the monitor is not connected to AC power supply and is turned off. 2. Open the battery cover and move the locking bar aside. 3. Put the battery into the box and move the locking bar back. Please note that the battery cables should be outward. 4. Connect the battery cable plug to the battery power socket in right direction, as shown in figure 3.6. 5. Arrange the wires and close the battery cover.

7

User Manual for Vital Signs Monitor

Battery cable Battery Battery cable plug

Locking bar

Battery power socket

Battery power cable Battery cover tether Battery cover

Figure 3.6 Battery Installation

Warning： 1. To avoid battery damage always remove battery(s) before shipping or storage. 2. It is recommended to use the battery specified by the manufacturer. 3. The battery service life depends on how frequently and for how long it is used. For a properly maintained and stored lead-acid or lithium battery, its service life is about 2 or 3 years respectively. For more often used models, service life can be less. We recommend replacing lead-acid batteries every 2 years and lithium batteries every 3 years. Caution: 1. Keep the battery out of the reach of children. 2. Do not disassemble battery. 3. Do not dispose of in fire. 4. Do not cause them to short circuit.

8

User Manual for Vital Signs Monitor

3.3 Installation 3.3.1 Opening the Package and Check 1. Open the package, take out the monitor and accessories from the box carefully and place them on a safe and stable surface. 2. Open the accompanying document to sort the accessories according to the packing list.  Inspect the monitor for any mechanical damages  Check all the accessories for any scratch or deformity, especially on connectors, wire and probe parts ☞ You can customize the module configuration by choosing necessary modules to meet your own needs. Therefore, your monitor may not have all the monitoring functions and accessories. If in doubt, please contact your supplier for assistance.

3.3.2 Connecting the Power Supply 1. When powered by AC mains power supply:





Make sure that the AC power supply is 100-240VAC, 50/60Hz.



Use the power cable prepared by the manufacturer. Insert one end of it to the power port of the monitor and the other end to the grounded three-phase power jack.

If the mains power is interrupted and restored after 30 seconds (with the mains power switch still on) the monitor will retain the last settings when the monitor restarts.

2. When powered by built-in battery  Caution: Recharge the battery from empty wherever possible, the charging time should be 13~15 hours long.  The internal battery of the monitor must be recharged after transportation or storage. If the monitor is switched on without being connected to AC power, it may not work properly due to insufficient power supply.

3.3.3 Starting the Monitor When the monitor is switched on, the system performs a self-test and then enters the initial display. The orange alarm indicator blinks to inform that the user can begin operating it.  Check all the applicable functions to make sure that the monitor works normally.  If the battery is used please recharge it after using the monitor to ensure sufficient power storage. It will take minimal 8 hours to charge battery from depletion to 90% charge.  Do not use the device to monitor the patient if there are indications of damage or error messages. In this event, please contact your supplier.  Wait 1 minute before restarting the monitor after turning it off.

3.4 Sensor Placement and Connection 3.4.1 Blood Pressure Cuff Connection 1. Connect the cable to the black connector marked with the NIBP icon.

9

User Manual for Vital Signs Monitor

2. Select the appropriate cuff and wrap around the patient’s upper arm. Cuff requirements: 1) An appropriate cuff should be selected according to the size of the subject. The cuff width should be 2/3 of the length of the upper arm. The cuff inflation part should be long enough to permit wrapping 50-80% of the limb concerned. See the cuff for the detailed dimensions.  When putting on the cuff, wrap it around the upper arm evenly to appropriate tightness. 2) Remember to empty any residual air in the cuff before the measurement commences. 3) Locate the cuff in such a way that the “φ” mark is at a location where the clearest pulsation of brachial artery is observed. 4) The cuff should be tightened to a degree where insertion of one finger is possible. 5) The lower end of the cuff should be 2cm above the elbow joint.

Figure 3.7 Cuff Placement Pressure Accuracy Verification Pressure accuracy should be verified by a technician or equipment manager every 6 months to one year in order to check. If the results deviate beyond the declared specification, it should be returned for repair or calibration. For verification, please connect the monitor to a known calibrated NIBP test device or reference equipment such as a mercury pressure meter.

10

User Manual for Vital Signs Monitor

Mercury blood pressure meter

NIBP cuff with dual air tube

Air tube Air tube Air tube Air tube Module testing software

Air vent Manual valve

NIBP module

Inflation balloon

Increase the pressure manually through the inflatable balloon

Inside the monitor Figure 3.8 Connection of Pressure calibration fixture Mode 1: Automatic inflation The inflation can be activated by Monitor so the pressure will increase Adult

240mmHg

Pediatric

200mmHg

Neonate

120mmHg

Table A Inflation can be activated by the monitor and the pressure will increase automatically until it exceeds the limit value specified in table A. This pressure limit value depends on the patient type selection as shown in table A: During inflation, the Monitor will close the deflation valve, and pressure readings will be shown as inflation takes place. If there is no manual deflation operation, the pressure will persist until deflation by the manual valve. It is necessary to deflate in several steps to verify the pressure accuracy at points across the full measurement range. Mode 2: Manual inflation Increase the pressure manually by the inflation balloon, and the verification can be done by applying different pressures manually. If the increased pressure exceeds the given limit as shown in table B, the Monitor will deflate automatically because of the over-pressure protection valve in each mode. Adult

300mmHg

Paediatric

240mmHg

Neonate

140mmHg

Table B  After verification, press the button again to return to normal working mode and continue operation, 11

User Manual for Vital Signs Monitor

or the NIBP key will be invalid.  Pressure accuracy verification should be undertaken by a technician or equipment manager and never with the BP cuff still on a patient. Air Leakage Check In order to avoid measurement errors or even no measurement result caused by air leakage in the pneumatic system including the cuff during measuring, it is recommended to check if there is leak in the pneumatic system as well.  Please remove the cuff from patient while performing the leakage check. Safety Instructions for NIBP Monitoring  When taking the NIBP measurement of a paediatric or neonate patient (less than 10 years old), do NOT operate in the adult mode as the high inflation pressure may cause injury. 

Manual blood pressure measurement is recommended with automatic measurement used in the presence of a clinician.

 Do not use to measure NIBP for patients who have severe hemorrhagic tendency or sickle cell disease.  Pay attention to the colour and sensitivity of the limb when measuring NIBP; make sure the blood circulation is not blocked. This should be checked frequently and, if discolouration is detected, measurement stopped and the cuff removed to another position. 

Confirm your patient category (adult, paediatric or neonate) before measurement.



Do NOT use the NIBP cuff on limbs with transfusion tubes, intubation or skin lesions otherwise damages may be caused.



If automatic blood pressure measurement is set for too long, the limb connected to the cuff may possibly experience purpura, lack of blood and neuralgia. In order to protect patient, it is requested to inspect the luster, warmth and sensitivity of the body extremity frequently. On observation of any abnormality, immediately stop the blood pressure measurement.

 The patient should lie in bed or sit in a chair, in order for the cuff and heart to be at the same level and the most accurate measurement to be taken. Other postures may lead to inaccurate results; 

Do not speak or move before or during the measurement. Ensure that the cuff will not be hit or touched by other objects.



The measurements should be taken at appropriate intervals. Continuous measurement at too frequent intervals may lead to compression of the arm, reduced blood flow and lower blood pressure, and result in inaccurate measurements of blood pressure. Two minute measurement intervals are recommended.



Prior to use of the cuff, empty the cuff until there is no residual air inside it to ensure accurate measurement.



Do NOT twist the cuff tube or put heavy things on it.



When unplugging the cuff, hold the head of the connector and pull it out. The symbol indicates that the cable and accessories are designed to have special protection against electric shocks, and is defibrillator proof.

12

User Manual for Vital Signs Monitor

3.4.3 SpO2 Sensor Connection The SpO2 sensor is very delicate. Please follow the steps and procedures below when using it as failure to do so correctly can cause damage to the SpO2 sensor. Operation procedure: 1. Connect the SpO2 sensor to the connector labeled “SpO2”. When unplugging the probe, be sure to hold the head of the connector and pull it out. 2. If the finger clip SpO2 sensor is used, insert one finger into the sensor (index finger, middle finger or ring finger with short nail length) as shown in the figure below.

Figure 3.9 Finger clip SpO2 sensor placement When selecting a sensor, consider the patient’s category, adequacy of perfusion, availability of probe site and anticipated monitoring duration. Use only Creative SpO2 probes with this monitor. Read the following table for SpO2 probe information. Refer to Chapter 11.5 for the detailed instructions of each SpO2 probe. SpO2 Probe

Patient Category

SpO2 Finger Clip Sensor (reusable)

Paediatric

SpO2 Finger Silicone Sensor (reusable)

Adult

SpO2 Finger Clip Sensor (reusable)

Adult

3. If the neonate SpO2 sensor is used, please follow Figure 3.10 to connect. Sensor adapter wrap Y type sensor

13

User Manual for Vital Signs Monitor

Figure 3.10 Neonate SpO2 sensor placement High ambient light sources such as surgical lights (especially those with a xenon light source), bilirubin lamps, fluorescent lights, infrared heating lamps, and direct sunlight can interfere with the performance of a SpO2 sensor. To prevent interference from ambient light, ensure that the sensor is properly applied, and cover the sensor site with opaque material. Failure to take this action in high ambient light conditions may result in inaccurate measurements. If patient movement presents a problem, verify that the sensor is properly and securely applied; move the sensor to a less active site; use an adhesive sensor that tolerates some patient motion; or use a new sensor with fresh adhesive backing. For reusable sensors, follow the sensor directions for use for cleaning and reuse. For single-patient use sensors, use a new sensor for each patient. Do not sterilize any sensor by irradiation, steam, or ethylene oxide. Safety Information for SpO2 Monitoring Continuous use of the SpO2 sensor may result in discomfort or pain, especially for those with microcirculatory problem. It is recommended that the sensor should NOT be applied to the same place for over two hours, change the measuring site periodically if necessary. The SpO2 measuring site must be examined carefully for certain patient groups. Do NOT place the SpO2 sensor on the finger of a patient with edema or fragile tissue.  If sterile packaging of a disposable SpO2 sensor is damaged, do not use it.  Check the SpO2 sensor and cable before use. Do NOT use a damaged SpO2 sensor.  If the temperature of SpO2 sensor is abnormal, do not use it any more. Please do not allow the cable to be twisted or bent. Do NOT put the SpO2 sensor and pressure cuff on the same limb, otherwise the NIBP measuring will affect SpO2 measuring and cause an alarm error. Using nail polish or other cosmetic product on the nail may affect the accuracy of measurement. The fingernail should be of normal length. The SpO2 sensor cannot be immerged in water, alcohol or cleanser completely, because the sensor has no capability to resist the harmful ingress of water

3.4.4 TEMP Transducer Connection Connecting methods: 1. Securely attach the transducer to the patient. 2. Connect the cable to TEMP probe connector in the front panel. Note: When unplugging the probe, be sure to hold the head of the connector and pull it out.

3.4.5 Loading printer paper (if printer is installed) Operation procedures for loading printer paper:

14