Criticare Systems orporated CSI8600 Telemetry Device User Manual Manual

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Page i

VerisTM 8600

Vital Signs Monitor

Operation Manual

3010796 Revision 0

Date 10/04

PRELIMINARY

Page ii

VerisTM 8600

Operation Manual

Reproduction of this manual is strictly prohibited

without express written consent of MEDRAD, Inc.

For more information about MEDRAD products

and services, please visit www.medrad.com

Page iii

Contents

Contents................................................................................................................iii

In Case of Emergency Contact .............................................................................xi

MEDRAD Subsidiaries.....................................................................................xi

International Offices.........................................................................................xi

Symbols .............................................................................................................. xiii

Regulatory Symbols....................................................................................... xiii

Safety Symbols.............................................................................................. xiii

System Symbols............................................................................................xiv

Port Symbols .................................................................................................xiv

Miscellaneous Symbols................................................................................. xiv

Safety...................................................................................................................xv

Definitions.......................................................................................................xv

Warnings.........................................................................................................xv

Cautions........................................................................................................ xvii

Introduction .........................................................................................................xxi

Description.....................................................................................................xxi

Intended Use ................................................................................................. xxi

Clinical Use................................................................................................... xxii

Section 1 - Panel Features

Front Panel ................................................................................................................... 1-1

Menu Knob......................................................................................................... 1-2

Color Display...................................................................................................... 1-2

Water Trap and Gas Sampling Connection ....................................................... 1-2

Left Side Panel (Main Monitor) ..................................................................................... 1-3

Communication Port (Main Monitor) ............................................................................. 1-4

Main Monitor Base Connections................................................................................... 1-5

Chassis Ground ................................................................................................. 1-5

DC Connection................................................................................................... 1-5

Exhaust Port....................................................................................................... 1-5

Air Intake Port .................................................................................................... 1-5

Remote Display.................................................................................................. 1-6

Printer ........................................................................................................................... 1-8

Accessory Tray............................................................................................................. 1-8

Veris 8600 Configurations............................................................................................. 1-9

Section 2 - Monitor Setup

Battery Power ............................................................................................................... 2-1

Charging the Battery.......................................................................................... 2-1

Battery Indicators ............................................................................................... 2-2

System Start and Auto-calibration ................................................................................ 2-3

Sensor and Probe Messages............................................................................. 2-4

Gas Calibration .................................................................................................. 2-4

Screen Display and Interface........................................................................................ 2-5

Waveform Slots.................................................................................................. 2-6

Numerical Parameter Boxes .............................................................................. 2-9

Main Menu ....................................................................................................... 2-11

Alarm and Message Areas............................................................................... 2-12

System Status Box........................................................................................... 2-12

Patient Information and Clock.......................................................................... 2-12

Keypad........................................................................................................................ 2-13

Softkey Functions (Main Menu) .................................................................................. 2-14

Changing Settings............................................................................................ 2-14

Saved Setting Profiles...................................................................................... 2-15

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ALARMS Softkey.........................................................................................................2-16

Primary ALARMS Window................................................................................2-17

Invasive Blood Pressure Alarm Settings ..........................................................2-18

Agent Gas Alarms ............................................................................................2-19

PARAMS Softkey (Physiological Parameters)............................................................2-21

Primary PARAMS Window ...............................................................................2-21

SpO2, Respiration, Temperature Menu............................................................2-24

Gas Settings.....................................................................................................2-25

DISPLAY Softkey ........................................................................................................2-27

Waveform Description......................................................................................2-27

Double Height Slots..........................................................................................2-28

Cascaded Slots ................................................................................................2-29

Gain and Sweep...............................................................................................2-30

ADM/DIS Softkey (Admit/Discharge)...........................................................................2-31

Admitting and Discharging Patients..................................................................2-31

Adult/Pediatric/Neonatal (Patient Size) ............................................................2-32

Patient Information ...........................................................................................2-32

Procedure for Admitting a Patient.....................................................................2-32

Procedure for Discharging a Patient.................................................................2-33

CONFIG Softkey (System Configuration)....................................................................2-34

Password Protection.........................................................................................2-35

Date Format......................................................................................................2-35

Time/Date Setting.............................................................................................2-35

Freeze Timeout ................................................................................................2-35

Standby Timeout ..............................................................................................2-35

Standby Tone ...................................................................................................2-35

Alarm Tone Warning.........................................................................................2-35

Print Device ......................................................................................................2-35

Language Settings............................................................................................2-36

PRINT Softkey.............................................................................................................2-37

Default Settings...........................................................................................................2-38

Factory Defaults ...............................................................................................2-38

Section 3 - Alarms and Messages

Alarm Description..........................................................................................................3-1

Remote Display Alarms......................................................................................3-1

Audible Alarms ...................................................................................................3-1

Visible Alarms.....................................................................................................3-2

Waveforms Frozen .............................................................................................3-2

Alert Icons...........................................................................................................3-3

Special Alarm Conditions ..............................................................................................3-3

Alarms at Start Up ..............................................................................................3-3

Alarm Silence .....................................................................................................3-3

Alarms tone warning (Warning Tone).................................................................3-4

Alarm Volume.....................................................................................................3-4

Minimum Volume Auto-Reset.............................................................................3-4

Standby Mode ....................................................................................................3-5

Agent Standby Mode..........................................................................................3-5

Standby Mode Timeout ......................................................................................3-5

SpO2 Low Limit Auto-Reset................................................................................3-5

SpO2 Low Limit Off Alarm ..................................................................................3-5

Triggering an Alarm.......................................................................................................3-6

Alarms Testing ..............................................................................................................3-6

Page v

Contents

Alarm Message List ...................................................................................................... 3-7

Shared Source Alarms....................................................................................... 3-7

ECG Alarms ....................................................................................................... 3-7

SpO2 Alarms ...................................................................................................... 3-7

Temperature Alarms .......................................................................................... 3-8

NIBP Alarms....................................................................................................... 3-9

IBP Alarms ....................................................................................................... 3-10

Capnometry (CO2) Alarms and Messages....................................................... 3-11

Agent Gas Alarms and Messages.................................................................... 3-11

Oxygen Monitoring (O2) Alarms....................................................................... 3-13

System Alerts.............................................................................................................. 3-14

Section 4 - Trends

Description.................................................................................................................... 4-1

Trend Interval..................................................................................................... 4-1

Capacity ............................................................................................................. 4-1

Trend Screen Update......................................................................................... 4-1

Trend Setup .................................................................................................................. 4-2

Graphical Trends .......................................................................................................... 4-4

Scrolling the Graph ............................................................................................ 4-4

Interruption Due to Power Cycling or Standby Mode ......................................... 4-4

Graphical Trend Display..................................................................................... 4-5

Tabular Trends.............................................................................................................. 4-6

Tabular Trend Markers....................................................................................... 4-6

Trend Messages ................................................................................................ 4-6

Data Format....................................................................................................... 4-7

Clearing the Memory................................................................................................... 4-10

Section 5 - ECG

Theory of Operation...................................................................................................... 5-1

Heart Rate.......................................................................................................... 5-1

ECG Measurement ............................................................................................ 5-1

ECG module....................................................................................................... 5-2

Gating Signals.................................................................................................... 5-3

ECG Monitoring (Electrocardiogram)............................................................................ 5-4

Protection........................................................................................................... 5-6

ECG Performance.............................................................................................. 5-6

Electrode Selection ............................................................................................ 5-6

ECG Module Interface .................................................................................................. 5-7

ECG Module Ports And Switches ...................................................................... 5-7

Battery Condition................................................................................................ 5-8

Charging the Battery.......................................................................................... 5-9

ECG Monitoring .......................................................................................................... 5-11

Patient Preparation .......................................................................................... 5-11

Lead Placement ............................................................................................... 5-12

Connecting Patient to the Monitor.................................................................... 5-14

Completion of ECG Monitoring ........................................................................ 5-15

ECG Auto Lead Switching .......................................................................................... 5-16

Primary Lead.................................................................................................... 5-16

Alternate Lead Priority...................................................................................... 5-17

Gating Interface .......................................................................................................... 5-18

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Section 6 - NIBP

Theory of Operation ......................................................................................................6-1

Heart Rate ..........................................................................................................6-1

Comfort Cuff™ Technology................................................................................6-1

Description of NIBP Measurement .....................................................................6-1

NIBP Clinical Testing and Accuracy...................................................................6-1

Cuff Inflation and Pressure Protection................................................................6-2

NIBP Monitoring ............................................................................................................6-3

Selecting Cuffs and Hoses ............................................................................................6-5

Placing the NIBP Cuff....................................................................................................6-6

Procedure......................................................................................................................6-7

Taking NIBP Measurements .........................................................................................6-8

Section 7 - SpO2

Theory of Operation ......................................................................................................7-1

Heart Rate ..........................................................................................................7-1

Definition.............................................................................................................7-1

DOX™ Digital Oximetry......................................................................................7-1

Method................................................................................................................7-1

SpO2 Clinical Testing and Accuracy...................................................................7-2

Gating Signals ....................................................................................................7-2

SpO2 Monitoring Procedures (Pulse Oximetry).............................................................7-3

Attaching the Probe to the Monitor................................................................................7-4

Attaching the Probe to the Patient.................................................................................7-4

Finger Probe Application for Adults....................................................................7-6

Neonate Probe Placement .................................................................................7-7

SpO2 Peripheral Gating ..............................................................................................7-10

Section 8 - IBP

Theory of Operation ......................................................................................................8-1

Heart Rate ..........................................................................................................8-1

Method of Measurement.....................................................................................8-1

IBP Clinical Testing and Accuracy......................................................................8-1

IBP Monitoring...............................................................................................................8-2

Invasive Blood Pressure Transducers and Interface Cables ........................................8-3

IBP Interface Cable ............................................................................................8-3

IBP Monitoring Procedure .............................................................................................8-5

IBP Safety...........................................................................................................8-6

Setup and User Calibration ................................................................................8-6

Zero Calibration (Quick) .....................................................................................8-8

Clinical Use and Arterial Waveforms..................................................................8-9

Section 9 - Temperature

Theory of Operation ......................................................................................................9-1

Temperature Monitoring Procedures.............................................................................9-2

Directions for Use with Skin Surface Probe ..................................................................9-4

Preparing the Equipment....................................................................................9-4

Attaching the Temperature Probe to the Patient ................................................9-4

Page vii

Contents

Section 10 - Anesthetic Agents

Theory of Operations .................................................................................................. 10-1

Integrated CO2 and Agent Gas Detector ......................................................... 10-1

Agent Gas Measurement ................................................................................. 10-1

Gas Monitoring Procedures ........................................................................................ 10-2

Sampling Circuit Connections.......................................................................... 10-2

Gas Monitoring Safety...................................................................................... 10-3

Water Trap ....................................................................................................... 10-4

Sampling Devices ............................................................................................ 10-5

Intubated Patients ............................................................................................ 10-5

Calibration and Startup .................................................................................... 10-6

Procedure for Gas Monitoring.......................................................................... 10-7

Occlusions........................................................................................................ 10-7

Anesthetic Gas Exhaust Recovery................................................................... 10-7

Section 11 - CO2, O2, and N2O

Theory of Operation.................................................................................................... 11-1

Respiration....................................................................................................... 11-1

Capnometry (Measurement of CO2) ................................................................ 11-1

Measuring Oxygen (O2) ................................................................................... 11-2

CO2 Monitoring Procedure.......................................................................................... 11-4

O2 Monitoring Procedures .......................................................................................... 11-5

Interfering Gasses for O2................................................................................. 11-5

N2O Monitoring ........................................................................................................... 11-5

Section 12 - Printing and Data Ports

Description.................................................................................................................. 12-1

Snapshot Size.................................................................................................. 12-1

History Size...................................................................................................... 12-1

Safety.......................................................................................................................... 12-1

Print Modes................................................................................................................. 12-2

Demand Print................................................................................................... 12-2

Continuous Print............................................................................................... 12-2

Alarm Print ....................................................................................................... 12-2

BP Print............................................................................................................ 12-2

Interval Print..................................................................................................... 12-2

Freeze Print...................................................................................................... 12-2

Trend Print ....................................................................................................... 12-3

Print Formats .............................................................................................................. 12-4

Tabular Printing................................................................................................ 12-4

Graphical Printing............................................................................................. 12-4

Changing Printer Paper .............................................................................................. 12-7

Data Output Ports ....................................................................................................... 12-9

COM1 Port....................................................................................................... 12-9

COM2 Port..................................................................................................... 12-11

Video Port ................................................................................................................. 12-11

CSV Data Format...................................................................................................... 12-12

Page viii

MEDRAD

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8600

Appendix A: Maintenance

Cleaning and Disinfecting............................................................................................. A-1

Pulse Oximeter Sensors.................................................................................... A-2

Blood Pressure Cuffs......................................................................................... A-2

Temperature...................................................................................................... A-3

Accidental Wetting........................................................................................................ A-4

Annual Safety Tests ..................................................................................................... A-5

System Testing.................................................................................................. A-5

Service Checks.................................................................................................. A-5

Maintenance Schedule................................................................................................. A-6

Long-Term Storage ...................................................................................................... A-7

Disposal........................................................................................................................A-7

Appendix B: Unit and Configuration Defaults

Restoring the Unit Default Profile................................................................................. B-1

Default Settings............................................................................................................ B-1

Unit Default Settings.......................................................................................... B-1

Configuration Default Settings........................................................................... B-3

Configuration Settings for Unit Defaults ....................................................................... B-5

PARAMS Menu Settings ................................................................................... B-5

PRINT Menu Settings........................................................................................ B-6

DISPLAY Menu Settings ................................................................................... B-6

ALARMS Menu Settings.................................................................................... B-7

Other Alarm Settings ....................................................................................... B-11

Appendix C: Specifications

ECG.............................................................................................................................. C-1

ECG System...................................................................................................... C-1

ECG Module...................................................................................................... C-1

Leadset.............................................................................................................. C-1

ECG Module Charger........................................................................................ C-2

SpO2............................................................................................................................ C-2

Heart Rate.................................................................................................................... C-2

Gating........................................................................................................................... C-3

Temperature................................................................................................................. C-3

NIBP............................................................................................................................. C-3

Invasive Blood Pressure............................................................................................... C-4

Transducer ........................................................................................................ C-4

Capnometry (CO2) ....................................................................................................... C-4

CO2 Respiration ........................................................................................................... C-4

Halogenated Agents..................................................................................................... C-5

Nitrous Oxide (N2O) ..................................................................................................... C-6

Oxygen Monitoring (O2) ............................................................................................... C-6

Pneumatics................................................................................................................... C-6

Alarms ..........................................................................................................................C-6

Trend Reports .............................................................................................................. C-7

Printer (Remote Display only) ...................................................................................... C-7

Controls........................................................................................................................C-7

System Outputs (Remote Display Only)....................................................................... C-7

Environmental .............................................................................................................. C-7

Mechanical/Electrical.................................................................................................... C-8

Remote Display ................................................................................................. C-8

Main Monitor...................................................................................................... C-8

Page ix

Contents

Appendix D: Accessories

ECG Accessories..........................................................................................................D-1

ECG Module.......................................................................................................D-1

ECG Electrode Accessories...............................................................................D-1

ECG Gating Accessories ...................................................................................D-1

SpO2 Accessories.........................................................................................................D-1

SpO2 Probes......................................................................................................D-1

SpO2 Peripheral Gating Accessories.................................................................D-1

NIBP Accessories .........................................................................................................D-2

Reusable Cuffs...................................................................................................D-2

Disposable Cuffs................................................................................................D-2

IBP Accessories............................................................................................................D-2

Temperature Accessories.............................................................................................D-2

Agent Accessories ........................................................................................................D-2

Miscellaneous Accessories...........................................................................................D-3

Publications...................................................................................................................D-3

Operation Manuals.............................................................................................D-3

Help Cards .........................................................................................................D-3

Installation and Service......................................................................................D-3

Appendix E: Troubleshooting

General Troubleshooting ..............................................................................................E-1

Troubleshooting Table ..................................................................................................E-1

Appendix F: IBP Transducer Specifications

IBP Specifications ..............................................................................................F-1

Transducer Specifications..................................................................................F-1

Transducer Cables.............................................................................................F-1

Compliance ........................................................................................................F-1

Defibrillation Protection ......................................................................................F-1

High Frequency Interference..............................................................................F-2

Appendix G: Wireless Communication

Wireless Network Communication Interface................................................................ G-1

Operation ..................................................................................................................... G-1

Appendix H: Battery and Fuse Specifications

Battery Specifications ...................................................................................................H-1

Main Monitor Batteries .......................................................................................H-1

Fuse Specifications.......................................................................................................H-2

Remote Display Fuses.......................................................................................H-2

Main Monitor Fuses............................................................................................H-2

Power Supply Fuses ..........................................................................................H-2

Fuse Removal/Replacement.........................................................................................H-3

Remote Display..................................................................................................H-3

Power Supply.....................................................................................................H-4

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Page xi

In Case of Emergency

Contact

MEDRAD, Inc. Corporate Office MEDRAD, Inc. Service Repair

One Medrad Drive One Medrad Drive

Indianola, PA 15051-0780 USA Indianola, PA 15051-0780 USA

Telephone: 1 (412) 767-2400 Telephone: 1 (412) 767-2400

FAX: 1 (412) 767-4128 FAX: 1 (412) 767-4126

OTHER: 1 (800) 633-7231 OTHER: 1 (800) 633-7237

MEDRAD Subsidiaries

Imaxeon Pty. Ltd.

Rydalmere Metro Centre (Alternate address:)

Unit 2, 38-46 South Street P.O. Box 150

Rydalmere NSW 2116 Rydalmere BC

Australia NSW 1701

Telephone: +61 2 8845 4999 Sydney, Australia

FAX: +61 2 8845 4998

MEDRAD Europe B.V. Nihon MEDRAD K.K.

P.O. Box 205 9F Central Shin-Osaka Bldg.

6190 AE Beek 4-5-36, Miyahara

The Netherlands Yodogawa-ku

Telephone: +31 (0) 43-3585600 Osaka 532-0003, Japan

FAX: +31 (0) 43-3656598 Telephone: +81 (0) 6-6350-0680

(Visiting MEBV address:) FAX: +81 (0) 6-6398-0670

Horsterweg 24

6199 AC Maastricht Airport

The Netherlands

International Offices

MEDRAD do Brasil ltda.Mediwest Denmark ApS

Av. Fagundes Filho, 191 - Naverland 2

conjuntos 51 a 54 e 57 2600 Glostrup

Ed. Houston Office Center Denmark

Vila Monte Alegre Telephone: +45 38-16 16 16

04304-000 - São Paulo - SP FAX: +45 38-16 16 46

Telephone: +(11) 5079-6500

FAX: +(11) 5584-8951

MEDRAD Middle East & Africa

92 Al Lasilky Street

New Maadi Cairo

Egypt

E-mail: Medrad_ME&A@medrad.com

(If contacting Andre directly, please

phone or fax)

+00.20.2.754.88.29

Page xii

MEDRAD

Veris

8600

MEDRAD France S.a.r.l. MEDRAD, Inc. (Asia)

8, rue des Pyrénées — Silic 514 200 Jalan Sultan #09-01

Wissous Textile Centre

F-94623 Rungis Singapore 199018

France Telephone: +(65) 6 292 5357

Telephone: +33 (0) 1.46.86.98.84 FAX: +(65) 6 292 7276

FAX: +33 (0) 1.46.86.98.83

MEDRAD Italia S.r.l. MEDRAD Medizinische Systeme

GmbH

Via Togliatti, 111 Industriestraße 2b

27051 Cava Manara (PV) 97332 Volkach

Italy Germany

Telephone: +39 (0) 382 552882 Telephone: +49 (0) 9381/80 36 80

FAX: +39 (0) 382 552876 FAX: +49 (0) 9381/80 36 85

MEDRAD Mexicana S. de Mediwest Norway AS

R.L. de C.V.

Leibnitz, 204 Aslakveien 14A

Col. Anzures Del. Miguel Hidalgo NO-075

CP. 11590 Mexico City 3

Mexico D.F. 16018 Oslo, Norway

Telephone: +52 (555) 250-6575 Telephone: +47 (0) 22-06 57 10

FAX: +52 (555) 250-9762 FAX: +47 (0) 22-06 57 15

Mediwest Scandinavia AB MEDRAD UK Ltd.

Lona Knapes gata 5, plan 2 25 Lancaster Way Business Park

S-421 32 Västra Frölunda Witchford, Ely

Sweden Cambridgeshire

Telephone: +46 (0) 31-74 82 88 0 CB6 3NW

FAX: +46 (0) 31-74 82 99 9 Telephone: +44 (0) 1353-645024

FAX: +44 (0) 1353-645037

Page xiii

Symbols

Symbol Definition

Regulatory Symbols

European Community Mark

ETL Mark

FCC (US Federal Communications Commission)

Mark

Safety Symbols

ATTENTION! Refer to Operation Manual for

Information

Shock Hazard

Type CF Equipment, defib proof

Indicates no protection against ingress of water

(remote display)

Identifies the degree of protection against fluid as

drip-proof (main monitor)

Identifies the degree of protection against fluid as

drip-proof (power supply)

Equipotential Terminal

Protective Earth

Indicates the MR magnet and power

Indicates distance between MR magnet and monitor

Indicates the presence of a battery

Recycle batteries following hospital protocols and

local environmental regulations.

Do not incinerate! Keep away from fire or other

sources of extreme heat.

IPX0

IPX1

IPX2

Page xiv

MEDRAD

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8600

Symbol Definition

Dispose of batteries properly in accordance with

hospital and local regulations.

Risk of electrical shock! Do not remove cover.

Refer servicing to qualified personnel.

System Symbols

Fuse

Alternating Current (AC)

Direct Current (DC)

Wireless Device

Port Symbols

Signal Input

Signal Output

Digital Output

Air Intake

Scavenging Port

Communication Port

Video Out

IOIOI

Page xv

Symbols

Miscellaneous Symbols

Symbol Definition

Technical Support Phone Number

Manufacturing Contact

Serial Number

Part Reference Number

Place this side against the skin (Blood Pressure Cuff)

Placement of the cuff over the brachial artery.

Single use device only. Do not reuse.

REF

Page xvi

Safety

Definitions

Definitions for Warning, Caution, and Note symbols:

Designates a possible dangerous situation.

Non-observance may lead to death or the most

severe injuries.

Designates a possible dangerous situation.

Non-observance may lead to minor injuries or

damage to the product.

NOTE: Indicates that important information follows, a tip that can help

you recover from an error, or point you to related details in the

manual.

Warnings

• Read this manual entirely before using the monitor.

• Inspect For Damage! User should inspect the system for signs

of damage. Do not use the system if failure is evident or

suspected.

• Possible burn hazard! Do not coil cables inside the MR scanner.

• Possible explosion hazard! Do not use the monitor in the

presence of flammable anesthetics. The equipment is not

suitable for use in the presence of a flammable anesthetic

mixture with air or with oxygen or Nitrous Oxide.

• Possible explosion hazard! Do not use the monitor in the

presence of gas mixtures which may be flammable.

• Cables, tubing, and lead wires may present a risk of

entanglement or strangulation! Verify safe and proper

positioning of these items at all times.

• Unapproved modifications to the monitor may cause unexpected

results and present a hazard to the patient.

• Risk of electrical shock! Do not remove cover. Refer servicing to

qualified personnel.

• All cords must have hospital grade plugs and be plugged into

hospital grade outlets. (The electrical installation of the relevant

room must comply with NFPA 70: National Electric Code or

NFPA 99: Standard for Health Care Facilities. Outside the

United States, the relevant room must comply with all electrical

installation regulations mandated by the local and regional

bodies of government).

• Do not bring tools containing ferrous material into the magnet

room. Risk of serious injury and/or damage to equipment can

occur.

WARNING

CAUTION

WARNING

Page xvii

Safety

• Do not route gating cables near or within the scanning volume.

• Apply brakes to prevent movement.

• Do not re-use accessories labeled as single use. Risk of patient

contamination may occur.

• Improper disposal of batteries may result in explosion, leakage,

or personal injury. Do not open batteries. Do not dispose of

batteries in a fire. Follow all local regulations concerning the

disposal of spent Lead-acid and Lithium-Ion batteries or contact

MEDRAD for assistance.

• Connect only MEDRAD approved three-lead or five-lead ECG

cables from the patient to the ECG module. Do not connect any

other signal source to the ECG module.

• There is no defibrillator synchronization output on the Veris

monitor. Make no connections between the Veris and a

defibrillator.

• Leakage currents may increase if other equipment is

interconnected to the patient. The increased leakage currents

may present a hazard to the patient.

• PACEMAKER PATIENTS: This device does not include

pacemaker spike rejection capability. Heart rate readouts

derived from the ECG patient connections are likely to display

erroneous high or erratic rates when a pacemaker is in use.

Keep pacemaker patients under close surveillance. For

pacemaker patients it may be advisable to select the SpO2

function as the primary heart rate source.

• High Frequency (HF) surgical equipment may affect ECG

operation. The system is not designed to operate in the

presence of ESU interference. The patient may be burned.

Patient burns can also result from defective HF surgical

equipment neutral electrode connection.

• The heart rate calculated by the monitor may be affected by

cardiac arrhythmia.

• Do not take the remote display or the ECG module battery

charger into the MR scanner room. These contain ferromagnetic

material and can be strongly attracted to the magnet causing a

safety hazard.

• Do not use with an open MRI. Use of the monitor in an open

MRI may result in erratic or unavailable monitoring.

• Do not stand or sit on monitor accessories tray. Possible injury

can result from falling.

WARNING

Page xviii

MEDRAD

Veris

8600

• Do not lift the monitoring system by the tray. Possible injury can

result from heavy weight.

• U.S. Federal law restricts this device to sale by or on the order

of a physician.

Cautions

• Use only accessories designated for use with this monitor. Use

of accessories not designated for use with the Veris monitor can

cause inaccurate measurements and/or a safety hazard for the

patient.

• Equipment accuracy may be affected at extreme temperatures.

• Do not store equipment at extreme temperature. Temperatures

exceeding specified storage temperatures could damage the

system.

• Avoid routing the DC cable through the magnet room door.

Possible damage can occur to the DC cable and/or the scanner

room door.

• Do not press on the keys with sharp or hard objects. This could

damage the keys. Use only your fingertips to press on the keys.

• Changes or modifications not expressly approved by MEDRAD,

Inc., may void the user's authority to operate the equipment and

may also void the warranty.

• Do not use the monitor in the path of a Linear Accelerator or

Positron Emission Tomography (PET) scanner beam. This could

result in inaccurate physiologic parameters or waveforms.

• Transporting the monitor in a mobile scanner trailer can lead to

damage from shock, vibration, or extreme temperatures.

• Do not allow the conductive parts of the patient electrodes to

contact other conductive parts, including ground (earth).

• Do not tip the monitor. Possible injury can result from falling.

• Do not stand on power supply enclosure. Injury from tripping or

falling can occur.

• Do not stand on the base. Possible injury can result from falling.

• Do not pinch cables between the table and the bore. This can

damage the cables.

• Do not roll the monitor over or step on cables. This can damage

the cables.

WARNING

CAUTION

Page xix

Safety

• Do not bend fiber optic cables too tightly. Follow cable

manufacturers specifications for bend allowance.

• If a probe falls on the floor or into liquid, clean the probe

following proper cleaning methods. If the probe is not properly

cleaned, inaccurate physiologic parameters or waveforms may

result.

• Do not place more than 40 pounds (18 kg) on the tray.

Leakage Current

The monitor complies with leakage current limits required by medical

safety standards for patient-connected devices. The Veris monitor

conforms to EN 60601-1 standards. A hazard caused by the

summation of leakage currents is possible, when several pieces of

equipment are interconnected.

Voltage Fluctuations

When operated in the line voltage range specified in this manual any

minor fluctuations will have a negligible effect. Very low line voltage

will cause the monitor to revert to battery power. Very high line

voltage may cause damage to the charger circuits. The monitor is

designed with circuitry that will turn the unit off before spurious

readings can be caused by a low battery condition.

Equipotential Ground

Health care providers and patients are subject to dangerous,

uncontrollable compensating currents for electrical equipment.

These currents are due to the potential differences between

connected equipment and touchable conducting parts as found in

medical rooms.

The safety solution to the problem is accomplished with consistent

equipotential bonding. Medical equipment is fitted with connecting

leads made up with angled sockets to the equipotential bonding

network in medical rooms.

CAUTION

Connection Lead

(Socket)

Equipotential

Connector

Equipotential

Terminal

Main

Body

Earth Ground

Page xx

MEDRAD

Veris

8600

Software Error Related

Hazard Mediation

MEDRAD, Inc., has quality control practices and procedures in place

to review potential hazards as they relate to software. The monitor

utilizes a four-digit year for all date, time, and leap year calculations.

Potential Interference

This device has been tested to 60601-1-2 specified levels for

emissions of and immunity to electrical interference. External

disturbances which exceed these levels, such as motor driven tools,

may cause operational issues with this device. Other devices which

are sensitive to a lower level of emissions than those allowed by

IEC 60601-1-2 2nd Edition may experience operational issues when

used in proximity to this device.

MAGNETIC FIELDS

Always position the Veris Base, Base Plus, and Cardiac monitors at

or outside the 2000 Gauss line. Always position the Veris Anesthesia

monitor at or outside of the 500 Gauss line. This monitor is designed

specifically for MR compatibility and is 1.5 and 3T compatible. It will

not cause interference with MRI image quality, nor will its

performance be affected by the magnet field.

The "T" wave may become excessively large or inverted with the

patient in the magnetic field. This effect is due to hemodynamic flow

induced voltage and may interfere with QRS detection. Try other

leads and/or electrode placements for best results.

CONDUCTED TRANSIENTS

The monitor conforms with IEC 1000-4-4, and IEC 1000-4-5 for

conducted transients, and will operate with negligible adverse effects.

X-RAY, CT, ULTRASOUND, AND/OR NUCLEAR MEDICINE

The monitor will operate with negligible adverse effects in these

environments. However, the monitor should not be placed directly in

the radiated beam, which could damage the internal electronics of the

monitor.

OTHER INTERFERENCE

There is a negligible adverse effect to the monitor from infrared

energy and defibrillation.

Use of Anesthetics

Do not use this device in conjunction with flammable anesthetics

such as cyclopropane and ether. The monitor can sample from pure

oxygen environments, but the monitor itself should never be placed

inside an oxygen rich environment, such as an oxygen tent or gas

containment apparatus. Proper anesthetic gas waste recovery should

be used.

Biocompatibility

All patient-contact or user-contact materials in this monitor and it's

accessories have passed ISO 10993-5, -10, & -11 biocompatibility

tests or have been in use in clinical environments in large numbers

over an extended period of time predating these standards.

Page xxi

Safety

Probes Fall in Fluids

Whenever probes fall and land in fluids, clean the probes according to

the cleaning instructions in “Cleaning and Disinfecting” on page A-1.

FCC and Industry Canada

Compliance

This device complies with Part 15 of the FCC Rules.

Operation is subject to the following two conditions:

1. This device may not cause harmful interference, and

2. This device must accept any interference received, including

intereference that may cause undesired operation.

• Changes or modifications not expressly approved by the party

responsible for compliance could void the user’s authority to

operate the equipment.

The term “IC” before the certification/registration number only

signifies that the Industry Canada technical specifications were met.

IC: 5338A-CSI8600

Audible Pulse Tone

The amplitude of the audible pulse tone remains constant regardless

of changes in patient parameter measurements.

Disposal Accessory Disposal

Discard disposable medical waste according to your institution's

policies and procedures to prevent biological contamination. See

“Disposal” on page A-7.

Latex Content

This MEDRAD product (patient monitors and approved accessories)

are free from latex in any location that may result in patient contact.

WARNING

Page xxii

Introduction

Description

The VerisTM 8600 patient monitor is designed for use in the MRI

environment. It interprets and displays physiologic data as waveforms

and numeric information which, depending on the configuration of the

system, may include ECG, NIBP, SpO2, CO2, respiration,

temperature, O2, anesthetic gases, and IBP. User defined alarm limits

and alerts may be set for each parameter. Monitored parameter data

is stored as tabular trend information and may be printed or

downloaded.

Intended Use

The system is intended to monitor physiological parameters of

patients within any health care environment, specifically in the MR

environment. The user, responsible to interpret the monitored data

made available, will be a professional health care provider.

Physiological data, gas monitoring, system alarms, and patient

analysis will be available to the care provider from the monitor.

The monitor shall be MR compatible based on the FDA guidelines for

equipment to be used in MR.

There are two distinct needs for patient monitors in MR:

• Vital signs monitoring, to monitor medically unstable patients or

patients under conscious sedation, as required by the JCAHO.

• And, provide image gating, to gate image acquisition to a

physiological parameter, such as the cardiac cycle.

There is the additional requirement for the accurate function of the

equipment in the MR environment. The monitor used in the scan

room shall not be affected by the radio frequency pulse or gradient

fields and shall not produce any RF interference on the image.

The monitor (including accessories) shall be capable of monitoring a

full range of patients from neonate to adult.

Page xxiii

Introduction

Clinical Use

This manual provides separate sections for measured parameters.

These sections provide instructions for patient connections and

monitoring. The caregiver is expected to be fully familiar with patient

monitoring techniques and with the functions of this monitor before

using it with a patient.

This system is designed to only monitor one patient at a time per

monitoring system.

Before you Begin

Protect yourself and your patient. Read the precautions for each

measured parameter that appears in each measured parameter

section.

These instructions describe the use of the basic sampling devices

and accessories that come with your monitor. An extended list of

approved accessories can be found in “Accessories” in Appendix D of

this manual.

The monitor should always be checked by the caregiver before use

for actual patient monitoring. Perform the following procedure before

using the monitor with each patient.

1. Make sure the monitor has been fully charged before use.

Check that the AC (Mains) power cord is plugged in for long-

term monitoring situations.

2. Check the menus and default settings to confirm that the

monitor is setup correctly.

3. Examine the accessories for wear, damage or contamination.

Replace or disinfect the accessories as required.

4. Turn the desired monitoring modules to ON in the PARAMS

softkey window.

5. Select the correct mode of operation (Adult/Pediatric/Neonate)

by entering the patient size in the ADM/DIS softkey window.

• All accessories connected to the patient monitor must comply

with all applicable UL (Underwriters Laboratories) standards

and IEC standards for such products.

• Substitution of recommended sensor and sampling accessories

may cause inaccurate measurements and degrade patient

safety, or may damage the monitor.

CAUTION

1 —1

1 — Panel Features

This section provides an overview of the

Veris

8600 monitor’s control

panels, switches, accessory connections, and communication

sockets.

Front Panel

The front panels of the monitor and the optional remote display

feature a color flat-screen display. Located below the screen is the

primary control panel equipped with the power button, eight

dedicated function keys and a menu knob. Menu selections are

displayed on the screen and can be selected via the menu knob. The

keypad is push-button style, composed of a touch-sensitive

membrane.

The water trap receptacle is also located on the front of the main

monitor (Anesthesia units only).

Figure 1-1:

Veris

8600 Front Controls

Color Display

Knob

Power

Switch

Water Trap

Receptacle

(Anesthesia

Monitors only)

Keypad

MEDRAD

Veris

8600

1 —2

A green LED indicator is located above the power (ON/OFF) key. The

indicator is on if AC power is present.

Figure 1-2: Detail of Lower Front Panel

Menu Knob

The menu knob can be turned left or right to make selections from

any of the menus that appear on the front display. The selected menu

option can then be activated by pressing in on the menu knob.

Color Display

The display provides real-time waveform and numerical data of the

measured parameters. Additional menus and menu options which

may be selected and activated by the menu knob are also displayed

on this and the optional remote display screen.

Water Trap and

Gas Sampling Connection

The water trap connection is a feature on Anesthesia and Anesthesia

with Temperature models only. MEDRAD

Veris

monitors without gas

analysis capability have a blank plate in this location. The water trap

is easily accessed on the front of the monitor. The gas sampling line

is connected to the water trap and it is used for CO2, O2, N2O, and

agent monitoring. The sample line fitting is a standard female Luer-

lock connector when using the WaterChek™2+ water trap accessory.

Menu Knob

Function

Keys

Water Trap

AC Power

Indicator

Sampling

Line

Connection

1 —3

1 —Panel Features

Left Side Panel (Main Monitor)

The left side of the main monitor has up to nine connections for

patient monitoring. The electrocardiogram (ECG), pulse oximetry

(SpO2), and the non-invasive blood pressure (NIBP) connections are

standard on all

Veris

8600 models.

All potential

Veris

main monitor connections are described in the

picture below.

The optional remote display has no patient connections.

More information about accessory connections can be found in the

patient monitoring sections of this manual.

Figure 1-3:

Veris

8600 Left Side

ECG Input/

Output

SpO2

NIBP

Temperature

IBP

Gating

Signal

MEDRAD

Veris

8600

1 —4

Communication Port

(Main Monitor)

There are two fiber optic ports at the bottom of the monitor. One is an

input port and the other an output port. These ports, on both the main

monitor and the remote display, are for fiber optic communication

between the main monitor and the remote display. See the

Installation Instructions for installing the fiber optic communications.

See “Figure 1-8:: Remote Display Fiber Optic Connections” on

page 1-7 for the location of the fiber optic ports on the remote display.

NOTE: These connections have protective covers that need to be

removed before use.

Figure 1-4: Main Monitor Fiber Optic Connections

Fiber Optic

Input and

Output

Connectors

1 —5

1 —Panel Features

Main Monitor Base

Connections

Figure 1-5: Main Monitor Base Connections

Chassis Ground

The

Veris

monitor has an internal chassis ground.

DC Connection

A DC power cable connection is located at the center of the base of

the patient monitor. Attach the cable from the power supply in this

socket.

• Ensure that the cable from the power source to the monitor base

is placed in an area free from traffic to prevent tripping and/or

damage to the cable.

Exhaust Port

The exhaust port is located on the base of the Anesthesia monitor

assembly by the DC connection. The scavenging kit fits this nozzle.

Use the scavenging kit and a waste gas recovery system when

anesthetic agents are present in gas samples.

Air Intake Port

An ambient air intake port (located next to the exhaust port on the

base of the Anesthesia monitor assembly) is used for making zero

gas concentration calibrations. Do not block or attach anything to the

air intake port.

DC Connection & Exhaust Port

DC Connection

Exhaust Port

Air Intake

Port

CAUTION

MEDRAD

Veris

8600

1 —6

Remote Display

The remote display displays the patient data in another location.

Changes to the display can be made from the remote display and be

effected on the patient monitor.

Figure 1-6: Remote Display Rear View

Printe

Door

AC Power

Connection

Chassis

Ground

Communication

Connections

Printer Release

Lever Printer Feed

Advance

Servic

Access

Panel

Fuse

Access

Panel

1 —7

1 —Panel Features

COMMUNICATION PORTS (REMOTE DISPLAY)

There are three communications sockets available along the back

edge of the remote display. These connections provide links to

external printers, computers, and other medical devices. See

“Printing and Data Ports” in Section 12 for more information about

serial printing and communications

Figure 1-7: Communication Ports (Remote Display)

There are also two fiber optic ports on the right side of the remote

display. These ports, on both the main monitor and the remote

display, are for fiber optic communication between the main monitor

and the remote display. See the Installation Instructions for installing

the fiber optic communications.

NOTE: These connections have protective covers that need to be

removed before use.

Figure 1-8: Remote Display Fiber Optic Connections

COM Port 1

Serial DB-9

COM Port 2

Mini DIN 8

Video Port

Not Used

Fiber Optic

Input and

Output

Connectors

MEDRAD

Veris

8600

1 —8

Printer

This printer door provides quick access to the internal printer paper

spool. The printer lever releases the printer rollers for removing

jammed paper. The knob can be turned to feed paper. See “Printing

and Data Ports” in Section 12 for additional printer information.

Printers are only available on

Veris

8600 remote displays.

Accessory Tray

The monitor has an integral accessories tray where the user can

store and hang accessories.

• Do not stand or sit on monitor accessories tray. Possible injury

can result from falling.

• Do not lift the monitoring system by the tray. Possible injury can

result from heavy weight.

• Do not place more than 40 pounds (18 kg) on the tray.

Figure 1-9: Accessory Tray

WARNING

CAUTION

1 —9

1 —Panel Features

Veris

8600 Configurations

There are six factory-set configurations and one optional remote

display available. See below for configuration options.

The instructions in this manual cover the operation of each of the

option packages listed above. For those models that do not include a

particular monitoring module (i.e. Agents), the system functions as if

that module is turned off.

Number Description Features

3011991 Base MR Monitor Standard 3-lead ECG, SpO2, and NIBP

3011992 BasePlus MR Monitor Base plus Remote Display

3011993 Cardiology configuration Base plus 5-lead ECG, ECG Gating,

SpO2 Gating, IBP.

The Remote Display is optional.

3011994 Cardiology with Temperature Cardiology plus Temperature.

The Remote Display is optional.

3011995 Anesthesia configuration Base plus 5-lead ECG, ECG Gating,

SpO2 Gating, IBP, O2, CO2, N2O,

agents.

The Remote Display is optional.

3011996 Anesthesia with Temperature Anesthesia plus Temperature.

The Remote Display is optional.

3010482 Remote Display Remote display with printer and fiber

optic communications.

2 —1

2 — Monitor Setup

This section provides an overview of the setup procedures for the

Veris

8600 monitor. Also see the appropriate chapters on patient

parameter monitoring for parameter setup information.

The monitor should be set up by the health care provider before using

it on patients:

• Load paper (if remote display is present). See paper loading

instructions in “Changing Printer Paper” on page 12-7.

• Charge all batteries (ECG module battery, main monitor

batteries.)

Preparations such as charging the batteries should be performed if

the monitor is new.

Battery Power

The monitor base contains two lead-acid gel batteries that when fully

charged provide a minimum of ten hours of operational use.

Charging the Battery

The

Veris

monitor is battery powered. The monitor internally

recharges the battery when it is connected to the power supply. The

monitor can operate in continuous use for a minimum of 10 hours on

a fully charged battery. Charge the battery from the power supply

over night for approximately 12 hours.

• If the electrical integrity of the earth ground is in doubt, the

power cord should be disconnected and the machine should be

operated from its internal electrical power source.

• Explosion hazard. Keep lighted cigarettes, sparks, and flames

away from the battery.

• Avoid contact with battery acid! The batteries contains sulfuric

acid electrolyte which can cause severe burns and eye damage,

as well as illness from sulfur oxide fumes. Use necessary

precautions when servicing batteries.

• Do not short circuit the battery terminals. The resulting high-

current discharge can cause burns.

• Do not operate the monitor with discharged or defective

batteries. Monitor failure could occur during AC power loss

which can compromise patient safety.

• Do not use the monitor if the batteries are missing.

WARNING

MEDRAD

Veris

8600

2 —2

The

Veris

monitor can function on AC or battery power. MEDRAD

recommends that batteries be fully charged at all times. If the

batteries are insufficiently charged, battery life is degraded and

shortened. If defective batteries are suspected, contact MEDRAD

Service or your local representative.

Battery Indicators

The battery icons are located on the lower portion of the main screen

as described in “Screen Display and Interface” on page 2-5. The

battery icons change color to indicate the status of the batteries and

appear when using DC (battery) or AC (Mains) power.

When AC is connected to the monitor (green light above ON/OFF key

is lit), the battery icon colors are:

Amber: Battery is charging.

Green: Battery is fully charged.

When AC is not connected to the monitor (green light above ON/OFF

key is not lit), the battery icon colors are:

Green: Battery life is greater than 1 hour.

Yellow: Battery is weak. (less than 1 hour and more than 15

minutes of charge remains). A LOW BAT message

also appears.

Black: Battery is nearly drained. (less than 15 minutes of

charge remain). The LOW BAT message remains.

While using battery power there is a short delay between a change in

battery status and the updated display of the battery icons.

If the monitor is currently operating under AC power, the monitor may

take up to two minutes to display a change in battery status.

The monitor also displays the battery status for the ECG module in

the heart rate (HR) parameter box. The battery icon colors are:

Green: Battery life is greater than seven (7) hours.

Yellow: Battery life is less than seven (7) hours. Charge the

module battery soon

Black: This can indicate the ECG module is not connected

to the monitor. Verify the module is connected to the

monitor.

If the module is connected to the monitor, the battery

is drained. ECG module will not operate. Charge the

module battery immediately.

2 —3

2 —Monitor Setup

System Start and

Auto-calibration

To power up the main monitor, press the ON/OFF key located on the

front, left side of the control panel. If your system has a remote

display, power is applied via the same key on that component.

Figure 2-1: ON/OFF Key

Immediately upon power up, the monitor displays the

Veris

splash

screen. The software version appears on the screen. For systems

with a remote display, a paper feed automatically activates.

• The informational message NO ADMIT is reserved for future

use.

• Audible alarms are suspended for each parameter until the first

valid measurement has been taken for each parameter. Visual

alerts are always active.

• If a patient had been previously admitted by the monitor, a

notice message RESUME MONITORING appears in a yellow

box. Press the knob to continue monitoring with the current

patient. Select NO to change the patient.

Figure 2-2: “Resume Monitoring” Dialogue Box

ON/OFF Key

ALARMS PARAMS DISPLAY

Adult

V000 - NO ADMIT

SPO2: SENSOR

ZERO IP1

ZERO IP2

ADM/DIS CONFIG PRINT

14:12:59

SpO2

aVR

CO2

EXP

INS

MAP

CYCLE OFF

200

1mV

ECG

SpO2

IBP1 ART

mmHg

150 ml/min

IBP2 CVP

BPM

RESP Br/m

1mV

--.-

(---)

O2 HAL

GAS

ISO

17 0.4 1.1

21 2.3 3.8

---/---

- +

ART1

CVP2

---/---

(---)

Resume Monitoring

Same patient? YES

- +

MEDRAD

Veris

8600

2 —4

The monitor is comprised of a number of modules which measure

physiologic parameters. Some modules such as the oximeter are

ready for use within seconds of power up. Others such as the gas

bench take a few minutes to equilibrate.

Sensor and Probe Messages

Depending on the accessories attached to the monitor upon start up,

various messages concerning detached sensors and probes appear.

These are only visual alarms until valid measurements are taken by

the accessories, after which a low level alarm sounds when the

sensors and probes are disconnected.

NOTE: LEADS OFF messages can be set by the user to be Low,

Medium, or High level alarms.

If sensor and probe messages from unused modules become a

distraction, these messages may be eliminated by turning the

respective module off. The OFF settings are located in the PARAMS

windows described in “PARAMS Softkey (Physiological Parameters)”

on page 2-21.

Units with invasive blood pressure capability indicate that either there

is no transducer attached (NO XDUCER) or that the transducer has

not been calibrated by the user (NOT ZEROED). In either case it is

not necessary to attach or zero the transducers in order to use the

other features of the monitor.

Gas Calibration

The agent gas detector may require a short warm up period and auto-

calibration sequence similar to an internal capnometer. The message

AGT:WARMING appears in the information message area. The

informational message AGT:MANUAL or AGT:AUTOMATIC also

appears indicating that the monitor is in either manual or automatic

primary agent identification mode. AGT: AUTO CAL indicates that the

agent calibration is in progress.

Respiration waveforms, capnogram, and numerical breath rate are

available in one minute from applying power to the monitor. The

monitor reaches full accuracy for agent concentrations in less than 20

minutes.

If the

Veris

system fails to auto-calibrate upon power up, the message

AGT:BAD CAL appears. If the system continues to fail auto-

calibration, contact MEDRAD Service or your local representative.

The oxygen monitoring module also requires auto-calibration, which

is performed at the same time as the agent bench calibration. If the

O2 module fails to calibrate, the message O2:SENSOR appears.

Upon successfully completing auto-calibration the monitor displays

values for monitored gases.

2 —5

2 —Monitor Setup

Screen Display and Interface

The display is divided into dedicated areas for data and interface

functions. The left side of the screen is reserved for waveform (up to

six) or graphic display. The uppermost waveform slot is factory set for

ECG. The remaining five waveform slots can be configured by the

user. The alarm silence icon (2 minutes or permanent) is shown in

the upper right corner of the first waveform.

The far right column is dedicated to reporting numerical data, except

for NIBP and temperature which appear below the waveforms. The

color of each parameter is user selectable. Therefore, any given

waveform and its corresponding numeric data appear in the same

color.

Figure 2-3: Screen Diagram

Main menu shown in grey above. The arrangement of the numerical

parameter boxes varies depending upon the waveforms selected to

be viewed and the waveform slot selected for the waveform. The

parameter box displays to the right of its corresponding waveform if

displayed in a waveform slot. The screen display is the same on the

patient monitor and the remote display. Changes to the display can

be made at the patient monitor or at the remote display.

The bottom portion of the display has space dedicated to the

following message types and functions.

• The main screen menu of selectable softkeys.

• Two message lines for alarms and alerts.

• A system status line for battery status and patient size mode.

• The patient information bar, date stamp, and clock.

NIBP Parameters

Temperature 1

Temperature 2

Waveform Slot 1

Waveform Slot 2

Waveform Slot 3

Waveform Slot 4

Waveform Slot 5

Waveform Slot 6

ALARMS PAR AMS

ADM/DIS

DISPLAY

CONFIG PRINT

ZERO IP1

ZERO IP2

Priority Alarms

Info Messages

System Status

Patient Data Date Time

Heart Rate

Numerical

Parameters

SpO2Respiration

IBP Channel 1

Parameters

IBP Channel 2

Parameters

CO2 Numerical

Parameters

Gas Numerical

Parameters

Remote

Communication

Gating

ECG Module

Battery

Status

MEDRAD

Veris

8600

2 —6

Figure 2-4: Sample Interface Screen

Waveform Slots

The monitor has the capability to display up to six waveforms

simultaneously.

The first trace is factory set to only display an ECG waveform. The

user may select the lead type for this trace. All other displayed

waveforms are user selectable.

Each waveform slot displays the parameter or source along the left

edge of the screen. Amplitude bar and range are shown at the

beginning of the slot if applicable to that type of waveform. The color

of each waveform may be selected by the user. The waveform slots

can be combined to form double high waveforms and waveforms can

be cascaded to fill multiple slots. See “Double Height Slots” on

page 2-28 and “Cascaded Slots” on page 2-29 for details.

NOTE: The SpO

waveform display is not necessarily directly

proportional to pulse volume. The SpO

waveform display is not

automatically gain adjusted.

ALARMS PARAMS DISPLAY

Adult

V000 - NO ADMIT

SPO2: SENSOR

ZERO IP1

ZERO IP2

ADM/DIS CONFIG PRINT

AUG-16-04 14:12:59

SpO2

aVR

CO2

EXP

INS

MAP

CYCLE OFF

200

1mV

ECG

SpO2

IBP1 ART

mmHg

200 ml/min

IBP2 CVP

BPM

RESP Br/m

1mV

96.4

97.7

(125)

O2 HAL

GAS

N2O

17 0.4 39

21 2.3 64

145/105

ART1

CVP2

149/106

(127)

CO2

- +

NIBP AGE 21:13 min

mmHg

Mixed ENF E 10.5 I 10.0

- + - +

SpO2

aVR

CO2

200

1mV

ART1

CVP2

2 —7

2 —Monitor Setup

VISUAL ALARMS WITH WAVEFORMS

The waveform slots are also used to display physiological alarms that

will appear at the top center of each slot. For a high priority alarm the

color of the message is red. For a medium priority alarm, the color of

the message is yellow.

The bottom five slots may be covered by menus and messages.

Since the top waveform slot is dedicated to ECG, the ECG waveform

and the ECG high and medium priority messages are always visible if

ECG is currently being monitored and the top slot is active.

See “Visible Alarms” on page 3-2 for a complete description of visual

alarms.

SILENCE ALERT STATUS

The silence alert visual icon appears in the upper right area of the top

waveform.

• The silence icon shows a bell with an "X" and an infinity symbol

when the SILENCE hard key has been pressed and held for

more than two seconds.

• The Alarm Suspend icon shows a bell with an “X” and the words

2 Min when the SILENCE hard key has been momentarily

pressed.

ALARM INHIBIT

The alarm inhibit icon appears in the parameter boxes when one or

more of an individual parameter’s alarms are turned OFF.

ECG WAVEFORM

The lead number and scale setting are displayed in the top left corner

of each slot set for ECG waveforms. The amplitude bar, shown in

white, indicates the scale in millivolts (mV).

SPO

WAVEFORM

The waveform is auto ranging where the monitor attempts to keep the

waveform centered in the slot at all times. No amplitude bar is shown.

WAVEFORM

The CO

waveform, capnogram, is always displayed in percent

regardless of the units selected for displaying the numerical data. The

maximum range of the capnometer waveform is 12.5%.

BREATH BY BREATH BAR GRAPH (B×B)

The breath by breath bar graph is a method of representing the

concentration of CO

at the end of each breath. The data is always

displayed in percent with a maximum range of 12.5%.

WAVEFORM

The maximum range of the oxygen waveform is 100%. The units are

always in percent.

MEDRAD

Veris

8600

2 —8

PRIMARY AGENT WAVEFORM

The primary agent waveform is displayed in percentage only as is the

display for primary agent numerical data. The waveform is auto-

ranging within the slot. Secondary agents are not displayed as

waveforms.

NITROUS OXIDE (N

The N

O waveform is derived from the agent detector of the

Veris

monitor.

IBP WAVEFORMS

The labels identifying the source of the IBP waveforms appear

between the upper and lower range values at the beginning of the

waveform.

The waveform has both manual and auto-ranging features. The

selected range appears at the left side of the waveform. The scaling

for IBP slots are locked at x1 and cannot be changed. Use the range

settings to adjust the appearance of the waveform on the screen. See

“Alarms and Messages” in Section 3 for details.

Selectable IBP sites are as follows:

• Arterial (ART)

• Pulmonary Artery (PA)

• Central Venous (CVP)

• Right Atrial (RA)

• Left Atrial (LA)

• Intracranial (ICP)

• Left Ventricle (LV)

• Right Ventricle (RV)

There are two IBP channels. The color of each channel can be

selected independently.

If the amplitude of the waveform exceeds the selected range the

waveform is clipped. An informational level alarm OFF SCALE

appears in the Info Messages Box of the main screen display.

2 —9

2 —Monitor Setup

Numerical Parameter Boxes

The numerical parameter box area is directly to the right of the

waveform area. The area is broken into seven numerical boxes.

There are three additional numerical boxes below the waveforms.

The numerical parameter boxes display the measured value of the

vital sign being monitored, the unit of measure, and parameter-

dependent information (such as the source for the heart rate or

inspired/expired values for gases).

If a module is turned off in the PARAMS menu, the numerical

parameters are replaced by the word OFF in each location. Smart

parameters such as heart rate switch to another available module if

possible. An alarm inhibit icon appears in the upper right corner or

right center of a parameter box if an alarm limit is set to OFF. The

alarm inhibit icon is red with a white “X” indicating that an alarm is

turned OFF.

ECG BOX

The top parameter box, in the upper right hand corner, is dedicated to

display the heart rate. The source of the heart rate (i.e. ECG, IBP,

SpO

, or NIBP) is shown in the lower left corner of this box. The color

of the numeric display for heart rate matches the color of the

waveform source data.

The right half of the ECG parameter box displays the gating output,

the ECG module battery status, and an icon indicating that the

monitor and remote display are communicating. The color of the

gating icon matches the color of the waveform and numerical data of

the source (i.e., ECG gating reflects the color of the ECG waveform

and numerics).

SPO

BOX

The SpO

box displays the oxygen saturation in percent.

RESPIRATION BOX

The Respiration box, to the right of the SpO

box, displays the

respiration rate and respiration source (i.e. CO

BOX

This box displays numerical values for expired and inspired CO

. The

label EXP stands for expired (end-tidal) CO

and INS stands for

inspired CO

. The current Flow Rate is displayed in the upper right

corner.

ECG

BPM

- +

SpO2

RESP Br/m

CO2

CO2 mmHg

EXP

INS

200 ml/min

MEDRAD

Veris

8600

2 —10

GAS BOX

Numeric data for oxygen and agent gases appear in the same box.

The oxygen value is listed first followed by the primary halogenated

agent and nitrous oxide concentrations. The top line lists expired

values and the second line lists inspired values. Values are always

shown in percent. An alarm inhibit icon displays to the right of each

header to indicate alarm limits set to OFF.

The label Mixed appears before secondary agent concentrations

listed at the bottom of the gas parameter box. This indicates that

more than one agent is detected in the system and measures the

secondary agent detected. The abbreviated name of the secondary

agent is located after the Mixed label.

The label Wrong appears before secondary agent concentrations

listed at the bottom of the gas parameter box. The system detects an

agent other than one set in the configuration of the system. If using

more than one agent, set the Agent to Monitor selection in the

PARAMS menu to Auto. The abbreviated name of the secondary

agent is located after the Wrong label.

If the internal gas features are shut off in the PARAMS menu, the

displayed values are replaced by the word OFF in each location.

IBP BOXES

The monitor displays the systolic, diastolic, and mean pressure

pulsatile waveforms. The systolic and diastolic values are shown in

large text. The mean value (MAP) is displayed below the systolic and

diastolic values in smaller characters. All MAP values are shown in

parenthesis.

Non-pulsatile waveforms have only a mean value. Non-pulsatile

waveforms mean values are shown in large text and are centered in

the box.

O2 HAL

GAS

N2O

17 11.0 39

21 10.5 64

Mixed ENF E 10.5 I 10.0

IBP1 ART

mmHg

IBP2 CVP

( 13)

(125)

145/105

2 —11

2 —Monitor Setup

NIBP BOX

The NIBP numerical box is located near the center of the screen

below the waveforms. It displays the systolic, diastolic, and mean

pressure after a NIBP reading has completed. The systolic and

diastolic values are shown in large text. The mean value (MAP) is

displayed to the right of the systolic and diastolic values in smaller

characters. MAP values are shown in parenthesis.

When there is no valid reading, dashes are displayed. A valid reading

is dashed after 30 minutes. If a valid reading is displayed, the age of

the reading is displayed. After 30 minutes the age of the

measurement goes to dashes; if there is no valid reading, the age

also appears as dashes.

If a cycle time is set, the interval is displayed. Otherwise the cycle

time displays the word OFF in the NIBP box. If a cycle time is active,

the amount of time remaining until the next NIBP reading is

scheduled is displayed at the bottom right of the box.

TEMPERATURE BOXES

The top temperature numerical box is dedicated to temperature

channel 1. The lower box is dedicated to channel 2. The units (°F or

°C) appear in the upper right corner of each box.

Main Menu

The main menu area is directly under the Temperature and NIBP

boxes on the left-hand side of the screen. There are up to eight

selectable soft keys located on the screen as shown below.

NOTE: The

Veris

8600 screen layout depends on the configuration of

the monitor.

Figure 2-5: Main Menu

One of the eight softkeys is always highlighted. If the user pushes the

menu knob the menu window associated with the highlighted softkey

is displayed and the menu knob control goes to that new window.

Different soft keys are selected by turning the menu knob clockwise

or counterclockwise until the desired key is highlighted.

ZERO IP1 and ZERO IP2 do not access settings windows. On units

without IBP the ZERO IP1 and ZERO IP2 boxes are blank.

More information about the soft keys and their function is explained in

“Softkey Functions (Main Menu)” on page 2-14.

MAP

CYCLE OFF

149/106

(127)

NIBP AGE

21:13

min

mmHg

MAP

CYCLE 4:00:00 ET 3:45:37

149/106

(127)

NIBP AGE

21:13

min

mmHg

96.4

97.7

ALARMS PARAMS DISPLAY ZERO IP1

ADM/DIS CONFIG PRINT ZERO IP2

MEDRAD

Veris

8600

2 —12

Alarm and Message Areas

The two alarm lines are located under the NIBP numerical box. All

alarm and error messages for NIBP, respiration, and temperature are

displayed in this area. ECG, SpO

, CO

, O

, N

O, Agent, and IBP

high and medium alarms are displayed here if there is not an active

waveform associated with them. All low level messages are displayed

in the top alarm line. The bottom line is for informational messages

and advisory level alerts only.

The informational, low, and medium level alarm warnings are colored

yellow and the high alarm warning messages are red. For more

information about alarms see “Alarm Description” on page 3-1.

System Status Box

The system status box is located directly below the two lines reserved

for alarms and messages.

BATTERY WARNING ICONS

There is space reserved for two battery icons. The battery icons

represent the state of the internal rechargeable batteries. See

“Battery Indicators” on page 2-2 and “Charging the Battery” on

page 2-1 for a complete description of the icons and battery charging.

PATIENT SIZE MODE

The next item in the status line is the patient mode. This message lets

the user know what the patient size or mode the system is in: ADULT,

PEDIATRIC, or NEONATE. The default physiological alarm limits may

change depending on which mode is currently in use.

Patient Information and Clock

A Patient Information Bar runs along the bottom of the display. This

area displays the last name (12 characters), the first name (10

characters) and middle initial (one character) of the patient, the

hospital identification number for the patient (16 characters), and the

patient’s room number (five characters).

A clock appears to the extreme right of the patient information. This

displays both current date and time.

- +

2 —13

2 —Monitor Setup

Keypad

There are nine keypad buttons, including the ON/OFF button and the

eight dedicated function keys. Some of the keys have two functions.

The primary function is activated with a momentary press of the key.

A secondary function, if present, is activated when the key is pressed

and held for two seconds.

Key Function

On/Off Power button. Press to activate the patient monitor

and press and hold to turn the monitor off.

Freeze A single press of this key freezes all waveforms on

the screen. Numeric data continues to be updated for

monitored parameters.

A second press of this key resumes continuous

waveform display.

NIBP Cycle/Stat Press the key momentarily to display the NIBP cycle

popup menu on the screen.

Press and hold this key to begin a Stat measurement.

NIBP NIBP measurement start key.

Press the key again to cancel an NIBP measurement.

Print Press once to begin printing or for serial output.

Press a second time to stop printing.

Silence Press this key momentarily to begin a 2 minute alarm

silence.

Press and hold the key to permanently silence the

alarms.

Press the key again, a second time, to resume

normal alarms.

Default Press this key momentarily to access custom default

profiles.

Press and hold the key to alter custom default profiles

(password MEDRAD

required).

Trend Displays the trend table when pressed momentarily.

Press the key to exit the trend window.

While the trend table displays, press and hold to

access the trend settings menu.

Stand By Press this key momentarily to enter standby mode.

Press the key again to exit the standby mode.

When any of the keys is pressed once, a single audible beep notifies

the user that a primary function has been activated. When a key is

pressed and held a double beep notifies the user that a secondary

function is selected.

MEDRAD

Veris

8600

2 —14

Softkey Functions

(Main Menu)

Softkeys are selected by turning the menu knob clockwise or

counterclockwise until the desired softkey is highlighted. In the

sample below the ALARMS softkey is highlighted indicating that the

alarm settings window displays if the menu knob is pressed.

Figure 2-6: Main Screen Menu

If the menu knob is rotated, any window associated with the

highlighted softkey is displayed when the menu knob is pressed. The

menu knob then controls scrolling through that new menu window.

NOTE: For monitors without invasive blood pressure the two softkeys

at the right end of the main menu are disabled and blank. The

invasive blood pressure zero buttons do not activate windows.

The top item (EXIT) on each menu window automatically highlights

when the window is activated. The user may simply press the menu

knob a second time to exit each window without making changes.

At the bottom of the first window there may be selections allowing

access to subordinate windows. Some windows and settings

discussed in this manual may not be present if the feature is not

installed in the monitor. If an alarm has been turned OFF in the

PARAMS window, settings in other windows, such as alarm limits,

may be disabled.

Changing Settings

Turn the menu knob to highlight items on these menu windows. Press

the menu knob to select the item. A single short beep is generated.

The key press beep is audible even when alarms are silenced.

Some of the settings require a letter or number to be entered. Rotate

the menu knob to select the desired character. Press the menu knob

to select the character.

If an error is made while entering in the ADM/DIS screen, a left arrow

character can be selected in order to back over the existing text. The

down arrow character can be selected to jump to the next line.

The arrow characters are not available when entering passwords.

ALARMS PARAMS DISPLAY ZERO IP1

ADM/DIS CONFIG PRINT ZERO IP2

2 —15

2 —Monitor Setup

Saved Setting Profiles

Alarms and parameter default settings may be independently

modified as part of a customized default profile. Setting changes

generally remain after the monitor is power cycled.

• Changes made to the settings remain in current memory until a

patient is discharged or the monitor is left without power.

• If the monitor loses its current setting it returns to the last profile

selected from the memory. If no profile has ever been selected,

the initial profile is CUSTOM DEFAULTS and begins with the

same settings as the Factory Default Settings listed in “Factory

Defaults” on page 2-38.

• The permanent Factory Default profile can be accessed and

restored in the CONFIG window.

• The user defined profiles can be accessed and restored by

pressing the DEFAULT key.

Making and saving settings profiles is described later in this manual.

Also see “Unit and Configuration Defaults” in Appendix B for

instructions for loading CONFIGURATION defaults (Base System,

Cardiac System or Anesthesia System, depending upon your unit’s

configuration).

MEDRAD

Veris

8600

2 —16

ALARMS Softkey

Figure 2-7: ALARMS Softkey Selected

This softkey allows access to all the parameter alarm settings. When

the menu is activated by pressing the menu knob, an alarm limit

settings window appears. The alarm window appears as the Adult,

Pediatric, or Neonate window as set in the third item Patient size.

Figure 2-8: Alarm Settings Window (Adult)

The pediatric and adult settings initially are identical, as factory

defaults, but can be adjusted independently and saved as desired.

Figure 2-9: Alarm Settings Window (Neonate)

ALARMS PARAMS DISPLAY ZERO IP1

ADM/DIS CONFIG PRINT ZERO IP2

EXIT

Alarm Volume 5

ECG Lead Fail MEDIUM

Patient size Adult

HIGH LOW

Heart Rate 150 40

SpO2 OFF 90

NIBP Systolic 200 50

NIBP Diastolic 100 30

NIBP Mean 150 50

Temperature 1 °F 100.0 93.0

Temperature 2 °F 100.0 93.0

Respiration 36 OFF

CO2 Ins mmHg 10 5

CO2 Exp mmHg 55 20

O2 Ins % 100 18

O2 Exp % 100 OFF

Apnea 20 seconds

Other Alarms No Action

EXIT

Alarm Volume 5

ECG Lead Fail MEDIUM

Patient size Neonate

HIGH LOW

Heart Rate 180 90

SpO2 OFF 90

NIBP Systolic 140 35

NIBP Diastolic 80 30

NIBP Mean 100 35

Temperature 1 °F 100.0 93.0

Temperature 2 °F 100.0 93.0

Respiration 60 14

CO2 Ins mmHg 10 5

CO2 Exp mmHg 55 20

O2 Ins % 100 18

O2 Exp % 100 OFF

Apnea 20 seconds

Other Alarm Setups No Action

2 —17

2 —Monitor Setup

Primary ALARMS Window

ALARM VOLUME

The alarm volume can be set from 1 to 10. If the volume is set to 1 it

returns as 2 if the monitor is power cycled. To turn off the alarms use

the SILENCE key. See “Alarms and Messages” in Section 3 for more

information about alarms.

ECG LEAD FAIL

This is an adjustable alarm level setting for a condition where the

monitor cannot detect connected ECG leads. Set this according to

the protocols of the facility or to the specific patient need.

ALARMS SETTINGS BY PATIENT SIZE

The monitor retains separate alarm settings for three different patient

sizes. When the patient size mode is changed to Adult, Pediatric, or

Neonate, the monitor recalls alarm limit settings specific to each

patient size.

The extended alarm limit windows for the optional features also have

size specific versions. As in the main screen, the pediatric alarm

settings are the same as adult in the Factory Default profile.

To set all the alarm limits, adjust the settings as necessary including

the extended windows that appear under Other Alarm Setups. Then

change to the next patient size and adjust the settings again including

the extended windows. Repeat setting changes as necessary for

each patient size.

ALARM LIMITS

Alarms activate when a high alarm limit is exceeded or the measured

value drops below a low alarm limit. High and Low limit values can be

set to the same values. In such a case the monitor alarms when any

value but the selected value is measured.

• Turning an alarm limit off disables both the audible and visual

portion of the alarm.

• Some alarms automatically reset when the monitor is power

cycled. See “Alarms at Start Up” on page 3-3 for details.

The low limit alarm can never be set higher than the high limit alarm.

The high limit adjustment is similarly restricted. When adjusting limit

values some of the range may not be available because the monitor

does not display ranges beyond the point that the other limit is set.

Alarm limits cannot be changed for monitoring modules that are

turned off. If an alarm limit cannot be selected, check the PARAMS

menu to confirm the module is turned on.

CAUTION

MEDRAD

Veris

8600

2 —18

OTHER ALARM SETUPS

Activation of the Other Alarm Setups option at the bottom of the first

alarms window may reveal additional alarms screens if other

parameter modules are detected when the system is powered up.

Invasive Blood Pressure

Alarm Settings

This selection is not available in Base or BasePlus configurations.

Select Inv. BP Setup to view the window. Alarm limits can be set by

IBP channel or by IBP site location.

Figure 2-10: IBP Alarm Settings Window

The alarm limits in effect (current) are the two IBP channels shown at

the top of the screen. These can be set to pulsatile or non-pulsatile

sites. The limits at the bottom of the screen are used if the IBP site

location is changed in the PARAMS window.

The site alarm limits are for defaults settings only. Invasive blood

pressure for LA, RA, CVP, and ICP are non-pulsatile and do not

report values for systolic and diastolic pressure.

EXIT

Systolic Diastolic Mean

HIGH LOW HIGH LOW HIGH LOW

IBP 1 200 50 100 30 150 50

IBP 2 15 1

Default Alarm Limits by Site

Systolic Diastolic Mean

HIGH LOW HIGH LOW HIGH LOW

ART 200 50 100 30 150 50

PA 40 15 15 5 20 10

LV 200 60 40 0 120 60

RV 50 20 20 0 30 10

LA 15 1

RA 15 1

CVP 15 1

ICP 15 1

<<< BACK

2 —19

2 —Monitor Setup

Agent Gas Alarms

Figure 2-11: Agent Gas Alarm Setting Window

This selection is only available in Anesthetic and Anesthetic with

Temperature configurations. Select Agent Setup from Other Alarm

Setups to view the window shown above.

The agent alarm window appears initially the same for adult,

pediatric, and neonate mode. Agent alarm limits can be set

independently and saved, or stored as defaults if desired.

Any changes made are saved immediately to current memory.

PRIMARY HALOGENATED AGENT ALARM LIMITS

The first setting of the agent alarm window is the primary

halogenated alarm limits. The primary agent is determined in the

PARAMS menu and is discussed later in this section.

The settings for the current primary agent can be changed in the

PARAMS menu. If the primary agent is changed, the corresponding

limits for the new primary agent are applied from the default alarm

limits listed for each specific gas. Each time the primary agent gas is

changed any previous changes made directly to the first setting

“primary agent” are lost.

NOTE: Parameter limit alarms for the remaining four monitored non-

primary agents are not active even though their numerical values may

appear on the main screen as a mixed (secondary) agent. Any

halogenated agent not designated or determined as the primary

agent (that exceeds its threshold limit) is treated as a component of a

mixed gas for alarm purposes.

EXIT

Inspired Expired

HIGH LOW HIGH LOW

Agent 2.3 OFF 1.5 OFF

N2O 75 OFF OFF OFF

Default Alarm Limits by Agent

Inspired Expired

HIGH LOW HIGH LOW

HAL 2.3 OFF 1.5 OFF

ENF 4.8 OFF 3.2 OFF

ISO 3.6 OFF 2.4 OFF

DES 18.0 OFF 12.0 OFF

SEV 5.1 OFF 3.4 OFF

<<< BACK

MEDRAD

Veris

8600

2 —20

NITROUS OXIDE ALARM LIMITS

The second setting is for the nitrous oxide (N

O) alarm limits.

MONITORED HALOGENATED AGENTS

The

Veris

8600 monitor provides alarm limit settings for halothane,

enflurane, isoflurane, desflurane and sevoflurane. Only one of these

five monitored gases has active alarm limits depending on which has

been designated or automatically determined as the primary agent

for monitoring.

The anesthetic agents go by other names, as shown in the table

below. It is the responsibility of the physician to correctly recognize

and administer anesthetic gases. The

Veris

8600 monitor uses

international standard abbreviations, also shown in the table below.

Generic Agent Name Alternate Agent Name

International

Standard

Abbreviation

Halothane Fluothane HAL

Enflurane Ethrane ENF

Isoflurane Forane ISO

Desflurane Suprane DES

Sevoflurane SEV

2 —21

2 —Monitor Setup

PARAMS Softkey

(Physiological Parameters)

Figure 2-12: PARAMS Softkey Selected

When this softkey is activated a parameter settings window appears.

This softkey allows access to the physiological parameter settings.

Each of the sampling modules is listed here and can be turned on

and off. Gaps may appear in the menu if features are not installed.

Figure 2-13: Parameter Window

Selecting Other Params Menus activates additional windows:

•SPO

, RESP, TEMP Menu

• Gas Menu

Primary PARAMS Window

MONITORING MODULE ON/OFF SELECTION

Each monitoring module (

SpO

, ECG, NIBP, IBP, Temperature, Gas,

and Respiration) can be turned OFF or ON in the PARAMS softkey

window. The waveforms, numerical parameters, and messages for

that module do not display. The audible alarms associated with that

module are also disabled. The ON/OFF setting or absence of a

monitoring module can also affect the Smart Heart Rate function.

COLOR SETTINGS

At the end of some monitoring module settings, Color appears to the

right with color samples. The color sample indicates the current color

selected for the display of the numerical values and waveforms for the

monitoring module. The numerical values and the waveforms always

have matching colors with the exception of the breath by breath

display, which is always in white.

ALARMS PARAMS DISPLAY ZERO IP1

ADM/DIS CONFIG PRINT ZERO IP2

EXIT

HR Source Smart

Gating OFF

ECG ON

Cable 5 lead

Filter Monitor

Display Range MEDIUM

Auto lead switching YES

Color ¤

IBP 1 SITE ART RANGE 0 TO 200 ZERO None Color ¤

IBP 2 SITE CVP RANGE 0 TO 20 ZERO None Color ¤

NIBP ON GASES ON

NIBP tone NONE

Color ¤

ECG/IBP/SPO2 Tone Vol 5

Other Params Menus No Action

MEDRAD

Veris

8600

2 —22

The colors can be changed as desired. Select the color setting to

access the color sample box. Turn the knob to scroll through the

possible colors and press the knob to enter the selection. Colors red,

yellow, blue, green, orange, violet, light gold, and white may be

selected.

SMART HEART RATE

When Smart is selected for HR Source, the monitor generates a

numerical heart rate value from the remaining operating modules if a

higher lever module is turned off or lost. If the ECG signal is lost or

turned off, the monitor automatically switches to another available

source. The order is:

•ECG

•IBP

•SpO

•NIBP

The monitor generates a heart rate from the ECG module, the IBP

module, the SpO

module, or from the NIBP (in that order of

preference). The NIBP heart rate is updated with each NIBP

measurement rather than being continuously updated with the ECG,

IBP, or SpO

waveform data. When the heart rate is based on NIBP

data the numerical heart rate value is removed 2 minutes after the

last NIBP measurement was completed.

If a specific parameter is selected for HR Source, and that parameter

is lost, the monitor does not switch to another parameter for the heart

rate.

GATING

The gating function can be set to OFF, ECG Wave, SpO

Wave, ECG

Pulse, or SpO

Pulse.

ECG CABLE

The monitor can be set to 3 lead or 5 lead ECG.

NOTE: Base and BasePlus models only have 3 lead capabilities.

ECG FILTER

The ECG is set to Monitor mode for optimal filtering and cannot be

changed by the user.

DISPLAY RANGE

This setting controls the ECG signal gain. If it is set too high, the signal

may exceed the valid range for monitoring. The high level alarm

message ECG: SENS TOO HIGH displays. If this occurs, lower the

sensitivity setting. For general monitoring use the medium setting.

2 —23

2 —Monitor Setup

ECG AUTO LEAD SWITCH

The PARAMS window settings for Auto Lead Switching are described

in “ECG Auto Lead Switching” on page 5-16. For general use, these

can both be set to the On position.

IBP SETTINGS

The two IBP channels can be configured separately. The choices are:

• Arterial (ART),

• Pulmonary Artery (PA),

• Left Atrial (LA),

• Right Atrial (RA),

• Central Venous (CVP),

• Right Ventricle (RV),

• Left Ventricle (LV),

• Intracranial (ICP), or

•Off.

The ranges for IBP waveform display are also independently

selectable.

The IBP channels can be zeroed using the setting from the PARAMS

window or from the main menu softkey, whichever is more

convenient.

IBP AUTO-RANGING

The monitor provides auto-ranging for each IBP channel individually.

When auto-ranging is selected for a channel in the PARAMS window,

the monitor determines the best display range based on previous

extremes of the waveform.

The scale changes to exceed the waveform maximums by at least 5

mmHg. The auto-ranging occurs when the PARAMS window is

exited. If the past extremes of the waveforms are exceeded, clipping

occurs. The new range remains until auto ranging is selected again or

specific range values are set in the PARAMS window.

NIBP SETTINGS

The NIBP can be set to generate a tone upon completion of each

measurement.

NOTE: Press the NIBP CYCLE/STAT key to access the cycle

settings.

HEART RATE TONE VOLUME

This feature can be set at the bottom of the first PARAMS window.

The tone can be set to volumes 1 through 10 or OFF. This setting only

controls the tone volume associated with the heart rate rhythm. It is

not affected by adjustments to Alarm Volume or the SILENCE feature.

MEDRAD

Veris

8600

2 —24

SpO

, Respiration,

Temperature Menu

Figure 2-14: SpO

, Respiration, Temperature Parameter

Window

SPO

SETTINGS

There are three settings specific to the SpO

module; Average,

Search Time, and Low Limit Alarm.

SpO

Average sets the duration of the interval over which the SpO

value is averaged. The settings for each are listed in seconds.

SpO

Search Time sets the time interval from the time the pulse signal

is lost until the

SpO

SEARCH message appears.

The

SpO

Low Limit Alarm can be set to either high or medium priority

as desired. The monitor generates an alarm of that level when the low

limit threshold is passed.

RESPIRATION

Respiration is only available if the

Veris

monitor has CO

(Anesthetic

and Anesthetic with Temperature models only). The source is always

TEMPERATURE SETTINGS

The temperature channels can be turned ON or OFF and can be set

to read in either Celsius (C) or Fahrenheit (F).

<<<Exit

SpO2 ON

Average 12 seconds

Search time 20 seconds

Low limit alarm HIGH

Color ¤

Respiration ON

Temperature 1 ON

Temperature 2 ON

Unit of measure °F

Color ¤

<<<Back

2 —25

2 —Monitor Setup

Gas Settings

Figure 2-15: Gas Settings

UNIT OF MEASURE

The CO

numerical data can be displayed as mm/hg, Torr, kPa, or

volume percent.

AGENT TO MONITOR

The primary agent for monitoring must be correctly entered

depending on the monitoring alarm characteristic desired by the user.

The monitor has two modes of agent gas monitoring. The user may

select a specific halogenated agent to be designated as the primary

agent. The user may otherwise set the monitor to automatically

detect and identify the current primary gas of a mixture.

NOTE: If the user manually selects the primary agent for monitoring it

must be correctly entered.

• Always confirm the primary agent selection before use.

Incorrect primary agent setting may result in erroneous limit

alarms. Alarm characteristics of the monitor are altered when

automatic primary agent detection is activated.

• Never substitute a primary agent setting for a different

halogenated agent, or any agent not listed! The agent detection

is specific to the listed gases only.

• The alarm WRONG AGENT appears when the primary agent

(that is manually selected by the physician) does not match the

primary agent detected. The WRONG AGENT alarm is

deactivated when automatic primary agent detection is

selected.

EXIT

CO2 ON

Unit of measure mmHg

Color ¤

O2 ON

Color ¤

Agent

Agent to Monitor Auto

Flow Rate 200 ml/min

Flow Mode Exhaust

Agent Color ¤

N2O Color ¤

<<< BACK

WARNING

MEDRAD

Veris

8600

2 —26

• The halogenated agent waveform and waveform label may

automatically change to a different halogenated agent when

automatic primary agent detection is used. If no primary agent

is detected, dashes appear in the waveform label when

automatic primary agent detection is used.

The primary agent is the halogenated agent having the highest

concentration during mixed gas conditions. Where only one

halogenated agent is to be used, the single agent should always be

the primary agent. The primary agent can be set to halothane,

isoflurane, enflurane, desflurane, sevoflurane, or automatic.

The selected primary halogenated agent has its own set of alarm

limits as described earlier in this section. This is for use when the

primary agent is selected manually. When automatic primary agent

detection is used, the agent alarm limits are updated at the time of

identification from the Default Alarm Limits by Agent settings. If the

primary agent is redefined automatically, the alarm limits are again

updated from the agent specific limits defined in the menu.

FLOW RATE

The Flow Rate setting adjusts the amount of air that is drawn in by the

gas monitoring system. The monitor provides accurate values in

either 100, 150, or 200 ml/min settings. It is recommended that the

200 ml/min setting be used for better response time.

FLOW MODE

The flow mode of the

Veris

monitor is permanently set to exhaust and

cannot be changed.

WARNING

2 —27

2 —Monitor Setup

DISPLAY Softkey

Figure 2-16: DISPLAY Softkey Selected

This softkey allows access to the display settings. When activated,

the display settings window appears. The monitor can display up to

six waveforms and has user selectable waveform slot configurations.

See “Waveform Slots” on page 2-6 for a list of displayed waveforms.

Figure 2-17: Display Settings Window

Waveform Description

The waveform area is located in the upper left-hand portion of the

display. The monitor has the capability to display six waveforms

simultaneously. The top waveform slots 1, 2, and 3 are 25 mm in

height. Waveform slots 4, 5, and 6 are 12.5 mm in height. Slots can

be configured in a variety of ways as described in the following text.

The waveforms may be adjusted in size and dimension by using the

settings provided. The gain listed on the DISPLAY window settings

increases the display size of the waveforms. It does not control the

amplification gain of the source signal or the height of the slot where

the waveform appears.

The parameters for the waveforms displayed are user selectable with

the exception of the first slot, which is always an ECG waveform. The

user can select which lead to display for the ECG waveform in the

first slot.

ALARMS PARAMS DISPLAY ZERO IP1

ADM/DIS CONFIG PRINT ZERO IP2

EXIT TYPE GAIN SWEEP SIZE

MM/S

Waveform 1 ECG II x1.0 25.0 50mm

Waveform 2 OFF x1.0 25.0 25mm

Waveform 3 ECG I x1.0 25.0 25mm

Waveform 4 PLETH x1.0 25.0 12mm

Waveform 5 aVL x1.0 25.0 12mm

Waveform 6 aVR x1.0 25.0 12mm

External Display OFF

MEDRAD

Veris

8600

2 —28

Double Height Slots

The monitor can display waveforms in three 25mm slots and three

smaller 12.5mm slots.

• Two 25mm slots can be combined to form one 50mm slot.

• Two 12.5mm slots in the, bottom group, can be combined

together to form one 25mm slot.

• No more than two slots can be combined to form a larger

waveform display area

NOTE: Slots 3 and 4 cannot be combined.

Figure 2-18: Display Settings Window with Combined

Slots

Figure 2-19: Double Height Slots

To combine slots to form larger areas to display waveforms set the

lower slot TYPE to OFF. The slot above automatically increases in

size to fill the space.

EXIT TYPE GAIN SWEEP SIZE

MM/S

Waveform 1 ECG II x1.0 25.0 50mm

Waveform 2 OFF x1.0 25.0 25mm

Waveform 3 ECG aVR x1.0 25.0 25mm

Waveform 4 PLETH x1.0 25.0 25mm

Waveform 5 OFF x1.0 25.0 12mm

Waveform 6 ET CO2 x1.0 25.0 12mm

External Display OFF

ALARMS PARAMS DISPLAY

Adult

V000 - NO ADMIT

SPO2: SENSOR

ZERO IP1

ZERO IP2

ADM/DIS CONFIG PRINT

SpO2

aVR

CO2

EXP

INS

1mV

ECG

SpO2

IBP1 ART

mmHg

150 ml/min

IBP2 CVP

BPM

RESP Br/m

1mV

96.4

97.7

(125)

145/105

- +

CO2

- +

O2 HAL

GAS

N2O

17 0.4 39

21 2.3 64

Mixed ENF E 10.5 I 10.0

MAP

CYCLE OFF

149/106

(127)

NIBP AGE 21:13 min

mmHg

AUG-16-04 14:12:59

2 —29

2 —Monitor Setup

Each waveform slot displays the parameter or source along the left

edge of the screen. The colors of the waveforms are user selectable

in the PARAMS window. The numerical parameters colors match the

selected waveform color whenever possible.

Cascaded Slots

The monitor can cascade a waveform into the next lower slot and it is

then displayed as twice or three times its original length.

The cascaded data is a continuous band of waveform using the

sweep speed as set in the original waveform slot. The gain and range

settings are the same for the entire cascaded waveform. The

waveform label and scale are not shown for slots where data has

been cascaded from a higher slot.

Figure 2-20: Display Window, Cascaded Slots

Figure 2-21: Cascaded Slots

EXIT TYPE GAIN SWEEP SIZE

MM/S

Waveform 1 ECG II x1.0 25.0 25mm

Waveform 2 Cascade x1.0 25.0 25mm

Waveform 3 ECG aVR x1.0 25.0 25mm

Waveform 4 PLETH x1.0 25.0 12mm

Waveform 5 Cascade x1.0 25.0 12mm

Waveform 6 Cascade x1.0 25.0 12mm

External Display OFF

ALARMS PARAMS DISPLAY

Adult

V000 - NO ADMIT

SPO2: SENSOR

ZERO IP1

ZERO IP2

ADM/DIS CONFIG PRINT

SpO2

aVR

CO2

EXP

INS

1mV

ECG

SpO2

IBP1 ART

mmHg

150 ml/min

IBP2 CVP

BPM

RESP Br/m

1mV

96.4

97.7

(125)

145/105

- +

CO2

- +

O2 HAL

GAS

N2O

17 0.4 39

21 2.3 64

Mixed ENF E 10.5 I 10.0

MAP

CYCLE OFF

149/106

(127)

NIBP AGE 21:13 min

mmHg

AUG-16-04 14:12:59

MEDRAD

Veris

8600

2 —30

To cascade a waveform into the next lower slot, set the lower slot

TYPE to CASCADE. The waveform above automatically cascades

into the next lower slot. You can cascade slots 1-2-3, or slots 4-5-6.

NOTE: The display is set up in separate groups of three slots so a

waveform cannot be cascaded from slot 3-4.

Cascade and the double height feature can be applied to the upper

and lower groups of slots independently. It is also not possible to

cascade (double height) waveforms.

Gain and Sweep

The GAIN and SWEEP settings found in the DISPLAY menu can also

be used to modify the way waveforms are displayed on the screen.

The upper three (25mm) slots of the display allow for larger

waveforms to display. Gain settings from the upper set of slots do not

correspond to the gain settings of the lower three slots. In order to

obtain identical waveform sizes in the top and bottom slots, set the

gain of the lower three slots one step higher than the top three slots.

A minimum of four and a half seconds worth of data at a sweep speed

of 25mm per second is displayed. Waveforms can have sweep

speeds of 50, 25, 12.5 or 6.25 mm per second.

2 —31

2 —Monitor Setup

ADM/DIS Softkey (Admit/

Discharge)

Figure 2-22: ADM/DIS Softkey Selected

A patient may be admitted or discharged in the ADM/DIS window,

however it is only necessary to correctly specify the Patient Size

since this adjusts the monitoring defaults.

Figure 2-23: Admit/Discharge Window

NOTE: Patient Size can be also set in the ALARMS window. This is

the same setting and it can be changed in either location.

NOTE: The Unit Label is for future use.

Admitting and

Discharging Patients

• It is recommended that the admit and discharge feature be used

between each patient so that there is a clear break between

patient histories in the memory. This also ensures that label

headers are properly printed out for each patient.

• It is possible to admit a blank patient. If this is done, there is no

patient data label on printed reports. Data from various patients

could appear to merge together onto one trend table or graph.

• It is not necessary to admit a patient for the monitor to function

properly. There is no audible alarm for the “no admit” condition.

A message appears in the informational message box indicating

that no patient has been admitted.

ALARMS PARAMS DISPLAY ZERO IP1

ADM/DIS CONFIG PRINT ZERO IP2

EXIT

Admit NO

Discharge NO

Patient Size Adult

Update NO

Last Name xxxxxxxxxxxx

First Name xxxxxxxxxx

Middle Initial x

Room Number xxxxx

ID Number xxxxxxxxxxxxxxxx

Unit Label 000

CAUTION

MEDRAD

Veris

8600

2 —32

• The discharge feature returns the monitor to the user default

profile last selected. If no user profiles have ever been selected

on a new monitor the CUSTOM DEFAULTS found in the first

position in the defaults window is used.

Adult/Pediatric/Neonatal

(Patient Size)

The monitor is designed to look at the Patient Size information

selected in the ADM/DIS window and determine whether the monitor

should use the Adult, Pediatric, or Neonatal alarm settings while

monitoring.

The patient mode is determined by patient size and is displayed in the

System Status Line.

When Patient Size is changed in the ADM/DIS window, the monitor

determines which window appears when the ALARMS softkey is

selected. By changing Patient Size, the user effectively changes all

the alarm limits for all the monitoring modules. The Patient Size

setting also adjusts the maximum NIBP pressure limit. For Adult and

Pediatric the limit is 300 mmHg. The limit for Neonate is 150 mmHg.

Patient Information

To enter, change, or update patient information:

1. Set the menu to ADM/DIS and press the knob.

2. Go to Patient Size and check that it is correct. Change to Adult,

Pediatric, or Neonate as necessary.

3. Turn the knob to Update and set to YES. Press the knob. The

patient data field can now be selected.

4. Go to the patient name and identity fields. Turn the knob to

select the desired field. Press the knob to go to the blank line.

Turn the knob to select the correct letter.

NOTE: Letters and digits may be entered using the rotary knob.

Two arrow characters also appear among the letters and digits.

Selecting the back arrow allows corrections to be made. The

down arrow skips directly to the next line when finished entering

a line.

5. Fill in the remaining patient information blanks as desired.

6. Select EXIT to return to the main screen. The patient data is

updated on the main screen.

7. Exit the ADM/DIS window and re-enter before attempting to

admit a patient.

CAUTION

2 —33

2 —Monitor Setup

Procedure for

Admitting a Patient

To admit a patient, proceed as follows:

1. Set the menu to ADM/DIS and press the knob. the ADM/DIS

window appears. If the patient data needs to be updated use the

patient information procedure.

2. Rotate the knob to highlight Admit. The admit selection is not

available if a patient has already been admitted.

3. Press the knob to select Admit. Turn the knob to YES. The

message NEW PATIENT is also entered into the trend memory.

NOTE: If there is no patient data a blank patient is admitted.

4. Turn the knob back to EXIT to return to the main screen, or

proceed to update patient information.

Procedure for

Discharging a Patient

To discharge a patient, proceed as follows:

1. Set the menu to ADM/DIS and press the knob. the ADM/DIS

window appears.

2. Rotate the knob to highlight Discharge. The discharge selection

is not available if a patient has not been admitted.

3. Press the knob to select Discharge. Turn the knob to YES.

4. The monitor responds with a confirmation screen.

5. Turn the knob to YES and press to confirm.

6. The monitor clears the patient data fields and returns the

monitor to the last user default profile that was selected.

7. The monitor enters Standby Mode (or Agent Standby Mode if

the monitor has anesthetic options).

NOTE: The monitor enters Standby Mode after a patient is

discharged so that the monitor does not record extraneous data

into the trend memory while sensors and electrodes are

removed from the patient. The message NEW PATIENT is also

entered into the trend memory at the point of discharge.

8. Press the orange STAND BY key to return to the main screen.

MEDRAD

Veris

8600

2 —34

CONFIG Softkey

(System Configuration)

Figure 2-24: CONFIG Softkey Selected

This softkey allows access to the configuration settings. When

activated a configuration settings window appears.

Figure 2-25: System Configuration Window

This window contains settings that are related to the general function

of the overall monitor. The window also has some settings that may

affect physiological monitoring.

• The Alarm Tone Warning and Standby Timeout settings can

permanently disable alarm functions. See “ECG” in Section 5 for

more information on Alarms.

• The Line Frequency setting affects the SpO2 filter function.

• The Return to Factory Defaults setting may make changes

affecting all of the physiological monitoring modules.

The printing and communications settings are discussed in “Printing

and Data Ports” on page 12-1 of this manual. Service mode and

Simulation Mode are described in the

Veris

8600 Service Manual.

ALARMS PARAMS DISPLAY ZERO IP1

ADM/DIS CONFIG PRINT ZERO IP2

Date Format DD-MM-YYYY

Date DAY 10 MONTH JUL YEAR 2004

Time 17:47

Freeze timeout 2 minutes

Standby timeout 30 minutes

Standby tone ON

Alarm tone warning ON

Print Device Internal Printer

Language ENGLISH

Line Frequency 60

Serial Format TEXT Baudrate 38400

Analog Out Select ECG I

Restore Factory Defaults NO

Enter Service Mode NO

Enter Simulation Mode NO

EXIT

CAUTION

2 —35

2 —Monitor Setup

Password Protection

Several settings on the CONFIG and the Enter Network Config

screens are password protected. These are functions that generally

should not be changed during use and their settings should be

adjusted by supervisory personnel, your MEDRAD representative, or

other qualified service personnel. These include; Standby Timeout,

Alarm Tone Warning, Line Frequency, Enter Service Mode, and Enter

Simulation Mode. Contact MEDRAD Service or your local

representative about service passwords.

Date Format

The date format can be set to display or print Day-Month-Year or

Month-Day-Year.

Time/Date Setting

The Time and Date are set in the CONFIG softkey window. Changing

the time and date while monitoring a patient does not affect the

accurate display of patient data, but it clears any recorded trend data.

Freeze Timeout

The FREEZE function can be set to freeze the waveform frame from

30 seconds to five minutes. Choosing OFF causes the FREEZE key

to hold the screen permanently until the FREEZE key is pressed

again. The FREEZE key also captures waveforms that are obscured

by dialog boxes and pop-up windows. When the FREEZE key is

pressed the waveforms are redrawn on the screen. The FREEZE

function forces an exit from the current pop-up window or dialog box.

Standby Timeout

The Standby Timeout can be set to disable the monitor from 5

minutes to 2 hours. Choosing OFF causes the STAND BY key to

disable the monitor permanently until the STAND BY key is pressed

again. This setting is password protected. The factory default value is

30 minutes.

Standby Tone

When set to ON the monitor produces a single low pitched beep

every minute during Standby Mode. When set to OFF there is no tone

to remind the user that the monitor is in Standby Mode.

Alarm Tone Warning

When set to ON the monitor produces a low pitched double beep

every two minutes during the permanent silence condition. When set

to OFF there is no tone to remind the user that the silence condition

is active.

NOTE: Set this safeguard according to your facility protocols and

according to local safety regulations for medical devices.

Print Device

The print device can be set to Internal Printer, Serial, or OFF.

•Set to Internal Printer to print data to the thermal printer on the

optional remote display.

•Set to Serial to print to an external printer or download to a

computer.

•Set to OFF to disable the printing feature.

See “Printing and Data Ports” on page 12-1 for more information.

MEDRAD

Veris

8600

2 —36

Language Settings

The following languages are available in the monitor; ENGLISH,

FRENCH, GERMAN, ITALIAN, SPANISH, JAPANESE, and

PORTUG. (Portuguese).

To change the language:

1. Press the ON/OFF key to start the monitor.

2. Turn the menu knob until the CONFIG softkey is highlighted.

3. Press the menu knob in to select the CONFIG softkey. The

configuration window appears.

4. Turn the knob until the Language setting is highlighted.

5. Press the knob to select the Language setting. The current

language shown to the right is highlighted.

6. Turn the knob until the desired language appears.

7. Press the knob again to select the new language.

8. Exit the configuration window.

The language should be properly set when saving user default

profiles. The correct language can then be restored using only the

DEFAULT key and the default profile dialog box when an unfamiliar

language is set on the monitor.

In situations where the monitor has been left for over 24 hours without

power or charged batteries, the Language setting as well as other

defaults may be lost. In this condition the monitor reverts to the

Language set in the last selected user default profile. ENGLISH is the

default language when no other has been selected.

2 —37

2 —Monitor Setup

PRINT Softkey

Figure 2-26: PRINT Softkey Selected

NOTE: The printer is only found in the remote display. Printer settings

may be adjusted from the main monitor or the remote display.

The PRINT softkey allows access to the printer settings window.

Figure 2-27: Print Configuration Window

If the internal thermal printer does not respond, check the CONFIG

menu. The Printer Device must be set to Internal Printer. If the

monitor returns to factory defaults the CONFIG setting returns to

Serial.

The setting Alarm Print causes the monitor to print all parameters

upon the activation of a new high or medium level alarm.

See “Printing and Data Ports” on page 12-1 for more information on

printing.

TABULAR PRINTING

Numerical values for all current parameters are printed.

GRAPHICAL PRINTING

If both Waveform 1 and 2 have been set to a physical parameter the

print out is a split dual waveform. If only one of the waveforms is

turned on, a single waveform is printed using the entire waveform

area. If both waveforms are turned off, the waveform area of the print

out is blank.

ALARMS PARAMS DISPLAY ZERO IP1

ADM/DIS CONFIG PRINT ZERO IP2

EXIT

Print Type Graphical

Alarm Print OFF

BP Print OFF

Interval Print OFF

INTERVAL PRINT TYPE TABULAR

Snapshot Size 6 Seconds

History Size 6 Seconds

Waveform 1 ECG II

Gain x1.0

Waveform 2 Pleth

Gain x1.0

Printer Speed 25 mm/sec

MEDRAD

Veris

8600

2 —38

Default Settings

Factory Defaults

ALARMS SETTINGS

Alarm Type Range Adult Pediatric Neonate

Alarm Volume 1-10 5 5 5

ECG lead fail high, medium, low medium medium medium

Heart Rate High 80-250, Off 150 150 180

Heart Rate Low 20-160, Off 40 40 90

SpO

High 70-98, Off Off Off Off

SpO

Low 1-98, Off 90 90 90

NIBP Systolic High 75-240, Off 200 200 140

NIBP Systolic Low 50-150, Off 50 50 35

NIBP Diastolic High 50-180, Off 100 100 80

NIBP Diastolic Low 15-50, Off 30 30 30

NIBP Mean High 70-200, Off 150 150 100

NIBP Mean Low 25-125, Off 50 50 35

Temperature 1 High 68.0-111.0°F, Off 100.0°F 100.0°F 100.0°F *

Temperature 1 Low 68.0-111.0°F, Off 93.0°F 93.0°F 93.0°F *

Temperature 2 High 68.0-111.0°F, Off 100.0°F 100.0°F 100.0°F *

Temperature 2 Low 68.0-111.0°F, Off 93.0°F 93.0°F 93.0°F *

Respiration High 6-120, Off 36 36 60 *

Respiration Low 6-120, Off 4 4 14 *

Inspired High 0-100 mmHg, Off 10 mmHg 10 mmHg 10 mmHg *

Inspired Low 0-100 mmHg, Off 5 mmHg 5 mmHg 5 mmHg *

Expired High 0-100 mmHg, Off 55 mmHg 55 mmHg 55 mmHg *

Expired Low 0-100 mmHg, Off 20 mmHg 20 mmHg 20 mmHg *

Inspired High 18-100%, Off 100 100 100 *

Inspired Low 18-100% 18 18 18 *

Expired High 18-100%, Off 100 100 100 *

Expired Low 18-100%, Off Off Off Off *

Apnea 5-60, Off 20 20 20 *

IBP1 Systolic High 0 to 240, Off 200 200 140 *

IBP1 Systolic Low 0 to 240, Off 50 50 50 *

IBP1 Diastolic High 0 to 240, Off 100 100 80 *

IBP1 Diastolic Low 0 to 240, Off 30 30 30 *

IBP1 Mean High -10 to 240, Off 150 150 100 *

IBP1 Mean Low -10 to 240, Off 50 50 40 *

IBP2 Systolic High 0 to 240, Off *

IBP2 Systolic Low 0 to 240, Off *

IBP2 Diastolic High 0 to 240, Off *

IBP2 Diastolic Low 0 to 240, Off *

IBP2 Mean High -10 to 240, Off 15 15 15 *

IBP2 Mean Low -10 to 240, Off 1 1 1 *

* Only on units with these parameters.

2 —39

2 —Monitor Setup

Alarm Type Range Adult Pediatric Neonate

ART Systolic High 0 to 240, Off 200 200 140 *

ART Systolic Low 0 to 240, Off 50 50 50 *

ART Diastolic High 0 to 240, Off 100 100 80 *

ART Diastolic Low 0 to 240, Off 30 30 30 *

ART Mean High -10 to 240, Off 150 150 100 *

ART Mean Low -10 to 240, Off 50 50 40 *

PA Systolic High 0 to 240, Off 40 40 40 *

PA Systolic Low 0 to 240, Off 15 15 15 *

PA Diastolic High 0 to 240, Off 15 15 15 *

PA Diastolic Low 0 to 240, Off 5 5 5 *

PA Mean High -10 to 240, Off 20 20 20 *

PA Mean Low -10 to 240, Off 10 10 10 *

LA Mean High -10 to 240, Off 15 15 15 *

LA Mean Low -10 to 240, Off 1 1 1 *

LV Systolic High 0 to 240, Off 200 0 0 *

LV Systolic Low 0 to 240, Off 60 0 0 *

LV Diastolic High 0 to 240, Off 40 0 0 *

LV Diastolic Low 0 to 240, Off 0 0 0 *

LV Mean High -10 to 240, Off 120 0 0 *

LV Mean Low -10 to 240, Off 60 0 0 *

RA Mean High -10 to 240, Off 15 15 15 *

RA Mean Low -10 to 240, Off 1 1 1 *

RV Systolic High 0 to 240, Off 50 0 0 *

RV Systolic Low 0 to 240, Off 20 0 0 *

RV Diastolic High 0 to 240, Off 20 0 0 *

RV Diastolic Low 0 to 240, Off 0 0 0 *

RV Mean High -10 to 240, Off 30 0 0 *

RV Mean Low -10 to 240, Off 10 0 0 *

CVP Mean High -10 to 240, Off 15 15 15 *

CVP Mean Low -10 to 240, Off 1 1 1 *

ICP Mean High -10 to 240, Off 15 15 15 *

ICP Mean Low -10 to 240, Off 1 1 1 *

Primary InspiredHigh 0.1-20.0%, Off 2.3 2.3 2.3 *

Primary InspiredLow 0.0-10.0%, Off OFF OFF 1.5 *

Primary ExpiredHigh 0.1-20.0%, Off 1.5 1.5 1.5 *

Primary ExpiredLow 0.0-10.0%, Off OFF 1.5 OFF *

O Inspired High 20-100%, Off 75 75 75 *

O Inspired Low 1-50%, Off OFF OFF OFF *

O Expired High 20-100%, Off OFF OFF OFF *

O Expired Low 1-50%, Off OFF OFF OFF *

* Only on units with these parameters.

MEDRAD

Veris

8600

2 —40

Alarm Type Range Adult Pediatric Neonate

HAL Inspired High 0.1-20.0%, Off 2.3 2.3 2.3 *

HAL Inspired Low 0.0-10.0%, Off OFF OFF OFF *

HAL Expired High 0.1-20.0%, Off 1.5 1.5 1.5 *

HAL Expired Low 0.0-10.0%, Off OFF OFF OFF *

ENF Inspired High 0.1-20.0%, Off 4.8 4.8 4.8 *

ENF Inspired Low 0.0-10.0%, Off OFF OFF OFF *

ENF Expired High 0.1-20.0%, Off 3.2 3.2 3.2 *

ENF Expired Low 0.0-10.0%, Off OFF OFF OFF *

ISO Inspired High 0.1-20.0%, Off 3.6 3.6 3.6 *

ISO Inspired Low 0.0-10.0%, Off OFF OFF OFF *

ISO Expired High 0.1-20.0%, Off 2.4 2.4 2.4 *

ISO Expired Low 0.0-10.0%, Off OFF OFF OFF *

DES Inspired High 0.1-20.0%, Off 18.0 18.0 18.0 *

DES Inspired Low 0.0-10.0%, Off OFF OFF OFF *

DES Expired High 0.1-20.0%, Off 12.0 12.0 12.0 *

DES Expired Low 0.0-10.0%, Off OFF OFF OFF *

SEV Inspired High 0.1-20.0%, Off 5.1 5.1 5.1 *

SEV Inspired Low 0.0-10.0%, Off OFF OFF OFF *

SEV Expired High 0.1-20.0%, Off 3.4 3.4 3.4 *

SEV Expired Low 0.0-10.0%, Off OFF OFF OFF *

* Only on units with these parameters.

2 —41

2 —Monitor Setup

MONITORING PARAMETERS

Parameter Selectable Options Factory Default

HR Source Smart, ECG, IBP, SPO2, NIBP Smart

Gating Off, ECG Wave, SpO

Wave, Off *

ECG Pulse, SpO

Pulse

ECG On, Off On

ECG Cable 5 Lead, 3 Lead 3 Lead (Base, BasePlus)

5 Lead (Other models)

ECG Filter Monitor Monitor

Sensitivity High, Medium, Low Medium

Auto lead switching Yes, No Yes

IBP 1 Site ART, PA, LA, RA, LV, RV,

CVP, ICP, OFF ART *

IBP 1 Range -10 to 10, 0 to 20, 0 to 30, 0 to 40,

0 to 60, 0 to 100, 0 to 150, 0 to 200,

0 to 300, and Auto-ranging 0 to 200 *

IBP 1 Zero None, One, All None *

IBP 2 Site ART, PA, LA, RA, LV, RV,

CVP, ICP, OFF CVP *

IBP 2 Range -10 to 10, 0 to 20, 0 to 30, 0 to 40,

0 to 60, 0 to 100, 0 to 150, 0 to 200,

0 to 300, and Auto-ranging 0 to 20 *

IBP 2 Zero None, One, All None *

NIBP On, Off On

NIBP Tone End, None None

Heart Rate

Tone Volume 1-10, Off 5

SpO

On, Off On

SpO

Average 3, 6, 9,12,15,18, 21 12

SpO

Search Time 10, 20, 30, 40 20

SpO

Low

Limit Alarm High, Medium High

Respiration On, Off On

Temperature 1 On, Off On *

Temperature 2 On, Off On *

Unit of measure °F, °C °F *

Unit of measure Percent, mmHg, KPa, Torr mmHg *

Agent to Monitor Halothane, Enflurane, Isoflurane, Automatic *

(Primary) Desflurane, Sevoflurane, Automatic

Gas Flow Rate 100, 150, 200 mL 200 mL *

Flow Mode Exhaust Exhaust *

* Only on units with these parameters.

MEDRAD

Veris

8600

2 —42

CONFIGURATION SETTINGS

Configuration Selectable Options Factory Default

Date Format DD-MM-YYYY; MM-DD-YYYY DD-MM-YYYY

Date Day, Month, Year (Not Applicable)

Time Hour, Minute (Not Applicable)

Freeze Timeout 30 seconds, 1, 2, 3, 4, 5 minutes, Off 2 min

Standby Timeout 5, 10, 15, 30, 45 minutes, 1, 2 hrs, Off 30 min

Standby Tone On, Off On

Alarm Tone Warning On, Off On

Printer Device Serial, Internal Printer, Off Internal Printer

(w/remote)

Serial (w/o remote)

Language English, French, German, Italian,

Spanish, Portuguese, Japanese English

Line Frequency 50, 60 Hz (By Destination)

Serial Format TEXT, CSV, CUSP CUSP

Baud Rate 2400, 4800, 9600, 19200, 38400,

57600, Hi Speed Hi Speed

Analog Out Select ECG I, II, III, aVR, aVL, aVF, V;

Resp, Pleth, IBP 1, IBP 2, EtCO

, Agent, Off ECG I

Restore Factory Defaults Yes, No No

Enter Service Mode Yes, No No

Enter Simulation Mode Yes, No (password protected) No

Enter Network

Configuration Yes, No (password protected) No

NETWORK CONFIGURATION SETTINGS

Sync Type Serial, Fiber Optic, Fiber-Wireless,

Wireless Serial

IP Address nnn.nnn.nnn.nnn Set at factory

Netmask nnn.nnn.nnn.nnn Set at factory

Port nnnnn Set at factory

Connect Type Peer-to-Peer, Access Point Peer-to-Peer

Channel 1-14 10

SSID 16 characters Set at factory

* Only on units with these parameters.

2 —43

2 —Monitor Setup

PRINTER SETTINGS

Setting Selectable Options Factory Default

Print Type (Demand) Graphical, Tabular Graphical

Alarm Print Off, Graphical, Tabular Off

BP Print Off, Graphical, Tabular Off

Interval Print Off, 1, 2, 5, 10, 15, 30, 60 minutes

2, 4, 8,12, 24 hours Off

(1, 2, 5, 10, 15, 20, 30 seconds only

Printer Device

is set to

Serial

)

Interval Print Type Graphical, Tabular Tabular

Snapshot Size 6,12,18, 24 seconds 6 seconds

History Size 6,12 seconds 6 seconds

Waveform 1 ECG I, II, III, V, aVR, aVL, aVF,

PLETH, IBP 1, IBP 2, EtCO

, O

Agent, N

O, Off ECG II

Gain (waveform 1) x0.5, x1.0, x2.0, x4.0 x1.0

Waveform 2 ECG I, II, III, V, aVR, aVL, aVF,

PLETH, IBP 1, IBP 2, EtCO

, O

Agent, N

O, Off PLETH

Gain (waveform 2) x0.5, x1.0, x2.0, x4.0 x1.0

Printer Speed 12.5, 25.0, 50.0 mm/sec 25.0 mm/sec

DISPLAY SETTINGS

Setting Selectable Options Factory Default

Waveform 1:

Type: Lead I, Lead II, Lead III, Lead V,

Lead avL, Lead avR, Lead avF, and

Off ECG II

Gain: 0.5x, 1x, 2x, or 4x 1x

Sweep: 6.25, 12.5, 25, or 50 mm per second 25 mm per second

Size: 25 or 50 mm 50 mm

Waveform 2:

Type: Lead I, Lead II, Lead III, Lead V,

Lead avL, Lead avR, Lead avF,

Pleth, IBP 1, IBP 2, EtCO

, O

Primary Halogenated Agent, N

Breath by Breath, Cascade, and Off Off

Gain: 0.5x, 1x, 2x, or 4x 1x

Sweep: 6.25, 12.5, 25, or 50 mm per second 25 mm per second

Size: 25 or 50 mm 25 mm

MEDRAD

Veris

8600

2 —44

Setting Selectable Options Factory Default

Waveform 3:

Type: Lead I, Lead II, Lead III, Lead V,

Lead avL, Lead avR, Lead avF,

Pleth, IBP 1, IBP 2, EtCO

, O

Primary Halogenated Agent, N

Breath by Breath, Cascade, and Off ECG I

Gain: 0.5x, 1x, 2x, or 4x 1x

Sweep: 6.25, 12.5, 25, or 50 mm per second 25 mm per second

Size: 25 mm 25 mm

Waveform 4:

Type: Lead I, Lead II, Lead III, Lead V,

Lead avL, Lead avR, Lead avF,

Pleth, IBP 1, IBP 2, EtCO

, O

Primary Halogenated Agent, N

Breath by Breath, and Off PLETH

Gain: 0.5x, 1x, 2x, or 4x 1x

Sweep: 6.25, 12.5, 25, or 50 mm per second 25 mm per second

Size: 12 or 25 mm 12 mm

Waveform 5:

Type: Lead I, Lead II, Lead III, Lead V,

Lead avL, Lead avR, Lead avF,

Pleth, IBP 1, IBP 2, EtCO

, O

Primary Halogenated Agent, N

Breath by Breath, Cascade, and Off aVL

Gain: 0.5x, 1x, 2x, or 4x 1x

Sweep: 6.25, 12.5, 25, or 50 mm per second 25 mm per second

Size: 12 or 25 mm 12 mm

Waveform 6:

Type: Lead I, Lead II, Lead III, Lead V,

Lead avL, Lead avR, Lead avF,

Pleth, IBP 1, IBP 2, EtCO

, O

Primary Halogenated Agent, N

Breath by Breath, Cascade, and Off aVR

Gain: 0.5x, 1x, 2x, or 4x 1x

Sweep: 6.25, 12.5, 25, or 50 mm per second 25 mm per second

Size: 12 or 25 mm 12 mm

3 —1

3 — Alarms and Messages

Alarm Description

The

Veris

monitor provides both audible and visible alarm indicators

to alert the operator of system status changes and physiological

parameter alarms.

Alarms are provided for all monitored parameters. Each parameter

limit alarm condition triggers both audible and visible alarms until one

of the following events occurs:

• The parameter value returns to within the alarm limit.

• The alarm limit is set beyond the present parameter value.

• The SILENCE key is pressed. (Audible alarms only)

• The monitor is placed in Standby Mode.

NOTE: The Alarm Limits menu only displays the parameters present

in the configuration.

Remote Display Alarms

The alarms that appear and sound on the patient monitor also appear

and sound on the optional remote display. The delay time for the

alarm from the patient monitor to the remote display is less than 1

second. Alarms can be silenced or turned off from the remote display

as if they were silenced or turned off at the patient monitor.

Audible Alarms

All alarms conform to EN 475 requirements. Informational messages

and system alerts do not have an audible alarm component.

HIGH PRIORITY ALARMS

The high priority alarm consists of a pair of audible bursts. Each burst

consists of 5 tone pulses. The pair of bursts repeat every eight

seconds. For each burst there is a short delay between the third and

fourth pulse. The frequency of each pulse is 1000 Hz.

MEDIUM PRIORITY ALARMS

Each medium priority alarm consists of an audible burst of three

pulses repeated approximately every 25 seconds. The frequency of

each pulse is 800 Hz.

LOW PRIORITY ALARMS

Each low priority alarm consists of an audible burst of two pulses

repeated approximately every 15 seconds. The frequency of each

pulse is 350 Hz.

ADVISORY ALERTS

Each advisory alert consists of an audible burst of two pulses

repeated approximately every 5 minutes. The frequency of each

pulse is 300 Hz.

MEDRAD

Veris

8600

3 —2

Visible Alarms

In addition to audible alarms, visual text and symbol alarms are

displayed on the screen. Each message or symbol is specific to its

respective parameter or condition.

FLASHING NUMERICAL PARAMETERS

If a physiological parameter exceeds a high limit or falls below a low

limit value, the numerical value displayed flashes. This function

cannot be suspended and is visible when pop-up menus are

activated.

ALARM MESSAGE LINES

There is space for two text lines provided directly below the NIBP box.

If multiple alarms are active, they alternate in the alarm area. The

bottom line is used for the informational messages and advisory

alerts.

Low level alarms and informational level messages are displayed in

this area for the vital signs that have a waveform displayed. For

parameters that do not have a waveforms displayed, all level of

alarms are reported in the Alarm Message Lines.

Informational, low, and medium level alarm text messages appear in

yellow and high alarm warning messages appear in red.

WAVEFORM SLOT VISUAL ALARMS

When a high or medium alarm occurs for a vital sign that has an

active waveform, the message appears in the top center of the

waveform traces in large text. If there are multiple alerts to be

displayed in a waveform slot, the messages alternate.

If the waveform exists in multiple slots, either through cascade or

duplicate waveforms from alternate leads, the waveform messages

only occur in the top most slot.

Waveform Slot Alarms are not visible during the following conditions.

• The waveform is not selected to be displayed.

• A pop-up window or menu covers the waveform slot.

If a high or medium level alarm message cannot be displayed in the

waveform slot due to a pop-up window, the alarm message displays

in the Alarm Message Lines near the bottom of the screen.

Waveforms Frozen

If a waveform is “frozen” and data is still being acquired, high and

medium alarm messages appear based on the real-time data being

acquired, not the “frozen” waveform.

SpO2

Adult

V000 - NO ADMIT

SPO2: SENSOR

- +

1mV

HIGH PULSE RATE

3 —3

3 —Alarms and Messages

Alert Icons

There are three alert icons that may appear on the main screen.

SUSPENDED ALARM ICONS

The alarm inhibit icon appears in the parameter boxes when an

individual parameter’s alarms are turned OFF.

When a red bell icon appears in the top waveform slot, all the

monitor’s audible alarms have been silenced. The duration of the

silence condition appears to the right of the bell icon.

2 Min = 2 minutes

= permanent

Visual alarms continue to be displayed as described.

BATTERY ICONS

Battery icons appear in the System Status Line indicating battery

status when AC (Mains) power is not available and battery charging

status when AC (Mains) is connected. The batteries change color

depending on their charge status. A battery icon with a cardiac

waveform also appears in the Heart Rate parameter box to indicate

the status of the ECG module battery. See “Battery Indicators” on

page 2-2 for more information about battery status and charging.

Special Alarm Conditions

The monitor’s alarms may be adjusted to suit the specific needs of

the clinical environment. Special functions are included for the benefit

of the user, so that “nuisance alarms” during patient setup do not

become distracting to the caregiver. Alarm Silence and Standby

Mode are available for this purpose. There are additional safeguards

included to protect against the misuse of these functions.

Alarms at Start Up

Audible alarms do not occur until the first valid measurement has

occurred for that parameter. Visual messages and alarms are present

immediately when a module is activated.

Alarm Silence

A SILENCE key is provided on the front panel of the monitor.

SILENCE 2 MINUTES

Pressing this key momentarily begins a two minute alarm silence.

The alarm icon appears in the System status Line followed by the

message 2 Min in white text.

New high and medium level alarms end the two minute silence when

the alarm condition occurs.

Pressing the SILENCE key a second time ends the silence condition

and normal alarms resume.

∞

MEDRAD

Veris

8600

3 —4

PERMANENT SILENCE

• All alarms are silenced, including those at higher levels, until the

permanent silence is ended.

Press and hold the SILENCE key to permanently silence the alarms.

The alarm icon appears in the System Status Line followed by an

infinity symbol. Notice that the long key-press tone occurs after

holding the key in for two seconds, confirming that permanent silence

was selected.

Pressing the SILENCE key a second time ends the silence condition

and normal alarms resume.

Alarms tone warning

(Warning Tone)

During a permanent alarm silence condition, and when this safeguard

is activated, an Alarms tone warning (Warning Tone) occurs when a

new high or medium level alarm is generated. The tone is a low

pitched double beep the same as the long key press tone.

A password is required to turn this function off. The Alarms tone

warning function can be set in the CONFIG menu.

Alarm Volume

The alarm volume can be set to levels 1 to 10 with 10 being the

loudest. This can be set in the ALARMS menu.

The alarm volume cannot be set to OFF. To permanently silence the

monitor press and hold the SILENCE key.

NOTE: This function does not change the volume of the audible heart

rate. The pulse tone volume is adjusted separately in the PARAMS

menu.

NOTE: The Alarm Limits menu only displays the parameters present

in the configuration.

Minimum Volume Auto-Reset

When the monitor is powered on, the last alarm volume setting

resumes, except when the previous volume setting was 1. In this case

the monitor returns with a volume setting of 2. This function cannot be

disabled.

CAUTION

3 —5

3 —Alarms and Messages

Standby Mode

This is a function on Base, Base Plus, and all Cardiology systems.

This function may be set in the CONFIG menu. It is not password

protected. All functions and alarms are suspended in Standby Mode.

The screen appears blank and the message STANDBY MODE

displays in large red characters.

If the Standby Tone is set to ON, The monitor beeps once every

minute when in Standby Mode. There is a single low pitched beep to

alert the user that the monitor has been left in Standby Mode.

Agent Standby Mode

This is a function on all Anesthesiology systems. The

AGENT STANDBY

MODE

message appears in the top waveform slot in large red letters.

The symbol for permanent alarm silence also appears at the top of

the display.

The SILENCE key is not active during Agent Standby Mode. All

audible alarms are suspended until the STAND BY key is pressed.

The Agent Standby Mode is provided so that the

Veris

monitor can be

set up and checked with an anesthetic delivery system prior to clinical

use without generating distracting alarms.

Perform any preparatory procedures as required by your hospital’s

protocols.

Press the STAND BY key to begin patient monitoring. The standby

message disappears and normal alarms resume. The SILENCE key

also returns to normal operation.

Standby Mode Timeout

This is a function on Base, Base Plus, and all Cardiology systems

and affects the Standby Mode. The Standby Mode Timeout can be

set in the CONFIG softkey menu. The monitor automatically returns

to monitoring within a specified amount of time. The range can be set

from 5 minutes to 2 hours, or OFF. A password is required to change

the setting for this safeguard.

SpO

Low Limit Auto-Reset

If the SpO2 alarm limit level is set below 85%, the monitor

automatically returns to the value 90% each time the monitor is

turned on. If the CUSTOM DEFAULTS are set with an SpO2 low limit

value above 85%, the monitor automatically returns to the higher

value each time the monitor is turned on. This function cannot be

disabled.

SpO

Low Limit Off Alarm

There is an alarm message generated if the SpO2

Low Limit is set to

OFF. The message LOW SAT OFF appears in yellow text in the Alarm

Message Lines. This alarm message continues to display regardless

of the SpO2 module being set to on or off in the PARAMS menu.

The monitor also displays the alarm alarm inhibit icon in the lower

right corner of the SpO2 numerical display box. The red alarm inhibit

icon is normally displayed when any SpO2 limit is turned off.

MEDRAD

Veris

8600

3 —6

Triggering an Alarm

A patient alarm is activated only when the value of one of the

patient's parameters exceeds one of the alarm limits. For example, if

the high saturation limit is set to 97%, the

Veris

monitor sounds an alarm

when the patient’s SpO2 reaches 98%. It will not alarm at 97%.

Similarly, if the low saturation limit is set to 90%, the alarm sounds

when the patient's SpO2 falls to 89% or below.

• To trigger an alarm, the patient's value must exceed the

parameter's limit.

Alarms Testing

To check and ensure that the audible and visual alarm limit settings

are operating as expected, the user may do so by performing the

following suggested procedure:

1. Apply power to the monitor. Observe that all displays and LEDs

illuminate.

2. Place the SpO2 probe on your finger. Allow readings to stabilize.

3. Observe the pulse rate that is being displayed and adjust the

low pulse rate limit to a value greater than the observed pulse

rate value.

4. Verify that the low pulse rate violation message is displayed on

the LCD message bar and that the alarm tone sounds.

5. Once verified, return the low pulse rate or SpO2 waveform limit

to the previously set value, or to one that is required for the

patient to be monitored.

WARNING

3 —7

3 —Alarms and Messages

Alarm Message List

Included here is a list of messages, alerts, and alarms that may

appear in the waveform slots or in the system message lines of the

display.

Shared Source Alarms

Alarms and messages for heart rate may be generated by more than

one parameter.

Priority Description

LOW PULSE RATE High The heart rate value has dropped below the value set

in the ALARMS menu. This can be generated from

the ECG, IBP, SpO2, or the NIBP module.

HIGH PULSE RATE High The heart rate value has exceeded the value set in

the ALARMS menu. This can be generated from the

ECG, IBP, SpO2, or the NIBP module.

ECG Alarms

Priority Description

ECG:LOST High The ECG amplitude is too low. Check electrodes,

lead wires, and cables. If necessary, change to a

different lead.

ECG:LA LEAD OFF User Selectable The left arm lead is off. Reconnect the lead.

ECG:LL LEAD OFF User Selectable The left leg lead is off. Reconnect the lead.

ECG: V LEAD OFF User Selectable The chest lead is off. Reconnect the lead.

ECG:LEADS OFF User Selectable The ECG leads are off. Either the right leg is off or

there is more than one lead off. Check the lead(s).

SpO

Alarms

Priority Description

SpO2: ERROR Low The monitor has detected a fault with the SpO2

function. Contact MEDRAD Service or your local

representative.

SpO2:SENSOR Low The SpO2 sensor is not properly positioned.

SpO2:HIGH AMBIENT Low The SpO2 module is reading excessive light. Shield

the sensor or reduce the amount of ambient light.

SpO2:SEARCH Low The module cannot find a pulse in SpO2 signal.

SpO2:SIGNAL Low The SpO2 signal is too weak to measure. Check

sensor site for low perfusion and reposition sensor if

necessary.

SpO2:LOST Medium The monitor is receiving no SpO2 signal. Check

sensor site for low perfusion and reposition sensor if

necessary.

SpO2:NO SENSOR Low The SpO2 sensor or extension cable is missing or

defective. Connect or replace the sensor or the

extension cable.

MEDRAD

Veris

8600

3 —8

Priority Description

LOW SpO2High/Medium The SpO2 value has dropped below the value set in

the ALARMS menu. This alarm can be set to high or

medium priority in the PARAMS menu.

HIGH SpO2Medium The SpO2 value has exceeded the value set in the

ALARMS menu.

LOW SAT OFF Informational The SpO2 low limit has been set to OFF in the

ALARMS menu.

Temperature Alarms

Priority Description

TEMP1: NO PROBE Low Probe is not present for temperature channel 1.

TEMP1:BAD PROBE Low Temperature probe for temperature channel 1 is

defective.

TEMP1: NOT READY Low Set-up period for temperature channel 1

TEMP1:ERROR Low The monitor has detected a fault with the temperature

module for temperature channel 1. Contact the

MEDRAD Service Department.

LOW TEMP1 Medium Temperature value for temperature channel 1

dropped below the value set in the ALARMS menu.

HIGH TEMP1 Medium The temperature value for temperature channel 1 has

exceeded the value set in the ALARMS menu.

TEMP2: NO PROBE Low Probe is not present for temperature channel 2.

TEMP2:BAD PROBE Low Temperature probe for temperature channel 2 is

defective.

TEMP2: NOT READY Low Set-up period for temperature channel 2

TEMP2:ERROR Low The monitor has detected a fault with the temperature

module for temperature channel 2. Contact the

MEDRAD Service Department.

LOW TEMP2 Medium Temperature value for temperature channel 2

dropped below the value set in the ALARMS menu.

HIGH TEMP2 Medium The temperature value for temperature channel 2 has

exceeded the value set in the ALARMS menu.

3 —9

3 —Alarms and Messages

NIBP Alarms

Priority Description

BP: SYS HIGH Medium The systolic value has exceeded the value set in the

ALARMS menu.

BP: SYS LOW Medium The systolic value has dropped below the value set in

the ALARMS menu.

BP: DIA HIGH Medium The diastolic value has exceeded the value set in the

ALARMS menu.

BP: DIA LOW Medium The diastolic value has dropped below the value set

in the ALARMS menu.

BP: MAP HIGH Medium The mean arterial pressure value has exceeded the

value set in the ALARMS menu.

BP: MAP LOW Medium The mean arterial pressure value has dropped below

the value set in the ALARMS menu.

BP: CALIB ERROR Low The monitor had detected a fault with the calibration.

Cycle the power to the monitor. If the problem

persists, contact MEDRAD Service or your local

representative.

BP: CHECK CUFF Low Displayed when a neonatal cuff is used while the

monitor is in the adult or pediatric mode. Switch to

neonatal mode when using a neonatal cuff. Can also

indicate a leak in the cuff, or the cuff is wrapped too

loosely.

BP: EXCES MOTION Low Patient motion or shivering is interfering with an

accurate reading.

BP: LO PULSE AMP Low Pulse amplitude is too low. Reposition cuff.

BP: NO DEFLATE Low The monitor was unable to deflate the NIBP cuff.

Disconnect the cuff and contact MEDRAD Service or

your local representative.

BP: MAX TIME Low Maximum time (2 minutes) allowed for measuring the

blood pressure has been exceeded. Repeat

measurement.

BP: MAX PRESSURE Low Maximum allowed cuff pressure (300 mmHg adult or

150 mmHg neonatal) has been attained.

BP: PLEASE WAIT Informational The cuff has not completely deflated. Wait for

deflation and then press NIBP key again.

BP: ERROR Low The monitor has detected a fault with the NIBP

function. Contact MEDRAD Service or your local

representative.

BP: NOISE Low The monitor was unable to take a blood pressure

reading due to noise on the NIBP signal. Keep the

patient still while the NIBP reading is being taken.

BP: NOT TAKEN Low The monitor was unable to take a blood pressure

reading. Check cuff position.

MEDRAD

Veris

8600

3 —10

IBP Alarms

Priority Description

HR LOST High The heart rate value has dropped below the

detectable limit for the channel. Verify that the correct

site has been selected for the channel. This message

is only generated for channels set to ART or PA sites.

HIGH SYS Medium The systolic value has exceeded the value set in the

ALARMS menu.

LOW SYS Medium The systolic value has dropped below the value set in

the ALARMS menu.

HIGH DIA Medium The diastolic value has exceeded the value set in the

ALARMS menu.

LOW DIA Medium The diastolic value has dropped below the value set

in the ALARMS menu.

HIGH MAP Medium The mean arterial pressure value has exceeded the

value set in the ALARMS menu.

LOW MAP Medium The mean arterial pressure value has dropped below

the value set in the ALARMS menu.

OFF SCALE Informational The IBP value has exceeded the scale for the

channel, and the waveform has been clipped. Adjust

the range to display the entire waveform.

NO XDUCER Informational Transducer is not connected to the channel. Check

cable connections and verify that the correct

transducer is being used.

BAD XDUCER Informational An incorrect or damaged transducer is connected to

the channel. Specified transducers must have an

impedance greater than 300 ohms.

FACT CAL Medium There is an error in the factory calibration memory.

IBP monitoring is suspended until corrected. Contact

MEDRAD Service or your local representative.

ZERO GOOD Informational The IBP zero calibration for the channel was

successful. The zero pressure point has been

adjusted to the current ambient room pressure.

ZERO FAIL Informational The zero calibration was unsuccessful. Calibration

was aborted due to detection of beat or pressure

fluctuations. Contact MEDRAD Service or your local

representative if the monitor continues to fail

calibration.

NOT ZEROED Informational The transducer needs to be zeroed. Calibrate the

monitor with the transducer.

NOTE: IBP alarms are preceded by the specific site and channel

number such as ART1:NO XDUCER.

3 —11

3 —Alarms and Messages

Capnometry (CO

)

Alarms and Messages

Priority Description

LOW EtCO2Medium The end-tidal CO2 value has dropped below the value

set in the ALARMS menu.

HIGH EtCO2Medium The end-tidal CO2 value has exceeded the value set

in the ALARMS menu.

LOW INCO2Medium The inspired CO2 value has dropped below the value

set in the ALARMS menu.

HIGH INCO2Medium The inspired CO2 value has exceeded the value set

in the ALARMS menu.

LOW RESP Medium The respiration value has dropped below the value

set in the ALARMS menu. This is generated from the

capnography module.

HIGH RESP Medium The respiration value has exceeded the value set in

the ALARMS menu. This is generated from the

capnography module.

Agent Gas

Alarms and Messages

Priority Description

AGT:NO BREATH High No breath detected. Check patient for apnea. Check

sampling device and adjust placement if necessary.

May indicate a leak in the breathing circuit.

AGT:OCCLUSION Medium The sampling line or water trap to the

Veris

monitor is

completely blocked. The

Veris

monitor attempts to

clear the block by drawing the occlusion into the

water trap. Replace sampling line as necessary.

CO2: BENCH FAIL Low A hardware failure has been detected. Contact

MEDRAD Service or your local representative.

CO2: NO EXHAUST Low Scavenging line on the

Veris

monitor is blocked or the

scavenging system is defective. Remove blockage or

correct gas scavenging system.

AGT:IR FAIL Low A hardware failure has been detected. Contact

MEDRAD Service or your local representative.

AGT:PNEUMATICS Low A hardware failure has been detected. Contact

MEDRAD Service or your local representative.

O2:SENSOR Low The O2 cell inside the monitor is expended and must

be replaced. Contact MEDRAD Service or your local

representative.

REPLACE TRAP Medium The

Veris

monitor trap needs to be replaced.

AGT: BAD CAL Low The

Veris

monitor was unable to calibrate agent gas

detector. Contact MEDRAD Service or your local

representative.

MEDRAD

Veris

8600

3 —12

Priority Description

AGT: AUTO CAL Quiet Medium The agent bench is doing an auto calibration.

AGT: WARMING Informational The

Veris

monitor has not attained full accuracy for

agent concentrations.

AGT: DISCONNECT Informational There is an agent bench hardware error.

WRONG AGENT High The primary agent that the operator has selected

does not match the highest concentration agent

detected by the analyzer. Check the primary agent

setting and the agent delivery system immediately.

This alarm is not active when automatic primary

agent detection is selected.

MIXED AGENT Medium More than one halogenated agent is present.

LOW INS AGENT Medium The inspired agent value has dropped below the

value set in the ALARMS menu.

HIGH INS AGENT Medium The inspired agent value has exceeded the value set

in the ALARMS menu.

LOW EXP AGENT Medium The expired agent value has dropped below the value

set in the ALARMS menu.

HIGH EXP AGENT Medium The expired agent value has exceeded the value set

in the ALARMS menu.

LOW INS N2O Medium The inspired N2O value has dropped below the value

set in the ALARMS menu.

HIGH INS N2O Medium The inspired N2O value has exceeded the value set

in the ALARMS menu.

LOW EXP N2O Medium The expired N2O value has dropped below the value

set in the ALARMS menu.

HIGH EXP N2O Medium The expired N2O value has exceeded the value set in

the ALARMS menu.

AGT:INSERT TRAP Medium The water trap on the

Veris

monitor is not inserted.

Trap is partially blocked, wrong type of trap, or

defective. Replace trap.

AGT:MANUAL MODE Informational The monitor is set to manual identification of a

selected primary agent. The WRONG AGENT

warning appears if the selected agent does not

match the detected primary agent.

AGT:AUTOMATIC Informational The monitor is set to automatic identification of the

current primary agent.

3 —13

3 —Alarms and Messages

Oxygen Monitoring

) Alarms

Priority Description

LOW EtO2Medium The expired O2 value has dropped below the value

set in the ALARMS menu.

HIGH EtO2Medium The expired O2 value has exceeded the value set in

the ALARMS menu.

LOW INO2Medium The inspired O2 value has dropped below the value

set in the ALARMS menu.

HIGH INO2Medium The inspired O2 value has exceeded the value set in

the ALARMS menu.

MEDRAD

Veris

8600

3 —14

System Alerts

Priority Description

LOW BATTERY Advisory Battery power is low. Recharge batteries.

NO ADMIT Informational The patient has not been admitted in the ADM/DIS

menu.

WAVEFORM FROZEN Informational The user has selected the waveforms to be frozen.

Press the FREEZE key again to resume normal

display.

ECG OFF Informational The ECG module has been turned off.

PRINT: PAPER OUT Informational The printer on the remote display has detected the

end of the paper roll.

PRINT: HEAD UP Informational Paper is loaded and manual lever is up on the remote

display. Move the lever to the down position. Check

for paper jam.

PRINT: Vp ERROR Informational Internal printer communication problem on the

remote display. Contact MEDRAD Service.

PRINT: TEMP ERR Informational The thermal printing element on the remote display is

not at the correct temperature. Contact MEDRAD

Service or your local representative.

Vxxx - NO ADMIT Informational The patient has not been admitted and wireless

communication is not setup. The numbers following

the “Vxxx” indicate the unit’s wireless network

indentifier.

CONM H/W ERROR Low Indicates that the NIBP board is not communicating.

VSM H/W ERROR Low Indicates that the Vital Signs Module (VSM) board is

not communicating.

IBP H/W ERROR Low Indicates that the IBP board is not communicating.

4 —1

4 — Trends

Description

The trend memory stores patient data at regular intervals for review

at a later time. Trend data can be reviewed by printing it out on the

remote display’s built-in printer, through the serial port, or on the

screen. Trend data is date and time stamped.

To view the tabular trend, press the TREND key and the table

appears in the lower channels of the waveform display.

Trend Interval

The trend interval can be changed by pressing and holding the

TREND key while viewing the tabular trend. A second window

appears which allows you to change the trend interval by rotating the

control knob.

Trend data for each parameter is stored as follows:

•SpO

2 value is stored every 30 seconds at the zero and 30

seconds mark.

• The precedent heart rate is stored every 30 seconds at the zero

and 30 second marks. This data is recorded from secondary

sources if the primary sources are unavailable.

• Respiration value is stored every 30 seconds at the zero and 30

seconds mark.

• NIBP storage is determined by cycle time interval, demand and

stat readings. Every NIBP reading is stored in the trend

memory.

• Continuous temperature readings are stored every 30 seconds

at the zero and 30 seconds mark.

• Inspired and expired CO2 and O2 data is stored every 30

seconds at the zero and 30 seconds mark.

• IBP data is stored every 30 seconds at the zero and 30 seconds

mark.

• Agent and N2O data is stored every 30 seconds at the zero and

30 seconds mark.

Capacity

The trend memory can store up to 24 hours of trend data at 30

second intervals, with a maximum of 480 NIBP readings and/or

tabular trend markers in a 24 hour interval.

When the trend memory is filled to maximum capacity, the new trend

data begins to overwrite the oldest trend data in the memory.

Trend Screen Update

The table is not updated while it is being viewed. Scroll up to view

data that is recorded after the trend screen is activated. The trend

screen automatically returns to the main screen after 45 seconds.

MEDRAD

Veris

8600

4 —2

Trend Setup

Up to two parameters may be viewed in graphical format in the trend

window. Change the trend view in the Trend Setup window.

To view trends:

1. Press the TREND key to enter the trend window.

2. Either the Tabular or Graphics Trend appears.

3. Press and hold the TREND key to enter the Trend Setup

window.

4. Set the trend type to Graphical or Tabular.

5. Press the TREND key. The trend displays.

6. Rotate the knob clockwise to see older data.

7. Press and hold the TREND key to exit trends.

Selecting EXIT returns to the main screen. Press the TREND key

again to return to the trend display after changing the settings.

NOTE: The trend setting window defaults to Tabular Trend. The

Settings for Trend Interval, First Trend Parameter and Second Trend

Parameter are not visible until the Trend Type is set to Graphical.

4 —3

4 —Trends

If Graphical is selected, set the Trend Interval and Trend Parameters

as desired.

Figure 4-1: Graphical Trend Setup Window

If Tabular is selected, the Trend Screen is set to Basic Trend Display

for Base and Cardiology models. On Anesthesia models select Basic

Trend Display or Advanced Trend Display. Select YES or NO for Use

parameter colors.

Figure 4-2: Tabular Trend Setup Window

EXIT

Trend Type Graphical

Trend Interval 4 Hours

First Trend Parameter HR Color ¤

Second Trend Parameter SPO2 Color ¤

Trend Screen Normal

Clear Trend NO

EXIT

Trend Type Tabular

Trend Interval 4 Hours

Trend Screen Basic Trend Display

Use Parameter Colors YES

Clear Trend NO

MEDRAD

Veris

8600

4 —4

Graphical Trends

The graphical trend window covers the lower five waveform slots. The

physiological parameter and the unit of measurement is listed

vertically on the left side for the first displayed line graph. The second

line graph is labeled vertically on the right side.

The graphical trend window displays for about 45 seconds before

timing out. The trend window does not update automatically. The

trend window updates each time it is accessed.

The most current data is always displayed on the right side. Time

stamps for the selected Trend Interval are indicated below the line

graphs.

Scrolling the Graph

The trend window can be set to display up to 24 hours of data.

Rotating the knob clockwise scrolls the graph to show older data.

Rotating the knob counter-clockwise scrolls back towards the most

current data.

The rate of advance varies with the selected Trend Interval.

Trend Interval Minutes per each click

2 hours 1

4 hours 2

8 hours 4

12 hours 6

24 hours 12

The time stamps are updated each time the knob is rotated. It is not

possible to scroll past the current time.

The trend graph resets to the current time stamp upon exiting to the

main screen and returning to the trend window. The trend graph

remains at the selected time location while entering and returning

from the trend settings window.

Interruption Due to

Power Cycling or Standby Mode

The graphical trend has gaps due to power cycling of the monitor. If

the period of missing data is within the last 24 hour period the gaps

appear where the power was turned off. The graphical trend also has

gaps when the monitor is placed in Standby Mode. These gaps are

defined with gray backgrounds.

If the power was turned off or the Standby Mode existed for a period

of more than a day, a blank period is inserted between the new and

old data. The new data begins on a new window with new time

stamps. The gap between the monitoring sessions is equal to the

Trend Interval in length.

4 —5

4 —Trends

Graphical Trend Display

Two physiological parameters may be displayed at the same time in

the graphical trend window. For IBP and NIBP the pressure values for

diastolic, systolic and mean will be represented. The line graphs are

shown in the color selected by the user for trend displays.

Figure 4-3: Graphical Trend Screen

The sample graphical trend screen above shows HR and arterial IBP

data from IBP channel one (IBP1). The IBP data is displayed as a set

of thinner black lines for systolic, MAP, and diastolic values

respectively. (On the monitor screen the IBP data is represented in

the color selected by the user.) The lowest of the four lines is the HR

information. The color of the heart rate line is user-selectable in the

Trend Setup menu.

NOTE: The color of the heart rate waveform remains the color the

user set it as. The illustration above shows changes merely to

highlight the waveform as it changes its source.

10:12 a.m. Monitoring began.

4:00 p.m. IBP event is recorded.

10:00 p.m. ECG leads removed. (HR defaults to IBP)

4:00 a.m. IBP lines removed. (HR defaults to SpO2)

10:12 a.m. Current HR from SpO2 source.

ALARMS PARAMS DISPLAY

ADM/DIS CONFIG PRINT

Art1:NO XDUCER

14:12:59

ºC

IBP1 ART

EXP

INS

MAP

ZERO IP1

ZERO IP2

CYCLE OFF

NIBP AGE 24;18 min mmHg

Br/m

1mV

SpO2

IBP2 CVP

mmHg

150 ml/min

mmHg

CO2

GAS O2

HAL

N2O

EXP

INS

BPM

RESP

98 98

37.1

ECG:LEADS OFF

11.0 39

10.5 64

- +

147/89

(107)

- +

John Smith

(125)

(13)

145/105

SpO2

300

10:12

JUN-18-04

10:12

JUN-18-04

0-10

-10

145

150

300

22:12

CO2

IBP1

mmHg

BPM

Adult

- +

4:00 PM

10:00 PM

4:00 AM

MEDRAD

Veris

8600

4 —6

Tabular Trends

Tabular Trend Markers

Various messages appear in the tabular trend to indicate that system

events have occurred. A complete list is as follows:

STNDBY ON STNDBY OFF

AGT STNDBY ON AGT STNDBY OFF

AUDIO ON AUDIO OFF

FREEZE ON FREEZE OFF

SIM ON SIM OFF

NEW PAT POWER

NOTE: Permanent silence and two minute silence are both recorded

as an AUDIO ON/OFF event in the tabular trend table.

Trend Messages

The trend also records messages in the trend table that indicate the

status of the monitor at that time. The time and date stamp is also

recorded when a marker is recorded. All messages appear in the

trend table regardless of the interval selected for the table or the time

that the message occurred. Markers are recorded for:

• Standby Mode is entered or exited (STNDBY ON/STNDBY

OFF);

• Agent Standby Mode is entered or exited (

AGT

STNDBY ON/

AGT

STNDBY OFF);

• Silence Mode (both two minute and permanent) is entered or

exited (AUDIO ON/AUDIO OFF);

• Waveforms are frozen or unfrozen (FREEZE ON/FREEZE

OFF);

• Power is turned on or off (POWER); or

• A new patient is admitted or discharged via the ADM/DIS

window (NEW PAT).

NOTE: If the patient size is changed while admitting a new

patient all the previous trend data is cleared.

At midnight the monitor records the date change into the trend table.

This does not occur if the monitor was turned off at midnight.

4 —7

4 —Trends

Data Format

The parameters are listed in the first column followed by the units.

• Time stamps at the half minute mark are displayed with a plus

“+” sign.

• Measured parameters that exceed or drop below alarm limits

are highlighted.

• When a sampling module is on and no value can be determined

for the parameter, three dashes “---” are displayed in the trend

table.

• If a sampling module is turned off in the PARAMS window, the

word OFF displays in the trend.

• If a sampling module is turned on and no valid measurement

has been taken, the word ERR displays in the trend if the

parameter has an error condition.

• If there is no NIBP data for a particular time stamp, the NIBP

trend area is left blank.

NOTE: The Trends are automatically cleared when the DATE/TIME is

changed.

_______________________________________________________

18-JUN-04 11:45+ 11:45 11:44+ 11:44 11:43+ 11:43

RATE BPM 60E 60E 60E 60E

SpO2 % 99 99 99 98 NEW POWER

NIBP SYS mmHg PAT

DIA mmHg

MAP mmHg

TEMP 1 °F 98.6 98.6 98.6 98.6

TEMP 2 °F 98.6 98.6 ERR ERR

RESP Br/m 20C 20C 20C 20C

IBP1 SYS mmHg 145 144 144 146

DIA mmHg 105 105 105 105

MAP mmHg 125AR 124AR 124AR 126AR

IBP2 SYS mmHg

DIA mmHg

MAP mmHg 13CV 13CV 13CV 13CV

_______________________________________________________

Figure 4-4: Sample Trend Table (Base and Cardiology)

For the trend table shown the interval is set to 30 seconds.

MEDRAD

Veris

8600

4 —8

Anesthesia units display two trend screens. The default is Basic

Trend Display. Select Advanced Trend Display for Trend Screen in

the Trend Setup Window to view the second tabular trend screen.

The Basic Trend Display screen displays:

• Heart rate

•SpO

• NIBP (Systolic, Diastolic, and MAP)

• Temp 1 and 2

• Respiration

•CO

2 (Inspired and Expired)

•O

2 (Inspired and Expired)

• Agent (Inspired and Expired)

•N

2O (Inspired and Expired)

_______________________________________________________

18-JUN-04 11:45+ 11:45 11:44+ 11:44 11:43+ 11:43

RATE BPM 60E 60E 60E 60E

SpO2 % 99 99 99 98 NEW POWER

NIBP SYS mmHg PAT

DIA mmHg

MAP mmHg

TEMP 1 °F 98.6 98.6 98.6 98.6

TEMP 2 °F 98.6 98.6 ERR ERR

RESP Br/m 20C 20C 20C 20C

CO2 INS mmHg 8 8 8 8

EXP 27 27 27 27

O2 INS % 21 21 21 21

EXP 17 17 17 17

AGT INS % 10.5H 10.5H 10.5H 10.5H

EXP 11.0 11.0 11.0 11.0

N2O INS % 64 63 64 64

EXP 39 39 39 39

_______________________________________________________

Figure 4-5: Sample Basic Trend Display Table

The Advanced Trend Display screen displays:

• IBP1 (Systolic, Diastolic, and MAP)

• IBP2 (Systolic, Diastolic, and MAP)

_______________________________________________________

18-JUN-04 11:45+ 11:45 11:44+ 11:44 11:43+ 11:43

IBP1 SYS mmHg 145 144 144 146

DIA mmHg 105 105 105 105

MAP mmHg 125AR 124AR 124AR 126AR

IBP2 SYS mmHg

DIA mmHg

MAP mmHg 13CV 13CV 13CV 13CV

_______________________________________________________

Figure 4-6: Sample Advanced Trend Display Table

NOTE: The Advanced Trend Display screen only displays IBP

information. To view trend data of the other parameters, you must

reset Trend Screen in the Trend Setup Window to Basic Trend

Display.

4 —9

4 —Trends

HEART RATE SOURCE INDICATION

The source of the heart rate data is indicated by a letter following

each heart rate value.

• E = electrocardiogram,

• I = invasive blood pressure,

• S = pulse oximetry and

• N = Non-invasive blood pressure.

IBP SITE INDICATION

The IBP site is indicated by a letter following each mean value.

• AR = Arterial (ART)

• PA = Pulmonary Artery (PA)

• CV = Central Venous (CVP)

• RA = Right Atrial (RA)

• LA = Left Atrial (LA)

• IP = Intracranial (ICP)

• RV = Right Ventricle (RV)

• LV = Left Ventricle (LV)

RESPIRATION SOURCE INDICATION

The source of the respiration data is indicated by a letter following

each respiration value.

• C = capnometer (CO2 module).

AGENT SOURCE INDICATION

The agent source is indicated by a letter following the inspired value

for the agent.

• H = Halothane

• E = Enflourane

• I = Isoflourane

• D = Desflurane

• S = Sevoflurane

•U = Unknown

MEDRAD

Veris

8600

4 —10

Clearing the Memory

To clear the trend memory:

1. Press the TREND key to display the trend.

2. Press and hold TREND key again to display the trend setup

window.

3. Select the clear trend option and select YES to confirm the

clearing of the trend data.

The trend memory is automatically cleared when:

• The time and/or date are changed in the menu

• The patient size is changed (adult/pediatric/neonate).

5 —1

5 — ECG

Theory of Operation

Heart Rate

The heart rate is determined primarily from the ECG waveform data.

The monitor has a user selectable smart heart rate function. It

automatically uses alternate sources to determine heart rate, if the

primary source becomes unavailable.

• The IBP pulse rate is used if the ECG waveform data is

unavailable.

• The SpO2 pulse rate is used if the ECG and the IBP waveforms

are not available.

• The NIBP pulse rate is used if the ECG, the SpO2, and the IBP

waveforms are not available.

Response times for ECG heart rate meter change from 80 BPM to 40

BPM and from 80 BPM to 120 BPM is less than or equal to 10

seconds.

NOTE: The accuracy and range of the heart rate depends upon the

source. See “Specifications” in Appendix C.

NOTE: The NIBP-based heart rate is not a continuous measurement

and is only current during an NIBP measurement.

ECG Measurement

The electrocardiogram (ECG or EKG) records the changing potential

generated by electrical activity of the heart.

Electrical currents influenced by the cardiac impulse flow through the

body tissue around the heart. Electrodes, placed on the skin on

opposite sides of the heart, transmit the electrical potentials to

circuitry in the ECG module, which in turn amplifies, digitizes

(converts analog signals to digital signals), and transmits this

information to the

Veris

8600 patient monitor by means of light pulses

traveling through fiber optic cable.

The

Veris

8600 patient monitor ECG circuitry filters these received

signals. The signals are used to display the ECG waveform to the

user and to create a waveform and a pulse for scanner gating. Two

different filter types are used. One filter is employed to display the

ECG signal while the second filters the signal for gating purposes.

For more information on gating see “Gating Signals” on page 5-3

MEDRAD

Veris

8600

5 —2

METHOD

To obtain an overall view of the heart's electrical activity, three or five

electrodes attached to a leadset detect electrical impulses from the

patient's heart to the skin. The monitor calculates the difference in

electrical force between two electrode sites. Electrode polarity

(positive, negative, or ground) depends on the cable receptacle the

lead cable is attached to and the lead selected on the monitor screen.

The ECG circuitry amplifies, filters, and digitizes (converts analog

signals to digital signals) the received electrical potentials. The ECG

module converts these electrical signals into light pulses which the

monitor receives and converts back into a recognizable signal.

The ECG design provides for standard 3-lead, or on some systems

5-lead, monitoring. The 3-lead ECG provides conventional bipolar

limb leads (I, II, III). The 5-lead ECG provides additional aVR, aVL,

aVF, and V views.

The monitor has automatic lead switching capability for 5-lead

monitoring, which may be selected by the user. If a lead becomes

detached or is unmeasurable, the monitor can automatically display

an alternate lead view using the remaining leads.

STABILITY OF ACCURACY

The accuracy of the monitor is not affected by arrhythmia or other

physiological conditions where the electrocardiogram amplitude and

heart rate are within the detectable limits specified for the monitor.

The monitor has signal filtering in the 60 Hz and 50 Hz bands that

reduce electrical interference from the AC (mains) power sources.

The accuracy of the ECG is affected by the static and gradient

magnetic fields. Determine only rate and rhythm with the patient in

the presence of a static and gradient magnetic field.

If a defibrilator is used on a patient, the ECG traces disappear. The

traces resume within 10 seconds after defibrilation is complete.

ECG module

The ECG module uses a Fiber Optic Transmit/Receive technology. The

ECG module is a battery-powered, fiber optic interface from the patient

to the monitor.

5 —3

5 —ECG

Gating Signals

The input gating signal is derived from any one of two sources—ECG

or Plethysmogram (SpO2) waveform and is available in 2

user-selectable forms, pulse or waveform. An icon of the gating signal

source and a visual indication appears at the upper left corner of the

heart rate numerical display box.

ECG GATING

Electrical currents influenced by the cardiac impulse flow through the

body tissue around the heart. Three or five electrodes, placed on the

skin on opposite sides of the heart, transmit the electrical potentials

to circuitry in the ECG module, which in turn transmits this

information to the

Veris

monitor by means of light pulses. This

information is further transmitted to the ECG gating interface. The

ECG gating interface then produces a signal out, which can be used

by the MR scanner electronics to cardiac gate an MR scan. The

coupling between the ECG module and the

Veris

monitor, and

between the

Veris

monitor and the gating interface, provides complete

isolation of the patient from the gating interface and MR scanner.

MEDRAD

Veris

8600

5 —4

ECG Monitoring

(Electrocardiogram)

The following instructions describe procedures for preparing a patient

for ECG monitoring.

Shown below is the patient monitor with a fiber optic cable, ECG

module, and a 3-lead leadset (left) and a 5-lead leadset (right)

attached.

Figure 5-7: ECG Cable Connection with the ECG Module

• Use only recommended leadsets. The use of leadsets not

recommended could result in injury, such as patient burns. Use

only the leadset that is included with your

Veris

monitor.

• Use only recommended electrodes. The use of other electrodes

could result in injury, such as patient burns. Use only ConMed

Invisatrace electrodes or other electrodes specifically

recommended by Medrad with the

Veris

monitor.

• The ECG signal is not intended for diagnostic use. Interference

due to static and gradient magnetic fields can occur. Determine

only rate and rhythm during ECG use.

• This device is not intended for intracardiac ECG applications.

Use the ECG monitor and accessories only as directed.

• Do not place defibrillator paddles on or next to ECG patient

electrodes. Contact between defibrillator paddles and ECG

electrodes could injure the patient.

• The conductive parts of the ECG electrodes should not come in

contact with other conductive parts, including earth ground.

Such contact could result in patient injury, death, or equipment

damage.

WARNING

5 —5

5 —ECG

• There is no defibrillator synchronization output on the

Veris

monitor. Make no connections between the

Veris

system and a

defibrillator.

• PACEMAKER PATIENTS: This device does not include

pacemaker spike rejection capability. Heart rate readouts

derived from the ECG patient connections are likely to display

erroneous high or erratic rates when a pacemaker is in use.

Keep pacemaker patients under close surveillance. For

pacemaker patients it may be advisable to select the SpO2

function as the primary heart rate source.

• The heart rate calculated by the ECG module may be affected

by cardiac arrhythmia.

• Leakage currents may increase if other equipment is

interconnected to the patient. The increased leakage currents

may present a hazard to the patient.

• ECG electrodes can cause skin irritation. Change the electrodes

and reposition every 24 hours or sooner if there is sign of

inflammation.

• Place the ECG module out of the imaging volume. Make certain

that the module is stationary (i.e., not moving or vibrating)

• All metallic wires going into the magnet bore will drain off RF

power; the fiber optic cables are non-conductive and will not

drain off power or heat up. For RF exposures up to specific

absorption rates (SAR) of 2.0 W/kg, the ECG leads will not

cause patient burns when they are properly insulated and free

of loops. Monitoring of ECG at very high RF exposures, above

2.0 W/kg, is not recommended for the general patient

population. Such monitoring should be attempted on conscious

patients with good temperature reflex so they may warn the

operator of excessive heat at monitoring sites.

• All cables should be watched carefully during patient loading

and unloading to avoid entanglement with the patient table

mechanisms. Cables and the ECG module should not be

permitted to swing or move during scanning to avoid baseline

wander.

• The "T" wave may become excessively large or inverted with the

patient in the magnetic field. This effect is due to

electromagnetic flow induced voltage and may interfere with

QRS detection. Try other leads and/or electrode placements for

best results.

WARNING

CAUTION

MEDRAD

Veris

8600

5 —6

Protection

The ECG module protection against electric shock is of Type CF with

protection against the effects of defibrillation.

ECG Performance

The

Veris

monitor properly counts normal rhythms with T-Wave

heights to 80% of the QRS height at a heart rate of 80 BPM.

• The presence of tall T-waves greater than 80% of the R-wave

may result in a double counting of beats.

The

Veris

8600 monitor complies to AAMI EC13-2002 with

exceptions. The monitor does not reject beats of 10ms or less in

duration and 1mV or less in amplitude per EC13 section 5.2.6.

The monitor employs a one Hertz filter that allows extraction of ECG

waveforms in an MRI environment. Although this design deviates

from requirements of EC13 per sections 5.2.9.7 and 5.2.9.8, there is

a minimal affect to the aspect ratio, impulse response and the ST

component of the ECG waveform.

The

Veris

monitor does not provide pacemaker pulse detection and

pacer indication per EC13 section 5.2.9.12 and ESU suppression is

not provided per section 5.2.9.14. Since the monitor is intended for

indoor use, the functional ECG temperature range is specified as

15° C to 35° C.

Electrode Selection

MEDRAD recommends using ConMed Invisatrace electrodes. These

electrodes are MRI safe.

See “Accessories” in Appendix D for a complete list of recommended

electrodes and accessories.

WARNING

5 —7

5 —ECG

ECG Module Interface

The ECG module is a battery-powered, fiber optic interface from the

patient to the monitor. The module has five color-coded connectors

along its front surface to interface with the ECG leadsets and 2 color-

coded fiber-optic connectors on the rear surface to interface with the

Veris

monitor.

NOTE: The ECG module protection against electric shock is of type

CF, with protection against the effects of defibrillation.

NOTE: Always keep the ECG module on the charger when not in use,

or when anticipating a period of prolonged inactivity.

The ECG module contains an internal, rechargeable battery. A power

switch is provided on the rear of the module. When the monitor is not

in use, make certain that the power switch on the ECG module is off

to extend battery life. The battery is not user-serviceable and cannot

be replaced.

ECG Module Ports And Switches

The following graphic and table details the ports and switches on the

ECG module.

Figure 5-8: ECG Module Ports, Switches

Item Name Description

1Patient Connectors Color-coded connections for ECG leadset.

2Battery charger

connection Port for plugging the ECG module to the

charger.

3Power Switch This is the power on/off switch.

4Connection to

monitor Fiber optic input/output connections to send

ECG signal to the monitor.

234

MEDRAD

Veris

8600

5 —8

• Do not charge the ECG module battery while the ECG module

is connected to the patient! Charging the ECG module battery

during patient use can lead to electric shock through the

leadset.

• Do not take the ECG module charger into the magnet room! The

ECG module charger contains ferromagnetic material and may

be attracted to the magnet, resulting in patient or operator injury.

• The ECG module contains non-servicable batteries. Improper

disposal of batteries may result in explosion, leakage, or

personal injury. Do not open the batteries. Do not dispose of the

batteries in a fire. Follow all local regulations concerning the

disposal of spent Lithium-Ion batteries or contact Medrad for

assistance.

• Only use the

Veris

ECG module charger to charge the module.

Use of other chargers may damage the module and/or charger.

Do not use the charger on other devices as this may damage

the charger and/or device.

NOTES:

When not in use, turn off the ECG module to extend battery life.

Charge the ECG module at least once per week.

Keep the charger cover on the ECG module closed, except when the

module is being charged. This protects the connector from moisture

or foreign objects.

Battery Condition

When the module is connected and switched on, the ECG module

battery icon on the monitor display indicates the status of the battery.

GREEN: The battery is good; greater than 7 hours of

continuous use remaining

YELLOW: The battery is low; less than 7 hours of continuous

use remaining. Charge the module as soon as

possible.

BLACK: The battery is dead or no communication. Check the

power switch and the fiber optic cable. Recharge the

battery prior to use.

WARNING

CAUTION

5 —9

5 —ECG

Charging the

Battery

Charge the ECG module at least once per week using the provided

charger. Charge the module only when it is not in use and not

connected to a patient.

1. Plug the charger into an AC outlet, outside the magnet room.

2. Ensure the ECG module is disconnected from the patient and

that the module power switch is in the OFF position.

3. Open the charger cover on the ECG module.

Figure 5-9: Charger Connector Detail

4. Align the arrow on the charger cable with the arrow on the ECG

module and insert the cable firmly into the module.

Figure 5-10: Align the Arrows

Charger

Connector

Charger

Cover

Arrows

MEDRAD

Veris

8600

5 —10

5. Confirm that the module is charging by observing the indicator

on the charger and using the instructions printed on the charger.

Figure 5-11: Charging with Indicator Light

6. The ECG module charges in 3 hours or less. Observe the

charger indicator to determine when the module is fully charged.

7. Remove the charger cable from the module and close the

charger connector cover.

Charger

Indicator

5 —11

5 —ECG

ECG Monitoring

Patient Preparation

Proper patient preparation and placement of the electrodes is the

single most important factor in obtaining a good ECG signal.

1. Have a thorough understanding of the patient’s history. This may

assist in determining where electrodes are placed.

2. Prepare the patient by ensuring that hair is removed from the

locations where you intend to place the electrodes. Use

Nu-Prep gel with cotton gauze or a washcloth. A small amount

of Nu-Prep gel should be applied to the cotton gauze or wash

cloth. The area where the electrode is to be placed should then

be thoroughly cleaned by rubbing it in a circular motion.

3. ConMed Invisitrace electrodes are recommended for use with

the

Veris

monitor. They should be placed on the prepared

locations ensuring that they securely adhere to the skin surface.

NOTES:

Do not use alcohol. Alcohol removes electrolytes from the skin

and decreases the quality of the electrical contact.

Medrad recommends the use of ConMed Invisitrace electrodes.

These electrodes are MRI compatible. See “Accessories” in

Appendix D for a complete list of recommended electrodes and

accessories.

Use three (or five) new, MR-compatable electrodes.

• Connect only MEDRAD approved 3-lead or 5-lead ECG cables

from the patient to the ECG module. Do not connect any other

signal source to the ECG module.

• When positioning the patient in the MR scanner, locate the

electrodes less than four inches from each other and do not loop

the leadset. Insulate the leadset from the patient. It is not

dangerous for loops to form in the fiber optic cable.

• Use only accessories designated for use with this monitor. Use

of accessories not designated for use with the

Veris

monitor can

cause inaccurate measurements and/or a safety hazard for the

patient.

• Do not allow the conductive parts of the patient electrodes to

contact other conductive parts, including ground (earth).

WARNING

CAUTION

MEDRAD

Veris

8600

5 —12

• Static magnetic fields can cause reversible electrocardiogram

changes. Determine only rate and rhythm with the patient in the

presence of a static magnetic field.

• High Frequency (HF) surgical equipment may affect the

operation of the ECG unit. The system is not designed to

operate in the presence of ESU interference.

Lead Placement

The monitor provides ECG options for 3- and 5-lead patient setups.

The following instructions describe both the 3- and 5-lead

configurations. It is important to use the MEDRAD recommended

leadset to ensure patient safety.

• When positioning the patient in the MR scanner, locate the

electrodes less than four inches from each other and do not loop

the leadset. Insulate the leadset from the patient.

3-LEAD SETUP

The three major planes that detect electrical activity are Lead I, Lead

II, and Lead III, known as the standard or conventional bipolar limb

leads. Lead II (RA and LL), commonly known as the standard lead

configuration, is often used for monitoring because its waveform

characteristics are typically most prominent. For general monitoring

purposes, Leads I and II are most commonly used.

• Lead I produces good P waves, reflecting atrial activity.

• Lead II produces good QRS complexes, reflecting ventricular

activity.

Place the electrodes on the patient as shown in the illustration below.

Leads I, II, III may be selected in the monitor’s DISPLAY window.

Figure 5-12: Electrode Locations for 3-Lead Setup

CAUTION

5 —13

5 —ECG

5-LEAD SETUP

Place the electrodes on the patient in the 5-lead configuration as

shown in the illustration below. Leads I, II, III, aVL, aVF, aVR, or V

may be selected in the monitor’s DISPLAY window.

Figure 5-13: Electrode Locations for 5-Lead Setup

The V lead (chest lead) in a 5-lead configuration can be placed in one

of six standard positions.

Figure 5-14: Electrode Locations for the V Lead

RL LL

MEDRAD

Veris

8600

5 —14

Connecting Patient

to the Monitor

NOTE: Inspect the ECG module cable and connections regularly for

signs of mechanical damage (e.g., cracked insulation, crimped, or

bent wires).

1. Attach the electrodes as described in “Lead Placement” on

page 5-12 and following.

2. Press the ON/OFF or STANDBY button on the

Veris

monitor.

3. Make sure the ECG function is ON.

a. Select the PARAMS menu with the menu knob.

b. Select ECG.

c. Rotate and press the menu knob to select ON.

4. Choose the appropriate lead set cable and select this on the

monitor.

a. Select the PARAMS menu with the menu knob.

b. Select LEAD SET.

c. Rotate and press the menu knob to select the correct lead

set.

d. Select EXIT to return to the main display.

5. Connect the color-coded graphite lead wires to the

corresponding connections on the ECG module.

Figure 5-15: ECG Module Connected to Monitor

6. Connect the color-coded fiber optic cable to the corresponding

colors on the ECG module.

7. Connect the color-coded fiber optic cable to the corresponding

ECG connections on the main monitor.

5 —15

5 —ECG

NOTES:

To remove the fiber optic ECG cable, grip the cable connectors

at the end of the cable and pull back firmly. Do not pull on the

fiber optic cable to remove it from the monitor or ECG module.

To remove the lead set from the ECG module, grip the

connectors at the module end of the lead and pull straight out.

Do not pull on the leads themselves.

The ECG leads and connections should be inspected regularly

for signs of mechanical damage (e.g., cracked insulation,

crimped or bent wires).

8. Turn on the ECG module. The ECG module battery icon should

display on the monitor screen.

GREEN: Communication is established and the battery is

good.

YELLOW: Communication is established but the battery is

low.

BLACK: Communication is not established or the battery is

dead.

An informational message should appear that the leads are not

connected to the patient.

9. Setup the display for the desired lead set combinations.

a. Select the DISPLAY menu with the menu knob.

b. Select the desired waveform.

c. Select an ECG lead combination and configure other display

parameters. See “DISPLAY Softkey” on page 2-27 for a

detailed description of configuring the display.

10.Keep the ECG module outside of the patient imaging volume.

NOTES:

Position the ECG module out of the imaging plane. (On the

shoulder if scanning the chest or torso or in the antecubital

space if scanning the neck or head.)

Make certain that the ECG module is stationary (not moving or

vibrating).

11.Carefully attach the color-coded lead set to the electrodes

(White=RA, Black=LA, Red=LL, Green=RL, and Brown=V),

ensuring good connections.

12.The ECG waveform(s) should display on the monitor in

approximately 5 seconds.

Completion of ECG Monitoring

To remove the ECG module cable, grip the cable connectors and pull

back firmly. Do not pull on the cable to remove it from the monitor.

MEDRAD

Veris

8600

5 —16

ECG Auto Lead Switching

The monitor may have the ability to display alternate leads in cases of

fault in the selected lead while the unit is set for 5 lead ECG.

The monitor uses the RA electrode in deriving all lead views.

Therefore, failure of the RA electrode results in no leads being

available. The monitor identifies the RA electrode as having failed

with the message ECG LEADS OFF. The same message displays

when both the LA and LL electrodes fail.

Lead failure assumes that the signal is lost from an electrode that is

required for the desired lead view. Loss of a signal from unnecessary

electrodes does not cause lead switching.

Primary Lead

The monitor identifies a primary lead that is used to report heart rate

numerical data. If no leads are displayed, the primary lead defaults to

lead II. If ECG waveforms are displayed, the monitor selects the

waveform closest to the top of the screen as the primary lead. Lead

switching only occurs in the primary lead view.

Lead failure during monitoring causes one of the following results:

1. If a failure occurs in the primary lead, while currently being

displayed, the system attempts to switch from the current lead

view to an alternate lead view.

The system switches to a valid (non-failed) lead view if a valid

lead exists. The failed electrode is indicated by an alarm

message. The slot label of the primary lead visibly changes to

the new lead view. The alternate waveform is drawn in the slot.

2. If the failure occurs for Lead II, while no ECG leads are

displayed, the primary lead is changed to an alternate lead. The

smart heart rate is determined from the new lead view. No lead

switching is apparent from the main screen.

3. If no alternate is available for a primary lead, an ECG: LEADS

OFF alarm is generated. The smart heart rate defaults to the

next available source, indicated by a change of the heart rate

numerical display. No lead switching occurs.

4. If the required electrodes for a displayed non-primary lead are

not available, an error message displays. The waveform

becomes a straight line. No lead switching occurs.

When the lead fail condition is corrected, the system reverts back to

the original lead that displayed before the fail condition occurred.

5 —17

5 —ECG

Alternate Lead Priority

The ECG monitor automatically determines lead switching as shown

below.

NOTE: Lead switching is only available in 5-lead setup.

In cases indicated by a dash, no switching occurs, since the electrode

is unused for that selected lead. In cases where LL fails, no switching

occurs because that electrode is required for each selectable lead

configuration.

5 Lead

Electrode Off LL LA RA V RL

Primary Lead Alternative Lead

Lead I NONE II III — —

Lead II NONE — III — —

Lead III NONE II — — —

Lead V NONE II III II —

Lead aVL, aVR, aVF NONE II III — —

MEDRAD

Veris

8600

5 —18

Gating Interface

The source of the gating signal may arise from the ECG or SpO2. The

gating signal from either of these sources may be delivered to the

scanner in two user-selectable forms—waveform or pulse.

•Waveform output: one of the following: 1mV ECG waveform or

a plethysmogram (SpO2) waveform.

•Pulse output: 1mV pulse amplitude and 50 msec pulse width,

synchronous with the r-wave or corresponding peak of the

plethysmogram (SpO2) waveform.

The delay time from detection of the ECG signal at the patient to the

input of the MR scanner is less than or equal to 5 milliseconds.

One of two icons appears in the upper left corner of the heart rate

numerical display box. These icons represent the gating signal

output—either waveform or pulse. The icon is the same color as the

ECG waveform color. See Step 6 below.

The gating function is user-selectable: OFF, ECG Waveform, ECG

Pulse, SpO2 Waveform, or SpO2 Pulse. The default is OFF.

1. Connect the cable appropriate for the scanner to the GATING

connection on the

Veris

patient monitor.

NOTE: The gating cable must be IEC 950 or IEC 60950

compliant.

Figure 5-16: ECG Gating Connection

Waveform Output

Pulse Output

5 —19

5 —ECG

2. Connect the MR scanner end of the cable to the scanner

interface receptacle.

NOTES:

To remove the gating cable, grip the cable connectors from both

ends and pull back firmly. Do not pull on the gating cable to

remove it from the monitor or scanner.

Inspect the gating cable and connections regularly for signs of

mechanical damage (e.g., cracked insulation, crimped, or bent

wires).

3. Setup the display for the desired lead view for the gating source

in the Waveform 1 position.

a. Select the DISPLAY menu with the menu knob.

b. Select Waveform 1.

c. Select the ECG lead to use for the ECG gating source. See

“DISPLAY Softkey” on page 2-27 for a detailed description of

configuring the display.

4. Using the PARAMS menu select Gating and then select either

ECG Wave or ECG Pulse.

5. Configure the scanner in accordance with the manufacturer’s

recommendations. If using the universal EGC gating cable,

always select Lead II on the scanner console.

NOTE: In the event that the desired lead view is not available,

the monitor switches to alternate lead views if possible, using

the priorities specified in “ECG Auto Lead Switching” on page 5-

16.

6. An ECG waveform displays if the ECG waveform is selected for

gating. If a pulse is selected a spike appears in place of the

waveform. The waveform or “spike” is transmitted to the MR

system.

NOTE: Always select LEAD II on the MR scanner console. If

you wish to use another configuration (I, II, III, aVL, aVR, or

aVF), make this change at the

Veris

8600 patient monitor.

Selecting a lead configuration other than II at the MR scanner

console may result in incorrect or no gating action.

7. The LEAD SELECT control on the patient monitor can select

either LEAD I, II, or III (or, with 5-lead configuration, aVL, aVR,

or aVF).

8. In the event one of the leads is disconnected, LEAD OFF

displays on the patient monitor screen.

6 —1

6 — NIBP

Theory of Operation

The monitor uses ComfortCuff™ technology to determine non-

invasive blood pressure by means of oscillometry. The oscillometric

method detects volume displacements within the artery and senses

pressure variations within the blood pressure cuff during inflation.

The monitor uses cuffs ranging in size from neonate to adult thigh.

Heart Rate

The NIBP pulse rate is used if the ECG, the SpO2, and the IBP pulse

rates are not available. See “Heart Rate” on page 5-1 for more

information.

Comfort Cuff™ Technology

ComfortCuff™ technology measures NIBP while the cuff inflates.

Consequently, a measurement is obtained more quickly and with less

discomfort than with monitors which measure NIBP during cuff

deflation.

Description of NIBP

Measurement

The NIBP cuff begins to inflate at the beginning of the NIBP

measurement cycle. As the cuff pressure approaches the diastolic

pressure of the patient, the cuff pressure waveform begins to indicate

the pulse waveform (see “Figure 6-1: NIBP Cuff Pressure and Pulse

over Time” on page 6-2). The cuff pressure at this point is equal to

the patient’s diastolic pressure, which is stored by the monitor.

As cuff pressure continues to increase, the pulse waveform (as

measured from BP cuff pressure fluctuation) becomes stronger,

reaching its maximum at the patient's mean arterial pressure (i.e.,

when cuff pressure = mean BP). The monitor stores this value as

mean pressure.

As cuff pressure increases further, it approaches the patient’s systolic

pressure, and the cuffs pulse waveform decreases in amplitude. The

cuff pulse waveform disappears at the point where cuff pressure is

equal to the patient’s systolic pressure.

When the monitor determines that the cuff waveform has decreased

to zero amplitude, it stores the cuff pressure value as the systolic

pressure, and releases the pressure from the cuff. This typically

occurs at about 10 mmHg over the patient’s systolic pressure. The

cuff then rapidly deflates.

NIBP Clinical Testing

and Accuracy

This device was clinically tested per the requirements of EN 1060 and

AAMI SP-10. The NIBP module as installed in the

Veris

8600 monitor

has been tested to meet the performance specifications listed in this

manual.

MEDRAD

Veris

8600

6 —2

Cuff Inflation and

Pressure Protection

The maximum cuff inflation rate is 15 mmHg/sec. The software limits

inflation to 300 mmHg adult, 300 mmHg pediatric, or 150 neonate. A

secondary circuit limits maximum possible cuff pressure to 316

mmHg in adult/pediatric mode and 158 mmHg in neonatal mode. Cuff

pressure is allowed to remain above 30 mmHg for a maximum of 2

minutes.

The monitor automatically deflates the cuff if the time limit is violated.

The monitor contains hardware protection for overpressure

conditions, pressure transducer failures, or microprocessor and pump

control circuit failures.

Figure 6-1: NIBP Cuff Pressure and Pulse over Time

B.P Cuff Inflation Pressure

(Shown during inflation)

Systolic Pressure

Actual Blood

Pressure Waveform

Diastolic Pressure

Cuff deflates rapidly after

monitor determines

systolic pressure

Time

Diastolic

Pressure Mean

Pressure Systolic

Pressure

Pulse Waveform

(Measured from B.P.

Cuff Pressure

Fluctuation)

Pressure in mmHg

6 —3

6 —NIBP

NIBP Monitoring

The following instructions describe procedures for preparing a patient

for monitoring using the ComfortCuff™ NIBP module.

Shown below is the monitor with an adult size blood pressure cuff and

5 meter extension tubing. This adult arm cuff is one of many blood

pressure cuffs available. Use only NIBP accessories recommend by

MEDRAD. See “Accessories” in Appendix D.

The monitor has a quick connect/disconnect fitting for the NIBP

extension tubing. The patient end of the tubing has a threaded fitting

that accepts any MEDRAD NIBP cuff.

Figure 6-1: NIBP Cuff Connection

• Check the patient frequently to ensure the NIBP cuff is not

causing prolonged impairment of the patient’s circulation.

• Repeated use of the STAT mode should be avoided. Prolonged

or repeated use can lead to patient bruising.

WARNING

MEDRAD

Veris

8600

6 —4

• Proper cuff size and placement is essential for accurate blood

pressure measurement.

• The accuracy of noninvasive blood pressure readings may be

adversely affected by the presence of drugs or therapies which

alter the patient's cardiovascular dynamics.

• The sensitivity of blood pressure measurement may be affected

when monitoring patients with intra-aortic balloon pumps.

• Ensure that the NIBP extension tubing is not compressed or

restricted in any way.

NOTE: The interval timer does not start until the NIBP key is pressed.

CAUTION

6 —5

6 —NIBP

Selecting Cuffs and Hoses

MEDRAD blood pressure cuffs and extension tubes are

recommended for use with this monitor. Use of other brands of cuffs

may cause inaccurate measurements.

Proper cuff size and placement is essential to assure accurate blood

pressure measurement. The recommended cuff width-to-length ratio

is about 2:1, so that if the cuff width is 40% of arm circumference, the

cuff bladder length encircles 80% of the arm. A cuff that is too narrow

results in falsely high pressure readings. A cuff that is too wide results

in falsely low pressure readings.

The cuff shown below on the left is too small for the arm, therefore,

full cuff pressure is never applied to the artery. This causes an

erroneously high blood pressure reading. The cuff shown on the right

is of adequate width for the arm, and full cuff pressure is applied to

the brachial artery.

Figure 6-2: Blood Pressure Cuff Size

Cuffs for thighs are available for large patients or those where neither

arm is available for cuff placement. Blood pressure measured at the

thigh is typically 20-30 mmHg higher (when the patient is standing,

not prone) than blood pressure measured at the upper arm.

Cuffs for pediatric and neonate patients are also available in a variety

of sizes. See “Accessories” in Appendix D for available cuffs.

MEDRAD

Veris

8600

6 —6

Placing the NIBP Cuff

Wrap the cuff snugly around the extremity, leaving enough room

between the cuff and the extremity for two fingers. If the cuff is too

loose, it cannot be inflated properly and may cause errors in

measured BP values.

• It is best to wrap a bare extremity; putting the cuff over clothing

may cause errors in measured values.

• Care should be taken to center the dot on the cuff directly over

the brachial artery. (Shown below as a circle with a vertical line).

• The extension tube should not be twisted or kinked.

The end of the cuff (marked by an index line) should fall inside the

range marked clearly on the inside of the cuff. If not, use a different

size cuff.

Figure 6-3: Blood Pressure Cuff Size Range

Place this side against the skin

Este lado hacia la piel

Ce côte en contact avec la peau

MEDRAD

Veris

8600

6 —7

Procedure

1. Check the System Status Line for the correct mode. The status

line indicates Adult, Pediatric, or Neonate.

2. Select a cuff as described previously in this section.

3. Connect the BP cuff to the extension tube.

4. Connect the extension tube to the monitor.

5. Secure the cuff around the patient’s extremity.

6. Make sure there are no kinks or other obstructions in the

extension tube extending from the cuff.

7. Press the NIBP key on the front keypad of the monitor.

Pressing the NIBP key causes the monitor to take one measurement.

The monitor may make a second attempt if there is excessive motion

during the first attempt to take a measurement.

Press momentarily the NIBP CYCLE/STAT key to begin taking Stat

NIBP measurements. NIBP measurements are then taken repetitively

for 5 minutes. The numerical parameters on the display are updated

with each measurement.

If an NIBP cycle time has been selected the monitor automatically

takes NIBP measurements at scheduled intervals. Press the NIBP

key to begin measuring at automatic intervals.

If the monitor is placed in STANDBY MODE or AGENT ALARM

STANDBY MODE, the monitor does not take NIBP cycle time

readings.

MEDRAD

Veris

8600

6 —8

Taking NIBP Measurements

For optimum accuracy, the patient should keep the cuffed part of the

arm at the same level as the heart. NIBP measurement points above

the level of the heart give reduced pressure values. Measurement

points below the heart level give increased values. These errors are

due to the weight of the blood.

Figure 6-4: Arm Position for NIBP Measurement

An average measurement on a non-moving patient takes less than 40

seconds. At the end of each measurement, the cuff automatically

deflates. The monitor automatically attempts a second measurement

(with no displayed error message) if it cannot calculate a blood

pressure on the first inflation.

If a patient experiences a sudden dramatic drop in blood pressure,

the system may not measure the blood pressure on the first attempt.

The system automatically attempts another pressure measurement,

and detects the change on the second attempt.

Do not compress the cuff or the extension tube externally.

Compression of the cuff or the extension tube causes measurement

error. For optimum accuracy, the patient should remain still during

blood pressure measurement. Excessive patient motion may

adversely affect any oscillometric NIBP device.

Heart

7 —1

7 — SpO

Theory of Operation

The monitor uses Digital Oximetry (DOX™) technology to measure

blood oxygen saturation (SpO2).

Heart Rate

The SpO2 pulse rate is used if the ECG and the IBP pulse rates are

not available. See “Heart Rate” on page 5-1 for more information.

Definition

Hemoglobin exists in the blood in several forms:

• Oxygenated (Oxyhemoglobin)

• Reduced (Deoxyhemoglobin)

• Dyshemoglobins (carboxyhemoglobin and methemoglobin.)

In the monitor, SpO2 (pulse arterial oxygen saturation) is the ratio of

oxygenated hemoglobin to the sum of oxygenated hemoglobin plus

hemoglobin which is available for binding to oxygen, as expressed in

the following formula:

Dyshemoglobins, such as carboxyhemoglobin and methemoglobin,

are not directly measured and therefore are not factored into the

measurement.

DOX™ Digital Oximetry

The monitor does not use analog circuitry for signal processing.

Digital signal processing in the microprocessor results in lower noise

from circuitry components, resulting in a cleaner signal and better

performance under low perfusion conditions. There is also improved

rejection of noise from the patient and environment, due to the

availability of the “true,” unfiltered sensor signal for digital signal

processing.

Method

The digital pulse oximeter measures oxygen saturation and pulse rate

using the principles of spectrophotometry and plethysmography. The

sensor is completely non-invasive, and there is no heat source that

could burn the patient.

The pulse oximeter sensor contains two types of LEDs. Each type

emits a specific wavelength of light. Since oxygenated hemoglobin

and deoxygenated hemoglobin absorb light selectively and

predictably, the amounts of these two compounds can be determined

by measuring the intensity of each wavelength that passes through

the measuring site.

percent oxygen saturation oxyhemoglobin

oxyhemoglobin deoxyhemoglobin+

-------------------------------------------------------------------------------------------------------10

×=

MEDRAD

Veris

8600

7 —2

The light from the LEDs shines into a pulsating vascular bed. A

photodetector located opposite or alongside the LEDs measures the

intensity of each wavelength transmitted through the monitoring site.

The light intensity is converted to an electrical signal, which is input to

the monitor. The effects of skin pigmentation, venous blood, and

other tissue constituents are eliminated by separating out the

pulsating absorption data.

SpO

Clinical Testing

and Accuracy

All MEDRAD oximeters (DOX™ compatible) have SpO2 calibration

tables which were originally generated by monitoring desaturated

human patients or volunteers and matching their displayed SpO2

value to the value determined by sampling arterial blood and

measuring functional SaO2 with a clinical laboratory grade multi

wavelength optical oximeter (i.e. CO-oximeter). The final SpO2

calibration curve was then generated based upon numerous patients'

data over the range of 40 to 99% SaO2. All accepted data were taken

from patients with dyshemoglobin (i.e., carboxyhemoglobin,

methemoglobin) concentrations near zero.

This oximeter is a two-wavelength device, which is calibrated to

measure functional SpO2 only when dyshemoglobin concentrations

are near zero. The accuracy specifications of this device will not be

met with high concentrations of dyshemoglobins. Significant

concentrations of carboxyhemoglobin results in a higher displayed

SpO2 value than is actually present in the patient.

Special MR-compatible sensors help provide for patient safety in the

MR environment because the sensor cable is made of a material that

does not conduct electricity even if the cable is looped within the MR

scanner. For the same reason, the sensor and cable are immune to

electromagnetic interference, such as might be produced by high

frequency (HF) surgical equipment. Each MR-compatible sensor

uses a fiber optic light guide to carry light from the light sources to the

patient. A separate light guide brings light, which has passed through

the patient, to the light detector. The light sources and detector are

located in the connector housing of the fiber optic sensor.

Gating Signals

The input gating signal is derived from any one of two sources—ECG

or Plethysmogram (SpO2) waveform and is available in 2 user-

selectable forms, pulse or waveform. An icon of the gating signal

source and a visual indication appears at the upper left corner of the

heart rate numerical display box.

SPO2 GATING

SpO2 gating is dependent upon the patient's peripheral perfusion at

the location where the sensor is placed. The pulse oximeter sensor is

placed on the selected location of the patient. The signal generated

from the patient's pulse is transmitted through fiber optic cables to the

transducer portion of the SpO2 cable where it is converted to an

electrical signal. The electrical signal is sent to the

Veris

monitor and

then to the scanner which may be used to trigger the sequence.

7 —3

7 —SpO

SpO

Monitoring Procedures

(Pulse Oximetry)

The following instructions describe procedures for preparing a patient

for SpO2 monitoring.

There are three SpO2 sensors available:

• Adult finger-toe clip

• Pediatric finger-toe clip

• Neonate probe

Shown below are two of these attached to a sensor extension cable.

The sensor is connected to the

Veris

monitor by means of an

extension cable. The sensor extension cable contains electrically

conductive material. Do not extend or coil the SpO2 sensor extension

cable into the magnet bore.

The monitor's SpO2 extension cable accepts only fiber optic sensors.

Figure 7-1: Sensor Connection for SpO

Adult Finger Probe Neonate Probe

MEDRAD

Veris

8600

7 —4

• The pulse oximeter sensor may cause skin irritation and

pressure necrosis. Inspect the pulse oximeter sensor site every

two to four hours or per hospital protocol. Move the sensor to a

different location if skin irritation is present.

• Excessive amounts of motion at the sensor sites may cause

errors in reading. Attempt a reading when motion has stopped,

or move the sensor to another site.

• The sensor extension cable contains electrically conductive

material. Do not coil or extend the sensor extension cable into

the magnet bore!

• To remove the SpO2 connector, grip the connector's retaining

ring (in the middle of the connector) and pull back gently. The

retaining ring slides back and unlocks the connector. Do not

attempt to unscrew.

Attaching the Probe

to the Monitor

1. Press the ON/OFF or STANDBY button to turn on the monitor.

2. Connect the SpO2 sensor extension cable to the monitor. Align

the red dot on the monitor’s SpO2 receptacle with the red dot on

the black SpO2 connector housing. Push the connector firmly

into the receptacle.

3. Select the appropriate probe and attach the probe to the patient

(refer to the next section). Attach the probe's connector to the

SpO2 sensor extension cable.

Attaching the Probe

to the Patient

Select the appropriate probe and application technique from the

following pictures and descriptions. The selected probe should be

cleaned before use.

• Attaching the probe too tightly to the skin may generate

inaccurate readings (by reducing blood flow to the target area)

and cause blisters on the patient's skin. (Lack of skin

respiration, not heat, causes the blisters.)

• The protection against the effects of electric shock of the Pulse

oximeter function is of type BF. This protection is contained in

the fiber optic sensor cable.

CAUTION

7 —5

7 —SpO

• Fiber optic sensors can be damaged if subjected to severe

stress, such as pulling, bending, or crushing. The sensor

(including the connector cable) should not be stepped on, jerked

or bent into a very tight arc (radius less than 2 inches). It is

recommended to use tape to strain-relieve the fiber optic cable

to the patient couch before attaching the sensor to the patient.

• Reposition the probe at least once every 24 hours to allow the

patient's skin to respire.

• Do not extend or coil the SpO2 sensor extension cable into the

magnet bore. There is a potential for thermal heating of the

extension cable, caused by the interaction between the MR

system’s RF energy and the electrically conductive sensor

extension cable.

• Use only oximeter probes supplied with, or specifically intended

for use with, the

Veris

8600 patient monitor.

• Significant levels of dysfunctional hemoglobins, such as

carboxyhemoglobin or methemoglobin, affects the accuracy of

the SpO2 measurement.

•SpO

2 measurement may be affected in the presence of high

ambient light. Shield the probe area (with a surgical towel, for

example) if necessary.

• Dyes introduced into the bloodstream, such as methylene blue,

indocyanine green, indigo carmine and fluorescein, may result

in inaccurate SpO2 readings.

• Any condition that restricts blood flow, such as use of a blood

pressure cuff or extremes in systemic vascular resistance, may

cause an inability to determine accurate pulse and SpO2

readings.

• The light source portion of the SpO2 sensor must be properly

positioned over the nail bed for the plethysmographic waveform

to appear.

• The SpO2 waveform display is not necessarilly directly

proportional to pulse volume. The SpO2 waveform display is not

automatically gain adjusted.

• Remove fingernail polish or false fingernails before applying

SpO2 probes. Fingernail polish or false fingernails may cause

inaccurate SpO2 readings.

CAUTION

MEDRAD

Veris

8600

7 —6

Finger Probe Application

for Adults

1. Attach the finger probe to the patient as shown. Be sure to fully

insert the patient's finger into the probe. Run the fiber optic

cable away from the hand. For patients with long fingernails, use

the neonatal probe.

2. Apply the sensor with the light source positioned directly over

the nail-bed, and the detector over the fleshy portion of the

finger.

NOTES:

Do not tape over the pulse oximeter sensor housing. Taping

over the housing may cause injury and sensor failure due to

excessive pressure. If the sensor needs to be secured, place

tape over the cable, immediately behind the sensor.

The sensor must be properly positioned for a plethysmographic

waveform to appear. Placing tape too tightly around an extremity

reduces blood flow, thus diminishing the amplitude of the

plethysmographic waveform.

If possible, do not place the pulse oximeter sensor on the same

extremity as the blood pressure cuff or an arterial line. Place the

pulse oximeter sensor on the side of the patient opposite the

blood pressure cuff or an arterial line. The occlusion of the blood

flow during blood pressure determinations could affect

saturation readings.

The pulse oximeter sensor is light sensitive. Too much ambient

light makes it difficult for the system to provide accurate

readings. The system provides a high ambient light alarm

message when it is necessary to shield the sensor from

extraneous light sources such as phototherapy light or infrared

heating lamps.

Figure 7-2: Finger Sensor Placement

7 —7

7 —SpO

Neonate Probe Placement

In situations where a finger sensor is not practical, a MEDRAD

neonate probe can be used. The sensor pads are small, light-weight,

and adjustable.

The neonate probe can be placed using adhesive tape. Special care

should be taken not to restrict blood flow in the finger tip.

TAPE PREPARATION OF NEONATE PROBE

Attach the two sides of the neonate probe to a pre punched neonate

tape strip as shown in “Figure 7-3: Tape Prep for Neonate Probe

Placement”. Select either the standard or small separation as

appropriate. When using the neonate probe on a toe, it can be helpful

to cut the tape strip along the length.

Figure 7-3: Tape Prep for Neonate Probe Placement

FINGER

NOTE: Proper application of the neonate probe on the finger is

essential. See “Figure 7-4: Neonate Probe Finger Placement”

Figure 7-4: Neonate Probe Finger Placement

1. Attach the neonate probe to a pre punched neonate tape strip

as shown in “Figure 7-3: Tape Prep for Neonate Probe

Placement”. Select either the standard or small separation as

appropriate.

Windows Fibers

Optic

Cables

Light Source Side

Detector Side

1.5”

(3.8cm)

Correct Incorrect

MEDRAD

Veris

8600

7 —8

2. Remove the backing from the light source side of the neonate

tape.

Figure 7-5: Neonate Probe Tape

3. Attach the neonate probe to the patient with the light source

side to the fingernail.

4. Remove the backing from the center section of the neonate

tape. See “Figure 7-5: Neonate Probe Tape” on page 7-8.

5. Line up the light source side with the detector side so the source

and detector are in the same plane.

NOTE: The fiber optic cables run along the finger toward the

wrist.

6. Remove the backing from the remaining portion of the tape and

secure the probe and cable. Do not to over-tighten the tape.

TOE

1. Attach the neonate probe to a pre punched neonate tape strip.

2. Remove the backing from the light source side of the neonate

tape. See “Figure 7-5: Neonate Probe Tape” on page 7-8.

3. Attach the probe to the patient's toe as shown with the light

source side on the toenail.

NOTE: The fiber optic cables run along the foot toward the heel.

4. Remove the backing from the center section of the neonate

tape. See “Figure 7-5: Neonate Probe Tape” on page 7-8.

5. Line up the light source with the detector side so the source and

detector are in the same plane.

6. Remove the backing from the remaining portion of the tape and

secure the sensor and cable with neonate tape being careful not

to over-tighten the tape.

Figure 7-6: Neonate Probe Toe Placement

Light

Source

Side Center

Section

Neonate Tape Strips

7 —9

7 —SpO

FOOT (INFANTS)

1. Attach the neonate probe to a neonate tape strip.

2. Remove the backing from the light source side of the neonate

tape. See “Figure 7-5: Neonate Probe Tape” on page 7-8.

3. Attach the neonate probe to the infant's foot as shown in “Figure

7-7: Neonate Probe Foot Placement (Infants)”, just behind the

small toe. Attach the sensor with the light source side on the top

or outside of the foot to keep the detector side away from

ambient light.

4. Remove the backing from the center section of the neonate

tape. See “Figure 7-5: Neonate Probe Tape” on page 7-8.

5. Line up the light source side with the detector side, so the

source and detector are in the same plane.

6. Remove the backing from the remaining portion of the tape and

secure the neonate probe with neonate tape, being careful not

to over-tighten the tape.

Figure 7-7: Neonate Probe Foot Placement (Infants)

Light Source

(Top of Foot)

Detector Neonate

Tape Strip

MEDRAD

Veris

8600

7 —10

SpO

Peripheral Gating

Peripheral (SpO2) gating provides an alternative to ECG gating. (See

“Gating Interface” on page 5-18.) It utilizes the signal obtained from

the pulse oximeter sensor.

Figure 7-8: SpO

Peripheral Gating Connection

The pulse oximeter signal is obtained from the patient and displayed

on the monitor. To utilize the peripheral gating function on the monitor

a cable is attached to the GATING connector of the monitor with the

distal end connected to the SpO2 receptacle of the MR scanner.

NOTE: Gating cables are scanner specific. If a specific cable does

not exist for your particular scanner, the universal cable may be used.

The source of the gating signal may arise from the ECG or SpO2. The

gating signal from either of these sources may be delivered to the

scanner in two user-selectable forms—waveform or pulse.

•Waveform output: one of the following: 1mV ECG waveform or

a plethysmogram (SpO2) waveform.

•Pulse output: 1mV pulse amplitude and 50 msec pulse width,

synchronous with the r-wave or corresponding peak of the

plethysmogram (SpO2) waveform.

The delay time from detection of the SpO2 signal at the patient to the

input of the MR scanner is less than or equal to 20 milliseconds.

MEDRAD

Veris

8600

7 —11

One of two icons appears in the upper left corner of the heart rate

numerical display box. These icons represent the gating signal

output—either waveform or pulse. The icon is the same color as the

SpO2 waveform color when SpO2 is selected for gating.

The gating function is user-selectable: OFF, ECG Waveform, ECG

Pulse, SpO2 Waveform, or SpO2 Pulse. The default is OFF.

1. Connect the cable appropriate for the scanner to the GATING

connection on the

Veris

patient monitor.

NOTE: The gating cable must be IEC 950 or IEC 60950

compliant.

2. Connect the MR scanner end of the cable to the scanner

interface receptacle.

NOTES:

To remove the gating cable, grip the cable connectors from both

ends and pull back firmly. Do not pull on the gating cable to

remove it from the monitor or scanner.

Inspect the gating cable and connections regularly for signs of

mechanical damage (e.g., cracked insulation, crimped, or bent

wires).

3. With the menu knob select the PARAMS menu.

4. At Gating select either SpO2 Wave or SpO2 Pulse.

5. Configure the scanner in accordance with the manufacturer’s

recommendations.

Waveform Output

Pulse Output

8 —1

8 — IBP

Theory of Operation

The IBP monitoring module is intended for direct pressure monitoring

using an intra-arterial catheter, a continuous flushing system, and an

IBP transducer. The IBP module provides analog to digital conversion

of the transducer signal.

The IBP module processes continuous digital patient data that can be

displayed as waveform and numerical values. The module supports

up to two separate IBP channels simultaneously. For arterial and

pulmonary artery IBP measurements the numerical values for

systolic, diastolic, and mean pressure are computed and displayed.

Heart Rate

The IBP pulse rate is used if the ECG pulse rate data is unavailable.

See “Heart Rate” on page 5-1 for more information.

Method of Measurement

The IBP module uses standard invasive pressure monitoring

techniques. A bridge transducer is measured by a highly accurate

analog to digital converter. The measuring circuit uses a 5 volt

excitation voltage that provides a transfer function of 25 micro-volts

per mmHg of pressure.

The signal is buffered and brought to the A/D converter, which is

configured for a full scale signal of ±25 millivolts. The circuit has a

potential measuring range of ±1000 mmHg of pressure. This range is

restricted to -20 to +300 mmHg for actual monitoring purposes.

There is no analog amplification of the transducer signal.

The module uses a rate of 50 samples per second for each of the two

independent IBP channels. The resulting measurement resolution is

slightly less than 0.5 mmHg. The numerical IBP value is reported by

the 8600 monitor at a resolution of 1 mmHg.

Non-pulsatile IBP sites (LA, RA, CVP, or ICP) are reported as mean

numerical values. The non-pulsatile mean value is an average of the

last 200 samples taken over a period of approximately 4 seconds.

The values for pulsatile sites (ART, PA, RV, and LV) are reported as

an average of the last eight calculated values.

The IBP heart rate is reported as an average of the last 16 heart rate

values. The software also scans for sudden changes in heart rate and

overrides the averaging function when the condition occurs.

IBP Clinical Testing

and Accuracy

The invasive blood pressure module is in compliance with applied

standard IEC 60601-2-34 and has been tested to meet the

performance specifications listed in this manual. The module as

installed in the

Veris

monitor has been clinically tested for

performance with a variety of patients and specific disposable

invasive blood pressure transducers.

MEDRAD

Veris

8600

8 —2

IBP Monitoring

Invasive Blood Pressure (IBP) allows monitoring of Real-Time

Invasive Blood Pressure with the use of a Blood Pressure Transducer.

The transducer converts the hydrostatic signals into electrical signals

which are displayed graphically on the monitor.

Figure 8-1: IBP Cable Connections with Interface Cables, Patient Connections

IBP

Interface

Cables

Transducers

Disposable

Intravenous

Sets

8 —3

8 —IBP

Invasive Blood Pressure

Transducers and Interface

Cables

As for all accessories, cables and transducers should comply with UL

and IEC standards for medical equipment. Use only pressure

transducers which have been recommended by MEDRAD. Please

note that MEDRAD does not sell or distribute transducers. The

following are examples of disposable transducers which meet the

Medrad specification of an electrical cable that does not exceed 14

inches in length:

• Abbott Transpac IV (REF 42582-05)

• B. Braun Combitrans (REF 5202620)

• Edwards/Baxter Truwave (REF PX600F & PX260)

• Medex Transtar (REF MX950)

• Use transducers whose electrical cable length does not exceed

14 inches. Failure to follow this instruction could produce a

patient burn or shock hazard resulting in serious injury or death.

IBP Interface Cable

There are 4 IBP interface cables. Each one is specific for a particular

transducer. The cables can be connected to the monitor through IBP1

(Port Channel 1), IBP2 (Port Channel 2), or both.

Transducer specifications and the interface cable which fits each

specific type are listed in Appendix F: "IBP Transducer

Specifications”.

• Failure to follow proper invasive blood pressure monitoring and

insertion techniques may cause clots leading to cerebral or

pulmonary embolism resulting in serious patient injury or death.

Follow all manufacturer’s instructions and precautions provided

with the transducer and intra-arterial catheter.

• Do not coil or extend the IBP interface cable in the magnet bore.

This could result in patient shock or burn. All cables must be

straight, not coiled, and routed down the center of the scanner

table.

• Use transducers with an electrical cable length of 14” or less.

WARNING

MEDRAD

Veris

8600

8 —4

• Do not place the IBP transducer in the bore of the magnet. This

could result in degraded measurement accuracy. Ensure the

transducer is outside of the magnet bore.

• Place only the disposable tubing portion of the IBP kit in the

magnet bore to ensure patient safety and improve measurement

accuracy. Use a disposable set which is a minimum of four feet

(1219 mm) in length.

• Calibrate (zero), the transducer when changing or modifying

transducer tubing.

• When changing or modifying a transducer tubing set, ensure

that the entire fluid path is free of air bubbles. Do not allow air

bubbles to enter the the catheter.

CAUTION

8 —5

8 —IBP

IBP Monitoring Procedure

The following instructions describe procedures for preparing a patient

for invasive blood pressure monitoring. We recommend IBP

transducers that have a required specification of 5 microvolts/mmHg.

and the frequency response at 20 hertz. There are several to choose

from.

Each IBP channel has its own dedicated IBP port that is located on

the side of the monitor.

Figure 8-2: IBP Ports

The IBP ports are customized 5-pin female sockets and are designed

to accept only MEDRAD compatible IBP interface cables.

The transducer specifications and information for obtaining

transducer cables is located in Appendix F: "IBP Transducer

Specifications” of this manual.

IBP Port Channel 1

IBP Port Channel 2

MEDRAD

Veris

8600

8 —6

IBP Safety

• Do not extend the distal portion of the transducer with the micro-

chip into the bore of the magnet.

• The accuracy of invasive blood pressure readings may be

adversely affected when used on patients with intra-aortic

balloon pumps.

• For accurate performance, IBP transducers must conform with

the specification designated by MEDRAD, Inc. Follow the

instructions provided with your transducer.

• Accuracy of the IBP measurement can be affected by poor

setup of the transducer or fluid system. Follow hospital protocols

for invasive blood pressure monitoring.

• Possible shock hazard. Avoid using metal components in IBP

fluid systems.

Setup and User Calibration

The IBP monitoring system requires the clinician to periodically

calibrate the monitor. The air vent stopcock of the transducer is

opened and the transducer is exposed to the ambient room pressure.

The monitor reads the transducer signal and makes adjustments to

compensate for small changes in the transducer and/or ambient

pressure.

This operation is described as having “zeroed” the IBP monitor. Each

time a new IBP site is setup, the clinician must zero that channel. The

channels may be zeroed together or independently.

Although waveforms are always present, the monitor does not show

numerical values until the monitor is zeroed. While the monitor

calibrates, it is possible to observe the correction of the waveform.

The monitor must be zeroed when:

• The monitor is powered up.

• The transducer is changed or the cable is re-inserted.

• The patient size is changed; Adult, Pediatric, or Neonatal Mode.

It is recommended that the IBP channels be zeroed at least every 8

hours when sustained IBP monitoring is necessary.

To zero the IBP channels for monitoring:

1. Setup the IBP fluid system and transducer according to hospital

protocols.

2. Verify that the correct alarm limits are entered into the ALARMS

window of the monitor.

WARNING

CAUTION

8 —7

8 —IBP

3. Connect the IBP interface cable to the

Veris

monitor.

4. Connect the appropriate IBP interface cable to the transducer.

5. The monitor displays the message NOT ZEROED in the

informational alarm line. The message appears independently

for each channel.

NOTE: If a waveform slot is set to display IBP, the monitor

shows a waveform immediately. This waveform is representative

of the physiological patient data, but is not yet scaled until the

IBP lines are properly zeroed. No numerical values are

displayed for a channel until it has been zeroed.

6. Select PARAMS and open the first window of parameters.

Figure 8-3: Setting IBP in the PARAMS Window

NOTE: The example window shown contains factory default

values. Reset the parameters as required for actual monitoring

conditions.

7. Verify that the channels are set to the correct IBP sites.

8. Verify that the pressure range is set correctly.

EXIT

HR Source Smart

Gating OFF

ECG ON

Cable 5 lead

Filter Monitor

Display Range MEDIUM

Auto lead switching YES

Color ¤

IBP 1 SITE ART RANGE 0 TO 200 ZERO None Color ¤

IBP 2 SITE CVP RANGE 0 TO 20 ZERO None Color ¤

NIBP ON GASES ON

NIBP tone NONE

Color ¤

ECG/IBP/SPO2 Tone Vol 5

Other Params Menus No Action

MEDRAD

Veris

8600

8 —8

9. Set the transducer to the zero calibration position. Generally this

requires opening a stopcock on the transducer to allow an

ambient room pressure reading. Follow the directions for your

transducer.

10.Go to the PARAMS window by selecting and pressing the

PARAMS softkey with the menu knob.

11.Go to the IBP 1 or IBP 2 parameters. Move the cursor to the

ZERO selection item in the PARAMS window. Set ZERO to One

to begin zero calibration.

NOTE: The ZERO setting can be changed to All to begin zero

calibration of both IBP channels at the same time. The stopcock

must be open on each transducer to be zeroed.

12.When you zero the channel, numerical values appear in the IBP

box in the lower right corner of the main display. The message

ZERO GOOD briefly appears.

13.Exit the PARAMS window.

14.Return the transducer to its normal monitoring position. The

numerical values for pulsatile IBP sites appears and displayed

IBP waveforms resume their normal shape.

NOTE: the monitor cannot calibrate to a zero offset that exceeds

± 150 mmHg. The monitor reports a ZERO FAIL message. Contact

MEDRAD Service or your local representative if you cannot zero the

monitor.

NOTE: According to information I found and conversion used: at an

elevation of 2,000 meters (6,561.7 ft.) the transducer will not

calibrate.

Zero Calibration (Quick)

You can quickly zero the IBP channels using the softkeys on the main

menu.

1. Open the transducers to atmosphere pressure.

2. Turn the menu knob to highlight

ZERO

IBP1 (or

ZERO

IBP2) from

the main menu.

3. Press in the menu knob to begin the zero calibration of the

selected IBP channel.

4. Wait until the message ZERO GOOD appears in the alarms

message area.

5. Close the transducers.

MEDRAD

Veris

8600

8 —9

Clinical Use and

Arterial Waveforms

A variety of physiological conditions alters the appearance of the IBP

pressure waveforms. Conditions such as hypertension, shock,

obstruction of the aorta, aortic valve disease, and pericarditis can

affect the arterial pressure waveform.

The arterial waveforms may also be affected by poor setup. The more

common problems affecting arterial waveforms are overdamping,

catheter whip and lack of periodic calibration.

Overdamping is caused by air bubbles, thrombus formation at the tip

of the catheter, or lodging of the catheter tip against the vessel wall.

Overdamping exhibits itself as a poorly defined waveform without a

noticeable dicrotic notch.

Catheter whip is caused by excessive movement of the catheter tip

within the vessel. Catheter whip exhibits itself as an erratic or noisy

waveform.

As described above, zero the IBP channels at least every eight hours

or according to hospital protocol.

Disparity between invasive and non-invasive blood pressure values

normally occurs due to the difference in the measurement technique.

Cuff pressure (NIBP) tends to be 5 to 10 mmHg lower than invasive

(IBP) measurements. This disparity can be even more pronounced in

hypothermic patients and with poorly arranged IBP tubing.

NOTE: Position transducers at the same height as the patient’s heart

for optimal measurement accuracy.

9 —1

9 — Temperature

Theory of Operation

The

Veris

monitor uses a fiber-optic thermometer to measure

temperature. This provides accurate and reliable measurements in

the MRI environment.

This sensor probe features an environmentally inert, non-conductive,

non-metallic, miniature probe, making it ideal for harsh operating

conditions like the MRI environment, which includes conditions where

high levels of electromagnetic interference (EMI) such as RF field or

high voltages exist. The probe itself is inert to chemical and biological

agents and is ideally suited to applications where a completely non-

reactive sensor is required or where other types of sensors would

malfunction or become damaged.

Figure 9: Temperature Probe Signals

The temperature system is comprised of a probe, a fiber optic cable,

and the optoelectronic sensor head containing detection optics,

signal processing, and interfaces. The probe itself contains a

patented, highly temperature-sensitive phosphor as its sensing

element, and both the probe and phosphor are protected by a

fluoropolymer sheath. The standard cable length is 3 meters.

The temperature system uses a fluorodecay sensing technique.

Pulsed light from an LED is sent down the optical fiber to energize the

phosphor. The time decaying glow of the phosphor changes with

temperature and is transmitted back to the sensor head where it is

converted to a temperature reading. The temperature system uses a

unique ratio measurement system to minimize inaccuracies due to

signal loss from the fiber and connector.

The temperature system is fully calibrated at the factory.

Temperature-sensitive

Phosphor

Optical Fiber

Time-decaying phosphor

emission pulse returns to

detection circuitry

Incident pulse of LED

energizes phosphor;

spontaneous emission

occurs

MEDRAD

Veris

8600

9 —2

Temperature Monitoring

Procedures

The

Veris

monitor system provides for two temperature probes,

allowing for patient temperature measurements from two different

locations. The user is not required to use both probes simultaneously

nor is one probe dominant over the other.

Figure 9-1: Temperature Probe Connection

Skin surface temperature monitoring is intended for the detection of

hypothermic and hyperthermic conditions. The skin temperature

sensor is designed for placement on the surface of the skin only.

To insure the proper performance of the temperature accessories,

follow the precautions listed below.

• Skin abrasion and tissue burn hazard! Separate the monitor and

temperature cables from electrocautery systems; keep both

active and ground electrodes of the electrocautery system in

close proximity so that the temperature sensor is outside the

radio-frequency current field.

WARNING

9 —3

9 —Temperature

• Forced mating of the connectors without proper alignment may

cause damage to the connectors and interruption in electrical

continuity and optical alignment.

• During use, do not entwine the cable with other electrical

cables.

• To remove the temperature connector, press on the locking clip

and pull straight out. Do not pull on the temperature sensor

cable to remove the temperature connector from the monitor.

• Fiber optic sensors can be damaged if subjected to severe

stress, such as pulling, bending, or crushing. The sensor

(including the connector cable) should not be stepped on,

jerked, or bent into a very tight arc (radius less than 1 cm). It is

recommended to use tape to strain relieve the fiber optic cable

to the patient couch before attaching the sensor to the patient.

• Reposition the probe at least once every 24 hours to allow the

patient's skin to respire.

CAUTION

MEDRAD

Veris

8600

9 —4

Directions for Use with

Skin Surface Probe

Preparing the Equipment

1. Press the ON/OFF or STANDBY button to turn on the monitor.

Check the monitor settings for the correct setup.

2. Connect the temperature probes to the monitor.

NOTE: Take care to align the temperature sensor plug so that

the locking clip on the plug lines up correctly with the receptacle

on the side of the monitor. Forced mating of the connectors

without proper alignment may cause damage to the connectors

and interruption in electrical continuity.

NOTE: The monitor’s temperature connection accepts any

MEDRAD fiber-optic temperature accessory.

3. Unwind the cable from the protective card and peel the sensor

from the card.

Attaching the Temperature Probe

to the Patient

MEDRAD recommends attaching the temperature probes at either

the Axillary or Femoral location as shown in “Figure 9-2: Temperature

Probe Locations” below.

Figure 9-2: Temperature Probe Locations

4. Prepare the skin site according to established protocol. Prepare

the patient by ensuring that any hair is removed from the

location(s) where you intend to place the temperature probe(s).

5. Adhere the sensor to the skin site. Apply tape length-wise along

the cable, directly over the flouroptic sensor as well as to the

cable sheath.

Axillary

Femoral

10 —1

10 — Anesthetic Agents

Theory of Operations

Integrated CO

and Agent

Gas Detector

The integrated detector measures carbon dioxide (CO

), nitrous oxide

O), and five halogenated anesthetic agent gases using the same

sample collection path and testing apparatus. The analyzer uses

proprietary High IQ™ technology to identify and quantify agent

gases. There are no moving parts, reducing size of the detector and

enhancing reliability.

The

Veris

monitor uses the sidestream method of measuring CO

and

anesthetic agent gases. Gas is drawn through a nasal cannula or

sample line. The gas sample enters the monitor from a sampling tube

into a water trap, which removes water vapor and particulate matter

from the gas sample. The gas then enters the CO

(agent) detector

where it is analyzed.

Agent Gas Measurement

The agent detector samples gas breathed by the patient through a

sidestream circuit. It measures the concentrations of CO

, N

O, and

halogenated anesthetic agents in the sampled gas. The detector

uses far-infrared measurements to identify concentrations of

halothane, enflurane, isoflurane, sevoflurane, desflurane anesthetic

agents and their mixtures.

The analyzer uses the principles of infrared absorption spectrometry

to measure anesthetic gases. The integrated detector determines the

concentrations of anesthetic gases and CO

by measuring the optical

absorption of the sampled patient gas at a number of specific

wavelengths in the medium to long-wave infrared region.

AGENT ACCURACY OF MEASUREMENT

The accuracy of a single agent measurement is defined by the

formula,

where “m” is equal to the measurement in percent and “x” is the

tolerance range.

Example of 5% HAL measurement, calculating the high limit of the

tolerance range.

(5% HAL × 0.04Reading) + 0.1%Absolute = 0.3%

5% HAL + 0.3%Tolerance = 5.3%

Final tolerance range is 4.7% to 5.3% HAL.

MEDRAD

Veris

8600

10 —2

Gas Monitoring Procedures

The following instructions describe procedures for preparing a patient

for CO

, O

, N

O, and agent (AGT) monitoring.

Sampling Circuit Connections

The monitor uses a sidestream gas sampling circuit composed of a

water trap, a sampling line and a sampling device. The water trap is a

combination filter and moisture condenser. The same circuit is used

for CO

, O

, N

O, and agent monitoring.

Shown below is the patient monitor with a water trap and sample line

connection. Please refer to “Accessories” in Appendix D for part

numbers.

Figure 10-1: Gas Sampling Connection

The monitor’s gas sampling connection (from the water trap) accepts

gas sampling lines using the Luer style connections. It is important to

use the recommended water trap and combinations in order to

provide the correct flow rates for monitoring purposes.

10 —3

10 —Anesthetic Agents

Gas Monitoring Safety

The following instructions describe precautions and contraindications

for gas monitoring. Use all safety procedures and protocols for

anesthetic safety as designated by your health care facility.

• Do not use this monitoring system in conjunction with highly

flammable anesthetics such as cyclopropane or ether.

• The monitoring system is not intended for monitoring gas

mixtures containing methoxyflurane or halogenated

hydrocarbons not specifically listed as a monitored gas.

• Environmental pollution of nitrous oxide and halogenated

agents may cause accuracy errors. Always use anesthetic gas

scavenging systems (AGSS) with the monitoring system.

• Infectious agents may be transferred between patients through

the return of the monitor's exhaust to the patient's breathing

circuit.

• Infectious agents may be transferred between patients through

contaminated masks and nasal cannulas. Change the sample

devise and sampling line before use with each new patient.

• Never attach intravenous tubes to gas sampling connections.

Gas sampling lines may be inadvertently connected to

intravascular fluid systems; allowing air into a blood vessel.

• Use MEDRAD MRI compliant supplied gas cylinders only for

verification of gas readings. They are suitable for use in the MRI

environment. See “Accessories” in Appendix D for part

numbers.

• Use only MEDRAD water traps with this monitor.

• Care should be taken to prevent gas tubing from being

obstructed in any way by the scanner table or other equipment.

• Change sample lines and sampling devices between each

patient. Infectious agents may be transmitted through reuse of

sampling lines.

• Do not connect the monitor’s exhaust for return flow to the

breathing circuit. Infectious agents may be transmitted through

reverse flow from sampling devices.

• Use of longer sampling lines or extensions increases the

monitor’s response time and can affect accuracy.

WARNING

CAUTION

MEDRAD

Veris

8600

10 —4

Water Trap

The water trap has a connection located at the top that fits up and

into the gas receptacle of the monitor.

Figure 10-2: WaterChek

™

Water Trap

The trap slides out of the front receptacle and can be quickly replaced

if it becomes filled or occluded. The front of the WaterChek™

2+ water

trap has a female Luer-lock sampling line entrance.

Luer-lock entrance

Slide up and into

receptacle

Water Trap

Water Trap Receptacle

(On Monitor)

Water Trap

Connection

10 —5

10 —Anesthetic Agents

Sampling Devices

Shown below is a typical gas sampling device (nasal cannula)

attached to a sample line. This nasal cannula is used for both CO

, N

O, and agent (AGT) monitoring.

Figure 10-3: Nasal Cannula

If using the nasal cannula, position it directly under the patient's nose

with the prongs extending into the nostrils. Slide the adjuster forward

to close the loop around the head.

The nasal cannula is intended for single patient use only. Alternate

sampling devices such as masks may be used if they have a female

Luer-locking sampling entrance. Intubation breathing circuits require

a sampling entrance near the connection to the endotracheal tube.

The divided nasal cannula delivers O

and samples for CO

Intubated Patients

The monitor can be used with intubated patients. Use recommended

water traps and breath circuit adaptors. Check the trap reservoirs

regularly. Check the breath circuit regularly for leaks or

disconnections. Follow the directions provided with your endotracheal

tube for additional precautions.

• Additional adaptors between the endotracheal tube and the

sampling entrance should not exceed five centimeters.

CAUTION

MEDRAD

Veris

8600

10 —6

Standard breath circuit configurations are shown below beginning

with a common endotracheal tube with a 15mm outside diameter. The

circuit then extends to meet a standard 22mm inside diameter

ventilation flex tube. Confirm the proper fit of all breath circuit

components before attempting patient monitoring.

Figure 10-4: Straight Ventilation Adaptor Setup

Figure 10-5: Elbow Ventilation Adaptor Setup

Calibration and Startup

The monitor automatically begins an auto-calibration sequence when

powered up. During this time the monitor may display a flat

capnogram for approximately ten seconds. When the calibration and

warm up sequence is over the system messages disappear and

normal operation begins.

22mm I.D. Ventilation Tube

with 15mm I.D. Adaptor

Sampling Line (Luer-lock)

15mm I.D./15mm O.D.

Ventilation Adaptor with

Luer-lock Sampling Entrance

Endotracheal

Tube 15mm O.D.

22mm I.D. Ventilation Tube

with 15mm I.D. Adaptor

Sampling Line

(Luer-lock)

15mm I.D./15mm O.D.

Elbow Adaptor with

Luer-lock Sampling Entrance

Endotracheal Tube 15mm O.D.

MEDRAD

Veris

8600

10 —7

Procedure for Gas Monitoring

1. Check the Flow Rate settings in the PARAMS softkey window.

2. Slide the WaterChek

™

water trap into the gas receptacle of the

monitor.

3. If anesthetic agents are being used, attach a scavenging line to

the exhaust port at the pedestal of the monitor. A waste gas

recovery system should be used.

4. Attach a sample line to the Luer fixture located on the front of

the WaterChek

™

water trap.

5. Make sure the sampling line is not kinked or pinched.

6. Attach a patient sampling device to the sampling line. Use either

a nasal cannula, mask or ventilation tube adapter.

7. Replace sampling devices, lines, and water traps if they become

blocked or filled.

Occlusions

The monitor displays a visual message AGT: OCCLUSION if the gas

sampling system is blocked. If the sampling line or water trap

becomes partially blocked, the item should be replaced.

Anesthetic Gas

Exhaust Recovery

Always use an exhaust gas recovery system when using anesthetic

gasses. A scavenging kit can be used to connect the monitor to a gas

scavenging system.

1. Slide the tube over the nozzle of the exhaust port located on the

back of the monitor base, near the DC power cord.

2. Connect female Luer-lock end to an exhaust recovery system.

A straight adaptor 19mm O.D./19mm I.D. with a male Luer-lock

entrance is provided with the scavenging kit to provide a connection

to scavenging tubing.

The monitor displays AGT: NO EXHAUST if the scavenging line is

blocked.

11 —1

11 — CO

, O

, and N

Theory of Operation

Respiration

Respiration is measured via the CO

monitoring module and is only

available in Anesthesia models.

Capnometry

(Measurement of CO

)

The

Veris

monitor measures CO

concentrations and sends data

suitable for a continuous waveform display. The monitor also detects

end-tidal and fractional Inspired CO

levels and displays the

numerical values. End-tidal CO

(EtCO

) is defined as the maximum

concentration at the end of expiration. The monitor measures the

concentration and displays the numerical value. The EtCO

value is updated continuously with each breath cycle. The amount of

in the gas mixture inhaled by the patient is the fractional Inspired

(FICO

The monitor measures CO

using the principles of infrared absorption

spectrometry. An unknown concentration of gas (CO

) is calculated

by comparing its absorption of infrared light to that of a known

standard. The absorption of light is directly related to the

concentration of the gas. As infrared light passes through the sample

gas chamber, the light transmitted is converted to a voltage signal.

The monitor converts the voltage into CO

concentration data that

can be expressed numerically or as waveforms. The Beer's Law

calculation is performed by the software of the

Veris

monitor.

Infrared analysis of the gas samples is done using Beer’s Law. The

formula for Beer’s Law is as follows:

Infrared value of measured sample.

Infrared value of light source.

Exponential function.

Extinction coefficient.

Concentration of the gas sample

Distance measured through the sample

CONDITIONS OF USE

The

Veris

monitor has been calibrated with dry NIST-traceable

calibration gases at room temperature and pressure (~ 21C, 740

mmHg). Given the small effect of water vapor on agent gas and CO

measurements and the monitor’s built-in temperature and pressure

measurements and compensations, this method of gas analysis per

EN 864 is best described as ATPS (Ambient Temperature and

Pressure, Saturated; 21C, 750mmHg, 100% Humidity Saturated).

ελ

()

–

ελ

()

MEDRAD

Veris

8600

11 —2

The

Veris

monitor is suitable for sustained pressure (breathing circuit)

monitoring environments and has been tested per Clause 102

(Sustained Pressure) of EN 864.

STABILITY OF ACCURACY

The monitor has an internal barometer and thermistor that allow

compensation for changes over a range of temperature and

atmospheric pressures. The monitor complies with EN 864 standards

for cyclical pressure. The module as installed in the

Veris

monitor has

been clinically tested for performance with a variety of patients.

Measuring Oxygen (O

)

The

Veris

monitor uses the sidestream method of measuring O

. The

gas is sampled from the same gas intake system used in CO

monitoring. The water trap removes moisture and particulate matter

from the gas samples.

METHOD

The gas sample is measured using a reactive oxygen cell. The

oxygen sensor is a galvanic electrochemical cell that works by a

process known as “oxidation reduction.”

Oxygen from the air comes in contact with a highly reactive metal,

reacts with the metal and produces a current. As the oxygen reacts,

this reactive metal is gradually being used up. Once the metal is used

up, the cell is depleted and can no longer sense oxygen.

The cell generates a voltage output proportional to the amount of

oxygen in the sampled gas. This oxygen cell has an internal

thermistor and circuitry that adjusts the output voltage based on

current temperature of the cell.

The voltage is read by the microprocessor and an O

measurement is

generated using predictive circuitry. This predictive function

enhances response time of the O

monitoring module.

The relationship between gas concentration and pressure is

calculated by the microprocessor. The numerical value displayed by

the monitor (O

Calculated) is generated using the following formula.

The measured O

predictive value is multiplied by a fixed value

derived from room pressure divided by room ambient oxygen levels.

The measurement is further adjusted by multiplying the ratio of the

pressure determined at calibration (P

) with the current pressure (P

There is a negligible effect on O

measurements due to humidity.

O2Calculated O2Measured 20.9

O2Ambient

------------------------------

×PC

------

×=

11 —3

11 —CO

, O

, and N

CONDITIONS OF USE

The O

function is appropriate for measuring respiratory O

concentrations in all patient populations. The O

monitor is suitable

for use in breathing systems and with the use of inhalation anesthetic

agents.

STABILITY OF ACCURACY

The oxygen cell contains temperature correction circuitry. The oxygen

sensor temperature is maintained at a nominal 40 degrees Celsius to

maintain a consistent performance.

MEDRAD

Veris

8600

11 —4

Monitoring Procedure

Allow the CO

monitor to warm up and auto-calibrate before use. It is

necessary to have the water trap sampling line attached so that the

monitor draws the correct air flow.

When a patient is connected, the monitor begins displaying the end-

tidal and inspired CO

values in the parameter box. The capnogram

waveform, if selected as a displayed waveform, provides a graphic

representation of the patient’s respiration cycle.

The source of the numeric respiration rate is determined through

capnography.

USE OF NITROUS OXIDE

Since nitrous oxide has a similar infrared signature to that of CO

and it affects absorption of CO

, special care must be taken when

measuring CO

while anesthetics are being used.

INTERFERING GASSES FOR CO

The monitor will report small changes in CO

when anesthetic agents

and oxygen are used. Expected CO

changes are provided here for

the purpose of comparison.

For Gas mixtures of 5% CO

Agent Agent Volume* Change of CO

Oxygen

Halothane

Enflurane

Isoflurane

Sevoflurane

Desflurane

95%

89%

15%

-0.5%

+0.7% with N

O compensation

+0.2%

+0.4%

+0.5%

* Gas mixtures balanced with nitrogen.

11 —5

11 —CO

, O

, and N

Monitoring Procedures

When a patient is connected, the monitor begins displaying the

expired and inspired O

numerical values in the parameter box. All

procedures for patient setup, water traps, and occlusions apply to the

measurement because the sample is taken from the same source.

Interfering Gasses for O

The monitor reports small changes in O

when anesthetic agents and

oxygen are used. Expected O

changes are provided here for the

purpose of comparison.

O Monitoring

• Environmental pollution of nitrous oxide and halogenated

agents may cause accuracy errors. Always use anesthetic gas

scavenging systems (AGSS) with the monitoring system.

For Gas mixtures of O

Agents Balance Change of O

Helium 50%

O 65%, CO2 5%

O 80%

Halothane 4%, N

O 66%

Enflurane 5%, N

O 65%

Isoflurane 5%, N

O 65%

Sevoflurane 5%, N

O 65%

Desflurane 15%, N

O 55%

Oxygen 50%

Oxygen 30%

Oxygen 20%

Oxygen 30%

+0.7%

+1.3%

+0.8%

+0.7%

+0.1%

-0.4%

-2.7%

WARNING

12 —1

12 — Printing and Data Ports

Description

The optional remote display is equipped with a thermal dot-matrix

printer which is located on the top of the unit. The

Veris

remote

display is capable of printing all vital signs parameters in tabular (text)

format. The remote display can also produce graphical (waveform)

formats as specified by the user.

NOTE: The main monitor does not have an internal printer. Printing

can only be done if the system has a remote display.

Snapshot Size

The period of time (in a graphical print) that starts 4.5 seconds prior

to pressing the PRINT key and lasting the duration of the Snapshot

setting in the print menu (6, 12, 18, or 24 seconds). (i.e. if the print

type is set to graphical and snapshot is set to 6 seconds then the

Veris

prints out the waveform data selected 4.5 seconds prior to a

PRINT keypress and 1.5 seconds after the PRINT keypress).

History Size

History Size is a period of time defined by the user that is prior to the

snapshot time period. History Size can be selected as 6 or 12

seconds.

Safety

• Do not take the remote display into the MR Scanner room. The

remote display contains ferromagnetic material and can be

strongly attracted to the magnet causing a safety hazard.

NOTE: The remote display can only operate if the main monitor is

turned on. All audible and visual information displayed on the main

monitor is heard and seen on the remote unit in virtually real time. A

symbol displays in the upper right-hand corner of the screen to

indicate both devices are connected and active. The remote display

has access to all the same functions as the main monitor except for

the NIBP TEST and OPTION CONFIGURATION modes.

WARNING

MEDRAD

Veris

8600

12 —2

Print Modes

Demand Print

If the print type is set to tabular, pressing the PRINT key causes an

immediate print-out of the vital signs numbers, date, time and patient

data in a “tabular” text format.

If the print type is set to graphical, pressing the PRINT key causes an

immediate print-out of the selected waveforms for a duration as

selected by “snapshot size.”

Continuous Print

If print type is set to Graphical, pressing and holding the PRINT key

for two seconds causes the selected waveforms to print out

continuously (until the PRINT key is pressed again) at 12.5mm/sec or

25mm/sec. If set to 50mm/sec, it defaults to 25mm/sec.

Alarm Print

The remote display issues a printout if a high or medium alarm

occurs, as selected by the user in the PRINT softkey window.

If the Print Type is set to Tabular, a “tabular demand print format” is

issued if an alarm setting is violated.

If the Print Type is set to Graphical and Snapshot Size is set to 6

seconds, if an alarm setting is violated a graphical print strip is issued

displaying:

• a 6 second snapshot,

• plus history size,

• the waveforms selected in the print menu.

This strip represents the history size added to the snapshot data.

BP Print

The remote display issues a printout at the completion of a successful

non-invasive blood pressure reading, as selected by the user in the

print menu.

If Print Type is set to Tabular, a tabular demand print format is issued

at the end of a successful non-invasive blood pressure reading. If

Print Type is set to Graphical and Snapshot Size is set to 6 seconds a

6 second graphical print strip is issued displaying the waveforms

selected in the print menu at the completion of a successful

noninvasive blood pressure reading.

Interval Print

Interval prints are periodic automatic printouts as selected by the

user in the Print menu. They are either Graphical or Tabular as

selected in the PRINT window.

Freeze Print

A freeze print is initiated by depressing the PRINT key after setting

the monitor in “freeze” mode (pressing the FREEZE key). The

printout is determined by the settings in the Print menu. This strip

represents the history size added to the snapshot data.

12 —3

12 —Printing and Data Ports

If print type is set to Graphical, the waveforms selected are printed

out. The data printed is for a history time period followed by a

snapshot time period.

If Print Type is set to Tabular, a demand tabular print is issued using

the “frozen” numeric vital signs data on the screen.

Trend Print

After displaying a trend on the

Veris

screen (by pressing the TREND

key), press the PRINT key to print the trend data displayed on the

screen. If the monitor is set for Tabular trends, then the printout is

tabular; if the monitor is set for Graphical trends, then the printout is

graphical.

Press and hold the PRINT key (while a trend is displayed on the

monitor's screen) to print all of the stored Trend data.

If Serial is selected as the Print device (in the CONFIG menu) and the

user is in the Trend screen, the following occurs:

• A short key press causes the serial port to output the trend

records the user is viewing;

• A long key press causes the serial port to output the entire trend

records.

MEDRAD

Veris

8600

12 —4

Print Formats

The internal thermal dot-matrix printer is capable of printing vital

signs parameters in tabular (text) or graphical (waveforms). Select the

printout format in the PRINT softkey menu.

Tabular Printing

A header is printed containing the monitor model, the operating

software revision, the time and date, and the patient information. The

title for each parameter follows.

Numerical values for all current parameters are printed. The sample

below shows a tabular print out.

Figure 12-1: Tabular Printout

Graphical Printing

If both waveform 1 and 2 have been set to a physical parameter the

print out will be a split dual waveform. If only one of the waveforms is

turned on, a single waveform will be printed using the entire

waveform area. If both waveforms are turned off, the waveform area

of the print out is blank.

Selectable options for waveforms are ECG I, II, III, V, aVR, aVL, aVF,

PLETH, IBP I, IBP II, Et CO

, O

, AGT, N

O, and OFF.

Numerical values for heart rate, SpO

, NIBP, temperature, respiration,

EtCO

, INCO

, EtO

, INO

, INS AGT, EXP AGT, INS N

O, and EXP

O are printed above and below the waveform grid.

MEDRAD Veris Rev 4.2D

07-10-04 8:50:11

NAME: SMITH

JOHN Q

ID:4680592421

Room number:101

07-10-04 8:50:11

HR ( ECG ) 60 BPM

SpO2 98 %

RESP ( CO2 ) 20 Br/m

TEMP 96.4 97.7

GAS EXP INS

CO2 37 8 mmHg

O2 17 21 %

HAL 11.0* 10.5*%

N2O 39 64 %

ART1 145 /105*(125 )mmHg

CVP2 ( 13 )mmHg

12 —5

12 —Printing and Data Ports

Figure 12-2: Single Waveform Printout

Figure 12-3: Dual Waveform Printout

Figure 12-4: Sample Agent with CO

Printout

MEDRAD

Veris

8600

12 —6

Figure 12-5: Sample ECG with Pleth Printout

The printout can be configured with a variety of waveform pairs. The

example above shows an ECG waveform and a plethysmographic

waveform. The top waveform information appears in the upper right

corner of the printout. The lower waveform information appears in the

lower right corner of the printout.

The example above is the shortest printed waveform view available.

Longer printouts can be configured in the PRINT menu.

An asterisk (*) after a parameter value represents when the system

alarmed for that parameter.

Figure 12-6: Alarms Noted with Asterisks

Data in corner for

top waveform

Data in corner for

bottom waveform

12 —7

12 —Printing and Data Ports

Changing Printer Paper

The monitor uses thermal paper. The paper must be loaded with the

thermal reactive side down as shown in the pictures below.

Open the printer door and remove the old spool.

Figure 12-7: Open The Printer Door

Insert the paper between the rollers.

Figure 12-8: Insert Paper

The paper automatically feeds when the paper is inserted.

MEDRAD

Veris

8600

12 —8

Figure 12-9: Feed Paper

Close the paper door while sliding the end of the paper through the

slot in the door.

Figure 12-10: Close Door

12 —9

12 —Printing and Data Ports

Data Output Ports

The

Veris

monitor supports a variety of communication connections.

The communications ports are located along the left edge of the back

of the remote display. The ports are as follows:

• COM1 Port, RS232 Serial DB-9

• COM2 Port, MiniDIN 8, Service/Analog

NOTE: Any serial cables connected to the ports must be IEC 950 or

IEC 60950 compliant. Any peripherals connected to the monitoring

devices must be IEC 950 or IEC 60950 compliant.

COM1 Port

The monitor uses a serial port (DB-9 female) for the external data

output port and for loading system software updates. The monitor

uses a standard RS232 communication protocol with no flow control.

NOTE: This connection has a protective cover that needs to be

removed before use.

Figure 12-11: COM1 Pinout Diagram

SERIAL PRINTING

The COM 1 port supports sending data to an external serial printer or

computer terminal. To send the data as described in the beginning of

this section to the COM 1 port, the print device must be set to Serial

in the CONFIG menu. Printing is then routed to the COM1 port

instead of the internal printer.

Set the serial format to TEXT in the CONFIG menu to simulate the

tabular printout of the internal printer. Set the serial format to CSV in

the CONFIG menu to create a “comma separated variable” table. The

CSV format can be used by software programs. A description of the

CSV format is located at the end of this section.

Pinout,

DB-9 connector

Pin Signal

1 (Unused)

2 RX1

3 TX1

4 (Unused)

5 Ground

6 (Unused)

7 (Unused)

8 (Unused)

9 (Unused)

PINOUT CHART

1 2 3 4 5

6 7 8 9

MEDRAD

Veris

8600

12 —10

SENDING DATA TO A COMPUTER

Use a serial download cable to connect to standard male DB-9

computer serial ports. A common computer terminal program and an

unused RS232 serial port is needed for external communications.

MEDRAD recommends using the Windows HYPERTRM.EXE

program provided with MS Windows 95 or later operating systems.

HYPERTRM.EXE can be found in the Windows accessory directory.

For older computers using MS Windows 3.1, the communications

program TERMINAL.EXE can be found in the Windows directory.

Set the monitor to interval printing with serial output selected. With

the computer terminal connected, a data file may be collected. The

file may then be further evaluated by computer. See the description

for CSV format at the end of this section.

TERMINAL CONFIGURATION

The cable connections should be completed and the terminal

program should be configured before attempting to send data.

The recommended settings are as follows:

Baud Rate: 9600 or 19200

Parity: No Parity

Stop Bits: 1

Data Bits: 8

Hardware Control: None

EXTERNAL SERIAL PRINTER ACCESORY

The selected external printer must be configured so that it can

communicate with the monitor. Follow the configuration instructions

provided with your printer.

The required settings are as follows:

Baud Rate: 9600 or 19200

Parity: No Parity

Stop Bits: 1

Data Bits: 8

12 —11

12 —Printing and Data Ports

COM2 Port

The monitor uses the COM2 serial port (8-pin Mini DIN) for loading

system software updates and for reprogramming the monitor. The

communications ability of this port is for service use only.

There is also an analog output signal available at pin 2. For

information about sending analog data to a plotter or chart recorder

contact MEDRAD Technical Support.

The connector pinouts are shown below.

Figure 12-12: COM2 Port Pinout Diagram.

Video Port

The monitor provides a DB-15 VGA video port that is functional on

monitors with TFT screens.

Pinout,

DIN8 connector

Pin Signal

1 Boot 2

2 Analog Wave

3 RX 2

4 Ground

5 TXL

6 TX3

7 RX3

8 Boot 1

PINOUT CHART

MEDRAD

Veris

8600

12 —12

CSV Data Format

The Comma-Separated Variable output presents the data in a form

that is easily imported into a spreadsheet application where further

analysis can be done on the data. The data is output in ASCII format

with each field (time, heart rate, SpO

, IBP, CO

, O

, agent, N

temperature, temperature type [degrees F or C], systolic, diastolic,

and map) separated with a comma. Using the Windows 3.1

TERMINAL.EXE program and EXCEL (4.0), here is an example of

how it may be used:

1. Connect the COM1 port to the serial port on the computer.

2. Start Terminal from the Accessories menu.

3. Choose Settings|Communications to set the computer's

connector to the proper port. Check communications settings.

4. Choose Transfers|Receive Text File. Assign a name to the data

(e.g. DATA.TXT) and press OK.

5. At this point, all data transmitted from the monitor will appear on

the screen and will be saved in DATA.TXT.

6. When all the desired data has been accumulated, choose

Transfers|Stop to close DATA.TXT.

7. Start EXCEL and choose File|Open.

8. Enter/Click on the file name and press the Text button.

9. For Column Delimiter, choose "Comma". For File Origin, choose

"Windows (ANSI)". Then choose OK.

10.Choose OK again from the Open dialog to open and display

DATA.TXT.

The data will be organized in a table by field. Using the EXCEL

presentation options, this data could be graphed, printed in tabular

form, or analyzed statistically in some other way.

A-1

Appendix A: Maintenance

This section contains recommended procedures for maintenance,

and an operational checkout of the

Veris

8600 patient monitor.

Routine maintenance and inspection will:

• Ensure continued performance of the patient monitor.

• Reduce the possibility of equipment malfunction.

Cleaning and Disinfecting

• Shock Hazard! Turn the power off and disconnect the AC power

cable before cleaning the monitor and sensor.

• Shock Hazard! Never immerse the monitor in any liquid. The

monitor has an internal power source that is active when the

unit is unplugged.

• Shock Hazard! Do not clean the main monitor or accessories

with the patient attached to the monitor.

• Shock Hazard! Remove the power cord from the base of the

patient monitor to isolate any AC (Mains) power from the patient

monitor.

• Shock Hazard! Remove the power cord from the remote display

to isolate any AC (Mains) power from the remote display.

• Remove the main monitor from the MR Scanner room

environment to a safe location for cleaning purposes. Avoid

using cleaning products that are kept in ferromagnetic

containers.

• Avoid using ferromagnetic tools in any maintenance procedure.

• Improper disposal of batteries may result in explosion, leakage,

or personal injury. Do not open the batteries. Do not dispose of

the batteries in a fire. Follow all local and national regulations

concerning the disposal of spent Lead-acid and Lithium-Ion

batteries, or contact MEDRAD for assistance.

• Do not use abrasive cleaners on the monitor or on any sensors

or probes. Abrasive cleaners can damage the monitor, sensors,

and probes.

• The exterior surface of the monitor, except for the display

screen, may be wiped clean with alcohol and dried with a soft,

dry cloth. It is best to use a cotton cloth to clean the monitor.

Paper towels or tissues can scratch the surface of the display.

WARNING

CAUTION

MEDRAD

Veris

8600

A-2

• Do not use full strength alcohol on the display screen. Repeated

use of strong cleaners can damage the screen. Clean the

display window by wiping it with a clean, soft, lint-free cloth

sprayed with common glass cleaner. Do not spray glass cleaner

directly on the display.

Pulse Oximeter Sensors

• Do not immerse any MEDRAD pulse oximeter sensor connector

in any liquid. Doing so may damage the connector.

The SpO2 sensor may be wiped clean with alcohol. The SpO2 sensor

may be disinfected by placing the pads and cable in a 2%

glutaraldehyde solution. Place only the sensor paddles and cable in

the solution.

Blood Pressure Cuffs

The reusable blood pressure cuff may be cleaned by wiping it with a

damp cloth or sponge. If necessary, the cuff may be disinfected by

wiping with 70% alcohol, mild bleach solution, or other disinfectant.

Disposable blood pressure cuffs are for single patient use and are not

intended to be disinfected.

The cloth cuff and neoprene bag may be sterilized with commercially

available disinfectants such as ethylene oxide (EtO). Rinse

thoroughly to remove any residual disinfectants. Do not allow liquids

to enter the neoprene bag. The cloth cuff may also be sterilized in an

autoclave.

If the cuffs become grossly soiled with blood or other body fluids, the

cloth cuffs should be laundered by hand or machine. The dacron

cloth cuff may be laundered or sterilized by first removing the

neoprene inflation bag. Feed the inflation tube back through the hole

and then pull out the cloth flap.

Figure A-1: Remove Inflation Bag from Cuff

Roll up the inflation bag and slide it out the open slot in the cloth cuff.

Be sure to observe the following laundering precautions (disposable

cuffs and neoprene inserts should not be laundered).

CAUTION

Flap

A-3

Appendix A:Maintenance

• Remove the inflatable bag from the cuff before laundering or

sterilizing the cuff.

• Strong bleach solutions will damage the cuff.

• Temperatures over 275° F (135° C) will damage the cuff.

• Close the Velcro® fastener before laundering the cuff.

• Soaking the cuff in dark-colored solutions may stain or discolor

the cuff.

Hand laundering (as opposed to machine laundering) prolongs the

life of the cuff. Wash the cuff in warm, soapy water. Rinse the cuff

thoroughly. After cleaning the cuff, allow the cuff to air dry, then insert

the inflation bag in the cuff.

Temperature

The temperature cable and probe may be wiped clean with alcohol.

The temperature cable and probe may be disinfected by wiping the

cable and probe in a 2% glutaraldehyde solution. Do not place either

the cable nor the probe in the solution.

TEMPERATURE PROBE

Clean the probe according to the hospital protocol for cleaning of

reusable equipment cables and probes. Typically this protocol

consists of the following:

1. Disconnect the cable from the monitor and temperature sensor

(probe).

2. Wipe the probe with a nonabrasive cloth moistened with a mild

detergent and warm water or disinfectant. Dry thoroughly.

3. Do not use solvents to clean the probe.

4. Do not allow the probe connectors and contact points to come in

contact with liquids.

5. Do not fully immerse the probe in liquids.

6. Do not autoclave or EtO sterilize the probe.

MEDRAD

Veris

8600

A-4

Accidental Wetting

• Shock Hazard! The monitor is an AC powered device and an

immersed monitor presents a danger to anyone who handles

the device.

The action to be taken following accidental wetting of the equipment

is as follows:

1. Turn the power off! Disconnect the AC power cord from the

monitor, remote display, or power supply.

2. If monitoring a patient, transfer the patient to another monitor as

quickly as possible.

3. Use a clean, dry towel or cloth to remove the liquid from the

housing.

4. The monitor, remote display, or power supply should be

inspected by a service technician as soon as possible.

5. If the internal mechanism is saturated, allow the liquid to drain

out for 24 hours before shipping.

6. If liquid has entered the monitor, remote display, or power

supply, it needs to be dried and cleaned internally. Full testing is

required before the monitor, remote display, or power supply

can be used. Contact the MEDRAD Service Department as

soon as possible.

Time is critical! The longer any liquid remains in the monitor, remote

display, or power supply, the more damage it can do. It is important to

service the monitor, remote display, or power supply immediately

after any liquid is spilled into it.

WARNING

A-5

Appendix A:Maintenance

Annual Safety Tests

The monitor and remote display should be electrically tested

annually. The safety tests should be performed only by experienced

service technicians. Refer to the

Veris

8600 Service Manual for

additional information.

System Testing

The monitor has built-in system tests which should be performed

regularly. However, the tests should be performed by qualified service

personnel only.

Service Checks

If the monitor shows any signs of physical damage, contact MEDRAD

Service immediately.

Have a qualified service technician perform the following

performance and safety checks annually.

• Perform complete functional testing of the monitor.

• Test the monitor for electrical leakage and withstanding voltage.

Do not remove the cover. Refer all servicing to a qualified technician.

Descriptions of these tests can be found in the

Veris

8600 Service

Manual. Some tests may require specialized equipment.

MEDRAD

Veris

8600

A-6

Maintenance Schedule

Your

Veris

8600 patient monitor must be properly maintained to

ensure that it is in peak operating condition. Your individual

maintenance system and schedule depends upon how your monitor

is used, the type of procedures performed, and frequency of use. The

following maintenance schedule is recommended for the system:

MEDRAD also recommends that a complete system calibration and

performance checkout be performed annually. Contact MEDRAD

Factory Service, or your local MEDRAD office for complete details.

In the United States, Canada, and Europe, the MEDRAD Service

Department offers Preventive Maintenance Programs. These annual

programs greatly assist in maintaining accuracy and reliability, and

can also extend the life of the system. Contact MEDRAD for details,

In Europe, contact your local MEDRAD office or your local authorized

dealer for further information. Refer to “In Case of Emergency

Contact” on page xi.

NOTES: If not using the monitor on a patient, keep it plugged into the

power supply for continuous charging.

Failures which occur due to lack of proper maintenance will not be

covered under warranty.

Local regulations or hospital protocol may require electrical leakage

checks at more frequent intervals. If this applies, local regulations for

leakage must be followed.

Every Patient • Clean and disinfect the sensor cables and sensor.

• Inspect the accessories and cables for damage.

• Change the gas sampling device and sampling line.

• Check the NIBP function.

• Change the water trap

Every Day • Charge the batteries as necessary. If not using the monitor on a

patient, keep it plugged into the power supply for continuous

charging.

• Test the NIBP function.

Every Week • Charge the ECG module battery.

• Compare temperature function with another temperature source.

Every 3 Months • Clean the exterior of the unit (or clean as needed).

• Fully charge the batteries.

• Check the O2 cell. Change if necessary.

Every Year • Perform the annual safety tests described above.

• Perform NIBP calibration and safety test

•Verify the CO

2 and agent gas auto-calibration. Calibrate if

necessary.

• Change the O2 cell.

• Check the CO2 absorber. Change if necessary

• Check the gas flow rate. Adjust if necessary.

MEDRAD

Veris

8600

A-7

Long-Term Storage

No special preparation is necessary for long term storage of the

monitor.

Disposal

At the end of its useful life, the monitor and its accessories may be

disposed of according to your institution's policies and procedures

and any local and national policies and procedures for disposal of

patient-contact medical waste. Discard disposable medical waste

according to your institution's policies and procedures to prevent

biological contamination.

Alternately, the monitor and its accessories may be returned to

MEDRAD, Inc., for safe disposal. The shipping address is:

MEDRAD, Inc.

One Medrad Drive

Indianola, PA 15051-0780

B-1

Appendix B: Unit and

Configuration

Defaults

Restoring the Unit Default

Profile

A set of unit defaults are pre loaded into the non-volatile memory of

the monitor. These defaults can be used as they exist, or can be used

as the basis for creating your own default profile.

The unit default profile can be modified or renamed or replaced if

desired. If you modify the unit defaults it is recommended that you

rename them.

1. Press the DEFAULT button. The Restore Unit Defaults menu

appears. The SELECT option and the currently active profile are

both highlighted.

2. Press the menu knob to scroll through the choices.

3. Turn the knob to ACCEPT.

4. Press the menu knob once. The message Action Completed is

highlighted.

5. Press the menu knob to re-establish the profile. The monitor

returns to the main menu.

Default Settings

Unit Default Settings

Customized defaults can be saved for use at a later time. Starting

from the monitor’s main screen, do the following:

1. Set specific defaults for parameters and alarms. These are set

through the ALARMS, PARAMS, DISPLAY, CONFIG, and

PRINT softkeys.

2. Press and hold the DEFAULT button located on the front panel.

The Set Unit Defaults dialog box appears.

NOTE: If the Set Unit Defaults dialog box that prompts you to

enter a password did not appear, you did not hold the button in

properly. In this case, turn the knob to highlight and select

CANCEL, or you could lose the settings just created.

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3. Enter the password MEDRAD (required to save the customized

default):

• Turn the menu knob to highlight a single letter or number.

• Press the menu knob to select that letter or number.

• Continue for each letter and number of the password.

• After pressing the menu knob for the last figure of the

password, the monitor indicates acceptance of the password

by displaying the Set Unit Defaults window.

4. When the Set Unit Defaults window displays, both SELECT and

CUSTOM DEFAULTS are highlighted.

Figure B-1: Set Unit Defaults Screen

NOTE: Selecting a value in Set Unit Defaults window is different than

other windows. At this point in this procedure, the right column of this

window is active.

5. With both SELECT and CUSTOM DEFAULTS highlighted in the

Set Unit Defaults window, press the menu knob to scroll the

highlight bar down the right-hand column list to the desired

default to be changed. Press to select.

6. Turn the menu knob to scroll the highlight bar to EDIT. Press to

select. The selected default remains highlighted as the menu

knob is rotated. The first letter of the selected default is

highlighted when the menu knob is pressed.

7. Change the label to the new default name by turning the menu

knob to select the first letter in the new name for the default.

Press to select. The next letter is automatically highlighted.

Continue for the remaining letters of the new default name.

8. After completing the last letter of the new name, press the menu

knob until the entire label name is highlighted. This indicates

that entry is complete, but not accepted.

Set Unit Defaults

Replace all configuration

and alarm settings with

unit default settings.

SELECT

EDIT

CUSTOM DEFAULTS

STD DEFAULTS

CANCEL

B-3

Appendix B:Unit and Configuration Defaults

9. To accept the new label name, turn the menu knob to highlight

ACCEPT and press to select. The message Action Completed

appears.

Figure B-2: Set Units Defaults After Modifications

10.Press the menu knob. Your new default set of is saved in

memory.

11.Press the ON/OFF button, located on the front panel, to turn off

the monitor.

Configuration Default Settings

1. From the Set Unit Defaults screen, press and hold the DEFAULT

key again. The Install Configuration Defaults screen displays.

(See Figure B-3: ”Install Configuration Defaults Screen”).

Figure B-3: Install Configuration Defaults Screen

The Install Configuration Defaults screen permits choosing which set

of 3 defaults are available to the user.

Set Unit Defaults

Set current configuration

and alarm settings as new

unit default settings.

CANCEL

SELECT

EDIT

CUSTOM DEFAULTS

NEW DEFAULT

STD DEFAULTS

Install Configuration Defaults

Replace the current set of

configuration defaults with

a different set of defaults.

SELECT

Base System

Cardiac System

Anesthesia System

CANCEL

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The selection procedure works the same as in the previous screens.

1. WIth the SELECT feature highlighted, press the menu knob to

select from Base System, Cardiac System or Anesthesia

System (depending upon your unit’s configuration).

2. Turn the menu knob to select ACCEPT. The message Action

Completed appears. Press the menu knob to effect the change.

B-5

Appendix B:Unit and Configuration Defaults

Configuration Settings for Unit

Defaults

The configuration settings for the three configuration setup defaults

are the same as the basic hospital configuration settings except for

the following, grouped by menu:

PARAMS Menu Settings

Setting Base BasePlus Cardiac Cardiac

with Temp Anesthesia Anesthesia

with Temp

Audible Tone

Volume

555555

ON ON

HR Source Smart Smart Smart Smart Smart Smart

Gating OFF OFF OFF OFF

ECG ONONONONONON

ECG Cable 3 lead 3 lead 5 lead 5 lead 5 lead 5 lead

ECG Filter Monitor Monitor Monitor Monitor Monitor Monitor

Auto Lead Switching NO NO YES YES YES YES

IBP1 Site ART ART ART ART

IBP 1 Range 0 to 200 0 to 200 0 to 200 0 to 200

IBP 1 Zero None None None None

IBP2 Site CVP CVP CVP CVP

IBP 2 Range 0 to 20 0 to 20 0 to 20 0 to 20

IBP 2 Zero None None None None

NIBP ON ON ON ON ON ON

NIBP Tone None None None None None None

NIBP Cycle Time OFF OFF OFF OFF OFF OFF

SpO

ON ON ON ON ON ON

SpO

Average 12 12 12 12 12 12

SpO

Search Time 20 20 20 20 20 20

SpO

Low Limit Alarm High High High High High High

Respiration ON ON

Respiration source CO

Temp1 ON ON

Temp2 ON ON

Unit of Measure °F °F

Unit of

Measure mmHg mmHg

Agent to Monitor

(Primary) Automatic Automatic

Gas Flow Rate 200 ml 200 ml

Flow Mode Exhaust Exhaust

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PRINT Menu Settings

* Available as an option if the system has a remote display

DISPLAY Menu Settings

Setting Base BasePlus

Cardiac;

Cardiac

w/Temp—

w/o Remote

Display

Cardiac;

Cardiac

w/Temp—

w/Remote

Display

Anesthesia;

Anesthesia

w/Temp—

w/o Remote

Display

Anesthesia;

Anesthesia

w/Temp—

w/o Remote

Display

Print Type

(Demand) na Graphical na Graphical na Graphical

Alarm Print na OFF na OFF na OFF

BP Print na Off na Off na Off

Interval Print na Off na Off na Off

Interval Print Type na Tabular na Tabular na Tabular

Snapshot Size na 6 seconds na 6 seconds na 6 seconds

History Size na 6 seconds na 6 seconds na 6 seconds

Waveform 1 na ECG II na ECG II na ECG II

Gain (waveform 1) na x1.0 na x1.0 na x1.0

Waveform 2 na PLETH na PLETH na PLETH

Gain (waveform 2) na x1.0 na x1.0 na x1.0

Printer Speed na 25.0 mm/sec na 25.0 mm/sec na 25.0 mm/sec

Setting Base/BasePlus All Cardiac and

Anesthesia Units

Waveform 1 ECG II,x1,25,25 ECG II,x1,25,25

Waveform 2 OFF OFF

Waveform 3 ECG I,x1,25,25 ECG I,x1,25,25

Waveform 4 PLETH,x1,25,25 PLETH,x1,25,25

Waveform 5 OFF aVL

Waveform 6 OFF aVR

B-7

Appendix B:Unit and Configuration Defaults

ALARMS Menu Settings

Setting Base BasePlus Cardiac Cardiac

with Temp Anesthesia Anesthesia

with Temp

Heart Rate (High)

Adult, Pediatric 150 150 150 150 150 150

Neonate 180 180 180 180 180 180

Heart Rate (Low)

Adult, Pediatric 40 40 40 40 40 40

Neonate 90 90 90 90 90 90

SpO

(High) OFF OFF OFF OFF OFF OFF

SpO

(Low) 909090909090

NIBP Systolic (High)

Adult, Pediatric 200 200 200 200 200 200

Neonate 140 140 140 140 140 140

NIBP Systolic (Low)

Adult, Pediatric505050505050

Neonate 35 35 35 35 35 35

NIBP Diastolic (High)

Adult, Pediatric 100 100 100 100 100 100

Neonate 80 80 80 80 80 80

NIBP Diastolic (Low)

Adult, Pediatric303030303030

Neonate 30 30 30 30 30 30

NIBP Mean (High)

Adult, Pediatric 150 150 150 150 150 150

Neonate 100 100 100 100 100 100

NIBP Mean (Low)

Adult, Pediatric505050505050

Neonate 35 35 35 35 35 35

Temperature 1/2

(High) na na na 100 na 100

Temperature1/ 2 (Low) na na na 93 na 93

Respiration (High)

Adult, Pediatricnananana3636

Neonate na na na na 60 60

Respiration (Low)

Adult, Pediatricnananana 4 4

Neonate na na na na 14 14

Inspired (High) na na na na 10 10

Inspired (Low)nananana 5 5

Expired (High) na na na na 55 55

Expired (Low)nananana2020

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Inspired (High) na na na na 100 100

Inspired (Low)nananana1818

Expired (High) na na na na 100 100

Expired (Low) na na na na OFF OFF

IBP1 Systolic (High)

Adult, Pediatric na na 200 200 200 200

Neonate na na 140 140 140 140

IBP1 Systolic (Low)

Adult, Pediatricnana50505050

Neonate na na 50 50 50 50

IBP1 Diastolic (High)

Adult, Pediatric na na 100 100 100 100

Neonate na na 80 80 80 80

IBP1 Diastolic (Low)

Adult, Pediatricnana30303030

Neonate na na 30 30 30 30

IBP1 Mean (High)

Adult, Pediatric na na 150 150 150 150

Neonate na na 100 100 100 100

IBP1 Mean (Low)

Adult, Pediatricnana50505050

Neonate na na 40 40 40 40

IBP2 Mean (High) na na 15 15 15 15

IBP2 Mean (Low) nana1111

ART Systolic (High)

Adult, Pediatric na na 200 200 200 200

Neonate na na 140 140 140 140

ART Systolic (Low)

Adult, Pediatricnana50505050

Neonate na na 50 50 50 50

ART Diastolic (High)

Adult, Pediatric na na 100 100 100 100

Neonate na na 80 80 80 80

ART Diastolic (Low)

Adult, Pediatricnana30303030

Neonate na na 30 30 30 30

ART Mean (High)

Adult, Pediatric na na 150 150 150 150

Neonate na na 100 100 100 100

Setting Base BasePlus Cardiac Cardiac

with Temp Anesthesia Anesthesia

with Temp

B-9

Appendix B:Unit and Configuration Defaults

ART Mean (Low)

Adult, Pediatricnana50505050

Neonate na na 40 40 40 40

PA Systolic (High) na na 40 40 40 40

PA Systolic (Low) na na 15 15 15 15

PA Diastolic (High) na na 15 15 15 15

PA Diastolic (Low) nana5555

PA Mean (High) na na 20 20 20 20

PA Mean (Low) na na 10 10 10 10

LA Mean (High) na na 15 15 15 15

LA Mean (Low) nana1111

LV Systolic (High)

Adult na na 200 200 200 200

Pediatric, Neonatenana0000

LV Systolic (Low)

Adultnana60606060

Pediatric, Neonatenana0000

LV Diastolic (High)

Adultnana40404040

Pediatric, Neonatenana0000

LV Diastolic (Low)

Adultnana0000

Pediatric, Neonatenana0000

LV Mean (High)

Adult na na 120 120 120 120

Pediatric, Neonatenana0000

LV Mean (Low)

Adultnana60606060

Pediatric, Neonatenana0000

RA Mean (High) na na 15 15 15 15

RA Mean (Low) nana1111

RV Systolic (High)

Adultnana50505050

Pediatric, Neonatenana0000

RV Systolic (Low)

Adultnana20202020

Pediatric, Neonatenana0000

RV Diastolic (High)

Adultnana20202020

Pediatric, Neonatenana0000

Setting Base BasePlus Cardiac Cardiac

with Temp Anesthesia Anesthesia

with Temp

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RV Diastolic (Low)

Adultnana0000

Pediatric, Neonatenana0000

RV Mean (High)

Adultnana30303030

Pediatric, Neonatenana0000

RV Mean (Low)

Adultnana10101010

Pediatric, Neonatenana0000

CVP Mean (High) na na 15 15 15 15

CVP Mean (Low) nana1111

ICP Mean (High) na na 15 15 15 15

ICP Mean (Low) nana1111

Primary Inspired

(High) na na na na 2.3 2.3

Primary Inspired (Low) na na na na OFF OFF

Primary Expired (High) na na na na 1.5 1.5

Primary Expired (Low) na na na na OFF OFF

O Inspired (High) na na na na 75 75

O Inspired (Low)nanananaOFFOFF

O Expired (High) na na na na OFF OFF

O Expired (Low) na na na na OFF OFF

HAL Inspired (High) na na na na 2.3 2.3

HAL Inspired (Low)nanananaOFFOFF

HAL Expired (High) na na na na 1.5 1.5

HAL Expired (Low) na na na na OFF OFF

ENF Inspired (High) na na na na 4.8 4.8

ENF Inspired (Low)nanananaOFFOFF

ENF Expired (High) na na na na 3.2 3.2

ENF Expired (Low) na na na na OFF OFF

ISO Inspired (High) na na na na 3.6 3.6

ISO Inspired (Low) na na na na OFF OFF

ISO Expired (High) na na na na 2.4 2.4

ISO Expired (Low)nanananaOFFOFF

DES Inspired (High) na na na na 18.0 18.0

DES Inspired (Low) na na na na OFF OFF

DES Expired (High) na na na na 12.0 12.0

DES Expired (Low) na na na na OFF OFF

SEV Inspired (High) na na na na 5.1 5.1

SEV Inspired (Low) na na na na OFF OFF

Setting Base BasePlus Cardiac Cardiac

with Temp Anesthesia Anesthesia

with Temp

B-11

Appendix B:Unit and Configuration Defaults

Other Alarm Settings

SEV Expired (High) na na na na 3.4 3.4

SEV Expired (Low) na na na na OFF OFF

Setting Base BasePlus Cardiac Cardiac

with Temp Anesthesia Anesthesia

with Temp

All models Value

Alarm Volume 5

Apnea 20 seconds

ECG Lead Fail Medium

C-1

Appendix C: Specifications

ECG

ECG System

Lead Selection: 3-Lead; I, II, III

5-Lead; I, II, III, aVR, aVL, aVF, V

Frequency Response: Monitor; 1-40Hz (-3dB)

Safety Standards: UL60601-1

CAN/CSA C22.2 No. 601.1-M90

IEC 60601-1, IEC 60601-2-27

EMC Standards: IEC 60601-1-2 2nd Edition, CISPR11 Class B

ECG Module

Dimensions: 13.34cm. x 9.14 cm. x 3.10cm.

(5.25 in. x 3.60 in. x 1.22 in.)

Lead Connectors: 3 or 5 Lead, Standard AAMI (DIN 42-802)

Lead Connector Color Code: American Heart Association (AHA)

Patient Isolation: Type CF

Defibrillation Protection: Yes

Electrosurgery Protection: No

HF Equipment Protection: No

Pacemaker Pulse Rejection: No

Battery: Rechargeable 7.4V, 1.5Ah Lithium-Polymer,

internal, not user-serviceable, see “Disposal”

on page A-7 for disposal instructions

Battery Life: Approximately 40 hours of continuous use

Low Battery Indication: Indication provided at approximately 7 hours

of continuous use remaining

Protection Against Water Ingress: IPX1

MR Environment Safety: MR Safe

Leadset

Description: MR-Compatible, Radio Translucent, 14in

(35.6 cm)

Configurations: 3-Lead: RA (White); LA (Black); LL (Red)

5-Lead: RA (White); LA (Black); LL (Red);

V (Brown); RL (Green)

Lead Color Code: AHA

MR Environment Safety: MR Safe

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ECG Module Charger

Dimensions: 12.0cm. x 5.3cm. x 3.8cm.

(4.73 in. x 2.1 in. x 1.5 in.)

AC Input: 100-250VAC, 50/60Hz

AC Input Connection: Universal IEC inlet; use supplied cord

Output: 600mA at 7.4VDC

Charge Time: Less than 3 hours

Classification: Class II Medical Power Supply

MR Environment Safety: NOT safe for use in Magnet Room

Charge Status Indicator (Green LED): No Battery; Off

Charge Pending; Blip (10% ON)

Rapid Charge; Flash (50%)

Charge Complete; On

Charge Failure; Blip

SpO

Range: 1-99%.

Resolution: 1 percent of full scale

Accuracy: ± 2 percent of full scale at 70 – 99%;

± 3 percent of full scale at 50 – 69%.

< 50% oxygen saturation is unspecified.

Averaging Time: User selectable:

3, 6, 9, 12, 15, 18, and 21 seconds.

Search Time: User selectable: 10, 20, 30, and 40 seconds.

Indications Plethysmographic waveform, Numeric

display.

Method: Dual wavelength LED, Fiber Optic

Modes: Adult/Pediatric/Neonate

Operation: Continuous Use

Sensor Wavelength: 660nm/905nm

Sensor Power: <80mW

Heart Rate

Source: Smart Switching;

ECG (primary), IBP, Pleth, NIBP

Range: 20-300 bpm (ECG, IBP, Pleth)

30-240 bpm (NIBP)

Accuracy: ± 1bpm or 1% (ECG, IBP, Pleth)

± 1 bpm or ±1% (NIBP)

Pulse Tone: Selectable, On/Off

C-3

Appendix C:Specifications

Gating

Signal Source: ECG, SpO

Pulse output: 50msec (±10%) pulse width, synchronous

with the r-wave or corresponding peak of the

plethysmogram waveform.

Waveform output: One of the following, 1.5mV (±0.5mv) ECG or

plethysmogram waveform.

Gating Signal Delay: <10 milliseconds (ECG), <20 milliseconds

(SpO

)

Visual Indication: Icon at the upper right corner of the display

(ECG parameter box).

Function: User selectable: Off, ECG Waveform or

Pulse, SpO

Waveform or Pulse.

The gating function provides gating signals

97% of the time or greater after the first 2

pulses of a scanner RF sequence.

Temperature

Channels: 2

Technique: Fluoroptic Thermometer

Range: 68°F to 113°F (20°C to 45°C)

Accuracy: 68° – 94.8°F, ±0.5%

95° – 107.5°F, ±0.2%

107.6° – 113°F, ±0.5%

Sensor Type: Reusable, Fiber Optic Surface Probe.

NIBP

Technique: Oscillometric measure upon inflation

Measurement Time: <40 seconds average; standard adult cuff

Automatic Measurement Cycles: 2, 3, 5, 10, 15, 30, 60 min; 2, 4 hrs

Measurable Pressure Range: Adult; 30 to 300 mmHg

Pediatric; 30 to 300 mmHg

Neonatal; 20 to 150 mmHg

Resolution: 1 mmHg

Transducer Accuracy: The greater of ± 2 mmHg or 2% of reading

STAT mode: 5 min of consecutive readings

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Invasive Blood Pressure

Channels: 2

Transducer Sites: Selectable:

ART, PA, LA, RA, CVP, ICP, RV, LV

Pressure Range: -10mmHg to 300mmHg (increments of

1mmHg)

Zero Offset: ±150 mmHg

Transducer Sensitivity: 5µV/V/mmHg

Resolution: 1 mmHg

Excitation Voltage: 5 volts ± 0.1 volt

Accuracy: ±1 mmHg or ±1%, whichever is greater

Scale Range: -10 to 10, 0 to 20, 0 to 30, 0 to 40, 0 to 60,

0 to 100, 0 to 150, 0 to 200, 0 to 300,

and Automatic

Defibrillation Protection: Yes

Transducer

Frequency Response: 20 Hz

Transducer Impedance: > 300 ohms

Transducer Sensitivity: 5 micro volts per volt per mmHg

Pressure Range: -20 mmHg to 300 mmHg

Capnometry (CO

)

Method: Sidestream; non-dispersive infrared (NDIR)

Range: 0-99 mmHg, 0-12.5%, 0-12.5 kPa, 0-99 Torr

Resolution: 1 mmHg, 0.1%, 0.1 kPa, 1 Torr

Accuracy: ±0.2% abs. or 4% of reading for breath rates

up to 60 bpm

Maximum Rise Time: With a concentration of 10% CO

, 10-90% of

maximum:

350 milliseconds at 100 ml/min

300 milliseconds at 150 ml/min

250 milliseconds at 200 ml/min

Response Time: 7.0 seconds (100 ml/min)

5.0 seconds (150 ml/min)

4.0 seconds (200 ml/min)

Calibration: Auto-calibrating

Units: mmHg; Volume Percent; kPa; Torr

Display: Inspired CO

, Expired CO

(End-Tidal)

Numerical values, capnograph, and breath by

breath ETCO

bar graph.

Respiration

Source: Capnogram

Range: 1 to 100 breaths/minute

Resolution: 1 breath/minute

Accuracy: The greater of ± 2 breaths/minute or ±2% of

reading

C-5

Appendix C:Specifications

Halogenated Agents

Method: Sidestream; non-dispersive infrared

Units: Volume Percent

Resolution: 0.1 Volume Percent

Range: Halothane; 0 to 10.0 vol. %

Isoflurane; 0 to 10.0 vol. %

Enflurane; 0 to 10.0 vol. %

Desflurane; 0 to 20.0 vol. %

Sevoflurane; 0 to 10.0 vol. %

Accuracy: ± (0.1% abs. + 4% of reading) for breath

rates up to 60 bpm.

Identification Threshold: Halothane; 0.2 vol. %

Isoflurane; 0.3 vol. %

Enflurane; 0.3 vol. %

Desflurane; 0.3 vol. %

Sevoflurane; 0.3 vol. %

Mixed Gas Threshold: 0.2 vol. % + 10% of total concentration for

breath rates up to 60 bpm.

Primary Agent Identification: User Selectable or Automatic

Mixed Agent Identification: Automatic (secondary agent)

Maximum Rise Time: With a concentration of 10% of the

halogenated agent, 10-90% of maximum:

650 msec. for (10-90%) at 100 ml/min

500 msec. for (10-90%) at 150 ml/min

400 msec. for (10-90%) at 200 ml/min

Maximum System Response Time: 7.5 seconds (100 ml/min)

5.5 seconds (150 ml/min)

4.5 seconds (200 ml/min)

Warm-up Time: 1 minute to first waveforms

< 20 minutes to full accuracy

Calibration: Auto-calibrating

Auto Zeroing: Occurs 30 to 60 minutes

Duration 3.0 to 7.0 seconds

Display: Primary agent inspired and expired numerical

values, Primary agent waveform, Secondary

(mixed) agent numerical values

Effect of Interfering Gases: Ethyl alcohol: Negligible

Metabolic ketones, Acetone: Negligible

Carbon dioxide: Negligible

Nitrous oxide: Negligible

Helium: Negligible

Ether: Contraindicated

Cyclopropane: Contraindicated

Methoxyflurane: Contraindicated

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Nitrous Oxide (N

Method: Sidestream; non-dispersive infrared (NDIR)

Range: 0 to 99 volume percent

Resolution: 1%

Accuracy: ± (1.5% abs. + 4% of reading) for breath

rates up to 60 bpm.

Identification Threshold: 5% (for single and mixed agents)

Maximum Rise Time: With a concentration of 100% N2O, 10-90%

of maximum:

(10-90%) 400 milliseconds at 100 ml/min

(10-90%) 300 milliseconds at 150 ml/min

(10-90%) 250 milliseconds at 200 ml/min

Maximum System Response Time: 7.0 seconds (100 ml/min)

5.0 seconds (150 ml/min)

4.0 seconds (200 ml/min)

Calibration: Auto-calibrating

Units: Percent

Display: Numerical Inspired N

O, Expired N

O; N

waveform

Oxygen Monitoring (O

)

Units: Percent

Display: Inspired O

, expired O

Numerical values, waveform

Method: Oxidation-reduction galvanic cell

Range: 0-100%

Resolution: 1%

Accuracy: ± 3 vol. % (0 - 90%)

± 4 vol. % (91- 100%)

Maximum Rise Time: With a concentration of 80% O

, 0-90% of

maximum

700 milliseconds at 100 ml/min

550 milliseconds at 150 ml/min

500 milliseconds at 200 ml/min

Maximum System Response Time: 8.0 seconds (100 ml/min)

5.5 seconds (150 ml/min)

4.5 seconds (200 ml/min)

Pneumatics

Flow rate: 100, 150, 200 ml/min, User Selectable

Occlusion Clearing: Automatic

Filters: WaterChek™ 2+

Sample Lines: 16 foot

Pneumatic Sound Pressure: 45 dBa maximum @ 1 meter

C-7

Appendix C:Specifications

Alarms

Characteristics: EN 475, Adjustable

Indication: Audible; Visual

Levels: High, Medium, Low, Informational,

Medium Quiet, Informational Quiet

Settings: User Defaults, Hospital Defaults,

Factory Defaults

Alarm Modes: Adult/Pediatric/Neonate,

High and low limit settings for each mode.

Volume: User Adjustable (1-10)

Silence: Yes; 2 minutes or permanent

Trend Reports

Types: Tabular and Graphical

Trend memory: 24 hours (with NIBP every 3 minutes)

Tabular Intervals: 30 sec., 1, 2, 5,10, 30 min., 1, 2, 4 hrs.

Graphical Span: 2, 4, 8, 12, or 24 hours

Data Types: HR, SpO

, Temp., Resp., EtCO

INCO

, Expired O

, Inspired O

NIBP (Systolic, Diastolic, Mean)

IBP (Systolic, Diastolic, Mean)

Agents, N

Printer (Remote Display only)

Recorder Type: Internal thermal line printer

Data Formats: Single or dual waveform; Tabular

Paper Speed: 12.5 or 25mm/sec continuous.

(Snapshot at 50mm/sec)

Controls

Screen: 10.4" active color TFT

Resolution: 640 x 480 pixels

Waveforms: 6, maximum

Waveform Display Gain: .5×, 1×, 2×, 4× user selectable

Waveform Sweep Speed: 6.25, 12.5, 25 or 50 mm/sec, selectable

Display Update Period: 1.0 second

Keys: 9; membrane-activated

Rotary knob: Push and rotate; 24 steps/turn

Languages: English, French, German, Italian,

Portuguese, Spanish, Japanese

System Outputs (Remote

Display Only)

Comm Ports: RS 232-compatible, digital DB9 (COM 1);

mini-DIN8 (COM 2)

Analog Output: mini-DIN8, Selectable waveform output,

Range: -2 to 3 volts,

Any Waveform (1 volt signal);

Plethysmograph or Capnogram

Video Port: Serial VGA Compatible

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Environmental

Operating Temperature: 15° to 35°C (59° to 95°F)

Storage Temperature: -5° to 50°C (23° to 122°F)

Operating and Storage Humidity: 15% to 90%; non-condensing

Operating atmospheric pressure: 69 and 110 kPa

Non-operating atmospheric pressure: 48 and 110 kPa

Type of Protection: Class I Equipment

Degree of Protection: Type CF, Defibrillator-Proof

Compatible scanners: 0.5T, 1.0T, 1.5T, and 3.0T static magnetic

field strengths

Protection against ingress: Monitor: IPX1(Complies with the ingress

protection test specified in EN 60601-2-27

ECG Safety Standard.)

Remote: IPX0.

Power Supply: IPX2.

Mechanical/Electrical

Power Supply

Size: 34.3 cm x 20.3 cm x 7.6 cm

13.5 inches x 8.0 inches x 3.0 inches

Weight: 8.2 kg (18 lbs)

Operation: Continuous Use

Mechanical Shock: Negligible effect up to 40G

Vibration: Negligible effect up to 0.5G at 200Hz

Power Requirements: 35VA, typical

Voltage: 100-120, 220-240VAC; 50/60 Hz

RF emissions: Below 0dBµV at 1 meter within 1MHz.

Remote Display

Size: 25.4 cm x 31.8 cm x 35.6 cm

10.0 inches x 12.5 inches x 14.0 inches

Weight: 5.45 kg (12 lbs)

Operation: Continuous Use

Mechanical Shock: Negligible effect up to 40G

Vibration: Negligible effect up to 0.5G at 200Hz

Power Requirements: 35VA, typical

Voltage: 100-120, 220-240VAC; 50/60 Hz

RF emissions: Below 0dBµV at 1 meter within 1MHz.

Time to receive data

from patient monitor: < 1 second

MEDRAD

Veris

8600

C-9

Main Monitor

Size: Monitor Top Enclosure:

26.7 cm x 36.8 cm x 36.8 cm

(10.5 inches x 14.5 inches x 14.5 inches)

Main Monitor System (Depth/Width/Height at

Base):

61.0 cm x 50.8 cm x 152.4 cm

(24 inches x 20 inches x 60 inches)

Weight: Monitor Top Enclosure: 9.1 kg (20 lbs)

Main Monitor System: 59.0 kg (130 lbs)

Operation: Continuous Use

Mechanical Shock: Negligible effect up to 40G

Vibration: Negligible effect up to 0.5G at 200Hz

Power Requirements: 400VA, typical

Voltage: 100-120, 220-240VAC; 50/60 Hz

Number of Batteries: 2

Battery Life: Minimum of 10 hours on a fully charged

battery.

Recharge time: Approximately 12 hours, from a discharged

voltage of 10.6 volts to a charged voltage of

13.7 volts at ambient conditions (23°C ±

2°C).

RF emissions: Below 0dBµV at 1 meter within 1MHz of

scanner center frequencies.

All specifications are subject to change without notice.

D-1

Appendix D: Accessories

MEDRAD

Accessory Description Part Number

ECG Accessories

ECG Module

ECG Module (complete with battery) 3010459

ECG Electrode Accessories

Fiber Optic ECG Cable, Duplex, 5m 3010460

ECG Lead set, 3 conductor 3010461

ECG Electrodes,3/strip, 1 Box, 30/box (10 sets) 3006324

ECG Lead set, 5 conductor 3010473

ECG Electrodes,5/strip, 1 Box, 50/Box (10 sets) 3010511

NuPrep,1 Tube 3006321

ECG Gating Accessories

ECG Gating Cable, Phillips ACS/NT 3010474

ECG Gating Cable, Phillips Intera 3010558

ECG Gating Cable, GE 3010475

ECG Gating Cable, Siemens Sonata/Symphony 3010559

ECG Gating Cable, Universal 3010477

SpO

Accessories

SpO

Probes

Pulse Oximeter Probe, Adult, 2m 3010462

Pulse Oximeter Probe, Pediatric, 2m 3010794

Pulse Oximeter Probe, Neonatal, 2m 3010795

Pulse Oximeter Extension Cable, 3m 3010463

SpO

Peripheral

Gating Accessories

Pulse Oximeter Gating Cable, Philips 3010561

Pulse Oximeter Gating Cable, GE 3010562

Pulse Oximeter Gating Cable, Siemens 3010563

MEDRAD

Veris

8600

D-2

NIBP Accessories

Reusable Cuffs

Blood Pressure Cuff, Adult, 25-35cm 3010466

Blood Pressure Cuff, Small Adult/Pediatric, 18-26cm 3010467

Blood Pressure Cuff, Large Arm, 33-47cm 3010469

Blood Pressure Cuff, Thigh, 44-66cm 3010470

NIBP Connection Tube, 5 meters 3010471

Disposable Cuffs

Disp. Blood Pressure Cuff, 3-6cm (1 box of 10) 3010520

Disp. Blood Pressure Cuff, 4-8cm (1 box of 10) 3010531

Disp. Blood Pressure Cuff, 6-11cm (1 box of 10) 3010532

Disp. Blood Pressure Cuff, 7-13cm (1 box of 10) 3010533

Disp. Blood Pressure Cuff, 8-15cm (1 box of 10) 3010534

Disp. Blood Pressure Cuff, Child, 10-19cm (1 box of 10) 3010468

IBP Accessories

IBP interface Cable, Abbot,5m 3010478

IBP interface Cable, Baxter,5m 3010479

IBP interface Cable, Braun,5m 3010480

IBP interface Cable, Medex,5m 3010536

Temperature Accessories

Skin Temperature Probe 3010515

Agent Accessories

Sample lines, 16 foot (1 box of 25) 3011468

Disposable Nasal Cannula (1 box of 10) 3011484

Divided Nasal Cannula (1 box of 10) 3011485

Pediatric Nasal Cannula (1 box of 10) 3011507

Pediatric Divided Nasal Cannula (1 box of 10) 3011508

WaterChek2+ Water Trap (1 box of 30) 3010487

Scavenging Adapter & Exhaust Line 3010962

Sensor 3010970

Absorber 3010971

D-3

Appendix D:Accessories

Miscellaneous Accessories

Printer Paper - 5 rolls 3010961

AC to DC Power Supply (does not include DC or AC cables) 3010555

Select one DC Power cable from the list below:

DC power Cable, 8 meters (25ft.) 3010556

DC power Cable, 15 meters (50ft.) 3010557

Select one AC Power cord from the list below:

AC power Cable, North American 3005946

AC power Cable, International 3005182

Main Battery 3011506

Fuse, Remote Display (1.0A/250V, Type T)

Fuse, Power Supply (3.15A/250V, Type L) 3009595

Publications

Operation Manuals

Veris

8600 Operation Manual - English 3010796

Veris

8600 Operation Manual - Dutch 3011448

Veris

8600 Operation Manual - French 3011449

Veris

8600 Operation Manual - German 3011450

Veris

8600 Operation Manual - Italian 3011451

Veris

8600 Operation Manual - Japanese 3011452

Veris

8600 Operation Manual - Portuguese 3011453

Veris

8600 Operation Manual - Spanish 3011454

Veris

8600 Operation Manual - Swedish 3011455

Veris

8600 Operation Manual - Multi Language CD 3010988

Help Cards

Help Cards - English 3010797

Help Cards - Dutch 3010991

Help Cards - French 3010992

Help Cards - German 3010993

Help Cards - Italian 3010994

Help Cards - Japanese 3010995

Help Cards - Portuguese 3010996

Help Cards - Spanish 3010997

Help Cards - Swedish 3010998

Installation and Service

Veris

8600 Patient Monitor Service Manual - English 3010798

Veris

8600 Remote Display Service Manual - English

Veris

8600 Patient Monitor Service Manual - English (CD) 3010990

Veris

8600 Patient Monitor Service Schematic

Manual - English (CD) 3010989

Installation Instructions 3010799

E-1

Appendix E: Troubleshooting

General Troubleshooting

• Ensure proper placement of monitor and accessories in and

around the magnet bore.

• Check the graphite cables for fraying or other deterioration.

• Check that all connections are secure.

• Ensure that the batteries are charged in the main monitor and in

the ECG module.

Troubleshooting Table

This section lists the possible causes of monitor problems. Use this

table to identify and locate any causes for the malfunction.

Symptom Problem Solution

Main monitor won’t

power up (On/Off LED

is dark)

• Batteries are discharged Connect monitor to the power supply

and recharge the batteries.

Remote display won’t

power up (On/Off LED

is dark)

• AC power cord is not

securely connected to

monitor

• AC outlet off or unpowered

• Fuses are blown (Located

above AC connection)

Connect AC power cord to wall

outlet

Connect power cord to a live outlet

Replace AC fuses

Display is blank or not

readable • Batteries are discharged

• AC power cord is not

securely connected to the

remote display

Connect monitor to the power supply

and recharge the batteries.

Connect AC power cord to the

remote display

NIBP air leak • Defective cuff

• Defective hose

• Pneumatic tube leaks or

defective valve

Replace Cuff

Replace Hose

Contact MEDRAD Service

Department.

NIBP not functioning • NIBP is disconnected.

• Software problem

Ensure NIBP cable and extension

cable are securely connected.

Contact MEDRAD Service Dept.

SpO2 not functioning • SpO2 cables are

disconnected.

• Software problem

Ensure SpO2 cable and extension

cable are securely connected.

Contact MEDRAD Service Dept.

ECG noise or

intermittent function • Poor skin preparation

• Poor electrode placement

• Defective fiber optic cable

• Line Frequency/Filter wrong

• Defective ECG module

Re-prep the patient

Reposition/replace electrodes

Replace fiber optic cable

Check ECG settings

Replace ECG module

MEDRAD

Veris

8600

E-2

If the above Troubleshooting tips don’t resolve the problem, see your

bio-medical personnel or contact MEDRAD’s Customer Service.

Trap error or CO2

malfunction

• Trap is plugged or leaks

•O

2 Cell is loose

Replace trap

Tighten O2 Cell

O2 not responding

(CO2 functioning ok)

•O

2 Cell depleted Replace O2 Cell

No sound from

speaker • Volume turned down Set volume higher in Configuration

window.

COM 1 serial interface

doesn’t work • Set to internal printer Reset monitor to external printer

Symptom Problem Solution

F-1

Appendix F: IBP Transducer

Specifications

IBP Specifications

Invasive Blood Pressure

Channels: 2

Transducer Sites: Selectable; ART, PA, LA, RA, CVP, ICP

Pressure Range: -20mmHg to 300mmHg

Excitation Voltage: 5 volts (± 0.1 volt)

Transducer Sensitivity: 5µV/V/mmHg

Resolution: 1 mmHg

Accuracy: ±1 mmHg or ±1%, whichever is greater

Scale Range: -10 to 10, 0 to 20, 0 to 30, 0 to 40, 0 to 60,

0 to 100, 0 to 150, 0 to 200, 0 to 300,

and Auto Ranging

Transducer Specifications

Transducer Impedance: > 300 ohms

Transducer Sensitivity: 5 micro volts per volt per mmHg

Pressure Range: -20 mmHg to 300 mmHg

• Interface cables and adapters can introduce extra impedance as

well as inaccuracy due to poor connections. Consult with your

transducer manufacturer, before using additional accessories

with the

Veris

monitor.

Transducer Cables

Invasive blood pressure transducers are available with a variety of

cable and connection styles. Consult with your transducer provider for

specific transducers for use with MEDRAD, Inc., products.

Transducers that are specifically cable terminated for the

Veris

monitor can be purchased through Fogg System Company, Inc. of

Denver, Colorado, www.foggsystem.com.

Compliance

As for all accessories, cables and transducers should comply with UL

and IEC standards for medical equipment.

Defibrillation Protection

The MEDRAD-IBP module and port connection is defibrillation proof.

Consult your transducer supplier for information about defibrillation

protection of specific transducers and IBP fluid systems.

CAUTION

MEDRAD

Veris

8600

F-2

High Frequency Interference

The

Veris

monitor does not employ any external, protective isolating

devices that are required to be used in conjunction with invasive

blood pressure monitoring accessories during high frequency

electrosurgery/electrocautery procedures. Use of invasive blood

pressure transducers with internal isolation between the electronic

bridge and the wetted parts is recommended for all IBP applications.

G-1

Appendix G: Wireless

Communication

Wireless Network

Communication Interface

The

Veris

8600 telemetry technology allows for RF communication up

to 10 meters in the Faraday cage utilizing 2.4 gigahertz RF

communication. The main monitor and remote display support a

wireless network communication interface according to the 802.11b

standard.

Operation

• Do not take the remote display into the MR Scanner room. The

remote display contains ferromagnetic material and can be

strongly attracted to the magnet causing a safety hazard.

The remote display is an option to the

Veris

Cardiac and Anesthesia

configurations.The remote display is standard on the

Veris

BasePlus

configuration. The remote display looks similar to the main monitor

that is in the MR room. The remote display must be in the control

room and communicate to the main monitor via a wireless or hardwire

serial connection. The remote display offers a way to control the

Veris

main monitor from the control room without going into the MR room.

The remote display and main monitor are sychronized; what displays

on the main monitor displays on the remote display at the same time.

For example, if the user changes an alarm setting, both units display

the ALARMS menu and the change as it takes place.

When the remote display is turned on, it displays the message Please

Wait Until Synchronization until it synchronizes with the main monitor.

The main monitor sends its configuration, trend, and current screen

configuration data to the remote display. This causes the main

monitor and the remote display to be in the same state with the same

data.

NOTE: The remote display and main monitor cannot synchronize if

they are at different software revisions. If the main monitor and the

remote display cannot syncronize because the software revision is

different, then the remote display displays the message Remote and

Main have incompatible Software.

After the main monitor and the remote display synchronize, the

remote display mirrors what the main monitor is doing. The main

monitor is the master. An icon displays in the heart rate (HR)

parameter box, on both the remote display and the main monitor, to

show that the main monitor and the remote display are

communicating. (For more information on the heart rate parameter

box, go to “ECG BOX” on page 2-9.)

WARNING

MEDRAD

Veris

8600

G-2

If communications are lost, the remote display displays the message

Please Wait Until Synchronization and the units cycle through the

synchronization process again after communications are restored.

The communication icon on the main monitor (in the heart rate

parameter box) does not display until communication is restored.

The remote display contains the internal printer. For more information

on printing, see “Printing and Data Ports” in Section 12.

H-1

Appendix H: Battery and Fuse

Specifications

Battery Specifications

Main Monitor Batteries

NOTE: Batteries in the main monitor are not externally accesible.

Replacement of batteries must be done by a qualified service

technician and the unit must be tested afterwards. Refer to the

Service Manual for battery replacement.

Number of Batteries: 2

Type: Sealed lead acid

Voltage: 12 Volt

Amp-hour: 17 amp-hour

Battery Life: Minimum of 10 hours on a fully charged battery.

Recharge time: Approximately 12 hours, from a discharged voltage of 10.6

volts to a charged voltage of 13.7 volts at ambient

conditions (23°C ± 2°C).

Storage Time,

Shelf Life: Charged battery, maximum 12 months with periodic

recharge at intervals specified by the manufactur

MEDRAD

Veris

8600

H-2

Fuse Specifications

Remote Display Fuses

Number: 2

Type: T, Slow acting

Amps: 1 amp

Voltage: 250 volts

Main

Monitor

Fuses

NOTE: Fuses in the main monitor are not externally accesible.

Replacement of fuses must be done by a qualified service technician

and the unit must be tested afterwards. Refer to the Service Manual

for fuse replacement. The fuses are found on the Main PCB:

F1: 3A Time Delay, carries 15mA

F2: 4A Time Delay, carries 3A peak

F3: 3A Time Delay, carries 15mA

F4: 1A Time Delay, circuit not used in Veris

F5: 5A Time Delay, carries 4.5A peak

F6: 4A Time Delay, carries 2.5A peak

Power Supply Fuses

Number: 2

Type: T

Amps: 5 amps

Voltage: 250 volts

NOTE: Fuses on the power supply board are not externally accesible.

Replacement of fuses must be done by a qualified service technician

and the unit must be tested afterwards. Refer to the Service Manual

for fuse replacement.

Number: 2

Type: H

Amps: 6.3 amps

Voltage: 250 volts

MEDRAD

Veris

8600

H-3

Fuse Removal/Replacement

Remote Display

There are two AC power fuses located at the rear of the remote

display directly above the AC power entry socket. Remote displays

use 1A 250V Slo Blo fuses.

1. Press in the side clips (at the same time) with a tool and lift out

the small, black access cover. The two fuse sockets are visible.

Figure H-1: Remove the Fuse Cover

Figure H-2: Fuses Exposed

Clips

MEDRAD

Veris

8600

H-4

2. Gently pull the fuses out of the fuse cover assembly.

Figure H-3: Fuses Pulled

3. Reassemble in reverse order.

Power Supply

There are two AC power fuses located at the AC input side of the

power supply directly above the AC power entry socket. Power

supplies use 5A 250V slow acting fuses.

1. Pry the cover from the fuse well above the AC cord.

2. Gently remove the fuse assembly and remove the spent fuse(s).

3. Replace fuses and reassemble in reverse order.

Criticare Systems orporated CSI8600 Telemetry Device User Manual Manual

Criticare Systems, Incorporated Telemetry Device Manual

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