Fukuda Denshi Co DS7100 Patient Monitor User Manual DS71v1 1 FA 04 Monitoring Setups 006
Fukuda Denshi Co Ltd Patient Monitor DS71v1 1 FA 04 Monitoring Setups 006
Contents
Manual 6
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| Document Description | Manual 6 |
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| Document Type | User Manual |
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| Filesize | 303.79kB (3797335 bits) |
| Date Submitted | 2003-12-10 00:00:00 |
| Date Available | 2003-12-10 00:00:00 |
| Creation Date | 2003-12-06 11:50:38 |
| Producing Software | Acrobat PDFWriter 4.0 Windows NT |
| Document Lastmod | 2003-12-08 09:21:34 |
| Document Title | DS71v1-1_FA_04_Monitoring Setups_006.PDF |
| Document Creator | Microsoft Word - DS71v1-1_FA_04_Monitoring Setups_006.doc |
| Document Author: | ezashi |
Chapter 4 Monitoring Setup Describes the procedures to set the monitor according to the monitoring purpose. − Display Configuration − For Easier View ･･･････････････････････････2 To Configure the Display･･･････････････････････2 ●To Enlarge the Numeric Data ･･･････････････ 2 ●To Configure the Display ･･･････････････････ 3 ●To Display the Short Trend ･････････････････ 5 − − ●ECG1, ECG2, BP, SpO2, Impedance RESP, CO2 Waveform Display ･･･････････････････････ 6 ●HR, BP, VPC/ST, BP1, BP2, NIBP, SpO2, TEMP, RR, CO2 Numeric Display･････････････････････ 8 ●HR, BP, NIBP, SpO2, TEMP, RR, CO2 Enlarged Numeric Data Display ･･･････････････････････ 10 ●HR, BP, NIBP, SpO2, TEMP, RR, CO2 Alarm Limit Display ･･･････････････････････････････ 10 ●HR, BP, NIBP, SpO2, TEMP, RR, CO2 Short Trend Display ･･････････････････････････････ 11 Parameter Key Frame Display ･････････････････11 Description of Alarm Message and Alarm Sound ･12 ●Vital Alarm Message ･･････････････････････ 12 ●Equipment Status Alarm Message ･･････････ 14 ●Lead-Off Message ････････････････････････ 15 − Key Setup − For Easier Use ･･･････････････････････････16 To Set the User Keys･････････････････････････17 To Set the Menu Keys ････････････････････････19 − Recording Setup − To Record the Waveform and Numeric Data ･20 Manual Recording ･･･････････････････････････20 ●To Start / Stop the Recording ･･････････････ 20 ●To Set the Manual Recording ･･････････････ 20 Periodic Recording･･･････････････････････････21 Alarm Recording･････････････････････････････22 Freeze Recording････････････････････････････24 − − − − ●Precautions about Silencing the Alarm ･･････ 40 Alarm Setup for Each Parameter ･･････････････ 41 Arrhythmia Alarm Setup ･･････････････････････ 43 ●To Set ON/OFF of Arrhythmia Alarm ････････ 44 ●To Set the Arrhythmia Detection Level ･･････ 44 ●Alarm Limit for TACHY, BRADY ････････････ 45 SpO2 SEC Alarm Setup ･･････････････････････ 45 Alarm Suspend / Alarm Silence Time･･･････････ 47 ON / OFF of Alarm Limit Display ･･･････････････ 48 4−1 Monitoring Setup Description of the Display ･･････････････････････6 Graphic Recording (Graphic/Tabular Trend, etc.) 25 Recorder Operation (QRS Symbol, etc.) ････････ 26 Volume Setup − Pulse Tone, Alarm Sound, etc. ･････････････ 27 Color / Brightness Setup −･･･････････････････ 28 Color Setup (Numeric Data, Waveform) ････････ 28 Brightness Setup ････････････････････････････ 29 Telemetry Setup −（DS-7141, DS-7101LT）･･･ 30 Transmitting Waveform Setup ･････････････････ 32 Wired Network Connection − (LAN Communication) ････････････････････ 33 Room / Bed ID Setup ････････････････････････ 33 Alarm Pole Setup − Notifying the Alarm by Light････････････････ 35 Alarm Level Setup ･･･････････････････････････ 35 Alarm Pole Flash Pattern Setup ･･･････････････ 38 Alarm Setup − To Set the Alarm Condition ････････････････ 39 To Set the System Alarm ･････････････････････ 39 To Turn ON the System Alarm ････････････････ 40 To Suspend the System Alarm ････････････････ 40 To Silence the System Alarm ･････････････････ 40 − Display Configuration − For Easier View The waveform and numeric data display can be configured according to the monitoring purpose. To Configure the Display The display can be configured by selecting the waveforms and numeric data to be displayed. Also, the numeric data display can be enlarged, or graphic trend data can be displayed with the waveform and numeric data. ＜Display Configuration Menu＞ ●To Enlarge the Numeric Data The numeric data can be enlarged for easier view. Pressing the Home / Enlarge key of the menu key will switch the display between standard display and enlarged numeric data display. Reference The home key function can be selected from Home / Enlarge or setup menu. The default setting is Home . Refer to “8. System Configuration Hospital Setup” for details. Standard Display 4−2 Home on the hospital Enlarged Numeric Display ●To Configure the Display The waveforms and numeric data to be displayed can be selected as desired. When performing telemetry transmission, the numeric data corresponding C A U T I O N to the waveform should be selected for display. Otherwise, the displayed waveform or numeric data may not be transmitted. 1. Press the Menu → Display Config. keys. The display configuration menu will be displayed. 2. Select the parameters for numeric data display. Up to 7 parameters can be selected. The displaying order can not be selected. It will be automatically positioned in the order of HR (PR, BPR) , VPC/ST , BP , NIBP , SpO2 , TEMP , RR , TEMP/RR , EtCO2 from the top. The displayed size of each parameter will be determined by the number of selected parameters. If HR display is not selected, VPC/ST will be displayed at the bottom row. Selecting TEMP/RR will display TEMP and RR numeric data in half size inside one parameter box which allows to display up to 8 numeric data. To display 8 numeric data, select TEMP/RR and 6 other parameters. ＜8 Numeric Data Display＞ 3. Select ON or OFF to enlarge the numeric data display or not. Select ON to have the numeric display enlarged on the first display when the power is turned ON. Selecting OFF will display the numeric data in a standard size. 4. Select the waveforms and positions for display. Press the Wave key to display waveform selection menu. 4−3 Display Configuration ＜Display Config. / Meas. Selection＞ ＜Waveform Selection Menu＞ First, select the position to display the waveform. By selecting the same waveform successively, the waveform display area can be enlarged. Next, select the waveform to be displayed. The selected parameter will be displayed inside the selected position key ECG1 Cascade displays the ECG in long duration. BP Overlap overlaps the BP1 and BP2 waveforms display. By selecting BP Overlap successively, the BP waveform display area can be enlarged. NOTE 4−4 After configuring the display, press the Home verify the programmed display configuration. or Home / Enlarge key and ●To Display the Short Trend The short trend data can be displayed with the waveform and numeric data. 1. Press the Menu → Display Config. → Wave keys. The waveform selection for the display configuration will be displayed. ＜Display Configuration / Waveform Selection＞ The home display with the short trend is shown on the left. The short trend can be displayed 5 ~ 30 min. in 5-minute increments. By pressing a point on the displayed waveform, the displayed time of short trend will change according to the pressed position. 4−5 Display Configuration 2. Select ON/OFF/Overlap for short trend display. ON will display the short trend on the home display. OFF will not display the short trend on the home display. Overlap will display the waveform and short trend overlapped. Description of the Display This section explains the displayed item on the home display. ●ECG1, ECG2, BP, SpO2, Impedance RESP, CO2 Waveform Display Bed / Room ID No. Patient Name Event Key Patient Type Battery Mark Date / Time Telemetry Channel ECG Lead ECG Size BP Scale SpO2 Size RESP Size Respiratory Sweep Speed CO2 Scale CO2 Wave RESP Wave ECG Wave BP Wave SpO2 Wave Bed / Room ID No. Displays the 4-digit Bed ID and 3-digit (000~999) Room ID. Telemetry Channel (DS-7141, DS-7101LT) Displays the telemetry channel ID. Battery Mark This mark will be displayed when the monitor is operated with the optional battery. It will be displayed in 3 levels (Full / Medium / Empty). Battery Mark Charged Condition Full Medium Empty Reference Indication of Operating Time Standard Mode Power Saving Mode 3 hours ∼2 hours 20 min. 3 hours 30 min.∼2 hours 40 min. 2 hours ∼10 min. 2 hours 40min. ∼10 min. 10 min. 10 min. For power saving mode, refer to “8. System Configuration Monitor Setup” The above specification applies when measuring ECG and NIBP (5-min. interval) using a new battery pack. C A U T I O N The battery pack will degrade with the repeated use, which shortens the usable time. 4−6 Date / Time Displays the current date (month, day) and time (hour, minute). Patient Name / Patient Type Displays the patient name and patient type (adult / child / neonate) selected on the admit menu. Respiratory Sweep Speed Indicates the displaying sweep speed for impedance respiration waveform and CO2 waveform. Event Key This touch key will be displayed at alarm occurrence. Even when the alarm is resolved, this key will be remained to be displayed until it is pressed. Pressing this key will silence the alarm and display the recall display. The event key display can be selected ON or OFF. Reference For ON/OFF of event key, refer to “8. System Configuration Ward Setup” Display Configuration 4−7 ●HR, BP, VPC/ST, BP1, BP2, NIBP, SpO2, TEMP, RR, CO2 Numeric Display HR/PR Value HR / PR Parameter BP 1 Value (SYS / DIA (Mean)） HR / PR Sync. Mark BP 2 Value (SYS/ DIA (Mean)） NIBP Meas. Interval Time of NIBP Measurement NIBP Cuff Pressure NIBP (SYS / DIA) SpO2 Value Alarm OFF Symbol Temperature RR Parameter RR Value RR Synchronization Mark EtCO2 Value InspCO2 Value HR / PR Parameter Displays the parameter measuring the HR/ PR. By switching the HR synchronization source, selection from heart rate (HR), SpO2 pulse rate (PR_SpO2), BP pulse rate (PR_BP) can be made. HR / PR Synchronization Mark Displays the synchronization mark corresponding to the HR / PR parameter. NIBP Measurement Interval Displays the periodic measurement interval of NIBP. If the periodic measurement is set to OFF, this area will be left blank. Alarm OFF Symbol This symbol will be displayed when the alarm is set OFF. HR / PR Value Displays the HR / PR measurement value corresponded to the HR synchronization source selection. When the measurable range is exceeded, “×××” will be displayed. BP1, BP2 Displays the BP measurement value (SYS / DIA / Mean). The mean BP display can be set to ON or OFF on the BP configuration menu. When the measurable range is exceeded, “×××” will be displayed. When the transducer is disconnected or when BP zero balance is not performed, “ｰ ｰ ｰ” will be displayed. Time of NIBP Measurement Displays the starting time of NIBP measurement. NIBP Cuff Pressure Displays the cuff pressure during NIBP measurement. NIBP Value Displays the NIBP measurement value (SYS / DIA / Mean). The mean NIBP display can be set to ON or OFF on the NIBP configuration menu. The value will be displayed as “ｰ ｰ ｰ” when the preprogrammed NIBP erase time has elapsed. SpO2 Value Displays the arterial oxygen saturation measurement value. 4−8 Temperature Value Displays the temperature measurement value. The YSI-400 temperature sensor can be used. When the measurable range is exceeded, “×××” will be displayed. When the YSI-700 is used, “ｰ ｰ ｰ” will be displayed for the measurement value. RR Value Displays the impedance RR / CO2 RR measurement value corresponded to the respiration synchronization source. When the measurable range is exceeded, “×××” will be displayed. When the ECG relay cable for electrosurgical knife is used, or when impedance measurement is set to OFF, impedance RR will not be displayed. EtCO2 / InspCO2 Value Displays the end-tidal CO2 concentration and inspiratory CO2 concentration measurement value. The measurement unit can be selected from mmHg / kPa / % on the CO2 configuration menu. RR Parameter Displays the parameter measuring the RR. By switching the RR synchronization source, selection from impedance respiration rate (RR_IMP), CO2 respiration rate (RR_CO2) can be made. VPC Value (1 minute) ST１ Level Pace Beat (1 minute) Display Configuration RR Synchronization Mark Displays the synchronization mark corresponding to the RR parameter. ST2 Level Total Beats (1 minute) VPC Value (1 minute) Displays the VPC rate for the last 1 minute. ”ｰ ｰ ｰ” will be displayed during arrhythmia learning. ST1, ST2 Level ST levels for ECG1 and ECG2 will be displayed. ”ｰ ｰ ｰ” will be displayed during arrhythmia learning, lead-off condition, and when reference waveform is not set for ST measurement. Pace Beats (1 minute) / Total Beats (1 minute) Pace beats and total beats for the last 1 minute will be displayed. ”ｰ ｰ ｰ” will be displayed during arrhythmia learning. 4−9 ●HR, BP, NIBP, SpO2, TEMP, RR, CO2 Enlarged Numeric Data Display Waveform Display Area Enlarged Numeric Data Display Area Waveform Display Area On the enlarged numeric data display, the top 3 waveforms selected on the display configuration will be displayed. Enlarged Numeric Data Display Area On the enlarged numeric data display, the numeric data will be located automatically. ●HR, BP, NIBP, SpO2, TEMP, RR, CO2 Alarm Limit Display Alarm Limit Alarm Limit The alarm limit will be displayed beside each numeric data. If the individual alarm setup is set to ON, alarm limit will be displayed. The upper and lower limit will be displayed at the upper and lower part respectively. For BP and NIBP, alarm limit will be displayed for SYS / DIA / mean blood pressure from the top. The alarm limit display can be set to ON or OFF. Reference NOTE 4−10 For ON/OFF of alarm limit display, refer to “4. Monitoring Setup Alarm Setup” If the short trend display is set to displayed. ON or Overlap , alarm limit will not be ●HR, BP, NIBP, SpO2, TEMP, RR, CO2 Short Trend Display Trend Scale Short Trend Display Displays the short trend beside each numeric data. To change the time of displayed short trend, press a point on the waveform. The time of displayed short trend will change to the pressed point. The displayed time can be changed from 0 min. to 30 min. in 5-min. increments. Trend Scale The short trend scale will be displayed between the short trend and numeric data. The scale selected on the trend menu will be displayed. Parameter Key Frame Display Press the Menu → System Config. → Pre-Set → Monitor keys, and select ON/OFF for parameter key frame display. Selecting frame. OFF will erase the parameter key 4−11 Display Configuration Short Trend Display Description of Alarm Message and Alarm Sound This section explains about the message displayed on the home display. There are vital alarm message and equipment status alarm message which will be displayed on the top of the home display. The alarms are classified in level 1, level 2, level 3, level 4, and the alarm message will be displayed according to the priority of level 1＞level 2＞level 3＞level 4. The color of the displayed messages are red for level 1, yellow for level 2, blue for level 3, and white for level 4. Alarm Level Description Level 1 Level 2 Level 3 Level 4 Life Threatening Alarm Cautionary Alarm Treatment Needed Alarm Notification Alarm Tone Displayed Color Continuous beep tone Beep tone every 5 seconds Single beep tone Display Only Red Yellow Blue White ? Alarm messages will be displayed according to the priority. (Level 1 → Level 2 → Level 3 → Level 4) CAUTION ? For the same alarm level, the alarm message for the newer alarm will be displayed. ●Vital Alarm Message The vital alarm message is generated when a measurement exceeds the alarm limit, or when arrhythmia is detected. Numeric Alarm Message Arrhythmia Alarm Message There are 2 types of alarm messages, numeric alarm message and arrhythmia alarm message. If the 2 types of alarm generate at the same time, the numeric alarm message and arrhythmia alarm message will be alternately displayed for 2 seconds each. The message will be displayed according to the priority of the alarm level. If the alarms of the same level generate, the message for the newer alarm will be displayed. The alarm message for the arrhythmia alarm will continue to be displayed C A U T I O N for 30 seconds after the alarm is resolved. 4−12 Life Threatening Alarm (Alarm Level 1) Parameter HR PR (SpO2, BP) BP1 SpO2 Respiration (Impedance, CO2) NIBP Arrhythmia Display Configuration CO2 Message “Lower HR alarm” “Upper HR alarm” “Lower PR alarm” “Upper PR alarm” “Lower BP1 alarm” “Upper BP1 alarm” “Lower SpO2 alarm” “Upper SpO2 alarm” “Apnea alarm” “Lower RR alarm” “Upper RR alarm” “Lower NIBP alarm” “Upper NIBP alarm” “Upper EtCO2 alarm” “Lower EtCO2 alarm” “ASYSTOLE” “VF” “VT” “SLOW VT” “TACHY” “BRADY” “RUN” Cautionary Alarm (Alarm Level 2) Parameter BP2 ST Temperature CO2 Arrhythmia Message “Lower BP2 alarm” “Upper BP2 alarm” “Lower ST alarm” “Upper ST alarm” “Upper TEMP alarm” “Lower TEMP alarm” “Upper InspCO2 alarm” “PAUSE” “COUPLET” “BIGEMINY” “TRIGEMINY” “FREQUENT” Treatment Needed Alarm (Alarm Level 3) Parameter Message None Notification Alarm (Alarm Level 4) Parameter All Alarm Arrhythmia NOTE Message “Alarm suspend (＊＊＊sec)” “LEARN” “ARRHY OFF” ? (＊＊＊sec) of the “Alarm suspend (＊＊＊sec)” message indicates the remaining time to suspend the alarm. ? The “ARRHY OFF” message will be displayed when the ASYSTOLE, VF, VT, SLOW_VT, and HR alarm is OFF. 4−13 ●Equipment Status Alarm Message The equipment status alarm message will be displayed when proper monitoring can not be performed. The alarm message will be displayed according to the priority of the alarm level. If more than one alarm with the same level is generated, the alarm message for the newer alarm will be displayed. Equipment Status Alarm Message Cautionary Alarm (Alarm Level 2) Item Battery ECG Impedance Respiration SpO2 CO2 Connector Off NOTE Message “Charge battery” “Check electrodes “Check SpO2 sensor” “SpO2 sensor fault” “Check filter line” “CO2 unit error” ”ECG not connected” ”BP not connected” ”SpO2 not connected” ”TEMP not connected” ”CO2 not connected” The “Connector Off” alarm can be cancelled by pressing the Alarm Silence key. Before silencing the alarm, make sure that the disconnected connector is unnecessary. Treatment Needed Alarm (Alarm Level 3) Item NIBP Impedance Respiration SpO2 ECG Message “Check NIBP hose” “CVA detected” “No pulse detect” “Pacemaker error” Notification Alarm (Alarm Level 4) Item Operation ECG BP 4−14 Message “Wave freeze” “Touch key OFF” “Night mode” “ECG failed” “Artifact” “BP1 transducer OFF” “BP1 not zero balanced” “BP2 transducer OFF” “BP2 not zero balanced” “Incorr. BP cable” “Wrong temp probe” Temperature “TEMP auto check” “TEMP unit check” “Motion artifact” SpO2 “SpO2 unit error” CO2 “CO2 unit error” ECG “ECG unit error” NIBP “NIBP unit error” “Recorder error” “Paper out” Recorder “Magazine open” “Paper jammed” “Recorder busy” All Alarm “Alarm Mute” ECG, Impedance Respiration “Check electrode” Telemetry “Telemetry unit error” Display Configuration ●Lead-Off Message If the ECG electrodes are detached, HR alarm and arrhythmia alarm will not be generated. If this condition is left unresolved, a sudden change of the patient may not be noticed. Take prompt action when the lead-off condition is detected. Lead-Off Message While the “LEAD OFF” message is displayed, HR alarm and arrhythmia alarm will not function. Leaving this condition unresolved may result in C A U T I O N missing a sudden change of the patient. Promptly check the electrodes when this message is displayed. 4−15 − Key Setup − For Easier Use The touch keys on the screen are the only operational keys for the DS-7100 system. The touch keys consist of fixed keys (menu, Home / Enlarge, NIBP Start/Stop) and 4 user keys which can be programmed according to the monitoring purpose. Fixed Key ＜Home Display＞ User Key 1 User Key 2 User Key 3 User Key 4 The unnecessary keys on the display can be erased. ＜System Configuration＞ 4−16 ＜Menu Display＞ To Set the User Keys Program the key function to each user key. 1. Press the Menu → System Config. → User Key keys. The user key setup menu will be displayed. Pre-Set → Ward Setup → Key Setup 2. Select a position to set the user key. Press the key for the position to set the user key. User Key 1 User Key 2 User Key 3 User Key 4 3. Select a parameter for the user key. Press the key for the parameter to be set as user key. User Key Alarm Silence Alarm Admit / Discharge Rec. START/STOP Key Lock Cease NIBP List Graphic Trend Tabular Trend Recall OCRG Enlarged Display Function Silences the alarm for fixed amount of time. Displays alarm setup menu. Displays admit/discharge menu. Starts/stops manual recording. Turns ON/OFF the touch key operation. This function can be used to make the touch key inoperative when cleaning the screen. Displays the confirmation display whether to suspend monitoring or not. Displays NIBP list. Displays graphic trend. Displays tabular trend. Displays recall. Displays OCRG. Enlarges the numeric data display. 4−17 Freeze NIBP Auto Mode Lead・Size HR Source Tone/Volume Other Bed Record Display Config. ST Display Night Mode BP Zero OFF Temporarily stops the waveform trace. By pressing the Rec. START/STOP key during freeze mode, the waveform in freeze mode can be recorded. Displays the NIBP measurement interval setup menu. Displays the keys to adjust the size, scale, baseline position of the displayed waveform. Sequentially selects the HR source in the order of ECG → SpO2 → BP1 → Auto → ECG. Displays the tone/volume setup menu. Displays the other bed display menu. Displays the recording setup menu. Displays the display configuration menu. Displays the ST measurement menu. Turns ON / OFF the night mode. Performs zero balance of BP1, BP2. User key will not be set. 4. Repeat the procedure 2, 3 and set the remaining user keys. 5. Initialize the user key setup. Pressing the Initial key for more than 2 seconds will initialize the user key setup to factory setting. The factory setting is as follows. User Key 1: Alarm Silence User Key 2: Rec. START/STOP User Key 3: Lead・Size User Key 4: Admit / Discharge 4−18 To Set the Menu Keys The key display can be erased from the menu display, configuration menu display and preset menu display. 1. Press the Menu → System Config. → Key Mask keys. Display the key mask setup menu. Pre-Set → Ward Setup → Key Setup ＜Key Mask Display＞ 2. Select the key to erase. Pressing the key will extinguish the LED. The key with the LED extinguished will not be displayed on the menu display. Display ON 3. Press the Display OFF System Config. key. Press the key to erase from the display. Pressing the Pre-Set key will also allow erasing the key from the preset menu display. 4−19 − Recording Setup − To Record the Waveform and Numeric Data On the DS-7100 system, the waveform recording by manual recording, periodic recording, alarm recording, or freeze recording, and graphic recording of graphic trend, tabular trend can be performed. This section describes the procedure for the following recording. ・Manual Recording ・Periodic Recording ・Alarm Recording ・Freeze Recording ・Graphic Recording (Graphic Trend, Tabular Trend, Recall, NIBP List) Manual Recording ●To Start / Stop the Recording For manual recording (standard recording), pressing the Rec. START/STOP key will start / stop the recording. Pressing this key during periodic recording, alarm recording, or graphic recording will cease the recording in process. Starts the standard recording. Not recording Recording in process ●To Set the Manual Recording The manual recording can be started from the time the key is pressed, or 8 sec. / 16 sec. prior to the time the key is pressed. The recording can be set to automatically stop after 24 seconds or continue to record until the Rec. START/STOP key is pressed again. 1. Press the Menu → System Config. → Record The manual recording setup menu will be displayed. 4−20 → Manual Record keys. 2. Select the waveform for recording. Up to 3 waveforms can be selected. The waveforms will be automatically located at recording. 3. Select the duration for recording. Select the recording duration from 24sec or Cont. . 24sec will automatically stop the recording after 24 seconds. 4. Select the delay time for recording. None will start the recording from the time the Rec. START/STOP key is pressed. 8sec , 16sec will start the recording 8 sec. / 16 sec. prior to the time the key is pressed. The recording will be automatically performed with the selected interval. Periodic recording can be performed on the central monitor connected on the wired network system. 1. Press the Menu → System Config. → Record The periodic recording setup menu will be displayed. → Periodic Record keys. 2. Select the waveform for recording. Up to 3 waveforms can be selected. The waveforms will be automatically located at recording. 3. Select the periodic interval. Select the periodic interval to automatically start the recording. If 5min is selected, the recording will be started at time such as 10:00, 10:05, ・・10:25. If 60min is selected, the recording will be started at time such as 10:00, 11:00, 12:00. 4. Select the recording duration. Select the recording duration from 6 sec , 12 sec , 24 sec . The recording will automatically stop after the selected time. 4−21 Recording Setup Periodic Recording 5. Start the periodic recording. ON will activate the periodic recording with the selected interval. If periodic recording is not necessary, select OFF . Alarm Recording The recording will automatically start at occurrence of numeric alarm or arrhythmia alarm. If the alarm with the higher priority occurs during alarm recording, the C A U T I O N recording in process will be ceased and starts the alarm recording with the higher priority. 1. Press the Menu → System Config. → Record The alarm recording setup menu will be displayed. → Alarm Record keys. 2. Select the waveform for recording. Up to 3 waveforms can be selected. The waveforms will be automatically located at recording. Alarm will record the waveform which generated the alarm. 3. Select the recording factor. Select the recording factor for alarm recording. HR will start the alarm recording when the HR or PR alarm is generated. Other will start the alarm recording when the numeric alarm other than HR and PR alarm is generated. Arrhy. will start the alarm recording when the arrhythmia alarm is generated. 4. Select the recording duration. Select the recording duration from 12sec , 24sec . The recording will automatically stop after the selected time. 4−22 The delay time differs depending on the recording time. NOTE Delay Time Recording Time Adult Child 12 sec. 24 sec. 12 sec. 16 sec. 12 sec. 16 sec. Neonate Numeric Alarm Arrhythmia Alarm 8 sec. 12 sec. 16 sec. 16 sec. 5. Select the arrhythmia type. If arrhythmia is selected for the recording factor, select the arrhythmia type. Pressing the Arrhythmia Record key will display the arrhythmia selection window for alarm recording. Recording Setup ＜Arrhythmia Recording Setup Menu＞ Selected as alarm recording factor. Not selected as alarm recording factor. 6. Start the alarm recording. ON will automatically start the recording at alarm occurrence. If alarm recording is not required, select OFF . Center will start the alarm recording on the central monitor with the smallest monitor ID. NOTE The numeric data to be recorded will be the data at alarm occurrence time. 4−23 Freeze Recording The waveform display can be frozen and recorded from 6 seconds prior to the frozen point. The waveform to be recorded is the one selected for manual recording. The recording duration is fixed as 6 seconds. To freeze the waveform display, the Freeze key needs to be assigned as user key. 1. Freeze the waveform display. Press the Freeze key on the user key. 2. Start freeze recording. Press the Rec. START/STOP 4−24 key to record the displayed waveform. Graphic Recording (Graphic/Tabular Trend, etc.) Graphic trend recording, tabular trend recording, NIBP list recording, and recall recording can be performed. Reference Refer to “7. Function procedure. Graphic Trend, Tabular Trend, Recall Data, NIBP List” for recording Graphic Trend One parameter from the following can be selected for graphic recording. EVENT2 Description HR, PR (SpO2, BP) ST1, ST2 VPC beats BP (SYS / Mean / DIA) NIBP (SYS / Mean / DIA) SpO2 value SpO2 pulse rate Temperature Respiration Rate (Impedance, CO2) Apnea Time (Impedance, CO2) EtCO2 / InspCO2 ASYSTOLE, VF, VT, SLOW_VT, RUN, BIGEMINY TRIGEMINY, PAUSE, COUPLET, TACHY, BRADY, FREQUENT Recording Setup Parameter HR ST VPC BP NIBP SpO2 PR TEMP RR APNEA CO2 EVENT1 Tabular Trend 12 parameters from the following can be displayed / recorded as tabular trend. Parameter HR PR_SpO2 VPC ST1 ST2 RR APNEA SpO2 BP1 BP2 NIBP TEMP EtCO2 InspCO2 Description HR, PR (SpO2, BP) PR (SpO2) VPC beat ST level of ECG1 ST level of ECG2 RR (Impedance, CO2) Apnea Time (Impedance, CO2) SpO2 value BP(SYS / Mean / DIA) BP(SYS / Mean / DIA) NIBP(SYS / Mean / DIA) Temperature EtCO2 value InspCO2 value NIBP List The numeric data for the following parameters can be recorded. Parameter HR PR SpO2 NIBP Description HR, PR (SpO2, BP) PR (SpO2) SpO2 value NIBP (SYS / Mean / DIA) Recall The waveform and numeric data at alarm occurrence will be recorded with the following setup. Parameter Waveform (Max. 2) Numeric Data Recording Duration Description ECG1, ECG2, BP, SpO2, CO2, RESP HR, ST, RR, TEMP, NIBP, BP, ST1, ST2, SpO2, PR_SpO2, APNEA, CO2 12 sec. 4−25 Recorder Operation (QRS Symbol, etc.) This menu allows the setup of paper feed operation and ON/OFF of QRS classification symbol recording 1. Press the Menu → System Config. → Record The recorder operation setup menu will be displayed. → Setup keys. 2. Select ON/OFF of paper feed to top. ON will feed the paper to start recording from the next perforation. OFF will not feed the paper and starts recording from the position where the previous recording ended. 3. Select ON/OFF of paper feed to end. ON will feed the paper after recording to next perforation so that the paper can be easily cut off. OFF will not feed the paper after recording. 4. Select ON/OFF of QRS classification symbol recording. ON will record the QRS classification symbol on to the ECG waveform. Symbol N (Normal) V (VPC) S (SVPC) P (Pacing Beat) F (Fusion Beat) ? (Undetermined beat) NOTE 4−26 Description Normal QRS beat Ventricular Extrasystole Supraventricular Extrasystole Pacing beat Fusion beat of pacing and spontaneous beat. Learning arrhythmia, or beat not matching the pattern ? The QRS classification symbol can not be recorded for the manual recording without delay time, and for the periodic recording. To record the QRS classification symbol, set the delay time to 8 seconds or 16 seconds for manual recording. ? For the freeze recording, the QRS classification symbol may not be recorded if the recording is started immediately after the waveform display is frozen. In such case, start the recording after about 10 seconds from the time the waveform is frozen. − Volume Setup − Pulse Tone, Alarm Sound, etc. This menu allows volume setup of the pulse tone, alarm sound, key sound and other bed alarm sound. 1. Press the Menu → Tone / Volume keys. The volume setup menu will be displayed. Volume Setup ＜Volume Setup Menu＞ Decreases the volume Tests the set volume. Current volume Increases the volume. 2. Set the volume for the pulse tone. The volume of the HR synchronized tone, SpO2 synchronous tone, BP synchronized tone can be adjusted. 3. Set the volume for alarm sound. The volume of the numeric alarm, arrhythmia alarm, equipment status alarm can be adjusted. A faint sound will be generated when setting a minimum volume for the C A U T I O N alarm sound, but be cautious not to miss any alarm. Adjust the volume to a recognizable level. 4. Set the volume for key sound. The volume of the key sound can be adjusted. 5. Set the volume for other bed alarm sound. The other bed alarm sound can be adjusted. 6. Set the volume for other sound. The volume of the sound which notifies the completion of BP zero balance, NIBP measurement, etc. can be adjusted. 4−27 − Color / Brightness Setup − This menu allows the setup of the colors of numeric data / waveform and brightness of the display. Color Setup (Numeric Data, Waveform) The displayed colors can be set for each parameter. Assign the color from the 32-color palette to each parameter. 1. Press the Menu → System Config. → Color keys. ＜Color Setup Menu＞ 2. Select the color from the 32-color palette. Press the key of the desired color. 3. Assign the selected color to the parameter. Press the parameter key to assign the selected color. The selected color for the parameter will be applied to the waveform, numeric data, graphic trend, and tabular trend. 4−28 Brightness Setup The brightness of the display can be adjusted. 1. Press the Menu → System Config. → Brightness Setup keys. ＜Brightness Setup Menu＞ Color / Brightness Setup 2. Adjust the brightness. Use the ? , ? keys to adjust the brightness. Darkens the display. NOTE Current brightness Brightens the display. The display panel utilizes exclusive fluorescent light for the backlight. Since this fluorescent light deteriorates by the life cycle, the display may become dark, scintillate, or may not light by the long term use. In such case, contact your nearest service representative. 4−29 − Telemetry Setup − （DS-7141, DS-7101LT） This section explains the setup of telemetry transmitting channel. The DS-7141 and DS-7101LT incorporates a telemetry transmitter. Once the transmitting channel ID and group ID are programmed, these will remain stored even after the main power is turned OFF. The telemetry function is not supported for the DS-7101L. 1. Press the Menu → System Config. → Telemeter Setup keys. Pre-Set → Hospital Setup → ＜Telemetry Setup Menu＞ 2. Select ON/OFF of telemetry. OFF will not perform telemetry transmission. The channel ID on the home display will be displayed as “ch OFF” To perform telemetry transmission, select ON . 3. Enter the password. Press the Password key, and enter the password. Use the numeric keypad to enter the password The entered number will be displayed as “＊＊＊＊”. 4. Enter the channel ID. Press the Channel key, and enter the channel ID. Use the numeric keypad to enter the 4-digit medical telemetry channel ID. 4−30 5. Enter the group ID. Press the Group key, and enter the group ID. Use the numeric keypad to enter the group ID in the range from 00 ~ 63. 6. Save the telemetry channel ID and group ID. Press the Save key to store the channel ID and group ID. Verify that the “Complete” message is displayed. If an error is found on the password, channel ID, or group ID, the following message will be displayed. “Invalid data” “Telemetry unit error” “Install Program Card” : The entered password is incorrect. Enter the password again and press the Save key. : The entered channel ID or group ID is outside the programmable range. Enter the ID within the range and press the Save key. : Abnormality is found on the telemetry transmitter. Contact our service representative. : Install the program card to PC card slot. 7. Verify the stored telemetry channel ID and group ID. When the monitor indicates that the measurement data is out of range (“×××” display), the minimum or maximum value of the range will be displayed at the telemetry center. Out of range】 【 NOTE Telemetry Center】 【 HR RR BP 301bpm or above 300bpm 151bpm or above 150bpm -51mmHg or below -50mmHg 301mmhg or above 300mmHg TEMP -0.1?C or below 0?C 50.1?C or above 46.1?C *For temperature, the measurement range is up to 50.1?C. But at the telemetry center, 46.1?C will be the maximum value displayed. It is necessary to insert the program card to the PC card slot to set the C A U T I O N channel ID and program ID. 4−31 Telemetry Setup “Invalid password” Transmitting Waveform Setup This function allows to select the transmitting waveform. 1. Press the Menu → System Config. → Telemetry Wave Setup keys. 2. Select the waveform to transmit. Select the waveform to transmit from ECG1 , ECG1+2 . Selecting ECG1 will transmit ECG1, CO2, RESP, BP1, BP2, SpO2. RESP waveform will be transmitted when “Impedance” is selected for RR source. Selecting ECG1+2 will transmit ECG1, ECG2, CO2/RESP, BP1, SpO2. CO2 and RESP waveform to be transmitted will be in accordance with RR source setup. NOTE The waveform not displayed on the home display will not be transmitted even if selected as the transmitting waveform. ? If the temperature measurement unit is ?F, or BP measurement unit is kPa, the corresponded waveform and numeric data will not be transmitted. For telemetry transmission, use ?C for temperature unit and mmHg for CAUTION BP unit. ? For telemetry transmission, BP waveform with a scale above the programmed scale can not be properly transmitted. Set the BP waveform below the programmed scale. 4−32 − Wired Network Connection − (LAN Communication) This section describes the procedure to set the Room / Bed ID. The DS-7100 system incorporates Ethernet LAN unit. The set Room / Bed ID will be remain stored even when the power is turned off. Room / Bed ID Setup To connect to a wired network, it is necessary to set the Room / Bed ID. 1. Press the Menu → Admit / Discharge → Bed ID keys. Use the numeric keypad to enter the password The entered number will be displayed as “＊＊＊＊”. 3. Set the Room ID. Enter the Room ID using the alphanumeric keypad. The entered ID will be displayed on the upper left of the screen. Next, press the Bed ID key to display the Bed ID menu. 4. Set the Bed ID. Enter the Bed ID using the numeric keypad. The entered ID will be displayed on the upper left of the screen. To connect to the wired network, set the ID in the range from 001 to 048. 4−33 Wired Network Connection 2. Enter the password. ? The bed ID is factory set to “000”. If connected to the wired network with the bed ID unchanged, monitoring on the central monitor will not be possible. ? When connecting to a wired network, make sure that there are no other bedside monitors with the same ID. If there are more than one bedside monitor with the same bed ID, the duplicated bedside monitors can not be monitored on the central monitor. ? When connecting to a wired network, set the bed ID in the range from “001” to “048”. ? A delay will occur for the communication with the central monitor. The delay is about 1.5 seconds for the waveform, about 1.5~4.0 seconds for the numeric data, and about 1.5~2.0 seconds for the alarm. ? There are following restrictions when connecting the DS-7100 system to the DS-LANⅡnetwork. CAUTION ? The DS-7100 system is not corresponded to the AU-5500N 8-channel recorder. The data for the DS-7100 system can not be recorded on the AU-5500N. ? When the measurement unit of BP is kPa, BP waveform, BP numeric data, NIBP numeric data, NIBP list will not be transmitted. These will be treated as not measured data, and will not be displayed on the central monitor. Also, alarm limit setup on the central monitor can not be performed. ? When the temperature unit is ?F, the temperature data will not be transmitted. It will be treated as not measured data, and will not be displayed on the central monitor. Also, alarm limit setup on the central monitor can not be performed. ? Arrhythmia alarm of TACHY, BRADY, SLOW_VT, COUPLET, PAUSE will not be transmitted. ? For numeric data displayed as “×××”, maximum or minimum value of measurable range will be transmitted. ? The numeric data displayed as “−−−” will be treated as not measured data. ? For QRS classification, the “S” printed on the built-in recorder will be printed as “N” on the HR-500 Recorder. ? When DS-5800N/NX/NXMB is used as a central monitor, recall, graphic trend, tabular trend, and ST measurement function will not be displayed. ? When DS-5700 is used as a central monitor, ST measurement function will not be displayed 4−34 − Alarm Pole Setup − Notifying the Alarm by Light This section describes the use of alarm pole function. This equipment incorporates an alarm pole. The alarm generation can be indicated by alarm pole flash so that it can be notified from distance. Alarm Level Setup On the alarm pole setup function, alarm pole function and alarm level can be linked. 1. Press the Menu → System Config. → Alarm Pole keys. The alarm pole setup menu will be displayed. Pre-Set → Ward Setup → Alarm Pole Setup 2. Select ON/OFF of alarm pole function. To activate the alarm pole function, select ON . If alarm pole function is not necessary, select OFF . 3. Select the alarm level. Select the alarm level to flash the alarm pole. Select from Level 1 , Level 1 and 2 , or Level 1, 2, and 3 . 4−35 Alarm Level 1 (Life Threatening Alarm) Parameter HR PR (SpO2, BP) BP1 SpO2 Respiration (Impedance, CO2) NIBP CO2 Arrhythmia Message “Lower HR alarm” “Upper HR alarm” “Lower PR alarm” “Upper PR alarm” “Lower BP1 alarm” “Upper BP1 alarm” “Lower SpO2 alarm” “Upper SpO2 alarm” “Apnea alarm” “Lower RR alarm” “Upper RR alarm” “Lower NIBP alarm” “Upper NIBP alarm” “Upper EtCO2 alarm” “Lower EtCO2 alarm” “ASYSTOLE” “VF” “VT” “SLOW VT” “TACHY” “BRADY” “RUN” Alarm Level 2 (Cautionary Alarm) Parameter BP2 ST Temperature CO2 Arrhythmia Equipment Status 4−36 Message “Lower BP2 alarm” “Upper BP2 alarm” “Lower ST alarm” “Upper ST alarm” “Upper TEMP alarm” “Lower TEMP alarm” “Upper InspCO2 alarm” “PAUSE” “COUPLET” “BIGEMINY” “TRIGEMINY” “FREQUENT” “Charge battery” “Check electrode” “Check SpO2 sensor” “SpO2 sensor fault” “Check filter line” “CO2 unit error” ”ECG not connected” ”BP not connected” ”SpO2 not connected” ”TEMP not connected” ”CO2 not connected” Alarm Level 3 (Treatment Needed Alarm) Parameter Equipment Status Message “Check NIBP hose” “CVA detected” “No pulse detect” “Pacemaker error” Alarm Pole Setup 4−37 Alarm Pole Flash Pattern Setup This function sets the alarm pole flash pattern for each alarm. 1. Press the Pattern Setup key on the alarm pole setup menu. The alarm pole flash pattern setup menu will be displayed. 2. Select the flash pattern for each item. First, select the flash pattern from Pattern 10 . Pattern 1 to The alarm pole consists of 3 blocks. (Left: Red, Center: Red/Orange/Green, Right: Red） The ways these 3 blocks flash are different for each pattern. By pressing the Pattern Test key, the flashing of the selected pattern can be verified. Alarm Pole Flash Pattern Flash Pattern 1 (Red, Red, Red)→(・・・)→(Red, Red, Red)→(・・・)→(Red, Red, Red) Pattern 2 (Red, Orange, Red)→(・・・)→(Red, Orange, Red)→(・・・)→(Red, Orange, Red) Pattern 3 (Red, Green, Red)→(・・・)→(Red, Green, Red)→(・・・)→(Red, Green, Red) Pattern 4 (・Red・)→(・・・)→(・Red・)→(・・・)→(・Red・) Pattern 5 (・Orange・)→(・・・)→(・Orange・)→(・・・)→(・Orange・) Pattern 6 (・Green・)→(・・・)→(・Green・)→(・・・)→(・Green・) Pattern 7 (Red, Red・)→(・・・)→(・Red, Red）→(・・・)→(Red, Red・) Pattern 8 (Red, Orange・)→(・・・)→(・Orange, Red)→(・・・)→(Red, Orange・) Pattern 9 (Red, Green・)→(・・・)→(・Green, Red)→(・・・)→(Red, Green・) Pattern 10 (Red・・)→(・・・)→(・Red・)→(・・・)→(・・Red) Next, press the alarm level key to assign the selected flash pattern, 4−38 − Alarm Setup − To Set the Alarm Condition This section explains the setup of alarm suspension and upper / lower alarm limit. On the alarm setup menu, ON/suspend of system alarm, ON/OFF and upper / lower alarm limit of each parameter can be set. To Set the System Alarm The system alarm can be set to ON or suspend, but it can not be turned OFF. ? When the system alarm is suspended, all the alarm will be suspended even if the parameter alarm is set to ON. Also, the alarm event will not be stored as recall. W A R N I N G ? If the upper/lower alarm limit of the parameter is set to OFF, or arrhythmia alarm is set to OFF, alarm will not function even if the system alarm is set to ON. Pay attention when setting them OFF. Alarm Setup 1. Press the Menu → Alarm keys. The alarm setup menu will be displayed. 2. Press the Suspend key on the alarm setup menu. Pressing this key will sequentially switch the function to ON or suspend. Alarm is suspended when the key LED is lighted. Alarm is ON when the key LED is extinguished. 3. Check the message. When the alarm is suspended, “Alarm Suspend (＊＊＊sec)” message will be displayed. (＊＊＊sec.) indicates the remaining time. 4−39 To Turn ON the System Alarm Turning the system alarm ON will activate the alarm setups for each parameter. 1. Press the Menu → Alarm keys. 2. Set the alarm ON . Press the Suspend key when the key LED is lighted. The key LED will extinguish. The alarm is ON when the key LED is extinguished. To Suspend the System Alarm The alarm can be temporarily suspended. During the alarm suspension, “Alarm Suspended＊＊ ＊sec.” message will be displayed. “＊＊＊sec.” indicates the remaining suspended time. The alarm will turn ON when the suspended time completes. 1. Press the Menu → 2. Suspend the alarm. Press the Suspend Alarm keys. key when the key LED is extinguished. The key LED will light. Alarm is suspended when the key LED is lighted. To Silence the System Alarm The alarm sound can be silenced for fixed amount of time. This setting will not affect the alarm message. If the alarm cause still remains at completion of silence time, the alarm sound will generate again. Also, if another alarm with the same or higher priority occurs during the alarm silence time, the alarm sound for the new alarm will generate. ●Precautions about Silencing the Alarm ?Alarm silence function is effective for each parameter. If an alarm condition for the selected parameter is resolved for a moment but is generated again during the alarm silence time, the alarm will remain silenced. The recall and alarm recording will not function at this time. ?If another alarm with the lower priority occurs during the alarm silence time, alarm sound will not generate. The recall and alarm recording will function. ?If the Alarm Silence key is pressed for the alarm of another parameter which occurred during the alarm silence time, the alarm silence time for the first alarm will not be extended. ?The alarm silence condition for all parameters will be ceased in the event of any of the following. When the main power is turned ON. When the system alarm status (ON / suspend) is changed. When monitoring is suspended on the patient admit / discharge menu. When the alarm mode is changed on the patient admit / discharge menu. When the patient has discharged. ?The alarm silence condition for each parameter will be ceased in the event of any of the following. When the alarm silence time for the parameter is completed. When automatic alarm is selected for the parameter. When the alarm is turned OFF for the parameter. 4−40 Alarm Setup for Each Parameter The alarm for each parameter can be turned ON or OFF, and upper and lower alarm limit can be set. 1. Press the Menu → Alarm keys. The alarm setup menu will be displayed. Alarm Setup 2. Select the parameter to display the alarm setup menu. Display Description Displays the upper and lower alarm limit and the current measurement (▲). The limits can be adjusted by directly pressing the bar display or using the arrow keys. Displays lower limit←current value→upper limit. Key Item Individual Alarm Lower Alarm Limit Upper Alarm Limit Automatic Setup Description Selecting ON will generate the alarm. Selecting OFF will not generate the alarm. Sets the lower alarm limit. The lower limit will be turned OFF when a value below the range is selected. Sets the upper alarm limit. The upper limit will be turned OFF when a value above the range is selected. Automatically sets the limits corresponding to the current value. If the limit is turned OFF, it will be remained OFF. The system alarm and parameter alarm will be in a ON condition. 4−41 3. Select ON/OFF and set upper and lower alarm limit for the parameter alarm. Numeric Data Key Item Description HR / PR / BPR ON, OFF ST ON, OFF ST1 ±2.0mV ST2 ±2.0mV BP1 ON, OFF 0−300mmHg BP2 ON, OFF 0−300mmHg SpO2 ON, OFF 50−100% ON, OFF 5−150bpm (Adult) 2−150bpm (Child, Neonate) RR APNEA (Upper Limit) ON, OFF 5−20 sec. TEMP ON, OFF 30−50 NIBP ON, OFF 10−300mmHg ON, OFF 1−100mmHg 0.1−13.3kPa 0.1−13.3％ ON, OFF 1−4mmHg 0.1−0.4kPa 0.1−0.4% EtCO2 InspCO2 (Upper Limit) 4−42 20−300bpm Arrhythmia Alarm Setup The arrhythmia alarm can be turned ON or OFF, and arrhythmia detection level can be set. 1. Press the Menu → Alarm keys. The alarm setup menu will be displayed. Alarm Setup 2. Press the Page Arrhy. key to display the arrhythmia alarm setup menu. Item Page 1/3 Asystole, VF, VT, Slow_VT Page 2/3 Run, Bigeminy, Trigeminy, Pause Page 3/3 Couplet, Tachy, Brady, Frequent 4−43 ●To Set ON/OFF of Arrhythmia Alarm Selecting ON will generate the arrhythmia alarm. Selecting OFF will not generate the arrhythmia alarm. However, Asystole, VF, and VT alarm can not be turned OFF at the initial factory setting. Select ON/OFF for “Asystole, VF, VT” on the Hospital Setup menu to turn OFF the alarm. Reference Page Page 1/3 Page 2/3 Page 3/3 NOTE Item Asystole VF VT Slow_VT Run Bigeminy Trigeminy Pause Couplet Tachy Brady Frequent Refer to “8. System Configuration Hospital Setup” Selection ON, (ON, OFF) ON, (ON, OFF) ON, (ON, OFF) ON, OFF ON, OFF ON, OFF ON, OFF ON, OFF ON, OFF ON, OFF ON, OFF ON, OFF The “Arrhythmia alarm OFF” message will be displayed when the ASYSTOLE, VF, VT, SLOW_VT, and HR alarm is OFF. ●To Set the Arrhythmia Detection Level Select the level to detect each arrhythmia. 1. Pressing the detection level key (ex. 5 window to adjust the detection level. for Asystole) for each arrhythmia will display the 2. Set the detection level. Use the arrow keys to set the detection threshold. Item ASYSTOLE RUN PAUSE FREQUENT Range 3−10 sec. 2−8 beats 1.5−5 sec. 1−50 beats/min. 3. Close the window to adjust the detection level. Press the 4−44 Close key. ●Alarm Limit for TACHY, BRADY The arrhythmia detection level for tachycardia (TACHY) and bradycardia (BRADY) alarm links with the upper and lower alarm limit for HR / PR. The tachycardia (TACHY) alarm generates when the measurement exceeds the HR / PR upper alarm limit. When the upper alarm limit is OFF, alarm will not generate. The bradycardia (BRADY) alarm generates when the measurement is below the HR / PR lower alarm limit. When the lower alarm limit is OFF, alarm will not generate. SpO2 SEC Alarm Setup When the SpO2 value is unstable around the lower alarm limit, the frequently generated alarm may be bothersome. The SEC alarm function controls these frequent alarms. This function generates the alarm only when the integral value (the accumulation of difference between the alarm limit and SpO2 value at every second) reaches the preprogrammed SEC alarm threshold value. Alarm Setup 100 SEC Alarm Integral Value [%] 90 80 70 60 Integral Value 50 Alarm Generation SpO2 Value 40 Alarm Limit 30 20 10 9 13 17 21 25 29 33 37 41 45 49 53 57 61 [SEC] On this graph, the SEC alarm threshold value is set as 100. The SpO2 value begins to fall below the alarm limit at approximately 10 seconds. At the same time, the integral value begins to increase. (Alarm limit) – (SpO2 value) is accumulated each second. At around 25 seconds, the integral value reaches 100 and the alarm is generated. At approximately 36 seconds, the SpO2 value returns to the level within the alarm limit, and at the same time, the integral value begins to decrease. ｛(Alarm limit) – (SpO2 value)｝×2 is subtracted each second. Also, there is a safety net when setting the SEC alarm function. This safety net is for the case when the SpO2 value frequently falls below the alarm limit but does not last long enough to reach the SEC alarm threshold. If the SpO2 value falls below the limit 3 times or more during the last 60 seconds, an alarm will be generated even if the SEC alarm threshold is not reached. 4−45 1. Press the Menu → Alarm keys. The alarm setup menu will be displayed. 2. Press the SpO2 key to display the alarm setup menu. 3. Select the SEC alarm value according to the alarm frequency. If 10 / 25 / 50 / 100 is selected, a circular SEC alarm indicator will be displayed inside the parameter key. As the integral value increases, the indicator will begin to fill, and when it is Indicator completely filled, an alarm will be generated. If OFF is selected, this SEC alarm indicator will not be displayed. ? Whether to use the SEC alarm function and its threshold selection should be based on the patient’s clinical indication portent and medical evaluation. CAUTION ? If the SpO2 alarm and SEC alarm setup is set to OFF, the SEC alarm integral value will be set to 0. 4−46 Alarm Suspend / Alarm Silence Time The time for suspending the system alarm and suspending the alarm sound can be selected. 1. Press the Menu → Alarm → Page Down keys. The second page of the alarm setup menu will be displayed. Alarm Setup 2. Select the time for “Alarm Suspend Time. Select the appropriate time for alarm suspend time. 3. Select the time for “Alarm Silence Time. Select the appropriate time for alarm silence time. 4−47 ON / OFF of Alarm Limit Display The alarm limit can be selected to display or not display on the home display according to the preference. ＜Display OFF＞ ＜Display ON＞ 1. Press the Menu → Alarm → Page Down keys. The second page of the alarm setup menu will be displayed. 2. Select ON or OFF for alarm limit display. NOTE 4−48 ? To display the alarm limit, short trend display should be set to OFF on the display configuration menu. ? The alarm limit for the parameter with the alarm turned OFF will not be displayed regardless of this setup. Chapter 5 Admit / Discharge of a Patient This chapter describes the procedure to admit or discharge a patient. − Admit / Discharge of a Patient− ････････････････ 2 ●Pacemaker Use Selection ･･･････････････････6 ●Impedance Respiration Measurement ･････････6 Patient Age ･･････････････････････････････････ 7 − Discharging a Patient − Erasing Name, Data, etc. ･････････････････ 8 Discharging Procedure ････････････････････････ 8 − Monitoring Mode Selection − Alarm and Display Mode ･･････････････････ 9 Mode Selection ･･････････････････････････････ 9 ●Display Modes ･･･････････････････････････ 11 ●Alarm Modes ････････････････････････････ 12 − Suspend Monitoring − Suspend and Resume Monitoring ･････････ 13 To Suspend Monitoring･･･････････････････････ 13 To Resume Monitoring ･･･････････････････････ 14 − Room / Bed ID Setup − for LAN Communication ･････････････････ 15 Room / Bed ID Setup ････････････････････････ 15 5−1 Admit / Discharge of a Patient − Admitting a Patient − Entering Name, Sex, and Age ･････････････ 3 Patient Name ････････････････････････････････ 3 Patient ID ･･･････････････････････････････････ 4 Patient Type ･････････････････････････････････ 4 Patient Sex ･･････････････････････････････････ 5 Pacemaker Use ･･････････････････････････････ 6 − Admit / Discharge of a Patient− This menu allows setup of admitting, discharging, suspend monitoring of a patient, and selection of the display configuration mode and alarm mode according to the monitoring purpose. 1. Press the menu. Menu → Admit / Discharge keys to display patient admit / discharge If you start monitoring a new patient without performing a discharge C A U T I O N procedure for the previous patient, new data will be added to the previous data which will result in inaccuracy. 5−2 − Admitting a Patient − Entering Name, Sex, and Age This menu allows entering of patient’s name, ID, age, and selection of patient type (adult, child, neonate) and pacemaker use (used, not used) which affects the monitoring accuracy. Patient Name For entering the patient’s name, up to 16 letters can be used. Patient Name Enter the name using the alphanumeric keypad. The keypad can be selected from ABC or QWERTY arrangement. ABC Arrangement QWERTY Arrangement 2. The entered patient’s name will be displayed on the home display. Patient Name 5−3 Admitting a Patient 1. Press the Name key. Enter the name using the keyboard. Patient ID Up to 10 characters of alphabets, numbers, or symbols can be used for the patient ID. Enter the ID according to the monitoring purpose. The entered ID will be output on the recording paper. Patient ID 1. Press the ID key. Enter the ID using the alphanumeric keypad. Patient Type The selection of patient type affects the accuracy of NIBP measurement, HR measurement, and RR measurement. Also the delay time to generate the measurement data alarm will change according to the patient type. NIBP measurement range HR Filter Mode (Monitor) Filter Mode (ESIS) Filter Mode (ST Display) Impedance Respiration Alarm delay time Adult Child 10∼280mmHg 10∼180mmHg 0bpm, 12∼300bpm 0.5∼40Hz 1.6∼15Hz 0.05∼40Hz 1.5Hz 5 sec. Neonate 10∼120mmHg 0bpm, 30∼300bpm 1.6∼40Hz 1.6∼15Hz none 2.5Hz 0 sec. The alarm delay time is the function to prevent frequent generation of the measurement data alarm by holding the alarm generation for the duration of each delay time. The alarm delay time applies to the measurement data alarm for the following parameters; HR / PR, BP, RR, SpO2, TEMP, EtCO2 / InspCO2, TACHY, BRADY. The monitor determines the detection algorithms for QRS and NIBP W A R N I N G according to the selected patient type. Make sure the proper selection is made. 5−4 1. Select Adult , Child , or Neonate . If “ST Display” is selected for the filter mode (Monitor / ST Display / ESIS), Neonate can not be selected for the patient type. To select Neonate , set the filter mode to Monitor or ESIS mode. 2. The selected patient type will be displayed on the home display. Patient Type Select the patient’s sex from male or female. The default is set as undetermined. The selected sex will be output on the recording paper. 1. Select Male or Female . The selection of sex will not affect the measurement accuracy of the monitoring. 5−5 Admitting a Patient Patient Sex Pacemaker Use ●Pacemaker Use Selection If the patient is wearing a pacemaker, the monitor will identify the pacemaker pulse and insert an artificial pulse onto the ECG waveform for easy identification. By detecting the pacemaker pulse, it prevents to erroneously detect QRS as pacemaker pulse when pacing waveform does not appear (pacing failure). The arrhythmia analysis analyzes pacing beat as P (pacemaker beat) or F (fusion beat) to prevent erroneous judgement of VPC. The pacemaker use selection influences the precision of the QRS W A R N I N G detection and arrhythmia analysis. Make sure the correct selection is made. 1. Select Used or Not used for pacemaker use. 2. The pacemaker use will be displayed on the home display. When using a pacemaker ●Impedance Respiration Measurement The respiration measurement using the impedance method conducts high-frequency and weak current between the ECG electrodes attached to the patient, and measures the potential difference between the electrodes caused by thoracic movement using the synchronous rectification system. For the patient using the adaptive (minute ventilation) pacemaker, the pacemaker measurement signal and the high-frequency current of this equipment interferes with each other which causes incorrect respiration measurement. If the patient is using an adaptive (minute ventilation) pacemaker, set the impedance respiration measurement OFF. 1. Press the Impedance Mode key. If the LED is extinguished, the impedance respiration measurement is stopped. If the LED is lighted, the impedance respiration measurement can be performed. 5−6 Patient Age There are two ways to set patient’s age. One is to enter the birth date which will automatically calculate the age, and the other is to directly enter the age using the numeric keypad. If Neonate is selected as patient type, the age in days will be displayed. 1. Press the Age key, and enter patient’s age. Numeric Keypad 2. Enter the patient’s birth date using the numeric keypad. The age will be automatically calculated. Enter the year, month, day using the numeric keypad, Mo , Dy keys and press the Yr , respectively. The entered year, month, day will be each displayed inside the Yr , Mo , Dy keys. 5−7 Admitting a Patient To directly enter the age, use the numeric keypad to enter the age and press the Yrs key. The entered age will be displayed inside the key. − Discharging a Patient − Erasing Name, Data, etc. This menu allows to clear the patient name, ID, age, and past measurement data such as tabular trend, graphic trend, and recall data. Discharging Procedure 1. Press the Discharge key. The confirmation display will appear. If the Discharge Cancel key to return to the previous display. key is pressed by mistake, press the 2. Erase the patient data. To initialize by erasing the patient data, patient information, press the be initialized and returns to the home display. Data Patient Data Patient Information Measurement Condition 5−8 OK key. The data will Description Erases the data of graphic trend, tabular trend, NIBP list, recall, ST Display, OCRG. The recall setup condition will remain. Erases patient name, ID, sex, age. The patient type will not be initialized. Pacemaker use will be set to unused, and respiration measurement condition will be set to ON. − Monitoring Mode Selection − Alarm and Display Mode This menu allows to select the alarm mode and display mode. The alarm setting and display configuration can be each selected from 5 modes depending on the monitoring purpose. Select the appropriate mode when admitting a patient. The setup for the alarm mode and display mode remains stored even when the power is turned off or when discharging procedure is performed. C A U T I O N Before monitoring, make sure the current monitoring mode is suitable for the patient’s condition. Mode Selection Monitoring Mode Selection 1. Press the Mode Select key. The mode selection menu for alarm mode and display mode will be displayed. 2. Select an alarm mode from the selection. Press one key from the Alm Mode 1 ~ Alm Mode 5 keys to select an alarm setup mode which meets the monitoring purpose. The setup for the alarm mode remains stored even when the power is turned off or when discharging procedure is performed. The previously selected alarm mode will be effective if the selection is not made. 5−9 3. Select a display mode from the selection. Press one key from the Disp mode 1 ~ Disp mode 5 keys to select a display configuration mode which meets the monitoring purpose. The setup for the display mode remains stored even when the power is turned off or when discharging procedure is performed. The previously selected display configuration mode will be effective if the selection is not made. 5−10 ● Display Modes Item Mode Selection Mode 1 Mode 2 Mode 4 Mode 5 NOTE Backup ○ No. of Waveforms 3 Waveform ○ No. of Numeric Data 4 Numeric Data ○ Displayed Waveforms ECG1, SpO2, RESP ○ Displayed Numeric Data HR, NIBP, SpO2, RR ○ Enlarged Display OFF ○ Short Trend OFF ○ Comment CONFIG. 1 ○ No. of Waveforms 3 Waveforms ○ No. of Numeric Data 4 Numeric Data ○ Displayed Waveforms ECG1, SpO2, RESP ○ Displayed Numeric Data HR, NIBP, SpO2, RR ○ Enlarged Display OＮ ○ Short Trend OFF ○ Comment CONFIG. 2 ○ No. of Waveforms 4 Waveforms ○ No. of Numeric Data 6 Numeric Data ○ Displayed Waveforms ECG1, BP1/2 (overlap), SpO2, RESP ○ Displayed Numeric Data HR, BP1,BP2, NIBP, SpO2, TEMP, RR ○ Enlarged Display OFF ○ Short Trend OFF ○ Comment CONFIG. 3 ○ No. of Waveforms 4 Waveforms ○ No. of Numeric Data 6 Numeric Data ○ Displayed Waveforms Cascade, BP1/2 (overlap), SpO2, RESP ○ Displayed Numeric Data HR, BP1, BP2, NIBP, SpO2, TEMP, RR ○ Enlarged Display OFF ○ Short Trend OFF ○ Comment CONFIG. 4 ○ No. of Waveforms 6 Waveforms ○ No. of Numeric Data 7 Numeric Data ○ Displayed Waveforms ○ Enlarged Display ECG1, BP1/2 (overlap),, SpO2, CO2 HR, BP1, BP2, NIBP, SpO2, TEMP/ RR, CO2 OFF Short Trend OFF ○ Comment CONFIG. 5 ○ Displayed Numeric Data Monitoring Mode Selection Mode 3 Default ○ ○ The CO2 monitoring function is not supported for the DS-7101L and DS-7101LT. If Mode 5 is selected, CO2 parameter box will be displayed but parameter setup cannot be performed. 5−11 ●Alarm Modes Item Alarm Mode HR ASYSTOLE VF VT SLOW_VT RUN COUPLET PAUSE BIGEMINY TRIGEMINY FREQUENT TACHY BRADY ST BP1 Alarm Mode 1∼5 BP2 RR APNEA SpO2 NIBP TEMP Default Setting ON, 40−120 ON, 5 sec. ON ON ON ON, 3 beats OFF OFF, 2 sec. OFF OFF OFF, 10 beats ON ON OFF ON SYS 80−180 DIA OFF−OFF MEAN OFF−OFF OFF SYS OFF−OFF DIA OFF−OFF MEAN OFF−OFF ON 5−30 ON, 15 sec. ON, 90−OFF SEC Alarm OFF ON SYS 80−180 DIA OFF−OFF MEAN OFF−OFF OFF OFF−OFF ON 30−45ｍｍHg 4.0−6.0kPa 4.0−6.0% 3mmHg 0.4kPa 0.4% EtCO2 ON InspCO2 NOTE 5−12 The CO2 monitoring function is not supported for the DS-7101L and DS-7101LT. Note that the EtCO2, InspCO2 alarm will not be generated. − Suspend Monitoring − Suspend and Resume Monitoring This menu allows to suspend and resume monitoring when a patient temporarily leaves the bed. Turning the power OFF will erase the recall and ST measurement data, but with this suspend monitoring function, data measurement, alarm generation, automatic measurement, and automatic recording can be suspended without erasing any data and setup condition. To Suspend Monitoring Cease key is pressed by mistake, press the 2. Confirm the monitoring suspension. Pressing the OK key will return to the home display with the Resume key displayed. The numeric data display and waveform display on the home display will be suspended and only the Resume key will be effective. NOTE The telemetry transmission will cease when monitoring is suspended. Note that the square wave will be displayed on the central monitor indicating the too far condition of the telemetry. 5−13 Suspend Monitoring 1. Press the Cease key. The confirmation menu will be displayed. If the Cancel key to return to the previous display. To Resume Monitoring 1. Press the Resume key. The monitor suspend display will be cleared and monitoring will resume. C A U T I O N Resuming monitoring will also resume the alarm in suspension. 5−14 − Room / Bed ID Setup − for LAN Communication This section describes the procedure to set the Room / Bed ID. The DS-7100 system incorporates Ethernet LAN unit. The set Room / Bed ID will be remain stored even when the power is turned off. Room / Bed ID Setup To connect to a wired network, it is necessary to set the Room / Bed ID. 1. Press the Menu → Admit / Discharge → Bed ID keys. Use the numeric keypad to enter the password The entered number will be displayed as “＊＊＊＊”. 3. Set the Room ID. Enter the Room ID using the alphanumeric keypad. The keypad can be selected from ABC or QWERTY arrangement. The entered ID will be displayed on the upper left of the screen. Next, press the Bed ID key to display the Bed ID menu. 4. Set the Bed ID. Enter the Bed ID using the numeric keypad. The entered ID will be displayed on the upper left of the screen. To connect to the wired network, set the ID in the range from 001 to 048. 5−15 Suspend Monitoring 2. Enter the password. ? The bed ID is factory set to “000”. If connected to the wired network with the bed ID unchanged, monitoring on the central monitor will not be possible. ? When connecting to a wired network, make sure that there are no other bedside monitors with the same ID. If there are more than one bedside monitor with the same bed ID, the duplicated bedside monitors can not be monitored on the central monitor. ? When connecting to a wired network, set the bed ID in the range from “001” to “048”. ? There are following restrictions when connecting the DS-7100 system to the DS-LANⅡnetwork. CAUTION ? The DS-7100 system is not corresponded to the AU-5500N 8-channel recorder. The data for the DS-7100 system can not be recorded on the AU-5500N. ? When the measurement unit of BP is kPa, BP waveform, BP numeric data, NIBP numeric data, NIBP list will not be transmitted. These will be treated as not measured data, and will not be displayed on the central monitor. Also, alarm limit setup on the central monitor can not be performed. ? When the temperature unit is ?F, the temperature data will not be transmitted. It will be treated as not measured data, and will not be displayed on the central monitor. Also, alarm limit setup on the central monitor can not be performed. ? Arrhythmia alarm of TACHY, BRADY, SLOW_VT, COUPLET, PAUSE will not be transmitted. ? For numeric data displayed as “×××”, maximum or minimum value of measurable range will be transmitted. ? The numeric data displayed as “−−−” will be treated as not measured data. ? For QRS classification, the “S” printed on the built-in recorder will be printed as “N” on the HR-500 Recorder. ? When DS-5800N/NX/NXMB is used as a central monitor, the following function will not be displayed. ? Recall ? Graphic Trend, Tabular Trend ? ST Display 5−16
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