Nihon Kohden ZM-530PA WMTS TRANSMITTER User Manual

Nihon Kohden Corporation WMTS TRANSMITTER

User Manual

If you have any comments or suggestions on this manual, please contact us at:www.nihonkohden.comTransmitterZM-520PA/ZM-521PAZM-530PA/ZM-531PA0614-904743૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Copyright NoticeThe entire contents of this manual are copyrighted by Nihon Kohden. All rights are reserved. No part of this document may be reproduced, stored, or transmitted in any form or by any means (electronic, mechanical, photocopied, recorded, or otherwise) without the prior written permission of Nihon Kohden.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA C.1ContentsGENERAL HANDLING PRECAUTIONS ...................................................................... iWARRANTY POLICY ..................................................................................................iiiEquipment Authorization Requirement ........................................................................ivEMC RELATED CAUTION ........................................................................................... vConventions Used in this Manual and Instrument ......................................................viiWarnings, Cautions and Notes..............................................................................viiExplanations of the Symbols in this Manual and Instrument ................................viiiIntended Use ..................................................................................................................... 1General ........................................................................................................................1Receiving Monitor ........................................................................................................ 3Panel Description ..............................................................................................................4Top Panel ..................................................................................................................... 4Front Panel ................................................................................................................... 5Rear Panel ................................................................................................................... 7Important Safety Information ............................................................................................. 8General ........................................................................................................................8Output Signal ............................................................................................................. 12Battery ....................................................................................................................... 12Transmitter Channel Management ............................................................................. 13For Patients Using Implantable Pacemaker ............................................................... 13ECG Monitoring ......................................................................................................... 14SpO2 Monitoring ......................................................................................................... 15Maintenance .............................................................................................................. 17Preparation on Transmitter .............................................................................................. 19Batteries ..................................................................................................................... 19Handling Batteries ................................................................................................ 19Battery Lifetime .................................................................................................... 19Installing (Replacing) Batteries ............................................................................ 20Situations Requiring Battery Replacement .......................................................... 21Battery Level Indication ........................................................................................ 21Attaching a Strap to the Transmitter ........................................................................... 22Turning On the Transmitter ......................................................................................... 23Check Items Before Use ...................................................................................... 23Check Items After Power On ................................................................................ 24Check Items After Use ......................................................................................... 24Turning Off the Transmitter ......................................................................................... 25Changing the Transmitter Channel ............................................................................. 25Changing Parameter and System Setup Settings ........................................................... 26Changing PARAMETER SETUP Settings.................................................................. 26૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
C.2 Operator’s Manual ZM-520PA/521PA/530PA/531PAParameter Setup Setting List ............................................................................... 26Displaying the PARAMETER SETUP Screen ...................................................... 27Changing Parameter Setup Settings .................................................................... 28Changing SYSTEM SETUP Settings ......................................................................... 31System Setup Setting List .................................................................................... 31Displaying the SYSTEM SETUP Screen .............................................................. 32Changing System Setup Settings ........................................................................ 33Initializing Settings ..................................................................................................... 36Attaching Electrodes and SpO2 Probe to the Patient....................................................... 37Attaching Electrodes .................................................................................................. 37Selecting Electrode Lead ..................................................................................... 37Connecting the Electrode Lead to the Transmitter ............................................... 38Electrode Position ................................................................................................ 39Attaching Electrodes to the Patient and Connecting the Electrode Leads to Disposable Electrodes ......................................................................................... 43Checking ECG on the Transmitter Screen ............................................................ 44Attaching the SpO2 Probe .......................................................................................... 44Selecting the SpO2 Probe .................................................................................... 44Connecting the SpO2 Probe to the Transmitter .................................................... 47Attaching the Probe to the Patient ........................................................................ 48Locking the Keys on the Transmitter ................................................................................ 50Monitoring ........................................................................................................................ 51Screen Descriptions ................................................................................................... 51Check Electrodes Screen ..................................................................................... 53Numeric and Waveform Screen ........................................................................... 54Waveform Review Screen .................................................................................... 55Numeric Review Screen ....................................................................................... 56Display Off ............................................................................................................ 56Basic Monitoring Operation ....................................................................................... 57Using the Function Key ........................................................................................ 57Suspending Alarms on the Receiving Monitor ..................................................... 58Pause Monitoring ................................................................................................. 59Resume Monitoring after Pause ........................................................................... 61Confirming Patient ................................................................................................ 61Turning the Display Off ......................................................................................... 62Turning the Display On after It was Turned Off ..................................................... 62ECG and Respiration Monitoring ............................................................................... 63Turning ECG Measurement On/Off ...................................................................... 66Turning Respiration Measurement On/Off ............................................................ 66Electrode Detachment .......................................................................................... 66SpO2 Monitoring ......................................................................................................... 67Indications and Messages ............................................................................................... 71૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA C.3Indication ................................................................................................................... 71Messages .................................................................................................................. 71Message Display Priority ...................................................................................... 74Troubleshooting ............................................................................................................... 75Transmitter ................................................................................................................. 75ECG/Respiration ........................................................................................................ 76SpO2 ......................................................................................................................... 77Maintenance ....................................................................................................................781. External Check ................................................................................................. 782. Transmitter Channel ......................................................................................... 783. Transmitting/Receiving Signal .......................................................................... 794. Display .............................................................................................................. 795. Key Operation ................................................................................................... 816. ECG Check....................................................................................................... 827. Respiration Check ............................................................................................ 838. SpO2 Check ...................................................................................................... 83Maintenance Check Sheet ................................................................................... 85Lifetime and Disposal ...................................................................................................... 86Disposing of Used Batteries ...................................................................................... 86Battery Lifetime .................................................................................................... 86Disposal ............................................................................................................... 86Disposing of Electrodes and SpO2 Probes ................................................................ 86Disposing of Transmitter ............................................................................................. 86Cleaning, Disinfection and Sterilization ........................................................................... 87Transmitter and Electrode Leads ............................................................................... 87Cleaning ............................................................................................................... 87Disinfection ........................................................................................................... 87SpO2 Probe ................................................................................................................ 88Periodic Replacement Schedule ..................................................................................... 88Repair Parts Availability Policy ........................................................................................ 88Specifications ..................................................................................................................89ZM-520PA/530PA ....................................................................................................... 89Measuring Parameters ......................................................................................... 89Transmitting Data ................................................................................................. 89Display.................................................................................................................. 89Displayed Data ..................................................................................................... 89ECG ..................................................................................................................... 89Respiration Measurement .................................................................................... 91SpO2 Measurement (ISO 9919: 2005 compliance) .............................................. 91Transmitter ........................................................................................................... 93Power Requirements ............................................................................................ 93Dimension and Weight ......................................................................................... 94૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
C.4 Operator’s Manual ZM-520PA/521PA/530PA/531PAEnvironment ......................................................................................................... 94Safety Standards .................................................................................................. 94Electromagnetic Compatibility .............................................................................. 95Electromagnetic Emissions .................................................................................. 95Electromagnetic Immunity .................................................................................... 96Recommended Separation Distances between Portable and Mobile RF Communications Equipment ................................................................................ 98Recovery Time after Defibrillation ........................................................................ 98System Composition for EMC Test ....................................................................... 98ZM-521PA/531PA ....................................................................................................... 99Measuring Parameters ......................................................................................... 99Transmitting Data ................................................................................................. 99Display.................................................................................................................. 99Displayed Data ..................................................................................................... 99ECG ..................................................................................................................... 99Respiration Measurement .................................................................................. 101SpO2 Measurement (ISO 9919: 2005 compliance) ............................................ 101Transmitter ......................................................................................................... 103Power Requirements .......................................................................................... 103Dimension and Weight ....................................................................................... 104Environment ....................................................................................................... 104Safety Standards ................................................................................................ 104Electromagnetic Compatibility ............................................................................ 105Electromagnetic Emissions ................................................................................ 105Electromagnetic Immunity .................................................................................. 106Recommended Separation Distances between Portable and Mobile RF Communications Equipment .............................................................................. 108Recovery Time after Defibrillation ...................................................................... 108System Composition for EMC Test ..................................................................... 108Standard Accessories.................................................................................................... 109Options .......................................................................................................................... 110Transmitter ......................................................................................................... 110ECG/RESP ......................................................................................................... 110SpO2 .................................................................................................................. 111Transmission Frequencies ............................................................................................. 112૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA iGENERAL HANDLING PRECAUTIONSThis device is intended for use only by qualified medical personnel.Use only Nihon Kohden approved products with this device. Use of non-approved products or in a non-approved manner may affect the performance specifications of the device. This includes, but is not limited to, batteries, recording paper, pens, extension cables, electrode leads, input boxes and AC power.Please read these precautions thoroughly before attempting to operate the instrument.1. To safely and effectively use the instrument, its operation must be fully understood.2. When installing or storing the instrument, take the following precautions:(1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly ventilated areas, and dust, saline or sulphuric air.(2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport.(3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage.(4) The power line source to be applied to the instrument must correspond in frequency and voltage to product specifications, and have sufficient current capacity.(5) Choose a room where a proper grounding facility is available.3. Before Operation(1) Check that the instrument is in perfect operating order.(2) Check that the instrument is grounded properly.(3) Check that all cords are connected properly.(4) Pay extra attention when the instrument is in combination with other instruments to avoid misdiagnosis or other problems.(5) All circuitry used for direct patient connection must be doubly checked.(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.4. During Operation(1) Both the instrument and the patient must receive continual, careful attention.(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.(3) Avoid direct contact between the instrument housing and the patient.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
ii Operator’s Manual ZM-520PA/521PA/530PA/531PA5. To Shutdown After Use(1) Turn power off with all controls returned to their original positions.(2) Remove the cords gently; do not use force to remove them.(3) Clean the instrument together with all accessories for their next use.6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is not functioning properly, it should be clearly marked to avoid operation while it is out of order.7. The instrument must not be altered or modified in any way.8. Maintenance and Inspection:(1) The instrument and parts must undergo regular maintenance inspection at least every 6 months.(2) If stored for extended periods without being used, make sure prior to operation that the instrument is in perfect operating condition.(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for qualified user technical personnel upon request from your Nihon Kohden representative.9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or location of electrodes and/or transducers to avoid possible burn to the patient.10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA iiiWARRANTY POLICYNihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from the warranty.NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period, provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals.No other party is authorized to make any warranty or assume liability for NKC’s products.NKC will not recognize any other warranty, either implied or in writing. In addition, service, technical modification or any other product change performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding this warranty.Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure. Shipping costs must be pre-paid.This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism, water or other casualty, improper installation or application, or on which the original identification marks have been removed.In the USA and Canada other warranty policies may apply.CAUTIONUnited States law restricts this product to sale by or on the order of a physician.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
iv Operator’s Manual ZM-520PA/521PA/530PA/531PAEquipment Authorization RequirementThis device complies with Part 15 of the FCC (Federal Communications Commission) 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 interference that may cause undesired operation.This device complies with Part 95 Subpart H of the FCC Rules to be used in wireless medical telemetry service.Operation of this equipment requires the prior coordination with a frequency coordinator designated by FCC for the Wireless Medical Telemetry Service.CAUTIONTo comply with the FCC radio frequency (RF) exposure compliance requirements, no change to the antenna or the device is permitted. Any change to the antenna or the device could result in the device, exceeding the RF exposure requirements and void user’s authority to operate this device.NOTE• Use this device only indoors.• This device has been tested and complies with FCC radiation exposure limits set forth for an uncontrolled environment. The RF transmission power from the antenna conforms to the general public FCC RF Exposure Guidelines in Supplement C to OET65 limit of Specific Absorption Rate (SAR) 1.6 W/kg. The maximum SAR value measured from this device was extremely smaller than 1.6 W/kg. This device must not be located together with or operated in conjunction with any other unspecified antenna or transmitter.• The devices require registration and deployment by an authorized frequency coordinator. The ASHE (American Society for Healthcare Engineering) has been designated by the FCC to manage the WMTS frequencies. This device has frequency bands which may not be used in some areas. For details, contact your Nihon Kohden representative. For details on the guidelines, refer to the ASHE home page.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA vEMC RELATED CAUTIONThis equipment and/or system complies with the International Standard IEC 60601-1-2 for electromagnetic compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that exceeds the limits or levels stipulated in the IEC 60601-1-2, can cause harmful interference to the equipment and/or system or cause the equipment and/or system to fail to perform its intended function or degrade its intended performance. Therefore, during the operation of the equipment and/or system, if there is any undesired deviation from its intended operational performance, you must avoid, identify and resolve the adverse electromagnetic effect before continuing to use the equipment and/or system.The following describes some common interference sources and remedial actions:1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station or cellular phone: Install the equipment and/or system at another location if it is interfered with by an emitter source such as an authorized radio station. Keep the emitter source such as cellular phone away from the equipment and/or system.2. Effect of direct or indirect electrostatic discharge: Make sure all users and patients in contact with the equipment and/or system are free from direct or indirect electrostatic energy before using it.3. Electromagnetic interference with any radio wave receiver such as radio or television: If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or system as far as possible from the radio wave receiver.4. Electromagnetic interference with any radio wave receiver such as radio or television: If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or system as far as possible from the radio wave receiver.5. Interference of lightning: When lightning occurs near the location where the equipment and/or system is installed, it may induce an excessive voltage in the equipment and/or system. In such a case, disconnect the AC power cord from the equipment and/or system and operate the equipment and/or system by battery power, or use an uninterruptible power supply.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
vi Operator’s Manual ZM-520PA/521PA/530PA/531PA6. Use with other equipment: When the equipment and/or system is adjacent to or stacked with other equipment, the equipment and/or system may affect the other equipment. Before use, check that the equipment and/or system operates normally with the other equipment. 7. Use of unspecified accessory, transducer and/or cable: When an unspecified accessory, transducer and/or cable is connected to this equipment and/or system, it may cause increased electromagnetic emission or decreased electromagnetic immunity. The specified configuration of this equipment and/or system complies with the electromagnetic requirements with the specified configuration. Only use this equipment and/or system with the specified configuration.8. Use of unspecified configuration: When the equipment and/or system is used with the unspecified system configuration different than the configuration of EMC testing, it may cause increased electromagnetic emission or decreased electromagnetic immunity. Only use this equipment and/or system with the specified configuration.9. Measurement with excessive sensitivity: The equipment and/or system is designed to measure bioelectrical signals with a specified sensitivity. If the equipment and/or system is used with excessive sensitivity, artifact may appear by electromagnetic interference and this may cause mis-diagnosis. When unexpected artifact appears, inspect the surrounding electromagnetic conditions and remove this artifact source.If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden representative for additional suggestions.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA viiConventions Used in this Manual and InstrumentWarnings, Cautions and NotesWarnings, cautions and notes are used in this manual to alert or signal the reader to specific information.WARNINGA warning alerts the user to the possible injury or death associated with the use or misuse of the instrument.CAUTIONA caution alerts the user to possible injury or problems with the instrument associated with its use or misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other property.NOTEA note provides specific information, in the form of recommendations, prerequirements, alternative methods or supplemental information.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
viii Operator’s Manual ZM-520PA/521PA/530PA/531PAExplanations of the Symbols in this Manual and InstrumentThe following symbols found in this manual/instrument bear the respective descriptions as given.On PanelSymbol Description Symbol DescriptionChange screen Defibrillation proof type BF applied partAttention, consult operator’s manualDefibrillation proof type CF applied partMoves cursor, scrolls data Serial numberDirection for attaching battery cover Date of manufactureDirection for inserting battery RF transmitterNon-ionizing radiationDirect current cCSAus markCall keyOn LCDSymbol Description Symbol DescriptionBatteries are fully charged Batteries are almost emptyReplace batteryBatteries are getting low Alarm suspendedBatteries are low QRS/pulse sync mark૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 1Intended UseGeneralThe ZM-520PA and ZM-521PA transmitter transmits ECG and respiration from a patient to a Nihon Kohden monitor for continuous monitoring. The front LCD displays ECG, numeric values of monitoring parameters, messages and battery condition.* It also displays the compressed waveform and numeric data of the latest 10 minutes.The ZM-530PA and ZM-531PA transmitter transmits ECG, respiration and pulse waveforms and SpO2 from a patient to a Nihon Kohden monitor for continuous monitoring. The front LCD displays ECG (or pulse wave), numeric values of monitoring parameters, messages and battery condition.* It also displays the compressed waveform and numeric data of the latest 10 minutes.* Essential performance of this transmitter.The difference between the ZM-520PA/530PA and ZM-521PA/531PA is the transmission frequency range.ZM-520PA/530PA: 608.0250 MHz (channel number 9002) to 613.9750 MHz (channel number 9478)ZM-521PA/531PA: 1395.0250 MHz (channel number E002) to 1399.9750 MHz (channel number E398) 1427.0250 MHz (channel number E502) to 1431.9750 MHz (channel number E898)The transmitter channel can be changed with a QI-901PK channel writer.Read the operator’s manual for the receiving monitor together with this manual before use.WARNINGDo not diagnose a patient based only on data acquired by the transmitter. Overall judgement must be performed by a physician who understands the features, limitations and characteristics of the transmitter and by reading the biomedical signals acquired by other instruments.WARNINGDo not use the same transmitter for more than one patient at the same time. Do not connect different sensors from different patients to the same transmitter.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
2 Operator’s Manual ZM-520PA/521PA/530PA/531PACAUTION• Do not use the same channel for different patients. If the same channel is used for two patients, the two patients’ data will be lost due to mutual modulation interference, or another patient’s data may appear on the receiving monitor screen.• Do not use two transmitters with adjacent channels in the same hospital. If transmitters with adjacent channels are used, their radio waves interfere with each other.CAUTIONSignal loss and artifact may occur because of the multipath cancellation* when using a transmitter.* Multipath Cancellation (Standing Wave Interference): When a radio wave reflects off a surface, there may be some points in the room where the reflected and direct waves are exactly out of phase. At these points in the room, the reflected and direct waves cancel each other out so that the signal strength is decreased. Locations where signal loss occurs are called “null spots”. If the transmitter is moving or nearby people or objects are moving, null spots can occur anytime and anywhere.NOTE• To prevent interference between channels, assign a channel administrator in the hospital and only he or she should manage channel assignment.• Use Nihon Kohden parts and accessories to assure maximum performance from your instrument.• For stable signal reception, it is recommended to use a diversity antenna system on the receiving monitor. Otherwise, spike noise from transient fading of electric field strength (for example, people moving) may interfere with the transmitter signal and may be mistaken as an arrhythmia on the receiving monitor.• For details on antennas and antenna construction, contact your Nihon Kohden representative. You can also refer to the Telemetry System Installation Guide.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 3Receiving MonitorAny Nihon Kohden receiving monitor (central monitor with multiple patient receiver) can receive signals from this transmitter as long as the protocol version and channel setting are the same on the receiving monitor and transmitter.NOTE• For details on the receiving monitor and upgrade information, contact your Nihon Kohden representative.• The transmitter does not give any alarm other than a “no battery” alarm. Alarms must be managed on the receiving monitor.• To use protocol 51, the ORG-9100A/ORG-9110A multiple patient receiver software version 03-03 or later is required. For the protocol setting, refer to the “Changing SYSTEM SETUP Settings” section.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
4 Operator’s Manual ZM-520PA/521PA/530PA/531PAPanel DescriptionTop PanelFor attaching a strap.ECG/RESP socketConnects the electrode lead for measuring ECG and/or respiration by the impedance method.ZM-530PA/531PA onlySpO2 socketConnects the SpO2 probe.WARNINGBefore defibrillation, all persons must keep clear of the bed and must not touch the patient or any equipment or cord connected to the patient. Failure to follow this warning may cause electrical shock or injury.WARNINGWhen performing defibrillation, discharge as far as possible from electrodes, patches and any gel, cream or medicine on the chest of the patient. If there is a possibility that the defibrillator paddle could touch these materials, remove them from the patient. If the defibrillator paddle directly contacts these materials, the discharged energy may cause skin burn to the patient.WARNINGWhen the transmitter is used with an electrosurgical unit (ESU), firmly attach the entire area of the ESU return plate. Otherwise, the current from the ESU flows into the electrodes of the transmitter, causing electrical burn where the electrodes are attached. For details, refer to the ESU manual.CAUTIONDo not shake or swing the transmitter while holding the leads or cables connected to the transmitter. The transmitter may come off and injure someone or damage surrounding instruments.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 5Front Panel1346752No. Name Description 1 CALL key When this key is pressed, a “peep” sounds at the transmitter, and “CALL” message appears at the monitor. Depending on the settings on the monitor, an ECG waveform is recorded when this key is pressed. 2 LCD Displays numeric values, ECG or pulse wave, messages and battery status. For details, refer to the “Screen Descriptions” section. 3 Screen key Toggles the screen in the following order. After power on: Start up → Check electrodes → Numeric and waveform → Waveform review → Numeric review → Display off → Check electrodes … After auto display off: Numeric and waveform → Waveform review → Numeric review → Display off → Check electrodes → Numeric and waveform … On a SETUP or CHECK screen, this key cancels changing setting or exits the screen. ૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
6 Operator’s Manual ZM-520PA/521PA/530PA/531PA1346752No. Name Description 4 Infrared receiver Used for upgrading the transmitter software. 5 Channel number label Indicates the channel number of the transmitter. 6 Lead/Scroll keys On the numeric and waveform screen, these keys change the ECG lead. On the waveform review screen, these keys scroll data. On a SETUP screen, these keys move the cursor. 7 Function key Depending on the setting on the transmitter, this key suspends alarms, pauses monitoring on the receiving monitor or transmits “Patient confirmed” message. On a SETUP screen, this key registers the selected setting and moves the cursor to the next setting item. On a CHECK screen, this key starts or stops the maintenance test.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 7Rear PanelRefer to the “Explanations of the Symbols in this Manual and Instrument” section.Refer to the WARNING below.Refer to the WARNING below.Refer to the “Explanations of the Symbols in this Manual and Instrument” section.ZM-530PA/531PA onlyBattery case:Contains two alkaline dry cell batteries (AA TYPE).WARNINGClose the battery case cover during operation. If the transmitter is used with the battery case cover open, anyone who touches the opened battery case may receive an electrical shock when defibrillation is performed. Touching the opened battery case may cause electrostatic discharge and intermittently interfere with the waveform or data.WARNINGThis transmitter is not waterproof. If detergent or liquid spills into the transmitter, stop using it and contact your Nihon Kohden representative. If a wet transmitter is used, the patient or operator may receive an electrical shock or injury.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
8 Operator’s Manual ZM-520PA/521PA/530PA/531PAImportant Safety InformationGeneralWARNINGNever use the transmitter in the presence of any flammable anesthetic gas or high concentration oxygen atmosphere. Failure to follow this warning may cause explosion or fire.WARNINGNever use the transmitter in a hyperbaric oxygen chamber. Failure to follow this warning may cause explosion or fire.WARNINGDo not take this transmitter into the MRI test room. This transmitter is not designed to be used during MRI tests.WARNINGWhen performing MRI test, remove all electrodes and probe from the patient which are connected to this transmitter. Failure to follow this warning may cause skin burn on the patient. For details, refer to the MRI manual.WARNINGBefore defibrillation, all persons must keep clear of the bed and must not touch the patient or any equipment or cord connected to the patient. Failure to follow this warning may cause electrical shock or injury.WARNINGWhen performing defibrillation, discharge as far as possible from electrodes, patches and any gel, cream or medicine on the chest of the patient. If there is a possibility that the defibrillator paddle could touch these materials, remove them from the patient. If the defibrillator paddle directly contacts these materials, the discharged energy may cause skin burn to the patient.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 9WARNINGWhen the transmitter is used with an electrosurgical unit (ESU), firmly attach the entire area of the ESU return plate. Otherwise, the current from the ESU flows into the electrodes of the transmitter, causing electrical burn where the electrodes are attached. For details, refer to the ESU manual.WARNINGThis transmitter is not waterproof. If detergent or liquid spills into the transmitter, stop using it and contact your Nihon Kohden representative. If a wet transmitter is used, the patient or operator may receive an electrical shock or injury.WARNINGClose the battery case cover during operation. If the transmitter is used with the battery case cover open, anyone who touches the opened battery case may receive an electrical shock when defibrillation is performed. Touching the opened battery case may cause electrostatic discharge and intermittently interfere with the waveform or data.WARNINGDo not use the same transmitter for more than one patient at the same time. Do not connect different sensors from different patients to the same transmitter.WARNINGWhen the signal is unstable, keep the patient under close observation. When the signal is unstable, the monitoring and alarm are not reliable and the receiving monitor cannot detect a sudden change of the patient’s condition. This may cause critical changes in the patient condition to be overlooked. Install an appropriate antenna system to ensure stable signal condition.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
10 Operator’s Manual ZM-520PA/521PA/530PA/531PAWARNINGDo not diagnose a patient based only on data acquired by the transmitter. Overall judgement must be performed by a physician who understands the features, limitations and characteristics of the transmitter and by reading the biomedical signals acquired by other instruments.CAUTIONOnly use Nihon Kohden specified electrodes, electrode leads and SpO2 probes. Otherwise, the maximum performance from the transmitter cannot be guaranteed.CAUTIONDo not reuse disposable parts and accessories.CAUTIONThe measurement values and displayed waveforms on the transmitter and receiving monitor may be different due to timing delay of the display or difference in detection settings.CAUTIONDo not shake or swing the transmitter while holding the leads or cables connected to the transmitter. The transmitter may come off and injure someone or damage surrounding instruments.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 11CAUTIONSignal loss and artifact may occur because of the multipath cancellation* when using a transmitter.* Multipath Cancellation (Standing Wave Interference): When a radio wave reflects off a surface, there may be some points in the room where the reflected and direct waves are exactly out of phase. At these points in the room, the reflected and direct waves cancel each other out so that the signal strength is decreased. Locations where signal loss occurs are called “null spots”. If the transmitter is moving or nearby people or objects are moving, null spots can occur anytime and anywhere.CAUTIONTurn off the power of mobile phones, small wireless devices and other devices which produce strong electromagnetic interference around a patient (except for devices allowed by the hospital administrator). Radio waves from devices such as mobile phones or small wireless devices may be mistaken as pulse waves or respiration waves and the displayed data may be incorrect.CAUTION• Do not use the same channel for different patients. If the same channel is used for two patients, the two patients’ data will be lost due to mutual modulation interference, or another patient’s data may appear on the receiving monitor screen.• Do not use two transmitters with adjacent channels in the same hospital. If transmitters with adjacent channels are used, their radio waves interfere with each other.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
12 Operator’s Manual ZM-520PA/521PA/530PA/531PAOutput SignalWARNINGDo not use the output signal from the receiving monitor as the synchronization signal for other equipment such as IABP, MRI, echocardiography or defibrillator. There may be time delay between the monitor and the other equipment caused by waveform transmission delay and spike noise may interfere on the output signal and be mistaken as a trigger.BatteryWARNINGDo not use NiMH batteries for this transmitter. Some operating environments may cause NiMH batteries to produce gas and explode.CAUTIONBattery replacement must be performed by the operator. When replacing the batteries of a transmitter that is currently used for a patient, disconnect the electrode leads from the transmitter before replacing batteries or do not touch the patient during replacement.CAUTIONWhen the transmitter is not in use, remove the batteries. When the batteries are installed, battery power is consumed even when measurement is not performed.CAUTIONDo not handle the batteries with wet hands.CAUTIONRefer to the battery manual for details on handling the batteries.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 13Transmitter Channel ManagementWARNINGThe following actions must be taken to properly receive the transmitter signal of the correct patient on the receiving instrument. Otherwise, there may be signal loss or signals may mix causing a serious accident, such as monitoring a different patient.• Assign a channel administrator in the hospital and only he or she should manage channel assignment.• The channel administrator must manage the channels in the facility so that there is no signal interference.• When the transmitter channel is changed, the channel administrator must check that the channel on the receiving monitor is also changed and the signal is properly received.• The channel administrator must replace the channel number label on the transmitter with the new one after changing the channel.For Patients Using Implantable PacemakerWARNINGInteraction Between Minute Ventilation Rate-Adaptive Pacemakers and Cardiac Monitoring and Diagnostic Equipment*The bioelectric impedance measurement sensor of a minute ventilation rate-adaptive implantable pacemaker may be affected by transmitter which is connected to the same patient. If this occurs, the pacemaker may pace at its maximum rate and the transmitter may give incorrect data to the monitor. If this occurs, disconnect the electrode leads from the patient or change the setting on the pacemaker by referring to the pacemaker’s manual. For more details, contact your pacemaker representative or Nihon Kohden representative.* Minute ventilation is sensed in rate-adaptive pacemakers by a technology known as bioelectric impedance measurement (BIM). Many medical devices in addition to pacemakers use this technology. When one of these devices is used on a patient with an active, minute ventilation rate-adaptive pacemaker, the pacemaker may erroneously interpret the mixture of BIM signals created in the patient, resulting in an elevated pacing rate. For more information, see the FDA web site. http://www.fda.gov/cdrh/safety.html૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
14 Operator’s Manual ZM-520PA/521PA/530PA/531PAECG MonitoringWARNINGAfter attaching the electrode to the patient and connecting the electrode lead to the transmitter, check that electrodes are attached to the patient and check that the electrode lead is connected to the transmitter properly. When the electrodes are removed from the patient, do not touch the metal part of the electrode with bare hands or let the metal part of the electrode contact the metal part of the bed or any other conductive parts. Failure to follow this warning may cause electrical shock or injury to the patient by discharged energy.WARNINGThe transmitter detects the pacemaker pulse and rejects the pacemaker pulse from the heart rate count. However, all of the pacemaker pulse might not be rejected. If the pacemaker pulse is not rejected, the pacemaker pulse is detected as QRS and false heart rate may be indicated. Keep pacemaker patients under close observation.* For the pacemaker pulse rejection capability of ZM-520PA/521PA/530PA/531PA transmitter refer to the “Specifications - ECG” section.WARNINGThe pacemaker pulse can be overlooked or detected as QRS. You cannot confirm the pacemaker operation only from the detected pacemaker pulse.CAUTIONOnly use Nihon Kohden specified electrodes and electrode leads. When other type of electrodes or electrode leads are used, the “CHECK ELECTRODES” message may be displayed and ECG monitoring may stop.CAUTIONWhen the “ELECTRODE OFF” or “CHECK ELECTRODES” message is displayed on the receiving monitor, ECG is not monitored properly and the ECG alarm does not function. Check the electrode, electrode leads, and if necessary, replace with new ones.CAUTIONHold the connector of the electrode lead when connecting/disconnecting the electrode lead. If you disconnect the electrode lead by pulling the lead, it damages the electrode lead.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 15SpO2 MonitoringWARNINGSpO2 measurement may be incorrect in the following cases.• When the patient’s carboxyhemoglobin or methemoglobin increases abnormally.• When dye is injected in the blood.• When using an electrosurgical unit.• During CPR.• When measuring at a site with venous pulse.• When there is body movement.• When the pulse wave is small (insufficient peripheral circulation).WARNINGWhen monitoring SpO2 of a patient who is receiving photodynamic therapy, the light from the finger probe sensor may cause a burn. Photodynamic therapy uses a photosensitizing agent that has a side effect of photosensitivity.The SpO2 probe manufactured by Nihon Kohden have two wavelengths with peaks in the range of 650 and 950 nm. The maximum light intensity is less than 5.5 mW.WARNING• When using the TL-201T finger probe, do not fasten the probe and cable to the finger by wrapping with tape. This may cause burn, congestion or pressure necrosis from poor blood circulation.• When using probes other than the TL-201T finger probe, to avoid poor circulation, do not wrap the tape too tight. Check the blood circulation condition by observing the skin color and congestion at the skin peripheral to the probe attachment site. Even for short-term monitoring, there may be burn or pressure necrosis from poor blood circulation, especially on neonates or low birth weight infants whose skin is delicate. Accurate measurement cannot be performed on a site with poor peripheral circulation.WARNINGCheck the circulation condition by observing the skin color at the measurement site and pulse waveform. Change the measurement site every 8 hours for disposable probes and every 4 hours for reusable probes (every 8 hours for TL-631T series probe). The skin temperature may increase at the attached site by 2 or 3°C (4 or 5°F) and cause a burn or pressure necrosis. When using the probe on the following patients, take extreme care and change the measurement site more frequently according to symptoms and degree.• Patient with a fever• Patient with insufficient peripheral circulation• Neonate or low birth weight infant with delicate skin૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
16 Operator’s Manual ZM-520PA/521PA/530PA/531PAWARNINGWhen not monitoring SpO2, disconnect the SpO2 cable from the transmitter. Otherwise, noise from the probe sensor may interfere and incorrect data is displayed on the screen.CAUTIONRefer to the probe instruction manual for details.CAUTIONThe disposable probe is not sterilized. Use the disposable probe only for a single patient. Never reuse the disposable probe for another patient because it causes cross infection.CAUTIONDo not attach the probe to the same limb that is used for NIBP measurement or an IBP catheter. The SpO2 measurement may be incorrect.CAUTIONWhile a patient is on medication which causes vasodilation, the pulse waveform may change and in rare cases the SpO2 value might not be displayed.CAUTIONNormal external light does not affect monitoring but strong light such as a surgical light or sunlight may affect monitoring. If affected, cover the measuring site with a blanket.CAUTIONWhen a message indicates a faulty probe, stop monitoring and replace the probe with a new one.CAUTIONDo not use a damaged or disassembled probe. It causes incorrect measurement and may injure the patient.CAUTIONDo not use a probe which is deteriorated by aging. Accurate measurement cannot be performed.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 17CAUTIONIf the attachment site is dirty with blood or bodily fluids, clean the attachment site before attaching the probe. If there is nail polish on the attachment site, remove the polish. Otherwise, the amount of transmitted light decreases, and measured value may be incorrect or measurement cannot be performed.CAUTIONIf the skin gets irritated or redness appears on the skin from the probe, change the attachment site or stop using the probe. Take extreme care for the patients with delicate skin.CAUTIONFailure to follow these instructions may cause cable discontinuity, short circuit, skin burn on the patient from the probe temperature increase due to the short circuit of the probe cable, and incorrect measurement data. If the probe is broken, replace it with a new one.• Do not immerse any part of the probe cable other than the disposable probe in chemical solutions or water. • Do not pull or bend the probe cable.• Do not let caster feet run over the probe cable.CAUTIONWhen the probe is attached on an appropriate site with sufficient circulation and the error message confirming the probe attachment repeatedly appears, the probe may be deteriorated. Replace it with a new one.MaintenanceCAUTIONThis transmitter is not waterproof. If detergent or liquid spills into the transmitter, stop cleaning or disinfecting it and contact your Nihon Kohden representative. The transmitter needs to be checked for safety and function before use.CAUTIONDo not immerse the electrode lead connector in liquid.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
18 Operator’s Manual ZM-520PA/521PA/530PA/531PACAUTIONNever disassemble or repair the transmitter. If there is any problem with the transmitter, contact your Nihon Kohden representative.CAUTIONDispose of Nihon Kohden products according to your local laws and your facility’s guidelines for waste disposal. Otherwise, it may affect the environment. If there is a possibility that the product may have been contaminated with infection, dispose of it as medical waste according to your local laws and your facility’s guidelines for medical waste. Otherwise, it may cause infection.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 19Preparation on TransmitterBatteriesHandling BatteriesWARNINGDo not use NiMH batteries for this transmitter. Some operating environments may cause NiMH batteries to produce gas and explode.CAUTIONRefer to the battery manual for details on handling the batteries.CAUTIONWhen the transmitter is not in use, remove the batteries. When the batteries are installed, battery power is consumed even when measurement is not performed.CAUTIONDo not handle the batteries with wet hands.NOTERemove the batteries from the transmitter before disposing of it.Battery LifetimeUse two AA(LR6) type alkaline dry cell batteries. With new Nihon Kohden recommended alkaline batteries, the transmitter can continuously measure for the following number of days at room temperature. Operation time depends on the thickness of the SpO2 probe attachment site.Transmitter Operating time (Measuring parameters)ECG, Resp, SpO2ECG, RespZM-520PA/530PA 2.5 days 3.5 daysZM-521PA/531PA 2.0 days 2.5 daysRecommended BatteriesAlkaline primary: Nihon Kohden Medipower (equivalent to Panasonic LR6 (G))૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
20 Operator’s Manual ZM-520PA/521PA/530PA/531PANOTE• Use Nihon Kohden Medipower to ensure specified performance. Outdated, mismatched or poor-quality batteries can give unacceptable performance (e.g., insufficient low battery indication). The use of fresh high-quality alkaline batteries is strongly recommended.• When the display is turned on, it reduces the battery power. Instruct the patient not to turn on the display during monitoring.Installing (Replacing) BatteriesCAUTIONBattery replacement must be performed by the operator. When replacing the batteries of a transmitter that is currently used for a patient, disconnect the electrode leads from the transmitter before replacing batteries or do not touch the patient during replacement.If electrode leads are attached to the patient and the person replacing batteries touches the patient during battery replacement, excess patient leakage current may flow into the patient.NOTE• Replace all batteries at the same time.• Do not use different types of batteries together.• Insert the batteries with the correct polarity (+ and –).1. Open the battery case cover.2. Insert two new batteries into the battery case observing the correct polarity. The transmitter is automatically turned on when the batteries are installed.iiiiii૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 21NOTEInsert the (–) end of the battery first and press it against the spring. If you try to force the (+) end of the battery in first, it will deform the spring and damage the battery and transmitter.3. Close the cover.Situations Requiring Battery ReplacementReplace the batteries when any of the following occurs:• The transmitter displays the “BATTERY WEAK” message or “ ” icon.• The transmitter generates a constant alarm (continuous “peep” sound).• The transmitter LCD does not display anything when the power is turned on.• The receiving monitor displays a battery replacement message.Battery Level IndicationThe following icons on the LCD indicate the battery level. When “PROTOCOL” on the SYSTEM SETUP screen is set to 51, the battery level indication is transmitted to the receiving monitor. To use protocol 51, the ORG-9100A/ORG-9110A multiple patient receiver software version 03-03 or later is required.Indication Battery level Message on the receiving monitorBatteries are fully charged.There is no message on the monitor.Batteries are getting low.Batteries are low.Batteries are almost empty. Replace batteries.Message requiring battery replacement is displayed.No indication Dead batteries No signal can be transmitted to the monitor.There is no indication on the monitor.iiiiii૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
22 Operator’s Manual ZM-520PA/521PA/530PA/531PAAttaching a Strap to the TransmitterNOTEDo not attach the clip to hard objects such as thick cloth or a zipper. It will break the clip.Attach a strap to the transmitter and fasten the clip to the patient’s clothes or bed sheets.If the transmitter falls off, the transmitter may be damaged and the batteries may come out. If the patient touches the battery terminal when putting the batteries back in the transmitter, excess patient leakage current may flow into the patient.If the transmitter falls into water or a toilet, stop using the transmitter and contact your Nihon Kohden representative.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 23Turning On the TransmitterWhen the batteries are installed correctly, the power is turned on. A one second “peep” sounds and the startup screen appears, then the check electrodes screen appears. (There is no “peep” sound when there is no battery power.) After checking that the ECG is stable on the check electrodes screen, press the Screen key to display the numeric and waveform screen.For details on the screen, refer to the “Screen Descriptions” section.Check Items Before UseBefore turning on the transmitter power, check the following to confirm that the transmitter can be used in normal and safe condition.Appearance• There are no damaged or dirty parts on the outside of the transmitter (LCD, keys, sockets, battery case cover, battery case, etc.).• The transmitter is completely dry.• The electrodes, electrode lead and SpO2 probe are not broken.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
24 Operator’s Manual ZM-520PA/521PA/530PA/531PABatteries• The battery polarity is correct.• The battery case spring is firmly attached and the battery is not loose.• The battery case cover is firmly closed.Channel Setting• The transmitter channel matches the receiving monitor channel.• There is no nearby transmitter with the same channel.Other• When performing defibrillation, set the hum filter to ON on the receiving monitor. The waveform recovery may become slow due to electrode polarization when the hum filter is set to OFF.Check Items After Power OnAfter turning on the power, check the following.Power On• The transmitter generates a one second “peep” sound and the startup screen appears.• The transmitter displays the check electrodes screen.• The transmitter is not too hot.• The transmitter does not display the “BATTERY WEAK” message.• The transmitter does not interfere with the operation of other medical instruments.Daily Check• The “signal loss” message is not displayed on the receiving monitor when the transmitter is inside the receiving range of the monitor.• The battery replacement message is not displayed on the monitor.• The keys on the transmitter function properly.• The LCD brightness is appropriate. To adjust brightness, refer to the “Changing SYSTEM SETUP Settings” section.Check Items After UseTo use the transmitter in safe and optimum condition for next time, check the following.Before Turning Power Off• Temporarily changed settings are changed back to the previous settings.• There was no malfunction on the transmitter.Storage• ECG electrode leads and SpO2 probe are cleaned and disinfected.• If the transmitter got wet, liquid is wiped off and the transmitter is thoroughly dried.• There are enough consumables, such as disposable electrodes.• The transmitter power is turned off by removing batteries from the transmitter.• Dead batteries are disposed of properly.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 25Turning Off the TransmitterTo turn off the power, remove batteries. When the power is turned off, the saved waveform and numeric data are deleted.Changing the Transmitter ChannelThe channel of the transmitter can be changed with an optional QI-901PK channel writer.WARNINGThe following actions must be taken to properly receive the transmitter signal of the correct patient on the receiving instrument. Otherwise, there may be signal loss or signals may mix causing a serious accident, such as monitoring a different patient.• Assign a channel administrator in the hospital and only he or she should manage channel assignment.• The channel administrator must manage the channels in the facility so that there is no signal interference.• When the transmitter channel is changed, the channel administrator must check that the channel on the receiving monitor is also changed and the signal is properly received.• The channel administrator must replace the channel number label on the transmitter with the new one after changing the channel.NOTE• The software version of the QI-901PK channel writer must be 02-01 or later to change the channel on the transmitter.• The channel writer must be used outside the patient environment.The channel is displayed in the upper left corner of the screen.Channel૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
26 Operator’s Manual ZM-520PA/521PA/530PA/531PAChanging Parameter and System Setup SettingsThe initial settings on the PARAMETER SETUP and SYSTEM SETUP screens can only be changed before monitoring. Changing these settings during monitoring interrupts monitoring.NOTEChanging Parameter and System Setup settings must be done by qualified personnel.Changing PARAMETER SETUP SettingsParameter Setup Setting ListThe factory default settings are underlined.Setting item Description SettingsECG ELECTRODES Select the electrode lead type. IEC, AHALEAD TYPE Select the type of ECG leads. AUTO, 6 LEADSECG MEASUREMENTTurn ECG monitoring on or off. When electrodes are attached to the patient and ECG leads are connected, ECG monitoring starts even when this setting is set to OFF.If this setting is set to OFF, the same setting on the receiving monitor must also be set to OFF.NOTEWhen “PROTOCOL” on the transmitter is set to 51 and the receiving monitor is able to receive protocol 51, ECG measurement on the receiving monitor is automatically set to OFF when this setting is set to OFF on the transmitter. To use protocol 51, the ORG-9100A/ORG-9110A multiple patient receiver software version 03-03 or later is required.ON, OFFRESP MEASUREMENTTurn respiration monitoring on or off.When this setting is set to OFF, the same setting on the receiving monitor is automatically set to OFF.ON, OFF૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 27Setting item Description SettingsSpO2 RESPONSESelect the SpO2 response mode.FAST: Select this for special applications that require a fast response. FAST is suitable for detecting short apnea.NORMAL: For normal monitoring.SLOW: Select this when you need to suppress a rapid change in SpO2.FAST, NORMAL, SLOWDisplaying the PARAMETER SETUP Screen1. Turn off the transmitter by removing one battery.2. While pressing the Function key, turn on the transmitter (install the battery). The MENU screen appears.3. Press the ▼ key to move the cursor to “PARAMETER SETUP”.4. Press the Function key to enter PARAMETER SETUP. The current settings are highlighted.5. Change settings:• To move the cursor and select the setting item, press the ▼ or ▼ key then press the Function key.• To select and register the setting, press the ▼ or ▼ key then press the Function key.• To cancel changing the setting of the selected item, press the Screen key.6. When changing settings on the PARAMETER SETUP screen is complete, press the Screen key to return to the MENU screen. 7. Press the ▼ or ▼ key to move the cursor to “EXIT”.8. Press the Function key. The numeric and waveform screen appears.CursorMENU screenCursorMENU screenSetting itemPARAMETER SETUP screen - page 1SettingCursor Setting itemPARAMETER SETUP screen - page 1SettingCursor૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
28 Operator’s Manual ZM-520PA/521PA/530PA/531PAChanging Parameter Setup SettingsECG ELECTRODESSelect the electrode lead type.1. On the PARAMETER SETUP screen, press the ▼ key to move the cursor to “ECG ELECTRODES”.2. Press the Function key. The cursor moves to the selection item.3. Press the ▼ key to select “IEC” or “AHA”.4. Press the Function key to register the selected setting. The cursor returns to “ECG ELECTRODES”.LEAD TYPESelect the type of ECG leads. In normal use, select “AUTO”. When using DIN type lead with 6 electrodes, select “6 LEADS”.1. On the PARAMETER SETUP screen, press the ▼ key to move the cursor to “LEAD TYPE”.2. Press the Function key.3. Press the ▼ key to select “AUTO” or “6 LEADS”.4. Press the Function key to register the selected setting. The cursor returns to “LEAD TYPE”.Setting itemCursor Setting itemCursorSelected settingCursor Selected settingCursor૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 29ECG MEASUREMENTTurn ECG monitoring on or off. When electrodes are attached to the patient and ECG leads are connected, ECG monitoring starts even when this setting is set to OFF.If this setting is set to OFF, the same setting on the receiving monitor must also be set to OFF.NOTEWhen “PROTOCOL” on the transmitter is set to 51 and the receiving monitor is able to receive protocol 51, ECG measurement on the receiving monitor is automatically set to OFF when this setting is set to OFF on the transmitter. To use protocol 51, the ORG-9100A/ORG-9110A multiple patient receiver software version 03-03 or later is required.1. On the PARAMETER SETUP screen, press the ▼ key to move the cursor to “ECG MEASUREMENT”.2. Press the Function key.3. Press the ▼ key to select “ON” or “OFF”.4. Press the Function key to register the selected setting. The cursor returns to “ECG MEASUREMENT”.RESP MEASUREMENTTurn respiration monitoring on or off. When this setting is set to OFF, the same setting on the receiving monitor is automatically set to OFF.1. On the PARAMETER SETUP screen, press the ▼ key to move the cursor to “RESP MEASUREMENT”.2. Press the Function key.3. Press the ▼ key to select “ON” or “OFF”.4. Press the Function key to register the selected setting. The cursor returns to “RESP MEASUREMENT”.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
30 Operator’s Manual ZM-520PA/521PA/530PA/531PASpO2 RESPONSESelect the SpO2 response mode.FAST: Select this for special applications that require a fast response. FAST is suitable for detecting short apnea.NORMAL: For normal monitoring.SLOW: Select this when you need to suppress a rapid change in SpO2.1. On the PARAMETER SETUP screen, press the ▼ key to move the cursor to “SpO2 RESPONSE”. “SpO2 RESPONSE” is on the second page of the PARAMETER SETUP screen.2. Press the Function key.3. Press the ▼ key to select “FAST”, “NORMAL” or “SLOW”.4. Press the Function key to register the selected setting. The cursor returns to “SpO2 RESPONSE”.PARAMETER SETUP screen - page 2PARAMETER SETUP screen - page 2૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 31Changing SYSTEM SETUP SettingsSystem Setup Setting ListThe factory default settings are underlined.Setting Item Description SettingsPROTOCOLSelect the transmitting protocol.51: New protocol. A central monitor with ORG-9100A/9110A multiple patient receiver whose software version 03-03 or later can receive this protocol.41: Old protocol. A central monitor with ORG-9100A/9110A/9700A multiple patient receiver can receive this protocol.NOTEWhen 51 is set, the receiving monitor must be able to receive protocol 51. Otherwise, signals from the transmitter cannot be received. To use protocol 51, the ORG-9100A/ORG-9110A multiple patient receiver software version 03-03 or later is required.51, 41BRIGHTNESS Select the screen brightness. DARK, BRIGHTFUNCTION KEYSelect the function of the Function key.SUSPEND ALARM & PAUSE: Suspends alarm on the receiving monitor for 2 minutes. Pauses monitoring on the transmitter and receiving monitor.SUSPEND ALARM: Suspends alarm on the receiving monitor for 2 minutes.CONFIRM: Displays the “PATIENT CONFIRMED” message on the transmitter screen and transmits the message to the receiving monitor.OFF: No function.NOTE“SUSPEND ALARM & PAUSE” and “CONFIRM” can only be set when PROTOCOL is set to 51. To use protocol 51, the ORG-9100A/ORG-9110A multiple patient receiver software version 03-03 or later is required.SUSPEND ALARM & PAUSE, SUSPEND ALARM, CONFIRM, OFF૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
32 Operator’s Manual ZM-520PA/521PA/530PA/531PASetting Item Description SettingsAUTO RESUME AFTER PAUSE Select the interval to resume monitoring after PAUSE.10 s, 30 s, 1 min, 2 min, 3 min, OFFDisplaying the SYSTEM SETUP Screen1. Turn off the transmitter by removing one battery.2. While pressing the Function key, turn on the transmitter (insert the battery). The MENU screen appears.3. Press the ▼ key to move the cursor to “SYSTEM SETUP”.4. Press the Function key to enter SYSTEM SETUP. The current settings are highlighted.5. Change settings.• To move the cursor and select the setting item, press the ▼ or ▼ key then press the Function key.• To select and register the setting, press the ▼ or ▼ key then press the Function key.• To cancel changing the setting of the selected item, press the Screen key. The SYSTEM SETUP screen has two pages. To display the second page, press the ▼ key when the cursor is at “BRIGHTNESS”.6. When changing settings on the SYSTEM SETUP screen is complete, press the Screen key to return to the MENU screen.7. Press the ▼ or ▼ key to move the cursor to “EXIT”.8. Press the Function key. The numeric and waveform screen appears.CursorMENU screenCursorMENU screenSetting itemSYSTEM SETUP screen - page 1SettingSetting itemSYSTEM SETUP screen - page 1Setting૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 33Changing System Setup SettingsPROTOCOLSelect the transmitting protocol. For differences between protocols, refer to the table below.51: New protocol. A central monitor with ORG-9100A/9110A multiple patient receiver whose software version 03-03 or later can receive this protocol.41: Old protocol. A central monitor with ORG-9100A/9110A/9700A multiple patient receiver can receive this protocol.NOTEWhen 51 is set, the receiving monitor must be able to receive protocol 51. Otherwise, signals from the transmitter cannot be received.Differences Between ProtocolsFunction Protocol 41 Protocol 51Setting ECG MEASUREMENT to OFF on the transmitter automatically turns off the ECG measurement setting on the receiving monitor No (ECG measurement must be turned off on the receiving monitor)YesPause monitoring on the receiving monitor from the transmitter No YesTransmit “PATIENT CONFIRMED” message No YesDisplay battery level of the transmitter on the receiving monitor No YesTransmit SpO2 messages Some messages (refer to the “Indication and Message List” section)All messagesTransmit RESP message No Yes1. Press the ▼ key to move the cursor to “PROTOCOL”.2. Press the Function key.3. Press the ▼ key to select “51” or “41”.SettingCursor SettingCursor૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
34 Operator’s Manual ZM-520PA/521PA/530PA/531PANOTEFUNCTION KEY (on the second page of the SYSTEM SETUP screen) can be set to “SUSPEND ALARM & PAUSE” or “CONFIRM” only when PROTOCOL is “51”. If PROTOCOL is changed to “41”, FUNCTION KEY is automatically changed to “OFF”.4. Press the Function key to register the selected setting. The cursor returns to “PROTOCOL”.BRIGHTNESSSelect the screen brightness.1. Press the ▼ key to move the cursor to “BRIGHTNESS”.2. Press the Function key.3. Press the ▼ key to select “DARK” or “BRIGHT”.4. Press the Function key to register the selected setting. The cursor returns to “BRIGHTNESS”.FUNCTION KEYSelect the function of the Function key. For details on using these functions, refer to “Basic Monitoring Operation” in the “Monitoring” section.SUSPEND ALARM & PAUSE: Suspends alarm on the receiving monitor for 2 minutes. Pauses monitoring on the transmitter and receiving monitor.SUSPEND ALARM: Suspends alarm on the receiving monitor for 2 minutes.CONFIRM: Displays the “PATIENT CONFIRMED” message on the transmitter screen and transmits the message to the receiving monitor.OFF: No function.NOTE“SUSPEND ALARM & PAUSE” and “CONFIRM” can only be set when PROTOCOL is set to 51.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 351. On the SYSTEM SETUP screen, press the ▼ key to move the cursor to “FUNCTION KEY”. “FUNCTION KEY” is on the second page of the SYSTEM SETUP screen.2. Press the Function key.3. Press the ▼ key to select the function.4. Press the Function key to register the selected setting. The cursor returns “FUNCTION KEY”.AUTO RESUME AFTER PAUSESelect the interval to resume monitoring after PAUSE. When one of the following conditions is met, monitoring resumes on the receiving monitor. When OFF is selected, monitoring does not automatically resume.• Heart rate is properly monitored for the selected interval• SpO2 is properly monitored for the selected interval1. Press the ▼ key to move the cursor to “AUTO RESUME AFTER PAUSE”. “AUTO RESUME AFTER PAUSE” is on the second page of the SYSTEM SETUP screen.2. Press the Function key.3. Press the ▼ key to select interval.4. Press the Function key to register the selected setting. The cursor returns to “AUTO RESUME AFTER PAUSE”.SYSTEM SETUP screen - page 2SYSTEM SETUP screen - page 2૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
36 Operator’s Manual ZM-520PA/521PA/530PA/531PAInitializing SettingsDo the following procedure to initialize all settings, except for channel, to the factory default settings.1. Turn off the transmitter by removing a battery.2. While pressing the Function key, turn on the transmitter (put back the battery). The MENU screen appears.3. Press the ▼ key to move the cursor to “SYSTEM INITIALIZE”.4. Press the Function key to enter SYSTEM INITIALIZE screen.5. Press the Function key to initialize settings. The confirmation message appears. To return to the MENU screen without initializing, press the Screen key.6. Press the Function key to initialize settings. To cancel initializing, press the ▼ key. The screen returns to the MENU screen.CursorCursor૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 37Attaching Electrodes and SpO2 Probe to the PatientAttaching ElectrodesSelecting Electrode LeadCAUTIONOnly use Nihon Kohden specified electrodes and electrode leads. When other type of electrodes or electrode leads are used, the “CHECK ELECTRODES” message may be displayed and ECG monitoring may stop.The following electrodes and leads can be used on the transmitter (option).No. of Electrodes Disposable Electrodes Electrode Lead3(I, II, III)Vitrode F-150M, F-150S, L-150, L-150XBR-903PA (AHA, clip type)Disposable Electrode with DIN type lead, Vitrode V-090M3, V-09IO3, V-120S3, N-03IS36(I, II, III, aVR, aVL, aVF, 2 from V1 to V6)Vitrode F-150M, F-150S, L-150, L-150XBR-906PA (AHA, clip type)Disposable Electrode with DIN type lead, Vitrode V-040M4, V-04IO4, V-060M6, V-06IO6૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
38 Operator’s Manual ZM-520PA/521PA/530PA/531PAConnecting the Electrode Lead to the TransmitterConnect the electrode lead to the ECG/RESP socket on the transmitter.WARNINGAfter attaching the electrode to the patient and connecting the electrode lead to the transmitter, check that electrodes are attached to the patient and check that the electrode lead is connected to the transmitter properly. When the electrodes are removed from the patient, do not touch the metal part of the electrode with bare hands or let the metal part of the electrode contact the metal part of the bed or any other conductive parts. Failure to follow this warning may cause electrical shock or injury to the patient by discharged energy.CAUTIONDo not shake or swing the transmitter while holding the leads or cables connected to the transmitter. The transmitter may come off and injure someone or damage surrounding instruments.CAUTIONHold the connector of the electrode lead when connecting/disconnecting the electrode lead. If you disconnect the electrode lead by pulling the lead, it damages the electrode lead.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 39Electrode PositionFollow the physician’s instructions for electrode placement when available.For ECG monitoring, electrodes are attached only on the chest to allow patient movement and obtain continuous stable ECG. The following leads are examples. When also monitoring respiration, refer to the “Electrode Position for Respiration Monitoring” section.NOTEThe optimum electrode positions for ECG measurement are not always optimum for respiration measurement. Select positions that are suitable for both ECG and respiration measurement or positions which give priority to either ECG or respiration measurement.Electrode Positions for ECG MonitoringSix ElectrodesThe 6-electrode method with lead II and lead V5 is effective for monitoring myocardial ischemia.You can improve monitoring accuracy considerably by adding lead V4 to this combination. Va and Vb can be at any position of the standard 12 leads V1 to V6, but V4 and V5 are most appropriate for myocardial ischemic monitoring.RA/R LA/LRL/RF LL/FVa/CaVb/CbElectrode Position Symbol Lead ColorAHA IEC AHA IECLeft infraclavicular fossa LA L Black YellowRight infraclavicular fossa RA R White RedBelow lowest rib on the left anterior axillary line LL F Red GreenRight anterior axillary line at the same level as LL/F RL RF Green BlackFifth intercostal space on the left midclavicular line (V4 position of standard 12 leads) Va Ca Brown-blue White-brownLeft anterior axillary line at the same level as Va (V5 position of standard 12 leads) Vb Cb Brown-orange White-black૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
40 Operator’s Manual ZM-520PA/521PA/530PA/531PALead PositionStandard limb leadsMonopolar limb leadsMonopolar chest leadsLead ILead I Lead II Lead IIIaVR lead aVL lead aVF leadV1 to V6 leadstoV1 to V6 leadsRARARA RA RARARALALALALALALALALLLLLLLL LLLLLLN (RL)N (RL)N (RL) N (RL) N (RL)N (RL)N (RL)૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 41Three Electrodes• Lead MII, which is similar to standard lead II, used when ECG measurement has priorityElectrode Position Symbol Lead ColorAHA IEC AHA IECLeft infraclavicular fossa LA L Black YellowRight infraclavicular fossa RA R White RedBelow lowest rib on the left anterior axillary lineLL F Red Green• Lead MI, which is similar to standard lead I Change F/LL and L/LA of lead MII.R/RA (−)L/LA (N)F/LL (+)• Lead MIII, which is similar to standard lead III Change R/RA and L/LA of lead MII.L/LA (N)R/RA (−)F/LL (+)If the electrode positions above are not available due to chest surgery, attach the electrodes to the root of the limbs or below the clavicles for stable ECG monitoring.L/LA (N)R/RA (−)F/LL (+)L/LA (N)R/RA (−)F/LL (+)૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
42 Operator’s Manual ZM-520PA/521PA/530PA/531PAElectrode Positions for Respiration MonitoringPlace the R/RA and F/LL electrodes so that the lungs are between the electrodes.Position 1In this position, respiration measurement is available; however, there is a difference in amplitude between different patients.R or RA F or LLRight infraclavicular fossa Fifth intercostal space on the left midclavicular line, V4Position 2In this position, the waveform amplitude is usually large and the ECG lead is similar to Lead MII. This position can be generally recommended.R or RA F or LLRight infraclavicular fossa Fifth intercostal space on the left midaxillary line, V6Position 3In this position, the respiration waveform is optimum, but the ECG lead is unusual.R or RA F or LLRight midaxillary at the horizontal level of V6Fifth intercostal space on the left midaxillary line, V6R/RA (−)F/LL (+)NR/RA (−)F/LL (+)NR/RA (−)F/LL (+)NR/RA (−)F/LL (+)NNR/RA (−)F/LL (+)NR/RA (−)F/LL (+)૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 43Position 4In this position, the respiration measurement is influenced by the impedance variation of the abdomen, so the cardiac pulse wave included in the respiration wave is reduced. Note that the waveform is inverted in phase compared with the chest movement (the waveform goes down during inspiration). It is difficult to measure the ECG at the same time.R or RA F or LLLowest rib on the right anterior axillary lineLowest rib on the left anterior axillary lineAttaching Electrodes to the Patient and Connecting the Electrode Leads to Disposable ElectrodesPrepare the Patient SkinShave off excessive body hair.To reduce skin impedance, clean the electrode site with cream or with a cotton pad moistened with alcohol. Thoroughly dry the skin with a clean cotton pad.NOTE• For a patient with frequent body movement, rub the sites with skinPure skin preparation gel. However, do not use skinPure skin preparation gel on sensitive skin.• Do not place electrodes on a wound or on an inflamed, wrinkled or uneven skin surface.Attaching Electrodes to the PatientCAUTIONDo not reuse disposable parts and accessories.NOTE• To maintain good contact between the electrode and skin, check that the paste of the disposable electrode is not dry.• When contact between the disposable electrode and skin becomes poor, replace electrodes with new ones immediately. Otherwise, contact impedance between the skin and the electrode increases and accurate ECG and respiration waveforms cannot be obtained.NR/RA (−)F/LL (+)NR/RA (−)F/LL (+)૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
44 Operator’s Manual ZM-520PA/521PA/530PA/531PARefer to the electrode operator’s manual for details.1. Carefully remove the backing paper from the electrode. Avoid touching the adhesive surface.2. Place the electrode on the previously cleaned skin. Pay attention to the electrode lead color and symbol.3. Clip the electrode lead to the electrode.4. Fasten the electrode lead wire with surgical tape with an extra length of wire between the tape and the electrode. This lessens the movement of electrode leads by body movement and helps stable monitoring.Checking ECG on the Transmitter ScreenAfter attaching electrodes and connecting ECG leads, check that the electrodes are properly attached to the patient and the ECG waveform is acquired on the check electrodes screen. For details on the screen, refer to the “Screen Descriptions” section.Attaching the SpO2 ProbeSelecting the SpO2 ProbeSelect an appropriate probe for the patient.CAUTIONOnly use Nihon Kohden specified electrodes, electrode leads and SpO2 probes. Otherwise, the maximum performance from the transmitter cannot be guaranteed.CAUTIONDo not use a damaged or disassembled probe. It causes incorrect measurement and may injure the patient.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 45Reusable ProbesWhen using a TL-201T finger probe, choose the appropriate cable length for attachment.Probe Cable Length Patient Attachment SiteFinger probe TL-201T0.6 mAdult or child20 kg or moreFinger1.6 mMulti-site probe TL-220TAttachment tapeAdult or infant3 kg or moreFinger or toeNeonate3 kg or lessInstep and soleFinger probeTL-631T1, TL-631T3Attachment tapeTL-631T1: 0.6 mAdult or child20 kg or moreFinger or toeTL-631T3: 1.6 mDisposable ProbesCAUTIONThe disposable probe is not sterilized. Use the disposable probe only for a single patient. Never reuse the disposable probe for another patient because it causes cross infection.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
46 Operator’s Manual ZM-520PA/521PA/530PA/531PAProbe Patient Attachment SiteTL-051S, TL-052S40 mmCable length TL-051S: 0.8 m TL-052S: 1.6 mAdult50 kg or moreFingerNeonate3 kg or lessInstep and soleTL-061S, TL-062S35 mmCable length TL-061S: 0.8 m TL-062S: 1.6 mAdult or child15 to 50 kgFingerInfant3 to 15 kgToeTL-271T, TL-271T3Cable length TL-271T: 0.8 m TL-271T3: 1.6 mAdult30 kg or moreFinger or toeTL-272T, TL-272T3Cable length TL-272T: 0.8 m TL-272T3: 1.6 mChild10 to 50 kg૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 47Probe Patient Attachment SiteTL-273T, TL-273T3Cable length TL-273T: 0.8 m TL-273T3: 1.6 mNeonate3 kg or lessInstep and soleAdult40 kg or moreFinger or toeTL-274T, TL-274T3Cable length TL-274T: 0.8 m TL-274T3: 1.6 mInfant3 to 20 kgFinger or toeConnecting the SpO2 Probe to the TransmitterConnect the probe to the SpO2 socket on the transmitter.CAUTIONDo not shake or swing the transmitter while holding the leads or cables connected to the transmitter. The transmitter may come off and injure someone or damage surrounding instruments.CAUTIONDo not use a damaged or disassembled probe. It causes incorrect measurement and may injure the patient.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
48 Operator’s Manual ZM-520PA/521PA/530PA/531PAAttaching the Probe to the PatientAttach the probe to the patient by referring to the probe’s manual. Make sure that the light emitter and photo detector of the probe face each other at the attachment site.WARNING• When using the TL-201T finger probe, do not fasten the probe and cable to the finger by wrapping with tape. This may cause burn, congestion or pressure necrosis from poor blood circulation.• When using probes other than the TL-201T finger probe, to avoid poor circulation, do not wrap the tape too tight. Check the blood circulation condition by observing the skin color and congestion at the skin peripheral to the probe attachment site. Even for short-term monitoring, there may be burn or pressure necrosis from poor blood circulation, especially on neonates or low birth weight infants whose skin is delicate. Accurate measurement cannot be performed on a site with poor peripheral circulation.WARNINGCheck the circulation condition by observing the skin color at the measurement site and pulse waveform. Change the measurement site every 8 hours for disposable probes and every 4 hours for reusable probes (every 8 hours for TL-631T series probe). The skin temperature may increase at the attached site by 2 or 3°C (4 or 5°F) and cause a burn or pressure necrosis. When using the probe on the following patients, take extreme care and change the measurement site more frequently according to symptoms and degree.• Patient with a fever• Patient with insufficient peripheral circulation• Neonate or low birth weight infant with delicate skinWARNINGWhen monitoring SpO2 of a patient who is receiving photodynamic therapy, the light from the finger probe sensor may cause a burn. Photodynamic therapy uses a photosensitizing agent that has a side effect of photosensitivity.The SpO2 probe manufactured by Nihon Kohden have two wavelengths with peaks in the range of 650 and 950 nm. The maximum light intensity is less than 5.5 mW.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 49CAUTIONIf the attachment site is dirty with blood or bodily fluids, clean the attachment site before attaching the probe. If there is nail polish on the attachment site, remove the polish. Otherwise, the amount of transmitted light decreases, and measured value may be incorrect or measurement cannot be performed.CAUTIONWhen the probe is attached on an appropriate site with sufficient circulation and the error message confirming the probe attachment repeatedly appears, the probe may be deteriorated. Replace it with a new one.CAUTIONIf the skin gets irritated or redness appears on the skin from the probe, change the attachment site or stop using the probe. Take extreme care for the patients with delicate skin.CAUTIONDo not use a probe which is deteriorated by aging. Accurate measurement cannot be performed.CAUTIONRefer to the probe instruction manual for details.CAUTIONThe disposable probe is not sterilized. Use the disposable probe only for a single patient. Never reuse the disposable probe for another patient because it causes cross infection.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
50 Operator’s Manual ZM-520PA/521PA/530PA/531PALocking the Keys on the TransmitterTo prevent the patient from pressing the keys on the transmitter during monitoring, you can lock the keys.Press the ▼ and ▼ keys at the same time and hold for more than 3 seconds. The key lock screen appears.When there is no key operation for one minute after locking the keys, the display turns off.To unlock the keys:Press the ▼ and ▼ keys at the same time and hold for more than 3 seconds.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 51MonitoringCAUTIONThe measurement values and displayed waveforms on the transmitter and receiving monitor may be different due to timing delay of the display or difference in detection settings.NOTEDo not let the transmitter continuously contact the patient’s skin directly. The transmitter heats up by 2 or 3°C (4 or 5°F) during operation and it may cause low temperature burn to the patient.Screen DescriptionsWhen the transmitter is turned on, the startup screen appears, then the check electrodes screen to check the electrode attachment appears.The screen changes in the following order each time the Screen key is pressed.Check electrodes → numeric and waveform → waveform review → numeric review → display off → check electrodes . . . Screen key૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
52 Operator’s Manual ZM-520PA/521PA/530PA/531PAThe screen automatically turns off when there is no key operation for 2 minutes on the check electrodes screen or 1 minute on other screens.When the display is off and the Screen key is pressed, the numeric and waveform screen appears. NOTEWhen the screen before the display off is check electrodes screen and the Screen key is pressed within 5 minutes after the display off, the check electrodes screen appears.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 53Check Electrodes ScreenYou can check whether the electrodes are properly attached to the patient and the ECG waveform is acquired.When 6 leads are used, I, II, Va and Vb lead waveforms are displayed.When 3 leads are used, only II lead waveform is displayed.Filter: offSweep speed: 12.5 mm/sWaveform sensitivity: 0.5 cm/1 mVECG waveformBattery levelLeadChannel numberDetached electrode positionMessage When electrodes are detached, the “CHECK ELECTRODES” message and detached electrode position appear on the screen.NOTEWhen ECG measurement is set to OFF on the PARAMETER SETUP screen, the check electrodes screen does not appear.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
54 Operator’s Manual ZM-520PA/521PA/530PA/531PANumeric and Waveform ScreenNumeric values and waveforms of the monitoring parameters are displayed. You can change the ECG lead with the ▼ and ▼ keys.Heart rateQRS sync markPulse bar graphSpO2ECG waveformFilter: onSweep speed: 12.5 mm/sWaveform sensitivity: autoWaveform sensitivityECG leadWhen ECG and respiration measurement is turned offPulse ratePulse sync markSpO2Pulse wave sensitivityPulse waveformSweep speed: 12.5 mm/sWaveform sensitivity: auto૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 55NOTEThe pulse wave amplitude varies according to the ratio of the pulsation component to the entire transmitted IR signal. When the pulsation component ratio is 1%, the pulse wave amplitude is about 5 mm at ×1 sensitivity on the screen.Waveform Review ScreenECG full disclosure for up to 10 minutes can be saved and reviewed. When ECG measurement is turned off and SpO2 is monitored, the pulse waveform is saved.When ECG lead is changed on the numeric and waveform screen, the ECG full disclosure of the changed lead is saved.The saved data is deleted when the transmitter is turned off.ECG leadDisplayed pageCompressed ECG waveform7.5 s × 4 traces per page, total of 20 pagesOlder dataNewer dataTime range of the displayed waveform (time before the waveform review screen is displayed)Waveform sensitivityTo scroll the waveform, press the ▼ or ▼ key. The waveform is scrolled by 30 seconds.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
56 Operator’s Manual ZM-520PA/521PA/530PA/531PANumeric Review ScreenNumeric data of heart rate (or pulse rate when ECG is turned off), SpO2 and respiration rate for up to 10 minutes are saved at 1 minute intervals.The saved data is deleted when the transmitter is turned off.Time before the numeric review screen is displayedOlder dataNewer dataDisplay OffThe display can be turned off any time. To turn off the display, press the Screen key several times until the following screen appears then wait 5 seconds.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 57Basic Monitoring OperationUsing the Function KeyFunction keyOne of the following functions can be assigned to the Function key on the SYSTEM SETUP screen. Refer to the “Changing SYSTEM SETUP Settings” section.SUSPEND ALARM: Suspends alarms on the receiving monitor before they occur for 2 minutes. PAUSE: Pauses monitoring on the transmitter and receiving monitor.CONFIRM: Transmits the signal that the patient is confirmed and displays the “PATIENT CONFIRMED” message on the transmitter.NOTETo use the Function key for PAUSE or CONFIRM, you must set “PROTOCOL” on the SYSTEM SETUP screen of the transmitter to 51 and the receiving monitor must be able to receive protocol 51. To use protocol 51, the ORG-9100A/ORG-9110A multiple patient receiver software version 03-03 or later is required.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
58 Operator’s Manual ZM-520PA/521PA/530PA/531PASuspending Alarms on the Receiving MonitorWhen the FUNCTION KEY is set to “SUSPEND ALARM” or “SUSPEND ALARM & PAUSE” on the SYSTEM SETUP screen, alarms can be suspended for 2 minutes on the receiving monitor before they occur.To suspend alarms:1. Press the Function key. The “Suspend alarms” confirmation screen appears.2. Press the ▼ key to suspend alarms. To cancel suspending alarms and return to the previous screen, press the Screen key.When the alarms are suspended, the “ALARMS SUSPENDED” message and alarm suspended icon with the remaining minutes in alarm suspension appear on the transmitter screen.Message Icon૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 59To cancel suspending alarms during 2 minute alarm suspension:1. Press the Function key while the “ALARMS SUSPENDED” message is displayed. The confirmation screen appears.2. Press the ▼ key to cancel alarm suspension. Press the Screen key to not cancel alarm suspension.Pause MonitoringWhen the FUNCTION KEY is set to “SUSPEND ALARM & PAUSE” on the SYSTEM SETUP screen, you can pause monitoring on the receiving monitor from the transmitter when the patient cannot be monitored, such as during X-ray examination.NOTETo use the Function key for PAUSE, you must set “PROTOCOL” on the SYSTEM SETUP screen of the transmitter to 51 and the receiving monitor must be able to receive protocol 51. To use protocol 51, the ORG-9100A/ORG-9110A multiple patient receiver software version 03-03 or later is required.Monitoring on the receiving monitor resumes when one of the following conditions is met. When OFF is selected for “AUTO RESUME AFTER PAUSE” on the SYSTEM SETUP screen, monitoring does not automatically resume.• Heart rate is properly monitored on the transmitter for the interval selected for “AUTO RESUME AFTER PAUSE”.• SpO2 is properly monitored on the transmitter for the interval selected for “AUTO RESUME AFTER PAUSE”.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
60 Operator’s Manual ZM-520PA/521PA/530PA/531PATo pause monitoring:1. Press the Function key. The “Suspend alarms” confirmation screen appears.2. Press the Function key for 3 seconds to display the “Pause monitoring” confirmation screen.3. Press the ▼ key to pause monitoring. To cancel pause monitoring, press the Screen key.4. Wait about 5 seconds until the “Turn power off” screen appears.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 615. Turn off the transmitter. If the transmitter is not turned off and monitoring continues for the interval set for “AUTO RESUME AFTER PAUSE” on the SYSTEM SETUP screen, pause monitoring is cancelled and monitoring continues.Resume Monitoring after PauseTo resume monitoring after pause, check that the electrodes, electrode leads and probe are attached to the patient then turn on the transmitter.Confirming PatientWhen the FUNCTION KEY is set to “CONFIRM” on the SYSTEM SETUP screen, pressing the Function key sends a signal to the receiving monitor to indicate that the patient or patient condition is confirmed by medical staff.Message૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
62 Operator’s Manual ZM-520PA/521PA/530PA/531PATurning the Display OffThe display can be turned off any time. To turn off the display, press the Screen key several times until the following screen appears then wait 5 seconds.5 second time bar until the display turns offTurning the Display On after It was Turned OffPress the Screen key. The numeric and waveform screen appears. If the screen is turned off on the “Keys locked” screen, the “Keys locked” screen appears.When the Screen key is pressed within 5 minutes after the display was turned off, the previous screen appears.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 63ECG and Respiration MonitoringWhen the electrodes are attached and the ECG leads are connected, the heart rate, ECG waveform, respiration rate and respiration waveform appear on the receiving monitor. Refer to the operator’s manual of the receiving monitor for details.When 6 leads are used on this transmitter, up to 8 leads (I, II, III, aVR, aVL, aVF, Va and Vb) of ECG waveforms can be displayed on the receiving monitor. The heart rate is also measured.When 3 leads are used, one channel ECG waveform of lead II can be displayed on the receiving monitor. Refer to the operator’s manual of the monitor for details.Pacing marksWhite pacing marks are displayed at the points where a pacing spike is detected.Heart rateQRS sync mark Respiration rateECG leadYou can change the ECG lead with the ▼ and ▼ keys.ECG waveform Filter: onSweep speed: 12.5 mm/sWaveform sensitivity: autoCAUTIONTurn off the power of mobile phones, small wireless devices and other devices which produce strong electromagnetic interference around a patient (except for devices allowed by the hospital administrator). Radio waves from devices such as mobile phones or small wireless devices may be mistaken as pulse waves or respiration waves and the displayed data may be incorrect.NOTE• ECG cannot be monitored on a neonate using this transmitter.• When performing defibrillation, set the hum filter to ON on the receiving monitor. The waveform recovery may become slow due to electrode polarization when the hum filter is set to OFF.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
64 Operator’s Manual ZM-520PA/521PA/530PA/531PAUse with a PacemakerWhen monitoring a pacemaker patient, the transmitter detects pacemaker pulse and rejects the pacemaker pulse from the heart rate count. WARNINGInteraction Between Minute Ventilation Rate-Adaptive Pacemakers and Cardiac Monitoring and Diagnostic Equipment*The bioelectric impedance measurement sensor of a minute ventilation rate-adaptive implantable pacemaker may be affected by transmitter which is connected to the same patient. If this occurs, the pacemaker may pace at its maximum rate and the transmitter may give incorrect data to the monitor. If this occurs, disconnect the electrode leads from the patient or change the setting on the pacemaker by referring to the pacemaker’s manual. For more details, contact your pacemaker representative or Nihon Kohden representative.* Minute ventilation is sensed in rate-adaptive pacemakers by a technology known as bioelectric impedance measurement (BIM). Many medical devices in addition to pacemakers use this technology. When one of these devices is used on a patient with an active, minute ventilation rate-adaptive pacemaker, the pacemaker may erroneously interpret the mixture of BIM signals created in the patient, resulting in an elevated pacing rate. For more information, see the FDA web site. http://www.fda.gov/cdrh/safety.htmlWARNINGThe transmitter detects the pacemaker pulse and rejects the pacemaker pulse from the heart rate count. However, all of the pacemaker pulse might not be rejected. If the pacemaker pulse is not rejected, the pacemaker pulse is detected as QRS and false heart rate may be indicated. Keep pacemaker patients under close observation.* For the pacemaker pulse rejection capability of ZM-520PA/521PA/530PA/531PA transmitter refer to the “Specifications - ECG” section.WARNINGThe pacemaker pulse can be overlooked or detected as QRS. You cannot confirm the pacemaker operation only from the detected pacemaker pulse.NOTE• If an electric blanket is used and incorrect heart rate is displayed on the monitor, turn off the pacing spike detection on the monitor.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 65• Turn the pacing spike detection to ON on the receiving monitor when monitoring a pacemaker patient. Pacing pulse is detected by the transmitter and transmitted to the monitor. If the pacing spike detection is turned OFF, QRS and pacemaker spike might not be distinguished and pacemaker failure might not be recognized.Use with an Electrosurgical UnitFor use with an electrosurgical unit (ESU), this transmitter has a circuit to protect the patient from skin burn and to reduce ESU interference on the ECG waveform. However, the effectiveness of this circuit depends on electrode position and transmitter setup. With an ESU, pay attention to the following points.WARNINGWhen the transmitter is used with an electrosurgical unit (ESU), firmly attach the entire area of the ESU return plate. Otherwise, the current from the ESU flows into the electrodes of the transmitter, causing electrical burn where the electrodes are attached. For details, refer to the ESU manual.NOTENoise generated from an electrosurgical unit may interfere on an ECG waveform, but will not damage it.• Measure with 3-electrode lead Use the minimum number of electrodes. Use new electrodes.• Minimize noise1. Select an ECG lead where the active ECG electrodes are located as far from the incision as possible.2. Position the + and – electrodes as close as possible.3. Select the leads where the angle (θ) between the active electrodes and the incision is as small as possible.4. Set the electrosurgical return plate as close to the incision as possible.Make smallIncisionReturn plateAs far as possible from electrode andas near as possible to incision.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
66 Operator’s Manual ZM-520PA/521PA/530PA/531PATurning ECG Measurement On/OffECG measurement can be turned on or off on the PARAMETER SETUP screen. When electrodes are attached to the patient and ECG leads are connected, ECG monitoring starts even when ECG is turned off.When PROTOCOL on the SYSTEM SETUP screen is set to 51:ECG measurement on the receiving monitor is automatically set to off.NOTEECG measurement on the transmitter cannot be turned on or off from the receiving monitor.When PROTOCOL on the SYSTEM SETUP screen is set to 41:If ECG measurement is turned off on the transmitter, ECG measurement on the receiving monitor must also be turned off.Turning Respiration Measurement On/OffRespiration measurement can be turned on or off on the PARAMETER SETUP screen. If respiration measurement is turned off, respiration measurement on the receiving monitor is also turned off.Electrode DetachmentIn the following conditions, the “CHECK ELECTRODES” message is displayed on the transmitter and receiving monitor.• Electrode is detached from skin.• Electrode lead is disconnected from the electrode.• Polarization voltage between the electrode and skin is excessively high.In these cases, check the cause and if necessary, replace electrodes with new ones.CAUTIONWhen the “ELECTRODE OFF” or “CHECK ELECTRODES” message is displayed on the receiving monitor, ECG is not monitored properly and the ECG alarm does not function. Check the electrode, electrode leads, and if necessary, replace with new ones.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 67SpO2 MonitoringThe SpO2 monitoring is only available on the ZM-530PA/531PA transmitter.When monitoring starts, SpO2 and the pulse waveform are sent to the receiving monitor and SpO2 and the pulse level bar graph are displayed on the transmitter screen. When ECG is not measured, the pulse waveform and pulse rate are also displayed.Pulse bar graphSpO2NOTEDuring SpO2 monitoring, the transmitter constantly checks the light intensity of the probe and adjusts the light intensity to maintain optimum measurement condition. During adjustment, the pulse wave becomes flat for about 0.5 seconds.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
68 Operator’s Manual ZM-520PA/521PA/530PA/531PAWARNINGSpO2 measurement may be incorrect in the following cases.• When the patient’s carboxyhemoglobin or methemoglobin increases abnormally.• When dye is injected in the blood.• When using an electrosurgical unit.• During CPR.• When measuring at a site with venous pulse.• When there is body movement.• When the pulse wave is small (insufficient peripheral circulation).WARNINGCheck the circulation condition by observing the skin color at the measurement site and pulse waveform. Change the measurement site every 8 hours for disposable probes and every 4 hours for reusable probes (every 8 hours for TL-631T series probe). The skin temperature may increase at the attached site by 2 or 3°C (4 or 5°F) and cause a burn or pressure necrosis. When using the probe on the following patients, take extreme care and change the measurement site more frequently according to symptoms and degree.• Patient with a fever• Patient with insufficient peripheral circulation• Neonate or low birth weight infant with delicate skinWARNINGWhen monitoring SpO2 of a patient who is receiving photodynamic therapy, the light from the finger probe sensor may cause a burn. Photodynamic therapy uses a photosensitizing agent that has a side effect of photosensitivity.The SpO2 probe manufactured by Nihon Kohden have two wavelengths with peaks in the range of 650 and 950 nm. The maximum light intensity is less than 5.5 mW.WARNINGWhen not monitoring SpO2, disconnect the SpO2 cable from the transmitter. Otherwise, noise from the probe sensor may interfere and incorrect data is displayed on the screen.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 69CAUTIONTurn off the power of mobile phones, small wireless devices and other devices which produce strong electromagnetic interference around a patient (except for devices allowed by the hospital administrator). Radio waves from devices such as mobile phones or small wireless devices may be mistaken as pulse waves or respiration waves and the displayed data may be incorrect.CAUTIONFailure to follow these instructions may cause cable discontinuity, short circuit, skin burn on the patient from the probe temperature increase due to the short circuit of the probe cable, and incorrect measurement data. If the probe is broken, replace it with a new one.• Do not immerse any part of the probe cable other than the disposable probe in chemical solutions or water. • Do not pull or bend the probe cable.• Do not let caster feet run over the probe cable.CAUTIONNormal external light does not affect monitoring but strong light such as a surgical light or sunlight may affect monitoring. If affected, cover the measuring site with a blanket.CAUTIONWhen the probe is attached on an appropriate site with sufficient circulation and the error message confirming the probe attachment repeatedly appears, the probe may be deteriorated. Replace it with a new one.CAUTIONWhen a message indicates a faulty probe, stop monitoring and replace the probe with a new one.CAUTIONWhile a patient is on medication which causes vasodilation, the pulse waveform may change and in rare cases the SpO2 value might not be displayed.CAUTIONDo not attach the probe to the same limb that is used for NIBP measurement or an IBP catheter. The SpO2 measurement may be incorrect.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
70 Operator’s Manual ZM-520PA/521PA/530PA/531PANOTE• In order to maintain sufficient blood circulation, keep the measurement site warm by covering it with a blanket or something similar. Warming the site is effective, especially for a patient with a small pulse amplitude.• When monitoring a patient who has an IABP and SpO2 cannot be measured, monitor the patient on a wired monitor. If the monitor has a sensitivity mode, set the mode to “MAX”.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 71Indications and MessagesIndicationIndication Cause CountermeasureBatteries are fully charged.—Batteries are getting low. Batteries are low.Batteries are almost empty. Replace batteries.Alarms on the receiving monitor were suspended by pressing the Function key on the transmitter.Alarms resume when the suspend interval elapses. To cancel alarm suspension, press the Function key again.MessagesWhen PROTOCOL on the SYSTEM SETUP screen is set to 51, all messages are transmitted.When PROTOCOL is set to 41, the messages marked with * are not transmitted.Message Cause CountermeasureALARMS SUSPENDEDAlarms on the receiving monitor is suspended by pressing the Function key on the transmitter.Alarms resume when the 2 minute suspend interval elapses. To cancel alarm suspension, press the Function key again.BATTERY WEAK Dead batteries. Replace batteries.CANNOT DETECT PULSE*Poor blood circulation for measuring the SpO2 value.Check the patient condition, probe attachment or change the attachment site.The probe is attached too tightly and is obstructing the blood circulation. Reattach the probe.The probe is not attached to the patient properly.Attach the probe to the patient properly.“LIGHT INTERFERENCE”, “CHECK PROBE SITE” or “DETECTING PULSE” message is displayed for more than 30 seconds.Refer to the cause and countermeasure for each message in this Messages table and remove the cause.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
72 Operator’s Manual ZM-520PA/521PA/530PA/531PAMessage Cause CountermeasureCANNOT MEASURE*Contact between the disposable electrode and skin becomes poor.Replace electrodes with new ones immediately.CHECK ELECTRODESElectrode lead is disconnected from the electrode.Firmly connect the electrode lead to the electrode.Electrode lead is disconnected from the transmitter.Firmly connect the electrode lead to the transmitter.Electrode lead discontinuity. Replace the electrode lead with a new one.Electrode is not firmly attached to the skin. Replace the electrode with a new one.Polarization voltage is abnormally high.CHECK PROBEThe probe is not attached to the patient properly.Attach the probe to the patient properly.The probe is not attached at the appropriate site.Attach the probe to an appropriate site indicated in the probe manual.The probe is disconnected from the transmitter.Connect the probe cable to the transmitter.The probe is past its expiration date. Replace the probe with a new one.CHECK PROBE SITE*The probe is not attached at the appropriate site.Attach the probe to an appropriate site indicated in the probe manual.The probe is deteriorated. Replace the probe with a new one.The probe is past its expiration date.DETECTING PULSESearching for the correct pulse wave for SpO2 monitoring. Wait until the pulse wave is detected.The SpO2 value cannot be obtained because the waveform is unstable. Attach the probe to the patient properly.The probe is not attached to the patient properly.LIGHT INTERFERENCEThe SpO2 measurement site is under fluorescent light, surgical light, sunlight, or other strong light.Cover the measurement site with a blanket or cloth.Considerable body movement.When the message is displayed frequently, check the patient condition and, if necessary, change the attachment site.The probe is not attached to the patient properly.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 73Message Cause CountermeasurePATIENT CONFIRMED*Function key is pressed and the “PATIENT CONFIRMED” signal is transmitted to the receiving monitor. (When “PATIENT” is assigned as the function for the Function key on the SYSTEM SETUP screen.) —PROBE FAILURE*The probe is past its expiration date. Replace the probe with a new one.Probe is damaged or short-circuited.Transmitter failure. Contact your Nihon Kohden representative.SpO2 MODULE ERROR* Transmitter failure. Contact your Nihon Kohden representative.SYS OUT OF RANGEThe maximum blood pressure cannot be measured even when the cuff inflation pressure exceeded 280 mmHg when using adult cuff.Measure by palpation or auscultation.WEAK PULSE*Poor peripheral circulation. Check the patient condition and change the probe attachment site.The probe is attached too tightly and is obstructing the blood circulation.Check the probe attachment condition and if necessary, reattach the probe.RESP OFF“RESP MEASUREMENT” on the PARAMETER SETUP screen is set to OFF.If respiration monitoring is necessary, set “RESP MEASUREMENT” to ON.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
74 Operator’s Manual ZM-520PA/521PA/530PA/531PAMessage Display PriorityWhen more than one message condition occurs on the transmitter, only the message with the highest priority is displayed.Priority MessageHighest PATIENT CONFIRMEDPROBE FAILURECHECK ELECTRODESSpO2 MODULE ERRORCHECK PROBECHECK PROBE SITECANNOT DETECT PULSE LIGHT INTERFERENCECANNOT MEASUREDETECTING PULSEWEAK PULSEALARMS SUSPENDEDLowest BATTERY WEAK૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 75TroubleshootingIf a problem occurs, use the following to find and fix it. If the problem still remains after checking the following, contact your Nihon Kohden representative.TransmitterProblem Cause CountermeasureNothing is displayed on the LCD after turning the power on.Batteries are not installed correctly. The battery polarity is wrong.Install the batteries correctly.Batteries are completely discharged.Replace the batteries with new ones.LCD is difficult to see (too dark or too light).LCD brightness is not appropriate.Change the LCD brightness on the SYSTEM SETUP screen. Refer to the “Changing SYSTEM SETUP Settings” section.Nothing is displayed on the receiving monitor after turning the transmitter power on.The channel of the transmitter and monitor does not match.Set the correct channel on the monitor.The software version of the multiple patient receiver or central monitor is old.Upgrade the multiple patient receiver or central monitor software to receive signal from the transmitter. Contact your Nihon Kohden representative.Protocol on the transmitter and monitor does not match.Set the same protocol on the transmitter and monitor.Protocol on the transmitter is set to 51 but the monitor cannot receive protocol 51.Set the protocol on the transmitter to 41. Refer to the “System Setup Setting List” section.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
76 Operator’s Manual ZM-520PA/521PA/530PA/531PAProblem Cause CountermeasureSignal receiving condition is poor.Another transmitter with the same channel is used nearby.Turn the transmitter power off. If the monitor still receives a signal, there is a high probability that another transmitter of the same channel is used nearby. Follow the instruction of your channel administrator and use another transmitter with a different channel.Signals of another patient are mixing.Follow the instructions of your channel administrator and use another transmitter of a different channel.The transmitter is damaged. Contact your Nihon Kohden representative.ECG/RespirationProblem Cause CountermeasureThe heart rate is unstable.Pacing detection setting on the monitor is not correct.Turn off the pacing detection setting on the receiving monitor. When monitoring a pacemaker patient, turn on pacing detection.The “CHECK ELECTRODES” message appears on the receiving monitor.Electrode lead is disconnected from the electrode.Firmly connect the electrode lead to the electrode.Electrode lead discontinuity. Replace the electrode lead with a new one.Electrode is not firmly attached to the skin.Replace the electrode with a new one.Polarization voltage is abnormally high.Use Nihon Kohden specified electrodes.ECG baseline is thick (AC hum).The gel on the electrode is dried out.Replace the electrode with a new one.The gel on the electrode is coming off.An electric blanket is used. Cover the blanket with a shield cover.The hum filter is set to OFF on the monitor.Set the filter to ON.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 77Problem Cause CountermeasureThe heart rate of a patient who is using an electric blanket is unstable on the receiving monitor.Pacing pulse detection is turned ON on the receiving monitor.Turn OFF the pacing pulse detection on the receiving monitor.No heart rate or ECG is displayed.“ECG MEASUREMENT” on the PARAMETER SETUP screen is set to OFF.If ECG monitoring is necessary, set “ECG MEASUREMENT” to ON.Respiration waveform measurement is unstable.The gel on the electrode is dried out.Replace the electrode with a new one.The gel on the electrode is coming off.No respiration rate is displayed.“RESP MEASUREMENT” on the PARAMETER SETUP screen is set to OFF.If respiration monitoring is necessary, set “RESP MEASUREMENT” to ON.SpO2 Problem Cause CountermeasureSpO2 data is unstable and not reliable.The probe size is not appropriate for the patient.Use the appropriate probe for the patient.Probe attachment condition is poor. The probe is partly detached from the skin. External light is entering the probe.Firmly attach the probe according to the procedure in the probe operator’s manual.Measurement site is dirty. Patient is wearing nail polish.Remove dirt and nail polish.The probe is attached to the same limb that is used for NIBP measurement.Attach the probe to the opposite limb. Avoid a site where blood circulation condition changes greatly.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
78 Operator’s Manual ZM-520PA/521PA/530PA/531PAMaintenanceTo use the transmitter in safe and optimum condition, perform maintenance check every six months.The following units are necessary for some checking items.• AX-400G Vital Sign Simulator• AX-300T SpO2 Checker• Receiving monitorCAUTIONNever disassemble or repair the transmitter. If there is any problem with the transmitter, contact your Nihon Kohden representative.NOTE• The measurement accuracy of the above units must be managed to perform accurate maintenance check.• For details on the operation of the above units, refer to the manuals provided with these units.A maintenance check sheet is provided at the end of this section. Make a copy of this check sheet before performing maintenance check.1. External Check• There is no damage or dirt on the outside of the transmitter.• The battery case cover is not damaged, the spring is firmly attached and the battery case cover can be closed firmly.• No keys are damaged.• No electrode leads are damaged.• There are no blood or chemicals on the transmitter.• The springs in the battery compartment are not damaged or detached.• Terminals in the battery case are not corroded.2. Transmitter Channel• The channel number label on the transmitter is not torn or removed.• The channel of the transmitter matches the label. The transmitter channel is displayed in the upper left corner of the screen. The channel number also appears on the startup screen.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 79Channel numbersStartup screen Numeric and waveform screen3. Transmitting/Receiving SignalUse the AX-400G vital sign simulator and receiving monitor.1. Connect the vital sign simulator to the transmitter.AX-400G2. Place the transmitter 2 to 3 m from the receiving monitor.3. Set the channel on the receiving monitor to the channel of the transmitter.4. Turn on the transmitter and vital sign simulator.5. Check that the ECG of the transmitter appears on the receiving monitor.6. Turn off the transmitter.7. Check that the ECG disappears from the receiving monitor.4. DisplayCheck that there are no dots missing on the screen.1. Turn off the transmitter.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
80 Operator’s Manual ZM-520PA/521PA/530PA/531PA2. While pressing the Function key, turn on the transmitter. The MENU screen appears.3. Press the ▼ key to move the cursor to “MANUAL CHECK” and press the Function key.Cursor4. Press the ▼ or ▼ key to move the cursor to “LCD TEST” and press the Function key. 5. Each time the ▼ key is pressed, the screen changes as below. Check that no dots are missing. → → → → red → green → blue → →. . . ૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 816. Press the Screen key to return to the MANUAL CHECK screen.7. Press the Screen key again to return to the MENU screen.5. Key Operation1. Turn off the transmitter.2. While pressing the Function key, turn on the transmitter. The MENU screen appears.3. Press the ▼ key to move the cursor to “MANUAL CHECK” and press the Function key.Cursor4. Press the ▼ or ▼ key to move the cursor to “KEY CHECK” and press the Function key.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
82 Operator’s Manual ZM-520PA/521PA/530PA/531PA5. Press each key one at a time and check that the pressed key is highlighted on the screen.When the CALL key is pressed, the key name is highlighted.6. After checking, press and hold the Screen key to return to the MANUAL CHECK screen.6. ECG Check1. Connect the vital sign simulator to the transmitter.AX-400G2. Place the transmitter 1 m from the receiving monitor.3. Turn on the transmitter and vital sign simulator.4. Check that the ECG of the transmitter appears on the receiving monitor.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 837. Respiration Check1. Connect the vital sign simulator to the transmitter.AX-400G2. Place the transmitter 1 m from the receiving monitor.3. Turn on the transmitter and vital sign simulator.4. Check that the respiration waveform of the transmitter appears on the receiving monitor.8. SpO2 Check1. Connect the SpO2 checker to the transmitter.AX-300T2. Place the transmitter 1 m from the receiving monitor.3. Turn on the transmitter and SpO2 checker.4. Check that the pulse bar graph appears on the transmitter screen.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
84 Operator’s Manual ZM-520PA/521PA/530PA/531PA5. Check that SpO2 and pulse rate on the transmitter is within the following range.SpO2 on the SpO2 Checker RangeSpO297% 95 to 99%SpO2 (±2 digit)80% 78 to 82%SpO2 (±2 digit)70% 67 to 73%SpO2 (±3 digit)Pulse rate 60 beats/min 57 to 62 beats/min (±3%/±1 beat/min)120 beats/min 115 to 124 beats/min (±3%/±1 beat/min)NOTEThe above range includes the error margin of the SpO2 checker. Therefore, the range is ±1 digit outside the SpO2 measuring accuracy of the transmitter in the “Specifications” section.6. Check that the SpO2 and pulse waveform of the transmitter appear on the receiving monitor.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 85Maintenance Check SheetHospital/Organization: Service Personnel: Instrument Name: TransmitterInstrument Model: ZM-520PA/ZM-521PA/ZM-530PA/ZM-531PAInstrument Serial Number: Hardware Revision Number: Software Revision Number: 1. External Check OK No2. Transmitter Channel OK No3. Transmitting/Receiving Signal OK No4. Display OK No5. Key Operation OK No6. ECG Check OK No7. Respiration Check OK No8. SpO2 Check OK NoOverall Judgement□ OK□ Can be used but needs maintenance.□ Maintenance required. Cannot be used.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
86 Operator’s Manual ZM-520PA/521PA/530PA/531PALifetime and DisposalCAUTIONDispose of Nihon Kohden products according to your local laws and your facility’s guidelines for waste disposal. Otherwise, it may affect the environment. If there is a possibility that the product may have been contaminated with infection, dispose of it as medical waste according to your local laws and your facility’s guidelines for medical waste. Otherwise, it may cause infection.Disposing of Used BatteriesBattery LifetimeReplace the batteries when the battery replacement indication appears on the transmitter. When using rechargeable batteries, recharge them.DisposalNOTERemove the batteries before disposing of the transmitter.Before disposing of the batteries, check with your local solid waste officials for details in your area for proper disposal. It may be illegal to dispose of these batteries in the municipal waste stream.Disposing of Electrodes and SpO2 ProbesRefer to the manual for each item.Disposing of TransmitterRemove the batteries from the transmitter and dispose of the transmitter following your local laws for disposal.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 87Cleaning, Disinfection and SterilizationTransmitter and Electrode LeadsCAUTIONThis transmitter is not waterproof. If detergent or liquid spills into the transmitter, stop cleaning or disinfecting it and contact your Nihon Kohden representative. The transmitter needs to be checked for safety and function before use.NOTEThe transmitter cannot be sterilized. Sterilizing the transmitter may damage it.Before cleaning or disinfecting, remove the batteries from the transmitter. Be careful not to let any liquid get inside the transmitter.CleaningWipe the transmitter and electrode leads with a soft cloth moistened with ethanol for disinfection (76.9 to 81.4% by vol) or neutral detergent diluted with water. After cleaning, dry them completely.Use cotton swab moistened with neutral detergent diluted with water to clean inside the battery compartment. DisinfectionCAUTIONDo not immerse the electrode lead connector in liquid.Wipe the outside surface of the transmitter and electrode lead with a non-abrasive cloth moistened with any of the disinfectants listed below. For details on the disinfectants, refer to the instruction provided with the disinfectants. Use the recommended concentration. Disinfectant Concentration (%)Glutaraldehyde solution 2.0Alkyldiaminoethylglycine hydrochloride 0.5Benzalkonium chloride 0.2Benzethonium chloride solution 0.2Chlorhexidine gluconate solution 0.5Phtharal 0.55Phenol 1.56૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
88 Operator’s Manual ZM-520PA/521PA/530PA/531PASpO2 ProbeRefer to the probe manual.Periodic Replacement ScheduleTo maintain the performance of the instrument, the following part must be periodically replaced.Name Code no. Expected life spanSilicon seal (for battery case cover) 6114-918705 1 yearRepair Parts Availability PolicyNihon Kohden Corporation (NKC) shall stock repair parts (parts necessary to maintain the performance of the instrument) for a period of 8 years from the date of delivery. In that period NKC or its authorized agents will repair the instrument. This period may be shorter than 8 years if a board or part necessary for the faulty section is not available.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 89SpecificationsZM-520PA/530PAMeasuring ParametersMeasuring waveforms: ECG, respiration in impedance method, pulseMeasuring numeric data: Heart rate, respiration rate, SpO2, pulse rateTransmitting DataWaveform data: ECG, respiration, pulse waveNumeric data: SpO2, pulse rateStatus information: Battery replacement, battery level*, alarm suspended, pause monitoring*, patient confirmed*, ECG lead, pacing detection, electrode detachment, electrode impedance*, ECG off*, respiration method (impedance)*, SpO2 status, respiration status*, channel ID, time constant (3.2 s), type of transmitter, transmitter code number*, transmitter serial number** The items marked with * are transmitted only when the protocol is “51”.DisplayDisplay size: 2.2 inch TFT color LCDViewing area: 44.16 (H) × 33.12 (V) mmResolution: 320 (H) × 240 (V) dotsDisplayed DataNumeric and waveform screen: ECG (one waveform from lead I, II, III, Va or Vb), heart rate, pulse rate, respiration rate, SpO2, message, battery level, QRS/pulse sync mark, pulse bar graph, ECG leadWaveform review screen: ECG or pulse wave of past 10 minutesNumeric review screen: Heart rate or pulse rate, respiration rate and SpO2 at 1 minute interval for past 10 minutesCheck electrodes screen: ECG for checking electrode attachmentECGECG measurementChannels: 4Input dynamic range: ±10 mV or moreElectrode offset potential tolerance: ±500 mV or moreInput impedance: 5 MΩ or more૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
90 Operator’s Manual ZM-520PA/521PA/530PA/531PACommon mode rejection ratio: 95 dB or more IEC 60601-2-27: 2005 50.102.10 compliedPacing pulse detection: amplitude ±2 to 700 mV, duration 0.1 to 2 ms IEC 60601-2-27: 2005 complied Based upon pacemaker pulse rejection capabilityDefibrillation-proof: ECG input protected against 400 Ws/DC 5 kV IEC 60601-2-27 17.101 compliedECG recovery time after defibrillation: within 10 sElectrode condition: Displays CHECK ELECTRODES messageTall T-wave rejection capability: Complies with the heights of T-waves from 0 to 1.2 mV IEC 60601-2-27: 2005 50.102.17 compliedHeart rate averaging: Calculated by using the most recent 8 beats.Heart rate meter accuracy and response to irregular rhythm: Ventricular bigeminy (Test waveform name: aami3a*): 80 bpm Slow alternating ventricular bigeminy (Test waveform name: aami3b*): 60 bpm Rapid alternating ventricular bigeminy (Test waveform name: aami3c*): 108 bpm Bidirectional systoles (Test waveform name: aami3d*): 88 bpm * The test waveforms can be download at http://www. physionet.orgResponse time of heart rate meter to change in heart rate: HR change from 80 to 120 bpm: 4 to 8 seconds HR change from 80 to 40 bpm: 11 to 15 secondsPacemaker pulse rejection capability, without overshoot: Complies with the amplitudes of pacemaker pulses ±2 to ±700 mV and widths 0.1 to 2 ms (specified in IEC 60601-2-27: 2005 50.102.13)Pacemaker pulse rejection capability, with overshoot: Overshoot amplitudes and time constants of ±0.12 mV/100 ms to ±2 mV/4 ms (As defined by method B of IEC 60601-2-27: 2005 50.102.13, this corresponds to the pacemaker pulses amplitudes and widths of ±4 mV/2 ms to amplitudes ±80 mV/0.1 ms.)ECG display and heart rate countFrequency characteristic: filter on: 1 to 18 Hz, filter off: 0.05 to 60 HzHeart rate detection method: AverageQRS detection: 70 to 120 ms: amplitude ≥ 0.5 mV, rate 30 to 200 beats/min 40 to 120 ms: amplitude ≥ 0.5 mV, rate 30 to 250 beats/min૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 91Heart rate counting range: 0, 15 to 300 beats/minHeart rate counting accuracy*: ±2 beats/min, (0, 15 to 300 beats/min)* Essential performance of this transmitterRespiration MeasurementMeasuring method: Impedance methodMeasuring lead: Between R and FImpedance range: 220 to 2000 ΩExcitor current: 54 to 93 µAp-p, 48 kHzRespiration rate measuring accuracy*: ±2 counts/min (at 0 to 150 counts/min)Respiration rate counting range: 0 to 150 counts/min* Essential performance of this transmitterSpO2 Measurement (ISO 9919: 2005 compliance)Measuring range: 0 to 100%SpO2 Declared range: 70 to 100%SpO2Minimum display range: 1%SpO2Display update cycle: Every 3 secondsMeasuring accuracy (rms)*: Accuracy assurance temperature: 18 to 40ºCTotal accuracy including probe: 80%SpO2 ≤ %SpO2 ≤ 100%SpO2: ±2%SpO2 70%SpO2 ≤ %SpO2 < 80%SpO2: ±3%SpO2 under 70%SpO2: not specifiedAccuracy of the transmitter: 80%SpO2 ≤ %SpO2 ≤ 100%SpO2: ±1%SpO2 50%SpO2 ≤ %SpO2 < 80%SpO2: ±2%SpO2 under 50%SpO2: not specifiedPulse rate declared range: 30 to 300 bpmPulse rate display range: 30 to 300 bpmPulse rate accuracy (rms)*: ±3% ±1 bpm* Essential performance of this transmitterNOTE• The SpO2 measuring accuracy was tested using the TL-201T, TL-260T, TL-271T and TL-631T SpO2 probes. The testing was performed during induced hypoxia on healthy volunteers (Ethnicity: 10 Caucasians, 2 Africans, 1 Asian and 3 Indians), (Skin: 8 light, 4 medium, 4 dark), (Age: 21 to 34), (5 women and 11 men) under the condition of no motion. Arterial blood was sampled and measured by a CO-oximeter. The difference between SpO2 measured by the SpO2 probe and functional SaO2 measured by a CO-oximeter was calculated using the root-mean-square (rms) method according to ISO 9919: 2005. This measurement accuracy figure represents 2/3 of all test measurements.• A pulse oximeter tester that generates simulated signals can be used to check the difference from the design specification, but it cannot be used as a replacement for human signals for testing accuracy.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
92 Operator’s Manual ZM-520PA/521PA/530PA/531PAResponse time: Selectable from “Slow”, “Normal” and “Fast”. The following graphs show the response time example when SpO2 changes 0.6%/s.Pulse Rate = 70 bpm60657075808590951000 10 20 30 40 50 60 70 80 90 100 110 120 130 140Time (seconds)SpO2 (%)SpO2 ReferenceSpO2 Fast SpO2 Normal SpO2 Slow60657075808590951000 10 20 30 40 50 60 70 80 90 100 110 120 130 140SpO2 ReferenceSpO2 Fast SpO2 NormalPulse Rate = 140 bpmTime (seconds)SpO2 (%)SpO2 SlowThe following graph shows the response time example when pulse rate changes 10 bpm/s.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 93SpO2=97607080901001101201301401500 102030405060708090100110120Time (seconds)PR (bpm)PR ReferencePRTransmitterFCC regulation: FCC part 95 Subpart H Wireless Medical Telemetry Service (WMTS)Field strength limits: ≤ 200 mV/m (at 3 m)Undesired emissions: ≤ 960 MHz: ≤ 200 μV/m (at 3 m) ≥ 960 MHz: ≤ 500 μV/m (at 3 m)Antenna: InternalTransmission channel: Indicated on the transmitterTransmission frequency range: 608.0250 to 613.9750 MHzChannel spacing: 50 kHz or 37.5 kHz (12.5 kHz when interleaved)Modulation: FSK (frequency shift keying)Type of emission: F1DOccupied bandwidth: 12 to 18 kHzEffective radiated power: 1.0 mWPower RequirementsRated voltage: 3.0 VShutdown voltage: 1.4 to 1.75 VOperating voltage: Shutdown voltage to 3.2 VBattery type: Two AA (LR6) type alkaline dry cell primary batteriesBattery lifetime (with alkaline batteries, at room temperature): ZM-520PA: approximately 3.5 day ZM-530PA: approximately 2.5 day (measuring ECG, respiration and SpO2) approximately 3.5 day (measuring ECG and respiration)૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
94 Operator’s Manual ZM-520PA/521PA/530PA/531PADimension and WeightDimension: 78 W × 137 H × 36 D (mm)Weight: about 230 g (excluding batteries and other accessories) about 280 g (including batteries, excluding other accessories)EnvironmentOperating environmentTemperature: 5 to 40°C (41 to 104°F)Humidity: 30 to 85% (noncondensing)Atmospheric pressure: 700 to 1060 hPaStorage and transport environmentTemperature: −20 to +65°C (−4 to +149°F)Humidity: 10 to 95%Atmospheric pressure: 700 to 1060 hPaWater resistanceWater does not get inside the transmitter when immersed in water up to 30 cm deep for 3 minutes.Safety StandardsSafety standard: CAN/CSA-C22.2 No. 601-1 M90 CAN/CSA-C22.2 No. 601-1. 1S1-94 CAN/CSA-C22.2 No. 601-1. 1B-90 CAN/CSA-C22.2 No. 60601-2-49-04 CAN/CSA-C22.2 No. 60601-2-27-06 IEC 60601-1: 1988 IEC 60601-1 Amendment 1: 1991 IEC 60601-1 Amendment 2: 1995 IEC 60601-2-27: 2005 IEC 60601-2-49: 2001 ISO 9919: 2005 UL 60601-1: 2003Type of protection against electrical shock: INTERNALLY POWERED EQUIPMENTDegree of protection against electrical shock: ECG and impedance method respiration: DEFIBRILLATION-PROOF TYPE CF APPLIED PART SpO2: DEFIBRILLATION-PROOF TYPE BF APPLIED PARTDegree of protection against harmful ingress of water: IPX0 (non-protected)૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 95Degree of safety of application in the presence of a FLAMMABLE ANAESTHETIC MIXTUREWITH AIR, OR WITH OXYGEN OR NITROUS OXIDE: Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDEMode of operation: CONTINUOUS OPERATIONME EQUIPMENT type: HAND-HELD and PORTABLEElectromagnetic CompatibilityIEC 60601-1-2: 2001IEC 60601-1-2 Amendment 1: 2004Electromagnetic EmissionsThis Model ZM-520PA/530PA is intended for use in the electromagnetic environment specified below. The customer or the user of the ZM-520PA/530PA should assure that it is used in such an environment.Emissions test Compliance Electromagnetic environment - guidanceRF emissionsCISPR 11Group 1 The ZM-520PA/530PA uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.RF emissionsCISPR 11Class B The ZM-520PA/530PA is suitable for use in all establishments, including domestic establishments.Harmonic emissionsIEC 61000-3-2Not applicableVoltage fluctuations/flicker emissionsIEC 61000-3-3Not applicable૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
96 Operator’s Manual ZM-520PA/521PA/530PA/531PAElectromagnetic ImmunityThis Model ZM-520PA/530PA is intended for use in the electromagnetic environment specified below. The customer or the user of the ZM-520PA/530PA should assure that it is used in such an environment.Immunity test IEC 60601 test levelCompliance levelElectromagnetic environment - guidanceElectrostatic discharge (ESD)IEC 61000-4-2±6 kV contact±8 kV air±6 kV contact±8 kV airFloors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.Electrical fast transient/burstIEC 61000-4-4±2 kV for power supply lines±1 kV for input/output linesNot applicable—SurgeIEC 61000-4-5±1 kV differential mode±2 kV common modeNot applicable—Voltage dips, short interruptions and voltage variations on power supply input linesIEC 61000-4-11<5% UT (>95% dip in UT) for 0.5 cycles40% UT (60% dip in UT) for 5 cycles70% UT (30% dip in UT) for 25 cycles<5% UT (>95% dip in UT) for 5 sNot applicable—Power frequency(50/60 Hz)magnetic fieldIEC 61000-4-83 A/m 3 A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.NOTE: UT is the AC mains voltage prior to application of the test level.Avoiding Electromagnetic Interference (Impedance Respiration)Impedance respiration measurement is very sensitive and affected by electromagnetic interference. Technological limitations do not allow immunity levels higher than 1 V/m for radiated RF electromagnetic fields. Electromagnetic fields with field strengths above 1 V/m may cause measurement error. Do not use electrically radiating equipment near the impedance respiration measurements.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 97Immunity test IEC 60601 test levelCompliance levelElectromagnetic environment - guidanceConducted RF IEC 61000-4-6Radiated RFIEC 61000-4-33 Vrms150 kHz to 80 MHz3 V/m 80 MHz to 2.5 GHz3 Vrms3 V/m 80 MHz to 2.5 GHz(1 V/m 80 MHz to 2.5 GHz for respiration)Portable and mobile RF communications equipment should be used no closer to any part of the ZM-520PA/530PA, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distanced = 1.2 P d = 1.2 P 80 MHz to 800 MHzd = 2.3 P 800 MHz to 2.5 GHz(d = 3.5 P 80 MHz to 800 MHz for respirationd = 7.0 P 800 MHz to 2.5 GHz for respiration)where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m).Field strengths from fixed RF transmitters, as deter mined by an electromagnetic site survey*1, should be less than the compliance level in each frequency range*2.Interference may occur in the vicinity of equipment marked with the following symbol:NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. *1 Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the ZM-520PA/530PA is used exceeds the applicable RF compliance level above, the ZM-520PA/530PA should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the ZM-520PA/530PA.*2 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 1 V/m for respiration and 3 V/m for all other functions.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
98 Operator’s Manual ZM-520PA/521PA/530PA/531PARecommended Separation Distances between Portable and Mobile RF Communications EquipmentThe ZM-520PA/530PA is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the ZM-520PA/530PA can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the ZM-520PA/530PA as recommended below, according to the maximum output power of the communications equipment.Rated maximum output power of transmitter(W)Separation distance according to frequency of transmitter (m)150 kHz to 80 MHzd = 1.2 P80 MHz to 800 MHzd = 1.2 P(For respiration:d = 3.5 P)800 MHz to 2.5 GHzd = 2.3 P(For respiration:d = 7.0 P)0.01 0.12 0.12 (0.35*) 0.23 (0.7*)0.1 0.38 0.38 (1.1*) 0.73 (2.2*)1 1.2 1.2 (3.5*) 2.3 (7.0*)10 3.8 3.8 (11*) 7.3 (22*)100 12 12 (35*) 23 (70*)For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. (* For respiration)NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.Recovery Time after DefibrillationThe transmitter returns to the normal operating mode within 10 seconds after defibrillation. The stored settings are not affected.System Composition for EMC TestThe ZM-520PA/530PA bedside monitor is tested to comply with IEC 60601-1-2: 2001 with the following composition.Units Cable LengthZM-520PA/530PA transmitter —BR-906P ECG electrode lead 0.8 mTL-201T finger probe 1.6 m૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 99ZM-521PA/531PAMeasuring ParametersMeasuring waveforms: ECG, respiration in impedance method, pulseMeasuring numeric data: Heart rate, respiration rate, SpO2, pulse rateTransmitting DataWaveform data: ECG, respiration, pulse waveNumeric data: SpO2, pulse rateStatus information: Battery replacement, battery level*, alarm suspended, pause monitoring*, patient confirmed*, ECG lead, pacing detection, electrode detachment, electrode impedance*, ECG off*, respiration method (impedance)*, SpO2 status, respiration status*, channel ID, time constant (3.2 s), type of transmitter, transmitter code number*, transmitter serial number** The items marked with * are transmitted only when the protocol is “51”.DisplayDisplay size: 2.2 inch TFT color LCDViewing area: 44.16 (H) × 33.12 (V) mmResolution: 320 (H) × 240 (V) dotsDisplayed DataNumeric and waveform screen: ECG (one waveform from lead I, II, III, Va or Vb), heart rate, pulse rate, respiration rate, SpO2, message, battery level, QRS/pulse sync mark, pulse bar graph, ECG leadWaveform review screen: ECG or pulse wave of past 10 minutesNumeric review screen: Heart rate or pulse rate, respiration rate and SpO2 at 1 minute interval for past 10 minutesCheck electrodes screen: ECG for checking electrode attachmentECGECG measurementChannels: 4Input dynamic range: ±10 mV or moreElectrode offset potential tolerance: ±500 mV or moreInput impedance: 5 MΩ or moreCommon mode rejection ratio: 95 dB or more IEC 60601-2-27: 2005 50.102.10 compliedPacing pulse detection: amplitude ±2 to 700 mV, duration 0.1 to 2 ms IEC 60601-2-27: 2005 complied Based upon pacemaker pulse rejection capability૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
100 Operator’s Manual ZM-520PA/521PA/530PA/531PADefibrillation-proof: ECG input protected against 400 Ws/DC 5 kV IEC 60601-2-27 17.101 compliedECG recovery time after defibrillation: within 10 sElectrode condition: Displays CHECK ELECTRODES messageTall T-wave rejection capability: Complies with the heights of T-waves from 0 to 1.2 mV IEC 60601-2-27: 2005 50.102.17 compliedHeart rate averaging: Calculated by using the most recent 8 beats.Heart rate meter accuracy and response to irregular rhythm: Ventricular bigeminy (Test waveform name: aami3a*): 80 bpm Slow alternating ventricular bigeminy (Test waveform name: aami3b*): 60 bpm Rapid alternating ventricular bigeminy (Test waveform name: aami3c*): 108 bpm Bidirectional systoles (Test waveform name: aami3d*): 88 bpm * The test waveforms can be download at http://www. physionet.orgResponse time of heart rate meter to change in heart rate: HR change from 80 to 120 bpm: 4 to 8 seconds HR change from 80 to 40 bpm: 11 to 15 secondsPacemaker pulse rejection capability, without overshoot: Complies with the amplitudes of pacemaker pulses ±2 to ±700 mV and widths 0.1 to 2 ms (specified in IEC 60601-2-27: 2005 50.102.13)Pacemaker pulse rejection capability, with overshoot: Overshoot amplitudes and time constants of ±0.12 mV/100 ms to ±2 mV/4 ms (As defined by method B of IEC 60601-2-27: 2005 50.102.13, this corresponds to the pacemaker pulses amplitudes and widths of ±4 mV/2 ms to amplitudes ±80 mV/0.1 ms.)ECG display and heart rate countFrequency characteristic: filter on: 1 to 18 Hz, filter off: 0.05 to 60 HzHeart rate detection method: AverageQRS detection: 70 to 120 ms: amplitude ≥ 0.5 mV, rate 30 to 200 beats/min 40 to 120 ms: amplitude ≥ 0.5 mV, rate 30 to 250 beats/minHeart rate counting range: 0, 15 to 300 beats/minHeart rate counting accuracy*: ±2 beats/min, (0, 15 to 300 beats/min)* Essential performance of this transmitter૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 101Respiration MeasurementMeasuring method: Impedance methodMeasuring lead: Between R and FImpedance range: 220 to 2000 ΩExcitor current: 54 to 93 µAp-p, 48 kHzRespiration rate measuring accuracy*: ±2 counts/min (at 0 to 150 counts/min)Respiration rate counting range: 0 to 150 counts/min* Essential performance of this transmitterSpO2 Measurement (ISO 9919: 2005 compliance)Measuring range: 0 to 100%SpO2 Declared range: 70 to 100%SpO2Minimum display range: 1%SpO2Display update cycle: Every 3 secondsMeasuring accuracy (rms)*: Accuracy assurance temperature: 18 to 40ºCTotal accuracy including probe: 80%SpO2 ≤ %SpO2 ≤ 100%SpO2: ±2%SpO2 70%SpO2 ≤ %SpO2 < 80%SpO2: ±3%SpO2 under 70%SpO2: not specifiedAccuracy of the transmitter: 80%SpO2 ≤ %SpO2 ≤ 100%SpO2: ±1%SpO2 50%SpO2 ≤ %SpO2 < 80%SpO2: ±2%SpO2 under 50%SpO2: not specifiedPulse rate measuring range: 30 to 300 bpmPulse rate display range: 30 to 300 bpmPulse rate accuracy (rms)*: ±3% ±1 bpm* Essential performance of this transmitterNOTE• The SpO2 measuring accuracy was tested using the TL-201T, TL-260T, TL-271T and TL-631T SpO2 probes. The testing was performed during induced hypoxia on healthy volunteers (Ethnicity: 10 Caucasians, 2 Africans, 1 Asian and 3 Indians), (Skin: 8 light, 4 medium, 4 dark), (Age: 21 to 34), (5 women and 11 men) under the condition of no motion. Arterial blood was sampled and measured by a CO-oximeter. The difference between SpO2 measured by the SpO2 probe and functional SaO2 measured by a CO-oximeter was calculated using the root-mean-square (rms) method according to ISO 9919: 2005. This measurement accuracy figure represents 2/3 of all test measurements.• A pulse oximeter tester that generates simulated signals can be used to check the difference from the design specification, but it cannot be used as a replacement for human signals for testing accuracy.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
102 Operator’s Manual ZM-520PA/521PA/530PA/531PAResponse time: Selectable from “Slow”, “Normal” and “Fast”. The following graphs show the response time example when SpO2 changes 0.6%/s.Pulse Rate = 70 bpm60657075808590951000 10 20 30 40 50 60 70 80 90 100 110 120 130 140Time (seconds)SpO2 (%)SpO2 ReferenceSpO2 Fast SpO2 Normal SpO2 Slow60657075808590951000 10 20 30 40 50 60 70 80 90 100 110 120 130 140SpO2 ReferenceSpO2 Fast SpO2 NormalPulse Rate = 140 bpmTime (seconds)SpO2 (%)SpO2 SlowThe following graph shows the response time example when pulse rate changes 10 bpm/s.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 103SpO2=97607080901001101201301401500 102030405060708090100110120Time (seconds)PR (bpm)PR ReferencePRTransmitterFCC regulation: FCC part 95 Subpart H Wireless Medical Telemetry Service (WMTS)Field strength limits: ≤ 740 mV/m (at 3 m)Undesired emissions: ≤ 960 MHz: ≤ 200 μV/m (at 3 m) ≥ 960 MHz: ≤ 500 μV/m (at 3 m)Antenna: InternalTransmission channel: Indicated on the transmitterTransmission frequency range: 1395.0250 to 1399.9750 MHz 1427.0250 to 1431.9750 MHzChannel spacing: 50 kHz or 37.5 kHz (12.5 kHz when interleaved)Modulation: FSK (frequency shift keying)Type of emission: F1DOccupied bandwidth: 12 to 18 kHzEffective radiated power: 5.0 mW Can be changed to 1.0 mW if requiredPower RequirementsRated voltage: 3.0 VShutdown voltage: 1.4 to 1.75 VOperating voltage: Shutdown voltage to 3.2 VBattery type: Two AA (LR6) type alkaline dry cell primary batteriesBattery lifetime (with alkaline batteries, at room temperature): ZM-521PA: approximately 2.5 day ZM-531PA: approximately 2 day (measuring ECG, respiration and SpO2) approximately 2.5 day (measuring ECG and respiration)૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
104 Operator’s Manual ZM-520PA/521PA/530PA/531PADimension and WeightDimension: 78 W × 137 H × 36 D (mm)Weight: about 230 g (excluding batteries and other accessories) about 280 g (including batteries, excluding other accessories)EnvironmentOperating environmentTemperature: 5 to 40°C (41 to 104°F)Humidity: 30 to 85% (noncondensing)Atmospheric pressure: 700 to 1060 hPaStorage and transport environmentTemperature: −20 to +65°C (−4 to +149°F)Humidity: 10 to 95%Atmospheric pressure: 700 to 1060 hPaWater resistanceWater does not get inside the transmitter when immersed in water up to 30 cm deep for 3 minutes.Safety StandardsSafety standard: CAN/CSA-C22.2 No. 601-1 M90 CAN/CSA-C22.2 No. 601-1. 1S1-94 CAN/CSA-C22.2 No. 601-1. 1B-90 CAN/CSA-C22.2 No. 60601-2-49-04 CAN/CSA-C22.2 No. 60601-2-27-06 IEC 60601-1: 1988 IEC 60601-1 Amendment 1: 1991 IEC 60601-1 Amendment 2: 1995 IEC 60601-2-27: 2005 IEC 60601-2-49: 2001 ISO 9919: 2005 UL 60601-1: 2003Type of protection against electrical shock: INTERNALLY POWERED EQUIPMENTDegree of protection against electrical shock: ECG and impedance method respiration: DEFIBRILLATION-PROOF TYPE CF APPLIED PART SpO2: DEFIBRILLATION-PROOF TYPE BF APPLIED PARTDegree of protection against harmful ingress of water: IPX0 (non-protected)૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 105Degree of safety of application in the presence of a FLAMMABLE ANAESTHETIC MIXTUREWITH AIR, OR WITH OXYGEN OR NITROUS OXIDE: Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDEMode of operation: CONTINUOUS OPERATIONME EQUIPMENT type: HAND-HELD and PORTABLEElectromagnetic CompatibilityIEC 60601-1-2: 2001IEC 60601-1-2 Amendment 1: 2004Electromagnetic EmissionsThis Model ZM-521PA/531PA is intended for use in the electromagnetic environment specified below. The customer or the user of the ZM-521PA/531PA should assure that it is used in such an environment.Emissions test Compliance Electromagnetic environment - guidanceRF emissionsCISPR 11Group 1 The ZM-521PA/531PA uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.RF emissionsCISPR 11Class B The ZM-521PA/531PA is suitable for use in all establishments, including domestic establishments.Harmonic emissionsIEC 61000-3-2Not applicableVoltage fluctuations/flicker emissionsIEC 61000-3-3Not applicable૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
106 Operator’s Manual ZM-520PA/521PA/530PA/531PAElectromagnetic ImmunityThis Model ZM-521PA/531PA is intended for use in the electromagnetic environment specified below. The customer or the user of the ZM-521PA/531PA should assure that it is used in such an environment.Immunity test IEC 60601 test levelCompliance levelElectromagnetic environment - guidanceElectrostatic discharge (ESD)IEC 61000-4-2±6 kV contact±8 kV air±6 kV contact±8 kV airFloors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.Electrical fast transient/burstIEC 61000-4-4±2 kV for power supply lines±1 kV for input/output linesNot applicable—SurgeIEC 61000-4-5±1 kV differential mode±2 kV common modeNot applicable—Voltage dips, short interruptions and voltage variations on power supply input linesIEC 61000-4-11<5% UT (>95% dip in UT) for 0.5 cycles40% UT (60% dip in UT) for 5 cycles70% UT (30% dip in UT) for 25 cycles<5% UT (>95% dip in UT) for 5 sNot applicable—Power frequency(50/60 Hz)magnetic fieldIEC 61000-4-83 A/m 3 A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.NOTE: UT is the AC mains voltage prior to application of the test level.Avoiding Electromagnetic Interference (Impedance Respiration)Impedance respiration measurement is very sensitive and affected by electromagnetic interference. Technological limitations do not allow immunity levels higher than 1 V/m for radiated RF electromagnetic fields. Electromagnetic fields with field strengths above 1 V/m may cause measurement error. Do not use electrically radiating equipment near the impedance respiration measurements.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 107Immunity test IEC 60601 test levelCompliance levelElectromagnetic environment - guidanceConducted RF IEC 61000-4-6Radiated RFIEC 61000-4-33 Vrms150 kHz to 80 MHz3 V/m 80 MHz to 2.5 GHz3 Vrms3 V/m 80 MHz to 2.5 GHz(1 V/m 80 MHz to 2.5 GHz for respiration)Portable and mobile RF communications equipment should be used no closer to any part of the ZM-521PA/531PA, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distanced = 1.2 P d = 1.2 P 80 MHz to 800 MHzd = 2.3 P 800 MHz to 2.5 GHz(d = 3.5 P 80 MHz to 800 MHz for respirationd = 7.0 P 800 MHz to 2.5 GHz for respiration)where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m).Field strengths from fixed RF transmitters, as deter mined by an electromagnetic site survey*1, should be less than the compliance level in each frequency range*2.Interference may occur in the vicinity of equipment marked with the following symbol:NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. *1 Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the ZM-521PA/531PA is used exceeds the applicable RF compliance level above, the ZM-521PA/531PA should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the ZM-521PA/531PA.*2 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 1 V/m for respiration and 3 V/m for all other functions.૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
108 Operator’s Manual ZM-520PA/521PA/530PA/531PARecommended Separation Distances between Portable and Mobile RF Communications EquipmentThe ZM-521PA/531PA is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the ZM-521PA/531PA can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the ZM-521PA/531PA as recommended below, according to the maximum output power of the communications equipment.Rated maximum output power of transmitter(W)Separation distance according to frequency of transmitter (m)150 kHz to 80 MHzd = 1.2 P80 MHz to 800 MHzd = 1.2 P(For respiration:d = 3.5 P)800 MHz to 2.5 GHzd = 2.3 P(For respiration:d = 7.0 P)0.01 0.12 0.12 (0.35*) 0.23 (0.7*)0.1 0.38 0.38 (1.1*) 0.73 (2.2*)1 1.2 1.2 (3.5*) 2.3 (7.0*)10 3.8 3.8 (11*) 7.3 (22*)100 12 12 (35*) 23 (70*)For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. (* For respiration)NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.Recovery Time after DefibrillationThe transmitter returns to the normal operating mode within 10 seconds after defibrillation. The stored settings are not affected.System Composition for EMC TestThe ZM-521PA/531PA bedside monitor is tested to comply with IEC 60601-1-2: 2001 with the following composition.Units Cable LengthZM-521PA/531PA transmitter —BR-906P ECG electrode lead 0.8 mTL-201T finger probe 1.6 m૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 109Standard AccessoriesName Model Q’ty Supply Code No.Strap — 1 Y233૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
110 Operator’s Manual ZM-520PA/521PA/530PA/531PAOptionsCAUTIONOnly use Nihon Kohden specified electrodes, electrode leads and SpO2 probes. Otherwise, the maximum performance from the transmitter cannot be guaranteed.TransmitterChannel writer, QI-901PKECG/RESPName Purpose Length (m) Code No. Q’ty Supply Code No.Electrode lead3 electrodes AHA, clip type 0.8 BR-903PA 1K911A6 electrodes BR-906PA K912ADisposable electrodes, VitrodeGeneral –L-150 30 × 5 G203L-150X G207F-150M 3 × 50 G210DGeneral with DIN type lead1.0 V-090M3 3 × 30 G272A1.5 V-09IO3 G278A1.0 V-040M4 4 × 10 G272B1.5 V-04IO4 G273A1.0 V-060M6 6 × 10 G272C1.5 V-06IO6 G274AFor neonates and premature infantsFor NICU– F-150S 3 × 50 G210CFor neonates and premature infantsFor NICU with DIN type lead60 cmV-120S3 3 × 40 G271AN-03IS3 3 × 10 G300A૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 111SpO2 Name Cable LengthModel/Code No. Q’ty Supply Code No.Finger probe (reusable) 0.6 m TL-201T1P225H1.6 m P225FMulti-site probe (reusable) 1.6 m TL-220T P225GFinger probe (reusable) 0.6 m TL-631T1 P311A1.6 m TL-631T3 P311CSpO2 probe (for adult, disposable) 0.8 m TL-271T24P203A1.6 m TL-271T3 P203ESpO2 probe (for child, disposable) 0.8 m TL-272T P203B1.6 m TL-272T3 P203FSpO2 probe (for neonate/adult, disposable)0.8 m TL-273T P203C1.6 m TL-273T3 P203GSpO2 probe (for child/infant, disposable)0.8 m TL-274T P203D1.6 m TL-274T3 P203HSpO2 probe (for adult/neonate, disposable)0.8 m TL-051S5P228A1.6 m TL-052S P228BSpO2 probe (for child/infant, disposable)0.8 m TL-061S P229A1.6 m TL-062S P229BCOTTONY tape—340703 20 P259Foam tape for TL-051S/052S/ 061S/062S —4 × 25 packages P260Attachment tape for TL-220T/631T 3 × 30 packages P263Probe fastener YS-093P2 30 P267૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
112 Operator’s Manual ZM-520PA/521PA/530PA/531PATransmission FrequenciesChannel: 9002 to 9478TransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.608.0250 9002 608.4375 9035 608.8500 9068608.0375 9003 608.4500 9036 608.8625 9069608.0500 9004 608.4625 9037 608.8750 9070608.0625 9005 608.4750 9038 608.8875 9071608.0750 9006 608.4875 9039 608.9000 9072608.0875 9007 608.5000 9040 608.9125 9073608.1000 9008 608.5125 9041 608.9250 9074608.1125 9009 608.5250 9042 608.9375 9075608.1250 9010 608.5375 9043 608.9500 9076608.1375 9011 608.5500 9044 608.9625 9077608.1500 9012 608.5625 9045 608.9750 9078608.1625 9013 608.5750 9046 608.9875 9079608.1750 9014 608.5875 9047 609.0000 9080608.1875 9015 608.6000 9048 609.0125 9081608.2000 9016 608.6125 9049 609.0250 9082608.2125 9017 608.6250 9050 609.0375 9083608.2250 9018 608.6375 9051 609.0500 9084608.2375 9019 608.6500 9052 609.0625 9085608.2500 9020 608.6625 9053 609.0750 9086608.2625 9021 608.6750 9054 609.0875 9087608.2750 9022 608.6875 9055 609.1000 9088608.2875 9023 608.7000 9056 609.1125 9089608.3000 9024 608.7125 9057 609.1250 9090608.3125 9025 608.7250 9058 609.1375 9091608.3250 9026 608.7375 9059 609.1500 9092608.3375 9027 608.7500 9060 609.1625 9093608.3500 9028 608.7625 9061 609.1750 9094608.3625 9029 608.7750 9062 609.1875 9095608.3750 9030 608.7875 9063 609.2000 9096608.3875 9031 608.8000 9064 609.2125 9097608.4000 9032 608.8125 9065 609.2250 9098૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 113TransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.608.4125 9033 608.8250 9066 609.2375 9099608.4250 9034 608.8375 9067 609.2500 9100609.2625 9101 609.7125 9137 610.1625 9173609.2750 9102 609.7250 9138 610.1750 9174609.2875 9103 609.7375 9139 610.1875 9175609.3000 9104 609.7500 9140 610.2000 9176609.3125 9105 609.7625 9141 610.2125 9177609.3250 9106 609.7750 9142 610.2250 9178609.3375 9107 609.7875 9143 610.2375 9179609.3500 9108 609.8000 9144 610.2500 9180609.3625 9109 609.8125 9145 610.2625 9181609.3750 9110 609.8250 9146 610.2750 9182609.3875 9111 609.8375 9147 610.2875 9183609.4000 9112 609.8500 9148 610.3000 9184609.4125 9113 609.8625 9149 610.3125 9185609.4250 9114 609.8750 9150 610.3250 9186609.4375 9115 609.8875 9151 610.3375 9187609.4500 9116 609.9000 9152 610.3500 9188609.4625 9117 609.9125 9153 610.3625 9189609.4750 9118 609.9250 9154 610.3750 9190609.4875 9119 609.9375 9155 610.3875 9191609.5000 9120 609.9500 9156 610.4000 9192609.5125 9121 609.9625 9157 610.4125 9193609.5250 9122 609.9750 9158 610.4250 9194609.5375 9123 609.9875 9159 610.4375 9195609.5500 9124 610.0000 9160 610.4500 9196609.5625 9125 610.0125 9161 610.4625 9197609.5750 9126 610.0250 9162 610.4750 9198609.5875 9127 610.0375 9163 610.4875 9199609.6000 9128 610.0500 9164 610.5000 9200609.6125 9129 610.0625 9165 610.5125 9201609.6250 9130 610.0750 9166 610.5250 9202609.6375 9131 610.0875 9167 610.5375 9203609.6500 9132 610.1000 9168 610.5500 9204609.6625 9133 610.1125 9169 610.5625 9205૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
114 Operator’s Manual ZM-520PA/521PA/530PA/531PATransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.609.6750 9134 610.1250 9170 610.5750 9206609.6875 9135 610.1375 9171 610.5875 9207609.7000 9136 610.1500 9172 610.6000 9208610.6125 9209 611.0625 9245 611.5125 9281610.6250 9210 611.0750 9246 611.5250 9282610.6375 9211 611.0875 9247 611.5375 9283610.6500 9212 611.1000 9248 611.5500 9284610.6625 9213 611.1125 9249 611.5625 9285610.6750 9214 611.1250 9250 611.5750 9286610.6875 9215 611.1375 9251 611.5875 9287610.7000 9216 611.1500 9252 611.6000 9288610.7125 9217 611.1625 9253 611.6125 9289610.7250 9218 611.1750 9254 611.6250 9290610.7375 9219 611.1875 9255 611.6375 9291610.7500 9220 611.2000 9256 611.6500 9292610.7625 9221 611.2125 9257 611.6625 9293610.7750 9222 611.2250 9258 611.6750 9294610.7875 9223 611.2375 9259 611.6875 9295610.8000 9224 611.2500 9260 611.7000 9296610.8125 9225 611.2625 9261 611.7125 9297610.8250 9226 611.2750 9262 611.7250 9298610.8375 9227 611.2875 9263 611.7375 9299610.8500 9228 611.3000 9264 611.7500 9300610.8625 9229 611.3125 9265 611.7625 9301610.8750 9230 611.3250 9266 611.7750 9302610.8875 9231 611.3375 9267 611.7875 9303610.9000 9232 611.3500 9268 611.8000 9304610.9125 9233 611.3625 9269 611.8125 9305610.9250 9234 611.3750 9270 611.8250 9306610.9375 9235 611.3875 9271 611.8375 9307610.9500 9236 611.4000 9272 611.8500 9308610.9625 9237 611.4125 9273 611.8625 9309610.9750 9238 611.4250 9274 611.8750 9310610.9875 9239 611.4375 9275 611.8875 9311611.0000 9240 611.4500 9276 611.9000 9312૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 115TransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.611.0125 9241 611.4625 9277 611.9125 9313611.0250 9242 611.4750 9278 611.9250 9314611.0375 9243 611.4875 9279 611.9375 9315611.0500 9244 611.5000 9280 611.9500 9316611.9625 9317 612.4125 9353 612.8625 9389611.9750 9318 612.4250 9354 612.8750 9390611.9875 9319 612.4375 9355 612.8875 9391612.0000 9320 612.4500 9356 612.9000 9392612.0125 9321 612.4625 9357 612.9125 9393612.0250 9322 612.4750 9358 612.9250 9394612.0375 9323 612.4875 9359 612.9375 9395612.0500 9324 612.5000 9360 612.9500 9396612.0625 9325 612.5125 9361 612.9625 9397612.0750 9326 612.5250 9362 612.9750 9398612.0875 9327 612.5375 9363 612.9875 9399612.1000 9328 612.5500 9364 613.0000 9400612.1125 9329 612.5625 9365 613.0125 9401612.1250 9330 612.5750 9366 613.0250 9402612.1375 9331 612.5875 9367 613.0375 9403612.1500 9332 612.6000 9368 613.0500 9404612.1625 9333 612.6125 9369 613.0625 9405612.1750 9334 612.6250 9370 613.0750 9406612.1875 9335 612.6375 9371 613.0875 9407612.2000 9336 612.6500 9372 613.1000 9408612.2125 9337 612.6625 9373 613.1125 9409612.2250 9338 612.6750 9374 613.1250 9410612.2375 9339 612.6875 9375 613.1375 9411612.2500 9340 612.7000 9376 613.1500 9412612.2625 9341 612.7125 9377 613.1625 9413612.2750 9342 612.7250 9378 613.1750 9414612.2875 9343 612.7375 9379 613.1875 9415612.3000 9344 612.7500 9380 613.2000 9416612.3125 9345 612.7625 9381 613.2125 9417612.3250 9346 612.7750 9382 613.2250 9418612.3375 9347 612.7875 9383 613.2375 9419612.3500 9348 612.8000 9384 613.2500 9420૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
116 Operator’s Manual ZM-520PA/521PA/530PA/531PATransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.TransmissionFrequency(MHz)Channel No.612.3625 9349 612.8125 9385 613.2625 9421612.3750 9350 612.8250 9386 613.2750 9422612.3875 9351 612.8375 9387 613.2875 9423612.4000 9352 612.8500 9388 613.3000 9424613.3125 9425 613.5375 9443 613.7625 9461613.3250 9426 613.5500 9444 613.7750 9462613.3375 9427 613.5625 9445 613.7875 9463613.3500 9428 613.5750 9446 613.8000 9464613.3625 9429 613.5875 9447 613.8125 9465613.3750 9430 613.6000 9448 613.8250 9466613.3875 9431 613.6125 9449 613.8375 9467613.4000 9432 613.6250 9450 613.8500 9468613.4125 9433 613.6375 9451 613.8625 9469613.4250 9434 613.6500 9452 613.8750 9470613.4375 9435 613.6625 9453 613.8875 9471613.4500 9436 613.6750 9454 613.9000 9472613.4625 9437 613.6875 9455 613.9125 9473613.4750 9438 613.7000 9456 613.9250 9474613.4875 9439 613.7125 9457 613.9375 9475613.5000 9440 613.7250 9458 613.9500 9476613.5125 9441 613.7375 9459 613.9625 9477613.5250 9442 613.7500 9460 613.9750 9478Channel: E002 to E398Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1395.0250 E002 1395.4625 E037 1395.9000 E0721395.0375 E003 1395.4750 E038 1395.9125 E0731395.0500 E004 1395.4875 E039 1395.9250 E0741395.0625 E005 1395.5000 E040 1395.9375 E0751395.0750 E006 1395.5125 E041 1395.9500 E0761395.0875 E007 1395.5250 E042 1395.9625 E0771395.1000 E008 1395.5375 E043 1395.9750 E078૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 117Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1395.1125 E009 1395.5500 E044 1395.9875 E0791395.1250 E010 1395.5625 E045 1396.0000 E0801395.1375 E011 1395.5750 E046 1396.0125 E0811395.1500 E012 1395.5875 E047 1396.0250 E0821395.1625 E013 1395.6000 E048 1396.0375 E0831395.1750 E014 1395.6125 E049 1396.0500 E0841395.1875 E015 1395.6250 E050 1396.0625 E0851395.2000 E016 1395.6375 E051 1396.0750 E0861395.2125 E017 1395.6500 E052 1396.0875 E0871395.2250 E018 1395.6625 E053 1396.1000 E0881395.2375 E019 1395.6750 E054 1396.1125 E0891395.2500 E020 1395.6875 E055 1396.1250 E0901395.2625 E021 1395.7000 E056 1396.1375 E0911395.2750 E022 1395.7125 E057 1396.1500 E0921395.2875 E023 1395.7250 E058 1396.1625 E0931395.3000 E024 1395.7375 E059 1396.1750 E0941395.3125 E025 1395.7500 E060 1396.1875 E0951395.3250 E026 1395.7625 E061 1396.2000 E0961395.3375 E027 1395.7750 E062 1396.2125 E0971395.3500 E028 1395.7875 E063 1396.2250 E0981395.3625 E029 1395.8000 E064 1396.2375 E0991395.3750 E030 1395.8125 E065 1396.2500 E1001395.3875 E031 1395.8250 E066 1396.2625 E1011395.4000 E032 1395.8375 E067 1396.2750 E1021395.4125 E033 1395.8500 E068 1396.2875 E1031395.4250 E034 1395.8625 E069 1396.3000 E1041395.4375 E035 1395.8750 E070 1396.3125 E1051395.4500 E036 1395.8875 E071 1396.3250 E1061396.3375 E107 1396.7875 E143 1397.2375 E1791396.3500 E108 1396.8000 E144 1397.2500 E1801396.3625 E109 1396.8125 E145 1397.2625 E1811396.3750 E110 1396.8250 E146 1397.2750 E1821396.3875 E111 1396.8375 E147 1397.2875 E1831396.4000 E112 1396.8500 E148 1397.3000 E1841396.4125 E113 1396.8625 E149 1397.3125 E185૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
118 Operator’s Manual ZM-520PA/521PA/530PA/531PATransmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1396.4250 E114 1396.8750 E150 1397.3250 E1861396.4375 E115 1396.8875 E151 1397.3375 E1871396.4500 E116 1396.9000 E152 1397.3500 E1881396.4625 E117 1396.9125 E153 1397.3625 E1891396.4750 E118 1396.9250 E154 1397.3750 E1901396.4875 E119 1396.9375 E155 1397.3875 E1911396.5000 E120 1396.9500 E156 1397.4000 E1921396.5125 E121 1396.9625 E157 1397.4125 E1931396.5250 E122 1396.9750 E158 1397.4250 E1941396.5375 E123 1396.9875 E159 1397.4375 E1951396.5500 E124 1397.0000 E160 1397.4500 E1961396.5625 E125 1397.0125 E161 1397.4625 E1971396.5750 E126 1397.0250 E162 1397.4750 E1981396.5875 E127 1397.0375 E163 1397.4875 E1991396.6000 E128 1397.0500 E164 1397.5000 E2001396.6125 E129 1397.0625 E165 1397.5125 E2011396.6250 E130 1397.0750 E166 1397.5250 E2021396.6375 E131 1397.0875 E167 1397.5375 E2031396.6500 E132 1397.1000 E168 1397.5500 E2041396.6625 E133 1397.1125 E169 1397.5625 E2051396.6750 E134 1397.1250 E170 1397.5750 E2061396.6875 E135 1397.1375 E171 1397.5875 E2071396.7000 E136 1397.1500 E172 1397.6000 E2081396.7125 E137 1397.1625 E173 1397.6125 E2091396.7250 E138 1397.1750 E174 1397.6250 E2101396.7375 E139 1397.1875 E175 1397.6375 E2111396.7500 E140 1397.2000 E176 1397.6500 E2121396.7625 E141 1397.2125 E177 1397.6625 E2131396.7750 E142 1397.2250 E178 1397.6750 E2141397.6875 E215 1398.1375 E251 1398.5875 E2871397.7000 E216 1398.1500 E252 1398.6000 E2881397.7125 E217 1398.1625 E253 1398.6125 E2891397.7250 E218 1398.1750 E254 1398.6250 E2901397.7375 E219 1398.1875 E255 1398.6375 E2911397.7500 E220 1398.2000 E256 1398.6500 E292૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 119Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1397.7625 E221 1398.2125 E257 1398.6625 E2931397.7750 E222 1398.2250 E258 1398.6750 E2941397.7875 E223 1398.2375 E259 1398.6875 E2951397.8000 E224 1398.2500 E260 1398.7000 E2961397.8125 E225 1398.2625 E261 1398.7125 E2971397.8250 E226 1398.2750 E262 1398.7250 E2981397.8375 E227 1398.2875 E263 1398.7375 E2991397.8500 E228 1398.3000 E264 1398.7500 E3001397.8625 E229 1398.3125 E265 1398.7625 E3011397.8750 E230 1398.3250 E266 1398.7750 E3021397.8875 E231 1398.3375 E267 1398.7875 E3031397.9000 E232 1398.3500 E268 1398.8000 E3041397.9125 E233 1398.3625 E269 1398.8125 E3051397.9250 E234 1398.3750 E270 1398.8250 E3061397.9375 E235 1398.3875 E271 1398.8375 E3071397.9500 E236 1398.4000 E272 1398.8500 E3081397.9625 E237 1398.4125 E273 1398.8625 E3091397.9750 E238 1398.4250 E274 1398.8750 E3101397.9875 E239 1398.4375 E275 1398.8875 E3111398.0000 E240 1398.4500 E276 1398.9000 E3121398.0125 E241 1398.4625 E277 1398.9125 E3131398.0250 E242 1398.4750 E278 1398.9250 E3141398.0375 E243 1398.4875 E279 1398.9375 E3151398.0500 E244 1398.5000 E280 1398.9500 E3161398.0625 E245 1398.5125 E281 1398.9625 E3171398.0750 E246 1398.5250 E282 1398.9750 E3181398.0875 E247 1398.5375 E283 1398.9875 E3191398.1000 E248 1398.5500 E284 1399.0000 E3201398.1125 E249 1398.5625 E285 1399.0125 E3211398.1250 E250 1398.5750 E286 1399.0250 E3221399.0375 E323 1399.4625 E357 1399.8875 E3911399.0500 E324 1399.4750 E358 1399.9000 E3921399.0625 E325 1399.4875 E359 1399.9125 E3931399.0750 E326 1399.5000 E360 1399.9250 E3941399.0875 E327 1399.5125 E361 1399.9375 E395૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
120 Operator’s Manual ZM-520PA/521PA/530PA/531PATransmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1399.1000 E328 1399.5250 E362 1399.9500 E3961399.1125 E329 1399.5375 E363 1399.9625 E3971399.1250 E330 1399.5500 E364 1399.9750 E3981399.1375 E331 1399.5625 E3651399.1500 E332 1399.5750 E3661399.1625 E333 1399.5875 E3671399.1750 E334 1399.6000 E3681399.1875 E335 1399.6125 E3691399.2000 E336 1399.6250 E3701399.2125 E337 1399.6375 E3711399.2250 E338 1399.6500 E3721399.2375 E339 1399.6625 E3731399.2500 E340 1399.6750 E3741399.2625 E341 1399.6875 E3751399.2750 E342 1399.7000 E3761399.2875 E343 1399.7125 E3771399.3000 E344 1399.7250 E3781399.3125 E345 1399.7375 E3791399.3250 E346 1399.7500 E3801399.3375 E347 1399.7625 E3811399.3500 E348 1399.7750 E3821399.3625 E349 1399.7875 E3831399.3750 E350 1399.8000 E3841399.3875 E351 1399.8125 E3851399.4000 E352 1399.8250 E3861399.4125 E353 1399.8375 E3871399.4250 E354 1399.8500 E3881399.4375 E355 1399.8625 E3891399.4500 E356 1399.8750 E390૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 121Channel: E502 to E898Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1427.0250 E502 1427.4500 E536 1427.8750 E5701427.0375 E503 1427.4625 E537 1427.8875 E5711427.0500 E504 1427.4750 E538 1427.9000 E5721427.0625 E505 1427.4875 E539 1427.9125 E5731427.0750 E506 1427.5000 E540 1427.9250 E5741427.0875 E507 1427.5125 E541 1427.9375 E5751427.1000 E508 1427.5250 E542 1427.9500 E5761427.1125 E509 1427.5375 E543 1427.9625 E5771427.1250 E510 1427.5500 E544 1427.9750 E5781427.1375 E511 1427.5625 E545 1427.9875 E5791427.1500 E512 1427.5750 E546 1428.0000 E5801427.1625 E513 1427.5875 E547 1428.0125 E5811427.1750 E514 1427.6000 E548 1428.0250 E5821427.1875 E515 1427.6125 E549 1428.0375 E5831427.2000 E516 1427.6250 E550 1428.0500 E5841427.2125 E517 1427.6375 E551 1428.0625 E5851427.2250 E518 1427.6500 E552 1428.0750 E5861427.2375 E519 1427.6625 E553 1428.0875 E5871427.2500 E520 1427.6750 E554 1428.1000 E5881427.2625 E521 1427.6875 E555 1428.1125 E5891427.2750 E522 1427.7000 E556 1428.1250 E5901427.2875 E523 1427.7125 E557 1428.1375 E5911427.3000 E524 1427.7250 E558 1428.1500 E5921427.3125 E525 1427.7375 E559 1428.1625 E5931427.3250 E526 1427.7500 E560 1428.1750 E5941427.3375 E527 1427.7625 E561 1428.1875 E5951427.3500 E528 1427.7750 E562 1428.2000 E5961427.3625 E529 1427.7875 E563 1428.2125 E5971427.3750 E530 1427.8000 E564 1428.2250 E5981427.3875 E531 1427.8125 E565 1428.2375 E5991427.4000 E532 1427.8250 E566 1428.2500 E6001427.4125 E533 1427.8375 E567 1428.2625 E6011427.4250 E534 1427.8500 E568 1428.2750 E602૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
122 Operator’s Manual ZM-520PA/521PA/530PA/531PATransmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1427.4375 E535 1427.8625 E569 1428.2875 E6031428.3000 E604 1428.7500 E640 1429.2000 E6761428.3125 E605 1428.7625 E641 1429.2125 E6771428.3250 E606 1428.7750 E642 1429.2250 E6781428.3375 E607 1428.7875 E643 1429.2375 E6791428.3500 E608 1428.8000 E644 1429.2500 E6801428.3625 E609 1428.8125 E645 1429.2625 E6811428.3750 E610 1428.8250 E646 1429.2750 E6821428.3875 E611 1428.8375 E647 1429.2875 E6831428.4000 E612 1428.8500 E648 1429.3000 E6841428.4125 E613 1428.8625 E649 1429.3125 E6851428.4250 E614 1428.8750 E650 1429.3250 E6861428.4375 E615 1428.8875 E651 1429.3375 E6871428.4500 E616 1428.9000 E652 1429.3500 E6881428.4625 E617 1428.9125 E653 1429.3625 E6891428.4750 E618 1428.9250 E654 1429.3750 E6901428.4875 E619 1428.9375 E655 1429.3875 E6911428.5000 E620 1428.9500 E656 1429.4000 E6921428.5125 E621 1428.9625 E657 1429.4125 E6931428.5250 E622 1428.9750 E658 1429.4250 E6941428.5375 E623 1428.9875 E659 1429.4375 E6951428.5500 E624 1429.0000 E660 1429.4500 E6961428.5625 E625 1429.0125 E661 1429.4625 E6971428.5750 E626 1429.0250 E662 1429.4750 E6981428.5875 E627 1429.0375 E663 1429.4875 E6991428.6000 E628 1429.0500 E664 1429.5000 E7001428.6125 E629 1429.0625 E665 1429.5125 E7011428.6250 E630 1429.0750 E666 1429.5250 E7021428.6375 E631 1429.0875 E667 1429.5375 E7031428.6500 E632 1429.1000 E668 1429.5500 E7041428.6625 E633 1429.1125 E669 1429.5625 E7051428.6750 E634 1429.1250 E670 1429.5750 E7061428.6875 E635 1429.1375 E671 1429.5875 E7071428.7000 E636 1429.1500 E672 1429.6000 E7081428.7125 E637 1429.1625 E673 1429.6125 E709૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 123Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1428.7250 E638 1429.1750 E674 1429.6250 E7101428.7375 E639 1429.1875 E675 1429.6375 E7111429.6500 E712 1430.1000 E748 1430.5500 E7841429.6625 E713 1430.1125 E749 1430.5625 E7851429.6750 E714 1430.1250 E750 1430.5750 E7861429.6875 E715 1430.1375 E751 1430.5875 E7871429.7000 E716 1430.1500 E752 1430.6000 E7881429.7125 E717 1430.1625 E753 1430.6125 E7891429.7250 E718 1430.1750 E754 1430.6250 E7901429.7375 E719 1430.1875 E755 1430.6375 E7911429.7500 E720 1430.2000 E756 1430.6500 E7921429.7625 E721 1430.2125 E757 1430.6625 E7931429.7750 E722 1430.2250 E758 1430.6750 E7941429.7875 E723 1430.2375 E759 1430.6875 E7951429.8000 E724 1430.2500 E760 1430.7000 E7961429.8125 E725 1430.2625 E761 1430.7125 E7971429.8250 E726 1430.2750 E762 1430.7250 E7981429.8375 E727 1430.2875 E763 1430.7375 E7991429.8500 E728 1430.3000 E764 1430.7500 E8001429.8625 E729 1430.3125 E765 1430.7625 E8011429.8750 E730 1430.3250 E766 1430.7750 E8021429.8875 E731 1430.3375 E767 1430.7875 E8031429.9000 E732 1430.3500 E768 1430.8000 E8041429.9125 E733 1430.3625 E769 1430.8125 E8051429.9250 E734 1430.3750 E770 1430.8250 E8061429.9375 E735 1430.3875 E771 1430.8375 E8071429.9500 E736 1430.4000 E772 1430.8500 E8081429.9625 E737 1430.4125 E773 1430.8625 E8091429.9750 E738 1430.4250 E774 1430.8750 E8101429.9875 E739 1430.4375 E775 1430.8875 E8111430.0000 E740 1430.4500 E776 1430.9000 E8121430.0125 E741 1430.4625 E777 1430.9125 E8131430.0250 E742 1430.4750 E778 1430.9250 E8141430.0375 E743 1430.4875 E779 1430.9375 E8151430.0500 E744 1430.5000 E780 1430.9500 E816૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
124 Operator’s Manual ZM-520PA/521PA/530PA/531PATransmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1430.0625 E745 1430.5125 E781 1430.9625 E8171430.0750 E746 1430.5250 E782 1430.9750 E8181430.0875 E747 1430.5375 E783 1430.9875 E8191431.0000 E820 1431.4375 E855 1431.8750 E8901431.0125 E821 1431.4500 E856 1431.8875 E8911431.0250 E822 1431.4625 E857 1431.9000 E8921431.0375 E823 1431.4750 E858 1431.9125 E8931431.0500 E824 1431.4875 E859 1431.9250 E8941431.0625 E825 1431.5000 E860 1431.9375 E8951431.0750 E826 1431.5125 E861 1431.9500 E8961431.0875 E827 1431.5250 E862 1431.9625 E8971431.1000 E828 1431.5375 E863 1431.9750 E8981431.1125 E829 1431.5500 E8641431.1250 E830 1431.5625 E8651431.1375 E831 1431.5750 E8661431.1500 E832 1431.5875 E8671431.1625 E833 1431.6000 E8681431.1750 E834 1431.6125 E8691431.1875 E835 1431.6250 E8701431.2000 E836 1431.6375 E8711431.2125 E837 1431.6500 E8721431.2250 E838 1431.6625 E8731431.2375 E839 1431.6750 E8741431.2500 E840 1431.6875 E8751431.2625 E841 1431.7000 E8761431.2750 E842 1431.7125 E8771431.2875 E843 1431.7250 E8781431.3000 E844 1431.7375 E8791431.3125 E845 1431.7500 E8801431.3250 E846 1431.7625 E8811431.3375 E847 1431.7750 E8821431.3500 E848 1431.7875 E8831431.3625 E849 1431.8000 E8841431.3750 E850 1431.8125 E8851431.3875 E851 1431.8250 E886૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬
Operator’s Manual ZM-520PA/521PA/530PA/531PA 125Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.Transmission Frequency (MHz)Channel No.1431.4000 E852 1431.8375 E8871431.4125 E853 1431.8500 E8881431.4250 E854 1431.8625 E889૞ᚑ㒙ጊޓᖘᏆ ᛚ⹺⌀ᨩޓ⌬

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