Nihon Kohden ZM-530PA WMTS TRANSMITTER User Manual

Nihon Kohden Corporation WMTS TRANSMITTER

ZM 530PA User Manual PDF Download & Text

User Manual

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Date Submitted	2011-07-18 00:00:00
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Document Author:	NKC

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Transmitter
ZM-520PA/ZM-521PA
ZM-530PA/ZM-531PA
If you have any comments or suggestions on this
manual, please contact us at:
www.nihonkohden.com
0614-904743
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Copyright Notice
The 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.
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Contents
GENERAL HANDLING PRECAUTIONS ...................................................................... i
WARRANTY POLICY ..................................................................................................iii
Equipment Authorization Requirement ........................................................................iv
EMC RELATED CAUTION ........................................................................................... v
Conventions Used in this Manual and Instrument ......................................................vii
Warnings, Cautions and Notes..............................................................................vii
Explanations of the Symbols in this Manual and Instrument................................ viii
Intended Use ..................................................................................................................... 1
General ........................................................................................................................ 1
Receiving Monitor ........................................................................................................ 3
Panel Description .............................................................................................................. 4
Top Panel ..................................................................................................................... 4
Front Panel................................................................................................................... 5
Rear Panel ................................................................................................................... 7
Important Safety Information ............................................................................................. 8
General ........................................................................................................................ 8
Output Signal ............................................................................................................. 12
Battery ....................................................................................................................... 12
Transmitter Channel Management ............................................................................. 13
For Patients Using Implantable Pacemaker ............................................................... 13
ECG Monitoring ......................................................................................................... 14
SpO2 Monitoring......................................................................................................... 15
Maintenance .............................................................................................................. 17
Preparation on Transmitter .............................................................................................. 19
Batteries..................................................................................................................... 19
Handling Batteries ................................................................................................ 19
Battery Lifetime .................................................................................................... 19
Installing (Replacing) Batteries ............................................................................ 20
Situations Requiring Battery Replacement .......................................................... 21
Battery Level Indication ........................................................................................ 21
Attaching a Strap to the Transmitter ........................................................................... 22
Turning On the Transmitter ......................................................................................... 23
Check Items Before Use ...................................................................................... 23
Check Items After Power On ................................................................................ 24
Check Items After Use ......................................................................................... 24
Turning Off the Transmitter ......................................................................................... 25
Changing the Transmitter Channel............................................................................. 25
Changing Parameter and System Setup Settings ........................................................... 26
Changing PARAMETER SETUP Settings.................................................................. 26
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Parameter Setup Setting List ............................................................................... 26
Displaying the PARAMETER SETUP Screen ...................................................... 27
Changing Parameter Setup Settings .................................................................... 28
Changing SYSTEM SETUP Settings ......................................................................... 31
System Setup Setting List .................................................................................... 31
Displaying the SYSTEM SETUP Screen.............................................................. 32
Changing System Setup Settings ........................................................................ 33
Initializing Settings ..................................................................................................... 36
Attaching Electrodes and SpO2 Probe to the Patient....................................................... 37
Attaching Electrodes .................................................................................................. 37
Selecting Electrode Lead ..................................................................................... 37
Connecting the Electrode Lead to the Transmitter ............................................... 38
Electrode Position ................................................................................................ 39
Attaching Electrodes to the Patient and Connecting the Electrode Leads to
Disposable Electrodes ......................................................................................... 43
Checking ECG on the Transmitter Screen............................................................ 44
Attaching the SpO2 Probe .......................................................................................... 44
Selecting the SpO2 Probe .................................................................................... 44
Connecting the SpO2 Probe to the Transmitter .................................................... 47
Attaching the Probe to the Patient........................................................................ 48
Locking the Keys on the Transmitter ................................................................................ 50
Monitoring ........................................................................................................................ 51
Screen Descriptions................................................................................................... 51
Check Electrodes Screen ..................................................................................... 53
Numeric and Waveform Screen ........................................................................... 54
Waveform Review Screen .................................................................................... 55
Numeric Review Screen ....................................................................................... 56
Display Off ............................................................................................................ 56
Basic Monitoring Operation ....................................................................................... 57
Using the Function Key ........................................................................................ 57
Suspending Alarms on the Receiving Monitor ..................................................... 58
Pause Monitoring ................................................................................................. 59
Resume Monitoring after Pause ........................................................................... 61
Conﬁrming Patient ................................................................................................ 61
Turning the Display Off ......................................................................................... 62
Turning the Display On after It was Turned Off ..................................................... 62
ECG and Respiration Monitoring ............................................................................... 63
Turning ECG Measurement On/Off ...................................................................... 66
Turning Respiration Measurement On/Off............................................................ 66
Electrode Detachment.......................................................................................... 66
SpO2 Monitoring......................................................................................................... 67
Indications and Messages ............................................................................................... 71
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Indication ................................................................................................................... 71
Messages .................................................................................................................. 71
Message Display Priority...................................................................................... 74
Troubleshooting ............................................................................................................... 75
Transmitter ................................................................................................................. 75
ECG/Respiration ........................................................................................................ 76
SpO2 ......................................................................................................................... 77
Maintenance .................................................................................................................... 78
1. External Check ................................................................................................. 78
2. Transmitter Channel ......................................................................................... 78
3. Transmitting/Receiving Signal .......................................................................... 79
4. Display .............................................................................................................. 79
5. Key Operation ................................................................................................... 81
6. ECG Check....................................................................................................... 82
7. Respiration Check ............................................................................................ 83
8. SpO2 Check ...................................................................................................... 83
Maintenance Check Sheet ................................................................................... 85
Lifetime and Disposal ...................................................................................................... 86
Disposing of Used Batteries ...................................................................................... 86
Battery Lifetime .................................................................................................... 86
Disposal ............................................................................................................... 86
Disposing of Electrodes and SpO2 Probes ................................................................ 86
Disposing of Transmitter............................................................................................. 86
Cleaning, Disinfection and Sterilization ........................................................................... 87
Transmitter and Electrode Leads ............................................................................... 87
Cleaning ............................................................................................................... 87
Disinfection ........................................................................................................... 87
SpO2 Probe ................................................................................................................ 88
Periodic Replacement Schedule ..................................................................................... 88
Repair Parts Availability Policy ........................................................................................ 88
Speciﬁcations .................................................................................................................. 89
ZM-520PA/530PA ....................................................................................................... 89
Measuring Parameters ......................................................................................... 89
Transmitting Data ................................................................................................. 89
Display.................................................................................................................. 89
Displayed Data ..................................................................................................... 89
ECG ..................................................................................................................... 89
Respiration Measurement .................................................................................... 91
SpO2 Measurement (ISO 9919: 2005 compliance) .............................................. 91
Transmitter ........................................................................................................... 93
Power Requirements ............................................................................................ 93
Dimension and Weight ......................................................................................... 94
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Environment ......................................................................................................... 94
Safety Standards .................................................................................................. 94
Electromagnetic Compatibility .............................................................................. 95
Electromagnetic Emissions .................................................................................. 95
Electromagnetic Immunity .................................................................................... 96
Recommended Separation Distances between Portable and Mobile RF
Communications Equipment ................................................................................ 98
Recovery Time after Deﬁbrillation ........................................................................ 98
System Composition for EMC Test ....................................................................... 98
ZM-521PA/531PA ....................................................................................................... 99
Measuring Parameters ......................................................................................... 99
Transmitting Data ................................................................................................. 99
Display.................................................................................................................. 99
Displayed Data ..................................................................................................... 99
ECG ..................................................................................................................... 99
Respiration Measurement .................................................................................. 101
SpO2 Measurement (ISO 9919: 2005 compliance) ............................................ 101
Transmitter ......................................................................................................... 103
Power Requirements .......................................................................................... 103
Dimension and Weight ....................................................................................... 104
Environment ....................................................................................................... 104
Safety Standards ................................................................................................ 104
Electromagnetic Compatibility ............................................................................ 105
Electromagnetic Emissions ................................................................................ 105
Electromagnetic Immunity .................................................................................. 106
Recommended Separation Distances between Portable and Mobile RF
Communications Equipment .............................................................................. 108
Recovery Time after Deﬁbrillation ...................................................................... 108
System Composition for EMC Test ..................................................................... 108
Standard Accessories.................................................................................................... 109
Options .......................................................................................................................... 110
Transmitter ......................................................................................................... 110
ECG/RESP......................................................................................................... 110
SpO2 .................................................................................................................. 111
Transmission Frequencies ............................................................................................. 112
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Operator’s Manual ZM-520PA/521PA/530PA/531PA
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GENERAL HANDLING PRECAUTIONS
This device is intended for use only by qualiﬁed medical personnel.
Use only Nihon Kohden approved products with this device. Use of nonapproved 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 batteryoperated 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.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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5. To Shutdown After Use
(1) Turn power off with all controls returned to their original positions.
(2) Remove the cords gently; do not use force to remove them.
(3) Clean the instrument together with all accessories for their next use.
6. The instrument must receive expert, professional attention for maintenance and repairs.
When the instrument is not functioning properly, it should be clearly marked to avoid
operation while it is out of order.
7. The instrument must not be altered or modiﬁed in any way.
8. Maintenance and Inspection:
(1) The instrument and parts must undergo regular maintenance inspection at least every 6
months.
(2) If stored for extended periods without being used, make sure prior to operation that the
instrument is in perfect operating condition.
(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.
ii
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and
workmanship for one year from the date of delivery. However, consumable materials such as
recording paper, ink, stylus and battery are excluded from the warranty.
NKC or its authorized agents will repair or replace any products which prove to be defective
during the warranty period, provided these products are used as prescribed by the operating
instructions given in the operator’s and service manuals.
No other party is authorized to make any warranty or assume liability for NKC’s products.
NKC will not recognize any other warranty, either implied or in writing. In addition, service,
technical modiﬁcation or any other product change performed by someone other than NKC or its
authorized agents without prior consent of NKC may be cause for voiding this warranty.
Defective products or parts must be returned to NKC or its authorized agents, along with an
explanation of the failure. Shipping costs must be pre-paid.
This warranty does not apply to products that have been modiﬁed, disassembled, reinstalled or
repaired without Nihon Kohden approval or which have been subjected to neglect or accident,
damage due to accident, ﬁre, lightning, vandalism, water or other casualty, improper installation
or application, or on which the original identiﬁcation marks have been removed.
In the USA and Canada other warranty policies may apply.
CAUTION
United States law restricts this product to sale by or on the order of a physician.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Equipment Authorization Requirement
This 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.
CAUTION
To 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.
iv
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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EMC RELATED CAUTION
This equipment and/or system complies with the International Standard IEC 606011-2 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.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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6. 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.
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Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Conventions Used in this Manual and Instrument
Warnings, Cautions and Notes
Warnings, cautions and notes are used in this manual to alert or signal the reader to speciﬁc
information.
WARNING
A warning alerts the user to the possible injury or death associated with the use or
misuse of the instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument
associated with its use or misuse such as instrument malfunction, instrument failure,
damage to the instrument, or damage to other property.
NOTE
A note provides speciﬁc information, in the form of recommendations, prerequirements,
alternative methods or supplemental information.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
vii
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Explanations of the Symbols in this Manual and Instrument
The following symbols found in this manual/instrument bear the respective descriptions as given.
On Panel
Symbol
Description
Symbol
Description
Change screen
Deﬁbrillation proof type BF
applied part
Attention, consult operator’s
manual
Deﬁbrillation proof type CF
applied part
Moves cursor, scrolls data
Serial number
Direction for attaching battery
cover
Date of manufacture
Direction for inserting battery
RF transmitter
Non-ionizing radiation
Direct current
cCSAus mark
Call key
On LCD
Symbol
viii
Description
Symbol
Description
Batteries are fully charged
Batteries are almost empty
Replace battery
Batteries are getting low
Alarm suspended
Batteries are low
QRS/pulse sync mark
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Intended Use
General
The 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.
WARNING
Do 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.
WARNING
Do 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.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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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.
CAUTION
Signal 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.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Receiving Monitor
Any 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.
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Panel Description
Top Panel
ZM-530PA/531PA only
For attaching a strap.
SpO2 socket
Connects the SpO2 probe.
ECG/RESP socket
Connects the electrode lead for
measuring ECG and/or respiration by
the impedance method.
WARNING
WARNING
Before 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.
WARNING
CAUTION
When 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.
When 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.
Do 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.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Front Panel
No.
Name
Description
CALL key
LCD
Screen 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.
Displays numeric values, ECG or pulse wave, messages and
battery status. For details, refer to the “Screen Descriptions”
section.
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.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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No.
Name
Description
Infrared receiver
Used for upgrading the transmitter software.
Channel number label Indicates the channel number of the transmitter.
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.
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.
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Rear Panel
ZM-530PA/531PA only
Refer 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.
Battery case:
Contains two alkaline dry
cell batteries (AA TYPE).
WARNING
Close 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.
WARNING
This 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.
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Important Safety Information
General
WARNING
WARNING
Never 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.
Never use the transmitter in a
hyperbaric oxygen chamber. Failure to
follow this warning may cause
explosion or ﬁre.
WARNING
WARNING
Do not take this transmitter into the
MRI test room. This transmitter is not
designed to be used during MRI tests.
When 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.
WARNING
WARNING
Before 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.
When 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.
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WARNING
WARNING
When 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.
This 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.
WARNING
WARNING
Close 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.
Do 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.
WARNING
When 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.
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WARNING
Do 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.
CAUTION
CAUTION
Only use Nihon Kohden speciﬁed
electrodes, electrode leads and SpO2
probes. Otherwise, the maximum
performance from the transmitter
cannot be guaranteed.
CAUTION
CAUTION
The 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.
10
Do not reuse disposable parts and
accessories.
Do 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.
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CAUTION
CAUTION
Signal loss and artifact may occur
because of the multipath cancellation*
when using a transmitter.
Turn 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.
* 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.
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.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Output Signal
WARNING
Do 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.
Battery
WARNING
Do not use NiMH batteries for this
transmitter. Some operating
environments may cause NiMH
batteries to produce gas and explode.
CAUTION
CAUTION
Battery 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.
When the transmitter is not in use,
remove the batteries. When the
batteries are installed, battery power is
consumed even when measurement is
not performed.
CAUTION
CAUTION
Do not handle the batteries with wet
hands.
12
Refer to the battery manual for details
on handling the batteries.
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Transmitter Channel Management
WARNING
The 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 Pacemaker
WARNING
Interaction 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
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ECG Monitoring
WARNING
WARNING
After 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.
The 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.
WARNING
The pacemaker pulse can be
overlooked or detected as QRS. You
cannot conﬁrm the pacemaker
operation only from the detected
pacemaker pulse.
CAUTION
CAUTION
Only 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.
When 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.
CAUTION
Hold 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.
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SpO2 Monitoring
WARNING
SpO2 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).
WARNING
When 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
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.
Check 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
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WARNING
When 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.
CAUTION
CAUTION
Refer to the probe instruction manual
for details.
CAUTION
CAUTION
Do not attach the probe to the same
limb that is used for NIBP
measurement or an IBP catheter. The
SpO2 measurement may be incorrect.
CAUTION
While a patient is on medication which
causes vasodilation, the pulse
waveform may change and in rare
cases the SpO2 value might not be
displayed.
CAUTION
Normal 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.
CAUTION
When a message indicates a faulty
probe, stop monitoring and replace the
probe with a new one.
CAUTION
Do not use a damaged or
disassembled probe. It causes
incorrect measurement and may injure
the patient.
16
The 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.
Do not use a probe which is
deteriorated by aging. Accurate
measurement cannot be performed.
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CAUTION
CAUTION
If 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.
If 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.
CAUTION
CAUTION
Failure 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.
When 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.
Maintenance
CAUTION
This 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.
CAUTION
Do not immerse the electrode lead
connector in liquid.
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CAUTION
CAUTION
Never disassemble or repair the
transmitter. If there is any problem with
the transmitter, contact your Nihon
Kohden representative.
Dispose 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.
18
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Preparation on Transmitter
Batteries
Handling Batteries
WARNING
Do not use NiMH batteries for this
transmitter. Some operating
environments may cause NiMH
batteries to produce gas and explode.
CAUTION
CAUTION
Refer to the battery manual for details
on handling the batteries.
CAUTION
Do not handle the batteries with wet
hands.
When the transmitter is not in use,
remove the batteries. When the
batteries are installed, battery power is
consumed even when measurement is
not performed.
NOTE
Remove the batteries from the transmitter before disposing of it.
Battery Lifetime
Use 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
ZM-520PA/530PA
ZM-521PA/531PA
Operating time (Measuring parameters)
ECG, Resp
ECG, Resp, SpO2
2.5 days
3.5 days
2.0 days
2.5 days
Recommended Batteries
Alkaline primary: Nihon Kohden Medipower (equivalent to Panasonic LR6 (G))
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NOTE
• 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) Batteries
CAUTION
Battery 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.
ii
The transmitter is automatically turned on
when the batteries are installed.
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NOTE
Insert 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.
ii
Situations Requiring Battery Replacement
Replace 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 Indication
The 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 monitor
Batteries are fully charged.
Batteries are getting low.
There is no message on the monitor.
Batteries are low.
Batteries are almost empty.
Replace batteries.
No indication Dead batteries
Message requiring battery replacement is
displayed.
No signal can be transmitted to the monitor.
There is no indication on the monitor.
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Attaching a Strap to the Transmitter
NOTE
Do 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.
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Turning On the Transmitter
When 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 Use
Before 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.
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Batteries
• 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 On
After 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 Use
To 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.
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Turning Off the Transmitter
To turn off the power, remove batteries. When the power is turned off, the saved waveform and
numeric data are deleted.
Changing the Transmitter Channel
The channel of the transmitter can be changed with an optional QI-901PK channel writer.
WARNING
The 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
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Changing Parameter and System Setup Settings
The initial settings on the PARAMETER SETUP and SYSTEM SETUP screens can only be
changed before monitoring. Changing these settings during monitoring interrupts monitoring.
NOTE
Changing Parameter and System Setup settings must be done by qualiﬁed personnel.
Changing PARAMETER SETUP Settings
Parameter Setup Setting List
The factory default settings are underlined.
Setting item
Description
ECG ELECTRODES Select the electrode lead type.
LEAD TYPE
Select the type of ECG leads.
Turn 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.
Settings
IEC, AHA
AUTO, 6 LEADS
NOTE
ECG
MEASUREMENT
RESP
MEASUREMENT
26
When “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/ORG9110A multiple patient receiver software
version 03-03 or later is required.
Turn 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
ON, OFF
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Setting item
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Description
Settings
Select the SpO2 response mode.
FAST:
Select this for special applications
that require a fast response. FAST is
FAST, NORMAL,
suitable for detecting short apnea.
SLOW
NORMAL: For normal monitoring.
SLOW:
Select this when you need to suppress a
rapid change in SpO2.
SpO2 RESPONSE
Displaying the PARAMETER SETUP Screen
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.
MENU screen
Cursor Setting item Setting
▼
▼
▼
▼
▼
PARAMETER SETUP screen - page 1
7.
Press the
8.
Press the Function key. The numeric and waveform screen appears.
or
▼
Cursor
▼
1.
key to move the cursor to “EXIT”.
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Changing Parameter Setup Settings
ECG ELECTRODES
Select the electrode lead type.
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
4.
Press the Function key to register the
selected setting. The cursor returns to “ECG
ELECTRODES”.
Selected setting
▼
Cursor
1.
▼
Cursor Setting item
key to select “IEC” or “AHA”.
▼
LEAD TYPE
Select 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
2.
Press the Function key.
3.
Press the
4.
Press the Function key to register the selected setting. The cursor returns to “LEAD TYPE”.
28
▼
key to move the cursor to “LEAD TYPE”.
key to select “AUTO” or “6 LEADS”.
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ECG MEASUREMENT
Turn 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.
NOTE
▼
When “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 ORG9100A/ORG-9110A multiple patient receiver software version 03-03 or later is required.
1.
On the PARAMETER SETUP screen, press the
MEASUREMENT”.
2.
Press the Function key.
3.
Press the
4.
Press the Function key to register the selected setting. The cursor returns to “ECG
MEASUREMENT”.
▼
key to move the cursor to “ECG
key to select “ON” or “OFF”.
▼
RESP MEASUREMENT
Turn respiration monitoring on or off. When this setting is set to OFF, the same setting on the
receiving monitor is automatically set to OFF.
key to move the cursor to “RESP
On the PARAMETER SETUP screen, press the
MEASUREMENT”.
2.
Press the Function key.
3.
Press the
4.
Press the Function key to register the selected setting. The cursor returns to “RESP
MEASUREMENT”.
▼
1.
key to select “ON” or “OFF”.
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SpO2 RESPONSE
Select 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.
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 2
30
▼
▼
1.
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Changing SYSTEM SETUP Settings
System Setup Setting List
The factory default settings are underlined.
Setting Item
PROTOCOL
Description
Select the transmitting protocol.
51: New protocol. A central monitor with ORG9100A/9110A multiple patient receiver whose
software version 03-03 or later can receive this
protocol.
41: Old protocol. A central monitor with ORG9100A/9110A/9700A multiple patient receiver can
receive this protocol.
Settings
51, 41
NOTE
When 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.
BRIGHTNESS
FUNCTION KEY
Select the screen brightness.
Select 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.
DARK,
BRIGHT
SUSPEND
ALARM
& PAUSE,
SUSPEND
ALARM,
CONFIRM,
OFF
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.
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Setting Item
AUTO RESUME
AFTER PAUSE
Description
Select the interval to resume monitoring after PAUSE.
Settings
10 s, 30 s, 1
min, 2 min, 3
min, OFF
Displaying the SYSTEM SETUP Screen
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.
Setting
▼
▼
▼
Setting item
▼
MENU screen
▼
Cursor
1.
▼
The SYSTEM SETUP screen has two pages.
To display the second page, press the key
when the cursor is at “BRIGHTNESS”.
7.
Press the
“EXIT”.
8.
Press the Function key. The numeric and
waveform screen appears.
SYSTEM SETUP screen - page 1
32
or
▼
When changing settings on the SYSTEM
SETUP screen is complete, press the Screen
key to return to the MENU screen.
▼
6.
key to move the cursor to
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Changing System Setup Settings
PROTOCOL
Select 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.
NOTE
When 51 is set, the receiving monitor must be able to receive protocol 51. Otherwise,
signals from the transmitter cannot be received.
Differences Between Protocols
Transmit RESP message
Cursor
Setting
Protocol 51
No (ECG measurement
must be turned off on Yes
the receiving monitor)
No
Yes
No
Yes
No
Yes
Some messages (refer
to the “Indication and All messages
Message List” section)
No
Yes
▼
Transmit SpO2 messages
Protocol 41
1.
Press the key to move the cursor to
“PROTOCOL”.
2.
Press the Function key.
3.
Press the
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Function
Setting ECG MEASUREMENT to OFF on
the transmitter automatically turns off the
ECG measurement setting on the receiving
monitor
Pause monitoring on the receiving monitor
from the transmitter
Transmit “PATIENT CONFIRMED” message
Display battery level of the transmitter on the
receiving monitor
key to select “51” or “41”.
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NOTE
FUNCTION 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”.
▼
BRIGHTNESS
Select the screen brightness.
1.
Press the
2.
Press the Function key.
3.
Press the
4.
Press the Function key to register the selected setting. The cursor returns to
“BRIGHTNESS”.
▼
key to move the cursor to “BRIGHTNESS”.
key to select “DARK” or “BRIGHT”.
FUNCTION KEY
Select 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.
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1.
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
4.
Press the Function key to register the selected
setting. The cursor returns “FUNCTION
KEY”.
SYSTEM SETUP screen - page 2
▼
▼
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key to select the function.
▼
AUTO RESUME AFTER PAUSE
Select 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 interval
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
4.
Press the Function key to register the selected setting. The cursor returns to “AUTO
RESUME AFTER PAUSE”.
▼
1.
key to select interval.
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Initializing Settings
Do 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.
▼
Cursor
To return to the MENU screen without
initializing, press the Screen key.
Press the Function key to initialize settings.
▼
6.
To cancel initializing, press the key. The
screen returns to the MENU screen.
36
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Attaching Electrodes and SpO2 Probe to the Patient
Attaching Electrodes
Selecting Electrode Lead
CAUTION
Only 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
Vitrode F-150M, F-150S, L-150,
L-150X
Electrode Lead
BR-903PA (AHA, clip type)
(I, II, III)
Disposable Electrode with DIN type lead, Vitrode V-090M3, V-09IO3,
V-120S3, N-03IS3
Vitrode F-150M, F-150S, L-150,
BR-906PA (AHA, clip type)
L-150X
(I, II, III, aVR,
aVL, aVF, 2 from
V1 to V6)
Disposable Electrode with DIN type lead, Vitrode V-040M4, V-04IO4,
V-060M6, V-06IO6
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Connecting the Electrode Lead to the Transmitter
Connect the electrode lead to the ECG/RESP socket on the transmitter.
WARNING
After 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.
CAUTION
Do 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.
CAUTION
Hold 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.
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Electrode Position
Follow 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.
NOTE
The 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 Monitoring
Six Electrodes
The 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.
LA/L
RA/R
Va/Ca
Vb/Cb
RL/RF
Electrode Position
LL/F
Symbol
AHA IEC
Lead Color
AHA
IEC
Left infraclavicular fossa
LA
Black
Yellow
Right infraclavicular fossa
RA
White
Red
Below lowest rib on the left anterior axillary line
LL
Red
Green
RL
RF
Green
Black
Va
Ca
Brown-blue
White-brown
Vb
Cb
Right anterior axillary line at the same level as
LL/F
Fifth intercostal space on the left midclavicular
line (V4 position of standard 12 leads)
Left anterior axillary line at the same level as Va
(V5 position of standard 12 leads)
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Lead Position
Standard limb leads
Lead II
Lead
RA
Lead II
LA
Lead III
RA
LL
N (RL)
Monopolar limb leads
aVR lead
N (RL)
aVL lead
aVF lead
RA
LA
RA
LA
N (RL)
N (RL)
LA
LL
LL
LL
LA
LL
LL
N (RL)
RA
RA
LA
N (RL)
Monopolar chest leads
V1 to V6 leads
to
RA
LA
LL
N (RL)
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Three Electrodes
• Lead MII, which is similar to standard lead II, used when ECG measurement has priority
R/RA
(−)
L/LA
(N)
F/LL
(+)
Electrode Position
Left infraclavicular
fossa
Right infraclavicular
fossa
Below lowest rib
on the left anterior
axillary line
• Lead MI, which is similar to standard
lead I
Change F/LL and L/LA of lead MII.
R/RA
(−)
Symbol
AHA
IEC
Lead Color
AHA
IEC
LA
Black
Yellow
RA
White
Red
LL
Red
Green
• Lead MIII, which is similar to standard
lead III
Change R/RA and L/LA of lead MII.
F/LL
(+)
L/LA
(N)
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.
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Electrode Positions for Respiration Monitoring
Place the R/RA and F/LL electrodes so that the lungs are between the electrodes.
Position 1
In this position, respiration measurement is available; however, there is a difference in amplitude
between different patients.
R or RA
R/RA
(−)
Right infraclavicular fossa
F or LL
Fifth intercostal space on the
left midclavicular line, V4
F/LL
(+)
Position 2
In 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
R/RA
(−)
Right infraclavicular fossa
F or LL
Fifth intercostal space on the
left midaxillary line, V6
F/LL
(+)
Position 3
In this position, the respiration waveform is optimum, but the ECG lead is unusual.
R/RA
(−)
42
R or RA
Right midaxillary at the
horizontal level of V6
F or LL
Fifth intercostal space on the
left midaxillary line, V6
F/LL
(+)
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Position 4
In 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/RA
(−)
R or RA
Lowest rib on the right
anterior axillary line
F or LL
Lowest rib on the left anterior
axillary line
F/LL
(+)
Attaching Electrodes to the Patient and Connecting the Electrode Leads to
Disposable Electrodes
Prepare the Patient Skin
Shave 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 Patient
CAUTION
Do 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.
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Refer 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 Screen
After 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 Probe
Selecting the SpO2 Probe
Select an appropriate probe for the patient.
CAUTION
CAUTION
Only use Nihon Kohden speciﬁed
electrodes, electrode leads and SpO2
probes. Otherwise, the maximum
performance from the transmitter
cannot be guaranteed.
44
Do not use a damaged or
disassembled probe. It causes
incorrect measurement and may injure
the patient.
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Reusable Probes
When using a TL-201T ﬁnger probe, choose the appropriate cable length for attachment.
Probe
Finger probe TL-201T
Cable Length
0.6 m
Patient
Adult or child
20 kg or more
Attachment Site
Finger
Adult or infant
3 kg or more
Finger or toe
Neonate
3 kg or less
Instep and sole
Adult or child
20 kg or more
Finger or toe
1.6 m
Multi-site probe TL-220T
Attachment tape
Finger probe
TL-631T1, TL-631T3
Attachment tape
TL-631T1:
0.6 m
TL-631T3:
1.6 m
Disposable Probes
CAUTION
The 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.
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Probe
TL-051S, TL-052S
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Patient
Attachment Site
Adult
50 kg or more
Finger
Neonate
3 kg or less
Instep and sole
Adult or child
15 to 50 kg
Finger
Infant
3 to 15 kg
Toe
Adult
30 kg or more
Finger or toe
40 mm
Cable length TL-051S: 0.8 m
TL-052S: 1.6 m
TL-061S, TL-062S
35 mm
Cable length TL-061S: 0.8 m
TL-062S: 1.6 m
TL-271T, TL-271T3
Cable length TL-271T: 0.8 m
TL-271T3: 1.6 m
TL-272T, TL-272T3
Child
10 to 50 kg
Cable length TL-272T: 0.8 m
TL-272T3: 1.6 m
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Probe
TL-273T, TL-273T3
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Patient
Neonate
3 kg or less
Attachment Site
Instep and sole
Adult
40 kg or more
Finger or toe
Infant
3 to 20 kg
Finger or toe
Cable length TL-273T: 0.8 m
TL-273T3: 1.6 m
TL-274T, TL-274T3
Cable length TL-274T: 0.8 m
TL-274T3: 1.6 m
Connecting the SpO2 Probe to the Transmitter
Connect the probe to the SpO2 socket on the transmitter.
CAUTION
Do 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.
CAUTION
Do not use a damaged or
disassembled probe. It causes
incorrect measurement and may injure
the patient.
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Attaching the Probe to the Patient
Attach 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
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.
Check 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
WARNING
When 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.
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CAUTION
CAUTION
If 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.
When 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.
CAUTION
CAUTION
If 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.
Do not use a probe which is
deteriorated by aging. Accurate
measurement cannot be performed.
CAUTION
Refer to the probe instruction manual
for details.
CAUTION
The 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.
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Locking the Keys on the Transmitter
▼
Press the
appears.
and
▼
To prevent the patient from pressing the keys on the transmitter during monitoring, you can lock
the keys.
keys at the same time and hold for more than 3 seconds. The key lock screen
When there is no key operation for one minute after locking the keys, the display turns off.
50
▼
▼
To unlock the keys:
Press the and keys at the same time and hold for more than 3 seconds.
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Monitoring
CAUTION
The 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.
NOTE
Do 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 Descriptions
When 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
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The 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.
NOTE
When 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.
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Check Electrodes Screen
You 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.
Battery level
Channel number
Lead
ECG waveform
Filter:
off
Sweep speed:
12.5 mm/s
Waveform sensitivity: 0.5 cm/1 mV
Message
Detached
electrode position
When electrodes are
detached, the “CHECK
ELECTRODES”
message and detached
electrode position appear
on the screen.
NOTE
When ECG measurement is set to OFF on the PARAMETER SETUP screen, the check
electrodes screen does not appear.
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Numeric and Waveform Screen
▼
▼
Numeric values and waveforms of the monitoring parameters are displayed. You can change the
ECG lead with the and keys.
SpO2
Pulse bar graph
QRS sync mark
Heart rate
ECG lead
ECG waveform
Filter:
on
Sweep speed:
12.5 mm/s
Waveform sensitivity: auto
Waveform
sensitivity
When ECG and respiration measurement is turned off
Pulse rate
SpO2
Pulse sync mark
Pulse wave
sensitivity
Pulse waveform
Sweep speed:
12.5 mm/s
Waveform sensitivity: auto
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NOTE
The 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 Screen
ECG 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.
Time range of the displayed waveform
(time before the waveform review screen is displayed)
Displayed
page
Older data
Newer data
ECG lead
▼
To scroll the waveform, press the
or
▼
Compressed ECG waveform
Waveform sensitivity
7.5 s × 4 traces per page, total of 20 pages
key. The waveform is scrolled by 30 seconds.
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Numeric Review Screen
Numeric 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.
Older data
Time before the numeric
review screen is displayed
Newer data
Display Off
The 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.
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Basic Monitoring Operation
Using the Function Key
Function key
One 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.
NOTE
To 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.
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Suspending Alarms on the Receiving Monitor
When 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.
2.
▼
To suspend alarms:
1. Press the Function key. The “Suspend alarms” conﬁrmation screen appears.
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
58
Icon
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2.
▼
To cancel suspending alarms during 2 minute alarm suspension:
1. Press the Function key while the “ALARMS SUSPENDED” message is displayed. The
conﬁrmation screen appears.
Press the key to cancel alarm suspension.
Press the Screen key to not cancel alarm suspension.
Pause Monitoring
When 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.
NOTE
To 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”.
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To pause monitoring:
1. Press the Function key. The “Suspend alarms” conﬁrmation screen appears.
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.
60
▼
2.
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5.
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
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 Pause
To resume monitoring after pause, check that the electrodes, electrode leads and probe are
attached to the patient then turn on the transmitter.
Conﬁrming Patient
When 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
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Turning the Display Off
The 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 off
Turning the Display On after It was Turned Off
Press 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.
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ECG and Respiration Monitoring
When 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.
QRS sync mark
Heart rate
Respiration rate
Pacing marks
White pacing marks
are displayed at
the points where
a pacing spike is
detected.
▼
Filter:
on
Sweep speed:
12.5 mm/s
Waveform sensitivity: auto
▼
ECG waveform
ECG lead
You can change the
ECG lead with the
and keys.
CAUTION
Turn 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.
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Use with a Pacemaker
When monitoring a pacemaker patient, the transmitter detects pacemaker pulse and rejects the
pacemaker pulse from the heart rate count.
WARNING
Interaction 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
WARNING
The 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.
WARNING
The 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.
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• 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 Unit
For 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.
WARNING
When 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.
NOTE
Noise 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 noise
1. 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.
As far as possible from electrode and
as near as possible to incision.
Return plate
Incision
Make
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Turning ECG Measurement On/Off
ECG 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.
NOTE
ECG 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/Off
Respiration 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 Detachment
In 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.
CAUTION
When 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.
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SpO2 Monitoring
The 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.
SpO2
Pulse bar graph
NOTE
During 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.
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WARNING
WARNING
SpO2 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).
Check 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
WARNING
WARNING
When 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.
When 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.
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.
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CAUTION
CAUTION
Turn 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.
Failure 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.
CAUTION
CAUTION
Normal 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.
When 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.
CAUTION
CAUTION
When a message indicates a faulty
probe, stop monitoring and replace the
probe with a new one.
While a patient is on medication which
causes vasodilation, the pulse
waveform may change and in rare
cases the SpO2 value might not be
displayed.
CAUTION
Do not attach the probe to the same
limb that is used for NIBP
measurement or an IBP catheter. The
SpO2 measurement may be incorrect.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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NOTE
• 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”.
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Indications and Messages
Indication
Indication
Cause
Countermeasure
Batteries 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.
Messages
When 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
Countermeasure
Alarms resume when the 2 minute
suspend interval elapses. To cancel
alarm suspension, press the Function
key again.
ALARMS
SUSPENDED
Alarms on the receiving monitor is
suspended by pressing the Function
key on the transmitter.
BATTERY
WEAK
Dead batteries.
CANNOT
DETECT
PULSE*
Check the patient condition, probe
Poor blood circulation for measuring
attachment or change the attachment
the SpO2 value.
site.
The probe is attached too tightly and
Reattach the probe.
is obstructing the blood circulation.
The probe is not attached to the
Attach the probe to the patient
patient properly.
properly.
Refer to the cause and
“LIGHT INTERFERENCE”,
countermeasure for each message in
“CHECK PROBE SITE” or
“DETECTING PULSE” message is this Messages table and remove the
displayed for more than 30 seconds. cause.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
Replace batteries.
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Message
CANNOT
MEASURE*
CHECK
ELECTRODES
CHECK PROBE
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Cause
Contact between the disposable
electrode and skin becomes poor.
Electrode lead is disconnected from
the electrode.
Electrode lead is disconnected from
the transmitter.
Electrode lead discontinuity.
Electrode is not ﬁrmly attached to
the skin.
Polarization voltage is abnormally
high.
The probe is not attached to the
patient properly.
The probe is not attached at the
appropriate site.
The probe is disconnected from the
transmitter.
Countermeasure
Replace electrodes with new ones
immediately.
Firmly connect the electrode lead to
the electrode.
Firmly connect the electrode lead to
the transmitter.
Replace the electrode lead with a
new one.
Replace the electrode with a new
one.
Attach the probe to the patient
properly.
Attach the probe to an appropriate
site indicated in the probe manual.
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.
The probe is deteriorated.
The probe is past its expiration date.
Searching for the correct pulse wave
for SpO2 monitoring.
DETECTING
The SpO2 value cannot be obtained
PULSE
because the waveform is unstable.
The probe is not attached to the
patient properly.
The SpO2 measurement site is under
LIGHT
ﬂuorescent light, surgical light,
INTERFERENCE
sunlight, or other strong light.
Considerable body movement.
The probe is not attached to the
patient properly.
72
Attach the probe to an appropriate
site indicated in the probe manual.
Replace the probe with a new one.
Wait until the pulse wave is detected.
Attach the probe to the patient
properly.
Cover the measurement site with a
blanket or cloth.
When the message is displayed
frequently, check the patient condition
and, if necessary, change the
attachment site.
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Message
PATIENT
CONFIRMED*
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Cause
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.)
The probe is past its expiration date.
PROBE
FAILURE*
Probe is damaged or short-circuited.
Transmitter failure.
SpO2 MODULE
ERROR*
SYS OUT OF
RANGE
WEAK PULSE*
RESP OFF
Transmitter failure.
Countermeasure
—
Replace the probe with a new one.
Contact your Nihon Kohden
representative.
Contact your Nihon Kohden
representative.
The maximum blood pressure
cannot be measured even when the
Measure by palpation or auscultation.
cuff inﬂation pressure exceeded 280
mmHg when using adult cuff.
Check the patient condition and
Poor peripheral circulation.
change the probe attachment site.
Check the probe attachment
The probe is attached too tightly and
condition and if necessary, reattach
is obstructing the blood circulation.
the probe.
“RESP MEASUREMENT” on the
PARAMETER SETUP screen is set
to OFF.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
If respiration monitoring is necessary,
set “RESP MEASUREMENT” to
ON.
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Message Display Priority
When more than one message condition occurs on the transmitter, only the message with the
highest priority is displayed.
Priority
Highest
Message
PATIENT CONFIRMED
PROBE FAILURE
CHECK ELECTRODES
SpO2 MODULE ERROR
CHECK PROBE
CHECK PROBE SITE
CANNOT DETECT PULSE
LIGHT INTERFERENCE
CANNOT MEASURE
DETECTING PULSE
WEAK PULSE
ALARMS SUSPENDED
Lowest
74
BATTERY WEAK
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Troubleshooting
If 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.
Transmitter
Problem
Cause
Nothing is displayed Batteries are not installed
correctly. The battery polarity is
on the LCD after
turning the power on. wrong.
Batteries are completely
discharged.
LCD brightness is not
LCD is difﬁcult to
appropriate.
see (too dark or too
light).
Nothing is displayed
on the receiving
monitor after turning
the transmitter power
on.
The channel of the transmitter
and monitor does not match.
The software version of the
multiple patient receiver or
central monitor is old.
Protocol on the transmitter and
monitor does not match.
Protocol on the transmitter is
set to 51 but the monitor cannot
receive protocol 51.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
Countermeasure
Install the batteries correctly.
Replace the batteries with new ones.
Change the LCD brightness on the
SYSTEM SETUP screen. Refer to
the “Changing SYSTEM SETUP
Settings” section.
Set the correct channel on the
monitor.
Upgrade the multiple patient receiver
or central monitor software to receive
signal from the transmitter. Contact
your Nihon Kohden representative.
Set the same protocol on the
transmitter and monitor.
Set the protocol on the transmitter
to 41. Refer to the “System Setup
Setting List” section.
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Problem
Signal receiving
condition is poor.
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Cause
Another transmitter with the
same channel is used nearby.
Signals of another patient are
mixing.
The transmitter is damaged.
Countermeasure
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.
Follow the instructions of your
channel administrator and use
another transmitter of a different
channel.
Contact your Nihon Kohden
representative.
ECG/Respiration
Problem
Cause
The heart rate is
unstable.
Pacing detection setting on the
monitor is not correct.
The “CHECK
ELECTRODES”
message appears
on the receiving
monitor.
Electrode lead is disconnected
from the electrode.
Electrode lead discontinuity.
ECG baseline is
thick (AC hum).
76
Electrode is not ﬁrmly attached
to the skin.
Polarization voltage is
abnormally high.
The gel on the electrode is dried
out.
The gel on the electrode is
coming off.
An electric blanket is used.
The hum ﬁlter is set to OFF on
the monitor.
Countermeasure
Turn off the pacing detection setting
on the receiving monitor. When
monitoring a pacemaker patient, turn
on pacing detection.
Firmly connect the electrode lead to
the electrode.
Replace the electrode lead with a
new one.
Replace the electrode with a new
one.
Use Nihon Kohden speciﬁed
electrodes.
Replace the electrode with a new
one.
Cover the blanket with a shield cover.
Set the ﬁlter to ON.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Problem
The heart rate of a
patient who is using
an electric blanket
is unstable on the
receiving monitor.
No heart rate or ECG
is displayed.
Respiration
waveform
measurement is
unstable.
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Cause
Countermeasure
Pacing pulse detection is turned
ON on the receiving monitor.
Turn OFF the pacing pulse detection
on the receiving monitor.
“ECG MEASUREMENT” on the
PARAMETER SETUP screen is
set to OFF.
The gel on the electrode is dried
out.
The gel on the electrode is
coming off.
If ECG monitoring is necessary, set
“ECG MEASUREMENT” to ON.
Replace the electrode with a new
one.
If respiration monitoring is necessary,
No respiration rate is “RESP MEASUREMENT” on
displayed.
the PARAMETER SETUP screen set “RESP MEASUREMENT” to
ON.
is set to OFF.
SpO2
Problem
Cause
SpO2 data is unstable The probe size is not appropriate
and not reliable.
for the patient.
Probe attachment condition
is poor. The probe is partly
detached from the skin. External
light is entering the probe.
Measurement site is dirty. Patient
is wearing nail polish.
The probe is attached to the
same limb that is used for NIBP
measurement.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
Countermeasure
Use the appropriate probe for the
patient.
Firmly attach the probe according to
the procedure in the probe operator’s
manual.
Remove dirt and nail polish.
Attach the probe to the opposite limb.
Avoid a site where blood circulation
condition changes greatly.
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Maintenance
To 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 monitor
CAUTION
Never 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.
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Channel numbers
Startup screen
Numeric and waveform screen
3. Transmitting/Receiving Signal
Use the AX-400G vital sign simulator and receiving monitor.
1.
Connect the vital sign simulator to the transmitter.
AX-400G
2.
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. Display
Check that there are no dots missing on the screen.
1.
Turn off the transmitter.
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While pressing the Function key, turn on the transmitter. The MENU screen appears.
3.
Press the
▼
2.
key to move the cursor to “MANUAL CHECK” and press the Function key.
Press the
or
5.
Each time the
key to move the cursor to “LCD TEST” and press the Function key.
▼
▼
4.
▼
Cursor
key is pressed, the screen changes as below. Check that no dots are missing.
→
→
blue
80
→
→
red
→
→
green
→
→. . .
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6.
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 Operation
Turn off the transmitter.
2.
While pressing the Function key, turn on the transmitter. The MENU screen appears.
3.
Press the
▼
1.
key to move the cursor to “MANUAL CHECK” and press the Function key.
▼
4.
Press the
or
▼
Cursor
key to move the cursor to “KEY CHECK” and press the Function key.
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5.
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
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 Check
1.
Connect the vital sign simulator to the transmitter.
AX-400G
2.
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.
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7. Respiration Check
1.
Connect the vital sign simulator to the transmitter.
AX-400G
2.
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 Check
1.
Connect the SpO2 checker to the transmitter.
AX-300T
2.
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.
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5.
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Check that SpO2 and pulse rate on the transmitter is within the following range.
SpO2 on the SpO2 Checker
SpO2
Pulse rate
97%
80%
70%
60 beats/min
120 beats/min
Range
95 to 99%SpO2 (±2 digit)
78 to 82%SpO2 (±2 digit)
67 to 73%SpO2 (±3 digit)
57 to 62 beats/min (±3%/±1 beat/min)
115 to 124 beats/min (±3%/±1 beat/min)
NOTE
The 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.
84
Check that the SpO2 and pulse waveform of the transmitter appear on the receiving monitor.
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Maintenance Check Sheet
Hospital/Organization:
Service Personnel:
Instrument Name: Transmitter
Instrument Model: ZM-520PA/ZM-521PA/ZM-530PA/ZM-531PA
Instrument Serial Number:
Hardware Revision Number:
Software Revision Number:
1. External Check
OK
No
2. Transmitter Channel
OK
No
3. Transmitting/Receiving Signal
OK
No
4. Display
OK
No
5. Key Operation
OK
No
6. ECG Check
OK
No
7. Respiration Check
OK
No
8. SpO2 Check
OK
No
Overall Judgement
□ OK
□ Can be used but needs maintenance.
□ Maintenance required. Cannot be used.
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Lifetime and Disposal
CAUTION
Dispose 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 Batteries
Battery Lifetime
Replace the batteries when the battery replacement indication appears on the transmitter. When
using rechargeable batteries, recharge them.
Disposal
NOTE
Remove 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 Probes
Refer to the manual for each item.
Disposing of Transmitter
Remove the batteries from the transmitter and dispose of the transmitter following your local laws
for disposal.
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Cleaning, Disinfection and Sterilization
Transmitter and Electrode Leads
CAUTION
This 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.
NOTE
The 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.
Cleaning
Wipe 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.
Disinfection
CAUTION
Do 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
Glutaraldehyde solution
Alkyldiaminoethylglycine hydrochloride
Benzalkonium chloride
Benzethonium chloride solution
Chlorhexidine gluconate solution
Phtharal
Phenol
Concentration (%)
2.0
0.5
0.2
0.2
0.5
0.55
1.56
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SpO2 Probe
Refer to the probe manual.
Periodic Replacement Schedule
To maintain the performance of the instrument, the following part must be periodically replaced.
Name
Silicon seal (for battery case cover)
Code no.
6114-918705
Expected life span
1 year
Repair Parts Availability Policy
Nihon 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.
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Speciﬁcations
ZM-520PA/530PA
Measuring Parameters
Measuring waveforms:
Measuring numeric data:
ECG, respiration in impedance method, pulse
Heart rate, respiration rate, SpO2, pulse rate
Transmitting Data
Waveform data:
Numeric data:
Status information:
ECG, respiration, pulse wave
SpO2, pulse rate
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”.
Display
Display size:
Viewing area:
Resolution:
2.2 inch TFT color LCD
44.16 (H) × 33.12 (V) mm
320 (H) × 240 (V) dots
Displayed Data
Numeric and waveform screen:
Waveform review screen:
Numeric review screen:
Check electrodes 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 lead
ECG or pulse wave of past 10 minutes
Heart rate or pulse rate, respiration rate and SpO2 at 1
minute interval for past 10 minutes
ECG for checking electrode attachment
ECG
ECG measurement
Channels:
Input dynamic range:
Electrode offset potential tolerance:
Input impedance:
±10 mV or more
±500 mV or more
5 MΩ or more
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Common mode rejection ratio:
95 dB or more
IEC 60601-2-27: 2005 50.102.10 complied
Pacing 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
Deﬁbrillation-proof:
ECG input protected against 400 Ws/DC 5 kV
IEC 60601-2-27 17.101 complied
ECG recovery time after deﬁbrillation: within 10 s
Electrode condition:
Displays CHECK ELECTRODES message
Tall 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 complied
Heart 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.org
Response 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 seconds
Pacemaker 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 60601-227: 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 606012-27: 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 count
Frequency characteristic:
ﬁlter on: 1 to 18 Hz, ﬁlter off: 0.05 to 60 Hz
Heart rate detection method:
Average
QRS 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
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Heart rate counting range:
0, 15 to 300 beats/min
Heart rate counting accuracy*:
±2 beats/min, (0, 15 to 300 beats/min)
* Essential performance of this transmitter
Respiration Measurement
Measuring method:
Impedance method
Measuring lead:
Between R and F
Impedance range:
220 to 2000 Ω
Excitor current:
54 to 93 μAp-p, 48 kHz
Respiration 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 transmitter
SpO2 Measurement (ISO 9919: 2005 compliance)
Measuring range:
Declared range:
Minimum display range:
Display update cycle:
Measuring accuracy (rms)*:
Total accuracy including probe:
0 to 100%SpO2
70 to 100%SpO2
1%SpO2
Every 3 seconds
Accuracy assurance temperature: 18 to 40ºC
80%SpO2 ≤ %SpO2 ≤ 100%SpO2: ±2%SpO2
70%SpO2 ≤ %SpO2 < 80%SpO2: ±3%SpO2
under 70%SpO2: not speciﬁed
Accuracy of the transmitter:
80%SpO2 ≤ %SpO2 ≤ 100%SpO2: ±1%SpO2
50%SpO2 ≤ %SpO2 < 80%SpO2: ±2%SpO2
under 50%SpO2: not speciﬁed
Pulse rate declared range:
30 to 300 bpm
Pulse rate display range:
30 to 300 bpm
Pulse rate accuracy (rms)*:
±3% ±1 bpm
* Essential performance of this transmitter
NOTE
• 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.
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Response time:
Selectable from “Slow”, “Normal” and “Fast”.
The following graphs show the response time example when
SpO2 changes 0.6%/s.
Pulse Rate = 70 bpm
SpO2 Reference
SpO2 Fast
SpO2 Normal
SpO2 Slow
100
95
SpO2 (%)
90
85
80
75
70
65
60
10
20
30
40
50
60
70
80
90
100
110
120
130
140
Time (seconds)
Pulse Rate = 140 bpm
SpO2 Reference
SpO2 Fast
SpO2 Normal
SpO2 Slow
100
95
SpO2 (%)
90
85
80
75
70
65
60
10
20
30
40
50
60
70
80
90
100
110
120
130
140
Time (seconds)
The following graph shows the response time example when pulse rate changes 10 bpm/s.
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SpO2 = 97
PR Reference
PR
150
140
PR (bpm)
130
120
110
100
90
80
70
60
10
20
30
40
50
60
70
80
90
100
110
120
Time (seconds)
Transmitter
FCC regulation:
Field strength limits:
Undesired emissions:
Antenna:
Transmission channel:
Transmission frequency range:
Channel spacing:
Modulation:
Type of emission:
Occupied bandwidth:
Effective radiated power:
FCC part 95 Subpart H
Wireless Medical Telemetry Service (WMTS)
≤ 200 mV/m (at 3 m)
≤ 960 MHz: ≤ 200 μV/m (at 3 m)
≥ 960 MHz: ≤ 500 μV/m (at 3 m)
Internal
Indicated on the transmitter
608.0250 to 613.9750 MHz
50 kHz or 37.5 kHz (12.5 kHz when interleaved)
FSK (frequency shift keying)
F1D
12 to 18 kHz
1.0 mW
Power Requirements
Rated voltage:
3.0 V
Shutdown voltage:
1.4 to 1.75 V
Operating voltage:
Shutdown voltage to 3.2 V
Battery type:
Two AA (LR6) type alkaline dry cell primary batteries
Battery 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)
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Dimension and Weight
Dimension:
Weight:
78 W × 137 H × 36 D (mm)
about 230 g (excluding batteries and other accessories)
about 280 g (including batteries, excluding other
accessories)
Environment
Operating environment
Temperature:
Humidity:
Atmospheric pressure:
5 to 40°C (41 to 104°F)
30 to 85% (noncondensing)
700 to 1060 hPa
Storage and transport environment
Temperature:
−20 to +65°C (−4 to +149°F)
Humidity:
10 to 95%
Atmospheric pressure:
700 to 1060 hPa
Water resistance
Water does not get inside the transmitter when immersed in water up to 30 cm deep for 3 minutes.
Safety Standards
Safety 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: 2003
Type of protection against electrical shock:
INTERNALLY POWERED EQUIPMENT
Degree of protection against electrical shock:
ECG and impedance method respiration:
DEFIBRILLATION-PROOF TYPE CF APPLIED PART
SpO2:
DEFIBRILLATION-PROOF TYPE BF APPLIED
PART
Degree of protection against harmful ingress of water:
IPX0 (non-protected)
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Degree of safety of application in the presence of a FLAMMABLE ANAESTHETIC MIXTURE
WITH 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 OXIDE
Mode of operation:
CONTINUOUS OPERATION
ME EQUIPMENT type:
HAND-HELD and PORTABLE
Electromagnetic Compatibility
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
Electromagnetic Emissions
This 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
RF emissions
CISPR 11
RF emissions
CISPR 11
Harmonic emissions
IEC 61000-3-2
Voltage ﬂuctuations/
ﬂicker emissions
IEC 61000-3-3
Compliance
Electromagnetic environment - guidance
Group 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.
Class B
The ZM-520PA/530PA is suitable for use in all
establishments, including domestic establishments.
Not applicable
Not applicable
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Electromagnetic Immunity
This 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
level
Compliance
level
Electrostatic
discharge (ESD)
IEC 61000-4-2
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
Electrical fast
transient/burst
IEC 61000-4-4
±2 kV for power
supply lines
±1 kV for input/
output lines
Not applicable
Electromagnetic
environment - guidance
Floors should be wood, concrete
or ceramic tile. If ﬂoors are
covered with synthetic material,
the relative humidity should be
at least 30%.
—
Not applicable
±1 kV differential
mode
±2 kV common mode
Voltage dips, short <5% UT (>95% dip in Not applicable
interruptions and UT) for 0.5 cycles
voltage variations
on power supply
40% UT (60% dip in
input lines
UT) for 5 cycles
IEC 61000-4-11
70% UT (30% dip in
UT) for 25 cycles
Surge
IEC 61000-4-5
—
—
<5% UT (>95% dip in
UT) for 5 s
3 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.
Power frequency
(50/60 Hz)
magnetic ﬁeld
IEC 61000-4-8
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.
96
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Immunity test
IEC 60601 test
level
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Compliance
level
Electromagnetic environment
- guidance
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 distance
Conducted RF
IEC 61000-4-6
3 Vrms
3 Vrms
150 kHz to 80 MHz
d = 1.2 P
Radiated RF
IEC 61000-4-3
3 V/m
3 V/m 80 MHz to
80 MHz to 2.5 GHz 2.5 GHz
d = 1.2 P 80 MHz to 800 MHz
d = 2.3 P 800 MHz to 2.5 GHz
(1 V/m 80 MHz
to 2.5 GHz for
respiration)
(d = 3.5 P 80 MHz to 800 MHz for
respiration
d = 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.
* 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.
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Recommended Separation Distances between Portable and Mobile RF
Communications Equipment
The 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.
Separation distance according to frequency of transmitter (m)
Rated maximum output
power of transmitter
(W)
150 kHz to 80 MHz
d = 1.2 P
80 MHz to 800 MHz
d = 1.2 P
800 MHz to 2.5 GHz
d = 2.3 P
(For respiration:
d = 3.5 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*)
1.2
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 Deﬁbrillation
The transmitter returns to the normal operating mode within 10 seconds after deﬁbrillation. The
stored settings are not affected.
System Composition for EMC Test
The ZM-520PA/530PA bedside monitor is tested to comply with IEC 60601-1-2: 2001 with the
following composition.
Units
ZM-520PA/530PA transmitter
BR-906P ECG electrode lead
TL-201T ﬁnger probe
98
Cable Length
—
0.8 m
1.6 m
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ZM-521PA/531PA
Measuring Parameters
Measuring waveforms:
Measuring numeric data:
ECG, respiration in impedance method, pulse
Heart rate, respiration rate, SpO2, pulse rate
Transmitting Data
Waveform data:
Numeric data:
Status information:
ECG, respiration, pulse wave
SpO2, pulse rate
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”.
Display
Display size:
Viewing area:
Resolution:
2.2 inch TFT color LCD
44.16 (H) × 33.12 (V) mm
320 (H) × 240 (V) dots
Displayed Data
Numeric and waveform screen:
Waveform review screen:
Numeric review screen:
Check electrodes 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 lead
ECG or pulse wave of past 10 minutes
Heart rate or pulse rate, respiration rate and SpO2 at 1
minute interval for past 10 minutes
ECG for checking electrode attachment
ECG
ECG measurement
Channels:
Input dynamic range:
Electrode offset potential tolerance:
Input impedance:
Common mode rejection ratio:
Pacing pulse detection:
±10 mV or more
±500 mV or more
5 MΩ or more
95 dB or more
IEC 60601-2-27: 2005 50.102.10 complied
amplitude ±2 to 700 mV, duration 0.1 to 2 ms
IEC 60601-2-27: 2005 complied
Based upon pacemaker pulse rejection capability
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Deﬁbrillation-proof:
ECG input protected against 400 Ws/DC 5 kV
IEC 60601-2-27 17.101 complied
ECG recovery time after deﬁbrillation: within 10 s
Electrode condition:
Displays CHECK ELECTRODES message
Tall 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 complied
Heart 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.org
Response 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 seconds
Pacemaker 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 60601-227: 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 606012-27: 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 count
Frequency characteristic:
ﬁlter on: 1 to 18 Hz, ﬁlter off: 0.05 to 60 Hz
Heart rate detection method:
Average
QRS 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
Heart rate counting range:
0, 15 to 300 beats/min
Heart rate counting accuracy*:
±2 beats/min, (0, 15 to 300 beats/min)
* Essential performance of this transmitter
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Respiration Measurement
Measuring method:
Impedance method
Measuring lead:
Between R and F
Impedance range:
220 to 2000 Ω
Excitor current:
54 to 93 μAp-p, 48 kHz
Respiration 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 transmitter
SpO2 Measurement (ISO 9919: 2005 compliance)
Measuring range:
Declared range:
Minimum display range:
Display update cycle:
Measuring accuracy (rms)*:
Total accuracy including probe:
0 to 100%SpO2
70 to 100%SpO2
1%SpO2
Every 3 seconds
Accuracy assurance temperature: 18 to 40ºC
80%SpO2 ≤ %SpO2 ≤ 100%SpO2: ±2%SpO2
70%SpO2 ≤ %SpO2 < 80%SpO2: ±3%SpO2
under 70%SpO2: not speciﬁed
Accuracy of the transmitter:
80%SpO2 ≤ %SpO2 ≤ 100%SpO2: ±1%SpO2
50%SpO2 ≤ %SpO2 < 80%SpO2: ±2%SpO2
under 50%SpO2: not speciﬁed
Pulse rate measuring range:
30 to 300 bpm
Pulse rate display range:
30 to 300 bpm
Pulse rate accuracy (rms)*:
±3% ±1 bpm
* Essential performance of this transmitter
NOTE
• 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.
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Response time:
Selectable from “Slow”, “Normal” and “Fast”.
The following graphs show the response time example when
SpO2 changes 0.6%/s.
Pulse Rate = 70 bpm
SpO2 Reference
SpO2 Fast
SpO2 Normal
SpO2 Slow
100
95
SpO2 (%)
90
85
80
75
70
65
60
10
20
30
40
50
60
70
80
90
100
110
120
130
140
Time (seconds)
Pulse Rate = 140 bpm
SpO2 Reference
SpO2 Fast
SpO2 Normal
SpO2 Slow
100
95
SpO2 (%)
90
85
80
75
70
65
60
10
20
30
40
50
60
70
80
90
100
110
120
130
140
Time (seconds)
The following graph shows the response time example when pulse rate changes 10 bpm/s.
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SpO2 = 97
PR Reference
PR
150
140
PR (bpm)
130
120
110
100
90
80
70
60
10
20
30
40
50
60
70
80
90
100
110
120
Time (seconds)
Transmitter
FCC regulation:
Field strength limits:
Undesired emissions:
Antenna:
Transmission channel:
Transmission frequency range:
Channel spacing:
Modulation:
Type of emission:
Occupied bandwidth:
Effective radiated power:
FCC part 95 Subpart H
Wireless Medical Telemetry Service (WMTS)
≤ 740 mV/m (at 3 m)
≤ 960 MHz: ≤ 200 μV/m (at 3 m)
≥ 960 MHz: ≤ 500 μV/m (at 3 m)
Internal
Indicated on the transmitter
1395.0250 to 1399.9750 MHz
1427.0250 to 1431.9750 MHz
50 kHz or 37.5 kHz (12.5 kHz when interleaved)
FSK (frequency shift keying)
F1D
12 to 18 kHz
5.0 mW
Can be changed to 1.0 mW if required
Power Requirements
Rated voltage:
3.0 V
Shutdown voltage:
1.4 to 1.75 V
Operating voltage:
Shutdown voltage to 3.2 V
Battery type:
Two AA (LR6) type alkaline dry cell primary batteries
Battery 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)
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Dimension and Weight
Dimension:
Weight:
78 W × 137 H × 36 D (mm)
about 230 g (excluding batteries and other accessories)
about 280 g (including batteries, excluding other
accessories)
Environment
Operating environment
Temperature:
Humidity:
Atmospheric pressure:
5 to 40°C (41 to 104°F)
30 to 85% (noncondensing)
700 to 1060 hPa
Storage and transport environment
Temperature:
−20 to +65°C (−4 to +149°F)
Humidity:
10 to 95%
Atmospheric pressure:
700 to 1060 hPa
Water resistance
Water does not get inside the transmitter when immersed in water up to 30 cm deep for 3 minutes.
Safety Standards
Safety 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: 2003
Type of protection against electrical shock:
INTERNALLY POWERED EQUIPMENT
Degree of protection against electrical shock:
ECG and impedance method respiration:
DEFIBRILLATION-PROOF TYPE CF APPLIED PART
SpO2:
DEFIBRILLATION-PROOF TYPE BF APPLIED PART
Degree of protection against harmful ingress of water:
IPX0 (non-protected)
104
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Degree of safety of application in the presence of a FLAMMABLE ANAESTHETIC MIXTURE
WITH 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 OXIDE
Mode of operation:
CONTINUOUS OPERATION
ME EQUIPMENT type:
HAND-HELD and PORTABLE
Electromagnetic Compatibility
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
Electromagnetic Emissions
This 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
RF emissions
CISPR 11
RF emissions
CISPR 11
Harmonic emissions
IEC 61000-3-2
Voltage ﬂuctuations/
ﬂicker emissions
IEC 61000-3-3
Compliance
Electromagnetic environment - guidance
Group 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.
Class B
The ZM-521PA/531PA is suitable for use in all
establishments, including domestic establishments.
Not applicable
Not applicable
Operator’s Manual ZM-520PA/521PA/530PA/531PA
105
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Electromagnetic Immunity
This 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
level
Compliance
level
Electrostatic
discharge (ESD)
IEC 61000-4-2
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
Electrical fast
transient/burst
IEC 61000-4-4
±2 kV for power
supply lines
±1 kV for input/
output lines
Not applicable
Electromagnetic
environment - guidance
Floors should be wood, concrete
or ceramic tile. If ﬂoors are
covered with synthetic material,
the relative humidity should be
at least 30%.
—
Not applicable
±1 kV differential
mode
±2 kV common mode
Voltage dips, short <5% UT (>95% dip in Not applicable
interruptions and UT) for 0.5 cycles
voltage variations
on power supply
40% UT (60% dip in
input lines
UT) for 5 cycles
IEC 61000-4-11
70% UT (30% dip in
UT) for 25 cycles
Surge
IEC 61000-4-5
—
—
<5% UT (>95% dip in
UT) for 5 s
3 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.
Power frequency
(50/60 Hz)
magnetic ﬁeld
IEC 61000-4-8
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.
106
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Immunity test
IEC 60601 test
level
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Compliance
level
Electromagnetic environment
- guidance
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 distance
Conducted RF
IEC 61000-4-6
3 Vrms
3 Vrms
150 kHz to 80 MHz
d = 1.2 P
Radiated RF
IEC 61000-4-3
3 V/m
3 V/m 80 MHz to
80 MHz to 2.5 GHz 2.5 GHz
d = 1.2 P 80 MHz to 800 MHz
d = 2.3 P 800 MHz to 2.5 GHz
(1 V/m 80 MHz
to 2.5 GHz for
respiration)
(d = 3.5 P 80 MHz to 800 MHz for
respiration
d = 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.
* 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.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Recommended Separation Distances between Portable and Mobile RF
Communications Equipment
The 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.
Separation distance according to frequency of transmitter (m)
Rated maximum output
power of transmitter
(W)
150 kHz to 80 MHz
d = 1.2 P
80 MHz to 800 MHz
d = 1.2 P
800 MHz to 2.5 GHz
d = 2.3 P
(For respiration:
d = 3.5 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*)
1.2
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 Deﬁbrillation
The transmitter returns to the normal operating mode within 10 seconds after deﬁbrillation. The
stored settings are not affected.
System Composition for EMC Test
The ZM-521PA/531PA bedside monitor is tested to comply with IEC 60601-1-2: 2001 with the
following composition.
Units
ZM-521PA/531PA transmitter
BR-906P ECG electrode lead
TL-201T ﬁnger probe
108
Cable Length
—
0.8 m
1.6 m
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Standard Accessories
Name
Strap
Model
—
Operator’s Manual ZM-520PA/521PA/530PA/531PA
Q’ty
Supply Code No.
Y233
109
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Options
CAUTION
Only use Nihon Kohden speciﬁed electrodes, electrode leads and SpO2 probes.
Otherwise, the maximum performance from the transmitter cannot be guaranteed.
Transmitter
Channel writer, QI-901PK
ECG/RESP
Name
Purpose
3 electrodes AHA,
6 electrodes clip type
Length (m) Code No.
BR-903PA
Electrode
0.8
lead
BR-906PA
L-150
General
–
L-150X
F-150M
1.0
V-090M3
1.5
V-09IO3
1.0
V-040M4
General with DIN type
lead
1.5
V-04IO4
Disposable
1.0
V-060M6
electrodes,
1.5
V-06IO6
Vitrode
For neonates and
premature infants
–
F-150S
For NICU
For neonates and
premature infants
For NICU with DIN
type lead
110
Q’ty
30 × 5
3 × 50
3 × 30
4 × 10
6 × 10
Supply Code No.
K911A
K912A
G203
G207
G210D
G272A
G278A
G272B
G273A
G272C
G274A
3 × 50
G210C
V-120S3
3 × 40
G271A
N-03IS3
3 × 10
G300A
60 cm
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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SpO2
Name
Finger probe (reusable)
Multi-site probe (reusable)
Finger probe (reusable)
SpO2 probe (for adult, disposable)
SpO2 probe (for child, disposable)
SpO2 probe (for neonate/adult,
disposable)
SpO2 probe (for child/infant,
disposable)
SpO2 probe (for adult/neonate,
disposable)
SpO2 probe (for child/infant,
disposable)
COTTONY tape
Foam tape for TL-051S/052S/
061S/062S
Attachment tape for TL220T/631T
Probe fastener
Cable
Length
0.6 m
1.6 m
1.6 m
0.6 m
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
—
Model/
Code No.
20
Supply
Code No.
P225H
P225F
P225G
P311A
P311C
P203A
P203E
P203B
P203F
P203C
P203G
P203D
P203H
P228A
P228B
P229A
P229B
P259
4 × 25 packages
P260
3 × 30 packages
P263
30
P267
Q’ty
TL-201T
TL-220T
TL-631T1
TL-631T3
TL-271T
TL-271T3
TL-272T
TL-272T3
TL-273T
TL-273T3
TL-274T
TL-274T3
TL-051S
TL-052S
TL-061S
TL-062S
340703
24
—
YS-093P2
Operator’s Manual ZM-520PA/521PA/530PA/531PA
111
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Transmission Frequencies
Channel: 9002 to 9478
Transmission
Transmission
Transmission
Frequency Channel No.
Frequency Channel No.
Frequency Channel No.
(MHz)
(MHz)
(MHz)
608.0250
608.0375
608.0500
608.0625
608.0750
608.0875
608.1000
608.1125
608.1250
608.1375
608.1500
608.1625
608.1750
608.1875
608.2000
608.2125
608.2250
608.2375
608.2500
608.2625
608.2750
608.2875
608.3000
608.3125
608.3250
608.3375
608.3500
608.3625
608.3750
608.3875
608.4000
112
9002
9003
9004
9005
9006
9007
9008
9009
9010
9011
9012
9013
9014
9015
9016
9017
9018
9019
9020
9021
9022
9023
9024
9025
9026
9027
9028
9029
9030
9031
9032
608.4375
608.4500
608.4625
608.4750
608.4875
608.5000
608.5125
608.5250
608.5375
608.5500
608.5625
608.5750
608.5875
608.6000
608.6125
608.6250
608.6375
608.6500
608.6625
608.6750
608.6875
608.7000
608.7125
608.7250
608.7375
608.7500
608.7625
608.7750
608.7875
608.8000
608.8125
9035
9036
9037
9038
9039
9040
9041
9042
9043
9044
9045
9046
9047
9048
9049
9050
9051
9052
9053
9054
9055
9056
9057
9058
9059
9060
9061
9062
9063
9064
9065
608.8500
608.8625
608.8750
608.8875
608.9000
608.9125
608.9250
608.9375
608.9500
608.9625
608.9750
608.9875
609.0000
609.0125
609.0250
609.0375
609.0500
609.0625
609.0750
609.0875
609.1000
609.1125
609.1250
609.1375
609.1500
609.1625
609.1750
609.1875
609.2000
609.2125
609.2250
9068
9069
9070
9071
9072
9073
9074
9075
9076
9077
9078
9079
9080
9081
9082
9083
9084
9085
9086
9087
9088
9089
9090
9091
9092
9093
9094
9095
9096
9097
9098
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Transmission
Transmission
Transmission
Frequency Channel No.
Frequency Channel No.
Frequency Channel No.
(MHz)
(MHz)
(MHz)
608.4125
608.4250
9033
9034
608.8250
608.8375
9066
9067
609.2375
609.2500
9099
9100
609.2625
609.2750
609.2875
609.3000
609.3125
609.3250
609.3375
609.3500
609.3625
609.3750
609.3875
609.4000
609.4125
609.4250
609.4375
609.4500
609.4625
609.4750
609.4875
609.5000
609.5125
609.5250
609.5375
609.5500
609.5625
609.5750
609.5875
609.6000
609.6125
609.6250
9101
9102
9103
9104
9105
9106
9107
9108
9109
9110
9111
9112
9113
9114
9115
9116
9117
9118
9119
9120
9121
9122
9123
9124
9125
9126
9127
9128
9129
9130
609.7125
609.7250
609.7375
609.7500
609.7625
609.7750
609.7875
609.8000
609.8125
609.8250
609.8375
609.8500
609.8625
609.8750
609.8875
609.9000
609.9125
609.9250
609.9375
609.9500
609.9625
609.9750
609.9875
610.0000
610.0125
610.0250
610.0375
610.0500
610.0625
610.0750
9137
9138
9139
9140
9141
9142
9143
9144
9145
9146
9147
9148
9149
9150
9151
9152
9153
9154
9155
9156
9157
9158
9159
9160
9161
9162
9163
9164
9165
9166
610.1625
610.1750
610.1875
610.2000
610.2125
610.2250
610.2375
610.2500
610.2625
610.2750
610.2875
610.3000
610.3125
610.3250
610.3375
610.3500
610.3625
610.3750
610.3875
610.4000
610.4125
610.4250
610.4375
610.4500
610.4625
610.4750
610.4875
610.5000
610.5125
610.5250
9173
9174
9175
9176
9177
9178
9179
9180
9181
9182
9183
9184
9185
9186
9187
9188
9189
9190
9191
9192
9193
9194
9195
9196
9197
9198
9199
9200
9201
9202
609.6375
9131
610.0875
9167
610.5375
9203
609.6500
9132
610.1000
9168
610.5500
9204
609.6625
9133
610.1125
9169
610.5625
9205
Operator’s Manual ZM-520PA/521PA/530PA/531PA
113
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Transmission
Transmission
Transmission
Frequency Channel No.
Frequency Channel No.
Frequency Channel No.
(MHz)
(MHz)
(MHz)
114
609.6750
9134
610.1250
9170
610.5750
9206
609.6875
9135
610.1375
9171
610.5875
9207
609.7000
9136
610.1500
9172
610.6000
9208
610.6125
9209
611.0625
9245
611.5125
9281
610.6250
9210
611.0750
9246
611.5250
9282
610.6375
610.6500
610.6625
610.6750
610.6875
610.7000
610.7125
610.7250
610.7375
610.7500
610.7625
610.7750
610.7875
610.8000
610.8125
610.8250
610.8375
610.8500
610.8625
610.8750
610.8875
610.9000
610.9125
610.9250
610.9375
610.9500
610.9625
610.9750
610.9875
611.0000
9211
9212
9213
9214
9215
9216
9217
9218
9219
9220
9221
9222
9223
9224
9225
9226
9227
9228
9229
9230
9231
9232
9233
9234
9235
9236
9237
9238
9239
9240
611.0875
611.1000
611.1125
611.1250
611.1375
611.1500
611.1625
611.1750
611.1875
611.2000
611.2125
611.2250
611.2375
611.2500
611.2625
611.2750
611.2875
611.3000
611.3125
611.3250
611.3375
611.3500
611.3625
611.3750
611.3875
611.4000
611.4125
611.4250
611.4375
611.4500
9247
9248
9249
9250
9251
9252
9253
9254
9255
9256
9257
9258
9259
9260
9261
9262
9263
9264
9265
9266
9267
9268
9269
9270
9271
9272
9273
9274
9275
9276
611.5375
611.5500
611.5625
611.5750
611.5875
611.6000
611.6125
611.6250
611.6375
611.6500
611.6625
611.6750
611.6875
611.7000
611.7125
611.7250
611.7375
611.7500
611.7625
611.7750
611.7875
611.8000
611.8125
611.8250
611.8375
611.8500
611.8625
611.8750
611.8875
611.9000
9283
9284
9285
9286
9287
9288
9289
9290
9291
9292
9293
9294
9295
9296
9297
9298
9299
9300
9301
9302
9303
9304
9305
9306
9307
9308
9309
9310
9311
9312
Operator’s Manual ZM-520PA/521PA/530PA/531PA
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Transmission
Transmission
Transmission
Frequency Channel No.
Frequency Channel No.
Frequency Channel No.
(MHz)
(MHz)
(MHz)
611.0125
611.0250
611.0375
611.0500
9241
9242
9243
9244
611.4625
611.4750
611.4875
611.5000
9277
9278
9279
9280
611.9125
611.9250
611.9375
611.9500
9313
9314
9315
9316
611.9625
611.9750
611.9875
612.0000
612.0125
612.0250
612.0375
612.0500
612.0625
612.0750
612.0875
612.1000
612.1125
612.1250
612.1375
612.1500
612.1625
612.1750
612.1875
612.2000
612.2125
612.2250
612.2375
612.2500
612.2625
612.2750
612.2875
612.3000
612.3125
612.3250
612.3375
612.3500
9317
9318
9319
9320
9321
9322
9323
9324
9325
9326
9327
9328
9329
9330
9331
9332
9333
9334
9335
9336
9337
9338
9339
9340
9341
9342
9343
9344
9345
9346
9347
9348
612.4125
612.4250
612.4375
612.4500
612.4625
612.4750
612.4875
612.5000
612.5125
612.5250
612.5375
612.5500
612.5625
612.5750
612.5875
612.6000
612.6125
612.6250
612.6375
612.6500
612.6625
612.6750
612.6875
612.7000
612.7125
612.7250
612.7375
612.7500
612.7625
612.7750
612.7875
612.8000
9353
9354
9355
9356
9357
9358
9359
9360
9361
9362
9363
9364
9365
9366
9367
9368
9369
9370
9371
9372
9373
9374
9375
9376
9377
9378
9379
9380
9381
9382
9383
9384
612.8625
612.8750
612.8875
612.9000
612.9125
612.9250
612.9375
612.9500
612.9625
612.9750
612.9875
613.0000
613.0125
613.0250
613.0375
613.0500
613.0625
613.0750
613.0875
613.1000
613.1125
613.1250
613.1375
613.1500
613.1625
613.1750
613.1875
613.2000
613.2125
613.2250
613.2375
613.2500
9389
9390
9391
9392
9393
9394
9395
9396
9397
9398
9399
9400
9401
9402
9403
9404
9405
9406
9407
9408
9409
9410
9411
9412
9413
9414
9415
9416
9417
9418
9419
9420
Operator’s Manual ZM-520PA/521PA/530PA/531PA
115
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Transmission
Transmission
Transmission
Frequency Channel No.
Frequency Channel No.
Frequency Channel No.
(MHz)
(MHz)
(MHz)
612.3625
612.3750
612.3875
612.4000
9349
9350
9351
9352
612.8125
612.8250
612.8375
612.8500
9385
9386
9387
9388
613.2625
613.2750
613.2875
613.3000
9421
9422
9423
9424
613.3125
9425
613.5375
9443
613.7625
9461
613.3250
9426
613.5500
9444
613.7750
9462
613.3375
9427
613.5625
9445
613.7875
9463
613.3500
9428
613.5750
9446
613.8000
9464
613.3625
9429
613.5875
9447
613.8125
9465
613.3750
9430
613.6000
9448
613.8250
9466
613.3875
9431
613.6125
9449
613.8375
9467
613.4000
9432
613.6250
9450
613.8500
9468
613.4125
9433
613.6375
9451
613.8625
9469
613.4250
9434
613.6500
9452
613.8750
9470
613.4375
9435
613.6625
9453
613.8875
9471
613.4500
9436
613.6750
9454
613.9000
9472
613.4625
9437
613.6875
9455
613.9125
9473
613.4750
9438
613.7000
9456
613.9250
9474
613.4875
9439
613.7125
9457
613.9375
9475
613.5000
9440
613.7250
9458
613.9500
9476
613.5125
9441
613.7375
9459
613.9625
9477
613.5250
9442
613.7500
9460
613.9750
9478
Channel: E002 to E398
116
Channel
No.
Transmission
Frequency
(MHz)
Channel
No.
E037
1395.9000
E072
1395.9125
E073
E074
E075
E076
E077
E078
E002
Transmission
Frequency
(MHz)
1395.4625
1395.0375
1395.0500
E003
E004
1395.4750
1395.4875
E038
E039
1395.0625
1395.0750
E005
E006
1395.5000
1395.5125
E040
E041
1395.9250
1395.9375
1395.9500
1395.0875
1395.1000
E007
E008
1395.5250
1395.5375
E042
E043
1395.9625
1395.9750
Transmission
Frequency
(MHz)
1395.0250
Channel
No.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
Transmission
Frequency
(MHz)
1395.1125
1395.1250
1395.1375
1395.1500
Channel
No.
E009
E010
E011
E012
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Channel
No.
Transmission
Frequency
(MHz)
Channel
No.
E044
1395.9875
E079
1395.5625
1395.5750
1395.5875
E045
E046
E047
1396.0000
1396.0125
1396.0250
E080
E081
E082
Transmission
Frequency
(MHz)
1395.5500
1395.1625
E013
1395.6000
E048
1396.0375
E083
1395.1750
1395.1875
1395.2000
E014
E015
E016
1395.6125
1395.6250
1395.6375
E049
E050
E051
1396.0500
1396.0625
1396.0750
E084
E085
E086
1395.2125
1395.2250
E017
E018
1395.6500
1395.6625
E052
E053
1396.0875
1396.1000
E087
E088
1395.2375
1395.2500
1395.2625
1395.2750
1395.2875
1395.3000
1395.3125
1395.3250
1395.3375
E019
E020
E021
E022
E023
E024
E025
E026
E027
1395.3500
1395.3625
1395.3750
1395.3875
E028
E029
E030
E031
1395.6750
1395.6875
1395.7000
1395.7125
1395.7250
1395.7375
1395.7500
1395.7625
1395.7750
1395.7875
1395.8000
1395.8125
E054
E055
E056
E057
E058
E059
E060
E061
E062
E063
E064
E065
1396.1125
1396.1250
1396.1375
1396.1500
1396.1625
1396.1750
1396.1875
1396.2000
1396.2125
1396.2250
1396.2375
1396.2500
E089
E090
E091
E092
E093
E094
E095
E096
E097
E098
E099
E100
1395.4000
1395.4125
E032
E033
1395.8250
1395.8375
1395.8500
E066
E067
E068
1396.2625
1396.2750
1396.2875
E101
E102
E103
1395.4250
1395.4375
1395.4500
E034
E035
E036
1395.8625
1395.8750
E069
E070
E107
E108
E071
E143
E144
E104
E105
E106
1396.3375
1396.3500
1395.8875
1396.7875
1396.8000
1396.3000
1396.3125
1396.3250
1397.2375
1397.2500
E179
E180
1396.3625
1396.3750
E109
E110
1396.8125
1396.8250
E145
E146
1397.2625
1397.2750
E181
E182
1396.3875
1396.4000
1396.4125
E111
E112
E113
1396.8375
1396.8500
1396.8625
E147
E148
E149
1397.2875
1397.3000
1397.3125
E183
E184
E185
Operator’s Manual ZM-520PA/521PA/530PA/531PA
117
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
E150
E151
E152
Transmission
Frequency
(MHz)
1397.3250
1397.3375
1397.3500
1396.9125
E153
1397.3625
E189
E118
E119
E120
1396.9250
1396.9375
1396.9500
E154
E155
E156
1397.3750
1397.3875
1397.4000
E190
E191
E192
1396.5125
1396.5250
E121
E122
1396.9625
1396.9750
E157
E158
1397.4125
1397.4250
E193
E194
1396.5375
1396.5500
1396.5625
1396.5750
1396.5875
1396.6000
1396.6125
1396.6250
1396.6375
1396.6500
1396.6625
1396.6750
1396.6875
E123
E124
E125
E126
E127
E128
E129
E130
E131
E132
E133
E134
E135
1396.9875
1397.0000
1397.0125
1397.0250
1397.0375
1397.0500
1397.0625
1397.0750
1397.0875
1397.1000
1397.1125
1397.1250
1397.1375
E159
E160
E161
E162
E163
E164
E165
E166
E167
E168
E169
E170
E171
1397.4375
1397.4500
1397.4625
1397.4750
1397.4875
1397.5000
1397.5125
1397.5250
1397.5375
1397.5500
1397.5625
1397.5750
1397.5875
E195
E196
E197
E198
E199
E200
E201
E202
E203
E204
E205
E206
E207
1396.7000
1396.7125
1396.7250
E136
E137
E138
1397.1500
1397.1625
1397.1750
E172
E173
E174
1397.6000
E208
1397.6125
1397.6250
E209
E210
1396.7375
1396.7500
E139
E140
1397.1875
1397.2000
E175
E176
1397.6375
1397.6500
E211
E212
1396.7625
1396.7750
E141
E142
1397.2125
1397.2250
E177
E178
1397.6625
1397.6750
E213
E214
1397.6875
1397.7000
E215
E216
1398.1375
1398.1500
E251
E252
1398.5875
1398.6000
E287
E288
1397.7125
1397.7250
1397.7375
E217
E218
E219
1398.1625
1398.1750
1398.1875
E253
E254
E255
1398.6125
1398.6250
1398.6375
E289
E290
E291
1397.7500
E220
1398.2000
E256
1398.6500
E292
E114
E115
E116
Transmission
Frequency
(MHz)
1396.8750
1396.8875
1396.9000
1396.4625
E117
1396.4750
1396.4875
1396.5000
Transmission
Frequency
(MHz)
1396.4250
1396.4375
1396.4500
118
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Channel
No.
Channel
No.
Channel
No.
E186
E187
E188
Operator’s Manual ZM-520PA/521PA/530PA/531PA
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Transmission
Frequency
(MHz)
Channel
No.
Transmission
Frequency
(MHz)
Channel
No.
Transmission
Frequency
(MHz)
Channel
No.
1397.7625
1397.7750
E221
E222
1398.2125
1398.2250
E257
E258
1398.6625
1398.6750
E293
E294
1397.7875
1397.8000
E223
E224
1398.2375
1398.2500
E259
E260
1398.6875
1398.7000
E295
E296
1397.8125
1397.8250
1397.8375
E225
E226
E227
1398.2625
1398.2750
1398.2875
E261
E262
E263
1398.7125
1398.7250
1398.7375
E297
E298
E299
1397.8500
E228
1398.3000
E264
1398.7500
E300
1397.8625
1397.8750
1397.8875
E229
E230
E231
1398.3125
1398.3250
1398.3375
E265
E266
E267
1398.7625
1398.7750
1398.7875
E301
E302
E303
1397.9000
1397.9125
1397.9250
1397.9375
1397.9500
1397.9625
1397.9750
1397.9875
1398.0000
1398.0125
1398.0250
E232
E233
E234
E235
E236
E237
E238
E239
E240
E241
E242
1398.3500
1398.3625
1398.3750
1398.3875
1398.4000
1398.4125
1398.4250
1398.4375
1398.4500
1398.4625
1398.4750
E268
E269
E270
E271
E272
E273
E274
E275
E276
E277
E278
1398.8000
1398.8125
1398.8250
1398.8375
1398.8500
1398.8625
1398.8750
1398.8875
1398.9000
1398.9125
1398.9250
E304
E305
E306
E307
E308
E309
E310
E311
E312
E313
E314
1398.0375
1398.0500
1398.0625
E243
E244
E245
1398.4875
1398.5000
1398.5125
E279
E280
E281
1398.9375
1398.9500
1398.9625
E315
E316
E317
1398.0750
1398.0875
E246
E247
1398.5250
1398.5375
E282
E283
1398.9750
1398.9875
E318
E319
1398.1000
1398.1125
E248
E249
1398.5500
1398.5625
E284
E285
1398.1250
1399.0375
1399.0500
E250
E323
E324
1398.5750
1399.4625
1399.4750
E286
E357
E358
1399.0000
1399.0125
1399.0250
E320
E321
E322
1399.8875
1399.9000
E391
E392
1399.0625
1399.0750
E325
E326
1399.4875
1399.5000
E359
E360
1399.9125
1399.9250
E393
E394
1399.0875
E327
1399.5125
E361
1399.9375
E395
Operator’s Manual ZM-520PA/521PA/530PA/531PA
119
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
E328
E329
Transmission
Frequency
(MHz)
1399.5250
1399.5375
1399.1250
1399.1375
1399.1500
E330
E331
E332
1399.5500
1399.5625
1399.5750
E364
E365
E366
1399.1625
E333
1399.5875
E367
1399.1750
1399.1875
1399.2000
E334
E335
E336
1399.6000
1399.6125
1399.6250
E368
E369
E370
1399.2125
1399.2250
1399.2375
1399.2500
1399.2625
1399.2750
1399.2875
1399.3000
1399.3125
1399.3250
1399.3375
1399.3500
1399.3625
1399.3750
E337
E338
E339
E340
E341
E342
E343
E344
E345
E346
E347
E348
E349
E350
1399.6375
1399.6500
1399.6625
1399.6750
1399.6875
1399.7000
1399.7125
1399.7250
1399.7375
1399.7500
1399.7625
1399.7750
1399.7875
1399.8000
E371
E372
E373
E374
E375
E376
E377
E378
E379
E380
E381
E382
E383
E384
1399.3875
E351
1399.8125
E385
1399.4000
1399.4125
1399.4250
E352
E353
E354
1399.8250
1399.8375
1399.8500
E386
E387
E388
1399.4375
1399.4500
E355
E356
1399.8625
1399.8750
E389
E390
Transmission
Frequency
(MHz)
1399.1000
1399.1125
120
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Channel
No.
Channel
No.
E362
E363
Transmission
Frequency
(MHz)
1399.9500
1399.9625
1399.9750
Channel
No.
E396
E397
E398
Operator’s Manual ZM-520PA/521PA/530PA/531PA
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Channel: E502 to E898
E536
Transmission
Frequency
(MHz)
1427.8750
1427.4625
E537
1427.8875
E571
E504
E505
E506
1427.4750
1427.4875
1427.5000
E538
E539
E540
1427.9000
1427.9125
1427.9250
E572
E573
E574
1427.0875
E507
1427.5125
E541
1427.9375
E575
1427.1000
1427.1125
1427.1250
E508
E509
E510
1427.5250
1427.5375
1427.5500
E542
E543
E544
1427.9500
1427.9625
1427.9750
E576
E577
E578
1427.1375
1427.1500
E511
E512
1427.5625
1427.5750
E545
E546
1427.9875
1428.0000
E579
E580
1427.1625
1427.1750
E513
E514
1427.5875
1427.6000
E547
E548
1428.0125
1428.0250
E581
E582
1427.1875
1427.2000
1427.2125
E515
E516
E517
1427.6125
1427.6250
1427.6375
E549
E550
E551
1428.0375
1428.0500
1428.0625
E583
E584
E585
1427.2250
1427.2375
1427.2500
E518
E519
E520
1427.6500
1427.6625
1427.6750
E552
E553
E554
1428.0750
1428.0875
1428.1000
E586
E587
E588
1427.2625
1427.2750
E521
E522
1427.6875
1427.7000
E555
E556
1428.1125
1428.1250
E589
E590
1427.2875
1427.3000
E523
E524
1427.7125
1427.7250
E557
E558
1428.1375
1428.1500
E591
E592
1427.3125
1427.3250
E525
E526
1427.7375
1427.7500
E559
E560
1428.1625
1428.1750
E593
E594
1427.3375
1427.3500
1427.3625
E527
E528
E529
1427.7625
1427.7750
1427.7875
E561
E562
E563
1428.1875
1428.2000
1428.2125
E595
E596
E597
1427.3750
1427.3875
E530
E531
1427.8000
1427.8125
E564
E565
1428.2250
1428.2375
E598
E599
1427.4000
1427.4125
1427.4250
E532
E533
E534
1427.8250
1427.8375
1427.8500
E566
E567
E568
1428.2500
1428.2625
1428.2750
E600
E601
E602
E502
Transmission
Frequency
(MHz)
1427.4500
1427.0375
E503
1427.0500
1427.0625
1427.0750
Transmission
Frequency
(MHz)
1427.0250
Channel
No.
Channel
No.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
Channel
No.
E570
121
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
E569
Transmission
Frequency
(MHz)
1428.2875
1428.7500
1428.7625
E640
E641
1429.2000
1429.2125
E676
E677
E606
E607
E608
1428.7750
1428.7875
1428.8000
E642
E643
E644
1429.2250
1429.2375
1429.2500
E678
E679
E680
1428.3625
1428.3750
1428.3875
E609
E610
E611
1428.8125
1428.8250
1428.8375
E645
E646
E647
1429.2625
1429.2750
1429.2875
E681
E682
E683
1428.4000
E612
1428.8500
E648
1429.3000
E684
1428.4125
1428.4250
1428.4375
E613
E614
E615
1428.8625
1428.8750
1428.8875
E649
E650
E651
1429.3125
1429.3250
1429.3375
E685
E686
E687
1428.4500
1428.4625
E616
E617
1428.9000
1428.9125
E652
E653
1429.3500
1429.3625
E688
E689
1428.4750
1428.4875
1428.5000
E618
E619
E620
1428.9250
1428.9375
1428.9500
E654
E655
E656
1429.3750
1429.3875
1429.4000
E690
E691
E692
1428.5125
1428.5250
E621
E622
1428.9625
1428.9750
E657
E658
1429.4125
1429.4250
E693
E694
1428.5375
1428.5500
E623
E624
1428.9875
1429.0000
E659
E660
1429.4375
1429.4500
E695
E696
1428.5625
1428.5750
1428.5875
E625
E626
E627
1429.0125
1429.0250
1429.0375
E661
E662
E663
1429.4625
1429.4750
1429.4875
E697
E698
E699
1428.6000
1428.6125
E628
E629
1429.0500
1429.0625
E664
E665
1429.5000
1429.5125
E700
E701
1428.6250
1428.6375
1428.6500
E630
E631
E632
1429.0750
1429.0875
1429.1000
E666
E667
E668
1429.5250
1429.5375
1429.5500
E702
E703
E704
1428.6625
E633
1429.1125
E669
1429.5625
E705
1428.6750
1428.6875
1428.7000
1428.7125
E634
E635
E636
E637
1429.1250
1429.1375
1429.1500
1429.1625
E670
E671
E672
E673
1429.5750
1429.5875
1429.6000
1429.6125
E706
E707
E708
E709
E535
Transmission
Frequency
(MHz)
1427.8625
1428.3000
1428.3125
E604
E605
1428.3250
1428.3375
1428.3500
Transmission
Frequency
(MHz)
1427.4375
122
Channel
No.
Channel
No.
Channel
No.
E603
Operator’s Manual ZM-520PA/521PA/530PA/531PA
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
E674
E675
E748
E749
Transmission
Frequency
(MHz)
1429.6250
1429.6375
1430.5500
1430.5625
1430.1250
1430.1375
1430.1500
E750
E751
E752
1430.5750
1430.5875
1430.6000
E786
E787
E788
E717
1430.1625
E753
1430.6125
E789
1429.7250
1429.7375
1429.7500
E718
E719
E720
1430.1750
1430.1875
1430.2000
E754
E755
E756
1430.6250
1430.6375
1430.6500
E790
E791
E792
1429.7625
1429.7750
E721
E722
1430.2125
1430.2250
E757
E758
1430.6625
1430.6750
E793
E794
1429.7875
1429.8000
E723
E724
1430.2375
1430.2500
E759
E760
1430.6875
1430.7000
E795
E796
1429.8125
1429.8250
1429.8375
E725
E726
E727
1430.2625
1430.2750
1430.2875
E761
E762
E763
1430.7125
1430.7250
1430.7375
E797
E798
E799
1429.8500
1429.8625
1429.8750
E728
E729
E730
1430.3000
1430.3125
1430.3250
E764
E765
E766
1430.7500
1430.7625
1430.7750
E800
E801
E802
1429.8875
E731
1430.3375
E767
1430.7875
E803
1429.9000
1429.9125
1429.9250
1429.9375
E732
E733
E734
E735
1430.3500
1430.3625
1430.3750
1430.3875
E768
E769
E770
E771
1430.8000
1430.8125
1430.8250
1430.8375
E804
E805
E806
E807
1429.9500
E736
1430.4000
E772
1430.8500
E808
1429.9625
1429.9750
1429.9875
E737
E738
E739
1430.4125
1430.4250
1430.4375
E773
E774
E775
1430.8625
1430.8750
1430.8875
E809
E810
E811
1430.0000
1430.0125
1430.0250
1430.0375
E740
E741
E742
E743
1430.4500
1430.4625
1430.4750
1430.4875
E776
E777
E778
E779
1430.9000
1430.9125
1430.9250
1430.9375
E812
E813
E814
E815
1430.0500
E744
1430.5000
E780
1430.9500
E816
E638
E639
E712
E713
Transmission
Frequency
(MHz)
1429.1750
1429.1875
1430.1000
1430.1125
1429.6750
1429.6875
1429.7000
E714
E715
E716
1429.7125
Transmission
Frequency
(MHz)
1428.7250
1428.7375
1429.6500
1429.6625
Channel
No.
Channel
No.
Operator’s Manual ZM-520PA/521PA/530PA/531PA
Channel
No.
E710
E711
E784
E785
123
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
E781
E782
E783
Transmission
Frequency
(MHz)
1430.9625
1430.9750
1430.9875
1431.4375
1431.4500
E855
E856
1431.8750
1431.8875
E890
E891
E822
E823
E824
1431.4625
1431.4750
1431.4875
E857
E858
E859
1431.9000
1431.9125
1431.9250
E892
E893
E894
1431.0625
1431.0750
1431.0875
E825
E826
E827
1431.5000
1431.5125
1431.5250
E860
E861
E862
1431.9375
1431.9500
1431.9625
E895
E896
E897
1431.1000
1431.1125
E828
E829
1431.5375
1431.5500
E863
E864
1431.9750
E898
1431.1250
1431.1375
1431.1500
E830
E831
E832
1431.5625
1431.5750
1431.5875
E865
E866
E867
1431.1625
1431.1750
E833
E834
1431.6000
1431.6125
E868
E869
1431.1875
1431.2000
1431.2125
E835
E836
E837
1431.6250
1431.6375
1431.6500
E870
E871
E872
1431.2250
E838
1431.6625
E873
1431.2375
1431.2500
1431.2625
E839
E840
E841
1431.6750
1431.6875
1431.7000
E874
E875
E876
1431.2750
1431.2875
E842
E843
1431.7125
1431.7250
E877
E878
1431.3000
1431.3125
1431.3250
E844
E845
E846
1431.7375
1431.7500
1431.7625
E879
E880
E881
1431.3375
1431.3500
E847
E848
1431.7750
1431.7875
E882
E883
1431.3625
1431.3750
1431.3875
E849
E850
E851
1431.8000
1431.8125
1431.8250
E884
E885
E886
E745
E746
E747
Transmission
Frequency
(MHz)
1430.5125
1430.5250
1430.5375
1431.0000
1431.0125
E820
E821
1431.0250
1431.0375
1431.0500
Transmission
Frequency
(MHz)
1430.0625
1430.0750
1430.0875
124
Channel
No.
Channel
No.
Channel
No.
E817
E818
E819
Operator’s Manual ZM-520PA/521PA/530PA/531PA
૞ᚑ 㒙ጊ‫ޓ‬ᖘᏆ
Transmission
Frequency
(MHz)
1431.4000
1431.4125
1431.4250
Channel
No.
E852
E853
E854
ᛚ⹺ ⌀ᨩ‫⌬ޓ‬
Transmission
Frequency
(MHz)
1431.8375
1431.8500
1431.8625
Channel
No.
Transmission
Frequency
(MHz)
Channel
No.
E887
E888
E889
Operator’s Manual ZM-520PA/521PA/530PA/531PA
125

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EXIF Metadata provided by EXIF.tools

Nihon Kohden ZM-530PA WMTS TRANSMITTER User Manual

Nihon Kohden Corporation WMTS TRANSMITTER

User Manual

FCC ID Filing: B6BZM-530PA

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