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| Document ID | 2812665 |
| Application ID | KrYeNbQIfue6b4GMUluQ2A== |
| Document Description | (Short-Term Confidential) User Manual |
| Short Term Confidential | No |
| Permanent Confidential | No |
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| Document Type | User Manual |
| Display Format | Adobe Acrobat PDF - pdf |
| Filesize | 87.01kB (1087643 bits) |
| Date Submitted | 2015-11-16 00:00:00 |
| Date Available | 2016-03-07 00:00:00 |
| Creation Date | 2015-11-04 11:03:37 |
| Producing Software | Acrobat Distiller 10.1.2 (Windows) |
| Document Lastmod | 2015-11-04 11:03:37 |
| Document Title | untitled |
| Document Creator | Adobe InDesign CS6 (Windows) |
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
0614-904743D
In order to use this product safely and fully understand all its functions, read this manual before
using the product.
Keep this manual near the instrument or in the reach of the operator and refer to it whenever the
operation is unclear.
This product stores personal patient information. Manage the information appropriately.
3DWLHQWQDPHVRQWKHVFUHHQVKRWVDQGUHFRUGLQJH[DPSOHVLQWKLVPDQXDODUHÂżFWLRQDODQGDQ\
resemblance to any person living or dead is purely coincidental.
The contents of this manual are subject to change without notice.
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.
Contents
GENERAL HANDLING PRECAUTIONS ...................................................................... i
WARRANTY POLICY ..................................................................................................iii
Equipment Authorization Requirement ........................................................................iv
Compliance with FCC Requirements .....................................................................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 ............................................................................................................. 11
Battery ....................................................................................................................... 12
Transmitter Channel Management ............................................................................. 12
For Patients Using Implantable Pacemaker ............................................................... 13
ECG Monitoring ......................................................................................................... 13
SpO2 Monitoring......................................................................................................... 15
Maintenance .............................................................................................................. 17
Preparation on Transmitter .............................................................................................. 18
Batteries..................................................................................................................... 18
Handling Batteries ................................................................................................ 18
Battery Lifetime .................................................................................................... 18
Installing (Replacing) Batteries ............................................................................ 19
Situations Requiring Battery Replacement .......................................................... 20
Battery Level Indication ........................................................................................ 20
Attaching a Strap to the Transmitter ........................................................................... 21
Turning On the Transmitter ......................................................................................... 22
Check Items Before Use ...................................................................................... 22
Check Items After Power On ................................................................................ 23
Check Items After Use ......................................................................................... 23
Turning Off the Transmitter ......................................................................................... 24
Changing the Transmitter Channel............................................................................. 24
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
C.1
Changing Parameter and System Setup Settings ........................................................... 25
Changing PARAMETER SETUP Settings.................................................................. 25
Parameter Setup Setting List ............................................................................... 25
Displaying the PARAMETER SETUP Screen ...................................................... 26
Changing Parameter Setup Settings .................................................................... 27
Changing SYSTEM SETUP Settings ......................................................................... 30
System Setup Setting List .................................................................................... 30
Displaying the SYSTEM SETUP Screen.............................................................. 31
Changing System Setup Settings ........................................................................ 32
Initializing Settings ..................................................................................................... 35
Attaching Electrodes and SpO2 Probe to the Patient....................................................... 36
Attaching Electrodes .................................................................................................. 36
Selecting Electrode Lead ..................................................................................... 36
Connecting the Electrode Lead to the Transmitter ............................................... 36
Electrode Position ................................................................................................ 37
Attaching Electrodes to the Patient and Connecting the Electrode Leads to
Disposable Electrodes ......................................................................................... 41
Checking ECG on the Transmitter Screen............................................................ 42
Attaching the SpO2 Probe .......................................................................................... 42
Selecting the SpO2 Probe .................................................................................... 42
Connecting the SpO2 Probe to the Transmitter .................................................... 45
Attaching the Probe to the Patient........................................................................ 46
Locking the Keys on the Transmitter ................................................................................ 48
Monitoring ........................................................................................................................ 49
Screen Descriptions................................................................................................... 49
Check Electrodes Screen ..................................................................................... 50
Numeric and Waveform Screen ........................................................................... 51
Waveform Review Screen .................................................................................... 52
Numeric Review Screen ....................................................................................... 53
Display Off ............................................................................................................ 53
Basic Monitoring Operation ....................................................................................... 54
Using the Function Key ........................................................................................ 54
Suspending Alarms on the Receiving Monitor ..................................................... 55
Pausing Monitoring............................................................................................... 56
Resuming Monitoring after Pause ........................................................................ 58
ConďŹrming the Patient .......................................................................................... 58
Turning the Display Off ......................................................................................... 59
Turning the Display On after It was Turned Off ..................................................... 60
ECG and Respiration Monitoring ............................................................................... 61
Turning ECG Measurement On/Off ...................................................................... 64
Turning Respiration Measurement On/Off............................................................ 64
Electrode Detachment.......................................................................................... 64
C.2
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
SpO2 Monitoring......................................................................................................... 65
Indications and Messages ............................................................................................... 69
Indication ................................................................................................................... 69
Messages .................................................................................................................. 69
Message Display Priority...................................................................................... 72
Troubleshooting ............................................................................................................... 73
Transmitter ................................................................................................................. 73
ECG/Respiration ........................................................................................................ 74
SpO2 ......................................................................................................................... 75
Maintenance .................................................................................................................... 76
1. External Check ................................................................................................. 76
2. Transmitter Channel ......................................................................................... 76
3. Transmitting/Receiving Signal .......................................................................... 77
4. Display .............................................................................................................. 77
5. Key Operation ................................................................................................... 79
6. ECG Check....................................................................................................... 80
7. Respiration Check ............................................................................................ 81
8. SpO2 Check (with SpO2 Checker) .................................................................... 81
9. SpO2 Check (with Vital Sign Simulator) ............................................................ 82
Maintenance Check Sheet ................................................................................... 84
Lifetime and Disposal ...................................................................................................... 85
Disposing of Used Batteries ...................................................................................... 85
Battery Lifetime .................................................................................................... 85
Disposal ............................................................................................................... 85
Disposing of Electrodes and SpO2 Probes ................................................................ 85
Disposing of Transmitter............................................................................................. 85
Cleaning, Disinfection and Sterilization ........................................................................... 86
Transmitter and Electrode Leads ............................................................................... 86
Cleaning ............................................................................................................... 86
Disinfection ........................................................................................................... 86
SpO2 Probe ................................................................................................................ 87
Periodic Replacement Schedule ..................................................................................... 87
Repair Parts Availability Policy ........................................................................................ 87
SpeciďŹcations .................................................................................................................. 88
ZM-520PA/ZM-530PA ................................................................................................ 88
Measured Parameters .......................................................................................... 88
Transmitted Data .................................................................................................. 88
Display.................................................................................................................. 88
Displayed Data ..................................................................................................... 88
ECG ..................................................................................................................... 88
Respiration Measurement .................................................................................... 90
SpO2 Measurement (ISO 9919: 2005 compliance) .............................................. 90
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
C.3
Transmitter ........................................................................................................... 92
Power Requirements ............................................................................................ 93
Dimension and Weight ......................................................................................... 93
Environment ......................................................................................................... 93
Safety Standards .................................................................................................. 93
Electromagnetic Compatibility .............................................................................. 94
Electromagnetic Emissions .................................................................................. 94
Electromagnetic Immunity .................................................................................... 95
Recommended Separation Distances between Portable and Mobile RF
Communications Equipment ................................................................................ 97
Recovery Time after DeďŹbrillation ........................................................................ 97
System Composition for EMC Test ....................................................................... 97
ZM-521PA/ZM-531PA ................................................................................................ 98
Measured Parameters .......................................................................................... 98
Transmitted Data .................................................................................................. 98
Display.................................................................................................................. 98
Displayed Data ..................................................................................................... 98
ECG ..................................................................................................................... 98
Respiration Measurement .................................................................................. 100
SpO2 Measurement (ISO 9919: 2005 compliance) ............................................ 100
Transmitter ......................................................................................................... 102
Power Requirements .......................................................................................... 103
Dimension and Weight ....................................................................................... 103
Environment ....................................................................................................... 103
Safety Standards ................................................................................................ 103
Electromagnetic Compatibility ............................................................................ 104
Electromagnetic Emissions ................................................................................ 104
Electromagnetic Immunity .................................................................................. 105
Recommended Separation Distances between Portable and Mobile RF
Communications Equipment .............................................................................. 107
Recovery Time after DeďŹbrillation ...................................................................... 107
System Composition for EMC Test ..................................................................... 108
Standard Accessories.................................................................................................... 109
Options .......................................................................................................................... 110
Transmitter ............................................................................................................... 110
ECG/RESP .............................................................................................................. 110
SpO2 ....................................................................................................................... 111
Transmission Frequencies ............................................................................................. 112
C.4
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
GENERAL HANDLING PRECAUTIONS
This device is intended for use only by qualiďŹed 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
speciďŹcations 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.
3ODFHWKHLQVWUXPHQWRQDQHYHQOHYHOĂRRU$YRLGYLEUDWLRQDQGPHFKDQLFDOVKRFNHYHQ
during transport.
(3) Avoid placing in an area where chemicals are stored or where there is danger of gas
OHDNDJH
(4) The power line source to be applied to the instrument must correspond in frequency and
YROWDJHWRSURGXFWVSHFLÂżFDWLRQVDQGKDYHVXIÂżFLHQWFXUUHQWFDSDFLW\
(5) Choose a room where a proper grounding facility is available.
3. Before Operation
&KHFNWKDWWKHLQVWUXPHQWLVLQSHUIHFWRSHUDWLQJRUGHU
&KHFNWKDWWKHLQVWUXPHQWLVJURXQGHGSURSHUO\
&KHFNWKDWDOOFRUGVDUHFRQQHFWHGSURSHUO\
(4) Pay extra attention when the instrument is in combination with other instruments to avoid
misdiagnosis or other problems.
$OOFLUFXLWU\XVHGIRUGLUHFWSDWLHQWFRQQHFWLRQPXVWEHGRXEO\FKHFNHG
&KHFNWKDWEDWWHU\OHYHOLVDFFHSWDEOHDQGEDWWHU\FRQGLWLRQLVJRRGZKHQXVLQJEDWWHU\
operated models.
4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the
patientâs safety.
(3) Avoid direct contact between the instrument housing and the patient.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
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.
7KHLQVWUXPHQWPXVWQRWEHDOWHUHGRUPRGLÂżHGLQDQ\ZD\
8. Maintenance and Inspection
(1) The instrument and parts must undergo regular maintenance inspection at least every 6
months.
,IVWRUHGIRUH[WHQGHGSHULRGVZLWKRXWEHLQJXVHGPDNHVXUHSULRUWRRSHUDWLRQWKDWWKH
instrument is in perfect operating condition.
(3) Technical information such as parts list, descriptions, calibration instructions or other
LQIRUPDWLRQLVDYDLODEOHIRUTXDOLÂżHGXVHUWHFKQLFDOSHUVRQQHOXSRQUHTXHVWIURP\RXU
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.
:KHQWKHLQVWUXPHQWLVXVHGZLWKDGHÂżEULOODWRUPDNHVXUHWKDWWKHLQVWUXPHQW
LVSURWHFWHGDJDLQVWGHÂżEULOODWRUGLVFKDUJH,IQRWUHPRYHSDWLHQWFDEOHVDQGRU
transducers from the instrument to avoid possible damage.
ii
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and
ZRUNPDQVKLSIRURQH\HDUIURPWKHGDWHRIGHOLYHU\+RZHYHUFRQVXPDEOHPDWHULDOVVXFKDV
UHFRUGLQJSDSHULQNVW\OXVDQGEDWWHU\DUHH[FOXGHGIURPWKHZDUUDQW\
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 operatorâs and service manuals.
1RRWKHUSDUW\LVDXWKRUL]HGWRPDNHDQ\ZDUUDQW\RUDVVXPHOLDELOLW\IRU1.&ÂśVSURGXFWV
NKC will not recognize any other warranty, either implied or in writing. In addition, service,
WHFKQLFDOPRGLÂżFDWLRQRUDQ\RWKHUSURGXFWFKDQJHSHUIRUPHGE\VRPHRQHRWKHUWKDQ1.&RULWV
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
H[SODQDWLRQRIWKHIDLOXUH6KLSSLQJFRVWVPXVWEHSUHSDLG
7KLVZDUUDQW\GRHVQRWDSSO\WRSURGXFWVWKDWKDYHEHHQPRGLÂżHGGLVDVVHPEOHGUHLQVWDOOHGRU
repaired without Nihon Kohden approval or which have been subjected to neglect or accident,
GDPDJHGXHWRDFFLGHQWÂżUHOLJKWQLQJYDQGDOLVPZDWHURURWKHUFDVXDOW\LPSURSHULQVWDOODWLRQ
RUDSSOLFDWLRQRURQZKLFKWKHRULJLQDOLGHQWLÂżFDWLRQPDUNVKDYHEHHQUHPRYHG
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.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
iii
Equipment Authorization Requirement
Compliance with FCC Requirements
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.
7KLVGHYLFHFRPSOLHVZLWK3DUW 6XESDUW+RIWKH)&&5XOHVWREHXVHGLQZLUHOHVVPHGLFDO
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
userâs 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 limit of SpeciďŹc 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 unspeciďŹed 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
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
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.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
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 unspeciďŹed accessory, transducer and/or cable:
When an unspeciďŹed accessory, transducer and/or cable is connected to this
equipment and/or system, it may cause increased electromagnetic emission
or decreased electromagnetic immunity. The speciďŹed conďŹguration of this
equipment and/or system complies with the electromagnetic requirements with
the speciďŹed conďŹguration. Only use this equipment and/or system with the
speciďŹed conďŹguration.
8. Use of unspeciďŹed conďŹguration:
When the equipment and/or system is used with the unspeciďŹed system
conďŹguration different than the conďŹguration of EMC testing, it may cause
increased electromagnetic emission or decreased electromagnetic immunity.
Only use this equipment and/or system with the speciďŹed conďŹguration.
9. Measurement with excessive sensitivity:
The equipment and/or system is designed to measure bioelectrical signals with
a speciďŹed 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.
vi
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
Conventions Used in this Manual and Instrument
Warnings, Cautions and Notes
:DUQLQJVFDXWLRQVDQGQRWHVDUHXVHGLQWKLVPDQXDOWRDOHUWRUVLJQDOWKHUHDGHUWRVSHFLÂżF
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 speciďŹc information, in the form of recommendations, prerequirements,
alternative methods or supplemental information.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
vii
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
'HÂżEULOODWLRQSURRIW\SH%)
applied part
Attention, consult operatorâs
manual
'HÂżEULOODWLRQSURRIW\SH&)
applied part
Moves cursor, scrolls data
Serial number
Direction for attaching battery
cover
Date of manufacture
Direction for inserting battery
RF transmitter
1RQLRQL]LQJUDGLDWLRQ
Direct current
F&6$XVPDUN
&DOONH\
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
456SXOVHV\QFPDUN
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
Intended Use
General
7KH=03$DQG=03$WUDQVPLWWHUVWUDQVPLW(&*DQGUHVSLUDWLRQIURPDSDWLHQWWRD
1LKRQ.RKGHQPRQLWRUIRUFRQWLQXRXVPRQLWRULQJ7KHIURQW/&'GLVSOD\V(&*QXPHULFYDOXHV
of monitoring parameters, messages and battery condition.* They also display the compressed
ZDYHIRUPDQGQXPHULFGDWDRIWKHODWHVWPLQXWHV
7KH=03$DQG=03$WUDQVPLWWHUVWUDQVPLW(&*UHVSLUDWLRQDQGSXOVHZDYHIRUPV
and SpO2 from a patient to a Nihon Kohden monitor for continuous monitoring. The front LCD
GLVSOD\V(&* RUSXOVHZDYH QXPHULFYDOXHVRIPRQLWRULQJSDUDPHWHUVPHVVDJHVDQGEDWWHU\
condition. 7KH\DOVRGLVSOD\WKHFRPSUHVVHGZDYHIRUPDQGQXPHULFGDWDRIWKHODWHVWPLQXWHV
(VVHQWLDOSHUIRUPDQFHRIWKLVWUDQVPLWWHU
7KHGLIIHUHQFHEHWZHHQ=03$3$DQG=03$3$LVWKHWUDQVPLVVLRQIUHTXHQF\
range.
=03$3$
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WR 0+] FKDQQHOQXPEHU(WR(
NOTE
⢠The transmitter channel can be changed with a QI-901PK channel writer.
⢠Read the operatorâs 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.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
CAUTION
⢠Do not use the same channel for different patients. If the same channel is used
for two patients, the two patientsâ data will be lost due to mutual modulation
interference, or another patientâs 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):
:KHQDUDGLRZDYHUHĂHFWVRIIDVXUIDFHWKHUHPD\EHVRPHSRLQWVLQWKHURRPZKHUHWKH
UHĂHFWHGDQGGLUHFWZDYHVDUHH[DFWO\RXWRISKDVH$WWKHVHSRLQWVLQWKHURRPWKHUHĂHFWHG
and direct waves cancel each other out so that the signal strength is decreased. Locations where
signal loss occurs are called ânull spotsâ. 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 ďŹeld 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.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
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 âlow batteryâ alarm. Alarms must
be managed on the receiving monitor.
⢠To use protocol 51, an ORG-9100A or ORG-9110A multiple patient receiver software
version 03-03 or later is required. For the protocol setting, refer to the âChanging
SYSTEM SETUP Settingsâ section.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
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
PHDVXULQJ(&*DQGRUUHVSLUDWLRQE\
the impedance method.
WARNING
WARNING
Before deďŹbrillation, 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), ďŹrmly attach
the entire area of the ESU return plate.
Otherwise, the current from the ESU
ďŹows into the electrodes of the
transmitter, causing electrical burn
where the electrodes are attached. For
details, refer to the ESU manual.
When performing deďŹbrillation,
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
deďŹbrillator paddle could touch these
materials, remove them from the
patient. If the deďŹbrillator 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.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
Front Panel
No.
Name
Description
&$//NH\
/&'
6FUHHQNH\
:KHQWKLVNH\LVSUHVVHGD³SHHS´VRXQGVDWWKHWUDQVPLWWHU
and âCALLâ message appears at the monitor. Depending on
WKHVHWWLQJVRQWKHPRQLWRUDQ(&*ZDYHIRUPLVUHFRUGHGZKHQ
WKLVNH\LVSUHVVHG
'LVSOD\VQXPHULFYDOXHV(&*RUSXOVHZDYHPHVVDJHVDQG
battery status. For details, refer to the âScreen Descriptionsâ
section.
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$IWHUSRZHURQ 6WDUWXSÄş&KHFNHOHFWURGHVÄş1XPHULFDQG
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RIIÄş&KHFNHOHFWURGHVÂŤ
$IWHUDXWRGLVSOD\RII 1XPHULFDQGZDYHIRUPÄş:DYHIRUP
UHYLHZÄş1XPHULFUHYLHZÄş'LVSOD\RIIÄş&KHFNHOHFWURGHV
Äş1XPHULFDQGZDYHIRUPÂŤ
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setting or exits the screen.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
1
No.
Name
Description
Infrared receiver
Channel number label
/HDG6FUROONH\V
Used for upgrading the transmitter software.
Indicates the channel number of the transmitter.
2QWKHQXPHULFDQGZDYHIRUPVFUHHQWKHVHNH\VFKDQJHWKH
(&*OHDG
2QWKHZDYHIRUPUHYLHZVFUHHQWKHVHNH\VVFUROOGDWD
2QD6(783VFUHHQWKHVHNH\VPRYHWKHFXUVRU
)XQFWLRQNH\
'HSHQGLQJRQWKHVHWWLQJRQWKHWUDQVPLWWHUWKLVNH\VXVSHQGV
alarms, pauses monitoring on the receiving monitor or transmits
WKH³3DWLHQWFRQ¿UPHG´PHVVDJH
2QD6(783VFUHHQWKLVNH\UHJLVWHUVWKHVHOHFWHGVHWWLQJDQG
moves the cursor to the next setting item.
2QD&+(&.VFUHHQWKLVNH\VWDUWVRUVWRSVWKHPDLQWHQDQFH
test.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
Rear Panel
ZM-530PA/531PA only
5HIHUWRWKHÂł([SODQDWLRQV
of the Symbols in this
Manual and Instrumentâ
section.
5HIHUWRWKH:$51,1*
below.
5HIHUWRWKH:$51,1*
below.
5HIHUWRWKHÂł([SODQDWLRQV
of the Symbols in this
Manual and Instrumentâ
section.
Battery case
&RQWDLQVWZRDONDOLQHGU\
FHOOEDWWHULHV $$7<3(
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 deďŹbrillation 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.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
Important Safety Information
General
WARNING
WARNING
Never use the transmitter in the
presence of any ďŹammable anesthetic
gas or high concentration oxygen
atmosphere. Failure to follow this
warning may cause explosion or ďŹre.
Never use the transmitter in a
hyperbaric oxygen chamber. Failure to
follow this warning may cause
explosion or ďŹre.
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 deďŹbrillation, 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
When the transmitter is used with an
electrosurgical unit (ESU), ďŹrmly attach
the entire area of the ESU return plate.
Otherwise, the current from the ESU
ďŹows into the electrodes of the
transmitter, causing electrical burn
where the electrodes are attached. For
details, refer to the ESU manual.
When performing deďŹbrillation,
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
deďŹbrillator paddle could touch these
materials, remove them from the
patient. If the deďŹbrillator paddle
directly contacts these materials, the
discharged energy may cause skin
burn to the patient.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
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.
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.
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
deďŹbrillation is performed. Touching the
opened battery case may cause
electrostatic discharge and
intermittently interfere with the
waveform or data.
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
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 patientâs
condition. This may cause critical
changes in the patient condition to be
overlooked. Install an appropriate
antenna system to ensure stable signal
condition.
When the patient returns to the bed,
turn on the transmitter and check that
the monitoring is resumed on the
receiving monitor.
WARNING
If the transmitter is not turned off and
monitoring continues for the selected
interval, pause monitoring is canceled
and monitoring continues. Check that
the monitoring is resumed on the
receiving monitor.
WARNING
While the âALARMS SUSPENDEDâ
message is displayed on the
transmitter, all alarms on the receiving
monitor are suspended so keep the
patient under close observation.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
CAUTION
CAUTION
Only use Nihon Kohden speciďŹed
electrodes, electrode leads and SpO2
probes. Otherwise, the maximum
performance from the transmitter
cannot be guaranteed.
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.
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.
⢠Do not use the same channel
for different patients. If the same
channel is used for two patients, the
two patientsâ data will be lost due to
mutual modulation interference, or
another patientâs 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
CAUTION
Signal loss and artifact may occur
because of the multipath cancellation*
when using a transmitter.
* Multipath Cancellation (Standing Wave
Interference):
:KHQDUDGLRZDYHUHĂHFWVRIIDVXUIDFH
there may be some points in the room where
WKHUHĂHFWHGDQGGLUHFWZDYHVDUHH[DFWO\
out of phase. At these points in the room, the
UHĂHFWHGDQGGLUHFWZDYHVFDQFHOHDFKRWKHU
out so that the signal strength is decreased.
Locations where signal loss occurs are called
ânull spotsâ. If the transmitter is moving or
nearby people or objects are moving, null
spots can occur anytime and anywhere.
10
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 reuse disposable parts and
accessories.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
CAUTION
CAUTION
When monitoring respiration is needed,
measure respiration with an
instrument. The transmitter calculates
SpO2 of arterial blood based on the
principle of pulse oximeter and does
not measure respiration.
When monitoring SpO2 only (without
ECG monitoring), turn on both the
upper and lower limit alarms for PR
and SpO2 on the receiving monitor. If
the patientâs pulse is not detected
during asystole or other condition, a
âCANNOT DETECT PULSEâ or
âCHECK PROBEâ alarm occurs instead
of an SpO2 limit alarm. Furthermore, if
the patient has no pulse, noise from
probe movement could be misjudged
as a pulse and cause an incorrect PR
or SpO2 value to be displayed.
CAUTION
When monitoring SpO2 only, detection
of arrhythmia and asystole is not
available and arrhythmia alarms such
as ASYSTOLE, VF or VT are not
available. If the patient requires ECG
monitoring, monitor the ECG.
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 deďŹbrillator. 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.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
11
Battery
WARNING
Do not use NiMH batteries for this
transmitter. Some operating
environments may cause NiMH
batteries to produce gas and explode.
CAUTION
CAUTION
Do not handle the batteries with wet
hands.
Refer to the battery manual for details
on handling the batteries.
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.
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.
12
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
For Patients Using Implantable Pacemaker
WARNING
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 pacemakerâs manual. For more details, contact your pacemaker representative
or Nihon Kohden representative.
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.
* )RUWKHSDFHPDNHUSXOVHUHMHFWLRQFDSDELOLW\
of the =03$3$3$3$
WUDQVPLWWHUUHIHUWRWKHÂł6SHFLÂżFDWLRQV
(&*´VHFWLRQ
WARNING
The pacemaker pulse can be
overlooked or detected as QRS. You
cannot conďŹrm the pacemaker
operation only from the detected
pacemaker pulse.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
13
CAUTION
CAUTION
Only use Nihon Kohden speciďŹed
electrodes and electrode leads. When
other type of electrodes or electrode
leads are used, the âCHECK
ELECTRODESâ message may be
displayed and ECG monitoring may
stop.
When the âCHECK ELECTRODESâ
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.
14
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
SpO2 Monitoring
WARNING
SpO2 measurement may be incorrect
in the following cases.
⢠When the patientâs
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
(insufďŹcient peripheral circulation).
WARNING
When monitoring SpO2 of a patient
who is receiving photodynamic therapy,
the light from the ďŹnger probe sensor
may cause a burn. Photodynamic
therapy uses a photosensitizing agent
that has a side effect of
photosensitivity.
The SpO2 probes manufactured by Nihon
.RKGHQKDYHWZRZDYHOHQJWKVZLWKSHDNVLQWKH
UDQJHRIDQG QP7KHPD[LPXPOLJKW
intensity is less than 5.5 mW.
WARNING
WARNING
⢠When using the TL-201T ďŹnger
probe, do not fasten the probe and
cable to the ďŹnger by wrapping
with tape. This may cause burn,
congestion or pressure necrosis from
poor blood circulation.
⢠When using probes other than the
TL-201T ďŹnger 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 insufďŹcient peripheral
circulation
⢠Neonate or low birth weight infant
with delicate skin
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
15
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
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.
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
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
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.
Do not use a probe which is
deteriorated by aging. Accurate
measurement cannot be performed.
CAUTION
CAUTION
Do not use a damaged or
disassembled probe. It causes
incorrect measurement and may injure
the patient.
When the probe is attached on an
appropriate site with sufďŹcient
circulation and the error message
conďŹrming the probe attachment
repeatedly appears, the probe may be
deteriorated. Replace it with a new
one.
CAUTION
Refer to the probe instruction manual
for details.
16
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
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.
If the attachment site is dirty with blood
or bodily ďŹuids, 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.
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.
Maintenance
CAUTION
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.
Dispose of Nihon Kohden products
according to your local laws and your
facilityâs 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 facilityâs guidelines
for medical waste. Otherwise, it may
cause infection.
CAUTION
Do not immerse the electrode lead
connector in liquid.
CAUTION
Never disassemble or repair the
transmitter. If there is any problem with
the transmitter, contact your Nihon
Kohden representative.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
17
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
8VHWZR$$ /5 W\SHDONDOLQHGU\FHOOEDWWHULHV:LWKQHZ1LKRQ.RKGHQUHFRPPHQGHG
DONDOLQHEDWWHULHVWKHWUDQVPLWWHUFDQFRQWLQXRXVO\PHDVXUHIRUWKHIROORZLQJQXPEHURIGD\VDW
URRPWHPSHUDWXUH2SHUDWLRQWLPHGHSHQGVRQWKHWKLFNQHVVRIWKH6S22 probe attachment site.
Transmitter
=03$=03$
=03$=03$
Operating Time (Measuring parameters)
ECG, Resp
ECG, Resp, SpO2
2.5 days
3.5 days
GD\V
2.5 days
Recommended Batteries
$ONDOLQHSULPDU\ 1LKRQ.RKGHQ0HGLSRZHU HTXLYDOHQWWR3DQDVRQLF/5 *
18
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
NOTE
⢠Use Nihon Kohden Medipower to ensure speciďŹed performance. Outdated, mismatched
or poor-quality batteries can give unacceptable performance (e.g., insufďŹcient
low battery indication). The use of fresh high quality alkaline batteries is strongly
recommended.
⢠When the display is on, it consumes 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
GXULQJEDWWHU\UHSODFHPHQWH[FHVVSDWLHQWOHDNDJHFXUUHQWPD\ĂRZLQWRWKHSDWLHQW
NOTE
⢠Replace all batteries at the same time.
⢠Do not use different types of batteries together.
⢠Insert the batteries with the correct polarity (+ and â).
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.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
19
NOTE
Insert the (â) end of the battery ďŹrst and press it against the spring. If you try to force
the (+) end of the battery in ďŹrst, 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.
 7KHWUDQVPLWWHUGLVSOD\VWKH³%$77(5<:($.´PHVVDJHRU
icon.
⢠The transmitter generates a constant alarm (continuous âpeepâ 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
7KHIROORZLQJLFRQVRQWKH/&'LQGLFDWHWKHEDWWHU\OHYHO:KHQ³35272&2/´RQWKH6<67(0
6(783VFUHHQLVVHWWRWKHEDWWHU\OHYHOLQGLFDWLRQLVWUDQVPLWWHGWRWKHUHFHLYLQJPRQLWRU7R
XVHSURWRFROWKH25* $RU25* $PXOWLSOHSDWLHQWUHFHLYHUVRIWZDUHYHUVLRQ
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
20
Message requiring battery replacement is
displayed.
No signal can be transmitted to the monitor.
There is no indication on the monitor.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
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 patientâs clothes or bed sheets.
If the transmitter falls off, the transmitter may be damaged and the batteries may come out. If
WKHSDWLHQWWRXFKHVWKHEDWWHU\WHUPLQDOZKHQSXWWLQJWKHEDWWHULHVEDFNLQWKHWUDQVPLWWHUH[FHVV
SDWLHQWOHDNDJHFXUUHQWPD\ĂRZLQWRWKHSDWLHQW
If the transmitter falls into water or a toilet, stop using the transmitter and contact your Nihon
Kohden representative.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
21
Turning On the Transmitter
When the batteries are installed correctly, the power is turned on. A âpeepâ sounds for one second,
WKHVWDUWXSVFUHHQDSSHDUVWKHQWKHFKHFNHOHFWURGHVVFUHHQDSSHDUV 7KHUHLVQR³SHHS´VRXQG
when there is no battery power.)
$IWHUFKHFNLQJWKDWWKH(&*LVVWDEOHRQWKHFKHFNHOHFWURGHVVFUHHQSUHVVWKH6FUHHQNH\WR
display the numeric and waveform screen.
For details on the screen, refer to the âScreen Descriptionsâ section.
Check Items Before Use
%HIRUHWXUQLQJRQWKHWUDQVPLWWHUSRZHUFKHFNWKHIROORZLQJWRFRQÂżUPWKDWWKHWUDQVPLWWHUFDQEH
used in normal and safe condition.
Appearance
 7KHUHDUHQRGDPDJHGRUGLUW\SDUWVRQWKHRXWVLGHRIWKHWUDQVPLWWHU /&'NH\VVRFNHWV
battery case cover, battery case, etc.).
⢠The transmitter is completely dry.
⢠The electrodes, electrode lead and SpO2SUREHDUHQRWEURNHQ
22
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
Batteries
⢠The battery polarity is correct.
 7KHEDWWHU\FDVHVSULQJLV¿UPO\DWWDFKHGDQGWKHEDWWHU\LVQRWORRVH
 7KHEDWWHU\FDVHFRYHULV¿UPO\FORVHG
Channel Setting
⢠The transmitter channel matches the receiving monitor channel.
⢠There is no nearby transmitter with the same channel.
Other
 :KHQSHUIRUPLQJGH¿EULOODWLRQVHWWKHKXP¿OWHUWR21RQWKHUHFHLYLQJPRQLWRU7KH
ZDYHIRUPUHFRYHU\PD\EHFRPHVORZGXHWRHOHFWURGHSRODUL]DWLRQZKHQWKHKXPÂżOWHULVVHWWR
OFF.
Check Items After Power On
$IWHUWXUQLQJRQWKHSRZHUFKHFNWKHIROORZLQJ
Power On
⢠The transmitter generates a one second âpeepâ sound and the startup screen appears.
 7KHWUDQVPLWWHUGLVSOD\VWKHFKHFNHOHFWURGHVVFUHHQ
⢠The transmitter is not too hot.
 7KHWUDQVPLWWHUGRHVQRWGLVSOD\WKH³%$77(5<:($.´PHVVDJH
⢠The transmitter does not interfere with the operation of other medical instruments.
Daily Check
⢠The âsignal lossâ 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.
 7KHNH\VRQWKHWUDQVPLWWHUIXQFWLRQSURSHUO\
 7KH/&'EULJKWQHVVLVDSSURSULDWH7RDGMXVWEULJKWQHVVUHIHUWRWKH³&KDQJLQJ6<67(0
6(7836HWWLQJV´VHFWLRQ
Check Items After Use
7RXVHWKHWUDQVPLWWHULQVDIHDQGRSWLPXPFRQGLWLRQIRUQH[WWLPHFKHFNWKHIROORZLQJ
Before Turning Power Off
 7HPSRUDULO\FKDQJHGVHWWLQJVDUHFKDQJHGEDFNWRWKHSUHYLRXVVHWWLQJV
⢠There was no malfunction on the transmitter.
Storage
 (&*HOHFWURGHOHDGVDQG6S22 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.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
23
Turning Off the Transmitter
To turn off the power, remove the batteries. When the power is turned off, the saved waveform and
numeric data are deleted.
Changing the Transmitter Channel
7KHFKDQQHORIWKHWUDQVPLWWHUFDQEHFKDQJHGZLWKWKHRSWLRQDO4, 3.FKDQQHOZULWHU
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
24
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
Changing Parameter and System Setup Settings
7KHLQLWLDOVHWWLQJVRQWKH3$5$0(7(56(783DQG6<67(06(783VFUHHQVFDQRQO\EH
changed before monitoring. Changing these settings during monitoring interrupts monitoring.
NOTE
Changing Parameter and System Setup settings must be done by qualiďŹed personnel.
Changing PARAMETER SETUP Settings
Parameter Setup Setting List
The factory default settings are underlined.
Setting Item
Description
Settings
(&*(/(&752'(6 Select the electrode lead type.
,(&$+$
/($'7<3(
6HOHFWWKHW\SHRI(&*OHDGV
AUTO/($'6
7XUQ(&*PRQLWRULQJRQRURII:KHQHOHFWURGHVDUH
DWWDFKHGWRWKHSDWLHQWDQG(&*OHDGVDUHFRQQHFWHG
(&*PRQLWRULQJVWDUWVHYHQZKHQWKLVVHWWLQJLVVHW
to OFF. If this setting is set to OFF, the same setting
on the receiving monitor must also be set to OFF.
(&*
0($685(0(17
5(63
0($685(0(17
SpO25(63216(
NOTE
When âPROTOCOLâ on the transmitter is set to ON, OFF
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 or
ORG-9110A 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
ON, OFF
the receiving monitor is automatically set to OFF.
FAST, NORMAL,
Select the SpO2 response mode.
SLOW
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
25
Displaying the PARAMETER SETUP Screen
1.
Cursor
Turn off the transmitter by removing one
battery.
:KLOHSUHVVLQJWKH)XQFWLRQNH\WXUQRQWKH
WUDQVPLWWHU LQVHUWWKHEDWWHU\ 7KH0(18
screen appears.
3UHVVWKHĹšNH\WRPRYHWKHFXUVRUWR
³3$5$0(7(56(783´
3UHVVWKH)XQFWLRQNH\WRHQWHU3$5$0(7(5
6(7837KHFXUUHQWVHWWLQJVDUHKLJKOLJKWHG
MENU screen
Cursor Setting item Setting
5.
PARAMETER SETUP screen - page 1
Change the settings:
⢠To move the cursor and select the setting
LWHPSUHVVWKHĹťRUĹšNH\WKHQSUHVVWKH
)XQFWLRQNH\
⢠To select and register the setting, press the
ĹťRUĹšNH\WKHQSUHVVWKH)XQFWLRQNH\
⢠To cancel changing the setting of the
VHOHFWHGLWHPSUHVVWKH6FUHHQNH\
:KHQFKDQJLQJVHWWLQJVRQWKH3$5$0(7(5
6(783VFUHHQLVFRPSOHWHSUHVVWKH6FUHHQ
NH\WRUHWXUQWRWKH0(18VFUHHQ
3UHVVWKHŝRUŚNH\WRPRYHWKHFXUVRUWR³(;,7´
3UHVVWKH)XQFWLRQNH\7KHQXPHULFDQGZDYHIRUPVFUHHQDSSHDUV
26
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
Changing Parameter Setup Settings
ECG ELECTRODES
Select the electrode lead type.
Cursor Setting item
2QWKH3$5$0(7(56(783VFUHHQSUHVV
WKHĹšNH\WRPRYHWKHFXUVRUWRÂł(&*
(/(&752'(6´
3UHVVWKH)XQFWLRQNH\7KHFXUVRUPRYHVWR
the selection item.
Cursor
Selected setting
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3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKH
VHOHFWHGVHWWLQJ7KHFXUVRUUHWXUQVWRÂł(&*
(/(&752'(6´
LEAD TYPE
6HOHFWWKHW\SHRI(&*OHDGV,QQRUPDOXVHVHOHFW³$872´:KHQXVLQJ',1W\SHOHDGZLWK
HOHFWURGHVVHOHFW³/($'6´
2QWKH3$5$0(7(56(783VFUHHQSUHVVWKHŚNH\WRPRYHWKHFXUVRUWR³/($'7<3(´
3UHVVWKH)XQFWLRQNH\
3UHVVWKHŚNH\WRVHOHFW³$872´RU³/($'6´
3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKHVHOHFWHGVHWWLQJ7KHFXUVRUUHWXUQVWR³/($'7<3(´
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
27
ECG MEASUREMENT
7XUQ(&*PRQLWRULQJRQRURII:KHQHOHFWURGHVDUHDWWDFKHGWRWKHSDWLHQWDQG(&*OHDGVDUH
FRQQHFWHG(&*PRQLWRULQJVWDUWVHYHQZKHQWKLVVHWWLQJLVVHWWR2))
If this setting is set to OFF, the same setting on the receiving monitor must also be set to OFF.
NOTE
When âPROTOCOLâ 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.
2QWKH3$5$0(7(56(783VFUHHQSUHVVWKHĹšNH\WRPRYHWKHFXUVRUWRÂł(&*
0($685(0(17´
3UHVVWKH)XQFWLRQNH\
3UHVVWKHŚNH\WRVHOHFW³21´RU³2))´
3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKHVHOHFWHGVHWWLQJ7KHFXUVRUUHWXUQVWRÂł(&*
0($685(0(17´
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.
2QWKH3$5$0(7(56(783VFUHHQSUHVVWKHĹšNH\WRPRYHWKHFXUVRUWRÂł5(63
0($685(0(17´
3UHVVWKH)XQFWLRQNH\
3UHVVWKHŚNH\WRVHOHFW³21´RU³2))´
3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKHVHOHFWHGVHWWLQJ7KHFXUVRUUHWXUQVWRÂł5(63
0($685(0(17´
28
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
SpO2 RESPONSE
Select the response mode from FAST, NORMAL or SLOW. For details on the response time, refer
WRWKH³6SHFL¿FDWLRQV6S220HDVXUHPHQW ,62 FRPSOLDQFH ´VHFWLRQLQWKLVPDQXDO
NOTE
When measurement condition is unstable due to strenuous movement of the patient, etc.,
response may become slower in all modes.
2QWKH3$5$0(7(56(783VFUHHQSUHVV
WKHĹšNH\WRPRYHWKHFXUVRUWRÂł6S2
5(63216(´³6S25(63216(´LVRQWKH
VHFRQGSDJHRIWKH3$5$0(7(56(783
screen.
3UHVVWKH)XQFWLRQNH\
3UHVVWKHŚNH\WRVHOHFW³)$67´
âNORMALâ or âSLOWâ.
PARAMETER SETUP screen - page 2
3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKH
selected setting. The cursor returns to âSpO2
5(63216(´
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
29
Changing SYSTEM SETUP Settings
System Setup Setting List
The factory default settings are underlined.
Setting Item
PROTOCOL
Description
Settings
Select the transmitting protocol.
51: New protocol. A central monitor with an
25* $RU25* $PXOWLSOHSDWLHQWUHFHLYHU
ZKRVHVRIWZDUHYHUVLRQRUODWHUFDQUHFHLYHWKLV
protocol.
41: Old protocol. A central monitor with an
25* $25* $RU25* $PXOWLSOH
51, 41
patient receiver can receive this protocol.
NOTE
When 51 is set, the receiving monitor must be able
to receive protocol 51. Otherwise, signals from the
transmitter cannot be received. To use protocol 51,
an ORG-9100A or ORG-9110A multiple patient
receiver software version 03-03 or later is required.
%5,*+71(66
)81&7,21.(<
Select the screen brightness.
6HOHFWWKHIXQFWLRQRIWKH)XQFWLRQNH\
6863(1'$/$50 3$86(
Suspends alarm on the receiving monitor for 2
minutes. Pauses monitoring on the transmitter and
receiving monitor.
6863(1'$/$50
Suspends alarm on the receiving monitor for 2
minutes.
CONFIRM:
'LVSOD\VWKH³3$7,(17&21),50('´PHVVDJH
on the transmitter screen and transmits the
message to the receiving monitor.
OFF: No function.
DARK,
%5,*+7
6863(1'
ALARM
3$86(,
6863(1'
ALARM,
CONFIRM,
OFF
NOTE
âSUSPEND ALARM & PAUSEâ and âCONFIRMâ
can only be set when PROTOCOL is set to 51. To
use protocol 51, the ORG-9100A or ORG-9110A
multiple patient receiver software version 03-03 or
later is required.
30
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
Setting Item
$8725(680(
$)7(53$86(
Description
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6&5((17,0(287 6HOHFWWKHGLVSOD\WLPHRXWSHULRG
3(5,2' PLQ
Settings
VV,
1 min, 2 min,
3 min
,
Displaying the SYSTEM SETUP Screen
1.
Cursor
Turn off the transmitter by removing one
battery.
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the transmitter by inserting the battery. The
0(18VFUHHQDSSHDUV
3UHVVWKHĹšNH\WRPRYHWKHFXUVRUWR
³6<67(06(783´
MENU screen
Setting item
Setting
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5.
Change the settings.
⢠To move the cursor and select the setting
LWHPSUHVVWKHĹťRUĹšNH\WKHQSUHVVWKH
)XQFWLRQNH\
⢠To select and register the setting, press the
ĹťRUĹšNH\WKHQSUHVVWKH)XQFWLRQNH\
⢠To cancel changing the setting of the
VHOHFWHGLWHPSUHVVWKH6FUHHQNH\
7KH6<67(06(783VFUHHQKDVWZRSDJHV
7RGLVSOD\WKHVHFRQGSDJHSUHVVWKHĹšNH\
ZKHQWKHFXUVRULVDW³%5,*+71(66´
SYSTEM SETUP screen - page 1
:KHQFKDQJLQJVHWWLQJVRQWKH6<67(06(783VFUHHQLVFRPSOHWHSUHVVWKH6FUHHQNH\WR
UHWXUQWRWKH0(18VFUHHQ
3UHVVWKHŝRUŚNH\WRPRYHWKHFXUVRUWR³(;,7´
3UHVVWKH)XQFWLRQNH\7KHQXPHULFDQGZDYHIRUPVFUHHQDSSHDUV
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
31
Changing System Setup Settings
PROTOCOL
Select the transmitting protocol. For differences between protocols, refer to the table below.
1HZSURWRFRO$FHQWUDOPRQLWRUZLWKDQ25* $RU25* $PXOWLSOHSDWLHQW
UHFHLYHUZKRVHVRIWZDUHYHUVLRQRUODWHUFDQUHFHLYHWKLVSURWRFRO
2OGSURWRFRO$FHQWUDOPRQLWRUZLWKDQ25* $25* $RU25* $PXOWLSOH
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
Function
6HWWLQJ(&*0($685(0(17WR2))RQ
the transmitter automatically turns off the
(&*PHDVXUHPHQWVHWWLQJRQWKHUHFHLYLQJ
monitor
Pause monitoring on the receiving monitor
from the transmitter
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Display battery level of the transmitter on the
receiving monitor
Transmit SpO2 messages
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Cursor
Setting
Protocol 41
Protocol 51
1R (&*PHDVXUHPHQW
must be turned off on Yes
the receiving monitor)
No
Yes
No
Yes
No
Yes
Some messages (refer
to the âIndication and All messages
Message Listâ section)
No
Yes
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âPROTOCOLâ.
3UHVVWKH)XQFWLRQNH\
3UHVVWKHŚNH\WRVHOHFW³´RU³´
32
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
NOTE
FUNCTION KEY (on the second page
of the SYSTEM SETUP screen) can be
set to âSUSPEND ALARM & PAUSEâ or
âCONFIRMâ only when PROTOCOL is
â51â. If PROTOCOL is changed to â41â,
FUNCTION KEY is automatically changed
to âOFFâ.
3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKHVHOHFWHG
setting. The cursor returns to âPROTOCOLâ.
BRIGHTNESS
Select the screen brightness.
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3UHVVWKH)XQFWLRQNH\
3UHVVWKHŚNH\WRVHOHFW³'$5.´RU³%5,*+7´
3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKHVHOHFWHGVHWWLQJ7KHFXUVRUUHWXUQVWR³%5,*+71(66´
FUNCTION KEY
6HOHFWWKHIXQFWLRQRIWKH)XQFWLRQNH\)RUGHWDLOVRQXVLQJWKHVHIXQFWLRQVUHIHUWRÂł%DVLF
Monitoring Operationâ in the âMonitoringâ section.
6863(1'$/$50 3$86( 6XVSHQGVDODUPRQWKHUHFHLYLQJPRQLWRUIRUPLQXWHV3DXVHV
monitoring on the transmitter and receiving monitor.
6863(1'$/$50
6XVSHQGVDODUPRQWKHUHFHLYLQJPRQLWRUIRUPLQXWHV
&21),50
'LVSOD\VWKH³3$7,(17&21),50('´PHVVDJHRQWKH
transmitter screen and transmits the message to the receiving
monitor.
OFF:
No function.
NOTE
âSUSPEND ALARM & PAUSEâ and âCONFIRMâ can only be set when PROTOCOL is set
to 51.
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
33
2QWKH6<67(06(783VFUHHQSUHVVWKH
ĹšNH\WRPRYHWKHFXUVRUWRÂł)81&7,21
.(<´,WLVRQWKHVHFRQGSDJHRIWKH
6<67(06(783VFUHHQ
3UHVVWKH)XQFWLRQNH\
3UHVVWKHĹšNH\WRVHOHFWWKHIXQFWLRQ
3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKHVHOHFWHG
setting. The cursor returns to âFUNCTION
.(<´
SYSTEM SETUP screen - page 2
AUTO RESUME AFTER PAUSE
6HOHFWWKHLQWHUYDOWRUHVXPHPRQLWRULQJDIWHU3$86(:KHQHLWKHURIWKHIROORZLQJFRQGLWLRQVLV
met, monitoring resumes on the receiving monitor.
 +HDUWUDWHLVSURSHUO\PRQLWRUHGIRUWKHVHOHFWHGLQWHUYDO
⢠SpO2 is properly monitored for the selected interval
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VHFRQGSDJHRIWKH6<67(06(783VFUHHQ
3UHVVWKH)XQFWLRQNH\
3UHVVWKHĹšNH\WRVHOHFWWKHLQWHUYDO
3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKHVHOHFWHGVHWWLQJ7KHFXUVRUUHWXUQVWRÂł$8725(680(
$)7(53$86(´
SELECTABLE SCREEN TIME OUT PERIOD (min)
6HOHFWWKHGLVSOD\WLPHRXWSHULRG,IQRNH\LVSUHVVHGIRUWKHVHOHFWHGWLPHWKHGLVSOD\LV
automatically turned off. The selected time is shown on the Select Screen Time Out Period screen.
Refer to the âTurning the Display Offâ section for details.
3UHVVWKHĹšNH\WRPRYHWKHFXUVRUWR
Âł6(/(&7$%/(6&5((17,0(287
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6<67(06(783VFUHHQ
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period.
SYSTEM SETUP screen - page 3
34
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
3UHVVWKH)XQFWLRQNH\WRUHJLVWHUWKHVHOHFWHGVHWWLQJ7KHFXUVRUUHWXUQVWRÂł6(/(&7$%/(
6&5((17,0(2873(5,2' PLQ ´
Initializing Settings
Do the following procedure to initialize all settings, except for channel, to the factory default
settings.
Cursor
1.
Turn off the transmitter by removing a battery.
:KLOHSUHVVLQJWKH)XQFWLRQNH\WXUQRQ
the transmitter by inserting the battery. The
0(18VFUHHQDSSHDUV
3UHVVWKHĹšNH\WRPRYHWKHFXUVRUWR
³6<67(0,1,7,$/,=(´
3UHVVWKH)XQFWLRQNH\WRHQWHUWKH6<67(0
,1,7,$/,=(VFUHHQ
3UHVVWKH)XQFWLRQNH\$FRQÂżUPDWLRQ
message appears.
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6FUHHQNH\
3UHVVWKH)XQFWLRQNH\WRLQLWLDOL]HVHWWLQJV
7RFDQFHOLQLWLDOL]LQJSUHVVWKHĹšNH\7KH
VFUHHQUHWXUQVWRWKH0(18VFUHHQ
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
35
Attaching Electrodes and SpO2 Probe to the Patient
Attaching Electrodes
Selecting Electrode Lead
CAUTION
Only use Nihon Kohden speciďŹed electrodes and electrode leads. When other type of
electrodes or electrode leads are used, the âCHECK ELECTRODESâ message may
be displayed and ECG monitoring may stop.
The following optional electrode leads can be used with the transmitter.
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%5 3$ HOHFWURGHV$+$FOLSW\SH
Connecting the Electrode Lead to the Transmitter
&RQQHFWWKHHOHFWURGHOHDGWRWKH(&*5(63VRFNHWRQ
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.
36
Operatorâs Manual ZM-520PA/521PA/530PA/531PA
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.
Electrode Position
Follow the physicianâs instructions for electrode placement when available.
)RU(&*PRQLWRULQJHOHFWURGHVDUHDWWDFKHGRQO\RQWKHFKHVWWRDOORZSDWLHQWPRYHPHQW
DQGREWDLQFRQWLQXRXVVWDEOH(&*7KHIROORZLQJOHDGVDUHH[DPSOHV:KHQDOVRPRQLWRULQJ
UHVSLUDWLRQUHIHUWRWKH³(OHFWURGH3RVLWLRQIRU5HVSLUDWLRQ0RQLWRULQJ´VHFWLRQ
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
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