| Download: |  |
| Mirror Download [FCC.gov] | |
| Document ID | 2815098 |
| Application ID | 2vjV1RmThvbNpG7QR7viHQ== |
| Document Description | (Short-Term Confidential) User Manual |
| Short Term Confidential | No |
| Permanent Confidential | No |
| Supercede | No |
| Document Type | User Manual |
| Display Format | Adobe Acrobat PDF - pdf |
| Filesize | 153.1kB (1913734 bits) |
| Date Submitted | 2015-11-18 00:00:00 |
| Date Available | 2016-03-07 00:00:00 |
| Creation Date | 2015-11-13 17:12:16 |
| Producing Software | Acrobat Distiller 10.1.2 (Windows) |
| Document Lastmod | 2015-11-13 17:13:42 |
| Document Title | untitled |
| Document Creator | Adobe InDesign CS6 (Windows) |
Transmitter ZM-540PA, ZM-541PA
OPERATORâS MANUAL
Transmitter
ZM-540PA, ZM-541PA
1st Edition: 01 Jul 2009
9th Edition: XX Oct 2015
0614-902754H
Printed:
About This Manual
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.
Accompanying Documentation
The Transmitter ZM-540P comes with the following manuals. Refer to the manual depending
on your needs.
Operatorâs Manual (this manual)
Describes the operation and settings of Transmitter ZM-540P. Read this manual before use.
Administratorâs Guide
For administrators. Describes advanced settings and installation procedure of Product Name.
Read the Operatorâs Manual together with this guide.
Service Manual
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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.
This product stores personal patient information. Manage the information appropriately.
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resemblance to any person living or dead is purely coincidental.
The contents of this manual are subject to change without notice.
If you have any comments or suggestions on this manual, please contact us at:
www.nihonkohden.com
ZM-540PA, ZM-541PA Operatorâs Manual
Contents
Unpacking......................................................................................................i
GENERAL HANDLING PRECAUTIONS .......................................................I
WARRANTY POLICY ...................................................................................II
EMC RELATED CAUTION ........................................................................ VI
Conventions Used in this Manual and Instrument .................................... VIII
Intended Use ................................................................................................1
General ...................................................................................................1
Receiving Monitor ...................................................................................3
Panel Description .........................................................................................4
Front Panel .............................................................................................4
Rear Panel ..............................................................................................6
Top Panel ................................................................................................7
Bottom Panel ..........................................................................................7
Important Safety Information ........................................................................9
General ...................................................................................................9
Output Signal ........................................................................................15
Battery ..................................................................................................15
Transmitter Channel Management .......................................................16
For Patients Using Implantable Pacemaker .........................................17
ECG Monitoring ....................................................................................17
SpO2 Monitoring ....................................................................................18
NIBP Monitoring ....................................................................................23
Maintenance .........................................................................................26
Preparation on Transmitter .........................................................................27
Batteries ................................................................................................27
Handling Batteries ..........................................................................27
Battery Lifetime ...............................................................................27
Installing and Replacing Batteries ..................................................28
Situations Requiring Battery Replacement ....................................29
Battery Level Indication ..................................................................30
Turning On the Transmitter ...................................................................31
Check Items Before Use .................................................................31
Check Items After Power On ..........................................................32
Check Items After Use ....................................................................33
Turning Off the Transmitter ...................................................................33
Changing the Transmitter Channel .......................................................34
Contents-1
ZM-540PA, ZM-541PA Operatorâs Manual
Changing Parameter and System Setup Settings ......................................35
Notes on Parameter Settings ................................................................35
Changing PARAMETER SETUP Settings ............................................36
Parameter Setup Setting List ..........................................................36
Displaying the PARAMETER SETUP Screen ................................37
Changing Parameter Setup Settings ..............................................38
Changing SYSTEM SETUP Settings ....................................................44
System Setup Setting List...............................................................44
Displaying the SYSTEM SETUP Screen ........................................45
Changing System Setup Settings ...................................................46
Initializing Settings ................................................................................50
Attaching Electrodes, SpO2 Probe and NIBP Cuff to the Patient ...............51
Attachment Examples ...........................................................................51
Selecting Electrode Leads and Disposable Electrodes ........................52
Connecting the Electrode Lead to the Transmitter .........................53
Electrode Position ...........................................................................53
Attaching Electrodes to the Patient and Connecting the
Electrode Leads to Disposable Electrodes.....................................57
Checking ECG on the Transmitter Screen .....................................58
Attaching the SpO2 Probe .....................................................................59
Selecting the SpO2 Probe ...............................................................59
Connecting the SpO2 Probe to the Transmitter ..............................62
Attaching the Probe to the Patient ..................................................63
Attaching the NIBP Cuff ........................................................................65
Selecting the NIBP Cuff ..................................................................65
Connecting the NIBP Cuff to the Transmitter .................................69
Attaching the NIBP Cuff to the Patient ...........................................71
Locking the Keys on the Transmitter ..........................................................77
Monitoring ...................................................................................................78
Screen Descriptions ..............................................................................78
Check Electrodes Screen ...............................................................79
Numeric and Waveform Screen......................................................80
Waveform Review Screen ..............................................................81
Numeric Review Screen .................................................................82
Display Off ......................................................................................82
Basic Monitoring Operation ..................................................................83
Using the Function Key ...................................................................83
Suspending Alarms on the Receiving Monitor ...............................84
Pausing Monitoring .........................................................................85
Resuming Monitoring after Pause ..................................................87
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Turning the Display Off ...................................................................88
Contents-2
ZM-540PA, ZM-541PA Operatorâs Manual
Turning the Display On after It was Turned Off ..............................89
ECG and Respiration Monitoring ..........................................................89
Turning ECG Measurement On/Off ................................................92
Turning Respiration Measurement On/Off......................................92
Electrode Detachment ....................................................................92
SpO2 Monitoring ....................................................................................93
Monitoring SpO2 during NIBP Measurement ..................................98
NIBP Monitoring ....................................................................................99
6HOHFWLQJWKH,QLWLDO&XII,QĂDWLRQ3UHVVXUH ....................................99
Selecting the Measurement Mode and Interval ..............................99
Measuring NIBP............................................................................101
Monitoring SpO2 during NIBP Measurement ................................106
Indication and Message List .....................................................................107
Indication ............................................................................................107
Messages ...........................................................................................107
Message Display Priority .............................................................. 111
Troubleshooting ........................................................................................ 112
Transmitter .......................................................................................... 112
ECG/Respiration ................................................................................. 113
SpO2 .................................................................................................. 114
NIBP.................................................................................................... 114
Maintenance ............................................................................................. 116
1. External Check ............................................................................... 116
2. Transmitter Channel ....................................................................... 117
3. Transmitting/Receiving Signal ........................................................ 117
4. Display ............................................................................................ 118
5. Key Operation ................................................................................. 119
6. ECG Check .....................................................................................120
7. Respiration Check ..........................................................................121
8. SpO2 Check ....................................................................................121
9. NIBP Check ....................................................................................123
10. NIBP Cuff for Attaching Transmitter to Patient Arm ......................127
Maintenance Check Sheet ..................................................................128
Lifetime and Disposal ...............................................................................129
Disposing of Used Batteries ...............................................................129
Battery Lifetime .............................................................................129
Disposal ........................................................................................129
Disposing of Electrodes, SpO2 Probes and NIBP Cuffs......................129
Disposing of Transmitter .....................................................................129
Cleaning, Disinfection and Sterilization ....................................................130
Transmitter and Electrode Leads ........................................................130
Contents-3
ZM-540PA, ZM-541PA Operatorâs Manual
Cleaning ........................................................................................130
Disinfection ...................................................................................130
SpO2 Probe .........................................................................................131
NIBP Cuff ............................................................................................131
Periodic Inspection ...................................................................................132
Repair Parts Availability Policy .................................................................132
6SHFLÂżFDWLRQV ...........................................................................................133
ZM-540PA ...........................................................................................133
Measured Parameters ..................................................................133
Transmitted Data...........................................................................133
Displayed Data..............................................................................133
ECG ..............................................................................................133
ECG Display and Heart Rate Count .............................................134
Respiration Measurement.............................................................134
SpO2 Measurement (ISO 9919: 2005 compliant) .........................134
Noninvasive Blood Pressure, NIBP (IEC 60601-2-30: 1999
compliant) .....................................................................................136
Transmitter ....................................................................................137
Power Requirements ....................................................................137
Dimensions and Weight ................................................................137
Environment ..................................................................................137
Safety Standards ..........................................................................138
Electromagnetic Compatibility ......................................................138
Electromagnetic Emissions ..........................................................139
Electromagnetic Immunity ............................................................139
Recommended Separation Distances between Portable and
Mobile RF Communications Equipment ....................................... 141
5HFRYHU\7LPHDIWHU'HÂżEULOODWLRQ ................................................142
System Composition for EMC Test ...............................................142
ZM-541PA ...........................................................................................143
Measured Parameters ..................................................................143
Transmitted Data...........................................................................143
Display ..........................................................................................143
Displayed Data..............................................................................143
ECG ..............................................................................................143
Respiration Measurement.............................................................144
SpO2 Measurement (ISO 9919: 2005 compliant) .........................144
Noninvasive Blood Pressure, NIBP (IEC 60601-2-30: 1999
compliant) .....................................................................................146
Transmitter .................................................................................... 147
Power Requirements .................................................................... 147
Dimensions and Weight ................................................................ 147
Contents-4
ZM-540PA, ZM-541PA Operatorâs Manual
Environment .................................................................................. 147
Safety Standards ..........................................................................148
Electromagnetic Compatibility ......................................................148
Electromagnetic Emissions ..........................................................149
Electromagnetic Immunity ............................................................149
Recommended Separation Distances between Portable and
Mobile RF Communications Equipment ....................................... 151
5HFRYHU\7LPHDIWHU'HÂżEULOODWLRQ ................................................152
System Composition for EMC Test ...............................................152
Standard Accessories ...............................................................................153
Options .....................................................................................................154
Transmitter ..........................................................................................154
ECG/RESP .........................................................................................154
SpO2 ..................................................................................................155
NIBP....................................................................................................156
Transmission Frequencies .......................................................................157
Contents-5
ZM-540PA, ZM-541PA Operatorâs Manual
Unpacking
Check that all the items are included in the package. If there are any missing
items, contact your Nihon Kohden representative.
The name and quantity are described under the illustration.
ZM-540PA or ZM-541PA
transmitter (1)
NIBP cuff for adult,
standard (1)
Strap (1)
Certification
Operatorâs manual (1)
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ZM-540PA, ZM-541PA Operatorâs Manual
GENERAL HANDLING PRECAUTIONS
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Use only Nihon Kohden approved products with this device. Use of non-approved
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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.
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3. Before Operation
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4. During Operation
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5. To Shutdown After Use
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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.
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ZM-540PA, ZM-541PA Operatorâs Manual
8. Maintenance and Inspection
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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.
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transducers from the instrument to avoid possible damage.
WARRANTY POLICY
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CAUTION
United States law restricts this product to sale by or on the order of a physician.
II
ZM-540PA, ZM-541PA Operatorâs Manual
Equipment Authorization Requirement
Compliance with FCC/IC Requirements
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CAUTION
(English)
To comply with the FCC/IC 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.
(Français)
Pour respecter les normes relatives aux radiofrĂŠquences FCC/IC, ce dispositif
ne doit pas ĂŞtre situĂŠ ou utilisĂŠ Ă proximitĂŠ dâune autre antenne ou dâun autre
ĂŠmetteur si ce nâest selon les procĂŠdures mentionnĂŠes pour le multitransmetteur FCC/IC ou dĂŠcrites dans la documentation.
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.
III
ZM-540PA, ZM-541PA Operatorâs Manual
Compliance with IC Requirements
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ZM-540PA, ZM-541PA Operatorâs Manual
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ZM-541PA only
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âThis equipment shall not be operated in the areas of Sydney, Nova Scotia, or Gander,
1HZIRXQGODQGDQG/DEUDGRU3OHDVHFRQWDFWWKHORFDO,QGXVWU\&DQDGD2IÂżFHIRUIXUWKHU
information.â
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ÂŤ Lâutilisation de cet ĂŠquipement est interdite Ă Sydney, Nouvelle-Ăcosse de mĂŞme quâĂ
Gander, Terre-Neuve et Labrador. Veuillez contacter le bureau local dâIndustrie Canada
pour de plus amples renseignements Âť.
ZM-540PA, ZM-541PA Operatorâs Manual
EMC RELATED CAUTION
This equipment and/or system complies with IEC 60601-1-2 International Standard
for electromagnetic compatibility for medical electrical equipment and/or system.
However, an electromagnetic environment that exceeds the limits or levels stipulated
in 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. Keep the emitter source
such as cellular phone away from the equipment and/or system, or turn off the
cellular phone.
2. Radio-frequency interference from other equipment through the AC power supply of
the equipment and/or system:
Identify the cause of this interference and if possible remove this interference
source. If this is not possible, use a different power supply.
3. 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. A humid room can
help lessen this problem.
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.
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.
8VHRIXQVSHFLÂżHGDFFHVVRU\WUDQVGXFHUDQGRUFDEOH
:KHQDQXQVSHFLÂżHGDFFHVVRU\WUDQVGXFHUDQGRUFDEOHLVFRQQHFWHGWRWKLV
equipment and/or system, it may cause increased electromagnetic emission or
GHFUHDVHGHOHFWURPDJQHWLFLPPXQLW\7KHVSHFLÂżHGFRQÂżJXUDWLRQRIWKLVHTXLSPHQW
DQGRUV\VWHPFRPSOLHVZLWKWKHHOHFWURPDJQHWLFUHTXLUHPHQWVZLWKWKHVSHFLÂżHG
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VI
ZM-540PA, ZM-541PA Operatorâs Manual
Caution - continued
8VHRIXQVSHFLÂżHGFRQÂżJXUDWLRQ
:KHQWKHHTXLSPHQWDQGRUV\VWHPLVXVHGZLWKWKHXQVSHFLÂżHGV\VWHP
FRQÂżJXUDWLRQGLIIHUHQWWKDQWKHFRQÂżJXUDWLRQRI(0&WHVWLQJLWPD\FDXVH
increased electromagnetic emission or decreased electromagnetic immunity. Only
XVHWKLVHTXLSPHQWDQGRUV\VWHPZLWKWKHVSHFLÂżHGFRQÂżJXUDWLRQ
9. Measurement with excessive sensitivity:
The equipment and/or system is designed to measure bioelectrical signals with
DVSHFLÂżHGVHQVLWLYLW\,IWKHHTXLSPHQWDQGRUV\VWHPLVXVHGZLWKH[FHVVLYH
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.
VII
ZM-540PA, ZM-541PA Operatorâs Manual
Conventions Used in this Manual and Instrument
Warnings and Cautions
Level
Description
WARNING
$ZDUQLQJDOHUWVWKHXVHUWRSRVVLEOHLQMXU\RUGHDWKDVVRFLDWHGZLWKWKH
XVHRUPLVXVHRIWKHLQVWUXPHQW
CAUTION
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LQVWUXPHQWDVVRFLDWHGZLWKLWVXVHRUPLVXVHVXFKDVLQVWUXPHQW
PDOIXQFWLRQLQVWUXPHQWIDLOXUHGDPDJHWRWKHLQVWUXPHQWRUGDPDJHWR
RWKHUSURSHUW\
VIII
ZM-540PA, ZM-541PA Operatorâs Manual
Explanations of the Symbols in this Manual and Instrument
7KHIROORZLQJV\PEROVIRXQGLQWKLVPDQXDOLQVWUXPHQWEHDUWKHUHVSHFWLYHGHVFULSWLRQVDV
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On Panel
Symbol
Description
Symbol
Description
&KDQJHVFUHHQ
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applied part
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manual
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applied part
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Serial number
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On LCD
Symbol
Description
Symbol
Description
Full battery
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Alarm suspended
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IX
ZM-540PA, ZM-541PA Operatorâs Manual
Intended Use
General
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6S22DQG1,%3GDWDIURPDSDWLHQWWRD1LKRQ.RKGHQPRQLWRUIRUFRQWLQXRXVPRQLWRULQJ
7KHIURQW/&'GLVSOD\V(&* RUSXOVHZDYH QXPHULFYDOXHVRIPRQLWRULQJSDUDPHWHUV
1,%3PHDVXULQJPRGHDQGLQWHUYDOPHVVDJHVDQGEDWWHU\FRQGLWLRQ*7KH\DOVRGLVSOD\WKH
FRPSUHVVHGZDYHIRUPDQGQXPHULFGDWDRIWKHODWHVWPLQXWHV
7KLVWUDQVPLWWHULVGHVLJQHGIRUXVHE\TXDOLÂżHGPHGLFDOSHUVRQQHOLQDPHGLFDOIDFLOLW\VXFK
DVDKRVSLWDORUFOLQLF,WLVQRWGHVLJQHGIRUXVHRXWGRRUVRULQDKRPHHQYLURQPHQWDQGLVQRW
GHVLJQHGWREHRSHUDWHGE\WKHSDWLHQWWKHPVHOYHV
(VVHQWLDOSHUIRUPDQFHRIWKLVWUDQVPLWWHU
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=03$ WR 0+] FKDQQHOQXPEHU WR
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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 this transmitter for monitoring a patient.
Monitor the patient on a receiving monitor. This
transmitter displays the waveforms and measured
values but does not have an alarm function.
ZM-540PA, ZM-541PA Operatorâs Manual
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.
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.
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:KHQDUDGLRZDYHUHĂHFWVRIIDVXUIDFHWKHUHPD\EHVRPHSRLQWVLQWKHURRPZKHUHWKH
UHĂHFWHGDQGGLUHFWZDYHVDUHH[DFWO\RXWRISKDVH$WWKHVHSRLQWVLQWKHURRPWKHUHĂHFWHG
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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
IDGLQJRIHOHFWULFÂżHOGVWUHQJWK IRUH[DPSOHSHRSOHPRYLQJ PD\LQWHUIHUH
with the transmitter signal and may be mistaken as an arrhythmia on the
receiving monitor.
⢠,IWKHWUDQVPLWWHULVXVHGRXWVLGHWKHVSHFL¿HGHQYLURQPHQWLWVSHUIRUPDQFH
cannot be guaranteed.
ZM-540PA, ZM-541PA Operatorâs Manual
⢠For details on antennas and antenna construction, contact your Nihon
Kohden representative. You can also refer to the Telemetry System
Installation Guide.
Receiving Monitor
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NOTE
⢠For details on the receiving monitor and upgrade information, contact your
Nihon Kohden representative.
⢠The transmitter does not give any patient alarm, only a âno batteryâ alarm.
Patient alarms must be managed on the receiving monitor.
ZM-540PA, ZM-541PA Operatorâs Manual
Panel Description
Front Panel
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4 Function key
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2 Infrared receiver
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3 Screen key
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ZM-540PA, ZM-541PA Operatorâs Manual
5HIHUWRWKH:$51,1*
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7 Lead/Scroll keys
5 NIBP Start/Stop key
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6 NIBP Interval key
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8 Battery case
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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.
ZM-540PA, ZM-541PA Operatorâs Manual
Rear Panel
Lock plate
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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.
ZM-540PA, ZM-541PA Operatorâs Manual
Top Panel
5HIHUWRWKH:$51,1*RQWKH
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NIBP socket
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ECG/impedance RESP socket
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Bottom Panel
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Channel number label
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SpO2 socket
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SUREH
ZM-540PA, ZM-541PA Operatorâs Manual
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
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.
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.
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.
ZM-540PA, ZM-541PA Operatorâs Manual
Important Safety Information
General
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.
WARNING
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
Never use the transmitter in a hyperbaric oxygen
chamber. Failure to follow this warning may cause
explosion or fire.
WARNING
Do not take this transmitter into the MRI test room.
This transmitter is not designed to be used during
MRI tests.
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.
ZM-540PA, ZM-541PA Operatorâs Manual
WARNING
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.
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.
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.
10
ZM-540PA, ZM-541PA Operatorâs Manual
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
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.
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.
WARNING
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.
11
ZM-540PA, ZM-541PA Operatorâs Manual
WARNING
Do not allow the conductive part of the connector
which is connected to the patient to contact other
conductive parts including earth. This causes
leakage current and incorrect measurement value
and leads to wrong diagnosis.
WARNING
After admitting a patient on the central monitor and
attaching electrodes and sensors on the patient
and connecting cables to the transmitter, check
that there is no error messages and that the
waveforms and numeric data are appropriately
displayed on the transmitter and central monitor
screen. If there is an error message, or waveform
or numeric data is not appropriate, check the
electrodes and sensors attachment, patient
condition and settings on the transmitter and
remove the cause.
CAUTION
Only use Nihon Kohden specified electrodes,
electrode leads, SpO2 probes, and NIBP cuffs.
Otherwise, the maximum performance from the
transmitter cannot be guaranteed.
CAUTION
Do not reuse disposable parts and accessories.
CAUTION
For handling and precautions on electrodes,
electrode leads, SpO2 probes and NIBP cuffs, refer
to the manual.
12
ZM-540PA, ZM-541PA Operatorâs Manual
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.
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
Signal loss and artifact may occur because of the
multipath cancellation* when using a transmitter.
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:KHQDUDGLRZDYHUHĂHFWVRIIDVXUIDFHWKHUHPD\EHVRPHSRLQWVLQWKHURRPZKHUHWKH
UHĂHFWHGDQGGLUHFWZDYHVDUHH[DFWO\RXWRISKDVH$WWKHVHSRLQWVLQWKHURRPWKHUHĂHFWHG
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SHRSOHRUREMHFWVDUHPRYLQJQXOOVSRWVFDQRFFXUDQ\WLPHDQGDQ\ZKHUH
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.
13
ZM-540PA, ZM-541PA Operatorâs Manual
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.
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
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.
CAUTION
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.
14
ZM-540PA, ZM-541PA Operatorâs Manual
CAUTION
Always lock the battery cover while using the
transmitter. Otherwise the battery cover may come
off and correct measurement might not be
performed.
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
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.
CAUTION
Refer to the battery and battery charger manuals
for details on handling the batteries.
15
ZM-540PA, ZM-541PA Operatorâs Manual
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.
16
ZM-540PA, ZM-541PA Operatorâs Manual
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
Turn the pacing pulse detection to ON on the
receiving monitor when monitoring a pacemaker
patient. Otherwise the pacemaker pulse is not
rejected. However, even when the pacing pulse
detection is set to ON, the pacemaker pulse might
not be rejected. When the pacemaker pulse is not
rejected, the pacemaker pulse is detected as QRS
and false heart rate may be indicated or critical
arrhythmia such as asystole may be overlooked.
Keep pacemaker patients under close observation.
)RUWKHSDFHPDNHUSXOVHUHMHFWLRQFDSDELOLW\RIWKH=03$DQG=03$WUDQVPLWWHUV
UHIHUWRWKH³6SHFL¿FDWLRQV(&*´VHFWLRQ
WARNING
Even when the pacing pulse detection is set to ON
on the receiving monitor, the pacemaker pulse can
be overlooked or detected as QRS. You cannot
confirm the pacemaker operation only from the
detected pacemaker pulse.
17
ZM-540PA, ZM-541PA Operatorâs Manual
CAUTION
Only use Nihon Kohden specified 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.
CAUTION
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.
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.
⢠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.
7KH6S22SUREHVPDQXIDFWXUHGE\1LKRQ.RKGHQKDYHWZRZDYHOHQJWKVZLWKSHDNVLQWKH
UDQJHRIDQG QP7KHPD[LPXPOLJKWLQWHQVLW\LVOHVVWKDQP:
18
ZM-540PA, ZM-541PA Operatorâs Manual
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.
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.
19
ZM-540PA, ZM-541PA Operatorâs Manual
WARNING
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
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
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.
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.
20
ZM-540PA, ZM-541PA Operatorâs Manual
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
NIBP and SpO2 can be measured on the same
limb, but the SpO2 monitoring might not be
accurate during NIBP measurement. Be careful
when reading the SpO2 values.*
0RQLWRULQJ6S22GXULQJ1,%30HDVXUHPHQW
:KHQWKH6S22SUREHLVDWWDFKHGWRWKHVDPHOLPEDVWKH1,%3FXIIWKHEORRGĂRZ
GHFUHDVHVGXULQJ1,%3PHDVXUHPHQWDQGSXOVHZDYHFDQQRWEHGHWHFWHGDQG6S22 cannot
EHPRQLWRUHGSURSHUO\:KHQ³,1+,%,76S22'85,1*1,%3´RQWKH3$5$0(7(5
6(783VFUHHQLVVHWWR21 IDFWRU\GHIDXOWVHWWLQJ 6S22PRQLWRULQJLVSDXVHGGXULQJ1,%3
PHDVXUHPHQWWRDYRLG6S22DODUPRFFXUUHQFH+RZHYHUZKHQPRQLWRULQJ6S22 on the same
OLPEDVWKH1,%3EHFDUHIXOZKHQUHDGLQJ6S22YDOXHV
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.
21
ZM-540PA, ZM-541PA Operatorâs Manual
CAUTION
Handle the probe cable according to the following
cautions. Failure to follow these cautions may
cause cable discontinuity or short circuit of the
probe cable which may cause incorrect
measurement data or inability to perform
measurement. Also in rare cases, the probe
temperature may increase and cause skin burn on
the patient. If the probe cable is damaged, replace
the probe with a new one.
 'RQRWSXOORUEHQGWKHSUREHFDEOH
 'RQRWOHWFDVWHUIHHWUXQRYHUWKHSUREHFDEOH
CAUTION
Do not use a probe which is deteriorated by aging.
Accurate measurement cannot be performed.
CAUTION
Do not use a damaged or disassembled probe. It
causes incorrect measurement and may injure the
patient.
CAUTION
When the probe is attached on an appropriate site
with sufficient thickness and the error message
confirming the probe attachment repeatedly
appears, the probe may be deteriorated. Replace it
with a new one.
22
ZM-540PA, ZM-541PA Operatorâs Manual
NIBP Monitoring
WARNING
Be careful when measuring NIBP on a patient with
known bleeding disorders or coagulation. After
NIBP measurement, there may be dot
hemorrhage, or circulatory disorder by thrombus
where the cuff is attached.
WARNING
NIBP measurement may be incorrect in the
following situations.
⢠When using an ESU
⢠Body movement
⢠Small pulse wave
⢠Too many arrhythmias
⢠Shaking from an external source
⢠Rapid blood pressure change
⢠During CPR
⢠Slow pulse
⢠Low blood pressure
⢠Small pulse pressure
⢠Cuff is too tight or too loose
⢠Cuff does not fit the arm
⢠Cuff is wrapped over thick clothing
⢠Cuff is deteriorated
⢠Arterial sclerosis
⢠Poor perfusion
⢠Diabetes
⢠Age
⢠Pregnancy
⢠Pre-eclampsia
⢠Renal disease
⢠Shivering
⢠Trembling
23
ZM-540PA, ZM-541PA Operatorâs Manual
WARNING
When performing NIBP measurements in STAT
mode or 5 minute intervals, periodically remove the
cuff from the patient for ventilation. The skin
temperature may increase at the cuff attachment
site by 2 or 3°C (4 or 5°F). When measuring a
patient with a fever or peripheral circulation
insufficiency, it may cause a burn.
WARNING
Do not attach the NIBP cuff on a limb which is
being used for intravascular access or therapy, or
an arterio-venous (A-V) shunt. It may cause reflux
of blood or medicinal solution or block injection of
medicinal solution due to poor blood circulation.
WARNING
Do not attach the NIBP cuff on an arm which is the
same side as a mastectomy. It may cause
circulatory disorder such as swelling from poor
blood circulation.
WARNING
While measuring NIBP, if the NIBP cuff and other
medical equipment are attached to the same limb,
the medical equipment might not function
temporarily.
WARNING
While measuring NIBP, check the patient condition
and confirm that the NIBP cuff does not affect
blood circulation.
24
ZM-540PA, ZM-541PA Operatorâs Manual
WARNING
When performing long term measurement at
intervals less than 5 minutes, perform
measurements while observing the state of the
patient, blood vessels and limb to ensure adequate
circulation. Congestion may occur at the
measurement site. When performing periodic
measurement for a long time, periodically check
the circulation condition.
CAUTION
Do not wrap the cuff on an arm or thigh which is
used for injection. NIBP measurement on an arm
or thigh which is used for injection may cause
reflux of blood and stop injection.
CAUTION
Do not wrap the cuff too tight. It may cause poor
blood circulation and congestion. If the cuff is
wrapped too loosely, the NIBP value may increase.
CAUTION
Do not attach the cuff to the site where there is
injury or inflammation. If the skin gets irritated or
redness appears on the skin from the cuff, change
the attachment site or stop using the cuff. Take
extreme care on the patients with delicate skin.
CAUTION
When using an extension hose, check that the
extension hose is not bent or squeezed.
Otherwise, the cuff might not inflate or deflate. If
the cuff cannot deflate, it may cause congestion on
the patient at the cuff attachment site.
25
ZM-540PA, ZM-541PA Operatorâs Manual
CAUTION
When performing NIBP measurement repeatedly,
have a rest between measurements to recover
adequate circulation.
Maintenance
CAUTION
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
Before maintenance, cleaning or disinfection, turn
the transmitter power off and remove the batteries.
Failure to follow this instruction may result in
electrical shock and transmitter malfunction.
CAUTION
Never disassemble or repair the transmitter. If
there is any problem with the transmitter, contact
your Nihon Kohden representative.
CAUTION
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.
26
ZM-540PA, ZM-541PA Operatorâs Manual
Preparation on Transmitter
Batteries
Handling Batteries
WARNING
Do not handle the batteries with wet hands.
WARNING
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. When NiMH batteries are left in the
transmitter when it is not used, the batteries may
overdischarge and leak liquid which makes the
batteries unusable and damages the transmitter.
CAUTION
Refer to the battery and battery charger manuals
for details on handling the batteries.
NOTE
⢠Remove the batteries from the transmitter before disposing of it.
⢠Use either new alkaline batteries or fully charged rechargeable NiMH
EDWWHULHV8VLQJXQVSHFLÂżHGEDWWHULHVSUHYLRXVO\XVHGEDWWHULHVRUEDWWHULHV
that have been stored for long periods may result in short battery life or
reduced performance resulting in unstable measurement.
Battery Lifetime
8VHWKUHH$$W\SHDONDOLQHGU\FHOOEDWWHULHV1L0+EDWWHULHVFDQDOVREHXVHGEXWWKHOLIHWLPH
RIDONDOLQHEDWWHULHVLVORQJHU7KHOLIHWLPHRI1L0+EDWWHULHVLVDERXWRIDONDOLQHEDWWHULHV
ZKHQIXOO\FKDUJHG
:LWKQHZ1LKRQ.RKGHQUHFRPPHQGHGDONDOLQHEDWWHULHVWKHWUDQVPLWWHUFDQFRQWLQXRXVO\
PHDVXUH(&*UHVSLUDWLRQ6S22DQG1,%3IRUDSSUR[LPDWHO\GD\7KHPHDVXUHPHQWLV
SHUIRUPHGDWURRPWHPSHUDWXUH1,%3LVPHDVXUHGLQDXWRPRGHDWPLQXWHLQWHUYDOVDQG
6S22LVPHDVXUHGRQDQLQGH[ÂżQJHURIDPDOHSDWLHQWZLWKZHLJKWNJ2SHUDWLRQWLPH
GHSHQGVRQWKHWKLFNQHVVRIWKH6S22SUREHDWWDFKPHQWVLWH
27
ZM-540PA, ZM-541PA Operatorâs Manual
Recommended batteries
1L0+VHFRQGDU\ 3DQDVRQLFHQHORRS
$ONDOLQHSULPDU\ 1LKRQ.RKGHQ0HGLSRZHU HTXLYDOHQWWR3DQDVRQLF/5 *
Installing and 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.
,IHOHFWURGHOHDGVDUHDWWDFKHGWRWKHSDWLHQWDQGWKHSHUVRQUHSODFLQJEDWWHULHVWRXFKHVWKH
SDWLHQWGXULQJEDWWHU\UHSODFHPHQWH[FHVVSDWLHQWOHDNDJHFXUUHQWPD\ĂRZLQWRWKHSDWLHQW
NOTE
⢠Replace all batteries at the same time.
⢠Do not use different types of batteries together.
⢠,QVHUWWKHEDWWHULHVZLWKWKHFRUUHFWSRODULW\ DQGĂ
⢠The capacity of rechargeable NiMH batteries is reduced if the batteries are
recharged before they are fully discharged. For details, refer to the battery
operatorâs manual.
1
5HPRYHWKHEDWWHU\FDVHFRYHU
2
,QVHUWWKUHHQHZRUIXOO\FKDUJHGEDWWHULHVLQWRWKH
EDWWHU\FDVHREVHUYLQJWKHFRUUHFWSRODULW\
28
ZM-540PA, ZM-541PA Operatorâs Manual
Good
Bad
Spring
Spring
NOTE: ,QVHUWWKH Ă HQGRIWKHEDWWHU\ÂżUVWDQG
press it against the spring. If you try to force
WKH HQGRIWKHEDWWHU\LQÂżUVWDVVKRZQ
it will deform the spring and damage the
battery and transmitter.
3
&ORVHWKHFRYHU
7KHWUDQVPLWWHULVDXWRPDWLFDOO\WXUQHGRQZKHQWKH
EDWWHULHVDUHLQVWDOOHGDQGWKHFRYHULVFORVHG
CAUTION
Always lock the battery cover while using the
transmitter. Otherwise the battery cover may come
off and correct measurement might not be
performed.
Situations Requiring Battery Replacement
5HSODFHWKHEDWWHULHVZKHQDQ\RIWKHIROORZLQJRFFXUV
⢠7KHWUDQVPLWWHUGLVSOD\VWKH³%$77(5<:($.´PHVVDJHRU
LFRQ
⢠7KHWUDQVPLWWHUJHQHUDWHVDFRQVWDQWDODUP FRQWLQXRXV³SHHS´VRXQG
⢠7KHWUDQVPLWWHU/&'GRHVQRWGLVSOD\DQ\WKLQJZKHQWKHSRZHULVWXUQHGRQ
⢠7KHUHFHLYLQJPRQLWRUGLVSOD\VDEDWWHU\UHSODFHPHQWPHVVDJH
NOTE: The battery replacement message or icon on the transmitter disappears after
a short time depending on the type of battery. When the battery replacement
indication appears, immediately replace the transmitter battery with a new
one.
29
ZM-540PA, ZM-541PA Operatorâs Manual
Battery Level Indication
7KHIROORZLQJLFRQVRQWKHGLVSOD\LQGLFDWHWKHEDWWHU\OHYHO:KHQWKHVFUHHQLVWXUQHGRII
SUHVVWKH6FUHHQNH\WRFKHFNWKHEDWWHU\OHYHO:KHQ³35272&2/´RIWKH6<67(06(783
VFUHHQLVVHWWRWKHEDWWHU\OHYHOLQGLFDWLRQLVWUDQVPLWWHGWRWKHUHFHLYLQJPRQLWRU
Indication
Battery Level
)XOO\FKDUJHGEDWWHULHV
Message on the Receiving Monitor
7KHUHLVQRPHVVDJHRQWKHPRQLWRU
%DWWHULHVDUHIXOO
%DWWHULHVDUHZHDN
5HSODFHEDWWHULHV
0HVVDJHUHTXLULQJEDWWHU\UHSODFHPHQWLV
GLVSOD\HG
%DWWHULHVDUHYHU\ZHDN
&DQQRWPHDVXUH1,%3
5HSODFHEDWWHULHV
No indication
'HDGEDWWHULHV
1RVLJQDOFDQEHWUDQVPLWWHGWRWKHPRQLWRU
7KHUHLVQRLQGLFDWLRQRQWKHPRQLWRU
30
ZM-540PA, ZM-541PA Operatorâs Manual
Turning On the Transmitter
:KHQWKHEDWWHULHVDUHLQVWDOOHGFRUUHFWO\WKHSRZHULVWXUQHGRQ$³SHHS´VRXQGVIRURQH
VHFRQGWKHVWDUWXSVFUHHQDSSHDUVWKHQWKHFKHFNHOHFWURGHVVFUHHQDSSHDUV 7KHUHLVQR
³SHHS´VRXQGZKHQWKHUHLVQREDWWHU\SRZHU
NOTE: Check that the âCOMMUNICATION LOSSâ message is not displayed on the
central monitor.
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GLVSOD\WKHQXPHULFDQGZDYHIRUPVFUHHQ
)RUGHWDLOVRQWKHVFUHHQUHIHUWRWKH³6FUHHQ'HVFULSWLRQV´VHFWLRQ
Check Items Before Use
%HIRUHWXUQLQJRQWKHWUDQVPLWWHUSRZHUFKHFNWKHIROORZLQJWRFRQÂżUPWKDWWKHWUDQVPLWWHU
FDQEHXVHGLQQRUPDODQGVDIHFRQGLWLRQ
Operating Environment
,IWKHWUDQVPLWWHUKDVEHHQVWRUHGLQFRQGLWLRQVVXFKDVORZWHPSHUDWXUHVWKDWDUHRXWVLGHWKH
XVDJHHQYLURQPHQWUDQJHSODFHWKHWUDQVPLWWHULQWKHXVDJHHQYLURQPHQWIRUVXIÂżFLHQWWLPHIRU
LWWRDGMXVWWRWKHURRPWHPSHUDWXUHEHIRUHXVH,IWKHWUDQVPLWWHUPD\EHXVHGFRQVWDQWO\VWRUH
LWZLWKLQWKHXVDJHHQYLURQPHQWUDQJH
31
ZM-540PA, ZM-541PA Operatorâs Manual
Appearance
⢠7
KHUHDUHQRGDPDJHGRUGLUW\SDUWVRQWKHRXWVLGHRIWKHWUDQVPLWWHU /&'NH\VVRFNHWV
EDWWHU\FDVHFRYHUEDWWHU\FDVHORFNSODWHHWF
⢠7
KHWUDQVPLWWHULVFRPSOHWHO\GU\
⢠7
KHHOHFWURGHVHOHFWURGHOHDG6S22SUREHDQG1,%3FXIIDUHQRWEURNHQ
Batteries
⢠7KHEDWWHU\SRODULW\LVFRUUHFW
⢠7KHEDWWHU\FDVHVSULQJLV¿UPO\DWWDFKHGDQGWKHEDWWHU\LVQRWORRVH
⢠7KHEDWWHU\FDVHFRYHULV¿UPO\FORVHG
Channel Setting
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⢠7KHUHLVQRQHDUE\WUDQVPLWWHUZLWKWKHVDPHFKDQQHO
Other
7KHWUDQVPLWWHULQIRUPDWLRQLVFRUUHFWO\VHQWWRWKHUHFHLYLQJPRQLWRUZKHQWKHWUDQVPLWWHULV
WXUQHGRQRURII
Check Items After Power On
$IWHUWXUQLQJRQWKHSRZHUFKHFNWKHIROORZLQJ
Power On
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⢠7KHWUDQVPLWWHUGLVSOD\VWKHFKHFNHOHFWURGHVVFUHHQ
⢠7KHWUDQVPLWWHULVQRWWRRKRW
⢠7KHWUDQVPLWWHUGRHVQRWGLVSOD\WKH³%$77(5<:($.´PHVVDJH
⢠7KHWUDQVPLWWHUGRHVQRWLQWHUIHUHZLWKWKHRSHUDWLRQRIRWKHUPHGLFDOLQVWUXPHQWV
Daily Check
⢠7
KH³VLJQDOORVV´PHVVDJHLVQRWGLVSOD\HGRQWKHUHFHLYLQJPRQLWRUZKHQWKHWUDQVPLWWHULV
LQVLGHWKHUHFHLYLQJUDQJHRIWKHPRQLWRU
⢠7KHEDWWHU\UHSODFHPHQWPHVVDJHLVQRWGLVSOD\HGRQWKHPRQLWRU
⢠7
KHNH\VRQWKHWUDQVPLWWHUIXQFWLRQSURSHUO\
⢠7KH/&'EULJKWQHVVLVDSSURSULDWH7RDGMXVWEULJKWQHVVUHIHUWRWKH³&KDQJLQJ6<67(0
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32
ZM-540PA, ZM-541PA Operatorâs Manual
Check Items After Use
7RXVHWKHWUDQVPLWWHULQVDIHDQGRSWLPXPFRQGLWLRQIRUQH[WWLPHFKHFNWKHIROORZLQJ
Before Turning Power Off
⢠7HPSRUDULO\FKDQJHGVHWWLQJVDUHFKDQJHGEDFNWRWKHSUHYLRXVVHWWLQJV
⢠7KHUHZDVQRPDOIXQFWLRQRQWKHWUDQVPLWWHU
Storage
⢠(&*HOHFWURGHOHDGV6S22SUREHDQG1,%3FXIIDUHFOHDQHGDQGGLVLQIHFWHG
⢠,IWKHWUDQVPLWWHUJRWZHWOLTXLGLVZLSHGRIIDQGWKHWUDQVPLWWHULVWKRURXJKO\GULHG
⢠7KHUHDUHHQRXJKFRQVXPDEOHVVXFKDVGLVSRVDEOHHOHFWURGHV
⢠7KHWUDQVPLWWHUSRZHULVWXUQHGRIIE\UHPRYLQJEDWWHULHVIURPWKHWUDQVPLWWHU
⢠'HDGEDWWHULHVDUHGLVSRVHGRISURSHUO\
Turning Off the Transmitter
7RWXUQRIIWKHSRZHUUHPRYHWKHEDWWHULHV:KHQWKHSRZHULVWXUQHGRIIWKHVDYHGZDYHIRUP
DQGQXPHULFGDWDDUHGHOHWHG
33
ZM-540PA, ZM-541PA Operatorâs Manual
Changing the Transmitter Channel
7KHFKDQQHORIWKHWUDQVPLWWHUFDQEHFKDQJHGZLWKDQRSWLRQDO4, 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.
7KHFKDQQHOLVGLVSOD\HGLQWKHXSSHUOHIWFRUQHURIWKHVFUHHQ
Channel
34
ZM-540PA, ZM-541PA Operatorâs Manual
Changing Parameter and System Setup Settings
7KHLQLWLDOVHWWLQJVRQWKH3$5$0(7(56(783DQG6<67(06(783VFUHHQVFDQRQO\EH
FKDQJHGEHIRUHPRQLWRULQJ&KDQJLQJWKHVHVHWWLQJVGXULQJPRQLWRULQJLQWHUUXSWVPRQLWRULQJ
NOTE: &KDQJLQJ3DUDPHWHUDQG6\VWHP6HWXSVHWWLQJVPXVWEHGRQHE\TXDOLÂżHG
personnel.
Notes on Parameter Settings
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WRSURSHUO\WUDQVPLWWKHPRQLWRULQJGDWDWRWKHUHFHLYLQJPRQLWRU2WKHUZLVH6S22 cannot be
PRQLWRUHGSURSHUO\GXULQJ1,%3PHDVXUHPHQW
6RPHUHFHLYLQJPRQLWRUVUHTXLUHWKHVRIWZDUHWREHXSJUDGHG)RUGHWDLOVFRQWDFW\RXU1LKRQ
.RKGHQUHSUHVHQWDWLYH
SpO2 Probe Attachment Site
INHIBIT SpO2 DURING NIBP SETTING
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21
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WKH6S22YDOXHEHFRPHVXQVWDEOHDQG6S22RU35DODUPPD\RFFXU
35
ZM-540PA, ZM-541PA Operatorâs Manual
Changing PARAMETER SETUP Settings
Parameter Setup Setting List
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Setting Item
Description
Settings
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,(&$+$
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NOTE: When âPROTOCOLâ of the transmitter
is set to 57 and the receiving monitor
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ZM-540PA, ZM-541PA Operatorâs Manual
Displaying the PARAMETER SETUP Screen
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ZM-540PA, ZM-541PA Operatorâs Manual
Changing Parameter Setup Settings
ECG ELECTRODES
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ZM-540PA, ZM-541PA Operatorâs Manual
ECG MEASUREMENT
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NOTE: When âPROTOCOLâ of the transmitter is set to 57 and the receiving monitor
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automatically set to OFF when this setting is set to OFF on the transmitter.
1
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ZM-540PA, ZM-541PA Operatorâs Manual
SpO2 RESPONSE
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NOTE: When measurement condition is unstable due to strenuous movement of the
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PARAMETER SETUP screen - page 2
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âMonitoring SpO2 during NIBP Measurementâ section.
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ZM-540PA, ZM-541PA Operatorâs Manual
SELECTABLE INTERVALS (min)
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ZM-540PA, ZM-541PA Operatorâs Manual
NIBP MODE AFTER STAT (min)
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PARAMETER SETUP screen - page 4
42
ZM-540PA, ZM-541PA Operatorâs Manual
OLD NIBP DATA/AFTER (min)
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43
ZM-540PA, ZM-541PA Operatorâs Manual
Changing SYSTEM SETUP Settings
System Setup Setting List
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Settings
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NOTE: When 57 is set, the receiving monitor
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ZM-540PA, ZM-541PA Operatorâs Manual
Displaying the SYSTEM SETUP Screen
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ZM-540PA, ZM-541PA Operatorâs Manual
Changing System Setup Settings
PROTOCOL
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Differences Between Protocols
Function
Protocol 42
Protocol 57
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Source Exif Data:
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XMP Toolkit : Adobe XMP Core 5.2-c001 63.139439, 2010/09/27-13:37:26
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EXIF Metadata provided by EXIF.tools