Nihon Kohden ZM-931PA Medical Telemetry Transmitter User Manual

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Date Submitted	2008-11-25 00:00:00
Date Available	2008-11-25 00:00:00
Creation Date	2008-10-05 11:00:08
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Transmitter
ZM-920PA/ZM-921PA
ZM-930PA/ZM-931PA
If you have any comments or suggestions
on this manual, please contact us at:
www.nihonkohden.com
0614-007205B
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.
GENERAL HANDLING PRECAUTIONS
This device is intended for use only by qualified medical personnel.
Use only Nihon Kohden approved products with this device. Use of
non-approved products or in a non-approved manner may affect the
performance specifications of the device. This includes, but is not limited
to, batteries, recording paper, pens, extension cables, electrode leads,
input boxes and AC power.
Please read these precautions thoroughly before attempting to operate the
instrument.
1. To safely and effectively use the instrument, its operation must be fully
understood.
2. When installing or storing the instrument, take the following precautions:
(1) Avoid moisture or contact with water, extreme atmospheric pressure,
excessive humidity and temperatures, poorly ventilated areas, and dust,
saline or sulphuric air.
(2) Place the instrument on an even, level floor. Avoid vibration and
mechanical shock, even during transport.
(3) Avoid placing in an area where chemicals are stored or where there is
danger of gas leakage.
(4) Pay extra attention when the instrument is in combination with other
instruments to avoid misdiagnosis or other problems.
(5) Choose a room where a proper grounding facility is available.
3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is in combination with other
instruments to avoid misdiagnosis or other problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when
using battery-operated models.
Operator’s Manual ZM-920PA/921PA/930PA/931PA	
4. During Operation
(1) Both the instrument and the patient must receive continual, careful
attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to
assure the patient’s safety.
(3) Avoid direct contact between the instrument housing and the patient.
5. To Shutdown After Use
(1) Turn power off with all controls returned to their original positions.
(2) Remove the cords gently; do not use force to remove them.
(3) Clean the instrument together with all accessories for their next use.
6. The instrument must receive expert, professional attention for
maintenance and repairs. When the instrument is not functioning
properly, it should be clearly marked to avoid operation while it is out of
order.
7. The instrument must not be altered or modified in any way.
8. Maintenance and Inspection:
(1) The instrument and parts must undergo regular maintenance inspection at
least every 6 months.
(2) If stored for extended periods without being used, make sure prior to
operation that the instrument is in perfect operating condition.
(3) Technical information such as parts list, descriptions, calibration
instructions or other information is available for qualified user technical
personnel upon request from your Nihon Kohden representative.
9. When the instrument is used with an electrosurgical instrument, pay
careful attention to the application and/or location of electrodes and/or
transducers to avoid possible burn to the patient.
10. When the instrument is used with a defibrillator, make sure that the
instrument is protected against defibrillator discharge. If not, remove
patient cables and/or transducers from the instrument to avoid possible
damage.
ii
Operator’s Manual ZM-910PA/921PA/930PA/931PA
WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in
materials and workmanship for one year from the date of delivery.
However, consumable materials such as recording paper, ink, stylus and battery
are excluded from the warranty.
NKC or its authorized agents will repair or replace any products which prove
to be defective during the warranty period, provided these products are used
as prescribed by the operating instructions given in the operator’s and service
manuals.
No other party is authorized to make any warranty or assume liability for NKC’s
products. NKC will not recognize any other warranty, either implied or in writing.
In addition, service, technical modification or any other product change performed
by someone other than NKC or its authorized agents without prior consent of
NKC may be cause for voiding this warranty.
Defective products or parts must be returned to NKC or its authorized agents,
along with an explanation of the failure. Shipping costs must be prepaid.
This warranty does not apply to products that have been modified, disassembled,
reinstalled or repaired without Nihon Kohden approval or which have been
subjected to neglect or accident, damage due to accident,fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the
original identification marks have been removed.
In the USA and Canada other warranty policies may apply.
CAUTION
United States law restricts this device to sale by or on the order of a
physician.
Equipment Authorization Requirement
Operation of this equipment requires the prior coordination with a frequency
coordinator designated by the FCC for the Wireless Medical Telemetry Service.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
iii
EMC RELATED CAUTION
This equipment and/or system complies with IEC 60601-2 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.
iv
Operator’s Manual ZM-910PA/921PA/930PA/931PA
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.
7. Use of unspecified accessory, transducer and/or cable:
When an unspecified accessory, transducer and/or cable is connected to
this equipment and/or system, it may cause increased electromagnetic
emission or decreased electromagnetic immunity. The specified
configuration of this equipment and/or system complies with the
electromagnetic requirements with the specified configuration. Only use
this equipment and/or system with the specified configuration.
8. Use of unspecified configuration:
When the equipment and/or system is used with the unspecified system
configuration different than the configuration of EMC testing, it may
cause increased electromagnetic emission or decreased electromagnetic
immunity.
Only use this equipment and/or system with the specified configuration.
9. Measurement with excessive sensitivity:
The equipment and/or system is designed to measure bioelectrical signals
with a specified sensitivity. If the equipment and/or system is used with
excessive sensitivity, artifact may appear by electromagnetic interference
and this may cause mis-diagnosis. When unexpected artifact appears,
inspect the surrounding electromagnetic conditions and remove this artifact
source.
If the above suggested remedial actions do not solve the problem, consult
your Nihon Kohden representative for additional suggestions.
Operator’s Manual ZM-920PA/921PA/930PA/931PA	
Conventions Used in this Manual and Instrument
Warnings, Cautions and Notes
Warnings, cautions and notes are used in this manual to alert or signal the reader
to specific information.
WARNING
A warning alerts the user to the possible injury or death associated
with the use or misuse of the instrument.
CAUTION
A caution alerts the user to possible injury or problems with the
instrument associated with its use or misuse such as instrument
malfunction, instrument failure, damage to the instrument, or damage
to other property.
NOTE
A note provides specific information, in the form of recommendations,
prerequirements, alternative methods or supplemental information.
vi
Operator’s Manual ZM-910PA/921PA/930PA/931PA
Explanations of the Symbols in this Manual and Instrument
The following symbols found in this manual/instrument bear the respective
descriptions as given.
Symbol
Description
Symbol
Description
Power On
Attention, consult
operator’s manual
Power Off
Nurse call
Defibrillation proof type
BF applied part
Replace battery
Defibrillation proof type
CF applied part
Check electrode
Direct current
Operator’s Manual ZM-920PA/921PA/930PA/931PA
vii
Introduction
The ZM-920PA/ZM-921PA/ZM-930PA/ZM-931PA transmitter transmits ECG and
other data from a patient to a Nihon Kohden monitor for continuous monitoring.
Available parameters and functions vary between the models. Read the operator’s
manual for the monitor before operation.
Model
Parameters
Functions
The following information is indicated
ZM-920PA • ECG
by LED.
ZM-921PA • Impedance respiration • Check ECG electrodes
• Replace batteries
The following information is indicated
on LCD.
• SpO2 value
• ECG
ZM-930PA
• Pulse wave amplitude
• Impedance respiration
ZM-931PA
• Replace batteries
• SpO2
The following information is indicated
by LED.
• Check ECG electrodes
The transmission frequency range is as follows.
ZM-920PA/930PA: 608.0250 MHz (channel number 9002) to 613.9750 MHz
(channel number 9478)
ZM-921PA/931PA: 1395.0250 MHz (channel number E002) to 1399.9750 MHz
(channel number E398)
1427.0250 MHz (channel number E502) to 1431.9750 MHz
(channel number E898)
The transmitter channel can be changed by the QI-901PK Channel Writer. To
change the channel number, refer to the channel writer manual.
Operator’s Manual ZM-920PA/921PA/930PA/931PA	
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.
WARNING
Do not use the same transmitter on more than one patient at the
same time. Do not connect different sensors on 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 patients’ data will be lost
due to mutual modulation interference, or another patient’s data
may appear on the receiving monitor screen.
• Do not use transmitters of adjacent channels in a hospital. If a
transmitter of an adjacent channel is used, radio waves from one
transmitter affect the receiver of the adjacent channel’s transmitter
and there may be interference.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
NOTE
• To prevent interference between channels, assign a channel
administrator in the hospital and only he or she should manage channel
assignment.
• Use Nihon Kohden parts and accessories to assure maximum
performance from your instrument.
• For stable signal reception, it is recommended to use a diversity
antenna system on the receiving monitor. Otherwise, spike noise from
transient fading of electric field strength (for example, people moving)
may interfere with the transmitter signal and may be mistaken as an
arrhythmia on the receiving monitor.
• Do not diagnose a patient based on only part of the monitoring data on
the transmitter or only on the data acquired by the transmitter. Overall
judgement must be performed by a physician who understands the
features, limitations and characteristics of the transmitter by reading
this operator’s manual thoroughly and by reading the biomedical signals
acquired by other instruments.
• For details on the receiving monitor and upgrade information, contact
your Nihon Kohden representative.
Operator’s Manual ZM-920PA/921PA/930PA/931PA	
Panel Description
Top Panel
For attaching a strap
ZM-930PA/931PA only
SpO2 socket
Refer to the warnings below
Connects to the SpO2 probe.
Refer to the symbol page
Refer to the symbol page
Refer to the warnings below
ECG/RESP socket
Connects to the electrode lead for measuring ECG
and/or respiration by the impedance method.
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
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.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Front Panel
ZM-920PA/921PA
Power switch
Turns transmitter power on or off.
Replace batteries LED
Lights when the batteries
need replacement.
Check electrodes LED
Lights when the
electrode is detached
from the patient.
RA LA LL Va Vb
USAch
E002
1395.025 MHz
Refer to the warning below.
CALL key
When this key is pressed,
a “peep” sounds at the
transmitter, and “CALL”
message appears at the
monitor. Depending
on the settings on
the monitor, an ECG
waveform is recorded
when this key is pressed.
Battery case
Contains two 1.5 V dry cell batteries (AA).
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.
CAUTION
Only use your finger to press the CALL key. Do not press the key with
a sharp object. Otherwise the key may be damaged.
Operator’s Manual ZM-920PA/921PA/930PA/931PA	
ZM-930PA/931PA
For the descriptions except for the
LCD, refer to the “ZM-920PA/921PA”
section on the previous page.
RA LA LL Va Vb
USAch
E002
1395.025 MHz
LCD
%SpO2:
Battery replacement mark:
Appears when the batteries
are weak. Immediately
replace the batteries when
this appears.
Displayed when the power is
turned on. This indication is not
displayed when SpO2 display is
turned off.
Pulse level bar graph:
Displays pulse level in
7 steps.
SpO2 data:
Displays SpO2 data.
When SpO2 is 41 to 100%, the value is displayed. (ex. )
When SpO2 is under 40%, “ ” is displayed.
When the detected pulse is too small to measure, “ ” is
displayed.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
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
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
When performing MRI test, remove all electrodes 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
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.
Operator’s Manual ZM-920PA/921PA/930PA/931PA	
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 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
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
If detergent or liquid spills into the transmitter, clean it and dry it
completely before use. If a wet transmitter is used, the patient or
operator may receive an electrical shock or injury.
WARNING
Do not use the same transmitter on more than one patient at the
same time. Do not connect different sensors on different patients to
the same transmitter.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
CAUTION
Only use Nihon Kohden specified electrodes, electrode leads and
SpO2 probes. Otherwise, the maximum performance from the
transmitter cannot be guaranteed.
CAUTION
Do not reuse disposable parts and accessories.
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
Attach a strap to the transmitter to prevent the transmtiter from falling.
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 and the
displayed data may be incorrect.
Operator’s Manual ZM-920PA/921PA/930PA/931PA	
CAUTION
• Do not use the same channel for different patients. If the same
channel is used for two patients, the two patients’ data will be lost
due to mutual modulation interference, or another patient’s data
may appear on the receiving monitor screen.
• Do not use transmitters of adjacent channels in a hospital. If a
transmitter of an adjacent channel is used, radio waves from one
transmitter affect the receiver of the adjacent channel’s transmitter
and there may be interference.
Battery
WARNING
• Keep the batteries away from fire. They may explode.
• Keep the batteries away from patients.
• Never short-circuit the + and – terminals on the battery. It may
cause overheating and fire.
• Do not damage, disassemble, drop or give impact to the battery.
WARNING
If the battery is damaged and the substance inside the battery
contacts the eyes or skin, wash immediately and thoroughly with
water and see a physician. Never rub your eyes, because you may
lose your eyesight.
CAUTION
Battery replacement must be performed by the operator. When
replacing batteries of the transmitter currently used for a patient,
disconnect electrode leads from the transmitter before replacing
batteries or do not touch the patient during replacement.
10
Operator’s Manual ZM-920PA/921PA/930PA/931PA
CAUTION
The battery charger must be used outside the patient environment.
CAUTION
Refer to the battery and battery charger manuals for details on
handling the batteries.
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.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
11
For Patients Using Implantable Pacemaker
WARNING
Interaction Between Minute Ventilation Rate-Adaptive Pacemakers
and Cardiac Monitoring and Diagnostic Equipment
The bioelectric impedance measurement sensor of a minute
ventilation rate-adaptive implantable pacemaker may be affected by
transmitter which is connected to the same patient. If this occurs, the
pacemaker may pace at its maximum rate and the transmitter may
give incorrect data to the monitor. If this occurs, disconnect the
electrode leads from the patient or change the setting on the
pacemaker by referring to the pacemaker’s manual. For more details,
contact your pacemaker representative or Nihon Kohden
representative.
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.
12
Operator’s Manual ZM-920PA/921PA/930PA/931PA
ECG Monitoring
CAUTION
Only use Nihon Kohden specified electrodes and electrode leads.
When other type of electrodes or electrode leads are used, the
“CHECK ELECTRODES” message may be displayed and monitoring
may stop.
CAUTION
When the “ELECTRODE OFF” or “CHECK ELECTRODE” 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 patient’s carboxyhemoglobin or methemoglobin
increases abnormally.
• When dye is injected in the blood.
• When using an electrosurgical unit.
• During CPR.
• When measuring at a site with venous pulse.
• When there is body movement.
• When the pulse wave is small (insufficient peripheral circulation).
Operator’s Manual ZM-920PA/921PA/930PA/931PA
13
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-630T/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 peripheral circulation insufficiency
• Neonate or low birth weight infant with delicate skin
• Patient who is receiving photodynamic therapy*
* Photodynamic therapy is a treatment to remove the affected tissue by using a
photosensitizing agent and exposing the tissue to light. This treatment has a side
effect of photosensitivity and the light from the finger probe sensor may cause
a burn. This probe uses two light wavelengths in the range from 650 to 950 nm.
The maximum light intensity is less than 5.5 mW/sr.
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.
14
Operator’s Manual ZM-920PA/921PA/930PA/931PA
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 shortterm 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.
CAUTION
While a patient is on medication which causes vasodilation, the pulse
waveform may change and in rare cases the SpO2 value might not be
displayed.
CAUTION
Normal external light does not affect monitoring but strong light such
as a surgical light or sunlight may affect monitoring. If affected, cover
the measuring site with a blanket.
CAUTION
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.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
15
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
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 skin gets irritated or redness appears on the skin from the
probe, change the attachment site or stop using the probe. Take
extreme care for the patients with delicate skin.
CAUTION
Do not pull or bend the probe cable, and do not put caster feet on the
probe cable. Do not immerse the probe cable in chemical solutions or
water. Failure to follow these instructions may cause cable
discontinuity, short circuit, skin burn on the patient and incorrect
measurement data. Replace any broken probe with a new one.
CAUTION
When the probe is attached on an appropriate site with sufficient
circulation and the error message confirming the probe attachment
repeatedly appears, the probe may be deteriorated. Replace it with a
new one.
16
Operator’s Manual ZM-920PA/921PA/930PA/931PA
CAUTION
When a message indicates a faulty probe, stop monitoring and
replace the probe with a new one.
CAUTION
When any of the following conditions occurs, the probe may be
broken. Replace it with a new one.
• The transmitter generates “pip” sounds.
• SpO2 data is 85% and blinking.
CAUTION
Neonatal skin is delicate. Remove the probe and tape carefully and
slowly.
CAUTION
When removing a probe that is taped to the skin, do not pull the
probe cable because this can damage the cable.
CAUTION
When removing the probe from the attachment tape, do not pull the
sensor cable because this can damage the cable.
CAUTION
Do not immerse the disposable probe in detergents or water. If the
probe adhesive surface gets wet, adhesiveness becomes weak and
the probe cannot be attached to the skin.
CAUTION
Refer to the probe instruction manual for details.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
17
Maintenance
CAUTION
If detergent or liquid spills into the transmitter, clean it and dry it
completely before use. If a wet transmitter is used, the transmitter
may malfunction or get damaged.
CAUTION
Never disassemble or repair the transmitter. Disassembly and repair
must be performed by qualified service personnel.
CAUTION
Before cleaning or disinfection, remove the batteries from the
transmitter. Failure to follow this instruction may result in electrical
shock or transmitter malfunction.
CAUTION
The transmitter cannot be sterilized. Sterilizing the transmitter may
damage it.
18
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Preparation
Installing (Replacing) Batteries
Use two AA(R6) type alkaline dry cell batteries, manganese dry cell batteries,
NiCd rechargeable batteries or NiMH batteries.
Battery Lifetime
With new alkaline batteries, the transmitter can continuously measure for the
following number of days. Operation time depends on the thickness of the SpO2
probe attachment site.
Transmitter
ZM-920PA/930PA
ZM-921PA/931PA
Operating time (Measuring parameters)
ECG, Resp, SpO2
ECG, Resp
3 days
4 days
2.5 days
3.5 days
NOTE
The capacity of manganese, NiCd and NiMH batteries is less than that of
alkaline batteries, therefore the lifetime of the battery is shorter.
Type
Manganese
NiCd
NiMH
Lifetime
About 1/2 of alkaline batteries
About 1/3 of alkaline batteries (when fully charged)
About 1/2 of alkaline batteries (when fully charged)
Recommended Batteries
Alkaline primary: Nihon Kohden Medipower (equivalent to Panasonic LR6 (G))
CAUTION
Battery replacement must be performed by the operator. When
replacing batteries of the transmitter currently used for a patient,
disconnect electrode leads from the transmitter before replacing
batteries or do not touch the patient during replacement.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
19
If electrode leads are attached to the patient and the person replacing the batteries
touches the patient, the patient leakage current over the amount allowed may
occur.
CAUTION
• Replace all batteries at the same time.
• Do not use different types of batteries together.
NOTE
Insert the batteries with the correct polarity (+ and −).
Procedure
1. Open the battery case cover.
2. Insert two dry cell batteries (LR6) into
the battery case observing the correct
polarity.
3. Close the cover and press it gently
until it clicks.
WARNING and CAUTION for Battery Handling
WARNING
• Keep the batteries away from fire. They may explode.
• Keep the batteries away from patients.
• Never short-circuit the + and – terminals on the battery. It may
cause overheating and fire.
• Do not damage, disassemble, drop or give impact to the battery.
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Operator’s Manual ZM-920PA/921PA/930PA/931PA
WARNING
If the battery is damaged and the substance inside the battery
contacts the eyes or skin, wash immediately and thoroughly with
water and see a physician. Never rub your eyes, because you may
lose your eyesight.
CAUTION
Do not handle the batteries with wet hands.
CAUTION
When the transmitter is not in use, remove batteries. When batteries
are installed, battery power is consumed even if measurement is not
performed. Especially, when NiMH batteries remain in the transmitter
when the transmitter is not in use, the battery may become unusable
from overdischarge and leak liquid which will damage the transmitter.
CAUTION
Refer to the battery and battery charger manuals for details on
handling the batteries.
CAUTION
The battery charger must be used outside the patient environment.
NOTE
• When using rechargeable NiCd batteries or NiMH batteries, shallow
charging/discharging shortens battery capacity. For details, refer to the
battery operator’s manual.
• Remove the batteries from the transmitter before disposing of the
transmitter.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
21
Situations Requiring Battery Replacement
Replace the batteries when any of the following occurs.
• The “
” LED lights (ZM-920PA/921PA) or the “
” mark is displayed on
the LCD (ZM-930PA/931PA) on the transmitter.
• The transmitter generates a constant alarm (continuous “peep” sound).
• The monitor displays the battery replacement message on the screen.
• When the power of the LCD transmitter is turned on, no message or icon is
displayed. (Only the ZM-930PA/931PA).
CAUTION
When using batteries other than alkaline, the interval between the
battery replacement indication and battery discharge may be shorter.
Replace the batteries immediately upon battery replacement
indication.
Attaching a Strap to the Transmitter
To open the clip, firmly pull out the
tab in direction of the arrow.
CAUTION
Attach a strap to the transmitter to prevent the transmtiter from falling.
NOTE
Do not attach the clip to hard objects such as thick cloth or zippers, or the
clip may break.
Attach a strap to the transmitter and fasten the clip to the patients’ clothes or bed
sheets.
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Operator’s Manual ZM-920PA/921PA/930PA/931PA
If the transmitter falls off, the battery cover may be opened. If the patient touches
the terminals of the batteries, patient leakage current over the allowable amount
can occur.
Turning On/Off the Transmitter
Check Items Before Turning On the Power
To use the instrument in a safe and optimum condition, before turning on the
transmitter power switch, check the following.
Appearance
• There is no damage or dirt on the outside of the transmitter. (Power switch,
LED, LCD, CALL key, junction, battery case cover, battery case, etc.)
• The transmitter is completely dry.
• The electrode lead is not broken.
• There is no damage or dirt on the SpO2 probe or on the disposable electrodes.
Battery
• The battery polarity is correct.
• The battery case spring is firmly fixed and the battery is not loose.
• The battery case cover is firmly closed.
Channel Setting
• The transmitter channel corresponds to those of the receiving monitor.
• The same channel is not being used on a different transmitter in the surrounding
area.
Turning On/Off the Power
ON
OFF
To turn on the power, turn the power switch to the right.
After a “peep” sound for about one second, the power is
turned on.
(There is no “peep” sound when the “
” LED light or
the “
” are blinking on the LCD).
To turn off the power, turn the power switch to the left.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
23
Check Items After Turning On the Power
After turning on the power, check the following items.
Power On
• The power switch is not damaged.
• The transmitter generates a “peep” sound for about one second.
• All LEDs light and values are displayed on the LCD for about one second.
• The transmitter does not generate a continuous “pip” sound.
• The transmitter does not liberate excessive heat.
• The “
” LED does not light or the “
” mark is not displayed on the LCD.
• The transmitter does not interfere with the operation of medical instruments
used near it.
Basic Operation
• The “signal loss” message is not displayed on the monitor when the transmitter
is inside the receiving range of the monitor.
• A “peep” sounds at the transmitter and “CALL” message appears at the
receiving monitor when the CALL key is pressed and the transmitter is inside
the receiving range of the monitor.
• The battery replacement message is not displayed on the monitor.
Check Items After the Power Off
• ECG electrode leads and SpO2 probe are cleaned and disinfected.
• When the transmitter gets wet, liquid is wiped off and the transmitter is
thoroughly dried.
• There are enough consumables, such as disposable electrodes.
• The power is turned off.
• The batteries are removed from the transmitter when it will not be used for a
long time.
• Dead batteries are disposed of properly.
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Operator’s Manual ZM-920PA/921PA/930PA/931PA
ECG Monitoring
When 6 leads are used on this transmitter, up to 8 lead (I, II, III, aVR, aVL, aVF,
Va and Vb) of ECG waveforms can be displayed on the receiving monitor. The
heart rate is also measured. When 3 leads are used, one channel ECG waveform of
lead II can be displayed on the receiving monitor. Refer to the operator’s manual
of the monitor for details.
WARNING
Interaction Between Minute Ventilation Rate-Adaptive Pacemakers
and Cardiac Monitoring and Diagnostic Equipment*
The bioelectric impedance measurement sensor of a minute
ventilation rate-adaptive implantable pacemaker may be affected by
transmitter which is connected to the same patient. If this occurs, the
pacemaker may pace at its maximum rate and the transmitter may
give incorrect data to the monitor. If this occurs, disconnect the
electrode leads from the patient or change the setting on the
pacemaker by referring to the pacemaker’s manual. For more details,
contact your pacemaker representative or Nihon Kohden
representative.
* Minute ventilation is sensed in rate-adaptive pacemakers by a technology
known as bioelectric impedance measurement (BIM). Many medical devices in
addition to pacemakers use this technology. When one of these devices is used
on a patient with an active, minute ventilation rate-adaptive pacemaker, the
pacemaker may erroneously interpret the mixture of BIM signals created in the
patient, resulting in an elevated pacing rate.
For more information, see the FDA web site.
http://www.fda.gov/cdrh/safety.html
Operator’s Manual ZM-920PA/921PA/930PA/931PA
25
WARNING
When the transmitter is used with an electrosurgical unit (ESU),
firmly attach the entire area of the ESU return plate. Otherwise, the
current from the ESU flows into the electrodes of the transmitter,
causing electrical burn where the electrodes are attached. For
details, refer to the ESU manual.
NOTE
• This transmitter is not protected against noise generated from an
electrosurgical unit.
• If an electric blanket is used and incorrect heart rate is displayed on the
monitor, turn off the pacing pulse detection on the monitor.
ECG Measurement Procedure
1. Select the type of electrode lead and disposable electrode according to the
purpose.
2. Connect the electrode lead to the ECG/RESP socket.
3. Connect disposable electrodes to the electrode lead and attach electrodes to
the patient.
After steps 1 to 3 are finished, ECG monitoring automatically starts.
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Operator’s Manual ZM-920PA/921PA/930PA/931PA
Selecting Electrode Lead and Disposable Electrode
CAUTION
Only use Nihon Kohden specified electrodes and electrode leads.
When other type of electrodes or electrode leads are used, the
“CHECK ELECTRODES” message may be displayed and monitoring
may stop.
Option
Electrode lead
BR-916PA
BR-906PA
6 electrodes, snap type
6 electrodes, clip type
BR-913PA
BR-903PA
3 electrodes, snap type
3 electrodes, clip type
Operator’s Manual ZM-920PA/921PA/930PA/931PA
27
Connecting the Electrode Lead to the Transmitter
Connect the electrode lead to the ECG/RESP socket on the transmitter.
CAUTION
Do not shake or swing the transmitter while holding the leads or
cables connected to the transmitter. The transmitter may come off
and injure someone or damage surrounding instruments.
CAUTION
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.
Selecting the Electrode Position
Follow the physician’s instructions for electrode placement when available.
For ECG monitoring, electrodes are attached only on the chest to allow patient
movement and obtain continuous stable ECG. Following leads are examples.
When also monitoring respiration, refer to the “Electrode Position for Respiration
Monitoring” section.
NOTE
The optimum electrode positions for ECG measurement of a patient
are not always optimum for respiration measurement of the patient.
Select positions suitable for both ECG and respiration measurements, or
positions which have priority for one measurement.
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Operator’s Manual ZM-920PA/921PA/930PA/931PA
Six Electrodes
Electrode Position
The 6-electrode method with lead II and lead V5 is effective for monitoring
myocardial ischemia. You can improve monitoring accuracy considerably by
adding lead V4 to this combination. Va and Vb can be at any position of the
standard 12 leads V1 to V6, but V4 and V5 are most appropriate for myocardial
ischemic monitoring.
LA
RA
Va
N (RL)
Symbol
Vb
LL
Lead Color (Clip Color)
Electrode Position
RA
White (White)
Right infraclavicular fossa
LA
Black (Black)
Left infraclavicular fossa
LL
Red (Red)
N (RL)
Green (Green)
Va
Brown (Brown) (BR-906PA)
Brown-blue (BR-916PA)
Vb
Brown (Brown) (BR-906PA)
Brown-orange (BR-916PA)
Lowest rib on the left anterior
axillary line
Right anterior axillary line at the
same level as LL
Fifth intercostal space on the left
midclavicular line. (V4 position of
standard 12 leads)
Left anterior axillary line at the
same level as Va. (V5 position of
standard 12 leads)
Operator’s Manual ZM-920PA/921PA/930PA/931PA
29
Lead Position
Standard limb leads
Lead I
RA
Lead II
LA
Lead III
RA
LL
N (RL)
Monopolar limb leads
aVR lead
N (RL)
aVL lead
aVF lead
RA
LA
RA
LA
N (RL)
N (RL)
LA
LL
LL
LL
LA
LL
LL
N (RL)
RA
RA
LA
N (RL)
Monopolar chest leads
V1 to V6 leads
to
LA
RA
LL
N (RL)
When Using 4 to 6 DIN Type Leads to Monitor 6 Lead ECG
ON
RA LA LL Va Vb
USAch
E002
1395.0250 MHz
CALL key
When the BR-906PA/916PA electrode
leads are not used, the transmitter is fixed
to 3 lead ECG monitoring. To monitor 6
lead ECG using 4 to 6 DIN type leads,
the transmitter must be fixed to 6 lead
monitoring. To fix transmitter to the 6 lead
ECG monitoring, turn off the transmitter
power, press and hold the CALL key and
turn on the transmitter power.
When the transmitter power is turned off
and on again, the monitoring mode returns
to the original mode.
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Operator’s Manual ZM-920PA/921PA/930PA/931PA
Three Electrodes
By using the optional BR-913PA/903PA electrode lead, 3 lead ECG monitoring is
available.
Electrode Position
• Lead MII, which is similar to standard lead II, used when ECG measurement
has priority
Electrode Position
Symbol Lead Color
Left infraclavicular fossa
LA (N)
Black
Right infraclavicular fossa RA (−)
White
Below lowest rib on the
LL (+)
Red
left anterior axillary line
• Lead MI, which is similar to standard
lead I
Change LL and LA of the lead MII.
• Lead MIII, which is similar to
standard lead III
Change RA and LA of the lead MII.
If the electrode position shown above is not available due to chest surgery, attach
the electrodes to the root of the limbs or below the clavicles for stable ECG
monitoring.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
31
Connecting the Electrode Lead and Disposable
Electrodes
Preparing the Patient Skin
Shave off excessive body hair.
To reduce skin impedance, clean the electrode site with cream or with a cotton pad
moistened with the electrode site with cream or with a cotton pad moistened with
alcohol. Thoroughly dry the skin with a clean cotton pad.
NOTE
• For a patient with frequent body movement, rub the sites with Skinpure
skin preparation gel. However, do not use Skinpure skin preparation gel
for sensitive skin.
• Do not place electrodes on a wound or on an inflamed, wrinkled or
uneven skin surface.
Attaching Electrodes to the Patient
CAUTION
Do not reuse disposable parts and accessories.
NOTE
• To maintain good contact between the electrode and skin, check that the
paste of the disposable electrode is not dry.
• When contact between the disposable electrode and skin becomes
poor, replace electrodes with new ones immediately. Otherwise, contact
impedance between the skin and the electrode increases and the
correct ECG cannot be obtained.
Refer to the electrode operator’s manual for details.
1. Connect the electrode lead to the electrode.
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Operator’s Manual ZM-920PA/921PA/930PA/931PA
2. Carefully remove the backing paper from
the electrode. Avoid touching the adhesive
surface.
3. Place the electrode on the previously
cleaned skin. Pay attention to the electrode
lead color and symbol.
4. Fasten the electrode lead wire with surgical
tape with an extra length of wire between
the tape and the electrode. This lessens
the movement of electrode leads by body
movement and helps stable monitoring.
Detection and Display of Measurement Condition
Electrode Detachment
The “ ” LED lights on the transmitter or the “CHECK ELECTRODE” message
is displayed on the screen of the monitor in the following cases.
• Electrode is detached from skin.
• Electrode lead is disconnected from the electrode.
• Polarization voltage between the electrode and skin is excessively high.
In these cases, check the cause and if necessary, replace electrodes with new ones.
CAUTION
When the “ELECTRODE OFF” or “CHECK ELECTRODE” 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.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
33
Respiration Monitoring
Respiration is monitored by measuring changes in impedance between the RA
and LL ECG electrodes. This transmitter sends the changes in impedance to the
monitor as a respiration waveform. The monitor displays the respiration waveform
and calculates respiration rate. Refer to the operator’s manual of the monitor for
details.
WARNING
Interaction Between Minute Ventilation Rate-Adaptive Pacemakers
and Cardiac Monitoring and Diagnostic Equipment*
The bioelectric impedance measurement sensor of a minute
ventilation rate-adaptive implantable pacemaker may be affected by
transmitter which is connected to the same patient. If this occurs, the
pacemaker may pace at its maximum rate and the transmitter may
give incorrect data to the monitor. If this occurs, disconnect the
electrode leads from the patient or change the setting on the
pacemaker by referring to the pacemaker’s manual. For more details,
contact your pacemaker representative or Nihon Kohden
representative.
* Minute ventilation is sensed in rate-adaptive pacemakers by a technology
known as bioelectric impedance measurement (BIM). Many medical devices
in addition to pacemakers use this technology. When one of these devices is
used on a patient with an active, minute ventilation rate-adaptive pacemaker,
thepacemaker may erroneously interpret the mixture of BIM signals created in
the patient, resulting in an elevated pacing rate.
For more information, see the FDA web site.
http://www.fda.gov/cdrh/safety.html
34
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Respiration Measurement Procedure
1. Select the electrode lead and disposable electrodes.
2. Connect the electrode lead to the ECG/RESP socket.
3. Connect disposable electrodes to the electrode lead and attach electrodes to
the patient.
After steps 1 to 3 are finished, respiration monitoring automatically starts.
Electrode Position for Respiration Monitoring
Place the RA and LL electrodes so that the lungs are between the electrodes.
NOTE
The optimum electrode positions for ECG measurement of a patient
are not always optimum for respiration measurement of the patient.
Select positions suitable for both ECG and respiration measurements, or
positions which have priority for one measurement.
Electrode Position Examples
NOTE
The following examples are when monitoring with 3 electrodes. ECG
cannot be monitored correctly when electrodes are attached as the
following examples when monitoring with 6 electrodes.
Position 1
In this position, respiration measurement is available; however, there is a
difference in amplitude between different patients.
RA
Right infraclavicular
fossa
Operator’s Manual ZM-920PA/921PA/930PA/931PA
LL
Fifth intercostal space on the
left midclavicular line, V4
35
Position 2
In this position, the waveform amplitude is usually large and the ECG lead is
similar to Lead MII. This position can be generally recommended.
RA
Right infraclavicular
fossa
LL
Fifth intercostal space on the
left midaxillary line, V6
Position 3
In this position, the respiration waveform is optimum, but the ECG lead is
unusual.
RA
LL
Right midaxillary at the Fifth intercostal space on the
horizontal level of V4
left midaxillary line, V6
Position 4
In this position, the respiration measurement is influenced by the impedance
variation of the abdomen, so the cardiac pulse wave included in the respiration
wave is reduced. Note that the waveform is inverted in phase compared with the
chest movement (the waveform goes down during inspiration). It is difficult to
measure the ECG at the same time.
RA
Lowest rib on the right
anterior axillary line
36
LL
Lowest rib on the left anterior
axillary line
Operator’s Manual ZM-920PA/921PA/930PA/931PA
SpO2 Monitoring
The SpO2 monitoring is only available on the ZM-930PA/931PA transmitter.
This transmitter sends SpO2 and pulse waveform to the monitor and displays SpO2
data and pulse level bar graph on the LCD.
Refer to the operator’s manual of the monitor for details.
WARNING
SpO2 measurement may be incorrect in the following cases.
• When the patient’s carboxyhemoglobin or methemoglobin
increases abnormally.
• When dye is injected in the blood.
• When using an electrosurgical unit.
• During CPR.
• When measuring at a site with venous pulse.
• When there is body movement.
• When the pulse wave is small (insufficient peripheral circulation).
WARNING
When 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.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
37
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-630T/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 peripheral circulation insufficiency
• Neonate or low birth weight infant with delicate skin
• Patient who is receiving photodynamic therapy*
* Photodynamic therapy is a treatment to remove the affected tissue by using a
photosensitizing agent and exposing the tissue to light. This treatment has a side
effect of photosensitivity and the light from the finger probe sensor may cause
a burn. This probe uses two light wavelengths in the range from 650 to 950 nm.
The maximum light intensity is less than 5.5 mW/sr.
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 and the
displayed data 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.
38
Operator’s Manual ZM-920PA/921PA/930PA/931PA
CAUTION
Do not pull or bend the probe cable, and do not put caster feet on the
probe cable. Do not immerse the probe cable in chemical solutions or
water. Failure to follow these instructions may cause cable
discontinuity, short circuit, skin burn on the patient and incorrect
measurement data. Replace any broken probe with a new one.
CAUTION
When the probe is attached on an appropriate site with sufficient
circulation and the error message confirming the probe attachment
repeatedly appears, the probe may be deteriorated. Replace it with a
new one.
CAUTION
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.
NOTE
ZM-930PA only
When monitoring SpO2, monitor ECG at the same time. The ECG
electrode lead works as an antenna for transmitting data from the
transmitter to the receiving monitor. If ECG is not measured, the telemetry
signal may not be received.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
39
Measurement Procedure
1. Select the SpO2 probe.
2. Connect the SpO2 probe to the SpO2 socket.
3. Attach the SpO2 probe to the patient.
After steps 1 to 3 are finished, SpO2 monitoring automatically starts.
Selecting SpO2 Probe
Select an appropriate probe for the patient.
CAUTION
Only use Nihon Kohden specified electrodes, electrode leads and
SpO2 probes. Otherwise, the maximum performance from the
transmitter cannot be guaranteed.
CAUTION
Do not use a damaged or disassembled probe. It causes incorrect
measurement and may injure the patient.
40
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Reusable Probes
When using a TL-201T finger probe, choose the appropriate cable length for
attachment.
Model
Subject (Weight)
Finger Probe TL-201T
Cable length: 60 cm or 160 cm
Multi-site probe TL-220T
Attachment
tape
Finger probe
TL-630T1/630T3/631T1/631T3
Attachment tape
Attachment Site
Adult or child
(20 kg or more)
Finger
Adult or Infant
(3 kg or more)
Finger or toe
Neonate
(3 kg or less)
Instep and sole
TL-630T1/630T3:
Adult or child
(50 kg or more)
Finger or toe
TL-631T1/631T3:
Adult or child
(20 kg or more)
Cable length:
TL-630T1/631T1: 60 cm
TL-630T3/631T3: 160 cm
Operator’s Manual ZM-920PA/921PA/930PA/931PA
41
Disposable Probes
CAUTION
The disposable probe is not sterilized. Use the disposable probe only
for a single patient. Never reuse the disposable probe for another
patient because it causes cross infection.
Model
Subject (Weight) Attachment Site
Adult
Finger or toe
(30 kg or more)
TL-251T
TL-252T
Child
(3 to 40 kg)
Finger or toe
TL-253T
Neonate
(3 kg or less)
Instep and sole
TL-051S/052S
Adult
(50 kg or more)
Finger
Neonate
(3 kg or less)
Instep and sole
Cable length TL-051S: 80 cm
TL-052S: 160 cm
42
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Model
TL-061S/062S
Subject (Weight) Attachment Site
Adult, child
Finger
(15 to 50 kg)
Child, infant
(3 to 15 kg)
Cable length TL-061S: 80 cm
TL-062S: 160 cm
TL-271T/271T3
Cable length TL-271T: 80 cm
TL-271T3: 160 cm
TL-272T/272T3
Cable length TL-272T: 80 cm
TL-272T3: 160 cm
TL-273T/273T3
Cable length TL-273T: 80 cm
TL-273T3: 160 cm
Toe
Adult
(30 kg or more)
Child
(10 to 50 kg)
Finger or toe
Neonate
(3 kg or less)
Instep and sole
Adult
(40 kg or more)
Finger or toe
Operator’s Manual ZM-920PA/921PA/930PA/931PA
43
Model
TL-274T/274T3
Subject (Weight) Attachment Site
Infant
Finger or toe
(3 to 20 kg)
Cable length TL-274T: 80 m
TL-274T3: 160 cm
Connecting SpO2 Probe to the Transmitter
Connect the probe to the SpO2 socket on the transmitter.
CAUTION
Do not shake or swing the transmitter while holding the leads or
cables connected to the transmitter. The transmitter may come off
and injure someone or damage surrounding instruments.
CAUTION
Hold the connector when connecting/disconnecting the SpO2 probe.
If you disconnect the SpO2 probe by pulling the cable, it damages the
cable.
44
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Attaching the Probe to the Patient
For details, refer to the operator’s manual of each probe.
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 shortterm 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.
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-630T/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 peripheral circulation insufficiency
• Neonate or low birth weight infant with delicate skin
• Patient who is receiving photodynamic therapy*
* Photodynamic therapy is a treatment to remove the affected tissue by using a
photosensitizing agent and exposing the tissue to light. This treatment has a side effect of
photosensitivity and the light from the finger probe sensor may cause a burn. This probe
uses two light wavelengths in the range from 650 to 950 nm. The maximum light intensity
is less than 5.5 mW/sr.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
45
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.
CAUTION
When the probe is attached on an appropriate site with sufficient
circulation and the error message confirming the probe attachment
repeatedly appears, the probe may be deteriorated. Replace it with a
new one.
CAUTION
Do not use a probe which is deteriorated by aging. Accurate
measurement cannot be performed.
CAUTION
Neonatal skin is delicate. Remove the probe and tape carefully and
slowly.
CAUTION
When removing a probe that is taped to the skin, do not pull the
probe cable because this can damage the cable.
46
Operator’s Manual ZM-920PA/921PA/930PA/931PA
CAUTION
When removing the probe from the attachment tape, do not pull the
sensor cable because this can damage the cable.
CAUTION
Do not immerse the disposable probe in detergents or water. If the
probe adhesive surface gets wet, adhesiveness becomes weak and
the probe cannot be attached to the skin.
CAUTION
Refer to the probe instruction manual for details.
Starting Measurement
When monitoring starts, SpO2 and pulse waveform are sent to the monitors and
SpO2 data and pulse level bar graph are displayed on the transmitter LCD.
You can turn off the display of SpO2 data and pulse level bar graph on the LCD.
Refer to the “Turning SpO2 Data and Pulse Level Bar Graph Display On/Off”
section.
CAUTION
When the probe is attached on an appropriate site with sufficient
circulation and the error message confirming the probe attachment
repeatedly appears, the probe may be deteriorated. Replace it with a
new one.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
47
Turning SpO2 Data and Pulse Level Bar Graph
Display On/Off
You can turn off the display of SpO2 data and pulse level bar graph on the LCD.
SpO2 display off
Press the CALL key for more than 3
seconds within 10 seconds after turning
transmitter power on (after a “peep”
sound).
RA LA LL Va Vb
USAch
E002
1395.025 MHz
CALL key
“%SpO2” is not displayed. When SpO2
monitoring starts, SpO2 data and pulse
level bar graph are not displayed on the
LCD.
To turn SpO2 display on, turn the
transmitter power off and turn the power
on again.
48
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Detecting and Displaying Measurement Condition
External Light Noise Alarm
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.
Strong external light (surgical light or inverter type fluorescent lamp, etc.), may
affect SpO2 monitoring. When external light is too strong to correctly measure
SpO2, the transmitter generates an alarm tone (“pip” sound every 0.5 seconds).
Cover the probe attachment site with blanket or cloth.
Insufficient Light Alarm
When sufficient light cannot be obtained from the photo emitter of the probe, the
transmitter generates the following sound and indication. (4)
(1) “peep” sound (every 1 second)
(2) pulse level bar graph is maximum
(all bars are lit.)
(3) SpO2 data is displayed as “
”
(4) %SpO2 is blinking.
(2)
(3)
In this case, change the attachment site to the appropriate site. Refer to the
operator’s manual of the SpO2 probe.
Probe Malfunction Alarm
CAUTION
When any of the following conditions occurs, the probe may be
broken. Replace it with a new one.
• The transmitter generates “pip” sounds.
• SpO2 data is 85% and blinking.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
49
When Measurement Condition is Unstable
SpO2 data blinks every 1 second when SpO2 signal stability decreases and
the transmitter cannot detect correct pulse waveform because of patient body
movement, poor attachment condition or poor circulation condition at the probe
attachment site.
CAUTION
SpO2 data blinking every second indicates an unstable pulse
waveform and displayed SpO2 value may be inaccurate. The
displayed data might not reflect sudden SpO2 changes.
50
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Alarm List
(1)
(5) %SpO2 indication
Displayed as LED on
ZM-920PA/921PA
(4) pulse level bar graph
(2)
RA LA LL Va Vb
Sound
Single “peep”
sound
for 4 s
---
Continuous
“peep” sound
---
Intermittent
“pip” sound
every 0.5 s
Display
---
(1)
All lights are off
(2)
---
(3) SpO2 data
Cause
Countermeasure
The CALL key is pressed. The sound lasts while
the key is pressed.
The battery voltage
decreases and battery
charge is almost zero.
Battery is completely
discharged.
Electrode lead is
disconnected from the
electrode.
Electrode lead is
disconnected from the
transmitter.
Electrode lead
discontinuity
Electrode is not firmly
attached to the skin.
Polarization voltage is
abnormally high.
SpO2 measurement site
is under fluorescent
light, surgical light,
sunlight, etc.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Replace the batteries
with new ones.
Replace the batteries
with new ones. To
stop the sound, turn
off the power.
Firmly connect the
electrode lead to the
electrode.
Firmly connect the
electrode lead to the
transmitter.
Replace the electrode
lead with a new one.
Replace the electrode
with a new one.
Cover the
measurement site
with a blanket or
cloth.
51
Sound
Intermittent
“peep” sound
every 1 s
Intermittent
“pip” sound
every 0.25 s
---
Display
(3)
(4) all lit
(5) blinking
Cause
Cannot receive
sufficient light from the
probe photo emitter.
(3) 85%, blinking Broken probe
(3) blinking
Patient body movement
Probe is not attached
securely.
52
Countermeasure
Attach probe to a
site with 6 to 14
mm thickness where
sufficient light can be
received.
Replace the probe
with a new one.
Remove the cause
by checking the
patient condition
and changing the
attachment site.
Securely attach the
probe.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Troubleshooting
If the problem still remains after checking the following, contact your Nihon
Kohden representative.
Problem
The power cannot be
turned on.
Cause
Countermeasure
Batteries are not
Install the batteries correctly.
installed correctly.
The battery polarity is
wrong.
Batteries are
completely
discharged.
Replace the batteries with new ones.
Nothing is displayed on
the LCD after turning the
power on. (ZM-930PA/
931PA only)
SpO2 display is turned Turn off the power, and turn on the
off.
power again.
Nothing is displayed on
the monitor after turning
the transmitter power on.
The channel of the
transmitter and
monitor does not
match.
Signal receiving condition Electrode lead is
is poor.
not connected to the
transmitter.
Set the correct channel on the
monitor.
Connect the electrode lead to the
transmitter. ECG electrode lead works
as an antenna for transmitting data
to the receiving monitor. If ECG is
not measured, the signal may not be
received.
Another transmitter
Turn the transmitter power off. If the
of the same channel is monitor still receives a signal, there
used near by.
is a high probability that another
transmitter of the same channel is
used nearby.
Follow the instruction of your
channel administrator and use another
transmitter of a different channel.
Signals are mixing.
Follow the instruction of your
channel administrator and use another
transmitter of a different channel.
The transmitter is
damaged.
Contact your Nihon Kohden
representative.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
53
Problem
Cause
3 electrode leads are
The transmitter
properly attached to the
is fixed to 6 lead
patient but
LEDs light. monitoring.
Countermeasure
Turn off and on the transmitter power.
Heart�������������
rate of the
patient who is using an
electric blanket cannot
be monitored on the
receiving monitor.
Pacing pulse detection Turn off the pacing pulse detection.
is set to ON on the
monitor.
ECG baseline is thick.
(Hum is overlapping)
The gel on the
electrode is dried out.
Replace the electrode with a new one.
The gel on the
electrode is coming
off.
Respiration waveform
measurement is unstable.
Electric blanket is
used.
Cover the blanket with a shield cover.
Hum filter is set to
OFF on the monitor
Set the filter to ON.
The gel on the
electrode is dried out.
Replace the electrode with a new one.
The gel on the
electrode is coming
off.
SpO2 data is unstable and
not reliable.
54
The probe size is not
appropriate for the
patient.
Use the appropriate probe for the
patient.
Probe is attached to
the same limb that
is used for NIBP
measurement.
Attach the probe to the opposite limb.
Avoid a site where blood circulation
condition changes greatly.
Probe attachment
condition is poor.
Probe is about to
detach from the skin.
External light gets in.
Firmly attach the probe according to
the procedure in the probe operator���
’��s
manual.
Measurement site
is dirty. Patient is
wearing nail polish.
Remove dirt and nail polish.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Changing the Transmitter Channel
The transmitter channel can be changed by the QI-901PK Channel Writer. To
change the channel number, refer to the channel writer manual.
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.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
55
Lifetime and Disposal
Disposing of Used Batteries
Replacement
When the “
” LED is lit or the “
” is displayed on the LCD during operation,
the batteries are running out.
Replace the batteries with new ones. When using rechargeable batteries, recharge
them.
Disposal
Before disposing of the batteries, check with your local solid waste officials
for details in your area for proper disposal. It may be illegal to dispose of these
batteries in the municipal waste stream.
Disposing of Electrodes and SpO2 Probes
Refer to the manual of each item.
56
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Cleaning, Disinfection and Sterilization
Transmitter and Electrode Lead
CAUTION
If detergent or liquid spills into the transmitter, clean it and dry it
completely before use. If a wet transmitter is used, the transmitter
may malfunction or get damaged.
CAUTION
Before cleaning or disinfection, remove the batteries from the
transmitter. Failure to follow this instruction may result in electrical
shock or transmitter malfunction.
CAUTION
The transmitter cannot be sterilized. Sterilizing the transmitter may
damage it.
CAUTION
Dispose of the transmitter, options and accessories as specified by
Nihon Kohden. Otherwise, it causes infection or environmental
contamination.
Before cleaning or disinfecting, remove the batteries from the transmitter. Be
careful not to let any liquid get inside the transmitter.
Cleaning
Wipe the transmitter and electrode leads with a soft cloth moistened with
disinfecting alcohol or neutral detergent diluted with water. After cleaning, dry
them completely.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
57
Disinfection
CAUTION
• Do not immerse the electrode lead connector in liquid.
• Do not disinfect with hypochlorous acid.
• Use the recommended concentration.
Wipe the outside surface of the transmitter and electrode lead with a non-abrasive
cloth moistened with any of the disinfectants listed on the next page. Use the
recommended concentration.
Disinfectant
Glutaraldehyde solution
Alkyldiaminoethylglycine hydrochloride
Benzalkonium chloride
Benzethonium chloride solution
Chlorhexidine gluconate solution
Concentration (%)
2.0
0.5
0.2
0.2
0.5
SpO2 Probe
Refer to the probe manual.
58
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Replacing the Battery Case Cover
When the battery case cover is damaged, replace it with a new one.
Battery case cover, code no. 6113-046365C.
Other than the battery case cover, there are no serviceable parts for the transmitter.
Repair Parts Availability Policy
Nihon Kohden Corporation (NKC) shall stock repair parts (parts necessary
to maintain the performance of the instrument) for a period of 6 years after
NKC announces discontinuation of the instrument. In that period, NKC or its
distributors will repair the instrument. This period may be shorter than 6 years if
the necessary board or part is not available. For discontinuation announcements,
contact your Nihon Kohden distributor or representative.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
59
Specifications
ZM-920PA/930PA
ECG measurement
Channels:
Input range:
DC offset:
Input impedance:
Pacing pulse detection:
±5 mV or more
±500 mV or more
5 MΩ or more (5 Hz)
ANSI/AAMI EC13
Based upon Pacemaker pulse rejection Capability
Respiration measurement
Measuring method:
Impedance range:
Impedance method
0 to 2 kΩ
SpO2 measurement
Measuring range:
0 to 100%, in 1% steps
Measuring accuracy
When the measuring accuracy of the SpO2 probe is not considered:
±1 digit (80% ≤ SpO2 ≤ 100%)
±2 digit (50% ≤ SpO2 ≤ 80%)
Less than 50% is not specified
When the measuring accuracy of the SpO2 probe is considered:
±2 digit (80% ≤ SpO2 ≤ 100%)
±3 digit (70% ≤ SpO2 ≤ 80%)
Less than 70% is not specified
Transmitter
FCC regulation:
Field strength limits:
Undesired emission:
above 960 MHz:
FCC part 95 Subpart-H
Wireless Medical Telemetry Service (WMTS)
<200 mV/m (at 3 m)
below 960 MHz: 200 μV/m (at 3 m)
500 μV/m (at 3 m)
60
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Antenna:
Transmission channel:
Transmission frequency range:
Channel spacing:
Modulation scheme:
Occupied bandwidth:
Effective radiated power:
ECG electrode lead
Indicated on the transmitter
608.0250 to 613.9750 MHz
50 kHz or 37.5 kHz (12.5 kHz when interleaved)
FSK (Frequency Shift Keying)
<20 kHz
1.0 mW (conducted)
Safety standards
Safety standard:
CSA C22.2 No. 601-1 M90: 1994
IEC 60601-1: 1988
IEC 60601-1 Amendment 1: 1991
IEC 60601-1 Amendment 2: 1995
IEC 60601-1-2: 1993
IEC 60601-2-27: 1994
According to the type of protection against electrical shock:
INTERNALLY POWERED EQUIPMENT
According to the degree of protection against electrical shock:
ECG/impedance method respiration: DEFIBRILLATION-PROOF
TYPE CF APPLIED PART
SpO2:
DEFIBRILLATION-PROOF
TYPE BF APPLIED PART
According to the degree of protection against harmful ingress of water:
IPX0 (Ordinary equipment)
According to the degree of safety of application in the presence of a
FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN
OR NITROUS OXIDE:
Equipment not suitable for use in the presence of
FLAMMABLE ANAESTHETIC MIXTURE
WITH AIR, OR WITH OXYGEN OR NITROUS
OXIDE
According to the mode of operation:
CONTINUOUS OPERATION
Water resistance
Water does not get inside the transmitter except for the battery case when
immersed in water up to 30 cm deep for 3 minutes.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
61
Power requirements
Battery type:
Battery lifetime:
ZM-930PA:
ZM-920PA:
two AA type alkaline dry cell batteries,
manganese dry cell batteries, NiCd rechargeable
batteries, NiMH batteries
approximately 3 days
(with alkaline batteries, measuring ECG,
respiration and SpO2 of approximately 60 kg
weight adult male patient at the pointing finger)
approximately 4 days
(with alkaline batteries, measuring ECG and
respiration only)
approximately 4 days
Environment
Operating environment
Operating temperature:
Operating humidity:
Operating atmospheric pressure:
Operating voltage:
5 to 40°C, 41 to 104°F
30 to 85% (non-condensing)
70 to 106 kPa
1.6 to 3.2 V
Storage environment
Storage temperature:
Storage humidity:
Storage atmospheric pressure:
−20 to 65°C, −4 to 149°F
15 to 95%
70 to 106 kPa
Dimension and Weight
Dimension:
Weight (without batteries):
62
78 W × 122 H × 26 D (mm)
ZM-930PA: about 180 g
ZM-920PA: about 165 g
Operator’s Manual ZM-920PA/921PA/930PA/931PA
ZM-921PA/931PA
ECG Measurement
Channels:
Input range:
DC offset:
Input impedance:
Pacing pulse detection:
±5 mV or more
±500 mV or more
5 MΩ or more (5 Hz)
ANSI/AAMI EC13
Based upon Pacemaker pulse rejection Capability
Respiration Measurement
Measuring method:
Impedance range:
Impedance method
0 to 2 kΩ
SpO2 Measurement
Measuring range:
0 to 100%, in 1% steps
Measuring accuracy
When the measuring accuracy of the SpO2 probe is not considered:
±1 digit (80% ≤ SpO2 ≤ 100%)
±2 digit (50% ≤ SpO2 ≤ 80%)
Less than 50% is not specified
When the measuring accuracy of the SpO2 probe is considered:
±2 digit (80% ≤ SpO2 ≤ 100%)
±3 digit (70% ≤ SpO2 ≤ 80%)
Less than 70% is not specified
Transmitter
FCC regulation:
FCC part 95 Subpart-H
Wireless Medical Telemetry Service (WMTS)
Field strength limits:
<740 mV/m (at 3 m)
Undesired emission:
below 960 MHz: 200 μV/m (at 3 m)
above 960 MHz: 500 μV/m (at 3 m)
Antenna:
Internal
Transmission channel:
indicated on the transmitter
Transmission frequency range: 1395.0250 to 1399.9750 MHz
1427.0250 to 1431.9750 MHz
Operator’s Manual ZM-920PA/921PA/930PA/931PA
63
Channel spacing:
Modulation scheme:
Occupied bandwidth:
Effective radiated power:
50 kHz or 37.5 kHz (12.5 kHz when interleaved)
FSK (Frequency Shift Keying)
<20 kHz
5.0 mW (factory default setting)
Can be changed to 1.0 mW if required
Safety Standards
Safety standard:
CAN/CSA-C22.2 No. 601-1 M90: 1990
CAN/CSA-C22.2 No. 601-1. 1S1-94: 1994
CAN/CSA-C22.2 No. 601-1. 1B-90: R2002
CAN/CSA-C22.2 No. 60601-2-49-04: 2004
CAN/CSA-C22.2 No. 601.2.27-98: 1998
IEC 60601-1: 1988
IEC 60601-1 Amendment 1: 1991
IEC 60601-1 Amendment 2: 1995
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
IEC 60601-2-27: 2005
IEC 60601-2-49: 2001
ISO 9919: 2005
According to the type of protection against electrical shock:
INTERNALLY POWERED EQUIPMENT
According to the degree of protection against electrical shock:
ECG/impedance method respiration: DEFIBRILLATION-PROOF
TYPE CF APPLIED PART
SpO2:
DEFIBRILLATION-PROOF
TYPE BF APPLIED PART
According to the degree of protection against harmful ingress of water:
IPX0 (Ordinary equipment)
According to the degree of safety of application in the presence of a
FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN
OR NITROUS OXIDE:
Equipment not suitable for use in the presence of
FLAMMABLE ANAESTHETIC MIXTURE
WITH AIR, OR WITH OXYGEN OR NITROUS
OXIDE
According to the mode of operation:
CONTINUOUS OPERATION
64
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Water Resistance
Water does not get inside the transmitter except for the battery case when
immersed in water up to 30 cm deep for 3 minutes.
Power Requirements
Battery type:
Battery lifetime:
ZM-931PA:
ZM-921PA:
two AA type alkaline dry cell batteries,
manganese dry cell batteries, NiCd rechargeable
batteries, NiMH batteries
approximately 2.5 days
(with alkaline batteries, measuring ECG,
respiration and SpO2 of approximately 60 kg
weight adult male patient at the pointing finger)
approximately 3.5 days
(with alkaline batteries, measuring ECG and
respiration only)
approximately 3.5 days
Environment
Operating environment
Operating temperature:
Operating humidity:
Operating atmospheric pressure:
Operating voltage:
5 to 40°C, 41 to 104°F
30 to 85% (non-condensing)
70 to 106 kPa
1.6 to 3.2 V
Storage environment
Storage temperature:
Storage humidity:
Storage atmospheric pressure:
−20 to 65°C, −4 to 149°F
15 to 95%
70 to 106 kPa
Dimension and Weight
Dimension:
Weight (without batteries):
78 W × 122 H × 26 D (mm)
ZM-931PA: about 190 g
ZM-921PA: about 170 g
Operator’s Manual ZM-920PA/921PA/930PA/931PA
65
Electromagnetic Compatibility
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
Electromagnetic Emissions
This Model ZM-921PA/931PA is intended for use in the electromagnetic
environment specified below. The customer or the user of the ZM-921PA/931PA
should assure that it is used in such an environment.
Emissions test
Compliance Electromagnetic environment guidance
RF emissions
CISPR 1�1
G������
r�����
oup 1
The ZM-921PA/931PA���������������������
�����������������������������������
uses RF energy only
for its��������������������������������������
internal
�������������������������������������
function.�������������������
Therefore,
������������������
its RF
emissions are very���������������������������
low�����������������������
��������������������������
and are not likely to
����������������������
cause any i���������������������������������
n��������������������������������
ter�����������������������������
f����������������������������
erence i��������������������
n�������������������
nearby elect������
r�����
onic
equipment�.
RF emissions
CISPR ��
1�
C������
lass B
Th�������������������������������������
e������������������������������������
ZM-921PA/931PA���������������������
�����������������������������������
is suitab�����������
l����������
e for use
in a��������������������������������������
l�������������������������������������
l������������������������������������
establishmen�����������������������
�����������������������������������
t����������������������
s,��������������������
including domestic
�������������������
establishments.
Harmonic emissions
IEC 61�������
00�����
0-3-�2
Not
applicable
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Not
applicable
Electromagnetic Immunity
This Model ZM-921PA/931PA is intended for use in the electromagnetic
environment specified below. The customer or the user of the ZM-921PA/931PA
should assure that it is used in such an environment.
Immunity test
IEC 60601 test
level
Electrostatic
±6 kV contact
discharge (ESD) ±8 kV air
IEC 61000-4-2
66
Electromagnetic
environment guidance
±6 kV contact Floors should be wood,
concrete or ceramic tile.
±8 kV air
If floors are covered
with synthetic material,
the relative humidity
should be at least 30%.
Compliance
level
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Immunity test
IEC 60601 test
level
Compliance
level
Electrical fast
transient/ burst
IEC 61000-4-4
±2 kV for power
supply lines
±1 kV for input/
output lines
Surge
IEC 61000-4-5
±1 kV differential Not applicable
mode
±2 kV common
mode
<5% UT (>95% dip Not applicable
in UT) for 0.5 cycle
Voltage
dips, short
interruptions
and voltage
variations on
power supply
input lines
IEC 61000-4-11
Power
frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
Electromagnetic
environment guidance
Not applicable
—
—
40% UT (60% dip
in UT) for 5 cycles
—
70% UT (30% dip
in UT) for 25 cycles
<5% UT (>95% dip
in UT) for 5 s
3 A/m
3 A/m
Power frequency
magnetic fields
should be at levels
characteristic of a
typical location in a
typical commercial or
hospital environment.
NOTE: UT is the AC mains voltage prior to application of the test level
Avoiding Electromagnetic Interference (Impedance Respiration)
Impedance respiration measurement is very sensitive and affected by
electromagnetic interference. Technological limitations do not allow immunity
levels higher than 1 V/m for radiated RF electromagnetic fields. Electromagnetic
fields with field strengths above 1 V/m may cause measurement error. Do not use
electrically radiating equipment near the impedance respiration measurements.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
67
Immunity
test
IEC 60601 Compliance Electromagnetic environment
test level
level
- guidance
Portable and mobile RF
communications equipment should be
used no closer to any part of the ZM921PA/931PA, including cables, than
the recommended separation distance
calculated from the equation applicable
to the frequency of the transmitter.
Recommended separation
distance
Conducted RF 3 Vrms
IEC 61000-4-6
3 Vrms
d = 1.2√P
Radiated RF
3 V/m
IEC 61000-4-3 80 MHz to
2.5 GHz
3 V/m 80 MHz
to 2.5 GHz
d = 1.2√P 80 MHz to 800 MHz
d = 2.3√P 800 MHz to 2.5 GHz
(1 V/m 80 MHz (d = 3.5√P 80 MHz to 800 MHz for
to 2.5 GHz for respiration
respiration)
d = 7.0√P 800 MHz to 2.5 GHz for
respiration)
where P is the maximum output
power rating of the transmitter in
watts (W) according to the transmitter
manufacturer and d is the recommended
separation distance in meters (m).
Field strengths from fixed RF
transmitters, as deter mined by an
electromagnetic site survey*1, should be
less than the compliance level in each
frequency range*2.
Interference may occur in the vicinity of
equipment marked with the following
symbol:
68
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Immunity
test
IEC 60601 Compliance Electromagnetic environment
test level
level
- guidance
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation
is affected by absorption and reflection from structures, objects and people.
*1 Field strengths from fixed transmitters, such as base stations for radio (cellular/
cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcast and TV broadcast cannot be predicted theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength
in the location in which the ZM-921PA/931PA is used exceeds the applicable RF
compliance level above, the ZM-921PA/931PA should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be
necessary, such as re-orienting or relocating the ZM-921PA/931PA.
*2 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 1
V/m for respiration and 3 V/m for all other functions.
Operator’s Manual ZM-920PA/921PA/930PA/931PA
69
Recommended Separation Distances between Portable and Mobile
RF Communications Equipment
The ZM-921PA/931PA is intended for use in an electromagnetic environment in
which radiated RF disturbances are controlled. The customer or the user of the
ZM-921PA/931PA can help prevent electromagnetic interference by maintaining
a minimum distance between portable and mobile RF communications equipment
(transmitters) and the ZM-921PA/931PA as recommended below, according to the
maximum output power of the communications.
Rated
maximum
output power
of transmitter
(W)
Separation distance according to frequency of transmitter (m)
150 kHz to 80 MHz
d = 1.2√P
80 MHz to 800 MHz 800 MHz to 2.5 GHz
d = 1.2√P
d = 2.3√P
(For respiration:
d = 3.5√P)
(For respiration:
d = 7.0√P)
0.01
0.12
0.12 (0.35*)
0.23 (0.7*)
0.1
0.38
0.38 (1.1*)
0.73 (2.2*)
1.2
1.2 (3.5*)
2.3 (7.0*)
10
3.8
3.8 (11*)
7.3 (22*)
100
12
12 (35*)
23 (70*)
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to
the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
(* For respiration)
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency
range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation
is affected by absorption and reflection from structures, objects and people.
Recovery Time after Defibrillation
The transmitter returns to the normal operating mode within 10 seconds after
defibrillation. The stored settings are not affected.
70
Operator’s Manual ZM-920PA/921PA/930PA/931PA
System Composition for EMC Test
The ZM-921PA/931PA bedside monitor is tested to comply with IEC 60601-1-2:
2001 and IEC 60601-1-2 Amendment 1: 2004 with the following composition.
Units
Cable length
ZM-921PA/931PA transmitter
—
BR-906P ECG electrode lead
0.8 m
TL-201T finger probe
1.6 m
Operator’s Manual ZM-920PA/921PA/930PA/931PA
71
Standard Accessories
Name
Strap
72
Q’ty
Supply code
Y233
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Options
CAUTION
Use only Nihon Kohden electrodes, electrode leads and SpO2 probes
to assure maximum performance from your instrument.
Transmitter
Channel writer, QI-901PK
ECG/RESP
Name
Electrode
lead
Application
3 electrodes, clip type,
lead length 80 cm
3 electrodes, snap type,
lead length 80 cm
6 electrodes, clip type,
lead length 80 cm
6 electrodes, snap type,
lead length 80 cm
Model
Q’ty
Supply
code
BR-903PA
K911A
BR-913PA
K910B
BR-906PA
K912A
BR-916PA
K915A
Operator’s Manual ZM-920PA/921PA/930PA/931PA
73
SpO2
Cable
length
0.6 m
1.6 m
1.6 m
0.6 m
1.6 m
0.6 m
1.6 m
Name
Finger probe (reusable)
Multi-site probe (reusable)
Finger probe (reusable)
SpO2 probe (for adult, disposable)
SpO2 probe (for child, disposable)
SpO2 probe (for neonate,
disposable)
SpO2 probe (for adult, disposable)
SpO2 probe (for child, disposable)
SpO2 probe (for neonate/adult,
disposable)
SpO2 probe (for child/infant,
disposable)
SpO2 probe (for adult/neonate,
disposable)
SpO2 probe (for child/infant,
disposable)
COTTONY tape
Foam tape for TL-051S/052S/
061S/062S
Attachment tape for TL-220T/
251T/252T/253T/630T/631T
Probe fastener
74
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
0.8 m
1.6 m
—
Model/
Code No.
Q’ty
TL-201T
TL-220T
TL-630T1
TL-630T3
TL-631T1
TL-631T3
TL-251T
TL-252T
Supply
Code No.
P225H
P225F
P225G
P310A
P310C
P311A
P311C
P201A
P201B
TL-253T
P201C
TL-271T
TL-271T3
TL-272T
TL-272T3
TL-273T
TL-273T3
TL-274T
TL-274T3
TL-051S
TL-052S
TL-061S
TL-062S
340703
P203A
P203E
P203B
P203F
P203C
P203G
P203D
P203H
P228A
P228B
P229A
P229B
P259
—
24
20
4 × 25
packages
3 × 30
packages
YS-093P2
30
P260
P263
P267
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Transmission Frequencies
Channel: 9002 to 9478
Transmission
frequency
(MHz)
Channel
No.
Transmission
frequency
(MHz)
Channel
No.
Transmission
frequency
(MHz)
Channel
No.
608.0250
608.0375
608.0500
608.0625
608.0750
608.0875
9002
9003
9004
9005
9006
9007
9008
608.3500
608.3625
608.3750
608.3875
608.4000
608.4125
608.4250
9028
9029
9030
9031
9032
9033
9034
608.6750
608.6875
608.7000
608.7125
608.7250
608.7375
9054
9055
9056
9057
9058
9059
608.1000
608.1125
608.1250
608.1375
608.1500
608.1625
608.1750
9009
9010
9011
9012
9013
9014
608.7500
9060
608.4375
608.4500
608.4625
608.4750
608.4875
608.5000
9035
9036
9037
9038
9039
9040
9015
608.5125
9041
608.7625
608.7750
608.7875
608.8000
608.8125
608.8250
608.8375
9061
9062
9063
9064
9065
9066
9067
608.1875
608.2000
608.2125
608.2250
608.2375
608.2500
608.2625
608.2750
608.2875
608.3000
608.3125
608.3250
608.3375
9016
9017
9018
9019
9020
9021
9022
9023
9024
9025
9026
9027
608.5250
608.5375
608.5500
608.5625
608.5750
608.5875
608.6000
608.6125
608.6250
608.6375
608.6500
608.6625
9042
9043
9044
9045
9046
9047
9048
9049
9050
9051
9052
9053
608.8500
608.8625
608.8750
608.8875
608.9000
608.9125
608.9250
608.9375
608.9500
608.9625
608.9750
608.9875
9068
9069
9070
9071
9072
9073
9074
9075
9076
9077
9078
9079
Operator’s Manual ZM-920PA/921PA/930PA/931PA
75
Transmission
frequency
(MHz)
Channel
No.
609.0000
609.0125
609.0250
609.0375
609.0500
609.0625
609.0750
609.0875
609.1000
609.1125
609.1250
609.1375
609.1500
609.1625
609.1750
609.1875
609.2000
609.2125
609.2250
609.2375
609.2500
76
Transmission
frequency
(MHz)
Channel
No.
Transmission
frequency
(MHz)
Channel
No.
9080
9081
9082
9083
9084
9085
9086
9087
9088
9089
9090
9091
9092
9093
9094
9095
9096
9097
9098
9099
9100
609.3750
609.3875
609.4000
609.4125
609.4250
609.4375
609.4500
609.4625
609.4750
609.4875
609.5000
609.5125
609.5250
609.5375
609.5500
609.5625
609.5750
609.5875
609.6000
609.6125
9110
9111
9112
9113
9114
9115
9116
9117
9118
9119
9120
9121
9122
9123
9124
9125
9126
9127
9128
9129
609.7500
609.7625
609.7750
609.7875
609.8000
609.8125
609.8250
609.8375
609.8500
609.8625
609.8750
609.8875
609.9000
609.9125
609.9250
609.9375
609.9500
609.9625
609.9750
609.9875
9140
9141
9142
9143
9144
9145
9146
9147
9148
9149
9150
9151
9152
9153
9154
9155
9156
9157
9158
9159
609.6250
9130
610.0000
9160
609.2625
609.2750
609.2875
609.3000
609.3125
9101
9102
9103
9104
9105
9161
9162
9163
9164
9165
9106
9131
9132
9133
9134
9135
9136
610.0125
610.0250
610.0375
610.0500
610.0625
609.3250
609.6375
609.6500
609.6625
609.6750
609.6875
609.7000
610.0750
9166
609.3375
609.3500
609.3625
9107
9108
9109
609.7125
609.7250
609.7375
9137
9138
9139
610.0875
610.1000
610.1125
9167
9168
9169
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Transmission
frequency
(MHz)
Channel
No.
Transmission
frequency
(MHz)
Channel
No.
Transmission
frequency
(MHz)
Channel
No.
610.1250
610.1375
610.1500
9170
9171
9172
610.5000
610.5125
9200
9201
610.8750
610.8875
9230
9231
610.5250
9202
610.9000
9232
610.1625
610.1750
610.1875
610.2000
610.2125
9173
9174
9175
9176
9177
9233
9234
9235
9236
9237
9178
9203
9204
9205
9206
9207
9208
610.9125
610.9250
610.9375
610.9500
610.9625
610.2250
610.5375
610.5500
610.5625
610.5750
610.5875
610.6000
610.9750
9238
610.2375
610.2500
610.2625
610.2750
610.2875
9179
9180
9181
9182
9183
610.6125
610.6250
610.6375
610.6500
610.6625
9209
9210
9211
9212
9213
610.3000
9184
610.6750
9214
610.9875
611.0000
611.0125
611.0250
611.0375
611.0500
9239
9240
9241
9242
9243
9244
610.3125
610.3250
610.3375
610.3500
610.3625
610.3750
610.3875
610.4000
610.4125
610.4250
610.4375
610.4500
610.4625
610.4750
610.4875
9185
9186
9187
9188
9189
9190
9191
9192
9193
9194
9195
9196
9197
9198
9199
610.6875
610.7000
610.7125
610.7250
610.7375
610.7500
610.7625
610.7750
610.7875
610.8000
610.8125
610.8250
610.8375
610.8500
610.8625
9215
9216
9217
9218
9219
9220
9221
9222
9223
9224
9225
9226
9227
9228
9229
611.0625
611.0750
611.0875
611.1000
611.1125
611.1250
611.1375
611.1500
611.1625
611.1750
611.1875
611.2000
611.2125
611.2250
611.2375
9245
9246
9247
9248
9249
9250
9251
9252
9253
9254
9255
9256
9257
9258
9259
Operator’s Manual ZM-920PA/921PA/930PA/931PA
77
Transmission
frequency
(MHz)
Channel
No.
611.2500
611.2625
611.2750
611.2875
611.3000
611.3125
611.3250
611.3375
611.3500
611.3625
611.3750
611.3875
611.4000
611.4125
611.4250
611.4375
611.4500
611.4625
611.4750
611.4875
611.5000
78
Transmission
frequency
(MHz)
Channel
No.
Transmission
frequency
(MHz)
Channel
No.
9260
9261
9262
9263
9264
9265
9266
9267
9268
9269
9270
9271
9272
9273
9274
9275
9276
9277
9278
9279
9280
611.6250
611.6375
611.6500
611.6625
611.6750
611.6875
611.7000
611.7125
611.7250
611.7375
611.7500
611.7625
611.7750
611.7875
611.8000
611.8125
611.8250
611.8375
611.8500
611.8625
9290
9291
9292
9293
9294
9295
9296
9297
9298
9299
9300
9301
9302
9303
9304
9305
9306
9307
9308
9309
612.0000
612.0125
612.0250
612.0375
612.0500
612.0625
612.0750
612.0875
612.1000
612.1125
612.1250
612.1375
612.1500
612.1625
612.1750
612.1875
612.2000
612.2125
612.2250
612.2375
9320
9321
9322
9323
9324
9325
9326
9327
9328
9329
9330
9331
9332
9333
9334
9335
9336
9337
9338
9339
611.8750
9310
612.2500
9340
611.5125
611.5250
611.5375
611.5500
611.5625
9281
9282
9283
9284
9285
9341
9342
9343
9344
9345
9286
9311
9312
9313
9314
9315
9316
612.2625
612.2750
612.2875
612.3000
612.3125
611.5750
611.8875
611.9000
611.9125
611.9250
611.9375
611.9500
612.3250
9346
611.5875
611.6000
611.6125
9287
9288
9289
611.9625
611.9750
611.9875
9317
9318
9319
612.3375
612.3500
612.3625
9347
9348
9349
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Transmission
frequency
(MHz)
Channel
No.
Transmission
frequency
(MHz)
Channel
No.
Transmission
frequency
(MHz)
Channel
No.
612.3750
612.3875
612.4000
9350
9351
9352
612.7500
612.7625
9380
9381
613.1250
613.1375
9410
9411
612.7750
9382
613.1500
9412
612.4125
612.4250
612.4375
612.4500
612.4625
9353
9354
9355
9356
9357
9413
9414
9415
9416
9417
9358
9383
9384
9385
9386
9387
9388
613.1625
613.1750
613.1875
613.2000
613.2125
612.4750
612.7875
612.8000
612.8125
612.8250
612.8375
612.8500
613.2250
9418
612.4875
612.5000
612.5125
612.5250
612.5375
9359
9360
9361
9362
9363
612.8625
612.8750
612.8875
612.9000
612.9125
9389
9390
9391
9392
9393
612.5500
9364
612.9250
9394
613.2375
613.2500
613.2625
613.2750
613.2875
613.3000
9419
9420
9421
9422
9423
9424
612.5625
612.5750
612.5875
612.6000
612.6125
612.6250
612.6375
612.6500
612.6625
612.6750
612.6875
612.7000
612.7125
612.7250
612.7375
9365
9366
9367
9368
9369
9370
9371
9372
9373
9374
9375
9376
9377
9378
9379
612.9375
612.9500
612.9625
612.9750
612.9875
613.0000
613.0125
613.0250
613.0375
613.0500
613.0625
613.0750
613.0875
613.1000
613.1125
9395
9396
9397
9398
9399
9400
9401
9402
9403
9404
9405
9406
9407
9408
9409
613.3125
613.3250
613.3375
613.3500
613.3625
613.3750
613.3875
613.4000
613.4125
613.4250
613.4375
613.4500
613.4625
613.4750
613.4875
9425
9426
9427
9428
9429
9430
9431
9432
9433
9434
9435
9436
9437
9438
9439
Operator’s Manual ZM-920PA/921PA/930PA/931PA
79
Transmission
frequency
(MHz)
Channel
No.
613.5000
613.5125
613.5250
80
Transmission
frequency
(MHz)
Channel
No.
Transmission
frequency
(MHz)
Channel
No.
9440
9441
9442
613.6625
613.6750
9453
9454
613.8250
613.8375
9466
9467
613.6875
9455
613.8500
9468
613.5375
613.5500
613.5625
613.5750
9443
9444
9445
9446
9469
9470
9471
9472
9447
9456
9457
9458
9459
9460
613.8625
613.8750
613.8875
613.9000
613.5875
613.7000
613.7125
613.7250
613.7375
613.7500
613.9125
9473
613.6000
613.6125
613.6250
613.6375
9448
9449
9450
9451
613.7625
613.7750
613.7875
613.8000
9461
9462
9463
9464
613.6500
9452
613.8125
9465
613.9250
613.9375
613.9500
613.9625
613.9750
9474
9475
9476
9477
9478
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Channel: E002 to E398
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
1395.0250
1395.0375
1395.0500
1395.0625
1395.0750
1395.0875
1395.1000
1395.1125
E002
E003
E004
E005
E006
E007
E008
E009
1395.3875
1395.4000
1395.4125
1395.4250
1395.4375
1395.4500
1395.4625
1395.4750
E031
E032
E033
E034
E035
E036
E037
E038
1395.1250
1395.1375
1395.1500
1395.1625
1395.1750
1395.1875
1395.2000
1395.2125
1395.2250
1395.2375
1395.2500
1395.2625
1395.2750
1395.2875
1395.3000
1395.3125
1395.3250
1395.3375
1395.3500
1395.3625
1395.3750
E010
E011
E012
E013
E014
E015
E016
E017
E018
E019
E020
E021
E022
E023
E024
E025
E026
E027
E028
E029
E030
1395.4875
1395.5000
1395.5125
1395.5250
1395.5375
1395.5500
E039
E040
E041
E042
E043
E044
1395.5625
1395.5750
1395.5875
1395.6000
1395.6125
1395.6250
1395.6375
1395.6500
1395.6625
1395.6750
1395.6875
1395.7000
1395.7125
1395.7250
1395.7375
E045
E046
E047
E048
E049
E050
E051
E052
E053
E054
E055
E056
E057
E058
E059
Operator’s Manual ZM-920PA/921PA/930PA/931PA
1395.7500
1395.7625
1395.7750
1395.7875
1395.8000
1395.8125
1395.8250
1395.8375
1395.8500
1395.8625
1395.8750
1395.8875
1395.9000
1395.9125
1395.9250
1395.9375
1395.9500
1395.9625
1395.9750
1395.9875
1396.0000
1396.0125
1396.0250
1396.0375
1396.0500
1396.0625
1396.0750
1396.0875
1396.1000
E060
E061
E062
E063
E064
E065
E066
E067
E068
E069
E070
E071
E072
E073
E074
E075
E076
E077
E078
E079
E080
E081
E082
E083
E084
E085
E086
E087
E088
81
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
1396.1125
1396.1250
1396.1375
1396.1500
1396.1625
1396.1750
1396.1875
1396.2000
1396.2125
1396.2250
1396.2375
1396.2500
1396.2625
1396.2750
1396.2875
1396.3000
1396.3125
1396.3250
1396.3375
1396.3500
1396.3625
1396.3750
1396.3875
1396.4000
1396.4125
1396.4250
1396.4375
1396.4500
1396.4625
1396.4750
82
E089
E090
E091
E092
E093
E094
E095
E096
E097
E098
E099
E100
E101
E102
E103
E104
E105
E106
E107
E108
E109
E110
E111
E112
E113
E114
E115
E116
E117
E118
1396.4875
1396.5000
1396.5125
1396.5250
1396.5375
1396.5500
1396.5625
1396.5750
1396.5875
1396.6000
1396.6125
1396.6250
1396.6375
1396.6500
1396.6625
1396.6750
1396.6875
1396.7000
1396.7125
1396.7250
1396.7375
1396.7500
1396.7625
1396.7750
1396.7875
1396.8000
1396.8125
1396.8250
1396.8375
1396.8500
E119
E120
E121
E122
E123
E124
E125
E126
E127
E128
E129
E130
E131
E132
E133
E134
E135
E136
E137
E138
E139
E140
E141
E142
E143
E144
E145
E146
E147
E148
1396.8625
1396.8750
1396.8875
1396.9000
1396.9125
1396.9250
1396.9375
1396.9500
1396.9625
1396.9750
1396.9875
1397.0000
1397.0125
1397.0250
1397.0375
1397.0500
1397.0625
1397.0750
1397.0875
1397.1000
1397.1125
1397.1250
1397.1375
1397.1500
1397.1625
1397.1750
1397.1875
1397.2000
1397.2125
1397.2250
E149
E150
E151
E152
E153
E154
E155
E156
E157
E158
E159
E160
E161
E162
E163
E164
E165
E166
E167
E168
E169
E170
E171
E172
E173
E174
E175
E176
E177
E178
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
1397.2375
1397.2500
1397.2625
1397.2750
1397.2875
1397.3000
1397.3125
1397.3250
1397.3375
1397.3500
1397.3625
1397.3750
1397.3875
1397.4000
1397.4125
1397.4250
1397.4375
1397.4500
1397.4625
1397.4750
1397.4875
1397.5000
1397.5125
1397.5250
1397.5375
1397.5500
1397.5625
1397.5750
1397.5875
1397.6000
E179
E180
E181
E182
E183
E184
E185
E186
E187
E188
E189
E190
E191
E192
E193
E194
E195
E196
E197
E198
E199
E200
E201
E202
E203
E204
E205
E206
E207
E208
1397.6125
1397.6250
1397.6375
1397.6500
1397.6625
1397.6750
1397.6875
1397.7000
1397.7125
1397.7250
1397.7375
1397.7500
1397.7625
1397.7750
1397.7875
1397.8000
1397.8125
1397.8250
1397.8375
1397.8500
1397.8625
1397.8750
1397.8875
1397.9000
E209
E210
E211
E212
E213
E214
E215
E216
E217
E218
E219
E220
E221
E222
E223
E224
E225
E226
E227
E228
E229
E230
E231
E232
1397.9875
1398.0000
1398.0125
1398.0250
1398.0375
1398.0500
1398.0625
1398.0750
1398.0875
1398.1000
1398.1125
1398.1250
1398.1375
1398.1500
1398.1625
1398.1750
1398.1875
1398.2000
1398.2125
1398.2250
1398.2375
1398.2500
1398.2625
1398.2750
E239
E240
E241
E242
E243
E244
E245
E246
E247
E248
E249
E250
E251
E252
E253
E254
E255
E256
E257
E258
E259
E260
E261
E262
1397.9125
1397.9250
1397.9375
1397.9500
1397.9625
1397.9750
E233
E234
E235
E236
E237
E238
1398.2875
1398.3000
1398.3125
1398.3250
1398.3375
1398.3500
E263
E264
E265
E266
E267
E268
Operator’s Manual ZM-920PA/921PA/930PA/931PA
83
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
84
1398.3625
1398.3750
1398.3875
1398.4000
1398.4125
1398.4250
1398.4375
1398.4500
1398.4625
1398.4750
1398.4875
1398.5000
1398.5125
1398.5250
1398.5375
1398.5500
1398.5625
1398.5750
1398.5875
1398.6000
1398.6125
1398.6250
1398.6375
1398.6500
E269
E270
E271
E272
E273
E274
E275
E276
E277
E278
E279
E280
E281
E282
E283
E284
E285
E286
E287
E288
E289
E290
E291
E292
1398.6625
1398.6750
1398.6875
1398.7000
1398.7125
1398.7250
E293
E294
E295
E296
E297
E298
1398.7375
1398.7500
1398.7625
1398.7750
1398.7875
1398.8000
1398.8125
1398.8250
1398.8375
1398.8500
1398.8625
1398.8750
1398.8875
1398.9000
1398.9125
1398.9250
1398.9375
1398.9500
1398.9625
1398.9750
1398.9875
1399.0000
1399.0125
1399.0250
1399.0375
1399.0500
1399.0625
1399.0750
1399.0875
1399.1000
E299
E300
E301
E302
E303
E304
E305
E306
E307
E308
E309
E310
E311
E312
E313
E314
E315
E316
E317
E318
E319
E320
E321
E322
E323
E324
E325
E326
E327
E328
1399.1125
1399.1250
1399.1375
1399.1500
1399.1625
1399.1750
1399.1875
1399.2000
1399.2125
1399.2250
1399.2375
1399.2500
1399.2625
1399.2750
1399.2875
1399.3000
1399.3125
1399.3250
1399.3375
1399.3500
1399.3625
1399.3750
1399.3875
1399.4000
1399.4125
1399.4250
1399.4375
1399.4500
1399.4625
1399.4750
E329
E330
E331
E332
E333
E334
E335
E336
E337
E338
E339
E340
E341
E342
E343
E344
E345
E346
E347
E348
E349
E350
E351
E352
E353
E354
E355
E356
E357
E358
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
1399.4875
1399.5000
1399.5125
1399.5250
1399.5375
1399.5500
1399.5625
1399.5750
1399.5875
1399.6000
1399.6125
1399.6250
1399.6375
1399.6500
E359
E360
E361
E362
E363
E364
E365
E366
E367
E368
E369
E370
E371
E372
1399.6625
1399.6750
1399.6875
1399.7000
1399.7125
1399.7250
1399.7375
1399.7500
1399.7625
1399.7750
1399.7875
1399.8000
1399.8125
1399.8250
E373
E374
E375
E376
E377
E378
E379
E380
E381
E382
E383
E384
E385
E386
Operator’s Manual ZM-920PA/921PA/930PA/931PA
1399.8375
1399.8500
1399.8625
1399.8750
1399.8875
1399.9000
1399.9125
1399.9250
1399.9375
1399.9500
1399.9625
1399.9750
E387
E388
E389
E390
E391
E392
E393
E394
E395
E396
E397
E398
85
Channel: E502 to E898
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
1427.0250
1427.0375
1427.0500
1427.0625
1427.0750
1427.0875
1427.1000
1427.1125
1427.1250
1427.1375
1427.1500
1427.1625
1427.1750
1427.1875
1427.2000
1427.2125
1427.2250
1427.2375
1427.2500
1427.2625
1427.2750
1427.2875
1427.3000
1427.3125
1427.3250
1427.3375
1427.3500
1427.3625
1427.3750
86
E502
E503
E504
E505
E506
E507
E508
E509
E510
E511
E512
E513
E514
E515
E516
E517
E518
E519
E520
E521
E522
E523
E524
E525
E526
E527
E528
E529
E530
1427.3875
1427.4000
1427.4125
1427.4250
1427.4375
1427.4500
1427.4625
1427.4750
1427.4875
1427.5000
1427.5125
1427.5250
1427.5375
1427.5500
1427.5625
1427.5750
1427.5875
1427.6000
1427.6125
1427.6250
1427.6375
1427.6500
1427.6625
1427.6750
1427.6875
1427.7000
1427.7125
1427.7250
1427.7375
E531
E532
E533
E534
E535
E536
E537
E538
E539
E540
E541
E542
E543
E544
E545
E546
E547
E548
E549
E550
E551
E552
E553
E554
E555
E556
E557
E558
E559
1427.7500
1427.7625
1427.7750
1427.7875
1427.8000
1427.8125
1427.8250
1427.8375
1427.8500
1427.8625
1427.8750
1427.8875
1427.9000
1427.9125
1427.9250
1427.9375
1427.9500
1427.9625
1427.9750
1427.9875
1428.0000
1428.0125
1428.0250
1428.0375
1428.0500
1428.0625
1428.0750
1428.0875
1428.1000
E560
E561
E562
E563
E564
E565
E566
E567
E568
E569
E570
E571
E572
E573
E574
E575
E576
E577
E578
E579
E580
E581
E582
E583
E584
E585
E586
E587
E588
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
1428.1125
1428.1250
1428.1375
1428.1500
E589
E590
E591
E592
1428.4875
1428.5000
1428.5125
1428.5250
E619
E620
E621
E622
1428.8625
1428.8750
1428.8875
1428.9000
E649
E650
E651
E652
1428.1625
E593
1428.5375
E623
1428.9125
E653
1428.1750
1428.1875
1428.2000
1428.2125
1428.2250
1428.2375
1428.2500
1428.2625
1428.2750
1428.2875
E594
E595
E596
E597
E598
E599
E600
E601
E602
E603
1428.5500
1428.5625
1428.5750
1428.5875
1428.6000
1428.6125
1428.6250
1428.6375
1428.6500
1428.6625
E624
E625
E626
E627
E628
E629
E630
E631
E632
E633
1428.9250
1428.9375
1428.9500
1428.9625
1428.9750
1428.9875
1429.0000
1429.0125
1429.0250
1429.0375
E654
E655
E656
E657
E658
E659
E660
E661
E662
E663
1428.3000
1428.3125
1428.3250
1428.3375
1428.3500
1428.3625
1428.3750
1428.3875
1428.4000
1428.4125
1428.4250
1428.4375
1428.4500
1428.4625
1428.4750
E604
E605
E606
E607
E608
E609
E610
E611
E612
E613
E614
E615
E616
E617
E618
1428.6750
1428.6875
1428.7000
1428.7125
1428.7250
1428.7375
1428.7500
1428.7625
1428.7750
1428.7875
1428.8000
1428.8125
1428.8250
1428.8375
1428.8500
E634
E635
E636
E637
E638
E639
E640
E641
E642
E643
E644
E645
E646
E647
E648
1429.0500
1429.0625
1429.0750
1429.0875
1429.1000
1429.1125
1429.1250
1429.1375
1429.1500
1429.1625
1429.1750
1429.1875
1429.2000
1429.2125
1429.2250
E664
E665
E666
E667
E668
E669
E670
E671
E672
E673
E674
E675
E676
E677
E678
Operator’s Manual ZM-920PA/921PA/930PA/931PA
87
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
1429.2375
1429.2500
1429.2625
1429.2750
1429.2875
1429.3000
1429.3125
1429.3250
1429.3375
1429.3500
1429.3625
1429.3750
1429.3875
1429.4000
1429.4125
1429.4250
1429.4375
1429.4500
1429.4625
1429.4750
1429.4875
1429.5000
1429.5125
1429.5250
1429.5375
1429.5500
1429.5625
1429.5750
1429.5875
1429.6000
88
E679
E680
E681
E682
E683
E684
E685
E686
E687
E688
E689
E690
E691
E692
E693
E694
E695
E696
E697
E698
E699
E700
E701
E702
E703
E704
E705
E706
E707
E708
1429.6125
1429.6250
1429.6375
1429.6500
1429.6625
1429.6750
1429.6875
1429.7000
1429.7125
1429.7250
1429.7375
1429.7500
1429.7625
1429.7750
1429.7875
1429.8000
1429.8125
1429.8250
1429.8375
1429.8500
1429.8625
1429.8750
1429.8875
1429.9000
1429.9125
1429.9250
1429.9375
1429.9500
1429.9625
1429.9750
E709
E710
E711
E712
E713
E714
E715
E716
E717
E718
E719
E720
E721
E722
E723
E724
E725
E726
E727
E728
E729
E730
E731
E732
E733
E734
E735
E736
E737
E738
1429.9875
1430.0000
1430.0125
1430.0250
1430.0375
1430.0500
1430.0625
1430.0750
1430.0875
1430.1000
1430.1125
1430.1250
1430.1375
1430.1500
1430.1625
1430.1750
1430.1875
1430.2000
1430.2125
1430.2250
1430.2375
1430.2500
1430.2625
1430.2750
1430.2875
1430.3000
1430.3125
1430.3250
1430.3375
1430.3500
E739
E740
E741
E742
E743
E744
E745
E746
E747
E748
E749
E750
E751
E752
E753
E754
E755
E756
E757
E758
E759
E760
E761
E762
E763
E764
E765
E766
E767
E768
Operator’s Manual ZM-920PA/921PA/930PA/931PA
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
1430.3625
1430.3750
1430.3875
1430.4000
1430.4125
1430.4250
1430.4375
1430.4500
1430.4625
1430.4750
1430.4875
1430.5000
1430.5125
1430.5250
1430.5375
1430.5500
1430.5625
1430.5750
1430.5875
1430.6000
1430.6125
1430.6250
1430.6375
1430.6500
1430.6625
1430.6750
1430.6875
1430.7000
1430.7125
1430.7250
E769
E770
E771
E772
E773
E774
E775
E776
E777
E778
E779
E780
E781
E782
E783
E784
E785
E786
E787
E788
E789
E790
E791
E792
E793
E794
E795
E796
E797
E798
1430.7375
1430.7500
1430.7625
1430.7750
1430.7875
1430.8000
1430.8125
1430.8250
1430.8375
1430.8500
1430.8625
1430.8750
1430.8875
1430.9000
1430.9125
1430.9250
1430.9375
1430.9500
1430.9625
1430.9750
1430.9875
1431.0000
1431.0125
1431.0250
1431.0375
1431.0500
1431.0625
1431.0750
1431.0875
1431.1000
E799
E800
E801
E802
E803
E804
E805
E806
E807
E808
E809
E810
E811
E812
E813
E814
E815
E816
E817
E818
E819
E820
E821
E822
E823
E824
E825
E826
E827
E828
Operator’s Manual ZM-920PA/921PA/930PA/931PA
1431.1125
1431.1250
1431.1375
1431.1500
1431.1625
1431.1750
1431.1875
1431.2000
1431.2125
1431.2250
1431.2375
1431.2500
1431.2625
1431.2750
1431.2875
1431.3000
1431.3125
1431.3250
1431.3375
1431.3500
1431.3625
1431.3750
1431.3875
1431.4000
1431.4125
1431.4250
1431.4375
1431.4500
1431.4625
1431.4750
E829
E830
E831
E832
E833
E834
E835
E836
E837
E838
E839
E840
E841
E842
E843
E844
E845
E846
E847
E848
E849
E850
E851
E852
E853
E854
E855
E856
E857
E858
89
Transmission
Transmission
Transmission
Channel
Channel
Channel
frequency
frequency
frequency
No.
No.
No.
(MHz)
(MHz)
(MHz)
1431.4875
1431.5000
1431.5125
1431.5250
1431.5375
1431.5500
1431.5625
1431.5750
1431.5875
1431.6000
1431.6125
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Operator’s Manual ZM-920PA/921PA/930PA/931PA

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