Nihon Kohden ZM-941PA Medical Telemetry Transmitter User Manual 2

Nihon Kohden Corporation Medical Telemetry Transmitter Users Manual 2

Contents

Users Manual 2

Operator’s Manual ZM-940PA/941PA 41When Using Disposable Cuffs or YP-960T series Reusable CuffsTo use these NIBP cuffs, an optional YN-990P extension hose (1.5 m) is required.NOTEConnect the joints properly. If there is an air leak, NIBP cannot be measured properly.1. Connect the NIBP cuff to the extension hose.2. Connect the other end of the extension hose totheNIBPsocketonthetransmitter.Turnthejointclockwiseuntilitclicks. To disconnect the cuff from the transmitter, turnthehosejointcounterclockwise.Attaching the NIBP Cuff to the PatientWARNINGBe careful when measuring NIBP on a patient with known bleeding disorders or coagulation. After NIBP measurement, there may be dot hemorrhage, or circulatory disorder by thrombus where the cuff is attached.CAUTIONDo not wrap the cuff on an arm or thigh which is used for injection. NIBP measurement on an arm or thigh which is used for injection may cause reflux of blood and stop injection.CAUTIONDo not attach the cuff to the site where there is injury or inflammation. If the skin gets irritated or redness appears on the skin from the cuff, change the attachment site or stop using the cuff. Take extreme care on the patients with delicate skin.CAUTIONDo not wrap the cuff too tight. It may cause poor blood circulation and congestion. If the cuff is wrapped too loosely, the NIBP value may increase.CAUTIONDo not reuse disposable parts and accessories.
42 Operator’s Manual ZM-940PA/941PACAUTIONNIBP and SpO2 can be measured on the same limb, but the SpO2 monitoring might not be accurate during NIBP measurement. Be careful when reading the SpO2 values.** Monitoring SpO2 during NIBP Measurement When the SpO2 probe is attached to the same limb as the NIBP cuff, the blood owdecreasesduringNIBPmeasurementand pulse wave cannot be detected and SpO2 cannot be monitored properly. When “INHIBITSpO2 DURING NIBP” on the PARAMETER SETUP screen is set to ON (factory default setting), SpO2 monitoring is paused during NIBP measurement to avoid SpO2alarmoccurrence.However,whenmonitoring SpO2 on the same limb as the NIBP, be careful when reading SpO2 values.NOTE• Measuring NIBP at a site other than the upper arm gives different values from those measured at the upper arm. When making diagnosis based on the NIBP values, measure NIBP on an upper arm.• To accurately detect the pulsatile flow of the artery, the cuff should be wrapped around a bare upper arm.• Do not use an abnormal cuff. The cuff deteriorates from use and cleaning. Before use, check the cuff and confirm that there is no flaw, crack or hole in it. Be careful not to damage the inflation bag. If the inflation bag has a hole or a flaw, it may burst during use. Dispose of an abnormal cuff and replace it with a new one.• Refer to the NIBP cuff manual for details.Cuff PositionPlace the cuffed upper arm (brachium) at the same height as the patient’s heart. If the cuff is not at the same level as the heart, the weight of the blood affects the blood pressure reading.Thepressuredifferenceperunitheightis0.7mmHg/cm.Thebloodpressurereadingdecreaseswhenthearm is higher than the heart and increases when lower.The best measuring condition is when the patient is lying on his/herbackwitharmsandlegsrelaxed.Ifthecuffpositioncannot be on the same level as the heart, the displayed blood pressure reading must be mathematically adjusted.When placing the transmitter on a bed, make sure that the hose is not bent.HeartWhen placing the transmitter on a bed, make sure that the hose is not bent.Heart
Operator’s Manual ZM-940PA/941PA 43Attaching the Transmitter on an Arm (Using the YP-943P/944P NIBP Cuff)1. Attach the NIBP cuff to the transmitter. Refer to the “Connecting the NIBP Cuff to the Transmitter” section.2. Insert the end of the cuff into the belt and then through the D ring as shown at left.3. FoldbackthecuffattheDringandfastenitusing the velcro tape. Makesurethatthecuffisnotattachedonajoint.NOTEThe cuff must not wrap around the elbow.BeltD ring End of cuffBeltD ring End of cuff
44 Operator’s Manual ZM-940PA/941PAAttaching the Strap to the TransmitterNOTE• Use the strap to prevent the transmitter from falling.• Do not attach the clip to hard objects such as thick cloth or zipper. It will break the clip.Attach a strap provided with the transmitter to the NIBP cuff and patient clothes.To open the clip, firmly pull out the tab in direction of the arrow. To adjust the strap length, push down the tab on the adjuster and slide.1. Adjust the length of the strap.2. Clip one end of the strap to the belt for the strap on the NIBP cuff.3. Clip the other end of the strap to the patient’s clothes as shown left.Belt for the strap on the NIBP cuff
Operator’s Manual ZM-940PA/941PA 45Placing the Transmitter on the Bed (Using the Disposable Cuffs or YP-960T series Reusable Cuffs)1. Put the cuff on the upper arm so that the ▼markof “ARTERY ▼” aligns with the artery of the patient.ARTERY ▼2. Wrap the cuff so that “INDEX ” comes within the “ RANGE ”. If “Index ” is not within the “ RANGE”, change the cuff size.Attaching ElectrodesSelecting Electrode LeadCAUTIONOnly use Nihon Kohden specified electrodes and electrode leads. When other type of electrodes or electrode leads are used, the “CHECK ELECTRODES” message may be displayed and monitoring may stop.The following electrode leads can be used on the transmitter (option).BR-903PA,3 electrodes,clip typeBR-913PA,3 electrodes,snap typeBR-906PA,6 electrodes,clip typeBR-916PA,6 electrodes,snap typeRANGERANGE
46 Operator’s Manual ZM-940PA/941PAConnecting the Electrode Lead to the TransmitterConnecttheelectrodeleadtotheECG/RESPsocketonthetransmitter.When the transmitter is attached on an armCAUTIONDo not shake or swing the transmitter while holding the leads or cables connected to the transmitter. The transmitter may come off and injure someone or damage surrounding instruments.CAUTIONHold the connector of the electrode lead when connecting/disconnecting the electrode lead. If you disconnect the electrode lead by pulling the lead, it damages the electrode lead.Selecting the Electrode PositionFollow the physician’s instructions for electrode placement when available.For ECG monitoring, electrodes are attached only on the chest to allow patient movement and obtain continuous stable ECG. Following leads are examples. When also monitoring respiration, refer to the “Electrode Position for Respiration Monitoring” section.NOTEThe 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.
Operator’s Manual ZM-940PA/941PA 47Six ElectrodesThe 6-electrode method with lead II and lead V5 is effective for monitoring myocardial ischemia.You can improve monitoring accuracy considerably by adding lead V4 to this combination. Va and Vb can be at any position of the standard 12 leads V1 to V6, but V4 and V5 are most appropriate for myocardial ischemic monitoring.RA/R LA/LRL/RF LL/FVa/CaVb/CbElectrode Position Symbol Lead ColorAHA IEC AHA IECLeft infraclavicular fossa LA L Black YellowRight infraclavicular fossa RA R White RedBelow lowest rib on the left anterior axillary line LL F Red GreenRight anterior axillary line at the same level as LL/F RL RF Green BlackFifth intercostal space on the left midclavicular line. (V4 position of standard 12 leads) Va Ca Brown-blue White-brownLeft anterior axillary line at the same level as Va. (V5 position of standard 12 leads) Vb Cb Brown-orange White-black
48 Operator’s Manual ZM-940PA/941PALead PositionStandard limb leadsMonopolar limb leadsMonopolar chest leadsLead ILead I Lead II Lead IIIaVR lead aVL lead aVF leadV1 to V6 leadsV1 to V6 leadstoRARARA RA RARARALALALALALALALALLLLLLLL LLLLLLN (RL)N (RL)N (RL) N (RL) N (RL)N (RL)N (RL)
Operator’s Manual ZM-940PA/941PA 49Three Electrodes• Lead MII, which is similar to standard lead II, used when ECG measurement has priorityElectrode Position Symbol Lead ColorAHA IEC AHA IECLeft infraclavicular fossa LA L Black YellowRight infraclavicular fossa RA R White RedBelow lowest rib on the left anterior axillary line LL F Red Green• Lead MI, which is similar to standard lead I Change F/LL and L/LA of the lead MII.• Lead MIII, which is similar to standard lead III. Change R/RA and L/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.
50 Operator’s Manual ZM-940PA/941PAAttaching Electrodes to the Patient and Connecting the Electrode Leads to Disposable ElectrodesPrepare the Patient SkinShave off excessive body hair.Toreduceskinimpedance,cleantheelectrodesitewithcreamorwithacottonpadmoistenedwithalcohol.Thoroughlydrytheskinwithacleancottonpad.NOTE• For a patient with frequent body movement, rub the sites with Skinpure skin preparation gel. However, do not use Skinpure skin preparation gel on sensitive skin.• Do not place electrodes on a wound or on an inflamed, wrinkled or uneven skin surface.Attaching Electrodes to the PatientCAUTIONDo not reuse disposable parts and accessories.NOTE• To maintain good contact between the electrode and skin, check that the paste of the disposable electrode is not dry.• When contact between the disposable electrode and skin becomes poor, replace electrodes with new ones immediately. Otherwise, contact impedance between the skin and the electrode increases and the correct ECG cannot be obtained.Refer to the electrode operator’s manual for details.1. Carefullyremovethebackingpaperfromtheelectrode.Avoid touching the adhesive surface.2. Placetheelectrodeonthepreviouslycleanedskin.Payattention to the electrode lead color and symbol.3. Clip the electrode lead to the electrode.4. Fasten the electrode lead wire with surgical tape with an extra length of wire between the tape and the electrode. This lessens the movement of electrode leads by body movement and helps stable monitoring.
Operator’s Manual ZM-940PA/941PA 51Electrode Position for Respiration MonitoringPlace the R/RA and F/LL electrodes so that the lungs are between the electrodes.NOTEThe 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 ExamplesNOTEThe 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 1In this position, respiration measurement is available; however, there is a difference in amplitude between different patients.R or RA F or LLRight infraclavicular fossa Fifth intercostal space on the left midclavicular line, V4Position 2In this position, the waveform amplitude is usually large and the ECG lead is similar to Lead MII. This position can be generally recommended.R or RA F or LLRight infraclavicular fossa Fifth intercostal space on the left midaxillary line, V6
52 Operator’s Manual ZM-940PA/941PAPosition 3In this position, the respiration waveform is optimum, but the ECG lead is unusual.R or RA F or LLRight midaxillary at the horizontal level of V4Fifth intercostal space on the left midaxillary line, V6Position 4Inthisposition,therespirationmeasurementisinuenced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difculttomeasuretheECGatthesametime.R or RA F or LLLowest rib on the right anterior axillary lineLowest rib on the left anterior axillary line
Operator’s Manual ZM-940PA/941PA 53Attaching the SpO2 ProbeSelecting the SpO2 ProbeSelect an appropriate probe for the patient.CAUTIONOnly use Nihon Kohden specified electrodes, electrode leads, SpO2 probes, and NIBP cuffs. Otherwise, the maximum performance from the transmitter cannot be guaranteed.CAUTIONDo not use a damaged or disassembled probe. It causes incorrect measurement and may injure the patient.Reusable ProbesWhenusingaTL-201Tngerprobe,choosetheappropriatecablelengthforattachment.Probe Cable Length Patient Attachment SiteFinger probe TL-201T0.6 mAdult or child20kgormoreFinger1.6 mMulti-site probe TL-220TAttachment tapeAdult or infant3kgormoreFinger or toeNeonate3kgorlessInstep and soleFinger probeTL-630T1/TL-630T3/TL-631T1/TL-631T3Attachment tapeCable length TL-630T1/TL-631T1: 0.6 m TL-630T3/TL-631T3: 1.6 mTL-630T1/630T3: Adult or child 50kgormoreTL-631T1/631T3:Adult or child20kgormoreFinger or toe
54 Operator’s Manual ZM-940PA/941PADisposable ProbesCAUTIONThe disposable probe is not sterilized. Use the disposable probe only for a single patient. Never reuse the disposable probe for another patient because it causes cross infection.Probe Patient Attachment SiteTL-251T Adult30kgormoreFinger or toeTL-252T Child3to40kgFinger or toeTL-253T Neonate3kgorlessInstep and soleTL-051S/TL-052S40 mmCable length TL-051S: 0.8 m TL-052S: 1.6 mAdult50kgormoreFingerNeonate3kgorlessInstep and soleTL-061S/TL-062S35 mmCable length TL-061S: 0.8 m TL-062S: 1.6 mAdult or child15to50kgFingerInfant3to15kgToe
Operator’s Manual ZM-940PA/941PA 55Probe Patient Attachment SiteTL-271T/TL-271T3Cablelength TL-271T: 0.8m TL-271T3:1.6mAdult30kgormoreFinger or toeTL-272T/TL-272T3Cablelength TL-272T: 0.8m TL-272T3:1.6mChild10to50kgTL-273T/TL-273T3Cablelength TL-273T: 0.8m TL-273T3:1.6mNeonate3kgorlessInstep and soleAdult40kgormoreFinger or toeTL-274T/TL-274T3Cablelength TL-274T: 0.8m TL-274T3:1.6mInfant3to20kg
56 Operator’s Manual ZM-940PA/941PAConnecting the SpO2 Probe to the TransmitterConnect the probe to the SpO2socketonthetransmitter.When the transmitter is attached on an armCAUTIONDo not shake or swing the transmitter while holding the leads or cables connected to the transmitter. The transmitter may come off and injure someone or damage surrounding instruments.CAUTIONHold the connector when connecting/disconnecting the SpO2 probe. If you disconnect the SpO2 probe by pulling the cable, it damages the cable.
Operator’s Manual ZM-940PA/941PA 57Attaching the Probe to the PatientAttachtheprobetothepatientbyreferringtotheprobe’smanual.Makesurethatthelightemitterand photo detector of the probe face each other at the attachment site.WARNING• When using the TL-201T finger probe, do not fasten the probe and cable to the finger by wrapping with tape. This may cause burn, congestion or pressure necrosis from poor blood circulation.• When using probes other than the TL-201T finger probe, to avoid poor circulation, do not wrap the tape too tight. Check the blood circulation condition by observing the skin color and congestion at the skin peripheral to the probe attachment site. Even for short-term monitoring, there may be burn or pressure necrosis from poor blood circulation, especially on neonates or low birth weight infants whose skin is delicate. Accurate measurement cannot be performed on a site with poor peripheral circulation.WARNINGCheck the circulation condition by observing the skin color at the measurement site and pulse waveform. Change the measurement site every 8 hours for disposable probes and every 4 hours for reusable probes (every 8 hours for TL-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nger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.
58 Operator’s Manual ZM-940PA/941PACAUTIONIf the attachment site is dirty with blood or bodily fluids, clean the attachment site before attaching the probe. If there is nail polish on the attachment site, remove the polish. Otherwise, the amount of transmitted light decreases, and measured value may be incorrect or measurement cannot be performed.CAUTIONIf the skin gets irritated or redness appears on the skin from the probe, change the attachment site or stop using the probe. Take extreme care for the patients with delicate skin.CAUTIONWhen the probe is attached on an appropriate site with sufficient circulation and the error message confirming the probe attachment repeatedly appears, the probe may be deteriorated. Replace it with a new one.CAUTIONDo 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.CAUTIONDo not use a probe which is deteriorated by aging. Accurate measurement cannot be performed.CAUTIONNeonatal skin is delicate. Remove the probe and tape carefully and slowly.CAUTIONWhen removing a probe that is taped to the skin, do not pull the probe cable because this can damage the cable.CAUTIONWhen removing the probe from the attachment tape, do not pull the sensor cable because this can damage the cable.CAUTIONRefer to the probe instruction manual for details.
Operator’s Manual ZM-940PA/941PA 59Locking the Keys on the TransmitterTopreventthepatientfrompressingthekeysonthetransmitterduringmonitoring,youcanlocktheNIBPSTART/STOPandNIBPINTERVALkeys.1. PresstheNIBPINTERVALkeyforabout3seconds.2. A “pip, pip” sounds and the “LOCK KEYS” message is displayed on the LCD.LOCKKEYSPip, pipWhentheNIBPSTART/STOPkeyorNIBPINTERVALkeyispressedwhilethekeysarelocked,the “PRESS INT. KEY 3S TO UNLOCK” message appears.Tounlockthekeys:1. PresstheNIBPINTERVALkeyforabout3seconds.2. A“pip,pip”soundsandthekeysareunlocked.The“UNLOCKKEYS”messageappearsandthekeysareunlocked.
60 Operator’s Manual ZM-940PA/941PAMonitoringWhen preparation is done, monitoring starts.NIBP Oscillometric MethodNIBP is measured from the change in amplitude pattern of pulsatile oscillation in cuff pressure as the cuff pressure is reduced from above systolic to below diastolic pressure. The occlusive-oscillometry method uses this to determine the systolic, diastolic and mean arterial pressure.NIBP MonitoringSelecting the Initial Cuff Inflation PressureTheinitialcuffinationpressurecanbechangedonthePARAMETERSETUPscreen.Thedefaultsettingis180mmHg.Tochangethesetting,refertothe“ChangingParameterSetupSettings”section.Selecting the Measurement Mode and IntervalMeasurement ModesThere are three measurement modes: manual, auto and STAT. The selected mode or interval is displayed at the lower right of the screen.ThemeasurementmodeandintervalcanbechangedbypressingtheNIBPINTERVALkey.Whenthekeyispressed,themeasurementmodechangesaccordingtothemodesselectedat“SELECTABLE INTERVALS” on the PARAMETER SETUP screen. MANUAL mode is already selected for the mode selection.To select the modes for the mode selection, refer to the “Changing Parameter Setup Settings” section.Manual MeasurementInManualmode,asingleNIBPmeasurementisperformedwhentheNIBPSTART/STOPkeyispressed.STAT (Continuous) MeasurementIn STAT mode, measurement is continuously repeated for 15 minutes after the NIBP START/ STOP keyispressed.When the STAT measurement for 15 minutes is completed, the measurement mode automatically changes to the Manual mode or Auto mode of selected interval depending on the “NIBP MODE AFTER STAT” setting on the PARAMETER SETUP screen. The default setting is Manual mode.
Operator’s Manual ZM-940PA/941PA 61Refer to the “Changing Parameter Setup Settings” section.The STAT measurement completes within 15 minutes. When more than 12 minutes elapse from the start of measurement, there will be no more measurement performed and the measurement mode changes to the mode selected for “NIBP MODE AFTER STAT” on the PARAMETER SETUP screen.Auto MeasurementIn Auto mode, measurement is performed automatically at the preset time intervals.InAutomode,asinglemeasurementcanbeperformedbypressingtheNIBPSTART/STOPkeybetween auto measurements.Measuring NIBPWARNINGBe careful when measuring NIBP on a patient with known bleeding disorders or coagulation. After NIBP measurement, there may be dot hemorrhage, or circulatory disorder by thrombus where the cuff is attached.WARNINGNIBP measurement may be incorrect in the following cases.• When using an electrosurgical unit• When there is body movement• When the pulse wave is small (insufficient peripheral circulation)• Too many arrhythmias• When there is vibration• When there is a rapid blood pressure change• During CPRWARNINGWhen performing NIBP measurements in STAT mode or 5 minute intervals, periodically remove the cuff from the patient for ventilation. The skin temperature may increase at the cuff attachment site by 2 or 3°C (4 or 5°F). When measuring a patient with a fever or peripheral circulation insufficiency, it may cause a burn.CAUTIONWhen performing NIBP measurement repeatedly, have a rest between measurements to recover adequate circulation.
62 Operator’s Manual ZM-940PA/941PANOTE• When measuring patients who are conscious, help the patient to relax. Measurement may not be accurate if the patient’s arm is tense or if the patient talks.• The data for measurement on a leg tends to be higher than measurement on the arm. When making diagnosis based on the NIBP values, measure NIBP on an upper arm.• Do not apply pressure to the cuff or air hose. NIBP may not be measured correctly because of noise or NIBP measurement may stop due to the NIBP safety circuit.• When the transmitter is attached to the patient arm and the NIBP measurement is performed when moving, tell the patient to relax and keep quiet. Otherwise, measurement may be stopped or remeasurement is repeated due to body movement.• If there is an abnormal noise generated during measurement, stop using the transmitter and contact your Nihon Kohden representative.• Do not measure NIBP of a patient on whom an IABP is being used. Measurement may be incorrect due to the mixing of the patient’s own pulse and IABP pulse.• NIBP cannot be measured on a neonate using this transmitter.1. SelectthemeasurementmodebypressingtheNIBPINTERVALkey.2. PresstheNIBPSTART/STOPkeytoperformmeasurement.
Operator’s Manual ZM-940PA/941PA 63 Thecuffisinatedandtheinationpressureisdisplayedonthescreen.Inflation pressure In manual mode: Measurement is performed once. In STAT mode: Measurement is performed repeatedly for 15 minutes. Inautomode: TherstmeasurementisperformedwhentheNIBPSTART/STOPkeyispressed. The second measurement is performed when the current time in the transmitter reaches the selected time interval. Tostopmeasurementduringmeasurement,presstheNIBPSTART/STOPkeyagain. In STAT mode, after completing the STAT measurement, the measurement mode changes to the mode set for “NIBP MODE AFTER STAT” on the PARAMETER SETUP screen. In auto mode, to stop measurement in auto mode, change the mode to manual. To cancel one measurement,presstheNIBPSTART/STOPkeyduringmeasurement.After the measurement is complete, the measured data is displayed on the screen and is transmitted to the monitor.When SpO2 is not monitored, the pulse rate at the end of NIBP measurement is displayed.During auto mode measurement, the measurement mode can be changed. During the interval, press theNIBPINTERVALkeytochangethemode.When“MANUAL”isdisplayedformorethanonesecond, the measurement in auto mode is stopped.A buzzer can be set to sound at the start and end of NIBP measurement. Refer to the “Changing Parameter Setup Settings” section.
64 Operator’s Manual ZM-940PA/941PAData Display After NIBP MeasurementWhen the time set at “OLD NIBP DATA” on the PARAMETER SETUP screen elapses after the last measurement, the NIBP data is dimmed or hidden. Whether to dim or hide the old data can also be selected at “OLD NIBP DATA”. Refer to the “Changing Parameter Setup Settings” section.Data Display on the Receiving MonitorWhen the “Low battery ” message is displayed on the receiving monitor, NIBP might not have been measured according to the NIBP interval setting. Therefore, the NIBP data displayed on the receivingmonitormightnotbeupdated.Inthiscase,checkthemeasurementtimeoftheNIBPdatadisplayed on the receiving monitor.Monitoring SpO2 during NIBP MeasurementWhen the SpO2probeisattachedtothesamelimbastheNIBPcuff,thebloodowdecreasesduring NIBP measurement and pulse wave cannot be detected and SpO2 cannot be monitored properly.When“INHIBITSpO2 DURING NIBP” on the PARAMETER SETUP screen is set to ON (factory default setting), SpO2 monitoring is paused during NIBP measurement to avoid SpO2 alarmoccurrence.However,whenmonitoringSpO2 on the same limb as the NIBP, be careful when reading SpO2 values.ECG and Respiration MonitoringWhen the electrodes are attached and the ECG leads are connected to the electrodes, heart rate, ECG waveform, respiration rate and respiration waveform appear on the monitor.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.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.
Operator’s Manual ZM-940PA/941PA 65WARNINGInteraction 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.htmlWARNINGWhen 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.CAUTIONTurn off the power of mobile phones, small wireless devices and other devices which produce strong electromagnetic interference around a patient (except for devices allowed by the hospital administrator). Radio waves from devices such as mobile phones or small wireless devices may be mistaken as pulse waves and the displayed data may be incorrect.NOTE• Noise generated from an electrosurgical unit may interfere on an ECG waveform, but will not damage it.• If an electric blanket is used and incorrect heart rate is displayed on the monitor, turn off the pacing spike detection on the monitor.• Turn the pacing spike detection to ON on the monitor when monitoring a pacemaker
66 Operator’s Manual ZM-940PA/941PApatient. Pacing pulse is detected by the transmitter and transmitted to the monitor. If the pacing spike detection is turned OFF, QRS and pacemaker spike may not be distinguished and pacemaker failure may not be recognized.Electrode DetachmentInthefollowingconditions,thecheckelectrodeindicationisdisplayedontheLCDofthetransmitterandthe“CHECKELECTRODE”messageisdisplayedonthemonitor.• Electrodeisdetachedfromskin.• Electrode lead is disconnected from the electrode.• Polarizationvoltagebetweentheelectrodeandskinisexcessivelyhigh.Inthesecases,checkthecauseandifnecessary,replaceelectrodeswithnewones.CAUTIONWhen the “ELECTRODE OFF” or “CHECK 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.Check Electrode Indication on the Transmitter when Monitoring with 3 ElectrodesThe “ ”markisdisplayed.Check electrode symbolCheck Electrode Indication on the Transmitter when Monitoring with 6 ElectrodesThe “ ”markandeitherthedetachedleadordetachedelectrodepositionisindicated,dependingon the LEADS OFF DISPLAY setting on the PARAMETER SETUP screen.Check electrode symbolCheck electrode indicationWhen LEADS OFFDISPLAYissettoCHAR,thedetached lead is indicatedWhen LEADS OFFDISPLAY is set to IMAGE, the detached electrode position is indicated with X
Operator’s Manual ZM-940PA/941PA 67SpO2 MonitoringWhen monitoring starts, SpO2 and pulse waveform are sent to the monitor and SpO2, pulse rate and pulse level bar graph are displayed on the transmitter LCD.WARNINGSpO2 measurement may be incorrect in the following cases.• When the patient’s carboxyhemoglobin or methemoglobin increases abnormally.• When dye is injected in the blood.• When using an electrosurgical unit.• During CPR.• When measuring at a site with venous pulse.• When there is body movement.• When the pulse wave is small (insufficient peripheral circulation).WARNINGCheck the circulation condition by observing the skin color at the measurement site and pulse waveform. Change the measurement site every 8 hours for disposable probes and every 4 hours for reusable probes (every 8 hours for TL-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nger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.WARNINGWhen not monitoring SpO2, disconnect the SpO2 cable from the transmitter. Otherwise, noise from the probe sensor may interfere and incorrect data is displayed on the screen.
68 Operator’s Manual ZM-940PA/941PACAUTIONTurn 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.CAUTIONDo 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.CAUTIONNormal external light does not affect monitoring but strong light such as a surgical light or sunlight may affect monitoring. If affected, cover the measuring site with a blanket.CAUTIONWhen the probe is attached on an appropriate site with sufficient circulation and the error message confirming the probe attachment repeatedly appears, the probe may be deteriorated. Replace it with a new one.CAUTIONWhen a message indicates a faulty probe, stop monitoring and replace the probe with a new one.CAUTIONWhile a patient is on medication which causes vasodilation, the pulse waveform may change and in rare cases the SpO2 value might not be displayed.NOTEIn order to maintain sufficient blood circulation, keep the measurement site warm by covering it with a blanket or something similar. Warming the site is effective, especially for a patient with a small pulse amplitude.SpO2 and PR Display OrderYou can select the display order for SpO2 and PR (pulse rate) on the LCD. Refer to the “Changing Parameter Setup Settings” section.
Operator’s Manual ZM-940PA/941PA 69Monitoring SpO2 during NIBP MeasurementWhen the SpO2probeisattachedtothesamelimbastheNIBPcuff,thebloodowdecreasesduring NIBP measurement and pulse wave cannot be detected and SpO2 cannot be monitored properly.When“INHIBITSpO2 DURING NIBP” on the PARAMETER SETUP screen is set to ON (factory default setting), SpO2 monitoring is paused during NIBP measurement to avoid SpO2 alarm occurrence.However,whenmonitoringSpO2 on the same limb as NIBP, be careful when reading SpO2 values.When monitoring SpO2 is important, attach the probe to the limb to which the NIBP cuff or catheter is not attached.When SpO2 monitoring is paused during NIBP measurement, the SpO2 value just before the start of NIBP measurement and an markaredisplayedonthetransmitterfor30seconds.WhenNIBPmeasurementisnotcompletedafter30seconds,“–––”isdisplayedfortheSpO2 value. The same data also appears on the monitor screen.NOTE• When continuous SpO2 monitoring is necessary, attach the probe to the limb to which the NIBP cuff is not attached and set “INHIBIT SpO2 DURING NIBP” on the PARAMETER SETUP screen to OFF.• When the probe is attached to the same limb as the NIBP cuff, set the sync source to a parameter other than SpO2 on the receiving monitor.• When monitoring SpO2 during STAT NIBP measurement, attach the probe to the limb to which the NIBP cuff is not attached.
70 Operator’s Manual ZM-940PA/941PADisplay and Message ListBattery IndicationIndication Cause CountermeasureFully charged battery ——Batteries are low. Replace batteries.Batteries are low. NIBP cannot be measured.No indication Dead batteriesECG/RespirationIndication Cause CountermeasureElectrode lead is disconnected from the electrode.Firmly connect the electrode lead to the electrode.Electrode lead is disconnected from the transmitter.Firmly connect the electrode lead to the transmitter.Electrode lead discontinuity. Replace the electrode lead with a new one.Electrodeisnotrmlyattachedtotheskin. Replace the electrode with a new one.Polarization voltage is abnormally high.When monitoring ECG with 6 electrodes, the electrode or lead detached position is indicated by either lead or electrode position. This is set at LEADS OFF DISPLAY on the PARAMETER SETUP screen. Refer to the “Changing Parameter Setup Settings” section.LEADS OFF DISPLAY set to CHAR ECG ELECTRODE set to AHALEADS OFF DISPLAY set to CHAR ECG ELECTRODE set to IECLEADS OFF DISPLAY set to IMAGE
Operator’s Manual ZM-940PA/941PA 71SpO2 Message Cause CountermeasureDuring NIBP measurementSpO2 monitoring is paused for NIBP measurement. WaitforNIBPmeasurementtonish.Detecting body movementConsiderable body movement.When the message is displayed frequently, checkthepatientconditionand,ifnecessary, change the attachment site.The probe is not attached to the patient properly.SpO2CHECKPROBEThe probe is not attached to the patient properly. Attach the probe to the patient properly.The probe is not attached at the appropriate site.Attach the probe to a site 6 to 14 mm thick.Probe is expired. Replace the probe with a new one.SpO2 DETECTING PULSESearching for the correct pulse wave. Wait until the pulse wave is detected.The SpO2 value cannot be obtained because the waveform is unstable. Attach the probe to the patient properly.The probe is not attached to the patient properly.SpO2LIGHTINTERFERENCESpO2 measurement site is under uorescentlight,surgicallight,sunlight, etc.Cover the measurement site with a blanketorcloth.SpO2 PROBE FAILUREProbe is expired. Replace the probe with a new one.Probe is damaged or short-circuited. Replace the probe with a new one.SpO2 WEAK PULSEPoor peripheral circulation. Checkthepatientconditionandchangethe attachment site.The probe is attached too tightly and is obstructing the blood circulation.Checktheprobeattachmentconditionand if necessary, reattach the probe.
72 Operator’s Manual ZM-940PA/941PANIBPMessage Cause CountermeasureNIBP AIR LEAKThe cuff and extension hose are not properly connected. Connect them properly.The cuff hose (or extension hose) is not properlyconnectedtotheNIBPsocket.The cuff or extension hose is damaged. Replace with a new one.NIBP CANNOT DETECT PULSEThe patient’s pulse wave is small. Measure by palpation or auscultation.The cuff is not wrapped on the patient properly. Wrap the cuff on the patient properly.NIBPCHANGEBATTERIES NO NIBPNIBP cannot be measured due to low battery. Replace batteries with new ones.NIBP CUFF OCCLUSION Transmitter malfunction.Immediately remove the cuff from the patient and contact your Nihon Kohden representative.NIBPHIGHCUFFPRESS Enormous pressure was applied by the pressure of the cuff. Remove the cause.NIBP INFLATION PRESS LOW Insufcientcuffinationpressure.Wait for the remeasurement to be performedwithincreasedcuffinationpressure.NIBP MEAS TIME-OUTThe measuring time exceeded the speciedtimeduetoarrhythmia,bodymovement, vibration or, cuff or air hose being squeezed.Remove the cause if the cause is body movement, vibration or squeezing of cuff or hose.NIBP MODULE FAILURE Module malfunction. Contact your Nihon Kohden representative.NIBP REMEASURINGNIBP is being remeasured due to arrhythmia, body movement, vibration or, cuff or air hose being squeezed.If the message still appears after remeasurement, remove the cause if the cause is body movement, vibration or squeezing of cuff or hose.NIBP SAFETY CIRCUIT RUNNING(When this message is displayed, measurement cannot be performed for 40 seconds.)Measurement stopped by the safety circuit.Checkthatthehoseisnotbentorsqueezed.Wait 40 seconds, then perform remeasurement. If the message still appears, contact your Nihon Kohden representative.NIBP SYS OUT OF RANGEThe maximum blood pressure cannot be measured even when the cuff inationpressureexceeded280mmHgwhen using adult cuff.Measure by palpation or auscultation.NIBP WEAK PULSEThe patient’s pulse wave is too small. Measure by palpation or auscultation.The cuff is wrapped too loosely. Wrap the cuff properly.The cuff size is not appropriate. Use the appropriate cuff.NIBP ZEROING NIBP zero balance is being adjusted. Do not touch the cuff during zeroing. Wait for the message to disappear.
Operator’s Manual ZM-940PA/941PA 73TroubleshootingIftheproblemstillremainsaftercheckingthefollowing,contactyourNihonKohdenrepresentative.TransmitterProblem Cause CountermeasureNothing is displayed on the LCD after turning the power on.Batteries are not installed correctly. The battery polarity is wrong.Install the batteries correctly.Batteries are completely discharged.Replace the batteries with new ones.LCDisdifculttosee(toodarkortoolight).LCD brightness is not appropriate.Change the LCD brightness on the SYSTEM SETUP screen. Refer to the “Changing System Setup Settings” section.Nothing is displayed on the monitor after turning the transmitter power on.The channel of the transmitter and monitor does not match.Set the correct channel on the monitor.The software version of the multiple patient receiver is old.Upgrade the multiple patient receiver software to receive signal from the transmitter. The software version must be 01-09 or later.Signal receiving condition is poor.Another transmitter of the same channel is used nearby.Turn the transmitter power off. If the monitor still receives a signal, there is a high probability that another transmitter of the same channel is used nearby.Follow the instruction of your channel administrator and use another transmitter of a different channel.Signals are mixing. Follow the instructions of your channel administrator and use another transmitter of a different channel.The transmitter is damaged. Contact your Nihon Kohden representative.
74 Operator’s Manual ZM-940PA/941PAECG/RespirationProblem Cause CountermeasureThe heart rate is unstable.Pacing detection setting on the monitor is not correct.Turn off the pacing detection setting on the monitor.Whenmonitoringapacemakerpatient,turn on pacing detection.The“CHECKELECTRODE” message appears on the receiving monitor.Electrode lead is disconnected from the electrode.Firmly connect the electrode lead to the electrode.Electrode lead discontinuity Replace the electrode lead with a new one.Electrodeisnotrmlyattachedtotheskin.Replace the electrode with a new one.Polarization voltage is abnormally high.UseNihonKohdenspeciedelectrodes.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.Electricblanketisused. Covertheblanketwithashieldcover.HumlterissettoOFFonthemonitorSettheltertoON.Respiration waveform measurement is unstable.The gel on the electrode is dried out.Replace the electrode with a new one.The gel on the electrode is coming off.SpO2 Problem Cause CountermeasureSpO2 data is unstable and not reliable.The probe size is not appropriate for the patient.Use the appropriate probe for the patient.Probe attachment condition is poor. Probe is partly detached 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.Probe is attached to the same limb that is used for NIBP measurement.When the probe and cuff are attached tothesamelimb,set“INHIBITSpO2 DURING NIBP” setting on the PARAMETER SETUP screen to ON. Attach the probe to the opposite limb. Avoid a site where blood circulation condition changes greatly.
Operator’s Manual ZM-940PA/941PA 75NIBPProblem Cause CountermeasureCuffinationpressureislessthan10mmHg.The cuff hose is not connected totheNIBPsocketproperly.Connectthecuffhosetothesocketproperly.The cuff is not wrapped around the arm or is wrapped too loosely.Wrap the cuff around the upper arm.The cuff does not inatewhentheNIBPSTART/STOPkeyispressed.The cuff hose is not connected totheNIBPsocket.Connectthecuffhosetothesocketrmly.The cuff hose or extension hose may be folded or squeezed when the cuff pressure display onthescreenincreasesquicklybut the actual cuff does not inate.Checkthecuffhoseandairhose.Abnormal measurement results are displayed.The cuff size is not correct. Selectthecuffwhichtsthepatient’slimb circumference.The cuff is not wrapped around the arm correctly.Wrap the cuff around the upper arm, not too tightly or too loosely.NIBP data is not correct because of body movement.Prevent the patient from moving during measurement.Vibration on the cuff. Checkthatnothingistouchingthecuffduring measurement.Change the measuring site.The cuff is suddenly deatedduringination.TheNIBPSTART/STOPkeyispressedduringination. —Auto mode measurement does not start even when the time interval has passed.TheNIBPINTERVALkeyispressed and the measurement mode is changed.Checkthemeasurementmodeandinterval.The cuff suddenly inates.The measurement mode is set to auto mode.Checkthetimeinterval.Ifnecessary,stop measurement.Cannot connect cuff to the air hose.Unspeciedcuffisused. UseacuffspeciedbyNihonKohden.
76 Operator’s Manual ZM-940PA/941PAProblem Cause CountermeasureCannot measure NIBP. Vibration on the cuff. Checkthatnothingistouchingthecuffduring measurement.The cuff hose or extension hose is bent or squeezed.Remove the cause.The cuff has worn out. Use a new cuff.Blood congestion occurs.Measuring over a long period of time at short intervals.Increase the measuring interval.Do not measure NIBP over a long time.Thrombus occurs. Measuring on a patient with knownbleedingdisordersorcoagulation.Do not perform NIBP measurement on such a patient.NIBP data on the screenis---ordark.The time set for “OLD NIBP DATA” on the PARAMETER SETUP screen elapsed from the last measurement.When NIBP is measured again, the data is displayed in normal brightness.Three loud pip sounds indicting NIBP measurement cannot be started.Thecuffisnotdeatedenoughto start another measurement.Wait 30 seconds and measure again.
Operator’s Manual ZM-940PA/941PA 77MaintenanceTousetheinstrumentinsafeandoptimumcondition,performmaintenancecheckonceeverysixmonths.CAUTIONNever disassemble or repair the transmitter. Disassembly and repair must be performed by qualified service personnel.Amaintenancechecksheetisprovidedattheendofthissection.Makeacopyofthischecksheetbeforeperformingmaintenancecheck.1. External Check• There are no damaged or dirty parts on the outside of the transmitter.• Thebatterycasecoverisnotdamaged,thespringisrmlyxedandthebatterycasecovercanbeclosedrmly.• NIBPsocketisnotdamaged.• Keys are not damaged.• Electrode leads are not damaged.• There is no blood or chemicals on the transmitter.2. Transmitter ChannelCheckthatthechannelofthetransmitterandthelabelmatch.1. Checkthatthechannelnumberlabelattachedtothetransmitterisnottornorremoved.Channel label2. Remove one battery.
78 Operator’s Manual ZM-940PA/941PA3. WhilepressingtheNIBPSTART/STOPandNIBPINTERVALkeys,installthebattery.TheSETUP screen appears.4. PresstheNIBPINTERVALkeytomovethecursorto“SYSTEMSETUP”.5. PresstheNIBPSTART/STOPkeytoentertheSYSTEM SETUP screen. The channel of this transmitter is displayed.6. CheckthatthechanneldisplayedontheLCDmatches the label on the transmitter.ChannelChannel
Operator’s Manual ZM-940PA/941PA 793. LCD DisplayCheckthattherearenodotsmissingontheLCD.1. Remove one battery.2. WhilepressingtheNIBPSTART/STOPandNIBPINTERVALkeys,installthebattery.TheSETUP screen appears.3. PresstheNIBPINTERVALkeytwicetomovethecursorto“MANUALCHECK”.4. PresstheNIBPSTART/STOPkeytoentertheMANUALCHECKscreen.5. Checkthatthecursorison“LCDTEST”andpresstheNIBPSTART/STOPkey.
80 Operator’s Manual ZM-940PA/941PA6. EverytimetheNIBPINTERVALkeyispressed,thescreenchangesasbelow.Checkthatthereare no dots missing. WhentheNIBPSTART/STOPkeyispressed,thescreenreturnstotheMANUALCHECKscreen.4. Key OperationNIBP START/STOP Key1. Attach the NIBP cuff to your upper arm.2. PresstheNIBPSTART/STOPkey.Checkthatthecuffinatesanddeatesproperly.3. PresstheNIBPSTART/STOPkeyagain.Duringination,presstheNIBPSTART/STOPkeytocheckthatthecuffdeatesproperly.NIBP INTERVAL Key1. PresstheNIBPINTERVALkeyandcheckthattheNIBPmeasuringmodecanbechanged.2. SelectanyintervalandpresstheNIBPSTART/STOPkeytoperformautomeasurement.Checkthat the NIBP is measured at the selected interval.
Operator’s Manual ZM-940PA/941PA 815. NIBP Cuff for Attaching Transmitter to Patient ArmTheNIBPcuffisaconsumable.Checkthefollowingandwhennecessary,replaceitwithanewone.Appearance• There are no dirty parts.• Therearenobrokenstitchesonthecuff.• The label on the cuff is readable.• Thevelcrotapeonthecuffisnotremovedandtherearenobrokenstitches.• Thelockplateisnotdamagedandfunctionsproperly.Inationbag• Theinationbagisnottornordamaged.• Thereisnowaterinsidetheinationbag.• Theconnectorontheinationbagisnotdamaged.
82 Operator’s Manual ZM-940PA/941PAMaintenance Check SheetHospital/Organization: Service Personnel: Instrument Name: TransmitterInstrument Model: ZM-940PA/ZM-941PAInstrument Serial Number: HardwareRevisionNumber: Software Revision Number: 1. ExternalCheck OK No2. Transmitter Channel OK No3. LCD Display OK No4. Key Operation OK No5. NIBP Cuff for Attaching Transmitter to Patient Arm OK NoOverall Judgement□ OK□ Can be used but needs maintenance□ Maintenance required. Cannot be used.
Operator’s Manual ZM-940PA/941PA 83Repair Parts Availability PolicyNihonKohdenCorporation(NKC)shallstockrepairparts(partsnecessarytomaintaintheperformance of the instrument) for a period of 8 years from the date of delivery. In that period NKC or its authorized agents will repair the instrument. This period may be shorter than 8 years if the board or part necessary for the faulty section is not available.
84 Operator’s Manual ZM-940PA/941PALifetime and DisposalDisposing of Used BatteriesBattery LifetimeReplace the batteries when the battery replacement indication appears on the transmitter. When using rechargeable batteries, recharge them.ZM-940PAType Lifetime (Measuring parameters)ECG, SpO2, NIBP ECG, SpO2ECG onlyNiMHsecondary 2 days 2.5 days 3 daysAlkalineprimary 1 day 2.5 days 3 daysZM-941PAType Lifetime (Measuring parameters)ECG, SpO2, NIBP ECG, SpO2ECG onlyNiMHsecondary 1.5 days 2 days 2.5 daysAlkalineprimary 1 day 2 days 2.5 daysThe above data is when the following batteries and battery charger which are recommended by Nihon Kohden are used. The measurement is performed at room temperature, NIBP is measured in auto mode at 60 minute intervals and SpO2ismeasuredonanindexngerofamalepatientwithweight60kg.OperationtimedependsonthethicknessoftheSpO2 probe attachment site.NiMHsecondary: SANYOHR-3UF(W) Battery charger: SANYO NC-M55Alkalineprimary: NihonKohdenMedipower(equivalenttoPanasonicLR6(G))DisposalNOTERemove the batteries before disposing of the transmitter.Beforedisposingofthebatteries,checkwithyourlocalsolidwasteofcials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, SpO2 Probes and NIBP CuffsRefer to the manual of each item.
Operator’s Manual ZM-940PA/941PA 85Cleaning, Disinfection and SterilizationTransmitter and Electrode LeadsCAUTIONThis transmitter is not waterproof. If detergent or liquid spills into the transmitter, stop cleaning or disinfecting it and contact your Nihon Kohden representative. The transmitter needs to be checked for safety and function before use.CAUTIONBefore cleaning or disinfection, remove the batteries from the transmitter. Failure to follow this instruction may result in electrical shock or transmitter malfunction.CAUTIONDispose of the transmitter, options and accessories as specified by Nihon Kohden. Otherwise, it causes infection or environmental contamination.CAUTIONThe transmitter cannot be sterilized. Sterilizing the transmitter may damage it.Before cleaning or disinfecting, remove the batteries from the transmitter. Be careful not to let any liquid get inside the transmitter.CleaningWipe the transmitter and electrode leads with a soft cloth moistened with disinfecting alcohol or neutral detergent diluted with water. After cleaning, dry them completely.DisinfectionCAUTION• 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 below. Use the recommended concentration.
86 Operator’s Manual ZM-940PA/941PA Disinfectant Concentration (%)Glutaraldehyde solution 2.0Alkyldiaminoethylglycinehydrochloride 0.5Benzalkoniumchloride 0.2Benzethonium chloride solution 0.2Chlorhexidine gluconate solution 0.5SpO2 ProbeRefer to the probe manual.YP-943P/944P NIBP CuffsCAUTION• Do not autoclave.• Use only glutaraldehyde solution.• Never allow liquid to get inside the inflation bag.• Do not sterilize or disinfect the cuff with ultraviolet light or ozone.CleaningTocleanthecuff,removethelockplateandcarefullypullouttheinationbagfromtheclothcover.Cloth cover: Wash with neutral detergent and water. Thoroughly dry it. When washing in a washing machine, put it in a net.Inationbag:Wipe with a soft cloth or cotton moistened with disinfecting alcohol. Thoroughly dry it.DisinfectionTo disinfect the cuff, use glutaraldehyde solution. Use the recommended concentration of the disinfectant. Refer to the disinfectant manual for details. After disinfection, clean the cuff as described above.
Operator’s Manual ZM-940PA/941PA 87SpecificationsZM-940PAMeasuring ParametersMeasuring waveforms: ECG, Respiration in impedance method, pulseMeasuring numeric data: SpO2, NIBP, pulse rateTransmitting DataWaveform data: ECG, respiration, pulse waveNumeric data: SpO2 and NIBPStatusinformation: Batteryreplacement,channelID,typeoftransmitter,checkelectrodes, abnormal polarization voltage, pacing data, SpO2 status, NIBP statusDisplayed DataSpO2,NIBP,pulserate,pulsewavebargraph,checkelectrode,batteryreplacement,NIBPmeasurement mode and status informationECG MeasurementChannels: 4Input range: ±5 mV or moreDC offset: ±500 mV or moreInputimpedance: 5MΩormore(5Hz)Pacing pulse detection: ANSI/AAMI EC13 BaseduponPacemakerpulserejectionCapabilityECGrecoverytimeafterdebrillation: within10sRespiration MeasurementMeasuring method: Impedance methodImpedancerange: 0to2kΩorlessSpO2 MeasurementDisplay range: Depends on the receiving monitorMeasuring range: 0 to 100%, in 1% stepsMinimum display range: 1%Measuring accuracy When the measuring accuracy of the SpO2 probe is not considered: ±1(80%≤SpO2≤100%) ±2(50%≤SpO2 < 80%) Lessthan50%isnotspecied
88 Operator’s Manual ZM-940PA/941PA When considering the measuring accuracy of the SpO2 probe: ±2(80%≤SpO2≤100%) ±3(70%≤SpO2 < 80%) Lessthan70%isnotspeciedNIBP MeasurementDisplayed items: Systolic, diastolic, meanCuffpressuredisplayrange: 0to300mmHgMeasurement modes: Manual, STAT, auto at 5, 10, 15, 30, 60, 120 or 240 minute intervalMeasurementaccuracy: ±3mmHg(0≤NIBP≤200mmHg) ±4mmHg(200<NIBP<300mmHg) Meets or exceeds AAMI Sp-10. 1992 standard (Maximummeanerror:±5mmHg Maximumstandarddeviation:8mmHg)Pulse RateMeasuring range: 30 to 200 beats/min ±8 beats/min (NIBP) 30 to 250 beats/min ±3% ±1 beat/min (SpO2)TransmitterFCCregulation: FCCpart95SubpartH Wireless Medical Telemetry Service (WMTS)Field strength limits: <200 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: InternalTransmission channel: Indicated on the transmitterTransmissionfrequencyrange: 608.0250to613.9750MHzChannelspacing: 50kHzor37.5kHz(12.5kHzwheninterleaved)Modulation: FrequencyshiftkeyingType of emission: F1DOccupiedbandwidth: <20kHzEffective radiated power: 1.0 mWPower RequirementsOperating voltage: 3.2 to 4.8 VBatterytype: ThreeAA(R6)typeNiMHsecondarybatteries ThreeAA(R6)typealkalinedrycellprimarybatteries
Operator’s Manual ZM-940PA/941PA 89Battery lifetime:Type Lifetime (Measuring parameters)ECG, SpO2, NIBP ECG, SpO2ECG onlyNiMHsecondary 2 days 2.5 days 3 daysAlkalineprimary 1 day 2.5 days 3 daysThe above data is when the following batteries and battery charger which are recommended by Nihon Kohden are used. The measurement is performed at room temperature, NIBP is measured in auto mode at 60 minute intervals and SpO2ismeasuredonanindexngerofamalepatientwithweight60kg.OperationtimedependsonthethicknessoftheSpO2 probe attachment site.NiMHsecondary: SANYOHR-3UF(W) Battery charger: SANYO NC-M55Alkalineprimary: NihonKohdenMedipower(equivalenttoPanasonicLR6(G))Dimension and WeightDimension: 114W×103H×58D(mm)Weight: 280 g ±30 g (excluding batteries, NIBP cuff and other accessories)EnvironmentOperating environmentOperating temperature: 5 to 40°C, 41 to 104°F When using NIBP cuff, 10 to 40°C, 50 to 104°FOperating humidity: 30 to 85% (non-condensing)Operatingatmosphericpressure: 70to106kPaStorage environmentStoragetemperature: −20to65°C,−4to149°FStorage humidity: 10 to 95%Storageatmosphericpressure: 70to106kPaSafety StandardsSafety 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.60601-2-27:1998 CAN/CSA-C22.2 No. 60601-2-30: 2002 IEC 60601-1:1988 IEC 60601-1 Amendment 1: 1991
90 Operator’s Manual ZM-940PA/941PA IEC 60601-1 Amendment 2: 1995 IEC 60601-1-2: 2001 IEC60601-2-27:1994 IEC 60601-2-30: 1999 IEC 60601-2-49: 2001According to the type of protectionagainstelectricalshock: INTERNALLYPOWEREDEQUIPMENTAccording to the degree of protectionagainstelectricalshock:ECG and impedance method respiration: DEFIBRILLATION-PROOF TYPE CF APPLIED PARTSpO2 and NIBP: DEFIBRILLATION-PROOF TYPE BF APPLIED PARTAccording to the degree of protectionagainst harmful ingress of water: IPX0 (Ordinary equipment)According to the degree of safety ofapplication in the presence of aFLAMMABLEANAESTHETICMIXTUREWITHAIR,ORWITHOXYGEN OR NITROUS OXIDE: Equipment not suitable for use in the presence of FLAMMABLEANAESTHETICMIXTUREWITH AIR,ORWITHOXYGENORNITROUSOXIDEAccording to the mode of operation: CONTINUOUS OPERATIONElectromagnetic CompatibilityIEC 60601-1-2: 2001Electromagnetic EmissionsThisModelZM-940PAisintendedforuseintheelectromagneticenvironmentspeciedbelow.The customer or the user of the ZM-940PA should assure that it is used in such an environment.Emissions test Compliance Electromagnetic environment guidanceRF emissionsCISPR 11Group 1 The ZM-940PA uses RF energy only for its internal function. Therefore, its RF emissions are very lowandarenotlikelytocauseanyinterferenceinnearby electronic equipment.RF emissionsCISPR 11Class B The ZM-940PA is suitable for use in all establishments, including domestic establishments.HarmonicemissionsIEC 61000-3-2Not applicableVoltageuctuations/ickeremissionsIEC 61000-3-3Not applicable
Operator’s Manual ZM-940PA/941PA 91Electromagnetic ImmunityThisModelZM-940PAisintendedforuseintheelectromagneticenvironmentspeciedbelow.The customer or the user of the ZM-940PA should assure that it is used in such an environment.Immunity test IEC 60601 test levelCompliance levelElectromagnetic environment - guidanceElectrostatic discharge (ESD)IEC 61000-4-2±6kVcontact±8kVair±6kVcontact±8kVairFloors should be wood, concrete orceramictile.Ifoorsarecovered with synthetic material, the relative humidity should be at least 30%.Electrical fast transient/ burstIEC 61000-4-4±2kVforpowersupply lines±1kVforinput/outputlinesNot applicable—SurgeIEC 61000-4-5±1kVdifferentialmode±2kVcommonmodeNot applicable—Voltage dips, short interruptions and voltage variations on power supply input linesIEC 61000-4-11<5% UT (>95% dip in UT) for 0.5 cycle40% UT (60% dip in UT) for 5 cycles70%UT (30% dip in UT) for 25 cycles<5% UT (>95% dip in UT) for 5 sNot applicable—Power frequency(50/60Hz)magneticeldIEC 61000-4-83 A/m 3 A/m Powerfrequencymagneticelds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 levelAvoiding 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elds.Electromagneticeldswitheldstrengthsabove1V/mmaycausemeasurement error. Do not use electrically radiating equipment near the impedance respiration measurements.
92 Operator’s Manual ZM-940PA/941PAImmunity test IEC 60601 test levelCompliance levelElectromagnetic environment - guidanceConducted RF IEC 61000-4-6Radiated RFIEC 61000-4-33 Vrms3 V/m 80MHzto2.5GHz3 Vrms3V/m80MHzto2.5GHz(1V/m80MHzto2.5GHzforrespiration)Portable and mobile RF communications equipment should be used no closer to any part of the ZM-940PA, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distanced = 1.2√P d = 1.2√P80MHzto800MHzd = 2.3√P800MHzto2.5GHz(d = 3.5√P80MHzto800MHzforrespirationd=7.0√P800MHzto2.5GHzforrespiration)where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m).FieldstrengthsfromxedRFtransmitters,as deter mined by an electromagnetic site survey*1, should be less than the compliance level in each frequency range*2.Interference may occur in the vicinity of equipmentmarkedwiththefollowingsymbol:NOTE1: At80MHzand800MHz,thehigherfrequencyrangeapplies.NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by  absorptionandreectionfromstructures,objectsandpeople.*1 Fieldstrengthsfromxed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xedRFtransmitters,anelectromagneticsitesurveyshouldbeconsidered.Ifthemeasuredeldstrengthinthelocationinwhichthe ZM-940PA is used exceeds the applicable RF compliance level above, the ZM-940PA 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-940PA.*2 Overthefrequencyrange150kHzto80MHz,eldstrengthsshouldbelessthan1V/mforrespirationand 3 V/m for all other functions.
Operator’s Manual ZM-940PA/941PA 93Recommended Separation Distances between Portable and Mobile RF Communications EquipmentThe ZM-940PA is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the ZM-940PA can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the ZM-940PA 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 MHzd = 1.2√P80 MHz to 800 MHzd = 1.2√P(For respiration:d = 3.5√P)800 MHz to 2.5 GHzd = 2.3√P(For respiration:d = 7.0√P)0.01 0.12 0.12 (0.35*) 0.23(0.7*)0.1 0.38 0.38 (1.1*) 0.73(2.2*)1 1.2 1.2 (3.5*) 2.3(7.0*)10 3.8 3.8 (11*) 7.3(22*)100 12 12 (35*) 23(70*)For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. (* For respiration)NOTE1 At80MHzand800MHz,theseparationdistanceforthehigherfrequencyrangeapplies.NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected byabsorptionandreectionfromstructures,objectsandpeople.Recovery Time after DefibrillationThetransmitterreturnstothenormaloperatingmodewithin10secondsafterdebrillation.Thestored settings are not affected.System Composition for EMC TestThe ZM-940PA bedside monitor is tested to comply with IEC 60601-1-2: 2001 with the following composition.Units Cable lengthZM-940PA transmitter —YP-943P NIBP cuff 0.15 mBR-906P ECG electrode lead 0.8 mTL-201Tngerprobe 1.6 m
94 Operator’s Manual ZM-940PA/941PAZM-941PAMeasuring ParametersMeasuring waveforms: ECG, Respiration in impedance method, pulseMeasuring numeric data: SpO2, NIBP, pulse rateTransmitting DataWaveform data: ECG, respiration, pulse waveNumeric data: SpO2 and NIBPStatusinformation: Batteryreplacement,channelID,typeoftransmitter,checkelectrodes, abnormal polarization voltage, pacing data, SpO2 status, NIBP statusDisplayed DataSpO2,NIBP,pulserate,pulsewavebargraph,checkelectrode,batteryreplacement,NIBPmeasurement mode and status informationECG MeasurementChannels: 4Input range: ±5 mV or moreDC offset: ±500 mV or moreInputimpedance: 5MΩormore(5Hz)Pacing pulse detection: ANSI/AAMI EC13 BaseduponPacemakerpulserejectionCapabilityECGrecoverytimeafterdebrillation: within10sRespiration MeasurementMeasuring method: Impedance methodImpedancerange: 0to2kΩorlessSpO2 MeasurementDisplay range: Depends on the receiving monitorMeasuring range: 0 to 100%, in 1% stepsMinimum display range: 1%Measuring accuracy When the measuring accuracy of the SpO2 probe is not considered: ±1(80%≤SpO2≤100%) ±2(50%≤SpO2 < 80%) Lessthan50%isnotspecied When considering the measuring accuracy of the SpO2 probe: ±2(80%≤SpO2≤100%) ±3(70%≤SpO2 < 80%) Lessthan70%isnotspecied
Operator’s Manual ZM-940PA/941PA 95NIBP MeasurementDisplayed items: Systolic, diastolic, meanCuffpressuredisplayrange: 0to300mmHgMeasurement modes: Manual, STAT, auto at 5, 10, 15, 30, 60, 120 or 240 minute intervalMeasurementaccuracy: ±3mmHg(0≤NIBP≤200mmHg) ±4mmHg(200<NIBP<300mmHg) Meets or exceeds AAMI Sp-10. 1992 standard (Maximummeanerror:±5mmHg Maximumstandarddeviation:8mmHg)Pulse RateMeasuring range: 30 to 200 beats/min ±8 beats/min (NIBP) 30 to 250 beats/min ±3% ±1 beat/min (SpO2)TransmitterFCC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: InternalTransmission channel: Indicated on the transmitterTransmissionfrequencyrange: 1395.0250to1399.9750MHz 1427.0250to1431.9750MHzChannelspacing: 50kHzor37.5kHz(12.5kHzwheninterleaved)Modulation: FrequencyshiftkeyingType of emission: F1DOccupiedbandwidth: <20kHzEffective radiated power: 5.0 mW (factory default setting) Can be changed to 1.0 mW if requiredPower RequirementsOperating voltage: 3.2 to 4.8 VBatterytype: ThreeAA(R6)typeNiMHsecondarybatteries ThreeAA(R6)typealkalinedrycellprimarybatteriesBattery lifetime:Type Lifetime (Measuring parameters)ECG, SpO2, NIBP ECG, SpO2ECG onlyNiMHsecondary 1.5 days 2 days 2.5 daysAlkalineprimary 1 day 2 days 2.5 days
96 Operator’s Manual ZM-940PA/941PAThe above data is when the following batteries and battery charger which are recommended by Nihon Kohden are used. The measurement is performed at room temperature, NIBP is measured in auto mode at 60 minute intervals and SpO2ismeasuredonanindexngerofamalepatientwithweight60kg.OperationtimedependsonthethicknessoftheSpO2 probe attachment site.NiMHsecondary: SANYOHR-3UF(W) Battery charger: SANYO NC-M55Alkalineprimary: NihonKohdenMedipower(equivalenttoPanasonicLR6(G))Dimension and WeightDimension: 114W×103H×58D(mm)Weight: 280 g ±30 g (excluding batteries, NIBP cuff and other accessories)EnvironmentOperating environmentOperating temperature: 5 to 40°C, 41 to 104°F When using NIBP cuff, 10 to 40°C, 50 to 104°FOperating humidity: 30 to 85% (non-condensing)Operatingatmosphericpressure: 70to106kPaStorage environmentStoragetemperature: −20to65°C,−4to149°FStorage humidity: 10 to 95%Storageatmosphericpressure: 70to106kPaSafety StandardsSafety 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 CAN/CSA-C22.2 No. 60601-2-30-02: 2002 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 60601-2-30: 1999 IEC 60601-2-49: 2001
Operator’s Manual ZM-940PA/941PA 97According to the type of protectionagainstelectricalshock: INTERNALLYPOWEREDEQUIPMENTAccording to the degree of protectionagainstelectricalshock:ECG and impedance method respiration: DEFIBRILLATION-PROOF TYPE CF APPLIED PARTSpO2 and NIBP: DEFIBRILLATION-PROOF TYPE BF APPLIED PARTAccording to the degree of protectionagainst harmful ingress of water: IPX0 (Ordinary equipment)According to the degree of safety ofapplication in the presence of aFLAMMABLEANAESTHETICMIXTUREWITHAIR,ORWITHOXYGEN OR NITROUS OXIDE: Equipment not suitable for use in the presence of FLAMMABLEANAESTHETICMIXTUREWITH AIR,ORWITHOXYGENORNITROUSOXIDEAccording to the mode of operation: CONTINUOUS OPERATIONElectromagnetic CompatibilityIEC 60601-1-2: 2001IEC 60601-1-2 Amendment 1: 2004Electromagnetic EmissionsThisModelZM-941PAisintendedforuseintheelectromagneticenvironmentspeciedbelow.The customer or the user of the ZM-941PA should assure that it is used in such an environment.Emissions test Compliance Electromagnetic environment guidanceRF emissionsCISPR 11Group 1 The ZM-941PA uses RF energy only for its internal function. Therefore, its RF emissions are very lowandarenotlikelytocauseanyinterferenceinnearby electronic equipment.RF emissionsCISPR 11Class B The ZM-941PA is suitable for use in all establishments, including domestic establishments.HarmonicemissionsIEC 61000-3-2Not applicableVoltageuctuations/ickeremissionsIEC 61000-3-3Not applicable
98 Operator’s Manual ZM-940PA/941PAElectromagnetic ImmunityThisModelZM-941PAisintendedforuseintheelectromagneticenvironmentspeciedbelow.The customer or the user of the ZM-941PA should assure that it is used in such an environment.Immunity test IEC 60601 test levelCompliance levelElectromagnetic environment - guidanceElectrostatic discharge (ESD)IEC 61000-4-2±6kVcontact±8kVair±6kVcontact±8kVairFloors should be wood, concrete orceramictile.Ifoorsarecovered with synthetic material, the relative humidity should be at least 30%.Electrical fast transient/ burstIEC 61000-4-4±2kVforpowersupply lines±1kVforinput/outputlinesNot applicable—SurgeIEC 61000-4-5±1kVdifferentialmode±2kVcommonmodeNot applicable—Voltage dips, short interruptions and voltage variations on power supply input linesIEC 61000-4-11<5% UT (>95% dip in UT) for 0.5 cycle40% UT (60% dip in UT) for 5 cycles70%UT (30% dip in UT) for 25 cycles<5% UT (>95% dip in UT) for 5 sNot applicable—Power frequency(50/60Hz)magneticeldIEC 61000-4-83 A/m 3 A/m Powerfrequencymagneticelds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 levelAvoiding 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elds.Electromagneticeldswitheldstrengthsabove1V/mmaycausemeasurement error. Do not use electrically radiating equipment near the impedance respiration measurements.
Operator’s Manual ZM-940PA/941PA 99Immunity test IEC 60601 test levelCompliance levelElectromagnetic environment - guidanceConducted RF IEC 61000-4-6Radiated RFIEC 61000-4-33 Vrms3 V/m 80MHzto2.5GHz3 Vrms3V/m80MHzto2.5GHz(1V/m80MHzto2.5GHzforrespiration)Portable and mobile RF communications equipment should be used no closer to any part of the ZM-941PA, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distanced = 1.2√P d = 1.2√P80MHzto800MHzd = 2.3√P800MHzto2.5GHz(d = 3.5√P80MHzto800MHzforrespirationd=7.0√P800MHzto2.5GHzforrespiration)where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m).FieldstrengthsfromxedRFtransmitters,as deter mined by an electromagnetic site survey*1, should be less than the compliance level in each frequency range*2.Interference may occur in the vicinity of equipmentmarkedwiththefollowingsymbol:NOTE1: At80MHzand800MHz,thehigherfrequencyrangeapplies.NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by  absorptionandreectionfromstructures,objectsandpeople.*1 Fieldstrengthsfromxed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xedRFtransmitters,anelectromagneticsitesurveyshouldbeconsidered.Ifthemeasuredeldstrengthinthelocationinwhichthe ZM-941PA is used exceeds the applicable RF compliance level above, the ZM-941PA 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-941PA.*2 Overthefrequencyrange150kHzto80MHz,eldstrengthsshouldbelessthan1V/mforrespirationand 3 V/m for all other functions.
100 Operator’s Manual ZM-940PA/941PARecommended Separation Distances between Portable and Mobile RF Communications EquipmentThe ZM-941PA is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the ZM-941PA can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the ZM-941PA 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 MHzd = 1.2√P80 MHz to 800 MHzd = 1.2√P(For respiration:d = 3.5√P)800 MHz to 2.5 GHzd = 2.3√P(For respiration:d = 7.0√P)0.01 0.12 0.12 (0.35*) 0.23(0.7*)0.1 0.38 0.38 (1.1*) 0.73(2.2*)1 1.2 1.2 (3.5*) 2.3(7.0*)10 3.8 3.8 (11*) 7.3(22*)100 12 12 (35*) 23(70*)For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. (* For respiration)NOTE1: At80MHzand800MHz,theseparationdistanceforthehigherfrequencyrangeapplies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected byabsorptionandreectionfromstructures,objectsandpeople.Recovery Time after DefibrillationThetransmitterreturnstothenormaloperatingmodewithin10secondsafterdebrillation.Thestored settings are not affected.System Composition for EMC TestThe ZM-941PA 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 lengthZM-941PA transmitter —YP-943P NIBP cuff 0.15 mBR-906P ECG electrode lead 0.8 mTL-201Tngerprobe 1.6 m
Operator’s Manual ZM-940PA/941PA 101Standard Accessories12No. Name Model Q’ty Supply Code No.1 NIBP cuff for adult, standard YP-943P 1 S938B2 Strap — 1 Y236The following parts are available for replacement.3 4Lock plate is a standard accessory of the YP-943P/944P NIBP cuff.No. Name Model Q’ty Supply Code No.3 Battery case cover — 1 6144-0120044Lockplate — 1 6113-049585
102 Operator’s Manual ZM-940PA/941PAOptionsCAUTIONOnly use Nihon Kohden specified electrodes, electrode leads, SpO2 probes, and NIBP cuffs. Otherwise, the maximum performance from the transmitter cannot be guaranteed.TransmitterChannel writer, QI-901PKECG/RESPName Application Model Q’ty Supply Code No.Electrode lead3 electrodes, clip type,lead length 80 cm BR-903PA 1 K911A3 electrodes, snap type,lead length 80 cm BR-913PA 1 K910B6 electrodes, clip type, lead length 80 cm BR-906PA 1 K912A6 electrodes, snap type, lead length 80 cm BR-916PA 1 K915A
Operator’s Manual ZM-940PA/941PA 103NIBPName Width (cm)Air Hose Length (cm)Model Q’ty Supply Code No.Cuff for adult, for attaching transmitter to patient armStandard 1315YP-943P*1S938BLarge 15 YP-944P* S938CCuff for infant 515YP-960T1S943ACuff for child Small 7YP-961T S943BStandard 10 YP-962T S943CCuff for adult Standard 13 YP-963T S944BLarge 15 YP-964T S944CDisposable cuff for infant 6 17 YP-810P20S945CDisposable cuff for child 8 17 YP-811P S945DDisposable cuff for adultSmall 10 17 YP-812P S946EStandard 14 20 YP-813P S946FMedium large 15 20 YP-814P S946GLarge 17 20 YP-815P S946HExtra large 18 20 YP-816P S946IExtension hose — 150 YN-990P 1 S903* ThelockplateisprovidedwiththeseNIBPcuffs.
104 Operator’s Manual ZM-940PA/941PASpO2 Name Cable lengthModel/Code No. Q’ty Supply Code No.Finger probe (reusable) 0.6 m TL-201T1P225H1.6 m P225FMulti-site probe (reusable) 1.6 m TL-220T P225GFinger probe (reusable)0.6 m TL-630T1 P310A1.6 m TL-630T3 P310C0.6 m TL-631T1 P311A1.6 m TL-631T3 P311CSpO2 probe (for adult, disposable)1.6 mTL-251T5P201ASpO2 probe (for child, disposable) TL-252T P201BSpO2 probe (for neonate, disposable) TL-253T P201CSpO2 probe (for adult, disposable) 0.8 m TL-271T24P203A1.6 m TL-271T3 P203ESpO2 probe (for child, disposable) 0.8 m TL-272T P203B1.6 m TL-272T3 P203FSpO2 probe (for neonate/adult, disposable)0.8 m TL-273T P203C1.6 m TL-273T3 P203GSpO2 probe (for child/infant, disposable)0.8 m TL-274T P203D1.6 m TL-274T3 P203HSpO2 probe (for adult/neonate, disposable)0.8 m TL-051S5P228A1.6 m TL-052S P228BSpO2 probe (for child/infant, disposable)0.8 m TL-061S P229A1.6 m TL-062S P229BCOTTONY tape—340703 20 P259Foam tape for TL-051S/052S/ 061S/062S —4 ×25packages P260Attachment tape for TL-220T/ 251T/252T/253T/630T/631T 3 ×30packages P263Probe fastener YS-093P2 30 P267
Operator’s Manual ZM-940PA/941PA 105Transmission FrequenciesChannel:9002to9478Transmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.608.0250 9002 608.4375 9035 608.8500 9068608.0375 9003 608.4500 9036 608.8625 9069608.0500 9004 608.4625 9037 608.8750 9070608.0625 9005 608.4750 9038 608.8875 9071608.0750 9006 608.4875 9039 608.9000 9072608.0875 9007 608.5000 9040 608.9125 9073608.1000 9008 608.5125 9041 608.9250 9074608.1125 9009 608.5250 9042 608.9375 9075608.1250 9010 608.5375 9043 608.9500 9076608.1375 9011 608.5500 9044 608.9625 9077608.1500 9012 608.5625 9045 608.9750 9078608.1625 9013 608.5750 9046 608.9875 9079608.1750 9014 608.5875 9047 609.0000 9080608.1875 9015 608.6000 9048 609.0125 9081608.2000 9016 608.6125 9049 609.0250 9082608.2125 9017 608.6250 9050 609.0375 9083608.2250 9018 608.6375 9051 609.0500 9084608.2375 9019 608.6500 9052 609.0625 9085608.2500 9020 608.6625 9053 609.0750 9086608.2625 9021 608.6750 9054 609.0875 9087608.2750 9022 608.6875 9055 609.1000 9088608.2875 9023 608.7000 9056 609.1125 9089608.3000 9024 608.7125 9057 609.1250 9090608.3125 9025 608.7250 9058 609.1375 9091608.3250 9026 608.7375 9059 609.1500 9092608.3375 9027 608.7500 9060 609.1625 9093608.3500 9028 608.7625 9061 609.1750 9094608.3625 9029 608.7750 9062 609.1875 9095608.3750 9030 608.7875 9063 609.2000 9096608.3875 9031 608.8000 9064 609.2125 9097608.4000 9032 608.8125 9065 609.2250 9098608.4125 9033 608.8250 9066 609.2375 9099608.4250 9034 608.8375 9067 609.2500 9100
106 Operator’s Manual ZM-940PA/941PATransmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.609.2625 9101 609.7125 9137 610.1625 9173609.2750 9102 609.7250 9138 610.1750 9174609.2875 9103 609.7375 9139 610.1875 9175609.3000 9104 609.7500 9140 610.2000 9176609.3125 9105 609.7625 9141 610.2125 9177609.3250 9106 609.7750 9142 610.2250 9178609.3375 9107 609.7875 9143 610.2375 9179609.3500 9108 609.8000 9144 610.2500 9180609.3625 9109 609.8125 9145 610.2625 9181609.3750 9110 609.8250 9146 610.2750 9182609.3875 9111 609.8375 9147 610.2875 9183609.4000 9112 609.8500 9148 610.3000 9184609.4125 9113 609.8625 9149 610.3125 9185609.4250 9114 609.8750 9150 610.3250 9186609.4375 9115 609.8875 9151 610.3375 9187609.4500 9116 609.9000 9152 610.3500 9188609.4625 9117 609.9125 9153 610.3625 9189609.4750 9118 609.9250 9154 610.3750 9190609.4875 9119 609.9375 9155 610.3875 9191609.5000 9120 609.9500 9156 610.4000 9192609.5125 9121 609.9625 9157 610.4125 9193609.5250 9122 609.9750 9158 610.4250 9194609.5375 9123 609.9875 9159 610.4375 9195609.5500 9124 610.0000 9160 610.4500 9196609.5625 9125 610.0125 9161 610.4625 9197609.5750 9126 610.0250 9162 610.4750 9198609.5875 9127 610.0375 9163 610.4875 9199609.6000 9128 610.0500 9164 610.5000 9200609.6125 9129 610.0625 9165 610.5125 9201609.6250 9130 610.0750 9166 610.5250 9202609.6375 9131 610.0875 9167 610.5375 9203609.6500 9132 610.1000 9168 610.5500 9204609.6625 9133 610.1125 9169 610.5625 9205609.6750 9134 610.1250 9170 610.5750 9206609.6875 9135 610.1375 9171 610.5875 9207
Operator’s Manual ZM-940PA/941PA 107Transmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.609.7000 9136 610.1500 9172 610.6000 9208610.6125 9209 611.0625 9245 611.5125 9281610.6250 9210 611.0750 9246 611.5250 9282610.6375 9211 611.0875 9247 611.5375 9283610.6500 9212 611.1000 9248 611.5500 9284610.6625 9213 611.1125 9249 611.5625 9285610.6750 9214 611.1250 9250 611.5750 9286610.6875 9215 611.1375 9251 611.5875 9287610.7000 9216 611.1500 9252 611.6000 9288610.7125 9217 611.1625 9253 611.6125 9289610.7250 9218 611.1750 9254 611.6250 9290610.7375 9219 611.1875 9255 611.6375 9291610.7500 9220 611.2000 9256 611.6500 9292610.7625 9221 611.2125 9257 611.6625 9293610.7750 9222 611.2250 9258 611.6750 9294610.7875 9223 611.2375 9259 611.6875 9295610.8000 9224 611.2500 9260 611.7000 9296610.8125 9225 611.2625 9261 611.7125 9297610.8250 9226 611.2750 9262 611.7250 9298610.8375 9227 611.2875 9263 611.7375 9299610.8500 9228 611.3000 9264 611.7500 9300610.8625 9229 611.3125 9265 611.7625 9301610.8750 9230 611.3250 9266 611.7750 9302610.8875 9231 611.3375 9267 611.7875 9303610.9000 9232 611.3500 9268 611.8000 9304610.9125 9233 611.3625 9269 611.8125 9305610.9250 9234 611.3750 9270 611.8250 9306610.9375 9235 611.3875 9271 611.8375 9307610.9500 9236 611.4000 9272 611.8500 9308610.9625 9237 611.4125 9273 611.8625 9309610.9750 9238 611.4250 9274 611.8750 9310610.9875 9239 611.4375 9275 611.8875 9311611.0000 9240 611.4500 9276 611.9000 9312611.0125 9241 611.4625 9277 611.9125 9313611.0250 9242 611.4750 9278 611.9250 9314611.0375 9243 611.4875 9279 611.9375 9315
108 Operator’s Manual ZM-940PA/941PATransmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.611.0500 9244 611.5000 9280 611.9500 9316611.9625 9317 612.4125 9353 612.8625 9389611.9750 9318 612.4250 9354 612.8750 9390611.9875 9319 612.4375 9355 612.8875 9391612.0000 9320 612.4500 9356 612.9000 9392612.0125 9321 612.4625 9357 612.9125 9393612.0250 9322 612.4750 9358 612.9250 9394612.0375 9323 612.4875 9359 612.9375 9395612.0500 9324 612.5000 9360 612.9500 9396612.0625 9325 612.5125 9361 612.9625 9397612.0750 9326 612.5250 9362 612.9750 9398612.0875 9327 612.5375 9363 612.9875 9399612.1000 9328 612.5500 9364 613.0000 9400612.1125 9329 612.5625 9365 613.0125 9401612.1250 9330 612.5750 9366 613.0250 9402612.1375 9331 612.5875 9367 613.0375 9403612.1500 9332 612.6000 9368 613.0500 9404612.1625 9333 612.6125 9369 613.0625 9405612.1750 9334 612.6250 9370 613.0750 9406612.1875 9335 612.6375 9371 613.0875 9407612.2000 9336 612.6500 9372 613.1000 9408612.2125 9337 612.6625 9373 613.1125 9409612.2250 9338 612.6750 9374 613.1250 9410612.2375 9339 612.6875 9375 613.1375 9411612.2500 9340 612.7000 9376 613.1500 9412612.2625 9341 612.7125 9377 613.1625 9413612.2750 9342 612.7250 9378 613.1750 9414612.2875 9343 612.7375 9379 613.1875 9415612.3000 9344 612.7500 9380 613.2000 9416612.3125 9345 612.7625 9381 613.2125 9417612.3250 9346 612.7750 9382 613.2250 9418612.3375 9347 612.7875 9383 613.2375 9419612.3500 9348 612.8000 9384 613.2500 9420612.3625 9349 612.8125 9385 613.2625 9421612.3750 9350 612.8250 9386 613.2750 9422612.3875 9351 612.8375 9387 613.2875 9423
Operator’s Manual ZM-940PA/941PA 109Transmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.Transmissionfrequency(MHz)Channel No.612.4000 9352 612.8500 9388 613.3000 9424613.3125 9425 613.5375 9443 613.7625 9461613.3250 9426 613.5500 9444 613.7750 9462613.3375 9427 613.5625 9445 613.7875 9463613.3500 9428 613.5750 9446 613.8000 9464613.3625 9429 613.5875 9447 613.8125 9465613.3750 9430 613.6000 9448 613.8250 9466613.3875 9431 613.6125 9449 613.8375 9467613.4000 9432 613.6250 9450 613.8500 9468613.4125 9433 613.6375 9451 613.8625 9469613.4250 9434 613.6500 9452 613.8750 9470613.4375 9435 613.6625 9453 613.8875 9471613.4500 9436 613.6750 9454 613.9000 9472613.4625 9437 613.6875 9455 613.9125 9473613.4750 9438 613.7000 9456 613.9250 9474613.4875 9439 613.7125 9457 613.9375 9475613.5000 9440 613.7250 9458 613.9500 9476613.5125 9441 613.7375 9459 613.9625 9477613.5250 9442 613.7500 9460 613.9750 9478
110 Operator’s Manual ZM-940PA/941PAChannel: E002 to E398Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.1395.0250 E002 1395.4625 E037 1395.9000 E0721395.0375 E003 1395.4750 E038 1395.9125 E0731395.0500 E004 1395.4875 E039 1395.9250 E0741395.0625 E005 1395.5000 E040 1395.9375 E0751395.0750 E006 1395.5125 E041 1395.9500 E0761395.0875 E007 1395.5250 E042 1395.9625 E0771395.1000 E008 1395.5375 E043 1395.9750 E0781395.1125 E009 1395.5500 E044 1395.9875 E0791395.1250 E010 1395.5625 E045 1396.0000 E0801395.1375 E011 1395.5750 E046 1396.0125 E0811395.1500 E012 1395.5875 E047 1396.0250 E0821395.1625 E013 1395.6000 E048 1396.0375 E0831395.1750 E014 1395.6125 E049 1396.0500 E0841395.1875 E015 1395.6250 E050 1396.0625 E0851395.2000 E016 1395.6375 E051 1396.0750 E0861395.2125 E017 1395.6500 E052 1396.0875 E0871395.2250 E018 1395.6625 E053 1396.1000 E0881395.2375 E019 1395.6750 E054 1396.1125 E0891395.2500 E020 1395.6875 E055 1396.1250 E0901395.2625 E021 1395.7000 E056 1396.1375 E0911395.2750 E022 1395.7125 E057 1396.1500 E0921395.2875 E023 1395.7250 E058 1396.1625 E0931395.3000 E024 1395.7375 E059 1396.1750 E0941395.3125 E025 1395.7500 E060 1396.1875 E0951395.3250 E026 1395.7625 E061 1396.2000 E0961395.3375 E027 1395.7750 E062 1396.2125 E0971395.3500 E028 1395.7875 E063 1396.2250 E0981395.3625 E029 1395.8000 E064 1396.2375 E0991395.3750 E030 1395.8125 E065 1396.2500 E1001395.3875 E031 1395.8250 E066 1396.2625 E1011395.4000 E032 1395.8375 E067 1396.2750 E1021395.4125 E033 1395.8500 E068 1396.2875 E1031395.4250 E034 1395.8625 E069 1396.3000 E1041395.4375 E035 1395.8750 E070 1396.3125 E1051395.4500 E036 1395.8875 E071 1396.3250 E106
Operator’s Manual ZM-940PA/941PA 111Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.1396.3375 E107 1396.7875 E143 1397.2375 E1791396.3500 E108 1396.8000 E144 1397.2500 E1801396.3625 E109 1396.8125 E145 1397.2625 E1811396.3750 E110 1396.8250 E146 1397.2750 E1821396.3875 E111 1396.8375 E147 1397.2875 E1831396.4000 E112 1396.8500 E148 1397.3000 E1841396.4125 E113 1396.8625 E149 1397.3125 E1851396.4250 E114 1396.8750 E150 1397.3250 E1861396.4375 E115 1396.8875 E151 1397.3375 E1871396.4500 E116 1396.9000 E152 1397.3500 E1881396.4625 E117 1396.9125 E153 1397.3625 E1891396.4750 E118 1396.9250 E154 1397.3750 E1901396.4875 E119 1396.9375 E155 1397.3875 E1911396.5000 E120 1396.9500 E156 1397.4000 E1921396.5125 E121 1396.9625 E157 1397.4125 E1931396.5250 E122 1396.9750 E158 1397.4250 E1941396.5375 E123 1396.9875 E159 1397.4375 E1951396.5500 E124 1397.0000 E160 1397.4500 E1961396.5625 E125 1397.0125 E161 1397.4625 E1971396.5750 E126 1397.0250 E162 1397.4750 E1981396.5875 E127 1397.0375 E163 1397.4875 E1991396.6000 E128 1397.0500 E164 1397.5000 E2001396.6125 E129 1397.0625 E165 1397.5125 E2011396.6250 E130 1397.0750 E166 1397.5250 E2021396.6375 E131 1397.0875 E167 1397.5375 E2031396.6500 E132 1397.1000 E168 1397.5500 E2041396.6625 E133 1397.1125 E169 1397.5625 E2051396.6750 E134 1397.1250 E170 1397.5750 E2061396.6875 E135 1397.1375 E171 1397.5875 E2071396.7000 E136 1397.1500 E172 1397.6000 E2081396.7125 E137 1397.1625 E173 1397.6125 E2091396.7250 E138 1397.1750 E174 1397.6250 E2101396.7375 E139 1397.1875 E175 1397.6375 E2111396.7500 E140 1397.2000 E176 1397.6500 E2121396.7625 E141 1397.2125 E177 1397.6625 E2131396.7750 E142 1397.2250 E178 1397.6750 E214
112 Operator’s Manual ZM-940PA/941PATransmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.1397.6875 E215 1398.1375 E251 1398.5875 E2871397.7000 E216 1398.1500 E252 1398.6000 E2881397.7125 E217 1398.1625 E253 1398.6125 E2891397.7250 E218 1398.1750 E254 1398.6250 E2901397.7375 E219 1398.1875 E255 1398.6375 E2911397.7500 E220 1398.2000 E256 1398.6500 E2921397.7625 E221 1398.2125 E257 1398.6625 E2931397.7750 E222 1398.2250 E258 1398.6750 E2941397.7875 E223 1398.2375 E259 1398.6875 E2951397.8000 E224 1398.2500 E260 1398.7000 E2961397.8125 E225 1398.2625 E261 1398.7125 E2971397.8250 E226 1398.2750 E262 1398.7250 E2981397.8375 E227 1398.2875 E263 1398.7375 E2991397.8500 E228 1398.3000 E264 1398.7500 E3001397.8625 E229 1398.3125 E265 1398.7625 E3011397.8750 E230 1398.3250 E266 1398.7750 E3021397.8875 E231 1398.3375 E267 1398.7875 E3031397.9000 E232 1398.3500 E268 1398.8000 E3041397.9125 E233 1398.3625 E269 1398.8125 E3051397.9250 E234 1398.3750 E270 1398.8250 E3061397.9375 E235 1398.3875 E271 1398.8375 E3071397.9500 E236 1398.4000 E272 1398.8500 E3081397.9625 E237 1398.4125 E273 1398.8625 E3091397.9750 E238 1398.4250 E274 1398.8750 E3101397.9875 E239 1398.4375 E275 1398.8875 E3111398.0000 E240 1398.4500 E276 1398.9000 E3121398.0125 E241 1398.4625 E277 1398.9125 E3131398.0250 E242 1398.4750 E278 1398.9250 E3141398.0375 E243 1398.4875 E279 1398.9375 E3151398.0500 E244 1398.5000 E280 1398.9500 E3161398.0625 E245 1398.5125 E281 1398.9625 E3171398.0750 E246 1398.5250 E282 1398.9750 E3181398.0875 E247 1398.5375 E283 1398.9875 E3191398.1000 E248 1398.5500 E284 1399.0000 E3201398.1125 E249 1398.5625 E285 1399.0125 E3211398.1250 E250 1398.5750 E286 1399.0250 E322
Operator’s Manual ZM-940PA/941PA 113Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.1399.0375 E323 1399.4625 E357 1399.8875 E3911399.0500 E324 1399.4750 E358 1399.9000 E3921399.0625 E325 1399.4875 E359 1399.9125 E3931399.0750 E326 1399.5000 E360 1399.9250 E3941399.0875 E327 1399.5125 E361 1399.9375 E3951399.1000 E328 1399.5250 E362 1399.9500 E3961399.1125 E329 1399.5375 E363 1399.9625 E3971399.1250 E330 1399.5500 E364 1399.9750 E3981399.1375 E331 1399.5625 E3651399.1500 E332 1399.5750 E3661399.1625 E333 1399.5875 E3671399.1750 E334 1399.6000 E3681399.1875 E335 1399.6125 E3691399.2000 E336 1399.6250 E3701399.2125 E337 1399.6375 E3711399.2250 E338 1399.6500 E3721399.2375 E339 1399.6625 E3731399.2500 E340 1399.6750 E3741399.2625 E341 1399.6875 E3751399.2750 E342 1399.7000 E3761399.2875 E343 1399.7125 E3771399.3000 E344 1399.7250 E3781399.3125 E345 1399.7375 E3791399.3250 E346 1399.7500 E3801399.3375 E347 1399.7625 E3811399.3500 E348 1399.7750 E3821399.3625 E349 1399.7875 E3831399.3750 E350 1399.8000 E3841399.3875 E351 1399.8125 E3851399.4000 E352 1399.8250 E3861399.4125 E353 1399.8375 E3871399.4250 E354 1399.8500 E3881399.4375 E355 1399.8625 E3891399.4500 E356 1399.8750 E390
114 Operator’s Manual ZM-940PA/941PAChannel: E502 to E898Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.1427.0250 E502 1427.4500 E536 1427.8750 E5701427.0375 E503 1427.4625 E537 1427.8875 E5711427.0500 E504 1427.4750 E538 1427.9000 E5721427.0625 E505 1427.4875 E539 1427.9125 E5731427.0750 E506 1427.5000 E540 1427.9250 E5741427.0875 E507 1427.5125 E541 1427.9375 E5751427.1000 E508 1427.5250 E542 1427.9500 E5761427.1125 E509 1427.5375 E543 1427.9625 E5771427.1250 E510 1427.5500 E544 1427.9750 E5781427.1375 E511 1427.5625 E545 1427.9875 E5791427.1500 E512 1427.5750 E546 1428.0000 E5801427.1625 E513 1427.5875 E547 1428.0125 E5811427.1750 E514 1427.6000 E548 1428.0250 E5821427.1875 E515 1427.6125 E549 1428.0375 E5831427.2000 E516 1427.6250 E550 1428.0500 E5841427.2125 E517 1427.6375 E551 1428.0625 E5851427.2250 E518 1427.6500 E552 1428.0750 E5861427.2375 E519 1427.6625 E553 1428.0875 E5871427.2500 E520 1427.6750 E554 1428.1000 E5881427.2625 E521 1427.6875 E555 1428.1125 E5891427.2750 E522 1427.7000 E556 1428.1250 E5901427.2875 E523 1427.7125 E557 1428.1375 E5911427.3000 E524 1427.7250 E558 1428.1500 E5921427.3125 E525 1427.7375 E559 1428.1625 E5931427.3250 E526 1427.7500 E560 1428.1750 E5941427.3375 E527 1427.7625 E561 1428.1875 E5951427.3500 E528 1427.7750 E562 1428.2000 E5961427.3625 E529 1427.7875 E563 1428.2125 E5971427.3750 E530 1427.8000 E564 1428.2250 E5981427.3875 E531 1427.8125 E565 1428.2375 E5991427.4000 E532 1427.8250 E566 1428.2500 E6001427.4125 E533 1427.8375 E567 1428.2625 E6011427.4250 E534 1427.8500 E568 1428.2750 E6021427.4375 E535 1427.8625 E569 1428.2875 E603
Operator’s Manual ZM-940PA/941PA 115Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.1428.3000 E604 1428.7500 E640 1429.2000 E6761428.3125 E605 1428.7625 E641 1429.2125 E6771428.3250 E606 1428.7750 E642 1429.2250 E6781428.3375 E607 1428.7875 E643 1429.2375 E6791428.3500 E608 1428.8000 E644 1429.2500 E6801428.3625 E609 1428.8125 E645 1429.2625 E6811428.3750 E610 1428.8250 E646 1429.2750 E6821428.3875 E611 1428.8375 E647 1429.2875 E6831428.4000 E612 1428.8500 E648 1429.3000 E6841428.4125 E613 1428.8625 E649 1429.3125 E6851428.4250 E614 1428.8750 E650 1429.3250 E6861428.4375 E615 1428.8875 E651 1429.3375 E6871428.4500 E616 1428.9000 E652 1429.3500 E6881428.4625 E617 1428.9125 E653 1429.3625 E6891428.4750 E618 1428.9250 E654 1429.3750 E6901428.4875 E619 1428.9375 E655 1429.3875 E6911428.5000 E620 1428.9500 E656 1429.4000 E6921428.5125 E621 1428.9625 E657 1429.4125 E6931428.5250 E622 1428.9750 E658 1429.4250 E6941428.5375 E623 1428.9875 E659 1429.4375 E6951428.5500 E624 1429.0000 E660 1429.4500 E6961428.5625 E625 1429.0125 E661 1429.4625 E6971428.5750 E626 1429.0250 E662 1429.4750 E6981428.5875 E627 1429.0375 E663 1429.4875 E6991428.6000 E628 1429.0500 E664 1429.5000 E7001428.6125 E629 1429.0625 E665 1429.5125 E7011428.6250 E630 1429.0750 E666 1429.5250 E7021428.6375 E631 1429.0875 E667 1429.5375 E7031428.6500 E632 1429.1000 E668 1429.5500 E7041428.6625 E633 1429.1125 E669 1429.5625 E7051428.6750 E634 1429.1250 E670 1429.5750 E7061428.6875 E635 1429.1375 E671 1429.5875 E7071428.7000 E636 1429.1500 E672 1429.6000 E7081428.7125 E637 1429.1625 E673 1429.6125 E7091428.7250 E638 1429.1750 E674 1429.6250 E7101428.7375 E639 1429.1875 E675 1429.6375 E711
116 Operator’s Manual ZM-940PA/941PATransmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.1429.6500 E712 1430.1000 E748 1430.5500 E7841429.6625 E713 1430.1125 E749 1430.5625 E7851429.6750 E714 1430.1250 E750 1430.5750 E7861429.6875 E715 1430.1375 E751 1430.5875 E7871429.7000 E716 1430.1500 E752 1430.6000 E7881429.7125 E717 1430.1625 E753 1430.6125 E7891429.7250 E718 1430.1750 E754 1430.6250 E7901429.7375 E719 1430.1875 E755 1430.6375 E7911429.7500 E720 1430.2000 E756 1430.6500 E7921429.7625 E721 1430.2125 E757 1430.6625 E7931429.7750 E722 1430.2250 E758 1430.6750 E7941429.7875 E723 1430.2375 E759 1430.6875 E7951429.8000 E724 1430.2500 E760 1430.7000 E7961429.8125 E725 1430.2625 E761 1430.7125 E7971429.8250 E726 1430.2750 E762 1430.7250 E7981429.8375 E727 1430.2875 E763 1430.7375 E7991429.8500 E728 1430.3000 E764 1430.7500 E8001429.8625 E729 1430.3125 E765 1430.7625 E8011429.8750 E730 1430.3250 E766 1430.7750 E8021429.8875 E731 1430.3375 E767 1430.7875 E8031429.9000 E732 1430.3500 E768 1430.8000 E8041429.9125 E733 1430.3625 E769 1430.8125 E8051429.9250 E734 1430.3750 E770 1430.8250 E8061429.9375 E735 1430.3875 E771 1430.8375 E8071429.9500 E736 1430.4000 E772 1430.8500 E8081429.9625 E737 1430.4125 E773 1430.8625 E8091429.9750 E738 1430.4250 E774 1430.8750 E8101429.9875 E739 1430.4375 E775 1430.8875 E8111430.0000 E740 1430.4500 E776 1430.9000 E8121430.0125 E741 1430.4625 E777 1430.9125 E8131430.0250 E742 1430.4750 E778 1430.9250 E8141430.0375 E743 1430.4875 E779 1430.9375 E8151430.0500 E744 1430.5000 E780 1430.9500 E8161430.0625 E745 1430.5125 E781 1430.9625 E8171430.0750 E746 1430.5250 E782 1430.9750 E8181430.0875 E747 1430.5375 E783 1430.9875 E819
Operator’s Manual ZM-940PA/941PA 117Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.Transmission frequency (MHz)Channel No.1431.0000 E820 1431.4375 E855 1431.8750 E8901431.0125 E821 1431.4500 E856 1431.8875 E8911431.0250 E822 1431.4625 E857 1431.9000 E8921431.0375 E823 1431.4750 E858 1431.9125 E8931431.0500 E824 1431.4875 E859 1431.9250 E8941431.0625 E825 1431.5000 E860 1431.9375 E8951431.0750 E826 1431.5125 E861 1431.9500 E8961431.0875 E827 1431.5250 E862 1431.9625 E8971431.1000 E828 1431.5375 E863 1431.9750 E8981431.1125 E829 1431.5500 E8641431.1250 E830 1431.5625 E8651431.1375 E831 1431.5750 E8661431.1500 E832 1431.5875 E8671431.1625 E833 1431.6000 E8681431.1750 E834 1431.6125 E8691431.1875 E835 1431.6250 E8701431.2000 E836 1431.6375 E8711431.2125 E837 1431.6500 E8721431.2250 E838 1431.6625 E8731431.2375 E839 1431.6750 E8741431.2500 E840 1431.6875 E8751431.2625 E841 1431.7000 E8761431.2750 E842 1431.7125 E8771431.2875 E843 1431.7250 E8781431.3000 E844 1431.7375 E8791431.3125 E845 1431.7500 E8801431.3250 E846 1431.7625 E8811431.3375 E847 1431.7750 E8821431.3500 E848 1431.7875 E8831431.3625 E849 1431.8000 E8841431.3750 E850 1431.8125 E8851431.3875 E851 1431.8250 E8861431.4000 E852 1431.8375 E8871431.4125 E853 1431.8500 E8881431.4250 E854 1431.8625 E889

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