Spacelabs Healthcare 76A90343-05 Biomedical Telemetry Transmitter User Manual 32459

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Document ID	32459
Application ID	C0/ZQEjSEceeB6VXuULh4w==
Document Description	8
Short Term Confidential	No
Permanent Confidential	No
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Document Type	User Manual
Display Format	Adobe Acrobat PDF - pdf
Filesize	88.83kB (1110344 bits)
Date Submitted	1999-04-15 00:00:00
Date Available	1999-04-23 00:00:00
Creation Date	2001-06-27 06:46:44
Producing Software	Acrobat Distiller 4.0 for Windows
Document Lastmod	2001-06-27 06:47:06
Document Title	32459.pdf
Document Author:	VicodinES /CB /TNN

TECHNICAL INFORMATION FOR THE TYPE ACCEPTANCE SUBMISSION OF MODEL 90343
DIGITAL TELEMETRY MULTI-PARAMETER TRANSMITTER TO THE FEDERAL
COMMUNICATIONS COMMISSION: FCC ID: CMG76A90343
EXHIEIT 15 - Operators Mgngg] QM
Enclosed is the Operators Manual draft. Also included are the preliminary Data Sheet and below.
a preliminary draft of the table of contents of the planned Service Manual, The Service Manual will
be completed before any units are delivered to end-users. A copy of the completed Service
Manual wil be furnished to the FCC as soon as it is available.
PRO C T ERVICE MANUAL
1. INTRODUCTION
1.1 Overview
1.2 System Components
1.3 Transmitter
1.4 Receiver Module
1.5 Receiver Housing
2. SETUP
2,1 Unpacking
2.2 Receiver Configuration
2.3 Transmitter Configuration
2.4 Telemetry Biomed. Operations
2.5 Biomed. Telemetry Functions
3. THEORY OF OPERATION
3.1 Transmllter
3.2 Receiver
3.3 Housing
4. MAINTENANCE
4.1 Care and Cleaning
42 Physical Inspection
4.3 Preventive Maintenance
4.4 Safety Verification
4.5 DisassemblylAssembly
4,6 Transmitter Field Alignment Procedures
5. TROUBLESHOOTING GUIDE
6. REPLACEMENT PARTS LIST
7. SYMBOLS
90343
olgnal
Telemetry
Mum-parameter
Transmitter
90479 Modular
Receiver Housing
DRAFT
50347
Digital ' \
Telemetry >\ .
ECG , :
Transmitter . , l
Diversity Antenna
System
90217 ABP Monitor
Ultraview
Digital
Telemetry
90343, 90347,
90478
a Touchscreen control of all module
lunctione and compatible with all 1.
Ultraview Care Network and PCMS
monitors
Lightweight, water resistant transmitter
Diversity antenna system
Tunable modular receivers
Modular receiver converts bedside
monitors to telemetry operation
a Work: with portable monitor for transport
of tehmetry monitored patients
- MIMI-lead sea with sr segment analysis
option; comprehensive arrhythmia and
ST trending
- Haiti-Parameter telemetry monitoring
ECG, Spoz. and NlEP (optional)
- Usable in bedside. ambulatory, and
cardiac rehabilitation environments
within lite medical center
- Module Configuration Manager enables
the hospital to customize the receiver’s
patient monitoring lunctions to specific
patient populations, clinical protocols.
or operating preference:
- Graded alarm functions enables the
hospital to define different alarm tones
(high, medium, low) according to event
severity (critical, warning, advisory)
SPECIFICATIONS
TRANSMITTER (90343, 90347)
ECG Transmission —4 leads (90343. 90347)
synchronized RF digital signal
Mum—Parameter Transmission (90343) —
$902 (saturation, SpOz sensor status) and
optional NIBP (systolic, diastolic. mean
pressure, pulse rate, measurement time tag.
alarm conditions) Via the model 90217 ABP
monitor
Additional Data Transmitted — Patient record,
low battery indicator. pacer flag. patient ID
code, and electrode connection status
Electrode Configuration — individually
replaceable DIN standard safety lead wires
Output Power— 2mw ERP, typical
Water Resistance — Meets EN60529 IPXZ
External Indicator — Yellow LED flashes when
battery level is low
Battery —9V battery; see Table 1 lor battery lite
expectancy
ultraview
Digital
Telemetry
90343,
90347,
90478
SPECIFICATIONS
TRANSMnTEFi PHYSICAL DIMENSIONS
90343 (Mum-Parameter)
Height: 5.25 in (13.3 cm)
Wldth: 2.85 in (7.2 cm)
Depth: 1.18 in (2.9 cm)
Weight (w/out battery): 7.4 oz (210.2 gm)
90347 (ECG-only)
Height: 5.25 in (133 cm)
Width: 2.85 in (7.2 cm)
Depth: 0.98 in (2,5 cm)
Weight (wlout battery): 55 oz (159.0 gm)
ECG
Maximum Input—15 mV ( 1:1 0%)
DC Oflsat — Up to 1300 mV. with no more than
2% signal amplitude degradation
Overdrive Recovery Time— < 1 second circuit
settling time with chest voltage < 500 mV
Naise—< souv p—p, ni, at 3on bandwidth
CMRR - > BSdB (Monitor Mode)
QRS Detection — Detects ORS complexes with
amplitudes at 0.5 to 5.0 mV (adult) or 0.15 to
5.0 mV (neonatal)
Defibrillator Protection — Meets IEC 6012—27,
AAMI EC—13
Overdrive Recovery —- <1 second circuit settling
time with otlset < SOOmV
Resolution — 2.5pV per LSE. rti
Input Impedanoe— > 10MQ minimum
differential @ 10Hz
Gain Accuracy —15 %
Pacer Rejection — Baseline shitt < 0.2 mV
(measured at ECG x 1,000 output)
Pacer Detection — Detects pacer pulses of 12
mV to $700 mV with pulse widths 01 0.2 to 2
msec and rise times 10% of width not to
exceed 100 psec
Signal Bandwidth — 0.05 to 30 Hz 110% (-3dB)
Sample Rate — 120 samples per second
SpOz
Spoz Sensor Interface—
Fied LED drive (max): 200 mA peak @ E.25°/=
duty cycle
IFi LED drive (max): 200 mA peak @ 6.25%
duty cycle
Spoz Measurement Method — Functional
saturation (oxygen saturation of lunctional
hemoglobin)
Spica Measurement Method —
Continuous; Episodic (1 minute. 2 minutes.
and 5 minutes) sampling intervals; factory
delauli setting is 2 minute episodic sampling
interval
MODULAR RECEIVER (90478)
Module includes:
Module Configuration Manager capability (reler
to the Module Configuration Manager chapter
of the PCMS Operations Manual tor complete
leature specifications)
ECG Trends — (with appropriate mainirame
option) 24 hours at [tended data can be
displayed in 1.5-( 3-. 6c. 12, or 24»hour
segments; data is stored in 1-rninute resolution
High Level Analog Output—
ECG 1: Used for defibrillator synchronization
Connector: 3-conductor 1T phone jack
Dynamic Range: ismv ($1096), rti
Gain: ECG x 1000 (15%)
Bandwidth: DDS to 30 Hz i10% (-3dB)
Module Parameter oourrt — This module counts
as 1 or 2 parameters when computing
parameter capacity tor monitors
1 displayed ECG lead = 1 parameter
2 displayed ECG leads = 2 parameters
Options —The following ECG processing
options are available in the 90478
A? Basic ECG Alarms tor high and low heart
rate, asysi‘ole and ventricular fibrillation
B — MultiView I —- Enables users to review
trends oi abnormals per minute; proVides
additional alarms for abnormals per minute
and abnormals in a row
C — MultiV'iew II —— Enables users to review the
dominant morphology as well as episodes or
classes of ventricular Ilbrlllation, ventricular
tachycardia (runs). couplets. single
abnormals, tachycardia. pauses. ventricular
and atrio-ventricular pacing; provides
additional alarms for ebnormals in a row,
abnormals per minute, and tachycardia
S - ST segment analysis/reviow/trend
X — Band operation
ECG Display
Heart Rate Range—30 to 300 bpm; heart rates
>300 bpm are displayed as '+++"'
Heart Rate Alarm Limits— High: 5 to 300 bpm.
Low: 0 to 200 bpm: alarms automatically
enabled over a range oi 40 (adult) or 100
(neonatal) to 300 bpm
Accuracy—11°47 or 2 beats per minute
(whichever is greater)
Numeric Update Hete— Every 3 seconds or
immediawa at the onset at an alarm
Trace Sweep Speeds— 50, 25, 12.5 rum/sec
5T Segment Analysis
Resolution — 0.05 mm
Range— 9mm (1 mV = 10 mm)
Leeds — ST Segment Analysis continously
performed on up to 7 leads
__._—_-___
SPECIFICATIONS
Alarms—Single lead or multiple leads; individual
leads can be deselected
Trends — Up to 24 hours of trend data can be
displayed in 1.5-. 3-, S-, 12-. or 24-hour time
tracks
Spoz Display
Measurement Flange — 30 to 100% 02
Saturation
Saturation Accuracy: —- Sensor Dependent
Saturation Resolution — 117°
Pulse Rate Range —30 to 250 bpm
Pulse Rate Accuracy — 13 bpm
Alunns— High and low saturation values: factory
delault limits are: high, 100%; low 85%
High range: 31% to 100%
Low range: 30% to 99%
Display Updale— Every 2 seconds tor
continuous 5902 readings
NIBP Display
(See specifications for the 90217 ABP Monitor)
Measurement Range (adult only) -—
Systolic: 8.0 to 35.0 kPa (so to 260 mmHg)
Diastolic: 9.010 27.0 kPa (30 to 200 mmHg)
Mean: 5.3 to 31.0 kPa (40 to 230 mmHg)
Pulse Rate Range ——40 to 180 bpm
Pressure Accuracy—127° or 13 mmHg
(whichever is greater)
Resolution 71mmHg
Time Between Readings— selectable, >6 to
120 minutes
Alarms — High and low alarms icr all measured
parameters
High range: BAD to 350 kPa
(60 to 260 mmHg)
Low range: 4.0 to 27.0 kPa
(30 to 200 mmHg)
RECEIVER ELECTRICAL
REQUIREMENTS
Power Consumption — s 50 watts
External Indicators— LED lights when user
accesses control
RECEIVER PHYSICAL DIMENSIONS
Height: 4.46 in (11.32 cm)
Width: 2.24 in (568 cm)
Depth: 7.00 in (17.78 cm)
Weight: 2.4 lbs (1.11 kg)
RECEIVER HOUSING (90479)
Accommodates up to B modular receivers
PHYSICAL DIMENSIONS (HOUSING)
Height: 12.0 in (30.5 cm)
Widt ' 13.5 in (34.3 cm)
Depth: 17.5 in (44.5 cm)
(includes protective cover)
Weight: 320 lbs (14:5 kg)
(Without modules loaded)
POWER REQUIREMENTS
100420 VAC, SOISOHZ, 2A: 220-240 VAC.
50/60Hz. 1A
ENVIRONMENTAL REQUIREMENTS
Operating ——
Temperature: 50° to 104° F (10° to 40° C)
Humidity: 10% to 9556 (non-condensing)
Altitude: 0 in 10,000 It (0 to 3,030.3 m)
Storage ——
Temperature: "40° to 149° F (40° to 75° C)
Humidity: 10% to 100% (non-condensing)
Altitude: —500 to 40,000 it (-1 51 .5 to
12,121 .2 m)
REGULATORY APPROVALS
All models are ETL listed and meet UL2601-1
standard tor electrical saiety: approved by
CSA
Models 90343. 90347. 90478. and 90479
approved by FCC and DOC, and are CE
marked in accordance with the Medical Device
Directive 93/42/EEC
I —
ACCESSORIES
90343 Transmitter Pouch
Part Number: 015-0500-00
90347 Transmitter Pouch
Part Number: 016-0138-00
9V Alkaline Battery
Part Number: 146-0033-00
9v Lithium Battery
Part Number: 146r0054-00
DlN Standard Safety Lead Wire Set— 5 wire
Part Number: 012-0285-01
Receiver Housing Protective Cover
Part Number: 200-018000
Whip Antenna (VHF)
Part Number: 117-0035-00
Belt Clip
Part Number: 344002000
Spoz Adapter Cable (Spaoelabs Medical)
Pan Number: 012-5890!)
5902 Adapter Cable (Nellor)
Part Number: 012-537-00
Ultraview
Digital
Telemetry
90343,
90347,
90478
ultraview
Digital
Telemetry
90343,
90347,
90478
—
sweat-h; Modlcll, lnc.
15220 NE. 40th Street
RD, Box 57013
Rmund. WA 930739713
(425) B82-3700
um." cm NOWK pens, and
Mum" are 11mm asylum:
maul. Inc,
can mm um worm nan-s in
humans nl mar match" min.
A- spud-anus 119 mm: In mango
maul nnttnl.
(a sauna Meal, Inn, was
Gel-0901410 Flt". A 03/95
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_—-—-——_
SPECIFICATIONS
ABP Adapter Cable OXIBAND AIN (OXI-A/N) (P/N 690-0004-00)
Pan Number: 01258000 70-100%. fl’fa absolute saturation
ABP Pouch OXIBAND PII (OXI-PII) (PIN ESQ-003900)
Part Number: 015501-00 70100%, 13% absolute saturation
SPACELABS MEDICAL SpOz SENSORS
ACCURACY AND SENSOR
SELECTIONS
Sensm Accuracy — Each sensor at 2 one
standard deviation:
80-100% i2% absolute saturation
6079% 1370 absolute saturation
0 » 59% not specified
Nellcur Dispasable Spoz Sensors ~
Neonatal (N25) (PIN 6900006430)
70400% 12.5% absolute saturation
Pediatric (D-20) (PIN 690-0007-00)
70-100?» 1270 absolute saturatlon
Adult (ID-25) (PIN (BSD—000100)
50-69% 13% absolute saturation
70-100% 1:27; absolute saturatiun
Nasal (Fl-15) (PIN 690000500)
Sensor Selections — 80-100% £3530 absolute saturation
NELLCOR SpOz SENSOR ACCURACY
AND SENSOR SELECTIONS
Nellcor Reusable Spoz Sensors —
Finger Clip (US-100A) (PIN 690-0003-00)
70»100%, 1:3?» absolute saturation
Table I: Transmitter Battery Service Life’ (hours)
9 Volt Alkaline
EGG lid ECG EGG
legal! 1 mm Cu mm 1 m 2 ma 5
I1» IF I'm ! ill-
dmansz “mm 59m“ mm and “so? am Eplsodlc Episodic
IHW “-
‘ Operational service lite in hours assuming a _
freshly charged battery used until the local
“low battery" indicator begins to flash.
1 NIBP operations from a 90217 ABP Monitor
sending readings to the 90343 Mum-parameter
telemetry transmitter The 90127 ABP Monitor
will inllate standard 5 size adult cull at least
240 times with alkaline batteries.
MW Winn
ULTRAVIEW DIGITAL TELEMETRY
Directory
MITO
m LEAD 2nd LEAD LEAD swn'cu LEAD ALARM
xx xx 0" OFF ON OFF
momma sEmP
SCREEN ADMm momma
FORMAT I muss i DISCH. some.
| .
| |
' | : | REooRDER cothmuRmoN (sea mung)
V 1 I : REooRDlNG ALARM
sum , 1 DURATIDN HMS
“25.2 m ‘ . Mnmvzm chFRsuRAnous
1 * : 501le my 1 mm |
saw: an: NEss WE comm
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“w m "P “W ADMIT/DISCHARGE- scum meon (us mum-aw)
lav mm. |
m cnmsE ms
“I'm ' “W” | WA cRARGE
y MONITOR SETUP - sum-mm mm mum {m Alarms]
V nEmTE Aumn KEV susRENn
Eoe ALARMS WAYCH TONE PROCESSING "mg" ”Rm “EV'EW
on oFF
EGG MENU ~ (mm-Lucy (wmvww n mm mm Amvflmil m: may on mud Mm W7 mum)
, E E > ALARM LEAD CHANNEL SUSPEND ECG
LIMTS S'ZE l SE“? SEch | Foam-r I- PRocEssm l ‘ RELEARN Pm" “EVE”
\ w | w
1 1 1 1 EGG- thLEAHN
\ 1' """" | V CLEAR sAvE
\ 1 | uEmRv MEMORV
\ | x
L 1 . 1
r ————— | | 1
| I L
| V
v'
mm
ECG-SEWP | mnomy:
SWEEP uRs MONITOR PACEDI CONFIG : RArE , REstE m
SPEED TONE EXTENDED vEs NO ‘ SOURCE | SETTINGS 55m:
ECG-TMSETUF ' n | my
PYREDDRD LOBAT' : ASSKSN ,‘ saw 1
' vEs|No ON OFF|| WEED |: CHAN ,
seam win-w ham m- nmnu Emm m-m-m mi MERIT; ______
Ece ART swoz
V EGGART uASPOz oquFoquFonoFFoNoFF
ECGoc xxx xu DELAY xxs
ECG MN m- Lo: AEN IN ABNPER ¢ T 5mm ST UM
DN OFF xxx xxx row-xx mmxx on an 2
Based on the features of your monitor and options punchased, more (or less) keys may appear here than an
yDUI menu screens.
NOTE
UL TRA VIEW DIGITAL TELEMETFI 1
09/16/98 FAX 425 6242 3897
SLM ENG EB NORTH
ULTRAVIEW DIGITAL TELEMETFIY
$002
Conte nts
Generd Tel-nary mervlelv." 2 Selling Lb $902 Morrllorlng
Asslmlng a Telemetry Channel 7 Ensuring Acmrele Monitoring.
TunlneeReeolverIoraBedslde. 7
Enlerlng Patlem Inlomlafion 7 Senlnu 5902 Date Averayng Perloo and
Admmlefiuinu Signal Loss. 7 Samplirv Interval
Selling Bakery StluBNlm'I . 8 Vwiru Pulls Rain. 20
Cormolling Palem—lnllhted Flemming! 8 Sp02 Error Messages 20
Digital Teleme'e'y Problem Sam 8 Sp02 Tmfleshooflw, 22
selling Up EDG- Her-Mm... 9 NSF climb-...”-.. .. 21
1 Setting Up NIBP Monlmlng 24
2 Setting Up me ABP Manner 25
R'flfl'Ing Delmlt Sem'nge... 2 Senhg oerln‘llm Alarm 28
Changing the Display Heedunon 3 Dmylng Neon Flare Data... 29
Selecumomoneuumbhple a DisplaylnnNeworPrewlweReadlws 29
ECG Trulbleslloutlna ......... e 4 90217 Evem Codes 30
Spa! OVUVIIW (9030: mm ..16 NIBP Trouueflmofing. 32
General Telemetry Overview
The dlglw warn-try waiver mm (Model 80478) when used“ In ooniuncllon mm
Spacelabo Medal telemetry war-Elmore. POMS" er Ultrwlew'" manner. and
modular resolver hemlm (Model 90479), prevldee continuous munllndng of
slewooerdiogl'ephlc signal! In order lo lined abnomlel cardiac rhylhmi. lndudng Ille-
lhneelerllng arrhymmles war n meme. vernrlwler lbnlallon, end venlrlwler
Mafia. In addlflun. when used Mlh the dlghl telemelry twill-938m
Irenemlmer (model some), momma ol elewacudegraphlc 11'th II unnamed by
(he welleblllty ol commons or ephoolo SpOz meuuremems and episodic NlBP
measurements.
IKE“
NOTE
mmmmmwmmmmfly
mm 15dtheFCCBubs Operadanlssubjedrolhe
Whoa/mm (1)17rledevloemqynolceusehamrlr.ll
Menus. Mfzflh'sdevioemmeuueprenymmnue
arrival, Indudinqimefleleneeflmmeymmfleeiled
Wen.
- mwmedmmmnermlympmmby ‘
wmmwmmmflmmmu '
Maw
Transmlmre
The transmmar ls e wall buttery-powered device unledw the pallemlo monller
EGG ammy and SpDEINIBF‘ (90343 only) dull, Ind mnemlt (ht lrrfomnfim in the
telemetry receiver module.
- Them-13am 90347lransmltlwrleadsol EGG anduseupmfiveleanwires.
However, only lwo lem may be dlsphyod simultaneously.
- The 50343 ls also Gen-He oftrorllmllh‘ng nulmrioel NIBF and 51:0; dam. THE
data ls leed simullaneeusly with the! of the ECG wavelonn flute.
ULTRAVIEW DIGITAL TELEMET‘HY—Z
ULTRAVIEW DIGITAL TELEMEI'RY
Up to five standard disposable silver/silver chloride chest electrodes are
connected to the patient: the ECG lead wires are attached to these electrodes and
are connected to the transmitter. A patient—operated RECORD button initiates an
ECG strip at the system printer it this leature is enabled at the central or bedside.
which may adversely atiect the recording of high
trequency components in the ECG signal. especially when
the morphology of the ECG changes raeldly.
This device has a limited dynamic range of t 5mV. which
may render the device vulnerable to saturation by ECG
signals with amplitudes higher than 5mv.
. To clean the transmitter use only the tollawlng solutions
per the manutacturer‘s labeling: Isopropyl Alcohol (7036),
Hydrogen Peroxide, Cidax, Bet-dine, and Clorox. Use at
cleaning solutions other than those listed will VOID the
warranty oi the digital telemetry transmitter ensue.
@ - This device has a limited bandwidth item .05 to 30 Hz.
CAUTION
Clean the transmitter alter each use. The transmrtter does not require
any preventative maintenance other titan cleaning.
NOTE
Transmitter Batteries
A 9-Volt alkaline battery (PIN 146-0033-00) is recommended tor standard use in
the digital telemetry transmitter. A 9-Volt lithium battery (P/N 145-0054-00) may
also be used for applications requiring more extended battery service life.
Always observe the battery position and polarity as illustrated at the bottom oi the
battery compartment. After battery installation, close and latch the compartment
cover. The transmitter begins transmitting as soon as the battery is in place.
- Whenever the transmitter is not in use, the battery should be
a? removed. Insert a battery only when the transmitter is actually
NOTE being used with a patient.
- The LOWBATTERY message wpears and an alarrrt lone
sounds {it LO BATis set to ON) when the transmitter battery
Voltage rails below 7.0 volts. When this message appears, the
transmitter has up to 1 hour (depending on transmitter type and
selected options) 0! operating time left. depending on the type
of battery used. The low battery indicator will flash on the
enhanced digital telemetry transmitters when the transmitter
battery voltage falls below 7. o Volts
Ul. TFIA WE W DIGITAL TELEMETFIYG
PCMS
ULTFlA VIEW DIGITAL TELEMETHY—d
Digital Telemetry Receiver Module
The telemetry receiver module plugs into a bedside. central, or transport monitor,
or a digital telemetry module housing. The receiver module receives patient vital
sign data from the transmitter. This data is reconstructed by the receiver module,
displayed on the monitor and analyzed as described in the ECG, Arrhythmia, and
STAna/ysr‘s chapters, and In the varlous Spoz and NIBP sections of this chapter.
interference than hardwired systems, which may impact
patient safety.
WARNING - Operation of hand-held, wireless telephone equipment (for
example, cordless telephones, cellular telephones, etc.)
near telemetry systems may cause interference and should
be discouraged
' Do not install a telemetry receiver module Into a bedside
which is currently equipped with any other ECG module,
hardwired or telemetry, (or SpOZ module or NIBP module if
the 90343 Is operating with that specific receiver module).
Doing so may result in Inaccurate patient data displays at
remote monitors.
& - Telemetry systems may be more susceptible to
Digital Telemetry Module Housing
The telemetry module housing ran hold up to eight separate telemetry receiver
modules. Except tor the ON/OFF switches. there are no operator controls on the
module housing. For normal operation with AC mains power applied, the AC
mains indicator light on the iront panel oi the housing must be Illuminated.
Operation of the system without AC mains power is limited to ten minutes of
battery backup time.
ULTRAVIEW DIGITAL TELEMEI'RY
DlVBI'SI §~
"as"? —» Ii"?
NOTE The UCW bedsifii connects lo \
Séwuivxngfiregffm (1mm,- ' PC Scout or ullmvlew 1050
lemony mama housing.
i‘
x3
ucw Bedside or Central
or Ullravlew 1500
90475
Receivar Module
Uhrlvlcw 1700
Digital Telemetry Module Housing
90347 90343
Dlglwl Telemetry EGG Tmnimmar Dlgllal Telemetry MuItI-plr-mmar Transmmlr
figure Telemetry-1: Ullraview Digital Telemetry System
ULTRA VIEW DIGITAL TELEMETHY-E
PCMS
To set up the central for ECG (II
bed name not remembered):
1 Touch key label that matches
transmitter‘s irequency
Select bed/room number tor
transmitter channel
To set up the central tor ECG
(P01 only):
Touch MONITOR SETUP
Touch SCREEN FORMAT
Select zone desired
Select bed/room number
Select ECG ON
urban-r-
To tune a receiver module at
bedside:
Touch ECG
Touch SETUP
Touch TM SETUP
Touch SET TM CHANNEL
Select the digit to change. Use
the ‘l i keys to select the value
tor that digit.
Repeat tor all digits as
necessary
Touch STORE
urban-
To admit a patiem:
Touch MONITOR SETUP
Touch ADMIT/DISCH
Select bed/room number for
channel
Touch ADMIT
Select YES
Select ID, NAME, HElGHT,
WEIGHT, or BSA
Enterdata using pop—up keypad
or keyboard
Touch ENTER
Repeat steps 6 - 8 until all data
has been entered
aura uro—
tom
ULTRA VIEW DIGITAL TELEMETRY—G
Assigning a Telemetry Channel
Telemetry transmitters are preassigned with channel frequencies. This channel
number is identified on the back of the case and cannot be changed. To receive
this telemetry channel, one ofthe receivers in the telemetry receiver housing must
be tuned to its asslgned frequency.
NOTE - Vour central can be configured to remember beds that are
assigned to individual telemetry channels using the Module
Configuration Manager feature. These beds are pennanemly
assigned until you deassign or reassign them.
Tuning telemetry receiver modules to transmitter channels at
the central must be done by a qualified service person,
Tuning a Receiver for a Bedside
The central must be tuned by a qualified service person, but the bedside may be
tuned using the ECG TM Setup menu. You may use this menu to tune the
receiver module to the ore-assigned channel frequencies on the telemetry
transmitter.
[IF
NOTE
The module default is set for North America — UHF band operation.
ll operating in another country you must select the appropriate fre-
quency hand using the Module Configuration Manager lsature.
Entering Patient information
The ADMIT/DISCHARGE menu enables you to enter a patient identification (iD)
number, name, height. weight, and body surface area (BSA).
HF
NOTE
Admitting a newpatientpurgas data from the previous patient on that
telemetry channel
Acknowledging Signal Loss
When a telemetry signal is lost because the transmitter is out or range or the
battery is removed, the receiver initiates a squelch condition This condition is
indicated when a triangular waveform replaces the normal EGG wavelorm. The
notation SQUELCH is included in the edge prim tor any strip mart recording. The
ECG trace automatically begins again it the lost signal returns.
“
To control low battery alarms:
huN-d
Touch ECG
Touch SETUP
Touch TM SETUP
Select L0 BAT ON or OFF
To control transmitters Patient
Record lunction:
awn:—
Touch EGG
Touch SETUP
Touch TM SETUP
Select PT RECORD YES or NO
ULTRAVIEW DIGITAL TELEMETRY
After eight seoonds oi loss, the IS SIGNAL LOSS PERMANENT? message
appears. Selecting N0 suspends alarm tones. Selecting YES displays the
message DISCHARGE THE PATIENT? Selecting YES again, provides you with
the message PUHGES DATA-ARE YOU SURE? Selecting YES 3 third time.
discharges the patient lrom the system and purges all data tor that patient.
Selecting NO at any point in this sequence returns you to the previous option.
Setting Battery Status Alarms
The telemetry battery alarm tone alerts you to a low battery condition in the
transmitter. A LOW BATTERY message also appears in the ECG zone involved.
You may select to disable the low battery alarm tone. ii your bedside or central is
configured to do so.
The factory default setting for low battery alarm is ON.
Controlling Patient-Initiated Recordings
It the Patient Record tunclion is activated (PT RECORD is YES) in the ECG TM
SETUP menu. the patient may initiate a recording by pressing the RECORD
button on the front of the transmitter.
Digital Telemetry Problem Solving
INTERMI'I'I'ENT SIGNAL LOSS
This message indicates that the patient may be out at antenna range, or that the
battery depleted.
- Return the patient into antenna range.
- Check that the banery is functioning properly.
LOW BATTERY
The battery is weak. After this message appears. the battery has from afew hours
to 24 hours oi charge leit (depending on the type oi battery used).|nstal| new
battery.
SIGNAL INTERFERENCE
This message indicates. via the displayed triangle squelch waveform, that a
stronger, interterring, signal has been detected.
PERMANENT SIGNAL LOSS
This message indicates that no RF signal is being detected.
UL TFIAVIEW DIGITAL TELEMETHV-7
PCMS
Settl ng Up ECG Monitoring
10 Initiate sec. monitoring: Each lead wire must be plugged into the transmitter. connected to an electrode,
_ and then attached to the patient. Match the lead wire color to the color-coded
1 $9qu a transmitter connectors on the top oi the transmitter case. Reler to the ECG chapter In this
2 Note "5 channel number , manual lor details regarding electrode application. Telemetry patients are
3 Attach lead WV“ to transmitter commonly ambulatory and require optimal skin preparation and lead application
4 Attach lead “was '° electrodes to minimize motion artiieot. After the electrodes and lead wires have been
5 Install a transmitter battery attached. It is important to tape a loop of lead wire close to the electrode to
6 Apply electroda _‘° patient minimize stress or pulling on the electrode ltsell - a process called stress-looping.
7 Close the transmmer case
ECG monitoring begins when the telemetry receiver module detects a signal sent
by a telemetry transmltter. The telemetry transmitter sends a signal as soon as Its
battery is installed.
ECG telemetry reception requires the lollcrwing minimum conditions:
- The telemetry receiver module must be connected to a PCMS or Ultraview
monitor, either directly or through a module housing. with the power ON and
a Spacelabs Medical diversity antenna connected.
- ECG electrodes must be properly attached to the patient, and lead wires to
the transmitter.
- The transmitter battery must be functional.
- The telemetry receiver module must be tuned to the telemetry transmitter’s
trequency (channel number).
- All system connections must be made by Space/abs Medical
[IE personnel only.
- Leakage currents are not affected by the high level output. The
patient is electrically isolated from thepatient monhdr by the RF
link. '
NOTE
near the transmitter (wlthln 2 to 3 feet), or operation at
some pacemaker programmers may suppress the ECG
waveform, preventing ans detection and rate counting. An
erroneous Asystole alarm the y result.
- Signals resulting from devices such as Automatic
Implantable cardiac Defibrillator: (Ach) may momentarily
blank rhe ECG trace rather than display an out-of-renge
signal. In such cases, It may not be app-rent that the AICD
has Iliad and the condition of the patient should be
checked. in all instance: at AICD firing, the bedside or
central will tedlsplay the ECG waveform within 5 seconds.
E - Operation of television receivers or other CHTdIsplays
WARNING
ECG monitoring in telemetry is identical to hardwired ECG monitoring. Reter to
the ECG, Arrhythmia, and ST Analysis chapters 01 the POMS Operations Manual
(PlN 070—1001~xx) tor detailed descriptions of configurations, displays. and
controls. A briet overview of ECG monitoring tollows.
Electrodes
Use silver/silver-chloride electrodes or their equivalent. Always connect all
electrodes required tor a particular lead. Missing electrodes may result in the loss
at ECG tracing. Refer to the ECG chapter lot information on placing the
electrodes.
UL THA VIEW DIGlTAL TELEMETRY—B
(Er
NOTE
iii
CAUTlON
ULTRAVIEW DIGITAL TELEMETRY
Use only Space/abs Medical recommended electrodes. Some elec-
trodes maybe subject to lame offset potentials due to polarization.
Recovery rime alter eoplrkxalion of defibrillator pulses may be espe-
cially compromised. Squeeze bulb electrodes commonly used for di-
agnoslic E CG recordan may be particularly vulnerable to this effect.
- Visually inspect each lead wire lor obvious damage and
replace as needed‘
~ Only use patient cables and lead wires epecllled by
Spaoelabs Medical. Other ceblee and lead wires may
degrade perlonnence end my damage the monitor during
defibrIlIetIon or high frequency electrosurgery. Non-
Speoelws Medical cables and lead wires may also change
the required input impedance and no offset voltage,
affecting monitor perlonnence.
- Do not use stainless steel electrodes.
- Do not allow conductive parts of electrodes and
connectors, Including the reference electrode, to contact
other conductive pens, Including the ground.
- Poor cable dress or improper electrode preparation may
cause llne Isolation monitor tnmslents to resemble ectuel
cardiac wevelomls and thus lnhlblt heart rate alarms. Refer
to the ECG chapter In this manual for details on proper
electrode preparation and Application.
UL TRA VIEW DIG/TAL TELEMETFlY-Q
PCMS
Display Detail
Signal detection is Indicated on your monitor when an ECG signal appears next to
the ECG parameter key in the lone assigned to receive the transmitted telemetry
channel. The transmitter's channel number is always ldentltled above the
wavetorm, to the lett ol the ECG key.
ii°\°\l ff
cum um I] no» PACED
CHAN Merl
»
(E; vermin) 9
a “3 w
“roman/say) roan enemas; 70 9
® .
E VI ®
{3 grams ®
can 01 DANIELSJ! W N
Split Screen Dermal Full Screen Central/Bedsrve
0 ECG trace for first lead
9 telemetry channel number
0 ECG key for first lead
0 OHS indicator (flashes once per detected beat)
6 ECG lead designator
0 display resolution (monitor or extended)
0 paced operation indication (pacemaker detection is enabled)
0 abnormals per minute alarm limit ‘
9 ST segment level for first lead "
® abnon'nals‘ in a row alarm limit '
0 ECG rate alarm limits: spilt screen centrals display a bell symbol when alarms
are enabled: bedsides display the rate alarm IimiS (120/40)
Q aonormals per minute counter '
Q current heart rate
® ECG lead designator tor second lead
6 ST segment level tor second lead"
@ ECG key for second lead
G NIBP measurements: systoliddiastollclrnean) @ hours:minutes: SpOQ
measurement (90343 only)
' Only appears with the Multinew l or II option in the adult mode with Arrhythmia
detectlon enabled.
" Only appears in adult mode wlth the ST segment analysis optiont
6:
UL TRA VIEW DIGITAL TELEMETRYv 10
“
To monitor paced patients:
Touch ECG
2 Touch SETUP
3 Select PACED YES
To restore default settlng .
Touch ECG
Touch SETUP
Touch RESTORE SETTINGS
Select YES
ULTRAVIEW DIGITAL TELEMETRY
Monitoring Paced ECG Patients
When monitoring pacemaker patients, use the paced fealure to automatically
enhance pacemaker spikes for display and elimlnate them from the heart rate
counter. The last setting you select is retained as the default.
ll the interval between the pacemaker pulse and the QRS complex is greater than
150 milliseconds. the beat is considered to have orlglnated in the atria and is not
classified as a paced beat.
To prevent pacemaker pulses from belng counted as actual beats. specialized
circuitry removes the pacemaker pulses truth the ECG signal and replaces them
with paeemakerflags.
The optimal leads for monitoring paced patients may vary. In telem-
[@ etry monitoring, pacemaker spikes are detected on lead II. If pace-
NOTE maker spikes are not detected, change electrode position.
pacemaker me during ocounences or cardllc most or
some arrhythmias. Do not rely entlrely upon ECG rate
alarms. Keep pacemaker patents under close survelllanw.
- no system maylnseflpacmkerflaps Into the ECG
signal In response to slgnals that are not pacemaker
pulses. Therefore, I! you use e Speculum Medical monitor
to observe plumker performance, you must uke Into
account all possible sources 0! pacemaker flags.
- Use the pacemaker manufacturer’s performance analyzer
as the primary means of evaluating pacemaker operatlon.
Restoring Default Settings
With the Module Configuration Manager leature, you can restore all delault
settings. User-configurable options are listed in the Module Configuration
Manager chapter ol this manual.
E - ECG detection circultry may contlnue to count the
WARNING
RESTORE SE WINGS changes the user-configurable options forall
I]? parameters in the module.
NOTE
UL TFlA VIEW DIGITAL TELEMETH‘ Y»1 1
PCMS
To change the display resolution:
1 Touch ECG
2 Touch SETUP
3 Select MONITOR or
EXTENDED
To select ECG leads:
1 Touch ECG
2 Touch LEAD SELECT
3 Touch tsT or END LEAD
4 Select the desired lead
To discharge a patient:
1 Disconnect the transmitter from
the patient
2 Remove battery
3 Select VES to confirm signal
loss permanent
4 Select YES to discharge
5 Select YES to purge data
Changing the Display Resolution
The MONITOR/EXTENDED key determines the display resolution of the two ECG
traces, whether or not both traces are currently displayed on the monitor.
Display Hesolutlon
Monitor (0.5 - 30 Hz)
(0.05 » 30 Hz)
Changing the display resolution does not change the waveform
[IF bandwidth used to analyze the ace signals Ior arrhythmia and ST
NOTE segment level.
The Iactory delault setting tor display resolution is monitor mode.
Selecting Options for Lead Display
One operational mode is available with the 90343 and 90347 muIti-Iead
transmitters. When all electrodes are connected to the patient. leads I, II. III. AVR,
AVL, AVF, and Vx, where x = t to 6, are available. When no chest lead is applied.
leads I. II, III, AVFI, AVL. and AVF are available using the remaining connected
electrodes.
Connected Electrodes
(x) 90343190347
Valid Lead Vectors
I, II, IIII AVFI. AWL1 AVF
All combinations of leads not shown above result in no valid lead
[IF vectors. In general. for at least one valid vector, either HL or c and
NOTE two limb leads must be connected.
ULTRA VIEW DIGITAL TELEMETHY- 12
ULTRAVIEW DIGITAL TELEMETRY
ECG Troubleshooting
Refer to the ECG Problem Solving section in the ECG chapter oi this manual tor
additional conditions and solutions.
ASYSTOLE
An ASYSTOLE message means lt has been 5 seconds or more since a QRS
complex has been detected. Check the patient. It the patient is all right. try the
inllowing:
Check that the lead wires are inserted into the proper receptacle.
Using the continuity tester. check that there is no damage to the lead wires.
if the amplitude is poor, check the appropriate lead with a 12-lead ECG.
Check that the transmitter Is not too near (within 3 feet) a television receiver
or other CRT displays.
ECG VOLTAGE TOO LOW
The ECG amplitude may have dropped below the Fl-wave detector threshold
level. Reposition the electrodes to obtain a QRS amplitude of at least 0.20 mV
(adult) and 0.15 mV (neonate).
NOISY SIGNAL
The patient may be moving excessively. Secure the lead wires to the patient.
- Check the electrodes for good skin adhesion.
- Check lead wires at the transmitterior good contact.
UL THA VIEW DIGITAL TELEMETHY~13
ECG Troubleshooting Guide
ical Situation Posslble Cause .
Solution
ECG frequency response set to
extended mode
I Electrodes dry or poor skin
adhesion
I Select monitor mode
I Repeat skin preparation and apply
new. moist electrodes
Baseline wanders I Patient moving excessively
I Respiration artifact
I Electrodes dry or poor skin
adhesion
I Secure lead wires by stress-looping
to the patient
I Reposition electrodes
I Repeat skln preparation and apply
new. moist electrodes
an amplitude ECG I Skin improperly prepared
I Lead selected not providing QRS
complex with greatest amplitude
I Electrodes could be positioned over
bone or muscle mass
I Abrade skin and reapply electrodes
I Select another lead tor monitoring
I Re—posilion electrodes
ECG won‘t learn I ECG signal too noisy
I ECG voltage not within threshold.
ECG VOLTAGE TOO LOW
message may be displayed
I Check lead wires and electrodes,
then relearn patient rhythm
I Select a different lead or adlusl
electrode location
I Electrodes dry or poor skin
adhesion
Excessive alarms
I Alarm limits set too close to patients
normal heart rate
I Excessive patient movement or
muscle tremor
I Repeal skin preparation and apply
new, moist electrodes
I Readjust alarm limit
I Reposition electrodes and secure
electrodes with tape it necessary
Reler to the Problem Solving sections in this chapter and in the ECG mentor tor further monitoring tips.
ULTRAVIEW DIGITAL TELEMETRY
SpOg Overview (90343 only)
Pulse oxlmeiry enables you to noninvasively monitor a patient's hemoglobin
oxygen saturation. This may be accomplished in either a continuous or episodic
manner. The oximetry sensor contains two light emitting diodes (LEDs) that
transmit specific wavelengths (660 and 940 nanometers) at light which are
received by a photodetector.
Oxygen saturated blood absorbs light dlilerently as compared to unsaturated
blood. Thus the amount of light absorbed by the blood can be used to calculate
the ratio oi oxygenated hemoglobin to total hemoglobin in arterial blood. The
monitor displays this ratio as percent SpOz. Normal values range irom 95 to
1 om.
- A pulse oxlmetershould NDTbe used as an apnea monitor.
H - A pulse oximcter should be considered an early warning
device. it a trend towards patient doom-nation is
WARNING Indicated, blood samples should be analyzed by a
laboratory oo—oximeter to completely understand the
patient's condition.
If your module is equipped with the Module Configuration Manager
[@ feature. you can define your own default settings for such
NOTE characteristics as alarm limits and display configuration. See the
Module Configuration Manager answer in this manual lor further
details.
Setting Up SpOz Monitoring
To set up 5902 monitoring: The model 90343 digital telemetry mum-parameter transmitter uses Spaoelabs
Medloal sensors as well as those irorn other manulacturers. Heler to the Sensors
section at the end of this chapter for information oonoeming specific sensors and
their operation.
1 Connect the adapter cable to
the transmitter
2 Attach the sensor to the patient
and connect the sensorcable to g - Use only patient sensors specliled by Spaoelabs Medic-I.
the adapter cable It you use sensors other than those specified, it may
Initiate ECG monitoring degrade periomunoe and could damue the transmitter
4 Select ECG _
5 Select CHANNEL FORMAT CAUTION “u""fl “fibmm'm- .
6 Set Sp02 ON - check the sensor silo frequently. Do not allow the sensor
to remain on one site tor a prolonged time period,
especially when monitoring neonates. Refer to sensor
manuiacturei’s instructions.
- Never attach an Spoz sensor on a limb belng monitored
with a blood pressure cult or a limb with restricted blood
tlow.
- A poorly applied sensor truly give incorrect saturation
values.
- Choose a site with sufficient perfusion to ensure accurate
oxlmetry values.
_____—____—._.._—_—-—-—
UL TRA VIEW DIGlTAL TELEMETRY— 75
PCMS
All sensors require an adapter cable between the sensor and the transmitter. Do
not discard the adapter cable when you have finished using a disposable uximetry
sensor. Disconnect the sensor cable trom the adapter cable before discarding the
sensor.
To connect the adapter cable to the transmitter, align the cable with the notch on
the front of the transmitter connector and push the cable straight down Into the
transmitter. When you remove the cable. press the latch release (use a blunt
device) on Ihe bottom oi the cable and pull the cable straight out. Never twistthe
cable.
Figure T Biometry-2: Spoz Adapter Cable to Transmitter
To enable Sp02 monitoring in the model 90343 digital telemetry mum—parameter
transmitter. enable the SpOZ setting for DIP switch 5 beneath the battery
compartment. (The factory default of this switch is ON.)
CHAN H1 21
CHECK xx
ECG WAVEFGRPXZONE
epoz-asv.
BED NAME PATIENT NAME
Figure Telemetry-3: Display Zone — Full Screen
0 9 A
HR-XXX A-XX LEAD
ECG WAVEFOHM ZONE CHECK XX
$902'938‘HAN xxxx
t 47-2 Jane Doe
Figure Telemetry—4: Display Zone — Split Screen
0 Current 8902 value (percent)
0 The bell indicates that alarms are enabled (on split screen central only)
UL THA VIEW DIGITAL TELEMETHY— 16
To set 0 djust alarms.
Touch ECG
Touch ALARM LIMITS
Select SpOZ ALARMS ON
Select H|=. LO=. ALM DELAY.
and MSG ALARM DELAY
Use arrow keys to adjust
ULTRAVIEW DIGITAL TELEMETRY
Ensuring Accurate Monitoring
While each sensor requires site specific application procedures. the following
general points will aid in ensuring cximetry monitoring success,
- Choose a site that provides proper alignment ol the LEDs and receiving
photodeteotor.
- Reduce light interterence when monitoring a neonate under bright light by
using a diaper or other light block over the sensor.
- Select a site that has unrestricted blood llow and can remain as immobile as
possible to reduce or eliminate movement artltact.
- Do not restrict blood flow when securing a sensor with tape.
- Do not select a site near potential electrical interference (electrical cords. tor
example).
Setting or Adjusting Alarm Limits
Pulse oximetry alarm limits and delays are based either on factory default limits or
user-defined limits. The factory detault settings tor alarm limits are 1003’s lor high
and 35% lot low. For alarm delays, the lactory deteult settings are 15 seconds tor
alarm limit delay and 20 seconds for message alarm delay. Read the Alarms
chapter in thb manual for details concerning PCMS alarm operation.
Refer to the Module Configuration Manager chapter in this manual tor Spoz
parameter tables that list available user settings and lactcry defaults for this
parameter.
ALM DELAY Key
This key sets the number of seconds delay the system will wait before it reports
that an alarm limit has been violated. When this teature is oil. the key label will
read "ALM DELAY OFF". When it is on, the label will read “ALM DELAY xx" where
“xx" is the value, in seconds, oi the delay.
The caregiver can set the delay time by taking the iollowing steps:
1. Touch ALM DELAY xx (or ALM DELAY OFF).
2. Touch the up and down arrow keys until the value is set as desired. Possible
settings are OFF, 5. to. 15. 20. 25. and 30 seconds.
. II the caregiver presses the down arrow key alter theJowest
I]? value has been reached, the following message will appear on
NOTE the prompt line:
Minimum alarm delay time has been reached.
- ll the caregiver presses the up arrow key alter the highest value
has been reached the following message will appear on the
prompt line:
Maximum alarm delay time has been reached.
MSG ALM DELAY Key
This key sets the number at seconds delay the system will wait before it issues an
alarm tone lollowing any of the tollcwing messages:
- 8902 MONITOR FAILURE
- Sp02 FAULTY SENSOR
UL TFlA VlEW DIGITAL TELEMETHY— 1 7
PCMS
Sp02 SENSOR OFF PATIENT
Sp02 INSU FFICIENT SIGNAL
AMBIENT LIGHT INTERFERENCE
SpOZ INSUFFICIENT SIGNAL
SpOZ NOISY SIGNAL
When this Yeature is 011, the key label will read ‘MSG ALM DELAY OFF“. When it
is on. the label will read “MSG ALM DELAY xx" where “xx" is the value. in
seconds, at the delay.
The caregiver can set the message delay time by taking the tallawing steps:
1. Touch MSG ALM DELAY xx (or MSG ALM DELAY OFF).
2. Touch the up and down arrow keys until the value is set as desired. Possible
settings are OFF, 10, 20. 30, 40, 50, and 60 seconds.
- If the caregiver presses the down arrow key after the lowest
[@ value has been reached, the following message will appear on
NOTE the prompt line:
Minimum message alarm delay time has been reached.
- lithe caregiver presses the up arrow key alterthe highest Value
has been reached. the following message will appear on the
prompt line:
Maximum message alarm delay time has been reached.
Setting Sp02 Data Averaging Period and
Sampling Interval
The SpOz data averaging selection is used to smooth the oximetry saturation
value lor averaging the patient Input values over 4. B, or 16 seconds. This
selection is made by setting the DIP switches 1 and 2 beneath the battery
compartment in the Model 90343 digital telemetry mum-parameter transmitter.
The deiault value is 8 seconds. Rater to Figure Telemetry-5: DIP Switch Setting in
Battery Compartment.
Effect
DIP Swlteh 2
DIP Switch 1
4 seconds averaging enabled
8 seconds averaging enabled (default) >
ON OFF 16 seconds averaging enabled
ULTFIA VIEW DIGITAL TELEMETRY— 18
To display heart rate tram Spoz
sensor:
1 Touch ECG
2 Touch CHANNEL FORMAT
3 Read heart rate in the area to
the left oi the 8:02 ONIOFF
key
ULTRAVIEW DIGITAL TELEMETRY
Figure Telemetry-5: DIP Switch Setting in Battery Compartment
The sampling interval selection permits the caregiver to determine how often an
Sp02 measurement will be taken. Less irequent SpOz readings can extend the
usable lite of the the battery. (Pieter to the Ultraview Digital Telemetry Product:
Data Sheet— PIN 061 -0801 -xx —ior more Information on battery service Ills.)
This selection is made by setting DIP switches 3 and 4 beneath the battery
compartment in the model 90343 digital telemetry mum-parameter transmitter.
The detault setting is 1 minute intervals.
DIP Switch 3 DIP Switch l Effect
Continuous sampling
1 minute sampling interval (default)
2 minute sampling interval
5 minute sampling interval
Viewing Pulse Rate
In normal operations the heart rate for display will be obtained directly lrorn the
acquired ECG leads or an alternate rate source. SpOZ can be used as the
alternate source, il' it is set for continuous measurement. When it is set lor
episodic measurement. Spoz cannot be used as an attemate rate source.
Sp02 Error Messages
Error messages indimte a problem or condition which may affect accurate
monitoring values. Do not ignore these messages. Correct any tault before
continuing.
When the following messages are displayed. the saturation value is immediately
changed to 777 and an alarm is triggered, it your module has been configured
with an alarm tor that message. (Reter to the Module Configuration Manager
chapter).
ULTRA VIEW DIGITAL TELEMETFIY- 19
PCMS
Sp02 SENSOR DISCONNECTED
- The transmitter does not detect an adaptor cable connected or a sensor
connected to an adaptor cable. It the message persists and the adaptor cable
is secure, replace the adapter cable.
- The alarm will stop alter approximately 10 seconds.
- On remote view, there may be no audible alarm on the remote mainlrame
belore the local alarm stops.
Sp02 MONITOR FAILURE
- The LED and/or photodlode have tailed. Replace the sensor and/or Sp02
adapter cable.
When the lollowing messages appear, the monitor displays the saturation value
ahemately with the message ??7 every two seconds. An alarm will begin alter the
message alarm delay time has elapmd (Reter to the Module Configuration
Manager chapter.)
Sp02 AMBIENT LIGHT INTERFERENCE
- The sensor is receiving external light interlerenoe from a bright light source
near the sensor. Shield the sensorlrom the external light source. it the
condition persists tor more than 30 seconds. ?77 will replace the data
display.
- The sensor photodiode and LEDs are misaligned on flexible sensors thereby
allowing light to enter. Realign the sensor photodiode with LEDs.
~ If a message appears with finger cllp, replace sensor.
Sp02 INSUFFICIENT SIGNAL
- Insufficient signal lor proper operation.
- Poor sensor application or site. Correctly re-apply or reposition to a better
perfused site, message site, or apply new sensor.
Sp02 NOISY SIGNAL
- The sensor signal is disturbed by motion or other interlerence. Eliminate
sensor movement. The message disappears when a value is obtained.
~ The sensor is placed adiaoent to power cards or other electrically noisy
devices. Movethe noisy device or move the sensor to another site,
Sp02 SENSOR OFF PATIENT ‘
. The transmitter is unable to detect a valid sensor input signal. Check the
patlent lor proper sensor placement.
' Tissue between the LED and photodiods is too transmisslve. Il sensor
placement seems correct and the message persists, try a sensor site with a
thicker tissue bed.
Adaptor cables and sensors are ordered separately through the
H3: Space/abs Medical Supplies Products.
NOTE
UL TRA VIEW DIGITAL TELEMETFIY—ZO
ULTRAVIEW DIGITAL TELEMETRY
Nellcor adaptor cabfe (P/N 012-0587-00) Nellcor
sensor
90343 dlgltal teiemelry mulli-parameter transmitter
Figure Telemetryfi.‘ Nellcor and Sensors and Adaptor Cables
ULTRA VIEW DIGITAL TELEMETRY-21
Sp02 Troubleshooting Guide
Possible Cause .
Clinical Situation
Solution
No SpO l'ibel is l SpOg is not enabled at the 90343
cl isplayetl
I Be sure transmitter DIP switch 5
setting is ON
I Be sure DIP Wild] 5 is OFF
I Sensor not connected to patient
I Adapter cable not connected to
module properly
a uedisplay
I Sensor not connected to adapter
cable
I Excessive patient motion
I Transmitter is in the initialization
phase (the first 15 seconds after
sensor application)
I Fteattach sensor
I Correctly connect the adapter cable
I Correctly connect the sensor
I Urge patient to remain still while
reading is in progress
I Wait until initialization is complete
I Sensor placed below blood
presure cuff
I Move sensor to a site which has
better pertusion
I Align LED wlli’l sensor photodetector
I Move sensor to an alternate limb
intermittent or complete I Transmitter error
lailure to operate
LOW Signal strength I Sensor placement not optimum
I Depleted battery
I Call qualified service person
I Fteplaoe battery
I Presence oi dyslunctional
hemoglobins (COHb. Mott-lb)
Fact!) ' ‘lhICh cause
Significant variances in
sensor accuracy
I Presence of intravascular dyes
(inoocyarnine green. methylene
blue) depending on their
concentration in the blood stream
I High ambient light level
I Electrosurgical inierlerence
I Patient is significantly anemic (Ho
less than ng/ol) or patient has
received large amounts at N
solutions
I Follow hospital procedure lor
determining oxygenation in these
patients
I Follow hospital procedure ior
detennlnlng oxygenation in these
patients
I Reduce light levels near patient
I Follow hospital procedure lor
determining oxygenation in these
patients during the procedure
I Follow hospital procedure tor
determining oxygenation in these
patients
90217 ABP Monitor
To set up NIBP monitoring:
1 Attach appropriate Cu" and
90217 ABP monitor to patient
2 Attach adapter cable between
90217 and 90343
3 Initialize 90217 with 90239A lo-
cal report generator
Configure 90343 DlP switch 6 to
enable NIBP operations
Initiate ECG monitoring
Select ECG
Select CHANNEL FORMAT
Set NIBP ON
fistula:
ULTRAVIEW DIGITAL TELEMETRY
NIBP Overview
The model 90343 digital telemetry mum-parameter transmitter can send the non-
invasive blood pressure (NIBP) patient data acquired by the Model 90217
ambulatory blood pressure (ABP) monitor, to the Model 90478 digital telemetry
receiver. The Model 90478 can display the patlent's episodic NIBP data and
trigger alarms based on thresholds set at the Central Station monitor by the
clinician.
The Model 90217 ABP monitor is a small. lightweight, battery-powered unit
designed to take blood pressure and heart rate measurements for 24 or 48 hours
or for longer periods of time. Please refer to the 90217 Operations Manual (070»
0137—xx) for more detailed information on this specific product; its initialization via
a Local Report Generator (Model 9023910 or direct PC interface (Model 90121);
Patient Prepsratlon; Data Transfer and Reports: and Event Codes.
Noninvasive blood pressure (NIBP) uses oscillometric monitoring to measure
systolic (S). diastolic (D). and mean (M) anerial blood pressures The PCMS
monitor displays these readings and the time the measurement was acquired.
You can also display heart rate. The ABP monitor can display up to ten readings
at one time and store up to 120 readings.
The Model 90217ABP Monitor is intended lor use with adultpah'ents
l]? only-
NOTE
Setting Up NIBP Monitoring
Proper cuIt selectlon and application is a critical issue in ensuring the accuracy at
NIBP readings. To ensure proper cu" selection, first measure the oircumterence
ol the limb at its midpoint. Match the limb measurement to the range of
appropriate circumferences (in centimeters) specified on each cufl. It the cu"
bladder Is too wide for the patient. the reading will be lalsely lowered; it too
narrow. the reading will be lalsely elevated. Undersizing the cufl results in the
greatest chance ol error. so a variety of cu" sizes should be avallable to
accommodate your lull patient population.
The cult should be snugly applied. When the out! is property applied to an adult.
you should be able to insert one finger between the cult and the arm. it you can
insert two fingers. the out! is too loose which may result In lalsely elevated
readings. Make sure the hose is not kinked when the cul'l is appliedt ‘
During blood pressure measurement. the inflated cuft reduces blood (low to the
limb to which it is applied. Do not apply a cuff to a limb that has restricted blood
flow. Check the patient periodically.
- Do not apply a blood pressure curl to a limb being monitored
I}? with a pulse aximerry sensor because Spoz will be allected
NOTE dun'ng NIBP readings Avoid applying a cult to a limb that has
an intravenous line in place. Do not apply a calf to a limb that
has restricted blood flow.
- Never use extensions or adapters with the neonatal hose. Use
only single hose culls to ensure proper operatim Spacelabs
Medical's hoses are non-conductive with respect to defibrillator
dischame effects.
ULTFIA VIEW DlGlYAL TELEMETHY—23
PCMS
Patient Factors Affecting Readings
Excess patient movement, speech, or muscle contractions as a result ol severe
pain or shivering can interlere with automated NIEP readings. Ensure that the
patient is quiet and not moving during NIBP readingsjust as you would manual
readings. Avoid apptying external pressure to the curl during readings. Institute
measures to minimize shivering and alleviate pain.
Some arrhythmies may cause beat-to-beat pressure fluctuations mat can make
obtaining NIBP readings more ditiicult. Increased variability of readings can result
from these pressure variations. ll it becomes difficult to obtain readings in the
presence at arrhythmia. pressure should be temporarily verilied using another
method. Pressure also varies cyclically with normal respiration. With deep
respirations or in certain patients this etlect may be enhanced. increasing reading
variabilityt
For patients in shock. indirect methods at measuring pressure (auscultatory.
oscillbmetric, Doppler) may not be reliable because 0! peripheral vascular
changes. These changes include peripheral vasoconstriction and diminished
peripheral circulation resulting from shunting 01 blood to central organs. In some
cases peripheral pulses or Korotkotl sounds may be diminished or disappear in
spite oi adequate blood pressure. In such cases. measuring a cult pressure may
be impossible or give misleading results Direct blood pressure measurements
(invasive) should be considered in patients with signs oi shock or any patient who
rapidly becomes unstable for unknown reasons.
Setting Up the ABP Monitor
After the monitor has been initialized, prepare the patient tor monitoring as
iollows:
1. Turn on the monitor (wait tor the monitor to periorm sell-tests). When the LCD
displays the current time, the monitor is ready for operation.
2. Strap the monitor to the patient on the hip opposite the side on Miloh the cult
is worn. Secure the monitor using the patient's own belt or the ABP pouch
strapped over the opposite shoulder. When using the shoulder strap, use the
belt supplied with the monitor or the patient’s belt to provide additional
security.
3. To select the proper cull. first measure the circumlerenoe oi the limb at the
point where the cuff is to be applied. Match the limb measurement to the range
oi appropriate clrcumlerenoes (in centimeters) specified on each cull (reter to
the table below).
cw Size Limb Circumterenoe
13t020cm
17t028cm
Small Adult
Average Adult 24 to 32 cm
32 to 42 cm
Extra-large Adult 35 to 50 cm
4. Position the cuff so that the center oi the inflatable bladder is directly over the
hrachlal artery. The center of the bladder location is marked on the outside at
the cufi. Once the proper position is determined, the cult must be tightened to
UL TRA VIEW DIGITAL TELEMETFIY-24
ULTRAVIEW DIGITAL TELEMETRY
ensure that it is equally snug at the top and bottom edges and that it is not
kinked. This is especially important on larger arms. Insert a finger between the
cuff and the limb to ensure it is not too tight It may be necessary to wrap the
cuff with Its tail at an angle to achieve uniform tightness. If the cuff is not
equally snug at the top and bottom edges, the number of readings available
will be limited and the monitor may indicate that the cuff is improperly applied.
- Use only space/abs Medical cuffs with this monitor. Using other
@ manufacturer‘s cuffs may result in inaccurale readings even if
NOTE the manMacturers recommended size is observed
- If the cuff is too small, pressure readings maybe falsely high; a
cuff that is too large produces a falsely low reading. The bladder
can be positioned in the cuff for either the left or right arm.
patient connector tubes. crack that operation of the
equipment does not result in prolonged impairment of
CAUTION circulation.
- Do not apply cult to areas or branched or Injured skin.
. Cuff hose connections use Iuer fittings. Be careful not to
connect the ASP monitor Into an Intravenous fluid line
when working close to them.
- This product contains natural latex rubber components to
which some people may be allergic. These components
include the bladder and the first four Inches of tubing
extending from the curl.
g . Avoid compression or restriction of pressure in the NIBP
5. Once cull Is applied, the arm should be relaxed atthe patients side. To avoid
reading errors due to hydrostatic pressure differences, the level of the cuff on
the arm should be near the level of the heart.
6. Lead the hose up the arm with the cuff and place it acrm the back of the
patient. Drape the hose so it does not cause the patient discomfort and is not
pinched shut by too tight a radius. Figure Telemetry-7: Common Cuff Hose
Positions shows the most common positions for the cuff hose.
ALTERNATIVE tit
ALTERNATIVE #2
Figure Telemelry-Z' Common Cuff Hose Positions
ULTRA VIEW DIGITAL TELEMETHY-25
PCMS
7. Connect the hose to the manilor.
To verify proper monitor operation. take one or more blood pressure readings.
Push the START/STOP key to begin a measurement
9. Interconnect the adapter cable between the communications port on the
90217 and the NIBP port on the 90343 as Shawn in Figure Telemetry-B:
Transmitter and ASP Monitor Comedians.
Sp02
Adapter Cable
NIEP CUFF
Sp02 Sensor
_ M1343
map Adapter (23th
90217590343moumin
mmmpufiant’a belt
Figure Telemtry-e: Transmitter and ASP Monitor Comedians
UL TRA VIEW DIGITAL TELEMETHVZE
To let or adjust alarms:
Touch ECG
Touch ALARM LIMITS
Select NIEP/ALM ON
Select SYS, DlA, or MEAN
Select HI= or L0=
Use arrow keys to adjust
wmwa-fl
ULTRAVIEW DIGITAL TELEMETRY
Figure Telemetry-9: Display Zone -— Full Screen and Figure Telemetry 10:
Display Zane - Split Screen illustrate typical NIBP displays. You can view NIBP
readings lrom any POMS bedside or central monitor on a network. NIBP displays
on a split screen oentral monitor appear in a lermat slightly different from that of
bedside or full screen central monitors
CHAN xxxx ' xx vvv mi:
ECG WA VEFOHM ZONE CHECK XX 2 AIXX ROW 5
nn’z map-1 ln - Sp02-98% “W
BED NAMEP n N N {in 78 ‘0
0 0 0 3 0
Figure Telemetry-9: Display Zone — Full Screen
HR=XXX A=XX LEAD ‘
ECG WA VEFDHM ZONE CNEGK XX
Figure Telemetry-10: Display Zone — Split Screen
0 Last systolic reading
0 Last diastolic reading
0 Last mean reading
0 Hour of day of last reading
0 Minutes after the hour at last reading
Setting or Adjusting Alarm Limits
You can define pressure alarm limits lur systolic, diastolic and mean values. The
default setting for alarms is OFF. Read the Alarms chapter In this manual for
PCMS system alarm lunctions, The alarm limits defaults are listed in Table 1:
Alarm Limits.
Table 1: Alarm Limits
(135 kPa)
(8.0 kPa)
(12.0 kPa)
systolic (20.0 kPa)
(1 3.5 kPa)
(145 kPa)
100 mmHg
100 mmHg
110 mmHg
diastolic 60 mmHg
Refer to the Module Configuration Managerchapter in this manual lor NIBP
parameter tables that list available user settings and factory defaults for this
parameter.
ULTRA VIEW DIGITAL TELEMETRY—27
PCMS
Displaying Heart Rate Data
To display heart rate from the In normal operation, the heart rate fur display will be obtained directly from the
ASP monitor: acquired ECG leads or an alternate source (SpOz). The ABP bean rate is not
1 Touch ECG avallable as an alternate heart rate source due to the episodic nature of me NIBP
2 Touch CHANNEL FORMAT measu’emem-
3 Head heart rate in the area to
mmmmapowopmy Displaying New or Previous Readings
ULTRA VIEW DIGITAL TELEMETRV-ZB
“
ULTRAVIEW DIGITAL TELEMEI'RY
90217 Event Codes
The ambulatory blood pressure monitor will display an event oode whenever an
event prevents the unit from successfully completing a blood pressure
measurement. The two numerical digits oi the event code indicate the reason the
measurement was aborted The table below Ilsts event codes that are displayed
on the monitor, as well as event codes that appear on the Event Code Report,
Report
Condltlon
E020 A) A very large number at movement artifacts
B) Heart rate arrhythmia
Excess movement artifact. Frequent 5010 messages may indicate an air leak.
E030 A) Movement artilact at mean arterial pressure
8 Heart rate arrh hmia
) y!
E040 A) Movement artifact at asystnle
B) Heart rate arrhythmia
EC50 A) Movement artifact at diastole
E) Heart rate arrhythmia
A) Movement artifact
B) Heart rate arrhythmia
E070 Systole was found to be above the highest cufl pressure. However, this result appears to be
an error caused by motion artilact. Therefore the cuff will not be inflated to a higher pressure
on the next measurement attempt.
ECHO A) Movement artifact
B) Heart rate arrhythmia
E001
ECBO
A) Movement artifact
B) Heart rate arrhythmia
ECD2
E011 Did not pump above the mean arterial level
E021 Did not pump above systolic pressure _
E091 Systole appears higher than the selected maximum curl pressure llmlt
E012
Did not reach initial curt pressure The cu" may have been Improperly applied or there may
be an air leak
E062
Overpressure
Overpressure
No cull attached
Kinked hose
Cut! applied too loosely
5072
Kinked hose
UL TRA VIEW DIGITAL TELEMETBY—zs
PCMS
Monitor Report Condition
E082 Kinked hose.
E003
E005 Patient canceled reading by pressing STOP key. No retry attempt is made following an E003
code.
._l
E013 The Ofiioe Check Mode has been reinstated. No retry attempt is made following an E013
code.
5004
E004 Blood pressure measurement not completed in the maximum time elltwved. Occasional
E004 messages may result (mm excessive patient movement, Frequent E004 messages
would indicate an improperly applied cuff or a monitor malfunction which requires service.
ECn4 (where n = t to 9) Indicates that one or more at the blood pressure results have been
corrupted and subsequently recovered. Frequent occurrence of this message would indicate
a malfunction which requires service.
E005 The individual blood pressure result has been corrupted and cannot be recwered.
E015 Equipment malfunction. Return to Spacelabs Medical for service.
———._i
E007
_'__
E025 Unit failed to initialize. Please initialize.
E035 The monitor needs to be reinitialized.
E005
E005 & E045 Invalid bleed size. The monitor automatically has changed the bleed size to 8 mmHg.
E045
E005 & E055 An unexpected loss of power possibly caused by a) removal of the batteries during a blood
E055 pressure measurement, b) hardware overpressure, or c) a hardware timeout. Frequent
5055 messages would indicate a maltunction which requires service.
E005 8. E065 Extremely large artifact.
E065
E005 & E075 Equipment malfunction. Return to Spacelebs Medical for service.
E075
£005 3. E035 Equipment malfunction. Return to Spaoelabs Medical for service.
E085
E605 & E095 Cuff pressure baseline out of bounds. The monitor should correct the baseline automatically
E095 within 10 minutes; or it can be set by initialization of the monitor. if initialization does not
correct the condition the monitor must be returned to Spaceiabs Medical for calibration.
Clogged luer filter
Too few data entries to accurately determine blood pressure. The message may indicate that
the cuff is not being worn by the patient (taken on but left connected to the monitor). The
message may also indicate that motion artifacts cause the majority of the incomplete data.
E028
Diastole above 200 mmHg
ULTRA VIEW DIGITAL TELEMETHY—Go
ULTRAVIEW DIGITAL TELEMETRY
Monitor Report Condition
E038 Pulse pressure less than 16 mmHg
E048 A) Movement artilact at mean arterial pressure
B) Heart rate arrhythmia
EC58 A) Movement artifact at diastole
E) Heart rate arrhythmia
E068 Division by zero
E019 contradictory instructions sent to hardware (e.g.. “pump on and valve open")
Diastolic pressure value cannot be obtained irom the data available.
E039 Algorithm could not process Input data quickly enough resulting in an input queue overflow.
This monitor must be initialized.
E059 Heart rate value cannot be obtained from the data available.
E069 Heart rate value cannot be obtained from the data available.
Bleed steps were too small. This may be caused by a partially obstructed air hose. All blood
pressure attempts lollowing this message are inhibited. Attempts can be enabled by turning
the power switch off then on.
Unexpected or contradictory data (such as a negative cuff pressure).
LLL
l— Ects Low battery detected prior to start at measurement.
E026 Low battery detected after measurement started. Usually caused by the pump drawing
enough current to lower the battery voltage.
Lbb The report does noi'print an event code tor this condition. which is a low badtup battery.
Contact Spaoelabs Medical for replacement oi the battery.
LIL TEA VIEW DIGITAL TELEMEI RY-31
'“\' Clinical Situation
NIBP Troubleshooting Guide
Possible Cause
Solution
.Adapter cable not inserted mrrectly
NIEP not enabled on 90343 or 90478
IABP monitor not properly initialized
Hr) NIBP dis-plays
.Hernolve and re-insert adapter cable
-Enable NIBP function by setting transmitter
or? switch 6 ON and setting DIP switch 3 OFF
.Reinitiallze ABP Monitor
rllBP readinqe Incorrect or inoperative out! in use
loull tubing is attached to adult outlet. but
monitor is configured In the neonatal
mode (or vice versa)
.Tubing Is kinked
l$orrle armytnmias (en. atrial fibrillation
and lrequent ventricular ectopry) may
cause a single or repeawd failure to
obtain a reading (may be due to true
beat—to-beat variations in pressure)
IExcessive patient motion or muscle
contractions associated with shivering or
severe pain
IBIood pressure outside of measurement
range
IRepIace with cuff known to be operative
.Connect tubing to correct outlet. Correlate
monitor mode. coil and patient type.
.Locate kink and straighten tubing
IDocurnent anhythmia It present. verily
pressure with another method. then follow
hospital procedure for care or this type oi
patient .
IEnsure that patient is quiet with minimal
movement during NIBP readings. Minimize
patient‘s shivering.
IVerity extremely high or low pressure with
another method
IABP monitor error
.Flemove ABP monitor from service; record
event code; and call qualified service person
Apparent incorrect udlliP
.Wrong size evil for patient
Icuff is damaged
-Excessive patient motion. shivering or
severe pain
.False high readings may petite result or
venous congestion caused by frequent
readings
-Cutl too loose or positioned incorrectly
lMeasure patient’s limbs at the midpoint.
Match limo measurement to range specified
on cul'f (undersizing the cult results in the
greatest degree of error).
lFieplace with good out!
IEnsure patient is quiet with minimal
movement during NIBP readings. Minimize
patients shivering.
IReduce trequency oi readings
ITighten cut! or woosition appropriately
ISome arrhythmies may cause beat-to-
beat pressure and NIBP readings
Varinblc- iE’adlan Occur
-Larger than normal influence of
respiratory phases on blood pressure
(inspiretory tall in blood pressure;
expiratory rise)
IDocument arrhythmia if present, verily
prusure using another method, then follow
hospital procedure ior care of this type or
patient
INIBF' soitware usually compensates [or
normal variation
.Peripheral vascular oranges experienced
during Shodt may reduce the reliability at
blood pressure readings obtained with
any indirect method. Peripheral pulses
may be diminished or absent.
ND NIBP terdlIIuS or
queslloriablevallms in tile
presence Ul Shafts
.Consider invasive pressure measurements in
patients with symptoms oi shock or in any
patient who rapidly becomes unstable tor
unknown reasons
ULTRAVIEW DIGITAL TELEMETRY
Contents
15
17
17
Setting Up Sp02 Monitoring
Ensuring Accurate Moniton
Setting or Adjusting Alarm Limits
General Telemetry Overview
Assigning a Telemetry Channe
Tuning 8 Reoeiver ior a Bedsid .
Entering Patient Iniormation. .6 Setting 3902 Data Averaging Period and
Acknowledging Signal Loss .6 Sampling Interval .. 18
Setting Battery Status Alarm .7 Viewing Pulse Rate 19
Controlling Patient-Initiated Recordings] Sp02 Error Messag 19
Digital Telemetry Problem Solving .7 Sp02 Touolashooting 22
Setting Up ECG Monitoring .8 NlBP Overview 23
Display Detail 0 Setting Up NlBP Monitoring. 23
Monitoring Paced ECG Patient 1 Setting Up the ABP Monitor 24
Restoring Deiault Settings. 1 Setting or Adjusting Alarm lmlts 27
Changing the Display Reso utwn. 2 Displaying Heart Rate Data .....
Selecting Options ior Lead Displa 2 Displaying New or Previous Readings 28
ECG Troubleshooting.,... 3 90217 Event codes
SpOz Overview (90343 only 5 NIEP Troubleshooti
General Telemetry Overview
The digital telemetry receiver module (Model 90473) when used In conjunction with
Spaoelabs Medical telemetry transmitters, PCMS'" or Ultraview'" monitor. and
modular receiver housing (Model 90479), provides continuous monitoring oi
eieotrocardiographic signals in order to detect abnormal cardiac rhythms, including Iiie-
threatening arrhythmias such as asystole, ventricular iiorlllation. and ventricular
tachycardia. In addition, when used with the digital telemetry mum-parameter
transmitter (model 90343), monitoring oi electrocavdiographic signals is augmented by
the availability oi continuous or episodic Spoz measurements and episodic NlBP
measurements.
Transmitters
The transmitter is a small battery-powered device carried by the patient to monitor
ECG activity and SpOZ/NIBP (90343 only) data, and transmit this information to the
telemetry receiver module. ~
- The 90343 and 90317 transmit tour leads oi ECG and use up to five lead wires,
However, only two leads may be displayed simultaneously
- The 90343 is also capable of transmitting numerical NlBP and 54:02 data. This
data is displayed simultaneously with that ol the ECG waveiorm data.
Each telemetry channel requires its own transm'mer operating at a unique radio
irequency. Channel reoeivers are tuned from the touchscreen on the monitor to receive
the available transmitter irequencles.
Operation at this equipment/naybe subject to licensing requirements
if}? by your local telecommunl'cations authority. Please check with your
NOTE Spacsiabs Medical customer service representative.
ULTRA VIEW DIGITAL TELEMETRY—Z

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