Anyview A5, A6, A8 User manual

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I
Product Information
Product Model: AnyView A8/A6/A5/A3
Product Name: Patient monitor
Manufacturer Name: Guangdong Biolight Meditech Co.,Ltd.
After Service Contact Information:
Address: No.2 Innovation First Road, Technical Innovation Coast,
Hi-tech Zone, Zhuhai, P.R. China
Fax: +86-756-3399919
Post code: 519085
Toll-free consultation hot line: +86-400-8818-233
Revision History
This manual has a revision number. This revision number changes
whenever the manual is updated due to software or technical specification
change. Contents of this manual are subject to change without prior notice.
Document No.: J/A8CE-A-010
Revision number: V5.3
Release time: Apr. 2014
Copyright © 2014 Guangdong Biolight Meditech Co., Ltd. All rights
reserved.
CE mark
EC Representative Name:
Shanghai International Trading Corp. GmbH (Hamburg)
EC Representative Address:
Eiffestrasse 80, 20537 Hamburg Germany
II
Statement
Manufacturer holds the copyright of this manual, and we are also entitled
to deal with this manual as confidential files. This manual is only used for
operation, maintenance and service of product, someone else can not publish
the manual.
This manual contains exclusive information protected by copyright laws
and we reserve its copyright. Without written approval of manufacturer no
parts of this manual shall be photocopied, Xeroxed or translated into other
languages.
The contents contained in this manual are subject to amendments without
notification.
Manufacturer's Responsibility
Only under the following circumstances will manufacturer be responsible
for the safety, reliability and performance of the instrument:
All the installation, expansion, readjustment, renovation or repairs are
conducted by the personnel certified by manufacturer.
The storage condition, operation condition and electrical status of the
instrument conform to the product specification.
The instrument is used in accordance with the user’s manual.
About this manual
This manual contains the instructions necessary to operate the product
safely and in accordance with its function and intended use. Observance of
this manual is a prerequisite for proper product performance and correct
operation and ensures patient and operator safety.
This manual is based on the maximum configuration and therefore some
contents may not apply to your product. If you have any question, please
contact us.
This manual is an integral part of the product. It should always be kept
close to the equipment so that it can be obtained conveniently when needed.
III
The manual is geared for clinical professionals who are expected to have a
working knowledge of medical procedures, practiced and terminology as
required for monitoring patients.
All illustrations in this manual serve as examples only. They may not
necessarily reflect the setup or data displayed on your product.
Conventions:
Bold Italic text is used in this manual to quote the referenced chapter or
sections.
is used to enclose screen texts.
is used to indicate operational procedures.
Signs in this manual
Warning: Indicates a potential hazard or unsafe practice that, if
not avoided, will result in death or serious injury.
Caution: Indicates a potential hazard or unsafe practice that, if not
avoided, could result in minor personal injury or product/property
damage.
Note: Provides application tips or other useful information to ensure
that you get the most from your product.
IV
Contents
Chapter 1 General Introduction.........................................................................................1
1.1 Intended Use....................................................................................................................1
1.2 Main Unit.........................................................................................................................1
1.3 Measurement Modules................................................................................................14
1.4 Equipment Symbols.....................................................................................................17
Chapter 2 Safety................................................................................................................... 18
2.1 Safety Information......................................................................................................... 1
2.2 General Safety.................................................................................................................3
2.3 Important Notes for Safety...........................................................................................5
2.4 Safe Operation Conditions........................................................................................... 7
Chapter 3 Basic Operations.................................................................................................7
3.1 Unpacking and Checking..............................................................................................1
3.2 Getting Started................................................................................................................2
3.3 Starting Monitoring....................................................................................................... 2
3.4 Shutting off the Monitor............................................................................................... 3
3.5 Standby Mode................................................................................................................. 3
3.6 Networked Monitoring..................................................................................................3
3.7 Operation Mode..............................................................................................................4
3.8 Screen Display................................................................................................................ 4
3.9 Using the Smartkeys......................................................................................................6
3.10 Setting Measurement Modules..................................................................................7
3.11 Using Mouse............................................................................................................... 10
3.12 Using Soft Keyboard.................................................................................................10
3.13 Using SD Memory Card........................................................................................... 11
3.14 General Setting...........................................................................................................12
Chapter 4 User Interface....................................................................................................14
4.1 Display Style...................................................................................................................1
4.2 Main Screen Select........................................................................................................ 2
V
Chapter 5 Alarm....................................................................................................................11
5.1 Alarm Category...............................................................................................................1
5.2 Alarm Level.....................................................................................................................1
5.3 Alarm Indicators.............................................................................................................2
5.4 Alarm Status Symbol.....................................................................................................4
5.5 Setting Alarm Volume................................................................................................... 4
5.6 Parameter Alarm.............................................................................................................4
5.7 Silence.............................................................................................................................. 6
5.8 Pausing Alarms............................................................................................................... 6
5.9 Acknowledging Alarms.................................................................................................7
5.10 Latching Alarms........................................................................................................... 7
5.11 When an Alarm Occurs............................................................................................... 7
Chapter 6 Patient Management..........................................................................................8
6.1 Admitting a Patient........................................................................................................ 1
6.2 Quick Admitting a Patient............................................................................................ 2
6.3 Edit Patient Information............................................................................................... 2
6.4 Discharging a Patient.....................................................................................................2
6.5 Transfer a Patient with EMS........................................................................................3
Chapter 7 ECG........................................................................................................................ 5
7.1 Introduction..................................................................................................................... 1
7.2 Safety Information......................................................................................................... 1
7.3 Monitoring Procedure....................................................................................................2
7.4 ECG Display....................................................................................................................7
7.5 Setting ECG.....................................................................................................................8
7.6 ST Monitoring.................................................................................................................9
7.7 Arrhythmia Monitoring...............................................................................................13
7.8 QT/QTc Interval Monitoring..................................................................................... 16
Chapter 8 Respiration Rate (Resp).................................................................................18
8.1 Introduction..................................................................................................................... 1
8.2 Safety Information......................................................................................................... 1
8.3 Monitoring Procedure....................................................................................................1
VI
8.4 Resp Display................................................................................................................... 2
8.5 Setting Resp.....................................................................................................................3
Chapter 9 SpO2....................................................................................................................... 3
9.1 Introduction..................................................................................................................... 1
9.2 Safety Information......................................................................................................... 1
9.3 Monitoring Procedure....................................................................................................4
9.4 SpO2Display...................................................................................................................4
9.5 Setting SpO2.................................................................................................................... 6
9.6 Measurement Limitations.............................................................................................9
9.7 Masimo Information....................................................................................................10
9.8 Nellcor Information..................................................................................................... 11
Chapter 10 Temperature (Temp)......................................................................................11
10.1 Introduction...................................................................................................................1
10.2 Safety Information.......................................................................................................1
10.3 Monitoring Procedure................................................................................................. 2
10.4 Temp Display................................................................................................................ 2
10.5 Setting TD......................................................................................................................3
Chapter 11 NIBP..................................................................................................................... 3
11.1 Introduction...................................................................................................................3
11.2 Safety Information....................................................................................................... 1
11.3 Measurement Limitations...........................................................................................1
11.4 Measurement Mode......................................................................................................2
11.5 Monitoring Procedure..................................................................................................2
11.6 NIBP Display................................................................................................................ 4
11.7 Setting NIBP................................................................................................................. 4
11.8 NIBP Maintenance....................................................................................................... 5
Chapter 12 IBP........................................................................................................................ 5
12.1 Introduction...................................................................................................................5
12.2 Safety Information.......................................................................................................1
12.3 Monitoring Procedure................................................................................................. 1
12.4 IBP Display................................................................................................................... 2
VII
12.5 Setting IBP.................................................................................................................... 3
12.6 Calculating Cerebral Perfusion Pressure.................................................................4
12.7 Zeroing the Pressure Transducer...............................................................................4
12.8 Pressure Calibration.................................................................................................... 5
Chapter 13 Carbon Dioxide (CO2)....................................................................................5
13.1 Introduction...................................................................................................................1
13.2 Monitoring Procedure................................................................................................. 1
13.3 CO2Display...................................................................................................................6
13.4 Setting CO2...................................................................................................................6
13.5 Zeroing........................................................................................................................... 8
13.6 Calibration.....................................................................................................................9
13.7 Removing Exhaust Gases from the System............................................................9
13.8 Safety Information.....................................................................................................10
Chapter 14 Anesthetic Gas (AG)......................................................................................11
14.1 Introduction...................................................................................................................1
14.2 Monitoring Procedure................................................................................................. 1
14.3 AG Display....................................................................................................................5
14.4 Setting Gas Parameter.................................................................................................5
14.5 MAC Calculation......................................................................................................... 6
14.6 Safety Information.......................................................................................................7
14.7 AG Maintenance.........................................................................................................10
14.8 Adverse effects on Performance............................................................................. 11
14.9 PHASEIN Information..............................................................................................13
Chapter 15 ICG.....................................................................................................................13
15.1 Introduction.................................................................................................................13
15.2 Calculated Parameters.................................................................................................1
15.3 Safety Information.......................................................................................................3
15.4 Monitoring Procedure................................................................................................. 3
15.5 ICG Parameter.............................................................................................................. 5
15.6 ICG Display...................................................................................................................6
15.7 Setting ICG Parameter................................................................................................ 6
15.8 Measurement Limitation.............................................................................................6
VIII
Chapter 16 C.O........................................................................................................................7
16.1 Overview........................................................................................................................7
16.2 Safety Information.......................................................................................................1
16.3 C.O. Display..................................................................................................................1
16.4 Measurement of C.O................................................................................................... 2
16.5 C.O. Setting...................................................................................................................3
16.6 Measurement Restrictions..........................................................................................7
16.7 Influencing Factors......................................................................................................7
Chapter 17 CSM......................................................................................................................7
17.1 Introduction...................................................................................................................7
17.2 Safety Information.......................................................................................................1
17.3 Monitoring Procedure................................................................................................. 2
17.4 CSM Display.................................................................................................................4
17.5 Setting CSM..................................................................................................................2
17.6 Maintenance.................................................................................................................. 4
Chapter 18 BIS........................................................................................................................ 4
18.1 Overview........................................................................................................................4
18.2 Safety Information.......................................................................................................1
18.3 Monitoring Procedure................................................................................................. 1
18.4 BIS Display................................................................................................................... 2
18.5 BIS Setting.................................................................................................................... 2
Chapter 19 EMS......................................................................................................................5
19.1 Appearance and Structure...........................................................................................5
19.2 Operation Mode............................................................................................................1
19.3 Basic Operation............................................................................................................3
19.4 User’s Screen................................................................................................................ 7
19.5 Parameter Measurement........................................................................................... 11
19.6 Alarm............................................................................................................................23
19.7 Reviewing....................................................................................................................24
Chapter 20 Freezing.............................................................................................................27
20.1 Freezing Waveform......................................................................................................1
IX
20.2 Reviewing Waveform..................................................................................................1
20.3 Releasing Freezing.......................................................................................................2
Chapter 21 Reviewing............................................................................................................2
21.1 Reviewing Graphic Trends.........................................................................................1
21.2 Reviewing Tabular Trends..........................................................................................2
21.3 Reviewing NIBP Measurement Results...................................................................3
21.4 Reviewing Parameter Alarm......................................................................................4
21.5 Reviewing Holographic Waveform.......................................................................... 5
Chapter 22 Calculations....................................................................................................... 6
22.1 Drug Dose Calculation................................................................................................1
22.2 Hemodynamic Calculation.........................................................................................2
22.3 Nephridium Calculation..............................................................................................4
22.4 Ventilation Calculation............................................................................................... 6
22.5 Oxygenation Calculation............................................................................................7
22.6 NIBP Analyze............................................................................................................... 9
22.7 HRV Analyze.............................................................................................................. 10
Chapter 23 Other Functions..............................................................................................12
23.1 Nurse Call......................................................................................................................1
23.2 Analog Signal Output..................................................................................................1
Chapter 24 Recording............................................................................................................1
24.1 Recorder.........................................................................................................................1
24.2 Recording Type.............................................................................................................1
24.3 Setting Recorder...........................................................................................................2
24.4 Starting and Stopping Recording..............................................................................2
24.5 Installing Recording Paper.........................................................................................3
24.6 Clearing Jam Paper......................................................................................................4
24.7 Cleaning Recorder....................................................................................................... 4
Chapter 25 Battery.................................................................................................................4
25.1 Introduction...................................................................................................................1
25.2 Installing a Battery...................................................................................................... 1
25.3 Optimizing Battery Performance..............................................................................2
X
25.4 Checking Battery Performance................................................................................. 2
25.5 Disposing Batteries......................................................................................................3
Chapter 26 Maintenance and Cleaning............................................................................3
26.1 Equipment Maintenance............................................................................................. 1
26.2 Equipment Cleaning.................................................................................................... 2
26.2 Cleaning of the Monitor............................................................................................. 2
26.3 Cleaning of EMS..........................................................................................................3
26.4 Cleaning and Sterilizing of Accessories..................................................................3
Chapter 27 Accessories..........................................................................................................6
Appendix A Product Specifications................................................................................... 5
A.1 Safety Specifications.................................................................................................... 1
A.2 Environmental Specifications.....................................................................................2
A.3 Physical Specifications................................................................................................ 2
A.4 Power Specifications.................................................................................................... 3
A.5 Hardware Specifications..............................................................................................3
A.6 Measurement Specifications....................................................................................... 8
A.7 EMS Specifications.................................................................................................... 30
Appendix B Factory Defaults............................................................................................32
B.1 Monitor Defaults......................................................................................................... 33
B.2 EMS Defaults...............................................................................................................43
Appendix C Alarm messages.............................................................................................46
C.1 Monitor Alarm Messages...........................................................................................47
C.2 EMS Alarm Messages.................................................................................................56
Appendix D Guidance and Manufacturer’s Declaration of EMC......................... 61
Patient monitor User’s manual
Chapter 1-1
Chapter 1 General Introduction
1.1 Intended Use
The monitor is intended to be used for monitoring, displaying, reviewing,
storing and alarming of multiple physiological parameters of adult, pediatric
and neonatal, including ECG, ST segment analysis, arrhythmia analysis, Heart
Rate (HR), Respiration Rate (RR), Temperature(Temp), Pulse Oxygen
Saturation(SpO2), Pulse Rate(PR), Non-invasive Blood Pressure(NIBP),
Invasive Blood Pressure(IBP), Impedance Cardiograph(ICG), Cardiac output
(C.O.) ,Carbon dioxide(CO2), Nitrous oxide(N2O), Cerebral State Index (CSI),
Bispectral Index (BIS) ,Total Hemoglobin(SpHb), Carboxyhemoglobin(SpCO)
and Methemoglobin(SpMet) .
Both Impedance Cardiograph (ICG), ST segment analysis and Cardiac
output(C.O.)monitoring are for adults only.
The following functions are not applicable to neonates: Cerebral State
Index(CSI) and Bispectral Index (BIS) monitoring, as well as monitoring of Total
Hemoglobin (SpHb), Carboxyhemoglobin (SpCO), and Methemoglobin
(SpMet).
The EMS module, which including ECG, Respiration rate, pulse rate, heart
rate, SpO2, NIBP, IBP and temperature parameters, is suitable for use during
transferring a patient.
Warning:The monitor is intended for use only by clinical professionals
or under their guidance. It must only be used by persons
who have received adequate training in its use. Anyone
unauthorized or untrained must not perform any operations
on it.
Patient monitor User’s manual
Chapter 1-2
1.2 Main Unit
1.2.1 Front View
AnyView A8 Patient monitor
AnyView A6 Patient monitor
4 5 6
3
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Patient monitor User’s manual
Chapter 1-3
AnyView A5 Patient monitor
AnyView A3 Patient monitor
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Patient monitor User’s manual
Chapter 1-4
1. Physiological alarm indicating lamp
When a physiological alarm occurs, this lamp will light up as defined
below:
High level alarm: the lamp quickly flashes red.
Medium level alarm: the lamp slowly flashes yellow.
Low level alarm: the lamp lights yellow without flashing.
2. Technical alarm indicating lamp
When a technical alarm occurs, this lamp will light up as defined below:
Medium level alarm: the lamp slowly flashes yellow.
Low level alarm: the lamp lights blue without flashing.
3. Display screen
4. Power button
5. Power indicating lamp
It is a LED that lights green and orange, the status of the LED is specified
as follows:
Green: When the AC mains is connected.
Orange: When the AC mains is not connected and monitor is powered
by battery.
Off: When the AC mains is not connected.
6. Battery charging indicating lamp
Light up: When the battery is being charged.
Off: When the battery is fully charged or no battery in monitor.
7. Trim Knob
The Trim Knob is used for:
Turn left or turn right to move the cursor.
Press down to perform an operation, such as open a menu dialog or
select one option.
Patient monitor User’s manual
Chapter 1-5
8. Press this button to start or stop recording.
9. Press this button to freeze or defreeze waveform.
10. Press this button to pause or reactive the alarms.
11. Press this button to acknowledge all active alarms. This switches
off the audible alarm indicators and alarm lamps. (Details refer
to Alarm chapter)
12. Press this button to start or stop NIBP measurement.
1.2.2 Side View
AnyView A8 Patient monitor
Left side: Right side:
4
5
6
1
2
2
3
Patient monitor User’s manual
Chapter 1-6
AnyView A6 Patient monitor
Left side: Right side:
AnyView A5 Patient monitor
Left side: Right side:
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Patient monitor User’s manual
Chapter 1-7
AnyView A3 Patient monitor
Left side: Right side:
1. EMS slot
2. Other plug-in module slots
3. Contact point
4. SD Memory card slot
5. Recorder
6. Handle
Caution: In order to prevent poor contact due to dust accumulated,
please regularly clean the contact point according to actual
application condition. Before cleaning, the monitor must be
powered off. When cleaning, please wipe the point with
medical cotton dipped into medicinal alcohol by use of a
nipper.
6
4
5
1
2
3
Patient monitor User’s manual
Chapter 1-8
1.2.3 Bottom View
AnyView A8 Patient monitor
AnyView A6 Patient monitor
1
1
1
1
Patient monitor User’s manual
Chapter 1-9
AnyView A5 Patient monitor
AnyView A3 Patient monitor
1. Battery compartment
1
1
1
Patient monitor User’s manual
Chapter 1-10
1.2.4 Rear View
AnyView A8 Patient monitor
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/