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PM 8060 vitara
Haemodynamic Patient Monitor
Instructions for Use
Software version 2.n
2-893-96
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Drger Medical
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Xxxxxxx Yxxxxxxxxx
T1
Xxxxxxxxx
T2
36.8
NiBP
mmHg
Dia
122/ 89
15min M (102)
NiBP
15.2/ 9.3
122/ 89
117 M (102)
99
Puls 65
ART
iBP 1
iBP 1 AORTA
mmHg
122/ 89
iBP 2
iBP ?
4.5
(100)
Puls 65
mmHg
iBP 1
A.Pulm
mmHg
122/ 89
(100)
ZVD
mmHg
122/ 89
(100)
Puls 65
Puls 65
(100)
Puls 65
iBP 2
mmHg
ICP
mmHg
4.5
mean
mean
HR/Puls (EKG)
65
Pulsdef. 0
ST + 0.05
RR
1/min
21
Xxxxxxxxxxxxxxxxxxx
Xxxxxxxxxxxxxxx xxx Xxxxxxxxxxx xxxxxxxxx xxxxxxxx Xxxxxxxxxx - xxxxxx xxxxxxxxxxxx ! - xxx xxx Xxxxxxxxxx
xxxxxxxxxxxx xxxxx !
Xxxxxxxxxx xxxxxxxx xxxxxx xxx xxxxxxxxx Xxxxxxxxxx xxxxxx
xxx xxx Xxxxxxxxxxxxx:
PM 8060 Vitara
Version 2.n
02-12-97
xxxx.
Self-test
Warning:
O2-Xxxxxxx
Advisory:
HR/Pulse
(ECG)
65
1mV
ART
Caution:
limits
130
auto set
limits
ART
122/ 89
CVP
80
pulse 65
10
iBP 2
(100)
mean
SpO2
Pleth
pulse 65
Xxxxxxxxx xxxxxxxxx
T2 C
36.8 37.2
config.
NiBP
Sys
mmHg
Dia
122/ 89
15min M (102)
01-10-96
Xxxxxxxxxxxx xxxxxxxx
3 Xxxx xx Xxxxx xxx xx Xxxxx xxxxxxxxxx xcxxxxxxxx - xxx xxx
Xxxxxxxcxx -
10:34
00:00
1. EKG
XYZ
parameter
timer
start
99
T1
alarm
info
screen
config.
CVP
4.5
mmHg
Dia
Sys
122/ 89
NiBP
kPa
Dia
SpO2
mmHg
Dia
Sys
122/ 89
Sys
iBP 1
Modulseite (deutsch):
37.2
NiBP
Sys
Xxxxxxxxxxxxxxxxxxxxxxxxxxxx:
Xxxxxxxxxx:
Vxxxxxxxxx?
Xxxxxxxxxxxxx:
Hxxxxxxx ?, Fxxxxxxx ?, Dxxxxxx ?
Xxxxxxxxx:
Sxxxxxxxxxxxxx ?
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Contents
Contents
For your safety and that of your patients
Intended use
Operating concept
13
Monitor functions
19
Parameter Box
49
73
Care
79
What's what
83
Technical data
89
98
Index
101
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Maintenance
The apparatus must be inspected and serviced regularly
by trained service personnel at six monthly intervals.
Repair and general overhaul of the apparatus may only be
carried out by trained service personnel.
We recommend that a service contract be obtained with
DrgerService and that all repairs also be carried out by
them.
Only authentic Drger spare parts may be used for maintenance.
Observe chapter "Maintenance Intervals".
Accessories
Do not use accessory parts other than those in the order
list.
Not for use in areas of explosion hazard
This apparatus is neither approved nor certified for use in
areas where combustible or explosive gas mixtures are
likely to occur.
Safe connection with other electrical equipment
Electrical connections to equipment which is not listed in
these Instructions for Use should only be made following
consultations with the respective manufacturers or an
expert.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Intended use
Contents
Intended use
Contents
Intended use.............................................................................................. 6
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Intended use
Intended use
Haemodynamic Patient Monitor PM 8060 vitara
When connected to the parameter box, the essential
haemodynamic parameters are displayed together with
their monitoring features:
The ECG curve with heart rate and ST segment
analysis.
Two channels for invasively measured blood pressure
(iBP), with the pressure values for systolic, diastolic
and mean pressure and the pressure curve.
The measured values for the non-invasively measured
blood pressure (NiBP) with the pressure values for
systolic, diastolic and mean pressure.
Two channels for body temperature.
The functional O2 saturation (SpO2) with the pulse
rate.
The plethysmogram.
The respirogram.
When connected to an anaesthetic workstation, data
from an airway monitor can also be displayed, but in
this case airway alarms are not transferred to the
PM 8060 vitara.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Operating concept
Contents
Operating concept
Contents
User interface........................................................................................... 8
Keys with dedicated function...................................................................... 8
Keys with variable function......................................................................... 8
Rotary control.............................................................................................9
Indicator lamps.........................................................................................10
Structure of the screen display................................................................. 10
Menu structure......................................................................................... 10
Screen saver............................................................................................ 11
Colour concept........................................................................................ 11
The various screen displays......................................................................11
User interface
Keys with dedicated function (Hardkeys)
The right-hand side is reserved for operating elements,
the left-hand side for displays.
Stop
The dark area contains four keys that act directly on the
screen contents:
1-2--
Stop
00329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Operating concept
User interface
Rotary control
A single "turn-and-push" control is used to select and
confirm settings.
00929094
Turn to select:
Turning the rotary control moves a cursor frame across
the screen or changes a numeric value.
Press to set:
When the rotary control is pressed, the value selected by
turning the control is accepted as the valid parameter, or
a process is started or stopped.
Example: To adjust the volume of the audible alarm
Standby
PM 8060 Vitara
Data Manager
SW-Version 2.n
02-12-97
delete
trend
Parameterbox
SW-Version 2.n
config.
Switch on with
01029094
alarms inactive !
Default values
pulse tone
ECG
SpO2 modulated
tone sequence
neon.
Pleth.
DRGER Euro-Standard
parameter
screen
acoustic
list entry
transport
RS 232 (Medibus)
RS 232 (Printer)
1 2 3 4 5 6 7 8 9
pulse tone 0 1 2 3 4 5 6 7 8 9
adult
alarm limits
alarm sound
mode
basic config.
01-10-96
10:34
00:00
01129094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Operating concept
User interface
Indicator lamps
D
1-2--
Warning !!!
Caution !!
Advisory !
Stop
00429094
State
Date / Time
Menu structure
01229094
Standby/Configuration
alarms inactive !
Default values
ECG
function
number
of leads
mode
off
ECG
derivation I
II
amplitude
filter
on
off
pacemaker on
off
pulse deficit on
indication
off
ST-segment
analysis
on
01-10-96
10:34
00:00
III
adult
neon.
alarm limits
NiBP
1.ECG2.ECG 3.ECG
10
on
parameter
iBP locations
screen
iBP channels
acoustic
SpO2 / Pleth
list entry
Resp.
transport
RS 232 (Medibus)
RS 232 (Printer)
basic config.
off
01329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Operating concept
User interface
Screen saver
If none of the controls or keys on the Monitor is operated
for about 5 minutes while in Standby mode, the screen
switches to a screen saver program to prevent screen
burn-in. The yellow LED in the Standby key lights up, and
a Drger logo ( D) appears at different positions on
the screen.
The screen display is restored immediately any user
operation is detected.
Colour concept
Certain colours are used recurrently with the same
standard meaning when operating the device:
Screen element:
Display colour:
Warning:
SPO2
ART
TEMP1
Advisory:
TEMP2 CALIB !
!!
HR/Pulse (ECG)
HR
Puls
NiBP
sys
SpO2
160
0
CVP
Caution:
!!!
1. ECG
II
1mV
72
72
-80 160
92
94
-0.00 0.10
37.5 --32.2 ---5
25
ST
T1
T2
RR
iBP1
122
sys
iBP2
Mean 4.5
20
0
Pleth
65
limits
50 120
pulse def. 0 ST + 0.05
50 120
iBP 1 ART
122/ 89
pulse 65
iBP 2
(100)
auto set
limits
alarm
info
CVP
4.5
80
160
SpO2
80
160
94
mean
timer
start
pulse 65
T1
T2 C
36.8 37.2
NiBP
Sys
mmHg
Dia
122/ 89
15min M (102)
01-10-96
10:34
00:00
The limit indicated has been violated. Please select a new value and confirm
05429094
Stop
Standard screen 2,
List screen and
Trend screen.
00629094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Operating concept
Screen displays
11
Warning:
Caution:
Advisory:
HR/Pulse
1. ECG
II
1mV
limits
ART
iBP 1
130
122/ 89
CVP
80
pulse 65
10
iBP 2
(100)
screen
config.
CVP
4.5
0
mean
SpO2
Pleth
pulse 65
T2 C
config.
NiBP
Sys
36.8 37.2
parameter
timer
start
99
T1
alarm
info
mmHg
Dia
122/ 89
01429094
ART
(ECG)
65
15min M (102)
01-10-96
List screen
containing all measured values and alarms; thereby
making it easier to complete the anaesthesia record.
This list can also be printed out to a connected printer
(optional).
10:34
00:00
Warning:
Caution:
HR/Pulse
1. ECG
II
(ECG)
start of
anaesthesia
65
1mV
01-10-96
11:34
00:00
next page
preceding page
SpO2 CO2 MV O2
anaesth. PAW
Vol. % L/min Vol. % agent
mbar
%
Fet
peak/PEEP
Fi
Fi
temp
Cpat
ml/mbar C
T1
90
97
35
37
6.4
6.3
21
31
ENF
1.4
1.4
32/3
31/3
12
12
36.8
36.9
96
90
97
31
34
33
6.2
6.1
6.0
32
31
33
1.2
1.2
1.1
33/3
31/3
30/3
12
12
12
36.7
36.8
36.9
95
97
35
37
6.4
6.3
30
31
ISO
1.4
1.4
32/3
31/3
12
12
36.8
36.9
start of
surgery
position
change
end of
surgery
extubation
event
print
01529094
HR/Pulse NiBP
mmHg
1/min
Sys/M/Dia
10:55 interval 2 01-10-96
10:55 IND-2
10:55
120/100/90
11:00 SPO2
!!! 64
123/103/88
11:05
67
11:08 intubation
120/100/90
11:10
63
!!! 62
123/103/88
11:13 SPO2
128/107/93
11:15
63
11:20 interval 1 01-10-96
11:20 OP-2
11:20
120/100/90
11:25
63
122/102/89
11:30
62
11:32 start of surgery
time Warning
Trend screen
for displaying the trend curves of the measured values
over time.
Advisory:
Warning:
Caution:
Advisory:
HR/Pulse
(ECG)
65
pulse def. 0 ST + 0.05
1mV
NiBP
200
SpO2
100
100
80
Sys
M
Dia
60
0
11:00
12:00
13:00
IBP 1
200
HR/RR
200
full
trend
Sys
M
Dia
100
100
0
11:00
01-10-96
12
config.
12:00
10:34
00:00
13:00
0162094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Standard screen (1 or 2)
containing the configured graph and measured value
fields.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
13
RGB
RS 232 C
RS 232 C
CAN 2
CAN 1
14
01829094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
COM 3
CAN 2
COM 2
COM 1
01929094
CAN 1
Medibus-Device
Vitara
option
option
Printer
Parameterbox
01729094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
15
D
D
Push the arm on to the rail and fix with two screws.
1-2--
Stop
2
02029094
1-2--
Stop
4 Place the arm on the rail and fix with the rail clamp.
02129094
1-2--
Stop
02229094
5
Turning and tilting
You can adjust the viewing angle of the PM 8060 vitara
and adapt it to the ergonomic requirements of your
workplace.
6 The tilt resistance can be adjusted with two crossslottet screws.
7 The swivel resistance can be adjusted by the screw
on the inside of the fixing column (Allen screw A/F 5 mm).
16
02329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
D
D
1-2--
Stop
02429094
Slot-in housing:
Push the parameter box as far as it will go into the
slot-in housing. The parameter box must lock into
position, thereby connecting up its electrical
connections.
09829094
Blue holder:
Fix the blue holder in a suitable position.
02529094
1 Defibrillator connection.
02629094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
17
02729094
After switching on
The Monitor runs through its start-up and self-test
routines:
The internal program memories are tested. All LEDs
and display elements light up for about 2 seconds.
02829094
Standby
PM 8060 Vitara
Data Manager
SW-Version 2.n
02-12-97
delete
trend
Parameterbox
SW-Version 2.n
config.
Switch on with
18
02929094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Contents
Screen Functions
Contents
Configuring the screen .......................................................................... 20
Mode....................................................................................................... 22
Alarm limits ..............................................................................................23
Parameters...............................................................................................23
Configuring the standard screen with modules ........................................ 27
Configuring the screen colours ................................................................30
Acoustic ..................................................................................................31
List entry ................................................................................................. 32
Transport function.................................................................................... 32
RS 232 MEDIBUS................................................................................... 34
RS 232 Printer ........................................................................................ 34
Basic configuration...................................................................................35
Screen functions during operation ........................................................ 35
Starting up the screen ............................................................................. 35
Standard screen ......................................................................................37
List screen .............................................................................................. 37
Trend screen with zoom function ............................................................. 39
Alarm limits ..............................................................................................40
Autosetting the patient alarms ..................................................................41
Alarm information .................................................................................... 42
Configuring the screen structure in operation ...........................................42
Parameters ..............................................................................................42
Timer .......................................................................................................43
Configuration .......................................................................................... 43
Alarm concept ........................................................................................45
Alarm priority ........................................................................................... 45
19
Standby
PM 8060 Vitara
Data Manager
SW-Version 2.n
02-12-97
Parameterbox
SW-Version 2.n
delete
trend
config.
Switch on with
03029094
Standby
PM 8060 Vitara
Data Manager
SW-Version 2.n
02-12-97
delete
trend
Parameterbox
SW-Version 2.n
2
Switch on with
config.
01029094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
Standby/Configuration
alarms inactive !
Default values
mode
adult
neon.
alarm limits
parameter
screen
acoustic
list entry
transport
RS 232 (Medibus)
RS 232 (Printer)
01-10-96
10:34
00:00
Standby/Configuration
alarms inactive !
Default values
After you have confirmed the fourth correct digit, you will
be allowed to access the "default values" pull-down
menu.
0 1 2 3 4 5 6 7 8 9
01-10-96
03229094
03329094
basic config.
10:34
00:00
alarm limits
parameters
screen
acoustic
Standby/Configuration
alarms inactive !
Default values
mode
adult
neon.
alarm limits
parameter
screen
transport
acoustic
list entry
transport
RS 232 (Medibus)
RS 232 (Printer)
basic config.
RS 232 (Printer)
basic config.
01-10-96
10:34
00:00
03329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
21
The arrow ( z )
refers back to the previous menu level.
Mode
For the following features, the PM 8060 vitara has
separate data sets in adult and neonatal modes
Standby/Configuration
alarms inactive !
Default values
alarm limits
mode
curve speed,
adult
neon.
alarm limits
parameter
screen
acoustic
list entry
transport
basic config.
RS 232 (Medibus)
RS 232 (Printer)
22
01-10-96
10:34
00:00
03429094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
Alarm limits
This menu defines:
Standby/Configuration
alarms inactive !
Default values
adult
neon.
alarm limits
parameter
standard adult
screen
standard neon.
acoustic
list entry
transport
RS 232 (Medibus)
RS 232 (Printer)
10:34
00:00
03529094
basic config.
Standby/Configuration
alarms inactive !
Default values
iBP
standard - adult
iBP
ECG/SpO2/NiBP/Temp/
mode
adult
neon.
alarm limits
Aorta
sys
80 160
dia
50 100
A.Pulm
sys
8
8
24
20
mean
mean
16
dia
01-10-96
Parameters
80 160
8
screen
acoustic
92
dia
?
mean
10
NiBP/ART
sys
--
sys
Pulsedef.
SpO2
dia
ICP
50 120
24
mean
CVP
parameter
HR/Pulse
--
list entry
50 100
transport
80 160
RS 232 (Medibus)
RR
25
RS 232 (Printer)
T1
--
--
basic config.
T2
--
--
ST
+ 0.10
-
24
50 100
10:34
00:00
03629094
Standby/Configuration
alarms inactive !
Default values
ECG
function
ECG
NiBP
Electrocardiogram
on
number
of leads
derivation I
II
III
filter
on
off
pacemaker on
off
pulse deficit on
indication
off
SpO2/Pleth
Pulsoximetry/plethysmogram
ST-segment
analysis
on
Resp
Respiration
01-10-96
10:34
00:00
adult
neon.
alarm limits
NiBP
iBP channels
ECG
1.ECG2.ECG 3.ECG
amplitude
mode
off
parameter
iBP locations
screen
iBP channels
acoustic
SpO2 / Pleth
list entry
Resp.
transport
RS 232 (Medibus)
RS 232 (Printer)
basic config.
off
03729094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
23
ECG settings
With the parameters:
Switching ECG measurement on
or off.
number of leads
derivation
ECG
function
on
off
number
of leads
1.ECG2.ECG 3.ECG
amplitude
Measurement sensitivity.
derivation I
filter
amplitude
pacemaker
filter
on
off
pacemaker on
off
pulse deficit
indication
on
off
ST-segment
analysis
on
off
II
III
07329095
measuring function
NiBP settings
NiBP
active alarms
initial pressure
interlock
24
auto
punction
on
off
Start Stop
sys dia
180 mmHg
40 mmHg
mmHg kPa
interlock:
NiBP-SpO2 on
off
NiBP-iBP
off
on
07329095
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
iBP locations
ART
Arterial
AORTA
Aorta
A. Pulm.
Pulmonary artery
CVP
ICP
Intracranial pressure
amplitude
pulse
active alarms
graph
amplitude
pulse
AORTA active alarms
graph
amplitude
pulse
A. Pulm active alarms
graph
amplitude
active alarms
CVP
graph
amplitude
active alarms
ICP
graph
amplitude
active alarms
?
graph
amplitude
ART
sys
absol.
160
on
sys
absol.
160
on
sys
absol.
40
mean
absol.
20
mean
absol.
20
sys
absol.
160
dia
morph.
off
dia
morph.
off
dia mean
morph.
morph.
morph.
dia mean
morph.
03929094
iBP channels
iBP 1
measurement function
Switches the channel on and off.
location
sensitivity
SpO2/Plethysmogram
iBP 2
function
on
location
AORTA
sensitivity
42.5
50
function
on
off
location
CVP
sensitivity
42.5
off
50
03929094
C-Lock
mode
SpO2 / Pleth
on
function
off
pulse
on
off
C-Lock
on
off
(ECG synchr.)
mode
slow
normal
fast
03929094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
25
Respiration
With the parameters:
function
mode
amplitude
trigger
apnea
26
Resp.
function
on
off
mode
auto man
amplitude
1 E/cm
trigger
on
off
apnea
10
03829094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
Standby/Configuration
alarms inactive !
Default values
screen
mode
Graph
HR
1. ECG
standard screen
HR
1. ECG x2
HR x 2
screen
parameter
2. ECG
Temp
colours
screen
3. ECG
NiBP
curve speed
acoustic
SpO2
iBP 1
iBP 1
general settings
list entry
NiBP
iBP 2
iBP 2
colour
iBP 2
curve speed
Temp
SpO2
RS 232 (Medibus)
Pleth x 2
SpO2 x2
RS 232 (Printer)
Resp.
Resp.
Resp x 2
RR x 2
basic config.
10:34
00:00
/EM 6/Stb
f/
03929094
01-10-96
BS A fb 1 R
Standby/Configuration
alarms inactive !
Default values
screen
mode
HR
1. ECG
iBP 1
Pleth
BLANK
S h
neon.
transport
iBP1+BP2 NiBP x2
general settings
adult
alarm limits
1. ECG
iBP 1
iBP 1 + 2
Pleth
Module
iBP 1 + 2
iBP 2
Module
1. ECG
HR
1. ECG x2
HR x 2
screen
parameter
2. ECG
Temp
colours
screen
3. ECG
NiBP
curve speed
acoustic
general settings
list entry
Pleth
SpO2
iBP 1
iBP 1
Resp.
RR
iBP 2
iBP 2
iBP1+BP2 NiBP x2
adult
Graph
neon.
alarm limits
transport
Pleth
SpO2
RS 232 (Medibus)
Pleth x 2
SpO2 x2
RS 232 (Printer)
Resp.
Resp.
Resp x 2
basic config.
RR x 2
BLANK
01-10-96
S h
/EM 6/Stb
10:34
00:00
f/
Please position selected parameter by turning the rotary knob. Please confirm
BS A fb 2 R
27
04029094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
1. ECG
ART
iBP curves:
160
ART
0
ZVD
CVP
CVP
Plethysmogram curve
Real-time curve of the plethysmogram
measured by the SpO2 sensor.
This curve can also be displayed in a
double-height module.
Respiration curve
Real-time curve of the respiration
characteristic.
This curve can also be displayed in a
double-height module.
20
iBP 1+iBP 2
ART
130
CVP
20
60
Pleth
Respiration
04129094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
28
NiBP
T1
T2
36.8 37.2
NiBP
Sys
mmHg
Dia
122/ 89
15min M (102)
NiBP
Sys
mmHg
Dia
122/ 89
117 M (102)
SpO2
SpO2
NiBP
Sys
mmHg
Dia
122/ 89
NiBP
Sys
kPa
Dia
15.2/ 9.3
man 10:35 M (11.1)
99
pulse 65
iBP 1/2
122/ 89
(100)
pulse 65
iBP 1
ART
mmHg
122/ 89
(100)
pulse 65
iBP 2
CVP
mmHg
4.5
Heart rate
Respiration
mean
HR/Pulse
65
(ecg)
1/min
iBP 1 iBP ?
mmHg
122/ 89
(100)
pulse 65
122/ 89
(100)
pulse 65
iBP 2
ICP
mmHg
4.5
HR/Pulse
mean
(ecg)
Asystolie 10 s
pulsedef. 0 ST + 0.05
pulsedef. 0 ST + 0.05
RR
RR
21
1/min
Apnoe
10 s
04229094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
29
Standby/Configuration
alarms inactive !
Default values
mode
adult
neon.
alarm limits
ART
AORTA
A.Pulm
CVP
ICP
iBP ?
ECG
NiBP
SpO2
Resp.
Temp
parameter
colours
screen
curve speed
acoustic
general settings
list entry
transport
RS 232 (Medibus)
RS 232 (Printer)
01-10-96
screen
10:34
00:00
yes
basic config.
no
04329094
Standby/Configuration
alarms inactive !
Default values
light
mode
ART
AORTA
A.Pulm
CVP
ICP
iBP ?
ECG
NiBP
SpO2
Resp.
Temp
colour modules
yes The numerical modules will be the
same colour as the corresponding
curves.
no
screen
parameter
colours
screen
curve speed
acoustic
general settings
list entry
neon.
transport
RS 232 (Medibus)
RS 232 (Printer)
01-10-96
10:34
00:00
yes
Warning:
basic config.
no
Example:
Screen with dark background
adult
alarm limits
04429094
dark
Caution:
Advisory:
HR/Pulse (ECG)
1mV
ART
65
iBP 1
130
limits
auto set
limits
ART
122/ 89
pulse 65
80
CVP
iBP 2
10
(100)
screen
config.
CVP
4.5
mean
SpO2
Pleth
T2 C
36.8 37.2
config.
NiBP
Sys
mmHg
Dia
122/ 89
15min M (102)
01-10-96
30
10:34
00:00
parameter
timer
start
99
pulse 65
T1
alarm
info
09529095
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
alarms inactive !
Standby/Configuration
Default values
mode
haemodynamic adults
Haemodynamic values in adult mode.
adult
neon.
alarm limits
haemodynamic neonates
Haemodynamic values in neonatal mode.
screen
parameter
colours
screen
curve speed
acoustic
general settings
list entry
transport
haemodynamic 12,5
adult mm/s
25
50
haemodynamic 12,5
neonate mm/s
25
50
RS 232 (Medibus)
RS 232 (Printer)
10:34
00:00
04529094
01-10-96
basic config.
Standby/Configuration
alarms inactive !
Default values
yes = ON
mode
adult
neon.
alarm limits
no = OFF
units
yes
screen
parameter
colours
screen
curve speed
acoustic
general settings
list entry
transport
no
RS 232 (Medibus)
RS 232 (Printer)
01-10-96
10:34
00:00
04629094
basic config.
Standby/Configuration
Acoustic
alarms inactive !
Default values
alarm sound
1 2 3 4 5 6 7 8 9
pulse tone 0 1 2 3 4 5 6 7 8 9
pulse tone
ECG
SpO2 modulated
adult
neon.
alarm limits
tone sequence
Pleth.
DRGER Euro-Standard
parameter
screen
acoustic
list entry
transport
RS 232 (Medibus)
RS 232 (Printer)
basic config.
01-10-96
10:34
00:00
01129094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
tone sequence
Specifies the tone sequence, either to
Euro- or to Drger standard.
31
List entry
Standby/Configuration
alarms inactive !
Default values
mode
adult
neon.
alarm limits
alarm sound
parameter
1 2 3 4 5 6 7 8 9
screen
pulse tone 0 1 2 3 4 5 6 7 8 9
pulse tone
ECG
SpO2 modulated
tone sequence
acoustic
Pleth.
list entry
transport
DRGER Euro-Standard
RS 232 (Medibus)
RS 232 (Printer)
01-10-96
Transport function
10:34
00:00
04729094
basic config.
alarms inactive!
Standby / Configuration
Default values
transport
function
off
alarm limits
parameter
screen
acoustic
list entry
transport
RS 232 (Printer)
basic config.
01.04.96
11:59
00:00
04829094
RS 232 (Medibus)
alarms inactive!
Standby / Configuration
Default values
transport
function
on
off
transportmenus
yes
no
alarm limits
parameter
screen
acoustic
32
monitor
yes
no
parameter
box
yes
no
list entry
01.04.96
11:59
00:00
transport
RS 232 (Medibus)
settings
alarm limits
list
basic config.
yes
yes
yes
no
no
no
RS 232 (Printer)
04929094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
alarms inactive!
Standby / Configuration
Default values
transport
function
on
off
transportmenus
yes
no
alarm limits
parameter
screen
acoustic
01.04.96
11:59
00:00
parameter
box
yes
no
transport
RS 232 (Medibus)
settings
alarm limits
list
basic config.
yes
yes
yes
no
no
no
RS 232 (Printer)
2
transportfunction
transportmenus
on
off
yes
no
transportfunction
transportmenus
on
off
yes
no
no
settings
alarm
limits
list
yes
no
yes
yes
no
no
06929094
yes
04929094
monitor
list entry
06929094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
List yes/no
If yes the data stored in the parameter box is
transferred and inserted in the list.
If no the system screen sets up a new list. The new
list is valid ("start-time") as soon as these settings
have been validated.
In normal operation (see section on Parameter Box),
this dialog only occurs when Transport Menus is set to
yes. Otherwise, the instructions programmed here are
executed immediately.
In standardised operating theatre organisation, the
transport menus can also be switched off (Transport
Menus set to no). In this case, data is transferred as
specified by the preselected settings, without any further
dialog or confirmation.
33
RS 232 (MEDIBUS)
alarms inactive!
Standby / Configuration
Default values
alarm limits
parameter
screen
acoustic
list entry
even
data bits
stop bits
RS232 (Printer)
baud rate
1.2
(kBaud)
01.04.96
11:59
00:00
transport
9.6
RS 232 (Medibus)
parity
even
RS 232 (Printer)
data bits
basic config.
stop bits
05129094
baud rate
alarms inactive!
Standby / Configuration
Default values
screen
acoustic
record output
baud rate
Transmission speed
parity
data bits
stop bits
Medibus
baud rate
(kBaud) 1.2 2.4 4.8 9.6 19.2
01.04.96
34
printer
11:59
00:00
Parity
even
data bits
stop bits
odd
none
list entry
transport
RS 232 (Medibus)
RS 232 (Printer)
basic config.
05229094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
Basic configuration
alarms inactive!
Standby / Configuration
Default values
date
language
location
GB
F
D
NL
I
E
DK
S
N
list entry
transport
time:
11 : 59
date:
01 - 04 - 96
language: GB F D NL E I DK S N
mon. location:
01.04.96
11:59
00:00
XXX
RS 232 (Medibus)
RS 232 (Printer)
basic config.
05329094
English
French
German
Dutch
Italian
Spanish
Danish
Swedish
Norwegian
acoustic
2
D
Stop
Standard screen 2,
List screen and
00529094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Configuring the screen
Screen functions during operation
Trend screen.
3 You can return directly to the Standard screen at
any time by pressing the Q key.
35
Warning:
Caution:
Advisory:
HR/Pulse
1. ECG
II
1mV
ART
(ECG)
65
limits
ART
iBP 1
130
122/ 89
CVP
80
pulse 65
10
iBP 2
(100)
screen
config.
CVP
4.5
0
mean
SpO2
Pleth
pulse 65
T2 C
config.
NiBP
mmHg
Dia
Sys
36.8 37.2
parameter
timer
start
99
T1
alarm
info
122/ 89
01429094
Standard screen
contains the graph and measured value fields
configured by the user.
15min M (102)
01-10-96
10:34
00:00
Warning:
Caution:
HR/Pulse
1. ECG
II
(ECG)
start of
anaesthesia
65
1mV
01-10-96
11:34
00:00
next page
preceding page
SpO2 CO2 MV O2
anaesth. PAW
Vol. % L/min Vol. % agent
mbar
%
Fet
peak/PEEP
Fi
Fi
90
97
35
37
6.4
6.3
21
31
ENF
1.4
1.4
96
90
97
31
34
33
6.2
6.1
6.0
32
31
33
1.2
1.2
1.1
30
31
ISO
1.4
1.4
temp
Cpat
ml/mbar C
T1
32/3
31/3
12
12
36.8
36.9
33/3
31/3
30/3
12
12
12
36.7
36.8
36.9
start of
surgery
position
change
end of
surgery
extubation
event
35
37
95
97
6.4
6.3
32/3
31/3
36.8
36.9
12
12
print
01529094
HR/Pulse NiBP
mmHg
1/min
Sys/M/Dia
10:55 interval 2 01-10-96
10:55 IND-2
10:55
120/100/90
11:00 SPO2
!!! 64
123/103/88
11:05
67
11:08 intubation
120/100/90
11:10
63
!!! 62
123/103/88
11:13 SPO2
128/107/93
11:15
63
11:20 interval 1 01-10-96
11:20 OP-2
11:20
120/100/90
11:25
63
122/102/89
11:30
62
11:32 start of surgery
time Warning
Advisory:
Warning:
Caution:
Advisory:
HR/Pulse
(ECG)
65
pulse def. 0 ST + 0.05
1mV
NiBP
200
SpO2
100
M 100
Dia
80
Sys
60
0
11:00
12:00
13:00
IBP 1
200
HR/RR
200
full
trend
Sys
100
M 100
Dia
0
11:00
01-10-96
36
config.
12:00
10:34
00:00
13:00
01629094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Screen functions during operation
Warning:
Caution:
HR/Pulse
1. ECG
II
ART
(ECG)
65
1mV
Advisory:
limits
ART
iBP 1
130
122/ 89
CVP
80
pulse 65
10
iBP 2
(100)
screen
config.
CVP
4.5
0
mean
SpO2
Pleth
pulse 65
T2 C
config.
NiBP
Sys
36.8 37.2
parameter
timer
start
99
T1
alarm
info
mmHg
Dia
122/ 89
01429094
Standard screens
15min M (102)
01-10-96
List screen
Certain measured values which have been automatically
or manually saved are displayed here for documentation
(to facilitate compilation of the anaesthetic record).
10:34
00:00
Warning:
Caution:
Advisory:
HR/Pulse
1. ECG
II
(ECG)
start of
anaesthesia
65
1mV
01-10-96
11:34
00:00
next page
preceding page
SpO2 CO2 MV O2
anaesth. PAW
Vol. % L/min Vol. % agent
mbar
%
Fet
peak/PEEP
Fi
Fi
temp
Cpat
ml/mbar C
T1
90
97
35
37
6.4
6.3
21
31
ENF
1.4
1.4
32/3
31/3
12
12
36.8
36.9
96
90
97
31
34
33
6.2
6.1
6.0
32
31
33
1.2
1.2
1.1
33/3
31/3
30/3
12
12
12
36.7
36.8
36.9
95
97
35
37
6.4
6.3
30
31
ISO
1.4
1.4
32/3
31/3
12
12
36.8
36.9
start of
surgery
position
change
end of
surgery
extubation
event
print
01529094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Screen functions during operation
start of surgery
transfer patient
Intubation
A paper printout of the entire list is generated on an
external connected printer by pressing the print screen
key.
37
Warning:
Caution:
HR/Pulse
1. ECG
II
intubation
config. list entry
HR/Pulse NiBP
mmHg
1/min
Sys/M/Dia
10:55 interval 2 01-10-96
10:55 IND-2
10:55
120/100/90
11:00 SPO2
!!! 64
123/103/88
11:05
67
11:08 intubation
120/100/90
11:10
63
!!! 62
123/103/88
11:13 SPO2
128/107/93
11:15
63
11:20 interval 1 01-10-96
11:20 OP-2
11:20
120/100/90
11:25
63
122/102/89
11:30
62
11:32 start of surgery
time Warning
01-10-96
11:34
00:00
next page
preceding page
SpO2 CO2 MV O2
anaesth. PAW
Vol. % L/min Vol. % agent
mbar
%
Fet
peak/PEEP
Fi
Fi
90
97
35
37
6.4
6.3
21
31
ENF
1.4
1.4
96
90
97
31
34
33
6.2
6.1
6.0
32
31
33
1.2
1.2
1.1
30
31
ISO
1.4
1.4
temp
Cpat
ml/mbar C
T1
32/3
31/3
12
12
36.8
36.9
33/3
31/3
30/3
12
12
12
36.7
36.8
36.9
start of
surgery
position
change
end of
surgery
extubation
event
95
97
35
37
6.4
6.3
32/3
31/3
12
12
36.8
36.9
print
01529094
start of
anaesthesia
(ECG)
65
1mV
Advisory:
PM 8060 Vitara
Data Manager
SW-Version 2.n
02-12-97
delete
trend
Parameterbox
SW-Version 2.n
38
Standby
config.
Switch on with
01029094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Screen functions during operation
NiBP,
iBP 1,
SpO2 and
HR / RR
Warning:
HR/Pulse
(ECG)
65
pulse def. 0 ST + 0.05
1mV
NiBP
200
SpO2
100
M 100
Dia
80
Sys
60
0
12:00
13:00
IBP 1
200
HR/RR
200
full
trend
Sys
100
M 100
Dia
config.
Advisory:
1. ECG II
11:00
Caution:
11:00
01-10-96
12:00
10:34
00:00
13:00
01629094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Screen functions during operation
39
Limits
The display comprises the designation of the measured
value, the value actually measured on the patient (large
numerals) and the set upper and lower alarm limits (small
numerals) underneath the symbols for the alarm limits
( < for the lower and > for the upper alarm limit).
A deactivated alarm limit is indicated by dashes ( ) in
the numbers field.
The limit value settings only apply temporarily. They are
overwritten by the standard alarm limits when
Pulse
60
120
SPO2
Caution:
!!!
TEMP1
1. ECG
II
HR
1mV
ART
72
72
Puls
NiBP
-sys
SpO2 92
0.00
ST
T1
37.5
160
CVP
Advisory:
TEMP2 CALIB !
!!
HR/Pulse (ECG)
>
Warning:
72
<
20
T2
RR
0
32.2
--
iBP1
122
sys
iBP2
Mean 4.5
Pleth
65
limits
50 120
pulse def. 0 ST + 0.05
50 120
iBP 1 ART
80 160
94
- 0.10
122/ 89
pulse 65
iBP 2
(100)
auto set
limits
alarm
info
CVP
---
---
25
4.5
80
160
SpO2
80
160
94
mean
timer
start
pulse 65
T1
T2 C
36.8 37.2
To change alarm limits:
Move the cursor frame to the value for the required alarm
limit with the rotary control and press to confirm.
40
NiBP
Sys
mmHg
Dia
122/ 89
15min M (102)
01-10-96
10:34
00:00
The limit indicated has been violated. Please select a new value and confirm
05429094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Screen functions during operation
Warning:
Caution:
Advisory:
ART
limits
130
auto set
limits
ART
122/ 89
80
pulse 65
10
iBP 2
(100)
4.5
mean
SpO2
Pleth
pulse 65
T2 C
config.
NiBP
Sys
parameter
timer
start
99
T1
alarm
info
screen
config.
CVP
36.8 37.2
(ECG)
65
1mV
CVP
The alarm limits set in the limits menu are deleted and
cannot be reactivated. The default alarm limits remain
unaffected by the auto set function and can be
reactivated at any time via the functions config,
alarms and default.
HR/Pulse
1. ECG
II
mmHg
Dia
122/ 89
05529095
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Screen functions during operation
15min M (102)
01-10-96
10:34
00:00
unit
comments
but not less than 40 per minute
HR
ST
+20.0
+0.05
-20.0
-0.05
1/min
NiBP/ART
SYS
DIA
+20.0
+20.0
-20.0
-20.0
mmHg
mmHg
AORTA
SYS
DIA
+20.0
+20.0
-20.0
-20.0
mmHg
mmHg
ART pul.
SYS
DIA
MIT
+15.0
+5.0
+10.0
-15.0
-5.0
-10.0
mmHg
mmHg
mmHg
CVD
MIT
+5.0
-5.0
mmHg
ICP
MIT
+5.0
-5.0
mmHg
mmHg
SYS
DIA
MIT
+20.0
+20.0
+20.0
-20.0
-20.0
-20.0
mmHg
mmHg
mmHg
+1.0
-1.0
+40.0
-40.0
ECG
TEMP
RESP
RR
mV
but not less than 90 mmHg (Neo not less then 50 mmHg)
C
% meas. val but not outside the following min./max. limits:
Adults with RR
< 6 per minute and > 30 per minute
Neonates with RR < 12 per minute and > 60 per minute
41
Alarm info
The warning, caution and advisory fields each have
space for two to three entries.
If further messages are present, a complete list of all
entries in order of priority can be displayed on the
monitor by pressing the softkey alarm info.
Warning:
Xxxxx
Yyyyy
Zzzzz
Caution:
Xxxxx
Yyyyy
Zzzzz
Advisory:
Xxxxx
Yyyyy
Zzzzz
1. ECG
II
Xxxxx
Yyyyy
Zzzzz
Uuuuu
1mV
ART
80
CVP
auto set
limits
Xxxxx
Yyyyy
Zzzzz
Vvvvv
130
limits
alarm
info
Xxxxx
Yyyyy
Zzzzz
Wwwww
Rrrrr
Sssss
Ttttt
10
screen
config.
parameter
Pleth
timer
start
config.
T2 C
T1
01-10-96
Screen configuration
A selection menu is displayed when the softkey screen
config. is pressed.
The graphs and numerical modules are selected as
described from page 27 onwards.
05629095
36.8 37.2
10:34
00:00
Warning:
Caution:
Advisory:
HR/Pulse (ecg)
65
pulse def. 0 ST + 0.05
1mV
auto set
limits
screen
HR
1. ECG
iBP 1
iBP 1 + 2
iBP 2
SpO2
Pleth
RR
Resp.
Graph
Module
1. ECG
HR
1. ECG x2
HR x 2
2. ECG
Temp
3. ECG
NiBP
iBP 1
iBP 1
iBP 2
iBP 2
alarm
info
screen
config.
timer
start
iBP1+BP2 NiBP x2
Pleth
SpO2
Pleth x 2
SpO2 x2
Resp.
Resp.
Resp x 2
RR x 2
01-10-96
S h
Parameter
Press the softkey Parameter to display a selection
menu with the functions ECG, NiBP, IBP1, IBP2,
SpO2/Pleth and Resp. on the screen.
Warning:
Caution:
Advisory:
HR/Pulse (ECG)
65
ECG
1mV
ART
10:34
00:00
d /1
05729094
BLANK
NiBP
130
iBP 1
iBP 1
122/ 89
iBP 2
80
CVP
ART
pulse 65
SpO2 / Pleth
iBP 2
10
(100)
alarm
info
CVP
4.5
0
mean
SpO2
Pleth
auto set
limits
parameter
timer
start
99
pulse 65
T1
T2 C
NiBP
Sys
36.8 37.2
mmHg
Dia
122/ 89
15min M (102)
01-10-96
42
10:34
00:00
05829094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Screen functions during operation
Timer
Press the timer start softkey to start the timer
at 00 : 00.
Format: Min. : Sec.
1 The timer reading is shown on the screen below the
normal time. The softkey changes automatically to
timer stop.
Caution:
Advisory:
HR/Pulse
1. ECG
II
1mV
ART
(ECG)
65
limits
130
auto set
limits
ART
122/ 89
CVP
80
pulse 65
10
iBP 2
(100)
screen
config.
CVP
4.5
mean
SpO2
Pleth
pulse 65
T2 C
config.
NiBP
mmHg
Dia
Sys
36.8 37.2
parameter
timer
start
99
T1
alarm
info
122/ 89
05929094
Warning:
15min M (102)
01-10-96
10:34
00:00
Configuration
Warning:
Caution:
Advisory:
HR/Pulse
1. ECG
II
1mV
ART
iBP 1
130
alarm sound
122/ 89
CVP
80
pulse 65
10
iBP 2
(100)
pulse tone
mean
SpO2
Pleth
pulse 65
T2 C
36.8 37.2
config.
NiBP
Sys
parameter
timer
start
99
T1
alarm
info
screen
config.
CVP
4.5
auto set
limits
ART
limits
Settings
mode
(ECG)
65
mmHg
Dia
122/ 89
06029094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Screen functions during operation
15min M (102)
ECG-Tone - SpO2
modulated
Acoustic heart beat signal.
If yes is selected here, the pitch
of the heart beat tone varies with
the oxygen saturation.
If no, the heart beat tone
remains of invariable pitch.
colour
curve speed
call standard
01-10-96
10:34
00:00
43
Calibration
iBP 1/2
check NiBP
Configuration
SpO2
parameter box
44
HR
65
1mV
Alarms
Calibration
Alarms
default
Alarm !!!
1. ECG
II
SpO2
on
off
parameterbox
on
off
iBP 1
mode
adult
iBP 2
alarm sound
1 2 3 4 5 6 7 8 9
check NiBP
pulse tone
neon.
0 1 2 3 4 5 6 7 8 9
ECG
Pleth.
colours
Settings
curve speed
mm/s
12,5
25
50
01-10-96
10:34
00:00
06129094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Screen functions during operation
Alarm concept
Alarm priority
The monitor alarms are arranged in order of priority and
assigned specific tones or tone sequences. The alarm
messages, adapted to the particular situation, are
displayed in an easily understandable layout with
separate fields for
1 Warning marked
!!! Text on red field
2 Caution marked
!! Text on yellow field
3 Advisory marked
! Text on white field
Warning:
SPO2
Caution:
!!!
TEMP1
1. ECG
II
HR/Pulse (ECG)
Puls
20
0
Pleth
65
limits
-80 160
92
94
-0.00 0.10
37.5 --32.2 ---5
25
122
80
160
4.5
80
160
ART
122/ 89
alarm
info
(100)
pulse 65
iBP 2
1-2--
auto set
limits
50 120
iBP 1
sys
SpO2
ST
T1
T2
RR
iBP1
sys
iBP2
Mean
50 120
NiBP
160
CVP
72
72
HR
1mV
ART
Advisory:
TEMP2 CALIB !
!!
CVP
4.5
Stop
mean
timer
start
SpO2
94
pulse 65
T1
T2 C
NiBP
Sys
36.8 37.2
mmHg
Dia
122/ 89
15min M (102)
10:34
00:00
The limit indicated has been violated. Please select a new value and confirm
09929094
01-10-96
Red,
flashing
Yellow, flashing
Yellow, continuous
Warning:
The symbol for the lower alarm limit < and the
parameter designation SpO2 < !!! are displayed
in the alarm field.
TEMP1
ART
HR
Puls
NiBP
sys
160
SpO2
ST
T1
T2
RR
iBP1
sys
iBP2
Mean
0
CVP
Advisory:
TEMP2 CALIB !
!!
HR/Pulse (ECG)
20
0
Pleth
Caution:
!!!
1. ECG
II
1mV
SPO2
72
72
65
limits
50 120
pulse def. 0 ST + 0.05
50 120
iBP 1 ART
-80 160
92
94
-0.00 0.10
37.5 --32.2 ---5
25
122/ 89
pulse 65
iBP 2
(100)
auto set
limits
alarm
info
CVP
4.5
122
80
160
SpO2
4.5
80
160
94
mean
timer
start
pulse 65
T1
T2 C
36.8 37.2
NiBP
Sys
mmHg
Dia
122/ 89
05429094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Alarm concept
15min M (102)
01-10-96
10:34
00:00
The limit indicated has been violated. Please select a new value and confirm
45
Warning:
Caution:
Advisory:
SPO2
!!!
TEMP1
!!
limits
TEMP2 CALIB !
130
80
CVP
alarm
info
screen
config.
10
parameter
0
Pleth
T1
auto set
limits
timer
start
config.
T2 C
01-10-96
06329094
36.8 37.2
10:34
00:00
3
D
1-2--
Exception:
NiBP alarms are suppressed until the next
measurement is taken.
2
Stop
46
00529094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Alarm concept
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Alarm concept
Result
Message
ECG
SpO2
IBP 1
IBP 2
No heart beat
any
any
any
ASYSTOLY !!!
ECG
SpO2
IBP 1
IBP 2
heart beat
pulse
no pulse
no pulse
ECG
SpO2
IBP 1
IBP 2
heart beat
pulse
pulse
no pulse
CHECK IBP 2 !
ECG
SpO2
IBP 1
IBP 2
heart beat
pulse
no pulse
pulse
CHECK IBP 1 !
ECG
SpO2
IBP 1
IBP 2
heart beat
no pulse
pulse
pulse
SPO2 SENSOR? !
ECG
SpO2
IBP 1
IBP 2
heart beat
no pulse
no pulse
no pulse
Special features
47
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Screen functions
Alarm concept
48
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Contents
Parameterbox
Contents
Function keys .......................................................................................... 50
Indicators................................................................................................. 50
Transport function...................................................................................51
ECG / Heart rate..................................................................................... 53
Non-invasive blood pressure (NiBP).......................................................56
Invasive blood pressure (iBP).................................................................61
Functional O2 saturation of the blood (SpO2)........................................ 64
Temperature measurement.................................................................... 69
Respiration.............................................................................................. 70
49
Function keys
The parameter box is controlled by the PM 8060 vitara.
A number of functions can be accessed quickly and
directly via the function keys:
g
EKG
AUTO
Start
Act.
Punct.
Stop
NIBP
SpO2
T1
T2
P1
P2
P1
P2
Indicators
1
Act.
g
EKG
AUTO
Start
Act.
Punct.
Stop
NIBP
SpO2
T1
d
T2
06429094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameterbox
50
Transport function
The parameter box stores:
patient data from the list screen,
alarm limit settings and
measurement parameter settings.
Engaging and releasing the parameter box
Blue holder:
In this holder, the parameter box can swivel up and
down. After exceeding a specific holding force it can be
adjusted to an ergonomically favourable position.
To engage:
06629094
D
D
1-2--
Stop
02429094
09829094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Transport function
51
Data transfer
As soon as the parameter box has clicked into place,
it exchanges your data with the system monitor. The
monitor performs as programmed in Standby (see
Page 32).
A complete list of the transported data is given in
Technical Data on page 89.
Warning:
Caution:
Advisory:
HR/Pulse (ECG)
1mV
ART
65
iBP 1
160
The patient is new
for the:
monitor
yes no
parameterbox
yes no
80
CVP
10
ART
122/ 89
pulse 65
iBP 2
(100)
CVP
4.5
0
mean
SpO2
Pleth
timer
start
99
pulse 65
T2 C
T1
NiBP
Sys
36.8 37.2
mmHg
Dia
122/ 89
15min M (102)
01-10-96
10:34
00:00
List intervals
If you opt for list data transfer in the semi-automatic
procedure, you can now select the intervals.
A (monitoring) interval is the time between the engagement (connection) and release (disconnection) of the
parameter box.
In the list screen, each interval is displayed on a separate
line and marked start interval and end interval.
52
alarm
info
time
every session
03 04-10 16:33/17:30
02 04-10 17:32/17:42
01 04-10 17:32/17:42
06829094
05029094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Transport function
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
ECG/Heart rate
ECG/Heart rate
ECG in the operating theatre
The following measures are necessary to ensure an
effective ECG, reliable heart rate calculations and patient
safety:
Only use ECG leads with HF protection for
HF surgery.
Never use ECG needle electrodes in the operating
theatre when an electro-surgical unit is being used!
The ECG electrodes must be positioned as far away
as possible from the area of surgery and from the
neutral electrode of the electro-surgery equipment.
The ECG electrodes must lie as close together as
possible.
Avoid looping the ECG leads and crossing or routing
them in parallel to electro-surgery leads.
Deactivate pacemaker pulse detection.
Activate the filter.
Conductive parts of the electrodes, including the
neutral electrode, must not touch other conductive
parts, including earth.
53
Applying electrodes
Carefully prepare the areas of skin to which the
electrodes are to be applied.
Rd
Ye
Bl
Figure 1
Rd
Ye
07029094
Bl
Figures 1 and 2
Points of contact when using three ECG
electrodes.
Figure 2
Rd
Ye
Gn
Bl
07029094
Figure 3
Points of contact when using 4 or 5 electrodes
(e.g. for S-T segment analysis).
07029094
Figure 3
Start
AUTO
Stop
Punct.
07129094
ECG Display
1 The ECG of the desired derivation is displayed on
screen as defined in the configuration menu.
2 The heart rate is displayed after about 60 seconds.
If no ECG signal is present, the pulse value is
displayed. The signal source is indicated in brackets,
in the following order of priority:
Warning:
Advisory:
HR/Pulse
1. ECG
II
1mV
ART
65
(ECG)
limits
130
auto set
limits
ART
122/ 89
CVP
ECG,
SpO2,
iBP 1 and
iBP 2.
Caution:
80
pulse 65
10
iBP 2
(100)
screen
config.
CVP
4.5
0
mean
SpO2
Pleth
T1
T2 C
36.8 37.2
config.
NiBP
Sys
mmHg
Dia
122/ 89
15min M (102)
01-10-96
54
10:34
00:00
parameter
timer
start
99
pulse 65
alarm
info
01429094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
ECG/Heart rate
Adjusting settings
1. ECG II
1mV
140
iBP 1 ART
function
on / off
Activates and deactivates the ECG measuring function.
Caution:
Advisory:
HR/Pulse (ecg)
65
ECG
iBP 1
iBP 1
SpO2 / Pleth
pulse 65
Resp.
iBP 2
(100)
alarm
info
mean
parameter
CVP
4.5
0
Pleth
number of leads
3/5
The cable type to be used is defined here.
auto set
limits
ART
122/ 89
iBP 2
60
10
iBP 2 CVP
limits
NiBP
SpO2
timer
start
94
pulse 65
T1
T2 C
NiBP mmHg
Sys
36.8 37.2
Dia
122/ 89
07229094
Warning:
15min M (102)
01-10-96
10:34
00:00
1 / 2 / 3 or
I / II / III / aVR / aVL / aVF / V
The choice of derivations to be displayed is
selected here, separately for the 1st, 2nd
and 3rd ECG.
Amplitude
4 / 2 / 1 / 0.5 / 0.25
Sets the ECG amplitude in mV/cm on the
monitor, with reference to the reference bar
to the left of the ECG graph.
filter
on / off
on yields an extremely stable ECG
without interference.
off yields an ECG with high frequency
resolution, but less stable.
pacemaker on / off
Activates and deactivates pacemaker pulse
detection.
Pacemaker pulses are enlarged
disproportionately when this function is
activated (not taken into account when
calculating the heart rate).
ECG
function
number
of leads
on
off
1.ECG2.ECG 3.ECG
derivation I
II
III
amplitude
filter
on
off
pacemaker on
off
pulse deficit
indication
on
off
ST-segment
analysis
on
off
07329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
ECG/Heart rate
55
ST segment analysis
on / off
Activates and deactivates ST segment
analysis. Alarm monitoring is only active in
adult mode.When ST segment analysis is
switched off, limit value monitoring is
deactivated.
ST segment analysis is based on the lead
from the 1st ECG.
Simultaneous operation of high-frequency
electro-surgery equipment may cause
disruptive interference of S-T segment
analysis.
Electro-surgery during an ECG
During electro-surgery or high-frequency surgery, ECG
measurements may be susceptible to interference. To
prevent unnecessary false alarms, whilst simultaneously
ensuring safe monitoring, the system always responds as
follows to high-frequency interference:
the ECG curve is always displayed,
the message ECG interference is displayed,
the heart rate display is stopped,
the ECG alarm is suppressed.
After the high-frequency interference subsides, full
monitoring activity is restored. If the high-frequency
interference lasts longer than 15 seconds, the heart rate
value is replaced by dashes ( ).
56
ECG
function
number
of leads
on
off
1.ECG2.ECG 3.ECG
derivation I
II
III
amplitude
filter
on
off
pacemaker on
off
pulse deficit
indication
on
off
ST-segment
analysis
on
off
07329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
ECG/Heart rate
Non-invasive blood pressure measurement (NiBP)
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Non-invasive blood pressure measurement (NiBP)
57
Starting monitoring
The main operating steps can be undertaken at the
parameter box or on the monitor.
1 Plug the hose connectors into the parameter box. For
easier insertion, the rubber rings of the connectors
can be moistened slightly.
Act.
Start
AUTO
Stop
Punct.
Manual measurement
07429094
2 Press .
The cuff is inflated and the cuff pressure indicated
constantly in the bar graph on the monitor module.
Act.
Start
AUTO
Stop
Punct.
07429094
Automatic measurement
5 A time bar indicates the relative time elapsed between
two automatic measurements. The actual cuff pressure is indicated here during measurement.
6 Time interval for automatic measurement.
7 Press .
NiBP
Sys
mmHg
Dia
122/ 89
15min M (102)
To interrupt measurement
2 Press ,
to interrupt measurement. The air is immediately
expelled from the cuff.
58
07529094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Non-invasive blood pressure measurement (NiBP)
Warning:
Caution:
Advisory:
HR/Pulse (ECG)
65
ECG
1mV
ART
NiBP
130
iBP 1
iBP 1
122/ 89
iBP 2
CVP
ART
80
SpO2 / Pleth
pulse 65
10
Resp.
iBP 2
(100)
on / off
Activates automatic measurements at the
specified time intervals.
start / stop
Starts and stops the inflation process for
constricting the venous blood flow. The
pressure is released automatically after
2 minutes.
measurement
Start / Stop / Turbo
T2 C
NiBP
Sys
36.8 37.2
mmHg
Dia
122/ 89
15min M (102)
01-10-96
10:34
00:00
NiBP
auto
on
off
punction
Stop
Ends a measurement.
Or press on the parameter box.
time interval 2 / 3 / 5 / 10 / 15 / 20 / 30 / 60
Selects the time interval for automatic
measurement in minutes. A manually
triggered measurement between two
automatic measurements does not affect
the starting time for the next automatic
measurement.
timer
start
99
Start
Starts a manual measurement outside the
automatic time interval.
Turbo
Five simplified measurements in five
minutes.
Can also be interrupted immediately by
Stop.
parameter
pulse 65
T1
punction
mean
SpO2
Pleth
alarm
info
CVP
4.5
Auto
auto set
limits
07629094
Adjusting settings
Start Stop
active
alarms
initial
pressure
180 mmHg
punction
pressure
40 mmHg
units
sys dia
mmHg kPa
interlock:
NiBP-SpO2 on
off
NiBP-iBP
off
on
07329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Non-invasive blood pressure measurement (NiBP)
active alarms
sys / dia
Determines whether the systolic or diastolic
pressure is to be monitored.
initial pressure
numerical
(separate for adults and neonates)
Sets the initial inflation pressure for the
measurement.
punction pressure
numerical
(separate for adults and neonates)
Sets the punction pressure in the cuff.
Change by turning the rotary control. Confirm the new value by pressing the control.
59
Unit
mmHg / kPa
Switches over between pressure measuring
units mmHg and kPa.
Interlock
NiBPSpO2 auto / off
Activates and deactivates the interlock
function between NiBP and SpO2.
When interlock is switched on and the
NiBP cuff is inflated, the SpO2 pulse alarm
is deactivated in order to prevent false
alarms if both measurements are taken on
the same arm.
Interlock
NiBPiBP
NiBP
auto
on
punction
Start Stop
sys dia
180 mmHg
punction
pressure
units
auto / off
Activates and deactivates the interlock
function between NiBP and iBP. The
iBP pulse alarm is suppressed while the
cuff is inflated.
off
40 mmHg
mmHg kPa
interlock:
NiBP-SpO2 on
off
NiBP-iBP
off
on
07329094
NiBP-alarms:
If an invasive arterial pressure is measured, the NiBP
alarms are suppressed.
Configuration
Alarm !!!
1. ECG
II
HR/Pulse
1mV
Alarms
Calibration
202 mmHg
01-10-96
(ECG)
65
10:34
00:00
Settings
iBP 1
iBP 2
check NiBP
09429094
Standby/Configuration
alarms inactive !
Default values
mode
adult
neon.
alarm limits
parameter
screen
acoustic
list entry
transport
RS 232 (Medibus)
RS 232 (Printer)
basic config.
01-10-96
60
10:34
00:00
03429094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Non-invasive blood pressure measurement (NiBP)
AUTO
Stop
Punct.
Warning:
Caution:
Advisory:
HR/Pulse (ECG)
65
ECG
1mV
ART
NiBP
130
iBP 1
iBP 1
CVP
ART
122/ 89
iBP 2
80
SpO2 / Pleth
pulse 65
10
Resp.
iBP 2
(100)
mean
SpO2
Pleth
auto set
limits
alarm
info
CVP
4.5
0
07829094
Act.
Start
parameter
timer
start
99
pulse 65
T2 C
T1
NiBP
Sys
36.8 37.2
mmHg
Dia
122/ 89
07929094
15min M (102)
01-10-96
10:34
00:00
Press the zero alignment key of the corresponding sensor twice; a tick () appears behind the
menu item on the monitor.
If a fault occurs during zero alignment, a question
mark (?) appears after the menu item. The message
CAL? is displayed instead of the measured values,
or the LED in the key flashes.
Act.
Start
AUTO
Stop
Punct.
07729094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Invasive blood pressure (iBP)
61
Warning:
Caution:
Advisory:
HR/Pulse (ECG)
65
ECG
1mV
ART
NiBP
130
iBP 1
iBP 1
122/ 89
iBP 2
CVP
ART
80
SpO2 / Pleth
pulse 65
10
Resp.
iBP 2
(100)
function
site
on / off
Activates and deactivates the iBP
measuring function.
The names of the catheter sites are
programmed in combination with the
suitable curve amplitude, the display
arrangement for systolic, diastolic and/or
mean pressure, the alarm limits and the
filter function.
The functions are automatically activated
on selecting a site designation. The same
designation cannot be used for both iBP 1
and iBP 2.
ART
Arterial
Aorta
Aorta
ICP
Intracranial pressure
62
parameter
timer
start
99
pulse 65
T1
T2 C
NiBP
Sys
36.8 37.2
mmHg
Dia
122/ 89
15min M (102)
01-10-96
10:34
00:00
iBP 1
function on off
location
ART
active
alarms
sys dia
graph
absol. morph.
mean
SpO2
Pleth
alarm
info
CVP
4.5
Setting functions
auto set
limits
on off
u
07929094
Changing settings
07329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Invasive blood pressure (iPB)
amplitude
iBP 1
function on off
location
ART
calibrate
active
alarms
sys dia
graph
absol. morph.
on off
calibrate
iBP Display
A pressure curve appears (example):
or
ART
160
07329094
0
ZVD
20
morphological graph.
The graph is automatically adjusted to the full height
(amplitude) of the trace. Manual amplitude adjustment
is not possible in this mode.
If the double iBP module is configured, a pressure curve
is displayed for each measuring channel.
0
iBP 1+iBP 2
ART
130
ZVD
20
60
Automatic scaling:
06229094
ART
iBP 1
mmHg
122/ 89
(100)
Puls 65
iBP 1 iBP ?
mmHg
122/ 89
(100)
Puls 65
iBP 2
ZVD
4.5
mmHg
mean
122/ 89
(100)
Puls 65
122/ 89
(100)
Puls 65
iBP 2
ICP
4.5
mmHg
04229094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Invasive blood pressure (iBP)
mean
63
Warning:
Caution:
Advisory:
HR/Pulse
1. ECG
II
1mV
SpO2 Display
1 Presentation of the plethysmogram.
ART
(ECG)
65
limits
130
auto set
limits
ART
122/ 89
CVP
80
pulse 65
10
iBP 2
(100)
4.5
mean
SpO2
Pleth
pulse 65
T2 C
config.
NiBP
mmHg
Dia
Sys
36.8 37.2
parameter
timer
start
99
T1
alarm
info
screen
config.
CVP
122/ 89
01429095
15min M (102)
01-10-96
10:34
00:00
Changing settings
Warning:
Caution:
Advisory:
1. ECG
II
HR/Pulse (ECG)
65
ECG
1mV
ART
NiBP
130
iBP 1
iBP 1
122/ 89
iBP 2
CVP
ART
80
SpO2 / Pleth
pulse 65
10
Resp.
iBP 2
(100)
4.5
mean
SpO2
Pleth
auto set
limits
alarm
info
CVP
parameter
timer
start
99
pulse 65
T2 C
NiBP
Sys
36.8 37.2
mmHg
Dia
122/ 89
15min M (102)
01-10-96
10:34
00:00
on
off
pulse
on
off
C-Lock
on
off
(ECG synchr.)
mode
64
slow
normal
fast
08129094
T1
07329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Functional oxygen saturation (SpO2)
Setting functions
pulse
C-Lock
mode
on / off
Activates and deactivates the measuring
function.
SpO2 / Pleth
on / off
Activates and deactivates indication of the
pulse rate.
function
on
off
pulse
on
off
C-Lock
on
off
(ECG synchr.)
slow
normal
fast
mode
SpO2
99
pulse 65
07329094
function
04229094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Functional oxygen saturation (SpO2)
65
Choice of sensor
Use only Nellcor sensors! Note the Instructions for Use
of the sensors. Tissue damage may be caused if they are
positioned or used incorrectly.
The choice of sensor should be based on the following
criteria:
Weight of patient
Mobility of patient
Possible application site
Perfusion of patient
Period of use
The following table, listing the various sensors available
and their specific characteristics, may prove useful here.
Type of sensor
OXISENSOR
I-20
OXISENSOR
D-20
DURASENSOR
DS-100A
OXISENSOR
D-25
OXISENSOR
R-15
Age group
Infants
Children
Adults
Adults
Adults
Weight of
patient
1 to 20 kg
10 to 50 kg
> 40 kg
> 30 kg
> 50 kg
Period
of use
Short-term
monitoring
Mobility of
patient
limited
activity
limited
activity
inactive patients
only
limited
activity
inactive patients
only
Preferred
site
Toe
Finger
Finger
Finger
Nose
Sterility1)
in sterile packaging
in sterile packaging
____
in sterile packaging
in sterile packaging
Act.
Start
AUTO
08229094
Punct.
Stop
3
08329094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Functional oxygen saturation (SpO2)
66
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Functional oxygen saturation (SpO2)
% SpO2 (func) =
100 x HbO2
HbO2 + Hb
SpO2 measurement
Coupling with non-invasive pressure
measurement
The "interlock" function should be activated if SpO2
measurement and non-invasive blood pressure
measurement are performed simultaneously on the same
arm. The interlock function prevents false alarms being
generated when the absence of a pulse is detected
during NiBP measurement (see page 56).
Measuring principle
The light absorption properties of oxygenated arterial
blood (oxyhaemoglobin HbO2) differ from those of
unsaturated venous blood (reduced haemoglobin Hb).
O2 saturation is a logarithmic function of the irradiated
light intensity (Lambert-Beer's law).
The effect of dyshaemoglobins such as carbon monoxide
haemoglobin HbCO and methaemoglobin MetHb is
normally negligible.
67
Infrared light
920 nm
08429094
Red light
660 nm
Photodetector
These two wavelengths (920 nm and 660 nm) have been
chosen because, even in the presence of slight perfusion, they still provide meaningful absorption values for
both oxygenated and reduced blood, while at the same
time they differ significantly.
O2 saturation 100%
at 660 nm Red
Time (s)
at 920 nm Infrared
Time (s)
The graph above shows an example of the light absorbed
by the blood at 660 nm (red) and 920 nm (infrared).
920 nm
Infrared
Absorption
660 nm
Red
O2 saturation
20 000
10 000
5 000
Absorption by
arterial blood
Absorption by
venous blood
1 000
500
100
50
650
750
850
950
Wavelength nm
Reduced haemoglobin Hb
oxygenated haemoglobin HbO2
The light alternately emitted by the diodes is completely
absorbed by the pulsating arterial blood, the skin, finger
nails, muscular tissue, bones and venous blood.
Except for the pulsating arterial blood, the quantity and
optical density of the light absorbed by the other
components remains constant over a given unit of time.
By contrast, the arterial blood pulsating with every beat of
the heart produces a change of tissue volume in
synchronism with the pulse in the irradiated tissue,
thereby causing a variation in the absorption of irradiated
light in time with the pulse.
The light absorbed when there is no pulsating blood
(during the diastole) is determined first. This
measurement gives the amount of light absorbed by
tissue and non-pulsating blood.
Normally, the absorption value does not change during
the pulse phase and provides a reference value for the
pulsating part of the absorption.
08529094
500
Time (s)
With increasing O2 saturation, the absorption and
corresponding pulse amplitude fall at 660 nm but rise at
920 nm. Since the absorption coefficients of HbO2 and
Hb are known for both wavelengths, the system can
calculate the quantity of each of these two haemoglobins
present. The quotient obtained by dividing the
oxygenated haemoglobin (HbO2) by the reduced and
oxygenated haemoglobin (Hb+HbO2) is termed the
"functional saturation":
HbO2
HbO2 + Hb
08729094
Absorption by
other tissues
(incl. skin)
10
68
08629094
Light-emitting diodes
Pulse amplitude
Pulse amplitude
Absorption coefficient
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Functional oxygen saturation (SpO2)
Temperature measurement
Starting measurement
Use a protective sheath for rectal sensors.
Apply the sensor(s) to the patient and connect to the
parameter box (green colour code).
The correct temperature values are displayed after
about 3 minutes.
Display:
Temperatures T1 and T2 are displayed on the screen
module.
T1
T2 C
36.8 37.2
04229094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter box
Temperature measurement
Measuring principle
Temperature-dependent change in the resistance of an
NTC resistor (NTC = negative temperature coefficient)
with linearisation circuit.
69
Respiration
Respiration is measured and monitored (rheographically)
with the red and yellow ECG electrodes.
Respiration monitoring is not possible if the green
ECG cable is used (HF interference suppressed).
Act.
Start
AUTO
Punct.
Stop
Cardiorespirogram
07129094
Changing settings
amplitude
on/off
Switches the measuring function on/off.
function
on
auto / man
Automatic or manual adjustment of the
recording level.
mode
auto man
amplitude
1 E/cm
1 / 2 / 4 / 8 / 16 / 32
Selects the scale of the respiration curve.
The minimum size must correspond to the
length of the displayed bar.
trigger
on
off
apnea
10
trigger
on/off
Activates/deactivates the display of
respiration recording pulses superimposed
on the respiration curve (for checking that
respiration is correctly recorded).
apnea
off / 10 / 15 / 20 / 30
Time interval in seconds after which an
apnoea alarm is triggered in the absence of
respiration measurement signal.
70
Resp.
off
03829094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Respiration
Starting respiration monitoring
Display
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Respiration
Display
Applying electrodes
Please refer to the relevant instructions in the section
on ECG/Heart rate.
The best results are obtained when the electrodes of
the yellow and red connections are applied as far as
possible from each other on both sides of the thorax.
Respiration measurement
The breathing rate is calculated from the respiration
curve (result of impedance variations in the thorax). Once
the curve is recorded, it provides the basis for calculating
the respiration rate per minute. Two different measurement methods are applied:
Automatic mode
The recorded level of the respiration curves is automatically adapted to the size of the curve. In this mode,
slow-acting variations in curve size do not affect the
calculation of the respiration rate. In general, this mode
is preferred.
Adjustment of the recorded level to variations in curve
size is a relatively slow process. Consequently, the
system does not respond rapidly to changes in curve
size, and no alarm can be emitted. Manual mode is
therefore available for patients with a sporadically very
flat respiration pattern.
Manual mode
A fixed level with a bar length (curve amplitude) of
10 mm is displayed on screen to help identify the
respiration curve. All curves with a size of more than
10 mm are included in the respiration rate calculation.
Apnoea/coincidence alarm
The screen delivers an apnoea alarm if no respiration is
detected during a predefined period of time. This period
(duration of apnoea before the alarm is triggered) can be
programmed in the parameter menu (off, 10, 15, 20 and
30 seconds).
The mechanical heart function can be superimposed on
the respiration curve in the form of amplitude
"excursions" (deflections). In the absence of any
respiration, these pulsations could be misinterpreted as
respiration curves. In this case, the respiration rate and
heart rate would be considered roughly equal, and so an
apnoea alarm would not be triggered.
The coincidence alarm, which indicates a suspected
apnoea alarm, is triggered if the values of the recorded
heart rate and respiration rate are identical, to within 5%,
for a period of at least 5 seconds, and if respiration is
71
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Respiration
Changing setting
or:
Messages
The following messages can occur:
Apneas
Warning
Displayed in the Warning field.
Patient has apnoea. Also displayed
complete with duration in seconds in
place of the respiration value.
CoincidenceS
Warning
Displayed in the Warning field.
Coincidence of heart/respiration rate.
Patient might have apnoea. Also
displayed complete with duration in
seconds in place of the respiration
value. Can only be triggered when
automatic measuring mode is
activated.
Resp. Rate Lo
Warning
Displayed in the Warning field. The
respiration rate has fallen below the
lower limit value.
Resp. Rate Hi
Warning
Displayed in the Warning field. The
respiration rate exceeds the upper
limit value.
72
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Troubleshooting
Contents
Troubleshooting
Contents
Where messages occur ...........................................................................74
Messages on the Monitor......................................................................... 75
73
Warning
Caution
Advisory
1-2--
08829094
Stop
User prompts
appear in the bottom right-hand corner of the screen.
Warning:
1. ECG
II
1mV
ART
Advisory:
SPO2
!!!
TEMP1
!!
limits
auto set
limits
TEMP2 CALIB !
130
80
CVP
parameter
Pleth
T1
timer
start
T2 C
36.8 37.2
01-10-96
alarm
info
screen
config.
10
74
Caution:
10:34
00:00
config.
06329094
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Troubleshooting
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Troubleshooting
!!!
Caution symbol
!!
Advisory symbol
Cause
Remedy
ASYSTOLY !!!
BP CUFF DISC !
Check conditions.
Replace cuff or hose.
BP CUFF ERR !
CHECK iBP1 !
CHECK iBP2 !
COINCIDENCE !
COOLING 8060? !
DIAS iBP1 HI !!
DIAS iBP2 HI !!
DIAS iBP1 LO !!
DIAS iBP2 LO !!
ECG ARTIFACT !
ECG ELECTROD !
ECG INTERFERENCE !
ECG N ? !
ECG LA ? !
ECG LL ? !
ECG RA ? !
ECG V ? !
( !! )
( !! )
( !! )
( !! )
( !! )
Secure electrodes.
(Can be configured by DrgerSerrvice to alarm level
Caution with display !!)
75
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Troubleshooting
Messages
Cause
Remedy
ECG SMALL !
Check electrodes.
HRT RATE HI !!
iBP1PULSE HI !!
iBP2PULSE HI !!
iBP1PULSE LO !!!
iBP2PULSE LO !!!
MEAN iBP1 HI !!
MEAN iBP2 HI !!
MEAN iBP1 LO !!
MEAN iBP2 LO !!
NiBP DIA HI !!
NiBP ERR !
NiBP MOTIONS !
NiBP SYS HI !!
NIBP TUBE ?
NO S-T !
76
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Troubleshooting
Messages
Cause
P-BOX ALR OF !
PB 8800 COM ? !
RESP RATE HI !!
RS232COM ERR !
Check connection.
SPEAKER FAIL !
SPO2 ALRM OF !
SPO2 ERR !
SPO2 HIGH !!
Check ventilation.
Check the O2 concentration in
the fresh gas.
SPO2 PULS HI !!
SPO2SEN DISC !
SYS iBP1 HI !!
SYS iBP2 HI !!
TEMP 1 HIGH !!
TEMP 2 HIGH !!
TEMP 1 INOP !
TEMP 2 INOP !
RESP RATE LO !!
Remedy
77
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Troubleshooting
Messages
Cause
Remedy
TEMP 1 LOW !!
TEMP 2 LOW !!
TEMP1 CALIB !
TEMP2 CALIB !
Inform DrgerService.
78
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Care
Contents
Care
Contents
Stripping down the machine...................................................................80
Cleaning/disinfecting..............................................................................80
Active agents and methods ......................................................................80
Disposing of disposable articles................................................................80
Wipe-cleaning.......................................................................................... 80
Disinfecting with formaldehyde vapour...................................................... 80
Preparing the accessories........................................................................ 81
Inspection intervals...................................................................................82
79
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Care
Stripping down the machine
Cleaning/disinfecting
Cleaning/disinfecting
Cleaning/disinfecting the screen and
parameter box
Disconnect the power supply before cleaning.
Wipe the screen and parameter box with a damp
cloth and household liquid soap. Do not allow water
or other liquids to enter the device.
Disinfect by wiping with disinfectant.
The disinfecting method must conform to the relevant
regulations and recommendations.
Do not use corrosive detergents, scouring agents
or solvents.
Bacilloform,
Buraton 10F,
Alhydex (Cidex),
Gigasept,
Liquidasept,
Halamid,
Savlon,
Hybitan,
Cetavlon
Terralin.
Wipe cleaning
Parts which can be wipe-cleaned are listed in the table
page 82.
Use a disposable cloth moistened with disinfectant
cleaner.
Note effective time parts must only be wiped, not
immersed do not allow liquid to seep inside the
machine!
80
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Cleaning/disinfecting
Care of accessories
Care of accessories
(ECG) Cable
Temperature probes
Cleaning:
Clean with a soft cloth and domestic liquid soap.
Hold the probe at the sensor end and wipe down to
the connection. Do not pull the cable while cleaning.
Sphygmomanometer cuff
Clean with mild soapsuds. The cuff can also be
sterilised, e.g. with Glutarex, taking care to observe
the manufacturer's instructions. Rinse the cuff
thoroughly.
Sterilisation:
Sterilise in a non-corrosive solution
(e.g. 70 % alcohol, 0.5 % chlorine hexidine and
29 % water)
The probes can be briefly dipped in water.
Gas sterilisation is possible in ethylene oxide.
Do not autoclave the probe.
Fully dry the cuff (about 15 hours at room temperature). Do not heat.
Do not use alcohol or other solvents.
Fully close the orifice of the hose before
immersing the cuff. Avoid any ingress of liquid in
the cuff. Do not use the cuff again in the event of
liquid ingress.
SpO2 sensors
Do not dip sensor in liquids.
Cleaning:
Release the sensor from the parameter box.
Clean with mild soapsuds or with a wad of cottonwool soaked in isopropyl alcohol (70 %).
After cleaning, dry the sensor thoroughly before
reusing.
Sterilisation:
Sterilise in an ethylene oxide mixture at 4550 C.
Observe the specified ventilating times.
Do not autoclave the sensors.
81
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Cleaning/disinfecting
Inspection intervals
Cleaning with
automatic cleaners
Monitor
Wipe
No
No
No
Parameter box
Wipe
No
No
No
Yes
No
No
No
Machine components:
Sensors:
Temperature sensor
(skin/rectal/oesophagus)
Steam sterilisation
at 121 C
at 134 C
Every 6 months
Every 2 years
(see calibration sticker on parameter box)
Change every 3 years.
Other intervals:
Inspection and service* ........................................................
*
82
Every 6 months.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
What's what
Contents
What's what
Contents
Operating elements and displays on the Monitor ......................................84
Operating elements and indicators on the Parameter Box ........................ 85
Back panel .............................................................................................. 86
Dimensions.............................................................................................. 87
83
What's what
Operating elements and displays on the
monitor
6
10
12
11
13
14
2
1-2--
15
16
Stop
17
3
18
4
5
19
08929094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
What's what
3 Date field
18 Rotary control
9 Designation of softkeys
19 Standby key
10 Softkeys
84
AUTO
Start
Act.
Punct.
Stop
EKG
NIBP
SpO2
T1
d
T2
P1
P2
09029094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
What's what
10
11
12
13
85
Back panel
1
RGB
RS 232 C
RS 232 C
CAN 2
CAN 1
01829094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
What's what
10
1 Connection for external RGB screen
2 RS 232 C Connection serial printer port
3 RS 232 C Connection serial MEDIBUS port
4 Connection 2 for CAN bus
5 Connection 1 for CAN bus
6 Ventilation slits. Do not block!
7 Ground stud for equipotential bonding
8 Mounting post
9 Fixing thread (M 20 x 2.5 - Allen screw, A/F 12 mm)
10 Adjustment of swivel resistance - Allen screw, A/F 5 mm
11 Adjustment of tilt resistance - Cross-slotted screw
86
11
T=
Sto
p
B
H = 265 mm
1-2-
09129094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
What's what
Dimensions
mm
0
= 37
85 m
m
87
88
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Technical data
Contents
Technical data
Contents
Power supply .......................................................................................... 90
Ambient conditions .................................................................................. 90
Data communication ................................................................................ 91
Electrocardiogram ................................................................................... 91
Heart rate ................................................................................................91
Non-invasive blood pressure (NiBP) .........................................................92
Invasive blood pressure (iBP) .................................................................. 93
Oxygen saturation ....................................................................................93
Body temperature measurement............................................................... 94
Respiration............................................................................................... 94
Transport function.................................................................................... 95
89
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Technical data
Technical data
Where tolerances are given in percent and as absolute values,
the higher value applies in each case!
Identification
The serial number of the PM 8060 vitara and the symbol are located on the
rating plate (nameplate) fixed to the back of the device. The device configuration and
equipment level is coded in the appliance number and can therefore be identified.
Weight:
Dimensions
265 x 370 x 85 mm (H x W x D)
19 to 26 VDC
Current consumption
Power adapter
Operating voltage
85 to 264 VAC, 45 to 65 HZ
Current consumption
Power Supply
m , Type B
Class 1, m , Type B
PM 8060 vitara
Environmental conditions
Temperature
0 to +40 C
20 to +60 C
(operation)
(storage/transport)
Relative humidity
20 to 90%, no condensation
10 to 90%, no condensation
(operation)
(storage/transport)
90
Data communication
RS-232-C (MEDIBUS)
Socket
Pin layout
Printer
Socket
Pin layout
1
9
09229094
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Technical data
Electrocardiogram (ECG)
Input
Isolated, IEC type CF; for ECG leads with 3, 4 or 5 electrodes; colour-coded red.
Input impedance
> 20 M at 10 Hz
> 4 M at 40 Hz
Leads
Display
Input voltage
max. 6 mV peak
Graph display
DC offset
Bandwidth
Interference suppression
50/60 Hz
Output impedance
Noise
Zero stabilisation
Automatic; when the mean peak value exceeds the display range.
Stabilisation time
Pacemaker pulses
Defibrillator
Test specifications
ground
TTL output with 15 ms pulse duration
26 ms
EN 601-2-27
Heart rate
Source of heart rate
Frequency
Measuring range
Accuracy
2 beats/minute
91
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Technical data
Difference between heart rate (derived from ECG) and pulse rate
(derived from SpO2 ).
Cannot be deactivated; asystolia alarm after 6 seconds; ventricular flutter
detected after approx. 15 seconds; not available for children.
3 mV,
0.01 mV
150 beats per minute
Derived from the 1st ECG
40 ms after J point
Amplitude
Resolution
Max. heartbeat
Lead (derivation)
Measuring point
Measuring method
Oscillometric
Measuring range
Adult mode
Neonatal mode
20 to 290 mmHg
5 to 150 mmHg
Accuracy
dynamic:
static
8 mm Hg
4 mm Hg
Measuring unit
mmHg or kPa
Cuff inflation
For the first measurement, the cuff is inflated to the maximum pressure preselected
by the user (up to 180 mmHg for adults or 100 mmHg for adults); after reading off
the systolic pressure, for the next measurement the cuff must be inflated to 20 mmHg
above the last measured systolic value.
If the inflation pressure is too low for correct measurement of systolic pressure,
air is automatically released from the cuff, and the measurement is repeated
5 seconds later with a higher cuff pressure. If this pressure is still too low, air is again
released from the cuff, and the measurement is repeated 30 seconds later with
increased cuff pressure.
Release air from the cuff
300 mmHg
150 mmHg
90 seconds
60 seconds
for adults
for neonates
for adults
for neonates
every 2nd, 3rd, 5th, 10th, 15th, 20th, 30th and 60th minute.
Manually triggered interim measurement does not affect the time between automatic
measurements.
Venous stasis
Test specifications
EN 60 601 - 2 - 30.
92
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Technical data
Input sensitivity
Input impedance
90 k (can be changed to 1 M)
Bridge voltage
5 V DC
Bridge impedance
200 to 10 k
Zero alignment
Bandwidth
Measuring ranges
for graph display
0 to 7 Hz (3 dB)
5 to 320 mmHg in increments of 5 mmHg
Measured parameters
Measuring range
10 to 320 mmHg
Accuracy
0 to 40 mmHg:
1 mmHg
>40 to 160 mmHg: 2 mmHg
>160 mmHg:
4 mmHg
Measuring unit
mmHg
Site labels
Art, Aorta, APul, CVP, ICP, ? (the question mark stands for the manually entered site
label). A site label automatically controls the adjustment of the measuring range,
alarm limits and display configuration for the relevant site.
Test specifications
EN 601-2-34
Cable type
no amplifier
Wavelengths
Alarm limit
Measuring range
0 to 105 %
Accuracy
Adults:
0 to 50 %
50 to 70 %
70 to 100 %
undefined
3%
2%
Neonates:
0 to 70 %
70 to 100 %
undefined
3%
Accuracy of Durasensor
3% (additional)
Measuring modes
Normal mode:
Fast mode:
Slow mode:
Off:
93
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Technical data
Plethysmogram
Pulse rate
Derived from plethysmogram; no pulse rate tone in slow mode. The pulse rate
tone is controlled by the SpO2 measurement when programmed accordingly.
20 to 250 beats/min
Accuracy (pulse)
2 beats/min
Test specifications
pr EN 865
Temperature measurement
Inputs
Parameter
Two temperature values (T1, T2); both are monitored by alarm limits.
Measuring ranges
0 C to 45 C; resolution 0.1 C
Accuracy
0.1 C
Self-test
A fault message is output when one of the automatically tested fault limits is
exceeded.
Respiration measurement
Application
Input
Method
Measuring current
Curve speed
6.25 mm/s
Frequency value
Measuring range
0 to 150 breaths/minute
Accuracy
Measuring method
Automatic level adjustment for identifying curve peaks, or manual adaptation of the
curve to a fixed detection level of 10 mm.
Respiration data
Apnoea detection
Coincidence alarm
The coincidence alarm indicates suspected apnoea. It is triggered if the heart and
respiration rates are identical to within 5%, while respiration is weak (curve smaller
than 1 E) and the heart rate is higher than 30 beats/min. The coincidence alarm is
only active in automatic measuring mode.
94
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Technical data
Transport function
The transport function permits continuous uninterrupted
logging even while the patient is being moved, for
example between the bed, pre-op, operating theatre and
post-op.
The haemodynamic parameters are stored in the
parameter box PB 8800 exchanged between the
parameter box and the connected PM 8060 Vitara.
The following data can be communicated:
Parameter Settings
Alarm limits
ECG
Heart rate
Pulse frequency
Systolic pressure
Diastolic pressure
Mean pressure
Systolic pressure
Diastolic pressure
Mean pressure
O2 saturation
Temperature T1
3, 4 or 5-core cable
Selected lead (derivation)
Amplitude
Pacemaker on/off recognition function
NIBP
Function on/off
Automatic on/off
Interval (time)
Cuff inflation pressure
Automatic on/off
iBP 1/2
Function on/off
Function on/off
Mode
C-Lock on/off
Interlock with NIBP on/off
95
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Parameter Settings
Resp.
Measured value
for the list
Function on/off
Trigger mode (manual/automatic)
Amplitude
General
Alarm limit
None
None
End-expiratory CO2
Inspiratory O2
Ventilation minute volume AMV
Inspiratory anaesthetic gas concentration
Airway peak pressure Peak
Airway pressure level PEEP
Compliance
96
Alarm limits
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Description
Contents
Description
Contents
Abbreviations and symbols....................................................................... 98
Index...................................................................................................... 101
97
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Description
Abbreviations and symbols
Meaning
A/F
Act.
AMV
Minute ventilation
BW
Body weight
CAL
C-Lock
Cpat
Patient compliance
DGHM
et CO2
Fet Des.
Fet Enf.
Fet Hal.
Fet Iso.
Fet N2O
Fet Sev.
Fi Des.
Fi Enf.
Fi Hal.
Fi Iso.
Fi Sev.
Fi N2O
Fi O2
Inspiratory O2 concentration
Hb
Haemoglobin
HbCO
HbO2
Oxyhaemoglobin
in CO2
INOP
Malfunction
IPPV
LED
Light-emitting diode
Man./Spont.
Mean
Mean pressure
NTC
98
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Description
Abbreviations and symbols
Abbreviation
Meaning
Off
ON
Paw
Airway pressure
PC
Peak
Plat
Plateau pressure
Pleth.
Plethysmogram
Pmean
Power
Electricity supply
PEEP
Resp.
Respiration
SIMV
SpO2
Functional O2 saturation
99
Symbol
Meaning
Pulse rate
<
>
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Description
Abbreviations and symbols
1
$
%
3
P
m
m
Action in progress
!!!
Warning message
!!
Caution message
Advisory message
100
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Index
Index
Abbreviations ........................................................... 98
Accessories ................................................................ 4
Accessories, care ..................................................... 81
Acoustic, Standby .................................................... 31
Active agents, cleaning and disinfecting .................... 80
Alarm concept .......................................................... 45
Alarm info, operation ................................................ 42
Alarm limits, auto set ................................................ 41
Alarm limits, blood pressure, monitoring ................... 48
Alarm limits, pulse rate, monitoring ........................... 47
Alarm limits, standby ................................................. 23
Alarm priority ............................................................ 45
Alarm tone, deactivating .............................................. 6
Alarms, linkage ......................................................... 47
Alarms, show all ....................................................... 46
Apnoea alarm, respiration ......................................... 71
Arrow, return ............................................................ 22
Dimensions .............................................................. 87
Disposable articles, disposing of ............................... 80
22
80
39
50
Care ........................................................................ 79
Care of accessories ................................................. 81
Care of device .......................................................... 80
Cause, fault messages and remedy
(troubleshooting) ...................................................... 73
Coincidence alarm, respiration ................................. 71
Configuring general settings, standby ....................... 31
Connecting, "Cato" .................................................. 15
Connecting, external devices .................................... 14
Connecting, "Julian" ................................................. 15
Connecting, system .................................................. 14
Connection with other electrical equipment ................. 4
Controls, screen, user interface .................................. 8
Curve speed, configuring, standby ........................... 31
91
52
52
52
89
21
80
80
80
14
Hardkeys ................................................................... 8
Heart rate, technical data .......................................... 91
Holder for OP table, parameter box .......................... 51
Holder, blue, parameter box ..................................... 17
Holder, OP table, parameter box .............................. 17
Holder, slot-in housing, parameter box ...................... 17
iBP channels, standby .............................................. 25
iBP locations, standby .............................................. 25
iBP, calibrating sensors ............................................ 61
iBP, changing settings .............................................. 62
iBP, display .............................................................. 63
iBP, setting functions ................................................ 62
iBP, starting monitoring ............................................ 61
iBP, technical data .................................................... 93
Indicator lamps ......................................................... 10
Indicators, parameter box ......................................... 50
Instructions for use, strictly follow ............................... 4
Instructions for use, working with, general .................. 2
Intended use, medical ................................................. 6
Interface, MEDIBUS, standby ................................... 34
Interface, printer, standby ......................................... 34
101
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Index
Liability ....................................................................... 4
Limits setting, operation ............................................
Linkage, alarms ........................................................
List entry, standby ....................................................
List intervals, parameter box .....................................
List screen, operation ...............................................
40
47
32
52
37
10
75
74
80
22
73
71
71
94
72
71
70
69
69
69
94
16
102
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Index
86
87
84
85
51
80
103
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
Directive 93/42/EEC
concerning Medical Devices
90 29 095 - GA 6497.705 en
Drger Medical AG & Co. KGaA
3rd edition - July 2001
Subject to alteration