AS/3™Compact Anesthesia Monitor upgraded with U

AS/3™Compact Anesthesia Monitor upgraded with U
AS/3
 Compact Anesthesia Monitor upgraded with U-LIFE2
User’s Guide
Part I: For Monitor Setup and Reference
8003655_1.p65
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3/4/02, 12:55 PM
Datex-Ohmeda
AS/3 Compact Anesthesia Monitor upgraded with U-LIFE2
User’s Guide
Part I: For Monitor Setup and Reference
Related to software licenses L-ANE03 and L-ANE03A
053 7
Conformity according to the Council Directive 93/42/EEC concerning Medical Devices
CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner.
Outside the USA, check local laws for any restriction that may apply.
All specifications subject to change without notice.
Document no. 8005784-0
August 2003
Datex-Ohmeda Inc.
P.O Box 7550
Madison, WI 53707-7550, USA
Tel: +1-608-221 1551, Fax:+1-608-222 9147
www.us.datex-ohmeda.com/
Datex-Ohmeda Division, Instrumentarium Corporation
P.O. Box 900, FIN-00031
DATEX-OHMEDA, FINLAND
Tel. +358 10 39411 Fax +358 9 1463310
www.datex-ohmeda.com/
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The AS/3 Compact Anesthesia Monitor upgraded with L-ANE03 or L-ANE03A software
is indicated for monitoring of hemodynamic (including arrhythmia and ST-segment
analysis), respiratory, ventilatory, gastrointestinal/regional perfusion, Bispectral index
(BIS), Entropy (State Entropy and Response Entropy) and neurophysiological status of
all hospital patients.
The AS/3 Compact Anesthesia Monitor with L-ANE03 and L-ANE03A software when
using BIS is for monitoring the state of the brain by data acquisition and processing of
electroencephalograph signals and may be used as an aid in monitoring the effects of
certain anesthetic agents.
The AS/3 Compact Anesthesia Monitor with L-ANE03 or L-ANE03A software is also
indicated for documenting patient care related information.
The AS/3 Compact Anesthesia Monitor with L-ANE03 or L-ANE03A software is
indicated for use by qualified medical personnel only.
About this guide
This User’s Guide describes the most common features and functions offered by the
Datex-Ohmeda AS/3 Compact Anesthesia Monitor. Descriptions refer to S/5 software
licenses L-ANE03 and L-ANE03A.
If you are a new user of the monitor, we suggest you begin with sections "Safety
precautions" "System introduction" and "Monitoring basics." Also read Part II of this
User's Guide.
The following conventions are used:
−
Names of the hard keys on the Command Board, Remote Controller and modules
are written in the following way: ECG.
−
Menu items are written in bold italic typeface: ECG Setup.
−
Menu access is described from top to bottom. For example, the selection of the
Screen Setup menu item and the Waveform Fields menu item would be shown
as Screen Setup - Waveform Fields.
−
Messages (alarm messages, informative messages) displayed on the screen are
written inside single quotes: ‘Learning’.
−
When referring to different sections in this manual, section names are enclosed in
double quotes: “Cleaning and care.”
−
In this manual, the word “select” means choosing and confirming.
Classifications
In accordance with IEC 60601-1:
− Class I and internal powered equipment - the type of protection against electric
shock.
− Type BF or CF equipment. The degree of protection against electric shock is
indicated by a symbol on each parameter module.
− Equipment is not suitable for use in the presence of a flammable anesthetic
Related documentation
mixture with air or with oxygen or nitrous oxide.
− Continuous operation according to the mode of operation.
Clinical aspects, basic methods of measurement and technical background:
S/5 Compact Anesthesia Monitor, User’s Reference Manual
Instructions for daily use: AS/3 Compact Anesthesia Monitor upgraded with U-LIFE2,
User's Guide Part II
Installation, technical solutions and servicing: AS/3 and CS/3 Compact Monitors
upgraded with U-LIFE2 and S/5 Modules, Technical Reference Manuals
Options and selections of the software: Default Configuration Worksheet
Other devices closely related to the AS/3 Compact Anesthesia Monitor:
S/5 Central and S/5 Arrhythmia Workstation User’s Reference Manuals
In accordance with IEC 60529:
− IPX1 - degree of protection against harmful ingress of water
In accordance with EU Medical Device Directive: IIb
Responsibility of the manufacturer
Datex-Ohmeda Division, Instrumentarium Corp. is responsible for the safety, reliability
and performance of the equipment only if:
− assembly, extensions, readjustments, modifications, service and repairs are
carried out by personnel authorized by Datex-Ohmeda.
− electrical installation complies with appropriate requirements.
− the equipment is used in accordance with this User’s Guide.
Intended purpose (Indications for use)
The Datex-Ohmeda AS/3 Compact Anesthesia Monitor upgraded with L-ANE03 or
L-ANE03A software is intended for multiparameter patient monitoring with optional
patient care documentation.
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Contents
Safety precautions (Safety/Symbols) ........................ 3
Symbols (Safety/Symbols)........................................ 5
System introduction (Intro) ....................................... 7
Monitoring basics (Basics) ....................................... 9
Setting up the monitor before use (Setup) ................ 11
Cleaning and care (Care) ........................................ 15
Alarm basics (Alarms)............................................. 18
Performance (Specs).............................................. 19
Abbreviations (Abbr.).............................................. 29
Supplies and accessories (Suppl.) ........................... 35
Trademarks
Datex®, Ohmeda®, and other trademarks CS/3, AS/3, S/5, D-lite, D-lite+, Pedilite, Pedi-lite+, D-fend, D-fend+, Mini D-fend, TruTrak®+, OxyTip+, MemCard,
ComWheel, EarSat, FingerSat, FlexSat, PatientO2, Entropy, Patient Spirometry and
Tonometrics are property of Instrumentarium Corp. or its subsidiaries. All other
product and company names are property of their respective owners.
© Instrumentarium Corp. All rights reserved.
A portion of the entropy software is derived from the RSA Data Security, Inc. MD5
Message-Digest Algorithm.
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Safety precautions
These precautions refer to the entire system. Warnings and cautions specific to parts of the system can be found in the relevant section.
• Use only accessories and defibrillator-proof cables and invasive
pressure transducers approved by Datex-Ohmeda. Other cables,
transducers and accessories may cause a safety hazard, damage
the system, result in increased emissions or decreased immunity
of the system or interfere with the measurement. Protection
against cardiac defibrillator discharge is due in part to the
accessories for pulse oximetry (SpO2), temperature (T) and
invasive pressure (P) measurement.
Single-use accessories are not designed to be re-used. Re-use
may cause a risk of contamination and affect the measurement
accuracy.
• The monitor or its components should not be used adjacent to or
stacked with other equipment. If adjacent or stacked use is
necessary, the monitor and its components should be observed to
verify normal operation in the configuration in which it will be used.
• Pins of connectors identified with the ESD warning symbol should
not be touched. Connections should not be made to these
connectors unless ESD precautionary procedures are used. See
"Safety precautions: ESD precautionary procedures" in the
"User's Reference Manual" for details.
• If liquid has accidentally entered the equipment, disconnect the
power cord from the power supply and have the equipment
serviced by authorized service personnel.
• If the unit fails to respond as described, do not use the monitor
until tested and repaired by authorized service personnel.
Warnings
A WARNING indicates a situation in which the user or
the patient may be in danger of injury or death.
• Connect only one patient to the monitor at a time.
• Use only hospital-grade grounded power outlets and power cord.
• Some equipment malfunctions may not generate a monitor alarm.
Always keep the patient under close surveillance.
• To avoid explosion hazard, do not use the monitor in presence of
flammable anesthetics. The monitor measures only nonflammable anesthetics.
• Do not use the monitor in high electromagnetic fields (for example,
during MRI).
• Do not touch battery operated monitor during defibrillation
procedure.
• If the integrity of the external protective earth conductor
arrangement is in doubt, use the monitor with battery operation.
• Do not connect any external devices to the system other than
those specified by Datex-Ohmeda.
• Keep the monitor horizontal when the Compact Airway Module is
used. Tilting the monitor may cause erroneous results in the
Compact Airway Module’s readings and damage the module.
• Do not touch the patient, table, instruments or the monitor during
defibrillation.
• If the integrity of the external protective earth conductor
arrangement is in doubt, use the monitor with battery operation.
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Disposal
Cautions
Dispose of the whole device or parts of it in accordance with local
environmental and waste disposal regulations.
A CAUTION indicates a situation in which the unit or
devices connected to it may be damaged.
Points to note
• Before connecting the power cord to the power supply, check that
the local voltage and frequency correspond with the rating stated
on the device plate on the rear panel of the monitor.
• Turn off the power before making any rear panel connections.
• Vibrations during transport may disturb SpO2, ECG, impedance
respiration and NIBP measurements.
• Leave space for circulation of air to prevent the monitor from
overheating.
• Do not store or use the monitor outside the temperature and
humidity ranges specified in the "Performance" section of this
manual.
• Refresh the batteries completely once a month (see section
“Cleaning and care”).
• Do not subject memory cards to excessive heat, bending or
magnetic fields.
• Medical electrical equipment needs special precautions regarding
EMC and needs to be installed and put into service according to
the EMC information provided in the "Technical Reference
Manual" by qualified Datex-Ohmeda trained personnel.
• Portable and mobile RF communications equipment can affect the
medical electrical equipment.
• The allowed Datex-Ohmeda cables, transducers and accessories
for the system are listed in the "Supplies and accessories"
section of this manual.
• The equipment is suitable for use in the presence of
electrosurgery. Please notice the possible limitations in the
parameter sections and in the "Performance" section.
• Service and reparations are allowed for authorized service
personnel only.
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Symbols
Attention, consult accompanying documents.
− When displayed next to the O2 value, indicates that
the FiO2 low alarm limit is set below 21 %.
− When displayed next to the HR value, indicates that
the pacer is set on R or a wide QRS is selected.
− BIS: On the Aspect DSC indicates that the converter
must not be opened for any reason, or autoclaved.
− On the interface module, M-INT, indicates that it is for
connecting external devices. Do not connect patient
cables to the module.
− On the M-PRESTN, M-PRETN and M-RESTN module
indicates that protection against cardiac defibrillator
discharge is due in part to the accessories for pulse
oximetry (SpO2), temperature (T) and invasive
pressure (P) measurement.
− On the M-TONO module indicates that the module
should be used only with Tonometrics catheters.
− On the rear panel this symbol indicates the following
warnings and cautions:
- Electric shock hazard. Do not open the cover or the
back. Refer servicing to qualified personnel.
- For continued protection against fire hazard, replace
the fuse only with one of the same type and rating.
- Disconnect from the power supply before servicing.
- Do not touch battery operated monitor during
defibrillation.
- Lithium battery on CPU board: follow the local
regulations for disposal.
Type BF (IEC 60601-1) protection against electric shock
Type BF (IEC 60601-1) defibrillator-proof protection
against electric shock
Type CF (IEC 60601-1) protection against electric shock
Type CF (IEC 60601-1) defibrillator-proof protection
against electric shock
When displayed in the upper left corner of the screen,
indicates that the alarms are silenced. When displayed in
the menu or digit fields, indicates that the alarm source has
been turned off or alarm does not meet the alarm-specific
activation criteria.
Equipotentiality. Monitor can be connected to potential
equalization conductor.
Alternating current
Fuse. Replace the fuse only with one of the same type and
rating.
Battery operation and remaining capacity (green bar)
Battery charging (white bar)
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The monitor is connected to the Datex-Ohmeda
Network.
SN, S/N
Serial number
Submenu. Selecting a menu item with this symbol
opens a new menu.
Data Card (green) and/or the Menu Card (white) is
inserted.
A blinking heart next to the heart rate or pulse rate value
indicates the beats detected.
ESD warning symbol for electrostatic sensitive devices.
Pins of connectors identified with the ESD warning
symbol should not be touched. Connections should not
be made to these connectors unless ESD precautionary
procedures are used. See "Safety precautions: ESD
precautionary procedures" in the "User's Reference
Manual" for details.
A lung next to the respiration rate value indicates that
respiration rate is calculated from the impedance
respiration measurement.
Symbol for non-ionizing electromagnetic radiation.
Interference may occur in the vicinity of equipment
marked with this symbol.
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System introduction
(1) AS/3 Compact Anesthesia Monitor with
modules inside
(2) Remote Controller, K-REMCO
(3) Printer
(4) Datex-Ohmeda Network
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WARNING: Before starting to use the system, ensure
that the entire combination complies with the
international standard IEC 60601-1-1 and with the
requirements of the local authorities. Do not connect
any external devices to the system other than those
specified by Datex-Ohmeda.
WARNING: A printer must be supplied from an
additional transformer providing at least basic isolation
(isolating or separating transformer).
WARNING: Never install the monitor so that it is above
the patient.
NOTE: Your system may not include all these components.
NOTE: Connect only one patient to the Compact Anesthesia Monitor at
a time.
NOTE: After transferring or reinstalling the monitor, always check that it
is properly connected and securely attached.
NOTE: The monitor display is fragile. Ensure that it is not placed near a
heat source or exposed to mechanical shocks, pressure, moisture, or
direct sunlight.
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System possibilities
AS/3 Compact Anesthesia Monitor connections
The Datex-Ohmeda AS/3 Compact Anesthesia Monitor provides places
for up to four single-width or two double-width modules. You can use
the same modules and patient accessories in the Compact Anesthesia
Monitor, Compact Critical Care Monitor, Anesthesia Monitor, and
Critical Care Monitor.
Optional components for the AS/3 Compact Anesthesia Monitor are:
• built-in recorder in the F-CMREC frame or the recorder module,
M-REC
• network functionality with B-UPINET board or B-CMNET board
• Data card and MemCard functionality with memory board,
B-CMMEM, or the memory module, M-MEM
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3
Communication between monitors
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You can use the AS/3 Compact Anesthesia Monitor as a stand-alone
monitor or for
• viewing and receiving data (alarms, vital signs) from other patient
monitors
• gathering and storing data during transportation.
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(1) Air filter
(2) Built-in recorder (optional)
(3) Connector for anesthesia record keeping keyboard and Remote
Controller
(4) Potential equalization
(5) Receptacle for power cord
(6) Place for network connector B-NET
(7) Device plate
(8) Place for network connector B-UPINET or B-UPI
(9) Insertion slots for memory cards (optional)
To view other patient monitors, the monitor needs to be connected to
the Datex-Ohmeda Network. To gather, store, and transfer data
between different Datex-Ohmeda monitors, use memory cards.
The green Data Card is for storage and transfer of patient data. The
white Menu Card is used for storing the anesthesia record keeping
menus and configurations, and for loading patient data and user
modes from the Data Card.
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Monitoring basics
You can control monitoring through the keys on the monitor’s Command Board and side panels, modules , anesthesia record keeping keyboard and
Remote Controller. The commands introduced in this User’s Guide mainly focus on the Command Board hard keys and module keys.
Command Board - functions of some hard keys
Silence active
alarms or
Freeze
pre-silence waveforms
all alarms
for 60 sec.
Review alarm limits
Take up to 400
snapshots
Enter
measurement
menus
Start recording
and printing
Silence
Alarms
Freeze
Take
Snapshot
Alarms
Setup
Record/
Print
ECG
NIBP
Invasive
Pressures
Help
Reset
Case
Trends
Monitor
Setup
Patient
Data
Pulse
Oximetry
Airway
Gas
Others
Return settings to
their defaults for
a new patient
Review trends
and snapshots
Select mode, select
waveforms and
digits, select split
screen option
Close menus,
return to basic
screen
Add patient demographics,
enter laboratory data, choose
other site alarms or views
Side panel keys
Remote Controller
There are keys on the monitor’s side panel for
ON/Standby, NIBP, Invasive Pressures and
Recorder functions. With these keys, you can start
or end a function immediately.
The Remote Controller allows access to the
same menus as the Command Board. It also
has some direct function keys that start or end
a function immediately. To enter functions that
do not have their own key, press the Menu
key.
NOTE: Recorder functions are available with the
optional internal recorder or recorder module only.
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Normal
Screen
ComWheel
Enter menus for C.O., SvO2,
NMT, Resp&Temp, EEG&EP,
BIS, Entropy, Tonometry and
calculations
Enter
other
menus
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Navigating in menus
To monitor:
A menu is a list of functions or commands. To display a menu, press
one of the hard keys. Selections in the menus are made with the
ComWheel. For example, to change the ECG display:
1. Press the key to open the function menu.
2. Turn the ComWheel to select the desired function in the menu.
3. Push the ComWheel to open a submenu or an adjustment
window.
4. Push the ComWheel to confirm the selection.
ECG (E), NIBP (N), SpO2 (S),
Temp (T), Pressure (P) or Resp
(R)
M-PRESTN, M-PRETN, M-RESTN, M-NE(12)STPR,
M-NE(12)TPR, M-NE(12)STR, M-ESTPR, M-ETPR, MESTR, M-ESTP, M-EST or M-ETP.
NOTE: M-ESTP rev. 01, M-EST rev. 00 and M-ETP
rev. 00 work only with S-STD93, S-STD94, SARK94, S-STD95, S-ARK95, S-STD96 and SARK96 software.
NOTE: M-PRESTN, M-PRETN and M-RESTN work
only with L-ANE01(A) and with rev. 10.9 of
S-00A01, S-00A02, L-00A03 and L-00A04
software, or later versions.
NIBP (N)
M-NIBP, M-PRESTN, M-PRETN, M-RESTN,
M-NE(12)STPR, M-NE(12)TPR, M-NE(12)STR
M-P, M-PP or M-PT
M-COP or M-COPSv
M-CO, M-COV, M-CAiOV, M-CAiO, M-CAiOVX,
M-miniC
Common parts for modules
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(1) Insertion guide slot
(2) Module keys
(3) Patient cable
connectors
(4) Module release latch
Pressure (P)
C.O. (CO), Pressure (P) or SvO2 (Sv)
CO2 (C), O2 (O), Spirometry (V),
anesthetic agents(A), agent
identification (i), gas exchange (X)
Separate SpO2 measurement
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3
Select only one of these identical modules
M-NSAT or M-OSAT
NOTE: M-NSAT and M-OSAT can be used with
M-PRESTN, M-PRETN, M-RESTN, M-NE(12)STPR,
M-NE(12)STR, M-ESTPR, M-ESTR, M-ESTP and
M-EST. The SpO2 measurement in M-NSAT and
M-OSAT automatically overrides the SpO2
measurement in these modules.
The following parameters have no identical modules:
NMT
M-NMT
EEG and AEP
M-EEG
Tonometry (PgCO2)
M-TONO
BIS
M-BIS
Entropy
M-ENTROPY
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Inserting a module
1. Align the module with the insertion guide.
2. Push the module into the Compact Monitor frame until it clicks.
Removing a module
1. Press the release latch.
2. Pull out the module.
You can connect and disconnect modules during monitoring.
Identical modules
Some modules are identical and cannot be used in the same system.
See the following table when choosing modules for different parameters.
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Setting up the monitor before use
Before starting to use the monitor, check the monitor installation settings and what is configured in different user modes, and make the necessary
changes. The user modes are hospital-specific. The default modes are CPB Mode, General, Invasive, Regional, Neuro, Pediatric and Recovery.
If you wish to make permanent changes, we recommend that you contact the person responsible for the configuration of the system. For more
information about the default user modes, see the "Default Configuration Worksheet" delivered with the monitor. For more information about the
installation settings and user modes, see the "User's Reference Manual."
Passwords
Setting time and date
The default password for entering the Install/Service menu is
16 4 34.
The default password for entering the Save Modes menu is
13 20 31.
NOTE: If the monitor is connected to the S/5 Central, it follows the
Central’s time settings and the Time and Date menu is not available.
Interfacing
1. Press Monitor Setup and select Interfacing.
1. Press Monitor Setup and select Time and Date.
2. Turn and push the ComWheel to set the time and date.
NOTE: You cannot change the monitor’s time settings after the case
has been started.
2. Select desired interfaced internal modules or external monitors.
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Changing the monitor installation settings
The monitor installation settings are the same in all user modes. The changes are preserved until changed again.
Press Monitor Setup and select Install/Service, enter the password and select Installation:
Printer
Monitor settings
ECG Printout Type: Select 25 mm, 50 mm or USA.
Snapshot Printout: Select 12.5 or 25 mm/s.
Printer Connection: Select printer connection (default: None).
Paper Size: Select A4 or Letter (default A4).
Monitor Type: Monitor type defines the text on the start screen.
ARRWS Network: Select YES if Arrhythmia Workstation is in the
network.
ARK Settings: Set Record Keeping ON/OFF and change settings.
Parameter Settings: Set tidal volume calculation conditions, CO2
humidity compensation and inspired flow drawing direction.
Alarm options
Show limits: Select YES to show alarm limits in digit fields.
Audio OFF: Select NO to disable alarm silencing. This hides the
silencing options in the Audio ON/OFF menu in Alarms Setup.
Latching Alarms: Select YES to keep alarm messages on screen until
Silence Alarms key is pressed.
Reminder Volume: Adjust volume of audible alarm reminder tone.
Alarm Tones: Select alarm tones.
Units
• Change units for height, weight, parameters, energy expenditure,
laboratory values and calculations.
• You can change temperature units in the Temp Setup menu
(Others - Resp&Temp Setup - Temp Setup) and CO2 units in the
CO2 Setup menu (Airway Gas - CO2 Setup). The changes are
permanent.
Display setup
Change the number of colors on the display (the result depends on the
LCD display type.)
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Changing the user modes
NOTE: If you want to make changes in user modes, we recommend you contact the person responsible for the configuration. When new settings are
saved, they should be marked in the "Default Configuration Worksheets." See below for instructions on how to change the modes permanently.
Select the user mode you wish to change by pressing Monitor Setup and selecting Select Mode.
1. To make changes in:
− sweep speed, parameter colors, screen setup, Normal Screen layout, pages layout, trends, snapshots, press Monitor Setup. If necessary, select
Install/Service. For instructions, see below.
− parameter setup, press a parameter key and go to the setup menu. For instructions, see parameter sections in User's Guide Part II.
− alarm limits and volume, press Alarms Setup. For instructions, see section "Alarms" in User's Guide Part II.
3. Confirm changes through Monitor Setup - Install/Service - Save Modes - Save. You can save the changes also in other modes. If you do not save
the changes in the modes, they are temporary and valid only until you reset the case or change the mode or until more than 15 minutes has elapsed
from the turn-off of the monitor. Entering Save Modes requires a password, see "Passwords."
Changing the startup mode
1. Select Monitor Setup - Install/Service - Save Modes.
Changing the parameter colors
To change the colors for parameter waveforms, digits and trends,
select Monitor Setup - Install/Service -Colors.
2. Select Startup Mode - 1, 2, 3, 4, 5 or 6.
Changing the recorder settings
1. Press Record/Print.
2. Select Record Waveforms and select the recorded waveforms,
Renaming a mode
1. Select Monitor Setup- Install/Service - Save Modes.
2. Select the mode, select Name and give a new name.
delay, paper speed and length, and select if you wish to record
waveforms on alarms.
3. Select Record Trends and set the numerical trend resolution and
trend type, default trend type, and select the graphical trend
recorded in upper and lower field.
Loading modes
1. Select Monitor Setup - Install/Service - Save Modes.
2. Select Load Modes and load from/to card or from/to network.
NOTE: To load modes from the Data Card, you need the Menu Card in
the other slot.
Changing the printer settings
Select Record/Print - Print Graphical and select the pages to print
Changing the waveform sweep speeds
1. Select Monitor Setup - Sweep Speeds.
and how many hours to print on one page.
2. Select the parameters and adjust the values. Slow waveforms
show the amplitude changes better.
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Setting the Normal Screen format
Press Monitor Setup and select Screen Setup.
Configuring trends
To set the parameters displayed on the graphical trend pages:
1. Press Monitor Setup and select Install/Service - Trends &
Snapshots - Graphical Trends.
2. Select the graphical trend page you want to change.
3. Select parameters for fields.
• Waveform Fields: Select the displayed waveforms.
• Digit Fields: Change the contents of a field or turn it off.
• Split Screen: Select what you wish to display with the waveforms
(minitrends, spirometry, EEG, EP, ST or None).
• Minitrend Length: Select the length of the minitrend.
Setting trend length and time scale
Press Trends.
Changing the layout of other pages
You can check the contents of the pages by pushing the ComWheel in
Normal Screen. To change the layout of the pages:
1. Press Monitor Setup and select Install/Service -Pages Setup.
2. Select the page and make the changes.
•
•
Select Time Scale and the value.
Select Trend Scales and adjust the scales.
Configuring snapshots
To change the snapshot setting, press Monitor Setup and select
Install/Service - Trends & Snapshots - Snapshot:
• Field x: Select to display waveform, graphical trend or numerical
trend.
• Create on Alarms: Select Yes (default) to create automatic
snapshots for Tachy, Brady, Art high, Art low alarms. You can
select other arrhythmia alarms to create snapshots through the
Arrhythmia Alarms menu.
• Automatic Print: Select All to print all the snapshots immediately
after creation, Alarms to print snapshots created on alarms or No
to print only on request.
• Print Loops: Select Yes to print Patient Spirometry loops when
snapshots are taken.
Setting the default trend
You can select graphical or numerical trends to be displayed by
default.
1. Press Monitor Setup and select Install/Service - Trends &
Snapshot.
2. Select Default Trends and Graph or Num.
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Cleaning and care
Daily and between patients
•
•
•
•
•
•
•
•
•
Wipe the monitor surface.
Wipe the ECG trunk cable, NIBP cuff and cables
and SpO2 sensors.
Change or sterilize all airway and invasive
patient accessories.
Clean, disinfect or sterilize reusable
temperature probes.
Change the Tonometrics catheter between
patients.
Empty the D-fend water trap, see below.
Change the BIS sensor between patients.
Change the entropy sensor between patients.
Check that the accessories, cables and monitor
parts are clean and intact.
Permitted detergents
− Datex-Ohmeda Cleaning Fluid
− Other mild detergents
Once a month
•
•
•
•
Every six months
Perform gas calibration for gas exchange
monitoring, see below.
Refresh the batteries, see below.
Check the fan filter on the monitor’s side panel,
on the gas module’s front panel and under the
display unit. Clean if necessary:
1. Pull out the filter.
2. Wash it in detergent solution and allow to
dry before reinserting.
Do not use pressurized air.
Replace the filter if it is damaged.
Change the D-fend water trap every two months
and when ‘Replace D-fend’ appears.
Permitted disinfectants
− Ethanol
− Isopropyl alcohol
− Chlorite compounds
− Glutaraldehyde
•
Perform gas calibration for tonometry and
airway gas monitoring, see below.
DO NOT !
•
Do not use hypochlorite, acetone-, phenol- or
ammonia based cleaners.
• Do not autoclave the device or its parts.
• Do not immerse any part of the device in
liquids, or allow liquid to enter the interior.
• Do not apply pressurized air to any outlet or
tubing connected to the monitor.
NOTE: For details about cleaning, disinfecting and sterilizing the accessories, see the instructions for use in the accessory package.
More comprehensive checking
Before cleaning
See the “Technical Reference Manual.”
1. Turn off the monitor from the power switch.
2. Disconnect the power cord.
WARNING: After cleaning or if liquid has accidentally
entered the monitor, ensure that every part of the monitor
is dry before reconnecting it to the power supply.
After cleaning
1. Let dry completely.
2. Reconnect the power cord and turn on the monitor.
15
16
D-fend water trap
Refreshing the batteries
• Empty the container whenever half full.
• Change the D-fend or Mini D-fend water trap every two months and
when ‘Replace D-fend’ appears.
• The water trap cartridge is disposable. Do not wash or reuse the
cartridge.
• Change the green D-fend+ water trap every 24 hours and when
‘Replace D-fend’ appears.
1. Turn on the monitor.
2. Connect the monitor power cord to power supply for at least 10
hours.
3. Remove the power cord and wait until the monitor turns off. Then
wait for another 15 minutes.
4. Reconnect the power cord to power supply and charge the battery
for at least 10 hours.
Changing fuses
1. Remove the power cord.
2. Remove the fuse holder by pushing the locking pin and pulling the
holder gently out.
3. If a fuse is blown, ensure that you replace it with a fuse of the
correct type and rating.
Reusable D-lite sensor
The reusable D-lite sensor can be washed in a washing machine and
steam autoclaved. Make sure that the sensor is dry and connectors
are not damaged. A tight connection is essential for correct
measurement.
Other accessories
For information on how to clean and check reusable accessories, see
the accessory package. Do not reuse single-use disposable
accessories.
16
17
Calibrating Patient Spirometry
Calibrating
Perform flow calibration once a year or when the difference between the
inspiratory and expiratory volumes is permanent. See the “Technical
Reference Manual“ for more information.
1. Turn on the power. Let the monitor warm up for 30 minutes.
2. Attach a regulator to the calibration gas container.
Calibrating gas exchange
NOTE: % is used for CO2 regardless of selected units.
NOTE: See section “Supplies and accessories” for correct regulator and
gas.
NOTE: Ensure that the calibration gas and regulator are functioning
properly before calibration. Perform annual maintenance on the
regulator as required.
To ensure gas exchange accuracy, perform the airway gas calibration
once a month and patient spirometry calibration once a year.
Use 2-m (7-ft) airway gas sampling line.
Calibrating tonometry
1. Connect the calibration gas sampling line to the D-gate regulator
and to the module’s catheter connector.
2. Press the Others key and select Tonometry - PgCO2 Calibration.
3. Wait until the text ‘Feed gas’ appears. Open the regulator and start
feeding gas until the text ‘Adjust’ appears.
4. Close the regulator.
5. Check that the displayed values match the values on the calibration
gas container. Adjust with the ComWheel, if necessary, and
confirm.
6. If airway gases are monitored, calibrate the gas module at the same time.
Calibrating airway gases
Follow the recommended calibration intervals (every six months in
normal use and every two months in continuous use) to ensure that the
measurement accuracy remains within specifications.
1. Attach a new sampling line to the water trap. Connect the other end
of the sampling line to the regulator on the gas container.
2. Press the Airway Gas key.
3. Select Gas Calibration.
4. Wait until the texts ‘Zero OK’ and then ‘Feed Gas’ appear on the
screen, open the regulator and start feeding gas. Push the
ComWheel and continue feeding gas until the text ‘Adjust’ is
displayed.
5. Check that the displayed gas values match the values on the
calibration gas container. Adjust with the ComWheel, if necessary.
NOTE: Use only Datex-Ohmeda Calibration gas sampling line; wrong
line length or diameter can cause incorrect calibration.
NOTE: Do not wash or disinfect calibration gas sampling lines.
Calibration check of temperature, NIBP and invasive blood
pressures
Calibration check of temperature, NIBP and invasive blood pressures
should be performed at least once a year by qualified service personnel
as a part of the Planned Maintenance, see the "Technical Reference
Manual."
NOTE: Calibrate M-miniC module with calibration gas 755580 only and
set the O2 concentration to 20%.
17
18
Alarm basics
Enabling the alarms
Alarm indications
To enable the alarms, connect the patient cables. If the alarm source
is selected, the alarms are operative also when the measurement is
not displayed (except the respiration measurement alarms).
When an alarm becomes active, messages appear in the order of
priority. The alarming measurement value flashes and its background
color indicates the alarm category (see the table below). In some
cases, there may be a message on the display giving more detailed
information. An audible alarm is also triggered.
For details about alarms, see section "Alarms" in User's Guide
Part II.
NOTE: If the monitor is connected to the network, the alarms can be
heard and seen on the S/5 Central as well. Please consult the "DatexOhmeda S/5 Central User's Reference Manual: Alarms" for details.
Alarm categories
The priority depends primarily on the cause and alarm duration.
Visual
Meaning
Tone pattern (selected when the system is
configured)
Front panel LED
Red
For life threatening situations
red LED lit
Yellow
For serious but not life threatening problems
White
Advisory
Triple + double beep every 5 seconds or continuous beep
--- -- 5 --- --/ ----Triple beep every 19 seconds or double beep every 5 seconds
--- 19 --- / -- 5 -- 5 -Single beep -
18
yellow LED blinking
yellow LED lit
19
Performance
WARNING: Operation of the monitor
outside the specified values may
cause inaccurate results.
Datex-Ohmeda Compact Anesthesia
Monitor
Power supply
Rated voltages and
frequencies:
100 to 240 V 50/60 Hz
Allowed voltage
fluctuations:
±10 %
Max. power
consumption:
140 VA
Battery operation
Batteries:
Charging time:
Operation time:
NiCd
5 hours
up to 1 hour
Environmental conditions
Operating
temperature:
+10 to+35°C (50 to 95°F)
Storage and transport
temperature:
-10 to +50°C (14 to 122°F)
Relative humidity: 10 to 90 % noncondensing,
in airway
0 to 100 % condensing
Atmospheric
pressure:
660 to 1060 mbar
(500 to 800 mmHg)
Alarm behavior
The maximum alarm delay of the alarm at the
monitor signal output to network: 1.1 seconds
If the alarm mode is latched, the technical alarms
are latched as well. This does not comply with the
NIBP (IEC 60601-2-30) and invasive pressure
(IEC 60601-2-34) standard requirements.
Silencing alarms for 5 minutes does not comply
with the SpO2 (ISO 9919) standard requirements.
Hemodynamic Modules M-NE(12)STPR,
M-NE(12)TPR, M-NE(12)STR, M-ESTPR,
M-ETPR, M-ESTR; M-P, M-PP, M-PT;
M-NIBP
Letters in the module name stand for:
N= NIBP, E= ECG, 12 = up to 12 ECG leads,
S= Pulse oximetry, T= Temperature, P= Invasive
blood pressure, R= Impedance respiration
ECG
Filter modes:
monitoring filter 0.5 to 30 Hz
ST filter
0.05 to 30 Hz
diagnostic filter 0.05 to 100 Hz
- 12-lead ECG: 0.05 to 150 Hz
With 60 Hz power supply frequency:
monitoring filter 0.5 to 40 Hz
ST filter
0.05 to 40 Hz
Defibrillation protection: 5000V, 360J
Recovery time:
2 seconds
Heart rate:
Measurement range: 30 to 250 bpm
Measurement accuracy: ±5% or ±5 bpm
19
Display averaging time: 5 seconds
Display update time: 5 seconds
Pacemaker pulse detection:
detection level: 2 to 500 mV
pulse duration: 0.5 to 2 ms
Impedance respiration
Respiration range: 4 to 120 resp/min
Accuracy:
± 5% or ± 5 resp/min
NOTE: Impedance respiration measurement is
intended for patients over three years old.
Temperature
Measurement range: 10 to 45°C (50 to 113°F)
Measurement accuracy: ±0.1°C (25 to 45.0°C)
±0.2°C (10 to 24.9°C)
Probe type:
Compatible with YSI 400 series
Invasive blood pressure
Measurement range: -40 to 320 mmHg
Measurement accuracy: ±5% or ±2 mmHg
Pulse rate:
Measurement range: 30 to 250 bpm
Accuracy:
±5% or ±5 bpm
Transducer sensitivity: 5µV/V/mmHg
20
NIBP
Measurement range: adult 25 to 260 mmHg,
child 25 to 195 mmHg,
infant 15 to 145 mmHg
Pulse rate range accepted: 30 to 250 bpm
Typical measuring time: adult 23 s, infant 20 s
NOTE: NIBP measurement is intended for patients
weighing over 5 kg (11 lb.)
Pulse oximetry
Proportional scaling of plethysmographic waveform.
SpO2
Measurement and display range: 40 to 100%
Calibration range: 50 to 100%
Calibrated against functional oxygen saturation.
Measurement accuracy (% SpO2 ±1SD) 1):
100 to 80%, ±2 digits;
80 to 50%, ±3 digits;
50 to 40%, unspecified
Display update time: 5 seconds
Display averaging time: adjustable; 10 sec,
20 sec or beat-to-beat
Display resolution: 1 digit = 1% of SpO2
Pulse rate:
Measurement and display range: 30 to 250 bpm
Measurement accuracy: ±5% or ±5 bpm
2)
Default alarm limits
SpO2 high Off, low 90%; PR high 160, low 40
NOTE: Pulse oximetry measurement is intended for
patients weighing over 3 kg (6.6 lb).
Hemodynamic modules M-PRESTN,
M-PRETN and M-RESTN
Letters in the module name stand for:
P= Invasive blood pressure; R= Impedance
respiration; E= ECG; S= Pulse oximetry;
T= Temperature; N= NIBP
ECG
3)
Filter modes:
monitoring filter 0.5 to 30 Hz
ST filter
0.05 to 30Hz
diagnostic filter 0.05 to 150 Hz
With 60 Hz power supply frequency:
monitoring filter 0.5 to 40 Hz
ST filter
0.05 to 40 Hz
Defibrillation protection: 5000 V, 360 J
Recovery time:
5 seconds
Heart rate:
Measurement range: 30 to 250 bpm
Measurement accuracy: ±5 % or ±5 bpm
Display averaging time: 5 seconds
Display update time: 5 seconds
Average heart rate response time and time range of
response time:
Response time 80 to 120 bpm: 7.9s (6.4 to 9.1 s)
Response time 80 to 40bpm: 9.9s (8.3 to 11.4 s)
Maximum Tall T wave amplitude that does not
disturb the heart rate calculation: 2.2 mV
The heart rate calculation operates with irregular
rhythms of ANSI/AAMI EC13 3.1.2.1 as follows:
a): 75bpm
b): 61bpm
c): 115bpm
d): 97bpm
20
Pacemaker pulse detection:
detection level: 2 to 700 mV
pulse duration: 0.5 to 2 ms
The monitor is specified for both of the methods A
and B required in EC13 section 4.1.4.2.
Offset voltage range: +800 mV
CMRR:
>95 dB
Pacer pulse rejection of fast ECG signals:
1.29 V/s according to the test defined in
EC13 section 4.1.4.3.
Pacemaker detector may not operate correctly
during the use of high-frequency (HF) surgical
equipment. The disturbances of HF surgical
equipment typically cause false positive pacer
detection.
1)
Accuracy is based on deep hypoxia studies using
Datex-Ohmeda FingerSat Sensors on volunteered
subjects. Arterial blood samples have been
analyzed by a Radiometer OSM Co-oximeter. 1
standard deviation = 68 % of all readings in the
specified range in stable conditions.
2)
Limits are adjustable: OFF to 51% for SpO2 high
50 to 100% for SpO2 low
250 to 35 bpm for PR high
30 to 245 bpm for PR low
3)
The isolation barrier capacitance in the module
has been minimized to reduce the hazard of burns
in the event of a defect in the ESU return electrode
connection.
21
Direct current for leads-off detection through an
active patient electrode : 25 nA
Direct current for leads-off detection through a
reference electrode: 225 nA
The normalized respiration sensing current between
RA (R) and LL (F) or RA (R) and LA (L) or LA (L) and
LL (L): 3.2 µA
Frequency of respiration sensing current: 31.25 kHz
Minimizing the effects of the line isolation monitor
transients:
Crystal controlled oscillator used as the operating
frequency source of the patient isolation power
supply.
The average time and time range ( ) to alarm for
tachycardia are as follows (ANSI/AAMI EC13
3.1.2.1.g):
Figure 4a halved amplitude: 6.5 s (6.1 to 7.1 s)
Figure 4a normal amplitude:5.3 s (4.9 to 5.7 s)
Figure 4a doubled amplitude:5.8 s (5.5 to 6.2 s)
Figure 4b halved amplitude: 5.0 s (4.5 to 6.0 s)
Figure 4b normal amplitude:5.4 s (4.6 to 6.0 s)
Figure 4b doubled amplitude:5.3 s (4.6 to 5.8 s)
The ECG measurement fulfils the requirements of
the ANSI/AAMI EC11 3.2.7.2/4.2.7.2 by using the
test methods a, b, c and e.
Direct cardiac application:
The display area reserved for the ECG measurement
in the monitoring system screen may not be
adequate for displaying the complete ECG
amplitude when measuring ECG direct from the
surface of the heart. Clipping of the signal can be
reduced by adjusting the size of the signal on the
display (for example, from the default 1.0 to 0.2) in
the ECG menu.
Auxiliary output, ECG:
Bandwidth of auxiliary output: 0.5 to 30Hz
Gain:
1mV ECG signal is 1V at the
auxiliary output.
Propagation delay: < 15ms.
The pacemaker pulses have been replaced with
2ms fixed digital pulses at the ECG output for IABP
or defibrillator equipment.
An auxiliary device that fulfils the requirements of
the IEC 60601-1 standard can be connected to the
auxiliary output. There are no other limitations,
because the auxiliary output of the monitor is
galvanically isolated from patient applied part of
the ECG measurement.
Impedance respiration
Respiration range: 4 to 120 resp/min
Accuracy:
± 5% or ± 5 resp/min
The EMC immunity of the respiration measurement
has been tested with 1 Vrms and 1 V/m. This level
has been used for optimizing the immunity of the
respiration measurement to damp the operating
frequency of the electrosurgery equipment.
NOTE: Impedance respiration measurement is
intended for patients over three years old.
4)
Invasive blood pressure
Measurement range:-40 to 320 mmHg
Measurement accuracy: ±5 % or ±2 mmHg
Pulse rate:
Measurement range: 30 to 250 bpm
Accuracy:
±5 % or ±5 bpm
Transducer sensitivity: 5 µV/V/mmHg
21
Temperature
4)
Measurement range: 10 to 45°C (50 to 113°F)
Measurement accuracy:
±0.1 °C (25 to 45.0°C)
±0.2°C (10 to 24.9°C)
Measurement accuracy with single-use sensors:
±0.2 °C (25 to 45 °C)
±0.3 °C (10 to 24.9 °C)
Probe type: Use only Datex-Ohmeda temperature
probes or defibrillator-proof YSI 400 series probes.
Time constant of temperature probes:
Reusable skin temperature probe:
3s
Reusable adult central temperature probe: 6 s
Reusable pediatric central temperature probe: 4 s
Disposable skin temperature probe:
3 to 6s
Disposable central temperature probe, 12F: 5 to 8 s
Disposable central temperature probe, 9F: 5 to 8 s
Esophageal stethoscope with temperature
probe, 9F:
15 s
Esophageal stethoscope
with temperature probe, 12F :
16 s
Esophageal stethoscope
5)
with temperature probe, 18F :
23 s
Esophageal stethoscope
5)
with temperature probe, 24F :
32 s
4)
The isolation barrier capacitance in the module
has been minimized to reduce the hazard of burns
in the event of a defect in the ESU return electrode
connection.
5)
Response time of the probe exceeds 150 s.
22
NIBP
Measurement range: adult 25 to 260 mmHg
child 25 to 195 mmHg
infant 15 to 145 mmHg
Pulse rate range accepted: 20 to 250 bpm
Typical measuring time: adult 23 s, infant 20 s
Overall system accuracy:
Meets or exceeds SP10-2002 AAMI standards
The ESU does not cause a burn hazard through the
NIBP cuff, because there is no electrical connection
between the cuff and the NIBP measuring
electronics.
NOTE: NIBP measurement is intended for patients
weighing over 5 kg (11 lb.)
SpO2
6)
Measurement and display range:
40 to 100 %
Calibration range: 70 to 100 %
Calibrated against functional oxygen saturation.
7)
Measurement accuracy (% SpO2 ±1SD):
100 to 70 %, ±2 digits,
±3 digits during clinical patient motion;
69 to 40 %, unspecified
Display update time:
5 seconds continuous, defined by the main
software of the monitor
Display resolution: 1 digit (1% of SpO2)
Wavelength of SpO2 probe LEDs:
Infrared LED
900 nm
Red LED
660 nm
Maximum energy of SpO2 probe LEDs:
Infrared LED
42 µJ/pulse
Red LED
62 µJ/pulse
Pulse rate:
Measurement and display range: 30 to 250 bpm
Measurement accuracy: ±5 % or ±5 bpm
REF
Measurement range: 1 to 85%
Repeatability:
±2% as measured by
electronically generated
pulsatile curves for range
10 to 60%. For other ranges
accuracy is unspecified.
Catheters:
Edwards Lifesciences Corp.
REF catheter
8)
Default alarm limits :
SpO2 high Off, low 90%
PR high 160, low 40
Cardiac Output Modules,
M-COP and M-COPSv
Pressure performance as above.
Cardiac output
Measurement range: 0.1 to 20 l/min
Repeatability:
±2 % or 0.02 l/min
Catheters:
Edwards Lifesciences Corp.
compatible
SvO2
Measurement range: 1 to 98%
Measurement accuracy:
±2% SvO2 equals 1 standard
deviation for range of
30% to 95% SvO2 and
6.7 to 16.7 g/dl Hb when
using in vivo calibration.
Catheters:
Edwards Lifesciences Corp.
SvO2 catheter
22
6)
The isolation barrier capacitance in the module
has been minimized to reduce the hazard of burns
in the event of a defect in the ESU return electrode
connection.
7)
Accuracy is based on deep hypoxia studies with
volunteered subjects during motion and nonmotion conditions over a wide range of arterial
blood oxygen saturations as compared to arterial
blood CO-Oximetry.
8)
Limits are adjustable: OFF to 51% for SpO2 high
50 to 100% for SpO2 low
250 to 35 bpm for PR high
30 to 245 bpm for PR low
23
Datex-Ohmeda Compatible Saturation
Module, M-OSAT
Nellcor Compatible Saturation Module,
M-NSAT
Tonometry Module, M-TONO
Automatic scaling of plethysmographic waveform.
Automatic scaling of plethysmographic waveform.
Measurement range: 0 to 30 kPa (0 to 228 mmHg)
SpO2
Measurement and display range: 20 to 100 %
Calibration range: 70 to 100 %
Accuracy 70 to 100 % (1 standard deviation):
±2 digits
±3 digits during clinical patient
motion
Display resolution: 1 digit = 1% SpO2
Display averaging time: 12 seconds
Display update time: 5 seconds
Calibrated against functional saturation.
Pulse rate
Measurement and display range: 30 to 250 bpm
Measurement accuracy:
±2 % or ±2 bpm
(whichever is greater)
Resolution:
1 bpm
Display averaging time: 12 seconds
Display update time: 5 seconds
SpO2
Measurement and display range: 20 to 100 %
Calibration range: 70 to 100 %
Calibrated against functional oxygen saturation.
Measurement accuracy 10):
100 to 70 %: ±2 to ±3.5 digits
69 to 20 %: unspecified
Display update time: 5 seconds
Display resolution: 1 digit = 1% SpO2
Pulse rate
Measurement and display range: 30 to 250 bpm
Measurement accuracy:
±3 bpm
Gastrointestinal PCO2 (PgCO2)
11)
Accuracy :
0 to 15 kPa
+(0.5 kPa + 5% of reading)
0 to 113 mmHg
+(4 mmHg + 5% of reading)
15 to 30 kPa
1.5 kPa ± 15% of reading
113 to 228 mmHg 12 mmHg ± 15% of reading
Measurement interval: 10 minutes
9)
Limits are adjustable: OFF to 51% for SpO2 high
50 to 100% for SpO2 low
250 to 35 bpm for PR high
30 to 245 bpm for PR low
10)
The accuracy value depends on the sensor
used. Accuracy is based on Nellcor protocol
#081400-N, Non-invasive Controlled Hypoxia
Study Rev. B.
11)
9)
Default alarm limits
SpO2 high Off, low 90%
PR high 160, low 40
9)
Default alarm limits
SpO2 high Off, low 90%
PR high 160, low 40
23
:Typical value.
24
Compact Airway Modules, M-CO,
M-COV, M-CAiO, M-CAiOV, M-CAiOVX
Letters in the name stand for: C = CO2 and N2O,
O = Patient O2, A = Anesthetic agents, i = Agent
identification, V = Patient Spirometry, X = Gas
exchange
12)
Sampling rate
: 200 ml/min +20 ml/min
12)
Sampling delay
: 2.5 s typical with a 3-m
sampling line
Total system response time:
2.9 seconds typical with a 3-m
sampling line, including
sampling delay and rise time
12)
Warm-up time
: 2 to 5 min, 30 min for full spec.
13)
Default alarm limits
EtCO2 high 8%, low 3%
FiEnf high 5.1%, low Off
FiCO2 high 3%, low Off
EtEnf high 3.4 %, low Off
EtO2 high Off, low 10%
FiIso high 3.4%, low Off
FiO2 high Off, low 18%
EtIso high 2.3 %, low Off
FiN2O high 82%
FiDes high 18%, low Off
FiHal high 2.2%, low Off
EtDes high 12 %, low Off
EtHal high 1.5 %, low Off
FiSev high 5.1%, low Off
EtSev high 3.4 %, low Off
Non-disturbing gases, maximum effect on readings
CO2 < 0.2 vol%, N2O, O2 < 2 vol%, anesth. agents:
< 0.15 vol%:
Ethanol C2H5OH <0.3%
Acetone
<0.1%
Methane CH4
<0.2%
Nitrogen N2
Carbon monoxide CO
Nitric oxide NO <200 ppm
water vapor
Effect of Helium: decreases CO2 readings
<0.6 vol% typically
Respiration rate (RR)
Carbon dioxide (CO2)
Accuracy :
± 0.2 vol %
Desflurane
Measurement range: 0 to 20 %
Measurement range: 0 to 15 vol % (0 to 15 kPa,
0 to 113 mmHg)
Measurement rise time: < 400 ms typical
12)
Accuracy :
Gas cross effects:
≤ 0.2 vol % + 2% of reading
< 0.2 vol% (O2, N2O,
anesthetic agents)
Measurement range: 0 to 100 vol%
Measurement rise time: < 400 ms typical
12)
± 2 vol %
< 1 vol% anesthetic agents,
< 2 vol% N2O
Nitrous oxide (N2O)
Measurement range: 0 to 100 %
Measurement rise time: < 450 ms typical
12)
Accuracy :
Gas cross effects:
Anesthetic agent (AA)
Measurement rise time: < 400 ms typical
Gas cross effects:
< 0.15 vol% N2O
Halothane, Isoflurane, Enflurane
Measurement range: 0 to 6 %
12)
Accuracy :
± 0.2 vol %
Sevoflurane
Measurement range: 0 to 8 %
12)
12)
Accuracy
:
0 to 5 % ± 0.2 vol %,
5 to 10 % ± 0.5 vol %
10 to 20 % ± 1.0 vol %
Agent identification
Oxygen (O2)
Accuracy :
Gas cross effects:
Measurement range: 4 to 60 breaths/min
Detection criteria: 1 % variation in CO2
± 3 vol %
< 2 vol% anesthetic agents
24
Identification threshold
12)
13)
12)
: 0.15 vol %
Typical value.
Alarm limits and their adjustment range may
vary depending on the mode used.
25
Patient Spirometry
Using D-lite (+) or Pedi-lite(+) flow sensor and gas
sampler:
D-lite(+)
Pedi-lite(+)
Tidal volume:
Measurement range:
150 to 2000 ml 15 to 300 ml
14)
:
±6% or 30 ml
Minute volume:
Measurement range:
2 to 20 l/min
Accuracy
VO2 and VCO2:
Measurement range: 20 to 1000 ml/min
0.5 to 5 l/min
(valid for respiration rates
Accuracy
4 to 35 breaths/min):
FiO2 <65%
±10% or 10 ml
65%<FiO2<85% ±15% or 15 ml
14)
Accuracy : ±6%
±6%
Airway pressure:
Measurement range:
-20 to +100 cmH2O - 20 to +100 cmH2O
I:E:
1:4.5
2:1
14)
:
±1 cmH2O
Gas Exchange
±6% or 4 ml
14)
Accuracy
Sensor specifications:
D-lite(+)
Pedi-lite(+)
Dead space:
9.5 ml
2.5 ml
Resistance:
at 30 l/min 0.5 cmH2O
at 10 l/min
1.0 cmH2O
±1 cmH2O
Flow:
Measurement range:
1.5 to 100 l/min 0.25 to 25 l/min
Compliance:
Measurement range:
4 to 100 ml/cmH2O 1 to 100 ml/cmH2O
Airway resistance:
Measurement range:
0 to 40 cm H2O/l/s 0 to 40 cm H2O/l/s
RQ, Respiratory Quotient (=VCO2/VO2)
Measurement range: 0.6 to 1.2
Detection through D-lite flow sensor and gas
sampler (see the measurement ranges and sensor
specifications above.)
Measurement not valid with O2 +N2O mixtures.
Specifications apply only without condensation at
measurement point.
Single-width Airway Module, M-miniC
Sampling rate:
150 ±25 ml/min (sampling
line 2 to 3 m, normal
conditions)
Sampling delay:
2.1 s typical with a 3-m
sampling line
Total system response time: 2.4 seconds typical
with a 3-m sampling line,
including sampling delay and
rise time (typically 3.7 seconds
with a 6-m sampling line)
Warm-up time:
1 min for operation with CO2
30 min for full specification
Non-disturbing gases are those with a maximum
effect on the CO2 reading < 0.2 vol%. The effect is
valid for specific concentrations shown in
parentheses of the non-disturbing gas:
Ethanol C2H5OH (<0.3%)
Acetone (<0.1%)
Methane CH4(<0.2%)
Nitrogen N2
water vapor
Trichloromonofluoromethane (<1%)
Dichlorotetrafluoroethane (<1%)
Dichlorofluoromethane (<1%)
14)
25
Typical value
26
Single-width Airway Module, M-miniC
(cont.)
Disturbing gases and their effect on the CO2 reading
at 5.0 vol-% CO2 are shown below. Errors listed
reflect the effect of specific concentrations (shown
in parentheses) of an individual disturbing gas and
should be combined when estimating the effect of
gas mixtures:
Halothane (4%) increases < 0.3 vol%
Isoflurane (5%) increases < 0.4 vol%
Enflurane (5%) increases < 0.4 vol%
Desflurane (24%) increases < 1.2 vol%
Sevoflurane (6%) increases < 0.4 vol%
Helium (50%) decreases < 0.3 vol%
If O2 compensation is not activated:
O2 (40 to 95%) decreases < 0.3 vol%
If O2 compensation is activated:
O2 (40 to 95%) error < 0.15 vol%
If N2O compensation is not activated:
N2O (40%) increases < 0.4 vol%
N2O (40 to 80%) increases < 0.8 vol%
If N2O compensation is activated:
N2O (40 to 80%) error < 0.3 vol%
Default alarm limits
Carbon dioxide (CO2)
Measurement range: 0 to 20 vol %
Resolution:
0.01%
Measurement rise time: < 300 ms with nominal flow
Accuracy:
0 to 15 vol%
± (0.2 vol % + 2% of reading)
15 to 20 vol%
± (0.7 vol % + 2% of reading)
Valid for respiration rate < 40 1/min at I:E ratio of
1:1. (Relative error is typically 10% for respiration
rate 80 1/min at I:E ratio of 1:1.) The accuracy is
specified in simulated ventilation. With higher
respiration rates and with varying ventilation
methods the specifications may not be met.
Respiration rate
Breath detection: 1% change in CO2 level
Measurement range: 4 to 80 breaths/min
Accuracy:
±1/min in the range 4 to 20 l /min
±5% in the range 20 to 80 l/min
Resolution:
1/min
NOTE: M-miniC is intended for patients weighing
over 5 kg (11 lb).
15)
EtCO2 high 8%, low 3%
FiCO2 high 3%, low Off
26
Neuromuscular Transmission Module,
M-NMT
NMT
Stimulation modes:
Train of four, TOF
Double burst (3.3), DBS; Single twitch, ST
50 Hz tetanic & post tetanic count, PTC
Stimulus current range:
supramax 10 to 70mA
manual 10 to 70 mA with 5 mA steps
Stimulus current accuracy: 10% or ±3 mA
Regional block mode (plexus)
Stimulation mode: Single twitch
Stimulus current range:
0 to 5.0 mA with 0.1 mA steps
Stimulus current accuracy: 20% or ±0.3 mA
15)
Alarm limits and their adjustment range may
vary depending on the mode used.
27
EEG Module, M-EEG
EEG
Sampling frequency: 100 Hz per channel
Range:
±400 µV
Frequency range: 0.5 to 30 Hz
Resolution:
60 nV
Input impedance: >8 MΩ at 10 Hz
Noise level:
<0.5 µV rms from
0.5 Hz to 30 Hz
CMRR:
>100 dB at 50 Hz
Parameters from power spectrum:
SEF, MF, relative power in frequency bands
Burst suppression ratio (BSR)
AEP
Stimulation
Click (condensating): duration 100 µs
Frequency:
1.1 to 9.1 Hz (1 Hz steps
at 10 ms meas.)
Intensity:
10 to 90 dB nHL, 10 dB steps
Measurement
Sampling frequency: 2400 Hz for MLAEP/
4800 for BAEP
Frequency range: 0.5 to 1000 Hz
Highpass filter: off/10/30/50/75/100/150 Hz
Single average:
Averaged responses: 100 to 2000 stimuli
Moving average:
Gross average: 100 to 2000 stimuli
Update interval: after every 100 stimuli (200,
when gross average is 2000)
EMG
Frequency range: 60 to 300 Hz
Parameter displayed: Amplitude (RMS)
BIS Module, M-BIS
EEG
Epoch duration:
2 seconds
Artifact rejection: automatic
EEG scales:
25 to 400 µV
EEG sweep speeds: 12.5/25/50 mm/sec
Bispectral index: 0 to 100
Signal quality index: 0 to 100
EMG:
30 to 80 dB (70 to 110 Hz)
Suppression Ratio: 0 to 100%
Update rate:
1 second for BIS index
Filters:
ON (2 to 70 Hz with notch),
OFF (0.25 to 100 Hz)
Smoothing rate:
15 seconds (default)
or 30 seconds
Mode:
sensor automatically selects
mode
DSC (Digital signal converter)
Analog to digital converter:
noise-shaped sigma-delta
Sampling rate:
16 384 samples/second
Resolution:
16 bits at 256
samples/second
Input impedance: 50 Mohms minimum
Noise:
<0.3 µV RMS
(2.0 µV peak-to-peak)
0.25 Hz to 50 Hz
27
Common mode rejection (Isolation mode):
110 dB at 50/60 Hz to earth
ground
Bandwidth:
0.16 to 450 Hz
Entropy Module, M-ENTROPY
Entropy parameters:
Response Entropy (RE): range 0 to 100
State Entropy (SE): range 0 to 91
Burst Suppression Ratio (BSR):
range 0 to 100 %
Display resolution: 1 digit
Entropy EEG
Scales:
Sweep speed:
Resolution:
+25/50/100/250/400 µV
12.5/25/50 mm/s
60 nV
Amplifier and A/D conversion
Amplification:
10000
Sampling frequency: 1600 Hz
Frequency range: 0.5 to 118 Hz
Resolution:
60 nV
CAUTION: The entropy measurement is
to be used as an adjunct to other
physiological parameters in assessing
the effects of certain anesthetic
agents.
29
Abbreviations
/min
°C
°F
µg
A
A
a
a/AO2
AaDO2
AA
AAMI
ABG
ABP
ADU
AEP
AirW
Alpha, Al
AM
Amp
Ant
APN
Arrh.
Art
ASY
ATMP
ATPD
beats per minute, breaths per
minute
Celsius degree
Fahrenheit degree
microgram
arm (describing location)
alveolar
arterial
arterio-alveolar PO2 ratio
alveolo-arterial oxygen difference
anesthetic agent
Association for the Advancement
of Medical Instrumentation
arterial blood gases
arterial pressure
Anesthesia Delivery Unit
auditory evoked potential
airway temperature
alpha frequency band
Anesthesia Monitor
amplitude
anterior
apnea
arrhythmia
arterial pressure
asystole
atmospheric pressure
atmospheric/ambient
temperature and pressure, dry gas
ATPS
AV
aVF
avg
aVL
aVR
aw
Axil
BAEP
Bal
bar
Beta, Be
Bigem.
BIS
Blad
Blood
Body
BP
Brady
BSA
BSR
B-to-B
BTPS
c
ambient temperature and
pressure, saturated gas
atrioventricular
left foot augmented lead
average
left arm augmented lead
right arm augmented lead
airway
axillatory temperature
brainstem auditory evoked
potential
balance gas
1 atmosphere
beta frequency band
bigeminy
bispectral index
bladder temperature
blood temperature (C.O.
measurement)
body temperature
blood pressure
bradycardia
body surface area
burst suppression ratio
beat-to-beat
body temperature and pressure,
saturated gas
calculated/derived value
29
C
C(a-v)O2
C.C.O.
C.I.
C.O.
cal.
Calc
Calcs
CAM
CaO2
Casc.
cc
CCCM
CCM
CcO2
CCU
CEL
CISPR
cmH2O
CMRR
CO
CO2
COHb
Compl
Cont.
Contrl
chest
arteriovenous oxygen content
difference
continuous cardiac output
cardiac index
cardiac output
calibration
calculated/derived value
calculations
Compact Anesthesia Monitor
arterial oxygen content
cascaded (ECG)
cubic centimeter
Compact Critical Care Monitor
Critical Care Monitor
capillary oxygen content
cardiac (coronary) care unit
Celsius degree
International Special Committee
on Radio Interference
centimeter of water
common mode rejection ratio
carbon monoxide
carbon dioxide
carboxyhemoglobin
compliance
continuous
controlled ventilation
30
Core
Count
CPB
CPP
CSA
CT
CvO2
CVP
core temperature
count of responses
cardiopulmonary bypass
cerebral perfusion pressure
compressed spectral array
computer tomography
(mixed) venous oxygen content
central venous pressure
d
dB
DBS
DEL
Delta, De
depr.
Des
Dia
Diagn
DIFF
DIS
DO2
DO2I
DSC
DSSS
dyn
day
decibel
double burst stimulation (NMT)
delete
delta frequency band
depression
desflurane
diastolic pressure
diagnostic (ECG filter)
difference
S/5 Device Interfacing Solution
oxygen delivery
oxygen delivery index
digital signal converter
Direct Sequence Spread
Spectrum
dynamic
e
ECG
ECG1
ECG1/r
estimated
electrocardiogram
first ECG waveform (top)
real-time ECG
ECG2
second ECG waveform
ECG3
third ECG waveform
ED
emergency department
EDV
end-diastolic volume
EDVI
end-diastolic volume index
EE
energy expenditure (kcal/24h)
EEG
electroencephalogram
EEG1
first EEG waveform
EEG2
second EEG waveform
EEG3
third EEG waveform
EEG4
fourth EEG waveform
EEMG
evoked electromyogram
EEtot
total energy expenditure
elect
electrode
elev.
elevation
EMC
electromagnetic compatibility
EMG
electromyogram
Enf
enflurane
Entr
entropy
EP
evoked potential
ESD
electrostatic discharge
Eso
esophageal temperature
ESV
end-systolic volume
ESVI
end-systolic volume index
ET, Et
end-tidal concentration
EtAA
end-tidal anesthetic agent
EtBal
end-tidal balance gas
end-tidal carbon dioxide
EtCO2
end-tidal nitrous oxide
EtN2O
end-tidal oxygen
EtO2
ET-tube, ETT endotracheal tube
30
Exp
F
FAH
FEMG
FFT
FI, Fi
FiAA
Fib
FiBal
FiCO2
FiN2
FiN2O
FiO2
Flow
Freq.
ft
FVloop
expiratory
foot (describing location)
Fahrenheit degree
frontal electromyogram
fast Fourier transform
fraction of inspired gas
fraction of inspired anesthetic
agent
fibrillation
fraction of inspired balance gas
fraction of inspired carbon dioxide
fraction of inspired N2
fraction of inspired nitrous oxide
fraction of inspired oxygen
airway gas flow
frequent
foot, feet
flow volume loop
g
Graph.
gram
graphical
h
hour
H
hand (describing location)
Hal
halothane
Hb
hemoglobin
Hbtot
total hemoglobin
HCO3bicarbonate
Hemo
hemodynamic
Hemo Calcs hemodynamic calculations
HHb
reduced hemoglobin
31
HME
HMEF
hPa
HR
HRdiff
ht
HW
Hz
IEC
I:E
IABP
IC
ICP
ICU
ID
Imped.
in
Inf
Infl.
Insp
Inv.
Inv. BP
Irreg.
Iso
ISO
IVR
J
heat and moisture exchanger
heat and moisture exchanger with
filter
hectopascal
heart rate
heart rate difference
height
hardware
hertz
International Electrotechnical
Comission
inspiratory-expiratory ratio
intra-aortic balloon pump
inspiratory capacity
intracranial pressure
intensive care unit
identification
impedance; impedance
respiration
inch
inferior
inflation (limit)
inspiratory
invasive
invasive blood pressure
irregular
isoflurane
International Standards
Organisation
idioventricular rhythm
joule
K
kcal
kJ
kPa
kelvin
kilocalorie
kilojoule
kilopascal
L
L
L, l
l/min
Lab
LAN
LAP
Lat
lb
LCD
LCW
LED
LVEDP
leg (describing location)
left (describing location)
liter
liters/minute
laboratory
local area network
left atrial pressure
lateral
pound
liquid crystal display
left cardiac work
light emitting diode
left ventricular end diastolic
pressure
left ventricular end diastolic
volume
left ventricular stroke work
left ventricular stroke work index
LVEDV
LVSW
LVSWI
MAC
Max
mbar
mcg
Mean
mEq
MetHb
MF
mg
min
Min
ml
MLAEP
minimum alveolar concentration
maximum
millibar
microgram
mean blood pressure
milliequivalent
methemoglobin
median frequency
milligram
minute
minimum
milliliter
middle-latency auditory evoked
potential
mmHg
millimeters of mercury
mol
mole
Monit
monitoring (ECG filter)
MRI
magnetic resonance imaging
Mult.
multiple
Multif. PVCs
multifocal PVCs
MV
minute volume
MVexp
expired minute volume (l/min)
MVexp(BTPS) expired minute volume in BTPS
conditions
MVexp(STPD) expired minute volume in STPD
conditions
MVinsp
inspired minute volume (l/min)
MVspont spontaneous minute volume
Myo
myocardiac temperature
32
N
N2
N2O
Na
Naso
neo
Net
NIBP
NMT
NO
NTPD
Num.
neutral
nitrogen
nitrous oxide
sodium
nasopharyngeal temperature
neonate
network
non-invasive blood pressure
neuromuscular transmission
nitric oxide
normal temperature and pressure,
dry gas
numerical
O2
O2ER
O2Hb
OR
Oxy
Oxy Calcs
oxygen
oxygen extraction ratio
oxygenated hemoglobin
operation room
oxygenation
oxygenation calculations
P
P
P(BTPS)
partial pressure
pressure
pressure in BTPS conditions
P(g-a)CO2 difference between
gastrointestinal carbon dioxide
and arterial blood carbon dioxide
concentration
P(g-ET)CO2 difference between
gastrointestinal carbon dioxide
and end tidal carbon dioxide
concentration
P(STPD) pressure in STPD conditions
P1..6
invasive pressure channel
identification on module
PA
pulmonary artery
Pa
Pascal (unit of pressure)
Paced
paced beats
partial pressure of carbon dioxide
PaCO2
in the arteries
partial pressure of oxygen in the
PAO2
alveoli
partial pressure of oxygen in the
PaO2
arteries
PAOP
pulmonary artery occlusion
pressure
PA
pulmonary arterial pressure
32
Paw
Pbaro
PCWP
airway pressure
barometric pressure
pulmonary capillary wedge
pressure
PE
polyethylene
pedi
pediatric
PEEP
positive end-expiratory pressure
PEEPe
extrinsic positive end expiratory
pressure
PEEPe+i total positive end expiratory
pressure (ICU)
PEEPe+PEEPi
total positive end expiratory
pressure (ICU)
PEEPi
intrinsic positive end expiratory
pressure
PEEPtot total positive end expiratory
pressure (anesthesia)
gastrointestinal carbon dioxide
PgCO2
concentration
pH
pH
pHa
arterial pH
pHi
intramucosal pH
pHv
(mixed) venous pH
33
PIC
patient interface cable
Pleth
plethysmographic pulse waveform
PM
pacemaker
PM non-capt.
pacemaker non-capturing
PM non-funct.
pacemaker non-functioning
Pmax
maximum pressure
Pmean
mean pressure
Pmin
minimum pressure
Ppeak
peak pressure
Pplat
plateau (pause) pressure
PR
pulse rate
Prev.
previous
psi
pounds per square per inch
pt
patient
PTC
post tetanic count (NMT)
pts
patients
PVC
polyvinylchloride
PVC
premature ventricular contraction
PVloop
pressure volume loop
PvO2
partial pressure of oxygen in
(mixed) venous blood
PVR
pulmonary vascular resistance
PVRI
pulmonary vascular resistance
index
Px
standard pressure label, x being 1,
2, 3, 4, 5, or 6
QRS
Qs/Qt
QRS complex
venous admixture
R
RAP
Raw
RCW
RCWI
RE
Rect
REF
ref.
Resp
Resp Rate
RF
RMS
Room
RQ
RR
rtm
RV
RVEDV
RVP
RVSW
RVSWI
right (describing location)
right atrial pressure
airway resistance
right cardiac work
right cardiac work index
Response Entropy
rectal temperature
right ventricular ejection fraction
reference
respiration rate (total) (set)
respiration rate (total) (measured)
radio frequency
average (root mean square) power
room temperature
respiratory quotient
respiration rate (total) (measured)
rhythm
residual volume
right ventricular end-diastolic
volume
right ventricular end-systolic
volume
right ventricular pressure
right ventricular stroke work
right ventricular stroke work index
s
SA
SaO2
SD
SE
SEF
SEMG
second
sinoatrial
arterial oxygen saturation
standard deviation
State Entropy
spectral edge frequency
spontaneous electromyogram
RVESV
Sev
SI
Skin
SN, S/N
Spiro
SpO2
Spont
SQI
SR
SR
SSEP
ST
ST
stat
STAT
STBY
Stfilt
STPD
Surf
SV
SVC
SVI
SvO2
SVR
SVRI
SW
Sys
sevoflurane
stroke index
skin temperature
serial number
patient spirometry
oxygen saturation
spontaneous breathing
signal quality index
suppression ratio
sinus rhythm
somatosensory evoked potentials
single twitch (NMT)
ST segment of electrocardiograph
static
continuous NIBP cuff inflation for
five minutes
standby
ST filter (ECG)
standard temperature and
pressure, dry gas
surface temperature
stroke volume
supraventricular contraction
stroke volume index
(mixed) venous oxygen saturation
systemic vascular resistance
systemic vascular resistance index
software
systolic pressure
34
t
T
T(BTPS)
T1%
time (min)
temperature
temperature in BTPS conditions
first stimulus as % of the reference
value (NMT)
T1..4
temperature channel
identification on module
Tab.
tabular
Tachy
tachycardia
Tbl, Tblood blood temperature
Tcorr
temperature correction
Temp
temperature
Theta, Th theta frequency band
Tinj
injectate temperature
TOF
train of four (NMT)
TOF%
ratio of the 4th to the 1st response
(NMT)
Trigem.
trigeminy
TV
tidal volume
TVexp
expired tidal volume (ml)
TVinsp
inspired tidal volume (ml)
Tx
temperature label, x being 1, 2, 3,
or 4 or one of the other label
choices
Tymp
tympanic temperature
v
V
V
V/Q
V0.5
venous
ventricular
volume
ventilation/perfusion ratio
volume expired during the first 0.5
seconds
V1.0
volume expired during the first
second
VA
alveolar ventilation
VC
vital capacity
carbon dioxide production
VCO2
Vd
dead space
Vd/Vt
dead space ventilation
Vent Calcs ventilation calculations
VFib
ventricular fibrillation
oxygen consumption
VO2
VO2Calc calculated oxygen consumption*
VO2CalcI calculated oxygen consumption
index*
oxygen consumption index
VO2I
Vol
volume
V Run
ventricular run
V Tachy
ventricular tachycardia
34
WEP
Wired Equivalent Privacy
WLAN
wireless local area network
wt
weight
X
extreme
yr
year
yrs
years
* with Fick equation
35
Supplies and accessories
The accessories below are approved and specified for the Datex-Ohmeda AS/3 Compact Anesthesia Monitor. For more information, see the
corresponding Datex-Ohmeda catalogs. Patient accessories designed for use with this device are made of biocompatible materials conforming to
requirements of the standard EN 30993 Biological Evaluation of Medical Devices and therefore do not contain toxic ingredients or primary skin irritants.
The conformity is based either on laboratory testing or material knowledge and the long history of the materials used. Please note that some products
are not available worldwide. You can check the availability with your local Datex-Ohmeda office or distributor. Please, also refer to our catalog:
http://supplies.datex-ohmeda.com/DO
ECG
Trunk cables, IEC color coding
545300
545301
545200
3 leadwire trunk cable, 3 m/10 ft
5 leadwire trunk cable, 3 m/10 ft
Multiparameter cable
(3- and 5-wire sets)
545323
10 leadwire trunk cable, 3 m/10 ft
FOR M-PRESTN, M-PRETN and M-RESTN only:
8003600 3 leadwire ECG trunk cable,
3 m/10 ft
8003602 5/10 leadwire ECG trunk cable,
3 m/10 ft
8003606 3 leadwire ECG DIN trunk cable,
3 m/10 ft
8003610 5 leadwire ECG DIN trunk cable,
3 m/10 ft
Leadwire sets, IEC color coding
One-piece ECG cables, IEC
545315
545316
545325
FOR M-PRESTN, M-PRETN and M-RESTN only:
8003634 3 leadwire one-piece ECG cable, clip,
3.5 m/11.5 ft
8003636 5 leadwire one-piece ECG cable, clip,
3.5 m/11.5 ft
3 leadwire set, clip, 0.75 m/2.5 ft
5 leadwire set, clip, 1.25 m/4.1 ft
C2-C6 leadwire set, clip,
1.25 m/4.1 ft
8001960 3 leadwire set, clip, 1.5 m/4.9 ft
8001961 5 leadwire set, clip, 1.5 m/4.9 ft
FOR M-PRESTN, M-PRETN and M-RESTN only:
8003610 3 leadwire set, clip, 0.75 m/2.5 ft
8003613 3 leadwire set, clip, 1.5 m/4.9 ft
8003620 5 leadwire set, clip, 0.75 m/2.5 ft or
1.25 m/4.1 ft
8003623 10 leadwire set, clip, 1.5 m/4.9 ft
8003630 10 leadwire set, clip, 0.75 m/2.5 ft or
1.25 m/4.1 ft
35
Telemetry ECG leadwires, IEC
8003100
8003102
5 leadwire, snap
10 leadwire, snap
36
Trunk cables, AAMI color coding
Leadwire sets, AAMI color coding
One-piece ECG cables, AAMI
545302
545303
545201
545317
545318
545327
545328
545326
FOR M-PRESTN, M-PRETN and M-RESTN only:
8003635 3 leadwire one-piece ECG cable, clip,
3.5 m/11.5 ft
8003637 5 leadwire one-piece ECG cable, clip,
3.5 m/11.5 ft
3 leadwire trunk cable, 3 m/10 ft
5 leadwire trunk cable, 3 m/10 ft
Multiparameter cable
(3 and 5 leadwire sets)
545324
10 leadwire trunk cable, 3 m/10 ft
FOR M-PRESTN, M-PRETN and M-RESTN only:
8003601 3 leadwire ECG trunk cable,
3 m/10 ft
8003603 5/10 leadwire ECG trunk cable,
3 m/10 ft
8003606 3 leadwire ECG DIN trunk cable,
3 m/10 ft
8003610 5 leadwire ECG DIN trunk cable,
3 m/10 ft
3 leadwire set, clip, 0.75 m/2.5 ft
5 leadwire set, clip, 1.25 m/4.1 ft
3 leadwire set, snap, 0.75 m/2.5 ft
5 leadwire set, snap, 1.25 m/4.1 ft
V2-V6 leadwire set, clip,
1.25 m/4.1 ft
8001958 3 leadwire set, clip, 1.5 m/4.9 ft
8001959 5 leadwire set, clip, 1.5 m/4.9 ft
FOR M-PRESTN, M-PRETN and M-RESTN only:
8003611 3 leadwire set, clip,
0.75 m/2.5 ft
8003612 3 leadwire set, snap,
0.75 m/2.5 ft
8003614 3 leadwire set, clip,
1.5 m/4.9 ft
8003621 5 leadwire set, clip, 0.75 m/2.5 ft or
1.25 m/4.1 ft
8003622 5 leadwire set, snap, 0.75 m/2.5 ft or
1.25 m/4.1 ft
8003624 5 leadwire set, clip,
1.5 m/4.9 ft
8003631 10 leadwire set, clip, 0.75 m/
2.5 ft or 1.25 m/4.1 ft
36
Telemetry ECG leadwires, AAMI
8003101
8003103
5 leadwire, snap
10 leadwire, snap
Electrodes
572683
572684
Solid gel, Ag/AgCl, pkg of 50 pcs
For infants, safety pin 60 cm,
15 pcs
37
Pulse oximetry
OxyTip+ Reusable Finger Sensors
Temperature
Reusable probes
OXY-F4-N Integrated finger sensor, 4 m/13 ft
OXY-F-UN* Interconnect finger sensor, 1 m/3.3 ft
OXY-F-DB Interconnect sensor, 2 m/7 ft
16560
165602
16561
OxyTip+ Adhesive Sensors
165622
OXY-AP-25* Adult and pediatric, pkg of 25 pcs
OXY-AP-10* Adult and pediatric, pkg of 10 pcs
OXY-AF-10* AllFit, pkg of 10 pcs
OXY-DSP* Adhesive sensor sample kit
*Requires the use of an OxyTip+ Interconnect
Cable (OXY-OL3)
OxyTip+ Cables
OXY-OL3
OXY-SL3
OXY-SLA
OXY-SLC
OXY-C1
OXY-C3
OXY-C7
Interconnect cable, 3 m/10 ft
Interconnect cable, 3 m/10 ft
Adapter cable, 0.5 m/1.5 ft
Adapter cable, 2 m/7 ft
Interconnect cable, 1.5 m/4.9 ft
Interconnect cable, 3 m/10 ft
Interconnect cable, 7 m/23 ft
165611
165612
Multiparameter cables (ECG, SpO2, Temp)
Skin temp probe, 3.5 m/11.5 ft
Skin temp probe, 1.5 m/4.9ft
Central temp probe, adult,
2.8 m/9 ft
Central temp probe, adult,
1.5 m/4.9 ft
Central temp probe, pedi,
2.8 m/9 ft
Central temp probe, pedi,
1.5 m/4.9 ft
Disposable probes
8001642
8001643
8001644
Skin temperature probe
Central temperature probe 12F
Central temperature probe 9F
Extension cables for disposable probes
165640
165641
Extension cable 1.3 m/4.3 ft, used
with multiparameter cables
Extension cable 2.8 m/9.2 ft, used
with Datex-Ohmeda monitor or module
37
545200
545201
Multiparameter cable, IEC
Multiparameter cable, AAMI
Esophageal stethoscopes
8002910
8002911
8002908
8002909
Esophageal stethoscope with
temperature probe, 9F
Esophageal stethoscope with
temperature probe, 12F
Esophageal stethoscope with
temperature probe, 18F
Esophageal stethoscope with
temperature probe, 24F
38
Invasive blood pressure
Reusable transducers and cables
78000
165700
54586
875408
SensoNor 844, 3 m/10 ft
Spectramed P10EZ-1,
0.45 m/1.5 ft
Adapter cable for DTX disposable
pressure transducers, 3.8 m/12 ft
Cable for HP 1290C-type pressure
transducers, 0.3 m/1 ft
Disposable flushing kits and domes
16577
16578
78001
78002
Flushing kit for SensoNor 840, sterile,
pkg of 10 kits
Dome for SensoNor 840, sterile, pkg
of 50 pcs
Flushing kit for SensoNor 844
Dome for SensoNor 844
NIBP
Reusable color coded latex-free cuffs
572429
572428
572427
572426
572425
8002248
8001997
Large adult cuff, red
Standard adult cuff, blue
Small adult cuff, gray
Child cuff, green
Infant cuff, tan
Long large adult cuff, red
Thigh NIBP cuff (for M-PRESTN,
M-PRETN and M-RESTN only)
Disposable cuffs
8001991
8001992
8002562
8001993
8001994
8001995
572403
572404
572405
Long large adult cuff
Large adult cuff
Long standard adult cuff
Standard adult cuff
Small adult cuff
Child cuff
Infant cuff #3, pkg of 10 pcs
Infant cuff #4, pkg of 10 pcs
Infant cuff #5, pkg of 10 pcs
Cuff hoses
877235
895732
879739
877514
890639
Adult hose, black, 3 m/10 ft
Adult hose, black, 1.8 m/6 ft
Adult hose, black, 6 m/20 ft
Infant hose, white, 3 m/10 ft
Infant hose, white, 6 m/20 ft
38
Cardiac output
16573
16590
16591
16592
16593
16574
Thermodil. cath. Edwards Lifesciences
Corp. 93A-131-7F
Catheter connecting cable
Injectate bath temp probe
Flow-through injectate temp probe
Spectramed CO-set temp probe
CO-set for room temp inject., 10 pcs
Patient Spirometry
Reusable sensors
733910
73393
D-lite sensor
Pedi-lite sensor
Single use sensors
733950
896952
8002718
D-lite sensor, pkg of 50 pcs
D-lite+ sensor
Pedi-lite+ sensor, pkg of 50 pcs
Disposable spirometry tubes
890031
884101
2 m/7 ft, yellow, pkg of 5 pcs
3 m/10 ft, yellow, pkg of 5 pcs
Disposable spirometry accessory kit
889560
8002718
pkg of 50 kits
pediatric spirometry kit, pkg of 50 pcs
39
Airway gases
Anesthesia gas sampling lines
73318
73319
Disposable, 2 m/7 ft, pkg of 10 pcs
Disposable, 3 m/10 ft, pkg of 10 pcs
Disposable airway adapters
73385
Straight T-adapter, pkg of 10 pcs
73386
Elbow adapter, pkg of 10 pcs
The following adapters are for low dead space
pediatric endotracheal tubes:
877583
ID 2.5 mm, pkg of 5 pcs
877584
ID 3.0 mm, pkg of 5 pcs
877585
ID 3.5 mm, pkg of 5 pcs
877586
ID 4.0 mm, pkg of 5 pcs
Reusable airway adapters
84995
Steel adapter, 15F-15M
D-fend water traps
Calibration gases
876446
881319
8002174
755534
876107
D-fend, black, pkg of 10 pcs
D-fend+, green, pkg of 10 pcs
Mini D-fend, pkg of 10 pcs,
for M-miniC
Container, pkg of 5 pcs
755580
755581
Regulator for calibration gases
755580, 755581, 755583
Quick Cal calibration gas for
M-miniC, applicable for M-TONO
Quick Cal calibration gas for M-CO,
M-COV, M-COVX
Quick Cal calibration gas for
M-CAiO, M-CAiOV, M-CAiOVX
Filtration
755583
Machine side filter
557021200 Uni-Filter, pkg of 45 pcs
Patient machine side filter
557022500 Uni-Filter/S, pkg of 60 pcs
Tonometry
Catheters
Heat and moisture exchangers with
integrated bacterial/viral filters (HMEF)
TONO-8F
TONO-14F
TONO-16F
TONO-18F
557070100 HMEF 1000, pkg of 50 pcs
557070500 HMEF 500, pkg of 75 pcs
Calibration gas for tonometry
755580
Dust filters
755534
733251
Humidification/Filtration
886236
For all M-Cxx modules
39
pkg of 5 pcs
pkg of 5 pcs
pkg of 5 pcs
pkg of 5 pcs
Quick Cal calibration gas
(balance air)
Regulator
Calibration gas sampling line
40
NMT
M-NMT sensors
888418
888416
888419
MechanoSensor, 0.3 m/1 ft
ElectroSensor, 0.3 m/1 ft
Pediatric MechanoSensor,
0.3 m/1 ft
M-NMT sensor cables
888414
888415
3.3 m/11 ft
1.5 m/5 ft
Miscellaneous for Datex-Ohmeda
M-NMT
57268
888417
NMT electrodes, solid gel, Ag/AgCl,
pkg of 30 pcs
Regional Block Adapter, cable
0.5 m/1.5 ft
BIS
900507
545780
545781
545782
545783
Mounting elements
Converter set: DSC and PIC Plus cable
PIC Plus cable
BIS Sensor Plus
BIS Sensor Pediatric
BIS Sensor Quatro
Entropy
8002858
8002964
884988
884989
892385
UPI-PC serial, 3 m/ 10 ft
M-PT Universal ECG/P3 output, 6m/20
ft
M-PT Kontron IABP cable, 6 m/20 ft
M-PT Datascope IABP cable 6 m/20 f
INT Baxter Vigilance cable, 2 m/7 ft
EEG and AEP
Lead sets
898050
898051
898052
Basic EEG lead set, clip
General EEG lead set, clip
AEP lead set, clip
Electrodes
572685
572686
75349
Portable monitor wall mount
CM universal mounting plate
CM bed mount
Portable monitor roll stand
Remote Controller holder
Other monitor supplies
Entropy sensor (pkg of 25 pcs)
Entropy sensor cable,
3.5 m/11.5 ft
Interface cables
881167
889352
572238
887053
886172
572235
800065
EEG stick-on electrodes, 15 bags
containing 5 electrodes each
EEG cup electrodes, pkg of
500 pcs
Conductive paste
40
74205
85969
883387
886236
Thermal recorder paper, 20 rolls
Cleaning fluid
Dust filter for Compact Monitor
Dust filter for Compact Airway
Modules
Fuses
51119
511382
250 V, T3.15 A, 5*20 mm
125 V,5 A slow,5*20 mm (UL/CSA)
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