Fukuda Denshi Co DS7100 Patient Monitor User Manual DS71v1 1 FA 03 Vital 005

Fukuda Denshi Co Ltd Patient Monitor DS71v1 1 FA 03 Vital 005

Manual 5

3−14− To Measure the NIBP−1. Select the appropriate cuff type for the patient.According to the AHA (American Heart Association) guideline, the appropriate cuff width is 40% ofthe arm circumference.Select the appropriate cuff from the following selections.Infant CuffCUF-7105Width 8.5cmPediatric CuffCUF-7104Width 10.5cmAdult Cuff (small)CUF-7103Width 11cmAdult Cuff (medium)CUF-7102AWidth 14.5cmAdult Cuff (large)CUF-7101Width 17cm2. Connect the cuff to the air hose, and then connect the air hose to the cuff connectionconnector on the monitor. 3. Apply cuff to the patient.Position the ARTERY▼mark over the artery on the patient’s arm and wrap the cuff around.A finger should just fit inbetween the cuff and arm.
3−15Check PointAlign the cuff height and heart position to eliminatean error caused by the blood weight.It is most appropriate to measure with the patientlying down and arms naturally extended.4. Start the measurement.Pressing the NIBP START/STOP key willstart inflating the cuff pressure and starts themeasurement.Upon completion, the measured value will bedisplayed inside the NIBP parameter key.WARNINGBefore the measurement, make sure the patient type ( Adult / Child / Neonate ) is properly selected. Otherwise, correctmeasurement can not be performed, and congestion or other injury mayresult.CAUTION? Pay attention when measuring the NIBP of patient with bleedingdisorders or hypercoagulation. The cuff inflation may cause petechiaor circulatory failure by the blood clot.? If the air hose is twisted, or weighed down, the cuff air can not beexhausted. Properly arrange the cuff and air hose.3To Measure the NIBP
3−16Procedure for Periodic Measurement1. Press the NIBP parameter key on the home display.The NIBP setup menu will be displayed.2. Press the Auto Mode key on the NIBP setup menu.The interval time setup menu will be displayed.3. Select an interval time.Press the key for the desired interval. Check thatthe key LED is lighted for the selected interval.The measurement will automatically start at theselected interval.The measurement time will be integral multiple of the selected interval time starting from 0 minute.Ex.) If the present time is 13:14, the measurement time will be as follows for each interval time.2 min. : 13:16, 13:18, 13:20, …2.5 min. : 13:15, 13:17:30, 13:20, …3 min. : 13:15, 13:18, 13:21, …．5 min. : 13:15, 13:20, 13:25, …
3−17− To Measure the BP −1. Connect the 2ch BP conversion cable to the monitor and interface cable.2 channels of BP can be measured on this monitor.Connect the monitor and the interface cable via2ch BP conversion cable.2. Assemble the BP measurement device.The following procedure explains the case when BP transducer (COBE CDX series, No.041-575-504) is used.If using other transducers, refer to the operation manual for the corresponded transducer.(1) Check if the package of the transducer is notdamaged before opening.Verify that each connector is securely connected.(2)Align the bracket to patient’s heart position (about1/2 of the chest depth).2ch BP Conversion CableInterface Cable 3To Measure the BP
3−18(3)Inject the heparin 1000 units to saline bag, mixthoroughly and puncture the infusion line throughthe same hole. Set the saline bag to pressurebag, and hang from the infusion device. Fillsaline to about 1/3 of the drip.(4)After loosening the zero-port plug, push the flashbutton to perform priming to remove air bubbles.(5)Verify that all air bubbles are removed, and tightenthe zero-port plug.Turn on the zero-port plug side of the open-airthree-way cock.(6)Inflate the pressure bag to 300mmHg.(7)Wait about 5 minutes after setting the bloodpressure device.Next procedure is to perform the zero balance.
3−192. Perform zero balance.(1) Loosen the zero-port plug on open-air three-waycock one-half turn.(2) Press the BP parameter key on the home display.The display will proceed to BP setup menu.(3) Press the BP Zero key on the BP setup menu.Zero balance will start.(4) Turn off the zero-port plug side of the open-airthree-way cock.(5) Connect the catheter to the end of monitoring line.The preparation for measurement is complete.3To Measure the BP
3−203. Start the BP monitoring.Start the BP measurement.Press the Home key. Verify that the BPwaveform and each measurement value isdisplayed on the home display.CAUTIONIf the SYS value is abnormally high, or DIA is abnormally low, a resonancemay be the cause. If the resonance can not be eliminated by adjusting theblood pressure filter, check the BP line and use a thick, short, and hardcatheter.CAUTIONThe zero balance procedure is required for the following case.? When starting a measurement.? When the heart position has changed due to body movement.? When the transducer position has changed.? When measuring for a long period of time and there is a possibility ofmeasurement error due to change in ambient temperature, etc.? When a connector is connected / disconnected, or a transducer isreplaced.
3−21−To Measure the CO2 Concentration −(DS-7141)The DS-7141 incorporates CO2 measuring unit.Patient Application and Display1. For intubated patient(1)Attach the airway adapter to respiration circuit.(2)Remove the protective cap onthe airway adapter, andconnect to the sampling tube.(3)Connect the other end of the sampling tube to the patient monitor.Verify that all the tubes are properly connected.WARNING? Use the specified sampling tube and nasal prong manufactured byOridion.? Always consider the circumference of the intubation tube when usingthe airway adapter. If inappropriate airway adapter is used for apatient with low ventilation, CO2 may mix in to the inspired air resultingin incorrect measurement, or apnea detection may become difficult.2. For patient using the nasal prong(1)Attach the nasal prong to the patient.(2)Connect the nasal prong to thepatient monitor. Verify that it isproperly connected.3To Measure the CO2 Concentration
3−223. Start the CO2 measurement.Press the Home key.Verify that the CO2 waveform and EtCO2 numericdata are displayed on the monitor.Stable measurement can be achieved after about 20minutes from power ON.WARNINGWhen measuring CO2 concentration of a patient treated with mouth-to-mouth resuscitation, Jackson-Rees circuit, Mapleson D circuit of whichCO2 gas may mix in, the value may be displayed lower than the actualvalue.NOTEConnecting a sampling tube or nasal prong to the patient monitor willautomatically start the sampling pump. To prevent the pump fromdeteriorating, disconnect the sampling tube and nasal prong from thepatient monitor when not measuring the CO2 concentration.Procedure for Calibration (Every 6 Months)CAUTION? Perform calibration after 20 minutes has elapsed since the patientmonitor is turned ON.? Do not disconnect the sampling tube during calibration. Calibrationwill cease when the sampling tube is disconnected.1. Connect the calibration gas cylinder to the patient monitor.2. Press the CO2 parameter key on the home display.Proceed to the CO2 setup menu.
3−233. Press the Configuration key on the CO2 setup menu.Proceed to the CO2 configuration menu.4. Press the CO2 Cal. key on the CO2 configuration menu and display calibration menu.Due to precision matter, CO2 calibration can not be started until 20 minutes has elapsed after thepower is turned ON. During this time, Start Cal key will be displayed in gray which indicatesthat the key is ineffective. The message, “Calibration not ready” and the remaining time forpreparation will be displayed.＜Preparing for calibration＞ ＜Start calibration＞5. Press the Start Cal key and conduct calibration according to the displayed messages.6. The message, “Feed CAL. GAS” will be displayed. Press the injection button and injectthe calibration gas.7. The message, “Calc. Gas can be removed” will be displayed. Stop pressing the injectionbutton and cease the injection.8. The message, “CAL. OK” will be displayed. “Last Cal. Date” will be updated to the currentdate.If any of the following messages is displayed, start the procedure again from step 2.“CAL. error”, “CAL GAS error”, “Auto Zero fail”, “No stable gas flow”, “CAL. failure”9. Press the Cal Complete key to end the calibration.CAUTIONConduct CO2 calibration for the following case.? When 6 months has elapsed from the last calibration date.? When EtCO2 measurement is not stable or accuracy is degradedcompared with other measuring device.? When the patient monitor was not used for a while, or when EtCO2 wasnot measured for a while.The Microstream technology developed by Oridion Co, Ltd. is used for the CO2 measurement.3To Measure the CO2 Concentration
3−24− To Measure the Temperature −1. Select an appropriate type of probe for the patient.Probe Type Reusable Type Rectal Probe (adult) 401JRectal Probe (pediatric) 402JBody Surface Probe 409J Probe Cover (disposable) Probe Cover for 401J (10 covers)
3−252. Connect the probe to the patient monitor.3. Attach the probe to the patient.●Body SurfaceAttach the probe to the locationshown on illustration, and fixatewith surgical tape.●Rectum(1) Attach the probe cover to the probe end.(2) Insert the probe into the rectum about 3~7cm.(3) Fix on the probe to inner thigh with surgicaltape.3To Measure the Temperature
3−264. Check that the temperature is displayed.Press the Home key.Check that the temperature measurement isdisplayed on the home display.

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