Fukuda Denshi Co DS7100 Patient Monitor User Manual DS71v1 1 FA 04 Monitoring Setups 006

Fukuda Denshi Co Ltd Patient Monitor DS71v1 1 FA 04 Monitoring Setups 006

Manual 6

4−1Monitoring SetupDescribes the procedures to set the monitor according to the monitoring purpose.Chapter 4− Display Configuration −For Easier View ･･･････････････････････････2To Configure the Display･･･････････････････････2●To Enlarge the Numeric Data ･･･････････････ 2●To Configure the Display ･･･････････････････ 3●To Display the Short Trend ･････････････････ 5Description of the Display ･･････････････････････6●ECG1, ECG2, BP, SpO2, Impedance RESP,CO2 Waveform Display･･･････････････････････ 6●HR, BP, VPC/ST, BP1, BP2, NIBP, SpO2, TEMP,RR, CO2 Numeric Display･････････････････････ 8●HR, BP, NIBP, SpO2, TEMP, RR, CO2 EnlargedNumeric Data Display ･･･････････････････････ 10●HR, BP, NIBP, SpO2, TEMP, RR, CO2 AlarmLimit Display･･･････････････････････････････ 10●HR, BP, NIBP, SpO2, TEMP, RR, CO2 ShortTrend Display･･････････････････････････････ 11Parameter Key Frame Display･････････････････11Description of Alarm Message and Alarm Sound ･12●Vital Alarm Message ･･････････････････････ 12●Equipment Status Alarm Message ･･････････ 14●Lead-Off Message････････････････････････ 15− Key Setup −For Easier Use ･･･････････････････････････16To Set the User Keys･････････････････････････17To Set the Menu Keys････････････････････････19− Recording Setup −To Record the Waveform and Numeric Data ･20Manual Recording ･･･････････････････････････20●To Start / Stop the Recording ･･････････････ 20●To Set the Manual Recording ･･････････････ 20Periodic Recording･･･････････････････････････21Alarm Recording･････････････････････････････22Freeze Recording････････････････････････････24Graphic Recording (Graphic/Tabular Trend, etc.) 25Recorder Operation (QRS Symbol, etc.) ････････26− Volume Setup −Pulse Tone, Alarm Sound, etc. ･････････････ 27− Color / Brightness Setup −･･･････････････････28Color Setup (Numeric Data, Waveform) ････････28Brightness Setup ････････････････････････････ 29− Telemetry Setup −（DS-7141, DS-7101LT）･･･30Transmitting Waveform Setup･････････････････ 32− Wired Network Connection −(LAN Communication) ････････････････････ 33Room / Bed ID Setup ････････････････････････33− Alarm Pole Setup −Notifying the Alarm by Light････････････････ 35Alarm Level Setup ･･･････････････････････････ 35Alarm Pole Flash Pattern Setup ･･･････････････ 38− Alarm Setup −To Set the Alarm Condition ････････････････ 39To Set the System Alarm ･････････････････････39To Turn ON the System Alarm ････････････････40To Suspend the System Alarm ････････････････ 40To Silence the System Alarm ･････････････････40●Precautions about Silencing the Alarm ･･････ 40Alarm Setup for Each Parameter ･･････････････ 41Arrhythmia Alarm Setup ･･････････････････････43●To Set ON/OFF of Arrhythmia Alarm ････････ 44●To Set the Arrhythmia Detection Level ･･････ 44●Alarm Limit for TACHY, BRADY ････････････ 45SpO2 SEC Alarm Setup ･･････････････････････45Alarm Suspend / Alarm Silence Time･･･････････47ON / OFF of Alarm Limit Display･･･････････････484Monitoring Setup
4−2− Display Configuration − For Easier ViewThe waveform and numeric data display can be configured according to the monitoring purpose.To Configure the DisplayThe display can be configured by selecting the waveforms and numeric data to be displayed.Also, the numeric data display can be enlarged, or graphic trend data can be displayed with thewaveform and numeric data.＜Display Configuration Menu＞●To Enlarge the Numeric DataThe numeric data can be enlarged for easier view.Pressing the Home / Enlarge key of the menu key will switch the display between standarddisplay and enlarged numeric data display.ReferenceThe home key function can be selected from Home / Enlarge or Home on the hospitalsetup menu. The default setting is Home .Refer to “8. System Configuration Hospital Setup” for details.Standard Display Enlarged Numeric Display
4−3●To Configure the DisplayThe waveforms and numeric data to be displayed can be selected as desired.CAUTION When performing telemetry transmission, the numeric data correspondingto the waveform should be selected for display. Otherwise, the displayedwaveform or numeric data may not be transmitted.1. Press the Menu → Display Config. keys.The display configuration menu will be displayed.＜Display Config. / Meas. Selection＞2. Select the parameters for numeric data display.Up to 7 parameters can be selected. The displayingorder can not be selected.It will be automatically positioned in the order of HR (PR, BPR) , VPC/ST , BP , NIBP , SpO2 , TEMP , RR , TEMP/RR , EtCO2from the top.The displayed size of each parameter will bedetermined by the number of selected parameters.If HR display is not selected, VPC/ST will bedisplayed at the bottom row.Selecting TEMP/RR will display TEMP and RRnumeric data in half size inside one parameter boxwhich allows to display up to 8 numeric data.To display 8 numeric data, select TEMP/RR and 6other parameters.＜8 Numeric Data Display＞3. Select ON or OFF to enlarge the numeric data display or not.Select ON to have the numeric display enlargedon the first display when the power is turned ON.Selecting OFF will display the numeric data in astandard size.4. Select the waveforms and positions for display.Press the Wave key to display waveformselection menu.4Display Configuration
4−4＜Waveform Selection Menu＞First, select the position to display the waveform.By selecting the same waveform successively, thewaveform display area can be enlarged.Next, select the waveform to be displayed.The selected parameter will be displayed inside theselected position key ECG1 Cascade displays the ECG in long duration. BP Overlap overlaps the BP1 and BP2 waveformsdisplay.By selecting BP Overlap successively, the BPwaveform display area can be enlarged.NOTE After configuring the display, press the Home or Home / Enlarge key andverify the programmed display configuration.
4−5●To Display the Short TrendThe short trend data can be displayed with the waveform and numeric data.1. Press the Menu → Display Config. → Wave keys.The waveform selection for the display configurationwill be displayed.＜Display Configuration / Waveform Selection＞2. Select ON/OFF/Overlap for short trend display. ON will display the short trend on the homedisplay. OFF will not display the short trend on the homedisplay. Overlap will display the waveform and short trendoverlapped.The home display with the short trend is shown on theleft. The short trend can be displayed 5 ~ 30 min. in5-minute increments.By pressing a point on the displayed waveform, thedisplayed time of short trend will change according tothe pressed position.4Display Configuration
4−6Description of the DisplayThis section explains the displayed item on the home display.●ECG1, ECG2, BP, SpO2, Impedance RESP, CO2 Waveform DisplayBed / Room ID No.Displays the 4-digit Bed ID and 3-digit (000~999) Room ID.Telemetry Channel (DS-7141, DS-7101LT)Displays the telemetry channel ID.Battery MarkThis mark will be displayed when the monitor is operated with the optional battery. It will bedisplayed in 3 levels (Full / Medium / Empty).Indication of Operating TimeBattery Mark ChargedCondition Standard Mode Power Saving ModeFull 3 hours ∼2 hours 20 min. 3 hours 30 min.∼2 hours40 min.Medium 2 hours ∼10 min. 2 hours 40min. ∼10 min.Empty 10 min. 10 min.ReferenceFor power saving mode, refer to “8. System Configuration Monitor Setup”CAUTIONThe above specification applies when measuring ECG and NIBP(5-min. interval) using a new battery pack.The battery pack will degrade with the repeated use, which shortens theusable time.Bed / Room ID No.Telemetry ChannelECG LeadECG SizeBP ScaleSpO2 SizeRESP SizeRespiratory SweepSpeedCO2 ScaleCO2 Wave RESP Wave ECG Wave BP Wave SpO2 WavePatient Name Event Key Patient Type Battery Mark Date / Time
4−7Date / TimeDisplays the current date (month, day) and time (hour, minute).Patient Name / Patient TypeDisplays the patient name and patient type (adult / child / neonate) selected on the admit menu.Respiratory Sweep SpeedIndicates the displaying sweep speed for impedance respiration waveform and CO2 waveform.Event KeyThis touch key will be displayed at alarm occurrence. Even when the alarm is resolved, this keywill be remained to be displayed until it is pressed. Pressing this key will silence the alarm anddisplay the recall display. The event key display can be selected ON or OFF.ReferenceFor ON/OFF of event key, refer to “8. System Configuration Ward Setup”4Display Configuration
4−8●HR, BP, VPC/ST, BP1, BP2, NIBP, SpO2, TEMP, RR, CO2 Numeric DisplayHR / PR ParameterDisplays the parameter measuring the HR/ PR.By switching the HR synchronization source, selection from heart rate (HR), SpO2 pulse rate(PR_SpO2), BP pulse rate (PR_BP) can be made.HR / PR Synchronization MarkDisplays the synchronization mark corresponding to the HR / PR parameter.NIBP Measurement IntervalDisplays the periodic measurement interval of NIBP. If the periodic measurement is set to OFF,this area will be left blank.Alarm OFF SymbolThis symbol will be displayed when the alarm is set OFF.HR / PR ValueDisplays the HR / PR measurement value corresponded to the HR synchronization sourceselection.When the measurable range is exceeded, “×××” will be displayed.BP1, BP2Displays the BP measurement value (SYS / DIA / Mean).The mean BP display can be set to ON or OFF on the BP configuration menu. When themeasurable range is exceeded, “×××” will be displayed. When the transducer is disconnectedor when BP zero balance is not performed, “ｰ ｰ ｰ” will be displayed.Time of NIBP MeasurementDisplays the starting time of NIBP measurement.NIBP Cuff PressureDisplays the cuff pressure during NIBP measurement.NIBP ValueDisplays the NIBP measurement value (SYS / DIA / Mean).The mean NIBP display can be set to ON or OFF on the NIBP configuration menu. The value willbe displayed as “ｰ ｰ ｰ” when the preprogrammed NIBP erase time has elapsed.SpO2 ValueDisplays the arterial oxygen saturation measurement value.HR/PR ValueBP 1 Value (SYS / DIA (Mean)）Time of NIBP MeasurementNIBP Cuff PressureNIBP (SYS / DIA)SpO2 ValueTemperatureRR ValueEtCO2 ValueInspCO2 ValueHR / PR ParameterHR / PR Sync. MarkBP 2 Value (SYS/ DIA (Mean)）NIBP Meas. IntervalAlarm OFF SymbolRR ParameterRR Synchronization Mark
4−9Temperature ValueDisplays the temperature measurement value. The YSI-400 temperature sensor can be used.When the measurable range is exceeded, “×××” will be displayed. When the YSI-700 is used,“ｰ ｰ ｰ” will be displayed for the measurement value.RR ValueDisplays the impedance RR / CO2 RR measurement value corresponded to the respirationsynchronization source. When the measurable range is exceeded, “×××” will be displayed.When the ECG relay cable for electrosurgical knife is used, or when impedance measurement isset to OFF, impedance RR will not be displayed.EtCO2 / InspCO2 ValueDisplays the end-tidal CO2 concentration and inspiratory CO2 concentration measurement value.The measurement unit can be selected from mmHg / kPa / % on the CO2 configuration menu.RR ParameterDisplays the parameter measuring the RR.By switching the RR synchronization source, selection from impedance respiration rate (RR_IMP),CO2 respiration rate (RR_CO2) can be made.RR Synchronization MarkDisplays the synchronization mark corresponding to the RR parameter.VPC Value (1 minute)Displays the VPC rate for the last 1 minute.”ｰ ｰ ｰ” will be displayed during arrhythmia learning.ST1, ST2 LevelST levels for ECG1 and ECG2 will be displayed.”ｰ ｰ ｰ” will be displayed during arrhythmia learning, lead-off condition, and when referencewaveform is not set for ST measurement.Pace Beats (1 minute) / Total Beats (1 minute)Pace beats and total beats for the last 1 minute will be displayed.”ｰ ｰ ｰ” will be displayed during arrhythmia learning.4Display Configuration4VPC Value (1 minute)ST１ LevelPace Beat (1 minute)ST2 LevelTotal Beats (1 minute)
4−10●HR, BP, NIBP, SpO2, TEMP, RR, CO2 Enlarged Numeric Data DisplayWaveform Display AreaOn the enlarged numeric data display, the top 3 waveforms selected on the display configurationwill be displayed.Enlarged Numeric Data Display AreaOn the enlarged numeric data display, the numeric data will be located automatically.●HR, BP, NIBP, SpO2, TEMP, RR, CO2 Alarm Limit DisplayAlarm LimitThe alarm limit will be displayed beside each numeric data. If the individual alarm setup is set toON, alarm limit will be displayed. The upper and lower limit will be displayed at the upper andlower part respectively. For BP and NIBP, alarm limit will be displayed for SYS / DIA / meanblood pressure from the top. The alarm limit display can be set to ON or OFF.ReferenceFor ON/OFF of alarm limit display, refer to “4. Monitoring Setup Alarm Setup”NOTE If the short trend display is set to ON or Overlap , alarm limit will not bedisplayed.Waveform Display AreaEnlarged Numeric DataDisplay AreaAlarm Limit
4−11●HR, BP, NIBP, SpO2, TEMP, RR, CO2 Short Trend DisplayShort Trend DisplayDisplays the short trend beside each numeric data.To change the time of displayed short trend, press a point on the waveform. The time ofdisplayed short trend will change to the pressed point. The displayed time can be changed from0 min. to 30 min. in 5-min. increments.Trend ScaleThe short trend scale will be displayed between the short trend and numeric data. The scaleselected on the trend menu will be displayed.Parameter Key Frame DisplayPress the Menu → System Config. → Pre-Set → Monitor keys, and select ON/OFFfor parameter key frame display.Selecting OFF will erase the parameter keyframe.Trend ScaleShort Trend Display 4Display Configuration
4−12Description of Alarm Message and Alarm SoundThis section explains about the message displayed on the home display.There are vital alarm message and equipment status alarm message which will be displayed onthe top of the home display.The alarms are classified in level 1, level 2, level 3, level 4, and the alarm message will bedisplayed according to the priority of level 1＞level 2＞level 3＞level 4.The color of the displayed messages are red for level 1, yellow for level 2, blue for level 3, andwhite for level 4.Alarm Level Description Tone Displayed ColorLevel 1 Life Threatening Alarm Continuous beep tone RedLevel 2 Cautionary Alarm Beep tone every 5 seconds YellowLevel 3 Treatment Needed Alarm Single beep tone BlueLevel 4 Notification Alarm Display Only WhiteCAUTION? Alarm messages will be displayed according to the priority. (Level 1 →Level 2 → Level 3 → Level 4)? For the same alarm level, the alarm message for the newer alarm willbe displayed.●Vital Alarm MessageThe vital alarm message is generated when a measurement exceeds the alarm limit, or whenarrhythmia is detected.There are 2 types of alarm messages, numeric alarm message and arrhythmia alarm message.If the 2 types of alarm generate at the same time, the numeric alarm message and arrhythmiaalarm message will be alternately displayed for 2 seconds each. The message will be displayedaccording to the priority of the alarm level. If the alarms of the same level generate, the messagefor the newer alarm will be displayed.CAUTION The alarm message for the arrhythmia alarm will continue to be displayedfor 30 seconds after the alarm is resolved.Numeric Alarm MessageArrhythmia Alarm Message
4−13Life Threatening Alarm (Alarm Level 1)Parameter Message“Lower HR alarm”HR “Upper HR alarm”“Lower PR alarm”PR(SpO2, BP) “Upper PR alarm”“Lower BP1 alarm”BP1 “Upper BP1 alarm”“Lower SpO2 alarm”SpO2“Upper SpO2 alarm”“Apnea alarm”“Lower RR alarm”Respiration(Impedance, CO2)“Upper RR alarm”“Lower NIBP alarm”NIBP “Upper NIBP alarm”“Upper EtCO2 alarm”CO2“Lower EtCO2 alarm”“ASYSTOLE”“VF”“VT”“SLOW VT”“TACHY”“BRADY”Arrhythmia“RUN”Cautionary Alarm (Alarm Level 2)Parameter Message“Lower BP2 alarm”BP2 “Upper BP2 alarm”“Lower ST alarm”ST “Upper ST alarm”“Upper TEMP alarm”Temperature “Lower TEMP alarm”CO2“Upper InspCO2 alarm”“PAUSE”“COUPLET”“BIGEMINY”“TRIGEMINY”Arrhythmia“FREQUENT”Treatment Needed Alarm (Alarm Level 3)Parameter MessageNoneNotification Alarm (Alarm Level 4)Parameter MessageAll Alarm “Alarm suspend (＊＊＊sec)”“LEARN”Arrhythmia “ARRHY OFF”NOTE? (＊＊＊sec) of the “Alarm suspend (＊＊＊sec)” message indicates theremaining time to suspend the alarm.? The “ARRHY OFF” message will be displayed when the ASYSTOLE, VF, VT,SLOW_VT, and HR alarm is OFF.4Display Configuration
4−14●Equipment Status Alarm MessageThe equipment status alarm message will be displayed when proper monitoring can not beperformed. The alarm message will be displayed according to the priority of the alarm level. Ifmore than one alarm with the same level is generated, the alarm message for the newer alarm willbe displayed.Cautionary Alarm (Alarm Level 2)Item MessageBattery “Charge battery”ECGImpedance Respiration “Check electrodes“Check SpO2 sensor”SpO2“SpO2 sensor fault”“Check filter line”CO2“CO2 unit error””ECG not connected””BP not connected””SpO2 not connected””TEMP not connected”Connector Off”CO2 not connected”NOTE The “Connector Off” alarm can be cancelled by pressing the Alarm Silencekey. Before silencing the alarm, make sure that the disconnected connector isunnecessary.Treatment Needed Alarm (Alarm Level 3)Item MessageNIBP “Check NIBP hose”Impedance Respiration “CVA detected”SpO2“No pulse detect”ECG “Pacemaker error”Notification Alarm (Alarm Level 4)Item Message“Wave freeze”“Touch key OFF”Operation“Night mode”“ECG failed”ECG “Artifact”“BP1 transducer OFF”“BP1 not zero balanced”“BP2 transducer OFF”“BP2 not zero balanced”BP“Incorr. BP cable”Equipment StatusAlarm Message
4−15“Wrong temp probe”“TEMP auto check”Temperature“TEMP unit check”“Motion artifact”SpO2“SpO2 unit error”CO2“CO2 unit error”ECG “ECG unit error”NIBP “NIBP unit error”“Recorder error”“Paper out”“Magazine open”“Paper jammed”Recorder“Recorder busy”All Alarm “Alarm Mute”ECG, Impedance Respiration “Check electrode”Telemetry “Telemetry unit error”●Lead-Off MessageIf the ECG electrodes are detached, HR alarm and arrhythmia alarm will not be generated.If this condition is left unresolved, a sudden change of the patient may not be noticed.Take prompt action when the lead-off condition is detected.CAUTIONWhile the “LEAD OFF” message is displayed, HR alarm and arrhythmiaalarm will not function. Leaving this condition unresolved may result inmissing a sudden change of the patient. Promptly check the electrodeswhen this message is displayed.Lead-Off Message4Display Configuration
4−16− Key Setup −For Easier UseThe touch keys on the screen are the only operational keys for the DS-7100 system. The touchkeys consist of fixed keys (menu, Home / Enlarge, NIBP Start/Stop) and 4 user keys which can beprogrammed according to the monitoring purpose. ＜Home Display＞The unnecessary keys on the display can be erased.＜System Configuration＞ ＜Menu Display＞User Key 1 User Key 2 User Key 3 User Key 4Fixed Key
4−17To Set the User KeysProgram the key function to each user key.1. Press the Menu → System Config. → Pre-Set → Ward Setup → User Key keys.The user key setup menu will be displayed.2. Select a position to set the user key.Press the key for the position to set the user key.3. Select a parameter for the user key.Press the key for the parameter to be set as user key.User Key FunctionAlarm Silence Silences the alarm for fixed amount of time.Alarm Displays alarm setup menu.Admit / Discharge Displays admit/discharge menu.Rec. START/STOP Starts/stops manual recording.Key Lock Turns ON/OFF the touch key operation.This function can be used to make the touch key inoperativewhen cleaning the screen.Cease Displays the confirmation display whether to suspend monitoringor not.NIBP List Displays NIBP list.Graphic Trend Displays graphic trend.Tabular Trend Displays tabular trend.Recall Displays recall.OCRG Displays OCRG.Enlarged Display Enlarges the numeric data display.User Key 1 User Key 2 User Key 3 User Key 44Key Setup
4−18Freeze Temporarily stops the waveform trace. By pressing the Rec. START/STOP key during freeze mode, the waveform infreeze mode can be recorded.NIBP Auto Mode Displays the NIBP measurement interval setup menu.Lead・Size Displays the keys to adjust the size, scale, baseline position ofthe displayed waveform.HR Source Sequentially selects the HR source in the order of ECG →SpO2 → BP1 → Auto → ECG.Tone/Volume Displays the tone/volume setup menu.Other Bed Displays the other bed display menu.Record Displays the recording setup menu.Display Config. Displays the display configuration menu.ST Display Displays the ST measurement menu.Night Mode Turns ON / OFF the night mode.BP Zero Performs zero balance of BP1, BP2.OFF User key will not be set.4. Repeat the procedure 2, 3 and set the remaining user keys.5. Initialize the user key setup.Pressing the Initial key for more than 2 secondswill initialize the user key setup to factory setting.The factory setting is as follows.User Key 1: Alarm SilenceUser Key 2: Rec. START/STOPUser Key 3: Lead・SizeUser Key 4: Admit / Discharge
4−19To Set the Menu KeysThe key display can be erased from the menu display, configuration menu display and presetmenu display.1. Press the Menu → System Config. → Pre-Set → Ward Setup → Key Mask keys.Display the key mask setup menu. ＜Key Mask Display＞2. Select the key to erase. Display ON Display OFFPressing the key will extinguish the LED.The key with the LED extinguished will not bedisplayed on the menu display.3. Press the System Config. key.Press the key to erase from the display.Pressing the Pre-Set key will also allow erasingthe key from the preset menu display.4Key Setup
4−20− Recording Setup − To Record the Waveform and Numeric DataOn the DS-7100 system, the waveform recording by manual recording, periodic recording, alarmrecording, or freeze recording, and graphic recording of graphic trend, tabular trend can beperformed.This section describes the procedure for the following recording.・ Manual Recording・ Periodic Recording・ Alarm Recording・ Freeze Recording・ Graphic Recording (Graphic Trend, Tabular Trend, Recall, NIBP List)Manual Recording●To Start / Stop the RecordingFor manual recording (standard recording), pressing the Rec. START/STOP key will start /stop the recording. Pressing this key during periodic recording, alarm recording, or graphicrecording will cease the recording in process.Not recording Recording in process●To Set the Manual RecordingThe manual recording can be started from the time the key is pressed, or 8 sec. / 16 sec. prior tothe time the key is pressed.The recording can be set to automatically stop after 24 seconds or continue to record until the Rec. START/STOP key is pressed again.1. Press the Menu → System Config. → Record → Manual Record keys.The manual recording setup menu will be displayed.Starts the standard recording.
4−212. Select the waveform for recording.Up to 3 waveforms can be selected.The waveforms will be automatically located atrecording.3. Select the duration for recording.Select the recording duration from 24sec or Cont. . 24sec will automatically stop the recording after 24seconds.4. Select the delay time for recording. None will start the recording from the time the Rec. START/STOP key is pressed. 8sec , 16sec will start the recording 8 sec. / 16sec. prior to the time the key is pressed.Periodic RecordingThe recording will be automatically performed with the selected interval. Periodic recording canbe performed on the central monitor connected on the wired network system.1. Press the Menu → System Config. → Record → Periodic Record keys.The periodic recording setup menu will be displayed.2. Select the waveform for recording.Up to 3 waveforms can be selected.The waveforms will be automatically located atrecording.3. Select the periodic interval.Select the periodic interval to automatically start therecording.If 5min is selected, the recording will be started attime such as 10:00, 10:05, ・・10:25.If 60min is selected, the recording will be startedat time such as 10:00, 11:00, 12:00.4. Select the recording duration.Select the recording duration from 6 sec , 12 sec , 24 sec .The recording will automatically stop after theselected time.4Recording Setup
4−225. Start the periodic recording. ON will activate the periodic recording with theselected interval. If periodic recording is notnecessary, select OFF .Alarm RecordingThe recording will automatically start at occurrence of numeric alarm or arrhythmia alarm.CAUTION If the alarm with the higher priority occurs during alarm recording, therecording in process will be ceased and starts the alarm recording with thehigher priority.1. Press the Menu → System Config. → Record → Alarm Record keys.The alarm recording setup menu will be displayed.2. Select the waveform for recording.Up to 3 waveforms can be selected. The waveformswill be automatically located at recording. Alarm will record the waveform which generatedthe alarm.3. Select the recording factor.Select the recording factor for alarm recording. HR will start the alarm recording when the HR orPR alarm is generated. Other will start the alarm recording when thenumeric alarm other than HR and PR alarm isgenerated. Arrhy. will start the alarm recording when thearrhythmia alarm is generated.4. Select the recording duration.Select the recording duration from 12sec , 24sec . The recording will automatically stop afterthe selected time.
4−23The delay time differs depending on the recording time.Delay TimeNeonateRecordingTime Adult Child Numeric Alarm Arrhythmia Alarm12 sec. 12 sec. 12 sec. 8 sec. 12 sec.24 sec. 16 sec. 16 sec. 16 sec. 16 sec.NOTE5. Select the arrhythmia type.If arrhythmia is selected for the recording factor, select the arrhythmia type.Pressing the Arrhythmia Record key will displaythe arrhythmia selection window for alarm recording. ＜Arrhythmia Recording Setup Menu＞ Selected as alarm recording factor. Not selected as alarm recording factor.6. Start the alarm recording. ON will automatically start the recording at alarmoccurrence.If alarm recording is not required, select OFF . Center will start the alarm recording on the centralmonitor with the smallest monitor ID.NOTE The numeric data to be recorded will be the data at alarm occurrence time.4Recording Setup
4−24Freeze RecordingThe waveform display can be frozen and recorded from 6 seconds prior to the frozen point.The waveform to be recorded is the one selected for manual recording. The recording duration isfixed as 6 seconds.To freeze the waveform display, the Freeze key needs to be assigned as user key.1. Freeze the waveform display.Press the Freeze key on the user key.2. Start freeze recording.Press the Rec. START/STOP key to record the displayed waveform.
4−25Graphic Recording (Graphic/Tabular Trend, etc.)Graphic trend recording, tabular trend recording, NIBP list recording, and recall recording can beperformed.ReferenceRefer to “7. Function Graphic Trend, Tabular Trend, Recall Data, NIBP List” for recordingprocedure.Graphic TrendOne parameter from the following can be selected for graphic recording.Parameter DescriptionHR HR, PR (SpO2, BP)ST ST1, ST2VPC VPC beatsBP BP (SYS / Mean / DIA)NIBP NIBP (SYS / Mean / DIA)SpO2SpO2 valuePR SpO2 pulse rateTEMP TemperatureRR Respiration Rate (Impedance, CO2)APNEA Apnea Time (Impedance, CO2)CO2EtCO2 / InspCO2EVENT1 ASYSTOLE, VF, VT, SLOW_VT, RUN, BIGEMINYEVENT2 TRIGEMINY, PAUSE, COUPLET, TACHY, BRADY,FREQUENTTabular Trend12 parameters from the following can be displayed / recorded as tabular trend.Parameter DescriptionHR HR, PR (SpO2, BP)PR_SpO2PR (SpO2)VPC VPC beatST1 ST level of ECG1ST2 ST level of ECG2RR RR (Impedance, CO2)APNEA Apnea Time (Impedance, CO2)SpO2SpO2 valueBP1 BP(SYS / Mean / DIA)BP2 BP(SYS / Mean / DIA)NIBP NIBP(SYS / Mean / DIA)TEMP TemperatureEtCO2EtCO2 valueInspCO2InspCO2 valueNIBP ListThe numeric data for the following parameters can be recorded.Parameter DescriptionHR HR, PR (SpO2, BP)PR PR (SpO2)SpO2SpO2 valueNIBP NIBP (SYS / Mean / DIA)RecallThe waveform and numeric data at alarm occurrence will be recorded with the following setup.Parameter DescriptionWaveform (Max. 2)ECG1, ECG2, BP, SpO2, CO2, RESPNumeric Data HR, ST, RR, TEMP, NIBP, BP, ST1, ST2, SpO2,PR_SpO2, APNEA, CO2Recording Duration 12 sec.4Recording Setup
4−26Recorder Operation (QRS Symbol, etc.)This menu allows the setup of paper feed operation and ON/OFF of QRS classification symbolrecording1. Press the Menu → System Config. → Record → Setup keys.The recorder operation setup menu will be displayed.2. Select ON/OFF of paper feed to top. ON will feed the paper to start recording from thenext perforation. OFF will not feed the paper and starts recordingfrom the position where the previous recordingended.3. Select ON/OFF of paper feed to end. ON will feed the paper after recording to nextperforation so that the paper can be easily cut off. OFF will not feed the paper after recording.4. Select ON/OFF of QRS classification symbol recording. ON will record the QRS classification symbol on tothe ECG waveform.Symbol DescriptionN (Normal) Normal QRS beatV (VPC) Ventricular ExtrasystoleS (SVPC) Supraventricular ExtrasystoleP (Pacing Beat) Pacing beatF (Fusion Beat) Fusion beat of pacing and spontaneous beat.? (Undetermined beat) Learning arrhythmia, or beat not matching the patternNOTE? The QRS classification symbol can not be recorded for the manual recordingwithout delay time, and for the periodic recording.To record the QRS classification symbol, set the delay time to 8 seconds or 16seconds for manual recording.? For the freeze recording, the QRS classification symbol may not be recorded ifthe recording is started immediately after the waveform display is frozen.In such case, start the recording after about 10 seconds from the time thewaveform is frozen.
4−27− Volume Setup − Pulse Tone, Alarm Sound, etc.This menu allows volume setup of the pulse tone, alarm sound, key sound and other bed alarmsound.1. Press the Menu → Tone / Volume keys.The volume setup menu will be displayed. ＜Volume Setup Menu＞ 2. Set the volume for the pulse tone.The volume of the HR synchronized tone, SpO2synchronous tone, BP synchronized tone can beadjusted.3. Set the volume for alarm sound.The volume of the numeric alarm, arrhythmia alarm,equipment status alarm can be adjusted.CAUTION A faint sound will be generated when setting a minimum volume for thealarm sound, but be cautious not to miss any alarm. Adjust the volume toa recognizable level.4. Set the volume for key sound.The volume of the key sound can be adjusted.5. Set the volume for other bed alarm sound.The other bed alarm sound can be adjusted.6. Set the volume for other sound.The volume of the sound which notifies thecompletion of BP zero balance, NIBP measurement,etc. can be adjusted.Increases the volume.Current volumeDecreases the volume Tests the set volume.4Volume Setup
4−28− Color / Brightness Setup −This menu allows the setup of the colors of numeric data / waveform and brightness of the display.Color Setup (Numeric Data, Waveform)The displayed colors can be set for each parameter.Assign the color from the 32-color palette to each parameter.1. Press the Menu → System Config. → Color keys. ＜Color Setup Menu＞2. Select the color from the 32-color palette.Press the key of the desired color.3. Assign the selected color to the parameter.Press the parameter key to assign the selected color.The selected color for the parameter will be applied tothe waveform, numeric data, graphic trend, andtabular trend.
4−29Brightness SetupThe brightness of the display can be adjusted.1. Press the Menu → System Config. → Brightness Setup keys. ＜Brightness Setup Menu＞2. Adjust the brightness.Use the ? , ? keys to adjust the brightness.NOTEThe display panel utilizes exclusive fluorescent light for the backlight.Since this fluorescent light deteriorates by the life cycle, the display maybecome dark, scintillate, or may not light by the long term use. In suchcase, contact your nearest service representative.Brightens the display.Darkens the display. Current brightness4Color / Brightness Setup
4−30− Telemetry Setup −（DS-7141, DS-7101LT）This section explains the setup of telemetry transmitting channel.The DS-7141 and DS-7101LT incorporates a telemetry transmitter.Once the transmitting channel ID and group ID are programmed, these will remain stored evenafter the main power is turned OFF.The telemetry function is not supported for the DS-7101L.1. Press the Menu → System Config. → Pre-Set → Hospital Setup → Telemeter Setup keys. ＜Telemetry Setup Menu＞2. Select ON/OFF of telemetry. OFF will not perform telemetry transmission. Thechannel ID on the home display will be displayed as“ch OFF”To perform telemetry transmission, select ON .3. Enter the password.Press the Password key, and enter the password.Use the numeric keypad to enter the passwordThe entered number will be displayed as “＊＊＊＊”.4. Enter the channel ID.Press the Channel key, and enter the channel ID.Use the numeric keypad to enter the 4-digit medicaltelemetry channel ID.
4−315. Enter the group ID.Press the Group key, and enter the group ID.Use the numeric keypad to enter the group ID in therange from 00 ~ 63.6. Save the telemetry channel ID and group ID.Press the Save key to store the channel ID andgroup ID. Verify that the “Complete” message isdisplayed.If an error is found on the password, channel ID, or group ID, the following message will bedisplayed.“Invalid password”:The entered password is incorrect. Enter the passwordagain and press the Save key.“Invalid data”:The entered channel ID or group ID is outside theprogrammable range. Enter the ID within the range andpress the Save key.“Telemetry unit error”:Abnormality is found on the telemetry transmitter. Contactour service representative.“Install Program Card”:Install the program card to PC card slot.7. Verify the stored telemetry channel ID and group ID.NOTEWhen the monitor indicates that the measurement data is out of range(“×××” display), the minimum or maximum value of the range will be displayedat the telemetry center.【Out of range】 【Telemetry Center】HR 301bpm or above 300bpmRR 151bpm or above 150bpmBP -51mmHg or below -50mmHg301mmhg or above 300mmHgTEMP -0.1?C or below 0?C50.1?C or above 46.1?C*For temperature, the measurement range is up to 50.1?C. But at thetelemetry center, 46.1?C will be the maximum value displayed.CAUTION It is necessary to insert the program card to the PC card slot to set thechannel ID and program ID.4Telemetry Setup
4−32Transmitting Waveform SetupThis function allows to select the transmitting waveform.1. Press the Menu → System Config. → Telemetry Wave Setup keys.2. Select the waveform to transmit.Select the waveform to transmit from ECG1 , ECG1+2 .Selecting ECG1 will transmit ECG1, CO2, RESP,BP1, BP2, SpO2. RESP waveform will be transmittedwhen “Impedance” is selected for RR source.Selecting ECG1+2 will transmit ECG1, ECG2,CO2/RESP, BP1, SpO2.CO2 and RESP waveform to be transmitted will be inaccordance with RR source setup.NOTE The waveform not displayed on the home display will not be transmittedeven if selected as the transmitting waveform.CAUTION? If the temperature measurement unit is ?F, or BP measurement unit iskPa, the corresponded waveform and numeric data will not betransmitted.For telemetry transmission, use ?C for temperature unit and mmHg forBP unit.? For telemetry transmission, BP waveform with a scale above theprogrammed scale can not be properly transmitted. Set the BPwaveform below the programmed scale.
4−33− Wired Network Connection − (LAN Communication)This section describes the procedure to set the Room / Bed ID.The DS-7100 system incorporates Ethernet LAN unit.The set Room / Bed ID will be remain stored even when the power is turned off.Room / Bed ID SetupTo connect to a wired network, it is necessary to set the Room / Bed ID.1. Press the Menu → Admit / Discharge → Bed ID keys.2. Enter the password.Use the numeric keypad to enter the passwordThe entered number will be displayed as “＊＊＊＊”.3. Set the Room ID.Enter the Room ID using the alphanumeric keypad.The entered ID will be displayed on the upper left ofthe screen.Next, press the Bed ID key to display the Bed IDmenu.4. Set the Bed ID.Enter the Bed ID using the numeric keypad.The entered ID will be displayed on the upper left ofthe screen.To connect to the wired network, set the ID in therange from 001 to 048.4Wired Network Connection
4−34CAUTION? The bed ID is factory set to “000”. If connected to the wired networkwith the bed ID unchanged, monitoring on the central monitor will not bepossible.? When connecting to a wired network, make sure that there are no otherbedside monitors with the same ID. If there are more than onebedside monitor with the same bed ID, the duplicated bedside monitorscan not be monitored on the central monitor.? When connecting to a wired network, set the bed ID in the range from“001” to “048”.? A delay will occur for the communication with the central monitor. Thedelay is about 1.5 seconds for the waveform, about 1.5~4.0 seconds forthe numeric data, and about 1.5~2.0 seconds for the alarm.? There are following restrictions when connecting the DS-7100 systemto the DS-LANⅡnetwork.? The DS-7100 system is not corresponded to the AU-5500N 8-channelrecorder. The data for the DS-7100 system can not be recorded onthe AU-5500N.? When the measurement unit of BP is kPa, BP waveform, BP numericdata, NIBP numeric data, NIBP list will not be transmitted. These willbe treated as not measured data, and will not be displayed on thecentral monitor. Also, alarm limit setup on the central monitor can notbe performed.? When the temperature unit is ?F, the temperature data will not betransmitted. It will be treated as not measured data, and will not bedisplayed on the central monitor. Also, alarm limit setup on the centralmonitor can not be performed.? Arrhythmia alarm of TACHY, BRADY, SLOW_VT, COUPLET, PAUSEwill not be transmitted.? For numeric data displayed as “×××”, maximum or minimum value ofmeasurable range will be transmitted.? The numeric data displayed as “−−−” will be treated as not measureddata.? For QRS classification, the “S” printed on the built-in recorder will beprinted as “N” on the HR-500 Recorder.? When DS-5800N/NX/NXMB is used as a central monitor, recall, graphictrend, tabular trend, and ST measurement function will not bedisplayed.? When DS-5700 is used as a central monitor, ST measurement functionwill not be displayed
4−35− Alarm Pole Setup − Notifying the Alarm by LightThis section describes the use of alarm pole function.This equipment incorporates an alarm pole.The alarm generation can be indicated by alarm pole flash so that it can be notified from distance.Alarm Level SetupOn the alarm pole setup function, alarm pole function and alarm level can be linked.1. Press the Menu → System Config. → Pre-Set → Ward Setup → Alarm Pole keys.The alarm pole setup menu will be displayed.2. Select ON/OFF of alarm pole function.To activate the alarm pole function, select ON .If alarm pole function is not necessary, select OFF .3. Select the alarm level.Select the alarm level to flash the alarm pole.Select from Level 1 , Level 1 and 2 , or Level 1, 2, and 3 .4Alarm Pole Setup
4−36Alarm Level 1 (Life Threatening Alarm)Parameter Message“Lower HR alarm”HR “Upper HR alarm”“Lower PR alarm”PR (SpO2, BP) “Upper PR alarm”“Lower BP1 alarm”BP1 “Upper BP1 alarm”“Lower SpO2 alarm”SpO2“Upper SpO2 alarm”“Apnea alarm”“Lower RR alarm”Respiration(Impedance, CO2)“Upper RR alarm”“Lower NIBP alarm”NIBP “Upper NIBP alarm”“Upper EtCO2 alarm”CO2“Lower EtCO2 alarm”“ASYSTOLE”“VF”“VT”“SLOW VT”“TACHY”“BRADY”Arrhythmia“RUN”Alarm Level 2 (Cautionary Alarm)Parameter Message“Lower BP2 alarm”BP2 “Upper BP2 alarm”“Lower ST alarm”ST “Upper ST alarm”“Upper TEMP alarm”Temperature “Lower TEMP alarm”CO2“Upper InspCO2 alarm”“PAUSE”“COUPLET”“BIGEMINY”“TRIGEMINY”Arrhythmia“FREQUENT”“Charge battery”“Check electrode”“Check SpO2 sensor”“SpO2 sensor fault”“Check filter line”“CO2 unit error””ECG not connected””BP not connected””SpO2 not connected””TEMP not connected”Equipment Status”CO2 not connected”
4−37Alarm Level 3 (Treatment Needed Alarm)Parameter Message“Check NIBP hose”“CVA detected”“No pulse detect”Equipment Status“Pacemaker error”4Alarm Pole Setup
4−38Alarm Pole Flash Pattern SetupThis function sets the alarm pole flash pattern for each alarm.1. Press the Pattern Setup key on the alarm pole setup menu.The alarm pole flash pattern setup menu will bedisplayed.2. Select the flash pattern for each item.First, select the flash pattern from Pattern 1 to Pattern 10 .The alarm pole consists of 3 blocks.(Left: Red, Center: Red/Orange/Green, Right: Red）The ways these 3 blocks flash are different for eachpattern.By pressing the Pattern Test key, the flashing ofthe selected pattern can be verified.Alarm Pole FlashPattern FlashPattern 1 (Red, Red, Red)→(・・・)→(Red, Red, Red)→(・・・)→(Red, Red, Red)Pattern 2 (Red, Orange, Red)→(・・・)→(Red, Orange, Red)→(・・・)→(Red, Orange, Red)Pattern 3 (Red, Green, Red)→(・・・)→(Red, Green, Red)→(・・・)→(Red, Green, Red)Pattern 4 (・Red・)→(・・・)→(・Red・)→(・・・)→(・Red・)Pattern 5 (・Orange・)→(・・・)→(・Orange・)→(・・・)→(・Orange・)Pattern 6 (・Green・)→(・・・)→(・Green・)→(・・・)→(・Green・)Pattern 7 (Red, Red・)→(・・・)→(・Red, Red）→(・・・)→(Red, Red・)Pattern 8 (Red, Orange・)→(・・・)→(・Orange, Red)→(・・・)→(Red, Orange・)Pattern 9 (Red, Green・)→(・・・)→(・Green, Red)→(・・・)→(Red, Green・)Pattern 10 (Red・・)→(・・・)→(・Red・)→(・・・)→(・・Red)Next, press the alarm level key to assign the selectedflash pattern,
4−39− Alarm Setup −To Set the Alarm ConditionThis section explains the setup of alarm suspension and upper / lower alarm limit.On the alarm setup menu, ON/suspend of system alarm, ON/OFF and upper / lower alarm limit ofeach parameter can be set.To Set the System AlarmThe system alarm can be set to ON or suspend, but it can not be turned OFF.WARNING? When the system alarm is suspended, all the alarm will be suspendedeven if the parameter alarm is set to ON. Also, the alarm event will notbe stored as recall.? If the upper/lower alarm limit of the parameter is set to OFF, orarrhythmia alarm is set to OFF, alarm will not function even if thesystem alarm is set to ON. Pay attention when setting them OFF.1. Press the Menu → Alarm keys.The alarm setup menu will be displayed.2. Press the Suspend key on the alarm setup menu.Pressing this key will sequentially switch the function to ON or suspend.Alarm is suspended when the key LED is lighted.Alarm is ON when the key LED is extinguished.3. Check the message.When the alarm is suspended, “Alarm Suspend (＊＊＊sec)” message will be displayed.(＊＊＊sec.) indicates the remaining time.4Alarm Setup
4−40To Turn ON the System AlarmTurning the system alarm ON will activate the alarm setups for each parameter.1. Press the Menu → Alarm keys.2. Set the alarm ON .Press the Suspend key when the key LED is lighted. The key LED will extinguish.The alarm is ON when the key LED is extinguished.To Suspend the System AlarmThe alarm can be temporarily suspended. During the alarm suspension, “Alarm Suspended＊＊＊sec.” message will be displayed. “＊＊＊sec.” indicates the remaining suspended time. Thealarm will turn ON when the suspended time completes.1. Press the Menu → Alarm keys.2. Suspend the alarm.Press the Suspend key when the key LED is extinguished. The key LED will light.Alarm is suspended when the key LED is lighted.To Silence the System AlarmThe alarm sound can be silenced for fixed amount of time. This setting will not affect the alarmmessage. If the alarm cause still remains at completion of silence time, the alarm sound willgenerate again. Also, if another alarm with the same or higher priority occurs during the alarmsilence time, the alarm sound for the new alarm will generate.●Precautions about Silencing the Alarm? Alarm silence function is effective for each parameter. If an alarm condition for the selectedparameter is resolved for a moment but is generated again during the alarm silence time, thealarm will remain silenced. The recall and alarm recording will not function at this time.? If another alarm with the lower priority occurs during the alarm silence time, alarm sound will notgenerate. The recall and alarm recording will function.? If the Alarm Silence key is pressed for the alarm of another parameter which occurred duringthe alarm silence time, the alarm silence time for the first alarm will not be extended.? The alarm silence condition for all parameters will be ceased in the event of any of the following.When the main power is turned ON.When the system alarm status (ON / suspend) is changed.When monitoring is suspended on the patient admit / discharge menu.When the alarm mode is changed on the patient admit / discharge menu.When the patient has discharged.? The alarm silence condition for each parameter will be ceased in the event of any of thefollowing.When the alarm silence time for the parameter is completed.When automatic alarm is selected for the parameter.When the alarm is turned OFF for the parameter.
4−41Alarm Setup for Each ParameterThe alarm for each parameter can be turned ON or OFF, and upper and lower alarm limit can beset.1. Press the Menu → Alarm keys.The alarm setup menu will be displayed.2. Select the parameter to display the alarm setup menu.Display DescriptionDisplays the upper and lower alarm limit and the currentmeasurement (▲).The limits can be adjusted by directly pressing the bardisplay or using the arrow keys.Displays lower limit←current value→upper limit.Key Item DescriptionIndividual Alarm Selecting ON will generate the alarm.Selecting OFF will not generate the alarm.Lower Alarm Limit Sets the lower alarm limit.The lower limit will be turned OFF when a value belowthe range is selected.Upper Alarm Limit Sets the upper alarm limit.The upper limit will be turned OFF when a valueabove the range is selected.Automatic SetupAutomatically sets the limits corresponding to thecurrent value.If the limit is turned OFF, it will be remained OFF.The system alarm and parameter alarm will be in aON condition.4Alarm Setup
4−423. Select ON/OFF and set upper and lower alarm limit for the parameter alarm.Numeric Data Key Item DescriptionHR / PR / BPR ON, OFF 20−300bpmSTON, OFFST1 ±2.0mVST2 ±2.0mVBP1 ON, OFF 0−300mmHgBP2 ON, OFF 0−300mmHgSpO2ON, OFF 50−100%RR ON, OFF 5−150bpm (Adult) 2−150bpm (Child, Neonate)APNEA (Upper Limit) ON, OFF 5−20 sec.TEMP ON, OFF 30−50NIBP ON, OFF 10−300mmHgEtCO2ON, OFF 1−100mmHg     0.1−13.3kPa     0.1−13.3％InspCO2 (Upper Limit)ON, OFF 1−4mmHg     0.1−0.4kPa     0.1−0.4%
4−43Arrhythmia Alarm SetupThe arrhythmia alarm can be turned ON or OFF, and arrhythmia detection level can be set.1. Press the Menu → Alarm keys.The alarm setup menu will be displayed.2. Press the Arrhy. key to display the arrhythmia alarm setup menu.Page ItemPage 1/3 Asystole, VF, VT, Slow_VTPage 2/3 Run, Bigeminy, Trigeminy, PausePage 3/3 Couplet, Tachy, Brady, Frequent4Alarm Setup
4−44●To Set ON/OFF of Arrhythmia AlarmSelecting ON will generate the arrhythmia alarm.Selecting OFF will not generate the arrhythmia alarm.However, Asystole, VF, and VT alarm can not be turned OFF atthe initial factory setting. Select ON/OFF for “Asystole, VF,VT” on the Hospital Setup menu to turn OFF the alarm.Reference Refer to “8. System Configuration Hospital Setup”Page Item SelectionAsystole ON, (ON, OFF)VF ON, (ON, OFF)VT ON, (ON, OFF)Page 1/3Slow_VT ON, OFFRun ON, OFFBigeminy ON, OFFTrigeminy ON, OFFPage 2/3Pause ON, OFFCouplet ON, OFFTachy ON, OFFBrady ON, OFFPage 3/3Frequent ON, OFFNOTE The “Arrhythmia alarm OFF” message will be displayed when the ASYSTOLE,VF, VT, SLOW_VT, and HR alarm is OFF.●To Set the Arrhythmia Detection LevelSelect the level to detect each arrhythmia.1. Pressing the detection level key (ex. 5 for Asystole) for each arrhythmia will display thewindow to adjust the detection level.2. Set the detection level.Use the arrow keys to set the detection threshold.Item RangeASYSTOLE 3−10 sec.RUN 2−8 beatsPAUSE 1.5−5 sec.FREQUENT 1−50 beats/min.3. Close the window to adjust the detection level.Press the Close key.
4−45●Alarm Limit for TACHY, BRADYThe arrhythmia detection level for tachycardia (TACHY) and bradycardia (BRADY) alarm links withthe upper and lower alarm limit for HR / PR.The tachycardia (TACHY) alarm generates when the measurement exceeds the HR / PR upperalarm limit. When the upper alarm limit is OFF, alarm will not generate.The bradycardia (BRADY) alarm generates when the measurement is below the HR / PR loweralarm limit. When the lower alarm limit is OFF, alarm will not generate.SpO2 SEC Alarm SetupWhen the SpO2 value is unstable around the lower alarm limit, the frequently generated alarm maybe bothersome. The SEC alarm function controls these frequent alarms.This function generates the alarm only when the integral value (the accumulation of differencebetween the alarm limit and SpO2 value at every second) reaches the preprogrammed SEC alarmthreshold value.01020304050607080901001 5 9 13 17 21 25 29 33 37 41 45 49 53 57 61[SEC]SEC Alarm Integral Value [%]Integral ValueAlarm GenerationSpO2 ValueAlarm LimitOn this graph, the SEC alarm threshold value is set as 100.The SpO2 value begins to fall below the alarm limit at approximately 10 seconds. At the sametime, the integral value begins to increase.(Alarm limit) – (SpO2 value) is accumulated each second.At around 25 seconds, the integral value reaches 100 and the alarm is generated.At approximately 36 seconds, the SpO2 value returns to the level within the alarm limit, and at thesame time, the integral value begins to decrease. ｛(Alarm limit) – (SpO2 value)｝× 2 is subtractedeach second.Also, there is a safety net when setting the SEC alarm function. This safety net is for the casewhen the SpO2 value frequently falls below the alarm limit but does not last long enough to reachthe SEC alarm threshold.If the SpO2 value falls below the limit 3 times or more during the last 60 seconds, an alarm will begenerated even if the SEC alarm threshold is not reached.4Alarm Setup
4−461. Press the Menu → Alarm keys.The alarm setup menu will be displayed.2. Press the SpO2 key to display the alarm setup menu.3. Select the SEC alarm value according to the alarm frequency.If 10 / 25 / 50 / 100 is selected, acircular SEC alarm indicator will be displayed insidethe parameter key. As the integral value increases,the indicator will begin to fill, and when it iscompletely filled, an alarm will be generated.If OFF is selected, this SEC alarm indicator will not be displayed.CAUTION? Whether to use the SEC alarm function and its threshold selectionshould be based on the patient’s clinical indication portent and medicalevaluation.? If the SpO2 alarm and SEC alarm setup is set to OFF, the SEC alarmintegral value will be set to 0.Indicator
4−47 Alarm Suspend / Alarm Silence TimeThe time for suspending the system alarm and suspending the alarm sound can be selected.1. Press the Menu → Alarm → Page Down keys.The second page of the alarm setup menu will be displayed.2. Select the time for “Alarm Suspend Time.Select the appropriate time for alarm suspend time.3. Select the time for “Alarm Silence Time.Select the appropriate time for alarm silence time.4Alarm Setup
4−48ON / OFF of Alarm Limit DisplayThe alarm limit can be selected to display or not display on the home display according to thepreference. ＜Display OFF＞ ＜Display ON＞1. Press the Menu → Alarm → Page Down keys.The second page of the alarm setup menu will be displayed.2. Select ON or OFF for alarm limit display.NOTE? To display the alarm limit, short trend display should be set to OFF on thedisplay configuration menu.? The alarm limit for the parameter with the alarm turned OFF will not bedisplayed regardless of this setup.
5−1Admit / Discharge of a PatientThis chapter describes the procedure to admit or discharge a patient.Chapter 5− Admit / Discharge of a Patient−････････････････ 2− Admitting a Patient −Entering Name, Sex, and Age ･････････････ 3Patient Name ････････････････････････････････ 3Patient ID ･･･････････････････････････････････ 4Patient Type ･････････････････････････････････ 4Patient Sex ･･････････････････････････････････ 5Pacemaker Use ･･････････････････････････････ 6●Pacemaker Use Selection ･･･････････････････6●Impedance Respiration Measurement ･････････6Patient Age･･････････････････････････････････ 7− Discharging a Patient −Erasing Name, Data, etc. ･････････････････ 8Discharging Procedure ････････････････････････ 8− Monitoring Mode Selection −Alarm and Display Mode･･････････････････ 9Mode Selection ･･････････････････････････････ 9●Display Modes ･･･････････････････････････ 11●Alarm Modes ････････････････････････････ 12− Suspend Monitoring −Suspend and Resume Monitoring ･････････ 13To Suspend Monitoring･･･････････････････････ 13To Resume Monitoring ･･･････････････････････ 14− Room / Bed ID Setup −for LAN Communication ･････････････････15Room / Bed ID Setup ････････････････････････155Admit / Discharge of a Patient
5−2− Admit / Discharge of a Patient−This menu allows setup of admitting, discharging, suspend monitoring of a patient, and selectionof the display configuration mode and alarm mode according to the monitoring purpose.1. Press the Menu → Admit / Discharge keys to display patient admit / dischargemenu.CAUTION If you start monitoring a new patient without performing a dischargeprocedure for the previous patient, new data will be added to the previousdata which will result in inaccuracy.
5−3− Admitting a Patient −Entering Name, Sex, and AgeThis menu allows entering of patient’s name, ID, age, and selection of patient type (adult, child,neonate) and pacemaker use (used, not used) which affects the monitoring accuracy.Patient NameFor entering the patient’s name, up to 16 letters can be used.1. Press the Name key.Enter the name using the keyboard.Enter the name using the alphanumeric keypad.The keypad can be selected from ABC or QWERTYarrangement.ABC ArrangementQWERTY Arrangement2. The entered patient’s name will be displayed on the home display.Patient NamePatient Name5Admitting a Patient
5−4Patient IDUp to 10 characters of alphabets, numbers, or symbols can be used for the patient ID.Enter the ID according to the monitoring purpose. The entered ID will be output on the recordingpaper.1. Press the ID key.Enter the ID using the alphanumeric keypad.Patient TypeThe selection of patient type affects the accuracy of NIBP measurement, HR measurement, andRR measurement. Also the delay time to generate the measurement data alarm will changeaccording to the patient type.Adult Child NeonateNIBP measurement range 10∼280mmHg 10∼180mmHg 10∼120mmHgHR 0bpm, 12∼300bpm 0bpm, 30∼300bpmFilter Mode (Monitor) 0.5∼40Hz 1.6∼40HzFilter Mode (ESIS) 1.6∼15Hz 1.6∼15HzFilter Mode (ST Display) 0.05∼40Hz noneImpedance Respiration 1.5Hz 2.5HzAlarm delay time 5 sec. 0 sec.The alarm delay time is the function to prevent frequent generation of the measurement dataalarm by holding the alarm generation for the duration of each delay time.The alarm delay time applies to the measurement data alarm for the following parameters; HR /PR, BP, RR, SpO2, TEMP, EtCO2 / InspCO2, TACHY, BRADY.WARNING The monitor determines the detection algorithms for QRS and NIBPaccording to the selected patient type. Make sure the proper selectionis made.Patient ID
5−51. Select Adult , Child , or Neonate .If “ST Display” is selected for the filter mode (Monitor /ST Display / ESIS), Neonate can not be selectedfor the patient type.To select Neonate , set the filter mode to Monitor orESIS mode.2. The selected patient type will be displayed on the home display.Patient SexSelect the patient’s sex from male or female. The default is set as undetermined. The selectedsex will be output on the recording paper.1. Select Male or Female .The selection of sex will not affect the measurement accuracy of the monitoring.Patient Type5Admitting a Patient
5−6Pacemaker Use●Pacemaker Use SelectionIf the patient is wearing a pacemaker, the monitor will identify the pacemaker pulse and insert anartificial pulse onto the ECG waveform for easy identification. By detecting the pacemaker pulse,it prevents to erroneously detect QRS as pacemaker pulse when pacing waveform does notappear (pacing failure). The arrhythmia analysis analyzes pacing beat as P (pacemaker beat) orF (fusion beat) to prevent erroneous judgement of VPC.WARNING The pacemaker use selection influences the precision of the QRSdetection and arrhythmia analysis. Make sure the correct selection ismade.1. Select Used or Not used for pacemaker use.2. The pacemaker use will be displayed on the home display.●Impedance Respiration MeasurementThe respiration measurement using the impedance method conducts high-frequency and weakcurrent between the ECG electrodes attached to the patient, and measures the potentialdifference between the electrodes caused by thoracic movement using the synchronousrectification system. For the patient using the adaptive (minute ventilation) pacemaker, thepacemaker measurement signal and the high-frequency current of this equipment interferes witheach other which causes incorrect respiration measurement.If the patient is using an adaptive (minute ventilation) pacemaker, set the impedance respirationmeasurement OFF.1. Press the Impedance Mode key.If the LED is extinguished, theimpedance respirationmeasurement is stopped.If the LED is lighted, the impedancerespiration measurement can beperformed.When using a pacemaker
5−7Patient AgeThere are two ways to set patient’s age. One is to enter the birth date which will automaticallycalculate the age, and the other is to directly enter the age using the numeric keypad.If Neonate is selected as patient type, the age in days will be displayed.1. Press the Age key, and enter patient’s age.To directly enter the age, use the numeric keypad toenter the age and press the Yrs key.The entered age will be displayed inside the key.2. Enter the patient’s birth date using the numeric keypad. The age will be automaticallycalculated.Enter the year, month, day using the numeric keypad,and press the Yr , Mo , Dy keysrespectively.The entered year, month, day will be each displayedinside the Yr , Mo , Dy keys.Numeric Keypad5Admitting a Patient
5−8− Discharging a Patient − Erasing Name, Data, etc.This menu allows to clear the patient name, ID, age, and past measurement data such as tabulartrend, graphic trend, and recall data.Discharging Procedure1. Press the Discharge key.The confirmation display will appear. If the Discharge key is pressed by mistake, press the Cancel key to return to the previous display.2. Erase the patient data.To initialize by erasing the patient data, patient information, press the OK key. The data willbe initialized and returns to the home display.Data DescriptionPatient Data Erases the data of graphic trend, tabular trend, NIBP list, recall, STDisplay, OCRG.The recall setup condition will remain.Patient Information Erases patient name, ID, sex, age.The patient type will not be initialized.Measurement Condition Pacemaker use will be set to unused, and respiration measurementcondition will be set to ON.
5−9− Monitoring Mode Selection − Alarm and Display ModeThis menu allows to select the alarm mode and display mode.The alarm setting and display configuration can be each selected from 5 modes depending on themonitoring purpose. Select the appropriate mode when admitting a patient.CAUTIONThe setup for the alarm mode and display mode remains stored even whenthe power is turned off or when discharging procedure is performed.Before monitoring, make sure the current monitoring mode is suitable forthe patient’s condition.Mode Selection1. Press the Mode Select key.The mode selection menu for alarm mode and display mode will be displayed.2. Select an alarm mode from the selection.Press one key from the Alm Mode 1 ~ Alm Mode 5 keys to select an alarm setup modewhich meets the monitoring purpose.The setup for the alarm mode remains stored evenwhen the power is turned off or when dischargingprocedure is performed. The previously selectedalarm mode will be effective if the selection is notmade.5Monitoring Mode Selection
5−103. Select a display mode from the selection.Press one key from the Disp mode 1 ~ Disp mode 5 keys to select a display configurationmode which meets the monitoring purpose.The setup for the display mode remains stored evenwhen the power is turned off or when dischargingprocedure is performed. The previously selecteddisplay configuration mode will be effective if theselection is not made.
5−11● Display ModesItem Default BackupMode Selection 1○No. of Waveforms 3 Waveform ○No. of Numeric Data 4 Numeric Data ○Displayed Waveforms ECG1, SpO2, RESP ○Displayed Numeric Data HR, NIBP, SpO2, RR ○Enlarged Display OFF ○Short Trend OFF ○Mode 1Comment CONFIG. 1 ○No. of Waveforms 3 Waveforms ○No. of Numeric Data 4 Numeric Data ○Displayed Waveforms ECG1, SpO2, RESP ○Displayed Numeric Data HR, NIBP, SpO2, RR ○Enlarged Display OＮ ○Short Trend OFF ○Mode 2Comment CONFIG. 2 ○No. of Waveforms 4 Waveforms ○No. of Numeric Data 6 Numeric Data ○Displayed Waveforms ECG1, BP1/2 (overlap), SpO2, RESP ○Displayed Numeric Data HR, BP1,BP2, NIBP, SpO2, TEMP, RR ○Enlarged Display OFF ○Short Trend OFF ○Mode 3Comment CONFIG. 3 ○No. of Waveforms 4 Waveforms ○No. of Numeric Data 6 Numeric Data ○Displayed Waveforms Cascade, BP1/2 (overlap), SpO2, RESP ○Displayed Numeric Data HR, BP1, BP2, NIBP, SpO2, TEMP, RR ○Enlarged Display OFF ○Short Trend OFF ○Mode 4Comment CONFIG. 4 ○No. of Waveforms 6 Waveforms ○No. of Numeric Data 7 Numeric Data ○Displayed Waveforms ECG1, BP1/2 (overlap),, SpO2, CO2○Displayed Numeric Data HR, BP1, BP2, NIBP, SpO2, TEMP/ RR,CO2○Enlarged Display OFF ○Short Trend OFF ○Mode 5Comment CONFIG. 5 ○NOTE The CO2 monitoring function is not supported for the DS-7101L and DS-7101LT.If Mode 5 is selected, CO2 parameter box will be displayed but parameter setupcannot be performed.5Monitoring Mode Selection
5−12●Alarm ModesItem Default SettingAlarm Mode 1HR ON, 40−120ASYSTOLE ON, 5 sec.VF ONVT ONSLOW_VT ONRUN ON, 3 beatsCOUPLET OFFPAUSE OFF, 2 sec.BIGEMINY OFFTRIGEMINY OFFFREQUENT OFF, 10 beatsTACHY ONBRADY ONST OFFBP1ONSYS 80−180DIA OFF−OFFMEAN OFF−OFFBP2OFFSYS OFF−OFFDIA OFF−OFFMEAN OFF−OFFRR ON 5−30APNEA ON, 15 sec.SpO2ON, 90−OFFSEC Alarm OFFNIBPONSYS 80−180DIA OFF−OFFMEAN OFF−OFFTEMP OFF OFF−OFFEtCO2ON 30−45ｍｍHg 4.0−6.0kPa 4.0−6.0%Alarm Mode1∼5InspCO2ON 3mmHg 0.4kPa 0.4%NOTE The CO2 monitoring function is not supported for the DS-7101L and DS-7101LT.Note that the EtCO2, InspCO2 alarm will not be generated.
5−13− Suspend Monitoring −Suspend and Resume MonitoringThis menu allows to suspend and resume monitoring when a patient temporarily leaves the bed.Turning the power OFF will erase the recall and ST measurement data, but with this suspendmonitoring function, data measurement, alarm generation, automatic measurement, andautomatic recording can be suspended without erasing any data and setup condition.To Suspend Monitoring1. Press the Cease key.The confirmation menu will be displayed. If the Cease key is pressed by mistake, press the Cancel key to return to the previous display.2. Confirm the monitoring suspension.Pressing the OK key will return to the home display with the Resume key displayed.The numeric data display and waveform display on the home display will be suspended and onlythe Resume key will be effective.NOTE The telemetry transmission will cease when monitoring is suspended.Note that the square wave will be displayed on the central monitor indicating thetoo far condition of the telemetry.5Suspend Monitoring
5−14To Resume Monitoring1. Press the Resume key.The monitor suspend display will be cleared and monitoring will resume.CAUTION Resuming monitoring will also resume the alarm in suspension.
5−15− Room / Bed ID Setup − for LAN CommunicationThis section describes the procedure to set the Room / Bed ID.The DS-7100 system incorporates Ethernet LAN unit.The set Room / Bed ID will be remain stored even when the power is turned off.Room / Bed ID SetupTo connect to a wired network, it is necessary to set the Room / Bed ID.1. Press the Menu → Admit / Discharge → Bed ID keys.2. Enter the password.Use the numeric keypad to enter the passwordThe entered number will be displayed as “＊＊＊＊”.3. Set the Room ID.Enter the Room ID using the alphanumeric keypad.The keypad can be selected from ABC or QWERTYarrangement.The entered ID will be displayed on the upper left ofthe screen.Next, press the Bed ID key to display the Bed IDmenu.4. Set the Bed ID.Enter the Bed ID using the numeric keypad.The entered ID will be displayed on the upper left ofthe screen.To connect to the wired network, set the ID in therange from 001 to 048.5Suspend Monitoring
5−16CAUTION? The bed ID is factory set to “000”. If connected to the wired networkwith the bed ID unchanged, monitoring on the central monitor will not bepossible.? When connecting to a wired network, make sure that there are no otherbedside monitors with the same ID. If there are more than onebedside monitor with the same bed ID, the duplicated bedside monitorscan not be monitored on the central monitor.? When connecting to a wired network, set the bed ID in the range from“001” to “048”.? There are following restrictions when connecting the DS-7100 systemto the DS-LANⅡnetwork.? The DS-7100 system is not corresponded to the AU-5500N 8-channelrecorder. The data for the DS-7100 system can not be recorded onthe AU-5500N.? When the measurement unit of BP is kPa, BP waveform, BP numericdata, NIBP numeric data, NIBP list will not be transmitted. These willbe treated as not measured data, and will not be displayed on thecentral monitor. Also, alarm limit setup on the central monitor can notbe performed.? When the temperature unit is ?F, the temperature data will not betransmitted. It will be treated as not measured data, and will not bedisplayed on the central monitor. Also, alarm limit setup on the centralmonitor can not be performed.? Arrhythmia alarm of TACHY, BRADY, SLOW_VT, COUPLET, PAUSEwill not be transmitted.? For numeric data displayed as “×××”, maximum or minimum value ofmeasurable range will be transmitted.? The numeric data displayed as “−−−” will be treated as not measureddata.? For QRS classification, the “S” printed on the built-in recorder will beprinted as “N” on the HR-500 Recorder.? When DS-5800N/NX/NXMB is used as a central monitor, the followingfunction will not be displayed.? Recall? Graphic Trend, Tabular Trend? ST Display

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