drager patient monitor pm8060 - user manual

PM 8060 vitaraHaemodynamic Patient Monitor

Instructions for Use

Software version 2.n

2-89

3-96

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Working with these Instructions for Use

In the top header line the subject...of the main chapter. The second line contains the title of the sub-chapter foreasy reference and finding your way quickly about theInstructions for Use.

On the page body ...the Instructions for Use in combined text/graphical format. The information isexplained directly in terms of actions that teach the userhow to operate the machine by hands-on experience.

Left-hand column the text ...contains explanations and instructs the user in theoperation of the product, with brief, unconfusinginstructions in ergonomic sequence.The bullets indicate separate actions, and, if severalactions are described for the same accompanyingillustration, the numbers provide clear cross-referencingbetween text and graphics and identify the sequence ofoperations.

Right-hand column the illustrations ...provide the visual reference to the text and help locatethe various parts of the equipment. Parts mentioned inthe text are highlighted, and inessential details have beendeliberately omitted.Screen displays also guide the user and confirm correctperformance of the required operations.

Working with these Instructions for Use

2

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1. EKG

1. EKG (Modul doppelter Hhe)

XYZ

10:3400:00

01-10-96

standard screen - adultAdvisory:Caution:Warning:

65pulse def. 0 ST + 0.05

122/ 89(100)

ARTiBP 1

4.5mean

CVP

99pulse 65

pulse 65

15min M (102)

SysmmHgDia

SpO2

122/ 89NiBP

36.8 37.2T1 T2 C

iBP 2

auto setlimits

alarminfo

screenconfig.

para-meter

timerstart

limits

config.

1. ECGII

1mV

Pleth

ART

CVP

130

10

80

0

HR/Pulse (ECG)

Self-test

Technology for life

PM 8060 VitaraVersion 2.n 02-12-97

Modulseite (deutsch):36.8 37.2

T1 T2 C

15min M (102)

SysmmHgDia

122/ 89NiBP

Sys

man 10:34 M (102)

man 10:35 M (11.1)

mmHgDia

122/ 89NiBP

117 M (102)

SysmmHgDia

122/ 89NiBP

SyskPaDia

15.2/ 9.3NiBP

99Puls 65

SpO2 %

(EKG)

1/min

mmHg mmHg

122/ 89(100)

ARTiBP 1

Puls 65

122/ 89(100)

AORTAiBP 1

Puls 65

mmHg

122/ 89(100)

A.PulmiBP 1

Puls 65

mmHg

122/ 89(100)

iBP ?iBP 1

Puls 65

65Pulsdef. 0 ST + 0.05

HR/Puls

21RR

mmHg mmHg

4.5mean

ZVDiBP 2 iBP 2

4.5mean

ICP

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Contents

3

Contents

For your safety and that of your patients 4

Intended use 5

Operating concept 7

Preparation for use 13

Monitor functions 19

Parameter Box 49

Messages Cause Remedy 73

Care 79

What's what 83

Technical data 89

Abbreviations and symbols 98

Index 101

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For Your Safety and that of YourPatients

Strictly follow the Instructions for Use

Any use of the apparatus requires full understanding andstrict observation of these instructions.The apparatus is only to be used for purposes specifiedhere.

Maintenance

The apparatus must be inspected and serviced regularlyby trained service personnel at six monthly intervals. Repair and general overhaul of the apparatus may only becarried out by trained service personnel.We recommend that a service contract be obtained withDrgerService and that all repairs also be carried out bythem.Only authentic Drger spare parts may be used for main-tenance. Observe chapter "Maintenance Intervals".

Accessories

Do not use accessory parts other than those in the orderlist.

Not for use in areas of explosion hazard

This apparatus is neither approved nor certified for use inareas where combustible or explosive gas mixtures arelikely to occur.

Safe connection with other electrical equipment

Electrical connections to equipment which is not listed inthese Instructions for Use should only be made followingconsultations with the respective manufacturers or anexpert.

Liability for proper function or damage

The liability for the proper function of the apparatus isirrevocably transferred to the owner or operator to theextent that the apparatus is serviced or repaired bypersonnel not employed or authorized by DrgerServiceor if the apparatus is used in a manner not conforming toits intended use.Drger cannot be held responsible for damage causedby non-compliance with the recommendations givenabove.The warranty and liability provisions of the terms of saleand delivery of Drger are likewise not modified by therecommendations given above.

Drger Medical AG & Co. KGaA

For your safety and that of your patients

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Contents

Intended use..............................................................................................6

5

Intended useContents

Intended use

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Intended use

Haemodynamic Patient Monitor PM 8060 vitara

When connected to the parameter box, the essentialhaemodynamic parameters are displayed together withtheir monitoring features:

The ECG curve with heart rate and ST segmentanalysis.

Two channels for invasively measured blood pressure(iBP), with the pressure values for systolic, diastolicand mean pressure and the pressure curve.

The measured values for the non-invasively measuredblood pressure (NiBP) with the pressure values forsystolic, diastolic and mean pressure.

Two channels for body temperature.

The functional O2 saturation (SpO2) with the pulserate.

The plethysmogram.

The respirogram.

When connected to an anaesthetic workstation, datafrom an airway monitor can also be displayed, but inthis case airway alarms are not transferred to thePM 8060 vitara.

Precautions for useFire risk. Use only non-flammable anaesthetic agentsconforming to EN 740.

Any add-on electrical equipment must be earthed bymeans of an equipotential bonding conductorconnected to the base unit.

Electromagnetic fields that exceed the value specifiedin EN60601-1-2 may impair the operation of theapparatus (for example during nuclear spin tomography -MRT, NMR and NMI).

Do not use mobile phones within a distance of 10 metres from the machine.Mobile phones can cause interference to electrical andelectronic medical appliances, thereby putting patients atrisk.*

Use the workstation under the supervision of qualifiedmedical personnel, so that assistance can be providedimmediately in the event of any malfunction!

* Drger medical appliances comply with the interference immunityrequirements of the specific standards for the products or EN 60601-1-2 (IEC 601-1-2). However, depending on the designof the mobile phone and situation of use, field strengths may occurin the immediate environment of a mobile phone that exceed thevalues of the standards quoted and therefore cause interference.

Intended use

6

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Contents

User interface........................................................................................... 8Keys with dedicated function......................................................................8Keys with variable function......................................................................... 8Rotary control.............................................................................................9Indicator lamps.........................................................................................10Structure of the screen display................................................................. 10Menu structure......................................................................................... 10Screen saver............................................................................................11Colour concept........................................................................................ 11The various screen displays......................................................................11

Operating conceptContents

7

Operating concept

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User interface

Keys with dedicated function (Hardkeys)

The right-hand side is reserved for operating elements,the left-hand side for displays.

G This key is used to deactivate the alarm tone fortwo minutes. The alarm is reactivated by pressingthe key again. The yellow LED in the key lights upwhile alarms are suspended.

Any new messages are signalled once by theappropriate tone sequence.

E This key switches the monitor from standby tomeasuring mode and vice versa.

The dark area contains four keys that act directly on thescreen contents:

S This key is used to select the desired screen(standard screen, trend screen and list screen).

Q This key is always used to call up the last standardscreen used.

X This key is used to freeze the haemodynamiccurves on the screen so that they can be viewed inmore detail.

U This key is used to generate a manual entry in thelist screen.

Keys with variable function (Softkeys)An unlabelled membrane keypad is positioned next to theright-hand edge of the screen.

The function of each of these keys at any one time issoftware-driven and is displayed in the correspondingposition on the screen.

The screen only displays the keys that can be activated atthat moment.

Operating conceptUser interface

8

D

1-2--

Stop

D

1-2--

Stop

0022

9094

0032

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Rotary controlA single "turn-and-push" control is used to select andconfirm settings.

Turn to select:Turning the rotary control moves a cursor frame acrossthe screen or changes a numeric value.

Press to set: When the rotary control is pressed, the value selected byturning the control is accepted as the valid parameter, ora process is started or stopped.

Example: To adjust the volume of the audible alarm

1 Call up the configuration menu from standby modeby pressing the config softkey.

A menu of default settings is displayed.

l Select = turn the rotary control.

Move the cursor frame to the acoustic field.

l Confirm = press the rotary control.

2 The selected option acoustic is highlighted ininverse video (dark type on light background see colour concept).

The cursor frame is positioned over the arrowsymboll ( z ) in the open acoustic field.

3 This menu is used to:

set the volume of the alarm and of the pulse tone,

select between a plain pulse tone and a pulse toneof variable frequency modulated by the degree ofoxygen saturation (SpO2).

select the tone system (Drger or ISO standard).

l Turn the rotary control = move the cursor frame intothed alarm sound field.


The confirmed selection alarm sound is high-lighted in inverse video (dark on light). The tone isplayed back at the selected volume.

The dashed selection window now contains volumelevels from 1 (soft) to 9 (loud).

The original value (here: 5) is set against anorange background.

l To set a new value = turn the rotary control.

Move the cursor to the desired volume. The tone isplayed back at the selected volume.


The new value is displayed against an orangebackground. The cursor-frame returns to the arrowsymbol ( z ).

l Press the rotary control again (if necessary severaltimes). The cursor moves back one menu level at atime, in each case to the arrow symbol ( z ), untilyou exit the configuration menu.

9

Operating conceptUser interface

Standby/Configuration

10:3400:00

01-10-96Alarm sound and pulse tone configuration menu. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

alarm sound 1 2 3 4 5 6 7 8 9

pulse tone 0 1 2 3 4 5 6 7 8 9

pulse tone ECG Pleth.SpO2 modulated

tone sequence DRGER Euro-Standard

alarms inactive !

deletetrend

config.

Switch on with

Standby

Data ManagerSW-Version 2.n

02-12-97

ParameterboxSW-Version 2.n

PM 8060 Vitara

E

1

2

3

0092

9094

0102

9094

0112

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Indicator lamps

Two bar-shaped indicator lamps are located above theG key: these lamps continue to indicate the alarmstates even when the acoustic alarm is suspended:

Red (upper) lamp, flashing: Warning !!!Yellow (lower) lamp, flashing: Caution !!Yellow lamp, constant: Advisory !

Structure of the screen display

The screen is made up of grids in which the individualtraces and blocks of measured values (modules) canbe defined as required.

The fields for date/time, equipment status, warning,caution or advisory messages, the screen keys (softkeys)and the user advisory field are always located in the sameplace in all screens.

Menu structure

The hierarchy and sequence of menu levels is made clear by their staggered arrangement across the screen.The active menu is always green with a yellow cursor.Previous menu levels are grey with a black cursor.

The fields shown against an orange background indicatethe current configuration. The procedure for opening andclosing menus is always the same.

It is always possible to return directly to the standardscreen by pressing the Q key.

Operating concept User interface

10

Standby/Configuration alarms inactive !

10:3400:00

01-10-96

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

ECG

NiBP

iBP locations

iBP channels

SpO2 / Pleth

Resp.

Select a menu position. Please confirm !Change the settings. Please confirm again !

ECG

function on off

numberof leads 3 5

ST-segmentanalysis on off

pulse deficit on offindication

pacemaker on off

filter on off

amplitude 2

1.ECG2.ECG 3.ECG

derivation I IIIII

State Warning / Caution / Advisory

Modules (Curves / Graphs)

Date / Time User advisory field

D

1-2--

Stop

0042

9094

0122

9094

0132

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Screen saver

If none of the controls or keys on the Monitor is operatedfor about 5 minutes while in Standby mode, the screenswitches to a screen saver program to prevent screenburn-in. The yellow LED in the Standby key lights up, anda Drger logo ( D) appears at different positions onthe screen.

The screen display is restored immediately any useroperation is detected.

Colour concept

Certain colours are used recurrently with the samestandard meaning when operating the device:

Screen element: Display colour:

Active menu level .................... Cyan

Non-active menu level ............. Grey

Cursor .................................... Yellow frame

Selected menu item ................ Inverse (white on black)

Selected alternative................. Orange background

Alarm messages are displayed in clearly distinct fieldsaccording to the urgency of the message:

1 Warning Symbol !!! Text on red field2 Caution Symbol !! Text on yellow field3 Advisory Symbol ! Text on white field

The colours of the individual measurement parametersand displays and the choice of bright or dark backgroundcan be freely configured by the user (see page 30).

The various screen displays

4 The other screen pages are called up by pressing

S.

A selection menu is then displayed for the followingalternative screen displays:

Standard screen 1,

Standard screen 2,

List screen and

Trend screen.

11

Operating conceptScreen displays

D

Stop

1-2-- 4

0062

9094

10:3400:00

01-10-96 The limit indicated has been violated. Please select a new value and confirm !

standard screen - adultAdvisory:Caution:Warning:TEMP2 CALIB !TEMP1 !!SPO2 !!!

1. ECGII

1mV

ART

CVP

Pleth


HR/Pulse (ECG)

122/ 89(100)

ARTiBP 1

4.5mean

CVP

94pulse 65

pulse 65

15min M (102)

SysmmHgDia

SpO2

122/ 89NiBP

36.8 37.2T1 T2 C

iBP 2

160

20

0

0

auto setlimits

alarminfo

timerstart

limitsHR 72 50 120Puls 72 50 120NiBP

sys -- 80 160SpO2 92 94 --ST 0.00 0.10T1 37.5 -- --T2 32.2 -- --RR -- 5 25iBP1

sys 122 80 160iBP2

Mean 4.5 80 160

0542

9094

1 2 3

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Standard screen (1 or 2)containing the configured graph and measured valuefields.

List screencontaining all measured values and alarms; therebymaking it easier to complete the anaesthesia record. This list can also be printed out to a connected printer(optional).

Trend screenfor displaying the trend curves of the measured valuesover time.

12

11:3400:00

01-10-96

list screen - adultAdvisory:Caution:Warning:

intubation

start ofsurgery

positionchange

extuba-tion

start ofanaesthesia

end ofsurgery

event

print

1. ECGII

1mV


Manual list entry by

time

10:55 interval 2 01-10-9610:55 IND-210:55 11:0011:0511:08 intubation11:1011:1311:1511:20 interval 1 01-10-9611:20 OP-2 11:20 11:25 11:3011:32 start of surgery

HR/Pulse1/min

6467

636263

6362

NiBP mmHgSys/M/Dia

120/100/90123/103/88

120/100/90123/103/88128/107/93

120/100/90122/102/89

SpO2%

90 97

96 90 97

95 97

CO2Vol. %Fet

3537

313433

3537

PAW mbar peak/PEEP

32/3 31/3

33/3 31/3 30/3

32/3 31/3

Warning

SPO2

SPO2

!!!

!!!

MVL/min

6.4 6.3

6.2 6.1 6.0

6.4 6.3

Cpatml/mbar

1212

121212

1212

O2Vol. %Fi

2131

323133

3031

anaesth.agentFi

ENF1.41.4 1.21.21.1

ISO1.41.4

tempCT1

36.836.9

36.736.836.9

36.836.9

config. list entry next page preceding page

HR/Pulse (ECG)

10:3400:00

01-10-96 Select a trend sector and magnify by confirming !

NiBP SpO2

HR/RRIBP 1200

100

0

100

60

80

200

100

0

11:00 12:00 13:00

Sys

MDia

Sys

MDia

200

100

0

11:00 12:00 13:00

1. ECG II

1mV

fulltrend

config.

trend screen - adultAdvisory:Caution:Warning:


HR/Pulse (ECG)

0152

9094

0162

094

10:3400:00

01-10-96



122/ 89(100)

ARTiBP 1

4.5mean

CVP

99pulse 65

pulse 65

15min M (102)

SysmmHgDia

SpO2

122/ 89NiBP

36.8 37.2T1 T2 C

iBP 2

auto setlimits

alarminfo

screenconfig.

para-meter

timerstart

limits

config.

1. ECGII

1mV

Pleth

ART

CVP

130

10

80

0

HR/Pulse (ECG)

0142

9094

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Contents

Connecting the System ......................................................................... 14Connecting the power supply .................................................................. 14Connecting external devices ....................................................................14

Switching the monitor on and off .......................................................... 18

13

Preparation for useContents

Preparation for use

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Connecting the System

Connectingthe power supply:

When used in combination with an anaestheticmachine Julian:

1 Connect the CAN port (marked CAN 1) at the backof the screen to the CAN port on the back of theanaesthetic unit (port marked CAN 1).

When used as stand-alone Monitor or with Drger-Cato:

1 Connect the CAN port (marked CAN 1) at the backof the screen to the Vitara power adapter.

l Plug the power cord from the Vitara power adapterinto a 230 V mains socket. With anaesthetic units, thepower is supplied via a socket that is switched on andoff by the system master switch.

2 CAN 2 is designed for add-on units.

3 For intracranial and intracardial operations,equipotential bonding must be ensured by connectinga grounding cable from the ground stud on the backof the screen (marked P ) to the ground stud in theoperating theatre!

Connecting external devices Interface configuration, see page 34.

Via the RS 232 printer interface:

4 Using a printer data cable (serial interface orconverter for the parallel interface)

l Secure the device connectors by tightening thescrews provided!

Via the Drger RS 232 MEDIBUS interface:

5 Using a data cable for connecting a Medibus device(e.g. PM 8050 Monitor, Julian AnaestheticWorkstation or a PC).


Via the RGB interface:

6 Using the monitor cable to connect an external RGBscreen (VGA or SVGA, Multisync.).


Preparation for use Connecting the System

14

RGB RS 232 C RS 232 C CAN 2 CAN 1

m P

4 56 12 3

0182

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15

Preparation for use Connecting the System

PM 8060 vitara to Julian

Julian CAN 1/2...................to.....Vitara CAN 1

Julian CAN 1/2...................to.....Parameter box holder

Julian COM .......................to.....Vitara RS 232 C

Printer................................to.....Vitara RS 232 C wThe authorised cable types are listed in the Accessorieslist.

PM 8060-vitara with external power adapteras stand-alone monitor or connected toCato:

Power adapter CAN1/2......to.....Vitara CAN 1

Power adapter CAN1/2......to.....Parameter box holder

Airway monitor ...................to.....Vitara RS 232 C

Printer................................to.....Vitara RS 232 C wThe authorised cable types are listed in the Accessorieslist.

Never connect a CAN connector to an RS 232 Cconnector: especially in PCs, a wrong connection ofthis kind can damage the RS 232 C interface.

COM 3

COM 2CAN 1

CAN 2

COM 1

m P

0192

9094

Medibus-Device

Printer

Vitara

Power Supply Parameterbox

option

option

0172

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Fitting the PM 8060 vitara to the swivel armof a Drger Anaesthetic Unit

l Push the arm on to the rail and fix with two screws.

1 The arm's resistance to movement can be adjusted atthe hinge (Allen screw - A/F 6 mm).

2 Screw the PM 8060 vitara securely to the arm. Ifnecessary, fix with thread-locking compound (Allenscrew - A/F 12 mm).

Fitting the PM 8060 vitara to the swivel armof a standard rail

l Check the load-bearing capacity of the rail.The weight of the PM 8060 vitara complete withparameter box is approx. 5 kg.

3 Screw the PM 8060 vitara securely to the arm. If necessary, fix with thread-locking compound (Allen screw - A/F 12 mm).

4 Place the arm on the rail and fix with the rail clamp.

l Also fix the power adapter to the rail.

PM 8060 vitara stand-alone on pedestal

5 Screw the PM 8060 vitara securely to the pedestal(Allen screw - A/F 12 mm) and stand on a suitablystrong, horizontal and non-slip surface.

Turning and tilting

You can adjust the viewing angle of the PM 8060 vitaraand adapt it to the ergonomic requirements of yourworkplace.

6 The tilt resistance can be adjusted with two cross-slottet screws.

7 The swivel resistance can be adjusted by the screwon the inside of the fixing column (Allen screw - A/F 5 mm).

Preparation for useConnecting the System

16

D

D

1-2--

Stop

D

1-2--

Stop

D

1-2--

Stop

12

3

4

5

6

7

0202

9094

0212

9094

0222

9094

0232

9094

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17

Preparation for useConnecting the System

Fitting the parameter box

The parameter box can be operated either in its blueholder or in the slot-in housing.

The slot-in housing can be installed in an anaestheticsystem (e.g. Julian or Cato) by Drger Service.

The blue holder can be attached by the user to astandard rail (10 x 25 millimetres) in the work area.

With the blue holder, the parameter box can be pivotedup and down. In the slot-in housing, its position is fixed.

In both cases, the synchronisation output for anexternal defibrillator is accessible from the back ofthe machine!

Holder for operating table:

Alternatively, the "Op. Table" parameter box holder canbe used. This holder is especially suitable for fixing closeto the patient. It can remain on the operating table or bedwhen transporting the patient. The parameter box isconnected to the PM 8060 vitara by means of the quick-release cable and is mounted securely in the housing.

This system is not compatible with the holders withclip-in mechanism.

Slot-in housing:

l Push the parameter box as far as it will go into theslot-in housing. The parameter box must lock intoposition, thereby connecting up its electricalconnections.

To remove the parameter box, pull the blue handle onthe parameter box to release the locking mechanism.The parameter box can then be pulled out of the slot-in housing.

Blue holder:

l Fix the blue holder in a suitable position.

l Connect the holder to the power supply (i.e. thepower adapter in the stand-alone version or the backof the Julian or Physio Flex) using the cable supplied.

l Hang the parameter box onto the holder from above.The plug connector must engage.

l To remove the parameter box, pull the blue handle ofthe box. This releases the box so that it can beremoved from the blue holder.

1 Defibrillator connection.

D

D

1-2--

Stop

1

0242

9094

0252

9094

0262

9094

1

0982

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Tilting the parameter box

After overcoming an initial holding resistance, theparameter box can be easily tilted to an ergonomicallycomfortable angle.

The holding resistance can be adjusted at the hinge. The adjusting screws are covered by white caps (Allenscrew - A/F 6 mm).

Switching the monitor on and off

When used in combination with an anaesthetic system(e.g. Julian):

l The PM 8060 vitara is switched on and off by themaster switch of the anaesthetic system.

When used as stand-alone monitor:

l The power adapter has its own master switch.

After switching on

The Monitor runs through its start-up and self-testroutines:

The internal program memories are tested. All LEDsand display elements light up for about 2 seconds.

The LED in the Standby key E remains lit. An alarm tone is generated.

The screen is activated and displays a clock symbol(u = "please wait", duration of delay for the self-test).

The keys are not yet activated.

Shortly after this initial period, the Monitor automaticallyenters Standby mode.

Preparation for useSwitching the machine on and off

18

Self-test

Technology for life

PM 8060 VitaraVersion 2.n 02-12-97

deletetrend

config.

Switch on with

Standby


02-12-97


PM 8060 Vitara

E

0282

9094

0292

9094

0272

9094

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Contents

Configuring the screen .......................................................................... 20Mode....................................................................................................... 22Alarm limits ..............................................................................................23Parameters...............................................................................................23Configuring the standard screen with modules ........................................ 27Configuring the screen colours ................................................................30Acoustic ..................................................................................................31List entry ................................................................................................. 32Transport function.................................................................................... 32RS 232 MEDIBUS................................................................................... 34RS 232 Printer ........................................................................................ 34Basic configuration...................................................................................35

Screen functions during operation ........................................................ 35Starting up the screen ............................................................................. 35Standard screen ......................................................................................37List screen .............................................................................................. 37Trend screen with zoom function ............................................................. 39Alarm limits ..............................................................................................40Autosetting the patient alarms ..................................................................41Alarm information .................................................................................... 42Configuring the screen structure in operation ...........................................42Parameters ..............................................................................................42Timer .......................................................................................................43Configuration .......................................................................................... 43

Alarm concept ........................................................................................45Alarm priority ...........................................................................................45

19

Screen functionsContents

Screen Functions

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0302

9094

0102

9094

Configuring the screen

Basic configuration in standby mode:

The basic configuration is protected by a password andcan only be modified in standby mode. This configurationis reactivated whenever the Monitor is started (i.e.switched on or operated from standby mode). It can alsobe reactivated by selecting Call standard duringoperation.

Temporary configuration during operation:

The screen settings entered during operation remainactive until the screen is next switched off.

The alarm limits set during operation only remain activeuntil the screen is next switched to standby mode.

In both cases, after switching off, the password-protected basic configuration is reactivated. Thisconfiguration can also be activated at any time byselecting Call standard.

If the screen has been blacked out by the screen-saverfunction, it will be reactivated as soon as any activity isdetected on the machine!

The Standby screen contains two screen keys(softkeys) for calling up menus:

1 Delete trend; e.g. for a new patient:

The Standby screen contains two screen keys(softkeys) for calling up menus for

deleting the trend and list memory

configuring the screen.

The trend memory and list are both cleared at the sametime. If a parameter box is connected, the data in theparameter box will also be deleted!

l Press the delete trend softkey. The system asks you again to confirm you are sureyou want to delete the trend.

l Press the delete key to confirm.

If you press do not delete, the original screen willbe restored unchanged.

2 Calling up the standby configuration menu

l Press the config softkey to obtain the configurationmenu.

Configurations set in standby mode remain activewhenever the machine is switched on again.

By contrast, configurations entered during operation areonly valid until the machine is next switched off (alarmlimits remain valid until the next Standby).

Screen functionsConfiguring the screen

20

deletetrend

config.

Switch on with E

Standby


02-12-97


PM 8060 Vitara

deletetrend

config.

Switch on with

Standby


02-12-97


PM 8060 Vitara

E

1

2

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The screen illustrated opposite is displayed:

l Turn the rotary control until the cursor frame ispositioned over default values.

l Press the rotary control.

Changing default values

The password-protected default settings are activatedwhenever the machine is switched on. Before thesesettings can be changed, the correct password must beentered:

Entering the password:

l The password consists of four digits. The numbersare selected one-by-one from the number bar byturning the rotary control and pressing to confirm ineach case.

After you have confirmed the fourth correct digit, you willbe allowed to access the "default values" pull-downmenu.

The menu for configuring the default values and settingsis displayed:

mode Switches over between adult andneonatal mode (toggle).

alarm limits Configure the defaults for adult orneonatal alarm limits.

parameters Default settings for thehaemodynamic parameters.

screen Configures the various screens.

acoustic Sets the volume and type of tonesequence.

transport Defines the data exchange betweenparameter box and system monitorduring patient transfer.

RS 232 (MEDIBUS) Sets the interface parameters

RS 232 (Printer) Configures the printer interface orthe second Medibus interface.

basic config. Date time and language selectionand location of the machine.

21



10:3400:00

01-10-96Check system configuration. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.


10:3400:00

01-10-96

Default values

These default settings are passwordprotected.The default settings are activeon start-up.

To change the default settingsenter the password:

0 1 2 3 4 5 6 7 8 9

0332

9094

0322

9094


10:3400:00

01-10-96Check system configuration. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

0332

9094

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These settings are always called up and changed by thesame procedure:

l Turn the rotary controlto activate the option marked by the cursor frame.

l Press the rotary controlto make a selection inside the dashed border.

l Fields with orange backgroundrepresent the current settings. The illustrations thatfollow always show the factory-set defaults.

l Fields with black or white backgroundshow the previous menu steps used to reach thecurrently selected field.

l The arrow ( z )refers back to the previous menu level.

Mode

For the following features, the PM 8060 vitara hasseparate data sets in adult and neonatal modes

alarm limits

curve speed,

These data sets can be separately configured and storedby the user:

The user can switch between these data sets byselecting:

adult = adult mode

neon. = neonatal mode.

Various settings for NiBP measurement are also switchedover at the same time.


22


10:3400:00

01-10-96Select the required mode (adult or neonate). Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

0342

9094

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Alarm limits

This menu defines:

the default alarm limits for the two different operatingmodes (adults and neonates).

These alarm limits are automatically active after

switching on the PM 8060 vitara

leaving Standby mode

selecting default under Alarms.

If the adult/neonate (adult/neon.) mode is changed later,the alarm limits preset for the relevant mode will remainvalid.

From this menu, the familiar procedure of selecting(turning the rotary control) and confirming (pressingthe rotary control) can be used to open the following sub-menus

iBP

ECG / SpO2 / NiBP / Temp / ST / RR

complete with the corresponding settings for the upperand lower alarm limits.

Two dashes ( ) in the table mean that this alarm limitis inactive and not monitored. It can be activated by turning the rotary control beyond the maximum orminimum value possible and confirming it.

Parameters

The settings for the following parameters are defined inthis menu:

ECG Electrocardiogram

NiBP Non-invasive blood pressure

iBP measuring site Preconfiguration for measuringsites

iBP channels Preconfiguration for channels

SpO2/Pleth Pulsoximetry/plethysmogram

Resp Respiration

23



10:3400:00

01-10-96Standard alarm limits configuration menu. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

standard adult

standard neon.


10:3400:00

01-10-96Standard alarm limits configuration menu. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

iBP

standard - adult

ECG/SpO2/NiBP/Temp/

Aorta sys

dia

A.Pulm sys

mean

dia

CVP mean

ICP mean

? sys

mean dia

HR/Pulse

Pulsedef.

SpO2

NiBP/ART sys

dia

RR

T1

T2

ST

--

120 50

160 80

-- --

-- --

92

100 50

10

160 80

100 50

24 8

24 8

20 --

8 0

16 0

160 80

100 50

24 8

25 5

0.10+ -


10:3400:00

01-10-96

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

ECG

NiBP

iBP locations

iBP channels

SpO2 / Pleth

Resp.


ECG

function on off

numberof leads 3 5


pulse deficit on offindication

pacemaker on off

filter on off

amplitude 2

1.ECG2.ECG 3.ECG

derivation I IIIII

0352

9094

0362

9094

0372

9094

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ECG settings

With the parameters:

measuring function Switching ECG measurement onor off.

number of leads Choice of 3-core or 5-lead cable.

derivation Choice of displayed derivation forthe 1st, 2nd and 3rd ECG curve.

amplitude Measurement sensitivity.

filter Switches the filter on or off.

pacemaker Switches pacemaker detection onor off (see page 59).

pulse deficit indicationSwitches the indication on or off.

ST-segment analysis Switches the function on or off.

If a 3-lead ECG cable is selected, only one ECG can bedisplayed. The options of a 2nd and 3rd ECG aretherefore removed.

NiBP settings


time interval Sets the time between measure-ments.

active alarms Selects which criterion is to bemonitored (diastolic or systolic).

initial pressure Sets the starting pressure for theselected mode (value depends on the selectedmode - adult / neonate).

punction pressure Sets the punction pressure for theselected mode(value depends on the selectedmode - adult / neonatal).

units Sets the measurement unit.

interlock Selects whether the interlockfunction should be totally deacti-vated or coupled to either SpO2measurement or iBP measurement(thereby suppressing the relevantalarms and measured values duringNiBP measurement).


24

ECG

function on off

numberof leads 3 5

1.ECG2.ECG 3.ECG

derivation


pulse deficit indication on off

pacemaker on off

filter on off

amplitude 2

I IIIII

NiBP

auto on off

punction Start Stop

measure Start Stop Turbo

time interval 15 min

active alarms sys dia

initial pressure 180 mmHg

punction pressure 40 mmHg

units mmHg kPa

interlock:

NiBP-SpO2 on off

NiBP-iBP on off

0732

9095

0732

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iBP locations

This function can be used to preset all the measuringsites independently of the measuring channel. Thefollowing abbreviations are used:

ART Arterial

AORTA Aorta

A. Pulm. Pulmonary artery

CVP Central venous pressure

ICP Intracranial pressure

? Any other site

The following parameters can be set:

active alarms Selects the monitoring criterion.For example, should systolic, diastolic ormean pressure be monitored?

graph Selects the curve scale.Fixed values or automatic amplitudeadjustment.

amplitude Selects the curve scale.Not selectable with automatic amplitudeadjustment.

pulse Switches pulse rate display on/off.

iBP channels

defines the input channels P1 and P2 of the parameterbox:

measurement functionSwitches the channel on and off.

location Enters the locations of this channel.

sensitivity Selects the sensor sensitivity.42.5 or 50 m V/V/mmHg.

SpO2/Plethysmogram


measuring function Switches SpO2 measurement on andoff.

pulse Switches pulse rate display on and off.

C-Lock Switches ECG synchronisation on andoff.

mode Sets the measurement response speed.(Fast measurements are moresusceptible to disturbance).

25


sysabsol.160onsysabsol.160onsysabsol.40meanabsol.20meanabsol.20sysabsol.160

ART

AORTA

A. Pulm

CVP

ICP

?

active alarmsgraphamplitudepulseactive alarmsgraphamplitudepulseactive alarmsgraphamplitudeactive alarmsgraphamplitudeactive alarmsgraphamplitudeactive alarmsgraphamplitude

mean

mean

diamorph.

offdiamorph.

offdiamorph.

morph.

morph.

diamorph.

iBP 1

iBP 2

function

location

sensitivity

function

location

sensitivity

on

AORTA

42.5

on

CVP

42.5

off

50

off

50

2

function

pulse

C-Lock(ECG synchr.)

mode

on

on

on

slownormalfast

off

off

off

SpO2 / Pleth

0392

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0392

9094

0392

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Respiration


function Switches respiration measurement onand off.

mode Automatic or manual adjustment of therecorded level

amplitude Selects the curve size. The minimumsize must correspond to the length ofthe displayed bar.

trigger Activates/deactivates the superimposeddisplay of respiration recording pulseson the respiration curve (to check thatrespiration recording is correctly inprogress).

apnea Time interval in seconds after which anapnoea alarm is triggered in theabsence of respiration measurementsignal.


26

Resp.

function on off

mode auto man

amplitude 1 E/cm

trigger on off

apnea 10 s

0382

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Configuring the standard screen withmodules

This menu is used to configure the screen. The machinestores the configuration and screen-related settings:

standard screen

colour

curve speed

general settings

When selected, the standard screen is immediatelyavailable with the desired setting.

The screen is made up of modules, which can beselected from the menu by means of the rotary control.

Configuring standard screen

Example: The screen structure is shown schematically onthe left-hand side of the screen. Alongside it, there is atable of graphical modules and numerical modules forselection.

Modules which are already selected are highlightedagainst an orange background, and their designations arecontained in the module blocks.

l Move the cursor frame through the module table tothe module you want to change (in this example: iBP 1 and iBP 2) by turning the rotary control.

l Press the rotary control to confirm.

The module block in the table goes grey and appearsin the schematic layout on the left, bordered by acursor.

l The block can now be moved to the desired positionin the schematic layout by turning the rotary control.

l When the rotary control is pressed to confirm, thedesired module is set in its current position on thescreen.

l To delete a module, the relevant position on thescreen must be overwritten with a blank module.

27


S h /EM 6/Stb f / BS A fb 1 R


10:3400:00

01-10-96Select a graph or a module by turning the rotary knob. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

screen

colours

curve speed

general settings

1. ECG HR

1. ECG x2 HR x 2

2. ECG Temp

3. ECG NiBP

iBP 1 iBP 1

iBP 2 iBP 2

iBP1+BP2 NiBP x2

Pleth SpO2

Pleth x 2 SpO2 x2

Resp. Resp.

Resp x 2 RR x 2

BLANK

Graph Module

screen

1. ECG

Temp NiBP

HR

Pleth SpO2

iBP 1

iBP 2iBP 1 + 2

alarms inactive !

S h /EM 6/Stb f / BS A fb 2 R


10:3400:00

01-10-96Please position selected parameter by turning the rotary knob. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

screen

colours

curve speed

general settings

screen

1. ECG

Resp. RR

HR

Pleth SpO2

iBP 1

iBP 2iBP 1 + 2

Graph Module

alarms inactive !

1. ECG HR

1. ECG x2 HR x 2

2. ECG Temp

3. ECG NiBP

iBP 1 iBP 1

iBP 2 iBP 2

iBP1+BP2 NiBP x2

Pleth SpO2

Pleth x 2 SpO2 x2

Resp. Resp.

Resp x 2 RR x 2

BLANK

0392

9094

0402

9094

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Examples of the selectable graph modules:

ECG graph ECG real-time graph. The derivation,amplitude and curve speed are freelyselectable in discrete increments.

This graph can also be displayed in adouble-height module.

iBP curves:

ART Displays the iBP curve for the arterialblood pressure in a separate graph ofsingle module height.

CVP Displays the iBP curve for the centralvenous blood pressure in a separategraph of single module height.

iBP 1 + iBP 2 Displays two iBP curves (ART and CVP)in a single graph with double the moduleheight.

Plethysmogram curveReal-time curve of the plethysmogrammeasured by the SpO2 sensor.

This curve can also be displayed in adouble-height module.

Respiration curveReal-time curve of the respirationcharacteristic.

This curve can also be displayed in adouble-height module.

28


1. ECG

ZVD

ART

CVP

160

0

20

0

Respiration

iBP 1+iBP 2

60 0

ART130

CVP20

Pleth

1. ECG (Module double height)

Pleth (Module double height)

Respiration (Module double height)

0412

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Examples of the selectable numerical modules:

Temp 1/2 Shows the temperature values of theselected channel (1 or 2).

NiBP Shows the non-invasive blood pressure,the mean pressure and the timeremaining until the next measurement.During measurement, the bar displaysthe current cuff pressure.

SpO2 Shows the functional O2 saturation ofthe blood and the pulse rate.

iBP 1/2 Shows the blood pressure of theselected channel (1 or 2).

The systolic/diastolic and meaninvasively measured blood pressurevalues are displayed, together with thepulse rate.

For CVP and ICP, the mean pressureonly is displayed.

Heart rate Shows the heart rate derived from the1st ECG. Additionally, the pulse deficitobtained from the difference betweenthe heart rate and the pulse ratemeasured during SpO2 measurementcan be displayed, as well as the ST segment size of the 1st ECG.

Respiration Shows the respiration rate derived fromthe first lead of the 1st ECG.

29


36.8 37.2T1 T2 C

15min M (102)

SysmmHgDia

122/ 89NiBP

Sys

man 10:34 M (102)

man 10:35 M (11.1)

mmHgDia

122/ 89NiBP

117 M (102)

SysmmHgDia

122/ 89NiBP

SyskPaDia

15.2/ 9.3NiBP

99pulse 65

SpO2 %

mmHg mmHg

mmHg

1/min

1/min

(ecg)

mmHg

4.5mean

CVPiBP 2

122/ 89(100)

ARTiBP 1

pulse 65

122/ 89(100)

AORTAiBP 1

pulse 65

mmHg

122/ 89(100)

A.PulmiBP 1

pulse 65

mmHg

122/ 89(100)

iBP ?iBP 1

pulse 65

65pulsedef. 0 ST + 0.05

HR/Pulse

iBP 2

4.5mean

ICP

21RR

10 s

(ecg)

Asystolie

10 sApnoe

pulsedef. 0 ST + 0.05

HR/Pulse

RR

0422

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Configuring the colour settings

Colour settings always apply to all the featuresassociated with a parameter. The numerical modules, if configured for colour, are the same colour as theircorresponding curves.

l Select and confirm the desired parameter.

l Change the colour by turning the rotary control. The colours are displayed in the sequence shown inthe colour bar at the top of the menu.

l Confirm the desired colour.

Configuring the background settings

dark Black background, light curves andnumbers. Preferably used in a darkenvironment.

light White background, dark curves andnumbers. Preferably used in a brightenvironment.

colour modules

yes The numerical modules will be thesame colour as the correspondingcurves.

no The numerical modules are displayedin black-and-white.

Example:

Screen with dark background


30


10:3400:00

01-10-96 Select a parameter. Please confirm !Select a colour. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

screen

colours

curve speed

general settings

ARTAORTAA.PulmCVPICPiBP ?ECGNiBPSpO2Resp.Temp

alarms inactive !

background bright dark

modulescoloured yes no


10:3400:00

01-10-96 Select a parameter. Please confirm !Select a colour. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

screen

colours

curve speed

general settings

ARTAORTAA.PulmCVPICPiBP ?ECGNiBPSpO2Resp.Temp

alarms inactive !

background bright dark

modulescoloured yes no

0432

9094

0442

9094

10:3400:00

01-10-96


1. ECGII

1mV

Pleth

auto setlimits

alarminfo

screenconfig.

para-meter

timerstart

limits

config.


HR/Pulse (ECG)

122/ 89(100)

ARTiBP 1

99pulse 65

pulse 65

4.5mean

CVPiBP 2

15min M (102)

SysmmHgDia

SpO2

122/ 89NiBP

36.8 37.2T1 T2 C

ART

CVP

130

10

80

0

0952

9095

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Configuring the curve speed

The speed of the curves is determined in mm/s for thefollowing measured values:

haemodynamic adultsHaemodynamic values in adult mode.

haemodynamic neonatesHaemodynamic values in neonatal mode.

Configuring the general settings

The following units can be switched on or off:

unit yes = ON

no = OFF

Acoustic

The volume and tones are defined here.

0 means off, while 1 is the lowest and 9 thehighest volume.

alarm sound Volume of the alarm sound

pulse tone Volume of the pulse tone

ECG Tone - SpO2modulated

Acoustic heart beat signal.If yes is selected, the pitch of the heartbeat tone varies with oxygen saturation. If no the plain heart beat tone is ofinvariable pitch.

tone sequence Specifies the tone sequence, either toEuro- or to Drger standard.

31



10:3400:00

01-10-96Screen configuration menu. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

screen

colours

curve speed

general settings

haemodynamic 12,5 25 50adult mm/s

haemodynamic 12,5 25 50neonate mm/s

alarms inactive !


10:3400:00

01-10-96Screen configuration menu. Please confirm !

Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

screen

colours

curve speed

general settings

units yes no

alarms inactive !


10:3400:00


Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

alarm sound 1 2 3 4 5 6 7 8 9

pulse tone 0 1 2 3 4 5 6 7 8 9



alarms inactive !

0452

9094

0112

9094

0462

9094

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List entry

This option opens a menu in which you can define thetimes (fixed intervals) or events (warning, caution, NiBPmeasurement) that generate list entries.

In addition, this menu defines which blood pressuresource is represented.

Transport function

The parameter box stores the following data from thesystem monitor:

patient data for the list screen,

alarm limit settings and

measurement parameter settings.

The patient therefore remains connected to theparameter box while in transit. The patient's data iscontinuously available. There is no need to reconnect andset monitors. A complete list of transportable data isgiven in the chapter Technical Data.

The transport function can be preset in Standby.

Transport function on/offWhen the transport function is off, no data isexchanged between the system monitor and theparameter box (for stationary use of the parameter box).

When on, data is communicated.

Transport menus yes/noIf set to no, data is transferred during operational useaccording to the default settings in Standby (fullyautomatic process).

If yes, the user has the option of modifying the type andscope of the data transfer. The displayed transport menualways corresponds to the default settings describedhere (semi-automatic mode).


32


10:3400:00


Default values

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

alarm sound 1 2 3 4 5 6 7 8 9

pulse tone 0 1 2 3 4 5 6 7 8 9



alarms inactive !

Standby / Configuration

11:5900:00

01.04.96

Default values

alarms inactive!


mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

transportfunction on off

transport-menus yes no

The patient is newto the:

monitor yes no

parameterbox yes no

Which data do you wantto transfer from theparameter box?

settings yes noalarm limits yes nolist yes no


11:5900:00

01.04.96

Default values

alarms inactive!


mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.


0472

9094

0482

9094

0492

9094

"O

nly

for i

nter

nal u

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!"

The patient is new for

If a patient is connected for the first time, no data on thepatient is yet stored in the system monitor or parameterbox. This case will generally apply in the induction room.(see the example in the left-hand of the two isolatedmenus opposite).

1 In this case, yes must be entered both for systemmonitor and for parameter box.

Any data remaining from the previous patient willbe deleted.

2 If the patient arrives with a connected parameter box,i.e. with a "previous history", enter no after para-meter box: the data from the parameter box will betransferred to the system monitor. This case willgenerally apply in theatre or recovery room. (See theexample in the right-hand of the two isolated menusopposite).

The following dialogue then appears on the systemmonitor:

Which data do you want to transfer from the para-meter box?

Settings yes/noIf yes, the measurement parameter settings aretransferred from the box (e.g. iBP calibration, mode,NiBP interval, ECG amplitude etc.)

If no, the current system monitor values remainvalid.

Alarm limits yes/noIf yes, the alarm limits are transferred.

If no, the current system screen values remain valid.

List yes/noIf yes the data stored in the parameter box istransferred and inserted in the list.

If no the system screen sets up a new list. The newlist is valid ("start-time") as soon as these settingshave been validated.

In normal operation (see section on Parameter Box),this dialog only occurs when Transport Menus is set toyes. Otherwise, the instructions programmed here areexecuted immediately.

In standardised operating theatre organisation, thetransport menus can also be switched off (TransportMenus set to no). In this case, data is transferred asspecified by the preselected settings, without any furtherdialog or confirmation.

33



11:5900:00

01.04.96

Default values

alarms inactive!


mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.


transport-menus yes no

The patient is newto the:

monitor yes no

parameterbox yes no


settings yes noalarm limits yes nolist yes no

The patient is newfor the:monitor yes noparameter-box yes no

transport-function on offtransport-menus yes no

transport-function on offtransport-menus yes no

The patient is newfor the:monitor yes noparameter-box yes no


settings yes noalarmlimits yes no

list yes no

1 2

0492

9094

0692

9094

0692

9094

"O

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for i

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!"

RS 232 (MEDIBUS)

This menu is used to configure the data transferinterface:

baud rate Transmission speed (variable, seeInstructions for Use of the device you wishto connect).1.2 or 9.6 kBaud

The following parameters are displayed for informationonly and cannot be changed:

parity even

data bits 8

stop bits 1

RS232 (Printer)

This menu is used to configure the interface for datatransfer to a printer (see Instructions for Use of thedevice you wish to connect).

select protocol Selects whether the interface should beused for a printer or as an additionalMEDIBUS interface

baud rate Transmission speed

parity Parity of the check bits

data bits Number of data bits

stop bits Number of stop bits


34


11:5900:00

01.04.96

Default values

alarms inactive!

Printer/Medibus interface configuration menu. Please confirm !

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

record output printer Medibus

baud rate(kBaud) 1.2 2.4 4.8 9.6 19.2

Parity even odd none

data bits 7 8

stop bits 1 2


11:5900:00

01.04.96

Default values

alarms inactive!

Medibus interface configuration menu. Please confirm !

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

baud rate 1.2 9.6(kBaud)

parity even

data bits 8

stop bits 1

0512

9094

0522

9094

"O

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0052

9094

Basic configuration

The basic configuration comprises the following items:

time for the current time

date for the current date

language for the language version. Thefollowing languages are available:

English GBFrench FGerman DDutch NLItalian ISpanish EDanish DKSwedish SNorwegian N

location The location of the machine can beentered with a maximum of 9 alpha-numeric characters. This locationname will then be displayed in the listafter the defined interval.

This menu is automatically closed onconfirming the 9th character.

Screen functions during operation

Starting up the screen

1 Press the E key.The standard screen is displayed.

2 To call up other screens:Press the S key.A selection menu for the following screens isdisplayed:

Standard screen 1,

Standard screen 2,

List screen and

Trend screen.

3 You can return directly to the Standard screen atany time by pressing the Q key.

35


Screen functions during operation


11:5900:00

01.04.96

Default values

alarms inactive!

Language, date and time configuration menu. Please confirm !

mode adult neon.

alarm limits

parameter

screen

acoustic

list entry

transport

RS 232 (Medibus)

RS 232 (Printer)

basic config.

time: 11 : 59date: 01 - 04 - 96 language: GB F D NL E I DK S Nmon. location: XXX

D

1-2--

Stop

2

1

0532

9094

"O

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Standard screencontains the graph and measured value fieldsconfigured by the user.

The list screencontains all the measured values and alarms whichhave been saved and makes it easier to complete theanaesthetic record (see page 38). The uppermostgraph of th standard screen is shown at the top.

The trend screenshows graphically the measured values over time. The uppermost graph of the standard screen isshown at the top.

Screen functionsScreen functions during operation

36

10:3400:00

01-10-96



122/ 89(100)

ARTiBP 1

4.5mean

CVP

99pulse 65

pulse 65

15min M (102)

SysmmHgDia

SpO2

122/ 89NiBP

36.8 37.2T1 T2 C

iBP 2

auto setlimits

alarminfo

screenconfig.

para-meter

timerstart

limits

config.

1. ECGII

1mV

Pleth

ART

CVP

130

10

80

0

HR/Pulse (ECG)

11:3400:00

01-10-96


intubation

start ofsurgery

positionchange

extuba-tion

start ofanaesthesia

end ofsurgery

event

print

1. ECGII

1mV



time


HR/Pulse1/min

6467

636263

6362

NiBP mmHgSys/M/Dia

120/100/90123/103/88

120/100/90123/103/88128/107/93

120/100/90122/102/89

SpO2%

90 97

96 90 97

95 97

CO2Vol. %Fet

3537

313433

3537

PAW mbar peak/PEEP

32/3 31/3

33/3 31/3 30/3

32/3 31/3

Warning

SPO2

SPO2

!!!

!!!

MVL/min

6.4 6.3

6.2 6.1 6.0

6.4 6.3

Cpatml/mbar

1212

121212

1212

O2Vol. %Fi

2131

323133

3031

anaesth.agentFi

ENF1.41.4 1.21.21.1

ISO1.41.4

tempCT1

36.836.9

36.736.836.9

36.836.9


HR/Pulse (ECG)

10:3400:00


NiBP SpO2

HR/RRIBP 1200

100

0

100

60

80

200

100

0

11:00 12:00 13:00

Sys

MDia

Sys

MDia

200

100

0

11:00 12:00 13:00

1. ECG II

1mV

fulltrend

config.



HR/Pulse (ECG)

0142

9094

0152

9094

0162

9094

"O

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for i

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Standard screens

The standard screen is preconfigured by themanufacturer.

The configuration of these screen pages is describedfrom page 26 onwards.

The screen keys (softkeys) are described from page 38onwards.

Example standard screen:

List screen

Certain measured values which have been automaticallyor manually saved are displayed here for documentation(to facilitate compilation of the anaesthetic record).

An interval, limited by clipping the parameter box in andout, is displayed in the list by the label interval and theassociated location of the machine.

The list can contain a maximum of 100 lines.

This page also contains ventilation parameters importedvia the MEDIBUS interface.

The measured values and the warning or cautionmessages triggering them are recorded line by line,together with the time, either at specified intervals and/oras a function of warning or caution messages or of anNiBP measurement.

A list entry can be generated manually at any time bypressing U If entries are made manually, a suitabledesignation can be selected by means of the on-screensoftkeys:

For example: start of surgerytransfer patient

Intubation

A paper printout of the entire list is generated on anexternal connected printer by pressing the print screenkey.

37


10:3400:00

01-10-96



122/ 89(100)

ARTiBP 1

4.5mean

CVP

99pulse 65

pulse 65

15min M (102)

SysmmHgDia

SpO2

122/ 89NiBP

36.8 37.2T1 T2 C

iBP 2

auto setlimits

alarminfo

screenconfig.

para-meter

timerstart

limits

config.

1. ECGII

1mV

Pleth

ART

CVP

130

10

80

0

HR/Pulse (ECG)

11:3400:00

01-10-96


intubation

start ofsurgery

positionchange

extuba-tion

start ofanaesthesia

end ofsurgery

event

print

1. ECGII

1mV



time


HR/Pulse1/min

6467

636263

6362

NiBP mmHgSys/M/Dia

120/100/90123/103/88

120/100/90123/103/88128/107/93

120/100/90122/102/89

SpO2%

90 97

96 90 97

95 97

CO2Vol. %Fet

3537

313433

3537

PAW mbar peak/PEEP

32/3 31/3

33/3 31/3 30/3

32/3 31/3

Warning

SPO2

SPO2

!!!

!!!

MVL/min

6.4 6.3

6.2 6.1 6.0

6.4 6.3

Cpatml/mbar

1212

121212

1212

O2Vol. %Fi

2131

323133

3031

anaesth.agentFi

ENF1.41.4 1.21.21.1

ISO1.41.4

tempCT1

36.836.9

36.736.836.9

36.836.9


HR/Pulse (ECG)

0142

9094

0152

9094

"O

nly

for i

nter

nal u

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!"

The list may continue for several pages, so that it may benecessary to leaf through in order to locate a specificentry.

Return to previous page:

l Turn rotary control to select previous page andpress to confirm.

Continue to next page:

l Turn rotary control to select next page and confirm.

Define list entry:

l Select list entry with the rotary control and confirm.A menu appears for you to select at what times (fixedintervals) or events (warning, caution, NiBP measure-ment) list entries should be made.

In addition, this option is used to define the bloodpressure.

The list entries for the currently used screen can also bemodified later.

Deleting the list and trend memory:The trend memory and list are deleted together. They canonly be deleted in Standby mode. If the parameter boxis connected, the data in the parameter box will also bedeleted!

l Press the E key to switch over to standby mode. l Press the delete trend softkey.

The system asks you to confirm that you are sure youwant to delete the trend.

l Press the delete softkey to confirm.

To restore the unchanged screen without deleting,press do not delete.


38

deletetrend

config.

Switch on with E

Standby


02-12-97


PM 8060 Vitara

0102

9094

11:3400:00

01-10-96


intubation

start ofsurgery

positionchange

extuba-tion

start ofanaesthesia

end ofsurgery

event

print

1. ECGII

1mV



time


HR/Pulse1/min

6467

636263

6362

NiBP mmHgSys/M/Dia

120/100/90123/103/88

120/100/90123/103/88128/107/93

120/100/90122/102/89

SpO2%

90 97

96 90 97

95 97

CO2Vol. %Fet

3537

313433

3537

PAW mbar peak/PEEP

32/3 31/3

33/3 31/3 30/3

32/3 31/3

Warning

SPO2

SPO2

!!!

!!!

MVL/min

6.4 6.3

6.2 6.1 6.0

6.4 6.3

Cpatml/mbar

1212

121212

1212

O2Vol. %Fi

2131

323133

3031

anaesth.agentFi

ENF1.41.4 1.21.21.1

ISO1.41.4

tempCT1

36.836.9

36.736.836.9

36.836.9


HR/Pulse (ECG)

0152

9094

"O

nly

for i

nter

nal u

se b

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r. No

t app

licab

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stru

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!"

Trend screen with zoom function

This screen displays the histories of the followingmeasured values, in the form of value curves as afunction of time since the start of measurement:

NiBP, iBP 1, SpO2 and HR / RR

In the heart rate field (HR), the respiration rate (RR) isdisplayed on the same scale (cardio respirogram).

The values can be stored for a maximum of 8 hours.

The zoom function can be called up when the system hasbeen in operation for more than 30 minutes. A segmentof the time range can be enlarged (possibly severaltimes) with this function. The segment is identified by adashed border. The past is located on the left. Example:

l Turn rotary control - area changes.

l Press rotary control - the dashed area is extended tocover the full display width.

If the monitor has been in operation for a sufficientlylong period of time, a new dashed area appears andcan then be extended as described above.

The maximum has been reached when no additionaldashed frame appears.

Back to full trend:

l Press full trend in order to redisplay the completetrend.

39


10:3400:00


NiBP SpO2

HR/RRIBP 1200

100

0

100

60

80

200

100

0

11:00 12:00 13:00

Sys

MDia

Sys

MDia

200

100

0

11:00 12:00 13:00

1. ECG II

1mV

fulltrend

config.



HR/Pulse (ECG)

0162

9094

"O

nly

for i

nter

nal u

se b

y Dr

aege

r. No

t app

licab

le a

s In

stru

ctio

ns fo

r Use

!"

Limits

The display comprises the designation of the measuredvalue, the value actually measured on the patient (largenumerals) and the set upper and lowe

drager patient monitor pm8060 - user manual

Documents

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puls 65mmhg122