3404 Autocorr Plus Operation Manual Ver 4 Nov 2000

Table of Contents 

Autocorr Plus Operations Manual Warranty & Service Information ... iv Proprietary Notice ... iv WARRANTY... iv Limited Warranty... iv Disclaimer of Warranties... iv Conditions of Warranty ... iv Limitation of Remedies ... v Warranty Procedure... v CE Notice ... v Warnings, Cautions, and Notes ... vi Symbol Definitions... vi General Warnings ... vi Oximetry... vii ECG... vii Respiration ...viii Cautions...viii General Notes... ix ECG... x Oximetry... x



Chapter 1: Introduction

1-1

Intended Use: ...1-1

Chapter 2: Description of Measurements, Controls and Features

2-1

General Description ...2-1 Front Panel ...2-2 EL Display...2-3 Keys...2-4 Side Panel ...2-5 Rear Panel...2-6

Chapter 3: Setting Up the Monitor

3-1

Unpacking the Monitor and Checking the Shipment ...3-1 Turning High and Low Priority Alarm Tones On and Off ... 3-1 Working With Menus...3-2 Menu Structure...3-2 Freezing and Releasing Displayed Waveforms ...3-3 Working With System-Wide Settings ...3-4 Setup/Volume Menu...3-4 Turning Parameter Monitoring On and Off ...3-5 Adjusting Waveform Sweep Time, Size or Scales ...3-5 Adjusting the Line Filter Parameter ...3-5

Chapter 4: Alarms

4-1

High Priority Alarms...4-1 Low Priority Alarms...4-2 Working With the Alarms Menu...4-3 Adjusting or Viewing Alarm Limits ...4-3 Alarm Tones ...4-3 Turning Alarm Tones On and Off ...4-4 System Information Signal: Low Battery ...4-4 Permanent Silence...4-4 Autocorr Plus Operation Manual

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Table of Contents

Chapter 5: ECG

5-1

Theory of Operation ... 5-1 ECG Warnings, Cautions, & Notes... 5-1 Using the ECG Parameter... 5-2 Setting Up ECG Monitoring ... 5-2 Calibration Waveform ... 5-2 Attaching the Patient ... 5-3 ECG Display ... 5-5 ECG Menu ... 5-6 ECG Messages ... 5-7 Alarm Messages ... 5-7 Status Message ... 5-7

Chapter 6: Oximetry

6-1

General Description... 6-1 Pulse Oximetry Theory of Operation... 6-1 Oximeter Display... 6-2 Oximeter Menu ... 6-3 Adjusting the Pulse Beep Volume... 6-4 Adjusting or Viewing the Averaging Settings ... 6-4 Oximeter Messages... 6-5 High Priority Alarm Messages ... 6-5 Low Priority Alarm Messages ... 6-5 Messages ... 6-5 Attaching the Patient - Oximetry ... 6-6 Choose the Sensor... 6-6 Check Sensor Integrity... 6-6 Clean or Disinfect the Reusable Sensor ... 6-7 Attach the Sensor to the Patient ... 6-7 Finger Sensor for Adult or Pediatric Finger... 6-7

Chapter 7: Respiration

7-1

Theory of Operation ... 7-1 Using the Respiration Parameter... 7-1 Setting Up Respiration Monitoring ... 7-2 Attaching the Patient ... 7-2 Respiration Warnings, Cautions, and Notes ... 7-2 Respiration Display ... 7-4 Respiration Menu ... 7-5 Alarm Messages ... 7-5 Status Message ... 7-5

Chapter 8: Trends

8-1

Trends Menu ... 8-2

Chapter 9: Serial Output

9-1

Serial Out Menu ... 9-1 Serial Output Setup for RS-232 Connections ... 9-2 Serial Output Setup for Graphics Printer... 9-4 Nurse Call ... 9-6 Output Examples: ... 9-7 Patient Data ... 9-7 Trend Table Data... 9-8

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Autocorr Plus Operation Manual

Table of Contents

Chapter 10: Analog Output

10-1

Analog Out Menu ... 10-1

Chapter 11: Routine Maintenance

11-1

Operator’s Maintenance ... 11-1 Charging the Battery... 11-1 Cleaning and Disinfecting... 11-2 Long Term Storage... 11-2

Chapter 12: Troubleshooting Appendices

12-1 Appendix-1

Appendix A: Supplies and Accessories...Appendix-1 Appendix B: Specifications ...Appendix-2 Parameters Monitored ...Appendix-2 Graphics Display...Appendix-2 SpO2...Appendix-2 Pulse Strength ...Appendix-2 Pulse Rate ...Appendix-3 ECG...Appendix-3 Heart Rate (ECG) ...Appendix-3 Respiration ...Appendix-3 Alarms/Alerts/Indicators ...Appendix-4 I/O's ...Appendix-4 Optional Printer and Serial Interface ...Appendix-5 Trend Storage...Appendix-5 Sound Control ...Appendix-5 Brightness Control ...Appendix-5 Analog Outputs ...Appendix-5 Digital Alarm Output to Remote Sensing Location - Nurse Call ...Appendix-5 Power ...Appendix-6 Environment ...Appendix-6 Physical...Appendix-6 Display...Appendix-6 Keypad...Appendix-6 List of Standards Applicable...Appendix-7 Equipment Classification...Appendix-7 Calibration ...Appendix-7

Autocorr Plus Operation Manual

iii

Warranty & Service Information

Warranty & Service Information Proprietary Notice Information contained in this document is copyrighted by SIMS BCI, Inc. and may not be duplicated in full or part by any person without prior written approval of SIMS BCI, Inc. Its purpose is to provide the user with adequately detailed documentation to efficiently install, operate, maintain and order spare parts for the device supplied. Every effort has been made to keep the information contained in this document current and accurate as of the date of publication or revision. However, no guarantee is given or implied that the document is error free or that it is accurate with regard to any specification.

WARRANTY Limited Warranty Seller warrants to the original purchaser that the Product, not including accessories, shall be free from defects in materials and workmanship under normal use, if used in accordance with its labeling for two years from the date of shipment to the original purchaser. Seller warrants to the original purchaser that the reusable oximeter sensors supplied as accessories, shall be free from defects in materials and workmanship under normal use, if used in accordance with its labeling for one year from the date of shipment to the original purchaser (USA ). Disclaimer of Warranties THE FOREGOING EXPRESS WARRANTY, AS CONDITIONED AND LIMITED, IS IN LIEU OF AND EXCLUDES ALL OTHER WARRANTIES WHETHER EXPRESS OR IMPLIED, BY OPERATION OF LAW OR OTHERWISE, INCLUDING BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller disclaims responsibility for the suitability of the Product for any particular medical treatment or for any medical complications resulting from the use of the Product. This disclaimer is dictated by the many elements which are beyond Seller’s control, such as diagnosis of patient, conditions under which the Product may be used, handling of the Product after it leaves Seller’s possession, execution of recommended instructions for use and others. Conditions of Warranty This warranty is void if the Product has been altered, misused, damaged by neglect or accident, not properly maintained or recharged, or repaired by persons not authorized by Seller. Misuse includes, but is not limited to, use not in compliance with the labeling or use with accessories not manufactured by Seller. This warranty does not cover normal wear and tear and maintenance items.

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Autocorr Plus Operation Manual

CE Notice

Limitation of Remedies The original purchaser’s exclusive remedy shall be, at Seller’s sole option, the repair or replacement of the Product. THIS IS THE EXCLUSIVE REMEDY. In no event will Seller’s liability arising out of any cause whatsoever (whether such cause is based in contract, negligence, strict liability, tort or otherwise) exceed the price of the Product and in no event shall Seller be responsible for consequential, incidental or special damages of any kind or nature whatsoever, including but not limited to, lost business, revenues and profits. Warranty Procedure To obtain warranty service in the USA, you must request a Customer Service Report (CSR) number from Technical Service. Reference the CSR number when returning your Product, freight and insurance prepaid, to: SIMS BCI, Inc., N7 W22025 Johnson Road, Waukesha, WI 53186-1856. Telephone: 1-800-558-2345. Facsimile: 262-542-3325. Seller will not be responsible for unauthorized returns or for loss or damage to the Product during the return shipment. The repaired or replaced Product will be shipped, freight prepaid, to Purchaser.

CE Notice Marking by the symbol Directive 93/42/EEC.



0473 indicates compliance of this device to the Medical Device

Authorized Representative (as defined by the Medical Device Directive): SIMS Graseby Limited Colonial Way, Watford, Herts, UK, WD2 4LG

Autocorr Plus Operation Manual

Phone: (44) 1923 246434 Fax: (44) 1923 240273

v

Warnings, Cautions, and Notes



Warnings, Cautions, and Notes KEYWORD

DEFINITION

WARNING

Tells you about something that could hurt the patient or hurt the operator.

CAUTION

Tells you about something that could damage the monitor.

NOTE

Tells you other important information.

Symbol Definitions

 9

SYMBOL

!    

IPX1

  

DEFINITION Defibrillator-proof type CF equipment Type CF equipment Attention, consult accompanying documents Class II device Refer servicing to qualified service personnel Direct Current Output voltage Input voltage Drip Proof Printer output ALARM SILENCE Loudspeaker Use by

General Warnings WARNING: Federal law (USA) restricts the use or sale of this device by, or on the order of, a physician. WARNING: Do not use this device in the presence of flammable anesthetics. WARNING: Do not autoclave, ethylene oxide sterilize, or immerse in liquid. Unplug before cleaning or disinfecting. WARNING: ELECTRICAL SHOCK HAZARD when cover is removed. Do not remove covers. Refer servicing to qualified personnel. WARNING: Do not use this device in the presence of magnetic resonance imaging (MR or MRI) equipment. WARNING: Do not plug the monitor into an outlet controlled by a wall switch. WARNING: This device must be used in conjunction with clinical signs and symptoms. This device is only intended to be an adjunct in patient assessment.

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Autocorr Plus Operation Manual

Warnings, Cautions, and Notes

WARNING: In the event that earth ground integrity is lost, the performance of this device and/or other devices nearby may be affected due to excessive RF emissions. WARNING: When connecting this monitor to any instrument, verify proper operation before clinical use. Refer to the instrument’s user manual for full instructions. Accessory equipment connected to the monitor’s data interface must be certified according to the respective IEC standards, i.e., IEC 950 for data-processing equipment or IEC 601-1 for electromedical equipment. All combinations of equipment must be in compliance with IEC 601-1-1 systems requirements. Anyone connecting additional equipment to the signal input port or signal output port configures a medical system, and, therefore, is responsible that the system complies with the requirements of the system standard IEC601-1-1. WARNING: Where HF (diathermy) is used there is no danger of burning to the patient provided recommended components are used. Rate meters may be temporarily affected. WARNING: Equipment is protected against defibrillator discharge. Rate meters and displays may be temporally affected during defibrillation, but will rapidly recover. WARNING: Any monitor that has been dropped or damaged should be checked by qualified service personnel to insure proper operation prior to use. WARNING: This monitor will not operate effectively on patients who are experiencing convulsions or tremors. WARNING: This monitor is for use on Pediatric through Adult patients (ECG and Respiration). Pediatric is defined as full term infant, 29 days or older. Contact SIMS BCI, Inc. on future Neonatal uses. WARNING: Patient safety can be compromised by the use of a power supply not supplied by SIMS BCI, Inc. Use only the power supply included with your monitor, or approved by SIMS BCI, Inc. WARNING: This monitor is NOT for home use.

Oximetry WARNING: Use only SpO2 sensors supplied with, or specifically intended for use with, this device. WARNING: Prolonged use or the patient’s condition may require changing the sensor site periodically. Change sensor site and check skin integrity, circulatory status, and correct alignment at least every 4 hours. WARNING: When attaching SpO2 sensors with Microfoam® 1 tape, do not stretch the tape or attach the tape too tightly. Tape applied too tightly may cause inaccurate readings and blisters on the patient's skin (lack of skin respiration, not heat, causes the blisters).

ECG WARNING: PACEMAKER PATIENTS. Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon rate meter alarms. Keep pacemaker patients under close surveillance. See this manual for disclosure of the pacemaker pulse rejection capability of this instrument.

1 Microfoam® is a registered trademark of the 3M Company.

Autocorr Plus Operation Manual

vii

Warnings, Cautions, and Notes

WARNING: PACEMAKER PATIENTS: If PACE DETECT is not turned on when monitoring pacemaker patients the heart rate readouts derived from the ECG patient connections are likely to display erroneous high or erratic rates. Keep pacemaker patients under close surveillance. For pacemaker patients it may be advisable to select the SpO2 parameter as the primary heart rate source. WARNING: Connect only three-lead or five-lead ECG lead wires from the patient to the ECG patient cable. Do not connect any other signal source to the ECG patient cable. WARNING: False low heart rate indicators or false Asystole calls may result with certain pacemakers because of electrical overshoots. WARNING: Reliable monitoring of pacemaker patients can only occur with the pace detect on. WARNING: The pacemaker spike shape and size is not to be diagnostically interpreted. WARNING: Keep pacemaker patients under close observation. Rate detection in the software may continue to count the pacemaker rate during cardiac arrest and/or arrhythmia conditions. Therefore, do not rely solely on rate detection alarms. WARNING: Do not use line isolations transformers with this monitor. Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit heart rate alarms. WARNING: Electrodes of dissimilar metals should not be used.

Respiration WARNING: This monitor is not for apnea detection. The monitor has not been tested or validated for use in apnea detection. WARNING: The monitor may not detect all episodes of inadequate breathing.

Cautions CAUTION: Ensure the device’s AC rating is correct for the AC voltage at your installation site before using the monitor. The monitor’s AC rating is shown on the external power supply. If the rating is not correct, do not use the monitor, contact SIMS BCI, Inc. service department for help. CAUTION: Should the device become wet, wipe off all moisture and allow sufficient time for drying before operating. CAUTION: This device is intended for use by persons trained in professional health care. The operator must be thoroughly familiar with the information in this manual before using the monitor. CAUTION: Do not allow water or any other liquid to spill onto the monitor. Unplug the external power supply from the monitor before cleaning or disinfecting the monitor. CAUTION: Pressing front panel keys with sharp or pointed instruments may permanently damage the keypad. Press front panel keys only with your finger. CAUTION: Do not disassemble unit. This unit is not user serviceable. Refer to qualified service personnel. CAUTION: Ensure conductive parts including electrodes of the patient cable do not come into contact with any conductive surfaces or earth parts.

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Autocorr Plus Operation Manual

Warnings, Cautions, and Notes

CAUTION: It is the operator’s responsibility to set alarm limits appropriately for each individual patient. CAUTION: If the accuracy of any measurement is in question, check the patient’s vital sign(s) by an alternative method and then check the monitor for proper functioning. CAUTION: The monitor should be operated from its internal power source (if fitted) if the integrity of the protective earth conductor is in doubt. CAUTION: Follow local governing ordinances and recycling instructions regarding disposal and recycling of device components. CAUTION: The monitor contains a 1.5 hour lead-acid battery. If the battery fails to hold a charge or otherwise becomes inoperable, the battery should be replaced and the old battery should be disposed of properly. Lead-acid batteries should not be disposed of in normal trash containers. They should be sent to the proper facilities so that the metals in them may be reclaimed and/or recycled. Lead-acid battery: In the US, 1-800-822-8837 will provide information about the proper disposal of the lead-acid battery. Regulations in Europe vary from country to country. Consult local authorities for information about proper disposal. SIMS BCI, Inc. cannot dispose of monitor batteries.

General Notes NOTE: Operation of this device may be adversely affected in the presence of strong EM or RF sources, such as electrosurgery equipment. NOTE: Operation of this device may be adversely affected in the presence of computed tomograph (CT) equipment. NOTE: The monitor is protected against damage from defibrillator, diathermy, and electrocautery discharge. NOTE: All user and patient accessible materials are non-toxic. NOTE: Hazards arising from software errors have been minimized. Hazard analysis was performed to meet EN1441: 1997. NOTE: Each input and output connection of the monitor is electrically isolated. Connection of this monitor to other equipment will not increase leakage current. NOTE: Performance and safety test data is available upon request. NOTE: Respiration feature can not be enabled when monitoring lead III, with a 3-lead setup. NOTE: If menus are shown and you do not press a menu key for 20 seconds, the waveform display will return, excluding the analog out menu, and any current menu selections will be accepted. NOTE: The battery is intended to be used in backup situations only. Battery life will decrease prematurely if not properly utilized. The monitor should be used with AC power as often as possible.

Autocorr Plus Operation Manual

ix

Warnings, Cautions, and Notes

ECG NOTE: Follow institutional standards when applying ECG electrodes. Silver/Silver Chloride disposable electrodes are strongly recommended to avoid polarization effects that result in large input offset potentials. Use of “squeeze bulb” type electrodes is not recommended. NOTE: Use only standard AAMI three-lead or five-lead ECG cables. NOTE: The ECG/Respiration patient circuit is electrically isolated.

Oximetry NOTE: Dyes introduced into the bloodstream, such as methylene blue, indocyanine green, indigo carmine, and fluorescein, may cause an inability to determine accurate SpO2 readings. NOTE: Any condition that restricts blood flow, such as use of a blood pressure cuff or extremes in systemic vascular resistance, may cause an inability to determine accurate pulse and SpO2 readings. NOTE: Significant levels of dysfunctional hemoglobins, such as carboxyhemoglobin or methemoglobin, will affect the accuracy of the SpO2 measurement. NOTE: SpO2 measurements may be adversely affected in the presence of high ambient light. If necessary, shield the sensor area (with a surgical towel, for example). NOTE: Optical cross-talk can occur when two or more sensors are placed in close proximity. It can be eliminated by covering each site with an opaque material. NOTE: The low SpO2 alarm limit minimum test value is 80. If an operator changes the low SpO2 alarm limit to a value less than 80, and a power down - power up sequence takes place, a minimum value of 85 takes the place of the operator entered value. NOTE: Remove fingernail polish or false fingernails before applying SpO2 sensors. Fingernail polish or false fingernails may cause inaccurate SpO2 readings.

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Autocorr Plus Operation Manual

Chapter 1: Introduction

Chapter 1: Introduction Intended Use: 

The SIMS BCI 3404 Autocorr Plus is a low cost portable Oximetry, ECG, and Impedance Respiration monitor. It noninvasively and continuously monitors and displays arterial blood oxygen saturation of arterial hemoglobin (SpO2), pulse rate, respiration rate, plethysmogram and ECG waveforms. It may be used in the hospital or clinical environment, and during emergency land transport. The oximetry feature works with all SIMS BCI oximetry sensors, providing SpO2 and pulse rate on all patients from pediatric to adult. The SIMS BCI 3404  Autocorr Plus permits continuous patient monitoring with adjustable alarm limits for oximetry and ECG, as well as visible and audible alarm signals.  The SIMS BCI 3404 Autocorr Plus is NOT intended for home use. The monitor was not designed or tested to be an apnea monitor, and contains no respiration rate alarms. The ECG  and Respiration options of the Autocorr Plus, are NOT intended for neonatal use.

Autocorr Plus Operation Manual

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Chapter 2: Description of Measurements, Controls and Features

Chapter 2: Description of Measurements, Controls and Features General Description

FIGURE 2.1: GENERAL DESCRIPTION

Parameters:

The Autocorr Plus ECG/Oximeter is an Oximetry, ECG, and Impedance Respiration monitor. Alarm limits can be set on all monitored parameters except respiration.

ECG:

The monitor continuously measures and displays an ECG waveform. Either 3 or 5 lead monitoring may be selected. The monitor beeps with each heart beat. The volume of the heart beat is adjustable.

Oximeter:

The monitor continuously measures and displays arterial blood oxygen saturation (SpO2) and pulse rate (HR). Oximetry includes the display of a plethysmogram and a pulse strength bar. The monitor beeps with each pulse beat. The volume of the pulse beep is adjustable. The pitch of the pulse beep varies with the SpO2 value. A variety of disposable and reusable sensors are available for monitoring pediatric to adult patients.

Respiration:

The monitor also supports impedance respiration measurement. The respiration monitor does not have alarms and is not for apnea detection.

NOTE: The ECG monitor must be turned on to use this feature.

Audio:

Autocorr Plus Operation Manual

The monitor uses a multi-frequency speaker for beeps and alarm sounds. Volumes are adjustable.

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Chapter 2: Description of Measurements, Controls and Features

Serial Output:

An RS-232C interface allows serial output of text data to either a PC or a compatible serial printer. Waveforms may be output only if the monitor is attached to an optional SIMS BCI graphics printer.

Analog Outputs:

There are two analog channels with user-selectable outputs of waveform or parameter data, or calibration signals.

Power:

The Autocorr Plus operates on power from an external power supply. In addition, the monitor contains an internal lead acid battery which will allow operation for approximately 1.5 hours.

Front Panel

% SpO2

I I

BPM

FIGURE 2.2: FRONT PANEL

➊ EL Panel

➋ Display LED’s

The electroluminescent display (EL) provides continuous, real-time updates of one or two waveforms or measurement trends, the respiration rate and alarm messages. The display also shows menus and the pulse strength bar. The display LED’s provide continuous, real-time updates of oximetry values: % SpO2 and pulse rate (❤BPM). If the ❤ %30 source is set to (&* in the 6(78392/80( menu, the display LED for ❤BPM will show a heart rate value.

➌ Charge LED(green) Is on steady while external power is applied and battery is fully charged. If there is no external power, then this LED is off.

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Autocorr Plus Operation Manual

Chapter 2: Description of Measurements, Controls and Features

➍ HIGH PRIORITY ALARM LED (red) This ALARM indicator flashes twice a second during patient alarms.

➎ LOW PRIORITY ALARM LED (yellow) This ALARM indicator turns on and remains lit, during a system low priority alarm.

➏ Keys

The front panel keys control the monitor's functions. Dedicated keys are provided for turning the monitor on and off, silencing alarm tones, selecting waveforms or trends, and selecting menus.

EL Display

4

2

5

6

I I

3

1

FIGURE 2.3: EL DISPLAY

➊ Pulse Bargraph The pulse signal strength is displayed here on a 10 segment bargraph. ➋ Message Area

Messages for alarms and system information are displayed here on two lines. If more than one message must be displayed on the same line, then they alternate once per second.

➌ Waveforms Trends, Menus One or two waveforms are displayed here. A trend graph or a menu can be displayed in place of waveforms.

➍ Alarm Silence Indicator Flashes during two-minute ALARM SILENCE. Stays on steady during indefinite ALARM SILENCE. If alarms are not silenced the indicator stays on steady and appears without the slash.

Autocorr Plus Operation Manual

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Chapter 2: Description of Measurements, Controls and Features

➎ ECG Heart Rate Indicator This indicator is displayed next to the respiration rate label. The indicator blinks with each heart beat.

➏ Respiration Parameter If the respiration monitor is in use, a RR reading is displayed in this area.

Keys 3

5

2

4

1

➊

➋



)

FIGURE 2.4: KEYS

STANDBY/ON



Pressing the key switches the monitor between ON (monitoring a patient) and STANDBY (monitor off, but power is applied if the green indicator is lit.).

WAVE/TREND This key controls the waveform area display. Press this key to display the ECG wave by itself, the plethysmogram by itself, or both ECG and the oximeter's plethysmogram, cascade ECG, or a trend. Press the key while menus are displayed for a quick menu exit. The waveform or trend previously displayed will replace the menu.

)

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Autocorr Plus Operation Manual

Chapter 2: Description of Measurements, Controls and Features

➌

 ALARM SILENCE



Pressing the key disables the audible alarm tone for two minutes. (The ALARM SILENCE indicator on the EL display flashes.) Pressing and holding this key for about three seconds disables the alarm tone indefinitely. The ALARM SILENCE indicator on the EL Display is lit and not flashing. The indicator appears with a slash through it. Pressing this key momentarily cancels either ALARM SILENCE condition. The monitor defaults to a two minute ALARM SILENCE at power up.

➍

* MENU/ENTER

Press this key to display the list of menus. While menus are displayed, ) keys to select a menu item. Press the press the ARROW ( to accept a value that has been selected.

➎

*

76

7 6 ARROWS

76

If a Menu is displayed, press the UP/DOWN ARROW ( ) keys to move among menu items or to adjust the value of a selected item. If ) keys cycle between a trend is displayed, the ARROW ( trended parameters.

76

Side Panel

1

2

FIGURE 2.5: SIDE PANEL

➊ ECG Connector The ECG/Respiration cable is connected here. ➋ SpO2 Connector The oximetry sensor patient cable is connected here.

Autocorr Plus Operation Manual

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Chapter 2: Description of Measurements, Controls and Features

Rear Panel 1

2

FIGURE 2.6: REAR PANEL

➊ Power Input

The external power supply attaches to this connector. 1617

Charger, AC 110V, 50/60 Hz

1618

Charger, AC 230V, 50/60 Hz

1619

Charger, AC 100V, 50/60 Hz

➋ Digital/ Analog Outputs An external RS-232C communication device can be connected to the monitor through this port. Use printer cable (catalog #3371) to attach to a printer or cable (catalog #3365) to attach to a computer’s serial port. Analog signals representing ECG waveform, plethysmogram, pulse rate, respiration rate, and SpO2 are routed to this connector for use with chart recorders and similar devices. CAUTION: Ensure the device’s AC rating is correct for the AC voltage at your installation site before using the monitor. The monitor’s AC rating is shown on the external power supply. If the rating is not correct, do not use the monitor, contact SIMS BCI, Inc. service department for help.

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Autocorr Plus Operation Manual

Chapter 3: Setting Up the Monitor

Chapter 3: Setting Up the Monitor Unpacking the Monitor and Checking the Shipment Carefully remove the monitor and accessories from the shipping carton. Save the packing materials in case the monitor or accessories must be shipped or stored. Compare the packing list with the accessories received to make sure the shipment is complete.

Turning High and Low Priority Alarm Tones On and Off When the monitor is turned on, the alarm tones are silenced for two minutes. The ALARM SILENCE indicator ( ) on the EL Display flashes during the two minute time-out. •

To silence the alarm tones indefinitely, press and hold the the ALARM SILENCE indicator ( ) lights steady.

 key for about three seconds,

NOTE: To comply with government requirements for patient monitoring, the indefinite alarm tone silence feature may not be available in monitors shipped to your country.



•

To silence the alarm tones for two minutes, momentarily press the key, the ALARM key twice (the SILENCE indicator ( ) flashes. If tones are already silenced, press the first press cancels ALARM SILENCE, the second press silences the alarms for two minutes).

•

To cancel either two minute or indefinite ALARM SILENCE and enable alarm tones, key, the ALARM SILENCE indicator lights steady ( ) and the momentarily press the slash is removed.

Autocorr Plus Operation Manual





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Chapter 3: Setting Up the Monitor

Working With Menus Menu Structure Freeze Wave Alarm Limits Set SpO2 High and Low Alarms Set Pulse Rate High and Low Alarms

Setup/Volume Select Waveform Sweep Speed Select BPM Source Adjust Alarm Volume Adjust Pulse Volume

ECG Select Lead Select Size Enable/Disable Pace Detect Select Number of Leads Enable/Disable ECG Monitor Function

Oximeter Select Averaging Disable/Enable Oximetry Function

Respiration Select Lead Select Sensitivity Enable/Disable Respiration Monitor Function

Trends Select Display Time Select Trend Display Scales for Each Parameter Clear Trend Memory

Analog Out Assign Data/Waveform Output to Each of 2 Channels Assign 1V Cal Signal Assign 0V Cal Signal

Serial Out Start/Stop Serial Output Enable/Disable Nurse Call Select Data Format Select Printer Type Select Print Interval or Duration Select Sweep Speed

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Autocorr Plus Operation Manual