User Manual: Shenzhen Biocare Bio-Medical Equipment Co., LTD
User Manual: Shenzhen Biocare Bio-Medical Equipment Co., LTD
User Manual: Shenzhen Biocare Bio-Medical Equipment Co., LTD
Veterinary Monitor
Model: PM-900
20537 Hamburg
GERMANY
Website: http://www.biocare.com.cn
Content
Content
Preface ...................................................................................................................................................................... 1
Chapter 2 Overview............................................................................................................................................... 11
2.1 Brief Introduction .......................................................................................................................................... 11
2.1.1 Applicability .......................................................................................................................................... 11
2.1.2 Contraindications ................................................................................................................................... 11
2.2 Configuration Composition ........................................................................................................................... 11
2.3 Faceplate ....................................................................................................................................................... 12
2.3.1 Front View ............................................................................................................................................. 12
2.3.2 Side View .............................................................................................................................................. 14
2.3.3 Back View ............................................................................................................................................. 15
2.4 Modules......................................................................................................................................................... 16
2.5 Screen Display .............................................................................................................................................. 16
2.5.1 Main Interface........................................................................................................................................ 16
2.5.2 Interface Explanation ............................................................................................................................. 16
2.6 Shortcut Key ................................................................................................................................................. 20
E.1 Guidance and manufacture’s declaration-electromagnetic emissions for all EQUIPMENT and SYSTEMS
........................................................................................................................................................................... 165
E.2 Guidance and manufacture’s declaration-electromagnetic immunity for all EQUIPMENT and SYSTEMS
........................................................................................................................................................................... 165
E.4 Recommended separation distance between portable and mobile RF communications equipment and the
EQUIPMENT or SYSTEM for EQUIPMENT or SYSTEM that are not LIFE-SUPPORTING ...................... 168
Preface
Thank you for using the veterinary monitor produced by our company.
In order to help you master the operation on this series of monitors as soon as possible, an user manual (the
current manual) has been attached to this series of products. It is strongly recommended you read it before you
install and use the product for the first time.
For performance and reliability improvements, some alternations will be made to the equipment (including the
hardware and software) by the manufacturer at times. On that occasion, although some information will be altered
or added, there is still a possibility of mismatch between the description in the manual and the product. Thank you
for understanding. For any error and omission in the manual, your notification is welcomed.
Manual Abstract
[Main composition and performance]
This series of monitors are mainly composed of a host processor and other corresponding functional accessories
(including electrocardiograph (ECG) lead cables, blood pressure cuffs and catheters, invasive pressure monitoring
sensors (optional modules), blood oxygen probes, body temperature probes, and EtCO2 measurement components
(optional modules).
[Scope of application]
This series of monitors application is for monitoring animals‘ electrocardiogram, respiration, pulse rate, heart rate,
pulse oxygen saturation, body temperature, non-invasive blood pressure, invasive blood pressure (optional) and
EtCO2 (optional) in a medical therapy unit.
This section will tell you what operative procedures should be paid close attention to, how to avoid abnormal
operation, and what possible detrimental risks might occur to this series of monitors or animal when you use this
series of monitors.
The company‘s Imperatives: please read the manual thoroughly before using this series of monitors, and perform
the operative procedures according to the instructions described in it; The company won‘t take any safe, reliable
or performance guarantee responsibility for abnormal monitor phenomena or animal body injures caused by
violation of the requirements concerning monitor application or maintenance indicated in this section and the user
manual, nor offer free maintenance for such breakdowns. Once again, the company reminds you to read the
contents of the current section and the manual before use.
For animals <10 kg and animals >20 kg model is prohibited for blood pressure measurement. Or,
the pressure may cause limb injuries, or even limb necrosis.
This series of monitors can only be used for one animal at a time.
Customer required reading blood pressure monitoring is prohibited for animals with a serious
hemorrhage tendency or sickle cells. Or, local hemorrhage may occur.
A cuff is prohibited for an infused or intubated limb or an area with local skin injuries. Or, it may lead
to limb injuries.
Continuous use of the ear-clamping or tongue-clamping pulse oxygen sensor may cause discomfort
or a pressure pain, especially for animals with microcirculation disturbance. No more than two-hour
clamping for the tongue.
More careful inspection of the pulse oxygen sensor measurement site should be done for animals
with special needs. The sensor cannot be placed on edematous or fragile tissues.
This series of monitors must be well grounded in order to prevent possible electrical danger as well
as to secure a good ECG signal quality.
Although all animal contact parts of this series of monitors have been approved by bio-compatibility
tests, some individuals may still have allergies to monitors parts. The application of this series of
monitors must be stopped for animals that have allergies to monitors.
All measurement cords and plastic tubes should be kept away from the animal’s neck in order to
avoid asphyxia caused by neck winding.
Accessories cannot be replaced indiscriminately. When accessory replacement is necessary, an
accessory of the same type provided by the manufacturer or approved for this series of monitors
should be used. Only the accessories from the same manufacturer and of the same type can be
used for accessory replacement. Or, adverse consequences of safety and bio-compatibility may
occur.
Do not open the pulse oxygen sensor and look directly at the light device (as the infrared light can’t
be detected by eyes). The warning also applies to maintenance persons. The light may harm to your
eyes.
If this series of monitors falls accidentally, its use must be stopped. Only after safety and technical
index tests prove this series of monitors is still operational, it can go on to being used.
When blood pressure is measured, the manual mode is recommended by the manufacturer. If the
automated or continuous model is selected, a qualified observer should be present.
For animals with pacemakers, heart rate meter may be in asystole or arrhythmia the pacemaker
pulse count. Do not rely solely on heart rate alarm. Should be closely monitoring animals with
pacemaker.
Do not modify this series of equipments without authorization of the manufacturer. If this series of
equipments are modified, appropriate inspection and testing must be conducted to ensure
continued safe use of the equipment.
Please read clinical limitations and contraindication information carefully.
Explanation: instructions or explanations are provided for better use of this series of product.
Attention: important information and prompts are included, which may lead to slight bodily injuries or
breakdowns of the product if you do not follow them.
Attention
For the sake of safety as well as more effective use of this series of monitors, please read the user
manual carefully to thoroughly know the correct operative method.
Warning
This series of monitors must be placed on a smooth and flat worktable. Strong vibration or impact
should be avoided when being moved. Please check the device, connection wires and accessories
before use to be sure that they work normally and safely.
Make sure that the frequency and voltage of the A.C. power source satisfies the requirements, and
has enough capacity. This series of monitors can only be connected to an outlet with a grounding
wire. If the outlet is not connected to a grounding wire, please use the battery for power supply
instead of the outlet.
Make sure that the room has a good power supply system and a good ground circuit, or, injuries
may occur to the animal.
The electrodes and their connectors as well as the accessories should not have contact with other
conductoring wires including the ground.
Do not open the outer shell of the device, or, electric shock may occur. The maintenance and
upgrading of this series of monitors can only be performed by the maintenance persons trained or
authorized by the company.
When there is a doubt about the integrity of the grounding wire, the battery (DC power) in the
machine should be used.
Do not touch the animal or the hospital bed when this series of monitors and a cardiac defibrillator
are being used. All electrodes connected and unconnected to the animal, as well as the animal
himself, need not be grounded. For the protection from the defibrillator discharge procedure, please
use the cable provided by the company. This series of monitors are not recommended to be
concurrently used with other electrical stimulators. If this is necessary, it should be done under
direct guidance of specialized technicians.
Be cautious when the animal is connected with more than one instrument, because the total leak
current may be harmful to the animal. Devices in compliance with the standard of IEC60601-1 are
allowed to be connected to this instrument, and the total leak current should be measured by the
users to determine that if it meets the requirement and can be used after connection.
The signal input/output ports (when needed to use) are only permitted to be connected with devices
which compliance with the standard of IEC 60601-1 when used within the animal environment, and
compliance with the standard of other IEC or ISO standard when used outside the animal
environment, the composition of the system should comply with the requirements of IEC 60601-1-1.
In order to prevent burns, a high frequency electrosurgical should be kept far away from the
electrodes. The electrical resistance between the electrosurgical and the animal’s body should be
as small as possible and great caution should be used.
The alarm sound volume and limits should be set up according to the animal’s actual status.
Veterinary monitoring cannot only depend on the sound alarm system. When the sound volume is
tuned down to the minimum, it may place the animal in danger. Therefore, close attention should be
paid to the animal’s actual clinical status.
The physiological waveform, physiological parameters and alarm information displayed by this
series of monitors can only be used as reference by the physician. They cannot be directly used as
the basis for clinical treatment.
If there are any anomalies during use, please turn off this series of monitors immediately for
examination.
Please place the power source and all types of accessory electric cables carefully, in case of they
entangle the animal; the winding may even cause the animal’s asphyxia, and electrical disturbance
between them.
Handling of the packing materials should follow the associated local regulations, or the hospital
waste treatment rules. The packing materials should be placed out of reach of children.
Explanation
For the sake of the animal’s safety, please use the accessories specified in the user manual.
When the device and its accessories are nearing the expiration date for use, they should be
disposed of according to associated local regulations or hospital rules.
Electromagnetic fields can influence the performance of this series of monitors. Therefore, any
device used nearby should meet the corresponding EMC requirement. A mobile telephone, X rays
and MRI equipment are all likely to be an interference source as they can emit high-intensity
electromagnetic radiation.
Before the power source is switched on, please be sure that the voltage and frequency satisfy the
requirements indicated on the label attached to the device or in the user manual.
Please install or carry the device appropriately to avoid device damage caused by falls, collision,
strong vibration and other external mechanical forces.
The device and its accessories should be checked and calibrated regularly, or, the technical
specifications in the user manual may not be obtained.
Attention
Please install the device at a place where the observation, manipulation and maintenance of the
device is convenient.
Please put the user manual near the device for convenient and quick reference when necessary.
It should not to position the equipment so that it is difficult to operate the disconnection device from
the supply mains.
The software of this device is developed according to the IEC60601-1-4 standards, which has
minimized the possibility of the risks caused by programming errors.
The user manual introduces the product according to its most complete configurations. Therefore,
your purchased product may lack some configurations or corresponding functions.
Service Life
The service life for this series of monitors is five years. After the service life, this series of monitors and its
accessories should be disposed of according to the associated laws and regulations. If you have any question
about their handling, please contact the manufacturer or the agency.
Operation Instructions
For the sake of continuously safe use of this series of monitors, please operate this series of monitors
according to the instructions. However, these operation instructions can by no means substitute for the
accepted medical practical experience in animal nursing.
Data Loss
This series of monitors have the possibility of data loss at any time. Before this series of monitors return to
normal, please monitor the animal closely, or use other equipment. If the monitor cannot return to normal
within 60 seconds, please turn off the power and restart the monitor. After the monitor returns to normal,
please check its monitoring status and alarm functions.
Other Identifications
Table 1.1 Identification Explanation
Attention: please refer to the attached device files. Turn on/Shut down
Chapter 2 Overview
This series of monitors can be used in monitoring or measuring the electrocardiogram (ECG), non-invasive blood
pressure (NIBP), body temperature (Temp), respiration (Resp), EtCO2 (optional) and invasive blood pressure (IBP)
(optional) for a single animal. The monitoring data can be displayed, reviewed, stored and sent to another device.
This series of monitors are expected to be used in a highly-efficient sensitive nursing environment, including (but
not restricted to) operating room monitoring, post- recovery, critical care, operative intensive care, respiratory
intensive care, cardiac care, pharmacodynamic intensive care, etc.
Warning
This series of monitors require use by specialized clinicians or under their guidance. The monitor
user must have received sufficient associated training. Any unauthorized or untrained person is
prohibited from operating the monitor.
2.1.2 Contraindications
None
mean blood pressures), invasive blood pressure (Art, PA, LAP, RAP, ICP, CVP and P1/P2, optional) and end
expiration CO2 (EtCO2)/airway respiratory rate (awRR) (optional).
2.3 Faceplate
2.3.1 Front View
1. Handle
Hidden Handle
2. Physiological Alarm Indicator Lamp
Red with a high flicker frequency: a high-level alarm.
Yellow with a low flicker frequency: a middle-level alarm.
Constantly yellow without flicker: a low-level alarm.
Blind: no physiological alarm.
3. Display Screen
4. Power Switch
Turn on: press this button to start the monitor after A.C. power connection.
Shut down: press this button to shut down the working monitor (the shut-down time lag depends upon
the manufacturer‘s preset).
5. Battery Power Indicator Lamp
Press this button to pause an alarm. will be displayed in the information region. Press it again to restore
the alarm.
9. Freezing Button
Press this button to freeze the waveform on the screen under a failure-free operation mode. Press it again to
release the frozen waveform.
Figure 2.2 Left Side View of Monitor Figure 2.3 Right Side View of Monitor
For the convenience of operation, different interfaces are placed on different sections of the monitor.
The recorder (optional) is installed internally on the left side of the monitor, as shown in Figure 2.2
The cable and probe insertion points are placed on the right side of the monitor, as shown in Figure 2.3
1. Recorder (optional)
2. IBP1, IBP2 (optional)—invasive blood pressure interface.
3. SpO2— blood oxygen saturation probe interface.
4. ECG— electrocardiograph lead interface.
5. T1, T2—body temperature probe interface.
6. NIBP— non-invasive blood pressure interface.
7. CO2—CO2 sensor socket (optional).
The back faceplate contains the following insertions (as shown in Figure 2.4):
1 Ventilator /
For online software upgrading, and export data through USB
2 —USB interface connection.
2.4 Modules
This series of monitors support the following modules:
Standard parameter modules: ECG, Resp, SpO2, Temp and NIBP.
IBP modules (optional): the monitor supports two-channel IBP measurement.
CO2 modules (optional): the monitor supports the products of Respironics and Kingst.
Measurement methods include primary flow (outlayed) and by flow (inlayed or outlayed).
This series of monitors use a colorful high-resolution TFT liquid crystal display screen, which can show the
animal‘s physical parameters and waveform information. Figure 2.5 shows its standard interface under a normal
monitoring condition.
be shown ; if [No] is selected, the information will not show; [No] is defaulted by this series of
monitors.
Alarm State Graphical Presentation Region
Alarm pausing, alarm silencing, alarm sound off, some parameter alarm off.
Technical Alarm Region
Technical alarms and prompt information are shown in this region. When there are several pieces of
information, they will be displayed in a cycle. When this region is selected, the menu of [Technical Alarm
View] can be opened for checking information.
Physiological Alarm Region
When the animal‘s parameters go beyond the range of the alarm limits preset in the monitor, alarm and
prompt information will be displayed in this region. Several pieces of information will be displayed in a
cycle. When this region is selected, the menu of [Review] can be entered.
Waveform Region
Physiological parameter waveforms are displayed in this region.
The lead names are displayed at the left top of their corresponding waveforms. An electrocardio-wave
displays the waveform gain and the electrocardio-wave filtering mode in its channel. To the right of the lead
name, the gain rule strip is displayed. The respiratory waveform gain is displayed on the right of the
respiration lead name. A window can pop up from the waveform region for menu operation.
Data Region
Menu region
Four shortcut keys are defaulted at the bottom of the screen: [Main Menu], [Alarm Setup], [Admit Animal]
and [Audio Setup] (User can define the other 3 shortcut buttons in the shortcut region, in reference to the
content of shortcut key in Section 2.6).
3.1 Installation
Warning
When this series of monitors are connected with other electric equipment for specific functional
combinations, if safety cannot be assured based on their separate specifications, please contact the
manufacturer or specialized experts in the hospital to secure that the necessary safety of any
equipment in the combination won’t be damaged.
1. Unpack the packing box, take out the monitor and accessories carefully, and put or install the monitor in a
safe, stable and easily observable place.
2. Open the attached packing list, and count the accessories according to the inventory listed on it:
Check whether there is any mechanical damage.
Check all the leads, and insert some of them into accessories.
Attention
Please keep the packing box and materials in case later transportation or storage is needed.
If you find any problem, please contact the vendor or the company.
Warning
Please keep the packing box and materials out of reach of children in case of asphyxia. In handling
of the packing materials, you must observe the local laws and regulations or the hospital’s
stipulations on waste management.
1. Avoid exposing the monitor to direct sunlight: avoid excessive temperature in the machine.
2. The monitor should not be operated in the atmosphere of noxious or easily flammable gas.
3. The monitor should be installed on a table stand in case of vibration.
4. The monitor should not be concurrently used with other equipment which is not included in the user manual.
5. Avoid water contact; avoid using the monitor at places with excessive air pressure, humidity or temperature
beyond the stipulated standard, poor ventilation, excessive dust content, sulfur-, salt- or alkali-containing air,
or chemicals.
6. Avoid keeping the monitor at chemical-storage places or places with a gas leakage risk.
7. The voltage and frequency of the supplied power source must satisfy the identifications indicated in the
manual, and the power source must have sufficient electric capacity.
8. Place the monitor in a room with good facilities (such as the grounding facility).
User Manual of Veterinary Monitor --21--
Chapter 3 Basic Operation
1. Operating temperature: 0 ℃~40 ℃ (32 ℉~104 ℉). (If the machine includes CO2 module, the operating
temperature is 5 ℃~40 ℃ (41 ℉~104 ℉)).
2. Operating humidity: 15%~80%, non-refrigerated.
3. Atmospheric pressure: 442.5 mmHg~805.5 mmHg (59 kPa~107.4 kPa).
4. Power source: AC 100 V~240 V, 50 Hz/60 Hz, frequency allowance ±1Hz; DC 14.8 V, 4.4 Ah.
Attention
If the Monitor got condensation problem because of transfer from one place to another which lead to
temperature difference; or if the Monitor got moisture problem, you should wait until the
condensation or moisture problem disappears before using it again. If the Monitor works abnormal
still, stop using it and contact your dealer or our company immediately.
Warning
Please insure that the monitor is operated and stored in the required environment. Or, the technical
specifications described in the manual may not be reached, or unanticipated consequences such as
monitor damage may be caused.
Please check the monitor and associated module states before A.C. power connection.
A.C. power connection procedures:
Be sure that the current A.C. power satisfies the following specifications: AC 100V~240V, 50 Hz/60 Hz.
Use the power cord supplied with the monitor; insert one end of the cord into the power interface on the
monitor, and the other end into a single-phase outlet with protective grounding.
Use the specialized grounding wire supplied with the monitor to connect the monitor to the protective ground
terminals.
Special attention: insure that the monitor has normal grounding.
Attention
In order to use battery power, the batteries have to be charged after monitor transportation or
storage. To turn on the monitor without an A.C. power connection, the monitor may not work
normally due to insufficient power supplied by the batteries.
This series of monitors are not suitable for connecting to CISPR11 provisions of public power.
3.2.2 Turn On
After the power source is switched on, after system self-examination the monitor enters the original monitoring
interface. Then, the user can perform operations.
Check all monitoring functions to be sure that they are normal.
If batteries are equipped, charge the batteries after each time of use to insure that it has sufficient electric
charge.
Attention
If the monitor displays evidence of damage or an error prompt, stop using the monitor for veterinary
monitoring. Please contact the vendor or the company.
The interval between restarts should be more than 1 minute. Or, abnormal operation may be
caused.
Connect the needed sensor to the monitor and the monitored body part of the animal.
Please refer to the associated sections in Chapter IV for more detailed information on sensor connection methods
and requirements.
If this series of monitors have an internal recorder on the right side, check whether there is paper in the outlet.
Please refer to Chapter 10 for recording information.
3.3 Monitoring
1. Decide what functions should be monitored or measured.
2. Install the required modules, animal cables and sensors.
3. Check whether the animal cables and sensors are the correct ones or not.
4. Check whether the monitor has been accurately set up.
5. Please refer to corresponding chapters and sections for various function measurements and monitoring.
Attention
A forced shutdown when normal shutdown cannot work or equipment power fails under special
conditions may lead to monitoring data loss. Therefore, a forced shutdown is not recommended in
normal circumstances.
Whether the lead cable, cable, sensor or external add-in equipment has been well connected to the module.
Whether there is the prompt that the associated parameter has not been turned on in the prompt region at the
bottom of the screen. If there is such a prompt, please enter [Screen Setup] for the associated parameter and
waveform setup.
Attention
The most waveform of Standard Screen Layout Setup for monitor is eight.
Select the Main Menu Shortcut key on the screen, or press the Main Menu pushbutton on the monitor to
open the main menu, as shown in Figure 3.4:
Select [Main Menu] – [Maintenance] – [User Maintain>>], and input the user maintenance password to set-up the
monitor. Set up the hospital information, unit, time, alarm, network, default administration, CO2 module
maintenance and other information. Please refer to User Maintain in section 14.6 for detailed explanation.
Select [Main Menu] – [System] – [Screen Setup], or press directly to enter the screen setup. Select [Interface
Type]: Standard, Minitrends, BigNumerics, OxyCRG, View Other Bed, 7 lead half and 7 lead full. Please refer to
User Interface in Chapter 5 for detailed information.
Select [Main Menu] – [System] – [Screen Setup], or press to enter the screen setup directly. Select [Screen
Brightness]: 1 – 10.
Select [Main Menu] – [Maintenance] – [User Maintain>>] – [Time Setup] to set up the year, month, day, hour,
minute and second. After setup, press [Storage Time] to store the set time.
Attention
Alterations in date and time may lead to animal data and events data lost.
Alarm Volume
Select the [Audio Setup] Shortcut key, or [Main Menu] – [Alarm Setup] – [Global] to set [Alarm volume]: X
– 10. X is the minimal volume (it depends on the preset minimal sound volume in the alarm configuration),
and 10 is the maximum sound volume.
Key Set Sound Volume
Select the [Audio Setup] shortcut key, or [Main Menu] – [System] – [Screen Setup], or press the screen to
enter the screen setup interface. Select [Key Volume]: 0 ~ 10. Select 0 to turn-off the volume, and select
10 to turn up the volume to the maximum.
Pulse Sound Volume
Select the [Audio Setup] shortcut key, or [Main Menu] – [Parameters] – [SpO2 Setup] – [Pulse Volume]: 0 –
10.Select 0 to turn-off the volume, and select 10 to turn it up to the maximum.
Key Set Tone
Select the [Audio Setup] Shortcut key to set the [Key Volume]: Default, Tone 1, Tone 2, and Tone 3.
QRS Prompt Sound Volume
The QRS prompt sound volume is decided by the menu [Alm Source] in [ECG Setup] or [SpO2 Setup].
When a parameter in [Alm Source] is set up, the QRS prompt sound volume will sound according to the
rhythm of that parameter. During SpO2 monitoring, the system also adjust the QRS pulse sound frequency
according to SpO2.
Select the [Audio Setup] shortcut key, and then select [Pulse Volume]: 0 – 10, or select [Main Menu] –
[Parameters] – [ECG Setup] – [Others>>] – [QRS Volume]: 0 – 10. Select 0 to turn-off the volume, and 10
to turn it up to the maximum.
Select [Main Menu] – [System] – [Screen Setup] – [Screen Config] – [Menu Help]: On/Off. If On is selected, an
explanation dialogue will be displayed; below the menu if off is selected, explanation will not be displayed.
The monitor carries out real-time configuration storage, which is the most recent configuration. When the device
is off time does not exceed the user settings restore recently configuration time, after starting the apparatus
automatically recover recently configuration.
Warning
Accidental power failure may lead to the loss of settings.
When the device is off time exceeds the user settings restore recently configuration time, after starting the
apparatus will restore the configuration selected by a user.
Select [Main Menu] – [Maintenance] – [User Maintain>>], input the user maintain password, and then select
[Defaults Manage>>] – [Select] to set up the valid time for recent configuration recovery and turning-on default
configuration, as shown in Figure 3.5:
Attention
To know the recovered start configuration, please look up the prompt information at the bottom of
the screen after entering the main screen.
The user can adjust this series of monitors configurations according to need, and store them as the user
configurations. The monitor can store four user-defined configurations at most. The configuration names and
types can be self-defined.
Select [Main Menu] – [Maintenance] – [User Maintain>>], input the user maintain password, select [Defaults
Manage>>] – [Add] to fill in the configuration information (including the self-defined configuration name and
type, in which the configuration type is identical to the animal type). After filling in the information, select [Save]
The user can delete the self-defined configurations according to actual need.
Select [Main Menu] – [Maintenance] – [User Maintain>>], input the password, and select Defaults Manage>>] –
[Delete] to select the configuration you want to delete; or select [Select All] – [Delete], and then select the button
[OK] after a dialog is displayed to delete the user self-defined configuration. The function of the button [Reset] is
to restore the selected configuration to an unselected state and then to reset the configuration the user wants to
delete.
Attention
Attention
Default configuration recovery may change all the current setups and layout.
Attention
[Animal Cat.]: > 20 kg, 10~20 kg, and < 10 kg Different animal types determine different
calculation methods of the monitor as well as safety and alarm limits of some measures.
[Paced]: if select [Yes], and the monitor detects pacing signals, the pacing pulse marker will be
displayed above the ECG waveform.
Warning
No matter whether the animal is accepted or not, the system will give [Animal Cat.] and [Paced] a
default value for each. The user must make sure whether the value is applicable to the animal or
not.
For animals wearing a pacemaker, [Paced] must be set to [Yes]. Or, the pulse may be treated as
routine QRS groups. As a consequence, the system cannot detect when to alarm when ECG
signals are too weak.
For non-pacemaker animals, [Paced] should be set to [No]. Or, the system cannot detect ventricular
premature associated arrhythmias (including PVCs counts).
Attention
The operation of animal removal will clear all the historical data in the monitor.
Note
Do not power off when data importing/exporting, or it is may cause the data disorder even lost.
Because the system time is different between monitors and monitors, Import animal data may be
interleaved with native data on time.
The user can select the needed parameter labels according to need in the [Std. Screen] menu.
In each minitrends, the parameter label is shown at the top, the scale is shown on the left, and the timescale is
shown at the bottom, as shown in Figure 5.3:
In this interface, you may select the time range and RR Trend /Resp Wave gram of the respiratory oxygenation
gram, as shown in Figure 5.6:
When the View Other Bed window is opened for the first time, the monitor will select other bed monitors
automatically for observation. The window occupies the region below the waveform region, and is composed of:
1. Information row: including the divisions, bed numbers, animals‘ names and animal types of the other beds.
2. Observation region: showing some of the physiological waveforms and parameter data of the other bed
monitors.
3. Other bed set column.
4. Other bed information region: displaying physiological and technical alarms. Select this region to open
[Other Bed Alarm Information] for observation of all alarm information of the other beds.
In addition, you may select waveforms and parameters for observation according to need:
Select some waveform region, and then select the needed waveform label in the pop-up menu
[Waveform Region Selection].
Select some parameter region, and then select the needed parameter label in the pop-up menu
[Parameter Region Selection]. You may also select [Waveform Region Switching] for waveform region
observation.
Attention
When a parameter in the parameter region has no waveform display, the item Waveform Region
Switching will not be available in Parameter Region Selection.
Warning
As the data display in the other bed observation window has some time delay, don’t depend on this
window to acquire real-time data.
6.1 ECG
6.1.1 ECG Measuring Principle
Kent-His Bundles
Right Atrium Left Bundle Branch
Atrioventricular Left Posterior
Node Muscle Bundle
Right Bundle Left Ventricle
Branch Left Anterior
Right Ventricle Muscle Bundle
Purkinje's Fibers
ECG Monitoring is aimed at precisely evaluating the current physiological conditions of an animal by producing
continuous waveforms of his/her cardio electric activities. To this end, normal connection of the cardio electric
lead cables should be guaranteed in the interest of accurate measured values.
The animal cable is comprised of two parts:
The trunk is the connection with the monitor and lead equipment to animals.
Parameters displayed on the monitor include: heart rate (HR), ST segment measured value and arrhythmia.
Diagnostic of this series of ECG monitor‘s application include: check the cardiac abnormalities of the
general population, check the chest pain in animals with acute myocardial ischemia and myocardial
infarction, check animals with arrhythmias;
Suitable for: Vet > 20 kg, Vet from 10 to 20 kg, and Vet < 10 kg;
Used in: hospitals, clinics;
Warning
It should be guaranteed that no electrode or cable that is being connected comes in contact with
other conducting parts or grounding and that all ECG electrodes are connected to the body surface
of the animal.
Skin where electrodes are placed should undergo regular checks, and electrodes should be
changed or replaced in case of any allergy.
Non-defibrillation ECG cables are prohibited for use when defibrillation is needed for animals.
During defibrillation, contact with animals, desks or instruments is NOT allowed.
Interference caused by ungrounded instruments around the animal and ESU interference may
result in distorted waveforms.
Appropriate electrodes should be used; a large electrical potential deviation may be produced when
some electrodes are polarized. Spherical electrodes during ECG recording produce a polarization
effect more easily.
Electrodes should be appropriately used and placed by following guidance from the manufacturer.
The display screen can be restored as normal 10 sec after the defibrillation.
--42-- User Manual of Veterinary Monitor
Chapter 6 Parameter Monitoring
The monitor runs abnormally when either the monitor is overloaded or any of its amplifiers are
saturated.
The electrode cannot be used in different metal materials. The electrode and electrode plate should
be the same model.
Basic Steps
1. Examine the animal‘s skin before attaching electrodes. (Skin is a poor conductor, so the skin preparation
of animals is highly important to achieve the desired contact between electrodes and skin.)
Wash skin with soap and water.(ether and pure alcohols are not allowed because there may result
in an increased impedance of skin)
Wipe-dry skin to increase blood flow of the blood capillaries and then remove hair and oil from the
skin.
2. Place electrodes on the animal body. If conductive paste-free electrodes are used, please put conductive
paste onto the electrodes before placing.
3. Connect electrode leads and animal lead cables.
4. Connect one end of the cables to the ECG cables socket of the monitor.
5. Switch on the monitor.
Attention
ECG patch should be checked for skin allergy. Electrodes should be changed or re-placed if an
allergy is found. Normal connection of leads must be checked before monitoring. The prompting
message: ECG Lead Disconnect is displayed when leads are unplugged or separated or the RL is
separated; and the prompting message ECG xx Lead Off is displayed when the RL is connected
normally while other ECG leads are not connected.
Lead Selection
1. Select [Main Menu]-[Parameters]-[ECG Setup] or select ECG Parameter Region to open the menu [ECG
Setup].
2. Enter [Others>>] and set the [Lead Set] as [3-Lead] or [5-Lead] depending on desired leads.
Electrode Placement
ECG measure is collecting electrocardio signals by connecting ECG cables with the monitor, and connected
with the animal via electrodes. Therefore, the position of the electrodes on the animal is very important.
Table 6.1 Comparison for the Color of Electrodes and Cable
Lead European Standard U.S. Standard
Electrode Position Cable Color Marking Electrode Color Marking Electrode Color
Right Arm Gray R Red RA White
Left Arm Gray L Yellow LA Black
Right Foot Gray N or RF Black RL Green
Left Foot Gray F Green LL Red
Chest White C Brown V Brown
In order to detect the electrocardio signals of animals, electrodes should be properly adhered to animals. The ECG
lead cable is connected so that its one end is inserted into the ECG/Resp socket on the left panel of the monitor.
When the monitor is powered on, if the electrodes are not properly attached or become separated from the monitor
during monitoring, the monitor will display the message: ‘ECG Lead Disconnect or ECG xx Lead Off’, to
prompt medical staff.
5-Lead (Standard)
Positions of lead electrodes are shown as Figure 6.3:
RA: below the clavicle close to the right shoulder
LA: below the clavicle close to the left shoulder
LL: lower left abdomen
RL: lower right abdomen
V: the positions of V lead are shown as following:
Attention
Use of electrode patches by animals should be immediately discontinued if any skin allergy or
irritation takes place; and the use of electrode patches by animals having skin inflammatory
disorders or infected skin is NOT allowed.
Warning
ECG electrodes be placed between the electrosurgical equipment grounding plate and
electrosurgical knife to prevent burning when electrosurgical equipment is in use. Electrosurgical
equipment cables should not be twisted with ECG cables.
Electrodes are strictly prohibited from being placed close to the electrosurgical equipment
grounding plate when electrosurgical equipment is in use. Otherwise, ECG signals will be severely
affected.
Warning
When the animal is wearing a pacemaker, ‘Paced’ should be set to [Yes], if not, set to [No].
The paced pulse analysis function should be activated for pace-making animals. Otherwise, the
pace-making pulses may be counted as normal QRS complexes, resulting in abnormal HR
computation.
The default interface of the monitor is 5-lead interface, as shown in Figure 6.5 for reference of an ECG waveform
on 5-lead interface.
6.1.8 ST Analysis
Warning
ST data should not be used as a judgment standard for doctors and its clinical significance is
decided by the doctors.
ST Analysis On/Off
Select [Main Menu]-[ECG Setup]-[ST Analysis>>] or parameter region to enter ST Analysis window. ST
segment can be set [On] or [Off].
Filter Mode
ST Analysis function proceeds only when the Filter Mode is in the Diagnose Mode. ST Analysis function
will be automatically stopped when the Filter Mode is switched to ‗Monitor‘ or ‗Surgery‘ from ‗Diagnose‘,
but the ST Analysis can still be started at this moment. Once it is started, the Filter Mode is automatically
switched to the Diagnose Mode; ST Analysis function is still stopped but can be manually started if the Filter
Mode is switched from Monitor or Surgery to Diagnose.
ST Display
Figure 6.7 shows 5-Lead ST display.
Warning
Please make sure that an ST measured point is set correctly for monitored animals.
Arrhythmia analysis provides information concerning the condition of animals, such as heart rate, PVC frequency,
rhythm and ectopic beats.
Warning
The arrhythmia analysis function is not suitable for animals < 10 kg.
The arrhythmia analysis function is applicable to detection of ventricular arrhythmia, but not for atrial
or supraventricular arrhythmia. However, this may lead to detection of incorrect arrhythmia
information; thus doctors are required to analyze arrhythmia information by combining more clinical
manifestations.
The designated equipment performance index may be unattainable due to the occurrence of some
common arrhythmia.
Attention
It is important to select appropriate leads for arrhythmia monitoring, and lead selection can be done
in [ECG Setup]-[ECG1].
Attention
Fatal arrhythmia defined in this series of monitors include: Asystole, and VFib/VTac (ventricular
fibrillation/ ventricular tachycardia).
Please set the fatal arrhythmia alarm switch in [User Maintain>>]-[Alarm Config>>]-[Fatal Arrh.Off];
when [Fatal Arrh.Off] is enabled, the fatal arrhythmia function is stopped, and when disabled, it can’t
be stopped.
When [Fatal Arrh.Off] is disabled, the button [All Off] is invalid and any user operations are disabled,
also.
The system defaults the fatal arrhythmia alarm level at High-Level, and user is not allowed to reset.
Warning
When all arrhythmia analysis alarm functions are disabled, the system is unable to provide any
arrhythmia alarm information, which requires user to pay close attention to animal’s clinical
condition.
VT (ventricular tachycardia) (bpm) 20, 25, 30, 35, 40……295, 300 100
PVCs/min 1, 2…… 99 10
Full Prohibition
***VFib/VTac
***VTac
***Ventricular bradycardia
*** Extreme-Tachy/Extreme-Brady
PVC Alarm Link Heart Beat Detection Alarm Link Heart Rate Alarm Link
Priority
1st Priority
1st Forbid
/**PNP
**Run PVCs>2
/**Missed Beats
**Couplet PVCs
Low-Level
Priority
**R on T
2nd Priority
**V-Bigeminy
**V-Trigeminy
**PVCs/min
2nd Forbid
**Multiform PVCs
**PVC
3rd Priority
**Irr.Rhythm(Only when
there is no other
arrhythmia alarm
existing.)
For example, when ‗R on T‘ alarms, the ‗V-Trigeminy‘ on the same link will not alarm even if it takes place; if
‗Extreme-Tachy‘alarm is triggered, 'R on T' will be replaced due to its lower priority even if they belong to two
different links. If ‗VR‘ is triggered later, the two alarms will be given simultaneously without affecting the other
because they have the same priority on different links. Once ‗VFib/VTac‘ or other high-level arrhythmia alarm is
triggered, all alarms on the other three links will be alternated.
Arrhythmia Forbidden Time
Arrhythmia alarm is instantaneous, thus it is possible that users will neglect some alarm information. In order
to avoid this, we designed the system to handle mid-/low-level arrhythmia alarm differently from other
physiological alarms: once arrhythmia alarm is triggered, both the same type of alarm condition will not be
repeatedly triggered and the alarms of lower priorities is disabled at the preset time. We refer to this period as
to the Arrhythmia Forbidden Time.
As illustrated in Figure 6.12, this series of monitors categorize the mid-/low-arrhythmia into the First
Forbidden Time and the Second Forbidden Time.
Attention
Prohibition period of High level arrhythmia alarm default must be manually eliminated in the alarm
line, but you can press [SILENCE] to end the prohibition period of high level arrhythmia alarm. The
full prohibition in [Alarm Config>>] is defaulted on, When it is set as off, prohibition period ends
automatically if it detects ECG signal.
Users can set the forbid time in [User Maintain>>]-[Alarm Config>>]-[1st Forbid Time] / [2nd Forbid
Time].
During the forbidden time of a mid-/low-level alarm when a higher-priority alarm is triggered, the forbidden time
of this alarm is instantly over and the system enters the forbidden time for higher priorities.
During the forbidden time of a mid-/low-level alarm when a higher-priority alarm not belonging to any alarm link
is triggered:
The monitor will maintain its current alarm condition if no updating operation is conducted.
The forbidden time is instantly over when the [PAUSE] is pressed or the alarm switch is stopped. In case this
alarm is still valid when the alarm pausing is activated, the forbidden time will be recalculated from its first
triggered moment following the end of the alarm pausing.
The forbidden time is not affected when the [SILENCE] is pressed.
In case this alarm is terminated when the [SILENCE] is pressed, the alarm information will be instantly
cleared when the [SILENCE] is pressed. During the forbidden time, the same alarm or an alarm of
lower priority is not triggered for a second time.
In case this alarm is not terminated when the [SILENCE] is pressed, the alarm will be muted when the
[SILENCE] is pressed: audio alarm disappears and a narrative alarm is added with a '√' in the front, and
if this alarm terminates during this forbidden time, narrative alarm disappears instantly when the alarm
terminates. The same alarm or the alarm of lower priorities can only be triggered again when the
forbidden time has elapsed.
Attention
Please start the relearn function during normal rhythm or when ECG signals are relatively absent of
noise. Because if you start ECG relearn during arrhythmia, the wrong QRS waves may be learned
as ECG templates leading to missed detection of arrhythmia events.
6.2 Resp
6.2.1 Resp General Description
This series of monitors‘ measure respiration through the method of thoracic electrical bio impedance. The size and
shape of a breathing animal‘s thoracic cavity varies, resulting in changes in impedance between the two electrodes
placed on the animal‘s chest. Thus the breathing rate can be calculated according to the impedance variation
cycles.
Warning
Anti-electrotome ECG cables are prohibited for use while monitoring an animal’s respiration.
All leads on 5-lead ECG cables should be connected with an animal’s body for the sake of safety.
Respiration measure is unable to find the causes of apnea, thus it cannot be used for diagnostic
purpose.
Attention
Resp monitoring is not applicable to animals having a large-range of activities, lest any wrong alarm
is possibly triggered.
Before placing, you need to treat an animal‘s skin where the electrodes are to be placed, as referred to in skin
treating method in the ECG section. The electrodes are connected by referring to above methods mentioned in
ECG connection.
Attention
It is required to readjust the position of the two respiration-measuring electrodes in the process of
measuring respiration, but this may affect ST and arrhythmia analysis.
The hepatic region and ventricle are on the line of the resp electrodes so as to reduce the effect of
cardio motility upon respiration waveforms; this is highly important with animals < 10 kg.
For abdominally breathing animals, the electrode on the animal’s left leg should be placed where
the left abdomen has the largest expansion to obtain optimal respiration waveforms.
In case a negative thoracic pressure is generated for some animals (< 10 kg in particular) when their
thoraxes are expanding laterally, it is better to place the two respiration electrodes in the region
between the right midaxillary line and left thorax where respiratory movement is more evident than
other regions, so as to obtain optimal respiratory waves.
Select [Main Menu]-[Parameters]-[Resp Setup] or enter [Resp Setup] from parameter region.
Attention
In order to obtain optimal respiratory waves, RA and LA electrodes should be kept level when I-lead
is selected for resp measure, and RA and LL electrodes should be diagonally kept when II-lead is
selected.
Manual Mode
In the Manual mode, users are required to set the respiratory detection level. Select [Upper Line] and
[Lower Line] to manually relocate the detection level dotted line on the respiratory waveforms. Once
determined, the detection level will not automatically adapt to different depths of respiration. Thus,
users are required to readjust the detection level to adapt to changes in the depths of respiration
according to actual conditions.
Attention
In case the respiratory waves are not displayed on the respiratory oxygenation diagram interface or
main screen, the detection level is still not adjustable even if the [Detect. Mode] is set Manual.
6.3 PR
6.3.1 PR General Description
The mechanical movement of the heart causes pulsation of arteries, and the PR (pulse rate) can be obtained by
measuring this pulsation. The PR numerical value can be obtained through SpO2 or any arterial pressure (IBP).
6.3.2 PR Source
PR Source Setup
Select the PR parameter region or open the [SpO2 Setup] menu, and then select [PR Source]: Auto, SpO2, IBP1
and IBP2. When Auto is selected, the system selects an item from the selection list as its PR Source. The system
automatically switch the [PR Source] to [Auto] when the current PR source is not available.
Select the PR parameter region or open the [SpO2 Setup] menu, and then select [Pulse Volume]: 0~10.
6.4 SpO2
6.4.1 SpO2 General Description
SpO2 plethysmography parameter measures arterial pulse oxygen saturation, or the percentage of total
oxyhaemoglobin. For example, if the hemoglobin molecules accounting for 97% of the total of the erythrocyte in
arterial blood are combined with oxygen, the blood has a 97% SpO2 oxygen saturation and the reading of SpO2
values on the monitor is 97%.SpO2 value represents a percentage of hemoglobin molecules that are formed into
oxyhaemoglobin.SpO2 plethysmography parameter can further provide pulse rate and plethysmography
wave.SpO2 plethysmography parameter measure works as follows:
Oxygen saturation is measured by pulsation oximetry. This is a continuous, non-invasive method for
measuring hemoglobin oxygenation saturation. It measures the rays emitted from the sensor optical source
that are irradiated to the receiver on the other side after penetrating through animal‘s tissue (such as tougue or
ears).
The quantity of penetrating rays is determined by several factors, most of which are constant. But, with
arterial blood, one of these factors, changes with time and thus it is pulsatory. By measuring the rays
absorbed during pulsation durations, we can obtain the oxygen saturation of the arterial blood. A
‗plethysmography‘ waveform and pulse rate information can be given by detecting the pulsation.
It is the functional saturation measured and displayed after calibration: the amount of oxygenated
hemoglobin is expressed in the percentage of the hemoglobin that can transport oxygen. Fractional saturation:
oxygenated hemoglobin percentage of all measured hemoglobin (including dysfunctional hemoglobin, such
as carboxyhemoglobin or methemoglobin). To convert fractional saturation to functional saturation, the
following formula is required:
fractional saturation
functional saturation = 100
- %Carboxyhemoglobin %methemogl obin)
100 (
Figure 6.20 SpO2 Sensor Socket
This series of monitors are able to display the functional degree of blood oxygen saturation by displaying on
the screen the plethysmography waveform and parameter values, as shown in Figure 6.14:
Warning
Only the blood oxygen sensor specified in the User manual is allowed; and it should be used by
following all warnings and warnings specified in the User manual.
In case of any damage to the packing of the sterilization-marked blood oxygen sensor, please
discontinue use and contact the sensor supplier.
An oximeter should be used for analyzing blood samples in case the animal is likely to be
oxygen-deficient to get a more complete understanding of the animal’s condition.
Any use of the monitor and its sensors while an NMR equipment is in use should be avoided, lest
any serious burn is caused by inductive currents.
Adhesion positions of sensors should be checked once every 2 hours while long-time continuous
monitoring for animals are being conducted and should be properly moved when skin condition
changes or every 4 hours. More frequent examinations may be necessary for some animals, such
as animals < 10 kg and perfusion-difficult or skin-allergic animals. Long-time continuous monitoring
will possibly add some unpredictable changes on skin, such as allergy, reddening, blistering or
pressure necrosis, etc.
Attention
Tongue should be correctly placed into the sensor (as referred to relevant drawings in the User
manual).Inappropriate placement will produce inaccurate measure.
Improper securing of blood oxygen sensor with adhesive tape will yield venous pulse, which may
cause inaccurate SpO2 measure.
Clear any ray-barring obstacle along the light path.
Strong light beams and electromagnetic interference in the area and excessive amount or level of
animal’s activity may lead to wrong readings of the monitor.
When blood oxygen sensors are used, be cautious to shield external optical source, such as optical
beams for heat therapy or from infrared lamps, otherwise interference may be introduced to the
measure.
It is possible that accurate blood oxygen measuring results are not available in case of shock, low
temperature or use of vaso-active drugs as well as in the case of existence of carboxyhemoglobin,
methemoglobin, methylene blue, cyanine green, indigo carmine and other substances.
When non-invasive blood pressure and blood oxygen are simultaneously measured, please make
sure that blood oxygen sensor and the non-invasive blood pressure cuff are not placed on the same
limb, since non-invasive blood pressure (NIBP) measure will block blood flows, affecting the blood
oxygen measure.
Explain
The materials that contact with animals, or may come into contact with other personnel are
non-toxic and had no impact on tissues, but long-term exposure should be avoided.
For incomplete signals, if the plethysmography waveform is displayed, determine the normalization
coefficient according to the maximum value and the minimum value in the period of time of the
signal, and normalize the display signal to 0~127.
The functional tester cannot be used to evaluate the accuracy of the pulse oximeter probe and pulse
oximeter monitor. However, it can be used to demonstrate a particular calibration curve reproduced
by pulse oximeter, and has been proved to meet the specific accuracy specification.
If the pulse oximeter has a specific calibration curve and it is accurate for the combination of the
pulse oximeter and pulse oximeter probe, the functional tester will be able to measure the overall
error of the monitor / probe system from the monitor, and will also be able to test the accuracy of the
pulse oximeter that copies the calibration curve.
Clinical Restriction
1. The measure is based on small arterial pulsation, thus the subject must have the smallest pulsatory blood
flows. A weaker pulsation caused by shock, coldness or hypothermia, huge blood loss and use of
vaso-constricting drugs will lead to smaller pulse oximetric (Pleth) waves, and thus to more sensitive to
interference in measure.
2. The monitor may give inaccurate pulse oximetric values when a substantial amount of dyeing/thinning
materials (such as methylene blue, indocyanine green, and sodium indigodisulfonate), carbon
monoxyhemoglobin (COHb), or methionine (Me+Hb), thiohaemoglobin exists in subjects or the measure
is conducted for some icterus animals.
3. Dopamine, procaine, prilocaine, lidocaine, buzocaine and other drugs may cause severe measured
deviation for pulse oximetry.
4. Pulse oximetry only has referable significance to anemic anoxia and toxic anoxia, because some severe
anemian animals may still present relatively better pulse oximetry measured value.
1. Select appropriate oximeter sensor according to the module type, animal type and weight.
3. Select the oximeter extension cord according to the SpO2 interface type of the module, and connect the
oximeter extension cord to SpO2 interface of the monitor.
2. Clip the probe to the tongue or ears of the tested animals, by referring to Figure 6.15.
Attention
Don’t fold or twist the cables.
PR Source Setup
Select [PR Source]: SpO2, IBP1, IBP2 and Auto. The system automatically switches the [PR Source] to
[Auto] when the current PR source is not available.
Alarm Source Setup
As referred to Alarm Source Setup in section 6.1.6.
Pulse Volume Setup
Select [Pulse Volume]: 0-10.
Sensitivity Setup
The SpO2 values displayed on the monitor are results achieved by averaging data sampled within a given
period of time. A shorter averaged time represents a higher response speed of the monitor yet lower
measuring accuracy when the animal‘s SpO2 values are changing. Correspondingly, a longer averaged time
represents lower response time of the monitor yet higher measuring accuracy when the animal‘s SpO2 values
are changing. A relatively shorter averaged time is conducive to analysis of conditions of critical animals that
are being monitored.
SpO2 module: select [Sensitivity]: High, Mid and Low, and corresponding averaged time: 7s, 9s and 11s.
Pump Show Setup
Select [Pump Show]: On or Off.
[On]: pump Show is displayed in SpO2 parameter region.
[Off]: pump Show is not displayed in SpO2 Parameter region.
Wave Fill Setup
Select [Wave Fill]: On or Off.
[On]: Pleth waveforms on screen are displayed being filled.
[Off]: Pleth waveforms on screen are displayed not being filled.
Alarm Setup
Select [Alarm Setup>>], and SpO2-matched [PAR.Alarm] will automatically pop up, which enable Setup of
on/off of alarm, higher and lower alarm limits, alarm levels, and whether or not to open the alarm record.
6.5 NIBP
6.5.1 NIBP General Description
Blood pressure measure includes invasive (by directly inserting sensors into blood vessel) and non-invasive
methods. The invasive method directly measures blood pressure through arterial retention needles; but this
method may put animals at some risk, so it is used only it is necessary for the animal‘s homodynamic. There are
several non-invasive measuring methods, among which the Coriolis sound method and the oscillation method are
more prominent. The Coriolis sound method is traditionally the measuring method by means of stethoscopes. The
oscillation method works as follows: an inflator is used for automatic inflation, then slow deflation follows, and a
computer is employed to record the changes in the cuff pressure while deflating and then to compute the blood
pressure values: first, the computer determines whether the measuring signals are good enough to ensure correct
calculation; if yes, then the pressure values are computed and if not (e.g. caused by sudden movement of limbs or
cuff touches), then the calculation is stopped.
The pressure changes are recorded by electronic sensors having sensitivity which is far higher than that of animal
ears, thus measure by the oscillation method has different measuring definitions on the diastolic pressure, mean
pressure and systolic pressure from that of the Coriolis sound method. The circuit of an oscillation measurer
separates the cuff pressure and amplitude indicating changes of the cuff pressure with pulses and defines the blood
pressure corresponding to the maximum cuff pressure amplitude as the mean pressure. In this method, the blood
pressure corresponding to a 50% reduction of cuff pressure amplitude is defined as systolic pressure, and the
pressure corresponding to an 80% reduction of cuff pressure amplitude as the diastolic pressure, both points
indicating a maximum change of pulse differential pressures. This is equivalent to the presence of pulse sound and
absence of pulse sound.
Comparison of Several Blood Pressure Measuring Methods:
In order to overcome the influence of deflating speed and doctor‘s sense of hearing on measuring accuracy in the
traditional Coriolis sound method, researchers have made huge efforts in automatic measure of blood pressure,
and the automatic blood pressure measuring system based on the principle of oscillation method was already quite
well-developed. However, many medical workers are always filled with all kinds of questions, for example: what
makes a lower or higher measure result in the oscillation method compared with the Coriolis sound method? Why
are the first measure results higher and the following measure results gradually lower? Why are the measure
results sometimes not obtainable causing useless inflations? Why are the measure results more discrete and even
sometimes unreasonable? We hope that these questions will be answered through this section.
Comparison of Oscillation Method and Coriolis Sound Method
Despite sound correlation of the blood pressure measure between the oscillation method and Coriolis sound
method and the invasive blood pressure measuring method, it is one-sided to compare any non-invasive and
invasive blood pressure measuring methods; compared with the oscillation method, the Coriolis sound method has
small error, sound reliability and high stability, and their difference is as follows:
1. The Coriolis sound method is easily susceptible to animal factors. For example: different animals show
different sound recognizing abilities, different reaction capability to cardiac sound hearing and mercury
gauge reading and different deflating speeds during measuring and even may have certain subjective
judgments on the measure. The oscillation method is completed by computers, excluding the influence of
animal factors.
2. The Coriolis sound method is based on appearing and subsiding of cardiac sounds, thus the measuring
accuracy is directly affected by deflation speed and heart rate; a fast deflation process will give bad accuracy,
while the oscillation method is based on oscillatory wave envelope of the cuff pressure, the deflation speed
and heart rate has a relatively small influence on the measuring accuracy.
3. It is statistically shown that the measured values from the oscillation method may be smaller than that from
the Coriolis sound method where the high blood pressure measure is concerned, while the values from the
oscillation method for low blood pressures may be larger than that of the Coriolis sound method. But this is
not indicating that one is superior or inferior to the other; it should be judged by comparing them with other
methods that are accurate to determine whether the measured results are accurate or not, e.g. with the output
values from invasive or non-invasive simulators. In addition, the results on the high or low side should be
statistically judged. It is suggested that the medical workers who are more familiar with the Coriolis sound
method measure make different physiological indexes for the oscillation method results.
4. Researches show that the Coriolis sound method yields the most inaccurate results in measuring low blood
pressures. While the oscillation method are unlikely to give accurate results in measuring controlled
hypertension.
5. The mean pressure in the oscillation method is directly obtained and thus it is relatively more scientific and
the mean pressure in the Coriolis sound method is obtained by adding the diastolic pressure and 1/3 pulse
pressure, thus it is purely an empirical result.
6. The accuracy of the oscillation method can be obtained by comparing with blood pressure measure
simulators, and the manufacturers generally will check and calibrate their products through blood pressure
simulators. But there are still no mature technologies to judge the accuracy of the Coriolis sound method
measure.
7. Besides, the accuracy of mercury column of mercurial sphygmomanometers directly influences the accuracy
of the Coriolis sound method measure and it is demonstrated that 13.2% domestic mercurial
sphygmomanometers have relatively large errors in their mercury readings.
8. The measure by the oscillation method is also susceptible to movement artifact (such as occasional muscular
contractions), thus relatively large deviations are obtained sometimes; but this inaccurate data can be rejected
by combining with former and next measured results.
Operating Precautions
Alike the general non-invasive blood pressure measure, it is possible that inaccurate results are obtained, or even
no results or inappropriate understanding of the results are produced when the oscillation method blood pressure
measure is used:
1. Cuff Requirements:
1) Select cuffs of desired sizes according to different animal categories: the maximum cuff pressure
shouldn‘t be more than 40 kPa (300 mmHg) for cuffs for >20 kg and 20 kPa (150 mmHg) for <10 kg.
2) Before measuring, the residual air should be evacuated from the cuff.
3) The part where symbol φ is printed on the cuff should be placed where the arterial pulse is most evident
on the brachial artery for the best result.
4) It is best that the tightness of the cuff should be made so that a finger can be stuck in between cuff and
arm.
5) The lower part of cuff should be 2cm higher than the elbow joint.
2. The subject should be in a horizontal position and the cuff should be placed level with the heart for the most
accurate results, other postures may cause inaccurate measures.
3. Neither movement nor cuff touch is allowed before and during measure and the gas valve connecting the cuff
and the monitor should be guaranteed smooth and without being twisted.
4. Too small measuring intervals are not suitable (optimally longer than 2min), for the excessively short
intervals between continuous measures can cause extrusion of arms, resulting in decreased blood flows and
then decreased blood pressure.
5. It should be judged by considering clinical evaluations to determine whether or not automatic blood pressure
measure is adapted for animals with severe blood coagulation mechanism disorders, for the friction between
limbs and the cuff may cause risks for haematoma.
6. The cuff inflation pressure is automatically regulated by computer based on the last measured values in the
successive blood pressure measure. It is possible that the sphygmomanometer is unable to give any result
after the first inflation when the blood pressure is elevated or the animal is changed; this series of monitors
will automatically regulate inflations and continue measuring until there are results produced, but the
measure should be conducted no more than 4 times.
7. It should be guaranteed that correct animal categories are selected while measuring animals from 10~20 kg
and animals < 10 kg. Improper selections will possibly put animals into dangerous conditions, for relatively
high-pressure animals > 20 kg setting is not suitable for animals from 10~20 kg and animals <10 kg.
8. It is possible that no measure results will be produced when selections for animals from 10~20 kg or animals
< 10 kg are employed for animals > 20 kg measure, even though no harm will be inflicted.
9. The limbs used by the cuff will be possibly accompanied with purpura, ischemia and neurologic damage due
to drawn-out non-invasive blood pressure measure when the Auto mode is used. Please check the color,
warmth and sensitivity of animal‘s distal limbs regularly while monitoring. Once any abnormality is found,
please relocate the cuff or terminate the blood pressure measure.
10. If the animal has irregular heartbeat causing by arrhythmia, the measurement will not reliable, and it will cost
more time to measure the blood pressure.
Warning
NIBP measures are not allowed for animals with sickle cell disorders and present or possibility of
incurring skin damage.
It should be judged by considering clinical conditions to determine whether or not automatic blood
pressure measure is adapted to animals with severe thrombi disorders, for the limbs used for the
cuff have a possibly risk of haematoma.
Cuff are not allowed on limbs with venous transfusion or cannula, for the transfusion is lowered or
blocked due to the inflated cuff, which will possibly lead to tissue damage around the cannula.
Please use other procedures to check animal’s vital signs and then check whether or not the
monitor is working well when the accuracy of the measured results is open to suspicion.
The Monitor is suitable for used with electrosurgical units (ESU). To reduce the hazard of burns
during high-frequency surgical procedure, ensure that the monitor’s cables never come into contact
with the high-frequency surgical units.
Attention
Some medical workers using the oscillation method to measure blood pressure have reported large
discrepancies and even abnormal measured data. Actually, large discrepancies may be based on
massive data statistics. It is possible that abnormal measuring data is occasionally seen in any
empirical science; sometimes the reason is easily found while sometimes it may not be; there are
already special methods for recognizing and excluding occasional doubtful experimental data,
which will not be discussed here and doctors can exclude obviously unreasonable data by judging
with their experience. Many foreign documents have indicated that it is normal for occasional error
of ±1.33 kPa (±10 mmHg) in blood pressure measure.
b) Select appropriate cuff (applicable limb perimeters labeled). The cuff width should be 40% of the limb
perimeter (50% for animals < 10 kg) or 2/3 of the upper arm. The length of the inflated cuff should be
sufficient to encircle 50-80% of the animal‘s limb.
c) Place the cuff on animal‘s upper arm or thigh and make sure the symbol is placed on the artery. Make
sure that the limb is not too tight, otherwise color changes and even ischemia of the limb may follow. The
cuff edge should be inside the displayed range, otherwise, please using other cuff.
5. Set measure mode in the [NIBP Setup] window.
6. Press Button [NIBP] or [NIBP Setup]-[Start NIBP] to start blood pressure measure.
Attention
Cuff width should be appropriate for blood pressure measure, too narrow a cuff will give relatively
higher blood pressure values, and too wide gives too low values.
The cuff should be completely deflated before use to prevent any inaccurate measure caused by
residual air.
When placing the cuff, first flatten and wrap on the upper arm surface to desired tightness, as
referred to Figure 6.17.
The cuff is connected to the monitor by connecting the cuff plug with the interface labeled ‗NIBP‘ on the monitor.
Please plug it in or out by using fingers to hold the plug head.
Explanation
Blood pressure measurements determined with this device are equivalent to those obtained by an
auscultatory method and intra-arterial blood pressure measurement device, within the limits
prescribed by the IEC 60601-2-30. Selected using the invasive method validation equipment artery
radial artery or the posterior tibial artery.
NIBP measure provides no waveform display, and the NIBP measured results are displayed in the parameter
region, as referred to Figure 6.30:
Select [Main Menu]-[Parameters]-[NIBP Setup] or select NIBP parameter region to open the window [NIBP
Setup].
Warning
Please regularly check the color, warmth and sensitivity of the animal’s distal limbs in the process of
measuring blood pressure under Auto and STAT modes. Once any abnormality is found, please
relocate the cuff or terminate blood pressure measure.
Interval Setup
Select [Interval] in the menu [NIBP Setup] when the measure mode is Auto, under the auto mode, the
monitor automatically and repeatedly conducts NIBP measures according to the preset time intervals.
Attention
Alarm Setup
Select [Alarm Setup>>] in the menu [NIBP Setup] and then set in the pop-up menu the alarm attributes of
each NIBP option parameter.
Start /Stop NIBP Measure
Select this option to start or stop NIBP measure in accordance with the preset mode.
Stop All.
Select this option at any time when the measure is in process to terminate all measuring tasks.
Venipuncture
Users can inflate with NIBP cuff to produce a pressure appropriate for blocking venous vessels and thus
assisting venipuncture.
1. Select [Venipuncture>>] in the window [NIBP Setup] and then set [Cuff Pressure] in the pop-up menu
for values for venipuncture pressure.
2. Select [Venipuncture]
3. Puncture venous vessel and take blood samples.
4. Select the NIBP button in the front panel or [Stop All.] in the window [NIBP Setup] to deflate the cuff; if
it is not deflated, the cuff will be automatically deflated when a preset period has elapsed.
The cuff inflation pressure and the remaining venipuncture time will be displayed on the NIBP parameter
region during puncture.
NIBP List Review
Select this option, can directly enter the [NIBP List] window. Please refer to 8.4.5 for more details.
The system gives no prompt when the leakage test is passed, while a corresponding message will be displayed in
the non-invasive blood pressure (NIBP) parameter region if failed:
Attention
The [Animal Category] should be set [> 20 kg] before conducting NIBP leakage tests.
Press either the button [NIBP] on the front panel or [Stop NIBP Leakage Test], or [Stop All] and
[Stop NIBP] on the interface [NIBP Setup] during leakage test to terminate leakage test.
Different from EN1060-3 standard, this leakage test method is only operable for user to
conveniently detect whether leakage exists during NIBP inflation.
Warning
NIBP leakage test should be conducted once every two years or when you find readings that are
incorrect.
Attention
Press either the button [NIBP] on the front panel or [Stop NIBP Accuracy Test], or [Stop All.] and
[Stop NIBP] on the interface [NIBP Setup] during accuracy test to terminate accuracy testing.
Warning
NIBP accuracy testing should be conducted once every two years (or in accordance with hospital’s
procedures), or when you find readings are incorrect.
6.6 Temp
6.6.1 General Description
This series of monitors‘ measure body temperature by means of a temperature sensor by the following two
channels: as Figure 6.20 shows.
The monitor supports coin-shaped sensors (body surface), cylindrical sensors (body cavity) and disposable
temperature sensors.
Body surface sensor: generally used to measure the armpit;
Explanation
When body temperature exceeds the measuring range, alarm is displayed on the screen. Please
check if the body temperature sensor is on the animal’s body correctly and shift it to the proper
positions if needed.
The measure of body temperature is based on the principle of contact-typed thermal conduction,
thus it will takes 1 to 4 minutes before the reading of the measured result is stable starting from the
time when the probe contacts with the animal’s body; it takes some time before the thermal
conduction is balanced.
Cleaning body temperature sensor: disinfect in alcoholic detergent instead of steam; the disposable
temperature probes shouldn’t be disinfected or reused repeatedly; while cleaning, hold the probe tip
with one hand, and scrub the probe toward the connector with a damp lint-free cloth with the other
hand.
The measure mode of this Temp is adjusted mode.
Attention
The body temperature sensor and its cables should be handled carefully and they should be loosely
wound when not used. The temperature probe and its cables should be handled carefully. The
cables may be mechanically damaged when tightened excessively.
Warning
Before use, please check whether the probe cables are undamaged. When the temperature probe
cable is pulled out of its jack, the prompting message will be displayed on the screen that ‘T1/T2
Module Disconnected’ and alarm sounds.
Body temperature measure checking should be conducted once every two years (in accordance
with hospital-stipulated calibration cycles). Please contact the manufacturers when the calibration
cycle is coming.
Disposable body temperature sensor is only applicable for one animal and reuse is not allowed
even it is sterilized.
Please dispose out-of-service body temperature sensors by following local laws and regulations for
this sort of or similar products when they are damaged beyond repair or the service life is due.
The body surface temperature sensor should be firmly attached on the animal.
If disposable temperature sensor is used, insert the temperature cable into the jack, and then
connect the probe and cable.
1. Select appropriate body temperature probe according to animal category and measuring requirements.
2. Insert the body temperature probe into the jacks labeled with ‗T1‘ and ‗T2‘ on the left panel.
3. Adhere the body temperature probe onto animal‘s body firmly.
4. Confirm that alarm setting is suitable for this animal.
5. Switch on the system power source and start the monitor.
This series of monitors can display T1, T2 and TD (their difference) through two body temperature channels (T1
and T2).
Select [Main Menu]-[Maintenance]-[User Maintain>>], input passwords and select [Units Setup>>]-[Temp], the
temperature unit can be: ℃ (degree Celsius) or ℉ (degree Fahrenheit).
Select body temperature parameter region to enter [Alarm Setup] and then set in the pop-up window the alarm
attributes of the options T1, T2 and TD.
Invasive blood pressure measure is based on the principle of liquid isopiestic pressure transfer to realize direct
measure on blood pressure. The arterial blood pressure and its changes are sent to the pressure induction surface
of a pressure-sensitive sensor through physiological saline-filled conduits by means of the arterial cannula method;
then the arterial blood pressure signal is linearly converted by the pressure-sensitive sensor into electrical signals
which are then amplified and filtered via signal amplifying circuits and filter circuits to obtain real-time pressure
and pulse wave; then the A/D conversion and relevant manual calibration of zero pressure reference point are
performed under the control of the CPU, correlated wave crests and troughs of the above pressure/pulse wave
signals are recognized and the pressure and pulse rate (PR) are calculated by adapting a given software algorithm;
and finally, the desired systolic pressure, diastolic pressure, mean pressure and PR values are obtained.
Warning
Pressure sensors specified in this User manual only are allowed to be used and repeated use of
disposable pressure sensors is not allowed.
Contact of the monitor’s sensors and cables with high-frequency surgical equipment should be
avoided in order to prevent animals from being burnt by leaked current when the monitor is in
contact with high-frequency surgical equipment.
Contact of accessories with electrically connected metallic parts should be avoided while
connecting and using such accessories.
The working temperature of such accessories should be considered when they are used; and
User Manual of Veterinary Monitor --75--
Chapter 6 Parameter Monitoring
Attention
Before monitoring, please zero-calibrate first.
Make sure that the pressure sensors are constantly leveled with the heart during monitoring.
Please continuously inject heparin saline to flush conduits to prevent them from being clogged and
maintain the pressure-measuring paths are smooth while connecting the conduits firmly to prevent
them from any displacement or separation that would affect the IBP measure.
1. Insert the pressure transducer extension cables into the IBP interface on the monitor‘s left panel.
2. Prepare flushing solution.
3. Flush the system and deflate the conduits completely. Make sure no bubbles exists in the sensors and valves.
4. Connect the pressure tube and animal conduit.
5. Place the sensor on the same level with the heart, approximately at the midaxillary line.
6. Select correct label.
7. Zero-calibrate the sensors. Close the sensor‘s valves toward the air and open the valve in connection with the
animal when the zero-calibration is completed.
Warning
Please flush the system again with solution if any bubbles are found in the conduit system to avert
any possible incorrect pressure readings caused by such bubble.
The sensors should be leveled with the ears of a sitting animal while measuring his/her intracranial
pressure. Incorrect positions may result in incorrect pressure readings.
Pressure waveforms and values are displayed on the IBP measuring interface, and different pressure label
correspond to different displayed contents. This manual take the indicator Art or CVP as an example.
Select [Main Menu]-[Parameters]-[Art Setup]/ [CVP Setup] (users can set pressure indicators in the setting menu),
as referred to Figure 6.24and Figure 6.25:
Sensitivity Setup
The blood pressure values displayed on the monitor are resulting by averaging data sampled within a given
period of time. A shorter averaged time represents higher response speed of the monitor yet lower measuring
accuracy when the animal‘s blood pressure values are changing. Contrarily, a longer averaged time
represents lower response time of the monitor yet higher measuring accuracy when the animal‘s blood
pressure values are changing. A relatively short averaged time is conducive to analysis of conditions of
critical animals thatare being monitored.
Select [Sensitivity]: High, Mid and Low, and corresponding averaged time is about: 1s, 8s and 12s.
The monitor needs an effective zero point to produce accurate pressure data, and please conduct zero calibrations
for sensors by following the hospital‘s rules and regulations. Zero calibration must be done in the following cases:
New sensors or sensor cables are used.
The monitor is restarted.
Reconnect the sensors‘ cables and the monitor.
The pressure data of the monitor is suspicious in its accuracy.
The monitor adapts an infrared absorption technique to measure the CO2 concentration in the animal‘s airway. Its
principle is based on the CO2 molecular absorption of infrared optical energy of a certain wavelength and the
absorbed energy is directly related to the CO2 concentration. When the infrared rays emitted from an infrared
source penetrate through a CO2-containing gaseous sample, part of their energy will be absorbed by the CO2 in the
gaseous sample. A photo detector is employed at the other side of the infrared source to detect the remaining
infrared optical energy and convert it to electrical signals. Then the CO2 concentration in the gaseous sample can
be accurately reflected by comparing and regulating the electrical signals and the energy of the infrared source.
Intented use:
It is used to connect with other medical devices to display the CO2 data in real-time or being derived. It is
connected to animal‘s breathing circuit, so as to monitor the inhaled or exhaled air during the process of
anaesthesia, recovery and respiratory disease care. It can be used in the OR, ICU and general wards, with the
animals. The mainstream CO2 module is often recommended to intubated animals or it can be done through the
special mask; while the sidestream CO2 module is for both intubated and non-intubated animals. It can be
connected by using a three-way connector and a sampling tube through the breathing circuit or directly connected
through the nasal gas sample.
There are two CO2 measuring methods:
1. Main-stream Measure
CO2 sensors are directly mounted on the airway joint of the animal‘s respiratory system.
2. Side-stream Measure
The respiratory gas through the animal‘s respiratory airway is sampled with a constant sampling flow and
then is analyzed by the module-inbuilt CO2 sensors.
Warning
The CO2 module can be operated only by authorized or well-trained staff and the operator is
required to be familiar with the User manual before using this module.
Don’t use this CO2 module where anesthetic and other combustible gases are present in the
environment to avoid any danger of explosion.
Electric Shock Danger: disconnect this CO2 module before cleaning operations. Don’t use and
contact authorized maintenance personnel once any damage is found.
Place the module cable carefully to minimize the possibility of animals being wound in it.
Don’t soak the CO2 module in liquids or sterilize it.
Animal’s breathing system of water vapor can bring condensation and vapor in the sampling tube
adapter dewatering device .The operator should observe frequently and intervene water vapor
system.
Attention
Manufacturer-provided accessories ONLY are allowed to be used; use of this module where the
ambient temperature is drastically changing may lead to inaccurate measured data, thus it should
be used when possible where the ambient temperature is relatively stable.
Don’t use the CO2 module when it is wet or there is condensation.
Readings will deviate if you do not allow a warm-up period.
Extremely high or low CO2 concentration as a result of severe respiratory failure etc., e.g. the EtCO2
is lower than 1% or higher than 10%, may cause inaccurate measure.
Mobile and RF communication devices will affect measure, and use of these instruments where
strong electromagnetic interference source exists, such as in the presence of electrosurgical
equipment and MRI equipment, may produce inaccurate results; and operation of the monitor in the
front of CT equipment may produce inaccurate results.
Warning
Repeatedly using, dismantling, cleaning or sterilizing sample tubes will affect system functions and
performance and put users or animals at risk.
The sampling tube should be replaced when too much secretion is present on it.
Don’t use >20 kg/10~20 kg oriented sampling tubes for animals<10 kg, otherwise, unused space
will be in the animal’s loops.
Don’t use CO2 module for animals thatare unable to have 50ml/min±10ml/min sampling gases taken
from their respiratory loops.
Attention
Since the sampling tube has a certain length, it takes time for the gases to go through the tube and
a certain delay results from the measure start to displaying on the screen of the waveforms and
measured results.
Make sure that the sampling tube is smooth, otherwise, inaccurate measure and reduction of the
module’s service life will occur.
Excessive negative or positive pressure in the animal’s tube may affect sampling flow rate.
Please insert the sampling tube before connecting a T-valve in the respiratory loop. Please remove
the T-valve from the respiratory loop before removing the sampling tube.
2. As shown in Figure 6.28, hold the two ends of dewatering bottle and gently pull the tube down to remove
water.
3. As shown in Figure 6.29, connect one end of the sampling tube with the dewatering bottle‘s threaded
nipple and the other end with the breathing tube of the animal‘s breathing machine or anesthesia machine
or with the threaded nipple having a diameter of φ10mm in other airways (a section of connecting tube
having a φ10mm threaded nipple needs to be connected if such source nipple is not available), or directly
fixing the sampling tube to the animal‘s nostrils by using adhesive tape.
Attention
Pay close attention to the water level in the dewatering bottle and make sure it is below the highest
level; and exchange dewatering bottles to prevent water entering the module.
It’s better not to connect a water tank and set the CO2 module in stand-by mode when the CO2
module is not in use to prolong the service life of the water tank and module.
The filled dewatering bottles must be quickly replaced and exchanged to prevent any damage to the
module.
Don’t use this module for expiratory gas measure when a dewatering bottle is not connected, for the
moist expiratory gases may cause errors to the measure and may shorten the module’s service life
due to accumulation of humid gases.
Warning
Do not use in the presence of flammable anesthetics or other flammable gasses. Use of the
CAPNOSTAT5 sensor in such environment may present an explosion hazard.
Electrical Shock Hazard: always disconnect the CAPNOSTAT5 sensor before cleaning. Do not use
if it appears to have been damaged. Refer servicing to qualified service personnel.
Do not position the sensor cables or tubing in any manner that may cause entanglement or
strangulation.
Reuse, disassembly, cleaning, disinfecting or sterilizing the single animal use CO2 airway adapters
may compromise functionality and system performance leading to a user or animal hazard.
Performance is not guaranteed if an item labeled as single animal use is reused.
Inspect the CO2 airway adapters for damage prior to use. Do not use the CO2 airway adapters if
they appear to be damaged or broken.
Replace the CO2 airway adapters if excessive secretions are observed.
If the CO2 waveform (Capnogram) appears abnormal, inspect the CO2 airway adapters and replace
if needed.
Monitor the CO2 waveform (Capnogram) for elevated baseline. Elevated baseline can be caused by
sensor or animal problems.
Periodically check the CAPNOSTAT5 sensor and tubing for excessive moisture or secretion
buildup.
Do not operate the CAPNOSTAT5 sensor when it is wet or has exterior condensation.
Attention
After the life cycle of the CAPNOSTAT5 sensor and its accessories have been met, disposal should
be accomplished following national and local requirements.
Nitrous oxide, elevated levels of oxygen and helium can influence the CO2 measurement. Please
setup gas compensation according to actual state.
Barometric pressure compensation is required to meet the stated accuracy of the CAPNOSTAT5
sensor.
Do not place the combined CO2 sensor between the ET tube and the elbow (10~20 kg or >20 kg
circuit), as this may allow animal secretions to block the adapter windows.
Position the combined CO2 sensor with its windows in a vertical and not a horizontal position: this
helps keep animal secretions from pooling on the windows.
To attach the CAPNOSTAT 5 sensor cable, plug the cable into CO2 socket on the left panel of monitor by
matching the key on the cable to the key on the connector.
Attention
To remove the sensor cable from the monitor, grasp the collar surrounding the cable and pull
up.
Select an airway adapter based on the animal‘s size, ET tube diameter and monitoring situation. For more
information refer to the following or contact manufacturer.
Table 6.4 Airway Adapter Type
Airway Adapter Type ET Tube Diameter
SPU*10~20 kg />20 kg >4.0 mm
Before attaching the airway adapter to the CAPNOSTAT 5 sensor, verify that the airway adapter windows are
clean and dry. Clean or replace the adapter if necessary.
Follow these steps:
1) Align the arrow on the bottom of the airway adapter with the arrow on the bottom of the sensor.
2) Press the sensor and airway adapter together until they click.
3) Wait for the airway adapter and sensor to warm up.
User Manual of Veterinary Monitor --83--
Chapter 6 Parameter Monitoring
The monitor will display the ‗Sensor Warm Up‘ message for approximately one minute while the sensor and
adapter warm to operating temperature. The message disappears when the sensor is ready for use.
Attention
4. Zero
Please refer to chapter 6.8.5
5. Attaching the airway adapter to the airway circuit.
After zeroing, attach the airway adapter to the airway circuit as follow
Apnea Delay
Set apnea delay time to trigger the monitor‘s alarm in case the animal‘s asphyxia time exceeds the preset
values.
BTPS Compen
The Main-Stream CO2 sensors are built with heating elements to prevent water from condensing, thus, it is
unnecessary to set temperature compensation when the Main-Stream module is in use. While for Side-Stream
modules, whether or not to start or stop temperature compensation should be judged by actual conditions.
Gas Compen
Warning
Please set each compensation to meet different actual conditions, otherwise, the measured results
may deviated greatly and result in misdiagnosis.
Warning
The animal’s capacity should be taken into account to select the pump speed suitable for the animal
while setting the flow rate.
Wave Fill
Select [Wave Fill]: Off or On. Set the areas below the CO2 waveforms to be displayed filled or not.
Scale
Tune the scale on the waveforms, and the wave amplitudes will change.
Sweep
Select [Sweep]: 6.25 mm/s, 12.5 mm/s and 25.0 mm/s. Set the waveform scanning speed.
Pump Switch
Select [Pump Switch]: Off or On.
6.8.5 Zero
The purpose of zero calibration is to eliminate the influence of baseline drift on results to guarantee the accuracy
of the measured results in the process of measuring.
Side-stream
The side-stream CO2 module automatically calibrates zero when necessary. Users can also manually
zero-calibrates as desired: [User Maintain>>]-[CO2 Maintenance>>]-[Zero]. Zero calibration requires
disconnecting the animal airway.
Attention
Main-stream
The main-stream CO2 module need zero calibration in the following cases:
The airway adapter is exchanged.
The sensors is re-connected with the module.
The gas readings are found having errors.
The system prompts ‗CO2 Need Zero‘.
In this case, please check the airway adapter and make sure its adapter window is not blocked by mucus, etc.
Cleaning or adapter replacement is needed when a blockage is found.
The zero calibration steps are as follows:
2. Select CO2 parameter region and choose [CO2 Setup]-[Operate Mode], and set [Measure].
3. When warming-up is done, mount the sensor on a clean and dry airway adapter. The adapter should be
open to the air and all CO2 sources should be isolated, including breathing machine, animal‘s respiration
and operator‘s respiration.
4. Select [CO2 Maintenance>>] in the menu [User Maintain>>]-[Zero], and ‗CO2 Zero Progress‘ is
prompted on the screen.
5. The prompting message disappears when the zero calibration is completed.
Attention
The module must be zero-calibrated when the system prompts that CO2 measure is over the time
allowed. The module should be zero-calibrated regularly after a long use period.
Zero calibration must be performed by specialized technicians.
Warning
Incorrect zero calibration may cause inaccurate measured data.
6.8.6 Calibrate
Explanation
Despite being unnecessary for regular calibrations, the side-stream module needs calibrating once
a year or when the measured values have obviously deviated.
The main-stream module doesn’t need calibrating.
Warning
It is suggested that calibration is conducted by users with the help of authorized technicians, since
incorrect calibration may yield incorrect results.
Please conduct the following checks when the side-stream CO2 module‘s sampling system runs abnormally:
1. First, check whether the sampling tubes are twisted. If not, please remove the sampling tubes from the water
tank, and if there is prompt on the screen indicating that the airway is abnormal, it means that the water tank
is clogged and needs to be changed.
2. In case there are no prompts of abnormality, it means that the sampling tubes are clogged and needs to be
changed.
6.8.9 Emissions
Use an exhaust pipe and the vent on the module connected to the sample gas emissions to the waste processing
system.
Warning
Anesthetic: the sidestream CO2 module, to measure the use of anesthetics or recently used
anesthetic animals, the vent on the module must be connected to the exhaust gas treatment system,
anesthesia machine or ventilator, to avoid medical personnel inhalation anesthetic.
Chapter 7 Alarm
Attention
Only the Mid and Low alarm levels are available for arrhythmia analysis except Asystole and
VFib/VTac (ventricular fibrillation/ ventricular tachycardia).
‗*‘ represents a low-level alarm. But for technical alarms, no symbol ‗*‘ is added in the front of the alarm
messages in the technical alarm display region.
Furthermore, the monitor also uses different background colors to discriminate different alarm levels. Red
represents a high-level alarm, yellow represents a mid-level alarm and low-level physiological alarm, and
blue represents a low-level technical alarm.
Alarm Reminder Tone
The monitor provides the function of monophonic alarm prompts which remind users that the system
currently has an active alarm in case alarm silence is activated or the [Alarm Volume] is 0.
Explanation
Alarm Silencing
Alarm Pausing
Attention
The monitor will provide alarms of the highest level in both lighting and sound when different levels
of alarms are triggered at the same time.
Attention
When the animal category is < 10 kg, the setting of ST Alarm Delay is not available, for ST analysis
is not applicable to animals < 10 kg.
Select [Main Menu]-[Alarm Setup]-[PAR.Alarm], and users can view and revise the warning On/Off state,
warning upper and lower limits, warning levels and alarm record On/Off state of all parameters in the current
measure.
Attention
This alarm triggers the recorder to output the waveforms of this alarm and values of all parameters
only when both the alarm switch and the alarm records of a parameter are set [On].
Warning
Before starting the monitor, users are required to check whether the setting of the alarm limits are
suitable for the animal.
Don’t set an alarm value that exceeds its limit, otherwise the system will fail.
prohibition period of High level arrhythmia alarm. The full prohibition in [Alarm Config>>] is defaulted on,
When it is set as off, prohibition period ends automatically if it detects ECG signal.
Alarm Forbidden Time Setup
Enter [Alarm Config>>] and select [1st Forbid Time] and [2nd Forbid Time].
[1st Forbid time]: Off, 1min, 2min, 3min, 4min and 5min.
[2nd Forbid time]: Off, 1min, 2min, 3min, 4min, 5min, 10min and 15min.
Fatal Arrhythmia Setup
Enter [Alarm Config>>] and select [Fatal Arrh.Off]: Enable or Disable. It allows user to reset the fatal
arrhythmia analysis in the alarm setup menu.
Minimum Alarm Volume Setup
Enter [Alarm Config>>] and select [MIN Alarm Volume]: 0, 1 and 2.
Warning
The lowest alarm volume determines the minimum value for the alarm volume setup, thus it requires
caution by users.
Attention
In the ISO mode, the sound interval for the low-level alarm must be bigger than or equal to that of
the mid-level alarm and the sound interval for the mid-level alarm must be bigger than or equal to
that of the high-level alarm.
Voice Alarm
Enter [Alarm Config>>] and select [Voice Alarm]: On or Off.
On: when system alarm, in addition to light and sound alarm, as well as voice alarm. In addition to
lighting alarm and audible alarm, there is voice alarm.
Off: when system alarm, lights and sound alarm. Only lighting alarm and audible alarm.
Attention
The Monitor only alarms in Chinese and English. And only sounds the important physiological and
technical voice alarm.
Attention
Users intentionally disconnecting sensors, probes or a module can press the button [PAUSE] to
make the system enter the ‘Alarm Pause’ state.
Attention
When the system is in the ‘Alarm Silence’ state, any newly triggered alarms will release the ‘Alarm
Silence’ state, but only the new one has normal audible and lighting alarms, leaving the silenced
alarm still being silenced.
Disconnect the probe module technology caused alarm cannot be turned off, the alarm will always
exist until the probe is re-connected, the module reload successfully, and then alarm disappears.
You can perform remote alarm silence control for the currently observed other-bed monitor in the other-bed
observation interface.
In case the other-bed mute function is set [On], press the button [SILENCE] in the other bed observation interface
and then the current alarms of the currently observed other-bed monitor can be silenced when it alarms.
Attention
This button is invalid when other bed monitor is in a state of alarm shutdown or alarm pause.
This function can only be set in menu [User Maintain>>]-[Alarm Config>>].
Warning
The remote alarm silence control of other bed monitors has potential risks, please handle it
cautiously.
1. Press the button on the panel in non-freeze state. System will display the freeze menu.
2. All waveforms are frozen, and waveforms are no longer refreshed or scrolling. Data in the parameter zone
refresh normally.
Attention
Freeze state does not influence OxyCRG, Minitrends, View Other Bed window, and the rhythm lead
display and refreshing
3. You can press the [Review] button in the freeze state, then select or in the submenu that has
appeared.
The frozen waveform will move left or right. Meanwhile, there will appear an ↗ on the lower right corner
of the bottom waveform. At the bottom of the arrow is a time scale, where the freeze moment is marked [0s].
As waveform moves right, the time scale will turn to -1s, -2s, -3s… in order. The time scale applies to all
waveforms on the screen. It can be viewed for at most 2 minutes, and will not be stored when power is turned
off.
8.4 Review
8.4.1 Review Window
Select [Main Menu] - [Review] or directly select physiological alarm display zone, as Figure 8.3 shows:
High-level alarm event will be respectively marked on the event bar display in red, Mid-level and Low-level
alarm event is yellow, and the manual event is green.
View Mode
Select Time or Event to view graphic trends window.
Window Time
Select [WindTime], you can set the duration of time for the review window. When system sets the window
time as 4min, 40min, 2h, and data can be reviewed for at most 72 hours; As with 4h, 8h, 16h, 32h, 48h, data
can be reviewed for at most 480 hours. Graphic trends review has power-down and store function.
Set Trend Group
Select [Trend Group >>], in the menu that has popped up. Select the parameter group that needs viewing.
User can also select [User-defined 1], [User-defined 2]. If you select [Define Group>>] button at the bottom
of the screen after having selected [User-defined 1] or [User-defined 2], you can select the trend parameter
that needs viewing in the menu that has popped up.
Browse
Select or button to move the trend cursor forward or backward. Select or , turn pages
forward or backward to move the waveforms; Select or to view the first data, the first event entry or
view the last data, the last event. Time above the trend data zone displays the time corresponding to the
current cursor, and the trend data zone displays the parameter data at that moment. They will change as the
trend cursor moves.
Select or to browse last page‘s parameters or next page to display more parameter values.
Quick Search
Select [Quick Search], and you can find veterinary monitoring Graphic trends information in the period of
time.
Record
Select [Record], and you can record the graphic trends that the current window is displaying.
Select [Tabular Trends] in the Review menu. Open the window as figure8.5 shows:
Interval
When the interval is selected as 5 s, 30 s, 1 min, 10 min, you can observe the trend variations in the last 72
hours; and when the interval is selected as 15 min, 30 min, 1 h, 2 h, 3 h, you can observe the trend variations
in the last 480 hours. The tabular trends review has power-down store function.
View mode
Select Time or Event to view the trend chart window.
Browse
Select or button to move the tabular trends cursor forward or backward. Select or , to move the
tabular trends data forward or backward; Select or to view the first data, the first event entry or view
the last data, the last event.
8.4.4 Events
Select [Events] in the Review menu, and open the window as Figure8.6 shows:
Event that users can review are: manual event, arrhythmia event and parameter alarm event. When an event occur,
monitor will store the time the event occurs, relative parameter values, and relative waveform data 5 secs before
or after the event occurs, so that user can proceed with event review. You can review at most the last 700 events
with event review. Moreover, event review also has power-down and store function.
Event Type
Select [Event], and select the event type that needs review in the type list that has popped up.
Level
Select [Level], and select the event level that needs review in the level list that has popped up: All, High, Mid,
and Low. When event type is selected as manual event, the event level is defaulted as [All].
Browse
Select or button to move the event data up and down. Select or button to turn pages up or down to
move the event data. Select or to select the page where the most recent event data is located or the page
with the first measured event data are located.
Quick Search
Select [Quick Search], and you can find veterinary monitoring Events information in the period of time.
Details Information
In the Events window, after selecting one certain event, select [Details], open the window as figure8.7 shows:
The window waveform zone displays event related waveforms, and parameter zone displays related
parameter values.
Events List
Display events in list mode.
View Mode
Event
Select or to browse the last event or the next event, push or to browse the event that occurred
first or occurred last.
Time
Select or to browse the waveform 1 sec before or after a certain event, push or to browse the
waveform 5 secs before or after a certain event.
Gain
Select ×1/8, ×1/4, ×1/2, ×1, ×2, ×4 to change the gain of the ECG waveform.
Sweep
Select 6.25 mm/s, 12.5 mm/s, 25.0 mm/s, 50.0 mm/s, to change the speed of all 3 waveforms that is currently
being displayed.
Record
Record current alarm event.
Select [NIBP List] in the Review menu, open the window as figure8.8 shows:
Browse
Select or button to move the list data up and down; select or button to turn pages up or down to
move the list data; select or to select the page where the most recent NIBP data are located or the page
with the first measured NIBP data is located. NIBP list review supports at most display of 1000 groups of
NIBP data. Moreover, NIBP list review has power-down and store function.
Record
Record NIBP data displayed in the record list.
Quick Search
Select [Quick Search], and you can find veterinary monitoring Events information in the period of time.
Select [Long ECG] in the Review menu, open the window as figure8.9 shows:
When the magnifying zoom is not locked, and the magnifying zoom button appears as
You can browse 2 hours‘ waveform data with browse button. Select or to turn back or forward 1
line to view the ECG waveform; select or to turn pages forward or backward to view ECG
waveform; select or to view the first or the last ECG waveform.
To lock the magnifying zoom, push magnifying zoom button, when it displays
You can browse waveform data on the current page by using the browse button. Select or to
move the magnifying zoom one step forward or backward; select or to move the magnifying
zoom one line backward or forward; select or to move the magnifying zoom to the front or rear
zone of the current page.
Gain
Select ×1/8, ×1/4, ×1/2, ×1, ×2 and ×4 to change the gain of the magnified ECG store lead waveform.
Paper Speed
Select 12.5 mm/s, 25.0 mm/s, 50.0 mm/s to change the drive speed when recording the waveform.
Record
Record the waveform in the current magnifying zoom.
--104-- User Manual of Veterinary Monitor
Chapter 9 Calculations
Chapter 9 Calculations
Attention
Calculation is independent of the other functions of the monitor, calculated subject does NOT need
to be the veterinary monitored by this series of monitors. The calculating operation will not have an
influence on the animal that is being monitored.
Warning
When calculating, you should verify carefully the correctness of the input parameters and the
suitability of the calculating results. The company will not be responsible for any results that is
caused by input and operation errors.
Explanation
When using the soft keyboard to input parameters, if the input values are beyond the effective
scope, "WARNING" appears and shows the effective input range.
The printing content of animal information in calculation including name, Gender, No., Bed No.,
Height, Weight, Birthday are blank. The doctor can according to need to fill in the corresponding
information after printing.
Attention
For aninals < 10 kg, [Drip Rate] and [Drop Size] do not apply.
Titration Table
After finishing medication calculation, select [Titration Table >>] in the Dose window, open titration table,
as figure 9.2 shows:
Select [Shift] option, an arrow will appear turning pages forward and backward, and you
can observe more data by pushing left and right button.
Select [Record] and you can print the data being displayed in the current window with the recorder.
9.3.1 Review
Select [Review], enter Review interface, which displays all the results, as figure 9.4 shows:
9.3.2 Output
You can enter the Output interface by selecting [View outputs] or [Calculate] to view calculated outputs of the
current input parameters. If by [View outputs], the outputs will not be saved, and you can only browse the output
value. If by [Calculate], the current calculation results will be saved and can be viewed in Review interface.
Values which are beyond the normal range will be displayed on a yellow background. Please re-enter the
reasonable value.
Select [Range], display the reasonable scope of the output values.
Select [Unit], display the unit of the output values.
Select [Review], enter Review interface.
Select [View inputs], enter Input interface.
Select [Record], print the current calculation. The printing content includes name, Gender, No., Bed No., Height,
Weight, Birthday, Record Time and Hospital.
10.1 Recorder
This series of monitors use a thermal array recorder, supports multiple recording types, including real-time
recording, parameter crossed or alarm recording triggered by arrhythmia etc., and certain function-related
recording.
Figure10.1 Recorder
Recording
Push this button and you can start or stop recording.
Lever Switch
In accordance with the direction of the arrow press down, and you can open the recorder door.
Indicating Light
On: recording apparatus is in the normal functioning state.
Off: recorder off.
Flashing: recorder failure, i.e.: no paper.
Attention
The setting will not work when the record mode is in continuous record.
Attention
If there is no grid on the thermal paper you are using, it is advised to use this option.
In the process of recording, you can use these modes to stop recording:
Press [PRINT] button on the monitor panel or recording apparatus module.
Attention
Recording paper should be pulled out in accordance with the slot limit of the exit, otherwise
movement may occur in the recording process.
Do use thermo sensitive recording paper that does not meet standards.
In the printing process of the recorder, do not pull the paper, as it could damage the recorder.
Unless you are replacing the recording papers or trouble shooting don’t open the recorder gate.
When the sound of the recorder is abnormal or recording paper won’t come out, check the recorder
to see if the paper is stuck. If so, open the recorder door, get the recording paper out, eliminate the
stuck part and reinstall recording paper.
head, you should soak it with alcohol, and then wipe it with a soft cloth. Never scratch the surface of the print
head with a hard object, otherwise the print head will be damaged. Do not put on the cartridge cover back until the
alcohol is completely dry.
Attention
Before cleaning, take necessary measures to prevent damage that static electricity may cause to
the recorder. Such as put on a pair of anti-static-electricity disposable bracelets.
Don’t use any objects that may damage the thermal parts, such as abrasive paper.
Don’t press hard on the thermal print head.
When using normally, clean the print head at least once a month.
11.1 Power-On
Press power switch button to power on/off the monitor. The monitor will do self-checking before entering main
interface.
Attention
If the three curves in [Curve Select] are off at the same time, it will not store any curve, but still can
store measured data.
11.4 Defaults
Chapter 12 Battery
: when the battery power is in the middle, it indicates that the battery capacity is low and should be
recharged.
Attention
Before operating the machine, please discharge and recharge the battery one time. Keep the
battery power full.
Please remove the battery before transportation of the monitor or if the monitor will be out of use for
a long time.
To ensure the length of power supply and extend the service life of the battery, it is recommended
using the battery at least once a month and recharge it only when the battery power is used up.
Life expectancy of a battery depends on how frequent and how long it is used. For a properly
maintained and stored lithium-ion battery, its life expectancy is about 3 years. For more aggressive
use models, life expectancy can be less. We recommend replacing lithium-ion batteries every 3
years.
The operating time depends on the configuration and operation. For example, monitoring NIBP
repeatedly will also shorten the operating time of the batteries.
Warning
Before use of the rechargeable lithium battery, please read this user manual and the attentions
therein thoroughly.
Please put the battery in a place out of children’s reach.
Be sure to use the provided rechargeable lithium battery or equivalent model. Never use the battery
provided by another manufacturer unless otherwise approved.
Do not use the battery near a source of fire or in an environment over 60℃ (140℉); otherwise the
battery might explode.
To avoid getting the battery wet, do not throw the battery into the water.
Never damage the battery by means of chiseling, knocking, throwing or other methods; or the
battery might become heated, smoke, deformed, burned or even explode.
Immediately go far away from the battery if you find any liquid leakage or if the battery gives out a
bad smell. If any electrolytic liquid is spilled onto your skin or clothing, immediately wash with clean
water. If any electrolytic liquid enters your eyes, do not wipe but immediately wash them with clean
water and seek medical care.
When the battery is at the end of service life or when the battery gives off a bad odor or becomes
deformed, discolored, stop using it and dispose it according to local laws on waste battery disposal.
Battery
2-M3*8 Screw
Battery Cable
Battery Cable
Warning
Handle the battery with care. Please do not throw it on the ground or knock it onto other objects.
Do not connect the positive and negative polarity of the battery wrong; otherwise explosion might
happen.
Warning
Please do not disassemble or short circuit the battery; otherwise there is fire hazard.
Burning, explosion or leakage of the battery might cause injury to your body.
Warning
Warning
Attention
The cleaning interval should be shortened if the equipment is used in a region or an environment
with heavy dust.
13.5 Transport
The monitor may be transported by car, train or plane as agreed in the Contract. Do not throw or knock during
transport.
Chapter 14 Maintenance
Warning
The removal or repair of the monitor can only be done by the well-trained professional technicians.
If you find any problems, please contact us or repair technician.
Warning
NIBP Overpressure Protection Test: it should not exceed 300 mmHg (39.9 kPa) for the animals > 20
kg, not exceed 240 mmHg (31.9 kPa) for the animals from 10~20 kg and not exceed 150 mmHg
(19.9 kPa) for the animals > 20 kg.
Language
Set the language of the monitor‘s display language, this setting is associated with the language configuration
in the Factory Maintain, when the language configuration for certain kinds of language, then the language
setting in the user maintain are the same several languages.
Hospital Information
Input name of hospital and department name.
Units Setup
Select [Unit Setup>>] to open [Unit Setup] Menu, in which you can select the animal‘s height, weight,
monitor CO2 pressure, blood pressure, CVP, temperature and ST voltage.
Height: cm, inch
Weight: kg, lb
CO2: mmHg, kPa, %
Blood Press: mmHg, kPa
CVP: mmHg, kPa, cmH2O
Temp: ℃, ℉
ST Voltage: mV, mm
O2: mmHg, kPa, %
Show Unit: Disable, Enable. If you select ‗Enable‘, the parameters will be shown in the selected unit on the
parameter window of main screen. If you select ‗Disable‘, no parameters will be shown.
Time Setup
Refer to 3.8.4 for details.
Alarm Config
Refer to 7.6 for details.
Net Setup
By selecting [Net Setup>>], you may set the bed number, network mode (wired or wireless (optional)), local
IP address, server IP address and default gateway. After finishing the setting, select [Storage Settings] to
confirm.
Defaults Manage
Refer to 3.9 for details.
Maintenance of CO2 Module
Refer to 6.8.5 and 6.8.6 for details.
Other Setup
Notch Filter: 50Hz, 60Hz. It is used for setting the frequency of power frequency wave trap.
ECG Off Level: High, Mid and Low. The user may set the level of ECG lead off. The alarm prompt will
also display the corresponding alarm level.
SpO2 Off Level: High, Mid and Low. The user may set the level of SpO2 sensor fall. The alarm prompt will
also display the corresponding alarm level.
Tone Modulate: On or Off. Set if needed to modulate SpO2 value to the pulse rate.
Record Bold Curve: On or Off. If you select On, the wave curve on the log paper will be bold.
Curve Draw: by Ladder or Color Steps. It is used for setting the mapping method for the waveform on the
screen.
Wave Lines: Thin, Middle or Thick. It is used for selecting the coarseness of the waveform in vertical
direction on the screen.
Auto Screen Layout: On or Off. It is used for setting to display that the module is turned off. When a sensor
for the parameter is not activated is inserted on the screen configuration, the system will automatically
display the data and waveform of the parameter if this option is activated. If this option is deactivated, the
current screen layout will not change, but there will be a prompt ‗XX not be chosen to display‘ appearing on
the lower part of screen. Special: if Resp parameter is not activated in screen configuration, the screen will always
display the message ‗Resp cannot be chosen to display‘ instead of the Resp data and waveform if the ECG lead is
inserted, no matter if the ' Auto Screen Layout ' is set to On or Off.
Attention
The demo mode is used for factory demonstration or hospital training purposes. This function is
provided with password protection. During demonstration, all waveforms and data are virtual, and
some menus and functions are disabled
This window displays the module configuration, including: Module Name, Hardware Version and Software
Version.
Warning
The user shall not open the casing by you.
If the hospital does not implement the repair plan, it might cause the monitor to malfunction or even
cause risk to animal health.
If the sensor or cable has any sign of damage or deterioration, please stop using the equipment.
To eliminate unnecessary problems and avoid affecting the normal use, do not adjust the meters or
other adjustable elements inside the machine, unless otherwise permitted.
15.3 The Monitor cannot be Shut Down Normally with ON/OFF Switch
Keep pressing ON/OFF for 3s or longer to shut down the equipment forcibly. (If the equipment cannot be
forcibly shut down, please unplug the power cord and remove the battery).
Restart the equipment and operate by going to [Main Menu]-[Animal Manage]-[Clear Animal Data].
If the equipment still cannot be shut down normally, please contact the manufacturer.
Attention
If the machine has problems when you are using our monitor, you may check as described above. If
the problem remains, please contact the local dealer or call us directly.
A.1 Packaging
The equipment is packed in a high-grade corrugated carton by two layers. The carton is lined with foam to ensure
the monitor will not be damaged during normal handling.
Gross weight: 7.00 kg
Dimension: 420(L) mm×310(W) mm×400(H) mm.
A.2 Accessories
Clamp veterinary electrode (Veterinary clip 5-lead 10 pieces
DECG-FJ03 Ф3mm Ф4mm, snap multi - limbs clip, 304
1 Set
stainless steel)
ECG
Veterinary ECG leads (monitor 5-lead cable, split, 12P round
1 Set
plugs, with a 1K resistor, snap, American Standard)
Attention: The accessories vary with your options and required configuration. See the Packing List for
details.
For classification of this series of monitors comply with IEC60601-1, please refer to Table B.1.
Table B.1 Module Classification
Type of Degree of Degree of Degree of
Protection Protection Protection Protection Mode of
Components
Against Electric Against Against harmful Against hazards Operation
Shock Electric Shock ingress of water of Explosion
Main unit I Not marked
ECG (Resp) Module
IBP Module (Optional)
NIBP Module CF(*)
Ordinary Not suitable Continuous
Temp Module NA
SpO2 Module
CO2 Module
BF(*)
(Optional)
ATTENTIONS:
■ I: Class I Equipment
■ BF: Type BF applied part (The symbol ‗*‘ indicates the availability of defibrillation-proof function).
■ CF: Type CF applied part (The symbol ‗*‘ indicates the availability of defibrillation-proof function).
■ NA: Not applicable.
■ Ordinary Equipment: No protection against the ingress of water.
■ Not suitable: Equipment is not suitable for use in the presence of a flammable anesthetic mixture with air
with oxygen or nitrous oxide.
Standard RJ45 network port, which can network with the central monitoring system
Network
and transmit all the veterinary monitored data to the central monitoring system.
USB disk supported. For the manufacturer to upgrade and service the application
USB
software, and export data (Structurally 1 USB host interfaces supported)
Equipotential Terminal
1 piece
Port
Pacemaker Pulse
Pace-making mark can be displayed for the following pacemaker pulses:
Pulse Amplitude: ±2 mV ~ ±100 mV
Pacemaker Pulse Display
Pulse Width: 0.1 ms ~ 2 ms
Capacity
Pulse Rise Time: 10 μs~ 100 μs
Pacemaker pulse should be no overshoot
The monitor can inhibit the pacemaker pulse that conforms to the following
conditions:
Pulse Amplitude: ±2 mV ~ ±100 mV
Pacemaker Pulse Suppression
Capacity Pulse Width: 0.1 ms ~ 2 ms
Pulse Rise Time: 10μs~ 100 μs
Pacemaker pulse should be no overshoot
Upper Limit of ECG Heart Rate Alarm upper limit for >20 kg: (Lower limit+2) bpm~300 bpm
Alarm upper limit for 10~20 kg: (Lower limit+2) bpm~350 bpm
Alarm upper limit for <10 kg: (Lower limit+2) bpm~350 bpm
Capacity Part 4.1.2.1 c). The heart rate moniter inhibits all T-waves with amplitude
lower than 1.2 mV, 100msQRS wave groups, T-wave period 180 ms and QT
period 350ms.
a) Monitoring type: Asystole, VFib/VTac, VTac, Ventricular bradycardia,
Extreme-Tachy, Extreme-Brady, Non-Sustained VT, PVC, Tachycardia,
Bradycardia, VR(ventricular rhythm), V-Bigeminy, V-Trigeminy,
Arrhythmia Type Irr.Rhythm, PVCs/min, Run PVCs > 2, Couplet, R on T, Multiform,
HeartBeat Pause, Missed Beats
b) Pace-making: Pacemaker not captured (PNC), Pacemaker not paced
(PNP).
ST Interval Measuring
Range (-2.0 mV)~(+2.0 mV)
Accuracy Measuring Tolerance: measuring tolerance within (-0.8 mV)~(+0.8 mV) is
±0.02 mV or ±10%, whichever is higher. It not defined for other ranges.
ST Interval Updating Interval A single heart beat interval or 1s, whichever is higher.
Respiration Exciting Waveform <300 μA, Sine signal, 62.8 kHz (±10%)
Tolerance higher.
The tolerance is not defined for other ranges.
Within 10 s~40 s (Increase/decrease by 5s for each rotation of the knob), the
Asphyxia Alarm Tolerance
asphyxia alarm tolerance is ±5 s.
Alarm Limit Specifications Range
Alarm upper limit for >20 kg: (Lower limit+2) rpm ~100 rpm
RR Upper Limit Alarm upper limit for 10 ~20 kg: (Lower limit+2) rpm ~100 rpm
Alarm upper limit for <10 kg: (Lower limit+2) rpm ~100 rpm
Alarm lower limit for >20 kg: 0 rpm ~ (Upper limit-2) rpm
RR Lower Limit Alarm lower limit for 10 ~20 kg: 0 rpm ~ (Upper limit-2) rpm
Alarm lower limit for <10 kg: 0 rpm ~ (Upper limit-2) rpm
B.6.4 PR Specifications
PR from IBP
Range 30 bpm~350 bpm
Resolution 1 bpm
30 bpm~200 bpm: ±1 bpm or ±1%, whichever is higher;
Measuring Tolerance
201 bpm~350 bpm: ±2%.
Safety Requirements Acc. to ANSI/AAMI SP-10 Non-invasive Automated Blood Pressure Monitor, Part 4.4
Measuring Interval 1 min, 2 min, 3 min, 4 min, 5 min, 10 min, 15 min, 30 min, 60 min, 90 min, 2 h, 4 h, 3
under Auto Mode h, 8 h, Timer interval error: <10 s
>20 kg: 41 mmHg~ (Upper limit-5) mmHg (5.3 kPa~ (Upper limit -0.7) kPa)
Lower Limit of
10~20 kg: 40 mmHg~ (Upper limit-5) mmHg (5.3 kPa~ (Upper limit-0.7) kPa)
Systolic Blood Pressure
<10 kg: 40 mmHg~ (Upper limit-5) mmHg (5.3 kPa~ (Upper limit-0.7) kPa)
>20 kg: (Lower limit+5) mmHg~230 mmHg ( (Lower limit+0.7) kPa~30.6 kPa)
Upper Limit of Mean 10~20 kg: (Lower limit+5) mmHg~165 mmHg ( (Lower limit+0.7) kPa~21.9.0
Blood Pressure kPa)
<10 kg: (Lower limit+5) mmHg~110 mmHg ( (Lower limit+0.7) kPa~14.6 kPa)
>20 kg: 20 mmHg~ (Upper limit-5) mmHg (2.7 kPa~ (Upper limit-0.7) kPa)
Lower Limit of Mean
10~20 kg: 20 mmHg~ (Upper limit-5) mmHg (2.7 kPa~ (Upper limit-0.7) kPa)
Blood Pressure
<10 kg: 20 mmHg~ (Upper limit-5) mmHg (2.7 kPa~ (Upper limit-0.7) kPa)
>20 kg: (Lower limit+5) mmHg~210 mmHg ( (Lower limit+0.7) kPa~27.9 kPa)
Upper Limit of
Diastolic Blood 10~20 kg: (Lower limit+5) mmHg~150 mmHg ( (Lower limit+0.7) kPa~20.0 kPa)
Pressure
<10 kgv: (Lower limit+5) mmHg~100 mmHg ( (Lower limit+0.7) kPa~13.3 kPa)
>20 kg: 11 mmHg~ (Upper limit-5) mmHg (1.4 kPa~ (Upper limit-0.7) kPa)
Lower Limit of
Diastolic Blood 10~20 kg: 11 mmHg~ (Upper limit-5) mmHg (1.4 kPa~ (Upper limit-0.7) kPa)
Pressure
<10 kg: 10 mmHg~ (Upper limit-5) mmHg (1.3 kPa~ (Upper limit-0.7) kPa)
Measuring Mode Sidestream type (support 50ml/min pumping rate), mainstream type
Measuring Method Infrared radiation absorption technique
(When the breathing rate is >80 rpm, all ranges are ±12% of the
reading)
xx Too High xx value exceeds the alarm upper limit. Check the physiological condition of the
animal and confirm if the setting of animal
type and alarm limit is suitable to the
xx Too Low xx exceeds the alarm lower limit.
animal.
Attention: xx represents the physiological parameter or name of a module, e.g. HR, ST-Ⅰ, SpO2, NIBP Systolic
Blood Pressure and RR, etc.
ECG
Alarm Information Triggering Condition Treatment Measure
Check the animal state, electrode and lead
ECG Signal Too Weak The animal ECG signal is too weak.
cable.
Heart beat NOT detected when preset
Asystole cardiac arrest threshold time has
passed
Fibrillating waves last consistently for
6s//Dominant rhythm of the adjacent
VFib/VTac ventricular heart beats (V) and the
heart rate is greater than the upper
limit of ventricular tachycardia
Heart rate exceeds extreme tachycardia
Extreme Tachycardia
threshold
Heart rate lower than extreme If the animal suffers arrhythmia, check the
Extreme Bradycardia
bradycardia threshold animal state, electrode and lead cable.
Lead rhythm of the adjacent Check if the setting of arrhythmia trigger
ventricular beat exceeding the number threshold is suitable to the animal.
Ventricular Rhythm of idioventricular rhythm threshold,
and the heart rate is lower than VT
rate.
Ventricular Bigeminy Rhythm N, V, N and V
Ventricular Trigeminy Rhythm N, N, V, N, N, V
Irregular Rhythm Continuous irregular rhythm
PVCs/min PVCs/min exceeds preset higher limit
More than 2 continuous PVCs in the
Run PVCs>2
last minute
Couplet PVCs Paired PVCs detected in the last
minute
R on T R on T detected within the last minute
Ventricular premature of 2 or more
Multiform PVCs
forms is detected in the last minute
Not detecting heart pacing within
HeartBeat Pause
preset cardiac arrest threshold time
Unable to detect the heart pacing
within 1.75 times of the mean RR
Missed Beats period when the heart rate is <100, or
unable to detect the heart pacing in 1s
when the heart rate is >100.
Asystole with pace-making pulse in
Pacemaker NOT Capture the last minute (Only applicable to
pacemaker-wearing animals)
The pacemaker has problem. Please check
No pace-making pulse detected within
the pacemaker.
a period that is 1.75 times the average
Pacemaker Not Pace
R-R intervals (Only applicable to
pacemaker-wearing animals)
Resp
Alarm Information Triggering Condition Treatment Measure
No breathing signal within the preset
Resp Apnea(Resp)
time of respiratory asphyxia Check the animal state, electrode and lead
The heart beat of the animal interferes cable.
Resp Heatbeat Interrupt
with the respiration.
CO2
Alarm Information Triggering Condition Treatment Measure
The animal has no breath, or the Check the animal‘s state, accessories and
Resp Apnea (CO2)
breathing signal is too weak. airway connection.
ECG
Alarm Information Triggering Condition Treatment Measure
The connection between the electrode
and the animal is loose or fallen, or
the connection between lead line and
Check the connection between electrode and
main cable is loosened. (Integrated
ECG RLF C Lead Off animal, as well as the connection between
display is used for showing all
lead line and main cable.
alarms, so that the user may easily
view all the information on a lead
off.).
NIBP
Alarm Information Triggering Condition Treatment Measure
Check the animal connection or change the
Failure occurs during measuring,
cuff. Then, restart the equipment to try again.
NIBP Measure Timeout resulting in the system cannot make
If the error remains, please contact the
an analysis and calculation.
manufacturer for repair.
Check the airway connection or change the
The animal‘s blood pressure exceeds
NIBP Pressure Outrange cuff. If the error remains, please contact the
the measuring range.
manufacturer for repair.
NIBP Pressure Guard The airway might be blocked. Check the airway and measure again.
Check the animal condition and stop the
NIBP Arm Movement The animal arm has moved.
animal from moving the arm.
Check the animal condition and put the cuff
to an appropriate position. If the error
It might be that the animal‘s pulse is
NIBP Signal Too Weak remains, please change the cuff. If the
too weak or the cuff is too loose.
problem remains unsolved, please contact the
manufacturer for repair.
The cuff is not compatible with the Confirm the animal type or change the cuff.
Cuff Type Error
setting of animal type.
The NIBP cuff is not correctly Check the airway connection or change the
Cuff Leakage placed, or not properly connected, or cuff. If the error remains, please contact the
the airway has leakage. manufacturer for repair.
The NIBP cuff is not correctly Check the air tube connection or change the
Cuff Loose placed, or not properly connected, or cuff. If the error remains, please contact the
the airway has leakage. manufacturer for repair.
Check the airway and measure again. If the
Cuff Enlaced or
The cuff or airway is blocked. error remains, please contact the
Air-Logged
manufacturer for repair.
Check the animal condition; and check the
During measuring, the system failed connection or change the cuff. If the error
NIBP Measure Failed
and cannot make analysis. remains, please contact the manufacturer for
repair.
CO2 Airpressure Too High Check the airway connection and confirm if
The environment where the monitor the environment conforms to the monitor
CO2 Airpressure Too Low is located affects the pressure. specifications and if there is any special factor
affecting the environment pressure.
CO2 Gascircuit Jam The airway is blocked Check the airway and eliminate the blocking.
The water bath is improperly
CO2 Basin Off Check the water bath connection.
connected.
CO2 Zero Error The airway is improperly connected. Check the airway connection. Make zero
CO2 Sensor Software Error The CO2 module has failed Reinsert the module or restart the monitor.
CO2 Airway Adapter Off The airway adaptor is abnormal. Check the airway and eliminate the blocking.
CO2 Pump Shut CO2 Pump Closed Confirm if CO2 pump is closed.
CO2 Calibrate Error The CO2 calibration is wrong Recalibrate.
IBP
Alarm Information Triggering Condition Treatment Measure
xx Sensor Off The sensor is not connected or
Check the sensor connection. Reconnect it.
(xx refers to an IBP label) incorrectly connected.
Others
equipment.
Clear the print task and output the records
Head of Print Hot The recorder has worked too long
after the machine has cooled.
Switch to AC power supply. Power supply by
Voltage of Battery Too The battery voltage is low and cannot
battery can only be used when the battery is
Low maintain long-time monitoring
fully recharged.
The battery voltage is too low. To
Switch to AC power supply. Power supply by
Very Low Voltage, Shortly avoid data loss due to low power, the
battery can only be used when the battery is
Logout system will soon activate the
fully recharged.
automatic shutdown procedure.
Attention
When different levels of alarms exist together, the alarm sound of the highest level will be heard.
Under ‘Alarm Pause’ state, the monitor will not process any alarm information.
Paced No
D.2 Alarm
Alarm Volume 8
Alarm Delay 5s
Global
ST Alarm Delay 30 s
Limit Display On
PAR.Flash On
Reminder Tone On
Reminder Volume 5
Alarm-H Interval 10 s
Alarm-M Interval 20 s
Alarm-L Interval 20 s
D.3.1 > 20 kg
Attention: ‘X’ represents Lead I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, V5 or V6.
AA1/AA2 representative one of the five anesthetic gas such as Des (Desflurane), Iso (isoflurane) and
Enf (enflurane), Sev (sevoflurane) and Hal (halothane)
D.3.2 10~20kg
Attention: ‘X’ represents Lead I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, V5 or V6.
AA1/AA2 representative one of the five anesthetic gas such as Des (Desflurane), Iso (isoflurane) and
Enf (enflurane), Sev (sevoflurane) and Hal (halothane)
D.3.3 < 10 kg
Attention: AA1/AA2 representative one of the five anesthetic gas such as Des (Desflurane), Iso
(isoflurane) and Enf (enflurane), Sev (sevoflurane) and Hal (halothane)
Screen Brightness 10
Minitrend Length 1h
Menu Help On
Height cm
Weight kg
CO2 %
Temp ℃
ST Voltage mV
O2 kPa
TB ℃
Notch Filter 50 Hz
Tone Modulation On
Other Setup
Record Bold Curve Off
D.6 ECG
Filter Diagnose
ECG1 Ⅱ
ECG2 Ⅰ
ECG Gain ×1
QRS Volume 6
ECG Setup
Notch Filter On
Screen Normal
Paced No
Save Curve Ⅱ
ST Use ST Point
ST Analysis Off
ST Analysis
ST Waves Setup ST-Ⅱ
Sustained VT 15 s
VR 5
PVCs/min 10
D.7 NIBP
Interval 5 min
D.8 SpO2
PR Source Auto
Pulse Volume 6
Sensitivity Mid
Pump Show On
D.9 Resp
Apnea Delay 10 s
Gain ×1
Read Lead I
Detect.Mode Auto
D.10 IBP
Label Art
Scale 0~140
Filter Normal
Sensitivity Mid
Label CVP
Scale 0~80
Filter Normal
Sensitivity Mid
Apnea Delay 30 s
O2 Compen 0%
N2O Compen 0%
Des Compen 0%
Scale 7.0
D.12 PR
PR Source Auto
Pulse Volume 6
Curve 1 Ⅰ
Curve 3 Off
The Veterinary Monitor is intended for use in the electromagnetic environment specified below. The customer or
the user of the Veterinary Monitor should assure that it is used in such an environment.
Compliance
Immunity test IEC 60601 test level Electromagnetic environment - guidance
level
Electrostatic ±6 kV contact ±6 kV contact Floors should be wood, concrete or
discharge (ESD) ceramic tile. If floors are covered with
synthetic material, the relative humidity
EN 61000-4-2 ±8 kV air ±8 kV air should be at least 30%.
The Veterinary Monitor is intended for use in the electromagnetic environment specified below. The
customer or the user of the Veterinary Monitor should assure that it is used in such an environment.
Immunity test IEC 60601 Compliance Electromagnetic environment - guidance
test level level
Radiated RF 3 V/m
3 V/m
where p is the maximum output power rating of the
transmitter in watts (W) according to the transmitter
EN 61000-4-3 80 MHz to
manufacturer and d is the recommended separation distance
2.5 GHz
in metres (m).b
ATTENTION 1 At 80 MHz and 800 MHz, the higher frequency range applies.
ATTENTION 2 These guidelines may not apply in all situations. Electromagnetic is affected by absorption
and reflection from structures, objects and people.
a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which the
Veterinary Monitor is used exceeds the applicable RF compliance level above, the Veterinary Monitor should
be observed to verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the Veterinary Monitor .
b. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/m.
The Veterinary Monitor is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the Veterinary Monitor can help prevent
electromagnetic interference by maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the Veterinary Monitor as recommended below, according to
the maximum output power of the communications equipment
100 12 12 23
For transmitters rated at a maximum output power not listed above the recommended separation distance d in
metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
ATTENTION 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
ATTENTION 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.