Dre Vidastat DM Defibrillator Sales Sheet Spanish

DRE VidaStat DM
Defibrillator Monitor
Users Manual
Directive
Copyright law allows no part of this instruction manual to be reproduced without

permission.
The content of this manual are subject to change without notice.
The contents of this manual should be correct. If for some reason, there are any
questionable points, please do not hesitate to contact our service center.
The manual will be replaced if any pages are missing or collation is incorrect.
Warranty
Please contact your local distributor about the warranty period.

Device failure or damage related to the following situations during the guarantee period
is not covered by this warranty:
Installation, transfer installation, maintenance and repairs by any person other
than an authorized employee or technician by DRE.
Damage sustained to the DRE product(s) caused by product(s) from another
company excluding products delivered by DRE.
Damage caused by mishandling and/or misuse is the responsibility of the
user.
Maintenance and repairs utilizing maintenance components that are not specified
by DRE.
Device modifications or use of accessories not recommended by DRE .
Damage caused by accidents or natural disasters (earthquakes, flooding, etc.).
Damage resulting from usage where caution statements and operating
instructions shown in this manual have not been followed.
Damage due to neglect of specified maintenance checks.
This warranty only covers the hardware of the VidaStat DM. The warranty does
not cover the following selections:
Whatever damage or loss results from the attachment of accessories or their
operation.
In the event of a defect in the product, contact our sales outlet or EU
representative as noted on the back cover.
The VidaStat DM conforms to the EMC standard IEC60601 -1- 2.
Note that mobile phones should not be used in the vicinity of the VidaStat
. DM
Note, however, any device not complying to the EMC standard that is used with the VidaStat
DM renders the VidaStat DM as non-compliable to the EMC standard.
Trademark
Product brand names shown in this manual are likely to be the trademark or registered
trademark of the company concerned.
This defibrillator/monitor is equipped with epoch-making ECG monitoring

function incorporating the cutting edge software for analysis of
electrocardiograms developed by the University of Glasgow in UK, which
includes signal processing, diagnostic interpretation of electrocardiograms from individuals of
all ages and analysis of cardiac rhythm.
CONTENTS
CONTENTS .................................................................................................................................................... i
SAFETY INFORMATION .............................................................................................................................. 7
General Safety Information ................................................................................................................... 7
Warning ................................................................................................................................................. 7
Cautions .............................................................................................................................................. 12
INTRODUCTION ......................................................................................................................................... 13
Intended Use for the VidaStat ..................................................................................................................
DM 13
Indications for Use ............................................................................................................................... 13
About This Manual............................................................................................................................... 15
Identifying the VidaStat DM Configurations .................................................................................................... 15
DESCRIPTION OF THE DEFIBRILLATOR/MONITOR .............................................................................. 17
Front Panel Components..................................................................................................................... 17
Top Panel Components ....................................................................................................................... 19
Rear Panel Components ..................................................................................................................... 20
Left Panel Components ....................................................................................................................... 21
Right Panel Components..................................................................................................................... 21
Displays ............................................................................................................................................... 23
SETTING UP THE DEFIBRILLATOR/MONITOR ....................................................................................... 27
Unpacking and Inspection ................................................................................................................... 27
List of Components.............................................................................................................................. 28
Power Cable Connections ................................................................................................................... 30
Measurement Cable Connections ....................................................................................................... 31
BATTERY OPERATION .............................................................................................................................. 33
Operating the defibrillator/monitor on Battery Power .......................................................................... 34
Battery Status Indication ...................................................................................................................... 35
USING THE DEFIBRILLATOR/MONITOR ................................................................................................. 37
Turning on the defibrillator/monitor ...................................................................................................... 38
Setting Date and Time ......................................................................................................................... 39
Continued use ..................................................................................................................................... 39
Setting the Main Screen ...................................................................................................................... 40
ALARMS AND LIMITS................................................................................................................................ 43
General ................................................................................................................................................ 43
Alarm Priority and Messages .............................................................................................................. 44
Visual Alarm Indication ........................................................................................................................ 48
Audible Alarm Indication ...................................................................................................................... 48
Verifying Audible Alarm Indication ....................................................................................................... 48
Changing Alarm Limits......................................................................................................................... 49
Audio Paused and OFF ....................................................................................................................... 52
ECG MONITORING .................................................................................................................................... 53
General ................................................................................................................................................ 53
Setup Connections .............................................................................................................................. 54
12-lead ECG ........................................................................................................................................ 56
Preparing the 12 Lead ......................................................................................................................... 60
Calculation Feature ............................................................................................................................. 61
Description of HR/PR Menu Functions................................................................................................ 64
HR/PR Source ..................................................................................................................................... 65
AED(Automated External Defibrillator) MODE ....................................................................................... 67
2010 AHA Guidelines for CPR and ECC ............................................................................................. 70
Major changes in the 2010 AHA Guidelines for CPR and ECC .......................................................... 70
CPR Guidelines 2010 .......................................................................................................................... 71
AHA 2010 Configuration ...................................................................................................................... 73
Note Performing CPR .......................................................................................................................... 73
Description of AED Mode Menu Functions ......................................................................................... 74
i
MANUAL MODE ......................................................................................................................................... 75
General ................................................................................................................................................ 75
Preparing for Defibrillation ................................................................................................................... 76
Operating the Manual Mode of defibrillator/monitor ............................................................................ 76
Defibrillating (async mode) .................................................................................................................. 77
Synchronized Cardioversion (sync mode) .......................................................................................... 77
Description of Manual Mode Menu Functions ..................................................................................... 79
MONITOR MODE ........................................................................................................................................ 85
General ................................................................................................................................................ 85
Description of Pacing Mode Menu Functions ...................................................................................... 85
PACING MODE ........................................................................................................................................... 91
General ................................................................................................................................................ 91
Demand Mode (Sync Mode) and Async Mode .................................................................................... 91
Operating the Pacing Mode of defibrillator/monitor ............................................................................. 92
Demand Mode (Sync mode) Pacing ................................................................................................... 92
Async Mode Pacing ............................................................................................................................. 93
Description of Pacing Mode Menu Functions ...................................................................................... 93
NIBP MONITORING.................................................................................................................................... 97
General ................................................................................................................................................ 98
Theory of Operation............................................................................................................................. 98
Setup Connections ............................................................................................................................ 101
Description of NIBP Menu Functions ................................................................................................ 102
SpO2 MONITORING.................................................................................................................................. 105
General .............................................................................................................................................. 106
Theory of Operation........................................................................................................................... 106
RESPIRATION MONITORING .................................................................................................................. 111
General .............................................................................................................................................. 111
Description of Respiration Menu Functions ...................................................................................... 113
CAPNOGRAPHY MONITORING .............................................................................................................. 115
General .............................................................................................................................................. 116
Calibrating the CO2 Sensor ............................................................................................................... 117
Description of EtCO2 Menu Functions ............................................................................................... 119
TEMPERATURE MONITORING ............................................................................................................... 121
General .............................................................................................................................................. 121
Description of Temperature Menu Functions..................................................................................... 122
IBP MONITORING .................................................................................................................................... 123
General .............................................................................................................................................. 124
Description of IBP 1 Menu Functions ................................................................................................ 125
Description of IBP 2 Menu Functions ................................................................................................ 126
SELF-TEST FUNCTION ........................................................................................................................... 129
General .............................................................................................................................................. 129
Functions to be tested in Self-test ..................................................................................................... 130
Self-test result transmission (if configured with Wireless module option) ......................................... 130
Self-test result printing ....................................................................................................................... 130
External shock test ............................................................................................................................ 131
Trouble shooting ................................................................................................................................ 131
EVENT ....................................................................................................................................................... 133
ii
General .............................................................................................................................................. 133
Event Data List Display ..................................................................................................................... 133
Event Review Display ........................................................................................................................ 134
12 Lead Record Display .................................................................................................................... 135
ID# ..................................................................................................................................................... 135
MENU STRUCTURE ................................................................................................................................. 137
PRINTING ................................................................................................................................................. 153
General .............................................................................................................................................. 153
Printer Settings .................................................................................................................................. 153
Print-Out ............................................................................................................................................ 154
EXTERNAL INTERFACE .......................................................................................................................... 157
General .............................................................................................................................................. 157
USB Host Type .................................................................................................................................. 157
SD Memory Card ............................................................................................................................... 157
Central System Communication ........................................................................................................ 157
MAINTENANCE ........................................................................................................................................ 159
Recycling and Disposal ..................................................................................................................... 159
Returning the defibrillator/monitor and System Components............................................................ 160
Service ............................................................................................................................................... 160
Periodic Safety Checks ..................................................................................................................... 160
Cleaning ............................................................................................................................................ 160
Battery Maintenance.......................................................................................................................... 161
Loading Printer Paper ....................................................................................................................... 162
TROUBLESHOOTING .............................................................................................................................. 163
General .............................................................................................................................................. 163
Obtaining Technical Assistance ......................................................................................................... 163
EMI (Electromagnetic Interference)................................................................................................... 164
FACTORY DEFAULTS .............................................................................................................................. 167
General .............................................................................................................................................. 167
Parameter Ranges and Default Settings ........................................................................................... 167
SPECIFICATION ....................................................................................................................................... 175
Display ............................................................................................................................................... 175
Controls ............................................................................................................................................. 175
Alarms ............................................................................................................................................... 175
Physical Characteristics and Printer.................................................................................................. 175
Electrical ............................................................................................................................................ 176
Environmental Conditions.................................................................................................................. 177
Tone Definition ................................................................................................................................... 178
Measurement Parameters ................................................................................................................. 179
Event ................................................................................................................................................. 185
Defibrillator (Technical Specification)................................................................................................. 186
Compliance ........................................................................................................................................ 201
Manufacturers Declaration ............................................................................................................... 205
iii
Figures
Figure 1. Front panel components .............................................................................................................. 17
Figure 2. Top panel components ................................................................................................................. 19
Figure 3. Rear panel components ............................................................................................................... 20
Figure 4. Left panel components ................................................................................................................. 21
Figure 5. Right panel components .............................................................................................................. 21
Figure 6. Displays ........................................................................................................................................ 23
Figure 7. AC Power Connection .................................................................................................................. 30
Figure 8. DC Power Connection.................................................................................................................. 30
Figure 9. Battery Placement ........................................................................................................................ 34
Figure 10. Mode Select Knob ...................................................................................................................... 38
Figure 11. Select Date/Time Menu .............................................................................................................. 39
Figure 12. Setup: Display mode Menu ........................................................................................................ 40
Figure 13. Normal Screen (4 waveform, Defibrillation mode, Full option) .................................................. 40
Figure 14. Large Numeric Screen (2 waveform, Monitor mode, Full option) .............................................. 41
Figure 15. Black-yellow Screen (4 waveform, Defibrillation mode, Full option) .......................................... 41
Figure 16. Volume Menu Display ................................................................................................................ 43
Figure 17. Alarm Limit Menu ....................................................................................................................... 49
Figure 18. Standard 3 Electrode Placement ............................................................................................... 54
Figure 19. 5 Electrode Placement ............................................................................................................... 55
Figure 20. Varying choice of baselines. ...................................................................................................... 58
Figure 21. Baseline at the level of QRS onset as used by the Glasgow program. ..................................... 58
Figure 22. Illustration of isoelectric segments I and K. ............................................................................... 58
Figure 23. Definitions for QRS end / ST junction ........................................................................................ 59
Figure 24. 12 lead Placement ..................................................................................................................... 60
Figure 25. Measurement Reference............................................................................................................ 61
Figure 26. 12-Lead ECG Preview Screen ................................................................................................... 63
Figure 27. HR/PR Display ........................................................................................................................... 64
Figure 28. ECG Waveform Display ............................................................................................................. 64
Figure 29. HR/PR Menu .............................................................................................................................. 64
Figure 30. AED Mode Menu ........................................................................................................................ 74
Figure 31. Patient Info: ID Menu ................................................................................................................. 74
Figure 32. Manual Mode Screen ................................................................................................................. 76
Figure 33. Manual Mode Menu ................................................................................................................... 79
Figure 34. Setup Menu ................................................................................................................................ 81
Figure 37. Monitor Mode Menu ................................................................................................................... 85
Figure 41. Pacing mode screen .................................................................................................................. 92
Figure 42. Pacing Mode Menu .................................................................................................................... 93
Figure 46. NIBP Display ............................................................................................................................ 102
Figure 47. NIBP Menu Display .................................................................................................................. 102
Figure 48. Oxyhemoglobin Dissociation Curve ......................................................................................... 107
Figure 49. SpO2 Display ........................................................................................................................... 109
Figure 50. SpO2 Waveform Display .......................................................................................................... 109
Figure 51. SpO2 Menu Display .................................................................................................................. 109
Figure 52. Respiration Display .................................................................................................................. 113
Figure 53. Respiration Waveform Display ................................................................................................. 113
Figure 54. Respiration Menu Display ........................................................................................................ 113
Figure 55. Connection for mainstream ...................................................................................................... 117
iv
Figure 56. Connection for sidestream ....................................................................................................... 118
Figure 57. EtCO2 Display .......................................................................................................................... 119
Figure 58. EtCO2 Waveform Display ......................................................................................................... 119
Figure 59. EtCO2 Menu Display ................................................................................................................ 119
Figure 60. Temperature Display ................................................................................................................ 122
Figure 61. Temperature Menu Display ...................................................................................................... 122
Figure 62. IBP connections ....................................................................................................................... 124
Figure 63. IBP 1 Display ............................................................................................................................ 125
Figure 64. IBP 1 Waveform Display .......................................................................................................... 125
Figure 65. IBP 1 Menu Display .................................................................................................................. 125
Figure 66. IBP 2 Display ............................................................................................................................ 126
Figure 67. IBP 2 Waveform Display .......................................................................................................... 126
Figure 68. IBP 2 Menu Display .................................................................................................................. 126
Figure 69. External shock test ................................................................................................................... 131
Figure 71. Event Data List Display ............................................................................................................ 133
Figure 72. Event Review Display .............................................................................................................. 134
Figure 73. 12 Lead Record Display ........................................................................................................... 135
Figure 74. Patient Info Menu ..................................................................................................................... 135
Figure 75. Printer setting Menu ................................................................................................................. 153
Figure 76. Print-out .................................................................................................................................... 154
Figure 77. Print-out on shock .................................................................................................................... 154
Figure 78. Print-out on 12 lead ECG data ................................................................................................. 154
Figure 79. Print-out on setting information ................................................................................................ 155
Figure 80. Printer Paper Replacement ...................................................................................................... 162
Figure 81. Biphasic Waveforms at 300 Joules and 360 Joules ................................................................ 190
Figure 82. Biphasic Waveforms at 200 Joules .......................................................................................... 190
Figure 87. Biphasic Waveforms at 75 Joules ............................................................................................ 193
Figure 93: Biphasic Waveforms at 9 Joules .............................................................................................. 196
Figure 94. Biphasic Waveforms at 8 Joules .............................................................................................. 196
v
Tables
Table 1. The defibrillator/monitor controls ................................................................................................... 18
Table 2. The defibrillator/monitor controls on paddle .................................................................................. 19
Table 3. Panel and Label Symbols .............................................................................................................. 22
Table 4. Display Symbols ............................................................................................................................ 24
Table 5. Display Colors Factory Defaults .................................................................................................... 25
Table 6. Standard Accessories .................................................................................................................... 28
Table 7. Optional Accessories ..................................................................................................................... 29
Table 8. Front Panel Indications for Power Source ..................................................................................... 34
Table 9. The defibrillator/monitor Battery Status Icon ................................................................................. 35
Table 10. Date/Time Menu .......................................................................................................................... 39
Table 11. High Priority Alarm ....................................................................................................................... 44
Table 12. Medium Priority Alarm ................................................................................................................. 44
Table 13. Low Priority Alarm ........................................................................................................................ 45
Table 14. Informative Messages ................................................................................................................. 46
Table 15. Defibrillator Messages ................................................................................................................. 47
Table 16. Visual Alarm Characteristics ........................................................................................................ 48
Table 17. Audible Alarm Characteristics ...................................................................................................... 48
Table 18. Alarm Limits Ranges .................................................................................................................... 50
Table 19. Bell Icon ....................................................................................................................................... 52
Table 20. ECG Lead Colors......................................................................................................................... 55
Table 21. ECG Lead Pairs ........................................................................................................................... 55
Table 22. Measurement Matrix .................................................................................................................... 62
Table 23. HR/PR Menu................................................................................................................................ 64
Table 24. AED Mode Menu ......................................................................................................................... 74
Table 25. Manual Mode Menu ..................................................................................................................... 79
Table 26. Manual Mode Menu ..................................................................................................................... 85
Table 27. Pacing Mode Menu ...................................................................................................................... 93
Table 28. Cuff Size .................................................................................................................................... 101
Table 29. NIBP Menu................................................................................................................................. 102
Table 30. SpO2 Sensors ........................................................................................................................... 108
Table 31. SpO2 Menu................................................................................................................................ 109
Table 32. Respiration Menu....................................................................................................................... 113
Table 33. EtCO2 Menu ............................................................................................................................... 119
Table 34. Temperature Sensors ................................................................................................................ 121
Table 35. Temperature Menu..................................................................................................................... 122
Table 36. IBP 1 Menu ................................................................................................................................ 125
Table 37. IBP 2 Menu ................................................................................................................................ 127
Table 38. Self-test functions ...................................................................................................................... 130
Table 39. Trouble shooting of Self-test ...................................................................................................... 131
Table 40. Parameter Ranges and Factory Defaults .................................................................................. 167
Table 41. Delivered Energy at Every Defibrillator Settings into a Range of Loads ................................... 189
Table 42. Electromagnetic Emissions (IEC60601-1-2) ............................................................................. 205
Table 43. Electromagnetic Immunity (IEC60601-1-2) ............................................................................... 205
Table 44. Electromagnetic Immunity (IEC60601-1-2) ............................................................................... 206
Table 45. Electro-surgical Unit Interference (IEC60601-2-27, IEC-60601-2-30) ...................................... 207
Table 46. Recommended Separation Distances ....................................................................................... 207
Table 47. Cables (IEC60601-1-2) .............................................................................................................. 208
vi
SAFETY INFORMATION
General Safety Information
This section contains important safety information related to general use of the
VidaStat DM defibrillator/ monitor . Other important safety information appears
throughout the manual.The VidaStat DM defibrillator/monitor will be referred to as the
defibrillator/ monitor throughout this manual.
Important! Before use, read carefully the manual, accessory directions for use, all
precautionary information and specifications.
Warning
Warnings are identified by the WARNING symbol shown above.
Warnings alert you to potential serious outcomes (death, injury, or adverse events)
to the patient or user.
WARNING: Do not take or use the defibrillator/monitor in locations where highly
combustible anesthetics or flammable gases are used or in high-pressure oxygen
rooms or inside oxygen tents, as this may cause a flammable explosion. Turn off
the gas source or move the source away from patient during defibrillation.
WARNING: When using the defibrillator/monitor with anesthetics, nitrous oxide or

high concentrations of oxygen, connect the gas outlet to a scavenger system.
WARNING: When using the defibrillator/monitor with a commercial electric power

source, use the defibrillator/monitor with an electric power wall socket with a
grounding wire for medical use. Not doing so could cause electric shock.
WARNING: Do not connect grounding wire to gas pipes. This could cause fire.
WARNING: Only doctors and officially certified personnel should use this
defibrillator/monitor. Do not allow patients to touch the defibrillator/monitor.
Allowing patients to touch the defibrillator/monitor could cause accidents.
WARNING: The defibrillator/monitor cannot be used when MRI is in progress. If MRI

is in use, keep patient attachments away from patients to prevent accidents.
WARNING: The defibrillator/monitor conforms to the requirements of the EMC

standard (IEC60601-1-2), and may therefore be used simultaneously with
pacemakers and other electrical simulators. It should, however, be noted that the
defibrillator/monitor may be affected by electrical scalpels and microwave
therapeutic apparatus. Please check operation of the defibrillator/monitor during
and after use of such equipment.
WARNING: Do not take mobile phones or transceivers into a room where this
defibrillator/monitor is installed, as such devices may cause accidents.
WARNING: In order to avoid accidents, do not use any unauthorized accessories or

options.
7
WARNING: Thoroughly read the instruction manuals supplied with accessories and
options to ensure correct use. This instruction manual does not carry the caution
selections for such equipment.
WARNING: Do not open cover or disassemble this defibrillator/monitor. Doing so
could cause electric shock or fire. It is prohibited by law to modify the
defibrillator/monitor without authorization.
WARNING: Do not use power source other than the specified voltage, (100-
240V~50/60Hz) as this may cause fire or electric shock.
WARNING: Pre-use inspection and preventive maintenance must be performed for

safe use.
WARNING: The defibrillator/monitor may be used with electrical surgical

equipment.
Follow the instruction manuals for medical instruments notably electrosurgical
and diathermy instruments when used, as their highfrequency energy units may
cause burns to patients via attachments.
WARNING: This defibrillator/monitor is protected against the discharge of a
defibrillator. However, do not touch the defibrillator/monitor when a defibrillator is
being discharged (electrified), as doing so may cause electric shock.
WARNING: The following cautions apply when connecting the defibrillator/monitor
with other equipment.
1. Ensure that the connected equipment is in accordance with the IEC60601-1 or
IEC safety standards, so that the system complies with IEC60601-1.
2. Employ additional protective measures (e.g. additional protective earthing) as
necessary.
WARNING: Do not connect devices that do not meet medical safety standards
(such as commercial PCs), as they may cause electric shock. This
defibrillator/monitor meets the restricted level of leakage current required for
medical devices. Therefore, this defibrillator/monitor cannot be connected to a
device that would give a combined total of leakage current beyond the restricted
level.
WARNING: Avoid connecting the patient to several devices at once. Leakage
current limits may be exceeded. Do not use a second defibrillator on the patient
while pacing with the defibrillator/monitor.
WARNING: Do not place anything on top of this defibrillator/monitor. If something
is spilled over the defibrillator/monitor or gets into it, such spillage may cause fire
or electric shock. If fluid spills on the defibrillator/monitor accidentally, disconnect
power cord, wipe dry immediately, and have the defibrillator/monitor serviced to
make sure that no hazard exists.
WARNING: Do not place heavy objects on the power cord, as doing so may cause
fire or electric shock.
WARNING: Before conducting maintenance work, turn the power off and unplug the
power cord from the wall socket to prevent electric shock.
WARNING: When the following occur, turn the power off immediately and unplug
the power cord from the wall socket. Continued use in such situations may cause
fire or electric shock.
l There is smoke or a strange odor leaking out of the defibrillator/monitor.
l The defibrillator/monitor has been dropped or impacted by an object.
l Liquid or foreign matter gets inside the defibrillator/monitor.
8
l Defibrillator/monitor failure has occurred.
Also, when any of the above occurs, promptly do the following:
1. Check to see that the power cord has been unplugged from the wall socket.
2. Place an Out of Order sign on the defibrillator/monitor and do not use it.
3. Have the defibrillator/monitor serviced to make sure that no hazard exists.
WARNING: Do not connect more than one patient to the defibrillator/monitor. Do
not connect more than one defibrillator/monitor to a patient.
WARNING: The defibrillator/monitor is a prescription device and is to be operated

by qualified personnel only.
WARNING: As with any medical equipment, carefully route patient cabling to

reduce the possibility of patient entanglement or strangulation.
WARNING: Never lift the defibrillator/monitor by the sensor cable, blood pressure
hose, power cord, or any other accessory. Such accessories could detach, causing
the defibrillator/monitor to fall on the patient.
WARNING: Do not make any clinical judgments based on this defibrillator/monitors
measurement only.
WARNING: Emergency defibrillation should be performed only by appropriately
trained, skilled and qualified personnel who are aware of the protocol for handling a
patient in medical emergency such as cardiac arrest and have been certified in
Advanced Cardiac Life Support (ACLS) or Basic Life Support (BLS).
WARNING: Synchronized electrical cardioversion should be performed only by
skilled personnel trained in Advanced Cardiac Life Support (ACLS) and practiced in
equipment operation. The precise cardiac arrhythmia must be determined prior to
performing defibrillation.
WARNING: The defibrillator delivers up to 360 joules of electrical energy. Unless
properly used as described in this manual, this electrical energy may cause serious
injury or death. Do not attempt to operate this defibrillator/monitor unless
thoroughly familiar with this manual and the function of all controls, indicators,
connectors and accessories.
WARNING: Do not discharge standard paddles on top of pads or ECG electrodes.
Do not allow standard paddles (or pads) to touch each other, ECG electrodes, lead
wires, dressings, transdermal patchers, etc. Such contact can cause electrical
arcing and patient skin burns during defibrillation and may divert defibrillating
energy away from the heart muscle.
WARNING: Discharging the defibrillator/monitor with the standard paddle surfaces
shorted together can pit or damage the paddle electrode surface. Pitted or
damaged paddle surfaces may cause patient skin burns during defibrillation.
Discharge the defibrillator only as described in theses operating instructions.
WARNING: If a person is touching the patient, bed, or any conductive material in
contact with the patient during defibrillation, the delivered energy may be partially
discharged through that person. Clear everything away from contact with the
patient, bed, and other conductive material before discharging the
defibrillator/monitor.
WARNING: Do not discharge the defibrillator into the open air. To remove an
unwanted charge, change the energy selection, or change the mode, or turn off the
WARNING: Conductive gel on the paddle handles can allow the electrical energy to
be discharged through the operator during defibrillation. Completely clean the
paddle electrode surfaces, handles, and storage area after defibrillation.
9
WARNING: A gel pathway on the skin between the standard paddles will cause
defibrillating energy to arc between paddles and delivery energy away from the
heart muscle. Do not allow conductive gel (wet or dry) to become continuous
between paddle sites.
WARNING: During defibrillation checks, the discharged energy passes through the
cable connectors. Securely attach cable connectors to the simulator.
WARNING: Do not touch the patient or any equipment connected to the patient
during defibrillation. Warn all persons around patient to DO NOT TOUCH THE
PATIENT prior to defibrillation.
WARNING: The defibrillator/monitor should be out of contact with water (puddles or
water spray). It may cause electrical shocks and device failure. Electrical safety of
the defibrillator/monitor may not work properly when wet.
WARNING: Defibrillation may cause implanted devices to malfunction. Place
standard paddles or pads away from implanted devices if possible. Check
implanted device function after defibrillation.
WARNING: Implanted pacemakers may cause the heart rate meter to count the
pacemaker rate during incidents of cardiac arrest or other arrhythmias. Pacemaker
patients should be carefully observed. Check the patients pulse; do not rely solely
on heart rate meters. Dedicated pacemaker detection circuitry may not detect all
implanted pacemaker spikes. Patient history and physical exam are important in
determining the presence of an implanted pacemaker.
WARNING: To ensure patient electrical isolation, connect only to other equipment

with circuits that are electrically isolated.
WARNING: To avoid risk of electric shock, the device must only be connected to a
supply mains with protective earth.
WARNING: The use of ACCESSORY equipment not complying with the equivalent
safety requirements of this equipment may lead to a reduced level of safety of the
resulting system. Consideration relating to the choice shall include: Use of the
accessory in the PATIENT VICINITY. Evidence that the safety certification of the
ACCESSORY has been performed in accordance with the appropriate IEC (EN)
60601-1 and/or IEC (EN) 60601-1-1 harmonized national standards.
WARNING: The defibrillator/monitor is equipped with RF telemetry module which
transmits with 50dBm power in the 2.5GHz. The module has been tested and
certified to be equipped safely.
WARNING: Check leakage levels prior to use. Leakage current may be excessive if
more than one monitor or other piece of equipment is connected to the patient.
WARNING: Do not place or use the device when flammable gas presents in
atmospheres or other flammable material exist near/around. Eg. Oxygenrich area,
flammable anesthetic gases, gasoline and any flammable material or gas. Do not
use the device near the place of a gasoline or other volatile substances spill may
cause an explosion.
WARNING: Do not disassemble the defibrillator. It contains no operator serviceable
components and dangerous high voltages may be present. Contact authorized
service personnel for repair.
WARNING: Do not immerse any portion of this defibrillator in water or other fluids.
Avoid spilling any fluids on defibrillator or accessories. Spilled liquids may cause
the defibrillator and accessories to perform inaccurately or fail. Do not clean with
ketones or other flammable agents. Do not autoclave or sterilize this defibrillator or
accessories unless otherwise specified.
10
WARNING: Use care when operating this device close to oxygen sources (such as
bag-valve-mask devices or ventilator tubing). Turn off gas source or move source
away from patient during defibrillation.
WARNING: Check leakage levels prior to use. Leakage current may be excessive if
more than one monitor or other piece of equipment is connected to the patient.
WARNING: If you are monitoring a patient and using the system connector, all
equipment connected to the system connector must be battery powered or
electrically isolated from AC power according to EN 60601-1. If in doubt, disconnect
the patient from the defibrillator before using the system connector. Only use
DRE recommended data transmission cables. For more information, contact
DRE Technical Support.
WARNING: The defibrillator/monitor delivers up to 360 joules of electrical energy.
When discharging the defibrillator, do not touch the paddle electrode surfaces or
disposable paddle/pads electrodes. Do not attempt to perform this test unless you
are qualified by training and experience and are thoroughly familiar with these
operating instructions.
WARNING: Electric shock hazards exist internally. Do not remove assembly
screws. Refer servicing to qualified personnel.
WARNING: Monitors, defibrillators, and their accessories (including electrodes and
cables) contain ferromagnetic materials. As with all ferromagnetic equipment, these
products must not be used in the presence of the high magnetic field created by a
Magnetic Resonance Imaging (MRI) device. The high magnetic field created by an
MRI device will attract the equipment with a force sufficient to cause death or
serious personal injury to persons between the equipment and the MRI device. This
magnetic attraction may also damage the equipment. Skin burns will also occur
due to heating of electrically conductive materials, such as patient leads and pulse
oxmeter sensors. Consuit the MRI manufacturer for more information.
WARNING: Medical electrical equipment which does not incorporate defibrillator
protection should be disconnected during defibrillation.
WARNING: Operating the defibrillator/monitor or its accessories in conditions
outside the environmental specifications can result in device or accessory
malfunction. The defibrillator/monitor should be allowed to stabilize within the
operating temperature range prior to operation.
11
Cautions
Cautions are identified by the CAUTION symbol shown above.
Caution statements identify conditions or practices that could result in damage to

the equipment or other property.
CAUTION: Always check that the defibrillator/monitor functions properly and is in

proper condition before use.
CAUTION: Federal law restricts this device to sale by or on the order of a physician.
CAUTION: The defibrillator/monitor may not operate properly if it is operated or

stored at conditions outside the ranges stated in this manual, or subjected to
excessive shock or dropping.
CAUTION: When connecting the defibrillator/monitor to any instrument, verify

proper operation before clinical use. Both the defibrillator/monitor and the
instrument connected to it must be connected to a grounded outlet.
CAUTION: Accessory equipment connected to the defibrillator/monitors data

interface must be certified according to IEC60950 for data-processing equipment or
IEC60601-1 for electromedical equipment. All combinations of equipment must be
in compliance with IEC60601-1-1 system requirements. Anyone who connects
additional equipment to the signal input or signal output port configures a medical
system and is therefore responsible that the system complies with the
requirements of IEC 60601-1-1 and the electromagnetic compatibility system
standard IEC60601-1-2. If in doubt, consult DRE Technical Support
Representative.
CAUTION: Risk of explosion if battery is replaced by an incorrect type.
CAUTION: Where the integrity of the external protective conductor in the

installation or its arrangement is in doubt, equipment shall be operated from its
internal electrical power source.
12
INTRODUCTION
WARNING: Patient conditions may result in erroneous readings. If the

measurements are suspect, verify the reading using another clinically accepted
measurement method.
Intended Use for the VidaStat DM

The defibrillator/monitor is intended for use by trained medical technician, doctor, nurse or
medical specialist in outdoor and indoor emergency care settings including air and ground
ambulances within the environmental conditions specified. Manual and Automated
external defibrillation, External pacing, Diagnostic electrocardiography (12-lead ECG) are
intended for use on adult and pediatric patients.
The other monitoring functions (Electrocardiography (ECG, Heart Rate), Non-invasive

blood pressure (NIBP), functional arterial oxygen saturation(SpO2), respiration(RESP),
temperature(TEMP) and invasive blood pressure(IBP)) are intended for use on adult,
pediatric and neonatal patients. End tidal CO2(EtCO2)) are intended for use on adult,
pediatric and infant patients.
Indications for Use
Indications Contraindications
Manual Manual defibrillation is Defibrillation is contraindicated
Defibrillation indicated for the termination of in the treatment of Pulseless
certain potentially fatal Electrical Activity (PEA), such
arrhythmias, such as as idioventricular or ventricular
ventricular fibrillation and escape rhythms, and in the
ventricular tachycardia. treatment if asystole.
Delivery of this energy in the Defibrillation is not intended for
synchronized mode is a patient who is conscious and
method for treating atrial has a palpable pulse and is
fibrillation, atrial flutter. contraindicated for use on
neonates.
Automated External AED mode is to be used only AED is not intended for patient
Defibrillation on patients of at least 8 years who is conscious and has a
of age in cardiopulmonary palpable pulse and is
arrest. The patient must be contraindicated for use on
unconscious, pulseless, and neonates.
not breathing normally before
using the defibrillator to
analyze the patients ECG
rhythm.
External Pacing External pacing is indicated for External pacing is
symptomatic bradycardia in contraindicated for the
patients with a pulse. treatment of ventricular
Increased heart rates in fibrillation and asystole.
response to external pacing External pacing in the
often suppress ventricular presence of severe
ectopic activity and may hypothermia may be
prevent tachycardia. contraindicated and is
13
contraindicated for use on
neonates.
Electrocardiography The 12-lead electrocardiogram No known contraindications
is used to identify, diagnose
and treat patients with cardiac
disorders and is useful in the
early detection.
Noninvasive Blood Noninvasive blood pressure Noninvasive Blood Pressure is
Pressure monitoring is intended for not intended for use with
detection of hypertension or severe arrhythmia.
hypotension and monitoring Noninvasive Blood Pressure is
BP trends in patient conditions not intended for patients who
such as, but not limited to, are experiencing convulsion or
shock, acute dysrhythmia, or tremors.
major fluid imbalance.
Pulse Oximetry Pulse oximetry monitoring is Pulse Oximetry is not intended
intended to be used to monitor for use with severe peripheral
functional arterial oxygen vascular disease and severe
saturation and pulse rate. anemia (decreased
Hemoglobin).
Invasive Blood Invasive pressure monitor is No known contraindications
Pressure indicated for use in measuring
arterial, venous, intracranial
and other physiological
pressures using and invasive
catheter system with a
compatible transducer.
End-Tidal CO2 EtCO2 monitoring is indicated No known contraindications
for detection of trends in the
level of expired CO2. It is used
for monitoring breathing
efficacy and treatment
effectiveness in acute
cardiopulmonary care.
Temperature Temperature monitoring is No known contraindications
indicated for use in patients
who require continuous
monitoring of body
temperature.
14
About This Manual
This manual explains how to set up and use the defibrillator/monitor.
Read the entire manual including the Safety Information section, before you operate the
Identifying the VidaStat DM Configurations

The following table identi fies VidaStat DMdefibrillator/monitor configurations and how they are
indicated. The reference number and serial number are located on the back of the product.
All information in this manual, including the illustrations, is based on a device configured
with the 12 lead ECG, SpO2 module, Temperature(TEMP) module, Capnography (EtCO2
and InCO2) (Mainstream or Sidestream) module, IBP module and Printer module.
Product Code Description
D500O-0 Basic (Manual Defibrillation, Automated External Defibrillation,
Pacing, Printer)
D500M-S Basic + SpO2
D500M-L Basic + 12 lead ECG
D500M-LS Basic + 12 lead ECG + SpO2
D500M-LSNT Basic + 12 lead ECG + SpO2 + NIBP/TEMP
D500M-LSNTB Basic + 12 lead ECG + SpO2 + NIBP/TEMP + 2CH IBP
D500M-SNTEM Basic + SpO2 + NIBP/TEMP + Capnography (Mainstream)
D500M-SNTES Basic + SpO2 + NIBP/TEMP + Capnography (Mainstream)
D500M-LSNTEM Basic + 12 lead ECG + SpO2 + NIBP/TEMP + Capnography
(Mainstream)
D500M-LSNTES Basic + 12 lead ECG + SpO2 + NIBP/TEMP + Capnography
(Sidestream)
D500M-LSNTBEM Basic + 12 lead ECG + SpO2 + NIBP/TEMP +2CH IBP +
Capnography (Mainstream)
D500M-LSNTBES Basic + 12 lead ECG + SpO2 + NIBP/TEMP +2CH IBP +
Capnography (Sidestream)
15
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16
DESCRIPTION OF THE DEFIBRILLATOR/MONITOR
Front Panel Components 1
12
13 - 16
17
18
2
3 19 - 21
4 22
5
6 23
24 - 25
7
8 26 - 30
9
10
11
31 32
Figure 1. Front panel components
1 Paddle 17 MIC
2 NIBP connector 18 Mode select knob
3 LCD 19 ANALYZE button
4 Temperature1 connector 20 CHARGE button
5 Temperature2 connector 21 Energy Level button
6 IBP1 connector 22 SHOCK button
7 IBP2 connector 23 Multi function knob
8 Soft key 24 RATE button
9 EtCO2 Connector 25 mA button
10 SpO2 connector 26 NIBP button
11 Printer 27 PRINT button
12 Handle 28 ALARM button
13 AC/DC in LED 29 LEAD button
14 Battery A charging status LED 30 SIZE button
15 Battery B charging status LED 31 ECG connector
16 Service LED 32 Paddle/Pads connector
17
Table 1. The defibrillator/monitor controls
Symbols Description
Mode select knob

selects five modes of operation. (AED, Manual, Monitor, OFF
and Pacing)
ANALYZE button
analyzes the patients ECG to determine whether or not to
deliver a shock.
CHARGE button
charges to the desired energy level automatically.
Energy Level button

selects the defibrillation energy level.
SHOCK button
delivers a shock.
Multi function knob

provides user interaction with the defibrillator/monitor to control
the functions.
RATE button
adjusts the rate of pacing waveform.
mA button
adjusts the current of pacing waveform.
NIBP button
toggles between starting and stopping NIBP measurements.
PRINT button
prints measured data.
Alarm button
pauses the audible alarm temporarily.
turns off the audible alarm by pressing over 2 seconds.
LEAD button
selects to display the desired ECG lead on the screen.
SIZE button
adjusts and selects the amplitude of an ECG waveform.
18
Top Panel Components
1 2 3 4 5
Figure 2. Top panel components
1 Paddle 4 SHOCK button

2 Energy level button 5 CHARGE button
3 REC button
Table 2. The defibrillator/monitor controls on paddle

Symbols Description
CHARGE button
charges to the desired energy level automatically.
Energy Level button

selects the defibrillation energy level.
REC button
prints the measured data.
19
Rear Panel Components
3 4 5 6 7
Figure 3. Rear panel components
1 SMPS/battery push button 5 AC power supply (SMPS)
2 DC input connector 6 Speaker
3 AC power inlet 7 Li-ion battery
4 GND terminal
20
Left Panel Components
1 Side Option Case

Figure 4. Left panel components
Right Panel Components
1 Wireless(3G, Wi-Fi) module

2 USB/SD Card Slot
Figure 5. Right panel components
21
Table 3. Panel and Label Symbols
Symbols Description Symbols Description
AC indicator Dust and water resistance
Direct current CE mark
Battery charging status

Consult Instructions for use
indicator
Service indicator Separate Collection
Type BF- Defibrillator Proof EU representative
Type CF- Defibrillator Proof Manufacturer
NIBP connector Date of manufacture
Temperature 1 connector Reference number
Temperature 2 connector Serial number
Environmental shipping/storage
IBP 1 connector
altitude limitations
IBP 2 connector
humidity limitations
EtCO2 connector
temperature limitations
SpO2 conector Fragile
ECG connector Keep dry
AC power input rating This way up
Equipotential terminal Single patient use only
Class II equipment
22
Displays
1 2 3 4 5 6
11
7
8
10 12
13
Figure 6. Displays
1 Shock count number/icon 8 Waveform area

2 Defibrillator message area 9 Waveform
3 Battery status icon 10 Alarm/Informative message area
4 Elapsed time (Power on) 11 Numerical area
5 Wi-Fi/3G icon 12 Date/Time
6 Title of numeric area 13 Soft key menu
7 Title of waveform parameter
23
Table 4. Display Symbols
Symbols Description Symbols Description
ECG source: Paddle Temperature unit: Celsius
Temperature unit:
ECG source: Lead l
Fahrenheit
ECG source: Lead ll SpO2 unit or EtCO2 unit: %
ECG source: Lead lll Respiration Icon

NIBP or IBP or EtCO2 unit:
ECG source: Lead aVL
mmHg
NIBP or IBP or EtCO2 unit:
ECG source: Lead aVR
kPa
ECG source: Lead aVF Pulse amplitude indicator
ECG source: Lead V EtCO2 respiration: AW
ECG source: Lead V1 Thoracic impedance respiration: IM
ECG source: Lead V2 NIBP auto mode interval
ECG source: Lead V3 NIBP elapsed time
ECG source: Lead V4 HR/PR icon & unit
ECG source: Lead V5 Communication source: 3G
ECG source: Lead V6 Communication source: Wi-Fi
ECG source: Pads Shock count number / icon

NIBP icon : Noninvasive
Elapsed time (Power on) icon
Blood Pressure
SpO2 waveform icon Neonatal icon
Impedance respiration
DC power input icon
waveform icon
EtCO2 icon : End-tidal
carbon dioxide Battery status icon
concentration
InCO2 icon: Inspired carbon
AC power input icon
dioxide concentration
IBP1 waveform icon Time display
IBP1 waveform icon Alarm active
IBP2 waveform icon Audio pause
IBP2 waveform icon Audio off or Limit alarm pause
IBP2 waveform icon Pacer pulse detection icon
IBP2 waveform icon ECG gain
Temperature 1 icon
Temperature 2 icon
24
Table 5. Display Colors Factory Defaults
Function Color
ECG Waveform Green
SpO2 Waveform Cyan
Respiration Waveform Light Blue
EtCO2 Waveform Light Purple
ECG Green
NIBP White
SpO2 Cyan
Respiration Rate Light Blue
EtCO2 Light Purple
Temperature1 Pink
Temperature2 Pink
IBP 1 Red
IBP 2 Yellow
General background Black
Alarm/Informative message Black background, Green font
Defibrillator message Black background, White font
Low priority alarm message Black background, Yellow font
Medium priority alarm message Black background, Yellow font
High priority alarm message Black background, Red font
Battery status icon (normal) White
Battery status icon (low battery) Yellow or Red (refer to Table 8)
Note: The display colors can only be changed by authorized personnel via the Service Menu. The
detailed information is described in the service manual.
25
26
SETTING UP THE DEFIBRILLATOR/MONITOR
WARNING: To ensure accurate performance and prevent device failure, do not

expose the defibrillator/monitor to extreme moisture, including direct exposure to
rain. Such exposure may cause inaccurate performance or device failure. Refer to
Specification section.
WARNING: The defibrillator/monitor should not be used adjacent to or stacked with
other equipment. If adjacent or stacked use is necessary, the defibrillator/monitor
should be observed to verify normal operation in the configuration it is to be used.
WARNING: Make sure that the defibrillator/monitor speaker is not obstructed.
Failure to do so could result in an inaudible alarm tone.
CAUTION: Recharging the battery is strongly recommended when the battery has
not been recharged for 6 or more months.
CAUTION: Follow local government ordinances and recycling instructions

regarding disposal or recycling of defibrillator/monitor components, including
batteries.
CAUTION: The use of accessories, cables, transducers and sensors sourced from
manufacturers, which DRE has not recommended may cause incorrect analysis.
CAUTION: Electrical installation of the room or the building in which the

defibrillator/monitor is to be used must comply with regulations specified by the
country in which the equipment is to be used.
Unpacking and Inspection

The defibrillator/monitor is shipped in one carton. Examine the carton carefully for
evidence of damage. Contact DRE Technical Support Representative immediately if
any damage is discovered. Refer to the Maintenance section for instructions on
returning damaged items.
Note: Refer to the Performance Verification section in the service manual for detailed information.
Set the defibrillator/monitor to the users intended position where the user can easily
recognize the visual and audible monitoring conditions. Normally it is recommended to
set at a distance of 1m from the user. Also the viewpoint is at any point within the base of
a cone by an angle of 30 to the center of the monitoring display.
27
List of Components
The following items are standard in the package.
Table 6. Standard Accessories

Items Qty
VidaStat DM defibrillator/monitor 1
Operators manual 1
AC power cord 1
Printer paper 2
Defibrillation pads for adult 1
Defibrillation pads for pediatric 1
Pads extension cable 1
ECG 3 leads cable (SNAP) 1
SpO2 sensor 1
*Only when SpO2 option is installed.
SpO2 extension cable 1
*Only when SpO2 option is installed.
NIBP cuff for adult 1
*Only when NIBP option is installed.
NIBP cuff for pediatric 1
NIBP cuff hose for adult and pediatric 1
CAPNOSTAT 5 mainstream CO2 sensor 1
*Only when CO2 option is installed.
LoFlo airway adapter w/nafion, pediatric/adult box/10ea
Single patient use adult airway adapter box/1ea
Single patient use neonatal airway adapter box/1ea
Cable holding clips box/5ea
SMPS 1
Li-ion battery 1
28
Optional items may be ordered if needed. Contact your local supplier for pricing and
ordering information.
Table 7. Optional Accessories

Items Qty
External paddle for pediatric -
Paddle plate for adult -
Defibrillation / external pacing pads for adult -
Defibrillation / external pacing pads for pediatric -
NIBP cuff for neonate -
NIBP cuff hose for neonate -
ECG 3 leads cable (GRAB) -
ECG 5 leads cable (SNAP) -
ECG 12 leads cable (SNAP) -
SpO2 disposable sensor -
LoFlo CO2 cannula-adult box/10ea
LoFlo CO2 nasal cannula-pediatric box/10ea
LoFlo CO2 nasal cannula-infant box/10ea
LoFlo CO2 nasal cannula w/O2-adult box/10ea
LoFlo CO2 nasal cannula w/O2-pediatric box/10ea
LoFlo CO2 nasal cannula w/O2-infant box/10ea
LoFlo CO2 oral/nasal cannula-adult box/10ea
LoFlo CO2 oral/nasal cannula-pediatric box/10ea
LoFlo CO2 oral/nasal cannula w/O2-adult box/10ea
LoFlo CO2 oral/nasal cannula w/O2-pediatric box/10ea
LoFlo airway adapter-pediatric/adult box/10ea
LoFlo airway adapter-pediatric/infant box/10ea
LoFlo airway adapter w/nafion, pediatric/infant box/10ea
Straight sampling line box/10ea
Straight sampling line w/nafion box/10ea
Module mounting bracket 1
Single patient use adult airway adapter w/mouthpiece box/10ea
CAPNO2 mask-pediatric box/10ea
CAPNO2 mask-adult standard box/10ea
CAPNO2 mask-adult large box/10ea
Cable management straps box/10ea
Service manual (English) -
External DC-DC adaptor -
Carry bag -
29
Power Cable Connections
WARNING: Do not connect to an electrical outlet controlled by a wall switch or

dimmer because the defibrillator/monitor may be accidentally turned off.
CAUTION: If the integrity of the AC power source is in doubt, the

defibrillator/monitor must be operated from its internal battery.
AC Power
Make sure that the AC outlet is properly grounded and supplies the specified voltage and
frequency (100-240V~ 50/60 Hz).
Figure 7. AC Power Connection
1. Connect the female type connector end of the AC power cord to mains connector on
the defibrillator/monitors rear panel.
2. Plug the male type connector end of the AC power cord into a properly grounded mains
outlet.
3. If necessary, connect grounding wire. Connect the grounding wire connector to the
equipotential terminal on the rear panel. Now attach the clip end of the grounding wire
to the medical equipment grounding terminal on the wall.
4. Verify that the Battery charging status LED and AC/DC in LED on the
defibrillator/monitors front panel is lit.
Note: Battery A charging status LED indicates battery A is installed and being charged by the AC
power.
Note: Even if the defibrillator/monitor is not turned on, the Battery charging status LED is lit
when the AC power cord is connected into a mains outlet.
DC Power
The external DC power source can be used, when the defibrillator/monitor is used for the
emergency condition in the moving car.
Figure 8. DC Power Connection
30
1. Connect an external DC-DC adaptor (input: 12-16 Vdc output: 18Vdc) to
defibrillator/monitor rear panel connecter identified with the DC power symbol.
2. Verify that the DC power input icon appears on the screen, Battery charging status
LED and AC/DC in LED on the defibrillator/monitors front panel is lit.
Note: Battery A charging status LED indicates battery A is installed and being charged by the AC
power and Battery B charging status LED indicates battery B is installed and being
charged by the AC or DC power.
Note: Even if the defibrillator/monitor is not turned on, the Battery charging status LED is lit
when the External DC-DC adaptor is connected into an external DC jack.
Note: If the Battery charging status LED is not lit, check:
the power cord

the external DC-DC power cable
the AC input connector
the DC input connector
the power/ mains outlet
No Battery
Note: If the Battery charging status LED still is not lit although no problem is found, contact
qualified service personnel or your local supplier for assistance.
Measurement Cable Connections

WARNING: For best product performance and measurement accuracy, use only
accessories supplied or recommended by DRE. Use accessories according to
the manufacturers directions for use and your facilitys standards. Use only
accessories that have passed the recommended biocompatibility testing in
compliance with ISO10993-1.
WARNING: Connect the sensor, probe, cuff/hose or transducer firmly into socket
and do not use a damaged sensor, probe or cuff/hose.
WARNING: To avoid damage to the cable, always hold by the connector rather than
the cable, when connecting or disconnecting either end.
WARNING: The sensor connector should not be connected to anything other than a
sensor.
Note: Both frequent checks by the operator on a daily basis and more comprehensive technical
checks less frequently are covered by this requirement in order to detect mechanical
damage and damage to cables, etc.
ECG Cables and Leads
1. Connect an ECG cable to the ECG connector making sure that the connector arrow is
pointing panel (see Figure 1)
31
Defibrillator Paddle and Pads
1. Connect a paddle or pads to paddle / pads connector on the defibrillator/monitors front

panel. (see Figure 1)
2. Use LEAD button to select pads. (If paddle is connected, the mode is automatically
changed to paddle.)
3. Apply conductive material to paddles.
4. Apply paddles or pads to patients bare skin.
NIBP Hoses and Cuffs (if configured with NIBP option)
1. Select an appropriate size cuff for the patient. (Refer to the NIBP Monitoring section.)
2. Connect the hose to the NIBP connector making sure to tighten the connector in the
clockwise direction. (see Figure 1)
3. Attach the cuff to the end of the hose.
SpO2 Cables and Sensors (if configured with SpO2 option)
1. Select an appropriate sensor for the patient and desired application. (Refer to the SpO2
Monitoring section.)
2. Connect the extension cable to the SpO2 connector on the defibrillator/monitors front
panel. (see Figure 1)
3. Attach the sensor to the end of the cable.
Temperature Probes (if configured with Temperature option)
1. Select the appropriate probe(s) for the desired application. (Refer to the Temperature
Monitoring section.)
2. Connect the temperature probes to the Temperature connector on the
defibrillator/monitors side option case. (see Figure 1)
CO2 Sensor (if configured with CO2 option)
1. Select the appropriate CO2 sensor according to the operational mode. (Refer to the
Capnography Monitoring section.)
2. Connect Mainstream or Sidestream sensor to the CO2 connector on the
defibrillator/monitors side option case. (see Figure 1)
IBP Transducers (if configured with IBP option)
1. Connect the interface cable(s) for the transducer(s) to the IBP connector on the
monitors side option case. An interface cable for the transducer has to be selected
correctly as it depends on the transducer type. (see Figure 1, IBP Monitoring section)
2. Set up the patient circuit according to the directions for use of the transducer,
monitoring kit and IV set (6pin, red round connector).
Note: If leadwire cable, cuff/hose cable, sensor, probe and transducer are not connected firmly,
the defibrillator/monitor could lose signal from patient.
32
BATTERY OPERATION
WARNING: Do not disassemble, puncture, crush, heat above 100C (212F), or
incinerate the battery. Be careful not to short the battery terminals because this
could result in a fire hazard.
WARNING: DRE has no information regarding the performance or
effectiveness of its DRE defibrillator/monitors if other manufacturers batteries
or battery chargers are used. Using other manufacturers batteries or battery
chargers may cause the defibrillator/monitor to perform improperly and invalidate
the safety agency certifications. Use only DRE s battery or battery charger.
WARNING: Grounding reliability can only be achieved when the equipment is
connected to an equivalent receptacle marked HOSPITAL ONLY or HOSPITAL
GRADE. If the grounding integrity of the line cord or AC receptacle is in doubt,
operate on battery only.
CAUTION: Recharging the battery is strongly recommended when it has not been
fully recharged for 6 or more months.
CAUTION: Do not install the battery into the defibrillator/monitor when storage may
exceed 90 days. Battery damage may occur.
CAUTION: When the voltage of the battery is very low, it is a possibility of not
operating.
CAUTION: Check for the battery-in-use indication when the defibrillator/monitor is

operating on mains and apply corrective action.
CAUTION: Do not operate the defibrillator/monitor without a battery. Keep a fully

charged spare battery pack with the defibrillator/monitor at all times.
CAUTION: Partial charge of battery results in a shortened service life.
CAUTION: Storing at temperatures above 40C (104F) for extended periods of

time will significantly reduce a batterys life-expectancy.
CAUTION: Using an improperly maintained battery to power the

defibrillator/monitor may cause power failure without warning. Use the
appropriate battery charger to charge batteries.
CAUTION: Battery pins in the defibrillator/monitor may be damaged if batteries are

dropped or forced into battery wells. Inspect pins routinely for signs of damage.
Keep batteries installed at all times except when defibrillator/monitor is removed
from service for storage.
CAUTION: When storing the defibrillator/monitor for an extended period of time,

the battery should be removed from the defibrillator/monitor.
CAUTION: Stored batteries lose charge. Failure to charge a stored battery before
use may cause device power failure without warning. Always charge a stored
battery before placing it in active use.
33
Note: It is recommended that keep AC power source connected to the defibrillator/monitor when
not in use. This will ensure a fully charged battery whenever it is needed.
Note: As the battery is used and recharged over a period of time, the amount of time between the
onset of the low battery alarm and the defibrillator/monitor shut-off may become shorter. It is
recommended for service personnel to check periodically or replace the battery if necessary.
Operating the defibrillator/monitor on Battery Power

The defibrillator/monitor has the rechargeable battery that can be used to power the
defibrillator/monitor when AC power source or external DC-DC adaptor is not available.
The battery status icon appears on the screen when the defibrillator/monitor is on battery
power.
Note: The defibrillator/monitor can be powered with two batteries when a battery is inserted
instead of AC power supply (SMPS). When the defibrillator/monitor is equipped with two
batteries, two battery status icons appear on the screen.
Figure 9. Battery Placement
1. Turn off the defibrillator/monitor.

2. Push the AC power supply (SMPS)/battery push button.
3. Insert the battery into the defibrillator/monitor carefully
Table 8. Front Panel Indications for Power Source

Power Connections Front Panel Indications
Battery charge icon is displayed on the screen.
AC source
AC/DC in LED is lit.
Battery charge icon is displayed on the screen.
DC source DC power input icon appears on the screen.
AC/DC in LED is lit.
Battery Battery status icon appears on the screen.
34
The defibrillator/monitor cannot operate with a completely discharged battery. Before
turning on the defibrillator/monitor with a battery that has been completely discharged,
plug the defibrillator/monitor into an AC outlet to charge the battery for a minimum of 3
minutes. The defibrillator/monitor may then be powered on.
A new, fully charged battery will provide 5 hours monitoring operation under the
following conditions:
l Operation of ECG monitoring or in defibrillation mode (Standard option)

l No audible alarm condition
l No external communication operating
l No recording
l Ambient temperature at 25C5C
Note: If there is the combination of battery A and B in the defibrillator/monitor, two new, fully
charged batteries will provide 10 hours monitoring operation.
Battery Status Indication

When operating on batteries, the battery status icon in the lower part of the display
indicates the battery charge condition. See Table 9.
Table 9. The defibrillator/monitor Battery Status Icon

Battery Status Icons Battery Status Icon Color
White (normal condition)
Yellow (low battery)
Red (critically low battery)
White (charging)
A low priority alarm occurs when the remaining battery power is only enough for 15
minutes of operation. The Low battery message is displayed on the screen. Connect the
AC power or replace the battery with a fully charged battery immediately when alarm
occurs.
This alarm cannot be paused while running on battery power. Connecting the
defibrillator/monitor to AC power will stop the alarm.
A high priority alarm occurs for about 5 minutes before the defibrillator/monitor shuts off.
The SYSTEM : Critically low-battery condition message is displayed on the screen.
Connect the defibrillator/monitor to an AC power source immediately to avoid any loss of
trend data or settings.
Note: The battery will not be charged for safety if the operating temperature exceeds 40C.
35
36
USING THE DEFIBRILLATOR/MONITOR
WARNING: Each time the defibrillator/monitor is used, check alarm limits to make
sure that they are appropriate for the patient being monitored.
WARNING: If different alarm presets are used for the same or similar equipment
in any single area, e.g. an intensive care unit or cardiac operating room, a
potential hazard can exist.
WARNING: Keep patients under close surveillance when monitoring. It is
possible, although unlikely, that radiated electromagnetic signals from sources
external to the patient and the defibrillator/monitor can cause inaccurate
measurement readings. Do not rely entirely on the defibrillator/monitor readings
for patient assessment.
WARNING: Be aware of patient cables, including ECG monitoring equipment
when used with high frequency surgical equipment.
WARNING: When inaccurate analysis is suspected because of motion artifact do

not analyze in a moving vehicle. Motion artifact may affect the ECG signal
resulting in an inappropriate SHOCK or NO SHOCK ADVISED message. Motion
detection may delay analysis. Stop vehicle and stand clear of patient during
analysis.
WARNING: To avoid risk of electrical shock, do not touch gelled area of the pads
while pacing or shock. When defibrillating with paddles use your thumbs to
operate the SHOCK button in order to avoid inadvertent operator shock. No
portion of the hand should be near the paddle plates.
WARNING: Pediatric defibrillation energy levels should be set based on site-
specific clinical protocols.
WARNING: The metronome sounds do not indicate information regarding the
patients condition. Because patient status can change in a short time, the patient
should be assessed at all times. Do not perform CPR on a patient who is
responsive or is breathing normally.
WARNING: Place the patient on a firm surface before performing CPR.
WARNING: Ventricular fibrillation may be induced with improper synchronization.
Do not use the ECG from another monitor (slaving) to synchronize the
defibrillator/monitors discharge. Always monitor the patients ECG directly
through the defibrillator/monitors ECG cable or pad cable.
WARNING: Pitted or damaged paddles may cause patient skin burns during
defibrillation.
WARNING: The ECG rhythm analysis function does not warn the operator of
patient asystole, as it is not a shockable rhythm.
WARNING: Determination of electrical capture should only be performed by

viewing the ECG on the screen with its ECG cable directly attached to the patient.
WARNING: Connect the device only to a three-wire, grounded, hospital grade
receptacle. The three-conductor plug must be inserted into a properly wired
three-wire receptacle; if a three-wire receptacle is not available, a qualified
electrician must install one in accordance with the governing electrical code. Do
not under any circumstances remove the grounding connector from the power
plug. Do not use extension cords or adapters of any type. The power cord and
plug must be intact and undamaged.
37
CAUTION: The defibrillator does not automatically adjust energy when using
pediatric electrodes. Manually select the appropriate energy prior to defibrillating
the patient.
CAUTION: Only use thumbs to depress the paddle SHOCK button. Failure to do so
could result in the inadvertent depression of the energy select buttons, causing the
defibrillator to disarm itself.
CAUTION: Do not discharge the defibrillator except as indicated in the instructions.
CAUTION: Do not permit gel to accumulate between the paddle electrodes on the
chest wall (gel bridge). This could cause burns and reduce the amount of energy
delivered to the heart.
CAUTION: Changing the selected energy while the defibrillator/monitor is charging

or charged will cause the defibrillator/monitor to disarm itself. Press the CHARGE
button again to charge the defibrillator/monitor.
CAUTION: If using defibrillation pads, make sure that the size of the pad is large
enough to cover the entire paddle electrode area.
CAUTION: Pads should be replaced after 8 hours of continuous pacing to ensure

maximum patient benefit.
CAUTION: Be sure to safely discharge external paddles.
Turning on the defibrillator/monitor

Before using the defibrillator/monitor, confirm that the defibrillator/monitor is working
properly and is safe to use as described below.
CAUTION: Look for display motion before accepting any displayed data as a
current measurement.
Note: If unusable sound like buzzer can be heard, do not use the defibrillator/monitor. Instead,
please contact qualified service personnel or your local supplier.
1. Rotate Mode select knob to select one mode from AED, manual, monitor or pacing
mode.
2. The defibrillator/monitor is turned on in select mode.
Figure 10. Mode Select Knob

AED mode - to enable AED mode for semi-automated external defibrillation.
Manual mode - to enable manual mode for asynchronous or synchronous defibrillation.
Monitor mode - to enable monitor mode for 3- or 5-lead ECG monitoring, 12-lead ECG
acquisition and vital signs trending, or monitoring of optional parameters.
Pacing mode - to enable pacing mode for demand (sync) or fixed mode pacing.
Note: Monitor mode can be used in each mode.
38
Setting Date and Time
You may set the date and time displayed on the screen and printed on the reports.
1. Rotate the Multi function knob to highlight Date/Time, and then press the Multi
function knob to select Date/Time Menu.
Figure 11. Select Date/Time Menu
2. Soft key Menu will be changed to Date Format, Set Date, Set Time and Return. When
the soft key is pressed, the relevant Menu will appear. Rotate and press the Multi
function knob to change the desired format or number.
Table 10. Date/Time Menu

Level 1 Menu Level 2 Menu or Response
DATE/TIME MENU
Date Format YY/MM/DD (Year/Month/Day)
MM/DD/YY (Month/Day/Year)
DD/MM/YY (Day/Month/Year)
Return
Set Date Year
Month
Day
Return
Set Time Hour
Minute
Second
Return
Return
Continued use
This defibrillator/monitor retains the previous settings when the defibrillator/monitor is

turned off for less than 10 seconds. And if the defibrillator/monitor was not turned off and
less than 10 minutes have elapsed since the operation mode was last used, the
defibrillator/monitor retains the previous settings of last operation mode.
39
Setting the Main Screen
You may select the main screen to be displayed; 4 waveform screen, large numeric
screen or Black-yellow invert screen.
1. Press Setup soft key to change main screen (4 waveform screen) to large numeric
screen or black-yellow invert screen.
2. Select Display mode menu. Display mode menu will be displayed on screen.
3. Rotate and press the Multi function knob to change the desired display mode.
Note: Large numeric screen can only be selected in monitor mode.
Figure 12. Setup: Display mode Menu
4-ch Wave Screen: ECG + SpO2 + ABP + EtCO2
Figure 13. Normal Screen (4 waveform, Defibrillation mode, Full option)
40
Large Numeric Screen
Figure 14. Large Numeric Screen (2 waveform, Monitor mode, Full option)
Black-yellow Invert Screen (Mono-color screen)
Figure 15. Black-yellow Screen (4 waveform, Defibrillation mode, Full option)
41
42
ALARMS AND LIMITS
WARNING: If different alarm presets are used for the same or similar equipment in
any single area, e.g. an intensive care unit or cardiac operating room, a potential
hazard can exist.
WARNING: Always respond immediately to a system alarm since the patient may
not be monitored during certain alarm conditions.
CAUTION: Do not to cover the holes for the speaker which allows the alarm sound
to exit the defibrillator/monitor. Also do not disable audible alarms when it is not
appropriate to do so.
General
When the defibrillator/monitor detects certain conditions that require user attention, the
defibrillator/monitor enters an alarm state. The defibrillator/monitor response is indicated
by:
l Audible alarm indication

l Physiological alarms including identification of out-of-limit vital signs
l Technical alarms
Note: The audible and visual alarms on the defibrillator/monitor, used in conjunction with
clinical signs and symptoms, are the primary source for notifying medical personnel that a
patient alarm condition exists.
Note: Each key-control should result in some audible tone and that invalid key-controls are
ignored. Have the defibrillator/monitor serviced if the key-controls fail.
Changing Alarm Volume

User can select an alarm volume level of 1 to 8.
1. Select the Setup soft key and then the Setup menu will be displayed.
2. Rotate the Multi function knob to highlight Volume and then press the Multi function
knob to select Volume Menu.
3. Rotate the Multi function knob to highlight desired menu.
4. Selected menu is activated by pressing the Multi function knob.
5. Rotate the Multi function knob to adjust the volume.
6. Press the Multi function knob to save the desired volume and to select the other
menu.
7. Press the Return soft key. Then the current menu returns to the previous menu.
Figure 16. Volume Menu Display
43
Alarm Priority and Messages
There are three possible priorities for visual and audible alarms: High, Medium, and Low.
The high, medium, low priority messages and informative messages are displayed in the
alarm/informative message area and the defibrillator messages are displayed in the
defibrillator message area. A message is displayed alternatively every 2 seconds when
the defibrillator/monitor is in multiple alarm conditions. Refer to the Troubleshooting
section for the recommended actions.
High Priority
High priority alarm indicates that immediate operator response is required.
Table 11. High Priority Alarm
Parameter Condition Messages

Asystole ECG: Asystole
ECG
V-FIB ECG: V-FIB
Loss of Pulse from SpO2 or No valid SpO2: Loss of Pulse
%SpO2
ECG and no motion artifact
Loss of pulse from IBP {label}: Loss of pulse.
IBP
(ex. {label}: P1, P2, ABP, CVP, PAP, LAP)
EtCO2 APNEA EtCO2: APNEA
Resp Loss of Respiration Signal RESP : Loss of respiration signal
SYSTEM Critically Low-Battery condition SYSTEM : Critically low-battery condition
Medium Priority
Medium priority alarm indicates that prompt operator response is required.
Table 12. Medium Priority Alarm

Technical Alarm Message
High Heart Rate/Pulse Rate limits High Heart Rate/Pulse Rate limits violated
violated
HR/PR
Low Heart Rate/Pulse Rate limits Low Heart Rate/Pulse Rate limits violated
violated
ECG ECG Signal Saturation ECG Signal Saturation
High SpO2 limits violated High SpO2 limits violated
%SpO2
Low SpO2 limits violated Low SpO2 limits violated
High Systolic blood pressure limits NIBP-High Systolic blood pressure limits
violated violated
High Diastolic blood pressure limits NIBP-High Diastolic blood pressure limits
violated violated
High MAP blood pressure limits NIBP-High MAP blood pressure limits
violated violated
NIBP
Low Systolic blood pressure limits NIBP-Low Systolic blood pressure limits
violated violated
Low Diastolic blood pressure limits NIBP-Low Diastolic blood pressure limits
violated violated
Low MAP blood pressure limits NIBP-Low MAP blood pressure limits
violated violated
High Respiration Rate limits violated High Respiration Rate limits violated
Resp
Low Respiration Rate limits violated Low Respiration Rate limits violated
IBP IBP Over the systolic upper limit {label}: High systolic blood pressure limit
44
violated.
IBP Under the systolic lower limit {label}: Low systolic blood pressure limit
violated.
IBP Over the diastolic upper limit {label}: High diastolic blood pressure limit
violated.
IBP Under the diastolic lower limit {label}: Low diastolic blood pressure
violated.
IBP Over the mean upper limit {label}: High MEAN blood pressure limit
violated.
IBP Under the mean lower limit {label}: Low MEAN blood pressure limit
violated.
High EtCO2 limits violated EtCO2 : High EtCO2 Limits violated
Low EtCO2 limits violated EtCO2 : Low EtCO2 Limits violated
EtCO2
High InCO2 limits violated EtCO2 : High InCO2 Limits violated
Low InCO2 limits violated EtCO2 : Low InCO2 Limits violated
High Temperature limits violated TEMP1 : High temperature limits violated
TEMP2 : High temperature limits violated
Temp
Low Temperature limits violated TEMP1 : Low temperature limits violated
TEMP2: Low temperature limits violated
Low Priority
Low priority alarm indicates that operator awareness is required.
Table 13. Low Priority Alarm

ECG Leads Off ECG : Leads off
ECG
Chest Lead off ECG : Chest lead off
Temperature Probe Disconnect TEMP1 : Probe disconnect
TEMP2 : Probe disconnect
Temp
Temperature Out of range TEMP1 : Out of range
TEMP2 : Out of range
Abnormal Cuff NIBP : Abnormal cuff / EEE 11
NIBP : Abnormal cuff / EEE 21
Measurement Fail NIBP : Measurement fail / EEE 12
NIBP : Measurement fail / EEE 14
NIBP NIBP : Measurement fail / EEE 18
Overpressure NIBP : Overpressure / EEE 19
Artifact NIBP : Artifact / EEE 13
Artifact NIBP : Artifact / EEE 16
Time-Out NIBP : Time-out / EEE 17
IBP Failed in zero calibration {label}: Unable to zero calibration.
45
Out of range {label}: Out of range.
Cable/Sensor disconnected. {label}: Cable/Sensor disconnected.
SpO2 - Technical Error SpO2 Error EEE001
~ SpO2 Error:EEE511
SpO2 : Module reset
SpO2 : Reconnect / Replace SpO2 sensor
%SpO2
SpO2 : Reposition / Replace SpO2 sensor
SpO2 : Replace SpO2 Sensor
SpO2 Cable/Sensor Disconnect SpO2 : Cable/Sensor disconnect
Sensor Off from SpO2 Sensor SpO2 : Sensor off
Resp Respiration Leads Off RESP : Leads off
Adapter Calibration Failed EtCO2 : Adapter Calibration Failed
Check Adapter EtCO2 : Check Adapter
Faulty Sensor EtCO2 : Faulty Sensor
Occlusion or Leak EtCO2 : Occlusion or Leak
EtCO2 Out of Range EtCO2 : Out of Range
Sample Line Disconnected EtCO2 : Sample Line Disconnected
Sensor Disconnected EtCO2 : Sensor Disconnected
Adapter Calibration Failed EtCO2 : Adapter Calibration Failed
Check Adapter EtCO2 : Check Adapter
Printer out of paper SYSTEM : Printer out of paper
System
Low Battery SYSTEM : Low Battery
Informative Messages
Informative messages indicate a system condition that needs to be corrected.
Table 14. Informative Messages

Condition Messages
SpO2 Pulse search SpO2 : Pulse search
SpO2 Motion interference SpO2 : Motion interference
IBP No zero reading {label}: No zero reading
IBP Zero cal in progress {label}: Zero cal in progress
Abnormally shut down last time SYSTEM : Abnormally shut down last time
Audio Off SYSTEM : Audio off
Demo Mode SYSTEM : Demo Mode
Printer is not available SYSTEM : Printer is not available
Not Enough Memory SYSTEM : Not enough memory
Not Enough Memory(Internal Memory) SYSTEM : Not enough memory(Internal memory)
Note: There may be other informative messages that are not listed above.
46
Defibrillator message
Defibrillator messages indicate a condition related to manual mode, AED mode and pacing
mode.
Note: Defibrillator messages are not displayed in monitor mode.
Table 15. Defibrillator Messages

Condition Messages
Check for response Check response
(Voice prompt: Check for response. Are you all right?)
Call for help Call for help
(Voice prompt: Call for help.)
Open the airway Open airway
(Voice prompt: Open the airway.)
Check breathing Check breathing
(Voice prompt: Check breathing.)
Attach pads to bare chest Attach pads to bare chest
(Voice prompt: Remove clothes from the patient's chest.
Place pad exactly as shown in the picture.
Press pads firmly to patient's bare chest.)
Check Pads Check Pads
Analyzing ECG Analyzing heart rhythm
(Voice prompt: Analyzing heart rhythm.)
Do not touch the patient Do not touch the patient
(Voice prompt: Do not touch the patient.)
No Shock Advised No Shock Advised
(Voice prompt: Non Shock advised.)
Shock Advised Shock Advised
(Voice prompt: Shock advised.)
Press Shock button Press Shock button
(Voice prompt: Press the red flashing button now.
Deliver shock now.)
Press Paddle Shock button Press Paddle Shock Button
Shock Delivered Shock Delivered
(Voice prompt: Shock Delivered.)
It is Safe to touch the patient It is Safe to touch the patient
(Voice prompt: It is Safe to touch the patient.)
Begin CPR Begin CPR
(Voice prompt: Begin CPR.)
Press Charge button Press Charge button
Disable Sync Disable Sync
Remove Paddle Remove Paddle
Poor Pads Contact Poor Pads Contact
Poor Paddles Contact Poor Paddle Contact
DEFIB Pads short DEFIB Pads short
DEFIB Paddles short DEFIB Paddle short
Release shock Release shock
Remove Sync to Analyze Remove Sync to Analyze
Analysis Halted Analysis Halted
ECG Lead Off ECG Lead Off
ECG 12 Lead Acquiring ECG 12 Lead Acquiring
Select BPM Select BPM
Select mA Select mA
47
Condition Messages
Pacing Paused Pacing Paused
Visual Alarm Indication

Table 16. Visual Alarm Characteristics
Alarm Category Color Flashing Period Duty Cycle
High priority Red 700ms (about 1.43Hz) 57% (On: 400ms / Off: 300ms)
Medium priority Yellow 2000ms (about 0.5Hz) 60% (On: 1200ms / Off: 800ms)
Low priority Yellow - 100% (Always On)
When a high priority alarm is activated, a non-flashing alarm message is displayed. The
numerical area will flash red.
When a medium priority alarm is activated, a non-flashing alarm message is displayed.

The numerical area will flash yellow.
When a low priority alarm is activated, a non-flashing alarm message is displayed. The
numerical area will change to yellow.
Audible Alarm Indication
WARNING: Do not turn off the audible alarm or decrease its volume if patient
safety could be compromised.
WARNING: Make sure that the defibrillator/monitor speaker is not obstructed.

Failure to do so could result in an inaudible alarm tone.
Table 17. Audible Alarm Characteristics

Alarm Category Tone Pitch (IEC60601-1-8) Beep Rate (IEC60601-1-8)
High priority ~976 Hz 10 beeps in 15 sec
Medium priority ~697 Hz 3 beeps in 15 sec
Low priority ~488 Hz 1 beeps in 30 sec
Note: Audible alarms may be decreased in volume as described in Table 14 or temporarily

paused.
Verifying Audible Alarm Indication

If the defibrillator/monitor fails to perform as specified in this test, contact qualified service
personnel or your local supplier for assistance. You can verify the alarm operation for all
parameters like ECG, SpO2, NIBP, Temperature, EtCO2, IBP and Respiration by following
the below procedures.
1. Connect the defibrillator/monitor to an AC power source.

2. Rotate the Mode select knob to turn on the defibrillator/monitor.
3. Connect the simulator to the sensor input cable and connect cable to defibrillator/monitor.
4. Set the simulator to a smaller value than the lower alarm limit on the defibrillator/monitor.
5. Verify the following defibrillator/monitor reaction:
a. The defibrillator/monitor begins to track the physiological signal from the simulator.
b. After about 10 to 20 seconds, the defibrillator/monitor displays the value measured
as specified by the simulator. Verify values are within the tolerances specified in
the Specification section for each parameter.
c. Audible alarm sounds.
d. Low limits violated message is displayed.
48
e. The numerical area flashes, indicating the parameter has violated default alarm
limits.
Note: The maximum mean time of the alarm delay is less than 10 seconds unless otherwise
specified in this manual.
Changing Alarm Limits
WARNING: If different alarm presets are used for the same or similar equipment
in any single area, e.g. an intensive care unit or cardiac operating room, a
potential hazard can exist.
CAUTION: Do not set the alarm limits to extreme values that can cause the alarm to
become useless.
You can change alarm limits from default values, if necessary. Alarm limits or Limit Alarm
Pause may be set in two ways:
l Via interaction with HR/PR, SpO2, NIBP, Respiration, EtCO2, IBP and Temperature
Menu or
l Via interaction with the Alarm Limits Menu that presents the limits in all the
parameters at one time.
Setting Alarm Limit via Alarm Limit Menu
1. Soft key is displayed on the lower of the normal screen. (Refer to figure 13.)
2. Press the Alarm Limit soft key located lower right corner of the screen.
3. Select the parameter menu to be changed by pressing the Multi function knob.
Figure 17. Alarm Limit Menu
49
4. Change the alarm limit by rotating the Multi function knob.
5. Selected parameter menu is returned to normal screen by pressing the Return soft
key.
6. When the menu is returned, the other menu can be selected.
Alarm Limits Ranges
Table 18 describes the possible alarm limits. The defibrillator/monitor is shipped with
factory default settings.
Note: Authorized personnel can define the way to save the power default. The detailed information
is described in the service manual.
Table 18. Alarm Limits Ranges

Parameters Upper Limit, Default Lower Limit, Default Resolution
HR/PR (BPM)
Adult/Pediatric 25 ~ 300 BPM, 120 BPM 20 ~ 295 BPM, 50 BPM 5 BPM
NIBP Systolic (mmHg, kPa)
35 ~ 270 mmHg, 160 mmHg 30 ~ 265 mmHg, 90 mmHg 5 mmHg
Adult/Pediatric
(4.6 ~ 36.0 kPa, 21.3 kPa) (4.0 ~ 35.3 kPa, 12.0 kPa) (0.6 or 0.7 kPa)
Neonatal
NIBP Diastolic (mmHg, kPa)
Adult/Pediatric
Neonatal
NIBP MAP (mmHg, kPa)
Adult/Pediatric
Neonatal
SpO2 (%)
Adult/Pediatric 21 ~ 100 %, 100 % 20 ~ 99 %, 90 % 1%
Respiration (BPM)
Adult/Pediatric 4 ~ 120 BPM, 30 BPM 3 ~ 119 BPM, 8 BPM 1 BPM
Temperature1 (C, F)
0.1 ~ 50.0C, 39.0 C 0.0 ~ 49.9 C, 36.0 C 0.1C
Adult/Pediatric
(32.2 ~ 122.0F, 102.2F) (32.0 ~ 121.8F, 96.8F ) (0.1F or 0.2F)
Temperature2 (C, F)
0.1 ~ 50.0C, 39.0 C 0.0 ~ 49.9 C, 36.0 C 0.1C
Adult/Pediatric
(32.2 ~ 122.0F, 102.2F) (32.0 ~ 121.8F, 96.8F ) (0.1F or 0.2F)
EtCO2 (mmHg, kPa, %)
Adult/Pediatric (0.13 ~ 10.7 kPa, 10.7 kPa) (0 ~ 10.5 kPa, 0 kPa) (0.13 kPa)
(0 ~ 10.5 %, 10.5%) (0 ~ 10.4%, 0%) (0.13%)
InCO2 (mmHg, kPa, %)
Adult/Pediatric (0.13 ~ 2.7 kPa, 2.7 kPa) (0 ~ 2.5 kPa, 0 kPa) (0.13 kPa)
(0.13 ~ 2.6 %, 2.6 %) (0 ~ 2.5 %, 0%) (0.13%)
P1 Systolic (mmHg, kPa)
-45 ~ 300 mmHg, 120mmHg -50 ~ 295 mmHg, 70 mmHg 5 mmHg
Adult/Pediatric
(16.0 kPa) (9.3 kPa) (0.6 or 0.7 kPa)
P1 MEAN (mmHg, kPa)
-45 ~ 300 mmHg, 90 mmHg -50 ~ 295 mmHg, 50 mmHg 5 mmHg
Adult/Pediatric
(12.0 kPa) (6.7 kPa) (0.6 or 0.7 kPa)
P1 Diastolic (mmHg, kPa)
50
Parameters Upper Limit, Default Lower Limit, Default Resolution
Adult/Pediatric
(9.3 kPa) (5.3 kPa) (0.6 or 0.7 kPa)
P2 Systolic (mmHg, kPa)
-45 ~ 300 mmHg, 120mmHg -50 ~ 295 mmHg, 70 mmHg 5 mmHg
Adult/Pediatric
(16.0 kPa) (9.3 kPa) (0.6 or 0.7 kPa)
P2 MEAN (mmHg, kPa)
Adult/Pediatric
(12.0 kPa) (6.7 kPa) (0.6 or 0.7 kPa)
P2 Diastolic (mmHg, kPa)
Adult/Pediatric
(9.3 kPa) (5.3 kPa) (0.6 or 0.7 kPa)
51
Audio Paused and OFF
WARNING: Do not pause the audio or decrease its volume if patient safety could
be compromised.
WARNING: If an alarm condition occurs while in the Audio Off state, the only
alarm indication on the defibrillator/monitor will be visual displays related to the
alarm condition.
WARNING: Default startup setup is with Audio off on Power ON. If Audio Alarms
are required, make sure to activate audio alarm ON for the patient being
monitored.
WARNING: Check the audible alarm silence duration before temporarily silencing
the audible alarms.
When an alarm occurs, you can pause the audio for the audio pause time (30 sec, 60 sec,
90 sec, 120 sec) selected via Service menu. However, visual alarms continue during this
time. The factory default for audio pause time is 30 seconds.
Table 19. Bell Icon
Limit
Alarm Active Audio paused Audio Off
alarm pause
To pause an audio:
1. Press the Alarm button to immediately pause the alarm tone. The alarm resumes
after the audio paused period if the alarm condition has not been corrected.
2. Check the patient and provide appropriate care.
During the audio paused period, you can press the Alarm button again to re-enable the
audio tones. Also, if another alarm occurs during the audio paused period, the audio tones
will be automatically re-enabled. You can pause the audio tones for that another alarm by
pressing the Alarm button.
Note: The audio paused by some technical errors may be canceled by pressing the Alarm button.
However, battery failure and physiological alarms cannot be canceled until the alarm
condition is corrected.
To off an audio:
1. To initiate an audible alarm off, press the Alarm button and hold it for at least 2
seconds.
2. To cancel an audible alarm off condition, press the Alarm button for 2 seconds again.
This action disables audible alarms for a user-defined audio off period (3 min, 5 min, 10
min or Indefinite) selected via the Service menu.
If audio off period is set to 3, 5 or 10 minutes, the audible alarm is not activated for the
specified time interval and the Audio Off icon is displayed.
Note: You may disable limit violation alarms of each vital sign via the HR/PR, SpO2, NIBP,
Respiration, EtCO2, IBP, Temperature or Alarm limit menus.
Note: The periods can only be changed by authorized personnel via the Service menu.
Note: Alarm Off may disable the visual alarm manifestation if sensors, probes, or modules are
intentionally disconnected by operator.
52
ECG MONITORING
the manufacturers directions for use and your facilitys standards. It may cause
burns to the patients or device failure to use of pacing/defibrillation pads or
adapters from sources other than DRE.
WARNING: Line isolation defibrillator/monitor transients may resemble actual
cardiac waveforms and thus inhibit heart rate alarms. Such transients may be
minimized by proper electrode and cable placement, as specified in this manual
and electrode directions for use.
WARNING: Do not use damaged ECG leads. Do not immerse ECG leads
completely in water, solvents, or cleaning solutions. Do not sterilize ECG leads by
irradiation, steam, or ethylene oxide. Follow the manufacturers directions for use.
WARNING: Do not use ECG electrodes with expired dates. Do not use defective
ECG electrodes. These might cause improper performance.
WARNING: ECG cables may be damaged if they are connected to a patient during
defibrillation. Cables that have been connected to a patient during defibrillation
should be checked for functionality before using again.
WARNING: It is possible for the patient to receive a burn due to an improperly
connected electrosurgical unit. Additionally, the defibrillator/monitor could be
damaged or measurement errors could occur. Place the ECG cable and leads as
far as possible from the site of the electrosurgical unit and from the
electrosurgical cables. This will minimize interference and the risk of burns to the
patient.
WARNING: For pacemaker patients, the defibrillator/monitor may continue to
count pacemaker rate during occurrences of cardiac arrest or some arrhythmias.
To reduce the likelihood of this, ensure that the Pacer Detect setting is On in the
ECG waveform Menu when monitoring such patients. Do not rely entirely upon
the defibrillator/monitor alarms. Keep pacemaker patients under close
surveillance.
WARNING: To ensure patient safety, the conductive parts of the ECG electrodes
(including associated connectors) and other patient-applied parts should not
contact other conductive parts, including earth ground, at any time.
WARNING: Correct the electrode placement. Improper electrode placement may
cause incorrect result. User must be aware of proper device operation.
WARNING: Use only high quality ECG electrodes. ECG electrodes are for rhythm
acquisition only. Do not attempt to defibrillate or pace through ECG electrodes.
WARNING: Precordial lead electrodes and lead wires may interfere with the
placement of standard paddles or pads. Before defibrillation, remove any
interfering precordial lead electrodes and lead wires.
WARNING: The defibrillator/monitor may be used in conjunction with and must
not be damaged by typical electrosurgical equipment operation.
General
The process of depolarization and repolarization of the myocardium generates electric
potentials that are sensed by ECG electrodes on the skin surface. These electrodes are
typically attached to the patients right arm, left arm, and left leg. The defibrillator/monitor
processes and amplifies these signals and presents the ECG waveform on the screen.
Also, the defibrillator/monitor computes the minute heart rate at least every second by
moving average. In addition to the acquisition of the QRS complex, the circuitry performs
a number of other functions. The defibrillator/monitor can display:
53
l Heart rate in beats per minute
l Detection of a lead off condition if an electrode is disconnected or poorly connected
l Detection of the presence of pacemaker signals within the ECG waveform complex
Note: Occasionally, electromagnetic interference beyond the range guaranteed from the
manufacturers declaration may cause the defibrillator/monitor to display a "Check ECG
Leads & Electrodes" alarm. This occurrence is rare, and duration should be short. When
the interference ceases, the defibrillator/monitor removes the "Check ECG Leads &
Electrodes" alarm. Refer to the Specification section.
Setup Connections
Note: DRE recommends the use of silver/silver chloride electrodes (Ag/AgCl). When dissimilar
metals are used for different electrodes, the electrodes may be subject to large offset
potentials due to polarization, which may be severe enough to prevent obtaining an ECG
trace. Using dissimilar metals may also increase recovery time after defibrillation.
1. Select the electrodes to be used. Use only one type of electrode on the same patient to
avoid variations in electrical resistance. Prepare the electrode sites according to the
electrode manufacturers instructions. See Figure 18 and 19 for electrode placement
configurations.
Figure 18. Standard 3 Electrode Placement
54
Figure 19. 5 Electrode Placement
Note: One of 5-1 to 5-6 Lead electrode placement sites for the fifth lead.
2. Connect the ECG lead.

3. Connect the ECG lead to the ECG connector on the defibrillator/monitors front panel.
4. Attach the leads to the electrodes, and then apply the electrodes to the patient, using
the color-code guide in Table 17. Verify that the desired Lead Selection is active in the
ECG waveform area. Refer to Table 18. Lead II is best suited for most monitoring
situations.
Table 20. ECG Lead Colors

Lead AAMI IEC
1. Right arm White (RA) Red (R)
2. Left arm Black (LA) Yellow (L)
3. Left leg Red (LL) Green (F)
4. Right leg Green (RL) Black (N)
5-1 to 5-6. V (Chest) Brown (V) White (C)
Table 21. ECG Lead Pairs

Lead-Selection Electrode Differential (AAMI) Electrode Differential (IEC)
I RA LA R L
II RA LL R F
III LA LL L F
V (Chest) (RA+LA+LL)/3 Chest (V) (R+L+F)/3 Chest (C)
aVR (Lead I + Lead III/2) (Lead I + Lead III/2)
aVL (Lead I Lead III)/2 (Lead I Lead III)/2
aVF (Lead II + Lead III)/2 (Lead II + Lead III)/2
55
12-lead ECG
WARNING: Using previously unpackaged electrodes or electrodes past the Use

by date may impair ECG signal quality. Remove electrodes from a sealed package
immediately before use and follow the procedure for applying the electrodes.
WARNING: Computerized ECG interpretive statements should not be used
withholds or prescribes patient treatment without review of the ECG data by
qualified medical personnel. Always confirm interpretive statements by over-
reading the ECG data.
General
The optional 12 lead ECG function, using the GLA algorithm, is available in Monitor Mode
and allows you to Acquire, Setup, 12 lead On and Patient Info. In addition, the 12 lead
function provides computerized ECG analysis. A report with measurements and
interpretive statements from the analysis is displayed, stored and printed, as configured.
Patient age and gender are used to define normal limits for heart rate, axis deviation, time
intervals, and voltage values, for interpretation accuracy in tachycardia, bradycardia,
prolongation or shortening of PR and QT intervals, hypertrophy, early repolarization,
myocardial infarction and culprit artery detection.
In a 12-lead ECG using 10 electrodes, an electrode is placed on the right arm, left arm,
right leg and left leg. Six V/C electrodes are placed on the chest as shown in Figure 34.
The right leg electrode is the standard.
This defibrillator/monitor is equipped with epoch-making ECG

monitoring function incorporating the cutting edge software for
analysis of electrocardiograms developed by the University of
Glasgow in UK, which includes signal processing, diagnostic interpretation of
electrocardiograms from individuals of all ages and analysis of cardiac rhythm.
ECG Wave Recognition
The methodology for ECG waveform measurement is described in general terms in an

earlier publication from the Glasgow Laboratory. 10s of ECG data is input to the software
for analysis and all leads require to have been acquired simultaneously.
Processing
Initially, a 50Hz or 60Hz notch filter is applied to remove any AC interference, if such a
filter has not already been applied within the acquiring device. The first stage of the
analysis is to compute any missing limb leads from the minimum of two leads that need to
be provided. The ECG data is then filtered to minimize the effects of noise. The next step
in the analysis is to calculate a form of spatial velocity combining the first difference of
each lead. From this function, the approximate locations of all the QRS complexes are
derived. Allowance has to be made for pacemaker stimuli, which are ideally detected by
the front end equipment and passed to the program in the form of a list of spike locations.
Given the QRS locations, it is then possible to check the quality of the recording for noise
and baseline drift. If the drift is excessive, it is removed by using a cubic spline technique
to obtain, for each lead affected, the baseline trend, which is then subtracted from the
original data. If the noise is excessive, it is possible to remove a whole lead from the
analysis or alternatively, 5 seconds of all leads are removed either from the first or second
half of the recording.
56
QRS typing
Thereafter, the various QRS complexes are typed according to their morphology. An
iterative process is used. Effectively, the first complex in lead I is compared with the
second using first differences of each cycle. The comparison takes the form of moving
one beat over the other and when the difference is minimal, optimal alignment is present.
This alignment point is used for averaging as discussed below. If the difference between
beats is less than a threshold value, they are deemed to belong to the same class. The
procedure is repeated with the third beat being compared with the second and so on. If a
new morphology is detected, i.e. if the threshold is exceeded, a new class is established.
The procedure continues with five leads being used in the typing process.
Selection of Required QRS Class
If more than one class of beat is present, then a decision has to be made as to which
morphology will be used for the averaging procedure, i.e. the cycle to be interpreted has
to be selected. A complex logic is used for this purpose. It has to allow for a single
normally conducted beat in the midst of demand pacemaker beats for example. It also
needs to take account of the QRS durations of different beat classes, RR intervals to
exclude extrasystoles, and to a limited extent, the number of beats in each morphological
class. The net effect is to choose one class of beats, of a similar morphology, that are
regarded as being conducted in the normal sequence through the ventricles.
Averaging
All beats in the selected class are averaged so that 12 such beats, one from each lead,
are then available. The average beat can be computed in several ways. Common to this
are the alignment points detected when wave typing was undertaken. They are used as
reference points in the averaging process. The average beat can be a straight average of
all corresponding aligned points, it can be a median calculated from the same points or it
can be a weighted average the so called modal beat introduced into the program in
1977. In practice, the program forms the straight average, which is compared to individual
beats in the same class. If there is a significant difference at any point, then the median
beat is used. The modal beat is regarded as being computationally excessive, though it is
undoubtedly the best approach to use.
57
Wave Measurement
From the 12 average beats, a single combined function is formed and a provisional overall
QRS onset and termination is determined by thresholding techniques. The provisional
onset and termination are then used as starting points for a search for QRS onset and
termination within each individual lead. Basically the approach conforms to the
recommendations of the CSE working party (of which one of the Glasgow team was a
member), which were published in 1985.
Figure 20. Varying choice of baselines. Figure 21. Baseline at the level of QRS
onset as used by the Glasgow program.
In each individual lead, the QRS onset is taken as the baseline and hence Q, R, S, R'
waves are measured with respect to the QRS onset as shown in the accompanying
figures from the CSE paper (see Figures 30-33).
Figure 22. Illustration of isoelectric segments I and K.
Isoelectric segments at the beginning of a QRS complex, i.e. a flat segment between the
provisional overall onset and the onset of an individual lead are excluded from the first
component (Q or R) of the QRS complex as recommended by the CSE group. Similar
considerations apply at the end of the QRS complex (see Figure 32). A sorting algorithm
is then applied to all 12 onsets to determine the global QRS onset as follows. The earliest
onset is excluded and the next onset that also lies within 20 ms of the next again is then
selected as the overall onset. This ensures that any true outliers are excluded. The
reverse process is used to find the overall QRS termination.
58
QRS Components
Within the QRS complex, the amplitude and duration of the various Q, R, S, R waves are
then measured. In keeping with the CSE recommendations, the minimum wave
acceptable has to have a duration >8 ms and an amplitude >20 mV. With respect to global
QRS duration, the Glasgow program measures QRS duration from the global QRS onset
to the global QRS termination. This means that an isoelectric segment within one
particular QRS complex by definition will lead to a shorter QRS duration for that lead
compared to the global QRS duration.
Figure 23. Definitions for QRS end / ST junction
ST segment
The ST segment has several measurements made. Figure 19 shows the J point as used
in the diagnosis of ST elevation myocardial infarction. However, measurements are also
made at equal intervals throughout the ST segment, e.g. 1/8 ST-T, 2/8 ST-T etc.
P and T waves
A search for the P wave is made in the interval preceding the QRS complex. A P wave
may not always be found in certain arrhythmias. P onset and termination are found using
a method involving second differences but the same P onset and termination is used over
all 12 leads in view of the difficulty in detecting low amplitude P waves in many leads. P
wave amplitude is determined with respect to the same baseline as for Q, R, S
amplitudes, namely the QRS onset. This was found to be more reliable than fitting a
straight line between P onset and P termination even in cases where the P wave was
superimposed on the T wave in the case of a tachycardia.
T end is determined for each lead using a template method. The global T end is derived
in a similar fashion to the global QRS offset. The other components of the ECG waveform,
namely the ST and T wave amplitudes, are also measured with respect to QRS onset.
Thus, the ST junction and the various ST amplitude measurements, such as ST 60 and
ST 80 as well as the positive and negative components of the T wave, are all measured
with respect to the QRS onset. The reason for this is that it is the most straightforward
approach to measurement.
59
Interval Measurement
With respect to intervals, the global QT interval is measured from the global QRS onset to
the global T end. On the other hand, because the P onset is taken as being simultaneous
in all 12 leads, the global PR interval measurement is from the P onset to the global QRS
onset
Normal Limits
The above methods were used to determine the normal limits of QRS waveforms from an
adult database of over 1,500 normal, published in Comprehensive Electrocardiology,
1989 and a pediatric database derived from 1750 neonates, infants and children,
published in part in 1989 and 1998 and which will be published in much more detail in the
next edition of Comprehensive Electrocardiology. These normal limits are essentially an
integral part of the diagnostic software.
Figure 24. 12 lead Placement
Preparing the 12 Lead
Proper skin preparation and electrode placement are the most important elements in
producing a high quality 12 lead ECG. The patient should be supine and relaxed when an
ECG is acquired. In preparation for acquiring the ECG:
1. Attach the electrodes to the patient as above figure 24. 12 lead Placement.
2. Attach the 12 lead cable lead wires to the electrodes on the patient.
3. Attach the 12 lead cable to the defibrillator/monitors front panel.
4. Turn on the manual mode of defibrillator/monitor by rotating the Mode select knob to
Manual Mode.
5. Enter patient information.
6. Check the patients pulse.
60
Calculation Feature
Figure 25. Measurement Reference
Figure 25 shows the parameters obtained in ECG waveform to analyze the ECG. Overall
P onset, P offset, QRS onset, QRS offset and T termination are determined from all 12
leads. Individual lead wave amplitudes are then obtained. P+, P-, Q, R, S, R, S, T+ and
T- amplitudes are measured with respect to a horizontal line through the lead QRS onset.
Durations are measured between relevant points. Areas are measured in units of millivolts
x milliseconds (mV x ms). Units of measure are not specified when an area measurement
appears in the criteria. Isoelectric components between the overall QRS onset and an
individual lead onset are not included in a Q or R duration.
ECG analysis results were categorized and categories include: PRELIMINARY

COMMENTS, measurement, Results on QRS wave analysis, Results on ST and T wave
analysis, MISCELLANEOUS, RHYTHM STATEMENTS. And the results in diagnosis will
be printed.
Preliminary Comments
Preliminary comments includes the effects to the statement of ECG input signal and
diagnosis.
l LEAD REVERSAL/DEXTROCARDIA
l RESTRICTED ANALYSIS
l MISCELLANEOUS PRELIMINARY STATEMENTS
Measurement Parameter
Measurement parameters are fundamentally obtained after ECG analysis.
l HEART RATE
l INTERVALS
l ATRIAL ABNORMALITIES
l QRS AXIS DEVIATION
Results on QRS Wave Analysis

Results on QRS wave analysis shows diagnosis results of QRS waveform and
measurement values.
l CONDUCTION DEFECTS
- WOLFF-PARKINSON-WHITE PATTERN
- BRUGADA PATTERN
61
l HYPERTROPHY
- LEFT VENTRICULAR HYPERTROPHY
- RIGHT VENTRICULAR HYPERTROPHY
- BIVENTRICULAR HYPERTROPHY
Results on ST And T Wave Analysis

Results on ST and T wave analysis shows diagnosis results of ST and T waveform and
measurement values.
l MYOCARDIAL INFARCTION
- INFERIOR INFARCTION
- LATERAL INFARCTION
- ANTEROSEPTAL INFARCTION
- ANTERIOR INFARCTION
- SEPTAL INFARCTION
- POSTERIOR INFARCTION
- ANTEROLATERAL INFARCTION
- EXTENSIVE INFARCTION
l ST ABNORMALITIES
l ST-T ABNORMALITIES (ISCHAEMIA ETC).
Rhythm Statements
Rhythm statements includes diagnosis results according to occurrence of beats, etc.
l DOMINANT RHYTHM
l SUPPLEMENTARY RHYTHM
Measurement Matrix
The electrocardiographs can be programmed so that the Measurement Matrix is written
out after the analysis report. The Measurement Matrix consists of 12 columns which
contain measurements for the twelve standard leads. These columns are labelled I, II, III,
aVR, aVL, aVF, V1, V2, V3, V4, V5, V6.
Table 22. Measurement Matrix

Measurement Meaning
PON Time in milliseconds from the beginning of recording to the
beginning of the first P wave.
PDUR P wave duration in milliseconds.
QRSON Time in milliseconds from the beginning of recording to the
beginning of the QRS complex.
QRSDUR QRS duration in milliseconds.
QDUR Q wave duration in milliseconds.
RDUR R wave duration in milliseconds.
SDUR S wave duration in milliseconds.
RPDUR R' wave duration in milliseconds.
SPDUR S' wave duration in milliseconds.
P+DUR P+ wave duration in milliseconds.
QRSDEF Intrinsicoid deflection time.
P+AMP P+ wave amplitude in microvolts.
P-AMP P- wave amplitude in microvolts.
QRSP2P Peak to peak amplitude of the QRS complex.
QAMP Q wave amplitude in microvolts.
RAMP R wave amplitude in microvolts.
SAMP S wave amplitude in microvolts.
RPAMP R' wave amplitude in microvolts.
SPAMP S' wave amplitude in microvolts.
62
Measurement Meaning
STAMP ST wave amplitude in microvolts.
1/8STT Amplitude in microvolts at a point which is 1/8 of the ST-T
interval.
interval.
interval.
T+AMP T+ wave amplitude in microvolts.
T-AMP T- wave amplitude in microvolts.
QRSAR Total area of the QRS complex in microvolts/millisecond.
TMORPH T wave morphology.
RWNCH R wave notch count.
DWCON Probability (in %) of the presence of a delta wave.
STSLOP ST slope in degrees.
TON Time in milliseconds from the beginning of the recording to the
beginning of the T wave.
12 Lead Display
The 12 lead display allows you to see real-time 12 lead ECG data and verify signal quality
before acquiring the ECG. As shown in Figure 21, it displays patient information and
approximately 2.5 seconds of each of the 12 leads acquired. Waveforms are presented at a
rate of 25mm/sec and the configured wave size. A dashed line is displayed if a lead cannot
be derived. The message (Lead-Wire) Lead Off is displayed if an electrode is not making
adequate contact with the patient.
The Patient info menu of 12 lead mode includes ID, name, age and gender. The Event ID is
displayed until you enter the patients ID. Age and sex are displayed once entered.
Although waveforms for monitored parameters such as ECG, SpO2, Invasive Pressures and
EtCO2 are not visible on the Preview Screen, related alarms, measurements and alarm
messages remain active and are reported in Parameter Blocks 1 and 2 and the general
status area.
Figure 26. 12-Lead ECG Preview Screen
63
Description of HR/PR Menu Functions
The calculated Heart Rate/Pulse Rate may be derived from different sources (ECG,
SpO2, NIBP or IBP) as shown by the icon in the HR/PR numerical area.
1
2
3
4 5 6 7
1 HR/PR icon 5 ECG size
2 HR/PR source icon 6 HR/PR value
3 Pacer pulse detection icon 7 Bell icon
4 HR/PR unit
Figure 27. HR/PR Display
1 ECG waveform icon 3 ECG lead pair

2 ECG waveform
Figure 28. ECG Waveform Display
Figure 29. HR/PR Menu
Table 23. HR/PR Menu

HR/PR MENU
HR/PR Source Auto
HR
PR
Pacer Detect Enable
Disable
Filter Select 0.5Hz ~ 21Hz
0.05Hz ~ 40Hz
1Hz ~ 21Hz
HR/PR Upper Limit adjust
Alarm Limit
HR/PR Lower Limit adjust
Limit Alarm Pause On, Off
Return
64
HR/PR Source
You may select Auto, HR, PR to decide the source of the heart rate or pulse rate. If you
select Auto, the defibrillator/monitor automatically derives the heart rate or pulse rate from
one of the monitoring parameters in this order of priority: ECG, IBP, SpO2 or NIBP. When
HR is selected, the heart rate (HR) is measured from ECG. When PR is selected, the
pulse rate (PR) is measured from IBP, SpO2 or NIBP. The color of the HR/PR icon and
HR/PR source icon will be changed according to the current source. If the pulse rate is
derived from NIBP, the value will be displayed for only 180 minutes after the NIBP
measurement, then the value will be changed to ---. The HR/PR tone volume can be
adjusted in the Setup menu.
Pacer Detect
Pacer detect should always be Enable for patients with pacemakers (refer to the warning
in this section). When Pacer detect is Enable, the defibrillator/monitor detects and filters
pacemaker-generated signals so that they will not be calculated in determining a patients
heart rate. When monitoring patients without pacemakers, Pacer detect should be set to
Disable to avoid misdiagnosis.
Filter Select
The defibrillator/monitor can filter ECG waveform noise with different ranges of frequency
response:
0.5 Hz to 21 Hz : Expands the range to display very low frequencies down to 0.05 Hz.
0.05 Hz to 40 Hz: Choose this mode to see just the ECG waveform monitoring.
1 Hz to 21 Hz : Generally called a filter mode, it reduces ECG waveform noise.
Note: The sub-clause 50.102.8 Frequency and impulse response and sub-clause 50.102.15 Heart
rate range, accuracy and QRS detection range of IE60601-2-27 are tested only for
Monitor(0.05Hz to 40Hz) of ECG filter.
Limit Alarm Pause

When the Limit Alarm Pause is set to On, the audible alarm for HR/PR limit violation is
paused.
Note: When the measurement value is an invalid, --- shall be displayed.
65
66
AED(Automated External Defibrillator) MODE
WARNING: The defibrillator/monitor will only administer a shock if it is needed. A
voice prompt will tell you when to press the SHOCK button to administer
defibrillation therapy.
WARNING: The defibrillator/monitor should not be used on someone who is
responsive when shaken or breathing normally.
WARNING: Do not use pads if the adhesive gel is dried or damaged. Pads that are
dried out or damaged may cause electrical arcing and patient skin burns during
defibrillation. Do not use pads that have been removed from foil package for more
than 24 hours. Do not use electrodes beyond expiration date. Check that pads
adhesive is intact and undamaged. Do not reuse disposable pads that are labeled
for single patient use.
WARNING: Do not use pediatric pads on adults or larger children. Delivery of
defibrillation energies equal to or greater than 100 joules (typically used on adults)
through these smaller pads increases the possibility of skin burns.
WARNING: Do not use paddles for AED mode. AED mode is enabled only with
pads.
WARNING: Disconnect non-defibrillation proof electronic devices or equipment
from patient before defibrillation.
WARNING: Do not administer a shock using the electrode monitoring cable.
WARNING: Do not place adult pads in the anterior-posterior position when
operating this defibrillator/monitor in AED mode. A shock or no shock advised
decision may be inappropriately advised. The shock advisory algorithm requires
the electrodes to be placed in the anterior-lateral (Lead II) position.
WARNING: The Adult pads must be used on patients over 8 years old. The
Pediatric pads must be used on patients less than 8 years old or less than 25 kg
(55lb). Do not use the defibrillator/monitor in AED mode on patient less than 1
years old.
WARNING: Be sure that the electrodes do not come in contact with other
conductive materials, especially when connecting or disconnecting the electrodes
to or from the patient.
WARNING: Heart rate alarms are temporarily paused in AED Mode. Heart rate
alarms are also paused while the defibrillator/monitor is charging for defibrillation
and delivering a shock.
The AED Mode of defibrillator/monitor is designed for the treatment of sudden cardiac
arrest (SCA). It should only be used to treat someone who may be a victim of a SCA and
is:
l unresponsive to stimulus,
l not breathing,
l exhibiting no signs of life.
If the person is unresponsive but you are unsure that they have suffered from a SCA
begin CPR. When it is appropriate to treat, apply the defibrillator/monitor and follow the
audible instructions.
67
General
Defibrillation therapy is the definitive method for termination of a variety of potentially
fatal arrhythmias. The defibrillator/monitors Automated External Defibrillation (AED)
Mode is designed to guide you through standard treatment algorithms for cardiac arrest.
The defibrillator/monitor provides therapy through the application of a brief biphasic
pulse of electricity to the cardiac muscle. This electrical energy is transferred through
disposable multifunction pads applied to the patients bare chest.
Configuration choices allow you to customize AED Mode to better meet the unique
needs of your organization or resuscitation team. This chapter describes how to use
AED Mode. It explains the prompts that guide you through the defibrillation process and
describes how prompts vary depending upon the condition of the patient and the
configuration of your device.
Sudden Cardiac Arrest (SCA)
Sudden cardiac arrest is a condition in which the heart suddenly stops pumping
effectively due to a malfunction of the heart's electrical system. Often victims of SCA have
no prior warning signs or symptoms. SCA can also occur in people with previously
diagnosed heart conditions. Survival for an SCA victim depends on immediate cardio-
pulmonary resuscitation (CPR). The use of an external defibrillator within the first few
minutes of collapse can greatly improve the patients' chances of survival. Heart attack
and SCA are not the same, though sometimes a heart attack can lead to a SCA. If you
are experiencing symptoms of a heart attack (pain, pressure, shortness of breath,
squeezing feeling in chest or elsewhere in the body) seek emergency medical attention
immediately.
Heart Rhythm
The normal electrical rhythm by which the heart muscle contracts to create blood flow
around the body is known as Normal Sinus Rhythm (NSR). Ventricular Fibrillation (VF)
caused by chaotic electrical signals in the heart is often the cause of SCA, but a shock
can be administered to re-establish normal sinus rhythm. This treatment is called
defibrillation. The AED Mode is designed to automatically detect ventricular fibrillation
(VF) and perform defibrillation on victims of sudden cardiac arrest.
Detecting Fibrillation
The electrical rhythm by which the heart muscle contracts can be detected and used for
medical diagnosis and the resulting reading is called an Electrocardiogram (ECG). The
AED Mode is designed to analyze a patients ECG in order to detect ventricular fibrillation
(VF) in the heart. If ventricular fibrillation (VF) is detected, the defibrillator/monitor will
deliver a carefully engineered electrical shock designed to stop the chaotic electrical
activity experienced within the heart muscle during SCA. This may allow the victim's
heart to return to a normal sinus rhythm.
Rhythm Recognition Performance
The ECG database for validation of rhythm recognition performance includes ventricular
fibrillation (VF) rhythms of varying amplitudes, ventricular tachycardia (VT) rhythms of
varying rates and QRS width, various sinus rhythms including supraventricular
tachycardias, atrial fibrillation and atrial flutter, sinus rhythms with PVC (premature
ventricular contraction), asystole, and pacemaker rhythms.
68
Preparing for Defibrillation
WARNING: The AED algorithm is not designed to handle erratic spiking problems
caused by a properly or improperly functioning pacemaker. In patients with
cardiac pacemakers, the defibrillator/monitor may have reduced sensitivity and
not detect all shockable rhythms
1. Confirm that the patient is:

l unresponsive to stimulus,
l not breathing,
l exhibiting no signs of life.
2. Remove clothing to expose the patients chest. Wipe moisture from the patients chest
and if the patient has an excessively hairy chest, shave the area where the electrodes
are about to be applied.
3. Make sure the pads packaging is intact and within the expiration date shown.
4. Apply pads to the patient as directed on the pads package. Use the anterior-
anterior(anterior-lateral) pads placement.
5. If not pre-connected, insert the pads cable into paddle/pads connector located on the
front panel of the device. Push until you hear it click into place.
Note: Successful resuscitation is dependent on many variables specific to the patients

physiological state and the circumstances surrounding the patient incident. Failure to have
a successful patient outcome is not a reliable indicator of defibrillator/monitor performance.
The presence or absence of a muscular response to the transfer of energy during electrical
therapy is not a reliable indicator of energy delivery or device performance.
Operating the AED Mode of defibrillator/monitor
WARNING: Do not let the multifunction pads touch each other or other monitoring
electrodes, lead wires, dressings, transdermal patches, etc. Such contact can
cause electrical arcing and patient skin burns during defibrillation and may divert
defibrillation current away from the heart.
WARNING: During defibrillation, air pockets between the skin and multifunction
pads can cause patient skin burns. To help prevent air pockets, make sure
defibrillation pads completely adhere to the skin. Do not use dried-out
multifunction pads.
CAUTION: Aggressive handling of multifunction pads in storage or prior to use can

damage the pads. Discard the pads if they become damaged.
Note: Impedance is the resistance between the defibrillators pads or paddles that the defibrillator
must overcome to deliver an effective discharge of energy. The degree of impedance differs
from patient to patient and is affected by several factors including the presence of chest hair,
moisture, and lotions or powders on the skin.
The low-energy biphasic waveform is an impedance-compensating waveform that is
designed to be effective across a wide range of patients. However, if you receive a "Poor
Pads Contact" message, check that the patients skin has been washed and dried and that any
chest hair has been clipped. If the message persists, change the pads and/or the pads cable.
69
2010 AHA Guidelines for CPR and ECC
The 2010 AHA Guidelines for CPR and ECC are based on the most current and
comprehensive review of resuscitation literature ever published, the 2010 ILCOR
International Consensus on CPR and ECC Science with Treatment Recommendations.
Bystanders, first responders and healthcare providers all play key roles in providing CPR
for victims of cardiac arrest. In addition, advanced providers can provide excellent
periarrest and postarrest care.
Note: The software may be upgraded and changed without notice because of the update of AHA
guidance for CPR and ECC. Please contact sales/service representative for more
information.
Major changes in the 2010 AHA Guidelines for CPR and ECC
l The BLS algorithm has been simplified, and Look, Listen and Feel has been removed
from the algorithm. Performance of these steps in inconsistent and time consuming.
l Encourage Hands-only (compression only) CPR for the untrained lay rescuer. Hands-
Only CPR is easier to perform by those with no training and can be more readily
guided by dispatchers over the telephone.
l Initiate chest compressions before giving rescue breaths. (Compression-Airway-
Breathing rather than Airway-Breathing-Chest compressions)
l There is an increased focus on methods to ensure that high-quality CPR is performed.
Adequate chest compressions require that compressions be provided at the
appropriate depth and rate, allowing complete recoil of the chest after each
compression and an emphasis on minimizing any pauses in compressions and
avoiding excessive ventilation.
70
CPR Guidelines 2010
Person not responsive?

No signs of life?
Address person and shake on shoulder!

Perform the CPR
Call for help, get AED Engage other people to help you and alternate CPR!
Open the airway.
Check for breathing!
Note: Look, listen and feel is removed from the CPR sequence for
assessment of breathing after opening the airway in 2010 guidelines.
But 2010 guideline recommends that the healthcare provider briefly
checks for breathing when checking responsiveness to detect signs of
Look, listen and feel
cardiac arrest.
Perform CPR until an AED is available or arrival of

emergency physician
30 Compressions 2 Breaths UNTIL

EMC ARRIVE 30/2
If the AED available, turn on and follow instructions
ANALYSIS SHOCK DECISION
YES NO
Alternate with second person after

one cycle or 2 minutes DELIVER SHOCK
Continue CPR for 2 minutes/ 5 cycles
71
Using AED Mode
1. Turn on the AED Mode of defibrillator/monitor by rotating the Mode select knob.
2. Verify the AED Mode of defibrillator/monitor is activated normally and follow audio
guidance and STEP icon.
STEP 1
Check for response.
Are you all right?
Call for help.
If pads are connected to
defibrillator/monitor during STEP1,
defibrillator/monitor will go on to
STEP4 directly.
STEP 2
Open the airway.

Check Breathing.
STEP4 directly.
STEP 3
Begin CPR [Beep]
Give two breaths.
Stop CPR.
STEP4 directly.
STEP 4
Remove clothes from the patients

chest. Place pads exactly as shown
in the picture. Press pads firmly to
patients bare chest.
STEP 5
Analyzing heart rhythm.

Do not touch the patient.
Shock advised. Charging.
or No shock advised.
Note: The Step 5 should be performed at first when the AED Mode of defibrillator/monitor is turned
on and the pads are attached correctly to the patient.
72
STEP 6
Press the SHOCK button now.

Shock delivered.
STEP 7
It is safe to touch the patient.

Begin CPR [Beep] or
If needed, Begin CPR [Beep]
Give two breaths.
Stop CPR.
Note: If you hear following voice while the AED Mode of defibrillator/monitor is analyzing you
should perform the following actions:
SHOCK button not pressed or Shock cancelled:

Move to Step 7 ECG analyzing again non-shockable rhythm move to
Step 7 or
Critically low battery, Replace new battery:
Move to Step 1 after replace the new battery or connect AC power, External DC-
DC adaptor.
AHA 2010 Configuration

It is safe to touch the patient.
Begin CPR.
Use the metronome sound from the defibrillator/monitor in AED mode for compression
rate the defibrillator/monitor emits a tone corresponding at least more than 100 beats
per minute (to current AHA guidelines).
The defibrillator/monitor will remain in CPR mode for 2 minutes or 5 cycles. After 2
minutes of CPR you will hear the following voice prompt:
Stop CPR.
The defibrillator/monitor in AED mode will then return to Step 4. Ensure that no-one is in
contact with the patient and proceed as before.
Note Performing CPR

When performing CPR watch and listen to the defibrillator/monitor, the Begin CPR will
flash. The defibrillator/monitor emits 100 beeps per minute and Give two breaths. voice
prompt as a guide to CPR.
At least more than 100 beats per minutes is the recommended rate to perform
compressions under AHA 2010 guidelines.
Note: Your DRE dealer will have trained you in the particular SCA treatment protocol you
have chosen. In all cases follow the voice prompts and visual instructions given by the AED
mode.
73
Description of AED Mode Menu Functions
Figure 30. AED Mode Menu
Table 24. AED Mode Menu

Level1 Level 2 Menu Level 3 Menu Level 4 Menu
Menu or Response or Response or Response
Patient Info
ID Confirm
Name Confirm
Age Confirm
Gender Male
Female
Event Data review Print
records ID# ID
Name
Age
Gender
Patient Info
ID, Name, Age or Gender of patients can be entered in this menu. ID and Name can be
up to 14 characters long, Age can be up to 3 digit numbers and Gender can be selected
between Male and Female.
Figure 31. Patient Info: ID Menu
More details for Data Review and ID# in Event Records menu, please refer to Event
Section.
74
MANUAL MODE
WARNING: Make sure that the ECG signal quality is good and that sync marks are
correctly displayed above each QRS complex prior to performing synchronized
defibrillation (cardioversion).
WARNING: Artifact introduced by paddle movement may resemble an R-wave and
trigger a defibrillation shock when performing synchronized defibrillation
(cardioversion).
WARNING: Disconnect non-defibrillation-proof electronic devices or equipment
from patient before defibrillation.
WARNING: The defibrillator/monitor has a mechanism to inhibit its output when
the impedance of human body which can be measured by paddle is out of range
between 15 and 250 ohm.
CAUTION: Whenever possible, DRE recommended that user performs

synchronized defibrillation (cardioversion) procedures while directly monitoring the
patient through the defibrillators electrodes or lead inputs.
This section explains how to prepare for and perform asynchronous defibrillation and
synchronous defibrillation (cardioversion) using multifunction electrode pads, external
paddles.
General
Defibrillation therapy is the definitive method for termination of a variety of potentially fatal
arrhythmias. The defibrillator/monitor provides this therapy through the application of a
brief biphasic waveform of electricity to the cardiac muscle. This electrical energy is
transferred through attached paddles or disposable multifunction pads applied to the
patients bare chest.
In manual mode, you must assess the ECG, decide if defibrillation or cardioversion is
indicated, select the appropriate energy setting, charge the defibrillator/monitor, and
deliver the shock. The entire defibrillation process is under your control. Voice prompts
are not present. However, text messages on the display provide relevant information
throughout the process. It is important to be attentive to these messages when displayed.
Note: Defibrillation is always performed through paddles or pads. However, during defibrillation
you may choose to monitor the ECG using an alternate ECG source (3-, 5-, or 12- lead
monitoring electrodes).
Note: Defibrillating asystole can inhibit the recovery of natural pacemakers in the heart and
completely eliminate any chance of recovery. Asystole should not be routinely shocked.
Note: Successful resuscitation is dependent on many variables specific to the patients
physiological state and the circumstances surrounding the patient event. Failure to have a
successful patient outcome is not a reliable indicator of defibrillator/monitor performance.
The presence or absence or a muscular response to the transfer of energy during electrical
therapy is not a reliable indicator of energy delivery or device performance.
75
Preparing for Defibrillation
Using adult paddles
1. External paddles are placed on the device.
2. Remove the paddles from the paddle tray by pulling the paddles straight up and out
of the paddle tray.
3. Apply conductive matter to the paddle electrodes. Do not distribute conductive
matter by rubbing the paddle electrodes together.
4. Apply paddles to the patients bare chest.
Using pediatric paddles

1. The defibrillator/monitor external paddles come with pediatric paddles included.
2. Depress the latch at the front of the external paddles while pulling forward on the
adult paddle plate.
3. Apply paddle to the patients bare chest.
Operating the Manual Mode of defibrillator/monitor

1. Select manual mode of defibrillator/monitor by rotating the Mode select knob.
2. When the manual mode of defibrillator/monitor is activated normally, the energy select
display will be displayed on the top of the screen and other parameter information will
be displayed.
Figure 32. Manual Mode Screen
Note: Defibrillation is always performed through paddles or pads. However, during defibrillation
you may choose to monitor the ECG using an alternate ECG source (3-, 5-, or 12- lead
monitoring electrodes).
Note: Defibrillating asystole can inhibit the recovery of natural pacemakers in the heart and
completely eliminate any chance of recovery. Asystole should not be routinely shocked.
76
Defibrillating (async mode)
If the device and paddles are prepared for defibrillation, perform the following steps;
1. To select the energy setting, press the Select Energy Level button and rotate the
Multi function knob to the desired energy level. Energy choices range from 1 to
200J. (To choose higher value than 200J, enter the Service Menu by using extra
passcode)
Note: If do not press Select Energy Level button, defibrillator/monitor has default energy level
setting. To change default setting, enter the Service Menu.
Note: Clinicians must select an appropriate energy level for defibrillation of pediatric patients.
2. To charge the energy, press the CHARGE button. If using external paddles, the
CHARGE buttons on the paddle or on the front panel can be used.
Note: You may increase or decrease the selected energy at any time during charging or after
charging is complete.
3. There are two ways to shock the energy.

3.1 Press the SHOCK button which is placed on the front side of defibrillator/
monitor.
3.2 Press the SHOCK button located on the external paddles
Note: If paddles are used, the SHOCK button on the front side does not work. Only the SHOCK
button on the paddles works.
Note: Defibrillation current can cause operator or bystander injury. Do not touch the patient, or
equipment connected to the patient, during defibrillation.
Synchronized Cardioversion (sync mode)

Synchronized Cardioversion allows you to synchronize delivery of the shock with the R-
wave of the ECG being monitored in Wave Sector 1. You may choose to perform
synchronized cardioversion through either multifunction pads, or external paddles.
When using paddles, you should defibrillator/monitor the ECG through monitoring
electrodes connected to a 3-, 5- or 12- lead ECG cable or a defibrillator/monitor. You may
choose to defibrillator/monitor through an alternate source when using pads, as well.
During cardioversion, energy shock is still delivered through either pads or paddles.
If the defibrillator/monitor and paddles are prepared for defibrillation, perform the following
steps;
1. To activate Sync mode, press the Sync soft key located lower right corner of the
screen.
2. Confirm that the Sync marker appears with each R-wave.
3. To select the energy setting, press the Select Energy Level button and rotate the
Multi function knob to the desired energy level. Energy choices range from 1 to 200J.
(To choose higher value than 200J, enter the Service Menu by using extra
passcode)
Note: Clinicians must select an appropriate energy level for defibrillation of pediatric patients.
77
4. To charge the energy, press the CHARGE button. If using external paddles, the
CHARGE button on the paddles may be used instead.
Note: You may increase or decrease the selected energy at any time during charging or after
charging is complete.
5. There are two ways to shock the energy.

5.1 Press the SHOCK button which is placed on the front side of defibrillator/
monitor.
5.2 Press the SHOCK button located on the external paddles
The shock will be delivered when the next R-wave is detected.
Note: It is important to continue to hold the SHOCK button (or the paddle SHOCK button) until
the shock is delivered. The defibrillator shocks with the next detected R-wave.
Note: Defibrillation current can cause operator or bystander injury. Do not touch the patient, or
equipment connected to the patient, during defibrillation.
If additional synchronized shocks are indicated, perform the following steps;
1. Make sure the Sync function is still enabled, as indicated by the presence of the
Sync message in the upper right corner of the Wave Sector 1.
2. Repeat Steps 4-5 under Delivering a Synchronized Shock.
To turn off the Sync function of the defibrillator/monitor, Press the Sync soft key.
Note: The maximum time delay between synchronization pulse and delivery of energy is not
exceeded 60ms.
78
Description of Manual Mode Menu Functions
Figure 33. Manual Mode Menu

Table 25. Manual Mode Menu
Level 2 Menu Level 3 Menu Level 4 Menu
Level1 Menu
or Response or Response or Response
12 Lead
Acquire
Setup Filter 0.05Hz ~ 40Hz
0.05Hz ~ 150Hz
Transmission
12 lead ON
Patient info ID Confirm
Name Confirm
Age Confirm
Gender Male
Female
12 lead records Print
Transmission
ID # ID
Name
Age
Gender
Setup
Volume Alarm
Beep
Button
Printer Print on alarm On
Setting Off
Print on shock On
Off
12 lead auto printing On
Off
Erase data Erase 12 lead records Yes
79
Level1 Menu
No
Erase event records Yes
No
Erase internal memory Yes
No
nd
Waveform 2 Waveform ECG I, II, III, aVL, aVF, aVR, V1, V2,
setting V3, V4, V5, V6, Pads
SpO2
RESP
IBP1
IBP2
EtCO2
rd
3 Waveform ECG I, II, III, aVL, aVF, aVR, V1, V2,
V3, V4, V5, V6, Pads
SpO2
RESP
IBP1
IBP2
EtCO2
th
SpO2
RESP
IBP1
IBP2
EtCO2
Display Mode Large numeric display
Black-yellow Invert Mode
Clinical action
list
Manual self-
test
Button test
Service menu (Display 3 digit code)
Return
Alarm Limit
Upper Alarm Limit
Lower Alarm Limit
Patient Info
ID Confirm
Name Confirm
Age Confirm
Gender Male
Female
Event records Data review Print
ID# ID
Name
Age
Gender
Sync
On
Off
80
12 Lead
Acquire
To acquire the 12 lead ECG data from patient, press the Acquire soft key.
Setup
This menu allows you to set Filter and Transmission. Filter can be selected between
0.05Hz~40Hz and 0.05Hz~150Hz. 12 lead ECG is transmitted to external devices via
wireless communication from the defibrillator/monitor. To transmit the result of 12 lead
ECG diagnosis, press the Transmission soft key.
12 lead ON
This menu allows you to set 12 lead display.
Patient info
Setup
Figure 34. Setup Menu
Volume
The Volume options allow you to adjust the volume of Alarm, Beep and Button. Alarm
volume can be set at level 1 to 8 and Beep volume and Button volume can be set at
level 1 to 7 or Off.
1. Rotate the Multi function knob to highlight Alarm volume, Beep volume or Button
volume.
2. Press the Multi function knob. Levels of Alarm volume, Beep volume or Button
volume will appear.
3. Rotate the Multi function knob to select a volume level.
4. Press the Multi function knob to enter a desired volume into the defibrillator/monitor.
Printer setting
This menu allows you to set Print on alarm, Print on shock, 12 lead auto printing or
Analyze auto printing.
1. Rotate the Multifunction knob to highlight Printer on alarm, Print on shock, 12 lead auto
printing or Analyze auto printing.
2. Press the Multifunction knob. Multifunction knob toggles between On and Off.
81
Erase data
To clear Erase 12 lead records, Erase event records or Erase internal memory in the
defibrillator/monitor, set Erase data to Yes
Waveform setting
The defibrillator/monitor automatically detects the attached lead. For example, lead type
is selected to only Lead I, II and III when 3 leads are attached. You can select the
desired ECG lead type.
Display Mode
This menu allows the user to change a display format of Black-yellow invert mode. Large
numeric screen can only be selected in monitor mode.
Clinical Action List

This menu indicates the information of drug administration. Only authorized personnel
are allowed to set the Clinical Action List in the Service Menu. Refer to the service
manual for instructions.
Manual self-test
This menu allows the user to perform a Self-test manually. Refer to the Self test function
section.
Button test
The user can check buttons for proper functioning. It can be performed by Button Test
function in the Setup Menu.
Service Menu
Only authorized personnel are allowed to change the Service Menu settings. A 3 digit
code is required for access. Refer to the service manual for instructions.
Alarm Limit
Press the Multi function knob to select Alarm limits. The defibrillator/monitor will display
all alarm limits that are currently in effect for all monitored parameters. Select the alarm
limits to set.
82
Patient Info
More details for Data Review and ID# in Event Records Menu, please refer to Event
Section.
Sync
Press the Sync soft key to operate the sync mode.
83
84
MONITOR MODE
General
In monitor mode, you can monitor Electrocardiography (ECG) acquired a 3-. 5-, or 10-
lead ECG electrodes. Optional monitoring of functional arterial oxygen saturation (SpO2),
respiration (RESP), temperature (TEMP), invasive blood pressure (IBP), noninvasive
blood pressure (NIBP), and end tidal CO2 (EtCO2), invasive blood pressure (IBP) are also
available. Measurements from these parameters are presented on the display and
alarms are available to alert you to changes in the patients condition. Monitor mode also
provides display format of large numeric screen. However, monitor mode cannot provide
the defibrillator function including select the delivered energy, analyze, charge, deliver the
shock and appear defibrillator messages on the display.
Description of Pacing Mode Menu Functions
Figure 37. Monitor Mode Menu
Table 26. Manual Mode Menu

Level1 Menu
12 Lead
Acquire
Setup Filter 0.05Hz ~ 40Hz
0.05Hz ~ 150Hz
Transmission
12 lead ON
Patient info ID Confirm
Name Confirm
Age Confirm
Gender Male
Female
12 lead records Print
Transmission
85
Level1 Menu
ID # ID
Name
Age
Gender
Setup
Volume Alarm
Beep
Button
Printer Print on alarm On
Setting Off
Print on shock On
Off
Off
Erase data Erase 12 lead records Yes
No
Erase event records Yes
No
No
nd
Waveform 2 Waveform ECG I, II, III, aVL, aVF, aVR, V1, V2,
SpO2
RESP
IBP1
IBP2
EtCO2
rd
SpO2
RESP
IBP1
IBP2
EtCO2
th
SpO2
RESP
IBP1
IBP2
EtCO2
Display Mode Large numeric display
Black-yellow Invert Mode
Clinical action
list
Manual self-
test
Button test
Return
Alarm Limit
Upper Alarm Limit
86
Level1 Menu
Lower Alarm Limit
Patient Info
ID Confirm
Name Confirm
Age Confirm
Gender Male
Female
ID# ID
Name
Age
Gender
12 Lead
Acquire
To acquire the 12 lead ECG data, press the Acquire soft key.
Setup
This menu allows you to set Filter and Transmission. Filter can be selected between
0.05Hz~40Hz and 0.05Hz~150Hz. To transmit the result of 12 lead ECG diagnosis,
press the Transmission soft key.
12 lead ON
This menu allows you to set 12 lead display.
Patient info
ID, Name, Age, Gender of patients or 12 lead records setting can be entered in this
menu. ID and Name can be up to 14 characters long, Age can be up to 3 digit numbers
and Gender can be selected between Male and Female.
Setup
Volume
level 1 to 7 or Off.
1. Rotate the Multi function knob to highlight Alarm volume, Beep volume or Button
volume.
2. Press the Multi function knob. Levels of Alarm volume, Beep volume or Button
volume will appear.
87
Printer setting
1. Rotate the Multifunction knob to highlight Printer on alarm, Print on shock, 12 lead auto
2. Press the Multifunction knob. Multifunction knob toggles between On and Off.
Erase data
defibrillator/monitor, set Erase data to Yes
Waveform setting
Display Mode
This menu allows the user to change a display format of Large numeric screen or Black-
yellow invert mode.

Manual self-test
section.
Button test
Service Menu
Only authorized personnel are allowed to change the Service Menu settings. A 3 digit
Alarm Limit
limits to set.
88
Patient Info
Section.
89
90
PACING MODE
WARNING: Use demand mode (sync mode) pacing whenever possible. Use async
mode pacing when motion artifact or other ECG noise makes R-wave detection
unreliable.
WARNING: Observe the patient continuously while the pacemaker is in use.
Patient response to pacing therapy (for example, capture threshold) may change
over time.
WARNING: Prolonged invasive pacing may cause patient skin irritation and burns,
especially with higher pacing current levels. Discontinue noninvasive pacing if
skin becomes burned and another method of pacing is available.
WARNING: The ECG size must be properly adjusted so that the patients own beats
are detected. If ECG size is set too high or too low, pacing pulses may not be
delivered when required. Adjust ECG size so that pacing pulse mark is placed on
the patients QRS complexes.
WARNING: If you are using the pacing function with battery power and the low
battery appears, plug the device into AC power. When the device powers back up,
pacing is no longer activated. Press Pacer to re-activate the pacing function.
WARNING: Using other manufacturers combination pads with this device could
cause a decrease in pacing efficacy or the inability to pace because of
unacceptably high impedance levels and invalidate the safety agency certifications.
Use only the pads that are specified in these operating instructions.
WARNING: Use of other ECG monitoring devices may provide misleading
information due to the presence of pace artifacts.
WARNING: Under certain conditions it may not be possible to properly
defibrillator/monitor or pace while electrosurgical apparatus is operating.
General
Pacing therapy is used to deliver pace pulses to the heart. Pace pulses are delivered
through multifunction pads that are applied to the patients bare chest.
Note: Use only approved lead sets when pacing with the defibrillator/monitor.
Note: Waveforms, ECG monitoring, measurements, and most alarms remain active and retain
their settings when you convert from manual mode or monitor mode to pacing mode.
Demand Mode (Sync Mode) and Async Mode

The defibrillator/monitor can deliver pace pulses in either demand mode (sync mode) or
Async mode.
1. In demand mode (sync mode), the defibrillator/monitor only delivers pace pulses when
the patients heart rate is lower than the selected pacing rate.
2. In Async mode, the defibrillator/monitor delivers pace pulses at the selected rate.
Note: Use demand mode (sync mode) pacing whenever possible. Use async mode pacing when
motion artifact or other ECG noise makes R-wave detection unreliable or when monitoring
electrodes are not available.
The defibrillator/monitor requires a 3-, 5-, 12- lead ECG cable and monitoring electrodes
as the source of the ECG during standard pacing. Pace pulses are delivered through the
multifunction pads. However, the pads cannot be used to monitoring the ECG and deliver
pace pulses simultaneously.
91
Operating the Pacing Mode of defibrillator/monitor
1. Select the pacing mode of defibrillator/monitor by rotating the Mode select knob.
2. When the pacing mode of defibrillator/monitor is activated normally, the pace rate and
current value will be displayed on the top of the screen and other parameter information
will be displayed.
Figure 41. Pacing mode screen
Demand Mode (Sync mode) Pacing

When the pacing mode is turned on by rotating the Mode select knob, the demand
mode (sync mode) operates automatically.
1. When the RATE button is pressed, each color of pulse rate value is changed and
it can be modified.
2. The Select BPM defibrillator message is displayed.
3. Press and rotate the Multi function knob to select the desired value of pace
pulse per minute. The value is changed by 2 bpm.
4. When the mA button is pressed, each color of output value is changed and the
output value can be modified.
5. The Select mA defibrillator message is displayed.
6. Press and rotate the Multi function knob to select the desired output value. The
value is changed by 2 mA.
7. When selected value of pace pulse per minute or below are detected, relevant
current (mA) is delivered to patient.
Note: The pulse rate value in bpm unit is modified between 30 bpm and 180 bpm and the output
value is modified between 0 mA and 140 mA.
Note: When pacing in demand mode (sync mode), the ECG cable must be directly connected from
the patient to the defibrillator/monitor.
Note: If you are using the pacing function with battery power and the low battery alarm is
annunciated, connect the device to external power or insert a fully charged battery.
92
Async Mode Pacing
After the pacing mode is turned on by rotating the Mode select knob, press the Async
soft key to operate the Async mode pacing.
1. When the RATE button is pressed, each color of Pulse rate value is changed and
it can be modified.
2. The Select BPM defibrillator message is displayed.
3. Press and rotate the Multi function knob to select the desired number of pace
pulse per minute. The value is changed by 2 bpm.
4. When the mA button is pressed, each color of output value is changed and the
output value can be modified.
5. The Select mA defibrillator message is displayed.
6. Press and rotate the Multi function knob to select the desired output. The value
is changed by 2 mA.
7. The set current value is delivered continuously.
Note: To pause pacing, press Pause Pacing soft key and to resume pacing, press Pause Pacing
soft key again.
Description of Pacing Mode Menu Functions
Figure 42. Pacing Mode Menu
Table 27. Pacing Mode Menu

Level1 Menu
Pause Pacing
Setup
Volume Alarm
Beep
Button
Printer Setting Print on alarm On
Erase data Off
93
Level1 Menu
Print on shock On
Off
Off
Erase 12 lead records Yes
No
Erase data Erase event records Yes
No
No
No
nd
Waveform 2 Waveform ECG waveform I, II, III, aVL, aVF, aVR, V1, V2,
SpO2 waveform
Respiration waveform
IBP1 waveform
IBP2 waveform
EtCO2 waveform
rd
3 Waveform ECG waveform I, II, III, aVL, aVF, aVR, V1, V2,
SpO2 waveform
IBP1 waveform
IBP2 waveform
EtCO2 waveform
th
4 Waveform ECG waveform I, II, III, aVL, aVF, aVR, V1, V2,
SpO2 waveform
IBP1 waveform
IBP2 waveform
EtCO2 waveform
Display Mode Black-yellow Invert Mode
Clinical action
list
Manual self-test
Button test
Return
Alarm Limit
Upper Alarm Limit
Lower Alarm Limit
Patient Info
ID Confirm
Name Confirm
Age Confirm
Gender Male
Female
ID# ID
Name
94
Level1 Menu
Age
Gender
Async
On
Off
Pause Pacing
When the Pause Pacing soft key is pressed, if pacing is operating, pacing will be
paused, if pacing is not operating, pacing will be resumed.
Setup
Volume
level 1 to 7 or OFF.
1. Rotate the Multifunction knob to highlight Alarm volume, Beep volume or Button volume.
2. Press the Multifunction knob. Levels of Alarm volume, Beep volume or Button volume
will appear.
Printer setting
1. Rotate the Multi function knob to highlight Printer on alarm, Print on shock, 12 lead auto
2. Press the Multi function knob. Multi function knob toggles between On and Off.
Erase data
defibrillator/monitor, set Erase data to Yes.
Waveform setting
Display Mode
This menu allows the user to change a display format of Black-yellow invert mode. Large
numeric screen can only be selected in monitor mode.
95
Manual Self-test
section.
Button Test
Service Menu
Only authorized personnel are allowed to change the Service Menu settings. A 3digit
Alarm Limit

limits to set.
Patient Info
Section.
Async
Press the Async soft key to operate the Async mode pacing.
96
NIBP MONITORING
accessories supplied or recommended by DRE. Use accessories a ccording to
the manufacturers directions for use and your facilitys standards.
WARNING: Inaccurate measurements may be caused by incorrect cuff application
or use. This can include placing the cuff too loosely on the patient, using the
incorrect cuff size, or not placing the cuff at the same level as the heart, leaky cuff
or hose or excessive patient motion.
WARNING: In some cases, rapid, prolonged cycling of an oscillometric, the cuff
has been associated with any or all of the followings: ischemia, purpura, or
neuropathy. Periodically observe the patients limb to make sure that the
circulation is not impaired for a prolonged period of time. Also make sure the cuff
is placed according to directions in this manual and the cuff directions for use.
WARNING: Do not place the cuff, the catheter or SpO2 sensor on an extremity
being used for intravenous infusion or any area where circulation is compromised
or has the potential to be compromised.
WARNING: As with all automatically inflatable blood pressure devices, continual
cuff measurements can cause injury to the patient being monitored. Weigh the
advantages of frequent measurement and/or use of CONT mode against the risk of
injury.
WARNING: Ensure the patient is quiet with minimal movement during NIBP
readings; minimize the patients shivering.
WARNING: Never place the cuff on an extremity being used for intravenous
infusion or any area where circulation is compromised or has the potential to be
compromised. Never fit NIBP system with Luer Lock adapters.
WARNING: Never use an adult monitor setting or cuff for an NIBP measurement
on a neonatal patient. Adult inflation limits can be excessive for neonatal patients,
even if a neonatal cuff is used.
WARNING: Do not pull the cable because pulling the cable could cause the
disconnection of the cable from the defibrillator/monitor and can cause the error
for the measurement.
WARNING: Noninvasive pacing may cause patient skin irritation and burns,
especially with higher pacing current levels. Inspect underlying skin of the
electrode frequently after 30 minutes of continuous pacing. Discontinue pacing if
skin burn develops and another method of pacing is available. On cessation of
pacing, immediately remove or replace electrodes with new ones.
WARNING: Do not place the cuff over a wound as this could cause further injury
when pressurized.
WARNING: Application of the cuff to any limb where intravascular access or
therapy or an arterio-venous (A-V) shunt is present could result in injury due to
the temporary interference of blood flow during pressurization.
WARNING: The application of the cuff to the arm on the same side as a
mastectomy should be avoided.
CAUTION: In the automatic mode, the defibrillator/monitor displays results of the

last blood pressure measurement until another measurement starts. If a patients
condition changes during the time interval between measurements, the
defibrillator/monitor will not detect the change or indicate an alarm condition.
CAUTION: Any excessive patient motion may cause inaccurate measurements of

non-invasive blood pressure. Minimize motion to improve blood pressure
measurements.
97
CAUTION: Do not apply the blood pressure cuff to the same extremity as the one
to which the SpO2 sensor is attached. Cuff inflation can disrupt SpO2 monitoring
and lead to nuisance alarms.
CAUTION: Make sure that heavy objects are not placed on the cuff hose. Avoid
crimping or undue bending, twisting, or entanglement of the hose.
CAUTION: The sensor disconnect error message and associated alarm indicate the
sensor is either disconnected or the wiring is faulty. Check the sensor connection
and, if necessary, replace the sensor.
Note: Blood pressure measurements can be affected by the position of the patient, the patients
physiological condition and other factors.
Note: Blood pressure measurements determined with the defibrillator/monitor are equivalent to
those obtained by a trained observer using the cuff/stethoscope auscultatory method, within
the limits prescribed by the American National Standard for manual, electronic, and
automated sphygmomanometers.
General
The defibrillator/monitor performs Non-Invasive Blood Pressure measurements using the
oscillometric measuring technique. A motorized pump inflates the cuff to initially blocking
the flow of blood in the extremity. Then, under defibrillator/monitor control, the pressure
in the cuff is gradually reduced, while a pressure transducer detects air pressure and
transmits a signal to the NIBP circuitry.
When the cuff pressure is still above systolic pressure, small pulses or oscillations in the
cuff pressure begin to be sensed by the transducer. As the cuff continues to deflate,
oscillation amplitude increases to a maximum and then decreases. When maximum
oscillation amplitude occurs, the cuff pressure at that time is measured as mean arterial
pressure (MAP). The systolic and diastolic pressures are calculated based on analysis of
the oscillation amplitude profile.
Theory of Operation
Overview
The oscillometric technique does not use Korotkoff sounds to determine blood pressure.
The oscillometric technique monitors the changes in cuff pressure caused by the flow of
blood through the artery. The defibrillator/monitor inflates the cuff to a pressure that
occludes the artery. Even when the artery is occluded, the pumping of the heart against
the artery can cause small pressure pulses in the cuff baseline pressure. The
defibrillator/monitor lowers cuff pressure at a controlled rate. As the cuff pressure goes
down, blood starts to flow through the artery. The increasing blood flow causes the
amplitude of the pressure pulses in the cuff to increase. These pressure pulses continue
to increase in amplitude with decreasing cuff pressure until they reach a maximum
amplitude at which point they begin to decrease with decreasing cuff pressure. The cuff
pressure at which the pulse amplitude is the greatest is known as Mean Arterial
Pressure (MAP). The manner in which the pulse amplitudes vary is often referred to as
the pulse envelope. The envelope is an imaginary line that connects the peak of each
pressure pulse and forms an outline. The shape of the envelope is observed by the
defibrillator/monitor using a variety of techniques to determine the diastolic and systolic
blood pressure.
98
MAP Oscillometric Response
(Pressure Pulses)
Distole
Systole
TIME
Systole
Distole
MAP
Systole
Cuff Pressure
MAP
Distole
TIME
Overall Accuracy Discussion

Overall system accuracy shall be determined by considering various influences of the
pressure sensor accuracy, motion artifacts, other artifact created by pressure valve,
technical errors of electrical components, and the origin error of oscillometric method.
The origin error of oscillometric comes from the basic theory of that the MAP is
determined by the pulse. Therefore, there might be an error of the time between two
pulses. In another words, the greatest amplitude point of pulses could not represent the
MAP point exactly.
On clinical trial perspective, overall system accuracy is not easy to be determined. The
clinical trial test protocols have been tried and have been described in many treatises,
and international standards. So, there are many methods to determine the overall
system accuracy of Automated Sphygmomanometer using the oscillometric method. But,
there are no absolute test protocols to determine the overall system accuracy of the
Automated Sphygmomanometer using oscillometric method. Normally, the Gold
standards of Blood pressure for the reference are the intra-arterial pressure and the
auscultatory method.
The popular standard for the overall system accuracy is AAMI, SP-10 2002+A1;2003
(Electronic or automated sphygmomanometers).
The main test conditions are as follow:
A. Data comparing the Intra-arterial or the auscultatory by the clinical experts with the
automated sphygmomanometer.
B. For data collection and the data analysis, Bland-Altman Plot is used.
C. On the systolic, diastolic, and MAP, the Deltas of all measurements shall be met
under +/- 5mmHg of mean difference (MD), and +/- 8mmHg of standard deviation
(SD).
(Delta = Intra-arterial or Auscultatory Automated sphygmomanometer)
99
Oscillometric Method
The blood pressure values are determined by measuring the small oscillations (changes)
in the cuff pressure caused by the hearts contractions as the pressure in the cuff is
released. DREs measurement technology utilizes a unique deflation technique,
Dynamic Linear Deflation. This cuff deflation technique allows the DRE monitor to
measure each small change in the cuff pressure oscillations that directly correspond to
the measurements systolic, mean and diastolic blood pressure values.
The cuff is first increased in pressure until it reaches a pressure above arterial occlusion.
As the cuff starts to deflate, the pulse rate of the patient is determined and the deflation
speed of the cuff is modified to create a patient specific deflation speed. As the pressure
decreases, small cuff pressure oscillations are recorded that correspond to the applied
pressure of the blood under the cuff as the heart contracts. These oscillations increase
in strength as the cuff pressure
approaches the systolic blood
pressure value. A sudden increase
in oscillation amplitude indicates
that the patients systolic blood
pressure is now able to push blood
completely through beneath the cuff.
The oscillation amplitude continues
to increase as the pressure in the
cuff is decreases until the mean
blood pressure value is reached.
The oscillation strength then starts
to diminish and finally drop off as
the diastolic blood pressure value is
reached.
The oscillometric method does not determine an instantaneous blood pressure reading
like the auscultatory method employing a microphone-type auto blood pressure
defibrillator/monitor but, as described above, determines blood pressure from an
uninterrupted changing curve, which means that the oscillometric method is not easily
effected by external noise and electrosurgical instruments.
Note: This equipment is suitable for use in the presence of electro-surgery.
100
Setup Connections
1. Measure the patients limb and select a proper size cuff. As a general rule, cuff width
should span approximately two-thirds of the distance between the patients elbow and
shoulder.
2. Connect the cuff hose to the connector on the defibrillator/monitors side option case
and turn to right to lock (see Figure 2).
3. Connect a cuff to the cuff hose and turn the connector
to right to lock the hoses together. Firm connection
must be made.
4. Patient should be seated with back comfortably and arms supported.
5. Patient should have their legs uncrossed, feet flat on the floor with their back and arms
supported.
6. Wrap the cuff around a hare arm or around an arm covered in thin clothing. Thick
clothing or a rolled up sleeve will cause a major discrepancy in the blood pressure
reading.
7. Wrap the cuff around the patients arm so that the
center of the cuffs rubber bladder sits on the artery of
the upper arm. The hose should be brought out from
the peripheral side without bending (The Brachial
artery is located on the inside of the patients upper
arm.) At this time, check that the index line on the
edge of the cuff sits inside the range. Use a different
sized cuff if the index line is outside of the range
because this will cause a major discrepancy in blood
pressure reading.
CAUTION: The adult cuff should be wrapped around the arm tightly enough so that
only two fingers can be inserted under it, above and below the cuff.
CAUTION: Refrain from talking during the measurement procedure, and at least 5
minutes should elapse before the first reading is taken.
8. Maintain the height of the cuff-wrapped upper arm artery to that of the hearts right
ventricle during measurement.
9. Follow the cuff directions for use when applying the cuff to the arm.
Note: Obtaining NIBP readings can be more difficult in patients with arrhythmias. These
arrhythmias increase the beat-to-beat pressure fluctuations, which increases the variability
of the NIBP readings. Temporarily verify pressure using another method if it becomes
difficult to obtain readings in the presence of arrhythmias.
Table 28. Cuff Size

Model Number Arm circumference (cm)
Neonate Cuff No.10 3.5 to 6
Cuff No.11 5.0 to 7.5
Cuff No.12 7.5 to 10.5
Cuff No.13 8.5 to 13
Pediatric HEM-CS23 13 to 22
HXA-GCUFF-SSLA 12 to 18
HXA-GCUFF-SLA 17 to 22
Adult HEM-CR23 22 to 32
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Model Number Arm circumference (cm)
HEM-CL23 32 to 42
HEM-CX23 42 to 50
HXA-GCUFF-MLA 22 to 32
HXA-GCUFF-LLA 32 to 43
HXA-GCUFF-XLLA 42 to 50
Description of NIBP Menu Functions
2 3 4 5
6 7 8 9 10
1 NIBP icon 6 Systolic pressure value
2 NIBP unit 7 MAP value
3 NIBP auto mode interval 8 Initial pressure value
4 NIBP elapsed time 9 Diastolic pressure value
5 Bell icon 10 Neonatal icon
Figure 46. NIBP Display
Figure 47. NIBP Menu Display
Table 29. NIBP Menu

NIBP MENU
Inflate Pressure 120, 140, 160, 180, 200, 220, 240, 260, 280 (mmHg)
(Adult/Pediatric)
80, 100, 120, 140 (mmHg) (Neonatal)
Auto Interval OFF, Cont, 1, 2.5, 3, 5, 10, 15, 30, 60, 90 (min)
Patient Type Adult/Pedi
Neonatal
Alarm Limit
SYS Upper Limit Adjust
SYS Lower Limit Adjust
MAP Upper Limit Adjust
MAP Lower Limit Adjust
DIA Upper Limit Adjust
DIA Lower Limit Adjust
(Limit Alarm Pause) On, Off
Return
Note: Initial Inflate Pressures shown above are for Adult patient mode. In order to set alarm
limits to Neonatal mode, change Patient type via the Setup Menu.
Note: The NIBP unit can only be changed by authorized personnel via the Service Menu.
102
Inflate Pressure
The inflating pressure can be set from 120 to 280 mmHg for adult and pediatric, or from
80 to 140 mmHg for neonatal.
Note: Measurement was stopped because measurement time exceeded and then blood pressure
measurement might be repeated up to 2 times.
Auto Interval
The NIBP measurement interval can be selected as Off, Cont, 1, 2.5, 3, 5, 10, 15, 30, 60
or 90 min. Continuous (Cont) mode can measure blood pressure as many measurement
as possible within a 5 minutes period. The measurement time will be integral multiple of
the selected interval starting from 0 minute.
Patient Type
The patient type can be selected as Adult/Pedi or Neonatal.
Limit Alarm Pause

When the Limit Alarm Pause is set to On, the audible alarm for NIBP systolic, MAP and
diastolic limit violation is paused.
103
104
SpO2 MONITORING

accessories manufactured by Nellcor or supplied by DRE. Use accessories
according to the manufacturers directions for use and your facilitys standards.
WARNING: Tissue damage can be caused by incorrect application or use of an
SpO2 sensor. Harm can be caused, for example, by wrapping the sensor too tightly,
by applying supplemental tape, or by leaving a sensor on too long in one place.
Inspect the sensor site as directed in the sensor directions for use to ensure skin
integrity, correct positioning, and adhesion of the sensor.
WARNING: Do not use damaged SpO2 sensors. Do not use an SpO2 sensor with
exposed optical components. Do not immerse sensor completely in water, solvents,
or cleaning solutions because the sensor and connectors are not waterproof. Do
not sterilize SpO2 sensors by irradiation, steam or ethylene oxide. Refer to the
cleaning instructions in the directions for use for reusable SpO2 sensors.
WARNING: Inaccurate measurements may be caused by:
incorrect sensor application or use
significant levels of dysfunctional hemoglobin (such as carboxyhemoglobin or
methemoglobin)
intravascular dyes such as indocyanine green or methylene blue
exposure to excessive illumination, such as surgical lamps (especially ones
with a xenon light source), bilirubin lamps, fluorescent lights, infrared heating
lamps, or direct sunlight
excessive patient movement
high-frequency electrosurgical interference and defibrillators
venous pulsations
placement of a sensor on an extremity with a blood pressure cuff, arterial
catheter, or intravascular line
patient conditions such as hypotension, severe vasoconstriction, severe
anemia, hypothermia, cardiac arrest, or shock
arterial occlusion proximal to the sensor
environmental conditions
unspecified length of the extension cable
WARNING: Do not attach any cable to the sensor port connector that is intended for
computer use.
WARNING: Do not pull the cable because pulling the cable could cause the
disconnection of the cable from the defibrillator/monitor and can cause the error for
the measurement.
WARNING: Do not use a damaged sensor or cable. Do not alter the sensor or cable
in any way. Alternations or modification may affect performance and/or accuracy.
Never use more than one cable between the pulse oximeter and the sensor to
extend the length.
WARNING: Sensors exposed to ambient light when incorrectly applied to a patient
may exhibit inaccurate saturation readings. Securely place the sensor on the
patient and check the sensors application frequently to help ensure accurate
readings.
WARNING: Do not rely solely on SpO2 reading: assess the patient at all times. SpO2
readings may be inaccurate in the presence of significant levels of
carboxyhemoglobin or methemoglobin, in patients with restricted blood flow to the
extremities (such as those in severe shock or hypothermia), or in the presence of
excessive motion.
WARNING: Failure to apply the sensor properly may reduce the accuracy of the
SpO2 measurement.
105
WARNING: Inspection the sensor application site at least every two hours for
changes in skin quality, correct optical alignment, and proper sensor application. If
skin quality is compromised, change the sensor site. Change the application site at
least every four hours. More frequent checking may be required due to individual
patients condition.
WARNING: Severe anemia, methemoglobin, intravascular dyes that change usual
blood pigmentation, excessive patient movement, venous pulsations,
electrosurgical interference, exposure to irradiation and placement of the sensor on
an extremity that has a blood pressure cuff, intravascular line, or externally applied
coloring(such as nail polish) may interfere with oximeter performance. The operator
should be thoroughly familiar with the operation of the oximeter of the oximeter
prior to use.
WARNING: The pulsations from intra-arotic ballon support can be additive to the
pulse rate on the oximeter pulse rate display. Verify patients pulse rate against the
ECG heart rate.
WARNING: Prolonged, continuous use of a sensor may cause irritation, blistering,
or pressure necrosis of the skin. Check the sensor site regularly based on patient
condition and type of sensor. Change the sensor site if skin changes occur. Do not
use tape to hold the sensor in place as this may cause inaccurate readings or
damage to the sensor or skin.
WARNING: Carefully route patient cabling to reduce the possibility of patient
entanglement or strangulation.
WARNING: Carboxyhemoglobin and methemoglobin may erroneously increase
SpO2 readings. The amount that SpO2 increases is approximately equal to the
amount of carboxyhemoglobin or methemoglobin that is present.
and, if necessary, replace the sensor, extension cable or both.
CAUTION: Reusable sensors may be used on the same site for a maximum of 4
hours, provided the site is inspected routinely to ensure skin integrity and correct
positioning.
General
The defibrillator/monitor uses pulse oximetry to measure functional oxygen saturation in
the blood. Because a measurement of SpO2 is dependent upon light from the SpO2
sensor, excessive ambient light can interfere with this measurement. SpO2 and Pulse rate
are updated every second. This defibrillator/monitor measures functional saturation -
oxygenated hemoglobin expressed as a percentage of the hemoglobin that can transport
oxygen. It does not detect significant amounts of dysfunctional hemoglobin, such as
carboxyhemoglobin or methemoglobin.
Theory of Operation
The defibrillator/monitor uses pulse oximetry to measure functional oxygen saturation in
the blood. Pulse oximetry works by applying a Nellcor pulse oximetry sensor to a
pulsating arteriolar vascular bed, such as a finger or toe. The sensor contains a dual light
source and a photodetector. Bone, tissue, pigmentation, and venous vessels normally
absorb a constant amount of light over time. The arteriolar bed normally pulsates and
absorbs variable amounts of light during the pulsations. The ratio of light absorbed is
translated into a measurement of functional oxygen saturation (SpO2). Ambient conditions,
sensor application, and patient conditions can influence the ability of the pulse oximeter to
accurately measure SpO2. Pulse oximetry is based on two principles: oxyhemoglobin and
deoxyhemoglobin differ in their absorption of red and infrared light (measured using
106
spectrophotometry), and the volume of arterial blood in tissue (and hence, light absorption
by that blood) changes during the pulse (registered using plethysmography). A
defibrillator/monitor determines SpO2 by passing red and infrared light into an arteriolar
bed and measuring changes in light absorption during the pulsatile cycle. Red and
infrared low-voltage light-emitting diodes (LED) in the sensor serve as light sources; a
photo diode serves as the photo detector. Since oxyhemoglobin and deoxyhemoglobin
differ in light absorption, the amount of red and infrared light absorbed by blood is related
to hemoglobin oxygen saturation. The defibrillator/monitor uses the pulsatile nature of
arterial flow to identify the oxygen saturation of arterial hemoglobin. During systole, a new
pulse of arterial blood enters the vascular bed, and blood volume and light absorption
increase. During diastole, blood volume and light absorption reach their lowest point. The
defibrillator/monitor bases its SpO2 measurements on the difference between maximum
and minimum absorption (measurements at systole and diastole). By doing so, it focuses
on light absorption by pulsatile arterial blood, eliminating the effects of nonpulsatile
absorbers such as tissue, bone, and venous blood.
Functional versus Fractional Saturation

This defibrillator/monitor measures functional saturation where oxygenated hemoglobin
expressed as a percentage of the hemoglobin that can transport oxygen. It does not
detect significant amounts of dysfunctional hemoglobin, such as carboxyhemoglobin or
methemoglobin. In contrast, hemoximeters such as the IL482 report fractional saturation
where oxygenated hemoglobin expressed as a percentage of all measured hemoglobin,
including measured dysfunctional hemoglobin. To compare functional saturation
measurements to those from an instrument that measures fractional saturation, fractional
measurements must be converted using the listed equation.
functional saturation = fractional saturation

100
100 (%carboxyhemoglobin + %methemoglobin)
Measured versus Calculated Saturation

When calculating saturation from a blood gas partial pressure of oxygen (PO2), the
calculated value may differ from the SpO2 measurement of a defibirillator/monitor. This
usually occurs when saturation calculations exclude corrections for the effects of variables
such as pH, temperature, the partial pressure of carbon dioxide (PCO2), and 2,3-DPG,
that shift the relationship between PO2 and SpO2.
Figure 48. Oxyhemoglobin Dissociation Curve

1 % Saturation Axis 6 Increased pH; Decreased temperature, PCO2, and 2,3-DPG
2 PO2 (mmHg) Axis 7 Decreased pH; Increased temperature, PCO2, and 2,3-DPG
107
Setup Connections
When selecting a sensor, consider the patients weight and activity, adequacy of perfusion,
availability of sensor sites, need for sterility, and anticipated duration of monitoring. Refer

to Table 30, or contact Nellcor or DRE sales department for ordering information.
1. Select the proper sensor for the patient.

2. Connect the extension cable to the SpO2 connector on the defibrillator/monitors front
panel and lock it.
3. Connect the sensor to the extension cable and lock it.
4. Carefully apply the sensor to the patient, as described
in the sensor directions for use. Observe all warnings
and cautions in the directions for use.
Note: Refer to directions for use to ensure the proper placement for various types of SpO2 sensors.
Note: Periodically check to see that the sensor remains properly positioned on the patient and that
skin integrity is acceptable. Refer to the sensor directions for use.
Table 30. SpO2 Sensors

Sensor Model Patient Size

OXIMAX oxygen transducer (Sterile, single- MAX-N <3 or >40 kg
use only) MAX-I 3 to 20 kg
MAX-P 10 to 50 kg
MAX-A >30 kg
MAX-AL >30 kg
MAX-R >50 kg

OXIMAX Oxiband oxygen transducer OXI-A/N <3 or >40 kg
(Reusable with disposable non-sterile OXI-P/I 3 to 40 kg
adhesive)

OXIMAX Durasensor Oxygen transducer DS-100A >40 kg
(Reusable, non-sterile)

OXIMAX OxiCliq oxygen transducers P 10 to 50 kg
(Sterile, single-use only) N <3 or >40 kg
I 3 to 20 kg
A >30 kg

OXIMAX Dura-Y multisite oxygen transducer D-YS >1 kg
(Reusable, non-sterile)
For use with the Dura-Y sensor:
Ear clip (Reusable, non-sterile) D-YSE >30 kg
TM
Pedi-Check pediatric Spot Check clip
(Reusable, non-sterile) D-YSPD 3 to 40 kg

OXIMAX MAX-FAST adhesive reflectance MAX- >40 kg
oxygen transducer FAST
108
Description of SpO2 Menu Functions
2 3
4
1 SpO2 icon 3 SpO2 value

2 Pulse amplitude indicator 4 Bell icon
Figure 49. SpO2 Display
1 SpO2 waveform icon 2 SpO2 waveform
Figure 50. SpO2 Waveform Display
Pulse Amplitude Indicator

The pulse amplitude indicator is the segmented display within the SpO2 numerical area
that shows the relative strength of the detected pulse. A stronger pulse causes a larger
amplitude indicator.
Figure 51. SpO2 Menu Display
Table 31. SpO2 Menu

SpO2 MENU
(Alarm Limit)
% SpO2 Upper Alarm Limit
% SpO2 Lower Alarm Limit
Return
Limit Alarm Pause

When the Limit Alarm Pause is set to On, the audible alarm for SpO2 limit violation is
paused.
109
110
RESPIRATION MONITORING
the manufacturers directions for use and your facilitys standards.
WARNINGS: The defibrillator/monitor does not detect apnea when the respiration
signal is measured by trans-thoracic impedance.
WARNING: Keep patients under close surveillance when monitoring respiration.
Respiration signals are relatively more sensitive to interference from radiated
electromagnetic signals. Thus, it is possible, although unlikely, that radiated
electromagnetic signals from sources external to the patient and
defibrillator/monitor can cause inaccurate respiration readings. Do not rely
entirely on the defibrillator/monitor respiration readings for patient assessment. If
measured waveforms are not appropriate readings, check external conditions to
ensure there is no equipment causing electromagnetic interference.
CAUTION: Impedance respiration technology is very sensitive to any of artifacts. If

impedance respiration is doubtful due to artifacts, it is not recommended to assess
the clinical state of patient only with impedance respiration parameter.
General
The patients respiration is detected by using two of the three leads of the ECG electrodes
and cable. Real-time respiratory information is presented as a waveform and numeric
data; Impedance respiration source (IM).
The airway respiration measurement uses gases coming into the airway adapter in case
of the CO2 equipped. The defibrillator/monitor detects respiration rate by computing each
breath cycle form the continuous EtCO2 waveform; Airway respiration source (AW).
The respiration monitoring is designed to use the variation of this thoracic impedance. The
chest contains various materials, ranging from bone to air. Each of these materials has
different electrical properties and is located in a different portion of the chest. The
materials of the chest vary in electrical resistivity (the amount of electrical resistance
between opposite faces of a cube of that material), which is an important determinant of
electrical impedance in the body.
111
Theory of Operation
The respiration monitoring is designed to use the variation of this thoracic impedance. The
chest contains various materials, ranging from bone to air. Each of these materials has
different electrical properties and is located in a different portion of the chest. The
materials of the chest vary in electrical resistivity (the amount of electrical resistance
between opposite faces of a cube of that material), which is an important determinant of
electrical impedance in the body.
Two of the major components of the chest, blood and air, are at opposite ends of the
scale. Furthermore, the volume of each of these materials varies with time over the
cardiac and breathing cycles. The variation of the thoracic impedance is caused by the
difference between air and blood in the thoracic impedance. Blood has relatively low
resistivity, which varies over the cardiac cycle owing to changing blood volumes in the
heart and in the vascular compartment. Air, on the other hand, has high electrical
resistivity and hence impedance, and it undergoes wide volume changes in the lungs
during normal breathing. i.e. the impedance of blood is 150 ohm/cm and the one of air is
5=000 ohm/cm.
The patients respiration is detected by using two of the three leads of the ECG electrodes
(RA and LA, or RA and LL) and cable. The electrical impedance between a pair of
electrodes is determined by dividing the voltage difference between the two electrodes by
the current that passes between them. When the electrodes are placed on the actual
structure, respective structures change.
A low-level excitation signal is applied to these leads, and the variation of the thoracic
impedance caused by the breathing is sensed and processed for display and
measurement. This variation is processed to the voltage value for the measurement.
In order to transfer the thoracic impedance by a transformer, it is used a minimum
constant current of the sine wave carrier signal. The transferred thoracic impedance is
changed to the voltage signal by using bridge circuit and differential amplifier. Then, ECG
signal is removed by filter, and carrier frequency is removed by full wave rectifier and filter
in order to extract only thoracic impedance in amplifying at the definite level of signal. This
extracted thoracic impedance signal is used to measure the respiration by digital signal
processing.
Setup Connections
Refer to the ECG Monitoring section for how to acquire the respiration signal by patient
impedance using the ECG electrodes, leads and cable.
The performance of impedance respiration can be improved by the particular placement
of the Left arm (LA) and Right arm (RA) electrodes. (See Standard ECG electrode
placement in Figure 14.)
Refer to the Capnography Monitoring section to detect the respiration signal by the
airway adapter in case that the CO2 equipped.
Note: Impedance respiration monitoring is active only if the paddles are not connected to the
defibrillator/monitor or if pads are not connected to pads cable. In case pads or paddles are
connected, the respiration rate is displayed as --- and waveform of respiration is not
displayed on the screen.
112
Description of Respiration Menu Functions
1
4
2
3
5
1 Respiration rate icon 4 Respiration icon

2 Respiration rate source icon 5 Measurement Value
3 Bell icon
Figure 52. Respiration Display
1 Respiration waveform icon 2 Respiration waveform

Figure 53. Respiration Waveform Display
Figure 54. Respiration Menu Display
Table 32. Respiration Menu

RESPIRATION MENU
Respiration On
Off
(Respiration Setting)
RR Source Auto (Airway > Impedance), Impedance, Airway
Size X 0.5, X 1, X 1.5, X 2
Apnea time setting Off, 10 seconds, 20 seconds, 30 seconds, 40
seconds, 50 seconds, 60 seconds
(Alarm Limit)
RR Upper Limit Adjust
RR Lower Limit Adjust
Return
Respiration
When respiration is set to On, The measurement value for respiration rate and respiration
waveform are displayed on the screen. And when the respiration is set to Off, respiration
rate is not measured and respiration value is displayed with ---. Respiration rate icon is
only displayed when the respiration is set to On.
113
RR Source
User can select either Airway or Impedance for source of the respiration rate. If the Auto
is selected, the defibrillator/monitor will automatically drive the respiration rate from one
of the monitoring parameters in this order of priority; Airway and Impedance.
Note: You can select Airway as the source when CO2 module is installed.
Size
Size allows you to adjust the waveform size. Size can be selected as X 0.5, X 1, X 1.5 or
X 2.0.
Apnea time setting

When the patients breath is not detected from the airway measurement for the selected
time setting, the defibrillator/monitor will activate an apnea alarm. When 60 is selected,
the defibrillator/monitor will generate two tones after 20 seconds from no breath. Then
three tones are generated again after 20 seconds, and then an apnea alarm will be
activated after another 20 seconds. If Off is selected, the defibrillator/monitor does not
detect an apnea alarm.
When the defibrillator/monitor does not detect a respiration signal from the impedance
measurement for 40 seconds, the defibrillator/monitor will activate a loss of respiration
alarm.
Check the condition of the patient, then check the connections of the patient cables.
Limit Alarm Pause

When Limit Alarm Pause is set to On, the audible alarm for respiration rate limit violation
is paused.
114
CAPNOGRAPHY MONITORING
accessories supplied or recommended by DRE . Use accessories according
to your facilitys standards and the manufacturers recommendation. Always
refer to the manufacturers Directions for Use for instruction about operation,
cleaning, and replacement.
WARNING: The EtCO2 readings do not always correlate closely with blood gas
values, especially in patients with pulmonary disease, pulmonary embolism or
inappropriate ventilation.
WARNING: If uncertain about the accuracy of any measurement, first check the
patients vital signs by alternate means, and then make sure the
defibrillator/monitor is functioning correctly.
WARNING: The defibrillator/monitor should not be used as an apnea monitor.
WARNING: To ensure patient safety, do not place the defibrillator/monitor in
any position that might cause it to fall on the patient.
WARNING: To ensure accurate performance and prevent device failure, do not
expose the defibrillator/monitor to extreme moisture, such as rain.
WARNING: The use of accessories, transducers, sensors and cables other than
those specified may result in increased emission and/or decreased immunity of
the equipment and/or system.
WARNING: CO2 readings and respiratory rate can be affected by sensor
application errors, certain ambient environmental conditions, and certain
patient conditions.
WARNING: The defibrillator/monitor is a prescription device and is to be
operated by qualified healthcare personnel only.
WARNING: Ensure that the components of the airway are secure. If they
become loose, external air may be sucked in the tube and the sampling gas will
be diluted, causing incorrect measurement values.
WARNING: Ensure that selection of a volatile anesthetic is done carefully. If an
improper selection is made, the measurement values may be incorrect.
WARNING: Do not use accessories other than which are specified. Different
sampling tube lengths or inside diameters may have an effect on the
measurement.
WARNING: The mainstream/sidestream capnography module should not be
used in the presence of flammable anesthetics or other flammable gases. Use
of this device in such an environment may present an explosion hazard.
WARNING: Do not use device without rectifying a gas calibration failure, as
correct measurement readings will not be obtained.
WARNING: Do not use device on patients that cannot tolerate the withdrawal of
50 cc/min 10cc /min from airway.
WARNING: CO2 should not be measured in the presence of aerosolized
pharmaceuticals.
WARNING: Do not use a damaged airway adapter.
CAUTION: In high-altitude environments, EtCO2 values may be lower than values

observed at sea level, as described by Dalton's law of partial pressures. When
using the defibrillator/monitor in high-altitude environments, it is advisable to
consider adjusting EtCO2 alarm settings accordingly.
115
CAUTION: Do not operate the Capnostat sensor when it is wet. Do not immerse the
device in water.
CAUTION: Do not operate the Capnostat sensor if it appears to have been damage
or if it fails to operate properly.
CAUTION: If the patients airway is configured with a closed suctioning system,

make sure the airway adapter is placed closed to the suctioning system (on the
ventilator side). This will help ensure that the sampling adapter is not impaired
during and after suctioning.
CAUTION: The disposable airway adapter, nasal and nasal/oral sampling cannulas,
and the airway adapter kit are intended for single patient use. Do not reuse or
sterilize these disposable adapters, because system performance will be
compromised.
CAUTION: Do not insert any object other than the sidestream sample cell into the
inlet port of the CO2 module.
CAUTION: Inspect the mainstream CO2 sensor and airway adapter connection to
ensure correct positioning.
CAUTION: Position sidestream airway adapter with the tubing in an upright position.
This help keep patient secretions from pooling into the tubing.
CAUTION: To prevent moisture from during into the mainstream airway or into the
sidestream airway adapter tubing, do not place the adapter in a gravity dependent
position.
CAUTION: It is recommended that the mainstream airway adapter and the

sidestream airway adapter be removed from the circuit whenever an aerosolized
medication is delivered. The increased viscosity of the medication may
contaminate the sensor windows, causing the sensor to fail prematurely.
General
The defibrillator/monitor capnography option supports mainstream and sidestream gas
analysis designed to measure the concentration of carbon dioxide in a gas mixture and to
aid in determining the patients ventilatory, circulatory, and metabolic status. Mainstream
(nondiverting) and sidestream (diverting) capnography are highly accurate methods of
measuring respiratory gas values. When monitoring capnography, the defibrillator/monitor
automatically compensates for the ambient barometric pressure to ensure accurate
readings.
Theory of Operation
The CO2 sensor measures CO2 by using the infrared technique. The principle is based on
the fact that CO2 molecules absorb infrared (IR) light energy of specific wavelengths, with
the amount of energy absorbed being directly related to the CO2 concentration. When an
IR beam is passed through a gas sample containing CO2, the electronic signal from the
photodetector (which measures the remaining light energy) is measured. This signal is
then compared to the energy of the IR source and adjusted to accurately reflect CO2
concentration in the sample. The CO2 sensors response to a known concentration of CO2
is stored at the factory in the sensors memory. A reference channel accounts for optical
changes in the sensor, allowing the system to remain in calibration without user
intervention.
116
Setup Connections
The defibrillator/monitor has one capnography sensor receptacle which may be used for a
mainstream capnography sensor or a sidestream capnography sensor.
Note: Capnograpy is not analyzed during unit warm-up however, the capnography does display to
indicate that the monitor is working properly.
Note: The typical initial warm-up period can take up to two minutes. This time varies based of the
temperature of the sensor at the start of the initial warm-up.
Note: The airway adapter may require cleaning or replacement if the capnograph is used on
patients that emit excessive mucous.
Calibrating the CO2 Sensor
You must calibrate the CO2 sensor the first time it is connected to the defibrillator/monitor,
when the CO2 sensor is changed. You do not need to calibrate the sensor when you
power on the monitor. Once calibrated, the sensor may be disconnected and
reconnected without calibration.
Note: To maintain optimum performance of the sensor and capnograph, you should perform a
sensor calibration verification at least once a week.
Mainstream Operation
Mainstream monitoring uses an external, self-calibrating CO2 sensor to ensure continuous
monitoring without interruption of connection. Reusable, lightweight, or single-use airway
adapters are available for both adult and neonatal (low dead space) patients. Respiration
can be monitored via an airway adapter and endotracheal or tracheostomy tube using the
mainstream function of the module.
The external capnography device includes a small, lightweight sensor that continuously
measures the end-tidal and minimum carbon dioxide levels in the patients airway. The
sensor head contains a small infrared transducer that accurately measures the CO2 in the
airway. The sensor is connected to the airway by a disposable or reusable airway adapter.
These adapters are available in adult and neonatal size.
1 Y-piece 4 Elbow
2 Airway adapter 5 Mainstream CO2 sensor
3 Patient connector (Adult/Pedi)
Figure 55. Connection for mainstream
117
Sidestream Operation
Sidestream monitoring uses an external, sidestream sensor that plug into the
capnography port on the monitor. Adult, pediatric, or infant sampling lines are then
plugged into the sensor receptacle. Respiration can be monitored for intubated or non-
intubated patients via an airway adapter, nasal cannula, or nasal/oral cannula using the
sidestream function of the module. Sidestream monitoring diverts patient gases at a rate
of 50 ml/min (10ml/min).
The sidestream sampling lime consists of a sample cell on one end that into the
sidestream sensor receptacle on the monitor. The other end of sampling line is connected
to the patient either via a cannula or a sample-T, as shown in Figure 56.
1 Cannula 3 Sampling-T
2 Sampling cell 4 Sidestream CO2 sensor
Figure 56. Connection for sidestream
118
Description of EtCO2 Menu Functions
5
1
6
2
7
3
4
1 EtCO2 icon 5 EtCO2 unit
2 EtCO2 value 6 Bell icon
3 InCO2 icon 7 InCO2 unit
4 InCO2 value
Figure 57. EtCO2 Display
1 EtCO2 waveform icon 2 EtCO2 waveform

Figure 58. EtCO2 Waveform Display
Figure 59. EtCO2 Menu Display
Table 33. EtCO2 Menu

Menu Level 2 Menu or Response Level 3 Menu or Response
EtCO2 MENU
EtCO2 On
Off
EtCO2 Setting N2O Gas On
Off
O2 Gas On
Off
Calibration Enter
Scale 0 ~ 40 mmHg
0 ~ 60 mmHg
0 ~ 80 mmHg
Auto
(Alarm Limit)
EtCO2 Upper Limit Adjust
EtCO2 Lower Limit Adjust
InCO2 Upper Limit Adjust
InCO2 Lower Limit Adjust
Return
Note: The EtCO2 unit can only be changed by authorized personnel via the Service Menu.
119
EtCO2
When the capno measurement is On, EtCO2, InCO2 and capno waveform measurement
are activated.
EtCO2 Setting
O2 Gas
As the N2 in the sample gas is replaced by O2, the effect is a decrease in IR absorption.
This results in a lower than actual measured CO2 value (CO2 measured).
It is recommended O2 Gas is set to On to correct for the O2 effect when the O2
concentration is greater than 50%. At O2 levels equal to or less than 50%, the correction
should not be used.
N2O Gas
As the N2O in the sample gas, an assumption is made: if N2O is administered to the
patient, then the remaining balance of the administered mixture is O2. The combined
effect of these gases is two-fold: O2 presence decreases IR absorption, and N2O
presence increases absorption. Though N2O does not directly absorb the filtered IR
energy, it cause the CO2 molecule to absorb and pass along some of it energy to the
N2O molecule of similar molecular weight. By passing off some of this energy, the CO2
molecule is free to absorb even more energy which leads to an increase in absorption.
Since the increased absorption effect due to N2O presence is greater than the decrease
due to O2 presence, an optimal administered mixture of 25% N2O and 75% O2 effectively
cancels the combined effect. The effect of desflurane on the CO2 measurement is similar
to the effect of N2O. It is recommended N2O Gas is set to On when N2O or desflurane
concentrations is above 12%.
Calibration
When the calibration is set to Enter, the EtCO2 calibration will be performed
automatically.
Scale
The user can select the scale of capno waveform. When Auto is selected, the monitor
will automatically set the scale upon the measurement value.
Limit Alarm Pause

When Limit Alarm Pause is set to On, the audible alarm for EtCO2 or InCO2) limit
violation is paused.
120
TEMPERATURE MONITORING
YSI 400 and 700 series temperature probes recommended by DRE . Use
accessories according to the manufacturers directions for use and your facilitys
standards.
General
Measurement of patient temperature is accomplished by processing the signal from a
probe containing a resistance element whose impedance is temperature dependent.
These devices are called thermistors. The measuring time required to obtain accurate
readings at the specific body site is about 10 seconds.
Theory of Operation
Temperature measurement used by the defibrillator/monitor based on a thermistor whose
resistance is inversely proportional to its temperature. By measuring the thermistors
resistance, its temperature can be calculated. The resistance of the thermistor is
measured by passing a current through it and measuring the voltage developed across it.
The defibrillator/monitor is designed to accept the signals from electrically isolated a range
of temperature probes from YSI-400 and YSI-700 series. The probes may be used for
skin or rectal temperature measurement. Probes are furnished with a standard 10-feet
lead; extension leads are available. The signal from the probe is conditioned by the
defibrillator/monitor input circuitry, processed, and used to drive the numeric display.
Setup Connections
The defibrillator/monitor is designed to accept signals from the temperature probes, YSI
400 series and 700 series for skin, rectal or etc.
1. Insert a body temperature probe into the temperature connector on the

defibrillator/monitors side option case. (see Figure 1).
2. Follow the directions for use accompanying the temperature probe.
Table 34. Temperature Sensors

Sensor Description
YSI 401 or compatible Mono, rectal type
YSI YSI 409 or compatible Mono, skin type
sensors YSI 701 or compatible Stereo, rectal type
YSI 709 or compatible Stereo, skin type
121
Description of Temperature Menu Functions
1 5
2 6
3 7
4
1 Temperature1 icon 5 Temperature1 unit

2 Temperature1 value 6 Bell icon
3 Temperature2 icon 7 Temperature2 unit
4 Temperature2 value
Figure 60. Temperature Display
Figure 61. Temperature Menu Display
Table 35. Temperature Menu

Menu Level 2 Menu or Response
TEMPERATURE MENU
(Alarm Limit)
Temperature1 Upper Limit Adjust
Temperature1 Lower Limit Adjust
Temperature2 Upper Limit Adjust
Temperature2 Lower Limit Adjust
Return
Note: The temperature unit can only be changed by authorized personnel via the Service Menu.
Limit Alarm Pause

When the Limit Alarm Pause is set to On, the audible alarm for Temperature limit
violation is paused.
122
IBP MONITORING
WARNING: Proper measurements may not be possible,

l If improper zero calibration was performed.
l If air bubbles are mixed into the patient circuit.
If the height of the three-way tap for zero calibration and the right auricle have
changed.
WARNING: If the pressure transducer has been dropped or subjected to strong
physical shock, check for faults before use.
WARNING: Be sure to thoroughly read the instruction manuals for each item-such
as the transducer, monitoring kit and transfusion set-that are used in invasive
blood pressure measurements before using them. The cautions and warnings for
such items are not included in this manual.
WARNING: Use a CE certified transducer with a sensitivity of 5V/V/mmHg at an
excitation voltage of 5 VDC, and a measurement range of -50 to 300mmHg.
WARNING: Do not reuse disposable (single use) transducers.
WARNING: Check the time limit on the package not to use transducers with
expired dates.
WARNING: Ensure that reusable transducers are sufficiently sterilized.
WARNING: To ensure patient safety, do not contact any conductive parts to the
applied part.
WARNING: Never install or remove the IBP module while the defibrillator/monitor
is powered on. It is likely to break when installing or removing it while powered
on.
WARNING: Do not perform the pressure zero setting while measuring the patient.
WARNING: If air bubbles appear in the pressure line or transducer, flush the
system with the solution to be infused again.
WARNING: Invasive pressure alarms (and pulse alarm, if there are being derived
from the invasive pressure) are turned off while the transducer is zeroing. The
alarms turn back on 30 seconds after the zeroing is finished.
WARNING: Make sure the correct label has been selected before you set the
alarm limits The alarm limits you set are valid only for labels in the current group.
Changing the label could change the alarm limits.
and, if necessary, replace the sensor.
CAUTION: Zeroing is necessary before IBP monitoring can begin.
CAUTION: Verify the IBP zero (per hospital procedures) and alarm at least once
daily and whenever the patients position changes to ensure that IBP
measurements are accurate.
CAUTION: Zero the pressure transducer to atmospheric pressure to ensure

pressure readings are accurate.
123
General
The invasive blood pressure measurement measures the systolic pressure, mean
pressure, diastolic pressure and pulse rate for up to 2 blood pressure line channels using
blood pressure transducers, and displays the blood pressure waveform.
Theory of Operation
The pressure transducer is connected to a pressure line which, by means of a catheter is

invasively connected to the patient blood stream. The force of movement of the blood in
the patient vessels in transported by the fluid column in the pressure line to the transducer.
This movement cause an electrical signal to be generated which is then amplified to
display the pressure wave and the numeric for the systolic, diastolic and mean pressure
values.
The blood pressure is influenced by the respiratory system. This occurs in spontaneous
breathing patients, but is more apparent in positive pressure ventilated patients. To
reduce this respiration artifact the module uses a variable weight filter technique in the
processing of the pressure values.
Setup Connections
1. Connect the interface cable for the transducer to the IBP connector (6pin, red round
connector) on the defibrillator/monitors side option case. An interface cable for the
transducer has to be selected correctly as it depends on the each transducer type.
2. Set up the patient circuit according to the directions for use of the transducer,
monitoring kit and IV set.
The drawing below shows the example.
Figure 62. IBP connections
1 Pressure bag 3 Interface cable

2 Transducer 4 To patient
124
Description of IBP 1 Menu Functions
1 4
5
2
3 6
1 IBP 1 label icon 4 IBP 1 unit

2 Systolic value 5 Diastolic value
3 Mean arterial pressures value 6 Bell icon
Figure 63. IBP 1 Display
1 IBP 1 label icon 2 IBP 1 waveform
Figure 64. IBP 1 Waveform Display
Figure 65. IBP 1 Menu Display
Table 36. IBP 1 Menu

Menu Level 2 Menu or Response
IBP 1 MENU
Zero Setting Enter
Scale 0 ~ 50mmHg, 0 ~ 100mmHg, 0 ~ 200mmHg, 0 ~
300mmHg, Auto
Label P1
ABP
(Alarm Limit)
MEAN Upper Limit Adjust
MEAN Lower Limit Adjust
Return
125
Zero Setting
When Zero Setting is set to Enter, IBP 1 channel is calibrated.
Scale
The user-selectable pressure waveform scale allows you to adjust the scale of a pressure
waveform. The scale can be selected as 0 to 0 ~ 50mmHg, 0 ~ 100mmHg, 0 ~ 200mmHg,
0 ~ 300mmHg or Auto.
Label
The label can be selected as P1 or ABP.
Limit Alarm Pause

When the Limit Alarm Pause is set to On, the audible alarm for IBP 1 limit violation is
paused.
Description of IBP 2 Menu Functions
1 4
2
5
3 6
1 IBP 2 label icon 4 IBP 2 unit

2 Systolic value 5 Diastolic value
3 Mean arterial pressures value 6 Bell icon
Figure 66. IBP 2 Display
1 P2 (CVP, PAP, LAP) icon 2 P2 waveform
Figure 67. IBP 2 Waveform Display
Figure 68. IBP 2 Menu Display
126
Table 37. IBP 2 Menu
IBP 2 MENU
Zero Setting Enter
Scale 0 ~ 50mmHg, 0 ~ 100mmHg, 0 ~ 200mmHg, 0 ~
300mmHg, Auto
Label P2
CVP
PAP
LAP
(Alarm Limit)
MEAN Upper Limit Adjust
MEAN Lower Limit Adjust
Return
Zero Setting
When Zero Setting is set to Enter, IBP 2 channel is calibrated.
Scale
The user-selectable pressure waveform scale allows you to adjust the scale of a pressure
waveform. The scale can be selected as 0 ~ 50mmHg, 0 ~ 100mmHg, 0 ~ 200mmHg, 0 ~
300mmHg or Auto. When the Auto is selected, the defibrillator/monitor automatically set
the scale upon the IBP measurement value.
Label
The label can be selected as P2, CVP, PAP or LAP.
Limit Alarm Pause

When the Limit Alarm Pause is set to On, the audible alarm for IBP 2 limit violation is
paused.
127
128
SELF-TEST FUNCTION
General
This defibrillator/monitor incorporates a Self-test function. The defibrillator/monitor should
be checked at regular intervals so that it will always be ready-to-use for emergency
situations. There are three modes: Manual Self-test, Auto Self-test and Button test.
Additionally, the external shock test should be performed prior to use.
Manual Self-test
If the user wants to perform a Self-test manually, High-voltage module operational test,
Body impedance test, ECG circuit and algorithm test, internal shock test, internal pacing
output test, pads/paddle connection test, system ROM test, system RAM test, battery
test, real time clock test and installed module alive test, it can be performed by Manual
Self-test function in Setup Menu.
Auto Self-test
When the defibrillator/monitor has been turned off, Auto Self-test (or scheduled Self-test)
is operated automatically according to the users setting. The Self-test interval can be
selected as Off, 24, 48, and 72 hours. If the residual of battery power is less than 60%
without using the AC or DC, the Self-test will not be performed.
If the defibrillator/monitor is in use at the time of a scheduled Auto Self-test, the Auto Self-
test will be canceled. If the defibrillator/monitor is turned on when the Auto Self-test is in
process, the Auto Self-test will be canceled and the defibrillator/monitor will be operated
normally.
Note: The setting of the Auto self-test (time and interval) can only be changed by authorized
personnel via the Service Menu.
Button test
The defibrillator/monitor has the button test function. User can check buttons that are
working correctly. It can be performed by Button Test function in Setup Menu.
Button test is to check button is working correctly by pressing the denotative buttons.
Button test can be divided into two types, Front panel and paddles. Shock, Charge,
Analyze, Energy Select, BPM, and mA buttons can be checked on the front panel,
and Shock, Charge, Energy Up, Energy Down, and Recording buttons can be
checked on the paddles.
Note: It is recommended to run Button test manually once a week.
129
Functions to be tested in Self-test
The defibrillator/monitor Self-test performs 11 test steps. Lists and descriptions of the
tests are indicated below.
Figure 69. Auto Self-test display

Table 38. Self-test functions
No. Test Description
1 High-Voltage module To check if the High-Voltage module is operational
operational test and available to communicate.
2 Body Impedance test To check impedance of internal fixed resistance from
25 to 175
3 ECG circuit and algorithm To check the result of diagnosis for normal sinus
test rhythm and Ventricular Fibrillation for ECG input.
4 Internal Shock test To check the energy accuracy for discharge of set
energy to internal discharge resistance.
5 Internal Pacing output test To check the normal condition of pacing output of
fixed value of current and bmp.
6 Pads/Paddle connection test To check if paddles or pads are connected correctly.
7 System ROM test To check if the internal program is normal.
8 System RAM test To check if the Read/Write performance of RAM is
normal.
9 Battery test To check the status of the battery.
10 Real time clock test To check the accuracy of the time.
11 Installed module alive test To check if installed measurement parameter
modules are operational and working correctly.
Self-test result transmission (if configured with Wireless module option)

The result of the Self-test can be transmitted to a hospital biomedical engineer by using
the 3G/Wi-Fi module and can also be printed out by the printer module.
Self-test result printing

Printing the result of a Self-test can be set as On or Off in the Service menu by authorized
personnel as described in the service manual.
130
External shock test
The user must verify the ability to deliver defibrillation energy once a week.
Figure 70. External shock test

1. Make sure the paddles and the paddle tray are thoroughly clean and there is no
residue including the conductive material on electrode surfaces of the paddle and
paddle tray.
2. Place the paddles on the paddle tray. (see Figure 70).
3. Turn on the defibrillator/monitor.
4. Select the defibrillation energy by pressing the Energy level button on paddle.
5. Charge the selected energy to pressing the CHARGE button on paddle.
6. Press the SHOCK button on paddle.
7. Confirm the energy level on the display.
Trouble shooting
After finish the auto self-test, the defibrillator/monitor will be turned off itself again. If there
was no fail, the service LED will be blinking. But if any fail was detected, service LED and
buzzer sound will be generated. (when the defibrillator/monitor is using the AC or DC
power, the result of auto self-test will be displayed). But when the residual of battery
power has dropped less than 60 %, those LED and buzzer will be turned off for saving the
power.
Table 39. Trouble shooting of Self-test
LED condition Situation To do
LED OFF Possibility 1: The self-test has Turn on the defibrillator/monitor
not been performed. (Connect the AC or DC power if it is
Possibility 2: The self-test has not connected) and perform the
been performed but the manual self-test via setup menu.
residual of battery was
dropped less than 60%, it
turned off the LED and buzzer
itself.
LED Blink The self-test was finished, and Turn on the defibrillator/monitor and
no failure was detected. use it safely.
LED Fixed The self-test was finished and If AC or DC power is connected,
any failure was detected. If AC check the failed item of self-test
or DC power is connected, and contact qualified service
self-test result will be personnel or your local supplier.
displayed, and buzzer sound If the device is using battery power
will be generated. If the only, turn on the defibrillator/monitor
defibrillator/monitor is using and can check the failed item. After
battery power only, the buzzer then, contact qualified service
sound will be generated personnel or your local supplier.
without display screen.
131
132
EVENT
General
rd th
Event data in either graphical or tabular format may be displayed on 3 and 4 waveform
display area.
1. Press the Patient Info soft key.

2. Rotate the Multi function knob to Event records on the screen and press the Multi
function knob to display.
The event data is stored in memory. When the defibrillator/monitor turns on and starts to
measure vital signs, the defibrillator/monitor saves data of elapsed time before and after
10 seconds from the point of event generation. The events are including Defibrillation,
Pacer mode, Heart rate alarm, and VF alarm. Also, the defibrillator/monitor saves all NIBP
measurements events. The data remains even if the defibrillator/monitor is powered off.
After the defibrillator/monitor has stored 250 event data, SYSTEM : Not enough memory
message or SYSTEM : Not enough memory(Internal memory) message is displayed on
the screen.
Event Data List Display

The defibrillator/monitor presents event information in tabular format for all monitored
parameters. Event type, Patient ID, name, age, gender and time are displayed. The
newest data appears at the top of tabular events. To scroll the event data list, rotate the
Multi function knob when the event data list is displayed.
For the NIBP event may display the latest measurement.
Figure 71. Event Data List Display
133
Event Review Display
Event information in graphical format for ECG data is displayed in a graph. The
defibrillator/monitor displays the event information through recent 10sec after and before
event occurred. When printing the event information, all the parameters like ECG, SpO2,
NIBP, Temp, EtCO2, IBP and Respiration are printed.
The event review display of each parameter is indicated by the symbols specified in table.
The vertical range of a graphical event is presented with fixed value, and the horizontal
range is 20 seconds. The newest data appears at the right of graphical event. Use the
scroll function to view more data.
Figure 72. Event Review Display
134
12 Lead Record Display
The 12 lead data is displayed in tabular format as shown in Figure 73. Patient ID, name,
age, gender and time are displayed. The newest data appears at the top of tabular events.
To scroll the event data list, rotate the Multi function knob when the 12 lead data list is
displayed.
Figure 73. 12 Lead Record Display
ID#
To display ID Menu, press the ID soft key on the lower side of Event records. ID Menu is
displayed equal to Patient Info menu. Refer to Figure 74.
Figure 74. Patient Info Menu
135
136
MENU STRUCTURE
MANUAL MODE MENU

- 12 lead
- - Acquire
- - Setup
- - - Filter
- - - - 0.05Hz ~ 40Hz
- - - - 0.05Hz ~ 150Hz
- - - - Return
- - - Transmission
- - - Return
- - 12 lead ON
- - - On
- - - Off
- - Patient info
- - - ID
- - - - Confirm
- - - - Return
- - - Name
- - - - Confirm
- - - - Return
- - - Age
- - - - Confirm
- - - - Return
- - - Gender
- - - - Male
- - - - Female
- - - - Return
- - - 12 lead records
- - - - Print
- - - - Transmission
- - - - ID #
- - - - Return
- - Return
- Setup
- - Volume
- - - Alarm
- - - Beep
- - - Button
- - - Return
- - Printer setting
- - - Print on alarm
- - - - On
- - - - Off
- - - Print on shock
- - - - On
- - - - Off
- - - 12 lead auto printing
- - - - On
- - - - Off
- - - Analyze auto printing
- - - - On
- - - - Off
137
- - - Return
- - Erase data
- - - Erase 12 lead records
- - - - Yes
- - - - No
- - - Erase event records
- - - - Yes
- - - - No
- - - Erase internal memory
- - - - Yes
- - - - No
- - - Return
- - Waveform setting
nd
- - - 2 Waveform
- - - - ECG
- - - - - l
- - - - - ll
- - - - - lll
- - - - - aVL
- - - - - aVF
- - - - - aVR
- - - - - V1
- - - - - V2
- - - - - V3
- - - - - V4
- - - - - V5
- - - - - V6
- - - - - Pads
- - - - SpO2
- - - - RESP
- - - - IBP1
- - - - IBP2
- - - - EtCO2
rd
- - - 3 Waveform
- - - - ECG
- - - - - l
- - - - - ll
- - - - - lll
- - - - - aVL
- - - - - aVF
- - - - - aVR
- - - - - V1
- - - - - V2
- - - - - V3
- - - - - V4
- - - - - V5
- - - - - V6
- - - - - Pads
- - - - SpO2
- - - - RESP
- - - - IBP1
- - - - IBP2
- - - - EtCO2
th
- - - 4 Waveform
- - - - ECG
- - - - - l
- - - - - ll
138
- - - - - lll
- - - - - aVL
- - - - - aVF
- - - - - aVR
- - - - - V1
- - - - - V2
- - - - - V3
- - - - - V4
- - - - - V5
- - - - - V6
- - - - - Pads
- - - - SpO2
- - - - RESP
- - - - IBP1
- - - - IBP2
- - - - EtCO2
- - - Return
- - Display Mode
- - - Large Numeric Display
- - - Black-yellow Invert Mode
- - - Return
- - Clinical action list
- - Manual self-test
- - Button test
- - Service Menu
- - - Display 3 digit code
- - - Return
- Alarm Limit Alarm limits adjustment/Limit Alarm Pause for each parameters
HR/PR SpO2 RESP EtCO2 InCO2 T1 T2

120 100 30 80 20 39.0 39.0
50 90 8 0 0 36.0 36.0
- -
On On On On On On On
- -
Off Off Off Off Off Off Off
NIBP P1 CVP
SYS MAP DIA SYS MEAN DIA SYS MEAN DIA
160 110 90 120 90 70 120 90 70
90 60 50 70 50 40 70 50 40
- -
On On On On On On On On On
- -
Off Off Off Off Off Off Off Off Off
- - Return
- Patient Info
- - ID
- - - Confirm
- - - Return
- - Name
- - - Confirm
- - - Return
- - Age
- - - Confirm
- - - Return
- - Gender
139
- - - Male
- - - Female
- - Event records
- - - Data review
- - - - Print
- - - - Return
- - - ID#
- - - - ID
- - - - Name
- - - - Age
- - - - Gender
- - - - Return
- - - Return
- - Return
- Sync
- - On
- - Off
- - Return
AED MODE MENU

- Patient Info
- - ID
- - - Confirm
- - - Return
- - Name
- - - Confirm
- - - Return
- - Age
- - - Confirm
- - - Return
- - Gender
- - - Male
- - - Female
- - Event records
- - - Data review
- - - - Print
- - - - Return
- - - ID#
- - - - ID
- - - - Name
- - - - Age
- - - - Gender
- - - - Return
- - - Return
- - Return
140
PACING MODE MENU
- Pause Pacing
- Setup
- - Volume
- - - Alarm
- - - Beep
- - - Button
- - - Return
- - Printer setting
- - - - On
- - - - Off
- - - - On
- - - - Off
- - - - On
- - - - Off
- - - - On
- - - - Off
- - - Return
- - Erase data
- - - - Yes
- - - - No
- - - - Yes
- - - - No
- - - - Yes
- - - - No
- - - Return
nd
- - - 2 Waveform
- - - - ECG
- - - - - l
- - - - - ll
- - - - - lll
- - - - - aVL
- - - - - aVF
- - - - - aVR
- - - - - V1
- - - - - V2
- - - - - V3
- - - - - V4
- - - - - V5
- - - - - V6
- - - - - Pads
- - - - SpO2
- - - - RESP
- - - - IBP1
- - - - IBP2
- - - - EtCO2
rd
- - - 3 Waveform
- - - - ECG
141
- - - - - l
- - - - - ll
- - - - - lll
- - - - - aVL
- - - - - aVF
- - - - - aVR
- - - - - V1
- - - - - V2
- - - - - V3
- - - - - V4
- - - - - V5
- - - - - V6
- - - - - Pads
- - - - SpO2
- - - - RESP
- - - - IBP1
- - - - IBP2
- - - - EtCO2
th
- - - 4 Waveform
- - - - ECG
- - - - - l
- - - - - ll
- - - - - lll
- - - - - aVL
- - - - - aVF
- - - - - aVR
- - - - - V1
- - - - - V2
- - - - - V3
- - - - - V4
- - - - - V5
- - - - - V6
- - - - - Pads
- - - - SpO2
- - - - RESP
- - - - IBP1
- - - - IBP2
- - - - EtCO2
- - - Return
- - Display Mode
- - - Return
- - Button test
- - Service Menu
- - - Return
- - Return

120 100 30 80 20 39.0 39.0
50 90 8 0 0 36.0 36.0
- -
142
- -
NIBP P1 CVP
160 110 90 120 90 70 120 90 70
90 60 50 70 50 40 70 50 40
- -
- -
- - Return
- Patient Info
- - ID
- - - Confirm
- - - Return
- - Name
- - - Confirm
- - - Return
- - Age
- - - Confirm
- - - Return
- - Gender
- - - F
- - - M
- - Event records
- - - Data review
- - - - Print
- - - - Return
- - - ID#
- - - - ID
- - - - Name
- - - - Age
- - - - Gender
- - - - Confirm
- - - - Return
- - - Return
- - Return
- ASync
- - On
- - Off
- - Return
143
MANUAL MODE MENU
- 12 lead
- - Acquire
- - Setup
- - - Filter
- - - - 0.05Hz ~ 40Hz
- - - - 0.05Hz ~ 150Hz
- - - - Return
- - - Transmission
- - - Return
- - 12 lead ON
- - - On
- - - Off
- - Patient info
- - - ID
- - - - Confirm
- - - - Return
- - - Name
- - - - Confirm
- - - - Return
- - - Age
- - - - Confirm
- - - - Return
- - - Gender
- - - - Male
- - - - Female
- - - - Return
- - - 12 lead records
- - - - Print
- - - - Transmission
- - - - ID #
- - - - Return
- - Return
- Setup
- - Volume
- - - Alarm
- - - Beep
- - - Button
- - - Return
- - Printer setting
- - - - On
- - - - Off
- - - - On
- - - - Off
- - - - On
- - - - Off
- - - - On
- - - - Off
- - - Return
- - Erase data
- - - - Yes
144
- - - - No
- - - - Yes
- - - - No
- - - - Yes
- - - - No
- - - Return
nd
- - - 2 Waveform
- - - - ECG
- - - - - l
- - - - - ll
- - - - - lll
- - - - - aVL
- - - - - aVF
- - - - - aVR
- - - - - V1
- - - - - V2
- - - - - V3
- - - - - V4
- - - - - V5
- - - - - V6
- - - - - Pads
- - - - SpO2
- - - - RESP
- - - - IBP1
- - - - IBP2
- - - - EtCO2
rd
- - - 3 Waveform
- - - - ECG
- - - - - l
- - - - - ll
- - - - - lll
- - - - - aVL
- - - - - aVF
- - - - - aVR
- - - - - V1
- - - - - V2
- - - - - V3
- - - - - V4
- - - - - V5
- - - - - V6
- - - - - Pads
- - - - SpO2
- - - - RESP
- - - - IBP1
- - - - IBP2
- - - - EtCO2
th
- - - 4 Waveform
- - - - ECG
- - - - - l
- - - - - ll
- - - - - lll
- - - - - aVL
- - - - - aVF
- - - - - aVR
145
- - - - - V1
- - - - - V2
- - - - - V3
- - - - - V4
- - - - - V5
- - - - - V6
- - - - - Pads
- - - - SpO2
- - - - RESP
- - - - IBP1
- - - - IBP2
- - - - EtCO2
- - - Return
- - Display Mode
- - - Return
- - Button test
- - Service Menu
- - - Return

120 100 30 80 20 39.0 39.0
50 90 8 0 0 36.0 36.0
- -
- -
NIBP P1 CVP
160 110 90 120 90 70 120 90 70
90 60 50 70 50 40 70 50 40
- -
- -
- - Return
- Patient Info
- - ID
- - - Confirm
- - - Return
- - Name
- - - Confirm
- - - Return
- - Age
- - - Confirm
- - - Return
- - Gender
- - - Male
- - - Female
- - Event records
- - - Data review
146
- - - - Print
- - - - Return
- - - ID#
- - - - ID
- - - - Name
- - - - Age
- - - - Gender
- - - - Return
- - - Return
- - Return
MONITORING PARAMETER (It is applied to 4 modes equally)
HR/PR MENU
- HR/PR Source
- - Auto
- - HR
- - PR
- - Return
- Pacer Detect
- - Enable
- - Disable
- - Return
- Filter Select
- - 0.5Hz ~ 21Hz
- - 0.05Hz ~ 40Hz
- - 1Hz ~ 21Hz
- - Return
- Alarm Limit
Alarm limit
- HR/PR
120
50
Limit Alarm Pause
-
On
-
Off
- Return
SpO2 MENU
- Alarm Limit
Alarm limit (%)
- %SpO2
100
90
Limit Alarm Pause
-
On
-
Off
- Return
147
NIBP MENU
- Inflate Pressure
- - Adult/Pediatric
- - 120 mmHg
- - 140 mmHg
- - 160 mmHg
- - 180 mmHg
- - 200 mmHg
- - 220 mmHg
- - 240 mmHg
- - 260 mmHg
- - 280 mmHg
- - Return
- - Neonatal
- - 80 mmHg
- - 100 mmHg
- - 120 mmHg
- - 140 mmHg
- - Return
- Auto Interval
- - Off
- - Cont
- - 1 min
- - 2.5 min
- - 3 min
- - 5 min
- - 10 min
- - 15 min
- - 20 min
- - 30 min
- - 60 min
- - 90 min
- - Return
- Patient Type
- - Adult / Pedi
- - Neonatal
- - Return
- Alarm Limit
Alarm limit (mmHg)
- SYS MAP DIA
160 110 90
90 60 50
Limit Alarm Pause
-
On
-
Off
- Return
148
IBP1 MENU
- Zero Setting
- - Enter
- - Return
- Scale
- - 0~50mmHg
- - 0~100mmHg
- - 0~200mmHg
- - 0~300mmHg
- - Auto
- - Return
- Label
- - P1
- - ABP
- - Return
- Alarm Limit
Alarm limit (mmHg)
- SYS MEAN DIA
120 90 70
70 50 40
Limit Alarm Pause
-
On
-
Off
- Return
IBP2 MENU
- Zero Setting
- - Enter
- - Return
- Scale
- - 0~50mmHg
- - 0~100mmHg
- - 0~200mmHg
- - 0~300mmHg
- - Auto
- - Return
- Label
- - P2
- - CVP
- - PAP
- - LAP
- - Return
- Alarm Limit
Alarm limit (mmHg)
- SYS MEAN DIA
120 90 70
70 50 40
Limit Alarm Pause
-
On
-
Off
- Return
149
EtCO2 MENU
- EtCO2
- - On
- - Off
- - Return
- Average
- - 1 breaths
- - 10 seconds
- - 20 seconds
- - 30 seconds
- - Return
- Alarm Limit
Alarm limit
- EtCO2 InCO2
80 20
0 0
Limit Alarm Pause
-
On
-
Off
- Return
150
RESPIRATION MENU
- Respiration
- - On
- - Off
- - Return
- Respiration Setting
- - PR Source
- - - Auto
- - - Impedance
- - - Airway
- - - Return
- - Size
- - - X 0.5
- - - X1
- - - X 1.5
- - - X2
- - - Return
- - Return
- Apnea time setting
- - Off
- - 10 seconds
- - 20 seconds
- - 30 seconds
- - 40 seconds
- - 50 seconds
- - 60 seconds
- Alarm Limit
Alarm limit
- RESP
30
8
Limit Alarm Pause
-
On
-
Off
- Return
TEMPERATURE MENU
- Alarm Limit
Alarm limit (C)
T1 T2
39.0 39.0
36.0 36.0
Limit Alarm Pause
-
On On
-
Off Off
- Return
151
DATE TIME MENU
- Date Format
- - YY/MM/DD
- - MM/DD/YY
- - DD/MM/YY
- - Return
- Set Date
- - Year
- - Month
- - Day
- - Return
- Set Time
- - Hour
- - Minute
- - Second
- - Return
- Return
152
PRINTING
General
The defibrillator/monitor prints real-time graphical and numeric information after that event
in accordance with current mode until Print soft key is pressed. Printing may be set in
two ways:
1. When the print is displayed on the screen, select the Print soft key.
2. To start printing, press the PRINT button and to stop printing during print out, press the
PRINT button again. (Refer to Figure 76.)
Printer Settings
1. Press the Setup soft key. (Setup is displayed on the initial screen of each mode.)
2. Rotate the Multi function knob to highlight Printer setting via Setup Menu, and then
press the Multi function knob to select Printer setting.
Figure 75. Printer setting Menu

3. Set Printer on alarm, Printer on shock, 12 lead auto printing and Analyze auto printing.
Print on alarm
If Print on alarm is set to On, the defibrillator/monitor will automatically print out
information before and after 10 seconds when a physiological alarm condition is activated.
Print on shock
If Print on shock is set to On, the defibrillator/monitor will automatically print out
information before and after 10 seconds when a shock is generated.
12 lead auto printing

If 12 lead auto printing is set to On, the defibrillator/monitor will automatically print out
after 12 lead ECG is acquired.
Analyze auto printing

If Analyze auto printing is set to On, the defibrillator/monitor will automatically print out
analyzing data for 10 seconds after starting the analyze.
153
Print-Out
Print-out
The defibrillator/monitor prints numeric data and waveforms by pressing PRINT button.
Figure 76. Print-out
Print-out on shock
The defibrillator/monitor prints shock information by pressing SHOCK button. Shock can
be delivered when the defibrillator/monitor is turned on in Manual or AED mode.
Figure 77. Print-out on shock
Print-out on 12 lead ECG data

If 12 lead auto printing is set to On, the defibrillator/monitor prints the 12 lead ECG data
automatically after 12 lead ECG analysis. When the defibrillator/monitor displays 12 lead
records, desired 12 lead ECG analysis can be printed by pressing PRINT button.
Figure 78. Print-out on 12 lead ECG data
154
Print-Out on setting information
When the defibrillator/monitor is in Service Menu, the defibrillator/monitor will print out all
internal settings by pressing the PRINT button. Refer to the service manual for the
detailed instructions.
Figure 79. Print-out on setting information
155
156
EXTERNAL INTERFACE
General
The defibrillator/monitor provides external connectors on the right panel to support
communication with external equipment and functions such as software upgrade or data
download.
WARNING: Any connections between this defibrillator/monitor and other devices

must comply with applicable medical systems safety standards such as IEC
60601-1. Failure to do so could result in unsafe leakage current and grounding
conditions.
WARNING: Inserting or removing the data card while the defibrillator/monitor is
on or reading and writing on the data card can corrupt the Data Card and prevent
the defibrillator/monitor from powering on again. If this occurs, see
Troubleshooting Tips.
WARNING: Use only a DRE defibrillator/monitor-compatible SD Card. These
cards, or other types of cards (such as memory cards) will not work, and may
cause the defibrillator/monitor to malfunction.
Note: This equipment is to be used on a network and the wireless communication (3G or Wi-Fi)
are limited to inside of the building.
USB Host Type
The USB Host is used to download data. Only memory stick can be used for the USB
Host.
SD Memory Card
The SD Memory Card is used to extend the save space, to install the new system
software and to load voice prompt data.
Central System Communication
The transmitted data by using 3G/Wi-Fi module is divided as follows;

- All vital signs are transmitted to the medical person in the hospital.
- The self-test result and the log file are transmitted to the biomedical engineer in the
hospital.
The defibrillator condition, service action according to the self-test and the history of the
key pressing are transmitted by the 3G/Wi-Fi module network. All vital sign can be
transmitted in real-time.
Note: The details are provided in the central system. Please contact the representative of DRE
for more information.
157
158
MAINTENANCE
WARNING: The cover should be removed only by qualified service personnel.

There are no internal user-serviceable parts except for the battery.
WARNING: Do not use the defibrillator/monitor when the case appears damaged.
WARNING: Do not spray, pour, or spill any liquid on the defibrillator/monitor, its
accessories, connectors, switches or openings in the chassis.
WARNING: Unplug the power cord from the defibrillator/monitor before cleaning
the defibrillator/monitor.
CAUTION: Disposal of the defibrillator/monitor with the battery inserted presents a

potential shock hazard.
CAUTION: Do not autoclave, ultrasonically clean, or immerse the DRE

defibrillator/monitor. Do not use abrasive cleaners or strong solvents such as
acetone or acetone-based cleaners.
CAUTION: Do not ultrasonically clean or immerse the paddles and paddles cables.
CAUTION: Do not ultrasonically clean, immerse, autoclave or steam sterilize the

pads cable.
CAUTION: Do not ultrasonically clean, immerse, autoclave or steam sterilize the

ECG cable. Do not clean the ECG cable with alcohol. Alcohol can cause the plastic
to become brittle and may cause the cable to fail prematurely.
CAUTION: Do not clean any part of this defibrillator/monitor or accessories with

bleach dilution or phenolic compounds. Do not use abrasive or flammable cleaning
agents. Do not attempt to sterilize this defibrillator/monitor or any accessories
unless otherwise specified in accessory operation instructions.
CAUTION: Do not soak or immerse the sensors or cables in any liquid solution. Do
not attempt to sterilize.
Recycling and Disposal

When the defibrillator/monitor, battery, or accessories reach the end of useful life,
recycle or dispose of the equipment according to appropriate local and regional
regulations.
Note: The defibrillator/monitor should be disposed of separately from the municipal waste stream
via designated collection facilities appointed by the government or the local authorities.
Note: The correct disposal of your old appliance will help prevent potential negative consequences
for the environment and human health.
Note: For more detailed information about disposal of your old appliance, please contact your city
office, waste disposal service or the shop where you purchased the defibrillator/monitor.
159
Returning the defibrillator/monitor and System Components
Pack the defibrillator/monitor with sensors, cable or other accessory items in its original
shipping carton. If the original carton is not available, use a suitable carton with
appropriate packing material to protect the defibrillator/monitor during shipping.
Service
The defibrillator/monitor requires no routine service other than cleaning, battery
maintenance, and service activity which is mandated by the users institution. For more
information, refer to the defibrillator/monitor service manual. Qualified service personnel in
the users institution should perform periodic inspections of the defibrillator/monitor. If
service is necessary, contact qualified service personnel or your local supplier.
Periodic Safety Checks

It is recommended that the following checks be performed every year.
l Inspect the equipment for mechanical and functional damage.
l Inspect the external safety labels for legibility.
Cleaning
The defibrillator/monitor may be surface-cleaned by using a soft cloth dampened with
either a commercial, nonabrasive cleaner or one of the solutions listed below. Lightly
wipe the top, bottom and front surfaces of the defibrillator/monitor.
l Quatemary Ammonium (fungicidal, bactericidal and virucidal against enveloped

viruses)
l 70% Isopropyl alcohol
l 10% Chlorine bleach solution
l PDI sani-system
The cleaning method for paddles and paddle plates are same as defibrillator/monitor.
For cables, sensors, cuffs, and probes, follow the cleaning instructions in the directions
for use shipped with those components.
Avoid spilling liquid on the defibrillator/monitor, especially in connector areas. If liquid is

accidentally spilled on the defibrillator/monitor, clean and dry thoroughly before reuse. If in
doubt about defibrillator/monitor safety, refer the unit to qualified service personnel for
checking.
160
Battery Maintenance
CAUTION: Recharging the battery is strongly recommended when the battery has
not been recharged for 6 or more months.
CAUTION: Follow local government ordinances and recycling instructions

regarding disposal or recycling of defibrillator/monitor components, including
batteries.
CAUTION: Do not short-circuit the battery, as it may generate heat. To avoid short-
circuiting, do not let the battery come in contact with metal objects at any time,
especially when transporting.
CAUTION: Do not solder the battery directly. Heat applied during soldering may
damage the safety vent in the batterys positive cover.
CAUTION: Do not deform the battery by applying pressure. Do not throw, hit, drop,
fold or impact the battery.
CAUTION: Do not connect the battery reversed in positive (+) and negative (-)
terminals. Do not charge the battery with polarities reversed, as it may swell or
explode.
CAUTION: Do not use any chargers not specified by DRE.
CAUTION: Do not use the battery with other makers batteries, different types or
models of batteries such as dry batteries, nickel-metal hydride batteries, or Li-ion
batteries together, as they might leak electrolyte heat or explode.
CAUTION: Do not mistreat the battery, or use the battery in applications not
recommended by DRE.
CAUTION: Keep the battery out of reach of babies and children to avoid any
accidents.
CAUTION: If there are any problems with the battery, immediately put the battery in
a safe place and contact qualified service personnel.
If the defibrillator/monitor has not been used for 6 months, the Li-ion battery will need
charging. To charge the battery, connect the defibrillator/monitor to an AC or DC power
source as described in the Battery Operation section.
Note: Storing the defibrillator/monitor for a long period without charging the battery may degrade
the battery capacity. It would take about 8 hours to fully charge the battery from the moment
that low battery alarm is activated.
Note: The battery should be removed from the defibrillator/monitor if placed in storage or if it will
not be used for a long period.
It is recommended strongly that the defibrillator/monitors Li-ion battery be replaced every

24 months. Refer to the service manual for battery replacement and general service
instructions.
161
Loading Printer Paper
CAUTION: Using other manufacturers printer paper may cause the printer to
function improperly or damage the print head. Use only DRE printer paper.
Load printer paper as follows:
1. Pull the printer door.

2. Pick out the paper by using the ejector.
3. Insert a new printer paper with grid side up.
4. Push the printer door.
Note: To make sure that the paper is aligned in the slot and has not been pinched in the door.
Figure 80. Printer Paper Replacement
162
TROUBLESHOOTING
WARNING: If you are uncertain about the accuracy of any measurement, check
the patients vital signs by alternate means; then make sure the
defibrillator/monitor is functioning correctly.
WARNING: The cover should be removed only by qualified service personnel.
There are no user-serviceable parts inside except for the battery.
WARNING: The large current draw required for defibrillator charging may cause
the defibrillator to reach a shutdown voltage level with no low battery indication.
General
If the defibrillator/monitor detects an error or potential problem during use, it displays a
system or momentary message. If service is necessary, contact qualified service
personnel. Before calling to qualified service personnel or your local supplier, make sure
it meets environmental conditions provided in the manual as temperature, humidity,
altitude and so on.
Note: For repair instructions or for additional technical information, refer to the
defibrillator/monitor Service Manual.
Obtaining Technical Assistance

For technical information and assistance, or to order a service manual, call your local
supplier. The service manual provides information required by qualified service personnel
when servicing the defibrillator/monitor.
When calling your local supplier, you may be asked to provide the software version
number of your defibrillator/monitor. The software version can confirm in service menu.
163
EMI (Electromagnetic Interference)
WARNING: Keep patients under close surveillance when monitoring. It is

possible, although unlikely, that radiated electromagnetic signals from sources
external to the patient and defibrillator/monitor can cause inaccurate
measurement readings. Do not rely entirely on the defibrillator/monitor readings
for patient assessment.
WARNING: It is possible that any radio frequency transmitting equipment and
other nearby sources of electrical noise may result in disruption in the
defibrillator/monitor operation. Operators manual is attached for the minimum
recommended separation distance between the RF emitting equipment and the
device.
WARNING: It is possible, although unlikely, that large equipment using a
switching relay for its power on/off may affect defibrillator/monitor operation. Do
not operate the defibrillator/monitor in such environments.
WARNING: Using cables, electrodes or accessories not specified for use with this
device may result in increased emissions or decreased resistance to
electromagnetic interference which could affect the performance of this
defibrillator/monitor or of equipment in close proximity. Use only parts and
accessories specified in this manual.
WARNING: defibrillator/monitor may cause electromagnetic interference (EMI)
especially during charge and energy transfers. EMI may affect the performance of
equipment operating in close proximity. If possible, verify the effects of
defibrillator discharge on other equipment prior to using the defibrillator in an
emergency situation.
WARNING: Operating high frequency electrosurgical equipment in the vicinity of
the defibrillator/monitor can produce interference in the defibrillator/monitor and
cause incorrect measurements.
WARNING: Do not use the defibrillator/monitor with nuclear spin tomography
(MRT, NMR, NMT) as the function of the defibrillator/monitor may be disturbed.
This device has been tested and found to comply with the limits for medical devices to
the IEC60601-1-2, and the Medical Device Directive 93/42/EEC. These limits are
designed to provide reasonable protection against harmful interference in a typical
medical installation.
However, because of the proliferation of radio-frequency transmitting equipment and

other sources of electrical noise in health care environments (such as electrosurgical
equipment, defibrillator, cellular phones, mobile two-way radios, electrical appliances,
and high-definition television), it is possible that high levels of such interference due to
close proximity or strength of a source may affect defibrillator/monitor operation.
WARNING: The defibrillator/monitor is designed for use in environments in which

the signal can be obscured by electromagnetic interference. During such
interference, measurements may seem inappropriate or the defibrillator/monitor
may not seem to operate correctly.
The defibrillator/monitor disruption may be indicated by erratic readings, cessation of

operation, or other incorrect functioning. If this occurs, survey the site to determine the
source of this disruption. Try the following actions to see if they eliminate the disruption:
l Turn equipment in the vicinity off and on to isolate the offending equipment.
l Reorient or relocate the interfering equipment.
l Increase the separation between the interfering equipment and this equipment.
164
The defibrillator/monitor generates, uses, and can radiate radio frequency energy. If the
defibrillator/monitor is not installed and used in accordance with these instructions, the
defibrillator/monitor may cause harmful interference with other devices in the vicinity.
If assistance is required, contact your local supplier.
165
166
FACTORY DEFAULTS
General
The defibrillator/monitor is shipped with factory default settings. Authorized personnel
can use the procedures described in the service manual to change default settings.
Parameter Ranges and Default Settings
Table 40. Parameter Ranges and Factory Defaults

Parameter Ranges / Selections (Adjust step) Factory Defaults
ECG MENU
HR/PR Source Auto, HR, PR Auto
AC line filter* 50Hz, 60Hz, Off 60 Hz
Pacer Detect Enable, Disable Disable
ECG size* x0.5, x1, x1.5, x2, x3 x1
Filter Select 0.5 to 21 Hz, 0.05 to 40 Hz, 1 to 21 Hz 0.5 to 21 Hz
HR/PR High Alarm Limits 25 to 300 BPM (5 BPM steps) 120 BPM
HR/PR Low Alarm Limits 20 to 295 BPM (5 BPM steps) 50 BPM
Auto transmit* On, Off Off
Print on 12 lead On, Off Off
measurement**
Print on 12 lead On, Off Off
interpretation**
Setting print lead I, II, III, aVL, aVF, aVR, V1, V2, V3, V4, V5, V6 I
- 1st waveform*
Setting print lead I, II, III, aVL, aVF, aVR, V1, V2, V3, V4, V5, V6 II
- 2nd waveform*
Setting print lead I, II, III, aVL, aVF, aVR, V1, V2, V3, V4, V5, V6 III
- 3rd waveform*
12 lead frequency response* 0.05 Hz ~ 40 Hz, 0.05 Hz ~ 150 Hz 0.05 Hz ~ 40 Hz
Print 2 copies 12 lead** On, Off Off
12 lead print second** 2.5 sec, 10 sec 2.5 sec
12 lead print speed** 25mm/sec, 50mm/sec 25mm/sec
SpO2 MENU
% SpO2 High Alarm Limits 21 to 100 % (1 % steps) 100 %
% SpO2 Low Alarm Limits 20 to 99 % (1 % steps) 90 %
NIBP MENU
Inflate Pressure 80, 100, 120, 120, 140 160, 180, 200, 220, 240, 260, 180 mmHg
280 mmHg
Auto Interval 1, 2.5, 3, 5, 10, 15, 30, 60, 90, Off Off
Patient type Adult/Pedi, Neonatal Adult/Pedi
NIBP Unit* mmHg, kPa mmHg
NIBP SYS High Alarm Limits adult/pediatric adult/pediatric
35 to 270 mmHg 160 mmHg
(4.7 to 36.0 kPa) (21.3 kPa)
neonatal neonatal
(6.0 to 17.3 kPa) (12 kPa)
(5 mmHg, 0.6 or 0.7kPa steps)
NIBP SYS Low Alarm Limits adult/pediatric adult/pediatric
167
(4.0 to 35.3 kPa) (12.0 kPa)
neonatal neonatal
(5.3 to 16.7 kPa) (5.3 kPa)
NIBP DIA High Alarm Limits adult/pediatric adult/pediatric
(2.0 to 33.3 kPa) (12.0 kPa)
neonatal neonatal
(3.3 to 12.0 kPa) (8.0 kPa)
NIBP DIA Low Alarm Limits adult/pediatric adult/pediatric
(1.3 to 32.7 kPa) (6.7 kPa)
neonatal neonatal
(2.7 to 11.3 kPa) (2.6 kPa)
NIBP MAP High Alarm Limits adult/pediatric adult/pediatric
(3.3 to 34.7 kPa) (14.7 kPa)
neonatal neonatal
(4.7 to 14.7 kPa) (9.3 kPa)
NIBP MAP Low Alarm Limits adult/pediatric adult/pediatric
(2.7 to 34.0 kPa) (8.0 kPa)
neonatal neonatal
(4.0 to 14.0 kPa) (4.0 kPa)
IBP1 MENU
IBP1: Scale Auto, 0~50mmHg, 0~100mmHg, 0~200mmHg, Auto
0~300mmHg
IBP1: Label P1, ABP P1
IBP 1 SYS High Alarm Limits adult/pediatric adult/pediatric
-45 to 300 mmHg 120 mmHg
(-6 to 40 kPa) (16.0 kPa)
IBP 1 SYS Low Alarm Limits adult/pediatric adult/pediatric
-50 to 295mmHg 70 mmHg
(-6.7 to 39.3 kPa) (9.3 kPa)
IBP 1 DIA High Alarm Limits adult/pediatric adult/pediatric
(-6 to 40 kPa) (9.3 kPa)
IBP 1 DIA Low Alarm Limits adult/pediatric adult/pediatric
(-6.7 to 39.3 kPa) (5.3 kPa)
IBP 1 MEAN High Alarm Limits adult/pediatric adult/pediatric
168
(-6 to 40 kPa) (12.0 kPa)
IBP 1 MEAN Low Alarm Limits adult/pediatric adult/pediatric
(-6.7 to 39.3 kPa) (6.7 kPa)
IBP2 MENU
IBP2: Scale Auto, 0~50mmHg, 0~100mmHg, 0~200mmHg, Auto
0~300mmHg
IBP2: Label P2, CVP, PAP,LAP P2
IBP 2 SYS High Alarm Limits adult/pediatric adult/pediatric
(-6 to 40 kPa) (16.0 kPa)
IBP 2 SYS Low Alarm Limits adult/pediatric adult/pediatric
(-6.7 to 39.3 kPa) (9.3 kPa)
IBP 2 DIA High Alarm Limits adult/pediatric adult/pediatric
(-6 to 40 kPa) (9.3 kPa)
IBP 2 DIA Low Alarm Limits adult/pediatricl adult/pediatric
(-6.7 to 39.3 kPa) (5.3 kPa)
IBP 2 MEAN High Alarm Limits adult/pediatric adult/pediatric
(-6 to 40 kPa) (12.0 kPa)
IBP 2 MEAN Low Alarm Limits adult/pediatric adult/pediatric
(-6.7 to 39.3 kPa) (6.7 kPa)
IBP unit* mmHg, kPa mmHg
EtCO2
EtCO2 On, Off ON
N2O Gas On, Off OFF
O2 Gas On, Off OFF
Scale 0~40 mmHg, 0~60 mmHg, 0~80 mmHg, Auto Auto
Average 1 breath, 10 seconds, 20 seconds, 30 seconds 1 breath
EtCO2 High Alarm Limits adult/pediatric adult/pediatric
(0.13 to 10.7 kPa), (0.13 to 10.5 %) (10.7 kPa), (10.5 %)
(1 mmHg, 0.13 kPa, 0.13 % steps)
EtCO2 Low Alarm Limits adult/pediatric adult/pediatric
0 to 79 mmHg 0 mmHg
(0 to 10.5 kPa), (0 to 10.4 %) (0 kPa), (0 %)
(1 mmHg, 0.13 kPa, 0.13 % steps)
InCO2 High Alarm Limits adult/pediatric adult/pediatric
(0.13 to 2.7 kPa), (0.13 to 2.6 %) (2.7 kPa), (2.6 %)
(1 mmHg, 0.13 kPa, 0.13 % steps)
InCO2 Low Alarm Limits adult/pediatric adult/pediatric
169
0 to 19 mmHg 0 mmHg
(0 to 2.5 kPa), (0 to 2.5 %) (0 kPa), (0 %)
(1 mmHg, 0.13 kPa steps)
EtCO2 unit* mmHg, kPa, % mmHg
Temperature MENU
TEMP1 High Alarm Limits 0.1 to 50.0 C 39.0 C
(32.2 to 122.0 F) (102.2 F)
(0.1C, 0.1 or 0.2F steps)
TEMP1 Low Alarm Limits 0.0 to 49.9 C 36.0 C
(32.0 to 121.8 F) (96.8 F)
(0.1C, 0.1 or 0.2F steps)
TEMP2 High Alarm Limits 0.1 to 50.0 C 39.0 C
(32.2 to 122.0 F) (102.2 F)
(0.1C, 0.1 or 0.2F steps)
TEMP2 Low Alarm Limits 0.0 to 49.9 C 36.0 C
(32.0 to 121.8 F) (96.8 F)
(0.1C, 0.1 or 0.2F steps)
TEMP Unit* C, F C
Respiration MENU
Respiration ON ON
OFF
RR Source Auto Auto
Impedance
Airway
Size x0.5, x1, x1.5, x2 x1
Apnea time setting Off, 10 seconds, 20 seconds, 30 seconds 10 seconds
40 seconds, 50 seconds, 60 seconds
RR High Limits 4 to 120 BPM (1 BPM step) 30 BPM
RR Low Limits 3 to 119 BPM (1 BPM step) 8 BPM
Manual, AED, Pacing, Monitor Mode MENU
Alarm Volume 1, 2, 3, 4, 5, 6, 7, 8 5
Beep Volume OFF, 1, 2, 3, 4, 5, 6, 7 4
Button Volume OFF, 1, 2, 3, 4, 5, 6, 7 4
nd
2 Waveform ECG I, ECG II, ECG III, ECG aVL, ECG aVF, ECG SpO2 Waveform
aVR, ECG V1, ECG V2, ECG V3, ECG V4, ECG V5,
ECG V6, Pads, SpO2, RESP, IBP1, IBP2, EtCO2
rd
3 Waveform ECG I, ECG II, ECG III, ECG aVL, ECG aVF, ECG IBP1 Waveform P1
th
4 Waveform ECG I, ECG II, ECG III, ECG aVL, ECG aVF, ECG EtCO2 Waveform
Print on alarm** On, Off Off
Print on shock** On, Off Off
12 lead auto printing** On, Off On
Analyze auto printing** On, Off Off
Elapsed time display* Enable, Disable Enable
CPR guide display* Enable, Disable Disable
Message display* Enable, Disable Enable
Voice prompt* Enable, Disable Enable
Basic auto energy escalation* Enable, Disable Enable
Above 200J setting* Enable, Disable Disable
Manual mode shock energy 1~200J 125J
1st energy*
170
2nd energy*
3rd energy*
Analyze continuous mode* On, Off On
Auto charge* On, Off On
Remain in sync mode after On, Off On
shock*
Charging hold time* 15 sec, 60 sec 60 sec
ECG display under paddle On, Off On
open*
Setup Menu* Enable, Disable Disable
Alarm Limit Menu* Enable, Disable Disable
12 Lead Menu* Enable, Disable Disable
AED display setting Enable, Disable Enable
Waveform display*
AED display setting Enable, Disable Enable
Icon display*
AED display setting Enable, Disable Disable
Value display*
AED step 1 display*
AED step 2 display*
AED step 3 display*
AED shock energy Enable, Disable Disable
Above 200J setting*
AED shock energy 1~200J 125J
1st energy*

2nd energy*
3rd energy*
Async Pacing* On, Off Off
Pace Pulse Rate* 30 ~ 180 bpm 70 bpm
Default Pacing Energy* 0, 30, 70, 100, 140 mA 0 mA
Others
Parameters Color - ECG* 00FA00(Green), FAFAFA(White), 64FAFA(Cyan), 00FA00(Green)
6464FA(Light blue), FA96FA(Pink), FA0000(Red),
FAFA00(Yellow), 9696C8(Light purple), FA9600,
0096FA, FA00FA, 96FA32, C8C8C8, 0096C8,
C89600, C8C832
Parameters Color - NIBP* 00FA00(Green), FAFAFA(White), 64FAFA(Cyan), FAFAFA(White)
0096FA, FA00FA, 96FA32, C8C8C8, 0096C8,
C89600, C8C832
Parameters Color - SpO2* 00FA00(Green), FAFAFA(White), 64FAFA(Cyan), 64FAFA(Cyan)
0096FA, FA00FA, 96FA32, C8C8C8, 0096C8,
C89600, C8C832
171
Parameters Color - RESP* 00FA00(Green), FAFAFA(White), 64FAFA(Cyan), 9696C8(Light blue)
0096FA, FA00FA, 96FA32, C8C8C8, 0096C8,
C89600, C8C832
Parameters Color - TEMP* 00FA00(Green), FAFAFA(White), 64FAFA(Cyan), FA96FA(Pink)
0096FA, FA00FA, 96FA32, C8C8C8, 0096C8,
C89600, C8C832
Parameters Color - IBP 1* 00FA00(Green), FAFAFA(White), 64FAFA(Cyan), FA0000(Red)
0096FA, FA00FA, 96FA32, C8C8C8, 0096C8,
C89600, C8C832
Parameters Color - IBP 2* 00FA00(Green), FAFAFA(White), 64FAFA(Cyan), FAFA00(Yellow)
0096FA, FA00FA, 96FA32, C8C8C8, 0096C8,
C89600, C8C832
Parameters Color - EtCO2* 00FA00(Green), FAFAFA(White), 64FAFA(Cyan), 9696C8(Light purple)
0096FA, FA00FA, 96FA32, C8C8C8, 0096C8,
C89600, C8C832
Audio pause time* 30 sec, 60 sec, 90 sec, 120 sec 60 sec
Audio off time* 3 min, 5 min, 10 min, Indefinite Indefinite
Alarm reminder tone* 3 min, 10 min, Off 3 min
Alarm activate at power up* Enable, Disable Enable
Voice recording* On, Off Off
Auto self-test : 0 ~ 23 oclock 0 oclock
Self-test time*
Auto self-test : 24 hours, 48 hours, 72 hours, Off Off
Self-test time interval*
Auto self-test : 5J, 10J, 20J, 30J, 40J, 50J, 100J, 200J 50 J
Internal shock energy*
Clinical action list* None, CPR, EPI, Atrop, DOPA, PHEN, Bicarb, Aspirin, None
Oxygen, IV, Morphine, Valium, -block, LIDO, Mag
Sulf, Thrombo, Sedation, Heparin, Procain, Cordar,
Thiamine, Dilantin, Intubate, Narcan, Atrovent,
Adenosin, Fentanyl, Digoxin, Vasopr, Dextrose,
Paralytic, Nitro, Albuterol, Amrinon, Benadryl,
Demerol, Oral Glu, Lasix, Calcium
Manual mode protection* Disable, Confirm, Passcode Disable
Manual mode locking 000~999 (Passcode)
passcode*
Pacing mode protection* Disable, Confirm, Passcode Disable
Pacing mode locking 000~999 (Passcode)
passcode*
Service menu passcode* 000~999 (Passcode)
Print on charge** On, Off Off
Print on mark** On, Off Off
Print on BP** On, Off Off
Print on self-test** On, Off Off
172
Power on waveform select ECG I, ECG II, ECG III, Pads ECG I
1st waveform*
Power on waveform select ECG I, ECG II, ECG III, ECG aVL, ECG aVF, ECG SpO2
2nd waveform* aVR, ECG V1, ECG V2, ECG V3, ECG V4, ECG V5,
Power on waveform select ECG I, ECG II, ECG III, ECG aVL, ECG aVF, ECG IBP1
3rd waveform* aVR, ECG V1, ECG V2, ECG V3, ECG V4, ECG V5,
Power on waveform select ECG I, ECG II, ECG III, ECG aVL, ECG aVF, ECG EtCO2
4th waveform* aVR, ECG V1, ECG V2, ECG V3, ECG V4, ECG V5,
Wi-Fi* On, Off Off
Wireless Channel* Channel 1 ~ 13 Channel 1
Wireless security mode* None, WEP, WPA, WPA2, Return None
Wireless WEP key* WEP key 1, WEP key 2, WEP key 3, WEP key 4 WEP key 1
WEP key length* 64 bit (10 hex digits), 128 bit (24 hex digits) 64 bit (10 hex digits)
Note: An asterisk (*) by a parameter in the above table indicates that the parameter can only be changed by authorized
personnel as described in the service manual
Note: Asterisks (**) by a parameter in the above table indicate the settings only when an optional printer is installed in the
173
174
SPECIFICATION
Display
Screen Size 8.4 measured diagonally across the TFT-LCD screen
Screen Type Liquid Crystal Display (LCD) Color
Size 170 x 128 mm
Number of Traces 4 waveforms
Controls
Multi function knob; Mode select knob (Off, AED, Manual,
Pacing and Monitor); 11 buttons (Shock, Energy Level,
Standard
Charge, Analyze, NIBP, LEAD, Alarm, Size, Print, Rate, mA);
5 soft key
Alarms
Categories Patient Status and System Status
Priorities Low, Medium and High Priorities
Notification Audible and Visual
Setting Default and Individual
Alarm Volume Level 45 to 85 dB
Physical Characteristics and Printer

Instrument
Dimensions 340 305 210 (mm) (WHD) including battery and
excluding paddles, options and accessories
Weight Approx. 6.16 (kg) including battery and excluding paddles,
options and accessories.
Degree of Protection ECG: Type CF with defibrillator protection
against Electric SpO2: Type CF with defibrillator protection
Shock Temperature: Type CF with defibrillator protection
EtCO2: Type CF with defibrillator protection
NIBP: Type CF with defibrillator protection
IBP: Type CF with defibrillator protection
Paddle: Type BF with defibrillator protection
Pads: Type BF with defibrillator protection
Mode of Operation Continuous
Classification Class IIb (MDD Annex IX Rule10:MEDDEV 2.4/1 Rev.8)
Printer
Type Thermal
Weight 190 g
Number of Channels 1 to 3 channels
Paper Type Thermal
Paper Width 80 mm
Printer Speed 25 mm/sec, 50 mm/sec
175
Electrical
Instrument
Power Requirements AC Mains
100 to 240 V, 50/60 Hz, 160 VA
DC Mains
18Vdc, 7.0A with DC/DC adapter, Model:MDD150-1218
(MDD150-1218: Input: 12-16Vdc, 160VA,
Output: 18Vdc, 7.0A)
Note: For 120 Volt applications, use only UL Listed detachable power cord with NEMA
configuration 5-15P type (parallel blades) plug cap. For 240 Volt applications use
only UL Listed Detachable power supply cord with NEMA configuration 6-15P type
(tandem blades) plug cap.
Battery (option)
Type Li-ion battery
Dimension 150 90 20 (mm) (WHD)
Voltage/Capacity 4S2P 14.4V/5200mAh
Discharge A minimum of 200 shocks at 200 Joules (per battery)
Operating time 5 hours (per battery), 10 hours (with two batteries)
At the following condition:
no printing
no external communication
no audible alarm sound
room temperature : 25C
Recharge Over 8 hours with defibrillator/monitor turned on/off
(It would take about 8 hours to fully charge the battery from
the moment that low battery alarm is activated.)
6 months, new battery fully-charged
(- The battery life cycle may vary with the number of
recharging, operating temperature, and storage condition.
Typically, about 80% capacity of battery may remain after
300 cycles of recharge. If one cycle of recharging would be
Life Cycle about 2 or 3 days, the battery may have 80% capacity after
about 24 months.
- The battery is designed not to be charged for safety
reason when it reaches 40C.)
After 2 months storage the defibrillator/monitor would run for
50% of stated battery life.
176
Environmental Conditions
Operation
Temperature 0 to 50C (32 to 122F)
Humidity 15 to 95% RH, non-condensing
Altitude -170 to 4,877m (-557 to 16,000 ft)
Note: The system may not meet its performance specifications if stored or used outside the
specified temperature and humidity range.
Note: The battery will not be charged for safety if the operating temperature exceeds 40C.
Shipping and Storage (in shipping container)
Temperature 20C to 70C (4F to 158F)
Humidity 15 to 95% RH, non-condensing
Altitude -304 to 6,096m (-1,000 to 20,000ft)
Note: The system may not meet its performance specifications if stored or used outside the
specified temperature and humidity range.
177
Tone Definition
High Priority Alarm Tone
Volume level Adjustable (level 1~8)
Pitch ( 48.8Hz) 976 Hz
Pulse width ( 10msec) 210 msec
Number of pulses 10 pulses per 4 sec, 10 sec inter burst
Repetitions Continually
Medium Priority Alarm Tone
Pitch ( 34.85Hz) 697 Hz
Number of pulses 3 pulses per 1 sec, 15 sec inter burst
Low Priority Alarm Tone
Pitch ( 9.4Hz) 488 Hz
Number of pulses 1 pulse per 0.25 sec, 30 sec inter burst
Alarm Reminder Tone
Volume level Not changeable
Pitch ( 40Hz) 800 Hz
Number of pulses 1 pulse per 1 second, 3 min, 10 min inter burst
HR/PR Tone
Volume level Not changeable
650 Hz (ECG)
Pitch ( 32.5Hz)
(162 + 5*SpO2) Hz
Number of pulses N/A
Repetitions No repeat
Key Beep
Volume level Adjustable (Off, level 1~7)
Pitch 440 ( 22) Hz (valid)
168 ( 8.4)Hz (invalid)
Number of pulses N/A
Repetitions No repeat
178
Measurement Parameters
Pacing Mode
Pacing Mode
Pacing rate Variable from 30 bpm(ppm) to 180 bpm(ppm) 1.5%
(increments or decrements by a value of 2 bpm(ppm))
Resolution 2 bpm(ppm)
Accuracy 1.5 %
Output current 0 mA to 140 mA
Resolution 2 mA
Accuracy 5% or 5 mA, whichever is greater.
Pulse Type 40 ms constant current pulse
Pulse Amplitude Variable 0 mA to 140 mA 5% or 5 mA, whichever is
greater. Digitally displayed on the defibrillator/monitor
(increments or decrements by a value of 2 mA)
Defibrillator
AED mode
Lead Lead ll
Patient Impedance 25 to 175 Ohm
Heart Rate 20 to 300 BPM
Accuracy 1 per min
Detection V/F 200 V
V/T 160 per min
Shock Analysis Time < 13 seconds typical
Charging Time to 200J* Within 6 seconds with rated main voltage/DC main
voltage
Within 7 seconds with fully charged battery
*Charging time for other cases, refer to defibrillator (technical specification)
Manual Mode
Shock Energy Level External paddles:
1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 30, 40, 50, 75, 100,
125, 150, 175, 200, 300, 360 J
Automatic Discharge Time 60 seconds
Charging Time to 200J* Within 6 seconds with rated main voltage/DC main
voltage
Charging Time to 360J Within 8 seconds with rated main voltage/DC main
voltage
*Charging time for other cases, refer to defibrillator (technical specification)
179
ECG
Heart Rate
Measurement Range 0, 20 to 300 BPM
Resolution 1 BPM
Accuracy 10% or 5 bpm, whichever is greater
Average Response Time 5 seconds (from 80 to120 BPM)
9 seconds (from 80 to 40 BPM)
Tall T-wave Rejection maximum T-wave amplitude 1.8 mV
ECG (Electrocardiograph)
Leads 3 / 5 / 12 Lead
Lead I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, V5,
V6, Paddle, Pads
Lead Off Detection Detected and displayed
Pacer Detection Detect pacer pulses of 2mV to 700mV with pulse
widths of 0.1 to 2msec and rise times 10% of width not
to exceed 100msec
Input
Input Impedance 5 Mohm or more
Input Dynamic Range 5 mV AC, 300 mV DC
Voltage Range 0.5 mV ~ 5 mV
Signal Width 40 to 120 ms (Q to S)
Output
Filter mode 0.5 to 21 Hz
0.05 to 40 Hz
1 to 21 Hz
ECG Size Auto, 5.0, 10.0, 15.0, 20.0, 30.0 mm/mV
Display Sweep Speeds 25.0 mm/sec
Wave Size x0.5, x1, x1.5, x2, x3
Display Sensitivity 10 mm/mV (1)
Pacing Pulse Detection On, Off
Electrode Disconnect Alarm Display and/or sound
CMRR 90 dB or more
Defibrillator Discharge <5 sec per IEC60601-2-27
Recovery
Defibrillator Protection Protected
ECG (Arrhythmia Supplemental Information as required by AAMI EC13)
Respiration, leads-off amp 0.03 A
sensing, and active noise common 0.25 A
suppression
Tall T-wave rejection Maximum T-Wave amplitude 1.8 mV
capability
Accuracy of input signal Displacement: 0.1 mV
reproduction Slope: 0.1 mV/s
Heart rate meter accuracy Provides correct heart rates, as follows:
and response to irregular Ventricular bigeminy: 39 bpm
rhythm Slow alternating ventricular bigeminy: 29 bpm
Rapid alternating ventricular bigeminy: 115~120bpm
Bidirectional systoles: 84~94 bpm
Response time of heart rate HR change from 80 to 120 bpm: 3.16 sec
meter to change in heart HR change from 80 to 40 bpm: 3.05 sec
rate
180
Time to alarm for Vent Tachycardia 1 mVpp, 206 bpm:
tachycardia Amplitude 0.5mV, Alarm activated time 6.79 sec
Amplitude 1mV, Alarm activated time 9.80 sec
Amplitude 2mV, Alarm activated time 8.19
Vent Tachycardia 2 mVpp, 195 bpm:

Time to alarm for cardiac Average: 3.28 sec
standstill
Time to alarm for heart rate Low heart rate: average:3.05 sec
High heart rate: average: 3.16 sec
Time base selection and 10 successive peaks: 10 mm
accuracy 20 successive peaks: 20 mm
40 successive peaks: 40 mm
Pacemaker pulse rejection Rejection of pacemaker pulses with amplitudes from
capability 2mV to 700mV with pulse widths of 0.1 to 2msec
Overshoot time constant 4 ms, Test method B (with
overshoot)
Pacer pulse detector Slew rate: 595mV/s
rejection of fast ECG signals
Respiration
IM Respiration
Technique Impedance Pneumography
Range 0, 3 to 120 breaths/min
Resolution 1 breaths/min
Leads RA to LA
Base impedance 500 to 2000 ohm
Delta impedance 0.5 to 3 ohm
Lead Off Condition Detected and displayed
Display Sweep Speeds 25 mm/sec
Wave Size x0.5, x1, x1.5, x2
AW Respiration
Technique Nondispresive Infrared Spectroscopy
Range 0 to 150 breaths/min
Accuracy 1 breaths/min
181
NIBP
Pulse Rate
Pulse Rate Range Adult/Pediatric 40 to 200 BPM
Neonatal 40 to 240 BPM
Resolution 5 BPM
Pulse Rate Accuracy 2 BPM or 2%, whichever is greater
NIBP (Non-Invasive Blood Pressure)
Technique Oscillometric Measurement
Measurement Modes Off, Cont, 1, 2.5, 3, 5, 10, 15, 30, 60, 90 minutes
Measurement Range Adult/Pediatric
SYS 60 to 250 mmHg
MAP 45 to 235 mmHg
DIA 40 to 200 mmHg
Neonatal
SYS 40 to 120 mmHg
MAP 30 to 100 mmHg
DIA 20 to 90 mmHg
NIBP Accuracy Mean error and standard deviation per ANSI/AAMI
SP10:2002+A1:2003+A2:2006, IEC 60601-2-30:2009, EN
1060-4:2004
Pressure Display Range Adult/Pediatric 0 to 300 mmHg
Neonatal 0 to 150 mmHg
Pressure Display Within 3 mmHg or 2%
Accuracy
Initial Cuff Inflate Adult/Pediatric
Pressure 120, 140, 160, 180, 200, 220, 240, 260, 280 mmHg
(16.0, 18.7, 21.3, 24.0, 26.7, 29.3, 32.0, 34.7, 37.3 kPa)
Neonatal
80, 90, 100, 110, 120, 130, 140 mmHg
(10.7, 12.0, 13.3, 14.7, 16.0, 17.3, 18.7 kPa)
Automatic Cuff Deflation Measurement time exceeding 180s in adult/pediatric (90s
in neonatal) or maximum pressure value exceeding 300
mmHg in adult (150 mmHg in neonatal).
Overpressure Protector Adult/Pediatric: 300 mmHg
Neonatal: 150 mmHg
Measurement Speed About 20 seconds
At the following condition:
Adult
Cuff size 12 cm
SYS 120 mmHg
MAP 90 mmHg
DIA 80 mmHg/ PR 80 BPM
Manual Measurements (180 mmHg)
182
IBP
Pulse Rate
Pulse Rate Range 20 to 250 BPM
Accuracy 1 % or 1 bpm
Pulse Rate Resolution 1 BPM
IBP (Invasive Blood Pressure)
Parameter Displayed P1, ABP
P2, CVP, PAP, LAP
Measurement Range -50 mmHg to 300 mmHg
20 bpm to 250 bpm
Resolution 1 mmHg
Accuracy 3 mmHg
Input sensitivity 5V/V/mmHg
3
Transducer Volume 0.1mm /100mmHg
Displacement
Zero calibration range 100mmHg
Frequency response DC - 10 Hz 1 Hz, -3db
Wave Size 0 to 50, 0 to 100, 0 to 200, 0 to 300, Auto Size
Display Sweep Speeds 25.0 mm/sec
SpO2
Measurement Ranges
SpO2 saturation range 1% to 100%
Pulse rate range 20 to 300 beats per minute (bpm)
Perfusion range 0.03% to 20%
Display sweep speed 25.0 mm/sec
Measurement Accuracy
Pulse rate accuracy 20 to 250 beats per minute (bpm) 3 digits
SpO2 saturation accuracy 70% to 100% 2 digits, neonates: 3 digits
Note: SpO2 saturation accuracy - Monitoring system measurements are statistically
distributed; about two-thirds of monitoring system measurements can be expected to fall in
this accuracy (ARMS) range. Reference the Clinical Studies section for test results. For a
complete listing of SpO2 accuracy across the full line of available Nellcor sensors, contact
Covidien, a local Covidien representative, or locate it online at www.covidien.com.
Operating Range and Dissipation
Red Light Wavelength Approximately 660 nm
Infrared Light Wavelength Approximately 900 nm
Optical Output Power Less than 15 mW
Power Dissipation 52.5 mW
183
Capnography
Capnography
Parameter Displayed EtCO2, InCO2
Range 0 mmHg ~ 150 mmHg (0kPa ~ 20kPa, 0% ~ 20%)
Accuracy 0-40mmHg 2mmHg of reading
41-70mmHg 5% of reading
Display Accuracy 2mmHg
Response Time Mainstream: Less than 60ms
Sidestream: Less than 3sec.
Baromatric Pressure -152.4 to 4572 meters
Correction (-500 to 15,000 feet),
775 to 429 mmHg, Automatic
Gas Compensation User selective at O2 >60% and N2O >50%
Stability and drift Short term drift: Less than 0.8 mmHg over 4 hours.
Long term drift: Accuracy specification will be maintained
over a 120 hour period.
Accuracy Change for 0-40 mmHg 1 mmHg additional error
interfering Gases and 41-70 mmHg 2.5% additional error
Vapors Anesthetic and 71-100 mmHg 4% additional error
interfering agents 101-150 mmHg 5% additional error
Additional worst case error when compensation for O2

and N2O is correctly selected for actual fractional gas
constituents present.
Warm Up Time 2 minutes maximum
Sweep Speeds 25.0 mm/sec
Sound Noise Level Less than 41dB when ambient sound pressure level is
22dB
Temperature
Thermistor Temp
Probe Type Thermistor probe YSI compatible type
Measurement Method Thermistor
Range 0 to 50C (32.0 to 122F)
Accuracy 25 to 45 C (77 to 113F): 0.2C
Resolution 25 to 45 C (77 to 113F): 0.1C
184
Event
Type 12 lead, Event
Data storage Internal memory, SD card
Memory 12 lead
saves total 100 data
saves ECG waveform
saves ECG analysis result data
saves ECG analysis date and time
saves HR/PR, NIBP, SpO2, Respiration,
Temperature, IBP 1, IBP 2, EtCO2 numeric data
saves alarm condition
Event
saves total 250 data
saves defibrillation shock information (number of
shock, energy level, actual passed energy,
impedance)
saves pacing information (pace rate, pace current,
async mode)
saves clinical action list
saves 1 channel ECG waveform
saves Event date and time
saves HR/PR, NIBP, SpO2, Respiration,
Temperature, IBP 1, IBP 2, EtCO2 numeric data
saves alarm condition
185
Defibrillator (Technical Specification)
AED Mode
AED Mode
Charging Time - 200J Charging condition Time (sec)
With Rated Mains Voltage 5.8
With DC Mains Voltage 5.9
With fully charged battery 6.4
Charging Time - 200J Charging condition Time (sec)
(including time from the With Rated Mains Voltage 18.1
initiation of rhythm With DC Mains Voltage 18.4
analysis with a clear ECG With fully charged battery 19.3
signal to readiness for With Mains Voltage of 90% of the Rated
discharge.) 18.1
value
With DC Mains Voltage of 90% of the
18.8
Rated value
After 15 maximum energy discharges
19.6
taken from a new fully charged battery
With Mains Voltage of 90% of the Rated
value, but measured from initially
26.4
switching power on to ready for
discharge at maximum energy
Rated value, but measured from initially
26.3
switching power on to ready for
taken from a new fully charged battery,
but measured from initially switching 26.7
power on to ready for discharge at
maximum energy
Note: A used battery normally takes more time than the
charging time specified in above.
Waveform parameters The defibrillator/monitor delivers shocks to load
impedances from 25 to 175 ohms. The duration of each
pulse of the waveform is dynamically adjusted based on
delivered charge, in order to compensate for patient
impedance variations, as shown below:
(When 200J is selected)
Load resistance () Delivered energy(J)
25 195
50 200
75 196
100 199
125 199
150 200
175 200
186
Manual Mode
Manual Mode
Charging Time 200J Charging condition Time (sec)
With Mains Voltage of 90% of the
5.8
Rated value
6.4
Rated value
6.6
Rated value, but measured from
11.7
initially switching power on to ready for
11.9
maximum energy
Charging Time 360J Charging condition Time (sec)
7.4
Rated value
8.0
Rated value
8.5
13.0
14.0
maximum energy
187
Number of discharges The number of maximum energy discharges which are
available from a new and fully charged battery at 20C
ambient temperature is above 200 times for 360J and
250 times for 200J
ECG Analysis Performance
Rhythm class ECG analysis performance

Shockable rhythm, Complies with IEC60601-2-4:2002
Ventricular Fibrillation (sensitivity > 90%)
Shockable rhythm, Complies with IEC60601-2-4:2002
Ventricular (sensitivity > 75%)
Tachycardia
Non-Shockable Complies with IEC60601-2-4:2002
rhythm (specificity > 95%)
Database for ECG Analysis
l From AHA (American Heart Association) official database

l From MIT (Massachusetts institute Technology) official database
(MIT-BIH Arrhythmia Database and Creighton University Ventricular Tachyarrhythmia
Database)
ECG rhythm to determine if a shock is appropriate
l Ventricular Fibrillation at a amplitude greater than or equal to 0.2mV

l Ventricular Tachycardia at a heart rate greater than or equal to 160 bpm
188
Biphasic Waveform Characteristics
The efficiency of DREs Biphasic waveform has been clinically verified during a
ventricular fibrillation (VF) and ventricular tachycardia (VT) defibrillation study. This study
(which was conducted using VidaStat DM defibrillator/monitors) and the findings are
described below.
Table 41. Delivered Energy at Every Defibrillator Settings into a Range of Loads
Selected Load Accuracy
Energy 25 50 75 100 125 150 175
1J 1.0 1.0 1.0 1.0 1.0 1.0 1.0 15%
2J 2.0 2.0 2.0 2.0 2.0 2.0 2.0 15%
3J 3.0 3.0 3.0 3.0 3.0 3.0 3.0 15%
4J 4.0 4.0 4.0 4.0 4.0 4.0 4.0 15%
5J 5.0 5.0 5.0 5.0 5.0 5.0 5.0 15%
6J 6.0 6.0 6.0 6.0 6.0 6.0 6.0 15%
7J 7.0 7.0 7.0 7.0 7.0 7.0 7.0 15%
8J 8.0 8.0 8.0 8.0 8.0 8.0 8.0 15%
9J 9.0 9.0 9.0 9.0 9.0 9.0 9.0 15%
10J 11.0 10.0 10.0 10.0 10.0 10.0 10.0 15%
15J 16.0 15.0 15.0 15.0 15.0 15.0 15.0 15%
20J 21.0 20.0 20.0 20.0 20.0 20.0 20.0 15%
30J 31.0 30.0 30.0 30.0 30.0 30.0 30.0 15%
40J 41.0 40.0 40.0 40.0 39.0 39.0 39.0 15%
50J 51.0 50.0 50.0 50.0 49.0 49.0 49.0 15%
75J 77.0 76.0 75.0 75.0 74.0 74.0 74.0 15%
100J 102 101 101 100 99.0 99.0 99.0 15%
125J 127 126 126 124 124 122 123 15%
150J 152 151 150 150 148 147 148 15%
175J 177 174 173 173 173 172 172 15%
200J 203 198 200 199 198 197 197 15%
300J 304 302 300 298 296 297 296 15%
360J 370 371 365 363 363 356 356 15%
189
Figure through show the biphasic waveforms that are produced when the
defibrillator/monitor is discharged into loads of 25, 50, 75, 100, 125, 150 and 175 ohms
at each energy setting (360, 300, 200, 175, 150, 125, 100, 75, 50, 40, 30, 20, 15, 10, 9,
8, 7, 6, 5, 4, 3, 2 and 1 joule[s]).
The vertical axis shows the voltage in volts (V); the horizontal axis shows the duration in
milliseconds (ms).
Figure 81. Biphasic Waveforms at 300 Joules and 360 Joules
Figure 82. Biphasic Waveforms at 200 Joules
190
191
192
193
194
195
Figure 93: Biphasic Waveforms at 9 Joules
196
197
198
199
200
Compliance
Item Standard Description
Classification IEC60601-1:1988 Class I (on AC power)
+A1:1991+A2:1995, Internally powered (on battery power)
EN60601-1:1996
Type of protection IEC60601-1:1988 Type BF and Type CF Applied part
+A1:1991+A2:1995,
EN60601-1:1996
Mode of operation IEC60601-1:1988 Continuous
+A1:1991+A2:1995,
EN60601-1:1996
Degree of protection IEC60529:2001, IP34 (provided by enclosures)
EN60529:1991
+A1:2000
General 93/42/EEC as Directives for medical devices
amended by
2007/47/EC
21CFR820 Code of federal regulations
2012/19/EU Waste electrical and electronic equipment directive
(WEEE)
93/86/EEC Battery disposal directive
2006/66/EC as Battery directive
amended by
2008/103/EC
ISO13485:2003, Quality systems - Medical Devices - Requirements
EN ISO13485:2003 for regulating purposes
ISO14971:2007, Risk analysis managements medical devices
EN ISO14971:2012
IEC60601-1:1988 General requirements for safety of medical
+A1:1991+A2:1995, electrical equipment
EN60601-1:1996
IEC60529:2001, Degree of protection provided by enclosures (IP34)
EN60529:1991
+A1:2000
ISO14155:2011, Clinical investigation of medical devices for human
EN ISO14155:2011 subjects part 1: General requirements
AAMI HE75:2009 Human factors engineering guidelines and
preferred practices for the design of medical
devices
IEC60601-1-1:2000, Collateral standard for medical electrical systems
EN60601-1-1:2001
IEC60601-1-4:2000, Collateral standard for programmable medical
EN60601-1-4:1996 systems
+A1:1999
IEC60601-1-6:2006, Collateral standard for usability
EN60601-1-6:2007
ISO 10993-1:2009/ Biological evaluation of medical devices Part 1:
Cor1:2010, Evaluation and testing
EN ISO10993-1:2009
201
ISO10993-5:2009, Biological evaluation of medical devices Part 5:
EN ISO10993-5:2009 Tests for in vitro cytotoxicity
ISO10993-10:2010, Biological evaluation of medical devices Part 10:
EN ISO10993-10:2010 Tests for irritation and delayed-type hypersensitivity
IEC60601-2-49:2001, Particular requirements for multifunction patient
EN60601-2-49:2001 monitoring equipment
IEC62366:2007 Medical devices Application of usability
EN62366:2008 engineering to medical devices
IEC60601-1-9:2007 Medical electrical equipment - Part 1-9: General
EN60601-1-9:2008 requirements for basic safety and essential
performance - Collateral Standard: Requirements
for environmentally conscious design
IEC62304:2006 Medical device software Software life-cycle
EN62304:2006 processes
Ambulance EN1789:2007+A1:2010 Medical vehicles and their equipment road
ambulance
EN13718-1:2008 Medical vehicles and their equipment Air
ambulances Part1:Requirements for medical
devices used in air ambulances.
RTCA/ DO-160G Environmental Conditions and Test Procedures for
Airborne Equipment
Alarms IEC60601-1-8:2006, Alarm systems requirements, tests and guidance in
EN60601-1-8:2007 medical electrical equipments systems
Electrocardiograph IEC60601-2-27:2005, Particular requirements for the safety of
EN60601-2-27:2006 Electrocardiographic monitoring equipment
IEC60601-2-25:2011 Particular requirements for the basic safety and
EN60601-2-25:1995 essential performance of electrocardiographs
AAMI EC13:2002 Cardiac monitors, heart rate meters and alarms
ANSI/AAMI ECG cable and leads
EC53A:1998/(R)2008
AAMI Testing and reporting performance results of
EC57:1998(R)2008 cardiac rhythm and ST-segment
measurement algorithms
Non-invasive blood AAMI SP10:2002 Electronic or automated sphygmomanometers
pressure +A1:2003+A2:2006
EN1060-1:1995 Non-invasive sphygmomanometers
+A2:2009
EN1060-3:1997 Supplementary requirements for electrical-
+A2:2009 mechanical blood pressure measuring systems
EN1060-4:2004 Non-invasive sphygmomanometers - Test
procedures to determine the overall system
accuracy of automated non-invasive
sphygmomanometers
IEC60601-2-30:1999, Particular requirements for the safety, including
EN60601-2-30:2000 essential performance, of automatic cycling indirect
blood pressure monitoring equipment
Oxygen saturation ISO9919:2005, Basic safety & essential performance of pulse
EN ISO 9919:2009 oximeter for medical use
202
Temperature EN12470-4:2000 Performance of electrical thermometers for
monitoring +A1:2009 continuous Measurement
Invasive blood IEC60601-2-34:2000 Particular requirements for the safety, including

pressure EN 60601-2-34:2000 essential performance, of invasive blood pressure
monitoring equipment
Capnography ISO21647:2004, Particular requirements for the basic safety and
EN ISO 21647:2009 essential performance of respiratory gas monitors
Defibrillator IEC 60601-2-4:2002 Safety of cardiac defibrillators
EN 60601-2-4:2003
AAMI DF80:2003 Safety of cardiac defibrillators (including automated
external defibrillators)
Electromagnetic IEC60601-1, sub Electromagnetic compatibility-requirements & test
compatibility clause 36, and
IEC60601-1-2:2007,
EN60601-1-2:2001
+A1:2006
IEC61000-3-2:2005 Harmonic emission Ed 3.2
+A1:2008 +A2:2009,
EN61000-3-2:2006
+A1:2009 +A2:2009
IEC61000-3-3:2008, Voltage fluctuations/Flicker emission Ed 2.0
EN61000-3-3:2008
IEC61000-4-2:2008, Electrostatic discharge Ed 2.0
EN61000-4-2:2009
IEC61000-4-3:2008 Radiated RF electromagnetic field Ed 3.1
EN61000-4-3:2006
+A1:2008
IEC61000-4-4:2004 Electrical fast transient/burst Ed 2.1
+A1:2010,
EN61000-4-4:2004
+A1:2010
IEC61000-4-5:2005, Surge current Ed 2.0
EN61000-4-5:2006
IEC61000-4-6:2008, Conducted disturbances, induced by RF field Ed
EN61000-4-6:2009 3.0
IEC61000-4-8:2009, Power frequency (50/60Hz) magnetic field Ed 2.0
EN61000-4-8:2010
IEC61000-4-11:2004, Voltage dips, short interruption and voltage
EN61000-4-11:2004 variation on power supply input lines Ed 2.0
CISPR11:2009 Limits and methods of measurement of radio
+A1:2010 disturbance characteristics of industrial scientific
EN55011: 2009 and medical (ISM) radio-frequency equipment RF
+A1:2010 Emissions Group 1, Class B
CISPR22:2008 Information technology equipment - Radio
EN55022:2010 disturbance characteristics - Limits and methods of
measurement
Package ISTA (Procedure 1A, Pre-Shipment test procedures (Package)
2001)
203
ASTM D4169:2009 Standard practice for performance testing of
shipping containers and system
IEC60068-1:1998 Environmental testing, Part1: General guidelines
+A1:1992
EN 60068-1:1994
IEC60068-2-1:2007 Environmental testing - Part 2-1: Tests - Test A:
EN60068-2-1:2007 Cold
IEC60068-2-2:2007 Environmental testing - Part 2-2: Tests - Test B:
EN60068-2-2:2007 Dry heat
IEC60068-2-30:2005 Environmental testing - Part 2-30: Tests - Test Db:
EN60068-2-30:2005 Damp heat, cyclic (12 h + 12 h cycle)
Reliability IEC60068-2-27:2008, Environmental testing Shock
EN60068-2-27:2009
IEC60068-2-6:2007, Environmental testing Vibration
EN60068-2-6:2008
IEC60068-2-64:2008, Environmental testing: vibration, broad-band
EN60068-2-64:2008 random (digital control) and guidance
Labeling EN1041:2008 Information supplied by the manufacturer with
medical devices
Marking IEC /TR60878:2003 Graphical symbols for electrical equipment in
medical practice
EN980:2008 Graphical symbols for use in the labeling of medical
devices
ISO15223-1:2011 Symbols to be used with medical device
labels, labelling and information to be supplied
-- Part 1: General requirements
ISO15223-2:2010 Symbols to be used with medical device
labels, labelling, and information to be
supplied -- Part 2: Symbol development,
selection and validation
ISO7000:2012 Graphical symbols for use on equipment-index and
synopsis
EN50419:2006 Marking of electrical and electronic equipment in
accordance with article II (2) of directive
2002/96/EC (WEEE)
204
Manufacturers Declaration
accessories supplied or recommended by DRE . Use accessories according
to the manufacturers directions for use and your facilitys standards. The use
of accessories, transducers, and cables other than those specified may result
in increased emission and/or decreased immunity of the defibrillator/monitor.
The defibrillator/monitor is suitable for use in the specified electromagnetic

environment. The customer and/or user of the defibrillator/monitor should assure that it
is used in an electromagnetic environment as described below;
Table 42. Electromagnetic Emissions (IEC60601-1-2)
Emission Test Compliance Electromagnetic Environment

RF emission Group 1, The defibrillator/monitor is suitable for use
CISPR 11 Class B in all establishments
Harmonic emissions Class A The defibrillator/monitor is suitable for use
IEC 61000-3-2 in all establishments.
Voltage fluctuations/flicker Complies The defibrillator/monitor is suitable for use
emission in all establishments.
IEC 61000-3-3
Table 43. Electromagnetic Immunity (IEC60601-1-2)
Immunity Test IEC 60601-1-2 Compliance Electromagnetic

Test Level Level Environment Guidance
Electrostatic 6 kV contact 6 kV contact Floor should be wood,
discharge (ESD) 8 kV air 8 kV air concrete, or ceramic tile. If
IEC 61000-4-2 floors are covered with
synthetic material, the relative
humidity should be at least
30 %.
Electric fast 2 kV for 2 kV for Mains power quality should be
transient/burst power supply lines power supply that of a typical commercial
IEC 61000-4-4 1 kV for lines and/or hospital environment
input/output lines 1 kV for
input/output lines
Surge 1 kV differential 1 kV differential Mains power quality should be
IEC 61000-4-5 mode mode that of a typical commercial
2 kV 2 kV and/or hospital environment
common mode common mode
Voltage dips, <5 % U T <5 % U T Mains power quality should be
short (>95 % dip in UT ) (>95 % dip in U T) that of a typical commercial
interruptions and for 0.5 cycle for 0.5 cycle and/or hospital environment. If
voltage the user of the
variations on defibrillator/monitor requires
power supply continued operation during
power mains interruption, it is
recommended that the
IEC 61000-4-11 40 % U T 40 % U T defibrillator/monitor be
(60 % dip in UT ) (60 % dip in U T) powered from an
for 5 cycles for 5 cycles uninterruptible power supply or
70 % U T 70 % U T battery.
(30 % dip in UT ) (30 % dip in UT)
for 25 cycles for 25 cycles
<5 % U T <5 % U T
(95 % dip in UT ) (95 % dip in UT)
for 5 sec. for 5 sec.
Power 3 A/m 3 A/m It may be necessary to position
frequency the defibrillator/monitor further
(50/ 60 Hz) from the sources of power
205
Immunity Test IEC 60601-1-2 Compliance Electromagnetic
Test Level Level Environment Guidance
magnetic field frequency magnetic fields or to
install magnetic shielding. The
IEC 61000-4-8 power frequency magnetic field
should be measured in the
intended installation location to
assure that it is sufficiently low.
Note: UT is the AC mains voltage prior to application of the test level.
Table 44. Electromagnetic Immunity (IEC60601-1-2)

Immunity Test IEC 60601 Compliance Electromagnetic environment
test level level guidance
The defibrillator/monitor is intended for use in the electromagnetic environment specified
below. The customer or the user of the defibrillator/monitor should assure that it is used in
such an environment.
Portable and mobile RF
communications equipment should
be used no closer to any part of the
defibrillator/monitor including cables,
than the recommended separation
distance calculated from the
equation appropriate to the
frequency of the transmitter.
Recommend separation distance
Conducted RF 3 Vrms 3 Vrms d = 1.2 p

IEC 61000-4-6 150 kHz to 80 MHz
Radiated RF 3 V/m 3 V/m d = 1.2 p 80 MHz to 800 MHz

IEC 61000-4-3 80 MHz to 800 MHz
3 V/m 3 V/m d = 2.3 p 800 MHz to 2.5 GHz

800 MHz to 2.5
GHz where P is the maximum output
power rating of the transmitter in
watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in
metres (m).
Field strengths from fixed RF

transmitters as deter-mined by an
a
electromagnetic site survey, should
be less than the compliance level in
b
each frequency range.
Interference may occur in the vicinity

of equipment marked with the
following symbol:
Note: At 80 MHz and 800 MHz, the higher frequency range applies.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects, and people.
206
Immunity Test IEC 60601 Compliance Electromagnetic environment
test level level guidance
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile 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 defibrillator/monitor is used exceeds the applicable RF
compliance level above, the defibrillator/monitor should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary,
such as re-orienting or relocating the defibrillator/monitor.
b
Over the frequency range 150 kHz to 80MHz, field strengths should be less than 3 V/m
Table 45. Electro-surgical Unit Interference (IEC60601-2-27, IEC-60601-2-30)
Interference Test IEC 60601 test level Complies with

Test in cut mode Output power 300W, IEC 60601-2-2
5 times
Test in coagulation mode Output power of 100W,
Working frequency of 400 kHz 10 %
5 times
Table 46. Recommended Separation Distances
Recommended separation distance between

portable and mobile RF communications equipment and the
defibrillator/monitor
The defibrillator/monitor is intended for use in an electromagnetic environment in which
radiated RF disturbances are controlled. The customer or the user of the defibrillator/monitor
can help prevent electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the defibrillator/monitor
as recommended below, according to the maximum output power of the communications
equipment.
Rated Maximum Separation distance according to frequency of transmitter in
Output Power of meter
Transmitter in 150 kHz to MHz 80 MHz to 800 MHz 800 MHz to 2.5GHz
watt d = 1.2 p d = 1.2 p d = 2.3 p
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (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.
Note: At 80MHz and 800MHz, the separation distance for the higher frequency range applies
Note: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects, and people.
207
Table 47. Cables (IEC60601-1-2)
Maximum
Cables and Sensors Complies with
Length
AC Power Cable 2.5m
DC In Cable 1.8 m -RF emissions, CISPR 11, Class B/ Group 1
NIBP Hose 3.5 m -Harmonic emissions, IEC 61000-3-2
Cuff Hose 0.5 m -Voltage fluctuations/flicker emission,
IBP Cable 3.0 m IEC 61000-3-3
ECG Lead Cable 3.0 m -Electrostatic discharge (ESD), IEC 61000-4-2
Defibrillator/AED Cable 3.0 m -Electric fast transient/burst, IEC 61000-4-4
Temperature Cable 3.0 m -Surge, IEC 61000-4-5
EtCO2 Cable 2.0 m -Conducted RF IEC 61000-4-6
SpO2 Cable 4.0 m -Radiated RF, IEC 61000-4-3
SpO2 Sensor 1.0 m
208

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Please contact your local distributor about the warranty period.

This defibrillator/monitor is equipped with epoch-making ECG monitoring

Warnings are identified by the WARNING symbol shown above.

WARNING: When using the defibrillator/monitor with anesthetics, nitrous oxide or

WARNING: When using the defibrillator/monitor with a commercial electric power

WARNING: The defibrillator/monitor cannot be used when MRI is in progress. If MRI

WARNING: The defibrillator/monitor conforms to the requirements of the EMC

WARNING: In order to avoid accidents, do not use any unauthorized accessories or

WARNING: Pre-use inspection and preventive maintenance must be performed for

WARNING: The defibrillator/monitor may be used with electrical surgical

WARNING: The defibrillator/monitor is a prescription device and is to be operated

WARNING: As with any medical equipment, carefully route patient cabling to

WARNING: To ensure patient electrical isolation, connect only to other equipment

Cautions are identified by the CAUTION symbol shown above.

Caution statements identify conditions or practices that could result in damage to

CAUTION: Always check that the defibrillator/monitor functions properly and is in

CAUTION: The defibrillator/monitor may not operate properly if it is operated or

CAUTION: When connecting the defibrillator/monitor to any instrument, verify

CAUTION: Accessory equipment connected to the defibrillator/monitors data

CAUTION: Risk of explosion if battery is replaced by an incorrect type.

CAUTION: Where the integrity of the external protective conductor in the

WARNING: Patient conditions may result in erroneous readings. If the

Intended Use for the VidaStat DM

The other monitoring functions (Electrocardiography (ECG, Heart Rate), Non-invasive

Indications for Use

Identifying the VidaStat DM Configurations

Front Panel Components 1

Figure 1. Front panel components

Mode select knob

Energy Level button

Multi function knob

Figure 2. Top panel components

1 Paddle 4 SHOCK button

Table 2. The defibrillator/monitor controls on paddle

Energy Level button

1 Side Option Case

Right Panel Components

1 Wireless(3G, Wi-Fi) module

Figure 5. Right panel components

AC indicator Dust and water resistance

Direct current CE mark

Battery charging status

Service indicator Separate Collection

Type BF- Defibrillator Proof EU representative

Type CF- Defibrillator Proof Manufacturer

NIBP connector Date of manufacture

Temperature 1 connector Reference number

Temperature 2 connector Serial number

SpO2 conector Fragile

ECG connector Keep dry

AC power input rating This way up

Equipotential terminal Single patient use only

1 Shock count number/icon 8 Waveform area

ECG source: Lead lll Respiration Icon

ECG source: Lead V EtCO2 respiration: AW

ECG source: Lead V1 Thoracic impedance respiration: IM

ECG source: Lead V2 NIBP auto mode interval

ECG source: Lead V3 NIBP elapsed time

ECG source: Lead V4 HR/PR icon & unit

ECG source: Lead V5 Communication source: 3G

ECG source: Lead V6 Communication source: Wi-Fi