Gima PC-900VET GIMA 900 VET Multiparameter Patient Monitor

Product Information

Specifications

• Product Name: GIMA 900 VET Multiparameter Patient Monitor
• Model: PC-900VET (GIMA 80710)
• Manufacturer: Shenzhen Creative Industry Co., Ltd.
• Address: Floor 5, BLD 9, Baiwangxin High-Tech Industrial Park, Songbai Road, Xili Street, Nanshan District, 518110 Shenzhen, P.R. China
• Country of Origin: Made in China
• Distributor: Shanghai International Holding Corp. GmbH (Europe)
• Distributor Address: Eiffestrasse 80, 20537 Hamburg, Germany
• IP Rating: IPX2
• Manufacturer’s Website: www.gimaitaly.com

Product Usage Instructions

Warning for Pacemaker Patients
This monitor may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon this monitor ALARMS. Keep pacemaker patients under close surveillance.

Defibrillator Safety
The monitor is defibrillator proof. Before conducting defibrillation, verify that the accessories can function safely and normally and the monitor is grounded properly. Disconnect the monitor and sensors before MRI scanning as use during MRI could cause burns or adversely affect the MRI image or the monitor’s accuracy. If there are doubts about the grounding layout and its performance, use the built-in battery to power the monitor.

Compliance with Standards
All combinations of equipment must be in compliance with the standard of IEC 60601-1-1 for medical electric system requirements.

SpO2 Probe Application
Check the SpO2 probe application site periodically (every 30 minutes) to determine circulation, positioning, and skin sensitivity. The SpO2 probe of this monitor may not work for all patients. If stable readings cannot be obtained at any time, change the appropriate probe or discontinue the use of SpO2 monitoring.

Cleaning and Accessories
Do not immerse the monitor or its accessories in liquid to clean. Only use accessories provided/recommended by the manufacturer.

Alarm Limits and Patient Assessment
Each time the monitor is used, check the alarm limits to ensure that they are appropriate for the patient being monitored. The monitor is intended only as an adjunct in patient assessment and must be used in conjunction with clinical signs and symptoms.

Blood Pressure Measurement
When taking the measure of a small animal’s blood pressure, do NOT operate in the big animal mode as the high inflation pressure may cause lesions or even body putrescence. The monitor is prohibited from applying to those who have a severe hemorrhagic tendency or who are with sickle cell disease as they may develop partial bleeding when this monitor is used to take the blood pressure measurement. DO NOT take blood pressure measurement from a limb receiving ongoing transfusion, intubation, or skin lesion area, as it may cause damages to the limb.

Continuous Use of SpO2 Sensor
Continuous use of the SpO2 sensor may result in discomfort or pain, especially for those with micro-circulatory problems.

FAQ (Frequently Asked Questions)

Q: Can I clean the monitor and its accessories by immersing them in liquid?
A: No, do not immerse the monitor or its accessories in liquid to clean.

Q: Can I use accessories other than those provided/recommended by the manufacturer?
A: No, only use accessories provided/recommended by the manufacturer.

Q: How often should I check the SpO2 probe application site?
A: The SpO2 probe application site should be checked periodically, every 30 minutes, to determine circulation, positioning, and skin sensitivity.

Q: Can the monitor be used as a standalone device for patient assessment?
A: No, the monitor is intended only as an adjunct in patient assessment and must be used in conjunction with clinical signs and symptoms.

PROFESSIONAL MEDICAL PRODUCTS
GIMA 900 VET MULTIPARAMETER PATIENT MONITOR

PC-900VET (GIMA 80710)
Shenzhen Creative Industry Co., Ltd. Floor 5, BLD 9, Baiwangxin High-Tech Industrial Park, Songbai Road, Xili Street, Nanshan District, 518110 Shenzhen, P.R. China MADE IN CHINA
Shanghai International Holding Corp. GmbH (Europe) Eiffestrasse 80, 20537 Hamburg, Germany

IPX2

Gima S.p.A. Via Marconi, 1 – 20060 Gessate (MI) Italy [email protected] – [email protected] www.gimaitaly.com

+60°C -20°C

95% % 10%

107.4kPa 50kPa

M80710-GB-Rev.1-11.23

User Manual for Vital Signs Monitor (VET) The Manual describes, in accordance with the Vital Signs Monitor’s features and requirements, main structure, functions, specifications, correct methods for transportation, installation, usage, operation, repair, maintenance and storage, etc. as well as the safety procedures to protect both the user and equipment. Refer to the respective chapters for details. The Manual is published in English and we have the ultimate right to explain the Manual. No part of this manual may be photocopied, reproduced or translated into another language without the prior written consent. We reserve the right to improve and amend it any time without prior notice. Amendments will however be published in a new edition of this manual. Version of This Manual: Ver 1.1 Revised Date: October 16 , 2023 Manufactured date: See label on device Service life: 5 years All rights reserved. Marks in the Manual:
Warning : must be followed to avoid endangering the operator and the patient. Caution: must be followed to avoid causing damage to the monitor. Note: some important information and tips about operations and application.

User Manual for Vital Signs Monitor (VET)

Dear Users,

Instructions to User

Thank you very much for purchasing our product. Please read the following information very carefully before using this device.

Read these instructions carefully before using this monitor. These instructions describe the operating procedures to be followed strictly. Failure to follow these instructions can cause monitoring abnormity, equipment damage and personal injury. The manufacturer is NOT responsible for the safety, reliability and performance issues and any monitoring abnormality, personal injury and equipment damage due to user’s negligence of the operation instructions. The manufacturer’s warranty service does not cover such faults.
WARNING-PACEMAKER PATIENTS. This monitor may continue to count the pacemaker rate during
occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon this monitor ALARMS. Keep pacemaker patients under close surveillance.
Monitoring a single person at a time. The monitor is defibrillator proof. Verify that the accessories can function safely and normally and
the monitor is grounded properly before conducting defibrillation.
Disconnect the monitor and sensors before MRI scanning. Use during MRI could cause burns or
adversely affect the MRI image or the monitor’s accuracy.
If you have any doubt to the grounding layout and its performance, you must use the built-in
battery to power the monitor.
All combinations of equipment must be in compliance with standard of IEC 60601-1-1 for medical
electric system requirements.
Check SpO2 probe application site periodically (every 30 minutes) to determine circulation,
positioning and skin sensitivity.
The SpO2 probe of this monitor may not work for all patients. If stable readings can not be obtained
at any time, change appropriate probe or discontinue use of SpO2 monitoring.
Do not immerse the monitor or its accessories in liquid to clean. Do not use accessories other than those provided/recommended by the manufacturer. Each time the monitor is used, check the alarm limits to ensure that they are appropriate for the
patient being monitored.
The monitor is intended only as an adjunct in patient assessment. It must be used in conjunction
with clinical signs and symptoms.
When taking the measure of an small animal blood pressure, do NOT operate in the big animal mode. The high
inflation pressure may cause lesion or even body putrescence.
The monitor is prohibited from applying to those who have severe hemorrhagic tendency or who are with sickle cell
disease for they may develop partial bleeding when this monitor is used to take the blood pressure measurement.
DO NOT take blood pressure measurement from a limb receiving ongoing transfusion or intubation or skin lesion area,
otherwise, damages may be caused to the limb.
Continuous use of SpO2 sensor may result in discomfort or pain, especially for those with micro-circulatory problem. It

II

User Manual for Vital Signs Monitor (VET) is recommended that the sensor should NOT be applied to the same place for over two hours, change the measuring site periodically if necessary.
SpO2 measuring position must be examined more carefully for some special patient. Do NOT install the SpO2 sensor
on the finger with edema or vulnerable tissue.
To prevent the risk of the short circuit, the equipment must be properly grounded. Although biocompatibility tests have been performed on all the applied parts, some exceptional allergic patients
may still have anaphylaxis. Do NOT apply to those who have anaphylaxis.
All the connecting cables and rubber tubes of the applying parts should be kept away from the patient’ s cervix to
prevent any possible suffocation of the patient.
All the parts of the monitor should NOT be replaced at will. If necessary, please use the components provided by the
manufacturer or those that are of the same model and standards as the accessories along with the monitor which are provided by the same factory, otherwise, negative effects concerning safety and biocompatibility etc. may be caused.
DO NOT stare at the infrared light of SpO2 sensor when switch it on, for the infrared may do harm to the eye. If the monitor falls off accidentally, please do NOT operate it before its safety and technical indexes have been tested
minutely and positive testing results obtained.
It is recommended to take the blood pressure measurement manually. The automatic or continuous mode should be
used at the presence of a doctor/nurse.
Alarm limits should not be set to exceed the measuring range, or the alarm system will not generate alarm signals
because of no alarm condition. Refer to the Technical Specification for detailed measuring range.
Please peruse the relative content about the clinical restrictions and contraindication. When disposing of the monitor and its accessories, the local law should be followed. Do not replace the built-in battery when the device is at working state.

User Manual for Vital Signs Monitor (VET) Chapter 1 Overview
1.1 Features Blood Pressure, SpO2, and Pulse Rate on large, bright LED display; Color LCD to display plethysmogram; Accurate NIBP measurement with hardware and software over-pressure protection, hemostat function is also available by cuff; Unique oximetry technique ensures sensitive and accurate SpO2 and pulse rate measurement, pitch tone function is also available; Up to 12000 groups of BP measurements can be stored in non-volatile memory and reviewed by list, the stored data can be uploaded to computer; Historic data records can be reviewed in waveform, list or trend graph; Multi-level audible & visible alarm function, nurse call output is available; Option of built-in printer to print out waveform, and text information. Note: The monitor you purchased may not cover all the mentioned functions according to its configuration.
1.2 Intended Use This Monitor is a multi-functional instrument designed for monitoring the vital physiological signs of large and small animals, such as dog and cat. With the functions of real-time recording and displaying parameters, such as non-invasive blood pressure, functional oxygen saturation and so on, it allows comprehensive analysis of animal’s physiological conditions. This instrument is applicable for use in hospitals and clinical institutions and should be operated by qualified personnel only. 1.3 Safety
a) This device is defibrillator proof and resistant to interference from electro-surgical units. b) This device has a cardiac pace-maker pulse inhibition function. c) DO NOT use this device while the patient is under MRI or CT scanning.
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User Manual for Vital Signs Monitor (VET) Chapter 2 Operating Principle

2.1 Conformation The Vital Signs Monitor is a product with modular design, consisting of NIBP module, SpO2 module, main control unit, printer module (Optional), display panel, and power supply module etc. and the related accessories for NIBP and SpO2 measurement. According to user requirement, you can order the device with different configuration to include the necessary functions. Therefore, your monitor may not have all the monitoring functions and accessories.
1. The SpO2 module detects and calculates pulse rate and functional oxygen saturation (SpO2), and provides plethysmogram and perfusion index.
2. The NIBP module measures blood pressure non-invasively with way of oscillometric technology, including the diastolic, systolic and mean arterial pressure. The cuffs are designed for big animal and small animal.
3. The main control unit is in charge of LED and LCD display, keyboard input, data storage, printing and networking function. Chapter 3 Installation and Connection
3.1 Appearance 3.1.1 Front Panel
1

4

14 2
15

16

3

17

18

5

20

19

6

21

22

23 7
24

25

8

9 10 11

12

13

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User Manual for Vital Signs Monitor (VET)

Figure 3.1A Front panel illustration for monitor

Description: 1 ”

“Alarm indicator Indicator Color

Alarm Level

Red flashing

High priority alarm

Yellow flashing

Medium priority alarm

Yellow light

Low priority alarm

Green light

Normal

2 SYS: display of systolic pressure value. 3 DIA: display of diastolic pressure value.

4 “MAP/Time”: displays mean arterial pressure at the end of a successful measurement and end time (in Manual or STAT mode) or counting down time (in Auto mode) alternatively. Cuff pressure is displayed during BP measurement or the hemostat function is in use.

5 PR: display of pulse rate; unit: bpm. 6 SpO2: display of SpO2 value; Unit: “%”.

7 ” “: LCD panel

8 ” “: Power button: A long press of the power button will start or shut off the monitor; A short press enters into or exits from power saving mode.
9 : AC Power indicator.

10

: DC Power indicator.

Description of AC, DC Power indicator:

AC Power indicator

DC Power indicator

Descriptions

ON

Status

OFF

ON

ON

this device is on and using AC power supply

ON

the device is on and using built-in battery

the device is off and battery is being charged while OFF
the AC power is connected.

There are 2 types of display when the NIBP measurement finishes:

1. When NIBP measurement mode is set to “Manual” or “STAT”, the mean arterial pressure and the measuring time will be displayed alternately, the time format is “hh:mm”.
2. When NIBP measurement mode is set to “AUTO”, the count down time will be displayed, the time format is “mm:ss”. If the count down time is over one hour, then it displays “hh:mm”.
   Note: BP value can be displayed in two units, “×××” mmHg” or “××.×” kPa, refer to section “4.9.1 NIBP Setup” to set the display unit of BP value. The conversion between two units is: 1kPa=7.5mmHg, 1mmHg=0.133kPa.
   11 SpO2: SpO2 sensor connector 12 NIBP: NIBP hose connector 13 TEMP: temperature probe connector

14 ” / “: Patient category indicator: ” ” big animal; ” ” for small animal.

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User Manual for Vital Signs Monitor (VET)

15 ”

“NIBP Setup key: A shortcut key to change NIBP measuring mode and the cycle time for Auto mode.

16 ”

“Auxiliary key: Holding this key and NIBP setup key (11) will lock or un-lock key operation. A short press of this key can

also enter into or exit from “Power Saving Mode”.

17 ” 18 ”

” Alarm silence key. ” Print. The built-in printer is optional. If installed, press this key to print the current measured data.

19 ” “: Bar-graph of pulse intensity. 20 “”: Alarm silence indicator. When it is on, it indicates that the alarm is silenced.

21 ” 22 ”

” NIBP Operation key: press to start/cancel NIBP measurement. ” Up: shift cursor forward/upward

23 ”

” OK: When in setting menu, press it to confirm selection or modification; On history record screen, long pressing this

key, then a deleting dialog pops up.

24 ”

“Down: shifts cursor backward/downward

25 ”

” Display View key: short press to scroll through LCD display views or return to the upper level screen; long press to

enter into root setting menu display screen.

Note: ” “: Type BF Applied Part with Defibrillation-proof Note: A long press would mean press and hold for 2 seconds.

3.1.2 Side Panel

Printer status indicator

Figure 3.2 Right side of the monitor The right panel of the monitor is as shown in figure 3.2.

Symbol for CF type applied part with defibrillation-proof.

Figure 3.3 Left side of the monitor

4

Fan
Built-in thermal printer (Optional)

User Manual for Vital Signs Monitor (VET)
“”: reserved port for future use. The left panel of the monitor is as shown in figure 3.3. The built-in thermal printer is in the left panel. It is easy for user to print waveform and data if this is installed.

”

“: printer status indicator. One is for power indication of the printer, the green light shows the power is

on, while the monitor is shut down, the green light is off. The other is for error indication, when the paper is empty or the printer is out of order, the red light is on.

3.1.3 Rear Panel

Figure 3.4 Rear Panel

The rear panel of the monitor is as shown in figure 3.4.

Form 3-1 Real panel Symbols and descriptions

Symbol

Description

Symbol

Warning– Refer to User Manual

FUSE 2XT1.0AL

USB connector NET
Fuse specification: T1.0AL/250V 5*20mm

Description Fuse holder Equipotential terminal Nurse-call connector

5

3.1.4 Underside of the Monitor

User Manual for Vital Signs Monitor (VET)

Battery cover
Figure 3.5 Underside of the monitor 3.2 Battery Installation
1. Ensure that the monitor is not connected to AC power supply and is turned off. 2. Open the battery cover and move the locking bar aside. 3. Put the battery into the box and move the locking bar back. Please note that the battery cables should be outward. 4. Connect the battery cable plug to the battery power socket in right direction, as shown in figure 3.6. 5. Arrange the wires and close the battery cover.

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User Manual for Vital Signs Monitor (VET)

Battery cable Battery cable plug Battery power socket
Battery power cable

Battery Locking bar
Battery cover tether Battery cover

Figure 3.6 Battery Installation
Warning 1. To avoid battery damage always remove battery(s) before shipping or storage. 2. It is recommended to use the battery specified by the manufacturer. 3. The battery service life depends on how frequently and for how long it is used. For a properly
maintained and stored lead-acid or lithium battery, its service life is about 2 or 3 years respectively. For more often used models, service life can be less. We recommend replacing lead-acid battery every 2 years and lithium battery every 3 years. Caution:
1. Keep the battery out of the reach of children. 2. Do not disassemble battery. 3. Do not dispose of in fire. 4. Do not cause them to short circuit.
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User Manual for Vital Signs Monitor (VET)

3.3 Installation

Devices connected to the equipment must meet the requirements of the applicable IEC standards. The system configuration must

meet the requirements of the IEC 60601-1-1 medical electrical systems standard. Any personnel who connect devices to the

equipment’s signal input/output port are responsible for providing evidence that the safety certification of the devices has been

performed in accordance with IEC 60601-1-1. If you have any question, please contact the manufacturer or your local dealers.

If it is not evident from the equipment specifications whether a particular combination with other devices is hazardous, for

example, due to summation of leakage currents, please consult the manufacturers or else an expert in the field, to ensure the

necessary safety of patients and all devices concerned will not be impaired by the proposed combination.

The equipment shall be installed by personnel authorized by manufacturer.

The software copyright of the equipment is solely owned by the manufacturer. No organization or individual shall resort to modifying, copying, or exchanging it or to any other infringement on it in any form or by an means without due permission.
3.3.1 Unpacking and Checking 1. Open the package, take out the monitor and accessories from the box carefully and place them on a safe sand table and surface.

2. Open the accompanying document to sort the accessories according to the packing list.

Inspect the monitor for any mechanical damages

Check all the exposed leads and inserted accessories

Check whether any risk or abnormity exists in the device and its accessories before using the monitor. If any abnormity (such as broken cable or crack of the enclosure etc.) is found, stop using this device

When disposing of the packaging material, be sure to observe the applicable waste control regulations and keep it out of

children’s reach.

Before use, please verify whether the package are intact, especially the packages of single use accessories. In case of any damage,

do not apply it to patients.

Save the packing case and packaging material as they can be used if the equipment must be reshipped. The user can customize the module configuration by choosing necessary modules to meet your own needs. Therefore, your monitor
may not have all the monitoring functions and accessories. Please contact the local dealer or our company in case of any problems. We will offer the best solution for your satisfaction.

3.3.2 Environmental Requirements The operating environment of the equipment must meet the requirements specified in this manual. Otherwise, unexpected consequences, e.g. damage to the equipment, could result.

The environment where the equipment is used shall be reasonably free from noises, vibration, dust, corrosive, flammable and explosive substances. If the equipment is installed in a cabinet, sufficient space in front and behind shall be left for convenient operation, maintenance and repair. Moreover, to maintain good ventilation, the equipment shall be at least 2 inches (5cm) away from around the cabinet.

When the equipment is moved from one place to another, condensation may occur as a result of temperature or humidity difference. In this case, never start the system before the condensation disappears.

3.4 Getting Started

3.4.1 Connecting to Power Source Using AC Power Source
Make sure that the AC power supply is (100-240)VAC, 50Hz/60Hz.

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User Manual for Vital Signs Monitor (VET)

Use the power cable provided by the manufacturer. Insert one end of it to the AC power input of the monitor and the other end to the three-pin outlet of the power source with protected-earth.
To eliminate potential differences, the monitor has a separate connection to the equipotential grounding system. Connect one end of the provided ground wire to equipotential grounding terminal on the rear of the monitor, and connect the other end to one point of the equipotential grounding system.

Caution:

1. Ensure that the monitor is grounded correctly. 2. If you have any doubt to the grounding layout and its performance, you must use the built-in battery to power the monitor.
After the mains power supply has been interrupted while power switch remains in the “on” status and is restored after a period
of time that is longer than 30 seconds, the monitor will run by the last settings when restarting the monitor.
The monitor is applicable to connect to the public mains power network.
Using Battery

The following steps should be followed to install the battery: Step 1: open the battery cover; Step 2: pull out the battery cable and connect it to the battery pack; Step 3: push the battery pack into the battery compartment and lock it; Step 4: close the battery cover.

Caution: it’s better to recharge the battery after it is used up, and the charging time should be 12~15 hours long. Battery life: Provided that a battery is new and fully charged, the minimal working time of the monitor with accessories connected is declared in the table below:

Name Monitor

Battery life More than 120min

NOTE: when the device is working, It takes at least 10 hours to charge battery from exhaust state to 90% charged.

The provided battery of the monitor must be recharged after transportation or storage. So if the monitor is switched on without

being connected to the AC power supply, it may not work properly due to insufficient battery power.

: Working power supply indicator and the description is as shown below.

AC power indicator

Working power supply indicator

Description

On

Off

The monitor is powered by the AC power supply and it is in off status

Status

Off

On

The monitor is powered by the build-in battery power supply

On

On

The monitor is powered by the AC power supply and the battery is being charged

3.4.2 Turning the Monitor On
The system performs self-test and enters initial display after switch on the monitor, and the alarm rings to inform that the user can begin operating it.

9

User Manual for Vital Signs Monitor (VET) 1. Check all the applicable functions to make sure that the monitor works normally. 2. If the built-in battery is applied, please recharge it after using the monitor to ensure sufficient power storage. It will take at least
10 hours to charge battery from depletion to 90% charge. 3. Press the Power on/off key on the front panel of the monitor to start the monitor. Do not use this device to monitor the patient if there are indications of damage or reminders of error. Please contact the local dealer or our company. The battery powered monitor continues to run without interruption when AC mains power is lost. Start the monitor again 1 minute later after it is switched off. 3.4.3 Starting Monitoring 1. Decide which parameter measurements you want to make. 2. Connect the required modules, patient cables and sensors. 3. Check that the patient cables and sensors are correctly connected. 4. Check that the patient settings, such as Patient Type, NIBP measuring mode, etc, are appropriate to your patient. Refer to the corresponding Section for details of how to perform the measurements you require.

3.5 Turning the Monitor Off

To disconnect the monitor from the power, follow this procedure:

1. Confirm that patient monitoring is complete.

2. Disconnect patient cables and sensors from the patient.

3. Make sure to save or clear the monitoring data as required.

4. Press the Power on/off key on the front panel to turn off the monitor.

Although not recommended, you can press and hold the Power on/off key for 10 seconds to forcibly shut down the monitor

when it can not be shut down normally or under some special situations. This may cause loss of data of the monitor.

3.6 Sensor Placement and Connection

3.6.1 Blood Pressure Cuff Connection

1. Connect the cable to the panel connector marked with the NIBP icon.

2. Appropriate cuff should be selected according to diameter of the patient’s limb or tail. The cuff width should be appropriately 40% of the limb circumference.

Cuff Model

Limb Circumference

1

(3~6)cm

2

(4~8)cm

3

(6~11)cm

4

(7~13)cm

5

(8~15)cm

3. Locate the cuff in such a way that the artery mark ” ” is at a location where the clearest pulsation of brachial artery is observed.

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User Manual for Vital Signs Monitor (VET)
Figure 3.7 Demonstration for cuff location Notes: For cats and dogs, the preferred position for all NIBP measurements is either left or right lateral recumbency for both sedated
and awake conditions. This will position the limbs fairly close to heart level and makes it easier to hold an awake animal. When putting on the cuff, wrap it around the limb evenly to appropriate tightness. Remember to empty any residual air in the cuff before the measurement commences. Using a cuff that is the wrong size may give false and misleading results. Pressure Accuracy Verification Pressure Accuracy Verification is a function to inspect the accuracy of pressure measurement by the NIBP module inside the device. Technician or equipment manager should do pressure accuracy verification every half year or year in order to check if the pressure measurement still conforms to the requirement of product performance. If the deviation is beyond the declared specification, it is permitted to return it to factory for repair or calibration. Before verification, please connect the monitor to a precise pressure meter such as a mercury pressure mete, which is used as the reference meter.
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User Manual for Vital Signs Monitor (VET)

Mercury blood pressure meter

NIBP cuff with dual air tube

Air tube

Air tube

Air tube

Air tube Air vent

Module testing software
Inside the monitor

NIBP module

Manual valve Inflation balloon

Increase the pressure manually through the inflatable balloon

Figure 3.8 Connection of Pressure calibration fixture At this mode, the monitor can activate the inflation, so the pressure will increase automatically until it exceeds the limit value specified in table A. This pressure limit value depends on the veterinary patient type selection as shown in table A:

Big animal

200mmHg

Small animal

120mmHg

Table A During the inflation, the Monitor will close the deflating valve, and the pressure value will be shown during the process. If there is no manual deflation operation, the pressure will persist until deflation by manual operation, so it is necessary to use a manual valve for doing adequate deflation in several steps to verify the pressure accuracy in the full scale of measurement range. Mode 2: Manual inflation for the pressure accuracy verification. At this mode, the pressure should be increased manually by a pumping balloon, and the verification can be done by applying different pressure value manually. If the increased pressure exceeds the given limit as shown in table B, the Monitor will deflate automatically because of over- pressure protection.

Big animal

240mmHg

Small animal

140mmHg

Table B After the verification, do press the button again to return to normal working mode, then continue other operation, or the
NIBP key will be invalid.

Pressure accuracy verification must be operated by technician or equipment manager. Doctor or nurse is not allowed to do the verification, it is very dangerous especially when the pressure cuff is still on veterinary patients.
Air Leakage Check

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User Manual for Vital Signs Monitor (VET)
In order to avoid significant error of blood pressure measurement or even no measurement result caused by air leakage in the pneumatic system including the cuff during measuring, it is recommended to check if there is leak in the pneumatic system as well.
Please remove the cuff from patient while performing the leakage check.
Safety Instructions for NIBP Monitoring
When taking the blood pressure measurement on a small animal, do NOT operate in the “Big animal” mode. The high inflation pressure may cause lesion or even body putrescence. Even though the monitor can identify the cuff type so it will stop inflation and indicate “Cuff error” when taking the blood pressure measurement for a small animal in the “Big animal” type setting. The user (doctor or nurse) should pay more attention to select the correct veterinary patient category.
It is recommended to take the blood pressure measurement manually. Automatic measurement should be used at the presence of a doctor/nurse.
NIBP monitoring is prohibited to those who have severe hemorrhagic tendency or with sickle cell disease, or partial bleeding will appear.
Do NOT bind NIBP cuff on limbs with transfusion tube or intubations or skin lesion area, otherwise, damages may be caused to the limbs.
If the veterinary patient is moving or suffering tremble, hyperkinesia or arrhythmia, it may cause the inflation time of inflatable balloon endures longer, which may not only prolong the NIBP measurement time, but also result in the body wrapped by the cuff is troubled by purpura, hypoxemia and neuralgia because of the friction.
Before the measurement is carried out, select an appropriate monitoring mode depending on the patient’s type (big animal and small animal).
It is prohibited to wrap the cuff to a limb with skin lesion. DO NOT take blood pressure measurement from a limb receiving ongoing transfusion or intubations. Because it may damage
the limb tissue around the intubation if the transfusion becomes slower or blocked during the cuff inflation. The windpipe which connects the cuff and monitor should be straightway without any tangle. When a large animal (such as dog) is monitored, the machine may fail in giving the blood pressure measure if small
animal (such as cat) mode is selected. Prior to use of the cuff, empty the cuff until there is no residual air inside it to ensure accurate measurement. Do NOT twist the cuff tube or put heavy things on it. When unplugging the cuff, hold the head of the connector and pull it out. The NIBP measurement will not be affected when the monitor is connected to the veterinary patient on whom the
electro-surgical device such as defibrillator or electro-surgical knife with high frequency is being used.
The appearance of arrhythmia results in irregular heart beat which may affect the accuracy of NIBP measurement data. It is recommended to take the NIBP measurement again at this situation.
The Blood pressure measurements determined with this device are equivalent to those obtained by a trained observer using the cuff/stethoscope auscultatory method, within the limits prescribed by the American National Standard, Manual, electronic, or automated sphygmomanometers.
3.6.2 SpO2 Sensor Connection Please select the appropriate animal type (such as big animal, small animal) and measuring site according to the tissue thickness of the selected animal and measuring site when making measurement of the animal’s SpO2. Animal type: big animal or small animal; Thinner or
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User Manual for Vital Signs Monitor (VET)
lighter tissues (tissues without bone): animal ear and tongue; Thicker or darker tissues (tissues with bone): leg, claw and tail. SpO2 sensor is a kind of very delicate part. Please follow the given steps and procedures while using it. Failure to operate correctly can cause damage to the SpO2 sensor. 3.6.2.1 SpO2 Sensor Installation The device is equipped with the universal Y-type sensors including different adapters (i.e. clips and wrapper) for different animal type and the various measuring sites, as shown in figure 3.8B and 3.9B. Please select the appropriate sensor adapter according to its shape size and the measuring site. Generally, clip adapter will be more appropriate if the measuring site is ear or tongue; and wrapper adapter will be more appropriate if the measuring site is tail or leg. Installation of SpO2 Sensor with Clips 1. Fix the Y-type sensor cable to the slot as shown in figure 3.8A; 2. Fix the receiving part and emitting part to the clip, as shown in figure 3.8B. For thinner or lighter tissues (such as ear or tongue), if the
transmitted light is too intensive for measurement (no readings), then the user can refer to figure 3.8C to wrap layers of self-adhesive tapes to the receiving part and emitting part, a single layer or 2 layers will be OK.

Install in this direction

Self-adhesive tapes

Receiving part

Y-type sensor Clip

A
Round hole Button hole

Cable

B

C

Figure 3.8 Demonstration for installation SpO2 sensor with clips

Y-type sensor Measuring site
Cloth wrapper

Emitting part
Y-type sensor Receiving part

A

B

Figure 3.9 Demonstration for installation of SpO2 sensor with wrapper Installation of SpO2 sensor with wrapper

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User Manual for Vital Signs Monitor (VET)
Before wear the SpO2 Sensor, please clip the emitting part and receiving part of the Y-type sensor to the round hole and button hole of the cloth wrapper respectively, as shown in figure 3.9A and 3.9B.
Put the measuring site onto the cloth wrapper (between receiving part and emitting part), then wrap the cloth wrapper and paste the adhesive clip to the cloth wrapper to fasten the measuring site, refer to figure 3.11C and 3.11D. Note: emitting part and receiving part of the sensor should aim at each other. Otherwise, the signal quality and intensity will be affected. If the animal’s limb (leg or tail) is too big, then the user can cut the buttonhole longer by scissors, so that the emitting part and receiving part of the sensor can aim at each other properly.

3.6.2.2 SpO2 Sensor Connection Operating procedure: 1. Connect the port of SpO2 sensor to one end of SpO2 extension cable, and close the plastic cover, connection demonstration is as shown
in figure 3.10B.
Plastic cover

Port of SpO2 sensor

One end of SpO2 extension cable

A. Sensor

B

C. Connector

Figure SpO2 sensor connection

2. Connect the SpO2 extension cable connector to the socket marked with “SpO2” on the right signal input panel of the monitor.

3. Put the installed SpO2 sensor on the appropriate measuring site. The first choice of measuring site for animal is their ears, then the

second choice is their legs or tails when the animal is calm or quiet. If there is no steady result can be measured from the mentioned sites

above, it’s recommended that make measurement on tongue when the animal is under anaesthesia. There are different setting items in

this monitor according tothe equipped SpO2 module with different technology. Please make sure that the setting conforms to the actual

measuring site. For example, if the measuring site is set as “Ear / Tongue”, then the sensor must be clipped on animal’s ear or tongue, as

shown in figure 3.11A and 3.11B; if the measuring site is set as “Leg / Tail”, then the sensor must be wrapped on animal’s leg or tail, as

shown in figure 3.11A and 3.11B. If the monitor has “Response speed” setting item, then the user can make corresponding selection

according to the measurement accuracy and tracking speed. For example, the “Fast” setting can track the quick change of SpO2 , but it will

be less accurate. While the more accuracy can be obtained but wirh slow response if “Steady” setting is selected.

Figure 3.11A clip the sensor on ear

Figure 3.11B clip the sensor on tongue 15

User Manual for Vital Signs Monitor (VET)

Figure 3.11C wrap the sensor on leg

Figure 3.11D wrap the sensor on tail

Figure 3.11E Clip the sensor on ear (with tapes wrapped on both sides of clip ) Safety Introductions for SpO2 Monitoring
The first choice of measuring site is ear, leg or tail. If the measured result is not ideal, then change the measuring site to tongue, but the animal should be under anaesthesia when make measurement.
If the monitor has configuration item for measuring site (such as ear/tongue, leg/tail), please make sure that the setting conform to be the actual measuring site before make measurement. For example, thin tissues response to ear or tongue, and thick tissues response to leg or tail.
When measuring on thinner or lighter tissues, it’s possible that the sensor’s light coming through the very thin tissues is too strong to be properly interpreted by the device, which causing no readings. In this situation, the user can wrap a single or two layers of self-adhesive cloth on the sensor to reduce the intensity of the light hitting the detector.
If the measured tissue is too thick, then the user can shave off /wet the hair on measuring site, or move to another thinner tissue. If the measured tissue is too thin, then the user can move the sensor to other tissues or wrap a single or two layers of
self-adhesive cloth on the sensor. As a general rule, measuring SpO2 for animal is performed when the animal is calm or under anaesthesia, and the first choice of
measuring site is their ears, then legs, and tail, the last choice is their tongues. To avoid make SpO2 measurement under the light including surgery lamp, halogen lamp, fluorescent lamp and infrared heating
lamp. Making effective steps to calm the animal to avoid measurement error. Check the device to make sure that there is no visible damage that may affect user’s safety or measurement performance with
regard to sensors and clips. It is recommended that the device should be inspected minimally before each use. If there is obvious damage, stop using the device. Special attention should be paid while the SpO2 sensor is used constantly under the ambient temperature over 37°C, burning hurt may occur because of over-heating of the sensor at this situation. Continuous use of finger clip adapter may result in discomfort or pain, especially for those patients with microcirculatory problem. It is recommended that the sensor should NOT be applied to the same tissue for over two hours, change the measuring site periodically if necessary. Change the measuring site every 2 hours if the ambient temperature over 35°C.
16

User Manual for Vital Signs Monitor (VET) SpO2 measuring position must be examined more carefully for some special patient. Do NOT place the SpO2 sensor on the limb
with edema or fragile tissue. Do NOT put the SpO2 sensor and pressure cuff on the same limb, otherwise the NIBP measuring will affect SpO2 measuring and
cause the alarm error. The SpO2 sensor cannot be immerged into water, liquor or cleanser completely, because the sensor has no capability to resist the
harmful ingress of water. When plugging or unplugging the SpO2 sensor, be sure to hold the head of the connector and pull it out. Check the SpO2 sensor and cable before use. Do NOT use the damaged SpO2 sensor. When the temperature of SpO2 sensor is abnormal, do not use it any more. Please do not allow the cable to be twisted or bended. Do NOT use the damaged SpO2 sensor. 3.7 Loading printer paper (if printer is installed) Operation procedures for loading printer paper:
1. To open the printer cover, press two thumbs firmly on both “OPEN” notches. 2. Move the tab of the left rubber roller lock 90°upwards to unlock it, refer to the following figure with mark . 3. Cut one end of the paper into a triangle, and load the paper from the underside of the rubber roller. 4. Turn the roller clockwise to roll the paper rolled, and put the paper roll into the compartment. 5. Pull the paper out of the paper slot on the shield. 6. Move the tab of the rubber roller lock 90° downwards to lock it. 7. Put the shield back in position and secure it. Operation procedures for taking out printer paper roll:
Steps 1~2: Same as above. Steps 3. Roll the loading roller anti-clockwise and pull the paper out. Steps 4~5: As steps 6~7 above.
Figure 3.12 Loading and taking out printer paper
P8 printer may be used due to the different configuration P8 printer operation instruction: Power indicator: green light shows the power is on, when the monitor is out of power, the green light is off. Error indicator: red light which shows the printer is out of paper or the printer paper is not properly installed. When the printer successfully installs, the red light is off.
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User Manual for Vital Signs Monitor (VET)
Power Indicator Error Indicator

Open button

Paper cartridge

Loading printer paper:

Figure 3.12 P8 printer

Step 1: press and hold down the cartridge button to open the paper cartridge;

Step 2: Install the paper to the printer properly, pull the paper out of the printer for 2 cm, as shown in figure 3.13.

Step 3: Close the printer cover along the direction of arrow, as shown in figure 3.13.

Figure 3.13 printer paper 18

User Manual for Vital Signs Monitor (VET)
Chapter 4 Operations This chapter introduces the display screen and operating instructions, including the initial screen, default screen, system menu, menu setup and data upload. Before operating the monitor, please refer to the related section for connecting the accessories. Note: The monitor you purchased may not cover all the mentioned functions according to its configuration. 4.1 Initial Monitoring Screen
To switch on the monitor, press and hold the ” ” power key. When you hear a “beep”, the LCD will display as shown in figure 4.1, which means that the monitor has started successfully.

Figure 4.1 Startup screen

A short press of the power key ” ” will switch between power saving modes and full power mode. Power saving modes mean the LED and LCD display become darker, the brightness has two levels.

A long press of the power key ” successfully. 4.2 Default Screen

” will give a black screen as the displays turn off and means that the monitor has shut down

Title line

Waveform area

Recent list data area Prompt information area
Figure 4.2 Default monitoring screen (monitor with SpO2 and NIBP function only)

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User Manual for Vital Signs Monitor (VET)
Title line: ” 000″: the ID number of the patient currently being monitored. “2014/07/28 22:08″: the current date and time, year/month/day hour:minute.

” “: key-lock icon, when this icon appears, it means that the key operation is disabled.

Note: the key-lock status can be set at any screen view by combining the given keys. During key-lock status, all key operations are

disabled except Power button and combination keys for unlocking operation.

” “: net connection icon, indicates that the device is connected to the network. If the device is disconnected from the network, then the icon will disappear.

”

“: battery voltage indicator.

“PLETH”: indicating the displayed waveform is plethysmogram.

Waveform area: “PI% 12.3”: the label and value of perfusion index. This item is displayed only when “Setup MenuSpO2PI Display” is set as “ON”.

Note: PI function is optional, please refer to the monitor in your hand, we will not cover it again.

If the accessories are connected incorrectly or disconnected from the monitor, the message “Probe off” will appear on the screen. NIBP list area: When blood pressure measurement is taken, the data display area displays the recent 4 groups of data, the form is as shown in figure 4.2.
“Time”: the measuring time.

“SYS/DIA/MAP”: systolic/diastolic/arterial mean pressure.

“PR”: the measured pulse rate from the blood pressure measuring channel or the pulse rate value from oximetry measuring channel. The PR value from oximetry will take priority in the display.
“SpO2”: oxygen saturation (SpO2 for short). “HR”: the heart rate.

Note: 1. If the device is re-started, the data in the list data area will be cleared.

2. Invalid values will be displayed as “–”

Prompt Info. area: “MAP over-limit”: displays a message for current alarm event indicating that the measured MAP value exceeds the preset value.

“Mute 112 “: display the status of the alarm silence, and the counting down the time that the alarm sound is silenced for.

shows that the alarm sound is enabled; that the alarm sound is disabled.

shows that the alarm sound is silent temporarily for 120 seconds;

shows

Operation instruction:

Short pressing the display view ”

” key to shift screen views.

Long press the display view ”

” key to enter into Menu setup screen.

Hold Auxiliary key ”

” firstly, then press NIBP setup key ” “, by doing this it can lock / unlock key operation.

Note: This function is available in any screen view, we will not cover it again in the following.

Short press the print key ”

” to activate printing with the format specified by “Setup MenuSystemPrint” if the printer is

installed. Note: there are several screen views (depending on your configuration): default screen, NIBP list screen, SpO2 data list screen, alarm event

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User Manual for Vital Signs Monitor (VET) list screen, screen for graphic trend . The following sections will describe each screen.
4.3 NIBP List Screen (Optional) Note: the screen below is only for the monitor with NIBP function. The NIBP List screen is as shown in Figure 4.3.

Figure 4.3 NIBP List In this screen, the first column is the patient ID, the second column is NIBP recording time, the third column is NIBP value, and the fourth column is pulse rate (measured by NIBP module). Operating instruction:

Short press the Up ”

” or Down ”

” key to turn to previous or next page for view other NIBP records.

Short press the Print ”

” key to print the current NIBP list.

Long press the OK ” records.

” key to bring up a dialogue for deleting data records where the user can choose to delete all NIBP data

4.4 SpO2 Data List Screen (Optional) Note: the screen below is only for the monitor with SpO2 function.

SpO2 data list screen is as shown in Figure 4.4.

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User Manual for Vital Signs Monitor (VET)
Figure 4.4 SpO2 data list screen In this screen, the first column is the patient ID, the second column is SpO2 recording time, the third column is SpO2 value, and the fourth column is pulse rate (measured by SpO2 module). Operating instruction:

Short press the Up ”

” or Down ”

” key to scroll to previous or next page for view other SpO2 records.

Short press the Print ”

” key to print the current SpO2 list.

Long press the OK ”

” key to bring up a dialogue for deleting data records, where the user can choose to delete all SpO2

data records.

4.5 Alarm Event List Screen The Alarm Event List screen is as shown in Figure 4.8.

Figure 4.5Alarm event list In this screen, the first column is the time that the alarm occurred (format is month-day hour:minute), the second column is the event description, the third column is the onset value, and the fourth column is the high/low limit value.

Short press the ”

” or ”

” key to scroll to previous/next page for view other alarm events. Note: if the event description

is too long to be shown, pressing the OK key can show the full description, but the third and fourth column will not be displayed.

Short press the print ”

” key to print the event list of the current page.

Long press the ” data.

“key to bring up a dialogue for deleting data records, where the user can choose to delete all alarm events

4.6 Trend Graph Display (for SpO2 Option) The trend graph display screen is as shown in Figure 4.6.

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User Manual for Vital Signs Monitor (VET)

Trend graph Trend length

Figure 4.6 Trend Graph screen Screen description
“SpO2”: SpO2 trend graph. If the monitor has ECG function, then “SpO2” and “HR” can be optional.

“12 hours”: the trend length of SpO2 trend graph; there are three options: “12”, “24” or “96” hours. Press OK ”

” key to select

the trend length from “12 Hour”, “24 Hour” and “96 Hour”, then the trend graph will display the SpO2 trend curve for the selected period.

“Cursor on”: enables the display of cursor on the trend graph, i.e. the vertical cursor line will be displayed in the trend graph, so

the user can move the cursor by pressing the up/forward ” at the given time.

” and down/backward ”

” keys to inspect the SpO2 value

“SpO2”: indicates that the trend graph is for SpO2, and the value below it shows the SpO2 value at the cursor position.

It can be “PR” by selection.

“Date/Time”: the starting time of the trend graph.

Instructions for viewing the trend graph:

Select “cursor on” and press the OK ”

” key to confirm, and “cursor on” switches to “cursor off”. You can then press the up

”

“or down ”

” key to move the vertical cursor and the list box below will display SpO2/HR value and the time value at

the point where the cursor resets. Moving the cursor back and forth this way, you can view the SpO2/HR trend (12/24/96 hours long).

Press ”

” key again to exit trend viewing.

When pressing ”

” or ”

” key to move the cursor, the increment is variable. The rule is that the initial step is 1, after

pressing the ”

” or ”

” key in the same direction 5 times, the step becomes 5, and with 5 more pressing the step

becomes 10, then 20. Pressing the other ”

” or ”

” key will revert the step back to 1 in the other direction.

Long press the ”

“key to bring up a dialogue for deleting data records, where the user can choose to delete all trend data.

Short press the print”

” key to print this trend graph.

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4.7 Setup Menu Screen

User Manual for Vital Signs Monitor (VET)

The Setup Menu screen is the main menu screen and a long press of Display View ” shown in Figure 4.7.

” key will enter into the Setup Menu screen, as

Note: your monitor may not cover all the functional parameter settings listed in the main menu screen. Please refer to the monitor you purchased.

Figure 4.7 Root setup menu screen (refer to your monitor) There are up to 10 functional groups for setting parameters: “SpO2, NIBP, TEMP, Patient Info, Date/Time, Nurse Call, Network, System Setup, Default and About” on the Setup Menu Screen depending on the configuration of your monitor.
Instructions for navigation parameters:

1. Short press the ”

” or ”

” key to shift the cursor to corresponding functional group setting.

2. Short press the ”

” key to confirm and enter into the corresponding functional parameter setup screen.

3. Short press the ”

” to exit from the Setup Menu Screen.

Note: the device will save the latest setup settings automatically and the most of saved settings are non-volatile, i.e. when you shut down the device and power up it next time, every setting item shows the settings saved last time except the items like ECG cable setting and NIBP working mode.

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4.7.1 SpO2 Setup (Optional)

User Manual for Vital Signs Monitor (VET)

Figure 4.8 SpO2 Setup Screen The SpO2 setup screen is as shown in figure 4.8 , please refer to the monitor in your hand. Screen Description:
“SpO2 ALM”: SpO2 alarm switch; This is set “ON” and the user cannot adjust it. “Hi/Lo”: high and low alarm limit for SpO2.
“PR ALM”: pulse rate alarm switch. This is set “ON” and the user cannot adjust it. “Hi/Lo”: high and low alarm limit for PR.
“PI% display”: PI display switch. “” means PI display is enabled, “×” means PI display is disabled.
4.7.2 NIBP Setup (Optional)

NIBP Setup Screen Description:

Figure 4.9 NIBP Setup

SYS ALM, DIA ALM, MAP ALM are set “ON” and the user cannot adjust them.

“SYS ALM”: systolic pressure alarm switch.

“SYS Hi/Lo”: high and low alarm limit for systolic pressure “DIA ALM”: diastolic pressure alarm switch.

“DIA Hi/Lo”: high and low alarm limit for diastolic pressure. “MAP ALM”: mean arterial pressure alarm switch.

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User Manual for Vital Signs Monitor (VET)
“MAP Hi/Lo”: high and low alarm limit for mean arterial pressure. Initial pressure: Initial cuff inflation pressure to be inflated initially, its range is different depending on patient type. Setting
range for big animal is 120~280mmHg, and for small animal is 60~280mmHg.
Note: In order to avoid inappropriate initial inflation pressure values which may cause harm to patients, when the patient type, measuring mode or patient ID is changed, the inflating pressure value will rollback to the latest setting value. “Unit”: the pressure unit. mmHg and kPa for optional. “NIBP Mode”: NIBP measuring mode, “Manual”, “Custom”, “AUTO 1”, “AUTO 2”, “AUTO 3”, “AUTO 4”, “AUTO 5”, “AUTO 10”,
“AUTO 15”, “AUTO 20”, “AUTO 30”, “AUTO 40”, “AUTO 50”, “AUTO 60”, “AUTO 90”, “AUTO 120”, “AUTO 240 and “AUTO 480” are optional. “AUTO 1” means NIBP measurement takes once every minute automatically; “AUTO 480” means NIBP measurement takes once every 480 minutes automatically; In AUTO mode, the count-down timer is displayed in MAPTime) segment on upper right corner.
Note: when “Custom” mode is selected, the user can customize the related parameters: Phase, time cycle (the time interval between two measurements) and repeats. There are 5 phases: A, B, C, D and E. The user can set the time cycle (for auto blood pressure) and repeats for Phase A to Phase E. Time cycle: 1min, 2min, 3min, 4min, 5min, 10min, 15min, 20min, 30min, 45min, 60min and 120min for optional.
Repeats: OFF, 1, 2, …9 and 10 for optional.
For example, firstly, the monitor enter into Phase A (making NIBP measurement once every 5 minutes, and repeat once only); Secondly, entering into Phase B (making NIBP measurement once every 10 minutes, and repeat once only); Thirdly, entering into Phase C (making NIBP measurement once every 20 minutes, and repeat 2 times); Fourthly, entering into Phase D (making NIBP measurement once every 30 minutes, and repeat 5 times); Lastly, entering into Phase E (making NIBP measurement once every 60 minutes, and repeat once only). In the period of 30 minutes, if the NIBP measurement is less than 6 times and NIBP measurement mode is not changed, then the monitor will start to make NIBP measurement from Phase A to E automatically.
“Lock”: select “” means that the cuff inflation pressure is locked at the initial setting value. After “Lock” item is selected, the cuff inflation pressure will not adapt according to the last NIBP measurement result, it will be fixed at the preset initial inflation pressure when you make the following NIBP measurement.

“More >> “: page down icon. Move the cursor to the last item (“Lock”), then short press the Down ” NIBP verification setup screen, as shown in figure 4.10.

” key to enter into

Figure 4.10 NIBP verification setup screen 26

User Manual for Vital Signs Monitor (VET)
Screen description: “Verification mode 1”: Pressure is generated automatically by the internal pump. Move the cursor to NIBP Verification mode 1 “Start” button, and press the OK button to begin the pressure meter verification. (During this process, the “Start” shifts to “Stop”, after the verification the “Stop” shifts to “Start”). “Verification mode 2″: Pressure is coming from an external source. Move the cursor to NIBP Verification mode 2″Start” button and press the OK key to begin the pressure meter verification. (Again, the “Start” shifts to “Stop” during this process, after the verification the “Stop” shifts to “Start”). “Air leakage”: Checks the air leakage in the pneumatic system. Move the cursor to Air Leakage “Start” button, then press the OK key. The pump inflates to certain pressure and then the valve will be closed to detect leakage for 10 seconds. The pressure will be released automatically and the screen will display the result. If the following messages pop up, then NIBP measurement should be stopped. 1) Pressure verification… 2) Air leakage preparing…
3) Air leakage countdown…
4) Air leakage in 10s:…
Safety instruction: The NIBP calibration and Air leakage detection can only be carried on when the NIBP measurement is set to mode “Manual”. NIBP setup screen description:
Short press the NIBP setup ” ” key to enter into NIBP setup screen, as shown in figure 4.11.

In NIBP setup screen, short press the ”

” key to select measuring mode. Press NIBP measuring ”

and exit from setup screen. Short press the display view ”

” key to exit.

Press up/down keys to select patient type. NIBP Mode: select NIBP measuring mode.

Category: select NIBP measuring patient category, “Big Animal” and “Small Animal” for optional.

” key to confirm the setting

Figure 4.11 NIBP setup screen 27

4.7.3 Patient Info

User Manual for Vital Signs Monitor (VET)

Figure 4.13 Patient Info. setup screen Screen description:
“Patient Name”: to enter the patient’s name. “Sufferer ID”: change or set current sufferer’s ID number, 0~100 adjustable; Once the sufferer ID is changed, the history data in
trend graph will be cleared, and the parameter settings will be resumed to default value. “Category”: change or set the category of current patient; two options “Big Animal” and “Small Animal”, press OK key to
confirm the setting and the patient type indicator will be ON at the front panel of the device. The default is “Big Animal”.
4.7.4 Date/Time Setup

Figure 4.14 Data/Time Setup Screen Screen Description:
“YY 2000 MM 01 DD 06”: date setting. “HRS 02 MIN 30 SEC 21”: time setting. Date Format: 4 options.
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4.7.5 Nurse Call Setup

User Manual for Vital Signs Monitor (VET)

Figure 4.15 Nurse Call Setup Screen

Screen Description:
“Output level”: two options “low” or “high” output levels are available.
“Duration”: two options “pulse” and “continuous” output modes are available with the Output level and Duration shown
below.

Output level High

Duration Continuous

Output (format)

Low

Pulse

High

Continuous

Low

Pulse

“Source”: three kinds of alarm sources can trigger the nurse call: high level alarm, medium level alarm and low level alarm
(multi-optional). After selecting the alarm level, the device will send out the nurse call signal according to “Source” and “Output level”. If you don’t select any source, nurse call signal will not be generated (Note: multiple “Source” selection can be chosen.) Note: Nurse Call function cannot be regarded as the main alarm notification method, please do not rely on it alone. You should combine parameter values with alarm level and patient’s clinical behavior and symptom to determine patient’s condition
4.7.6 System Setup

Figure 4.17 System Setup Screen
Screen Description:
“Alarm Vol.”: sets alarm volume, adjustable from leve”1~10″ with a factory default of 5. It is recommended that the alarm
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User Manual for Vital Signs Monitor (VET) volume shouldn’t be set lower than the factory default value unless the nursing personnel attends the patient and the device at all times.
“Key tone”: turns on/off the key tone, the default is “ON”. “Language”: language selection. “ENG” for English. “Priority”: this item is nonadjustable, fixed to give priority to the “HR” value display. “Run mode”: “Real” should be set as default use. “Demo” only for demonstration purpose. Changing this item requires a
password, the default password is “1234”. “Demo” shows a demonstration waveform and data, which are generated by the monitor. “Real” shows the real signal waveform and data coming from patient, i.e. normal working state.
“Beat beep”: adjusts the volume of the pulse beeping sound and is adjustable from level “0~7”. “0” switches off the pulse beep
sound, the factory default is set at”2″. The tone of pulse beat beep changes when the measured SpO2 changes i.e. the higher the SpO2 value is, the higher the tone of the pulse beep (which becomes sharper); and the lower the SpO2 value is, the lower the tone of the pulse beep.
“Print Mode”: sets the printing time for real-time printing mode with the options of “Continue”, “10s”, “20s”, “30s” and “60s”
for optional. “Continue” means that the device will not stop printing the real-time plethysmogram until the user change the display screen or press the print key again. XXs: prints the real-time plethysmogram lasting for XX seconds. Note: the gray background means this item is nonadjustable. 4.7.7 Reset to Factory Default Settings
Figure 4.18 Default setting 4.7.8 About This displays the software version and serial number, as shown in figure 4.19, refer to the monitor for detailed information.
Figure 4.19 About
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User Manual for Vital Signs Monitor (VET)

4.8 Alarm Settings

Press the alarm silence ”

” key to set the alarm sound status.

There are 3 options in total:

Alarm sound is enabled, which is the default status.. Short term alarm silence (120 seconds): a short press of the alarm silence key will display the red icon ” ” on the lower screen and
the message “silence count-down time 120″. At this time, the alarm silence indicator on the left side of the alarm silence key will be lit. The device will mute the alarm sound temporarily for 2 minutes, but keep the visual alarm flashing. When the time (120s) is up, the alarm silence will be de-activated automatically, the red icon ” ” will disappear as well, and the alarm silence indicator will be dark.

Long term alarm silence: long press the alarm silence key will be display the red icon ” ” on the lower screen and the alarm silence indicator on the left side of the alarm silence key will be lit. The device will mute the alarm sound on an ongoing basis but keep the visual alarm flashing untill a new type of alarm event is detected. The alarm silence status will then be terminated automatically and the alarm sound will resume, the red icon ” ” will disappear as well, and the alarm silence indicator will be dark.
Note: If the current status is alarm silence, a long or short press of the alarm silence key can de-activate the alarm silence function.

4.9 Data Uploading When connected to a computer via USB, the device enters into data uploading mode, as shown in figure 2.20.

Figure 4.20 Data uploading screen
In data uploading mode, the device will automatically stop SpO2 measurement, NIBP measurement, pressure verification and air leakage checks etc., and all key operations will be disabled except power ” ” key.

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5.1 Alarm Priority
Low Priority:
NIBP over range Temp over range SpO2 Probe off NIBP error message SpO2 error message

User Manual for Vital Signs Monitor (VET) Chapter 5 Alarms

Medium Priority: HR over range

High Priority:
SpO2 over limit SYS over limit DIA over limit MAP over limit PR over limit Can not detect SpO2 Can not detect PR
5.2 Alarm Signal Generation
When there is alarm condition, the monitor generates alarm signal with visual indications (which are shown by two ways: LED indicator with different color and textual message display) and audible indication.
Visual Alarm Indication
The flashing rates for the three categories of alarms are shown in the table below.

LED Indicator Color Red flashing Yellow flashing Yellow light

Alarm Category High priority alarm Medium priority alarm Low priority alarm

Flashing Rate 2 Hz 0.5 Hz Constant(on)(non-flashing)

Table 5.1 Refer to Chapter 11.2 Alarm Information for detailed alarm message descriptions.

Audible Alarm Indication

The audible alarm has different tone pitch and on-off beep patterns for each priority category. These are summarized in the table below.

Alarm Category High priority alarm Medium priority alarm

Tone Pitch ~400Hz ~500Hz

Beep Chain 10 beeps pause 3 sec. 3 beeps pause 5 sec.

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User Manual for Vital Signs Monitor (VET)

Low priority alarm

~500Hz

Single beep

Table 5.2

Note: Visual alarm indication can not be suspended or removed. Audible alarms may be decreased in volume or silenced as described.

5.3 Alarm Reset and Silence

Press

(Alarm Silence) key to pause the audible alarm temporarily or reset the current alarm condition. During the monitoring

process, press “Alarm Silence” key shortly to start the alarm silence for 2 minutes. The counting down time shows up on the upper left

corner of the screen once the alarm silence is activated. Long pressing “Alarm Silence” key will reset the current alarm condition, that

means the sound mute for this alarm will not resume unless another alarm condition occurs. During the alarm silence period, if there is a

new alarm condition other than the current one occurs, the device will generate the audible alarm indication again automatically. After

the end of alarm silence period, if the current alarm condition still exists, then the audible alarm indication will resume as well.

When the monitor generates alarms, the user can press period when necessary..

key to reset or pause the audible alarm indication for a given silence

DO NOT silence the audible alarm or decrease its volume if patient safety could be compromised.

For the alarm conditions of “Can not detect SpO2″ and”Can not detect HR/PR”, the audible alarm indication will only last for about 7 seconds.

Alarm signal can be reset, but it can NOT be deactivated all the time.

5.4 Alarm Settings
1 Except volume of audible alarm can be adjustable, the other properties of the alarm signal cannot be adjusted by the user, such as alarm priority setting, alarm light flashing and so on. In addition, all alarms in this monitor are “non-latched” type, that is to say, when the alarm condition does not exist, the corresponding alarm signal will automatically stop. The alarm volume range is shown as below: High: 45dB80dB (The distance from the front of device to the test instrument is 1m) Medium: 45dB75dB (The distance from the front of device to the test instrument is 1m) Low: 45dB70dB (The distance from the front of device to the test instrument is 1m)
2 When the icon displays on the screen and its color is red, that means the alarm volume is 0 (alarm is mute), at this time the user should pay more attention to the patient.
It is suggested that the users should not change the alarm volume lower than the factory default setting if close and constant attention could not be paid to the patient, otherwise the negligence of alarm event might cause irreversible harm to the patient.
During the alarm silence period, any new alarm event can activate the audible alarm again and the audible alarm function resumes normal state.
After the alarm silence time counts down to 0, or the operator presses the Alarm Silence Key again, then the system will resume to the audible alarm signal if this alarm condition still exists.
The alarm limit value should NOT be set to exceed the declared measuring or display range, or the system alarm signal will not be generated.
3 Alarm settings are non-volatile, that means the previous settings will still sustain if the monitor is powered off (by accidental power interrupt or by normal power down) and reboot.
4 When pressing the Alarm Silence Key, the system will stay on “Alarm Silence” status and this status will last for 2 minutes. 5 It takes only 1 second from canceling alarm silence to resuming alarm sound .

Long press of Display View ”

” key to enter into the Setup Menu screen, and move the cursor to each parameter (such as SpO2,

NIBP…) to make the high/low limit setting.

Limits setup: Move to the High or Low limits of the alarm settings, and press the “Alarm” silence key to turn ON or OFF the alarm for the setting. The alarm silence indicator will reflect this with a yellow light showing that alarms are silenced.

33

User Manual for Vital Signs Monitor (VET) Refer to Chapter 11.2 for detailed default alarming values of all parameters and setup range. Whenever the monitor is used, check the alarm limits to ensure that they are appropriate for the
patient being monitored. When mains power supply is lost for not more than 30s, the alarm settings prior to the power
interrupt will sustain or be restored automatically. 5.5 Verifying Alarm Function To verify the effectiveness of the alarm function, set the monitor working at “Demo” mode in system parameter settings menu. Adjust the alarm limits or change alarm setting, then pay a close attention to the alarm signal. If the visual and audible alarm indications appear according to your setting, it means the alarm function is effective. Do NOT set the alarm volume lower than the background noise.
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User Manual for Vital Signs Monitor (VET)

Chapter 6 Technical Specifications

6.2 NIBP Monitoring

1. Measuring method: Oscillometric Technique

2. Pneumatic pressure measuring range: 0 mmHg~300mmHg

3. Transducer Accuracy: ±3 mmHg up to full range

4. Cuff inflation time: <10 seconds

5. Average measurement time: < 90 seconds

6. Air release time while the measurement is canceled: 2 seconds

7. Initial cuff inflation pressure

Big animal: 160 mmHg

Small animal: 140 mmHg

8. Overpressure protection limit: 300 mmHg

9. NIBP measurement range:

Pressureunit

SYS

mmHg

DIA

mmHg

MAP

mmHg

PR

mmHg

Big animal 40~265mmHg 20~200mmHg 27~222mmHg 25~300mmHg

10. NIBP measurement accuracy: Maximal mean difference: ±5 mmHg Maximal standard deviation: 8 mmHg Measurement mode: Manual, Auto, 6.3 SpO2 Monitoring

1. Transducer: dual-wavelength LED
   Wavelength: Red light: 660 nm, Infrared light: 905 nm. Maximal optical output power: less than 2mW maximum average 2. SpO2 measuring range: 0%~100% 3. SpO2 measuring accuracy: Arms is not greater than 3% for SpO2 range from 70% to 100% *NOTE: Arms is the accuracy defined as root-mean-square value of deviation according to ISO 80604-2-61 4. Low perfusion performance: the declared accuracy is attained when the pulse amplitude modulation ratio is as low as 0.3%. 6.5 Pulse Rate monitoring 1. Pulse rate measuring range: 30bpm~400bpm
   2. Pulse rate measuring accuracy: ±2bpm or ±2% from range 30 to 250bpm, whichever is greater.
   6.6 Data Recording 1. Sensitivity selection tolerance: ±5% 2. Recording speed: 25mm/s 3. Recording speed accuracy: ±10% 4. Hysteresis: 0.5mm 5. Frequency response: 0.5~40Hz for normal mode, 0.05~40Hz for enhanced mode. 6. Time constant: 0.3s for normal mode, 3.2s for enhanced mode.

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User Manual for Vital Signs Monitor (VET)

6.7 Other Technical Specifications 1. AC power supply voltage: 100~240VAC 2. AC power frequency: 50/60 Hz 3. Battery specification: 11.1V/4400mAh (Li-ion Battery)
6.8 Operating Environment Working Environment
Ambient temperature range: 5°C ~ 40°C Relative humidity: 30 ~ 80% Atmospheric pressure: 70kPa ~106kPa Transport and Storage Environment Ambient temperature range: -20°C ~ 60°C Relative humidity: 10 ~ 95% Atmospheric pressure: 50.0kPa ~107.4kPa 6.9 Classification

Safety standard The type of protection against electric shock The degree of protection against electric shock Electro-Magnetic Compatibility:

IEC 60601-1 Class I equipment. Type BF, CF applied parts Group I, Class A

6.10 Other Technical Information

6.10.1 Additional description for SpO2 monitoring 1. The device is calibrated in the factory before sale, so there is no need to calibrate it during its life cycle. Any SpO2 simulators should not be used to validate the accuracy of the oximeter, they can only be used as functional testers to verify its precision. The SpO2 accuracy claimed in this manual is supported by the clinical study conducted by inducing hypoxia on healthy, non-smoking, light- to-dark skinned subjects in an independent research laboratory. 2. If it is necessary to verify the precision of the oximeter routinely, the user can do the verification by means of SpO2 simulator, or it can be done by the local third party test house. Please note that the specific calibration curve (so called R-curve) should be selected when use of SpO2 simulator, e.g. for Index 2 series SpO2 simulator from Fluke Biomedical Corporation, please set “Make” to “DownLoadMake: KRK”, then the user can use this particular R-curve to test the oximeter. If the SpO2 simulator does not contain “KRK” R-curve, please ask the manufacturer for helping to download the given R-curve into the SpO2 simulator. 3. The average data update period: 10s

6.10.3 Additional description for NIBP measurement The blood pressure measured by this device is essentially identical to that measured by auscultatory method.

6.10.5 Additional description for alarm system 1. Alarm indication: audial and visual alarm signal 2. Audial alarm: High priority alarm: one group pulse string including 10 pulse; x, x, 2x + td, x, 1s, x, x, 2x + td, x, and x=100ms, the pulse duration is160ms, pulse frequency is 400Hz, the pulse string interval is 3s. Medium priority alarm: one group pulse string including 3 pulse, the pulse string interval is y, y, and y=200ms, the pulse duration is200ms, pulse frequency is 500Hz, the pulse string interval is 5s. Low priority alarm: the unrepeatable single pulse, frequency is 500Hz, and pulse duration is 200mx. 3. Visual alarm: The visual alarm includes the LED indicator located on the upper front panel of the Monitor, the numeric readings

36

User Manual for Vital Signs Monitor (VET) flashing, and the alarm message displayed on the bottom of the LCD screen. Alarm indicator frequency and color see below: Alarm LED indicator: High-priority: red light flashing with 2Hz frequency and 50% duty ratio
Low priority: Yellow light flashing with 2Hz frequency and 50% duty ratio Medium priority: Yellow light on No alarm: Green light on Numeric reading alarm: the reading value flashing reversed color display 4. Alarm reset and silence: see Section 4.10. 6.10.6 Additional description for power supply, network and display 1. Power supply: main power supply: AC 100V~240V, 50Hz/60Hz
Internal power supply: 11.1VDC 2. Input power: <45VA 3. The minimum working time when operating with all accessories by internal power supply: 270 min. 4. Network connection: Ethernet network 5. Display panel: color TFT LCD 6. Working modes: Demo mode and Real-time mode
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User Manual for Vital Signs Monitor (VET)
6.11 Guidance and manufacturer’s declaration-Electromagnetic compatibility Table 1
Guidance and manufacturer’s declaration-electromagnetic emission for all EQUIPMENT AND SYSTEM

Vital Signs Monitor is intended for use in the electromagnetic environment specified below.

The customer or the user of the equipment or system should assure that it is used in such an environment.

Emissions test

Compliance

Electromagnetic environment-guidance

RF emissions CISPR 11

Group 1

RF emissions CISPR 11

Class A

Harmonic emissions IEC61000-3-2

Class A

Voltage fluctuations/flicker emissions IEC61000-3-3

Complies

Vital Signs Monitor uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
Vital Signs Monitor is suitable for use in all establishments other than domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.

Table 2

Guidance and manufacturer’s declaration-electromagnetic immunity

for all EQUIPMENT AND SYSTEMS

Vital Signs Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the

equipment or system should assure that it is used in such an environment.

Immunity test

IEC60601 test level

Compliance level

Electromagnetic environment -guidance

Electrostatic discharge(ESD) ±6 kV contact

±6 kV contact

Floors should be wood, concrete or

IEC61000-4-2

±8kV air

±8kV air

ceramic tile. if floors are covered with

synthetic material, the relative humidity

should be at least 30%

Electrical fast transient/burst ±2kV for power

±2kV for power

Mains power quality should be that of a

Supply lines

Supply lines

typical commercial or hospital

IEC61000-4-4

±1 kV for

±1 kV for

environment.

input/output lines

input/output lines

Surge IEC 61000-4-5

±1kV line (s) to line(s) ±2kV line(s) to earth

±1kV differential mode ±2kV common mode

Mains power quality should be that of a typical commercial or hospital environment.

38

Voltage dips, short interruptions and voltage variations on power supply input lines IEC61000-4-11

User Manual for Vital Signs Monitor (VET)
Mains power quality should be that of a typical commercial or hospital environment. If the user of the equipment or system requires continued operation during power mains interruptions, it is recommended that the equipment or system be powered from an uninterruptible power supply or a battery.

Power frequency(50Hz/60Hz) magnetic field IEC61000-4-8

3A/m

3A/m

NOTE UT is the a.c. mains voltage prior to application of the test level.

Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.

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User Manual for Vital Signs Monitor (VET) Table 3
Guidance and manufacturer’s declaration ­ electromagnetic immunity-for EQUIPMENT and SYSTEM that are not LIFE-SUPPORTING

Vital Signs Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of Vital

Signs Monitor should assure that it is used in such an electromagnetic environment.

IMMUNITY test

IEC 60601 test level

Compliance level

Electromagnetic environment – guidance

Portable and mobile RF communications equipment

should be used no closer to any part of Vital Signs

Monitor, including cables, than the recommended

separation distance calculated from the equation

applicable to the frequency of the transmitter.

Recommended separation distance

Conducted RF

3 Vrms

3V

IEC 61000-4-6

150 kHz to 80 MHz

Radiated RF IEC 61000-4-3

3 V/m 80 MHz to 2.5 GHz

3 V/m

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). b Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey ,a should be less than the compliance level in each frequency range .b Interference may occur in the vicinity of equipment marked with the following symbol.

NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. a: Field strengths from fixed transmitters, such as base stations for radio (cellular / cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, and electromagnetic site survey should be considered. If the measured field strength in the location in which Vital Signs Monitor is used exceeds the applicable RF compliance level above, Vital Signs Monitor should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating Vital Signs Monitor. b: Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/m.

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User Manual for Vital Signs Monitor (VET)
Table 4
Recommended separation distances between portable and mobile RF communications equipment and The equipment or systemfor EQUIPMENT and SYSTEM that are not LIFE-SUPPORTING

Vital Signs Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.

The customer or the user of the equipment or system can help prevent electromagnetic interference by maintaining a

minimum distance between portable and mobile RF communications equipment (transmitters) and the equipment or system

as recommended below, according to the maximum output power of the communications equipment.

Separation distance according to frequency of transmitter

Rated maximum output power of transmitter

m 150kHz to 80MHz

80MHz to 800MHz

80MHz to 2,5GHz

W

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 determined 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 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.

NOTE 2:These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.

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User Manual for Vital Signs Monitor (VET)

Chapter 7 Packaging and Accessories 7.1 Packaging The product is packed in high quality corrugated cartons with foam inside to protect the equipment against damage in the shipping and handling process.

Weight: Details see the indication on the outer package. Dimension: 360(L)×320(W)×410(H) (mm) 7.2 Accessories Supplied

NIBP cuff

One piece

SpO2 probe

One piece

Power cord

One piece

Grounding wire

One piece

User manual

One copy

Quality Certificate

One copy

Warranty

Two copies

Packing list

Two copies

Note: The accessories are subject to change depending on the configuration of the monitor that you have ordered. Refer to the package for the detailed items and quantity.

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User Manual for Vital Signs Monitor (VET)
Chapter 8 Monitoring Parameter
8.1 NIBP Monitoring
8.1.1 Measuring Principle
Blood pressure may be measured in an invasive way (whereby the sensor will be inserted into blood vessel directly) or a non-invasive way. The non-invasive way includes several methodologies, such as the Korotkoff Sound Method and oscillating method. The Korotkoff Sound Method is used as a conventional way, whereby stethoscope is used to measure the blood pressure. By the oscillating method, an inflation pump will fill the air, and release it slowly. A computer will record change of the cuff pressure when the air is released. With this record, the blood pressure value will be determined. First of all, make sure the signal quality judgment by computer meets the requirements of accurate calculation (such as sudden limb movement or cuff being hit during the measurement). If the answer is negative, give up the calculation. If the answer is positive, proceed with calculation of the blood pressure value.
As change of the blood pressure is recorded by electric sensor, which sensitivity is much higher than that of human ears, the oscillating method uses different definitions for measurement of diastolic pressure, mean arterial pressure and systolic pressure from the Korotkoff Sound Method. When the oscillating method is used, the circuit in the measuring apparatus will separate the amplitude of the cuff pressure from its change with pulsation. With the oscillating method, the blood pressure at the maximum amplitude of cuff pressure is defined as the mean arterial pressure. The blood pressure at amplitude of cuff pressure forward reduced according to proper proportion is defined as systolic pressure, while the blood pressure at amplitude of cuff pressure backward reduced according to proper proportion is defined as diastolic pressure. The maximum change of pulse pressure occurs at these two points. They are equivalent to the point with pulse sound and the point without pulse sound respectively in the Korotkoff Sound Method.
When the risk of invasive monitoring method outweighs its advantage of accuracy, non-invasive monitoring method shall be used.
Comparison between blood pressure measuring methods
To overcome the effect of human hearing variation and air release speed on measurement accuracy when the conventional Korotkoff Sound Method is used to take measure of blood pressure, people have been dedicated to study of automatic measurement of blood pressure. By now, automatic blood pressure measuring system based on the principle of oscillating method is mature. In practice, however, various problems are encountered, such as why the measures taken by the oscillating method is lower or higher than those taken by Korotkoff Sound Method? Why the measures are inclined to decline? Why, in some cases, no result is obtained in spite of the inflation actions? Why the measure values have big discreteness and even abnormal data in some cases? Why the SpO2 waveforms may disappear suddenly? …and so on. The following explanations are devised to give the answers.
The Oscillating method vs. the Korotkoff Sound Method
Blood pressure measurement by the oscillating method and Korotkoff Sound Method has good correlation with the invasive measurement. Notwithstanding, any of the non-invasive blood pressure measurements has its one-sidedness when it is compared to the invasive measurement. The oscillating method has its advantages over the Korotkoff Sound Method in less error, higher reliability and stability. Their differences may be reflected in the following aspects.
1.The measures by the Korotkoff Sound Method are liable to effect of human factors. For example, different people may have different sound judging ability, or different reactivity when listening to heart sound and reading mercury meter. The air release speed and subjectivity may also affect the judgment. By the oscillating method, the computation is accomplished by the computer, thus relieving the possibility of effect due to human factor.
2.With the Korotkoff Sound Method, the measure is taken on the basis of appearance and disappearance of heart sound. The air release speed and heart rate may have direct effect on the measurement accuracy. It also has the disadvantages of rapid air release and poor accuracy. In the contrast, with the oscillating method, the determination is calculated on the basis of cuff pressure oscillatory waveform envelope, and the air release speed and heart rate has little effect on the measurement accuracy.
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User Manual for Vital Signs Monitor (VET)
3.Statistics show that, when measuring the hypertension, the measure taken by the oscillating method is likely to be lower than that taken by the Korotkoff Sound Method. When measuring the hypotension, the measure taken by the oscillating method is likely to be higher than that by the Korotkoff Sound Method. But, it doesn’t mean the advantages or disadvantages between the oscillating method and the Korotkoff Sound Method. Comparison with the results taken by more accurate method, let’s say comparison of the invasive pressure result with the output value by the blood pressure measuring simulator, will show which method has more accurate results. In addition, higher or lower value should be a statistical concept. It is recommended those used to adopt the Korotkoff Sound Method use different physiological calibration for values determined by the oscillating method.
4.The studies have shown that the Korotkoff Sound Method has the worst accuracy when it comes to measurement of hypotension, while the oscillating method has worse accuracy when it comes to measurement of controlled hypertension relief.
8.1.2 Factors affecting NIBP measuring Select a cuff of appropriate size according to the size of the subject. Prior to use of the cuff, empty the cuff of any residual air inside it to ensure accurate measurement. Locate the cuff in such a way that the mark “” is in the position where artery pulsates clearly for best effect. The lower part of the cuff should be 2cm above the elbow joint. Do not wrap the cuff over thick clothing; The patient should lie in bed or sit in a chair, in order for the cuff and heart to be at the same level and the most accurate measurement to be taken. Other postures may lead to inaccurate results; During measuring, do not move the arm or the cuff; The measuring interval shall longer than 2 minutes, in continuous measurement, too short interval may cause arm extrusion, blood quantity increases, then cause blood pressure increases. Keep the patient still and calm before and during measuring as the patient’s state also affect the measuring result, e.g. when excited or anxious, their blood pressure will go up. Results will also be affected by the time of day, tending to be lower in the morning and higher in the evening;
8.1.3 Clinical Limitations and Contraindications
1. Serious angiospasm, vasoconstriction, or too weak pulse.
2. Extremely low or high heart rate or serious arrhythmia (especially auricular fibrillation) will lead to unreliable measurements or an inability to take a reading.
3. Patients connected to an artificial heart-lung machine.
4. Patient taking diuretics or vasodilators.
5. With patient suffering from major hemorrhage, hypovolemic shock and other conditions with rapid blood pressure change or when the body temperature is too low, the readings will not be reliable, as reduced peripheral blood flow will lead to reduced arterial pulsation.
6. patient with hyperadiposis;
In addition, statistics show that 37% people report blood pressure difference of no less than 0.80kPa(6mmHg) between the left and right arms, and 13% people report difference of no less than 1.47kPa (11mmHg).
Note: Some practitioners may report big discreteness or abnormal value of the blood pressure measures when the oscillating method is used. As a matter of fact, the so-called “big discreteness” must be a term in the sense of statistical significance of mass data. Abnormal data may be observed in some individual cases. It is normal in the scientific experiments. It may be caused by an apparent reason, or by an unknown factor in some cases. Such individual doubtful experimental data may be identified and eliminated using the special statistical technique. It is not a part of this manual. The practitioner may eliminate the apparently unreasonable data according to the experience.
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User Manual for Vital Signs Monitor (VET)
8.2 SpO2 Monitoring
8.2.1 Measuring Principle
Based on Lamber-Beer law, the light absorbance of a given substance is directly proportional with its density or concentration. When the light with certain wavelength emits on human tissue, the measured intensity of light after absorption, reflecting and attenuation in tissue can reflect the structure character of the tissue by which the light passes. Due to that oxygenated hemoglobin (HbO2) and deoxygenated hemoglobin (Hb) have different absorption character in the spectrum range from red to infrared light (600nm~1000nm wavelength), by using these characteristics, SpO2 can be determined. SpO2 measured by this monitor is the functional oxygen saturation — a percentage of the hemoglobin that can transport oxygen. In contrast, hemoximeters report fractional oxygen saturation ­ a percentage of all measured hemoglobin, including dysfunctional hemoglobin, such as carboxyhemoglobin or metahemoglobin.
8.2.2 Sources of interference for SpO2 Measurement
Intravascular dyes such as indocyanine green or methylene blue Exposure to excessive illumination, such as surgical lamps, bilirubin lamps, fluorescent lights, infrared heating lamps, or direct
sunlight. Vascular dyes or external used colouring products such as nail polish or tinted skin care Excessive patient movement Placement of a sensor on an extremity with a blood pressure cuff, arterial catheter, or intravascular line Exposure to a high pressure oxygen chamber Arterial occlusion proximal to the sensor Blood vessel contraction caused by peripheral vessel hyperkinesias or decreasing body temperature
8.2.3 Pathological reasons for low SpO2 measurements
Hypoxemia, functional lack of HbO2 Pigmentation or abnormal oxyhemoglobin level Abnormal oxyhemoglobin variation Methemoglobin disease Sulfhemoglobinemia or arterial occlusion exists near sensor Obvious venous pulsations Peripheral arterial pulsation becoming weak Insufficient peripheral blood supply
8.2.4 Clinical Limitations As the measurement is taken on the basis of arteriole pulse, a substantial pulsating blood stream is required. For a patient with weak pulse, perhaps due to shock, low ambient/body temperature, major bleeding, or use of vascular contracting drugs, the SpO2 waveform (PLETH) will decrease. In this case, the measurement will be more sensitive to interference. For those with a substantial amount of staining dilution agent (such as methylene blue, indigo green and acid indigo blue), or carbon monoxide hemoglobin (COHb), or methionine (Me+Hb) or thiosalicylic hemoglobin, and some with icterus problem, the SpO2 readings may be inaccurate. Drugs such as dopamine, procaine, prilocaine, lidocaine and butacaine may also be a major factor resulting in serious SpO2 measurement errors. As the SpO2 value serves as a reference value for judgment of anemic anoxia and toxic anoxia, the measurement result of some patients with serious anemia may also present as good SpO2 value.
8.2.5 Points to be noted in SpO2 and Pulse Measuring
The finger should be properly placed (see the illustration to follow in this instruction manual), or else it may cause inaccurate measurement results.
Make sure that the sensor is lined up so the red and infrared LEDs pass through the capillary arterial vessels .
45

User Manual for Vital Signs Monitor (VET) The SpO2 sensor should not be used at a location or limb with an arterial or blood pressure cuff attached or receiving
intravenous injection. Do not fix the SpO2 sensor with adhesive tape, which may result in venous pulsation and consequential inaccurate
measurement result of SpO2. Make sure the optical path is free from any obstacles such as adhesive tape. Excessive ambient light (such as fluorescent lights, infrared heaters and direct sunlight) may affect the measuring result. Strenuous activity of the patient or extreme electrosurgical interference may also affect the accuracy. Please do not use the SpO2 sensor when having the MRI, or burn may be caused by faradism. Always observe the plethysmogram (waveform), which is auto-scaled within the range of 100. If the waveform is not smooth
or is irregular, this may indicate that the SpO2 readings are not accurate. If in doubt, rely on your clinical judgment, rather than the monitor readout. A functional tester cannot be used to assess the accuracy of the pulse oximeter monitor or a SpO2 sensor. However, a functional tester, such as SpO2 simulator can be used to check how accurately a particular pulse oximeter is reproducing the given calibration curve. Before testing the oximeter, please determine that the appropriate calibration curve is being used. If necessary, request this from the manufacturer and download it into the test device.
Chapter 9 Troubleshooting 9.1 No Display on the Screen Shut down the monitor and unplug the power. Use a universal meter to check whether the outlet has proper voltage, if the power cable is in good condition, and that the power cable is properly connected with this apparatus or outlet. Remove the fuse from the back cover of the monitor, and make sure it is in good condition. 9.2 No Blood Pressure and Pulse Oxygen Readings
1. Check that the blood pressure cuff is properly wrapped around the arm according to the operating instructions, that the cuff does not have a leak, that connections are secure on the cuff and tubing and that the inlet is closely connected with the NIBP jack on the side panel. Check that the LED of SpO2 probe flashes and that the pulse oxygen probe is properly connected to the SpO2 jack on the side panel.
2. If the problems still exist, please contact the local dealer. 9.3 Blank Print-out
1. Check whether the printing paper is installed the right way around (i.e. with the sensitive side upwards). Please reinstall it if necessary.
2. If the problems still exist, please contact the local dealer. 9.4 System Alarm
1. When the parameter value is higher or lower than the alarm limits, the alarm will sound. Please examine the condition of the patient and check whether the alarm limit values are set appropriately.
2. Probe off. Please check the connection of the probes.
Note: If a problem arises with this machine in service, follow the instructions below to attempt to eliminate the problem first. If the attempt fails, contact the dealer in your local area or the manufacturer. Do not open the monitor casing without permission.
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User Manual for Vital Signs Monitor (VET)

10.1 Service and Examination

Chapter 10 Maintenance

10.1.1 Daily Examination

Before using the monitor, the checks below should be carried out: Check the monitor for any mechanical damage; Inspect the exposed parts and the connectors, and the accessories; Examine all the functions of the monitor that are likely to be used for patient monitoring, and ensure that it is in good working condition; Make sure that the monitor is grounded properly. Pay close attention to the fluctuation of the local power supply voltage. A manostat is recommended when necessary. In the event that any damage to the monitor is found or any irregular function is detected and proven, do not use it.

10.1.2 Routine Maintenance

An annual maintenance inspection by qualified personnel, including functional and safety examination is recommended.. The designed life of this monitor is 5 years. In order to ensure a long service life, please pay attention to the required maintenance.
Failure to carry out a satisfactory maintenance program for the monitor, may result in functional failures and harm the patient’s safety and health.
If there is any indication of cable or transducer damage or deterioration, they must not be used. The adjustable units in the monitor such as potentiometer should bot be altered without permission to avoid unnecessary
failures that may affect normal use. Maintenance repairs must only be carried out by suitably trained technicians.

10.1.3 Battery Maintenance
Please pay attention to the polarity of battery, and do NOT insert it into battery compartment with polarities reversed ; Do NOT use batteries manufactured by other companies, which may cause damage to the device; In order to avoid damaging the battery, do NOT use another power supply to charge the battery; At the end of their lifetime, dispose of batteries in line with local guidelines. Do not hit or strike with force; Do not use this battery on other devices;
Do not use this battery below -10 or above 40; Dispose of the battery, the local law should be followed. In order to maintain battery supply time and prolong battery lifetime, please charge the battery every one or two months if
the monitor is not in regular use. Charge battery at least 12-15 hours every time. Before charging, run down the internal battery until the monitor turns off automatically to minimize memory effects. Charging time will be the same no matter whether the monitor is working or not. Charge fully before putting the monitor into storage.
Using a monitor powered solely by an internal battery power which has short charge power will cause the monitor turn off automatically when the battery is depleted.
Do NOT use batteries manufactured by other companies, which may cause damage to the device;(If battery is damaged,

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User Manual for Vital Signs Monitor (VET)
please replace with same type and specification battery marked by “CCC” or “CE” in time, or contact the company directly. )
10.1.4 Service
If the monitor malfunctions and you are not able to resolve an issue using the troubleshooting guide, please contact the supplier. Only qualified service engineers, specified by the manufacturer can perform maintenance and users are not permitted to repair the monitor or conduct maintenance by themselves. 10.2 Cleaning and Disinfection
Keep the monitor free from dust. It is recommended to regularly clean the outer shell and screen of the monitor to keep it clean. Only a non-corrosive cleanser
such as clear water is permitted. Wipe the surface of the monitor with a cloth slightly dampened with warm water and a mild, non-corrosive detergent or an
alcohol impregnated wipe. Dry with a clean cloth or simply air-dry. The monitor can be sterilized and disinfected, please clean it first. Switch off the monitor and disconnect the power cable before cleaning. Do not let the liquid cleanser flow into the connector jack of the monitor to avoid damage. Clean the exterior of the connector only. Dilute the cleaning product in line with the manufacturer’s instructions. Do not let any liquid flow into the shell or any other part of the monitor. Do not leave any cleanser or disinfectant on the surface of the monitor. Do not perform high pressure sterilization on the monitor. Do not submerge any parts of the monitor or its accessories in the liquid. If the monitor accidentally becomes wet, it should be thoroughly dried before use. The rear cover can be removed by a
qualified service technician to verify absence of water. Do not pour the disinfectant onto the monitor surface while disinfecting. 10.3 Cleaning and Disinfection of Accessories It is recommended to clean the accessories (including sensor, leads and plugs) with a piece of gauze which has been soaked in 75% Alcohol or 70% Ispropanol before use. Do not use damaged accessories. Accessories can not be entirely immerged into water, alcohol or cleanser. Do not use radial, steam or epoxyethane to disinfect accessories. Wipe off any remaining alcohol or ispropanol on the accessories after disinfection, for good maintenance can extend the life
of accessories. 10.4 Storage If the equipment will not be used for long period of time, wipe it clean and keep it in the packaging, in a dry and well ventilated place, free from dust and corrosive gases. Storage environment: Ambient temperature: -20~60°C
Relative humidity: 10%~95% Atmosphere: 50kPa~107.4kPa
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User Manual for Vital Signs Monitor (VET)
10.5 Transportation This monitor should be transported by land (vehicle or railway) or air in accordance with the contractual terms. Do not hit or drop it with force.

11.1 Prompt information explanations

Chapter 11 Appendix

Mute C-D: XXX seconds NIBP C-D: XXX seconds TOUR C-D: XXX seconds Probe off PR over limit SpO2 over limit SYS over limit DIA over limit MAP over limit NIBP error 1# NIBP error 2# NIBP error 3# NIBP error 4# Cuff error NIBP error 5# Air leak NIBP over range
Over motion

Alarm silence count down: XXX seconds NIBP auto measuring cycle count down: XXX seconds Hemostat alert count down: XXX seconds SpO2 probe is off form the patient or disconnected from the device PR value exceeds the high/low alarm limit SpO2 value exceeds the high/low alarm limit Systolic pressure value exceeds the high/low alarm limit Diastolic pressure value exceeds the high/low alarm limit MAP value exceeds the high/low alarm limit Sensor or other hardware error Very weak signal because of the cuff, or the patient has very weak pulse Blood pressure amplifier overflow due to excessive movement Leaking during the pneumatic device testing Cuff is not wrapped correctly, or is not connected Hardware fault of NIBP module Pneumatic part, tube or the cuff leak air The measurement range exceeds limits setting value Excessive movement or noise during inflation and measurement. Another measurement will be taken.

Over pressure

Cuff pressure exceeds the safety limit value of software. Or caused by cuff extrusion or flapping cuff with force.

NIBP timeout

Big animal measurement is more than 120 seconds, small animal measurement is more than 90 seconds.

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User Manual for Vital Signs Monitor (VET)

11.2 Factory Default Alarming Values and Setup Range

The factory default alarming value:

Parameter

Mode

Big animal

Small animal

SYS DIA MAP SpO2 Pulse rate

High limit Low limit High limit Low limit High limit Low limit High limit Low limit High limit Low limit

160mmHg 90mmHg 110mmHg 60mmHg 90mmHg 50mmHg 100% 85% 120bpm 50bpm

120mmHg 70mmHg 90mmHg 50mmHg 70mmHg 40mmHg 100% 85% 160bpm 75bpm

The high and low limits setting range:

Parameter

Mode

Big animal

Small animal

Setting Step

SYS DIA MAP SpO2 Pulse rate

High limit Low limit High limit Low limit High limit Low limit High limit Low limit High limit Low limit

(Low+1)~265 mmHg 40~(High-1) mmHg (Low+1)~222 mmHg 27~(High-1) mmHg (Low+1)~210 mmHg 20~(High-1) mmHg 1~100% 0~99% (1~350) bpm (0~349) bpm

(Low+1)~200 mmHg 40~(High-1) mmHg (Low+1)~165 mmHg 27~(High-1) mmHg (Low+1)~150 mmHg 20~(High-1) mmHg 1~100% 0~99% (1~350) bpm (0~349) bpm

1mmHg 1mmHg 1mmHg 1mmHg 1mmHg 1mmHg
1% 1% 1bpm 1bpm

Note: it’s limited for the high/low alarm setting value, which ensure that the high-limit setting value will not less than (or equal to) that of the low- limit setting value. See the above table for detailed setting step.

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User Manual for Vital Signs Monitor (VET)

11.3 Accessories List
Part Name SpO2 sensor NIBP cuff (3~6)cm NIBP cuff (4~8)cm NIBP cuff (6~11)cm NIBP cuff (7~13)cm NIBP cuff (8~15)cm Thermal printer paper Power cord Grounding wire Net wire

Remark Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional

For more information regarding the accessories, please contact your local sales representative or the manufacturer.

Note: Part no. is subject to change without prior notice, please refer to the label of parts or Packing List.

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User Manual for Vital Signs Monitor (VET) Manufacturer Date of manufacture Lot number Follow instructions for use Keep in a cool, dry place Imported by Product code Authorized representative in the European community WEEE disposal Product complies with European Directive Caution: read instructions (warnings) carefully Keep away from sunlight Covering Protection rate Humidity limit Atmospheric pressure limit Temperature limit
GIMA WARRANTY TERMS The Gima 12-month standard B2B warranty applies
Disposal: The product must not be disposed of along with other domestic waste. The users must dispose of this equipment by bringing it to a specific recycling point for electric and electronic equipment
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