 FM

S/5
User’s Guide

guide_FM_uusi.pmd 1 03/04/2004, 8:31

 Datex-Ohmeda S/5 FM
User’s Guide
Related to software licenses L-FICU03 and L-FICU03A

053 7
Conformity according to the Council Directive 93/42/EEC concerning Medical Devices

CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner.
Outside the USA, check local laws for any restriction that may apply.

All specifications are subject to change without notice.

Document no. M1017181-01

April 2004

Datex-Ohmeda Inc. Datex-Ohmeda Division,

P.O. Box 7550 Instrumentarium Corporation
Madison, WI 53707-7550, USA P.O. Box 900
Tel: +1-608-221 1551 FI-00031 DATEX-OHMEDA, FINLAND
Fax: +1-608-222 9147 Tel: +358 10 39411
Fax: +358 9 1463310
www.us.datex-ohmeda.com www.datex-ohmeda.com
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About this guide Intended purpose (Indications for use)

This User’s Guide describes the most common features and functions The Datex-Ohmeda S/5 FM is intended for multiparameter patient
offered by the Datex-Ohmeda S/5 FM. Descriptions refer to S/5 monitoring. The S/5 FM with L-FICU03 or L-FICU03A software is
software licenses L-FICU03 and L-FICU03A. indicated for monitoring of hemodynamics (including arrhythmia and
If you are a new user of the monitor, we suggest you begin with ST-segment analysis) and respiratory status of all hospital patients.
sections "Safety precautions", “System introduction” and Impedance respiration measurement is indicated for patients three
"Monitoring basics.” The following conventions are used: years old and up. NIBP and CO2 (using option N-FCREC or N-FC)
- Names of the hard keys on the Command Board, Remote measurements are indicated for patients weighing over 5 kg (11 lb).
Controller and modules are written in the following way: ECG. The S/5 FM is indicated for use by qualified medical personnel only.
- Menu items are written in bold italic typeface: ECG Setup.
- Menu access is described from top to bottom. For example, the Classifications
selection of the Screen 1 Setup menu item and the Waveform In accordance with IEC 60601-1:
Fields menu item would be shown as Screen 1 Setup - - Class I and internally powered equipment - the type of protection
Waveform Fields. against electric shock.
- Messages (alarm messages, informative messages) displayed on - Type BF or CF equipment. The degree of protection against
the screen are written inside single quotes: ‘Learning.’ electric shock is indicated by a symbol on each parameter
- When referring to different sections in this manual, section names module.
are enclosed in double quotes: “Cleaning and care.” - Equipment is not suitable for use in the presence of a flammable
- In this manual, the word “select” means choosing and confirming. anesthetic mixture with air or with oxygen or nitrous oxide.
- Continuous operation according to the mode of operation.
Related documentation In accordance with IEC 60529:
Clinical aspects, basic methods of measurement and technical background: - IPX1 - degree of protection against harmful ingress of water.
S/5 FM User’s Reference Manual In accordance with EU Medical Device Directive: IIb
Installation, technical solutions and servicing: S/5 FM Technical Reference In accordance with CISPR 11: Group 1 Class B; see page 4 of this
Manual User’s Guide
Options and selections of the software: S/5 FM Default Configuration Responsibility of the manufacturer
Worksheet
Datex-Ohmeda Division, Instrumentarium Corp. is responsible for the
Compatible supplies and accessories: S/5 FM Supplies and Accessories safety, reliability and performance of the equipment only if:
Other devices closely related to the S/5 FM: - assembly, extensions, readjustments, modifications, service and
S/5 iCentral User’s Reference Manual repairs are carried out by personnel authorized by Datex-Ohmeda.
S/5 Network Wireless LAN Installation Guide - electrical installation complies with appropriate requirements.
- the equipment is used in accordance with this User’s Guide.

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Contents
Safety precautions .................................................... 3 ECG/ST...................................................................53
Symbols.................................................................... 5 Impedance respiration .............................................63
System introduction .................................................. 7 Temperature............................................................64
Monitor introduction ................................................. 9 Pulse oximetry .........................................................65
Monitoring basics.................................................... 19 NIBP .......................................................................67
Setting up the monitor before use............................. 21 Invasive blood pressure ............................................69
Starting and ending ................................................. 27 Airway gas ...............................................................73
Entering and loading patient data............................. 29 Troubleshooting.......................................................75
Screen setup........................................................... 31 Messages................................................................77
Alarms.................................................................... 33 Abbreviations ..........................................................81
Trends and snapshots .............................................. 37 Performance ...........................................................87
Printing and recording ............................................. 39 End User License Agreement ....................................91
Laboratory data and calculations ............................. 43 Warranty .................................................................92
Interfacing external devices ..................................... 47
Cleaning and care ................................................... 49
Trademarks
Datex®, Ohmeda®, and other trademarks S/5, D-lite, D-lite+, Pedi-lite,
Pedi-lite+, Mini D-fend, D-fend, D-fend+, OxyTip+, MemCard, ComWheel,
EarSat, FingerSat, FlexSat, PatientO2, Entropy, Patient Spirometry and
Tonometrics are property of Instrumentarium Corp. or its subsidiaries. All
other product and company names are property of their respective owners.

© Instrumentarium Corp. All rights reserved..

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Safety precautions
These precautions refer to the entire system. Warnings and cautions specific to parts of the system can be found in the relevant section.
delivered with the monitor. Other cables, batteries, transducers
Warnings and accessories may cause a safety hazard, damage the
equipment or the system, result in increased emissions or
A WARNING indicates a situation in which the user or decreased immunity of the equipment or system or interfere with
the patient may be in danger of injury or death. the measurement. Protection against cardiac defibrillator
• Connect only one patient to the monitor at a time. discharge is due in part to the accessories for pulse oximetry
• Do not use the monitor without manufacturer approved (SpO2), temperature (T) and invasive pressure (P) measurement.
mounting attached. • Single-use accessories are not designed to be re-used. Re-use
• Vibrations during intrahospital transport may disturb SpO2, ECG, may cause a risk of contamination and affect the measurement
impedance respiration, NIBP and InvBP measurements. accuracy.
• Use only hospital-grade grounded power outlets and power cord. • Do not incinerate a battery or store at high temperatures, as it
• Some equipment malfunctions may not generate a monitor will explode.
alarm. Always keep the patient under close surveillance. • The monitor or its components should not be used adjacent to or
• To avoid explosion hazard, do not use the monitor in presence of stacked with other equipment. If adjacent or stacked use is
flammable anesthetics. necessary, the monitor and its components should be observed
• Do not use the monitor in high electromagnetic fields (for to verify normal operation in the configuration in which it will be
example, during MRI.) used.
• Do not connect any external devices to the system other than • Pins of connectors identified with the ESD warning symbol
those specified. should not be touched. Connections should not be made to
• Do not touch the patient, table, instruments, modules or the these connectors unless ESD precautionary procedures are
monitor during defibrillation. used. See the "User’s Reference Manual" for details.
• If the integrity of the external protective earth conductor • The system may be interfered with by other equipment, even if
arrangement is in doubt, use the monitor with battery operation. that other equipment complies with CISPR emission
• After transferring or reinstalling the monitor, always check that it requirements.
is properly connected and securely attached. • If liquid has accidentally entered the equipment, disconnect the
• When detaching modules, be careful not to drop them. Always power cord from the power supply and have the equipment
support with one hand while pulling out with the other. serviced by authorized service personnel.
• Use only accessories, including mounts and batteries, and • If the unit fails to respond as described, do not use the monitor
defibrillator-proof cables and invasive pressure transducers until tested and repaired by authorized service personnel.
approved by Datex-Ohmeda. For a list of approved supplies and
accessories, see the “Supplies and Accessories” catalog

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Cautions Points to note

A CAUTION indicates a situation in which the unit or • Medical electrical equipment needs special precautions
devices connected to it may be damaged. regarding electromagnetic compatibility and needs to be
• Leave space for circulation of air to prevent the monitor from installed and put into service according to the electromagnetic
overheating. compatibility information provided in the "Technical Reference
• Do not store or use the monitor outside the temperature and Manual" by qualified personnel.
humidity ranges specified in the "Performance" section of this • Portable and mobile RF communications equipment can affect
manual. the medical electrical equipment.
• After replacing a battery, always make sure to close the battery • The allowed cables, transducers and accessories for the system
compartment by sliding the lid back to the right until it clicks. are listed in the “Supplies and Accessories” catalog delivered
• Other transmitting radio devices using the same radio frequency with the monitor.
band (Industrial Scientific and Medical 2.45 GHz band) may • The equipment is suitable for use in the presence of
degrade or disturb the wireless network communication. electrosurgery. Please notice the possible limitations in the
parameter sections and in the "Safety precautions” section.
Disposal • Service and reparations are allowed for authorized service
personnel only.
• Dispose of the whole device or parts of it in accordance with local
environmental and waste disposal regulations. • CISPR classifications:
- Group 1 contains all ISM (Industrial, scientific and medical)
equipment in which there is intentionally generated and/or
used conductively coupled radio-frequency energy which is
necessary for the internal functioning of the equipment
itself.
- Class B equipment is suitable for use in domestic
establishments and in establishments directly connected to
a low voltage power supply network which supplies
buildings used for domestic purposes.

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Symbols
Attention, consult accompanying documents. When displayed in the upper left corner of the screen, indicates
When displayed next to the HR value, indicates that the pacer that the alarms are silenced. When displayed in the menu or digit
is set on R or a wide QRS is selected. fields, indicates that the alarm source has been turned off or
On the E-PSM(P) module indicates that protection against alarm does not meet the alarm-specific activation criteria.
cardiac defibrillator discharge is due in part to the accessories Equipotentiality. Monitor can be connected to potential
for pulse oximetry (SpO2), temperature (T) and invasive equalization conductor.
pressure (P) measurement.
On the rear panel this symbol indicates the following warnings
Alternating current
and cautions:
- Electric shock hazard. Do not open the cover or the back.
Fuse. Replace the fuse only with one of the same type and rating.
Refer servicing to qualified personnel.
- For continued protection against fire hazard, replace the fuse
only with one of the same type and rating. In the front panel: battery.
- Disconnect from the power supply before servicing.
- Do not touch the monitor during defibrillation procedure.
- Do not use the monitor without manufacturer approved Battery operation and remaining capacity. The height of the
A
B B
mounting attached. green bar indicates the charging level.
- Lithium battery on CPU board: follow the regional regulations
for disposal.
Battery (A) charging (white bar).
B
Type BF (IEC 60601-1) protection against electric shock.

Type BF (IEC 60601-1) defibrillator-proof protection against B Battery (A) failure.

electric shock.

Type CF (IEC 60601-1) protection against electric shock. Both batteries failed.

Type CF (IEC 60601-1) defibrillator-proof protection against Battery (A) missing.

electric shock. B

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In the front panel: mains/external DC power. Submenu. Selecting a menu item with this symbol
opens a new menu.

Wireless LAN signal strength. The number of segments The monitor is connected to the Datex-Ohmeda S/5
corresponds to the signal strength: four segments indicate Network (Local Area Network).
strong signal, one segment weak signal. When connection to
access point is being searched, the segments scroll from zero
to four and back. The monitor is connected to the Datex-Ohmeda S/5
Network (Wireless Local Area Network).
ESD warning symbol for electrostatic sensitive devices. Pins of
connectors identified with the ESD warning symbol should not Data Card (green) or Menu Card (white) is inserted
be touched. Connections should not be made to these
connectors unless ESD precautionary procedures are used. A blinking heart next to the heart rate or pulse rate value
See "Safety precautions: ESD precautionary procedures" in indicates the beats detected.
the "User’s Reference Manual" for details.
A lung next to the respiration rate value indicates that
respiration rate is calculated from the impedance
Symbol for non-ionizing electromagnetic radiation. respiration measurement.
Interference may occur in the vicinity of equipment marked
with this symbol.

SN, S/N Serial number

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System introduction
(1) S/5 FM with module(s)
(2) S/5 Remote Controller, K-CREMCO
1 2
(3) Printer 3
(4) Other monitors in the Network
NOTE: The monitor display is fragile. Ensure that it
is not placed near a heat source or exposed to
mechanical shocks, pressure, moisture, or direct
sunlight. 4

NOTE: Your system may not include all these

components.

WARNING: Connect only one patient to

the monitor at a time.
WARNING: After transferring or
reinstalling the monitor, always check
that it is properly connected and
securely attached.

Optional components Attaching and mounting the monitor

Optional components for the S/5 FM are: The S/5 FM has various mounting accessories like a roll-stand, pole
• Patient Side Modules E-PSM and E-PSMP mount, wall mount and so on. It also has the slide for a GCX mounting
• Extension Modules N-FREC, N-FCREC and N-FC system. For details, please, refer to the “Supplies and Accessories”
• S/5 Wireless Network Option, N-FMW catalog delivered with the monitor.
• S/5 Remote Controller, K-CREMCO
For details regarding modules, see section “Measurement modules.” WARNING: Never install the monitor so that it is above
The monitor provides places for one E-PSM(P) and/or one N-Fx the patient.
module. The S/5 Network Option is always included. WARNING: Do not use the monitor without manufacturer
approved mounting attached.

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Interfacing other devices

Communication between monitors External devices can be connected to the S/5 FM, and the data they
You can use the S/5 FM as a stand-alone monitor or for: measure can be seen on the monitor screen. For more information, see
• Viewing and receiving data (alarms, vital signs) from other patient section "Interfacing external devices."
monitors
• Gathering and storing data during intrahospital transport. WARNING: A printer must be supplied from an additional
transformer providing at least basic isolation (isolating
To view other patient monitors, the monitor needs to be connected to or separating transformer).
the Datex-Ohmeda S/5 Network. The Network Option is always
included in the monitor. However, you can also choose the optional
wireless network option, N-FMW. To gather, store and transfer data
WARNING: Before starting to use the system, ensure
between different Datex-Ohmeda monitors, use the Data Card or
that the whole combination complies with the
international standard IEC 60601-1-1 and the
network communication. NOTE: You cannot transfer data to an S/5 FM requirements of the local authorities. Do not connect
using the Data Card. Use network for this purpose. any external devices to the system other than those
specified by Datex-Ohmeda.
The Data Card is used for storing and transferring patient data from the
S/5 FM. The Menu Card is used for loading and storing hospital-
specific user modes.

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Monitor introduction
1 2 3
4 (1) Battery compartment, see page 13
(2) Transportation handle
(3) Alarm light, see page 33
(4) Alarm LEDs, see page 33
(5) Side panel keys, see page 12
(6) The ComWheel
5 (7) Command Board keys, see page 10
(8) Guide rail for GCX mounting
14 (9) Mains power and battery LEDs, see page 13
(10) ON/standby key
13 (11) Connector for the Device Interfacing Solution (marked with X6)
6 (12) Connector for defibrillator synchronization (marked with X5)
(13) Measurement modules, see page 15
(14) Slot for Data Card or Menu Card
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7
11 10 9 8

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Rear panel connections

1
(1) Slot for infusion pole mount
(2) Module connector (marked with X4)
(3) Guide rail for GCX mounting
(4) Receptacle for power cord
(5) Fuse holder
(6) Serial port (marked with X9)
(7) Network ID connector (marked with X8)
(8) Connector for K-CREMCO (marked with X7)
(9) Accessory: multi I/O adapter (with connectors 6 - 8
above)
(10) Network connector
(11) Equipotential connector
4 5

10
8 7 6
3

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Command Board keys

1 2 3 4 5 6 7

NIBP Invasive Normal

ECG Pressures Screen

Wedge Airway Others

C.O. Gas

12 11 10 9 8

(1) ON/standby key (7) For returning the Normal Screen view to the screen
(2) Mains power ON (lit) or OFF (dark): indicates mains or external (8) For activating pulse oximetry, impedance respiration and
DC power temperature setup menus
(3) For admitting or discharging a patient; for selecting user modes; (9) For printing and recording different trends and views
for viewing data from other monitors; for activating standby (10) For selecting pages and for activating the ECG View or the ST
(4) For viewing trends, alarm history and other patients, and for View
activating the Lab Data and the Drug Calculator menu (11) For setting up the monitor and for activating the HELP menu
(5) For creating snapshots (12) Battery operation LEDs, see page 13
(6) For activating parameter specific menus. NOTE: All modules do
not measure all of these parameters. For more information, see
page 15.

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Side panel keys

Alarm LED indicators: see page 34
Silence
Alarms For silencing the alarms, see page 36

Alarms
Setup For activating the Alarms Setup menu, see page 33

Invasive Pressures

Zero For zeroing the invasive pressure channels, see page 69

ALL
NOTE: Functional with the E-PSMP module only.

NIBP

For starting the NIBP autocycling, see page 67

Start
Cancel For starting or stopping the NIBP manual cycling, see page 67

Recorder

For starting or stopping local recording, see page 39

NOTE: Functional with the N-FREC and N-FCREC modules only.

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Batteries
The S/5 FM has two lithium-ion batteries, located in the battery NOTE: Always use the S/5 FM with batteries inserted. Otherwise all
compartment. They can be charged separately, and screen symbols trend data, snapshots and temporary settings are lost if the power
and monitor frame LEDs indicate their charging level and possible cable is detached from the mains. NOTE: When the monitor is battery
failure, see table below. You can also check the battery status through powered, the green battery LED is on. When the monitor is mains
Monitor Setup – Battery Setup. powered, the green mains LED is on. See also sections
"Conditioning the batteries" and "Messages."
Battery indicators Checking the battery charge when the monitor is turned off
Screen Explanation Front panel
symbol battery LED indicators
Monitor is battery powered. Green lit When the monitor is turned
A
B B Batteries are fully charged; the Orange dark off, you can check the
size of the green bar indicates the
battery charging level by
charging level.
pressing the test button on
Monitor is battery powered. Green lit the battery as indicated in
A B Battery A is empty, battery B is Orange dark
ok.
the drawing on the left. The
green bar lights up and the
Monitor is battery powered. Green lit
B Battery A failure, battery B is ok.
number of lit segments
Orange flashing indicates the charging level.
NOTE: If both batteries fail, the green battery LED is dark.
Monitor is battery powered. Green lit
B Battery A missing, battery B is ok. Orange flashing

Monitor is mains powered. Green dark

B Battery A is being charged (white Orange lit
bar), battery B is already charged.
WARNING: Do not incinerate a battery or store at high
temperatures, as it will explode.
(No Monitor is mains powered. ‘No Green dark
symbol) battery backup’ message on Orange flashing
screen. Batteries have failed or
they are not inserted.

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Replacing the batteries

Battery capacity indicators in the upper right corner of the screen tell you when you should replace a battery, and which one is out of charge, missing
or not working, see above. You can replace one battery at a time.

To replace a battery:

A
B

1. Open the lid of the battery compartment located 2. Lift up the battery you want to change. 3. Push in the new battery. Make
behind the transportation handle by sliding it to the left. Check the indicators and messages on sure that the charging indicator
screen to make sure that you change the is facing forward and push the
battery with lower charge. battery down all the way. Check the
monitor indicators, see above.
CAUTION: After replacing a battery, always make sure to close the battery compartment by sliding the lid back to the right
until it clicks.

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Measurement modules You can use simultaneously either one E-PSM(P) module or one
There are five modules for the S/5 FM: hemodynamic Patient Side N-Fx module or one of each. See the following pictures and
Modules E-PSM and E-PSMP, and the S/5 FM specific Extension explanations for module features.
Modules N-FREC, N-FCREC and N-FC.

Patient Side Modules E-PSM and E-PSMP (in the drawing)

(1) Module keys, see below

1 (2) NIBP connector
2 (3) InvBP connector in E-PSMP only: 2-channel measurement
(4) Temperature connector: 2-channel measurement
3 (5) SpO2connector
(6) ECG (3/5/12 lead) and impedance respiration connector
4 7 (7) Tab for removing the module

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Module keys Module versions

The Patient Side Modules have the following measurement
Auto On/Off: for starting or capabilities:
Auto Start stopping the NIBP automatic
On/Off Cancel cycling, see page 67 E-PSM:
Start Cancel: for starting or - Non-invasive blood pressure
stopping the NIBP manual - Temperatures
cycling, see page 67 - Pulse oximetry
- ECG and impedance respiration
In E-PSMP only: E-PSMP (in the drawing above):
Zero P1 Zero P2 Zero P1: for zeroing pressure - Non-invasive blood pressure
channel P1 - Invasive blood pressures
Zero P2: for zeroing pressure - Temperatures
channel P2 - Pulse oximetry
- ECG and impedance respiration

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Extension Modules N-FREC, N-FCREC (in the drawing) and N-FC

(1) Recorder, in N-FREC and N-FCREC
(2) Paper compartment lever
(3) CO2 measurement, in N-FCREC and N-FC
(4) Water trap
2 (5) Tab for removing the module
(6) Sample gas inlet
1 (7) Gas outlet
4
Module versions
The Extension Modules have the following measurement capabilities
5 and features:
3
6 N-FREC:
- Built-in strip chart recorder for local recording

N-FCREC (in the drawing):

7 - Built-in strip chart recorder
- CO2 measurement

N-FC:
- CO2 measurement

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Inserting a module Using two modules

1. Align the module with the insertion guides. E-PSM(P) and To install an E-PSM(P) and an N-Fx module:
N-Fx modules are all inserted the same way. (1) Insert the N-Fx module first as explained in section
2. Push the module into the monitor frame until it clicks: “Inserting a module.”
(2) Attach the E-PSM(P) to the N-Fx.

Removing a module
1. Pull the module outwards using the tab. Make sure not to
drop it when it comes out.

WARNING: When detaching modules, be careful

not to drop them. Always support with one hand
while pulling out with the other.

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Monitoring basics
Navigating in menus Using pages
A menu is a list of functions or commands. To display a menu, press Each user mode has six configurable pages. Also pages contain
one of the hard keys. Selections in the menus are made with the different sets of parameters. In addition to the Normal Screen page,
ComWheel. For example, to change the ECG display: some modes have factory defaults for one or more other pages.
• Press the ECG key to open the function menu.
• Turn the ComWheel to select the desired function in the menu. For more information, see the “Default Configuration Worksheet” or
• Push the ComWheel to open a submenu or an adjustment the “User’s Reference Manual.”
window.
• Push the ComWheel to confirm the selection. Selecting an appropriate page
In addition to the Normal Screen, you can define up to five more
Using modes pages for each mode. Pages are preconfigured but if desired, can
The S/5 FM has six user modes. These user modes are predefined also be changed. To select a page:
sets of parameters. They determine, for example, what is displayed on 1. Press the Pages/Views key or push the ComWheel once in the
the screen and in trends and what the alarm limits are. In other words, Normal Screen view.
by choosing a specific mode you get suitable settings on the screen 2. Select the page with the ComWheel.
without having to choose all features one by one.
For more information, please refer to section "Setting up the monitor
Modes can be hospital specific. The monitor starts in start-up mode, before use."
which is one of the user modes chosen during configuration. The
default modes are STEP-DOWN, ED, PACU, CCU, NEURO and
PEDIATRIC. For more information about the default user modes, see
the "Default Configuration Worksheet" delivered with the monitor.
For more information about the installation settings and user modes,
see the "User’s Reference Manual."

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For your notes:

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Setting up the monitor before use

Before starting to use the monitor, check the monitor installation
settings and what is configured in different user modes, and make the Battery setup
necessary changes. The user modes can be hospital-specific. For Through this menu, you can check the battery status:
more information about the default user modes, see the “Default 1. Press the Monitor Setup key.
Configuration Worksheet.” For more information about the installation 2. Select Battery Setup. Battery information is now available.
settings and user modes, see the “User’s Reference Manual.”

Passwords
The default password for entering the Install/Service menu is Setting time and date
16 4 34. NOTE: If the monitor is connected to the S/5 iCentral, it follows the
iCentral’s time settings and the Time and Date menu is not available.
The default password for entering the Save Modes menu is NOTE: You cannot change the monitor’s time settings after the patient
13 20 31. has been admitted.
1. Press Monitor Setup and select Time and Date.
Interfacing 2. Turn and push the ComWheel to set the time and date.
1. Press Monitor Setup and select Interfacing.
2. Select the desired interfaced external devices.

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Changing the monitor installation settings Printer

The monitor installation settings are the same in all user modes. The ECG Printout Type: Select 2x6-25, 2x6-50 or 3x4-25.
changes are preserved until changed again. Press Monitor Setup, Snapshot Printout: Select 12.5 or 25 mm.
enter the password and select Install/Service - Installation. Printer Connection: Select printer connection (default: None).
Paper Size: Select A4 or Letter.

Units Monitor settings

1. Change units for height, weight, laboratory values and Parameter Settings: Set tidal volume calculation conditions, CO2
calculations. humidity compensation and inspired flow drawing direction.

You can change temperature units through Others - Temp Setup and
CO2 units through Airway Gas - CO2 Setup. The changes are Display setup
permanent. LCD Colors: Change the number of colors on the LCD display.

Alarm options Standby-sites

Show Limits: Select YES to show alarm limits in digit fields. Give names to the standby sites shown in the Admit/Discharge
Show Audio ON/OFF: Select YES to enable alarm silencing. menu. Enter the names by pushing and turning the ComWheel.
Selecting NO (default) hides silencing options in the Audio You can also reload the default names through Default Sites.
ON/OFF menu in Alarms Setup.
Alarm Light: Select NO to disable the alarm light.
Latching Alarms: Select YES to keep alarm messages on screen Drug list
until Silence Alarms key is pressed. Edit Drug List: Select the available drugs and the drugs to be
Reminder Volume: Adjust volume of audible alarm reminder displayed in the drug calculator.
tone. Defaults: Return the default drug list.
Alarm Tones: Select ISO 9703-2 standard tones or general tones.

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Changing the user modes Changing the start-up mode

NOTE: If you want to make changes in user modes, we recommend 1. Select Monitor Setup - Install/Service - Save Modes.
you contact the person responsible for the configuration. When new 2. Select Startup Mode - 1, 2, 3, 4, 5 or 6.
settings are saved, they should be marked in the "Default
Configuration Worksheet." See below for instructions on how to
change the modes permanently.
Renaming a mode
1. Select the user mode you wish to change through Monitor 1. Select Monitor Setup - Install/Service - Save Modes.
Setup - Select Mode. 2. Select the mode, select Name and give a new name.
2. Make necessary changes (sweep speeds, parameter colors,
report contents, Normal Screen layout, trends or snapshots etc.). Loading modes
To change a parameter setup, press a parameter key and go to 1. Select Monitor Setup - Install/Service - Save Modes.
the setup menu. For instructions, see relevant parameter 2. Select Load Modes and load to/from Menu Card or network.
sections. To change alarm limits and volume, press the Alarms
Setup side panel key. For instructions, see section "Alarms."
3. Confirm changes through Monitor Setup - Install/Service -
Save Modes - Save. You can save the changes also in other
modes. If you do not save the changes in the modes, they are
temporary and valid only until you discharge a patient or change
the mode or until more than 15 minutes has elapsed from the
turn-off of the monitor. Entering Save Modes requires a
password, see "Passwords" above.

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Changing the waveform sweep speeds Changing the recorder settings

1. Select Monitor Setup - Sweep Speeds. 1. Press Print/Record.
2. Select the parameters and adjust the values. Slow waveforms 2. Select Record Waveforms and select the recorded waveforms,
show the amplitude changes better. delay, paper speed and length, and select if you wish to record
waveforms on alarms.
3. Select Record Trends and set the numerical trend resolution and
Configuring report contents trend type, and select the graphical trend recorded in upper and
1. Select Monitor Setup - Install/Service. lower field.
2. Select Report Setup.
3. Select what you want to include in the report.

Changing the parameter colors Changing the printer settings

To change colors for parameter waveforms, digits and trends: 1. Select Print/Record - Print Graphical.
1. Select Monitor Setup- Install/Service - Colors. 2. Select the pages to print and how many hours to print on one
2. Select colors for parameters. page.

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Changing the Normal Screen layout Changing the layout of other pages
1. Press Monitor Setup and select Screen 1 Setup: You can check the contents of the pages by pressing the
• Waveform Fields: Select the displayed waveforms. Pages/Views key. To change the layout of the pages:
• Digit Fields: Change the contents of a field or turn it off. 1. Press Monitor Setup.
• Split Screen: Select what you wish to display with the waveforms 2. Select Install/Service - Pages Setup.
(ST, Trend or None). 3. Select the page and make the changes.
• Minitrend Length: Select the length of the minitrend.
Changing the display brightness
1. Press Monitor Setup and select Display brightness.
2. Select from 10 to 100 %.

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Setting the default trend Setting trend length and time scale
You can select graphical or numerical trends to be displayed by 1. Press Pt.Data & Trends:
default. • Select Trends – Graphical - Time Scale and the value.
1. Press Monitor Setup and select Install/Service - Trends & • Select Trends - Graphical - Trend Scales and adjust the scales.
Snapshot.
2. Select Default Trend and Graph or Num.

Configuring trend pages Configuring snapshots

To select the parameters that are displayed on the graphical trend To change the snapshot settings, press Monitor Setup and select
pages: Install/Service - Trends & Snapshot - Snapshot:
1. Press Monitor Setup and select Install/Service - Trends & • Field 1 – Field 6: Select to display waveform, graphical trend or
Snapshot - Graphical Trends. numerical trend. Five fields can be displayed on screen and six
2. Select the graphical trend page you want to change. fields can be printed.
3. Select parameters for fields. • Create on Alarms: Select YES (default) to create automatic
snapshots for Tachy, Brady, Art High and Art Low alarms. You can
select other arrhythmia alarms to create snapshots through the
Arrhythmia menu, see section “ECG/ST.”
• Automatic Print: Select ALL to print all the snapshots
immediately after creation, ALARMS to print snapshots created
on alarms or NO to print only on request.

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Starting and ending

Preparations Starting monitoring
NOTE: Before using the monitor for the first time with batteries, charge 1. Prepare the patient connections according to the setup picture in
the batteries to their full capacity (charging time 3 hours per battery the measurement section. Use only Datex-Ohmeda approved
pack). supplies and accessories, see the “Supplies and Accessories”
catalog delivered with the monitor. The alarms and parameter
1. Plug in the measurement modules. default settings become active.
2. Turn on the monitor from the ON/standby key. The monitor 2. If necessary, adjust the waveform and digit fields; see section
performs a self-test to ensure correct functioning. “Screen setup.”
3. If necessary, change the user mode: Press the 3. Zero invasive pressure lines; see section “Invasive blood
Admit/Discharge key and select Select Mode. pressure.”
4. Check the alarm limits; press the Alarms Setup side panel key.
Modes are preconfigured but if desired, can be changed. Changing Change them, if necessary; see section "Alarms."
the modes is described briefly in section "Setting up the monitor 5. Start the measurement according to instructions in the
before use." NOTE: Changing the mode also changes settings, such measurement section.
as the alarm limits. For details, see the "Default Configuration 6. Enter or load patient data by pressing the Admit/Discharge
Worksheet." key; see section "Entering and loading patient data.”

WARNING: Connect only one patient to the monitor at a The patient admission happens through Admit Patient selection or
time. automatically when the monitor receives a patient's vital signs.
Always observe the monitor and the patient carefully during start-up
WARNING: Always make sure that necessary alarm periods.
limits are active and set according to the patient's
clinical condition when you start monitoring a patient.

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During monitoring Ending monitoring

To remove a patient temporarily from the monitor, use standby: 1. Print necessary data: press the Print/Record key.
1. Disconnect patient cables or the measurement module and 2. Wait until the printing is finished. Then clear the patient data and
ensure that the monitor receives no vital signs and that the NIBP return the settings, including alarm limits, to their defaults through
autocycling is turned off. Admit/Discharge - Discharge - YES.
2. Press the Admit/Discharge key. 3. Turn off the monitor from the ON/standby key if the monitor will
3. Select Standby and one of the options. not be used.
4. Accept with YES. Alarms are silenced and all the gathered data is 4. Clean the monitor according to the instructions.
saved. New data is not collected.
Automatic discharge of the patient
Retrieving information after standby The monitor discharges a patient automatically after 24 hours when
If the monitor has been in the standby state: vital signs for some parameters (ECG, Art, NIBP, SpO2, Resp and CO2
1. Reconnect patient cables or the measurement module. (with N-FCREC and N-FC)) are not available. When this happens, all
2. Press any key or push the ComWheel. trend data will be cleared and alarm limits set to default values.
3. Select YES in the opened Contin. Previous window.

Alarms are activated. The previous data is retrieved and the monitor
starts collecting new data. NOTE: Zero invasive pressure lines.

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Entering and loading patient data

Entering patient data Receiving data from other sites
When you admit a patient, you must enter all relevant data: Once the monitor is connected to the Datex-Ohmeda S/5 Network,
1. Press the Admit/Discharge key and select Admit Patient. you can view and receive data from other monitors in the network.
2. Enter patient data by pushing and turning the ComWheel. 1. Press the Pt.Data & Trends key.
• To receive alarms from other patient sites, select Other Patients -
Receive Alarms (and the correct network if there are several
Loading patient data available).
If the patient has already been admitted on the same or on another • To view other patients’ vital signs, select Other Patients - Show
monitor, press Admit/Discharge and select one of the following: Vital Signs (and the correct network if there are several available).
• Contin. Previous
Select this when the monitor is not connected to the network. This NOTE: The heart rate is always calculated from ECG, independently
loads the most recent patient trends from the monitor memory when from the selection made at the other site.
less than 15 minutes has elapsed from the turn-off.
• Admit Patient - Patient from Net.
Select this when the monitor is connected to the network. This loads Saving data
patient trends from the network. Note that the patient must have been The S/5 FM continuously saves patient data, such as trends. Saving is
discharged from the monitor less than 72 hours ago. activated once the patient is admitted. The monitor saves
• Admit Patient - Other Networks automatically:
Select this to load patient trends from another network. - In the monitor memory the most recent patient data up to 72
When loading trends of patient data without the patient’s name or ID, hours if neither the Data Card nor network is in use.
select the data according to time indicated in the message field. - In the network the most recent patient data up to 72 hours.
- On the Data Card up to 48 hours of information depending on
the data load.

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For your notes:

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Screen setup
Modifying the screen temporarily Changing the split screen contents
• Press the Monitor Setup key and select Screen 1 Setup. You can split the Normal Screen page into two parts. The other half of
the split screen shows trend or ST data.
Change the waveform and digit field measurements, split screen
option, minitrend length and sweep speeds. 1. Press the Monitor Setup key.
• To make other setup changes, such as scale changes, press a 2. Select Screen 1 Setup.
parameter key and select its setup menu. For example, press the 3. Select Split Screen and choose from the options.
ECG key and select ECG Setup. • ST shows current and reference QRS complexes and ST trends.
• Trend shows minitrends beside waveforms.
Changes are valid until the monitor is turned off (+15 minutes) or until
• None shows no split screen.
you discharge the patient from the monitor. Only time and date
settings are stored permanently.

Modifying the screen permanently

You can make permanent changes in the screen setup. This is
described briefly in the section “Setting up the monitor before use.”
For information on default configuration, refer to the “Default
Configuration Worksheet.”

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− Selecting Combine Pressures displays invasive pressures in the

Changing waveform and digit fields same waveform field with the same zero line, but with individual
Up to six waveforms and four digit fields can be displayed scales.
simultaneously.
• Press the Monitor Setup key. − If 5- or 12-lead ECG is measured, up to three different ECG leads
• Select Screen 1 Setup - Waveform Fields or Digit Fields. can be displayed simultaneously in different fields.

Note that:
- Waveforms are always evenly spread to fill the entire waveform
area. When 3 or fewer waveforms are displayed, the waveforms
are displayed in an enlarged format.

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Alarms
Enabling the alarms Alarm indications
To enable the alarms, connect patient cables. If the alarm source is When the monitor is turned on, you will hear a beep: this tells you that
selected, the alarms are operative also when the measurement is not the alarm audio signal is working. Also, the alarm LED indicators light
displayed (except the respiration measurement alarms). up for a few seconds. To check them, see “Cleaning and
care:Functioning of the alarms.” You can also check the functioning of
WARNING: Always make sure that necessary alarm the audio signal and alarm light through Alarms Setup - Alarm
limits are active and set according to the patient's Volume or Alarm Light.
clinical condition when you start monitoring.
When an alarm becomes active, messages appear in the order of
priority. The alarming measurement value flashes and its background
color indicates the alarm category; see the table below. In some
cases, there may be a message on the screen giving more detailed
information. An audible alarm is also triggered, and the alarm LEDs
on the monitor side panel indicate the alarm level. If enabled, also
the alarm light flashes red or yellow according to alarm levels, see
below.

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Alarm categories
The priority depends primarily on the cause and alarm duration.

Visual Meaning Tone pattern (selected when the Side panel LED indicators Alarm light
system is configured) (if enabled)
Red For life threatening situations Triple + double beep every 5 seconds or red LED lit flashing red
continuous beep
--- -- 5 --- --/ -----
Yellow For serious but not life Triple beep every 19 seconds or double beep yellow LED blinking flashing yellow
threatening problems every 5 seconds
--- 19 --- / -- 5 -- 5 --
White Advisory Single beep - yellow LED lit dark

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Adjusting limits Changing source

1. Press the Alarms Setup side panel key and select Adjust Limits. For NIBP, P1 and P2 (with E-PSMP) and Temp, you can select which
2. Highlight the measurement. measured values trigger the alarm. One or several alarm sources may
3. Push the ComWheel to open an adjustment window. be active at a time.
4. Turn the ComWheel to change limits and accept them by pushing 1. Press the Alarms Setup side panel key and select Adjust Limits.
it. Move between selections by turning the ComWheel. 2. Select the measurement.
NOTE: If the monitor is connected to the network, the alarm limits can 3. If the highlight is in the adjustment window, push the ComWheel
also be changed using the S/5 iCentral if this feature has been until you get to the menu selections.
enabled in the iCentral configuration. 4. Select the desired alarm source ON.

Adjusting volume Receiving alarms from other sites

1. Press the Alarms Setup side panel key. NOTE: The monitor needs to be connected to a network.
2. Select Alarm Volume and adjust. 1. Press the Pt.Data & Trends key.
NOTE: If the monitor is connected to the network, the alarms can be 2. Select Other Patients.
heard and seen on the S/5 iCentral as well. Please, consult the "S/5 3. Select Receive Alarms.
iCentral User’s Reference Manual: Alarms" for details. 4. Select the correct network and one of the other sites.

Alarm light
The S/5 FM has an alarm light, located in the upper right corner of Showing alarm history
the monitor frame, see page 9. The alarm light can be enabled • Press the Pt.Data & Trends key.
(default) or disabled through Monitor Setup - Install/Service - • Select Alarm History. A list of the last 20 alarms is displayed.
Installation– Alarm Options- Alarm Light. When enabled, it flashes
red or yellow according to the currently active highest priority alarm.
To adjust the brightness of the light:
1. Press the Alarms Setup key.
2. Select Alarm Light and adjust with the ComWheel. During
adjustment the light is on to help you determine a suitable
brightness level.

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Silencing audible alarms temporarily Silencing audible alarms permanently

To silence alarms for two minutes, press the Silence Alarms side 1. Press the Alarms Setup side panel key and select Audio
panel key. To silence them for five minutes, press the key for more than ON/OFF.
three seconds. 2. Select Silence Apnea, Silence ECG, Silence Apn&ECG or
Silence ALL.
If the alarms are not active when you press the Silence Alarms side
panel key, they are pre-silenced for two or five minutes. If an active alarm is silenced, the monitor gives a reminder beep every
two minutes. By default, silencing alarms is set unselectable and can
During silencing, all new alarms for the same reason and all alarms only be activated through the Installation menu. For more
for a different reason are indicated visually. information, see "Setting up the monitor before use" or the "User’s
Reference Manual."
To silence the individual alarm that is currently active, press the
Silence Alarms side panel key twice. This does not pre-silence the Reactivating alarms
upcoming alarms. • In Alarms Setup menu, select Audio ON/OFF and select Activate
Alarms.
NOTE: If the monitor is connected to the network and the network
connection is lost, the silenced alarms are reactivated and the
volume level is automatically set to 7. NOTE: If the monitor is connected to the network, the bedside alarms
can also be silenced using the S/5 iCentral if this feature has been
enabled in the iCentral configuration.
Reactivating silenced alarms
• Press the Silence Alarms side panel key during the silencing
period. WARNING: When the alarms are silenced, observe the
patient frequently.
The alarm sounds of new alarms are activated. Silenced alarms are
active after a two-minute period. Apnea alarm is activated after five
breaths.

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Trends and snapshots

Graphical trend view Viewing graphical trends
• Press the Pt.Data & Trends key and select Trends -Graphical.
• To see more parameters, select Scroll Pages and scroll with the
ComWheel.
• To see more data, select Cursor and scroll with the ComWheel.
Graphical trends contain four trend pages each having up to six
preconfigured fields with different parameters. Five fields can be
displayed, and six fields can be printed. Real-time ECG waveform is
always displayed at the top of each page.
The graphical trend time scale varies from 20 minutes to 72 hours
and the resolution from 10 seconds to one minute. With the 20
minute trend length, the displayed time period is 30 minutes and the
resolution 10 seconds. With trend lengths from one to 72 hours, the
displayed time period is 72 hours and the resolution is one minute.
For HR, ST, PVC, PCWP, SpO2 and temperature measurements you
can select the scale in the Trend Scales menu.

Symbols
Trends view Trend bar: the gap shows the mean value.
(1) Trends menu
(2) Measurement trend field
NIBP trend bar
(3) Real time ECG
(4) Numerical value of a measurement at the trend cursor point Indicator of change -for example, ST relearning or zeroing of
(5) Time and marker field an invasive blood pressure channel
(6) Trend page number

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Viewing numerical trends Automatic snapshots

1. Press the Pt.Data & Trends key. Automatic snapshot creation can be defined separately for each
2. Select Trends - Numerical. arrhythmia alarm. For more details, see section "ECG/ST" and
• To see more pages, select Scroll Pages and scroll with the section "Setting up the monitor before use."
ComWheel. Snapshots are always taken automatically on Brady, Tachy and Art
• To see more data, select Cursor and scroll with the ComWheel. sys/dia/mean high/low alarms when they reach the red level if
automatic snapshot creation is enabled (see section "Setting up the
Numerical trends contain four pages with the maximum of 72 hours of monitor before use"). Invasive pressure alarms reach the red level
trend data. Real-time ECG waveform is displayed at the top of each only when there is a simultaneous yellow HR alarm.
page.

Creating snapshots manually Viewing and printing snapshots

A snapshot is a frozen frame of preconfigured waveforms or trends To view snapshots:
saved in the monitor memory. For configuration, see section "Setting 1. Press the Pt.Data & Trends key.
up the monitor before use." 2. Select Trends.
3. Select Snapshot - Next Snapshot.
To create a snapshot:
Turn the ComWheel to move to the next snapshot. In the upper right-
• Press the Take Snapshot key. hand corner, you can see the time the snapshot was created. Five
fields can be displayed on the snapshot page, and six fields can be
The monitor saves an image of preconfigured waveforms or trends. printed.
You can take up to 400 snapshots, depending on the data load. To print snapshots:
When a snapshot is taken by pressing the Take Snapshot key, it is 1. Press the Pt.Data & Trends key.
automatically numbered. This number also appears in the column 2. Select Trends - Snapshot.
'Mark' in the numerical trends. 3. Select Print Page.

Erasing trends and snapshots

1. Press the Admit/Discharge key.
2. Select Discharge.
If the monitor has been turned off from the ON/standby key but the
patient has not been discharged, the trend and snapshot data will be
stored in the memory for 15 minutes.

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Printing and recording

You need
− Laser printer for printouts (PCL5 compatible, min. 2Mb memory,
Side panel key
serial or parallel printer; for parallel port printer accessories, see Starts and stops recording
below)
− Optional N-FREC or N-FCREC module for recording
− Thermal paper for the recorder

NOTE: Recordings on thermal paper may be destroyed when exposed

to light, heat, alcohol, etc. Take a photocopy for your archives. Starting and stopping the recording
Use the side panel key to start and stop recording immediately.
NOTE: A vertical line in the printed trends means that the standby
function of the monitor has been activated through menu selections.

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Printing currently displayed screen contents

Printing with a laser printer You can print currently displayed trend data, calculation trends, ECG
Selecting a printer waveforms and calculations.
1. Press the Print/Record key.
2. Select Printer Connection. To print trend data:
3. Select Serial or Paral. (local printer) or Net (network printer). • Press the Pt.Data & Trends key and select:
• Trends - Graphical/Snapshot/Numerical - Print Page
NOTE: To print directly from the monitor to a parallel port printer, you To print calculation trends:
need the Serial to Parallel Converter, the Converter Interface Cable, • Press the Pt.Data & Trends key and select:
the Gender Changer and a parallel printer cable. For detailed
• Calc. Trends - Hemodynamic/Oxygenation - Print Page
information, see the “Supplies and Accessories” catalog delivered
with the monitor. To print ECG and ST data:
• Press the ECG or Pages/Views key and select:
Printing graphical trends • ECG View - Print Page
To print graphical trends: • ST View - ST Trends - Print Page
1. Press the Print/Record key. • ST View - Print QRS/ST
2. Select Print Graphical.

Printing patient report

1. Press the Print/Record key.
2. Select Print Report.

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Recording graphical trends

Recording with the recorder 1. Press the Print/Record key.
NOTE: You need the N-FREC or N-FCREC module with the built-in 2. Select Record Trends - Record Graphical.
recorder. 3. You can stop recording by selecting Stop Graphical.
Recording numerical trends
You can record the current values of measured parameters. Trends are recorded for the time period that corresponds to the time
1. Press the Print/Record key. scale of the graphical trends.
2. Select Record Trends - Record Numerical.
3. You can stop recording by selecting Stop Numerical. To choose the time scale:
1. Press the Pt.Data & Trends key.
Selecting the format for the recorded numerical trends 2. Select Trends.
You can select the format for the recorded numerical trend to be 3. Select Time Scale – 20 '/1 h/2 h/4 h/6 h/8 h/10 h/12 h/
either Num (vertical) or Tab. (horizontal): 24 h/ 36 h/48 h/72 h.
1. Press the Print/Record key.
To select the parameters for the graphical trends:
2. Select Record Trends - Num Trend Type and Num or Tab.
1. Press the Print/Record key.
2. Select Record Trends.
3. Select Graphic. Trend 1 or Graphic. Trend 2.
4. Select the parameter.

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Recording on alarms Recording waveforms

1. Press the Print/Record key. You can record three waveforms to a local recorder, and two to four
2. Select Record Waveforms. waveforms to a network recorder:
3. Select Start on Alarms - YES. 1. Press the Print/Record monitor key.
2. Select Record Waveforms - Record Wave.
Recording is activated when the following alarms reach the red level: 3. If the monitor is connected to the network, you can also use the
Asystole, Tachy/Brady, Art High/Art Low, V Fib, V Tachy; V Run >3 with network recorder by selecting Record to Net. The network
Extended arrhythmia analysis. recorder uses the settings of the S/5 iCentral.
4. Stop recording by selecting Stop Wave.
Art and ECG1 waveforms are recorded. Selections are preconfigured.
Changing the paper speed
Recording calculations To see the waveforms more clearly or more generally, change the
paper speed:
1. Press the Wedge C.O. key.
2. Select Calculations. 1. Press the Print/Record key.
3. Select Hemodynamic Calcs or Oxygenation Calcs. 2. Select Record Waveforms - Paper Speed.
4. Select Record Calcs.
To select other waveforms for recording, press the Print/Record key
and select Record Waveforms - Waveform 1, 2, or 3.

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Laboratory data and calculations

For more information, please refer to the “User’s Reference Manual.”
Temperature correction
Entering laboratory values In the laboratory, blood gas values are measured and calibrated at
+37°C. These values may need to be adjusted to the actual patient
1. Press the Pt.Data & Trends key. temperature since an increase or decrease in temperature changes
2. Select Lab Data - Enter Values. the volume of dissolved gas (PO2, PCO2, pH).
3. Enter the values by turning and pushing the ComWheel.
The monitor has three options for temperature correction. To choose:
NOTE: When entering laboratory values, make sure that the units you 1. Press the Pt.Data & Trends key and select Lab Data.
are using are the same as the ones on the screen. If not, convert the 2. Select Correct. and one of the following:
values or change the units on the screen through Monitor Setup - • Lab = Temperature correction has been done in the laboratory
Install/Service - Installation - Units. and the values have already been adjusted to patient
temperature. The entered blood gas values are stored without
adjustments.
Loading laboratory values from an external device • Yes = The monitor will perform correction calculations. Select
1. Press the Pt.Data & Trends key. Source to tell the monitor how the actual patient temperature
2. Select Lab Data - Load Art Values or Load Ven Values. is entered for the calculations (Manual, T1-T2, Eso, Naso,
NOTE: These selections are available when there are unconfirmed Tymp, Rect, Blad, Core, Tblood). The monitor corrects the
values in the monitor memory. entered blood gas values to patient temperature, and
3. Mark the sampling time. displays both corrected and uncorrected values.
4. Confirm the values with the ComWheel. The message ‘Lab data • No = No temperature correction is needed. The entered blood
available’ remains in the message field until the values are gas values are stored as such.
confirmed. NOTE: The monitor marks corrected values with the letter ‘c.’

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Hemodynamic or oxygenation calculations Viewing calculations

1. Press the Wedge C.O. key. To view values of the three most recent calculations:
2. Select Calculations - Hemodynamic Calcs or Oxygenation Calcs. 1. Press the Wedge C.O. key.
3. Enter or edit the measurement data using the ComWheel. 2. Select Calculations - Hemodynamic Calcs or Oxygenation Calcs.
4. Save data by selecting Save Calcs. 3. Select Calc. Trends.
NOTE: Monitor marks the edited values with an asterisk (*).
If the patient demographics have been entered, the monitor displays
indexed values. You can select the non-indexed values with the
ComWheel.
Estimated values in oxygenation calculations Recording calculations
Only a couple percent of the total oxygen content is dissolved in the
To record the current calculation page to the recorder:
blood. Mixed venous oxygen saturation, SvO2, can be interfaced from an
external SvO2 monitor. Together with SpO2 it is used for estimating the 1. Press the Wedge C.O. key.
SaO2. The oxygen content can be estimated by using monitored 2. Select Calculations - Hemodynamic Calcs or Oxygenation Calcs.
saturations only and disregarding the dissolved amount of oxygen. The 3. Select Record Calcs.
monitor marks these estimated values and all the values derived from
them with the letter ‘e.’
Printing calculations
To print hemodynamic or oxygenation calculations:
1. Press the Pt.Data & Trends key.
2. Select Calc. Trends - Hemodynamic or Oxygenation - Print Page.

NOTE: You can also print the calculations through Wedge C.O. –
Calculations – Hemodynamic Calcs or Oxygenation Calcs – Calc.
Trends – Print Page.
To print all calculations:
1. Press the Print/Record key.
2. Select Print Calcs.

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Drug calculator Performing drug calculations

The S/5 FM also includes a drug calculator and a titration table, 1. Press the Pt.Data & Trends key.
which can be used for determining the correct infusion or drip rates. 2. Select Drug Calculator.
These values and tables can also be recorded on a bedside recorder 3. Select Calculator - Edit Values.
or printed on a laser printer. 4. Enter the data you have available, for example, select the drug,
and enter the dose and the infusion time. Make selections with
The drug list used by the calculator can include up to 18 drugs, one of the ComWheel.
which is always defined generic and cannot be deleted or renamed. 5. The monitor calculates all other values.
This list is configured through the Installation menu (for more
information, see the "User’s Reference Manual").

NOTE: The drug list can be saved to and loaded from the network or
Menu Card with the modes. However, it is not mode dependent.

NOTE: Infusion rate calculations may require the patient weight. Enter
it by selecting Demographics in the Drug Calcs menu.

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Titration table Printing or recording the titration table

The titration table gives 50 titration values for the selected drug. The In some cases, the titration table may be required near the patient.
monitor displays both infusion rates and drip rates. If required, both You can print the table on the recorder in modules N-FREC and
the starting dose and the increment steps can be edited through the N-FCREC, or on a laser printer. The Calculator and Table values are
Installation menu; for more information, see the “User’s Reference both printed at the same time.
Manual.” 1. Press the Pt.Data & Trends key.
2. Select Drug Calculator.
To have a titration table for a given drug: • Select Record Calcs to print them on the recorder.
1. Press the Pt.Data & Trends key. • Select Print Calcs to print them on a laser printer.
2. Select Drug Calculator.
3. Select Table - Edit Values.
4. Enter the data you have available, for example the drug name and
concentration, by turning and pushing the ComWheel.
5. The monitor calculates the infusion rate and the drip rate.

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Interfacing external devices

With the Datex-Ohmeda S/5 Device Interfacing Solution, DIS, you can interface simultaneously up to four devices, like monitors and blood gas
analyzers, to the Datex-Ohmeda monitoring system. The real-time and trended parameter data can be displayed on the monitor screen and used for
calculations. An example of interfacing external devices with the S/5 Device Interfacing Solution:
(1) Datex-Ohmeda S/5 FM
(2) Device specific interfacing module. NOTE: Only
version 01 or later is compatible with the S/5
FM
(3) Abbott Laboratories Q-Vue monitor
1 (4) AVL Opti CCA blood gas analyzer
3
2 2
WARNING: Connecting electrical
equipment together or using the same
extension cord for more than one device
may cause their leakage currents to
exceed the limits specified in relevant
4 safety standards. Always make sure that
the combination complies with the
international safety standard IEC 60601-
1-1 for medical electrical systems and
with the requirements of local
authorities.
NOTE: For more detailed instructions regarding installation, cables and settings, and WARNING: The monitor, interfacing
supported versions of the interfaced device, please refer to the “User’s Reference Manual” modules and interfaced devices must be
and the "Installation Guide" provided with the interfacing module. situated in the same patient environment
(as defined in IEC 60601-1-1).

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Connecting external devices Checking the functioning of the S/5 DIS

2 (1) Label specifying the external device You can check the functioning of the S/5 DIS in two ways:
(2) LED indicators 1. Press the Monitor Setup key and select Interfacing - Status
(3) Black bus cable to/from another Page. The Status Page shows you the current communication
1 interfacing module if needed status of the interfacing modules connected to the bus (1 - 4 pcs).
(4) Gray device specific cable: connect 2. Check the LED indicators on the interfacing module:
3
to the communication port of the
external device GREEN YELLOW INDICATION
(5) Black bus cable to the monitor’s lit dark Physical connections between the monitor, interfacing
5 connector for DIS (or to another module and external device are in order. The device has
interfacing module) been selected in the menu.
4 dark lit There is something wrong with the physical connections
WARNING: Make sure that between the monitor, interfacing module and external
you are connecting the device. The external device has not been selected in the
interfacing module to the menu, see the “User’s Reference Manual.”
device specified in the label. lit lit Physical connections between the monitor, interfacing
module and external device are in order but the external
• Turn off the external device you want to interface. device has not been selected in the menu; see the “User’s
Reference Manual.”
• Connect the gray device specific cable to the external device and
the black bus cable to the monitor’s connector for the S/5 Device dark dark The interfacing module is not connected to the monitor
Interfacing Solution, see page 9, or to another interfacing module.
• Turn on the external device.
Selecting the external device
NOTE: The status message ‘Connected’ appears on the Status Page
• Press the Monitor Setup key and select Interfacing.
of the Interfacing menu after you have connected the external device
to the interfacing module and turned it on. Note also that the monitor • Select the desired measurement parameter group (like SvO2).
and the interfacing module must be operational. • Select the connected external device by its name.

CAUTION: Make sure that the interfacing module is always NOTE: The device appears on the list only if it is correctly connected.
used in vertical position to prevent water from entering the
module.

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Cleaning and care

Daily and between patients Every two months Every six months
• Wipe the monitor and module surfaces. • Refresh the batteries, see below. • Perform gas calibration, see below.
• Wipe the ECG trunk cable, NIBP cuff and cables
and SpO2 sensors.
• Change or sterilize all airway and invasive
patient accessories.
• Clean, disinfect or sterilize reusable
temperature probes.
• Check that the accessories, cables and monitor
parts are clean and intact.
Permitted detergents Permitted disinfectants DO NOT!
− Datex-Ohmeda Cleaning Fluid − Ethanol • Do not use hypochlorite, acetone-, phenol- or
− Other mild detergents − Isopropyl alcohol ammonia based cleaners.
− Chlorite compounds • Do not autoclave the device or its parts.
• Do not immerse any part of the device in liquids
− Glutaraldehyde
or allow liquid to enter the interior.
• Do not apply pressurized air to any outlet or
tubing connected to the monitor.
NOTE: For details about cleaning, disinfecting and sterilizing the accessories, see the instructions for use in the accessory package or the “Supplies and
Accessories” catalog.

49
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Before cleaning
1. Turn off the monitor from the ON/standby key. Conditioning the batteries
2. Disconnect the power cord. Condition batteries regularly to maintain their useful life. Condition a
After cleaning battery every six months or when the message ‘Replace Battery A’
1. Let dry completely. appears on the screen. Always observe the messages and symbols on
2. Reconnect the power cord and turn on the monitor. the screen to see the battery status. You can also check the status
through Monitor Setup – Battery Setup. For more information, see
More comprehensive checking
sections "Replacing the batteries", "Symbols" and "Messages."
See the “Technical Reference Manual.”
Conditioning a battery is best done on an external charger. To do this,
WARNING: After cleaning or if liquid has accidentally please, refer to the "User’s Reference Manual."
entered the monitor, ensure that every part of the
monitor is dry before reconnecting it to the power
supply. Power interruption
NOTE: Always use the S/5 FM with batteries inserted. Otherwise all
trend data, snapshots and temporary settings are lost if the power
Water trap in the N-FCREC and N-FC modules cable is detached from the mains.

• Empty the container whenever half full. If the monitor is in standby or turned off, trend data and the latest
• Change the water trap every two months and when the text user-made settings remain in the monitor memory for 15 minutes
‘Replace D-Fend’ appears. even if the mains power is interrupted. After 15 minutes, trend data is
• The water trap cartridge is disposable. Do not wash or reuse the lost and the monitor returns to the user default settings (start-up
cartridge. mode).

Other accessories
For information on how to clean and check reusable accessories, see Changing fuses
the accessory package or the “Supplies and Accessories” catalog. Do 1. Remove the power cord if used.
not reuse single-use disposable accessories. 2. Remove the fuse holder by pushing the locking pin and pulling the
holder gently out, see also page 10.
3. If a fuse is blown, replace it with a fuse of the correct type and
rating.

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Regular checks
ECG NIBP
• Check that the ECG waveforms are displayed when the cable is • Ensure that you are using correct cuff size and have selected
connected to the patient. When the cable is disconnected from correct inflation limits.
the patient, the message 'Leads off' is displayed. • Check that the cuff hose detection (Adult/Infant) works properly.
Impedance respiration • Check that the pump is not restarting in Venous Stasis mode. If it
• Check that the impedance respiration waveform is displayed does, there may be a leakage in the cuff.
when the cable is connected to the patient. When the cable is • Check that the pressure values are displayed.
disconnected from the patient, the message 'Leads off' is Airway gases
displayed. • Check that the ‘Sample line blocked’ message appears within 30
Pulse oximetry seconds after you have occluded the airway adapter, and gas
• Check that the sensor is functioning when connected to the waveforms are showing zero at the same time.
measurement site. • Check that the water trap is empty.
• Check that the SpO2 value is displayed. When the sensor is
disconnected from the patient, the message 'SpO2 probe off' is Functioning of the alarms
displayed. • Set a parameter value outside the alarm limits. For example,
Temperature connect the SpO2 sensor and adjust the SpO2 High limit under
• Check that the temperature value is displayed when the probe is the measured SpO2values. The alarms go from white to red
connected to the patient. according to sequence given in the “Alarm categories” table on
InvBP page 34.
• Check that the yellow and red LEDs function as indicated in the
• Check that the monitor recognizes cable connections (activates
table.
the display) for all the pressure channels used and the pressure
values are shown. • Check that the alarm light functions if it is enabled, see page 35.
• Make sure that the zeroing of all the transducers is working
correctly. The message 'No P1 transducer' or 'No P2 You can also use the same method for checking other parameters,
such as ECG and CO2.
transducer' is displayed when the invasive pressure transducer
or channel P1 – P2 cable is disconnected.

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Calibrating
Calibration check of temperature, NIBP and invasive blood 1. Turn on the power. Let the monitor warm up for 30 minutes.
pressures 2. Attach a regulator to the calibration gas container.
Calibration check of temperature, NIBP and invasive blood pressures 3. Attach a new sampling line to the water trap. Connect the other
should be performed at least once a year by qualified service end of the sampling line to the regulator on the gas container.
personnel as a part of the Planned Maintenance, see the “Technical 4. Press the Airway Gas key and select Gas Calibration.
Reference Manual." 5. Wait until the texts ‘Zero OK’ and then ‘Feed gas’ appear on the
screen, open the regulator and start feeding gas. Push the
ComWheel and continue feeding gas until the text ‘Adjust’ is
Calibrating airway gases displayed.
Follow the recommended calibration intervals (every six months in 6. Check that the displayed gas values match the values on the
normal use and every two months in continuous use) to ensure that calibration gas container. Adjust with the ComWheel, if necessary.
the measurement accuracy remains within specifications.

NOTE: % is used for CO2 regardless of selected units.

NOTE: See the “Supplies and Accessories” catalog delivered with the
monitor for correct regulator and gas.

NOTE: Ensure that the calibration gas and regulator are functioning
properly before calibration. Perform annual maintenance on the
regulator as required.

NOTE: Calibrate the N-FCREC or N-FC module with calibration gas

755580 only and set the O2 concentration to 20%.

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 53

ECG/ST
You need NOTE: For a comprehensive list of accessories, see the “Supplies and
(1) E-PSM or E-PSMP module Accessories” catalog delivered with the monitor.
(2) Multi-Link 5-lead or 12-lead standard cable
NOTE: In 5-lead ECG, place the 5th electrode (C/V) in one of the six
(3) Multi-Link leadwire set (3 or 5 leads) places indicated, and select the corresponding V lead label.
(4) Multi-Link leadwire set (C2-C6 IEC, V2-V6 AHA) In 12-lead ECG, C/V is the same as C1/V1.

NOTE: For 3-lead ECG, you can also use the Multi-Link 3-lead ECG WARNING: Vibrations during intrahospital transport
cable with integrated leadwires. may disturb ECG measurement.
ECG electrodes (pre-gelled electrodes are recommended).
Check the expiration date.

R=RED (IEC) L=YELLOW (IEC) R=RED (IEC) L=YELLOW (IEC)

RA=WHITE (AAMI) LA=BLACK (AAMI) RA=WHITE (AAMI) LA=BLACK (AAMI)

LEAD I R/RA L/LA

R/RA L/LA
V1 V2 V6
V3
V4 V5

LEAD III
LE 1 2
AD 3 6
II 4 5
F/LL

N/RL F/LL
1 F=GREEN (IEC)
LL=RED (AAMI)
N=BLACK (IEC)
RL=GREEN (AAMI)
F=GREEN (IEC)
LL=RED (AAMI)

RL

2
RA

RA LA
LA
LL
V
3
1 2
34 V1
56

V2

4
V3
V4
V5
RL LL
V6

2
3

53
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Connecting ECG leadwire sets to ECG trunk cables 12-lead placement according to Mason-Likar
• For 3-lead ECG, connect the Multi-Link 3 leadwire set to the • The arm leads are located just below the clavicles in the
5- or 12-lead standard cable. You can also use the Multi-Link 3- infraclavicular fossae.
lead ECG cable with integrated leadwires. • The lower limb leads are located just above the iliac crests.
• For 5-lead ECG, connect the 5 leadwire set to the 5- or 12-lead • The six precordial leads (chest leads) are positioned as follows:
standard cable. - V1 is placed in the fourth intercostal space to the right of the
• For 12-lead ECG, connect the 5 leadwire set together with the sternum.
C2 – C6 or V2 – V6 leadwire set to the 12-lead standard cable. - V2 is placed in the fourth intercostal space to the left of the
sternum.
- V3 is placed between V2 and V4.
WARNING: Make sure that the leadwire set clips or - V4 is placed in the fifth intercostal space in the
snaps do not touch any electrically conductive material midclavicular (1) line.
including earth. - V5 is placed between V4 and V6 same horizontal level as V4.
- V6 is placed in the fifth intercostal space in the midaxillary (2)
line, same horizontal level as V4 and V5.
(1)
Midclavicular line = A line that runs vertically downward from the
midpoint of the clavicle.
(2)
Midaxillary line = A line that runs vertically downward from a point
situated midway between the dorsal and ventral boundaries of the
axilla.

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Preparing the patient and applying the electrodes Selecting the number of electrodes
1. Prepare the skin properly to ensure optimal signal quality: 1. Press the ECG key.
• Shave any hair from the electrode sites. 2. Select ECG Setup.
• Gently rub the skin surface to increase capillary blood flow 3. Select 5-lead Cable - 3elect or 5elect.
and remove dead skin cells and oil.
• Clean the skin using a mild soap and water solution. With 12-lead ECG, the electrode selection is automatic.
• Dry the skin completely before applying the electrodes.

2. Apply the electrodes (see figures and instructions above). Avoid Selecting the user leads
bones close to the skin, obvious layers of fat and major muscles. 1. Press the ECG key.
2. Select a lead for ECG1 Lead, ECG2 Lead or ECG3 Lead.
Selecting the ECG filter
With 3-lead ECG, you can select only one user lead (ECG1 Lead).
1. Press the ECG key. With 5- and 12-lead ECG, you can select three user leads.
2. Select ECG Setup - Filter:
STfilt filters high-frequency artifacts but catches slow ST changes.
Monit filters high-frequency artifacts and slow ST changes. Selecting a label for V Lead
NOTE: No ST analysis. With 5-lead ECG, one V lead is measured according to the placement
Diagn catches high-frequency changes and slow ST changes. of the V lead electrode. To select a label for the lead:
1. Press the ECG key.
2. Select ECG Setup - V Lead.

55
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Selecting how to view ECG waveforms Changing the HR source

• To set the number of ECG waveforms in Normal Screen, press • Press the ECG key and select ECG Setup - HR Source.
Monitor Setup and select Screen 1 Setup - Waveform Fields. AUTO selects the first available of ECG, Art, ABP and Pleth.
With 3-lead ECG, one lead, and with 5- or 12-lead ECG, up to
three leads can be viewed at the same time. Beat sound volume
• To cascade a lead, press ECG and select ECG2 Lead/ECG3 Lead To adjust the beat sound volume of the monitor:
- Casc.
• To increase ECG amplitude, press ECG and select ECG Size. 1. Press the ECG key.
• To change the waveform sweep speed, Monitor Setup - Sweep 2. Select ECG Setup.
Speeds. Select Hemodynamics and adjust the value. 3. Select Beat Sound Volume.
• To view ECG waveforms from all 5 or 12 leads, press ECG or 4. Adjust the volume from 0 to 10.
Pages/Views and select ECG View (available only with 5- and
12-lead ECG). If you select 0, there is no audible sound.

NOTE: The module input circuits are protected against the effects of Selecting what to display with HR
electrosurgery and defibrillation. However, the ECG trace on the You can select what is displayed with heart rate:
monitor screen may be disturbed during electrosurgery.
1. Press the ECG key.
Displaying ECG grid 2. Select ECG Setup.
3. Select Display with HR - PR/PVC/None.
To view the ECG waveforms over gridlines on the screen:
Printing ECG
• Press the ECG key and select ECG Setup - Grid - ON. To view
To print all ECG waveforms on a laser printer:
without gridlines, select OFF.
1. Press the ECG or Pages/Views key.
2. Select ECG View.
3. Select Print Page.

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WARNING: The impedance respiration measurement

Monitoring pacemaker patients may cause rate changes in Minute Ventilation Rate
1. Press the ECG key. Responsive Pacemakers. Set the pacemaker rate
2. Select ECG Setup - Pacemaker and select one of the following: responsive mode off or turn off the impedance
respiration measurement on the monitor.
• Show = Pacemaker spike is displayed on ECG.
• Sensit = Sensitive pacemaker detection; spike displayed on WARNING: When using the electrosurgery unit, ensure
ECG proper contact of the ESU return electrode to the patient
• ON R = Pacemaker suppression weakened; asystole alarm to avoid possible burns at monitor measurement sites.
may not be reliable with active pacemakers.
• Hide = Pacemaker spike is not displayed on ECG.
WARNING: Do not rely entirely upon rate meter alarms
NOTE: If the patient has an atrial pacer, ST calculations can be when monitoring patients with pacemakers. The
performed if the pacer does not coincide with the ISO point’s monitor may count the pacemaker pulses as
adjustment range. heartbeats. In this case, asystole and ventricular
fibrillation may go undetected. Always keep these
NOTE: Pacemaker detector may not operate correctly during the use
patients under close surveillance and monitor their
of high-frequency (HF) surgical equipment. The disturbance of HF
vital signs carefully.
surgical equipment typically causes false positive pacer detection.

57
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For your notes:

58
 59

Arrhythmia monitoring
NOTE: For optimal results, select STfilt as the ECG filter. For details, see page 55.

Selecting arrhythmia analysis mode Starting relearning manually

NOTE: With the L-FICU03 software license only severe analysis is When the patient’s ECG pattern changes considerably, the monitor
available. should start relearning a new ECG pattern.
1. Press the ECG key. You can start relearning manually through ECG - Relearn - Start.
2. Select ECG Alarms - Arrh. Alarms - Analys.:
Severe detects asystole, bradycardia, tachycardia, ventricular Selecting leads for the arrhythmia analysis
fibrillation and ventricular tachycardia. When measuring 5- or 12-lead ECG, you can affect the selection of
Extend detects (in addition to the types mentioned above), the two ECG leads used for detecting beats and ventricular fibrillation.
ventricular run, ventricular couplet, R on T PVC, ventricular The selection of user leads (ECG1, ECG2, ECG3) on the monitor
bigeminy, ventricular trigeminy, multifocal PVCs, frequent PVCs affects the leads used for detection. The first lead used for detection
and missing beats. is lead I or II. The algorithm uses the lead appearing first in user leads.
The second lead used for detection is one of the precordial leads (V1 -
Setting arrhythmia alarm priority and snapshot creation V6). The algorithm uses the precordial lead appearing first in the user
1. Press the ECG key. leads.
2. Select ECG Alarms - Arrh. Alarms - Adjust. To change the user lead:
3. Select the desired alarm by turning and pushing the ComWheel. 1. Press the ECG key.
4. Select Red, Yellow, White or OFF with the ComWheel. Asystole 2. Select a lead for ECG1 Lead, ECG2 Lead, ECG3 Lead.
and ventricular fibrillation alarms are always Red and V Tachy 3. Start the relearning manually by selecting Relearn - Start.
alarm cannot be selected OFF.
5. To create a snapshot on the alarm, select YES. NOTE: With a 3 leadwire trunk cable, the algorithm uses the only one
6. Select Exit to confirm the changes and return to menu. available lead ECG1 Lead, which is I, II or III, depending on the
NOTE: Alarm priorities can also be set using the S/5 iCentral if the selected user lead.
iCentral configuration allows it.

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Detecting arrhythmia alarms

NOTE: A clinician must analyze the arrhythmia information in conjunction with other clinical findings.
For details about detection performance and test results of the arrhythmia algorithm testing, please refer to “User’s Reference Manual: ECG.”
Alarm Criteria
Asystole Cardiac arrest, no QRS complexes for five seconds
Bradycardia HR below the HR alarm limit
Frequent PVCs PVCs per minute above the alarm limit
Missing Beat Actual RR rate interval more than 1.8 times the average RR interval
Multif. PVCs Over the last 15 beats two or more premature ventricular beats with different morphologies are detected
R on T PVC Early PVC, beat detected as a PVC and previous beat as not a PVC; current RR interval is less than half of the previous
RR interval
Tachycardia HR over the HR alarm limit
Ventricular bigeminy The following pattern is detected: N, V, N, V, N, V where N = normal, V = PVC (every other beat is a PVC)
Ventricular couplet Two consecutive ventricular beats, preceded and followed by a normal beat
Ventricular fibrillation Fibrillatory waveform caused by ventricular fibrillation
Ventricular run Three or more consecutive PVCs and rate of successive beats over 120 bpm
Ventricular tachycardia Six or more consecutive PVCs and rate of successive beats over 120 bpm
Ventricular trigeminy The following pattern is detected: N, N, V, N, N, V, N, N, V where N = normal, V = PVC (i.e., every third beat is a PVC)

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Monitoring ST
The monitor analyzes ST for all measured leads and gives ST trends separately for each lead. The ST analysis starts automatically after the leads have
been connected, the QRS detection has started and the ECG filter selection is either STfilt or Diagn. ST can be viewed as digits, average and reference
complexes and trends. For details about detection performance and test results of ST segment measurement algorithm testing, see the "User’s
Reference Manual: ECG."
NOTE: ST segment changes may also be affected by such factors as some drugs or metabolic and conduction disturbances.
NOTE: The significance of the ST segment changes needs to be determined by a clinician.
ST View
To get the ST View on screen:
1. Press the ECG or Pages/Views key.
2. Select ST View.
ST number field with four ST values: three
from the user leads and one from the lead
with the largest absolute ST value.
The current average complex (indicated
here with black) for each lead with lead ID
and ST value, together with the reference
complex (indicated here with gray) and
markers of the three measurement points
ISO point, J point and ST point.
The first reference complex is saved
automatically and displayed by default. You
can save manually up to six reference
complexes. (See below.)
NOTE: For optimal results, select STfilt as the ECG filter. With Monit filter the ST analysis is not Minitrends for the three user leads. You
available. can select the scale:
ISO point is on the isoelectric line. -2...+2 mm; -5...+5 mm; -9...+9 mm
J point is the point on the ECG trace where the S wave transitions to the ST segment.
ST segment is the component of the ECG trace between the end of the QRS complex and the T wave.

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Studying ST Trends
Viewing ST in split screen
• Press ECG or Pages/Views and select ST View - ST Trends.
• Press Monitor Setup and select Screen 1 Setup- Split Screen -
QRS complexes and trends for the three user leads are displayed
ST. The split screen shows current QRS complexes, reference QRS
by default. HR trend is also displayed.
complexes and ST trends.
• To see complexes and trends for other leads, select Leads and
Viewing current and reference ST complexes in ST View then User, Lat., Inf. or Ant.
• To check the saved average complex for the displayed leads,
• Press ECG or Pages/Views and select ST View. select Cursor and move the trend cursor with the ComWheel to
• To show only the data area, select Remove Menu. the desired time point indicated in the time scale. When you stop,
the ST value of the moment indicated by the trend cursor is
Selecting a reference complex from memory displayed next to it, and the saved average complex is drawn
• In ST View, select Ref. QRS, scroll to the time of the desired behind the current QRS complex.
reference complex saved in the memory and push the ComWheel.
Changing the time scale
Saving the current complex as the new reference complex NOTE: The time scale setting affects the ST Trends window, ST split
• In ST View, select Save New QRS. The current QRS is saved and screen trends, ST View trends and the length of the printed reports.
displayed as the reference complex. You can save up to six • Press ECG or Pages/Views, and select ST View - ST Trends -
reference complexes. Time Scale.
NOTE: If the memory is full and you do not erase a complex before
saving a new one, the oldest manually saved complex is deleted. Displaying ischemic burden in ST Trends
• To erase a saved reference complex, select Erase QRS, scroll to NOTE: Available only if the Isch. Burden has been selected ON.
the time of the reference complex to be erased and push the • Press ECG and select ECG Setup – Ischemic Burden - ON. In an
ComWheel. You cannot erase the first automatically saved ischemic episode, the ST value falls outside the threshold limits.
reference complex. The area between the threshold limit and the ST trend is yellow.
Adjusting measurement points • To change the limits, press ECG and select ST View - ST Trends
and adjust Elev. Limit or Depr. Limit.
• In ST View, select Adjust ST.
• Adjust the points by selecting Set ISO point, Set J point or ST Printing ST reports
point (where the value is the delay between J-point and ST-point In ST View, select Print QRS/ST. The length of the report is the same
in milliseconds). as the time scale selected in ST Trends.

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Impedance respiration
You need
− The same setup as in the ECG measurement, see section Correcting the respiration number
"ECG/ST." Normally, the AUTO detection limit is recommended. However, if the
respirations are particularly weak or affected by artifacts, they may
Starting not be included in the respiration rate. To ensure the correct
1. Select respiration in a waveform or a digit field, otherwise the respiration number, adjust detection limits closer to each other.
respiration data is not included in the trends and no alarms are 1. Press the Others key.
activated. 2. Select Resp Setup - Detection Limit.
2. Turn on the measurement: 3. Adjust the limits.
• Press the Others key.
WARNING: This device is not an apnea monitor system
• Select Resp Setup. intended to alarm primarily upon the cessation of
• Select Measurement and ON. breathing. In central apnea it indicates an alarm after a
NOTE: Impedance respiration measurement is intended for patients pre-determined time since the last breath detection. Do
over three years old. not attempt to use it for detecting obstructive or mixed
apneas, since respiration movements and impedance
Improving waveform readability variations may continue in these cases.
1. Press the Others key. WARNING: Vibrations during intrahospital transport
2. Select Resp Setup. may disturb impedance respiration measurement.
3. Select Size and adjust the waveform size. WARNING: Make sure that the leadwire set clips or
snaps do not touch any electrically conductive material
For more information, see the “User’s Reference Manual.” including earth.
WARNING: When using the electrosurgery unit, ensure
proper contact of the ESU return electrode to the
patient to avoid burns at monitor measurement sites.
WARNING: The impedance respiration measurement
may cause rate changes in Minute Ventilation Rate
Responsive Pacemakers. Set the pacemaker rate
responsive mode off or turn off the impedance
respiration measurement on the monitor.

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Temperature
(1) E-PSM or E-PSMP module
(2) Adapter cable for 3
temperature probes
(3) Reusable temperature 1
probe
(4) Adapter cable for 3
disposable temperature 2
probes
(5) Disposable temperature 5
probe
NOTE: Use only Datex-Ohmeda 4
temperature probes or
defibrillator-proof YSI 400 series
probes.
NOTE: For a comprehensive list
of accessories, see the “Supplies
and Accessories” catalog
delivered with the monitor.

Changing temperature label Combining different temperatures

1. Press the Others key. The monitor displays the difference between different temperatures if
2. Select Temp Setup - T1 Label or T2 Label. you display them in the same digit field.

Changing temperature units For example, to display Tblood - T1:

You can select the temperature units to be either degrees Celsius or 1. Press the Monitor Setup key.
degrees Fahrenheit: 2. Select Screen 1 Setup.
1. Press the Others key and select Temp Setup. 3. Select Digit Fields.
2. Select Unit and then °C or °F with the ComWheel. 4. Select T1+Tbl in one of the lower fields.

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Pulse oximetry
You need NOTE: For each SpO2 accessory, refer to the instructions for use in the
(1) E-PSM or E-PSMP module accessory package for patient weight limits.
(2) OxyTip+ interconnect cable WARNING: Allow sensor and cable to dry completely
after cleaning. Moisture and dirt on the connector can
NOTE: For a comprehensive list of accessories, see the “Supplies and affect the measurement accuracy.
Accessories” catalog delivered with the monitor. WARNING: Vibrations during intrahospital transport
may disturb SpO2 measurement.
OXY-E-UN

OXY-SE-3

OXY-F-UN
1
2 OXY-W-UN

OXY-AP OXY-AF

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Displaying pulse rate

Applying sensors
The heart rate can originate from various sources. Displaying the
• Use dry and clean sensors only. pulse rate measured with pulse oximetry:
• Clean the application site. Remove nail polish, artificial 1. Press the Others key and select SpO2 Setup.
fingernails, earrings etc.
2. Select HR Source - Pleth.
• Clip long fingernails.
• Attach the sensor cable to the wrist or bedclothes to prevent the Measurement limitations
cable and sensor from moving.
− The pulse oximeter cannot distinguish between oxyhemoglobin
NOTE: Datex-Ohmeda sensors are latex-free. and dyshemoglobins, for example, met- or carboxyhemoglobins.
− Poor perfusion may affect the accuracy of measurement when
using the ear probe.
WARNING: Change measuring site frequently. Change − If possible, do not attach the SpO2 sensor to a limb that is used
sensor site and check skin and circulatory status every
2 to 4 hours with adults and every hour with small for non-invasive blood pressure measurement or for
children. administrating cold infusions.
WARNING: To prevent erroneous readings, do not use WARNING: Conditions that may cause inaccurate
physically damaged sensors, sensor cables or modules. readings and impact alarms include interfering
Discard a damaged sensor or sensor cable substances, excessive ambient light, electrical
immediately. Never repair a damaged sensor or cable; interference, ventricular septal defects (VSD),
never use a sensor or cable repaired by others. A excessive motion, low perfusion, low signal strength,
damaged sensor or a sensor soaked in liquid may cause incorrect sensor placement, poor sensor fit, and/or
burns during electrosurgery. movement of the sensor on the patient.
WARNING: Inaccurate SpO2 data can result if a sensor
is past its useful life. Therefore, re-evaluate the Adjusting SpO2 settings
measurement periodically by performing additional You can adjust the volume of the beat sound, the waveform scaling
assessment of the patient and equipment, including and response averaging time:
consideration of use of alternate monitoring methods 1. Press the Others key.
such as direct measurement of arterial oxyhemoglobin 2. Select SpO2 Setup and Beat Sound Volume, Pleth Scale or
saturation (SaO2). SpO2 Response.

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NIBP
You need NOTE: For a comprehensive list of accessories, see the “Supplies and
(1) E-PSM or E-PSMP module Accessories” catalog delivered with the monitor.
(2) Cuff hose
(3) Cuff of correct size WARNING: Vibrations during intrahospital transport
may disturb NIBP measurement.
WARNING: Non-invasive blood pressure measurement
is intended for patients weighing over 5 kg (11 lb).

2
Over brachial
artery 3

X LINE
INDE

Use smaller cuff

Correct size
Use larger cuff

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NOTE: The presence of some arrhythmias during NIBP measurement

Starting may increase the time required for the measurement. For details
The monitor sets inflation limits automatically for adults and infants about the test results of the functioning of the NIBP measurement in
according to the hose used. For children and when using hoses without the presence of arrhythmias, see the "User’s Reference Manual:
identification, the inflation limit must be set manually. To do this: NIBP."
1. Press the NIBP key and select NIBP Setup - Inflation Limits.
NOTE: When using hoses without identification, the monitor goes Stopping
to this selection automatically when you press the NIBP key. With To release the cuff pressure before the measurement is finished:
these hoses, AUTO option is not available.
• Press the Start Cancel side panel or module key, or
2. Select the limit according to the hose with the ComWheel.
press the NIBP key and select Stop XX.
To produce a single measurement:
• Press the Start Cancel side panel or module key, or Setting cycling intervals
press the NIBP key and select Start Manual. 1. Press the NIBP key.
To measure automatically after set intervals: 2. Select Cycle Time.
• Press the Auto On/Off side panel or module key, or 3. Select the interval time of the list with the ComWheel.
press the NIBP key and select Start Cycling.
Using NIBP cuff for venous stasis
To measure continuously for five minutes:
• Press the NIBP key and select Start STAT. 1. Press the NIBP key.
2. Select Start Ven.Stasis.
During measurement
Inflation limit Venous stasis Venous stasis
• Observe the cuffed limb frequently. Measurement may impair
pressure time
blood circulation. Intervals below 10 minutes and STAT
measurements are not recommended for extended periods of Infant 145 ±5 mmHg 30 ±5 mmHg 1 min
time. Child 200 ±10 mmHg 40 ±5 mmHg 2 min
• Make sure that tubes are not bent, pressed or stretched. Adult 280 ±10 mmHg 40 ±5 mmHg 2 min
Measurement may be impaired.
• Blood pressure values may be affected by a change in the
patient's position.
WARNING: The monitor sets the inflation pressure
automatically according to the previous measurement.
NOTE: When 30 minutes has passed from the latest NIBP Discharge the patient from the monitor to reset the
measurement, the numeric value turns gray. inflation limit before measuring a new patient.

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Invasive blood pressure

You need You can monitor up to two pressure channels with the E-PSMP module
(1) E-PSMP module with InvBP measurement capability by using a dual cable.
(2) Heparinized fluid bag with pressure infusor NOTE: For a comprehensive list of sensors and accessories, see the
“Supplies and Accessories” catalog delivered with the monitor.
(3) Flushing set NOTE: Invasive pressures need to be zeroed after reconnecting the
(4) Line from arterial or central vein to the transducer pressure transducer or cable, and whenever patient’s position is
(5) Transducer changed. If all channels have not been zeroed, the message ‘InvBP's
(6) Adapter cable for the InvBP transducer not zeroed’ appears. The invasive pressure alarms advance to yellow
(7) Adapter cable for dual InvBP measurement and red levels regardless of the zeroing.
2

1
7

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Starting Labeling channels

• For the setup, prepare the transducer kit according to the The label of the pressure channel sets its display scale, color, filter,
manufacturer’s instructions. alarm source and alarm limits. The label descriptions are
• Ensure that there is no air in the line. preconfigured.
• Zero the transducer by opening it to air, pressing the Zero ALL
side panel key or the Invasive Pressures monitor key and To change the label:
selecting Zero Pressures - Zero ALL. You can also use the Zero 1. Press the Invasive Pressures key.
2. Select P1 Setup - Label.
ALL Pressures Remote Controller key, or zero one channel at a
time with the module keys Zero P1 and Zero P2. Zero each
channel. NOTE: The transducer is always leveled to the mid right
atrium. Zero the transducer and pressures whenever the patient’s
position is changed.
• Open the line to the patient.

Factory default descriptions

The channels have the following factory default descriptions:

LABEL P1, Art, ABP P2, CVP RAP, LAP ICP PA RVP
Scale 200 20 20 20 60 60
Color Red Blue White White Yellow White
Alarm source Sys Off Off Off Off Off
Digit format S/D Mean Mean CPP S/D S/D
Filter 22 9 9 9 9 9
Response Normal Normal Normal Normal Normal Normal

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Combining pressures Determining pressure values visually

All invasive pressure waveforms can be displayed together so that By moving the horizontal cursor across the pressure waveform, you
they use an area of two normal waveforms, or so that all are can get accurate pressure values at selected points. This may be
combined in the same field with the same zero line. useful, for example, if the patient's breathing pattern is irregular. The
cursor is not available for pressures shown with a combined scale.
1. Press the Monitor Setup key and select Screen 1 Setup.
2. Select Waveform Fields. 1. Press the Invasive Pressures key.
• To combine all pressure waveforms in one field, select Combine 2. Select P1 Setup - P1 Cursor.
Pressures and YES. 3. Move the cursor up or down by turning the ComWheel. Every time
the cursor is moved, the time (hours and minutes) and pressure
values appear on the screen. This way, you can keep track of the
changes made.
4. You can remove the cursor by selecting Remove Cursor. Note that
if the cursor is not removed, it remains visible on the Normal
Screen.

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Adjusting PCWP
Pulmonary Capillary Wedge Pressure (PCWP) To manually adjust the wedge pressure level:
Starting 1. In the Wedge menu, turn the ComWheel to move the cursor to a
1. Prepare the pulmonary artery catheter and use the distal lumen point that represents the true PCWP level.
for the pressure line. 2. Push the ComWheel and select Confirm.
2. Label the wedge pressure channel 'PA'.
3. Check that the monitor has correct information about the Canceling the PCWP measurement
patient’s ventilation: Invasive Pressures - Ventilation Mode – • In the Wedge menu, select Cancel.
Contrl (controlled ventilation) or Spont (spontaneous breathing).
4. Press the Invasive Pressures key and select Wedge Pressure. WARNING: Vibrations during intrahospital transport
5. Select Measurement. may disturb InvBP measurement.
6. When ‘Inflate the balloon’ is displayed, inflate the catheter WARNING: All invasive procedures involve risks to the
balloon. The monitor automatically freezes the waveform for 20 patient. Use aseptic technique. Follow catheter
seconds. manufacturer's instructions.
7. When ‘Deflate the balloon’ is displayed, deflate the catheter
WARNING: Make sure that no part of the patient
balloon. connections touches any electrically conductive
NOTE: During the wedge pressure measurement, PA values are not material including earth.
trended and PA alarms are disabled. WARNING: When using the electrosurgery unit, ensure
proper contact of the ESU return electrode to the
patient to avoid burns at monitor measurement sites.
WARNING: Use only defibrillator proof transducers and
cables.
WARNING: Mechanical shock to the invasive blood
pressure transducer may cause severe shifts in zero
balance and calibration, and cause erroneous
readings.

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Airway gas
You need You get
− N-FCREC or N-FC module with CO2 measurement capability Carbon dioxide measurement: EtCO2, FiCO2, capnogram.
− Gas sampling line Respiratory rate
− Airway adapter with sampling line connector
− Water trap
NOTE: For a comprehensive list of accessories, see the “Supplies and
Accessories” catalog delivered with the monitor.

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Starting Waveform scaling

• Connect the gas sampling line to the airway adapter and to the If EtCO2 is above 6% or the difference between FiO2 and EtO2 is above
module. 6%, change the scale for capnogram:
• Before connecting the patient, check that the message 1. Press the Airway Gas key.
‘Calibrating gas sensor’ is no longer on the screen. 2. Select CO2 Setup.
• Position the adapter with the sampling port upwards. This 3. Select Scale.
prevents any condensed water from entering the sampling line.
• If N-FCREC or N-FC is used with O2 and/or N2O contents higher
than 40%, make sure that FiO2 Level and N2O Level is set Changing the units
accordingly in Airway Gas – CO2 Setup to enable O2 and/or N2O You can use %, kPa or mmHg as the CO2 measurement units. The
compensation. units can be changed in the CO2 setup menu:
1. Press the Airway Gas key.
2. Select CO2 Setup - Unit and choose the option.
During monitoring
• Empty the water trap container when half full.
• Disconnect the airway adapter during nebulization of Points to note
medications. - Do not return the sample gas to the patient circuit.
- All accessories including the water trap are for single use only.
NOTE: When the measured CO2 value is outside the specified - Calibrate the airway gas module every sixth months, see section
measurement range, the numeric value is gray. “Cleaning and care.”

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Troubleshooting
NOTE: Always check the patient’s condition first in problematic situations or if an alarm is triggered. See also section “Messages." Also note that if the
measurement or function does not appear on the screen, check module connections.
PROBLEM RELATED TO: CAUSE WHAT TO DO
Airway gases Airway gas values are too low • Check the sampling line and connectors for leakage.
Extra arrhythmia are detected The morphology of the ECG signal has changed.
• Start relearning manually through ECG - Relearn.
Arrhythmia Patient's medical condition.
Extra Ventricular Fibrillations are • Check the patient.
detected Low amplitude signal in some ECG leads.
• Leads I and II: Select the one with the largest amplitude to ECG1.
• Leads C1-C6 (V1-V6): Select the one with the largest amplitude to
ECG2.
• After selecting the leads, start relearning manually.
Batteries Battery operation time is markedly • Condition batteries (see section “Conditioning the batteries”).
shortened
• Ensure that the patient is not shivering.
• Select the correct filter by pressing ECG and selecting ECG Setup - Filter.
ECG signal is noisy or no QRS is • Check the electrode quality and positioning. Do not place them on body
ECG detected hair, bones close to skin, layers of fat and major muscles. Pre-gelled
electrodes are recommended.
• Change the lead.
• Remove the ECG cable from the module and reinsert it.

Impedance • Check electrode quality and positioning.

respiration Respiration measurement fails • Adjust the detection limits. During ventilator-supported breathing, the
respiration calculation may count only ventilator-produced inspirations
and expirations.
• Other electrical devices may interfere with the measurement.

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PROBLEM RELATED TO: CAUSE WHAT TO DO

Invasive • Make sure there are no air bubbles in the transducer system.
InvBP readings seem unstable Flush and zero.
pressures • Place the transducer on the patient’s mid-heart level and zero.
• For battery operation, check that the batteries are inserted and charged,
The monitor does not start see page 13.
Monitor, • Check that the power cord is properly connected.
measurements, • Check the fuses and replace them if necessary (see section “Cleaning
printing, recording and care.")
The measured values are not • Check that you have selected the desired parameter to a waveform or
displayed digit field; see section "Screen setup."
You cannot perform a measurement • Check that the measurement module is properly installed.
or a function • Remove the module and reinstall it.
Printing is not possible • Printer selection is None; change it through Print/Record – Printer
Connection.
• Printer is not connected to the network. Check printer cable.
Recording is not possible There is no N-FREC or N-FCREC module connected.
• Connect an N-FREC or N-FCREC module.
NIBP measurement does not work or • Check that cuff tubings are not bent, stretched, compressed or loose.
Non-invasive blood values seem unstable • When using hoses without identification, make sure that you have
pressure selected the inflation limits in the NIBP Setup menu, see section
“NIBP.”
• Prevent motion artifacts.
• Use cuffs of correct size.
SpO2 signal is poor • Check the sensor position.
• Change the averaging time from slow to normal.
Pulse oximetry • Note that skin pigment causes differences.
• Make sure that the patient is not shivering.

Temperature Temperature measurement fails • Check that you are using a correct probe.
• Try another probe.

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Messages
MESSAGE CAUSE WHAT TO DO
Air leakage NIBP: There is an air leak in the cuff or hose. Check all connections and test tightness using
venous stasis.
Alarms acknowledged from Silenced alarms remain silent. New alarms will have an If required, turn on the alarms through Alarms
Central audible sound. (Can also be done using the iCentral). Setup – Audio ON/OFF – Activate Alarms.
Alarm setup changed from Alarm limits or arrhythmia alarm priorities have been Check the alarm limits and the arrhythmia alarm
Central changed using the iCentral. priorities – see sections "Alarms" and "ECG.”
Alarms silenced from Central Alarms have been silenced using the iCentral. If required, turn on the alarms through Alarms
Setup – Audio ON/OFF – Activate Alarms.
Apnea No breath detected for 20 seconds (respiration or CO2 Check the patient status.
measurement). Check the ventilator and breathing circuit.
Apnea deactivated Apnea alarm is silenced but will activate after five If required, turn on the alarms through Alarms
breaths. Setup – Audio ON/OFF – Activate Alarms.
Artifacts Patient movements, shivering, deep breathing, Calm the patient. Start a new measurement, if
arrhythmia or irregular beats may cause some applicable.
measurements to fail.
Asystole No QRS detected in ECG. Check the patient status. Check the electrodes.
Batt. low About 20 minutes of battery operating time left. Replace the battery, see section “Replacing the
batteries”, or connect the monitor to the mains.
Brady HR is equal to or below the lower alarm limit. Check the patient status.
Calibr.error Gases: Unsuccessful gas calibration. Perform a new calibration.
Check D-Fend Gases: The water trap connection is wrong. Check that the water trap is properly attached to
the module.

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MESSAGE CAUSE WHAT TO DO

Check NIBP NIBP measurement affected by low blood pressure and Check patient status, measurement setup and
pulsation, or a change in patient’s condition. cuff.
Check probe SpO2: There is no detectable SpO2 signal, the sensor is Check the sensor and connections.
faulty or it is detached from the patient.
Check sample gas out Gases: Sample gas outlet is blocked. Remove blockage.
Condition Battery A Battery no longer holds its charge. Condition the battery according to instructions of
Condition Battery B the external charger.
Cuff loose NIBP cuff is not attached to patient, it is too loose or the Check cuff and hose.
hose is not connected to module.
Cuff occlusion NIBP tubes or hose kinked. Check tubes and hose.
Cuff overpressure NIBP cuff is squeezed during measurement. Check NIBP cuff, hose and tubes. Restart.
EEPROM error or EPROM error Memory checking failed. Contact authorized service personnel.
Gas measurements removed Gases: The N-FREC or N-FCREC module has been Reconnect the module if you want to restart the
removed. CO2 measurement.
Identical modules Another module measuring the same parameter is Remove the other module. Note that you can only
already installed in the system. use one E-PSM(P) and/or one N-Fx module at a
time.
Infl. limits! Check setup NIBP: Adult or child cuff is used but infant inflation limit Check cuff and inflation limits.
is selected.
InvBP's not zeroed InvBP: One or both channels have not been zeroed. Zero the channel indicated or zero both channels.
Leads off ECG trunk cable, all leadwires or neutral electrode Reconnect the disconnected electrode or leadwire.
(RL/N) are disconnected. Offset voltage between two
electrodes is too high.
Low perfusion SpO2: Signal is weak possibly because of low perfusion. Change measuring site.
MVexp << MVinsp Exhaled volume is markedly smaller than inhaled. Check the whole system for leakages.
Network down: xxx Network cable is not connected. Check the cable.
(XXX = network name) If the monitor is used with WLAN option, it is in shadow Check signal strength. If it is ok, check the
region and not connected to the network. iCentral.
S/5 iCentral is shut down. Check the iCentral.

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MESSAGE CAUSE WHAT TO DO

NIBP manual NIBP: Air leak or loose cuff have interrupted the Check setup and restart autocycling.
autocycling mode
No battery backup There are no batteries or they have both failed. Replace the batteries; see section “Replacing the
batteries.”
Noise ECG: Unreliable HR calculation or distorted waveform, Check the patient status. Check the electrodes.
may occur during defibrillation or because of motion
artifacts.
No SpO2 probe SpO2: The probe is not properly connected to the Check connection between sensor and module.
module.
No SpO2 pulse SpO2: Pulse signal is poor. Try other measuring sites.
No P1 transducer InvBP: Invasive blood pressure transducer or channel x Connect the transducer or the cable.
cable disconnected.
Poor signal SpO2: Pulse signal is poor possibly because of low Change measuring site.
perfusion.
'PSM' measurements removed Measurement module has been removed. Reconnect the module if you want to restart the
measurement.
RAM error Memory checking failed. Contact authorized service personnel.
Recorder module removed The N-FREC or N-FCREC module has been removed. Reconnect the module if you need a recorder.
Replace Battery A There is hardly any charge left in one of the batteries. Replace the battery as soon as possible; see
Replace Battery B Also check the symbol on screen. section “Replacing the batteries.”
Replace D-Fend Gases: The water trap is partially blocked. Replace the water trap.
Sample line blocked Gases: The gas sampling line is blocked or the water Change sampling line and water trap.
trap is occluded.
Select inflation limits NIBP: You are using a hose without an automatic Select appropriate inflation limits. NOTE: AUTO
identification. When you try to start the measurement, option is not available for these hoses.
the monitor goes automatically to the selection NIBP
Setup - Inflation Limits.
Sensor INOP Gases: The gas measuring sensor is inoperative or the Contact authorized service personnel.
temperature in the module has increased.

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MESSAGE CAUSE WHAT TO DO

SpO2 probe off SpO2: The finger or ear lobe may be too thin or sensor Check connection between sensor and patient.
halves are not aligned.
Sensor may be defective. Replace the sensor.
SRAM error Memory checking failed. Contact authorized service personnel.
Tachy HR is equal to or above the higher alarm limit. Check the patient status.
Temperature error The self-check has found an error in the temperature Contact authorized service personnel.
measurement.
Unable to measure Dia NIBP: Accurate diastolic pressure is difficult to measure Check the patient status and the cuff placement.
because of artifacts, weak pulsation etc. Perform a new measurement.
Unable to measure Sys NIBP: Systolic pressure probably higher than maximum Check the patient status and inflation limits.
inflation pressure or artifacts interfere in the systolic area. Perform a new measurement.
Unstable zero pressure NIBP: Pressure is unstable at start of the NIBP Calm the patient and retry.
measurement.
Weak pulsation Difficult to measure NIBP because: cuff position or Check the patient status.
attachment is not correct; blood circulation is weak or Check the cuff position and attachment.
abnormal; heart rate is slow and it is associated with Check that the cuff is not damaged.
artifacts; patient is moving; there is an air leak.
'X' disconnected from module DIS: External device is turned off or communication Check connections.
between the interfacing module and external device has
failed.
'X' module removed DIS: Communication between the interfacing module Check connections.
and monitor has failed.
x-Lead off ECG: One of the ECG leadwires is off. Check the leadwires and their connections.
xxx high/low Measured value exceeds the alarm limit. Check the patient’s condition. Adjust alarm limits.
Zero error Gases: Zeroing during gas calibration failed. Repeat the procedure.
> 4 devices interfaced DIS: There are more than four interfacing modules Reduce the number of modules.
connected to the bus.
'X' = the name of the interfaced device or measurement parameter.

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Abbreviations
/min beats per minute, breaths per ATPD atmospheric/ambient c calculated/derived value
minute temperature and pressure, dry C chest
°C Celsius degree gas C(a-v)O2 arteriovenous oxygen content
°F Fahrenheit degree ATPS ambient temperature and difference
µg microgram pressure, saturated gas C.I. cardiac index
A alveolar aw airway C.O. cardiac output
A arm (describing location) AV atrioventricular cal. calibration
a arterial aVF left foot augmented lead Calc calculated/derived value
a/AO2 arterio-alveolar PO2 ratio Avg. average Calcs calculations
AA anesthetic agent aVL left arm augmented lead CAM Compact Anesthesia Monitor
AaDO2 alveolo-arterial oxygen aVR right arm augmented lead CaO2 arterial oxygen content
difference Axil axillatory temperature Casc. cascaded (ECG)
AAMI Association for the cc cubic centimeter
Advancement of Medical BAEP brainstem auditory evoked CCCM Compact Critical Care Monitor
Instrumentation potential CCM Critical Care Monitor
ABG arterial blood gases Bal balance gas CCO continuous cardiac output
ABP arterial pressure
bar 1 atmosphere CcO2 capillary oxygen content
ADU Anesthesia Delivery Unit
Beta, BE beta frequency band CCU cardiac (coronary) care unit
AEP auditory evoked potential
Bigem. bigeminy CEL Celsius degree
AirW airway temperature
BIS bispectral index CISPR International Special
Alpha, Al alpha frequency band
Blad bladder temperature Committee on Radio
AM Anesthesia Monitor
Blood blood temperature (C.O. Interference
Amp amplitude
measurement) cmH2O centimeter of water
Ant. anterior
Body body temperature CMRR common mode rejection ratio
APN apnea
BP blood pressure CO carbon monoxide
Arrh. arrhythmia
Brady bradycardia CO2 carbon dioxide
Art arterial pressure
BSA body surface area COHb carboxyhemoglobin
ASY asystole
BSR burst suppression ratio Compl compliance
ATMP atmospheric pressure
B-TO-B beat-to-beat Cont. continuous
BTPS body temperature and Contrl controlled ventilation
pressure, saturated gas

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Core core temperature ED emergency department FEMG frontal electromyogram

Count count of responses EDV end-diastolic volume FFT fast Fourier transform
CPB cardiopulmonary bypass EDVI end-diastolic volume index FI, Fi fraction of inspired gas
CPP cerebral perfusion pressure EE energy expenditure (kcal/24h) FiAA fraction of inspired anesthetic
CSA compressed spectral array EEG electroencephalogram agent
CT computer tomography EEG1 first EEG waveform Fib fibrillation
CvO2 (mixed) venous oxygen content EEG2 second EEG waveform FiBal fraction of inspired balance gas
CVP central venous pressure EEG3 third EEG waveform FiCO2 fraction of inspired carbon
EEG4 fourth EEG waveform dioxide
d day EEMG evoked electromyogram FiN2 fraction of inspired N2
dB decibel EEtot total energy expenditure FiN2O fraction of inspired nitrous
DBS double burst stimulation (NMT) elect electrode oxide
DEL delete elev. elevation FiO2 fraction of inspired oxygen
Delta, De delta frequency band EMC electromagnetic compatibility FLOW airway gas flow
depr. depression EMG electromyogram Freq. frequent
Des desflurane Enf enflurane ft foot, feet
Dia diastolic pressure Entr entropy FVloop flow volume loop
Diagn diagnostic (ECG filter) EP evoked potential
DIFF difference ESD electrostatic discharge g gram
DIS S/5 Device Interfacing Solution Eso esophageal temperature Graph. graphical
DO2 oxygen delivery ESV end-systolic volume
DO2I oxygen delivery index ESVI end-systolic volume index H hand (describing location)
DSC digital signal converter ET, Et end-tidal concentration h hour
Dyn. dynamic EtAA end-tidal anesthetic agent Hal halothane
EtBal end-tidal balance gas Hb hemoglobin
e estimated EtCO2 end-tidal carbon dioxide Hbtot total hemoglobin
ECG electrocardiogram EtN2O end-tidal nitrous oxide HCO3- bicarbonate
ECG1 first ECG waveform (top) EtO2 end-tidal oxygen Hemo Calcs
ECG1/r real-time ECG ET-tube, ETT hemodynamic calculations
ECG2 second ECG waveform endotracheal tube Hemo hemodynamic
ECG3 third ECG waveform exp expiratory HHb reduced hemoglobin
F foot (describing location)
FAH Fahrenheit degree

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HME heat and moisture exchanger ISO International Standards MAC minimum alveolar
HMEF heat and moisture exchanger Organisation concentration
with filter Iso isoflurane Max maximum
hPa hectopascal IVR idioventricular rhythm mbar millibar
HR dif heart rate difference J joule mcg microgram
HR heart rate mean mean blood pressure
ht height K kelvin mEq milliequivalent
HW hardware kcal kilocalorie MetHb methemoglobin
Hz hertz kJ kilojoule MF median frequency
kPa kilopascal mg milligram
I:E inspiratory-expiratory ratio Min minimum
IABP intra-aortic balloon pump L left (describing location) min minute
IC inspiratory capacity L leg (describing location) ml milliliter
ICP intracranial pressure L, l liter MLAEP middle-latency auditory
ICU intensive care unit l/min liters/minute evoked potential
ID identification Lab laboratory mmHg millimeters of mercury
IEC International Electrotechnical LAN local area network mol mole
Comission LAP left atrial pressure Monit monitoring (ECG filter)
Imped. impedance; impedance Lat. lateral MRI magnetic resonance imaging
respiration lb pound Mult. multiple
in inch LCD liquid crystal display Multif. PVCs
Inf. inferior LCW left cardiac work multifocal PVCs
Infl. inflation (limit) LED light emitting diode MV minute volume
insp inspiratory LVEDP left ventricular end diastolic MVexp expired minute volume (l/min)
Inv. invasive pressure MVexp(BTPS) expired minute volume in
InvBP invasive blood pressure LVEDV left ventricular end diastolic BTPS conditions
Irreg. irregular volume MVexp(STPD) expired minute volume in
LVSW left ventricular stroke work STPD conditions
LVSWI left ventricular stroke work MVinsp inspired minute volume (l/min)
index MVspont spontaneous minute volume
Myo myocardiac temperature

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N neutral P(g-ET)CO2 difference between PEEPe+PEEPi

N2 nitrogen gastrointestinal carbon dioxide total positive end expiratory
N2O nitrous oxide and end tidal carbon dioxide pressure (ICU)
Na sodium concentration PEEPi intrinsic positive end expiratory
Naso nasopharyngeal temperature P(STPD) pressure in STPD conditions pressure
neo neonate P1..6 invasive pressure channel PEEPtot total positive end expiratory
Net network identification on module pressure (anesthesia)
NIBP non-invasive blood pressure PA pulmonary arterial pressure PgCO2 gastrointestinal carbon dioxide
NMT neuromuscular transmission PA pulmonary artery concentration
NO nitric oxide Pa Pascal (unit of pressure) pH pH
NTPD normal temperature and Paced paced beats pHa arterial pH
pressure, dry gas PaCO2 partial pressure of carbon pHi intramucosal pH
Num. numerical dioxide in the arteries pHv (mixed) venous pH
PAO2 partial pressure of oxygen in PIC patient interface cable
O2 oxygen the alveoli Pleth plethysmographic pulse
O2ER oxygen extraction ratio PaO2 partial pressure of oxygen in waveform
O2Hb oxygenated hemoglobin the arteries PM non-capt.
OR operation room PAOP pulmonary artery occlusion pacemaker non-capturing
Oxy oxygenation pressure PM non-funct.
Oxy. Calcs oxygenation calculations Paw airway pressure pacemaker non-functioning
Pbaro barometric pressure PM pacemaker
P partial pressure PCWP pulmonary capillary wedge Pmax maximum pressure
P pressure pressure Pmean mean pressure
P(BTPS) pressure in BTPS conditions PE polyethylene Pmin minimum pressure
P(g-a)CO2 difference between Pedi pediatric Ppeak peak pressure
gastrointestinal carbon dioxide PEEP positive end-expiratory Pplat plateau (pause) pressure
and arterial blood carbon pressure PR pulse rate
dioxide concentration PEEPe extrinsic positive end expiratory Prev previous
pressure psi pounds per square per inch
PEEPe+i total positive end expiratory pt patient
pressure (ICU) PTC post tetanic count (NMT)
pts patients

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PVC polyvinylchloride RVEDV right ventricular end-diastolic STfilt ST filter (ECG)

PVC premature ventricular contraction volume STPD standard temperature and
PVloop pressure volume loop RVESV right ventricular end-systolic pressure, dry gas
PvO2 partial pressure of oxygen in volume Surf surface temperature
(mixed) venous blood RVP right ventricular pressure SW software
PVR pulmonary vascular resistance RVSW right ventricular stroke work SV stroke volume
PVRI pulmonary vascular resistance RVSWI right ventricular stroke work index SVC supraventricular contraction
index s second SVI stroke volume index
Px standard pressure label, x being SvO2 (mixed) venous oxygen saturation
1, 2, 3, 4, 5, or 6 SA sinoatrial SVR systemic vascular resistance
SaO2 arterial oxygen saturation SVRI systemic vascular resistance
QRS QRS complex SD standard deviation index
Qs/Qt venous admixture SE state entropy Sys systolic pressure
SEF spectral edge frequency
R right (describing location) SEMG spontaneous electromyogram T corr. temperature correction
RAP right atrial pressure Sev sevoflurane T inj. injectate temperature
Raw airway resistance SI stroke index T temperature
RCW right cardiac work Skin skin temperature t time (min)
RCWI right cardiac work index SN, S/N serial number T(BTPS) temperature in BTPS conditions
RE response entropy Spiro patient spirometry T1% first stimulus as % of the reference
Rect rectal temperature SpO2 oxygen saturation value (NMT)
REF right ventricular ejection fraction Spont spontaneous breathing T1..4 temperature channel
ref. reference SQI signal quality index identification on module
Resp Rate respiration rate (total) (measured) SR sinus rhythm Tab. tabular
Resp respiration rate (total) (set) SR suppression ratio Tachy tachycardia
RF radio frequency SSEP somatosensory evoked potentials Tbl, Tblood blood temperature
RMS average (root mean square) power ST single twitch (NMT) Temp temperature
Room room temperature ST ST segment of electrocardiograph Theta, Th theta frequency band
RQ respiratory quotient STAT continuous NIBP cuff inflation for TOF train of four (NMT)
RR respiration rate (total) (measured) five minutes
rtm rhythm stat static
RV residual volume STBY standby

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TOF% ratio of the 4th to the 1st v venous WLAN wireless local area network
response (NMT) V ventricular VO2 oxygen consumption
Trigem. trigeminy V volume VO2calc calculated oxygen
TV tidal volume V/Q ventilation/perfusion ratio consumption*
TVexp expired tidal volume (ml) V0.5 volume expired during the first VO2I oxygen consumption index
TVinsp inspired tidal volume (ml) 0.5 seconds VO2Icalc calculated oxygen
Tx temperature label, x being 1, 2, V1.0 volume expired during the first consumption index*
3, r 4 or one of the other label second Vol volume
choices VA alveolar ventilation wt weight
Tymp tympanic temperature VC vital capacity X extreme
VCO2 carbon dioxide production yr year
V Fib ventricular fibrillation Vd dead space yrs years
V Run ventricular run Vd/Vt dead space ventilation
V Tachy ventricular tachycardia Vent. Calcs ventilation calculations * with Fick equation

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Performance
If the alarm mode is latched, the technical alarms Hemodynamic modules E-PSM,
WARNING: Operation of the monitor are latched as well. This does not comply with the
outside the specified values may NIBP (IEC 60601-2-30) and invasive pressure
E-PSMP
cause inaccurate results. (IEC 60601-2-34) standard requirements. 1)
Datex-Ohmeda S/5 FM Silencing alarms for 5 minutes does not comply with ECG
the SpO2 (ISO 9919) standard requirements. Filter modes:
Power supply Wireless Network Option, N-FMW monitoring filter 0.5 to 30 Hz
ST filter 0.05 to 30Hz
Rated voltages and Type: Built-in transceiver and
diagnostic filter 0.05 to 150 Hz
frequencies: 100 to 240V 50/60 Hz antenna
With 60 Hz power supply frequency:
Allowed voltage fluctuations: ±10% Frequency range:
monitoring filter 0.5 to 40 Hz
Max. power consumption: 150 VA Worldwide product covering 2.4 to 2.5 GHz, ST filter 0.05 to 40 Hz
Battery operation programmable for different country regulations
diagnostic filter 0.05 to 150 Hz
Batteries: Exchangeable lithium-ion, Data rate: 11 Mbps per channel (max.)
QRS minimum detection level:
2 pcs Output power: 100 mW
Minimum level 0.5 mV with duration between
Charging time: 3 hours per battery pack Data transmission: IEEE 802.11b compliant, Direct
40 and 120 ms fulfils ANSI/AAMI EC13 standard.
Operation time: Up to 5 hours Sequence Spread Spectrum
Defibrillation protection: 5000 V, 360 J
Environmental conditions (DSSS)
Recovery time: 5 seconds
Operating temperature: Security Wired Equivalent Privacy (WEP)
normal operation: +10 to +40°C (50 to 104°F) 40 and 128 bit encryption 1)
Certificates: Wi-Fi-certified The isolation barrier capacitance in the module
with CO2 measurement +10 to +40°C
has been minimized to reduce the hazard of burns in
(50 to 104°F)
the event of a defect in the ESU return electrode
while charging batteries: +10 to +35°C N-FREC, N-FCREC connection.
(50 to 95°F) Power consumption: 3 W
Storage and transport temperature: Recorder type: Thermal array
-20 to +60°C (-4 to 140°F) Print resolution:
Relative humidity: 10 to 90% noncondensing, Vertical 8 dots/mm (200 dots/inch)
in airway 0 to 100% Horizontal 32 dots/mm (800 dots/inch) at a
condensing speed of 25 mm/s and slower
Atmospheric pressure: 660 to 1060 mbar Paper width: 50 mm, printing width 48 mm
(500 to 800 mmHg) Traces: Selectable 1, 2, or 3 traces
Alarm behavior Print speed: 1, 6.25, 12.5, 25 mm/s
The maximum alarm delay of the alarm at the
monitor signal output to network: 1.1 seconds

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ECG (cont.) equipment typically cause false positive pacer Direct cardiac application:
detection. The display area reserved for the ECG measurement
Direct current for leads-off detection through an in the S/5 monitoring system screen may not be
Heart rate:
active patient electrode: <30 nA adequate for displaying the complete ECG
Measurement range: 30 to 250 bpm
Direct current for leads-off detection through a amplitude when measuring ECG direct from the
Measurement accuracy: ±5 % or ±5 bpm
reference electrode: <300 nA surface of the heart. Clipping of the signal can be
Display averaging time: 5 seconds
The normalized respiration sensing current between reduced by adjusting the size of the signal on the
Display update time: 5 seconds
RA (R) and LL (F) or RA (R) and LA (L) or LA (L) and display (for example, from the default 1.0 to 0.2) in
Average heart rate response time and time range of
LL (L): <5.0 µA the ECG menu.
response time (according to ANSI/AAMI EC13
Frequency of respiration sensing current: 31.25 kHz ECG analog output (X5):
4.1.2.1):
Minimizing the effects of the line isolation monitor Bandwidth of auxiliary output: 0.05 to 100Hz
Response time 80 to 120 bpm: 6.6 s (4.7 to 9.1 s)
transients: Gain: 1mV ECG signal is 1V ±10% at
Response time 80 to 40 bpm:
Crystal controlled oscillator used as the operating the analog output.
10.2 s (8.7 to 12.8 s)
frequency source of the patient isolation power Propagation delay: < 35ms.
Maximum Tall T wave amplitude that does not
supply.
disturb the heart rate calculation time (according to
The average time and time range ( ) to alarm for The pacemaker pulses have been replaced with 2ms
ANSI/AAMI EC13 4.1.2.1): 2.2 mV
tachycardia are as follows (ANSI/AAMI EC13 fixed digital pulses at the ECG output for IABP or
The heart rate calculation operates with irregular
4.1.2.1.g): defibrillator equipment.
rhythms of ANSI/AAMI EC13 4.1.2.1 as follows:
Figure 4a halved amplitude: 6.3 s (5.7 to 7.1 s) A device that fulfils the requirements of the IEC
a): 85 bpm
Figure 4a normal amplitude:6.1 s (5.0 to 8.6 s) 60601-1 standard can be connected to the ECG
b): 64 bpm
Figure 4a doubled amplitude:4.8 s (4.7 to 5.1 s) analog output. There are no other limitations,
c): 125 bpm
Figure 4b halved amplitude: 5.7 s (5.2 to 6.4 s) because the ECG analog output of the monitor is
d): 95 bpm
Figure 4b normal amplitude:6.6 s (5.1 to 8.7 s) galvanically isolated from patient applied part of the
Pacemaker pulse detection:
Figure 4b doubled amplitude:5.6 s (5.4 to 6.2 s) ECG measurement.
detection level: 2 to 700 mV
pulse duration: 0.5 to 2 ms The ECG measurement fulfils the requirements of the
The monitor is specified for both of the methods A ANSI/AAMI EC11 3.2.7.2 by using the test methods Impedance respiration
and B required in AANSI/AAMI EC13 section a, b, c and e. Respiration range: 4 to 120 resp/min
4.1.4.2. Accuracy: ± 5% or ± 5 resp/min
Offset voltage range: ±1.0 V The EMC immunity of the respiration measurement
CMRR: >95 dB has been tested with 1 Vrms and 1 V/m. This level
Pacer pulse rejection of fast ECG signals: has been used for optimizing the immunity of the
2.0 V/s according to the test defined in respiration measurement to damp the operating
ANSI/AAMI EC13 section 4.1.4.3. frequency of the electrosurgery equipment.
Pacemaker detector may not operate correctly
NOTE: Impedance respiration measurement is
during the use of high-frequency (HF) surgical
intended for patients over three years old.
equipment. The disturbances of HF surgical

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2) Wavelength of SpO2 probe LEDs:
Invasive blood pressure (E-PSMP)
Measurement range:-40 to 320 mmHg NIBP Infrared LED 940 nm
Measurement accuracy: ±5 % or ±2 mmHg 4) Red LED 660 nm
Blood pressure measurement range : Maximum energy of SpO2 probe LEDs:
Pulse rate:
adult 25 to 260 mmHg Infrared LED 42 µJ/pulse
Measurement range: 30 to 250 bpm
child 25 to 195 mmHg Red LED 62 µJ/pulse
Accuracy: ±5% or ±5 bpm
infant 15 to 145 mmHg
Transducer sensitivity: 5 µV/V/mmHg Pulse rate:
2) Pulse rate range accepted: 30 to 250 bpm
Temperature Measurement and display range: 30 to 250 bpm
Cuff pressure measurement range:
Measurement range: 10 to 45°C (50 to 113°F) Measurement accuracy: ±5% or ±5 bpm
-15 to + 350 mmHg.
Measurement accuracy: Typical measuring time: adult 23 s, infant 20 s 6)
Default alarm limits :
±0.1°C (25 to 45.0°C) Overall system accuracy: SpO2 high Off, low 90%
±0.2°C (10 to 24.9°C) Meets or exceeds SP10-2002 AAMI standards PR high 160, low 40
Measurement accuracy with single-use probes:
The ESU does not cause a burn hazard through the NOTE: For each SpO2 accessory, refer to the
±0.2°C (25 to 45°C)
NIBP cuff, because there is no electrical connection instructions for use in the accessory package for
±0.3°C (10 to 24.9°C)
between the cuff and the NIBP measuring patient weight limits.
Probe type: Use only Datex-Ohmeda temperature
electronics.
probes or defibrillator-proof YSI 400 series probes.
Temperature NOTE: NIBP measurement is intended for patients 2)
self-check: at start-up and then every weighing over 5 kg (11 lb). The isolation barrier capacitance in the module
10 minutes has been minimized to reduce the hazard of burns in
Time constant of temperature probes: 2) the event of a defect in the ESU return electrode
SpO2
Reusable skin temperature probe: 3s Measurement and connection.
Reusable adult central temperature probe: 6 s 3)
display range: 0 to 100% Response time of the probe exceeds 150 s.
Reusable pediatric central temperature probe: 4 s Calibration range: 70 to 100% 4)
Disposable skin temperature probe: 3 to 6s Cuff pressure measurement range is equal to cuff
Disposable central temperature probe, 12F: 5 to 8 s Calibrated against functional oxygen saturation. nominal and cuff indication ranges
5) 5)
Disposable central temperature probe, 9F: 5 to 8 s Measurement accuracy (% SpO2 ±1SD): Accuracy is based on deep hypoxia studies with
Esophageal stethoscope with temperature 100 to 70%, ±2 digits, volunteered subjects during motion and non-motion
probe, 9F: 15 s ±3 digits during clinical patient motion; conditions over a wide range of arterial blood oxygen
Esophageal stethoscope 69 to 0%, unspecified saturations as compared to arterial blood CO-
with temperature probe, 12F : 16 s Display update time: Oximetry.
Esophageal stethoscope 5 seconds continuous, defined by the main 6)
Limits are adjustable: OFF to 51% for SpO2 high
3) software of the monitor
with temperature probe, 18F : 23 s 50 to 100% for SpO2 low
Esophageal stethoscope Display resolution: 1 digit (1% of SpO2) 250 to 35 bpm for PR high
3) 30 to 245 bpm for PR low
with temperature probe, 24F : 32 s

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Airway gases, N-FCREC and N-FC Halothane (4%) increases < 0.3 vol% Respiration rate
Sampling rate: 150±25 ml/min (sampling line Isoflurane(5%) increases < 0.4 vol% Breath detection: 1% change in CO2 level
2 to 3 m, normal conditions) Enflurane(5%) increases < 0.4 vol% Measurement range: 4 to 80 breaths/min
Maximum sampling Desflurane(24%) increases < 1.2 vol% Accuracy: ±1 1/min in the range 4 to 20
Sevoflurane(6%) increases < 0.4 vol% 1/min
line length: 6m
Helium (50%) decreases < 0.3 vol% ±5% in the range 20 to 80 1/min
Sampling delay: 2.1 s typical with a 3-m
If O2 compensation is not activated: Resolution: 1/min
sampling line
O2 (40 to 95%) decreases < 0.3 vol%
Total system response time: 2.4 seconds typical If O2 compensation is activated: NOTE: CO2 measurement is intended for patients
with a 3-m sampling line, O2 (40 to 95%) error < 0.15 vol% weighing over 5 kg (11 lb).
including sampling delay and If N2O compensation is not activated:
rise time (typically 3.7 seconds N2O (40%) decreases < 0.4 vol% 7)
with a 6-m sampling line) If N2O compensation is activated: Alarm limits and their adjustment range may vary
Warm-up time: 1 min for operation N2O (40 to 80%) error < 0.3 vol% depending on the mode used.
30 min for full specification 7)
Autozeroing interval: 4, 15, 30 and 60 minutes after Default alarm limits :
start-up, then every 60 minutes EtCO2 high 8%, low 3%
Non-disturbing gases are those with a maximum FiCO2 high 3%, low Off
effect on the CO2 reading at 5.0 vol% < 0.2 vol%.
The effect is valid for specific concentrations shown Carbon dioxide (CO2)
in parentheses of the non-disturbing gas: Measurement range: 0 to 20 vol%
Ethanol C2H5OH (<0.3%) Resolution: 0.01%
Acetone (<0.1%) Measurement rise time: < 300 ms with nominal flow
Methane CH4(<0.2%) Accuracy:
Nitrogen N2 (0 to 100%) 0 to 15 vol% ± (0.2 vol% + 2% of reading)
water vapor (0 to 100%) 15 to 20 vol% ± (0.7 vol% + 2% of reading)
Trichloromonofluoromethane (<1%) Valid for respiration rate < 40 1/min at I:E ratio of
Dichlorotetrafluoroethane (<1%) 1:1. (Relative error is typically 10% for respiration
Dichlorofluoromethane (<1%) rate 80 1/min at I:E ratio of 1:1.) The accuracy is
specified in simulated ventilation. With higher
Disturbing gases and their effect on the CO2 reading respiration rates and with varying ventilation
at 5.0 vol% CO2 are shown below. Errors listed methods the specifications may not be met.
reflect the effect of specific concentrations (shown in
parentheses) of an individual disturbing gas and
should be combined when estimating the effect of
gas mixtures:

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End User License Agreement

THIS DOCUMENT IS A LEGAL AGREEMENT BETWEEN YOU, THE 4. Copy Restrictions. The software/firmware and the accompanying
"PURCHASER," AND DATEX-OHMEDA (“D-O”). IF YOU DO NOT written materials are copyrighted. Unauthorized copying of the
AGREE TO THE TERMS OF THIS AGREEMENT, PROMPTLY RETURN THE software, including software that has been modified, merged, or
ENTIRE PACKAGE, INCLUDING ALL ACCESSORIES, IN THEIR ORIGINAL included with other software, or other written materials is expressly
PACKAGE, WITH YOUR SALES RECEIPT TO D-O FOR A FULL REFUND. forbidden. You may be held legally responsible for any copyright
infringement that is caused or incurred by your failure to abide by the
1. Grant of License. In consideration of payment of the license fee, terms of this license.
which is part of the price paid for this product, D-O grants to
Purchaser a nonexclusive, nontransferable license, without right to 5. Use Restriction. As the Purchaser, you may physically transfer the
sublicense, to use the copy of the incorporated software/firmware, products from one location to another provided that the
and documentation in connection with Purchaser's use of the product software/firmware is not copied. You may not electronically transfer
for their labeled purpose and only when the instrument is used with the software/firmware from the products to any other device. You may
authorized accessories and sensors. D-O reserves all rights not not disclose, publish, translate, release or distribute copies of the
expressly granted to Purchaser. software/firmware to others. You may not modify, adapt, translate,
reverse engineer, decompile, disassemble, or create derivative works
2. Ownership of Software/Firmware. Title to, ownership of, and all based on the software/firmware, unless specifically permitted by
rights and interests in, any software and/or firmware and the local law. Your license to the software is not valid for use with any
documentation, and all copies thereof, remain at all times vested in unauthorized data acquisition device.
D-O or its partners, and they do not pass to Purchaser.
6. Applicable Law and Jurisdiction
3. Assignment. Purchaser shall not assign or transfer this License, in This Software License is construed, governed by and interpreted in
whole or in part, by operation of law or otherwise, without D-O's prior accordance with the laws of Finland, excluding the UN Convention on
written consent. Any attempt without such consent, to assign any Contracts for the International Sale of Goods and the parties hereto
rights, duties or obligations hereunder shall be void. You may not irrevocably submit to the exclusive jurisdiction of the lower court of
transfer, assign, rent, lease, sell, or otherwise dispose of the Helsinki, Finland.
software/firmware or the products on a temporary basis.

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Warranty
This Product is sold by Datex-Ohmeda under the warranty set forth in Datex-Ohmeda’s sole and exclusive obligation and Buyer’s sole and
the following paragraphs. Such warranty is extended only with respect exclusive remedy under the above warranty is limited to repairing or
to the purchase of this Product directly from Datex-Ohmeda or Datex- replacing, free of charge, at Datex-Ohmeda’s option, a Product, which
Ohmeda’s Authorized Dealers as new merchandise and is extended to is telephonically reported to the nearest Datex-Ohmeda office or
the Buyer thereof, other than for the purpose of resale. Datex-Ohmeda’s Authorized Dealers office and which, if so advised by
Datex-Ohmeda, is thereafter returned with a statement of observed
For a period of twelve (12) months from the date of original delivery to deficiency, not later than seven (7) days after the expiration date of
Buyer, this Product, other than expandable parts, is warranted the applicable warranty, to the Datex-Ohmeda office or Datex-
against functional defects in materials and workmanship and to Ohmeda’s Authorized Dealers office during normal business hours,
conform to the description of the Product contained in this manual transportation charges prepaid, and which, upon Datex-Ohmeda’s
and accompanying labels and/or inserts, provided that the same is examination, is found not to conform to the above warranty. Datex-
properly operated under the conditions of normal use, that regular Ohmeda shall not be otherwise liable for any damages including but
periodic maintenance and service is performed and that the not limited to incidental damages, consequential damages, or
replacements and repairs are made in accordance with the special damages.
instructions provided, using genuine parts and performed by a trained
person. The foregoing warranty shall not apply if the Product has been There are no express or implied warranties, which extend beyond the
repaired by anyone other than Datex-Ohmeda or otherwise than in warranty hereinabove set forth. Datex-Ohmeda makes no warranty of
accordance with written instructions provided by Datex-Ohmeda, or merchantability or fitness for particular purpose with respect to the
altered by anyone other than Datex-Ohmeda, or if the Product has product or parts thereof.
been subject to abuse, misuse, negligence, or accident.

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