ANGELUS (Ver 2.

03)
Patient Monitoring System
 CONTENT

Contents of Manual ……………………………………………………… 1

Meaning of Symbols used in this manual …………………………… 2

Section 1. GENERAL ……………………………………………………… 3

1.1 Introduction ……………………………………………………… 4
1.2 Composition of unit ……………………………………………… 8
1.3 Panel Description ……………………………………………… 9
1.4 Basic Operation Concepts …………………………………… 13
1.5 General Safety Information …………………………………… 28

Section 2. Preparations ………………………………………………… 30

2.1 Preparation Flowchart …………………………………………… 31
2.2 Installation conditions …………………………………………… 32
2.3 Installation of ANGELUS …………………………………………… 33
2.4 Power ……………………………………………………………… 35
2.5 Basic Operation of ANGELUS …………………………………… 39
2.6 Description of Safety Symbols & Units Symbols …………… 41

Section 3. Changing System Setup Settings ……………………… 44

3.1Short-cut menu for easy use …………………………………… 45
3.2 List and Explanation of the Setup settings …………………… 60
3.3 Angelus System settings …………………………………………… 63
3.4 SpO2 Settings ……………………………………………………… 68
3.5 NIBP Settings ……………………………………………………… 69
3.6 Temperature Settings ………………………………………………… 70
3.7 Trend Settings ……………………………………………………… 72

Section 4. Necessary Settings before Monitoring ………………… 73

4.1 Changing Date and Time ………………………………………… 74

Section 5. Monitoring Screen ………………………………………… 85

5.1 Safety Precautions for Monitoring ………………………………… 87
5.2 Overview …………………………………………………………… 88
Section 6. Alarm Function …………………………………………… 89
6.1 What is an alarm …………………………………………………… 90
6.2 Silencing alarm …………………………………………………… 90
6.3 Suspending all alarms before occurrence ……………………… 91
6.4 Alarm Changeable Range ……………………………………… 92
6.5 Alarm Type ………………………………………………………… 93
6.6 Alarm Settings …………………………………………………… 93

Section 7. SpO2 Monitoring ………………………………………… 98

7.1 General ……………………………………………………………… 99
7.2 Preparing for SpO2 Monitoring …………………………………… 100
7.3 Monitoring SpO2 ………………………………………………… 102
7.4 Changing SpO2 Settings …………………………………………… 103

Section 8. NIBP Monitoring …………………………………………… 110

8.1 General …………………………………………………………… 111
8.2 Preparing for NIBP Measurement ……………………………… 113
8.3 Measuring and Monitoring NIBP ……………………………… 117
8.4 Error Message on NIBP ………………………………………… 118
8.5 Changing NIBP Settings ………………………………………… 119

Section 9. Temperature Monitoring ……………………………… 135

9.1 Preparing for temperature monitoring ………………………… 136
9.2 Changing Temperature Settings ………………………………… 138

Section 10. Maintenance ……………………………………………… 144

10.1 Battery Pack ……………………………………………………… 146
10.2 SpO2 ………………………………………………………………… 147
10.3 NIBP ………………………………………………………………… 148
10.4 Temperature ………………………………………………………… 150
10.5 Cleaning and Disinfection the unit …………………………… 150
10.6 Yearly Inspection ………………………………………………… 151

Section 11. Specification ……………………………………………… 152

 Contents of Manual

This section provides a general overview of the unit and how to operate it. If you have
not used an Angelus patient monitor before, read this section first. The patient monitor,
Angelus, have several connectors for SpO2, NIBP, Temperature.

z This Manual contains all the information needed to operate our Patient
Monitor, Angelus, which has been designed by giving most consideration on
users’ convenience, and it provides exact information on the conditions of the
patients including the measured values such as oxygen saturation in blood
(SpO2), blood pressure (NIBP) and temperature.
z This manual is written to help users effectively operate Angelus. Each feature of
this unit could be used more effectively, if relevant medical books referenced for
clearer understanding of clinical meaning and pathology.
z In case some problems occur during the operation of our units, please contact
local agent.

1
 Meaning of Symbols used in this manual

Symbols are used to specially emphasize the agreed details as follows. Users need to
surely follow all the caution and notes listed in this Manual.

z In the event that the unit is damaged due to misuse or negligence by a user, the
manufacturer or authorized dealers shall not be responsible for any damage or
loss to the unit.

※ Warning

The title “Warning” is used to inform the users of possible causes that could
inflict injury, death, or properly damage to the patients.

※ Caution

The title “Caution” is used to inform the users of possible causes that could
inflict injury to the patients although it might not severe enough to cause deaths.

※ Note

The title “Note” is used to inform the users of items that are of importance in
terms of installation, operation, or maintenance of the Unit although the failure
does not inflict the bodily harm to the patients.

Dangerous warning should never be included under the “Note” signal.

2
 Section 1. GENERAL

1.1 Introduction
1.1.1 General …………………………………………………………………… 4
1.1.2 Warranty Period ………………………………………………………… 5
1.1.3 Request for Services ……………………………………………………… 6
1.1.4 How to Contact us ……………………………………………………… 7

1.2 Composition of Unit ……………………………………………………… 8

1.3 Panel Description

1.3.1 Front & Operation Panel ………………………………………………… 9
1.3.2 LED Indicators …………………………………………………………… 10
1.3.3 Rear Panel ………………………………………………………………… 11
1.3.4 Side Panel ………………………………………………………………… 12

1.4 Basic Operation Concepts

1.4.1 Screen Displays …………………………………………………………… 13

1.5 General Safety Information

1.5.1 Cautions for Electrical Safety ……………………………………………… 28
1.5.2 Keeping & Storing Safety ……………………………………………… 29

3
 1.1 Introduction
1.1.1 General

Thank you for using Angelus (Patient Monitor). Please read this manual carefully
before operating this unit for proper handling and maintenance, and get familiar
with all the functions and features of this unit for safe handling and reliable
performance.
Please, try to fully understand the features and operation and maintenance
methods of this unit prior to actual operation by thoroughly and carefully reading
this manual. This is the only way to insure safe operation and reliable
performance of the unit for a long time.
KTMED Inc. only provides the reliable units to our customers.

z All of assembling, extending, adjusting or repairing of this unit shall be

carried out only by the service personnel authorized by our local agent
and KTMED Inc.
z Electrical connection or installation location has to comply with relevant
regulations.
z Operate the unit as directed by this manual.

This unit is useful to monitor unconscious or emergency patients. (It measures

SpO2, Blood Pressure, and Temperature.) And this unit is restricted to one
patient at a time.
To insure the safety of patients, use only the parts and accessories
recommended by us. In the event that this Unit needs to be used by connecting
with other unit that is not listed in this Manual, be sure to notify us or our
authorized dealers about this intent. It can be used while moving of patient with
battery or DC.

4
1.1.2 Warranty Period

z Our Units are produced through out strict quality control, management, packed,
and transported to insure the best installation. So you are recommended to do
not transport or move the unit without KTMED’s packing as you wishes. If not, it
can be damaged by delivery.

z The warranty period for this unit is specified to be 2 years. (But accessories are
specified to be one year.) Please contact with KTMED for service.

z When it malfunctions during the course of normal operation while under the
Warranty Period, it will be repaired without any cost to the consumer at our
company.

z We recommend that you have to check regular calibrations at least 24 months.

In this case, please contact with KTMED.

z Clinical accuracy characteristics (manufacturer of the unit) are available from

KTMED.

z When it malfunctions during the warranty period, please inform the service
personnel on basic facts, such as model name, unit No., purchase date, and
the brief description of the problem.

z If the defects in units or workmanship for two years from the purchased date,
manufacturer will repair or replace your unit with new or rebuilt parts without
any charges except below cases,

① After warranty period

② Defects from operating or handling carelessness
③ Defects from a natural calamity
④ Defects from repair or disassembled the unit by unauthorized person

5
1.1.3 Request for Services

The services for KTMED Inc. units can be performed only by the personnel authorized
by the Customer Service Dept. of KTMED or our local agent. In the event that the unit is
serviced or tried to be serviced by an unauthorized third party during the warranty
period, the warranty shall be nullified.

The local agent is obliged to provide the services requested by the customers.

When any abnormalities are found in the unit or a danger to bodily harm exists, the unit
has to be repaired fast and adequately by authorized personnel.

At time of unit malfunctions, please take following steps.

z Immediately contact our local agent which provides the repairing services for us
as a Contractor. Please be prepared to inform the receiver about the
manufacturer’s label, serial number, date of original purchasing and brief
description of malfunction or enquiry before making call.

z KTMED or local agent will make available on request circuit diagrams,

component part lists, descriptions, calibration instructions or other information
which will assist your appropriately qualified technical personnel to repair those
parts of unit which are designated by KTMED Inc repairable.

z The customer is responsible for any freight charges, when unit is shipped to
KTMED Inc. for servicing (this includes all customs charges).

z Our local agent will first try to analyze and solve the problem while talking to
you on the phone if possible.

6
1.1.4 How to Contact us

Contact us at following phone No. and address for various services and unit supplies.
We are at your service all the time. Do not hesitate to call us any inquiries at all.

● KTMED Inc.
Tel: +82-2-2108-7890
Fax: +82-2-2108-7894
E-Mail: master@ktmed.com

● Service Request

※ When request for repairing service, please find out the unit’s model name, unit serial
No. and brief description of problem in advance, and then contact our Customer Service
Dept.

7
 1.2 Composition of unit

① Angelus main unit: 1ea

② Power cord (110V /220V): 1ea
③ NIBP cuff for Child: 1ea
④ NIBP cuff for adult: 1ea
⑤ NIBP cuff hose: 1ea
⑥ SpO2 reusable sensor for adult: 1ea
⑦ SpO2 extension cable: 1ea
⑧ IV pole clamp: 1ea

8
 1.3 Panel Description

1.3.1 Front& Operation panel

This section provides an overview of the operator controls, indicators and symbols.
Detailed use of each control is described in other sections of this manual.

① Malfunction Big LED

② 3 Digit Dual Color FND
③ LED indicators
④ 4 Digit FND
⑤ 10 BAR LED
⑥ Speaker
⑦ [Start/ Stop] button
⑧ [Trend] button
⑨ [[Setup/ Menu] button
⑩ [Esc/silence] button

9
1.3.2 LED indicators

z LOW BATTERY: When batteries are low, the LOW BATTERY indicator will be
steadily illuminated and audio-able alarm goes off. With connecting AC power,
alarm will be stop automatically

z NO SIGNAL: When SpO2 sensor can not read the finger or pulse rate, the NO
SIGNAL will be steadily illuminated. In this case, condition of SpO2 sensor and
patient should be checked.

z ALARM SILENCE: When alarm sound occurs, press this button, and then
alarm sound doesn’t go off.

z FINGER FAULT: The FINGER FAULT is steadily illuminated until SpO2 sensor
recognizes and read the finger signal.

z SENSOR FAULT: The SENSOR FAULT is steadily illuminated until SpO2

sensor is connected with ANGELUS correctly.

z ADULT: When NIBP is set in adult mode, the ADULT is steadily illuminated.

z NEONATE: When NIBP is set in neonate mode, the NEONATE is steadily

illuminated.

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1.3.3 Rear panel

① IV Pole Clamp Holder

② Internal Battery Cover
③ Battery Cover Fixing Bolt
④ Description of Specifications
⑤ Earth
⑥ External AC power Input Source
⑦ Hand Holder

11
1.3.4 Side panel

① Hand Holder
② IV POLE CLAMP HOLDER
③ SpO2 SENSOR Socket
④ NIBP Air Coupler
⑤ Temperature Sensor Socket

12
 1.4 Basic Operation Concepts

1.4.1 Screen displays

Following are the screens available on the Angelus. For details about the individual
screens see the appropriate section. The shadow of the previous screen may remain for
a few minutes after changing the screen.

Check the following items in the unit and measuring sensors, before operating the unit.
z Check whether there exists any mechanical danger.
z Inspect the cable which connects to outside, and power cord, and
accessories.
z Check whether the unit and sensors are connected exactly.

13
① Initial screen

If you press located on the front of the unit, the unit will turn itself on. If you press
once more, the unit will turn itself off.
When turning on the unit, version information with melody will be displayed for a few
seconds as below picture. If the unit is not turned on or indicates “low battery” on the
LED of “status LED” with an alarm sound, the unit needs to be recharged with an AC
power source. After the initial display, the unit is ready to measure SpO2, Pulse Rate,
Blood Pressure, and Temperature.

Angelus Ver. 2.03

z The unit indicates pulse rate, SpO2, blood pressure, temperature numerical
value
z If the unit is not turned on or battery lamp on red with alarm sound, the unit
needs to be recharged with an AC power source.

② Display when you press the Setup/Menu button

1) Press [Set up] button for more than 2 seconds and press [Up/Down] button to
change the set values.

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2) In this mode, these “UP/DOWN”, “Confirm”, “Esc/silence“ buttons are used for setting
the unit’s parameters.

z [UP/DOWN] buttons are used for scrolling the menu.

z [Confirm] button is used for selecting one of them.
z [Esc/silence] button is used for ESC button to exit.

③ Set up the System Volume

15
Further information can fully be explained in the “System volume set up” in section
3.3.1.

16
④ Set up the Alarm

Alarm Sound Volumes

Alarm Interval

Further information can fully be explained in the “Alarm set up” in section 3.3.2 and
“Alarm settings” in section 6.6.

17
⑤ Set up the Time

● Year

● Month

● Date

● AM/PM

18
● Hour

● Minute

● Second

Further information can fully be explained in the “Changing Date and Time” in section
4.1.

19
⑥ Set up the Alarm Limit

● Pulse rate alarm limit

- High limit

- Low limit

Further information can fully be explained in the “Changing the Pulse rate Alarm limit” in
section 7.4.1

20
● SpO2 alarm limit

- High limit

- Low limit

Further information can fully be explained in the “Changing the SpO2 Alarm limit” in
section 7.4.2.

21
● NIBP alarm limit

- Systolic high limit

- Systolic low limit

22
- MAP high limit

- MAP low limit

23
- Diastolic high limit

- Diastolic low limit

Further information can fully be explained in the “Changing the NIBP Alarm limit
settings” in section 8.5.3.

24
● Temperature alarm limit

- Temperature high limit

- Temperature low limit

Further information can fully be explained in the “Changing the Temperature Alarm limit”
in section 9.2.2.

25
⑦ Set up the Blood Pressure (NIBP)

● NIBP Mode

or
Further information can fully be explained in the “Selecting the cuff type” in section 8.5.1.

● NIBP Interval

Further information can fully be explained in the “Selecting the interval time” in section
8.5.2.

● NIBP Cuff Exhaust

26
 or
Further information can fully be explained in “Selecting the Exhaust type” in section
8.5.4.

⑧ Set up the Temperature

● Temperature Unit

Further information can fully be explained in the “Changing the temperature unit” in
section 9.2.1.

27
 1.5 General Safety Information

1.5.1 Cautions for Electrical Safety

Before operation of the Unit, make sure to check following items:

z Never use this unit in the presence of any flammable anesthetic gas,
concentrated oxygen or hyperbaric oxygen. Failure to follow this warning may
result in explosion.

z Never use the unit in a high-pressure oxygen medical care tank. Failure to
follow this warning may cause explosion or fire.

z Whether power supply is appropriate.(AC 100~240V, 50/60Hz) Confirm it

before connecting to an outlet.

z Whether connections (power line or selected unit) are properly made to the unit.

z Whether the unit is properly grounded.

z Inaccurate measurement may occur when the sensor sites are exposed to
excessive amounts of patient movement. To ensure patient safety, the user
should use only the parts and accessories are supplied or recommended by
KTMED Inc. If other company’s sensors are used for Angelus, it may damage to
the monitor.

※ Note

The Unit should be placed far from generator, X-ray unit, broadcasting unit, or
transmitting wires, so as to prevent the electrical noises from being generated during
the operation. When these units are near the unit, it can be inaccurate measurements.

28
1.5.2 Keeping & Storing Safety

Please read this manual carefully before operating.

Don’t operate or store the Unit under the following environments.

z Store the damp location, and operate the Unit with wet hand.
z The place where the unit is exposed to direct sunlight.
z The place where the unit is closed to electrical heating apparatuses.
z The place where the temperature fluctuation is rather big. (The temperature
falls below -20˚C or exceed 60˚C.)
z The place where moisture level could go up considerably or where air is not
ventilated properly. (Humidity is above 75 %.)
z The place where the unit is exposed to excessive shocks or vibrations.
z The place where the unit is exposed to chemical or explosive gas.
z Disassembly of Unit should be done only by the authorized personnel;
otherwise, we will not be obliged to provide any services at all.
z Make sure that this unit prevents dust and especially metal debris from
penetrating in.
z The place where the atmospheric pressure falls below 70KPa (700mbar) or
exceed 106KPa (1060mbar).
z The place where the unit is exposed to heavy density oil vapor.
z The place where the unit is exposed to salty atmosphere.
z If this unit is used with other electrical unit such like ultrasound surgical at the
same time, it maybe breakdown.
z Use sensor and cable that have connected with unfit voltage or damaged ones.
z Use while testing of MRI or CT etc, it is harmful to patient and might be
occurred unreasonable results.

Standard operation conditions are as follows.

z Temperature: 0˚~ 50˚C
z Humidity: 10~ 95%

Standard storage and transportation conditions are as follows.

z Temperature: -20~ 60˚C
z Humidity: 10~ 95%

29
 Section 2. Preparations

2.1 Preparation Flowchart …………………………………………………… 31

2.2 Installation conditions ………………………………………………………… 32

2.2.1 Warnings ………………………………………………………………… 32
2.2.2 Cautions ………………………………………………………………… 32

2.3 Installation of ANGELUS …………………………………………… 33

2.3.1 Power connection …………………………………………… 33
2.3.2 Connection of Measuring Sensor with Accessory …………………… 34

2.4 Power …………………………………………………………………………… 35

2.4.1 AC or DC Power Source Selection …………………………………… 35
2.4.2 External Power …………………………………………………………… 36
2.4.3 Internal Power …………………………………………………………… 37
2.4.4 Power Source …………………………………………………………… 38
2.4.5 Battery Specifications …………………………………………………… 38

2.5 Basic Operations of ANGELUS ……………………………………………… 39

2.5.1 How to Operate ANGELUS …………………………………… 40

2.6 Description of Safety Symbols & Unit Symbols ………………………… 41

30
 2.1 Preparation Flowchart

You may not need to do all these.

1) Install the unit and do the procedures in section 2.

2) Check or change any initial settings on the Setup screen. These items usually do not
need to be changed. Refer to Section 3.

3) Check or change the necessary settings before monitoring in section 4.

z Date and time
z System setup (Sound Volume)

4) Prepare the unit (SpO2 sensors, NIBP cuffs, Temp sensors, etc.) for monitoring
individual parameter and check or change the settings for each parameter. Refer to
section 7, section 8, and section 9.

31
 2.2 Installation conditions

2.2.1 Warnings

z Never use this unit in the presence of any flammable gas, concentrated oxygen
or hyperbaric oxygen. Failure to follow this warning may result in explosion.

z Connect only the specified instruments to the connector or connectors marked

by following the specified procedure. Otherwise, electrical leakage current may
harm the patient and operator.

2.2.2 Cautions

z Avoid collision when moving the monitor on a cart. Strong impact may damage
the monitor.

z Avoid location where the monitor is sprinkled with liquids. Avoid direct sprinkling,
spray or moist air from inspirator or a humidifier.

z If fluids are accidentally spilled on the unit, take the unit out of service and
check for damage.

z Avoid exposing the unit to direct sunlight. And do not place the unit in dusty
area.

z Connect the power cord to an AC outlet which can supply enough AC current to
the monitor. The unit can not function properly with low current.

z Do not place the unit in an MRI examination room. The monitor may not
function properly, or noise from the unit may interfere with the MRI. And do not
use an electrical blanket. It may affect monitoring.

z When there is any problem on the unit, turn off the power immediately and
disconnect the power cord from the AC outlet. Take the Monitor out of service
and check for damage.

32
 2.3 Installation of Angelus

2.3.1 Power Connection

Put the power cord into the power cable of Angelus.

(Put the power cord to No. ⑥)

Select the power source between an external AC and DC. When you use an external
AC power source, connect power cord to AC INPUT located at the rear of the unit. In
the case of an external DC power source, connect the power, 12~24V 3A, to its
connector of the rear part.

33
2.3.2 Connection of Measuring Sensor

Connect the relevant parameter sensors to the appropriate connector. If you want to
know further information, refer to section 7, 8, and 9.

※ Warning

Only use the SpO2 sensors, NIBP cuffs, Temperature probes supplied with the unit. If
not, it may cause some form of harmful effects to the patient or its user. For more
detailed information concerning this situation, please contact KTMED or local agent.

34
 2.4 Power

2.4.1 AC or DC Power Source Selection

The unit can operate on either battery or AC power.

Select the power source between an external AC and DC. When you use an external
AC power source, connect power cord to AC INPUT located at the rear of the unit.

In the case of an external DC power source, connect the power, 12~24V 3A, to its
connector of the rear part. For example, when transferring a patient, the unit
automatically switches to battery power.

The battery is charged when the power cord is plugged into an AC outlet and the AC
current is supplied to the monitor. The battery is also charged during monitoring.

The monitor can operate for about 2 hours with a fully charged battery pack when:

z Charged and used in normal temperature (about 25℃)

z Recorder is not used
z No alarm occurs
z No NIBP measurement

35
2.4.2 External Power

※ Warning

z Only use the provided power cord. Using other power cords may result in
electrical shock or other injury to the patient and operator.
z When the provided power cord cannot be used, operate the monitor on battery
power.

① Power Connection

Put the power cord into the power cable of Angelus.

(You put the power cable to No.⑥)

Connect the provided power cord to the AC SOURCE connector on the rear panel of
the unit and plug the cord into an AC outlet.

When the AC power is supplied to the unit, the AC power lamp on the front panel lights
and a buzzer sounds.

36
2.4.3 Internal power

Angelus has a battery pack which is composed of 6 pieces of the NIMH, 1.2V. This unit
can be operated about 2hours with a fully charged battery.
When you connect the unit with a direct DC power source, the batteries are
automatically charged. It takes about 6 hours to fully recharge a battery.
There would be nothing happened even if the unit is connected to DC power with fully
charged batteries at the same time.
The condition of the internal power source is indicated by battery lamp. Battery pack is
charged fully, green light comes on. While battery pack is discharged, red light comes
on. If you want to recharge batteries, use a DC power source.

If battery pack is recharged enough time, but red light still comes on, then the battery
pack should be replaced. You have to contact to KTMED or local agency.

Replacement internal of batteries

Battery pack is fixed with a connector

※ Note
You should use the batteries supplied by KTMED only. Normally, the battery should be
changed at least every year.

37
2.4.4 Power Source

① AC power source

When you connect AC power to the unit, the lamp on the front panel will be blinking.
Use AC 100~240V, 50/60Hz. If the unit is supplied out of these ranges of power, the unit
might be damaged. AC power is supplied to the unit, the green LED AC power light in
the front panel is turned on. And when the unit is not in use, it is automatically changed
to auto recharge mode.

② DC power source

This unit is possible to be used in a car with DC power. Connect DC power with DC
INPUT connector on the bottom side. In this case, Power should be DC 12~ 24V, 3A.

2.4.5 Battery Specifications

When the unit is turned on while AC power is cut off, the power is supplied from the
battery and the LED battery power indicator at the upper section of the unit is turned on.

z In case battery power is running out. When the battery capacity goes below 12V,
the alarm maybe go off, and battery lamp will blink for a few minute, and then
the power will be turned off. Therefore, AC power has to be supplied soon in
order to prevent the power shortage.

z Recharging period: It takes about 6 hours.

z Continuous Operation Time per full recharge: 2hours.

38
 2.5 Basic Operations of Angelus

Followings are the screens available on the Angelus. For details about the individual
screens, see the appropriate section.

Check the following items in the unit and measuring sensors, before operating the unit.

z Check whether there exists any mechanical danger.

z Inspect the cable which connects to outside, and power plug, and accessories.
z Check whether the unit and sensor is connected exactly.

39
2.5.1 How to operate Angelus

Note: If you press [Setup/Menu] button more than 2 seconds, you can start
System mode. If you want to use short-cut menu, press [setup/Menu] button as
usual. Also, if you want to know short-cut menu, refer to the “Short-cut menu
for easy use” in section 3.1.

1) If you press located on the front of the unit, the unit will turn itself on. If you
press once more, the unit will turn itself off.

2) If you want to change the set values while in use, use [Setup] button, [Up/Down]
button, and [Confirm] button to change the set values.

3) The unit should be connected with the measuring sensor.

4) If the unit is not turned on or indicates “low battery” on the LED of “status LED” with
an alarm sound, the unit needs to be recharged with an AC power source. After the
initial display, the unit is ready to measure SpO2, Pulse Rate, Blood Pressure and
Temperature.

40
 2.6 Description of Safety Symbols & Unit Symbols

The International Electro-technical Commission (IEC) has established a set of symbols

for medical electrical unit regarding connections or warnings of potential hazards.

The classification and symbols are shown below;

Symbol Description

Attention, consult ACCOMPANYING DOCUMENTS

Date of manufacture

Serial Number

Type BF Equipment

Equipotential terminal

Power stand-by button

Defibrillation-Proof Type BF applied parts

Temp Body Temperature connector

SpO2 Oxygen Saturation connector

Alarm Alarm

SET UP Button for changing to system setup

41
KTMED’s model Angelus is classified as;

z Ordinary unit without protection against ingress of water.

z Unit not suitable for use in presence of a flammable anesthetic mixture by
standard of IEC 60601-1(Safety of Electric Medical Unit)
z Unit that complies with class B for noise-emission, Level B for noise-immunity,
per standard of IEC60601-1-2 (Electromagnetic Compatibility Requirements)

• Applied parts : BF applied parts.

• Protection against harmful ingress of water: ordinary IPXO.
• Degree of safety in the presence of flammable anesthetics mixture with air or with oxygen
or with nitrous oxide. Not suitable for use in the presence of a flammable anesthetics
mixture with air or with oxygen or with nitrous oxide.

42
 Section 3. Changing System Setup Settings
3.1 Short-cut menu for easy use …………………………………………… 45
3.1.1 NIBP Set up with [Confirm] button ……………………………………… 45
3.1.1.1 Selecting the NIBP cuff type ……………………………………… 45
3.1.1.2 Changing the NIBP Interval time ……………………………………… 46
3.1.2 Alarm Limit set up with [Setup] button ………………………………… 47
3.1.2.1 Changing Pulse rate Alarm Limit ………………………………… 47
3.1.2.2 Changing SpO2 Alarm Limit …………………………………………… 49
3.1.2.3 Changing NIBP Systolic Alarm Limit ………………………………… 51
3.1.2.4 Changing NIBP Diastolic Alarm Limit ………………………………… 53
3.1.2.5 Changing NIBP Mean Alarm Limit ………………………………… 55
3.1.2.6 Changing Temperature Alarm Limit ……………………………… 57
3.1.3 Alarm Silence ………………………………………………………………… 59
3.1.4 System Menu ………………………………………………………………… 59

3.2 List and Explanation of the Setup settings ………………………………… 60

3.2.1 List of all settings ……………………………………………………………… 60
3.2.2 Menu button …………………………………………………………… 60

3.3 ANGELUS SYSTEM Settings ……………………………………………… 63

3.3.1 System Volume Setup ……………………………………………………… 64
3.3.2 Alarm Setup ………………………………………………………………… 66
3.3.3 Clock Setup ……………………………………………………………… 67

3.4 SpO2 Settings …………………………………………………………………… 68

3.5 NIBP Settings …………………………………………………………………… 69

3.6 Temperature Settings ………………………………………………………… 70

3.6.1 Changing the temperature unit …………………………………………… 70

3.7 Trend Settings …………………………………………………………………… 72

3.7.1 View mode …………………………………………………………………… 72
3.7.2 Erase mode …………………………………………………………………… 72

43
This section explains how to change setting after the unit is installed and before
monitoring.

The initial setting on the “Setup” screen must be changed before monitoring. Change
these settings while monitoring interrupts monitoring.

All other settings can be changed at any time without interrupting monitoring.

This section also explains how to initialize the system. This procedure returns all
settings to the factory default settings and deletes all stored data memory.

44
 3.1 Short-cut Menu for easy use

If you want to use short-cut menu, press [setup/Menu] button as usual.

These are 2 short-button menus for easy manipulation. We use existing menu buttons
for this operation.

3.1.1 NIBP Set up with [Confirm] button

Users can setup the NIBP Mode and NIBP Interval easily. For manipulation, the users
should use [Confirm] button and [Up/Down] button.

3.1.1.1 Selecting the NIBP cuff type

1) Press the [Confirm] button, the “Angelus NIBP Adult” menu is displayed.

2) Press the [Up/Down] button, then select Adult or Neonate.

3) Press the [ESC] button or 10 seconds later (automatically), setup is stored and
returned to the measuring mode.

45
3.1.1.2 Changing the NIBP Interval time

1) Press [Confirm] button one more time, NIBP Interval menu is displayed.

2) Press the [Up/Down] button, then choose appropriate value. (Interval time range:
Off(0)/1/3/4/5/10/15/30/45/60/90/120/240 minute)

3) Press the [ESC] button or 10 seconds later (automatically), setup is stored and
returned to the measuring mode.

46
3.1.2 Alarm Limit set up with [Setup] button

Users can setup Alarm Limit in each parameter easily. For manipulation, the users
should use [Setup] button and [Up/Down] button.
When the users press [Setup] button, the Pulse Alarm Limit (High) menu is displayed. If
the users press this button step by step, Pulse Alarm Limit (Low) is displayed. The next
is SpO2 High/Low, and the last is temperature. In other words, manipulation process is
step by step.

3.1.2.1 Changing Pulse rate Alarm Limit

1) Press [Setup] button continuously until Pulse rate high Limit menu is displayed.

2) Press the [Up/Down] button, then choose appropriate value from 26 to 255.

47
3) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

4) Press [Setup] button continuously until Pulse rate low Limit menu is displayed.

5) Press the [Up/Down] button, then choose appropriate value from 25 to 254.

6) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

48
3.1.2.2 Changing SpO2 Alarm Limit

1) Press [Setup] button continuously until SpO2 high Limit menu is displayed.

2) Press the [Up/Down] button, then choose appropriate value from 36 to 100.

3) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

49
4) Press [Setup] button continuously until SpO2 low Limit menu is displayed.

5) Press the [Up/Down] button, then choose appropriate value from 35 to 99.

6) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

50
3.1.2.3 Changing NIBP Systolic Alarm Limit

1) Press [Setup] button continuously until NIBP Systolic high Limit menu is displayed.

2) Press the [Up/Down] button, then choose appropriate value from 31 to 300.
(In case of neonate mode, alarm limit become from 16 to 150)

3) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

51
4) Press [Setup] button continuously until NIBP Systolic low Limit menu is displayed.

5) Press the [Up/Down] button, then choose appropriate value from 30 to 299.
(In case of neonate mode, alarm limit become from 15 to 149)

6) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

52
3.1.2.4 Changing NIBP Diastolic Alarm Limit

1) Press [Setup] button continuously until NIBP Diastolic high Limit menu is displayed.

2) Press the [Up/Down] button, then choose appropriate value from 31 to 300.
(In case of neonate mode, alarm limit become from 16 to 150)

3) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

53
4) Press [Setup] button continuously until NIBP Diastolic low Limit menu is displayed.

5) Press the [Up/Down] button, then choose appropriate value from 30 to 299.
(In case of neonate mode, alarm limit become from 15 to 149)

6) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

54
3.1.2.5 Changing NIBP Mean Alarm Limit

1) Press [Setup] button continuously until NIBP Mean high Limit menu is displayed.

2) Press the [Up/Down] button, then choose appropriate value from 31 to 300.
(In case of neonate mode, alarm limit become from 16 to 150)

3) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

55
4) Press [Setup] button continuously until NIBP Mean low Limit menu is displayed.

5) Press the [Up/Down] button, then choose appropriate value from 30 to 299.
(In case of neonate mode, alarm limit become from 15 to 149)

6) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

56
3.1.2.6 Changing Temperature Alarm Limit

1) Press [Setup] button continuously until Temperature high Limit menu is displayed.

2) Press the [Setup] button, and then choose appropriate value from 15.1 to 45.
(In the temperature display LED)

3) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

57
4) Press [Setup] button continuously until Temperature low Limit menu is displayed.

5) Press the [Setup] button, and then choose appropriate value from 15.0 to 44.9.
(In the temperature display LED)

6) Press [ESC] button or 10 seconds later (automatically), setup is stored and returned
to the measuring mode.

58
3.1.3 Alarm Silence

Although the measurement value is out of alarm limit, if users don’t want to use Alarm
sound, the users can disable Alarm sound. However, if there is an error in the sensor or
system, the alarm sound is on.

a) Alarm On Setup
Press [Alarm Silence] button for 2 seconds. Then, Alarm LED is flashed. In this mode,
the alarm sound is not generated even if the measurement value is out of alarm limit.

b) Alarm On Setoff
Press [Alarm Silence] button for 2 seconds. Then, flashed Alarm LED is off. In this
mode, the alarm sound is returned to normal mode.

3.1.4 System Menu

Press the Setup button for 2 seconds, you can enter System Menu. In this mode, users
can setup all parameters described in the manual.

※Note: If you want to use short-cut menu, press [setup/Menu] button as usual.
If you press [Setup/Menu] button more than 2 seconds, you can start System
mode.
Further information can fully be explained in the “SpO2 monitoring” in section 7,
“NIBP monitoring” in section 8, “Temperature monitoring” in section 9.

59
 3.2 List and Explanation of the Setup Settings

3.2.1 List of all settings

Various parameters are user selectable from set up menu. The menu of ANGELUS is
constructed as below explanation. The first menu is categorized as Angelus System,
SpO2 Setup, NIBP Setup and Temperature Setup. Under each category, the user can
set up the parameters.

3.2.2 Menu button

We have 4 menus for setting the unit’s working parameters. If you press [Setup/Menu]
button more than 2 seconds, you can see the menu mode. In this mode, these
[Up/Down], [Confirm], [Esc/silence] buttons are used for setting the unit’s parameters.

z [Up/Down] buttons are used for scrolling the menu.

z [Confirm] button is used for selecting one of them.
z [Esc/silence] button is used for ESC button to exit.

The menu button allows to you:

① Angelus SET: There are three modes.
z System volume: Adjust the Angelus sound volume.
z Alarm Setup: Adjust the alarm volume.
z Clock Setup: Clock setup the same way as on a typical watch.

② NIBP SET: There are adult and neonate modes. You can choose according to the
patient age. Furthermore, it can be chosen interval time, alarm limit value, and
exhaust type.
z MODE: There are adult and neonate modes. You can choose a proper type for
each patient.
z INTERVAL: Adjust the NIBP interval time of automatic NIBP measurement.
z Systole: Adjust the Systolic blood pressure alarm limit values.
z Diastole: Adjust the Diastolic blood pressure alarm limit values.
z MAP: Adjust the Mean of blood pressure alarm limit values.
z Exhaust: Choose linear or step type.

60
③ SpO2 SET: You can adjust the SpO2 value and pulse rate alarm limit values.
z Pulse rate limit: Adjust the pulse rate alarm limit value.
z SpO2 limit: Adjust the SpO2 alarm limit value.

④ Temperature SET: There are Celsius and Fahrenheit modes. You can choose a
desired mode. Furthermore, it can be chosen alarm limit value.
z Temperature unit: Choose Celsius or Fahrenheit.
z Temperature limit: Adjust the Temperature alarm limit value.

61
※ List of all settings
Menu Sub Sub menu 2 Sub menu 3/Value Value
menu 1
Setup/Menu Angelus System Volume 0~9
SET Alarm Setup Alarm volume 0~9
Alarm Interval 1~60
Clock Setup Year 0~99
Month 1~12
Date 1~31(29,30)
Hour 1~12
Minute 0~59
Second 0
SpO2 Pulse rate limit High limit 26~255
SET LOW limit 25~254
SpO2 limit High limit 36~100
LOW limit 35~99
NIBP NIBP mode ADULT/NEONATE
SET
NIBP Interval OFF(0)~ 60
Systole High limit(neonate) 16~150
LOW limit(neonate) 15~149
High limit(adult) 31-300
LOW limit(adult) 30-299
MAP High limit(neonate) 16~150
LOW limit(neonate) 15~149
High limit(adult) 31-300
LOW limit(adult) 30-299
Diastole High limit(neonate) 16~150
LOW limit(neonate) 15~149
High limit(adult) 31-300
LOW limit(adult) 30-299
Temper Celsius High limit 15.1~45.0
ature LOW limit 15.0~44.9
SET Fahrenheit High limit 59.1~113.0
LOW limit 59.0~112.9

62
 3.3 Angelus SYSTEM settings

Set up Variation range Comments

System 0/1/2…9 Adjustment of system volume
volume
Alarm 1/2…9 Adjustment of alarm volume
volume
Alarm Off(0)/1/……………59/60 Adjustment of alarm interval time/minute
Interval
Clock Year: 00~99
Month: 1~12
Date: 1~31 Adjustment of Clock
AM/PM
Hour: 1~12
Minute: 0~59
Second: 0
Esc/Silence EXIT Return to the previous screen

※ Angelus system setup MAP

Angelus System

System volume Alarm set up Clock set up

1. To select desired mode, press up/down button.

2. Then press confirm button.

63
3.3.1 System Volume Set up

※ System volume setup MAP

System volume

0~9

1. To select desired volume level, press up/down button.

2. Then press confirm button.

1) Press 〔 Setup/Menu 〕 button, and using [Up/Down] button, move to “Angelus

System mode”, then press [Confirm] button as below picture.

2) To select “System volume mode”, using [Up/Down] button then press [Confirm]
button.

64
3) Using [Up/Down] button, set the volume level from 0 to 9, then press [Confirm] button.

65
3.3.2 Alarm Set up

When an alarm sounds, you need to identify the alarm. And act appropriately, according
to the cause of the alarm.

z Identify which monitor is in alarm

z Check the patient’s condition
z Identify the cause of the alarm
z Silence the alarm, if necessary
z When alarm condition id eliminated check that the alarm reset

※Alarm setup MAP

Alarm set up

Alarm volume Alarm interval

1~9 Off(0)~60

1. To select desired mode, press up/down button.

2. Then press confirm button.
3. To select desired value, press up/down button.
4. Then press confirm button.

Further information can fully be explained in the “Alarm volume setup” in section 6.6.1,
“Alarm interval time setup” in section 6.6.2.

66
3.3.3 Clock Set up

You can set the date and time to be displayed on the screen. Once it has been set, the
internal clock retains the setting even when the system is turned off.

※ Clock setup MAP

Clocksetup

Year Month Date AM/PM Hour Minute Second

00~99 1~12 1~31 AM/PM 1~12 0~59 00

1. To select desired mode, press up/down button.

2. Then press confirm button.
3. To select desired value, press up/down button.
4. Then press confirm utton.

Further information can fully be explained in the “Changing date and time” in section 4.1.

67
 3.4 SpO2 Settings

When the ANGELUS is first powered on, the alarm limits are set to the factory default
values. The following table lists alarm limit range for the SpO2 value and pulse rate.

Parameter High Low

SpO2 Value 36-100 35-99
Pulse Rates 26-255 25-254

To change an existing alarm limit, perform the following procedures should be

performed.

※ SpO2 Setup MAP

Angelus SpO2

Pulse Alarm limit SpO2 Alarm limit

1. Press setup/menu button more than 2 seconds.

2. To select desired mode, press up/down button.
3. Then press confirm button.

Further information can fully be explained in the “SpO2 Monitoring” in section 7.

68
 3.5 NIBP Settings

When you adjust the cuff type, NIBP measuring interval time, and cuff exhaust
type, you should use this mode.

Set up Selection Range Comments

Mode Adult/ neonate Cuff type
Exhaust Linear/Step Exhaust type
Interval Off(0)/1/2/3/…60min Set up the time interval when measured
automatically
Esc/Silence EXIT Return to the previous screen

※ NIBP Setup MAP

Angelus NIBP
1. Press setup/menu button
more than 2 seconds.
2. To select desired mode,
Mode press up/down button.

Interval

Systole Alarm Limit

Diastole Alarm Limit

Mean Alarm Limit

Exhaust

Further information can fully be explained in the “NIBP Monitoring” in section 8.

69
 3.6 Temperature settings

Temperature can be monitored by attaching the probe to the patient and using the
TEMP connector in the monitor.

※ Temperature setup MAP

Angelus Temperature

Unit Alarm Limit(c) Alarm Limit (F)

Celsius High Limit High Limit

Fahrenheit Low Limit Low Limit

1. To select desired mode, press up/down button.

2. Then press confirm button.

3.6.1 Temperature unit type

Set Up Selection Comments

Range
Celsius Celsius Scale for the measuring temperature, in which
water freezes at 0 degrees and boils at 100
degrees. It is represented by the symbol C.
Fahrenheit Fahrenheit Scale for the measuring temperature, in which
water freezes at 32 degrees and boils at 212
degrees. It is represented by the symbol F.
Esc/Silence EXIT Return to the previous screen

70
※ Temperature Unit setting MAP

Temperature Unit

Celsius Fahrenheit

1. To select desired unit mode, press up/down button.

2. Then press confirm button.

Further information can fully be explained in the “Temperature Monitoring” in section 9.

71
 3.7 Trend Settings

Trend function allows users to check the stored data on a patient as well as the long-
term variation of patient data, showing the long-term trend of patient’s condition at any
time. (But, printout is possible only when a printer is equipped.)
Press [TREND] button which on the below side of front panel. After selecting TREND
section, there are two modes. (View, Erase modes)

Set up Selection Range Comments

View If you want to see the trend mode, you choose this
mode
Erase CANCEL/ DONE If you want to erase the measurement record, you
choose “done”. If not, you choose “cancel”.
Exit EXIT Return to the previous screen

3.7.1 View mode

To select a View mode, pressing [Up/Down] button then pressing [Confirm] button.
DONE/CANCEL mode will be displayed on the screen. Select DONE mode to finish
setting up TREND.

If you want to see the stored data, press [Up/Down] button.

3.7.2 Erase mode

When monitoring the patient is no longer required, delete the data. The patient data on
the review screens are deleted, when you choose ERASE mode.

1) After selecting TREND section, press [confirm] button.

After selecting TREND mode, press [Up/Down] button. ERASE mode will be displayed
on the screen. Selecting DONE mode can delete measurement record.

72
 Section 4. Necessary Settings before Monitoring

4.1 Changing Date and Time ………………………………………………… 74

4.1.1 Year ……………………………………………………………………… 74
4.1.2 Month ……………………………………………………………………… 75
4.1.3 Date ……………………………………………………………………… 77
4.1.4 AM/PM ……………………………………………………………………… 78
4.1.5 Hour ……………………………………………………………………… 80
4.1.6 Minute ……………………………………………………………………… 81
4.1.7 Second ……………………………………………………………………… 83

73
 4.1 Changing Date and Time

When the monitor turns on, the current time is displayed in the lower right corner of the
screen.

4.1.1 Year

1) Press [Setup/Menu] button more than 2 seconds. Using [Up/Down] button, move to
“Angelus System mode”. Then press [Confirm] button. Following menu will appear on
the screen for setting up year of the unit.

2) Using [Up/Down] button, move to “Clock Setup mode”. Then press [Confirm] button.

3) To select the value for desired the “YEAR” by pressing [Up/Down] button, press
[Confirm] button to complete the setup.

74
4) Using [Up/Down] button, set year from 01 to 99. Then press [Confirm] button.

4.1.2 Month

1) Press [Setup/Menu] button more than 2 seconds. Using [Up/Down] button, move to
“Angelus System mode”. Then press [Confirm] button.
Then following menu will appear on the screen for setting up month of the unit.

75
2) Using [Up/Down] button, move to “Clock Setup mode”. Then press [Confirm] button.

3) To select the value for desired the “Month” by pressing [Up/Down] button, then press
[Confirm] button to complete the setup.

4) Using [Up/Down] button, set month from 1 to 12. Then press [Confirm] button.

76
4.1.3 Date

1) Press [Setup/Menu] button more than 2 seconds. Using [Up/Down] button, move to
“Angelus System mode”. Then press [Confirm] button.
Then following menu will appear on the screen for setting up date of the unit.

2) Using [Up/Down] button, move to “Clock Setup mode”. Then press [Confirm] button.

77
3) To select the value for desired the “Date” by pressing [Up/Down] button, then press
[Confirm] button to complete the setup.

4) Using [Up/Down] button, set date from 1 to 31. Then press [Confirm] button.

4.1.4 AM/ PM

1) Press [Setup/Menu] button more than 2 seconds. Using [Up/Down] button, move to
“Angelus System mode”. Then press [Confirm] button.
Then following menu will appear on the screen for setting up AM or PM of the unit.

78
2) Using [Up/Down] button, move to “Clock Setup mode”. Then press [Confirm] button.

3) To select between AM and PM, by pressing [Up/Down] button. Then press [Confirm]
button to complete the setup.

79
4.1.5 Hour

1) Press [Setup/Menu] button more than 2 seconds. Using [Up/Down] button, move to
“Angelus System mode”. Then press [Confirm] button.
Then following menu will appear on the screen for setting up hour of the unit.

2) Using [Up/Down] button, move to “Clock Setup mode”. Then press [Confirm] button.

80
3) To select the value for desired the “Hour” by pressing [Up/Down] button, then press
[Confirm] button to complete the setup.

4) Using [Up/Down] button, set hour from 1 to 12. Then press [Confirm] button.

4.1.6 Minute

1) Press [Setup/Menu] button more than 2 seconds. Using [Up/Down] button, move to
“Angelus System mode”. Then press [Confirm] button.
Then following menu will appear on the screen for setting up minute of the unit.

81
2) Using [Up/Down] button, move to “Clock Setup mode”. Then press [Confirm] button.

3) To select the value for desired the “Minute” by pressing [Up/Down] button, then press
[Confirm] button to complete the setup.

4) Using [Up/Down] button, set minute from 0 to 59. Then press [Confirm] button.

82
4.1.7 Second

1) Press [Setup/Menu] button more than 2 seconds. Using [Up/Down] button, move to
“Angelus System mode”. Then press [Confirm] button.
Then following menu will appear on the screen for setting up second of the unit.

2) Using [Up/Down] button, move to “Clock Setup mode”. Then press [Confirm] button.

83
3) To select the value for desired the “Second” by pressing [Up/Down] button, then
press [Confirm] button to complete the setup.

4) Using [Up/Down] button, set second only 0 Then press [Confirm] button.

84
 Section 5. Monitoring Screen

5.1 Safety Precautions for Monitoring …………………………………………… 87

5.1.1 Using an Electro Surgery Unit …………………………………………… 87
5.1.2 Using a Defibrillator ……………………………………………………… 87

5.2 Overview ………………………………………………………………………… 88

5.2.1 Monitoring Screen ……………………………………………………… 88
5.2.2 Trend mode (Review Screen) ………………………………………… 88

85
This section explains how to monitor the patient’s data.

Before monitoring the patient:

z Prepare the patient and equipment
z Before monitoring a new patient, follow the flowchart “Preparation” in section 2
z Read the safety precautions in the “Safety Precautions for Monitoring” in
section 5.1

In this section:

z “Overview” gives general information for all monitoring.

86
 5.1 Safety Precautions for Monitoring

Before beginning monitoring, observe the following safety precautions and the safety
precautions in section 7, 8, 9 for SpO2, NIBP, and Temperature monitoring parameters.

5.1.1 Using an electro surgery Unit

※ Warning

z Electrosurgical units (ESU) emit a lot of RF interference. If the unit is used

with an ESU, RF interference may affect the monitor operation.

z Place the unit as far as possible from the ESU. Locate them on opposite
sides of the operating table, if possible.

z Connect the monitor and ESU to different AC outlets located as far as

possible from each other.

5.1.2 Using a Defibrillator

※ Warning

To avoid the risk of serious electrical burn, shock, or other injury during
defibrillator, all users must keep clear of the bed and must not touch the patient
or any equipment connected to the patient.

● If you draw out sensor or extension cable indifferently, these are broken or had short
circuit.

87
 5.2 Overview

5.2.1 Monitoring screen

When you first begin monitoring, a monitoring screen appears. The monitoring screen
displays value for Pulse rate, SpO2, Blood pressure, and Temperature parameter. Any
time you press the button on the front panel, the monitoring screen appears.

The parameters on the monitoring screen depend on the measured parameter.

When the monitor is turned on, it enters “Setup mode” while the monitor is waiting for
the probe to be attached to the patient. The SpO2, NIBP, Temperature monitoring starts
when the sensors are connected to the connector on the monitor and sensors are
attached to the patient.

5.2.2 Trend mode (Review screen)

The trend displays the stored data. You can display a stored data of the past hours on
the trend window, the list of vital sign data on the screen.

88
 Section 6. Alarm Function

6.1 What is an alarm ………………………………………………………… 90

6.2 Silencing alarm ………………………………………………………… 90

6.3 Suspending all alarms before occurrence ………………………… 91

6.4 Alarm Changeable Range …………………………………………… 92

6.5 Alarm Type ……………………………………………………………… 93

6.6 Alarm Settings …………………………………………………………… 93

6.6.1 Alarm volume Setup ………………………………………………… 94
6.6.2 Alarm Interval Time Setup ………………………………………… 96

89
 6.1 What is an alarm

Angelus provides some alarm functions for the users. Users are recommended to
carefully read this manual to understand and respond appropriately when the alarm
goes off.
Alarm informs error or information. When the monitor detects an abnormal patient
condition, it can change an alarm sound, alarm lamp indication (malfunction lamp or
power lamp). You can set each individual alarm condition. There are several types of
alarm. The different alarm types are fully explained in the “Alarm Types” section.

6.2 Silencing alarm

Several alarms occur together and if the [ESC/Silence] button is pressed, all alarms are
silenced.
When a SpO2 alarm, NIBP alarm, Pulse rate alarm, and Temperature alarm are
silenced, the alarm resumes after the alarm silenced ends. When an alarm other than a
vital signs alarm is silenced, the alarm indication dose not resume after the alarm
silence ends.

90
 6.3 Suspending all alarms before occurrence

All alarms can also be suspended before they occur. During alarm suspension, all
alarms are off. This monitor has three types of alarm suspension according to the site
mode.

Monitor operation Example of how this Button to How to alarm

Function is used press function comes
back
Suspends all For sensor replacement [Esc/Silence] [Esc/Silence] button is
Alarms for 1,2 button on the pressed again
minutes front panel
NIBP STAT When the patient is being [Esc/Silence] [Esc/Silence] button is
and Auto examined. button on the pressed again
measurements front panel
indefinitely
Suspending all When you want to turn off [Esc/Silence] [Esc/Silence] button is
alarms indefinitely an unnecessary alarm in button on the pressed
such situations as when the front panel again
patient’s vital signs are
obviously out of normal
range and the medical staff
are aware that the patient is
in an alarm condition and
are currently treating the
patient.

91
 6.4 Alarm Changeable Range

Each initial value for alarm measuring parameter values, upper and lower limit alarm
values are as follows. These initially set values can be readjusted as desired.

Changeable range
Parameter High Low
PR (bpm) 26~ 255 25~254
SpO2 (%) 36~100 35~99
Blood pressure Systolic (neonate) 16-150 15-149
(sys, dia, mean) Systolic (adult) 31-300 30-299
Diastolic (neonate) 16-150 15-149
Diastolic (adult) 31-300 30-299
Mean (neonate) 16-150 15-149
Mean (adult) 31-300 30-299
Temperature Celsius 15.1-45.0 15.0~44.9
Fahrenheit 59.1~113.0 59.0~112.9

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 6.5 Alarm Type

Measurement Status
SpO2 When SpO2 value is higher than the high limit of alarm value.
When SpO2 value is lower than the low limit of alarm value.
Pulse rate When PR value is higher than the high limit of alarm value.
When PR value is lower than the low limit of alarm value.
NIBP When NIBP value is higher than the high limit of alarm value.
When NIBP value is lower than the low limit of alarm value.
Temperature When Temperature value is higher than the high limit of alarm
value.
When Temperature value is lower than the low limit of alarm value.

6.6 Alarm Settings

※ Alarm Setup MAP

Alarm set up

Alarm volume Alarm interval

1~9 Off(0)~60

1. To select desired mode, press up/down button.

2. Then press confirm button.
3. To select desired value, press up/down button.
4. Then press confirm button.

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6.6.1 Alarm volume set up

When the monitor detects an abnormal patient’s condition, it can generate an alarm
sound, malfunction lamp indication. You can set each condition of alarm limit.

There are 6 types of alarms: Pulse Rate, SpO2, Systole, diastole, Mean of pressure
(MAP), Temperature.

Alarm Sound volumes

To adjust the audible alarm volume, the following procedures should be performed.

1) Press〔Setup/Menu〕button more than 2 seconds, and using [Up/Down] button,

move to “Angelus System mode”, then press [Confirm] button as below picture.

94
2) To select “Alarm setup mode”, use [Up/Down] button, and then press [Confirm] button.

3) Using [Up/Down] button, move to “Alarm Volume mode”, and then press [Confirm]
button.

4) Using [Up/Down] button, set the volume level from 1 to 9, and then press [Confirm]
button.

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6.6.2 Alarm Interval Time set up

There are two kinds of functions in the unit’s alarm set. One is to control sounds and the
other is to stop the alarm sound for a particular duration of time.

After changing alarm sound volume, use〔Up/Down〕button, and then select Alarm
interval time. If you want to change alarm interval time, press the [Up/Down] button.
User can change alarm interval time, and the interval time can be selected from off (0)
to 60 minute.

Alarm Interval Time

1) Press〔Setup/Menu〕 button more than 2 seconds, and using [Up/Down] button,

move to “Angelus System mode”, then press [Confirm] button as below picture.

96
2) To select “Alarm setup mode”, using [Up/Down] button then press [Confirm] button.

3) Using [Up/Down] button, move to “Alarm Interval mode”, then press [Confirm] button.

4) Using [Up/Down] button, set the alarm interval time minute from off (0) to 60. Then
press [Confirm] button.

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 Section 7. SpO2 Monitoring

7.1 General ……………………………………………………………………… 99

7.2 Preparing for SpO2 Monitoring …………………………………………… 100

7.2.1 Selection a sensor ……………………………………………………… 100
7.2.2 Connecting cable to the Monitor …………………………………… 101

7.3 Monitoring SpO2 …………………………………………………………… 102

7.4 Changing SpO2 Settings …………………………………………………… 103

7.4.1 Changing the Pulse Alarm Limits ……………………………………… 103
7.4.2 Changing the SpO2 Alarm Limits ……………………………………… 107

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 7.1 General

SpO2 is monitored by attaching a probe to the patient and connecting the SpO2
connector to the monitor.

※ Warning

z Measurement may be incorrect in the following cases.

① When the patient’s carboxyhemoglobin or methemoglobin increases
abnormally.
② When using an electrical surgery unit.
③ When there is body movement.
④ When there is vibration.
⑤ When measuring at a site with venous pulse.
⑥ When the pulse waveform is small.
z If you don’t want to monitor SpO2, disconnect the SpO2 sensor from the
connector. Otherwise, noise may interfere from the sensor and incorrect data is
displayed on the screen.

※ Caution

z Turn off the power of cell telephones, small wireless devices and other devices
which produce strong electromagnetic interference. Otherwise, the
measurements are affected by such interference and the displayed data may
be incorrect.
z Strong light such as an operating lamp or sunlight may affect monitoring. If
affected, cover the measuring site with a blanket.
z Do not pull or bend the sensor cable, and do not put caster feet on the sensor
cable. Do not immerse the sensor cable in detergents or water.
z Failure to follow these cautions may cause sensor cable discontinuity, short
circuit, skin burn on the patient and incorrect measurement data.
z Replace any broken sensor with a new one.

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 7.2 Preparing for SpO2 Monitoring
1) Select the sensor.

2) Connect the SpO2 sensor to socket of the monitor.

(SpO2 socket is No. ③)

3) Attach the sensor to the patient.

4) Monitoring starts. Set necessary settings. For handling accessories after use,
refer to “SpO2” in section 10.2.

7.2.1 Selecting a Probe

Select the appropriate sensor according to the purpose.

※ Warning

Do not use the probe during MRI examination because it may cause skin burn on
the sensor attachment area. For details, follow the MRI operator’s manual.

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※ Caution

z Only use the specified sensor. Otherwise measured data may be incorrect.
z Do not use a damaged or disassembled sensor. It causes incorrect
measurement and may hurt the patient.
z Do not use the sensor over its stated lifetime. Otherwise the SpO2
measurement accuracy cannot be guaranteed.

-- KTMED Inc.--
FS-01 (Reusable Sensor for Adults)
FS-02 (Reusable Sensor for Pediatrics)
FS-03 (Reusable Sensor for Multi sites)
FS-05 (Silicon Sensor for Adults)
FS-06 (Reusable Sensor for Adults)
DS-01 (Disposable Sensor for Adults)
DS-02 (Disposable Sensor for Pediatric patients)
DS-03 (Disposable Sensor for Multi sites)

7.2.2 Connecting SpO2 Extension Cable to the Monitor

1) Open the stopper of the SpO2 extension cable and connect the SpO2 sensor firmly.
2) Close the stopper.
3) Connect the SpO2 extension cable to the SpO2 connector on the monitor.

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 7.3 Monitoring SpO2

When the preparation is done properly, the SpO2 value appears on the screen.

※ Caution

z After SpO2 sensor is connected on SpO2 connector, doesn’t sense SpO2. It

maybe breaks. Replace it with a new one.
z When the SpO2 sensor or SpO2 extension cable are connected Angelus, alarm
sounds, replace it with a new one. Otherwise SpO2 value may not be accurate.

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 7.4 Changing SpO2 Settings

Change settings on the SpO2 screen. The following settings can be changed for the
SpO2 monitoring.

Parameter High Low

SpO2 36-100 35-99
Pulse Rates 26-255 25-254

※ SpO2 Setup MAP

Angelus SpO2

Pulse Alarm limit SpO2 Alarm limit

1. Press setup/menu button more than 2 seconds.

2. To select desired mode, press up/down button.
3. Then press confirm button.

7.4.1 Changing the Pulse Alarm Limits

You can set the high and low Pulse alarm limits on this screen. You can set all alarms,
including the high and low Pulse alarm limit. (Refer to the “Alarm Changeable Range” in
section 6)

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※ Pulse rate alarm limit setting MAP

Pulse alarm Limit

Alarm High Limit Alarm Low Limit

1. To select26-255
desired mode, press up/down
25-254
button.
2. Then press confirm button.
3. To select desired value, press up/down button.
4. Then press confirm button.

1) Press [Setup/Menu] button more than 2 seconds. The menu screen appears.

2) Press [Up/Down] button until place the Pulse alarm limit section. Press [Confirm]
button. The Pulse Alarm Limit screen appears.

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3) Using [Up/Down] button, move to “Pulse High Limit”. Then press [Confirm] button.

4) Using [Up/Down] button, set the Pulse High Limit value from 26 to 255. Then press
[Confirm] button.

5) Using [Up/Down] button, move to “Pulse Low Limit”. Then press [Confirm] button.

105
6) Using [Up/Down] button set the Pulse Low Limit value from 25 to 254. Then press
[Confirm] button.

7) Press [Esc/Silence] button on the front panel to return to the monitoring screen.

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7.4.2 Changing the SpO2 Alarm Limits

You can set the high and low SpO2 alarm limits on this screen. You can set all alarms,
including the high and low SpO2 alarm limit. (Refer to the “Alarm Changeable Range” in
section 6)

※ SpO2 alarm limit setting MAP

SpO2 Alarm Limit

Alarm High Limit Alarm Low Limit

36-100 35-99

1. To select desired mode, press up/down button.

2. Then press confirm button.
3. To select desired value, press up/down button.
4. Then press confirm button.
1) Press [Setup/Menu] button more than 2 seconds. The menu screen appears.

2) Press [Up/Down] button until place the SpO2 alarm limit section. Press [Confirm]
button. The SpO2 Alarm Limit screen appears.

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 3) Using [Up/Down] button, move to “SpO2 High Limit”. Then press [Confirm] button.

4) Using [Up/Down] button, set the SpO2 High Limit value from 36 to 100. Then press
[Confirm] button.

5) Using [Up/Down] button, move to “SpO2 Low Limit”. Then press [Confirm] button.

108
6) Using [Up/Down] button set the SpO2 Low Limit value from 35 to 99. Then press
[Confirm] button.

7) Press [Esc/Silence] button on the front panel to return to the monitoring screen.

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 Section 8. NIBP Monitoring

8.1 General …………………………………………………………………… 111

8.1.1 Oscillometric Method ……………………………………………… 111
8.1.2 Measurement Modes ……………………………………………… 112

8.2 Preparing for NIBP Measurement …………………………………… 113

8.2.1 Preparation Flowchart ……………………………………………… 113
8.2.2 Selection the cuff …………………………………………………… 114
8.2.3 Types of Cuff(Only reusable cuffs) ……………………………… 114
8.2.4 Connection cables and Attaching the cuff to the patient ………… 115
8.2.4.1 Connection air hose and cuff to the monitor ……………… 115
8.2.4.2 Attaching the cuff to the patient ……………………………… 116
8.2.4.3 Cuff Position ……………………………………………………… 116

8.3 Measuring and Monitoring NIBP ……………………………………… 117

8.3.1 Recommended Patient ……………………………………… 117
8.3.2 Starting and Stopping NIBP measurement …………………… 117

8.4 Error Message on NIBP ………………………………………… 118

8.5 Changing NIBP Settings ………………………………………………… 119

8.5.1 Selecting the cuff type …………………………………………… 120
8.5.2 Selecting the interval time …………………………………………… 122
8.5.3 Changing the NIBP alarm limit settings ……………………………… 124
8.5.3.1 Systolic alarm limit setting ……………………………………… 125
8.5.3.2 Diastolic alarm limit setting ……………………………………… 127
8.5.3.3 MAP alarm limit setting ……………………………………… 130
8.5.4 Selecting the exhaust type …………………………………………… 133

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 8.1 General

Non-invasive blood pressure (NIBP) is measured by wrapping the cuff on the patient
and connecting the cuff to the NIBP connector on the monitor. In this monitor, NIBP is
measured by the oscillometric method.

8.1.1 Oscillometric Method

The NIBP is measured from the change in amplitude pattern of pulsatile oscillation in
cuff pressure as the cuff pressure is reduced from above systolic to below diastolic
pressure. The occlusive-oscillometry method uses this to determine the systolic,
diastolic, and mean arterial pressure.

The systolic pressure is the pressure at which the pulsatile oscillation suddenly
increases, and the diastolic pressure is the pressure at which the pulsatile oscillation
suddenly decreases.

The mean arterial pressure is the point where maximum pulsatile oscillation occurs.

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8.1.2 Measurement Modes

There are two modes for NIBP measurement on this monitor.

1) Single measurement: Measurement is preformed once. (When interval time is not

selected)

2) Automatic measurement: Measurement is preformed automatically at preset

interval time. The interval time can be selected.

※ Warning

z NIBP measurement may be incorrect in the following cases.

① When using an electrical surgery unit
② When there is body movement.
③ When the pulse waveform is small.
④ Too many arrhythmias.
⑤ When there is vibration.
⑥ When there is a rapid blood pressure change.

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 8.2 Preparing for NIBP Measurement

8.2.1 Preparation Flowchart

1) Select the cuff.

2) Connect the cuff to the air hose and air hose to the NIBP socket on the monitor.

(NIBP socket is No.④)

3) Attach the cuff to the patient.

4) Set necessary setting.

5) Start measurements. For handling accessories after use, refer to “NIBP” in section
10.3.

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8.2.2 Selecting the cuff

※ Caution

z Only use the specified cuff. Otherwise NIBP monitoring cannot be

performed properly or the monitor may be damaged.
z You should select the cuff which is fitted to patient’s age. If the cuff size is
incorrect, measurement may not be completed or the result may become
wrong.

Select the appropriate cuff according to the patient’s age.

To obtain accurate measured values, select a wide cuff which can be attached to the
upper arm. Measuring with a very narrow cuff may result in measured values higher
than the actual values.

8.2.3 Types of Cuffs (Only reusable cuffs)

There are 2 kinds of cuffs for NIBP. One is for adults and the other is for children.

Cuff Width(cm) Applicable circumference (cm)

For children 11 17 to 24
For adults 14.5 25 to 35

※ Caution

Angelus contains natural rubber latex which may cause allergic reactions.
Natural rubber latex may cause allergic reaction with symptoms such as itching,
redness, swelling, fever, dyspnea, symptoms similar to asthma, reduced blood
pressure and shock. If the patient shows any of the above symptoms,
immediately stop using the cuff and perform appropriate medical treatment.

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8.2.4 Connecting Cables and Attaching the Cuff to the Patient

8.2.4.1 Connecting air hose and cuff to the monitor

※ Caution
Confirm that the air hoses are firmly connected between the connectors and
hoses of the cuff. If not connected properly (the air hose connector clicks when
properly inserted into the connector), the cuff cannot be correctly identified and
air leakage will cause incorrect NIBP value.

※ Note
Before measuring NIBP, check and confirm NIBP cuff. It should have no flaw, no
crack and no hole. If the cuff is broken, it may burst.

1) Connect the cuff to the air hose.

Insert the cuff connector joint into the air hose and turn it clockwise until it clicks.

To disconnect the cuff from the air hose, turn the cuff connector joint counterclockwise
to unlock it and remove it from the air hose.

2) Connecting the air hose to the NIBP connector on the monitor.

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8.2.4.2 Attaching the cuff to the patient

※ How to wrap the cuff

When wrapping the cuff around the upper arm, observe the following points.

z The cuff must not wrap around the elbow.

z The cuff should just wrap around the upper arm, not too tightly or too loosely. A
tightly wrapped cuff can cause discomfort to the patient and decrease pressure
reading. Also, a loosely wrapped cuff prolongs the measurement time and
increases the blood pressure reading.
z To prevent external vibration from affecting the measurement, the cuff and the
cuff hoses should not touch the stretcher or the stretcher’s railing.
z The air hose must not be folded.
z When you simultaneously measure NIBP with SpO2, attach the SpO2 sensor to
a different arm's finger as shown in below picture. Do not place the sensor with
NIBP cuff and catheter.

8.2.4.3 Cuff position

Place the cuffed upper arm at the same height as the patient’s heart. If the cuff is not at
the same level as the heart, the weight of the blood affects the blood pressure reading.
The blood pressure reading decreases when the arm is higher than the heart and
increases when lower.

The best measuring condition is when the patient is lying on his/her back with arms and
legs relaxed. If the cuff position cannot be on the same level as the heart, the displayed
blood pressure reading must be mathematically adjusted.

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 8.3 Measuring and Monitoring NIBP

When NIBP cuff is attached on the arm, it has to be on same horizontal level as the
patient’s heart. Winding the cuff too tight or too loose around the arm can generate the
significant error.

8.3.1 Recommended patient state

Keep the patient quiet and maintain the patient’s arm in a relaxed position during
NIBP measurement so that measurement can be done under optimal conditions.

8.3.2 Starting and Stopping NIBP measurement

Starting and stopping can be controlled by [Start/Stop] button. Before starting

measurement, select the appropriate type of cuffs because of arm circumstance for a
patient prior to measuring the blood pressure. Refer to the “Selecting the cuff” in section
8.2.2 and select the interval time.

※ Manual mode

To start the NIBP measurement, press [Start/Stop] button.

The single measurement starts and automatically stops. To cancel it, press this
button again during measurement.

※ Auto mode

If you want to use auto mode, select the interval time.

The first NIBP measurement is performed when [Start/Stop] button is pressed.
The second measurement is performed when the current minutes Angelus reaches to
the time of nearest interval time.
To stop NIBP measurement in auto mode, change the interval time to off(0).
To cancel one measurement, press [Start/Stop] button during the measurement.
To perform a single measurement in this mode, adjust the interval time to off(0).

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 8.4 Error Message on NIBP

In the case of an improper measurement, an error code with alarm will be displayed as
follows. After confirming the error code, push the [ESC/Silence] button to stop alarm.

ERR: ##

Error codes are as follows:

No Error Code Description

1 11 Cuff is too loose or do not wear
2 12 Inflation Error
3 13 Pulse detection Error
4 14 Out of measurement range
5 15 Deflation Error
6 16 Excessive pressure (Out of IEC)
7 17 Pulse signal is too high
8 18 Too much movement during measurement
9 19 Abrupt Leakage
10 20 Systolic Detection Error
11 21 Diastolic Detection Error
12 22 Out of pressure range
13 23 Leakage detection during leakage test
14 30 PUMP Open Error
15 31 Solenoid 1 Open Error
16 32 Solenoid 2 Open Error
17 99 System Error

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 8.5 Changing NIBP Settings

Change settings on the NIBP screen. The following settings can be changed for
monitoring NIBP and NIBP alarm limits.

※ NIBP Setup MAP

Angelus NIBP
1. Press setup/menu button.
2. To select desired mode, press
up/down button.
Mode 3. Then press confirm button.

Interval

Systol Alarm Limit

MEAN Alarm Limit

Diastol Alarm Limit

Exhaust

※ Note

The factory default NIBP interval is off (0). If you want to cancel the measurement
during automatic mode, press the [Start/Stop] button once more.

119
8.5.1 Selecting the cuff type

※ NIBP Mode Setting MAP

NIBP Mode

NIBP Adult NIBP Neonate

1. Press setup/menu button more than 2 seconds.

2. To select desired cuff type, press up/down button.
3. Then press confirm button.

There are two types of cuffs such as adult and neonate. You should fit the cuff to the
patient’s age.

1) Press〔Setup/Menu〕 button more than 2 seconds, and using [Up/Down] button,

move to “Angelus NIBP mode”, then press [Confirm] button as below picture.

120
2) To select “NIBP mode”, using [Up/Down] button, and then press [Confirm] button.

3) Using [Up/Down] button, choose adult or neonate mode. Then press [Confirm] button.

or

4) Select the desired cuff type.

121
8.5.2 Selecting the interval time

※ NIBP Interval time Setting MAP

NIBP Interval

Off(0)-60min

1. To select desired value, press up/down button.

2. Then press confirm button.

There are two modes in measuring blood pressure such as automatic and manual. If
you push [Start/Stop] button, you can measure blood pressure one time. If you want to
measure automatically, perform the following procedures.

1) Press〔Setup/Menu〕 button more than 2 seconds, and using [Up/Down] button,

move to “Angelus NIBP mode”, then press [Confirm] button as below picture.

122
2) To select “NIBP Interval”, using [Up/Down] button. Then press [Confirm] button.

3) Using [Up/Down] button, set the NIBP interval time minute from off(0) to 60. Then
press [Confirm] button.

4) The measurement takes less than one minute (about 40-50 seconds) and NIBP
results will be displayed. If you want to stop measuring, press [Start/Stop] button
again.

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8.5.3 Changing the NIBP alarm limit settings

You can set the upper and lower NIBP (systolic, diastolic, mean) alarm limits on this
screen. You can set all alarms, including the upper and lower NIBP alarm limit.

Changeable range
Parameter High Low
Blood pressure Systolic (neonate) 16~150 15~149
(sys, dia, mean) Systolic (adult) 31-300 30-299
Diastolic (neonate) 16~150 15~149
Diastolic (adult) 31-300 30-299
Mean (neonate) 16~150 15~149
Mean (adult) 31-300 30-299

※ NIBP Alarm Limit Setting MAP (In case of Adult mode)

Angelus NIBP

Systol alarm limit Diastol alarm limit MEAN alarm limit

High Limit Low Limit High Limit Low Limit High Limit Low Limit

31-300 30-299 31-300 30-299 31-300 30-299

1. To select desired mode, press up/down button.

2. Then press confirm button.
3. To select High limit or low limit, press up/down button.
4. Then press confirm button.
5. To select desired value, press up/down button.
6. Then press confirm button.

124
8.5.3.1 Systolic alarm limit setting

1) Press [Setup/menu] button more than 2 seconds, Using [Up/Down] button, move to
“Angelus NIBP”. Then press [Confirm] button.

2) To select “NIBP Systolic”, using [Up/Down] button. Then press [Confirm] button.

3) Using [Up/Down] button, move to “Systolic High Limit”. Then press [Confirm] button.
(Same with Mean high limit, Diastolic high limit)

125
4) Using [Up/Down] button, set the Systolic High Limit value from 31 to 300. (In case of
neonate mode, alarm limit become from 16 to 150) Then press [Confirm] button.

Or, if you want to adjust low limit value, perform the following procedures.

5) Using [Up/Down] button, move to “Systolic Low Limit”. Then press [Confirm] button.
(Same with Mean low limit, Diastolic low limit)

126
6) Using [Up/Down] button, set the systolic Low Limit value from 30 to 299. (In case of
neonate mode, alarm limit range become from 15 to 149) Then press [Confirm] button.
(Same with Diastolic low limit, Mean low limit,)

7) Press [Up/Down] button until the desired level on the setting. Press [Up/Down] button
to adjust the setting.
If the upper limit is set to a value above the maximum or the lower limit is set to a value
below the minimum, the alarm is set off.

8) Press [ESC/Silence] button on the front panel to return to the monitoring screen.

8.5.3.2 Diastolic alarm limit setting

1) Press [Setup/menu] button more than 2 seconds, Using [Up/Down] button, move to
“Angelus NIBP”. Then press [Confirm] button.

127
2) To select “NIBP Diastolic”, using [Up/Down] button then press [Confirm] button.

3) Using [Up/Down] button, move to “Diastolic High Limit”. Then press [Confirm] button.

4) Using [Up/Down] button, set the Diastolic High Limit value from 31 to 300. (In case of
neonate mode, alarm limit become from 16 to 150) Then press [Confirm] button.

Or, if you want to adjust low limit value, perform the following procedures.

128
5) Using [Up/Down] button, move to “Diastolic Low Limit”. Then press [Confirm] button.

6) Using [Up/Down] button set the Diastolic Low Limit value from 30 to 299. (In case of
neonate mode, alarm limit become from 15 to 149) Then press [Confirm] button.

7) Press [Up/Down] button until the desired level on the setting. Press [Up/Down] button
to adjust the setting.
If the upper limit is set to a value above the maximum or the lower limit is set to a value
below the minimum, the alarm is set off.

8) Press [ESC/Silence] button on the front panel to return to the monitoring screen.

129
8.5.3.3 MAP alarm limit setting

1) Press [Setup/menu] button more than 2 seconds, Using [Up/Down] button, move to
“Angelus NIBP”. Then press [Confirm] button.

2) To select “NIBP MEAN”, using [Up/Down] button then press [Confirm] button.

3) Using [Up/Down] button, move to “Mean High Limit”. Then press [Confirm] button.

130
4) Using [Up/Down] button, set the Mean High Limit value from 31 to 300. (In case of
neonate mode, alarm limit become from 16 to 150) Then press [Confirm] button.

Or, if you want to adjust low limit value, perform the following procedures.

5) Using [Up/Down] button, move to “Mean Low Limit”. Then press [Confirm] button.

6) Using [Up/Down] button, set the Mean Low Limit value from 30 to 299. (In case of
neonate mode, alarm limit range become from 15 to 149) Then press [Confirm] button.

131
7) Press [Up/Down] button until the desired level on the setting. Press [Up/Down] button
to adjust the setting.
If the upper limit is set to a value above the maximum or the lower limit is set to a value
below the minimum, the alarm is set off.

8) Press [ESC/Silence] button on the front panel to return to the monitoring screen.

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8.5.4 Selecting the exhaust type

※ NIBP cuff Exhaust setting MAP

NIBP Exhaust

Step Linear

1. To select desired mode, press up/down button.

2. Then press confirm button.

There are two types of exhaust such as linear and step. To select linear mode, perform
the following procedures.

1) Press〔Setup/Menu〕 button, and using [Up/Down] button, move to “Angelus NIBP

mode”, then press [Confirm] button as below picture.

133
2) To select “NIBP exhaust”, using [Up/Down] button then press [Confirm] button.

3) Using [Up/Down] button, choose linear or step mode. Then press [Confirm] button.

or

134
 Section 9. Temperature Monitoring

9.1 Preparing a temperature monitoring …………………………………… 136

9.1.1 Preparation Flowchart …………………………………………………… 136
9.1.2 Inserting the probe …………………………………………………… 137
9.1.2.1 Inserting the Probe into the Rectum …………………………… 137
9.1.2.2 Inserting the Probe into the Esophagus …………………………… 137

9.2 Changing Temperature Settings ………………………………………… 138

9.2.1 Changing the temperature unit ………………………………………… 139
9.2.2 Changing the Temperature alarm limit …………………………… 141

135
 9.1 Preparing for temperature monitoring

Temperature can be monitored by attaching the probe to the patient and using
the TEMP socket on the monitor.
Use such sensors like YSI400 and 700 that have 2252Ω at 25℃ in a body.

9.1.1 Preparation Flowchart

1) Select the probe.

2) Connect the sensor to the TEMP connector on the monitor.

(Temperature sensor socket is No. ⑤)

3) Insert the sensor to the patient.

4) Change necessary settings.

5) Start monitoring. For handling accessories after use, refer to “Temperature” in section
10.4

136
9.1.2 Inserting the probe

9.1.2.1 Inserting the Probe into the Rectum

1) When using the part of the rectum, wash this part of a patient’s body with soap or just
water. (Do not use alcohol, because it increases the resistance of the skin.) And
shave cleanly if the part grows hair, before inserting the sensor to rectum. (If this
sensor is inserted the body skin in hairy position, measured temperature is maybe
more below than real body temperature.)

2) Inset the probe 3~7cm into the rectum.

3) Fasten the probe cable to the skin using surgical tape.

4) After measuring the body temperature, also clean a temperature sensor.

9.1.2.2 Inserting the Probe into the Esophagus

Insert the probe for the esophagus into the esophagus through the nostrils or mouth.
Using this sensor for adult, insert the from incisor teeth to 22~26cm.

137
 9.2 Changing Temperature Settings

Angelus Temperature

Unit Alarm Limit(c) Alarm Limit (F)

Celsius High Limit High Limit

Fahrenheit Low Limit Low Limit

1. To select desired mode, press up/down button.

2. Then press confirm button.

After completing the preparation, temperature value appears on the screen.

138
9.2.1 Changing the temperature unit

※ Note
To change settings for monitoring temperature, the temperature probe must be
connected to the TEMP connector.

Change settings on the TEMP screen. The temperature unit type and alarm limit
can be changed.

※ Temperature Unit setting MAP

Temperature Unit

Celsius Fahrenheit

1. To select desired unit mode, press up/down button.

2. Then press confirm button.

1) Press [Setup/menu] button more than 2 seconds, Using [Up/Down] button, move to
“Angelus Temperature mode”. Then press [Confirm] button.

139
2) To select “Temperature Unit mode”, using [Up/Down] button then press [Confirm]
button.

3) Using [Up/Down] button, select the menu item you want to change the unit type, and
then press the button to complete the change of unit type. The Setup values can be
selected by pressing [Confirm] button.

or

4) When you want to select and change the other kind of unit type after the completion
of one change, press [SET UP] button one more time.

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9.2.2 Changing the Temperature alarm limit

You can set the high and low Temperature alarm limits on this screen. You can set all
alarms, including the high and low Temperature alarm limit.

Changeable range
Parameter High Low
Temperature Celsius 15.1~ 45.0 15.0~44.9
Fahrenheit 59.1~113.0 59.0~112.9

※ Temperature Unit setting MAP

Temperature Alarm limit(C) Temperature Alarm limit(F)

High Limit Low Limit High Limit Low Limit

15.1-45.0 15-44.9 59.1-113.0 59.0-112.9

1. To select desired level, press up/down button.

2. Then press confirm button.

1) Press [Setup/menu] button more than 2 seconds, Using [Up/Down] button, move to
“Angelus Temperature mode”, Then press [Confirm] button.

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2) To select “Temperature limit mode”, using [Up/Down] button then press [Confirm]
button.

3) Using [Up/Down] button, move to “Temperature High Limit”. Then press [Confirm]
button.

4) Using [Up/Down] button, set the Temperature High Limit value from 15.1 to 45.
(In case of Celsius) Then press [Confirm] button.

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Or, if you want to adjust low limit value, perform the following procedures.

5) Using [Up/Down] button, move to “Temperature Low Limit”. Then press [Confirm]
button.

6) Using [Up/Down] button set the Pulse Low Limit value from 15.1 to 44.9 (In case of
Celsius) .Then press [Confirm] button.

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 Section 10. Maintenance

10.1 Battery Pack ………………………………………………………… 146

10.1.1 Battery Lifetime ………………………………………………… 146
10.1.2 Replacing Battery Pack ……………………………………… 146
10.1.3 Disposable of Battery Pack ……………………………………… 146

10.2 SpO2 …………………………………………………………………… 147

10.2.1 Disposing id probes …………………………………………… 147
10.2.2 Cleaning and Disinfecting the SpO2 connector ………………… 147
10.2.2.1 Cleaning ………………………………………………………… 147
10.2.2.2 Disinfecting ………………………………………………………… 147

10.3 NIBP ………………………………………………………………… 148

10.3.1 NIBP cuff lifetime ……………………………………………… 148
10.3.2 Cleaning and Disinfecting the NNIBP cuff ……………………… 148
10.3.2.1 Cleaning ………………………………………………………… 148
10.3.2.2 Disinfecting ………………………………………………………… 148
10.3.3 Cleaning and disinfecting the air hose …………………………… 148
10.3.3.1 Cleaning ……………………………………………………… 149
10.3.3.2 Disinfecting ……………………………………………………… 149

10.4 Temperature ………………………………………………………………… 150

10.5 Cleaning and Disinfecting the unit …………………………………… 150

10.5.1 Cleaning …………………………………………………………… 150
10.5.2 Disinfecting …………………………………………………………… 150

10.6 Yearly Inspection …………………………………………………………… 151

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This section explains how to clean and care for your unit to ensure reliability and many
years’ excellent operating condition. Cleaning and disinfecting probes, sensors, and
cables are also in this section.

※ Caution

z Do not disassemble or repair the unit. Disassembly and repair must be

performed by qualified service personnel.
z Fuses should be replaced by qualified service personnel.

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 10.1 Battery Pack

10.1.1 Battery Lifetime

The battery pack can be used for about 500 cycles of full discharging/charging.

10.1.2 Replacing Battery Pack

Replace the battery pack with a new one after 500 cycles of discharging/ charging or
after 6 months whichever comes first.

10.1.3 Disposable of Battery Pack

The battery is recyclable. At the end of its useful life, under various state and local laws,
it may be illegal to dispose of this battery into the municipal waste steam.

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 10.2 SpO2

Do not use the sensor over its stated lifetime. Otherwise the SpO2 measurement
accuracy cannot be guaranteed.

Do not use disposable probes for other patients. If the probe is dirty with blood or bodily
fluids, replace it with a new one.

If the probe is dirty with blood or bodily fluids, replace the probe with new one.

10.2.1 Disposing of sensor

Follow your local laws for disposing of medical waste.

10.2.2 Cleaning and Disinfecting the SpO2 connector

Do not touch the connector pin.

Do not wet the connector.

10.2.2.1 Cleaning

Wipe the SpO2 connector with a soft cloth moistened with neutral soap, water or alcohol
and wipe with a dry cloth or gauze.

10.2.2.2 Disinfecting

To disinfect the SpO2 connector, wipe it with a non-abrasive cloth moistened with the
disinfectant (5%~2.25% sodium hypochlorite).

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 10.3 NIBP

※ Caution

z You should follow the instruction manual of the cuffs and hoses.
z Do not wet the connector.

10.3.1 NIBP cuff lifetime

Replace the NIBP cuff one year after you start using it. The lifetime of the rubber cuff is
approximately 30,000 inflations.

10.3.2 Cleaning and Disinfecting the NIBP cuff

10.3.2.1 Cleaning

z To clean the cuff; carefully pull out the rubber cuff from the cloth cover.
z Cloth cover: Wash with neutral detergent and water. Thoroughly dry it.
z Rubber cover: Wipe with a soft cloth or cotton moistened with disinfecting
alcohol. Thoroughly dry it.

10.3.2.2 Disinfecting

To disinfect the cuff, use the disinfectant of the recommended concentration.

(5%~2.25% sodium hypochlorite) After disinfection, clean the cuff as described above.

10.3.3 Cleaning and disinfecting the air hose

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10.3.3.1 Cleaning

To clean the hoses, wipe them with a soft cloth moistened with neutral detergent and
approx. 40℃ (104°F) warm water.

10.3.3.2 Disinfecting

To disinfect the hoses, wipe them with a soft cloth moistened with disinfect. (5%~2.25%
sodium hypochlorite)
Follow the disinfectant instruction and use the recommended concentration.

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 10.4 Temperature

Clean, Disinfect and sterilize the reusable probe.

10.5 Cleaning and Disinfecting the unit

※ Caution

z Do not use volatile liquids such as thinner or benzene, because these will
cause the materials to melt or crack.
z Before maintenance (cleaning, disinfecting), turn the unit power off and
disconnect the power cord from the AC outlet. Failure to follow this
caution may result in electrical shock and malfunction.
z After cleaning, make sure that the unit is completely dried.
z Wipe the unit thoroughly, after disinfecting it with spray.
z The unit is not waterproof. Be careful not to let any water get inside the
monitor.
z Never sterilize the unit because the materials may deform, crack or
discolor.

10.5.1 Cleaning

Clean the surface of the unit every month with a soft cloth moistened with neutral soap,
water or alcohol, and wipe with a dry cloth or gauze.

Remove dust from the vent holes on the panels with a cotton swab. (Vent hole means
the escape of gas or air.)

10.5.2 Disinfecting

To disinfect the outside surface of the unit, wipe it with a non-abrasive cloth moistened
with the disinfectant (5%~2.25% sodium hypochlorite).

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 10.6 Yearly Inspection

Check the following items every year to keep your unit in normal condition.

z Monitor is not dirty, damaged or rusty.

z No button is broken.
z No damage the connectors on the unit.
z Power cord is not damaged.
z Grounding lead is properly connected.
z Screen is clean.
z Screen display is correct.
z Clock is correct.
z SET UP setting is correct.
z The specified electrodes, sensors, connectors and probes are used.
z The recorded date is correct.
z Alarm setting is correct and functions properly.
z Alarm indicator lamp
z There is no air leak from the NIBP cuff and air hose.
z The blood pressure zero balance is performed.
z No current leakage
z Supplied voltage is correct.
z Measurement accuracy is within the specified range.
z Only the specified parts are used.

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 Section 11. ANGELUS Specifications
SpO2
Range 0~100%
±1% (90~100%)
±2% (80~89%)
Accuracy
±3% (65~79%)
Unspecified (Below 35~64%)
Pulse Rate Range 25~255bpm
Rate Accuracy ±1bpm

NIBP
Adult 30~300mmHg
Range
Neonate 15~150mmHg
Accuracy ±5mmHg
300+30mmHg
Max. inflation pressure
150+15mmHg

Temperature
Celsius 15.0~45.0℃
Range
Fahrenheit 59.0~113.0℉
Resolution 0.1℃
Probe Option

Displays
Display Type 3 Digit Dual Color FND 4EA (Green, Red)
Display Items SpO2, PR, BP, Temperature, Time

Power
External AC AC100~240V, 50/60Hz 45VA
External DC DC12~24V, 3A
Internal DC Rechargeable 1.2V×6ea, 2.5AH
Battery Duration Approx. 2.5hours

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 General
Max. power consumption ≤ 15Watt (35VA ~ 45VA)
Dimensions 200(W)×170(H)×100(D)mm
Weight 1.3Kg
Operation Conditions 0 to 50℃
Storage Conditions -20 to 60℃
Humidity 10% to 95% (noncondensing)

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 WARRANTY CARD

Warranty
NAME PATIENT MONITORING SYSTEM
period
MODEL ANGELUS Unit: 2 years
Accessories: 1 year
S/N
Battery : 6 months

DATE DESCRIPTION OF REPAIR REMARKS

Purchasing date
Customer Name : Tel :
Name ADD. :
Name : Tel :
Distributed by
ADD. :

NOTE! To ask for service, this card on which the original purchasing date is marked will
be required. So please keep this card carefully.

KTMED Inc. EU REPRESENTATIVE

#811, Hanshin IT Tower 235, Guro 3-dong, Lans Consultancy

Guro-gu, Seoul, Korea Fluitekruid 2, 6922 HB Duiven,
TEL: 82-2-2108-7890 The Netherlands, Europe
www.ktmed.com TEL. +31 316 26 89 56

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