Datex-Ohmeda Cardiocap/5 Series User manual

GE Datex-Ohmeda Cardiocap™/5 for Anesthesia
Related to software S-XANE 01
User’s Guide
0537
Conformity according to the Council Directive 93/42/EEC concerning Medical Devices
CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner.
Outside the USA, check local laws for any restriction that may apply.
All specifications are subject to change without notice.
Document no. M1031869-01
August 2004
Datex-Ohmeda Inc. Datex-Ohmeda Division,
P.O. Box 7550 Instrumentarium Corporation
Madison, WI 53707-7550, USA P.O. Box 900
Tel: [phone] FI-00031 DATEX-OHMEDA, FINLAND
Fax: [phone] Tel: [phone]
Fax: [phone]
www.us.datex-ohmeda.com www.datex-ohmeda.com

About this guide Classifications
This guide describes the most common features and functions offered by
the GE Datex-Ohmeda Cardiocap/5 monitor. Descriptions refer to the
Anesthesia software (S-XANE 01).
IEC/EN 60601-1:
• Type of protection against electric shock: Class I
• Degree of protection against electric shock (indicated by a symbol
beside each connector): Type BF or Type CF applied part
Related documentation • Mode of operation: Continuous
More information about clinical aspects, basic methods of measurement
and technical background:
”Cardiocap/5 User's Reference Manual - Anesthesia”
• Equipment is not suitable for use in the presence of a flammable
anesthetic mixture with air, or with oxygen or nitrous oxide.
IEC/EN 60529:
Degree of protection against the harmful ingress of water: IPX1
More information about technical solutions and servicing:
”Cardiocap/5 Technical Reference Manual”
EU Medical Device Directive: Iib
More information about other devices closely related to the Cardiocap/5:
“S/5 iCentral Technical Reference Manual” CISPR 11: Group 1, class A
Intended use Responsibility of the manufacturer
The GE Datex-Ohmeda Cardiocap/5 and accessories are indicated for
indoor monitoring of hemodynamic (ECG, impedance respiration, NIBP,
temperature, SpO2, and invasive pressure), respiratory (CO2, O2, N2O,
respiration rate, anesthetic agent, and agent identification), ventilatory
(airway pressure, volume, and flow), and relaxation status (NMT) of all
hospital patients.
Datex-Ohmeda Division, Instrumentarium Corp. is responsible for the
safety, reliability and performance of the equipment only if:
• Assembly, operations, extensions, readjustments, modifications,
service and repairs are carried out by personnel authorized by the
manufacturer.
• Electrical installation complies with appropriate requirements.
With the N-XOSAT option, monitoring of arterial oxygen saturation
includes monitoring during conditions of clinical patient motion. • The equipment is used in accordance with this guide
Cardiocap/5 is indicated for patients weighing 5 kg (11 lb.) or more. Trademarks
Impedance respiration measurement is indicated for patients ages
3 years and older. Datex®, Ohmeda®, and other trademarks S/5, D-lite, D-lite+, Pedi-lite,
Pedi-lite+, Mini D-fend, D-fend, D-fend+, OxyTip+, MemCard, ComWheel,
EarSat, FingerSat, FlexSat, PatientO2, Entropy, Patient Spirometry and
Tonometrics are property of Instrumentarium Corp. or its subsidiaries. All
other product and company names are property of their respective
owners.
The monitor is indicated for use by qualified medical personnel only.
CAUTION: US Federal law restricts this device to sale by or on the order
of a licensed medical practitioner.
© 2004 General Electric Company. All rights reserved.

PRODUCT NAMING AND PRODUCT
OPTIONS
Later in this manual the following acronyms will be used for clarity to
refer the monitor options. Note that depending on the monitor
configuration you may not have all of the options or functionalities.
Abbreviation Description Order code
F-MX Cardiocap/5 Hemodynamic Frame 6050-0005-614
F-MXG Cardiocap/5 Hemodynamic Frame
with gas measurement
6050-0005-617
S-XANE01 Cardiocap/5 Anesthesia Software 6050-0005-615
N-XC Airway Gas Option (CO2) 6050-0005-611
N-XCO Airway Gas Option (CO2, O2 and
N2O)
6050-0005-612
N-XCAIO Airway Gas Option (CO2, O2, N2O
and anesthesia agents with
automatic identification)
6050-0005-613
N-XV Patient Spirometry Option 6050-0005-620
N-XP Invasive Pressure Option with
second temperature channel
6050-0005-940 or
6050-0005-939
N-XREC Recorder Option 6050-0005-941
N-XNET Network Option 6050-0005-622
N-XDNET DataCard and Network Option 6050-0005-700,
6050-0005-735 or
6050-0005-736
N-XNMT NeuroMuscular Transmission
(NMT) Option
6050-0005-914
N-NSAT Nellcor Compatible SpO2Option 6050-0005-916
N-XOSAT Enhanced Datex-Ohmeda SpO2 6050-0005-917

SAFETY PRECAUTIONS
These precautions refer to the entire system. Precautions specific to parts of the system can be found in the relevant section.
Warnings
A WARNING indicates a situation in which the user or the patient
may be in danger of injury or death.
• It is possible for any device to malfunction; therefore, always
verify unusual data by performing a formal patient assessment.
• Connect only one patient to a monitor at a time.
• Use only hospital-grade grounded electrical outlets and power
cords.
• Make sure external equipment is hospital-grade grounded
before connecting. Do not connect any external equipment to
the system, except that specified by the manufacturer.
• Constant attention by a qualified professional is needed
whenever a patient is connected to a ventilator. Some
equipment malfunctions may pass unnoticed in spite of the
monitor alarm.
• All invasive procedures involve risks to the patient. Use aseptic
technique. Follow the catheter manufacturer’s instructions.
• Use only approved accessories, mounts and defibrillator-proof
cables and invasive pressure transducers. For a list of approved
supplies and accessories, see the “Supplies and Accessories”
catalog delivered with the monitor. Other cables, batteries,
transducers and accessories may cause a safety hazard, damage
the equipment or the system, result in increased emissions or
decreased immunity of the equipment or system or interfere
with the measurement. Protection against cardiac defibrillator
discharge is due in part to the accessories for pulse oximetry
(SpO2), temperature (T) and invasive pressure (P) measurement.
Single-use accessories are not designed to be re-used. Re-use
may cause a risk of contamination and affect the
measurement accuracy.
• To avoid an explosion hazard, do not use the monitor in the
presence of flammable anesthetics. The monitor measures only
non-flammable anesthetics.
• Do not use antistatic or electrically conductive breathing tubes.
They may increase the risk of burns when an electrosurgery
unit is used.
• Do not use the monitor in high electromagnetic fields
(for example, MRI).
• To prevent erroneous readings, do not use physically damaged
sensors or sensor cables. Discard a damaged sensor or sensor
cable immediately. Never repair a damaged sensor or cable;
never use a sensor or cable repaired by others. A damaged
sensor or a sensor soaked in liquid may cause burns during
electrosurgery.
• If liquid has accidentally entered the equipment, disconnect the
power cord from the power supply and have the equipment
serviced by authorized service personnel.
• The monitor or its components should not be used adjacent to
or stacked with other equipment. If adjacent or stacked use is
necessary, the monitor and its components should be observed
to verify normal operation in the configuration in which it will
be used.
• PACEMAKER PATIENTS. Rate meters may continue to count
the pacemaker rate during occurrences of cardiac arrest or
some arrhythmias. Do not rely entirely upon rate meter alarms.
Keep pacemaker patients under close surveillance. See this
manual for disclosure of the pacemaker pulse rejection
capability of this instrument.

• Service and reparations are allowed for authorized service
personnel only.
Cautions
A CAUTION indicates a situation in which the unit or devices connected
to it may be damaged.
• CISPR classifications:
Group 1 contains all ISM (industrial, scientific and medical)
equipment in which there is intentionally generated and/or
used conductively coupled radio-frequency energy which is
necessary for the internal functioning of the equipment itself.
• Use only cables and accessories approved by the manufacturer.
Other cables and accessories may damage the system or
interfere with measurement. Class A equipment is suitable for use in all establishments
other than domestic and those directly connected to the
public low-voltage power supply network that supplies
buildings used for domestic purposes.
• Turn off the power before making any rear panel connections.
• Vibrations during transport may disturb SpO2, ECG, impedance
respiration, and NIBP measurements.
• Leave space for circulation of air to prevent the monitor from
overheating.
• Dispose of the whole device, or parts of it (the back-up battery,
for example), in accordance with local environmental and
waste disposal regulations.
Points to note
• Medical electrical equipment needs special precautions
regarding electromagnetic compatibility and needs to be
installed and put into service according to the
electromagnetic compatibility information provided in the
"Technical Reference Manual" by qualified personnel.
• Portable and mobile RF communications equipment can
affect the medical electrical equipment.
• The allowed cables, transducers and accessories for the
system are listed in the “Supplies and Accessories“ catalog
delivered with the monitor.
• The equipment is suitable for use in the presence of
electrosurgery. Please notice the possible limitations in the
parameter sections and in this section.

CONTENTS
Monitor Introduction................................................................... 1 Pulse Oximetry ..........................................................................25
Performance............................................................................... 1 Non-Invasive Blood Pressure (NIBP) ...........................................29
Symbols ..................................................................................... 5 Invasive Blood Pressure .............................................................31
Monitoring Basics....................................................................... 7 Temperature .............................................................................33
Monitor Keys and Menus ............................................................. 9 Airway Gases.............................................................................35
Display Setup ........................................................................... 11 Patient Spirometry ....................................................................37
Alarms ..................................................................................... 13 NeuroMuscular Transmission (NMT) ...........................................39
Trends...................................................................................... 15 Abbreviations............................................................................41
Data Management .................................................................... 17 Messages .................................................................................47
Recording and Printing.............................................................. 19 Troubleshooting ........................................................................51
ECG ......................................................................................... 21 Cleaning and Care .....................................................................53
Impedance Respiration ............................................................. 24 Supplies and Accessories...........................................................57

MONITOR INTRODUCTION
There are two models of Cardiocap/5 monitors: hemodynamic monitor (F-MX) and hemodynamic monitor with airway gas
measurement (F-MXG). You can enhance the functions of the monitor with different factory-configured options. Due to these different
factory configurations, some menus, displays, and functions described in this manual may not be available in your monitor.
You can use the Cardiocap/5 monitor as a stand-alone monitor or connect it to the network. See “Data Management”.
Parts of the monitor
(1) Power On/Standby key
(2) External power indicator / Battery charge status LED
(3) Alarm indicators
(4) Insertion slots for two memory cards
A cover for the slots is available. See “Supplies and
Accessories”.
(5 Direct access keys
(6) Adjustable rear support
(7) ComWheel
(8) Recorder (optional)
(9) Patient connectors
(10) Spirometry connectors
(11) NIBP connector
(12) D-fend water trap
– 1 –

Rear panel
1
2
3
4
567891011
12
13
CAUTION: Turn off the power before making any rear panel
connections.
(1) Built-in lifting slot
(2) Gas outlet, X6
(3) Remote Control connector, X5
(4) Ethernet connector, X4
(5) Network connection LEDs
(6) Network identification plug connector, X3
(7) Serial communication interface / local printer connector, X2
(8) Analog / digital output connector, X1
(includes nurse call and defibrillator synchronization
signals)
(9) Mounting attachment
(10) Dust filter
(11) Potential equalization
(12) Fuse and voltage information
(13) Receptacle for mains power cord
WARNING Before starting to use the system, ensure that the whole
combination complies with the international standard IEC 60601-1-1
and with the requirements of the local authorities.
Do not connect any external devices to the system other than those
specified.
– 2 –

PERFORMANCE
All specifications are subject to change without notice.
WARNING: Operation of the monitor outside the specified values may cause inaccurate results.
Frequency of respiration sensing current: 31.25 kHz
GE Datex-Ohmeda Cardiocap/5
Power supply
Rated voltages and frequencies:
100-240 VAC, 60/50 Hz
Allowed voltage fluctuations: ± 10%
Maximum power consumption: 80 VA
Fuses (2): T2AH/250V
Back-up battery
Type: 12V 2.6AH, lead acid
Back-up battery time:
at least 15 minutes when fully charged
Charging time: 5 hours (typical)
Charging indicator:
Green LED On—full charge, battery on the
holding voltage
Green LED flashing—charging
Environmental conditions
Operating temperature: +10 to +40°C
(50 to 104°F)
Storage and transport temperature:
–10 to +50°C (14 to 122°F)
Relative humidity:
0 to 85% noncondensing;
in airway 0 to 100% condensing
Atmospheric pressure:
660 to 1060 hPa (500 to 800 mmHg)
Alarm behavior
If the alarm mode is latched, the technical
alarms are latched as well. This does not
comply with the NIBP (IEC 60601-2-30) and
invasive pressure (IEC 60601-2-34) standard
requirements.
Maximum Tall T wave amplitude that does not disturb the
heart rate calculation time (according to ANSI/AAMI EC13
4.1.2.1): 10 mV
ECG Pacemaker pulse detection:
detection level: 2 to 700 mV
pulse duration: 0.5 to 2 ms
Waveform display (with 50 Hz power supply
frequency):
Monitoring filter: 0.5 to 30 Hz
ST filter: 0.05 to 30Hz
Diagnostic filter: 0.05 to 100 Hz
The monitor is specified for both of the methods A
and B required in ANSI/AAMI EC13 4.1.4.2.
Pacer pulse rejection of fast ECG signals:
Waveform display (with 60 Hz power supply
frequency):
Monitoring filter: 0.5 to 40 Hz
ST filter: 0.05 to 40 Hz
Diagnostic filter: 0.05 to 100 Hz
0.2 V/s with Sensit pacemaker selection and 1.6
V/s with other selections according to the test
defined in ANSI/AAMI EC13 section 4.1.4.3.
Heart rate
Minimizing the effects of the line isolation monitor
transients: Crystal controlled oscillator used as the
operating frequency source of the patient isolation power
supply.
Measurement range: 30 to 250 bpm
Measurement accuracy: ± 5% or ± 5 bpm
Pacemaker pulse detection:
Detection level: 2 to 500 mV
Pulse duration: 0.5 to 2 ms
Offset voltage range: ±0.4 V
WARNING. The ±0.4 V offset voltage range of the
ECG measurement may be insufficient to handle the
offset potentials when using ECG electrodes of
dissimilar metals
The heart rate calculation operates with irregular
rhythms of ANSI/AAMI EC13 4.1.2.1 (e) as follows:
a): 40 bpm b): 87 bpm c): 60 bpm
d): 117 bpm
The isolation barrier capacitance has been
minimized to reduce the hazard of burns in the
event of a defect in the ESU return electrode
connection.
Average heart rate response time and time range of
response time (according to ANSI/AAMI EC13
4.1.2.1 (f)):
Direct current for leads-off detection through any patient
electrode : ≤50 nA Response time 80 to 120 bpm: 5.0s (3.7 to 6.2 s)
Response time 80 to 40 bpm: 6.5s (4.1 to 9.2 s)
The normalized respiration sensing current : ≤3.0 µA
– 1 –

The average time and time range ( ) to alarm for
tachycardia are as follows (ANSI/AAMI EC13
4.1.2.1 (g)):
Respiration Pulse Oximetry, Standard
Respiration range: 4 to 120 resp/minute Display update time: 5 seconds
Accuracy: ± 5% or ± 5 resp/minute Averaging time: adjustable
Figure 4a halved amplitude: 5.5 s (4.8 to 5.9 s) Plethysmographic waveform scaling: adjustable
Figure 4a normal amplitude: 6.6 s (4.8 to 7.2 s)
SpO2
Figure 4a doubled amplitude: 7.2 s (5.3 to 9.4 s) NIBP Calibration range: 50 to 100%
Figure 4b halved amplitude: 7.4 s (7.0 to 7.7 s) Measurement range:
Adult 25 to 260 mmHg
Child 25 to 195 mmHg
Infant 15 to 145 mmHg
Calibrated against functional saturation
Figure 4b normal amplitude: 6.2 s (4.7 to 8.1 s) Measurement range: 40 to 100%
Figure 4b doubled amplitude: 6.4 s (4.4 to 8.2 s) Measurement accuracy (% SpO2 ± 1 SD):
80 to 100% ± 2 digits
50 to 80% ± 3 digits
Below 50% unspecified
ST segment analysis
Measured and displayed simultaneously for up
to three ECG leads
Pulse rate range accepted: 30 to 250 bpm
Cuff pressure measurement range:
ST level range: –6 to +6 mm (–0.6 to +0.6 mV) NOTE: SpO2measurement accuracy is based
on deep hypoxia studies using Datex-Ohmeda
Sat Sensors on volunteers. Arterial blood
samples were analyzed by a Radiometer OSM
CO-oximeter. Refer to the sensor instructions
for specific SpO2accuracy data.
-15 to +350 mmHg
QRS minimum detection level: NOTE: The cuff pressure measurement range is
equal with cuff nominal and cuff indication
ranges.
Minimum level 0.5 mV with duration between
40 and 120 ms fulfils ANSI/AAMI EC13
standard. Typical measuring time:
Adult 23 seconds
Infant 20 seconds
Display resolution: 0.1 mm (0.01 mV)
Averaging: calculated from 16 QRS complexes Pulse rate
Display update interval: 5 seconds Measurement range: 30 to 250 bpm
Auxiliary ECG output: Invasive Blood Pressure Measurement accuracy: ± 5% or ± 5 bpm
Default alarm limits**
Bandwidth of auxiliary output: 0.5 to 40Hz Measurement range: –40 to 320 mmHg
SpO2: high Off, low 90%
Measurement accuracy: ± 5% or ± 2 mmHg
Gain: 1 mV ECG signal is 1 V at the auxiliary output. Pulse rate: high 160, low 40
Transducer sensitivity:
5 µV/V/mmHg, 5 VDC, maximum 20 mA
Propagation delay: < 15 ms Limits are adjustable.***
Pulse rate
Measurement range: 30 to 250 bpm
Accuracy: ± 5% or ± 5 bpm
Sensor emitter wavelength ranges
The pacemaker pulses are absent but may cause
interference at the auxiliary ECG output. Red LED: 660 nm
Infrared LED: 900 nm
An auxiliary device that fulfils the requirements of the IEC
60601-1 standard can be connected to the auxiliary
output. There are no other limitations, because the
auxiliary output of the monitor is galvanically isolated from
patient applied part of the ECG measurement.
Temperature Pulse Oximetry, Enhanced (N-XOSAT)
Measurement range: 10 to 45°C (50 to 113°F) Display update time: 5 seconds
Measurement accuracy:
25 to 45.0 °C ± 0.1 °C (77 to 113 °F ± 0.2 °F)
10 to 24.9 °C ± 0.2 °C (50 to 76.8 °F ± 0.4 °F)
Averaging time: 12 seconds
Plethysmographic waveform scaling: automatic
SpO2
Calibration range: 70 to 100%
– 2 –

Calibrated against functional saturation
Measurement range: 1 to 100%
Measurement accuracy (± 1 SD):
70 to 100% ± 2 digits
70 to 100% ± 3 digits during conditions of
clinical patient motion
Below 70% unspecified
NOTE: SpO2measurement accuracy is
statistically derived and correlated to
simultaneous arterial blood gases measured on
a Radiometer OSM3 CO-oximeter. Refer to the
sensor instructions for specific accuracy data.
Pulse rate
Measurement range: 30 to 250 bpm
Measurement accuracy: ± 2% or ± 2 bpm
(whichever is greater)
Default alarm limits**
SpO2: high Off, low 90%
Pulse rate: high 160, low 40
Limits are adjustable.***
Sensor emitter wavelength ranges
Red LED: 650 to 665 nm
Infrared LED: 930 to 950 nm
Average power: ≤1 mW
Pulse Oximetry, Nellcor®(N-XNSAT)
Display update time: 5 seconds
Averaging time: 5 to 7 seconds
Plethysmographic waveform scaling: automatic
SpO2
Calibrated against functional saturation
Measurement range: 1 to 100%
Measurement accuracy (% SpO2 ± 1SD):
70 to 100% (± 2 digits to ± 3.5 digits,
depending on the sensor)
Below 70% unspecified
See the “User’s Reference Manual” for a list
of approved sensors and accuracy details.
NOTE: SpO2measurement accuracy is based
on testing healthy adult volunteers in induced
hypoxia studies.
Pulse rate
Measurement range: 30 to 250 bpm
Measurement accuracy: ± 3 digits
Default alarm limits**
SpO2: high Off, low 90%
Pulse rate: high 160, low 40
Limits are adjustable.***
Sensor emitter wavelength ranges
Red LED: 660 nm
Infrared LED: 920 nm
Airway Gases
Sampling rate*: 200 ml/minute
Sampling delay: 2.5 seconds typical with a
3 m sampling line
Total system response time: 2.9 seconds typical
with a 3 m sampling line, including
sampling delay and rise time
Warm-up time:
2-5 minutes, 30 minutes for full spec.
Respiration rate (RR)
Measurement range: 4 to 60 breaths/minute
Detection criteria: 1% variation in CO2
Default alarm limits**
EtCO2high 8%, low 3%
FiCO2high 3%, low Off
FiN2O high 82%
EtO2high Off, low 10%
FiO2high Off, low 18%
EtDes high 12%, low Off
FiDes high 18%, low Off
EtEnf high 3.4%, low Off
FiEnf high 5.1%, low Off
EtHal high 1.5%, low Off
FiHal high 2.2%, low Off
EtIso high 2.3%, low Off
FiIso high 3.4%, low Off
EtSev high 3.4%, low Off
FiSev high 5.1%, low Off
Non-disturbing gases:
Ethanol C2H5OH (< 0.3%)
Acetone (< 0.1%)
Methane CH4(< 0.2%)
Nitrogen N2
Carbon monoxide CO
Nitric oxide NO (< 200 ppm)
Water vapor
Effect of helium: decreases CO2readings
< 0.6 vol% typically
Maximum effect on readings:
CO2< 0.2 vol%,
N2O, O2< 2 vol%
Anesthetic agents: < 0.15 vol%
Carbon dioxide (CO2)
Measurement range:
0 to 15%, (0 to 15 kPa), (0 to 113 mmHg)
Measurement rise time < 400 ms (typical)
Accuracy*: +/-(0.2 vol% + 2% of reading)
Gas cross effects: < 0.2 vol% (O2, N2O,
anesthetic agents)
Oxygen (O2)
Measurement range: 0 to 100%
Measurement rise time: < 400 ms typical
Accuracy: +/-(1 vol% + 2% of reading)
Gas cross effects:
< 1 vol% anesthetic agents
< 2 vol% N20
Nitrous oxide (N2O)
Measurement range: 0 to 100%
– 3 –

Measurement rise time: < 450 ms typical Stimulus current range (supramax and manual):
10 to 70 mA with 5 mA steps
Airway pressure (D-lite)
Accuracy: +/-(2 vol% + 2% of reading) Measurement range: –20 to +100 cmH2O
Gas cross effects: < 2 vol% anesthetic agents Stimulus current accuracy: 10% or ±3mA
(whichever is greater)
Accuracy*: ±1 cmH2O
Anesthetic agent (AA) Airway pressure (Pedi-lite) Max load: 3 kΩ
Measurement rise time: < 400 ms typical Measurement range ***: –20 to +100 cmH2O Max voltage: 300 V
Halothane, Isoflurane, Enflurane
Gas cross effects: < 0.15 vol% N2O
Measurement range: 0 to 6%
Accuracy: +/- 0.2 vol%
Flow (D-lite) Regional block mode
Measurement range: 1.5 to 100 l/minute Stimulation mode: single twitch (ST)
Flow (Pedi-lite) Intervals: 1 second, 2 seconds, 3 seconds
Measurement range: 0.25 to 25 l/minute
Sevoflurane
Measurement range: 0 to 8%
Accuracy: +/- 0.2 vol%
Stimulus pulse: square wave, constant current
Pulse width: 40 µs
Compliance (D-lite and Pedi-lite)
Stimulus current range: 0 to 5.0 mA with
0.1 mA steps
Measurement range: 4 to 100 ml/cmH2O
Desflurane
Measurement range: 0 to 20%
Accuracy*:
0 to 5 vol%: +/- 0.2 vol%
Airway resistance (D-lite and Pedi-lite) Stimulus current accuracy: 20% or 0.3 mA
(whichever is greater)
Measurement range: 0 to 40 cmH2O/l/second
Sensor specifications (D-lite) Recorder
5 to 10 vol%: +/- 0.5 vol% Dead space: 9.5 ml
10 to 20 vol%: +/- 1.0 vol% Resistance at 30 l/minute: 0.5 cmH2O Principle: thermal array
Agent identification Print resolution:
Vertical: 8 dots/mm (200 dots/inch)
Horizontal: 32 dots/mm (800 dots/inch) at
speed of 25 mm/second and slower
Sensor specifications (Pedi-lite)
Identification threshold*: 0.15 vol% Dead space: 2.5 ml
Patient Spirometry Resistance at 10 l/minute: 1.0 cmH2O
Detection through D-lite™ or Pedi-lite™ flow
sensor and gas sampler with following
specifications: NMT Paper width: 50 mm; printing width 48 mm
Traces: selectable; 1, 2, or 3 traces
Stimulation modes:
Train of four (TOF)
Double burst (3.3) (DBS)
Single twitch (ST)
50 Hz tetanic + post-tetanic count (PTC)
Tidal volume (D-lite) Print speed: 1, 6.25, 12.5, 25 mm/second
Measurement range: 150 to 2000 ml
Accuracy*: ± 6% or 30 ml * Typical value
Tidal volume (Pedi-lite) ** Alarm limits and their adjustment range
may vary depending on the mode used.
Measurement range: 15 to 300 ml Measurement intervals:
Accuracy*: ± 6% or 4 ml TOF and DBS: manual; 10 seconds,
12 seconds, 15 seconds, 20 seconds,
1 minute, 5 minutes, 15 minutes
*** The user may set the SpO2low alarm
limit lower than 80% and Ppeak alarm
limit higher than 50 cmH2O during
normal use of the monitor. To guarantee
patient safety, the user cannot save such
limits as user default values.
Minute volume (D-lite)
Measurement range: 2 to 20 l/minute
Accuracy*: ± 6% ST: manual; 1 second, 10 seconds,
20 seconds
Minute volume (Pedi-lite)
Measurement range: 0.5 to 5 l/minute Stimulator
Accuracy*: ± 6%
Stimulus pulse: square wave, constant current
Pulse width: 100, 200 or 300 µs
– 4 –

SYMBOLS
Attention, consult accompanying documents.
When displayed beside the O2value, indicates
that FiO2low alarm limit is set below 21%.
When displayed next to the HR value, indicates
that there is a risk that the monitor counts
pacemaker spikes because the pacer is set on R,
or T-waves because a wide QRS is selected.
On the front panel indicates that protection
against cardiac defibrillator discharge is due in
part to the accessories for pulse oximetry (SpO2),
temperature (T) and invasive pressure (P)
measurement.
On the rear panel indicates the following
warnings and cautions:
• Electric shock hazard. Do not open the cover
or the back. Refer servicing to qualified
personnel.
• For continued protection against fire hazard,
replace only with same type and rating of
fuse.
• Disconnect power supply before servicing.
• Do not touch battery operated monitor during
defibrillation procedure.
Type BF (IEC-60601-1) defibrillator-proof
protection against electric shock.
Type CF (IEC-60601-1) defibrillator-proof
protection against electric shock.
Indicates the beats detected.
Respiration rate is measured using impedance
respiration measurement.
Appears in the message field when the alarms
are silenced. Appears in the digit field or a menu
when the alarm source is selected off.
Back-up battery operation and remaining
capacity
Back-up battery charging
Main Menu. Pressing the ComWheel while no
menu is displayed opens the Main Menu.
Submenu. Selecting an alternative with this
symbol in a menu opens a new menu.
The monitor is connected to the monitor
network.
Data card (green) and /or the Menu card (white)
is inserted.
Sample gas outlet
Charge
– 5 –

Ethernet connectors
Equipotentiality. Monitor can be connected to
potential equalization conductor.
Alternating current
Fuse
Symbol for non-ionizing electromagnetic
radiation. Interference may occur in the vicinity
of equipment marked with the symbol.
Date of manufacturing
ESD warning symbol for electrostatic sensitive
devices. Pins of connectors identified with the
ESD warning symbol should not be touched.
Connections should not be made to these
connectors unless ESD precautionary procedures
are used. See "Safety precautions: ESD
precautionary procedures" in the “User’s
Reference Manual” for details.
– 6 –

MONITORING BASICS
• Check that you have the desired waveforms and digits in the
fields. See “Display Setup”.
Preparation
• Turn on the monitor. See Monitor Keys and Menus. • Carry out measurement-specific startup. See the
corresponding measurement section in this guide.
• Tilt the monitor to the optimal viewing angle:
Press the center of the foot and adjust.
Make sure both feet are at the same angle. • Enter patient identification data:
Press the ComWheel and select Patient Data.
See “Data Management”.
During monitoring
• To suppress alarms, press Silence Alarms.
• If you press the Power On/Standby key accidentally during
monitoring, press the Power On/Standby key within eight
seconds to return to monitoring. Otherwise, the monitor will
switch to standby mode after eight seconds.
If wall mounting solutions are used, make sure the monitor’s
front and back attachment bars fit tightly to the edges of the
mounting plate and the locking bolt in the monitor’s back
locks into place.
Ending monitoring
• Print necessary information. See “Recording and Printing”.
• Wait until printing is finished. Then clear patient
identification data and return settings to their defaults:
Press the ComWheel and select Reset Case.
Select Reset ALL and YES.
• If necessary, change the operating mode:
Press the ComWheel. Select Monitor Setup and Select Mode.
NOTE: Changing the mode also changes some settings, such
as alarm limits. • Turn the power switch to standby if the monitor will not be
used. Clean the monitor according to the instructions.
Starting monitoring
• Prepare the patient connections. See the corresponding
measurement section in this guide. Use only supplies and
accessories approved by the manufacturer.
• Alarms and the parameter default settings become active.
Review alarm limits. See “Alarms”.
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– 9 –

MONITOR KEYS AND MENUS
You can control monitoring with the ComWheel, direct access keys, or the Remote Control. The ComWheel, the main navigating tool,
provides access to all menu functions. With the direct access keys, you can control most frequently-used functions.
1
2
3
4
5
6
7
8
9
(1) Power On/Standby key
NOTE: The monitor will start only when connected to mains power.
(2) Silences an active alarm or pre-silences all alarms for two minutes (press
the key once) or for five minutes (press the key for three seconds). To clear
the alarm message field of all alarm messages and to enable new alarms,
press the key again.
(3) Displays numerical or graphical trends, and snapshots.
(4) Displays the Invasive Pressures menu to adjust Invasive Pressure
measurement settings.
NOTE: Depending on the options, this key may be Pulse Oximetry or NMT.
(5) Displays the ECG menu to adjust ECG measurement settings.
(6) Displays the NIBP menu to adjust NIBP measurement settings.
(7) Starts a single non-invasive blood pressure measurement or cancels single
NIBP measurement, STAT and manual measurements, and stops venous
stasis.
(8) Returns to normal monitoring display.
(9) ComWheel. Menu functions are controlled by turning and pressing the
ComWheel. Opens the Main Menu when no other menu is displayed
.
Silence
Alarms
Trends
Invasive
Pressures
ECG
NIBP
NIBP
Start/Cancel
Normal
Screen
– 9 –

Moving in menus Remote Control
A menu is a list of functions or commands displayed on the
monitor screen.
The Remote Control gives you access to the same menus as the
direct access keys on the monitor. When using the Remote
Control, you can enter all monitoring functions by pressing the
Menu key, and the most common functions by pressing the direct
access keys.
You open the Main Menu by pressing the ComWheel when no
other menu is displayed. You can enter other menus from the
Main Menu by turning and pressing the ComWheel. Turn and
press the ComWheel to make adjustments in menus.
You can also display a menu by pressing the corresponding
direct access key. For example, to adjust the ECG display:
Silence
Alarms
1. Press the direct access key to open the menu.
2. Turn the ComWheel to choose a function in the
window.
3. Press the ComWheel to open a submenu or an
adjustment window.
or
Press the ComWheel to confirm a selection.
4. Press the Normal Screen key to return to the
normal monitoring display.
ECG Take
Snapshot
Record
Wave
Zero ALL
Pressures
Special Other
Patients
Start
Wedge
Start NIBP
Start C.O.
Freeze
Normal
Screen
Menu
Normal
Screen NOTE: The Special and Start C.O. keys are not in use with
Cardiocap/5
– 10 –

DISPLAY SETUP
Monitor Setup
Screen Setup
Sweep Speeds
Select Mode
Time and Date
Display Brightness 100%
Install/Service
Main Menu
Return to Main Menu.
Setting up the display
Modes determine how the information is presented (what is
displayed on the screen and trends, etc.) and what the alarm
limits are. Modes are preconfigured.
The monitor starts in startup mode, which is one of your monitor
modes chosen during configuration. To change it:
1. Press the ComWheel and select Monitor Setup.
2. Select Select Mode and choose from the options.
Modifying the display temporarily
1. Press the ComWheel and select Select Mode.
In the corresponding submenu, you can modify waveform and
digit field measurements, minitrend length, and sweep speeds
or choose the split screen option.
2. To make other setup changes, like scale changes:
Return to the Main Menu and select a desired parameter.
or
Press a direct access key and select the setup menu for that
parameter.
Changes are valid until the monitor is turned off (+15 minutes) or
until you reset the case. Only the time and date are stored
permanently.
Modifying the display permanently
You can make permanent changes in the display setup. To find
out about passwords, etc., refer to the “User’s Reference Manual”.
– 11 –