Dräger VITALERT 2000 Assembly instructions

Operator’s Instruction Manual
VITALERT 2000/2000E
Vital Signs Monitoring System
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VITALERT 2000
OPERATOR’S INSTRUCTION MANUAL
TABLE OF CONTENTS
FOREWORD ............................................................ i
GENERAL DESCRIPTION ................................................. 1
FEATURES ............................................................ 3
INSTALLATION ......................................................... 6
CONFIGURATION ....................................................... 9
OPERATING INSTRUCTIONS ..............................................16
CLEANING AND STERILIZATION ............................................26
PRECAUTIONS FOR MAINTENANCE AND USE .................................26
SPARE AND REPLACEMENT PARTS .........................................27
APPENDIX 1: VITALERT 2000 SPECIFICATIONS ................................28
APPENDIX 2: VITALERT 2000 ALARM MESSAGES ..............................32
APPENDIX 3: VITALERT 2000 DATA MESSAGES ................................34
APPENDIX 4: TROUBLESHOOTING GUIDE ....................................35
APPENDIX 5: VITALINK COMMANDS .........................................39
APPENDIX 6: VITALINK DATA MESSAGES ....................................40
INDEX ................................................................42
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FOREWORD
OPERATOR’S RESPONSIBILITY FOR PATIENT SAFETY
NorthAmericanDrägeranesthesiaproducts
are designed to provide the greatest degree
of patient safety that is practically and
technologically feasible. The design of the
equipment, the accompanying literature,
and the labeling on the equipment take into
consideration that the purchase and use of
the equipment are restricted to trained
professionals, and that certain inherent
characteristics of the equipment are known
to the trained operator. Instructions,
warnings, and caution statements are
limited, therefore, to the specifics of the
North American Dräger design. This
publication excludes references to hazards
which are obvious to a medical professional,
to the consequences of product misuse, and
to potentially adverse effects in patients
with abnormal conditions. Product
modification or misuse can be dangerous.
North American Dräger disclaims all
liability for the consequences of product
alterations or modifications, as well as for
the consequences which might result from
the combination of North American Dräger
products with products supplied by other
manufacturers if such a combination is not
endorsed by North American Dräger.
The operator of the anesthesia system must
recognize that the means of monitoring and
discovering hazardous conditions are specific
to the composition of the system and the
various components of the system. It is the
operator, and not the various manufacturers
or suppliers of components, who has control
over the final composition and arrangement
of the anesthesia system used in the
operating room. Therefore, the responsibility
for choosing the appropriate safety
monitoring devices rests with the operator
and user of the equipment.
Patient safety may be achieved through a
variety of different means depending on the
institutional procedures, the preference of
the operators, and the application of the
system. These means range from electronic
surveillance of equipment performance and
patient condition to simple, direct contact
between operator and patient (direct
observation of clinical signs). The
responsibility for the selection of the best
level of patient monitoring belongs solely to
the equipment operator. To this extent, the
manufacturer, North American Dräger,
disclaims responsibility for the adequacy of
the monitoring package selected for use with
the anesthesia system. However, North
American Dräger is available for
consultation to discuss monitoring options
for different applications.
LIMITATION OF LIABILITY
North American Dräger’s liability, whether
arising from or related to manufacture and
sale of the goods, their installation,
demonstration, sales representation,
use,performance,orotherwise,includingany
liability based upon North American
Dräger’s Product Warranty, is subject to and
limitedtotheexclusivetermsandconditions
as set forth, whether based upon breach of
warranty or any other cause of action
whatsoever, regardless of any fault
attributable to North American Dräger and
regardless of the form of action (including,
without limitation, breach of warranty,
negligence, strict liability, or otherwise).
THESTATEDEXPRESSEDWARRANTIES
ARE IN LIEU OF ALL OTHER WAR-
RANTIES, EXPRESSED OR IMPLIED,
INCLUDING, WITHOUT LIMITATION,
WARRANTIES OF MERCHANTABILITY,
FITNESS FOR ANY PARTICULAR PUR-
POSE, OR NONINFRINGEMENT.
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LIMITATION OF LIABILITY (continued)
North American Dräger shall not be liable
for, nor shall buyer be entitled to recover
any special incidental, or consequential
damages or for any liability incurred by
buyer to any third party in any way arising
out of or relating to the goods.
WARRANTY
All North American Dräger products are
guaranteed to be free of defects for a period
of one year from date of delivery. The fol-
lowing are exceptions to this warranty:
1. The defect shall be a result of
workmanship or material. Defects
caused by misuse, mishandling,
tampering, or by modifications not
authorized by North American Dräger or
its representatives are not covered.
2. Rubber and plastic components and
materials are warranted to be free of
defects at time of delivery.
3. SPIROMED sensors, oxygen sensors,
and the MINUTE VOLUMETER have a
six-month limited warranty. O2MED
sensor capsules have an eight-month
limited warranty from the date of
delivery.
4. Warranty for Durasensors is limited to a
period of six months from the date of
delivery. Oxisensors are warranted to be
free of defects at time of delivery.
Any product which proves to be defective in
workmanship or material will be replaced,
credited, or repaired with North American
Dräger holding the option. North American
Dräger is not responsible for deterioration,
wear, or abuse. In any case, North American
Dräger will not be liable beyond the original
selling price.
Application of this warranty is subject to the
following conditions:
1. North American Dräger or its authorized
representative must be promptly
notified, in writing, upon detection of
the defective material or equipment.
2. Defective material or equipment must be
returned, shipping prepaid, to North
American Dräger or its authorized
representative.
3. Examination by North American Dräger
or its authorized representative must
confirm that the defect is covered by the
terms of this warranty.
4. Notification in writing, of defective
material or equipment must be received
by North American Dräger or its
authorized representative no later than
two (2) weeks following expiration of this
warranty.
In order to assure complete protection under
this warranty, the Warranty-Registration
card and/or Periodic Manufacturers Service
record (if applicable) must be returned to
North American Dräger within ten (10) days
of receipt of the equipment.
The above is the sole warranty provided by
North American Dräger. No other warranty
expressed or implied is intended.
Representatives of North American Dräger
are not authorized to modify the terms of
this warranty.
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REPAIR AND SERVICE
In case of malfunction of this device, contact
your local North American Dräger Factory
Authorized Technical Service Center.
North American Dräger recommends that
anesthesia machines be serviced at three
month intervals. Periodic Manufacturers
Service Contracts are available for products
manufactured by North American Dräger.
These agreements are available from
N.A.D., Inc. Technical Service Department
or our Factory Authorized Technical Service
Center.
Repair of the VITALERT 2000 shall be
performed only by a North American Dräger
authorized technical service representative.
TERMS AND CONDITIONS
All merchandise to be returned must have
prior written authorization by North
American Dräger, and a valid Return
Authorization Number must appear on the
shipping label, packing slip, purchase order
and any other related paperwork. Goods
received without such authorization will be
refused at NAD’s receiving dock and
returned to the customer.
When requesting authorization to return
merchandise,thefollowinginformationmust
be provided:
1. Customer purchase order and date
2. NAD order number, shipping date, and
method of shipment (available from
packing slip)
3. Invoice date and number
4. Quantity, NAD product number, and
description of merchandise to be
returned
5. Reason for return
The following are accepted reasons for
return of merchandise:
1. Defective goods
2. Customer order error
3. NAD order/shipping error
Any shortages or errors in shipment of goods
must be reported to NAD within two (2)
weeks of shipment in order for corrective
action to be taken.
Goods are subject to the terms of any
applicable warranty. Defective products will
be accepted for return at North American
Dräger’s discretion, and only during the
warranty period.
Goods to be returned which are not under
warranty must have been purchased within
thirty days of request for return, and
returned within thirty days after request.
Products must be returned unused, and in
NAD shipping containers. Goods are subject
to a 20% restocking charge, with the
exception of defective goods or NAD error.
The decision regarding restocking charges
remains solely at North American Dräger’s
discretion, and is final.
The following lists merchandise not eligible
for return, unless proven defective:
1. Specially ordered or produced items
2. Sterile or rubber goods
3. Used merchandise, or products not in
original shipping container
4. Merchandise held over thirty days from
shipment by North American Dräger
5. Merchandise which has been altered or
abused in any way
Upon receipt of authorized returned goods
an inspection of the merchandise will be
conducted and appropriate action taken.
North American Dräger’s decision regarding
disposition of returned goods is final.
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TERMS AND CONDITIONS (continued)
All items to be returned should be shipped
prepaid to:
North American Dräger
148 B Quarry Road
Telford, PA 18969
ATTN: Customer Service Department
(Include Return Authorization Number)
Factory Repair:
North American Dräger products in need of
factory repair should be sent prepaid to:
North American Dräger
24 Commerce Drive
Telford, PA 18969
(Include Return Authorization Number)
Periodic Manufacturer’s Service:
Yearly Periodic Manufacturers Service
Contracts are available for products
manufactured by North American Dräger.
These agreements are available from the
Technical Service Department or our
Nationwide Factory Authorized Technical
Service Centers.
Any product which proves to be defective in
workmanship or material will be replaced,
credited, or repaired with North American
Dräger holding the option. North American
Dräger is not responsible for deterioration,
wear, or abuse. In any case, North American
Dräger will not be liable beyond the original
selling price.
Application of this warranty is subject to the
following conditions.
1. North American Dräger or its authorized
representative must be promptly
notified, in writing, upon detection of the
defective material or equipment.
2. Defective material or equipment must be
returned, shipping prepaid, to North
American Dräger or its authorized
representative.
3. Examination by North American Dräger
or its authorized representative must
confirm that the defect is covered by the
terms of this warranty.
4. Notification in writing, of defective
material or equipment must be received
by North American Dräger or its
authorized representative no later than
two (2) weeks following expiration of this
warranty.
In order to assure complete protection under
this warranty, the Warranty-Registration
Card and/or Periodic Manufacturers Service
record (if applicable) must be returned to
North American Dräger within ten (10) days
of receipt of the equipment.
The above is the sole warranty provided by
North American Dräger. No other warranty
expressed or implied is intended.
Representatives of North American Dräger
are not authorized to modify the terms of
this warranty.
RESTRICTION
Federal law restricts this device to sale by,
or on the order of, a physician.
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GENERAL DESCRIPTION
The VITALERT 2000 is a vital signs
monitoring package designed to be an
integral part of an operating room
anesthesia system. The VITALERT 2000 can
be used to monitor a patient’s
electrocardiogram (ECG), invasive blood
pressure, and temperature.
A display screen is provided for presentation
of waveforms, data, and structured alarms.
INVASIVE BLOOD
PRESSURE CABLE
CONNECTIONS
ECG CABLE
CONNECTION
TEMPERATURE
CABLE CONNECTIONS SOFT
KEYS STRIP CHART
RECORDER
SYSTEM
POWER
KEYS
STRIP CHART
RECORDER
KEYPAD
MONITOR
KEYPAD
DISPLAY
SCREEN
OP20500
FIGURE 1: VITALERT 2000 (FRONT VIEW)
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GENERAL DESCRIPTION (continued)
The styling and communications protocol of
the VITALERT 2000 are consistent with
NAD anesthesia systems, incorporating the
interconnection of data and the
centralization of alarms.
The VITALERT 2000 features self-
diagnostics and automatic reserve battery
power during AC power failure.
The VITALERT 2000 also utilizes a built-in
strip chart recorder to make hard copy
records of on-screen information.
OP27002
HANDLE CIRCUIT
BREAKERS
SERIAL
INTERFACE
CONNECTOR POWER
CONNECTOR
HANDLE
FIGURE 2: VITALERT 2000 (REAR VIEW)
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FEATURES
This section provides an overview of the
VITALERT 2000 functions and capabilities.
Detailed descriptions appear in subsequent
sections of this manual. Refer to Figure 1 for
an illustration of the VITALERT 2000 front
panel.
Monitoring Display
The VITALERT 2000 features a 7-inch
diagonal amber CRT for the display of
waveforms, data, and alarm messages. The
keys which affect the monitoring display are
arranged in specific groups to the right of
the display screen. Four soft keys beneath
the monitoring display are used to
manipulate on-screen data.
Alarm Display and Annunciation
The VITALERT 2000 presents active
alarms at the bottom of the CRT in a
three-level display of Warnings, Cautions,
and Advisories. Any alarms generated are
indicated by a 12 character keyword
phrase in the appropriate category.
When operating as a stand-alone monitor,
the VITALERT 2000 uses non-obtrusive
sound patterns to annunciate active
alarms. These easily distinguished
patterns coincide with the NAD alarm
priority classification of Warnings,
Cautions, and Advisories. The VITALERT
2000 will only annunciate the highest
priority currently active alarm. Lower
priority alarm sounds are temporarily
suppressed to minimize the confusion and
nuisance caused by simultaneous alarms.
When interfaced to a host system such as
NARKOMED 3, NARKOMED 2B or
VITALERT 1000, VITALERT 2000 audio
alarms are disabled; the alarm condition is
annunciated through the host system.
Monitor Screen
The Monitor screen (Figure 3) presents
graphic and numerical information derived
from the ECG lead, the invasive blood
pressure transducers and the temperature
probes. The Monitor screen is organized into
six areas: the ECG display, the P1 Arterial
Blood Pressure display, the P2 Blood
Pressure display, the T1 Temperature
display, the T2 Temperature display, and
the Alarm display.
ECG Display
The VITALERT 2000 can monitor three
standard bipolar ECG limb leads (I, II, III),
three augmented leads (aVR, aVL, aVF),
and a floating chest lead (V). The ECG
display contains:
• ECG waveform
• Heart Rate
• Heart Rate Alarm Limits
• Selected ECG Lead
• ECG Scale with 1 mV Markings
• Isoelectric Line Reference (with
reference digits at the top and bottom to
indicate mV’s from isoelectric).
• Flashing Heart Indicator (if selected).
Invasive Blood Pressure Display
The VITALERT 2000 can monitor two
channels of invasive blood pressure. The P1
Pressure display is labeled for arterial
pressure (P1 ART). The P2 Pressure display
can be labeled for either central venous
pressure (P2 CVP), pulmonary artery
pressure (P2 PA), or as a second arterial
pressure channel (P2 ART).
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FEATURES (continued)
The P1 display, located beneath the ECG
display, contains:
• P1 Label (P1 ART)
• P1 Arterial Pressure Waveform
• Pressure Scale (mm Hg)
• P1 Arterial Systolic Pressure
• P1 Arterial Mean Pressure
• P1 Arterial Diastolic Pressure
• P1 Arterial Systolic Alarm Limits
The P2 display, located beneath the P1
display, contains:
• P2 Label (P2 CVP, P2 PA, or P2 ART)
• P2 Pressure Waveform
• Pressure Scale (mm Hg)
• P2 Systolic Pressure
• P2 Diastolic Pressure
• P2 Mean Pressure
• P2 Alarm Limits (systolic, diastolic, or
mean)
OP27003
98.6
T2
WARNING ADVISORYCAUTION
HRT RATE LO
ART SYS LOW
PAPER OUT
99.2
T1
68
105
74
16
100
70
180
110
30
10
86
26
8
0
120
50
30
0
P2CVP
P1ART
HI LO
P1
0
P2
SCALE
CONFIG HELP ALARMS
OFF
BLOOD PRESURE ALARMS
HEART RATE ALARMS
HI LO
P1
0SCALE
P2
FREEZE
LEAD S CALE BASELINE AUTOSCALE
P1 BLOOD
PRESSURE
DISPLAY
T1 TEMPERATURE
DISPLAY
ECG DISPLAY
ALARM
DISPLAY
P2 BLOOD
PRESSURE
DISPLAY
T2 TEMPERATURE
DISPLAY
FIGURE 3: VITALERT 2000 MONITOR SCREEN
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FEATURES (continued)
Temperature Display
The VITALERT 2000 can monitor two
channels of temperature. These
temperatures can be displayed in Celsius or
Fahrenheit. The Temperature display is
located at the bottom left corner of the
Monitor screen.
Self-Diagnostics
When switched on, the VITALERT 2000
automatically performs extensive
self-diagnostic tests on its internal circuitry.
The results are posted on the display screen
at the completion of each test, and the
operational status of the VITALERT 2000 is
indicated at the conclusion of
self-diagnostics.
Configuration Screens
Six Configuration screens allow the
operator to customize operation of the
VITALERT 2000.
Freeze Screen
The Freeze screen allows the operator to
examine a 16 second section of the ECG
waveform.
Help Screens
The VITALERT 2000 incorporates a Help
key to aid in the understanding of
VITALERT 2000 operation.
Strip Chart Recorder
The strip chart recorder allows the operator
to make hard copy records of the ECG
waveform,P1waveform,measurementdata,
or trends.
Back-Up Power System
In case of an AC power failure, operation of
the VITALERT 2000 is maintained by an
internal reserve battery.
Interface to NARKOMED 3, NARKOMED
2B or VITALERT 1000
When interfaced with the NARKOMED 3
and 2B anesthesia systems, or the
VITALERT 1000 monitoring system,
VITALERT 2000 alarm messages are
prioritized and displayed on the systems
Centralert Alarm Display. VITALERT 2000
data can be viewed on the systems Trend
and Data Display screens.
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INSTALLATION
Unpacking the VITALERT 2000
Remove the VITALERT 2000 and
accessories from their container. Use the
checklist below to verify the presence of the
following articles:
• 1 VITALERT 2000 Monitor
• 1 Data Cable (DB9/DB9/30 inches)
• 1 Power Cable
• 1 ECG Monitor Cable
• 1 Invasive Blood Pressure Cable
(optional)
• 1 ECG Lead Set (5 Leads)
• 1 ECG Clip
• 2 Temperature Probes-YSI Series 700
• 1 VITALERT 2000 Operators Manual
• Vitalink Technical Reference Manual
• 2 Chart Paper rolls (1 installed, 1 spare)
Installing the VITALERT 2000
The VITALERT 2000 requires about 18 x 17
inches of shelf space. The shelf should be
capable of supporting at least 40 lb. without
collapsing or creating a tip-over hazard.
Reset circuit breakers CB1 and CB2, located
on the rear of the VITALERT 2000 (Fig. 2),
by pressing in the white buttons. Attach one
end of the power cable to the receptacle on
the rear of the VITALERT 2000 (Fig. 2).
Attach the other end into an active,
standard hospital-grade 115 VAC rated,
grounded receptacle.
CAUTION: The VITALERT 2000 may have
a leakage current of up to 30 microamps.
When plugged into the convenience
receptacle of another device, the VITALERT
2000 contributes to the total system chassis
leakage current of that device. This total
leakage current should not exceed 100
microamps.
Connecting the VITALERT 2000 to a
Computer
To interface the VITALERT 2000 to a
computer (with RS-232 Serial Port):
1. Connect the 9-pin end of the DB9/DB25
30-inch data cable (Part # 4109882) to
the serial port on the rear of the
VITALERT 2000 (Fig. 2).
2. Connect the other end of the cable to the
25-pin serial port of the computer,
configured as DCE.
3. Secure all connections using the captive
screws provided.
4. Configure the VITALERT 2000 serial
port, via the Communication Port
Configuration screen from the following
parameters (see the section entitled
Configuration):
BAUD RATE: 1200, 2400, 4800, or 9600
DATA BITS: 7 or 8
PARITY: NONE, EVEN, or ODD
STOP BITS: 1 or 2
RTS/CTS: OFF or ON
PROTOCOL: VITALINK
Refer to the Vitalink Technical Reference
manual for software information.
Connecting the VITALERT 2000 to a
VITALERT 1000
To interface the VITALERT 2000 to the
VITALERT 1000 monitor:
1. Connect one end of the DB9/DB9 30-inch
data cable (Part # 4110328) to the serial
port on the rear of the VITALERT 2000
(Fig. 2).
2. Connect the other end of the cable to
Port A on the rear of the VITALERT
1000 (see VITALERT 1000 Operators
Manual).
3. Secure all connections using the captive
screws provided.
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INSTALLATION (continued)
4. Configure the VITALERT 2000 serial
port, via the Communication Port
Configuration screen for the following
parameters:
BAUD RATE: 2400
DATA BITS: 8
PARITY: NONE
STOP BITS: 1
RTS/CTS: OFF
PROTOCOL: VITALINK
5. Configure Port A of the VITALERT 1000
for the same parameters given in step 4
(see Configuration section in VITALERT
1000 Operators Manual).
Connecting the VITALERT 2000 to a
NARKOMED 3
To interface the VITALERT 2000 to the
NARKOMED 3 anesthesia system (with the
five-port serial interface):
1. Connect one end of the DB9/DB9 30-inch
data cable (Part # 4110328) to the serial
port on the rear of the VITALERT 2000
(Fig. 2).
2. Connect the other end of the cable to
Port E on the rear of the NARKOMED 3
(see NARKOMED 3 Operators Manual).
3. Secure all connections using the captive
screws provided.
4. Configure the VITALERT 2000 serial
port, via the Communication Port
Configuration screen, for the following
parameters:
BAUD RATE: 9600
DATA BITS: 8
PARITY: EVEN
STOP BITS: 2
RTS/CTS: OFF
PROTOCOL: VITALINK
Port E of the NARKOMED 3 automatically
defaults to the configuration values outlined
in Step 4.
NOTE: In order to ensure the proper
operation of Vitalink communications, the
following firmware versions (or later) should
be present on the Narkomed 3: Trend 1.04,
Serial IF (ECC) 1.02, CCC 1.07.
Connecting the VITALERT 2000 to a
NARKOMED 2B
To interface the VITALERT 2000 to the
NARKOMED 2B anesthesia system:
1. Connect one end of the DB9/DB9 30-inch
data cable (Part # 4110328) to the serial
port on the rear of the VITALERT 2000
(Fig. 2).
2. Connect the other end of the cable to
Port A on the rear of the NARKOMED
2B (see NARKOMED 2B Operators
Manual).
3. Secure all connections using the captive
screws provided.
4. Configure the VITALERT 2000 serial
port, via the Communication Port
Configuration screen, for the following
parameters:
BAUD RATE: 1200
DATA BITS: 8
PARITY: NONE
STOP BITS: 1
RTS/CTS: OFF
PROTOCOL: VITALINK
5. Configure Port A of the NARKOMED 2B
for the same parameters given in step 4
(see Configuration section in
NARKOMED 2B Operators Manual).
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INSTALLATION (continued)
Connecting the VITALERT 2000 to a
NARKOMED 4
To interface the VITALERT 2000 to the
NARKOMED 4 anesthesia system:
1. Connect one end of the DB9/DB9 30-inch
data cable (Part # 4110328) to the serial
port on the rear of the VITALERT 2000
(Fig. 2).
2. Connect the other end of the cable to
either Port C or Port D on the rear of
the NARKOMED 4 (see NARKOMED 4
Operator’s Manual).
3. Secure all connections using the captive
screws provided.
4. Configure the VITALERT 2000 serial
port, via the Communication Port
Configuration screen, for the following
parameters:
BAUD RATE: 9600
DATA BITS: 8
PARITY: NONE
STOP BITS: 1
RTS/CTS: ON
PROTOCOL: VITALINK
5. Configure Port C or D of the
NARKOMED 4 for the same parameters
given in step 4 (see Configuration section
in NARKOMED 4 Operator’s Manual).
NOTE: There is no RTS/CTS setting
with the NARKOMED 4.
Connecting the VITALERT 2000 to a
NARKOMED 2C
To interface the VITALERT 2000 to the
NARKOMED 2C anesthesia system:
1. Connect one end of the DB9/DB9 30-inch
data cable (Part # 4110328) to the serial
port on the rear of the VITALERT 2000
(Fig. 2).
2. Connect the other end of the cable to
either Port A or Port B on the rear of the
NARKOMED 2C (see NARKOMED 2C
Operator’s Manual).
3. Secure all connections using the captive
screws provided.
4. Configure the VITALERT 2000 serial
port, via the Communication Port
Configuration screen, for the following
parameters:
BAUD RATE: 9600
DATA BITS: 8
PARITY: NONE
STOP BITS: 1
RTS/CTS: ON
PROTOCOL: VITALINK
5. Configure Port A or B of the
NARKOMED 2C for the same
parameters given in step 4 (see
Configuration section in NARKOMED
2C Operator’s Manual).
NOTE: There is no RTS/CTS setting
with the NARKOMED 2C.
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CONFIGURATION
Several aspects of the VITALERT 2000
operation can be configured by the user.
Pressing the CONFIG key (in the bottom
row of the monitor keypad) invokes the
Configuration Menu (Fig. 4).
The Configuration Menu allows the
operator to select one of six configuration
screens:
• Monitoring Options
• Audio Adjustments
• Set Alarm Limits
• Auto Print and Auto Plot
• Communication Port
• Set Time and Date
The operator chooses a specific
configuration screen by pressing the soft
key labeled
SELECT to advance the cursor to the
corresponding screen label on the menu,
then pressing the ENTER soft key. After a
screen is selected, the operator can change
configurable VITALERT 2000 functions
with the labeled soft keys beneath the
display.
NOTE: While in the Configuration mode,
the VITALERT 2000 continues to monitor
alarm conditions. The VITALERT 2000
automatically returns to the Monitor
screen one minute following the last
keystroke in the Configuration mode.
All settings and selections of the
Configuration mode, unless otherwise
specified, are retained in memory when
the VITALERT 2000 is turned off.
HI
LO
P1
0
P2
SCALE
HELP
ALARMS
OFF
BLOOD PRESURE ALARMS
HEART RATE ALARMS
HI LO
P1
0SCALE
P2
FREEZE
OP27004
LEAD SCALE BASELINE AUTOSCALE
CONFIG
68
100
70
0
SELECT MONITOR
MONITORING OPTIONS
AUDIO ADJUSTMENTS
SET ALARM LIMITS
AUTO PRINT AND AUTO PLOT
COMMUNICATION PORT
SET TIME AND DATE
VITALERT 2000 CONFIGURATION
ENTER
FIGUREFIGURE 4:4: CONFIGURATION MENU
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CONFIGURATION (continued)
VITALERT 2000 Monitoring Configuration
The Monitoring Options screen (Fig. 5)
controls how information is presented on the
Monitor screen.
Flashing Heart
The first option, Flashing Heart, activates a
flashing heart on the monitor screen as a
visual representation of R-wave detection.
P2 Label
The P2 Label option selects one of three
labels for the P2 pressure channel (P2 CVP,
P2 PA, or P2 ART).
Trace Speed
Trace Speed selects the sweep rate of the
waveforms. The sweep rate can be configured
for either 12.5 mm/sec, 25 mm/sec, or
50 mm/sec. On power-up, the sweep rate
defaults to 25 mm/sec.
P1 Scale
The P1 Scale option configures the P1
SCALE key for manual or automatic
pressure waveform scale selection. See the
Operating Instructions section of this
manual for more information.
P2 Scale
The P2 Scale option configures the P2
SCALE key for manual or automatic
pressure waveform scale selection. See the
Operating Instructions section of this
manual for more information.
Temperature Units
Selecting Temperature Units allows the
operator to display the measured
temperaturein eitherFahrenheit orCelsius.
HI
LO
P1
0
P2
SCALE
ALARMS
OFF
BLOOD PRESURE ALARMS
HEART RATE ALARMS
HI LO
P1
0SCALE
P2
FREEZE
OP27005
LEAD SCALE BASELINE AUTOSCALE
CONFIG HELP
68
100
70
0
SELECT MONITOR ENTER
CVP OFF PA
25 50
AUTO
AUTO
MANUAL
MANUAL
OFF
MONITOR
DIAG
C
ART
F
ON
FLASHING HEART:
P2 LABEL:
TRACE SPEED:
P1 SCALE:
P2 SCALE:
TEMPERATURE UNITS:
PACEMAKER MARK:
BANDWIDTH:
12.5
CONFIGURE VITALERT 2000 MONITORING OPTIONS
ON
FIGUREFIGURE 5:5: MONITORING OPTIONS CONFIGURATION SCREEN
10
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CONFIGURATION (continued)
Pacemaker Mark
The Pacemaker Mark function enables the
display of a marker in the ECG waveform to
represent an artificial pacemaker pulse (if
present).Onpower-up,the Pacemaker Mark
display is disabled.
ECG Bandwidth
The bandwidth setting selects an ECG
monitoring bandwidth of 0.5 Hz to 40 Hz, or
a diagnostic bandwidth of 0.05 Hz to 100
Hz. On power-up, the bandwidth defaults to
monitoring.
VITALERT 2000 Audio Adjustments
The Audio Adjustments screen (Fig. 6)
allows the operator to set the volume of the
alarm and heart tone audio features. The
ECG/SaO2 Audio Interlock is also enabled
on this screen.
Audio Alarm Volume
The first function, Audio Alarm Volume,
selects one of three alarm annunciation
levels (Low, Medium, High).
NOTE: When interfaced to a host
monitoring system such as the
NARKOMED 3, NARKOMED 2B, or
VITALERT1000,audiblealarmsannunciate
through the host monitoring system.
Heart Audio Volume
The Heart Audio Volume function allows the
operator to enable or disable an audio tone
HI
LO
P1
0
P2
SCALE
HELP
ALARMS
OFF
BLOOD PRESURE ALARMS
HEART RATE ALARMS
HI LO
P1
0SCALE
P2
FREEZE
OP27006
LEAD SCALE BASELINE AUTOSCALE
CONFIG
68
100
70
0
SELECT MONITOR
VITALERT 2000 AUDIO ADJUSTMENT
LOW
LOW MEDIUM HIGH
OFF
OFF
AUDIO ALARM VOLUME:
HEART AUDIOVOLUME:
ECG/SaO2 AUDIO INTERLOCK:
MEDIUM
HIGH
ON
ENTER
FIGUREFIGURE 6:6: AUDIO ADJUSTMENTS CONFIGURATION SCREEN
11
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CONFIGURATION (continued)
for each heartbeat, by selecting Off, Low,
Medium, or High.
ECG/SaO2 Audio Interlock
The ECG/SaO2 Audio Interlock function
allows the operator to silence the Heart
Audio Volume function when the VITALERT
2000 receives a valid pulse rate from an
interfaced pulse oximeter.
Alarm Limits Adjustment
The Set Alarm Limits screen (Fig. 7) allows
the operator to set both current and default
alarm limits. Using the displayed
measurement values as reference, the
operator can set the high and low alarm
limits for the heart rate, P1 Arterial
Systolic, P2 CVP Mean, P2 PA Diastolic and
P2 Arterial Systolic blood pressure. The
power-on default alarm limit values are also
set on this screen. The power-on default
selections are retained in memory even
when the VITALERT 2000 is turned off.
The adjustment range for each alarm limit
is given in the chart below.
ALARM LIMIT ADJUSTMENT RANGE
Low Heart Rate 30 bpm to (high heart rate - 1)
High Heart Rate (low heart rate + 1) to 250 bpm
Low Arterial Systolic 30 mm Hg to (high systolic - 1)
High Arterial Systolic (low systolic + 1) to 285 mm Hg
Low CVP Mean 0 mm Hg to (high mean - 1)
High CVP Mean (low mean + 1) to 60 mm Hg
Low PA Diastolic 0 mm Hg to (high diastolic - 1)
High PA Diastolic (low diastolic +1) to 60 mm Hg
HI
LO
P1
0
P2
SCALE
HELP
ALARMS
OFF
BLOOD PRESURE ALARMS
HEART RATE ALARMS
HI LO
P1
0SCALE
P2
FREEZE
OP27007
LEAD SCALE BASELINE AUTOSCALE
SELECT
68
100
70
0
INCREMENT DECREMENT MONITOR
SETUP VITALERT 2000 ALARMS
HEART RATE:
P1 ART SYS:
P2 ART SYS:
P2 CVP MEAN:
P2 PA DIAS:
68
120
10
60
80
80
10
5
100
180
180
20
30
60
80
80
5
5
VALUE HIGH LOW HIGH(DEF) LOW(DEF)
100
160
180
30
20
CONFIG
FIGUREFIGURE 7:7: ALARM LIMITS CONFIGURATION SCREEN
12
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