Fukuda Denshi DynaScope 7000 Series User manual


Operation Manual
DynaScope 7000 Series
Bedside Monitor
DS-7200 System
《Maintenance 》
Ver.08

This operation manual is for the DS-7200 System Version 08.
CAUTION FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON
THE ORDER OF A PHYSICIAN.
CAUTION:
•This device for sale by or on the order of a physician.
•The company and product names used in this manual are trademarks or registered
trademarks.
•If this manual has pages missing or out of order, contact Fukuda Denshi for replacement.
•Only physician or persons instructed by physicians are allowed to use the equipment.
•The information contained in this document is subject to change without notice due to
improvement in the equipment.
Blood pressure measurements determined with this device are equivalent to those obtained
by a trained observer using the cuff/stethoscope auscultation method, within the limits
prescribed by the American National Standard, Electronic or automated
sphygmomanometers.
Copyright ©2013 by Fukuda Denshi Co., Ltd.
No part of this document may be copied or transmitted in any form without the prior written permission
of Fukuda Denshi Co., Ltd.
Printed in Japan

Preface
Thank you for purchasing this product.
Before using this product, read the following precautions to make sure the product is
used correctly and safely.
Composition of This Operation Manual·························ii
Safety Precautions ·························································iii
Labels Attached to the Unit··········································iii
Measurement Unit for Each Parameter······················· vi
Graphic Symbols························································viii
Precautions for Safe Operation of Medical Electrical
Equipment··································································· xi
Precautions for Safe Operation of Medical Telemetry·xii
Precautions about the Maintenance···························xiii
Precautions about the Pacemaker·····························xiii
Non-Explosion Proof··················································xiv
Defibrillation Safety····················································xiv
Electrosurgery Safety·················································xiv
Precautions about Magnetic Resonance Imaging······ xv
Precautions about Connections to Peripheral Devicesxv
Precautions about the Fuse······································· xv
Accessories and Optional Accessories······················ xv
Precautions about the DS-7200 System····················xvi
Precautions about the Wired Network System (DS-LAN
ΙΙ/DS-LANIII)···························································xxvii
Precautions about the Wireless Network System ·····xxx
Precautions for Use of the Bidirectional Wireless
Communications (TCON)·········································xxxi
Precautions about the Ventilator Monitoring ·········· xxxiii
Precautions for Use of SpO2Sensor·······················xxxv
Precautions for Masimo®Model: DS-7210M···········xxxv
Precautions for Use of NIBP Cuff····························xxxv
Disposing of Equipment, Accessories, or Components
················································································xxxv
Precautions about Transportation···························xxxv
Precautions about RTC or Data Backup·················xxxv
Precautions for Use of Lithium-Ion Battery Pack····xxxvi
To Prepare for Emergency Use ···························· xxxvii
Electromagnetic Compatibility······························xxxviii
Precautions for Safe Operation under Electromagnetic
Influence ······························································ xxxviii
EMC Guidance····················································· xxxviii
●Compliance to the Electromagnetic Emissions
······································································xxxix
●Compliance to the Electromagnetic Immunity (1)
······································································xxxix
●Compliance to the Electromagnetic Immunity (2)xl
●Recommended Separation Distances between
Portable and Mobile RF Communications
Equipment and the DS-7200 System·················xli
i

Composition of This Operation Manual
The DS-7200 System Operation Manual is composed of the following 3 sections.
≪General Description≫
This section is composed of the chapters stating the general description of the device and basic
operation procedure.
1. General Description : Describes the outline of this equipment.
2. Basic Operation : Describes the basic operation for monitoring.
3. Vital Application : Describes the procedure for vital application, etc.
≪Monitoring Operation≫
This section is composed of the chapters explaining the detailed monitoring procedures and setup
procedures.
4. Monitoring Setup : Describes the procedures to set the monitor according to the
monitoring purpose.
5. Admit / Discharge of a Patient : Describes the procedure to admit or discharge a patient.
6. Parameter Setup : Describes the procedure to set the measurement condition, size,
scale, etc. for each parameter.
7. Function : Describes about the functions such as arrhythmia analysis, trend,
recall, etc.
8. System Configuration : Describes about the system configuration such as night mode,
alarm mode, display mode, etc.
≪Maintenance≫
This section is composed of the chapters describing the installation procedure, maintenance, technical
information, accessories, etc.
9. Installation : Describes about the environment for use, wireless system, etc.
10. Maintenance : Describes about the maintenance, troubleshooting of this equipment.
11. Technical Information : Lists the specification, default settings, pin assignments of
external connector, etc.
12. Accessories : Lists the accessories and optional accessories for this equipment.
ii

Safety Precautions
yRead the “Safety Precautions” thoroughly before use to ensure correct and safe use of the product.
yBe sure to follow the precautions indicated below, as these are important messages related to safety.
DANGER Failure to follow this message may cause immediate threat of death or serious
injury, or complete failure of the equipment.
WARNING Failure to follow this message may result in death or serious injury, or
complete failure of the equipment.
CAUTION Failure to follow this message may cause injury or failure to the equipment.
NOTE A note is not related to product safety, but provides information about the
correct use and operating procedures to prevent incorrect operation and
malfunction of the equipment.
Labels Attached to the Unit
Make sure to read the warning labels attached to the unit and comply with these requirements while
operating the unit.
CAUTION Do not damage or erase the warning labels attached to the unit.
These warning labels contain descriptions important for handling and
operating the unit properly and safely. A damaged label may compromise
safe operation.
iii

DS-7200 System
DANGER
Risk of explosion if used in the presence of flammable anesthetics.
CAUTION
Before connecting, read instruction manual.
CAUTION
To reduce the risk of electric shock, do not remove the cover.
Refer servicing to qualified service personnel.
DANGER
•Use only the batteries specified for this
device.
•Do not disassemble or modify the battery.
The battery incorporates protection circuitry
for safety purposes.
WARNING
•Installation of the battery should be
performed only by our service
representative, to avoid any risk of electric
shock to the operator or malfunction of the
device.
CAUTION
•The life cycle of the battery is 1 year.
•The battery charges when the power cord is
connected to a hospital-grade outlet.
•It takes approximately 2.5 hours to fully
charge an empty battery.
iv

HU-71/HU-72/HU-73 Option Unit
DANGER
Risk of explosion if used in the presence of flammable anesthetics.
CAUTION
Before connecting, read instruction manual.
CAUTION
To reduce the risk of electric shock, do not remove the cover.
Refer servicing to qualified service personnel.
＜HU-71＞
OAO-12B Battery Pack
v

Measurement Unit for Each Parameter
The measurement units for this equipment are as follows.
Detail Parameter Display Unit Default
ECG HR bpm
Invasive Blood Pressure PR_IBP bpm
SpO2PR_SpO2bpm
Heart Rate / Pulse
Rate Non-Invasive Blood
Pressure PR_NIBP bpm
ST Level ECG ST mm, mv mm
VPC ECG VPC bpm
Impedance Respiration RR_IMP Bpm
CO2RR_CO2Bpm
Respiration Rate Ventilator RR_VENT Bpm
Impedance Respiration APNEA s (second)
CO2APNEA s (second)
Apnea Ventilator APNEA s (second)
Invasive Blood
Pressure Invasive Blood Pressure BP mmHg, kPa
cmH2O (CVP only) mmHg
Non-Invasive Blood
Pressure Non-Invasive Blood Pressure NIBP mmHg, kPa mmHg
SpO2SpO2%
Arterial Oxygen
Saturation Perfusion Index PI %
Temperature Temperature TEMP
°C / °F °C
End-Tidal CO2
Concentration CO2EtCO2mmHg, kPa, % mmHg
Inspiratory CO2
Concentration CO2InspCO2mmHg, kPa, % mmHg
Cardiac Output CO L/minute
Cardiac Output Cardiac Index CI L/minute/m2
Blood Temperature Blood Temperature Tb °C / °F °C
Injectate
Temperature Injectate Temperature Ti °C / °F °C
Airway Flow Airway Flow AWF L/minute
Airway Pressure Airway Pressure AWP cmH2O
Expiratory Tidal Volume E_TV mL
Inspiratory Tidal Volume I_TV mL
Tidal Volume TV mL
Tidal Volume
Inspiratory/Expiratory Ratio I:E (none)
Minute Volume MV L/minute
Respiratory Minute
Volume Spontaneous Minute
Volume SMV L/minute
Compliance COMP mL/cmH2O
Static Compliance S_COMP mL/cmH2O
Compliance Dynamic Compliance D_COMP mL/cmH2O
Expiratory Resistance E_RES cmH2O/L/Sec
Inspiratory Resistance I_RES cmH2O/L/Sec
Static Airway Resistance S_RES cmH2O/L/Sec
Airway Resistance
Dynamic Airway Resistance D_RES cmH2O/L/Sec
Mean Airway Pressure MEAN cmH2O
Maximum Airway Pressure PEAK cmH2O
Pause Airway Pressure PAUSE cmH2O
Airway Pressure
Minimum Airway Pressure P_Min cmH2O
bpm: beats per minute
Bpm: breaths per minute
vi

Detail Parameter Display Unit Default
Spontaneous
Respiration Spontaneous Respiration S_RR Bpm
Peak End Expiratory
Pressure Peak End Expiratory Pressure PEEP cmH2O
Fraction of
Inspiratory Oxygen Fraction of Inspiratory Oxygen FIO2%
Mixed Venous Oxygen
Saturation SvO2%
Central Venous Oxygen
Saturation ScvO2%
Arterial Oxygen Saturation SaO2%
Oxygen Uptake Index O2EI %
Oxygen Transport DO2mL/minute
Oxygen Consumption VO2mL/minute
Stroke Volume SV mL
Stroke Volume
(STAT Mode) SV_STAT mL
Stroke Volume Index SVI mL/m2
Stroke Volume Index
(STAT Mode) SVI_STAT mL/m2
Heart Rate HR bpm
(beats per minute)
Mean Arterial Pressure MAP mmHg
Central Venous Pressure CVP mmHg
Continuous Cardiac Output CCO L/minute
Continuous Cardiac Output
(STAT Mode) CCO_STAT L/minute
Continuous Cardiac Index CCI L/minute/m2
Continuous Cardiac Index
(STAT Mode) CCI_STAT L/minute/m2
Systemic Vascular
Resistance SVR dynes-sec/cm5
Systemic Vascular
Resistance Index SVRI dynes-sec/cm5
Blood Temperature BT °C
Ejection Fraction EF %
Ejection Fraction
(STAT Mode) EF_STAT %
End-Diastolic Volume EDV mL
End-Diastolic Volume
(STAT Mode) EDV_STAT mL
End-Diastolic Volume Index EDVI mL/m2
End-Diastolic Volume Index
(STAT Mode) EDVI_STAT mL/m2
End-Systolic Volume ESV mL
End-Systolic Volume Index ESVI mL
Vigilance Data
・Vigilance
・Vigilance CEDV
・VigilanceΙΙ
・Vigileo
Stroke Volume Variance SVV %
Bispectral Index BIS (no unit)
Signal Quality Index SQI %
Electromyograph EMG dB
BIS Monitor Data
Suppression Ratio SR %
vii

Graphic Symbols
Refer following for the meaning of the symbols indicated on the equipment.
Symbols indicated on the equipment
Symbol Description
Caution; refer to accompanying documents
Indicates the need to refer to related accompanying documents before
operation.
Equipotential Terminal
Indicates the terminal to equalize the potential difference when
interconnecting the devices.
Inhibition
The operation is inhibited. Refer to the instruction.
Protective Earth
Indicates the protective earth inside the equipment.
Alternating Current
(Main Power Input Indicator)
Direct Current
Battery Charge
(Battery Charge Indicator)
“OFF” for a Part of an Equipment
Indicates the “OFF” condition for a part of an equipment.
“ON” for a Part of an Equipment
Indicates the “ON” condition for a part of an equipment.
Electrostatic Sensitive Part
Directly touching this connector part with hands should be avoided.
Type CF Applied Part with Defibrillation-Proof
Indicates the degree of protection against electric shock is Type CF
Applied Part with defibrillation-proof.
Type BF Applied Part with Defibrillation-Proof
Indicates the degree of protection against electric shock is Type BF
Applied Part with defibrillation-proof.
Type BF Applied Part
Indicates the degree of protection against electric shock is Type BF
Applied Part.
Signal Output Part
GAS Output Part
GAS
viii

Symbol Description
Signal Input Part
Manufactured Date
TCP/IP Network Connector
Connects to TCP/IP network.
RS-232C Connector
Connects the related device.
Eject
Indicates the switch to remove the recorder paper cassette.
ix

Symbols displayed on the screen
Symbol Description
Battery Mark
During battery operation, battery status will be displayed.
Alarm OFF
Indicates the alarm is OFF.
Heart Rate Synchronization Mark
This mark flashes synchronizing to the heartbeat.
Respiration Synchronization Mark
This mark flashes synchronizing to the inspiration.
Event Key
This mark will be displayed when an alarm generates. Whether or not to
display this icon can be selected on the monitor setup menu.
Device Configuration Icon
This mark will be displayed when device configuration has changed.
Whether or not to display this icon can be selected on the monitor setup
menu.
Message Icon
This mark will be displayed inside the parameter key when an alarm
message is present for that parameter. Whether or not to display this icon
can be selected on the monitor setup menu.
TCON Antenna Mark
Indicates the receiving condition of the Bidirectional Wireless
Communication Module (HTC-702).
SEC Alarm Display
Indicates the SEC alarm status.
Scroll Keys
These keys will allow to scroll the screen.
Laser Printer
This mark will be displayed when a laser printer connected to the TCP/IP
network is used.
Laser Printer Output
Indicates the current printing progress.
x

Precautions for Safe Operation of Medical Electrical Equipment
CAUTION
Read the following precautions thoroughly to correctly operate the device.
zUsers should have a thorough knowledge of the operation before using this
system.
zPay attention to the following when installing and storing the equipment.
yDo not install or store in an area where the equipment will be subject to
splashing water.
yDo not install or store in an area where the environmental conditions,
such as atmospheric pressure, temperature, humidity, ventilation,
sunlight, dust, sodium, sulfur, will adversely affect the system.
yPlace the equipment on a stable surface where there is no inclination,
vibration, or shock (including during transportation).
yDo not install or store in an area where there are chemical or gasses
stored.
yVerify the power frequency, voltage and allowable current (or power
consumption).
yEnsure the grounding is proper by connecting the accompanying power
cable to the hospital grade outlet.
yDo not install the equipment in a location where it is difficult to unplug
the power cable.
zBefore operating the system, verify the following items.
yVerify the power voltage.
yCheck the cable connection and polarity to ensure proper operation of
the equipment.
yMake sure the power system has adequate earth ground.
yEnsure that all cables are firmly and safely connected.
yPay special attention when the device is used in conjunction with other
equipment as it may cause erroneous judgment and danger.
yEnsure all patient connections are proper and secure.
zDuring operation of the system, verify the following items.
yAlways observe the system and patient to ensure safe operation of the
equipment.
yIf any abnormality is found on the equipment or patient, take
appropriate measures such as ceasing operation of the equipment in
the safest way for the patient.
yDo not allow the patient to come in contact with the device.
zAfter using the system, verify the following items.
yUnplug all the cables from the patient before turning off the power.
yWhen unplugging the cables, do not apply excessive force by pulling on
the cord. Pull by the connector part of the cable.
yClean the accessories and cables, and keep them together in one
place.
yKeep the unit clean to ensure proper operation of the next use.
zIf the equipment is damaged and in need of repair, user should not attempt
service. Label the unit “OUT OF ORDER” and contact Fukuda Denshi.
zDo not remodel the equipment.
zMaintenance Check
yMake sure to periodically check the equipment, accessories and cables.
yBefore reusing the device that has been left unused for a while, make
sure that the device works normally and safely.
zWhen using the electrosurgical knives or defibrillator with this equipment,
verify proper attachment of patient ground plate, ECG electrode type for the
electrosurgical knives, and paste volume, output energy for the defibrillator.
Also, verify that proper ground is selected.
xi

Precautions for Safe Operation of Medical Telemetry
CAUTION
Precautions for Safe Operation of Medical Telemetry
To operate the device correctly, read the following precautions carefully.
zThe medical institution (hereinafter referred as “Institution”) must decide the
telemetry installation plan for the medical institution in order to prevent
interference and interference between transmitters (telemetry based on
destination country’s radio law).
zWhen using telemetry which requires zone location, the institution is to set
up the zones as an operation unit for each transmitter to prevent electronic
interference between telemetry throughout the medical institution.
zWhen using telemetry which requires zone location, display and identify
each prepared zone in the equipment.
zWhen laying receiver antenna for each transmitter, the institution has to be
examined so as not to generate electronic interference.
zBased on the above examination result, the institution places each receiver
antenna as required.
In managing, be sure to follow the precautions below.
zThe institution appoints a person to manage the wireless channels for the
whole medical institution. And when using telemetry which requires zone
location, the institution nominates a person to manage the wireless
channels in each zone (a “Zone Manager”). However, when using such
telemetry in a local medical institution, one person can perform both
functions.
zSelect a telemetry manager who understands the characteristics and
functionality of telemetry systems, and is skilled in operating telemetry.
zWhen installing telemetry, the Overall Manager and the Zone Manager
have to understand the precautions for use of the telemetry in advance.
zThe Overall Manager takes responsibility of wireless channel management
and transmitter storage for the whole medical institution by giving proper
instruction.
zThe Overall Manager creates a management log, list of wireless channels,
management status for the whole medical institution (hereinafter referred to
as the “management log”). When changing a wireless channel, register it in
the log and give proper instructions to the zone manager or to the user.
zThe Zone Manager assumes responsibility for managing the wireless
channels, storing, and managing telemetry.
zThe Zone Manager assigns the transmitter to the user, and provides
enough education for use inside the zone.
zThe telemetry user verifies operation of the transmitter/receiver before use.
zThe telemetry user, if using the telemetry in a zone location, follows the
instructions of the zone manager for the zone and gives instructions to the
patient if required.
zWhen interference or breakdown occurs in telemetry communication, the
user is required to inform the zone manager and the overall manager of the
problems. The zone manager and overall manager are to deal with the
problem properly and/or contact their nearest Fukuda Denshi
representative for service.
xii

Precautions about the Maintenance
Safety Inspection and Maintenance
For safe operation of the equipment, regular inspection and maintenance is required. Once a year,
check all cables, devices, and accessories for damage, earth impedance, earth and leakage currents,
and all alarm functions. Also, ensure that all safety labels are legible. Maintain a record of these safety
inspections.
Immediate maintenance has to be carried out if ;
ythe equipment was subjected to extreme mechanical stress, e.g. after a heavy fall.
ythe equipment was subjected to liquid spill.
ythe monitoring function is interrupted or disturbed.
yparts of the equipment enclosure are cracked, removed, or lost.
yany connector or cable shows signs of deterioration.
Reference Refer to “10. Maintenance” for details.
WARNING Never open the housing while the equipment is in operation or connected to
hospital grade outlet as it may result in electric shock.
Maintenance, Modifications, and Repairs
Fukuda Denshi is liable for the safety, reliability, and performance of its equipment only if;
yMaintenance, modifications, and repairs are carried out by authorized personnel.
yComponents are used in accordance with Fukuda Denshi operating instructions.
A full technical description of the DS-7200 system is available from your local Fukuda Denshi
representative.
Precautions about the Pacemaker
WARNING
zMinute ventilation rate-adaptive implantable pacemakers can
occasionally interact with certain cardiac monitoring and diagnostic
equipment, causing the pacemakers to pace at their maximum
programmed rate. The cardiac monitoring and diagnostic equipment may
possibly send wrong information.
If such event occurs, please disconnect the cardiac monitoring and
diagnostic equipment, or follow the procedures described in the operation
manual of the pacemaker.
(For more details, contact FUKUDA DENSHI personnel, your institution’s
professionals, or your pacemaker distributors.)
Reference
“Minute Ventilation Rate-Adaptive Pacemakers”
FDA alerts health professionals that minute ventilation
rate-adaptive implantable pacemakers can occasionally
interact with certain cardiac monitoring and diagnostic
equipment, causing pacemakers to pace at their maximum
programmed rate.
[Based on a safety bulletin issued by FDA Center for Devices
and Radiological Health on October 14, 1998]
zRate 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 equipment.
xiii

Non-Explosion Proof
DANGER Never operate the equipment in the presence of flammable anesthetics, high
concentration of oxygen, or inside hyperbaric chamber. Also, do not operate
the equipment in an environment in which there is a risk of explosion.
Explosion or fire may result.
Defibrillation Safety
WARNING
zWhen defibrillating, keep away from the electrodes or medicament
applied to the patient chest. If this is not possible, remove the electrodes
or medicament before defibrillating.
If the defibrillator paddles directly contact the electrodes or medicament,
electrical shock may result by the discharged energy.
zWhen defibrillating, make sure that the electrodes, sensor cables, or relay
cables are firmly connected to the device.
Contacting the metal part of the disconnected cable may result in
electrical shock by the discharged energy.
zWhen defibrillating, do not touch the patient and the metal part of the
device or cables. Electric shock may result by the discharged energy.
zThis equipment will return to standard operating mode within 10 seconds.
The stored data will not be affected. The measurement accuracy will
temporarily decrease during defibrillation, but it will not compromise the
safety of patient and the equipment.
Electrosurgery Safety
WARNING
The monitoring system contains protection against interference generated by
electrosurgical instruments. However, operating conditions, surgery site with
respect to the location of ECG electrodes, or the type of instrument used, may
cause noise on the ECG. The noise is generated at the tip of an electrical knife
and is difficult to completely eliminate because of the frequency components of
the ECG. To reduce electrosurgical interference, take the following
precautions:
Location
Locate the electrosurgical unit as far as possible from this unit and the
patient cable. This will help reduce interference on the ECG through the
monitor or cables.
Power Supply
Connect the electrosurgical unit to a power supply that is different from that
of the monitor. This will help prevent interference through the power cable.
Electrode Placement
The amount of interference is considerably different depending on the
electrode position and surgery site. Place the ECG electrodes as far away
as possible from the surgery site and the ground plate. Do not place
electrodes in the path between the surgery site and the ground plate. If the
electrodes are placed in this path, the amount of interference will be quite
large. Position (+) and (–) electrodes as close as possible to each other.
Ground Plate
When using electrosurgical instruments, make sure the contact between
the patient and the ground plate is secure. If the connection is incomplete,
the patient may suffer a burn at the electrode site.
xiv

Precautions about Magnetic Resonance Imaging
WARNING
zDo not operate this equipment in magnetic resonance imaging (MRI)
environments.
zWhen conducting MRI test, remove the electrodes and sensors connected
to the patient (test subject).
The local heating caused by the induced electromotive force may cause
burn injury to the patient (subject). For details, refer to the operation
manual for the MRI testing device.
Precautions about Connections to Peripheral Devices
In the interest of safe and sufficient performance of this equipment, the connection of other
manufacturers’ equipment to the monitor is not authorized, unless the connection is explicitly approved
by Fukuda Denshi. It is the user’s responsibility to contact Fukuda Denshi to determine the compatibility
and warranty status of any connection made to another manufacturer’s equipment.
WARNING For the connector with mark, only the peripheral devices specified by
Fukuda Denshi should be connected with the given procedure. Use of an
unspecified device may cause electric shock to the patient and/or operator due
to excessive leakage current.
CAUTION
All the peripheral device connectors on the DS-7200 system are isolated from
the power supply. The connecting peripheral devices should comply with
IEC 60601-1 or should be isolated with the isolation transformer in compliance
with IEC 60601-1. To prevent danger of electric shock, always position the
peripheral devices away from the patient.
When connecting peripheral devices to DS-7200 system, it is the user’s responsibility to verify that the
overall system complies with IEC 60601-1-1, “Collateral Standard: Safety Requirements for Medical
Electrical Systems”.
Precautions about the Fuse
DANGER If the fuse blows, contact Fukuda Denshi Service Representative. Do not
continue using it as internal damage to the equipment may be considered.
Accessories and Optional Accessories
WARNING Use only the cables specified by Fukuda Denshi.
Not only the DS-7200 cannot deliver its maximum performance but may
also result in increase in emission or decrease in immunity.
xv

Precautions about the DS-7200 System
DANGER When connecting to other device, contact Fukuda Denshi service
representative.
Danger such as electric shock may result to the patient and operator.
WARNING
zThe DS-7200 system is not a life-support equipment.
zThe DS-7200 system is not intended for use during patient transport
outside a healthcare facility, and is not considered as mobile equipment.
zDo not connect unit or cable not authorized by Fukuda Denshi to any I/O
connector. If done so by mistake, the DS-7200 system cannot deliver its
maximum performance and the connected units may be damaged,
resulting in a safety hazard.
zIf the DS-7200 system is used under an environment not fulfilling the
specified condition, not only that the equipment cannot deliver its maximum
performance, the equipment may be damaged and safety cannot be
ensured. If using the equipment under condition other than specified,
contact our service representative.
zUse only the supplied 3-way AC power cable. Use of other cables may
result in electric shock to the patient and the operator.
zThe power cable must be connected to the hospital grade outlet.
zWhen using multiple ME equipment simultaneously, perform equipotential
grounding to prevent potential difference between the equipment. Even a
small potential difference may result in electric shock to the patient and the
operator.
zThe setup for the alarm mode and display mode remains stored even when
the power is turned off or when discharging procedure is performed. Before
monitoring, make sure the current monitoring mode is suitable for the
patient’s condition.
zThe patient classification selection influences the precision of the QRS
detection and NIBP measurement. Make sure the correct selection is
made.
zThe pacemaker use selection influences the precision of the QRS
detection and arrhythmia analysis. Make sure the correct selection is made.
zIf the QRS pace mask function is set to OFF , 10ms , or 20ms ,
the pace pulse may be erroneously be detected as a QRS complex and
HR/Asystole Alarms may not generate due to incorrect HR (counting pace
pulse as QRS complex).
Select OFF , 10ms , or 20ms only if you are sure that pacing failure
will not occur, or when the patient can be constantly monitored.
zBe cautious when setting the “SpO2Averaging” duration as the SpO2alarm
is based on the displayed SpO2value which is averaged from the duration
set in “SpO2Averaging”. The alarm occurrence time will be affected or may
not occur for the transient value of SpO2depending on the set duration.
(For Masimo®SpO2unit)
zWhen measuring the SpO2of patient with high fever or peripheral
circulatory insufficiency, check the sensor attachment periodically and
change the attachment site. The temperature of the attachment site will rise
2 to 3°C due to the sensor heat which may result in compression necrosis
and burn injury.
zFor the following case, accurate measurement of SpO2 may not be
possible.
yPatient with excessive abnormal hemoglobin (COHb, MetHb)
yPatient with the pigment injected to the blood
yPatient receiving CPR treatment
yWhen a sensor is applied to a limb with NIBP cuff, arterial catheter, or
intracatheter
yWhen measuring at site with venous pulse
yPatient with body motion
yPatient with small pulse
xvi

WARNING
zUse only specified NIBP cuff. Refer to “12. Optional Accessories”, for list of
specified NIBP cuffs. These accessories may be purchased from Fukuda
Denshi or NIBP cuff manufacturer that Fukuda Denshi recommends.
zBefore the NIBP measurement, make sure the patient classification
( Adult / Child / Neonate ) is properly selected. Otherwise, correct
measurement cannot be performed, and congestion or other injury may
result.
zUse nonconductive parts for the BP circuit other than the transducer.
Otherwise, the operator may get an electric shock if he/she touches a
conductive part during defibrillation.
zFor MGU-721 with CAPNOSTAT 5®CO2sensor, use only specified airway
adapter manufactured by “Respironics Novametrix, LLC”. Refer to “12.
Optional Accessories”, for list of specified “Respironics Novametrix, LLC”
airway adapters. These accessories may be purchased from Fukuda
Denshi or any authorized “Respironics Novametrix, LLC” distributor.
zFor MGU-722, use only specified breath sampling products manufactured
by “Oridion Medical 1987 Ltd.”. Refer to “12. Optional Accessories”, for list
of specified “Oridion Medical 1987 Ltd.” FilterLine®sampling products.
These accessories may be purchased from Fukuda Denshi or any
authorized “Oridion Medical 1987 Ltd.” distributor.
zWhen monitoring CO2(MGU-721/MGU-722), always consider the
circumference of the intubation tube when using the airway adapter. If
inappropriate airway adapter is used for a patient with low ventilation, CO2
may mix in to the inspired air resulting in incorrect measurement, or apnea
detection may become difficult.
zWhen the system alarm is suspended, all the alarm will be suspended even
if the parameter alarm is set to ON. Also, the alarm event will not be stored
as recall.
zIf the upper/lower alarm limit of the parameter is set to OFF, or arrhythmia
alarm is set to OFF, alarm will not function even if the system alarm is set to
ON. Pay attention when setting them OFF.
zWhen a parameter is in a connector-off condition, the alarm will be
generated only on the bedside monitor and not on the central monitor.
Make sure that the connector is securely connected. If the
waveform/numeric data is not displayed for a monitored parameter, check
the patient’s condition and pay attention not to miss the connector-off
condition.
zObjective and constant arrhythmia detection is possible through the fixed
algorithm incorporated in this monitor. However, excessive waveform
morphology change, motion artifact, or the inability to determine the
waveform pattern may cause an error, or fail to make adequate detection.
Therefore, physicians should make final decisions using manual recording,
alarm recording and recall waveform for evaluation.
zThe HR/PR alarm will not be generated unless the parameter key
corresponded to the selected HR/PR source is displayed. Be sure to
display the parameter key for the HR/PR source.
zThe alarm for the parameter not selected for the “HR/PR Alarm Source”
(ECG/SpO2/BP) will be set to OFF on the DS-7600 Central Monitor.
yThe “HR/PR Alarm Source” setting will synchronize between the bedside
monitor and the central monitor.
yFor example, if PR is set as the HR/PR alarm source on the DS-7200, HR
alarm will be set to OFF on the central monitor.
zThe purpose of the apnea alarm is to alert the user to evaluate for the
possible occurrence of apnea events by identifying the absence of
respiration. It is not intended to be classified as an “Apnea Monitor” and will
not identify the condition creating the possible event. (Central, Obstructive
or Mixed.)
zWhen “Alarm System” setting (IEC/FUKUDA DENSHI) is changed on the
Monitor Setup menu, make sure to check the alarm sound and alarm
indicator.
zWhen PURITAN-BENNETT Ventilator is used, APNEA alarm will not
generate if ventilator is the RR/APNEA alarm source.
xvii

WARNING
zWhen selecting Silence , Time Disp. Only or OFF (Alarm Pole) for
the night mode, pay attention not to miss any important alarm by
simultaneously monitoring the bed on other monitors such as central
monitor.
zFor the alarm mode, it is recommended to program the alarm mode in
rough classification such as patient’s age, monitoring purpose (ICU or
surgery), and if necessary, perform unique setup for each patient.
zThe RR/APNEA alarm will not be generated unless the parameter key
corresponded to the selected RR/APNEA source is displayed. Be sure to
display the parameter key for the RR/APNEA source.
zWhen lifting this device, hold the handle of the main unit.
zThe “QRS SYNC” signal (No. 1) of the Status II connector is a delay output.
(delay: 30 to 75msec, signal width: 100msec). Do not use it as a
synchronizing signal for the defibrillator. Make sure the delay time of QRS
SYNC signal fulfills the specifications of the connected device.
zAnalog signal is a delay output. (about 35ms for ECG, BP) When
connecting to a device using vital signs as trigger signals (ex. IABP), make
sure the delay time fulfills the specifications of the connected device. The
delay time may differ depending on the waveform shape or artifact
interference.
zThe slave monitor output of the DS-7200 is not isolated. If connecting a
commercially available display unit which does not comply with IEC 60601,
use an isolation transformer to ensure there is no excessive electric
leakage current for safety of the operator and the patient.
zWe cannot assure proper operation if TCP/IP network is connected
incorrectly. When changing the network setting or upgrading the printer,
contact our service representative.
zMake sure not to duplicate the IP address for DS-7200 system, laser
printer, and the server.
zAs DS-7200 is not corresponded to DHCP (Dynamic Host Configuration
Protocol) IP address, set the IP address excluded at DHCP if DHCP server
is in the network configuration.
zBe careful not to confuse the HUB used for the DS-LANΙΙ/ΙΙΙ network and
the HUB for the TCP/IP network. We cannot assure proper operation if
used improperly.
zUse a 10M repeater HUB recommended by Fukuda Denshi for the
DS-LANΙΙ network. If a 100M HUB or a switching HUB is used, a
communication error may occur.
zOn the network configuration menu, when a setting is changed and
Enter key is pressed, a caution message will be displayed. All monitoring
operation will be suspended until the system is restarted.
xviii