Fukuda Denshi DynaScope 7000 Series User manual


Operation Manual
DynaScope 7000 Series
Patient Monitor
DS-7000 System
0086
Ver.06
《MonitoringOperation》

This operation manual is for the DS-7000 System Version 06.
This device bears the CE label in accordance with the provisions
of Medical Device Directive 93/42/EEC.
The above mark "CE" is applied to the product that operates on 230V, 50Hz.
THE PERSONS RESPONSIBLE FOR PLACING DEVICES ON THE EC MARKET UNDER
MDD 93/42/EEC
Fukuda Denshi UK
13 Westminster Court, Hipley Street Old Woking, Surrey, GU22 9LG, United Kingdom
CAUTION:
•This device is only 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.
Copyright ©2012 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························································· ix
Precautions for Safe Operation of Medical Electrical
Equipment···································································· x
Precautions for Safe Operation of Medical Telemetry· xi
Precautions about the Maintenance····························xii
Precautions about the Pacemaker ·····························xiii
Non-Explosion Proof ··················································xiii
Defibrillation Safety ····················································xiii
Electrosurgery Safety·················································xiv
Precautions about Magnetic Resonance Imaging······xiv
Precautions about Connections to
Peripheral Devices····················································· xv
Precautions about the Fuse ······································· xv
Accessories and Optional Accessories ······················ xv
Precautions about the DS-7000 ·································xvi
Precautions about the Wired Network System
(DS-LAN II/DS-LAN III) ············································xxvi
Precautions about the Wireless Network System ····xxix
Precautions about the Ventilator Monitoring ·············xxx
Precautions for Use of SpO2Sensor·························xxx
Precautions for Masimo®Model: DS-7000M············xxxi
Precautions for Use of NIBP Cuff·····························xxxi
Disposing of Equipment, Accessories, or Components
·················································································xxxi
Precautions about Transportation ····························xxxi
Precautions about RTC or Data Backup ··················xxxi
To Prepare for Emergency Use ·······························xxxi
Electromagnetic Compatibility ································· xxxii
Precautions for Safe Operation under Electromagnetic
Influence ································································· xxxii
EMC Guidance························································ xxxii
●Compliance to the Electromagnetic Emissions
······································································ xxxiii
●Compliance to the Electromagnetic Immunity (1)
······································································ xxxiii
●Compliance to the Electromagnetic Immunity (2)
······································································ xxxiv
●Recommended Separation Distances between
Portable and Mobile RF Communications
Equipment and the DS-7000··························xxxv
i

Composition of This Operation Manual
The DS-7000 Operation Manual is composed of the following 2 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, setup
procedures, maintenance, specification, accessories, etc.
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. Installation : Describes about the environment for use, wireless system, etc.
9. Initial Settings : Describes the procedure to set the initial settings which should be
preprogrammed before monitoring a patient.
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 important descriptions for handling and
operating the unit properly and safely. A damaged label may compromise
safe operation.
iii

DS-7000 Patient Monitor
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.
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＞

MGU-701/MGU-702 Multigas 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.
＜MGU-701＞
MGU-801P/MGU-802/MGU-803 Multigas Unit (Optional)
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.
v
＜MGU-801P＞

Measurement Unit for Each Parameter
The measurement units for this equipment are as follows.
Detail Parameter Display Unit Default
ECG HR
bpm
(beats per minute)
Invasive Blood Pressure PR-IBP bpm
(beats per minute)
SpO2PR-SpO2bpm
(beats per minute)
Heart Rate / Pulse
Rate
Non-Invasive Blood
Pressure PR-NIBP bpm (beats per minute)
ST Level ECG ST mm, mv mm
VPC ECG VPC bpm
(beats per minute)
Impedance Respiration RR-IMP Bpm
(breaths per minute)
CO2RR-CO2Bpm
(breaths per minute)
Respiration Rate
Ventilator RR-VENT
Bpm
(breaths per minute)
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
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
Inspiratory Tidal Volume I-TV mL
Expiratory Tidal Volume E-TV mL
Tidal Volume
Tidal Volume TV mL
Respiratory Minute
Volume Minute Volume MV L/minute
Compliance Compliance COMP mL/cmH2O
Inspiratory Resistance I-RES cmH2O/L/Sec
Airway Resistance Expiratory Resistance E-RES cmH2O/L/Sec
Mean Airway Pressure MEAN cmH2O
Maximum Airway Pressure PEAK cmH2O
Pause Airway Pressure PAUSE cmH2O
Peak End Expiratory
Pressure PEEP cmH2O
Airway Pressure
Fraction of Inspiratory
Oxygen VFiO2%
vi

Detail Parameter Display Unit Default
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 B-Temp °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 %
End Tidal Carbon Dioxide EtCO2mmHg, kPa, % mmHg
Inspired Carbon Dioxide In-CO2mmHg, kPa, % mmHg
Expired Oxygen Ex-O2%
Inspired Oxygen FiO2%
Expired Nitrous Oxide Ex-N2O %
Inspired Nitrous Oxide In-N2O %
Expired Agent Gas Ex-AGT %
Inspired Agent Gas In-AGT %
Gas Unit Data
MAC Value MAC No unit
vii

Detail Parameter Display Unit Default
Cardiac Output
(Average Mode) CO L/min
Cardiac Index CI L/min/m2
Cardiac Output (Fast Mode) CO-F L/min
Carbon Dioxide Emission VCO2mL/min
Minute Ventilation MV L/min
Alveolar Minute Ventilation MVAL L/min
Expiratory Tidal Volume TV-E mL
Inspiratory Tidal Volume TV-I mL
Peak Inspiratory Pressure PIP cmH2O
Mean Airway Pressure MAP cmH2O
Peak End Expiratory
Pressure PEEP cmH2O
Dynamic Compliance CDYN mL/cmH2O
Airway Resistance RAW cmH2O/L/sec
End-Tidal CO2
Concentration EtCO2mmHg
Respiration Rate RR Bpm
Arterial Oxygen Saturation SpO2%
Pulse Rate PR bpm
Stroke Volume SV mL
Expired Carbon Dioxide
Partial Pressure PECO2mmHg
Airway Deadspace Volume VDAW mL
NICO Monitor Data
Alveolar Tidal Volume VTALV mL
Bispectral Index BIS (no unit)
Signal Quality Index SQI %
Electromyograph EMG dB
Suppression Ratio SR %
Spectral Edge Frequency SEF Hz
Total Power TOTPOW dB
BIS Monitor Data
Impedance IMP Kohms
aepEX Monitor Data Index of anesthesia depth aepEX (no unit)
Arterial Oxygen Saturation SpO2(R) %
Pulse Rate PR(R) bpm
(beats per minute)
Perfusion Index PI (R) %
Pleth Variability Index PVI (R) %
Carboxyhemoglobin
Concentration SpCO (R) %
Methemoglobin
Concentration SpMet (R) %
Total Hemoglobin
Concentration SpHb (R) g/dL
Radical-7
Monitor Data
Oxygen Content SpOC (R) mL/dL
viii