Gima VITAL PRO-SNET PC-900PRO User manual

PROFESSIONAL MEDICAL PRODUCTS
GIMA VITAL SIGNS MONITORS
VITAL PRO-SNET
User manual
Gima S.p.A.
Via Marconi, 1 - 20060 Gessate (MI) Italy
[e-mail] - [e-mail]
www.gimaitaly.com
M-35124-GB-Rev.0.04.18
0123
Shenzhen Creative Industry Co., Ltd.
2/F Block 3 Nanyou Tian’an Industry Town
518054 Shenzhen, GD - P.R.C.
Made in China (P.R.C.)
Shanghai International Holding Corp. GmbH (Europe)
Eiffestrasse 80, 20537 Hamburg - Germany
ATTENTION: The operators must
carefully read and completely understand
the present manual before using the product.
35124 / PC-900PRO(SNET)

2
This Manual is written and compiled in accordance with the IEC 60601-1 (Medical electrical equipment Part1:
General requirements for safety) and MDD 93/42/EEC. It complies with both international and enterprise stan-
dards and is also approved by State Technological Supervision Bureau. The Manual is written for the current
Gima Vital Signs Monitor.
The Manual describes, in accordance with the Gima Vital Signs Monitor’s features and requirements, main
structure, functions, specications, correct methods for transportation, installation, usage, operation, repair,
maintenance and storage, etc. as well as the safety procedures to protect both the user and equipment. Refer
to the respective chapters for details.
The Manual is published in English and we have the ultimate right to explain the Manual. No part of this manual
may be photocopied, reproduced or translated into another language without the prior written consent. We re-
serve the right to improve and amend it any time without prior notice. Amendments will however be published
in a new edition of this manual.
Version of This Manual: Ver 1.7
Revised Date: May 4th , 2017
Manufactured date: See label on device
All rights reserved.
Marks in the Manual:
Caution: must be followed to avoid endangering the operator and the patient.
Attention: must be followed to avoid causing damage to the Gima Vital Signs Monitor.
☞Note: some important information and tips about operations and application.

3
Instructions to User
Dear Users,
Thank you very much for purchasing our product. Please read the following information very carefully before
using this device.
Read these instructions carefully before using this Gima Vital Signs Monitor. These instructions describe the
operating procedures to be followed strictly. Failure to follow these instructions can cause monitoring abnor-
mity, equipment damage and personal injury. The manufacturer is NOT responsible for the safety, reliability
and performance issues and any monitoring abnormality, personal injury and equipment damage due to user’s
negligence of the operation instructions.
The manufacturer’s warranty service does not cover such faults.
WARNING-PACEMAKER PATIENTS. This Gima Vital Signs Monitor may continue to count the pacema-
ker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon this monitor
ALARMS. Keep pacemaker patients under close surveillance.
Monitoring a single person at a time.
The Gima Vital Signs Monitor is debrillator proof. Verify that the accessories can function safely and nor-
mally and the monitor is grounded properly before conducting debrillation.
Disconnect the Gima Vital Signs Monitor and sensors before MRI scanning. Use during MRI could cause
burns or adversely affect the MRI image or the monitor’s accuracy.
If you have any doubt to the grounding layout and its performance, you must use the built-in battery to
power the Gima Vital Signs Monitor.
All combinations of equipment must be in compliance with standard of IEC 60601-1-1 for medical electric
system requirements.
Check SpO2probe application site periodically (every 30 minutes) to determine circulation, positioning and
skin sensitivity.
The SpO2probe of this Gima Vital Signs Monitor may not work for all testees. If stable readings can not be
obtained at any time, change appropriate probe or discontinue use of SpO2monitoring.
Do not immerse the Gima Vital Signs Monitor or its accessories in liquid to clean.
Do not use accessories other than those provided/recommended by the manufacturer.
Each time the Gima Vital Signs Monitor is used, check the alarm limits to ensure that they are appropriate
for the patient being monitored.
The Gima Vital Signs Monitor is intended only as an adjunct in patient assessment. It must be used in con-
junction with clinical signs and symptoms.
When taking the measure of an pediatric or neonate’s (less than 10 years old) blood pressure, do NOT ope-
rate in the adult mode. The high ination pressure may cause lesion or even body putrescence.
The Gima Vital Signs Monitor is prohibited from applying to those who have severe hemorrhagic tendency
or who are with sickle cell disease for they may develop partial bleeding when this monitor is used to take
the blood pressure measurement.
DO NOT take blood pressure measurement from a limb receiving ongoing transfusion or intubation or skin
lesion area, otherwise, damages may be caused to the limb.
Continuous use of SpO2sensor may result in discomfort or pain, especially for those with micro-circulatory
problem. It is recommended that the sensor should NOT be applied to the same place for over two hours,
change the measuring site periodically if necessary.

4
SpO2measuring position must be examined more carefully for some special patient. Do NOT install the
SpO2sensor on the nger with edema or vulnerable tissue.
To prevent the risk of the short circuit and to ensure the ECG signal quality, the equipment must be properly
grounded.
Although biocompatibility tests have been performed on all the applied parts, some exceptional allergic
patients may still have anaphylaxis. Do NOT apply to those who have anaphylaxis.
All the connecting cables and rubber tubes of the applying parts should be kept away from the patient’ s
cervix to prevent any possible suffocation of the patient.
All the parts of the Gima Vital Signs Monitor should NOT be replaced at will. If necessary, please use the
components provided by the manufacturer or those that are of the same model and standards as the ac-
cessories along with the monitor which are provided by the same factory, otherwise, negative effects con-
cerning safety and biocompatibility etc. may be caused.
DO NOT stare at the infrared light of SpO2sensor when switch it on, for the infrared may do harm to the
eye.
If the Gima Vital Signs Monitor falls off accidentally, please do NOT operate it before its safety and technical
indexes have been tested minutely and positive testing results obtained.
It is recommended to take the blood pressure measurement manually. The automatic or continuous mode
should be used at the presence of a doctor/nurse.
Alarm limits should not be set to exceed the measuring range, or the alarm system will not generate alarm
signals because of no alarm condition. Refer to the Technical Specication for detailed measuring range.
Please peruse the relative content about the clinical restrictions and contraindication.
When disposing of the Gima Vital Signs Monitor and its accessories, the local law should be followed.
Do not replace the built-in battery when the device is at working state.

5
Table of Contents
Chapter 1 Overview ...................................................................................................................................... 7
1.1 Features .................................................................................................................................. 7
1.2 Product Name and Model....................................................................................................... 7
1.3 Intended Use .......................................................................................................................... 7
1.4 Safety...................................................................................................................................... 7
Chapter 2 Operating Principle..................................................................................................................... 8
2.1 Overall Structure..................................................................................................................... 8
2.2 Conformation.......................................................................................................................... 8
Chapter 3 Installation and Connection....................................................................................................... 9
3.1 Appearance............................................................................................................................. 9
3.1.1 Front Panel................................................................................................................... 9
3.1.2 Side Panel.................................................................................................................. 11
3.1.3 Rear Panel ................................................................................................................. 12
3.1.4 Underside of the Monitor........................................................................................... 12
3.2 Battery Installation ................................................................................................................ 13
3.3 Installation............................................................................................................................. 13
3.3.1 Opening the Package and Check.............................................................................. 13
3.3.2 Connecting the Power Supply ................................................................................... 14
3.3.3 Starting the Monitor ................................................................................................... 14
3.4 Sensor Placement and Connection ...................................................................................... 14
3.4.1 ECG Cable Connection.............................................................................................. 14
3.4.2 Blood Pressure Cuff Connection ............................................................................... 16
3.4.3 SpO2Sensor Connection .......................................................................................... 19
3.4.4 TEMP Transducer Connection ................................................................................... 20
3.4.5 Loading printer paper (if printer is installed) .............................................................. 21
Chapter 4 Operations ................................................................................................................................. 22
4.1 Initial Monitoring Screen ....................................................................................................... 22
4.2 Default Screen ...................................................................................................................... 22
4.3 Screen for Real-time ECG waveform Only ........................................................................... 25
4.4 Screen Display for ECG Waveform Recall ............................................................................ 25
4.5 NIBP List Screen................................................................................................................... 27
4.6 SpO2Data List Screen ......................................................................................................... 27
4.7 Alarm Event List Screen........................................................................................................ 28
4.8 Trend Graph Display (for SpO2Option) ................................................................................ 28
4.9 Setup Menu Screen .............................................................................................................. 29
4.9.1 ECG Setup ................................................................................................................. 30
4.9.2 SpO2Setup ............................................................................................................... 31
4.9.3 NIBP Setup ................................................................................................................ 32
4.9.4 TEMP Setup............................................................................................................... 34
4.9.5 Hemostat Setup (Optional) ........................................................................................ 34
4.9.6 Patient Info................................................................................................................. 35
4.9.7 Date/Time Setup........................................................................................................ 36
4.9.8 Nurse Call Setup........................................................................................................ 36
4.9.9 Network Setup (Optional)........................................................................................... 37
4.9.10 System Setup........................................................................................................... 37
4.9.11 Reset to Factory Default Settings............................................................................ 38
4.9.12 About ....................................................................................................................... 38
4.10 Alarm Settings .................................................................................................................... 38
4.11 Data Uploading................................................................................................................... 39
Chapter 5 Alarms........................................................................................................................................ 39
5.1 Alarm Priority ........................................................................................................................ 39
5.2 Alarm Signal Generation ....................................................................................................... 40
5.3 Alarm Reset and Silence....................................................................................................... 40
5.4 Alarm Settings ...................................................................................................................... 40
5.5 Verifying Alarm Function ....................................................................................................... 41
Chapter 6 Technical Specifications .......................................................................................................... 41
6.1 ECG Monitoring .................................................................................................................... 41
6.2 TEMP Monitoring.................................................................................................................. 42
6.3 NIBP Monitoring ................................................................................................................... 42

6
6.4 SpO2Monitoring................................................................................................................... 42
6.5 Pulse Rate monitoring .......................................................................................................... 43
6.6 Data Recording..................................................................................................................... 43
6.7 Other Technical Specications ............................................................................................. 43
6.8 Operating Environment......................................................................................................... 43
6.9 Classication......................................................................................................................... 43
6.10 Other Technical Information
6.10.1 Additional description for ECG monitoring .............................................................. 43
6.10.2 Additional description for SpO2monitoring ............................................................ 44
6.10.3 Additional description for NIBP measurement ........................................................ 44
6.10.4 Additional description for temperature measurement ............................................. 44
6.10.5 Additional description for alarm system .................................................................. 44
6.10.6 Additional description for power supply, network and display................................ 45
6.11 Guidance and manufacturer’s declaration-Electromagnetic compatibility......................... 45
Chapter 7 Packaging and Accessories .................................................................................................... 48
7.1 Packaging ............................................................................................................................. 48
7.2 Accessories Supplied ........................................................................................................... 48
Chapter 8 Monitoring Parameter .............................................................................................................. 49
8.1 ECG Monitoring .................................................................................................................... 49
8.1.1 How to Obtain High Quality ECG and Accurate Heart Rate Value ............................ 49
8.1.2 Factors affecting ECG signal ..................................................................................... 49
8.2 NIBP Monitoring ................................................................................................................... 50
8.2.1 Measuring Principle ................................................................................................... 50
8.2.2 Factors affecting NIBP measuring............................................................................. 51
8.2.3 Clinical Limitations and Contraindications................................................................. 51
8.3 SpO2Monitoring................................................................................................................... 51
8.3.1 Measuring Principle ................................................................................................... 51
8.3.2 Sources of interference for SpO2Measurement ....................................................... 51
8.3.3 Pathological reasons for low SpO2measurements................................................... 52
8.3.4 Clinical Limitations..................................................................................................... 52
8.3.5 Points to be noted in SpO2and Pulse Measuring..................................................... 52
8.4 Temperature Monitoring........................................................................................................ 52
Chapter 9 Troubleshooting ........................................................................................................................ 53
9.1 No Display on the Screen ..................................................................................................... 53
9.2 Excessive ECG Signal Interference or Too Thick Baseline................................................... 53
9.3 No Blood Pressure and Pulse Oxygen Readings ................................................................. 53
9.4 Blank Print-out...................................................................................................................... 53
9.5 System Alarm........................................................................................................................ 53
Chapter 10 Maintenance.............................................................................................................................. 54
10.1 Service and Examination .................................................................................................... 54
10.1.1 Daily Examination .................................................................................................... 54
10.1.2 Routine Maintenance............................................................................................... 54
10.1.3 Battery Maintenance................................................................................................ 54
10.1.4 Service ..................................................................................................................... 54
10.2 Cleaning and Disinfection................................................................................................... 55
10.3 Cleaning and Disinfection of Accessories .......................................................................... 55
10.4 Storage ............................................................................................................................... 55
10.5 Transportation..................................................................................................................... 55
Chapter 11 Appendix.................................................................................................................................... 56
11.1 Prompt information explanations........................................................................................ 56
11.2 Factory Default Alarming Values and Setup Range............................................................ 57
11.3 Abbreviation of arrhythmia.................................................................................................. 58
11.4 Instructions for SpO2Probe ............................................................................................... 58

7
Chapter 1
OVERVIEW
1.1 Features
• Blood Pressure, SpO2, and Pulse Rate or Heart Rate on large, bright LED display.
• Color LCD to display ECG waveform and plethysmogram.
• Accurate NIBP measurement with hardware and software over-pressure protection, hemostat function is
also available by cuff.
• Unique oximetry technique ensures sensitive and accurate SpO2and pulse rate measurement, pitch tone
function is also available.
• Up to 12000 groups of BP measurements can be stored in non-volatile memory and reviewed by list, the
stored data can be uploaded to computer.
• Historic data records can be reviewed in waveform, list or trend graph.
• Multi-level audible & visible alarm function, nurse call output is available.
• Network function for connecting to Central Monitoring System.
• Option of built-in printer to print out waveform, and text information.
Note: The Gima Vital Signs Monitor you purchased may not cover all the mentioned functions according to its
conguration.
1.2 Product Name and Model
Name: GIMA VITAL SIGNS MONITOR - VITAL PRO-SNET
1.3 Intended Use
This Gima Vital Signs Monitor is a multi-functional instrument designed for monitoring the vital physiological
signs of adult and pediatric patients. With the functions of real-time recording and displaying parameters,
such as non-invasive blood pressure, body temperature, functional oxygen saturation and so on, it allows
comprehensive analysis of patient’s physiological conditions.
This instrument is applicable for use in hospitals and clinical institutions and should be operated by qualied
personnel only.
1.4 Safety
a) This device conforms to the standard IEC 60601-1, with electric safety classication of Class I, BF and CF
type of applied parts.
b) This device is debrillator proof and resistant to interference from electro-surgical units.
c) This device has a cardiac pace-maker pulse inhibition function.
d) DO NOT use this device while the patient is under MRI or CT scanning.

8
Chapter 2
OPERATING PRINCIPLE
2.1 Overall Structure
The overall structure of the Gima Vital Signs Monitor is shown in Fig. 2.1
Figure 2.1
2.2 Conformation
The Gima Vital Signs Monitor is a product with modular design, consisting of an ECG module, NIBP module,
SpO2module, temperature module, main control unit, printer module (Optional), display panel, and power
supply module etc. and the related accessories for ECG, NIBP, SpO2and temperature measurement.
According to user requirement, you can order the device with different conguration to include the neces-
sary functions. Therefore, your monitor may not have all the monitoring functions and accessories.
1. The ECG/TEMP module detects the ECG signal through ECG cable/lead wires via electrodes. The tempe-
rature is measured through the temperature probe.
2. The SpO2module detects and calculates pulse rate and functional oxygen saturation (SpO2), and provides
plethysmogram and perfusion index.
3. The NIBP module measures blood pressure non-invasively with way of oscillometric technology, including
the diastolic, systolic and mean arterial pressure. The cuffs are designed for adult, pediatric and neonate
respectively.
4. The main control unit is in charge of LED and LCD display, keyboard input, data storage, printing and net-
working function.
Operation buttons
(buttons,
navigation konb)
LCD
display
Networking
communication
Power supply
(including battery)
supports each
part's power
Non invasive
blood pressure
module (NIBP)
Pulse oxygen
saturation module
(SpO2, PR)
NIBP
cuff
Built-in
printer
Central processing
SpO2
Sensor
AC100-240V
Electrocardiogram
Module
(ECG, TEMP)
ECG
leads & TEMP
probe

9
Chapter 3
INSTALLATION AND CONNECTION
3.1 Appearance
3.1.1 Front Panel
Figure 3.1 Front panel illustration for monitor
Description:
1Alarm indicator.
2 SYS: display of systolic pressure value.
3 DIA: display of diastolic pressure value.
4 : heart beat indicator.
5. HR/PR: display of heart rate / pulse rate; unit: bpm. Heart rate is priority to be displayed.
6 SpO2:display of SpO2 value; Unit: “%”.
7 LCD panel.
8. Power button: Long pressing power button to start or shut off the Gima Vital Signs Monitor; Short
pressing to enter into or exit form power saving mode.
9 ~: AC Power indicator.
10 : DC Power indicator.
Indicator Alarm Level
Red ashing High priority alarm
Yellow ashing Medium priority alarm
Yellow light Low priority alarm
Green light Normal

10
Description to AC, DC Power indicator:
11 MAP/Time: display mean arterial pressure at the end of a successful measurement and end time (in Ma-
nual) or STAT mode) or counting down time (in Auto mode) alternatively. Cuff pressure is displayed during
BP measurement or the hemostat function is in use.
There are 2 situations of display when the NIBP measurement nishes:
1) When NIBP measurement mode is set to “Manual” or “STAT”, the mean arterial pressure or measuring time
will be displayed alternately, the time format is “hh:mm”.
2) When NIBP measurement mode is set to “AUTO”, the counting down time will be displayed, the time format
is “mm:ss”. If the counting down time is over 1 hour, then it displays “hh:mm”.
Note: BP value can be displayed in two units, “×××” mmHg” or “××.×” kPa, refer to section “4.9.3 NIBP Setup”
to set the unit of BP value. The conversion between two units is: 1kPa=7.5 mmHg, 1mmHg=0.133kPa.
12 NIBP Setup key: A shortcut key to change the NIBP measuring mode and cycle time for Auto mode.
13 ECG lead selection key: A short press of this key to shift ECG lead, holding this key and pressing
NIBP setup key (12) will lock or un-lock the key operation.
14 Patient category indicator: for adult; for pediatric; for neonate.
15 Alarm silence key.
16 Print: The built-in printer is optional. If installed, press this key to print the current measured data.
17 : Alarm silence indicator. When it is on, it indicates that the alarm is silenced.
18 NIBP: press to start/cancel NIBP measurement.
19 : Bar-graph of pulse intensity.
20 Up: shifts cursor forward/upward.
21 OK: In setting menu, press it to conrm selection or modication; On history record screen, long pressing
this key to open up delete data dialogue box; On monitoring screen, short press to freeze/unfreeze ECG
waveform.
22 Down: shifts cursor backward/downward.
23 Display View key: short press to scroll through LCD display views or return to the upper level screen;
long press to enter into root setting menu display screen.
24 TEMP: TEMP probe connector.
25 NIBP: NIBP hose connector.
26 SpO2:SpO2sensor connector.
Note: A long press would mean press and hold for 2 seconds.
AC Power indicator DC Power indicator Descriptions
Status
ON ON This device is on and using AC power supply.
OFF ON The device is on and using built-in battery.
ON OFF The device is off and battery is being charged
while the AC power is connected.

11
3.1.2 Side Panel
Figure 3.2 Right side of the monitor Figure 3.3 Left side of the monitor
The right panel of the monitor is as shown in gure 3.2.
• Symbol for CF type applied part with debrillation-proof.
• ECG: ECG cable connector.
• : reserved port for future use.
The left panel of the monitor is as shown in gure 3.3.
The built-in thermal printer is in the left panel. It is easy for user to print waveform and data if this is installed
• : printer status indicator. One is for power indication of the printer, the green light
shows the power is on, while the monitor is shut down, the green light is off. The other is for error indication,
when the paper is empty or the printer is out of order, the red light is on.


Fan
Built-in
thermal
printer
(Optional)
ECG Cable
connector
Printer
status
indicator

12
3.1.3 Rear Panel
Figure 3.4 Rear Panel
The rear panel of the monitor is as shown in gure 3.4.
Form 3-1 Real panel Symbols and descriptions.
Fuse specication: T1.0AL/250V φ5*20mm.
3.1.4 Underside of the Monitor
Figure 3.5 Underside of the monitor
Handle
Nameplate
NET
USB connector
Nurse-call connector
Mounting hole
for hanging the monitor
AC power supply socket
Fuse holder (2xTI.0AL)
Equipotential ground
terminal
Symbol Description Symbol Description
Warning
Refer to User Manual
FUSE
2XT1.0AL
Fuse holder
USB connector Equipotential terminal
NET Nurse-call connector

Battery cover

13

3.2 Battery Installation
1. Ensure that the Gima Vital Signs Monitor is not connected to AC power supply and is turned off.
2. Open the battery cover and move the locking bar aside.
3. Put the battery into the box and move the locking bar back. Please note that the battery cables should be
outward.
4. Connect the battery cable plug to the battery power socket in right direction, as shown in gure 3.6.
5. Arrange the wires and close the battery cover.
Figure 3.6 Battery Installation
Warning:
1. To avoid battery damage always remove battery(s) before shipping or storage.
2. It is recommended to use the battery specied by the manufacturer.
3. The battery service life depends on how frequently and for how long it is used. For a properly maintained
and stored lead-acid or lithium battery, its service life is about 2 or 3 years respectively. For more often used
models, service life can be less. We recommend replacing lead-acid battery every 2 years and lithium bat-
tery every 3 years.
Caution:
1. Keep the battery out of the reach of children.
2. Do not disassemble battery.
3. Do not dispose of in re.
4. Do not cause them to short circuit.
3.3 Installation
3.3.1 Opening the Package and Check
1. Open the package, take out the Gima Vital Signs Monitor and accessories from the box carefully and place
them on a safe sand table and surface.
2. Open the accompanying document to sort the accessories according to the packing list.
Battery
Locking bar
Battery cover tether
Battery cable
Battery cable plug
Battery power socket
Battery power cable
Battery cover

14
• Inspect the Gima Vital Signs Monitor for any mechanical damages.
• Check all the accessories for any scratch or deformity, especially on connectors, wire and probe parts.
You can customize the module conguration by choosing necessary modules to meet your own needs.
Therefore, your Gima Vital Signs Monitor may not have all the monitoring functions and accessories.
If in doubt, please contact the local dealer or our company in case of any problems. We are to offer you the
best solution for your satisfaction.
3.3.2 Connecting the Power Supply
1. When powered by AC mains power supply:
• Make sure that the AC power supply is 100-240VAC, 50/60Hz.
• Use the power cable prepared by the manufacturer. Insert one end of it to the power port of the Gima Vital
Signs Monitor and the other end to the grounded three-phase power jack.
• To eliminate potential differences, the monitor has a separate connection to the equipotential grounding
system. Connect one end of the provided ground cable to equipotential grounding port on the rear of the
monitor, and connect the other end to one point of the equipotential grounding system.
Caution: ensure that the monitor is grounded correctly.
If the mains power is interrupted and restored after 30 seconds (with the mains power switch still on) the
Gima Vital Signs Monitor will retain the last settings when the monitor restarts
2. When powered by built-in battery
• Caution: Recharge the battery while it is almost exhausted wherever possible, the charging time should be
13~15 hours long.
• The built-in battery of the Gima Vital Signs Monitor must be recharged after transportation or storage. So if
the monitor is switched on without being connected to the AC power supply, it may not work properly due
to insufcient battery capacity.
3.3.3 Starting the Monitor
When the Gima Vital Signs Monitor is switched on, the system performs a self-test and then enters the initial
display. The orange alarm indicator blinks to inform that the user can begin operating it.
• Check all the applicable functions to make sure that the monitor works normally.
• If the battery is used please recharge it after using the monitor to ensure sufcient power storage. It will take
minimal 8 hours to charge battery from depletion to 90% charge.
Do not use the device to monitor the patient if there are indications of damage or error message. In this
event, please contact the local dealer or our company.
Wait one minute before restarting the monitor after turning it off.
3.4 Sensor Placement and Connection
3.4.1 ECG Cable Connection
ECG measurement is to collect the ECG signal via the ECG electrodes. Electrode connects the patient and the
lead. The lead connects the Gima Vital Signs Monitor. The locations of the electrodes are very important for
obtaining accurate ECG signals.
1. Connect the cable to the right-panel connector marked with the ECG icon.
2. Select electrodes to be used. Use only one type of electrode on the same patient to avoid variations in
electrical resistance. For ECG monitoring, it is strongly recommended to use silver/silver chloride electro-
des. When dissimilar metals are used for different electrodes, the electrodes may be subject to large offset
potentials due to polarization. Using dissimilar metals may also increase recovery time after debrillation.
3. Prepare the electrode sites according to the electrode manufacturer’s instructions.
4. Skin clean.
• Clean and dry-abrade skin to ensure low sensor impedance. Mild soap and Water is recommended as a skin
cleanser.
Note: Alcohol is not recommended as a skin cleanser; it leaves a lm layer that may cause high sensor im-
pedance. If alcohol is used, ensure 30-second dry time.
• Dry-abrading the skin gently with a dry wash cloth, gauze, or skin preparation product is helpful to remove
the non-conductive skin layer.
The symbol indicates that the cable accessories are designed to have special protection against
electric shocks, and is debrillator proof.

15
The locations of the electrode are in the following Figure:
Figure 3.7 Electrode Location
Note: If skin rash or other unusual symptoms develop, remove electrodes from patient.
5. After starting the Gima Vital Signs Monitor, if the electrodes become loose or disconnected during monito-
ring, the system will display “LEAD OFF” on the screen to alarm the operator.
It might not display ECG waveform when using 3 lead wires but with the setting of 5 lead wires. The
5 lead wires should be used to get full ECG waveform simultaneously.
6. The ECG leads and their corresponding locations are as follows:
Table 3-2

Lead connection 1
(IEC standard)
Lead connection 2
(AHA standard) Electrode placement
Color Electrode
label Color Electrode label
Red R White RA
Place on the right arm, or the intersection
between the centerline of the right clavicle
and Rib 2.
Yellow L Black LA
Place on the left arm, or the intersection
between the centerline of the left clavicle
and Rib 2.
Green F Red LL Place on the left leg, or left part of the upper
abdomen.
Black N or RF Green RL Place on the right leg, or right part of the
upper abdomen.
White C Brown V An individual and movable electrode pasted
on the chest.
White or Red C1 Brown V1 On the 4th intercostal space at right border
of sternum.
White or Yellow C2 Brown
or Yellow V2 On the 4th intercostal space at left border of sternum.
White or Green C3 Brown
or Green V3 The middle line between V2 and V4.
White or
Brown (Blue) C4 Brown o Blue V4 The intersection between the centerline of the clavicle and the 5th intercostal.
White or Black C5 Brown
or Red V5
The intersection between the left anterior
axillary line and the horizontal level of V4.
White or Purple C6 Brown
or Purple V6
The intersection between the left mid-axillary
line and the horizontal level of V4.

16
Safety Instructions for ECG Monitoring
Use the same type electrode on a patient. If skin rash or other unusual symptom occurs, remove electrodes
from patient. Do not attach electrodes on the patient with an inammation of the skin or scores on skin.
Gima Vital Signs Monitor can only be equipped with ECG leads provided by our company; using ECG leads
supplied by other companies may cause improper performance or poor protection while using debrillator.
Electric parts of electrodes, leads and cable are forbidden to contact any other conductive parts (including
ground).
Gima Vital Signs Monitor can resist against debrillator and electro-surgical unit. Readings may be inaccu-
rate for a short time after or during using debrillator or electro-surgical unit.
Transient caused by cable circuitry blocks while monitoring may be similar to the real heartbeat waveform,
as a result resistance heart rate alarm rings. If you put the electrodes and cable in proper places according
to this manual’s instructions and the instructions for using electrode, the chance of this transient occurring
will be decreased.
Besides the improper connection with electro-surgical unit may cause burns, the Gima Vital Signs Monitor
may be damaged or arouse deviations of measurement. You can take some steps to avoid this situation,
such as do NOT use small ECG electrodes, choosing the position which is far away from the estimated
Hertzian waves route, using larger electro-surgical return electrodes and connecting with the patient pro-
perly.
ECG leads may be damaged while using debrillator. If the leads are used again, please do the functional
check rst.
When removing the ECG cable, hold the head of the connector and pull it out.
When the Gima Vital Signs Monitor is inoperable due to an overload or saturation of any part of the ampli-
er, it will prompt “Lead off” to remind operator.
No predictable hazard will be caused by the summation of leakage currents when several item of Gima Vital
Signs Monitor are interconnected.
Cardiac pacemaker pulse inhibition function is available while calculating heart rate, this function is always
effective on all lter settings for ECG monitoring and it can not be disabled by user.
3.4.2 Blood Pressure Cuff Connection
1. Connect the cable to the right-panel connector marked with the NIBP icon.
2. Select the appropriate cuff (see below) and wrap around the patient’s upper arm.
Cuff requirements:
1) An appropriate cuff should be selected according to the size of the subject. The cuff width should be 2/3
of the length of the upper arm. The cuff ination part should be long enough to permit wrapping 50-80%
of the limb concerned.
Note: When putting on the cuff,wrap it around the upper arm evenly to appropriate tightness.
2) Remember to empty any residual air in the cuff before the measurement commences.
3) Locate the cuff in such a way that the “φ” mark is at a location where the clearest pulsation of brachial
artery is observed.
4) The cuff should be tightened to a degree where insertion of one nger is possible.
5) The lower end of the cuff should be 2cm above the elbow joint.
3. Patient position while taking the blood pressure measurement for correct result:
• Comfortably seated
• Leg uncrossed
• Feet at on the oor
• Back and arm supported
• Middle of the Cuff at the level of the right atrium of the heart
Figure 3.7 Cuff Placement
• Pressure Accuracy Verification
Pressure Accuracy Verication is a function to inspect the accuracy of pressure measurement by the NIBP
module inside the device. Technician or equipment manager should do pressure accuracy verication every
half year or year in order to check if the pressure measurement still conforms to the requirement of product

17
performance. If the deviation is beyond the declared specication, it is permitted to return it to factory for re-
pair or calibration.
Before verication, please connect the Gima Vital Signs Monitor to a precise pressure meter such as a mercury
pressure mete, which is used as the reference meter.
Figure 3.8 Connection of Pressure calibration xture
Mode 1: Automatic inflation
The ination can be activated by Gima Vital Signs Monitor so the pressure will increase automatically until it
exceeds the limit value specied in table A. This pressure limit value depends on the patient type selection as
shown in table A:
Table A
During ination, the Gima Vital Signs Monitor will close the deation valve, and pressure reading will be shown
as ination takes place. If there is no manual deation operation, the pressure will persist until deation by the
manual valve. It is necessary to deate in several steps to verify the pressure accuracy at points across the full
scale measurement range.
Mode 2: Manual inflation.
Increase the pressure manually by the ination balloon, and the verication can be done by applying different
pressures manually. If the increased pressure exceeds the given limit as shown in table B, the Gima Vital Signs
Monitor will deate automatically because of the over-pressure protection valve in each mode.
Tabella B

Module
testing
software
Air tube
NIBP cuff with dual air tube
Inside the monitor
Manual valve
Air vent
Air tube
Air tube
Ination
balloon
Increase the pressure
manually through the
inatable balloon
NIBP
module
Mercury blood
pressure meter
Air tube
Adult 240mmHg
Pediatric 200mmHg
Neonate 120mmHg
Adult 300mmHg
Pediatric 240mmHg
Neonate 140mmHg

18
After verification, press the button again to return to normal working mode and continue operation,
or the NIBP key will be invalid.
Pressure accuracy verification should be undertaken by a technician or equipment manager and
never with the BP cuff still on a patient.
• Air Leakage Check
In order to avoid measurement errors or even no measurement result caused by air leakage in the pneumatic
system including the cuff during measuring, it is recommended to check if there is leak in the pneumatic sy-
stem as well.
Please remove the cuff from patient while performing the leakage check.
Safety Instructions for NIBP Monitoring
When taking the NIBP measurement of a pediatric or neonate’s (less than 10 years old), do NOT operate in
the adult mode as the high ination pressure may cause lesion or even body putrescence.
It is recommended to take the blood pressure measurement manually. Automatic measurement should be
used at the presence of a doctor/nurse.
NIBP monitoring is prohibited to those who have severe hemorrhagic tendency or with sickle cell disease,
or partial bleeding will appear.
Manual blood pressure measurement is recommended or the automatic measurement used in the presence
of a clinician.
Conrm your patient category (adult, pediatric or neonate) before measurement.
Do NOT use the NIBP cuff on limbs with transfusion tubes, intubation or skin lesions, otherwise, damages
may be caused.
If automatic blood pressure measurement is set for too long, the limb connected to the cuff may possibly
experience purpura, lack of blood and neuralgia. In order to protect patient, it is requested to inspect the
luster, the warmth and sensitivity of the body extremity frequently. On observation of any abnormality, im-
mediately stop the blood pressure measurement.
The patient should relax as much as possible during the measurement.
It's recommended that the 5min should elapse before starting the rst measurement.
The patient should lie in bed or sit in a chair, in order for the cuff and the heart to be at the same level and
the most accurate measurement to be taken. Other postures may lead to inaccurate measurement.
Do not speak or move before or during the measurement. Ensure that the cuff will not be hit or touched by
other objects.
The measurements should be taken at appropriate intervals. Continuous measurement at too frequent
intervals may lead to compression of the arm, reduced blood ow and lower blood pressure, and result in
inaccurate measurement of blood pressure. Two minutes measurement intervals are recommended.
When an adult is monitored, the machine may fail in giving the blood pressure measure if the pediatric
mode is selected.
Prior to use of the cuff, empty the cuff until there is no residual air inside it to ensure accurate measurement.
Do NOT twist the cuff tube or put heavy things on it.
When unplugging the cuff, hold the head of the connector and pull it out.
When the Gima Vital Signs Monitor is used with electro-surgical unit, do not allow the cuff, bladder and air
tube contact any part of the electro-surgical unit to prevent the patient from hurt caused by burning.
Make sure that the device is used in the environment specied on this User Manual, or inaccuracy result
may be caused.
The symbol indicates that the cable and accessories are designed to have special protection against
electric shocks, and is debrillator proof.

19
3.4.3 SpO2Sensor Connection
The SpO2sensor is very delicate. Please follow the steps and procedures below when useing it as failure to
do so correctly can cause damage to the SpO2sensor.
Operation procedure:
1. Connect the SpO2sensor to the connector labeled “SpO2”. When unplugging the probe, be sure to hold the
head of the connector and pull it out.
2. If the nger clip SpO2sensor is used, insert one nger into the sensor (index nger, middle nger or ring
nger with short nail length) as shown in the gure below.
Figure 3.9 Finger clip SpO2sensor placement
When selecting a sensor, consider the patient’s category, adequacy of perfusion, availability of probe site and
anticipated monitoring duration. Use only SpO2probes provided by our company with this Gima Vital Signs
Monitor. Read the following table for SpO2probe information. Refer to Chapter 11.5 for the detailed instruc-
tions of each SpO2probe.
3. If the neonate SpO2sensor is used, please follow Figure 3.10 to connect.
Y type sensor Sensor adapter: wrap
Figure 3.10 Neonate SpO2sensor placement
High ambient light sources such as surgical lights (especially those with a xenon light source), bilirubin lamps,
uorescent lights, infrared heating lamps, and direct sunlight can interfere with the performance of a SpO2
sensor. To prevent interference from ambient light, ensure that the sensor is properly applied, and cover the
sensor site with opaque material.
Failure to take this action in high ambient light conditions may result in inaccurate measurements.
If patient movement presents a problem, verify that the sensor is properly and securely applied; move the
sensor to a less active site; use an adhesive sensor that tolerates some patient motion; or use a new sensor
with fresh adhesive backing.
SpO2Probe Patient Category
SpO2Finger Clip Sensor (reusable) Pediatric
SpO2Finger Rubber Sensor (reusable) Adult
SpO2Finger Clip Sensor (reusable) Adult

20
For reusable sensors, follow the sensor directions for use for cleaning and reuse. For single-patient use sen-
sors, use a new sensor for each patient. Do not sterilize any sensor by irradiation, steam, or ethylene oxide.
Safety Information for SpO2Monitoring
Continuous use of the SpO2sensor may result in discomfort or pain, especially for those with microcircu-
latory problem. It is recommended that the sensor should NOT be applied to the same place for over two
hours, change the measuring site periodically if necessary.
The SpO2measuring site must be examined carefully for certain patient groups. Do NOT place the SpO2
sensor on the nger of a patient with edema or fragile tissue.
If sterile packaging of a disposable SpO2sensor is damaged, do not use it.
Check the SpO2sensor and cable before use. Do NOT use a damaged SpO2sensor.
If the temperature of SpO2sensor is abnormal, do not use it any more.
Please do not allow the cable to be twisted or bent.
Do NOT put the SpO2sensor and pressure cuff on the same limb, otherwise the NIBP measuring will affect
SpO2measuring and cause an alarm error.
Using nail polish or other cosmetic product on the nail may affect the accuracy of measurement.
The ngernail should be of normal length.
The SpO2sensor cannot be immerged in water, alcohol or cleanser completely, because the sensor has no
capability to resist the harmful ingress of water
3.4.4 TEMP Transducer Connection
Please follow the corresponding methods to make temperature measurement according to the temperature
transducer you selected.
• Connecting methods for thermal temperature transducer:
1. Securely attach the transducer to the patient.
2. Connect the cable to TEMP probe connector in the front panel.
• Connecting methods for infrared temperature probe:
Figura 3.11A sonda di temperatura a infrarossi Figura 3.11 B
1. Connect the infrared temperature probe to the connector on the front side of device marked “TEMP”.
2. When the probe screen shows as gure 3.11B and the temperature unit “°C” is blinking, the user can begin
to take the measurement.
3. Insert the tip of the temperature probe into the earhole and press the measuring key to start the measure-
ment. A short beep means the measurement has nished and the result will be displayed on the both probe
and the Gima Vital Signs Monitor screen.
Note: When unplugging the probe, be sure to hold the head of the connector and pull it out.
Temperature probe
cover
Display screen
Power on/off key
Battery cover
Measuring key
The display screen