Invivo Millennia 3155A User manual

Invivo Research, Incorporated
Millennia®3155A/3155MVS Monitor
Operations Manual

i
TABLE OF CONTENTS
Paragraph Number Page Number
List of Figures........................................................................................................................................... iv
List of Tables.............................................................................................................................................. v
Equipment Classification ....................................................................................................................... v
Precautions................................................................................................................................................ vi
User Responsibility ................................................................................................................................. xi
Accessory List..........................................................................................................................................xii
1.0 INTRODUCTION.......................................................................................................... 1-1
1.1 Product Description ......................................................................................................... 1-1
1.1.1 System Parameters............................................................................................... 1-2
1.1.2 User Interface....................................................................................................... 1-2
1.1.3 Versatility ............................................................................................................. 1-2
1.2 Controls............................................................................................................................ 1-2
1.2.1 Front Panel Controls ............................................................................................ 1-2
1.2.2 The Side Panel ..................................................................................................... 1-7
1.2.3 Back Panel Connections and Inputs..................................................................... 1-7
1.3 Display ............................................................................................................................. 1-7
1.3.1 Informational Display .......................................................................................... 1-8
1.3.2 Vital Signs Trace Display .................................................................................... 1-9
1.3.3 NIBP, Agents and Remote Display.................................................................... 1-10
1.4 Yes/No Menu ................................................................................................................. 1-11
1.5 Cleaning ......................................................................................................................... 1-11
1.5.1 Cleaning Accessories......................................................................................... 1-12
2.0 INSTALLATION........................................................................................................... 2-1
2.1 Introduction...................................................................................................................... 2-1
2.2 Monitor Installation ......................................................................................................... 2-1
2.2.1 Monitor Mounting................................................................................................ 2-1
2.2.2 Monitor Location ................................................................................................. 2-1
2.2.3 Preparing the 3155A/3155MVS Monitor for Use ............................................... 2-1
2.2.4 Monitor Start Up .................................................................................................. 2-2
2.2.5 3150(M) and 3155A/3155MVS Remote Monitor Communication .................... 2-2
2.3 Software Installation ........................................................................................................ 2-4
2.3.1 Program Update/Upgrade .................................................................................... 2-4
2.3.2 Monitor Setup Storage ......................................................................................... 2-5
2.3.3 Monitor Setup Recall ........................................................................................... 2-5
3.0 MONITOR PREPARATION FOR USE..................................................................... 3-1
3.1 Introduction...................................................................................................................... 3-1
3.2 SETUPS Menu................................................................................................................. 3-1
3.2.1 Recall Setups........................................................................................................ 3-1
3.2.2 Store Setups ......................................................................................................... 3-2
3.2.3 Parameter Selection ............................................................................................. 3-3
3.2.4 Display Setup....................................................................................................... 3-4
3.2.5 Sound Adjust........................................................................................................ 3-5
3.2.6 Patient .................................................................................................................. 3-6

ii
TABLE OF CONTENTS
Paragraph Number Page Number
3.2.7 Set Time ............................................................................................................... 3-6
3.2.8 Default Setups...................................................................................................... 3-7
3.2.9 Sweep Speed ........................................................................................................ 3-7
3.2.10 Respiration Speed ................................................................................................ 3-7
3.2.11 Service (Bio-Med) ............................................................................................... 3-7
3.2.12 Return................................................................................................................. 3-10
3.3 Store/Recall Setups ........................................................................................................ 3-10
3.4 Monitor Initialization..................................................................................................... 3-10
3.4.1 Default Initialization .......................................................................................... 3-10
3.4.2 Pre-Configured Initialization ............................................................................. 3-11
4.0 PATIENT PARAMETERS........................................................................................... 4-1
4.1 Introduction...................................................................................................................... 4-1
4.2 ECG Monitoring .............................................................................................................. 4-1
4.2.1 Associated Waveforms and Displays................................................................... 4-1
4.2.2 The ECG Menu.................................................................................................... 4-1
4.2.3 Alarm Limits........................................................................................................ 4-4
4.2.4 Trended Data........................................................................................................ 4-4
4.2.5 ECG Messages..................................................................................................... 4-4
4.3 Invasive Pressure Monitoring .......................................................................................... 4-5
4.3.1 Associated Waveforms and Displays................................................................... 4-5
4.3.2 The Invasive Pressure Menu................................................................................ 4-5
4.3.3 Alarm Limits........................................................................................................ 4-7
4.3.4 Trended Data........................................................................................................ 4-7
4.4 Non-Invasive Blood Pressure (NIBP) Monitoring .......................................................... 4-7
4.4.1 Theory of Oscillometric Measurement ................................................................ 4-8
4.4.2 Associated Displays............................................................................................. 4-9
4.4.3 The NIBP Menu................................................................................................. 4-10
4.4.4 NIBP Menu Options .......................................................................................... 4-10
4.4.5 Using the Automatic Interval Mode .................................................................. 4-12
4.4.6 Manually Starting/Stopping a Reading Cycle.................................................... 4-12
4.4.7 Stat Mode Operation .......................................................................................... 4-12
4.4.8 Alarm Limits...................................................................................................... 4-13
4.4.9 Adult vs. Neonatal Mode Operation .................................................................. 4-13
4.4.10 Trended Data...................................................................................................... 4-13
4.5 SpO2 Monitoring ........................................................................................................... 4-13
4.5.1 Associated Waveforms and Displays................................................................. 4-13
4.5.2 SpO2 Menu ........................................................................................................ 4-14
4.5.3 Alarm Limits...................................................................................................... 4-15
4.5.4 Trended Data...................................................................................................... 4-15
4.6 End-Tidal CO2 (ETCO2) Monitoring............................................................................ 4-15
4.6.1 Patient and Tubing Preparation.......................................................................... 4-15
4.6.2 Associated Waveforms and Displays................................................................. 4-16
4.6.3 ETCO2 Menu..................................................................................................... 4-17
4.6.4 Calibration of CO2/N2O Measurement System ................................................ 4-17
4.6.5 Alarm Limits...................................................................................................... 4-17
4.6.6 Trended Data...................................................................................................... 4-17

iii
TABLE OF CONTENTS
Paragraph Number Page Number
4.7 Anesthetic Agent/Oxygen Monitoring........................................................................... 4-18
4.7.1 Patient and Tubing Preparation.......................................................................... 4-18
4.7.2 Associated Displays........................................................................................... 4-18
4.7.3 Agent Menu ....................................................................................................... 4-19
4.7.4 Gas Calibration .................................................................................................. 4-19
4.7.5 Alarm Limits...................................................................................................... 4-20
4.7.6 Trended Data...................................................................................................... 4-20
4.7.7 Agent/O2 Messages ........................................................................................... 4-20
4.7.8 Oxygen Sensor Replacement ............................................................................. 4-20
5.0 PRINTING AND TRENDING ..................................................................................... 5-1
5.1 Introduction...................................................................................................................... 5-1
5.1.1 Record Key .......................................................................................................... 5-1
5.2 The RECORDER Menu................................................................................................... 5-2
5.3 Printing Charts ................................................................................................................. 5-3
5.3.1 Strip Chart Printouts ............................................................................................ 5-3
5.3.2 Tabular Chart Printouts........................................................................................ 5-4
5.3.3 System Data Report ............................................................................................. 5-5
5.4 Loading Printer Paper ...................................................................................................... 5-5
5.5 Trending Feature .............................................................................................................. 5-5
5.5.1 HISTORY Menu Options .................................................................................... 5-5
5.5.2 Theory of Operation............................................................................................. 5-6
5.5.3 Trend Options ...................................................................................................... 5-7
6.0 ALARMS ........................................................................................................................ 6-1
6.1 Introduction...................................................................................................................... 6-1
6.2 Alarm Limits.................................................................................................................... 6-1
6.2.1 Default (Pre-Set) Alarm Limits ........................................................................... 6-1
6.2.2 Range of High and Low Alarm Limits ................................................................ 6-1
6.3 Alarms Menu ................................................................................................................... 6-2
6.3.1 Individual Parameter Alarm Limits Box ............................................................. 6-7
6.4 Turning Alarms Off on Individual Parameters ................................................................ 6-7
6.5 Alarm Violations.............................................................................................................. 6-7
6.6 Adjusting the Alarm Tone Volume .................................................................................. 6-7
6.6.1 Disabling the Alarm Tone.................................................................................... 6-8
6.7 Standby Mode .................................................................................................................. 6-9
7.0 BATTERY OPERATION............................................................................................. 7-1
7.1 Introduction...................................................................................................................... 7-1
7.2 Battery Location and Access ........................................................................................... 7-1
7.3 Loading and Unloading Battery(s) .................................................................................. 7-1
7.4 Battery Charging.............................................................................................................. 7-1
7.5 Battery Operation Time ................................................................................................... 7-1
7.5.1 Battery Low Indication ........................................................................................ 7-1
7.5.2 Maintaining Battery Life ..................................................................................... 7-1
7.6 Battery Replacement........................................................................................................ 7-1

iv
TABLE OF CONTENTS
Paragraph Number Page Number
Appendix A. Specifications ................................................................................................................A-1
Appendix B. Repair ............................................................................................................................. B-1
Appendix C. Warranty........................................................................................................................ C-1
Appendix D. Declaration of Conformity.........................................................................................D-1
Appendix E. KpA to mmHg Conversion Chart ............................................................................ E-1
Appendix F: List of Symbols ............................................................................................................. F-1
LIST OF FIGURES
Figure Number Page Number
1-1 The Front Panel................................................................................................................ 1-2
1-2 The Direct Control Keys.................................................................................................. 1-3
1-3 Menu-Select and Operation Keys .................................................................................... 1-4
1-4 The Back Panel ................................................................................................................ 1-7
1-5 The Normal Screen .......................................................................................................... 1-8
1-6 The Informational Display............................................................................................... 1-8
1-7 The Middle Screen Vital Signs Trace Display ................................................................ 1-9
1-8 The Bottom Vital Signs Numeric Display..................................................................... 1-10
3-1 The SETUPS Menu ......................................................................................................... 3-1
3-2 The RECALL SETUPS Menu......................................................................................... 3-2
3-3 The STORE SETUPS Menu........................................................................................... 3-3
3-4 The PARAMETER SELECTION Menu......................................................................... 3-3
3-5 The SOUND ADJUST Menu .......................................................................................... 3-4
3-6 The SET TIME Menu ...................................................................................................... 3-6
3-7 The SERVICE (BIO-MED) Menu .................................................................................. 3-7
3-8 The SYSTEM CONFIG Menu ........................................................................................ 3-8
4-1 ECG Display .................................................................................................................... 4-1
4-2 The ECG Menu................................................................................................................ 4-2
4-3 The ECG SCALE Menu .................................................................................................. 4-2
4-4 The HR SOURCE Menu.................................................................................................. 4-3
4-5 Invasive Pressure Display................................................................................................ 4-5
4-6 The P1 Menu (ART Selected) ......................................................................................... 4-6
4-7 Invasive Pressure SET LABEL Menu ............................................................................. 4-6
4-8 Oscillometric Measurement Method ............................................................................... 4-8
4-9 The NIBP Display............................................................................................................ 4-9
4-10 The NIBP Menu............................................................................................................. 4-10
4-11 The NIBP INTERVAL Menu........................................................................................ 4-10
4-12 The HISTORY Menu..................................................................................................... 4-11
4-13 The SpO2 Display.......................................................................................................... 4-13
4-14 The SpO2 Menu............................................................................................................. 4-14
4-15 Patient Sample Circuit ................................................................................................... 4-15
4-16 The ETCO2 Display ...................................................................................................... 4-16
4-17 The ETCO2 Menu ......................................................................................................... 4-17
4-18 The AGENT Display ..................................................................................................... 4-18
4-19 Oxygen Sensor Installation Diagram............................................................................. 4-21
5-1 The RECORDER Menu................................................................................................... 5-1

v
LIST OF FIGURES
Figure Number Page Number
5-2 Sample Strip Chart........................................................................................................... 5-3
5-3 Sample Tabular Chart ...................................................................................................... 5-4
5-4 System Data Report ......................................................................................................... 5-4
5-5 Loading the Printer Paper ................................................................................................ 5-5
5-6 The HISTORY Menu....................................................................................................... 5-5
5-7 The MULTI TRENDS Menu........................................................................................... 5-6
5-8 The Trend SELECT Menu............................................................................................... 5-7
5-9 Sample Mult Trends Printout........................................................................................... 5-8
6-1 The ALARMS Menu ....................................................................................................... 6-4
6-2 Anesthetic Agents Alarm Limits Menu ........................................................................... 6-5
LIST OF TABLES
Table Number Page Number
6-1Alarm Limit Factory Default Settings.....................................................................................6-2
6-2 Range of Alarm Limits .................................................................................................... 6-3
EQUIPMENT CLASSIFICATION
Classification according to IEC-601-1
According to the type of protection against
electrical shock:
Class I equipment.
According to the degree of protection against
electrical shock:
Type CF (defibrillator-proof) equipment.
According to the degree of protection against
harmful ingress of water:
Ordinary equipment (enclosed equipment
without protection against ingress of water).
According to the methods of sterilization or
disinfection:
Non0sterilizable. Use of Liquid surface
disinfectants only.
According to the mode of operation: Continuous operation.
Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or
with oxygen or nitrous oxide.

vi
Precautions
General
Federal law in the USA or Canada restricts this device to sale by, or on the order of, a physician.
The Millennia®3155A/3155MVS Monitor supplied with your Omni-TrakTM 3150/MagnitudeTM
3150M monitor is factory set to communicate only with the specific monitor it came with.
The Omni-TrakTM 3150/MagnitudeTM 3150M MRI Patient Monitoring System is comprised
of the 3150(M) and a Millennia®3155A/3155MVS Remote Monitor. Always operate the Omni-
TrakTM 3150/MagnitudeTM 3150M MRI Patient Monitor with its designated remote monitor.
The accuracy of the measurements can be affected by the position of the patient, the patient’s
physiological condition, and other factors. Always consult a physician for interpretation of
measurements made by this monitor.
To avoid monitor fall, secure monitor on the shelf or bracket prior to use.
An explosion hazard exists if this monitor is used in the presence of flammable anesthetics.
The operator should read and thoroughly understand this manual completely before attempting to
operate the Millennia®3155A/3155MVS Monitor.
If any system failure occurs (e.g. an unexplained continuous audible alarm) remove the monitor
from use, and refer it to qualified service personnel.
When an “X” appears in the Alarm Bell symbol, the audible alarm tone will not sound for any
reason.
Perform operational checkout before each use. If monitor fails to function properly, refer to
qualified service personnel.
For safe and accurate operation, use only recommended Invivo Research patient cable, lead wires,
cuffs, hoses, sensors, tubing, etc. A listing of these can be found in the Accessory Listing within
the 3150(M) manual (Part Number 9538), or by contacting Invivo Research directly.
For continued operation, always connect the monitor to AC Main Power through the AS153 AC
Power Adapter when a Low Battery indication occurs. Failure to do this can lead to interruption
of monitoring and/or damage to the monitor’s battery(s).
The system may not conform to all performance specifications if stored or used outside the
environmental specifications identified in Appendix A in the rear of this manual.
Do not apply any unnecessary pressure to the screen area of the monitor. Severe pressure applied
to this portion of the monitor could result in damage or failure of this screen.
All equipment not complying with IEC 601-1 should be placed outside the patient environment.
Only connect IEC 601-1 compliant equipment to this monitor. To avoid potentially hazardous
leakage currents, always check the summation of leakage currents when several items of
equipment are interconnected.
For proper equipment maintenance, perform the service procedures at the recommended intervals
as described in the monitor’s service manual.
Single use devices should never be reused.
Organic vapors (e.g. from cleaning agents) in sampling line or room air may alter anesthetic agent
readings.
Alcohol in patient's breath may modify the anesthetic agent readings.