參數(shù)詳解多功能監(jiān)護(hù)儀使用指南

使用說(shuō)明

EDAN

iM50/iM60/iM70/iM80

病人監(jiān)護(hù)儀

1.0版

0123

闡明書(shū)信息

部件號(hào)：01.54.456438-10發(fā)行時(shí)間：2023年4月版權(quán)?深圳市理邦精密儀器股份有限企業(yè)2023

申明

本闡明書(shū)為操作、保養(yǎng)和維修產(chǎn)品H勺參照資料。顧客應(yīng)嚴(yán)格根據(jù)闡明書(shū)內(nèi)容操作，對(duì)于不按

照闡明書(shū)內(nèi)容操作而導(dǎo)致口勺故障或事故，深圳市理邦精密儀器股份有限企業(yè)(如下簡(jiǎn)稱(chēng)“理邦儀

器”)不承擔(dān)任何法律責(zé)任。

理邦儀器擁有本闡明書(shū)中所有內(nèi)容日勺版權(quán)，未經(jīng)我司的明確書(shū)面許可，任

何人不得攝影復(fù)制、復(fù)印或翻譯成其他語(yǔ)言。本產(chǎn)品闡明書(shū)包括受版權(quán)法保護(hù)

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務(wù)，不得向無(wú)關(guān)第三方披露本闡明書(shū)中H勺任何內(nèi)容。顧客持有本產(chǎn)品闡明書(shū)并

不表達(dá)理邦儀器對(duì)產(chǎn)品所含知識(shí)產(chǎn)權(quán)的授權(quán)許可。本闡明書(shū)日勺修改權(quán)、更新權(quán)

及最終解釋權(quán)均屬于理邦儀器。

注冊(cè)信息

醫(yī)療器械生產(chǎn)企業(yè)許可證編號(hào)：粵食藥監(jiān)械生產(chǎn)許20230086號(hào)

彷

粵制()0()00556號(hào)

產(chǎn)品注冊(cè)證號(hào)：國(guó)食藥監(jiān)械(準(zhǔn))字2023第3210404號(hào)執(zhí)行原則號(hào)：YZB/國(guó)0681-2023產(chǎn)品名

稱(chēng)：病人監(jiān)護(hù)儀產(chǎn)品型號(hào)：iM50、iM60、iM70、iM80

制造商的責(zé)任

理邦儀器僅在下列狀況下才認(rèn)為應(yīng)對(duì)儀器H勺安全性、可靠性和性能負(fù)責(zé)，即：裝配操作、

擴(kuò)充、重調(diào)、改善和維修均由理邦儀器承認(rèn)H勺人員進(jìn)行，對(duì)應(yīng)房間的電氣安裝環(huán)境符合國(guó)標(biāo)，以

及儀器按照操作指導(dǎo)進(jìn)行使用。

理邦儀器將在顧客提出規(guī)定期有償提供電路圖及其他信息，以協(xié)助顧客由合適H勺、合格的

技術(shù)人員來(lái)維修那些理邦儀器歸類(lèi)為可由顧客維修的儀器部分。

本闡明書(shū)日勺術(shù)語(yǔ)闡明

警告：針對(duì)也許導(dǎo)致人員傷亡日勺操作或情形。

小心：針對(duì)也許導(dǎo)致設(shè)備損壞、產(chǎn)生錯(cuò)誤數(shù)據(jù)，或使過(guò)程失效的操作或情形。

注意：您應(yīng)當(dāng)理解的重要信息。

目錄

1預(yù)期用途和安全信息............................................................1

1.1預(yù)期用途...................................................................1

1.2安全信息..................................................................1

1.3監(jiān)護(hù)儀上使用的符號(hào)的解釋.................................................3

2安裝..........................................................................7

2.1初始檢查..................................................................7

2.2安裝監(jiān)護(hù)儀................................................................7

2.2.1將監(jiān)護(hù)儀置于水平臺(tái)面上.................................................7

2.2.2安裝到墻上.............................................................7

2.2.3安裝到臺(tái)車(chē)上...........................................................7

2.3連接交流電源線............................................................7

2.4檢查監(jiān)護(hù)儀................................................................8

2.5檢杳記錄儀................................................................8

2.6設(shè)定日期與時(shí)間............................................................8

2.7移交監(jiān)護(hù)儀................................................................8

3基本操作.....................................................................9

3.1概況......................................................................9

3.1.1正面圖.................................................................9

3.1.2背面圖................................................................12

3.1.3側(cè)面圖.................................................................15

3.1.4功能配置...............................................................16

3.2操作與瀏覽...............................................................17

3.2.1使用按鍵..............................................................18

3.3工作模式................................................................20

3.3.1Y黃工I.....................................................................20

3.3.2待機(jī)模式..............................................................20

333夜間模式..............................................................20

3.4更改監(jiān)護(hù)儀設(shè)置...........................................................20

3.4.1調(diào)整屏幕亮度..........................................................20

3.4.2更改日期與時(shí)間........................................................21

3.5調(diào)整音量.................................................................21

3.5.1設(shè)置鍵盤(pán)音量..........................................................21

3.5.2設(shè)置報(bào)警音量..........................................................21

3.5.3調(diào)整心跳音量..........................................................21

3.6檢查監(jiān)護(hù)儀版本...........................................................21

3.7聯(lián)網(wǎng)監(jiān)護(hù).................................................................21

3.8設(shè)置語(yǔ)言.................................................................22

3.9理解屏幕.................................................................22

3.10觸摸屏校準(zhǔn)..............................................................22

3.11嚴(yán)禁觸摸屏操作..........................................................22

3.12使用條形碼掃描儀........................................................22

3.13處理IBP標(biāo)名沖突........................................................23

4報(bào)警.........................................................................24

4.1報(bào)警分類(lèi).................................................................24

4.1.1生理報(bào)警..............................................................24

4.1.2技術(shù)報(bào)警..............................................................24

4.1.3提醒信息..............................................................24

4.2報(bào)警級(jí)別.................................................................24

4.3報(bào)警控制.................................................................25

4.3.1設(shè)置參數(shù)報(bào)警..........................................................25

4.3.2報(bào)警音暫停............................................................26

4.3.3靜音...................................................................26

4.3.4報(bào)警音量控制..........................................................26

4.4報(bào)警栓鎖.................................................................26

4.5探頭脫落報(bào)警.............................................................27

4.6報(bào)警自檢.................................................................27

5報(bào)警信息列表.................................................................28

5.1患者報(bào)警消息.............................................................28

5.2技術(shù)報(bào)警.................................................................31

5.3提醒信息.................................................................42

5.4報(bào)警限范圍...............................................................43

6管理病人.....................................................................48

6.1接受病人.................................................................48

6.1.1病人類(lèi)型和“起搏的”狀態(tài)...............................................49

6.2迅速接受病人.............................................................49

6.3編輯病人資料.............................................................49

6.4更新病人.................................................................49

6.5中央監(jiān)護(hù)系統(tǒng).............................................................50

7顧客界面.....................................................................51

7.1設(shè)置界面風(fēng)格.............................................................51

7.2選擇參數(shù).................................................................51

7.3更改波形.................................................................51

7.4更改界面布局.............................................................51

7.5觀測(cè)趨勢(shì)共存.............................................................51

7.6觀測(cè)呼吸氧合圖...........................................................52

7.7大字體界面...............................................................52

7.8它床觀測(cè).................................................................52

7.8.1打開(kāi)它床觀測(cè)窗口......................................................53

7.8.2設(shè)置它床觀測(cè)窗口.....................................................53

7.9更改參數(shù)和波形顏色.......................................................53

7.10顧客配置管理............................................................53

7.11默認(rèn)配置................................................................54

8監(jiān)護(hù)ECG........................................................................................................................................55

8.1概述.....................................................................55

3.2安全信息.................................................................55

8.3ECG顯示................................................................56

8.3.1更改ECG波形大小.....................................................56

8.3.2更改ECG濾波設(shè)定.....................................................57

8.4使用ECG報(bào)警............................................................57

8.5選擇計(jì)算導(dǎo)聯(lián).............................................................57

8.6ECG監(jiān)護(hù)................................................................57

8.6.1備皮以供粘貼電極......................................................57

8.6.2連接心電圖電纜........................................................58

8.7選擇導(dǎo)聯(lián)類(lèi)型............................................................58

8.8安裝電極................................................................58

8.8.13導(dǎo)聯(lián)日勺電極安放......................................................59

8.8.25導(dǎo)聯(lián)日勺電極安放......................................................59

8.8.312導(dǎo)聯(lián)的電極安放.....................................................61

8.8.4為外科患者推薦日勺ECG導(dǎo)聯(lián)連接.......................................62

8.9ECG菜單設(shè)置...........................................................63

8.9.1設(shè)置心率報(bào)警源........................................................63

8.9.2智能導(dǎo)聯(lián)脫落..........................................................63

8.9.3心跳音量..............................................................64

8.9.4ECG監(jiān)護(hù)類(lèi)型.........................................................64

8.9.5設(shè)定起搏狀態(tài)..........................................................64

8.9.6ECG校準(zhǔn).............................................................65

8.9.7ECG波形設(shè)置.........................................................65

8.10ST分析.................................................................65

8.10.1打開(kāi)和關(guān)閉ST...............................................................................................................65

8.10.2ST顯示.............................................................66

8.10.3報(bào)警限設(shè)置..........................................................66

8.10.4確定ST段分析點(diǎn).....................................................66

8.10.5調(diào)整ISO、ST測(cè)量點(diǎn).................................................66

3.11心律失常監(jiān)護(hù)..........................................................67

8.11.1心律失常分析........................................................67

8.11.2心律失常分析菜單....................................................68

8.1212導(dǎo)監(jiān)護(hù)...............................................................68

8.12.1進(jìn)入12導(dǎo)監(jiān)護(hù)界面...................................................68

8.12.212導(dǎo)診斷回憶........................................................69

9監(jiān)護(hù)RESP......................................................................................................................................70

9.1概述.....................................................................70

9.2安全信息................................................................70

9.3安放呼吸電極............................................................70

9.4心臟重疊................................................................71

9.5胸廓擴(kuò)張................................................................71

9.6腹式呼吸................................................................71

9.7選擇呼吸導(dǎo)聯(lián)............................................................71

9.8更改計(jì)算類(lèi)型............................................................71

9.9更改波形.................................................................72

9.10使用“呼吸”報(bào)警..........................................................72

9.11設(shè)置窒息報(bào)警時(shí)間........................................................72

10監(jiān)護(hù)SpO2.................................................................73

10.1概述....................................................................73

10.2安全信息...............................................................73

10.3SpO2測(cè)量...............................................................74

10.4測(cè)量環(huán)節(jié)................................................................74

10.5理解SpCh報(bào)警..........................................................75

10.6調(diào)整報(bào)警限..............................................................75

10.7將SpO2/Pleth（體積插記）設(shè)為脈搏源......................................75

10.8設(shè)置脈搏調(diào)制音.........................................................75

10.9設(shè)置敏捷度.............................................................75

10.1（）SI（信號(hào)強(qiáng)度）........................................................76

11監(jiān)護(hù)PR...................................................................77

11.1概述....................................................................77

11.2設(shè)置PR來(lái)源...........................................................77

11.3設(shè)置脈搏音量............................................................77

11.4使用脈搏報(bào)警............................................................77

11.5選擇處在活動(dòng)的報(bào)警源...................................................77

12監(jiān)護(hù)NIBP.................................................................................................................................78

12.1概述....................................................................78

12.2安全信息................................................................78

12.3簡(jiǎn)介NIBP測(cè)量..........................................................79

12.4測(cè)量的限制..............................................................79

12.5測(cè)量模式................................................................79

12.6測(cè)量環(huán)節(jié)................................................................80

12.7操作提醒................................................................8()

12.8肢體與心臟不在同一水平高度時(shí)對(duì)測(cè)量的修正...............................81

12.9NIBP報(bào)警...............................................................81

12.10NIBP復(fù)位..............................................................81

12.11NIBP校準(zhǔn)..............................................................81

12.12漏氣檢測(cè)...............................................................82

12.12.1漏氣檢測(cè)過(guò)程........................................................82

12.13設(shè)置預(yù)充氣模式.........................................................83

13監(jiān)護(hù)TEMP..................................................................................................................................84

13.1概述....................................................................84

13.2安全信息................................................................84

13.3溫度測(cè)量設(shè)置............................................................84

13.4計(jì)算溫差................................................................84

14監(jiān)護(hù)IBP........................................................................................................................................85

14.1概述....................................................................85

14.2安全信息................................................................85

14.3監(jiān)護(hù)環(huán)節(jié)................................................................85

14.4選擇監(jiān)護(hù)的壓力..........................................................86

14.5壓力傳感器校零..........................................................86

14.6壓力測(cè)量校零............................................................87

14.7壓力校零故障排除（以Art為例闡明）.....................................87

14.8IBP壓力校準(zhǔn)............................................................87

14.9壓力校準(zhǔn)故障排除........................................................89

14.10IBP報(bào)警...............................................................89

14.11更改IBP波形標(biāo)尺......................................................89

15監(jiān)護(hù)CO2............................................................90

15.1概述....................................................................90

15.2安全信息................................................................90

15.3監(jiān)護(hù)環(huán)節(jié)................................................................91

15.3.1傳感器校零...........................................................91

15.3.2旁流CCh模塊測(cè)量設(shè)置................................................91

15.3.3主流CO2模塊測(cè)量設(shè)置................................................93

15.4設(shè)置CO2波形............................................................95

15.5修正CCh...........................................................................................................................95

15.6CO2報(bào)警................................................................95

15.7設(shè)置窒息報(bào)警延遲........................................................96

16監(jiān)護(hù)AG.............................................................97

16.1概述....................................................................97

16.2安全信息................................................................97

16.2.1旁流式麻醉模塊的安全信息............................................97

16.2.2主流式麻醉模塊H勺安全信息.............................................99

16.3監(jiān)護(hù)環(huán)節(jié)..............................................................100

16.3.1旁流式的監(jiān)護(hù)環(huán)節(jié)....................................................100

16.3.2主流式歐I監(jiān)護(hù)環(huán)節(jié)....................................................102

16.4設(shè)置窒息報(bào)警時(shí)間......................................................106

16.5旁流式麻醉模塊日勺工作狀態(tài)..............................................106

16.6主流式麻醉模塊日勺工作狀態(tài).............................................106

16.702賠償................................................................107

16.8濕度影響...............................................................107

17凍結(jié)......................................................................108

17.1概述..................................................................108

17.2凍結(jié)狀態(tài)的進(jìn)入與退出..................................................108

17.2.1進(jìn)入凍結(jié)狀態(tài).......................................................108

17.2.2退出凍結(jié)狀態(tài).......................................................108

17.3凍結(jié)波形回憶..........................................................109

18回憶......................................................................110

18.1趨勢(shì)圖回憶............................................................110

18.1.1挑選不一樣參數(shù)H勺趨勢(shì)圖顯示...........................................110

18.1.2調(diào)整幅度...........................................................110

18.1.3設(shè)定辨別率.........................................................111

18.1.4移動(dòng)圖形...........................................................111

18.1.5切換到趨勢(shì)表.......................................................111

18.1.6在記錄儀上輸出趨勢(shì)曲線............................................111

18.2趨勢(shì)表回憶.............................................................111

18.2.1設(shè)置辨別率..........................................................111

18.2.2移動(dòng)圖形............................................................111

18.2.3切換到趨勢(shì)圖........................................................112

18.2.4在記錄儀上輸出趨勢(shì)表...............................................112

18.3NIBP回憶..............................................................112

18.3.1移動(dòng)圖形............................................................112

18.3.2在記錄儀上輸出NIBP回憶數(shù)據(jù)........................................112

18.4報(bào)警事件回憶...........................................................112

18.4.1移動(dòng)圖形............................................................112

18.4.2選擇特定參數(shù)的報(bào)警事件回憶.........................................112

18.4.3設(shè)置時(shí)間索引........................................................113

18.4.4在記錄儀上輸出報(bào)警事件回憶.........................................113

18.512導(dǎo)診斷回憶...........................................................113

18.5.1刪除分析成果........................................................113

18.5.2診斷成果與波形之間日勺切換...........................................114

18.5.3在記錄儀上輸出波形或分析成果.......................................114

19計(jì)算和滴定表...............................................................115

19.1藥物計(jì)算...............................................................115

19.1.1計(jì)算環(huán)節(jié)............................................................115

19.1.2計(jì)算單位............................................................116

19.2滴定表.................................................................116

19.3血液動(dòng)力學(xué)計(jì)算.........................................................117

19.3.1計(jì)算環(huán)節(jié)............................................................117

19.3.2輸入?yún)?shù)............................................................117

19.3.3輸出參數(shù)............................................................117

20記錄.......................................................................119

20.1記錄儀日勺一般資料.......................................................119

20.2記錄儀性能.............................................................119

20.3記錄類(lèi)型...............................................................120

20.4記錄啟動(dòng)和停止.........................................................120

20.5記錄儀操作及狀態(tài)信息...................................................121

21其他功能...................................................................124

21.1護(hù)士呼喊...............................................................124

21.2無(wú)線網(wǎng)絡(luò)...............................................................124

21.3在可移動(dòng)存儲(chǔ)設(shè)備上進(jìn)行數(shù)據(jù)存儲(chǔ)........................................124

22電池.......................................................................127

22.1電池?zé)?................................................................127

22.2主屏幕上的電池狀態(tài)信息.................................................127

22.3檢查電池性能...........................................................127

22.4更換電池...............................................................128

22.5電池回收...............................................................129

22.6電池時(shí)保養(yǎng).............................................................129

23保養(yǎng)與清潔.................................................................130

23.1概述...................................................................13()

23.2清潔...................................................................13()

23.3消毒...................................................................133

23.4對(duì)其他附件進(jìn)行清潔及消毒..............................................135

24維護(hù).......................................................................136

24.1檢查....................................................................136

24.2維護(hù)計(jì)劃...............................................................136

25保修及售后服務(wù).............................................................137

25.1保修....................................................................137

25.2售后服務(wù)...............................................................137

26電子信息產(chǎn)品污染控制......................................................138

26.1標(biāo)識(shí)....................................................................138

26.2有毒有害物質(zhì)或元素的名稱(chēng)及含量........................................138

27附件.......................................................................139

27.1ECG附件...............................................................139

27.2SpCh附件...............................................................141

27.3NIBP附件..............................................................141

27.4TEMP附件.............................................................142

27.5IBP附件................................................................142

27.6CO?附件................................................................142

27.7GAS附件...............................................................144

27.8其他附件...............................................................145

A產(chǎn)品規(guī)格...................................................................146

A.1監(jiān)護(hù)儀類(lèi)型..............................................................146

A.2監(jiān)護(hù)儀規(guī)格..............................................................146

A.2.1物理規(guī)格.............................................................146

A.2.2工作環(huán)境.............................................................146

A.2.3顯示屏規(guī)格...........................................................147

A.2.4電池.................................................................148

A.2.5記錄儀...............................................................148

A.2.6數(shù)據(jù)存儲(chǔ).............................................................149

A.3ECG規(guī)格................................................................149

A.4RESP規(guī)格...............................................................153

A.5NIBP規(guī)格...............................................................154

A.6SpO2規(guī)格................................................................155

A.7TEMP規(guī)格...............................................................155

A.8IBP規(guī)格.................................................................156

A.9C02規(guī)格.................................................................157

A.10AG規(guī)格...............................................................160

A.10.1旁流.............................................................160

A.10.2主流.............................................................163

A.ll無(wú)線網(wǎng)絡(luò)規(guī)格..........................................................165

BEMC測(cè)試等級(jí)申明一指南和制造商的申明.....................................166

B.1電磁發(fā)射...............................................................166

B.2電磁抗擾度.............................................................166

B.3電磁抗擾度.............................................................167

B.4推薦隔離距離...........................................................169

C出廠默認(rèn)設(shè)置..............................................................170

C.1病人信息...............................................................170

C.2報(bào)警.......................................................