ADVISOR

Advisor® Vital Signs Monitor
Operation Manual
Catalog Number 1886

June 2003, Version 10
Copyright BCI, Inc. - 2003
Table of Contents
Chapter 1: Introduction 1-1

Proprietary Notice .......................................................................................................................................... 1-1
WARRANTY ................................................................................................................................................... 1-1
Limited Warranty ........................................................................................................................................... 1-1
Disclaimer of Warranties ............................................................................................................................... 1-1
Conditions of Warranty.................................................................................................................................. 1-1
Limitation of Remedies.................................................................................................................................. 1-2
Warranty Procedure ....................................................................................................................................... 1-2
CE Notice.......................................................................................................................................................... 1-2
About This Manual ........................................................................................................................................... 1-3
Conventions ................................................................................................................................................... 1-3
Using the Manual ........................................................................................................................................... 1-3
Definition of Symbols....................................................................................................................................... 1-4
2 Warnings, Cautions & Notes....................................................................................................................... 1-5
General Warnings, Cautions and Notes ......................................................................................................... 1-5
Chapter 2: General Description 2-1
Intended Use .................................................................................................................................................. 2-1
Features .......................................................................................................................................................... 2-1
Measurement Capabilities .............................................................................................................................. 2-2
Chapter 3: Setting Up the Monitor 3-1
Connect the AC Power Cord.......................................................................................................................... 3-1
Selecting Patient Mode .................................................................................................................................. 3-1
Setup ................................................................................................................................................................. 3-2
Using the Internal Battery .............................................................................................................................. 3-3
Starting ........................................................................................................................................................... 3-3
High, Medium, and Low Priority Alarm Tones ................................................................................................ 3-4
Time and Date................................................................................................................................................... 3-5
New Patient....................................................................................................................................................... 3-5
Chapter 4: Description of Controls and Features 4-1
Front Panel ........................................................................................................................................................ 4-1
Indicators........................................................................................................................................................... 4-2
Patient Connectors ............................................................................................................................................ 4-2
Printer................................................................................................................................................................ 4-3
Display .............................................................................................................................................................. 4-4
Parameter Colors............................................................................................................................................... 4-7
Keys .................................................................................................................................................................. 4-8
Rear Panel ......................................................................................................................................................... 4-9
Chapter 5: High, Medium, and Low Priority Alarms 5-1
Alarms............................................................................................................................................................... 5-1
Momentary Sounds ........................................................................................................................................ 5-2
Alarm Volume Adjust .................................................................................................................................... 5-2
Setting Alarm Limits...................................................................................................................................... 5-3
QUICKSET Alarms .......................................................................................................................................... 5-5
Alarm Tones...................................................................................................................................................... 5-7
Chapter 6: Pulse/Heart Rate Detection 6-1
Determining Measurement for Rate.................................................................................................................. 6-1
Rate Source ....................................................................................................................................................... 6-1
Advisor® Operations Manual i

Table of Contents
Chapter 7: ECG 7-1

ECG Warnings, Cautions, and Notes..............................................................................................................7-1
Theory of Operation ..........................................................................................................................................7-1
Using the ECG Parameter..................................................................................................................................7-2
Setting Up ECG Monitoring ..............................................................................................................................7-2
Attaching the Patient..........................................................................................................................................7-2
ECG Display......................................................................................................................................................7-5
ECG Parameter Menu........................................................................................................................................7-7
HR ALARMS .................................................................................................................................................7-7
WAVEFORM DISPLAY ...............................................................................................................................7-7
SPEED ............................................................................................................................................................7-8
RATE SRC (source) .......................................................................................................................................7-8
PULSE VOL ...................................................................................................................................................7-8
ECG MONITOR.............................................................................................................................................7-8
PRINT ALL LEADS SNAPSHOT (Available for 5 lead ECG only).............................................................7-8
ECG Waveform Menu .......................................................................................................................................7-9
ECG Alarms ....................................................................................................................................................7-11
ECG Messages.................................................................................................................................................7-12
Correcting Lead Fail or Lead Overload Alarms ..............................................................................................7-13
ECG Calibration Verification ..........................................................................................................................7-13
Using the 1606 Simulator to Verify Calibration ...........................................................................................7-13
ECG Technical Data ........................................................................................................................................7-13
Chapter 8: Impedance Respiration 8-1
Respiration Warnings, Cautions, and Notes ......................................................................................................8-1
Using the Impedance Respiration Parameter (RSP) ..........................................................................................8-1
Setting Up Respiration Monitoring....................................................................................................................8-2
Attaching the Patient..........................................................................................................................................8-2
Respiration Display ...........................................................................................................................................8-4
Impedance Respiration Parameter Menu ...........................................................................................................8-6
ALARM LIMITS............................................................................................................................................8-6
Impedance Respiration Alarms..........................................................................................................................8-8
Impedance Respiration Messages ......................................................................................................................8-8
Chapter 9: Oximeter 9-1
Oximetry Warnings, Cautions, and Notes.......................................................................................................9-1
Using the Oximeter Parameter...........................................................................................................................9-2
Setting Up Oximeter Monitoring .......................................................................................................................9-3
Attaching the Sensor to the Patient....................................................................................................................9-4
Choosing the Sensor .......................................................................................................................................9-4
Checking the Sensor and Patient Cable ..........................................................................................................9-5
Cleaning or Disinfecting the Sensor ...............................................................................................................9-6
Oximeter Display...............................................................................................................................................9-7
Oximeter Alarms ...............................................................................................................................................9-8
Oximeter Messages............................................................................................................................................9-8
Chapter 10: NIBP 10-1
Non-invasive Blood Pressure Warnings, Cautions and Notes ......................................................................10-1
Theory of Operation ........................................................................................................................................10-1
Using the NIBP Parameter...............................................................................................................................10-2
Setting Up NIBP Measurement .......................................................................................................................10-2
Connecting the Cuff and Hose.........................................................................................................................10-3
Selecting the Proper NIBP Cuff.......................................................................................................................10-4
ii Advisor® Operations Manual

Table of Contents
Connecting the Cuff and Hose .........................................................................................................................10-4

Adult application...........................................................................................................................................10-4
NIBP Display ...................................................................................................................................................10-5
NIBP Measurement Modes ...........................................................................................................................10-6
NIBP Parameter Menu .....................................................................................................................................10-6
MEASUREMENT MODE............................................................................................................................10-7
Taking NIBP Measurements ............................................................................................................................10-8
NIBP Alarms..................................................................................................................................................10-10
NIBP Messages..............................................................................................................................................10-11
Application Note: NIBP Cuff Inflation Method.............................................................................................10-12
Non-Invasive Blood Pressure Calibration Verification..................................................................................10-12
Chapter 11: Invasive Pressure 11-1
Invasive BP Warnings, Cautions and Notes.....................................................................................................11-1
General Description .........................................................................................................................................11-1
Invasive Pressure Transducers and Interface Cables.....................................................................................11-1
Medical Supplies Vendors (U.S.A.)..............................................................................................................11-3
Using the Invasive Pressure Parameter ............................................................................................................11-4
Setting Up Invasive Pressure Monitoring ........................................................................................................11-4
Setting Up the Invasive Pressure Transducer...................................................................................................11-5
Invasive Pressure Display ................................................................................................................................11-6
Invasive Pressure Parameter and Waveform Menus ........................................................................................11-8
Invasive Pressure Alarms...............................................................................................................................11-11
Invasive Pressure Messages ...........................................................................................................................11-12
Calibrating (Zeroing) the Invasive Pressure Transducers ..............................................................................11-13
Chapter 12: Capnography 12-1
CO2 Warnings, Cautions, and Notes ...............................................................................................................12-1
Theory of Operation.........................................................................................................................................12-1
Measuring CO2 ..............................................................................................................................................12-1
Measuring Respiration Rate ..........................................................................................................................12-2
N2O Compensation........................................................................................................................................12-2
Using the Capnograph Parameter .....................................................................................................................12-3
Connecting a Non-Recirculating Scavenging System......................................................................................12-4
Checking for Leaks ..........................................................................................................................................12-4
Calibrating the Capnograph .............................................................................................................................12-4
Low Calibration ............................................................................................................................................12-5
Auto-Zero Calibration......................................................................................................................................12-5
Low/High Calibration ...................................................................................................................................12-6
Attaching the Patient........................................................................................................................................12-7
Capnograph Display.......................................................................................................................................12-10
Capnograph Parameter and Waveform Menus ..............................................................................................12-11
Parameter Menu ..........................................................................................................................................12-11
Capnograph Alarms .......................................................................................................................................12-12
Capnograph Messages....................................................................................................................................12-13
Chapter 13: Temperature 13-1
Temperature Warnings, Cautions and Notes.................................................................................................13-1
Description.......................................................................................................................................................13-1
Temperature Sensors and Interface cables ....................................................................................................13-1
Using the Temperature Parameter....................................................................................................................13-1
Setting Up Temperature Monitoring ................................................................................................................13-1
Setting Up the Temperature Sensor .................................................................................................................13-2
Temperature Display........................................................................................................................................13-3
Temperature Parameter Menu..........................................................................................................................13-4
Temperature Alarms, and Messages ................................................................................................................13-5
Advisor® Operations Manual iii

Table of Contents
Temperature Messages ....................................................................................................................................13-5

Chapter 14: Trends 14-1
Description.......................................................................................................................................................14-1
Displaying and Printing Trends .......................................................................................................................14-1
Chapter 15: Printer 15-1
Features............................................................................................................................................................15-1
Sample Printouts..............................................................................................................................................15-4
Snapshot........................................................................................................................................................15-4
Strip Chart.....................................................................................................................................................15-5
NIBP History Print Window.........................................................................................................................15-6
NIBP History Print All..................................................................................................................................15-7
Tabular Trend PRINT ALL ..........................................................................................................................15-8
Choosing the Printer Options...........................................................................................................................15-9
Replacing the Printer Paper ...........................................................................................................................15-11
Chapter 16: Serial Data I/O 16-1
Description.......................................................................................................................................................16-1
Serial Data I/O Connector Signal Description ..............................................................................................16-4
Chapter 17: Analog Output 17-1
Description.......................................................................................................................................................17-1
Connector Pinout .............................................................................................................................................17-1
End Equipment Connection .............................................................................................................................17-2
Central Station Connection..............................................................................................................................17-3
Chapter 18: Operator’s Maintenance 18-1
Cleaning the Monitor’s Surfaces .....................................................................................................................18-2
Long Term Storage ..........................................................................................................................................18-2
Chapter 19: Operator’s Troubleshooting Chart 19-1
Troubleshooting the Occlusion Low Priority Alarm/Alert ...........................................................................19-2
Chapter 20: Optional Supplies and Accessories 20-1
Ordering Information.......................................................................................................................................20-2
Chapter 21: Specifications 21-1
Capnograph...................................................................................................................................................21-1
Respiration Rate (CO2).................................................................................................................................21-2
Equipment Classification ..............................................................................................................................21-6
APPENDIX A: SERVICE MENU Appendix-1
Accessing the Service Menu................................................................................................................ Appendix-1
PARAMETER DEFAULTS............................................................................................................. Appendix-1
DEFAULT PARAMETER ALARM LIMITS.................................................................................. Appendix-1
CHANGE PASSWORD ...................................................................................................................... Appendix-3
SYSTEM LOG .................................................................................................................................... Appendix-4
PURCHASED OPTIONS.................................................................................................................... Appendix-4
APPENDIX B: ECG TECHNICAL REFERENCE Appendix-5
ECG Technical Reference ................................................................................................................... Appendix-5
APPENDIX C: ALARM LIMIT DEFAULTS Appendix-8
Heart Rate ......................................................................................................................................... Appendix-8
iv Advisor® Operations Manual

Table of Contents
Impedance Respiration......................................................................................................................Appendix-8
Oximetry ...........................................................................................................................................Appendix-8
NIBP .................................................................................................................................................Appendix-8
Invasive Pressure...............................................................................................................................Appendix-9
Temperature T1/T2 ...........................................................................................................................Appendix-9
Capnography (CO2) ........................................................................................................................Appendix-10
APPENDIX D: IEC 60601-1-2 REQUIREMENTS Appendix-11
Advisor® Operations Manual v

Chapter 1: Introduction
Proprietary Notice
Information contained in this document is copyrighted by BCI, Inc. and may not be duplicated
in full or part by any person without prior written approval of BCI, Inc. Its purpose is to
provide the user with adequately detailed documentation to efficiently install, operate,
maintain and order spare parts for the device supplied. Every effort has been made to keep the
information contained in this document current and accurate as of the date of publication or
revision. However, no guarantee is given or implied that the document is error free or that it is
accurate regarding any specification.
WARRANTY
Limited Warranty
Seller warrants to the original purchaser that the Product, not including accessories, shall be
free from defects in materials and workmanship under normal use, if used in accordance with
its labeling for one year from the date of shipment to the original purchaser.
Seller warrants to the original purchaser that the reusable oximeter sensors supplied as
accessories, shall be free from defects in materials and workmanship under normal use, if used
in accordance with its labeling for one year from the date of shipment to the original purchaser
(USA ).
Disclaimer of Warranties
THE FOREGOING EXPRESS WARRANTY, AS CONDITIONED AND LIMITED, IS
IN LIEU OF AND EXCLUDES ALL OTHER WARRANTIES WHETHER EXPRESS
OR IMPLIED, BY OPERATION OF LAW OR OTHERWISE, INCLUDING BUT NOT
LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE.
Seller disclaims responsibility for the suitability of the Product for any particular medical
treatment or for any medical complications resulting from the use of the Product. This
disclaimer is dictated by the many elements which are beyond Seller’s control, such as
diagnosis of patient, conditions under which the Product may be used, handling of the Product
after it leaves Seller’s possession, execution of recommended instructions for use and others.
Conditions of Warranty
This warranty is void if the Product has been altered, misused, damaged by neglect or
accident, not properly maintained or recharged, or repaired by persons not authorized by
Seller. Misuse includes, but is not limited to, use not in compliance with the labeling or use
with accessories not manufactured by Seller. This warranty does not cover normal wear and
tear and maintenance items.
Advisor® Operation Manual 1-1

Limitation of Remedies
The original purchaser’s exclusive remedy shall be, at Seller’s sole option, the repair or
replacement of the Product. THIS IS THE EXCLUSIVE REMEDY. In no event will
Seller’s liability arising out of any cause whatsoever (whether such cause is based in
contract, negligence, strict liability, tort or otherwise) exceed the price of the Product
and in no event shall Seller be responsible for consequential, incidental or special
damages of any kind or nature whatsoever, including but not limited to, lost business,
revenues and profits.
Warranty Procedure
To obtain warranty service in the USA, you must request a Customer Service Report (CSR)
number from Technical Service. Reference the CSR number when returning your Product,
freight and insurance prepaid, to: BCI, Inc., N7 W22025 Johnson Road, Waukesha, WI
53186-1856. Telephone: 1-800-558-2345. Facsimile: 262-542-3325. Seller will not be
responsible for unauthorized returns or for loss or damage to the Product during the return
shipment. The repaired or replaced Product will be shipped, freight prepaid, to Purchaser.
To obtain warranty information outside of the USA, contact your local distributor.
Keep all original packing material, including foam inserts. If you need to ship the device, use
only the original packaging material, including inserts. Box and inserts should be in original
condition. If original shipping material in good condition is not available, it should be
purchased from BCI, Inc.
Damages occurred in transit in other than original shipping containers, are the responsibility of
the shipper. All costs incurred returning devices for repair are the responsibility of the
shipper.
CE Notice
Marking by the symbol

Directive 93/42/EEC.
m indicates compliance of this device to the Medical Device
Authorized Representative (as defined by the Medical Device Directive):

Graseby Medical Ltd. Phone: (44) 1923 246434
Colonial Way, Watford, Herts, Fax: (44) 1923 240273
UK, WD2 4LG
1-2 Advisor® Operation Manual

About This Manual

This manual provides installation, operation, and maintenance instructions for the equipment
supplied. This manual is intended for health-care professionals trained in monitoring
respiratory and cardiovascular activity.
Conventions
This manual uses visual clues to help convey messages. The following examples show the
conventions used throughout the manual. Words that are defined in context, or defined in the
next sentence, are shown in italics, like this. References to other sections in the manual are
shown in italics, like this: See Alarms in Chapter 5: High, Medium, and Low Priority Alarms
for a description of alarms. When menus are shown, the monitor’s default settings are shown.
2 WARNINGS! Are shown like this.
CAUTIONS! Are shown like this.
NOTES! Are shown like this.
Using the Manual

The monitor allows you to choose the measurement capabilities you need. A measurement
refers to a derived or calculated value; a parameter refers to one or more specific
measurements. For example, the pulse rate value and the %SpO2 value are measurements; the
Oximeter parameter consists of both these measurements. Operation of the monitor is the
same regardless of the number of parameters utilized.
If the monitor just arrived, or if you’re not familiar with the operation of this monitor, then
follow each chapter in the manual in order. Each chapter builds on the information from the
previous chapter. If the monitor is already set up, or you are familiar with its operation, then
turn to the chapter that describes the features you will use.

Definition of Symbols
Figure 1.1: Definition of Symbols
SYMBOL DEFINITION
q Defibrillator-proof type CF equipment.
s Defibrillator-proof type BF equipment.
2 Attention, consult accompanying documents
1 Dangerous voltage
7 Refer servicing to qualified service personnel
9 Output
0 Loudspeaker
w Fuse
x On/Off
→O← BP Zero All
h NIBP Start/Stop
F Print Start/Stop
y Date of Manufacture
B Alarm Silence
REF Catalog Number
SN Serial Number
IPX1 Drip Proof
1 Non AP Device
X AC Power LED
M Low Battery LED

2 Warnings, Cautions & Notes

Figure 1.2: Definition of Hazard Keywords
KEYWORD DEFINITION
WARNING Tells you about something that could hurt the patient or hurt the operator.
CAUTION Tells you about something that could damage the monitor.
NOTE Tells you other important information.
General Warnings, Cautions and Notes

WARNING! Federal law (USA) restricts the use or sale of this device by, or on the order
of, a physician.
WARNING! Do not use this device in the presence of flammable anesthetics.
WARNING! ELECTRICAL SHOCK HAZARD when covers are removed. Do not remove
covers. Refer servicing to qualified personnel.
WARNING! Do not plug the monitor into an outlet controlled by a wall switch.
WARNING! Do not use this device in the presence of magnetic resonance imaging (MR
or MRI) equipment.
WARNING! This device must be used in conjunction with clinical signs and symptoms.
This device is only intended to be an adjunct in patient assessment.
WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the monitor and
other accessories in liquid. Evidence that liquid has been allowed to enter the monitor
voids the warranty.
WARNING! In the event that earth ground integrity is lost, the performance of this
device and/or other devices nearby may be affected due to excessive RF emissions.
WARNING! Where HF (diathermy) is used there is no danger of burning to the patient

provided recommended components are used. Rate meters may be temporarily
affected. The 9210 electrocautery filter is necessary for proper monitoring during
electrocautery.
WARNING! Equipment is protected against defibrillator discharge. Rate meters and

displays may be temporarily affected during defibrillation, but will rapidly recover.
WARNING: The vital signs monitor is suitable for use within the patient environment.
IEC 60950 approved equipment must by placed outside of the patient environment. The
patient environment is defined as any volume in which intentional or unintentional
contact can occur between the patient and parts of the system or between the patient
and other persons touching parts of the system.

EXAMPLE OF THE PATIENT ENVIRONMENT. THE DIMENSIONS ARE NOT PRESCRIPTIVE.
)
ft
.9
(4
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.5
1
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WARNING! When connecting this monitor to any instrument, verify proper operation
before clinical use. Use only equipment meeting specifications given in this manual.
Refer to the instrument’s user manual for full instructions. Accessory equipment
connected to the monitor’s data interface must be certified according to the respective
IEC standards, i.e., IEC 60950 for data-processing equipment or IEC 60601-1 for
electromedical equipment. All combinations of equipment must be in compliance with
IEC 60601-1-1 systems requirements. Anyone connecting additional equipment to the
signal input port or signal output port configures a medical system, and, therefore, is
responsible that the system complies with the requirements of the system standard IEC
60601-1-1.
WARNING! Any monitor that has been dropped or damaged should be checked by
qualified service personnel to insure proper operation prior to use.
WARNING! Use only original manufacturer or recommended patient cables. Use of

accessories other than those specified may result in increased electro-magnetic (EM)
emissions or decreased EM immunity of the device. To avoid potential electro-static
discharge interference, do not use cables which incorporate metal or metal coated
connectors.
WARNING! Medical electrical equipment, including this device, needs special

precautions regarding electro-magnetic compatibility (EMC) and needs to be installed
and put into service according to the EMC information provided in this manual.
WARNING! There is no defibrillator synchronization output on the monitor. Make no

connections between the monitor and a defibrillator.
WARNING! This monitor will not operate effectively on patients who are experiencing
convulsions or tremors.
WARNING! This monitor is not for home use.

WARNING! The monitor should not be used adjacent to or stacked with other
equipment. If adjacent or stacked use is necessary, the monitor should be observed to
verify normal operation in the configuration in which it will be used.
WARNING! This monitor is not for apnea detection. The monitor has not been tested
or validated for use in apnea detection.
WARNING! Verify proper operating mode before attaching patient. Refer to Chapter 3:
Selecting Patient Mode.
WARNING! Default parameters are provided for convenience. Verify that alarm limits
are appropriate for given patient and condition, and adjust according to institutional
policy.
WARNING! When the monitor is connected to the Central Station, alarm limits must be
set at both the Central Station and the bedside.
WARNING! Each patient parameter being monitored should be tested after connection
of the monitor to the Central Station to ensure proper setup. Do not connect patients
or rely upon remotely displayed patient data until all testing has been performed and
the system shown to be functioning properly.
CAUTION! Do not allow water or any other liquid to be spilled onto the monitor.
Unplug the AC power cord from the monitor before cleaning or disinfecting the
monitor.
CAUTION! Ensure the monitor’s AC rating is correct for the AC voltage at your
installation site before using the monitor. The monitor’s AC rating is shown on the rear
panel rating plate. If the rating is not correct, do not use the monitor.
CAUTION! Device batteries are not user replaceable. This unit may contain a lithium,
NiCad, and/or a nickel-metal-hydride battery. Disposal of such batteries should be
conducted in accordance to local or federal guidelines. BCI, Inc. cannot dispose of
these batteries.
CAUTION! This device is intended for use by trained health care professionals. The
operator must be thoroughly familiar with the information in this manual before using
the device.
CAUTION! Pressing front panel keys with sharp or pointed instruments may
permanently damage the keypad. Press front panel keys only with your finger.
CAUTION! Blocking the ventilation holes on the monitor’s rear panel can prevent air
circulation inside the monitor, possibly resulting in damage to the monitor. Leave an
air gap behind the monitor to allow air to circulate through the ventilation holes.
CAUTION! Should the device become wet, wipe off all moisture and allow sufficient
time for drying before operating.
CAUTION! Do not disassemble the unit. The unit is not user serviceable. Refer to
qualified service personnel.
CAUTION! It is the operator’s responsibility to set alarm limits appropriately for each
individual patient.
CAUTION! If the accuracy of any measurement is in question, check the patient’s vital
sign(s) by an alternative method and then check the monitor for proper functioning.

CAUTION! The monitor should be operated from its internal power source (if fitted) if
the integrity of the protective earth conductor is in doubt.
CAUTION! Follow local governing ordinances and recycling instructions regarding

disposal and recycling of device components and packaging.
NOTE! Operation of this device may be affected in the presence of strong portable and
mobile communications equipment.
NOTE! Operation of this device may be adversely affected in the presence of computed
tomograph (CT) equipment.
NOTE! All user and patient accessible materials are non-toxic.
NOTE! Hazards arising from software errors have been minimized. Hazard analysis
was performed to meet EN1441: 1997, and EN60601-1-4: 2000.
NOTE! Each input and output connection of the monitor is electrically isolated.
Connection of this monitor to other equipment will not increase leakage current.
ECG Warnings, Cautions, and Notes

WARNING! PACEMAKER PATIENTS. Rate meters may continue to count the
pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely
entirely upon rate meter alarms. Keep pacemaker patients under close surveillance.
See this manual for disclosure of the pacemaker pulse rejection capability of this
instrument.
WARNING! PACEMAKER PATIENTS: If PACE DETECT is not turned on when

monitoring pacemaker patients the heart rate readouts derived from the ECG patient
connections are likely to display erroneous high or erratic rates. Keep pacemaker
patients under close surveillance. For pacemaker patients it may be advisable to select
the SpO2 parameter as the primary heart rate source.
WARNING! Connect only three-lead or five-lead ECG lead wires from the patient to the
ECG patient cable. Do not connect any other signal source to the ECG patient cable.
WARNING! False low heart rate indicators or false Asystole calls may result with
certain pacemakers because of electrical overshoots.
WARNING! Reliable monitoring of pacemaker patients can only occur with PACE
DETECT on.
WARNING! The pacemaker pulse marker shape and size is not to be diagnostically
interpreted.
WARNING! Keep pacemaker patients under close observation. Rate detection in the
software may continue to count the pacemaker rate during cardiac arrest and/or
arrhythmia conditions. Therefore, do not rely solely on rate detection alarms.
NOTE! Follow institutional standards when applying ECG electrodes. Silver/Silver

Chloride disposable electrodes are strongly recommended to avoid polarization effects
that result in large input offset potentials. Use of “squeeze bulb” type electrodes is not
recommended.
NOTE! Use only standard AAMI three-lead or five lead ECG cables.

NOTE! Line isolation monitor transients may resemble actual cardiac waveforms and
thus inhibit heart rate alarms.
Impedance Respiration Warnings, Cautions, and Notes
WARNING! This monitor is not for apnea detection. The monitor has not been tested
WARNING! Electrodes of dissimilar metals should not be used.
WARNING! The monitor may not detect all episodes of inadequate breathing.
CAUTION! Ensure conductive parts including electrodes of the patient cable do not
come into contact with any conductive surfaces or earth parts.
CAUTION! The respiration parameter is disabled when the monitor is in the neonate
operating mode.
NOTE! Follow institutional standards when applying ECG electrodes.
NOTE! The ECG/Respiration cable uses a standard AAMI three-lead or five-lead

ECG/Respiration connector. Use only standard AAMI three-lead or five-lead ECG wires.
NOTE! The ECG/Respiration patient circuit is electrically isolated.
NOTE! The monitor is protected against damage from defibrillator, diathermy, and
electrocautery discharge.
Oximetry Warnings, Cautions, and Notes

WARNING! Prolonged use or the patient’s condition may require changing the sensor
site periodically. Change sensor site and check skin integrity, circulatory status, and
correct alignment at least every 4 hours.
WARNING! When attaching sensors with Microfoam®1 tape, do not stretch the tape or
attach the tape too tightly. Tape applied too tightly may cause inaccurate readings and
blisters on the patient’s skin (lack of skin respiration, not heat, causes the blisters).
WARNING! Using a damaged sensor may cause inaccurate readings, possibly

resulting in patient injury or death. Inspect each sensor. If a sensor appears damaged,
do not use it. Use another sensor or contact your authorized repair center for help.
WARNING! Using a damaged patient cable may cause inaccurate readings, possibly
resulting in patient injury or death. Inspect the patient cable. If the patient cable
appears damaged, do not use it. Contact your authorized repair center for help.
WARNING! If any of the integrity checks fail, do not attempt to monitor the patient. Use
another sensor or patient cable, or contact the equipment dealer for help if necessary.
WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the sensors in liquid.
Evidence that liquid has been allowed to enter the monitor voids the warranty.
WARNING! Use only SpO2 sensors supplied with, or specifically intended for use with,
1 Microfoam is a registered trademark of the 3M Company.

this device.
CAUTION! Unplug the sensor from the monitor before cleaning or disinfecting.
NOTE! Obstructions or dirt on the sensor’s red light or detector may cause a sensor
failure. Make sure there are no obstructions and the sensor is clean.
NOTE! If the oximeter parameter is being monitored, the pitch of the pulse beep is
determined by the SpO2 value. The higher the SpO2 value, the higher the pulse beep
pitch, and vice versa.
NOTE! SpO2 measurements may be adversely affected in the presence of high ambient
light. Shield the sensor area (with a surgical towel, for example) if necessary.
NOTE! Dyes introduced into the bloodstream, such as methylene blue, indocyanine
green, indigo carmine, patent blue (PBV), and fluorescein may adversely affect the
accuracy of the SpO2 reading.
NOTE! Any condition that restricts blood flow, such as use of a blood pressure cuff or
extremes in systemic vascular resistance, may cause an inability to determine accurate
SpO2 and pulse rate readings.
NOTE! The low SpO2 alarm limit minimum test value is 80. If an operator changes the
low SpO2 alarm limit to a value less than 80, and a power down - power up sequence
takes place, a minimum value of 85 takes the place of the operator entered value.
NOTE! Remove fingernail polish or false fingernails before applying SpO2 sensors.
Fingernail polish or false fingernails may cause inaccurate SpO2 readings.
Non-invasive Blood Pressure Warnings, Cautions and Notes

WARNING! Blood pressure measurements may be inaccurate if cuffs and/or hoses,
other than those specified by BCI, are used.
WARNING! Repeated use of STAT mode for periods longer than 15 minutes should be
avoided to reduce the patient’s risk for soft tissue or nerve damage. When using the
monitor for long periods of time, select the longest clinically appropriate measurement
interval and periodically examine the patient for signs of injury and ensure proper cuff
placement.
WARNING! Make sure that hoses are not kinked, compressed, or restricted.
WARNING! Check that operation of the equipment does not impair the circulation of
the monitored patient.
WARNING! Blood pressure measurements may not be accurate for patients

experiencing arrhythmias.
WARNING! Do not verify the Non-Invasive Blood Pressure calibration while the cuff is
attached to a patient.
CAUTION! To ensure that the unit remains in calibration, perform a calibration

verification on a yearly basis.
CAUTION! Verify the proper cuff size before each measurement.

CAUTION! Extremity and cuff motion should be minimized during blood pressure
determinations.
CAUTION! Proper blood pressure cuff size and placement are essential to the accuracy
of the blood pressure determination.
CAUTION! Any blood pressure recording can be affected by the position of the patient,
his or her physiologic condition, and other factors.
CAUTION! Blood pressure measurements should be interpreted by a physician.
NOTE! There are no user-serviceable adjustments for the Non-Invasive Blood Pressure
calibration verification. If the monitor appears to be out of calibration, contact your
authorized repair center for help.
NOTE! Systolic and Diastolic blood pressure measurements determined with this
device are equivalent to those obtained by the trained observer using the
cuff/stethoscope auscultation method, within the limits prescribed by the American
National Standard, Electronic or Automated Sphygmomanometers. AAMI SP10-1992.
NOTE! Mean Arterial blood pressure measurements determined with this device are
equivalent to those obtained by an intra-arterial blood pressure measurement device as
determined by BCI, Inc.
NOTE! Clinical validation studies are available upon request.
Invasive BP Warnings, Cautions and Notes

WARNING! Avoid conductive connection with any metal parts.
NOTE! The IBP ZERO NEEDED message is displayed when the monitor is turned on or
when the transducer is connected to the monitor (even if the same transducer is
disconnected then reconnected to the monitor).
NOTE! Use only invasive pressure transducers and interface cables specifically
intended for use with this device and it’s side panel connectors.
NOTE! The BP1 and BP2 waveforms must be visible and adjacent in order to be
overlaid.
NOTE! When BP1 and BP2 are overlaid, the scale settings for BP1 and BP2 are
changed to the higher of the two scales.
NOTE! Dual channel simulators may affect verification of IP operation. Use only single
channel simulators.
Temperature Warnings, Cautions and Notes

NOTE! Use only temperature sensors and interface cables specifically intended for use
with this device.
Capnograph Warnings, Cautions and Notes

WARNING: The capnograph contains no compensation for barometric pressure,

therefore readings in mmHg and kPa are correct only under the pressure at which the
capnograph is calibrated. Manual compensation can be made by performing a low cal.
CAUTION: Pump motors in the capnograph may adversely affect other medical
equipment, e.g. ECG tracings.
CAUTION: Use of monitor during continuous nebulized medication delivery, will result
in damage to the monitor (not covered by factory warranty). Disconnect the ETCO2
sample line from the patient circuit or power off during medication delivery.
NOTE: All user and patient accessible materials are non-toxic.
NOTE: During the auto zero calibration (autocal) sampling, the CO2 waveform and digits
will disappear for 1-5 seconds. After this, breath detection restarts. This should
happen only during extreme temperature changes, and not during normal patient
monitoring, or during changes of ambient pressure.
NOTE: The auto-zero cal is the similar to a low cal, excluding ambient pressure, so as
not to stop the pump.

Chapter 2: General Description

Intended Use
The 9200 vital signs monitor is intended to be used in the ICU, CCU, OR, ER, RR, Labor and
Delivery rooms, special procedure labs and other areas of a hospital or clinic where low end
monitoring systems are needed. The basic monitor package includes ECG (3 lead / 5 lead),
impedance respiration (RSP), non-invasive blood pressure (NIBP), pulse oximetry (SpO2),
two invasive blood pressures (P1 and P2), and two temperature channels (T1 and T2). A
capnography (CO2, ETCO2, INCO2, RR) module, two inch internal, graphical/alphanumeric
printer, and a battery are provided as options. The device permits patient monitoring with
adjustable alarm limits as well as visible and audible alarm signals. The device will provide
fast, reliable measurements on patients ranging from neonate to adult when using the
appropriate BCI accessories. The impedance respiration and capnography parameters are
available only in the adult and pediatric modes and are not intended for neonatal monitoring.
The monitor may be connected to the Life Sensing Instrument Company, Inc. HTS 820
Central Station for remote monitoring of patient status. The monitor is not intended for home
use. The monitor is not intended to be an apnea monitor. It was not designed or validated for
use as an apnea monitor.
2 WARNING! This monitor is not for apnea detection. The monitor has not been tested
2 WARNING! This monitor is not for home use.
2 WARNING! Verify proper operating mode before attaching patient. Refer to Chapter
3: Selecting Patient Mode.
Features
Monitoring
Capability is provided for patient monitoring in typical health care environments such as:
Intensive Care, Cardiac Care, Emergency Department, Operating Room, Post Anesthesia
Recovery, special procedure labs or labor and delivery rooms.
Parameters
The monitor offers ECG, Respiration, Capnography, Pulse Oximetry, NIBP, Invasive
Pressure and Temperature as monitoring parameters.
Display
The monitor has a large, high-resolution, high-contrast, color LCD display. This provides
a continuous, real-time display of up to four waveforms, measured values, chronological
data, measurement trends, and alarm limits.
Printer
An optional built-in printer, provides waveform snapshots, waveform strips, and tabular
parameter data. Annotation lines are printed every 200 mm (8 inches). The printer has
three paper speeds (four if capnography is installed), a dedicated print key, and an easy to
use drop-in paper replacement compartment.

Keys
Dedicated keys provide quick and easy access to important functions: NIBP
measurement, invasive pressure zeroing, alarms silence, and print functions.
Rotary Knob
The rotary knob works by rotating in either direction, moving the cursor on the display
and highlighting parameter labels and menu options. Pushing the knob selects the
highlighted item allowing you to further interact with the menus.
Serial Output
An RS-232C compatible serial output channel is standard.
Analog Output
The monitor provides three optional, electrically isolated, analog output channels with a 7-
pin connector.
Power
An AC voltage switch, located above the AC receptacle, switches the monitor between
110V and 220V AC line voltage sources. An optional internal rechargeable battery
ensures consistent monitor operation during AC line interruption.
Measurement Capabilities
Measurement capabilities:
• Heart/Pulse Rate: Displays continuous heart/pulse rate value from the best source
depending on quality of available data and selected source priority.
• ECG: Continuous three-lead or five-lead ECG monitoring, with standard lead selections,
filtering from defibrillator and electrocautery discharge (option). Displays lead selection,
and alarm limits. Provides pacemaker mode with display of detected pacer marker in
waveform.
• Impedance Respiration: (if no CO2 monitoring) Displays respiration waveform,
respiration rate, and alarm limits. This parameter is NOT available in Neonate mode.
• Capnography: Continuous non-invasive monitoring of sidestream end-tidal CO2,
inspired CO2, and respiration rate. Displays CO2 waveform, ETCO2, INCO2, and RR
measurements with alarm limits. Nitrous oxide compensation is selectable. This
parameter is NOT available in Neonate mode.
• Oximeter: Continuous non-invasive monitoring of %SpO2 and pulse rate. Displays
plethysmogram, pulse strength bargraph, %SpO2 measurements, and alarm limits. A
variety of disposable and reusable sensors are available for monitoring patients.
• NIBP: Non-invasive measurement of systolic, diastolic and mean blood pressure values.
Displays NIBP chronology, cuff pressure, mode setting, measured values, and alarm
limits. NIBP measurements can be made in automatic, manual or STAT modes.
• Invasive Pressure: Two independent channels of invasive pressure monitoring are
available to measure systolic, diastolic and mean values for each invasive pressure.
Displays measured values, alarm limits, site labels and waveforms.
• Temperature: Two independent channels of temperature monitoring, compatible with
YSI 400- or 700-series reusable or 4400- or 4700-series disposable temperature sensors.
Displays measured values and alarm limits for each channel.

Chapter 3: Setting Up the Monitor

Unpack the Monitor and Check the Shipment
Carefully remove the monitor and its accessories from the shipping carton. Save the
packing materials in case the monitor must be shipped or stored. Compare the packing list
with the supplies and equipment you received to make sure the shipment is complete.
Choose the Installation Site

Set up the monitor in a room with a temperature of 0-40 C (32-104° F) and a relative
humidity of 15-95%. If the monitor was in an area having a temperature higher or lower
than this, wait a few minutes before setting up and using the monitor.
Check the Monitor’s AC Rating

Check the monitor’s AC rating plate to ensure the nominal voltage at your installation site
matches the monitor’s rating. Use the voltage selection switch to ensure the proper
voltage for your site. If the AC rating is not correct, do not use the monitor. Contact your
authorized repair center for help.
CAUTION! The monitor should be operated from its internal power source (if fitted) if
the integrity of the protective earth conductor is in doubt.
Connect the AC Power Cord
2 WARNING! Do not plug the monitor into an outlet controlled by a wall switch.
Plug the AC power cord into the power connector on the back of the monitor. Plug the
other end of the AC power cord into a grounded, three-wire hospital-grade outlet. Verify
the front panel AC Power LED (X) is lit.
Selecting Patient Mode

The Patient mode indicator is located on the upper portion of the Advisor® display. When
monitoring adult patients, the monitor should be set to ADULT mode. When monitoring
pediatric patients, the monitor should be set to PEDIATRIC mode. When monitoring neonatal
patients the monitor must be in the NEONATE mode. To change the Patient mode, turn the
rotary knob until the cursor highlights the NEONATE, PEDIATRIC, or ADULT indicator.
Depress the knob and rotate, highlighting the correct patient mode. Again depress the knob to
select the correct patient mode.
Each mode contains default alarm limit settings and NIBP inflation pressure settings that are
appropriate for the patient being monitored, e.g. default adult NIBP inflation pressure is 175
mmHg, pediatric default setting is 175 mmHg, and neonate default setting is 100mmHg.

Setup
The SETUP menu provides general configuration, software information and service menu
access. Use the rotary knob to move the cursor to highlight the SETUP menu located in the
MAIN menu at the bottom of the display. Push the rotary knob to open the SETUP menu.
The menu options and descriptions are as follows:
MESSAGE LINE
Provides the option of turning ON or OFF the message line located directly above the
MAIN menu.
PRINT ALL REPORT

Allows the user to program the waveforms that print in the PRINT ALL REPORT.
PRINT ALL REPORT is generated when the PRINT START/STOP key (F) is pressed.
PARAMETER OPTIONS
CHECK NIBP CALIBRATION
Verification of NIBP calibration is necessary once per year or if doubt exists about the
accuracy of the manometer’s readings or the measured values.
2 WARNING! Do not verify NIBP calibration while the cuff is attached to a patient.
NOTE! There are no user-serviceable adjustments for the NIBP calibration. If the
monitor appears to be out of calibration, contact your authorized repair center for help.
ECG LEADS PROCESSING: 5-LEAD or 3-LEAD

This option sets ECG processing to 3-lead or 5-lead mode.
ECG MONITOR
This option enables/disables ECG monitoring.
RSP MONITOR
This option enables/disables impedance respiration monitoring.
CO2 PARAMETER (if capnography is installed)

CO2 MONITOR
This option enables/disables CO2 monitoring.
CO2 UNITS
This option sets units for ETCO2/INCO2 to mmHg, kPa, or %.
SOFTWARE REVISIONS
The SOFTWARE REVISIONS menu displays the monitor software revisions. Selecting
the PRINT WINDOW menu item can print the revision window.
BED NAME
The Advisor® monitor can be moved from room to room to monitor patients. This menu
option provides the ability to change the bed name to correspond with the room number
where the monitor resides. Open the menu, scroll to each character space, turn the rotary
knob to display the desired character, then press the rotary knob to input the character.

SERVICE MENU
Access into the SERVICE MENU is by authorized password only. Please refer to
Appendix-A for use of this option.
Using the Internal Battery

The optional internal rechargeable battery is intended primarily for backup and switch over
use. There are no special switches or setups for using the battery; the monitor operates exactly
the same way under AC or battery power. To charge the battery, connect the AC power cord
to the monitor and to the AC line as described in the Check the Monitor’s AC Rating and
Connect the AC Power Cord sections of in this chapter. Charge the battery after the monitor
is used under battery power or after the monitor has been shipped or stored.
NOTE! Make sure the front panel AC Power LED is lit. If not, see Chapter 18:
Operator’s Troubleshooting chart.
NOTE! When the monitor is connected to AC power, the internal battery charges
whether the monitor is on or off. Allow battery to fully recharge before use.
NOTE! When approximately 10 minutes of battery use remains, the LOW BATTERY
message is presented on the display and a system information signal, consisting of
five short tones, is sounded every 10 seconds.
CAUTION! Device batteries are not user replaceable. This unit may contain a lithium,
NiCad, and/or a nickel-metal-hydride battery. Disposal of such batteries should be
conducted in accordance to local or federal guidelines.
Starting
The monitor is turned on and off by the power ON/OFF (L) key located on the front lower
panel of the monitor. Press the L key to turn on the monitor. After a few seconds the display
lights, and the monitor automatically enters the monitoring mode.
NOTE! The monitor performs a number of system checks during its start-up time. If
the monitor detects an error with its internal circuitry, a message is displayed and the
monitor will not enter the monitoring mode.

High, Medium, and Low Priority Alarm Tones

Figure 3.1: Alarm Status Area
rpm

Alarm Status
The Alarm Status area is located on the upper right portion of the Advisor’s display panel.
To silence the alarm tones for two minutes, momentarily press the ALARM SILENCE
(B) key. The Alarm Silence Icon (Y) flashes during the two minute alarm silence. The
time left in the alarm silence is displayed to the left of the blinking icon. To reactivate
alarms press the ALARM SILENCE (B) key once.
1. Alarm Message Area

When no alarms are active, this area shows the current alarm reset mode, either AUTO
RESET or MANUAL RESET. See Chapter 5, High, Medium, and Low Priority Alarms
for information on these modes. When alarms are active, this area shows the alarm
message.
2. Countdown Timer
The alarm tones are silenced for two minutes when the monitor is first turned on. The
Alarm Silenced Icon (Y) flashes during the two minute alarm silence. The time left in
the alarm silence is displayed to the left of the flashing icon.
3. Alarm Silence Icon (Y)

To silence the high, medium, or low priority tone indefinitely, press and hold the ALARM
SILENCE (B) key on the front panel of the monitor for three seconds. The Alarm
Silence Icon (Y) lights steady when the alarms are silenced indefinitely. To reactivate
alarms press the ALARM SILENCE (B) key once.

Time and Date

The monitor’s real-time clock and calendar keep track of the time and date, even when the
monitor is turned off or is not connected to AC power. The time and date stamp is used for
the NIBP tabular trends, the displayed and printed trends, and all other printouts.
Setting or Viewing the Time and Date

Using the rotary knob, move the cursor over the date/time located in the upper left of the
display. Push the knob to select. The cursor moves to the menu options at the bottom of
the display offering the following date format options.
DD – MMM – YYYY Example: 10-MAR-1998
MMM – DD – YYYY Example: MAR-10-1998
Select one of the options by using the rotary knob to move the cursor over the format,
push the knob to select, turn the knob to view the two format styles. Push the rotary knob
again to select the desired format. Proceed to the DAY, MONTH and YEAR to begin
entering the current date information. The time display format is based on the 24-hour
clock. Use the rotary knob to turn to the correct HOUR and MINUTE, push the rotary
knob to set the correct time.
New Patient
To enter a new patient into the monitor, use the rotary knob to move the cursor to the upper
right of the display over the BED/PATIENT area. Push the knob and observe the cursor move
to the menu options located at the bottom of the display. Using the rotary knob follow these
steps to enter a new patient:
1. Move the cursor to highlight ENTER NEW PATIENT, push to select this option.
2. Turn the rotary knob to select YES, push to select YES.
3. Select PATIENT NAME.
4. Enter the new PATIENT NAME by pushing the rotary knob then turn to the desired
character, push to select (up to 15 characters).
5. Select PATIENT ID.
6. Enter PATIENT ID by pushing the rotary knob then turn to select the desired character
(up to 15 characters).
7. Exit by selecting MAIN
When a NEW PATIENT is entered all previous data is purged from the monitor’s memory,
and all parameter options (parameter limit alarms, NIBP auto measurements etc.) are reset to
the unit defaults.

Chapter 4: Description of Controls and Features
Front Panel
Figure 4.1: Front Panel Features
1. Display
The monitor has a large, high resolution, high contrast, color LCD display. This provides
continuous, real-time display of up to four waveforms, measured parameter values, tabular
trends, and alarm limits.
2. Keys
The function of each key is identified with an icon. When pressed, the key performs that
specific function.
3. Rotary Knob
The rotary knob is a rotary control with a push selection switch. The cursor movement is
controlled by turning the rotary knob clockwise or counter clockwise, and is used to
capture user input for all menu items.

Indicators
The indicators light to identify line/battery conditions.
• The green AC Power LED (power cord plug icon X) indicates the monitor is connected to
AC line power.
• The green Battery Power LED (battery icon M) indicates the monitor is getting power
from the battery.
Patient Connectors
Figure 4.2 Side Patient Connectors
On a fully configured monitor, the following connectors are located on the side of the monitor:
1. Oximetry
2. Dual Temperatures (T1, T2)
3. Dual Invasive Pressures (BP1, BP2)
4. ECG/Impedance Respiration
5. Non-Invasive blood pressure
6. Capnography
4-2 Advisor®Operation Manual

Printer
The optional built-in printer provides waveform snapshots, waveform strips, and tabular
parameter data. The printer has three paper speeds (four if capnography is installed), a
dedicated print key, and a simple drop-in paper replacement mechanism.

Display
Figure 4.3: Typical Display
14
ADULT
Y
rpm
MAIN: DISPLAY TMP PARAMETER MENU LOW BATTERY 15

NIPB MODE:
ALARMS PRINTER TRENDS SETUP QUICKSET SUSPEND MANUAL

1. Date and Time

The current date and time are displayed here. To change the date or time, move the cursor
to the date and time, then press the rotary knob to enter the DATE/TIME menu.
2. Alarm Status
Messages related to the alarm status of the monitor are shown here. If no alarms are
active, this area shows the alarm reset mode, either AUTO RESET or MANUAL RESET.
If alarms are active, this area shows the ALARM message.
3. Bed and Patient Names

The bed and patient names are displayed here. To change the patient name or ID, enter a
new patient, or change the bed patient display options, move the cursor to the bed and
patient names, then press the rotary knob to enter the BED/PATIENT menu.
To change the bed designation, use the rotary knob to enter the SETUP menu and select
BED.

4. Parameter Box
This “window” or box shows the parameter name, the numeric measured values and the
alarm limits. In this example, the parameter is ECG, the measured value is heart rate (HR)
and the alarm limits shown to the right correspond to the HR. To use a parameter menu,
highlight the parameter box label using the rotary knob, and press the rotary knob to enter
the menu.
5. Measured Value
This is the derived or calculated numeric measured value for the parameter.
6. High & Low Alarm Limits

The high and low alarm limits for the measured values are shown here. For BP1, BP2 and
NIBP, only one set of limits can be displayed. The systolic high and low limit are
indicated with an “S”. The diastolic high and low limits are indicated with a “D”. The
mean high and low limits are indicated with an “M”.
7. Measurement Units
The measurement unit for the values displayed are shown here.
8. Cursor
The cursor is moved about the display by turning the rotary knob and highlighting the
menu option. To enter the menu, press the rotary knob.
When the cursor is on the MAIN menu, and no cursor movement is detected for ten
minutes, the cursor is hidden (turned off). The cursor is reactivated when a key is pressed
or the rotary knob is turned or pushed.
9. MAIN Menu
The MAIN menu options are shown here. The monitor’s menu system allows you to
change Monitor, Function, Waveform, and Parameter settings. Parameter menus (located
on the right side of the display), Waveform menus (left), Monitor menus (top), and
Function menus (bottom) organize the monitor’s menu system. For example, the
ALARMS menu (bottom) allows you to change alarm limits and QUICKSET ranges for
any of the active parameters. The NIBP menu (right) allows you change the measurement
frequency, the maximum inflation pressure, and so on. Each MAIN menu option and
parameter function is described in its corresponding section or chapter.
10. Menu Message Line

A description of the current menu or option is shown here. This message line may be
turned OFF in the SETUP menu.
11. Waveforms 1-4

• Up to four waveforms can be displayed at the same time in waveform areas 1 – 4.
• Waveform 1 is dedicated to the primary ECG lead waveform.
• Waveform 2 will default as a second ECG lead waveform during five-lead monitoring
and when the monitor is in ADULT or PEDIATRIC mode, but can be changed to
display any other active parameter waveform. In NEONATE mode, Waveform 2
defaults to the plethysmogram when a pulse oximetry sensor is properly connected.
Waveform 2 can also be “cascaded”, with Waveform 1, to show continuous ECG
waveform data.

• Waveform 3 defaults as the BP1 waveform (labeled AR1 in figure) and is displayed
when the invasive BP cable is connected to the monitor. Waveform 3 can also be
changed to display any other active parameter waveform and can be cascaded with
Waveforms 1 and 2.
• Waveform 4 defaults as the BP2 waveform (labeled PA2 in figure) and is displayed
when the invasive BP cable is connected to the monitor. Waveform 4 can also be
changed to display any other active parameter waveform, or can be cascaded with
waveforms 1, 2, and 3.
• Respiration, CO2, and SpO2 waveforms must be turned on manually and can be placed
in Waveform 2, 3, or 4. Impedance respiration and capnography are not available in
Neonate Mode.
12. Waveform Label

The name of the waveform is shown here. To use a waveform menu, highlight the
waveform label using the rotary knob, and press the rotary knob to enter the menu.
13. Waveform Scale

If the waveform has a numeric scale, it is shown here. In this example, the arterial
pressure is 160 mmHg full scale.
14. Patient Mode

The current patient mode is displayed here. To change the patient mode, move the cursor
until the patient mode field is highlighted. Once highlighted, depress the rotary knob and
highlight the correct patient mode. Once again depress the rotary knob and the selected
patient mode will be displayed.
15. Printer and Battery Status

Printer status and battery status messages are shown here.

Parameter Colors
The following chart defines the default parameter colors assigned to each parameter.
Parameters Factory Default Parameter and Waveform Colors
RED BLUE GREEN YELLOW WHITE
ECG X
RSP/CO2 X
NIBP X
SpO2 X
TMP X
ART X
PA X
LV X
RV X
CVP X
ICP X
LA X
RA X
GENERIC X
PRESSURE

Keys
Figure 4.4: Monitor Front Panel
1. ON/OFF ( L )
This key turns on and off the monitor.
2. BP Zero All (→O←)

This key initiates the zeroing or calibration operation of each invasive pressure connected
to the monitor.
3. NIBP START/STOP ( h)
This key activates an immediate NIBP measurement. Pressing this key while an NIBP
measurement is in progress cancels the measurement.
4. PRINT START/STOP ( ) F
This key initiates a PRINT ALL snapshot of waveforms selected in the SETUP menu.
Pressing this key while a report is printing, cancels the print request. Pressing and holding
this key for 2 seconds starts a continuous print of the primary ECG (real time strip chart).
5. ALARM SILENCE ( ) B
This key allows the user to silence auditory alarm tones for a 2 minute interval, with a
single push of the key. Pressing and holding the ALARM SILENCE key (B) for three
seconds silences the alarms indefinitely. Pressing and releasing the ALARM SILENCE
key (B) while alarms are silenced, activates auditory alarm tones.
6. Rotary Knob
The rotary knob is a rotary control with a push selection switch. The cursor movement is
controlled by turning the rotary knob clockwise or counter-clockwise, and is used to
capture user input for various menu items.

Rear Panel
Figure 4.5 Rear Panel Features
4
90-120VAC
230-240VAC
2
5
1. Air Vents
The monitor has air vents at the top of the rear panel and on the bottom of the monitor.
NOTE! Do not block these air vents, they provide air circulation for the monitor’s
internal components.
2. AC Line Input & Voltage Rating

The AC power cord connects here. The monitor’s voltage and current ratings are shown
in this area. An AC voltage switch, located above the AC receptacle, switches the monitor
between 110V and 220V AC line voltage sources.
3. Serial Output
The monitor provides on electrically isolated RS-232C compatible serial output channel
with a 9-pin connector.
4. Capnography Module
The optional capnography module connects here (not shown with module attached in 4.5
above).
5. Optional Printer
The 2-inch graphical/alphanumeric thermal array printer is located here.

Chapter 5: High, Medium, and Low Priority Alarms
Alarms
A high priority alarm warns you when a patient’s parameter value matches or exceeds the
high or low alarm limit for that parameter. For example, if the low SpO2 alarm limit is at 85,
and the patient’s parameter value for SpO2 is 85 or less, the alarm is triggered. The alarm
actions occur for each violated alarm, even if more than one alarm is violated at the same time.
During an alarm condition the following occurs:
Figure 5.1: Alarm Example
3.
1. The ALARM message at the top middle of the display flashes.

2. The parameter value (digits) for the violated alarm flashes.
3. The ALARM tone sounds, if alarms are not silenced.
NOTE! ASYSTOLE is also a high priority alarm. ASYSTOLE is triggered if ECG rate
priority is selected, the ECG leads are connected to the patient (there is no LEAD FAIL
message), and the monitor has not detected an ECG QRS within a 5 second period.
NOTE! LOST PULSE is also a high priority alarm. LOST PULSE is triggered if oximetry
has acquired a pulse, but then cannot find a pulse for 20 seconds or more with the
SpO2 sensor still attached to the patient and still connected to the monitor.
NOTE! The alarm silence condition applies to the ASYSTOLE and LOST PULSE alarms
just as the other alarms. If the alarm tones are silenced, the ASYSTOLE or LOST
PULSE condition will not sound the alarm tone.

Momentary Sounds
Momentary sounds are sounded once in response to a defined event. They include the
following:
Power on Beep
Two tones are sounded when the monitor is turned on.
NIBP Completed
The NIBP Completed beep is heard when an NIBP measurement has completed.
Heart Rate Pulse Tone

When enabled, the pulse tone is sounded for each heart/pulse beat detected by the monitor.
If the heart rate source is ECG, the pulse tone is sounded each time an ECG heart beat is
detected. If the heart rate source is ART or SpO2, the pulse tone is sounded each time an
ART or SpO2 pulse is detected. The pulse tone changes pitch when the SpO2 level
decreases or increases, regardless of the heart rate source.
Heart Rate Pulse Tone Volume Adjust

The Heart Rate Pulse Tone Volume is adjustable. As you change the volume setting, beep
tones are sounded to identify the selected volume setting. There are ten audible settings,
including OFF.
Low Battery
The low battery signal consists of a series of five tones repeated every 10 seconds and
begins when approximately 10 minutes of battery life remains.
Alarm Volume Adjust

The Alarm Volume is adjustable. Beep tones are sounded as you change the alarm volume to
identify the selected volume setting. The default alarm volume setting is 30%.
These are the common features of Alarms and Momentary sounds:
• The alarm and momentary sounds, except the Heart Rate Pulse Tone, are broadcast at the
same volume.
• The alarm and momentary sound volume is user-adjustable.

Setting Alarm Limits

• Use the rotary knob to move the cursor to ALARMS located in the MAIN menu at the
bottom of the display.
• Push the rotary knob to open the ALARMS menu and display a table of settings for all the
currently enabled alarm limits.
• Move the cursor to CHANGE CURRENT ALARM LIMITS and push the rotary knob to
scroll through the list of parameters.
Example of possible alarm parameters:
HR (Heart Rate)
RSP (Impedance Respiration) or RR (Respiration Rate from CO2)
ETCO2 (End Tidal CO2)
INCO2 (Minimum Inspired CO2)
SpO2 (% Oxygen Saturation)
T1 (Temperature Channel 1)
T2 (Temperature Channel 2)
NBP-S (Non-Invasive BP, Systolic)
NBP-M (Non-Invasive BP, Mean Arterial)
NBP-D (Non-Invasive BP, Diastolic)
ART-S (Invasive BP: Arterial Systolic)
ART-M (Invasive BP: Arterial Mean)
ART-D (Invasive BP, Arterial Diastolic)
CVP-M (Invasive BP, Central Venous Mean)
For a list of alarm limit defaults, see Appendix C of the manual.
2 WARNING! Default parameters are provided for convenience. Verify that alarm limits
are appropriate for given patient and condition and adjust according to institutional
policy.
WARNING! Capnography (ETCO2, INCO2, RR) and the Impedance Respiration

parameters are disabled in NEONATE Mode. Alarm settings and alarm monitoring for
Capnography and Impedance Respiration are NOT available while the monitor is in
NEONATE Mode.
NOTE! Alarm limit settings for BP1 and BP2 are associated with the site label.
For example: settings for the BP1 ART site are not the same as settings for BP1 PA.
Please verify alarm settings when assigning a new site label to either the BP1 or BP2
connector.
NOTE! Alarms may be tested while the monitor is in use by setting alarm limits such
that the measured parameter is outside alarm limits. Return settings after testing.
• For example if HR is highlighted and then selected, the following options appear:
HR HIGH: 150 Adjusts the HR HIGH limit up or down from the current value
and allows you to turn off the high limit alarm.
HR LOW: 50 Adjusts the HR LOW limit up or down from the current value
and allows you to turn off the low limit alarm.
QS HI: +25 Adjusts the QUICKSET value for the HR HIGH alarm limit.
See later in this chapter for a description of the QUICKSET
feature.

QS LO: NO CHG Adjusts the QUICKSET value for the HR LOW alarm limit. See
later in this chapter for a description of the QUICKSET feature.
• To exit the row, highlight the parameter name and push the control knob. Now another
parameter may be selected.
• To exit the ALARM LIMITS table menu, move the cursor up the left hand column of
parameters to the top selection labeled MENU and push the control knob.
• Repeat the steps above to view or change any other alarm limits and quickset values.
Parameter alarms can be turned ON or OFF from the parameter box menu.
• For example, if the ECG parameter box label is selected, the following option is available
in the ECG parameter box.
HR ALARMS: ON/OFF Reflects the current status of the HR alarms and allows you to
turn HR ALARMS on or off.

QUICKSET Alarms
The QUICKSET feature adjusts alarm limits relative to the current parameter measurements.
This feature can be used to adjust all alarm limits quickly, or to quickly adjust only the
violated alarm limits. The QUICKSET adjustment values are shown in the ALARM LIMITS
table.
The QS HI value will be added to the current parameter reading to get a new value for the
upper alarm limit when QUICKSET is activated. The QS LO value will be subtracted from
the current parameter reading to get a new value for the lower alarm limit.
NOTE! Alarm limits for unavailable measurements, or for alarm limits that are set to
OFF, will not be changed with QUICKSET.
NOTE! QS HI and QS LO values set to No Change (NO CHG) do not affect the
corresponding alarm limit values. Those alarm limits will not be changed with
QUICKSET.
NOTE! Pressing QUICKSET ALARMS will not set any alarm limit to “OFF”. For
example, the range for the high HR alarm is 30-300 BPM and OFF. If the QUICKSET
range is +20, the current HR measurement is 290 BPM, and the QUICKSET ALARMS key
is pressed, the high HR limit will be set to 300.
To adjust the QUICKSET values for a particular parameter’s alarms:
• Use the rotary knob to move the cursor to ALARMS, located in the MAIN menu at the
• Push the rotary knob to open the ALARMS menu.
• Move the cursor to CHANGE CURRENT ALARM LIMITS and push the rotary knob to
display the table of current settings for all the enabled alarm limits. ( Please see Setting
Alarm Limits for a list of possible parameters.)
• Select the desired parameter from the left hand column of the table by moving the cursor
over the parameter name and pushing the control knob to select that row.
• Move the cursor to the desired "QS" values and push the control knob to adjust the setting.
Using the QUICKSET feature
• Use the rotary knob to move the cursor to the QUICKSET menu located in the MAIN
menu at the bottom of the display.
• Push the rotary knob to open the QUICKSET menu.
• Move the cursor to QUICKSET ALL LIMITS and push the rotary knob to reset all active
parameter limits according the current QUICKSET settings.
• Or move the cursor to QUICKSET VIOLATED ONLY and push the rotary knob to reset
the alarm limits for the violated parameter(s) in alarm.

QUICKSET Example
If the QUICKSET QS HI value for %SpO2 is +5, and the QS LO is -10, then selecting
QUICKSET ALL LIMITS while the current SpO2 reading shows 92% will change the SpO2
high alarm limit to 97% (92% plus 5) and the low alarm limit to 82% (92% minus 10.)
NOTE! Activating QUICKSET will not set any alarm limits to "OFF". If the new calculated alarm
limit value exceeds the alarm limit range, it is set to the highest or lowest value of that range. For
example, the range of settings for the high HR alarm limit is 30-300 BPM and OFF. If the HR
Quickset range QS HI is +20, and the current HR measurement is 290 BPM, then the QUICKSET
feature would try to set the high HR limit to 290+20. But this is higher than 300, so instead the
alarm limit is set to 300.

Alarm Tones
Alarm tones have been structured in a 3 tier format, for compliance with EN475:1995,
Medical Devices – Electrically Generated Alarm Signals.
High Priority Alarm
The High Priority Alarm sound consists of 2 bursts of 5 single tones over a 4-second
interval. The sequence is repeated every 10 seconds. High Priority Alarms supersede all
other alarms. The ALARM message line located at the top center of the display flashes
red during a High Priority Alarm. The following table identifies the High Priority Alarm
conditions in the monitor.
Parameter High Priority Alarm
ECG High Heart Rate
Low Heart Rate
Asystole
Pulse Oximetry High %SpO2
Low %SpO2
High Pulse Rate (if SpO2 is the rate source)
Low Pulse Rate (if SpO2 is the rate source)
Lost Pulse
NIBP High Systolic
Low Systolic
High Mean
Low Mean
High Diastolic
Low Diastolic
Invasive BP High Systolic
Low Systolic
High Mean
Low Mean
High Diastolic
Low Diastolic
High Art Pulse Rate (if ART is the rate source)
Low Art Pulse Rate (if ART is the rate source)
Temperature High Temperature
Low Temperature
Impedance Respiration High Respiration Rate
(Adult and Pediatric Low Respiration Rate
Mode Only)
Capnography High End Tidal CO2
(Adult and Pediatric Low End Tidal CO2
Mode Only)
High Inspired CO2
High Respiration Rate
Low Respiration Rate

Medium Priority Alarm

The medium priority alarm sound consists of a single burst of 3 single tones that repeats
every 20 seconds. The ALARM message line located at the top center of the display
flashes yellow during a medium priority alarm.
NOTE! Capnography alarms for exceeded alarm limits are medium priority alarms for
two minutes after monitor power up.
Low Priority Alarm
The low priority alarm sound consists of a single burst of 2 single tones that repeat every
20 seconds. The ALARM message line located at the top center of the display is steady
yellow during a low priority alarm. The following identifies the low priority alarm
conditions in the monitor.
Parameter Low Priority Alarm
ECG LEADS FAIL
RA, LA, LL, or V FAIL
LEADS OVERLOAD
LEAD I, II, III, or V OVERLOAD
ECG ERROR
Pulse Oximetry OXIMETER ERROR
CHECK SENSOR
NIBP NIBP ERROR
NIBP TIMEOUT
NIBP CUFF LEAK
NIBP ARTIFACT
NIBP WEAK SIGNAL
CUFF OVER-PRESSURE
NIBP CAL ERROR
NIBP COMM ERROR
Invasive BP IBP ERROR
IBP OUT OF RANGE
ZERO OUT OF RANGE
ZERO UNSTABLE
Invasive Temperature TMP ERROR
RANGE ERROR
Impedance Respiration LEAD I FAIL or LEAD II FAIL
(Adult and Pediatric ARTIFACT
Mode Only)
LOW SIGNAL
CVA ALARM
Capnography CO2 COMM ERROR
(Adult or Pediatric HI CAL ERROR
Modes Only)
LO CAL ERROR
OCCLUSION
TRAP FULL (ADVANCED PNEUMATICS ONLY)

Silencing the Alarms

The alarm tones are silenced for two minutes when the monitor is first turned on. The
Alarm Silence Icon (Y) flashes during the two minute time-out. The time left in the
alarm silence is displayed to the left of the Alarm Silence Icon (Y).
To silence an alarm tone indefinitely, press and hold the ALARM SILENCE key (B) on
the front panel of the monitor for three seconds. The Alarm Silence Icon (Y) lights
steady when the alarms are silenced indefinitely. To reactivate alarms, press the ALARM
SILENCE key (B) once.
To silence the alarm tones for two minutes, momentarily press the ALARM SILENCE
key (B). The Alarm Silence Icon flashes during the two minute interval. The time
remaining in the alarm silence interval is displayed to the left of the Alarm Silence Icon.
To reactivate alarms press the ALARM SILENCE key (B) once.
Adjusting the Alarm Volume

• Move the cursor to ALARM VOLUME and push the rotary knob to activate the
horizontal scroll bar.
• Turn the rotary knob to the right or left to adjust the alarm volume higher or lower
(scroll bar gauge will increase as the volume becomes louder or decrease as the
volume becomes softer). A momentary beep tone will sound for each new volume
level.
VOLUME:
Automatic- or Manual-Reset Alarms

When automatic-reset alarms is selected, the alarm action stops when the alarm is no
longer violated.
When manual-reset alarms is selected, the alarm action stops when the alarm is no longer
violated and the ALARM SILENCE key (B) is pressed. If the alarm is no longer
violated before the ALARM SILENCE key (B) is pressed, a flashing up (↑) or down (↓)
arrow appears beside the value that was violated. The value that was in alarm stops
flashing, and the auditory alarm continues until the ALARM SILENCE key (B) is
pressed. Follow these steps to set the monitor alarm reset mode:
• Move the cursor to RESET ALARMS: AUTO and push the rotary knob. Turn the
rotary knob to select AUTO or MANUAL.
NOTE: Manual Reset Alarms apply to alarm limit violations only.

Chapter 6: Pulse/Heart Rate Detection
Chapter 6: Pulse/Heart Rate Detection

Three of the monitor’s parameters can measure the patient’s pulse/heart rate: ECG, arterial
pressure, and oximetry. Because of this, the monitor must determine which measurement to
use for the pulse/heart rate, which is displayed in large digits in the top (ECG) parameter box
on the right side of the screen.
Determining Measurement for Rate

The monitor determines the measurement to use for the displayed pulse/heart rate as follows:
1. The monitor determines which pulse/heart rate measurements are valid.
2. The monitor displays the pulse/heart rate with the highest priority according to the
selected priority list.
Rate Source
Presents the choice of AUTO, ECG, ART, or SpO2 as the source for the heart/pulse rate.
When ECG is the source, a heart icon is briefly displayed at the detection of each QRS
complex.
If ART or SpO2 is the source, the source is identified in the parameter box and an asterisk
“ ✳” is briefly displayed at the detection of a pulse.
When AUTO is selected as the heart rate source, the monitor chooses the source as follows:
Selection Rationale
AUTO Default
ECG Selected if ECG is turned on.
SpO2 Chosen if ECG monitoring is turned off and SpO2 is active.
ART Chosen if ECG monitoring is turned off and SpO2 is not
active. ART must be active.
To change rate source, do the following:

• Use the rotary knob to move the cursor and highlight ECG.
• Push the rotary knob to open the ECG Parameter menu.
• Move the cursor to highlight the RATE SRC menu item.
• Push the rotary knob to select.
• Turn the rotary knob, observe the RATE SRC choices; ECG, ART, SPO2, and AUTO.
• Make to desired selection, push the rotary knob to activate the change.
• Move the cursor to MAIN menu, push the rotary knob to exit the ECG Parameter menu.

Chapter 7: ECG
Chapter 7: ECG
ECG Warnings, Cautions, and Notes
2 WARNING! PACEMAKER PATIENTS. Rate meters may continue to count the

pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not
rely entirely upon rate meter alarms. Keep pacemaker patients under close
surveillance. See this manual for disclosure of the pacemaker pulse rejection
capability of this instrument.
2 WARNING! PACEMAKER PATIENTS: If PACE DETECT is not turned on when

monitoring pacemaker patients the heart rate readouts derived from the ECG patient
connections are likely to display erroneous high or erratic rates. Keep pacemaker
patients under close surveillance. For pacemaker patients it may be advisable to
select the SpO2 parameter as the primary heart rate source.
2 WARNING! Connect only three-lead or five-lead ECG lead wires from the patient to the
ECG patient cable. Do not connect any other signal source to the ECG patient cable.
2 WARNING! False low heart rate indicators or false ASYSTOLE alarms may result with
2 WARNING! Reliable monitoring of pacemaker patients can only occur with PACE
DETECT turned on.
2 WARNING! The pacemaker pulse marker shape and size is not to be diagnostically
interpreted.
2 WARNING! Keep pacemaker patients under close observation. Rate detection in the
NOTE! Follow institutional standards when applying ECG electrodes. Silver/Silver

Chloride disposable electrodes are strongly recommended to avoid polarization effects
that result in large input offset potentials. Use of “squeeze bulb” type electrodes is not
recommended.
NOTE! Use only standard AAMI three-lead or five lead ECG cables.
NOTE! Line isolation monitor transients may resemble actual cardiac waveforms and
thus inhibit heart rate alarms.
Theory of Operation
Electrical currents influenced by the cardiac impulse flow through the body tissue around the
heart. Three or five electrodes, placed on the skin on opposite sides of the heart, transmit the
electrical potentials to circuitry in the monitor.
The monitor’s ECG circuitry amplifies, filters, and digitizes (converts analog signals to digital
signals) the received electrical potentials. The digitized signals are used to display the ECG
waveform and calculate the ECG heart rate.

Chapter 7: ECG
Using the ECG Parameter

If not familiar with this monitor and the ECG parameter, follow this chapter’s sections in
order:
• Setting Up ECG Monitoring: Ensure the ECG parameter is turned on.
• Attaching the Patient: Attach the ECG electrodes and connect the ECG patient cable to
the electrodes and the monitor.
• ECG Display: Shows a typical screen and explains the ECG display’s features.
• ECG Parameter Menu: Explains use of the ECG Parameter.
• ECG Waveform Menu: Choose the ECG lead selection and waveform scale.
• ECG Alarms and Messages: Defines the ECG alarms and messages; shows how they
are prioritized; suggests how to correct them.
Setting Up ECG Monitoring

• Follow the steps in Chapter 3: Setting Up the Monitor. The remainder of this chapter
assumes the monitor is installed and turned on.
• The ECG parameter defaults on and automatically detects when the ECG cable is plugged
into the connector. The ECG parameter can be turned off in the ECG Parameter menu.
Attaching the Patient

NOTE! The ECG cable uses a standard AAMI three-lead or five-lead ECG connector.
Use only standard AAMI three-lead or five-lead ECG wires.
NOTE! The ECG patient circuit is electrically isolated.
electrocautery discharge. The 9210 electrocautery filter is necessary for proper
monitoring during electrocautery discharge.
NOTE! Ensure the ECG LEADS PROCESSING setting in the SETUP menu under
PARAMETER OPTIONS is correct for the type of ECG cable being used.
• Connect the ECG cable to the monitor. Align the key on the monitor’s ECG receptacle
with the notch in the ECG connector. Push the connector firmly into the receptacle.

Chapter 7: ECG
Figure 7.2: Connect the ECG Cable to the Monitor
SPO2
TEMP
BP1
90-120VAC
230-240VAC BP2
ECG
ECG
NIBP
NOTE! To remove the ECG cable, grip the connector and pull back firmly. DO NOT pull
on the ECG cable to remove the ECG connector from the monitor.
Figure 7.3: Attach the Electrodes to the Patient
3-lead 5-lead
RA LA RA LA
LL RL LL
• Position three or five new, disposable ECG electrodes in the standard configuration
shown for three or five-lead monitoring.
2 WARNING! Electrodes of dissimilar metals should not be used.
• Connect the ECG leads to the electrodes, then connect the leads to the ECG cable.
Ensure the leads are in the correct ECG cable position. The ECG leads and patient
cable connector are color-coded according to the AAMI standard for ECG leads.
CAUTION! Ensure conductive parts, including electrodes of the patient cable, do not

Chapter 7: ECG
ECG 3-Lead Electrode Identification
ELECTRODE LABEL LOCATION COLOR

RA Right Arm White
LA Left Arm Black
LL Left Leg Red

RA Right Arm White
RL Right Leg Green
LA Left Arm Black
LL Left Leg Red
th
V 4 Intercostal Space Brown
(right)

Chapter 7: ECG
ECG Display
Figure 7.4: Typical Display
11
ADULT
NIPB MODE:

1. Rate SRC (source) Pulse/Heart Beat Indicator

When ECG is selected as the source for the heart/pulse rate calculation, a heart icon is
briefly displayed after each detection of a QRS complex. If ART or SpO2 is the
heart/pulse rate source, this setting is identified in the ECG parameter box and an asterisk
“*” is briefly displayed at each detection of a pulse.
2. Pace Pulse Detection Indicator

The PACE message is displayed when pace pulse detection is turned ON.
3. Heart Rate
This value represents the calculated heart rate.
4. Limits
Indicates high and low alarm limits for heart/pulse rate (any source).

Chapter 7: ECG
5. ECG Parameter Label

Identifies the ECG parameter box label. To enter the ECG Parameter menu, use the rotary
knob to highlight the ECG Parameter label, and press the knob to enter the menu.
6. ECG Message Area

Messages related to the ECG parameter are displayed here. These messages and their
display priority are described later in this chapter.
To access the ECG Parameter menu, move the cursor over the ECG parameter box label.
Push the rotary knob to open the ECG Parameter menu.
7. ECG Waveform
In this example, a second ECG waveform has been selected in waveform area 2.
8. ECG Size Setting

Identifies the current ECG waveform size setting.
9. Primary ECG Waveform

Waveform area 1 is exclusively dedicated to the primary ECG waveform. The primary
ECG lead is used to calculate the ECG heart rate, if ECG RATE SRC in the waveform
menu is set to AUTO or to the same lead listed under PRIMARY LEAD.
10. Erase Bar

The erase bar moves across the screen to update the ECG waveforms at a rate of
25mm/sec.
11. Lead used as ECG Rate Source (available in 5 lead mode only)
I, II, or III is displayed here if ECG RATE SRC is set to one of those leads. This area is
blank if ECG RATE SRC is set to AUTO.

Chapter 7: ECG
ECG Parameter Menu
HR ALARMS
Allows you to turn on or off the heart rate alarms.
WAVEFORM DISPLAY
PRIMARY LEAD
Allows the primary ECG lead in waveform area 1 to be selected. If using a three-lead
cable the following lead selections will appear; I, II, or III. These leads are acquired and
analyzed. Lead II is the default top ECG tracing.
If using a five-lead cable the following lead selections will appear: I, II, III, and V which
are simultaneously acquired and analyzed, and the augmented leads AVR, AVF, and
AVL which are calculated. Lead II is the default top ECG tracing.
SIZE
This menu item allows you to increase the size of the ECG waveforms in the following
increments: 0.5X, 1X, 2X, and 4X. The default size is 1X.
SIZE SCALE
1X +/- 2.5 mV
2X +/- 1.25 mV
4X +/- 0.625 mV
0.5X +/- 5 mV
PACE DETECT
This menu option should be used when the patient being monitored has a pacemaker. All
pacemaker pulses as specified by AAMI are detected or rejected in the ECG waveform
when PACE DETECT is turned ON. An artificial pulse marker is added to all displayed
ECG waveforms marking the pacemaker discharge. The message PACE appears in the
parameter box when PACE DETECT is ON. The default PACE DETECT setting is OFF.

Chapter 7: ECG
2 WARNING! False low heart rate indicators or false ASYSTOLE alarms may result with
2 WARNING! Monitoring of pacemaker patients can only occur with the PACE DETECT
turned on.
2 WARNING! The pacemaker pulse marker shape and size is not to be diagnostically
interpreted.
2 WARNING! Keep pacemaker patients under close observation. Rate detection in the
SPEED
Allows you to adjust the waveform speed (6.25, 12.5, or 25 mm/sec).
RATE SRC (source)

Presents the choice of AUTO, ECG, ART, or SpO2 as the source for the heart/pulse rate.
• When ECG is the source, a heart icon is briefly displayed at the detection of each QRS
complex.
• If ART or SpO2 is the source, the source is identified in the parameter box and an asterisk
“✳” is briefly displayed at the detection of each pulse.
• When AUTO is selected as the heart rate source, the monitor chooses the source as
follows:
AUTO Selection Rationale
ECG Selected first if ECG is turned on.
Sp02 Chosen if ECG monitoring is turned off and
SpO2 is active.
ART Chosen if ECG monitoring is turned off and
SpO2 is not active. ART must be active.
PULSE VOL
Turns on an audible heart rate/pulse tone and allows adjustment of the pulse tone volume
using the rotary knob to move the sliding volume bar. If SpO2 is being monitored a variable
pitch beep tone will be heard as the saturation changes. If ECG or ART is the heart rate
source, and SpO2 is not being monitored, then the normal pulse beep is heard.
ECG MONITOR
Disables the ECG parameter. A message, ECG DISABLED, appears in the ECG parameter
box, when OFF is selected.
PRINT ALL LEADS SNAPSHOT (Available for 5 lead ECG only)

See description under “ECG Waveform Menu.”

Chapter 7: ECG
ECG Waveform Menu

To set up ECG waveform options turn the rotary knob to highlight the top waveform label (the
default for ECG is lead “II”) on the left side of the display. Push the rotary knob to open the
ECG Waveform menu, which appears at the bottom of the display. Move the cursor using the
rotary knob to the desired options. The ECG Waveform menu options are defined as follows:
PRIMARY LEAD
This option allows you to choose the primary ECG lead, which is always displayed in
Waveform area 1. The ECG heart rate value is calculated from the primary ECG lead
unless you choose another lead as the rate source under ECG RATE SRC (see below).
If using a three-lead cable, the following lead selections will appear; I, II, or III, allowing
one waveform to be displayed. Lead II is the default primary ECG waveform.
If using a five-lead cable, the following lead selections will appear; I, II, III, and V are
simultaneously acquired and analyzed; the augmented leads aVR, aVF, and aVL are
calculated. Lead II is the default top ECG waveform. Lead V is the default 2nd ECG
waveform.
When the second Waveform menu is selected, the above leads plus all other available
waveforms are available to assign to the waveform position. In addition, CASCADE is an
option. When CASCADE is selected, the primary ECG lead waveform is CASCADED,
or continued, into waveform area 2. The primary ECG lead waveform may also be
cascaded into waveform areas 3 and 4.
ECG RATE SRC (Source)(5 lead cable only!)

If AUTO is selected, and the rate source is ECG, then the primary lead is the ECG heart
rate source. You can choose one of the leads, I, II, or III, as the source of the heart rate, if
it gives a better signal than the PRIMARY LEAD. The lead number for the source of the
ECG rate is displayed below the heart symbol if AUTO is not selected.
SIZE
This menu item allows you to increase the size of the ECG tracing in the following
increments: 0.5X, 1X, 2X, and 4X. The default size is 1X.
SIZE SCALE
1X ± 2.5 mV
2X ± 1.25 mV
4X ± 0.625 mV
0.5X ± 5 mV
PACE DETECT
This option turns ON/OFF the pacemaker detection program in the monitor. It should be
turned on whenever the patient has a pacemaker. The program defaults OFF, so if you
have a patient with a pacemaker, you will have to turn ON the PACE DETECT option.
The software places an artificial pacemaker pulse marker on the waveform whenever it
detects a pacemaker pulse. When pacemaker detection is on, PACE appears in the ECG
parameter box.
SPEED
This menu item allows you to adjust the waveform speed. Highlight the SPEED option,

Chapter 7: ECG
depress the rotary knob and rotate to the desired speed, 25mm/sec, 12.5mm/sec, or
6.25mm/sec. Upon new patient initialization, the default speed is 25mm/sec.
PRINT STRIP
Selecting PRINT STRIP produces a continuous print of the primary ECG waveform. To
stop printing push the front panel PRINT START/STOP key (F).
PRINT SNAPSHOT
This menu option prints an approximate 8 second or 12 second SNAPSHOT of the
primary ECG Waveform (depending upon how the SNAPSHOT function was
programmed under MAIN/PRINTER menu) The default primary ECG Waveform is lead
II.
PRINT ALL LEADS SNAPSHOT (This option is available only if the monitor is in five-lead ECG mode)
Selecting PRINT ALL LEADS SNAPSHOT initiates the printing of all ECG waveforms
for an approximate interval of 8 seconds or 12 seconds each (depending on how you
programmed the SNAPSHOT function under MAIN menu, PRINTER menu).
Five Lead
PRINT ALL LEADS SNAPSHOT
Printing Sequence
1st print segment Leads II & V
nd
2 print segment Leads I & III
rd
3 print segment Leads aVR & aVF
th
4 print segment Lead aVL

Chapter 7: ECG
ECG Alarms
Alarm Condition Presentation
HIGH ECG HR Audible high priority alarm, flashing HR value.
LOW ECG HR Audible high priority alarm, flashing HR value.
ASYSTOLE Audible high priority alarm, flashing HR value. Visual
message in ECG parameter box.
ECG ERROR Audible low priority alarm. Visual message in ECG
parameter box.
LEADS FAIL Audible low priority alarm. Visual message in ECG
parameter box.
LA FAIL Audible low priority alarm. Visual message in ECG
parameter box.
RA FAIL Audible low priority alarm. Visual message in ECG
parameter box.
LL FAIL Audible low priority alarm. Visual message in ECG
parameter box.
V FAIL Audible low priority alarm. Visual message in ECG
parameter box.
LEADS OVERLOAD Audible low priority alarm. Visual message in ECG
parameter box.
LEAD I OVERLOAD Audible low priority alarm. Visual message in ECG
parameter box.
LEAD II OVERLOAD Audible low priority alarm. Visual message in ECG
parameter box.
LEAD III OVERLOAD Audible low priority alarm. Visual message in ECG
parameter box.
LEAD V OVERLOAD Audible low priority alarm. Visual message in ECG
parameter box.

Chapter 7: ECG
ECG Messages
Only one message can be displayed at a time; therefore, they are prioritized, in order of
importance.
ASYSTOLE
This high priority alarm is generated and the message is displayed in the parameter box
when all ECG leads are connected to the patient, ECG processing is turned on, and no
ECG QRS signal is detected within a 5 second period.
NOTE! ASYSTOLE always triggers a high priority alarm, even if ECG is not the rate
source.
ECG DISABLED
This message is displayed in the ECG parameter box when ECG monitoring is turned off.
ECG ERROR
This message is displayed in the ECG parameter box when the monitor detects an
unrecoverable error within the ECG circuitry, this message appears in the ECG parameter
box. During an ECG ERROR, no ECG waveforms are available. This is a low priority
alarm.
LEADS FAIL
This message is displayed in the ECG parameter box when any lead fails on a three-lead
ECG connection or when the RL lead fails or when any two of the LA, RA, or LL leads
fail on a five-lead ECG connection. This is a low priority alarm.
LA FAIL
This message is displayed in the ECG parameter box when either LA lead fails or LA and
V leads fail. During a LA FAIL alarm, only lead II is displayed in waveform area 1. All
other ECG waveforms are erased. This is a low priority alarm.
RA FAIL
The RA FAIL alarm and message is displayed in the ECG parameter box when either RA
lead fails, or RA and V leads fail. During RA FAIL, lead III is displayed in waveform
area 1. All other ECG waveforms are erased. This is a low priority alarm.
LL FAIL
The LL FAIL alarm and message is displayed in the ECG parameter box when either LL
fails or LL and V leads fail. During LL FAIL, lead I is displayed in waveform area 1. All
other ECG waveforms are erased. This is a low priority alarm.
V FAIL
The V FAIL alarm and message is displayed in the ECG parameter box when the V lead
fails. If the V lead is the primary ECG lead during V FAIL, lead II will become the
primary ECG lead and will be displayed in waveform area 1. All other leads remain
available. This is a low priority alarm.
LEADS OVERLOAD
This message appears when more than one lead is experiencing an overload in the ECG
circuitry.

Chapter 7: ECG
LEAD I OVERLOAD
This message appears when one lead is experiencing an overload in the ECG circuitry.
LEAD II OVERLOAD
LEAD III OVERLOAD

LEAD V OVERLOAD
Correcting Lead Fail or Lead Overload Alarms

To troubleshoot a lead fail or lead overload alarm, first check that all leads are properly
positioned and connected. If so, try disabling and then reactivating ECG. If that doesn’t
correct the condition, turn off the monitor and turn it back on. After the initial check, if the
message continues to be displayed, contact your authorized repair center
ECG Calibration Verification

ECG calibration verification should be conducted annually, or if doubt exists about the
accuracy of measured values.
Using the 1606 Simulator to Verify Calibration

Turn on the monitor and disconnect all cables and sensors. Ensure the rate source is set for
ECG, refer to the Operations Manual on Changing Rate Source.
1. Connect the simulator in place of the SpO2 sensor. Simulator should automatically turn
on.
2. The 1606 simulator pulse indicator will flash to alert the user it is working. The monitor
should display an SpO2 reading of 97-99% and 79-81 bpm.
3. For a simulated ECG waveform, connect the RA, LA, and LL leads as specified in the
1606 instructions.
4. Press and hold the SpO2 OFF button to momentarily disable SpO2.
5. If the Oximeter or ECG rates are incorrect, ensure the simulator has a fresh 9V transistor
battery.
6. Disconnect the simulator when not in use, it will automatically shut off.
ECG Technical Data

See Appendix for ECG technical data.

Chapter 8: Respiration
Chapter 8: Impedance Respiration
Respiration Warnings, Cautions, and Notes
2 WARNING! The monitor may not detect all episodes of inadequate breathing.
NOTE! The ECG/Respiration cable uses a standard AAMI three-lead or five-lead

ECG/Respiration connector. Use only standard AAMI three-lead or five-lead ECG wires.
NOTE! The ECG/Respiration patient circuit is electrically isolated.
electrocautery discharge.
Theory of Operation
Respiration is detected by measuring the impedance across the thoracic area of the chest.
When respiration is monitored, a small AC current is passed through ECG lead I (RA -> LA)
or through ECG lead II (RA ->LL). The best lead selection depends on whether the patient is
an upper chest breather (lead I) or an abdominal breather (lead II).
Using the Impedance Respiration Parameter (RSP)

If not familiar with this monitor and the ECG parameter, follow this chapter’s sections in
order:
• Setting Up Respiration Monitoring: Ensure the respiration parameter (RSP) is turned
on.
• Attaching the Patient: Attach the electrodes and connect the ECG/Respiration patient
cable to the electrodes and the monitor.
• Respiration Display: Shows a typical screen and explains the respiration display features.
• Respiration Parameter Menu: Explains use of the Respiration parameter.
• Respiration Waveform Menu: Choose respiration waveform options.
• Respiration Alarms and Messages: Defines the respiration alarms and messages; shows
how they are prioritized; suggests how to correct them.
Advisor® Operations Manual 8-1

Setting Up Respiration Monitoring

assumes the monitor is properly installed and turned on.
• Impedance respiration is disabled in Neonate mode.
• The respiration monitoring default setting is OFF. If the ECG parameter is turned on,
respiration does not default on. Respiration must be turned on in the Setup|Parameter
Options menu.
• When ECG processing is turned off, respiration processing is automatically turned off,
and the respiration parameter is disabled.
• When capnography is ON, Impedance Respiration is automatically turned off.
• When respiration is disabled the RSP parameter box disappears.

• Connect the ECG/Respiration cable to the monitor. Align the key on the monitor’s ECG
receptacle with the notch in the ECG connector. Push the connector firmly into the
receptacle.
Figure 8.1: Connect the ECG/Respiration Cable to the Monitor
SPO2
TEMP
BP1
90-120VAC
230-240VAC
BP2
ECG
NIBP
NOTE! To remove the ECG/Respiration cable, grip the connector and pull back firmly.
DO NOT pull on the ECG/Respiration cable to remove the ECG connector from the
monitor
8-2 Advisor® Operations Manual

Figure 8.2: Attach the Electrodes to the Patient
3-lead 5-lead
RA LA RA LA
LL RL LL

• Position three new, disposable ECG electrodes in the standard configuration shown for
RA, LA, and LL.
• Or position five new, disposable ECG electrodes in the standard configuration shown for
RA, LA, RL, V, and LL.
• Connect the ECG leads to the electrodes, then connect the leads to the ECG/Respiration
cable. Ensure the leads are in the correct ECG cable position. The ECG leads and patient
cable connector are color-coded according the AAMI standard for ECG leads.

RA Right Arm White
LA Left Arm Black
LL Left Leg Red

RA Right Arm White
RL Right Leg Green
LA Left Arm Black
LL Left Leg Red
th
V 4 Intercostal Space Brown

Respiration Display
ADULT
PRINTER NIPB MODE:
ALARMS TRENDS SETUP QUICKSET SUSPEND MANUAL

1. Respiration Lead Setting

Indicates the ECG lead from which Respiration is being processed.
2. Cardiovascular Artifact Alarm OFF Message

The CVA OFF message is displayed when the Cardiovascular Artifact alarm is turned
OFF.
3. Impedance Respiration Rate (RSP)

Displays the current respiration value. Dashes (- - -) indicate the measurement is invalid
or unavailable. If respiration rate exceeds the high or low limit the RSP value begins to
flash and the monitor sounds the high priority alarm.

4. RSP Alarm Limits

Displays the RSP high and low limit. See the ALARMS section earlier in this chapter to
set the RSP high/low alarms. If respiration rate exceeds the high or low limit the RSP
value begins to flash and the monitor sounds the high priority alarm.
5. Respiration Parameter Label

Indicates the lead from which RSP is being processed.
6. Respiration Message Area

Messages related to the RSP parameter are displayed beneath the lead label. These
messages and their displayed priority are described later in this chapter.
7. Respiration Waveform
Displays the impedance respiration waveform. To show the impedance respiration
waveform on the display, turn the rotary knob to the desired waveform position on the left
side of the display. Highlight the waveform label and push the rotary knob. Highlight
WAVEFORM, push to select. Select RSP from the menu. If the ECG cable is attached to
the patient the RSP waveform should begin scrolling across the display. The monitor
“learns” the patient’s respiration pattern. Eight breaths are averaged and the average
amplitude of the respiration waveform is found. The waveform size is set automatically
during the learning process, and the detection sensitivity is set to the default values. The
inspiration and expiration markers on the Respiration waveform show the detection range
being used to detect a breath.
NOTE! If the CO2 monitor is on, there is no impedance respiration RSP waveform option.

Impedance Respiration Parameter Menu

To set up impedance respiration (RSP) monitoring, turn the rotary knob to select SETUP then
PARAMETER OPTIONS. Push to open another menu, then select the RSP MONITOR
ON/OFF item. Push and turn the rotary knob to select RSP MONITOR ON. This displays the
RSP parameter box.
To turn on the respiration waveform on the display, turn the rotary knob to the desired
waveform position on the left side of the display. Highlight the waveform label and push the
rotary knob. Highlight WAVEFORM, push to select. Select RSP from the menu. If the ECG
cable is attached to the patient, the RSP waveform will begin scrolling across the display. The
monitor “learns” the patient’s respiration pattern. During this phase the LEARNING message
appears in the parameter box. Eight breaths are averaged and the average amplitude of the
respiration waveform is found. The waveform size is set automatically during the learning
process, and the detection sensitivity is set to the default values. The inspiration and
expiration markers on the Respiration waveform show the detection range being used to detect
a breath. The RSP menu options are displayed at the bottom of the display.
The following is an overview of the Respiration menu options:
ALARM LIMITS
RSP ALARMS
Turns on or off the Respiration alarms.
RELEARN RSP
Forces the monitor to relearn the respiration signal.
RSP Waveform
Opens menu options to change the RSP waveform elements

LEAD
Indicates the lead from which RSP is being processed.
When using a 3-lead ECG cable, only the primary ECG lead is available for RSP
processing. For example if lead II is the primary ECG lead then lead II would be used for
RSP processing. Only leads I or II can be used for RSP processing. If lead III is the
primary ECG lead, no respiration is available.
When a 5-lead ECG cable is used, lead I or II is available for RSP processing and is
available for selection in the RSP WAVEFORM menu structure. In addition, the selected
lead is displayed in the parameter box. If a lead failure occurs it is also noted in the
parameter box. A new lead can be manually selected to resume RSP monitoring.
SIZE
The size of the respiration waveform can be adjusted for visual purposes. Turning the
rotary knob to the right will move the sliding bar and increase the RSP waveform size.
Turning the rotary knob to the left will decrease the RSP waveform size.
SIZE:
SENSITIVITY
Allows the detection sensitivity to be changed. Turning the rotary knob to the right will
move the sliding bar and increase the RSP waveform sensitivity. Turning the rotary knob
to the left will decrease the RSP waveform sensitivity.
SENSITIVITY:
SPEED
6.25mm/sec.
Respiration Default Settings
RSP Processing OFF
ECG LEAD Lead I
WAVEFORM SIZE Auto
RSP SENSITIVITY 40%
SPEED 25 mm/sec
CVA ALARM
Turns on or off the Cardiovascular artifact alarm. If the cardiovascular alarm is on, a
cardiac artifact alarm occurs when the respiration rate is within 5% of the heart rate.

RSP MONITOR
Provides the means to turn off the respiration parameter (RSP). Because the RSP
parameter box is not displayed if the RSP monitor is off, you must go to
SETUP/PARAMETER options to turn it on again.
PRINT
Opens the following print menus:
PRINT STRIP
Prints a continuous strip of the impedance respiration waveform.
PRINT SNAPSHOT
Prints an approximately 8 or 12 second snapshot of the impedance respiration waveform.
NOTE! Respiration waveform applied to patient nominal values:

Voltage: 0.35Vpp (sinewave)
Current: 0.37mApp
Frequency: 53.76KHZ
Impedance Respiration Alarms

Respiration Alarm Conditions:
HIGH RSP RATE Audible high priority alarm; flashing RSP value.
LOW RSP RATE Audible high priority alarm; flashing RSP value.
ARTIFACT Audible low priority alarm; visual message in RSP
parameter box.
LEAD I FAIL Audible low priority alarm visual message in RSP
parameter box.
LEAD II FAIL Audible low priority alarm; visual message in RSP
parameter box.
CVA ALARM Audible low priority alarm; visual message in RSP
parameter box.
LOW SIGNAL Audible low priority alarm; visual message in RSP
parameter box.
Impedance Respiration Messages

Only one message can be displayed at a time; therefore, they are prioritized in order of
importance.
ECG DISABLED
This message appears automatically when ECG monitoring is disabled. Respiration is
automatically disabled when ECG monitoring is disabled.

RSP NOT AVAILABLE

This message appears when ECG monitoring is processed with a three-lead cable with
lead III selected as the primary ECG lead and Impedance Respiration monitoring is turned
on. This Respiration parameter is not available in 3-lead mode with lead III selected as
the primary ECG lead. Choose lead I or II to monitor Impedance Respiration.
LEARNING
This message appears while the monitor is learning the patient’s respiration pattern.
LEARNING occurs whenever Impedance Respiration is turned on and the lead from
which respiration rate is determined, has been manually changed, or when the RELEARN
menu option is selected. This message automatically disappears when the monitor has
learned the respiration pattern.
LOW SIGNAL
This message appears when the monitor is unable to determine the impedance respiration
rate due to a very small or very slow respiration signal. To correct this condition: first
check the patient, then ensure proper placement and attachment of the ECG electrodes and
lead wires.
ARTIFACT
This message appears when the monitor is unable to determine the impedance respiration
rate due to excessive movement noise or artifact on the respiration signal. To correct this
condition: limit patient movement.
LEAD I FAIL
This message appears when the lead I is selected as the respiration lead, and the
impedance across the lead is outside of the specified range for the monitor. To correct this
condition: ensure proper placement and application of the ECG electrodes and lead wires.
LEAD II FAIL
This message appears when lead II is selected as the respiration lead, and the impedance
across the lead is outside of the specified range for the monitor. To correct this condition:
ensure proper placement and application of the ECG electrodes and lead wires.
CVA ALARM
This message appears when the CVA ALARM is turned on, and the impedance respiration
rate is within 5% of the ECG heart rate. This condition may signal that the respiration
parameter is detecting cardiovascular artifact from the heart pulses as respiration cycles.
To correct this problem: try selecting a different respiration lead, or try increasing
SENSITIVITY of the RSP WAVEFORM so that cardiovascular artifact is not detected as
respiration cycles

Chapter 9: Oximeter
Chapter 9: Oximeter
Oximetry Warnings, Cautions, and Notes
2 WARNING! Prolonged use or the patient’s condition may require changing the sensor
WARNING! When attaching sensors with Microfoam®1 tape, do not stretch the tape or
2 attach the tape too tightly. Tape applied too tightly may cause inaccurate readings
and blisters on the patient’s skin (lack of skin respiration, not heat, causes the
blisters).
2 WARNING! Using a damaged sensor may cause inaccurate readings, possibly

resulting in patient injury or death. Inspect each sensor. If a sensor appears
damaged, do not use it. Use another sensor or contact your authorized repair center
for help.
2 WARNING! Using a damaged patient cable may cause inaccurate readings, possibly
2 WARNING! If any of the integrity checks fail, do not attempt to monitor the patient.
Use another sensor or patient cable, or contact the equipment dealer for help if
necessary.
2 WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the sensors in

liquid.
NOTE! Obstructions or dirt on the sensor’s red light or detector may cause a sensor
failure. Make sure there are no obstructions and the sensor is clean.
determined by the SpO2 value. The higher the SpO2 value, the higher the pulse beep
pitch, and vice versa.

Chapter 9: Oximeter
Theory of Operation
The Advisor® determines oxygen saturation (%SpO2) and peripheral pulse rate (PPR) by
passing two wavelengths of light, one red and one infrared, through body tissue to a
photodetector. Pulse identification is accomplished by using plethysmographic techniques,
and oxygen saturation measurements are determined using spectrophotometric oximetry
principles. During measurement, the signal strength resulting from each light source depends
on the color and thickness of the body tissue, the sensor placement, the intensity of the light
sources, and the absorption of the arterial and venous blood (including the time varying effects
of the pulse) in the body tissues.
Figure 9.1: Pulse Oximetry Theory of Operation
The monitor processes these signals, separating the time invariant parameters (tissue
thickness, skin color, light intensity, and venous blood) from the time variant parameters
(arterial volume and SpO2) to identify the pulse and calculate oxygen saturation. Oxygen
saturation calculations can be performed because blood saturated with oxygen predictably
absorbs less red light than oxygen depleted blood.
Since measurement of %SpO2 depends on a pulsating vascular bed, any condition that restricts
blood flow, such as use of a blood pressure cuff or extremes in systemic vascular resistance,
may cause an inability to determine accurate pulse and %SpO2 readings.
Using the Oximeter Parameter

If not familiar with this monitor and the oximeter parameter, follow this chapter’s sections in
order:
• Setting Up Oximeter Monitoring: Ensure the oximeter parameter is turned on, select the
oximeter parameter’s options, and connect the SpO2 patient cable to the monitor.
• Attaching the Sensor to the Patient: Choose the sensor; check the sensor and patient
cable; clean or disinfect reusable sensor.
• Oximeter Display: Shows a typical screen and explains the oximeter display’s features.
• Oximeter Alarms, and Messages: Defines the oximeter alarms and messages; shows
how they are prioritized; suggests how to correct them.

Chapter 9: Oximeter
Setting Up Oximeter Monitoring

• The SpO2 parameter is automatically recognized when the patient interface cable is
plugged into the monitor. Check the display to determine if the oximeter parameter is on.
SPO2 ALARMS:
Turns the SpO2 alarms on or off, the choices are ON/OFF.
PPR DISPLAY
Displays the PPR (peripheral pulse rate) monitored by pulse oximeter. If the display is
ON, you will see PPR and the pulse value displayed in the SPO2 parameter box. If PPR
DISPLAY is turned OFF, PPR is not displayed in the SPO2 parameter box. The default
setting is ON.
AVERAGING PERIOD
Allows SpO2 averaging, to be changed. %SpO2 is averaged over 8 or 16 pulse beats, and
PPR is averaged over 8 or 16 seconds.
Options SpO2 (beats) PPR (seconds)
SLOW 16 16
NORMAL 8 8
FAST 4 8
PRINT STRIP
Prints a continuous strip of the SpO2 plethysmogram.
PRINT SNAPSHOT
Prints an approximately 8 or 12 second snapshot of the SpO2 plethysmogram.

Chapter 9: Oximeter
Attaching the Sensor to the Patient
2 WARNING! Prolonged use or the patient’s condition may require changing the sensor
2 WARNING! When attaching sensors with Microfoam® tape, do not stretch the tape or
attach the tape too tightly. Tape applied too tightly may cause inaccurate readings
and blisters on the patient’s skin (lack of skin respiration, not heat, causes the
blisters).
Attaching the patient to the monitor requires these steps:
1. Choose the sensor.
2. Check the sensor and patient cable.
3. Clean or disinfect the sensor if using the reusable type. (Disposable sensors are for single-
patient use and do not require cleaning or disinfecting.)
4. Attach the sensor to the patient as per package insert instructions.
Choosing the Sensor

When using the oximeter, choose the appropriate sensor from the following chart.
Sensor Selection Chart
PATIENT SITE DESCRIPTION

> 45 Kg Finger 3044: Sensor
3444N: Sensor
Finger or Toe 3043: Sensor, Universal “Y”
1300: Sensor, Disp., Finger
Ear 3078: Sensor, Ear
15-45 Kg Finger 3044: Sensor
3444N: Sensor
Finger or Toe 3178: Sensor, pediatric
3043: Sensor, Universal “Y”
Ear 1301: Sensor, Disp., Finger
3078: Sensor, Ear
3-15 Kg Hand or Foot 3043: Sensor, Universal “Y”
Toe 3025: Sensor, Wrap
Finger or Toe 1303: Sensor, Disp.
< 3 Kg Hand or Foot 1302: Sensor, Disp
Foot 3026: Sensor, Wrap

Chapter 9: Oximeter
Checking the Sensor and Patient Cable

Follow these instructions each time before the sensor is attached to the patient. This helps
ensure the sensor and patient cable are working properly.
2 WARNING! Using a damaged sensor may cause inaccurate readings, possibly

resulting in patient injury or death. Inspect each sensor. If a sensor appears
damaged, do not use it. Use another sensor or contact your authorized repair center
for help.
2 WARNING! Using a damaged patient cable may cause inaccurate readings, possibly
1. Carefully inspect the sensor to make sure it does not appear damaged.
2. Carefully inspect the patient cable to make sure it does not appear damaged.
Figure 9.3: Connect the Patient Cable and Sensor to the Monitor
SPO2
SpO2
TEMP
BP1
90-120VAC
230-240VAC
BP2
ECG
NIBP
3. If the sensor is not already connected to the patient cable, connect the sensor to the patient
cable. Push the connectors together firmly and close the latch to secure the connectors.
4. If the patient cable is not already connected to the monitor, connect the patient cable to the
monitor. Push the connector firmly into the monitor.
5. If the monitor is not already on, press the L button to turn on the monitor.
2 WARNING! If any of the integrity checks fail, do not attempt to monitor the patient.
Use another sensor or patient cable, or contact the equipment dealer for help if
necessary.

Chapter 9: Oximeter
6. Before the sensor is attached to the patient, check the integrity of the sensor, patient cable,
and oximeter as follows:
a. Make sure the red light in the sensor is illuminated.
b. Make sure the CHECK SENSOR message is displayed in the SpO2 parameter box.
NOTE! Obstructions or dirt on the sensor’s red light or detector may cause the
integrity checks to fail. Make sure there are no obstructions and the sensor is clean.
• For “Y” sensors, wrap sensors, and disposable sensors: Align the sensor’s red light
with the detector so they are less than 1/8 inch away from each other. Make sure the
CHECK SENSOR message is displayed in the SpO2 parameter box.
• For the finger sensor and ear sensor: Make sure the CHECK SENSOR message is
displayed in the SpO2 parameter box.
Cleaning or Disinfecting the Sensor

Clean or disinfect reusable sensors before attaching a new patient.
2 WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the sensors in

liquid.
Clean sensors with a soft cloth moistened in water or a mild soap solution. To disinfect the
sensor, wipe the sensor with isopropyl alcohol.

Chapter 9: Oximeter
Oximeter Display
A few seconds after the SpO2 sensor is attached to the patient, the %SpO2 and PPR values
should be displayed in the SpO2 parameter box. If not, ensure the sensor is properly
positioned and all of the connectors are firmly seated. If the values are still not shown, check
the oximeter message and see Oximeter Alarms and Messages later in this chapter for help.
The following illustration shows a typical display and identifies each of the oximeter display’s
features. Descriptions of these features follow.
Figure 9.4: Typical Oximeter Display
3 6 5 4
PPR OFF S
65 97 %
85 P
O
2
1 2
Pulse Beep
An audible pulse beep sounds with each pulse beat.
determined by the %SpO2 value. The higher the %SpO2 value, the higher the pulse
beep pitch, and vice versa.
1. Plethysmogram
If the plethysmogram is not displayed, use the rotary knob to move the cursor to
waveform area 2, 3, or 4 on the left side of the display. Push the rotary knob to open the
Waveform menu. Select WAVEFORM, then select the waveform you wish to display, in
this case SpO2. The plethysmogram is automatically scaled to fit in the waveform area at
its highest resolution.
2. Messages
Messages related to the SpO2 parameter are displayed beneath the Pulse Strength
Bargraph and PPR. These messages and their displayed priority are described later in this
chapter.
3. Pulse Strength Bargraph

The vertical bargraph has ten segments to show the patient’s pulse activity and strength, as
determined by the SpO2 parameter. The bargraph is logarithmically scaled to indicate a
wide range of pulse strengths.
4. Alarm Limits
The %SpO2 high and low limits are shown. If the %SpO2 value exceeds a high or low
limit the %SpO2 value begins to flash and the monitor sounds the high priority alarm.

Chapter 9: Oximeter
5. %SpO2 Value
The patient’s measured %SpO2 value is shown. Dashes (- - -) indicate the measurement is
invalid or unavailable. If the %SpO2 value exceeds a high or low limit the %SpO2 value
begins to flash and the monitor sounds the high priority alarm.
6. PPR
Displays the peripheral pulse rate calculated by the oximetry parameter.
Oximeter Alarms
Oximeter Alarm Conditions:
HIGH %SpO2 Audible high priority alarm; flashing %SpO2 value.

LOW %SpO2 Audible high priority alarm; flashing %SpO2 value.
HIGH PPR Audible high priority alarm; flashing PPR value.
LOW PPR Audible high priority alarm; flashing PPR value.
LOST PULSE Audible high priority alarm, visual message in Sp02 parameter box.
CHECK SENSOR Audible low priority alarm; visual message in SpO2 parameter box.
OXIMETER ERROR Audible low priority alarm; visual message in SpO2 parameter box.
Oximeter Messages
Messages are displayed in the message line within the SpO2 parameter box. Only one
message can be displayed at a time; therefore, they are prioritized to show what is most
important.
OXIMETER ERROR
The OXIMETER ERROR message means the monitor’s main processor detected an error
from the oximeter circuitry. All oximeter functions are disabled. This condition will
generate a low priority alarm. Disconnect the interface cable from the monitor, turn the
monitor off, then back on again, and reconnect the interface cable. If this action does not
correct the error, contact an authorized service center.
CHECK SENSOR
The CHECK SENSOR message means the monitor cannot detect that the SpO2 sensor is
connected to the patient. To correct the condition: ensure the sensor is properly positioned
on the patient. This condition will generate a low priority alarm.
PULSE SEARCH
The PULSE SEARCH message means the oximeter circuitry is optimizing the LED drive
levels in the sensor to properly detect the PPR and %SpO2 values. If the message persists,
try correcting the message by repositioning the sensor on the patient.
LOST PULSE:
The LOST PULSE message is displayed when a valid PPR is obtained and then lost. The
message is displayed when a PPR value appears as dashes.

Chapter 10: NIBP
Chapter 10: NIBP

Non-invasive Blood Pressure Warnings, Cautions and Notes
2 WARNING! Blood pressure measurements may be inaccurate if cuffs and/or hoses,

other than those specified by BCI, are used.
2 WARNING! Make sure that hoses are not kinked, compressed, or restricted.
2 WARNING! Check that operation of the equipment does not impair the circulation of
the monitored patient.
2 WARNING! Blood pressure measurements may not be accurate for patients

experiencing arrhythmias.
2 WARNING! Repeated use of STAT mode for periods longer than 15 minutes should be
avoided to reduce the patient’s risk for soft tissue or nerve damage. When using the
monitor for long periods of time, select the longest clinically appropriate
measurement interval and periodically examine the patient for signs of injury and
ensure proper cuff placement.
CAUTION! Verify the proper cuff size before each measurement.
CAUTION! Extremity and cuff motion should be minimized during blood pressure
determinations.
CAUTION! Proper blood pressure cuff size and placement are essential to the
accuracy of the blood pressure determination.
CAUTION! Any blood pressure recording can be affected by the position of the
patient, his or her physiologic condition, and other factors.
CAUTION! Blood pressure measurements should be interpreted by a physician.
NOTE! Systolic and Diastolic blood pressure measurements determined with this
device are equivalent to those obtained by the trained observer using the
cuff/stethoscope auscultation method, within the limits prescribed by the American
National Standard, Electronic or Automated Sphygmomanometers. AAMI SP10-1992.
NOTE! Mean Arterial blood pressure measurements determined with this device are
equivalent to those obtained by an intra-arterial blood pressure measurement device as
determined by BCI, Inc.
NOTE! Clinical validation studies are available upon request.
Theory of Operation
The monitor uses oscillometric principles to calculate the systolic, diastolic and mean arterial
pressure (MAP) values. The MAP is calculated as the lowest cuff pressure that provides the
maximum cuff oscillations. Therefore, the MAP is the largest signal received and is the most
accurate reading using oscillometric methods.
Systolic pressure is the cuff pressure when an increase in cuff oscillations is perceived. The
diastolic pressure is the cuff pressure when oscillations are no longer decreasing as pressure is
released from the cuff.

Chapter 10: NIBP
Using the NIBP Parameter

Follow the steps in chapter 3: Setting Up The Monitor. The remainder of this chapter assumes
the monitor is properly installed. If not familiar with this monitor and the NIBP parameter,
follow this chapter’s sections in order:
• Setting Up NIBP Measurement: Check the display to ensure the NIBP parameter is
turned on.
• Connecting the Cuff and Hose: Connect the cuff to the patient and the hose to the cuff
and monitor.
• NIBP Display: Explains the Parameter Box and displayed information.
• NIBP Parameter Menu: Describes the NIBP menu options.
• Taking NIBP Measurements: Describes how to take manual, automatic, and STAT
measurements, and how to cancel measurements.
• NIBP Alarms and Messages: Defines the NIBP alarms and messages; shows how they
are prioritized, and suggests how to correct them.
• Application Note: NIBP Cuff Inflation Method: Describes the method used to
determine the cuff inflation pressure for each measurement.
Setting Up NIBP Measurement

• The NIBP parameter box is continuously shown on the display.

Chapter 10: NIBP
Connecting the Cuff and Hose

Connect the NIBP extension hose to the monitor’s side panel quick connect fitting. Connect
the extension hose to the cuff.
Figure 10.1: Connect Extension Hose to Monitor and to Cuff
SPO2
TEMP
BP1
90-120VAC
230-240VAC
BP2
ECG
NIBP
NIBP
• Squeeze all the air out of the cuff. Locate the cuff on a bare limb at the same level as the
heart, then firmly wrap the cuff around the limb. Ensure the end of the cuff falls between
the lines marked on the cuff. You should be able to slide two fingers between the cuff and
the limb.
2 WARNING! Make sure that hoses are not kinked, compressed, or restricted.

Chapter 10: NIBP
Selecting the Proper NIBP Cuff
2 CAUTION: Verify the proper cuff size before each measurement.

Use this table to select the appropriate cuff, based on the patients arm circumference:
Cuff Arm Circumference
Neonate 1 3-6cm
Neonate 2 4-8cm
Neonate 3 6-11cm
Neonate 4 7-13cm
Neonate 5 8-15cm
Newborn 7.7-10.5cm
Infant 9.8-13.3cm
Small Child 12.4-16.8cm
Child 15.8-21.3cm
Small Adult 20.0-27.0cm
Adult 25.3-34.3cm
Large Adult 32.1-43.4cm
Connecting the Cuff and Hose

Connect the NIBP extension hose to the monitor’s side panel fitting. Select a cuff appropriate
for the patient (neonate or adult) and limb size by measuring the circumference of the arm.
Limb circumference is identified on each cuff.
Adult application
Squeeze all the air out of the cuff. Locate the cuff on a bare limb at the same level as the heart,
then firmly wrap the cuff around the limb. The cuff should be 1-2 inches above the elbow.
You should be able to slide two fingers between the cuff and the limb. Position the cuff so the
bladder is centered over the brachial artery. Check the tube between the cuff and the monitor,
to ensure it is not kinked or obstructed.

Chapter 10: NIBP
NIBP Display
The following illustration and descriptions identify each of the NIBP display’s features:
Figure 10.3: Typical NIBP Display
1 3 4
2-JAN-2002 09:54 NEONATE AUTO RESET
5
6
ALARMS PRINTER TRENDS SETUP QUICKSET SUSPEND NIPB MODE:
MANUAL
7
8
2 9
1. NIBP Patient Type

The NIBP patient type is shown here. Ensure the proper size cuff is used and the inflation
pressure setting is correct for the patient before starting the NIBP measurements.
2. Measurement Mode
The NIBP measurement mode is shown here. Push the rotary knob after moving the
cursor over this menu item to switch between manual and auto measurement modes.
3. Time to Next Measurement

Remaining time until next automode measurement.
4. Measured Values
The most recent measured systolic, diastolic, and MAP (mean arterial pressure) values are
shown here. Dashes (- - -) indicate the last measurement was unsuccessful or the last
measurement was unavailable.
5. NIBP Alarm Limits

The high and low alarm limits for the systolic, diastolic or MAP measurement (depending
on which limit is programmed to be displayed in the parameter box, see NIBP MENU,
ALARMS) is shown here. The limits are checked against the systolic value. NIBP alarms
are adjusted by entering the menu.
6. Alarm Limits Indicator

S, D, or M is displayed, denoting which alarm limits (systolic, diastolic, or MAP) are
currently displayed in the NIBP parameter box. The selection for which alarm limits are
displayed may be changed in the NIBP Parameter menu under ALARMS.
7. Parameter Label
This label identifies the parameter.

Chapter 10: NIBP
8. Messages
Alarms and messages related to the NIBP parameter are displayed in the parameter box.
These messages and their displayed priority are described in NIBP Alarms and Messages
later in this chapter.
9. Time of Measured Values

The time the current displayed value was completed is shown here.
10. Cuff Inflation Pressure (Not Shown)

During NIBP measurements, the CUFF message and the current cuff inflation pressure are
shown in place of the measurement time. The inflation pressure displayed is displayed
throughout the NIBP cycle until the NIBP measurement is determined. Then the
measurement time is displayed in place of the inflation pressure.
NIBP Measurement Modes

Select the NIBP measurement mode from the MAIN menu, NIBP MODE option. The
selections are AUTO or MANUAL. (A special option, NIBP STAT mode, can be accessed in
the NIBP Parameter Menu as shown below.)
NIBP MODE: MANUAL
Choose manual mode to ensure that NIBP measurements are initiated only from the front
panel NIBP START/STOP key (h). Press the NIBP START/STOP key to start cuff
inflation. Press the NIBP START/STOP key (h) during the NIBP measurement cycle to
cancel the measurement and deflate the cuff.
NIBP MODE: AUTO

Choose automatic mode to get NIBP measurements continually at specified intervals. A
specific interval can be set in the NIBP Parameter Menu. This interval is the time from the
last completed or canceled measurement until the start of the next automatic measurement.
Please see Taking NIBP Measurements later in this chapter for more information about NIBP
Measurement Modes.
NIBP Parameter Menu

Using the rotary knob move the cursor over the NIBP parameter label to access the NIBP
Parameter menu. Push the rotary knob to open the menu.
Alarms
Select this menu option to open the following submenu:
PREVIOUS SYS ALARMS DIA ALARMS MN ALARMS DISPLAY

ON ON ON SYS LIMITS
The SYS ALARMS ON/OFF, DIA ALARMS ON/OFF, and MN ALARMS ON/OFF options
allow the monitoring of NIBP systolic, diastolic, and mean alarm limits to be enabled or
disabled independently.
DISPLAY selects the pair of alarm limits to be displayed in the NIBP parameter box:
SYS LIMITS (Systolic), DIA LIMITS (Diastolic), or MN LIMITS (Mean or MAP).

Chapter 10: NIBP
If the ALARMS OFF option has been selected for the displayed set of limits, then the message
ALM OFF is displayed in the alarm limits area of the NIBP parameter box.
NOTE! To change the values of the alarm limit settings, go to the MAIN menu, and
select ALARMS, then CHANGE CURRENT ALARM LIMITS. See ALARMS section
for more details.
AUTO INTERVAL
Select this menu option to set the time between NIBP measurements in AUTO MODE. The
interval options are: 1 minute, 2 minutes, 3 minutes, 4 minutes, 5 minutes, 10 minutes, 15
minutes, 20 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, and 8 hours.
NOTE! If the interval is set to 1 minute, the interval will change to 5 minutes after 5
minutes of continuous operation in the automatic mode.
NIBP STAT (STAT Measurement Mode)
Select NIBP STAT: ON to start 5 minutes of continuous NIBP measurements. When the 5-
minute timer expires, any NIBP measurement in progress is immediately canceled.
INFL PRESS (Inflation Pressure)
Select this option to set the initial cuff inflation pressure. The default setting for ADULT and
PEDIATRIC modes is 175 mmHg. The default setting for NEONATE mode is 100 mmHg.
If there is a valid NIBP systolic reading displayed, the cuff inflates to that systolic reading plus
30 mmHg.
COMPLETION VOLUME
This option sets the volume for the audible indicator that informs the user that an NIBP
measurement has been completed. Highlight this menu selector, depress the rotary knob, and
rotate to the desired setting.
NIBP HISTORY
This option displays the NIBP HISTORY window, which allows the NIBP measurement
history to be reviewed, printed, or cleared. The NIBP history window contains a table
displaying the date, time, NIBP values, and SpO2 value at the end of each NIBP measurement.
The table displays up to 17 NIBP measurements at a time.
Up to 150 NIBP measurements can be stored and reviewed. As more measurements are
completed, the oldest table entries are deleted to make room for the newer measurements. The
NIBP history table can be manually printed or can be programmed to print automatically in
the PRINT menu.
Note! The NIBP history is erased when a new patient is entered into the monitor.
MEASUREMENT MODE
NIBP AUTO In the automatic mode, a specific time interval from the last completed or
canceled measurement until the start of the next automatic measurement can be set. Selecting
AUTO MODE provides the following interval choices: 1 minute, 2 minutes, 3 minutes, 4
minutes, 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 1 hour, 2 hours, 4 hours,
and 8 hours.

Chapter 10: NIBP
NOTE! If the interval is set to 1 minute, the interval will be changed to 5 minutes after 5
minutes of continuous operation in the automatic mode.
NIBP STAT Turning on STAT mode initiates 5 minutes of continuous NIBP measurements.
When the 5-minute STAT mode elapses, any measurement in progress is immediately
canceled.
MANUAL MODE In the manual mode, a manual measurement is taken when initiated from
the front panel NIBP START/STOP key (h). Pressing the NIBP START/STOP key
(h) starts the NIBP inflation. Pressing the NIBP START/STOP key (h) during the
NIBP cycle cancels the measurement.
Taking NIBP Measurements

Before taking NIBP measurements for a new patient, open the BED/PATIENT menu and
select ENTER NEW PATIENT. Turn the rotary knob to select YES. This erases all NIBP
tables, sets the measurement mode to manual, clears the printed NIBP history table and puts
dashes in the measured value display. Select PATIENT NAME and use the rotary knob to
insert each letter of the patient’s name. Select the patient type by moving the cursor to the
middle of the top line and pushing the rotary knob. Select ADULT, PEDIATRIC, or
NEONATE and be sure you have the appropriate size cuff for the patient.
Decide which measurement mode you want to use:
• Manual: In the manual mode, a single NIBP measurement is taken when the NIBP
START/STOP key (h) is pressed.
• Automatic: In the automatic mode, NIBP measurements are taken at regular intervals,
according to the NIBP AUTO interval setting.
• STAT: In the STAT mode, five minutes of continuous NIBP measurements are taken.
• Make sure the patient is relaxed. Ask conscious patients to remain as motionless as
possible while the cuff inflates, and until the cuff is fully deflated.
Manual NIBP Measurement

Press the NIBP START/STOP key (h) on the front panel of the monitor. If the
measurement is successful, the systolic, diastolic and MAP measured values are updated
in the NIBP parameter box and a bell tone is sounded.
If the measurement is not successful, dashes are shown for the measured values. The
monitor will attempt for up to 120 seconds in Adult mode, or 90 seconds in Neonate
mode, to complete the measurement. If unsuccessful the monitor stops, displays the
appropriate error message, and sounds a single bell tone. To acknowledge the NIBP error
message, press the NIBP START/STOP key (h) while the error message is displayed
in the NIBP Parameter box.
Automatic NIBP Measurement
From the NIBP parameter menu, select the AUTO INTERVAL time. Verify the interval
time is appropriate for the application.
NOTE! If the interval time is one minute, after five minutes of automatic readings the
interval time is changed to five minutes. If the interval time is one minute upon
entering suspend mode, the interval time is changed to five minutes upon exiting
suspend mode.

Chapter 10: NIBP
From the main menu, select the NIBP MODE: AUTO. Automatic measurements are
disabled when NIBP MODE is set to MANUAL. The next measurement will occur after
the interval time has elapsed. If the measurement is successful, the systolic, diastolic and
MAP measured values are updated on the display, and the automatic measurement interval
is reset. When the automatic measurement interval time has elapsed, another automatic
measurement is taken.
If the measurement is not successful, dashes are shown for the measured values. The
monitor will attempt for up to 120 seconds to complete the measurement. If unsuccessful
the monitor stops and displays the appropriate error message until the automatic
measurement interval time has elapsed. Then, another automatic measurement cycle is
started. To acknowledge the NIBP error message, press the NIBP START/STOP key
(h) while the error message is displayed in the NIBP Parameter box.
Stat NIBP Measurement

In the NIBP Parameter menu, turn NIBP STAT to ON, a five-minute timer is started.
NIBP measurements are taken continuously until the five minutes have elapsed, or until
the NIBP START/STOP key (h) is pressed. When the STAT mode times out or is
canceled, STAT NIBP measurements stop and the monitor is set to the previous
measurement mode (automatic or manual). If a measurement is unsuccessful, NIBP
measurements will not occur until the NIBP START/STOP key (h) is pressed to
acknowledge the error condition.
End of NIBP Measurement Indicator

A single bell tone will sound at the end of each NIBP measurement. A beep tone is
sounded when an error message is displayed following an unsuccessful NIBP
measurement.
Canceling NIBP Measurements

Press the NIBP START/STOP key (h) on the front panel of the monitor while a NIBP
measurement is in progress to stop the current measurement. If the monitor is in
automatic mode, another measurement will start after the preset time interval has elapsed.

Chapter 10: NIBP
NIBP Alarms
NIBP Alarm Conditions:
HIGH Systolic Pressure Audible high priority alarm; flashing NIBP systolic value.
LOW Systolic Pressure Audible high priority alarm: flashing NIBP systolic value.
HIGH Diastolic Pressure Audible high priority alarm; flashing NIBP diastolic value.
LOW Diastolic Pressure Audible high priority alarm; flashing NIBP diastolic value.
HIGH MAP Audible high priority alarm; flashing NIBP MAP value.
LOW MAP Audible high priority alarm; flashing NIBP MAP value.
NIBP ERROR Audible low priority alarm; visual message in NIBP parameter box.
NIBP TIMEOUT Audible low priority alarm; visual message in NIBP parameter box.
NIBP CUFF LEAK Audible low priority alarm; visual message in NIBP parameter box.
NIBP ARTIFACT Audible low priority alarm; visual message in NIBP parameter box.
NIBP WEAK SIGNAL Audible low priority alarm; visual message in NIBP parameter box.
NIBP CAL ERROR Audible low priority alarm; visual message in NIBP parameter box.
CUFF OVER-PRESSURE Audible low priority alarm; visual message in NIBP parameter box.

Chapter 10: NIBP
NIBP Messages
The NIBP messages are displayed in the message line located in the NIBP parameter box as
shown in the previous illustration, NIBP Display. Only one message can be shown at a time;
therefore, they are prioritized below to show the most important message.
NIBP ERROR
This message indicates the monitor has detected an unrecoverable malfunction with the
NIBP parameter. Try correcting the alarm by turning the monitor off and on. Try the
NIBP measurement again. If the message persists, contact an authorized repair center.
NIBP TIMEOUT
This message is presented when a NIBP measurement is unable to be completed within
the allowed time. To correct this condition ensure the cuff is properly located and applied
to the patient, ensure the patient remains still during measurement.
NIBP CUFF LEAK
This message is generated when the monitor detects an air leak in the system causing
pressure variations. To correct this condition, ensure the hose and cuff connections are
secure, and check the hose and cuff for leaks. If the message reappears, replace the cuff.
If the alarm persists, contact an authorized repair center.
NIBP ARTIFACT
The NIBP ARTIFACT message means the NIBP measurement could not be completed
due to excessive signal artifact. This condition could be caused by patient movement,
shaking and shivering during the measurement, or by disturbances in the cuff before the
measurement was complete. To correct this message, ensure the patient remains still
during measurement, and do not remove the cuff until the measurement is complete.
CUFF OVER PRESSURE
This message indicates the monitor detected cuff pressure greater than 325 mmHg in the
Adult or Pediatric mode, or 160mmHg in Neonate mode. The cuff immediately deflates
and the current NIBP measurement is stopped. Check the patient’s condition. Try another
NIBP measurement. If the message persists, contact an authorized repair center.
NIBP WEAK SIGNAL
This message indicates the NIBP measurement could not be completed due to a low pulse
signal from the patient. Try the reading again. Reposition the cuff over the artery if
necessary.
NIBP COMM ERROR
This message indicates a malfunction with the NIBP parameter. Turn the monitor off and
back on, then attempt the NIBP measurement again. If the message persists, contact an
authorized repair center.
NIBP CALIBRATION
This message appears during NIBP Calibration Verification. See later in this chapter for
the NIBP Calibration Verification procedure.
NIBP CAL ERROR
The NIBP CAL ERROR appears during the calibration procedure. To correct this error,
refer to NIBP Calibration Verification in the Setup Chapter. If the message reappears,
contact an authorized repair center.

Chapter 10: NIBP
VALVE ERROR
Indicates the dump valve may not operate properly and therefore the cuff may not deflate
properly. Contact an authorized repair center when this message appears.
Application Note: NIBP Cuff Inflation Method

The NIBP cuff inflation pressure is determined by this method If:
• there is no valid systolic pressure reading, or
• the INFL PRESS setting has just been changed,
then the cuff pumps up to the INFL PRESS setting in the NIBP Parameter menu. If there is a
valid systolic pressure reading, then the cuff pumps up to the previous systolic reading plus:
• 30 mmHg
During a measurement, if reinflation is necessary, the cuff pumps up to the last inflation
pressure plus:
• 30 mmHg
Non-Invasive Blood Pressure Calibration Verification
NIBP calibration verification is necessary annually, or if doubt exists about the performance
of the NIBP monitor, including the accuracy of the digital manometer’s readings or the
measured values.
2 WARNING! Do not verify the Non-Invasive Blood Pressure calibration while the cuff is
attached to a patient.
• Remove the NIBP cuff from the patient. Verify the monitor is in adult mode. Secure an
adult cuff to a rigid fixture, about the size of an adult arm.
• "Tee-in" a standard mercury manometer (Baum 661-300 or equivalent) with the Non-
Invasive Blood Pressure cuff.
• Using the rotary knob move the cursor to highlight the SETUP option. Push the rotary
knob to open the SETUP menu.
• Rotate the rotary knob to highlight the PARAMETER OPTIONS, and press.
• Place the reverse video cursor over the CHECK NIBP CALIBRATION box and depress
the rotary knob.
• Select YES to CHECK NIBP.
• The monitor will automatically inflate to a pressure of about 185mmHg, then stabilize.
The monitor will hold the desired pressure, so the readings can be compared. The digital
manometer reading and the mercury manometer reading should agree to within ±3 mmHg
or ±2 %, whichever is greater. The pressure may decrease over time due to air leakage,
but should not exceed the limit of 6mmHg/min. (0-8 kPa/min.).
• When calibration verification is complete, press the NIBP START/STOP key (h).
• The monitor will exit back to the MAIN menu.
NOTE! There are no user-serviceable adjustments for the Non-Invasive Blood Pressure
calibration. If the monitor appears to be out of calibration, contact your authorized
repair center for help.
CAUTION! To insure that the unit remains in calibration, perform a calibration

verification on a yearly basis.

Chapter 11: Invasive Pressure
Invasive BP Warnings, Cautions and Notes
2 WARNING! Avoid conductive connection with any metal parts.
NOTE! The IBP ZERO NEEDED message is displayed when the monitor is turned on or
NOTE! Use only invasive pressure transducers and interface cables specifically
intended for use with this device and it’s side panel connectors.
overlaid.
NOTE! Dual channel simulators may affect verification of IP operation. Use only single
channel simulators.
General Description
The invasive pressure function provides two patient isolated pressure channels. The invasive
pressure function will interface to transducers that comply with ANSI/AAMI BP23 - 1986
“American National Standard for Interchangeability and Performance of Resistive Bridge
Type Blood Pressure Transducers”.
Invasive Pressure Transducers and Interface Cables

To accommodate the type of interface cables and non-disposable transducers already used in
many facilities, the invasive pressure function can support the following connector types:
• Spacelabs (standard)
2 WARNING! Avoid conductive connection with any metal parts.

If the interface cables or non-disposable transducers do not mate with the connectors installed
in the monitor:

Figure 11.1: Changing Invasive Pressure Connectors—Disposable Transducers
DISPOSABLE TRANSDUCER
INTERFACE CABLE
TO
MONITOR
DISPOSABLE
TRANSDUCER
INTERFACE CABLE TRANSDUCER

CONNECTOR CONNECTOR
• For disposable transducers: Order interface cables with connectors that mate with the
monitor and with the transducers. BCI, Inc. does not sell interface cables. Interface
cables can be ordered from the transducer manufacturer or from a medical supplies
vendor.
When ordering interface cables for disposable transducers:

• Specify the type of connector that is installed in the monitor.
• Specify the brand name and model number of the disposable transducer.
• Specify the length of the cable.

Figure 11.2: Changing Invasive Pressure Connectors—Non-Disposable Transducers
NON-DISPOSABLE TRANSDUCER
BIOMEDICAL TECHNICIAN
TO
CAN INSTALL CONNECTOR
MONITOR
THAT MATES WITH THE MONITOR
NON-DISPOSABLE
TRANSDUCER
• For non-disposable transducers: Order non-disposable transducers with connectors that

mate with the monitor. If transducers with connectors that mate with the monitor cannot
be ordered, order connectors that mate with the monitor and have a biomedical technician
replace the connectors on the transducers with the connectors that mate with the monitor.
When ordering non-disposable transducers or connectors:
• Specify the type of connector that is installed in the monitor.
• Specify the brand name and model number of the non-disposable transducer.
Medical Supplies Vendors (U.S.A.)

Sources for interface cables and connectors:
Fogg System Company, Inc. Toll-Free: 1-800-525-0292
15592 E. Batavia Drive Phone: 1-303-344-1883
Aurora, CO 80011 Fax: 303-344-1780

Using the Invasive Pressure Parameter

The invasive pressure parameter’s two isolated channels operate identically. Where
distinction between the two channels is required, both channels are specifically discussed.
With that exception, the following descriptions apply to both invasive pressure channels BP1
and BP2.
If not familiar with this monitor and the invasive pressure parameter, follow this chapter’s
sections in order:
• Setting Up Invasive Pressure Monitoring: Check the display to ensure the invasive
pressure parameter is turned on.
• Setting Up the Invasive Pressure Transducer: Connect the transducer to the monitor
and to the patient.
• Invasive Pressure Display: Shows a typical screen and explains the invasive pressure
display’s features.
• Invasive Pressure Menus: Shows the typical menu options and explains the invasive
pressure menu features.
• Assigning the Site Label and the Waveform Scale: Choose one of the invasive pressure
labels and the scale for the displayed waveform.
• Calibrating the Invasive Pressure Transducers: Calibrate the transducers to ensure
accurate absolute measurements.
• Invasive Pressure Alarms and Messages: Defines the invasive pressure alarms and
messages; shows how they are prioritized; suggests how to correct them.
Setting Up Invasive Pressure Monitoring

• When the pressure cable is plugged into the monitor, it automatically places the parameter
box on the display along with any available waveform data. The default parameter labels
are AR1 and PA2 for the BP1 and BP2 channels respectively.
• Select the site Label for each connected channel. This is described in the Invasive
Pressure Parameter Menus section.
• Perform a calibration (zero) for each connected channel. This is described later in this
chapter.

Setting Up the Invasive Pressure Transducer

• For disposable transducers: Choose an appropriate interface cable designed to mate with
the BP1 or BP2 connectors on the monitor’s side panel and with the transducer.
• For non-disposable transducers: Choose an appropriate transducer designed to mate
with the BP1 or BP2 connectors on the monitor’s side panel.
• Connect the interface cable or the transducer to the BP1 or BP2 connectors as shown in
the following illustration:
Figure 11.3: Connect the Interface Cable to the Monitor
SPO2
TEMP
BP1
BP1
90-120VAC
230-240VAC
BP2
BP2
ECG
NIBP
• For disposable transducers: Connect the interface cable to a pressure transducer that has
been prepared according to the transducer manufacturer’s instructions.
• For disposable or non-disposable transducers: Insert a sterile catheter according to
standards of practice and care. Then connect the catheter to the prepared transducer
according to the transducer manufacturer’s instructions.

Invasive Pressure Display

The following illustration shows a typical display and identifies each of the invasive pressure
display features. Descriptions of these features follow.
Figure 11.6: Monitoring the Patient - Invasive Pressure
1. Arterial (ART) Heart Rate Value

This is the heart rate value calculated for an arterial blood pressure site. It can be turned
off.
2. BP1 Systolic, Diastolic, and Mean Pressure Values

The most recently measured systolic, diastolic, and mean readings in mmHg are shown
here for invasive pressure sites that include a systolic, diastolic or mean value
measurement. Dashes (- - -) indicate the measurement is invalid or unavailable.
3. BP1 Parameter Label

Identifies the BP1 parameter box and site label. To enter the parameter menu, use the
rotary knob to highlight this label, then press to enter.
4 BP Alarm Limits
The high and low alarm limits for the selected measurement (systolic, diastolic, or mean)
are shown here. Limits are checked against all measured values. See Setting Alarm
Limits in Chapter 5: High Medium, and Low Priority Alarms for instructions on changing
the alarm limits.
5. Alarm Limits Indicator

The high and low alarm limits for the selected measurement (systolic, diastolic, or mean)
are shown here. These messages and their displayed priority are described in Invasive
Pressure Alarms and Messages later in this chapter.
6. BP2 Parameter Label

Identifies the BP2 parameter box and site label. To enter the parameter menu, use the
rotary knob to highlight this label, then press to enter.

7. BP2 Systolic, Diastolic, and Mean Pressure Values

The most recently measured systolic, diastolic, and mean readings in mmHg are shown
here for invasive pressure sites that include a systolic, diastolic or mean value
measurement. For CVP, ICP, LA, and PA, only the mean value is displayed. Dashes (- -
-) indicate the measurement is invalid or unavailable.
8. BP1 and BP2 Message Areas

Messages related to the pressure measurement are displayed beneath their measured value.
These messages and their displayed priority are described in Invasive Pressure Alarms and
Messages later in this chapter.
9. BP1 Waveform and Scale

The pressure waveform and its scale are shown in the trace areas adjacent to the pressure
parameters. To change the scale, see Invasive Pressure Menus later in this chapter.
10. BP2 Waveform and Scale

The pressure waveform and its scale are shown in the trace areas adjacent to the pressure
parameters. To change the scale, see Invasive Pressure Menus later in this chapter.

Invasive Pressure Parameter and Waveform Menus

Waveform
This option appears only in the BP Waveform Menus on the left side of the display. This
option allows the BP1 or BP2 waveform to be displayed in the selected waveform
channel. The waveform is identified by the pressure site label and connection number.
(Example: LV2)
SITE LABEL
This option allow you to change the monitor’s designated name for the blood pressure
connector (i.e. BP1 has the default name AR1). Having the names properly reflect the site
is important for proper processing of the waveform information. Each site label has its
own set of alarm limits and default waveform scaling.
There are nine possible site labels for each invasive pressure channel. The following chart
describes each label, the values displayed for that label, and the default waveform scale
for that label.
LABEL VALUES DISPLAYED DEFAULT SCALE (mmHg)
Adult Neonate
ART (arterial) systolic, diastolic, mean, heart rate 0-160 0-100
PA (pulmonary artery) systolic, diastolic, mean 0-40 0-40
LV (left ventricle) systolic, diastolic, mean 0-160 0-100
RV (right ventricle) systolic, diastolic, mean 0-40 0-40
P (generic pressure) systolic, diastolic, mean 0-160 0-100
CVP (central venous pressure) mean 0-20 0-20
ICP (intra-cranial pressure) mean 0-20 0-20
RA (right atrium) mean 0-20 0-20
LA (left atrium) mean 0-20 0-20
Display of heart rate from the invasive pressure parameter depends on the status of the monitor’s
other heart rate detection systems. See Chapter 6: Pulse/Heart Rate Detection for details.

ALARMS
One set of limits (either systolic, diastolic or mean) may be displayed in the parameter
window. Select from systolic, diastolic or mean high/low limits only if the site label is not
mean-only.
IBP SCALE
This option allows you to change the scale on which the pressure waveform is displayed
on the screen.
For each invasive pressure channel, the following scales can be selected:
Available Invasive Pressure Scales
0-20 mmHg
0-40 mmHg
0-60 mmHg
0-100 mmHg
0-160 mmHg
0-200 mmHg
0-300 mmHg
IBP WAVEFORMS
SEPARATED
The waveform SEPARATED mode places each pressure waveform on it’s own scale.
OVERLAID
The waveform OVERLAID mode superimposes the BP1 and BP2 waveforms so they
share a common scale. While in the overlay mode, BP1 and BP2 waveforms now occupy
the entire combined area. The scales are adjusted to reflect the maximum range occupied
by both waveforms.
SPEED
6.25mm/sec. Upon new patient initialization, the default speed is 25mm/sec.

Figure 11.7: P1 and P2 Overlaid
NIPB MODE:

overlaid.
HR DISPLAY
When the pressure source is labeled ART, this feature allows you to display heart rate in
the parameter window.
ZERO PRESSURE
The invasive pressure transducers must be calibrated, or zeroed, to ensure accurate
absolute pressure measurements. This menu option allows zeroing of the selected BP
channel. See later in this chapter for the calibration procedure.
PRINT
PRINT STRIP
Prints a continuous strip recording of the selected invasive blood pressure parameter.
PRINT SNAPSHOT
Prints a short or long snapshot recording of the selected invasive blood pressure
parameter.

Invasive Pressure Alarms

Invasive pressure alarms:
HIGH SYSTOLIC PRESSURE Audible high priority alarm;
flashing SYSTOLIC value.
LOW SYSTOLIC PRESSURE Audible high priority alarm;
flashing SYSTOLIC value.
MEAN PRESSURE HIGH Audible high priority alarm;
flashing MEAN value.
MEAN PRESSURE LOW Audible high priority alarm;
flashing MEAN value.
HIGH DIASTOLIC PRESSURE Audible high priority alarm;
flashing DIASTOLIC value.
LOW DIASTOLIC PRESSURE Audible high priority alarm;
flashing DIASTOLIC value.
HIGH ART PULSE RATE Audible high priority alarm;
flashing HR value.
LOW ART PULSE RATE Audible high priority alarm;
flashing HR value.
IBP OUT OF RANGE Audible low priority alarm;
visual message.
BP ZERO NEEDED Audible low priority alarm;
visual message.
ZERO UNSTABLE Audible low priority alarm;
visual message.
ZERO OUT OF RANGE Audible low priority alarm;
visual message.

Invasive Pressure Messages

The invasive pressure messages are displayed for BP1 and BP2 beneath their corresponding
measured values as shown in the previous illustration, MONITORING THE PATIENT - INVASIVE
PRESSURE. Only one message can be shown at a time for each channel; therefore, they are
prioritized to show what is most important on the display. Note that alarms are spelled out in
all capital letters (for example, ERROR); messages are spelled out in upper- and lower-case
characters (for example, P1 Disabled).
BP ERROR
This message indicates the monitor’s main processor detected an error from the invasive
pressure circuitry. Invasive pressure functions, for the affected channel are disabled. Try
correcting the problem by disconnecting the BP cable from the monitor. Allow the BP
parameter windows to disappear then plug the BP cable back in the monitor, zero the
pressure; if the message persists, turn the monitor off and on and replace the interface
cable and transducer. If the message continues to persist, contact your authorized repair
center.
IBP ZERO NEEDED

This message means the pressure transducer must be calibrated to ensure accurate absolute
pressure measurements. See Calibrating the Invasive Pressure Transducers later in this
chapter for calibration instructions.
IBP OUT OF RANGE

This message means the pressure transducer’s measurement is outside the monitor’s
measurement range. Pressure readings in the range of -50 to 300 mmHg are valid. To
correct the alarm try zeroing the transducer; try replacing the transducer. If the message
persists, contact your authorized repair center.
ZERO OUT OF RANGE

This message means the monitor was unable to zero the pressure transducer because it was
out of the specified range. To correct this message, ensure the transducer connectors are
fully seated; try replacing the interface cable, try replacing the pressure transducer. See
Calibrating (Zeroing) the Invasive Pressure Transducers later in this chapter for
calibration instructions. If the message persists, contact your authorized repair center.
ZERO UNSTABLE
This message means the monitor was unable to zero the transducer because the pressure at
the transducer was not stable during the zeroing process. To correct the message, ensure
the transducers connectors are fully seated, try replacing the interface cable, try replacing
the pressure transducer. See Calibrating (Zeroing) the Invasive Pressure Transducers
later in this chapter for calibration/zeroing instructions. If the message persists, contact
your authorized repair center.

Calibrating (Zeroing) the Invasive Pressure Transducers

The invasive pressure transducers must be calibrated, or zeroed, to ensure accurate absolute
pressure measurements. The IBP ZERO NEEDED message is displayed beneath the pressure
measurement values when the transducers must be zeroed.
NOTE! The BP ZERO NEEDED message is displayed when the monitor is turned on or
Follow these steps to calibrate the pressure transducer:

• Flush the transducer(s) and corresponding lines with selected IV solution.
• Open the transducer(s) to air (ambient pressure).
• Prepare the transducer(s) for zeroing as described in the transducer manufacturer’s
instructions.
• To zero both BP channels, press the BP ZERO ALL key (→O ←) on the front panel of
the monitor.
• To zero a single BP channel, open that channel’s Parameter or Waveform Menu and select
ZERO PRESSURE.
• If an error occurred during calibration, a message is displayed. In that case, see Invasive
Pressure Alarms and Messages earlier in this chapter for help.
• Close the transducer(s) to air (patient).

Chapter 12: Capnography
CO2 Warnings, Cautions, and Notes

CAUTION: Pump motors in the capnograph may adversely affect other medical
equipment, e.g. ECG tracings.
CAUTION: Use of the monitor during continuous nebulized medication delivery, will
result in damage to the monitor (not covered by factory warranty). Disconnect the
ETCO2 sample line from the patient circuit or power off during medication delivery.
NOTE: All user and patient accessible materials are non-toxic.
NOTE: During the auto zero calibration (autocal) sampling, the CO2 waveform and digits
will disappear for 1-5 seconds. After this, breath detection restarts. This should
happen only during extreme temperature changes, and not during normal patient
monitoring.
WARNING: The capnograph contains no compensation for barometric pressure,

therefore readings in mmHg and kPa are correct only under the pressure at which the
capnograph is calibrated. Manual compensation can be made by performing a low cal.
Theory of Operation
Measuring CO2
The device draws a sample of gas through the sample chamber. A light source shines infrared
(IR) light through an optical bandpass filter and then through the sample chamber. An IR
detector responds to the amount of IR light that passes through the sample chamber.
FIGURE 12.1: CO2 MEASUREMENT
IR Light Source
Gas Chamber
Filters
Detector

Sample In
Sample Out
Because CO2 absorbs IR light at a specific wavelength, the amount of light passing through
the sample chamber varies according to the concentration of CO2 in the sample chamber.
When there is a high concentration of CO2 in the sample chamber, the detector senses a
smaller amount of the CO2 absorption wavelength light than when there is a low concentration
of CO2.
The device computes the partial pressure of CO2 STPD (standard temperature, pressure, dry)
based on measured levels of IR light intensity. The ETCO2 measurement shows an average of
4-breaths.
Measuring Respiration Rate

The device uses the continuous CO2 waveform to detect each breath cycle. It uses an adaptive
algorithm to recognize each breath in the waveform, even in the presence of an elevated
baseline (rebreathing) and higher frequencies in the CO2 waveform (cardiogenic oscillations).
The device computes respiration rate from the total number of seconds for the last four breaths
according to this formula:
60 seconds * breaths
RR = _____________________________
Number of seconds for 4 breaths
N2O Compensation
The interfering effect of N2O results in inaccurate CO2 readings, however the device has the
ability to compensate for this.
With the N2O compensation ENABLED, the device adjusts the CO2 reading by an algorithm
that assumes the concentration of N2O is 40% and compensates accordingly. If N2O
compensation is enabled and the concentration of N2O is not 40%, the displayed value must be
adjusted by the following equation to get the actual CO2 concentration.
CO2 reading * 1.0625

Actual CO2 = ________________________
 0.0625 * N 2O% 
1+  
 40% 
With the N2O compensation DISABLED, the device adjusts the CO2 reading by an algorithm
that assumes the concentration of N2O is 0%. If N2O compensation is disabled and the
concentration of N2O is not 0%, the displayed value must be adjusted by the following
equation to get the actual CO2 concentration.
CO2 reading
Actual CO2 = _________________________
 0.0625 * N 2O% 
1+  
 40% 

Using the Capnograph Parameter

If not familiar with this monitor and the Capnograph parameter, follow this chapter’s sections
in order:
• Pneumatics and CO2 Calibration: Ensure the Capnograph parameter is turned on.
• Attaching the Patient: Attach the patient sample line to the patient input of the
capnograph module.
• Capnograph Display: Shows a typical screen and explains the Capnography display’s
features.
• Capnograph Parameter and Waveform Menu: Explains use of the Capnograph
Parameter.
• Capnograph Alarms and Messages: Defines the capnograph alarms and messages;
shows how they are prioritized; suggests how to correct them.
NOTE: The capnograph module can be configured with a moisture filter (hereafter referred
to as standard pneumatics) or with a water bottle (hereafter referred to as advanced
pneumatics).
PATIENT INPUT
PATIENT INPUT
WATERBOTTLE
(BCI CATALOG #8075)
MOISTURE FILTER
(BCI CATALOG #1178)
FIGURE 12.2: STANDARD (LEFT) AND ADVANCED (RIGHT) PNEUMATICS MODULES AND CO2 CALIBRATION

Connecting a Non-Recirculating Scavenging System
CO2 ABSORBER
(BCI CATALOG #1179)
EXHAUST PORT
REAR FILTER
(BCI CATALOG #9048)
FIGURE 12.3: MODULE REAR PLATE
If desired, connect a non-recirculating scavenging system to the exhaust port on the monitor’s
rear panel.
2 CAUTION: When connecting a non-recirculating scavenging system, use only an

exhaust line approved by BCI, Inc. Failure to comply may result in damage to the
monitor.
Checking for Leaks

1. Pinch the sample line near the moisture trap connection.
2. Make sure the “OCCLUSION” message appears in the lower left of the parameter box
display. If no message appears, go to the Chapter 18: Troubleshooting section.
Calibrating the Capnograph

Calibration ensures that the ETCO2 and Inspired CO2 measurements are accurate. Calibrate
about once a month.
NOTE: Use only the calibration gas canister and flow regulator supplied with or
specifically intended for use with this device. See Appendix A: Supplies and
Accessories for information on ordering calibration gas.
The device has 2 calibration modes: Low Calibration (ZERO CAL) and Low/High Calibration
(HILO CAL). The ZERO CAL process is required if a significant change in altitude occurs.
It is not necessary to remove the device from the patient while performing a ZERO CAL
procedure because a three-way valve closes the patient inlet and opens to room air. The HILO
CAL procedure requires the delivery of a gas mixture from a canister.

NOTE: Remove the device from the patient before performing a Low/High Calibration
procedure.
Low Calibration
To perform a Low Calibration, do the following:
1. Turn on the device.
2. Select the CO2 parameter box.
3. Select ZERO CAL from the menu options. The menu bar returns to the main menu
after ZERO CAL is selected.
4. The following message appears in the parameter box message area, “LO CAL IN
PROGRESS.”
5. When the unit is finished, a “CAL DONE” message will appear.
Auto-Zero Calibration
NOTE: During the autocal sampling, the CO2 waveform and digits will disappear for 1-5
seconds. After this, breath detection restarts. This should happen only during extreme
temperature changes, and not during normal patient monitoring, or during changes of
ambient pressure.

Low/High Calibration
1
2
FIGURE 12.4: CONNECTING THE CALIBRATION GAS
Gas Inlet
Calibration Gas
Flow Control Valve
“T” Connector
To perform a Low/High Calibration do the following:
1. Disconnect the patient attachment from the luer-lock adapter.
2. Turn on the device.
3. Locate the calibration gas canister.
4. Remove the moisture trap (Catalog #1178) and attach the calibration adapter (Catalog
#8223) to the gas inlet. Standard pneumatics only. Advanced pneumatic modules
skip this step. To determine whether you have a standard pneumatics or advanced
pneumatics module see Figure 12.2.
5. Connect one end of the "T" assembly to the regulator on the gas canister and the other
end of the "T" assembly to the gas inlet on the monitor. The third end of the "T"
assembly should be left open to room air.
6. Select the CO2 parameter box. Select HILO CAL from the menu options and follow the
directions in the parameter box display message area. The menu bar will return to the
main menu after HILO CAL is selected.
7. After the message “TURN GAS ON” appears, quickly open the flow control valve on
the calibration gas canister. The valve must be fully opened in less than 30 seconds.
8. When the message “TURN GAS OFF” appears, close the flow control valve of the
calibration gas canister.
9. When the “CAL DONE” message appears the unit is done. Disconnect the calibration

gas fixture. For standard pneumatics modules remove the calibration adapter (Catalog
#8223) and reconnect moisture trap (Catalog #1178).
An unsuccessful calibration procedure causes an error message to appear. Operation resumes
using the old calibration data. Refer to Capnograph Messages for further instructions.

NOTE: Capnometer patient attachments and sample lines are disposable, single-
patient use items. Use a new patient attachment and sample line for each new patient.
NOTE: Discard and replace the patient attachment if it becomes occluded. If an air
leak is noted, check all patient connections. If the air leak persists, discard and replace
the patient attachment.
Choose the appropriate patient attachment from the following chart, then turn to the figure
indicated for attachment instructions.
Attachment Selection Chart
Patient Description Figure

Adult or Pediatric Nasal Cannula for Adults and Pediatrics 6.3
Oral/Nasal Cannula for Adults and Pediatrics 6.4
Ventilator Adapters for Adults and Pediatrics 6.5
Infant Nasal Cannula for Infants 6.6
FIGURE 12.5: NASAL CANNULA FOR ADULTS AND PEDIATRICS
Insert a cannula into each nostril.

Place tubing behind each ear.
Slide the plastic ring so it is close
to the chin, but not too tight.
Connect the filter luer and twist to
tighten.

FIGURE 12.6: ORAL/NASAL CANNULA FOR ADULTS AND PEDIATRICS
Insert a cannula into each nostril

Mark with a pencil where the
tubes meet the lower lip. Remove
the cannula. Using a scissors,
carefully trim the tubes to the
marked line. Replace the cannula.
Bend the tues around the upper
lip. These tubes should not go
INTO the mouth.
Slide the plastic ring so it is close
to the chin, but not too tight.
Connect the filter luer and twist to
tighten.
FIGURE 12.7: VENTILATOR ADAPTERS FOR ADULTS AND PEDIATRICS
Connect the large end of the airway adapter to the ventilator circuit.
Connect the small end of the airway adapter to the endotracheal tube.
Connect the sample line to the airway adapter and twist to tighten.
Connect to filter luer and twist to tighten.

FIGURE 12.8: NASAL CANNULA FOR INFANTS
Insert a cannula into each nostril.

Slide plastic ring so it is close to

the chin, but not too tight.
Connect to filter luer and twist to
tighten.
2 WARNING: Do not leave child unattended. Cannula can be possible strangulation

hazard.

Capnograph Display
1 JAN 2002 15:17
II
pPACE
60
150
45 E
Lpm C
V FAIL G
2X
12
4 3
5 36 60
20
ETCO2 mmHg
35
5 C
2
10 6 RR O 1
8 N20
7 4
INCO2
mmHg
-----------
rpm 2
---
---
50 ---/--- 200
90
N
I
C
11 O (---) 0 B
2 ADULT mmHg P
0
9 8
NIPB MODE:
FIGURE 12.9: CAPNOGRAPH DISPLAY
1. CO2 Parameter Label

Identifies the CO2 parameter box label. To enter the CO2 Parameter menu, use the rotary
knob to highlight the CO2 Parameter label, and press the knob to enter the menu.
2. Respiration Rate Limits

Indicates high and low alarm limits for respiration rate.
3. Respiration Rate
This value represents the calculated respiration rate in measurement units of breaths per
minute (rpm).
4. ETCO2 Limits
Indicates high and low alarm limits for ETCO2.
5. ETCO2
End Tidal CO2 value in measurement units of millimeters of Mercury (mmHg), kilo
Pascals (kPa), or percent volume (%).
6. INCO2 Limit
Indicates high alarm limit for INCO2.
7. INCO2
Inspired CO2 value in measurement units of millimeters of Mercury (mmHg), kilo Pascals

(kPa), or percent volume (%).
8. Message Area
Messages related to the CO2 parameter are displayed here. These messages and their
display priority are described later in this chapter.
9. N2O Compensation Indicator

Indicates 40% N2O compensation is turned on.
10. CO2 Waveform

Displays the CO2 waveform. To turn on the CO2 waveform on the display, turn the
rotary knob to the desired waveform position on the left side of the display. Highlight the
waveform label and push the rotary knob. Highlight WAVEFORM, push to select. Select
CO2 from the menu options. If the patient line is attached to the patient the CO2
waveform should begin scrolling across the display.
11. CO2 Waveform Scale

The displayed scale for the CO2 waveform as well as an upper limit line, lower limit line
and mid line are displayed here to show waveform scaling.
Capnograph Parameter and Waveform Menus

Parameter Menu
CO2 ALARMS:
Allows you to turn on or off the capnograph alarms.
CO2 WAVEFORM
Provides the following options:
SCALE – This menu item allows you to change the displayed scale of the capnograph
waveform. The following table indicates the possible scale settings:
mmHg kPa %
0-50 0-6 0-5
0-75 0-10 0-7.5
0-100 0-14 0-10
SPEED – This menu item allows you to adjust the waveform speed. Highlight the SPEED
option, depress the rotary knob and rotate to the desired speed, 25mm/sec, 12.5mm/sec, or
6.25mm/sec. Upon new patient initialization, the default speed is 6.25mm/sec.
CO2 MONITOR:
Allows you to turn on or off the capnograph parameter. When capnography is turned off,
the parameter box disappears upon exit of the menu. To turn capnograph monitoring back
on enter the SETUP main menu then select PARAMETER OPTIONS and then set CO2
MONITOR to ON.

ZERO CAL
Initiates a low calibration. When this menu item is selected, the menu bar at the bottom of
the display exits the capnograph menu and returns to the main menu. If you enter the
capnograph parameter menu again before the calibration is finished this menu item will be
replaced by QUIT CAL.
HILO CAL
Initiates a low/high calibration. When this menu item is selected, the menu bar at the
bottom of the display exits the CO2 menu and returns to the main menu. If you enter the
capnograph parameter menu again before the calibration is finished this menu item will be
replaced by QUIT CAL.
QUIT CAL
This menu item only appears if a calibration is in process. It allows you to cancel a
calibration. If cancelled the monitor reverts to the previous calibration data.
N2O COMP
This menu item allows you to turn on 40% N2O compensation.
PRINT STRIP
Prints a continuous strip of the capnograph waveform.
PRINT SNAPSHOT
Prints a snapshot of the capnograph waveform.
Capnograph Alarms
Capnograph alarms:
HIGH RR Audible med/high priority alarm;
flashing RR value.
LOW RR Audible med/high priority alarm;
flashing RR value.
HIGH ETCO2 Audible med/high priority alarm;
flashing ETCO2 value.
LOW ETCO2 Audible med/high priority alarm;
flashing ETCO2 value.
HIGH INCO2 Audible med/high priority alarm;
flashing INCO2 value.
OCCLUSION Audible low priority alarm;
visual message.
CO2 SENSOR Audible low priority alarm;
visual message.
TRAP FULL Audible low priority alarm;
visual message.
NOTE: Capnograph limit alarms are medium priority for the first two minutes after
power up and after exiting suspend mode, then they become high priority alarms.

Capnograph Messages
LO CAL IN PROGRESS
This message indicates the monitor is performing a low calibration.
LO CAL ERROR
This message indicates the module’s main processor detected an error while the monitor
was performing a low calibration. When a LO CAL ERROR occurs the monitor reverts
back to the last successful lo cal data and resumes operation. Try correcting the problem
by replacing the CO2 absorber (Catalog #1179) on the back of the module. If the message
persists, contact your authorized repair center.
CAL DONE
This message is displayed after the calibration procedure (high or low cal) has been
successfully completed.
HI CAL IN PROGRESS
This message indicates the monitor is performing a high calibration.
TURN GAS ON
This message indicates the monitor is ready to begin a high calibration, and is requesting
the user to turn the calibration gas on.
GAS IS ON
This message indicates the monitor detects the calibration gas.
HI CAL ERROR
This message indicates the monitor’s main processor detected an error while the monitor
was performing a high calibration. When a HI CAL ERROR occurs the monitor reverts
back to the last successful hi cal data and resumes operation. Try correcting the problem
by turning on the calibration gas sooner or by using a new canister of gas. Another
common mistake is not using the calibration filter in the standard pneumatics module. If
the message persists, contact your authorized repair center.
CAL CANCELLED
This message indicates the calibration has been cancelled.
CO2 SENSOR
Indicates that the CO2 sensor is not functioning properly. If message persists, contact
OCCLUSION
This message indicates a blockage in the patient line or internal tubing. Try disconnecting
the patient line and/or the water trap. If the message disappears, replace the patient
line/water trap assembly. If the occlusion continues try disconnecting the filter on the rear
of the module (right side when facing the front of the monitor). If the message disappears,
replace the filter. If the message persists, contact your authorized repair center.

TRAP FULL (advanced pneumatics only)

This message indicates that the water bottle is full and needs to be replaced.
COMM ERROR
This message indicates the monitor’s main processor detected an error from the
capnograph module or lost communication with the capnograph module. Capnograph
functions are disabled. Try correcting the problem by turning the 9200 off and then back
on again. If the CO2 parameter does not come up, try enabling it from the SETUP and
PARAMETER OPTIONS menu. If CO2 MONITOR is not an option in the
PARAMETER OPTIONS menu, then contact your authorized repair center.

Chapter 13: Temperature

Temperature Warnings, Cautions and Notes
NOTE! Use only temperature sensors and interface cables specifically intended for use
with this device.
Description
The temperature parameter provides two isolated temperature measurement channels
(T1 and T2).
Temperature Sensors and Interface cables

BCI, Inc. does not sell or distribute temperature sensors or interface cables. The monitor is
designed to use YSI (Yellow Springs Instrument Company) 400- or 700-series reusable or
YSI 4400- or 4700-series disposable sensors and interface cables. Note that the monitor
automatically detects which of these sensors is being used.
Using the Temperature Parameter

The temperature parameter’s two isolated channels operate identically. Where distinction
between the two channels is required, both channels are specifically discussed. With that
exception, the following descriptions apply to both temperature channels T1 and T2.
If not familiar with this monitor and the temperature parameter, follow this chapter’s sections
in order:
• Setting Up Temperature Monitoring: Check the display to ensure the temperature
parameter is turned on; set the unit of measurement (degrees Celsius or degrees
Fahrenheit).
• Setting Up the Temperature Sensor: Apply the temperature sensor to the patient and
connect the temperature sensor to the monitor.
• Temperature Display: Shows a typical screen and explains the temperature sensor
display’s features.
• Temperature Parameter Menu: Explains use of the Temperature Parameter Menu.
• Temperature Alarms and Messages: Defines the temperature alarms and messages;
shows how they are prioritized; suggests how to correct them.
Setting Up Temperature Monitoring

• Connect the temperature interface cable to the TEMP connector located on the side of the
monitor (T1 is the connector on the left, T2 is on the right). The TMP (temperature)
parameter box will automatically appear when the patient cable is connected to the
monitor. The parameter will be labeled T1 or T2.

Setting Up the Temperature Sensor

• Choose a temperature sensor appropriate for the application. The monitor is designed to
use any of the following temperature sensors and matching interface cables from YSI
(Yellow Springs Instrument Company):
• 400-series reusable temperature sensors
• 700-series reusable temperature sensors
• 4400-series disposable temperature sensors
• 4700-series disposable temperature sensors
• The monitor automatically detects which of the above sensors is being used; no
adjustments need to be made to the monitor for the type of sensor.
• Apply the temperature sensor to the patient according to standards of practice and care,
and according to the temperature sensor manufacturer’s instructions.
• Connect the temperature sensor to the interface cable. Then connect the interface cable to
the monitor’s T1 or T2 connector.
Figure 13.1: Connect the Interface Cable to the Monitor
SPO2
TEMP
T1
BP1
90-120VAC
230-240VAC
BP2
ECG
T2
NIBP

Temperature Display
The following illustration shows a typical temperature parameter box and identifies each of
the display features. Descriptions of these features follow.
Figure 13.2: Monitoring the Patient Temperature
2 5
T1 38.1 T
37.5
1 C 36.1 M
T2 36.5
T1 P
3 4
1. T1 & T2 Labels
The T1 and T2 measurements are shown in the parameter box at the right side of the
display. T1 and T2 are independent; each has its own value, and alarm limits.
2. Measured Temperature Value

The measured temperature values are shown for each channel. Dashes (- - -) indicate the
measurement is invalid or unavailable.
3. Messages
Messages are shown for each channel beneath the measured temperature values. These
messages and their displayed priority are described in Temperature Alarms and Messages
later in this chapter.
4. Measurement Units (°C or °F)

The measurement units, °C or °F are shown for each channel. See Setting Up
Temperature Monitoring earlier in this chapter for instructions on changing the
measurement units.
5. Alarm Limits
The high and low alarm limits for the measured temperature values are displayed in the
parameter box. See Temperature Menu Options later in this chapter for instructions on
changing the alarm limits.

Temperature Parameter Menu

Turn the rotary knob to move the cursor over the TMP parameter label on the right side of the
display. Push the knob to open the temperature parameter menu options discussed below.
T1 ALARMS
Turns alarm processing for T1 on or off.
T2 ALARMS
Turns alarm processing for T2 on or off.
DISPLAY
Because there is only space for one set of limits, this menu allows the limits for T1 or T2
to be displayed in the parameter box. If only one temperature source is utilized, that set of
limits would be displayed in the parameter window.
UNITS
Provides the options of displaying units of measure in degrees Celsius (°C) or degrees
Fahrenheit (°F).
T1 SITE
Allows the T1 parameter to be turned on or off.
T2 SITE
Allows the T2 parameter to be turned on or off.

Temperature Alarms, and Messages

Temperature alarm conditions:
HIGH TMP Audible high priority alarm; flashing TMP value.
LOW TMP Audible high priority alarm; flashing TMP value.
TMP ERROR Audible low priority alarm; visual message in TMP parameter box.
PROBE OFF Audible low priority alarm; visual message in TMP parameter box.
RANGE ERROR Audible low priority alarm; visual message in TMP parameter box.
Temperature Messages
The temperature messages are displayed for T1 and T2 beneath their corresponding measured
values as shown in the previous illustration. Only one message can be shown at a time for
each channel; therefore, they are prioritized to show what is most important on the display.
TMP ERROR
The message means the monitor’s main processor detected an error from the temperature
circuitry. All temperature functions, for both T1 and T2, are disabled. Try correcting the
alarm by disconnecting both temperature cables. Allow the parameter box to disappear,
then plug the temperature cables back in and observe the temperature parameter box. If
the error has not cleared, use the rotary knob to move the cursor to the TMP parameter
name and open the parameter menu and disable both T1 and T2. Re-enable both
temperatures. If the message has not cleared, turn the monitor off and back on again. If
the message persists, contact your authorized repair center.
T1 OFF or T2 OFF
This message appears in place of the temperature value when the processing for the
temperature connector is turned off. To turn on the parameter, see Temperature
Parameter Menu earlier in this chapter.
PROBE OFF
This message is generated when the monitor detects a problem with one of the
temperature sensors, or does not detect a temperature sensor. A message replaces the
value for the connector with the sensor failure. To correct this message; check all
connections from the monitor’s side panel to the temperature sensor, try replacing the
interface cables, try replacing the temperature sensor. If the message persists, contact
RANGE ERROR
This message is displayed when a temperature sensor measurement is outside the monitor
measurement range. Temperature measurements in the range of 0-50 °C (32 –122 °F) are
valid. To correct the alarm check all connections from the monitor’s side panel to the
temperature sensor, try replacing the interface cable, try replacing the temperature sensor.
If the message persists, contact your authorized repair center.

Chapter 14: Trends
Chapter 14: Trends

Description
The monitor stores parameter data for trending. There are two types of trends: on-screen
trends and printer trends. This chapter describes the on-screen trend features. For details on
printer trends, see Chapter 14: Optional Printer.
The monitor stores tabular trend data for these parameters:
• Heart Rate
• Respiration
• ETCO2
• INCO2
• BP1 (systolic, diastolic, mean)
• BP2 (systolic, diastolic, mean)
• SpO2
• PPR (Peripheral Pulse Rate)
• NIBP (systolic, diastolic, MAP)
• T1
• T2
Displaying and Printing Trends

Follow these steps to display and print trends:
• Use the rotary knob to move the cursor over TRENDS on the bottom of the display.
• Push the rotary knob to open the TRENDS menu options.
• Select TABULAR VITAL SIGNS or NIBP HISTORY.
Tabular Vital Signs Menu

A maximum of 24 hours of trends are stored in the monitor.
SCROLL ↑ ↓ arrows moves the cursor up and down in the vital signs table.
SCROLL ← → arrows moves the cursor left or right in the vital signs table.
INTERVAL provides a view of trends at 1, 5, 10, 15, 30 and 60-minute resolutions.
CLEAR ALL TRENDS clears or erases all stored vital sign trends.
PRINT ALL TRENDS prints all stored vital sign trends.
PRINT REPORT prints a report of vital sign trends when start hour, start minute,
interval and length are defined

Chapter 14: Trends
NIBP History Menu

A maximum of 150 NIBP readings are stored in the monitor.
SCROLL ↑ ↓ sets the cursor at the top of the tabular history table allowing you to scroll
up and down the NIBP history table.
CLEAR ALL NBP HISTORY clear or erases all stored NIBP measurements.
PRINT ALL NBP HISTORY prints all stored NIBP measurements.
PRINT WINDOW Prints only the NIBP measurements displayed in the NIBP HISTORY
window.
Clearing Trends
Follow these steps to clear the trends from memory:
• Use the rotary knob to move the cursor over TRENDS.
• Push the rotary knob to open the TRENDS menu options.
• Select TABULAR VITAL SIGNS or NIBP HISTORY.
• Select CLEAR ALL TRENDS (in TABULAR VITAL SIGNS) or CLEAR ALL NIBP
HISTORY (in NIBP HISTORY).
• Select MAIN to exit the TREND menu.
NOTE! When “YES” is shown beneath CLEAR ALL, trend data will be cleared after
pushing the rotary knob.

Chapter 15: Printer
Chapter 15: Printer
Features
The optional built-in printer prints waveform snapshots, waveform strip charts, and tabular
parameter data. Annotation lines are printed every 200-300 mm (8-12 inches). The printer
has three paper speeds (four if capnography is installed), one dedicated printer key, and a
simple drop-in paper replacement compartment.
The following types of printouts are available:
• Snapshot: A snapshot is a 200-300 mm (8-12 inches) annotated printout of the waveform.
A snapshot is printed one of two ways. A snapshot is printed when one of the waveform’s
“PRINT SNAPSHOT” menu options are pressed, when the auto print on alarms feature is
triggered to print, or when the dedicated print key is pressed momentarily.
• Strip: A strip is a continuous printout of the waveform selected for printing. Annotation
lines are printed once every 200 mm (8 inches) on the strip printout. A strip is printed
when one of the waveform’s “PRINT STRIP” options are selected or when the dedicated
print key is held for 3 seconds.
• Auto Print on Alarms: The auto print on alarms feature automatically prints a snapshot
when an alarm is triggered. You can turn on or off the auto print on alarms feature in the
PRINTER menu.
• NIBP History: The NIBP tabular history can be printed when the NIBP history is
displayed. To display the “NIBP HISTORY”, move the cursor to TRENDS under the
MAIN MENU. Push the rotary knob to open the menu options. Select NIBP HISTORY.
When the NIBP HISTORY is selected a NIBP tabular history is displayed covering the
left half of the display with date/time and each measurement stored. The following menu
options are available:
SCROLL ↑ ↓ sets the cursor at the top of the tabular history table allowing you to scroll
up and down the NIBP history table.
CLEAR ALL NBP HISTORY clear or erases all stored NIBP measurements.
PRINT ALL NBP HISTORY prints all stored NIBP measurements.
PRINT WINDOW prints only the NIBP measurements displayed in the NIBP HISTORY
window.
• Auto Print on NIBP History: The auto print on NIBP table full feature automatically
prints a tabular chronology of the last ten NIBP measurements after the tenth NIBP
measurement is taken. You can turn on or off the auto print on NIBP History feature in
the PRINTER menu.

Chapter 15: Printer
• Trends: Trended data can be printed while trends are displayed. Under MAIN menu, use
the rotary knob to highlight TRENDS, then push the rotary knob to open the TRENDS
menu. Select TABULAR VITAL SIGNS, observe the VITAL SIGNS history table
appears on the left half of the display. The following menu options are available:
SCROLL ↑ ↓ arrows moves the cursor up and down in the VITAL SIG++NS Table.
SCROLL ← → arrows moves the cursor left or right in the VITAL SIGNS Table.
INTERVAL provides a view of trends at 1, 5, 10, 15, 30 and 60-minute resolutions.
CLEAR ALL TRENDS clears or erases all stored VITAL SIGNS trends.
PRINT ALL TRENDS prints all stored VITAL SIGNS trends.
PRINT REPORT prints a report of VITAL SIGNS trends when start hour, start minute,
interval and length are defined.
• Print All Leads Snapshot: Prints a long or short snapshot of each ECG Lead.
• Annotation Lines: Annotation lines are printed with each snapshot and once every
200-300 mm (8-12 inches) on the strip recording. The following text might be seen on an
annotation.
• Scale and settings related to waveform
• Date/Time
• Paper Speed
• Printout Delay (seconds)
• Time of last NIBP Reading
• NIBP Systolic, Diastolic, Mean
• BP1 Systolic, Diastolic, Mean
• BP2 Systolic, Diastolic, Mean
• Rate Source
• Pulse/Heart Rate
• Sp02
• T1
• T2

Chapter 15: Printer
Figure 15.1: Annotation Lines
Scale and Settings
Related to the Waveform
Date/Time
Time of Last
NIBP Reading
P1 Systolic
Diastolic, Mean
Paper Speed
P2 Systolic,
Diastolic, Mean Printout Delay
Rate Source
T1
Pulse/Heart Rate
RSP
T2
SpO2
NIBP Systolic,
Diastolic, Mean
High P2 Limit
in Alarm
Low T1 and T2
Limits in Alarm

Chapter 15: Printer
Sample Printouts
Snapshot
A table of alarm limits for all parameters always follows snapshots. If a limit is in alarm, that
limit value has an “*” (asterisk) following it.
Annotation lines are printed with snapshots.
Figure 15.2: Sample Snapshot

Chapter 15: Printer
Strip Chart
The strip chart is the same as the snapshot, except the waveform is continuously printed and
annotation lines are printed once every 200-300 mm (8-12 inches).
Figure 15.3 Sample Strip Chart
Annotation Starts
to Repeat Again

Chapter 15: Printer
NIBP History Print Window

Figure 15.4: Sample NIBP History Print Window

Chapter 15: Printer
NIBP History Print All

Figure 15.5: Sample NIBP History

Chapter 15: Printer
Tabular Trend PRINT ALL

Figure 15.6: Tabular Trend Print All

Chapter 15: Printer
NOTE! The time between entries in the printed Tabular Trends is the same as the
sample time of the display. For example, if the sample time between each displayed
data point is three minutes, the printed table entries also would be three minutes apart.
PRINT ALL LEAD SNAPSHOT

This option prints a snapshot for all ECG waveforms.
NOTE! “PRINT ALL LEADS SNAPSHOT” always prints at 25 mm/sec.
Choosing the Printer Options

From the MAIN MENU use the rotary knob to move the cursor over PRINTER, push the
rotary knob to open the PRINTER menu.
AUTO PRINT ALARMS

Move the cursor over AUTO PRINT ALARMS push the rotary knob to select, turn the
rotary knob to turn AUTO PRINT ALARMS: ON or OFF.
The default setting is OFF.
AUTO PRINT NIBP HISTORY

Move the cursor over AUTO PRINT NIBP HISTORY push the rotary knob to select, turn
the rotary knob to turn AUTO PRINT NIBP HISTORY: ON or OFF.
The default setting is OFF.
AUTO PRINT PATIENT DATA

Move the cursor here and push the rotary knob to select a print interval: 1, 5, 10, 15, or 30
MIN., or OFF. The default setting is OFF.
NOTE! Auto print selections are not retained after turning off the monitor.
PRINT SPEED
Move the cursor over PRINT SPEED push the rotary knob to select, turn the rotary knob
to select PRINT SPEED: 12.5 MM/SEC, 25 MM/SEC, or 50 MM/SEC (CO2 can print at
6.25 mm/sec).The default setting is 25 MM/SEC.
SNAPSHOT
Move the cursor over SNAPSHOT push the rotary knob to select, turn the rotary knob to
select SNAPSHOT: SHORT or LONG. SHORT is a printout of about 8 seconds, and
LONG is about 12 seconds.
The default setting is SHORT.

Chapter 15: Printer
Figure 15.10: Print START/STOP key
1. PRINT START/STOP (F)

The monitor has one key for printing, the PRINT START/STOP key (F) located on the
front panel of the monitor. This key allows all of the currently displayed waveforms and
values to be printed, or stops any current printout.
2. PRINT Menu Options

In addition to the PRINT START/STOP key (F), the individual parameter menus are
assigned a print function. The “PRINT” menu option will print the associated waveform
STRIP or SNAPSHOT whichever the user selects. In the case of TRENDS, the print
options are PRINT ALL TRENDS or PRINT REPORT.
3. Printer Message Line

When the printer function has been activated a status message appears in the bottom right
corner of the display. For example, when the PRINT START/STOP key (F) is pressed,
the message line continuously displays “PRINTING ALL WAVEFORMS”. When
printing is completed, the message is removed.
4. PRINTER ERROR
When PRINTER ERROR is displayed in the printer message line there has been an error
in the printing process. Try pushing the PRINT START/STOP key (F), (several times if
necessary) to attempt to clear the message. Attempt the original print function again. If
message persists, contact and authorized repair center.

Chapter 15: Printer
Replacing the Printer Paper

A colored strip appears on the printer paper when the paper roll is almost empty. Only use
exact replacement printer paper (see Chapter 19: Supplies and Accessories for ordering
information). Using any other printer paper may produce undesirable results or may damage
the printer.
Follow these steps to replace the printer paper:
• Push the paper carrier release button on the upper- Figure 15.11: Open the Printer Door
right side of the printer.
• Gently pull the paper carrier down until it is fully
open. PUSH HERE TO
OPEN DOOR
• Grip the empty paper roll and gently but firmly Figure 15.12: Install New Paper Roll
pull it toward you. The empty paper roll should
easily come out of the paper carrier. NOT SHOWN:
REMOVE AND DISCARD
EMPTY PAPER ROLL
• Install the new paper roll in the paper carrier with

the paper coming out from the bottom of the roll. INSERT SO
PAPER COMES
The new paper roll should “snap” into place. OFF BOTTOM
OF ROLL
• Unroll about 10 centimeters (four inches) of

paper, then push the paper carrier up until it locks
into the printer housing.
PUSH UP ON
DOOR TO CLOSE
• The printer is now ready to print. Figure 15.13: Ready to Print
NOTE! If no print appears on the paper after

changing, the printer paper may be installed in the
wrong direction. The printer will only print on one
side of the printer paper. Make sure the printer
paper is coming off the roll as shown in the
previous illustration, Install New Paper Roll.

Chapter 16: Serial Data I/O
Description
The monitor provides an RS-232C compatible serial output channel. Measured values are
output as a single line of ASCII text once per second. Each line is 72 characters in length and
is terminated with a carriage return and line feed (<CR><LF>). The communication protocol
is:
• 9600 Baud
• 1 Start Bit
• 1 Stop Bit
• 8 Data Bits
• Odd Parity
When a parameter is not available, all digits for that parameter will be spaces. This occurs
when a parameter is not available, when the parameter cable is not plugged in, or when the
parameter has been turned off.
Figure 16.1: RS-232C Output
90-120VAC
230-240VAC
1. Serial I/O Connector

RS-232C compatible serial output connector.

The following table describes each byte in the serial output packet for mmHg pressure units:
BYTE DESCRIPTION BYTE DESCRIPTION
1 Space 36 Space
2 NBP systolic 100’s digit (space if zero) 37 P1 mean 100’s digit (space if zero)
4 NBP systolic 1’s digit 39 P1 mean 1’s digit
5 , (comma) 40 , (comma)
6 Space 41 Space
7 NBP diastolic 100’s digit (space if zero) 42 P2 systolic 100’s digit (space if zero)
9 NBP diastolic 1’s digit 44 P2 systolic 1’s digit
11 Space 46 Space
12 NBP mean 100’s digit (space if zero) 47 P2 diastolic 100’s digit (space if zero)
14 NBP mean 1’s digit 49 P2 diastolic 1’s digit
16 SPO2 100’s digit (space if zero) 51 Space
17 SPO2 10’s digit 52 P2 mean 100’s digit (space if zero)
18 SPO2 1’s digit 53 P2 mean 10’s digit (space if zero)
19 , (comma) 54 P2 mean 1’s digit
20 rate 100’s digit (space if zero) 55 , (comma)
21 rate 10’s digit (space if zero) 56 T1 100’s digit (space if Celsius)
22 rate 1’s digit 57 T1 10’s digit
23 , (comma) 58 T1 1’s digit
24 SPO2 signal level 0-8 (pulse strength) 59 . (period)
25 , (comma) 60 T1 0.1’s digit
26 Space 61 , (comma)
27 P1 systolic 100’s digit (space if zero) 62 T2 100’s digit (space if Celsius)
28 P1 systolic 10’s digit (space if zero) 63 T2 10’s digit
29 P1 systolic 1’s digit 64 T2 1’s digit
30 , (comma) 65 . (period)
31 Space 66 T2 0.1’s digit
32 P1 diastolic 100’s digit (space if zero) 67 , (comma)
33 P1 diastolic 10’s digit (space if zero) 68 RSP 100’s digit (space if zero)
34 P1 diastolic 1’s digit 69 RSP 10’s digit (space if zero)
35 , (comma) 70 RSP 1’s digit
The following example shows the serial output ASCII line with mmHg pressure units, oF temperature units, and
Capnography disabled:
• 120, 80, 90, 98, 60,5, 120, 80, 90, , , 10,101.3, 99.2, 25,<CR><LF>

The following table describes each byte in the serial output packet for kPa pressure units:
BYTE DESCRIPTION BYTE DESCRIPTION
2 NBP systolic 1’s digit 37 P1 mean 1’s digit
3 . (period) 38 . (period)
4 NBP systolic tenth’s digit 39 P1 mean tenth’s digit
7 NBP diastolic 1’s digit 42 P2 systolic 1’s digit
9 NBP diastolic tenth’s digit 44 P2 systolic tenth’s digit
12 NBP mean 1’s digit 47 P2 diastolic 1’s digit
14 NBP mean tenth’s digit 49 P2 diastolic tenth’s digit
16 SPO2 100’s digit (space if zero) 51 P2 mean 10’s digit (space if zero)
17 SPO2 10’s digit 52 P2 mean 1’s digit
18 SPO2 1’s digit 53 . (period)
19 , (comma) 54 P2 mean tenth’s digit
20 rate 100’s digit (space if zero) 55 , (comma)
21 rate 10’s digit (space if zero) 56 T1 100’s digit (space if Celsius)
22 rate 1’s digit 57 T1 10’s digit
23 , (comma) 58 T1 1’s digit
24 SPO2 signal level 0-8 (pulse strength) 59 . (period)
25 , (comma) 60 T1 0.1’s digit
26 P1 systolic 10’s digit (space if zero) 61 , (comma)
27 P1 systolic 1’s digit 62 T2 100’s digit (space if Celsius)
28 . (period) 63 T2 10’s digit
29 P1 systolic tenth’s digit 64 T2 1’s digit
30 , (comma) 65 . (period)
31 P1 diastolic 10’s digit (space if zero) 66 T2 0.1’s digit
32 P1 diastolic 1’s digit 67 , (comma)
33 . (period) 68 RSP 100’s digit (space if zero)
34 P1 diastolic tenth’s digit 69 RSP 10’s digit (space if zero)
35 , (comma) 70 RSP 1’s digit
The following example shows the serial output ASCII line with kPa pressure units, oC temperature units, and
Capnography enabled:
• 16.0,10.6,12.0, 98, 60,5,16.0,10.6,12.0, , , 1.3, 38.5, 37.3,---, <CR><LF>

Serial Data I/O Connector Signal Description

PIN NO. FUNCTION
5 GROUND
2 Transmitted data from monitor (TxD)
3 Received data to monitor (RxD)
6,8 +6V
NOTE! RxD is not implemented by the monitor. You can use a two-wire
communication cable: RxD and GROUND from your system to TxD and GROUND from
the monitor, respectively.

Chapter 17: Analog Output
Description
Three analog output channels are available, corresponding to waveform traces 1 – 3 on the display. The analog
channels provide continuous output of the monitor’s waveforms. The analog outputs operate in the monitor at all
times. When a trace is not connected, the output is -5 V.
Figure 17.1: Analog Output
Connector Pinout
Figure 17.2: Analog Output Connector

Chapter 17 : Analog Output
Figure 17.3: Analog Output Signal Description
PIN NO. MEASUREMENT

1 Channel 1
2 Channel 2
3 Channel 3
4 Floating
5 Earth Ground
6 Earth Ground
7 Signal Ground
Figure 17.4: Analog Output Waveform Representation
Waveform SCALE RANGE

ECG waveform 1 V/mV, centered at 0 V ± 5.0 V
P1 waveform 10 mV/mmHg -0.5-3.0 V
P2 waveform 10 mV/mmHg -0.5-3.0 V
Plethysmogram 0-2 V, centered at 1 V 0-2 V
Respiration Peak to peak value corresponds approximately to 6.25Ω ± 5.0 V
of impedance change per 1 kΩ base impedance change,
centered at 0 V
End Equipment Connection

The monitor is intended to connect to a chart recorder or the Life Sensing Instrument Company, Inc.
HTS 820 Central Station. Refer to the central station’s operations manual for configuration instructions.
Both the analog and serial output connectors of this monitor are used for connection to the central
station. The monitor can be hardwired to the central station or it can communicate using an RF link. In
the central station’s bedside monitor menu, select advisor.tcp for the bedside monitor when using a
hardwired connection and select BWI.tcp when using RF communications.
PIN NO. FUNCTION

1,4, 7, 9 Not connected
2 Transmitted data from monitor (TxD)
3 Received data to monitor (RxD)
5 GROUND
6, 8 + 6.0 V
17-2 Advisor ®Operation Manual

Central Station Connection

The monitor is intended to connect to the Life Sensing Instrument Company, Inc. HTS 820
Central Station.
2 WARNING! When the monitor is connected to the Central Station, alarm limits must
be set at both the Central Station and the bedside.
2 WARNING! Each patient parameter being monitored should be tested after

connection of the monitor to the Central Station to ensure proper setup. Do not
connect patients or rely upon remotely displayed patient data until all testing has
been performed and the system shown to be functioning properly.

Chapter 18: Operator’s Maintenance
Chapter 18: Operator’s Maintenance

BCI products have been designed to operate continuously for long periods without
maintenance.
However, in order to ensure a continued high level of performance and safety of operation, the
routine maintenance information in this section MUST be observed.
Routine maintenance should be carried out on site by the operator on a daily basis. A
summarized schedule and full details are contained in this section.
The Service Manual also contains the circuit diagrams, parts lists, description etc., required for
carrying out repairs and information concerning disposal of batteries. The Service Manual is
available on request from BCI or your local agent.
Maintenance Chart
ITEM ACTION INTERVAL

Battery. Charge. When LOW BATTERY is
displayed.
After continuous use under
battery power.
Monitor surfaces. Clean or disinfect. As required.
Patient connected accessories. Clean or disinfect sensors, ECG When attaching a new patient.
cables, BP cables, NIBP cuff and
hose.
ECG Electrodes. Disposable; discard after single- When attaching a new patient.
patient use.
Patient connected accessories. Inspect sensors, cables and Daily.
connectors for signs of damage
or deterioration. Replace as
required.
SpO2 sensor. Clean or disinfect. When attaching a new patient.
Invasive Pressure transducers. See manufacturer’s instructions.
Temperature sensors. See manufacturer’s instructions.
Capnograph patient attachment. Discard the capnograph patient When finished monitoring the
attachment. patient. The capnograph patient
attachments are disposable,
single-use items.
When the patient attachment
becomes occluded or has an air
leak.
Moisture trap. Discard and replace the moisture The moisture trap occludes when
trap. it is full.
Capnograph calibration. Perform a Low/High calibration. Once every month.
Pneumatic system. Check pneumatic system for After replacing the moisture trap.
leaks. At least once every 2 weeks.
Calibration gas canister. Discard and replace the filter. When the gas pressure reading is
20 psi or less as shown on the
flow control valve’s pressure
gauge.

Chapter 18 : Operator’s Maintenance
Filter Discard and replace the filter. When the filter occludes, or
becomes contaminated with
nebulized medication.
CAUTION: Follow local governing ordinances and recycling instructions regarding

disposal and recycling of device components.
Cleaning the Monitor’s Surfaces
2 WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the monitor in

liquid.
CAUTION! Do not allow water or any other liquid to be spilled onto the monitor.
Unplug the AC power cord from the monitor before cleaning or disinfecting.
CAUTION! Where the equipment has been wetted accidentally, it should be wiped dry
externally and allowed to dry thoroughly before use.
NOTE! Use only a soft cotton cloth, or a cloth specifically designed for cleaning CRT
displays, to clean the monitor’s screen. Do not clean the screen with tissues, paper
towels, or any other paper-based wipe. Paper-based wipes can scratch the screen.
NOTE! Do not clean the screen with isopropyl alcohol or glutaraldehyde. These liquids
can scratch the screen. Use only water or a mild soap solution to clean the screen.
Clean the surfaces of the monitor with a soft cloth moistened in water or a mild soap solution.
If disinfecting is necessary, wipe the surfaces of the monitor with isopropyl alcohol or
glutaraldehyde. Then wipe with a soft, water-moistened cloth.
Long Term Storage

If the monitor will be stored for a long period of time, pack the monitor and its accessories in
the original packing materials and shipping carton. The long term storage facility should meet
these requirements:
• Facility: Indoor.
• Temperature: From -40-75 °C (-40-167°F).
• Humidity: Relative humidity from 10-95% (non-condensing).
• Periodic inspection: None required.
• Special procedures: Pack the monitor and its accessories in the original packing materials
and shipping carton.

Chapter 19: Operator’s Troubleshooting Chart
Chapter 19: Operator’s Troubleshooting Chart

Troubleshooting Chart
PROBLEM POSSIBLE CAUSE CORRECTIVE ACTION

Monitor operates on AC Battery discharged. Charge batteries for the
power but not under battery recommended number of hours
power. for the specific battery type
installed in the monitor.
Battery defective. Contact authorized repair center.
Front panel AC Power AC power cord is not connected Connect AC power cord to
indicator is not lit. to the monitor, the AC line, or monitor and to AC line.
both.
AC power cord is connected to Only connect the AC power cord
wall outlet that is controlled by a to an outlet that IS NOT controlled
wall switch. by a wall switch.
AC line fuse blown. Contact authorized repair center
for help.
Check SpO2 Sensor is Sensor not connected to monitor Connect the sensor to the patient
displayed. or patient. cable and connect the patient
cable to the monitor.
Sensor improperly positioned on Reposition the sensor on the

patient. patient.
Choose the correct sensor for the
application.
Incorrect sensor for application.
Change the sensor or contact
BCI, Inc. service department.
Defective sensor or patient cable.
Unit operates when Battery shelf life exceeded. Contact BCI, Inc. service
connected to external department.
power, but not on battery
power.
Display does not light. If operating on battery, battery Recharge battery.
may need charging.
Green (charge) LED not lit. External charger disconnected. Connect charger.
No pulse registering on Sensor or patient cable Check connections to patient
bargraph. disconnected from monitor. cable and sensor.
Sensor incorrectly positioned. Reposition sensor on patient.
Poor patient perfusion. Reposition sensor on patient.
Defective sensor or patient cable. Try a new sensor or contact BCI,
Inc. service department.
Pulse rate erratic, Sensor incorrectly positioned. Reposition sensor on patient.
intermittent, or incorrect. Poor patient perfusion. Reposition sensor on patient.
Patient motion. Patient must be still for monitor to
function properly. Place extremity
on a pillow that acts as a “buffer”
to motion.
Ambient light Shield with towel.
Lead Off is displayed. a. ECG lead(s) not connected to a. Connect ECG lead(s) to
electrode or ECG patient electrodes and patient cable.
cable.

Chapter 19 : Optional Supplies and Accessories
b. ECG lead broken (high b. Replace ECG lead.

impedance)
c. Electrode impedance too high. c. Reapply electrodes.
ECG electrodes and leads The ECG function is disabled. Use the ECG menu to enable the
are connected, but no ECG ECG function.
waves or messages are
displayed
Inaccurate CO2 readings The capnograph module is out of Perform a Low/High Calibration
cal. (need to disconnect from patient)
Atmospheric pressure changed Perform a Low Calibration (do not

dramatically while the monitor need to disconnect from patient.
was in use.
Punctured patient line. Check patient connection, replace
misconnected sample line, or bad sample line.
patient connection.
Troubleshooting the Occlusion Low Priority Alarm/Alert

Most occlusions are automatically cleared within a minute. If occlusion cycles occur
frequently or the occlusion low priority alarm/alert persists, use the following chart to find and
repair the problem.
Occlusion Alarm
Remove the rear filter from
the monitor. Watch the
monitor for 30 seconds.

Chapter 20: Optional Supplies and Accessories

Figure 19.1: Optional Supplies and Accessories
CATALOG # DESCRIPTION QUANTITY

1100 Adapter, Airway, Straight, 12.7 ID x 15 OD (mm) 10/pkg
1101 Cannula, Oral/Nasal O2/CO2, Adult 10/pkg
1102 Cannula, Oral/Nasal O2/CO2, Ped 10/pkg
1105 Adapter, Airway, Straight, 12.7 ID x 15 OD (mm), w/filter 10/pkg
1114 Adapter, Airway, Dual Port, Straight 10/pkg
1121 Cannula, Oral/Nasal O2/CO2 + Sample Line, Adult 10/pkg
1123 Sample Line, Oral/Nasal CO2, Adult 10/pkg
1124 Sample Line, Oral/Nasal CO2, Ped 10/pkg
1129 Sample Line, Nasal CO2, Adult 10/pkg
1130 Sample Line, Nasal CO2, Pediatric 10/pkg
1131 Sample Line, Nasal CO2, Infant 10/pkg
1140 Sample Line, Extension, 15 ft. (4.6 m) 10/pkg
1144 Kit: Accessories, Sample Line, (8044, 1100) 10/pkg
1145 Kit: Accessories, Sample Line, (8044, 1151) 10/pkg
1151 Adapter, Airway, 12.7 ID x 15 OD (mm), Ped 10/pkg
1152 Adapter, Airway, 12.7 ID x 15 OD (mm), w/filter, Ped 10/pkg
1178 Trap, Moisture (Standard Pneumatics) 10/pkg
1179 ABSBR CO2 2 PK 9002/9003/9004 2/pkg
1300 Sensor, Oximetry, Disposable, Adult Finger 10 per box
1301 Sensor, Oximetry, Disposable, Ped. Finger, 15-45 kg. 10 per box
1302 Sensor, Oximetry, Disp., Neonate Finger, < 3 kg. 10 per box
1303 Sensor, Oximetry, Disp., Infant Finger, 3-15 kg. 10 per box
1606 Simulator, Oximeter each
1886 Manual, Operation, (9200) each
1887 Manual, Service, (9200) each
3005 Cord, Power 110V each
3005A Cord, Power 220V each
3025 Sensor, Oximetry, Wrap, Infant, 3-15 kilograms each
3026 Sensor, Oximetry, Wrap, Neonate, less than 3 kilograms each
3043 Sensor, Oximetry, Universal “Y” each
3044 Sensor, Oximetry, Finger each
3049 Strips, Adhesive 40 per pkg
3078 Sensor, Oximetry, Ear each
3134 Tape, Attachment, Neonatal 50 per pkg
3135 Tape, Attachment, Infant 50 per pkg
3136 Tape, Attachment, Neonatal 100 per pkg
3137 Tape, Attachment, Infant 100 per pkg
3106 Cable, ECG, Shielded, Safety Type, 3-lead each

CATALOG # DESCRIPTION QUANTITY

3107 Wires, ECG Lead, 40 in., Shielded, Safety Type 3/pkg.
3138 Posey Wrap, Attachment, Universal “Y” 10 per pkg
3178 Sensor, Oximetry, Pediatric Finger each
3311 Cable, Oximetry, 1.524 meters (5 feet) each
3339 Printer Interface Cable (null modem) each
3362 PC Interface Cable each
3406 Cable, ECG Shielded, Safety Type, 5-lead each
3407 Wires, ECG Lead, 40 inches, Shielded, Safety Type, 5-lead each
3444N Sensor Comfort Clip, Oximetry Finger each
5093 Gas, ETCO2 Cal, (10% CO2, bal N2) each
6111 Paper, Printer 4 per pkg
6110 Supply Line, luer / luer connectors each
6120N Cuff, NIBP, Newborn, 7.7-10.5 centimeters, Non-Disposable each
6120I Cuff, NIBP, Infant, 9.8 to 13.3 centimeters, Non-Disposable each
6120SC Cuff, NIBP, Small Child, 12.4-16.8 centimeters, Non-Disposable each
6120SA Cuff, NIBP, Small Adult, 20.0-27.0 centimeters, Non-Disposable each
6120C Cuff, NIBP, Child, 15.8 to 21.3 centimeters, Non-Disposable each
6120A Cuff, NIBP, Adult, 25.3 to 34.3 centimeters, Non-Disposable each
6120LA Cuff, NIBP, Large Adult, 32.1 to 43.4 centimeters, Non-Disposable each
6121 Supply Line, Luer lock / Screw-type connectors each
6122 Supply Line, Quick Connect / Screw-type connectors each
6123 Supply Line, Neonate, Luer lock / Female luer slip each
6124 Supply Line, Neonate, Quick Connect / Female luer slip each
6140 Cuff, single use, Neonate, 3-6cm each
6144 Cuff, single use, Neonate,8-15cm each
8030 Adapter, Airway, Elbow, 15ID/22OD x 15OD (mm) 10/pkg
8044 Sample Line, 8 ft. (2.4 m) 10/pkg
8061 Regulator, Cal. Gas Flow each
8075 Trap, Moisture, w/ Female Adapter (Advanced Pneumatics) each
8217 Kit: Calibration (5093, 8061, 8223, 8211) each
8223 Calibration Adapter each
9006 Kit: Capnograph Accessory (1100, 8044, 1129, 1178) each
9048 Filters Capnograph 13mm 2/pkg
9210 Electrocautery Filter each
Ordering Information
For ordering information, contact your local distributor or the BCI, Inc. customer service
department at the address or phone number below:

BCI, Inc. Phone: (262) 542-3100

N7 W22025 Johnson Road Toll-Free: (800) 558-2345
Waukesha, WI 53186-1856 Fax: (262) 542-0718
E-mail address: info@smiths-bci.com

Chapter 21: Specifications

Display
10.4-inch diagonal high-resolution active or passive color LCD,
Resolution: 640 x 480 pixels
Indicators
AC Power LED (X green) with power plug icon
Battery Power LED (M green) with battery icon
Keys/User Controls
ON/OFF key (L), BP ZERO ALL (→O←) key, NIBP START/STOP (h) key, PRINT
START/STOP (F) key, ALARM SILENCE (B) key, Rotary encoded push-button control
knob.
ECG
Heart Rate Range: 30-300 BPM
Heart Rate Accuracy: ±2 BPM or ± 2% (whichever is greater)
QRS Detection Range: 0.5 to 5 mV
Pace Pulse Detection: ± 2 mV to ± 700 mV amplitude
Detection Duration: 0.1 – 2.0 ms
Alarm Ranges Heart Rate: High: 30-300 BPM and OFF
Low: 30-300 BPM and OFF
Heart Rate Averaging: Fixed 8 second averaging
Lead Selection: I, II, or III (3-lead cable)
I, II, III, V, aVR, aVL, or aVF (5-lead cable)
Display Gain Settings: X 0.5, X1, X2, X4
Input Range: -5.0 mV to +5.0 mV
Frequency Response 0.05Hz to 40Hz
Input Impedance: > 1 M ohm
CMRR: 100 dB @ 60 Hz
Defibrillation Protection: Yes
I-Leakage: < 10 uA
Patient Isolation: > 4000 VAC
Display waveform: 75 Hz, 25 mm/sec
Update Rate Digits: 1 Hz
Capnograph
Measurement Non-Dispersive IR absorption
Calibration Manual 2 point.
Measurement Range 0-10% CO2 STPD (standard temperature pressure dry)
Display Range 0-100 mmHg; 0-13.3 kPa; 0-10% CO2
Display Update Rate 1Hz for CO2 values, 30Hz for waveform
Accuracy ± 2mmHg or 4% of reading, whichever is greater
(0-10% CO2)

Stability ∠ 0.3% (vol) CO2 /24hrs

Rise Time 400ms (average)
Delay Time 1.8s (average)
System Response Time 2.1s (average)
Time from power on to accurate 3 min (average)
readings:
N2O Compensation selectable 40% (default = OFF)
Averaging 4 breath
Flow Rate 150 ml/min ± 20 ml
ETCO2 Alarm Range High: 0-100 mmHg (1 mmHg steps), and OFF
0-13.3 kPa (0.1 kPa steps)
0-10.0% CO2 (0.1% steps)
Low: 0-100 mmHg (1 mmHg steps), and OFF
INCO2 Alarm Range High: 0-100 mmHg (1 mmHg steps), and OFF
0-13.3 kPa (0.1 kPa steps)
0-10.0% CO2 (0.1% steps)
Respiration Rate (CO2)

Range 0-150 breaths/min (rpm)
Accuracy ± 1 rpm
Averaging 4 breath average
Display Update Rate 1Hz
RR Alarm Range High: 5-150 bpm (1 bpm steps), and OFF
Low: 5-150 bpm (1 bpm steps), and OFF
Impedance Respiration
Measuring Method: Impedance Pneumography
Resp. Rate Range: 3 – 150 breaths per minute
Resp. Accuracy: ± 1 breath per minute or ± 5% (which ever is greater)
Sensing Electrodes: 3-lead cable, Primary Lead (I or II)
5-lead cable, Lead I or II
Minimum impedance change 0.2Ω ±10%
required for detection:
Baseline Impedance: 100 Ω to 3000 Ω ±10%
Alarm Limits: High: 5 – 150 breaths/min and OFF
Low: 5 – 150 breaths/min and OFF
Oximeter
SpO2 Range: 0-100%
Functional Saturation
SpO2 Accuracy: ±2% @ 70-100%
<70% unspecified
Pulse Rate Range: 30 – 250 BPM
Pulse Rate Accuracy: ±2 BPM or ±2%
(Whichever is greater)
Display Response: Update rate is 1 second for displayed values and 75 Hz for the
waveform. The Sp02 waveform display is not proportional to the

pulse volume (maximum age of SpO2 data is 20 seconds).

Calibration: Factory calibrated over range 50% to 100% Sp02 using human
blood samples to functional saturation. Test methods are available
upon request. No in-service calibration is required.
SpO2 Alarm Ranges: High: 50-100% and OFF
Low: 50-100% and OFF
SpO2 Averaging: User-selectable SLOW (16 beat), NORMAL (8 beat), or
FAST (4 beat)
Sensors Red 660nm, 2mW (typical)
Infrared 905nm, 2-2.4mW (typical)
NIBP
SYS, DIA, MAP:
Adult/Pediatric 20-250 mmHg
Neonate 10-135mmHg
Accuracy: Accuracy meets or exceeds SP10-1992 AAMI standard for non-
invasive blood pressure accuracy using the oscillometric method.
(AAMI Standard: ±5 mmHg mean error, 8 mmHg standard
deviation) NIBP accuracy is validated for pressure measurement
using the upper arm only. The first and fourth Korotkoff sounds
were used to determine overall efficacy.
Cuff Pressure Accuracy: ± 3 mmHg or ± 2 % whichever is greater
(0 – 330 mmHg)
Resolution: 1 mmHg
Determination Time:
Adult/Pediatric 30 – 50 seconds typical (max. 120 seconds)
Neonate 30 – 50 seconds typical (max. 90 seconds)
Inflation (typical) : less than 10 seconds
Inflation Pressure:
Adult/Pediatric 50 – 300 mmHg adjustment range
Neonate 50 – 150 mmHg adjustment range
Default Inflation pressure:
Adult/Pediatric 175 mmHg
Neonate 100 mmHg
Calibration: Factory calibrated
AUTO Interval Times: 1, 2, 3, 4, 5, 10, 15, 20, or 30 minutes,
1, 2, 4, or 8 hours
Alarm Ranges,
Adult/Pediatric Low 20 – 250 (in 1 mmHg steps), and OFF
High 20 – 250 (in 1 mmHg steps), and OFF
Neonate Low 20-135 (in 1 mmHg steps), and OFF
High 20-135 (in 1 mmHg steps), and OFF
NIBP Pulse Rate Range: 30 - 180 bpm
Pulse Rate Accuracy: ± 2% or ± 2 bpm (whichever is greater)
Altitude Ranges: Not tested

Invasive Pressure
Channels: Two
Measuring Range: -50 to 300 mmHg (after zeroing)
Zero Adjust Range: ± 500 mmHg
Accuracy: ±1 mmHg or ±1%, whichever is greater
Waveform Display Ranges: 0 – 300 mmHg 0 – 60 mmHg
0 – 200 mmHg 0 – 40 mmHg
0 – 160 mmHg 0 – 20 mmHg
automatic scaling
Alarm Limits: High and low alarm limits for the displayed channel are checked
against that channel’s displayed numeric values.
High: -50 to 300 mmHg in 1 mmHg steps
Low: -50 to 300 mmHg in 1 mmHg steps
Labels: Systolic/Diastolic/Mean Mean Value:

AR1, AR2 CV1, CV2
PA1, PA2 IC1, IC2
RV1, RV2 RA1, RA2
LV1, LV2 LA1, LA2
P1 (generic pressure label)
P2 (generic pressure label)
Required Accessories: Transducers with a resistance of 300 to 2000 Ω and an equivalent

pressure sensitivity of 5 µV/V/mmHg ± 10 %
Pulse Rate (ART only)

Range: 30 – 300 BPM
Accuracy: ±2 BPM or ±2% (whichever is greater)
Averaging: 8 seconds
TEMPERATURE
Channels: Two
Range: 0-50° C (32 -122° F)
Accuracy: ±0.1 °C (±0.2 °F) plus the temperature sensor tolerance
Resolution: 0.1 ° C (0.1 ° F)
Alarm Limits: High alarm range: 20.0 –50.0° C (68.0-122.0° F) and OFF in 0.1°
increments
Low alarm range: 20.0-50.0° C (68.0-122.0° F) and OFF in 0.1°
increments.
Sensor Compatibility: YSI 400 or 700 series reusable temp. sensors
YSI 4400 or 4700 series disposable temperature sensors. Monitor
automatically detects sensor type.
Transducer Detection: Automatic for listed transducers
Display Resolution: 0.1° C or ±0.1° F

Auxiliary Inputs/Outputs
Serial (RS-232) Dataline: Measured parameter data is sent in a comma delimited string
terminated with a carriage return. (1 Hz)
Analog Outputs Three waveforms, + 5 V
Strip Printer
Paper Speeds: 12.5 mm/sec, 25 mm/sec, or 50 mm/sec for waveforms (CO2 can
print at 6.25 mm/sec). Text prints at 25 mm/sec only.
Waveforms: Prints one or two waveforms on a single chart. Annotation lines
print with waveforms.
Annotation Lines: Annotation lines print with waveforms showing the date, time,
paper speed, delay, parameter values, and scale. Printed once
every 200-300 mm (8-12 inches).
Snapshot: Prints an annotated snapshot of each waveform group, 200-
300mm (8 or 12 inches) long. Optionally prints a list of alarm limit
settings and a parameter trend table after the waveform groups.
Continuous: Prints a continuous strip chart of the selected waveform, with
annotation lines printed once every 200-300 mm (8-12 inches).
Print on Alarms: Optionally prints a snapshot when a chosen alarm is triggered.
Print Trend Table: All, Report Range
Trend Table Sample Intervals: 1 minute, 2, 5, 10, 15, 30, 60 minutes.
Print NIBP History: All, Window, or Every 10 measurements.
Power Requirements
AC Input: 90 to 120 V, 0.6 A, 50/60 Hz
230-240 V, 0.6A, 50/60 Hz
Battery (9208) Approx. Op. Time: Approx. Recharge Time
60-120 minutes 4 hours
Dimensions
Width: 18.0 cm (7 inches)
Length: 34.0 cm (13.25 inches)
Height: 30.5 cm (12.0 inches)
Weight: 5.42 kg (12 lbs.)
Environmental
Temperature: 32-104° F (0-40° C) Operating
-40-167 F (-40-75° C) Storage
Humidity: 15 - 95% (non-condensing) Operating
10 - 95% (non-condensing) Storage
NOTE! The monitor may not meet performance specifications when stored or used
outside the temperature and humidity ranges listed above.
Design Standards
Safety: EN60601-1
EN60601-1-1
UL 2601
CSA Standard C22.2 No. 601.1
EMC: EN60601-1-2: 2001

FDA Reviewer's Guidance for Resp Devices, Nov. 93

DEVICE: AAMI EC13, IEC 60601-2-27 ECG
AAMI SP10, IEC 60601-2-30 NIBP
IEC 60601-2-34 IP
EN865 SpO2
EN475 Alarms
EN864 CO2
Equipment Classification
Type of Protection: Class I & Internally Powered
Degree of Protection: Type BF defib protected (SpO2 , NIBP)
(Against Electric Shock) Type CF defib protected (ECG, Temp, & BP)
Mode of Operation: Continuous
Degree of Protection: IPX1, drip proof (Against Ingress of Liquids)
Degree of Mobility: Portable
Safety Requirements: EN60601-1: 1990

Appendix
APPENDIX A: SERVICE MENU

This password protected menu, contains the parameter settings for: ECG filter selection,
languages, password protection, system log, and purchased options.
Accessing the Service Menu

The SERVICE MENU is located under the MAIN SETUP menu. To access the options
located in the SERVICE MENU complete the following steps:
• Using the rotary knob in the MAIN menu, highlight the SETUP menu and press the rotary
knob.
• Rotate the rotary knob to highlight the SERVICE MENU and press.
• Move the cursor into the block area to the right of the ENTER selection.
• Depress the rotary knob and rotate to the desired character selection. Press the rotary
knob to accept the character selection. The default access code to enter the SERVICE
MENU is ADVISOR.
• After completing the character selection, position the cursor over the ENTER option, and
press the rotary knob.
Service Menu Password
PARAMETER DEFAULTS
This selection contains the default parameter alarm limits, parameter colors, pressure units,
language setting and ECG filter.
DEFAULT PARAMETER ALARM LIMITS

• Use the rotary knob to move the cursor to DEFAULT PARAMETER ALARM LIMITS at the
• Push the rotary knob to open the default parameter alarm limits menu and display a table of
settings for all of the installed parameter default alarm limit and quickset value settings.
• Move the cursor to CHANGE UNIT DEFAULT ALARM LIMITS and push the rotary knob
to scroll through the list of parameters.
• Select the parameter to be changed and then select the limits to be changed.
HI LO QS HI QS LO
• To exit the row, highlight the parameter name and push the control knob. Now another
parameter may be selected.
• To exit the UNIT DEFAULT ALARM LIMITS table menu, move the cursor up the left hand
column of parameters to the top selection labeled MENU and push the control knob.
• Use the rotary knob to move the cursor to RESTORE FACTORY LIMITS AS UNIT
DEFAULTS.
Advisor® Operation Manual Appendix-1

Appendix
• Press the control knob to restore all installed parameter factory default limits for the current
unit type.
NOTE! The unit defaults for the other unit types are not affected.
Parameter Colors (Color LCD)

Parameter color settings can be changed for personnel preference. The Advisor® is able to
show 16 colors simultaneously.
• The basic colors available are Black, Red, Blue, Green, Yellow and White.
• The Red, Blue, Green, Yellow and White colors each have two lighter shades of their
color associated with them that are used for anti-aliasing waveforms.
• Each parameter color can be set to Red, Blue, Green, Yellow or White.
• Invasive pressure colors are set by site name, not by connector number.
• Only one color can be set for Tmp. Both Tmp connectors will then use that color.
• The parameter colors remain in effect until changed by the user.
SET PARAMETER COLOR

This selector displays the parameter settings and the associated color. To change a color,
highlight the parameter setting, depress the rotary knob, and rotate until the desired color
is displayed. Depress the knob, and your desired color is now associated with that
parameter setting.
Restore Factory Default Parameter Colors

All parameter colors can be restored to their factory default settings:
Factory Default Parameter Colors
Parameters RED BLUE GREEN YELLOW WHITE
ECG X
RSP/CO2 X
NIBP X
SpO2 X
TMP X
ART X
PA X
LV X
RV X
CVP X
ICP X
LA X
RA X
Generic Pressure X
Appendix-2 Advisor® Operation Manual

Appendix
Pressure Units of Measure

This option allows the user to select the unit of measure from millimeters of mercury or
kilopascals (for IP and NIBP).
• Pressures values may be viewed in one of two units of measure: mmHg or kPa.
• The relationship between the two units of measure:
• kPa = mmHg times 0.133
• mmHg = kPa divided by 0.133
• The pressure units of measure setting remains in effect until changed by the user.
ECG FILTER
This selection allows the user to toggle the ECG filter between 50 and 60 Hz.
LANGUAGE
The monitor presents textual information in one of the following languages: English,
Spanish, Italian, French, German or Portuguese (Continental). Select the desired language
from the menu exit to the MAIN menu, and turn off the monitor. The language will be
activated at powered up.
CHANGE PASSWORD
The factory default password is ADVISOR. This menu selection allows the user to change the
password. Follow the steps as described in Accessing the Service Menu, earlier in this chapter.
• A maximum of 10 characters can be used for a password.
• The password characters are shown as asterisks except while actually entering an
individual character.
• When the user password is being changed, the user is prompted to reenter the new
password for confirmation.

Appendix
SYSTEM LOG
The following available menu selections and their functions allow the user to view, clear, or
print the system log (when equipped with optional printer or data output). The system log is
not erased at power-down.
SCROLL: A maximum of 100 entries are stored; the oldest are overwritten as more occur.
Turning the rotary knob will allow the user to view the last 100 entries.
CLEAR SYSTEM LOG: The user will be prompted for a YES/NO answer when accessing
this selector, answering YES will clear the system log.
PRINT SYSTEM LOG: Answering YES to this selector, will print the entire system log to
an optional printer.
PRINT WINDOW: Answering YES to this selector, will print the entries displayed on the
LCD. Scrolling through the log will allow the user to print what is displayed.
PURCHASED OPTIONS
This feature allows a user to purchase parameter options and enable them on-site, without
returning the Advisor® to the dealer. This option will also allow users of multiple units, to
configure the parameter settings of each unit to their personnel preference, without added cost.
Please see your authorized dealer to learn more about this cost saving option.

Appendix
APPENDIX B: ECG TECHNICAL REFERENCE
ECG Technical Reference

Respiration Lead-Off Sensing and Active Noise Suppression
Leadoff is determined by the presence of excessive DC offset. No AC waveform is
associated with this function.
Tall T-Wave Rejection Capability

With a standard 1 mV p-p QRS having a T-wave amplitude of 0 to 1.2 mV (0 to 120% of
R-wave height), the displayed heart rate remains correct.
Heart Rate Averaging Method and Display Update Rate

The rate digit display is updated every second. Rate averaging is accomplished using a
"box car" method as follows:
Let n = the averaging interval 8 seconds. Each second, the oldest 1/n data points are
discarded and replaced with the latest 1/n points. Then, all the points are summed and
divided by n. The resulting average is the value displayed.
Heart Rate Meter Accuracy and Response to Irregular Rhythm

Reference EC-13 Test Specifications
Waveform Description Rate
Figure 3a Ventricular Bigeminy 77 – 83 bpm
Figure 3b Slow Alternating Ventricular Bigeminy 30 bpm
Figure 3c Rapid Alternating Ventricular Bigeminy 120 bpm
Figure 3d Bi-directional Systoles 42 – 56 bpm
Response Time of Heart Rate Meter to Change in Heart Rate

From 80 to 120 bpm, response ranges from 6.4 to 6.9 sec., average 6.6 sec. From 40 to 80
bpm, the response range is 7.5 to 10.0 sec., average 8.6 sec.

Appendix
Time to Alarm for Tachycardia

Reference EC-13 Test Specifications
Average response is less than or equal to 6.8 seconds. Response never exceeds 10
seconds.
Waveform Description Amplitude Response Time (seconds)
Range (mV) Range (mV)
Figure 4a Vtach (HR= 206) 1.0mV 2.1 to 5.7 3.0
0.5mV 5.5 to 6.2 5.9
2.0mV 1.6 to 2.5 2.2
Figure 4b Vtach (HR = 195) 4.0mV 2.2 to 2.8 2.5
1.0mV 2.4 to 3.1 2.9
2.0mV 1.5 to 2.8 2.3
Display Aspect Ratio

The 2X option meets the aspect ratio requirements of EC13 (0.4± 0.08 s/mV).
10.67mm/mV
= 0.427s/mV
25.0mm/s
Pacemaker Pulse Rejection Capability

Pacemaker pulses without over/undershoot:
All pulses in the amplitude range +/-2mV to +/-700mV with pulse widths between 0.1ms
and 2.0ms are detected and rejected.
The displayed HR for pacemaker pulses alone for all combinations of the specified pulse
parameters are 0 bpm.
For pace pulses with a normally paced QRS-T at 60 bpm, the displayed HR is 60 bpm.
For pace pulses 80 bpm with an ineffectively paced QRS-T at 30 bpm, the displayed HR
is 30 bpm.
When arterial pace pulses are added to the applied pace pulse waveform, the displayed HR
remains the same.
Pacemaker pulses with over/undershoot:
The above tests were repeated for pace pulses with an over/undershoot of 2mV for the +/-
700 mV pace pulses, and 0.4mV for the +/-2mV pace pulses.
For the over-undershoot, the total recharge time was 30 ms, and the recharge time constant
was 5ms.
For all cases, the displayed HR was identical to the applied HR, and all pace pulses were
detected and rejected.
Audible Alarms
An audible alarm is located at the bedside. Alarm sounds and amplitudes conform to the
EC-13 specifications. Audible alarms may be disabled permanently and temporarily.
Temporary alarms are disabled for two minutes.

Appendix
Visual Alarms
Visual alarms are located at the bedside. Visual alarms consist of a blinking parameter
value within the parameter box, which is in alarm and an alarm message at the top of the
display. The word ‘ALARM” appears blinking at the top of the display in red at a 0.5Hz
rate. Visual alarms can not be disabled. All alarm conditions are checked once each
second and the display is updated to indicate the alarm status.
Line Isolation Transients

See warnings in ECG section of the operation manual for proper operating conditions and
lead placement.
Electrode Polarization
See warnings in ECG section of the operation manual for proper operating conditions and
lead placement.
Auxiliary Outputs
RS-232 serial outputs are provided. Electrical protection to 4KV is provided on all I/O.
The monitor is considered a DTE device.
Audible Alarm Silencing

Audible alarms may be disabled permanently and temporarily.
Temporary audible alarms are disabled for two minutes. A temporarily audible disabled
alarm will also have a blinking red bell with a diagonal line through it, to the right of the
alarm message at the top of the display. To temporarily disable the alarms press the
“disable alarms” button on the front panel. Temporary audible disabled alarms re-enable
in 2 minutes. To manually re-enable the alarms press the disable alarms button on the
front panel.
Permanently audible disabled alarms will have a red bell with a diagonal line through it
located at the top of the display to the right of the alarm message. To permanently disable
the alarms hold the “disable alarms” button on the front panel until the disable alarm bell
stops blinking and is on steady. This indicator will not blink indicating that the alarms are
permanently disabled. To re-enable the audible alarms press the alarm button.

Appendix
APPENDIX C: ALARM LIMIT DEFAULTS

Heart Rate
ECG LIMIT Defaults Adult Pediatric Neonate
Heart rate High limit 150 160 200
Heart rate Low limit 45 70 90
Quickset High value +25 +25 +25
Quickset Low value No Change No Change No Change
Impedance Respiration
RSP LIMIT Defaults Adult Pediatric Neonate
RSP rate High limit 35 40 80
RSP rate Low limit 5 15 25
Quickset High value +10 +10 +20
Quickset Low value No Change No Change No Change
Oximetry
SpO2 Alarm Default Adult Pediatric Neonate
Settings
SPO2 HIGH OFF OFF 97%
SPO2 LOW 85% 85% 85%
QUICKSET HI No Change No Change No Change
QUICKSET LO No Change No Change No Change
NIBP
Alarm Limit ADULT Default PEDIATRIC NEONATE Default
Setting Default Settings Setting
SYS LIMITS Systolic High Limit 200 mmHg 160 mmHg 80 mmHg
(26.6 kPa) (21.3 kPa) (10.6 kPa)
Systolic Low Limit 90 mmHg 70 mmHg 40 mmHg
(12.0 kPa) (9.3 kPa) (5.3 kPa)
Quickset Systolic +20 mmHg +20 mmHg +10 mmHg
High (+3 kPa) (+3 kPa) (+1 kPa)
Quickset Systolic No Change No Change No Change
Low
DIA LIMITS Diastolic High Limit 105 mmHg 90 mmHg 60 mmHg
(14.0 kPa) (12.0 kPa) (8.0 kPa)
Diastolic Low Limit 40 mmHg 35 mmHg 20 mmHg
(5.3 kPa) (4.7 kPa) (2.7 kPa)
Quickset Diastolic +10 mmHg +10 mmHg +5 mmHg
High (+1 kPa) (+1 Kpa) (+1 Kpa)
Quickset Diastolic No Change No Change No Change
Low
MAP LIMITS MAP High Limit 110 mmHg 105 mmHg 70 mmHg
(14.6 kPa) (14.0 kPa) (9.3 kPa)

Appendix
MAP Low Limit 50 mmHg 45 mmHg 20 mmHg

(6.7kPa) (6.0 kPa) (2.7 kPa)
Quickset Mean +10 mmHg +10 mmHg +5 mmHg
High (+1 kPa) (+1 kPa) (+1 Kpa)
Quickset Mean No Change No Change No Change
Low
Invasive Pressure
LABEL Limit Limit Default Quickset Default
(mmHg/kPa) (mmHg/kPa)
ADULT PEDIATRIC NEONATE ADULT PEDIATRIC NEONATE
ART Systolic High 200 / 26.6 160 / 21.3 80/10.5 +20 / +3 +20 / +3 +10 / +1
Systolic Low 90 / 12.0 70 / 9.3 40/5.3 No Change No Change No Change
Diastolic High 105 / 14.0 90 / 12.0 60/8.0 +10 / +1 +10 / +1 +5/ +1
Diastolic Low 40 / 5.3 35 / 4.7 20/2.7 No Change No Change No Change
Mean High 110 / 14.6 105 / 14.0 70/9.3 +10 / +1 +10 / +1 +5/ +1
Mean Low 50 / 6.7 45 / 6.0 20/2.7 No Change No Change No Change
PA Systolic High 40 / 5.3 40 / 5.3 40 / 5.3 +15 / +2 +15 / +2 +15 / +2
RV Systolic Low 0 / 0.0 0 / 0.0 0 / 0.0 No Change No Change No Change
Diastolic High 40 / 5.3 40 / 5.3 40 / 5.3 +15 / +2 +15 / +2 +15 / +2
Diastolic Low 0 / 0.0 0 / 0.0 0 / 0.0 No Change No Change No Change
Mean High 40 / 5.3 40 / 5.3 40 / 5.3 +15 / +2 +15 / +2 +15 / +2
Mean Low 0 / 0.0 0 / 0.0 0 / 0.0 No Change No Change No Change
P Systolic High 160 / 21.3 160 / 21.3 120/16.0 +20 / +3 +20 / +3 +20 / +3
LV Systolic Low 0 / 0.0 0 / 0.0 0 / 0.0 No Change No Change No Change
Diastolic High 160 / 21.3 160 / 21.3 120/16.0 +20 / +3 +20 / +3 +20 / +3
Diastolic Low 0 / 0.0 0 / 0.0 0 / 0.0 No Change No Change No Change
Mean High 160 / 21.3 160 / 21.3 120/16.0 +20 / +3 +20 / +3 +20 / +3
CVP, LA, RA Mean High 20 / 2.7 20 / 2.7 20 / 2.7 No Change No Change No Change
ICP Mean High 20 / 2.7 20 / 2.7 10 / 1.3 No Change No Change No Change
Temperature T1/T2
ADULT Default PEDIATRIC NEONATE
Setting Default Setting Default Setting
HIGH LIMIT 38.1°C / 100.6°F 38.1°C / 100.6°F 37.6°C / 99.7°F
LOW LIMIT 36.1°C / 97.0°F 36.1°C / 97.0°F 36.1°C / 97.0°F
QUICKSET HIGH +1°C/°F +1°C/°F +1°C/°F
QUICKSET LO -1°C/°F -1°C/°F -1°C/°F

Appendix
Capnography (CO2)
DEFAULT SETTINGS
Adult Pediatric Neonate
mmHg kPa % MmHg kPa % mmHg kPa %
RR HIGH 35 40 N/A
(RESP
RATE)
RR LOW 5 15 N/A
RR
QUICKSET HI +10 +10 N/A

QUICKSET LO No Change No Change N/A
ETCO2 HIGH 60 8.0 8.0 60 8.0 8.0 N/A
ETCO2
ETCO2 LOW 20 2.7 2.7 20 2.7 2.7 N/A

QUICKSET HI +10+1+1 +10+1+1 N/A
QUICKSET LO No Change No Change N/A
INCO2 HIGH 8 1.1 1.1 8 1.1 1.1 N/A
INCO2
QUICKSET HI +2+1+1 +2+1+1 N/A

Appendix
APPENDIX D: IEC 60601-1-2 REQUIREMENTS

Guidance and manufacturer’s declaration – electromagnetic emissions
The BCI 9200 vital signs monitor is intended for use in the electromagnetic environment specified below.
The customer or the user of the BCI 9200 vital signs monitor should assure that it is used in such an
environment.
Emissions test Compliance Electromagnetic environment - guidance
RF emissions Group 1 The BCI 9200 vital signs monitor uses RF energy
CISPR 11 only for its internal function. Therefore, its RF
emissions are very low and are not likely to cause any
interference in nearby electronic equipment.
RF emissions Class B The BCI 9200 vital signs monitor is suitable for use
CISPR 11 in all establishments, including domestic
Harmonic emissions Class A establishments and those directly connected to the
IEC 61000-3-2 public low-voltage power supply network that
Voltage Complies supplies buildings used for domestic purposes.
fluctuations/flicker
emissions
IEC 61000-3-3

Appendix
Guidance and manufacturer’s declaration – electromagnetic immunity

environment.
Immunity test IEC 60601 test Compliance level Electromagnetic environment - guidance
level
Electrostatic ± 6 kV contact ± 6 kV contact Floors should be wood, concrete or
discharge (ESD) ± 8 kV air ceramic tile. If floors are covered with
IEC 61000-4-2 ± 8 kV air synthetic material, the relative humidity
should be at least 30 %.
Electrical fast ±2 kV for power ± 2 kV on 220 Mains power quality should be that of a
transient/burst supply lines VAC power line typical commercial or hospital
IEC 61000-4-4 ±1 kV for environment.
input/output ±1 kV on ECG,
lines
CO2, BP1, BP2,
SpO2, NIBP, and
Temp
Surge ±1 kV ±1 kV differential Mains power quality should be that of a
IEC 61000-4-5 differential mode mode typical commercial or hospital
±2 kV common ±2 kV common mode environment.
mode
Voltage dips, <5 % UT <5 % UT Mains power quality should be that of a
short (>95 % dip in (>95 % dip in UT) for typical commercial or hospital
interruptions, and UT) for 0.5 cycle 0.5 cycle environment. If the user of the BCI
voltage variations 40 % UT 40 % UT 9200 vital signs monitor requires
on power supply (60 % dip in UT) (60 % dip in UT) for continued operation during power mains
input lines for 5 cycles 5 cycles interruption, it is recommended that the
IEC 61000-4-11 70 % UT 70 % UT BCI 9200 vital signs monitor be
(30 % dip in UT) (30 % dip in UT) for powered from an uninterruptible power
for 25 cycle 25 cycle supply or a battery.
<5 % UT <5 % UT
(>95 % dip in (>95 % dip in UT) for
UT) for 5 sec 5 sec
Power frequency 3 A/m 3 A/m Power frequency magnetic fields should
(50/60 Hz) be at levels characteristic of a typical
IEC 61000-4-8 location in a typical commercial or
hospital environment.
NOTE UT is the a.c. mains voltage prior to application of the test level.

Appendix

environment.
Immunity test IEC 60601 test Compliance level Electromagnetic environment - guidance
level
Conducted RF 3 Vrms 3V Portable and mobile RF communications
IEC 61000-4-6 150 kHz to 80 equipment should be used no closer to
MHz any part of the BCI 9200 vital signs
Radiated RF 3 V/m monitor, including cables, than the
IEC 61000-4-3 80 Mhz to 2.5 recommended separation distance
GHz 10 V/m calculated from the equation applicable
to the frequency of the transmitter.
Recommended separation distance

d = 1 .2 P
d = 0.35 P 80 MHz to 800 MHz
d = 0.7 P 800 MHz to 2.5 GHz
where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter
manufacturer and d is the recommended
separation distance in meters (m).
Field strengths from fixed RF

transmitters, as determined by an
electromagnetic site survey,a should be
less than the compliance level in each
frequency range.b
Interference may occur in the vicinity of

equipment marked with the following
symbol:
4
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which
the BCI 9200 vital signs monitor is used exceeds the applicable RF compliance level above, the BCI
9200 vital signs monitor should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the BCI 9200 vital
signs monitor.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 10V/m.

Appendix

The BCI 9200 vital signs monitor is intended for use in an electromagnetic environment in which radiated
RF disturbances are controlled. The customer or the user of the BCI 9200 vital signs monitor can help
prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the BCI 9200 vital signs monitor as recommended below,
according to the maximum output power of the communications equipment.
Rated maximum Separation distances according to frequency of transmitter
output power of m
transmitter 150 kHz to 80 80 MHz to 800 MHz 800 MHz to 2.5 GHz
W MHz d = 0.35 P d = 0 .7 P
d = 1 .2 P
0.01 0.12 0.035 0.07
0.1 0.38 0.11 0.22
1 1.2 0.35 0.7
10 3.8 1.1 2.2
100 12 3.5 7.0
For transmitters rated at a maximum output power not listed above, the recommended separation distance d
in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is
the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structure, objects and people.

A
Smiths Medical – a part of Smiths Group plc
C 0473
Authorized Representative (as defined by the Medical Device Directive):

Graseby Medical Ltd. Phone: (44) 1923 246434
Colonial Way, Watford, Herts, Fax: (44) 1923 240273
UK, WD24 4LG

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Advisor® Vital Signs Monitor

Catalog Number 1886

Chapter 1: Introduction 1-1

Advisor® Operations Manual i

Chapter 7: ECG 7-1

ii Advisor® Operations Manual

Connecting the Cuff and Hose .........................................................................................................................10-4

Advisor® Operations Manual iii

Temperature Messages ....................................................................................................................................13-5

iv Advisor® Operations Manual

Advisor® Operations Manual v

Advisor® Operation Manual 1-1

Marking by the symbol

Authorized Representative (as defined by the Medical Device Directive):

1-2 Advisor® Operation Manual

About This Manual

2 WARNINGS! Are shown like this.

CAUTIONS! Are shown like this.

NOTES! Are shown like this.

Using the Manual

Advisor® Operation Manual 1-3

q Defibrillator-proof type CF equipment.

s Defibrillator-proof type BF equipment.

2 Attention, consult accompanying documents

7 Refer servicing to qualified service personnel

→O← BP Zero All

REF Catalog Number

IPX1 Drip Proof

M Low Battery LED

1-4 Advisor® Operation Manual

2 Warnings, Cautions & Notes

General Warnings, Cautions and Notes

WARNING! Do not use this device in the presence of flammable anesthetics.

WARNING! Where HF (diathermy) is used there is no danger of burning to the patient

WARNING! Equipment is protected against defibrillator discharge. Rate meters and

Advisor® Operation Manual 1-5

EXAMPLE OF THE PATIENT ENVIRONMENT. THE DIMENSIONS ARE NOT PRESCRIPTIVE.

WARNING! Use only original manufacturer or recommended patient cables. Use of

WARNING! Medical electrical equipment, including this device, needs special

WARNING! There is no defibrillator synchronization output on the monitor. Make no

WARNING! This monitor is not for home use.

1-6 Advisor® Operation Manual

Advisor® Operation Manual 1-7

CAUTION! Follow local governing ordinances and recycling instructions regarding

NOTE! All user and patient accessible materials are non-toxic.

ECG Warnings, Cautions, and Notes

WARNING! PACEMAKER PATIENTS: If PACE DETECT is not turned on when

NOTE! Follow institutional standards when applying ECG electrodes. Silver/Silver

1-8 Advisor® Operation Manual

Impedance Respiration Warnings, Cautions, and Notes

WARNING! Electrodes of dissimilar metals should not be used.

NOTE! Follow institutional standards when applying ECG electrodes.

NOTE! The ECG/Respiration cable uses a standard AAMI three-lead or five-lead

NOTE! The ECG/Respiration patient circuit is electrically isolated.

Oximetry Warnings, Cautions, and Notes

WARNING! Using a damaged sensor may cause inaccurate readings, possibly

1 Microfoam is a registered trademark of the 3M Company.

Advisor® Operation Manual 1-9

Non-invasive Blood Pressure Warnings, Cautions and Notes