参数详解多功能监护仪使用指南

使用说明

EDAN

iM50/iM60/iM70/iM80

病人监护仪

1.0版

0123

阐明书信息

部件号：01.54.456438-10发行时间：2023年4月版权©深圳市理邦精密仪器股份有限企业2023

申明

本阐明书为操作、保养和维修产品H勺参照资料。顾客应严格根据阐明书内容操作，对于不按

照阐明书内容操作而导致口勺故障或事故，深圳市理邦精密仪器股份有限企业(如下简称“理邦仪

器”)不承担任何法律责任。

理邦仪器拥有本阐明书中所有内容日勺版权，未经我司的明确书面许可，任

何人不得摄影复制、复印或翻译成其他语言。本产品阐明书包括受版权法保护

的专有资料，包括但不限于技术秘密、专利信息等商业秘密，顾客具有保密义

务，不得向无关第三方披露本阐明书中H勺任何内容。顾客持有本产品阐明书并

不表达理邦仪器对产品所含知识产权的授权许可。本阐明书日勺修改权、更新权

及最终解释权均属于理邦仪器。

注册信息

医疗器械生产企业许可证编号：粤食药监械生产许20230086号

彷

粤制()0()00556号

产品注册证号：国食药监械(准)字2023第3210404号执行原则号：YZB/国0681-2023产品名

称：病人监护仪产品型号：iM50、iM60、iM70、iM80

制造商的责任

理邦仪器仅在下列状况下才认为应对仪器H勺安全性、可靠性和性能负责，即：装配操作、

扩充、重调、改善和维修均由理邦仪器承认H勺人员进行，对应房间的电气安装环境符合国标，以

及仪器按照操作指导进行使用。

理邦仪器将在顾客提出规定期有偿提供电路图及其他信息，以协助顾客由合适H勺、合格的

技术人员来维修那些理邦仪器归类为可由顾客维修的仪器部分。

本阐明书日勺术语阐明

警告：针对也许导致人员伤亡日勺操作或情形。

小心：针对也许导致设备损坏、产生错误数据，或使过程失效的操作或情形。

注意：您应当理解的重要信息。

目录

1预期用途和安全信息............................................................1

1.1预期用途...................................................................1

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

1.3监护仪上使用的符号的解释.................................................3

2安装..........................................................................7

2.1初始检查..................................................................7

2.2安装监护仪................................................................7

2.2.1将监护仪置于水平台面上.................................................7

2.2.2安装到墙上.............................................................7

2.2.3安装到台车上...........................................................7

2.3连接交流电源线............................................................7

2.4检查监护仪................................................................8

2.5检杳记录仪................................................................8

2.6设定日期与时间............................................................8

2.7移交监护仪................................................................8

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

3.1概况......................................................................9

3.1.1正面图.................................................................9

3.1.2背面图................................................................12

3.1.3侧面图.................................................................15

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

3.2操作与浏览...............................................................17

3.2.1使用按键..............................................................18

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

3.3.1Y黄工I.....................................................................20

3.3.2待机模式..............................................................20

333夜间模式..............................................................20

3.4更改监护仪设置...........................................................20

3.4.1调整屏幕亮度..........................................................20

3.4.2更改日期与时间........................................................21

3.5调整音量.................................................................21

3.5.1设置键盘音量..........................................................21

3.5.2设置报警音量..........................................................21

3.5.3调整心跳音量..........................................................21

3.6检查监护仪版本...........................................................21

3.7联网监护.................................................................21

3.8设置语言.................................................................22

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

3.10触摸屏校准..............................................................22

3.11严禁触摸屏操作..........................................................22

3.12使用条形码扫描仪........................................................22

3.13处理IBP标名冲突........................................................23

4报警.........................................................................24

4.1报警分类.................................................................24

4.1.1生理报警..............................................................24

4.1.2技术报警..............................................................24

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

4.2报警级别.................................................................24

4.3报警控制.................................................................25

4.3.1设置参数报警..........................................................25

4.3.2报警音暂停............................................................26

4.3.3静音...................................................................26

4.3.4报警音量控制..........................................................26

4.4报警栓锁.................................................................26

4.5探头脱落报警.............................................................27

4.6报警自检.................................................................27

5报警信息列表.................................................................28

5.1患者报警消息.............................................................28

5.2技术报警.................................................................31

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

5.4报警限范围...............................................................43

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

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

6.1.1病人类型和“起搏的”状态...............................................49

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

6.3编辑病人资料.............................................................49

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

6.5中央监护系统.............................................................50

7顾客界面.....................................................................51

7.1设置界面风格.............................................................51

7.2选择参数.................................................................51

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

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

7.5观测趋势共存.............................................................51

7.6观测呼吸氧合图...........................................................52

7.7大字体界面...............................................................52

7.8它床观测.................................................................52

7.8.1打开它床观测窗口......................................................53

7.8.2设置它床观测窗口.....................................................53

7.9更改参数和波形颜色.......................................................53

7.10顾客配置管理............................................................53

7.11默认配置................................................................54

8监护ECG........................................................................................................................................55

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

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

8.3ECG显示................................................................56

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

8.3.2更改ECG滤波设定.....................................................57

8.4使用ECG报警............................................................57

8.5选择计算导联.............................................................57

8.6ECG监护................................................................57

8.6.1备皮以供粘贴电极......................................................57

8.6.2连接心电图电缆........................................................58

8.7选择导联类型............................................................58

8.8安装电极................................................................58

8.8.13导联日勺电极安放......................................................59

8.8.25导联日勺电极安放......................................................59

8.8.312导联的电极安放.....................................................61

8.8.4为外科患者推荐日勺ECG导联连接.......................................62

8.9ECG菜单设置...........................................................63

8.9.1设置心率报警源........................................................63

8.9.2智能导联脱落..........................................................63

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

8.9.4ECG监护类型.........................................................64

8.9.5设定起搏状态..........................................................64

8.9.6ECG校准.............................................................65

8.9.7ECG波形设置.........................................................65

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

8.10.1打开和关闭ST...............................................................................................................65

8.10.2ST显示.............................................................66

8.10.3报警限设置..........................................................66

8.10.4确定ST段分析点.....................................................66

8.10.5调整ISO、ST测量点.................................................66

3.11心律失常监护..........................................................67

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

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

8.1212导监护...............................................................68

8.12.1进入12导监护界面...................................................68

8.12.212导诊断回忆........................................................69

9监护RESP......................................................................................................................................70

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

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

9.3安放呼吸电极............................................................70

9.4心脏重叠................................................................71

9.5胸廓扩张................................................................71

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

9.7选择呼吸导联............................................................71

9.8更改计算类型............................................................71

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

9.10使用“呼吸”报警..........................................................72

9.11设置窒息报警时间........................................................72

10监护SpO2.................................................................73

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

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

10.3SpO2测量...............................................................74

10.4测量环节................................................................74

10.5理解SpCh报警..........................................................75

10.6调整报警限..............................................................75

10.7将SpO2/Pleth（体积插记）设为脉搏源......................................75

10.8设置脉搏调制音.........................................................75

10.9设置敏捷度.............................................................75

10.1（）SI（信号强度）........................................................76

11监护PR...................................................................77

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

11.2设置PR来源...........................................................77

11.3设置脉搏音量............................................................77

11.4使用脉搏报警............................................................77

11.5选择处在活动的报警源...................................................77

12监护NIBP.................................................................................................................................78

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

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

12.3简介NIBP测量..........................................................79

12.4测量的限制..............................................................79

12.5测量模式................................................................79

12.6测量环节................................................................80

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

12.8肢体与心脏不在同一水平高度时对测量的修正...............................81

12.9NIBP报警...............................................................81

12.10NIBP复位..............................................................81

12.11NIBP校准..............................................................81

12.12漏气检测...............................................................82

12.12.1漏气检测过程........................................................82

12.13设置预充气模式.........................................................83

13监护TEMP..................................................................................................................................84

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

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

13.3温度测量设置............................................................84

13.4计算温差................................................................84

14监护IBP........................................................................................................................................85

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

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

14.3监护环节................................................................85

14.4选择监护的压力..........................................................86

14.5压力传感器校零..........................................................86

14.6压力测量校零............................................................87

14.7压力校零故障排除（以Art为例阐明）.....................................87

14.8IBP压力校准............................................................87

14.9压力校准故障排除........................................................89

14.10IBP报警...............................................................89

14.11更改IBP波形标尺......................................................89

15监护CO2............................................................90

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

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

15.3监护环节................................................................91

15.3.1传感器校零...........................................................91

15.3.2旁流CCh模块测量设置................................................91

15.3.3主流CO2模块测量设置................................................93

15.4设置CO2波形............................................................95

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

15.6CO2报警................................................................95

15.7设置窒息报警延迟........................................................96

16监护AG.............................................................97

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

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

16.2.1旁流式麻醉模块的安全信息............................................97

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

16.3监护环节..............................................................100

16.3.1旁流式的监护环节....................................................100

16.3.2主流式欧I监护环节....................................................102

16.4设置窒息报警时间......................................................106

16.5旁流式麻醉模块日勺工作状态..............................................106

16.6主流式麻醉模块日勺工作状态.............................................106

16.702赔偿................................................................107

16.8湿度影响...............................................................107

17冻结......................................................................108

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

17.2冻结状态的进入与退出..................................................108

17.2.1进入冻结状态.......................................................108

17.2.2退出冻结状态.......................................................108

17.3冻结波形回忆..........................................................109

18回忆......................................................................110

18.1趋势图回忆............................................................110

18.1.1挑选不一样参数H勺趋势图显示...........................................110

18.1.2调整幅度...........................................................110

18.1.3设定辨别率.........................................................111

18.1.4移动图形...........................................................111

18.1.5切换到趋势表.......................................................111

18.1.6在记录仪上输出趋势曲线............................................111

18.2趋势表回忆.............................................................111

18.2.1设置辨别率..........................................................111

18.2.2移动图形............................................................111

18.2.3切换到趋势图........................................................112

18.2.4在记录仪上输出趋势表...............................................112

18.3NIBP回忆..............................................................112

18.3.1移动图形............................................................112

18.3.2在记录仪上输出NIBP回忆数据........................................112

18.4报警事件回忆...........................................................112

18.4.1移动图形............................................................112

18.4.2选择特定参数的报警事件回忆.........................................112

18.4.3设置时间索引........................................................113

18.4.4在记录仪上输出报警事件回忆.........................................113

18.512导诊断回忆...........................................................113

18.5.1删除分析成果........................................................113

18.5.2诊断成果与波形之间日勺切换...........................................114

18.5.3在记录仪上输出波形或分析成果.......................................114

19计算和滴定表...............................................................115

19.1药物计算...............................................................115

19.1.1计算环节............................................................115

19.1.2计算单位............................................................116

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

19.3血液动力学计算.........................................................117

19.3.1计算环节............................................................117

19.3.2输入参数............................................................117

19.3.3输出参数............................................................117

20记录.......................................................................119

20.1记录仪日勺一般资料.......................................................119

20.2记录仪性能.............................................................119

20.3记录类型...............................................................120

20.4记录启动和停止.........................................................120

20.5记录仪操作及状态信息...................................................121

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

21.1护士呼喊...............................................................124

21.2无线网络...............................................................124

21.3在可移动存储设备上进行数据存储........................................124

22电池.......................................................................127

22.1电池灯.................................................................127

22.2主屏幕上的电池状态信息.................................................127

22.3检查电池性能...........................................................127

22.4更换电池...............................................................128

22.5电池回收...............................................................129

22.6电池时保养.............................................................129

23保养与清洁.................................................................130

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

23.2清洁...................................................................13()

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

23.4对其他附件进行清洁及消毒..............................................135

24维护.......................................................................136

24.1检查....................................................................136

24.2维护计划...............................................................136

25保修及售后服务.............................................................137

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

25.2售后服务...............................................................137

26电子信息产品污染控制......................................................138

26.1标识....................................................................138

26.2有毒有害物质或元素的名称及含量........................................138

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

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

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

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

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

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

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

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

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

A产品规格...................................................................146

A.1监护仪类型..............................................................146

A.2监护仪规格..............................................................146

A.2.1物理规格.............................................................146

A.2.2工作环境.............................................................146

A.2.3显示屏规格...........................................................147

A.2.4电池.................................................................148

A.2.5记录仪...............................................................148

A.2.6数据存储.............................................................149

A.3ECG规格................................................................149

A.4RESP规格...............................................................153

A.5NIBP规格...............................................................154

A.6SpO2规格................................................................155

A.7TEMP规格...............................................................155

A.8IBP规格.................................................................156

A.9C02规格.................................................................157

A.10AG规格...............................................................160

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

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

A.ll无线网络规格..........................................................165

BEMC测试等级申明一指南和制造商的申明.....................................166

B.1电磁发射...............................................................166

B.2电磁抗扰度.............................................................166

B.3电磁抗扰度.............................................................167

B.4推荐隔离距离...........................................................169

C出厂默认设置..............................................................170

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

C.2报警.......................................................