Technical Data CSM-1901 Bedside Monitor TD. CSM-1900_B This technical data may be revised or replaced by Nihon Kohden at any time without notice. Some products may not be available in your country. 1 FEATURES Intended Use Life Scope G9 is intended for continuous monitoring, recording, and alarming of multiple physiological parameters of adults, pediatrics and neonates in the OR, recovery room, ICU, CCU, HCU, NICU, ER, ward and other areas. Main Components Core unit, CU-191R and CU-192R The fan-less core unit has a built-in PC. The PC can provide lab data, X-ray data and medical charts through a web browser. • CU-191R: Intel Celeron 1.6 GHz • CU-192R: Intel Core i7 1.5 GHz Display Display size is selectable and up to up to three displays can be connected. (A third display requires an optional YS-104P5 display expansion board.) Each monitor can have a different layout. The VL-190P display unit has an alarm indicator which shows the alarm severity in 3 levels. Input unit, AY-600 series Several types of input unit are available. See the chart on the next page. Data acquisition unit (DAU) The data acquisition unit connects an input unit or Life Scope PT transport monitor to the Life Scope G9 monitor. • JA-690PA: DAU without MULTI connector • JA-694PA: DAU with 4 MULTI connectors Transport function Life Scope G9 supports transport. Patient information and review data can be transferred to another bed by disconnecting the input unit from the source monitor and connecting it to the destination monitor. (Transport function requires an optional QM-600P memory unit in the input unit.) A Life Scope PT BSM-1700 series transport monitor can also be used as an input unit for the Life Scope G9 bedside monitor. After connecting the input unit to the destination bedside monitor in the network, the data in the input unit is automatically transferred to the bedside monitor and central monitor. All patient information, including trend and waveforms, is automatically transferred to maintain one seamless patient record. Smart cables and MULTI connectors Smart cable technology lets you measure different parameters without the need for dedicated modules. When you plug a smart cable into a MULTI connector, the monitor automatically detects the type of parameter and starts measuring. Basic parameters of ECG, respiration, SpO 2 , NIBP and temperature can be measured with dedicated connectors. Other parameters can be measured with MULTI connectors. Up to 15 MULTI connectors for smart cable can be configured. Multilink connectors A multilink connector receives data from an external device such as an anesthesia machine or ventilator and the monitor displays the external device data with other monitoring data. Number of Multilink connectors: • CU-191R/CU-192R core unit: 3 • JA-690PA/JA-694PA DAU: 2 • JA-920P interface unit: 6 User Interface Operation Life Scope G9 can be operated by touch screen, mouse, keyboard, remote control and bar code scanner as well as by hard keys on the VL-190P display unit and data acquisition unit. Touch screen operation The touch screen provides intuitive operation. Drag and drop screen builder You can change the screen position of numeric values and waveforms by dragging and dropping the numeric values. Review while monitoring The G-Scope function lets you review past data without hiding the current vital signs and waveforms. Just flick the side or bottom of the screen to access three review windows. Wireless remote control You can operate Life Scope G9 by an RY-910PA wireless remote control. The remote control has six function keys to call up preset windows. One remote control can operate up to 9 monitors by changing the channel. Alarm indicator receives the IR signals from the RY-910PA. To use RY-910PA, alarm indicator YL-920P or VL-190P display unit with alarm indicator is required. Nihon Kohden's networking technology enables seamless monitoring across different central monitors. You can see continuous past data even from a different central monitor at a different site. 2 Input units Name Input unit Smart unit Model SpO2 Image MULTI Connector Parameters No. of MULTI Connector Basic Parameters AY-660P NK 1 IBP, CO2 ECG (3/6 lead) Resp (impedance) SpO2 NIBP Temp AY-661P NK 1 IBP, CO2, ECG (3/6/12 lead) Resp (impedance) SpO2 NIBP Dual Temp ECG/BP Out AY-651P Nellcor AY-631P Masimo AY-663P NK AY-653P Nellcor AY-633P Masimo AA-672P - Temp, CO, FiO2, Resp (thermistor), 3 2 APCO, BIS, 2nd SpO2 IBP, CO2, - Temp, CO, FiO2, Resp (thermistor), AA-674P - 4 APCO, BIS, 2nd SpO2 JA-694P - 4 IBP, CO2, - Temp, CO, FiO2, Resp (thermistor), APCO, BIS, 2nd SpO2 DAU Multi amp unit Bedsi de monit or JA-690PA - 0 - - AA-910P - 4 IBP, CO2, - Temp, CO, FiO2, Resp (thermistor) BSM1763 NK BSM1753 Nellcor BSM1733 Masimo 3 IBP, CO2, CO, BIS, 2nd SpO2 ECG (3/6/12 lead) Resp (impedance) SpO2 NIBP Dual Temp ECG/BP Out Note: AY-660P is not available in Europe. 3 Optimized for each site and each specialist OR: Triple display Life Scope G9 allows three independent displays. Different displays can provide different information for the anesthesiologist, physician and heart-lung machine operator or other specialist. Multi-gas measurement You can measure CO 2 , N 2 O, O 2 , and five anesthetic agents (Halothane, Isoflurane, Enflurane, Sevoflurane and Desflurane). Gases can be measured quickly with small sampling flow rate. (Requires an optional GF-110PA or GF-210R multi-gas unit or GF-120PA or GF-220R multi-gas/flow unit.) MAC value LifeScope G9 can calculate MAC (Minimum Alveolar Concentration) which helps predict how much anesthetic will be required during surgery. (Requires an optional GF-110PA or GF-210R multi-gas unit or GF-120PA or GF-220R multigas/flow unit.) Respiratory loops PV loop and FV loop can be displayed. This helps respiration management of patients connected to an anesthesia machine. (Requires an optional GF-120PA or GF-220R multigas/flow unit.) BIS monitoring BIS monitoring helps clinicians determine and administer the precise amount of anesthesia drug to meet the needs of each individual patient. TOF monitoring TOF can be performed by connecting a neuromuscular transmission monitor. Objective neuromuscular block monitoring is useful during the entire anesthetic and surgical procedure. G9 shows TOF ratio, TOF counts and PTC on the display. PPV/SPV PPV (Pulse Pressure Variability) and SPV (Systolic Pressure Variability) is an indicator of intravascular volume. It is useful in guiding fluid therapy for patients receiving mechanical ventilation. esCCO The optional QP-192P esCCO software/ QP193P esCCO/Hemodynamics review program enable esCCO measurement. esCCO is a new technology to calculate cardiac output noninvasively and continuously. esCCO uses PWTT (Pulse Wave Transit Time) which is obtained from the SpO 2 and ECG-signals. It can continuously display CCO, CCI, SV, SVI, SVR and SVRI. Hemodynamics Review Program The optional QP-193P esCCO/Hemodynamics Review Program provides calculation and trend display to support advanced intensive therapy management. A hemodynamics graph provides a graphic view of overall hemodynamic information. It allows a more intuitive approach to diagnostic and therapeutic decision making in hemodynamic management. A target graph for PPV and esCCO provide minimally invasive hemodynamic monitoring. G9 also has the target graph based on Forrester Classification to support the intermittent invasive parameters such as cardiac output by bolus thermodilution and pulmonary wedge pressure. Bypass function (All alarms off) You can turn all alarms off indefinitely when a heart-lung machine is connected to the patient. ICU: PPV/SPV PPV (Pulse Pressure Variability) and SPV (Systolic Pressure Variability) is an indicator of intravascular volume. It is useful in guiding fluid therapy for patients receiving mechanical ventilation. esCCO The optional QP-192P esCCO software/ QP193P esCCO/Hemodynamics review program enable esCCO measurement. esCCO is a new technology to calculate cardiac output noninvasively and continuously. esCCO uses PWTT (Pulse Wave Transit Time) which is obtained from the SpO 2 and ECG-signals. It can continuously display CCO, CCI, SV, SVI, SVR and SVRI. CVP_ET Respiration affects the intrapleural pressure and makes the CVP value unstable. Nihon Kohden’s original technology of CVP_ET (end tidal CVP) uses the mainstream CO 2 signals to calculate the CVP at the end tidal CO 2 point. CVP_ET provides a stable and physiologically correct CVP value. Hemodynamics Review Program The optional QP-193P esCCO/Hemodynamics Review Program provides calculation and trend display to support advanced intensive therapy management. A hemodynamics graph provides a graphic view of overall hemodynamic information. It allows a more intuitive approach to diagnostic and therapeutic decision making in hemodynamic management. 4 A target graph based on EGDT is useful when applying sepsis treatment protocols. Mainstream EtCO2 for both intubated and non-intubated patients Life Scope G9 can use the compact and light weight (about 2g sensor) TG-920P cap-ONE mainstream CO 2 sensor kit to obtain smooth and accurate EtCO 2 and respiration rate within 5 seconds. 8-channel EEG EEG monitoring is available with the optional AE-918P neuro unit. Up to 8 channels of EEG can be monitored on the home screen. CSA/DSA CSA and DSA show the power in each EEG frequency band plotted over time. CSA and DSA can help spot EEG trends and changes in brain function which might not be obvious from the raw waveforms. CCU: 12 lead ECG simultaneous display 12-lead ECG waveform can be displayed on the home screen. This makes it easier to recognize multi-focus VPC, ST change and ventricular hypertrophy. 12-lead ECG analysis The 12-lead ECG analysis of Life Scope G9 has the same accuracy and reliability as a dedicated electrocardiograph. There is no need to change electrodes to another instrument. Arrhythmia detection Upgraded arrhythmia detection lets you analyze multi-channel ECG. The multi-template matching method reduces false alarms and assures high quality detection. 23 arrhythmia items can be detected. ST display and review ST waveforms of all ECG leads can be displayed. The reference ST waveforms are also displayed so you can see changes in the ST waves. You can adjust the ISO point, J point and ST point for ST level measurement. ST review shows the ST level on a multi-axis chart. This helps the clinicians easily recognize ST change and location in the heart. NIBP inflation pressure for neonate Connection of a neonate NIBP air hose is detected and the inflation pressure range is automatically changed for patient safety. OCRG OCRG (oxycardiorespirogram) combines compressed trends of beat-to-beat heart rate, respiration, and oxygenation levels. OCRG can help the doctor detect the cause of apnea attack. Dual SpO2 Monitoring the difference in SpO 2 between right upper limb (pre-ductal) and lower limb (postductal) is useful to diagnose PPHN (Persistent Pulmonary Hypertension of Newborn), decide the timing to start and stop treatment as well as the operation schedule. aEEG (amplitude-integrated EEG) Because the brain of a newborn baby is immature, it is difficult to detect seizures by observation. Life Scope G9 provides aEEG which makes it easier to detect brain seizure. aEEG monitoring is also becoming important in hypothermia therapy for neonatal encephalopathy. Mainstream CO2 sensors for neonate Mainstream CO 2 monitoring for neonate is available with a compact and lightweight (about 2 g sensor) cap-ONE TG-970P CO 2 sensor kit. It has a dead space of only 0.5 ml. PI (Pulse-amplitude Index) The Pulse-amplitude Index indicates the percentage of pulsatile signal in the entire transmitted IR signal. PI supports to assess peripheral perfusion. (PI is displayed when using Nihon Kohden SpO 2 sensors) SQI bar graph for SpO2 The SQI (signal quality index) bar graph shows the pulse waveform quality for SpO 2 measurement. Non-adhesive SpO2 probe The TL-260T (P205A) Multi-site Y probe is designed so that the adhesive of the attachment tape does not stick to the delicate skin of neonates or low birth weight infants. Network NICU: Neonate arrhythmia algorithm Life Scope G9 has software for monitoring neonates. A dedicated neonate arrhythmia recognition algorithm recognizes narrow QRS. LS-NET (Life Scope Networking) You can connect Nihon Kohden central monitors and bedside monitors by LS-NET (Life Scope Networking with Ethernet LAN). Wireless networking With wireless LAN station QI-320PA and wireless LAN access point YS-095P5, wireless networking is available. With the wireless LAN option, you can connect Life Scope G9 to an LS- 5 NET network by Wireless LAN, IEEE 802.11 a/b/g. available when the Life Scope G9 bedside monitor is connected to the central monitor. Interbed When Life Scope bedside monitors are connected in an LS-NET network, you can exchange and view data of other bedside monitors. Both individual display and 16 bed display are available. Drug calculation Life Scope G9 can calculate the flow rates and dosages for medication titration. This is the ideal solution for medical and paramedical personnel who need rapid dose calculation. In addition to preset drugs, you can add custom medications. Connecting to a network printer without a central monitor You can connect a network printer directly to a Life Scope G9 monitor through the LAN port. You can print the screen capture on A4 paper. Respiration calculation Life Scope G9 can calculate respiration dynamics. the flow rates and dosages for medication titration. This is the ideal solution for medical and paramedical personnel who need rapid dose calculation. In addition to preset drugs, you can add custom medications. Other Features Screen capture You can save Life Scope G9 screen capture images and transfer bit map data by USB. This is helpful for preparing clinical reports. iNIBP Nihon Kohden's unique iNIBP inflation algorithm provides fast and painless measurement of NIBP. iNIBP is available when a Life Scope PT transport monitor is used as the input unit. Nihon Kohden’s YAWARA CUFF 2 NIBP cuffs prevent bruising, increase patient comfort and reduce noise for more accurate NIBP measurement. PWTT-triggered NIBP measurement PWTT (pulse wave transit time) is continuously and non-invasively measured from the ECG and SpO 2 . If a sudden, critical circulation change happens between the periodic NIBP measurements, PWTT may detect it and trigger NIBP measurement to confirm it. Graphical and tabular trends Up to 168 hours of graphic and tabular trends of all parameters can be saved and reviewed. Full disclosure Up to 168 hours of full disclosure waveforms for 5 parameters can be saved and reviewed. With optional SSD (YS-105P0), up to 168 hours of all waveforms can be saved and reviewed. Alarm escalation The alarm escalation function automatically escalates the alarm priority to a selected level if the alarm continues or SpO 2 drops. Alarm escalation applies to vital alarms (SpO 2 limit and apnea) and technical alarms (ECG and SpO 2 ). Alarm escalation can contribute to decreased medical accidents and improved quality of care. Sleep mode Sleep mode prevents the monitor from disturbing the patient during sleep or other times. The screen is darkened and the sync sound and alarm indicator are turned off. Sleep mode is 6 SYSTEM COMPOSITION LCD display unit VL-190P Local purchase display Display expansion board YS-104P5 Recorder WS-960P Third display Smart unit AA-672P AA-674P Input unit AY631/633/ 651/653/ 661/663P Input unit AY-660P Core unit CU-191R CU-192R Alarm indicator YL-920P Bedside monitor BSM-1733 BSM-1753 BSM-1763 Data Acquisition Unit JA-690PA JA-694PA Multi amp unit AA-910P Neuro unit AE-918P Interface unit JA-920P Interface QF series Communication cable IF series Multi-gas unit GF-110PA/210R Multi-gas/flow unit GF-120PA/220R Wireless LAN station QI-320PA Optional module, external device Mouse Keyboard Bar code reader USB flash drive Wireless LAN Access point YS-095P5 Network isolation unit HIT-100 Remote controller RY-910PA Central monitor Central monitor Network printer 7 Display delay time: Diagnostic and monitor mode: ≤ 250 ms Filter mode: ≤ 1 s Numerical data display: Heart rate, VPC rate, ST level, respiration rate, NIBP (systolic, diastolic, mean), PWTT, delta PWTT, IBP (systolic, diastolic, map), SpO2, SpO 22, delta SpO 2, pulse rate, temperature, CO, CI, Ti (injectate temperature), Tb (blood temperature), O 2 concentration, EtCO2, BIS, inspired/ expired N2O concentration, inspired/ expired CO2 partial pressure, inspired/ expired CO2 concentration, inspired/ expired O2 concentration, inspired/ expired anesthetic agent concentration (Halothane, Isoflurane, Enflurane, Sevoflurane, Desflurane), MAC (minimum alveolar concentration), Ppeak (peak airway pressure), PEEP (positive end expiratory pressure), Pmean (mean airway pressure), MV (minute volume), TVi (inspiratory tidal volume),TVe (expiratory tidal volume), C (compliance), R (airway resistance), Ri (inspiratory airway resistance), Re (expiratory airway resistance), I:E (inspiration expiration ratio), SEF (90 or 95% spectral edge frequency), MDF (median frequency), PPF(peak power frequency), TP (total power), power of frequency (Absδ, Absθ, Absα, Absβ, Absγ), power ratio of frequency (%δ, %θ, %α, %β, %γ), CSA (compressed spectral array), DSA (density spectral array), CCO, SVRI, SvO 2 , EF, ScvO 2 , CCI, EDV, SVR, EDVI, PCCO, PCCI, tcPO 2 , tcPCO 2 , PPV, SPV, rSO 2 , esCCO, esCCI, esSV, esSVI, esSVR, esSVRI Synchronization mark: Heart rate sync mark, pulse rate sync mark, respiratory sync mark Upper and lower alarm limit display: Numeric value and mark Specification ◆ ◆ Language Available language: Czech, English, Finnish, French, German, Italian, Norwegian, Portuguese, Polish, Romanian, Russian, Spanish Measuring parameters ECG(3/6/12 lead), respiration (impedance method), SpO 2 , SpO 2 -2, NIBP, IBP, temperature, cardiac output, respiration (thermistor method), FiO 2 , BIS, APCO, CO 2 (mainstream method), 1 1 CO 2 (sidestream method)* , anesthetic gas* 1 1 (CO 2 , O 2 , N 2 O, agent), Flow/Paw* , EEG* , 2 2 2 2 TOF* , ventilation* , CCO* , SvO 2 * , 2 2 3 tcPO 2 /tcPCO 2 * , rSO 2 * , esCCO* 1 * : Optional module/unit is required. 2 * : External device and interface are required. *3: Optional software QP-192P/193P is required. ◆ Display Display size (Color LCD): 19 inch wide (VL-190P) CANVYS (Local purchase display) 18.5 inch wide (MDRAP18EAXAC-N1) 21.5 inch wide (MDRAP21EAXAC-N1) 24 inch wide (MDRAP24XAXAC-N1) Viewing area: 409 × 256 mm (VL-190P) 409 x 230 mm (MDRAP18EAXAC-N1) 476 x 268 mm (MDRAP21EAXAC-N1) 531 x 298 mm (MDRAP24XAXAC-N1) Resolution: 1,680 × 1,050 dots (VL-190P) 1,366 x 768 dots (MDRAP18EAXAC-N1) 1,920 x 1,080 dots (MDRAP21EAXAC-N1) 1,920 x 1,080 dots (MDRAP24XAXAC-N1) Number of displays: 2 displays (3 displays when optional display expansion board (YS-104P5) installed. Number of traces: 17 traces on one display 34 traces on two displays 51 traces on three displays Touch panel operation: available Waveform display mode: Non-fade moving or non-fade fixed Normal Sweep speed: 25, 50 mm/s Slow sweep speed: 1.56, 6.25, 12.5 mm/s Display colors: 32, selectable Displayed waveforms: ECG (maximum 12 traces), IBP (maximum 8 traces), SpO2 pulse wave, SpO2 -2 pulse wave, CO2 partial pressure curve, EEG (maximum 8 traces), respiratory flow curve, airway pressure curve, respiratory volume curve, EEG (BIS), O2 concentration curve, CO 2 concentration curve, anesthetic agent concentration (Halothane, Isoflurane, Enflurane, Sevoflurane, Desflurane) ◆ ◆ Screen details Site specialized setting: OR, ICU, NICU, Ward, ER Number of screen layout master: 20 Numeric position: Selectable, right or left Review data display with numeric value and waveform: Available, side and/or bottom Number of function key: Up to 20 in each display Review data display with numeric value and waveform: Available, side and/or bottom Sleep mode: Available when connected to central monitor. Alarm Alarm items: Upper/lower alarms, arrhythmia alarms, interbed alarms, technical alarms Alarm types: Crisis (red, blinking), Warning (yellow, blinking), Advisory (yellow or blue, lit), Message Alarm indication: Message, highlighted numeric value, blinking alarm indicator, alarm sound Alarm suspend: Provided (for 1, 2, 3 min, Off) When connected to a central monitor, this alarm can be adjusted from the central monitor. 8 Alarm escalation: Available Alarm configurable start-up values: Master Alarm Neonatal, Master Alarm Pediatric, Master Alarm Adult Number of master setting: Up to 4 for each of Adult, Pediatric and Neonatal mode. Auto alarm setting: Upper/Lower alarm, ST level ◆ ◆ ◆ ◆ - ◆ Sound Type of sound: Alarm, synchronization, key clicking, NIBP completion sound Alarm sound: - Crisis: Continuous pip sound, continuous ping sound or IEC standard - Warning: Continuous bing bong sound, continuous ding ding sound or IEC standard - Advisory: Single beep every 20 seconds or single beep every 120 seconds or IEC standard Synchronization sound: Sync source: ECG, SpO 2 or IBP Sync tone: High, medium or low Pitch automatically changes depending on the SpO 2 or IBP value Volume: Changeable (alarm sound cannot be silenced for safety) Power Core unit: AC power Input unit: DC power from the core unit VL-190P LCD unit: AC power or DC power from the core unit Other LCD unit: AC power Interface on core unit Display I/F: 2 (3 when optional board installed), Image signal (DVI), touch panel and alarm indicator (RS-232C), USB, GPIO (power switch, service key, check key) Sound output I/F: Sound signal (analog signal) Sound input IF: Microphone signal (analog sound) USB I/F: 8 Recorder I/F: RS-232C Network I/F: 10/100/1000BASE-T Multilink I/F: 3, based on 5V UART Universal serial I/F: RS-232C EJA unit (Interface unit, JA-920P) I/F: Based on RS-422 DAU I/F: LVDS(Low Voltage Differential Signaling) Recording Recording mode: - Manual: Real time waveform recording, recording on the review, analysis and calculation windows - Automatic: Alarm recording, periodic recording Waveform recording: ◆ Recording width: ≥ 46mm Recording speed: 12.5, 25, 50 mm/s Number of traces: Maximum 3 traces Recorder items: Date and time, patient information, measurement values, causes of arrhythmia message recording, waveform name, filter on/off, sensitivity, speed Network Network communication (LS-NET): Connects to the Nihon Kohden monitor network and communicates with central monitor, other bedside monitors and server. Network communication (hospital network): Connects to the hospital network. Wireless LAN (when connected wireless LAN station QI-320PA) Wireless LAN standard: IEEE 802.11b, IEEE 802.11g, IEEE802.11a Output power: 10mW/MHz or less ◆ Review Up to 168 hours data for each review screens can be displayed. Trend graph: - Storage capacity: 168 hours - Types of trend graph: 5 trend graphs, BIS, CSA and DSA - Number of parameters in each trend graph: 6 Vital list: - Storage capacity: 168 hours for up to 108 parameters - Number of vital list: 6 - Number of parameters displayed in each list: Up to 18 parameters - List interval: 1, 5, 10, 15, 30 or 60 min NIBP list: - Storage capacity: 1,008 files - Number of parameters displayed in the NIBP list: Up to 18 parameters - List interval: at NIBP measurement HEMO list: - Storage capacity: 1,008 files - Number of parameters displayed in the - Hemo list: Up to 18 parameters Respiration calculation list (Lung list): - Storage capacity: 1,008 files - Number of parameters displayed in the - Lung list: Up to 18 parameters Full Disclosure: - Storage capacity: 5 waveforms for a period of 168 hours 8 waveforms for a period of 96 hours 35 waveforms for a period of 24 hours With optional SSD (YS-105P0), all waveforms for a period of 168 hours Wave duration: 60, 30, 20, 12 or 6 seconds ST Recall: - Storage capacity: 10,080 files + 1 reference file - Storage interval: 1 minute - Item: ST level waveforms of all monitoring 9 ECG ST review (ST level on multi-axis chart): Available Alarm History: - Storage capacity: 302,400 files for the past 168 hours - Item: Vital sign alarms, arrhythmia alarms, technical alarms and operational alarms Arrhythmia Recall: - Storage capacity: 60,480 files - 23 items: ASYSTOLE, VF, VT, EXT TACHY, EXT BRADY, VPC RUN, V BRADY, SV TACHY, TACHYCARDIA, BRADYCARDIA, PAUSE, COUPLET, EARLY VPC, MULTIFORM, V RHYTHM, BIGEMINY, TRIGEMINY, FREQ VPC, VPC, IRREGULAR RR, PROLONGED RR, NO PACER PULSER, PACER NON-CAPTURE 12-lead interpretation: - Storage capacity: 672 files - 12 lead ECG interpretation: ECAPS 12C (BSM), measurements and diagnostic, Available when monitoring 12 leads - Item: 12 lead analysis results, analyzed waves, interpretation, averaged waves - Analysis patient age: 3 years to adult Hemodynamics graph (optional QP-193P is required): - Storage capacity: 168 hours - Window types: Trend + target graph, trend, target graph - Number of target graph: 4 - The default setting for target graph 3 is based on EGDT (Eearly Goal Direct Therapy) - The default setting for target graph 4 is based on Forrester Classification aEEG: - Storage capacity: 168 hours - Number of aEEG trend graph: 6 pattern - Number of channels in each trend graph: up to 4 channels - Number of EEG waveform in each trend graph: up to 4 channels, when set to save in full disclosure OCRG: - Storage capacity: 168 hours - OCRG item: Past measured value (Heart rate and SpO 2 , SpO 2 -2) and compressed respiration - Parameters on additional graph (up to 2 graphs): CO 2, IBP, tcPO 2 / PCO 2, aEEG1 to aEEG8 - Display events: Brady/HR lower, SpO 2 upper, SpO 2 lower, SpO 2 -2 upper, SpO 2 -2 lower, delta SpO 2, Apnea, Press-S limits, Press-D limits, Press-M limits, SEF limits, TP limits, Key operation, mark Short trend: - The latest 30 minute parameter data can be displayed as a trend graph on the home screen. This short trend graph can be dragged left or right by touch panel operation. bed- side monitor connected by Ethernet can be reviewed. Display items for bed display window: - Number of bed: up to 16 beds - Waveform: None - Numeric data: Monitored parameters Display items for individual bed window: - Waveform: 2 traces (ECG + selectable from measurement data - Numeric data: Monitored parameters Interbed Alarm: - ◆ Interbed Waveforms and data of other Life Scope series - - ◆ Interbed alarm notification: Available (When an alarm occurs at an interbed bed, an interbed alarm is generated on the bedside monitor.) Silencing the interbed alarm: Available ECG Complies with IEC 60601-2-27: 2005, ANSI/AAMI EC13: 2002. Leads: 3-electrode cable: I, II, III 6-electrode cable: I, II, III, aVR, aVL, aVF, 2 from V1 to V6 10-electrode cable: I, II, III, aVR, aVL, aVF, V1 to V6 Defibrillation-proof: - ECG input protected against 400 Ws/DC 5 kV - IEC 60601-2-27 17.101 compatible Electrode offset potential tolerance: ≥ ±500 mV Input dynamic range: ≥ ±5 mV Internal noise: ≤ 30 µVp-p (Referred to input) Common mode rejection ratio: ≥ 95 dB Input bias current: ≤ 100 nA Frequency response: - DIAG mode: 0.05 to 150 Hz (–3 dB) - ST mode: 0.05 to 18 Hz (–3 dB) - MONITOR mode: 0.3 to 40 Hz (–3 dB) - MAXIMUM mode: 1 to 18 Hz (–3 dB) Input impedance: - ≥ 5 MΩ (at 10 Hz) - ≥ 2.5 MΩ (at 0.67 to 40 Hz) ESU protection: Provided (IEC 60601-2-27: 2005 compatible) Pacing pulse detection: 0.1 to 2 ms, ±2 to 700 mV, on or off selectable Leads-off sensing: Each leads has own sensing with user configurable automatic lead change Auto lead number recognition: Automatically judge the number of electrodes by the connection cable and ECG signal and set the available leads Leads-off sensing: Each leads has own sensing with user configurable automatic lead change - Active electrode: < 100 nA - Reference electrode: < 900 nA Waveform display: - Display sensitivity: 10 mm/mV ±5% (DIAG mode at ×1 sensitivity) - Number of channels: 3 (maximum, with 6 or 10 electrodes on home screen), 12 (maximum, with 10 electrodes on home screen and 12 LEAD window) - Sensitivity control: ×1/8,×1/4, ×1/2, ×1, ×2, AUTO - Pacing mark display: Available 10 Recording sensitivity: 10 mm/mV ±5% (same as the display sensitivity) AC hum filter: ≤ –40 dB (at 50 or 60 Hz) Heart rate count: - Calculation method: Moving average/ Instantaneous beat to beat - Counting range: 0, 15 to 300 beats/min (±2 beats/min) - Counting accuracy: ±2 beats/min (0, 15 to 300 beats/min, essential performance in EMC standard) - QRS detection (at × 1 sensitivity): Adult: Width: 70 to 120 ms Amplitude: 0.5 to 5 mV Rate: 30 to 200 beats/min Child and neonate: Width: 40 to 120 ms Amplitude: 0.5 to 5 mV Rate: 30 to 250 beats/min - Heart rate sync mark delay time: Within 100 to 200 ms (when QRS is detected) - Display update cycle: Every 3 s or when alarm is generated - Heart rate averaging: Method for calculating the average from the instantaneous heart rate: Calculated by using the most recent 4 or 12 beats - Tall T-wave rejection capability: Complies with the heights of T-waves from 0 mV to 1.2 mV specified in ANSI/ AAMI EC13 Sect. 4.1.2.1(c) Pacemaker pulse detector rejection of fast ECG signals: Slew rate at which the pacemaker pulse detector responds: 6 to 8 V/s Tested as specified in ANSI/AAMI EC13: 2002 Sect. 4.1.4.3 Pacemaker pulse rejection capability, without overshoot: Complies with the amplitudes of pacemaker pulses ±2 to ±700 mV and widths 0.1 to 2 ms specified in ANSI/AAMI EC13: 2002 Sect. 4.1.4.1 Pacemaker pulse rejection capability, with overshoot: Overshoot amplitudes and time constants of ±0.12 mV/100 ms to ±2 mV/4 ms (As defined by method B of ANSI/AAMI EC13: 2002 Sect. 4.1.4.2, this corresponds to the pacemaker pulses amplitudes and widths of ±4 mV/2 ms to amplitudes ±80 mV/0.1 ms.) Heart rate alarm: Upper limit range: 16 to 300 beats/min, OFF in 1 beat/min steps Lower limit range: OFF, 15 to 299 beats/min in 1 beat/min steps Alarm items: TACHYCARDIA, BRADYCARDIA, Escalating Alarm leads off time Arrhythmia analysis: Analysis method: Multi-template matching method Number of channels: 2 QRS detection type: Adult, child, neonate VPC counting rate: 0 to 99 VPCs/min Arrhythmia message: ASYSTOLE, VF, VT, EXT TACHY, EXT BRADY, VPC RUN, V BRADY, SV TACHY, TACHYCARDIA, BRADYCARDIA, PAUSE, COUPLET, EARLY VPC, MULTIFORM, V RHYTHM, BIGEMINY, TRIGEMINY, FREQ VPC, VPC, IRREGULAR RR, PROLONGED RR, NO PACER PULSER, PACER NON-CAPTURE Other messages: NOISE, CHECK ELECTRODES, LEARNING Arrhythmia alarm: Upper limit range: OFF, 1 to 99 VPC/min Number of arrhythmia recall files: 60,480 files Storage time per file: 8 s ST level measurement: Number of measurement channels: 3-electrode: 1 ch 6-electrode: 8 ch 10-electrode: 12 ch ST level measuring range: ±2.5 mV Measurement point: automatic with possibility to adjust manually ST level alarm: Upper limit range: –1.99 to 2.00 mV in 0.01 mV steps, OFF Lower limit range: OFF, –2.00 to 1.99 mV in 0.01 mV steps Storage capacity: 168 hours Cascade ECG waveform: available ◆ Non Invasive Blood Pressure, NIBP Complies with IEC 60601-2-30: 1999. Measuring method: Oscillometric Measuring range: 0 to 300 mmHg Accuracy: ±3 mmHg (0 mmHg ≤ NIBP < 300 mmHg) ±4 mmHg (200 mmHg ≤ NIBP ≤ 300 mmHg) Cuff inflation time: ≤ 7 s (700 cc), 0 to 200 mmHg ≤ 5 s (72 cc), 0 to 200 mmHg Typical measurement time: Inflation mode (iNIBP) Adult/Pediatric: 13 s Deflation mode Adult/Pediatric: 22 to 33 s (depends on the input unit) Neonate: 20 s Initial pressurization value(default setting): Adult: 180 mmHg* Child: 140 mmHg* Neonate: 100 mmHg* *It is settable Maximum pressurization value: Adult/Child: 300 mmHg Neonate: 150 mmHg Maximum measurement time: Adult/Child: ≤ 160 s Neonate: ≤ 80 s Operation mode: Manual, STAT, periodic, SIM (depends on the SITE setting) Measurement mode: Adult, child or neonate is recognized by connected air hose Air leakage: ≤ 3 mmHg/min Display items: Systolic (SYS), diastolic (DIA), mean (MAP) Other display: Oscillation graph, PR, Cuff pressure (displays cuff pressure during measurement) NIBP data display update cycle: Updated every measurement 11 Measurement completion sound: Generated at measurement completion (depends on the setting) Alarm (SYS, DIA, MAP): Upper limit range: 15 to 260 mmHg in 5 mmHg steps, OFF Lower limit range: OFF, 10 to 255 mmHg in 5 mmHg steps Safety: - Maximum pressurization value cuff inflation limiter: Adult/Child: 300 to 330 mmHg Neonate: 150 to 165 mmHg - Cuff inflation time limiter: Adult/Child: 161 to 165 s Neonate: 81 to 84 s - Interval time limiter: 25 to 29 s Power discontinuity: Deflate immediately after power down Venous puncture mode: Available* *target pressure is settable iNIBP (NIBP measurement in inflation method): Available when a Life Scope PT transport monitor is used as the input unit ◆ SpO2 Complies with ISO 9919: 2005. Display: Display update cycle: Every 3 s or when alarm is generated Sync tone modulation: Changes tone depending on SpO 2 value Sweep speed: 25, 50 mm/s Waveform sensitivity: ×1/8, ×1/4, ×1/2, ×1, ×2, ×4, ×8 or AUTO Nihon Kohden SpO2 ,AY660/661/663P, BSM-1763 SpO 2 measurement: Display range: 0 to 100% SpO 2 Declared range: 70 to 100 % SpO 2 1 *2 Measuring accuracy * (rms ): 70%SpO 2 ≤ %SpO 2 < 80%SpO 2 ±3%SpO 2 80%SpO 2 ≤ %SpO 2 ≤ 100%SpO 2 ±2%SpO 2 Pulse rate measurement: Display range: 30 to 300 beats/min Declared range: 30 to 300 beats/min 1 *2 Counting accuracy* (rms ): ±3%±1 beat/min PI(Pulse-amplitude Index): available SQI bar graph: available SpO 2 -2: available Delta SpO 2 : available oximeter is connected. Delta SpO 2 : available when OxiMax N-600x pulse oximeter is connected. Masimo SpO2 , AY-631/633P, BSM-1733 SpO 2 measurement: Display range: 1 to 100% SpO 2 Declared range: 70 to 100 % SpO 2 1 *2 Measuring accuracy (rms ): No motion: ±2%SpO 2 (adult) ±3%SpO 2 (neonate) Motion: ±3%SpO 2 (adult) ±3%SpO 2 (neonate) Pulse rate measurement: Display range: 25 to 240 beats/min Declared range: 25 to 240 beats/min 1 *2 Counting accuracy* (rms ): No motion: ±3 beats/min Motion: ±5 beats/min SpO 2 -2: available when Masimo pulse oximeter is connected. Delta SpO 2 : available when Masimo pulse oximeter is connected. PI (Perfusion Index): available Signal IQ : available 1 * Essential performance n EMC standard *2 The rms is the difference between measurement value and standard reference value calculated by root-mean-square SpO 2 /SpO 2- 2 alarm: - Upper limit range: 51 to 100%SpO 2 in 1%SpO 2 steps, OFF - Lower limit range: OFF, 50 to 99%SpO 2 in 1%SpO 2 steps - Delta SpO 2 alarm: 1 to 50%SpO 2 in 1%SpO 2 steps, OFF Pulse rate alarm: - 31 to 300 beats/min in 1 beat/min steps, OFF - Lower limit range: 30 to 299 beats/min in 1 beat/min steps, OFF Alarm escalation: SpO2, Apnea, technical alarm - SpO2: Delay time (alarm continues for a set time), value drop - APNEA: Delay time, value drop Response time (Nihon Kohden SpO2 only): Response selection: Fast, Norm, Slow Response time: Examples of response times corresponding to changes in the SpO2 value and pulse rate (PR) are shown below. Example 1: PR=70 bpm, and SpO 2 value is changed at 0.6% per second SpO 2 -2, Delta SpO 2 cannot be monitored by using the MULTI socket on the AY-660P. Nellcor SpO2 , AY-651/653P, BSM-1753 SpO 2 measurement: Display range: 1 to 100% SpO 2 Declared range: 70 to 100 % SpO 2 1 *2 Measuring accuracy (rms ): ±2%SpO 2 (adult) ±3%SpO 2 (neonate) Pulse rate measurement: Display range: 20 to 300 beats/min Declared range: 20 to 250 beats/min 1 *2 Counting accuracy* (rms ): ±3 beat/min SpO 2 -2: available when OxiMax N-600x pulse Example 2: PR=140 bpm, and SpO 2 value is changed at 0.6% per second 12 counts/min steps, OFF Lower limit range: OFF, 0 to 148 counts/min in 2 counts/min steps Apnea alarm: OFF, 5 to 40 s in 5 s steps Displayed message: APNEA Alarm escalation: apnea ◆ Example 3: PR=140 bpm, and SpO 2 value is changed at 0.6% per second ◆ Respiration (impedance) Measuring method: Transthoracic impedance pneumography Number of channels: Selectable from R-F or RL Measuring impedance available range: 220 Ω to 4 kΩ Excitor current: AY-600 series: 45 ±10 µA (rms) at 40 kHz (sine wave) BSM-1700 series: 40 ±10 µA (rms) at 40 kHz (sine wave) Internal noise: ≤ 0.2 Ω (Referred to input) Respiration rate counting range: 0 to 150 counts/min Respiration rate counting accuracy*: ±2 counts/min (0 to 150 counts/min) * Essential performance in EMC standard Frequency response (high frequency cut-off): 3 Hz ±1 Hz (–3 dB) Measurement detection: Automatically detects electrode attachment and starts monitoring Impedance respiration: Measurement On/Off available Heart beat rejection: Available Waveform display: Display sensitivity: 10 mm/1 Ω ±25% (at ×1 sensitivity) Sensitivity control: ×1/16, ×8, ×1/4, ×1/2, ×1, ×2, ×4 Respiration rate display update cycle: Every 3 s or when alarm is generated Alarm: Upper limit range: 2 to 150 counts/min in 2 ◆ Temperature Complies with EN 12470-4: 2000 Thermistor probe: 400 series (YSI) Labels: The temperature connection cord connector has a memory chip for saving the set site label. Tskin, Tskin2, Tskin3, Trect, Tcore, Tnaso, Teso, Ttymp, Tblad, Taxil, T1 to T8 Number of channels: 8 channels + Tb Delta TEMP: 4 (Delta T1 to Delta T4) Measuring range: 0 to 45°C, 32 to 113°F Measuring accuracy*: ±0.2°C ( 0°C ≤ TEMP < 25°C) ±0.1°C (25°C ≤ TEMP ≤ 45°C) * Essential performance in EMC standard Internal noise: ≤ 0.014°C (at 37°C) Temperature drift: within ±0.005°C /°C Display update cycle: Every 3 s or when alarm is generated Alarm: Upper limit range: 0.1 to 45.0°C (33 to 113°F) in 0.1°C (1°F) steps, OFF Lower limit range: OFF, 0.0 to 44.9°C (32 to 112°F) in 0.1°C (1°F) steps Delta TEMP: OFF, 0.0 to 45.0°C (33 to 113°F) in 0.1°C (1°F) steps Invasive blood pressure, IBP Complies with IEC 60601-2-34: 2000 Labels: ART, ART2, RAD, DORS, AO, FEM, UA, UV, PAP, CVP, RAP, RVP, LAP, LVP, ICP to ICP4, P1 to P8 Calculation: CPP, PPV, SPV, CVP-ET Complied transducer: P23XL-1 and P10EZ-1 Argon Medical Devices reusable transducers Argon Medical Devices disposable transducers DX series 5 µV/V/mmHg, bridge resistor: 200 Ω to 20 kΩ, defibrillation-proof, output impedance ≤1 K Ω or the equivalents 3 Volume displacement: 0.04 mm /100 mmHg Measuring range: –50 to 300 mmHg Zero balancing range: ±200 mmHg Zero balancing accuracy: ±1 mmHg Measuring accuracy: ±1 mmHg ±1 digit (–50 mmHg ≤ IBP < 100 mmHg) ±1% ±1 digit (100 mmHg ≤ IBP ≤ 300 mmHg) Total measuring accuracy*: ±4% or ±4 mmHg, whichever is greater (When used with ANSI/AAMI BP-22-1994 complied equipments) *Essential performance in EMC standard Internal noise: within ±1 mmHg Temperature drift: ±0.1 mmHg/1°C Frequency response: DC to 12 Hz or 20 Hz (selectable) Cable break detection: Available (detects 13 transducer cable breaking) Display items: Systolic (SYS), diastolic (DIA), mean (MEAN) Display update cycle: Every 3 s or when alarm is generated BP sync sound: Systolic value 20 to 120 mmHg, changes in 20 steps every 5 mmHg Alarm: Upper limit range: −48 to 300 mmHg in 2 mmHg steps, OFF Lower limit range: −50 to 298 mmHg in 2 mmHg steps, OFF Alarm inactivation: Alarm is inactivated in certain period when zero balancing is performed. Pulse rate Alarm: Upper limit range: 16 to 300 beats/min in 1 beat/min steps, OFF (When SYNC SOURCE is set to ECG) 31 to 300 beats/min in 1 beat/min steps, OFF (When SYNC SOURCE is set to PRESS or SpO 2 ) Lower limit range: OFF, 15 to 299 beats/min in 1 beat/min steps (When SYNC SOURCE is set to ECG) OFF, 30 to 299 beats/min in 1 beat/min steps (When SYNC SOURCE is set to PRESS or SpO 2 ) ◆ Carbon Dioxide, CO2 (Mainstream method) For the TG-900P/TG-920P/TG-950P*/TG-970P CO2 sensor kit specifications, refer to the kit manual. Displayed CO 2 *: Values detected by the TG900P/TG-920P/TG-950P/TG-970P CO 2 sensor kit * Essential performance in EMC standard Calculation method: TG-900P/TG-920P: semi-quantitative TG-950P/TG-970P: quantitative CO 2 measuring parameter: TG-900P/TG-920P: ETCO 2 TG-950P/TG-970P: ETCO 2 , CO 2 (I) CO 2 measuring range: TG-900P/TG-920P/TG-950P: 0 to 100 mmHg TG-970P: 0 to 150 mmHg CO 2 measuring accuracy: TG-900P/TG-920P: ±0.4 kPa (0 ≤ CO 2 ≤ 1.33 kPa) (±3 mmHg (0 ≤ CO 2 ≤ 10 mmHg)) ±0.53 kPa (1.33 < CO 2 ≤ 5.33 kPa) (±4 mmHg (10 < CO 2 ≤ 40 mmHg)) ±10% reading (5.33 < CO 2 ≤ 13.3 kPa (40 < CO 2 ≤ 100 mmHg)) (At 1 atmospheric pressure, air inspiration, no condensation) TG-950P/TG-970P: ±0.27 kPa (0 ≤ CO 2 ≤ 5.33 kPa) (±2 mmHg (0 ≤ CO 2 ≤ 40 mmHg)) ±5% reading (5.33 < CO 2 ≤ 9.33 kPa (40 < CO 2 ≤ 70 mmHg)) ±7% reading (9.33 < CO 2 ≤ 13.3 kPa (70 < CO 2 ≤ 100 mmHg)) (When no condensation) Warm-up time: TG-900P/TG-920P: 5 s TG-950P: 15 s TG-970P: 10 s Total system response time: TG-900P/GT-920P/TG-970P: ≤ 0.5 seconds TG-950P: ≤ 0.6 seconds CO 2 value display update cycle: Every 3 s or when alarm is generated CO 2 alarm: Upper limit: CO 2 (I): 1 to 99 mmHg in 1 mmHg steps, OFF 0.1 to 13.0 kPa in 0.1 kPa steps, OFF ETCO 2 : 2 to 99 mmHg in 1 mmHg steps, OFF 0.2 to 13.0 kPa in 0.1 kPa steps, OFF Lower limit: ETCO 2 : OFF, 1 to 98 mmHg in 1 mmHg steps OFF, 0.1 to 12.9 kPa in 0.1 kPa steps Respiration rate alarm: Upper limit range: 2 to 150 counts/min in 2 counts/min steps, OFF Lower limit range: 0 to 148 counts/min in 2 counts/min steps, OFF Apnea time: 5 to 40 s in 5 s steps, OFF Displayed message: APNEA ◆ ◆ Respiration (Thermistor method) Complied sensor: TR-900P respiration pickup for nose and TR-910P respiration pickup for airway Measuring items: Thermistor respiration curve, respiration rate APNEA detection: Provided Respiration rate counting range: 0 to 150 counts/min Apnea detection time: 5 to 40 s Measurable temperature rage: 10 to 40°C, 50 to 104°F, based on the operating temperature) Sensitivity: 10 mm/100 Ω ±20% Apnea detection time: 5 to 40 s Respiration rate counting accuracy: ±2 counts/min *Essential performance in EMC standard Internal noise: ≤ 2.5 Ω, referred to input Frequency response: 0.1 to 3 Hz (−3 dB) Waveform display sensitivity: 10 mm/100Ω ±20% (at ×1 sensitivity) Sensitivity control: ×1/4, ×1/2, ×1, ×2, ×4 Respiration rate display update cycle: Every 3 s or when alarm is generated Alarm limits: Upper limit: 2 to 150 counts/min, OFF Lower limit: 0 to 148 counts/min, OFF Apnea time: 5 to 40 s in 5 s steps, OFF Inspired oxygen fractional concentration, FiO2 Calibration condition: 21 or 100 % O 2 Measuring range: 10 to 100% O 2 I Measuring accuracy*: ±3 full scale (includes sensor, when calibrated with air, 21% O 2 ) *Essential performance in EMC standard Internal noise: ≤0.12% O 2 RMS ±0.72% O 2 p-p Temperature drift: Within ±0.12%°C/°C 14 Sensor duration detection: Detects the sensor duration using a sensor output level at calibration O2 display update cycle: Every 3 s or when alarm is generated Alarm: Upper limit range: 19 to 100% in 1% steps, OFF Lower limit range: 18 to 99% in 1% steps ◆ ◆ ◆ specifications, refer to the JP-600P manual. Displayed value: CCO, CCI, SV, SVI, SVR, SVRI, PVR, PVRI, LVSW, LVSWI, RVSW, RVSWI, SVV Measuring range: 1 to 20 L/min 3 Volume displacement: ≤0.03 mm /100 mmHg (FloTrac) Reproducibility*: ±6% or 0.1 L/min (whichever is greater) *Measurement using a variation coefficient-data generated electrically Invasive blood pressure (ART) Measuring range: -50 to +300 mmHg Stand-alone measuring accuracy (after zero balance adjustment): ±1% or ±1 mmHg (whichever is greater) Total measuring accuracy* (after zero balance adjustment): ±4% or ±4 mmHg (whichever is greater) (when using with bedside monitor) Cardiac Output, CO Measuring method: Thermodilution method Measuring parameters: Cardiac output (CO), injectate temperature (Ti), blood temperature (Tb), Thermodilution curve (delta Tb) Measuring range: Injectate temperature (Ti): 0°C to 27°C (32 to 81°F) Blood temperature (Tb): 15°C to 45°C (59 to 113°F) Thermodilution curve (delta Tb): 0°C to 2.5°C (32 to 37°F) Cardiac output (CO): 0.5 to 20 L/min Measuring accuracy: Ti: ±0.2°C (0°C to 27°C) Tb:±0.2°C (15°C ≤ TEMP ≤ 25°C) ±0.1°C (25°C ≤ TEMP < 45°C) CO: ±5% Internal noise: Ti: ≤ 0.025°C RMS/0.15°Cp-p Tb: ≤ 0.016°C RMS/0.096°Cp-p (correspond to 37°C) Delta Tb: ≤ 0.005°C RMS/0.03°Cp-p Temperature drift: Ti: ±0.005°C /°C Tb: ±0.005°C /°C Frequency response (delta Tb): DC to 12 Hz (–3 dB) Injectate volume range: 3, 5, 10 mL Display update cycle: Updated every measurement Tb alarm: Upper limit range: 15.1 to 45.0°C (60 to 113°F) in 0.1°C (1°F) steps, OFF Lower limit range: 15.0 to 44.9°C (59 to 112°F) in 0.1°C (1°F) steps, OFF Bispectral Index, BIS For the BISx/BIS processor specifications, refer to the BISx/BIS processor manual. BIS can be also monitored with Covidien’s BIS monitor. Input channels: 1 or 2 (depends on the BIS sensor type) Measuring parameter: Bispectral Index (BIS), 95% Spectral Edge Frequency (SEF), Suppression Ratio (SR), EMG, Signal Quality Index (SQI) Waveform: Real-time EEG BIS alarm: Upper limit range: 2 to 100 in 1 steps, OFF Lower limit range: 0 to 99 in 1 steps, OFF APCO (CCO) For the APCO/IBP processor JP-600P *Essential performance in EMC standard CCO alarm: Upper limit range: 1.1 steps, OFF Lower limit range: 1.0 steps, OFF CCI alarm: Upper limit range: 1.1 2 L/min/m steps, OFF Lower limit range: 1.0 2 L/min/m steps, OFF ◆ to 20.0 L/min in 0.1 L/min to 19.9 L/min in 0.1 L/min 2 to 20.0 L/min/m in 0.1 2 to 19.9 L/min/m in 0.1 EEG EEG can be monitored with the AE-918P neuro unit. For the AE-918P neuro unit specifications, refer to the AE-918P neuro unit manual. Number of channels: 8 Measuring range: SEF, MDF, PPF: 0.0 to 62.5 Hz TP: 0 to 9.99 nW ABS δ, ABS θ, ABS α, ABS β, ABS γ: 0 to 9999 pW % δ, % θ, % α, % β, % γ: 0 to 100% Maximum undistorted input: > ±2 mV Polarization voltage: > ±700 mV Noise: <3 µV p-p (0.53 to 30 Hz) Input impedance: >15 MΩ at 10 Hz CMRR: >110 dB (in isolation mode) Electrode impedance check: >10 kΩ within ± 20% EEG Sensitivity: 10 µV/1 mm within ±5% Frequency characteristics: High range: 70 Hz ±20% at 70% amplitude (−3 dB) Low range: 0.08 Hz ±20% or time constant 2 s ±20% at 70% amplitude (−3 dB) AC filter: rejection ratio > 26 dB Sampling frequency: 200 Hz (A/D Conversion 4 kHz) Data display update cycle: Every 3 s or when alarm is generated SEF alarm: Upper limit range: 1.0 to 60.0 Hz in 0.5 Hz steps, OFF Lower limit range: 0.5 to 59.5 Hz in 0.5 Hz steps, OFF 15 TP alarm: Upper limit range: 0.02 to 9.99 nW in 0.01 nW steps, OFF Lower limit range: 0.01 to 9.98 nW in 0.01 nW steps, OFF ◆ ◆ Carbon Dioxide, CO2 (sidestream method) CO 2 in sidestream method can be monitored with the AG-400R CO 2 unit. For the AG-400R CO 2 unit specifications, refer to the AG-400R CO 2 unit manual. Sampling flow: 50 mL/min +15/−7.5 mL/min Warm-up time: 30 s average (from power on to the measurable state) Measuring range: 0 to 99 mmHg Measuring accuracy: 0 to 38 mmHg ±2 mmHg 39 to 99 mmHg ± [5 + 0.08 × (χ− 39)] % of reading χ: CO 2 partial pressure of a standard gas with a known CO 2 partial pressure (mmHg) ETCO 2 and CO 2 (I) alarm: Upper limit: CO 2 (I): 1 to 99 mmHg in 1 mmHg steps, OFF 0.1 to 13.0 kPa in 0.1 kPa steps, OFF ETCO 2 : 2 to 99 mmHg in 1 mmHg steps, OFF 0.2 to 13.0 kPa in 0.1 kPa steps, OFF Lower limit: ETCO 2 : OFF, 1 to 98 mmHg in 1 mmHg steps OFF, 0.1 to 12.9 kPa in 0.1 kPa steps Respiration rate measuring range: 101 to 150 counts/min: ±5% 71 to 100 counts/min: ±3% 41 to 70 counts/min: ±2 counts/min 0 to 40 counts/min: ±1 count/min Respiration rate alarm: Upper limit range: 2 to 150 counts/min in 2 counts/min steps, OFF Lower limit range: 0 to 148 counts/min in 2 counts/min steps, OFF Apnea alarm: 5 to 40 s in 5 s steps, OFF Displayed message: APNEA Total system response time: ≤ 4 seconds Gas Gas can be monitored with the GF-110PA or GF210R multi-gas unit or GF-120PA or GF-220R multi-gas/flow unit. For theGF-110PA or GF210R multi-gas unit or GF-120PA or GF-220R multi-gas/flow unit specifications, refer to the manual. Measurement method: Sidestream gas sampling Measured parameters: Inspired/expired CO 2 partial pressure, inspired/expired N 2 O concentration, inspired expired O 2 concentration, inspired/expired anesthetic agent concentration (Halothane, Isoflurane, Enflurane, Sevoflurane, Desflurane), respiration rate, minimum alveolar concentration Warm-up time: GF-110PA/120PA: within 45 seconds to first measurement within 10 minutes to measurement with guaranteed accuracy GF-210R/220R: about 1 minute to CO 2 measurement about 6 minutes to measurement with guaranteed accuracy Sampling rate: GF-110PA/120PA: 70 to 100 mL/min ±10 mL/min 100 to 200 mL/min ±10%rel GF-210R/220R: 200 mL/min ±20 mL/min Total system response time: GF-110PA/120PA: ≤ 5.0 seconds (when sampling volume is 200 mL/min, using adult sampling tube and adult water trap) GF-210R/220R: ≤ 5.0 seconds (when YG-610P sampling line is connected) CO 2 measurement: Measurement method: Non-dispersive infrared ray absorption Measuring range: GF-110PA/120PA: 0 to 76 mmHg, 0 to 10.13 kPa GF-210R/220R: 0 to 10 vol% Measuring accuracy: GF-110PA/120PA: ±2 mmHg (0 ≤ CO 2 ≤ 40 mmHg), ±0.27 kPa (0 ≤ CO 2 ≤ 5.33 kPa) ±3 mmHg (40 ≤ CO 2 ≤ 55 mmHg), ±0.40 kPa (5.33 ≤ CO 2 ≤ 7.33 kPa) ±4 mmHg (55 < CO 2 ≤ 76 mmHg), ±0.53 kPa (7.33 < CO 2 ≤ 10.13 kPa) Response time (10 to 90%): GF-110PA/120PA: ≤ 250 ms (under the condition of sampling flow is 200 mL/min and sampling line for adult and water trap for adult is connected) Alarm: Upper limit: CO 2 (I): 1 to 99 mmHg in 1 mmHg steps, OFF 0.1 to 13.0 kPa in 0.1 kPa steps, OFF 0.2 ETCO 2 : 2 to 99 mmHg in 1 mmHg steps, OFF 0.2 to 13.0 kPa in 0.1 kPa steps, Off Lower limit: ETCO 2 : OFF, 1 to 98 mmHg in 1 mmHg steps OFF, 0.1 to 12.9 kPa in 0.1 kPa step N 2 O measurement: Measurement method: Non-dispersive infrared ray absorption Measuring range: GF-110PA/120PA: 0 to 100% GF-210R/220R: 0 to 100 vol% Measuring accuracy: GF-110PA/120PA: ±3% Response time (10 to 90%): GF-110PA/120PA: ≤ 250 ms (under the condition of sampling flow is 200 mL/min and sampling line for adult and water trap for adult is connected) Alarm (N 2 O(I), N 2 O(E)): Upper limit: 1 to 100% in 1% steps, OFF Lower limit: OFF, 0 to 99% in 1% steps O 2 measurement: 16 Measurement method: Paramagnetic Measuring range: GF-110PA/120PA: 0 to 100% GF-210R/220R: 5 to 100 vol% Measuring accuracy: GF-110PA/120PA: ±2% (0 ≤ O 2 ≤ 55%) ±3% (55 < O 2 ≤ 100%) GF-210R/220R: ±(2.5 vol% + 2.5%rel) Response time (10 to 90%): GF-110PA/120PA: ≤ 500 ms (under the condition of sampling flow is 200 mL/min and sampling line for adult and water trap for adult is connected) Alarm: Upper limit: O 2 (I): 19 to 100% in 1% steps, OFF O 2 (E): 11 to 100% in 1% steps, OFF Lower limit: O 2 (I): 18 to 99% in 1% steps O 2 (E): OFF, 10 to 99% in 1% steps Anesthetic agent measurement: Measurement method: Non-dispersive infrared ray absorption Measured items: HAL (Halothane), ISO (Isoflurane), ENF (Enflurane), SEV (Sevoflurane), DES (Desflurane) Measuring range: GF-110PA/120PA: HAL, ISO, ENF 0 to 5% SEV 0 to 8% DES 0 to 18% GF-210R/220R: HAL, ISO 0 to 8.5 vol% ENF, SEV 0 to 10 vol% DES 0 to 20% vol% Measuring accuracy: GF-110PA/120PA: ±0.2% (0 ≤ GAS ≤ 5%) ±0.4% (5 < GAS ≤ 10%) ±0.6% (10 < GAS ≤ 15%) ±1.0% (15 < GAS ≤ 18%) GF-210PA/220R: ± (0.2%vol% +15%rel) Response time (10 to 90%): GF-110PA/120PA: ≤ 300 ms (HAL, ISO, SEV, DES) ≤ 500 ms (ENF) (under the condition of sampling flow is 200 mL/min and sampling line for adult and water trap for adult is connected) Alarm: Upper limit: Agent(I), Agent(E) (HAL, ISO, SEV, ENF): 0.1 to 7.0% in 0.1% steps, OFF DES(I), DES(E): 0.1 to 20.0% in 0.1% steps, OFF Lower limit: Agent(I), Agent(E) (HAL, ISO, SEV, ENF): OFF, 0.0 to 6.9% in 0.1% steps, OFF DES(I), DES(E): OFF, 0.0 to 19.9% in 0.1% steps MAC: MAC calculating method: selectable, uncorrected MAC, ambient pressure corrected MAC or enhanced MAC correction Respiration rate: Measuring range: 0, 4 to 60 counts/min Measuring accuracy: ±1 count/min Alarm: Upper limit: 2 to 150 counts/min in 2 counts/min steps, OFF Lower limit: OFF, 0 to 148 counts/min in 2 counts/min steps Apnea alarm: OFF, 5 to 40 s in 5 s steps Displayed message: APNEA ◆ Flow/Paw Flow/Paw can be monitored with the GF-120PA or GF-220R multi-gas/flow unit. For the GF120PA or GF-220R multi-gas/flow unit specifications, refer to the GF-120PA or GF220R multi-gas/flow unit manual. FLOW measurement: Measurement method: Differential pressure method (fixed orifice) Measuring range: –3 to +3 L/s Measuring accuracy: ±3% rel or ±0.005 L/s whichever is greater (Applicable when 10 minutes or more has elapsed) Paw measurement: Ppeak, Pmean, PEEP: Measuring range: –20 to +100 cmH 2 O, hPa Measuring accuracy: ±1 cmH 2 O, hPa (Applicable when 10 minutes or more has elapsed) Ppeak alarm: Upper limit range: 1 to 50 cmH 2 O, hPa in 1 cmH 2 O, hPa steps, OFF Lower limit range: OFF, 0 to 49 cmH 2 O, hPa in 1 cmH 2 O, hPa steps PEEP alarm: Upper limit range: 1 to 100 cmH 2 O, hPa in 1 cmH 2 O, hPa steps, OFF Lower limit range: OFF, 0 to 99 cmH 2 O, hPa in 1 cmH 2 O, hPa steps Volume measurement: Measuring range: 0 to 3000 mL Measuring accuracy: ±5% rel or ±10 mL whichever is greater (Applicable when 10 minutes or more has elapsed) TVe, TVi measurement: Measuring range: 0 to 3000 mL Display range: 0 to 9999 mL Measuring accuracy: ±5% rel or ±10 mL whichever is greater (Applicable when 10 minutes or more has elapsed. Not applicable when TVi and TVe is less than 100 mL) MV measurement: Display range: 0 to 99.9 L/min Alarm: Upper limit range: 0.1 to 30.0 L/min in 0.1 L/min steps, OFF Lower limit range: OFF, 0.0 to 29.9 L/min in 0.1 L/min steps C measurement: Display range: 0.0 to 999.9 mL/cmH 2 O R, Ri, Re measurement: Display range: 0.0 to 999.9 cmH 2 O/L/s Respiration rate measurement: Counting range: 0, 4 to 60 counts/min Counting accuracy: ±1 counts/min Alarm: Upper limit range: 2 to 150 counts/min in 2 17 BP: DC to 20 Hz ±3 Hz (–3 dB) HT pulse width: 15 ms Gain: ECG: 1000 Offset: ECG: ≤ ±50 mV BP: ≤ ±10 mV Delay: ECG: 20 ms max BP: 40 ms max HT: 20 ms max counts/min steps, OFF Lower limit range: OFF, 0 to 148 counts/min in 2 counts/min steps Apnea time: OFF, 5 to 40 s in 5 s steps Displayed message: APNEA ◆ esCCO (Optional QP-192P/QP-193P is required) Method: estimated continuous noninvasive cardiac output, pulse wave transit time method Measured parameter: esCCO, esCCI, esSV, esSVI, esSVR, esSVRI (To calculate esCCI, esSVI and esSVRI, patient information (BSA) is required. To calculate esSVR and esSVRI, ART and CVP measurement is required.) Calibration CO source: CO from patient information, CO from Hemo Trend, CCO, Manually enter Calibration pulse pressure source: ART, ART2, RAD, FEM, NIBP Measuring range: esCCO: 0.5 to 20.00 L/min, 0.01 L/min steps 2 esCCI: 0.5 to 20.00 L/min/m2, 0.01 L/min/m steps esSV: 0 to 300 mL, 1 mL steps 2 2 esSVI: 0 to 200 mL/m , 1 mL/m steps Alarm range: esCCO upper limit:0.60 to 20.00 L/min in 0.10 L/min steps, OFF esCCO lower limit: OFF, 0.50 to 19.90 L/min in 0.10 L/min steps esCCI upper limit:0.60 to 20.00 L/min in 0.10 L/min steps, OFF esCCI lower limit: OFF, 0.50 to 19.90 L/min in 0.10 L/min steps Signal Quality Index: available (4 levels) ◆ ECG/BP Output ECG waveform output: Output the ECG on the first trace BP waveform output: Output the BP waveform measured with MULTI socket 1 or the highest priority BP waveform HT pulse output: Outputs pulse based on the ECG on the first trace Complied medical electrical equipments: Connecting medical electrical equipment must comply to the following standards: IEC 60601-1: 1988 IEC 60601-1 Amendment 1: 1991 IEC 60601-1 Amendment 2: 1995 Medical electrical equipment must be connected by specified method in following standards: IEC 60601-1-1: 2000 Output impedance: ECG: ≤100 Ω BP: ≤100 Ω Output-waveform: ECG: ±5.0 V (at 1 mV/V ± 5% sensitivity) BP: –0.5 to +3.0 V (at 100 mmHg/V ± 1% sensitivity) HT: 5.0 to 15.0 V (Open collector output: 0.5 to 50 mA) Frequency response: ECG: ≥ 0.5 to 100 Hz (≥ –3 dB) (No reproducibility of pace maker pulse) ◆ ◆ ◆ Recovery time after defibrillation ≤10 s (ECG, impedance respiration, NIBP, SpO 2 , temperature, IBP, thermistor respiration, FiO 2 , CO 2 , BIS) PC specification Processor: CU-191R: Intel Celeron 1.6GHz CU-192R: Intel Core i7 1.5GHz Storage Capacity: 16 GB RAM: 4 GB or bigger Operating system: Windows embedded standard 7 Safety Standard Safety standard: IEC 60601-1: 1988 IEC 60601-1 Amendment 1: 1991 IEC 60601-1 Amendment 2: 1995 IEC 60601-1-1: 2001 IEC 60601-1-2 Amendment 1: 2004 IEC 60601-1-1: 2000 IEC 60601-1-4: 1996 IEC 60601-1-4 Amendment 1: 1999 IEC 60601-1-6: 2010 1 2 IEC 60601-1-8: 2006* * IEC 60601-1-9: 2007 IEC 60601-2-27: 2005 IEC 60601-2-30: 1999 3 IEC 60601-2-34: 2000* IEC 60601-2-49: 2001 4 EN 12470-4:2000* ISO 9919: 2005 ISO 21647: 2004 ISO 21647 Corr.1: 2005 ANSI/AAMIEC13:2002 EN ISO 14971 :2012 1 * The bedside monitor complies with IEC 60601-8:2006 except for interbed alarm. 2 * Only the “IEC standard” alarm sound complies with clause 6.3.3.2. 3 * This monitor complies with IEC 60601-2-34: 2000 except for clauses 44.6,45.101 a) and 45.101 b). 4 * The bedside monitor complies with EN 124704:2000 only for clauses 6.2, 6.3 a), 6.5, 6.6, 6.7, 6.8, 6.9, 6.10 and 8 Type of protection against electrical shock: CLASS I EQUIPMENT Degree of protection against electrical shock: Defibrillator-proof type CF applied part (other 18 than CO) Degree of protection against harmful ingress of water: IPX1 (protected against vertically falling water drops, only when the system configuration is CU-191R or CU-192R, VL-190P and DM-190P) Method of cleaning and disinfecting or sterilization: Equipment NOT suitable for sterilization Degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE: Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE Mode of operation: CONTINUOUS OPERATION ME EQUIPMENT type: STATIONARY type ◆ Environment Transport and storage environment: Temperature: –20 to +65°C (–4 to +149°F) –15 to +55°C (+5 to 131°F) (recording paper) Humidity: 10 to 95% RH Atmospheric pressure: 700 to 1060 hPa Operating environment: Temperature: 5 to 40°C (41 to 104°F) SpO 2 accuracy is guaranteed at surrounding temperature of 18 to 40°C (60 to 104°F). Humidity: 30 to 85% RH (noncondensing) Atmospheric pressure: 700 to 1060 hPa Power: Power AC/DC: If the optional SB-920P battery is installed and there is a power failure or interruption, the bedside monitor switches to battery operation for three minutes (if battery pack is fully charged) Line voltage: AC 100 to 240 V AC type: Switching regulator DC type: Battery pack Allowable power fluctuation range: 10% Power input: 220 VA Line frequency: 50 or 60 Hz Battery charging current: 800 mA Noise: Equipment used in medically used room ≤48 dBdbA Cooling System: Natural cooling, no fan/filter ± ◆ ◆ ◆ 6.7 kg MDRAP18EAXAC-N1, 18.5 inch display: 466 W × 363 H × 175 D mm 4.9 kg MDRAP21EAXAC-N1, 21.5 inch display: 537 W x 384 x 175 mm 5.8 kg MDRAP24XAXAC-N1, 24 inch display: 582 W x 401 x 175 mm 7.4 kg JA-690/694PA data acquisition unit: 145 W x 205 H x 190 D mm 1.8 kg (JA-690PA), 2.0 kg (JA-694PA) AY-660/661/663/651/653/631/633P input unit: 83 W × 176 H × 145 D mm 1.3kg AA-672/674P smart expansion unit: 38 W × 165 H × 145 D mm 0.5kg BSM-1700 bedside monitor: 147 W x 194 H x 94 D mm 1.4 kg AA-910P multi amp unit: 170 W x 44 H x 152 D mm (excluding cable) 0.7 kg (excluding cable) JA-920P interface unit: 170 W x 44 H x 152 D mm (excluding cable) 0.7 kg (excluding cable) QF series interface and IF series communication cable: 65 W x 23 H x 44 D mm (excluding cables) 0.13 kg RY-910PA remote controller: 45 W x 35 H x 135 D mm 0.08 kg WS-960P recorder unit: 90 W x 70 H x 167 D mm 0.78 kg ◆ ◆ Electromagnetic Emissions For Electromagnetic Emissions, refer to the Operator's manual. Electromagnetic Immunity For Electromagnetic Immunity, refer to the Operator's manual. Mechanical Strength ME equipment: Portable type (impact and drop resistance) Electromagnetic compatibility IEC 60601-1-2: 2001 IEC 60601-1-2 Amendment 1: 2004 Dimensions and Weight (approximate) CU-191R/CU-192R core unit: 412 W × 322 H × 365 D mm 12.5 kg VL-190P, LCD display unit, 19 inch display: 487 W × 348 H × 70 D mm 19 STANDARD ACCESSORIES OPTIONAL ACCESSORIES Bedside monitor core CU-191R Power cord (220-240V) Accessory set (An accessory set must be ordered) Bedside monitor core CU-192R Power cord (220-240V) unit, standard model, 1 unit, high-end model, 1 LCD display unit, VL-190P, 19 inch, built in alarm indicator Cable clamp 4 M4 x 12 screw for cable clamp 4 Docking connector cover 1 M3 x 10 screw for docking connector cover 1 Recorder module, WS-960P Recording paper, FQW50-2-100 Thermal head cleaner pen 1 1 Y212A Y212B Y213A Y213B YO-60IY1 YO-60IY2 YO-60AY1 YO-60AY2 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ECG connection cord, AHA, K922A (JC-906PA), 3 m SpO ² connection cord, K931 (JL-900P), 2.5 m NIBP cuff,13 cm width, 23-33 cm range, S951D (YP-713T) NIBP cuff, 16 cm width, 3345 cm range, S951E (YP714T) ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ When ordering Nellcor (AY-653P/651P)/Masimo (AY-633P/631P) input unit, order accessory set below. Input unit, AY-661P, Nihon Kohden SpO2 None Input unit, AY-663P, Nihon Kohden SpO2 None Input unit, AY-653P, Nellcor SpO2 JL-650P, Nellcor SpO2 connection cord ECG connection cord, IEC, K922 (JC-906P),3 m Air hose for NIBP, S902 (YN901P),3.5 m IInput unit, AY-660P, Nihon Kohden SpO2 None Input unit, AY-651P, Nellcor SpO2 JL-650P, Nellcor SpO2 connection cord Model Electrode lead, 3 electrode, clip, IEC, K911 (BR-903P), 0.8 m Electrode lead, 3 electrode, clip, AHA, K911A (BR903PA), 0.8 m 1 Order code Model Electrode lead, 3 electrode, clip, IEC, K911 (BR-903P), 0.8 m ECG connection cord, IEC, K922 (JC906P),3 m Y212C YO-60IY3 Y212D YO-60IY4 ✓ ✓ ✓ ✓ Air hose for NIBP, S902 (YN901P),3.5 m NIBP cuff,13 cm width, 23-33 cm range, S951D (YP-713T) NIBP cuff, 16 cm width, 33-45 cm range, S951E (YP-714T) ✓ ✓ ✓ ✓ 1 Input unit, AY-631P, Masimo SpO2 None OPTIONS Display Input unit, AY-633P, Masimo SpO2 None Bedside monitor, BSM-1763, Nihon Kohden SpO2 Side Cover 1 Bedside monitor, BSM-1753, Nellcor SpO2 Side Cover JL-650P, Nellcor SpO2 connection cord 1 1 Bedside monitor, BSM-1733, Masimo SpO2 Side Cover 1 EIZO LCD display unit, VL-190P, 19 inch, touch screen, with logo, built in alarm indicator DC power cord for VL-190P, 2.8m AC connection kit for VL-190P, YS-105P1 CANVYS LCD display, MDRAP18EAXAC-N1, 18.5 inch, touch screen, local purchase CANVYS LCD display, MDRAP21EAXAC-N1, 21.5 inch, touch screen, local purchase CANVYS LCD display, MDRAP24XAXAC-N1, 24 inch, touch screen, local purchase Alarm indicator, YL-920P Alarm indicator basement for CANVYS 18.5, 21.5 inch, 6143013513 Alarm indicator basement for CANVYS 24 inch, 6143903010 Stand base for 18.5 inch, 21.5 inch and 24 inch CANVYS display, OP-MED-TF, local purchase Display expansion board, YS-104P5, for third display Cables (core unit – display) Composite cable, YS-105P2, 2.8m, for VL-190P Composite cable, YS-105P3, 5m, for VL-190P Composite cable, YS-105P4, 10m, for VL-190P Branch cable (DSS), YS-105P9, 0.9m, for CANVYS display w/o alarm indicator Branch cable (DSS), YS-106P0, 2.8m, for 20 CANVYS display w/o alarm indicator Branch cable (DSS), YS-106P1, 5m, for CANVYS display w/o alarm indicator Branch cable (DSSA), YS-106P7, 0.9m, for CANVYS display with alarm indicator Branch cable (DSSA), YS-106P8, 2.8m, for CANVYS display with alarm indicator Branch cable (DSSA), YS-106P9, 5m, for CANVYS display with alarm indicator Data Acquisition Unit Data Acquisition Unit (DAU), JA-690PA, without MULTI connector Data Acquisition Unit (DAU), JA-694PA, with 4 MULTI connectors Unit connection cable, YS-107P1, 1m, cable for core unit and DAU Unit connection cable, YS-107P2, 3m, cable for core unit and DAU Unit connection cable, YS-107P3, 5m, cable for core unit and DAU Unit connection cable, YS-107P4, 10m, cable for core unit and DAU Input unit Input unit, AY-660P, 1 MULTI connector (IBP/CO 2 ), Nihon Kohden SpO 2 , 1 x Temp, no ECG/BP out Input unit, AY-661P, 1 MULTI connector, Nihon Kohden SpO 2 Input unit, AY-663P, 3 MULTI connectors, Nihon Kohden SpO 2 Input unit, AY-651P, 1 MULTI connector, Nellcor SpO 2 Input unit, AY-653P, 3 MULTI connectors, Nellcor SpO 2 Input unit, AY-631P, 1 MULTI connector, Masimo SpO 2 Input unit, AY-633P, 3 MULTI connectors, Masimo SpO 2 Smart unit, AA-672P, 2 MULTI connectors Smart unit, AA-674P, 4 MULTI connectors Memory unit, QM-600P, for storing data in the AY-600 series input unit Multi amp unit, AA-910P, 4 MULTI connectors Bedside monitor, BSM-1763, 3 MULTI connectors, Nihon Kohden SpO 2 Bedside monitor, BSM-1753, 3 MULTI connectors, Nellcor SpO 2 Bedside monitor, BSM-1733, 3 MULTI connectors, Masimo SpO 2 Modules & units Recorder Recorder module, WS-960P Recorder cable, YS-107P9, 1m Recorder cable, YS-108P0, 3m Recorder cable, YS-108P1, 5m Recorder cable, YS-108P2, 10m Optional software esCCO program, QP-192P esCCO/Hemodynamics review program, QP193P Network Network isolation unit, QW-100Y (HIT-100) Network connection cable, YS-089P7, for core unit and HIT-100 Wireless LAN Wireless LAN station, QI-320PA Wireless LAN access point, YS-095 Wireless LAN connection cable, YS-104P9 Stand & wall mount Base stand, DM-190P Wall mount kit, KG-190P Cart, KC-190P Unit holder, DH-190P IF holder, DH-191P QI holder, DH-192P Base for DAU, DH-691P Holder for DAU, DH-692P Wall mount adapter for DAU, DH-693P Mount adapter for GF-210/220R, DH-220P Unit mount for GF-210R/220R with cart, DH-223P Wall mount adapter for GF-210R/220R, DH-221P Interface unit Interface unit, JA-920P EJA connection cable, YS-107P5, 920P and core unit EJA connection cable, YS-107P6, 920P and core unit EJA connection cable, YS-107P7, 920P and core unit EJA connection cable, YS-107P8, 920P and core unit 1m, for JA3m, for JA5m, for JA10m, for JA- Other option SSD expansion board, YS-105P Battery pack, SB-920P, X162 Upgrade software, QS-066PK Remote controller, RY-910PA Touch pen, Y075 BIS processor, QE-910P Connection cable for QE-910P, YJ-671P Neuro unit, AE-918P Multi-gas unit, GF-110PA Multi-gas/Flow unit, GF-120PA Multi-gas Unit, GF-210R Multi-gas/Flow unit, GF-220R Connection cable for GF-210/220R, YJ-600P (K977), 0.3 m Connection cable for GF-210/220R, YJ-601P (K978), 2.5 m Sidestream CO 2 unit, AG-400RA/RK 21 Interface cable for external devices Manufacture Category Model Interface cable Heinen+ Lowenstein Anesthesia machine Leon Plus IF-918P Drager Medical Anesthesia machine Fabius GS/Fabius GS premium/Fabius Tiro/Fabius plus, Primus, Primus Infinity Empowered, Apollo, Pallas IF-920P FLOW-i IF-932P MAQUET Covidien Edwards Pulsion Covidien Merck & Co., Inc./MSD Covidien Masimo Nihon Kohden Hospira Radiometer Radiometer Anesthesia machine BIS monitor CCO monitor CCO monitor Cererebral/somatic oximeter Neuromuscular transmission monitor Pulse oximeter Pulse oximeter Sidestream CO2 SO2/CCO monitor Transcutaneous monitor Transcutaneous monitor A-2000, BIS VISTA, BIS VIEW Vigilance/Vigilance /Vigileo PiCCO plus/PiCCO2 QF-902P QF-903P QF-911P INVOS 5100C IF-937P TOF-Watch SX QF-909P Nellcor OxiMax N-600x Radical, Radical-7, Radical-8, Radical-87 AG-400RK Q2/Q2Plus/Q-VUE IF-919P IF-925P QF-905P IF-922P MicroGas 7650 rapid IF-913P TCM4/TCM40/TCM Combi M IF-914P Ⅱ Drager Medical Ventilator Covidien MAQUET Newport Medical Instruments Ventilator Ventilator Evita 2/Evita 2 dura/Evita 4/Evita XL/Savina/Savina 300 Puritan Bennett 740/760/840 Servo-i/Servo-s Ventilator e360/e500 Hamilton Medical Covidien Drager Medical Metran QF-901P QF-907P QF-908P IF-916P HAMILTON-G5/GALILEO/HAMILTONC3/HAMILTON-C2/RAPHAEL Ventilator Puritan Bennett 7200 Ventilator Babylog Ventilator R100/Calliope External device which outputs analog voltage signal Ventilator α IF-917P IF-923P IF-928P IF-938P IF-912P The list is continuously increasing. Please contact your Nihon Kohden representative for updated list. 22 CONSUMABLES ECG and Respiration (Impedance) Cable/cord K911 Electrode lead, BR-903P, for 3 electrodes, clip, IEC, 0.8 m K911A Electrode lead, BR-903PA, for 3 electrodes, clip, AHA, 0.8 m K910A Electrode lead, BR-913P, for 3 electrodes, snap, IEC, 0.8 m K910B Electrode lead, BR-913PA, for 3 electrodes, snap, AHA, 0.8 m K911A Electrode lead, BR-903PA, for 3 electrodes, clip, AHA, 0.8 m K910A Electrode lead, BR-913P, for 3 electrodes, snap, IEC, 0.8 m K910B Electrode lead, BR-913PA, for 3 electrodes, snap, AHA, 0.8 m K916 Electrode lead, BR-963P, for 3 electrodes on one lead, clip, IEC, 0.8 m K912 Electrode lead, BR-906P, for 6 electrodes, clip, IEC, 0.8 m K912A Electrode lead, BR-906PA, for 6 electrodes, clip, AHA, 0.8 m K915 Electrode lead, BR-916P, for 6 electrodes, snap, IEC, 0.8 m K915A Electrode lead, BR-916PA, for 6 electrodes, snap, AHA, 0.8 m K922 ECG connection cord, JC-906P, 3/6 electrodes, IEC, 3 m K922A ECG connection cord, JC-906PA, 3/6 elec- trodes, AHA, 3 m K925 ECG connection cord, JC-916P, 3/6 electrodes, IEC, 1.5 m K921 ECG connection cord, JC-900P, 10 electrodes, IEC, 3 m, use with disposable electrode with lead K921A ECG connection cord, JC-900PA, 10 elec- trodes, AHA, 3 m, use with disposable electrode with lead K901 ECG patient cable, BJ-900P, 10 electrodes, IEC, 3.8 m K901A ECG patient cable, BJ-900PA, 10 electrodes, AHA, 3.8 m K974 ECG/BP output cable, YJ-910P, 5 m K975 ECG/BP output cable, YJ-920P, 0.3 m Disposable electrodes (Vitrode series) G203 L-150, for general use, 30 electrodes × 5/set, 35 mm dia, Vitrode L G207 L-150X, for general use, X-ray (radiolucent), 30 electrodes × 5/set, 35 mm dia, Vitrode L G210D F-150M, for infant/neonate to adult, 3 electrodes × 50/set, 25 × 45 mm, Vitrode F G210C F-150S, for NICU, 3 electrodes × 50/set, 18 ×36 mm, Vitrode F G221 G-600, for ICU/OR, 30 electrodes × 20/set, 47 × 47 mm, Vitrode G G272A V-090M3, for general use, 3 electrodes × 30/ set, DIN, 25 × 45 mm, Vitrode V G272B V-040M4, for general use, 4 electrodes × 10/ set, DIN, Vitrode V G278A V-09IO3, for general use, 3 electrodes × 30/ set, DIN, 25 × 45 mm, Vitrode V G273A V-04IO4, for general use, 4 electrodes × 10/ set, DIN, 25 × 45 mm, Vitrode V G272C V-060M6, for general use, 6 electrodes × 10/ set, DIN, Vitrode V G274A V-06IO6, for general use, 6 electrodes × 10/ set, DIN, 25 × 45 mm, Vitrode V G271A V-120S3, for NICU, 3 electrodes × 40/set, DIN, 20 × 20 mm, Vitrode V G300A N-031S3, for NICU, 3 electrodes x 10/set, DIN, Vitrode N Respiration (thermistor method) P901 Thermistor respiration pickup for nose, TR900P P902 Thermister respiration pickup for airway, TR910P V911 Airway adapter, YG-001P SpO2 SpO 2 Cord K931 SpO 2 connection cord, JL-900P, 2.5 m Y094A Dual SpO2 adapter, JL-500P2, 2.5 m K935 Nellcor SpO2 connection cord, JL-650P, 3 m K936 Masimo SpO 2 connection cord, for LNOP series, JL-630P, 3.6 m K937 Masimo SpO 2 connection cord, for LNCS series, JL-631P, 3 m Probes (BluPRO series) P225F Finger probe, TL-201T, attached to finger or toe by clip P311C Finger probe, TL-631T3, regular size, attached to finger or toe by tape P310C Finger probe, TL-630T3, large size, attached to finger or toe by tape P225G Multi-site probe, TL-220T, attached to finger or toe by tape P259 Cottony tape, 340703, secures probe and cord for stable monitoring, stretchable, 20 pcs/set P267 Probe fastener, 30 pcs/set Reusable Probe TL-651T3 Finger-tip type, 40 kg or more Disposable probes (BluPRO series) P203A TL-271T, for adult finger or toe, 24 pcs/set, 0.8 m P204A TL-271T, for adult finger or toe, 5 pcs/set, 0.8 m P203E TL-271T3, for adult finger or toe, 24 pcs/set, 1.6 m P204E TL-271T3, for adult finger or toe, 5 pcs/set, 1.6 m P203B TL-272T, for child finger or toe, 24 pcs/set, 0.8 m P204B TL-272T, for child finger or toe, 5 pcs/set, 0.8 m P203F TL-272T3, for child finger or toe, 24 pcs/set, 1.6 m P204F TL-272T3, for child finger or toe, 5 pcs/set, 1.6 m P203C TL-273T, for neonate instep, 24 pcs/set, 0.8 m P204C TL-273T, for neonate instep, 5 pcs/set, 0.8 m P203G TL-273T3, for neonate instep, 24 pcs/set, 23 1.6 m P204G TL-273T3, for neonate instep, 5 pcs/set, 1.6 m P203D TL-274T, for infant finger or toe, 24 pcs/set, 0.8 m P204D TL-274T, for infant finger or toe, 5 pcs/set, 0.8 m P203H TL-274T3, for infant finger or toe, 24 pcs/set, 1.6 m P204H TL-274T3, for infant finger or toe, 5 pcs/set, 1.6 m Multi-site Y probe P205A Multi-site Y probe, TL-260T (for adult, child, neonate), 5 pcs/set P260A Sponge attachment tape S for TL-260T multi-site Y probe, 24 pcs/set P260B Sponge attachment tape L for TL-260T multi-site Y probe, 24 pcs/set P256 Ear clip adapter for TL-260T, reusable Disposable probes P228A TL-051S, for adult/neonate, 5 pcs/set, 0.8 m cable P228B TL-052S, for adult/neonate, 5 pcs/set, 1.6 m cable P229A TL-061S, for child/infant, 5 pcs/set, 0.8 m cable P229B TL-062S, for child/infant, 5 pcs/set, 1.6 m cable P260C Foam tape, for TL051S/052S/061S/062S, 100 pcs Nellcor SpO 2 probes are available from NELLCOR (www.nellcor.com) or their suppliers Masimo SpO 2 probes are available from MASIMO (www.masimo.com) or their suppliers NIBP Reusable Cuffs (Latex free) S943A YP-960T: for infant, 5 cm cuff width S943B YP-961T: for child, 7 cm cuff width S943C YP-962T: for child, 10 cm cuff width S944B YP-963T: for adult, 13 cm cuff width S944C YP-964T: for adult, 15 cm cuff width S944D YP-965T: for thigh, 19 cm cuff width Reusable Cuffs (YAWARA-CUFF 2 series, Latex free) S951A YP-710T: for infant, 5 cm cuff width S951B YP-711T: for child, 7 cm cuff width S951C YP-712T: for adult small, 10 cm cuff width pcs S945D YP-811P: for child, 8 cm cuff width, 20 pcs S946E YP-812P: for adult, 10 cm cuff width, 20 pcs S946F YP-813P: for adult, 14 cm cuff width, 20 pcs S946G YP-814P: for adult, 15 cm cuff width, 20 pcs S946H YP-815P: for adult, 17 cm cuff width, 20 pcs S946I YP-816P: for adult, 18 cm cuff width, 20 pcs S946J YP-817P: for thigh, 20 cm cuff width, 20 pcs S948A YP-820P: for neonate, 2 cm cuff width, 10 pcs S948B YP-821P: for neonate, 3 cm cuff width, 10 pcs S948C YP-822P: for neonate, 4 cm cuff width, 10 pcs S948D YP-823P: for neonate, 4.5 cm cuff width, 10 pcs S948E YP-824P: for neonate, 5 cm cuff width, 10 pcs Air hoses S903 YN-990P: extension hose, 1.5 m S901 YN-900P: 1.5 m S902 YN-901P: 3.5 m S904 YN-920P: for neonate, 1.5 m S905 YN-921P: for neonate, 3.5 m IBP Argon Medical Devices: K951 IBP connection cord, JP-900P, Argon Medical Devices blood pressure transducers are available from Argon Medical Devices (www.argonmedical.com) or their supplier. Edwards Lifesciences: L901 IBP connection cord, JP-920P, for Edwards Lifesciences transducer, 3.5 m Edwards Lifesciences blood pressure transducers are available from Edwards Lifesciences Corporation (www.edwards.com) or their suppliers. Biosensors International: K957 IBP connection cord, JP-960P, for Biosensor transducer, 3.5 m Biosensors blood pressure transducers are available from BIOSENSORS INTERNATIONAL (www.biosensorsintl.com) or their suppliers. Others: K952 IBP connection cord, JP-910P S951D YP-713T: for adult, 13 cm cuff width S951E YP-714T: for adult large, 16 cm cuff width S951F YP-715T: for thigh, 19 cm cuff width Disposable Cuffs S945C YP-810P: for infant, 6 cm cuff width, 20 Temperature K961 Temperature connection cord, JT-900P, 30 cm Thermistor Probe 24 P240B For adult rectum/esophagus, 401J P241B For child rectum/esophagus, 402J FiO2 P242D Disc type, 409J K941 FiO 2 connection cord, JO-900P, 3 m P249A Probe cover, for 401J, 10 pcs/set P911 O 2 sensor, 074705, 0.6 m P252 Temperature insulation pad, for 409J, 60 pcs/set V912 T-shaped adapter, 110774 CO2 (Mainstream measurement) Semi-quantitative method P903 CO 2 sensor kit, TG-900P (TG-101T + JG900P), 3 m P922A CO 2 sensor, TG-101T, 1 m K981 CO 2 adapter, JG-900P, 2 m R801 Airway adapter, YG-101T, 50 pcs/set P907 CO 2 sensor kit, TG-920P (TG-121T + JG920P), 3.5 m P923 CO 2 sensor, TG-121T, 2 m K984 CO 2 adapter, JG-920P, 1.5 m R804 Airway adapter, YG-111T, 30 pcs/set V922 Nasal adapter, YG-121T, for nasal/oral, 30 pcs/set V923 Nasal adapter, YG-122T, for nasal/oral, 30 pcs/set, with O2 supply tube adapter V927 Oxygen cannula, 25 pcs/set Quantitative method P909 CO 2 sensor kit, TG-970P (TG-221T + JG970P), 3.5 m CO K962 CO connection cord, JT-950P, 2.0 m Argon Medical Devices: Argon Medical Devices injectate supply systems and thermodilution catheters are available from Argon Medical Devices (www.argonmedical.com) or their supplier. Edwards Lifesciences: Edwards Lifesciences injectate supply systems and thermodilution cathetes are available from Edwards Lifesciences (www.edwards.com). Gas monitoring GF-110PA/120PA V915A Dryline A-Adult, water trap, 613712, 10 pcs/set V915B Dryline N-Neonate, water trap, 6137, 10 pcs/set V916A T-piece S-Straight, 613739, 10 pcs/set V916B T-piece E-Elbow, 613748, 10 pcs/set V903F T-piece, for neonate, 618877, 25 pcs/set P924 CO 2 sensor, TG-221T, 3 m V917C Sampling tube, Adult, 25 pcs/set K987 CO 2 adapter, JG-970P, 0.5 m V917D Sampling tube, Neonate, 25 pcs/set R805 Airway adapter, adult YG-211T, 30 pcs/set R806 Airway adapter, child/neonate, YG-213T, 30 pcs/set R807 Airway adapter, pediatric, YG-214T, 30 pcs/set CO2 (Sidestream measurement) V901 Exhaust gas adapter, 1pc FilterLine TM H set, 25 pcs/set V908D Adult/child V908E Adult/child V908F Infant/neonate CapnoLine TM H set, 25 pcs/set Exhaust gas adapter, 6144-008197A GF-210R/220R V918 Water trap, YG-600P, 12 pcs/set V920A T-piece S-Straight, YG-620P, 25 pcs/set V920B T-piece E-Elbow, YG-621P, 25 pcs/set V919 Sampling line, YG-610P, 3.0 m, 25 pcs/set Flow/Paw GF-120PA/220R P913 Flow adapter, TF-120P P914 Flow tube, YF-120P, 5 pcs/set P915 Luer cap, YS-094PO, 10 pcs/set V909D Adult V909E Child V909F Infant/neonate Respiration (thermistor) EEG L461 EEG connection cord, JE-905P, 2 ch, 3 m P901 Respiration pickup, TR-910P, for nose L462 EEG connection cord, JE-906P, 8 ch, 3 m P902 Respiration pickup, TR-910P, for airway H503A EEG disk electrode, NE-113A, 26 pcs/set, 1.5 m, DIN V911 Airway adapter, YG-001P 25 H503 EEG disk electrode, NE-114A, 26 pcs/set, 0.8 m, DIN H527 EEG collodion electrode, NE-136A, 12 pcs/set, 0.7 m, DIN H537A EEG needle electrode, NE-224S, 20 pcs/set, 1.5m, DIN H471 Disk electrode, BE-910P, 0.8 m H472 Collodion electrode, BE-920P, 0.8 m K461 EEG electrode lead, BE-930P, 0.8 m F507 EEG paste, Z-181BE, 180 g tube x 2/box, ELEFIX BIS BIS sensors are available direct from Covidien (www.covidien.com) or their suppliers APCO FloTrac sensors are available direct from Edwards Lifescience (www.edwards.com) or their suppliers Recording A721 Recording paper, FQW50-2-100, 10 pcs/set, 50 mm x 20 m Y011 Thermal head cleaning pen, 5 pcs/set 26