NT3 Series Veterinary monitor

Operation Manual

Newtech.Inc.
Information contained in this document is copyrighted by Newtech and may not be duplicated in
full or part by any person without prior writte approval of Newtech. Its purpose is to provide the
user with adequately detailed documentation to efficiently install, operate, maintain and order
spare parts for the divice supplied. Every effort has been made to keep the information contained
in this document current and accurate as of the date of publication or revision. However, no
guarantee is given or implied that the document is error free or that it is accurate regarding any
specification.

Manufacturer: Newtech., Inc.

Address: R1-B1, Hi-Tech Park, Nanshan District,
Shenzhen, Guangdong 518057,
P. R. China
Tel: +86 755 26525910
Fax: +86 755 26525912
Website: www.sznewtech.com
Email: [email protected]
 Content

Content
1. Overview.................................................................................................................................................................1

1.1 Brief introduction ..............................................................................................................................................1

1.2 Working principles ............................................................................................................................................1
1.3 Warranty............................................................................................................................................................1
1.4 Battery use and maintenance.............................................................................................................................1
1.5 Safety information.............................................................................................................................................2
1.5.1 The electrical safety classifications ...........................................................................................................2
1.6 Functions...........................................................................................................................................................3

2. The equipment installation ...................................................................................................................................4

2.1 Installation and working environment...............................................................................................................4

2.2 Inspection ..........................................................................................................................................................4
2.3 Connect AC power and network .......................................................................................................................4
2.4 Connect external equipment and requirements .................................................................................................5
2.5 Turn on the unit.................................................................................................................................................5
2.6 Connect sensors.................................................................................................................................................5
2.7 Check Recorder (if recorder has been installed) ...............................................................................................5

3. Description of Monitor ..........................................................................................................................................6

3.1 Description of external appearance ...................................................................................................................6

3.1.1 Front panel.................................................................................................................................................6
3.1.2 Side panel ..................................................................................................................................................6
3.1.3 Rear panel..................................................................................................................................................7
3.2 Display ..............................................................................................................................................................7

4. Basic Operation....................................................................................................................................................10

4.1 How to use rotating knob ................................................................................................................................10

4.2 How to use the volume knob...........................................................................................................................10
4.3 How to use keys ..............................................................................................................................................10
4.4 Password and Character input method ............................................................................................................10
4.5 Set date and time .............................................................................................................................................10
4.6 Set language ....................................................................................................................................................11
4.7 Set measurement unit ......................................................................................................................................11
4.8 Change waveform speed .................................................................................................................................11
4.9 Setting monitoring format ...............................................................................................................................11
4.10 Preparatory work...........................................................................................................................................11
4.11 Remote maintenance .....................................................................................................................................12
4.12 Menu operation .............................................................................................................................................12
4.13 Main Menu....................................................................................................................................................12
4.14 Display menu ................................................................................................................................................12
4.15 Tools menu....................................................................................................................................................15
4.16 Review menu.................................................................................................................................................15
4.17 Patient menu..................................................................................................................................................16
4.18 System Setup menu .......................................................................................................................................16

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4.19 Recorder Setup (for details see on Printing Function................................................................................19

5. Alarm ....................................................................................................................................................................20

5.1 General alarm..................................................................................................................................................20

5.1.1 Alarm type...............................................................................................................................................20
5.1.2 Alarm level..............................................................................................................................................20
5.1.3 Alarm mode.............................................................................................................................................20
5.2 Set alarm .........................................................................................................................................................20
5.2.1 On/Off alarm ...........................................................................................................................................21
5.2.2 Switch on/off alarm sound.......................................................................................................................22
5.2.3 Switch on/off alarm sound and five status...............................................................................................22
5.2.4 Alarm status bar.......................................................................................................................................22
5.2.5 Setting alarm limits .................................................................................................................................22
5.2.6 Alarm control ..........................................................................................................................................23
5.2.7 Alarm print ..............................................................................................................................................24
5.2.8 Adjust alarm tone ....................................................................................................................................24
5.2.9 Restore alarm default settings .................................................................................................................24
5.3 Alarm Review .................................................................................................................................................25
5.4 Identify alarm and erase alarm ........................................................................................................................25

6. Trend Analysis .....................................................................................................................................................27

6.1 Main screen trend analysis ..............................................................................................................................27

6.2 Trend analysis .................................................................................................................................................28

7. Freeze Waveform and Replay ............................................................................................................................31

7.1 Menu description.............................................................................................................................................31

8. Record Events ......................................................................................................................................................32

9. Drug Calculator ...................................................................................................................................................33

9.1 Enter drug calculator function.........................................................................................................................33

9.2 Measurement unit............................................................................................................................................33
9.3 Glossary ..........................................................................................................................................................33
9.4 Drug calculation execution .............................................................................................................................34
9.5 Titration process table .....................................................................................................................................35
9.6 The titration table ............................................................................................................................................36
9.7 Recalculation...................................................................................................................................................36

10. Printing...............................................................................................................................................................37

10.1 Connect to the printer....................................................................................................................................37

10.2 Set printing parameters .................................................................................................................................37
10.3 Printing..........................................................................................................................................................38
10.4 Alarm printing (see alarm ) ...........................................................................................................................38

11. Monitoring ECG ..................................................................................................................................................39

11.1 ECG electrode monitoring.............................................................................................................................39

11.1.1 Installing the ECG electrode..................................................................................................................39
11.1.2 Main ECG display .................................................................................................................................41

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11.1.3 Screen showing other leads channels ....................................................................................................43
11.2 Parameter display ..........................................................................................................................................43
11.3 Trouble shooting............................................................................................................................................44

12. Monitoring NIBP ...............................................................................................................................................46

12.1 Overview.......................................................................................................................................................46
12.2 Cuff Selection and Placement .......................................................................................................................46
12.3 Cuff sites on differents animals.....................................................................................................................46
12.4 Measurement limitations ...............................................................................................................................47
12.5 Display ..........................................................................................................................................................48
12.6 Functions.......................................................................................................................................................48
12.6.1 Blood pressure measurement.................................................................................................................49
12.6.2 Venipuncture..........................................................................................................................................49
12.7 Maintenance and cleaning.............................................................................................................................50
12.8 Trouble shooting ...........................................................................................................................................50

13. Monitoring Impedance Respiration .................................................................................................................52

13.1 Connecting electrodes ...................................................................................................................................52

13.2 RESP monitoring preparation .......................................................................................................................52
13.3 Monitoring menu...........................................................................................................................................52
13.4 Messages .......................................................................................................................................................53

14. Monitoring Nasal Tube Respiration.................................................................................................................54

14.1 Monitoring menu...........................................................................................................................................54

14.2 Messages .......................................................................................................................................................54

15. Monitoring Temperature ..................................................................................................................................55

15.1 Installing temperature senor ..........................................................................................................................55

15.2 Body temperature menu ................................................................................................................................55
15.3 Application Guide .........................................................................................................................................56
15.4 Maintenance and cleaning.............................................................................................................................56

16. Monitoring SpO2 ...............................................................................................................................................57

16.1 Overview.......................................................................................................................................................57
16.2 SpO2 Pleth priciple .......................................................................................................................................57
16.3 Precautions in SpO2 monitoring ...................................................................................................................57
16.4 SpO2 monitoring procedures ........................................................................................................................58
16.5 Application Guide .........................................................................................................................................58
16.6 Measurement limitations ...............................................................................................................................59
16.7 SpO2 setting menu ........................................................................................................................................60
16.8 Maintenance and Cleaning ..............................................................................................................................60

17. Maintenance and Cleaning ...............................................................................................................................61

17.1 Maintenance and Inspection..........................................................................................................................61

17.2 General cleaning of the monitor....................................................................................................................61
17.3 Cleaner ..........................................................................................................................................................61
17.4 Disinfecting...................................................................................................................................................62

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18. Monitors Accessories and Purchase Information ..........................................................................................63

18.1 ECG accessories............................................................................................................................................63

18.2 SpO2 accessories...........................................................................................................................................63
18.3 TEMP accessories .........................................................................................................................................63
18.4 NIBP accessories...........................................................................................................................................63
18.5 RESP accessories ..........................................................................................................................................63

Appendix A: EMC (Electro-Magnetic Compatibility) .........................................................................................64

Appendix B: Technical Specifications....................................................................................................................68

B.1 Basic parameters.............................................................................................................................................68

B.2 Average working time without malfunction 1000 hours .............................................................................68
B.3 Normal working environment ........................................................................................................................68
B.4 Safety requirements and classifications..........................................................................................................68
B.5 ECG................................................................................................................................................................68
B.6 NIBP...............................................................................................................................................................69
B.7 RR...................................................................................................................................................................69
B.8 TEMP .............................................................................................................................................................69
B.9 SpO2...............................................................................................................................................................69
B.10 PR .................................................................................................................................................................69
B.11 Alarm............................................................................................................................................................70
B.12 Factory default value of alarm parameter .....................................................................................................70
B.13 Settings range and allowable tolerance of alarm high/low limits .................................................................71
B.14 Continual working time:...............................................................................................................................71
B.15 Data memory ................................................................................................................................................71
B.16 Dimensions and weight ................................................................................................................................71
B.17 Packaging, transportation and storage ..........................................................................................................71
B.18 Explanations of interfaces ............................................................................................................................72
B.19 Compliance standards...................................................................................................................................72

IV
 Overview

1. Overview
Welcome to use NT3 Series Veterinary monitorThe main purpose of this Manual is to provide operating guide,
instrument repair and maintenance information to users. The detailed performance indexes, routine installation,
operation and maintenance method as well as safety information are illustrated in this Manual. Before use, the
user shall carefully read this Manual in order to properly and correctly operate this monitor to ensure its safety
standards and performance functions.

1.1 Brief introduction

The NT3 Series Veterinary monitor is used to monitor physiological signals: ECG, NIBP, SpO2, RESP,
and TEMP of patients in hospitals. This product has multi-parameter functions which can be selected,
combined and configured by the user according to his/her requirements. Therefore the NT3 Series
Veterinary monitor which you are using probably only has the parameters and corresponding accessories
selected by you at the time of purchase. This product is composed of main unit and corresponding
functional accessories such as ECG cable, blood pressure cuff, SpO2 sensor, body temperature sensor, and
BP hose. This product has four input/output interfaces for printer, network communication, external CRT
and external telephone line.

1.2 Working principles

Human physiological signals (ECG, blood pressure etc.) are enlarged by each sensor connected to both patients
and monitor, transmitted through extension cable to various parameter modules, and communicated with the
main control board. The main control board displays measurement results on the monitor screen by waveform
and numeric form. The results can be printed if required. Each parameter result may be stored in a certain
timeframe.

1.3 Warranty

The manufacturer offers, since the date of the purchase, a one year warranty for the NT3 Series Veterinary
monitor, a three-month warranty for the SpO2 sensor, blood pressure cuff, ECG cable and body temperature
sensor. The consumables are excluded from this warranty.
The following situations are not included in the warranty:
1. The serial number of the monitor was ripped off or unreadable.
2. The monitor was damaged due to improper connection with other equipment.
3. The monitor was damaged due to accident.
4. The user modified the monitor without manufacturers written authorization.

1.4 Battery use and maintenance

The monitor is equipped with an internal lithium battery which supplies power during transportation or in a
situation where no AC power is available. A fully charged battery enables the monitor to function continously
for 2 hours (under the condition of blood presure measuring for every 10 minutes).
The internal battery may discharge during long-term storage or in transportation. If this monitor is stored for
2 months, it is necessary to charge the battery for about 30 minutes before use.
Regardless normal use or power off of the monitor, connect the monitor with an AC power for 6 hours, the
battery will be fully charged.
Attention:

Only authorized service person can replace the battery. The battery needs to be replaced every
two years.

For protect environment, Callback or deal with the exhaust batteries in correct ways are
necessary.

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 Overview
1.5 Safety information

1.5.1 The electrical safety classifications

The electrical safety classification of this product is class I. The symbol (electrocardiogram) indicates

CF defibrillation prevention type. The symbol indicates BF defibrillation prevention type. The marked

symbol on the Manual means: attention, refer to document attached with the machine; or
caution/warning, pay more attention to guarantee the safety of the patient, operator or equipment.
Prohibition

Do not use the NT3 Series Veterinary monitor for asphyxiation monitoring.

Do not use the NT3 Series Veterinary monitor during magnetic resonance imaging (MRI) or CT
inspection process.

Do not use the NT3 Series Veterinary monitor in an environment filled with inflammable gas and
anaesthesia gas.
Caution

The monitor should be operated by qualified person! The operator should have special medical
application skills, and operates according to the instruction for use.

NT3 Patient monitor just can be used on one patient one time

In order to make the monitor with safe grounding, the hospital must provide power sockets with
proper wiring, zero line and protective grounding in accordance with national standard. Or the
hospital bears all consequences.

Do not open the case of the monitor at will for possible electric shock. The maintenance and
upgrade of the monitor shall be carried out by qualified and authorized service personnel.

Only recommended accessories may be used for the monitor.

Keep the monitor dry from water and humidity, and avoid strong collision.

Because parts of the equipment are not provided with protections against burning, the monitor
can not be used with electricity surgical equipment, in case of burn to endanger patients lives.

When using this monitor, the F-type application section can not be connected to other conductivity
or ground.

In order to avoid time loss for diagnosis or treatment, configure adequate alarm settings according
to different conditions of each patient (for detailed setting methods, refer to the Alarm System in
this Manual).

When various equipment are connected to the same patient, pay attention to the danger of any
leakage.

Do not put the monitor in an environment such as high temperature, high pressure, gas
fumigation or liquid immersion. Unplug the monitor before cleaning or sterilizing.

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 Overview

NT3 Series Veterinary monitor has no defibrillation synchronization, so it cannot be connected to

defibrillation instruments.

All equipment connecting to the monitor must conform to EN60601-1-1.

Use the accessories recommended by the manufacturer to avoid possible mal-function of the
monitor.

No requirement for warm-up time before the monitors and sensor be used.

1.6 Functions

The NT3 Series Veterinary monitor can be used to monitor major parameters such as electrocardiogram
(ECG), body temperature (TEMP), respiration (RESP), saturation oxygen (SpO2), and noninvasive blood
pressure (NIBP). It integrates parameter measurement, display function and output function to form a
compact and portable monitor.

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 The equipment installation

2. The equipment installation

2.1 Installation and working environment

z Ground
The installation place should be suitable for Monitors size in a hospital.
Monitor should be placed stable with appropriate height so it will not hurt people in case it falls.
There should be power with ground line within the length of Monitors power cable.
z Working Environment
Suitable for hospital use.
Not suitable for home use.
z Work condition safety
Environment temperature: 5 ~ 40
Relative humidity range: 80 %
Atmosphere pressure: 86 ~ 106kPa
Power Voltage: AC 100V ~ 240V
Power Frequency: 50/60Hz
z Influence to other ambient equipment
The monitor can produce, use and emit radio frequency. If installed or used not according to the
instruction of the manual, it may cause interference to the nearby equipement. If unstable readings,
interruption of operation without any obvious reasons, or malfunction of the monitor occur, there may be
some interference. If any of the above happens, check the environment and locate the sources of the
inference. Then take some measures to remove the interference sources.
Conduct a switch test on nearby equipment to determine interference sources.
Change the direction of other equipment or change its installation place.
Build/increase barrier between the interfering equipment and this monitor.

2.2 Inspection

Open the package according to the marks on the box. Take out the monitor and its accessories carefully.
z Count the accessories according to the packing list
z Check the monitor and accessories for any mechanical damage.

If there are any problems, contact the distributor immediately.

Friendly reminder:

The packaging material should be saved for future transportation and storage.

2.3 Connect AC power and network

z Confirm the AC power source is in conformity with the requirements of this equipment: 100~240V
ac, 50/60Hz.
z Connect the monitor to the AC power.
z The connection with the external equipment should be in conformity with the requirements pecified
in this Manual.
z Electric balancing terminal (refer to the rear panel introduction) should be connected to the
grounding end of the public power grid or properly connected to the other protective grounding ends.
Caution:

The monitor power cable must be connected to the special socket for hospital use.

If internal batteries are installed, they must be recharged after the monitor has been transported
or stored. By turning the monitor on without using AC power, it will not work properly because of

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 The equipment installation
weak battery power. By connecting to AC power, the batteries get recharged even if the monitor is
not turned on.

2.4 Connect external equipment and requirements

There are paralle printer interface (for external printer) and network interfact (for future software upgrade) on
the rear panel of the monitor.
To connect external equipement through this machines interface, refer to EN60601-1-1 standards.

Caution:

Do not place the monitor close to the wall. Do not block the vents on the back and the sides of the
monitor.

2.5 Turn on the unit

Turn on the power switch. After about 3 seconds, the system will trigger a dee sound. At the same time, LED
will twinkle one time among red, yellow, green.It means system enters main monitoring mode with a
successful self-test. The User now can start operating the monitor.

Attention:

Please stop use monitor, if there is no du during self-test or no LED twinkle.

Check all usable monitoring funtions to make sure they function normally.

The internal batteries must be recharged every time after use to assure full power.

If you have found and proved that the functions of the monitor have been damaged or it has shown
error messages, the monitor can not be used for monitoring patients. You shall contact Newtechs
service department.

There should be one minute before turning on the monitor again.

2.6 Connect sensors

Connect the needed sensors to the monitor and the patient. Refer to the appropriate s for instructions and
requirements.

2.7 Check Recorder (if recorder has been installed)

Check if the recorder is installed on the monitors left side. Refer to the printing for instructions.

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 Description of Monitor

3. Description of Monitor
3.1 Description of external appearance

3.1.1 Front panel

The front panel of the NT3 Series Veterinary monitor is shown as Figure3.1:

Figure 3.1
(1) DISPLAY: Waveforms, menu, alarm and measuring parameters are displayed here.
(2) CHARGE INDICATOR: The built-in battery is being charged when the indicator is on.
(3) POWER INDICATOR: When lit, it indicates that the machine is turned on.
(4) SILENCE: Silence setting button. Press this button to start or stop the monitor alarm sound.
(5) ALARM: Alarm setting button. Press this button to enter alarm setting.
(6) FREEZE: Freeze button. When the waveforms are updated, press this button to freeze the displayed
waveforms.
(7) START/STOP: Start/stop NIBP measuring button. In NIBP manual mode, press this button to start
NIBP measurement. In NIBP measuring mode, press this button to stop current NIBP measurement.
(8) PRINT: Print button. When the device is equipped with a recording/printer device, press this button to
activate printout of the monitoring results. When the printer is operating, press this button to stop
printing.
(9) MENU: Main menu button. When no menu is shown on display, press this button to show the system's
main menu. Whatever status the menu appears in, exit the menu by pressing this button.
(10) ROTATING KNOB: Rotate the knob clockwise or anti-clockwise to select the menu item. Press the
knob to operate the menu item.
(11) VOLUME ADJUSTING KNOB: Rotate the knob to adjust the monitors sound volume. Rotate the
knob clockwise to increase in volume. Rotate the knob anti-clockwise to decrease in volume.
(12) BRIGHTNESS ADJUSTING KNOB: Rotate the knob clockwise to increase the brightness. Rotate
the knob anti-clockwise to decrease the brightness.

Reminder:

Only NT3A, NT3C have brightness adjusting knob. NT3B, NT3E, and NT3F do not have it.

3.1.2 Side panel

The side panel of the NT3 Series Veterinary monitor is shown as Figure 3.2

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 Description of Monitor

Figure 3.2
1 Temperature sensor 1
2 Temperature sensor 2
3 NIBP cuff connector
4 SpO2 probe connector
5 ECG lead connector

6 Means: CF defibrillation prevention type.

7 Means: BF defibrillation prevention type.

8 Means: Aattention, refer to manual of this monitor.

3.1.3 Rear panel

Figure 3.3
Vents
Network interface - connect to the central monitor
Printer interface
CRT interface
AC socket

Voltage balance interface with symbol. When the monitor is used in conjunction with
other equipment, use this to balance electrical voltage.
Telephone interface

3.2 Display

The display of this monitor is divided into four major areas: channel display area, parameter display area,
status bar and menu bar. The status bar is displayed on the top of the screen. The channel display area is under
the status bar on the left of the screen. The menu bar is always displayed at the bottom of the screen. The
parameters are always displayed on the right of the screen. The menu bar is a pop-up one, when poped up, it
will block part of the channel display area and parameter display area. The basic layout of the display is as
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 Description of Monitor
following:

The display content at the channel display area can be set by the operator. The parameter display area can be
automatically adjusted according to the channel configuration format, so that each parameter can be equally
displayed at the right part or lower right part of the screen along with corresponding waveform channels.
Channel display area The channel display area is divided into several channels. Total seven channels
are provided. The content of the channel can be selected to display ECG
waveform, RESP waveform, blood Pleth waveform, trend map, and trend table.
The name of each channel is usually displayed on the left corner of the channel.
Select one channel to enter its menu. Displayed on the same row of the channel
is the status information for this channel.
Parameter display area The heart rate (HR), oxygen saturation (SpO2), respiration rate (RESP), body
temperature (T1/T2) and noninvasive blood pressure (NIBP) are displayed in this
area. Every parameter has a corresponding label. The important parameters are
configured with alarm prohibition signs. The prohibition signs are displayed on
the left side of the label. The operational menu of each parameter can be
accessed by selecting parameter label.
Menu bar When no menu is displayed on the screen, the MENU, the ALARM menu and the FREEZE
menu can be activated and displayed in singe line, the relevant menus can also be activated by
selecting the labels under the display with the rotating knob.

Status bar

Information bar: Display the Monitor status information, including patients and alarm information.
Patient type: HORSE, CAT, and DOG.
Date: Its display format can be modified through menu.
Time: Its display format can be modified through menu.
The alarm status icon: Alarm is allowed, Alarm is prohibited.
The alarm silence status icon: Audio alarm is allowed, Audio alarm is prohibited.
Audio alarm is paused 30s, 60s, 120s respectively. Pause or resume alarm sound is
carried out by silence key, turn off alarm sound is carried out by menu<alarm sound/off>.
Central monitoring network function status icon: The red icon means the monitor is not connected to
the central monitoring system. The blue icon means the monitor is connected to the central
monitoring system.
Alarm information: Parameter name > high limit, or parameter name < low limit. The font color display: The
high, middle and low priority alarm display as red, yellow, yellow characters separately.
Memory icon: Blinking means the system is memorizing.
Caution:

When the symbol shows, the system can not produce alarm sound, so the operator shall be
8
 Description of Monitor
especially cautious to use this function.

When the symbol appears, the system will prohibit alarm. It is recommended
that the operator does not use alarm forbitten function unless it is necessary.

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 Basic Operation

4. Basic Operation
4.1 How to use rotating knob

At the main display, there is a framed label which indicates your current position. You can select different
parameter names with the rotating knob, or you can click at the current parameter name to prompt the
corresponding functional menu.

4.2 How to use the volume knob

By turning the volume knob you can adjust the volume. Turn anti-clockwise, the volume decreases; turn
clockwise, the volume increases.

4.3 How to use keys

1. Silence key: Control alarm sound.

2. Alarm key: Activate alarm menu.
3. Freeze key: Activate freeze menu.
4. Start key: Iinflate the air when measuring the blood pressure.
5. Printing key: Print waveforms.
6. Menu key: Activate menu.

4.4 Password and Character input method

1. Locate the cursor at password frame .

2. Press the rotating mouse, the following characters input bar will appears.

3. Press can switch the character group in the text frame , there are four
groups switchable, capital letters group(A-Z), small letters group(a-z), Arabic numerals
group(0-9), punctuations group.
4. Select or , can page the characters in the text frame .
5. Select can insert character at the cursor in password frame.
6. Select , can delete the characters before the cursor in password frame.
7. Move cursor to , rotate the mouse and select the password characters you
want to input one by one, password you input will appears in password frame, press

4.5 Set date and time

Caution:

Change date or time will influence the memory of the trend and events. After
modification of time or date, you must restart the Monitor!
Select Menu -> System Setup -> Set Time

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 Basic Operation
4.6 Set language

Select Menu -> System Setup -> Region settings ->Language

The monitors can supply four languages: Chinese, English, Spanish, Portuguese
When you can not clear about display present language, Please press MENU -> Press the fifth menu frame->
Press the third menu frame -> Press the fourth menu frame, the optional window is as above,Select the
language you need, press [OK].
If it is not the language you need, please consult Newtech or the local Newtech representatives.

4.7 Set measurement unit

Select Menu -> System Setup -> Region Settings -> Select Units

4.8 Change waveform speed

Decrease the waveform speed, the waveform will be compressed to show longer time quantum. Increase the
wave speed, the waveform will be expanded to display more detailed view. The user can change ECG
waveform speed and RESP waveform speed.

4.9 Setting monitoring format

The common monitoring formats include Standard 7 ECGs, large numeric display, and five formats defined by
the user. The detailed information for the format required, refer to the format setting.

4.10 Preparatory work

z Check the Monitor

Before measurement, check for Monitors mechanical failure, including all external cables, and
accessories.
z Connecting the power
After connecting the power, press the on/off Key on the Monitor.
z Setting parameters
Configure the parameters to be monitored and check if the patient cables and sensors are properly
connected.
z Starting monitoring
Connect the patient to the Monitor. Verify Monitor setting, alarm limit, alarm volume, patient category,
and pacing impulse status suitable to the patient. If necessary, change these settings. For detailed
information on monitoring required parameters, refer to appropriate s and sections.
z Power off
Press the on/off Key, then un-plug.

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 Basic Operation
4.11 Remote maintenance

Select Menu -> System Setup -> Maintenance -> Remote maintenance

Enter Remote Maintenance mode, the Central Management System can remotely upgrade the Monitor.
The Monitor provided with the second cofirm information, when you would like to accessing the Remote
Maintenan.

4.12 Menu operation

Start menu:
Press corresponding menu keys (MENU, FREEZE, ALARM), the corresponding menu will pop up.
Select the concerned waveform parameter label on the screen using the rotating knob. Press
down the knob, the corresponding menu pops out.
Menu browse:
In the menu bar, the field with black background and white character is the field selected by the cursor. Using
the rotating knob to select the required field, then press it down.
Menu status:
In the menu bar, there are three different menu colors corresponding to three different menu status:
1 The menu field with black background and white character means the current operating menu.
2 The menu field with green background and black character means the menu to be operated.
3 The menu field with gray background and black character is an inactivated field. It means that current
field is forbidden to operate or has not been configured.
Return to the previous menu:
Select exit at the far right end of the menu bar to return to the previous menu.
Press <Menu> key to exit all menu.
If no key is pressed for more than one minute, the Monitor will automatically exit all menus.

4.13 Main Menu

<Display> sets the display interface.

<Tools> sets the practical tools.
<Review> observes the historical data.
<Patient> sets patients information.
<System Setup> sets the system information.
<Recorder Setup> sets the printer parameters.

4.14 Display menu

<Fixed Format> set the display channel as 1ECG, 2ECGS, 3ECGS, 7ECGS, or large numerics.

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 Basic Operation
z 2ECGS

z 7 ECGS

z Large numerics

<User Format> sets the display channel as the channel format defined by the user.
It supports five user-defined channel formats.
<Format Setup> define the display channel.

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 Basic Operation

Attention:

The same channel can not be displayed repeatedly.

Blank means no channel can be displayed at this position.

Select the ECG channel, the system will automatically configure the lead of the ECG channel.

The configured channel can be saved as a user-defined format, and can be selected later at any
time from <User Format>.

<oxyCRG> HR, SpO2, RESP collectively displayed.

<Alarm Limit> Display or hide the alarm limit parameter area.

<Waveform Speed> adjust waveform speed of the ECG / PLETH and RESP.

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 Basic Operation
<Other Settings> set other display formats.

z Three NIBP display formats are switchable.

z Menu font can be switched between large font and small font.

z Screen Font can be switched between large font and small font.

z Pleth waveform can be switched between filled and blank.

4.15 Tools menu

<Event> set events.

<Drug Calculator> adjust drug calculator.

<Standby> turn The Monitor into standby mode.

4.16 Review menu

<Trend> used to review trend data. Refer to sand sections on Trend Setting.
<Wave Review> used to replay waveform. Refer to s and sections on Trend Setting.
<Alarm Review> used to review alarm memory records. See alarm review.

15
 Basic Operation
4.17 Patient menu

Patient information can be set or modified.

4.18 System Setup menu

<Set Time> sets the current time for the Monitor.

<Set Sound> sets up volume of current alarm sound and pulse sound, switch on/off pulse sound.

Sound setting menu as below:

Click <Device Tone> and enter to set up Pulse Tone and Alarm Tone:

<Region Settings> sets parameters relating to the following areas:

z Select Units

16
 Basic Operation
z Date Format

z Power Frequency

Attention:

Set appropriate power frequency, otherwise the signal noise of ECG can be loud.

z Language

It can be set in English, Spanish, or Portugese.

<Network Setting>

z IP Address

The user can set the IP address of the Monitor. Refer to the s and sections of the network settings.

z Server: Sets up server for monitor

z Device Name: sets the name of the Monitor

<Maintenance> sets maintenance function.

Attention:

This maintenance function can only be set by the Administrator.

The maintenance function includes: System Status, Remote Maintenance, Reserved 1, Reserved 2, DEMO,
Maintenance Login and Change Password.

17
 Basic Operation
The Menu maintenance is as follows:

z System Status

Checks relevant system status, the menu is as follows:

<Main Settings> sample list is as follows:

<Software version> sample list is as follows:

z DEMOUsed to show demo screen.

Attention:

Dont use the DEMO function with monitoring the paitent

The Monitor provided with the second cofirm information, when you would like to accessing theDEMO.

z Maintenance Login: Used for Seller and Producer to login in.

18
 Basic Operation

z Change PasswordUsed to change passwords.

<Default Settings> Restores factory default settings.

The user should pay more attention to the following operation functions:
z Remote maintenance: used to upgrade the Monitors software;
z Setup password: password protection;
z Reserved 1, Reserved 2;
z Demo Switch: Turns on the demonstration display.

4.19 Recorder Setup (for details see on Printing Function

19
 Alarm

5. Alarm
5.1 General alarm

5.1.1 Alarm type

This monitor includes physiological alarm, technical alarm, and normal alarm.
z Physiological alarm happens when patients physiological parameters exceed limits (e.g. heart rate and
blood pressure exceed limits).
z Technical alarm is triggered by system abort, monitor mal-function or inaccurate measurement.
Technical alarm is system error message also, e.g. plug off, sensor off, monitor abort.
z Normal alarm is within the normal range. It may not threaten the patients health. This is
different from the first two alarm types but needs attention.

5.1.2 Alarm level

z High level alarm: When a patients life is threatened or the monitor appears to have serious technical
problems. This is the most serious alarm. For example: Leadwires off, sensor off, the pulse search
failed, the patient suffocates, or the alarm exceeding limit of related parameters is setted as upper
alarm.
z Mid level alarm: This is a major alarm. For example: low battery, the alarm exceeding limit of
related parameters is setted as median alarm.
z Minor alarm: This is a general alarm. For example: the alarm exceeding limit of related parameters
is setted as lower alarm.
Attention:

Only doctors can set physiological parameters upper limits for alarm level according to patient's
conditions and his/her own experiences.

5.1.3 Alarm mode

NT3 series have both audible and visual alarm modes. Visual alarm is displayed on the monitor screen with
appropriate blinking numerics. Audible alarm is through the monitors speaker.
1. High priority: Two groups of five Dee with an interval of 10 seconds. Numerics blinking frequency:
1.5Hz.
2. Medium priority: Continued three Dee with an interval of 18 seconds. Numerics blinking frequency:
0.625Hz.
3. Low priority: one Dee with an interval of 20 seconds. No blinking.
Attention:

When different priority alarms occur simultaneously, only the highest priority alarm is displayed.

5.2 Set alarm

Monitor can set overall alarm functions, as well as separate parameters alarm function. Each individual
parameter has alarm function and alarm limits can be set. The user may select the parameter field by the
rotating knob and set alarm limits, press it down and follow the menu.

Overall alarm setting: Presses down ALARM button, choose alarm menu to carry on the setting.

20
 Alarm
Partial parameter alarm setting: Select some parameters, press down the knob, choose [alarm switch], [alarm
setting] menu to carry on the operation.

5.2.1 On/Off alarm

z Switch on or off some parameters alarm

Select parameter field - > press down the knob - > choose alarm switch menu
The following chart shows HR alarm prohibition icon in a red circle.

z Switch on or off all parameters alarm (overall alarm switching)

Select ALARM key -> Alarm On/Off
When switching off all parameter alarms, a confirmation dialog bar appears as a reminder.

Attention:

When overall alarm is switched off, if physiological parameters exceed limits, there will be no
alarm sound and no blinking numerics. Yet the words relating to technical alarm will blink, but no
audible sound.
Warning:

User should pay serious attention to the overall alarm switching. It is recommended not to turn off
this switch.
The below chart shows alarm prohibition icon in a red circle.

When the overall alarm is switched on, there is no need for confirmation. When the monitor is turned on for the
first time, the default alarm switch is ON. Restarting this monitor, alarm setting remains the same as when the
monitor is turned off.

21
 Alarm

5.2.2 Switch on/off alarm sound

Warning:

User need to pay serious attention to use switch alarm sound function. It is recommended not to
switch off overall alarm sound.
Select ALARM key -> Alarm Sound/off
When switching off alarm sound, a confirmation dialog bar will appear as a reminder.

5.2.3 Switch on/off alarm sound and five status

On the right of the status bar, different icons indicate current status of alarm sound.

These represent five alarm sound status: On, Off, Interval 30s, interval 60s, Interval 120s. To switch on or off
alarm sound, go to menu [Alarm Sound/off]. To pause alarm sound, use Silence key.

5.2.4 Alarm status bar

When alarms occur, they are displayed on the left side of the status bar.

z Alarm format: parameter > high limit, or parameter < low limit.
z Alarm level colors: High = red, Medium = yellow, Low = yellow words.
z Alarm location: in the status bar. When an alarm occurs, parameter name >high limit or parameter
name <low limit replaces parameter name. When an alarm disappears, the parameter name returns.
z If multi alarm occurs, alarm parameters will be displayed alternately on the left side of the status bar.

5.2.5 Setting alarm limits

From alarm menu, enter [Alarm Settings] to configure all parameter alarm high and low limits. On
the current parameter, press knob, enter [Alarm Settings] to configure current parameter alarm
high and low limits.
z Set all parameter alarm
Select ALARM key -> Alarm Settings

Click page up or page Dn to review or modify parameters in question.

z Set partial parameter alarm
Select parameter field - > press down the knob - > choose alarm switch menu

22
 Alarm

See attachment "Product Technical Specifications" for the range of various parameters alarm limits and factory
default value.
Attention:

Alarm high limit cannot be lower than low limit. If high limit is lower than low limit, the monitor
will not respond.

When the monitor is turned on for the first time, it has adults alarm configuration as default.

If the monitor restarts after 30 minutes, its alarm limits are for the current patient. Otherwise its
alarm limits remain the same as when the monitor is turned off.

If [patient information] has been reset, the user should reset alarm limits based on new patient
type.

5.2.6 Alarm control

Alarm control is used to shield and set priority sequence when all parameter alarms occur.
Select ALARM key -> Alarm Control
z Alarm switch: If the single parameter alarm switch is set as Off, this parameters alarm sound and the
blinking is shielded. Once the overall alarm switch is set as Off, any single parameter alarm switch will not
be active. Alarm printing is also off.
z Print switch (with printer option) can be set as On or Off. Once overall print switch is set as Off, any single
parameter printer switch will not be active.
z Priority sequence based on patient conditions can be set as high, medium, or low. But HR and SpO2 cannot
be set as minor alarm.
Alarm priority chart:
Alarm content Type Priority
HR Over limit above medium
SpO2 Over limit above medium
ST Over limit Set different priority
RR Over limit based on patient
NIBP Over limit conditions
IBP Over limit
Temperature Over limit

asphyxiate alarm Physiological high

alarm
(SpO2) pulse search over due Physiological high
alarm

23
 Alarm

(ECG)lead off Technical alarm high

(ECG) channel full Technical alarm high

(SpO2) sensor off Technical alarm high

(SpO2) without sensor Technical alarm high

(NIBP) cuff leakage Technical alarm high

(NIBP) without cuff Technical alarm high
(NIBP) cuff over pressure Technical alarm high
(NIBP) test over time limit Technical alarm high
When the monitor is turned on for the first time, its alarm control has factory default. Restarting the monitor
after 30 minutes, its alarm limits return to factory default. Otherwise, alarm control remains the same as when
the monitor is turned off.

5.2.7 Alarm print

z Set overall alarm print switch

The monitor has factory default for this function. When the monitor restarts, its alarm print switch remains the
same as when the monitor is turned off.
MENU key -> Printer Setup (only with printer option, otherwise [Printer Setup] is not activated).

z Set single parameter print switch

ALARM key -> Alarm Control
z To obtain alarm printing for partial parameters, the following conditions should be met:
General Alarm Switch: On
Current Parameter Alarm Switch: On
General Alarm Printing Switch: On
Current Parameter Printing Switch: On
Recorder in working status (if the recorder is busy, Alarm will not be printed)

5.2.8 Adjust alarm tone

Adjust alarm tone by MENU> System Setup > Set Sound > Device Tone
Adjustment range for alarm tone: 400 Hz ~ 2950 Hz. Factory default: 900 Hz.

5.2.9 Restore alarm default settings

Select ALARM key -> Alarm Default

24
 Alarm

Returning to default setting applies to all parameters, alarm limits, alarm switch, alarm sound and
all other related values. There are three sets of default values for alarm limits: adult, pediatric,
and neonate. See Product Specifications for detailed alarm default values for all parameters.

5.3 Alarm Review

The user can review 100 alarm records.

Warning:

There will be no saved records when the monitor is Off.

Select MENU key -> Review -> Alarm Review

Alarm records can be arranged by alarm time sequence. Press Line up, Line Dn, Page up, or Page Dn to review
more records.
Parameters' name and definition

Name Definition
HR Heart Rate
ST_I ST segment
ST_II
ST_M
SBP(NIBP) Shrink Blood Pressure
MAP(NIBP) Mean Average Blood Pressure
DBP(NIBP) Diastolic Blood Pressure
T1 Temperature 1
T2 Temperature 2
SPO2 SpO2
RR Respiration Rate
ET et CO2
INS ins CO2

5.4 Identify alarm and erase alarm

Warning:
When an alarm happens, check the patient's conditions first.
25
 Alarm

When there is an alarm sound from the speaker, the user can not determine which physiological
parameter or which type of alarm is occurring. The user must look at the display and the blinking
numerics to judge the alarm type and reason. The following are some actions to take:
1. Check the patients condition
2. Identify which parameter is alarming or which type of alarm is occurring
3. Identify the alarms reason
4. Silence alarm when necessary
5. Check if alarm is off after the alarm status has been adjusted.

26
 Trend Analysis

6. Trend Analysis
Trend data is a patients data collected during a period of time. Trend analysis is patient condition chart
displayed based on the trend data. The trend map or trend table can be prepared according to the parameters
selected by the user. Except noninvasive blood pressure, all trends are consecutive curves. The trend map (table)
can provide time zoom and range zoom for detailed analysis of the patients conditions.

6.1 Main screen trend analysis

Main screen trend map (table)

The main screen trend map (table) displays the latest trend data distribution in real time. The user can select
parameters, time frame and adjust time spans.
z Display the trend map (table):
Press MENU and enter display mode. Click format setting. Select ascending trend map (table). Select
trend map (table), the targeted trend map (table) appears as below.

z Trend map distribution:

parameter field: Used for trend map operation;

Measurement scale: Marks the value scale of the trend map;
Trend map display area: The trend map is on top of the time line.
Trend map display area: in the nomal wokring mode, the trend map displays the data from the most recent
time line. When the data is over the one screen display, the trend map automatically
rolls leftwards. Use Page Up to get to the previous trend data chart. Use Page
Dn for the recent trend data. The color of the image is determined by the
parameters. Gray shows invalid field.
Menu description:
1. Field: click the parameter field and enter menu;

2. Parameter selection menu: select any parameter, click OK. The corresponding trend map will be displayed
in the trend map display area;

3. Time frame of the trend map: click [Page Up], [Page Dn];

4. Interval: as shown below: the image will be compressed or expanded according to selected intervals.

27
 Trend Analysis

5. Range: as shown below, it is used to control the Y axel value range of the trend map. The adjusted range
will be stored in the Monitor. It will be applied when the monitor restarts. The range has three adjustment
modes: alarm limit range, maximum range, and manual adjustment. Once the user sets the range, the trend
data takes the upper limit/lower limit according to this range. Any value over the limit is not valid.

z Trend table distribution

Menu field: used to enter the trend table operation;

Data display area: in the normal working mode, the trend data of the the most recent time frame is displayed
in this area. When the data is over one screen, it automatically rolls up or down. Use [Line Up], [Line Dn],
[Page Up], [Page Dn] to view the trend data of the previous time frame.
Menu description:
1. Enter menu:

2. Adjust the time frame of data: use [Line up], [Line Dn], [Page Up], and [Page Dn];
3. Adjust the intervals: as shown below: the data in the trend table is compressed or expanded according to
the desired intervals. The new data in the trend table will be added accordingly.

6.2 Trend analysis

Enter the history database from the system menu, click the trend display. The trend window can show analysis
of one parameter or several parameters via the trend map or trend table. The user can expand the time frame
and adjust the value range manually.

z Trend map distribution:

Parameter field: Marks the required parameter selected by the user.

Scale: Marks the value range of the trend map.
Cursor: Use menu to move this cursor.
28
 Trend Analysis
Parameter table: The corresponding value of the parameters at the current cursor time is displayed in this
area. Black letters represent the selected parameter(s). Below the parameter list is the area
to display events and step.
Trend map display area: Displays the trend map of the selected time frame in the trend data. The color of
the curve is determined by the parameter. Gray represents invalid value.
Starting time of the trend data: It is used to mark the start time of the trend data recording.
Cursor time: It is used to mark the current time.
End time of the trend data: It is used to mark the finish time of the trend data recording.
The time cursor in the trend data: It marks the cursor time value in the trend data with a red dot.
Event mark: It is used to mark all events recorded in the current page.
Time frame: It is used to mark the time frame of the current page.
Menu description:
The menu is as follows:

1. Select the parameter: The user can select up to three parameters combination in the menu. The selected
parameter is highlighted in the parameter table. Click the selected parameter again will reverse the
selection. Click [OK], the corresponding trend map will be displayed in the trend map display area.

2. The map time frame: Using Page Up, Page Dn, the user can browse the trend map back and forth until the
required time frame is shown on the screen.
3. Cursor: Click this knob and rotate it to move the cursor. The time value and events where the cursor is will
be displayed in the parameter table.
4. Intervals: Select any time interval as shown below. The trend map will be compressed or expanded
according to the selection and displayed in the trend map display area.

5. Range: As shown below, this is used to control the Y axel on the trend map. The adjusted range will be
saved in the Monitor and applied in the next start up. There are three areas: alarm limit range, maximum
range, and manual adjustment for the use to choose. The trend data will take this range as the upper limit
or lower limit value. Any value above or below the range will be invalid.

Alarm Limit: The alarm limit range set by the user will be used for the value limit range.
Max Range: The default range of this Monitor serves as the value range.
Manual Adjust: Used to adjust upper/lower limit range. Its value range is limited by the maximum range.
6. Trend table

The information in the trend table is displayed as a list. The parameter number and category are the same as the
trend map. In the trend table, the median time is the cursor time value in the trend map. The value of each
parameter is date and time (except NIBP). The NIBP value is the first value in the current interval.
Menu description:

29
 Trend Analysis

Adjust data display time frame: Use [Line Up], [Line Down], [Page Up], [Page Dn] to set the time frame.
Adjust time intervals: Select one interval for the time frame of each data in the trend table.

30
 Freeze Waveform and Replay

7. Freeze Waveform and Replay

Doctors can freeze the current waveform on the monitor screen to examine the waveform. Waveform replay
allows the user to review pages up or down to get overall waveform for several seconds, or to save the required
waveform for further analysis.

7.1 Menu description

Press <Freeze> to freeze the waveform on the screen.

Browse the waveform: Use [Page Up] and [Page Dn].

Save waveform: Press [Save] to save the frozen waveform section to replay it later. If the waveform is
successfully saved, the following appears:

Press [Wave Review], the previous frozen waveform is displayed on the screen.

Press [Select File], the following appears:

Start time of the selected file;

Selectable files
Move the cursor to position the user can select a corresponding time. Click [Ok], the corresponding
waveform will be generated on the screen.

Browse waveform: Use [Page Up] and [Page On] to review different waveforms.

31
 Freeze Waveform and Replay

8. Record Events
Events can be recorded for future reference. Use [Tools], click [Event], the following appears:

Recordable event serial numbers.

Event display.
Menu description:
Record events: Click [Event1], [Event2], [Event3], or [Event4], the position will display that the event was
successfully recorded.
Browse events: The user can see event records at the corresponding time of the day in the event display area of
the trend analysis.

32
 Drug Calculator

9. Drug Calculator
The information of the drugs given through intravenous infusion includes dosage, infusion speed, volume, and
concentration. The drug calculator function can help calculate unknown value by the known formula and
therefore help control drug infusion.

Caution:

Before applying any drug, correct calculation unit and patient weight should be considered. If
there are doubts regarding these, consult the hospital pharmacy.
It is always a doctors decision to determine the type of drug and its dosage to be applied to a patient. The drug
calculator will calculate the dosage based on the entered value. It can not verify the validity of the calculated
data.

9.1 Enter drug calculator function

To enter drug calculator function, press enuappurtenancedrug calculation.

9.2 Measurement unit

Drug unit

When the drug name is any drug, you can select: g, mg, mcg, unit, k unit, m unit, mEq.
Once the drug name is identified, the unit is set by the drug calculator automatically. The user cannot
modify it.
After the drug measurement unit is set, the weight unit in the drug calculator changes accordingly as well
as the pace of the infusion process.
Time unit
Min (minute) and hr (hour) are used for time unit. After setting the time unit, the unit in the drug calculator
changes accordingly as well as the pace of the infusion process.

9.3 Glossary

z Total drug volumn: The total weight of the drug used by a patient within a certain time period.
z Liquid volume: The volume of the solution including the drug.
z Dosage/min or dosage/hr: The drug quantity injected into a patient within unit time (per
minute/hour).
z Dosage/(kg*min) or dosage/(kg*hr): The amount of drug per 1kg of a patients weight injected
in the patient within the unit time period (per minute or hour)
dosage/(kg*min) * patient weight dosage/min
dosage/(kg*hr) * patient weight dosage/hr
z Infusion speed: The volume of the drug solution injected into a patients body within unit time
(per minute, hour). The unit is ml/min, ml/hr.
z Infusion speed/kg: The volume of the drug solution per 1kg of a patients weight injected into
the patient within unit time (per minute, hour) , the unit is ml/min, ml/hr.
infusion speed/kg * patient weight transfusion speed

33
 Drug Calculator
z Time: The consumed time for drug infusion (the unit is min, hr).
z Concentration: The concentration of the drug in the solution.
concentration total drug / liquid volume
z guttae speed/ min, guttae speed/ hr: The infusion within unit time
z guttae/ml: The volume of each guttae dropped form the infusion device, the unit is GTT.

9.4 Drug calculation execution

a) Entered numbers
z To enter numbers, the cursor selects the first digit from the left. Turning the rotating knob the
cursor will select each digit consecutively from left to right. When it reaches the last, it will
jump back to the first digit repeatedly. Press the rotating knob and enter the digit selection
status.
z The selection range for each digit is 0 - 9.
z When the digit is larger than the display value, it displays ---.--. When it is smaller than the
display value, it displays 0.00.
z All digits after the decimal point will be rounded up.
b) Calculation rules
z The equation for drug volume:
total drug=dosage/min* duration
dosage/min=dosage/(kg*min)*patient weight
z The equation for solution volume
liquid volume=infusion speed*duration
Infusion speed=infusion speed/kg*patient weight
z concentration=total drug/liquid solution volume
c) Known value and calculation results
z Total drug, dosage/min, dosage/(kg*min), volume, infusion speed, infusion speed/kg, time ,
concentration can be entered as known items or be put out as a calculation result.
z The user can enter at least three known items according to the calculation requirements. The
drug calculator will automatically calculate using the default equations.
z The known items entered by the user are expressed with blue background. The calculation result
is expressed with gray background.
z All fields are initially displayed as 0.00 and can be filled with value. After the user inputs the
known item, the drug calculator start calculating and the result will be displayed in real time.
The calculation result is then locked. The user can only modify the entered value. To put in 0.00
means to cancel this entry.
z Pressing calculate knob returns to the initial status of the entry.

d) Conduct calculation for any drug

z When the drug selection is any drug, the drug calculator only provides the calculation for the
infusion liquid. No application range is prompted for the dose or concentration.
z Input three items such as body weight, drug unit, time unit.
z Input the drug information into corresponding fields, and the drug calculator will calculate
relevant value.

34
 Drug Calculator
e) Conduct calculation for certain drug
z The drug calculator has been preset to do calculation for more than ten types of general drugs,
e.g. Aminophylline and Amrinone Lactate (see Drug Dosage Range Limitation Table). Once a
drug name is selected, the drugs relevant value such as concentration, total drug amount,
dosage/min will have corresponding limitation ranges. When any information entered or any
calculation result is out of range, the drug calculator will show it in red color.
z The drug dosage over range prompted from the drug calculator can only warn the user to pay
attention to apply appropriate dosage of the current drug. The final infusion dosage and infusion
process should be determined by the physitian in charge.

Drug Dosage Range Limitation Table

Drug name concentration speed dosage
Aminophylline 0.5~1mg/ml <25mg/min 250~500mg
Amrinone Lactate 1~3mg/ml 5~10ug/kg/min 5 ~10mg/kg
Bretylium Tosilate 10mg/ml 1~50mg/min 5~10mg
Dobutamine 0.5~5mg/ml 2.5~40ug/kg/min 250mg
Dopamine <3.2mg/ml 1~30ug/kg/min 10~20mg
Epinephrine <64ug/ml 1~4ug/min 0.025~1mg
Heparin Sodium 20~40U/ml 15~20U/kg/h10% 6000~20000U
Isuprel 2~4ug/ml 2~20ug/min 0.5~1mg
Lidocaine <8mg/ml 1~4mg/min 1~2mg/kg
Morphine 0.5~5mg/ml <2mg/min 5~15mg
hydrochloride
Nitroprusside 0.1~1mg/ml 0.5~10ug/kg/min 50mg
Nitroglycerin 50~400ug/ml 5~200ug/min 5~10mg
Oxytocin 0.01U/ml 0.001~0.04U/min 2.5~5U
Procainamide 2~4mg/ml 1~6mg/min 10~15mg/kg

9.5 Titration process table

The Titration Process Table allows the user a quick glance of how much liquid has been infused into the
patients body, and how much time remains.
z The titration process table displays the remaining amount of the drug and liquid at each time
frame after the user inputs the data into the drug calculator.
z Select titration process table to enter this function.
z The left side of the screen shows the data (and calculation result) entered by the user. The right
side is equally divided into 15 segments, according to the total infusion process, listing the total
drug amount and liquid volume for each segment.
z All the fields in this window can not be modified.
z The unit for the total drug amount is the same as the unit entered at the drug calculator main
window. The liquid volume unit is ml.
z Press OK to exit the table and return to the drug calculator main widow.

35
 Drug Calculator

9.6 The titration table

At a glance the user can see the drug dosage accepted by the patient at different infusion speeds. The higher the
infusion speed, the larger the gaps between the segments of the table.
z The titration table shows the relationship between the dosage/min and the infusion speed under
the condition of the same liquid concentration.
z Select the titration table to enter this function.
z The left side of the screen shows the data (and calculation result) entered by the user. The right
side is equally divided into 30 segments showing the relationship between the dosage/min and
infusion speed.
z There are two fields in the list: dosage/min (in the case where the unit selected is hr, then this
field will be dosage/hr) and infusion speed.
z The range used in calculating the Dosage/min (dosage/hr) is one to two times of the value
entered by the user in the drug calculator at the beginning.
z Press OK to return to the drug calculator screen.

9.7 Recalculation

The drug calculator result remains in the monitor when the user exits this function or turns off the Monitor.
When the user enters the drug calculator function again, the latest data appears. If the user wants to start a new
calculation, press Recalculation in the drug calculator screen which clears all existing data and a new
calculation starts.

36
 Printing

10. Printing
The printing function is optional with NT3 series monitors. The user needs to determine whether to include this
function which prints one real time waveform of the main lead ECG (see other s and sections for the main lead
definition) or two real time waveforms of the main lead ECG and blood Pleth volume. This function has two
printing speeds: 25mm/s and 12.5 mm/s. Timer printing and alarm printing are also available.

10.1 Connect to the printer

The printer used for this Monitor is a thermal printer which is installed on the side of the Monitor. Do not
install any other types of printers which may cause damage to the monitor. Contact the manufacturer
immediately for any questions.
If the printer is properly installed, the printer indicator will be green when the monitor is turned on.
If it is red, it means that the printer is without paper. Do not print without paper, which may cause
damage to the printer.
The printing paper is single sided thermal printing paper. Press printer knob to open the cover.
Insert the paper with the smoother side up and close the printer door. Tthe red error alarm indicator
should be off.
Check to see if the printer is properly connected. If not, the printer can not be normally detected
will appear.

10.2 Set printing parameters

Select printer setting, the following appears:

Curve mode is used to select the number of curve channels and content to be printed. Mode 1 prints one
main lead ECG, while Mode 2 prints two waveforms: the main lead ECG + blood Pleth waveform.
The user can select printing speed: 25mm/s, or 12.5mm/s.
Total length is the total printing length after print is pressed. The unit is second. The minimum length is 5
seconds. The maximum is 30 seconds.
Alarm printing is to print all parameters when alarms occur, including heart rate, SpO2, blood pressure,
respiration rate and body temperature.
Timer printing prints only parameters. The default setting for both alarm printing and timer printing is
off.

Caution:

When the printer is printing, it can not be configured.

When it is time to perform a timer printing but the printer is printing, the Monitor will dismiss
this timer printing.

37
 Printing
10.3 Printing

Press print to start printing. It will stop when it finishes. While the printer is printing, press print again to
stop the current printing job.

Caution:

When the thermal recorder is printing, the user should not open the printers cover. Only after it
stops printing, the user can retrieve the print-out. The printing paper needs to be installed before
restarting the recorder. Never start printing without printing paper.

10.4 Alarm printing (see alarm )

38
 Monitoring ECG

11. Monitoring ECG

This Monitor adopts 5-lead ECG cable to collect the ECG signals from a patient. It can simultaneously display
seven ECG channels. The ECG channel displayed on the top part of the screen is the main channel which is
used to calculate the heart rate. It also controls the gain (in automatic mode). All 5 leads adopt the same gain
control and same measurement mode. The Monitor can detect individual lead off and display them on the
screen.

11.1 ECG electrode monitoring

Warning:

Do not use the ECG-cables, which do not belong to our company, or it will lead the safety problem
in defibrillating
Using five-electrode ECG cable can obtain up to 12 selectable ECG leads. The Monitor displays a patients
ECG waveform from those pre-selected, effective leads.
The ECG cable includes two parts: the main cable connecting the Monitor and the electrode leads connecting
the patient.
1) Selection and use of electrodes
The electrodes use for monitoring ECG are disposable electrodes made from Ag-AgCl (silver - silver chloride)
with the disposable electrode mark: . Before use, make sure the electrode has valid expiration date.
Normal electrodes should enable the monitor to display and maintain data in 5 seconds after the defibrillation
electric discharge. Defected electrodes can lead to inaccurate data.
2) Skin preparation
Because the skin is not a good conductor, it needs to be treated before affixing the electrodes.
1 Completely clean the skin with soap and water, but not with aether or pure alcohol which will increase
skin resistance.
2 If necessary, shave the body hair where the electrode is to be affixed.
3 Rub the skin to accelerate blood flow and get rid of the dead cells and greases on the skin.
4 Install the electrode on the patient. Apply some conducting gel first if the electrode comes without it.
5 Connect the electrode lead with the patient cable.
6 Make sure the Monitor is power on.
7 Make sure the electrode, wire leads, and the trunk cable are not connected with any other conductor
parts including the ground.

11.1.1 Installing the ECG electrode

(1) For the installation of the fivelead ECG electrodes, refer to the ECG electrode installation as shown in
Figure 11.1
Installing electrode for five-lead device

39
 Monitoring ECG

white (right arm) leadon the right foreleg.

black (left arm) lead: on the left foreleg
green (reference) lead: on the right hind leg
red (left leg) lead: on the left hind leg
V lead: exploring lead
Figure 11.1 Five-lead ECG electrode installation positions
(2) ECG lead-electrode installation recommended for surgical patients
For surgical patients, installing ECG lead electrode is based on the type of operation. For example, during open
chest operation, the electrode is placed on the sides of the chest or on the back of the patient. In the operating
room, the application of the surgical electrocauterize unit sometimes may cause interference on the ECG
waveform. To reduce the interference, the electrodes can be placed on two shoulders, or the right and left sides
near the abdomen. The chest lead electrode can be placed on the left side of the center of the chest. Avoid
placing the electrode on the upper arm where small ECG waveforms are produced.

Figure 11.2 Three-lead ECG electrode installation positions

Attention:

If there are cardiac pacemaker inside the patients body, Montior will count the packmaker pulse
as the normal ECG wave, it caused the ECG signal of patient can not be measured.

The label name and color of the electrode is American standard. The square brackets [-] indicate
European standard.

Caution:

40
 Monitoring ECG

Select a place with stable ECG signals or little activities to place the electrodes.

The electrosurgical unit (ESU) and non-grounded equipment near the patient may disturb
waveform.

Never put the electrode near the grounding of a surgical electrocauterize unit, which will cause
huge interference to the ECG signals. The electrodes should have equal distance to the
electrocauterize blade and its ground.

The electrode should be affixed tight to the skin to ensure proper conduction.

Caution:

To ensure patients safety, all leads should be connected to the patient.

For the five-lead configuration, place chest (V) electrode in the above mentioned position.

Check daily to see if the ECG electrode patch irritates the skin. If irritation occurs, replace the
electrode or change the electrode position every 24 hours.

Always make sure all leads are nomal before start monitoring. If the ECG cable is not connected,
the screen will show lead off.

Attention:

To protect the environment, all used electrodes must be recycled or disposed properly.

11.1.2 Main ECG display

The ECG waveform is green including two ECG channels. The top ECG channel is the main channel as shown
below:

main lead type gain mode gain measurement mode

Waveform speed scale scale range lead off sign ECG waveform

Select position with the cursor, press the rotating knob and the ECG menu appears.
lead selection: To switch lead type, press the knob. There are seven lead types: I, II, III, aVR, aVL, aVF, V
for selection. The main lead is the most important lead. To get accurate heart rate and gain
control performance, the doctor should select the lead with large range and little noise as the
main lead.
Caution:

To avoid duplicate leads, when switching the lead type in the current channel, the lead

41
 Monitoring ECG
types in other channels will be changed automatically.
gain mode: To switch between automatic gain and manual gain, press the knob once.
Gain means to magnify the ECG signals. This monitor has five magnifying stages: x1/4, x1/2, x1, x2, and x4.
x1 is one time magnification. Under this magnification, the range of the scale at the left side of the ECG
waveform is 1mV. Under the standard waveform display format, the length of the scale is 10mm. Then
under the condition of x2 magnification, the waveform of the 10mm displayed on the standard screen will be
for the ECG signal of 0.5 mV. Below is a detailed table:

Gain factor Automatic gain Manual gain 10mmscale range

X1/4 adopted applicable 4 mV

X1/2 adopted applicable 2 mV

X1 adopted applicable 1 mV

X2 adopted applicable 0.5 mV

X4 adopted applicable 0.25 mV

Caution:

All leads should use the same gain control.

This Monitor provides two methods to regulate the electrocardiogram waveform range:
Automatic mode: In automatic mode, the monitor will automatically regulate the gain to amplify the ECG
waveform from the main lead without possible distortion. The automatic mode can be slow.
Using this mode, the manual mode forgain regulationis not activated.
Manual mode: In manual mode, the monitor will not automatically regulate the ECG gain value. The ECG
gain is regulated via thegain regulationmenu. This mode generates fast response. The
waveform will change immediately after the gain is regulated, and can be amplified with
some distortion.

These two modes can be switched usinggain mode.

gain regulation: To manually regulate ECG gains, press down the rotating knob. Rotate anti-clockwise, the
gain and waveform range becomes smaller. Rotate clockwise, the gain and waveform range becomes larger.
After the regulation is done, press down the rotating knob again.
measurement mede: The measurement mode refers to the filter bandwidth of the ECG channel. Under
diagnostic mode, the filter bandwidth is set to the widest, which can get the detailed ECG signals. This
detailed information helps to accurately interpret the status of the ECG signals. Yet the detailed information
may be accompanied with some ambient noise, e.g. noise of the HF electrotome. The noise is mixed with the
real ECG signals; therefor the true ECG signals can be difficult to distinguish. To accommodate noisy
environment, the monitor provides two measurement modes: the monitoring mode and the theater operation
mode. In these two modes, narrower bandwidth is used to obtain smoother signals. The user can choose for
appropriate situations. See below noise comparison table:

Measurement Mode Bandwidth Details Noise

Diagnosis 0.05Hz~125Hz most most

Monitoring 0.05Hz~100Hz Medium Medium

Operation 0.5Hz~90Hz Least Least

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 Monitoring ECG

Caution:

All leads should be in the same measurement mode.

1mV standard signal: Used for the square wave signal 1Hz 1mV.
Waveform speed: Used to regulate the waveform speed for parameters relating to the heart, including all
ECG channels and blood Pleth waveform channel. There are four speeds: 6.25 mm/s,
12.5 mm/s, 25 mm/s, 50 mm/s.

11.1.3 Screen showing other leads channels

lead type scale lead off sign ECG waveform

Select the position with the cursor, press the rotating knob to switch lead types.

11.2 Parameter display

ECG parameters include the heart rate and ST section. Except in large numeric mode, the heart rate and ST
sections are displayed on the right corner of the screen. See below.

ECG waveform heart rate and main lead ST alarm limit heart rate alarm off sign heart rate label
heart rate source heart rate main lead ST section other lead STsection ST section label
Move the cursor to the heart rate label, and press down the rotating knob to use heart rate setting menu, as
shown below:

Alarm On/Off:: Used to switch between alarm on and alarm off.

Alarm Setting: Used to check and regulate alarm settings of the heart rate.
HR Source: Used for selection strategy for the heart rate source. Press the knob down and the menu shows:

43
 Monitoring ECG

AVRG.: Used to set up calculation average periods of the heart rate and ST section. Press down the knob
and the following menu appears:

ST On/Off: Open and close the ST section display, as shown in below:

Display the ST section Hide the ST section

Heart rate source selection:
During the oxygen saturation testing process, the monitor measures the pulse rate. Pulse rate or heart rate can
be displayed in the area of the heart rate. This selection is called heart rate source selection. This monitor
supports two heart rate source selections: automatic selection and manual selection. The heart rate source mark
and heart rate label both show the current heart rate source, see below comparison list:

Label The color of the heart rate value Heart rate source mark Source

heart rate green I, II, III, aVR, aVL, aVF, V Form ECG signal

pulse rate yellow SpO2 From SpO2 signal

Attention:

Pulse rate and heart rate share the same set of alarm limits and alarm on/off.

Warning:

If the ECG cable is damaged or aged, it should be replaced immediately.

11.3 Trouble shooting

Problem Possible reasons Suggested remidies

lead off ECG electrode fell off from the patients Ensure the electrode lead and cable
body or the ECG cable fell off from the are properly connected.
monitor.

ECG signal noise too The measurement mode is not correctly set Change the electrocardiogram
loud. according to the environment. measurement mode.

The power frequency is not set in Set right power frequency. Refer to
accordance with the local power frequency. Three.

44
 Monitoring ECG

The monitor is not grounded properly Check the grounding system of the
monitor.
The electrode is not connected properly to
the patient Keep the patient stable to obtain
reliable connections of the electrodes.

No heat rate display The ECG signal is very weak, <0.25mV. Check the connection between the
electrode and patient to ensure
No heat beat sound The electrode is not connected to the patient
proper contact of the electrode and
properly.
patients skin.
The patient type is not set correctly.
Correctly set the patient type.
The gain is not enough.
If it is in manual gain regulation, tune
the gain to the right magnification.

Channel Saturation ECG monitoring equipment overload or Decrease gain by manual

amplifier saturation caused equipement in
abnormal working status

45
 Monitoring NIBP

12. Monitoring NIBP

12.1 Overview

The noninvasive blood pressure (NIBP) measurement is achieved by oscillometric method.

NIBP monitoring system including components and accessories like some pressure sensor, battery valve,
bicycle pump,NIBP cuff.
The noninvasive blood pressure (NIBP) measurement is applicable to horse, dog and cat or similar size
animals.
The measurement modes: manual, automatic, and consecutive. Each mode displays the systolic blood
pressure, mean blood pressure and diastolic blood pressure.

12.2 Cuff Selection and Placement

To place the cuff, followed the bellowed procedure:

1. Identity the patient limb/tail circumference.
2. Select an appropriate cuff which is identified with a specific lim circumference.
3. Verify the cuff is completely deflated.
4. Place the cuff over the proper site of the patient, verify that the cuff is not wrapped too tightly around the
limb.

12.3 Cuff sites on differents animals

For a CAT
For a conscious patients, measurements from the coccygeal artery can be taken by wrapping the cuff around
the base of the tail. For anesthetized patients, measurements from the median artery on the foreleg can be used
by wrapping the cuff around the forelimb, between the elbow and carpus. For cats less than five pounds when
measurements are difficult to obtain, place the cuff around the leg above the elbow to obtain measurements
from the brachial artery. Hair need not be clipped except when heavily matted.

Placement of Cat Cuff

For a Dog

Concerning measurements in dogs, its preferable to use the right lateral, stemal or dorsal recumbent position.
If the dog is in a sitting position, place the front paw on the operators knee and take the measurements from
the metacarpus.

The metacarpus, metatarsus and anterior tibial are recommended for the cuff placement. For
anesthetized patients, most surgeries are done on the posterior part of the body so that the
metacarpal area of the forelimb is most convenient In situations where this is not possible, place
the cuff around the metatarsus just proximal to the tarsal pad or around the hind leg next to the
hock. For conscious patients, measurements from the coccygeal artery can be used to over tail
site.

46
 Monitoring NIBP

Placement of Dog Cuff

For Larger animals

Its preferable for a large animal, such as a horse and cow, to be in a stock, standing still.
Measurements from the coccygeal artery on the ventral surface may be used by placing the cuff
around the base of tail.
Caution:

Verify the proper cuff size before each measurement.

Extremity and cuff motion should be minimized during blood pressure determinations.

Proper blood pressure cuff size and placement are essential to the accuracy of the blood pressure
determination.

Any blood preesure recording can be affected by the position of the patient, his or her physiologic
condition and other factors.

Blood pressure measurements should be interpreted by a physician.

Warning:

Use only the accessories approved by the manufacturer to avoid any malfunction of
the monitor.
The width of the cuff should be either 40% of the limb circumference or 2/3 of the
upper limb length. The inflatable part of the cuff should be long enough to circle
50-80% of the limb. The wrong size cuff can cause erroneous reading. If the cuff size is
in questions, use a larger cuff.
Dont apply the cuff to a limb that has an intravenous infusion or catheter in place.
This could cause tissue damage around the catheter when infusion is slowed or
blocked during cuff inflation.
Make sure that hoses are not kinked, compressed or restricted.
The limb chosen for taking the measurement should be placed at the same level as the
patients heart.
If the animals hair over the artery site is too thick or matted for good contact, it
should be clipped.
The tube between the blood pressure cuff and the monitor should be unobstructed
and cannot be tangled.

12.4 Measurement limitations

The blood pressure measurement of this monitor uses oscillometric method. This method looks for a regular
artery pressure pulsation. If a patients conditions are not applicable to use this method, the measurement may
become unreliable and the time needed for measurement will be increased. The following situations may have
some interference to this measurement method, which can make measurement become unreliable or a longer
measurement time. If this happens, measurement can become impossible.

47
 Monitoring NIBP
Patients movements: If the patient is moving, shivering or jerking, it will make the measurement result
unreliable or even impossible. These conditions may interfere the artery pressure
pulsation measurement, and prolong the measurement time needed.
Arrhythmia: If the patient has irregular heart beat due to cardiac arrhythmia, the measurement result will be
unreliable or impossible. The measurement time will be prolonged as well.
Heart-lung machine: if the patient is connected to a heart-lung machine, the measurement can not be carried
out.
Unstable blood pressure: if the patients blood pressure changes rapidly during certain measurement
process, the measurement will be unreliable or can not be conducted.
Severe coma: If the patient is in coma or with very low body temperature, the measurement will be unreliable.
The insufficient blood flow to the periphery can lead to the decrease of the artery pulsation.
Extreme heart rate: when the heart rate is below 30bpm (heart beat /minute) or over 300bpm, the
measurement cannot be carried out.
Obese patient: The excess body fat level can reduce the accuracy of the measurement, because the fat can
block the artery pulsation to reach the cuff.

12.5 Display

Systolic blood pressure alarm limit

Diastolic blood pressure alarm limit
NIBP alarm off sign: When the alarm for systolic blood pressure, diastolic blood pressure and mean
pressure is prohibited, this sign will be displayed. If one parameter alarm is allowed, this sign will
disappear.
Press here NIBP setting menu appears.
Pressure measurement unit
Systolic blood pressure and diastolic blood pressure
Mean blood pressure
, Information status bar for NIBP

The NIBP setting menu is as below:

Alarm On/Off: To switch simultaneously alarm on/off for systolic blood pressure, diastolic blood
pressure and mean blood pressure.
Alarm Setting To check and set the alarm for systolic blood pressure, diastolic blood pressure and
mean blood pressure.
Auto/Manual To switch between automatic measurement mode and manual measurement mode.
Test Interval To set automatic measurement intervals in automatic measurement mode.
Venous Puncture To enter and exit the venipuncture status.
Start TestTo start the continuous measurement.

12.6 Functions

The NIBP has two functions: blood pressure measurement and the venipuncture function.

48
 Monitoring NIBP
12.6.1 Blood pressure measurement

When starting blood pressure measurement, the blood pressure cuff will be inflated. The systolic blood
pressure, diastolic blood pressure and mean blood pressure are measured through sensors. A normal
measurement process takes about 40 seconds.

There are three methods for blood pressure measurement: manual, automatic, and consecutive.
Manual measurement: Each blood pressure measurement process shall start manually. Press <Start> on
the panel of the monitor, the blood pressure cuff air pressure is set manually.
To enter manual measurement mode, press automatic/manual. When the manual displays on the
position , it indicates that it is in manual measurement mode. Position does not display any
information.
Automatic measurement: The monitor will periodically start the blood pressure measurement
according to the selected time intervals. Press automatic/manualto switch to this function. When
position displays automatic, it indicates that it is in automatic measurement mode. The position
now will show automatic measurement interval time.
Automatic measurement mode has two statuses: pause with the clock at position stopped. It means
that although it has entered automatic mode, the automatic measurement cycle has not been started yet.
With the clock at position running, it means the automatic measurement cycle has been started. The
clock at position indicates how much time still remains before next measurement. During pause status,
conducting one manual blood pressure measurement will restart the automatic measurement operational
status and the clock at position begins to run. The user can switch between automatic measurement
and manual mode. Press <start> during the blood pressure measurement can stop the measurement
immediately; this can also switch the automatic measurement operational status to pause status.

Attention:

No matter in automatic mode or manual mode, pressing <start> will begin the blood
pressure measurement.
During blood pressure measurement process, press <start>, the monitor stops the
blood pressure measurement immediately and deflates the cuff at the same time.
Consecutive blood pressure measurement
The consecutive blood pressure measurement mode is used during operations or emergencies. This mode
measures blood pressure consecutively for five minutes with a simpler method. After five minutes, the
monitor returns to the previous status (automatic or manual).

12.6.2 Venipuncture

In venipuncture mode, the monitor inflates the blood pressure cuff to the pre-assigned level and stabilizes it for
the pre-assigned time period before deflating the cuff.

The setting for venipuncture is as follows:

Venipuncture mode switch

Pressure
Duration. The time starts from the air is inflaed until the air is deflated.

49
 Monitoring NIBP

Patient Pressure range Default pressure Maximum duration default

type duration
HORSE 20-120 mmHg 60 mmHg 170 s 100s
CAT 20-50 mmHg 40 mmHg 85 s 60s
DOG 20-80 mmHg 40 mmHg 170 s 100s

After setting, press OK.

When entering venipuncture mode, information shown below indicates the venipuncture mode:

In venipuncture mode, press <start> to begin or stop the air inflation.

Caution:

The blood pressure measurement type should be appropriate with each patient type. Set correct
patient type to ensure safety. Refer to the relevant for information on the monitor setting.

12.7 Maintenance and cleaning

Disposable blood pressure cuffs

Disposable blood pressure cuffs are intended to be used on the same patient. Do not use the same blood
pressure cuff on different patients. Disposable blood pressure cuffs can not be sterilized with high pressure.
They can be washed with soap and water to control infection.

Warning:

Do not squeeze the tube of the blood pressure cuff.

Do not allow water or detergent solution to get inside the NIBP connector on the monitor panel.
The instrument may be damaged.

When the reusable blood pressure cuff is not connected to the monitor or being washed, do not
allow any liquid to enter the tube to avoid accidental leakage into the monitor.

Do not clean the interior of the monitor. Only clean the exterior of the connector sockets.

To protect the environment, disposable blood pressure cuffs should be disposed properly.

12.8 Trouble shooting

Problems Possible reasons Suggested remidies

Failure to start Monitor hardware error Stop the NIBP measurement function, inform the
supplier to dispatch qualified maintenance
personnel to repair.

Blood pressure cuff not Blood pressure cuff is not Tie up the blood pressure cuff.
connected properly tied up or no cuff
pressure cuff

50
 Monitoring NIBP

Blood pressure cuff air Blood pressure cuff, bladder or Check and replace the leakage part. If necessary,
leakage connector is damaged inform the supplier to dispatch qualified
maintenance personnel to repair.

Weak signal Blood pressure cuff is too Use other method to measure the blood pressure.
loose or the patients pulse is
too weak.

Over pressure The pressure is above the If failure continues, stop the NIBP measurement
protection specified safety upper limit. function and inform the supplier to dispatch
qualified maintenance personnel to repair.

51
 Monitoring Impedance Respiration

13. Monitoring Impedance Respiration

This monitor measures human respiration movement waveform from the electrocardiogram lead using
impedance plethysmography. This respiration movement waveform is used to calculate human respiration rate
and analyze human respiration patterns.
The monitor measures three-lead respiration waveforms: I, II, III, of which lead II is generally used. Because
of different signal strength, the monitor provides two gain adjustment functions: automatic and manual. Setting
appropriate gain can make respiration waveforms clearer and without distortion.

13.1 Connecting electrodes

The impedance plethysmography is to monitor a patients respiration by the impedance variation between two
electrocardiogram electrodes. Respiration monitoring is achieved via electrocardiogram I, II or III lead and
their corresponding electrodes. No additional electrodes are required and the installation of the electrodes is
very important. With some patients, it is better to place the two respiration electrodes at the central line from
the right armpit or the most active area on the left side of the thoracic cage to obtain optimum respiration
waveform. See Figure 2.8 for recommended placements of five lead electrodes in respiration monitoring.
Warning:

The respiration monitoring is not recommended on patients with activity. It may lead to faulse
alarm.

Install white and red electrodes in opposite positions to obtain optimum respiration waveform.
Avoid placing the cable above liver and ventricle to reduce false readings produced by the heart
coverage or pulsation blood flow.

13.2 RESP monitoring preparation

1 Prepare skin before installing electrodes.

2 Install clamps or snaps on the electrodes. Then install electrodes on a patients body (Figure 14.1)
3 Connect power for the monitoring system.

Figure14.1

13.3 Monitoring menu

Impedance respiration monitoring menu is as shown below:

52
 Monitoring Impedance Respiration

Press Resp mode to enter respiration measurement mode and then choose between impedance respiration
and nasal tube respiration.
Press Lead to select lead types.
Press Gain Mode for automatic or manual.
Press Adjust Gain for four levels: x1/2, x1, x2, and x4.
Status prompting bar
Press Waveform Speed for four levels: 6.25mm/s, 12.5mm/s, 25mm/s, and 50mm/s. This also adjusts the
speed for impedance respiration and nasal tube respiration.
Respiration waveform.
Scale.
The range unit is Ohm. The range and scale vary with different gains.

The respiration rate is displayed on the right side of the monitor, as shown below:

Select the respiration rate label, the below menu appears:

[Alarm On/Off:]: allows and prohibits respiration rate alarm limits.

[Alarm Setting]: checks and sets respiration rate alarm settings.
[RR Source]: signal source for respiration rate calculation. See below menu:

[Auto]: the monitor determines respiration rate source based on its detection of the connection of the
impedance respiration lead. If the connection is good, the respiration rate comes from the impedance
respiration. If the impedance respiration lead is off, the respiration rate source comes form the nasal tube
respiration or CO2.
[ECG]: selects the impedance respiration as the respiration rate source.
[T- Resp]: selects nasal tube respiration as the respiration rate source.

13.4 Messages

Lead off: it means that currently the leads are not properly connected. When the lead cable is not inserted into
the monitor or connected to the patient, this message appears.
Connection off: it means that the impedance respiration function is cut off internally. Go to settings in the
<menu>[System Setup][Calibration Function][ECG On/Off][Impedance
Respiration]. Refer to ECG On/Off operation s and sections.
Ops normal: except the above mentioned two conditions, the system will prompt Ops normal.

53
 Monitoring Nasal Tube Respiration

14. Monitoring Nasal Tube Respiration

14.1 Monitoring menu

This monitoring function is optional.

Press T-Resp to enter respiration measurement mode and then choose between impedance respiration and
nasal tube respiration.
Press Gain Mode for automatic or manual.
Press Adjust Gain for four levels: x1/2, x1, x2, and x4.
Status prompting bar
Press Waveform Speed for four levels: 6.25mm/s, 12.5mm/s, 25mm/s, and 50mm/s. This also adjusts the
speed of the impedance respiration and nasal tube respiration.

Refer to s on impedance respiration monitoring for relavant information.

14.2 Messages

Ops normal: the system always shows Ops normal.

54
 Monitoring Temperature

15. Monitoring Temperature

15.1 Installing temperature senor

The NT3 Series Veterinary monitor uses two types of temperature sensors: internal and external. Here external
mentions forehead and oxter, internal mentions anus. Place temperature sensors nicely on a patients body to
obtain two body temperatures and their difference.

Caution:

Before monitoring starts, check if the sensor cable is properly connected. Pull the temperature
sensor cable from the channel 1 jack, an error message T1 sensor is off is displayed on the screen
and the alarm sound can be heard. The same happens with the other channel.

Be cautious when handling temperature sensors and cables. When it is not in use, the sensor and
cable ought to be in a loose loop. Tightly folded cable can cause mechanical damage.

Temperature calibration should be done once a year (or according to the schedule specified in the
hospital procedure). If calibration is needed, contact the manufacturer.

Disposable temperature senors should only be used once.

During monitoring process, the temperature measurement instrument will conduct a self-check
every hour lasting for two seconds. This will not affect normal operation of the monitor.
Stable temperature values will be get mesureemnt for about 3 min. The temperature measurement result is
displayed on the screen as shown below:

Temperature alarm upper/lower limit.

Temperature alarm off sign.
Temperature parameter label. Select this label to enter menu.
Temperature unit.
Temperature difference. Temperature difference is the absolute value of temperature 1 and
temperature 2.
Temperature 1, measurement range: 35.5-45.5.
Temperature2, measurement range: 35.5-45.5.

15.2 Body temperature menu

Alarm On/Off allows or prohibits temperature alarm.

Alarm Setting checks and configures temperature alarm setting.
In this monitor, two temperature channels share the same alarm limits and alarm on/off. Temperature
difference has no alarm function.
Mode Three display modes as shown below:

55
 Monitoring Temperature

Doctors can select any display mode as needed.

15.3 Application Guide

1. Conncect the sensor to monitor, inspect it carefully to make sure it doesnt damaged.
2. Sterilize the sensor by dipping it in rubbing alcohol.
3. Allow it to dry, then apply petroleum jelly or a similar lubricant to the tip.
4. Allow your pet to stand, or lay her on her side, and gently hold her down.
5. Slowly but firmly raise the tail up and to the side, and insert the sensor. Push it in gently until only about half
an inch is sticking out. Then, clip the alligator clamp on the horse's tail hair.
6. Leave the sensor in for about three minutes
7. Wipe or rinse the sensor after use, and then sterilize it by dipping it in rubbing alcohol.

Application site

15.4 Maintenance and cleaning

Caution:

When cleaning the sensor connected to the monitor, always power off and unplug the AC.
Reusable temperature senor
The heat for the temperature senor can not be over 100 (212). It can only endure for a short time period
80 (176) 100 (212).
1 The sensor can not be sterilized with high pressure vapor.
2 After use, surface-clean sensor and cable with a soft gauze pad by saturating it with a solution such as 70%
isopropyl alcohol, if low-level disinfection is required, use a 1:10 bleach solution.
3 When cleaning the sensor, hold the front end with one hand and use the other hand to wipe the sensor
towards the connector with a wet cloth(scrub away for two times.
Warning:

Disposable temperature senors should not be sterilized and reused.

To protect the environment, disposable temperature senor should be recycled or properly

disposed.

56
 Monitoring SpO2

16. Monitoring SpO2

16.1 Overview

SpO2 measures functional blood oxygen saturation. It measures the percentage of oxyhemoglobin. It does not
measure carboxyhemoglobin or methemoglobin. For example, if 97% of red blood cells in the artery are
oxygenated, then blood has 97% blood oxygen saturation. The monitor SpO2 value reading would be 97. SpO2
measurement is a non-invasive, continuous measurement through an SpO2 sensor attached to a patients finger.
The sensor is connected directly to the SpO2 module. There are three types of display for SpO2: percentage
(%), pulse rate, and SpO2 waveform.

16.2 SpO2 Pleth priciple

z SpO2 measurement is a non-invasive, continuous method. It uses a light emitter with red and
infrared LEDs that shine through a reasonably translucent site with good blood flow. Typical sites
are tongue, toe, paw.
z The red light used is 660nm wavelength light band. Infrared light is 940nm wavelength light band.
The biggest LED output power is 4mW.
z The quantity of light passing through depends on many factors, most of which are permenant. One
of those factors is artery current changing with time. Through measurement of the light absorbed
during pulsation, oxygen saturation of artery is obtained. This meausre can generate Pleth
waveform and PR signal.
z SpO2 value and Pleth waveform can be shown on the main screen.

Warning:

If there are presence of carboxyhemoglobin, methemoglobin or dyestuff dilution chemistry

medicine, SpO2 value will be affected.

16.3 Precautions in SpO2 monitoring

1. Do not use the same limb for both SpO2 sensor and NIBP cuff. During NIBP measuring, blood flow
abstruction can influence SpO2 reading.
2. Make sure the finger nail blocks the light window.
3. Sensor cable should be on the back of the hand.
4. PR value displays only when the HR source is set fom SpO2.
Caution:

SpO2 and PR are not proportaional.

Before monitoring starts, check if the sensor cable is in good condition. If the SpO2 sensor cable is
unpluged, sensor off will appear on the screen. And touch off audio alarm at same time.

If the package or the sensor seems to be damaged, do not use this SpO2 sensor and return it to the
manufaturer.

Warning:

Using a damaged sensor may cause inaccurate readings, possibly resulting in patient injury or
death, inspect each sensor. If a sensor appears damaged, dont use it. Use another sensor or contact
your local distributor.

Prolonged use or the patients condition may require changing the sensor site periodically. Change
sensor site and check skin integrity, circulatory status, and correct alignment at least every 4 hours.

If any of the integrity checks fail, dont attempt to monitor the patient. Use another sensor or
contact your local distributor for help if necessary.

Do not autoclave, ethylene oxide sterilize, or immerse the sensor in liquid.

57
 Monitoring SpO2
Caution:

Unplug the sensor from the monitor before cleaning or disinfecting.

16.4 SpO2 monitoring procedures

1. Choose the sensor and clip that is appropriate for the patient, inspect it carefully to make sure it
doesnt damaged.
2. Connect the sensor to the monitor.
3. Clean or disinfect the sensor.
4. Attach the sensor to the proper site of the patient.
5. Power on the monitor.

16.5 Application Guide

The preferred sensor site for feline, canine and equine animal is on the tongue, with the optical
components of the sensor positioned to the tongue. Alternatively, the sensor and clip may be
placed to the toe, lip, ear, vulva or prepuce of the animal.
Select the appropriate size, either for a large animal, a small animal or a medium animal. Position
the lingual clip on the base of the tongue, and placement is dependent on the thickness of the
tongue. Start at the tip and work your way towards the base. Always direct the light downward
(towards the floor) regardless of the animals position to reduce the effects of ambient light. Keep
the tongue moist during longer procedures and monitor for significant temperature loss. Ensure
that there is a pulse strength bars displayed on the pulse oximeter.

Veterinary sensor with large clip Veterinary sensor with small clip
(Applicate site: tongue, paws and well-vascularized areas)
If necessary, the lingual clip may also be positioned on toe, lip, cheeks, ear, prepuce or vulva of
the animals. Moisten the hock area with isopropyl alcohol, water, and clip hair if needed. Toget
better reading on the samller tongues, bringing the sides of the tongue up and pass the light
through both layers. Dont fold the tip of the tongue back because you will restrict blood flow to
the tongue.

The small clip proves effective on the small breeds and especially on smaller cats. The clip will
work on a cats tongue, ear and toe-webbing. The small clip also works well on larger animals.

58
 Monitoring SpO2

Small clip
In order to protect the animal from injure by clip, and confirm the the Y-type sensor easily.
Solaris has the two sizes of cushions for its clips accordingly. See followed photo.

Large & Small clips with cushions

Tongue sensor placement

Place the tongue sensor as shown below.

Tongue sensor placement

Note:

Make sure the sensor cable is positioned along the side of the animals face and body to avoid
entanglement with animal.

16.6 Measurement limitations

Caution:

The maximum time duration for one sensor site in use should not be over 4 hours. The sensor
surface temperature should not be higher than 41C, or it may cause burn.

59
 Monitoring SpO2

During continous monitoring, sensor site should be cleaned at least every 12 hours. Otherwise it
may result in inaccurate measurements.

SpO2 display:
SpO2 alarm high/low limits
Symbol for SpO2 alarm off
SpO2 parameter label. Press it, SpO2 menu will appear.
SpO2 value

16.7 SpO2 setting menu

Select SpO2 label, press rotating knob to enter SpO2 menu.

In SpO2 menu, the user can set alarm switch, alarm high/low limits, and alarm priority.

Average periods: calculate average time of SpO2 value. Select [AVRG.], there are 3 options. Select 4 Beats,
the result is more sensitive. Select 16 Beats, the result is more accurate.

16.8 Maintenance and Cleaning

Warning:

Must power off and disconnect AC power before cleaning monitors or sensors.

Do not disinfect sensors using high pressure.

Do not immerse sensors in liquid.

Do not use if sensor or cable is damaged.

Cleaning:
1. Wipe the sensor, sensors LED, and other parts with cloth dampened with alcohol and wipe them dry.

2. Clean and disinfect cables with 3% hydrogen peroxideor, 70% isopropyl alcohol.

60
 Maintenance and Cleaning

17. Maintenance and Cleaning

17.1 Maintenance and Inspection

Before start using the monitor, do the following inspection:

z Check any mechanical damage.
z Inspect thoroughly wire, cables, and accessories.
z Inspect all the functions to be used on patients. Make sure the monitor is in good working condition.
If any signs of damage found and evidenced, the monitor should not be used for any patient care. Contact
the service department or a local office of Newtech, Inc.
Inspect the monitors functions and safety every 6-12 months or after each service by authorized
personnel.
All safety and maintenance inspection should be done by qualified maintenance personnel. Newtech, Inc.
is happy to provide the contact information for local maintenance/service centers.

Warning:

During examination or proofread, if found equipment aging or performance changing caused by

circumstance changed, should replace spare parts in time. Because performance changing will
cause incorrectly measured data or dead-block.

If the hospital/institution does not implement a satisfactory maintenance plan, it will result in
malfunction of the equipment, which in turn may threaten human lives.

Change internal batteries every two years.

When equipment is in accidental humidity, please notice do not power-on, ask qualified service
personal open the monitor and airing it immediately

Dispose or callback to the dispose spare parts (including batteries) should keep to local
garvenments rules about the related dispose or callback to the spareparts.

17.2 General cleaning of the monitor

1. Switch off power and unplug AC before cleaning the monitor or sensor.
2. Monitor should be dust free.
3. Clean the surface with soap and water.
4. Do not use strong solvents such as acetone.
2. Use diluted cleaning agents according to the manufacturer's instructions.
3. Do not scrub the monitor with metal brush.
4. Do not allow any liquid into the monitor or immerse any part in liquid.
5. Do not leave any cleaner residue on the surface of the monitor.

17.3 Cleaner

The following liquid can be used as cleaner.

z Diluted Ammonia
z Diluted Sodium hypochlorite
Caution:

Sodium hypochlorite with consentration range about 500ppm (Diluted bleaching powder for
family use 1:100) to 5000 ppm (Diluted bleaching powder for family use 1:10) is very effective. The
ppm can be determined by the amount of stain (blood, mucilage glue of animal or plant) on the
surface of the monitor.

61
 Maintenance and Cleaning

Clean the surface of the monitor and sensors using medical grade alcohol. Let it air-dry or wipe it
dry with cloth.

Disinfect the monitor when necessary. Clean the monitor before disinfecting it.

Disinfect the monitor when necessary. especially equipement are polluted by animalcules during
the storage, transportation and operationClean the monitor before disinfecting it.
Suggested cleaning materials are: Ethanol and Acetaldehyde. See relevant s for sterilization materials for ECG
leads and NIBP cuffs.
Attention:

Dilute solutions per manufacturers instructions.

Do not let any liquid enter the monitor.

Do not immerse any part of the monitor into liquid.

Do not pour liquid over the monitor during sterilization.

Do not leave any cleaner stain on the surface of the monitor. Wipe with wet cloth immediately.

17.4 Disinfecting

Only when it is necessary as deemed by the hospital/institution, should the monitor be disinfected. Always
clean the monitor before disinfecting it.

Warning:

Do not desinfect the monitor with EtO gas or formaldehyde.

Do not use ECG leadwires, SpO2 sensor, NIBP cuff, temperature probe between infections and
non-infections without disinfection.

62
 Monitors Accessories and Purchase Information

18. Monitors Accessories and Purchase Information

Attention:

The following accessories are recommended by manufacturer. Use other models may cause damage
to the monitor.

Note:

The life for 5 pin ECG cable, SpO2 sensor, temperature, NIBP cuff is one year.

18.1 ECG accessories

Name Model PN
5 leads ECG cable and lead HP-12PIN 30101112R00042
ECG clip 31078135KENDALL 30106310781352

18.2 SpO2 accessories

Name PN(Model)
Y-type digital SpO2 Sensor Y400N-160087
Y-type digital SpO2 Sensor Y400A-160087
Y-type digital SpO2 Sensor Y400N-300087
Y-type digital SpO2 Sensor Y400A-300087

18.3 TEMP accessories

Name Model PN
Rectal temperature sensor 30104000000022

18.4 NIBP accessories

Name Cuff size (cm) P/N(Model)

Solaris Disposable NIBP cuff 3.1-5.7cm C101A
Solaris Disposable NIBP cuff 4.3-8.0 cm C101B
Solaris Disposable NIBP cuff 5.8-10.9 cm C101C
Solaris Disposable NIBP cuff 7.1-13.1 cm C101D

18.5 RESP accessories

Name Model PN
Nose tube JEIII-A

63
 Appendix A

Appendix A: EMC (Electro-Magnetic Compatibility)

Caution: NT3 complies with the requirements for medical devices EN60601-1-2: 2001, Medical
Device Directive 93/42/EEC. NT3 has passed tests for CISPR 11 class A.

Guidance and manufacturers declaration-electromagnetic emissions

For all EQUIPMENT and SYSTEMS

Guidance and manufacturers declaration-electromagnetic emission

NT3 is intended for use in the electromagnetic environment specified below. The user of NT3 should
make sure that it is used in such environment.

Emission test Compliance Electromagnetic environment-guidance

RF emissions NT3 uses RF energy only for its internal function. Therefore its
CISPR 11 Group 1 RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment.
RF emission Class A
CISPR 11 NT3 is suitable for use in all establishments other than domestic
Harmonic emissions Class A and those directly.
IEC 61000-3-2

Voltage Connect to the public low-voltage power supply network that

fluctuations/flicker applicable
emissions IEC supplies buildings used for domestic purposes.
61000-3-3

Guidance and manufactures declaration-electromagnetic immunity

For all EQUIPMENT and SYSTEMS
Guidance and manufacturers declaration-electromagnetic immunity
NT3 is intended for use in the electromagnetic environment specified below. The user of NT3 should
make sure that it is used in such environment.

Immunity test EN 60601 Compliance Electromagnetic environment-guidance

test level level
Electrostatic kV Floors should be wood, concrete or ceramic
discharge(ESD) 6 kV contact 4contact tile. If floor are covered with synthetic
IEC 61000-4-2 8 kV air 4 kV air material, the relative humidity should be at
least 30%.
2 kV for 1 kV for
If display data reading is not stable, should use
Electrical fast power power
spare stable-pressure supply and try to make
transient/burst supply lines supply lines
the functional ground line and supply cable
IEC 61000-4-4 1 kV for 0.5 kV for
collateral line with close quarters.
input/output input/output
lines lines
Surge 1 kV 1 kV
IEC 61000-4-5 line(s) to line(s) to
Mains power quality should be that of a typical
line(s) line(s)
commercial or hospital environment.
2 kV 2 kV
line(s) to line(s) to
earth earth

64
 Appendix A

<5 % UT <5 % UT
(>95 % dip in (>95 % dip in
UT) UT)
for 0,5 cycle for 0,5 cycle
40 % UT 40 % UT
Voltage dips, short (60 % dip in (60 % dip in Mains power quality should be that of a typical
interruptions and UT) UT) commercial or hospital environment. If the user
voltage variations for 5 cycles for 5 cycles of the NT3requires continued operation during
on power supply 70 % UT 70 % UT power mains interruptions, it is recommended
input lines (30 % dip in (30 % dip in that the NT3 be powered from an
IEC 61000-4-11 UT) UT) uninterruptible power supply or a battery.
for 25 cycles for 25 cycles
<5 % UT <5 % UT
(>95 % dip in (>95 % dip in
UT) UT)
for 5 sec for 5 sec

Power frequency Power frequency magnetic fields should be at

(50Hz) magnetic 3A/m 3A/m levels characteristic of a typical location in a
field IEC typical commercial or hospital environment.
61000-4-8

Guidance and manufacturers declaration-electromagnetic immunity

For EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING

Guidance and manufacturers declaration-electromagnetic immunity

NT3 is intended for use in the electromagnetic environment specified below. The user of NT3 should
make sure that it is used in such environment.
Immunity EN 60601 test Compliance Electromagnetic environment guidance
test level level
Portable and mobile RF communications
equipment should be used no closer to
any part of the NT3, including cables.
The recommended separation distance
calculated from the equation applicable
to the frequency of the transmitter.
Conducted 3 Vrms 3 Vrms
RF 150 kHz to 80 Recommended separation distance
IEC MHz
61000-4-6
3 V/m 3.5
d= P
Radiated RF
3 V/m
80 MHz to 2.5 V 1
IEC GHz
61000-4-3 3.5
d= P 80 MHz to 800 MHz
E1

7
d= P 800 MHz to 2.5 GHz
E1

65
 Appendix A

Where p is the maximum output power rating of

the transmitter in watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in metres
(m).
Field strengths from fixed RF transmitter asa
determined by an electromagnetic site survey
should be less than the compliance level in each
frequency range b .
Interference may occur in the vicinity of
equipment marked with the following symbol:
NOTE 1 At 80 MHz. the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio(cellular/cordless) telephones
and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be
predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters. an electromagnetic site survey should be considered. If the measured field strength in the
location in which the NT3 is used exceeds the applicable RF compliance level above, the NT3 should
be observed to verify normal operation. If abnormal performance is observed, additional measures
may be necessary, such as reorienting or relocating the NT3.
b Over the frequency range 150 kHz to 80MHz. Field strengths should be less than 1 V/m.

Recommended separation distances between portable and mobile RF

RF communications equipment and the EQUIPMENT or SYSTEM
For EQUIPMENT or SYSTEM that are not LIFE-SUPPORTING

Recommended separation distances between

Portable and mobile RF communications equipment and the NT3
NT3 is intended for use in an electromagnetic environment in which radiated RF disturbances are
controlled. The user of NT3 can help prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications equipment (transmitters) and the NT3 as
recommended below according to the maximum output power of the communications equipment.
Separation distance according to frequency of transmitter
(m)
Rated maximum 150 kHz to 80 MHz 80 MHz to 800 MHZ 800 MHz to 2.5 GHz
output power of
transmitter
(W) 3.5 3.5 7
d= P d= P d= P
V1 E1 E1
0.01 0.12 0.12 0.23
0.1 037 037 075
1 117 117 233
10 369 369 737
100 1167 1167 2333
For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in metres (m) can be estimated using the equation applicable to the frequency of the
transmitter. Where P is the maximum output power rating of the transmitter in watts (W) according to
the transmitter manufacturer.
NOTE1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.

These limits are designed to provide reasonable protection against harmful interference in a typical
medical installation. However, because of the proliferation of radio-frequency transmitting
equipment and other sources of electrical noise in the health-care and home environments (for

66
 Appendix A
example, cellular phones, mobile two-way radios, electrical appliances), it is possible that high levels
of such interference due to close proximity or strength of a source, may result in disruption of
performance of this device.
NT3 generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance
with these instructions, may cause harmful interference with other devices in the vicinity. Disruption may
be evidenced by erratic readings, cessation of operation, or other incorrect functioning. If this occurs, the
site of use should be surveyed to determine the source of this disruption. Take below actions to eliminate
the source:
Turn the equipment in the vicinity off and on to isolate the offending equipment.
Reorient or relocate the other receiving devices.
Increase the separation between the interfering equipment and NT3.

If assistance is required, contact Technical Services Department or your local representatives.

67
 Appendix B

Appendix B: Technical Specifications

B.1 Basic parameters

ECG, TEMP, SpO2, NIBP, RESP.

B.2 Average working time without malfunction 1000 hours

B.3 Normal working environment

a) Temperature Range5 ~ 40;

b) Relative Humidity 80 %;
c) Air pressure range86~106kPa;
d) Power voltag AC100 V -240V;
e) Power frequency50/60Hz;
f) Batteryd.c 10.2 V~d.c 12.6 V;

B.4 Safety requirements and classifications

1. Electric shock type: type I equipment with inside power supply and internal power supply.
2. Electric shock degree: all application parts are BF type, except ECG and TEMP which are CF type.
3. Harmful liquid material proof degree:: ordinary equipment (no seal agains liquid).
4. Disinfection: follow manufacturers recommended methods.
5. Safety on flammable gas: not suitable to use where flammable gas is present.
6. Input power: no bigger than 80VA.
7. The monitor is a continual working system.

B.5 ECG

HRheart rate:

a) measurement range: 30 bpm ~ 300 bpm

b) measurement accuracy: 1 bpm or 1%, take the bigger one.
Settings and allowable tolerance for HR alarm:
Upper limit: 60 bpm300bpmallowable tolerance 10%.
Lower limit: 30 bpm200bpmallowable tolerance 10%.

HR alarm response time 12s

ECG noise 30V.
ECG frequency response
0.4dB
Monitoring mode0.5 40Hz -3dB

0.4dB
Diagnostic mode0.05 100Hz -3dB
ECG input loop current: 0.1A.
ECG display sensitivity: step-type.
1 step 10mm/mV tolerance less than 5%
1/2 step 5mm/mV tolerance less than 5%
1/4 step 2.5mm/mV tolerance less than 5%
2 step 20mm/mV tolerance less than 5%
Display sensitivity:
68
 Appendix B
a) Time shift:: initiate at the baseline after 15min's energizing.The shift scope of the baseline is not
beyond 5mm after 60min's.
b) Temperature shift: the scope is from 5 --40.The shifting average of baseline should be no more
than 0.5mm/.
c) The shift of waved baseline of supply voltage should be no more than 1mm.The sensitivity changes
should be displayed 10%;
d) The poling voltage at 300mv is added between positive electrode and N electrode,negative
electrode and N electorde. The changes of sensitivity error should be displayed 5%
Scanning velocity and error
Scanning velocity: 6.25 mm/s, 12.5 mm/s, 25 mm/s, and 50 mm/s.
Scanning velocity error: 10%.
Input impedance: The impedance between positive electrode and the N electrode, between the cathode and
the N electrode is no smaller than 5M.
Module signal suppression ability89 dB
Time constant: Diagnostic mode 3.2 seconds
Monitoring mode 0.3 seconds

B.6 NIBP

Measurement range
Horse: 20~250mmHg
Dog: 20~250mmHg
Cat: 20~250mmHg
Measurement accuracy: 0.4 kPa (3 mmHg) or 2%take the bigger one.
Display unit: kPa or mmHg.

B.7 RR

Measurement range: 0 ~ 120 bpm;

Measurement accuracy: 1 bpm or 5 %take the bigger one.

B.8 TEMP

Measurement range: 25~ 45;

Measurement accuracy: 0.2;
Response time: 3 min.

B.9 SpO2

Measurement range: 0 %~ 100%

Measurement accuracy: 2% during 70 %~ 100%, not required during 0 %~ 69%.

B.10 PR

Measurement range: 25 bpm ~ 400bpm;

69
 Appendix B
Measurement accuracy: 1 bpm or 2%. Take the bigger one.

B.11 Alarm

Alarm modesaudible alarm,visual alarm.

Alarm object(1) physiological alarm, (2)technical alarm, (3)and normal alarm.
Alarm priority
1 High priorityinclude (SpO2) sensor off,(ECG) lead off, the pulse search failed, the patient suffocates, the
alarm exceeding limit of related parameters is setted as upper alarm. Alarm express mode:Two groups
of five Dee with an interval of 10 seconds. Numerics blinking frequency: 1.5Hz.
2 Medium priority:Battery Level , the alarm exceeding limit of related parameters is setted as median
alarm. Alarm express mode: Continued three Dee with an interval of 18 seconds. Numerics blinking
frequency: 0.625Hz.
3 Low prioritythe alarm exceeding limit of related parameters is setted as lower alarm.Alarm express
mode: one Dee with an interval of 20 seconds. No blinking.

B.12 Factory default value of alarm parameter

Default value of alarm high limit Default value of alarm low limit
Alarm parameter (unit)
Horse Dog Cat Horse Dog Cat

HRbpm 100 110 120 60 70 80

SYSmmHg 150 180 200 40 70 90

NIBP DIAmmHg 60 90 105 20 35 40

MAPmmHg 70 125 150 20 45 50

SpO2% 99 99 97 85 85 85

RR 30 40 50 8 8 8

TEMP 38.1 38.1 37.6 36.1 36.1 36.1

et CO2mmHg 50 50 100 20 20 40

ins CO2mmHg 20 20 20 0 0 0

mV 23 22 20 23 22 20

mV 20 20 20 20 20 20

mV 20 20 20 20 20 20

aVRmV 23 22 20 23 22 20

aVLmV 20 20 20 20 20 20

aVFmV 20 20 20 20 20 20

VmV 20 20 20 20 20 20

70
 Appendix B
B.13 Settings range and allowable tolerance of alarm high/low limits

Alarm parameter Setting range of alarm high limit Setting range of alarm low limit
HR 60 bpm ~300 bpm 30 bpm ~200bpm
ST -2.55 mV ~2.55 mV -2.55 mV ~2.55 mV
NIBP 0 mmHg ~300 mmHg 0 mmHg ~300 mmHg
IBP -59 mmHg300 mmHg -59 mmHg300 mmHg
SPO2 0%~100% 0%~100%
PR 25 bpm ~400 bpm 25 bpm ~400bpm
TEMP 35.5~43.5 35.5~43.5
RR 0 bpm -120 bpm 0 bpm -120 bpm
Int CO2 0mmHg76mmHg 0mmHg76mmHg
Et CO2 0mmHg76mmHg 0mmHg76mmHg

B.14 Continual working time:

Internal power supply: 2 hoursthe fully charged battery under condition of blood presure measuring for
every 10 minutes

B.15 Data memory

Memory time of tendency data

Memory time of complete tendency data: 72h.
Dynamic waveform memory time
a) Each dynamic waveform memory time: 8 s;
b) Accumulative capture times of dynamic waveform: In the memory of 24h tendency data situation,
the accumulative times to catch entire dynamic waveform 8 times.
c) Dynamic waveform is provided with freeze function and ice-out function.
Alarm review
The most recent 100 alarm history reports can be reviewed.

B.16 Dimensions and weight

Model Dimensions (mm)L*W*H Net weightkg Gross weightkg

NT3A-V 595*370*350 4.5 7.5
NT3B-V 595*370*350 5 8
NT3C-V 595*370*350 4.5 7
NT3E-V 595*370*350 4 6.5
NT3F-V 595*370*350 3.5 6

B.17 Packaging, transportation and storage

Packaging
71
 Appendix B
Place the monitor in a plastic bag. Place it in a corrugated carton filled with the foam or other fillers. Seal the
carton.

Transportation
The monitor can be transported by airplane, train, or automobile. Prevent fierce collision during transportation.
Do not keep it with perishables. The transportation environment should be:
a)
b) Environment temperature range-20~70
c) Relative humidity range95%
d) Air pressure range: 500kPa~1060kPa
Storage
The monitor should be stored indoors with a temperature range -10~+40, relative humidity 80%, no
corrosive gas, and with good ventilation.

B.18 Explanations of interfaces

CRTconnect to external monitor Standard VGA interface (optional)

PRINTERconnect to external printer PC/AT Parallel interface
NETconnect to central monitoring Ethernet interface
LINEconnect to telephone) MODEM interface

B.19 Compliance standards

Item Standard number Standard name

1 EN General Medical Electrical Equipment Safety Requirements
60601-1:1990+A1:1993
+A2:1995+A131996
2 EN 60601-1-2 2001 Electromagnetic Compatibility, Requirements & Testing for
Medical Electrical Equipment
3 EN Programmable Medical Electrical Equipment
60601-1-4:1996/A1:1999
4 IEC 60601-1-82005 Alarm System Requirements, Testing & Guidance for Medical
Electrical Equipment
5 EN ISO 9919:2005 Special Requirements for Pulse Oximetry in Medical Patient
Monitors
6 EN ISO Risk Analysis for Medical Equipment
14971:2000/A1:2003
7 EN ISO 10993-1:2003
Biological Evaluation & Testing of Medical Equipment
GB 16886.12001
8 EN ISO 14155-1:2003 Clinic research for Medical equipment be used on body>
9 EN ISO 14155-2:2003 <Clinic research for Medical equipment be used on body>
10 EN 10411998 <Information from Medical equipment supplier>
11 EN 9802003 <Figure and signal of Medical equipements label>
YY 04662003
12 ISO 216472004 Medical electrical equipment Particular requirements for the
basic safety andessential performance of respiratory gas
monitors

72
 Appendix B
13 EN 1060-1:1995/A1:2002 General Rrequirements
14 EN 1060-3:1997/A1:2005 Supplemental Requirements for Mechanical-Electronic Blood
Pressure Measurement Systems
15 EN 60601-2-30:2000 Medical Electrical Equipment Part II:
Safety and Performance Requirements for Autocycle NIBP
Patient Monitoring Equipment
16 EN 12470-4:2000 Performance of Continuous Electronic Temperature Monitoring
17 EN 60601-2-27:1994 Special Safety Requirements for ECG Monitoring Equipment
18 EN 60601-2-49:2001 Special Safety Requirements for Multi-Parameter Monitoring
Equipment
19 IEC 60601-2-34:2000 Special performance and safety requirements for IBP
monitoring equipment
<Multi-parameter monitor> production specification

73