OMNI Express User's Manual VA 1 0-20140124

OMNI EXPRESS
Patient Monitor
USER’S MANUAL
Ver A.1.0 © 2014 Infinium Medical, Inc. All rights reserved.
Issued Date: Jan 24th, 2014

User’s Manual of OMNI EXPRESS Patient Monitor
Infinium Medical Inc.
Website: www.infiniummedical.com
Address: 12151 62nd St North #5 Largo Fl, 33773 USA
Toll Free (US call only): 866-918-8434
International: 1-727-531-8434
Fax: 1-727-531-8436
To obtain information about a warranty, if any, for this product, contact Infinium Medical Inc,
Technical Services or your local Infinium Medical, Inc. representative.
RESPIRONICS is a trademark of PHILIPS RESPIRONICS
Masimo is a trademark of Masimo SET
Nellcor is a trademark of NELLCOR OXIMAX
-I
CONTENTS
SAFETY INFORMATION ............................................................................................................... 1
INTRODUCTION ............................................................................................................................ 4
INTENDED USE ...................................................................................................................... 4
ABOUT THIS MANUAL ......................................................................................................... 4
CONTROLS, INDICATORS, AND SYMBOLS .............................................................................. 5
FRONT PANEL ........................................................................................................................ 5
LEFT SIDE PANEL .................................................................................................................. 6
RIGHT SIDE PANEL ............................................................................................................... 6
REAR PANEL .......................................................................................................................... 7
SYMBOLS ................................................................................................................................ 7
DISPLAY SCREEN PARTITION..................................................................................................... 9
TWO WAVEFORMS DISPLAY MODE .................................................................................. 9
THREE WAVEFORMS DISPLAY MODE .............................................................................. 9
WAVEFORM AREA ............................................................................................................... 10
PARAMETER AREA ............................................................................................................. 10
MESSAGE AREA .................................................................................................................. 10
SYSTEM SETUP............................................................................................................................ 11
FACTORY SEVICING SETUP .............................................................................................. 11
OPTIONAL MODULE ........................................................................................................... 12
WAVEFORM SELECT ........................................................................................................... 12
PRINTER ................................................................................................................................ 12
CONFIG MANAGER............................................................................................................. 13
LANGUAGE SETUP ............................................................................................................. 13
DEMO DISPLAY ................................................................................................................... 13
OTHER SETUP ...................................................................................................................... 14
HOW TO MONITOR ..................................................................................................................... 15
DISPLAY MODE ........................................................................................................................... 16
OXYCRG SCREEN ............................................................................................................... 16
LARGE FONT SCREEN ........................................................................................................ 16
ALARM & SOUND ....................................................................................................................... 18
ALARM .......................................................................................................................................... 18
ALARM SETUP ..................................................................................................................... 18
VISUAL ALARM INDICATORS .......................................................................................... 19
ALARM SUSPEND ............................................................................................................... 19
ALARM SWITCH .................................................................................................................. 19
SOUND ........................................................................................................................................... 20
ALARM SOUND ................................................................................................................... 20
HEART-BEAT (PULSE-TONE) ............................................................................................. 20
KEY BEEPS............................................................................................................................ 20
SILENCE ................................................................................................................................ 20
- II
ECG MONITORING ...................................................................................................................... 21

ELECTRODE INSTALLATION ............................................................................................ 21
CABLE AND LEADWIRE INSTALLATION ....................................................................... 23
ECG SETUP ........................................................................................................................... 23
ST-SEGMENT ANALYSES ................................................................................................... 25
ARRHYTHMIA ANALYSIS .................................................................................................. 27
ERROR MESSAGES OF ECG MONITORING .................................................................... 28
MAINTENANCE AND CLEANING ..................................................................................... 28
RESP MONITORING..................................................................................................................... 30
RESP ELECTRODE INSTALLATION .................................................................................. 30
RESP SETUP .......................................................................................................................... 30
SPO2 MONITORING ..................................................................................................................... 32
SPO2 MONITORING PRINCIPLE........................................................................................ 32
SPO2 SENSOR INSTALLLATION ....................................................................................... 32
SPO2 SETUP .......................................................................................................................... 32
MEASUREMENT LIMITATIONS ........................................................................................ 33
SPO2 ERROR MESSAGES ................................................................................................... 34
MASIMO INFORMATION .................................................................................................... 34
NELLCOR INFORMATION .................................................................................................. 35
NIBP MONITORING ..................................................................................................................... 36
NIBP MONITORING PRINCIPLE ........................................................................................ 36
NIBP CUFF FITTING ............................................................................................................ 36
NIBP MONITORING INITIALIZATION .............................................................................. 37
NIBP SETUP .......................................................................................................................... 37
NIBP LIST OBSERVATION................................................................................................... 39
MEASUREMENT LIMITATIONS ........................................................................................ 40
NIBP ERROR MESSAGES.................................................................................................... 41
MAINTAINENCE AND CLEANING .................................................................................... 41
TEMP MONITORING ................................................................................................................... 42
THEORY OF OPERATION.................................................................................................... 42
TEMP SENSOR INSTALLATION ......................................................................................... 42
TEMP SETUP ......................................................................................................................... 42
TEMP ERROR MESSAGES .................................................................................................. 43
RAPID TEMP MONITORING (OPTION) .................................................................................... 44
ABOUT BODY TEMPERATURES ....................................................................................... 44
GENERAL INFORMATION .................................................................................................. 44
SAFETY AND WARING ....................................................................................................... 44
INSTRUCTION FOR USE ..................................................................................................... 45
- III
TEMP PARAMETER SETUP ................................................................................................ 49

ETCO2 MONITORING (OPTION) ............................................................................................... 51
THEORY OF OPERATION.................................................................................................... 51
WARNINGS............................................................................................................................ 51
ABBREVIATIONS AND TERMINOLOGY ......................................................................... 52
ZEROING THE CO2 MODULE ............................................................................................ 52
PATIENT AND TUBING PREPARATION ............................................................................ 52
ETCO2 SETUP ....................................................................................................................... 54
ADVANCED SETUP.............................................................................................................. 56
CALIBRATION ...................................................................................................................... 57
STATUS/ERROR MESSAGES .............................................................................................. 57
PATIENT INFORMATION ADMINISTRATION.......................................................................... 59
PATIENT BASIC INFORMATION SETUP........................................................................... 59
ADD NEW PATIENT ............................................................................................................. 60
DELETE PATIENT ................................................................................................................. 60
TREND ........................................................................................................................................... 61
TREND OBSERVATION ....................................................................................................... 61
TIME SETUP .......................................................................................................................... 61
MARK EVENT SETUP ......................................................................................................... 62
TREND TIME......................................................................................................................... 63
TREND GRAPH ANALYSIS ................................................................................................. 63
TABULAR TREND ANALYSIS ............................................................................................ 64
ALARM EVENT .................................................................................................................... 64
LAST WAVEFORM ............................................................................................................... 65
RECALL DATA .............................................................................................................................. 66
RECALL DATA STORAGE ................................................................................................... 66
RECALL DATA DISPLAY ..................................................................................................... 66
RECALL OPERATION DESCRIPTION ............................................................................... 66
RS-232 INTERFACE ...................................................................................................................... 68
OVERVIEW............................................................................................................................ 68
CABLE CONNECTION ......................................................................................................... 68
EXPORTING TREND DATA ................................................................................................. 68
PRINTER (OPTION） ................................................................................................................... 69
PRINTER SETUP ................................................................................................................... 69
PRINT REAL-TIME WAVEFORM........................................................................................ 69
PRINT TABULAR TREND.................................................................................................... 69
GRID OUTPUT ...................................................................................................................... 70
PRINT ALARM EVENT ........................................................................................................ 70
- IV
PRINT EVENT LIST .............................................................................................................. 70

PRINT EXPLANTION ........................................................................................................... 70
WAVEFORM PRINT EXPLANATION ................................................................................. 71
BATTERY OPERATION ................................................................................................................ 72
INTRODUCTION .................................................................................................................. 72
BATTERY RECYCLE ............................................................................................................ 72
DISPOSAL OF DEVICE COMPONENTS .................................................................................... 73
PERIODIC SAFETY CHECKS ...................................................................................................... 74
CLEANING .................................................................................................................................... 74
SPECIFICATIONS ......................................................................................................................... 75
EMC ................................................................................................................................................ 80
ELECTROMAGNETIC IMMUNITY .................................................................................... 80
-V
FIGURES
Figure 1: Front Panel................................................................................................................. 5
Figure 2: Left Side Panel........................................................................................................... 6
Figure 3: Right Side Panel ........................................................................................................ 6
Figure 4: Rear View for Main Unit ........................................................................................... 7
Figure 5: Display Screen for Two Waveforms .......................................................................... 9
Figure 6: Display Screen for Three Waveforms ........................................................................ 9
Figure 7: Tree Diagram for System Setup Menu .................................................................... 11
Figure 8: Keypad to input ASCIIS .......................................................................................... 13
Figure 9: Window for oxyCRG ............................................................................................... 16
Figure 10: Window for Large Font ......................................................................................... 17
Figure 11: 5-lead Electrode Placement.................................................................................... 21
Figure 12: C-electrode Placement ........................................................................................... 22
Figure 13: Tree Diagram for ECG Setup ................................................................................ 23
Figure 14: Window for ARR Review ...................................................................................... 27
Figure 15: Window for ARR Retail Information..................................................................... 28
Figure 16: Tree Diagram for Resp Menu ................................................................................ 31
Figure 17: Tree Diagram for SpO2 Setup Menu ...................................................................... 33
Figure 18: Tree Diagram for NIBP Setup Menu ..................................................................... 37
Figure 19: Window for NIBP List Observation ...................................................................... 40
Figure 20: Tree Diagram for Temp Setup Menu ..................................................................... 42
Figure 21: Temperature Site and Patient Age .......................................................................... 44
Figure 22: Tree Diagram for Temp (Q) Setup Menu............................................................... 49
Figure 23: Tree Diagram for EtCO2 Setup Menu .................................................................... 54
Figure 24: Tree Diagram for EtCO2 Advanced Setup ............................................................. 56
Figure 25: Tree Diagram for Patient Setup ............................................................................. 59
Figure 26: Tree Diagram for Time Setup ................................................................................ 62
Figure 27: Window for Mark Event Setup .............................................................................. 62
Figure 28: Window for Event List........................................................................................... 62
Figure 29: Window for Trend Graph ....................................................................................... 63
Figure 30: Window for Basic Parameters Tabular Trend ........................................................ 64
Figure 31: Window for Alarm Event Review .......................................................................... 65
Figure 32: Window for Last Waveform Review ..................................................................... 65
Figure 33: Window for Indication Information ....................................................................... 66
Figure 34: Window for Recall Patient ..................................................................................... 67
Figure 35: Window for Trend Management with ID ............................................................... 67
Figure 36: Real-time Waveform Print ..................................................................................... 69
Figure 37: Basic Tabular Trend Print ...................................................................................... 69
Figure 38: Alarm Event Print .................................................................................................. 70
Figure 39: Event List Print ...................................................................................................... 70
- VI
SAFETY INFORMATION
This section contains important safety information related to general use of the OMNI
EXPRESS Patient Monitor. Other important safety information appears throughout the
manual in sections that relate specifically to the precautionary information. Read all text
surrounding all precautionary information.
The OMNI EXPRESS can be powered by one internal battery that provides 2 hours of
monitoring from fully charged batteries. The batteries are continuously recharged when
AC power is connected to the monitor.
A warning message appears on the screen and an audible alarm sounds when the
remaining battery power is only enough for 15 minutes of operation. The user should
connect the monitor to an external power source to avoid loss of patient monitoring action.
External power sources may be connected, disconnected, and reconnected without
interrupting the monitoring action.
[NOTE]: Before use, please read this manual carefully.
[WARNING]: The OMNI EXPRESS is defibrillator proof. It may remain attached to the
patient during defibrillation or while an electrosurgical unit is in use, but the readings
may be inaccurate during use and shortly thereafter.
[WARNING]: The OMNI EXPRESS Patient Monitor is a prescription device and is to

be operated by qualified personnel only.
[WARNING]: Occasionally, electrical signals at the heart do not produce a peripheral

pulse. If a patient‘s beat-to-beat pulse amplitude varies significantly (for example,
pulsus alternans, atrial fibrillation, rapid-cycling artificial ventilator), blood pressure and
pulse rate readings can be erratic and an alternate measuring method should be used
for confirmation.
[WARNING]: Explosion hazard. DO NOT use the OMNI EXPRESS in the presence of
flammable anesthetics or gases.
[WARNING]: DO NOT lift the monitor by the sensor cable, blood pressure hose, or
power cord because the cable, lead, or cord could disconnect from the monitor,
causing the monitor to drop on the patient.
[WARNING]: The OMNI EXPRESS may not operate effectively on patients who are
experiencing convulsions or tremors.
[WARNING]: Disconnect the OMNI EXPRESS and sensors during magnetic

resonance imaging (MRI) scanning. Use during MRI could cause burns or adversely
affect the MRI image or the monitor‘s accuracy. Also, to avoid burns, remove the
sensors from the patient before conducting MRI.
[WARNING]: The user must check the equipment prior to use and ensure its safe and
proper use.
-1
[WARNING]: To ensure that the leakage current protection remains within the
specifications, use only the patient cables supplied with, or specifically intended for
use with the OMNI EXPRESS Monitors.
[WARNING]: To ensure patient safety, DO NOT place the monitor in any position that
might cause it to fall on the patient.
[WARNING]: For pacemaker patients, the OMNI EXPRESS may continue to count
pacemaker rate during occurrences of cardiac arrest or some arrhythmias. To reduce
the likelihood of this, ensure that the Pacer Detect setting is ON in the ECG menu
when monitoring such patients. DO NOT rely entirely upon the OMNI EXPRESS
alarms. Keep pacemaker patients under close surveillance.
[WARNING]: Connection of non-isolated devices to the RS-232 connector may cause

chassis leakage to exceed the specification standards.
[WARNING]: Enclosure leakage current is less than 100 microamperes (µA);

however, always consider additional leakage current that can be caused by other
equipment used on the patient at the same time as these monitors.
[WARNING]: DO NOT autoclave, ethylene oxide sterilize, or immerse these monitors

in liquid. Unplug the monitors before cleaning or disinfecting.
[WARNING]: DO NOT use the OMNI EXPRESS to monitor patients who are linked to
heart/lung machines.
[WARNING]: To prevent electrical hazards to all personnel, these monitors must be

properly grounded. The chassis grounding assembly, Universal Switching Power
Supply, and the power cord supplied with the equipment provides for this protection.
DO NOT attempt to defeat this protection by modifying the cords or using ungrounded
adapters.
[WARNING]: It is possible for the patient to receive a burn due to an improperly

connected electrosurgical unit. Additionally, the monitor could be damaged or
measurement errors could occur. Certain steps can be taken to mitigate against this
problem, such as not using small ECG electrodes, selecting ECG electrode sites
remote from the expected RF paths, using large electrosurgical return electrodes, and
verifying that the electrosurgical return electrode is properly attached to the patient.
[WARNING]: ECG cables may be damaged if they are connected to a patient during
defibrillation. Cables that have been connected to a patient during defibrillation should
be checked for functionality before using again.
-2
[WARNING]: Line isolation monitor transients may resemble actual cardiac waveforms
and thus inhibit heart rate alarms. Such transients may be minimized by proper
electrode and cable placement, as specified in this manual and electrode directions for
use.
[WARNING]:
Defibrillation and Electrosurgery: DO NOT touch the patient, or table, or
instruments, during defibrillation.
After defibrillation, the screen display recovers within 10 seconds if the correct
electrodes are used and applied in accordance with the manufacturer‘s instructions.
ECG cables can be damaged when connected to a patient during defibrillation. Check
cables for functionality before using them again.
According to AAMI specifications the peak of the synchronized defibrillator discharge
should be delivered within 60 ms of the peak of the R wave. The signal at the ECG
output on the OMNI EXPRESS patient monitors is delayed by a maximum of 30 ms.
Your biomedical engineer should verify that your ECG/Defibrillator combination does
not exceed the recommended maximum delay of 60 ms.
When using electrosurgical (ES) equipment, never place ECG electrodes near to the
grounding plate of the ES device, as this can cause a lot of interference on the ECG
signal.
[Caution]: When connecting the OMNI EXPRESS to any instrument, verify proper
operation before clinical use. Both the OMNI EXPRESS and the instrument connected to
it must be connected to a grounded outlet. Accessory equipments connected to this
Patient Monitor must be certified according to the respective IEC standards (e.g. IEC
60950 for information technology equipment and IEC 60601-1 for medical electrical
equipment). Furthermore all configurations shall comply with the valid version of the
system standard IEC 60601-1-1.
Any person who connects additional equipment to the signal input or signal output is
responsible to ensure the system complies with the requirements of the valid version of
the system standard IEC 60601-1-1. If you have any questions, please be free to contact
our company or customer service. in doubt, contact our company or customer service.
To ensure accurate readings, consider the environmental conditions that are present and
the condition of the patient. See the appropriate sections of the manual for specific safety
information related to these conditions.
-3
INTRODUCTION
 INTENDED USE
 ABOUT THIS MANUAL
INTENDED USE
The OMNI EXPRESS Patient Monitor is a comprehensive monitoring system with six
traces compiling, processing, analyzing and displaying data from up to nine different
patient parameters. It integrates parameter measuring modules, display and printer in one
device, featuring in compactness, lightweight and portability. Built-in battery facilitates
transportation of patient.
The purpose and function of the OMNI EXPRESS Patient Monitor is to monitor ECG,
heart rate, NIBP (systolic, diastolic, and mean arterial pressures), SpO2, respiration,
temperature, EtCO2 for adult, neonate and pediatric patients in all hospital areas and
hospital-type facilities. It may be used during hospital transport and in mobile, land-based
environments, such as ambulances.
WARNING: The OMNI EXPRESS Patient Monitor is intended only as an adjunct in

patient assessment. It must be used in conjunction with clinical signs and symptoms.
ABOUT THIS MANUAL

This manual explains how to set up and use the OMNI EXPRESS Patient Monitor.
Important safety information relating to general use of the OMNI EXPRESS appears
before this introduction. Other important safety information is located throughout the text
where applicable. Read the entire manual including the Safety Information section
before you operate the monitor.
-4
CONTROLS, INDICATORS, AND SYMBOLS

 FRONT PANEL
 LEFT SIDE PANEL
 RIGHT SIDE PANEL
 REAR PANEL
 SYMBOLS
FRONT PANEL
Figure 1: Front Panel
No FUNCTION
Icon
.
1 ALARM INDICATOR
In normal mode, no indicator lights.
In alarm mode, the alarm indicator flashes.
2 2POWER SWITCH
This toggle switch turns the secondary power from on to off from the monitor.
The monitor will continue to charge the battery as long as the AC cable is
plugged in, even if the power switch is in the off station.
3 3DC ON
This LED indicates that the monitor is powered by battery.
4 4AC ON
This LED indicates that the monitor is plugged in to AC.
-5
LEFT SIDE PANEL
Figure 2: Left Side Panel
No FUNCTION
.
1 Oxygen Saturation Sensor Socket
2 NIBP Socket
3 Temperature Probe Socket
4 AAMI ECG Cable Connector
5 EtCO2 Sensor Socket (Option)
RIGHT SIDE PANEL
Figure 3: Right Side Panel
No FUNCTION
.
1 2Printer (Option)
-6
REAR PANEL
Figure 4: Rear View for Main Unit
No FUNCTION Icon
.
1 1Protection earth (ground)
To identify any terminal which is intended for connection to an
external conductor for protection against electric shock in
case of a fault, or the terminal of a protective earth (ground)
electrode.
2 2AC Input 100-240V
The AC power connection is where facility line power is
connected to this monitor, the AC power fuses must be 50/60Hz,
replaced with the same type and rating fuse. 150VA
3 Ethernet Interface
RJ45 interface, used for connection between Central Station
and Patient Monitor. It also can be used for upgrade system.
4 3RS-232 I/O
This digital interface connector provides serial data to most RS232
RS-232 devices.
Used for communication interface and upgrade system
5 Wireless Transmitter
For wireless central monitor system
6 EtCO2 Module (Option)
SYMBOLS
The following symbols may appear on the packaging, monitor or in user‘s manual:
Type BF Applied Part
Defibrillation-Proof Type CF Applied Part

To identify a defibrillation-proof type CF applied part complying with
IEC 60601-1.
-7
Note 1 - C = Cardial.
Note 2 - F = Floating Applied Part.
Rechargeable Battery
To indicates the positioning of the cells.
Manufacture‘s Serial Number
Fuse Information
Date Of Manufacture
Manufacturer
Fragile
Contents of the transport package are fragile therefore it shall be
handled with care.
This Way Up
Indicates correct up right position of the transport package.
Keep Away From Rain

Transport package shall be kept away from rain.
Stacking Limit By Number

Maximum number of identical packages which may be stacked on
one another is eight.
General Warning, Caution, Risk Of Danger

Please read the instructions carefully before operating the product.
Stand-by
To identify the switch or switch position by means of which part of the
equipment is switched on in order to bring it into the stand-by
condition.
-8
DISPLAY SCREEN PARTITION

TWO WAVEFORMS DISPLAY MODE
Figure 5: Display Screen for Two Waveforms

THREE WAVEFORMS DISPLAY MODE
Figure 6: Display Screen for Three Waveforms
-9
All TFT display screen is divided into three areas:

WAVEFORM AREA
This area will display the waveforms: ECG, PLETH, RESP, EtCO2 and so on. The
waveform channel number is decided by the choice of Display Mode. Displaying
waveforms are depended on the choice of Waveform Select. And also, the user can use
menu to distribute the combination of window waveforms and oxyCRG.
PARAMETER AREA
This area consists of HR, RESP, SpO2, TEMP, NIBP(SYS、DIA、MAP), EtCO2 and so on.
MESSAGE AREA
Time, Patient Information, Power State and some prompt information are list here.
On the condition of main screen displaying, touch each menu item, it can pop up the
correlated menu for setup. Access to choosing item (enter submenu if available) and
change the value of item. If you want to exit from menu, just touch EXIT or OK (or
CANCEL).
- 10
SYSTEM SETUP
System Setup includes: Factory Setup, Optional Module, Waveform Select, Printer,
Config Manager, Language, Display Mode, Alarm Suspend, Sweep Direction and etc.
Press the button of SETUP to pop up the menu below:

IBP Module
Factory Setup EtCO2 Module

Gas Module
ECG 12-lead
Optional Module
C.O. Module
HL7 Function
Channel 1
Waveform Select ……
Channel 8
Status
Grid Output
Alarm Print
Printer Auto Print
Parameters Only
Waveform 1
Waveform 2
Waveform 3
System Setup Hospital Name
Load User Config

Config Manager Save Current Config
Delete User Config
Language
Export User Config
Demo
Display Mode
Alarm Suspend
Sweep Direction
Sound Level
Heart Sound
HL7
About
Screen Cal
Figure 7: Tree Diagram for System Setup Menu

FACTORY SEVICING SETUP
Servicing engineer use only.
1. If inputting ―IP SETUP‖ for the password, the window for Ethernet IP address setup of
the Patient Monitor will pop out. It is used for connecting between Patient Monitor and
Central Station. This IP address is available only when the patient monitor is
- 11
re-powered on.
2. If inputting ―NUIPSET.‖ for the password, you can set the remote address, which
should be as same as server IP, when you upgrade the program using Ethernet.
OPTIONAL MODULE
You can input different passwords to open the relevant modules such as EtCO2 and Temp
(Q).
WAVEFORM SELECT
Select WAVEFORM SETUP item to pop up the menu of system Setup.
The waveforms from top to bottom can be selected from ECG I, ECG II, ECG III, ECG
avR, ECG avL, ECG avF, ECG V, Pleth, Resp and EtCO2.
The EtCO2 could be chosen only when the related module be opened.
PRINTER
Pick PRINTER item in the SYSTEM SETUP menu to finish the settings below.
STATUS
Use to display the connecting state of printer. Connected or Disconnected.
GRID OUTPUT
ON to make waveform print out has a net background, just like record paper. Contrary
when closed.
ALARM PRINT
If this item is set to ON, It can print a slip of waveform of 10 seconds (the preceding 4
seconds before the recording till the current 4 seconds) when an alarm is happened.
AUTO PRINT
5 minutes, 10 minutes, 20minutes, 30 minutes and 60 minutes are for choice, if the
―Parameters Only‖ menu is set to on, after related interval, it will only print parameters‘
value automatically. If it is set to off, it will print Waveform and Parameters‘ value
automatically. Also, you can choice ―OFF‖, and then the print should be executed by
manual.
PARAMETERS ONLY
If this item is set to ON, It could print the parameters‘ value only such as HR, NIBP, SpO2,
ST, Temp, EtCO2 and so on.
WAVEFORM 1 or 2 or 3
This item is to choose what waveform is to print out.
HOSPITAL NAME
Click this item to input or change the hospital name. When click the input name location, a
keypad will display, you can select any word on it as following picture:
- 12
Figure 8: Keypad to input ASCIIS

CONFIG MANAGER
LOAD USER CONFIG
If the parameter settings are confused on irrational, you can call the Default Config to
recover original state. Also you can choose the setting which is saved by yourself. The
screen will display a menu to let you confirm the setup.
After return to the above confirmation menu, a message of ―Load Configuration Data
Success!‖ will display in the message highlight area, showing that the system has begun
to work with the new settings.
SAVE CURRENT CONFIG
You can change monitor settings as required and then save the changed settings into a
user configuration so that system can call up these settings at the next time of open. You
will be asked to input the user‘s name in order to distinguish different settings. The Patient
Monitor can save multiple user configurations. The screen will display a menu to let you
confirm the setup:
After return to the above confirmation menu, a message of ―Config Data Saved!‖ will
display in the message highlight area, showing that the system and all monitoring
parameter settings have been saved (see each chapter).
[NOTE]
Make sure that the changes are suitable for your patient.
DELETE USER CONFIG

Delete the user config saved before.
LANGUAGE SETUP
Use to select language for the monitor system. The language can be switched only after
inputting the correct password of ―language‖.
DEMO DISPLAY
The Demo mode is for demonstration purpose only. To avoid that the simulated data are
mistaken for the monitored patient‘s data, you must not change into demo mode during
monitoring, otherwise, improper patient monitoring and delayed treatment could result.
This function is for servicing engineer only.
- 13
OTHER SETUP
SOUND LEVEL
I, II, III, IV and OFF for choice. IV means the loudest sound.
HEART SOUND
QRS, Pulse or OFF for choice, the factory-set is QRS.
- 14
HOW TO MONITOR
1. According to the parameter needed, connect the correlated sensors to the sockets on
the left panel;
2. Connect with the power supply, press the power switch in the front panel;
3. Power indicator is bright, the display screen enter the main screen after 25 seconds;
4. Connect the detector with the patient;
5. Set monitoring parameters (see chapters below) ;
6. Enter the monitoring state.
CAUTION: If the OMNI EXPRESS is to be stored for a period of 2 months or longer,

notify service personnel to remove the battery from the monitor prior to storage.
Recharge the battery when the battery has not been recharged for 2 or more months.
CAUTION: Follow local government ordinances and recycle instructions regarding

disposal or recycling of device components, including batteries.
- 15
DISPLAY MODE
 OXYCRG SCREEN
 LARGE FONT SCREEN
OMNI EXPRESS Patient Monitor has five modes for display such as 8 Waveforms, 6
Waveforms, 3 Waveforms, Large Font and OxyCRG.
Especially, 3 Waveforms mode is usually used when the ECG Lead Type is 3 Leads.
When the Lead Type is 5 Leads, the default display mode is 6 Waveforms.
OXYCRG SCREEN
To have a split screen view of oxyCRG, you could select Display Mode for oxyCRG. The
interface is as below:
Figure 9: Window for oxyCRG
The split screen view covers the lower part of the waveform area and shows HR Trend,
SpO2 Trend and RR Trend (or Resp Waveform). At the bottom, there are controls as
below:
OXYGEN SETUP
TIME
In the time menu, you can select 1 minute, 2 minutes, 4 minutes and 8 minutes
RR/RESP
You can select either RR Trend or Resp Waveform for display.
PRINT
Through this soft-key, you can print out the currently displayed oxyCRG trends by the
printer.
LARGE FONT SCREEN
To enter the big numeric screen: select the Display Mode for Large Font. The interface is
as below:
- 16
Figure 10: Window for Large Font
You can select your desired parameters to display in this screen.
In the Waveform Select menu, you can select the waveform related to the parameter you
want. For example: if you want display the big numeric of SpO2 value and PR value in the
screen, you could select the Pleth in the channel1 or other channel. For parameters
having a waveform, the waveform will also be displayed.
[NOTE]: The first ECG Waveform is corresponding to HR Value. The second ECG
Waveform is to NIBP Value. The third ECG Waveform is to Temp Value. The other
ECG Waveform is to nothing.
- 17
ALARM & SOUND
ALARM
When the monitor detects certain conditions that require user attention, the OMNI
EXPRESS Patient Monitor enters an alarm state. The monitor response is indicated
by:
• Visual alarm indicators
• Audible alarm indicators
• Print-on-alarm (if printer installed)
• Identification of out-of-limit vital signs in trend data
ALARM SETUP
ALARM PRIORITY
The monitor‘s visual and audible responses to a detected alarm depend on the priority
of the alarm; High, Medium, or Low.
A higher priority alarm will supersede a lower priority alarm.
The three categories of alarms are summarized in the following paragraphs. The text
indicates the message shown on the screen.
In this menu, you can set the alarm priority, which functioned when the parameters‘
numeric value limits violated, for HR, ARR, ST, SpO2, PR, Resp, NIBP, Temp and
EtCO2, each priority has two items for choice, High and Medium. The default is all
medium.
HIGH PRIORITY
Indicating that immediate OPERATOR response is required:
Asystole (4 seconds have passed with no heart beats from ECG, preceded by
detecting valid ECG-derived heart rate data.)
Loss of Pulse from SpO2 (and no valid ECG)
MEDIUM PRIORITY
Indicating that prompt OPERATOR response is required:
High/Low numeric value limits violated （such as High/Low SpO2 limits violated,
High/Low Sys./Dia. blood pressure limits violated, High/Low Respiration Rate limits
violated, High/Low Temperature limits violated, etc.）
LOW PRIORITY
Indicating that OPERATOR awareness is required:
Senor or leads off (such as ECG Leads Off, SpO2 Cable/Sensor Disconnect,
Temperature Probe Disconnect, etc.) , Low Battery (alarm commences when the
OMNI EXPRESS has at least 10 minutes of operating time remaining) and
communications errors for modules.
ALARM LIMITS
In the menu, you can set all the Parameters‘ Alarm Limits as you need. The setting here is
equivalent to set in relevant Parameter Setup Menu. The same menu item will change at
the same time.
WARNING: Before using the monitor each time, check alarm limits to ensure
that they are appropriate for the patient being monitored.
- 18
VISUAL ALARM INDICATORS

When an alarm occurs, the OMNI EXPRESS responds with visual alarm indications.
The flashing rates for the three categories of alarms are shown. The OMNI EXPRESS
uses flashing colors to indicate high and medium priority alarm as following Flashing
Rates.
Alarm Category Flashing Rate

High Priority Two flashes in 1 second
Medium priority One flash in 2 seconds
Low priority Constant (on) (non-flashing)
When a low priority alarm occurs, a non-flashing alarm message appears in the
message area. If more than one low priority alarm is present, the alarm messages
―rotate‖. On the OMNI EXPRESS numeric frame background color will change to a
solid yellow for a low priority alarm
A medium priority alarm is activated when a parameter is outside its alarm limits, the
out-of-limit numeric value and the bell icon in the corresponding Numeric Frame flash
at the medium priority rate. Only the numeric frame background color will flash yellow
for a medium priority alarm in the OMNI EXPRESS.
When the high-priority Asystole alarm occurs, the heart rate numeric value and the
corresponding bell icon flash at the high priority rate. Only the numeric frame
background color will flash red for a high priority alarm in the OMNI EXPRESS. A
non-flashing Asystole message appears in the message area and will override any
other messages which may be present (there is no message ―rotation‖ in this
instance).
ALARM SUSPEND
if you want to temporarily prevent alarms from sounding, you can pause alarms by
pressing the softkey or hardkey ―Silence‖. When alarms are suspended:
 No alarm lamps flash and no alarms are sounded.
 No alarm messages are shown.
 The remaining pause time is displayed in the alarm prompt area.
During Alarm Suspend, monitoring continues for all parameters; the numeric values
and waveforms continue to operate normally. Trend memory operates normally. The
single-function buttons continue to operate normally.
The Patient Monitor enters into the alarm paused status as soon as it is turned on.
The user can set the suspend time in the Alarm Suspend Menu. There are four items
for choice. 1 minute, 2 minute, 3 minute, Permanent.
When the alarm pause time expires, the alarm suspended status is automatically
cancelled. Also you can press the ―Silence‖ key to terminate the alarm suspended
condition. If you choose ―Permanent‖, it means that the alarms suspend permanently.
WARNING: DO NOT switch off or pause or decrease its volume to the alarm if
patient safety could be compromised.
ALARM SWITCH
When any alarm switch is set to be OFF, the alarm indicator will not light, the relative
- 19
alarm parameter will not flash and relative parameter area will appear an icon of .
SOUND
ALARM SOUND
Like the mild sound of BEEP. There are four items of Ⅰ, Ⅱ, III and Ⅳfor alarm levels in
turn from low to high.
The following encoded auditory alarm signals categorized by alarm condition and
priority:
Alarm Category Encoded Auditory

High Priority c c c-c c
Medium priority ccc
Low priority eC
[NOTE 1]: The characters c,e refer to relative musical pitches and C is one octave c.
[NOTE 2]: A high priority alarm signal is generated with the five pulses, repeat
once, for total of 10 pulses.
HEART-BEAT (PULSE-TONE)
The heart-beat or pulse-tone is a sound of RUB-A-DUB. In the Setup menu, there are
QRS, PULSE and OFF for choice, when the choice is QRS, the system will sound by
heart-beat sound. When the choice is PULSE, the system will sound by pulse-tone sound
and the sound frequency is changed with the SpO2 Value. When the choice is OFF, the
system will close the heart-beat sound or pulse-tone.
KEY BEEPS
The key beep sounds come along with clicking function items.
SILENCE
Click this function button to disable all sounds except for the key beeps. A symbol of
displays in the message area, click this button again to restore all sounds except for the
key beeps.
- 20
ECG MONITORING
 ELECTRODE INSTALLATION
 CABLE AND LEADWIRE INSTALLATION
 ECG SETUP
 ERROR MESSAGES OF ECG MONITORING
 MAINTENANCE AND CLEANING
ELECTRODE INSTALLATION
Some points should be paid attention to in ECG monitoring：
1. Check the lead and cable. The damaged or ruptured one cannot be used.
2. Link up the lead set and cable, and connect the electrode to the lead.
3. Choose the suitable skin at which the electrode should be pasted. Use alcohol to
clean the skin and remove the skin grease. Paste the electrode on the patient and
check that whether they are contact well.
4. The electrodes must be moved away to check the skin every 24 hours, if the skin is
found inflamed of damaged evidently, substituted a new electrode to another
position.
5. Make sure no conductive part of electrodes is in contact with the ground and other
conductive.
5-Leadwire Electrode Placement
Follow the methods below to place the 5–lead electrode.
Figure 11: 5-lead Electrode Placement

□ WHITE (RIGHT ARM) ELECTRODE (RA)—is placed near the right shoulder, directly
below the clavicle.
□ BLACK (LEFT ARM) ELECTRODE (LA)—is placed near the left shoulder, directly
below the clavicle.
□ GREEN (REFERENCE) ELELCTEODE (RL)—is placed on the right hypogastria.
□ RED (LEFT LEG) ELELCTEODE (LL)—is placed on the left hypogastria.
□ BROWN(CHEST)ELECTRODE(V or C)-is placed on the chest as illustrated below:
[NOTE]
 Only the ECG cable presented by our factory can be used.
 To ensure patient safety, all leads must be attached to the patient.
For 5-lead set, attach the C-electrode to one of the indicated positions as below:
- 21
Figure 12: C-electrode Placement

□ V1 is on the 4th intercostal space at the right sterna margin.
□ V2 is on the 4th intercostal space at the left sterna margin.
□ V3 is at the midway between V2 and V4 electrodes.
□ V4 is on the 5th intercostal space at the left clavicular line.
□ V5 is on the left anterior axillary line, horizontal with V4 electrode.
□ V6 is on the left middle axillary line, horizontal with V4 electrode.
□ V3R-V7R is on the right side of the chest in positions corresponding to those on the left.
□ VE is over the xyphoid. As for the V-lead position on the back, it should be placed at
one of the positions below.
□ V7 is on the 5th intercostals space at the left posterior axillary line of back.
□ V7R is on the 5th intercostals space at the right posterior axillary line of back.
- 22
CABLE AND LEADWIRE INSTALLATION

1. Insert the plug of ECG into socket on the left panel of monitor, make sure that the
salient of plug is direct to the notch of socket when inserting.
2. Connect the electrode lead to the patient‘s cable.
ECG SETUP
Touch the ECG Waveform or Parameter area directly. This menu can finish settings
below:
Alarm Switch
HR Alarm High
HR Alarm Low
ECG Lead
ECG Setup ECG Gain
ECG Filter
ECG Notch
Lead Type
ECG Cascade
Sweep Speed
Sweep Color
Pacemaker
Detection
ECG Test
ST Alarm
ECG Verify
ST Analysis
ST Analysis ST Alarm High
ST Alarm Low
ST Adjust
ARR Analysis
ARR Source
PVC Monitor
ARR Analysis PVC Alarm
Count
ARR Relearn
ARR Alarm
Setup
ARR Review
Figure 13: Tree Diagram for ECG Setup
- 23
ALARM SWITCH
ON and OFF for choice, the factory–set is ON.
If the HR value is above or below the HR alarm limit, when the choice is ON, the alarm is
activated; when the choice is OFF, the alarm indicator will not light, the relative alarm
parameter will not flash and relative parameter area will appear an icon of .
HR ALARM HIGH
The range is：80～400 bpm，the factory-set is 130 bmp，the single-step adjustable step-
length is 5 bpm.
HR ALARM LOW
The range is：20～150 bpm，the factory-set is 50 bmp，the single-step adjustable step-
length is 5 bpm.
ECG LEAD
When the Lead Type is 5 Leads, the item is not selectable. When the Lead is 3 Leads,
you can choose it for Lead I or Lead II or Lead III.
ECG GAIN
The user can freely choose one from items of X0.25, X 0.5, X1.0 and X2.0. The bigger the
gain is, the larger the waveform amplitude is. The factory-set is X1.0. When the display
mode is 10 Waveforms, it could not choose the item for X2.0.
ECG FILTER
The ECG Filter setting defines how ECG waveforms are smoothed. Freely select three
different modes which are Surgery, Monitor or Diagnose. The factory-set is Monitor.
 Monitor: Use under normal measurement conditions
 Diagnose ： Use when diagnostic quality is required. The unfiltered ECG
waveform is displayed so that changes such as R-wave notching or discrete
elevation or depression of the ST segment are visible.
 Surgery: Use when the signal is distorted by high frequency or low frequency
interference. High frequency interference usually results in large amplitude
spikes making the ECG signal look irregular. Low frequency interference usually
leads to wandering or rough baseline. In the operating room, the surgery filter
reduced artifacts and interference from electrosurgical units. Under normal
measurement conditions, selecting ‗Surgery‘ may suppress the QRS complexes
too much and then interfere with ECG analysis.
ECG NOTCH
The notch filter removes the line frequency interference. When ECG filter is Monitor or
Surgery mode, the notch filter always stays on. Only when the filter is Diagnose mode,
you can switch the notch filter on or off as required. ECG notch can be set 50Hz or 60Hz
according to power line frequency. The factory-set is 50Hz.
LEAD TYPE
3 leads and 5 leads for choice, the factory-set is 5 leads.
ECG CASCADE
ON or OFF, if choose ON, an ECG waveform will take up two channels. After filled up with
the first channel, the waveform will follow the second channel. In the cascade mode, the
waveform could only sweep from left to right. The default-set is OFF.
SWEEP SPEED
Select from 12.5 mm/s, 25 mm/s, 50 mm/s and 100 mm/s. The factory-set is 25 mm/s.
SWEEP COLOR
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Select from White, Gray, Red, Yellow, Green, Cyan, Blue, and Magenta. The default-set is
Green.
PACEMAKER DETECTION
It is important to set the paced status correctly when you start monitoring ECG. When the
Pacemaker Detection is set to ON, the pace pulse markers “|”are shown on the ECG
waveforms when the patient has a paced signal.
[WARNING]
1. For paced patients, you must set Pacemaker Detection to ON. If it is incorrectly
set to OFF, the patient monitor could mistake a pace pulse for a QRS and fail to
alarm when the ECG signal is too weak. DO NOT rely entirely on alarms when
monitoring patients with pacemakers. Always keep these patients under close
surveillance.
2. For non-paced patients, you must set Pacemaker Detection to OFF. If it is
incorrectly set to ON, the patient monitor may be unable to detect premature
ventricular beats (including PVCs) and perform ST segment analysis.
ECG TEST
Used by engineer only.
ECG VERIFY
Used by engineer only.
ST-SEGMENT ANALYSES
ST-segment analysis calculates ST-segment elevations and depressions for individual
leads and then displays it as numeric in the ECG Parameter area. A positive value
indicates ST-segment elevation; a negative value indicates ST segment depression. It is
not intended for neonatal patients.
As shown in the figure below, the ST measured for each beat complex is the vertical
difference between two measurement points with the R-wave peak as the baseline for the
measurement.
ST ALARM SWITCH
The default value is OFF. The alarm is triggered when the ST measurement value
exceeds the alarm limits. If the ST Alarm is ON, the ST value blinks, the alarm sounds and
the alarm indicator flashes, and the information column will give the note that ST HIGHER
or ST LOWER.
ST ALARM LIMIT
- 25
Set the ST alarm upper limit and lower limit separately. The range is：-2～2 mV. The
default upper limit is +0.30 mV, the default lower limit is -0.30 mV. The single-step
adjustable step- length is 0.02 mV.
ST ANALYSIS SWITCH
The default value is OFF, only the choice of ON can operate the ST Segment Monitoring.
Meanwhile, the TREND GRAPH or TREND TABLE can be opened by the button of
TREND to see the tendency displaying on the graph or table.
ST ADJUST
ISO (Base Point)
Set the baseline point, its adjustable range is –508 ms～–4 ms, the default value is –80ms,
it shows that the reference point is the position 80ms before the peak of R- wave locates.
ST (Measurement Point)
Set the measuring point, its adjustable range is +8 ms～+508 ms, the default value is
+108ms, it shows that the reference point is the position 108 ms after the peak of R- wave
locates.
These two points can be adjusted by clicking the button of << or >>. The value and the
indicating line will change simultaneously.
NOTE: The ST measurement point should be adjusted if the patient‘s HR or ECG

morphology changes significantly.
- 26
ARRHYTHMIA ANALYSIS
The monitoring system supports the self relearn function to accommodate itself to new
conditions such as different patients. The user can edit the arrhythmia type. For each type
system saves 8 items arrhythmia and totally saves 104 items.
WARNING:
Arrhythmia analysis program is intended to detect ventricular arrhythmias. It is not
designed to detect atrial or supraventricular arrhythmias. It may incorrectly identify the
presence or absence of an arrhythmia. Therefore, a physician must analyze the
arrhythmia information with other clinical findings.
ARR ANALYSIS
Set arrhythmia analysis to be ON or OFF. The factory-set is OFF.
ARR SOURCE
Select between lead I, lead II and Lead III, and the factory-set is lead II. The user can
switch the ECG lead if the current lead‘s signal is weak.
PVC MONITOR
Set PVC monitor to be ON or OFF. The factory-set is ON, if the premature ventricular
contraction times exceed the PVC ALARM COUNT, the system will alarm.
PVC ALARM COUNT
Its set range is from 1 to 10. The factory-set is 10.
ARR RELEARN
Self relearn to accommodate itself to new conditions. Such as different patients,
cardiograph changes a lot.
ARR ALARM SETUP
Set all kinds of arrhythmia alarm to be ON or OFF. The all factory-sets are ON.
ARR REVIEW
Figure 14: Window for ARR Review

1. Select: To choose an arrhythmia item.
2. Wave: To review the selected arrhythmia item includes items of HR，ST，PR, SpO2,
NIBP, Temp, Resp, PVC and so on,
- 27
Figure 15: Window for ARR Retail Information

3. Rename: To rename a selected ARR item.
4. Delete: To delete a selected ARR item.
5. Sort: to sort the arrhythmia items by Time or Type. The factory-set is by Time.
Arrhythmia analysis can monitor 13 kinds of arrhythmias. Refer to below.
ASY --- Asystole
FIB --- Fibrillation
VTA --- Ventricular tachycardia
ROT --- R ON T
RUN --- Ventricular Run
TPT --- Ventricular Triplet
CPT --- Ventricular Couplet
VPB --- Ventricular prematare beat
BGM --- Bigeminy
TGM --- Trigeminy
TAC --- Tachycardia
BRD --- Bradycardia
MIS --- Miss beat
ERROR MESSAGES OF ECG MONITORING

Sometimes messages will display above the ECG waveform：
Prompts Explanation
Lead off ECG leads fall off the skin or the monitor
ECG Signal Weak Monitor system can not calculate HR value
when the ECG Signal is too weak.
MAINTENANCE AND CLEANING

PATIENT CABLE AND LEAD
After every times of using, the cable must be cleaned and following the methods below:
 Clear the paste on body and the remainder of electrolyte on the electrode. The
paste-eradicator can be used when removing the adhesive tape remainder, but
acetone, alcohol, ammonia, chloroform and other strong solvent are not suggested,
because they would finally damage the vinyl cable.
 Use a sponge moistened in mild soap liquid or other suitable detergent solution to
clean the cable and then dry them. Do not submerge the cable into the water.
 Check each cable to see whether they are corroded, damaged or degenerated. Do
not use pressure cooker to disinfect the cable and electrode or heat them to
75℃(167F) and higher temperature. If there is dirt on the material surface, you can
use the abluent which will not left remainder to clean and any metal grinding medium
like floss is forbidden. The storing temperature should be -20℃ till 75℃(-68F till 167F).
- 28
Hang or place them flat so as not to be damaged.

ADDING POINTS
 HR calculating stability has a process, ECG lead switching sometimes affect HR
which will become stable after a while. The change of gain and filter may influent the
HR calculating stability too. Another factor which affecting HR calculation is the QRS
waveform, if T wave is too high, HR will be make mistake too. Arrhythmia sometimes
influent HR calculation too.
 Choosing suitable ECG waveform range and complete QRS waveform has important
effect in the accuracy of HR calculation.
- 29
RESP MONITORING
 RESP ELECTRODE INSTALLATION
 RESP SETUP
RESP ELECTRODE INSTALLATION
The monitor measures respiration from the amount of thoracic impedance between two
ECG electrodes. The change of impedance between the two electrodes, (due to the
thoracic movement), produces a respiratory waveform on the screen.
For RESP monitoring, it is not necessary for additional electrodes, however, the placing of
electrodes is important.
Some patients, due to their clinical condition, expand their chest laterally, causing a
negative intrathoracic pressure. In these cases it is better to place the two RESP
electrodes laterally in the right axillary and left lateral chest areas at the maximum point of
breathing movement to optimize the respiratory waveform.
The sensor of RESP Electrode‘s installation is same as ECG‘s.
[NOTE]
The RESP monitoring is not recommended to be used on patients who are very active,
as this can cause false alarms.
The scheme picture for placing the 5 Electrodes for Respiratory Monitoring is seen as
followings:
[NOTE]
Place the red and green electrodes diagonally to optimize the respiration waveform. Avoid
the liver area and the ventricles of the heart in the line between the RESP electrodes so
as to avoid cardiac overlay or artifacts from pulsating blood flow. This is particularly
important for neonates.
RESP SETUP
Touch the Resp Waveform Area or Parameter Area directly. You can enter the Resp Setup
Menu.
- 30
Alarm Switch
Resp Alarm High

Resp Setup
Resp Alarm Low
Resp Gain
Sweep Speed
Sweep Color
Display
Figure 16: Tree Diagram for Resp Menu
The menu can finish settings as below:
ALARM SWITCH
If the RESP value is above or below the RESP alarm limit, when the choice is ON, the
alarm is activated; when the choice is OFF, the alarm indicator will not light, the relative
RESP ALARM HIGH
The RESP alarm upper-limit, the range is 8～120 bpm，and the factory-set is 30 bpm，the
single-step adjustable step- length is 1 bpm.
RESP ALARM LOW
The RESP alarm lower-limit, the range is 6～100 bpm，and the factory-set is 8 bpm，the
single-step adjustable step- length is 1 bpm.
RESP GAIN
The user can freely choose one from items of X0.25, X 0.5, X1.0 and X2.0. The bigger the
gain is, the larger the waveform amplitude is. The factory-set is X1.0.
SWEEP SPEED
Choose from 6.25 mm/s, 12.5 mm/s and 25.0 mm/s, and the factory-set is 6.25mm/s.
SWEEP COLOR
From White, Gray, Red, Yellow, Green, Cyan, Blue, and Magenta for choice, the
default-set is Cyan.
DISPLAY
The ON and OFF for choice. Pick ON can display RESP, pick OFF would not display the
RESP, but this do not influent the actual data of trend.
Applications: when the patient‘s thorax or abdomen is subjected too much interference,
the RESP monitoring is not accurate, so it is suggested to close the RESP display.

It is the same as the ECG monitoring.
- 31
SPO2 MONITORING
 SPO2 MONITORING PRINCIPLE
 SPO2 SENSOR INSTALLLATION
 SPO2 SETUP
 MEASUREMENT LIMITATIONS
 SPO2 ERROR MESSAGES
SPO2 MONITORING PRINCIPLE
Arterial oxygen saturation is measured by a method called pulse oximetry. It is a
continuous, non-invasive method based on the different absorption spectra of reduced
hemoglobin and oxyhemoglobin. It measures how much light, sent from light sources on
one side of the sensor, is transmitted through patient tissue (such as a finger or an ear), to
a receiver on the other side.
The amount of light transmitted depends on many factors, most of which are constant.
However, one of these factors, the blood flow in the arteries, varies with time, because it is
pulsating. By measuring the light absorption during a pulsation, it is possible to derive the
oxygen saturation of the arterial blood. Detecting the pulsation gives a PLETH waveform
and pulse rate signal.
About SpO2、SaO2、SjvO2
□SpO2：It is the arterial blood oxygen saturation lever measuring by oximeter.
□SaO2：It is the oxygen saturation of arterial blood
□SjvO2：It is the oxygen saturation of the jugular blood.
[WARNING]
Pulse oximeter can overestimate the SpO2 value in the presence of HB-CO, Met-HB or
dye dilution chemicals.
SPO2 SENSOR INSTALLLATION

1. Insert the plug of SpO2 sensor into the SpO2 socket on the left panel of monitor. Make
sure that the salient of plug must direct to the notch of socket when inserting of
unplugging, otherwise the measurement will not be reliable and the sensor connector will
be damaged.
2. Wear the finger-probe on the finger; make sure that the finger tip is the same
direction as the finger direction indicated on the probe.
SPO2 SETUP
Touch the SpO2 Waveform or Parameter area directly. As graph below:
- 32
Alarm Switch
SpO2 Alarm High
SpO2 Alarm Low

SpO2 Setup
Sweep Speed
Sweep Color
Factory Setup
Figure 17: Tree Diagram for SpO2 Setup Menu
ALARM SWITCH
If the SpO2 value is above or below the SpO2 alarm limit, when the choice is ON, the
SPO2 ALARM HIGH
The SpO2 alarm upper-limit, the range is 50～99 %，and the factory-set is 99%，the
single-step adjustable step- length is 1 %.
SPO2 ALARM LOW
The SpO2 alarm lower-limit, the range is 50～99 %，and the factory-set is 85%，the
single-step adjustable step- length is 1%.
SWEEP SPEED
Choose from 12.5 mm/s to 25.0 mm/s, and the factory-set is 12.5 mm/s.
SWEEP COLOR
default-set is Blue.
SPO2 FACTORY SETUP
Click ―Factory Setup‖ and input ―SPO2….‖password, then come into “SpO2 Setup”
Menu to SpO2 Factory Setup.
There are three SpO2 modules for choice: BCI, Nellcor and Masimo.
More detail please contact with local distributor or service engineer
This item is for servicing engineer use only.

MEASUREMENT LIMITATIONS
1. The measurement is decided by the pulsating characteristic of blood stream in
artery or arterial blood vessel. The arterial blood stream may decreased to the level
which cannot be measured in conditions below:
 Shock
 Hypothermia
 Vasoactive medicines are applied
 Anemia
2. The measurement are also decided by the condition how the oxyhemoglobin and
reduced-hemoglobin absorb the light of special wave-length. If there are other
- 33
material can absorb the same wave-length light, they can cause the measurement
false or lower than the actual value of SpO2, for example:
 Carboxyhemoglobin
 Methemoglobin
 Methylene blue
 Carmine indigo
3. The strong light in the environment also can influent measurement. Some suitable
light-tight material to cover the sensor which can improve the measure quality.
[WARNING]
 Prolonged and continuous monitoring may increase jeopardy of unexpected
change of dermal condition such as abnormal sensitivity, rubescence, vesicle,
repressive putrescence, and so on. It is especially important for neonate and
patient of poor perfusion or immature dermogram to check the sensor placement
by light collimation and proper attaching strictly according to changes of the skin.
Check regularly the sensor placement and move it when the skin deteriorates.
More frequent examinations may be required for different patients.
 DO NOT use SpO2 sensors during magnetic resonance imaging (MRI). Induced
current could potentially cause burns. The sensor may affect the MRI image, and
the MRI unit may affect the accuracy of the oximetry measurements.
SPO2 ERROR MESSAGES

PLETH Waveform may display messages as below:
PROMPTS EXPLAINATION
Search Too Long Search-time of SpO2 is too long
Searching For Pulse. . . On searching for pulse signal
Sensor Off Sensor falls off or the finger fails to insert

into the finger-probe
SpO2 Com Error SpO2 board has communication error with
the mainboard
MASIMO INFORMATION
TRADEMARK AND LICENSING LABELS
MASIMO PATENTS
This device is covered under one or more the following U.S.A. patents: 5,758,644;
5,823,950; 6,011,986; 6,157,850; 6,263,222; 6,501,975; 7,469,157 and other applicable
patents listed at http:// www.masimo.com/patents.htm.
NO IMPLIED LICENSE
Possession or purchase of this device does not convey any express or implied license to
use the device with unauthorized sensors cables which would, alone, or in combination
- 34
with this device, fall within the scope of one or more of the patents relating to this device.
NELLCOR INFORMATION
TRADEMARK AND LICENSING LABELS
NELLCOR PATENS
This device is covered under one or more the following U.S. Patents: 4,802,486;
4,869,254;4,928,692; 4,934,372; 5,078,136; 5,351,685; 5,485,847; 5,533,507; 5,577,500;
5,803,910;5,853,364; 5,865,736; 6,083,172; 6,463,310; 6,591,123; 6,708,049; Re.35,122
and international equivalents U.S.A international patents pending.
NO IMPLIED LICENSE
Possession or purchase of this device does not convey any express or implied license to
use the device with unauthorized replacement parts which would, alone, or in combination
with this device, fall within the scope of one or more of the patents relating to this device.
- 35
NIBP MONITORING
 NIBP MONITORING PRINCIPLE
 NIBP CUFF FITTING
 NIBP MONITORING INITIALIZATION
 NIBP SETUP
 NIBP LIST OBSERVATION
 MEASUREMENT LIMITATIONS
 NIBP ERROR MESSAGES
 MAINTAINENCE AND CLEANING
NIBP MONITORING PRINCIPLE
The Non-invasive Blood Pressure (NIBP) module measures the blood pressure using the
oscillometric method.
It is applicable for adult, pediatric and neonatal usage.
There are three modes of measurement available: Manual, Automatic and Stat. Each
mode displays the diastolic, systolic and mean blood pressure.
[WARNING]
 You must not perform NIBP measurements on patients with sickle-cell disease or
under any condition which the skin is damaged or expected to be damaged.
 For a thrombasthenia patient, it is important to determine whether measurement of
the blood pressure shall be done automatically. The determination should be based
on the clinical evaluation.
 Before starting a measurement, verify that you have selected a setting appropriate for
your patient(adult、pediatric or neonate.) Ensure that the correct setting is selected
when performing measurements on neonate, because the higher adult BP level is not
suitable for neonate, it may be dangerous for the neonate to use an over pressure
level.
 DO NOT 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.
NIBP CUFF FITTING

1. Whether choosing the suitable cuff which match the arm of patient influent much on
the accuracy of NIBP measurement. The cuff width recommend by AMERICA HEART
SOCIETY is the 40% of upper arm circumference or the 2/3 of the upper arm length.
2. Apply the blood pressure cuff to the patient‘s arm:
 Make sure that the cuff is completely deflated.
 Apply the appropriate size cuff to the patient, and make sure that the symbol ―φ‖ is
over the appropriate artery. Ensure that the cuff is not wrapped too tightly around the
limb. Excessive tightness may cause discoloration and eventual isocheimal of the
extremities.
3. Make sure that the cuff has not been twisted.。
4. Insert the air pipe into the NIBP socket on the left panel of monitor. Ensure that the
spring block on the left side of socket has been pressed
When inserting or unplugging the pipe, otherwise measurement process will be irregular
and the sensor connector will be damaged.
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[WARNING]
 The width of the cuff should be either 40% of the limb circumference (50% for
neonates) or 2/3 of the upper arm length. The inflatable part of the cuff should be
long enough to encircle 50-80% of the limb. The wrong size of cuff can cause
erroneous readings. If the cuff size is in question, then use a larger cuff.
 Make sure that the cuff edge falls within the range of 〈-〉. If does not, change a
more suitable cuff.
 Connect the cuff to the air hose. The limb chosen for taking the measurement
should be placed at the same level as the patient‘s heart. If this is not possible you
should apply the following corrections to the measured values:
 If the cuff is placed higher than the heart level, add 0.9mmHg (0.12kPa) for each
inch of difference.
 If it is placed lower than the heart level, deduct 0.9mmHg (0.12kPa) for each inch of
difference.
NIBP MONITORING INITIALIZATION

After opening the host machine, check the information indicating area before NIBP
monitoring, if there is a note of NIBP MODULE SELF-CHECK OK, it shows that the NIBP
module operate well, then begin NIBP monitoring, and the NIBP monitoring before this
information is invalid; if there is NIBP MODULE SELF-CHECK ERROR, it shows that the
NIBP module cannot be proceeded, press the button of START/STOP to give another
time of self-checking or machine-opening, if it is also this information, contact with
servicing engineer.
NIBP SETUP
Touch the NIBP Parameter Area to pop up the NIBP Setup menu.
Alarm Switch
Pressure Unit
Adult
Patient Type Pediatric
Neonatal
NIBP
Manual
Inflation Mode Auto
STAT
Time Interval
Alarm Setup
Factory Setup
Figure 18: Tree Diagram for NIBP Setup Menu
This menu can finish settings below:
ALARM SWITCH
If the NIBP value is above or below the NIBP alarm limit, when the choice is ON, the alarm
is activated; when the choice is OFF, the alarm indicator will not light, the relative alarm
PRESSURE UNIT
mmHg or kPa，the factory–set is mmHg.
- 37
PATIENT TYPE
ADULT TYPE
It can apply to the adult mode. In the initiated measurement, inflate the cuff to 180mmHg
(24kPa), if the NIBP value cannot be measured, then inflate the cuff to higher than the
form value by 50mmHg (6.7kPa), the maximum value cannot exceed 280mmHg
(37.3kPa), and the enduring pressure range is 50-280mmHg. The factory–set is ADULT
TYPE.
PEDIATRIC/NEONATAL TYPE
It can apply to the PEDDIATRIC or NEONATAL mode. In the initiated measurement,
inflate the cuff to 60mmHg (8kPa), if the NIBP value cannot be measured, then inflate the
cuff to higher than the form value by 30mmHg (4kPa), the maximum value cannot exceed
150mmHg (20kPa), and the enduring pressure range is 50-150 mmHg.
If this setup is before the NIBP module initiation, the set is not effective.
Inflating range showing above has been realized on NIBP, NIBP use this inflation range to
make sure the safety of patient.
INFLATION TYPE
There are three items for choice. Manual, Auto and STAT.
MANUAL MODE：
Press the button of START/STOP to begin inflation, the information indicating area
display ―Manual measuring… ―which shows that it is on measurement just the moment.
If the NIBP measurement is finished, NIBP parameter area will display values and the
information indicating area will give a note of ―Manual measuring end!‖, then the
measurement process finished.
If the NIBP value cannot be measured, NIBP parameter area will display error messages
and automatically begin three times of measurement again, if the value cannot be
measured also, the information indicating area will give a note of ―RETRY OVER！‖ and
never measure again.
During the measurement, press the button of START/STOP again will stop the NIBP
measurement process and the information indicating area will give a note of STOP
MANUAL MEASURING.
AUTOMATICAL MODE
NIBP parameter area will display the countdown of "Auto measuring..." (TIME INTERVAL),
so long as reaching the zero point, machine will automatically precede inflating
measurement again and again until the mode be changed.
Start a measurement manually. The monitor will then automatically repeat NIBP
measurements at the set time interval.
If the NIBP measurement is finished, NIBP parameter area will display values and the
information indicating area will give a note of "Auto measuring end！". And then begin
another measurement until the mode is changed.
and the first measurement automatically begin three times of measurement again, if the
value cannot be measured. Also, the information indicating area will give a note of
―RETRY OVER！‖ and automatically go on the next measurement until the mode is
changed.
If the button of START/STOP be pressed during any period of countdown, it is
immediately begin inflation measurement.
During the measurement, press the button of START/STOP again will stop this period of
NIBP measurement process and the information indicating area will give a note of "Stop
- 38
auto measuring", but the automatic measurement period is continuous.

[WARNING]
Prolonged non-invasive blood pressure measurements in Auto mode may be
associated with purport, isocheimal and neuropathy in the limb wearing the cuff.
When monitoring a patient, examine the extremities of the limb frequently for normal
color, warmth and sensitivity. If any abnormality is observed, stop the blood pressure
measurements.
STAT MODE
In the stat mode, it will measure NIBP continually for three times. And then it will end
automatically. Of course, you can press the button of START/STOP to end the
measurement manually.
Press the button of START/STOP to begin inflation, the information indicating area
display "STAT measuring..." which shows that it is on measurement just the moment; If
the NIBP measurement is finished, NIBP parameter area will display values and the
information indicating area well give a note of "STAT measuring end".
and automatically begin three times of measurement again, if the value cannot be
measured also, the information indicating area will give a note of ―RETRY OVER！‖, and
then continue another time of measurement which lasts 5 minutes and then stop.
During the measurement, if press the button of START/STOP again, the information
indicating area will give a note of "STOP STAT TEST" to stop the NIBP measurement and
exit from this mode。
[NOTE]
The value having been measured will display on the NIBP parameter area for 240
minutes unless a new measurement begin during this period. On the appropriate
trend graph and trend table, the parameter will exist for correlated time length.
TIME INTERVAL
This setting is used supported by automatic inflation mode. You can input the time
interval as you want. The range is 1 min to 4 hours.
ALARM LIMIT SETUP
SYS UPPER SYS LOWER DIA UPPER DIA LOWER
Limits LIMIT(mmHg) LIMIT(mmHg) LIMIT(mmHg) LIMIT(mmHg)
Patient
Type
Adult 30~240 30~240 15~180 15~180
Factory-set:150 Factory-set:100 Factory-set:90 Factory-set:50
Neonatal 30~240 30~240 15~180 15~180
Pediatric 30~240 30~240 15~180 15~180
The single-step adjustable length of alarm limit above is 5 mmHg.

FACTORY SETUP
Servicing engineer uses this function only.
NIBP LIST OBSERVATION
Touch the NIBP List Area to pop up the NIBP List Tabular. Touch again will put away the
NIBP List.
- 39
Figure 19: Window for NIBP List Observation
The NIBP list can save 256 groups of data.
[NOTE]
Only after the NIBP value has been measured can it be added to the NIBP Data List.
NIBP list can save 256 groups of data at all, if exceed, the new data will kick the most
former data out of the list and be added to the list automatically.
MEASUREMENT LIMITATIONS
To different patient conditions, the oscillometric measurement has certain limitations. The
measurement is in search of regular arterial pressure. In those circumstances when the
patient‘s condition makes it difficult to detect, the measurement becomes unreliable and
measuring time increases. The user should be aware that the following conditions could
interfere with the measurement, making the measurement unreliable or longer to derive.
In some cases, the patient‘s condition will make a measurement impossible.
PATIENT MOVEMENT
Measurements will be unreliable or may not be possible if the patient is moving, shivering
or having convulsions. These motions may interfere with the detection of the arterial
pressure pulses. In addition, the measurement time will be prolonged.
CARDIAC ARRHYTHMIA`S
Measurements will be unreliable and may not be possible if the patient‘s cardiac
arrhythmia has caused an irregular heartbeat. The measuring time thus will be prolonged.
HEART-LUNG MACHINE
Measurements will not be possible if the patient is connected to a heart-lung machine.
PRESSURE CHANGES
Measurements will be unreliable and may not be possible if the patient‘s blood pressure is
changing rapidly over the period of time during which the arterial pressure pulses are
being analyzed to obtain the measurement.
SEVERE SHOCK
If the patient is in severe shock or hypothermia, measurements will be unreliable since
reduced blood flow to the peripheries will cause reduced pulsation of the arteries.
HEART RATE EXTREMES
Measurements cannot be made at a heart rate of less than 40 bpm and greater than 240
bpm.
- 40
NIBP ERROR MESSAGES

Message indicating area may display messages like below：
Patient moving！ Serial error

Pressure < 10 mmHg！ NIBP renew self-check...
Pressure < 1.3 kPa！ NIBP self-check...
Pressure > 325 mmHg！ NIBP self-check error！
Pressure > 43.3 kPa! NIBP inter error！
Serial overtime！ Patient type error！
Reset error！ Setup patient...
Zero reset error！ NIBP self-check ok!
MAINTAINENCE AND CLEANING

[NOTE]
DO NOT squeeze the rubber tube on the cuff.
REUSABLE BLOOD PRESSURE CUFF

The cuff can be sterilized by means of conventional autoclaving, gas or radiation
sterilization in hot air ovens or disinfected by immersion in decontamination solutions, but
remember to remove the rubber bag if you use this method. The cuff should not be
dry-cleaned. The cuff can also be machine-washed or hand-washed; the latter method
may prolong the service life of the cuff. Before washing, remove the latex rubber bag, and
for machine-washing, close the Velcro fastening. Allow the cuff to dry thoroughly after
washing, and then reinsert the rubber bag.
To replace the rubber bag in the cuff, first place the bag on top of the cuff so that the
rubber tubes line up with the large opening on the long side of the cuff. Now roll the bag
lengthwise and insert it into the opening on the long side of the cuff. Hold the tubes and
the cuff and shake the complete cuff until the bag is in position. Thread the rubber tubes
from inside the cuff, and out through the small hole under the internal flap.
- 41
TEMP MONITORING
 THEORY OF OPERATION
 TEMP SENSOR INSTALLATION
 TEMP SETUP
 TEMP ERROR MESSAGES
THEORY OF OPERATION
The monitor provides one isolated temperature measurement channels.
The monitor utilizes a temperature probe with a thermistor to give continuous electronic
temperature readings of either core body temperature via rectal/esophageal probe or skin
temperature via an external sensor.
TEMP SENSOR INSTALLATION
1.Insert the plug of Temp sensor into the sensor socket on the left panel of monitor.
2.Put the probe on the patient according to the explanation of probe usage (lacuna and
body).
[WARNING]
Inspect the probe for wear or splitting after every disinfection/sterilization process is
complete. If wearing or splitting of the probe is found upon visual inspection, a new
probe should be used.
TEMP SETUP
Touch the Temp parameter area to pop up the menu of TEMP Setup, see below:
Alarm Switch
Temp Alarm high
Temp Setup Temp Alarm Low

Temp Unit
Temp Adjust
Figure 20: Tree Diagram for Temp Setup Menu

ALARM SWITCH
If the TEMP value is above or below the TEMP alarm limit, when the choice is ON, the
TEMP UNIT
Fahrenheit or Celsius for choice, the factory-set is Celsius.
TEMP ALARM UPPER-LIMIT
The Temp alarm upper-limit, the range is 10～50℃ (50~122℉)，and the factory-set is
- 42
38.0℃(100.4℉), the single-step adjustable step- length is 0.1℃(0.2℉).

TEMP ALARM LOWER-LIMIT
The Temp alarm lower-limit, the range is 10～50℃(50~122 ℉)，and the factory-set is
36℃(96.8℉)，the single-step adjustable step- length is 0.1℃(0.2℉).
TEMP ADJUST
This item is for servicing engineer use only.
TEMP ERROR MESSAGES
TEMP SENSSOR OFF: the TEMP probe falls off the monitor.
REUSABLE TEMP PROBES
1. The TEMP probe should not be heated above 100℃ (212oF). It should only be
subjected briefly t temperatures between 80℃ (176oF) and 100℃ (212oF).
2. The probe must not be sterilized in steam.
3. To clean the probe with alcohol detergent solution.
4. To clean the probe, hold the tip with one hand and with the other hand rubbing the
probe down in the direction of the connector using a moist lint-free cloth.
- 43
RAPID TEMP MONITORING (OPTION)

 ABOUT BODY TEMPERATURES
 GENERAL INFORMATION
 SAFETY AND WARING
 INSTRUCTION FOR USE
 TEMP PARAMETER SETUP
ABOUT BODY TEMPERATURES

It is a common myth that 98.6°F (37°C) is the ―normal body temperature.‖ The truth is that
98.6°F (37°C) is an average body temperature. Normal body temperature is actually
varies ranged with age, gender, and measurement site. Body temperatures also fluctuate
through out the day, typically cooler temperatures in the morning, warmer in the afternoon,
and cooling down again in the evening. Other factors that can influence body temperature
are: the patient‘s recent level of activity, metabolism rate, or medications. Normal body
temperatures also tend to decrease with age.
Please see the chart below for normal temperature ranges by patient age and site.
Readings from different body sites, even when taken at the same time, should not be
directly compared; body temperatures will vary by site.
Figure 21: Temperature Site and Patient Age

GENERAL INFORMATION
1. The FILACTM 3000 electronic thermometer is a fast, highly accurate and easy to use
clinical instrument for measuring patient temperatures by Oral, Axillary or Rectal
means.
2. The electromagnetic compatibility of this device has been verified by test according to
the EN60601-1-2:2005 requirements.
3. This device requires no user maintenance other than periodic cleaning and
replacement of expired batteries.
SAFETY AND WARING
CAUTION: Federal law (USA) restricts this device to sale by or on the order of a
physician.
- 44
1. Read this booklet thoroughly before using the FILAC 3000 electronic thermometer.
2. Do not use this device near flammable anesthetics. Not suitable for use in the
presence of flammable anesthetic mixture with air, oxygen or nitrous oxide.
3. Do not use this thermometer without first installing a new FILAC 3000 electronic
thermometer probe cover.
4. Use only FILAC 3000 electronic thermometer probe covers with this device. Use of
any other probe cover will result in erroneous temperature readings.
5. The device and probe covers are Non-sterile. Do not use on abraded tissue.
6. To limit cross contamination, use Blue devices for Oral and Axillary temperature
taking only.
7. Use RED devices only for RECTAL temperatures.
8. Thoroughly dry all electrical contacts on both probe and thermometer after washing,
or device may fail to function properly.
9. For re-calibration, service or integrity checks, refer to a qualified Biomedical
Technician or return to manufacturer.
10. Do not open unit. No user-serviceable parts inside. Opening of device may affect
calibration and voids warranty.
11. Disposal of used probe covers must be performed in accordance with current medical
practices or local regulations regarding disposal of infectious, biological medical
waste.
12. Removal of the batteries is recommended if the unit is not going to be used for an
extended period of time.
13. Dispose of batteries in a manner consistent with local environmental and institutional
policy for Lithium or Alkaline battery disposal.
14. Dispose of old battery-powered electronic equipment in a manner consistent with
institutional policy for expired equipment disposal.
15. Cleaning frequency and practices must be consistent with institutional policy for
cleaning of non-sterile devices.
16. Device to be used by trained personnel.
[NOTE]:
Even though this device has been designed to minimize the effects of electromagnetic
interference, it does generate radio frequency energy. If not used in accordance with the
instructions, the device could cause interference in other equipment operating within its
vicinity. If the device is causing interference, the following actions may be taken in an
attempt to correct the interference:
• Re-orient or re-locate the receiving device.
• Increase the separation between the devices.
• Consult a customer service representative.
INSTRUCTION FOR USE

Probe Covers —Applying & Removing
1. Open probe cover box by lifting tab at top corner and pulling
to remove top panel.
2. Insert box of probe covers into top of isolation chamber. (To
aid infection control, never switch boxes between blue and
red isolation chambers. Also, never switch probes between
blue and red isolation chambers. Keep like colors together.)
3. Remove probe from the probe well. This automatically turns
on the thermometer.
4. To help remind the user to apply or remove a probe cover, a
probe icon with flashing probe cover will be displayed when
the probe is withdrawn from the probe well and following a
completed temperature measurement.
5. Insert the probe end into a cover in the box. Push the
- 45
handle firmly until you feel the cover ―snap‖ into place.
6. Take appropriate temperature measurement (oral, axillary
or rectal).
7. Eject the used cover into bio-waste container by pressing
top button.
8. Remove, discard and replace box when empty.
Changing Isolation Chambers and Probes
1. For aiding in infection control, use only the Blue probe and
Blue isolation chamber for Oral and Axillary temperature
taking. The Red probe and Red isolation chamber must
only be used for Rectal temperature taking.
2. Do not attach a Red probe to a Blue isolation chamber or
vice-versa.
3. To remove or replace any isolation chamber/probe assembly, grasp the isolation
chamber from each side as shown.
4. Squeeze inward releasing the snaps and slide the isolation chamber up to pull off.
5. To replace, align probe well finger with opening in the top of
the unit.
6. Slide the isolation chamber down until the side snaps ―click‖
into place.
7. The probe is connected to the thermometer automatically.
8. To change probes, remove the isolation chamber as
described previously.
9. Grasp the sides of the L-shaped connector piece with one
hand and then using other hand pull backward on the latch
holding the end of the L-shaped connector.
10. Once free of the latch, slide the L-shaped connector out of
isolation chamber.
11. To replace, properly align the top of the L-shaped connector
to the slot on the back of the isolation chamber.
12. Then slide the connector up into the slot pressing
firmly on the bottom of the connector until it ―clicks‖
into place.
Oral & Axillary Temperature Taking
1. Make certain that the Blue isolation chamber/probe unit is

attached.
2. Withdraw probe and apply a probe cover. The
thermometer turns on automatically.
3. An icon identifying Oral or Axillary mode is displayed. The
Rectal icon can not be displayed when a blue isolation
chamber/probe is attached.
4. Press the Site button on the front panel to select either
the Oral or Axillary mode.
5. For Oral temperatures, insert the probe tip deep into the
sublingual pocket next to the frenulum linguae, (vertical
fold of tissue in middle of tongue), on one side or the other, toward the back of the
mouth.
- 46
[NOTE]
Accurate body temperature readings can only be obtained in one of these two ―heat
pocket‖ locations as shown. Temperatures taken in other mouth locations will result
in inaccurate body temperature readings
6. Patient‘s mouth must be CLOSED.

7. Securely hold the probe in place until the temperature
is displayed.*
8. For Axillary temperatures, have the patient raise the
arm, then place the probe tip in the axilla. Press
gently to assure good contact. For the most accurate
temperature the probe tip should be placed directly
against the patient‘s skin.
9. Have the patient then lower the arm and remain as
still as possible.* Hold the probe parallel to the arm as
shown.
10. If two short beeps are heard, it means the unit
switched to Direct (slow) mode for this temperature
only.
11. A ―long beep‖ is sounded when measurement is
complete and the final temperature is displayed.
12. To change between Celsius and Fahrenheit scales, press the °C/°F button. Press
again as needed.
13. Eject the used cover into a bio-waste container by pushing top button.
14. After returning the probe to the probe well, the temperature is stored for recall until
the probe is once again withdrawn. If the probe is returned to the probe well before
the ―long beep‖ is heard, no temperature will be stored for the recall function.
Rectal Temperature Taking

1. Make certain that the Red isolation chamber/probe unit is attached.
2. Withdraw the probe and apply a probe cover. Thermometer turns on automatically.
3. An icon identifying rectal mode is always displayed provided the Red isolation
chamber/probe assembly is attached. Pressing the Site button on the front panel to
change modes has no effect.
4. Apply lubrication if desired.
5. Insert the probe into the patient‘s rectum. To ensure proper tissue contact, angle the
probe slightly after insertion.1)
6. Depth of insertion is recommended at 1/2‖ to 3/4‖ (12 mm - 19 mm) for adults and 1/4‖
to 1/2‖ (6 mm - 13 mm) for children.
7. If two short beeps are heard, it means the unit switched to Direct (slow) mode for this
temperature only.
8. A ―long beep‖ is sounded when measurement is complete and the final temperature is
displayed.
9. To change between Celsius and Fahrenheit scales, press the °C/°F button. Press
again as needed.
10. Eject the used cover into a bio-waste container by pushing top button.
[NOTE]: Probe movement during a measurement can affect the thermometer’s

ability to measure the site temperature and may lengthen the time required to obtain
a reading.
- 47
Direct Mode
1. The FILAC 3000 electronic thermometer normally operates in Predictive Mode to
provide fast and accurate temperature measurements. However, in instances when
no measurement site is detected or the temperature does not stabilize, the
thermometer will automatically switch to Direct Mode and act as a temperature
monitor.
2. Additionally, the FILAC 3000 electronic thermometer will automatically switch into
Direct Mode if the ambient temperature is greater than 35°C (95°F).
3. The FILAC 3000 electronic thermometer can be set to operate exclusively in Direct
Mode (disable Predictive Mode). See instructions within the Bio-Tech Mode section
for information on how to lock Direct Mode on.
4. A turtle icon will be continuously displayed whenever the thermometer is functioning
in Direct Mode.
5. To change between Celsius and Fahrenheit scales, press and release the °C/°F
button. Press and release again as needed.
6. An Up or Down arrow will appear on the display whenever the current temperature
reading is out of range, either High or Low, respectively.
7. The Direct Mode auto feature is always functional regardless of Red or Blue isolation
chamber/ probe.
8. A ―long beep‖ is sounded when measurement is complete and the final temperature is
displayed.
Quick Mode (Oral Only)
1. Quick Mode is an oral predictive measurement mode intended for situations where
fast temperature measurements are desired.
2. Quick Mode allows clinicians to rapidly identify patients with ―normal‖ body
temperatures. If the patient temperature is outside of the ―normal‖ range, the FILAC
3000 electronic thermometer will automatically switch into its standard predictive
mode to provide a more accurate reading.
3. Quick Mode is indicated by a rabbit icon on the display. See instructions within the
Bio-Tech Mode section for information on how turn this feature ON or OFF.
4. Quick Mode is not available when in Cold Mode or in Direct Mode.
Cold Mode
1. Cold Mode is provided for use in applications where body temperatures may be lower
than ―normal‖, such as for patients recently out of surgery.
2. See instructions within the Bio-Tech Mode section for information on how turn this
feature ON or OFF.
3. When selected, as indicated by the snowflake on the display, the probe preheats to
33°C (91°F).
4. The accuracy and measurement time of Cold Mode measurements are equivalent to
standard prediction measurements at the respective body sites.
Recall Last Temperature
1. After each temperature measurement, a ―long beep‖ is heard. The ―beep‖ indicates
the temperature measurement has been completed and stored and is available for
recall. This temperature can be recalled after the probe is returned to the probe well.
2. To recall the most recent temperature measurement, press and release °C/°F button
on the front panel. The last measurement taken will appear for several seconds.
3. While the recalled measurement is displayed, the user may press and release
the °C/°F button again to change between the Celsius and Fahrenheit scales.
- 48
4. Withdrawing the probe from the probe well erases last temperature memory.
5. If the most recent temperature measurement was incomplete or out of range, dashes
will appear on the display during the recall operation.
Pulse Timer Mode
1. The FILAC 3000 electronic thermometer may also be used to help measure a
patient‘s pulse rate.
2. To access, do not remove probe from the probe well.
3. Press and release the Timer button on the front panel. The Clock icon and 0.0 will be
displayed.
4. Press and release the Timer button a second time to start the timer and elapsed time
display.
5. A ―beep‖ is sounded at 15 seconds, 2 beeps at 30 seconds, 1 beep at 45 seconds
and 2 beeps at 60 seconds. The count stops at 60 seconds. Pressing the Timer
button again will shut the unit off.
6. The Timer mode will turn off automatically, 5 seconds after stopping at 30 or
whenever the probe is removed from the probe well.
Bio-Tech Mode (Option Configuration Menu)
1. To enter Bio-Tech Mode, the thermometer must be in sleep mode (probe securely in
place with blank screen).
2. Press and hold the Site and °C/°F buttons at the same time for 4 seconds. A ―beep‖ is
heard and a dash scrolls in the display. The software version of the device will be
shown in the alpha-numeric section of the display.
3. The thermometer is now in Bio-Tech Mode. To navigate the Bio-Tech Mode menu,
follow the chart below.
4. The Pulse Timer button is used to move forward through the different configuration
options. °C/°F button is used to change an option configuration.
5. To exit Bio-Tech Mode and resume normal operation, press the Site and °C/°F
buttons at the same time and hold for 1 full second. Last settings are saved.
6. Bio-Tech Mode also exits automatically after 20 seconds of inactivity. The last settings
are saved.
TEMP PARAMETER SETUP

Touch the TEMP Parameter Area to pop up the menu of TEMP Setup, see below:
Alarm Switch
Temp Unit
Temp Setup Temp Alarm high
Temp Alarm Low
Measure Mode
Figure 22: Tree Diagram for Temp (Q) Setup Menu
ALARM SWITCH
If the TEMP value is above or below the TEMP alarm limit, when the choice is ON, the
- 49
TEMP UNIT
Fahrenheit or Celsius for choice, the factory-set is Celsius.
TEMP ALARM UPPER-LIMIT
The Temp alarm upper-limit, the range is 10～50℃ (50~122℉)，and the factory-set is
38.0℃(100.4℉), the single-step adjustable step- length is 0.1℃(0.2℉).
TEMP ALARM LOWER-LIMIT
The Temp alarm lower-limit, the range is 10～50℃(50~122 ℉)，and the factory-set is
36℃(96.8℉)，the single-step adjustable step- length is 0.1℃(0.2℉).
MEASURE MODE
It provides nine measure modes as choice including Oral Fast, Oral Standard, Oral Cold,
Oral Direct, Oral Monitoring, Axillary Standard, Axillary Cold, Axillary Direct and Axillary
Monitoring.

1. The entire device may be easily wiped clean. Water temperature should not exceed
130° F (55° C). Do not submerge or soak under water.
2. A mild detergent may be added to water. Use of cleaners such as Spray NineTM*,
PhisohexTM*, HibiclensTM*, or Vesta-SydeTM* CidexTM* may result in damage to
the thermometer case.
3. Use of 10:1 water and hypoclorite mixture or a damp isopropyl alcohol wipe
occasionally, is acceptable. Prolonged and repeated use of these chemicals may
result in damage to the thermometer case and display area.
4. Use of a cloth or sponge is recommended for cleaning. Abrasive pads may result in
damage to the thermometer case and display area.
5. This thermometer is provided non-sterile. DO NOT use ethylene oxide gas, heat,
autoclave, or any other harsh methods to sterilize this unit.
6. Isolation chambers may be replaced inexpensively instead of cleaning.
7. After cleaning the unit, shake the probe handle to drain out any excess solution.
Thoroughly dry the electrical contacts on both probe and thermometer.
- 50
ETCO2 MONITORING (OPTION)

 THEORY OF OPERATION
 WARNINGS
 ABBREVIATIONS AND TERMINOLOGY
 ZEROING THE CO2 MODULE
 PATIENT AND TUBING PREPARATION
 ETCO2 SETUP
 ADVANCED SETUP
 CALIBRATION
 STATUS/ERROR MESSAGES
THEORY OF OPERATION
Carbon dioxide monitoring is used to monitor continuous carbon dioxide and report the
End Tidal carbon dioxide (EtCO2), inspired CO2 and respiratory rate values of the
intubated and non-intubated adult, pediatric, infant and neonatal patient.
In carbon dioxide monitoring system, infrared light is generated by the sensor and
beamed through the sample cell to a detector on the opposite side. CO2 from the patient
that is aspirated into the sample cell absorbs some of this infrared energy. The monitor
determines CO2 concentration in the breathing gases by measuring the amount of light
absorbed by these gases. EtCO2 is displayed as a numerical value in millimeters of
mercury (mmHg), percent (%), or kilopascals (kPa). In addition, a CO2 waveform
(capnogram) may be displayed which is a valuable clinical tool that can be used to assess
patient airway integrity and proper endotracheal tube (ETT) placement. Respiration rate is
calculated by measuring the time interval between detected breaths.
There are two methods for measuring CO2 in the patient‘s airway:
1. Mainstream measurement uses a CO2 sensor attached to an airway adapter directly
inserted into the patient‘s breathing system.
2. Sidestream/Microstream measurement samples expired patient gas at a constant
sample flow from the patient‘s airway and analyzes it with a CO2 sensor built into the
CO2 module.
WARNINGS
 DO NOT position the sensor cables or tubing in any manner that may cause
entanglement or strangulation. Support the carbon dioxide monitoring system airway
adapter to prevent stress on the ET tube.
 Reuse, disassembly, cleaning, disinfecting or sterilizing the single patient use
cannula kits and on-airway adapters may compromise functionality and system
performance leading to a user or patient hazard. Performance is not guaranteed if an
item labeled as single patient use is reused.
 Inspect the sidestream on-airway adapters and sidestream sampling kits for damage
prior to use. DO NOT use the sidestream on- airway adapters and sidestream
sampling kits if they appear to be damaged or broken.
 Replace the sidestream on-airway adapters and sidestream sampling kits if
excessive secretions are observed.
 Monitor the CO2 check waveform (Capnogram). If you see changes or abnormal
appearance the patient and the sampling line. Replace line if needed.
 DO NOT apply excessive tension to any cable.
 DO NOT use device on patients that can not tolerate the withdrawal of 50 ml/min +/-
10 ml/min from the airway or patients that can not tolerate the added dead space to
the airway.
 DO NOT connect the exhaust tube to the ventilator circuit.
 DO NOT stick appendage into sample receptacle.
 Always insert sample cell before inserting the on-airway adapter into the ventilated
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circuit.
 Always remove the on-airway adapter from the ventilated circuit before removing the
sample cell.
 Nitrous oxide, elevated levels of oxygen, helium, Xenon, halogenated hydrocarbons,
and barometric pressure can influence the CO2 measurement.
ABBREVIATIONS AND TERMINOLOGY
EtCO2 End tidal carbon dioxide
INSP CO2 Inspired minimum CO2
AWRR Air-way respiration rate
BARO Barometric Pressure
ZEROING THE CO2 MODULE
The sample cell zero allows the CO2 Module to adjust to the optical characteristics of the
sample cell only when requested.
For optimal accuracy, a CO2 Module zero should be performed whenever the CO2 Module
is connected to the Patient Monitor.
Before performing a CO2 Module zero, the CO2 Module should be removed from the
Patient Monitor and the airway adapter type to be used in the circuit should be inserted
into the CO2 Module. Care should be taken ensure that the airway adapter is clear of any
residual CO2 gas. The maximum elapsed time for a CO2 Module zero is 30 seconds.
The typical time for a zero is 15 – 20 seconds.
Several CO2 Module conditions may also request that a zero be performed. These
requests stem from changes in the airway adapter that may indicate that the sensor is not
in optimal measuring condition. When this occurs, the airway adapter should be
checked to ensure optical occlusions such as mucus have not obscured the adapter
window. If occlusions are found, the airway adapter should be cleaned or replaced.
NOTE:
 System does not allow adapter zero for 20 seconds after the last breath is
detected.
 System does not allow adapter zero if temperature is not stable.
 An adapter zero cannot be performed if a sample cell is not connected to the
module.
PATIENT AND TUBING PREPARATION

1. MODULE MOUNTING
a. Put the CO2 module into the bracket of the rear panel of the monitor.
b. Check that monitor is switched off，Insert the plug of CO2 sensor into the corresponding
sensor socket marked with EtCO2 icon on the left panel of monitor.
WARNING: Don‘t hot plug EtCO2 module, that is make sure that the OMNI EXPRESS
is powered off before Insert the connector of CO2 sensor into EtCO2 socket. Otherwise
the CO2 module may be damaged by power supply from EtCO2 socket of OMNI
EXPRESS.
2. CONNECTING THE SAMPLE KIT

a. The sample cell of the sampling kit must be inserted into the sample cell receptacle of
the CO2 Module as shown in following figure. A ―click‖ will be heard when the sample cell
is properly inserted.
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b. Connect the CO2 tubing to Nasal and Nasal/Oral Sidestream Kits.

c. Inserting the sample cell into the receptacle automatically starts the sampling pump.
Removal of the sample cell turns the sample pump off.
d. To remove the sampling kit sample cell from the sample cell receptacle, press down on
the locking tab and pull the sample cell from the sample cell receptacle.
DIRECTIONS
For use of single patient use nasal and nasal/oral sidestream kits
CAUTION: The Nasal and Nasal/Oral Cannula kits are intended for single patient use. Do
NOT reuse or sterilize the cannula kit as system performance will be compromised.
1. Verify that the cannula kit is clean, dry and undamaged. Replace the cannula kit if
necessary.
2. Insert the sample cell into the sample cell receptacle as shown in above figure on
connecting the Sample Kit section. A ―click‖ will be heard when properly inserted.
3. Perform a sample cell zero if prompted by the host system.
4. Place the nasal cannula kits onto the patient as shown in following figure.
5. Some patients are prone to mouth breathing. The Oral/Nasal sampling cannula
should be used on these patients, as most, if not all of the CO2 is exhaled through the
mouth. If a standard nasal CO2 sampling cannula is used with these patients, the
EtCO2 number and capnogram will be substantially lower than actual.
6. When using the Nasal or Oral/Nasal CO2 sampling kits with oxygen delivery, place
the cannula on the patient and then attach the oxygen supply tubing to the oxygen
delivery system and set the prescribed oxygen flow.
7. If the oral/nasal cannula is used, the oral sampling tip may need to be trimmed to
adequately fit the patient (see following figure). Place the cannula onto the patient as
shown in above figure. Observe the length of the oral cannula tip. It should extend
down past the teeth and be positioned in the mouth opening. Remove the cannula
from the patient if the tip needs to be trimmed.
CAUTION: DO NOT cut the oral cannula tip when the cannula is on the patient.
CAUTION: Remove the sampling kit sample cell from the CO2 Module Inlet Port when not
been use.
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ETCO2 SETUP
Touch the EtCO2 Waveform or Parameter Area to pop up the menu of EtCO2 Setup, see
graph below:
Alarm Switch
EtCO2 Alarm High

EtCO2 Alarm Low
AWRR Alarm High
AWRR Alarm Low
Apnea Delay
EtCO2 Setup
EtCO2 Unit
Wave Scale
Fill In Waveform
Sweep Speed
Sweep Color
EtCO2 Period
Start Zeroing
Zero Setup
Zero Gas Type
Oxygen
Balance Gas
Advanced Setup
Anesthetic
BARO.
Gas Temp
Figure 23: Tree Diagram for EtCO2 Setup Menu
ALARM SWITCH
ON and OFF for choice, the factory–set is ON. When the choice is ON, the alarm is
activated; when the choice is OFF, the alarm indicator will not light, the relative alarm
ETCO2 ALARM HIGH
The range is 20～100 mmHg，and the factory-set is 60 mmHg.
ETCO2 ALARM LOW
AWRR ALARM HIGH
- 54

AWRR ALARM LOW
The single-step adjustable length of alarm limit above is 5 mmHg.
ASPHYXIA DELAY
This setting is used to set the no breaths detected time-out. This time-out is the time
period in seconds following the last detected breath at which the CO2 module will signal
no breaths detected. The monitor will alarm if the patient has stopped breathing for longer
than the preset apnea time.
The setting range is 10～60 seconds，and the factory-set is 10 seconds.
ETCO2 UNIT
mmHg, kPa or percent (%), the factory –set is mmHg.
WAVEFORM SCALE
Use this setting to adjust the amplitude measurement (size) of the displayed EtCO2
waveform scale manually.
There are two items for choice: 0～75 mmHg, 0～150 mmHg.
FILL IN WAVEFORM
Use this setting to fill in the bottom portion of the waveform on any channel of the
display; the ―fill in‖ can be canceled by choosing NO item.
SWEEP SPEED
From 12.5mm/s and 25mm/s for choice, the factory-set is 12.5mm/s.
SWEEP COLOR
default-set is Cyan.
ETCO2 PERIOD
This setting is used to set the calculation period of the EtCO2 value. The end-tidal CO2
value is the highest peak CO2 value of all end of expirations (end of breaths) over the
selected time period. If less than two breaths exist in the selected time period, the value
will be the maximum EtCO2 value for the last two breathes.
This setting has 1 breath, 10 seconds and 20 seconds for choice, the factory–set is 1
breath.
ZERO SETUP
Zero steps refer to ―Zeroing the CO2 Module‖ section detailed.
Complete the zero procedure by press “Start Zeroing” item. During zeroing, a message
of ―EtCO2 Zero Started‖ will be display on the message area.
ZERO GAS TYPE
NOTE: During the CO2 module warmup period after the monitor is powered on, the
monitor will perform an automatic zero calibration. The maximum elapsed time for a
CO2 Module zero is 30 seconds. The typical time for a zero is 15 – 20 seconds.
When performing a zero on room air, this setting should be set to room air (the default).
Only change to nitrogen (N2) when performing a zero on 100% N2 gas. This is provided
for use in a laboratory environment.
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ADVANCED SETUP
Pick ―ADVANCED SETUP‖ item to call up the related menu:
Gas
Compensations
Oxygen
EtCO2 Setup Advanced Setup Balance Gas

Anesthetic
BARO
Gas Temp
Figure 24: Tree Diagram for EtCO2 Advanced Setup
SET GAS COMPENSATIONS
The measurement of CO2 is affected by temperature, pressure, and gas compensations.
The barometric pressure as well as the presence of O2, N2O, helium, and anesthetic
agents in the gas mixture needs to be compensated for by the CO2 module in order to
achieve its stated accuracy. The instrument settings for these parameters should be set
when initially connecting to the CO2 module and whenever there is a change in the
conditions at the patient airway.
In the CO2 module, the temperature of the gas in the airway also effects the CO2
measurement. It is necessary to adjust the instrument setting for the gas temperature to
achieve the maximum accuracy for the CO2 module.
OXYGEN COMPENSATION
The setting range is 0～100 %. The factory–set is 16 %.
BALANCE GAS
There are room air, N2O and Helium items to choose.
ANESTHETIC AGENT
Use this setting to correct for the compensation of the gas mixture administered to the
patient. Anesthetic agent is ignored when the balance gas is set to helium.
The setting range is 0.0～20.0 %. The factory –set is 0.0 %.
[NOTE]
At 700mmHg of pressure, the correct CO2 value is 35.0 mmHg.
BAROMETRIC PRESSURE
This setting is used to set current Barometric Pressure.
The setting range is 400～850 mmHg. The factory –set is 760 mmHg.
GAS TEMPERATURE
This setting is used to set temperature of the gas mixture. This setting is useful when
bench testing using static gasses where the temperature is often room temperature or
below.
The setting range is 0～50℃. The factory –set is 35℃.
- 56
CALIBRATION
No routine user calibration required.
Safety lock-outs:
 System does not allow sample cell zero for 20 seconds after the last breath is
detected.
 System does not allow sample cell zero if temperature is not stable.
 An adapter zero cannot be performed if a sample cell is not connected to the
module.
STATUS/ERROR MESSAGES
Messages Descriptions
Sensor Off The CO2 sensor is not connected
Sensor Warm Up One of the following conditions exist:
Sensor under temperature
Temperature not stable
Source Current unstable
Sensor Over Temp Make sure sensor is not exposed to extreme heat (heat lamp,
etc.). If error persists, return sensor to factory for servicing.
Sensor error Check that the sensor is properly plugged in. Reinsert or reset
the sensor if necessary. If error persists, return sensor to factory
for servicing.
Sensor Zeroing. . A zero is currently in progress.
Zero Required To clear, check airway adapter and clean if necessary. If this
does not correct the error, perform an adapter zero. If you must
adapter zero more than once, a possible hardware error may
exist.
Check Sampling Line To clear, clean if sampling line mucus or moisture is seen. If
the sampling line is clean, perform a zero.
CO2 Out of Range The value being calculated is greater than the upper CO2 limit
(150 mmHg, 20.0 kPa, or 19.7 %). The maximum value output
is the upper CO2.
Check Airway To clear, clean airway adapter if mucus or moisture is seen. If
Adapter the adapter is clean, perform a zero.
Pump Life Exceed The manufacturer stated pump life has been exceeded. Service
may be required if Pneumatic System Error is present and can
no longer be cleared.
Sensor Setup. . . The CO2 sensor is setting process.
EtCO2 Zero Error: The CO2 sensor is not ready for a EtCO2 Zero
Sensor Not Ready.
EtCO2 Zero Error: Breaths have been detected by the CO2 module within the last
Breath Detected. 20 seconds while a CO2 module zero was attempted.
- 57

SCHEDULE
The CO2 Module flow rate accuracy should be verified by direct measurement using a
calibrated flow meter every 12 months.
CLEACING
Cleaning the CO2 Module case, Cable and connector:
1. Use a cloth dampened with isopropyl alcohol 70%, a 10% aqueous solution of sodium
hypochlorite (bleach), a 2% gluteraldehyde solution, ammonia, mild soap or disinfectant
spray cleaner such as Steris Coverage® Spray HB.
2. Wipe down with a clean water-dampened cloth to rinse and dry before use. Make
certain that the sensor windows are clean and dry before reuse.
[NOTE]
DO NOT immerse or sterilize the CO2 Module.
Cleaning the Sidestream On-Airway Adapters and Sidestream Sampling Kits:

Sidestream on-airway adapters and sidestream sampling kits are single patient use. Treat
in accordance with hospital protocols for handling single patient use devices.
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PATIENT INFORMATION ADMINISTRATION

 PATIENT BASIC INFORMATION SETUP
 ADD NEW PATIENT
 DELETE PATIENT
PATIENT BASIC INFORMATION SETUP
When you start the monitor, it will pop up a countdown window to remind you to set
the patient information. If you choose YES, you can set patient information directly.
Also you can set by touching the patient ID area at the top left corner to pop up patient
setup menu. You can have settings as below:
ID
Name
Patient Setup Type
Sex
Age
Blood
Figure 25: Tree Diagram for Patient Setup

ID
Set the ID number of patient. The ID number for each patient is different and unique.
[NOTE]: If you set the same ID with previous patient, the measurement data record
will be saved following after the previous data with same ID.
NAME
The input character range is: uppercase, A-Z, point (.) and blank character.
Patient name support the display method of English, and do not support the Chinese
character input. The user can input 9 characters at most.
SEX
Set the patient gender, the default setting is MALE.
BLOOD
Set the blood type of patient. It can be：N/A(unknown type) , A , B , O , AB , RH+ , RH-
and so on, the default setting is N/A.
AGE
Set the age of patient. The range is 0 ~120, the default setting is 20.
59
[NOTE]
 The Patient Monitor displays physiological data and stores them in the trends as
soon as a patient is connected. This allows you to monitor a patient that is not
saved information yet. However, it is recommended that you fully admit a patient so
that you can clearly identify your patient, on recordings, reports and networking
devices.
[NOTE]
 Once the user chooses the method of YES to exit from the Patient Information
Setup, all information of patient will be refreshed and the trend data will be
renovated.
ADD NEW PATIENT

If you want to change other patient, you should input new patient information first.
You have two ways to achieve it.
1. Touch the Patient ID area directly.
2. Touch the ―Pause‖ soft-key and then choose ―Start new case‖.
DELETE PATIENT
The monitor can save eight groups patient information for recall. You can delete the
previous patient in order to add new.
Pop up the ―Recall‖ Menu, enter into ―Delete the patient‖ menu and choose one as you
required.
60
TREND
 TREND OBSERVATION
 TIME SETUP
 MARK EVENT SETUP
 TREND TIME
 TREND GRAPH ANALYSIS
 TABULAR TREND ANALYSIS
 ALARM EVENT
 LAST WAVEFORM
TREND OBSERVATION
Monitoring system will save and trace the trend of parameters below:
Heart Rate (HR), Oxygen Saturation (SpO2)
Noninvasive Blood Pressure (SYS, DIA, Mean Blood Pressure)
Temperature(Temp)
Pulse Rate (PR)
Respiration Rate (RR)
End-tidal Carbon Dioxide (EtCO2)
EVENT
Press the function button of TREND button to pop up the graph below:
Data-recording Status Bar:

It is used to show the current data-recording length. For example, the user set a
trend of 15 minutes, if the color of bar right moment is red, it means that the
data-recording time is shorter than 15 minutes, i.e. the data-recording length is
smaller than the time-length choosing by user; if the color is light-blue, it means that
the data-recording is equal to the choosing time-length; if the bar presents the
light-blue and green alternately, it means that the data-recording length is larger than
the setup time length, and the light-blue part is the proportion of data-recording
length covered by the time-length, and the green part is the proportion of
data-recording length covered by time-length which has not been chosen.
TIME SETUP
In order to review data easily and intuitively, you should have set a right time.
Touch the time area at the top right corner to pop up time setup menu. You can have
settings as below:
61
Year/Month/Day
Time Setup Time Mode
Time
Figure 26: Tree Diagram for Time Setup

The value of year, month, day, hour and minute can be set, also you can set the Time
Mode to 12h or 24h. system will amend the internal clock according to the new settings.
Once the system time realigned, the trend data will renew correspondingly.
On entering the master screen, please checks whether the monitor time and the current
time are consistent, if not, please correct them.
MARK EVENT SETUP
During the patient monitoring, some event occurred will influence the patient and lead to
the waveforms or parameters change. In order to analysis the effect, you can mark the
event for recall.
There are four types of events that you can define. You can freely define the implication of
each type.
The menu is like the chart below:
Figure 27: Window for Mark Event Setup

MARK EVENT
Choose the related event item as you want from A, B, C and D. There is a V mark signal
for the ones selected
Choose the method of YES to exit, and the event marked is become effective immediately
upon the exit, or else it will not become effective.
When an event occurs, all the measurement numeric at the event trigger time is stored.
The Event can be recall from Event list in the Trend. See chart below:
Figure 28: Window for Event List
62
IMPORTANCE OF EVENT MARKING:

It can classify the circumstances which influence the parameter monitoring on patient,
for example, medicine taking, injection and other treatment, These events, displaying
on trend graph and table, are very important to the parameter analysis.
TREND TIME
Trend time is the time length before current time.
There are twelve items for trend time choosing: 30 minutes, 60 minutes, 90 minutes, 3
hours, 6 hours, 12 hours, 18 hours, 24 hours, 36 hours, 48 hours, 60 hours, 72 hours. For
instance, if 30 minutes is chose as the reference trend time, then we can recall the trend
change of 30 minutes before current time.
TREND TIME INTERVAL

Trend Time Interval means how often the system stores a trend data. Different trend
reference time has its correlated trend time interval, the relation between them are show
below:
Time Time Interval

30 minutes 6 seconds
3 hours 36 seconds
6 hours 72 seconds
12 hours 144 seconds
TREND GRAPH ANALYSIS

TREND GRAPH ADMITTANCE
Press the ―Trend Graph‖ button to pop up the Graphical Trend window.
Figure 29: Window for Trend Graph

Each page display the trend chart of one parameter, the user can change them by
choosing PARAMETER, and the order is as below:
HR, SpO2, RESP, NIBP, ST, PR, TEMP, EtCO2,.
63
The newest data is on the right side of the graph, time is displaying on the bottom of the
graph at the scale-of-24 hours, the upper and lower limit of parameter is displaying on the
left side of graph.
CURSOR BAR
It is the red vertical line on the trend graph for indication. The parameters‘ values in
the graph are gotten at the time the red vertical line indicates.
Press the ―Shift Left‖ or ―Shift Right‖ button. You will move the red cursor bar left or right
until it is at the position as required.
TABULAR TREND ANALYSIS
TREND TABLE ADMITTANCE
Press the ―Tabular Trend‖ button to pop up the Tabular Trend window. The trend Table
menu will display in the waveform area on the screen.
Sixteen groups of parameters are listed every one page and three hundred groups in total.
These data will be listed follow the order of from new to former and the time is displaying
at the scale-of-24 hours. The parameter name is display on the top of chart and the invalid
data will not display.
BASIC TABULAR TREND
Figure 30: Window for Basic Parameters Tabular Trend

TREND TABLE MOVING
Press the ―PageUp‖, ―PageDown‖, ―Print‖, ―Clear‖ button to complete relevant operation.
If the ―Clear‖ be choosing, the data all saved in the trend will be deleted.
TRANSFERRING TRENDS VIA RS-232
The entire trend memory can be transferred to an external computer via the RS-232
interface. Refer to the RS-232 INTERFACE section for details.
ALARM EVENT
In this window, you can recall the alarm information. It includes the parameter‘s waveform
and value exceeds the limits.
In this window you can select the alarm parameter (10 parameters), alarm waveform (12
waveforms) and alarm times (8 times).
64
Figure 31: Window for Alarm Event Review

LAST WAVEFORM
Press ―Last Waveform‖ button to pop up the last waveform review window like the graph
below:
Figure 32: Window for Last Waveform Review

When there are waveforms display for demonstration or real-time measurement, the
system only save data for the last 16 seconds and display two selectable waveforms, the
happened time for the late waveforms will display on the title bar in the window.
65
RECALL DATA
 RECALL DATA STORAGE
 RECALL DATA DISPLAYS
 RECALL OPERATION DESCRIPTIONS
RECALL DATA STORAGE
Recall Data in graphical or tabular format can be displayed on the screen or transferred to
on the computer for analysis via RS232 interface, and printed if a printer is installed.
The recall data for all parameters is the average of a 6-second sample of the data.
Seventy two (72) hours of recall data is stored in a nonvolatile memory, and remain in
storage when the monitor is in Standby.
A new print of recall data is started each time the monitor is turned on. A recall data record
is defined as the data from one power on event to the Standby power event. A date/time
annotation is included at the start of each new print (up to eight patients‘) and the print can
be correlated with the patient. Once the recall memory has stored 72 hours of data, the
oldest recall data will be overwritten by new data.
RECALL DATA DISPLAY
The Recall data are displayed in graphical or tabular format. The recall information in
graphical format for a selected parameter is shown as a line connecting each of the points
representing the stored 6-second average.
The information stored for each recall episode can include:

• Numeric vital signs for all the measurements monitored
• Waveforms for up to 12 measurements of alarm events for your choice
You can navigate through the recall database to view events retrospectively, and you can
document recalls on a recording or report marked with the patient name, patient ID, the
data and time.
RECALL OPERATION DESCRIPTION
1. You should input ID and name of a patient first for recall
After you power on the monitor, there is a window pop out on the screen to remind you
input the patient‘s ID as following:
Figure 33: Window for Indication Information
The above window will be automatically closed in count down 10 seconds.
2. Press the “Recall” soft-key to open the recall function for up to 8 patients
3. Select the patient’s ID for recall
66
Figure 34: Window for Recall Patient

Select one ID for a patient, and then enter the Trend Management window with Patient ID
as following:
Figure 35: Window for Trend Management with ID
[NOTE]
 This trend management-default window is for a patient which has no ID number.
 The introduction of trend data recall refers to chapter TREND.
67
RS-232 INTERFACE
 OVERVIEW
 CABLE CONNECTION
 EXPORTING TREND DATA
OVERVIEW
Patient data can be obtained through the RS-232 I/O connector on the rear panel of the
monitor by connecting it to an attached PC.
CAUTION: DO NOT download patient data when the monitor is monitoring a patient.
This may cause the monitor to lock up.
CABLE CONNECTION
The 9-pin connector mounted on the rear panel provides an access port for a serial
(RS-232) interface to a suitably configured personal computer. Its pins layout is seen as
following picture:
RS-232 Serial Interface Connections:

Pin # Signal Definition
1 not used
2 TXD Transmit Data
3 RXD Received Data
4 not used
5 GND Signal Ground
6 not used
7 not used
8 not used
9 +5V Power Supply
EXPORTING TREND DATA

In order to download trend data from the OMNI EXPRESS, communication software
should be installed in the external computer. The transfer protocol should be set as
follows:
Baud Rate: 19,200
Data Bits: 8
Start Bit: 1
Stop Bits: 1
Odd Parity: 1
Connect the OMNI EXPRESS to the serial port of the computer using a cable. Start the
communication program on the computer and export trend data from the OMNI
EXPRESS.
68
PRINTER (OPTION）
 PRINTET SETUP
 PRINT REAL-TIME WAVEFORM
 PRINT TABULAR TREND
 GRID OUTPUT
 PRINT ALARM EVENT
 PRINT EVENT LIST
 PRINT EXPLATION
 WAVEFORM PRINT EXPLARION
PRINTER SETUP
Please refer to chapter SYSTEM SETUP for details.
[NOTE]: This is thermal printer which must use the thermal printer paper (the
specification is 48 mm on width).
PRINT REAL-TIME WAVEFORM

Press the ―Print‖ soft-key, the statement of ―Printing Started‖ appears on the bottom of
screen, which shows that the print process is going on. If you want to terminate print
during the printing process, just press the ―Print‖ soft-key again. The printer stop
immediately as the statement of ―Printing Stopped‖ will appears on the bottom of screen.
Form the preceding 8 seconds before the printing. It can print a burst of two or three
waveforms.
The print contents also include Patient Name, Hospital name, Print Time, HR, ST, RESP,
SpO2, NIBP (SYS, DIA,) Temp, EtCO2 and so on. See graph below:
Figure 36: Real-time Waveform Print

PRINT TABULAR TREND
Not only can you print the basic parameter trend table, but also other special table as
EtCO2 Tabular.
[NOTE]: The special tabular is enabled when the relevant module is opened.
Figure 37: Basic Tabular Trend Print
69
GRID OUTPUT
Some printer paper without grid, in order to observe the waveform easily, you can set the
grid form. The set method refers to Chapter SYSTEM SETUP.
When the Grid Output is set to ON (default value is OFF), then the parameters being
printed are in the grid form.
PRINT ALARM EVENT
When a parameter value violates the range limits, you can recheck the alarm trend
through press ―Trend‖ soft-key and then choose ―Alarm Event‖. In the Alarm trend menu,
you can choose the ―Print‖ item to record the alarm information.
One paper of alarm report, includes Patient Name, Alarm Message, Alarm Happened
Time, waveform if the parameter has and parameter‘s numeric.
Figure 38: Alarm Event Print

If the alarm print is set to ON, It can print a slip of waveform of 10 seconds (the preceding
4 seconds before the printing till the current 4 seconds) when an alarm is happened.
[NOTE]: “-------” means invalid parameter.
PRINT EVENT LIST

Print out the event list for review.
Figure 39: Event List Print

PRINT EXPLANTION
INSERTING PAPER
Press the button of the catch on the printer, open the catch and take the old paper roll out
and insert a new one into the paper cassette. Pay attention that the paper is turning swiftly.
Pull a small length of paper out of the catch from the lower end of the roll (If it is the upper
end, the paper reel installed conversely), close the catch, and make sure that the paper is
just in the groove, or else paper advance will not be orderly.
ATTENTIONS
 The time of continuous print cannot exceed 2 minutes.
 DO NOT press the button of print when there is no paper, or the printer head will
be damaged.
 Only thermal printer paper can be used.
 If there is too much dust, use a sponge lightly moistened with alcohol to clean the
correlated parts.
70
INDICATING MESSAGES
Message Meaning
Start printing. . . Printing process is going on.
Break printing! The button of print been pressed again
during the process of printing, so it can
press the button once again to re-start it
Printer Door Open Printer‘s door has been opened
Printer Door Close Printer‘s door has been closed
Printer Paper Ok Showing that printer paper has been
installed well
Printer No Paper Printer paper has been used up
Printer UnLink! Printer has not been connected to monitor.
Print Not Ready Printer hasn‘t been connected well
WAVEFORM PRINT EXPLANATION

Paper Advance Speed: 25mm/s
Scale Specification: ×0.5 expresses 1mV/3.25mm
×1 expresses 1mV/6.5mm
×2 expresses 1mV/13mm
71
BATTERY OPERATION
INTRODUCTION
OMNI Express Patient Monitor is designed to operate on one rechargeable Lithium ion
battery whenever AC power supply is interrupted. The battery is charged whenever the
patient monitor is connected to an AC power source regardless of whether or not the
patient monitor is currently on.
A new, fully charged battery will provide about 2 hour of monitoring time under the
following conditions: no audible alarms, no analog or serial output devices attached, and
no backlight. The charge and discharge cycles life of the battery is about 300 times.
When the battery is being charged, the DC Led is ON; a symbol dynamic will be displayed
in the upper right quarter of the screen to indicate the status of recharging. Until it is full,
the symbol changes to static. When the monitor is powered by the battery, the DC Led will
flicker and a symbol which represents the electric energy of the battery will be displayed in
the upper right quarter of the screen.
When operating on battery, the monitor will prompt alarm and shut off automatically when
the electric energy is low. When the electric energy is lower than 25 % of total power
capacity, the alarm will be active, at the same time the message of ―Battery Power Low‖
will display in the message area in the top of screen. The battery symbol will change to
empty.
Connect the monitor to AC power at this moment can recharge the battery while operating.
If keep operating on the battery, the monitor will shut off automatically upon exhaustion of
the battery.
[NOTE]: Whenever the monitor is connected to AC power, the battery is being

charged. Therefore, it is recommended that the monitor remain connected to AC
power when not in use. This will make available a fully charged battery for use at any
time.
[NOTE]: As the battery is used and recharged over a period of time, the amount of
time between the onset of the low battery alarm and the instrument shut-off may
become shorter.
If the backlight is turned off during a low battery condition, it cannot be turned back on.
It is recommended that the internal battery is replaced by qualified service personnel
every 24 months.
[CAUTION]: If the OMNI EXPRESS is to be stored for a period of 2 months or longer,

notify service personnel to remove the battery from the monitor prior to storage.
Recharge the battery when it has not been charged for 2 or more months.
BATTERY RECYCLE
When a battery has visual signs of damage, or no longer holds a charge, it should be
replaced. Remove the old battery from the Patient Monitor and recycle it properly. To
dispose of a battery, follow local laws for proper disposal.
[WARNING]: DO NOT disassemble batteries, or put them into fire, or cause them to
short circuit. They may ignite, explode, or leak, causing personal injury.
72
DISPOSAL OF DEVICE COMPONENTS
Follow local governing ordinances and recycling instructions regarding disposal or

recycling of device components, including batteries.
73
PERIODIC SAFETY CHECKS

It is recommended that the following checks be performed every 24 months.
• Inspect the equipment for mechanical and functional damage.
• Inspect the safety relevant labels for legibility.
WARNING: DO NOT spray, pour, or spill liquid on OMNI EXPRESS, its

accessories, connectors, switches, or openings in the chassis. DO NOT immerse
the OMNI EXPRESS or its accessories in liquid or clean with caustic or abrasive
cleaners.
CLEANING
To clean the OMNI EXPRESS, dampen a cloth with a commercial, nonabrasive cleaner
and wipe the exterior surfaces lightly. Do not allow any liquids to come in contact with the
power connector or switches. Do not allow any liquids to penetrate connectors or
openings in the instrument. For cables, sensors, and cuffs, follow the cleaning instructions
in the directions for use that accompany these accessories.
74
User’s Manual for OMNI EXPRESS Portable Patient Monitor
SPECIFICATIONS
SAFETY
Meet the requirement of EN60601 series, CE marking according to MDD93/42/EEC
Equipment not suitable for use in the presence of a flammable anesthetic mixture with air
or with oxygen or nitrous oxide
Type of Protection: Class I (on AC power)
Internally powered (on battery power)
Degree of Protection: Type BF, defibrillation-proof CF - Applied part
Sterilization or Disinfection methods: 70% isopropyl alcohol solution or a nonstaining
disinfectant.
Operation Mode: Continuous Operation
Protection Against Ingress of Liquid‘s: IPX0
APPLICATION
Neonatal, pediatric and adult patients
Physical Dimensions & Weight
Base Unit: 229×133×210 mm
Weight: 2.5 kgs
PEFORMANCE SPECIFICATIONS
Display: 7.0 Inch (Diagonal) Color TFT
Resolution: 800 × (RGB) × 480
Trace: 2 or 3 waveforms
Waveforms: ECG(I, II, III, aVR, aVL, aVF, V), PLETH, RESP,
EtCO2
Indicator: Alarm indicator
Power indicator
QRS beep and alarm sound
Trend time: From 30 minutes to 72 hours
ECG
Input: 3 or 5 ECG cable and standard AAMI line for
connection
Standards: ANSI/AAMI EC13
EN60601-2-27 / IEC60601-2-27
Lead Choice: 3-Lead: I, II, III
5-Lead: I, II, III, aVR, aVL, aVF, V
Gain Choice: ×0.25，×0.5，×1.0，×2.0
ECG Waveforms: 3 channels
CMRR (Common Mode Rejection >100 dB at 50 Hz or 60 Hz
Ratio):
Frequency Characteristic: 0.67～40 Hz （+3dB attenuation）
Differential Input Impedance: >5 MΩ
Sweep Speed: 12.5, 25, 50 and 100 mm/s
HR Display Range: 30～300 bpm
Accuracy: ±1bpm or ±1%, whichever is greater
Alarm Limit: Upper Limit: 80～400 bpm
Lower Limit: 20～150 bpm
Electrode Offset Potential Tolerance: ± 300 mV
Input Signal Range: ±5 mV ( peak-to-peak value)
Defibrillator Discharge: <5 sec
Bandwidth(-3dB): Diagnostic Mode: 0.05 Hz～130 Hz
Monitor Mode : 0.5 Hz～40 Hz
Surgical Mode : 1 Hz～20 Hz
Recovery: <8 s
Pace Pulse Markers: Pace pulses meeting the following conditions are
75
labelled with a PACE marker:

Signal Amplitude:±10 mV～±700 mV
Pulse Width:0.1 ms～2 ms
Signal Rising and Falling Time:10μs～100 μs
Pace Pulse Rejection: When tested in accordance with the ANSI/AAMI
EC13-2002: Sections 4.1.4.1 and 4.1.4.3, the
heart rate meter rejects all pulses meeting the
following conditions.
Signal Amplitude: ±2 mV～±700 mV
Pulse Width:0.1ms～2 ms
Signal Rising and Falling Time:10 μs～100 μs
RESP
Measure Method: RA-LL Impedance
Lead: Lead II
Respiration Excitation Waveform: <300 μA, sinusoid, 62.5 kHz (±10%)
Range: 0～120 rpm
Accuracy: ±3 rpm
Alarm Limit: Upper Limit: 8～120 rpm
Lower Limit: 6～100 rpm
Sweep Speed: 6.25, 12.5 and 25 mm/s
Gain Choice: ×0.25，×0.5，×1.0，×2.0
Respiration Impedance Range: 0.3 Ω～5 Ω
Baseline Impedance Range: 200Ω～2500Ω (using an ECG cable with
1kΩ resistance)
NIBP
Measuring Technology: Automatic Oscillating Measurement
Cuff Inflating: <30 s（0～300 mmHg，Standard Adult Cuff）
Measuring Period : AVE < 40 s
Mode: Manual, Auto, STAT
Measuring Interval In AUTO Mode: 2 minutes～4 hours
Pulse Rate Range: 30 bpm～250 bpm
Measuring Range: Adult/Pediatric Mode
SYS 40～250 (mmHg)
DIA 15～200 (mmHg)
Neonatal Mode
SYS 40～135 (mmHg)
DIA 15～100 (mmHg)
Resolution: 1mmHg
Pressure Accuracy: Maximum Mean Error: 5mmHg
Maximum Standard Deviation: 8mmHg
Overpressure Protection: Adult Mode : 280(mmHg)
Neonatal Mode : 150 (mmHg)
Alarm Limit: SYS(Upper/Lower): 30～240 mmHg
DIA (Upper/Lower) : 15～180 mmHg
SpO2
Standard: ISO 9919
ASpO2: Anti-motion SpO2
Measuring Technology: Light absorption method
SpO2 Measurement Range: 0～100 %
SpO2 Accuracy: 70～100 %: ±2 %
0～69 % : Undefined
PR Measurement Range: 30～250 bpm
76
PR Accuracy: ±2 bpm(non-motion)
±3 bpm (motion)
SpO2 Alarm Limit: Upper Limit : 50～99 %，
Lower Limit : 50～99 %
SpO2 Probe: Red Light LED Wavelength: 660±5 nm
Infrared Light LED Wavelength: 940±10 nm
Option Type: Masimo, Nellcor
(See their modules‘ relative technical
specifications)
Refreshing Rate: 1s
TEMP
Standards: EN 12470-4
Measuring Technology: Thermal Resistance
Scale: Selectable ℃ or ℉
Channel: 1 Channel
Range: 25℃～50℃/77 oF～122 oF
Accuracy: ±0.2℃(25.0℃～34.9℃) / (77℉～94.8℉)
±0.1℃(35.0℃～39.9℃) / (95℉～103.8℉)
±0.2℃(40.0℃～44.9℃) / (104℉～112.8℉)
±0.3℃(45.0℃～50.0℃) / (113℉～122℉)
Display Resolution: 0.1℃(0.2 oF)
Alarm Limit: Upper Limit: 10℃～50℃/50℉～122 ℉
Lower Limit: 10℃～50℃/50 ℉～122℉
Rapid Temperature (OPTION)
Standards: Meets performance standards
of EN 12470-3:2000，ASTM E1112:2006
Temperature Measurement Range: 30℃～43℃ (86℉～109℉)
Typical Measurement Times Oral (Quick Mode): 3 ～ 5 s (non-fever
(after insertion into measurement temps), 8～10 s (fever temps)
site): Oral (Standard Mode): 6～10 s
Axillary Mode: 8～12 s
Rectal Mode: 10～14 s
Direct Mode (All Sites): 60～120 s
Accuracy: A Standard Prediction Mode reading and a
Direct Mode reading will differ by
less than ±0.2°C (±0.4°F) on 98% of tested
patients
CO2 (OPTION)
Mode of Sampling: Sidestream or Mainstream
Measurement technology: Infrared Absorption
ETCO2 Alarm Limit: Upper Limit : 20～100 mmHg
Lower Limit : 10～95 mmHg
awRR Alarm Limit: Upper Limit : 10～150 rpm
Lower Limit : 5～100 rpm
Apnea Time: 10～60 s
Sidestream CO2 Module
Standards: ISO 21647
Principle of Operation: Non-dispersive Infrared (NDIR) single beam
optics, dual wavelength, no moving parts.
Initialization Time: Capnogram displayed in less than 20 s, at an
ambient temperature 25 ℃ ,full specifications
within 2 minutes.
CO2 Measurement Range: 0～150 mmHg (0～19.7 %, 0～20 kPa)
77
CO2 Calculation Method: BTPS (Body Temperature Pressure Saturated)

CO2 Resolution: 0～69 mmHg: 0.1 mmHg
70～150 mmHg: 0.25 mmHg
CO2 Accuracy: 0～40 mmHg: ± 2 mmHg
41～70 mmHg : ± 5 % of reading
71～100 mmHg: ± 8 % of reading
101～150 mmHg: ±10 % of reading
Above 80 breath per minute ± 12 % of reading
[NOTE]:Gas temperature at 25℃.
CO2 Stability: Short Term Drift: Drift over four hours shall not
exceed 0.8 mmHg maximum.
Long Term Drift: Accuracy specifications will be
maintained over a 120 hours period.
CO2 Noise: RMS noise of the sensor shall be less than or
equal to 0.25 mmHg at 5 % CO2
Sampling Rate: 100 Hz
ETCO2 Calculation: Method: Peak of the expired CO2 waveform
Selections: 1 breath, 10 s, 20 s
Inspired CO2 Measurement: Range: 3～50 mmHg
Method: Lowest reading of the CO2 waveform in
the previous 20 s
Selection: 20 s (not user-selectable)
awRR Measurement Range: 2～150 rpm
awRR Accuracy: ±1 breath
Response Time: <3 s ( includes transport time and rise time)
Mainstream CO2 Module
Standards: ISO 21647
Principle of Operation: Non-dispersive Infrared (NDIR) single beam
optics, dual wavelength, no moving parts.
Initialization Time: Capnogram displayed in less than 20 s, at an
ambient temperature 25 ℃ ,full specifications
within 2 minutes.
CO2 Measurement Range: 0～150 mmHg (0～19.7 %, 0～20 kPa)
(Barometric Pressure supplied by Host)
CO2 Calculation Method: BTPS (Body Temperature Pressure Saturated)
CO2 Resolution: 0～69 mmHg: 0.1 mmHg
70～150 mmHg: 0.25 mmHg
CO2 Accuracy: 0～40 mmHg: ± 2 mmHg
41～70 mmHg : ± 5 % of reading
71～100 mmHg: ± 8 % of reading
101～150 mmHg: ±10 % of reading
Above 80 breath per minute ± 12 % of reading
[NOTE]:Gas temperature at 35℃.
CO2 Stability: Short Term Drift: Drift over four hours shall not
exceed 0.8 mmHg maximum.
Long Term Drift: Accuracy specifications will be
maintained over a 120 hours period.
CO2 Noise: RMS noise of the sensor shall be less than or
equal to 0.25 mmHg at 7.5 % CO2
Sampling Rate: 100 Hz
ETCO2 Calculation: Method: Peak of the expired CO2 waveform
Selections: 1 breath, 10 s, 20 s
[NOTE]: the minimum reported differential
value between the baseline and CO2 value
78
shall be 5 mmHg
Inspired CO2 Measurement: Range: 3～50 mmHg
Method: Lowest reading of the CO2 waveform in
the previous 20 s
Selection: 20 s (not user-selectable)
awRR Measurement Range: 0～150 rpm
awRR Accuracy: ±1 rpm
Response Time: Less than 60 ms – Adult reusable or single
patient use
Less than 60 ms – Infant reusable or single
patient use
NETWORKING
Wired Networking: Industry Standard: IEEE 802.3 wired network
Connected Bedside Number: Up to 32
bedside monitors
RJ45 Interface or RS232 Serial Port
Wireless Networking: Industry Standard: 802.11b/g wireless network
Transmission Distance : ≥ 50m (Visual
Distance)
Frequency Range: 2.400～2.4835 GHz
Supports TCP/IP and Wi-Fi Protocols
POWER
Source: External AC Power and Internal Battery
AC Power: 100～240VAC, 50/60Hz, 150VA
Rechargeable LI-Ion Battery
Type FB 1223 12V-2.3Ah
Nominal Voltage 10.8 V
Rated Capacity 45Wh
Operating time under 2 hours
Battery: the normal condition
(one battery)
Operating time after 15 minutes
the first alarm of low
battery
Number of Batteries 1
Charge Time: When the monitor is powered off:
3 hours from depletion to 90 percent charge, 4
hours to full charge.
When the monitor is powered on:
6 hours from depletion to 90 percent charge, 8
hours to full charge
ENVIRONMENTAL SPECIFICATIONS
Temperature: Operating : 5～40 °C
Storage: -10～45 °C
Humidity Range: Operating : ≤80 %
Storage : ≤80 %
PRINTER (OPTION)
Printer Width: 48 (mm)
Paper Speed: 25 (mm/s)
Trace: 1, 2 or 3
79
EMC
The product is in radio-interference protection class A in accordance with EN55011. The
product complies with the requirement of standard EN60601-1-2:2007 ―Electromagnetic
Compatibility - Medical Electrical Equipment‖.
ELECTROMAGNETIC IMMUNITY
This section constitutes the guidance and OMNI EXPRESS Patient Monitor‘s declaration
regarding electromagnetic immunity. The OMNI EXPRESS Patient Monitor is intended for
use in the electromagnetic environment specified below. The customer or the user of the
OMNI EXPRESS Patient Monitor should assure that it is used in such an environment.
Immunity test IEC 60601 test Compliance Electromagnetic environment
level level – guidance
Electrostatic Floors should be wood, concrete or

discharge (ESD) ceramic tile. If floors are covered with
IEC 61000-4-2 synthetic material, the relative humidity
should be at least 30%.
Electrical fast 2 kV for power Mains power quality should be that of a
transient/burst supply lines supply lines typical commercial or hospital
IEC 61000-4-4 1 kV for input / 1 kV for input / environment.
output lines output lines
Surge Mains power quality should be that of a

IEC 61000-4-5 differential differential typical commercial or hospital
Mode Mode environment.
differential differential
Mode Mode
Voltage dips, <5 % UT1 <5 % UT2 Mains power quality should be that of a
short interruptions (>95 % dip in (>95 % dip in typical commercial or hospital
and voltage UT) for 0.5 UT) for 0.5 cycle environment. If the user of the
variations on cycle OMNI EXPRESS Patient Monitor requires
power supply 40 % UT continued operation during power mains
input lines 40 % UT (60 % dip in UT) interruptions. it is recommended that the
IEC 61000-4-11 (60 % dip in for 5 cycles OMNI EXPRESS Patient Monitor be
UT) for 5 powered from an uninterruptible power
cycles 70 % UT supply or a battery.
(30 % dip in UT)
70 % UT for 25 cycles
(30 % dip in
UT) for 25 <5 % UT
cycles (>95 % dip in
UT) for 5 sec
<5 % UT
(>95 % dip in
UT) for 5 sec
Power frequency 3 A/m Power frequency magnetic fields should
Note: UT is the a. c. mains voltage prior to application of the test level.
80

(50/60 Hz) be at levels characteristic of a typical

magnetic field 3 A/m location in a typical commercial or hospital
IEC 61000-4-8 environment.
Portable and mobile RF communications

equipment should be used no closer to
any part of the OMNI EXPRESS Patient
Monitor, including cables, than the
recommended separation distance
calculated from the equation applicable to
the frequency of the transmitter.
Recommended separation distance:
 3.5 
Conducted RF 3 Vrms 3 Vrms d   P
IEC 61000-4-6 150 kHz to 80  V1 
MHz
80 MHz to 800 MHz
Radiated RF 3 V/m 3 V/m
 3.5 
IEC 61000-4-3 80%AM@2Hz d   P
80 MHz to 2.5  V1 
GHz
7
Only ISA CO2 is 20 V/m 20 V/m d   P
tested at 20 V/m 80%AM@1kH  E1 
z 800 MHz to 2.5 GHz
80 MHz to 2.5
Where P is the maximum output power
GHz
rating of the transmitter in watts (W)
according to the transmitter manufacturer
and d is the recommended separation
distance in meters (m).
Field strengths from fixed RF transmitters,

as determined by an electromagnetic site
survey, a should be less than the
compliance level in each frequency
range.b Interference may occur in the
vicinity of equipment marked with the
following symbol:
81

[NOTE 1]: At 80 MHz and 800 MHz, the higher frequency range applies.
[NOTE 2]: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast
cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to
fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field
strength in the location in which the OMNI EXPRESS Patient Monitor is used exceeds the
applicable RF compliance level above, The OMNI EXPRESS Patient Monitor should be observed
to verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the OMNI EXPRESS Patient Monitor.
b. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/m.
Recommended separation distances between portable and mobile RF communications

equipment and the OMNI EXPRESS Patient Monitor
The OMNI EXPRESS Patient Monitor is intended for use in an electromagnetic environment in
which radiated RF disturbances are controlled.
The customer or the user of the OMNI EXPRESS Patient Monitor can help prevent electromagnetic
interference by maintaining a minimum distance between portable and mobile RF communications
equipment (transmitters) and the OMNI EXPRESS Patient Monitor as recommended below,
according to the maximum output power of the communications equipment
Rated maximum Separation distance according to frequency of transmitter [m]

output power of
transmitter [W]
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
 3.5   3.5  7
d   P d   P d   P
 V1   V1   E1 
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in meters (m) can be estimated using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) according
to the transmitter manufacturer.
[NOTE 1]: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
[NOTE 2]: These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.
82

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OMNI EXPRESS

Ver A.1.0 © 2014 Infinium Medical, Inc. All rights reserved.

Issued Date: Jan 24th, 2014

Infinium Medical Inc.

Address: 12151 62nd St North #5 Largo Fl, 33773 USA

Toll Free (US call only): 866-918-8434

Technical Services or your local Infinium Medical, Inc. representative.

RESPIRONICS is a trademark of PHILIPS RESPIRONICS

Masimo is a trademark of Masimo SET

Nellcor is a trademark of NELLCOR OXIMAX

ECG MONITORING ...................................................................................................................... 21

TEMP PARAMETER SETUP ................................................................................................ 49

PRINT EVENT LIST .............................................................................................................. 70

[NOTE]: Before use, please read this manual carefully.

[WARNING]: The OMNI EXPRESS Patient Monitor is a prescription device and is to

[WARNING]: Occasionally, electrical signals at the heart do not produce a peripheral

[WARNING]: Disconnect the OMNI EXPRESS and sensors during magnetic

[WARNING]: Connection of non-isolated devices to the RS-232 connector may cause

[WARNING]: Enclosure leakage current is less than 100 microamperes (µA);

[WARNING]: DO NOT autoclave, ethylene oxide sterilize, or immerse these monitors

[WARNING]: To prevent electrical hazards to all personnel, these monitors must be

[WARNING]: It is possible for the patient to receive a burn due to an improperly

WARNING: The OMNI EXPRESS Patient Monitor is intended only as an adjunct in

ABOUT THIS MANUAL

CONTROLS, INDICATORS, AND SYMBOLS

Figure 1: Front Panel

LEFT SIDE PANEL

Figure 2: Left Side Panel

RIGHT SIDE PANEL

Figure 3: Right Side Panel

Figure 4: Rear View for Main Unit

Defibrillation-Proof Type CF Applied Part

Keep Away From Rain

Stacking Limit By Number

General Warning, Caution, Risk Of Danger

DISPLAY SCREEN PARTITION

Figure 5: Display Screen for Two Waveforms

Figure 6: Display Screen for Three Waveforms

All TFT display screen is divided into three areas:

Press the button of SETUP to pop up the menu below:

Factory Setup EtCO2 Module

Load User Config

Figure 7: Tree Diagram for System Setup Menu

Figure 8: Keypad to input ASCIIS

DELETE USER CONFIG

This function is for servicing engineer only.

CAUTION: If the OMNI EXPRESS is to be stored for a period of 2 months or longer,

CAUTION: Follow local government ordinances and recycle instructions regarding

Figure 9: Window for oxyCRG

Figure 10: Window for Large Font

You can select your desired parameters to display in this screen.

ALARM & SOUND

VISUAL ALARM INDICATORS

Alarm Category Flashing Rate

Alarm Category Encoded Auditory

5-Leadwire Electrode Placement

Follow the methods below to place the 5–lead electrode.

Figure 11: 5-lead Electrode Placement

Figure 12: C-electrode Placement

CABLE AND LEADWIRE INSTALLATION