Infinium OMNI Express Patient Monitor Manual

OMNI EXPRESS PATIENT MONITOR
OPERATORS MANUAL
M3
Portable
Portab Patient Monitor Manual
Copyright
INFINIUM MEDICAL, INC. owns all right to this unpublished work and intends to maintain this work as
confidential copyright. This publication is to be used solely for the purpose of reference, operation,
maintenance, or repair INFINIUM equipment. No part of this can be disseminated for other purposes.
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errors contained herein nor for incidental or consequential damages in connection with the furnishing,
performance, or use of this material. This publication may refer to information and protected by
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the rights of others. INFINIUM does not assume any liability arising out of any infringements of
patents or other rights of third parties.
Content of the manual is subject to changes without prior notice.
ALL RIGHTS RESERVED
2
Portable Patient Monitor Manual
Content
Chapter 1 Introduction 4
1.1 Profile 4
1.2 Safety Information 4
1.3 Explanation of Symbols 5
Chapter 2 Overview of the Monitor 7
2.1 Appearance of Monitor 7
2.2 Special Features 9
2.3 Specification 10
Chapter 3 Menu Instruction 13

3.1 Display Screen 13
3.2 Menu Operation 14
3.2.1System Menu 14
3.2.2 Trend Table 18
3.2.3 Alarm Setup 23
3.2.4 Silence 23
3.2.5 ECG Setup 24
3.2.6 NIBP Setup 25
3.2.7 SPO2 Setup 25
3.2.8 RESP Setup 26
3.2.9 TEMP Setup 27
3.2.10 IBP Setup 27
3.3 Printer 28
Chapter 4 Operation 29
4.1 ECG 29
4.2 SPO2 31
4.3 NIBP 33
4.4 RESP(without in standard version, according to customs order) 35
4.5 TEMP 36
Chapter 5 Maintenance and Troubleshooting 37
5.1 Maintenance 37
5.2 Troubleshooting 38
5.3 Warranty and Repair 38
5.4 Storage and Transportation 40
5.5 Package and Accessories 40
5.6 Appendix: HA,HV,ST Segment analysis 41
3
CHAPTER 1 Introduction
1.1 Profile
This manual explains how to set up and use the patient monitor. Important safety
information relating to general use of the patient monitor is introduced. Other important
safety information is located throughout the text where appropriate. Before using the patient
monitor, the user must carefully read this manual so that the user can operate the patient
monitor properly and make it reach the specific safety standard and function index.
According to customs order we have four types of this product: standard type,
standar&CO2, standard &IBP, standard & Inner printer.
1.2 Safety Information

Do not use patient monitor under flammable or anaesthetic condition.
Do not use the patient monitor during Magnetic Resonance Imaging (MRI)
scanning. Induced current could potentially cause burns. The patient monitor may
affect the MRI image, and the MRI unit may affect the accuracy of patient monitor
measurements.
The patient monitor is intended for use only as an adjunct in patient assessment. It
must be used in conjunction with clinical signs and symptoms.
WARNINGS
To avoid electrical hazards, never immerse the unit in any fluid or attempt to clean it with
liquid cleaning agents. Always disconnect monitor from AC Main Power before performing
cleaning of maintenance.
If monitor becomes accidentally wet during use, discontinue operation of the monitor until all
affected components have been cleaned and permitted to dry completely. Contact your
local INFINIUM representative if additional information is required.
When replace the fuse, please with the new one which the type and the rating current are
the same with the used one.
Before use the equipment, inspect whether all the cables are in good condition, the
damaged cables and connectors must be replaced. Operator should examine that whether
the system is in correct working state and operating condition.
If the equipment has not been used for a long time, please remove the batteries.
Keep the fan running when the equipment works in high temperature for long time,
otherwise the high temperature may affect the monitor function or cause the equipment
damage.
Make sure Monitor is in horizontal condition and fixed in case of falling down the road.
As with all medical equipment, carefully route patient cabling to reduce the possibility of
patient entanglement or strangulation.
Do not only depend on the alarm system, the doctor and nurse will not draw attention when
an alarm turn down or turn off.
4
If the accuracy of any measurement does not seem reasonable, first check the patients
vital signs by alternate means and then check the patient monitor for proper functioning.
The monitor can monitor only one patient synchronously.
The medical equipment must be manipulated by personnel who have already got relative
training of operation.
For safe and accurate operation, use only INFINIUM recommended patient cable, lead wires,
cuffs, hose, sensors, tubing, etc. Request for the special children or infant accessories
when monitor infant.
Single use devices should never be reused.
The system may not conform to all performance specifications if stored or used outside the
environmental specification identified in specification.
When an X appears in the Alarm Bell symbol, the audible alarm tone will not sound for any
reason.
When connect the monitor to central station, please verify whether the alarm system works
properly or not.
All combinations of equipment must be in compliance with IEC Standard 61601-1-1 systems
requirements. To avoid potentially hazardous leakage currents, always check the
summation of leakage currents when several item of equipment are interconnected.
For proper equipment maintenance, perform the service procedures at the recommended
intervals as described in the manual.
If the patient monitor needs to be used continuously long-term, please note to connect the
patient monitor with the main power supply by the alarm of battery, otherwise, the patient
monitor will automatically shut down, which leads to the break-off of the monitoring.
WLAN device and its built-in RF module may launch interference to other medical
equipment. Please comply with the WLAN system install and maintenance manual articles
which demonstrate the IMC requirements.
Be sure to use defi-protected electrodes and ECG cable if the monitor is used with
defibrillation equipment.
As to the other points for attention, please carefully read the relevant chapter in this
instruction.
1.3 Explanation of Symbols

AttentionRefer to the relevant the prompt. I Class I Equipment
Type CF defibrillator equipment Resistant defibrillator BF type equipment
Alarm on Alarm off
Sound on Silence
5
System menu Trend table
Heart Beat Detected
Description of Abbreviation
ECG Electrocardiograph
HR Heart Rate
Resp Respiration
SPO2 Arterial oxygen saturation
NIBP Non-invasive blood pressure
IBP Invasive blood pressure
S Systolic pressure
D Diastolic pressure
M Mean Arterial pressure
TEMP Temperature
BPM Beat Per Minute Time/Min.
PR Pulse Rate Time/Min.
RR Respiration Rate Time/Min.
6
CHAPTER 2 Overview of the Monitor

2.1 Appearance of Monitor
Screen display
1. Alarm Indicator
If there is physiological alarm, it demonstrates that some parameters measuring scale is
beyond alarm limitation, in the meantime, the indicator begin flashing. According to the
various alarm level, there are three alarm-level in all for selection:
High level: when alarm occurs, the color of the indicator becomes red and starts flashing
once every one second.
Mid level: when alarm occurs, the color of the indicator becomes orange and starts
flashing once every one second.
Low level: when alarm occurs, the indicator would be turned on continuously and its color
becomes orange all the time.
2. Silence:
Silence setting button, when press it, the alarm of Monitor will be off.
3. Freeze:
Freeze setting button. During the waveform scrolling period, when press this button, the
waveform will be stopped for further observation.
4. NIBP
Start/cancel BP measuring, when press this button, Monitor will carry out command to
measure patient BP condition, press this button again during the BP measuring period and
then the BP measuring action is terminated.
7
5. Print:
Printer button, when Monitor equipped with printer which could be internal thermal array
recorder or printer as a peripheral and then press the button, the correspondent data will be
printed out.
6. Rotary knob:
User rotate this knob to select and enter desired item, it is similar in function with PC mouse.
For more information, please refer to section of Menu operation.
7. Power supply indicator(green light):
Demonstrate power supply status, the power supply is from AC power supply or
rechargeable batteries.
8. Indicator of batteries charging state(red light):
The indicator will turn on flashing only when the monitor is powered by the external power
and the batteries voltage is low. When the charging end, the red light will light all the time.
9. The yellow button:
Power Supply on/off switch.
10. CALL:
Menu refreshing button, when press this button, you could exit current menu and return to
the main menu and refresh the screen as well.
Side Panel
1) ECG: ECG lead socket.

2) SPO2 probe port.
3) 4) IBP1, IBP2 socket. (Reservedsupply
According to customs order)
5) NIBP: Cuff and air tube port
6) 7) T1, T2 Probe port, two ports for selection.
8
Rear Panel
(1) NET: net access point: connecting with the central monitoring system through the standard
RJ-45
(2) (3)USB1,USB2 (reserved)
(4)Speaker (reserved )
(5) AUX OUTPUT (reserved)
(6)VGA MONITOR:CRT exteriorly connecting screen and standard VGA.
(7)Ground terminal: Ground terminal of equivalent potential.
(8)Power: AC Power supply: 100-230 V(AC), 50/60(Hz)fuse: 1.6A
2.2 Special Features

Portable, compact, AC power and internal rechargeable battery
8.4 " active matrix TFT display
Can be monitored when the waveform is freeze
Friendly interface, easily to operate
72-hour trend data records
Anti-high-frequency electrosurgical equipment
More trend graphs
Built-in printer
ST segment analysis function of Arrhythmia and HRV
9
2.3 Specification
Dimension: 258mmX120mmX243mm
Weight: 3.5kg with 0.79kg battery
4.5kg with package
Packing list: Monitor. ECG cable, spo2 sensor, NIBP cuff, temp sensor, printer (optional)
ECG
1
7-Lead: IIIIIIaVLaVRaVFV
Display Gain Scales:2.5mm/mV, 5mm/mV,7mm/mV,10mm/mV,15mm/mV,20mm/mV,
25mm/mV
Sweep Speed: 12.5mm/s25mm/s50mm/s three classes can be changed
Frequency Response: 0.05Hz-100Hz(3dB)
Heart Rate:
Range: 15bpm-300bpm
Accuracy:100bpm 1pm
100bpm 2%
Arrhythmia analysis: Analysis functions of 10 kinds of abnormal ECG waveforms.
32 times ECG data storing function and 4 seconds storing of
every time
Accuracy: Error examination rate < 20% Miss examination rate< 20%
(Please start analysis function when use the above two functions)
ST Segment:
Range : 0.8mV
Accuracy: 0.05mV
SpO2
2
Range: 0%-99%
Accuracy: 70%-80% 3%
81%-99% 2%
NIBP
3
Technique: Oscillometric method
Cuff Inflation Time: 15s measuring time: 50s
First Inflation Measurement:
AUTO: 24kPa 180 mmHg
Manual: 9.3kPa(70 mmHg)13.3kPa(100 mmHg
16.0kPa(120 mmHg)18.6kPa(140 mmHg
20.0kPa(150 mmHg)21.3kPa(160 mmHg
24.0kPa(180 mmHg
Measurement Interval Time: 1 min -240min
Step: 1 min(1 min -10min)5min(10 min -30min)
10min(30 min -90min)30min(90 min -240min
Measurement Range:
Systolic: 4kPa -34kPa (30mmHg -255mmHg)
Diastolic: 2kPa -29.3kPa (15mmHg -220mmHg)
Mean Arterial: 2.7kPa31.3kPa(20mmHg235mmHg
10
Measurement Accuracy:
Static Pressure: 3mmHg
Pulse Rate: 2%
Resp:
4
Trans-thoracic impedance (RA-LL)
Range: 2bpm~100bpm
Accuracy: 15bpm~60bpm 2bpm
60bpm~100bpm5bpm
CO2 method ( The standard monitor without this method)
RR Range : 2bpm~60bpm(including Neonatal
RR Accuracy : 1bpm
Temp:
5
2 (T1 and T2) channels
Type: Rectal/Skin
Range: 050
Accuracy: during the 2545, the measuring error0.2
Waveform Display:
6
Monitoring waveform
ECG waveform: Scan manner
Trend Waveform
Full-channel
Range:72 hours
Alarm Range:
7
Parameter HR Systolic Diastolic Mean Arterial SpO2 RR TEMP Difference in PR
(bpm) (kPa) (kPa) (kPa) (%) bpm temperature (bpm)
(mmHg) (mmHg) (mmHg) F
F
Upper 30-300 12-34 8-29.3 4.6-29.3 80-100 10-120 25.5-45 0.1-20 40-254
Range 90-255 60-220 35-220 77.9-113
Lower 15-160 8-29.3 4-24 4-26.6 70-99 5-80 25-44.5 0.1-36 20-160
Range 60-220 30-180 30-200 77-112.1
11
Default Alarm Setup:

8
Parameter HR Systolic Diastolic Mean Arterial SpO2 RR TEMP PR
(bpm) (kPa) (kPa) (kPa) (%) bpm (bpm)
(mmHg) (mmHg) (mmHg) F
Upper Range 120 21.3 12.6 14.6 100 20 39.5 120
160 95 110 103.1
Lower Range 50 12.0 8.0 8.0 80 5 36 50
90 60 70 96.8
Power Requirement:
9
AC 100V-230V10%50Hz/60Hz
Internal Batterycan work1~2 hours continuously
Caution: Must remove the batteries from this unit when you not going to use it for a long
period of time (about one week).
Working Temperature:
10
Temperature: 5-40 Humidity: 80%No Condensation
Air pressure: 86106kPa
12
Chapter 3 Menu Instruction

3.1 Display Screen
DEMO State
HR,Lead,
ECG analysis of
ECG waveform
ST segment
Blood pressure value
Hand/auto operating
switch
ECG waveform Measuring unit
Measuring count
down
SPO2 waveform
SPO2
PR
RESP waveform
Difference of
T1&T2 channels
Data Table
T1 channel
temperature
T2 channel
temperature
Fig.1 Breath Rate
The first and second channels are the ECG waveform, the third channels is SpO2 waveforms,
the forth channel is RR waveform
Measuring State
Note: The measuring state picture is shown as Fig.2. The difference between DEMO state and
the Measuring state is that there are apparatus temperature displaying and remaining electric
quantity displaying (see Fig.2).
When the remaining electric quantity becomes shortage or the temperature no less than 50
,the sound alarm will alarm, and the relevant displaying will turn red simultaneously(see
Fig.3).
When the remaining electric quantity becomes shortage, please connect the external power.
Otherwise the unit will power off in five minutes. When the apparatus temperature no less than
50, please turn on the fan. If the fan has already been turned on, please power off the
apparatus, otherwise the apparatus may be damaged.
13
Fig.2
Fig.3
3.2 Menu Operation
3.2.1 System Menu:
14
In monitoring status, rotate the knob to highlight the MENU icon, and then press the knob,
the menu bar of system setup appears on the bottom of screen.
The system setup menu includes 6 items. Rotating and pressing the knob to select the menu
to be set. Having finished the setup, just press RETURN, the system will return to the previous
menu. All the settings will be stored automatically when powering off the monitor.
A Time Setup
Select TIME SETUP item in SYSTEM SETUP menu to access the sub-menu of TIME
B. Volume Setup
Adjust the volume of Heart beep sound and Alarm sound, Total 8 levels.
C. Printer Setup
This mode not support supply according to customs order
D. Color Setup
The item is used to define the color of the waveform and parameters displayed on the
screen.
E. Displaying Mode ( The following pictures are all in the DEMO state )
Mode 1: Standard Mode
Fig.4
Mode 2: Standard Majuscule
15
Fig.5
Mode 3: IBP Extend: (Only the IBP type unit has this picture, supplying according to
customs order)
Fig.6
Mode 4: ECG Extent:
16
Fig.7
Mode 5: Graph Ext
Fig.8
Extend
SYSTEM: Manufacturer setup, please keep them unchanged.

DEMO: You can open or close the measuring demonstration by setting this menu.
FAN: You can open or close the FAN by setting this menu. When the fan is opened and the
17
internal temperature of the monitor is over 50, the fan will start working automatically, and
it will be off automatically when the temperature is below 45.
Bed Setup: Indicates the only bed number of the patient being monitored when the patient
monitor is connected with the workstation, it always shows on the top left corner in the monitor
status frame.
Setup: By this item you can realize communication with the 808 module.
A.SEND: Select the send item and confirm, you will see the following menu.
CHANNEL: The channel form which the heart rate is computed.

LEAD SLE: The type of lead. (When the type is LEAD ,the heart rate is only can be
computed from the Channel.)
ECG FORM: The screen only can display one channels waveform. You can set which
channels waveform is displayed.
AGE MODE: You can set the age mode through this menu.
PACE SLE: You can set the information that If the patient using the pace maker.
808 ID: Read the ID number form the 808 module.
B. RECEIVE: By this menu you can see the following message.
3.2.2 Trend table:

Under the state of monitoring, rotate switch to the item then press the rotary switch,
18
pop out the menu shown as below:
A. Table display
A.1 Enter menu of trend table:

The latest 72-hour data table can be displayed at every 1 minute. The first column shows the
items of the parameters. The first and the second line of the table indicate the date and time of
measurement respectively. The left column of the table always shows the latest measurement.
Rotate the knob to turn pages. The page number is displayed on the bottom right corner. When
END appears, it indicates this is the last page of records.
Press SILENCE function key to enter the set page. Rotate the knob to set the passing pages
at each switch. Press SILENCE again to exit the page setand then rotate the knob to turn the
pages you want.
Fig.9
A2 BP Trend Table
19
Fig.10
A3 IBP Trend Table( Only your unit install the IBP module, you can see this table.)
Fig.11
A4 Alarm Record:
20
Fig.12 Standard type
Fig.13 Standard &CO2
21
Fig.14 Standard & IBP
B. GRAPH
Take the HR graph for example:
Fig.15
22
Trend time: Time span of every page, there eight hours, 24hours and 72 hours for selection.
When select ERASE? you can delete the former trend records (it needs restarting).
C. OxyCRG
OxyCRG display the HR, SPO2 and the RESP rate at the same time.
Fig.16
D. Trend time
8 hour, 24 hour and 72 hour are available. The y-axis indicates time, select item ERASE to
delete the history data record.
3.2.3 Alarm Setup:
In monitoring status, rotate the knob to highlight and then press the knob, the
menu bar of Trend setup appears on the bottom of screen.
In Alarm Setup Menu, you can set the alarm information of following parameters: HR, BP,
SoP2, RESP, TEMP and setup the upper and lower alarm limit.
Choose Low Mid High to setup the alarm. The sound is different in each alarm levels:
High Alarm: Sound mode is DO DO DO DO DO, the alarm light is red.
Mid Alarm: Sound mode is DO DO, the alarm light is orange.
Low Alarm: Sound mode is DO, the alarm light is green.
3.2.4 Silence:
Rotate the knob to select the icon, you can open or close the symbol sound.
23
Silence OFF
Silence ON
Highlight
3.2.5 ECG Setup:
In monitoring status, rotate the knob to

highlight the ECG, and then press the knob,
the menu of ECG setup appears on the
bottom of screen as shown below.
A. Amplitude
Pick this item to access the amplitudes setup of ECG waveform. There seven selections are
available: 2.5mm/mV,5mm/mV, 7mm/mV, 10mm/mV, 15mm/mV ,20mm/mV, 25mm/mV,
B. Alarm
B.1 Alarm setup: set up high and low limit of HR alarm. The monitor will alarm with light and
sound if the patients HR is higher 120 times/min or lower 50 times/min based on above
picture.
B.2 state of alarm setup: set ON/OFF with HR parameters alarm individually
B.3 lead alarm setup: set ON/OFF with Leadoff alarm individually
C. ANALYSE
Select ANALYSE item in ECG setup menu to obtain the ECG analysis function.
D. CASCADE
When choose ON, System display same lead in Channel 1 and Channel 2
When choose OFF, System display different leads in Channel 1 and Channel 2
E. SPEED
The menu defines the sweep speed of ECG waveform, the available options are 12.5mm/s,
25mm/s, 50mm/s, select the proper sweep speed according the clinical requirement.
F. OTHER
Filter mode: In this menu you can select Filter close,

There are three filter modes for selection. DIA-MODE, MON-MODE, OPR-MODE, FILTER
may reduce interference from other electro surgery equipment.
The difference mode is the corresponding bandwidth.
24
OP MODE :Operation mode, bandwidth: 1 - 25 Hz
MO MODE :Monitor mode, bandwidth: 0.5 - 75 Hz
DG MODE :Diagnosis mode, bandwidth: 0.05 - 100 Hz
FILTER ON :bandwidth: 1- 50 Hz display the ECG waveform in LEAD OFF condition.
3.2.6 NIBP setup

Under the monitoring state, rotate the switch until
the cursor focus on the position of NIBP. Press the
rotary switch
Pop up the menu from the bottom of the screen
A Alarm setting up
SYS MEANDIAS : The alarm setting of systolic, mean and diastolic can be set individually.
ALARM: The alarm for HR parameter can be set solely.
CALIBERAT: The repairman from manufacture can be set this item exclusively.
B Unit Conversion
Under the menu of NIBP setting up to select item of Unit Conversion, then mmg and KPa
will be available. You can notice the measuring result will be displayed with selected unit.
C CYCLE
Under the menu of NIBP setting up to select Measuring interval, then different measuring
interval are available including the measuring mode and measuring period. In addition, you
can set measuring mode to Manual or Cycle, Note: the automatic measuring period can be
set from 1 min to 240mins.
D Measuring mode
Access NIBP SETUP menu and pick the MODE item to set the type of monitoring patient. There
are two monitoring modes: ADULT and INFANT. The AUTO mode is adult.
When measuring the child, please ensure to select the lower inflated pressure. Setting10 kPa
(70mmHg) and 13.3kPa (100mmHg) is the neonate mode.
When setting the auto adult mode, inflated pressure is 22 kPa (165 mmHg). Normally, due to
the oscillometric technic, the setup of inflated pressure greatly affects the result of the monitored
NIBP value. The highest inflated pressure is 4 kPa (30 mmHg) more than the Systolic pressure.
E Non-stop (STAT)
In the STAT mode, the monitor measures the blood pressure as many times as possible in five
minutes. Pick NIBP SETUP menu and select the STAT item to
set the monitoring mode.
3.2.7 SpO2 Setup:
In monitoring status, rotate the knob to highlight the SPO2 icon in
the SPO2 displaying area, and then press the knob, the menu of
SPO2 setup appears on the bottom of screen as shown below:
25
A. AMPLITUD
Under the menu of SPO2 setting up select AMPLITUD, then rotate the switch to choose
suitable the SpO2 wave amplitude.5 items in all for selecting.
B. AVERAGE
Under the menu of SPO2 you can notice the item of Average, which means the average
pulse rate according to calculation of SPO2 measurement for each time.
C. PR SOUND
It is for setting sound on/off of pulse beep.
D. .ALARM
Six items are available for the user to set up, which are PRALARM (Alarm setup of PR), LEVEL,
PROBEOFF, HIGH (high limit of SpO2%), LOW (low limit of SpO2%) and ON/OFF (alarm on
or off). When use the knob to select each item and press the knob, a pull-down list appears for
the user to choose his desired selection.
E. WAVEFORM
It is for setting the mode of displaying SpO2 waveform. Pick the FILL item in WAVEFS
menu to change the waveform type, you change it into the type of line by similar operation.
F. RETURN
Press return to return the main menu.
3.2.8 RESP Setup:
In monitoring status, rotate the knob to highlight the RESP icon in

the RESP displaying area, and then press the knob, the menu of RESP setup appears on the
bottom of screen
A. AMPLITUD
Pick this item to access the amplitudes setup of RESP waveform. 12 selections are available
B TYPE
It is for setting the type of RESP measurement. Two methods are available: IMDPRESP
trans-thoracic impedance; CO2 (end tidal CO2, the standard unit doesnt have this selection,
supplying according to customs order).
NOTE: When you select RESP measurement, the waveform type is line; and when you
select the CO2 measurement the waveform type is full filled.
C ALARM
26
Select ALARM in RESP menu to call up the sub-menu and ready to adjust alarm level and
related parameters.
APNEA: You can set the APNEA on or off by this item. You can set the examination time during
5-90 seconds, and the interval time is five seconds.
See 3.2.3 for alarm setting up.
D CO2SETUP (The basis version monitor doesnt have this selection, only the CO2 type unit
has )
E RES FORM : You can set the lead form which the respiration form from.
F RES MUL: You can set the gain of respiration by this menu.
G Press button Return to return main menu.
3.2.9 TEMP Setup:
In monitoring status, rotate the knob to highlight the TEMP icon

in the TEMP displaying area, and then press the knob,
the menu of TEMP setup appears on the bottom of screen as shown below:
UNIT ALARM RETURN

A UNIT
Pick this item to set measurement unit: Centigrade () or Fahrenheit ().
B ALARM
Select ALARM in TEMP menu to call up the sub-menu shown as below:
HIGH LOW LEVEL DIFF RETURN
Temperature up-and-down limitation can be set.
Select the LEVEL you can set the alarm on/off
Difference of two types of temperatures can be set.
Press button Return to return to main menu.
3.2.10 IBP Setup (Only the IBP type unit has this function item.)
Note: Only when the unit install the IBP module, and set the display mode as IBP
extend, this setting becomes effective. The displaying mode setting see chapter
2.1.
In monitoring status, rotate the knob to highlight the NIBP icon in the NIBP displaying area,
and then press the knob, the menu of NIBP setup appears on the bottom of screen
A. BP TYPE
There are NIBP, IBP1, IBP2 BP measuring for selection, NIBP is non-invasive measuring, IBP1,
IBP2 are invasive measuring. When select different BP type, the relevant menu settings are
different. If the BP set as IBP1, then all the settings are applicable for the IBP1.
27
B. ALARM
Set the BP up and down alarm of IBP1 and the alarm state.
C. CALIBERAT
Pressure calibration. By tow points setting to amend the IBP coefficient.
D. PRESSURE UNIT
You can select mmHg or KPa as the displaying unit.
E. Fiducial value
For value setting of IBP waveform DC fiducial, when the proportion is relevant high, you can set
the fiducial value to stand out the AC waveform.
F. Waveform proportion
You can set the waveform amplitude as 2.67kPa(20mmHg/cm),5.34kPa(40mmHg/cm),8.00kPa
(60mmHg)/cm,10.67kPa(80mmHg/cm),13.33kPa (100 mmHg)/cm or 26.67kPa (200
mmHg)/cm
G. Pressure indicate
You can setting by the position of the pressure tube, the relevant sign will be displayed in the
IBP data table.
ABPDirectness artery pressure

PAPPulmonary artery pressure
CVPCenter vein pressure
3.3 Printer
Connection for printer
Outer printer: connect the printer to the PRINT port.
Inner printer: We have inner printer type 6000DP M3, supplying according to the
customs order.
28
Chapter 4 Operation for the Equipment

4.1 ECG
4.1.1 How to put the electrode in place.
12 pieces of ECG leads are available. To activate one lead which directly link to patients
correspondent body feature, then the associated waveform will be shown on the screen. You
must be cautious when install the electrode.
1 Electrode selection and application
1 Generally speaking, monitoring electrode use the Ag-AgCl, the disposable
electrode. Make sure the electrode within warranty before application.
2 For one patient, the same brand electrode is recommended; the purpose
is to avoid different input impedance.
2 Precondition
For patients skin is not in a good condition, which need to be preconditioned before
placing electrode in order to make the leads connect to skin tightly.
1 Washing skin completely using soap and water. Ether and pure alcohol is
prohibited because they can increase skins impedance.
2 Shave body hair on where electrodes are placed, if necessary
3 Rub skin briskly to increase capillary flood flow in the tissues and remove
skin scurf and grease.
4 If electrodes without conducting cream are used, conducting cream should
be smeared on skin before placement.
3 Placing the electrodes for ECG monitoring
For 5-lead set, attach the electrodes to the positions as below:
Electrode placement for 5-lead set as below:

Red(R) electrode: be placed near the right shoulder, directly below the clavicle.
Yellow (L) electrode: be placed near the left shoulder, directly below the clavicle.
29
Black (N) electrode: be placed on the right hypogastrium.
Green (F) electrode: be placed on the left hypogastrium.
White(C) electrode: be placed on the chest as illustrated.
Recommended ECG lead connection.
WARNING
When using electrosurgery equipment, leads should be placed in a position in equal
distance from electrosurgery electrotome and the grounding plate to avoid cautery.
Electrosurgery equipment wire and ECG cable must not be tangled up.
The placement of ECG electrodes is depended on the type of operation. For example, electrode
can be placed in back or flank of chest for operation of opening chest. Sometime ECG wave can
be influenced with artificial because of using ES in operation room. In this case, place
electrodes at left and right shoulder close with left and right side of abdomen and chest lead at
left side of internal in chest to avoid placing in upper arm, which will lead ECG wave smaller.
WARNING
When using electrosurgery equipment, never place an electrode near the grounding plate
of the electrosurgery device, otherwise there will be a great deal of interference with the
ECG signal.
4.1.2 Freeze
Under the state of ECG monitoring, in order to further observe the patients ECG waveform, you can
adopt the function of freeze. Press button Freeze, the scanning waveform just having read will be
frozen. Then the doctor can analyze the patients condition more precisely. The standard signal for
this is 1mV, compared with ECG waveform, the results will be available immediately.
4.1.3Caution
For the movement of the lead cable will result in the inaccurate HR value, try to avoid the
interference.
Do not touch the patient, table and equipment during anti-vibration.
Lead-off The specific lead will be displayed when the lead is off from the patients body.
All Lead off will be displayed when over two leads are off from patients body.
ECG ERROR indicates ECG board with trouble. Please stop ECG monitoring at once and
contact with the distributor or Customer Service Dept. of Manufacture.
4.1.4 Maintenance and Cleaning
WARNINGS: Power must be shut off and main supply plug must be pull out before
cleaning monitor or sensor.
If the ECG cable has been damaged or eroded, please change the cable. Strongly suggest
that you do not use the defective cable to monitor the patient.
30
Cleaning:
Use the warm water or 70% alcohol solution to submerge an velvet cloth to start cleaning
operation.
Sterilization
It is suggested sterilization on instrument is going only when it is required by hospital regulation
in order to avoid long-term damage on instrument. We also suggest that the product used to
sterilize our instrument is cleaned first.
Recommended sterilizing solution:
Ethanol: 70% alcohol70% isopropyl alcohol acetaldehyde
Disinfection: It is suggested disinfection on instrument is going only when it is required by
hospital regulation in order to avoid long-term damage on instrument. We also suggest that the
product used to disinfect our instrument is cleaned first.
4.2 SPO2
4.2.1Measurement
Plug the SPO2 probe into the related socket on front panel and put finger in the finger grove as
well. When begin to measure SPO2 value, the SPO2 saturation waveform, SPO2 value and
pulse rate are available. SPO2 displayed on the area of , when occurs bad connection of
probe, the icon of PROBE OFF will show on the screen. When there is something wrong with
the data communication, the icon of PLETH ERROR shown on the screen and alarm at the
same time.
4.2.2 Pulse rate sound and over-limitation alarm
Under the normal status, you could hear the sound of mocking pulse rate during measuring
SPO2, meanwhile, the sound will increase or decrease along with the indicate value of SPO2.
You can notice when the SPO2 is less than 80, you can not hear any difference about the sound.
If you want to eliminate the sound, press the button Silence and a crossing bar will through the
item of speaker on the screen as well.
When the measuring value over the up limitation, there will have sound and light alarm
appeared. Meanwhile you can notice the flashing readings on the screen. The specific alarm
setting up please refer to related section of this instruction.
4.2.3 SPO2 waveform and average rhythm
The waveform located on the third area indicates SPO2 waveform, its amplitude demonstrate
how much the patients pulse rate. By and large, the amplitude can be adjusted by the monitor
automatically. Apart from this method, user can also adjust the function in the associated menu.
There are 4,8,16 of average rhythm for available. The less the average rhythm, the more
information can be reflected. On the contrary, the real pulse rate can be reflected during a long
period.
In order to finish the above setting, please enter SPO2 menu for preparation.
31
4.2.4 Precaution for SPO2 measuring
Please apply the same brand SPO2 probe produced by designated manufacture, other
unauthorized probe may not be compatible with the SPO2 module.
Please do not use defective SPO2 probe, otherwise may cause damage to the SPO2
module.
Please do not expose the photo component inside the SPO2 probe, once the problem
occurred, suggest you do not adopt this probe for ever.
The SPO2 is not waterproof, so please do not submerge it under the water or other
solutions.
Excessive patient movement may affect the measuring precise.

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 to check the sensor placement of neonate and patient
of poor perfusion or immature dermogram by light collimation and proper attaching strictly
according to changes of the skin. Check per 4 hours the sensor placement and move it
when the skin deteriorates. More frequent examinations may be required for different
patient.
If set the SPO2 up-limitation to 100%. It means no up-limitation. But high SPO2 value for
new born baby have bad effect on them, you should set the SPO2 up-limitation cautiously
according to the clinic trial.
In addition, the light-absorption status must be concerned. Other spectra may have side
effect on the measuring result, For example:
a methemoglobin
b methylene
The following conditions may fail to get the real result.
a. Improper sensor application
b. External illumination more than 5,000 lumens/square meter (typical office lighting)
c. Do not perform SpO2 measuring and NIBP measuring in same limb, because
obstruction of blood flow during NIBP measuring may adversely affect the reading of
SpO2 value.
WARNING:
Cut off and disconnect the AC power before cleaning the monitor or sensor.
Do not immerse sensor completely in water, solvents, or cleaning solutions because
the sensor and connector are not waterproof.
Do not sterilize SPO2 sensors by irradiation, steam, or ethylene oxide.
Do not soak the sensor in the detergent liquid; if any abnormity of the sensor or
32
cable is detected, stop using it immediately.
Cleaning:
Moisten the soft cloth or gauze with alcohol and use it to wipe the surface of sensor, and then
use the clean cloth to dry it. The same method can be used to clean the light source and photo
detector.
Cables can be disinfected by 3% of hydrogen-peroxide or 7% of isopropyl alcohol .Do not
immerse the connector into the liquid.
4.3. NIBP
4.3.1Connection
Firstly, make sue no air in the cuff and connect it to the cuff socket located at the rear panel.
Secondly plug the cuff hose to machine tightly. (if execute the contrary operation, press the
inflating tap and pluck out the air hose)
Referring to ensuing procedure , make sure the cuff is completely deflated.
Apply the appropriate size cuff to the patient, and make sure that the symbol is over the
appropriate artery. Ensure that the cuff is not wrapped too tightly around the limb. Excessive
tightness may cause discoloration and eventual ischemia of the extremities.
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.
4.3.2Measuring mode
There are there types of mode for selection:
Manual
In which one measurement of each of the three blood pressures (Systolic/Mean Arterial
Pressure/Diastolic) is made and displayed in the numeric frame.
Press START/CANCEL button on the front-panel. A single blood pressure measurement will be
made. Press START/CANCEL button again to cancel this measurement.
The measurements remain in the numeric frame as long as what you set up.
As soon as an NIBP measurement begins, any existing NIBP values in the numeric frame are
removed, and the current, variable value of the cuff pressure is shown. Systolic, diastolic and
MAP values are presented when the measurement is completed. If fail to measure, the numeric
frame displays _ _
Automatic
NIBP measurements are performed at the intervals as per you set.
Access NIBP SETUP menu and pick the CYCLE item to set measuring mode. Select the
CYCLE selection. Then press START/CANCEL button on the front panel to start the first auto
measuring. Selected interval indicates you have set AUTO Monitoring Mode, the device will
33
successively measure patients BP after taking break for the time you set in CYCLE item If you
press START menu during AUTO mode, the measurement in progress will stop to another
manual measurement. After this manual measurement, the device will enter AUTO monitoring
mode again. You want to get the patients NIBP value by manual operation, just pick MANUAL
in CYCLE item.
STAT(not-stop)
In the STAT mode, the monitor measures the blood pressure as many times as possible in
five minutes. Pick NIBP SETUP menu and select the STAT item to set the monitoring
mode.
BP measuring failure
When no BP measuring value, system will measure blood pressure automatically,
if there are no value for three times, then the system will refuse to measure again.
How to stop the BP Measurements
If a measurement is in process, press the START/CANCEL switch whenever that you wish to
cancel the current measurement. If an automatic measurement is underway, the interval time
will be reset.
The measurement values will be displayed after normally measurement. Alarm will be activated
if those values out of limit. Only visible alarm can be seen when the audible alarm be disabled.
Refer to the ALARM chapter for information.
WARNINGS
On the whole, when the measuring value is within the setting range, then you can read the
normal measuring results. If the measuring results over the up-limitation, the alarm will be
activated. When turn off the sound, only the visible alarm is available.
If last the BP value also displayed on the screen before refreshing. If there has huge
difference for BP when tested twice by the same person, therefore, the machine can not
identify such variation and no alarm activate as well.
Sometimes, to measure the NIBP for a long time, you can feel uncomfortable meanwhile
along with the symptom of inadequate blood supply.
Do not measure the blood pressure and SPO2 at the same arm, maybe the blood pressure
operation could affect the SPO2 results.
Do not apply the cuff bag in the arm which is carrying out transfusion.
When the measurement be performed on the infant and neonate. Make sure that correct
mode setting has been selected (refer to NIBP menu setting section). For higher adult NIBP
doesnt fit for infant and neonate, wrong selection of patient mode may be dangerous to
them.
34
Avoid squeezing and bonding cuff bag to have bad effect on BP measuring.
Inaccurate measurements may result from such causes:
a. Limbs twitch and tremble will cause inaccuracy or prolonged the cycling of measurement,
serious tremble will lead to the failure of measure.
b. Placing the cuff too loosely or tightly on the patient.
c. Leaky cuff or hose
d. Insure the NIBP and pulse rate within the range of this monitor.
e. Excessive patient motion will cause the inaccuracy, patient should be relax and avoid
movement.
f. patient with hemiplegy.

4.3.4 BP safety protection
Automatic deflation will be activated when the cuff pressure exceed 280 mmHg under the adult
mode and exceed 150 mmHg under the infant mode.
Automatic deflation will be activated when the continuous inflation last more than 30 seconds.
If there is no value when measurement time exceeds 120 seconds under the adult mode and 90
seconds under the infant mode, the measurement will be canceled.
Patient can press the START/CANCEL button whenever it is necessary.

WARNING:
Do not squeeze the hose of cuff.
Do not allow liquid to enter the connector socket when cleaning the monitor. Or
perhaps damage the machine.
Take out rubber tube before cleaning, the cuff wrap can be disinfected by high pressure in
heating air box. Or submerge it to the cleaning solution which should first take out the plastic
bag. You should not wash the cuff by drying cleaning method, you can wash it in the washing
machine or with manual which could prolong the life of the cuff wrap. Put the plastic bag in after
cleaning. Make sure the cuff wrap is dry.
4.4 RESP
Measurement
The monitor measures respiration through RA-LL impedance
35
Warning
The monitor just can measurement HR times can not be sued to measurement asphyxia
and monitor neonate.
The monitor measures respiration from the amount of thoracic impedance between ECG
electrodes, the placing of electrodes is important( detailed information please refers to ECG
chapter).
4.5 TEMP
Measurement
(1)Plug a reusable TEMP probe into monitor directly.
(2)Apply the TEMP probe securely to the patient.
(3)Switch on the system.
WARNING
Connect probe to skin directly
Reed data after temperature stable.
Please choose YSI400 TEMP Probe.
36
Chapter 5 Maintenance and Troubleshooting

5.1 Maintenance
Customers should responsible for periodic maintaining of the product and its accessories. It is
very important for our company to warranty the service and repairs. We reserve the rights to
change the time limit of warranty and replacement if the following steps are non-implemented:
An effective maintenance plan should be designed for the product and its reusable
accessories. It includes periodic inspections and cleaning. It should be accord with the
policy of local infection control department or health institution.
Be sure to disconnect power line to the product before cleaning and inspecting.
Periodic cleaning (accordance with the policy of local infection control department or health
institution). Dampen a cloth with a commercial, nonabrasive cleaner and wipe the tip,
bottom, and front surfaces lightly. The following admissive liquor can be used:
Ammonia (diluted),
Glutaraldehydea,
Sodium hypochlorite bleacher (diluted)
Mildness suds (diluted).
Please obey the following rules to prevent from damaging the product:
Always using diluted liquor recommend by the manufacture.
Always wipe up cleaning liquor after cleaning.
Always not use cleaning matter containing wax.
Always not spray water or cleaning liquor over the product, neither allows any liquid to
flow into power switcher, connector, or other intake.
Always not use the following cleanser:
any kinds of abrasive cleaner and menstruum
acetone
ketone
spirituous cleanser
lycine.
In order to clean display, please use clean flexible cloth and make it wet with cleanser
in the glass. Always not spray cleanser in the glass on the screen, neither use alcohol
or medical disinfector, such as glutaraldehyde or lycine.
Please use warm wet cloth and mildness suds to clean cables and lead wires. Other
cleaning ways may reduce the life of cables and lead wires.
Recommendation:
37
Do not power on/off frequently.
Take down and safekeeping probes, lead wires, gluey tube after using product.
Please hold the product in packaging if the product would not work for a long time.
Do not make the product contact with chemical medicine and reagent.
Battery Maintenance
If the PATIENT MONITOR has not been used for a long period of time, please fetch
out the batteries.
If there is any abnormity, stop working. It can be reused after inspecting and repairing by
technician.
5.2 Troubleshooting
NO display after power on, power indication off.
1
Check the power connections, the power adapter.
ECG wave wrong display under patient monitor mode.
2
Check the LEAD wire and the electrodes position.
No SpO2 wave and pulse rate display when monitoring
3
Check the probe connection and the finger temperature
Cuff inflation lacked when measuring blood pressure.
4
Cuff too loose or leak, Check the connections of tube.
No ECG analysis function
5
Check this function open or not in ECG menu
Can not printing
6
Check the print cable, print power, printer setup and the printer type.
5.3 Warranty and Repair

1Warranty and repair content
(a) Repair response time: AM9:00 to PM17: 30 on Monday to Friday except legal holiday.
Repair time: AM9:00 to PM17: 30 on Monday to Friday except legal holiday.
Repair service: Including telephone support, field inspecting, fittings replacement.
(b)Telephone support: we can give guidance to customers engineer to inspecting the
instrument when you dial our service line, the professional repair engineer online provides
technical support.
Field inspecting: we will send engineers to repair the instrument if necessary. Certified
engineers of our company or local repair team trained by our company provide this
service.
Fittings replacement: if necessary, we will replace the damaged fittings according to
contract. The damaged fittings should be returned to us expect for special reason.
(c) Repair for sponsoring and contributing machine: customer should send the machine to us to
repair.
(d) Updating software is free.
38
2Exemption and restriction:
a Warranty does not apply to the damage or loss sustained due to well-known act of
god, such as fire, earthquake, flood, thunder, cyclone, hail, electrical storm, blast,
building collapse, commotion, etc.
b) Non-service items:
The cost and insurance of dismantling and testing, overhauling, reinstall, transfer,
moving the instrument or parts.
Damage or loss sustained due to inspected or repaired by other institute that is not
certified
Damage or alteration by anyone other than our company authorized service personnel.
c) The damage or lose sustained due to connection to peripheral equipment (such as
printer, computer etc.), that are not provided by our company are not covered by the
warranty.
d) Obligation restriction: In the duration of warranty, if the operators use other fittings that
are not provided by us, we reserve the right to cancel warranty
3. Customer guarantees:
a Read the user manual in details before operation.

b Operation and maintenance according to the user manual, and guarantee the
requests of power and environment
4 .Non-warranty and Non-replacement Policy
The work environment is not eligible. For example, if the relative humidity exceeds
70%, circuit boards of the instrument may be damaged due to condensate.
If voltage of power supply is fluctuant and exceeds 240VAC, the power adapter may
be damaged.
There is smear or marks that are not belong to the instrument and cannot be
removed from the outside surface of the instrument.
The instrument or its fittings are mechanically damaged.
The circuit is short and damaged due to liquor or other stuff flow in the instrument or
its fittings.
All probe and its accessories are not free replacement.
Leakage of air cell of blood pressure sleeve due to improper storage or operation is
not free replacement.
Damage resulted from mechanic force is not liability for free replacement.
Any inaccuracy resulted from the current measuring technique when measuring
blood pressure. We assume no warranty.
Any damage caused by applying with other interference device such as oscillator.
Remove the machine repair stripe.
Any peripherals installed do not verified by our company authority and any virus
caused by software which do not comply with our companys standard.
39
Not original package for transportation.
Any malfunction caused by non professional worker or unauthorized personnel for
machine repair.
Do not read the user instructions carefully
5Customer special warranty period

Due to we stipulate the warranty period according to the relevant electronic regulation of
country, which we stipulate is on year, accessory is three months. When customer requires to
extending the warranty period, you should consider whether it is reasonable. Because electronic
product quickly replace, as to the warranty period over three years, purchased accessories may
be out of stock. In this case, we will adopt to entirely upgrade or replace the old, you should pay
the minimum acceptable cost of renewed device.
6. Repackaging
Remove all the detectors, leads and accessories and put them into the plastic bag.
Try to use the original packaging case and materials. Any damage due to the improper
packaging during the transportation shall be responsible by the user.
If you are still within the period of warranty, please present the warranty card and one copy of
the invoice or receipt.
Please present a written note detailing all the troubles when repairing the instrument.
5.4 Storage and Transportation

Storage: Temperature: -10~40 Humidity: 90%
Transportation: Via road, rail or aviation after properly insured and packaged.
5.5 Package and accessories
The outside package applies the sturdy cardboard while inside fix the machine with vibration
relief plastics. Use the anti-dump plastic bag to wrap the machine and put it at the middle of the
bag.
No. Accessories Quantity

1 ECG-cable (standard) 1 piece
2 Electrode 1 pack
3 NIBP cuff and extension tube (for adult) 1 piece
4 SpO2 finger clip probe and extension cable (for adult) 1 piece
5 TEMP probe (Skin or rectal) 1 piece
6 Power cable 1 piece
7 Grounding wire 1 piece
8 Operators manual 1 piece
40
5.6 Appendix: Arrhythmia, HR variation, ST analysis

(VFE1.0.0 no support for this function)
In order to get the better result, the highly efficient ECG waveform is a must. Too much noise
and interruption will affect the accuracy. In view of the long time patient monitoring, therefore,
the results from the monitor is only for reference at anytime and in any situation. All conditions
need to be considered by the users to give a conclusion
Some features to judge the monitor

1.No pulse rate:the R wave interval between current and last tempo is bigger than the
setting value.default value is 4000ms
2.Ignored pulse rate:the interval between current and last tempo is 1.7 times bigger than
average interval and 3.2 times smaller than the average interval.
3High HR:The interval of R wave within 5 continuous tempos is more than the panel
threshold value and less than 430ms.HR more than 140BPM
4Lower HR:The interval of R wave within 5 continuous tempos is less than panel threshold
and more than 1500ms.HR less than 40BPM
Parameter f of HR variation
For more material about arrhythmia, HR variation, ST segment, please contact our
company or our agents.
HR variation
Total tempos N: Average RR: Maximum RR(max); Minimum RR(min)
Standard offbeat for RR interval:
Average MSD for minus between adjoining RR interval:
Standard offbeat MSDD for minus between adjoining RR interval:
Variation coefficient for SD=SD/RR;

Variation coefficient for MSD=MSD/RR;
Variation coefficient for MSDD=MSDD/RR;
41

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Chapter 3 Menu Instruction 13

1.2 Safety Information

1.3 Explanation of Symbols

Type CF defibrillator equipment Resistant defibrillator BF type equipment

Alarm on Alarm off

System menu Trend table

Heart Beat Detected

CHAPTER 2 Overview of the Monitor

1) ECG: ECG lead socket.

2.2 Special Features

Default Alarm Setup:

Chapter 3 Menu Instruction

Fig.1 Breath Rate

Mode 4: ECG Extent:

SYSTEM: Manufacturer setup, please keep them unchanged.

CHANNEL: The channel form which the heart rate is computed.

3.2.2 Trend table:

A.1 Enter menu of trend table:

Fig.12 Standard type

Fig.13 Standard &CO2

Fig.14 Standard & IBP

Take the HR graph for example:

menu bar of Trend setup appears on the bottom of screen.

In monitoring status, rotate the knob to

Filter mode: In this menu you can select Filter close,

3.2.6 NIBP setup

3.2.8 RESP Setup:

In monitoring status, rotate the knob to highlight the RESP icon in

3.2.9 TEMP Setup:

In monitoring status, rotate the knob to highlight the TEMP icon

UNIT ALARM RETURN

ABPDirectness artery pressure

Chapter 4 Operation for the Equipment

Electrode placement for 5-lead set as below:

Excessive patient movement may affect the measuring precise.

When no BP measuring value, system will measure blood pressure automatically,

f. patient with hemiplegy.

Patient can press the START/CANCEL button whenever it is necessary.

Chapter 5 Maintenance and Troubleshooting

5.3 Warranty and Repair

2Exemption and restriction:

a Read the user manual in details before operation.

5Customer special warranty period

5.4 Storage and Transportation

No. Accessories Quantity

5.6 Appendix: Arrhythmia, HR variation, ST analysis

Some features to judge the monitor

Standard offbeat for RR interval:

Average MSD for minus between adjoining RR interval:

Standard offbeat MSDD for minus between adjoining RR interval:

Variation coefficient for SD=SD/RR;

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