User Manual Part 5

Directions for Use Standalone Monitoring 61
Safety
Procedure
To enable or disable the display of pacer indicators, follow these steps:
1. Access the Setup menu. (See “To Access the Setup Menus” on page 38.)
2. Highlight ECG (Figure 61).
Figure 61. Turning the Pacer Indicator Off in the ECG Setup Menu
3. Highlight Pacer indicator and press or to highlight Off or On.
4. To exit the Setup menu, press or , or highlight Exit and press .
WARNING Signals differ between pacemakers. The Association for
Advancement of Medical Instrumentation (AAMI) cautions that “in some devices,
rate meters may continue to count the pacemaker rate during occurrences of
cardiac arrest or some arrhythmias. Do not rely entirely upon rate meter alarms.
All pacemaker patients should be kept under close or constant observation.”
WARNING Use of respiration monitoring by impedance pneumography can
affect the operation of some pacemakers. If pacemaker operation is affected, turn
off respiration pneumography. (See Figure 61 on page 61.)
WARNING Always use fresh ECG electrodes and make sure the ECG cable lead
wires make good connections. The presence of pacer-like noise can cause the
displayed heart rate to be erratic even though the ECG trace might look
undistorted with the pacer indicator off.
Note
If the pacemaker signal is strong enough, the monitor displays it as a waveform
spike. This is true with Pacer indicator ON or OFF.
In accordance with the Pacer Pulse Rejection specification (“Pacer pulse
rejection” on page 165.), pacemaker pulses are not counted as heartbeats
whether Pacer Indicator is On or Off.
Noise on the ECG signal might be detected as pacer signals, causing the pacer
indicator to appear on the display. If you do not need to indicate pacemaker
signals, turn off the pacemaker indicator for a better ECG waveform display.
II 1mV/cm
II 1mV/cm
Exit
Exit
Trends
Trends
Snapshots
Snapshots
Setup
Setup
60Hz
60Hz
50Hz
50Hz
80
80
HR/min
HR/min
140/78
140/78
NIBP mmHg (102)
NIBP mmHg (102)
Resp/min
Resp/min
SpO2
SpO2
Off
Off
On
On
Power source filter
Power source filter
Resp Monitoring
Resp Monitoring
Setup
Setup
12
12
97
97
%
HALL, ROBERT E.
HALL, ROBERT E.
3456187
3456187
3:00:06P
3:00:06P
Adult
Adult
Rm 239
Rm 239
Alarms
Alarms
ECG
ECG
NIBP
NIBP
Timings
Timings
Off
Off
Service
Service
ECG Bandwidth
ECG Bandwidth
Pacer indicator
Pacer indicator
Monitor
Monitor
Off
Off
On
On
Extended
Extended
Pacer indicator Off