Nihon Kohden Corporation ZM-940PA Benutzerhandbuch
12
Operator's Manual ZM-940PA
For Patients Using Implantable Pacemaker
WARNING
Interaction Between Minute Ventilation Rate-Adaptive Pacemakers and Cardiac
Monitoring and Diagnostic Equipment*
The bioelectric impedance measurement sensor of a minute ventilation rate-
adaptive implantable pacemaker may be affected by transmitter which is
connected to the same patient. If this occurs, the pacemaker may pace at its
maximum rate and the transmitter may give incorrect data to the monitor. If this
occurs, disconnect the electrode leads from the patient or change the setting on
the pacemaker by referring to the pacemaker’s manual. For more details,
contact your pacemaker representative or Nihon Kohden representative.
Monitoring and Diagnostic Equipment*
The bioelectric impedance measurement sensor of a minute ventilation rate-
adaptive implantable pacemaker may be affected by transmitter which is
connected to the same patient. If this occurs, the pacemaker may pace at its
maximum rate and the transmitter may give incorrect data to the monitor. If this
occurs, disconnect the electrode leads from the patient or change the setting on
the pacemaker by referring to the pacemaker’s manual. For more details,
contact your pacemaker representative or Nihon Kohden representative.
* Minute ventilation is sensed in rate-adaptive pacemakers by a technology known as bioelectric
impedance measurement (BIM). Many medical devices in addition to pacemakers use this
technology. When one of these devices is used on a patient with an active, minute ventilation
rate-adaptive pacemaker, the pacemaker may erroneously interpret the mixture of BIM signals
created in the patient, resulting in an elevated pacing rate.
technology. When one of these devices is used on a patient with an active, minute ventilation
rate-adaptive pacemaker, the pacemaker may erroneously interpret the mixture of BIM signals
created in the patient, resulting in an elevated pacing rate.
For more information, see the FDA web site.
http://www.fda.gov/cdrh/safety.html
http://www.fda.gov/cdrh/safety.html
NIBP Monitoring
WARNING
• Be careful when measuring NIBP on a patient with known bleeding disorders
or coagulation. After NIBP measurement, there may be dot hemorrhage, or
circulatory disorder by thrombus where cuff is attached.
circulatory disorder by thrombus where cuff is attached.
• NIBP measurement may be incorrect in the following cases.
• When using an electrical surgery unit.
• When there is body movement.
• When the pulse wave is small (insufficient peripheral circulation).
• Too many arrhythmia.
• When there is vibration.
• When there is a rapid blood pressure change.
• During CPR.
• When there is body movement.
• When the pulse wave is small (insufficient peripheral circulation).
• Too many arrhythmia.
• When there is vibration.
• When there is a rapid blood pressure change.
• During CPR.