Philips 862474 ユーザーズマニュアル

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Theory of Operation and System Architecture
Training  
11-9
Recorder
The optional recorder module is installed in the right panel of the monitor. Refer to the C3 
Instructions for Use 
guide for printing procedures. It provides users with the capability to 
obtain hard-copy records of selected vital sign information.
Basic control of the recorder is implemented by two push-button controls on the recorder’s 
front panel. The Continuous button is used to obtain continuous recordings of the real-time 
waveforms displayed in the top two graphic frames. Along with the waveforms, the recorder 
prints the values of the vital signs being displayed. The printing continues until the user 
presses either recorder button a second time.
The Snapshot button initiates a snapshot printout for 20 seconds of the same information 
recorded by the continuous control. 
If scrolling is enabled in a display frame containing trend data when the Continuous button is 
operated, then the trend record for that vital sign is printed. If the Snapshot button is 
operated, then only the trend data on the display is printed.
The recorder may be programmed via the monitor menu display to print a snapshot recording 
when an alarm condition occurs.
Printing is accomplished on 50 mm wide thermal paper at recorder speeds programmable up 
to 55 mm/s.
ECG 
Processing
The technique used in ECG senses the varying potential difference between two points at the 
skin surface which respond to the electro-chemical actions of the muscular activity of the 
heart.
Three electrodes are attached to the patient’s right arm (RA), left arm (LA) and left leg (LL). 
The varying potentials at these locations are cable-connected to the ECG circuit inputs where 
they are conditioned, and the difference of potential between two selected leads is digitized 
before transmitting through opto-isolators to the processor. The processor-installed algorithms 
operate on the signals to develop drivers for the graphic display and to compute the heart rate 
in beats per minute (BPM).
In addition to the acquisition of the QRS waveform complex, the ECG input and subsequent 
signal processing computing circuitry perform a number of other functions:
They detect a "lead-off" condition if one of the electrode connections is disrupted.
They detect the presence of pacemaker signals within the QRS waveform complex of 
the ECG.
They generate a synchronization pulse for external use with defibrillators. The Defib 
Sync Pulse output is available at a connector in the rear panel.
Respiration 
Processing
The patient’s respiration is detected by using two of the three leads of the ECG electrodes and 
cable. A low-level excitation signal is applied to these leads, and the variation of the thoracic 
impedance caused by the breathing is sensed and processed for display and measurement.