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Operator's Manual  ZM-940PA
adaptive implantable pacemaker may be affected by the 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.
For more information, see the FDA web site.
http://www.fda.gov/cdrh/safety.html
WARNING
When the transmitter is used with an electrosurgical unit (ESU), firmly attach the
entire area of the ESU return plate.  Otherwise, the current from the ESU flows
into the electrodes of the transmitter, causing electrical burn where the
electrodes are attached.  For details, refer to the ESU manual.
CAUTION
Turn off the power of mobile phones, small wireless devices and other devices
which produce strong electromagnetic interference around a patient (except for
devices allowed by the hospital administrator).  Radio waves from devices such
as mobile phones or small wireless devices may be mistaken as respiration or
pulse wave and the displayed data may be incorrect.
NOTE
• Noise generated from an electrosurgery unit may interfere on an ECG
waveform, but will not damage it.
• If an electric blanket is used and incorrect heart rate is displayed on the
monitor, turn off the pacing spike detection on the monitor.
• Turn the pacing spike detection to ON on the monitor when monitoring a
pacemaker patient.  Pacing pulse is detected by the transmitter and
transmitted to the monitor.  If the pacing spike detection is turned OFF, QRS
and pacemaker spike may not be distinguished and pacemaker failure may
not be recognized.