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Datascope Passport - Mindray

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Operation Monitor Problem Solving<br />

3.23 Monitor Problem Solving<br />

This guide is provided to establish the possible causes and solutions to some monitoring<br />

problems.<br />

PROBLEM REASON ACTION<br />

No trace for a desired<br />

parameter<br />

Improper attachment of<br />

transducer to monitor<br />

Check transducer connection<br />

Faulty transducer Try a different transducer<br />

Wandering ECG Respiration artifact Try a different base line lead<br />

configuration<br />

Noisy ECG traces Loose or dry electrodes Apply new electrodes<br />

Defective electrode wires Replace wires as necessary<br />

Patient cable or leads are routed Eliminate 60Hz interference<br />

too close to other electrical<br />

devices<br />

Use ECG cable with built-in filter<br />

block<br />

Low Amplitude ECG Electrode could be positioned Reposition electrodes<br />

over a bone or muscle mass<br />

Press ECG SIZE key<br />

Excessive Electro-surgical Inadequate skin prep prior to Repeat skin prep and electrode<br />

Interference<br />

application of electrode<br />

placement procedures<br />

Add additional gel to electrodes<br />

Intermittent Signal Connections not tight and<br />

Ensure proper connection<br />

properly secured<br />

(Electrode to lead, lead to cable,<br />

cable to monitor)<br />

Electrodes dry Re-prep skin and apply fresh moist<br />

electrodes<br />

Cable or leadwires damaged Check with continuity tester<br />

Excessive alarms: heart Electrodes dry Re-prep skin and apply fresh,<br />

rate, lead fault<br />

moist electrodes<br />

Alarm limits set too close to<br />

patient's normal heart rate<br />

Readjust<br />

Low Amplitude ECG<br />

Signal<br />

R-wave wrong size Must be twice the amplitude of<br />

other part of waveform<br />

Excessive patient movement or<br />

muscle tremor<br />

Gain set too low. (Set through<br />

SIZE key.<br />

Reposition electrodes and secure<br />

with tape if necessary<br />

Readjust as required<br />

Skin improperly prepared Abrade skin<br />

Possibly not patient's normal<br />

complex<br />

Electrode could be positioned<br />

over a bone or muscle mass<br />

Trace Not Moving FREEZE key may have been<br />

pressed.<br />

Temperature Probes not<br />

Working<br />

Check with 12 lead electrocardiogram<br />

Reposition electrodes<br />

Press the FREEZE key to unfreeze<br />

the trace<br />

Poor contact from probes to body Check the body surface contact at<br />

the probe tip. Reposition or apply<br />

thermoconductive gel.<br />

<strong>Passport</strong> 2 ® /<strong>Passport</strong> 2 LT Operating Instructions 0070-10-0649-01 3 - 85

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