Operator’s Manual

Bedside Monitor
SVM-7601 SVM-7621
SVM-7602 SVM-7622
SVM-7603 SVM-7623
SVM-7604 SVM-7624

SVM-7600 series

0614-907636D
About This Manual
In order to use this product safely and fully understand all its functions, read this manual before using the
product. Keep this manual near the instrument or in the reach of the operator and refer to it whenever the
operation is unclear.

Accompanying Documentation
The product comes with the following manuals. Refer to the manual depending on your needs.

Operator’s Manual (this manual)

Describes the operation and settings of the product. Read this manual before use.

Administrator’s Guide
For administrators. Describes how to install the product. Read the Operator’s Manual together with this
guide.

Service Manual
For qualified service personnel. Describes information on servicing the product. Only qualified service
personnel can service the bedside monitor.

User’s Guide
Describes the configuration method for the product. Administrators should read the Administrator’s
Guide together with this guide.

Copyright Notice
The entire contents of this manual are copyrighted by Nihon Kohden Malaysia. All rights are reserved. No
part of this document may be reproduced, stored, or transmitted in any form or by any means (electronic,
mechanical, photocopied, recorded, or otherwise) without the prior written permission of Nihon Kohden
Malaysia.

In order to use this product safely and fully understand all its functions, make sure to read this manual before
using the product.
Keep this manual near the instrument or in the reach of the operator and refer to it whenever the operation is
unclear.
This product stores personal patient information. Manage and operate the information appropriately.
Patient names on the screen shots and recording examples in this manual are fictional and any resemblance to
any person living or dead is purely coincidental.
The contents of this manual are subject to change without notice. If you have any comments or suggestions
on this manual, please contact us at: https://www.nihonkohden.com/
 1
Contents
2
GENERAL HANDLING PRECAUTIONS...................... I
WARRANTY POLICY.................................................. II 5 Troubleshooting 3
EMC RELATED CAUTION ........................................ III Monitoring................................................................. 5-2
Conventions Used in this Manual and Instrument......VI Network.................................................................... 5-3 4
General Safety Information.......................................VII Recording................................................................. 5-3
Explanations of Symbols............................................IX ECG.......................................................................... 5-4 5
Respiration............................................................... 5-5

1 General CO2 (SVM-7603/7604/7623/7624)............................ 5-6

SpO2 ........................................................................ 5-7
6
Introduction............................................................... 1-2
NIBP......................................................................... 5-8
Panel Description..................................................... 1-3 7
IBP (SVM-7603/7604/7623/7624)............................ 5-9
Caution Labels on the Monitor................................. 1-6
Temperature............................................................. 5-9

2 Preparation 6 Maintenance
Installation................................................................ 2-2
General..................................................................... 6-2
Turning the Monitor On/Off..................................... 2-14
Bedside Monitor....................................................... 6-3
WS-752P Recorder Module...................................... 6-5
3 Functions and Operation SB-752P Battery Pack.............................................. 6-6
Leads, Cables and Cords......................................... 6-7
Basic Operation........................................................ 3-3
Electrodes, Probes, Cuffs and Other Consumables.6-8
Home Screen Description........................................ 3-4
Yearly Inspection...................................................... 6-8
Menu Window Description...................................... 3-10
Guide Menu............................................................ 3-11
Changing Settings.................................................. 3-12
Admitting or Discharging a Patient......................... 3-14
7 Reference
Specifications........................................................... 7-3
Alarms.................................................................... 3-17
Factory Default Settings......................................... 7-23
Review Windows.................................................... 3-34
Standard Accessories............................................. 7-33
Recording............................................................... 3-41
Options and Consumables..................................... 7-33
INTERBED Window............................................... 3-44
General Requirements for Connecting Medical
Drug Window.......................................................... 3-47
Electrical Systems................................................ 7-37
HL7......................................................................... 3-52
Screen Messages................................................... 3-54

4 Monitoring Parameters
ECG.......................................................................... 4-2
ECG 7-lead Display................................................ 4-11
Respiration............................................................. 4-12
CO2 (SVM-7603/7604/7623/7624).......................... 4-14
SpO2 ...................................................................... 4-23
NIBP....................................................................... 4-29
IBP (SVM-7603/7604/7623/7624).......................... 4-36
Temperature........................................................... 4-41

SVM-7600 Series Operator’s Manual Contents  1

 GENERAL HANDLING PRECAUTIONS
This device is intended for use only by qualified medical personnel.
Use only Nihon Kohden Malaysia approved products with this device. Use of non-approved
products or in a non-approved manner may affect the performance specifications of the
device. This includes, but is not limited to, batteries, recording paper, pens, extension cables,
electrode leads, input boxes and AC power.

Please read these precautions thoroughly before attempting to operate the instrument.

1. To safely and effectively use the instrument, its operation must be fully understood.

2. When installing or storing the instrument, take the following precautions:

(1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly
ventilated area, and dust, saline or sulphuric air.
(2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport.
(3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage.
(4) The power line source to be applied to the instrument must correspond in frequency and voltage to product
specifications, and have sufficient current capacity.
(5) Choose a room where a proper grounding facility is available.

3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is combined with other instruments to avoid misdiagnosis or other
problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.

4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.
(3) Avoid direct contact between the instrument housing and the patient.
(4) T
 he operator must not touch the patient and the input/output interface of the equipment simultaneously. This may
cause electric shock.

5. To Shutdown After Use

(1) Turn power off with all controls returned to their original positions.
(2) Remove the cords gently; do not use force to remove them.
(3) The mains plug or appliance coupler is intended to be used as an isolation device from the supply mains. Always
make sure that the mains plug or appliance coupler is easy to operate.
(4) Clean the instrument together with all accessories for their next use.

6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is
not functioning properly, it should be clearly marked to avoid operation while it is out of order.

7. The instrument must not be altered or modified in any way.

SVM-7600 Series Operator's Manual I

8. Maintenance and Inspection
(1) The instrument and parts must undergo regular maintenance inspection at least every 6 months.
(2) I f stored for extended periods without being used, make sure prior to operation that the instrument is in prefect
operating condition.
(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for
qualified user technical personnel upon request from your Nihon Kohden representative.

9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or
location of electrodes and/or transducers to avoid possible burn to the patient.

10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator
discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.

11. Contraindications: None.

12. The electrodes cannot be applied directly on the heart

WARRANTY POLICY
Nihon Kohden Malaysia (NKMY) shall warrant its products against all defects in materials and workmanship for one year
from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded
from the warranty.

NKMY or its authorized agents will repair or replace any products which prove to be defective during the warranty period,
provided these products are used as prescribed by the operating instructions given in the operator's and service manuals.

No other party is authorized to make any warranty or assume liability for NKMY's products. NKMY will not recognize
any other warranty, either implied or in writing. In addition, service, technical modification or any other product change
performed by someone other than NKMY or its authorized agents without prior consent of NKMY may be cause for
voiding this warranty.

Defective products or parts must be returned to NKMY or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.

This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden Malaysia approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning,
vandalism, water or other casualty, improper installation or application, or on which the original identification marks have
been removed.

II SVM-7600 Series Operator's Manual

 EMC RELATED CAUTION
This equipment and/or system complies with IEC 60601-1-2 International Standard for electromagnetic
compatibility for medical electrical equipment and/or system. However, an electromagnetic environment
that exceeds the limits or level stipulated in IEC 60601-1-2, can cause harmful interference to the
equipment and/or system or cause the equipment and/or system to fail to perform its intended function or
degrade its intended performance. Therefore, during the operation of the equipment and/or system, if there
is any undesired deviation from its intended operational performance, you must avoid, identify and resolve
the adverse electromagnetic effect before continuing to use the equipment and/or system.

The following describes some common interference sources and remedial actions:

1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station
or cellular phone:

Install the equipment and/or system at another location. Keep the emitter source such as cellular
phone away from the equipment and/or system, or turn off the cellular phone.

2. Radio frequency interference from other equipment through the AC power supply of the equipment
and/or system:

Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.

3. Effect of direct or indirect electrostatic discharge:

Make sure all users and patients in contact with the equipment and/or system are free from direct or
indirect electrostatic energy before using it. A humid room can help lessen this problem.

4. Electromagnetic interference with any radio wave receiver such as radio or television:

If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.

5. Interference of lightning:

When lightning occurs near the location where the equipment and/or system is installed, it may induce
an excessive voltage in the equipment and/or system. In such a case, disconnect the AC power cord
from the equipment and/or system and operate the equipment and/or system by battery power, or use
an uninterruptible power supply.

6. Use with other equipment:

When the equipment and/or system is adjacent to stacked with other equipment, the equipment and/
or system may affect the other equipment. Before using, check that the equipment and/or system
operates normally with the other equipment.

7. Use of unspecified accessory, transducer and/or cable:

When an unspecified accessory, transducer and/or cable is connected to this equipment and/or
system, it may cause increased electromagnetic emission or decreased electromagnetic immunity.
The specified configuration of this equipment and/or system complies with the electromagnetic
requirements with the specified configuration. Only use this equipment and/or system with the specified
configuration.

SVM-7600 Series Operator's Manual III

 Caution - continued

8. Use of unspecified configuration:

When the equipment and/or system is used with the unspecified system configuration different than
the configuration of EMC testing, it may cause increased electromagnetic emission or decreased
electromagnetic immunity. Only use this equipment and/or system with the specified configuration.

9. Measurement with excessive sensitivity:

The equipment and/or system is designed to measure bioelectrical signals with a specified sensitivity. If
the equipment and/or system is used with excessive sensitivity, artifact may appear by electromagnetic
interference and this may cause mis-diagnosis. When unexpected artifact appears, inspect the
surrounding electromagnetic conditions and remove this artifact source.

If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden
representative for additional suggestions.

For EMC compliance, refer to "Specification - Electromagnetic Compatibility" in the Reference section.

Note about Waste Electrical and Electronic Equipment (WEEE) directive 2002/96/EC.
For the member states of the European Union only:
The purpose of WEEE directive 2012/19/EU is, as a first priority, the prevention of waste electrical and
electronic equipment (WEEE), and in addition, the reuse, recycling and other forms of recovery of such
wastes so as to reduce the disposal of waste.
Contact your Nihon Kohden representative for disposal at the end of its working life.

In IEC 60601-1-2 Medical Electronic Equipment, Part 1: General Requirements of Safety, 2. Collateral
Standard: Electromagnetic compatibility-Requirements and test. Section 6.2.3 Radiated radio-frequency
electromagnetic fields, PATIENT COUPLED EQUIPMENT and/or SYSTEMS applicable IMMUNITY test
methods are under consideration at SC62A/WG13.
The 3 V/m IMMUNITY level may be inappropriate especially when measuring SpO2 because physiological
signals can be much smaller than those induced by a 3 V/m electromagnetic field.
When measuring SpO2, various interference may produce false waveforms which look like pulse
waveforms.
SpO2 value and pulse rate may be measured from these waveforms, causing the alarm to function
improperly.
When installing the monitor, avoid locations where the monitor may receive strong electromagnetic
interference such as radio or TV stations, cellular phone or mobile two-way radios.

IV SVM-7600 Series Operator's Manual

 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 cardiac monitoring and diagnostic equipment which is connected to the
same patient. If this occurs, the pacemaker may pace at its maximum rate and give incorrect data to the
monitor or diagnostic equipment. If this occurs, disconnect the monitor or diagnostic equipment 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.

SVM-7600 Series Operator's Manual V

 Conventions Used in this Manual and Instrument
Warnings, Cautions and Notes

WARNING: A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.

CAUTION: A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.

Note: A note provides specific information, in the form of recommendations, pre-requirements, alternative
methods or supplemental information.

Text Conventions in this Manual

• Name of keys on the monitor are enclosed in square brackets: [MENU]

• Messages that are displayed on the screen are enclosed in quotation marks:
"CHECK ELECTRODES"
• Names of items that are displayed on the screen are enclosed in angle brackets:
<SENSITIVITY>

VI SVM-7600 Series Operator's Manual

 General Safety Information
WARNING WARNING
Never use the monitor in the presence of any Never use the monitor in a hyperbaric oxygen
flammable anesthetic gas or high concentration chamber. Failure to follow this warning may
oxygen atmosphere. Failure to follow this cause explosion or fire.
warning may cause explosion or fire.

WARNING WARNING
When the monitor is used with an electrosurgical When performing defibrillation, discharge as far
unit (ESU), firmly attach the entire area of the as possible from electrodes, patches and any
ESU return plate. Otherwise, the current from gel, cream or medicine on the chest of the
the ESU flows into the electrodes of the monitor, patient. If there is a possibility that the
causing electrical burn where the electrodes are defibrillator paddle could touch these materials,
attached. For details, refer to the ESU manual. remove them from the patient. If the defibrillator
paddle directly contacts these materials, the
discharged energy may cause skin burn to the
patient.

WARNING WARNING
Before defibrillation, all persons must keep clear Do not perform defibrillation when the cables are
of the bed and must not touch the patient or any located between the defibrillator paddles. The
equipment or cord connected to the patient. discharged energy may be insufficient.
Failure to follow this warning may cause
electrical shock or injury.

WARNING WARNING
Do not allow the conductive part of the When performing MRI test, remove all
connector which is connected to the patient to electrodes and transducers from the patient
contact other conductive parts including earth. which are connected to this instrument. Failure
This causes leakage current and incorrect to follow this warning may cause skin burn on
measurement value and leads to wrong the patient. For details, refer to the MRI manual.
diagnosis.

WARNING WARNING
After attaching electrodes, probes and sensors Do not use the same monitor on more than one
on the patient and connecting cables to the patient at the same time. Do not connect
bedside monitor, check that there is no error different sensors on different patients to the
messages and the waveforms and numeric data same monitor.
are appropriately displayed on the screen. If
there is an error message, or waveform or
numeric data is not appropriate, check the
electrodes, probes and sensor attachment,
patient condition and settings on the bedside
monitor and remove the cause.

SVM-7600 Series Operator's Manual VII

 CAUTION CAUTION
Only use Nihon Kohden Malaysia specified Do not reuse disposable parts and accessories.
electrodes, probes and sensors. Otherwise, the
maximum performance from the monitor cannot For caution and usage of the electrode and transducer,
be guaranteed. refer to the manual of the electrode and transducer.

CAUTION CAUTION
Make sure that the electrodes and cords After the monitor power is turned on, parameter-
attached to the patient are properly connected related alarms do not function until the
to the monitor. Otherwise, incorrect data may be parameters are monitored.
displayed and lead to wrong diagnosis.

CAUTION
CAUTION When admitting a new patient, first delete all
Turn off the power of mobile phones, small data of the previous patient. Otherwise, the data
wireless devices and other devices which of the previous patient and new patient will be
produce strong electromagnetic interference mixed together.
around a patient (except for devices allowed by
the hospital administrator). Radio waves from
devices such as mobile phones or small CAUTION
wireless devices may be mistaken as pulse If fluids are accidentally spilled into the monitor,
waves and the displayed data may be incorrect. take the monitor out of service and contact your
Nihon Kohden representative. The monitor must
be disassembled, cleaned, dried and tested for
CAUTION safety and function.
When the “CONNECTOR OFF” message
appears on the screen, check that the
connection cords are connected to the sockets CAUTION
properly. The patient cannot be monitored and Before start monitoring, check that the patient
the alarm does not function while this message type setting (ADULT/CHILD/NEONATE) is
is displayed. correct. If the patient type setting is incorrect,
NIBP value or heart rate may be incorrect, and
noise and P wave may be incorrectly interpreted
CAUTION as a QRS wave. Moreover, the NIBP initial cuff
Do not lift the monitor by the power cord or pressure may also be incorrect.
patient cable; use only the handle on the
monitor.

NOTE: Operate the monitor on battery power if you cannot confirm the
grounding or wiring in your facility.

VIII SVM-7600 Series Operator's Manual

 Explanations of Symbols
On Panel or Inside Casing

Symbol Description Symbol Description

“On” only for a part of instrument Alternating current

“Off” only for a part of instrument Battery charge

Manufacturer Date of manufacture

Network socket (When a central monitor is

Attention, consult operator’s manual
connected.)

Defibrillation-proof type CF applied part The CE mark is a protected conformity mark of

the European Community.
USB memory The four digits after the CE mark indicate the
identification number of the Notified Body
Equipotential terminal involved in assessing the product’s conformity
as a medical device.

Serial number Products marked with this symbol comply

with the European WEEE directive 2012/19/
Follow instructions for use EU and require separate waste collection.
(blue background)
For Nihon Kohden Malaysia products marked
with this symbol, contact your Nihon Kohden
Protected against vertically dripping water representative for disposal.

On Screen

Symbol Description Symbol Description

Alarm silence (Audio off) Battery status

Recorder door open

Alarm silence with remaining time (Audio
paused)
Respiration sync mark

Alarm suspended (Alarm paused) USB memory is connecting

All alarms off (Alarm off) USB memory failure

Alarm reset Guide menu

Checking data Data failure

Out of paper NIBP interval

Record NIBP start

Menu NIBP stop

Home Adjust setting/Scroll data

Pacing detection off Zoom in/Zoom out

QRS/pulse sync mark @ Touch panel calibration

SVM-7600 Series Operator's Manual IX

WS-752P Recorder Module

Symbol Description Symbol Description

Attention, consult operator’s manual

The CE mark is a protected conformity mark of
the European Community.
Serial number

Products marked with this symbol comply with the

Date of manufacture
European WEEE directive 2012/19/EU and require
separate waste collection. For Nihon Kohden
Environmental protection (10 years) Malaysia products marked with this symbol, contact
color: orange your Nihon Kohden representative for disposal.

SB-752P Battery Pack

Symbol Description Symbol Description

Recycle mark Environmental protection

Manufacturer Attention, consult operator’s manual

The CE mark is a protected conformity mark of the Products marked with this symbol comply with the
European Community. European WEEE directive 2012/19/EU and require
separate waste collection. For Shanghai Kohden
Date of manufacture products marked with this symbol, contact your
Nihon Kohden representative for disposal.

Lot number Follow instructions for use

(blue background)

X SVM-7600 Series Operator's Manual

1
1

General

Introduction......................................................................1-2
Intended Purpose...........................................................................1-2

Panel Description............................................................1-3
Front Panel.....................................................................................1-3
Left Side Panel...............................................................................1-4
Right Side Panel.............................................................................1-5
Rear Panel.....................................................................................1-5

Caution Labels on the Monitor........................................1-6

Rear Panel.....................................................................................1-6
Right Side Panel.............................................................................1-7
Left Side Panel...............................................................................1-7
1. GENERAL

Introduction

Intended Purpose
One SVM-7600 series bedside monitor is for one patient. This bedside monitor
has a 10.4-inch or 12.1-inch TFT color display which displays up to 6 waveforms
(with 7 parameters) on the screen.
SVM-7600 series bedside monitors are of the following types:
Type Name Screen Size (inch) Parameters Color Waveforms
SVM-7601 10.4 ECG, NIBP, SpO2, Respiration, Temperature White 4
SVM-7602 10.4 ECG, NIBP, SpO2, Respiration, Temperature Black 4
SVM-7603 10.4 ECG, NIBP, SpO2, Respiration, Temperature, IBP, CO2 White 6
SVM-7604 10.4 ECG, NIBP, SpO2, Respiration, Temperature, IBP, CO2 Black 6
SVM-7621 12.1 ECG, NIBP, SpO2, Respiration, Temperature White 4
SVM-7622 12.1 ECG, NIBP, SpO2, Respiration, Temperature Black 4
SVM-7623 12.1 ECG, NIBP, SpO2, Respiration, Temperature, IBP, CO2 White 6
SVM-7624 12.1 ECG, NIBP, SpO2, Respiration, Temperature, IBP, CO2 Black 6

The SVM-7601/7602/7621/7622 bedside monitor is installed near a patient

and displays the patient’s vital signs such as ECG, NIBP, SpO2, respiration and
temperature, and generates alarms. The SVM-7603/7604/7623/7624 bedside
monitor is installed near a patient and displays the patient’s vital signs such as
ECG, NIBP, SpO2, respiration, temperature, IBP and CO2, and generates alarms.*
The monitor is designed so the operator can directly touch the screen from the
operator position.
* Essential performance

WARNING
Do not use the same monitor on more than one patient at the same
time. Do not connect different sensors on different patients to the
same monitor.

WARNING
Do not diagnose a patient based only on data acquired by the
bedside monitor. Overall judgement must be performed by a
physician who understands the features, limitations and
characteristics of the bedside monitor and by reading the biomedical
signals acquired by other instruments.

The following options are available for the SVM-7600 series bedside monitors.
• WS-752P recorder module
• SB-752P battery pack
NOTE • This monitor must be used by qualified medical personnel with
a full knowledge of operating this monitor.
• Only use Nihon Kohden Malaysia parts and accessories to
assure maximum performance from your instrument.

1-2 SVM-7600 Series Operator’s Manual

 1. GENERAL

1
Panel Description

Front Panel
1 Touch screen 2 Alarm indicator

3 Power key 4 Power lamp

5 AC power lamp 6 Battery lamp

1 Touch screen
Displays monitoring data. Touching a key or data on the screen changes the
displayed screen and setting.
2 Alarm indicator
Red or yellow lamp blinks, or yellow lamp lights according to the alarm
settings. Green lamp blinks in synchronization with the patient’s QRS or
pulse.
3 Power key
Press to turn the monitor power on. When turning the monitor power off, press
and hold for more than one second.
4 Power lamp
Lights when the monitor power is turned on.
5 AC power lamp
Lights when the power cord is connected between the AC SOURCE socket
and AC outlet.
6 Battery lamp
Indicate the status of the battery pack.

SVM-7600 Series Operator’s Manual 1-3

1. GENERAL

Left Side Panel

2 ECG/RESP socket

1 Handle

3 TEMP sockets

4 CO2 socket* 6 PRESS sockets*

5 NIBP socket
7 SpO2 socket*

1 Handle
For carrying the monitor.
2 ECG/RESP socket
Connects to the ECG PATIENT CABLE.
3 TEMP sockets
Connects to the temperature probe cables.
4 CO2 socket*
For SVM-7603/7604/7623/7624. Connects to the CO2 connection cord.
5 NIBP socket
Connects to the air hose.
6 PRESS sockets*
For SVM-7603/7604/7623/7624. Connects to the IBP connection cord.
7 SpO2 socket*
Connects to the SpO2 connection cord.

* When inserting the CO2, PRESS or SpO2 connector, make sure the color of the
connector sleeve is the same color as the socket.

1-4 SVM-7600 Series Operator’s Manual

 1. GENERAL

Right Side Panel 1

1 Recorder module holder

1 Recorder module holder

For mounting a recorder module.

Rear Panel

5 Battery
1 Network socket pack
holder

4 AC power source socket

3 Equipotential grounding terminal

2 USB socket

1 Network socket
Connects to monitor network system by a network cable.
(When a central monitor is connected or HL7 is set on the SYSTEM CONFIG
window.)
2 USB socket
For USB memory.
3 Equipotential grounding terminal
For an equipotential grounding lead.
4 AC POWER SOURCE socket
For the AC power cord.
5 Battery pack holder
For installing a battery pack.

SVM-7600 Series Operator’s Manual 1-5

1. GENERAL

Caution Labels on the Monitor

Rear Panel

2
1

1 Attention, consult operator’s manual

2 Follow instructions for use

3 Refer to “Battery Pack Handling and Operation”.

1-6 SVM-7600 Series Operator’s Manual

 1. GENERAL

Right Side Panel 1

Refer to “Loading Recording Paper”.

RQW50-2SK

Left Side Panel

Refer to “Monitoring Parameters”.

SVM-7600 Series Operator’s Manual 1-7

2
2

Preparation

Installation.......................................................................2-2
General...........................................................................................2-2
Additional Safety Measures for Connecting External Devices..2-3
Environment for External Instruments....................................... 2-4
Warnings and Cautions for Connecting the Monitor to a
Network..................................................................................... 2-4
Installing the Recorder...................................................................2-6
Loading Recording Paper.............................................................2-10
Installing the Battery Pack............................................................2-12

Turning the Monitor On/Off............................................2-14

Turning the Monitor On.................................................................2-14
Check Before Turning On the Power....................................... 2-14
Turning the Power On.............................................................. 2-15
Check After Turning On the Power and During Monitoring...... 2-16
Power and Battery Status Indications..........................................2-17
Battery Pack Handling and Operation..........................................2-18
When Not Using the Monitor or Battery...................................2-20
When the “BATTERY WEAK” Message Appears....................2-20
Charging the Battery Pack.......................................................2-20
Monitor Status on Power Interruption...........................................2-21
Turning the Monitor Off.................................................................2-21
Check When Turning the Power Off.........................................2-21
Calibrating the Touch Screen.......................................................2-22
2. PREPARATION

Installation

General
The monitor must be installed by qualified personnel.

WARNING
Only use the provided power cord. Using other power cords may
result in electrical shock or injury to the patient and operator. To
avoid risk of electric shock, this equipment must only be connected
to a supply mains with protective earth. Connect the provided power
cord to the AC power cord socket on the rear panel of the bedside
monitor and plug the cord into a 3-prong AC socket.

WARNING
When several medical instruments are used together, ground all
instruments to the same one-point ground. Any potential difference
between instruments may cause electrical shock to the patient and
operator.

WARNING
Connect only the specified instrument to the monitor and follow the
specified procedure. Failure to follow this warning may result in
electrical shock or injury to the patient and operator, and cause fire
or instrument malfunction.

WARNING
• Do not install the monitor above the patient.
• Only use the specified tools or equipment when installing the
monitor. Failure to follow this warning may result in the monitor or
unit falling and injuring the patient.

CAUTION
Before connecting or disconnecting instruments, make sure that
each instrument is turned off and the power cord is disconnected
from the AC socket. Otherwise, the patient or operator may receive
electrical shock or injury.

CAUTION
Only use the specified equipment for installing the monitor and
instruments. Using non-specified equipment may result in the
instruments falling and causing injury.

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 2. PREPARATION

NOTE: Avoid locations where the monitor is sprinkled with liquid.

Avoid direct sprinkling, spray or moist air from a nebulizer or a
humidifier.
Make sure that there is more than 5 cm of space between the monitor and the
2
wall for adequate ventilation. When the monitor is surrounded, make sure that
there is about 10 cm of space above the monitor for ventilation so that the
operating temperature does not exceed 40 oC (104 oF).

10 cm

↕ 5 cm Rear
5 cm 5 cm
↔
5 cm 5 cm
↔ ↔ ↔

Side

Additional Safety Measures for Connecting External Devices

When more than one electrical instrument is used, there may be electrical
potential difference between the instruments. Potential difference between
instruments may cause current to flow to the patient connected to the
instruments, resulting in electrical shock. Never use any medical equipment in
patient treatment without proper grounding.

Always perform equipotential grounding as specified in IEC 60601-1 when

required. It can be used in the OR, recovery room, general ward, ICU, CCU,
HCU, NICU and ER. Consult with a biomedical engineer to determine if
equipotential grounding is required.
Refer to the reference “General Requirements for Connecting Medical
Electrical Systems”.

NOTE • For details on connecting an external instrument to the monitor,

contact your Nihon Kohden representative.
• Leakage current may increase if many other medical
instruments are connected to the monitor.

SVM-7600 Series Operator’s Manual 2-3

2. PREPARATION

Environment for External Instruments

Use external instruments in the following environment.
Medically-used room
Non-medically used room
Patient Environment Outside the Patient Environment

Bedside monitor Central monitor

SVM-7600 (IEC xxx complied)
series

Warnings and Cautions for Connecting the Monitor to a Network

WARNING
Install all network devices, including printer and hubs, outside the
patient environment (IEC 60601-1-1). If they are installed inside the
patient environment, the patient or operator may receive electrical
shock or injury. For installation, contact your Nihon Kohden
representative.

WARNING
Check the software version number of the monitor before connecting
it to the network. Different software versions have different
communication methods. More than one communication method in a
network may cause communication failure. For details, refer to the
Network and System Installation Guide.

WARNING
Connect the monitor to network as specified. Otherwise the patient
and operator may receive electrical shock or injury. To connect the
network, contact your Nihon Kohden representative.

WARNING
In a network where this monitor is connected, connect only the
specified instruments. Unspecified instruments may cause electrical
shock or injury to the patient and operator or cause instrument
malfunction, instrument stop, or data loss.

WARNING
Do not use a damaged network cable. The patient or operator may
receive electrical shock when the damaged part is touched.

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 2. PREPARATION

CAUTION
When the monitor is connected to a central monitor network, set the
2
Bed Name (Bed ID) and Group Name on the monitor. Otherwise, the
default settings are used for the bed name and group name and the
bed may be incorrectly identified on the central monitor.

CAUTION
The network must be managed by the network administrator. Make
sure that each monitor in the network has a different IP address.
Otherwise, data communication cannot be performed properly. When
adding a monitor to an already operating network, set the IP address
on the monitor before connecting the monitor to the network.

SVM-7600 Series Operator’s Manual 2-5

2. PREPARATION

Installing the Recorder

When using the WS-752P recorder module, install the recorder as follows.

1 Open the recorder cover with a flat blade screwdriver.

2 Remove the recorder cover.

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 2. PREPARATION

3 Insert the connection cable of the recorder into the connector inside the
monitor as shown in the picture.
2

CAUTION
When connecting the connection cable to a socket, insert it straightly
without bending or tilting it and connect it slowly and firmly without
too much force. If you tilt the connector when inserting it, the
connector pin may break and units cannot communicate with each
other.

4 Put the recorder into the recorder magazine as shown in the picture.

5 Make sure the recorder is parallel to the monitor case.

SVM-7600 Series Operator’s Manual 2-7

2. PREPARATION

6 Push the recorder into the recorder magazine by pressing the two tabs at the
top of the recorder.

NOTE: Press the two tabs slightly downward, then push the recorder
into the recorder magazine.

7 Slightly lift up the tab at the bottom of the recorder and push it into the
recorder magazine.

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 2. PREPARATION

8 Push the recorder into recorder magazine by pressing the lower part. When a
click sound is heard, the installation is complete.
2

NOTE: If the recorder is not parallel to the monitor case, the recorder
may get stuck in the recorder magazine. If it gets stuck, press the
release lever of the recorder with a strong force as shown in the
picture to take out the recorder, and then reinstall it.

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2. PREPARATION

Loading Recording Paper

When using the WS-752P recorder module, load the recording paper as follows.

CAUTION
Do not touch the thermal head inside the recorder module. The
thermal head may be damaged by static electricity or become dirty
and cause printing failure.

1 Move the door release lever in the direction of the arrow (▲) to release the
lock.

2 Open the recorder door and set the recording paper (RQW50-2SK) according
to the picture as shown on the recorder cover.
Set the recording paper as
shown in the picture.

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 2. PREPARATION

3 Draw out 2 cm or 3 cm of paper toward you.

4 Close the recorder door by pressing the middle of the door. If the “CLOSE
PAPER MAGAZINE” message and icon are still displayed on the screen, the
recorder door is not closed properly.
The middle part. Press
this part to close the
recorder door.

SVM-7600 Series Operator’s Manual 2-11

2. PREPARATION

Installing the Battery Pack

When using the SB-752P battery pack, install the battery as follows.

1 Remove the screw on the battery cover with a screwdriver.

2 Remove the battery cover by holding the tape which sticks to the cover.

3 Pull out the battery connector in the monitor.

CAUTION
Do not pull out the battery connector forcibly. Otherwise, the battery
connector may break and battery pack may not be used.

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 2. PREPARATION

4 Insert the battery connection cable into the connector until it locks. Insert the
battery pack into battery pack holder by following the instructions as shown
in the picture.
2

CAUTION
The battery connection cable must be on the right side. Do not insert
the battery pack in the wrong direction.

5 Push the battery pack into the holder by pressing the sponge pad until the
battery pack is inserted into the bottom of the holder.

6 Tear off the tape and close the battery cover with a screwdriver.

SVM-7600 Series Operator’s Manual 2-13

2. PREPARATION

Turning the Monitor On/Off

Turning the Monitor On

The monitor can operate on either battery or AC power. When the monitor is
installed and the power cord is connected, the AC power lamp lights. When a
battery pack is installed and the power cord is disconnected or there is a sudden
power failure, the monitor automatically switches to battery power. The monitor
can operate for about 6 h with a new fully charged battery pack when:
• Used in normal temperature.
• Optional recorder is not installed.
• No alarm occurs.
• Only monitoring ECG.
• <POWER SAVING MODE> on the SYSTEM SETUP window is set to ON.
• NIBP is not measured.
The monitor can do self-check at power on. When an error is detected, the
DIAGNOSTIC CHECK screen appears and an alarm occurs. Do not turn off
the power when the screen appears; otherwise, patient data will be lost and the
display time of the stored data will be wrong.
You can enter the DIAGNOSTIC CHECK screen by pressing the [POWER] key
for 5 s or more when turning on the power.

Check Before Turning On the Power

Check the following items before turning on the power.
• Enough electrodes and electrode leads are ready.
• Cleaned and sterilized sensors are ready.
• Power cord is connected properly.
• Equipotential grounding lead is connected properly when equipotential
grounding is required.
• All cables are connected properly.
• Enough recording paper in the recorder (when using the optional recorder
module).
• Fully charged battery pack is installed in the monitor in case of a sudden power
failure.
• No scratches, damage or dirt on the monitor.
• No damage to the keys and panels.
• No damage to the power cord.
• No damage to the electrode leads, sensors, probes and cables.
• The monitor is not in a wet place.
NOTE: If the AC power lamp is not lit, check the power cord connection.
The AC power lamp does not light when there is not enough
current to the monitor.

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 2. PREPARATION

Turning the Power On

When the power cord is connected between the bedside monitor and AC outlet,
and the AC power lamp lights, press the [POWER] key on the front panel to 2
turn the power on. The power lamp and the AC power lamp light and self check
starts. When the check is complete, the home screen appears.

CAUTION
When the monitor is turned on, check that one “bong” sounds and
the red, yellow and green alarm indicator lamps blink once to show
that the alarm functions properly.

NOTE: The sound volume of turning on the monitor power is set on

<ALARM VOLUME> of the DISPLAY/SOUND window.
When the monitor power is turned on, alarms are suspended while the monitor
is waiting for the electrodes and probe to be attached to the patient. Monitoring
starts when the connection cord is connected to the socket on the monitor and the
electrodes or probe are attached to the patient. The alarm activates when one of
the following occurs:
• At least one parameter is measured and a value is displayed (when AUTO is
selected for <ALARM ACTIVATION DELAY> on the ALARM window of
the SYSTEM SETUP window)
• ECG, SpO2 or IBP is continuously monitored for the selected time (when 1
min, 2 mins or 3 mins is selected for <ALARM ACTIVATION DELAY>)
• NIBP is measured (when 1 min, 2 mins or 3 mins is selected for <ALARM
ACTIVATION DELAY>)
If the monitor is turned on less than 30 mins after it was last turned off, the
stored data of the previous patient (patient information, trend table, NIBP table,
arrhythmia recall, full disclosure, trendgraph and alarm history) remains and
monitoring of the previous patient continues. When the <ADMIT MODE> on
the DISPLAY window of the SYSTEM SETUP window is set to AUTO and
the monitor power is turned on after at least 30 mins passed since the power
was last turned off, the stored data of the previous patient (patient information,
trend table, NIBP table, arrhythmia recall, full disclosure, trendgraph and alarm
history) in the monitor is deleted. When <ADMIT MODE> is set to MANUAL
and <SHOW ADMIT CONFIRMATION WINDOW> box is checked in the
SYSTEM SETUP window, a message asks whether you are monitoring a new
patient.

When <SHOW ADMIT CONFIRMATION When <SHOW ADMIT CONFIRMATION

WINDOW> box is checked WINDOW> box is not checked

Even if <ADMIT MODE> is set to MANUAL, data is deleted if the monitor

power is off for more than 24 h. The factory default setting of <ADMIT MODE>
is AUTO.

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2. PREPARATION

Check After Turning On the Power and During Monitoring

To start monitoring safely and properly, check the following items after turning
on the power. If any problem is detected, take the proper countermeasure
according to the troubleshooting and maintenance sections.
• There is no fire, smoke or smell.
• The monitor is not too hot.
• The power lamp and other lamps light.
• The red, yellow and green alarm indicator lamps blink once and a "bong"
sounds.
• The startup screen appears and the home screen appears.
• No error message is displayed on the screen.
• The time on the screen is correct.
• The monitor does not affect surrounding equipment.
• The data and waveforms are displayed properly.
• The power key operates properly.
• The touch keys function properly and the key clicking sound is generated.
• Alarm functions properly.
• Alarm sound can be heard.
• Alarm sound volume setting is appropriate.
• There is no trouble in recording (when using the optional recorder module).
NOTE: After turning the monitor on and when admitting a patient, make
sure that the time at the upper right of the screen is correct. When
the date or time is changed during monitoring, the date and time
of all stored data is also changed and might not match the date
and time on the printout.

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 2. PREPARATION

Power and Battery Status Indications

Battery operation
Battery operation Remaining battery
Remaining power
battery power
2
Operating on battery
Operating on battery Much
Much

Battery
Battery is beingcharged
is being charged

Less
Less

Power and battery status are indicated by three lamps on the bedside monitor. A
discharged battery is also indicated by battery marks, screen message and alarm.
NOTE: When charging the battery pack with the monitor power turned off,
check that the power lamp and battery lamp light. If the lamps do
not light even when the power cord is connected and the battery
pack is inserted, turn the power key on, check that the battery
lamp is blinking or lit, then turn the power key off.

• Operating on AC power and battery is fully charged or there is no battery

Power lamp: Lit
AC power lamp: Lit
Battery lamp: Lit when battery is fully charged or off when there is no battery

• Operating on AC power and battery is being charged

Power lamp: Lit
AC power lamp: Lit
Battery lamp: Slow blinking (once every 2 s)

• Operating on AC power when battery is damaged

Power lamp: Lit
AC power lamp: Lit
Battery lamp: Rapid blinking (4 times per second)
Screen indication: “BATTERY ERROR” message
Alarm indication: Continuous “bing bong” sound and blinking yellow alarm

• Operating on battery power

Power lamp: Lit
AC power lamp: Off
Battery lamp: Off

• Operating on battery power and battery is damaged

Power lamp: Lit
AC power lamp: Off
Battery lamp: Rapid blinking (4 times per second)
Screen indication: “BATTERY ERROR” message
Alarm indication: Continuous “bing bong” sound and blinking yellow alarm

• No monitoring and charging battery

Power lamp: Off
AC power lamp: Lit
Battery lamp: Slow blinking (once every 2 s)

SVM-7600 Series Operator’s Manual 2-17

2. PREPARATION

Battery Pack Handling and Operation

WARNING
Do not do the following to the battery pack. It may cause leakage,
overheating, explosion and fire.
• Short-circuit the + and – terminals on the battery pack.
• Put the battery pack into fire or heat the battery pack.
• Disassemble or alter the battery pack.
• Give strong impact to or deform the battery pack.
• Use the battery pack on unspecified instruments.
• Charge the battery pack on unspecified instruments.
• Install the battery pack with the wrong polarity.
• Leave the battery pack in the reach of patients.
• Connect the wire or cable in a wrong way.

WARNING
If the battery pack is damaged and the substance inside the battery
contacts the eyes, skin or clothes, wash immediately and thoroughly
with water and see a physician. Never rub your eyes, or you may
lose your eyesight.

WARNING
• Do not immerse the battery pack in water. The battery may heat
up and rust and the substance inside the battery may leak.
• Do not leave the battery pack unused for more than about two
years. The battery may leak.

WARNING
Do not use deformed battery. It may cause overheating, rupture or
fire.

CAUTION
Do not subject the battery pack to a strong mechanical impact.

CAUTION
Do not expose the battery pack to direct sunlight or leave in a high
temperature place. The lifetime of the battery pack may be
shortened, the performance of the battery pack may be degraded
and the battery may leak.

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 2. PREPARATION

CAUTION
Use the battery pack between 10 oC (50 oF) and 40 oC (104 oF).
2
Temperatures out of this range affect the working of the battery.

CAUTION
Before disposing of the battery pack, check with your local solid
waste officials for details in your area for recycling options or proper
disposal. The battery is recyclable. At the end of its useful life, under
various state and local laws, it may be illegal to dispose of this
battery into the municipal waste stream.

CAUTION
Do not leave the battery pack near the patient or in reach of children.

CAUTION
Do not use a battery pack which is past the expiration date written
on the label.

Battery Pack Handling Procedures

• Always place a battery pack in the monitor. This charges it so that you will
always have a fully charged battery pack ready.
• Fully recharge the battery pack before using it for the first time or after storing
it for over a month. When the battery pack is not used, it self-discharges.
• Replace the battery pack with a new one every year. This is because the battery
is a chemical product which gradually deteriorates whether or not it is used.
When replace the battery, Please contact your Nihon Kohden representative.
• Remove the battery before the device is discarded.
• Store the battery packs under the following conditions.
Temperature: Less than 1 month with 80 % recoverable capacity: –20 ºC to +45 ºC
(–4 ºF to +113 ºF)
Less than 6 months with 80 % recoverable capacity: –20 ºC to +40 ºC
(–4 ºF to +104 ºF)
Less than 1 year with 80 % recoverable capacity: –20 ºC to +35 ºC
(–4 ºF to +95 ºF)
Humidity: 10 % RH to 95 % RH (noncondensing)

SVM-7600 Series Operator’s Manual 2-19

2. PREPARATION

When Not Using the Monitor or Battery

• When the monitor will not be used for a long time, remove the battery pack. If
a charged or discharged battery is left inside the monitor with the power cord
unplugged, the battery self-discharges and deteriorates.
• When a battery pack is not used, fully charge it before storage. When a battery
pack is not used for over one month, fully charge it.

When the “BATTERY WEAK” Message Appears

Operate the monitor on AC power and/or replace the battery pack when the
“BATTERY WEAK” message appears.
When the “BATTERY WEAK” message appears, the remaining battery power is
weak. The yellow alarm lamp lights with a continuous “bing bong” sound.
NOTE • If performing NIBP measurement or recording when the battery
is weak, the battery loses power fast and remaining operation
time becomes shorter.
• If no AC or battery power is supplied to the monitor, there is no
measurement and patient data such as trend data may be lost.

Charging the Battery Pack

The battery pack can be charged by the monitor. It takes about 4 h to charge one
battery pack. Charging time may be longer at high temperatures.
NOTE: New battery packs are not charged. Charge a new battery pack
before use.
The monitor can operate for about 6 h with a new fully charged battery pack and
the monitor satisfies all the following conditions and monitors only ECG without
installing options such as a recorder module.
• Used in normal temperature.
• No alarm occurs.
• <POWER SAVING MODE> on the SYSTEM SETUP window is set to ON.
• NIBP is not measured.

CAUTION
When charging the battery pack, keep the ambient temperature at
approximately 20 oC to maintain the optimal battery operation time. If
the battery pack is charged at less than 10 oC (50 oF) or more than
30 oC (86 oF), the maximum battery operation time will be 20 % to
30 % less than the optimal operation time.

Charging
During AC operation, the battery pack is automatically charged without
interrupting monitoring. It takes approximately 4 h of continuous charging to
fully charge a battery pack.
After continuous charging to full charge, charging stops and the battery voltage
is continuously checked. The monitor controls charging to keep the battery pack
fully charged.
NOTE: Do not disconnect the power cord from the monitor during battery
charging.

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 2. PREPARATION

Monitor Status on Power Interruption

When there is a power failure or sudden power interruption during AC operation,
2
the monitor operates as follows.
• When a battery pack is installed, the monitor can operate for about 6 h on
battery power.
• When no battery pack is installed or the battery is discharged, the monitor
turns off. The patient data and settings are stored for about 30 mins after
power off. If the monitor power is turned off and on within 30 s, monitoring
continues.
If there is a power failure or sudden power interruption, immediately connect
the monitor to an emergency power source. It is recommended to always keep a
battery pack in the monitor.

Turning the Monitor Off

CAUTION
Follow the specified procedure to turn off the bedside monitor.
Otherwise, patient data will be deleted and the storage device and
data in the storage device may be damaged.

Press the [POWER] key on the bedside monitor for more than 1 s to turn the
power off. The screen becomes dark and the power lamp on the front panel turns
off.
NOTE • Press and hold the [POWER] key for more than 1 s to turn the
power off.
• Do not disconnect the power cord while the monitor power is
on. The data may be lost.

Check When Turning the Power Off

Check the following items for the next use.
• Previous patient data is deleted.
• Temporarily changed settings are changed back to the previous settings.
• There is no dirt, damage or scratches on the monitor.
• The sensors, probes, cuffs, and cables are cleaned and sterilized.
• Accessories are cleaned and stored properly.
• There are enough consumables, such as recording paper and disposable
electrodes for the next use.
• The battery pack is fully charged.
• The power key on the monitor is turned off and the power cord is disconnected
from the monitor.
• The monitor is not in a wet place.
• Dead batteries are disposed of properly.
• Medical waste is disposed of properly.
• The monitor is stored properly.

SVM-7600 Series Operator’s Manual 2-21

2. PREPARATION

Calibrating the Touch Screen

Calibrate the touch screen when the pressed position and the activated position
do not match.

1 Turning the monitor power off.

2 Press the [POWER] key for about 5 s until the DIAGNOSTIC CHECK
screen appears.
Or, check the “RUN SYSTEM CONFIGURATION AT NEXT POWER
ON.” box on the SYSTEM - MAINTENANCE - SYSTEM CONFIG
window, turn the monitor power off, then turn the monitor on again.

3 Press the [POWER] key twice. The TOUCHPANEL CALIBRATION screen

appears.

4 Touch the @ mark at the upper left corner of the screen for 2 s. When the
mark is correctly touched, another mark appears in the lower right corner of
the screen. Touch the mark for 2 s.
When the marks are touched correctly, the “TOUCHPANEL
CALIBRATION SUCCEEDED” message appears, then the DIAGNOSTIC
CHECK screen appears.

5 Touch the [RETURN] key to return to the home screen.

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 3 Functions and
Operation

Basic Operation..........................................3-3 Alarm Recording................................................. 3-24

3

Alarm Setting...................................................... 3-24

Home Screen Description..........................3-4
Changing Vital Sign Upper/Lower Alarm
Settings for the Home Screen.............................. 3-6 Limits..............................................................3-26
Freezing Waveforms............................................ 3-8 Automatically Set the Alarm Limits................ 3-28
Large Numerics Screen........................................ 3-8 Checking the Arrhythmia Alarm Settings....... 3-29
Changing All Alarm Limits to the Alarm
Using Sleep Mode................................................ 3-9
Master............................................................3-30

Menu Window Description........................3-10 Alarm Escalation................................................ 3-31

Interbed Alarm.................................................... 3-31
Guide Menu..............................................3-11
Alarm Priority...................................................... 3-32

Changing Settings....................................3-12
Review Windows......................................3-34
Administrator Settings........................................ 3-12
General............................................................... 3-34
Changing Parameter Settings and Other
Time Bar.........................................................3-35
Settings.............................................................. 3-12
TREND TABLE Window..................................... 3-35
Changing Settings.......................................... 3-12
NIBP TABLE Window......................................... 3-36
Admitting or Discharging a Patient...........3-14 TREND GRAPH Window................................... 3-36
Entering Patient Information............................... 3-15 RECALL Window................................................ 3-37
Discharge........................................................... 3-16 FULL DISC Window........................................... 3-38
Save Data........................................................... 3-16 ALARM HISTORY Window................................ 3-39
OCRG Window................................................... 3-40
Alarms......................................................3-17
Alarm Types and Levels..................................... 3-18 Recording.................................................3-41
Alarm Control Marks........................................... 3-19 Recording Modes............................................... 3-41
Flow of Alarm Function....................................... 3-20 When More than One Recording Mode is
Silencing/Suspending/Resetting Alarms............. 3-21 Triggered........................................................ 3-41
Changing Recording Settings............................. 3-42
Silencing Alarms............................................ 3-21
Suspending Alarms........................................ 3-21 Selecting Recording Waveforms....................3-42
Resetting Alarms............................................3-22 Changing Recording Speed...........................3-43
Canceling a Technical Alarm.............................. 3-24 Turning Alarm Recording ON/OFF.................3-43
Turning Periodic Recording ON/OFF.............3-43
Alarm Sound Volume.......................................... 3-24
INTERBED Window.................................3-44
Registering or Removing Interbed Beds............ 3-44
Displaying the Interbed Bed Data....................... 3-45
Interbed Alarm Function..................................... 3-46
Settings Related to Interbed Alarm................3-46

Drug Window............................................3-47
Preparation......................................................... 3-47
Changing DRUG Settings.................................. 3-50

HL7...........................................................3-52

Screen Messages.....................................3-54
 3. FUNCTIONS AND OPERATION

Basic Operation
The monitor can be operated by the touch keys on the screen. Touch a key
from the operation keys or function keys on the screen to perform an operation,
change a setting or open/close a window. When the key is touched, there is a 3
beep sound.
The following is the home screen of the monitor. To set parameters or change
settings for monitoring, touch the [MENU] key on the right side of the screen.
Function keys

Operation keys

Menu key

Recorder key

When the [MENU] key is touched, the following MENU window appears.
Touch the desired keys to set the parameters, change settings or display a review
window.

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3. FUNCTIONS AND OPERATION

Home Screen Description

The home screen displays the numeric values and waveforms of the monitoring
parameters, various messages and operation keys. Different screen layouts are
available by changing the settings on the SYSTEM SETUP window.

Home screen
32 31 30 29 28 27 26
25
33

1 24
2 23
3 21
4 22
5 20
6

19
7
18

16
8
17
9

10 11 12 13 14 15

1 Heart rate
When SpO2 is selected for the <SYNC SOURCE>, the pulse rate can be
displayed to the left of the heart rate on the screen.
2 VPC

3 ST level

4 Cuff type

5 NIBP values
Systolic, diastolic (MAP)
6 NIBP measurement mode

7 PRESS values
PRESS1 and PRESS2 (for SVM-7603/7604/7623/7624)
8 Temperature values
TEMP1 and TEMP2
9 Respiration rate

10 Alarm limit settings

11 End-tidal CO2 Value

12 SQI (Signal Quality Index)

Indicates the SpO2 signal quality. There are four levels of SQI:
1 level (red): Invalid
2 level (yellow): Bad
3 level (green): Middle
4 level (green): Standard

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 3. FUNCTIONS AND OPERATION

13 CO2/Respiration waveform

14 CO2/Respiration waveform scale

15 Record key

16 Menu key
3
When a window is displayed, the Menu key changes to Home key.
17 Pulse waveform

18 NIBP Start/Stop key

19 NIBP Interval key

20 PRESS waveforms

21 Silence alarm key

22 ECG cascade mark

23 ECG sensitivity

24 ECG lead

25 Current date and time

26 Battery status
It is displayed when SB-752P battery pack is installed.
27 ECG waveform

28 ECG filter mode

29 Patient type

30 Patient name

31 Bed ID

32 Function keys

33 QRS sync mark

Touching the following items on the home screen displays the following
windows or performs the following functions.
• Numeric value: Opens the SETUP window for the parameter
• Patient name: Opens the ADMIT window
• Time: Opens the DATE window
• Function keys: Opens the window assigned to the function key
• Silence Alarm key: Silences the alarm sound
• NIBP Interval key: Opens the MEASUREMENT INTERVAL window
• NIBP Start/Stop key: Starts or stops NIBP measurement
• Menu keys: Opens the MENU window

SVM-7600 Series Operator’s Manual 3-5

3. FUNCTIONS AND OPERATION

To close the opened window and return to the home screen, touch the [HOME]
key on the screen.

Home key

Settings for the Home Screen

The home screen has the following settings.
• Select numeric parameter display area (On the DISPLAY window of the
SYSTEM SETUP window)

NUMERIC PARAMETER AREA - LEFT SIDE

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 3. FUNCTIONS AND OPERATION

NUMERIC PARAMETER AREA - SIDE + SMALL BOTTOM

NUMERIC PARAMETER AREA - BOTTOM

• Respiration/CO2 waveform sweep speed (On the DISPLAY/SOUND, RESP

(SVM-7601/7602/7621/7622) or RESP/CO2 (SVM-7603/7604/7623/7624)
window)
• ECG and pulse waveform sweep speed (On the DISPLAY/SOUND window)
• Sensitivity/scale of the waveform (Parameter windows)
• Pulse rate display (On the ECG or SpO2 window)
• Cascade ECG waveform on or off (On the DISPLAY window of the SYSTEM
SETUP window)
• NIBP pulse rate display (On the NIBP window of the SYSTEM SETUP
window)
• Select the pacing mark position on the ECG waveform (On the
PARAMETERS window of the SYSTEM SETUP window)

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3. FUNCTIONS AND OPERATION

Freezing Waveforms
You can freeze (stop sweeping) the waveforms on the home screen by touching
the FREEZE function key at the upper left corner of the screen. The waveforms
are frozen for 3 mins or until they are unfrozen by touching the FREEZE
function key again. You can also touch any place on the screen to unfreeze the
waveforms.

“FREEZE” message
with the frozen time

Large Numerics Screen

When the [LARGE NUMERICS] key is touched on the MENU window, the
measurement values are enlarged. This is useful for viewing at a distance.

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 3. FUNCTIONS AND OPERATION

Using Sleep Mode

To prevent the monitor from disturbing the patient during sleep or other times,
use the SLEEP MODE. In sleep mode, the screen is darkened and sync sound
is turned off. To turn on sleep mode, touch the [SLEEP] key on the MENU
window. Sleep mode is only available when the bedside monitor is connected to
a central monitor.

WARNING
When the <EXIT SLEEP MODE ON CRISIS ALARM> check box on
the ALARM page of the SYSTEM SETUP window is OFF, the
bedside monitor alarm cannot be seen or heard on the bedside
monitor during sleep mode. In this case, monitor the bedside monitor
alarms on the central monitor. Otherwise, bedside monitor alarms
may be overlooked.

To turn off sleep mode, touch the screen or wait until the setting time is up.
When <EXIT SLEEP MODE ON CRISIS ALARM> on the SLEEP page of
the ALARM page of the SYSTEM SETUP window is set to ON, sleep mode is
turned off when an alarm occurs.
When monitoring from a central monitor or other monitor cannot be performed
due to an expected error, the sleep mode is turned off.

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3. FUNCTIONS AND OPERATION

Menu Window Description

Touch the [MENU] key on the screen to display the MENU window. Any
window, except for the home screen and SYSTEM CONFIGURATION screen,
can be displayed from the MENU window.
1 2

3 5
6
4 7
9
10
11

8 12 13

1 Open the review window.

2 Open the basic parameter window for changing parameter-

related settings. CO2 and PRESS are only available for SVM-
7603/7604/7623/7624.

3 Change alarm settings.

4 Enter patient information, admit or discharge patient.

5 Suspend all alarms indefinitely. It turns to [ALL ALARMS OFF] key

depending on the SYSTEM SETUP settings.

6 Suspend all alarms for the set time (1 mins, 2 mins or 3 mins).

7 Turn the sleep mode on. The sleep mode is only available when the
bedside monitor is connected to the central monitor network.

8 Open the window for changing date and time, sync/alarm sound
volume, screen brightness, waves, recording and assigning functions
to function keys and administrator setting window.

9 Display large numerics screen.

10 Display 7-lead screen.

11 Open the interbed window. The interbed function is only available

when the monitor is connected to the network.

12 Display drug screen.

13 Display guide menu.

NOTE: When the patient type setting is NEONATE, the [OCRG] key is in
the <REVIEW> box.

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 3. FUNCTIONS AND OPERATION

Guide Menu
When a technical alarm occurs during monitoring, the [GUIDE] key appears at
the top of the screen. Touch the [GUIDE] key to open the guide menu for that
alarm. 3
Guide key

The guide menu shows the possible problem and solutions.

CO2 and PRESS
are only available
for SVM-7603/7604/
7623/7624 bedside
monitors.

Touch this key to see

more information.

You can also open the Guide menu by touching the [GUIDE] key on the MENU
window.

GUIDE key

The ITEMS tab in the Guide window shows abbreviations for parameters,
arrhythmias and icons.

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3. FUNCTIONS AND OPERATION

Changing Settings

Administrator Settings
Some settings can only be changed by the administrator. A password is required
to display the window or enter the screen for changing these settings. These
settings are:
• Settings on the SYSTEM SETUP window
• Settings on the SYSTEM CONFIGURATION screen
Details for these settings are described in the Administrator’s Guide.

Changing Parameter Settings and Other Settings

• DATE window for setting date and time
• DISPLAY/SOUND window for setting brightness, waveform sweep speed and
alarm and sync sound volume
• RECORD window for setting recording parameters
• SYSTEM window for checking assigned functions to the Function keys
• Parameter windows for setting various parameter-related settings

Changing Settings

1 Display the MENU window.

2 Touch the desired menu key on the MENU window to display the setting
window.

3 Change the desired item by touching the keys or buttons, or dragging the
slider on the setting window.

Example: To correct the date and time

1 Display the DATE window.
Touch the [MENU] key → [DATE] key.
Or,
Touch the date and time at the upper right corner on the
home screen.
2 Touch the item key to be changed on the DATE window.
3 Touch the desired number key (s).
4 Repeat steps 2 and 3 to change other items.
5 Touch the [SET] key to enter the setting.
6 Touch the [HOME] key to return to the Home screen.

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 3. FUNCTIONS AND OPERATION

Example: Set the alarm volume

1 Display the DISPLAY/SOUND window.
Touch the [MENU] key → [DISPLAY/SOUND] key.
2 Touch the [ALARM VOLUME] key. The ALARM
VOLUME window opens. 3

3 Set the alarm volume with or key.

NOTE: Set the alarm volume depending on the
monitoring environment. If you drag the slider
or touch the key to the lowest level, the alarm
sound goes to the minimum volume (not to
zero).
4 Touch the key to close the window.
5 Touch the [HOME] key to return to the Home screen.

Example: Change the ECG lead

1 Display the ECG window.
Touch the [MENU] key → [ECG] key.
Or,
Touch the heart rate value on the home screen.
2 Touch the [ECG1 LEAD/SENSITIVITY FILTERS/
LEARN] key or [ECG2 LEAD/SENSITIVITY] key.

3 Touch the desired lead key in the <LEAD> box.

4 Touch the key to close the window.
5 Touch the [HOME] key to return to the Home screen.

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3. FUNCTIONS AND OPERATION

Admitting or Discharging a Patient

WARNING
Check the alarm settings when admitting a new patient and
whenever the patient condition changes and change the alarm
settings if necessary. The alarm settings return to the alarm master
settings on the SYSTEM SETUP window when:
• A patient is discharged and all data is deleted on the ADMIT
window.
• <ADMIT MODE> in the SYSTEM SETUP window is set to AUTO
and the monitor power is off for more than 30 mins.
• “PATIENT TYPE” is changed on the ADMIT window.

CAUTION
When admitting a new patient, first delete all data of the previous
patient. Otherwise, the data of the previous patient and new patient
will be mixed together.

When the patient is discharged, the alarm settings, arrhythmia analysis on/off and
patient type settings return to the alarm master settings, the NIBP measurement
mode returns to the INTERVAL MASTER setting on the SYSTEM SETUP
window and the patient information and data on the review windows are deleted.
If the monitor is turned on less than 30 mins after it was last turned off, the
stored data of the previous patient (patient information, trend table, NIBP table,
arrhythmia recall, full disclosure, trendgraph and alarm history) remains and
monitoring of the previous patient continues. When the <ADMIT MODE> on
the DISPLAY window of the SYSTEM SETUP window is set to AUTO and
the monitor power is turned on after at least 30 mins passed since the power
was last turned off, the stored data of the previous patient (patient information,
trend table, NIBP table, arrhythmia recall, full disclosure, trendgraph and alarm
history) in the monitor is deleted. When <ADMIT MODE> is set to MANUAL
and <SHOW ADMIT CONFIRMATION WINDOW> box is checked in the
SYSTEM SETUP window, a message asks whether you are monitoring a new
patient.

When <SHOW ADMIT CONFIRMATION When <SHOW ADMIT CONFIRMATION

WINDOW> box is checked WINDOW> box is not checked

Even if <ADMIT MODE> is set to MANUAL, data is deleted if the monitor

power is off for more than 24 h.

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 3. FUNCTIONS AND OPERATION

Entering Patient Information

Enter the patient name to admit the patient.

1 Display the ADMIT window.

Touch the [MENU] key → [ADMIT DISCHARGE] key. 3
Or,
Touch the patient name area at the top of the home screen.

2 Touch the [PATIENT ID] key on the ADMIT window. The

setting window opens.
3 Enter the patient ID by using the keyboard on the screen
and touch the [ENT] key.
4 Close the window by touching the close key ( ).

5 Touch the [NAME] key on the ADMIT window. The

setting window opens.
6 Enter the patient name by using the keyboard on the screen
and touch the [ENT] key.

Or,
Write the patient name in the free writing area and touch
the [SET] key.
7 Close the window by touching the close key ( ).

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3. FUNCTIONS AND OPERATION

8 Check the patient name and ID on the window.

9 Enter the height and weight using the keyboard on the
screen and touch the [ENT] key. BSA (Body Surface Area)
is calculated automatically.
10 Close the window by touching the close key ( ).

11 Touch the [PATIENT TYPE] key on the ADMIT window.

The setting window opens.
12 Select the patient type and touch the [YES] key to save the
setting.

13 Touch the [GENDER] key on the ADMIT window, select

the patient gender and touch the close key ( ).

Discharge
1 Display the ADMIT window.
2 Touch the [MENU] key → [ADMIT DISCHARGE] key.
3 Touch the [DISCHARGE] key on the bottom right of
the window. The message confirming the data deletion
appears.
4 Touch [YES] to delete the data. Touch [NO] key to not
delete the data.

Save Data
NOTE: This is for maintenance. Only the service personnel specified
by Nihon Kohden Malaysia or authorized agents are allowed to
perform the maintenance. Please contact your Nihon Kohden
representative for more details.

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 3. FUNCTIONS AND OPERATION

Alarms

WARNING
When an alarm occurs: 3
• Check the patient first and take necessary measure to ensure
patient’s safety.
• Remove the cause of the alarm.
• Check the alarm settings on the bedside monitor and change the
alarm settings if necessary.

WARNING
If more than one medical device is used together in the same facility,
make sure all devices have the same alarm default settings (alarm
master). If the medical devices have different alarm default settings,
when the settings are returned to the alarm master settings, the
alarm settings of each device may be different so alarms cannot be
managed appropriately in the facility. If using different alarm default
settings according to areas or wings in the facility, manage the
alarms appropriately.

WARNING
Please set the appropriate alarm sound according to the operating
environment. When the alarm sound is lower than the environment
sound, frequently check the patient and device’s conditions visually.
Otherwise, important alarms may be missed and the condition of the
patient and device may be overlooked.

WARNING
A physician must be within the range where he/she can hear the
alarm sound of the bedside monitor while monitoring a patient on the
bedside monitor. If the physician cannot hear the alarm sound,
critical changes in the patient may be overlooked.

WARNING
Do not diagnose a patient based on only the alarm information of the
bedside monitor. An alarm might not be indicated due to alarm level
or alarm on/off setting and critical changes in the patient may be
overlooked.

CAUTION
Setting ALARM LIMITS to extreme values can render the ALARM
SYSTEM useless.

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3. FUNCTIONS AND OPERATION

Alarm Types and Levels

There are four types of alarms: vital signs, arrhythmias, technical and interbed
alarms, and three alarm levels: crisis, warning and advisory. There is no level for
interbed alarms.
The monitor can indicate alarms both visually and audibly:
• Alarm sound
• Alarm message or highlighted numeric data on the screen
• Alarm indicator: the alarm indicator indicates three alarm levels.
CRISIS: Red blinking, WARNING: Yellow blinking, ADVISORY: Yellow lit

Potential result of failure to Onset of potential HARM*

respond to the cause of alarm Immediate action must Prompt action should Delayed action should
condition be taken be taken be taken
Death or irreversible injury CRISIS alarm condition CRISIS alarm condition WARNING alarm condition
Reversible injury CRISIS alarm condition WARNING alarm condition ADVISORY alarm condition
Discomfort or reversible minor injury WARNING alarm condition ADVISORY alarm condition ADVISORY alarm condition

* Onset of potential HARM refers to when an injury occurs and not to when it is
manifested.
The priority and monitor action are different for each level.

Alarm Display on the Screen Alarm

Alarm Level Alarm Sound Alarm Recording
Message Numeric Data Indicator LED

NK1 (Continuous When ALARM* is selected:

pip sound), NK2 Highlighted red numeric data
Highlighted
CRISIS (Continuous ping When PARAMETER Blinking red
red message
sound) or IEC is selected: Highlighted Recorded at alarm
standard (ceg-gC) parameter color numeric data occurrence when
When ALARM* is selected: alarm recording on the
NK1 (Continuous Highlighted yellow numeric RECORD window is
bing bong sound), Highlighted data set to ON.
WARNING NK2 (Continuous yellow Blinking yellow
ding ding sound) or message When PARAMETER
IEC standard (ceg) is selected: Highlighted
parameter color numeric data
When ALARM* is selected:
NK1 and NK2 Highlighted yellow numeric Recorded at alarm
(Single beep Highlighted data occurrence when
ADVISORY every 20 s) or IEC yellow Lights in yellow alarm recording on the
standard (ec every message When PARAMETER* RECORD window is
20 s) is selected: Highlighted set to ON.
parameter color numeric data

* The numeric data display color depends on PARAMETER or ALARM setting

in <DISPLAY COLOR MODE> on the GENERAL page of the SYSTEM
SETUP window.
When an arrhythmia alarm is generated, even if the patient recovers quickly from
the arrhythmia, the alarm status continues for a short time. The time depends on
the alarm level.
• CRISIS: 30 s
• WARNING: 20 s
• ADVISORY: 10 s

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 3. FUNCTIONS AND OPERATION

The alarm sound, alarm display color and alarm indicator color are selected on
the ALARM window of the SYSTEM SETUP window.
Advisory alarm and information
Crisis alarm display area message display area
Vital sign alarm display area Warning alarm display area

When <ARRHYTHMIA ANALYSIS> on the MAIN tab - ECG page - PARAMETERS window
- SYSTEM SETUP window is set to OFF, the “ARRHYTHMIA ANALYSIS OFF” message is
displayed.

When two or more alarms of the same level occur at the same time, the messages
are displayed alternately.

Alarm Control Marks

Alarm is silenced by touching the [Silence Alarms] key on the screen.
Remaining minutes appears.

Alarms are suspended (paused) for a certain period.

Alarms are suspended infinitely or vital sign alarm limit is set to OFF.

Alarm sound is suspended infinitely.

Alarm is reset when [ALARM RESET] key is touched.

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3. FUNCTIONS AND OPERATION

Flow of Alarm Function

Start
Start monitoring
monitoring
Suspend
Suspend all

Suspend allalarms
Suspend all alarmsbybytouching
touching
thethe [ALL
ALL ALARMS
ALARMS OFF]
OFF key on key onwindow
the MENU the MENU window
The “ALLALARMS
The “ALL ALARMS OFF”OFF” message
message with
with all all alarms
alarms off mark
all alarms

appears
off markatappears
the top ofatthe
thescreen.
top of the screen. Suspend all alarms
Suspend all alarmsby bytouching
touchingthe
the [SUSPEND
SUSPEND
alarms indefinitely

Suspend
No alarms are generated until the alarm function is MONITORING]
MONITORING key keyonon
thethe MENU
MENU window
window

Suspend all alarms

No alarms are generated until the alarm function is
re-activated.
re-activated. The
The “SUSPEND MONITORING”
“SUSPEND MONITORING” and and “ALARMS
“ALARMS SUSPENDED”
indefinitely

message with alarm

SUSPENDED” suspended
message withmark
alarm alternately
suspendedappears
markat the
top of the screen. No alarms are generated until the system resumes
alternately appears at the top of the
monitoring or alarm function is re-activated. screen. No alarms
are generated until the system resumes monitoring or

alarmsfor
alarm function is re-activated.
Suspend allalarms
Suspend all alarmsbyby touching
touching the the [SUSPEND
SUSPEND

foraaperiod
ALARMS]
ALARMS keykey onon
thethe MENU
MENU window
window

period
The “ALARMSSUSPENDED
The “ALARMS SUSPEND --- -- min” message
min” message appears
appears at
at the
top top
the of the
ofscreen. No alarms
the screen. are generated
No alarms for a set period.
are generated for a
set period.

Arrhythmia
Arrhythmia Technical
Technical Interbed
Interbed
Vital sign alarm
Vital sign alarm alarm alarm
alarm alarm alarm
alarm

Set the
the upper/lower
upper/lowerlimits
limits ARRHYTHMIA ANALYSISonon
ARRHYTHMIA ANALYSIS Connect
Connect the monitor
monitor to
to the
the
on the
the ALARM
ALARMLIMIT
LIMIT or
or off
off on the
the ECG
ECGwindow
windowofofthe central
central monitor network
monitor network
window
window ororparameter
parameter the SYSTEM
SYSTEM SETUP
SETUP window
window
Alarm
Alarm setting

window
window
Off
Off Not connected
Not connected
Arrhythmia
Arrhythmia is is No interbed
No interbed
setting and

On
On not analyzed
not analyzed Connected
Connected operation
operation
and alarm

Set
Set alarm
alarm on
on or
or off
off for
for each
each Set
Set interbed alarm on
interbed alarm on or
oroff
arrhythmia
arrhythmia and
and alarm
alarm threshold
alarmbehaviors

off
on onthethe SETTINGS
SETTINGS page
page of
Off
Off on
onthe
theARRHYTH
ARRHYTH page page of
of the
the of
the the INTERBED
INTERBED window
window
No alarms SYSTEM
No alarms SYSTEM SETUP
SETUP window
window
behaviors

generated
generated
On
On Off
Off Off
Off
No
No alarms generated
alarms generated No alarms
No alarms
On
On even ififarrhythmia
even arrhythmiais is On
On generated
generated
detected
detected
An alarmisisgenerated
An alarm generatedwhen An alarm
An alarm is
is generated
generated An alarmisisgenerated
An alarm An
Analarm
alarm is generated
is generated
the alarm
when thesetting
alarmvalue
setting when an
when an arrhythmia
arrhythmia is
is when a technical
generated whenalarm
a whenan
when an alarm
alarm is
isdetected
detected
is exceeded. detected.
detected. is detected. on an interbed bed.
value is exceeded. technical alarm is on an interbed bed.
detected.

Silence
Alarms
Silence Alarms
Identify
Identify the
the cause
cause ofof the
thegenerated
generatedalarm
alarm and
and silence
silence thethe
alarm Identify
Identify the cause of
the cause ofthe
the
Silence
Silence an

alarm by pressing
by pressing the [Silence
the [Silence Alarms]Alarms]
key key generated alarm and
generated alarm and
silence
silence the alarm by
the alarm by
The “ALARMS
The “ALARM SILENCED
SILENCED -- min”
--- min” message
message and and the period
the period in
in which touching
touching the [SILENCE
the SILENCE
an alarm

which the alarm

the alarm is silenced
is silenced appear appear atofthe
at the top thetop of the screen.
screen. ALARM]
ALARM key keyon
onthe
the
alarm

INTERBED window
INTERBED window

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 3. FUNCTIONS AND OPERATION

Silencing/Suspending/Resetting Alarms

Silencing Alarms
When an alarm occurs, you can silence the alarm sound and indications for 1 3
mins, 2 mins or 3 mins by touching the [Silence Alarms] key on the screen.
When a vital signs alarm other than NIBP or arrhythmia alarm is silenced, the
alarm resumes after the alarm silence ends. When a technical alarm other than
the following alarms is silenced, the alarm indication does not resume after the
alarm silence ends. If the following alarms are silenced, the alarm resumes after
the alarm silence ends.

• BATTERY ERROR • BATTERY WEAK

• ECG CANNOT ANALYZE • NIBP CUFF OCCLUSION
• NIBP SAFETY CIRCUIT RUNNING • SpO2 CHANGE PROBE

When several alarms occur together and the [Silence Alarms] key is touched,
all alarms are silenced. To cancel vital sign or arrhythmia alarm silence, touch
the [Silence Alarms] key. <SILENCE ALARMS TIME> is set on the ALARM
window of the SYSTEM SETUP window.

When [Silence Alarms] key is touched, technical alarms can be reset, or alarms
can be silenced. You can select on <SIENCE KEY FUNCTION> of SYSTEM
SETUP window.
SILENCE KEY FUNCTION:
• RESET TECHNICAL ALARMS When this function is selected and a technical
alarm occurs, touch [Silence Alarms] key to reset
the technical alarm. When the key is touched, the
alarm sound is silenced and the alarm message is
disappeared.
• SILENCE ONLY When this function is selected and a technical alarm
occurs, touch [Silence Alarms] key to silence the
technical alarm. When the key is touched, the alarm
sound is silenced, but the alarm message is still
displayed on the screen.

When the Monitor is Connected to the Central Monitor

Network
When the bedside monitor is connected to a central monitor network, all alarms
other than NIBP alarm are temporarily silenced by touching the [Silence Alarms]
key on the central monitor. Refer to the central monitor operator’s manual for
details.

Suspending Alarms
All alarms can be suspended before they occur. This monitor has three types of
alarm suspension:
• Suspending all alarms for 1 mins, 2 mins or 3 mins by touching the
[SUSPEND ALARMS] key*1. For example: for electrode replacement, etc.
Alarm function resumes when the suspend alarm time elapses or the
[SUSPEND ALARMS] key is touched.
<SUSPEND ALARMS TIME> is set on the ALARM window of the SYSTEM
SETUP window.

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3. FUNCTIONS AND OPERATION

*1 [SUSPEND ALARMS] key is available when SUSPEND ALARMS is

selected for <ALARM INACTIVATION> on the ALARM window of the
SYSTEM SETUP window.

• Suspending all alarms indefinitely by touching the [ALL ALARMS OFF]

key*2 on the MENU window. For example: suspend alarms when the patient is
connected to a heart-lung machine.
• Alarm function resumes when the [ALL ALARMS OFF] key is touched.
*2 The [ALL ALARMS OFF] key is available when ALL ALARMS OFF is
selected for <ALARM INACTIVATION> on the ALARM window of the
SYSTEM SETUP window.

• Suspending all alarms indefinitely by touching the [SUSPEND

MONITORING] key. For example: suspend alarms while the patient is being
examined.

Alarm function resumes when the [SUSPEND MONITORING] key or

[SUSPEND ALARMS] key is touched or the following monitoring conditions
are continuously met.
Setting of <ALARM
ACTIVATION DELAY>
Condition
on the SYSTEM
SETUP window
Alarm function activates when ECG or SpO2 is monitored
AUTO
or NIBP is measured and a value is displayed.
When any of the following requirements is met.
1 min ECG, SpO2 or IBP is continuously monitored for the
2 min selected time.

3 min NIBP is measured (SYS, DIA or MAP value is measured)

Heart rate becomes 0.

WARNING
During alarm suspension (“SUSPEND ALARMS”, “ALL ALARMS
OFF” or “ALARM RESET” message displayed), all alarms are turned
off. Be careful when you suspend the alarm.

WARNING
Do not turn all alarms off with the [ALL ALARMS OFF] key when
there is no medical staff around the patient or when the patient is
connected to a ventilator.

Resetting Alarms
When an alarm occurs, you can reset the alarm by touching the [ALARM
RESET] key. While the key is touched, the "ALARM RESET" message appears
on the screen, the alarm value is highlighted and the alarm sound is deactivated.

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 3. FUNCTIONS AND OPERATION

The alarm reoccurs when an alarm different from the reset one occurs, or cause 3
of alarm was eliminated temporarily.
The [ALARM RESET] key can be assigned to a function key on the SYSTEM
SETUP - KEYS window.

Alarm off keys on the MENU window

Alarm off keys

ALARM INACTIVATION setting Alarm off key

SUSPEND ALARMS

ALL ALARMS OFF

Alarm off function

SUSPEND MONITORING key

Use this key to temporarily stop patient monitoring for examination. When
this key is touched, all alarms and NIBP STAT/SIM and auto measurements
are suspended. Alarms resume when the [SUSPEND MONITORING] key is
touched again or when the <ALARM ACTIVATION DELAY> condition is met.

SUSPEND ALARMS key

Use this key to suspend all alarms for the time set in <SUSPEND ALARMS
TIME>.

ALL ALARMS OFF key

Use this key to suspend all alarms indefinitely. Alarms resume when the [ALL
ALARMS OFF] key is touched again.
The [ALL ALARM OFF] key is available when ALL ALARMS OFF is selected
for <ALARM INACTIVATION> on the ALARM window of the SYSTEM
SETUP window.
The ALARM ACTIVATION DELAY condition is set on the SILENCE/
SUSPEND page of the ALARM window of the SYSTEM SETUP window.

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3. FUNCTIONS AND OPERATION

ALARM RESET key

Use this key to reset all alarms. While the key is touched, the "ALARM
RESET" message appears, the alarm value is highlighted and the alarm sound
is deactivated. The alarm reoccurs when an alarm different from the reset one
occurs, or cause of alarm was eliminated temporarily.
The [ALARM RESET] key can be assigned to a function key on the System
Setup window.

Canceling a Technical Alarm

When you remove a sensor cable or probe cable from the bedside monitor, a
technical alarm occurs. Touch the [Silence Alarms] key to cancel the technical
alarm. When the [Silence Alarms] key on the screen or [ALARM RESET] key
is touched, the technical alarm is cancelled and the alarm message disappears.
Touching the [SUSPEND MONITORING], [SUSPEND ALARMS], [ALARM
RESET] and [ALL ALARMS OFF] key also cancels the technical alarm.
When a technical alarm occurs, the value of the alarming parameter is displayed
as “---” but the values of other parameters are not affected.

Alarm Sound Volume

The alarm sound volume is adjusted on the DISPLAY/SOUND window. Set the
appropriate alarm sound volume. When the minimum value is set for the volume,
the alarm sound is generated at the smallest sound.

Alarm Recording
With an optional WS-752P recorder module, you can set the monitor to
automatically record ECG waveforms and data when an alarm occurs. Set
<ALARM RECORDING> on the ALARM RECORDING window of the
RECORD window to ON to record the waveforms of 8 s before to 12 s after the
alarm occurrence.

Alarm Setting
There are vital sign upper/lower limit alarm and arrhythmia alarm settings.
The vital sign alarm limits can be set on the ALARM LIMITS window.
The arrhythmia alarm settings can be set on the ARRHYTH page of the
PARAMETER window on the SYSTEM SETUP window. This section describes
changing settings on the ALARM LIMITS window and checking settings on the
ARRHYTH ALARM window.
When <ADMIT MODE> in the SYSTEM SETUP window is set to AUTO
and 30 mins elapse after monitor power off or the “PATIENT TYPE” setting is
changed on the ADMIT DISCHARGE window, the alarm settings return to the
alarm master settings.

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 3. FUNCTIONS AND OPERATION

WARNING
Check the alarm settings when admitting a new patient and
whenever the patient condition changes and change the alarm
settings if necessary. The alarm settings return to the alarm master
settings on the SYSTEM SETUP window when: 3
• A patient is discharged and all data is deleted on the ADMIT
DISCHARGE window.
• <ADMIT MODE> in the SYSTEM SETUP window is set to AUTO
and 30 mins elapse after monitor power off.
• “PATIENT TYPE” is changed on the ADMIT DISCHARGE
window.

WARNING
For arrhythmia monitoring, set <ARRHYTHMIA ANALYSIS> on the
ECG page of the PARAMETERS window on the SYSTEM SETUP
window to ON. Otherwise, there is no sound or indication for
arrhythmia alarms (except for ASYSTOLE).

CAUTION
When the alarm limit is set to OFF, there will be no alarm for that
limit. Depending on the setting, the alarm off mark might not be
displayed on the screen. Be careful when you set the alarm limit to
OFF.

CAUTION
When the alarm is turned OFF for an arrhythmia, there will be no
alarm for that arrhythmia type. There is no message or mark to
indicate that a certain arrhythmia alarm is turned off. Therefore, be
careful when you turn off an arrhythmia alarm.

CAUTION
When the monitor is turned on with alarms silenced, there will be no
alarms until alarm silence time ends.

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3. FUNCTIONS AND OPERATION

When the Monitor is Connected to a Central Monitor

When the bedside monitor is connected to a central monitor, the alarm setting
can also be changed from the central monitor. When the alarm setting is changed
on the central monitor, check that the same setting on the bedside monitor is also
changed.

WARNING
If more than one medical device is used together in the same facility,
make sure all devices have the same alarm default settings (alarm
master). If the medical devices have different alarm default settings,
when the settings are returned to the alarm master settings, the
alarm settings of each device may be different so alarms cannot be
managed appropriately in the facility. If using different alarm default
settings according to areas or wings in the facility, manage the
alarms appropriately.

Changing Vital Sign Upper/Lower Alarm Limits

There are three ways to change vital sign upper/lower alarm limits.
• Change upper or lower alarm limits for each parameter individually.
• Change upper or lower alarm limits for each parameter individually from each
parameter window.
• Set all alarm limits to the alarm master settings.

Changing Each Parameter Alarm Limits Individually

1 Display the ALARM LIMITS window.

Touch the [MENU] key → [ALARM LIMITS] key.
Selected parameter

Upper limit

Upper limit slider

Lower limit
Lower limit slider

Setting bar
Current measured value

2 Touch the parameter key for the limit you want to change.

3 Touch or drag the sliders to the desired level on the setting bar. Use the
or key to adjust the setting.

4 Repeat steps 2 and 3 to change the limit of other parameters.

5 Touch the [HOME] key to return to the home screen.

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 3. FUNCTIONS AND OPERATION

Changing Each Parameter Alarm Limits Individually From

Each Parameter Window

1 Display the parameter window.

Example: Changing alarm limit settings on the ECG window
3
Touch the [MENU] key → [ECG] key.

2 Touch the parameter key in the <ALARMS> box for the limit you want to
change.

Touch the desired tab to change the displayed

Current measured value parameters

Selected
parameter Upper limit
Upper limit slider

Lower limit
Setting bar

Lower limit slider

Current measured value

3 Touch or drag the sliders to the desired level on the setting bar. Use the
or key to adjust the setting.

4 Touch the [HOME] key to return to the home screen.

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3. FUNCTIONS AND OPERATION

Automatically Set the Alarm Limits

All the alarm limits (include ST value) can be set automatically based on the
current measured values.

1 Display the ALARM LIMITS window.

Press the [Menu] key → [ALARM LIMITS] key.

2 Touch the [AUTOMATIC] key.

3 Touch the [YES] key to change all upper/lower alarm limits, including ST
levels, according to the current measured values.

4 Check that the settings are appropriate.

NOTE: The alarm limit is not automatically changed for the parameter
which is not monitored or whose measured value is invalid.

5 Press the [Home] key to return to the home screen.

Automatic Setting Range

Alarm Items Upper Limits Lower Limits Unit
HR/PR HR x 1.25 HR x 0.75 bpm
RR RR x 1.25 + 4 RR x 0.75 - 4 count/min
APNEA (60/RR) x 2 - s
mmHg
Basic CO2 CO2 x 1.25 CO2 x 0.75
Parameters (kPa) *1
SpO2 No auto setting *2 SpO2 - 5 % SpO2
SYS, mmHg
NIBP DIA, NIBP x 1.25 + 10 NIBP x 0.75 - 10
MAP (kPa) *1

HR/PR HR x 1.25 HR x 0.75 bpm

VPC No auto setting - count/min
ECG
mV
ST-1 ~ ST-V6 ST + 0.5 ST - 0.5
(mm) *1

PRESS1, SYS, mmHg

PRESS x 0.75
PRESS DIA, PRESS x 1.25 + 10
PRESS2 - 10 (kPa) *1
MEAN
C
o

TEMP TEMP1, TEMP2 TEMP + 0.5 TEMP - 0.5

( F) *1
o

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 3. FUNCTIONS AND OPERATION

Alarm Items Upper Limits Lower Limits Unit

RR RR x 1.25 + 4 RR x 0.75 - 4 count/min
APNEA (60/RR) x 2 - s
mmHg
CO2 CO2 (E) CO2 (E) x 1.25 CO2 (E) x 0.75
(kPa) *1
3
mmHg
CO2 (I) CO2 (I) x 1.25 -
(kPa) *1

*1 The unit can be set on the UNIT window of SYSTEM CONFIG.

*2 When the lower limit which is set automatically is greater than the upper
limit, the alarm limits will be set as the upper limit > the lowe limit.

Checking the Arrhythmia Alarm Settings

You can check the current arrhythmia alarm settings on the ARRHYTH
ALARMS page of the MENU window or ARRHYTH ALARMS window of the
ECG window.
The individual arrhythmia alarm on or off and threshold for some arrhythmias
are set on the ARRHYTH page of the PARAMETERS window on the SYSTEM
SETUP window.

1 Display the ARRHYTH ALARMS window.

Touch the [MENU] key → [ARRHYTH ALARMS] key.
Or,
Touch the [MENU] key → [ECG] key → [ARRHYTH ALARMS] key.

Threshold setting
Displays ON/OFF status

2 Check the arrhythmia alarm settings.

An administrator can change the settings by touching the [SETUP] key.

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3. FUNCTIONS AND OPERATION

Changing All Alarm Limits to the Alarm Master

For fast and easy alarm setup, a group of alarm items can be set all together to
one group of preset settings. This is called an alarm master. This is useful, for
example, if there are typical alarm settings at your hospital, or you have certain
alarm settings for certain patients.
You can also change individual alarm settings, as described in previous pages,
after setting all alarms with an alarm master.
The alarm masters are set by the administrator on the MASTER window of the
SYSTEM SETUP window.

1 Display the ALARM LIMITS window.

Touch the [MENU] key → [ALARM LIMITS] key.

2 Touch the [ALARM MASTER] key. The “APPLY SETTINGS FROM

MASTER?” message appears.

3 Touch [YES] to change all settings to the values set on the MAIN ALARMS
page of the MASTER window in the SYSTEM SETUP window.
Touch [NO] to cancel changing the alarm settings to the alarm master
settings.

4 Touch the [HOME] key to return to the home screen.

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 3. FUNCTIONS AND OPERATION

Alarm Escalation
If the APNEA, SpO2, CHECK ELECTRODES, ECG CANNOT ANALYZE or
SpO2 CHECK PROBE alarm occurs and no action is taken for a selected time,
the alarm level can be escalated.
3

Interbed Alarm
When an interbed alarm occurs, the monitor acts as follows.
NOTE: Parameters which cannot be measured on this monitor are
displayed as “ALARM”.
The monitor action depends on the INTERBED ALARM setting. For details,
refer to the “INTERBED Window” section.
INTERBED ALARM Setting ON OFF
Alarm Indicator Off
Three continuous ping
Alarm Sound sounds (only when the No sound
alarm is detected)
The bed ID of interbed
alarm bed is displayed The bed ID is The bed ID is
in the upper right highlighted.*1 displayed in white.
corner. When two
or more alarms are
Home detected, the bed IDs
Screen alternate.
Vital sign and Vital sign and
After the arrhythmia alarm: arrhythmia alarm:
alarm is Bed ID remain highlighted remain in white font
silenced.
Technical alarm: bed ID disappears
The bed ID and interbed alarm message is
highlighted*1
Interbed alarm
message is displayed.
Multiple
Beds
Window
Bed ID Displayed in white —
After the
Vital sign and arrhythmia alarm: remains
alarm is
Alarm highlighted
silenced.
Technical alarm: the message disappears
The alarm message and The bed ID and alarm message is highlighted.*
bed ID are highlighted.
When the vital sign
alarm occurs, the
Individual measurement value is
Bed also highlighted.
Window Bed ID Displayed in white
After the
Vital sign and arrhythmia alarm: remain
alarm is
Alarm highlighted
silenced.
Technical alarm: the message disappears

*1 When a crisis or warning level alarm occurs, the message blinks.

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3. FUNCTIONS AND OPERATION

Alarm Priority
Priority
Items INFORMATION
CRISIS WARNING ADVISORY
HR upper limit
ECG ○ ● - -
HR lower limit
Upper limit
PR ○ ● - -
Lower limit
ST ○ ● ○ -
RR upper limit ○ ● ○
RR RR lower limit ○ ● ○ -
APNEA ○↑ ● ○

Basic SYS
parameters NIBP DIA ○ ● - -
MEAN
Upper limit ○
SpO2 ● - -
Lower limit ○↑
TEMP1 ○ ○ ●
-
TEMP2 ○ ○ ●
CO2 *1 ○ ● - -
PRESS1 *1 ○ ● -
-
PRESS2 *1 ○ ● -
ASYSTOLE ● - - -
VF ● - - -
VT ● - - -
VPC RUN ○ ● ○ -
TACHYCARDIA ○ ● ○ -
Arrhythmia
BRADYCARDIA ○ ● ○ -
COUPLET ○ ○ ● -
EARLY VPC ○ ○ ● -
BIGEMINY ○ ○ ● -
FREQ VPC ○ ○ ● -

POWER SUPPLY No battery ● - - -

CONFIRM With battery - - ● -
** MODULE ERROR (** means ECG, NIBP
- - ● -
or SpO2)
Less than 5 mins before
- ● -
power off
BATTERY WEAK -
More than 5 mins before
- - ●
power off
Technical
COMMUNICATION LOSS - - ● -
alarms
MONITOR OFF - - - ●
** ERROR - - ● -
FREEZE - - - ●
PARAMETER NOT AVAILABLE - - ● -
CONNECTOR OFF - - ● -
CANNOT ANALYZE ○↑ ●↑ ○ -
CHECK ELECTRODES ○↑ ○↑ ● -

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 3. FUNCTIONS AND OPERATION

Priority
Items INFORMATION
CRISIS WARNING ADVISORY
CHECK ELECTRODE ** (when over 4 leads) ○↑ ○↑ ● -
NOISE - - - ●
LEARNING - - - ●
3
PACING - - - ●
AUTO LEAD CHANGE - - - ●
RESP OFF - - - ●
CHECK SENSOR - - ● -
CHANGE PROBE - ● - -
CHECK PROBE ○↑ ○↑ ● -
CANNOT DETECT PULSE ○↑ ○↑ ● -
LIGHT INTERFERENCE - - ● -
CHECK PROBE SITE - - ● -
LOW QUALITY SIGNAL - - ● -
DETECTING PULSE - - - ●
WEAK PULSE - - - ●
SAFETY CIRCUIT RUNNING - ● - -
CUFF OCCLUSION - ● - -

Technical MEAS TIME OUT - - ● -

alarms AIR LEAK - - ● -
HIGH CUFF PRESS - - ● -
CHECK INTERVAL SETTING - - ● -
ZEROING - - - ●
INFLATION PRESS LOW - - - ●
REMEASURING - - - ●
PLEASE WAIT - - - ●
INFLATION TIME PASSED - - - ●
CATHETER DISCONNECT * 2
● - - -
OUT OF RANGE - - - ●
ZERO UNSTABLE - - - ●
ZERO OUT OF RANGE - - - ●
ZEROING COMPLETE - - - ●
CHANGE ADAPTER - - ● -
CAL ERROR - - ● -
CAL COMPLETE - - - ●
INSERT REC PAPER - - - ●
CLOSE PAPER MAGAZINE - - - ●

*1 These parameters are only available for SVM-7603/7604/7623/7624.

*2 When LS-NET is selected in SYSTEM SETUP - NETWORK window, the
alarm will not happen.

○: Selectable
●: Default setting
○↑: Alarm escalation
-: Cannot be selected

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3. FUNCTIONS AND OPERATION

Review Windows

General
You can review saved data on the following review windows.
• TREND TABLE window: Displays vital sign data. Up to 120 h of vital sign data
can be saved.
• NIBP TABLE window: Displays vital sign data at the NIBP measurement. Up
to 120 h of vital sign data at the NIBP measurement
can be saved.
• TREND GRAPH window: Displays trendgraphs of the past 120 h.
• RECALL window: Displays arrhythmia waveforms from 4 s before to
4 s after the arrhythmia detection. Up to 120 h of recall
data can be saved.
• FULL DISC window: Displays up to 120 h of compressed and expanded
ECG waveform.
• ALARM HISTORY window: Displays a table of vital sign alarms and arrhythmia
alarms. Up to 120 h of alarm history data can be saved.
• OCRG window: Displays the heart rate, SpO2 and impedance
respiration trendgraphs of the past 120 h. OCRG
window is available when the patient type setting is
NEONATE.

NOTE • When changing the review window, the data at the cursor on
the original window is also displayed on the second window.
For example, if the FULL DISC window is centered on 14:30,
and the window is changed, the ALARM HISTORY window will
be centered on 14:30.
• When <ADMIT MODE> in the SYSTEM SETUP window is set
to AUTO and the monitor power is turned on after the power
has been off for more than 30 mins, the stored data for the
previous patient (patient information, trend table, NIBP table,
arrhythmia recall, full disclosure, trendgraph and alarm history)
is deleted. Even if <ADMIT MODE> is set to MANUAL, data
(patient information, trend table, NIBP table, arrhythmia recall,
full disclosure, trendgraph and alarm history) is deleted if the
monitor is off for more than 24 h.
• The oldest file is deleted when the maximum number of files are
saved.
• Do not disconnect the power cord while the monitor power is
on. The data may be lost.

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 3. FUNCTIONS AND OPERATION

Time Bar

Time bar

The time bar is displayed at the lower part of the review window. You can
display the time by touching the time bar.
The time bar can be scrolled by touching the or key beside the event bar.
The latest time is displayed in white and the older times are displayed in blue and
green alternately.

TREND TABLE Window

Up to 120 h of the vital sign data of all monitoring parameters can be displayed
on the TREND TABLE window. The data of the selected parameters at the
selected interval are displayed. Select the parameters to be displayed on the
PARAMETER SETUP window.
Touch the [MENU] key → [TREND TABLE] key to display the TREND
TABLE window.

Displays other review windows.

List interval
selected in
Date and time the INTERVAL
SETUP
window

Display the Selected file

parameters
selected in the
PARAMETER Scroll to
SETUP display other
window. parameter
data.

Record the trend data of

the selected period on Display the INTERVAL window.
the WS-752P recorder
module. Display the PARAMETER SETUP window.

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3. FUNCTIONS AND OPERATION

NIBP TABLE Window

The NIBP TABLE window displays NIBP data as well as data of selected
parameters at the time of NIBP measurement. Select the parameters to be
displayed on the PARAMETER SETUP window of the NIBP TABLE window.
Displays the vital sign data at the NIBP measurement of past 120 h. Up to 120 h
of vital sign data at the NIBP measurement can be saved.
Touch the [MENU] key → [NIBP TABLE] key to display the NIBP TABLE
window.
Display other review windows.

"A" indicates
Date and time NIBP
measurement
on vital sign
Display the alarm.
parameters
Selected file
selected in the
PARAMETER Scroll to
SETUP display other
window. parameter
data.

Record the NIBP data of

the selected time period Display the PARAMETER SETUP window.
on the WS-752P recorder
module.

TREND GRAPH Window

There are 2 trendgraphs. Each trendgraph displays up to 3 parameters of the past
120 h. The screen example below shows when 3 parameters and common scale
is selected on the PARAMETER SETUP window. On the PARAMETER SETUP
window, you can select parameters, common or separate trendgraph and whether
to display maximum and minimum values or mean values. On the SCALE
window, you can select the scale for each trendgraph. You can zoom in or out by
touching the or key above the time bar. When the key is touched, the
interval changes: 120 h → 24 h → 8 h → 4 h → 2 h → 1 h. When the key is
touched, the interval changes: 1 h → 2 h → 4 h → 8 h → 24 h → 120 h.
Touch the [MENU] key → [TREND GRAPH] key to display the TREND
GRAPH window.

Display other review windows. Cursor (can be dragged with your finger)

Scale
Display the parameter
selected on the
PARAMETER SETUP
window.

Display the SCALE

SETUP window.

Record the displayed Change the trendgraph. Change the trend

trend graph on the WS- Display the PARAMETER interval (1 h, 2 h, 4 h, 8 h,
752P recorder module. SETUP window. 24 h or 120 h).

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 3. FUNCTIONS AND OPERATION

RECALL Window
Up to 120 h of recall data can be saved for arrhythmias. 10 s of ECG is saved for
each recall file.
An arrhythmia recall file is created when the following criteria are met:
3
• <ARRHYTHMIA ANALYSIS> on the ECG page of the PARAMETERS
window on the SYSTEM SETUP window is set to ON.
• The type of arrhythmias you want to save as files are selected on the
ARRHYTHMIA EVENT SETUP window on the RECALL window.
Touch the [MENU] key → [RECALL] key to display the RECALL window.
The past 120 h of recall files can be displayed on the RECALL window. Use the
scroll bar to display other files. Touch the desired file to display the actual size
ECG.
Arrhythmia type Compressed ECG
Display other review windows. of the recall file

Date and Recall file

time of file
Selected file
creation

Scroll to
display other
recall files.

Record the displayed Display the ARRHYTHMIA Up to 10 selected

arrhythmia history EVENT SETUP window. arrhythmia names
data on the WS-752P are displayed.
recorder module.

Actual Size ECG

When a file is touched, the RECALL window displays the actual size ECG of the
selected recall file.
Display other review windows. Arrhythmia type

Date and
time of file Lead
creation ECG
sensitivity

QRS
annotation
Vital signs
numeric values
at the time the
recall file is
created.

Record the displayed actual Up to 10 selected arrhythmia

size ECG on the WS-752P names are displayed.
recorder module.

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3. FUNCTIONS AND OPERATION

FULL DISC Window

The past 120 h of the first trace ECG waveform can be saved. The full disclosure
waveform can be zoomed in to display the enlarged waveforms.
When ECG measurement is set to OFF, SpO2 waveform is displayed.
Touch the [MENU] key → [FULL DISC] key to display the FULL DISC
window.

Full Disclosure Waveform

Touch to display 5 s of enlarged waveforms. Touch again to restore the previous
display.

Display other review windows.

Zoom in and out

Time range the displayed
waveform (60 s,
30 s, 10 s and
Time of file 5 s).
creation
ECG lead
60 s, 30 s, 10
s or 5 s full
Scroll time.
disclosure
waveform

Record the displayed full disclosure data on the

WS-752P recorder module.

Zoom In Window
The full disclosure waveform can be displayed in actual size.

QRS annotation
Display other review windows. 5 s actual size waveform

Stored full Zoom in and out

disclosure files the displayed
time range waveform (60 s,
30 s, 10 s and 5 s).

Time of file ECG sensitivity

creation
Scrolls time

Vital signs ECG lead

numeric
values

Record the displayed full disclosure data

on the WS-752P recorder module.

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 3. FUNCTIONS AND OPERATION

ALARM HISTORY Window

Displays the alarm history of the past 120 h.
Touch the [MENU] key → [ALARM HISTORY] key to display the ALARM
HISTORY window.
3
Display other review windows.

Date and
time of alarm
occurrence

Parameter Selected file

Scroll file

Record the displayed alarm Alarm message

history data on the WS-752P
recorder module.

Different color of messages which are displayed on the right side means different
priority.
Display color Priority
Red CRISIS
Yellow WARNING
Yellow ADVISORY
White INFORMATION
Other color on the left side Parameter color

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3. FUNCTIONS AND OPERATION

OCRG Window
Displays the heart rate, SpO2 and impedance respiration trendgraphs of the past
120 h.
On the SETTINGS window, you can select the OCRG trendgraph type of 1 cm/
min or 3 cm/min and on the SCALE window, you can select the scale for the
heart rate, SpO2 and impedance respiration trendgraph display.
NOTE: The OCRG window is available only when the patient type setting
is NEONATE.
Touch the [MENU] key → [OCRG] key to display the OCRG window.

Displays other review windows.

Scale

Cursor (can
be dragged
with your
finger)
Record the currently
displayed trend graph
on the WS-752P
recorder module.

Display the SETTINGS Display the SCALE SETUP

window. window.

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 3. FUNCTIONS AND OPERATION

Recording
Recording can be performed on the optional WS-752P recorder module.

3
Recording Modes
There are four recording modes:
• Manual recording
Real time/delayed waveform recording: Three waveforms selected on the
RECORD window and vital signs data are recorded whenever the Record key
on the home screen is touched.
Recording on the review windows: The displayed data on the review window
is recorded when the [RECORD] key on the review window is touched.
• Periodic recording
Waveform recording: Three waveforms selected on the RECORD window and
vital signs data are recorded automatically at the set interval.
The interval mode for periodic recording can be selected on the SYSTEM
SETUP window.
When CLOCK is selected: Periodic recording is performed at the even clock
interval.
When PERIOD is selected: Periodic recording is performed at the actual
minute.
• Alarm recording
When a vital sign alarm or arrhythmia alarm occurs, three waveforms selected
on the RECORD window and vital signs data are automatically recorded.
NOTE: Alarm recording is not performed when an alarm is suspended or
<ALARM RECORDING> is set to OFF.
• Recording on NIBP measurement
When RECORD ON NIBP MEAS on the SYSTEM SETUP window is set to
ON, the NIBP table is recorded on NIBP measurement.

When More than One Recording Mode is Triggered

If another recording is triggered during recording, only the first recording is
performed.
During alarm recording, if a higher alarm level alarm occurs, the current alarm
recording period is extended for 20 s.

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3. FUNCTIONS AND OPERATION

Changing Recording Settings

The following items can be set for recording.
• Recording waveforms (up to three parameters)
• Recording speed for manual recording by the Record key on the home screen
• Periodic recording on/off
• Alarm recording on/off
The following items are set on the RECORD window of the SYSTEM SETUP
window.
• Real time or 8-second delayed recording for manual recording (REAL TIME,
DELAY)
• Recording period for manual recording (CONTINUOUS, 10 s, 20 s or 30 s)
• Interval for periodic recording (1 min, 2 mins, 3 mins, 4 mins, 5 mins, 10 mins,
15 mins, 30 mins, 60 mins or 120 mins)
• Interval mode (CLOCK, PERIOD)
• Record on NIBP measurement (ON, OFF)
Touch the [MENU] key → SETUP → [RECORD] key to display the RECORD
window.

Selecting Recording Waveforms

The selected waveforms are recorded in manual recording, periodic recording
and alarm recording. Up to three waveforms can be selected.

1 Touch TRACE 1, TRACE 2 or TRACE 3 to select the channel.

2 Select the parameter for TRACE 1, TRACE 2 or TRACE 3. Touch the

[NONE] key when not using the channel.

CO2 and PRESS

are for the SVM-
7603/7604/7623/
7624 bedside
monitors.

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 3. FUNCTIONS AND OPERATION

3 Touch the key to close the window.

Changing Recording Speed

Touch the [RECORDING SPEED] key and select 12.5 mm/s, 25 mm/s or
50 mm/s in RECORDING SPEED window. Touch the key to close the 3
window.

Turning Alarm Recording ON/OFF

Touch the [ALARM RECORDING] key and set ON or OFF for ALARM
RECORDING to automatically record waveforms and data at vital signs alarm
and arrhythmia alarm occurrence. Touch the key to close the window.

Turning Periodic Recording ON/OFF

Touch the [PERIODIC REC INTERVAL] key and select ON or OFF for periodic
recording. Touch the key to close the window.

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3. FUNCTIONS AND OPERATION

INTERBED Window
When the bedside monitor is connected to a central monitor network, the bedside
monitor data can be sent to the central monitor. The bedside monitor can display
monitoring data of up to 8 other beds in the network on the INTERBED window.
When an alarm occurs at an interbed bed, the “bed name” of the alarmed interbed
appears on the home screen of this bedside monitor if you have previously
registered the other bed as an interbed bed on the SELECT BEDS window.
To use the interbed function, the following settings must be set.
• Register the beds to be managed by the interbed function on this monitor
• Set <INTERBED ALARM> on the SETTINGS window of the INTERBED
window to ON
• Set <AUTO INTERBED DISPLAY> on the SETTINGS window of the
INTERBED window to ON to automatically display the VIEW OTHER BEDS
window when an alarm occurs on that bed

WARNING
Do not monitor a patient’s vital signs only by the interbed function.
The patient must be monitored on the interbed bed or a central
monitor.

NOTE: The monitor must be connected to a central network to use the

interbed function.

Registering or Removing Interbed Beds

Up to 8 beds can be registered. Any bed in the monitor network can be registered
as an interbed bed. When registering an interbed bed, the power of the bedside
monitor to be registered must be on.

1 Display the SELECT BEDS window.

Touch the [MENU] key → [INTERBED] key → SELECT BEDS tab.

2 In <SELECTED BEDS> box, select the position to register the interbed bed.

3 Touch the [GROUP] key to select the group to which the desired bed
belongs and select the bed from the bed list. The beds which are already
registered as interbed beds cannot be selected.

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 3. FUNCTIONS AND OPERATION

4 Check that the selected bed appears in <SELECTED BEDS> box.

To remove a bed from the interbed beds, select the bed to be removed in the
<SELECTED BEDS> box and touch the [VACANT] key.

3
Displaying the Interbed Bed Data
NOTE: When the instrument which is registered to the interbed bed is
turned off or not connected to the network, a “MONITOR OFF”
message is displayed and no measurement value or alarm is
displayed.

Multiple Beds Window

On the VIEW OTHER BEDS window, data for up to 8 interbed beds is

displayed.
On the multiple beds window, heart rate and SpO2 are displayed.
Patient name and BED ID are also displayed on the screen.

Individual Bed Window

Touch the desired bed to display the individual bed window. On the individual
bed window, numeric data of monitoring parameters are displayed. You can
change beds by selecting the bed on the multiple beds window.
The parameters which can be displayed on the individual bed window are: HR,
VPC, ST, RR, CO2, SpO2, NIBP, TEMP1 and PRESS1.

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3. FUNCTIONS AND OPERATION

Interbed Alarm Function

When an alarm occurs at an interbed bed, the alarm is indicated on this bedside
monitor. The interbed alarm can be silenced from this bedside monitor. The
alarm silence time depends on the setting on the alarmed bed. The interbed alarm
can only be suspended on the alarmed bed.
NOTE: When the alarm function is turned off by “all alarms off” or “alarm
suspended” on the interbed bed, the interbed alarm does not
occur on this bedside monitor.
To silence the interbed alarm, touch the [Silence Alarm] key ( ) on the
individual bed window. The alarm sound is also silenced and the alarm indicator
turns off on the alarmed bed. For the monitor action when the interbed alarm is
silenced, refer to “Interbed Alarm” section.
NOTE: If several interbed alarms occur at the same time, all interbed
alarms are silenced by touching the key on the individual bed
window of the INTERBED window.

Settings Related to Interbed Alarm

CAUTION
The interbed window only appears on the home screen when an
interbed alarm occurs and <AUTO INTERBED DISPLAY> is set to
ON.

NOTE: If the touch keys are turned off and an interbed alarm occurs, the
touch keys turn on.
There are two settings related to interbed alarm monitoring: <INTERBED
ALARM> ON or OFF and <AUTO INTERBED DISPLAY> ON or OFF.
Display the SETTINGS window of the INTERBED window to change settings.
Touch the [MENU] key → [INTERBED] key → [SETTINGS] key.

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Drug Window
On the DRUG window, you can calculate the flow rates and dosages for
medication titrations. The flow rate is calculated from the following equation.
The dosage can also be calculated when the flow rate is known. 3
Dosage x Patient Weight x Solution Amount
Flow rate =
Drug Amount

Preparation
There are three windows for the drug calculation. On the DOSE window, you can
see the table of the selected drug titration. The drug name and unit are selected
on the DRUG window. On the SETTING window, you can change drug amount
(AMOUNT), solution amount (VOLUME), dosage (DOSE), flow rate (SAMPLE
RATE), patient weight and dose step. The settings on the DRUG and SETTING
windows are used for the drug calculation and you can see the calculation result
on the DOSE window. The dosage and flow rate calculated from the setting on
the SETTING window are highlighted in blue.

Drug name
selected on
the DRUG
window Titration
table

Set on the SETTING Value calculated from the Select the dose step
window settings on the SETTING
window

NOTE • When using the DRUG window for the first time after shipment
or after settings are initialized, you must set the drug names
and other settings.
• When the patient weight is changed on the ADMIT page of the
ADMIT window, the titration is automatically recalculated with
the new weight.
17 drugs and drug amount, solution amount, dosage and dose step for each drug
are preset on the monitor. The dosage and flow rate are calculated from the
equations listed in the “Flow Rate Equations” section. You can set four other
drugs on the DRUG window and change the settings on the EDIT window.

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3. FUNCTIONS AND OPERATION

Drug Titration Initial Settings

Drug Solution
Drug Name Dosage Step
Amount Amount
AMRINONE 500 mg 5.00 μg/kg/min
AMINOPHYLLINE 500 mg 0.10 mg/kg/hr
BRETYLIUM 2000 mg 1.00 mg/min
0.10
DOBUTAMINE 250 mg 250 mL 2.50 μg/kg/min
DOPAMINE 800 mg 2.00 μg/kg/min
EPINEPHRINE 4 mg 1.00 μg/min
HEPARIN 25000 units 1000.00 units/h 50
INSULIN 100 units 100 mL 1.00 units/hr
ISOPROTERENOL 2 mg 1.00 μg/kg/min
LIDOCAINE 2000 mg 2.00 mg/min
NITROGLYCERIN 50 mg 100.00 μg/min
0.10
NITROPRUSSIDE 50 mg 0.50 μg/kg/min
250 mL
NOREPINEPHRINE 4 mg 2.00 μg/min
PHENYLEPHRINE 300 mg 100.00 μg/min
PROCAINAMIDE 2000 mg 2.00 mg/min
STREPTOKINASE 750000 IU 30000.00 IU/h 5000
TPA 100 mg 200 mL 20.00 mg/h
0.10
DRUG A to D 500 mg 250 mL 1.00 μg/kg/min

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Flow Rate Equations

Dosage Unit Drug Name Equation

Dosage (mg/h) x Solution amount (mL)

mg/h AMINOPHYLLINE Flow rate (mL/h) =
Drug amount (mg)
3
BRETYLIUM
Dosage (mg/min) x Solution amount (mL) x 60
mg/min LIDOCAINE Flow rate (mL/h) =
Drug amount (mg)
PROCAINAMIDE
EPINEPHRINE
ISOPROTERENOL Dosage (μg/min) x Solution amount (mL) x 60
µg/min Flow rate (mL/h) =
NOREPINEPHRINE Drug amount (mg) x 1000
PHENYLEPHRINE
AMRINONE
DOPAMINE
Dosage (μg/kg/min) x Weight (kg) x Solution amount (mL) x 60
µg/kg/min DOBUTAMINE Flow rate (mL/h) =
Drug amount (mg) x 1000
NITROGLYCERINE
NITROPRUSSIDE

HEPARIN Dosage (units/h) x Solution amount (mL)

units/h Flow rate (mL/h) =
INSULIN Drug amount (units)

Dosage (IU/h) x Solution amount (mL)

IU/h STREPTOKINASE Flow rate (mL/h) =
Drug amount (IU)

For DRUG A to D, when using the same dosage unit as above, the same equation
is used. When using other units, refer to the table below.
Dosage Unit Equation
Dosage (mg/kg/min) x Weight (kg) x Solution amount (mL) x 60
mg/kg/min Flow rate (mL/h) =
Drug amount (mg) x 1000

Dosage (mg/kg/h) x Weight (kg) x Solution amount (mL)

mg/kg/h Flow rate (mL/h) =
Drug amount (mg)

Dosage (μg/h) x Weight (kg) x Solution amount (mL)

μg/h Flow rate (mL/h) =
Drug amount (mg) x 1000
Dosage (μg/kg/h) x Weight (kg) x Solution amount (mL)
μg/kg/h Flow rate (mL/h) =
Drug amount (mg) x 1000
Dosage (units/kg/h) x Weight (kg) x Solution amount (mL)
units/kg/h Flow rate (mL/h) =
Drug amount (units)
Dosage (IU/kg/h) x Weight (kg) x Solution amount (mL)
IU/kg/h Flow rate (mL/h) =
Drug amount (IU)

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3. FUNCTIONS AND OPERATION

Changing DRUG Settings

Change settings on the DRUG, SETTINGS and DOSE window. The following
settings can be changed.

DRUG window

Select drug names or edit DRUG A to DRUG D.

SETTING window

Amount: Set the amount between 0.01 ~ 2000.00.

Volume: Set the volume between 1 ~ 1000.
Dose: Set the volume between 0.01 ~ 500.00.
Sample Rate: Set the sample rate between 0.1 ~ 600.0.
Weight: Set the weight of patient between 0.1 ~ 449.9 (when Unit is set to "KG")
or 0.1 ~ 297.1 (when Unit is set to "Pound").

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 3. FUNCTIONS AND OPERATION

DOSE window

DOSE STEP: Set the dose step.

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3. FUNCTIONS AND OPERATION

HL7
You can set LS-NET or HL7 on SYSTEM CONFIG window.
Setting Item Setting Range (Default) Description
Use ORU ON, OFF Selects whether or not to output the ORU (current numeric) data.

Sets the port number to use for ORU data output. Touch [ ] of
ORU Port No. 1024 to 65535 the port number and enter the number.
ORU (ORU/ACK-R01) (Default: 7998) After entering the port number, touch [OK] to close the
window.

1 min, 5 min, 10 min, 30 Sets the interval to output the ORU data. Touch [ORU SAMPLING]
ORU SAMPLING
min, 60 min and select the time.
Use ORF ON, OFF Selects whether or not to output the ORF (old numeric) data.

Sets the port number to use for ORF data output. Touch [ ] of the
ORF ORF Port No. 1024 to 65535 port number and enter the number.
(QRY^R02/
ORF^R04) (Default: 9004) After entering the port number, touch [OK] to close the
window.
Use QRY ON, OFF Selects whether or not to request patient information.

Sets the IP address of the HIS server. Touch [ ] of the each

Set depending on the
HIS SERVER IP number and enter the IP address.
hospital network.
ADDRESS
(Default: 0.0.0.0) After entering the IP number, touch [OK] to close the window.
QRY
Sets the port number that is used by HIS server for receiving patient
HIS SERVER 1024 to 65535 information. Touch [ ] of the port number and enter the number.
PORT No. (QRY/
ADR-A19) (Default: 7997) After entering the port number, touch [OK] to close the
window.
Use ADT ON, OFF Selects whether or not to output the admit and discharge, patient
information update and presence check information.
ADT PATIENT 1024 to 65535
INFO PORT No. • Admit/Discharge Port
(ADT-A04/A02) (Default: 9005)
Sets the port number for admitting or discharging a patient
ADT
MONITORING 1024 to 65535 from an external system.
PORT No. (Default: 9006) • Patient Info Update Port
(ADT^A08)
ADT Sets the port number for entering the patient information
including patient ID from an external system.
• Patient List QRY Port
PATIENT LIST 1024 to 65535
PORT No. Sets the port number for requesting the admit condition of a
(QRY^R02) (Default: 9007)
patient from an external system.
After entering the port number, touch [OK] to close the
window.

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 3. FUNCTIONS AND OPERATION

Setting Item Setting Range (Default) Description

HL7 Version 2.4 (Display only) Displays the HL7 version.
Sets the character code type. Touch the character code key and select
Character Set ASCII
the character code.
Sending Up to 180 characters Sets the names in the HL7 message.
Application
(Default: Touch [ ] of the each item and enter the name.
3
• Send Application Name After entering the name, touch [OK] to close the window.
NIHON KOHDEN
MSH
Segment Sending Facility • Send Facility Name
NIHON KOHDEN
• Receive Application
Receiving
Name
Application CLIENT APP
• Receive Facility Name
Receiving Facility
CLIENT FACILITY)

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3. FUNCTIONS AND OPERATION

Screen Messages
The messages displayed when using this monitor are listed in alphabetical order.
Each message is followed by the corresponding cause and countermeasure.
An item with an asterisk (*) in the left column is an alarm.
NOTE • If the problem cannot be solved after performing the
countermeasure, contact your Nihon Kohden representative.
• The messages that are related to CO2 and IBP are for
SVM-7603/7604/7623/7624.
Screen Message Parameter Possible Cause/Criteria Action
Take appropriate action
Alarm occurred for the [– – –] depending on the alarm level.
* [– – –] ALARM All parameters
(parameter) occurred. (Displaying the home screen
may display the alarm in detail.)
[Bed name] Check the data of the alarmed
Alarm occurred on the indicated
- INTERBED All parameters. bed on the INTERBED window
interbed bed.
ALARM and remove the cause.
Connect the cuff to the air hose
The cuff pressure does not change properly.
after inflation even after a certain
period of time. Connect the air hose to the
* AIR LEAK NIBP
socket properly.
Replace the cuff or air hose with
The cuff or air hose is damaged.
a new one.
When the [ALARM RESET]
key is touched during alarm
reset condition, all alarms
[ALARM RESET] function key was are not resumed. The alarm
- ALARM RESET All parameters
touched. reoccurs when an alarm different
from the reset one occurs, or
cause of alarm was eliminated
temporarily.
• When the alarm cause is
resolved, the alarm is cleared.
ALARM The [Silence Alarms] key was • When the [Silence Alarms]
- All parameters
SILENCED touched to silence the alarm. key is touched during alarm
silence, all alarms are
resumed.
• All alarms resume when the
ALARMS [SUSPEND MONITORING]
SUSPENDED/ The [SUSPEND MONITORING] key key is touched again during
- All parameters alarm suspension.
SUSPEND was touched.
MONITORING • Alarm suspension is canceled
when monitoring starts.
All alarms resume when the
ALARM The [SUSPEND ALARMS] key was [SUSPEND ALARMS] key
- All parameters
SUSPENDED – min touched. is touched again during alarm
suspension.
The [ALL ALARMS OFF] key is To resume alarm function, touch
- ALL ALARMS OFF All parameters
touched to suspend alarm function. the [ALL ALARMS OFF] key.
Apnea exceeded the apnea alarm
* APNEA CO2 —
limit.
If arrhythmia analysis is
<ARRHYTHMIA ANALYSIS> on
ARRHYTHMIA necessary, set <ARRHYTHMIA
- ECG the SYSTEM SETUP window is set
ANALYSIS OFF ANALYSIS> on the SYSTEM
to OFF.
SETUP window to ON.

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 3. FUNCTIONS AND OPERATION

Screen Message Parameter Possible Cause/Criteria Action

<AUTO LEAD CHANGE> on the
SYSTEM SETUP window is set to
AUTO LEAD ON, an electrode of the lead for the
- ECG Check the electrode attachment.
CHANGE first trace was detached for more than
5 s and the lead was changed to a
stable lead. 3
Contact your Nihon Kohden
Battery problems.
representative.
Battery pack is at the end of its useful Replace the battery pack with a
* BATTERY ERROR System
life. new one.
Insert the battery in the right
The battery is inserted backwards.
direction.
Switch to AC power and charge
* BATTERY WEAK System Battery pack is fully discharged.
the battery pack.
- CAL?? CO2 Zero calibration is not performed. Perform zero calibration.
CALIBRATION
- CO2 Calibration is complete. —
COMPLETE
CO2 with Calibrate again. If the problem
CALIBRATION
- TG-971T4/ Calibration failed. still occurs, contact your Nihon
FAILURE
TG-981T4 Kohden representative.
Do not touch the cuff during
NIBP zero balance adjustment is
NIBP zeroing and wait for the message
- CALIBRATING being performed.
to disappear.
CO2 Zeroing. Wait for the zeroing to complete.
Noise interference for more than 30 s
CANNOT
* ECG and heart rate cannot be counted and Remove noise.
ANALYZE
arrhythmia cannot be analyzed.
Measure by palpation or the
The patient’s pulse wave is small.
invasive blood pressure method.
NIBP
The cuff is not wrapped on the patient Wrap the cuff around the arm of
correctly. the patient properly
Check the patient condition,
Poor blood circulation for measuring
probe attachment or change the
the SpO2 value.
attachment site.
The probe is attached too tightly and
CANNOT DETECT Reattach the probe.
* is obstructing the blood circulation.
PULSE
The probe is not attached to the Attach the probe to the patient
SpO2 patient properly. properly.
One of the following messages is
displayed for 30 s.
Refer to the each screen message
• LIGHT INTERFERENCE section and remove the cause of
• CHECK PROBE SITE the alarm or message.
• DETECTING PULSE
Pulse rate can not be detected, and
CATHETER Check the patient condition and
* IBP mean pressure is lower than
DISCONNECT pressure measuring circuit.
10 mmHg.
CHANGE Replace the CO2 adapter with a
* CO2 The CO2 adapter is damaged.
ADAPTER new one.
Replace the probe with a new
Probe is past its expiration date.
one.
Replace the probe with a new
* CHANGE PROBE SpO2 Probe is damaged or short-circuited.
one.
Replace the SpO2 connection
SpO2 connection cord is damaged.
cord with a new one.

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3. FUNCTIONS AND OPERATION

Screen Message Parameter Possible Cause/Criteria Action

The ECG PATIENT CABLE is Connect the ECG PATIENT
detached from the electrode. CABLE to the electrode firmly.
The electrode cannot be attached Replace the electrode with a new
firmly to the skin. one.
The ECG PATIENT CABLE is Connect the ECG PATIENT
disconnected. CABLE.
Clean the ECG PATIENT
CHECK The contact between the lead and
* ECG CABLE clip or replace the
ELECTRODES electrode is poor.
electrode lead with a new one.
<ELECTRODES> setting on the Set the correct setting for
ECG window is not correct. <ELECTRODES>.
The ECG PATIENT CABLE is Replace the ECG PATIENT
damaged. CABLE with a new one.
Differential offset voltage at Replace the electrode with a new
electrodes. one.
Remove the cause by referring to
CHECK
* ECG Problems at the specified electrode. the “CHECK ELECTRODES”
ELECTRODE – –
message.
Check the patient condition and
CHECK INTERVAL NIBP is measured at 1-min intervals determine whether to continue
* NIBP
SETTING for more than 30 mins. measuring NIBP at 1-min
intervals.
CHECK PATIENT Patient type is adult, but cuff is for Check the patient type and cuff
* NIBP
TYPE neonate. type.
Connect the probe cable to the
The probe cable is disconnected from SpO2 connection cord. If SpO2
the SpO2 connection cord. monitoring is not necessary,
touch the [Silence Alarms] key.
The probe is not attached to the Attach the probe to the patient
* CHECK PROBE SpO2
patient properly. properly.
Replace the probe with a new
The probe is broken or short- one. If the message still appears,
circuited. replace the SpO2 connection
cord with a new one.
The probe is not attached at the Attach the probe to a site 6 to 14
CHECK PROBE appropriate site. mm thick.
* SpO2
SITE Replace the probe with a new
The probe is past its expiration date.
one.
Refer to the CO2 sensor kit
CO2 Insufficient sensor light. manual. If necessary, replace the
kit with a new one.
The blood pressure transducer is Connect the blood pressure
disconnected from the IBP connection transducer to the IBP connection
* CHECK SENSOR cord. cord properly.
IBP Malfunction of the blood pressure Replace the blood pressure
transducer. transducer with a new one.
Replace the IBP connection cord
The IBP connection cord is damaged.
with a new one.
CLOCK IC Contact your Nihon Kohden
* System The clock circuit is damaged.
FAILURE representative.
CLOSE PAPER Push the recorder door closed
- Recording The recorder door is open.
MAGAZINE until it clicks.
COMMUNICATION
* System Network is not connected. Connect to network.
LOSS

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 3. FUNCTIONS AND OPERATION

Screen Message Parameter Possible Cause/Criteria Action

Connect the probe cable to the
The probe cable is disconnected from SpO2 connection cord. If SpO2
the SpO2 connection cord. monitoring is not necessary,
touch the [Silence Alarms] key.
SpO2 Connect the SpO2 connection 3
cord properly. When SpO2
The SpO2 connection cord is
monitoring is not necessary,
disconnected from the SpO2 socket.
touch the [Silence Alarms] key
to silence the alarm.
Connect the CO2 sensor kit
properly. When CO2 monitoring
The CO2 sensor kit is disconnected
* CONNECTOR OFF is not necessary, press the
from the monitor.
CO2 [Silence Alarms] key to silence
the alarm.
Replace the CO2 sensor kit with
The CO2 sensor kit is damaged.
a new one.
Connect the IBP connection cord
properly. When IBP monitoring
The IBP connection cord is
is not necessary, press the
disconnected from the monitor.
IBP [Silence Alarms] key to silence
the alarm.
Replace the IBP connection cord
The IBP connection cord is damaged.
with a new one.
The cuff pressure does not decrease Check that the air hose is not
* CUFF OCCLUSION NIBP
after measurement has completed. bent or squeezed.
The network cable is not properly Connect the network cable to the
connected to the bedside monitor, hub bedside monitor, hub and central
and central monitor. monitor properly.
DATA SEND Replace the network cable with
- System The network cable is damaged.
ERROR a new one.
The bedside monitor is not registered
as a monitored bed on the central Check the probe attachment.
monitor.
The SpO2 value cannot be obtained
Check the probe attachment.
because the waveform is unstable.
Check the patient condition,
Poor blood circulation for measuring
probe attachment or change the
SpO2.
attachment site.
DETECTING
- SpO2 The probe is secured too tightly and is
PULSE Reattach the probe.
obstructing the blood circulation.
The probe is disconnected from the Connect the probe to the SpO2
SpO2 connection cord. connection cord.
The finger probe is not attached to the Attach the finger probe firmly to
patient properly. the patient.
DETECTED DISK Contact your Nihon Kohden
- System Data storage error
ERROR! representative.
DETECTED DISK Contact your Nihon Kohden
- System Data storage error
FULL! representative.
To unfreeze the waveforms:
• Touch anywhere on the screen.
- FREEZE All parameters The waveforms are frozen.
• The waveforms are unfreezed
3 mins after freezing.
When measuring an adult, ask
Enormous pressure was applied by
* HIGH CUFF PRESS NIBP the patient not to move too
the pressure of the cuff.
much.

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3. FUNCTIONS AND OPERATION

Screen Message Parameter Possible Cause/Criteria Action

INFLATION PRESS
- NIBP Insufficient cuff inflation pressure. Wait until the cuff pressure rises.
LOW
INFLATION TIME Venous puncture cuff inflation time is
- NIBP Restart venous puncture.
PASSED passed.
No recording paper. Load the recording paper.
INSERT REC
- Recording The recording paper is not loaded Correctly load the recording
PAPER
correctly. paper.
Started learning QRS for arrhythmia
- LEARNING ECG Wait for learning to finish.
analysis.
Remove light or cover the probe
Too much light on the probe.
site with a blanket.
LIGHT
* SpO2 Interference from surroundings. Remove the interference.
INTERFERENCE
The probe attachment site is not Attach the probe to an
appropriate. appropriate site.
Considerable body movement. When the message is displayed
LOW QUALITY frequently, check the patient
- SpO2 The probe is not attached to the
SIGNAL condition and, if necessary,
patient properly. change the attachment site.
If the cause is arrhythmia,
The measuring time exceeded the
measure by invasive blood
* MEAS TIMEOUT NIBP specified time due to arrhythmia or
pressure measurement. Remove
noise.
the cause if due to noise.
Contact your Nihon Kohden
NIBP Module malfunction.
representative.
Turn off the monitor power, wait
* MODULE ERROR for a few minutes and turn on
ECG ECG hardware malfunctions. the power again. If the message
still appears, contact your Nihon
Kohden representative.
An interbed device was turned off. Check the patient condition and
MONITOR OFF secure the patient safety. Then
- System An interbed device was disconnected
(interbed window) check that the system has no
from the network. trouble.
All parameters MPU circuit malfunction.
The monitor simulates the
temperature signal of 27 oC and
37 oC inside the monitor. Monitoring
this simulated signal periodically
MPU MODULE (every 1024 ms), the monitor self- Contact your Nihon Kohden
*
ERROR TEMP diagnoses the temperature signal representative.
processor part of the monitor. When
the monitor could not cover the 0 to
45 oC measurement range, a “MPU
MODULE ERROR” message is
displayed.
The baseline is not stable due to
Change the electrode position.
respiration or body movement.
Change the electrode position to
EMG noise is superimposed.
where there is less muscle.
Put some slack into the electrode
The electrode is pulled by the lead.
- NOISE ECG lead.
Replace the electrode with a new
The electrode is dry.
one.
Clean the electrode lead clip or
The contact between the lead and
replace the electrode lead with a
electrode is poor.
new one.

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 3. FUNCTIONS AND OPERATION

Screen Message Parameter Possible Cause/Criteria Action

Rub the skin with “skinPure”
High electrode impedance.
skin preparation gel.
An electric blanket is used. Use another warming method.
Equipment which emits strong Keep the interference source
electromagnetic interference is away from the monitor or turn 3
- Noise ECG nearby. e.g. ESU, cellular phone. off the emitter source power.
Connect the equipotential
ground terminal on the monitor
Equipotential grounding is not
to the equipotential ground
acquired.
terminal on the wall with the
grounding lead.
The measured value is outside the Check the measuring
measuring range. environment.
- OUT OF RANGE IBP
Malfunction of the blood pressure Replace the blood pressure
transducer. transducer with a new one.
PACING When the patient does not have
an implanted cardiac pacemaker,
(This message Paced QRS is detected.
set the pacing spike detection to
appears only OFF on the ECG window.
- when pacing spike ECG
detection on the An electric blanket is used. Use another warming method.
ECG window is set Set the pacing spike detection to
to ON.) ECG of a neonate is monitored.
OFF on the ECG window.
Connected cord or cable of the
PARAMETER NOT
* All parameters parameter is not available on the ––
AVAILABLE
monitor.
Check the cuff pressure before
starting measurements.
Measurement started before the
When measuring using the adult
- PLEASE WAIT NIBP cuff inflation pressure was deflated
cuff: below 15 mmHg
enough.
When measuring using the cuff
for neonates: below 3 mmHg
The cuff is not attached to the patient. Attach the cuff to the patient.
Wait for the patient to stop
REMEASURING Patient moved during measurement.
moving, and then measure again.
(Remeasurement
Measure by palpation or the
is automatically Patient’s pulse is too small.
invasive blood pressure method.
- performed. If NIBP
the message still The cuff is not attached properly. Attach the cuff properly.
appears, after
Check that the cuff of the correct
remeasurement, do The cuff size is not appropriate.
size is used.
the counter actions.)
Patient’s pulse and heart rate is Wait for the patient to relax and
unstable. stop moving.
When monitoring respiration
<IMPEDANCE MEASUREMENT> by impedance method is
- RESP OFF RESP
on the RESP window is set to OFF. necessary, set <IMPEDANCE
MEASUREMENT> to ON.
SAFETY CIRCUIT The hose is bent. Check that the hose is not bent.
RUNNING
The inflation time is too long. Stop measurement.
(When this message
* is displayed, NIBP
In auto mode measurement, the
measurement cannot cuff inflation started before the cuff Stop measurement.
be performed for deflation is complete.
40 s.)
Replace the CO2 sensor with a
* SENSOR ERROR CO2 CO2 sensor is damaged.
new one.

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3. FUNCTIONS AND OPERATION

Screen Message Parameter Possible Cause/Criteria Action

To monitor a patient, set
<SIMULATION MODE>
- SIMULATED DATA All parameters The displayed data is simulated data. to OFF on the SYSTEM
CONFIGURATION screen.
(Administrator setting)
The maximum blood pressure
exceeded 280 mmHg when using the Measure by palpation or invasive
* SYSTOLIC OVER NIBP
adult cuff, or 150 mmHg when using blood pressure measurement.
the neonate cuff.
The probe is disconnected from the Connect the probe to the TEMP
TEMP socket. socket.
Replace the probe with a new
* CHECK SENSOR TEMP The probe is damaged.
one.
The measured value is outside the
Check the probe attachment site.
measuring range.
TO ENABLE
TOUCH KEYS, Press the [POWER] key on the
- System Touch keys are disabled.
PRESS THE monitor.
POWER KEY.
Changing the parameter on the trend Wait until the message
- UPDATING DATA All parameters
screen. disappears.
Measure by palpation or the
The patient’s pulse wave is too small.
invasive blood pressure method.
- NIBP Wrap the cuff around the arm
The cuff is wrapped too loosely.
properly.
WEAK PULSE The cuff size is inappropriate. Use the appropriate cuff.
Check the patient condition and
Poor peripheral circulation.
change the attachment site.
- SpO2
The probe is attached too tightly and
Reattach the probe.
is obstructing the blood circulation.
ZERO Zero balance adjustment is Wait for the zero balance
- IBP
CALIBRATION performed. adjustment to complete.
ZERO
- IBP Zero imbalance is not adjusted. Adjust the zero imbalance.
IMBALANCE
Malfunction of the blood pressure Replace the blood pressure
ZERO OUT OF transducer. transducer with a new one.
- IBP
RANGE Contact your Nihon Kohden
Monitor malfunction.
representative.
Expose the circuit to air and
The circuit is not exposed to air
perform zero balance adjustment
during zero balance adjustment.
again.
- ZERO UNSTABLE IBP
Re-connect the circuit and
The pressure of zero balance is
perform zero balance adjustment
unstable.
again.

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 4 Monitoring
Parameters

ECG............................................................4-2 Temperature.............................................4-41
4

Preparation........................................................... 4-2 Preparation......................................................... 4-41

Monitoring Arrhythmia.......................................... 4-5 Using the Insulation Pad.................................... 4-42
Changing ECG Settings....................................... 4-7 Changing Temperature Settings....................4-42
Performing Check..........................................4-42
ECG 7-lead Display..................................4-11

Respiration...............................................4-12
Preparation......................................................... 4-12
Changing Respiration Settings........................... 4-13

CO2 (SVM-7603/7604/7623/7624)............4-14
Preparation......................................................... 4-16
Changing CO2 Settings...................................... 4-21
Use with Volatile Anesthetic Agents................... 4-22

SpO2 ........................................................4-23
Preparation......................................................... 4-25
Changing SpO2 Settings..................................... 4-27

NIBP.........................................................4-29
Preparation......................................................... 4-30
Changing NIBP Settings..................................... 4-32
Starting and Stopping NIBP Measurement........ 4-33

IBP (SVM-7603/7604/7623/7624)............4-36
Preparation......................................................... 4-36
Connecting Cables to the Unit............................ 4-36
Assembling the Transducer................................ 4-37
Adjusting Zero Balance...................................... 4-38
Changing IBP Settings....................................... 4-39
4. MONITORING PARAMETERS

ECG

Preparation
The following electrodes and leads are available for ECG monitoring.
Leads and No. of
Disposable Electrodes Patient Cable
Electrodes
3 BJ-753P (IEC)/BJ-753PA (AHA)
Vitrode L-150, L-150X
(I, II, III) (snap type)

5
BJ-755P (IEC)/BJ-755PA (AHA)
(I, II, III, aVR, aVL, Vitrode L-150, L-150X
(snap type)
aVF, V1 to V6)

To obtain a stable ECG:

• Shave excess hair.
• Rub the patient’s skin with a piece of cotton where the electrodes are to be
attached.
• If the skin is dirty, clean with soap and water. Dry completely.
• Clean the patient’s skin with a piece of cotton moistened with alcohol. Dry
completely.

WARNING
After attaching the electrode to the patient and connecting the cable
to the monitor, check that electrodes are attached to the patient and
check that the cable is connected to the monitor properly. When the
electrodes are removed from the patient, do not touch the metal part
of the electrode with bare hands or let the metal part of the electrode
contact the metal part of the bed or any other conductive parts.
Failure to follow this warning may cause electrical shock or injury to
the patient by discharged energy.

WARNING
When using a defibrillator together with the monitor, use Ag/AgCl
electrodes. Other types of electrodes, stainless steel in particular,
will adversely affect the ECG waveform by slowing the baseline
recovery on the monitor and result in no monitoring immediately
following defibrillation.

CAUTION
At the start of ECG monitoring, check that the dominant QRS is
appropriate. Otherwise arrhythmia monitoring may be inaccurate.

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 4. MONITORING PARAMETERS

CAUTION
Only use Nihon Kohden Malaysia products and specified parts and
accessories. When other electrodes are used, the “CHECK
ELECTRODES” message may appear and monitoring may stop.

CAUTION 4
When the “CHECK ELECTRODES” message is displayed, ECG is
not monitored properly and the ECG alarm does not function. Check
the electrode, electrode leads and connection cord, and if necessary,
replace with new ones.

CAUTION
When the “NOISE” or “CANNOT ANALYZE” message is displayed,
ECG data and alarm are not reliable. Remove the cause by checking
the electrodes, electrode leads, patient’s body movement, EMG and
peripheral instruments grounding. Also make sure that an electric
blanket is not used.

CAUTION
• Only use Nihon Kohden Malaysia specified electrodes. If other
electrodes are used, the electrode lead might not be properly
connected and ECG monitoring may be unstable.
• Do not use electrodes of different metals. ECG monitoring may
be unstable if electrodes of different metals are used.

CAUTION
During NIBP cuff inflation, heart rate counting accuracy is not
guaranteed by noise interference.

NOTE: When a line isolation monitor is used, noise from the line isolation
monitor may resemble actual ECG waveforms on the bedside
monitor and cause false heart rate alarms or no alarm at all.
When using 3 electrodes, one lead can be monitored. When using 5 electrodes, 2
leads can be monitored.

Use with an Electrosurgical Unit

For use with an electrosurgical unit (ESU), this monitor has a circuit to
protect the patient from skin burn and to reduce ESU interference on the ECG
waveform. However, the effectiveness of this circuit depends on electrode
position and monitor setup. With an ESU, pay attention to the following points.

WARNING
When performing defibrillation, only the patient cables of BJ-753P,
BJ-753PA, BJ-755P and BJ-755PA which are specified by Nihon
Kohden Malaysia can be used.

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4. MONITORING PARAMETERS

WARNING
When using the monitor with an ESU, locate the monitor and ESU
and ground the instruments properly. Check the ECG and value on
the monitor. Otherwise noise from the ESU may interfere with the
ECG and the heart rate and arrhythmia analysis may be incorrect.

WARNING
When the monitor 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 monitor, causing
electrical burn where the electrodes are attached. For details, refer
to the ESU manual.

• Arrangement
Install the monitor as far from the ESU as possible. If possible, locate them on
opposite sides of the operating table.
• Power supply
Noise from the ESU may interfere with the ECG signal through the AC power
line. Supply power to the monitor and ESU from different outlets located as far
from each other as possible. Do the equipotential grounding properly.

3 electrodes
3 electrodes

Power supply Power supply

Power supply and
and grounding and
Powergrounding
supply and for
grounding for ESU
for ESU monitor
grounding for monitor

ESU
ESU Operating
Operatingtable
table
SVM-7600 series
PVM-2701/2703 monitor
monitor

• Measure with 3-electrode lead

Use the minimum number of electrodes. Use new electrodes.
• Minimize noise
1. Select an ECG lead where the active ECG electrodes are located as far from
the incision as possible.
2. Position the + and – electrodes as close as possible.
3. Select the leads where the angle (θ) between the active electrodes and the
incision is as small as possible.
4. Set the electrosurgical return plate as close to the incision as possible.
As far as possible from electrode and
as near as possible to incision.

Return plate Incision

Make small

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 4. MONITORING PARAMETERS

• Set the following items on the ECG window.

FILTERS: MAXIMUM
SYNC SOURCE: SpO2

• Stop respiration monitoring

Noise is superimposed on the waveform and the respiration rate cannot be
monitored accurately in the impedance method. When monitoring respiration,
turn respiration monitoring off.
4

Monitoring Arrhythmia
The following arrhythmias are monitored.
Arrhythmia Name Description
ASYSTOLE Longer than 3 s to 10 s (selectable) with no QRS complex.
VF Ventricular fibrillation longer than 4 s.
Ventricular tachycardia. 3 to 9 or more consecutive VPCs when
VT
heart rate exceeding 100 beats/min.
VPC RUN VPC short run. 3 to 8 (selectable) consecutive VPCs.
TACHYCARDIA Heart rate above the upper heart rate limit.
BRADYCARDIA Heart rate below the lower heart rate limit.
COUPLET VPC couplet (paired VPCs). 2 consecutive VPCs.
Early VPC including R-on-T type. VPC with a time interval
from the preceding normal QRS complex of less than
EARLY VPC
approximately one-third of the normal R-R interval, at heart
rate dropping below 120* beats/min.
Ventricular bigeminy. 3 or more consecutive pairs of VPC and
BIGEMINY normal QRS. A dominant rhythm of N-V-N-V-N-V (N = normal
beat, V = ventricular beat)
Frequent VPCs. VPC rate (VPCs/min) reaching or exceeding
FREQ VPC
the preset limit of 1 VPC/min to 99 VPCs/min (selectable).
VPC Ventricular premature contraction.

* 120 beats/min when <PATIENT TYPE> is set to ADULT, 150 beats/min when
<PATIENT TYPE> is set to CHILD or NEONATE.
To monitor arrhythmia, <ARRHYTHMIA ANALYSIS> on the ECG page of the
PARAMETERS window on the SYSTEM SETUP window must be set to ON.

WARNING
For arrhythmia monitoring, set <ARRHYTHMIA ANALYSIS> on the
ECG page of the PARAMETERS window on the SYSTEM SETUP
window to ON. Otherwise, there is no sound or indication for
arrhythmia alarms (except for ASYSTOLE).

CAUTION
If there is any doubt about the arrhythmia analysis, make the monitor
relearn the patient’s ECG and check that the dominant QRS is
appropriate. Otherwise, an important arrhythmia may be overlooked.

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4. MONITORING PARAMETERS

Selecting the Patient Type

CAUTION
At the start of ECG monitoring, check that the correct patient type is
set for <PATIENT TYPE> on the ADMIT window. If an inappropriate
patient type is set, heart rate cannot be counted accurately and
noise or P waves may be counted as QRS and cardiac arrest may
be overlooked.

Select the patient type in the PATIENT TYPE window of ADMIT window. The
selected patient type is displayed on the home screen. This setting returns to the
master setting on the ARRHYTH page of the MASTER window when 30 mins
elapse after monitor power off.

Learning the ECG Waveform for Arrhythmia Detection

QRS annotation

Dominant QRS

To learn ECG for arrhythmia detection, touch the [LEARN] key on the ECG1
LEAD/SENSITIVITY FILTERS/LEARN window of the ECG window. The
dominant QRS is updated.

Checking the Dominant QRS

The dominant QRS and ECG of the selected first trace is displayed on the ECG1
LEAD/SENSITIVITY FILTERS/LEARN window. The monitor detects QRS of
the monitoring ECG and classifies them into templates. The monitor selects the
most typical QRS, called dominant QRS, and uses it for analyzing arrhythmia.
Whenever ECG is learned or relearned, the dominant QRS is refreshed.
The ECG on ECG1 LEAD/SENSITIVITY FILTERS/LEARN and ECG2 LEAD/
SENSITIVITY window are annotated by the following QRS classification.
QRS Annotation Description
N Normal QRS complex
P Paced QRS
V Ventricular premature contraction
? Impossible to classify or during learning.
– Impossible to classify due to noise interference.

If there is any doubt about the arrhythmia analysis, make the monitor relearn the
patient’s ECG and check the dominant QRS.
NOTE: The ECG waveform on the ECG window is delayed 5 s.

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 4. MONITORING PARAMETERS

Changing ECG Settings

NOTE: When performing defibrillation, set the <FILTERS> to MONITOR
or MAXIMUM. The waveform recovery may become slow due to
electrode polarization when DIAG is set.
Change settings on the ECG window. The following settings can be changed for
ECG monitoring.
• Heart rate, VPC and ST alarm limits and setting 4
• Monitoring lead
• ECG sensitivity
• Filter mode
• Learn ECG. Refer to the “Monitoring Arrhythmia” section.
• Check dominant QRS. Refer to the “Monitoring Arrhythmia” section.
• Pacing on or off
• Sync source
• Number of electrodes
• ECG measurement on or off
The following items can be set on the SYSTEM SETUP window.
• Auto lead change on/off when electrode is detached
• Arrhythmia analysis on/off. Refer to the “Monitoring Arrhythmia” section.
• Arrhythmia alarms
• ECG electrode lead type (IEC or AHA)
• Sync sound pitch (High, Middle, Low)
• Pacing mark on/off
• Pacing mark position
• Synchronize green alarm indicator lamp with QRS
• Monitoring lead name for V
• Cascade ECG waveform on or off
The ST level unit (mV or mm) can be set on the SYSTEM CONFIGURATION
screen.
The ECG sweep speed is the speed set for <SWEEP SPEED> on the DISPLAY/
SOUND window.

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4. MONITORING PARAMETERS

<ALARMS> Box
HR/PR alarm limits:
Set the upper and lower heart rate or pulse rate alarm limits.
VPC alarm limit:
Set the upper VPC alarm limit.
ST alarm limits:
Set the upper and lower ST alarm limits of the first and/or second
trace.

NOTE: VPC alarm limit can only be set when <ARRHYTHMIA

ANALYSIS> on the SYSTEM SETUP window is ON.

For details on how to change the limits, refer to “Alarm Setting” in the “Alarms”
section.

On the ARRHYTH ALARMS Window

WARNING
For arrhythmia monitoring, set <ARRHYTHMIA ANALYSIS> on the
ECG page of the PARAMETERS window on the SYSTEM SETUP
window to ON. Otherwise, there is no sound or indication for
arrhythmia alarms (except for ASYSTOLE).

CAUTION
When the alarm is turned OFF for an arrhythmia, there will be no
alarm for that arrhythmia type. There is no message or mark to
indicate that a certain arrhythmia alarm is turned off. Therefore, be
careful when you turn off an arrhythmia alarm.

Touch [ARRHYTH ALARMS] key in the <ALARMS> box to

display the ARRHYTH ALARM window.
Only you can check the settings. You need a password to change the
settings.

<SETUP> Box
ECG1 LEAD or ECG2 LEAD: Select the lead for ECG1 or ECG2 on the home
screen.
ECG1 SENSITIVITY or ECG2 SENSITIVITY: Select the sensitivity for ECG1
or ECG2 on the home screen.
FILTERS: Select the filter type.
DIAG: No filter. This mode is best for viewing the details of the waveform It is
similar to the real ECG. (0.05 Hz to 150 Hz)
MONITOR: Low-cut and high-cut filter. (0.3 Hz to 40 Hz)
MAXIMUM: Baseline drift-free, hum (AC) and high-cut filter. Appropriate when
there is noise from AC or ESU. (1 Hz to 18 Hz)

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 4. MONITORING PARAMETERS

NOTE • When performing defibrillation, set the <FILTERS> to

MONITOR or MAXIMUM. The waveform recovery may become
slow due to electrode polarization when DIAG is set.
• When DIAG is selected, the frequency response is 0.05 Hz to
150 Hz. Be aware of this when monitoring the ECG.
• The waveform may be distorted or the “CHECK ELECTRODES”
message may be displayed on the receiving monitor when the
waveform amplitude exceeds ± 5 mV. 4
PATIENT TYPE: The same as the patient type selected on ADMIT window.
PACING DETECT: Select ON when detecting pacing pulse.

WARNING
Turn the pacing pulse detection* to ON when monitoring a
pacemaker patient. Otherwise the pacemaker pulse is not rejected.
However, even when the pacing pulse detection is set to ON, the
pacemaker pulse might not be rejected. When the pacemaker pulse
is not rejected, the pacemaker pulse is detected as QRS and false
heart rate may be indicated or critical arrhythmia such as asystole
may be overlooked. Keep pacemaker patients under close
observation.

For the pacemaker pulse rejection capability of SVM-7600 series bedside

monitor, refer to the “Specifications - ECG” section.

WARNING
Even when the pacing pulse detection is set to ON, the pacemaker
pulse can be overlooked or detected as QRS. You cannot confirm
the pacemaker operation only from the detected pacemaker pulse.

NOTE: When you monitor a premature baby or infant and the monitor
miscounts the narrow width QRS, set PACING DETECT to OFF.
When PACING MARK is set to ON on the MAIN tab - ECG page -
PARAMETERS window - SYSTEM SETUP window, pacing mark is displayed
on the HOME screen.
For trace 1, when lead I, II, III or V is selected, the selected lead performs pacing
pulse detection. When lead aVR, aVF or aVL is selected, lead II performs pacing
pulse detection.
When PACING MARK POSITION is set to ABOVE WAVE.

When PACING MARK POSITION is set to OVERLAP WAVE.

SYNC SOURCE: Select sync sound source parameter.

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4. MONITORING PARAMETERS

NOTE • When heart rate is unstable because of an ESU, select SpO2 or

PRESS.
• When the connection cord of SpO2 or IBP of the arterial blood
pressure is disconnected from the monitor and an alarm occurs
when the sync source is set to SpO2 or PRESS, the sync
source changes to ECG when the alarm is silenced by pressing
the [Silence Alarms] key. The sync source returns to SpO2 or
PRESS when the SpO2 or IBP is monitored again. When using
IBP as the sync source, adjust zero balance.
• When the sensor is detached from the patient and alarm
occurs, and the sync source is set to SpO2 or PRESS, the sync
source does not change to ECG when the alarm is silenced,
and “- - -” is displayed for PR.
ELECTRODES: Select the type and number of electrodes.

• 3: Monitoring with 3 electrodes.

• 5: Monitoring with 5 electrodes.

ECG MEASUREMENT: Select ECG measurement on or off.

CAUTION
When the ECG measurement is OFF, ECG alarms do not occur
even if each ECG alarm item is set to ON.

NOTE • You cannot turn off the ECG measurement when ECG is
monitored.
• When ECG data is received, the ECG measurement is
automatically set to ON. If the ECG measurement does not
start, set ECG measurement to ON manually.
When the ECG measurement is turned off, other parameters are enlarged on the
home screen.
When the ECG measurement is turned off, SpO2 waveform is displayed instead
of ECG waveform on the home and large numerics screen.
When the ECG measurement is turned off, HR, VPC and ST on the TREND
TABLE, NIBP TABLE and TREND GRAPH window is not displayed. The SpO2
full disclosure waveform is displayed instead of ECG waveform on the FULL
DISC window.

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 4. MONITORING PARAMETERS

ECG 7-lead Display

1 Touch [7 LEAD] key on the MENU window to display ECG 7-lead screen.
Waveforms of ECG 7-lead can be displayed (I, II, III, aVR, aVL, aVF and V
lead*).

2 Touch [HOME] key or blank area on the screen to return to home screen.
NOTE: ECG 7-lead can be displayed only in 5-electrode mode. For
details on setting of 5-electrode, refer to “ECG” section.

* The V lead label can be set in “V-LEAD” window of SYSTEM SETUP →

PARAMETERS → ECG.

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4. MONITORING PARAMETERS

Respiration

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
cardiac monitoring and diagnostic equipment which is connected to
the same patient. If this occurs, the pacemaker may pace at its
maximum rate and give incorrect data to the monitor or diagnostic
equipment. In this case, set the IMPEDANCE MEASUREMENT on
the RESP window to OFF on the bedside monitor.

CAUTION
Measurement might not be performed correctly in environments with
rapid temperature change and much condensation.

* 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.

Preparation
Electrode lead and position

R/RA L/LA R/RAR/RA L/LA

L/LA R/RAR/RA L/LA L/LA R/RA L/LA

F/LL F/LL
F/LL F/LLF/LL F/LL

Standard R-F/RA-LL R-F/RA-LL with higher

F/LL position

Attach electrodes to the patient and connect the ECG PATIENT CABLE to the
ECG/RESP socket on the left side panel of the monitor. Attach R and F (RA and
LL) with the lungs between the electrodes.

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 4. MONITORING PARAMETERS

Changing Respiration Settings

Change settings on the RESP window. The following settings can be changed for
respiration monitoring.
• Respiration rate and apnea alarm limits
• Respiration sensitivity
• Respiration waveform sweep speed 4
• Turning respiration monitoring on/off
Respiration waveform sweep speed also can be set on the DISPLAY/SOUND
window.
The noise reduction for respiration monitoring can be turned on or off and
respiration data display color can be set on the SYSTEM SETUP window. When
patient is neonate, the noise reduction for respiration monitoring should be set to
ON.

<ALARMS> Box
RR alarm limits:
Set the upper and lower respiration rate alarm limits.
APNEA alarm limit:
Set the apnea alarm limit.

<SETUP> Box
RESP LEAD/SENSITIVITY:
Select sensitivity for respiration waveform on the home screen
These settings are for CO2 monitoring. and recording paper.
IMPEDANCE MEASUREMENT:
Select respiration monitoring in impedance method on/off.
RESP SWEEP SPEED (SVM-7601/7602/7621/7622) or RESP/CO2
SWEEP SPEED (SVM-7603/7604/7623/7624):
Select the respiration waveform sweep speed.

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4. MONITORING PARAMETERS

CO2 (SVM-7603/7604/7623/7624)
CO2 monitoring by the mainstream method is performed by connecting the
TG-901T4, TG-921T4, TG-971T4 or TG-981T4 CO2 sensor kit to the patient’s
respiration circuit or directly to the patient and connect the CO2 sensor kit to the
CO2 socket on the monitor. When monitoring with the TG-971T4/TG-981T4
CO2 sensor kit, FiCO2 is also monitored.

Semi-quantitative method using the TG-901T4/TG-921T4

CO2 sensor kit
Measurements are based on the assumption of no CO2 gas in the inspiration.
The CO2 concentration in the respiration is calculated by taking the CO2
concentration in the inspiration as 0 mmHg (0 kPa).

Quantitative method using the TG-971T4/TG-981T4 CO2

sensor kit
The CO2 partial pressure in both inspiration and expiration is measured.

WARNING
With the TG-901T4 CO2 sensor kit, measurements are based on the
assumption of no CO2 gas in the inspiration. The CO2 concentration
in the respiration is calculated by taking the CO2 concentration in the
inspiration as 0 mmHg. Therefore, measuring CO2 by connecting the
CO2 sensor kit to a Jackson Rees circuit, Mapleson D circuit or any
other respiration circuit where CO2 gas may be present during
inspiration may result in the acquired data being lower than the
actual value.

WARNING
The CO2 sensor kit cannot correctly measure the ETCO2 value and
respiration rate during high frequency oscillation (HFO). Do not
diagnose the patient from the ETCO2 Value and respiration rate.

CAUTION
With the TG-921T4 CO2 sensor kit, measurements are based on the
assumption of no CO2 gas in the inspiration. The CO2 concentration
in the respiration is calculated by taking the CO2 concentration in the
inspiration as 0 mmHg (0 kPa). Therefore, measuring CO2 of a
patient with an oxygen mask where CO2 gas may be present in the
inspiration gas may result in the acquired data being lower than the
actual value.

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 4. MONITORING PARAMETERS

CAUTION
The TG-901T4 and TG-921T4 CO2 sensor kits do not adjust the
measurement value to compensate for different atmospheric
pressure. Be careful of reading the value when using the CO2 sensor
kit at high altitudes because the measurement value may be
inaccurate.
4
The measurement value drops 0.13 kPa (1 mmHg) for 5.33 kPa (40 mmHg) CO2
gas when an atmospheric pressure drops 3.3 kPa.

CAUTION
With the TG-971T4/TG-981T4 CO2 sensor kit, measured value may
be incorrect when the operating temperature changes greatly. In this
case, wait for about 30 mins to acquire correct measurement.

NOTE: When using N2O anesthetic gas (nitrous oxide), set the gas
composition on the CO2 GAS COMP window.

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4. MONITORING PARAMETERS

Preparation
Connect the CO2 sensor kit to the CO2 socket on the monitor and connect the
airway adapter to the CO2 sensor.

Types of CO2 Sensor Kit

Model Method Attachment
TG-901T4 Semi-quantitative Used on an intubated patient
Attach to the patient nose or used on an
TG-921T4 Semi-quantitative
intubated patient
Used on an intubated patient with
TG-971T4 YG-211T/213T/ 214T
Quantitative
TG-981T4 Used on a non-intubated patient with
YG-232T/242T/ 272T/282T/227T

The CO2 sensor kit requires an airway adapter or nasal adapter.

Dead
CO2 Airway Adapter / Nasal Code
Weight space
sensor kit Adapter No.
volume
TG-901T4 YG-101T airway adapter 10 kg or more 5 mL R801
YG-111T airway adapter 7 kg or more 4 mL R804
YG-120T nasal adapter V921
TG-921T4
YG-121T nasal adapter 10 kg or more 1.2 mL V922
YG-122T nasal adapter V923
YG-211T airway adapter for adult 7 kg or more 4 mL R805
YG-213T airway adapter - 0.5 mL R806
YG-214T airway adapter - 1.8 mL R807
YG-227T adult cap-ONE biteblock - - V939
TG-971T4
TG-981T4 YG-232T pediatric cap-ONE mask 20 to 40 kg 3.5 mL V933
YG-242T infant cap-ONE mask 7 to 20 kg 2.5 mL V935
YG-272T adult cap-ONE mask 30 kg or more 7 mL V938A
YG-282T adult cap-ONE mask
40 kg or more 10 mL V938C
(large)

WARNING
When using the airway adapter or nasal adapter on a patient with
low ventilatory volume, the CO2 may mix in the inspiration due to the
airway adapter’s dead space volume, resulting in inaccurate
measured values or difficulty in detecting apnea. Perform ventilation
taking into consideration the dead space volume.

CAUTION
When the “CHANGE ADAPTER” or “SENSOR ERROR” message is
displayed, check the CO2 sensor kit and replace it if necessary. CO2
cannot be monitored while the message is displayed.

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 4. MONITORING PARAMETERS

CAUTION
Select the airway adapter or nasal adapter taking into consideration
the patient weight and ventilation volume. If an inappropriate airway
adapter or nasal adapter is used, the resistance in the respiration
circuit increases and it causes incorrect measurement value.

4
CAUTION
The CO2 data may be inaccurate when monitoring a patient with an
extremely high respiration rate or irregular respiration. Read the
measured values carefully.

CAUTION
When monitoring CO2, make sure that the gas composition is
entered. Otherwise the measurement result may be inaccurate.

CAUTION
When using an anesthetic instrument with a volatile anesthetic
agent, the CO2 measurement may be inaccurate.

NOTE • The measurement may be inaccurate in the following

conditions. Read the measured values carefully.
• in environments with high concentration nitrous oxide gas.
• in environments with sudden temperature changes.
• in environments with severe humidity.
• For intubated patients, connect the CO2 sensor as in the
following example so that the sensor does not touch the patient.

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4. MONITORING PARAMETERS

Connection example

For non-intubated
For intubated patients
patients
TG-901T4 TG-921T4
Nasal adapter

Straight type
tracheal tube
Elbow type
tracheal tube

TG-921T4 TG-971T4/TG-981T4
YG-111T airway adapter

TG-971T4/TG-981T4

Using the TG-921T4 CO2 sensor kit

WARNING
The only oxygen cannula that can be used with YG-122T is
manufactured by HUDSON RCI®. Do not use any other oxygen
cannula. Other oxygen cannulas cannot be attached and oxygen
cannot be delivered to the patient through the nostrils.

WARNING
• When you use YG-122T together with an oxygen cannula, check
that the oxygen cannula is correctly attached on the patient
by referring to other parameters and by observing the patient
periodically.
• If arterial oxygen partial pressure does not increase, immediately
stop using the oxygen cannula with the CO2 sensor kit and select
another way to supply oxygen.

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 4. MONITORING PARAMETERS

WARNING
Check that the oxygen cannula tube is not bent, broken, or blocked
by the nasal tube. If the ends of the oxygen cannula tube turn too far
up or down, it causes insufficient O2 supply or the CO2 value may be
incorrect.

4
CAUTION
When using the YG-121T/YG-122T nasal adapter on a patient with
bleeding disorder, poor general medical condition or malnutrition,
observe the patient condition all the time. The mouth guide touches
the mouth and may cause pressure sores.

Performing Calibration
When using the TG-971T4/TG-981T4 CO2 sensor kit, perform zero calibration
in the following conditions before connecting the CO2 sensor to the respiration
circuit.
• When the airway adapter is replaced with a new one.
• When a different type of airway adapter is used.
• When the operating temperature changes.
• When the measurement room is changed.
• Whenever necessary.

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4. MONITORING PARAMETERS

On the CO2 ZERO CAL Window

Zero calibration can be performed in two ways: calibration with air and
calibration with N2 gas. Both methods are performed on the RESP/CO2 window.
• Calibration with air

1 Touch the [AIR CAL] key.

2 Expose the airway adapter to air.

3 Touch the [YES] key. The CO2 sensor is calibrated with about 0.2 mmHg
(0.03 kPa) CO2 in the air.
• Calibration with N2 gas

1 Touch the [N2 ­CAL] key.

2 Flow N2 gas into the airway adapter.

3 Touch the [YES] key. The CO2 sensor is calibrated.

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Changing CO2 Settings

Change the settings on the RESP/CO2 window. The following settings can be
changed for CO2 monitoring.
• Scale
• Respiration rate, apnea and CO2 alarm settings
• Inspiration composition 4
• CO2 waveform sweep speed
• CO2 max hold setting
The CO2 waveform sweep speed can also be set on the DISPLAY/SOUND
window.
The CO2 unit can be set to mmHg or kPa on the SYSTEM CONFIGURATION
screen.
The CO2 data display color can be set on the SYSTEM SETUP window.

On the RESP/CO2 Window

<ALARMS> Box
RR alarm limits:
Set the upper and lower respiration rate alarm limits.
APNEA alarm limit:
Set the apnea alarm limit.
CO2 (E) alarm limits:
Set the upper and lower expired CO2 alarm limits.
CO2 (I) alarm limits:
Set the upper inspired CO2 alarm limits when monitoring CO2
with TG-971T4/TG-981T4 CO2 sensor kit.

<SETUP> Box

RESP/CO2 SWEEP SPEED: Select the CO2 waveform sweep speed.

CO2 SCALE: Set the scale for the CO2 waveform on the home screen.
Perform zero calibration when using TG-971T4/
CO2 ZERO CAL: TG-981T4 CO2 sensor kit. Refer to “Performing
Calibration”.
When using anesthetic gas or a respirator, set the
CO2 GAS COMP:
inspiration composition.

CAUTION
When monitoring CO2, make sure that the gas composition is
entered. Otherwise the measurement result may be inaccurate.

CAUTION
When using an anesthetic instrument with a volatile anesthetic
agent, the CO2 measurement may be inaccurate.

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4. MONITORING PARAMETERS

MAX HOLD: Select the time for holding the maximum ETCO2 value. This
setting is effective only when using the TG-971T4/TG-981T4 CO2 sensor
kit. When using the TG-901T4 or TG-921T4 CO2 sensor kit, this item is
automatically set to OFF..

Use with Volatile Anesthetic Agents

CAUTION
When using an anesthetic instrument with a volatile anesthetic
agent, the CO2 measurement may be inaccurate.

Volatile anesthetic agents affect the CO2 value. Be aware of this when using
volatile anesthetic agent.
Example: At 1 atmospheric pressure, 5 % (38 mmHg, 5.07 kPa) CO2 and N2
mixture gas, no condensation.
Difference
Anesthetic Gas Concentration TG-971T4/
TG-901T4 TG-921T4
TG-981T4
+0.9 mmHg +0.9 mmHg +0.3 mmHg
Halothane 4%
(+0.12 kPa) (+0.12 kPa) (+0.04 kPa)
+1.5 mmHg +1.5 mmHg +0.9 mmHg
Enflurane 5%
(+0.20 kPa) (+0.20 kPa) (+0.12 kPa)
+1.8 mmHg +1.8 mmHg +1.7 mmHg
Isoflurane 5%
(+0.24 kPa) (+0.24 kPa) (+0.22 kPa)
+2.8 mmHg +2.8 mmHg +2.1 mmHg
Sevoflurane 6%
(+0.37 kPa) (+0.37 kPa) (+0.28 kPa)
+7.0 mmHg +6.6 mmHg
24 % -
(+0.93 kPa) (+0.88 kPa)
Desflurane
+6.6 mmHg +5.4 mmHg +2.9 mmHg
15 %
(+0.88 kPa) (+0.72 kPa) (+0.39 kPa)

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 4. MONITORING PARAMETERS

SpO2

WARNING
SpO2 measurement may be incorrect in the following cases.
• When the patient’s carboxyhemoglobin or methemoglobin
increases abnormally. 4
• When dye is injected in the blood.
• When using an electrosurgical unit.
• During CPR.
• When measuring at a site with venous pulse.
• When there is body movement.
• When the pulse wave is small (insufficient peripheral circulation).

WARNING
Check the circulation condition by observing the skin color at the
measurement site and pulse waveform. Change the measurement
site every 8 h for disposable probes and every 4 h for reusable
probes. The skin temperature may increase at the attached site by
2 o C or 3 o C (4 oF or 5 oF) and cause a burn or pressure necrosis.
When using the probe on the following patients, take extreme care
and change the measurement site more frequently according to
symptoms and degree.
• Patient with a fever
• Patient with insufficient peripheral circulation
• Neonate or low birth weight infant with delicate skin

WARNING
• When using the TL-201T finger probe, do not fasten the probe
and cable to the finger by wrapping with tape. This may cause
burn, congestion or pressure necrosis from poor blood circulation.
• When using probes other than the TL-201T finger probe, to avoid
poor circulation, do not wrap the tape too tight. Check the blood
circulation condition by observing the skin color and congestion at
the skin peripheral to the probe attachment site. Even for short-
term monitoring, there may be burn or pressure necrosis from
poor blood circulation, especially on neonates or low birth weight
infants whose skin is delicate. Accurate measurement cannot be
performed on a site with poor peripheral circulation.

WARNING
When not monitoring SpO2, disconnect the SpO2 connection cord
from the SpO2 socket. Otherwise, noise from the probe sensor may
interfere and incorrect data is displayed on the screen.

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4. MONITORING PARAMETERS

WARNING
When monitoring SpO2 of a patient who is receiving photodynamic
therapy, the light from the finger probe sensor may cause a burn.
Photodynamic therapy uses a photosensitizing agent that has a side
effect of photosensitivity.

The SpO2 probe manufactured by Nihon Kohden Malaysia have two wavelengths
with peaks in the range of 650 nm and 950 nm. The maximum light intensity is
less than 5.5 mW/sr.

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 pulse waves and the
displayed data may be incorrect.

CAUTION
Normal external light does not affect monitoring but strong light such
as a surgical light or sunlight may affect monitoring. If affected, cover
the measuring site with a blanket.

CAUTION
While a patient is on medication which causes vasodilation, the
pulse waveform may change and in rare cases the SpO2 value might
not be displayed.

CAUTION
Only use the specified probes. Otherwise, SpO2 cannot be
monitored.

CAUTION
When monitoring SpO2 only (without ECG monitoring), turn on both
the upper and lower limit alarms for PR and SpO2. If the patient’s
pulse is not detected during asystole or other condition, a “CANNOT
DETECT PULSE” or “CHECK PROBE” alarm occurs instead of an
SpO2 limit alarm. Furthermore, if the patient has no pulse, noise from
probe movement could be misjudged as a pulse and cause an
incorrect PR or SpO2 value to be displayed.

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 4. MONITORING PARAMETERS

CAUTION
When monitoring SpO2 only, detection of arrhythmia and asystole is
not available, and arrhythmia alarms such as ASYSTOLE, VF or VT
are not available, either. If the patient requires ECG monitoring,
monitor the ECG.

NOTE: Do not attach the probe to the same limb that is used for NIBP 4
measurement. The SpO2 measurement may be incorrect.

Preparation
SpO2 connection cord

Probe connector

Select the appropriate probe according to purpose. Connect the probe to the JL-
701P SpO2 connection cord and connect the SpO2 connection cord to the SpO2
socket on the left side panel of the monitor.
The TL-651S finger probe can be directly connected to the SpO2 socket.

Reusable Probes
Attachment
Model Patient (Weight)
Site
Finger Probe Adults, children
Finger
TL-201T (Weight more than 20 kg)
Adults, infants
Finger or toe
Multi-site (Weight more than 3 kg)
Probe TL-220T Adults, children
Instep and
(Weight less than 3 kg) sole

Finger Probe Adults, children

Finger
TL-651S (Recommanded thickness of finger: 9 mm ~ 13 mm)

CAUTION
When the probe is attached on an appropriate site with sufficient
circulation and an error message about probe attachment repeatedly
appears, the probe may be deteriorated. Replace it with a new one.

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4. MONITORING PARAMETERS

CAUTION
When a message indicates a faulty probe or faulty SpO2 connection
cord, stop monitoring and replace the probe or SpO2 connection cord
with a new one.

CAUTION
If the attachment site is dirty with blood or bodily fluids, clean the
attachment site before attaching the probe. If there is nail polish on
the attachment site, remove the polish. Otherwise, the amount of
transmitted light decreases, and measured value may be incorrect or
measurement cannot be performed.

CAUTION
Do not pull or bend the probe cable, and do not put caster feet on
the probe cable. Do not immerse the probe cable in chemical
solutions or water. Failure to follow these instructions may cause
cable discontinuity, short circuit, skin burn on the patient and
incorrect measurement data. Replace any broken probe with a new
one.

CAUTION
When removing a probe that is taped to the skin, do not pull the
probe cable because this can damage the cable.

CAUTION
Neonatal skin is delicate. Remove the probe (and tape) carefully and
slowly.

CAUTION
Do not use a damaged or disassembled probe. It causes incorrect
measurement and may injure the patient.

CAUTION
If the skin gets irritated or redness appears on the skin from the
probe, change the attachment site or stop using the probe. Take
extreme care for the patients with delicate skin.

NOTE • In order to maintain sufficient blood circulation, keep the

measurement site warm by covering with a blanket or
something similar. Warming the site is effective, especially for a
patient with small pulse amplitude.
• Connect the probe and SpO2 connection cord until the SpO2
connection cord clicks into place.

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 4. MONITORING PARAMETERS

Changing SpO2 Settings

Change settings on the SpO2 window. The following settings can be changed for
SpO2 monitoring.
• SpO2 and pulse rate alarm limits
• Pulse waveform sensitivity
• Sync source 4
• Sync sound pitch
• Response mode
• Sensitivity mode
The SpO2 data display color can be set on the SYSTEM SETUP window.
Different colors can be set for SpO2 and SpO2-PR.
The SpO2 pulse waveform sweep speed is the speed set for <SWEEP SPEED>
on the DISPLAY/SOUND window.

<ALARMS> Box
SpO2 alarm limits:
Set the upper and lower SpO2 alarm limits.
HR/PR alarm limits:

Set the upper and lower heart rate or pulse rate alarm limits.

<SETUP> Box
SENSITIVITY:
Select sensitivity for pulse waveform on the home screen.
SYNC SOURCE:
Select sync sound source parameter.

NOTE • When heart rate is unstable because of an ESU, select SpO2 or

PRESS.
• When the connection cord of SpO2 or IBP of the arterial blood
pressure is disconnected from the monitor and an alarm occurs
when the sync source is set to SpO2 or PRESS, the sync
source changes to ECG when the alarm is silenced by pressing
the [Silence Alarms] key. The sync source returns to SpO2 or
PRESS when the SpO2 or IBP is monitored again. When using
IBP as the sync source, adjust zero balance.
• When the sensor is detached from the patient and alarm
occurs, and the sync source is set to SpO2 or PRESS, the sync
source does not change to ECG when the alarm is silenced,
and “- - -” is displayed for PR.

SYNC PITCH: Select sync pitch from FIXED, SpO2 or PRESS1. When SpO2 is
selected, the sync pitch changes in 20 steps from 81 % SpO2 to 100 %
SpO2.
RESPONSE: Select the response mode.
FAST: Select this for special applications that require a fast response. “Fast” is
suitable for detecting short apnea.
NORMAL: For normal monitoring.
SLOW: Select this to suppress rapid changes in SpO2.

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4. MONITORING PARAMETERS

For details on the response time, refer to the SpO2 specifications in this manual.

NOTE: The pulse wave amplitude varies according to the pulsation

component ratio of the whole transmitted IR signal. When the
pulsation component ratio is 1 %, the pulse wave amplitude
becomes about 10 mm at ×1 setting on the display.
SENSITIVITY MODE: Select the sensitivity mode for SpO2.

MAX: This mode should be used for a critical patient, where obtaining a reading
is most difficult. MAX mode is designed to interpret and display data
for even the weakest of signals. This mode is recommended during
procedures and when clinician and patient contact is continuous.
NORMAL: This mode provides the best combination of sensitivity and probe-off
detection performance. This mode is recommended for most patients.

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 4. MONITORING PARAMETERS

NIBP
The NIBP measurement is suitable for use in presence of electrosurgery and
during the discharge of a cardiac defibrillator. This monitor complies with
IEC 80601-2-30: 2009.

WARNING 4
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 the cuff is
attached.

WARNING
Do not attach the NIBP cuff on a wounded area. It may make the
wound worse.

WARNING
Do not attach the NIBP cuff on a limb which is being used for
intravascular access or therapy, or an arterio-venous (A-V) shunt. It
may cause reflux of blood or medicinal solution or block injection of
medicinal solution due to poor blood circulation.

WARNING
NIBP measuring can not be used with pregnant, including pre-
eclamptic patients. NIBP measurement may be incorrect in the
following cases.
• When using an electrosurgical unit
• When there is body movement
• When the pulse wave is small (insufficient peripheral circulation)
• Too many arrhythmias
• When there is vibration
• When there is a rapid blood pressure change
• During CPR
• When the pulse is too late
• When blood pressure is too low
• When the cuff is wrapped too tight or too loose
• When the size of the cuff is not proper
• When the cuff is wrapped over thick cloth
• When the cuff is deteriorated
• When using with pregnant, including pre-eclamptic patients

WARNING
Do not attach the NIBP cuff on an arm which is the same side as a
mastectomy. It may cause circulatory disorder such as swelling from
poor blood circulation.

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4. MONITORING PARAMETERS

WARNING
While measuring NIBP, if the NIBP cuff and other medical equipment
are attached to the same limb, the medical equipment might not
function temporarily.

NOTE: Do not measure NIBP on a patient on whom an IABP is used.

Accurate NIBP measurement cannot be performed due to pulse
waves from the IABP mixing with the patient’s pulse waves.

Preparation
Select the appropriate cuff according to the patient. A YN-701S air hose is
required. When using cuff for neonates, a YN-721S air hose is required.

Reusable Cuffs
Applicable Circumference
Cuff Width (cm)
(cm)
For infants YP-710T 5 8 to 13
For children Standard YP-711T 7 13 to 18
Small YP-712T 10 18 to 23
For adults Standard YP-723T 13 23 to 33
Large YP-724T 16 33 to 45
For thigh YP-715T 19 45 to 55

Disposable Cuffs
Applicable
Cuff Width (cm)
Circumference (cm)
YP-820S 2 3 to 6
YP-821S 3 4 to 8
Neonates (Non-sterilized) YP-822S 4 6 to 10
YP-823S 4.5 7 to 13
YP-824S 5 8 to 15

Connect the air hose to the NIBP socket on the left side panel of the monitor.
Before air hose for neonate is connected, change the patient type to NEONATE.

CAUTION
Firmly connect the air hose to the NIBP socket on the monitor until it
clicks. At the start of NIBP measurement, check if the cuff type
corresponds to the type displayed on the monitoring screen.

CAUTION
When too much pressure is applied to the cuff, or the hose is bent or
squeezed, the “NIBP SAFETY CIRCUIT RUNNING” message
appears on the screen and NIBP monitoring may be stopped.
Remove the cause, wait 40 s, check that the message disappears,
then measure again.

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 4. MONITORING PARAMETERS

CAUTION
Do not wrap the cuff too tight. It may cause poor blood circulation
and congestion. If the cuff is wrapped too loosely, the NIBP value
may increase.

CAUTION 4
Do not wrap the cuff on an arm or thigh which is used for injection.
NIBP measurement on an arm or thigh which is used for injection
may cause reflux of blood and stop injection.

CAUTION
Only connect the air hose to the cuff and NIBP socket on the
monitor. Do not connect the air hose, especially the air hose for
neonate, to other parts, such as an infusion line. It may cause
thrombus.

CAUTION
The non-sterilized disposable cuffs for neonates cannot be sterilized.
If necessary, use sterilized disposable cuffs for neonates.

CAUTION
Measuring mode of Neonate/Child/Adult can not be changed
automatically. It should be set in PATIENT TYPE of ADMIT window.

CAUTION
Please select appropriate cuff according to patient. If inappropriate
cuff is used, the measuring value may be incorrect.

CAUTION
Before start monitoring, check whether the patient type (ADULT/
CHILD/NEONATE) is right or not. If the patient type is not right, NIBP
value or heart rate may be incorrect, and noise and P wave may be
detected as a QRS wave. Moreover, the NIBP initial cuff pressure
may also be incorrect.

CAUTION
An air hose for adult cannot be inserted into the cuff for neonate. The
cuff for neonate can only be connected to the air hose for neonate.

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4. MONITORING PARAMETERS

Changing NIBP Settings

Change settings on the NIBP window. The following settings can be changed for
monitoring NIBP.
• NIBP alarm limits
• Measurement mode and interval
• Initial cuff pressure
• Venous puncture (When the VENOUS PUNCTURE is ON on the SYSTEM
SETUP window.)
The following items can be set on the SYSTEM SETUP window.
• Measurement end sound
• NIBP pulse rate display on/off
• Interval mode for auto measurement (CLOCK/PERIOD)
• Measurement interval which can be called up by the [NIBP Interval] key on
the screen
• Dim or hide the old measurement data
• Measurement program for STAT and SIM modes
• Venous puncture mode on/off and cuff inflation pressure for venous puncture
• NIBP measurement on vital sign alarm on/off
• Measurement mode after the monitor power is off for more than 30 mins or the
monitor is initialized
• NIBP data and NIBP pulse rate display color
The NIBP unit (mmHg or kPa) is the same as the blood pressure unit. The
pressure unit is set on the SYSTEM CONFIGURATION screen.

<ALARMS> Box
SYS alarm limits:
Set the upper and lower systolic alarm limits.
DIA alarm limits:
Set the upper and lower diastolic alarm limits.
MAP alarm limits:
Set the upper and lower mean alarm limits.

<SETUP> Box

MEASUREMENT INTERVAL: Select the NIBP measurement mode.

INITIAL CUFF PRESSURE: Set the initial cuff inflation pressure.
When the air hose for neonate is used,
the patient type should be changed on
the ADMIT window, and the pressure
will shift to the value for neonate.
VENOUS PUNCTURE: Start/stop venous puncture mode with
the [START] and [STOP] keys on the
window. (When VENOUS PUNCTURE
is set to ON on the SYSTEM SETUP
window.)

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 4. MONITORING PARAMETERS

Starting and Stopping NIBP Measurement

After selecting measurement mode and interval, touch the NIBP [Start/Stop] key
on the screen.
To stop the measurement, touch the NIBP [Start/Stop] key again. The cuff
deflates.
When SYSTEM SETUP window is displayed, NIBP measurement Start/Stop
cannot be performed and alarm sound is silenced. 4

WARNING
When performing long term measurement at intervals less than
2.5 mins, perform measurements while observing the state of the
patient, blood vessels and limb to ensure adequate circulation.
Congestion may occur at the measurement site. When performing
periodic measurement for a long time, periodically check the
circulation condition.

CAUTION
When too much pressure is applied to the cuff, or the hose is bent or
squeezed, the “NIBP SAFETY CIRCUIT RUNNING” message
appears on the screen and NIBP monitoring may be stopped.
Remove the cause, wait 40 s, check that the message disappears,
then measure again.

CAUTION
Before starting STAT or SIM mode measurement, check the
measurement setting (measurement intervals).

NOTE • When measuring patients who are conscious, help the patient
to relax. Measurement may not be accurate if the patient’s arm
is tense or if the patient talks.
• Measurement may not be accurate if the patient moves his
body or do some exercise.
• The data for measurement on the thigh tends to be higher than
measurement on the arm.
• Do not apply pressure to the cuff or air hose. NIBP might not be
measured correctly because of the noise or NIBP measurement
may stop due to the NIBP safety circuit running.
• Do not bend or apply pressure on the air hose. It may cause
noise and NIBP might not be measured correctly.
• Measurement may be affected by extremes of temperature,
humidity and altitude. To obtain correct measurement, please
use the monitor and accessories in the specified conditions.

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4. MONITORING PARAMETERS

Measurement Mode and Interval

There are four NIBP measurement modes: manual, auto (periodic, vital sign
alarm occurrence), STAT (continuous) and SIM.

Manual Measurement
NIBP is measured once whenever the NIBP [Start/Stop] key on the screen is
touched. Manual measurement cannot be performed during the first stage of the
STAT or SIM mode measurement.

Auto Measurement
The first NIBP measurement is performed when the NIBP [Start/Stop] key on the
screen is touched. The second measurement is performed when the current time
(mins) in the monitor reaches the nearest time interval selected.

Auto Measurement on Vital Sign Alarm

When <NIBP MEAS ON VITAL ALARM> on the NIBP page of the
PARAMETERS window on the SYSTEM SETUP window is set to ON,
measurements are performed when a vital sign alarm occurs.

STAT Measurement
Measurements are performed continuously according to the measurement
program set for STAT measurement on the STAT tab on the NIBP page of the
PARAMETERS window in the SYSTEM SETUP window. The program is
divided into two stages. In the first stage, NIBP is measured continuously or at
1 min intervals for 5 mins or 10 mins. In the second stage, NIBP is measured
at a different interval (manual or 1 min, 2 mins, 2.5 mins, 5 mins, 10 mins, 15
mins, 30 mins, usually, longer interval than the first stage). Manual measurement
cannot be performed during first stage measurement.

SIM Mode Measurement

CAUTION
For safety during lumbar anesthesia, NIBP SIM mode measurement
is recommended by medical policy in Japan and the factory default
settings are the recommended settings. When changing these initial
settings, make sure that the changed setting is appropriate for the
patient by referring to the manual of the anesthetic agent.

SIM mode program is for monitoring blood pressure during regional anesthesia,
such as lumbar block, subarachnoid block and epidural anesthesia.
Measurements are performed continuously according to the measurement
program set for SIM measurement on the SIM tab of the NIBP page of the
PARAMETERS window in the SYSTEM SETUP window. The program is
divided into two stages. In the first stage, NIBP is measured at 1 min, 2 mins
or 2.5 mins intervals for 5 mins, 10 mins or 15 mins. In the second stage, NIBP
is measured at a different interval (2 mins, 2.5 mins or 5 mins, usually longer
interval than the first stage). Manual measurement cannot be performed during
first stage measurement.

Checking STAT and SIM Measurement Program

The measurement settings for STAT and SIM modes can only be checked on the
NIBP page of the PARAMETERS window on the SYSTEM SETUP window.

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 4. MONITORING PARAMETERS

VENOUS PUNCTURE MODE

CAUTION
Do not perform a venous puncture on the same arm where NIBP is
measured. This may cause an infusion backflow or internal
hemorrhage at the puncture.

To aid in inserting a venous line, you can use venous puncture mode to inflate the 4
cuff to a target pressure in order to prevent venous backflow. Venous backflow
causes swelling of the veins and makes it difficult to insert a venous line.
In the venous puncture mode, the cuff automatically deflates 2 mins after
inflation in ADULT/CHILD mode or 70 s after inflation in NEONATE mode.
Touch the [START] key on the VENOUS PUNCTURE window. To stop the cuff
inflation, touch the [STOP] key or do any of the following:
• Display another window.
• Touch the [HOME] key.
• Touch the waveforms display area on the home screen.
To use venous puncture mode, <VENOUS PUNCTURE> must be set to ON and
<TARGET CUFF PRESSURE> must be set on the SYSTEM SETUP window.
NOTE Venous puncture mode is available in the following modes:
• Manual measurement mode
• Auto (periodic) measurement mode (not available during
measurement and not available when waiting for next
measurement)
• STAT (continuous) measurement mode (not available during
measurement)
• SIM measurement mode (not available during measurement
and not available when waiting for next measurement)

VENOUS PUNCTURE Page

CUFF PRESSURE:
Displays the current cuff pressure (mmHg).
TARGET CUFF PRESSURE:
Displays the set target cuff pressure (mmHg).
REMAINING TIME:
Displays the remaining time (s) until cuff deflation.

Calibration
Use a manometer to calibrate the measuring accuracy. You can confirm the
accuracy in DIAGNOSTIC CHECK screen. Refer to the Service Manual for the
details of DIAGNOSTIC CHECK.

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4. MONITORING PARAMETERS

IBP (SVM-7603/7604/7623/7624)
Invasive blood pressure (IBP) and intracranial pressure (ICP) are measured and
monitored by installing the blood pressure measuring device, connecting the
blood pressure transducer to the IBP connection cord and IBP connection cord to
the PRESS socket on the unit. Two channels can be monitored.

Preparation
Select the appropriate blood pressure measuring device according to the purpose.
For details, refer to the instruction manual of the measuring kit. When using
other blood pressure transducers and measuring kits, refer to the respective
instruction manuals.

WARNING
All parts, except for transducers, must be non-conductive.
Otherwise, the discharged energy may cause electrical shock to the
operator during defibrillation.

IBP Connection Cords

The following IBP connection cords are available for connecting the device to
the monitor.

JP-752P: For Becton Dickinson blood pressure transducers

JP-753P: For Edwards Lifesciences (Baxter) blood pressure transducers

Connecting Cables to the Unit

1 Connect the blood pressure transducer to the IBP connection cord.

2 Connect the IBP connection cord to the PRESS socket on the monitor.
NOTE: When connecting the IBP connection cord to the monitor after
assembling the transducer and filling the tubes with saline
solutions, make sure that the connector is not wet.

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Assembling the Transducer

NOTE • For caution and usage of the transducer, refer to the manual of
the transducer.
• The DX series disposable transducers are sterilized by EOG.
Keep them clean after opening.
• Check that connectors and caps are firmly connected and the
3-way stopcock are directed to the correct way. 4
• The 3-way stopcocks and blood pressure tube openings are
protected from contamination by the white aerated caps. Keep
these white caps on until the solution is filled in completely.
After filling the solution, replace the white caps with the yellow
sealing caps which are in the separate bag.

1 Inject 1 to 2 units of heparin into 1 mL sterilized physiological saline solution.

NOTE: Do not mix the solution yet.

2 Insert the needle at the tip of the micro-drip into the hole on the
physiological saline pack.

3 Pressurize the physiological saline pack with your hand by pressing the flush
cap to remove air from the pack.

4 When the solution in the micro-drip chamber is about 1/3 full (the stainless
needle is in the solution), turn the physiological saline pack upside down and
mix the physiological saline solution and heparin.

5 Place the saline pack in the pressure bag and hang the pressure bag on the
stand.

6 Press the flush cap to completely fill the tube with saline solution.
NOTE: Tap the bottom part of the micro-drip to remove air bubbles
from under the filter.

7 Fill in the transducer with the saline solution. Remove air bubbles by
pressing the flush cap at above the saline pack, then bringing the flush cap
down.
If the air bubbles cannot be removed from the transducer:
1) Hold the transducer higher than the saline pack to flow the saline solution
back into the saline pack and fill the transducer again.
2) Tap the transducer lightly and flush the transducer slowly. Do not tap
too hard because the air bubbles may break into small bubbles which are
difficult to remove.
3) Check that there are no air bubbles in the transducer, tubes and 3-way
stopcocks.

8 Replace the white aerated caps with the yellow sealing caps.

9 Pressurize the pressure bag to 300 mmHg (40.0 kPa). The solution in the
micro-chip chamber is about a third to half full. At this pressure, the drip rate
should be 2 drops/min to 4 drops/min.

10 Check all connections and that there is no leakage in the circuit.

11 After about 30 mins, check the pressure of the pressure bag and drip rate.
Also check that there is no leakage in the circuit.

SVM-7600 Series Operator’s Manual 4-37

4. MONITORING PARAMETERS

Adjusting Zero Balance

NOTE: There is no alarm for 30 s after adjusting zero balance. When the
measurement value is abnormal, the numeric value on the screen
is highlighted.
Adjust zero balance in the following cases. Zero balance adjustment is important
for accurate IBP measurement.
• Before starting measurement
• When the patient moved so that the height of the heart changed
• When the height of the blood pressure transducer changes
• When changes in the measured value are expected due to measurements over
a long period of time or due to changes in the ambient temperature (check the
pressure when exposed to air)
• IBP connection cord or transducer is changed
When the zero balance is not adjusted, the “ZERO IMBALANCE” message is
displayed beside each IBP value.
The zero balance is adjusted individually for one pressure line. Touch the [ZERO
CAL] key on the ZERO CALIBRATION window. The [ZERO CAL] key can
also be assigned to a function key.

Adjusting Zero Balance

1 When zero balance is not adjusted, the value is displayed as “---”.

2 Touch the [ZERO CALIBRATION] key, the ZERO CALIBRATION

window appears. Adjust zero balance by doing the following steps.

3 Move the dome up or down to the appropriate position.

4 To adjust zero balance individually.

Touch the [ZERO CAL] key on the ZERO CALIBRATION window.
When the “ZEROING COMPLETE” message is displayed, zero balance
adjustment is completed.

5 Close the 3-way stopcock.

4-38 SVM-7600 Series Operator’s Manual

 4. MONITORING PARAMETERS

Changing IBP Settings

Change settings on the PRESS window. The following settings can be changed
for monitoring IBP.
• Scale
• IBP alarm limits
• Adjust zero balance. Refer to the “Adjusting Zero Balance” section. 4
• Numeric data display mode
• Sync source
• Sync sound pitch
The blood pressure unit (mmHg or kPa) can be set on the SYSTEM
CONFIGURATION screen.
The noise filter, IBP calculation mode and IBP data display color can be set on
the SYSTEM SETUP window.
The IBP waveform sweep speed can be selected on the DISPLAY/SOUND
window.

On the SCALE Window

Select the scale for the blood pressure line waveform on the home
screen. The same scale is used on both the home screen and PRESS
window.
You can touch the [ADJUST] key to automatically select the
appropriate scale.

On the PRESS Window

You can set different limits for PRESS1 and PRESS2.
<ALARMS> Box
SYS alarm limits:
Set the upper and lower systolic alarm limits.
DIA alarm limits:
Set the upper and lower diastolic alarm limits.
MEAN alarm limits:
Set the upper and lower mean alarm limits.
HR/PR alarm limits:
On PRESS1 window, set the upper and lower heart rate or
pulse rate alarm limits. On PRESS2 window, it is linked with
PRESS1.

SVM-7600 Series Operator’s Manual 4-39

4. MONITORING PARAMETERS

NOTE • When heart rate is unstable because of an ESU, select SpO2 or

PRESS.
• When the connection cord of SpO2 or IBP of the arterial blood
pressure is disconnected from the monitor and an alarm occurs
when the sync source is set to SpO2 or PRESS, the sync
source changes to ECG when the alarm is silenced by pressing
the [Silence Alarms] key. The sync source returns to SpO2 or
PRESS when the SpO2 or IBP is monitored again. When using
IBP as the sync source, adjust zero balance.
• When the sensor is detached from the patient and alarm
occurs, and the sync source is set to SpO2 or PRESS, the sync
source does not change to ECG when the alarm is silenced,
and “- - -” is displayed for PR.
• When PRESS is selected while monitoring low blood pressure,
the pulse rate becomes small and might not be displayed
correctly.

<SETUP> Box
SCALE: Refer to “On the Scale Window” section.
SYNC SOURCE: On PRESS1 window, select the sync sound source parameter.
On PRESS2 window, it is linked with PRESS1.
SYNC PITCH: On PRESS1 window, select the sync sound pitch. On PRESS2
window, it is linked with PRESS1.
FIXED: The pitch is fixed to the pitch selected on the SYSTEM SETUP window.
PRESS: The pitch is high when the BP value is above 120 mmHg. The pitch is low
when the BP value is below 20 mmHg. The pitch changes in 20 steps from
high to low for each 5 mmHg change between 120 mmHg and 20 mmHg BP
value. The BP value of the highest priority arterial blood pressure is used.
SpO2: The pitch changes in 20 steps from high to low for each 1 % SpO2 change
between 100 % SpO2 and 81 % SpO2.

NUMERIC DISPLAY: Select the IBP display mode on the home screen.

SYS/DIA (MEAN): Displays the systolic blood pressure (SYS), diastolic blood
pressure (DIA) and the averaged blood pressure (MEAN).
MEAN: Displays only the averaged blood pressure.

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 4. MONITORING PARAMETERS

Temperature

Preparation
Select the appropriate probe according to the purpose. Two channels can be
monitored.
4

CAUTION
Select the appropriate probe for the patient. Using adult probes on
premature infants and children may injure the mucous membrane.

CAUTION
The insulation pad may irritate the skin. In long term monitoring,
change the attachment site to prevent irritation.

NOTE • When the measuring site is exposed directly to air, the

temperature may be lower than normal. It takes about 20 mins
to 30 mins to reach the equilibrium temperature after attaching
the sensor.
• The monitor simulates the temperature signal of 27 oC and
37 oC (80.6 oF and 98.6 oF) inside the monitor. Monitoring this
simulated signal periodically (every 1024 ms), the monitor self-
diagnoses the temperature signal processor part of the monitor.
When the monitor could not cover the 0 oC to 45 oC (32 oF
and 113 oF) measurement range, a “MPU MODULE ERROR”
message is displayed.
• When the temperature probe is/are off, a technical alarm is
occurred, and the measuring value is displayed as “---”.

Reusable Probes
Thermistor Probe Purpose
401J adult rectum/esophagus
402J child rectum/esophagus
409J body surface

SVM-7600 Series Operator’s Manual 4-41

Using the Insulation Pad
The pad prevents the environmental temperature from affecting the sensor
temperature and also prevents internal body heat from escaping at the attached
site so that a stable temperature is obtained.

Changing Temperature Settings

Change settings on the TEMP window. The temperature alarm limits can be
changed for monitoring temperature.
The temperature unit can be set to oC or oF on the SYSTEM CONFIGURATION
screen.
The temperature data display color can be set on the SYSTEM SETUP window.

<ALARMS> Box
You can set different limits for TEMP1 and TEMP2 separately.
Temperature alarm limits:
Set the upper and lower temperature alarm limits.

Performing Check
The check of temperature must undergo regular maintenance inspection at least
every 6 months. Refer to the Section 3 of Service Manual for more details.
5 Troubleshooting

Monitoring........................................................................5-2
5

Network...........................................................................5-3

Recording........................................................................5-3

ECG.................................................................................5-4

Respiration......................................................................5-5

CO2 (SVM-7603/7604/7623/7624)...................................5-6
Mainstream Method........................................................................5-6

SpO2 ...............................................................................5-7

NIBP................................................................................5-8

IBP (SVM-7603/7604/7623/7624)...................................5-9

Temperature....................................................................5-9
5. TROUBLESHOOTING

Monitoring
Trouble Possible Cause/Criteria Action
The brightness of the screen is not Adjust the setting on the DISPLAY/
appropriate. SOUND window.
Contact your Nihon Kohden
The backlight is old.
The screen is dark. representative.
If necessary, set <POWER SAVING
The monitor is operating on battery. MODE> to OFF on the SYSTEM SETUP
window.
Select ON for <SYNC SOUND
The sync sound setting is turned OFF. VOLUME> on the DISPLAY/SOUND
window.
Adjust the volume setting on the
The sync sound volume is turned down.
DISPLAY/SOUND window.
The sleep mode is turned off when:
• Setting time is up.
No sync sound. • The touch screen is touched.
• The [POWER] key is pressed.
The sleep mode is turned on. An alarm occurs (Only when <EXIT
SLEEP MODE ON CRISIS ALARM> on
the SLEEP page of the SYSTEM SETUP
window is set to ON.)
Network cable is pulled out
(communication is failure).
Set the correct date and time on the DATE
The date and time setting is not correct.
window.

The time displayed on the upper right Check the date and time setting on the
corner of the screen is not correct. DATE window and turn the power of the
The backup battery is old. monitor off and on. If the time is incorrect,
replace the battery with a new one. Contact
your Nihon Kohden representative.
The monitor is too hot. The vent hole is obstructed. Remove the cause.
Calibrate the touch screen. Refer to
The pressed position and activated position
The touch screen keys do not function. “Calibrating the Touch Screen” section of
do not match.
this manual.
The monitor only operates for less than 5 h Replace the battery pack with a fully
The battery pack is old.
with a fully charged battery. charged new one.
The remaining battery power on the battery The battery pack is changed.
status icon on the home screen suddenly
decreases. The battery pack is old. Fully charge and discharge the battery
pack.
The actual battery operation time is The battery pack is changed.
different than the battery status icon. The battery pack is old.
Some part of the review data is deleted or The monitor was turned off during the The remaining data may not be reliable.
the time is incorrect. system check screen display. Delete all data.
When the monitor is turned on, the
DIAGNOSTIC CHECK screen appears A failure is detected in the startup self Turn the power off and contact your Nihon
and an alarm occurs (the monitoring screen check. Kohden representative.
is not displayed).
The error screen appears during
Turn the power off and contact your Nihon
monitoring. Then the system repeatedly A failure is detected during monitoring.
Kohden representative.
shuts down and an alarm occurs.
Battery charging never ends. The battery inserted backwards. Insert the battery in the right direction.

5-2 SVM-7600 Series Operator’s Manual

 5. TROUBLESHOOTING

Trouble Possible Cause/Criteria Action

The monitor power was turned off by
When the monitor does not shutdown
disconnecting the power cord.
correctly, the review data for several
The power cord was disconnected during minutes before power off is not saved.
The review data is lost.
shutdown operation. Press the [POWER] key to turn the power
off. Refer to “Turning the Monitor Off”
The power cord was disconnected while
section.
the remaining battery power was too low.

Network 5

Trouble Possible Cause/Criteria Action

The network cable is not connected to the Connect the network cable to the monitor
monitor properly. properly.
Set the correct network settings on the
The network settings are not correct. NETWORK window of the SYSTEM
The monitor cannot be connected to the CONFIGURATION screen.
network. The monitor is not selected as a monitored
Select the monitor as a monitored bed on
bed on the central monitor or receiving
the central monitor or receiving instrument.
instrument.
Discontinuity in the network cable or Replace the network cable or the hub with
faulty hub. a new one.

Recording
Trouble Possible Cause/Criteria Action
Reload the recording paper into the recorder
There is no printing (only paper feeding). The recording paper is upside down.
correctly.
Waveforms can be recorded but the trend Clean the surface of the sensor inside the
Dust in the sensor inside the recorder.
and list recording cannot. recorder with a dry cotton swab.
Nihon Kohden Malaysia specified paper is
Use the RQW50-2SK recording paper.
not used.
Printing is faint.
Clean the thermal head with the provided
The thermal head is dirty.
thermal head cleaning pen.
Clean the thermal head with the provided
Dots are missing. The thermal head is dirty.
thermal head cleaning pen.
Set the alarm recording or periodic recording
Recording suddenly starts without key Alarm recording or periodic recording to OFF on the RECORDING window if not
operation. mode is set to ON. needed. Touch the [RECORD] key on the
screen to stop recording.
The recorder door is open. Push the recorder door closed until it clicks.
No paper is feeding.
Dust may have collected in the gears. Contact your Nihon Kohden representative.
Clean the surface of the sensor inside the
Recorder operates only some of the time. Dust in the sensor inside the recorder.
recorder with a dry cotton swab.

SVM-7600 Series Operator’s Manual 5-3

5. TROUBLESHOOTING

ECG
Trouble Possible Cause/Criteria Action
Change the sensitivity so that the QRS
The QRS amplitude is small.
amplitude is larger than 1 cm.
Change to a lead which provides good
QRS.
The QRS is not detected correctly.
The heart rate is incorrect. Change the lead or electrode position so
that the QRS is large and T wave is small.
When the patient does not have an
The pacing detection setting on the ECG implanted cardiac pacemaker or neonate’s
window is not appropriate. ECG is monitored, set the pacing detection
to OFF on the ECG window.
The dominant QRS is not appropriate for Re-learn the patient ECG or change the
The arrhythmia alarm occurs frequently arrhythmia monitoring. dominant QRS.
when heart rate is normal. Patient moved or EMG noise is Change the electrode position to where
superimposed. there is less muscle.
ECG waveform does not appear on the
The <ELECTRODES> setting on the ECG Set the correct number for
screen when electrodes are attached
window is not correct. <ELECTRODES>.
properly
Use another warming method or place a
An electric blanket is used.
shield cover around the electric blanket.
AC interference on the ECG waveform. The electrode is dry. Replace the electrode with a new one.
<FILTERS> on the ECG window is set to
Set <FILTERS> to MONITOR.
DIAG.
The baseline is not stable due to respiration Change the electrode position to where
or body movement. there is less muscle.
The electrode is dry. Change the electrode with a new one.
Baseline wandering. The contact resistance between the skin Rub the skin with “skinPure” skin
and electrode is high. preparation gel.
<FILTERS> on the ECG window is set to
Set <FILTERS> to MAXIMUM.
MONITOR or DIAG.

5-4 SVM-7600 Series Operator’s Manual

 5. TROUBLESHOOTING

Respiration
Trouble Possible Cause/Criteria Action

<IMPEDANCE MEASUREMENT> on Set <IMPEDANCE

the RESP window is set to OFF. MEASUREMENT> to ON.
Electrodes or electrode leads are not
The respiration waveform is not displayed Connect them properly.
connected correctly.
on the screen.
The electrode is dry. Replace the electrode with a new one.
The skin-electrode contact impedance is Reduce the impedance by using “skinPure” 5
high. skin preparation gel.
The electrode positions are not appropriate Check the attached position of the
for measuring respiration. electrodes.
The electrode is dry. Replace the electrode with a new one.

The respiration waveform and respiration <NOISE REDUCTION ON IMPEDANCE

Change the sensitivity so that the
rate are not stable. RESP> is set to OFF and the respiration
amplitude is larger than 10 mm.
waveform amplitude is too small.
<NOISE REDUCTION ON IMPEDANCE Set <NOISE REDUCTION ON
RESP> is set to ON and the timing of the IMPEDANCE RESP> on the SYSTEM
respiration and heart rate coincide. SETUP window to OFF.

SVM-7600 Series Operator’s Manual 5-5

5. TROUBLESHOOTING

CO2 (SVM-7603/7604/7623/7624)

Mainstream Method
Trouble Possible Cause/Criteria Action
CO2 is mixed in the inspiration.
Refer to the CO2 section.
(TG-901T4/TG-921T4 only)
Replace the airway adapter/nasal adapter
The airway adapter/nasal adapter is dirty.
with a new one.
The measured value is low. The measurement is performed where
Consider the atmospheric pressure when
atmospheric pressure is low, such as at
making evaluations.
high altitude. (TG-901T4/TG-921T4 only)
Zero calibration is not performed.
Calibrate the CO2 sensor.
(TG-971T4/TG-981T4 only)
The measured value is high. Anesthetic gas is used.
Set the inspired gas composition.
(Error is approx. 8 mmHg (1.07 kPa)) O2: 4 L/min, N2O: 2 L/min, sevoflurane: 1%
Oscillation. Check the respirator and remove the cause.
Doing suction with a suction catheter in the
Do not let the suction catheter in the
airway adapter.
airway adapter.
(TG-901T4/TG-921T4 only)

The measured value is inaccurate. A Jackson Rees respiration circuit

or Mapleson D respiration circuit is
Cannot measure correctly.
connected to the patient.
(TG-901T4/TG-921T4 only)
The respiration rate of the patient is very
Cannot measure correctly.
high or respiration is irregular.
Oscillation. Check the respirator and remove the cause.
The respiration waveform does not appear. The airway adapter/nasal adapter is
Connect the adapter to the CO2 sensor kit.
disconnected from the CO2 sensor kit.
CO2 sensor or CO2 adapter is faulty. Replace the CO2 sensor or CO2 adapter
(TG-901T4/TG-921T4 only) with a new one.
The red LED on the CO2 adapter blinks. The red LED blinks when apnea is longer
Apnea for longer than 20 s.
than 20 s regardless of the alarm setting on
(TG-901T4/TG-921T4 only)
the monitor.
The measured value is only displayed after
Less than three respirations are detected.
three or more respirations are detected.
After respiration detection, respiration is
The measured value is displayed after
not detected for 40 s or more. The time
respiration is detected.
The measured value is displayed as “---”. depends on the APNEA setting.
After zero calibration, the measured value
Zero calibration is performed. is displayed as “---”. The measured value
(TG-971T4/TG-981T4 only) is displayed after three or more respirations
are detected.

5-6 SVM-7600 Series Operator’s Manual

 5. TROUBLESHOOTING

SpO2
Trouble Possible Cause/Criteria Action
The probe size is inapproriate. Use the correct size probe.
The probe is attached to the same limb that
Attach the probe to the other limb.
is used for NIBP measurement.
Unstable SpO2 value
Locate the ESU as far as possible from the probe
An ESU is used.
and wait until the pulse wave stabilizes.
Measuring on the venous pulse. Cannot measure correctly.
Attach the probe correctly. (The emitter and
5
The probe is not attached properly.
detector of the probe must face each other.)
The attachment site is inapproriate. Attach the probe to a site 6 mm to 14 mm thick.
If necessary, remove nail polish and clean the
The measuring site is not clean.
SpO2 value on the monitor and CO measuring site.
oximeter do not match. Too much abnormal hemoglobin (HbCO,
MetHB, etc.).
Dye (methylene blue or indocyanine green) Cannot measure correctly.
is injected in the blood.
Measuring during CPR.
Probe is disinfected by an unspecified
Disinfect the probe using the specified method.
procedure.
Probe is damaged.
Replace the probe with a new one when the probe
The probe is repeatedly used.
is deteriorated.
Light interference. Cover the attachment site with a blanket.
Sine wave noise on the pulse wave The line frequency setting on the monitor
Set the correct line frequency on the monitor.
is not correct.

SVM-7600 Series Operator’s Manual 5-7

5. TROUBLESHOOTING

NIBP
Trouble Possible Cause/Criteria Action
The cuff hose is not connected to the cuff Connect the cuff hose to the socket
Cuff inflation pressure is less than socket properly. properly.
10 mmHg or NIBP data display disappears
for a few seconds. The cuff is not wrapped around the arm or
Wrap the cuff around the upper arm.
is wrapped too loosely.
The air hose is not connected to the cuff
Connect the air hose to the socket firmly.
socket.
The cuff does not inflate when the NIBP The cuff hose or air hose may be folded or
[Start/Stop] key is touched. squeezed when the cuff pressure display on
Check the cuff hose and air hose.
the screen increases quickly but the actual
cuff does not inflate.
Select the cuff which fits the patient’s limb
The cuff size is not correct.
circumference.
The cuff is not wrapped around the arm Wrap the cuff around the upper arm, not
Abnormal measurement results are correctly. too tightly or too loosely.
displayed.
NIBP data is not correct because of body Prevent the patient from moving during
movement. measurement.
Measurement on the wrong site. Measure NIBP at the correct site.
The cuff is suddenly deflated during The NIBP [Start/Stop] key is touched
Measure again.
inflation. during inflation.
Auto measurement does not start even The time interval for the NIBP auto
Set the correct time interval.
when the time interval has passed. measurement is set incorrectly.
The measurement mode is set to auto
Check the time interval.
mode.

The cuff suddenly inflates. Set the NIBP MEAS ON VITAL

ALARM on the MAIN tab – NIBP page
Vital sign alarm occurred.
– PARAMETER window – SYSTEM
SETUP window to OFF.
Use a cuff specified by Nihon Kohden
Cannot connect cuff to the air hose. Unspecified cuff is used.
Malaysia.
Noise which disables calculation of the
Remove the cause.
blood pressure has interfered.
Ask the patient not to move too much
The pulse wave is unstable due to
Cannot measure NIBP. and perform invasive blood pressure
arrhythmia.
measurement as required.
The air hose is bent or squeezed. Remove the cause.
The cuff has worn out. Use a new cuff.

Measuring over a long period of time at Increase the measuring interval.

Blood congestion occurs.
intervals less than 2.5 mins. Do not measure NIBP over a long time.
Do not measure NIBP on a sickle cell
Thrombus occurs. Measuring a sickle cell anemia patient.
anemia patient.
NIBP data on the screen is dark or “---” The preset time elapsed from the last When NIBP is measured again, the data is
appears. measurement. displayed in normal brightness.

5-8 SVM-7600 Series Operator’s Manual

 5. TROUBLESHOOTING

IBP (SVM-7603/7604/7623/7624)
Trouble Possible Cause/Criteria Action
Air bubbles remain in the circuit. Remove the air bubbles.
An extra tube is connected in the circuit. Remove the extra tube.
The position of the blood pressure Check the position of blood pressure
The acquired blood pressure value is
transducer is inappropriate. transducer.
different from the estimated value.
A blood pressure transducer with different
Check the blood pressure transducer.
sensitivities is used.
Other causes. Perform zero balance adjustment again.
5
The measurement is out of range. Check the measuring condition.
No invasive blood pressure value appears
on the screen. Replace the blood pressure transducer with
The blood pressure transducer is damaged.
a new one.

Temperature
Trouble Possible Cause/Criteria Action
Replace the temperature probe with a new
The temperature probe is faulty.
The temperature value is not displayed on one.
the screen. Contact your Nihon Kohden
Monitor malfunction.
representative.

SVM-7600 Series Operator’s Manual 5-9

6 Maintenance

General............................................................................6-2
6

Bedside Monitor..............................................................6-3
Cleaning and Disinfecting the Bedside Monitor..............................6-3
Cleaning the Touch Screen............................................................6-4
Disposing of the Bedside Monitor...................................................6-4

WS-752P Recorder Module.............................................6-5

Cleaning the Thermal Head...........................................................6-5
Cleaning the Sensors.....................................................................6-5
Disposing of the Recorder Module.................................................6-5

SB-752P Battery Pack.....................................................6-6

Battery Lifetime..............................................................................6-6
Replacing the Battery Pack............................................................6-6
Disposing of Battery Pack..............................................................6-6

Leads, Cables and Cords................................................6-7

Cleaning the Leads, Cables and Cords..........................................6-7
Disinfecting the Leads, Cables and Cords.....................................6-7
Disposing of Leads, Cables and Cords..........................................6-7

Electrodes, Probes, Cuffs and Other Consumables........6-8

Yearly Inspection.............................................................6-8
6. MAINTENANCE

General

CAUTION
Before maintenance, cleaning or disinfection, turn the bedside
monitor power off and disconnect the power cord from the AC
socket. Failure to follow this instruction may result in electrical shock
and bedside monitor malfunction.

CAUTION
If fluids are accidentally spilled into the monitor, take the monitor out
of service and contact your Nihon Kohden representative. The
monitor must be disassembled, cleaned, dried and tested for safety
and function.

CAUTION
No modification of this equipment is allowed. If there is any problem
with the monitor, contact your Nihon Kohden representative.

CAUTION
Dispose of the monitor and accessories according to your local laws
and your facility’s guidelines for waste disposal. Otherwise, they may
affect the environment. If there is a possibility that the monitor and
accessories may have been contaminated with infection, dispose of
them as medical waste according to your local laws and your
facility’s guidelines for medical waste. Otherwise, it may cause
infection.

NOTE • Refer to the manual for each option for cleaning and disinfecting
together with this manual.
• Follow the cleaning and disinfecting procedure in this section.
• Technical information such as circuit diagrams, component part
lists, descriptions, calibration instructions or other information is
available for service personnel upon request from your Nihon
Kohden representative.

6-2 SVM-7600 Series Operator’s Manual

 6. MAINTENANCE

Bedside Monitor

Cleaning and Disinfecting the Bedside Monitor

Before cleaning, turn off the bedside monitor and disconnect the power cord.
After cleaning, let dry completely before connecting the power cord and turning
on the bedside monitor.

CAUTION
• Do not use volatile liquids such as thinner or benzine, because 6
these will cause the materials to melt or crack.
• Be careful not to let any water get inside the bedside monitor.
• Never sterilize the bedside monitor because the materials may
deform, crack or discolor.

Cleaning
Clean the surface of the bedside monitor every month with a soft cloth moistened
with neutral soap, water or alcohol (76.9 % to 81.4 % by vol), and wipe with a
dry cloth or gauze.
Remove dust from the speaker and vent holes on the panels with a cotton swab.

Disinfecting
To disinfect the outside surface of the bedside monitor, wipe it with a non-
abrasive cloth moistened with any of the disinfectants listed below. Use the
recommended concentration.
Disinfectant Concentration (%)
Ethanol 76.9 to 81.4 (by vol. in 15 oC)
Chlorhexidine gluconate solution 0.5
Benzalkonium chloride 0.2
Benzethonium chloride solution 0.2
Glutaraldehyde solution 2.0
Alkyldiaminoethylglycine hydrochloride 0.5
Phtharal 0.55
Phenol 1.56
Isopropyl alcohol 70 (by vol.)

SVM-7600 Series Operator’s Manual 6-3

6. MAINTENANCE

Cleaning the Touch Screen

Before cleaning the touch screen, disable touch keys. To disable touch keys,
TOUCHKEYS OFF must be assigned to the function keys.

1 Touch the [TOUCHKEYS OFF] key. The confirmation message appears.

2 Touch the [YES] key to turn the touchkey function off. Touch the [NO] key
keep the touchkey function on.
To turn the touchkey function on again, press the [POWER] key.
Clean the touch screen using a dry soft cloth or a cloth which is moistened with
neutral detergent and wrung out.
NOTE • Do not use a rough cloth.
• Do not use acidic, alkaline detergents or alcohol other than
ethanol or isopropyl.

Disposing of the Bedside Monitor

Remove the battery pack when disposing of the bedside monitor. Follow your
local laws for disposing the bedside monitor.

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 6. MAINTENANCE

WS-752P Recorder Module

CAUTION
• Do not touch the recording head with any hard object. When the
head is tapped with hard object, the head may crack and the
heater element wire may break.
• Clean the head surface with the provided head cleaner pen
before loading new paper. After a period of usage, paper dust
may accumulate between the paper and the head surface and
good printing cannot be obtained.
• Be careful not to cut yourself on the paper cutter in the recorder.
6

Cleaning the Thermal Head

To protect the thermal head from abrasion or damage and assure optimum
performance and long service life, clean the surface of the head with the
provided thermal head cleaning pen after every 10 sets to 15 sets of recording
paper.

1 Push up the recorder door release lever and open the recorder door.

2 Clean the gold-colored part of the thermal head with the thermal head
cleaning pen.

Cleaning the Sensors

The paper empty sensor is located as shown below. Clean the sensor surfaces
with a cotton swab.

Disposing of the Recorder Module

Follow your local laws for disposing of the recorder module.

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6. MAINTENANCE

SB-752P Battery Pack

Battery Lifetime
The battery pack can be used for one year.

Replacing the Battery Pack

Replace the battery pack with a new one after one year.

Disposing of Battery Pack

Before disposing of the batteries, check with your local solid waste officials for
details in your area for recycling options or proper disposal.

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 6. MAINTENANCE

Leads, Cables and Cords

NOTE • Do not touch the connector pins.
• Do not get the connector wet.

Cleaning the Leads, Cables and Cords

Wipe with a soft cloth moistened with neutral soap, water or alcohol and wipe
with a dry cloth or gauze.

6
Disinfecting the Leads, Cables and Cords
Wipe with a non-abrasive cloth moistened with any of the disinfectants listed
below. Use the recommended concentration.
Disinfectant Concentration (%)
Ethanol 76.9 to 81.4 (by vol. in 15 oC)
Chlorhexidine gluconate solution 0.5
Benzalkonium chloride 0.2
Benzethonium chloride solution 0.2
Glutaraldehyde solution 2.0
Alkyldiaminoethylglycine hydrochloride 0.5
Phtharal 0.55
Phenol 1.56
Isopropyl alcohol 70 (by vol.)

Disposing of Leads, Cables and Cords

Follow your local laws for disposing of the leads, cables and cords.

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6. MAINTENANCE

Electrodes, Probes, Cuffs and Other Consumables

For cleaning the disposable cuffs, please wipe with a soft cloth moistened neutral
detergent which is diluted by water, and wipe with a dry cloth.
NOTE: Do not immerse the connector in the water.
See the instructions supplied with the item. Do not reuse disposable items.
Follow your local laws for disposing of the electrodes, probes, cuffs and other
consumables.

Yearly Inspection
Check the following items every year to keep your monitor in optimal condition.
Only the personnel specified by Nihon Kohden Malaysia or authorized agents are
allowed to perform the inspection.
• Monitor is not dirty, damaged or rusty.
• No key or switch is broken.
• No damage to the sockets on the monitor.
• Power cord is not damaged.
• Grounding lead is properly connected.
• Screen is clean.
• Screen brightness can be adjusted.
• Screen display is correct.
• Clock is correct.
• SYSTEM SETUP settings are correct.
• The specified electrodes, sensors, transducers and probes are used.
• Recorder (option) operates properly when used.
• The specified recording paper is used.
• The recorded date is correct.
• Alarm and sync sound can be heard clearly.
• Alarm setting is correct and functions properly.
• Alarm indicator lamps light.
• The sync sound is produced and sync mark is displayed.
• Leakage current (earth leakage current, enclosure leakage current and patient
leakage current) is not over the range which is specified in IEC 60601-1.
• The internal grounding lead is not broken.
• Supplied voltage is correct.
• Measurement accuracy is within the specified range.
• Only the specified parts are used.

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 7 Reference

Specifications.............................................7-3 System Composition for EMC Test..................... 7-22 7

Measuring Parameters......................................... 7-3
Factory Default Settings...........................7-23
Display.................................................................. 7-3
TREND TABLE Window..................................... 7-23
Alarm.................................................................... 7-4
NIBP TABLE Window......................................... 7-23
Alarm Delay Time................................................. 7-5
TREND GRAPH Window................................... 7-24
ECG (IEC 60601-2-27: 2011)............................... 7-6
RECALL Window................................................ 7-25
Respiration (impedance method)......................... 7-8
OCRG Window................................................... 7-25
SpO2 (ISO 80601-2-61: 2011).............................. 7-9
ADMIT Window.................................................. 7-25
Noninvasive Blood Pressure, NIBP (IEC
ALARM LIMITS Window..................................... 7-26
80601-2-30: 2009).............................................. 7-11
ALARM MASTER Settings................................. 7-28
Invasive Blood Pressure, IBP (SVM-
ARRHYTH ALARMS Window............................. 7-29
7603/7604/7623/7624)....................................... 7-12
DATE Window.................................................... 7-29
Temperature (ISO 80601-2-56: 2009)................ 7-13
DISPLAY/SOUND Window................................. 7-30
CO2 (Mainstream method) (SVM-
7603/7604/7623/7624)....................................... 7-14 RECORD Window.............................................. 7-30

Recorder (WS-752P Recorder Module)............. 7-15 ECG Window...................................................... 7-30

Battery (SB-752P Battery Pack)......................... 7-16 RESP Window (SVM-7601/7602/7621/7622),

RESP/CO2 Window (SVM-
Power Requirement............................................ 7-16
7603/7604/7623/7624)....................................... 7-31
Clock Accuracy................................................... 7-16
SpO2 Window..................................................... 7-31
Environment....................................................... 7-17
NIBP Window..................................................... 7-32
Mechanical Strength........................................... 7-17
PRESS Window (SVM-7603/7604/7623/7624).. 7-32
Electromagnetic Compatibility............................ 7-17
TEMP Window.................................................... 7-32
Safety Standard.................................................. 7-18
Dimensions and Weight (approximate).............. 7-18 Standard Accessories...............................7-33
Lifetime............................................................... 7-18
Options and Consumables.......................7-33
Electromagnetic Emissions................................ 7-19
SVM-7600 Series Bedside Monitor.................... 7-33
Electromagnetic Immunity.................................. 7-20
For ECG and Respiration (Impedance
Recommended Separation Distances
Method) Monitoring............................................ 7-33
between Portable and Mobile RF
Communications Equipment.............................. 7-21
 For CO2 Monitoring (Mainstream Method,
SVM-7603/7604/7623/7624).............................. 7-34
For SpO2 Monitoring........................................... 7-34
For NIBP Monitoring........................................... 7-35
For IBP Monitoring (SVM-
7603/7604/7623/7624)....................................... 7-35
For Temperature Monitoring............................... 7-36

General Requirements for Connecting

Medical Electrical Systems.......................7-37
 7. REFERENCE

Specifications

Measuring Parameters
SVM-7601/7602/7621/7622 ECG, respiration in impedance, SpO2, NIBP, temperature
SVM-7603/7604/7623/7624 ECG, respiration in impedance, SpO2, NIBP, temperature, IBP, CO2

Influence on Measuring Accuracy by Electrosurgery, Defibrillation, and Electrostatic

Discharge
The bedside monitor returns to the previous operating mode within 10 s without loss of any stored data. When performing
defibrillation, the filter setting on the bedside monitor must be set to MONITOR on the ECG window to return to the
7
previous operating mode within 10 s without loss of any stored data. Measurement accuracy may be temporarily decreased
while performing electrosurgery or defibrillation. This does not affect patient or equipment safety.

Display
Display size: SVM-7601/7602/7603/7604: 10.4-inch, color TFT type LCD
SVM-7621/7622/7623/7624: 12.1-inch, color TFT type LCD

Resolution: 800 dots × 600 dots

Viewing area: 211 mm × 158 mm for 10.4-inch, 246 mm × 185 mm for 12.1-inch

Waveform display:
SVM-7601/7602/7621/7622: ECG (maximum 2 traces), respiration, SpO2
SVM-7603/7604/7623/7624: ECG (maximum 2 traces), respiration, SpO2, IBP, CO2

Waveform display mode: Non-fade fixed

Maximum number of waveform trace: 6 traces

Sweep speed: 6.25 mm/s, 12.5 mm/s, 25 mm/s or 50 mm/s

Respiration sweep speed: 1.56 mm/s, 6.25 mm/s, 12.5 mm/s or 25 mm/s

Aspect ratio (ECG display sensitivity ratio to sweep speed):

Standard: 0.4 s/mV
Setting range: 0.05 s/mV to 6.4 s/mV

Sweep time (at 25 mm/s sweep speed): 4.8 s for 10.4-inch, 5.6 s for 12.1-inch

Display delay time:

DIAG and MONITOR mode: ≤ 250 ms
MAXIMUM mode: ≤1s

Waveform display color: 12 colors

Numeric data display:

SVM-7601/7602/7621/7622: Heart rate, VPC rate (per minute), ST level, respiration rate, NIBP (systolic, diastolic,
MAP), SpO2, pulse rate, temperature
SVM-7603/7604/7623/7624: Heart rate, VPC rate (per minute), ST level, respiration rate, NIBP (systolic, diastolic,
MAP), SpO2, pulse rate, temperature, IBP (systolic, diastolic, mean), ETCO2, FiCO2

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7. REFERENCE

Synchronization mark: Heart rate sync mark, pulse rate sync mark, respiratory sync mark

Numeric display color: 12 colors

Recovery time after defibrillation: Less than 10 s (at MONITOR mode)

Alarm
Alarm classification: Crisis, Warning, Advisory

Alarm items: Upper/lower limit alarms, arrhythmia alarms, technical alarms

(Connector disconnection alarm, noise alarm, electrode off alarm, waveform detecting
alarm, probe off alarm, cuff/hose check alarm, sensor check alarm, low battery alarm,
interbed alarm

Alarm indication* Alarm indicator, highlighted message, alarm sound

* Essential performance in EMC standard

Alarm indicator indication:

Crisis: Red blinking, approx. 1.6 Hz (640 ms) duty cycle 50 %
Warning: Yellow blinking: approx. 0.8 Hz (1280 ms), duty cycle 50 %
Advisory: Yellow lighting

Alarm sound:
Crisis: Pips or IEC standard
Warning: Bing bongs or IEC standard
Advisory: Bong for 20 s or IEC standard

Alarm silence: 1 min, 2 mins or 3 mins

Alarm suspend: 1 min, 2 mins, 3 mins or OFF

Alarm reset: When the [ALARM RESET] key is assigned to a function key, it will be displayed
on the screen. While the key is touched, the “ALARM RESET” message appears,
the alarm value is highlighted and the alarm sound is deactivated. The alarm reoccurs
when an alarm different from the reset one occurs, or cause of alarm was eliminated
temporarily.

All alarms off: Alarm function is suspended indefinitely. While alarm function is suspended, a
message appears. Alarm function resumes when the [ALL ALARMS OFF] key on the
screen is touched.

Alarm volume: 45 dB to 85 dB (A) (Requirement of IEC 60601-1-8: 2012) (at 1 m in front of monitor)
Crisis ≥ Warning ≥ Advisory

Alarm reminder: On SYSTEM SETUP screen, when the REMINDER is check, the reminder blinks for
about 3 s every 3 mins.

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Alarm Delay Time

Includes time to output alarm from the network socket on the monitor when
connected to the network.

Heart Rate
Time to alarm for tachycardia: Ventricular tachycardia (amplitude 1 mV p-v, heart rate 206 bpm):
at ×1 gain (Test waveform name: aami4a*): 4 s to 10 s
at ×0.5 gain (Test waveform name: aami4a_h*): 4 s to 10 s
at ×2 gain (Test waveform name: aami4a_d*): 4 s to 10 s
Ventricular tachycardia (amplitude 2 mV p-v, heart rate 195 bpm):
at ×1 gain (Test waveform name: aami4b*): 4 s to 10 s
at ×0.5 gain (Test waveform name: aami4b_h*): 4 s to 10 s
at ×2 gain (Test waveform name: aami4b_d*): 4 s to 10 s
* The test waveforms can be download at http://www.physionet.org 7
Pulse rate Response time of pulse rate meter to change in pulse rate:
PR change from 80 bpm to 120 bpm: ≤ 20 s (upper limit: 100 bpm)
PR change from 80 bpm to 40 bpm: ≤ 20 s (lower limit: 60 bpm)

ST Approx. 1 s after measurement value reaches alarm threshold

(Averaged 15-second data)

Respiration rate Approx. 5 s after measurement value reaches alarm threshold

(With 8 respiration intervals)

NIBP Approx. 5 s after measurement value becomes stable

IBP (SVM-7603/7604/7623/7624) IBP change from 100 mmHg to 60 mmHg ≤ 15 s

(At pulse rate 80 bpm, SYS lower limit: 80 mmHg)

SpO2 Approx. 5 s after measurement value reaches alarm threshold

Temperature Approx. 1 s after measurement value reaches alarm threshold

For time delay when using a thermistor probe, refer to the manual for the probe.

CO2 (Mainstream method, SVM-7603/7604/7623/7624)

Approx. 5 s after measurement value reaches alarm threshold
(When the next respiration is detected.)

Alarm signal delay in central monitor network: ≤ 4 s

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7. REFERENCE

ECG (IEC 60601-2-27: 2011)

Leads:
3-electrode cable: I, II, III
5-electrode cable: I, II, III, aVR, aVL, aVF, V

Defibrillation-proof: ECG input protected against 400 Ws/DC 5 kV

IEC 60601-2-27:2011 201.8.5.5 complied

Applied part: Electrode

Electrode offset potential tolerance: ≥ ±500 mV

Input dynamic range: ≥ ±5 mV

Internal noise: ≤ 30 μVp-p (Referred to input)

Noise suppression:
RL driving gain: Maximum 40 dB
Maximum voltage: 1.23 Vrms

Common mode rejection ratio: ≥ 95 dB

Frequency response:
DIAG mode: 0.05 Hz to 150 Hz (–3 dB)
MONITOR mode: 0.3 Hz to 40 Hz (–3 dB)
MAXIMUM mode: 1 Hz to 18 Hz (–3 dB)
NOTE: When performing defibrillation, set the <FILTERS> to MONITOR or MAXIMUM. The waveform
recovery may become slow due to electrode polarization when DIAG is set.

Input impedance: ≥ 5 MΩ (at 10 Hz)

≥ 2.5 MΩ (at 0.67 Hz to 40 Hz)

ESU protection: Provided

Recovers within 10 s after ESU and acquired data is not lost.
IEC 60601-2-27: 2011 complied

Leads-off sensing: Each lead has own sensing

Active electrode: < 100 nA (DC)
Reference electrode: < 500 nA (DC)

Waveform display:
Display sensitivity: 10 mm/mV ±5 % (at DIAG mode, 10 Hz, at × 1 sensitivity)
Number of channels: 2 (maximum, with 5 electrodes on home screen)
Sensitivity control: × 1/4, × 1/2, × 1, × 2, × 4, or AUTO
Pacing mark display: Available

Recording sensitivity (when using WS-752P recorder module):

10 mm/mV ±5 % (same as the display sensitivity)

Heart rate count:

Calculation method: Moving average/Instantaneous beat to beat

Patient type (at ×1 sensitivity): Adult: Width: 70 ms to 120 ms

Range of detection amplitude: 0.5 mV to 5 mV, rate: 30 beats/
min to 200 beats/min

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Child and neonate: Width: 40 ms to 120 ms

Range of detection amplitude: 0.5 mV to 5 mV, rate: 30 beats/
min to 250 beats/min
Complies with the QRS detection range specified in IEC 60601-2-27: 2011
201.12.1.101.15

Counting range: 0 beat/min, 15 beats/min to 300 beats/min

Counting accuracy*: ±2 beats/min (0 beat/min, 15 beats/min to 300 beats/min)

* Essential performance in EMC standard

Heart rate display: Heart rate sync mark delay time: ≤ 100 ms to 200 ms (when QRS is detected)
Heart rate display update cycle: Every 3 s or when alarm is generated

Tall T-wave rejection capability: Complies with the heights of T-waves from 0 mV to 1.2 mV specified in IEC 60601-2-
27: 2011 201.12.1.101.17
7
Heart rate averaging: Calculated by using the most recent 4 beats or 12 beats.

Heart rate meter accuracy and response to irregular rhythm:

Ventricular bigeminy (Test waveform name: aami3a*): 80 bpm
Slow alternating ventricular bigeminy (Test waveform name: aami3b*): 60 bpm
Rapid alternating ventricular bigeminy (Test waveform name: aami3c*): 120 bpm
Bidirectional systoles (Test waveform name: aami3d*): 90 bpm
* The test waveforms can be download at http://www.physionet.org

Response time of heart rate meter to change in heart rate:

HR change from 80 bpm to 120 bpm: 7.7 s to 10.7 s (average 9.2 s)
HR change from 80 bpm to 40 bpm: 6.3 s to 8.2 s (average 7.4 s)

Pacemaker pulse detector rejection of fast ECG signals:

Slew rate at which the pacemaker pulse detector responds: 6 V/s to 8 V/s

Pacemaker pulse rejection capability, without overshoot:

Examined by method A of IEC 60601-2-27: 2011 201.12.1.101.13
The pacemaker pulse is prescribed as follows:
Pacemaker pulses: ±2 mV to ±700 mV
Width: 0.1 ms to 2 ms

Pacemaker pulse rejection capability, with overshoot:

Examined by method B of IEC 60601-2-27: 2011 201.12.1.101.13*
Rejectable overshoot: ±0.12 mV/100 ms to ±2 mV/4 ms
(Overshoot amplitudes/time constants)
* The method B prescribes the pacemaker pulse amplitude and width as follows:
Pacemaker pulse: ±4 mV/2 ms to ±80 mV/0.1 ms

Heart rate alarm:

Upper limit range: 16 beats/min to 300 beats/min, OFF in 1 beat/min steps
Lower limit range: OFF, 15 beats/min to 299 beats/min in 1 beat/min steps
Alarm items: TACHYCARDIA, BRADYCARDIA

Arrhythmia analysis
Analysis method: Multi-template matching method
Number of channels: 1
VPC counting rate 0 VPC/min to 99 VPCs/min

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7. REFERENCE

Arrhythmia message: ASYSTOLE, VF, VT, VPC RUN, TACHYCARDIA, BRADYCARDIA, COUPLET,
EARLY VPC, BIGEMINY, FREQ VPC, VPC
Other messages: NOISE, CHECK ELECTRODES, LEARNING
Arrhythmia alarm: Upper limit range: OFF, 1 VPC/min to 99 VPCs/min
Arrhythmia recall: Number of recall files: 120 h
Storage time per file: 10 s

ST level measurement:
Number of measurement channels: 3 electrodes: 1 ch
5 electrodes: 2 ch
Measuring range: ±2.5 mV
ST level alarm: Upper limit range: –1.99 mV to +2.00 mV in 0.01 mV steps, OFF
Lower limit range: OFF, –2.00 mV to +1.99 mV in 0.01 mV steps

Respiration (impedance method)

Measuring method: Transthoracic impedance pneumography

Measuring impedance available range: 220 Ω to 4 kΩ

Excitor current: (35 ± 10) μArms at 40 kHz (sine wave)

Internal noise: ≤ 0.2 Ω (Referred to input)

Respiration rate counting range: 0 count/min to 150 counts/min

Respiration rate counting accuracy*: ±2 counts/min (0 count/min to 150 counts/min)

* Essential performance in EMC standard

Frequency response (high frequency cut-off): 3 Hz (≥ 3 dB)

Defibrillation proof: Respiration input protected against 400 Ws/DC 5 kV

Applied part: Electrode

Impedance respiration: ON/OFF

Heart beat rejection; Available

Waveform display: Display sensitivity: 10 mm/Ω ± 25 % (at × 1 sensitivity)

Sensitivity control: × 1/4, × 1/2, × 1, × 2, × 4
Respiration rate display update cycle:
Every 3 s or when alarm is generated
Sweep speed: 1.56 mm/s, 6.25 mm/s, 12.5 mm/s or 25 mm/s

Alarm: Upper limit range: 2 counts/min to 150 counts/min in 2 counts/min

steps, OFF
Lower limit range: OFF, 0 count/min to 148 counts/min in 2 counts/
min steps
Apnea alarm: Setting range: OFF, 5 s to 40 s in 5 s steps
Displayed message: APNEA

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SpO2 (ISO 80601-2-61: 2011)

SpO2 display:
Display update cycle: Every 3 s or when alarm is generated
Sync tone modulation: Changes tone depending on SpO2 value (Continuous high tone
of “bong” when the value is high, and low tone when it is low )
Sweep speed: 6.25 mm/s, 12.5 mm/s, 25 mm/s or 50 mm/s
Waveform sensitivity: × 1/8, × 1/4, × 1/2, × 1, × 2, × 4, × 8 or AUTO

SpO2:
Measuring method: Two wavelength light absorption method
Data delay time: ≤ 10 s
Display range: 0 % SpO2 to 100 % SpO2
Declared range: 70 % SpO2 to 100 % SpO2
Applied part: Sensor 7
Measuring accuracy*1 (rms*2): 80 % SpO2 ≤ SpO2 ≤ 100 % SpO2: ±2 % SpO2
70 % SpO2 ≤ SpO2 < 80 % SpO2: ±3 % SpO2
Less than 70 % SpO2 is not specified
SpO2 accuracy is guaranteed at surrounding temperature of 18 oC to 40 oC (64.4 oF to 104
o
F)
*1 Essential performance
Accuracy at surrounding temperature: 18 oC to 40 ºC (64.4 oF to 104 ºF)
*2 NOTE for SpO2 Accuracy:
• The SpO2 measuring accuracy was tested on OLV-3100 pulse oximeter using the TL-201T, TL-260T,
TL-271T and TL-631T SpO2 probes. The testing was performed during induced hypoxia on healthy
volunteers (Ethnicity: 10 Caucasians, 2 Africans, 1 Asian and 3 Indians), (Skin: 8 light, 4 medium, 4
dark), (Age: 21 to 34), (5 women and 11 men) under the condition of no motion. Arterial blood was
sampled and measured by a CO-oximeter. The difference between SpO2 measured by the SpO2
probe and functional SaO2 measured by a CO-oximeter was calculated using the root mean square
(rms) according to ISO 80601-2-61: 2011. This measurement accuracy figure represents 2/3 of all test
measurements.
• A pulse oximeter tester that generates simulated signals can be used to check the difference from the
design specification, but it cannot be used as a replacement for human signals for testing accuracy.

Alarm:
Upper limit range: 51 % SpO2 to 100 % SpO2 in 1 % SpO2 steps, OFF
Lower limit range: OFF, 50 % SpO2 to 99 % SpO2 in 1 % SpO2 steps
Alarm delay time: 10 s (0 s to 10 s, in 1 s steps)

Pulse rate:
Display range: 30 beats/min to 300 beats/min
Declared range: 30 beats/min to 300 beats/min
Counting accuracy (rms): ±3 % ± 1 beat/min

Alarm:
Upper limit range: When <SYNC SOURCE> is set to ECG:
16 beats/min to 300 beats/min in 1 beat/min steps, OFF
When <SYNC SOURCE> is set to SpO2 or PRESS1:
31 beats/min to 300 beats/min in 1 beat/min steps, OFF
Lower limit range: When <SYNC SOURCE> is set to ECG:
OFF, 15 beats/min to 299 beats/min in 1 beat/min steps

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When <SYNC SOURCE> is set to SpO2 or PRESS1:

OFF, 30 beats/min to 299 beats/min in 1 beat/min steps

Response time: Selectable from SLOW, NORMAL and FAST.

The following graphs show the response time example when SpO2 changes 0.6 %/s.

Pulse Rate = 70 bpm

SpO2 Reference SpO2 Fast SpO2 Normal SpO2 Slow

100

95
90

SpO2 (%)
85

80
75

70
65

60
0 10 20 30 40 50 60 70 80 90 100 110 120 130 140
Time (seconds)

Pulse Rate = 140 bpm

SpO2 Reference SpO2 Fast SpO2 Normal SpO2 Slow

100
95
90
SpO2 (%)

85
80
75
70
65
60
0 10 20 30 40 50 60 70 80 90 100 110 120 130 140
Time (seconds)

The following graph shows the response time example when pulse rate changes
10 bpm/s.

SpO2 = 97
PR Reference PR
150

140

130

120
PR (bpm)

110

100

90

80

70

60
0 10 20 30 40 50 60 70 80 90 100 110 120
Time (seconds)

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Noninvasive Blood Pressure, NIBP (IEC 80601-2-30: 2009)

Measuring method: Oscillometric

Measuring range:
Adult: SYS: 40 mmHg to 280 mmHg
DIA: 10 mmHg to 235 mmHg
MAP: 20 mmHg to 255 mmHg
Child: SYS: 40 mmHg to 280 mmHg
DIA: 10 mmHg to 235 mmHg
MAP: 20 mmHg to 255 mmHg
Neonate: SYS: 30 mmHg to 140 mmHg
DIA: 10 mmHg to 110 mmHg
MAP: 15 mmHg to 125 mmHg
7
The maximum error for the measurement of the CUFF pressure: ±3 mmHg (0 mmHg ≤ NIBP ≤ 300 mmHg)

Clinical accuracy for the measurement of blood pressure (ISO 81060-2:2013)

±5 mmHg (the mean value of the error)
Within 8 mmHg (standard deviation of error)

Measurement accuracy with a simulator* for blood pressure measurement:

±10 mmHg
* Essential performance

Cuff inflation time:

Adult/Child: ≤ 11 s (700 cc)
Neonate: ≤ 7 s (70 cc)

Measurement mode: Manual, STAT (≤ 15 min), Periodic and SIM

Cuff pressure settings: Manual or Auto

Auto remeasurement: 1 time

Air leakage ≤ 3 mmHg/min

Initial pressurization value:

Adult/Child: 180 mmHg/140 mmHg
Neonate: 100 mmHg

Maximum pressure applied to cuff in neonate mode:

150 mmHg

Cuff pressure display range: 0 mmHg to 300 mmHg

Applied part: Cuff

Display items: Systolic (SYS), diastolic (DIA), mean (MAP), cuff pressure
during NIBP measurement, pulse rate

NIBP data display update cycle: Updated every measurement

Measurement completion sound: Generated at measurement completion (depends on the

setting: OFF, NK1 (three long “bee-bee-bee” sounds) and
NK2 (two short “bee-bee” sounds))

Alarm
Upper limit range: 15 mmHg to 260 mmHg in 5 mmHg steps, OFF

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Lower limit range: OFF, 10 mmHg to 255 mmHg in 5 mmHg steps

Safety
Maximum pressurization value cuff inflation limiter: Adult/Child: 300 mmHg to 330 mmHg
Neonate: 150 mmHg to 165 mmHg

Cuff inflation time limiter: Adult/Child: ≤ 180

Neonate: ≤ 90 s

Interval time limiter: ≤ 30 s

Power discontinuity: Deflates immediately after power down

Invasive Blood Pressure, IBP (SVM-7603/7604/7623/7624)

Complies with IEC 60601-2-34: 2011 except for clauses 201.11.6.5 and
201.9.7.5.

Complied transducers: Edwards Lifesciences (Baxter) disposable transducers

Becton Dickinson disposable transducers DX series
5 μV/V/mmHg, bridge resistor: 200 W to 20 kW, defibrillation-proof or the equivalent

Number of channels: 2

Volume displacement: 0.04 mm3/100 mmHg

Auto zero balancing range: ±200 mmHg

Auto zero balancing accuracy: ±1 mmHg

Measuring range: –50 mmHg to 300 mmHg

Measuring accuracy: ±1 mmHg ± 1 digit (–50 mmHg ≤ IBP < 100 mmHg)
±1 % ± 1 digit (100 mmHg ≤ IBP ≤ 300 mmHg)

Total measuring accuracy*1: ±4 % or ±4 mmHg (whichever is greater)*2

*1 Essential performance in EMC standard
*2 When used with ANSI/AAMI BP-22-1994 compliant equipments

Internal noise: Within ±1 mmHg

Temperature zero drift: ±0.1 mmHg/oC

Frequency response: DC to 12 Hz or 20 Hz (selectable)

Display items: Systolic (SYS), diastolic (DIA), mean (MEAN)

Display update cycle: Every 3 s or when alarm is generated

BP sync sound: Systolic value 20 mmHg to 120 mmHg, changes in 20 steps every 5 mmHg

Transducer warm-up time (for balancing the whole system):

20 s for Edwards Lifesciences transducers (Different transducers have different
warm-up times, refer to the operator’s manual of each transducer)

Alarm:
Upper limit range: 2 mmHg to 300 mmHg in 2 mmHg steps, OFF
Lower limit range: OFF, 0 mmHg to 298 mmHg in 2 mmHg steps
Alarm inactivation: Alarm is inactivated in certain periods when zero balancing is performed.

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Pulse rate:
Counting range: 0 beat/min, 30 beats/min to 300 beats/min
Display range: 0 beat/min to 300 beats/min
Counting accuracy (rms): ±2 beats/min (30 beats/min ≤ PR ≤ 300 beats/min)
Alarm: Upper limit range: When SYNC SOURCE is set to ECG:
16 beats/min to 300 beats/min in 1 beat/min steps, OFF
When SYNC SOURCE is set to PRESS1 or SpO2:
31 beats/min to 300 beats/min in 1 beat/min steps, OFF
Lower limit range: When SYNC SOURCE is set to ECG:
OFF, 15 beats/min to 299 beats/min in 1 beat/min steps
When SYNC SOURCE is set to PRESS1 or SpO2:
OFF, 30 beats/min to 299 beats/min in 1 beat/min steps

Temperature (ISO 80601-2-56: 2009)

Mode of operation: Direct mode

Thermistor probe: 400 series (YSI)

Number of channels: 2

Applied part: Sensor

Rated output range: 0 oC to 45 oC (32 oF to 113 oF)

Measuring accuracy*: ±0.2 oC (25 oC ≤ TEMP ≤ 45 oC)

±0.3 oC ( 0 oC ≤ TEMP < 25 oC)
* Essential performance in EMC standard

Internal noise: ≤ 0.014 oC (at 37 oC)

Temperature drift: Within ± 0.005 oC/oC

Lead break detection: Available

Display range: 0 oC to 45 oC (32 oF to 113 oF)

Display update cycle: Every 3 s or when alarm is generated

Alarm
Upper limit range: 0.1 oC to 45 oC (33 oF to 113 oF) in 0.1 oC (1 oF) steps, OFF
Lower limit range: OFF, 0.0 oC to 44.9 oC (32 oF to 112 oF) in 0.1 oC (1 oF) steps

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CO2 (Mainstream method) (SVM-7603/7604/7623/7624)

For the TG-901T4/TG-921T4/TG-971T4/TG-981T4 CO2 sensor kit
specifications, refer to the kit manual.
Displayed CO2*: Values detected by the TG-901T4/TG-921T4/TG-971T4/TG-981T4 CO2 sensor kit
* Essential performance in EMC standard

Calculation method
TG-901T4/TG-921T4: Semi-quantitative
TG-971T4/TG-981T4: Quantitative

CO2 measuring range: TG-901T4/TG-921T4: 0 mmHg to 100 mmHg

TG-971T4/TG-981T4: 0 mmHg to 150 mmHg

CO2 measuring accuracy

TG-901T4/TG-921T4: ± 0.4 kPa (0 kPa ≤ CO2 ≤ 1.33 kPa) (± 3 mmHg (0 ≤ CO2 ≤ 10 mmHg))
± 0.53 kPa (1.33 kPa < CO2 ≤ 5.33 kPa) (± 4 mmHg (10 < CO2 ≤ 40 mmHg))
± 10% reading (5.33 kPa < CO2 ≤ 13.3 kPa (40 mmHg < CO2 ≤ 100 mmHg))
(At 1 atmospheric pressure, air inspiration, no condensation)

TG-971T4/TG-981T4: ± 0.27 kPa (0 kPa ≤ CO2 ≤ 5.33 kPa) (± 2 mmHg (0 mmHg ≤ CO2 ≤ 40 mmHg))
± 5 % reading (5.33 kPa < CO2 ≤ 9.33 kPa (40 mmHg < CO2 ≤ 70 mmHg))
± 7 % reading (9.33 kPa < CO2 ≤ 13.3 kPa (70 mmHg < CO2 ≤ 100 mmHg))
± 10 % reading (13.3 kPa < CO2 ≤ 20.0 kPa (100 mmHg < CO2 ≤ 150 mmHg))
(When no condensation)

Applied part: Airway adapter and nasal adapter

Warm-up time: TG-901T4/TG-921T4: 5 s

TG-971T4/TG-981T4: 10 s

Response time:
TG-901T4: 160 ms (typical) for steps from 10% to 90%
TG-921T4/TG-971T4: 120 ms (typical) for steps from 10% to 90%
TG-981T4: < 60 ms for steps from 10% to 90%

Respiration rate counting range:

TG-901T4/TG-921T4: 3 counts/min to 150 counts/min
TG-971T4/TG-981T4: 0 count/min to 150 counts/min

Respiration rate counting accuracy

TG-901T4/TG-921T4: ±10% (3 to 150 counts/min)
TG-971T4/TG-981T4: ± 1 count/min

CO2 value display update cycle: Every 3 s or when alarm is generated

CO2 alarm:
Upper limit: CO2 (I): 1 mmHg to 99 mmHg in 1 mmHg steps, OFF
0.1 kPa to 13.0 kPa in 0.1 kPa steps, OFF
ETCO2 2 mmHg to 99 mmHg in 1 mmHg steps, OFF
0.2 kPa to 13.0 kPa in 0.1 kPa steps, OFF
Lower limit: ETCO2 OFF, 1 mmHg to 98 mmHg in 1 mmHg steps
OFF, 0.1 kPa to 12.9 kPa in 0.1 kPa steps

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Respiration rate alarm

Upper limit range: 2 counts/min to 150 counts/min in 2 counts/min steps, OFF
Lower limit range: OFF, 0 count/min to 148 counts/min in 2 counts/min steps

Apnea time: OFF, 5 s to 40 s in 5 s steps

Displayed message: APNEA

Total system response time: 1.0 s

Recorder (WS-752P Recorder Module)

Recording method: Thermal array recording

Number of channels: 3 (maximum)

7
Recording width: ≥ 46 mm

Paper speed: 12.5 mm/s, 25 mm/s, 50 mm/s

Recording density:
Amplitude direction: 8 dots/mm
Feeding direction: 40 dots/mm (≤ 25 mm/s)
20 dots/mm (50 mm/s)

Recording paper: RQW50-2SK

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Battery (SB-752P Battery Pack)

Type of battery: Rechargeable Li-ion

Number of batteries: 1

Battery lifetime: 1 year

Battery operation time: 6h

(New battery, fully charged, no options are used, and operated in normal temperature)

Power off delay time: 5 mins

DC voltage: 7.2 V

Charging current: 2240 mA

Charging time
90% charge: 3h
Full charge: 4h
Charging time may be longer at high temperatures.

Battery status indication: Battery lamps on the front panel, screen message and alarm sound, alarm indicator

Operation environment
Charging temperature: 6 oC to 59 oC (43 oF to 138 oF)
Discharging temperature: Below 70 oC (158 oF)
Humidity: 15 % RH to 95 % RH (noncondensing)
Atmospheric pressure: 700 hPa to 1060 hPa

Transport and storage environment: When the battery pack is stored more than 6 months, charge and discharge or charge the
battery once every 6 months.
Temperature: Less than 1 month with 80 % recoverable capacity: –20 oC to +45 oC (–4 oF to +113 oF)
Less than 6 months with 80 % recoverable capacity: –20 oC to +40 oC (–4 oF to +104 oF)
Less than 1 year with 80 % recoverable capacity: –20 oC to 35 oC (–4 oF to 95 oF)
Humidity: 10 % RH to 95 % RH (noncondensing)
Atmospheric pressure: 700 hPa to 1060 hPa

Power Requirement
Line voltage:
AC AC (100 V to 240 V) ± 10 %
DC (SB-752P) 7.2 V

Line frequency: (50 Hz or 60 Hz) ± 2 %

Power consumption: AC 95 VA

Clock Accuracy
At operating temperature 25 oC: Approx. ±3 mins 30 s/month maximum

At storage temperature –20 oC to +60 oC: Approx. ±6 mins/month maximum

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Environment
Operating environment
Temperature: 10 oC to 40 oC (50 oF to 104 oF)
Humidity: 15 % RH to 95 % RH (noncondensing)
Atmospheric pressure: 700 hPa to 1060 hPa

Transport and storage environment

Temperature: –20 oC to +65 oC (–4 oF to +149 oF)
–15 oC to +55 oC (Recording paper)
Humidity: 10 % RH to 95 % RH
Atmospheric pressure: 700 hPa to 1060 hPa

7
Mechanical Strength
Mechanical strength: Indoor portable type

Electromagnetic Compatibility
IEC 60601-1-2: 2014

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Safety Standard
Safety standard: IEC 60601-1: 2012
IEC 60601-1-2: 2014
IEC 60601-1-6: 2010
IEC 60601-1-8: 2012
IEC 60601-2-27: 2011
IEC 80601-2-30: 2009
IEC 60601-2-34: 2011*
IEC 60601-2-49: 2011
ISO 80601-2-56: 2009
ISO 80601-2-61: 2011
ISO 80601-2-55: 2011*
* For SVM-7603/7604/7623/7624.

Type of protection against electrical shock:

CLASS I EQUIPMENT (AC Powered)
Internally Powered EQUIPMENT (BATTERY Powered)

Degree of protection against electrical shock

Defibrillator-proof type CF applied part: ECG, Respiration (Impedance), IBP, Temperature, SpO2, CO2, NIBP

Degree of protection against harmful ingress of water:

IPX1 (Protected against vertically dripping water)

Degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH
OXYGEN OR NITROUS OXIDE:
Equipment not suitable for use in the presence of FLAMMABLE
ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS
OXIDE

Mode of operation: CONTINUOUS OPERATION

Dimensions and Weight (approximate)

SVM-7600 series bedside monitor Dimension: W × H × D: 330 mm × 274 mm × 156 mm (excluding
protruding parts)
Weight: 4 kg

WS-752P recorder module Dimension: W × H × D: 86 mm × 87 mm × 64 mm (excluding protruding

parts)
Weight: 0.35 kg

Lifetime
6 years
(Self certified based on our data; only when the specified yearly inspection is
performed.)

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Electromagnetic Emissions
The SVM-7600 series bedside monitor essential performance in EMC standard
satisfies the following criteria.
This Model SVM-7600 series bedside monitor is intended for use in the
electromagnetic environment specified below.
The customer or the user of the SVM-7600 series bedside monitor should assure
that it is used in such an environment.

Emissions test Compliance Electromagnetic environment - guidance

Conducted and radiated RF Group 1 The SVM-7600 series bedside monitor uses RF energy only for its internal
EMISSIONS function. Therefore, its RF emissions are very low and are not likely to
cause any interference in nearby electronic equipment.
CISPR 11
RF emissions Class B The SVM-7600 series bedside monitor is suitable for use in all
CISPR 11
establishments, including domestic establishments and those directly 7
connected to the public low-voltage power supply network that supplies
Harmonic distortion Class A buildings used for domestic purposes.
IEC 61000-3-2
Voltage fluctuations and Complies
flicker
IEC 61000-3-3

NOTE: The EMISSIONS characteristics of this equipment make it

suitable for use in industrial areas and hospitals (CISPR 11 class
A). If it is used in a residential environment (for which CISPR
11 class B is normally required) this equipment might not offer
adequate protection to radio-frequency communication services.
The user might need to take mitigation measures, such as
relocating or re-orienting the equipment.

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Electromagnetic Immunity
The SVM-7600 series bedside monitor essential performances in EMC standard
satisfies the following criteria.
This Model SVM-7600 series bedside monitor is intended for use in the
electromagnetic environment specified below.
The customer or the user of the SVM-7600 series bedside monitor should assure
that it is used in such an environment.

Phenomenon
IMMUNITY TEST
Basic EMC Compliance levels Electromagnetic environment - guidance
LEVELS
standard
ELECTROSTATIC ± 8 kV contact ± 8 kV contact Floors should be wood, concrete or ceramic tiles.
DISCHARGE If floors are covered with synthetic material, the
± 2 kV, ± 4 kV, ± 8 kV, ± ± 2 kV, ± 4 kV, ± 8 kV, ±
relative humidity should be at least 30%.
IEC 61000-4-2 15 kV air 15 kV* air
± 2 kV, 100 kHz for ± 2 kV, 100 kHz for Mains power quality should be that of a typical
Electrical fast
power supply lines power supply lines commercial or hospital environment.
transient/burst
± 1 kV, 100 kHz for ± 1 kV, 100 kHz for
IEC 61000-4-4
input/output lines input/output lines
Surge ± 1 kV Line-to-line ± 1 kV differential mode Mains power quality should be that of a typical
commercial or hospital environment.
IEC 61000-4-5 ± 2 kV Line-to-ground ± 2 kV common mode
Voltage dips < 0% UT Mains power quality should be that of a typical
0 % UT; 0.5 cycle commercial or hospital environment.
IEC 61000-4-11 0.5 cycles
At 0°, 45°, 90°, 135°, If the user of the SVM-7600 series requires
180°, 225°, 270°, 315° 0°, 45°, 90°, 135°, 180°,
continued operation during power mains
225°, 270°, 315°
interruptions, it is recommended that the
SVM-7600 series be powered from an
0 % UT; uninterruptible power supply or a battery.
0% UT
1 cycle
1 cycle
and
and
70 % UT;
70% UT
25/30 cycles
25/30 cycles
Single-phase: at 0°
Single-phase 0°
Voltage interruptions 0 % UT; < 0% UT
IEC 61000-4-11 250/300 cycle 250/300 cycles
Power frequency 30 A/m 30 A/m Power frequency magnetic fields should be at
levels characteristic of a typical location in a
(50/60 Hz)
typical commercial or hospital environment.
Magnetic field
IEC 61000-4-8

NOTE: UT is the AC mains voltage prior to application of the test level.

*Immediately after electrostatic discharge, temperature value and CO2/Respiration waveform are sometimes disappears temporarily.
Portable and mobile RF communications
equipment should be used no closer to any part
of the SVM-7600 series including cables than the
Conducted disturbances 3 Vrms recommended separation distance calculated from
induced by RF fields 3 Vrms the equation applicable to the frequency of the
IEC 61000-4-6 150 kHz to 80 MHz transmitter.
Recommended separation distance
_
d = 1.2√P

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Phenomenon
IMMUNITY TEST
Basic EMC Compliance levels Electromagnetic environment - guidance
LEVELS
standard _
Radiated RF EM fields 3 V/m 3 V/m d = 1.2√P 80 MHz to 800 MHz
_
IEC 61000-4-3 80 MHz to 2.7 GHz d = 2.3√P 800 MHz to 2.7 GHz
where P is the maximum output power rating
of the transmitter in watts (W) according
to the transmitter manufacturer and d is the
recommended separation distance in meters (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey*a,
should be less than the compliance level in each
frequency range*b.
Interference may occur in the vicinity of
equipment marked with the following symbol:
7

NOTE • At 80 MHz and 800 MHz, the higher frequency range applies.
• These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
a

amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered.
If the measured field strength in the location in which the SVM-7600 series bedside monitor is used exceeds the applicable
RF compliance level above, the SVM-7600 series bedside monitor should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting or relocating the SVM-7600 series bedside
monitor.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

Recommended Separation Distances between Portable and Mobile RF Communications Equipment

The SVM-7600 series bedside monitor is intended for use in an electromagnetic
environment in which radiated RF disturbances are controlled. The customer
or the user of the SVM-7600 series bedside monitor can help prevent
electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the SVM-
7600 series bedside monitor as recommended below, according to the maximum
output power of the communications.

Rated maximum output Separation distance according to frequency of transmitter (m)

power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.7 GHz
_ _ _
(W) d = 1.2√ P d = 1.2√ P d = 2.3√ P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23

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Rated maximum output Separation distance according to frequency of transmitter (m)

power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.7 GHz
_ _ _
(W) d = 1.2√ P d = 1.2√ P d = 2.3√ P
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be
estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.

NOTE • At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
• These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.

WARNING
Portable RF communications equipment (including peripherals such as antenna cables and external
antennas) should be used no closer than 30 cm (12 inches) to any part of the SVM-7600, including cables
specified by the manufacturer. Otherwise, degradaion of the performance of this equipment could result.

System Composition for EMC Test

The SVM-7600 series bedside monitor has been tested to comply with IEC
60601-1-2: 2014 with the following composition. If any part which is not
specified by Nihon Kohden Malaysia is used, it may not comply with EMC
specifications.
Units Cable length
SVM-7600 series bedside monitor —
BJ-753P ECG patient cable 3.5 m
TL-651S finger probe 3.0 m
YN-721S air hose for neonate 3.0 m
YP-821S disposable cuff for neonate 0.2 m
401J thermistor probe for adult 3.5 m
TG-971T4 sensor kit 3.5 m
JP-752P IBP connection cord 3.5 m
DX-100 monitoring kit —
SB-752P battery pack —
Network cable 10 m
Power cord GB 2.5 m

Grounding lead 4m

WS-752P recorder module —

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Factory Default Settings

Part of the factory default settings of the SYSTEM CONFIGURATION screen
and SYSTEM SETUP window are listed in this manual.

OK: The setting remains in memory when the power is turned off.
30 min: When the <ADMIT MODE> in the SYSTEM SETUP window is set to
AUTO, the setting remains in memory for 30 mins after the power is turning
off. After 30 mins, the setting returns to the default setting. When the
<ADMIT MODE> in the SYSTEM SETUP window is set to MANUAL, you
can select whether the settings are saved or returned to the default values 30
mins after the power is turned off.
Master: When the <ADMIT MODE> in the SYSTEM SETUP window is set to
AUTO, the setting remains in memory for 30 mins after the power is turned
off. After 30 mins, the setting returns to the master settings for each patient
type. When <ADMIT MODE> in the SYSTEM SETUP window is set to
MANUAL, you can select whether the settings are saved or returned to the 7
master settings 30 mins after the power is turned off.
-: The setting returns to the default setting when the power is turned off.

For the alarm settings, refer to the “ALARM LIMITS Window” and
“ARRHYTH ALARMS Window” sections of this manual.
Alarm master values can be set in MASTER of the SYSTEM SETUP window.
The master values will be saved when they are set. The master values of
PATIENT TYPE, MAIN ALARMS, ARRHYTH and NIBP INTERVAL
MASTER can be set. When a new patient is admitted, the master values are used
as patient's initial values.

TREND TABLE Window

Items Setting Items Default Setting Backup
HR, PR, VPC, RR, ST-I, ST-II, ST-III, ST-aVR, ST-
aVL, ST-aVF, ST-V1, ST-V2, ST-V3, ST-V4, ST-V5, 1. HR, 2. PR, 3. VPC,
ST-V6, SpO2, PI, TEMP1, TEMP2, CO2(E)*1, CO2(I)*1,
PARAMETER SETUP 4. ST-II, 5. RR, 6. SpO2, OK
PRESS1-SYS*1, PRESS1-DIA*1, PRESS1-MEAN*1,
PRESS2-SYS*1, PRESS2-DIA*1, PRESS2-MEAN*1, 7. TEMP1, 8 to 15* . NONE
2

NONE
INTERVAL 1 min, 5 min, 10 min, 15 min, 30 min, 1 h 1 min OK

*1 These parameters are only available for SVM-7603/7604/ 7623/7624.

*2 8 to 12 are for SVM-7601/7602/7621/7622.

NIBP TABLE Window

Items Setting Items Default Setting Backup
HR, PR, VPC, RR, ST-I, ST-II, ST-III, ST-aVR,
1. NIBP-SYS, 2. NIBPDIA,
ST-aVL, ST-aVF, ST-V1, ST-V2, ST-V3, STV4, ST-
3. NIBP-MAP, 4. NIBP-PR,
V5, ST-V6, SpO2, PI, TEMP1, TEMP2, CO2(E)*1,
PARAMETER SETUP 5. HR, 6. PR, 7. VPC, 8. OK
CO2(I)*1, PRESS1-SYS*1, PRESS1-DIA*1, PRESS1-
ST-II, 9. RR, 10, SpO2, 11.
MEAN*1, PRESS2-SYS*1,PRESS2-DIA*1, PRESS2-
TEMP1, 12 to 15*2. NONE
MEAN*1, NONE

*1 These parameters are only available for SVM-7603/7604/7623/7624.

*2 12 for SVM-7601/7602/7621/7622.

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TREND GRAPH Window

Items Setting Items Default Setting Backup
Display time interval 1, 2, 4, 8, 24, 120 h 4
GRAPH 1: SEPARATE
TRENDGRAPH SCALE COMMON, SEPARATE
GRAPH 2: COMMON
TRENDGRAPH STYLE MAX-MIN, AVERAGE AVERAGE
1: HR
HR, PR, VPC, RR, NIBP, SpO2, PI, GRAPH 1
TEMP1, TEMP2, ST-I, ST-II, ST-III, 2: NONE
ST-aVR, ST-aVL, ST-aVF, ST-V1,
SETTINGS* 1
1: HR
ST-V2, ST-V3, ST-V4, ST-V5, ST-
V6, CO2(E)*2, CO2(I)*2, PRESS1*2, GRAPH 2 2: NIBP
PRESS2*2, NONE
3: NONE
ADULT, CHILD: 0-100
HR, PR 0-300
NEONATE: 0-200
VPC 0-100 0-20
ADULT, CHILD: 0-50
RR 0-150
NEONATE: 0-150
ST –2.0-2.0 mV, –20.0-20.0 mm ±0.5 mV, ±5.0 mm
ADULT: 0-200 mmHg, 0.0-26.5 kPa OK
NIBP 0-300 mmHg, 0.0-40.0 kPa CHILD: 0-160 mmHg, 0.0-21.5 kPa
NEONATE: 0-100 mmHg, 0.0-13.5 kPa
SpO2 0 %-100 % SpO2 80 %-100 % SpO2

SCALE PI 0.0-100.0 (fixed)

SETUP TEMP1/TEMP2 0.0-45.0 oC, 0.0-115.0 oF 34.0-40.0 oC, 95.0-105.0 oF
0-150 mmHg 0-40 mmHg
CO2(E)*2
0.0-20.0 kPa 0.0-5.5 kPa
0-100 mmHg 0-5 mmHg
CO2(I)*2
0.0-13.0 kPa 0.0-0.7 kPa
ADULT: 0-200 mmHg
0-300 mmHg CHILD: 0-160 mmHg

PRESS1/ NEONATE: 0-100 mmHg

PRESS2*2 ADULT: 0.0-26.5 kPa
0.0-40.0 kPa CHILD: 0.0-21.5 kPa
NEONATE: 0.0-13.5 kPa

*1 When the TRENDGRAPH SCALE is SEPARATE, 2 parameters can be set.

When the TRENDGRAPH SCALE is COMMON, 3 parameters can be set.
*2 These settings are only available for SVM-7603/7604/7623/7624.

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RECALL Window
Items Setting Items Default Setting Backup
ASYSTOLE, VF, VT, VPC RUN,
ARRHYTHMIA ARRHYTHMIA TACHYCARDIA, BRADYCARDIA,
All OK
EVENT SETUP ITEMS COUPLET, EARLY VPC,
BIGEMINY, VPC, ALL

OCRG Window
Items Setting Items Default Setting Backup
SETUP 1 cm/min, 3 cm/min 1 cm/min
HR 60-210, 80-160, 100-220 60-210
OK 7
SCALE SpO2 60-100, 80-100 60-100
RESP (IMP) × 1/4, × 1/2, × 1, × 2, × 4 ×1

ADMIT Window
Page Items Setting Items Default Setting Backup
PATIENT ID None –
NAME None Input with keyboard
30 min
ADMIT HEIGHT/WEIGHT None –
GENDER MALE, FEMALE, – –
PATIENT TYPE ADULT, CHILD, NEONATE ADULT Master

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ALARM LIMITS Window

Setting Items Settings Range Step Default Setting Backup
ADULT: 140 beats/min
OFF, 16 beats/min to 300 beats/min
Upper CHILD: 170 beats/min
HR/PR (OFF, 31 beats/min to 300 beats/min)
NEONATE: 200 beats/min
(When SYNC 1
SOURCE is set ADULT: 50 beats/min
to SpO2) OFF, 15 beats/min to 299 beats/min
Lower CHILD: 75 beats/min
(OFF, 30 beats/min to 299 beats/min)
NEONATE: 100 beats/min
VPC* 1
Upper OFF, 1 beats/min to 99 beats/min 1 OFF
OFF, –1.99 mV to 2.00 mV 0.01
Upper OFF
OFF, –19.9 mm to 20.0 mm 0.1
ST-I to ST-V6
OFF, –2.00 mV to 1.99 mV 0.01
Lower OFF
OFF, –20.0 mm to 19.9 mm 0.1
ADULT, CHILD: OFF
Upper OFF, 51 % to 100 % SpO2
NEONATE: 95 % SpO2
SpO2 1 Master
ADULT, CHILD: 90 % SpO2
Lower OFF, 50 % to 99 % SpO2
NEONATE: 85 % SpO2
Upper OFF, 2 counts/min to 150 counts/min
RR 2 OFF
Lower OFF, 0 counts/min to 148 counts/min
APNEA Upper OFF, 5 s to 40 s 5 20 s
ADULT: 38.0 oC
OFF, 0.1 oC to 45.0 oC 0.1 CHILD: 38.5 oC
NEONATE: 39 oC
Upper
ADULT: 100.0 oF
TEMP1/TEMP2
OFF, 33.0 oF to 113.0 oF 1.0 CHILD: 101.0 oF
NEONATE: 102.0 oF
OFF, 0.0 oC to 44.9 oC 0.1
Lower OFF
OFF, 32.0 oF to 112.0 oF 1.0

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Setting Items Settings Range Step Default Setting Backup

ADULT: 180 mmHg
OFF, 15 mmHg to 260 mmHg 5 CHILD: 140 mmHg
NEONATE: 100 mmHg
Upper
ADULT: 24.0 kPa
OFF, 2.0 kPa to 34.5 kPa 0.5 CHILD: 18.5 kPa
NEONATE: 13.5 kPa
NIBP-SYS
ADULT: 80 mmHg
OFF, 10 mmHg to 255 mmHg 5 CHILD: 65 mmHg
NEONATE: 50 mmHg
Lower
ADULT: 10.5 kPa
OFF, 1.5 kPa to 34.0 kPa 0.5 CHILD: 8.5 kPa
NEONATE: 6.5 kPa
OFF, 15 mmHg to 260 mmHg 5 7
Upper OFF
OFF, 2.0 kPa to 34.5 kPa 0.5
NIBP-DIA
OFF, 10 mmHg to 255 mmHg 5
Lower OFF
OFF, 1.5 kPa to 34.0 kPa 0.5
OFF, 15 mmHg to 260 mmHg 5
Upper OFF
OFF, 2.0 kPa to 34.5 kPa 0.5
NIBP-MAP
OFF, 10 mmHg to 255 mmHg 5
Lower OFF
OFF, 1.5 kPa to 34.0 kPa 0.5
OFF, 2 mmHg to 99 mmHg 1 Master
Upper OFF
OFF, 0.2 kPa to 13.0 kPa 0.1
CO2 (E)*2
OFF, 1 mmH to 98 mmHg 1
Lower OFF
OFF, 0.1 kPa to 12.9 kPa 0.1
ADULT,
OFF
OFF, 1 mmHg to 99 mmHg 1 NEONATE:
CHILD: 3
CO2 (I)*2 Upper
ADULT,
OFF
OFF, 0.1 kPa to 13.0 kPa 0.1 NEONATE:
CHILD: 0.4
OFF, -48mmHg to 300 mmHg 2
Upper OFF
PRESS1-SYS/ OFF, -6.4 kPa to 40.0 kPa 0.5
PRESS2-SYS*2 OFF, -50 mmHg to 298 mmHg 2
Lower OFF
OFF, -6.5 kPa to 39.5 kPa 0.5
OFF, -48 mmHg to 300 mmHg 2
Upper OFF
PRESS1-DIA/ OFF, -6.0 kPa to 40.0 kPa 0.5
PRESS2-DIA*2 OFF, -50 mmHg to 298 mmHg 2
Lower OFF
OFF, -6.5 kPa to 39.5 kPa 0.5
OFF, -48 mmHg to 300 mmHg 2
PRESS1- Upper OFF
MEAN/ OFF, -6.0 kPa to 40.0 kPa 0.5
PRESS2- OFF, -50 mmHg to 298 mmHg 2
MEAN*2 Lower OFF
OFF, -6.5 kPa to 39.5 kPa 0.5

*1 Only when the ARRHYTHMIA ANALYSIS is set to ON.

*2 Only available for SVM-7603/7604/7623/7624.

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7. REFERENCE

ALARM MASTER Settings

Setting Items Setting Range Step Default Setting Backup
ADULT: 140
Upper OFF, 16 beats/min to 300 beats/min CHILD: 170
NEONATE: 200
HR/PR 1
ADULT: 50
Lower OFF, 15 beats/min to 299 beats/min CHILD: 75
NEONATE: 100
VPC Upper OFF, 1 beats/min to 99 beats/min 1 OFF
ST-I, ST-II, OFF, –1.99 mV to 2.00 mV 0.01
ST-III, ST-aVR, Upper OFF
OFF, –19.9 mm to 20.0 mm 0.1
ST-aVL , ST-aVF,
ST-V1, ST-V2, OFF, –2.00 mV to 1.99 mV 0.01
ST-V3, ST-V4,
ST-V5, ST-V6
(Depending Lower OFF
on the settings OFF, –20.0 mm to 19.9 mm 0.1
to display 2 of
these items)
ADULT, CHILD: OFF
Upper OFF, 51 % to 100 % SpO2
NEONATE: 95 % SpO2
SpO2 1
ADULT, CHILD: 90 % SpO2
Lower OFF, 50 % to 99 % SpO2
NEONATE: 85 % SpO2
Upper OFF, 2 counts/min to 150 counts/min
RR 2 OFF
Lower OFF, 0 counts/min to 148 counts/min
APNEA Upper OFF, 5 s to 40 s 5 20 s
ADULT: 38.0 OK
0.1 C to 45.0 C, OFF
o o
0.1 CHILD: 38.5
NEONATE: 39.0
Upper
ADULT: 100.0
TEMP1/TEMP2
33.0 oF to 113.0 oF, OFF 1.0 CHILD: 101.0
NEONATE: 102.0
0.0 C to 44.9 C, OFF
o o
0.1
Lower OFF
32.0 oF to 112.0 oF, OFF 1.0
ADULT: 180
OFF, 15 mmHg to 260 mmHg 5 CHILD: 140
NEONATE: 100
Upper
ADULT: 24.0
OFF, 1.5 kPa to 35.0 kPa 0.5 CHILD: 18.5
NEONATE: 13.5
NIBP-SYS
ADULT: 80
OFF, 10 mmHg to 255 mmHg 5 CHILD: 65
NEONATE: 50
Lower
ADULT: 10.5
OFF, 1.5 kPa to 34.0 kPa 0.5 CHILD: 8.5
NEONATE: 6.5
OFF, 15 mmHg to 260 mmHg 5
Upper OFF
OFF, 1.5 kPa to 35.0 kPa 0.5
NIBP-DIA
OFF, 10 mmHg to 255 mmHg 5
Lower OFF
OFF, 1.0 kPa to 34.5 kPa 0.5

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 7. REFERENCE

Setting Items Setting Range Step Default Setting Backup

OFF, 15 mmHg to 260 mmHg 5
Upper OFF
OFF, 1.5 kPa to 35.0 kPa 0.5
NIBP-MAP
OFF, 10 mmHg to 255 mmHg 5
Lower OFF
OFF, 1.0 kPa to 34.5 kPa 0.5
OFF, 2 mmHg to 99 mmHg 1
Upper OFF
OFF, 0.6 kPa to 13.0 kPa 0.1
CO2 (E)*
OFF, 1 mmHg to 98 mmHg 1
Lower OFF
OFF, 0.5 kPa to 12.9 kPa 0.1
ADULT,
OFF
OFF, 1 beats/min to 99 beats/min 1 NEONATE:
CHILD: 3
CO2 (I)* Upper
ADULT,
OFF
OFF, 0.1 kPa to 13.0 kPa 0.1 NEONATE:
CHILD: 0.4 OK 7
OFF, –48 mmH to 300 mmHg 2
Upper OFF
PRESS1-SYS/ OFF, –6.0 kPa to 40.0 kPa 0.5
PRESS2-SYS* OFF, –50 mmHg to 298 mmHg 2
Lower OFF
OFF, –6.5 kPa to 39.5 kPa 0.5
OFF, –48 mmHg to 300 mmHg 2
Upper OFF
PRESS1-DIA/ OFF, –6.0 kPa to 40.0 kPa 0.5
PRESS2-DIA* OFF, –50 mmHg to 298 mmHg 2
Lower OFF
OFF, –6.5 kPa to 39.5 kPa 0.5
OFF, –48 mmHg to 300 mmHg 2
PRESS1- Upper OFF
MEAN/ OFF, –6.0 kPa to 40.0 kPa 0.5
PRESS2- OFF, –50 mmHg to 298 mmHg 2
MEAN* Lower OFF
OFF, –6.5 kPa to 39.5 kPa 0.5

* Only available for SVM-7603/7604/7623/7624.

ARRHYTH ALARMS Window

The arrhythmia alarm default settings are set by the administrator on the
MASTER window of the SYSTEM SETUP window.

DATE Window
Items Setting Items Default Setting Backup
YEAR 2000 to 2099
MONTH 1 to 12
DAY 1 to 31 – OK
HOUR 0 to 23
MINUTE 0 to 59

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7. REFERENCE

DISPLAY/SOUND Window
Default
Items Setting Items Backup
Setting
ON, OFF ON
SYNC SOUND VOLUME
1 to 8 (8 steps) 4
ALARM VOLUME 2 to 8 (7 steps) 6
BRIGHTNESS 1 to 4 (4 steps) 4 OK
SWEEP SPEED 6.25 mm/s, 12.5 mm/s, 25 mm/s, 50 mm/s 25 mm/s
RESP SWEEP SPEED (SVM-7601/7602/7621/7622)
1.56 mm/s, 6.25 mm/s, 12.5 mm/s, 25 mm/s 25 mm/s
RESP/CO2 SWEEP SPEED (SVM-7603/7604/7623/7624)

RECORD Window
Items Setting Item Default Setting Backup
TRACE 1: ECG
TRACES ECG, ECG2, RESP, SpO2, CO2*, PRESS*, NONE TRACE 2: NONE
TRACE 3: NONE
OK
ALARM RECORDING ON, OFF OFF
RECORDING SPEED 12.5 mm/s, 25 mm/s, 50 mm/s 25 mm/s
PERIODIC REC ON/OFF OFF

* Only available for SVM-7603/7604/7623/7624.

ECG Window
Items Setting Items Default Setting Backup
SENSITIVITY ×1/4, ×1/2, ×1, ×2, ×4, AUTO ×1
ECG1 LEAD/
SENSITIVITY/ LEAD I, II, III, aVR, aVL, aVF, V1 to V6 II
FILTERS/LEARN
FILTERS DIAG, MONITOR, MAXIMUM MONITOR OK

ECG2 LEAD/ SENSITIVITY ×1/4, ×1/2, ×1, ×2, ×4 ×1

SENSITIVITY LEAD I, II, III, aVR, aVL, aVF, V1 to V6 V4
PATIENT TYPE ADULT, CHILD, NEONATE ADULT Master
ADULT, CHILD: ON
PACING DETECT ON, OFF 30 min
NEONATE: OFF
SYNC SOURCE ECG, PRESS*, SpO2 ECG
ELECTRODES 3, 5 3 OK
ECG MEASUREMENT ON, OFF ON
HR/PR
VPC The setting items and default setting are the same as the ALARM
ALARMS Master
ST-II LIMITS window.

ST-V4

* Only available for SVM-7603/7604/7623/7624.

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 7. REFERENCE

RESP Window (SVM-7601/7602/7621/7622), RESP/CO2 Window

(SVM-7603/7604/7623/7624)
Items Setting Items Default Setting Backup
R-F (fixed) –
RESP SENSITIVITY
×1/4, ×1/2,×1, ×2, ×4 ×1
IMPEDANCE MEASUREMENT ON, OFF ON
RESP SWEEP SPEED (SVM-7601/7602/7621/7622) 1.56 mm/s, 6.25 mm/s, 12.5
25 mm/s
RESP/CO2 SWEEP SPEED (SVM-7603/7604/7623/7624) mm/s, 25 mm/s

0-40 mmHg, 0-60 mmHg,

0-80 mmHg, 0-120 mmHg,
0-40 mmHg OK
0-150 mmHg or 0 (fixed) to
150 mmHg
CO2 SCALE*
0.0-5.5 kPa, 0.0-8.0 kPa,
0.0-10.5 kPa, 0.0-16.0 kPa,
7
0.0-5.5 kPa
0.0-20.0 kPa or 0.0 (fixed)
to 20.0 kPa
CO2 GAS COMP* AIR, O2+AIR, O2+N2O O2+AIR
MAX HOLD* 10 s, 20 s, OFF 10 s
RR
APNEA The setting items and default setting are the same as
ALARMS Master
CO2 (E)* the ALARM LIMITS window.

CO2 (I)*

* Only available for SVM-7603/7604/7623/7624.

SpO2 Window
Items Setting Items Default Setting Backup
SENSITIVITY ×1/8, ×1/4, ×1/2, ×1, ×2, ×4, ×8, AUTO AUTO OK
SpO2 The setting items and default setting are the same as the ALARM
ALARMS Master
HR/PR LIMITS window.

SYNC SOURCE ECG, PRESS*, SpO2 ECG

SYNC PITCH FIXED, PRESS*, SpO2 FIXED
OK
RESPONSE FAST, NORMAL, SLOW NORMAL
SENSITIVITY MODE NORMAL, MAX NORMAL

* Only available for SVM-7603/7604/7623/7624.

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7. REFERENCE

NIBP Window
Items Setting Items Default Setting Backup
PATIENT TYPE ADULT, CHILD, NEONATE ADULT
Items selected from the following
on the SYSTEM SETUP window.
MEASUREMENT INTERVAL MANUAL, STAT, SIM, 1 min, 2 MANUAL
min, 2.5 min, 5 min, 10 min, 15 Master
min, 30 min, 1 h, 2 h, 4 h, 8 h
SYS
The setting items and default setting are the same as the ALARM
ALARMS DIA
LIMITS window.
MAP
100 mmHg to 280 mmHg 180 mmHg
ADULT
13.0 kPa to 37.0 kPa 24.0 kPa

INITIAL CUFF 100 mmHg to 280 mmHg 140 mmHg

CHILD 30 min
PRESSURE 13.0 kPa to 37.0 kPa 19.0 kPa
70 mmHg to 145 mmHg 100 mmHg
NEONATE
9.0 kPa to 19.0 kPa 13.0 kPa

PRESS Window (SVM-7603/7604/7623/7624)

Items Setting Items Default Setting Backup
SYS
DIA The setting items and default setting are the same as the ALARM LIMITS
ALARMS Master
MEAN window.

HR/PR
ADULT: 0-200 mmHg
0-20 mmHg, 0-50 mmHg , 0-100 mmHg,
0-160 mmHg, 0-200 mmHg, 0-300 CHILD: 0-160 mmHg
mmHg
NEONATE: 0-100 mmHg
SCALE
ADULT: 0.0-26.5 kPa OK
0.0-2.5 kPa, 0.0-6.5 kPa, 0.0-13.5 kPa,
CHILD: 0.0-21.5 kPa
0.0-21.5 kPa, 0.0-26.5 kPa, 0.0-40.0 kPa
NEONATE: 0.0-13.5 kPa
SYNC SOURCE ECG, PRESS, SpO2 ECG
SYNC PITCH FIXED, PRESS, SpO2 FIXED
OK
NUMERIC DISPLAY SYS/DIA (MEAN), MEAN SYS/DIA (MEAN)

TEMP Window
Items Setting Items Default Setting Backup
The setting items and default setting are the same as
ALARMS TEMP1/TEMP2 Master
the ALARM LIMITS window.

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 7. REFERENCE

Standard Accessories
Name Qty Model/Code No. Supply Code
Operator’s Manual 1 0614-907636D -
Manuals CD-ROM 1 0644-900231C -

Options and Consumables

Each component has its own options.

CAUTION
Only use Nihon Kohden Malaysia specified electrodes, probes and 7
sensors. Otherwise, the maximum performance from the monitor
cannot be guaranteed.

NOTE • Only use Nihon Kohden Malaysia specified parts and

accessories to assure maximum performance from your
instrument.
• The parts which are marked with * have not been checked for
compliance with the MDD (Medical Device Directive). For EC
member countries, Nihon Kohden Malaysia recommends the
use of parts that comply with MDD.

SVM-7600 Series Bedside Monitor

Name Qty Model/Code No. Supply Code
Grounding lead 1 6104-900045 -
Power cord GB 1 9000-066210 -
Power cord N (ND01-AC2500-EUNK) 1 936266 -
Recorder module 1 WS-752P -
Recording paper 10 RQW50-2SK -
Thermal head cleaning pen 5 - Y011
Battery pack 1 SB-752P -

For ECG and Respiration (Impedance Method) Monitoring

Name Purpose Length (m) Qty Model Supply Code
IEC, snap type BJ-753P -
3 electrodes
AHA, snap type BJ-753PA -
ECG patient cable 3.5 1
IEC, snap type BJ-755P -
5 electrodes
AHA, snap type BJ-755PA -
General - 30 × 5 L-150 G203
Disposable electrodes, Vitrode
General, X-ray - 30 × 5 L-150X G207

SVM-7600 Series Operator’s Manual 7-33

7. REFERENCE

For CO2 Monitoring (Mainstream Method, SVM-7603/7604/7623/7624)

Name Length (m) Qty Model/Code No. Supply Code
CO2 sensor kit (CO2 adapter + CO2 sensor) for semi-
3.0 1 TG-901T4 P903B
quantitative method
CO2 adapter for TG-901T4 2.0 1 JG-901T4 -
CO2 sensor for TG-901T4 1.0 1 TG-101T P922A
Airway adapter for TG-901T4 - 50 YG-101T R801
CO2 sensor kit (CO2 adapter + CO2 sensor) for semi-
3.5 1 TG-921T4 P907B
quantitative method
CO2 adapter for TG-921T4 2.0 1 JG-921T4 -
CO2 sensor for TG-921T4 1.5 1 TG-121T P923
Nasal adapter for TG-921T4 (Nasal breathing) - 30 YG-120T V921
Nasal adapter for TG-921T4 (Naso-oral breathing) - 30 YG-121T V922
Nasal adapter for TG-921T4 (Oxygen cannula adjustment) - 30 YG-122T V923
Airway adapter for TG-921T4 - 30 YG-111T R804
Surgical tape - 24 #1527 Y242
CO2 sensor kit (CO2 adapter + CO2 sensor) for
3.5 1 TG-971T4 P909B
quantitative method
CO2 sensor kit for quantitative method 2.9 1 TG-981T4 P910D
Airway adapter for TG-971T4/TG-981T4 - 30 YG-211T R805
Airway adapter for TG-971T4/TG-981T4 - 30 YG-213T R806
Airway adapter for TG-971T4/TG-981T4 - 30 YG-214T R807
Adult cap-ONE biteblock for TG-971T4/TG-981T4 - 20 YG-227T V939
Pediatric cap-ONE mask for TG-971T4/TG-981T4 - 10 YG-232T V933
Infant cap-ONE mask for TG-971T4/TG-981T4 - 10 YG-242T V935
Adult cap-ONE mask for TG-971T4/TG-981T4 - 10 YG-272T V938A
Adult cap-ONE mask for TG-971T4/TG-981T4 - 10 YG-282T V938C
Airway adapter for adults and children (Weight 7kg or
- 30 YG-211T R805
more), TG-971T4/TG-981T4

For SpO2 Monitoring

Name Length (m) Qty Model/Code No. Supply Code
SpO2 connection cord (for Nihon Kohden Malaysia SpO2 probe) 2.5 JL-701P -
Finger probe 1.6 TL-201T P225F
1
Finger probe 3.0 TL-651S -
Multi-site probe 1.6 TL-220T P225G

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 7. REFERENCE

For NIBP Monitoring

Name Width (cm) Length (m) Qty Model Supply Code
Air hose for adult/children - 3.0 YN-701S -
Cuff for infants 5 YP-710T S951A
Cuff for children 7 YP-711T S951B
Small 10 YP-712T S951C
0.15 1
Cuff for adult Standard 13 YP-723T -
Large 16 YP-724T -
Cuff for thigh 19 YP-715T S951F
Air hose for neonates - 3.0 YN-721S -
2 YP-820S S948F
3 YP-821S S948G
Disposable cuff for neonate 4 0.2 10 YP-822S S948H 7
4.5 YP-823S S948I
5 YP-824S S948J

For IBP Monitoring (SVM-7603/7604/7623/7624)

Becton Dickinson Disposable Transducers
Name Description/Length Qty Model Supply Code
IBP connection cord For Becton Dickinson transducers, 3.5 m 1 JP-752P -
Monitoring kit For cerebral pressure 10 DX-100* -
Monitoring kit For neonates 10 DX-200* -
Monitoring kit With flush device 10 DX-300* -
Monitoring kit For arm mounting 5 DX-312* -
Monitoring kit For pole mounting 5 DX-360* -
Monitoring kit For pole mounting 5 DX-360R* -
Monitoring kit For triple line 3 DX-360TT* -
Monitoring kit For pole mounting 5 DX-360SD* -
Transducer fixing plate - 1 G-TBG2 -
Transducer fixing plate - 1 G-TMM -
Transducer fixing plate - 1 G-UMM -
Safety needle For DX-360SD 50 TA-BPN -

Edwards Lifesciences (Baxter) Disposable Transducers

Name Description/Length Qty Model Supply Code
IBP connection cord For Edwards Lifesciences (Baxter) transducers, 3.5 m 1 JP-753P -

Edwards Lifesciences (Baxter) Transducers are available direct from Edwards Lifesciences (Baxter) (www.edwards.
com) or their suppliers.

Other
Name Description/Length Qty Model Supply Code
IBP connection cord For NKC, 0.3 m 1 JP-751P -
Pressure bag - 1 ACS-223* S160A
Disposable 3-way stopcock - 50 318434* S180

SVM-7600 Series Operator’s Manual 7-35

7. REFERENCE

Name Description/Length Qty Model Supply Code

3-way stopcock 3 core 1 MF-3F* S314
3-way stopcock 5 core 1 MF-5F* S315
Holder For 5 core stopcock 1 - S226

For Temperature Monitoring

Name Purpose Length (m) Qty Model/Code No. Supply Code
For adult rectum 401J** P240A
Reusable thermistor probe For child rectum 3.5 m 1 402J** P241A
Disc type 409J** P242C
Probe cover For 401J 10 - P249
-
Temperature insulation pad For 409J 5 dozens 336468 P252
Extension cable For disposable probes 3.0 m 1 5-15801 L280A

** These thermistor probes are available direct from YSI, Yellow Springs Instrument Inc., Yellow Springs Ohio 45387,
USA; Phone +1 937-767-7241.
The temperature disposable probes are available direct from Kendall Healthcare Products Company (www.kendallhq.
com) or their suppliers.

7-36 SVM-7600 Series Operator’s Manual

 7. REFERENCE

General Requirements for Connecting Medical Electrical Systems

When more than one electrical instrument is used, there may be electrical
potential difference between the instruments. Potential difference between
instruments may cause current to flow to the patient connected to the
instruments, resulting in electrical shock (micro shock). Therefore, electrical
instruments must be appropriately installed as specified in IEC 60601-1:2012.
The following is an extract from IEC 60601-1 "Medical electrical equipment Part
1: General requirements for basic safety and essential performance". For details,
refer to IEC 60601-1 and consult with a biomedical engineer.

Table I.1 - Some examples of ME SYSTEMS for illustration

Medically used room Practical
Examples of
Non- means of
possible causes
Situation No. Inside the PATIENT
Outside the medically
for exceeding
compliance 7
PATIENT used Apply
ENVIRONMENT LEAKAGE
ENVIRONMENT room 16.5 in all
CURRENT Limits
situations

1a Items A and Multiplied - Verify total

B are Me APPLIED PARTS PATIENT
EQUIPMENT type can cause the LEAKAGE
Mains Mains
Plug Plug
total PATIENT CURRENT
A B
IEC 60601 IEC 60601 LEAKAGE
CURRENT to
exceed limits See
Note1.

1b Items A and - Additional

B are ME PROTECT-
EQUIPMENT A B IVE
IEC 60601 IEC 60601 Earth conductor EARTH
powered via of the MULTIPLE CONNECT-
a MULTIPLE SOCKET-OUTLET ION
SOCKET- is broken
MULTIPLE SOCKET-OUTLET (for A or
OUTLET
See also 1a. B) or,
- Separating
transformer

1 1c Item A is ME - Additional
EQUIPMENT PROTECT-
and B is Non- IVE EARTH
ME CONNECT-
Mains Mains Due to high
EQUIPMENT Plug Plug
A B TOUCH ION (for
IEC 60601 IEC ××××× B) or,
CURRENT of B

- Separating
transformer
(for B)

1d Item A is ME The earth conductor - Additional

EQUIPMENT of the MULTIPLE PROTECT-
and B is A B IVE
IEC 60601 IEC ××××× SOCKET-OUTLET
non-ME is broken EARTH
EQUIPMENT CONNECT-
powered via or, ION (for A
a MULTIPLE MULTIPLE SOCKET-OUTLET or B) or,
Due to high
SOCKET- TOUCH - Separating
OUTLET CURRENT of B transformer

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7. REFERENCE

Table I. 1 (continued)
Medically used room Examples
of possible Practical
Non- causes for means of
Outside the compliance
Situation No. Inside the PATIENT medically exceeding
PATIENT Apply 16.5 in
ENVIRONMENT used room LEAKAGE
ENVIRONMENT all situations
CURRENT
Limits

1e Item A is ME - Additional
EQUIPMENT A Mains PROTECT-
IEC 60601 Plug
powered from IVE EARTH
specified B
CONNECT-
power supply IEC ××××× ION (for B)
in item B or,
Due to high
1 TOUCH - Separating
1f Item A is ME Mains transformer
CURRENT of B
EQUIPMENT A B Plug
(for B)
powered from IEC 60601 IEC ×××××
NON-ME DC/AC
EQUIPMENT
power supply
in B

2a Items A and Mains Mains No causes - No further

Plug Plug of exceeding
B are Me A B measures are
EQUIPMENT IEC 60601 IEC 60601 LEAKAGE necessary
CURRENT

2b Items A - Additional
and item PROTECT-
B are ME A B Earth conductor IVE
EQUIPMENT IEC 60601 IEC 60601 of the EARTH
powered via MULTIPLE CONNECT-
a MULTIPLE COSKET- ION
SOCKET- OUTLET is (for A or B)
OUTLET MULTIPLE SOCKET-OUTLET broken or,
- Separating
transformer

2 2c Item A is ME - Do not
EQUIPMENT Mains Mains Due to high use metal
Plug A B Plug TOUCH
and item B connector
is non-ME IEC 60601 IEC ××××× CURRENT of B housing or,
EQUIPMENT See rationale for
16.5. - SEPARATION
DEVICE

2d Item A is ME - Additional
EQUIPMENT PROTECT-
A B The earth
and item B IVE EARTH
IEC 60601 IEC ××××× conductor of
is non-ME CONNECT-
the MULTIPLE
EQUIPMENT ION (for A or
SOCKET-
powered via B) or,
MULTIPLE SOCKET-OUTLET OUTLET is
a MULTIPLE
broken - Separating
SOCKET-
transformer
OUTLET

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 7. REFERENCE

Table I. 1 (continued)
Medically used room
Examples of Practical
possible causes means of
Inside the Outside the Non-medically
Situation No. for exceeding compliance
PATIENT PATIENT used room
LEAKAGE Apply 16.5 in
ENVIRONMENT ENVIRONMENT CURRENT Limits all situations

3a Items A Mains Mains - No further

and B Plug A B Plug No causes of measures are
are ME IEC 60601 IEC 60601 exceeding LEAKAGE necessary
EQUIP- Common protective earth
CURRENT
MENT

3b Item A - Do not
is ME use metal
EQUIP- Mains Mains connector
MENT Plug A B Plug housing for 7
and item B IEC 60601 IEC ××××× Due to high TOUCH SIGNAL
is non-ME CURRENT of B See INPUT/
Common protective earth
EQUIP- retionale for 16.5 OUTPUT
MENT PART or,
- SEPARATION
DEVICE
3
3c Item A - Additional
is ME PROTECT-
EQUIP- a) Potential IVE EARTH
MENT difference between CONNECT-
and item Mains Mains ION for (A),
Plug Plug PROTECTIVE
B
B in is ME A IEC 60601 EARTH or
EQUIP- IEC 60601 or CONNECTIONS of A - SEPARATION
MENT or IEC ×××××
and B
non-ME Common protective earth Protective earth DEVICE, or
EQUIP-
with potentinal b) Due to high - Do not use
difference
MENT TOUCH CURRENT metal connector
of B housing in
See rationale for 16.5 the PATIENT
ENVIRON-
MENT

NOTE 1 No causes of TOUCH CURRENT or EARTH LEAKAGE CURRENT exceeding limits.

NOTE 2 IEC 60601: MEDICAL ELECTRICAL EQUIPMENT in compliance with IEC 60601.
NOTE 3 IEC xxxxx: Non-medical equipment in compliance with relevant IEC safety standards.
NOTE 4 Separating transformer: see 16.9.2.1.
NOTE 5 If equipment “B” is outside the PATIENT ENVIRONMENT and if equipment “A” is a CLASS
II equipment and has accessible conductive parts connected to the PROTECTIVE EARTH
CONNECTION of equipment “B” then additional safety measures could be necessary, for example:
additional protective earth for “B” or separating transformer or SEPARATION DEVICE.

SVM-7600 Series Operator’s Manual 7-39

 Manufacturer
NIHON KOHDEN MALAYSIA SDN. BHD. NIHON KOHDEN IBERICA S.L.
Suite 15-13, Level 15, GTower, C/Ulises 75A, E-28043 Madrid, Spain
199 Jalan Tun Razak, 50400 Kuala Lumpur, Malaysia Phone + 34 917-161-080
Phone: +60 321610100 Fax +34 913 - 004-676
Fax: +60 321612520
NIHON KOHDEN ITALIA S.r.l.
Via Fratelli Bronzetti 28, 24124 Bergamo, Italy
Phone + 39 035- 219543
Fax +39 035 - 232546

North and South America NIHON KOHDEN UK LTD.

Trident Court 118, 1 Oakcroft Road
NIHON KOHDEN AMERICA, INC. Chessington, Surrey KT9 1BD, UK
15353 Barranca Parkway, Irvine, CA 92618, U.S.A. Phone + 44 20 - 8391-6800
Toll-free +1-800-325-0283 Fax +44 20- 8391-6809
Phone +1 949 - 580 -1555
Fax +1 949 - 580 -1550
Asia
NIHON KOHDEN MEXICO S.A. DE C.V.
Insurgentes Sur 730, Piso 9 Oriente, Col. Del Valle SHANGHAI KOHDEN MEDICAL
C.P. 03100, Delegacion Benito Juarez, Ciudad de Mexico
Phone +52 55-8851-5550 ELECTRONIC INSTRUMENT CORP.
Fax +52 55-8851-5580 No. 567 Huancheng Bei Road
Shanghai Comprehensive Industrial Development Zone
NIHON KOHDEN DO BRASIL LTDA. Fengxian District, Shanghai 201401, China
Rua Diadema, 89, 1º andar, conjuntos 11 a 17, bairro Mauá Phone + 86 21- 6270- 0909
no Município de São Caetano do Sul, Estado de São Paulo Fax +86 21-6270- 9739
CEP 09580-670, Brasil
Phone + 55 11- 3044-1700 NIHON KOHDEN SINGAPORE PTE LTD
Fax + 55 11- 3044 - 0463 1 Maritime Square, #10-34 HarbourFront Centre
Singapore 099253
Phone + 65 6376- 2210
Europe Fax +65 6376 - 2264

European Representative NIHON KOHDEN INDIA PVT. LTD.

NIHON KOHDEN EUROPE GmbH 308, Tower A, Spazedge, Sector 47, Sohna Road
Raiffeisenstrasse 10, D-61191 Rosbach, Germany Gurgaon-122 002 Haryana, India
Phone +49 6003 - 827- 0 Toll-free +91 1800-103-8182
Fax +49 6003 - 827- 599 Phone + 91 124- 493 -1000
Fax + 91 124 - 493 -1029
NIHON KOHDEN DEUTSCHLAND GmbH
Raiffeisenstrasse 10, D-61191 Rosbach, Germany NIHON KOHDEN MIDDLE EAST FZE
Phone +49 6003 - 827- 0 JAFZA One Tower A, 19th floor, Office No. 1912
Fax +49 6003 - 827- 599 P.O. Box 261516, Jebel Ali Free Zone, Dubai, U.A.E.
Phone + 971 4- 884- 0080
NIHON KOHDEN FRANCE SARL Fax + 971 4- 880 - 0122
Centre d'Affaires La Boursidière, Bât C–RDC,
92357 LE Plessis Robinson, France NIHON KOHDEN KOREA, INC.
Phone +33 1-49-08-05-50 3F, Cheongok Bldg., 88, Dongmak-ro, Mapo-gu, Seoul,
Fax +33 1-49-08-93-32 04075, Republic of Korea
Phone + 82 2-3273 -2310
Fax +82 2- 3273 -2352
Contact information is accurate as of September 2019. Visit https://www.nihonkohden.com/ for the latest information.
The model and serial number of your device are identified on the rear or bottom of the unit.
Write the model and serial number in the spaces provided below. Whenever you call your representative concerning this device,
mention these two pieces of information for quick and accurate service.

Model Serial Number

Your Representative

Note for users in the territory of the EEA and Switzerland:

Any serious incident that has occurred in relation to the device should be reported to the European Representative designated by the
manufacturer and the Competent Authority of the Member State of the EEA and Switzerland in which the user and/or patient is established.
NIHON KOHDEN MALAYSIA SDN. BHD.
Suite 15-13, Level 15, GTower,
199 Jalan Tun Razak, 50400 Kuala Lumpur, Malaysia
Phone: +60 321610100
Fax: +60 321612520

1st Edition: 14 Oct 2014

9th Edition: 22 Jan 2020