This monitor system (ICU-80) by Nihon Kohden was first used in the ICU in Japan in 1967. Tohoku Univ.
Central Monitor & ECG data Management System Central monitor Laser Printer LS-NET (Ethernet LAN) Hub
Easy to See: Large Display - Display 12” - max. 14 waveforms -ECG (3/6/10 lead), Resp, SpO 2 , NIBP, Temp, CO 2 , IBP, CO, EEG, BIS, Gas, FLOW/Paw - Data storage 24 hr. - Battery 1.5 hr. There are no keys or buttons on the bottom. You can enjoy the full display size.
Easy to See: Large NumericIn a large ICU, you can see numeric values from a distance. This makes it easier for caregivers to check the patients’ conditions.
Easy Operation: Less Hard Keys,Touch Screen Less Hard Keys Touch ScreenYou can operate Venus intuitively by touching the spot you want to see indetail. Saves time and allows accurate operation.
Powerful Review: Time Linked Data Full disclosure Trend Graph Arrhythmia Recall Trend ListYou can easily review patient at the bedside without a central monitor.Up to 24 hours of 5 selected full disclosure waveforms Saves time for patient care.
Powerful Review: Short TrendShort trend enables you to check the trend on the main screen on top ofthe current waveforms. You can easily tell whether the value is stable, fluctuating or increasing.
Network Capability: Interbed ICU 1 ICU 2 Multiple Beds Window Individual Beds WindowYou can check other patients’ conditions without going back tothe central monitor. You can check them at the nearest bedside. Improve quality of care.
Easy Operation: Smart Cable IBP CO2 CO BISYou don’t need any modules for each parameter. Flexible monitoring depending on patients’ conditions.Cables don’t break even you drop it on the floor. Reduces cost.
Innovative Technology, PWTTPWTT Triggered NIBP Measurement PEP: Pre-ejection period a-PWTT: Pulse wave transition time in the artery PWTT: Pulse wave transition time High Blood Pressure Low Blood Pressure
Probe sensor ทีใช้ วดกับเด็กแรกเกิด ่ ั Non-Adhesive • For protecting extremely feeble skin of neonate • Soft and breathable sponge for attachment tape • Can always keep clean, just by changing the tape
ETCO2 vs. SpO2 CO2 SpO2 Detector Detector of of Ventilation Oxygenation SpO2 monitoring, in some cases, can’t detect the critical moment
Normal Capnogram Inspiration Flow Expiration CO2 (mmHg) ETCO2 40 0 時間 Innspiration phase Expiration phase
Capnography and Capnometry Capnography Capnometry • Measurement and • Measurement and display of ETCO2 display of ETCO2 value and value (no waveform) capnogram • Measured by a • Measured by a capnometer capnograph
Normal Value PETCO2 (ETCO2) PaCO2 ……… ETCO2 ……… PaCO2 … ………Definition Partial pressure of CO2 at Partial pressure of CO2 in the end of expiration arterial blood (End Tidal CO2)Measurement Capnograph or Capnometer Arterial Blood Gas Sample (ABG)Normal value 37- 43 mmHg 35- 45 mmHg
Infra-red Spectrography Transmission • CO2 absorbs infrared light of100% 4.3μm wavelength. No absorption of • Expired CO2 passing infrared light through the airway is 50% measured using this characteristic of Infrared light is CO2. absorbed by CO2. 3 4 5 Wavelength 4.3μm (μm)
Infra-red Spectrography Basic structure of infrared CO2 sensor Airway adapter Window CO2Infrared light Expired CO2 Filter IR Detector source Absorbs and Transmits infrared Detects changes of diminishes infrared light of 4.3μm. infrared light light. transmitting the airway adapter
Infra-red Spectrography CO2 IR light Large output Large amount ofFew CO2 IR light CO2 IR light Small outputMuch CO2 Small amount of IR light
TG-920P (Semi-quantitative) TG-121TWorld’s first mainstream sensor for Semi-quantitative sensor non-intubated patientSmallest mainstream sensor in the world.Reliably detect both oral and nasal breathing. YG-120T YG-121T YG-122T (for nasal) (for naso-oral) (for nasal oxygen Nasal adapter cannula)
High Flexibility TG-900P Just pulg into a MULTI Connector TG-920P (cap- ONE) TG-950P
Conventional Sapphire Window • Uneven reflection and Infrared light refraction of light cause inaccurate measurement. • Needs heater to prevent Sapphire Water water droplets. window droplets Heater Sapphire window Airway adapter
Smart Anti-Fogging Membrane • Anti-fogging membrane Infrared light makes a water layer, then produces an even light transmission • Accurate and stableAnti-Fogging Water Layer measurement without membrane the heater Anti-Fogging membrane Airway adapter
Advantage of Anti-FoggingMembrane• Smaller and lighter sensor - Hardly kinks the circuit• No warm-up time - Quickly start the measurement• Low power consumption
Unique Airway Structures of TG-950P For adult For pediatric Window placed outside Deeply indented to reduce Competitors the airway dead space Water dripping Water dripping Anti-fogging membrane Reduced dead space keeping placed inside the airway the flat inside No water dripping No water dripping
CNS-9701 Main Feature User-friendly•Windows XP Pro•Thai /ENG Version.•16 Beds Data Save• 300 Beds Networking• Alarm Control set• NIBP Start and Control• Nurse Note Report• Hard Wire or Wireless LAN• Telemetry system ( Option )• HL-7 ( Option )
CNS-9701KMore flexible display pattern of All-Bed screen<8 patients with 3 waveforms> <6 patients with 4 waveforms>
CNS-9701K Ver.01-60More flexible display pattern of All-Bed screen <4 patients with 6 waveforms>
CNS-9701K1) Alarm Icon indication Via only 1-step
CNS-9701K2) Arrhythmia Icon indication Via only 1-step
CNS-9701 Large capacity data storageTrendgraph Trend list hour 72 hour 72
CNS-9701 Large capacity data storageArrhythmia recall 768 arrhythmia episodes per 1 bed Stored waveform length: 8 sec
CNS-9701 Main Feature Large capacity data storageFull disclosure hour 72 waveform display 6 (ECG and 5 other waveform for each patient)
CNS-9701 Main Feature Large capacity data storage Expand compressed waveform
CNS-9701 Main Feature Large capacity data storageCaliper function
CNS-9701 Main Feature Large capacity data storageFiling function for 12 lead ECG analysis 64 Save interpreted waveforms with analysis report and average waveform Compare interpreted waveforms
Nihon Kohden Monitoring SystemPrint Settings1) ECG 12 lead printing format <3 rows X 4 columns> <6 rows X 2 columns> 2) Arrhythmia alarm recording settings can be set for every event independent from the bedside monitor