4. This monitor system (ICU-80) by Nihon Kohden
was first used
in the ICU in Japan in 1967.
Tohoku Univ.
5. Central Monitor & ECG data Management System
Central monitor
Laser Printer
LS-NET (Ethernet LAN)
Hub
6. 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.
7. Easy to See: Large Numeric
In a large ICU, you can see numeric values from a distance.
This makes it easier for caregivers to check the patients’
conditions.
8. Easy Operation: Less Hard Keys,
Touch Screen
Less Hard Keys Touch Screen
You can operate Venus intuitively by touching the spot you want to see in
detail.
Saves time and allows accurate operation.
9. Powerful Review: Time Linked Data
Full disclosure Trend Graph
Arrhythmia Recall Trend List
You 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.
10. Powerful Review: Short Trend
Short trend enables you to check the trend on the main screen on top of
the current waveforms.
You can easily tell whether the value is stable,
fluctuating or increasing.
11. Network Capability: Interbed
ICU 1 ICU 2
Multiple Beds Window Individual Beds Window
You can check other patients’ conditions without going back to
the central monitor. You can check them at the nearest bedside.
Improve quality of care.
12. Easy Operation: Smart Cable
IBP
CO2
CO
BIS
You 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.
24. About Cuffs
Whether the cuff size and its placement are appropriate can be confirmed in a glance.
ตำแหน่งที่ต้องวำง Cuff ก่อนพัน
ตำแหน่งที่พน Cuff ให้ตรงกับ
ั
หลอดเลือดแดง
27. วิธีการหาขนาดของ cuff ที่เหมาะสม
Dimensions of the bladder
L
W
W
W= 0.4 × C
C: arm circumference L ≧ 0.8 ×C ( in adults)
W: Width of the bladder ≧ 1.0 ×C ( in children)
30. Innovative Technology, PWTT
PWTT 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
32. World’s first ear oximeter
OLV-5100 (1975)
World’s first ear oximeter
developed by NIHON KOHDEN
33. ASA NEWSLETTER
Dr. Takuo Aoyagi of NIHON KOHDEN is introduced on
ASA NEWSLETTER as the originator of the pulse
oximeter.
http://www.asahq.org/Newsletters/2002/9_02/feature4c.htm
45. 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
49. ETCO2 vs. SpO2
CO2 SpO2
Detector Detector
of of
Ventilation Oxygenation
SpO2 monitoring, in some cases,
can’t detect the critical moment
50. Normal Capnogram
Inspiration
Flow
Expiration
CO2
(mmHg)
ETCO2
40
0 時間
Innspiration phase
Expiration phase
51. 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
52. 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
53. Infra-red Spectrography
Transmission
• CO2 absorbs
infrared light of
100% 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)
54. Infra-red Spectrography
Basic structure of infrared CO2 sensor
Airway adapter Window
CO2
Infrared 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
55. Infra-red Spectrography
CO2
IR light
Large output
Large amount of
Few CO2
IR light
CO2
IR light
Small output
Much CO2 Small amount of
IR light
57. TG-900P (Semi-quantitative)
TG-101T
For intubated patients Semi-quantitative sensor
Easy handling
No warm-up time
No calibration requires
YG-101T (for adult,
pediatric)
Disposable airway adapter
58. TG-920P (Semi-quantitative)
TG-121T
World’s first mainstream sensor for Semi-quantitative sensor
non-intubated patient
Smallest 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)
59. High Flexibility
TG-900P
Just pulg into a
MULTI Connector
TG-920P (cap-
ONE)
TG-950P
60. 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
61. Smart Anti-Fogging Membrane
• Anti-fogging membrane
Infrared light makes a water layer,
then produces an even
light transmission
• Accurate and stable
Anti-Fogging Water Layer
measurement without
membrane the heater
Anti-Fogging membrane
Airway adapter
62. Advantage of Anti-Fogging
Membrane
• Smaller and lighter sensor
- Hardly kinks the circuit
• No warm-up time
- Quickly start the measurement
• Low power consumption
63. 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
72. 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 )
77. CNS-9701
Large capacity data storage
Trendgraph Trend list
hour
72 hour
72
78. CNS-9701
Large capacity data storage
Arrhythmia recall
768 arrhythmia episodes per 1 bed
Stored waveform length: 8 sec
79. CNS-9701
Main Feature Large capacity data storage
Full disclosure
hour
72
waveform display
6
(ECG and 5 other waveform for
each patient)
80. CNS-9701
Main Feature Large capacity data storage
Expand compressed
waveform
81. CNS-9701
Main Feature Large capacity data storage
Caliper function
82. CNS-9701
Main Feature
Large capacity data storage
Filing function for 12 lead ECG analysis
64 Save interpreted
waveforms with
analysis report and
average waveform
Compare interpreted
waveforms
83. Nihon Kohden Monitoring System
Print Settings
1) 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
