Goldway VET420A Manual 2005

VET420A
Multi-parameter Veterinary Monitor

M1.0a
OPERATORS MANUAL
Goldway, Inc.
Melville, NY USA
VET420A GOLDWAY, INC.
TABLE OF CONTENTS
SECTION 1: INTRODUCTION
1.1 About This Manual 1
1.2 Warranty 1
1.3 Unpacking 1
1.4 Product Support 1
1.5 General Information 1
SECTION 2: BASIC DESCRIPTION

2.1 Front Panel 2
2.2 Side Panel 4
2.3 Rear Panel 4
2.4 Control keys and Buttons 5
2.5 Operation 6
2.6 Display Illustrations 6
2.7 System Setup 9
2.8 Accessories 10
2.9 Power 11
2.10 Printing 11
2.11 Trend Display 14
SECTION 3: ALARM CONTROL

3.1 Introduction 15
3.2 Alarm Setup 15
SECTION 4: ECG MONITORING

4.1 Animal Preparation 18
4.2 General Electrode Placement 18
4.3 Setup 18
4.4 Troubleshooting 20
SECTION 5: NIBP MONITORING

5.1 General Information 22
5.2 Cuff Selection & Placement 23
5.3 NIBP Setup 23
5.5 Maintenance 26
SECTION 6: SpO2 MONITORING

6.1 Introduction 27
6.2 Sensor Placement 27
6.3 Probes 28
SECTION 7: RESPIRATION & TEMPERATURE MONITORING

7.1 Respiration Monitoring 29
7.2 Temperature Monitoring 30
APPENDIX I: TECHNICAL SPECIFICATIONS 32
APPENDIX II: MAINTENANCE 35
APPENDIX III: SAFETY 37

SECTION 1: INTRODUCTION
1.1 About This Manual
Welcome and thank you for choosing the VET420A portable multi-parameter veterinary
monitor. This operators manual contains detailed information about the performance
specifications, operation and maintenance of the VET420A. Before using the veterinary
monitor, please read this manual carefully and thoroughly in order to use the monitor
correctly and make sure the monitor performs according to the specifications and in
conformity with the safety standards.
1.2 Warranty
The warranty does not apply if the product:

1 has been damaged from improper operation (misuse).
2 has been damaged because of improper connection to other equipment.
3 has been damaged by accident.
4 has been modified without written authorization of the Company.
5 has had the serial number removed or defaced.
1.3 Unpacking
After unpacking the system, keep the packing materials for future return for service when
necessary.
Carefully check the main unit and the accessories against the packing list and check to
see if there are any damages.
Please fill in the product warranty card carefully and mail it to our service center.
1.4 Product Support
To make a service call or to obtain product support, please contact your representative or
distributor. Have the following information available before calling:
Part number of the defective part

Or model and serial number of the equipment
1.5 General Information
This manual is an integral part of the product and describes its intended use. It should
always be kept close to the equipment. Observance of the manual is a prerequisite for
proper product performance and correct operation and ensures patient and operator safety.
GOLDWAY quality management system complies with the international standards ISO
9001 and EN 46001.
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SECTION 2: BASIC DESCRIPTION
2.1 Front panel
Figure 2-1
The front panel of the VET420A multi-parameter veterinary monitor is as shown in the
figure as follows.
(1) Handle This handle is convenient for the operator to carry the
monitor.
(2) Display screen 7 inch TFT LCD screen for displaying waveform, menu,
alarm status and vital sign measurement results.
(3) Power Button Press the button for 1.5 seconds to turn on the patient
monitor. Press again to turn off the monitor. Press the
Power Button twice rapidly and continuously in the period
of 3 seconds when turning on the monitor, then the monitor
will enter DEMO mode. If you want to exit the
DEMO mode, just turn off the monitor and press the button
for 1.5 seconds to turn on and enter monitor mode.
(4) Power Indicator When the patient monitor is on by using AC power, both of
LED the green LED and the orange LED are lit. When the
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patient monitor is connected to AC power supply but not

turned on, only the orange LED is on, indicating that the
internal battery is being charged. When the monitor is on
by using battery, only the green LED is lit.
(5) WAVEFORM FREEZE/RESTORE: When a waveform

sweep is displayed, press the key to freeze the waveform.
When a waveform is being frozen, press this key to
unfreeze the waveform and restore waveform sweep.
(6) NIBP MEASURE START/STOP: Press this key to start a
blood pressure measurement. If the veterinary monitor is
in the process of blood pressure measurement, press this
key to stop blood pressure measurement.
(7) SILENCE: Press this key to enable or disable Alarm

sound.
(8) ECG MENU: Press this key to enter ECG and NIBP setup
menu.
(9) Mouse Knob When menu is displayed, rotate the knob to select the
functions. When the desired function is highlighted in
pink, press the knob to confirm your selection. Rotate the
knob again to select the desired item and press the knob to
confirm.
(10) Printer Cover Paper-loading cover, open it then load print paper.
Paper advance key. Press the key after installing the paper,
(11) the paper will step out from (10).
(12) Print key. Press the key, the printer start printing, press
the key again, the printer stop printing.
(13) Printing status Green: The printer is ready for printing;

LED Red: The paper is lack, please put paper into the printer;
or the red LED also indicate other trouble, please check it
carefully and ask for engineers help.
Flash: The printer is printing.
(14) Receptacle Power supply receptacle.
There is a power supply adaptor in the printer. Insert the AC line cord into the three-
pronged IEC receptacle (14 in Fig.2-1) on the adaptor. The other end of the AC line cord
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is then inserted into an appropriate wall outlet.
2.2 Side Panel
There are three sockets/receptacles on the left side panel, respectively:
SpO2: This socket accepts SpO2 probe.

NIBP: This receptacle accepts the hose connector plug from the
blood pressure cuff.
ECG : This socket accepts ECG cable accompanying the veterinary
monitor.
2.3 Rear Panel
The rear panel of VET420A is as shown in Figure 2-2.
Figure 2-2
1. Temp socket 1 2. Temp socket 2

3. Central station communication 4. Printing communication port
port (RS422) (include power supply 15V,2A)
5. Heat Exhaust 6. Product label
7. Printing communication port
RS422 communication port can only be connected with GOLDWAY central
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station.
Power Supply Adaptor there is a power supply adaptor between the veterinary
monitor and the power cord. The power supply adaptor consists of a tabletop box
with a permanently attached cable and a separate AC line cord. The attached
cable is inserted into its mating connector (4 in Fig.2-2) located on the rear of the
monitor. Insert the AC line cord into the three-pronged IEC receptacle on the
adaptor. The other end of the AC line cord is then inserted into an appropriate
wall outlet.
2.4 Control Keys and Buttons
This veterinary monitor has three kinds of keys and buttons:
2.4.1 Function Key
ECG MENU
SILENCE
NIBP MEASURE START/STOP
WAVEFORM FREEZE/RESTORE
PAPER ADVANCE
PRINT
2.4.2 Mouse knob Located at the lower right of the front panel, corresponding to a
combination of the left/right shift key (rotate the knob) and
confirm key (press the knob).
2.4.3 Menu key
When you rotate the knob, the following menu keys will be displayed in the menu area.
ECG Setup
Trend Display
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System Setup
Screen Brightness & Volume Adjustment

Print setup
Holograph recall, press this key and system will recall the waveform and data for
fifty-eight seconds before the current time. The screen color turn into blue and
the signal will twinkle on the last line.
Exit.
2.5 Operation
2.5.1 Rotate the knob, select the menu key and press the knob to enter the corresponding
Setup menu.
2.5.2 Operation of Setup: Rotate the knob, when the color of a certain key changes
from green to pink, press the knob and confirm, then rotate the knob to select the desired
option and confirm the selection by pressing the knob.
2.5.3 The volume can be adjusted by the menu key. The volume for the monitor tone is
adjusted first, and then the alarms tone:
Rotate Knob Press Knob Rotate Knob Press Knob
Rotate Knob Press Knob
2.5.4 The screen brightness can be adjusted after the above volume adjustment, in the
following order,
Press Knob Rotate Knob Press Knob
The main operator control is the Trim Knob control. The Trim Knob rotates in either
direction to highlight parameter labels and menu options. After highlighting the desired
selection, press the knob to view a new popup menu or selection.
Remember, when using the Trim Knob control, rotate to highlight, then press to select.
2.6 Display illustrations
This patient monitor displays the monitoring results as shown in Fig.2-3:
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Figure 2-3 Screen Display 1
The screen can display clear vital sign readings, large alarm status, four-channel
waveform and data display (ECG waveform, SpO2 waveform and Heart rate/Pulse rate,
SpO2, NIBP Readings, TEMP1, TEMP2, RESP).
At the bottom line of the ECG waveform channel, a time mark appears every second,
forming a time scale, which is convenient for observation, calculation and diagnosis.
Press the knob, the screen is turned to be as shown in Fig.2-4:
Figure 2-4 Screen Display 2
Screen Display 2 can display 600-set NIBP data with 10-set per page. The operator can
observe the data by rotating the knob.
2.6.1 Waveform Data Area
In this area, the monitor changes from WAVEFORM AREA to DATA AREA when the
knob is pressed.
As shown in Figure 2-3, Waveform channel 1 displays ECG waveform; Waveform

channel 2 displays SpO2 waveform.
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DATA AREA displays NIBP reading set as shown in Figure 2-4.
NIBP reading set includes Date, Time, NIBP Pulse, SYS, DIA , SpO2, SpO2 Pulse, RESP,
HR, TEMP1, TEMP2.
This system is capable of storing up to 200 sets of blood pressure measurement results,
but only 10 sets of readings can be displayed on each page. The status bar at the left side
of the reading indicates the current position of the reading. Rotate the mouse knob to
browse the pages one by one.
NOTE: If ECG or SpO2 waveform channel displays No signal received, please turn off
the monitor and turn it on again. If the message still remains, please contact the dealer.
2.6.2 Parameter Area
In the Parameter area, the following parameters are displayed in real time: Heart
Rate/Pulse Rate, SpO2, NIBP (SYS/DIA/MAP), Respiration rate, Temp, T.
When ECG of Priority HR/PR is selected in the ECG setup menu bar, it means heart
rate tone will be heard prior to pulse rate tone. The heart shaped symbol, which is at the
bottom of the screen, will be displayed in green.
When SpO2 of Priority HR/PR is selected in the ECG setup menu bar, it means pulse
rate tone will be heard prior to heart rate tone. The heart shaped symbol, which is at the
bottom of the screen, will be displayed in red.
NIBP parameter is displayed in mmHg or kPa which can be selected by operator, while
Manual/Auto/Stat are indicated behind NIBP.
2.6.3 Status Box

In the status box, alarm status and battery power status are displayed.
2) Alarm Status: is used to indicate whether the alarm sound is enabled or

disabled.
2 Battery Power Status: The battery power status is indicated by the black
Segments in . The more segments there are, the more battery power there is.
When there are no segments, the symbol turns red and flashes with alarm sounds to
indicate that the battery power is about to be used up. If the battery is not recharged
within the next 3-10 minutes, the patient monitor will be automatically powered off.
2.6.4 Waveform Speed
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It is displayed on the first row and indicates the sweep speed of vital sign in mm/s.
User may select 12.5, 25 or 50mm/s.
2.6.5 Patient ID and Monitoring Time
Patient ID and the current monitoring time are displayed in the corner.
2.7 System Setup
The system setup is the monitor system setup, which allows you to setup a new patients
bed ID or edit the ID, setup the current date and time, select the alarm mode, turn on/off
the alarm sound, and restore the default data.
Figure 2-5
2.7.1 Time Setup
The monitor displays the current time and date. Every time when the monitor is turned
on, the system will display the time and date on the first row. To set up the time:
Rotate Knob Press Knob Rotate Knob
Date/Time Press Knob Rotate Knob Press Knob
Rotate the knob to change the day, month, year, second, minute and hour. The new
information will not be updated in the system until the knob is pressed.
2.7.2 Input and edit patients ID
When starting to monitor a new patient, medical personnel should input the patients ID
first:
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New Patient Press Knob Rotate Knob Press Knob
If there is some mistake with the patient ID, you can enter edit menu to correct it:
Edit Patient Press Knob Rotate Knob Press Knob
2.7.3 Alarm sound and Alarm mode
To turn off the alarm sound:
Alarm sound Press Knob Rotate Knob Press Knob
To setup the alarm mode (Auto/Standard):
Alarm mode Press Knob Rotate Knob Press Knob
2.7.4 Restore default data
To restore the default data, which has been setup before the monitor left the factory:
Restore Default Press Knob
2.8 Accessories
Recommendations: It is recommended to use the accessories listed in the following

table, or accessories with CE mark or in conformity with IEC60601-1 standards.
Otherwise the performances of the patient monitor may be degraded and patient safety
may be endangered.
Accessory Description
Cuff 1 set of cuffs (6 different sizes of cuffs per set)
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Temperature Probe Rectal / Esophageal Temperature Probe

SpO2 Sensor Lingual Sensor
ECG Cables and leadwires 5-Lead ECG set (includes ECG cable, 5-lead
with Vet clips leadwires, and 5 veterinary clips.)
2.9 Power
2.9.1 Battery Power
The monitor has a built-in battery to provide power to the monitor whenever AC power is
interrupted.
You must charge the battery before using it. There is no external charger. The battery is
charged when the monitor is connected to AC power. A fully depleted battery will take 8
hours when the monitor is in use, to fully recharge. To assure a fully charged battery
which is ready for use, we recommend that the monitor be plugged into AC power
whenever it is not in use. The LED is lighted in yellow when the monitor is connected to
AC power but not in use.
The monitor can work for 1.5 hours on a new, fully charged battery. NIBP monitoring
and the usage of the recorder will drain battery power faster than other parameters.
NOTE: The battery signal, which is at the bottom of the screen, will flash and the alarm
will sound when the battery power is about to be used up. If the battery is not recharged
within 5 minutes, the patient monitor will be automatically powered off. You should
connect the monitor to an AC power source as soon as you can.
CAUTION: The battery discharges even when the device is not operating.
Please ensure that the battery is always fully charged when you are keeping the device
in storage for an extended period of time.
Check the battery status at least once every month and recharge the battery.
2.9.2 Power shut off
When the supply mains to the monitor is interrupted for more than 30 seconds, the
built-in battery will run automatically. If the batterys power is used up, the monitor will
save the current working status and responding information, relax the pressure in the cuff
to undertake the patients safety.
2.10 Printing
2.10.1 Recorder
The monitors recorder is a external thermal array recorder. Patient waveforms and most
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information can be printed continuously or discontinuously. Link the printing

communication port of the monitor and the recorder with a cable, then turn on the
monitor and press the Print key on the right of the recorder, the recorder will start printing
real time waveform and data, the printing speed are 25.0 or 12.5 mm/S selectable. If you
want to stop printing, just press the Print key again.
2.10.2 Loading print paper
Figure 2-6
Figure 2-6 shows what the printer looks like under the printer cover. Put a fold of print
paper into (1), then roll a piece of paper up to the roll axis (2) parallel. The print paper
will be fed into the printer automatically by the roll axis, as shown in Figure 2-7, after
that close the paper-loading cover, and press PAPER ADVANCE key, the paper will move
out of the printers outlet, as shown in Figure 2-8.
Figure 2-7 Figure 2-8
When you need to withdraw the paper from the printer, first open the printer cover, then
uplift the tab shown on (3), which will loosen the roll axis (2), allowing you to withdraw
the paper easily.
2.10.3 Print and Paper Advance Keys
As shown in Fig. 2-7, the left key on the printer is the PAPER ADVANCE key, the key at
the right side is the PRINT key.
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After paper is loaded, press PAPER ADVANCE. The printer paper will move out of the
printers outlet, as shown in Fig. 2-8.
CAUTION: Please do not press the PAPER ADVANCE key during printing to avoid
printing interruption.
If you press the PRINT key, real-time waveform and data will be printed. Press it again
and the printing will be stopped.
2.10.4 Printing content
Printing content includes: patient ID, printing date and time, printing speed, parameters
value, blood pressure's unit and value.
2.10.5 Print Setup menu
Print mode, alarm trigger ON/OFF, timing print length, printing time, preset time and
printing speed can be selected in the printing setup menu.
Rotate the knob press the knob
Figure 2-9
Print Mode: Length/ Data/Track selectable.
LENGTH: Fix printing time length under Manual, Alarm trigged or Timing print
manner.
DATA: Print NIBP list under manual or timing printing manner, it can print 10 groups
newest data.
TRACK: Press Print key to start/stop printing under Manual manner, it will print
ECG and SpO2 waveform.
Alarm Trigger: Alarm-triggered printing, ON/OFF selectable.
A graph strip is automatically printed when a crisis or warning alarm occurs. It runs for
preset time or until you manually stop it. The printing time can be selected in the print
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setup menu.
Timing Print: ---/15minutes/30minutes/1hour/4hours/8hours/12hours.
Manual print: Press Print key to start/stop printing.
PRINT TIME: 8 Seconds/16 Seconds/32 Seconds selectable.
FORMER TIME: 2 Seconds/5 Seconds selectable.
PRINT SPEED: 12.5/ 25.0 mm/S selectable.
2.11 Trend Display
The device provides up to 48-hour monitoring history data, which can be displayed
through trend display function. Follow the steps below to enter trend display:
Rotate the knob Press the knob
Figure 2-10
The monitor can display 48-hour trend of SpO2\PR\RESP\HR\TEMP1\TEMP2. As

shown in the above figure, vertical is parameters value, horizontal is monitoring time.
The current time is on the right of the trend figure.
Scale: To move the scale and observe different time.
Up/Down: To move up and down and display different parameters trend.

Page: To display previous or next pages trend.
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SECTION 3: ALARM SETUP
3.1 Introduction
Alarm is used to alert the user when abnormal data occur in a monitoring process. It
includes audible and visual alarm.
Audible alarm: When monitoring parameter is outside the preset limits, the monitor will
automatically activate audible alarm.
Visual alarm: When a monitoring parameter is outside the preset limits, an underline of
the parameter will occur and automatically twinkle with the alarm signal in the parameter
area.
The alarm lever is divided into three classifications:
1. Crisis: ASYSTOLE, SYS-DIA is too low; alarm tone is 5 beep;

2. Warning: Patient condition exceeds parameter limits, Abnormal Status alarm; alarm
tone is 3 beep;
3. Message: Battery is low power; alarm tone is 1 beep.
NOTE: When Asystole is displayed on the screen, please check for the ECG Gain to
see if it is too low to detect for its heart rate. If so, user can switch the ECG lead.
Alarm messages are as follows:
LEAD OFF PROBE OFF LOOSE CUFF AIR LEAK

WRONG POSITION RANGE EXCEEDED OVERPRESSURE FAIL
SEARCH OUT OTHER ERROR
3.2 Alarm Setup
To effectively control the system alarm function, the monitor has alarm ON/OFF, alarm
mode selection which can be selected through key or menu setup.
3.2.1 Alarm ON/OFF
Press the silence key on the front panel of the monitor to turn on the alarm sound and
set alarm silence within a certain period of time. The system alarm sound ON/OFF status
is displayed in the Status Box of the screen, respectively:
Alarm sound is enabled.
Alarm sound will be silenced for 1 minute. Time is counted down. If the selected
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alarm mode is Standard mode, any new alarm will sound and the silence
command is cancelled.
Alarm sound will be silenced for 2 minutes. Time is counted down. If the
selected alarm mode is Standard mode, any new alarm will sound and the
silence command is cancelled.
NOTE: Press the SILENCE key on the front panel, and at the same time,
pay attention to the time display under the alarm sign in the Status Box until it is
switched to the desired time duration of silence.
The alarm sound setup is valid to all monitoring parameters.
In the stage of silence, if the selected alarm mode is Standard mode, any new alarm
will sound and the silence command is cancelled. The alarm tone is the new alarm
tone in the first 10 seconds, then transfers recording to the lever of alarm.
Low power alarm isnt controlled by the silence key, whenever the batterys power is
low, the monitor will alarm instantly.
The monitor can turn off/on the alarm sound of all parameters in the system setup
menu.
The monitor can also turn off/on the alarm sound separately in each parameters setup
menu.
3.2.2 Alarm Limits
Alarm limits are the basis for the monitor to judge if a parameter is normal or not. There
are upper and lower alarm limits. To be higher than upper limits or lower than lower
limits are both abnormal and can activate the alarm.
Doctors can set the upper and lower limits according to the patients status in each
parameter setup menu.
When the upper and lower limits of alarm are setup, the system will retain the setting
until the next change.
Even when the monitor is powered off, the alarm limits will still remain in the
memory.
3.2.3 Alarm Volume
The menu key can adjust the volume. The volume of the monitor tone is adjusted first
before the volume of the alarm tone:
Rotate Knob Press Knob Rotate Knob Press Knob
3.2.4 Default Alarm Limits
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After having respectively set the parameter alarm limits, user may hope to return to the
original alarm settings of factory, that is the default setting. Now the steps are as follows:
Rotate Knob Press Knob Rotate Knob Restore Default Press

Knob
The default settings of the monitor are as follows:
Parameter Default upper limit Default lower limit

HR/PR 120bpm 40bpm
ST 0.30 -0.30
SpO2 100% 90%
NIBP SYS 160mmHg/21.3kPa 100mmHg/13.3kPa
NIBP DIA 100mmHg/13.3kPa 60mmHg/8.0kPa
SYS-DIA --- 20 mmHg
TEMP 42.0 30.0
RESP rate 40brpm 6brpm
3.2.5 Alarm mode
The monitor has two alarm modes, one is standard mode, and the other is auto mode.
The setup steps are as follows:
Rotate Knob Press Knob Rotate Knob Alarm mode Press
knob Rotate Knob Standard/Auto Press Knob
(1) Standard alarm mode
When the abnormal status occurs, if the alarm is on, all alarms are enabled and keep
alarming until someone responds. The priority and intermission time of the alarm
coincides with the corresponding standards that are set.
(2) Auto alarm mode
Under the following circumstances of LEAD OFF, PROBE OFF, if the alarm is on, the
system will automatically alarm for 30 seconds and corresponding messages will be
displayed.
When blood pressure value is abnormal, and the alarm is on, the monitor will alarm for
30 seconds and the abnormal parameter will continue flashing. If abnormal HR/PR or
SpO2 occurs (exceeding the upper or lower limits), and the alarm is on, the monitor will
activate real-time audible and visual alarms.
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SECTION 4: ECG MONITORING
4.1 Animal Preparation
ECG Cables and Electrodes:
The VET420A ECG is equipped with a five lead ECG cable. To connect this cable, insert
the cable connector into the lower round socket marked ECG on the side panel of the
monitor. Rotate the plastic cuff to lock it in place.
The ECG cable connector is insulated and it is defibrillator-proof Use only

the cables recommended by the manufacturers. These cables ensure patient safety
and protect the device during defibrillation and electro-surgery.
WARNING: Do not come into contact with patients during defibrillation, and make sure
that the patient cable is not touching any metal parts. All of the lead wires should be fully
inserted in the cable during defibrillation. Otherwise serious injury or death could result.
4.2 General Electrode Placement
Accurate electrode placement is very important for obtaining a clear quality ECG trace.
The following steps should be taken to ensure the highest quality trace:
1. The skin should be cleaned with alcohol and parted so the lead can be attached to
as much of the skin as possible.
2. The foreleg leads are attached to the appropriate foreleg just above the elbow.
The hind leg leads are attached to the appropriate rear leg immediately proximal
to the stifle.
3. You can use conductive gel, saline and/or alcohol to wet all contact sites to
establish a good electrode to skin contact.
Electrode Label Location Color

RA Right Foreleg White
RL Right Hind Leg Green
LA Left Foreleg Black
LL Left Hind Leg Red
V 4th Intercostal Space Brown
The brown veterinary clip electrode does not have to be used for normal screening
purposes. It is an option if you wish to use it for precordial lead (V).
4.3 ECG Setup
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Or press ECG MENU directly.
The ECG lead and scale selected will both be displayed on the top of the ECG waveform
channel.
ECG Lead: Lead selections include I / II/ III/ aVR/ aVL/ aVF/ V/ GND.
Default is II.
Wave Speed: ECG waveform speed selections include 12.5/ 25.0/ 50.0mm/s.
Default is 25.0mm/s.
ECG Gain: Selections include X1/4, X1/2, X1, X2, X4, Auto.
Default is X1. Manual adjustment is available if wave is too
small to see.
ECG Mode: Monitor/Operation/Diagnosis are available for selection

straining waveform mode. If Diagnosis mode is selected, the
monitor displays unstrained ECG waveform. If Monitor mode
is selected, the monitor displays ECG waveform whose false
error of fake alarm have been strained. Operation mode is
suppose to be select during an operation for the mode can
decrease false error and interference from electro-surgery
equipment. The ECG mode selected displays on the ECG1
channel.
HR Source: ECG1/ECG2 are available for selections.
Waveform Mode: Selections include Standard/Amplify. Default is Standard.
HR Upper Limit: ~300
HR Lower Limit: ~15
ST Upper Limit: ~0.80
ST Lower Limit: ~ -0.80
Alarm Sound: On/Off
1mV CAL: When triggered during ECG monitoring, a 1mV calibration

square wave will overlap on the ECG waveform.
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Priority HR/PR: ECG/SpO2
To manually select ECG LEAD, follow this procedure:
ECG MENU Rotate Knob ECG LEAD Press Knob Rotate Knob
I / II /III / aVR/ aVL/ aVF/ V/ GND Press Knob
The monitor obtains the respiration signal through the same electrodes used for ECG.
The ECG lead selection does not affect the respiration signal. Be sure to use the correct
placement methods for the ECG electrodes.
Setup the alarm limits of respiration rate, please refer to the section on Alarm Control.
Operation of ECG Setup: Rotate the knob, when arrow is pointing to a certain key,
press the knob, then rotate the knob to select the desired option and confirm the
selection by pressing the knob. For example,
ECG MENU Rotate Knob Prior Disp. Press Knob Rotate Knob
ECG /SpO2/IBP1/IBP2 Press Knob
4.4 Troubleshooting
Inaccurate heart rate and false asystole:
1. Check ECG signal from patient

a. Check/adjust lead placement
b. Check/perform skin preparation
c. Check/replace electrodes
d. Check/adjust amplitude of ECG waveform
No ECG waveform:
When the lead wires are connected and there is no ECG waveform, the screen will
display LEAD OFF or NO SIGNAL.
1. Check ECG electrode contact with patients skin and check all lead wire
connections.
2. No resistance should exist between extension wires applied to the patients body
and the leads of the ECG connector. If it is indefinitely large, it shows that the
lead wire is broken and should be replaced.
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3. If ECG waveform channel shows No Signal, then it shows there are some
problems in the communication between ECG module and the main system. If
this message still remains after the monitor is turned off and on again, please
contact your supplier.
ECG baseline shift:
When the ECG baseline is not stable and occasionally shifts out of the display area.
1. Check to see if the working environment is very humid and if the monitor has
moisture inside. If so, turn on the monitor and let it run for 24 hours to remove
the moisture.
2. Check if the electrodes quality is still good. If not, replace with new electrodes.
3. Check to see if the skin surface where the electrode is applied to is clean. If not,
clean the area and reapply the electrodes.
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SECTION 5: NIBP MONITORING
5.1 General Information
The monitors automatic electronic sphygmomanometer measures and displays a patients

arterial blood pressure, mean arterial pressure, and pulse rate using the oscillation
technique. Oscillations are caused by blood pressure pulses against the cuff. When the
pressure in the cuff decreases, a sensor located in the monitor detects pressure
fluctuations in the cuff. These pressure fluctuations are due to arterial volume changes
that result from the blood flow as cuff pressure falls.
The first number of a typical blood pressure reading (systolic) represents the maximum
pressure generated when the left ventricle of the heart contracts. When the ventricles
relax, pressure in the arteries decrease as blood flows out of the arterial system into the
capillary system. The lowest point that the pressure reaches before the next ventricular
contraction represents the second number of the blood pressure measurement (diastolic).
The mean arterial pressure (MAP), which is calculated by the equation 1/3
(systolic+2diastolic), corresponds to the maximum pulse amplitude at the lowest
pressure level.
WARNING:
1. The patient measure selected in the NIBP setup menu and the cuff size used must be
correct to obtain reliable NIBP data and to prevent overpressure.
2. The monitor is not recommended for patients experiencing seizures or tremors, or

patients with hypotension, hypertension, arrhythmias, or extremely high or low heart
rate. The software algorithm cannot accurately compute NIBP on patients with these
conditions.
3. Do not place the cuff on a limb being used for A-V Fistulas, intravenous infusion, or
any area where circulation is compromised or has the potential to be compromised.
4. Use care when placing cuff on extremity used to monitor other parameters.
5. Use only the accessories suggested by the manufacturer. Otherwise the safety will be
degraded.
6. The monitor is coincidence with EMC requirements, but if the electromagnetic

interference is too intense, the NIBP measuring may be influenced.
7. Continuous use may cause the skin under the cuff to exhibit nerve damnified or blood
lost. Periodically check patient limb circulation distal to the cuff. Check frequently
when using Auto NIBP in 1 and 2 minute intervals and continues mode. Intervals
below 10 minutes are not recommended for extended periods of time.
8. The operator should take off the cuff from the patient when the power is shut off.
22
9. After monitoring, the cuff should be cleaned and sterilized for next use.
10. The equipment is suitable for use in the presence of electrosurgery.
11. When using High Frequency surgical equipment, you should put the patient tube and
cuff far from the surgical operation in order to reduce the hazards of burns in the
event of a defect in the HF surgical equipment neutral electrode connection.
The NIBP cable connector is insulated and it is defibrillator-proof. Use only the
cuffs recommended by manufacturers. These cuffs ensure patient safety and protect
the device during defibrillation and electrosurgery.
WARNING: Do not come into contact with patients during defibrillation, and be sure
that the patient cable is not touching with the metal parts. Otherwise serious injury or
death could result.
5.2 Cuff Selection & Placement
Always have the Adult setting on. The following is a guide for accurate NIBP
measurements.
1. Cuff sizing: The width of the cuff should represent 30-40% of the circumference
of the limb or tail.
2. When possible, attach the cuff to the base of the tail.
3. Alternate location is above the Achilles tendon
4. If you are doing BP from an awake animal, calm them as much as possible and
then take 10 readings and do an average.
5. To ensure that you have the BP and all the other parameters showing up on the
Screen Display, set the Measure Time on the BP menu for 3 minutes.
5.3 NIBP Setup
NIBP(Non-Invasive Blood Pressure) setup includes: change NIBP units, select patient,
change NIBP measurement mode (Auto/Manual/Stat), setup the interval of automatic
NIBP measurement.
Rotate Knob Press Knob Rotate Knob NIBP Press Knob
the screen display is as follows,
23
5.3.1 NIBP measure mode
NIBP measurement mode:
Manual
AUTO
STAT (Continuous)
The current NIBP mode is displayed at the upper right of the NIBP parameter.
Under Manual mode, press NIBP MEASURE START/STOP key on the front
panel, blood pressure measurement will start immediately. When blood pressure
measurement starts, the monitor first inflates the cuff to a certain pressure, then slowly
releases the cuff pressure and measures the patients blood pressure value.
Under Auto blood pressure measurement mode, the monitor will start inflating at the start
of every auto cycle and measures the patients blood pressure value automatically. Under
Auto mode, if the patients blood pressure is too high, the monitor will adjust the
maximum inflation pressure according to the actual blood pressure level.
Under Stat blood pressure measurement mode, the patients blood pressure is measured
continuously within five minutes. This mode is used to closely observe patients blood
pressure changes under a very special situation.
When blood pressure is measured manually or through pressing keys, the initial pressure
value of cuff is 175mmHg for adults and 95mmHg for neonates. For Auto and Stat
modes, the initial inflation pressure is the same as above, and then, based on the previous
measurement results, adjust the initial inflation value of auto measurement.
To change the blood pressure measurement mode under the NIBP menu,
Rotate Knob Measure Mode Press Knob Rotate Knob
Auto/Manual/STAT Press Knob
24
5.3.2 Measurement Time
The current blood pressure measurement time is displayed after the measurement mode.
Total continuous measurement time is displayed after STAT: 0:05(5 minutes).
Automatic measurement time interval is displayed after Auto. Selections can be made
from 1-10, 15, 30, 60, 90, 120 ( is for minute, the time is the interval between
the start of last blood pressure measurement and the start of next measurement), which
can be adjusted by rotating the knob left or right. To adjust the interval under the NIBP
menu,
Rotate Knob Measure Time Press Knob Rotate Knob
0:01/0:02/2:00 Press Knob
5.3.3 Changing NIBP Unit
The monitor has two blood pressure measurement unit, i.e. mmHg and kPa. Default is
mmHg. User may set the blood pressure unit according to the needs.
The change of the blood pressure scale will be displayed with all the blood pressure
parameters, e.g. parameter area and trend graph.
To change the blood pressure scale under the NIBP menu,
Rotate Knob Pressure Unit Press Knob Rotate Knob
mmHg/kPa Press Knob
5.3.4 NIBP Alarm
NIBP SYS and DIA alarm upper or lower limits can be setup in the NIBP menu.
The monitor will send out danger alarm when the difference between SYS and DIA is
lower than one certain value. SYS-DIA alarm limit setup range is 1-40mmHg, default is
20 mmHg, the setup value can be saved even after the power supply is shut off.
NIBP abnormal messages:
5.4 Troubleshooting
5.4.1 Status Messages
A status message will be displayed in the NIBP values windows if a measurement is
25
unable to be completed. The following is a list of status messages with monitor response
and action to take.
Status Message Monitor Response Solution
LOOSE CUFF System status alarm. Check cuffs size and placement. Select
proper cuff and place it correctly.
AIR LEAK System status alarm. Check for leak in cuff or tubing. If there
is an air-leak, then replace it.
WRONG POSITION System status alarm. Check patient and cuff placement. If
wrong, correct it.
OVER PRESSURE System status alarm. Remove cuff and contact service.
RANGE EXCEEDED System status alarm. Contact service.
OTHER ERROR System status alarm. Possible excessive patient movement or
arrhythmia condition. Check patient or
contact service.
5.4.2 Prevent Erroneous NIBP measurement
To prevent erroneous NIBP measurement:
1. Check for proper cuff size, too small a cuff can give an erroneously high value, too
large a cuff can give an erroneously low value.
2. Check for residual air left in the cuff from a previous measurement.
3. Make sure cuff is not too tight or too loose.
4. Make sure cuff and heart are at the same level, otherwise hydrostatic pressure will
offset the NIBP value.
5. Minimize patient movement during measurement.
6. Check for leak in cuff or tubing.
7. Calibration should be taken at least once a year.
5.5 Maintenance
Cuff should be cleaned with a warm and mild detergent solution after each using.
Calibration should be taken by qualified professional once a year.
The method for calibrating is introduced in the technical manual. Qualified professional
may refer to the technical manual.
26
SECTION 6: SpO2 MONITORING
6.1 Introduction
SpO2 monitoring is a noninvasive technique used to measure the amount of oxygenated

hemoglobin and pulse rate by measuring the absorption of selected wavelengths of light.
The light generated in the probe passes through the tissue and is converted into an
electrical signal by the photo detector in the probe. The monitor processes the electrical
signal and displays on the screen a waveform and digital values for SpO2 and pulse rate.
6.2 Sensor Placement
For best results, use the following placement guides:
1. Place the clip on the tongue with dampened tissue paper.

2. On smaller tongues you may have to fold the tongue and clamp the double
thickness
3. It works great on cats ears.
4. On larger dogs, it can be used on the prepuce or vulva
5. The achilles tendon of cat or small dog will also work well.
To get good penetration for the sensor, you may have to shave any area that is fur
bearing.
6.2.1 SpO2 Setup Menu:
To enter the SpO2 setup menu,
Rotate knob Press knob Rotate knobSPO2Press knob
You can setup the SpO2 and Pulse Rate alarm upper/lower limit, waveform mode and
speed, turn on/off the alarm sound of SpO2, and setup the priority of HR/PR.
27
6.3 Probes
To ensure conformance with all safety and performance specifications, use only the
recommended accessories when performing Oxygen Saturation monitoring. These are
available from GOLDWAY.
The signal input is insulated and it is defibrillator-proof. The insulated input

ensures patient safety and protects the device during defibrillation and
electrosurgery.
CAUTION: Use only accessories supplied by the manufacturer. Use of any other
accessories may result in out-of specification performances.
WARNING: Do not come into contact with patients during defibrillation, and be sure
that the patient cable is not touching the metal parts. Otherwise serious injury or death
could result.
6.4 Troubleshooting
6.4.1 No SpO2 reading
If in the process of monitoring, there is no SpO2 waveform and data.
Check the finger probe to see if there is a red light, if the arm is being pressed, and if the
room temperature is too low.
If there is no red light in the finger probe, check the extension cable and connecting part.
When room temperature is very low, do not expose patients arm outside, which will
affect the measurement results. Do not measure blood pressure and SpO2 on the same
arm. Pressing the arm will affect SpO2 measurement.
If SpO2 waveform channel shows NO SIGNAL, it indicates that there is a problem in

the communication between SpO2 module and the main system. If the message still
remains after turning the monitor off and on again, please change the SpO2 board.
6.4.2 Intermittent SpO2 Signal
During SpO2 measurement, the reading is off and on. Inspection method:
1. During prolonged monitoring and surgery, check if the patient arm movement results
in interruption of SpO2 measurement.
2. Check the SpO2 extension cable.
Solution: Keep the patient steady. It is normal if SpO2 value is lost due to hand
movement. If SpO2 extension cable is faulty, replace it.
28
SECTION 7: RESPIRATION & TEMPERATURE

MONITORING
7.1 Respiration monitoring
This monitor provides thoracic impedance respiration monitoring. When ECG clips are
placed on the arms, the impedance respiration monitoring is not very reliable.
ECG Menu Rotate the knob RESP-TEMP Press the knob
RESP Lead: RA-LA/RA-LL/LA-RL/LL-RL are available for selection.
RESP Gain: /1 /2 are available for selection. Through selecting respiration gain,
the respiration waveform can be zoomed in or out for convenient observation.
RESP Upper limit: Setup range is from lower limit to 150.
RESP Lower limit: Setup range is from 0 to upper limit.
Apnea Alarm: Apnea Alarm Time setup, ---/5/10/15/20/120 seconds are selectable.
Waveform mode: Standard/Amplify/Fill in. Convenient to observe from far distances.
Waveform Speed: 6.25/12.5/25.0mm/S are available for selection.
RESP Alarm Sound: ON/OFF are available for selection.
To fill up RESP waveform:
Rotate knob Waveform Mode Press knob Rotate knob Press knob
To setup RESP alarm limits:
29
Rotate knob RESP Upper Limit Press knob Rotate knob Press knob
Apnea alarm will be triggered when the system detects an abnormality according to
Apnea Alarm Time setup. Apnea Alarm belongs to Emergency Alarm. Medical
personnel should watch out for the Apnea alarm.
WARNING: Medical personnel should watch out patients who move around too much
because excessive movement may cause the monitors alarm system to function
improperly.
7.2 Temperature Monitoring
The temperature can be measured in two ways. The core body temperature can be
measured with the probe down the esophagus. The second method is to insert the probe
in the rectum. If you use this method, make sure any feces is cleaned from the site.
Temperature monitoring results are displayed in digital form only, without waveform.
The temperature readings are displayed on the right side of the screen.
ECG Menu Rotate the knob RESP-TEMP Press the knob
Then you can enter the temperature setup menu as shown in the above figure. To set the
alarm limits and temperature units, please operate the knob through rotating and pressing
it.
For example, to set the temperature unit:
Rotate the knob TEMP Unit Press the knob Rotate the knob
o
C / oF Press the knob
To set the TEMP1 alarm limits:
Rotate the knob TEMP1 Upper limit Press the knob Rotate the knob (Increase or
decrease the value) Press the knob
30
WARNING:
1. Before performing temperature measurement, do not get the temperature probe close to
a heat source. If it has been close to a heat source, then let it cool down for 5 minutes
before performing measurement.
2. When the temperature probe is not connected or the temperature probe falls off, the
monitor will stop the measurement and display ---- in the parameter area but without
any alarm sound. To ensure accurate patient monitoring, it is recommended to check the
connection of the temperature probe regularly.
3. We provide skin probes and rectal probes, which are not exchangeable.
Note:
1. To ensure the contact between the probe and the skin, please let the patient hold the
probe tightly with his arm and close to armpit artery.
2. It takes 10 seconds for the temperature measurement to reach a steady value.
3. If you use a disposable temperature probe, please do not reuse it and discard it
properly.
4. Reusable probes can only be sterilized with alcohol. Do not steam it.
If abnormal HR/PR or SpO2 occurs (exceeding the upper or lower limits), and alarm is
on, the monitor will activate real-time audible and visual alarm.
31
APPENDIX I: TECHNICAL SPECIFICATION
I Safety Approval & Quality System
Designed to meet IEC 60601-1:1990 + A1:1993 + A2:1995

Class II Equipment, internally powered equipment, double insulated
Type BF, CF applied parts
ISO 9001 & EN 46001 & ISO 13485 Certified
II Power Requirements
Power Supply: 110-230 VAC, 50/60 Hz, via power adapter

Input Power: 80VA
Battery: DC 12V/2.2AH sealed lead-acid
Charge time: 10 hours
Operating time: 1.5 hours (full recharge)
Battery Charging Method: Automatic charging after monitor is connected to AC power
supply (with charge protection function)
Discharge Protection: When powered by battery, the monitor will be
automatically turned off when battery power is almost
used up.
III Performance Specifications
1 ECG
Patient Safety Standard: IEC 60601-1: 1990

CMRR: 60dB (Common Mode Rejection Ratio)
Heart Rate Range: 15 ~ 300bpm 2bpm
Heart Rate Averaging: 8 second average
Interface: AAMI 6-pin
Lead Selection: I, II, III, V, aVR, aVL, aVF (5 lead mode)
Lead Fault Alarm: Audible, Visual
Input: 5-lead ECG patient cable
QRS Indicator: Audible and Visual Alert
Sweep Speed: 12.5/25/50 mm/sec
Gain Selection: x4, x2, x1, x1/2, x1/4, Auto
Trends: 48 hours
Patient Isolation: Breakdown voltage: 4000VAC 50Hz 60 seconds
Leakage current: <10A
Frequency range: 0.5 ~ 35Hz (+0.4dB,-3.0dB)
Patient Drive Current: <10A
Enclosure Leakage Current: <0.1mA
Maximum T wave Rejection Capability: 1.2mV
32
Heart Rate Alarm Response Time: < 12 seconds

Aspect Ratio: 0.24 ~ 0.6 sec/mV
Defibrillator Protected & ESIS Protected: Tested with 5kV
Recovery Time Following Defibrillation: <5 seconds
2 Pulse Oximetry ( SpO2 )
Measure Range: 0 ~ 100%

SpO2 Averaging: 8 second average
SpO2 Accuracy: 2% (70 ~ 100%), 3% (50 ~ 69%)
Pulse Rate Range : 30 ~ 254bpm
Pulse Rate Averaging: 8 beat average
Pulse Rate Accuracy: 2 % ( 30 ~ 100bpm)
Sensor Types: Small and Large Lingual Sensors
Pulse Rate Display: Digital
Pulse Rate Alarm Limit: 0 ~ 240bpm
Pulse Rate Tone: Volume adjustable
Refurbish Time: About 2 seconds
Wavelength: Infrared: 940nm
Red: 660nm
Energy: Infrared 22.5 mW
Red 30 mW
Trends: 48 hours
3 Non-Invasive Blood Pressure ( NIBP )
Method: Automatic oscillometric

Parameters: Systolic, diastolic, mean arterial pressure, pulse
Scale: mmHg or kPa
Operating Modes: Manual, Automatic, Continuous
Repeat Cycles: 1 ~ 10, 15, 30, 60, 90, 120 minutes
Measure Range:
Systolic: 30 ~ 254mmHg (4.0 ~ 33.9kPa)
30 ~ 135mmHg (4.0 ~ 18.0kPa)
Diastolic: 10 ~ 220mmHg (1.3 ~ 29.3kPa)
10 ~ 110mmHg (1.3 ~ 14.7kPa)
Cuff Pressure Range: 0 ~ 280mmHg (0 ~ 37.3kPa)
0 ~ 150mmHg (0 ~ 20.0kPa)
Initial Cuff Inflation: 17010mmHg (22.71.3kPa)
10010mmHg (16.01.3kPa)
Deflation Pressure: 30mmHg(4.0kPa) higher than the last systolic
pressure.
Cuff Inflation Rate: No greater than 40-50mmHg/sec
Measurement Time: Typical 25 seconds
Maximum 40 seconds
Typical Stat 20 seconds
33
Pressure Display Accuracy: 3mmHg

BP Pulse Rate Accuracy: 2% @ 40 ~ 240bpm.
Cuff: 5 different sizes.
Trend Diagram: 600 groups
4 Respiration (RESP)
Measurement Method: Thoracic impedance

Respiration Rate Measurement
and Alarm Range: 0 ~ 150 brpm2brpm
Waveform Speed: 6.25, 12.5, 25mm/S
Trends: 48 hours
5 Temperature (TEMP)
Measurement and Alarm Range: 0 ~ 50 oC

Measure Channel: 2
Probe: Skin surface or rectal/Esophageal
Unit: Celsius /Fahrenheit
Accuracy: 0.1 oC
Resolution: 0.1 oC
Trends: 48 hours
IV TFT Color Display
Size: 7
Matrix: 480 (H)x 234 (V) pixels
Viewing Angle: 160
V Printer
Type: External thermal printer

Resolution: Vertical: 400dpi, Horizontal: 800dpi
Printing Speed: 12.5/25.0 mm/S
Paper Type: Standard Z-fold paper 110mmX100mmX100pages
VI Environmental Specifications
Temperature: Operating +10 ~ +40C

Transport and Storage -20 ~ +60C
Relative Humidity: Operating 85% (non-condensing)
Transport and Storage 10 ~ 90% (non-condensing)
Atmospheric Pressure: Operating 860 ~ 1060 hPa
Transport and Storage 500 ~ 1060 hPa
Specifications subject to change without prior notice.
34
APPENDIX II: MAINTENANCE
I Patient Monitor
When the patient monitor needs to be cleaned, use soft cloth dampened in mild soap
water to wipe the patient monitor. Make sure to not let liquid flow into the machine.
Before cleaning, make sure to disconnect the AC power to avoid shock or fire.
Do not clean any part of the patient monitor with acetone.
Never autoclave the patient monitor. Do not stack on the patient monitor. Do not
immerse it into any liquid. Do not steam it for sterilization.
WARNING: If liquid is accidentally splashed on the patient monitor, please wipe it dry
and do not let liquid flow into the machine. If liquid has flown into the machine, please
turn off the machine immediately and contact qualified service personnel.
The screen can be cleaned with soft cloth dampened in alcohol. Never use abrasive
material, tools, brushes or any material which may scratch the screen.
When finding any damage or malfunction of the patient monitor, please stop using it
and contact qualified service personnel.
II Cuff and Sensors (SpO2 sensor, TEMP probe)
Cuff and sensors are accessories in contact with the patient. So each time after use, the
cuffs and sensors shall be cleaned.
Check the reusable sensors and cuffs regularly. If any damage is found, please replace
them immediately and discard the defective accessories properly.
Sensors and cuffs should be sterilized regularly with ethane oxide.
Each time after sterilization, check if the sensor is damaged. If yes, it should be replaced
immediately.
III Patient Cable (ECG Cable, SpO2 Extension Cable)
Do not autoclave the patient cables.
35
Each time before using the cable, please carefully check the cable to see if there is
any damage. If any damage is found on the cable, please replace it immediately and
discard it properly.
Do not immerse the cables into liquid or let liquid flow into the electric connecting
part. When cleaning the patient monitor, wipe the cable surface with soft cloth
dampened in soap water or alcohol. Make sure no liquid flows into the connectors.
36
APPENDIX III: SAFETY
I Intended Use
VET420A is a multi-parameter veterinary monitor, providing continuous monitoring,

display of electrocardiograph, non-invasive blood pressure, blood oxygen saturation,
temperature and respiration of patients by means of display on a non-permanent graphical
display. This device is for use only by trained medical personnel in the hospitals and
clinics. It is not designed for home use. The device is restricted to be used on one patient
at a time.
II Terminology
The terms danger, warning, and caution are used throughout this manual to point out
hazards and to designate a degree or level of seriousness. Familiarize yourself with their
definitions and significance.
Hazard is defined as a source of potential injury to a person.
WARNING indicates a potential hazard or unsafe practice, which, if not avoided, could
result in death or serious injury.
CAUTION indicates a potential hazard or unsafe practice which, if not avoided, could
result in minor personal injury or product /property damage.
NOTE provides application tips or other useful information to assure that you get the
most from your equipment.
III Monitor Safety
The safety statements presented in this chapter refer to the equipment in general and,
in most cases, apply to all aspects of the monitor. There are additional safety statements
in the parameter chapters, which are specific to that monitored parameter.
The order in which safety statements are presented in no way implies order of
importance.
There are no dangers that refer to the equipment in general. Specific Danger statements
may be given in the respective sections of this manual.
IV Safety Requirements
The following warnings and cautions must be read and understood before operation of
37
the patient monitor.
Warnings
VET420A veterinary monitor is not intended to be used as an apnea monitor.

VET420A veterinary monitor is not intended to be used during MRI or CT scan.
OPERATOR Medical technical equipment such as this monitor must only be used
by persons who have received adequate training in the use of such equipment and
who are capable of applying it properly.
EXPLOSION HAZARD Do not use the VET420A veterinary monitor in a
flammable atmosphere where concentrations of flammable anesthetics or other
materials may occur.
POWER SUPPLY The device must be connected to a properly installed power
outlet with protective earth contacts only. If the installation does not provide earth
conductor, disconnect the monitor from the power line and operate it on battery
power, if possible.
Do not connect to an electrical outlet controlled by a wall switch.
When using High Frequency surgical equipment, you should put the patient cables far
from the surgical operation in order to reduce the hazards of burns in the event of a
defect in the HF surgical equipment neutral electrode connection.
Route all cables away from patients throat to avoid possible strangulation.
For safety reasons, all connectors for patient cables and sensor leads are designed to
prevent inadvertent disconnection, should someone pull on them. Do not route cables
in a way that they may present a stumbling hazard. For device installed above the
patient, adequate precautions must be taken to prevent them from dropping on the
patient.
DEFIBRILLATION Do not come into contact with patients during defibrillation,
and be sure that the patient cable does not come in contact with the metal parts.
Otherwise serious injury or death could result.
Conductive Connections Extreme care must be exercised when applying medical
electrical equipment. Many parts of the man/machine circuit are conductive, such as
the patient, connectors, and electrodes. It is very important that these conductive
parts do not come into contact with other grounded, conductive parts when connected
to the insulated patient input of the device. Such contact would bridge the patients
insulation and cancel the protection provided by the insulated input. In particular,
there must be no contact of the neutral electrode and the ground.
The leakage current will rise up due to simultaneous use of other PATIENT-connected
MEDICAL ELECTRICAL EQUIPMENT, for example, a cardiac pacemaker or other
electrical stimulators. Before connecting each other, the leakage current test should be
done by qualify personnel and the leakage current should be within the limit of EN
601-1 standard.
Disconnection From Mains When disconnecting the system from the power line,
remove the plug from the wall outlet first. Then you may disconnect the power cord
from the device.
SHOCK HAZARD Do not attempt to connect or disconnect a power cord with wet
hands. Make certain that your hands are clean and dry before touching a power cord.
Electro-surgery return circuit must be connected properly to prevent burns at
38
monitoring sites and even death.

Do not touch signal input or output outlets and the patient simultaneously.
Do not use unprotected lead wires having exposed conductors at the cable end. The
use of unprotected lead wires and cables may pose an unreasonable risk of adverse
health consequences or death.
Before putting the system into operation, visually inspect all connecting cables for
signs of damage. Damaged cables and connectors must be replaced immediately.
This patient monitor has no defibrillator synchronization output. Please do not
connect the monitor to a defibrillator.
ALARMS Do not rely exclusively on the audible alarm system for patient
monitoring. Adjustment of alarm volume to a low level or off during patient
monitoring may result in a hazard to the patient. Remember that the most reliable
method of patient monitoring combines close personal surveillance with correct
operation of monitoring equipment.
The functions of the alarm system for monitoring the patient must be verified at
regular intervals.
Before using the system, the operator must verify that it is in correct working order
and operating condition.
INTERFACING OTHER EQUIPMENT Devices may only be interconnected with
each other or to parts of systems when it has been determined by a qualified
biomedical engineer that there is no danger to the patient, the operator, or the
environment as a result. In those instances where there is any element of doubt
concerning the safety of the connected devices, the user must contact the
manufacturers concerned. Proper operation should be verified with the applicable
manufacturers instructions for use, and system standards IEC 60601-1-1/EN 60601-
1-1 must be complied with.
Accessory equipment connected to the analog and digital interfaces must be certified
according to the respective IEC standards ( e.g. IEC 950 for data processing
equipment and IEC 601-1 for medical equipment ). Furthermore, all configurations
shall comply with the valid version of the system standard-EN 601-1-1. Anyone who
connects additional equipment to the signal input part or signal output part is
configuring a medical system, and is therefore responsible that the system complies
with the requirement of EN 601-1-1. If in doubt, consult the technical service
department or your local representative.
In all cases, safe and proper operation should be verified with the applicable
manufacturer's instructions for use and system standards EN 60601-1-1/EN60601-1-1
must be complied with.
Every 12 months a calibration of all measuring functions should be performed by
authorized personnel.
The monitor is not for home use.
ACCIDENTAL SPILLS To avoid electric shock or device malfunction, liquids must
not be allowed to enter the device. If liquids have entered the device, take it out of
service and have it checked by a service technician before it is used again.
LEAKAGE CURRENT TEST When interfacing with other equipment, a test for
leakage current must be performed by qualified biomedical engineering personnel
before using with patients.
39
Cautions
EMC Electromagnetic field may interfere with the proper performance of the
patient monitor. Make sure that all external devices operated in the vicinity of the
monitor comply with the relevant EMC requirements. Also keep cellular telephones
or other telecommunication equipment away from the monitor.
ECG patient cable shall be connected to the ECG lead wire supplied with this
monitor. Please do not connect other signal source and pay attention to the color and
label on the ECG lead wires.
Use only parts and accessories supplied with the veterinary monitor. Use of any other
accessories may result in out-of-specification performance and possible safety
hazards.
The monitor must be repaired or disassembled by a qualified biomedical engineering
person.
DEFIBRILLATOR PRECAUTIONS Patient signal inputs labeled with the CF and
BF symbols with paddles are protected against damage resulting from defibrillation
voltages. To ensure proper defibrillator protection, use only the recommended cables
and lead wires.
The monitor is intended for use by persons trained in professional health care. The
operator must be thoroughly familiar with information in this manual before using the
monitor.
It is the operators responsibility to set alarm limit appropriately for each individual
patient.
If the accuracy of any measurement is in question, verify the patients vital signs by
an alternative method and then check the monitor for proper function. Set up the
monitor in a location for sufficient ventilation. The ventilation openings of the device
must not be obstructed. The ambient conditions specified in the manual must be
always ensured.
Keep the operating environment free of dust, corrosive, or flammable materials, and
extremes of temperature and humidity.
Do not operate the patient monitor if it is damp or wet because of condensation or
spills. Avoid using the equipment immediately after moving it from a cold
environment to a warm, humid location.
Never use sharp or pointed objects to operate the front-panel keys.
MAINTENANCE Regular preventive maintenance should be carried out by a
qualified biomedical engineer annually (Technical Inspections). You are responsible
for any requirements specific to your country.
BATTERY POWER The device is equipped with a battery pack. The battery
discharges even when the device is not in use. Store the device with a fully charged
battery and check the battery status of devices in storage once a month.
DISPOSABLES Disposable devices are intended for single use only. They should
not be reused as performance could degrade or contamination could occur.
DISPOSAL At the end of its service life, the monitor, as well as its accessories,
must be disposed of in compliance with local governing ordinances and recycling
instructions.
The built-in battery must be disposed of separately according to the national laws
after the useful life of the device.
40
INSTRUCTIONS FOR USE For continued safe use of this equipment, it is

necessary that the listed instructions are followed. However, instructions listed in this
manual in no way supersede established medical practices concerning patient care.
LOSS OF DATA Should the monitor at any time temporarily lose patient data, the
potential exists that active monitoring is not being done. Close patient observation or
alternate monitoring devices should be used until monitor function is restored.
Do not autoclave, ethylene oxide sterilize, or immerse the monitor in liquid. Unplug
the monitor before cleaning or disinfecting the monitor.
NEGLIGENCE The manufacturer does not assume responsibility for damage to the
equipment caused by improperly vented cabinets, improper or faulty power, or
insufficient wall strength to support equipment mounted on such walls.
Notes
Put the monitor in a location where you can easily see the screen and access the
operating controls.
This monitor is protected against the effects of cardiac defibrillator discharges to
ensure proper recovery, as required by test standards.
Hazards arising from software errors have been minimized. Hazard analysis was
performed to meet EN1441:1997.
Each input and output connection of the monitor is electrically isolated.
Performance and safety test data are available upon request.
The equipment is suitable for connection to public mains as define in CISPR 11.
Reference Literature
Medical Device Directive 93/42/EEC

EN 60601-1:1990 + A1:1993+A2:1995: Medical electrical equipment general
requirements for safety
EN 60601-1-1:1994 + A1:1995: General requirements for safety. Requirements for
the safety of medical electrical systems.
V Safety Symbols
NOTE: Some symbols may not appear on all equipment.
Type BF Applied Part: Insulated (floating) applied part is not suitable for cardiac
application. Paddles outside the box indicate the applied part is defibrillator
proof.
Medical Standard Definition: F-type applied part (floating/insulated) complying

with the specified requirements of EN 60601-1 Medical Standards to provide a
higher degree of protection against electric shock than that provided by Type B
applied parts.
41
Type CF Applied Part: Insulated (floating) applied part is suitable for direct
cardiac application. Paddles outside the box indicate the applied part is
defibrillator proof.
Medical Standard Definition: F-type applied part (floating/insulated) complying

with the specified requirements of EN 60601-1 Medical Standards to provide a
higher degree of protection against electric shock than that provided by Type BF
applied parts.
Type of protection against electric shock: Class II equipment.
Attention: Consult accompanying documents.
VI Classifications
VET420A veterinary monitor is classified, according to EN 60601-1 as:
Type of protection against electric shock: II, internally powered equipment.

Degree of protection against electric shock: BF NIBP, SpO2, TEMP; CF ECG,
RESP.
Degree of protection against harmful ingress of water: Ordinary Equipment.
(enclosed equipment without protection against ingress of water)
Degree of safety of application in the presence of a flammable anesthetic mixture with
air or with oxygen or nitrous oxide: Not suitable.
Working mode: Continuous running mode.
II: Class II equipment;
BF: Type BF applied part;
CF: Type CF applied part;
Not suitable: Equipment not suitable for use in the presence of a flammable
anesthetic mixture with air or with oxygen or nitrous oxide.
VII Periodic Safety Checks
The following safety checks should be performed at least once every 12 months by a
qualified person who has adequate training, knowledge, and practical experience to
perform these tests.
Inspect the equipment and accessories for mechanical and functional damage.
Inspect the safety relevant labels for legibility.
Inspect the fuse to verify compliance with rated current and breaking characteristics.
Verify that the device functions properly as described in the instructions for use.
Test the protection earth resistance according to IEC 601-1/1990: Limit 0.1 ohm.
Test the earth leakage current according to IEC 601-1/1990: Limit: NC 500 uA, SFC
42
1000uA.
Test the patient leakage current according to IEC 601-1/1990: Limit: 100 uA (BF),
10 uA (CF).
Test the patient leakage current under single fault condition with mains voltage on the
applied part according to IEC 601-1/1990: Limit: 5 mA (BF), 50uA (CF).
The leakage current should never exceed the limit. The data should be recorded in an
equipment log. If the device is not functioning properly or fails any of the above tests,
the device has to be repaired.
43

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VET420A

Multi-parameter Veterinary Monitor

SECTION 2: BASIC DESCRIPTION

SECTION 3: ALARM CONTROL

SECTION 4: ECG MONITORING

SECTION 5: NIBP MONITORING

SECTION 6: SpO2 MONITORING

SECTION 7: RESPIRATION & TEMPERATURE MONITORING

APPENDIX I: TECHNICAL SPECIFICATIONS 32

APPENDIX II: MAINTENANCE 35

APPENDIX III: SAFETY 37

1.1 About This Manual

The warranty does not apply if the product:

1.4 Product Support

Part number of the defective part

1.5 General Information

SECTION 2: BASIC DESCRIPTION

2.1 Front panel

patient monitor is connected to AC power supply but not

(5) WAVEFORM FREEZE/RESTORE: When a waveform

(7) SILENCE: Press this key to enable or disable Alarm

(13) Printing status Green: The printer is ready for printing;

(14) Receptacle Power supply receptacle.

is then inserted into an appropriate wall outlet.

2.2 Side Panel

There are three sockets/receptacles on the left side panel, respectively:

SpO2: This socket accepts SpO2 probe.

2.3 Rear Panel

The rear panel of VET420A is as shown in Figure 2-2.

1. Temp socket 1 2. Temp socket 2

RS422 communication port can only be connected with GOLDWAY central

2.4 Control Keys and Buttons

This veterinary monitor has three kinds of keys and buttons:

2.4.1 Function Key

NIBP MEASURE START/STOP

2.4.3 Menu key

Screen Brightness & Volume Adjustment

Rotate Knob Press Knob Rotate Knob Press Knob

Rotate Knob Press Knob

Press Knob Rotate Knob Press Knob

2.6 Display illustrations

This patient monitor displays the monitoring results as shown in Fig.2-3:

Figure 2-3 Screen Display 1

Press the knob, the screen is turned to be as shown in Fig.2-4:

Figure 2-4 Screen Display 2

2.6.1 Waveform Data Area

As shown in Figure 2-3, Waveform channel 1 displays ECG waveform; Waveform

DATA AREA displays NIBP reading set as shown in Figure 2-4.

2.6.2 Parameter Area

2.6.3 Status Box

2) Alarm Status: is used to indicate whether the alarm sound is enabled or

2.6.4 Waveform Speed

2.6.5 Patient ID and Monitoring Time

2.7 System Setup

Rotate Knob Press Knob

2.7.1 Time Setup

Rotate Knob Press Knob Rotate Knob

Date/Time Press Knob Rotate Knob Press Knob

2.7.2 Input and edit patients ID

Rotate Knob Press Knob Rotate Knob

New Patient Press Knob Rotate Knob Press Knob

Rotate Knob Press Knob Rotate Knob

Edit Patient Press Knob Rotate Knob Press Knob

2.7.3 Alarm sound and Alarm mode