Mallinckrodt NPB-190 Manuel de l'opérateur Page 45

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Start-Up and Use
Alarm Silence Reminder
The alarm silence reminder (three beeps) sounds at least every 3
minutes while the alarm silence duration is set to OFF.
The alarm silence reminder may also be disabled by service
personnel using the procedures described in the service manual.
The factory default is that the reminder is enabled.
Adjusting Audible Alarm Volume
To view the current volume of the audible alarm, press and hold
the Alarm Silence button for more than 3 seconds, without
touching any other buttons. The display will show the current
volume level, as shown:
To adjust the audible alarm volume, while viewing the current
alarm volume, press the Adjust Up or Adjust Down button to set
the volume level within a volume range of 1 (lowest volume
setting) to 10 (highest volume setting). The alarm volume cannot
be set to zero.
The audible alarm can only be silenced using the Alarm Silence
button, as discussed earlier in this section.
Management of Loss-of-Pulse Alarm
The NPB-290 signal processing is designed to reduce the adverse
effects of normal interference associated with motion, low patient
perfusion, and spurious electrical or optical signals. Figure 7
illustrates monitor response in sporadic or lost pulse situations
with and without continuous motion.
Losing the pulse presents an alarm-management challenge for any
oximeter—sometimes it is caused by a clinical emergency,
sometimes by signal distortion. When the pulse is lost because of
deteriorating patient condition, the oximeter should alarm
quickly. However, normal interference can obscure the pulsatile
signal. If interference is short-lived, no alarm sounds. Such
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