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Mindray BeneView T1, Operator'S Manual

The Mindray BeneView T1 operator's manual is a comprehensive guide to understanding and using this advanced medical device. You can download the manual for free from manualshive.com to learn about its features, functionality, and best practices for optimal performance. Get the most out of your Mindray BeneView T1 with this essential resource.

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8.1 Introduction ............................................................................................................................................................................................... 8-1

 

8.2 Safety ............................................................................................................................................................................................................ 8-1

 

8.3 Preparing to Monitor ECG ...................................................................................................................................................................... 8-2

 

8.3.1 Preparing the Patient and Placing the Electrodes ............................................................................................................ 8-2

 

8.3.2 Choosing AHA or IEC Lead Placement .................................................................................................................................. 8-2

 

8.3.3 ECG Lead Placements ................................................................................................................................................................ 8-2

 

8.3.4 Checking Paced Status .............................................................................................................................................................. 8-4

 

8.4 Understanding the ECG Display ........................................................................................................................................................... 8-5

 

8.5 Changing ECG Settings ........................................................................................................................................................................... 8-5

 

8.5.1 Accessing ECG Menus ................................................................................................................................................................ 8-5

 

8.5.2 Choosing the Alarm Source ..................................................................................................................................................... 8-6

 

8.5.3 Changing ECG Wave Settings .................................................................................................................................................. 8-6

 

8.5.4 Changing the ECG Filter Settings ........................................................................................................................................... 8-6

 

8.5.5 Setting Pacemaker Rate (For Mortara only) ........................................................................................................................ 8-7

 

8.5.6 Choosing an ECG Display Screen ........................................................................................................................................... 8-7

 

8.5.7 Setting the Notch Filter ............................................................................................................................................................. 8-7

 

8.5.8 Changing the Pacer Reject Settings ...................................................................................................................................... 8-7

 

8.5.9 Adjusting the Minimum QRS Detection Threshold (For Mindray ECG Algorithm) ................................................. 8-8

 

8.5.10 Enabling Smart Lead Off......................................................................................................................................................... 8-8

 

8.5.11 Setting the Alarm Level for ECG Lead Off Alarms ........................................................................................................... 8-8

 

8.5.12 Adjusting QRS Volume ............................................................................................................................................................ 8-8

 

8.5.13 About the Defibrillator Synchronization ........................................................................................................................... 8-9

 

8.6 About ST Monitoring ............................................................................................................................................................................... 8-9

 

8.6.1 Switching ST On and Off ........................................................................................................................................................... 8-9

 

8.6.2 Changing ST Filter Settings ...................................................................................................................................................... 8-9

 

8.6.3 Understanding the ST Display............................................................................................................................................... 8-10

 

8.6.4 Saving the Current ST Segment as Reference .................................................................................................................. 8-11

 

8.6.5 Changing the Reference Segment ....................................................................................................................................... 8-11

 

8.6.6 Deleting a Reference Segment ............................................................................................................................................. 8-11

 

8.6.7 Changing the ST Alarm Limits ............................................................................................................................................... 8-11

 

8.6.8 Setting the ST Alarm Delay Time .......................................................................................................................................... 8-11

 

8.6.9 Adjusting ST Measurement Points ....................................................................................................................................... 8-12

 

8.7 QT/QTc Interval Monitoring (For Mindray ECG Algorithm) ........................................................................................................ 8-13

 

8.7.1 QT/QTc Monitoring Limitations ............................................................................................................................................ 8-13

 

8.7.2 Enabling QT/QTc Monitoring ................................................................................................................................................. 8-14

 

8.7.3 Displaying QT/QTc Parameters and Waveform ................................................................................................................ 8-14

 

8.7.4 Entering the QT View ............................................................................................................................................................... 8-15

 

8.7.5 Saving the Current QTc as Reference .................................................................................................................................. 8-15

 

8.7.6 Changing QT Settings .............................................................................................................................................................. 8-16

 

8.8 About Arrhythmia Monitoring ........................................................................................................................................................... 8-17

 

8.8.1 Understanding the Arrhythmia Events............................................................................................................................... 8-17

 

8.8.2 Changing Arrhythmia Alarm Settings ................................................................................................................................ 8-19

 

8.8.3 Changing Arrhythmia Threshold Settings ......................................................................................................................... 8-19

 

8.8.4 Setting the Extended Arrh. (For Mindray Algorithm Only)........................................................................................... 8-20

 

8.8.5 Reviewing Arrhythmia Events ............................................................................................................................................... 8-20

 

8.9 ECG Relearning ........................................................................................................................................................................................ 8-21

 

Summary of Contents for BeneView T1

Page 1: ...BeneView T1 Patient Monitor Operator s Manual...

Page 2: ......

Page 3: ...I Copyright 2013 2019 Shenzhen Mindray Bio Medical Electronics Co Ltd All rights reserved Release time March 2019 Revision 15 0...

Page 4: ...without the intention of improperly using them They are the property of their respective owners Responsibility on the Manufacturer Party Contents of this manual are subject to changes without prior n...

Page 5: ...of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel This warranty shall not extend to Malfunction or damage caused by...

Page 6: ...South High tech Industrial Park Nanshan Shenzhen 518057 P R China Website www mindray com E mail Address service mindray com cn Tel 86 755 81888998 Fax 86 755 26582680 EC Representative Shanghai Inte...

Page 7: ...ntegral part of the product It should always be kept close to the equipment so that it can be obtained conveniently when needed Intended Audience This manual is geared for clinical professionals who a...

Page 8: ...VI FOR YOUR NOTES...

Page 9: ...ft View 2 7 2 4 2 Right View 2 7 2 4 3 Rear View 2 8 2 5 External Parameter Modules 2 8 2 6 Installation 2 9 2 7 Display Screen 2 12 3 Basic Operations 3 1 3 1 Installation 3 1 3 1 1 Unpacking and Che...

Page 10: ...external display 4 4 4 5 1 Having a Split Screen View of Minitrends 4 4 4 6 Viewing OxyCRG only available for the external display 4 5 4 7 Viewing Other Patients only available for the external displ...

Page 11: ...m Tone Pattern 7 5 7 4 4 Setting the Interval between Alarm Sounds 7 5 7 4 5 Setting the Reminder Tones 7 6 7 5 Understanding the Alarm Setup Menu 7 6 7 5 1 Setting Alarm Properties for All Parameters...

Page 12: ...Defibrillator Synchronization 8 9 8 6 About ST Monitoring 8 9 8 6 1 Switching ST On and Off 8 9 8 6 2 Changing ST Filter Settings 8 9 8 6 3 Understanding the ST Display 8 10 8 6 4 Saving the Current S...

Page 13: ...4 Placing Resp Electrodes 9 2 9 4 1 Optimizing Lead Placement for Resp 9 2 9 4 2 Cardiac Overlay 9 2 9 4 3 Abdominal Breathing 9 2 9 4 4 Lateral Chest Expansion 9 3 9 5 Choosing the Respiration Lead...

Page 14: ...bling NIBP Auto Cycling and Setting the Interval 12 4 12 5 6 Starting a STAT Measurement 12 4 12 5 7 Sequence Measurement 12 5 12 6 Understanding the NIBP Numerics 12 6 12 7 Changing NIBP Settings 12...

Page 15: ...n 15 1 15 2 Identifying CO2 Modules 15 2 15 3 Preparing to Measure CO2 15 3 15 3 1 Using a Sidestream CO2 Module 15 3 15 3 2 Using a Microstream CO2 Module 15 4 15 3 3 Using a Mainstream CO2 Module 15...

Page 16: ...Alarm Properties 16 11 17 Review 17 1 17 1 Accessing Respective Review Windows 17 1 17 2 Reviewing Graphic Trends 17 1 17 3 Reviewing Tabular Trends 17 2 17 4 Reviewing Events 17 3 17 4 1 Marking Eve...

Page 17: ...altime Reports 19 3 19 7 End Case Reports 19 4 19 8 Printer Statuses 19 4 19 8 1 Printer Out of Paper 19 4 19 8 2 Printer Unavailable 19 4 20 Other Functions 20 1 20 1 Analog Output 20 1 20 2 Exportin...

Page 18: ...t 23 6 23 9 Calibrating CO2 23 7 23 10 Calibrating the Touchscreen 23 8 23 11 Electrical Safety Tests 23 8 24 Accessories 24 1 24 1 ECG Accessories 24 1 24 2 SpO2 Accessories 24 3 24 3 NIBP Accessorie...

Page 19: ...F Symbols and Abbreviations F 1 F 1 Symbols F 1 F 2 Abbreviations F 2 G Declaration of Conformity G 1 B 3 Radiofrequency Radiation Exposure Information B 5 C Default Configurations C 1 C 1 Parameters...

Page 20: ...12 FOR YOUR NOTES...

Page 21: ...meet the performance specification due to aging stored or used outside the specified temperature and humidity range Before putting the system into operation the operator must verify that the equipmen...

Page 22: ...Remember that alarm settings should be customized according to different patient situations and always keeping the patient under close surveillance is the most reliable way for safe patient monitoring...

Page 23: ...check that the voltage and frequency ratings of the power line are the same as those indicated on the equipment s label or in this manual Always install or carry the equipment properly to avoid damag...

Page 24: ...e to 1 4 pment ment falling PE CF indicating its co ical devices and with the Coun n the European your country s onformity with d fulfils the ess ncil Directive 20 n Community s requirements Direct cu...

Page 25: ...ting room and postoperative observation ward and etc It can also be used during patient transport both inside the hospital and with an ambulance For patient transport with an ambulance only ECG HR Res...

Page 26: ...alled or the installed battery is malfunction or no external DC power supply is connected when the patient monitor is power off Flash when the patient monitor operates on battery power 6 Power On Off...

Page 27: ...dle or T1 docking station 3 Infrared filter used for communication between the T1 and host monitor 4 Contact NOTE To ensure a good contact clean the contacts regularly as dust and dirt may collect on...

Page 28: ...Temp probe 1 2 Connector for Temp probe 2 3 Connector for IBP cable 4 Connector for NIBP cuff 5 Connector for ECG cable 6 Connector for SpO2 cable 7 Multifunctional connector outputting analog and de...

Page 29: ...in use or connecting a n pressing this ti pin connecto 2 1 use with the ho om the host mo with the host m a T1 and an exte button release or 1 connects t 2 5 ost monitor T1 onitor T1 dock monitor T1 d...

Page 30: ...rameter module 3 Infrared filter used for communication between the T1 handle and external parameter module 4 Contact power input connector of the external parameter module 2 4 T1 Docking Station T1 d...

Page 31: ...ve mouse and keyboard 3 Network connector a standard RJ45 connector that connects the patient monitor to the CMS or CIS 2 4 2 Right View 1 T1 docking station multi pin connector power input and commun...

Page 32: ...vice connector connects T1 to the host monitor through a cable 5 USB connector connects USB devices including the USB drive mouse and keyboard 6 Network connector a standard RJ45 connector that connec...

Page 33: ...the external module from falling off after insert T1 or the external module into the T1 handle always check that T1 or the external module properly engages the T1 handle When the external module is p...

Page 34: ...handle can be installed to the T1 docking station as indicated below You hear a click when the T1 handle is pushed into place To remove the T1 handle 1 Press and hold down the release button at the to...

Page 35: ...ry to pull T N T1 from falling e T1 docking st the T1 docking the latch at th as indicated ion he T1 docking the clip refer t T1 outward T1 g off after inse tation station e bottom of T1 2 11 station...

Page 36: ...formation su status in ea will enter th ent Demograp esented patien r they will be d rm messages W Physiological A rea A easurement w t this area and t this area corres 2 12 CD to display pa ch as dep...

Page 37: ...atient m cates the patien cates the wirele cates the wirele cates a USB driv attery status sy that give you f P measurement ystem ed status menu onfiguration n s enabled this 7 2 Selecting a C us batt...

Page 38: ...2 14 FOR YOUR NOTES...

Page 39: ...equipment specifications whether a particular combination with other devices is hazardous for example due to summation of leakage currents please consult the manufacturers or else an expert in the fi...

Page 40: ...rt to make measurements check the patient monitor for any mechanic damage and make sure that all external cables plug ins and accessories are properly connected 2 Connect the monitor with the DC adapt...

Page 41: ...on off switch for ten seconds to forcibly shut down the monitor when it could not be shut down normally or under some special situations This may cause loss of data of the patient monitor NOTE To comp...

Page 42: ...g screens or functions can only be viewed and operated on the external display Minitrends Screen OxyCRG Screen View Others Screen ECG 7 Lead Half Screen PAWP Screen Calculations Spider view Hemodynami...

Page 43: ...in menu and contain the following parts 1 Heading gives a sum up for the current menu 2 Main body displays options buttons prompt messages etc The menu button with enlarges a secondary window to revea...

Page 44: ...In that case you cannot change the date and time settings on your patient monitor CAUTION Changing date and time affects the storage of trends and events and may cause data missing 3 10 Setting Param...

Page 45: ...de is activated The screen turns blank and Under monitoring Press any key to exit the privacy mode is displayed Monitoring and data storing continue but patient data is only visible at the central sta...

Page 46: ...tdoor mode is intended for transferring patients outdoors In this mode parameter color is white and unchangeable and the screen brightness is automatically changed to 10 To activate the outdoor mode s...

Page 47: ...the h o 2 2 4 Bottom T1 properly en g off after inse tor lifting the la through the d the host monito PN 009 00359 o the SMR con from the host m le from the hos le from T1 dock 3 9 s as the host m th...

Page 48: ...r the Demo mode 1 Select Main Menu Maintenance 2 Select Demo Enter the required password and then select Ok To exit the Demo mode select Main Menu Maintenance Exit Demo Ok WARNING The Demo mode is for...

Page 49: ...g on the set minimum alarm volume refer to the 7 4 2 Setting the Minimum Alarm Volume and 10 the maximum volume 3 Set High Alarm Volume 4 Set Reminder Vol Key Volume 1 Select Main Menu Screen Setup 2...

Page 50: ...Select Others 3 Select Wave Line and toggle between Thick Mediate and Thin 4 3 2 Changing Measurement Colors 1 Select Main Menu Screen Setup Measurement Color Setup 2 Select the color box next to your...

Page 51: ...witch window If a parameter module is switched off parameter values and waveforms will not display on the screen The ECG parameter and the first ECG waveform always display in the first row The config...

Page 52: ...nitrends only available for the external display 4 5 1 Having a Split Screen View of Minitrends You can split the normal screen so that one part of the screen on the left hand side continuously shows...

Page 53: ...the Review menu by selecting the OxyCRG Event button 2 Trend length list box In the trend length list box you can select 1 min 2 min 4 min or 8 min 3 Setup Select Setup button to enter Setup menu in w...

Page 54: ...of this monitor in the fifth monitor you need to close the View Other Patient window in any of the four monitors which are viewing the waveforms and measurements right now NOTE Monitors of software v...

Page 55: ...ra ewing select th u want from th ewing select th u want from th View Other Pa 4 7 Patient Win window the pat window wer part of the ation includin and parameter hen selecting ed parameter a al and pr...

Page 56: ...4 8 FOR YOUR NOTES...

Page 57: ...patie cs menu ente es the way your mits are applie ether to show p are not shown i will always con ettings for thes ch might not b st set Paced QRS and fail to u must set Pa 5 1 and stores them tted...

Page 58: ...mber Bed No bed number 5 4 Querying and Obtaining Patient Information The monitor can obtain patient information from HIS through eGateway To query or obtain patient information from HIS 1 Select Main...

Page 59: ...name date of birth and gender with HIS NOTE A keyword takes effect only when being defined in eGateway Refer to eGateway Integration Manager Installation Guide for details The monitor displays corres...

Page 60: ...data that can be transferred includes patient demographics trend data alarm events and parameters alarm limits You can use a USB Drive to transfer data between two patient monitors You can also conne...

Page 61: ...t data contents that need to be transferred Patient Demographics must be selected After Ok is selected the monitor compares the patient information stored in both the storage medium and monitor and de...

Page 62: ...e settings of the docking station when T1 is connected and the settings remains unchanged when T1 is removed from the docking station Setting Network Type Network Type specifies the source of T1 s net...

Page 63: ...ion measurement data and settings can be displayed simultaneously on the patient monitor and CMS For some functions such as editing patient information admitting a patient discharging a patient starti...

Page 64: ...5 8 FOR YOUR NOTES...

Page 65: ...ted You can choose either from General OR ICU NICU CCU Each department has three different sets of configurations tailored for adult pediatric and neonatal patients WARNING The configuration managemen...

Page 66: ...d password and then select Ok 6 3 Changing Department If the current department configuration is not the one you want to view you can select Change Department in the Manage Configuration menu and then...

Page 67: ...the configuration adult pediatric or neonate to be restored is subject to the patient category This configuration can be either factory configuration or saved user configuration Take adult as an exam...

Page 68: ...an be changed The changed items of alarm setup will be marked in red 4 You can select Save or Save as to save the changed configuration Select Save to overwrite the original configuration Select Save...

Page 69: ...Import Config in the Manage Configuration menu 3 In the Import Config menu select the configurations and User Maintenance Settings to import Then select the Import button A status message will report...

Page 70: ...restore the latest configuration if restarts within 60 seconds after the power failure And it will restore the default configuration rather than the latest configuration if restarts 120 seconds later...

Page 71: ...larms and technical alarms Physiological alarms Physiological alarms also called patient status alarms are triggered by a monitored parameter value that violates set alarm limits or an abnormal patien...

Page 72: ...which may not threaten the patient s life but may compromise the monitoring of vital physiological parameters Low level Indicate that you patient s vital signs appear abnormal and an immediate treatme...

Page 73: ...which matches the alarm level High level alarms red Medium level alarms yellow Low level alarms yellow For physiological alarms the asterisk symbols before the alarm message match the alarm level as f...

Page 74: ...lume refers to gurations The s violation occu l also flash at th indicators the d s turned off rement alarms ation ume tup Oth om Alm Volum 10 the maximu et the volume volume of the rm sound is tu arm...

Page 75: ...m Interval s in turn and then select the appropriate settings You cannot change the interval between alarm tones if you choose mode 1 or 2 as your desired alarm tone pattern For these two patterns the...

Page 76: ...rval between reminder tones select Reminder Interval and toggle between 1min 2min and 3min In addition you can set the volume of alarm reminder tones To set the volume of alarm reminder tones select M...

Page 77: ...alarm limits you need to collect a set of measured vital signs as a baseline Then in the main menu select Alarm Setup Parameters Auto Limits Ok The monitor will create new alarm limits based on the m...

Page 78: ...mit Same as the default alarm limit Same as the default alarm limit Same as the measurement range IBP ART Ao UAP BAP FAP LV P1 P4 Arterial pressure IBP S SYS 0 68 10 mmHg SYS 15 or 45mmHg whichever is...

Page 79: ...o 35mmHg 41mmHg 32 to 35mmHg 41mmHg 35 to 45mmHg etCO2 6 mmHg 35 to 45mmHg etCO2 6 mmHg 35 to 45mmHg etCO2 6 mmHg 35 to 45mmHg etCO2 6 mmHg 45 to 48mmHg 39 mmHg 45 to 48mmHg 39 mmHg 45 to 48mmHg 51 mm...

Page 80: ...alarm limits You can set Apnea Delay and ST Alarm Delay separately 7 5 4 Setting SpO2 Technical Alarm Delay You can set the Tech Alarm Delay in the Others tab of the Alarm Setup menu The options are...

Page 81: ...y following this procedure 1 Select Main Menu Maintenance User Maintenance enter the required password 2 Select Alarm Setup and set the Intubation Mode Period to 1 min 2 min 3 min or 5 min 7 6 Pausing...

Page 82: ...ing off alarms nance Us m Pause Time alarm pause tim ance Use he Max Alarm select a prope ms anent the pat off status arm lamps flash umeric and alar s are shown hysiological ala s are sounded layed i...

Page 83: ...e nter the Alarm m Reset and to ht on Alarm Re ical alarms defi iological alarm al alarms all vis and violated ala m is last triggere l indications or s are latched th the alarm cond ns are latched te...

Page 84: ...ed label of the alarming monitor appear on the symbols You can enter the view other patient window by pressing the symbol 7 10 2 Resetting the Care Group Alarms You can reset the alarms presented on t...

Page 85: ...as the setup level in the monitor To set which alarm level applies to continuous alert tone see section 7 10 4 2Setting the Alarm Level Once The monitor gives a single alert tone when an alarm occurs...

Page 86: ...serve th ent s condition arming parame urce of the alar ction to elimina alarm conditio g specific alarm ring startup Th ndicates that th easurement ala mits and check ccurs e following ste n eter or...

Page 87: ...s and associated connectors for applied parts including the neutral electrode should not contact any other conductive parts including earth Periodically inspect the electrode application site to ensur...

Page 88: ...ectrodes 2 Attach the clips or snaps to the electrodes before placing them 3 Place the electrodes on the patient 4 Attach the electrode cable to the patient cable and then plug the patient cable into...

Page 89: ...nt on the right side of the chest in positions corresponding to those on the left VE placement over the xiphoid process V7 placement on posterior chest at the left posterior axillary line in the fifth...

Page 90: ...t information area or Main Menu Patient Setup Patient Demographics or the ECG parameter window or waveform area Others and then select Paced from the popup menu and toggle between Yes and No If you do...

Page 91: ...ed has been set to Yes 1 Current heart rate alarm limits 2 Heart beat symbol 3 Current heart rate NOTE When an electro surgery unit is in use a question mark may display on the right of the HR value T...

Page 92: ...select Auto from Gain the patient monitor will automatically adjust the size of the ECG waves In normal screen only the selected ECG wave s size is adjusted In other screens all ECG waves size is adju...

Page 93: ...the second row A cascaded waveform is displayed in two waveform positions 8 5 7 Setting the Notch Filter The notch filter removes the line frequency interference Only when Filter is set to Diagnostic...

Page 94: ...calculate heart rate and false asystole may occur NOTE The minimum QRS detection threshold can only be adjusted when the ECG filter is set to Monitor 8 5 10 Enabling Smart Lead Off To switch on off th...

Page 95: ...lays them as numerics in the ST1 and ST2 areas A positive value indicates ST segment elevation a negative value indicates ST segment depression Measurement unit of the ST segment mV or mm You can set...

Page 96: ...ou can turn it on manually 8 6 3 Understanding the ST Display 8 6 3 1 ST Numerics This example shows ST numerics with 5 lead ECG Your monitor screen may look slightly different from the illustration 8...

Page 97: ...ps 8 6 6 Deleting a Reference Segment To delete the current ST reference segment select Delete Ref in the ST Analysis menu and then select Ok in the popup 8 6 7 Changing the ST Alarm Limits High and l...

Page 98: ...ws and besides the View Leads button to select an ECG lead with obvious J point and R wave 3 Adjust the position of ISO J or ST Point The ISO point isoelectric position is given relative to the R wave...

Page 99: ...rvals P waves tending to encroach on the end of the previous T wave at high heart rates T waves are very flat or not well defined The end of the T wave is difficult to delineate because of the presenc...

Page 100: ...out and then select Screen Setup to enter the Screen Setup window 2 Select the parameter area where you want to display the QT parameters and then select QT The following picture shows the QT numeric...

Page 101: ...e cause of failed QT measurement is shown at the bottom of the QT numerics area Additionally the message Cannot Analyze QT is shown in the technical alarm area Select the arrows beside View Leads to s...

Page 102: ...n To do so select Analysis Lead from the QT Analysis menu All is selected by default This means all leads are used for QT calculation 8 7 6 3 Changing the QTc Formula The monitor uses as a default the...

Page 103: ...a Vfib Vtac A fibrillatory wave for 6 consecutive seconds A dominant rhythm of adjacent Vs and a HR the V Tac HR limit Vtac The consecutive PVCs Vtac PVCs limit and the HR the Vtac rate limit Vent Bra...

Page 104: ...s min exceeds high limit Nonlethal arrhythmia Pacer not paced No pace pulse detected for 60 1000 pace rate 90 milliseconds following a QRS complex or a pacer pulse for paced patients only Pacer not ca...

Page 105: ...tings Select the ECG parameter window or waveform area Arrh Analysis Arrh Threshold and you can then change threshold settings for some arrhythmia alarms In case an arrhythmia violates its threshold a...

Page 106: ...ting the Extended Arrh For Mindray Algorithm Only The following arrhythmia events are defined as extended arrhythmia Extreme Tachy Extreme Brady Vent Brady Nonsus Vtac Multif PVC Irr Rhythm Pause Afib...

Page 107: ...s learning the message ECG Learning is displayed in the technical alarm area CAUTION Take care to initiate ECG relearning only during periods of normal rhythm and when the ECG signal is relatively noi...

Page 108: ...es to the configuration before accessing the 12 lead full screen when the patient monitor exit the 12 lead full screen 8 10 2 Setting ECG Waveform Sequence You can select the sequence of ECG waveforms...

Page 109: ...creen 8 11 2 Entering Patient Information Some patient information may directly affect ECG analysis Complete and correct patient information is helpful for accurate diagnosis and treatment of the pati...

Page 110: ...ST segment level Off BDR is disabled and the 0 05 Hz filter is used NOTE BDR or 0 05 Hz selection applies to the displayed ECG printed report analyzed and stored data BDR introduces around 1 second de...

Page 111: ...ther Median Complex is included on the 12 lead ECG report Median Complex displays a median complex waveform for each lead and a rhythm lead waveform of 10 seconds in 3x4 1 format For each waveform sho...

Page 112: ...12 lead ECG report from the external printer You can also print the latest 12 lead ECG report by selecting Report from the 12 lead screen Refer to12 Lead ECG Interpretive Program Physician s Guide PN...

Page 113: ...the12 lead ECG report with default configuration 1 Patient information 2 Time of resting 12 lead ECG analysis 3 Measurements 4 Diagnosis statement 5 Waveform amplitude 6 Paper speed 7 Frequency range...

Page 114: ...s Apply fresh moist electrodes Avoid muscular areas Intermittent Signal Connections not tight and or properly secured Check that the cables are properly connected Electrodes dry or loose Repeat skin p...

Page 115: ...roperly connected Cable or lead wires damaged Change cable and lead wires Base Line Wander Patient moving excessively Secure leadwires and cable to patient Electrodes dry or loose Repeat skin preparat...

Page 116: ...8 30 FOR YOUR NOTES...

Page 117: ...sely interpret cardiac activity as respiratory activity in the case of apnea The respiration measurement does not recognize the cause of apneas It only indicates an alarm if no breath is detected when...

Page 118: ...ing Lead Placement for Resp If you want to measure Resp and you are already measuring ECG you may need to optimize the placement of the two electrodes between which Resp will be measured Repositioning...

Page 119: ...Breathing is spontaneous with or without continuous positive airway pressure CPAP Patients are ventilated except patients with intermittent mandatory ventilation IMV In manual detection mode you adju...

Page 120: ...C source is from i m proper from the Re Settings etection mode or decreased t appropriate set n appropriate s ct a source or A tly available RR priority When rce to Auto R a alarm n are shown in matic...

Page 121: ...red in the monitor s database and reviewed in the graphic tabular trends in trend graphs as the PR curve is in the same color with the PR source it is unlikely to distinguish the PR source is sent via...

Page 122: ...he ECG measurement as the alarm source whenever the ECG measurement is switched on and a valid heart rate is available If the heart rate becomes unavailable for example if leads becomes disconnected a...

Page 123: ...icator the pulsatile portion of the measured signal caused by arterial pulsation 4 Perfusion index PI gives the numerical value for the pulsatile portion of the measured signal caused by arterial puls...

Page 124: ...ica sensitive skin se the applicat ed periods ma nd tissue ische dules Mindray SpO2 m to your monito ompany as sho nnector withou onnector with a nector with a lo xclusive ording to the m the applicat...

Page 125: ...tanding the patient s state To set the averaging time For Mindray SpO2 module select Sensitivity in the SpO2 Setup menu and then toggle between High Med and Low which respectively correspond to 7 s 9...

Page 126: ...ds Then it drops to 86 4 points for 3 seconds and then to 84 6 points for 6 seconds The resulting Sat Seconds are SpO2 Seconds Sat Seconds 2 2 4 4 3 12 6 6 36 Total Sat Seconds 52 After approximately...

Page 127: ...p from the SpO2 Setup menu From the popup menu you can set low alarm limit alarm switch and alarm recording for Desat When the SpO2 value is below the desat alarm limit and desat alarm switch is set o...

Page 128: ...one or more of the patents relating to this device 11 8 Nellcor Information Nellcor Patents This device may be covered by one or more of the following US patents and foreign equivalents 5 485 847 5 6...

Page 129: ...describe On Off Change Check if If so rea If not co Check th necessar Check if reported lower lev minimize Switch th describe On Off Check th sensor se Check th the appl Change ms when using t em pers...

Page 130: ...11 8 FOR YOUR NOTES...

Page 131: ...llation with the greatest amplitude is the mean pressure This is the most accurate parameter measured by the oscillometric method Once the mean pressure is determined the systolic and diastolic pressu...

Page 132: ...cted by the measurement site the position of the PATIENT exercise or the patient s physiologic condition If you doubt the NIBP readings determines the patient s vital signs by alternative means and th...

Page 133: ...ed cuff by referring to the limb circumference marked on the cuff The width of the cuff should be 40 50 for neonates of the limb circumference or 2 3 of the upper arm s length The inflatable part of t...

Page 134: ...AT Measur rameter windo sure QuickKey s 5 minutes of ment if Lim t the same leve ch centimetre r each centimet cling and S ow to enter the a desired time he monitor wil he monitor wil ck function to s...

Page 135: ...diately 12 5 7 Sequence Measurement NIBP sequence measurement can include up to five cycles A B C D and E You can individually set the duration and interval for each cycle To set the sequence measurem...

Page 136: ...select Initial Pressure and then select the appropriate setting NOTE For known hypertensive patients you need to set initial cuff pressure to a higher value to reduce the measurement time 12 7 2 Setti...

Page 137: ...he venous blood vessel and therefore help venous puncture 1 Select VeniPuncture from the NIBP Setup menu In the popup menu verify that the Cuff Press value is appropriate Change it if necessary 2 Sele...

Page 138: ...12 8 FOR YOUR NOTES...

Page 139: ...o the temperature connector 4 Attach the probe to the patient correctly 5 Check that the alarm settings are appropriate for this patient 13 2 Understanding the Temp Display The temperature monitoring...

Page 140: ...13 2 FOR YOUR NOTES...

Page 141: ...arts To reduce the hazard of burns during high frequency surgical procedure ensure that the monitor s cables and transducers never come into contact with the high frequency surgical units The neutral...

Page 142: ...the patient catheter 5 Position the transducer so that it is level with the heart approximately at the level of the midaxillary line 6 Select the appropriate label 7 Zero the transducer After a succe...

Page 143: ...ero During zero calibration the Zero button appears dimmed It recovers after the zero calibration is completed 4 After the zero calibration is completed close the stopcock to the air and open the stop...

Page 144: ...ence value on the blank area of the ICP transducer for further reference If the ICP transducer zero calibration failed or you doubt the zero reference value perform a zero calibration again 14 4 2 Mea...

Page 145: ...w may show the mean pressure only For different pressures their defaults unit may be different If the Art and ICP pressures are measured simultaneously the ICP parameter area will display numeric CPP...

Page 146: ...e faster the wave sweeps the wider the wave is Select Scale and then select the appropriate setting If Auto is selected the size of the pressure s waveform will be adjusted automatically Select Filter...

Page 147: ...relevance of PPV information is restricted to sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia PPV calculation may lead to inaccurate values in the...

Page 148: ...enu where you can Set Left Scale and Right Scale and then set the scales for the overlapped waveforms The left scale is for Art LV Ao FAP BAP UAP and the arterial waveforms of P1 P4 the right scale is...

Page 149: ...inflated balloon occludes the artery allowing the monitor to record changes in the intrathoracic pressures that occur throughout the respiration cycle The pulmonary wedge pressure is the left ventricu...

Page 150: ...t Heparin PAWP ducer as shown e in the patient perly connected electing PA a or waveform a also enter the P theter Balloo nized fluid bag 14 10 n below Make t d to the IBP co as the IBP label area to...

Page 151: ...to view the frozen waveforms of 40 seconds Select Confirm to save the PAWP value WARNING Prolonged inflation can cause pulmonary hemorrhage infarction or both Inflate the balloon for the minimum time...

Page 152: ...no IBP waveform Improper setup Check display setup in monitor setup Cable not plugged in Check that the cables are properly connected Transducer not connected Check that the transducer is properly con...

Page 153: ...er directly inserted into the patient s breathing system Sidestream Microstream measurement samples expired patient gas at a constant sample flow from the patient s airway and analyzes it with a CO2 s...

Page 154: ...rm CO2 monitoring From left to right are sidestream CO2 module microstream CO2 module and mainstream CO2 1 Setup key to enter the CO2 setup menu 2 Measure standby 3 Gas outlet 4 CO2 watertrap seat 5 C...

Page 155: ...tertrap to the neonate patient Otherwise patient injury could result CAUTION The watertrap collects water drops condensed in the sampling line and therefore prevents them from entering the module If t...

Page 156: ...rm CO2 measurements The message CO2 Sensor Warmup is displayed 15 3 3 Using a Mainstream CO2 Module 1 Connect the sensor to the module The message CO2 Sensor Warmup is displayed 2 After warm up is fin...

Page 157: ...CO2 module 1 Select CO2 Setup 2 According to the actual condition set the concentration required for the following compensations O2 Compen N2O Compen Des Compen For the mainstream CO2 module in the C...

Page 158: ...f for ATPD depending on which compensation applies 15 4 5 Setting the Apnea Alarm Delay In the CO2 Setup menu select Apnea Delay and then select the appropriate setting The monitor will alarm if the p...

Page 159: ...R Source and then select a source or Auto from the dropdown list The RR Source settings of Resp and CO2 are linked For details please refer to Setting RR Source of chapter Resp 15 4 10 Setting Baromet...

Page 160: ...th is detected since the CO2 module is powered on or the CO2 module switches to the measuring mode or the automatic standby time is re set To set the standby time in the CO2 Setup menu select Auto Sta...

Page 161: ...and therefore maintains the accuracy of the CO2 measurements 15 9 1 For Sidestream and Microstream CO2 Modules For sidestream and microstream CO2 modules a zero calibration is carried out automatical...

Page 162: ...ge For mainstream CO2 modules no calibration is required For details refer to 23 Maintenance 15 11 Oridion Information This trademark is registered in Israel Japan German and America Oridion Patents T...

Page 163: ...Vascular Lung Water With the C O value measured with the transpulmonary thermodilution method and the result of the pulse contour analysis a patient specific calibration factor is calculated The moni...

Page 164: ...pcock to the patient 2 Vent the transducer to the atmospheric pressure by turning on the stopcock to the air 3 In the pArt Setup menu select pArt Zero Zero During zero calibration the Zero button appe...

Page 165: ...catheter must be placed in one of the bigger systemic arteries for example the femoral the brachial or the axillary artery You must use the approved catheters and puncture locations 2 Place the centr...

Page 166: ...the correct indexing of some parameters Input a proper pCVP value if CVP is not measured The system adopts 5mmHg by default if the pCVP value is neither measured nor input manually 9 Check that the c...

Page 167: ...g between Auto and Manual If you select Manual you should start each measurement manually by pressing the Start key in the PiCCO Measurement If you select Auto the C O measurements can be performed co...

Page 168: ...ill be automatically deleted when a seventh curve is stored Select the measurement values and the system will automatically perform calibration and calculate the averaged CCO and CCI values CAUTION Th...

Page 169: ...t Display The artery pressure is displayed on the monitor as a waveform and numeric pressures The figure below shows the pArt waveform and numerics 1 Waveform 2 Systolic pressure 3 Mean pressure 4 Dia...

Page 170: ...meters in dynamic conjunction Each spider leg is divided into 3 segments indicating different value ranges for the respective parameters The segment in the middle indicates the normal range for the re...

Page 171: ...s are outside the normal range The parameter whose default normal range is changed will be marked with the symbol 16 8 1 2 Spider Configuration The spider vision diagram can be configured individually...

Page 172: ...Heart Rate bpm 60 80 Contractility GEF Global Ejection Fraction 25 35 CFI Cardiac Function Index 1L min 4 5 6 5 dPmx Left Ventricular Contractility mmHg s Preload Volume GEDV Global End Diastolic Vol...

Page 173: ...monary Vascular Permeability Index no unit 1 0 3 0 TB Blood Temperature C 16 9 Changing CCO Settings 16 9 1 Selecting the Displayed Parameters Select Select Parameter from the CCO Setup menu In the po...

Page 174: ...16 12 FOR YOUR NOTES...

Page 175: ...anual event In this review window Select a parameter scale in the graphic trends area to enter the corresponding scale menu You can set the Upper Scale or Lower Scale of Resp ECG SpO2 Temp IBP or NIBP...

Page 176: ...nual adjustment 17 3 Reviewing Tabular Trends In the Review menu select Tabular Trends to access the following window Events are marked with colors in window s top area Red represents high level alarm...

Page 177: ...you can select the waves to be stored when a manual event is triggered You can select Trigger Manual Event from the Mark Event menu or the Manual Event from the Main Menu to trigger a manual event and...

Page 178: ...s will not be recorded in the system log Earlier recorded events might be overwritten by later ones if it reaches capacity A total loss of power has no impact on the saved events In this window You ca...

Page 179: ...our monitor must be equipped with a SD storage card 17 6 Reviewing OxyCRG only available for the external display In the Review menu select OxyCRG tab to access the following window In this window Sel...

Page 180: ...een events Select or beside the Scroll button to move the cursor one step left or right to navigate through the trends and waveform Select or to navigate through the parameter trends and waveform Sele...

Page 181: ...ion select Main Menu Calc or the Calculations QuickKey and then select the calculation you want to perform NOTE The calculation feature is independent of other monitoring functions and can be therefor...

Page 182: ...nter values following the doctor s instructions and then the calculated values can only be used 4 Enter the patient s weight 5 Enter other values 6 Verify if the calculated values are correct 18 2 2 S...

Page 183: ...mEq ml Amount Volume Dose Dose hr Dose kg min Rate Conc Volume ml Rate Duration Amount g unit mEq Rate Duration Duration h Amount Dose Drip Rate gtt min INF Rate Drop Size 60 18 3 Oxygenation Calcula...

Page 184: ...in venous blood SvO2 venous oxygen saturation Hb g L hemoglobin CaO2 ml L arterial oxygen content CvO2 ml L venous oxygen content VO2 ml min oxygen consumption RQ None respiratory quotient ATMP mmHg...

Page 185: ...normal range in the unit field Invalid values are displayed as In the Ventilation Calculation window you can Change the pressure unit by selecting Press Unit and then selecting the appropriate setting...

Page 186: ...ho is being monitored HR Art mean PA mean and CVP are automatically taken from the currently measured values If you just have performed C O measurements C O is the average of multiple thermodilution m...

Page 187: ...HR 1000 SI ml m2 stroke index SV BSA SVR DS cm5 systemic vascular resistance 79 96 AP MAP CVP C O SVRI DS m2 cm5 systemic vascular resistance index SVR BSA PVR DS cm5 pulmonary vascular resistance 79...

Page 188: ...w its normal range in the unit field Invalid values are displayed as In the Renal Calculation window you can Trigger a recording by selecting the Record button The currently displayed renal calculatio...

Page 189: ...Cr BUN Cr is a ratio under the unit of mol 18 7 Understanding the Review Window With the review feature you can review oxygenation ventilation hemodynamic and renal calculations The review window for...

Page 190: ...18 10 FOR YOUR NOTES...

Page 191: ...bout the printer you have purchased contact our company 19 2 Connecting a printer To print the reports or the trend data of a patient you can directly connect the T1 to a printer via the T1 docking st...

Page 192: ...Main Menu Review Events Arrh Events Details Print Parameter alarm review Depend on the selected alarms Select Main Menu Alarm Setup Parameters Print Realtime waves Depend on the selected waveforms Se...

Page 193: ...by time If you select Parameter Oriented the report will be printed by parameters Select Parameter from the popup menu you can Currently Displayed Trended Parameters print the parameter trend data se...

Page 194: ...box 3 set as described in the 19 6 1 Setting Up ECG Reports 19 8 Printer Statuses 19 8 1 Printer Out of Paper When the printer runs out of paper the print request will not be responded If there are t...

Page 195: ...ance enter the required password Others 3 Select Export Log 20 3 Transferring Data You can transfer the patient data saved in the monitor to a PC via a crossover network cable or SD storage card or wi...

Page 196: ...IP address of the PC This IP address must be in the same network segment with that of the patient monitor 4 Make sure that the data export system is active on the PC Then follow this procedure to tra...

Page 197: ...tor Network Setup menu set the Network Type to WLAN 3 Select WLAN Setup to access the WLAN Setup menu 4 Configure the Network Name SSID Security EAP Method AUT Protocol Identify Anonymity Password and...

Page 198: ...last name are encrypted when transferring data to the CMS or eGateway To enable the data encryption 1 Select Main Menu Maintenance User Maintenance enter the required password select Ok 2 Select Netw...

Page 199: ...Main Menu Maintenance User Maintenance enter the required password Network Setup Monitor Network Setup 2 In the Monitor Network Setup menu set Network Type and Address Type 3 Input the monitor IP addr...

Page 200: ...area displays 20 4 10 3 Clearing the Selected CMS at Startup You can clear the selected CMS each time the monitor restarts after being powered off for more than 2 minutes To clear the selected CMS 1 S...

Page 201: ...e indic technical alarm Alarm Area At t will power off a C 21 1 y power when In case of pow all a fully charg status as follow orrectly The so w power and ne ost depleted an lled y pressing the b cato...

Page 202: ...ent s reach inal package u id e the battery M een dropped o ery from use a age or signs o n Refer to qua this monitor o erature may ca ervice life Ple ery may cause ansporting th y wards and lift it...

Page 203: ...monitor from the external power supply if DC adapter or T1 docking station is connected 3 Install the battery to be conditioned in the monitor Connect the external power supply and allow the battery...

Page 204: ...rge it to 40 60 for storage NOTE Battery operating time depends on the device configuration and operation For example high display brightness or measuring NIBP repeatedly will shorten the battery oper...

Page 205: ...ttery is aged and its runtime significantly less than the specification The battery has been used for more than two years Properly dispose of batteries according to local regulations WARNING Do not op...

Page 206: ...21 6 FOR YOUR NOTES...

Page 207: ...e to the equipment follow these rules Always dilute according the manufacturer s instructions or use lowest possible concentration Do not immerse part of the equipment into liquid Do not pour liquid o...

Page 208: ...n your equipment follow these rules 1 Shut down the patient monitor and disconnect it from the power line 2 Clean the display screen using a soft clean cloth dampened with a glass cleaner 3 Clean the...

Page 209: ...equipment contact your service personnel or us 23 1 Regular Inspection Before the first use after your patient monitor has been used for 6 to 12 months or whenever your patient monitor is repaired or...

Page 210: ...ement is incorrect 2 Following any repairs or replacement of relevant module 3 At least once every two years Note At least once a year is recommended for NIBP and CO2 Calibration Resp performance test...

Page 211: ...e ECG wave amplitude becomes greater or smaller In that case you need to calibrate the ECG module 1 Select the ECG parameter window or waveform area Filter Diagnostic 2 Select Main Menu Maintenance Us...

Page 212: ...on the monitor 3 Wrap the cuff around the cylinder as shown below 4 Select Main Menu Maintenance User Maintenance Enter the required password and then select OK 5 Select Module Maintenance NIBP Leakag...

Page 213: ...intenance User Maintenance Enter the required password and then select OK 4 Select Module Maintenance NIBP Accuracy Test 5 Check the manometer values and the monitor values Both should be 0mmHg 6 Rais...

Page 214: ...es leakag test e patient modu d and then use eam and micro essage CO2 Fil If the alarm m message CO2 P arm message C modules leakag 5 CO2 and bal test e patient modu up is finished a eakage ance Use O...

Page 215: ...enu Maintenance User Maintenance enter the required password Maintain CO2 Calibrate CO2 4 In the Calibrate CO2 menu select Zero 5 After the zero calibration is finished successfully connect the equipm...

Page 216: ...ance Cal Touchscreen The symbol will appear at different positions of the screen 2 Select in turn the central point of the symbol After the calibration is completed the message Screen Calibration Comp...

Page 217: ...sk of contamination and affect the measurement accuracy Check the accessories and their packages for any sign of damage Do not use them if any damage is detected 24 1 ECG Accessories ECG Electrodes Mo...

Page 218: ...0 42725 0 6m EL6308A Pediatric 0010 30 42899 0 6m EL6306A Infant neonate 0010 30 42897 1m Long EL6312A 040 000149 00 1m Long AHA EL6303A Adult pediatric 0010 30 42731 1m Long EL6301A 0010 30 42726 0 6...

Page 219: ...4600 00 Masimo 8 pins purple connector 040 000332 00 Nellcor 8 pins 0010 20 42712 SpO2 Sensors Mindray SpO2 Module Type Model Patient Category Part No Application Site Disposable MAXAI Adult 30Kg 0010...

Page 220: ...0121 Reusable LNCS DCI Adult 0600 00 0126 LNCS DCIP Pediatric 0600 00 0127 LNCS TC I 30 kg 0600 00 0128 Nellcor SpO2 Module Type Model Patient Category Part No Disposable MAXAI Adult 30Kg 0010 10 1220...

Page 221: ...CM1303 Adult 24 to 35 15 1 040 000983 00 CM1304 Large adult 33 to 47 18 3 040 000988 00 CM1305 Adult thigh Thigh 46 to 66 22 5 040 000993 00 CM1306 Adult Arm 24 to 35 15 1 115 015930 00 CM1307 Large a...

Page 222: ...teady Rest for IBP Transducer and Clamp M90 000133 Steady Rest for IBP Transducer and Clamp M90 000134 6800 30 50877 BD IM2202 12Pin IBP Cable 001C 30 70757 Disposable Pressure Transducer 6000 10 0210...

Page 223: ...nt Plate contact Braun for detailed information Memscap Truck cable 0010 21 43082 SP844 Physiological Pressure Transducer 844 26 Monitoring Line Set 84X 49 Mounting Bracket Utah Reusable Blood Pressur...

Page 224: ...able 9000 10 07487 Microstream CO2 Module Disposable Airway Sampling Line Model Patient Category Remark Part No XS 04620 Adult pediatric 0010 10 42560 XS 04624 Humidified 0010 10 42561 007768 Long 001...

Page 225: ...atric 0010 10 42671 Cable management straps 6934 00 0010 10 42667 Sensor holding clips 8751 0010 10 42668 Sensor 1022386 Adult pediatric neonate Reusable 6800 30 50760 24 7 PiCCO Accessories Material...

Page 226: ...000217 00 023 000218 00 Bedrail hook kit 115 010857 00 Pole mounting kit 115 010858 00 Monitor handle 115 011824 00 BeneView T1 connecting cable 009 002234 00 Display 19 touchscreen 023 000692 00 Dis...

Page 227: ...alling water drops Degree of protection against hazards of explosion Not suitable Equipment not suitable for use in the presence of a flammable anesthetic mixture with air with oxygen or nitrous oxide...

Page 228: ...module Item Operating conditions Storage conditions Temperature 10 to 40 20 to 60 Relative humidity noncondensing 15 to 75 10 to 90 Barometric mmHg 57 0 to 107 4 16 0 to 107 4 Battery charger T1 hand...

Page 229: ...hours to 90 and less than 4 hours to 100 with equipment power off Less than 12 hours to 90 and less than 14 hours to 100 with equipment power on Charge battery with the battery charger Less than 3 hou...

Page 230: ...cifications A 5 1 Display Host display Screen type Color TFT LCD Screen Size 5 inch Resolution 480 272 pixels External display Screen type Color TFT LCD Screen Size 19 inch Resolution 800 600 pixels A...

Page 231: ...dth 3dB reference frequency 10Hz Diagnostic mode Monitor mode Surgical mode ST mode 0 05 to 150 Hz 0 5 to 40 Hz 1 to 20 Hz 0 05 to 40 Hz QRS delay 25 ms in diagnostic mode and with Paced off Sensitivi...

Page 232: ...e time depends on the waveforms stored and the number of stored waveforms A 7 Wireless Network Standards WM1010BGN Wireless Module IEEE 802 11b g n support Wi Fi MSD45N Wireless Module IEEE 802 11a b...

Page 233: ...ion energy absorption 10 100 load Patient leakage current 10 A Calibration signal 1mV peak to peak value Accuracy 5 ESU protection Cut mode 300 W Coagulate mode 100 W Recovery time 10 s In compliance...

Page 234: ...s displayed as follows Ventricular bigeminy 3a Slow alternating ventricular bigeminy 3b Rapid alternating ventricular bigeminy 3c Bidirectional systoles 3d 80 1 bpm 60 1 bpm 120 1 bpm 90 2 bpm Respons...

Page 235: ...low limit 0 2 to 2 0 mV 0 1 mV ST Low 2 0 to high limit 0 2 mV QTc High 200 to 800 ms 10 ms QTc High 30 to 200 ms A 8 2 Resp Technique Trans thoracic impedance Lead Options are lead I and II The defa...

Page 236: ...validate the accuracy of Pulse Oximeter with neonatal SpO2 sensors by contrast with a CO Oximeter Some neonates aged from 1 day to 30 days with a gestation age of 22 weeks to full term were involved i...

Page 237: ...onitor This variation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population 2 The Masimo pulse oximeter has been validated for low perfusion...

Page 238: ...uracy 3 bpm measured without motion 5 bpm measured with motion Refreshing rate 2 s Low perfusion conditions Pulse amplitude 0 02 Light penetration 5 Low perfusion PR accuracy 3 bpm PR from Nellcor SpO...

Page 239: ...300mmHg Static pressure measurement accuracy 3mmHg Resolution 1mmHg Initial cuff inflation pressure range mmHg Adult Pediatric Neonate 80 to 280 80 to 210 60 to 140 Default initial cuff inflation pre...

Page 240: ...h this device are in compliance with the Standard for Non invasive sphygmomanometers ISO 81060 2 in terms of mean error and standard deviation by comparing with intra arterial measurements depending o...

Page 241: ...n 1 mmHg Accuracy 2 or 1 mmHg whichever is greater without sensor Refreshing rate 1 s Pressure transducer Excitement voltage 5 VDC 2 Sensitivity 5 V V mmHg Zero adjustment range 200 mmHg Impedance ran...

Page 242: ...adult and pediatric patient 120 ml min Connected a DRYLINE II watertrap for neonatal patient 90 ml min Sample flowrate tolerance 15 or 15 ml min whichever is greater Warm up time Iso accuracy mode 45s...

Page 243: ...15BPM and I E ratio smaller than 1 1 relative to the gas readings without breath Alarm limit Range Step EtCO2 High mmHg low limit 2 to 99 1 EtCO2 Low mmHg 1 to high limit 2 FiCO2 High mmHg 1 to 99 aw...

Page 244: ...d of ISO 21647 CO2 Measurement range 0 to 150 mmHg Accuracy 0 to 40 mmHg 41 to 70 mmHg 71 to 100 mmHg 101 to 150 mmHg 2 mmHg 5 of the reading 8 of the reading 10 of the reading Accuracy drift Meet the...

Page 245: ...is greater without sensor Coefficient of variation is measured using synthetic and or database wave forms laboratory testing Alarm limit Range Step CCO High L min low limit 0 1 to 25 0 1 C O High L mi...

Page 246: ...A 20 FOR YOUR NOTES...

Page 247: ...re orienting or relocating the non ME EQUIPMENT or shielding the location This device is intended for use in professional healthcare facility EMC environment and home healthcare EMC environment only I...

Page 248: ...surements could result The EMISSIONS characteristics of this device make it suitable for use in industrial areas and hospitals CISPR 11 class A If it is used in a residential environment for which CIS...

Page 249: ...y should be that of a typical commercial or hospital environment Surge IEC 61000 4 5 1 kV line s to line s 2 kV line s to earth 1 kV line s to line s 2 kV line s to earth Voltage dips and Voltage inte...

Page 250: ...e 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 electromagnet...

Page 251: ...e orienting or relocating the device c Over the frequency ranges 150 kHz to 80 MHz field strengths should be less than 3V m Recommended Separation Distances between Portable and Mobile RF Communicatio...

Page 252: ...z 5 825 GHz Output power 30 dBm Peak Power 20 dBm Average Power The radio device used in this product is in compliance with the essential requirements and other relevant provisions of Directive 2014 5...

Page 253: ...1 ECG ECG Setup Item Name Configurable Default In Config Mode In Monitor Mode Lead Set Yes Yes Auto automatic lead type identification Alm Source Yes Yes HR Alarm Yes Yes On Alm Lev Yes Yes Med HR PR...

Page 254: ...V1 to V6 QT QTc Analysis Item Name Configurable Default In Config Mode In Monitor Mode QT Analysis Yes Yes Off QTc Formula Yes Yes Hodges Analysis Lead Yes Yes All Arrh Analysis Arrhythmia Threshold S...

Page 255: ...s Yes On High Extreme Brady Alarm Yes Yes On High PVCs min Alarm Yes Yes General OR ICU NICU Off CCU On Med R on T Alarm Yes Yes General OR ICU NICU Off CCU On Med Run PVCs Alarm Yes Yes Off Low Coupl...

Page 256: ...Bigeminy Alarm Yes Yes General OR ICU NICU Off CCU On Med Trigeminy Alarm Yes Yes General OR ICU NICU Off CCU On Med Tachy Alarm Yes Yes Off Med Brady Alarm Yes Yes Off Med PNP Alarm Yes Yes Off Promp...

Page 257: ...Default In Config Mode In Monitor Mode Alarm Yes Yes On Alm Lev Yes Yes SpO2 Desat Med High SpO2 High Yes Yes Adu Ped Neo 100 95 SpO2 Low Yes Yes 90 Desat Yes Yes 80 Sensitivity Yes Yes Mindray Masim...

Page 258: ...s Off Clock Yes Yes On Initial Pressure mmHg Yes Yes Adu Ped Neo 160 140 90 Cuff Press mmHg Yes Yes Adu Ped Neo 80 60 40 Alarm Limit NIBP S High mmHg Yes Yes Adu Ped Neo 160 120 90 NIBP S Low mmHg Yes...

Page 259: ...Yes Yes 25 mm s Sweep PAWP measurement window Yes Yes 12 5 mm s Filter Yes Yes 12 5 Hz Gridlines Yes Yes Off IBP Label Order Setup Yes Yes Art pArt CVP pCVP ICP PA Ao UAP FAP BAP LV LAP RAP UVP P1 P2...

Page 260: ...Alarm Limits IBP M High mmHg Yes Yes Adu Ped Neo 10 4 IBP M Low mmHg Yes Yes 0 CPP Alarm Limits CPP High mmHg Yes Yes Adu Ped Neo 130 100 90 CPP Low mmHg Yes Yes Adu Ped Neo 50 40 30 Art Ao BAP FAP L...

Page 261: ...in BTPS Compen Yes Yes Off N2O Compen Yes Yes 0 O2 Compen Yes Yes General 21 OR 100 ICU NICU CCU 21 Des Compen Yes Yes 0 Microstream CO2 Setup BTPS Compen Yes Yes Off Max Hold Yes Yes 20 s Auto Standb...

Page 262: ...ary Parameter Yes Yes GEDI GEDV pArt pCVP Setup Scale mmHg Yes Yes pArt 0 mmHg to 160mmHg pCVP 0 mmHg to 20mmHg Sweep Yes Yes 25 mm s C 2 Routine Configuration C 2 1 Alarm Item Name Configurable Defau...

Page 263: ...r 2 SpO2 PR Parameter 3 Resp Parameter 4 NIBP C 2 3 Parameter Wave Color Item Name Configurable Default In Config Mode In Monitor Mode Parameter Wave Colour ECG No Yes Green NIBP White SpO2 Cyan TEMP...

Page 264: ...or Mode Tabular Trends Interval No Yes General 30 min OR 5 min ICU NICU CCU 30 min Trend Group No Yes Standard Graphic Trends Trend Group No Yes Standard Zoom No Yes 90 min Waves No Yes 2 Full Disclos...

Page 265: ...s No Yes Selected Graphic Trends Reports Set as End Case Report No Yes Unselected Back No Yes Auto Paginal Time No Yes Auto Realtime Reports Set as End Case Report No Yes Unselected Sweep No Yes Auto...

Page 266: ...ECGLeadOff Lev No Yes Low SpO2SensorOff Lev No Yes Low IBPSensorOff Lev No Yes Med Lethal Arrh OFF No Yes Disable Extended Arrh No Yes Disable Alarm Delay No Yes 6 s ST Alarm Delay No Yes 30 s Other...

Page 267: ...resents a measurement or parameter label such as ECG NIBP HR ST I PVCs RR SpO2 PR etc In the Cause and Solution column corresponding solutions are given instructing you to troubleshoot problems If the...

Page 268: ...as interfered with his respiration Check the patient s condition and the Resp connections SpO2 SpO2 Desat H The SpO2 value has fallen below the desaturation alarm limit Check the patient s condition a...

Page 269: ...t for great motion ECG Artifact for Mortara algorithm only L A Artifacts are detected on the ECG analysis lead and as a result heart rate cannot be calculated and Asystole Missed Beats and Vfib cannot...

Page 270: ...pe Wrong L A The cuff type applied mismatches the patient category Verify the patient category and replace the cuff NIBP Air Pressure Err L A An error occurred to the air pressure Verify that the moni...

Page 271: ...he module again or restart the machine If the problem remains contact the Customer Services Dept for help PiCCO Init Err H A An error occurred to the module during the power on self test Remove connec...

Page 272: ...tor CO2 Checking Sensor L C CO2 Replace Scrubber Pump L C CO2 15V Overrange H C CO2 Hardware Err H C Power 12V Too High H C There is a problem with the system power supply Restart the monitor 12V Too...

Page 273: ...Low L A Delete unnecessary data from the storage card USB Drive Space Low L A Delete unnecessary data from the USB memory or replace the USB memory Read Dock E2PROM Error H C Disconnect T1 from the do...

Page 274: ...D 8 FOR YOUR NOTES...

Page 275: ...to the procedure Please follow the instructions of the analyzer manufacturer The electrical safety inspection should be periodically performed every two years The safety analyzer also proves to be an...

Page 276: ...oises e g a rattle inside the case No unusual smells e g burning or smoky smells particularly from ventilation holes No taped notes that may suggest device deficiencies or operator concerns E 3 Device...

Page 277: ...gle Fault Condition E 6 Patient Leakage Current Patient leakage currents are measured between a selected applied part and mains earth All measurements have a true RMS only The following outlet conditi...

Page 278: ...measured between any selected Applied Part connector and the remaining Applied Part connector s All measurements may have a true RMS only response The following outlet conditions apply when performin...

Page 279: ...meter dB decibel DS dyne second F fahrenheit g gram GHz gigahertz GTT gutta h hour Hz hertz in inch kg kilogram kPa kilopascal L litre lb pound m meter mAh milliampere hour Mb mega byte mg milligram m...

Page 280: ...American National Standard Institute Ao aortic pressure Art arterial aVF left foot augmented lead aVL left arm augmented lead aVR right arm augmented lead awRR airway respiratory rate BAP brachial art...

Page 281: ...Community EEG electroencephalogram EMC electromagnetic compatibility EMG electromyography EMI electromagnetic interference ESU electrosurgical unit Et end tidal EtCO2 end tidal carbon dioxide EtN2O e...

Page 282: ...lateral LCD liquid crystal display LCW left cardiac work LCWI left cardiac work index Leak Comp leak compensation LED light emitting diode LL left leg LVD low voltage directive LVDS low voltage differ...

Page 283: ...n RHb reduced hemoglobin Rise Time rise time RL right leg RR respiration rate SFM self maintenance SI stroke index SpO2 arterial oxygen saturation from pulse oximetry SQI signal quality index SR suppr...

Page 284: ...rise to target pressure Tube ID tube ID UAP umbilical arterial pressure UPS uninterruptible power supply USB universal serial bus UVP umbilical venous pressure VAC volts alternating current WLAN wirel...

Page 285: ...G D Declarat tion of C Conform G 1 mity...

Page 286: ...P N 046 005297 00 15 0...

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