Mindray ePM 10M Operator'S Manual Download Page 355

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G - 5

EWS

Early Warning Score

FAP

femoral arterial pressure

FCC

Federal Communication Commission

FDA

Food and Drug Administration

FeCO

Mixed Expired CO2 Concentration

fraction of inspired

FiAA

inspired anesthetic agent

FiDes

inspired anesthetic agent

FiEnf

FiHal

FiIso

FiSev

FiCO2

fraction of inspired carbon oxygen

FiN

fraction of inspired nitrous oxide

FiO

fraction of inspired oxygen

FPGA

field programmable gate array

flow-volume

GCS

Glasgow Coma Scale

GEDV

global end diastolic volume

GEDI

global end diastolic volume index

GEF

global ejection fraction

Hal

halothane

hemoglobin

Hct

haematocrit

HIS

hospital information system

heart rate

IABP

intra-aortic balloon pump

IBP

invasive blood pressure

IBW

ideal body weight

ICG

impedance cardiography

ICP

intracranial pressure

ICT/B

intracranial catheter tip pressure transducer

ICU

intensive care unit

identification

I:E

inspiratory time: expiratory time ratio

IEC

International Electrotechnical Commission

IEEE

Institute of Electrical and Electronic Engineers

internet protocol

IPS

individual parameter score

Abbreviation

In Full

Summary of Contents for ePM 10M

Page 1: ...ePM 10M ePM 10MA ePM 10MC ePM 12M ePM 12MA ePM 12MC Patient Monitor Operator s Manual ...

Page 2: ......

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 notice All information contained in this manual is believed to be correct Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furni...

Page 5: ...r man made failure Malfunction or damage caused by unstable or out of range power input Malfunction or damage caused by force majeure such as fire and earthquake Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people Malfunction of the instrument or part whose serial number is not legible enough Others not caused by instrument or part itself Comp...

Page 6: ... 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 are expected to have a working knowledge of medical procedures practices and terminology as required for monitoring of critically ill patients Illustrations All illustrations in this manual serve as examples only They may not ne...

Page 7: ...nt 3 2 3 3 1 Connecting the AC Mains 3 2 3 3 2 Connecting the Input Devices 3 3 3 3 3 Connecting the Parameter Module 3 3 3 3 4 Removing the Parameter Module 3 3 3 4 Turning on the Monitor 3 4 3 5 Operation and Navigation 3 4 3 5 1 Using the Touchscreen 3 4 3 5 2 Using the On Screen Keyboard 3 5 3 5 3 Using the Barcode Reader 3 5 3 5 4 Using the Remote Controller 3 5 3 6 Screen Display 3 6 3 6 1 O...

Page 8: ...rics Screen 4 2 4 3 1 Entering the Big Numerics Screen 4 2 4 3 2 Configuring the Big Numerics Screen 4 2 4 4 Minitrends Screen 4 2 4 4 1 Entering the Minitrends Screen 4 2 4 4 2 The Display of Minitrends Screen 4 3 4 4 3 Viewing the Long Trends 4 3 4 4 4 Setting Minitrends Parameters 4 3 4 4 5 Setting the Minitrend Length 4 4 4 4 6 Setting the Alarm Statistics Switch 4 4 4 4 7 Setting the Alarm St...

Page 9: ...7 2 Importing a Configuration 6 3 6 8 Printing Configurations 6 3 6 9 Loading a Configuration 6 3 6 10 Modifying Configuration Password 6 4 7 Networked Monitoring 7 1 7 1 Network Introduction 7 1 7 2 Network Safety Information 7 1 7 3 Connecting the Monitor to the CMS 7 1 7 4 Connecting the eGateway 7 2 7 5 Viewing Other Patients 7 2 7 5 1 Remote View 7 2 7 5 2 Alarm Watch 7 4 7 5 3 Auto Displayin...

Page 10: ... Properties 9 3 9 6 2 Setting Alarm Tone Properties 9 4 9 6 3 Setting the Auto Limits for New Patient Switch 9 4 9 6 4 Initiating Auto Alarm Limits 9 5 9 6 5 Setting the Alarm Delay Time 9 7 9 6 6 Restoring the Default Alarm Settings 9 7 9 6 7 Setting the Length of Printed Waveforms 9 8 9 6 8 Setting the Switch of the SpO2 Desat Alarm Off 9 8 9 6 9 Setting the Switch of the Apnea Alarm Off 9 8 9 7...

Page 11: ...Threshold 10 11 10 7 Monitoring Arrhythmia 10 11 10 7 1 Arrhythmia Safety Information 10 11 10 7 2 Arrhythmia Events 10 12 10 7 3 Displaying Arrhythmia Information 10 13 10 7 4 Changing Arrhythmia Settings 10 13 10 7 5 Arrhythmia Alarms 10 15 10 8 ST Segment Monitoring 10 17 10 8 1 ST Safety Information 10 17 10 8 2 Enabling ST Monitoring 10 17 10 8 3 Displaying ST Numerics 10 18 10 8 4 Displaying...

Page 12: ...een 11 3 12 Monitoring Respiration Resp 12 1 12 1 Resp Introduction 12 1 12 2 Resp Safety Information 12 1 12 3 Resp Display 12 1 12 4 Preparing for Resp Monitoring 12 2 12 4 1 Preparing the Patient 12 2 12 4 2 Placing the Electrodes 12 2 12 5 Changing Resp Settings 12 3 12 5 1 Setting the Resp Alarm Properties 12 3 12 5 2 Setting the RR Source 12 3 12 5 3 Choosing the Respiration Lead 12 3 12 5 4...

Page 13: ...mperature Temp 14 1 14 1 Temperature Introduction 14 1 14 2 Displaying the Temp Numerics Area 14 1 14 3 Temperature Display 14 1 14 4 Preparing for Temperature Monitoring 14 1 14 5 Changing Temperature Settings 14 2 14 5 1 Setting the Temperature Alarm Properties 14 2 14 5 2 Selecting the Temperature Label 14 2 14 5 3 Displaying the Temperature Difference 14 2 14 6 Temperature Troubleshooting 14 2...

Page 14: ...6 4 2 Measuring ICP 16 3 16 5 IBP Display 16 4 16 6 Changing IBP Settings 16 4 16 6 1 Changing the IBP Alarm Settings 16 4 16 6 2 Changing the Pressure Label 16 5 16 6 3 Setting the Pressure Type for Display 16 5 16 6 4 Changing the Sensitivity 16 5 16 6 5 Setting the IBP Waveform 16 6 16 6 6 Setting the Display Format of Artery Pressure 16 6 16 6 7 Showing Hiding the Alarm Limits of Artery Pressu...

Page 15: ...instream CO2 Module 18 6 18 6 2 Zeroing the Mainstream CO2 sensor 18 7 18 7 Changing Settings for All CO2 Modules 18 7 18 7 1 Changing CO2 Alarm Settings 18 7 18 7 2 Setting the CO2 Waveform 18 7 18 7 3 Setting the RR Source 18 7 18 7 4 Entering the Standby Mode 18 8 18 7 5 Entering the Intubation Mode 18 8 18 8 Changing Settings for Sidestream and Microstream CO2 Module 18 8 18 8 1 Setting the Au...

Page 16: ... AG Troubleshooting 19 7 20 Monitoring Bispectral Index BIS 20 1 20 1 BIS Introduction 20 1 20 2 BIS Safety Information 20 2 20 3 BIS Parameters 20 3 20 4 BIS Display 20 3 20 5 Accessing the On screen BIS Guide 20 4 20 6 Preparing for BIS Monitoring 20 4 20 7 Changing BIS Settings 20 5 20 7 1 Setting BIS Alarm Properties 20 5 20 7 2 Choosing the BIS Smoothing Rate 20 5 20 7 3 Setting the Display o...

Page 17: ...storical Scores 22 5 22 1 7 Viewing Parameter Trends 22 6 22 2 Glasgow Coma Scale GCS 22 6 22 2 1 Displaying the GCS Parameter Area 22 6 22 2 2 Accessing the GCS Menu 22 7 22 2 3 Performing GCS Scoring 22 7 22 2 4 Setting GCS Scoring Interval 22 7 22 2 5 Reviewing GCS Trend Data 22 8 22 3 ECG 24h Summary 22 8 22 3 1 Viewing the ECG 24h Summary 22 8 22 3 2 Selecting Typical ECG Strips 22 8 22 3 3 R...

Page 18: ... 3 2 Stopping Recordings Automatically 24 2 24 4 Recording Related Flags 24 2 24 5 Setting the Recorder 24 2 24 6 Enabling Auto Recording on Alarm 24 2 24 7 Clearing Recording Tasks 24 3 24 8 Loading Paper 24 3 24 9 Removing Paper Jam 24 3 25 Printing 25 1 25 1 Supported Printer 25 1 25 2 End Case Reports 25 1 25 2 1 Printing the End Case Report 25 1 25 2 2 Setting a Report as An End Case Report 2...

Page 19: ...her Tab 27 6 27 5 The CAA Settings 27 7 27 5 1 The EWS Tab 27 7 27 5 2 The GCS Tab 27 8 27 6 The Module Settings 27 8 27 6 1 The ECG Tab 27 8 27 6 2 The CO2 Tab 27 8 27 6 3 The AG Tab 27 9 27 6 4 The Other Tab 27 9 27 7 The Review Settings 27 10 27 7 1 The Tabs Tab 27 10 27 7 2 The Event Tab 27 10 27 7 3 The Arrhy Mark Tab 27 10 27 8 The Print Settings 27 10 27 8 1 The Printer Tab 27 10 27 8 2 The...

Page 20: ...y Information 28 1 28 3 Battery Preparation 28 1 28 3 1 Identifying the Battery Type 28 2 28 3 2 Installing the Battery in a Built in Battery Compartment 28 2 28 3 3 Installing the Battery in a External Battery Compartment 28 3 28 4 Battery Indications 28 3 28 4 1 Battery LED 28 3 28 4 2 Battery Power Indicators 28 3 28 4 3 Battery related Alarms 28 4 28 5 Charging the Battery 28 4 28 6 Maintainin...

Page 21: ...ires 31 3 31 1 6 6 lead ECG Leadwires 31 3 31 1 7 12 lead ECG Leadwires 31 3 31 2 SpO2 Accessories 31 4 31 2 1 Extension Cables 31 4 31 2 2 Mindray SpO2 Sensors 31 4 31 2 3 Nellcor SpO2 Sensors 31 5 31 3 Temp Accessories 31 5 31 3 1 Temp Cable 31 5 31 3 2 Temp Probes 31 5 31 4 NIBP Accessories 31 6 31 4 1 NIBP Hoses 31 6 31 4 2 Cuffs 31 6 31 5 IBP Accessories 31 7 31 5 1 IBP Accessories 31 7 31 5 ...

Page 22: ...O2 Specifications A 12 A 13 4 PR Specifications A 14 A 13 5 Temp Specifications A 15 A 13 6 NIBP Specifications A 15 A 13 7 IBP Specifications A 17 A 13 8 C O Specifications A 18 A 13 9 CO2 Specifications A 19 A 13 10 AG Specifications A 22 A 13 11 BIS Specifications A 25 B EMC and Radio Regulatory Compliance B 1 B 1 EMC B 1 B 2 Radio Regulatory Compliance B 4 C Default Settings C 1 C 1 Parameters...

Page 23: ...General Technical Alarm Messages D 4 D 2 2 ECG Technical Alarm Messages D 4 D 2 3 Resp Technical Alarm Messages D 5 D 2 4 SpO2 Technical Alarm Messages D 5 D 2 5 Temp Technical Alarm Messages D 5 D 2 6 NIBP Technical Alarm Messages D 6 D 2 7 IBP Technical Alarm Messages D 6 D 2 8 C O Technical Alarm Messages D 7 D 2 9 CO2 Technical Alarm Messages D 7 D 2 10 AG Technical Alarm Messages D 8 D 2 11 B...

Page 24: ...Wave measurement F 1 F 6 QRS components F 1 F 7 ST segment F 1 F 8 P and T waves F 2 F 9 Evaluation results of absolute interval and wave duration measurements F 2 F 10 Evaluation results of interval measurements on biological ECGs F 2 F 11 Evaluation results of stability of measurements against noise F 2 G Units Symbols and Abbreviations G 1 G 1 Units G 1 G 2 Symbols G 2 G 3 Abbreviations G 3 H D...

Page 25: ...or must verify that the equipment connecting cables and accessories are in correct working order and operating condition To avoid risk of electric shock the equipment must only be connected to mains power with protective earth If a protective earth conductor is not provided operate it on battery power if possible Do not use the multiple portable socket outlets MPSO or AC mains extension cords Insu...

Page 26: ...MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation Always install or carry the equipment properly to avoid damage caused by drop impact strong vibration or other mechanical force Dry the equipment immediately in case of rain or water spray Some settings are password protected and can only be changed by authorized personnel Contact your dep...

Page 27: ...ing Battery indicator Computer network Equipotentiality Alternating current DEFIBRILLATION PROOF TYPE CF APPLIED PART DEFIBRILLATION PROOF TYPE BF APPLIED PART Stop USB Zero key NIBP start stop Calibration Stand by Menu Protected against vertically falling water drops per IEC 60529 Plastic identification symbol Unlocking Locking Graphical record Non ionizing electromagnetic radiation Gas outlet Ga...

Page 28: ...re Authorised representative in the European Community Dispose of in accordance to your country s requirements The product bears CE mark indicating its conformity with the provisions of the Council Directive 93 42 EEC concerning medical devices and fulfills the essential requirements of Annex I of this directive Note The product complies with the Council Directive 2011 65 EU Symbol Description Sym...

Page 29: ...eters can be monitored on single adult pediatric and neonatal patients with the exception of the following C O monitoring is only intended for adult patients The PAWP and BIS monitoring are intended for adult and pediatric patients only The monitor is to be used in healthcare facilities by clinical professionals or under their guidance It is not intended for helicopter transport hospital ambulance...

Page 30: ...rs this lamp lights and flashes corresponding with the alarm priority High priority alarms the lamp quickly flashes red Medium priority alarms the lamp slowly flashes yellow Low priority alarms the lamp lights in cyan without flashing 2 Display 3 NIBP Start Stop hard key Press to start an NIBP measurement or stop the current NIBP measurement 4 Record Start Stop key Press to start a recording or st...

Page 31: ...no battery is installed or the battery is malfunctioning or the monitor is powered off and no power is connected 9 Power switch Pressing this switch turns on the monitor When the monitor is on pressing and holding this switch turns off the monitor 1 Temperature probe connector 2 SpO2 probe connector 3 IBP cable connector 4 ECG cable connector 5 CO2 watertrap seat 6 NIBP cuff connector 7 Gas outlet...

Page 32: ...rity High priority alarms the lamp quickly flashes red Medium priority alarms the lamp slowly flashes yellow Low priority alarms the lamp lights in cyan without flashing 2 AC Power input 3 Equipotential Grounding Terminal When using the monitor together with other devices connect their equipotential grounding terminals together to eliminate the potential difference between them 2 3 4 5 6 7 1 ...

Page 33: ...e the problem of module conflict just remove a module 4 Network Connector It is a standard RJ45 connector which connects the monitor to the central monitoring system CMS or other network devices 5 USB connectors It connects USB devices for example the barcode reader 6 VGA Connector It connects an external display which extends the display capability of your monitor The contents displayed on the ex...

Page 34: ...You can only use Mindray specified input devices 2 3 4 Printing Devices You can use Mindray specified printer and or recorder to output patient information and data The monitor is configured with a build in recorder The printer can be connected to the monitor through the network to output patient reports 1 Setup hard key enters or exits the IBP Setup menu 2 Zero hard key enters the Zero IBP menu 3...

Page 35: ...pecifications whether a particular combination with other devices is hazardous for example due to summation of leakage currents please consult the manufacturer or an expert in the field A determination must be made that the proposed combination will not negatively affect the devices themselves or the patient s safety If the accuracy of any value displayed on the monitor central station or printed ...

Page 36: ...a result of temperature or humidity difference In this case never start the system before the condensation disappears 3 3 Setting Up the Equipment Observance of this manual is a prerequisite for proper product performance and correct operation It ensures patient and operator safety 3 3 1 Connecting the AC Mains The monitor is powered by AC power supply Before connecting the equipment to the AC mai...

Page 37: ...ion guide slot with the module rack insertion guide Push the module into the module rack until you hear a click 3 Push the lock at the bottom of the module inwards to lock the module 3 3 4 Removing the Parameter Module To remove the parameter module follow this procedure 1 Pull outwards the lock at the bottom of the module to release the module 2 Lift the latches at the bottom of the module and sl...

Page 38: ...eric area or waveform area through the Menu hard key on the parameter module or through the Parameters Setup quick key 3 5 1 Using the Touchscreen You can touch the screen or swipe across the screen with your fingers to operate the monitor 3 5 1 1 Tapping or Swiping across the Screen Tapping the screen To select an item from menus or lists or select a quick key tap on it with your finger To enter ...

Page 39: ...ode reader and two dimension 2D barcode reader The barcode reader is connected to the monitor s USB connector NOTE You can use the Mindray custom barcode reader to scan both the 2D and 1D barcodes Using other barcode readers can only output the patient s medical record number MRN and visit number 3 5 3 1 Clearing Old Data Formats for the Mindray Custom 2D Barcode Reader If you are using the Mindra...

Page 40: ...CMS storage device status and system time For more information see 3 6 1 On screen Symbols 6 Parameter numerics area displays parameter values alarm limits and alarm status This area also displays parameter list Selecting a parameter numeric block enters corresponding parameter menu Selecting the parameter list enters tabular trend review For more information see 3 11 4 Accessing Parameter Setup M...

Page 41: ...ected All the alarms are paused Individual physiological alarms are turned off or the monitor is in the alarm off status Audible alarm tones are paused Audible alarm tones are turned off The alarm system is reset The battery works correctly The green portion represents the remaining charge The battery has low power and needs to be charged The battery has critically low charge and needs to be charg...

Page 42: ...e Main Menu key is permanently located the right bottom and the More key is permanently located at the left bottom Selecting the More quick key shows more quick keys The quick keys displayed on the screen are configurable 1 Menu heading 2 Submenu tabs 3 Operation buttons 4 Exit button closes the current menu page 5 Main body area includes menu items and options 6 Switch Green the switch is on Gray...

Page 43: ...t or stops the current NIBP measurement NIBP Stop All Stops all NIBP measurements NIBP STAT Starts a five minutes continuous NIBP measurement NIBP Measure Enters the NIBP Measure menu Zero IBP Starts IBP zero calibration GCS Enters the GCS menu PAWP Enters the PAWP screen Venipuncture Inflates the NIBP cuff to help venous puncture C O Measure Opens the C O Measure window EWS Enters the EWS screen ...

Page 44: ...e monitor provides different operating modes This section describes the monitoring mode and the standby mode 3 7 1 Monitoring Mode The monitoring mode is the most frequently used clinical mode for patient monitoring When the monitor is turned on it automatically enters the monitoring mode End Case Report Prints the selected end case reports Intubation Mode Enters the intubation mode Volume Enters ...

Page 45: ...art beat tone pulse tone and prompt tone WARNING In Privacy mode all audible alarms are suppressed and the alarm light is deactivated at the monitor Alarms are presented only at the CMS Pay attention to potential risk NOTE The privacy mode is not available if the Department is set to OR You cannot enter the privacy mode if a low battery alarm occurs 3 7 2 2 Exiting the Privacy Mode The monitor aut...

Page 46: ...r behaves as follows after entering the standby mode Stops all parameter measurements Disables all the alarms and prompt messages except for the battery low alarm Turns screen brightness to the dimmest after entering the standby mode for 30 seconds WARNING Pay attention to the potential risk of placing the monitor to standby In the standby mode the monitor stops all parameter measurements and disa...

Page 47: ...e date and time affects the storage of trends and events and may result in loss of data 3 8 2 Adjusting the Screen Brightness To adjust the screen brightness follow this procedure 1 Access Display in either of the following ways Select the Screen Setup quick key select the Display tab Select the Main Menu quick key from the Display column select Display 2 If you are using the external power source...

Page 48: ...meter is switched off the monitor stops data acquisition and alarming for this measurement NOTE When a parameter is manually switched off and the corresponding parameter module is plugged in you cannot monitor this parameter 3 11 2 Displaying Parameter Numerics and Waveforms You can configure the parameter numerics waveforms and their sequence displayed on the normal screen To do so follow this pr...

Page 49: ...parameters 3 12 Freezing Waveforms During patient monitoring the freeze feature allows you to freeze the currently displayed waveforms on the screen so that you can have a close examination of the patient s status Besides you can select any frozen waveform for recording 3 12 1 Freezing Waveforms To freeze waveforms select the Freeze quick key Except waveforms of the following screens all displayed...

Page 50: ... License select External 3 Select Install 3 15 Turning Off the Monitor Before turn off the monitor perform the following check 1 Ensure that the monitoring of the patient has been completed 2 Disconnect the cables and sensors from the patient 3 Make sure to save or clear the patient monitoring data as required To turn off the monitor press and hold the power switch for 3 seconds Turning off the mo...

Page 51: ...s among the Targeted Goal screen the OxyCRG screen and the big numeric screen 4 2 Normal Screen The normal screen is most frequently used for patient monitoring For general department ICU and CCU normal screen is used by default 4 2 1 Entering the Normal Screen To enter the normal screen choose any of the following ways Swipe left or right across the touchscreen with two fingers until you switch t...

Page 52: ...isplay column select Choose Screen 2 Select the Big Numerics tab 3 Select a parameter numeric area or waveform area and then from the popup list select an element to display in this area 4 4 Minitrends Screen The Minitrends screen shows the recent graphic trends of parameters 4 4 1 Entering the Minitrends Screen To enter the Minitrends screen choose any of the following ways Select the Minitrends ...

Page 53: ...rameters follow this procedure 1 Enter the Minitrends screen 2 Select the Setup button 3 Set parameters If you want to use the default parameters select Default Parameter 1 Scale 2 Routine Vital Baseline button If the department is set to OR then the Baseline button is available For other departments the Routine Vital button is available 3 Routine Vital Baseline 4 Select this button to view the lo...

Page 54: ...r marking the parameter measurements of certain moment for later reference If the department is set to OR then the Baseline button is available For other departments the Routine Vital button is available 4 4 8 1 Manually Marking the Routine Vital Baseline To manually mark the Routine Vital Baseline follow this procedure 1 Enter the Minitrends screen 2 Select the Routine Vital button or Baseline bu...

Page 55: ...key select the Choose Screen tab select OxyCRG Select the Main Menu quick key from the Display column select Choose Screen select OxyCRG 4 5 2 OxyCRG Events The following table lists the ABD events and their criteria NOTE The monitor records all ABD events for OxyCRG review but only red events displays in the ABD list of the OxyCRG screen 4 5 3 The Display of the ABD Event Area The ABD event area ...

Page 56: ...t the desired event 3 Select the patient s status when the event happens 4 Select Save 4 6 The Targeted Goal Screen If you are concerned with specific parameters and their trends you can use the Targeted Goal screen The Targeted Goal screen focuses on the target parameter and displays parameter measurements in big numerics You can easily identify whether parameter target is reached via a dashboard...

Page 57: ...et section Select the desired waveform area parameter numeric area or dashboard to enter corresponding parameter setup menu 5 6 1 2 3 4 1 Parameter trends area displays trends of the target parameter and secondary parameters If the target parameter is Art this area only lists the trend of arterial pressure 2 Target parameter statistics area displays the statistics of the target parameter by sectio...

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Page 59: ...tem from the popup box Print End Case Report prints the end case report when the patient is discharged Discharge clears the waveform data of the current patient The monitor loads the default configuration and goes to the standby mode The current patient becomes a discharged patient Clear Patient Data discharges the current patient and clears the waveform data The monitor still uses the current con...

Page 60: ...ation To edit patient information follow this procedure 1 Enter the Patient Management menu For more information see 5 3 1 Entering the Patient Management Menu 2 Edit patient information as required If you connect a barcode reader with your monitor you can scan the patient s barcode to enter patient information NOTE The monitor will reload the configuration if you change the patient category 5 3 3...

Page 61: ...Viewing Other Patients Loading patient information from the ADT server updates only patient information in the monitor The patient s monitoring data is not changed and the patient is not discharged 5 4 Exporting Patient Data To export the data of the current patient and discharged patients follow this procedure 1 Connect the USB drive to the monitor s USB connector 2 Access the Discharged Patients...

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Page 63: ...nitor are department oriented You can choose any of the following department General ICU CCU Neonatology OR WARNING The configuration management function is password protected The configuration management tasks must be performed by clinical professionals 6 2 Changing the Department If the current department configuration is not the one you want to view you can change the department by following th...

Page 64: ...onfig the latest configuration is loaded when the monitor is started or a patient is admitted 6 5 Saving Current Settings Current settings can be saved as a user configuration Up to 25 user configurations can be saved To save current settings follow this procedure 1 Select the Main Menu quick key from the Configuration column select Manage input the required password select 2 Select Save Current S...

Page 65: ...configurations and User Maintenance Settings to import 5 Select Import 6 8 Printing Configurations To print factory configurations and user configurations follow this procedure 1 Select the Main Menu quick key from the Configuration column select Manage input the required password select 2 Select Print Configuration 3 Select desired configurations 4 Select Print 6 9 Loading a Configuration You may...

Page 66: ... the configuration password follow this procedure 1 Select the Main Menu quick key from the Configuration column select Manage input the required password select 2 Select Modify Password 3 Respectively input the old password and new password 4 Select OK ...

Page 67: ...s correct Changing the network settings may result in network disconnection Contact your service personnel if you have any problems on setting the IP address 7 3 Connecting the Monitor to the CMS You can connect the monitor to the BeneVision CMS and HYPERVISOR X CMS through wired LAN or wireless LAN When connected to the CMS the system provides the following function The monitor can transmit param...

Page 68: ...also view waveforms of one remote device on your monitor You can watch the remote devices in the Remote View window or the alarm watch tiles on the main screen NOTE You can also view this monitor from remote devices This monitor can be viewed by at most 32 remote devices at the same time in which eight remote devices can watch this monitor s waveforms 7 5 1 Remote View In the Remote View window yo...

Page 69: ...red remote beds Each bed displays the room number bed number connection status and alarm status The background color indicates the alarm status on the corresponding bed Background Color Description Green No alarm is occurring to the bed Red The remote device is disconnected or a high priority alarm is occurring The high priority alarm currently is the highest alarm level on the bed If the remote d...

Page 70: ...rresponding remote device 7 5 1 7 Resetting Alarms for Remote Devices To reset remote device alarms from the Remote View screen select Alarm Reset NOTE You can reset remote device alarms only if the Alarm Reset by Other Bed switch is on at the remote devices For more information see 27 4 4 The Remote View Tab 7 5 1 8 Selecting Beds By Care Group If configured the monitor automatically selects beds...

Page 71: ...rom this remote bed If multiple remote beds issue alarms the monitor cyclically displays the alarm beds as per the preset interval and in the order of alarm time The auto displaying alarm bed function is disabled by default To enable this function follow this procedure 1 From the Remote View screen select to enter the Remote View setup menu 2 Switch on Rollup Alarm Beds 3 Set Rollup Interval Off d...

Page 72: ...uthentication The MLDAP server is connected with the hospital LDAP server All monitoring devices are connected to the MLDAP server to implement identity and authentication for the following operations Changing alarm settings Changing arrhythmia settings Accessing the Maintenance menu 7 7 Connecting the Wireless Network You can add up to five wireless networks for the monitor If connecting the curr...

Page 73: ...rences between the numerics displayed on the monitor and those on external devices The table below lists some situations and possible reasons Situation Possible Reasons Some parameter values are displayed as invalid values on the monitor The patient monitor and the external device may have different parameter configuration or displaying range of values If the patient monitor displays a parameter n...

Page 74: ... Devices screen follow this procedure Select the Integrated Devices quick key Select the Screen Setup quick key select the Choose Screen tab select Integrated Devices Select the Main Menu quick key from the Display column select Choose Screen select Integrated Devices Select the numeric area or waveform area of any parameter from the external device select the Integrated Devices button The Integra...

Page 75: ...procedure 1 Access the parameter setup menu by selecting its waveform area or numeric area 2 Set Speed or Scale 8 6 2 Setting Alarms from External Devices To enable or disable the storage display and sound of the external device alarms of a certain priority and category follow this procedure 1 From the Integrated Devices screen select Setup 2 Select the switches as desired If the storage display o...

Page 76: ...rom External Devices The monitor displays alarms from external devices in the physiological and technical alarm information areas A plus sign is added before each alarm message from external devices 8 8 Viewing Parameter Trends from External Devices The monitor saves parameters trends and alarm events from external devices You can review these data in the Tabular Trends Graphic Trends Events and F...

Page 77: ...100 which is equivalent to switching the alarm off When the alarm sound is switched off the monitor gives no alarm tones even if a new alarm occurs Be careful about whether to switch off the alarm sound or not When the alarms are off or while alarm audio is paused either temporarily or indefinitely observe the patient frequently When monitoring patients that are not continuously attended by a clin...

Page 78: ...fferent priority levels occur simultaneously and should be displayed in the same area the monitor displays the high priority alarm while the medium and low priority alarms are displayed circularly When multiple alarms of the same priority levels occur simultaneously alarm messages are displayed circularly Alarm Indicator High Priority Alarm Medium Priority Alarm Low Priority Alarm Message Comments...

Page 79: ...iological alarm list follow this procedure 1 Select the physiological alarm information area to enter the Alarms window 2 Select the Physiological Alarms tab 9 6 Changing Alarm Settings Select the Alarm Setup quick key or from the Alarm column of the main menu select desired buttons to set alarm properties 9 6 1 Setting Parameter Alarm Properties To set parameter alarm properties follow this proce...

Page 80: ...olume Alarm sound pattern Alarm interval Alarm sound escalation switch and delay For more information see 27 4 1 The Audio Tab 9 6 3 Setting the Auto Limits for New Patient Switch If the Auto Limits for New Patient function is enabled a dialog box pops up to ask you whether to set alarm limits basing on the latest parameter measurements for a newly admitted patient To set the Auto Limits for New P...

Page 81: ...nitor calculates auto limits basing on the following rules Module Parameter Lower Limit Upper Limit Auto Limit Range Adult Pediatric Neonate Adult Pediatric Neonate ECG HR PR bpm HR 0 8 or 40 whichever is greater HR 30 or 90 whichever is greater HR 1 25 or 240 whichever is smaller HR 40 or 200 whichever is smaller Adult Pediatric 35 to 240 Neonate 55 to 225 Resp RR rpm RR 0 5 or 6 whichever is gre...

Page 82: ...5 to175 Neonate 25 to 100 IBP CVP LAP RAP UVP P1 P4 Venous pressure IBP M Mean 0 75 Mean 0 75 Mean 1 25 Mean 1 25 3 to 40 CO2 EtCO2 mmHg 0 to 32 remains the same 0 to 32 remains the same 0 to 32 remains the same 0 to 32 remains the same Same as the measurement range 33 to 35 29 33 to 35 29 33 to 35 41 33 to 35 41 Same as the measurement range 36 to 45 EtCO2 6 36 to 45 EtCO2 6 36 to 45 EtCO2 6 36 t...

Page 83: ...the Alarm page in either of the following ways Select the Alarm Setup quick key Select the Main Menu quick key from the Alarm column select Limits 2 On the Limits page select Defaults at the bottom AG EtCO2 Same as the CO2 module FiCO2 Same as the CO2 module awRR rmp awRR 0 5 or 6 whichever is greater awRR 10 or 30 whichever is greater awRR 1 5 or 30 whichever is smaller awRR 25 or 85 whichever is...

Page 84: ...NING If you switch off the apnea alarm the monitor will not issue the apnea alarm in case that apnea happens This may result in a hazard to the patient Keep the patient under close surveillance 9 7 Pausing Alarms Pausing Alarm Tones 9 7 1 Defining the Pause Function You can either pause alarms or pause alarm tones This depends on the pause setting This setting is password protected For more inform...

Page 85: ...m information area The audio pause symbol is displayed in the system information area When the audio pause time expires the audio paused status is automatically deactivated You can also cancel the audio paused status by pressing the Audio Pause quick key 9 7 3 1 Setting the Alarm Tone Pause Time The alarm tone pause time can be set to 1 min 2 min 3 min or Permanent The default audio pause time is ...

Page 86: ...ssage For details about the indications of technical alarms when the alarm system is reset see D 2 Technical Alarm Messages 9 9 Latching Alarms The latching setting for physiological alarms defines how alarm indicators behave if you do not reset the alarms If you do not latch physiological alarms their alarm indications disappear when the alarm condition ends If you latch physiological alarms all ...

Page 87: ...in five seconds After the call help signal is sent out the Call Help quick key flashes in red If you need to stop calling for help select the Call Help quick key again Monitors receiving the call help signal issue a sound and a dialog box pops up indicating which monitor is calling Select OK to acknowledge the call and stop the sound at this monitor NOTE The call help function works only when the ...

Page 88: ...n mode choose either of the following ways Select the Exit Intubation Mode quick key From the bottom of the Resp CO2 or AG menu select Exit Intubation Mode Select the Main Menu quick key from the Alarm column select Exit Intubation Mode 9 14 Testing Alarms The monitor automatically performs a selftest at startup Check that an alarm tone is heard the alarm lamp illuminates one after the other in re...

Page 89: ...duce the hazard of burns during high frequency surgical procedure ensure that the monitor s cables and transducers never come into contact with the electrosurgery unit ESU To reduce the hazard of burns during use of high frequency surgical unit ESU the ECG electrodes should not be located between the surgical site and the ESU return electrode CAUTION Only use parts and accessories specified in thi...

Page 90: ...ngs The CrozFusionTM function uses ECG arrhythmia analysis leads according to the Analysis Mode setting So the ECG SQI indicates the signal quality of the ECG arrhythmia analysis leads 1 ECG lead label of the displayed waveform When 6 lead placement is used to derive 12 lead ECG D12L all derived leads are marked with a d in front of the lead label for example dV1 2 ECG waveform gain 3 ECG filter m...

Page 91: ...od skin contact 3 Connect the leadwires to the patient cable if not already connected 4 Plug the patient cable into the ECG connector NOTE Store the electrodes at room temperature Only open the electrode package immediately prior to use Never mix patient electrode types or brands This may lead to problem due to impedance mismatch When applying the electrodes avoid bony area obvious layers of fat a...

Page 92: ...ation see 10 4 4 4 Chest Electrode Placement The Va and Vb lead positions are configurable For more information see 10 6 4 4 Changing Va and Vb Labels When 6 lead placement is used to derive 12 lead ECG Va and Vb shall use any of the following combinations V1 and V3 V1 and V4 V1 and V5 V2 and V4 V2 and V5 V3 and V5 V3 and V6 10 4 4 4 Chest Electrode Placement The chest electrode can be placed at t...

Page 93: ...placement 10 4 4 6 Lead Placement for Pacemaker Patients The recommended lead placement for monitoring a pacemaker patient is as follows A pacemaker patient usually requires a different electrode patch placement configuration than a non pacemaker patient Do not place an ECG electrode directly over the pacemaker generator Place the electrode patches 2 to 3 inches away from the pacemaker generator a...

Page 94: ...arkers are shown on each ECG waveform when the patient has a paced signal If Paced is set to No or if the patient s paced status is not selected the symbol will be shown in the ECG waveform area To change the paced status follow this procedure 1 Select the ECG numeric area or waveform area to enter the ECG menu 2 Select the Pacer tab 3 Set Paced to Yes or No You can also change the patient s paced...

Page 95: ...3 V1 and V4 V1 and V5 V2 and V4 V2 and V5 V3 and V5 V3 and V6 D12L is disabled by default To enable D12L follow this procedure 1 Select the ECG numeric area or waveform area to enter the ECG menu 2 Select the Setup tab 3 Select the positions of Va and Vb You shall use an available Va and Vb combination 4 Switch on D12L WARNING D12L is not intended for pediatric and neonatal patients The positions ...

Page 96: ...nalysis Mode Multiple Leads the monitor uses four leads ECG1 to ECG 4 as calculation leads Single Lead the monitor uses one lead ECG1 as calculation lead NOTE When a 3 lead ECG cable is used the monitor always uses single lead as calculation lead 10 6 4 Changing ECG Wave Settings 10 6 4 1 Selecting the Leads of Displayed ECG Waveforms To select the leads of displayed ECG waveforms follow this proc...

Page 97: ...eforms are displayed select the More Leads tab and then select ECG Gain to change the sizes of other ECG waveforms If you select Auto the monitor automatically adjusts the size of the ECG waveforms 10 6 4 4 Changing Va and Vb Labels When monitoring ECG with 6 leadwire You can change the labels of Va and Vb leads To do so follow this procedure 1 Select the ECG numeric area or waveform area to enter...

Page 98: ...ed but another lead is available the monitor automatically switches to the available lead to recalculate heart rate and to analyze and detect arrhythmias When you reconnect the detached leads the monitor automatically switches back to the original lead The smart lead off function is enabled by default To disable this function follow this procedure 1 Select the ECG numeric area or waveform area to ...

Page 99: ...heart rate and false asystole calls may occur NOTE The minimum QRS detection threshold can only be adjusted when the ECG filter is set to Monitor 10 7 Monitoring Arrhythmia Arrhythmia monitoring is intended for adult pediatric and neonatal patients 10 7 1 Arrhythmia Safety Information WARNING Heart rate reading may be affected by cardiac arrhythmias Do not rely entirely on heart rate alarms when m...

Page 100: ...brady PVCs limit and the ventricular rate is lower than the V Tach rate limit Couplet A Pair of PVCs detected in between normal beats Multiform PVC Multiform PVCs detected in Multif PVC s Window which is adjustable PVC One PVC detected in between normal beats Bigeminy A dominant rhythm of N V N V N V Trigeminy A dominant rhythm of N N V N N V N N V Tachy The heart rate is greater than the tachycar...

Page 101: ...on see 10 7 4 2 Setting the Lethal Arrhythmia Alarms Switch The priority of lethal arrhythmia alarms is always high It cannot be altered 10 7 4 2 Setting the Lethal Arrhythmia Alarms Switch You can choose whether switching off lethal arrhythmia alarms is permissible or not This function is password protected For more information see 27 4 6 The Other Tab WARNING If you switch off all arrhythmia ala...

Page 102: ...related alarms follow this procedure 1 Select the ECG numeric area or waveform area to enter the ECG menu 2 Select the Arrhythmia tab select the More Threshold tab 3 Enter the password if required For more information refer to 27 12 The Authorization Setup Settings 4 Adjust V Tach PVCs V Tach Rate V Brady PVCs and V Brady Rate to set the threshold of desired PVC related alarms The following figure...

Page 103: ...the V Brady PVCs limit 5 but greater than 2 and the ventricular rate is lower than the V Tach Rate limit 130 a Run PVCs alarm is generated If the number of consecutive PVCs is greater than or equal to the V Brady PVCs limit 5 and the ventricular rate is lower than the V Brady Rate limit 40 a Vent Brady alarm is generated 10 7 5 Arrhythmia Alarms Normally an arrhythmia alarm is presented when an al...

Page 104: ... the same with those for the medium priority chains The arrhythmia shielding period is only applicable to the alarms in the medium priority chains and atrial fibrillation chain For the alarms in the high priority chain alarm tone and alarm light are presented as soon as the alarm condition is detected Asystole VͲFib VͲTach VͲTach Vent Brady Extreme Tachy Extreme Brady Pause Nonsus VͲTach Vent Rhyt...

Page 105: ... Analysis Reliable ST monitoring cannot be ensured under the following situations You are unable to get a lead that is not noisy Arrhythmias such as atrial fib or flutter cause irregular baseline The patient is continuously ventricularly paced The patient has left bundle branch block In these cases you may consider switching off ST monitoring Previous alarm Current alarm Alarm indication Alarm in ...

Page 106: ...ked with a d in front of the lead label for example dV1 When you are using the 12 lead ECG leadwires the ST numeric area displays12 ST values ST I ST II ST III ST aVR ST aVL ST aVF ST V1 ST V2 ST V3 ST V4 ST V5 ST V6 This example shows the ST numeric area when 5 lead ECG cable is used Your monitor screen may look slightly different 10 8 4 Displaying ST Segments in the Waveform Area You can display...

Page 107: ...seline value Set an ST baseline when ST values become stable If you did not set the ST baseline the monitor automatically saves the baseline when valid ST values appear for 5 minutes To set the ST baseline follow this procedure 1 From the ST View window select Set Baseline 2 From the pop up dialog box select OK to set the current ST segments and values as the baseline From the ST View window you c...

Page 108: ...rm limits cyan yellow and red indicate that the ST value exceeds the alarm limits The color matches ST alarm priority The following figure shows the ST Graphic when ST Alarm Mode is set to Relative The height of grey bar indicates the baseline ST value and the green bar cyan yellow or red if an alarm occurs indicates ΔST NOTE In the ST Graphic the derived leads are marked with a d in front of the ...

Page 109: ... the ST tab select the Setup tab 3 Switch on Show Markers 10 8 9 Adjusting ST Measurement Points 10 8 9 1 About ST Point ISO Point and J Point The ST deviation value for each beat is the potential difference between the isoelectric ISO point and the ST point The ISO point provides the baseline The ST point is at the midpoint of the ST segment The J point is the end of the QRS complex As the J poin...

Page 110: ...ng QT syndrome The QT interval has an inverse relationship to heart rate Faster heart rates shorten the QT interval and slower heart rates prolong the QT interval Therefore several formulas can be used to correct the QT interval for heart rate The heart rate corrected QT interval is abbreviated as QTc QT QTc interval monitoring is intended for adult pediatric and neonatal patients 10 9 1 QT QTc Mo...

Page 111: ...e you want to display the QT numerics and then select ECG QT QTc NOTE QTc values are calculated based on the QT HR not the ECG HR For more information see 10 9 4 Entering the QT View The following picture shows the QT numeric area Your monitor screen may look slightly different NOTE The display of the QT numeric area differs as related settings change 10 9 4 Entering the QT View QT View shows the ...

Page 112: ...has been set for this patient within the first five minutes after getting valid QT values the monitor will automatically set a baseline To set the current values as baseline follow this procedure 1 From the QT View window select Set Baseline 2 From the pop up dialog box select OK This baseline will then be used to calculate ΔQTc If you set a new baseline the previous baseline is discarded From the...

Page 113: ...ea to enter the ECG menu 2 Select Relearn at the bottom left corner of the menu CAUTION Take care to initiate ECG relearning only during periods of predominantly normal rhythm and when ECG signal is relatively noise free If ECG learning takes place during arrhythmia the ectopics may be incorrectly learned as normal QRS complex This may result in missed detection of subsequent events of arrhythmia ...

Page 114: ...at the patient cable or leadwires are not damaged Change them if necessary Excessive alarms heart rate lead fault 1 Check that electrodes are not dry Perform skin preparation again and re place the electrodes For more information see 10 4 1 Preparing the Patient Skin and 10 4 2 Applying Electrodes 2 Check for excessive patient movement or muscle tremor Reposition the electrodes Replace with fresh ...

Page 115: ... Display column select Choose Screen select ECG 12 Lead 11 3 Initiating Resting 12 Lead ECG Analysis Before 12 lead ECG interpretation check that all electrodes are correctly connected to the lead wires and the ECG trunk cable is properly connected Check that patient information is correct Keep the patient still To initiate 12 Lead ECG analysis select Analyze from the left bottom of the 12 Lead sc...

Page 116: ...ent information may directly affect ECG analysis Complete and correct patient information is helpful for accurate diagnosis and treatment of the patient Enter patient information before taking an ECG measurement To enter patient information follow this procedure 1 On the ECG 12 Lead screen select Setup to enter the 12 Lead Setup menu 2 On the Patient Demographics page input or edit patient informa...

Page 117: ... 11 6 Saving the 12 Lead Interpretation Report At the completion of 12 lead ECG interpretation select Save to save the report You can review the saved 12 lead interpretation reports For more information see 21 2 10 12 Lead ECG Review Page 11 7 Printing the 12 Lead Interpretation Report At the completion of 12 lead ECG interpretation select Print or Record to output the report via the printer or re...

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Page 119: ...alarm if no breath is detected when a pre adjusted time has elapsed since the last detected breath Therefore it cannot be used for diagnostic purpose If operating under conditions according to the EMC Standard IEC 60601 1 2 Radiated Immunity 3V m field strengths above 3V m may cause erroneous measurements at various frequencies Therefore it is recommended to avoid the use of electrically radiating...

Page 120: ...n 4 Dry the skin completely before applying the electrodes CAUTION Proper skin preparation is necessary for good signal quality at the electrode site as the skin is a poor conductor of electricity 12 4 2 Placing the Electrodes As the Respiration measurement adopts the standard ECG electrode placement you can use different ECG cables Since the respiration signal is measured between two ECG electrod...

Page 121: ...kin quality changes replace the electrodes or change the application site NOTE Store the electrodes at room temperature Open the electrode package immediately prior to use Check that the electrode packages are intact and not expired Make sure the electrode gel is moist 12 5 Changing Resp Settings 12 5 1 Setting the Resp Alarm Properties To set the Resp alarm properties follow this procedure 1 Sele...

Page 122: ...ardiac overlay The respiration detection level is automatically set higher to prevent the detection of cardiac overlay as respiration In the manual detection mode cardiac overlay can in certain situations trigger the respiration counter This may lead to a false indication of a high respiration or an undetected apnea condition If you suspect that cardiac overlay is being registered as breathing act...

Page 123: ...tester or SpO2 simulator can be used to determine the pulse rate accuracy A functional tester or SpO2 simulator cannot be used to assess the SpO2 accuracy 13 2 SpO2 Safety Information WARNING When a trend toward patient deoxygenation is indicated analyze the blood samples with a laboratory co oximeter to completely understand the patient s condition Do not use SpO2 sensors during magnetic resonanc...

Page 124: ...atient s condition Use only SpO2 sensors specified in this manual Follow the SpO2 sensor s instructions for use and adhere to all warnings and cautions Do not place the pulse oximeter where the controls can be changed by the patient If using pulse oximetry during full body irradiation keep the sensor out of the radiation field If the sensor is exposed to the radiation the reading might be inaccura...

Page 125: ...e SpO2 sensor 13 4 SpO2 Display NOTE PI is only available for Mindray SpO2 and Masimo SpO2 5 1 2 3 4 1 Pleth waveform Pleth visual indication of patient s pulse The waveform is not normalized 2 Oxygen saturation of arterial blood SpO2 percentage of oxygenated hemoglobin in relation to the sum of oxyhemoglobin and deoxyhemoglobin 3 Perfusion indicator the pulsatile portion of the measured signal ca...

Page 126: ...2 Desat NOTE You can switch off the SpO2 Desat alarm only when SpO2 Desat Alarm Off in enabled 13 6 2 Nellcor Sat Seconds Alarm Management With traditional alarm management high and low alarm limits are set for monitoring oxygen saturation During monitoring once an alarm limit is violated an audible alarm immediately sounds When the patient SpO2 fluctuates near an alarm limit the alarm sounds each...

Page 127: ...nds follow this procedure 1 Select the SpO2 numeric area or waveform area to enter the SpO2 menu 2 Select the Alarm tab 3 Set Sat Seconds 13 6 4 Setting SpO2 Sensitivity for Masimo SpO2 For Masimo SpO2 selects the Sensitivity as per signal quality and patient motion Normal sensitivity is the recommended for patients who are experiencing some compromise in blood flow or perfusion It is advisable fo...

Page 128: ...ed in urgent situations When FastSAT is switched on the averaging algorithm evaluates all the SpO2 values and provides an averaged SpO2 value that is a better representation of the patient s current oxygen saturation status The reliability of FastSAT is dependent on the setting for the averaging time and the input signal FastSAT is disabled by default To enable FastSAT follow this procedure 1 Sele...

Page 129: ...hether to display PI in the SpO2 parameter area To do so follow this procedure 1 Select the SpO2 numeric area or waveform area to enter the SpO2 menu 1 Select the Setup tab 2 Switch on or off Display PI 13 6 10 Monitoring SpO2 and NIBP Simultaneously When monitoring SpO2 and NIBP on the same limb simultaneously you can switch on NIBP Simul to lock the SpO2 alarm status until the NIBP measurement e...

Page 130: ...low this procedure 1 Select the SpO2 numeric area or waveform area to enter the SpO2 menu 2 Select the PR Setup tab 3 Set PR Source The PR Source menu displays the currently available PR sources from top to bottom by priority When you select Auto the system will automatically select the first option as the PR source If the current PR source is unavailable the system will automatically switch PR So...

Page 131: ...2 3 Problem Solution Do not see SpO2 numeric area or waveform area on the main screen 1 Check that the SpO2 is set to display in the Screen Setup menu For more information see 27 11 The Other Settings 2 Check that if the SpO2 parameter switch is enabled If not enable the SpO2 measurement For more information see 3 11 1 Switching On or Off a Parameter 3 Check that the cable connections of SpO2 sens...

Page 132: ...t of the license fee which is part of the price paid for this product Shenzhen Mindray grants to Purchaser a nonexclusive nontransferable license without right to sublicense to use the copy of the incorporated software firmware and documentation in connection with Purchaser s use of the Masimo Products for their labeled purpose Shenzhen Mindray reserves all rights not expressly granted to Purchase...

Page 133: ...cense granted by Masimo to use the sensors and they must be discarded 6 Transfer Restrictions The software firmware is licensed to the Purchaser and may not be transferred to anyone except other end users without the prior written consent of Shenzhen Mindray In no event may you transfer assign rent lease sell or otherwise dispose of the software firmware or the products on a temporary basis 7 Bene...

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Page 135: ...lect the Tile Layout tab Select the Main Menu quick key from the Display column select Tile Layout 2 Select a parameter numeric area or waveform area and then from the popup list select Any Temp 14 3 Temperature Display The following figure shows the Temp numeric area for temperature monitoring Your display may be configured to look different 14 4 Preparing for Temperature Monitoring To prepare te...

Page 136: ...lect the temperature numeric area to enter the Temp menu 2 Select the Setup tab 3 Switch on T 14 6 Temperature Troubleshooting This section lists the problems that might occur If you encounter the problems when using the equipment or accessories check the table below before requesting for services If the problem persists contact your service personnel NOTE For the physiological and technical alarm...

Page 137: ...t settings for pediatric or neonatal patients Otherwise it may present a safety hazard Do not measure NIBP on patients with sickle cell disease or on the limb where skin damage has occurred or is expected Use clinical judgment to determine whether to perform frequent unattended blood pressure measurements on patients with severe blood clotting disorders because of the risk of hematoma in the limb ...

Page 138: ...With excessive and continuous patient movement such as shivering or convulsions With cardiac arrhythmias With rapid blood pressure changes With severe shock or hypothermia that reduces blood flow to the peripheries On an edematous extremity NOTE The effectiveness of this sphygmomanometer has not been established in pregnant including pre eclamptic patients 15 4 Measurement Modes There are four NIB...

Page 139: ...ormation 2 Connect the air tubing to the NIBP connector 3 Select an appropriately sized cuff for the patient and then wrap it around the limb directly over the patient s skin as follows a Determine the patient s limb circumference b Select an appropriate 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 ...

Page 140: ...n over the time scale It allows you to know the patient s condition of the latest 24 hours before you entering the NIBP Analysis window To view NIBP analysis follow this procedure 1 Select the NIBP numeric area to enter the NIBP menu 2 Select the Analysis tab You can also select anywhere in the Analysis window to enter the Review window For more information see 21 Review Task By Quick Key From NIB...

Page 141: ...Selecting Manual switches to manual mode 15 9 4 Selecting NIBP Start Mode Start mode defines how NIBP auto mode works To set the start mode follow this procedure 1 Select the NIBP numeric area to enter the NIBP menu 2 Set Start Mode Clock after the first measurement the monitor automatically synchronizes NIBP automatic measurements with the real time clock For example if Interval is set to 20 min ...

Page 142: ...area to enter the NIBP menu 2 Select the Setup tab 3 Switch on or off Display PR 15 9 10 Correcting the NIBP Measurements The middle of the cuff should be at the level of right atrium If the limb is not at the heart level you need to correct the measurement Add 0 75 mmHg 0 10 kPa to the displayed value for each centimetre higher Deduct 0 75 mmHg 0 10 kPa to the displayed value for each centimeter ...

Page 143: ...u doubt the NIBP measurements The NIBP leakage test should be performed by Mindray qualified service personnel only 15 11 2 NIBP Accuracy Test The NIBP accuracy test should be performed once every two years or when you doubt the NIBP measurements The NIBP accuracy test should be performed by Mindray qualified service personnel only 15 12 NIBP Troubleshooting For more information see D Alarm Messag...

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Page 145: ... conductive parts 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 When using accessories their operating temperature should be taken into consideration For more information see instructions for use of accessories All invasive procedures involve risks to the patient...

Page 146: ... currently measured pressure For more information see 16 6 2 Changing the Pressure Label 5 Zero the IBP transducer For more information see 16 3 3 Zeroing the IBP transducer After a successful zeroing turn off the stopcock to the air and turn on the stopcock to the patient CAUTION Make sure that all the transducers are zeroed correctly before the IBP measure Make sure that no air bubble exists in ...

Page 147: ...way the IBP transducer and tubing during zero calibration 16 4 Measuring ICP Using the Codman ICP Transducer 16 4 1 Zeroing the Codman ICP transducer You shall zero the Codman ICP transducer Model 82 6653 before use To zero the ICP transducer follow this procedure 1 Connect the ICP transducer the ICP adapter cable and the monitor 2 Follow the manufacturer s instructions to prepare the ICP transduc...

Page 148: ...different brands are used to zero the Codman ICP transducer the zero reference values can be different Use a Mindray monitor to Zero the Codman ICP transducer if you will take ICP measurement using a Mindray monitor Otherwise the ICP measurement can be inaccurate 16 5 IBP Display The IBP measurement is displayed on the monitor as a waveform and numeric pressures For arterial pressure the IBP numer...

Page 149: ... Mean Only In this case its corresponding numeric area displays only the mean pressure 16 6 4 Changing the Sensitivity The IBP value displayed on the monitor screen is the average of data collected within a specific time The shorter the averaging time is the quicker the monitor responds to changes in the patient s blood pressure and the higher the sensitivity Contrarily the longer the averaging ti...

Page 150: ...dure 1 Select the PA numeric area or waveform area to enter the PA menu 2 Select the Setup tab 3 Switch on or off Use PA D as PAWP For more information on hemodynamic calculation see 23 4 Hemodynamic Calculations 16 6 9 Enabling PPV Measurement PPV indicates pulse pressure variation When measuring the arterial pressure except PA the PPV measurement is available To enable the PPV measurement follow...

Page 151: ...VP unit is different from IBP unit Set ICP Scale individually if the ICP waveform is combined and ICP unit is different from IBP unit Set PA Scale individually if the PA waveform is combined Switch on or off Gridlines to show or hide gridlines in the overlapped waveform area Set Speed for the overlapped waveforms NOTE The unit of CVP scale is consistent with CVP parameter unit 16 7 Measuring PAWP ...

Page 152: ... more information see 16 3 3 Zeroing the IBP transducer 4 Set the IBP label to PA since the PAWP is measured on PA For more information see 16 6 2 Changing the Pressure Label 16 7 3 Measuring PAWP To measure the PAWP follow this procedure 1 Select the PA numeric area or waveform area to enter the PA menu and then select PAWP 2 Wedge the flotation catheter into the pulmonary artery by observing the...

Page 153: ...cessary to get an accurate measurement If the PAWP is greater than the PA systolic deflate the balloon and report the incident in accordance with hospital policy Because the pulmonary artery could be accidentally ruptured and the PAWP value derived will not reflect the patient s hemodynamic state but will merely reflect the pressure in the catheter or balloon If the flotation thermodilution cathet...

Page 154: ...o connect the monitor with the patient Because you can set the ICP alarm limits on this patient monitor the ICP alarms settings on this patient monitor may be different from those on the Camino device Please pay special attention to the alarms on the Camino NOTE Only the external IBP module available for this monitor can be used for connecting the Camino IBP connectors on other modules do not have...

Page 155: ... 5 Check that the IBP transducer has been zeroed For more information see 16 3 3 Zeroing the IBP transducer Cannot see systolic pressure and diastolic pressure for P1 P2 P3 P4 Set Measure to All in the P1 P2 P3 P4 setup menu For more information see 16 6 3 Setting the Pressure Type for Display IBP readings seem unstable 1 Make sure there are no air bubbles in the transducer systems 2 Check that th...

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Page 157: ...urve As cardiac output varies continuously a series of measurements must be carried out to achieve a reliable C O average value Always use the average of multiple thermodilution measurements for therapy decisions The monitor is capable of storing 6 measurements C O monitoring is intended for adult patients only You can monitor C O using the built in C O module or the external C O module The follow...

Page 158: ... infused with intravenous injection during the C O measurement To obtain accurate C O measurements follow these recommendations Temperature of injectate solution must be at least 10 ºC cooler than that of the patient s blood Inject solution at end of expiration Inject solution rapidly and smoothly Finish injection within four to five seconds 17 4 C O Display The C O display shows only C O C I card...

Page 159: ...ed NOTE For an in line probe setup make sure the in line sensor is securely connected to the tubing For the bath probe setup make sure the bath probe is correctly sensing the injectate temperature 17 6 2 Setting C O Measurement Before performing the C O measurement follow this procedure 1 Select the C O numeric area to enter the C O Measure menu 2 Select the Setup 3 Perform the following check or ...

Page 160: ... to click the Start button in the C O Measure window for a new measurement 17 6 3 Performing C O Measurement To perform the C O measurement follow this procedure 1 Select the C O numeric area to enter the C O Measure menu 2 Proceed as follows to perform the C O measure If Auto Start is switched off select the Start button and then inject the solution quickly when you see the message Please Wait As...

Page 161: ... measurement failure The TB alarms are inactivated during a C O measurement and will be reactivated automatically after the completion of C O measurement Please see the Instructions for Use of thermodilution catheter to determine the Comp Const and the volume of injectate solution 17 7 Changing C O Settings 17 7 1 Setting C O Alarm Properties To set the C O alarm properties follow this procedure 1...

Page 162: ...s positioned properly 2 Check that the computational constant is proper for current injectate temperature injectate volume and injectate probe type 3 Inject solution rapidly and smoothly 4 Finish injection within four to five seconds 5 Inject more volume or inject colder solution 6 Check that the height and weight of patient is properly configured 7 If Auto TI is switched off check that the entere...

Page 163: ...idestream or Microstream CO2 module The sidestream CO2 module can be configured with a paramagnetic oxygen sensor The paramagnetic oxygen sensor measures oxygen relying on its paramagnetic properties The mainstream CO2 measurement can be used with specified accessories with intubated adult pediatric and neonatal patients The sidestream and microstream CO2 measurement can be used with specified acc...

Page 164: ...hen monitoring with the CO2 module 18 3 CO2 Measurement Limitations The following factors may influence the measurement accuracy Leaks or internal venting of sampled gas Mechanical shock Cyclic pressure up to 10 kPa 100 cmH2O Other sources of interference if any Measurement accuracy of the sidestream CO2 module may be affected by the breath rate and inspiration expiration I E ratio Measurement acc...

Page 165: ...tertrap according to the patient category 2 Connect the DRYLINE II watertrap to the CO2 module and connect the gas sample line to the watertrap 3 Connect the other end of the gas sample line to the patient For intubated patients requiring an airway adapter install the airway adapter between the patient circuit and the ventilator Y piece 1 O2 waveform 2 FiO2 measurement 3 EtO2 measurement 3 2 1 1 W...

Page 166: ... inaccurate CO2 reading or no reading To avoid blocking the airway empty the DRYLINE II watertrap container whenever half full Dispose of accumulated fluids in accordance with hospital policy or your local regulations The DRYLINE II watertrap has a filter preventing bacterium water and secretions from entering the module Extended use could destroy the filter in watertrap and fail to stop the bacte...

Page 167: ...using the microstream CO2 module NOTE Disconnect the sample line from the module when CO2 monitoring is not required 18 5 3 Zeroing the Sidestream Microstream CO2 Module The sidestream and microstream CO2 modules perform a zero calibration automatically when needed Once the zero calibration is started the CO2 module stops measuring and Zeroing is displayed in the CO2 numeric area After the zero ca...

Page 168: ...s finished connect the airway as shown below 5 Make sure that no leakages are in the airway and then start a measurement NOTE Be sure to set the barometric pressure properly before using the mainstream CO2 module Improper settings will result in erroneous CO2 reading Always position the sensor with the adapter in an upright position to avoid collection of fluids in the windows of the adapter Large...

Page 169: ...conds The message disappears when the zero calibration is completed WARNING When perform a zero calibration during the measurement disconnect the sensor from the patient s airway first Please do not rely on the readings during zeroing 18 7 Changing Settings for All CO2 Modules 18 7 1 Changing CO2 Alarm Settings To change the CO2 alarm settings follow this procedure 1 Select the CO2 numeric area or...

Page 170: ...ule 18 8 1 Setting the Auto Standby The monitor enters standby mode automatically after the configured period of time if no breath is detected since the last detected breath To set the auto standby follow this procedure 1 Select the CO2 numeric area or waveform area to enter the CO2 menu 2 Select the Setup tab 3 Set Auto Standby 18 8 2 Setting Humidity Compensation Sidestream and microstream CO2 m...

Page 171: ...appropriate compensations Inappropriate compensations may cause inaccurate measurement values and result in misdiagnosis For the sidestream CO2 module follow this procedure to set the gas compensation 1 Select the CO2 numeric area or waveform area to enter the CO2 menu 2 Select the Setup tab 3 Set the compensation according to the actual condition For the mainstream CO2 module follow this procedur...

Page 172: ...arometric pressure based on the actual situation This function is password protected For more information see 27 12 The Authorization Setup Settings WARNING Be sure to set the barometric pressure properly before using the mainstream CO2 module Improper settings will result in erroneous CO2 reading 18 13 Performing the Leakage Test When the Sidestream CO2 module needs maintenance the monitor will p...

Page 173: ... foreign equivalents Additional patent applications pending No Implied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized CO2 sampling consumables which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device and or CO2 sampling consumable Problem Solutio...

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Page 175: ...n IR absorbing gas is measured From the amount of IR light measured the concentration of gas present can be calculated Oxygen does not absorb IR light as other breathing gases and is therefore measured relying on its paramagnetic properties Inside the O2 sensor are two nitrogen filled glass spheres mounted on a strong rare metal taut band suspension This assembly is suspended in a symmetrical non ...

Page 176: ...ion CAUTION Perform the measurement in a well ventilated environment EtCO2 values measured from the AG module may differ from that of from the blood gas analysis NOTE The AG module automatic suppress physiological alarms until breathing waves have been detected Make sure that a patient is properly connected when monitoring with the AG module 19 3 AG Measurement Limitations The following factors ma...

Page 177: ...eck that the connections are tight After the AG module is connected the AG module enters the measurement mode by default and the monitor prompts AG Starting AG measurement is available after the start up is completed WARNING Connect the gas outlet to the scavenging system when using the AG module Make sure that the connections are tight Any leak in the system can result in erroneous readings due t...

Page 178: ...the display of the Zero Recovering message but values displayed during the reacquisition period may not be accurate The automatic zero calibration will not start under the following conditions Physiological alarms related to CO2 or AG are active An apnea alarm is active No breath has been detected for over 30 seconds You can also perform the zero calibration manually 19 8 MAC Values Minimum alveol...

Page 179: ...rea or waveform area to enter the Gas menu 2 Select the Setup tab 3 Set O2 Compensation Select Off when the amount of O2 is less than 30 Select the other options in accordance with the O2 concentration in the gas mixture The O2 Compensation setting is available only when the AG module does not incorporate the O2 module If the AG module incorporates the O2 module the system directly uses the O2 con...

Page 180: ...to Auto 19 9 7 Entering the Intubation Mode When performing intubation during general anesthesia you can enter the intubation mode in order to reduce unnecessary alarms To enter the intubation mode follow this procedure 1 Select the AG numeric area or waveform area to enter the Gas menu 2 Select Intubation Mode from the bottom of the menu For the details of the intubation mode see 9 13 Intubation ...

Page 181: ...luded does not disappear This indicates that the module does not leak If the alarm message disappears or the flow rate is equal to 10ml min or greater it indicates that the module leaks Perform the leakage test again If the problem remains contact your service personnel for help 19 12 Calibrating the AG Module Calibrate the AG module every year or when the measured value is outside the specificati...

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Page 183: ...mpany s proprietary technology Therefore it is recommended that clinicians have reviewed applicable information on its utility and or risks in published articles and literature web site information from Covidien or contact Covidien at www covidien com for clinical based BIS questions Failure to do so could potentially result in the incorrect administration of anesthetic agents and or other potenti...

Page 184: ...tive anesthetic management is not recommended Misinterpretation of BIS can result in incorrect administration of anesthetic agents and or other potential complications of anesthesia or sedation BIS values should be interpreted cautiously with certain anesthetic combinations such as those relying primarily on either ketamine or nitrous oxide narcotics to produce unconsciousness CAUTION Ensure that ...

Page 185: ...Suppression Ratio SR numeric is the percentage of time over the last 63 second period during which the EEG is considered to be in a suppressed state SEF Spectral Edge Frequency The SEF is a frequency below which 95 of the total power is measured TP Total Power TP numeric is a measure of the absolute total power in the frequency ranging from 0 5 to 30 0 Hz The useful range is from 40 to 100 db BC B...

Page 186: ...splay of BIS waveform area depends on the setting of Display from the BIS menu For more information see 20 7 3 Setting the Display of BIS Waveform Area 2 BIS value 3 SQI indicator Empty SQI 15 unable to calculate BIS and secondary parameter values BIS and secondary parameter values are displayed as 1 to 2 bars SQI 15 49 parameter values are unreliable 3 to 5 bars SQI 50 100 parameter values are re...

Page 187: ...dy for use Due to intimate skin contact reuse may pose risk of infection If skin rash or other unusual symptom develops stop using and remove 20 7 Changing BIS Settings 20 7 1 Setting BIS Alarm Properties To set the BIS alarm properties follow this procedure 1 Select the BIS numeric area or waveform area to enter the BIS menu 2 In the BIS menu select the Alarm tab 3 Enter the password if required ...

Page 188: ...he impedance of each electrode is acceptable After the initial sensor check the monitor performs automatic check during BIS monitoring Automatic sensor check includes the following items The combined impedance of the signal electrodes plus the reference electrode This is done automatically and continuously and does not affect the EEG waveform As long as the impedances are within the valid range th...

Page 189: ...be in Pass status The sensor check may fail for the following reasons Impedance too high Incorrect sensor application Poor sensor connection Defective patient interface cable or sensor To correct the situation Recheck the sensor Reapply the sensor according to instructions Check sensor connection Replace patient interface cable or sensor 20 9 Monitoring Bilateral BIS By using BISx4 and the Bilater...

Page 190: ... display Select Scale to set EEG waveform scale Select Speed to set EEG waveform speed 20 9 2 2 Displaying the BIS Trend The BIS Trend tab of the BIS Expand view shows the trend of selected parameters You can configure the BIS trend Select Parameter 1 and Parameter 2 to set the parameters whose trend you want to display Set Trend Length 20 9 2 3 Displaying BIS DSA The Density Spectral Array DSA sh...

Page 191: ...he problems that might occur If you encounter the problems when using the equipment or accessories check the table below before requesting for services If the problem persists after corrective actions have been taken contact your service personnel NOTE For a comprehensive list of physiological and technical alarm messages see D Alarm Messages Problem Solution Measurement does not start 1 Check the...

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Page 193: ...e graphic trends review page as an example 5 7 6 1 2 3 4 8 9 1 Event type indicator different color blocks match different types of events Red high priority alarm event Yellow medium priority alarm event Cyan low priority alarm event Green manual event White operation related event 2 Current window time line indicates the time length of the current window In case of system time change the question...

Page 194: ... displayed 6 Cursor 7 Numeric area displays numeric values at the cursor indicated time The background color of numeric values matches the alarm priority 8 Time line indicates the entire time length indicates the time length of reviewable trend data can be moved within this time length indicates the time length of no trend data cannot be moved within this time length Different color blocks at the ...

Page 195: ... select the Tabular Trends tab Select the Main Menu quick key from the Review column select Tabular Trends 2 Select Group Setup select the desired tab NOTE You cannot edit trend group labeled All or Standard ECG parameter and waveform are always displayed in the first row on the trend page It cannot be deleted or moved 21 2 5 4 Changing the Resolution of Trend Data The interval of tabular trends d...

Page 196: ...6 4 Changing the Resolution of Trend Data To change the length of trend data displayed on the current screen follow this procedure 1 Enter the graphic trends review page 2 Select Zoom 8 min the screen displays eight minutes of trend data You can view the recent one hour data 30 min 1 hr 2 hrs 4 hrs the screen displays 30 minutes one hour two hours or four hours of trend data You can view the recen...

Page 197: ... Yellow medium priority alarm event Cyan low priority alarm event Green manual event White operation related event The number of currently selected events and the total number of events are displayed at the top right corner of the event list For example 2 4indicates that the selected event is the second event in the filtered events and the total number of filtered events is 4 Total indicates the t...

Page 198: ...t Print List of Selected Events print the list of selected events Print Detail of Selected Events print the details of selected events Print Displayed Event Detail print the waveforms and parameters of the currently displayed event 4 To print a report via a recorder select 21 2 8 Full Disclosure Review Page You can review up to 48 hour waveform data on the full disclosure review page You can view ...

Page 199: ...he full disclosure review page 2 Select Detail You can perform the following operations on the this page Switch on Beat Annotation For more information see 21 2 7 4 Viewing Event Details Select and set Speed and ECG Gain or Save As Event Select Overview to switch to the compressed waveform page 21 2 8 5 Printing the Full Disclosure Waveform Report To print a compressed waveform report follow this ...

Page 200: ...CG Analysis 21 2 10 1 Entering the 12 Lead Review Page Choose one of the following methods to enter the 12 lead ECG review page Upon completion of 12 lead ECG analysis select Review from the 12 Lead Interpretation screen For more information see 11 Resting 12 Lead ECG Analysis Select the Review quick key select 12 Lead ECG Select the Main Menu quick key from the Review column select 12 Lead ECG 3 ...

Page 201: ...low this procedure 1 Enter the 12 lead review page 2 Select 21 2 11 ST Review Page When ST analysis is enabled the monitor saves ST segments and values at an interval of one minute You can review the latest 120 hours of ST data 21 2 11 1 Entering the ST Review Page Choose either of the following methods to enter the ST review page Select the Review quick key select the ST tab Select the Main Menu ...

Page 202: ... Patients quick key Select the Main Menu quick key from the Patient Management column select Discharged Patients 2 From the patient list select the desired patient 3 Select Detail 21 3 2 Checking the Information of a Discharged Patient 1 Access the Discharged Patients dialog box by either of the following ways Select the Discharged Patients quick key Select the Main Menu quick key from the Patient...

Page 203: ...ted level of risk When the total score is outside of the thresholds actions are recommended MEWS NEWS and NEWS2 can give total scores IPS individual parameter score A color coded score is given for each parameter based on the measured or entered value Each parameter has upper and lower thresholds When an individual parameter measured or entered is outside of the thresholds actions are recommended ...

Page 204: ...ose one of the following methods to quickly enter the EWS screen Swipe left or right across the touchscreen with two fingers until you switch to the EWS screen Swipe right across the touchscreen with a single finger Select the button Take NEWS2 as an example the EWS screen is shown as follows Your screen may be slightly different due to the configuration 1 EWS protocol label 2 Scoring countdown ti...

Page 205: ...ter area display the subscore and parameter value of each parameter The keyboard symbol indicates that the parameter value is manually entered 4 History total scores area selecting this area or swiping up with a finger can review the trends of total score and each subscore 5 Selecting this button can review the trends of the total score and each subscore 6 Selecting this button or swiping right ac...

Page 206: ...ll required parameters have been measured or entered When a patient is discharged or the monitor is turned off the clinician ID is cleared 22 1 4 EWS Alarm If enabled the monitor can automatically give alarms and refreshes the score 22 1 4 1 Setting the EWS Alarm If enabled the monitor can automatically give alarms in the following cases The total score exceeds the configured threshold The score o...

Page 207: ...e in outline font and gives a timeout alarm 22 1 5 4 Setting Auto Scoring The monitor automatically starts scoring at the preset interval To set auto scoring follow this procedure 1 From the EWS page select Setup 2 Set Auto Scoring Interval the monitor automatically starts scoring at the preset interval NIBP the monitor automatically starts scoring at the completion of each NIBP measurement Alarm ...

Page 208: ...assessment and must be used in conjunction with observation of clinical signs and symptoms GCS is not applied to patients that are sedated muscularly relaxed with artificial airway drunk or in status epilepsies GCS is not applied to deaf people and patients having language barrier or with mental disorder When applied to children younger than five years old or elder people who are slow the GCS scor...

Page 209: ...ollowing table lists the default score range and color of relevant consciousness level 22 2 4 Setting GCS Scoring Interval From the GCS menu select Interval to set GCS scoring interval When the scoring interval is reached and you do not perform another scoring the score will be invalid and displayed as outline fonts 4 Scoring countdown time to the next scoring 5 Scoring interval 6 Subscores E eye ...

Page 210: ...ither of the following ways Select the ECG 24h Sum quick key Select the Main Menu quick key from the CAA column select ECG 24h Summary 22 3 2 Selecting Typical ECG Strips The Typical Strips area displays ECG strips of the following situations Maximum heart rate Minimum heart rate Four arrhythmia events You can select a typical ECG strip of each situation For example to select the typical ECG strip...

Page 211: ...lculated values are appropriate We assume no responsibility for any consequences caused by wrong entries and improper operations 23 3 Drug Calculations The monitor provides the drug calculation function 23 3 1 Performing Drug Calculations To perform drug calculations follow this procedure 1 Access drug calculator by either of the following ways Select the Calculations quick key Select the Main Men...

Page 212: ...y the infusion rate more accurately 23 3 3 Drug Calculation Formula 23 3 4 Titration Table Calculation Formula Description Unit Formula Dose Dose hr Dose min Dose Infusion Rate Concentration Dose weight based Dose kg hr Dose kg min Dose weight based Infusion Rate Concentration Weight Drug Amount g series mcg mg g unit series Unit KU MU mEq series mEq Drug Amount Dose Duration Drug Amount weight ba...

Page 213: ...f each parameter 23 4 2 Input Parameters for Hemodynamic Calculations NOTE If you enable Use PA D as PAWP PA D value will be used to replace PAWP value for hemodynamic calculation For more information refer to 16 6 8 Setting the Use PA D as PAWP Switch 23 4 3 Calculated Parameters and Formulas for Hemodynamic Calculations Input Parameter Label Unit cardiac output C O L min heart rate HR bpm pulmon...

Page 214: ...arameter values will be automatically converted and updated accordingly Select Range to show the normal range of each parameter pulmonary vascular resistance PVR DS cm5 P VR DS cm5 79 96 PAMAP mmHg PAWP mmHg C O L min pulmonary vascular resistance index PVRI DS m2 cm5 PVRI DS m2 cm5 PVR DS cm5 BSA m2 left cardiac work LCW kg m LCW kg m 0 0136 PAMAP mmHg C O L min left cardiac work index LCWI kg m ...

Page 215: ...in arterial oxygen content CaO2 ml L ml dL CaO2 ml L 10 0 0134 Hb g dl SaO2 0 031 PaO2 mmHg venous oxygen content CvO2 ml L ml dL CvO2 ml L 10 0 0134 Hb g dl SvO2 0 031 PvO2 mmHg arteriovenous oxygen content difference C a v O2 ml L ml dl C a v O2 ml L CaO2 ml L CvO2 ml L oxygen extraction ratio O2ER O2ER 100 C a v O2 ml L CaO2 ml L oxygen transport DO2 ml min DO2 ml min C O L min CaO2 ml L partia...

Page 216: ...ations Select Pressure Unit Then corresponding parameter values will be automatically converted and updated accordingly Select Range to show the normal range of each parameter 23 6 2 Input Parameters for Ventilation Calculations 23 6 3 Calculated Parameters and Formulas for Ventilation Calculations Input Parameter Label Unit percentage fraction of inspired oxygen FiO2 respiration rate RR rpm parti...

Page 217: ...pper limit is indicated by an up arrow The calculated value lower than the normal lower limit is indicated by a down arrow You can select Range to show the normal range of each parameter 23 7 2 Calculated Parameters and Formulas for Renal Calculations physiologic dead space in percent of tidal volume Vd Vt Vd Vt 100 Vd ml TV ml alveolar volume VA L min VA L min TV ml Vd ml RR rpm 1000 Calculated P...

Page 218: ... Urine ml 24 hrs SerNa mmol L creatinine clearance rate Clcr ml min Clcr ml min Ucr μmol L Urine ml 24 hrs Cr μmol L BSA m2 1 73 1440 fractional excretion of sodium FENa FENa 100 URNa mmol L Cr μmol L SerNa mmol L Ucr μmol L osmolar clearance Cosm ml min Cosm ml min Uosm mOsm kgH2O Urine ml 24 hrs Posm mOsm kgH2O 1440 free water clearance CH2O ml hr CH2O ml hr Urine ml 24 hrs 1 Uosm mOsm kgH2O Pos...

Page 219: ...t page 24 2 2 Automatic Recordings In the following conditions you can set the recorder to automatically start recording At a preset interval For more information see 24 5 Setting the Recorder When a parameter alarm is triggered For more information see 24 6 Enabling Auto Recording on Alarm 1 Start Stop key press to start a recording or stop the current recording 2 Module status indicator On when ...

Page 220: ...rd Setup 2 In the Record Setup menu select the desired waveform for Waveform 1 Waveform 2 and Waveform 3 in turn The recorder can record up to 3 waveforms at a time 3 Switch on or off IBP Overlap to enable or disable IBP recordings in the overlapping format When the IBP Overlap is enabled If two or more waveforms in the selected waveforms for recording are IBP waveforms the IBP waveforms will be r...

Page 221: ...s shown below Feed the paper through and pull some paper out from the top of the roller 3 Close the recorder door CAUTION Use only specified thermal paper Otherwise it may cause damage to the recorder s printhead the recorder may be unable to print or poor print quality may result Never pull the recorder paper with force when a recording is in process Otherwise it may cause damage to the recorder ...

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Page 223: ... Case Reports 25 2 1 Printing the End Case Report To print the end case report choose one of the following ways Select Print from the End Case Report menu Select Print End Case Report when you discharge a patient Select the End Case Report quick key only available for the independent external display 25 2 2 Setting a Report as An End Case Report The following reports can be set as end case reports...

Page 224: ...key from the Report column select End Case Report 2 From the Select Reports page set the Period NOTE End case report print period is calculated from the patient discharged time to the configured period Period setting is applicable to all the end case report 25 3 Manually Starting a Printing Task You can start a printing task manually 25 3 1 Starting Printing from the Current Page From the current ...

Page 225: ...w this procedure 1 Select the Main Menu quick key from the Report column select Normal Report 2 Select ECG Report 3 Set the desired options The following table only lists some of the options Menu item Function Description Speed Set the print speed of ECG waveforms 25 mm sec prints 25 mm of ECG waveform per second 50 mm sec prints 50 mm of ECG waveform per second Auto Interval Defines the spacing b...

Page 226: ...of ECG report generated by auto measurement Sequential 12 lead ECG data are recorded sequentially and displayed in 3 lines and 4 columns with 2 5 seconds of ECG data for each column Simultaneous Record simultaneous 12 lead ECG data Menu item Function Description Menu item Function Description Select Waveform Select the desired waveform to print Current Waveforms prints the realtime report for curr...

Page 227: ... Print Queue Each printing task includes the following information Print time Report title Printer name when using the printer server or IP address when using the network printer Printing status for example printing failed retrying and waiting 25 8 Printer Out of Paper When the printer runs out of paper the print request will not be responded If there are too many print jobs that are not responded...

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Page 229: ...nt related tasks 26 3 Setting the Timer You can set each timer independently To set the timer follow this procedure 1 Select the timer area to enter the Timer Setup menu 2 Set Timer Type Normal The timer has a single and defined run time and stops when the run time is reached Advanced The timer has a single and defined run time When the run time is reached the timer continuously displays the time ...

Page 230: ...26 2 NOTE You cannot change timer settings when a timer is running You can set Direction Run Time and Reminder Volume only for normal advanced and cycled timers ...

Page 231: ...ut the required password select 2 Select desired tab 27 2 The Device Location Settings Menu Item Default Setting Description Monitor Name Facility Department Location Fixed Fixed the Patient Management menu displays Bed No and Room No but you cannot change them Unfixed you can change Bed No and Room No from the Patient Management menu Bed No and Room No are cleared each time you discharge a patien...

Page 232: ...arch patients in the ADT server Department Room No Bed No Visit Number Patient ID Selected Patient Name Menu Item Default Setting Description Auto Discharge When Power Off Never Automatically discharges the patient when the monitor is turned off for the designated period of time Never not discharge a patient no matter for how long the monitor has been switched off Auto delete discharged patients w...

Page 233: ...y Full Name On Defines whether patient name is displayed in beds list on the remote monitors when this monitor is viewed by other monitors Menu Item Default Setting Description Minimum Alarm Volume 2 Alarm Sound ISO Defines the alarm tone pattern to distinguish the heart beat tone pulse tone and keystroke tone by frequency High Alarm Interval 10 sec Defines the interval between alarm tones for the...

Page 234: ... alarm tones of the current alarms are switched off but the alarm lamp remains flashing Off When Reset when the alarm system is reset both the alarm tone and alarm lamp of the current alarms are switched off Reminder Tone Alarm Reset Reminder On Selects the reminder tone rule when the alarm volume is set to zero or the alarm is reset or switched off On the monitor issues reminder tones at a design...

Page 235: ...or can be reset by remote devices Alarm Reminder Visible Audible Selects what alarm indicators are necessary for the remote devices Visible Audible the monitor provides visual alarm indication and continuous audible alarm indication if the alarm persists at the remote device Visible Single Tone the monitor provides visual alarm indication and a single tone when the alarm occurs at the remote devic...

Page 236: ...of alarms sent to the nurse call system Alarm Type Physiological Only Selects the type of alarms sent to the nurse call system Receive Call Help On Receives the calling signal if a monitor in the same department calls for help Section Menu Item Default Setting Description Alarm Priority ECG Lead Off Low Selects the priority of the ECG lead off alarm SpO2 Sensor Off Low Selects the alarm level for ...

Page 237: ...ntubation Print on Alarm Printer Printer enables automatic printing via printer when a parameter alarm is triggered Recorder enables automatic recording via recorder when a parameter alarm is triggered CMS eGW Disconnected Alarm Off Selects whether an alarm is issued when the monitor is not connected or disconnected from the CMS eGateway Off the Offline alarm is not presented when the monitor is n...

Page 238: ...s the QTc formula used to correct the QT interval for heart rate Hodges Bazett Fridericia Framingham 12 Lead Order No Selects whether to send the order of 12 lead interpretation report to the hospital information system while saving the report QTc QT 1 75 HearRate 60 QTc QT HearRate 60 1 2 QTc QT HeartRate 60 1 3 QTc QT 154 1 60 HeartRate Menu Item Default Setting Description Zero Recovery for 30s...

Page 239: ... of the unselected gas is equal to or greater than 1 you will be prompted to select the gas to enable the measurement Set XX measurement to On Zero Select this button to start zeroing the AG module Menu Item Default Setting Description IBP Filter 12 5 Hz PAWP Timeout 15 min The measurements become outline fonts after a preset time This avoids older values being misinterpreted as current measuremen...

Page 240: ...losure OxyCRG 12 Lead ECG ST Menu Item Default Setting Description Lethal Lock Selected Selects what kind of events will be locked Locked events will not be deleted Unselected High Med Low Rename Event On Selects whether arrhythmia events can be renamed Menu Item Default Setting Description Connection Type Printer Selects you want to output patient reports via the print server or a network printer...

Page 241: ... the resolution for the default printer for paper report only PDF Resolution 600 dpi Selects the resolution for the default printer for PDF report only Print on Alarm Report for print server only Print Action Paper Selects the media of the reports Printer Selects the default printer for paper report only Printer Resolution Selects the resolution for the default printer for paper report only PDF Re...

Page 242: ... Race Medication Class Physician Technician Department Room No Bed No 12 Lead Order Menu Item Default Setting Description PDF File Name Selects the name of PDF files N A refers to no information Menu Item Default Setting Description Second Mark Printer On Selects whether to show second marks on the report output by the printer Arrhy Setting Recorder Off Selects whether to include arrhythmia thresh...

Page 243: ...rval 1 hr Select the time interval for synchronizing the monitor time with the NTP server time Time Server Address The domain name of the time server Time Server The IP address of the time server Network Test Tests whether the NTP server is properly connected Menu Item Default Setting Description Auto Daylight Savings Time Off On auto starts the daylight saving time Menu Item Default Setting Descr...

Page 244: ...s between the monitor and third party devices Parity Mode None Data Bits 8 Stop Bits 1 Menu Item Default Setting Description Section Menu Item Default Setting Description Retention Time 20 sec Selects timeout period of the MLDAP password for accessing the Maintenance menu alarm settings and arrhythmia settings If there is no operation after the specified timeout period is reached you need to re en...

Page 245: ...h alarm priority and arrhythmia threshold is password protected The monitor s password for changing arrhythmia settings is required User Password changing arrhythmia switch alarm priority and arrhythmia threshold is password protected The user name and password saved in the MLDAP server are required Modify Local Password Changes the monitor s password for accessing alarm settings and arrhythmia se...

Page 246: ...coding Type UTF8 When you set Scanner Type to 2D Scanner default settings are applied to Data Encoding Type and Data Parse Mode You do not need to change these settings Data Parse Mode Local Tab Default Setting Description Identify Scanner When you are using barcode readers other than HS 1R or HS 1M you should select the barcode reader from the USB device list so that the monitor can identify the ...

Page 247: ... IP Address Subnet Mask and Gateway are required IP Address 0 0 0 0 Subnet Mask 0 0 0 0 Gateway 0 0 0 0 Obtain DNS address automatically Selected Automatically gets the DNS address Using the Following DNS Address Unselected IP addresses of Preferred DNS Server and Alternate DNS Server are required Preferred DNS Server 0 0 0 0 Alternate DNS Server 0 0 0 0 Menu Item Default Setting Description Add W...

Page 248: ...is required Preferred DNS Server 0 0 0 0 Alternate DNS Server 0 0 0 0 WLAN Setup WLAN Band Auto Auto automatically identifies the WLAN band 2 4G Channel All Selects the 2 4G channels 5G Channel All Selects the 5G channels Network Test Tests whether the wireless network is properly connected Certificate Management Local Delete delete the selected certifications USB Drive Select certifications you w...

Page 249: ...ervice quality of network connection for non realtime monitoring for example history data printing and as on Menu Item Default Setting Description Server Address 192 168 0 100 Input the host name or IP address of the ADT gateway IP Address 192 168 0 100 Port 3502 Input the port of the ADT gateway ADT Query Off Selects whether patient information can be loaded to the monitor from the ADT server Net...

Page 250: ...ncryption is used when connecting the devices For devices not supporting SSL encryption private encryption is used when connecting the devices Broadcast Patient Demographics On On when viewing other patients device location and patient information of remote devices are displayed in the remote device list Off patient information does not display in the remote device list Menu Item Default Setting D...

Page 251: ...e the battery from use and dispose of it properly If the battery shows signs of damage or signs of leakage replace it immediately Batteries should be charged only in this monitor Extremely high ambient temperature may cause battery overheat protection resulting in monitor shutdown The lithium ion battery has a service life of three years Replace your battery when it reaches the end of its service ...

Page 252: ...our monitor You can only use a smart battery if the smart battery label is available on the back of the battery compartment and a non smart battery if the smart battery label is not available The following figure shows the smart battery label on the back of the battery compartment 28 3 2 Installing the Battery in a Built in Battery Compartment No battery is installed when the monitor leaves the fa...

Page 253: ...nal is plugged into the battery connector 5 Close the battery door 28 4 Battery Indications The battery LED on screen battery power indicator and related alarm messages indicate the battery status 28 4 1 Battery LED The battery LED indications are as follows Green the battery is fully charged Yellow the battery is being charged Green and flashing the monitor runs on battery power Off no battery is...

Page 254: ...mpletely depleted and the equipment automatically shuts down 4 Fully charge the battery again for use or charge it to 40 60 for storage NOTE Do not use the equipment to monitor the patient during battery conditioning Do not interrupt battery conditioning 28 6 2 Checking Battery Performance The performance of a rechargeable battery deteriorates over time You should check the battery performance eve...

Page 255: ...a cool place can slow the aging process Ideally the batteries should be stored at 15 C 28 8 Recycling Batteries Discard a battery in the following situations The battery has visual signs of damage The battery fails The battery is aged and its runtime significantly less than the specification The battery service life is reached Properly dispose of batteries according to local regulations WARNING Do...

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Page 257: ... or accessories in liquids or allow liquid to enter the interior Any contact of cleaners or disinfectants with connectors or metal parts may cause corrosion Do not pour or spray any liquid directly on the equipment or accessories or permit fluid to seep into connections or openings If you spill liquid on the equipment or accessories disconnect the power supply dry the equipment and contact your se...

Page 258: ...rox professional products company Clorox Healthcare Hydrogen Peroxide Cleaner Disinfectant Wipes Wipes Clorox professional products company Diversey Oxivir TB Wipes Wipes Diversey Inc Metrex CaviCide1 Liquid spray METERX RESEARCH Metrex CaviWipes Wipes METERX RESEARCH PDI Sani Cloth AF3 Germicidal Disposable Wipe Wipes PDI Inc PDI Sani Cloth Bleach Germicidal Disposable Wipe Wipes PDI Inc PDI Sani...

Page 259: ...RATORIES Wip Anios premium Wipes ANIOS LABORATORIES Aniosurf ND premium 0 25 Liquid ANIOS LABORATORIES Mikrobac Tissues Wipes BODE Chemie GmbH Cleanisept Wipes Wipes Dr Schumacher GmbH mikrozid PAA Wipes Wipes Schülke Mayr GmbH mikrozid Sensitive Wipes Wipes Schülke Mayr GmbH Ecolab Incidin OxyWipe S Wipes Ecolab Deutschland GmbH Glutaraldehyde 2 Liquid Ethanol 70 Liquid Isopropanol 70 Liquid Sodi...

Page 260: ...lean or disinfect the connectors and metal parts Use only Mindray approved cleaners and disinfectants and methods listed in this section to clean or disinfect the accessories Warranty does not cover damage caused by unapproved substances or methods To avoid long term damage the accessories should be disinfected only when necessary as determined by your hospital s policy 29 5 1 Cleaning the Accesso...

Page 261: ...ani Cloth Plus Germicidal Disposable Wipe Wipes PDI Inc PDI Super Sani Cloth Germicidal Disposable Wipe Wipes PDI Inc VIRAGUARD Hospital Surface Disinfectant Towelettle Wipes VERIDIEN corporation Virex TB Liquid spray Diversey Inc Clinell Universal Wipes Wipes GAMA Healthcare Ltd Surfa safe Liquid spray ANIOS LABORATORIES Aniosurf ND premium 0 25 Liquid ANIOS LABORATORIES mikrozid Tissues Wipes Sc...

Page 262: ...ing paper 4 Gently wipe the print head with cotton swabs dampened with ethanol to remove the dust and foreign par ticles 5 Wipe off excess moisture with dry cotton swabs 6 Allow the print head air dry 7 Reload the recording paper and close the recorder door Clorox Healthcare Hydrogen Peroxide Cleaner Disinfectant Wipes Wipes Clorox professional products company Diversey Oxivir TB Wipes Wipes Diver...

Page 263: ...o not clean the print head immediately after recording 29 8 Impact of Improper Cleaning Using cleaners other than those recommended may have the following impact Product discoloration Metal part corrosion Brittle and breaking wires connectors and equipment housing Reduced cable and leadwire life Overall system performance degradation Equipment malfunction or failure ...

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Page 265: ...y terminals Batteries may ignite explode leak or heat up causing personal injury The service personnel must be properly qualified and thoroughly familiar with the operation of the equipment CAUTION The equipment and accessories shall not be served or maintained while in use with a patient If you discover a problem with any of the equipment contact your service personnel or Mindray Use and store th...

Page 266: ...Performance Tests Visual inspection Every day before first use Measurement module performance test and calibration 1 If you suspect that the measurement values are incorrect 2 Follow any repairs or replacement of relevant module 3 Once a year for CO2 and AG tests 4 Once every two years for other parameter module performance tests Analog output test If you suspect that the analog output function do...

Page 267: ...ding task to print waveforms and reports 2 Check that the recorder functions correctly 3 Check that the printout is clear without missing dots 30 4 4 Testing the Network Printer To check the printer follow this procedure 1 Start a printing task to print waveforms and reports 2 Check that the printer is properly connected and functions correctly 3 Check that the printout is clear without missing do...

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Page 269: ...accessories and their packages for any sign of damage Do not use them if any damage is detected Use the accessories before the expiry date if their expiry date is indicated The disposable accessories shall be disposed of according to hospital s regulations 31 1 ECG Accessories 31 1 1 ECG Electrodes Model PN Description Applicable patient 31499224 0010 10 12304 Electrode Kendall 10 pcs package Adul...

Page 270: ...961 00 ECG cable 12 pin 5 lead AHA snap Adult Pediatric EA6252B 040 000963 00 ECG cable 12 pin 5 lead IEC snap Adult Pediatric EA6251A 040 000960 00 ECG cable 12 pin 5 lead AHA clip Adult Pediatric EA6252A 040 000962 00 ECG cable 12 pin 5 lead IEC clip Adult Pediatric EA6231B 040 000965 00 ECG cable 12 pin 3 lead AHA snap Adult Pediatric EA6232B 040 000967 00 ECG cable 12 pin 3 lead IEC snap Adult...

Page 271: ...tric Model PN Description Length Applicable patient EY6601B 009 004794 00 ECG leadwires 6 lead AHA snap 24 inch 24 inch Adult Pediatric EY6602B 009 004795 00 ECG leadwires 6 lead AHA snap 36 inch 36 inch Adult Pediatric EY6603B 009 004796 00 ECG leadwires 6 lead IEC snap 24 inch 24 inch Adult Pediatric EY6604B 009 004797 00 ECG leadwires 6 lead IEC snap 36 inch 36 inch Adult Pediatric EY6601A 009 ...

Page 272: ...IEC snap 0 6 m Adult Model PN Description Length Applicable patient Model Part No Description Applicable patient 562A 0010 20 42710 009 004600 00 7 pin Mindray All 572A 0010 20 42712 8 pin Nellcor All 582A 040 000332 00 8 pin Masimo All Model PN Description Applicable patient Application site 512F 512F 30 28263 Reusable SpO2 sensor Adult Finger 512H 512H 30 79061 Reusable SpO2 sensor Pediatric Fin...

Page 273: ... sensor Adult Neonate Finger foot MAXAI 0010 10 12202 Disposable SpO2 sensor Adult 30 kg Finger MAXPI 0010 10 12203 Disposable SpO2 sensor Pediatric 10 50Kg Finger MAXII 0010 10 12204 Disposable SpO2 sensor Infant 3 20Kg Toe MAXNI 0010 10 12205 Disposable SpO2 sensor Neonate 3 kg adult 40 kg Finger foot Model Part No Description Applicable patient MR420B 040 001235 00 2 pin extension cable All Mod...

Page 274: ...nfant CM1301 040 000973 00 Reusable cuff bladderless 10 19 7 2 Infant CM1302 040 000978 00 Reusable cuff bladderless 18 26 9 8 Pediatric CM1303 040 000983 00 Reusable cuff bladderless 24 35 13 1 Adult CM1304 040 000988 00 Reusable cuff bladderless 33 47 16 5 Large adult CM1305 040 000993 00 Reusable cuff bladderless 46 66 20 5 Adult thigh CM1306 115 015930 00 Reusable cuff bladderless 24 35 13 1 A...

Page 275: ...l Part No Description Limb Circumference cm Bladder Width cm Applicable patient Model Part No Description Applicable patient IM2202 001C 30 70757 12 pin IBP cable Argon DT 4812 6000 10 02107 IBP transducer disposable Argon Adult Pediatric Neonate 682275 0010 10 12156 Transducer Manifold Mount Argon IM2201 001C 30 70759 12 Pin IBP cable ICU Medical 42584 0010 10 42638 IBP transducer disposable ICU ...

Page 276: ...00 Nasal CO2 sample cannula disposable Neonate 60 15200 00 115 043017 00 Airway sampling line disposable Adult Pediatric 60 15300 00 115 043018 00 Airway sampling line disposable Neonate 60 14100 00 115 043020 00 Airway adapter straight disposable 040 001187 00 115 043019 00 Airway adapter disposable Neonate 60 14200 00 115 043021 00 Airway adapter elbow disposable 100 000080 00 115 043024 00 Wate...

Page 277: ...isposable nasal sampling line Pediatric Model Part No Description Applicable patient Model Part No Description Applicable patient 6063 0010 10 42662 Airway adapter disposable Adult Pediatric 6421 0010 10 42663 Airway adapter disposable with mouthpiece Adult Pediatric 6312 0010 10 42664 Airway adapter disposable Pediatric Neonate 7007 0010 10 42665 Airway adapter reusable Adult Pediatric 7053 0010 ...

Page 278: ...racket 045 002877 00 VS600 VS900 new value stand 045 002936 00 No handle basket pack 8000 30 90170 Bedrail clamp 045 003255 00 N12 roll stands With iPM iMEC adapter 8000 30 90169 Bedrail hook Part No Description 009 001075 00 Power cord 250 V 10 A 3 m Brazil 009 001791 00 Power cord 250 V 16 A 3 m South Africa 009 002636 00 Power cord 10 A 1 5 m Australia standard 009 007190 00 Power cord 3 m Indi...

Page 279: ...be 20cm 40cm 009 003903 00 Accessories management tape 009 009117 00 Serial port cable Part No Description Module Model Comments C O module C O Supports C O monitoring IBP module IBP Supports IBP monitoring Microstream CO2 module CO2 1 Supports CO2 monitoring Mainstream CO2 module CO2 2 Supports CO2 monitoring Sidestream CO2 module CO2 3 Supports CO2 monitoring Sidestream CO2 module CO2 4 Supports...

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Page 281: ...s Item Maximum Weight kg W H D mm Comments ePM 10M ePM 10MA ePM 10MC main unit 4 5 standard configuration and recorder excluding battery accessories and modules 269 252 159 4 0kg standardconfiguration excluding battery accessories modules and recorder ePM 12M ePM 12MA ePM 12MC main unit 5 5 standard configuration and recorder excluding battery accessories and modules 310 289 169 4 8kg standardconf...

Page 282: ...35 configured with AG module 15 to 95 427 5 to 805 5 mmHg 57 to 107 4 kPa Storage Condition 20 to 60 10 to 95 120 to 805 5 mmHg 16 to 107 4 kPa Microstream CO2 Module Item Temperature ºC Relative humidity noncondensing Barometric Operating Condition 0 to 40 15 to 95 430 to 790 mmHg 57 3 to 105 3 kPa Storage Condition 20 to 60 10 to 95 430 to 790 mmHg 57 3 to 105 3 kPa Sidestream CO2 Module Item Te...

Page 283: ...argeable lithium Ion battery non smart battery Voltage 10 95V Capacity 2600 mAh Battery LI23S002A Type Rechargeable lithium Ion battery non smart battery Voltage 10 95V Capacity 4500 mAh Battery LI23I003A Type Smart rechargeable lithium Ion battery smart battery Voltage 10 8V Capacity 5600 mAh Maximum number of batteries configured ePM 10M ePM 10MA ePM 10MC only one battery can be connected ePM 12...

Page 284: ...than 2 5 hours to 90 when the monitor is off No more than 5 hours to 90 when the monitor is on Battery LI23S002A one battery connected No more than 5 hours to 90 when the monitor is off No more than 10 hours to 90 when the monitor is on Battery LI23I003A one battery connected No more than 5 hours to 90 when the monitor is off No more than 10 hours to 90 when the monitor is on Battery LI23I003A two...

Page 285: ...ly with IEC 60601 1 8 AC power input 1 Network connector 1 standard RJ45 connectors 100 Base TX IEEE 802 3 USB connector 2 USB 2 0 Module rack 1 Multifunctional connector 1 Video output connector 1 15 pin D sub Equipotential grounding terminal 1 Auxiliary Output Standard Meets the requirements of IEC 60601 1 for short circuit protection and leakage current ECG Analog Output Bandwidth 3dB reference...

Page 286: ...pacity internal card up to 120 hours of trend data with the resolution no less than 1 minute or up to 1200 hours of trend data with the resolution no less than 10 minutes High capacity internal card up to 240 hours of trend data with the resolution no less than 1 second or up to 2400 hours trend data with the resolution no less than 10 minutes Events Standard capacity internal card 1000 events inc...

Page 287: ...rotocol IEEE 802 11a b g n Modulation mode BPSK QPSK 16QAM 64QAM Operating frequency 2412 MHz to 2472 MHz 5180 MHz to 5320 MHz 5500 MHz to 5700 MHz 5745 MHz to 5825 MHz WARNIGN SX SDMAC 2832S supports the DFS channels When using the DFS channels Wi Fi performance stability and roaming time can be undermined due to avoiding interfering with Radar systems DFS channels are disabled by default and not...

Page 288: ...Bm The distance between the interfering devices and the monitor is greater than 20 cm A Wi Fi interference no greater than 85 dBm in the same channel and a Wi Fi interference no greater than 50 dBm in an adjacent channel are presented synchronously The interfering devices include but are not limited to 2 4 G wireless devices cellular mobile networks microwave ovens interphones cordless phones and ...

Page 289: ...T mode 90 dB 105 dB with notch filter on 105 dB with notch filter on 105 dB with notch filter on Notch filter 50 60 Hz Monitor surgical and ST mode notch filter turns on automatically Diagnostic mode and High Freq Cut off notch filter is turned on off manually Differential input impedance 5 MΩ Input signal range 10 mV peak to peak value Accuracy of signal reproduction Use A and D methods based on ...

Page 290: ...sponse to irregular rhythm In compliance with the requirements in Clause 201 7 9 2 9 101 b 4 of IEC 60601 2 27 the heart rate after 20 seconds of stabilization is displayed as follows Ventricular bigeminy waveform A1 80 1 bpm Slow alternating ventricular bigeminy waveform A2 60 1 bpm Rapid alternating ventricular bigeminy waveform A3 120 1 bpm Bidirectional systoles waveform A4 90 2 bpm Response t...

Page 291: ... 40 bpm 5 bpm HR Low HR 40bpm 16 bpm to high limit 2 bpm HR 40 bpm 40 bpm to high limit 5 bpm ST High low limit 0 2 mV to 2 0 mV ST alarm mode Absolute 0 mV to 2 0 mV ST alarm mode Relative 0 05 mV ST Low 2 0 mV to high limit 0 2 mV ST alarm mode Absolute 2 0 mV to 0 mV ST alarm mode Relative QTc High 200 to 800 ms 10 ms ΔQTc High 30 to 200 ms Technique Trans thoracic impedance Lead Options are le...

Page 292: ...asurements are expected to come within the specified accuracy range compared to CO oximeter measurements Measurement range 0 to 100 Resolution 1 Response time 30 s normal perfusion no disturbance SpO2 value sudden changes from 70 to 100 Accuracy 70 to 100 2 adult pediatric mode 70 to 100 3 neonate mode 0 to 69 Not specified One percent was added to the accuracies for neonatal sensors to account fo...

Page 293: ...meter with sensors have been validated for no motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies in the range of 70 to 100 SpO2 against a laboratory co oximeter and ECG monitor This variation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population One percent was added to the accuracies for neonata...

Page 294: ...rbance PR value sudden changes from 25 to 220bpm Accuracy 3 bpm Refreshing rate 1 s Measurement range 20 to 300 bpm Resolution 1 bpm Response time 30 s normal perfusion no disturbance PR value sudden change from 25 to 250 bpm Accuracy 20 to 250 bpm 3 bpm 251 to 300 bpm not specified Refreshing rate 1 s Measurement range 25 to 240 bpm Resolution 1 bpm Response time 20 s with normal perfusion no dis...

Page 295: ...C 0 2 to 90 0 F Standard Meet standard of IEC 80601 2 30 Technique Oscillometry Mode of operation Manual Auto STAT Sequence Auto mode repetition intervals 1 2 2 5 3 5 10 15 20 30 60 90 120 180 240 or 480 min STAT mode cycle time 5 min Max measurement time Adult Pediatric 180 s Neonate 90 s Heart rate range 30 to 300 bpm Measurement ranges mmHg Adult Pediatric Neonate Systolic 25 to 290 25 to 240 2...

Page 296: ... to 110 NIBP D Low 11 to high limit 5 NIBP S Extreme High NIBP S high limit 50 Adult NIBP S high limit 1 to 290 Pediatric NIBP S high limit 1 to 240 Neonate NIBP S high limit 1 to 140 NIBP S high limit 50 Adult NIBP S high limit 5 to 290 Pediatric NIBP S high limit 5 to 240 Neonate NIBP S high limit 5 to 140 NIBP 50 1 NIBP 50 5 NIBP S Extreme Low NIBP S low limit 50 25 to NIBP S low limit 1 NIBP S...

Page 297: ...onfiguration in a typical patient population A 13 7 IBP Specifications NIBP D Extreme High NIBP D high limit 50 Adult NIBP D high limit 1 to 250 Pediatric NIBP D high limit 1 to 200 Neonate NIBP D high limit 1 to 115 NIBP D high limit 50 Adult NIBP D high limit 5 to 250 Pediatric NIBP D high limit 5 to 200 Neonate NIBP D high limit 5 to 115 NIBP 50 1 NIBP 50 5 NIBP D Extreme Low NIBP D low limit 5...

Page 298: ...rt M Extreme Low Art D Extreme Low Standard Meet the standard of ISO 80601 2 56 Measurement method Thermodilution method Measurement range C O TB TI 0 1 to 20 L min 23 to 43 C 0 to 27 C Resolution C O TB TI 0 1 L min 0 1 C Accuracy C O TB TI 5 or 0 1 L min whichever is greater 0 1 C without sensor TB Operating mode Direct mode Minimum time for accurate TB measurement 10 s Repeatability C O 2 or 0 ...

Page 299: ...I E The EtCO2 accuracy is within specification for breath rate 60 rpm and I E ratio 1 1 or breath rate 30 rpm and I E ratio 2 1 CO2 resolution 1 mmHg Recovery time 15 s after defibrillation O2 measurement range 0 to 100 O2 absolute accuracy 0 O2 concentration 25 1 25 O2 concentration 80 2 80 O2 concentration 100 3 O2 resolution 1 Accuracy drift Meet the requirement for measurement accuracy within ...

Page 300: ...For CO2 measurement without O2 measurement Measured with a DRYLINE II neonatal watertrap and a 2 5 meter neonatal sampling line 250 ms 70 ml min 250 ms 90 ml min Measured with a DRYLINE II adult watertrap and a 2 5 meter adult sampling line 300 ms 120 ml min For CO2 measurement with O2 measurement Measured with a DRYLINE II neonatal watertrap and a 2 5 meter neonatal sampling line 250 ms 90 ml min...

Page 301: ...up to 80 rpm For respiration rate above 80 rpm and EtCO2 exceeding 18 mmHg the accuracy is 4 mmHg or 12 of the reading whichever is greater For respiration rate above 60 rpm the above accuracy can be achieved by using the FilterLine H Set for Infant Neonatal Model 006324 In the presence of interfering gases the above accuracy is maintained to within 4 Resolution 1 mmHg Recovery time 15 s after def...

Page 302: ... rpm Standard Meet the standard of ISO 80601 2 55 Technique Infrared absorption paramagnetic properties for O2 monitoring Recovery time 15 s after defibrillation Warm up time Iso accuracy mode Full accuracy mode 45 s 10 min Sample flow rate Adult Pediatric Neonate Accuracy 200 ml min 120 ml min 10 ml min or 10 whichever is greater Measurement range CO2 O2 N2O Des Sev Enf Iso Hal awRR 0 to 30 0 to ...

Page 303: ...Not specified Note1 The highest GAS LEVEL for a single halogenated anaesthetic gas in a gas mixture that is concealed when the anaesthetic concentration falls is 0 15 0 3 Full ISO accuracy Accuracy drift Meet the requirement for measurement accuracy within 6 hours Apnea alarm time 10 s 15 s 20 s 25 s 30 s 35 s 40 s Refreshing rate 1 s Rise time 10 90 Gas sample flow rate 120ml min using a DRYLINE ...

Page 304: ...AL and O2 for breath rate larger than 15 BPM Add 6 REL to inaccuracy for all gases for breath rate larger than 30 BPM inaccuracy for HAL and O2 are unspecified in this case inaccuracy is unspecified for breath rate larger than 60 BPM Effect of interference gases on AG measurements Gas Concentration Quantitative effect ABS 3 CO2 N2O Agent 1 O2 CO2 0 1 0 0 2 N2O 0 1 0 1 0 2 Agent 1 2 0 1 0 1 0 1 1 X...

Page 305: ...8 0 0 1 EtSev Low 0 to high limit 0 2 FiSev High low limit 0 2 to 8 0 FiSev Low 0 to high limit 0 2 EtDes High low limit 0 2 to 18 0 0 1 EtDes Low 0 to high limit 0 2 FiDes High low limit 0 2 to 18 0 FiDes Low 0 to high limit 0 2 Standard Meet the standard of IEC 60601 2 26 Technique Bispectral index Measured parameters EEG BIS BIS L BIS R 0 to 100 Calculated parameters SQI SQI L SQI R 0 to 100 EM...

Page 306: ...A 26 Patient leakage current 10 μA Recovery time 30 s after defibrillation Alarm limit Range Step BIS High low limit 5 to 100 5 BIS Low 0 to high limit 5 ...

Page 307: ...uch as antenna cables and external antennas should be used no closer than 30 cm 12 inches to any part of the this device including cables specified by the manufacturer Otherwise degradation of the performance of this equipment could result If the system is operated within the electromagnetic environment listed in Table Guidance and Declaration Electromagnetic Immunity the system will remain safe a...

Page 308: ...ance level Electromagnetic environment guidance Electrostatic discharge ESD IEC 61000 4 2 8 kV contact 15 kV air 8 kV contact 15 kV air Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Electrical fast transient burst IEC 61000 4 4 2 kV for power supply lines 1 kV for input output lines 2 kV for power supply lin...

Page 309: ...ngeb Interference may occur in the vicinity of equipment marked with the following symbol Proximity fields from RF wireless communications equipment IEC61000 4 3 27 V m 385 MHz 27 V m 28 V m 810 MHz 870 MHz 930 MHz 1720 MHz 1845 MHz 1970 MHz 2450 MHz pulse modulation 28 V m 28V m 450 MHz FM modulation 28 V m 9V m 710 MHz 745 MHz 780 MHz 5240 MHz 5500 MHz 5785 MHz 9 V m Note 1 At 80 MHz to 800 MHz ...

Page 310: ...d RF disturbances are controlled The customer or the user of the device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the device as recommended below according to the maximum output power of the communications equipment Rated maximum output power of transmitter W Separation distance in meters...

Page 311: ...ty Med Alarm Outputs Off Extreme Tachy Alarm switch On High limit Adult 160 bpm Pediatric 180 bpm Neonate 220 bpm Priority High Alarm Outputs Off Extreme Brady Alarm switch On Low limit Adult 35 bpm Pediatric 50 bpm Neonate 60 bpm Priority High Alarm Outputs Off Alarm Source Auto ECG1 II ECG2 5 lead 6 lead 12 lead V Va V1 Va for 6 lead only Va Vb for 6 lead only Vb ECG Gain 1 Speed 25 mm sec Filte...

Page 312: ...eject Off Item Default Setting Item Alarm Switch Priority Alarm Outputs Asystole On High unadjustable Off V Fib V Tach On High unadjustable Off V Tach On High unadjustable Off Vent Brady On High unadjustable Off Extreme Tachy On High unadjustable Off Extreme Brady On High unadjustable Off R on T CCU On Other departments Off Med Off Run PVCs Off Low Off Couplet Off Prompt Off Multiform PVC Off Med ...

Page 313: ...n Other departments Off Med Off Item Adult Pediatric Neonate Asystole Delay 5 sec 5 sec 5 sec Tachy 120 bpm 160 bpm 200 bpm Brady 50 bpm 75 bpm 100 bpm Extreme Tachy 160 bpm 180 bpm 220 bpm Extreme Brady 35 bpm 50 bpm 60 bpm Multif PVCs Window 15 beats 15 beats 15 beats PVCs min 10 10 10 Pause min 8 8 8 Pause Threshold 2 0 sec 2 0 sec 2 0 sec AF Irr Rhy End Time 2 min 2 min 2 min V Tach Rate 130 b...

Page 314: ...V Priority Med Alarm Outputs Off ST Single ST Dual ST Alarm Mode set to Relative Alarm switch Off High limit 0 1 mV Low limit 0 1 mV Priority Med Alarm Outputs Off ST Analysis Off ST Segment Auto Show Markers Off ST Point J 60 ms Auto Adjust On J 48 ISO 80 Item Default Setting QTc Alarm switch Off High limit Adult 500 Pediatric 480 Neonate 460 Priority Med Alarm Outputs Off ΔQTc Alarm switch Off H...

Page 315: ...0 mm mV Speed 25 mm sec Auto Interval Off 12 Lead Format 3 4 1 Rhythm Lead 1 II Rhythm Lead 2 V2 Rhythm Lead 3 V5 Format Sequence Sequential Item Default Setting RR Alarm switch On High limit Adult 30 Pediatric 30 Neonate 100 Low limit Adult 8 Pediatric 8 Neonate 30 Priority Med Alarm Outputs Off Apnea Alarm switch On Priority High unadjustable Alarm Outputs Off Apnea Delay Adult 20 sec Pediatric ...

Page 316: ...ff Sat Seconds for Nellcor SpO2 Off NIBP Simul Off FastSAT for Masimo SpO2 Off Display SIQ for Masimo SpO2 Off Sensitivity for Mindray SpO2 Medium Sensitivity for Masimo SpO2 APOD Averaging for Masimo SpO2 8s Display PI for Mindray SpO2 Masimo SpO2 Off Speed 25 mm s PR Alarm switch On High limit Adult 120 Pediatric 160 Neonate 200 Low limit Adult 50 Pediatric 75 Neonate 100 Priority Med Alarm Outp...

Page 317: ...m switch On High limit Adult 160 mmHg Pediatric 120 mmHg Neonate 90 mmHg Low limit Adult 90 mmHg Pediatric 70 mmHg Neonate 40 mmHg Priority Med Alarm Outputs Off NIBP D Alarm switch On High limit Adult 90 mmHg Pediatric 70 mmHg Neonate 60 mmHg Low limit Adult 50 mmHg Pediatric 40 mmHg Neonate 20 mmHg Priority Med Alarm Outputs Off NIBP M Alarm switch On High limit Adult 110 mmHg Pediatric 90 mmHg ...

Page 318: ...c 30 mmHg Neonate 15 mmHg Priority High Alarm Outputs Off NIBP M Extreme Alarm switch On High limit Adult 125 mmHg Pediatric 100 mmHg Neonate 75 mmHg Low limit Adult 45 mmHg Pediatric 40 mmHg Neonate 20 mmHg Priority High Alarm Outputs Off Initial Pressure Adult 160 mmHg Pediatric 140 mmHg Neonate 90 mmHg Interval OR 5 min NICU 30 min Other departments 15 min Start Mode Clock NIBP End Tone Off Ven...

Page 319: ...ressure Adult 90 mmHg Pediatric 70 mmHg Neonate 55 mmHg PA Adult 10 mmHg Pediatric Neonate 24 mmHg Priority Med Alarm Outputs Off IBP D Alarm switch On High limit Art Ao UAP BAP FAP LV P1 P2 arterial pressure Adult 90 mmHg Pediatric 70 mmHg Neonate 60 mmHg PA Adult 16 mmHg Pediatric Neonate 4 mmHg Low limit Art Ao UAP BAP FAP LV P1 P2 arterial pressure Adult 50 mmHg Pediatric 40 mmHg Neonate 20 mm...

Page 320: ...onate 35 mmHg PA Adult 0 mmHg Pediatric Neonate 12 mmHg ICP RAP LAP UVP P3 P4 venous pressure Adult 0 mmHg Pediatric Neonate 0 mmHg CVP Adult 0 cmH2O Pediatric Neonate 0 cmH2O Priority Med Alarm Outputs Off Art S Extreme Alarm switch Off High limit Adult 175 mmHg Pediatric 130 mmHg Neonate 95 mmHg Low limit Adult 75 mmHg Pediatric 60 mmHg Neonate 50 mmHg Priority High Alarm Outputs Off Art D Extre...

Page 321: ...Measure for P1 P2 All Measure for P3 P4 Mean Only Sensitivity Med Speed 25 mm sec Scale ICP RAP LAP UVP venous pressure 0 20 mmHg Art Ao BAP FAP LV P1 P2 arterial pressure 0 160 mmHg UAP P3 P4 venous pressure 0 80 mmHg PA CVP PA 0 30 mmHg CVP 0 30 cmH2O PPV Measure Off PPV Source Auto PAWP Reference Waveform 1 II Reference Waveform 2 Resp Speed 12 5 mm sec PA Scale mmHg 0 30 Overlapping Waveform S...

Page 322: ... limit 36 0 C Priority Med Alarm Outputs Off Comp Const 0 542 Auto Start On Auto TI On Item Default Setting EtCO2 Alarm switch On High limit Adult Pediatric 50 mmHg Neonate 45 mmHg Low limit Adult Pediatric 25mmHg Neonate 30mmHg Priority Med Alarm Outputs Off FiCO2 Alarm switch On High limit 4 mmHg Priority Med Alarm Outputs Off Apnea Delay Adult Pediatric 20 s Neonate 15 s RR Source Auto Speed 6 ...

Page 323: ...2 Alarm switch On High limit Adult Pediatric 100 Neonate 90 Low limit 18 Priority Med Alarm Outputs Off BTPS Compensation Off AG Compensation 0 N2O Compenation 0 Auto Standby 60 min Operating Mode Measure Item Default Setting BTPS Compensation Off Maximum Hold 20 sec Auto Standby Off Operating Mode Measure Item Default Setting Maximum Hold 10 sec O2 Compensation Off Balance Gas Room Air AG Compens...

Page 324: ...ty Med Alarm Outputs Off EtO2 Alarm switch On High limit 88 Low limit 18 Priority Med Alarm Outputs Off FiO2 Alarm switch On High limit Adult Pediatric 100 Neonate 90 Low limit 18 Priority Med Alarm Outputs Off EtN2O Alarm switch On High limit 55 Low limit 0 Priority Med Alarm Outputs Off FiN2O Alarm switch On High limit 53 Low limit 0 Priority Med Alarm Outputs Off EtAA FiAA Alarm switch On High ...

Page 325: ...ow limit 0 0 Priority Med Alarm Outputs Off FiSev Alarm switch On High limit 5 0 Low limit 0 0 Priority Med Alarm Outputs Off EtDes Alarm switch On High limit 8 0 Low limit 0 0 Priority Med Alarm Outputs Off FiDes Alarm switch On High limit 6 0 Low limit 0 0 Priority Med Alarm Outputs Off Apnea Delay Adult Pediatric 20 sec Neonate 15 sec RR Source Auto Operating Mode Measure Auto Standby Off Speed...

Page 326: ...etting BIS Alarm switch On High limit 70 Low limit 20 Priority Med Alarm Outputs Off Smoothing Rate 15 sec Display OR BIS Trend Other departments EEG LT RT Scale 100 μv Speed 25mm s Filter On Auto Check On Select Parameter SQI EMG SR SEF BIS Expand View Default Setting EEG Waveforms All Parameter 1 BIS L Parameter 2 EMG Trend Length 60 min Item Default Setting Alarm Volume 2 High Alarm Volume Alar...

Page 327: ...rd Zoom 8 hrs Trends 5 Events Filter Off Filter Setup All On Beat Anno Off Speed 25 mm s Gain 1 Full Disclosure Display Maximum 3 II Storage II Duration 1 min Scale 1 Beat Anno Off Speed 25 mm sec Gain 1 12 Lead ECG Speed 25 mm sec Gain 1 Layout 3 4 1 Item Default Setting Alarm Statistics OR Off Other departments On Alarm Statistics Length OR 2hrs Other departments 8 hrs Minitrend Length OR 30 min...

Page 328: ...sp Apnea Event Threshold HR 100 Duration HR 0 Threshold SpO2 80 Duration SpO2 0 Apnea 15 sec Event Storage Format 2 min 2 min Item Default Setting Rollup Alarm Beds On Rollup Interval Off Alarm Priority High Only Item Default Setting Primary Screen Choose Screen Normal Screen Display Screen Lock Duration General CCU Permanent Other departments 10sec Brightness 5 Brightness On Battery 1 Night Mode ...

Page 329: ...ad 2 V2 Rhythm Lead 3 V5 Format Sequence Sequential Realtime Report Speed Auto Select Waveform Current Waveforms Tabular Trends Report Period Auto Interval Auto Report Format Parameter Oriented Trend Group Standard Graphic Trends Period Auto Trend Group Standard Item Default Setting Waveform 1 I Waveform 2 II Waveform 3 Off IBP Overlap Off Recording Duration 8 sec Interval Off Recorder Paper Speed...

Page 330: ... Drug Amount mcg Solution Volume ml Dose mcg min Concentration mcg ml Infusion Time hr Infusion Rate ml hr Titration Table Dose Type Dose hr Interval 1 Oxygenation OxyCont Unit ml L Hb Unit g dl Pressure Unit mmHg Ventilation Pressure Unit mmHg Item Default Setting Date Format yyyy mm dd 24 Hour Time On Daylight Savings Time Off ...

Page 331: ...ution XX High Med XX value has risen above the high alarm limit or fallen below the low alarm limit Check the patient s condition and check if the patient category and alarm limit settings are correct XX Low Med Alarm message Default priority Asystole High VFib VTac High Vtac High Vent Brady High Extreme Tachy High Extreme Brady High PVCs min Med Pauses min Med R on T Med Bigeminy Med Trigeminy Me...

Page 332: ...the patient category and alarm limit settings are correct ST Dual Med ST values of two or more ECG leads have risen above the high alarm limit or fallen below the low alarm limit Check the patient s condition and check if the patient category and alarm limit settings are correct Alarm message Default priority Cause and solution Resp Artifact High The patient s heartbeat has interfered with his res...

Page 333: ...k the patient s condition and check if the alarm limit settings are correct Art S Extremely Low Art D Extremely Low Art M Extremely Low High The Art value is lower than the Art Extreme alarm low limit Check the patient s condition and check if the alarm limit settings are correct Alarm message Default priority Cause and solution FiO2 Shortage High FiO2 concentration is less than18 Check the patien...

Page 334: ...ersists contact your service personnel Alarm message Default priority Indication on alarm reset Cause and solution ECG Noisy Low Prompt A The ECG signal is noisy Check for any possible sources of signal noise around the cable and electrode and check the patient for excessive motion ECG Amplitude Too Small Low C The ECG amplitude does not reach the detected threshold Check for any possible source o...

Page 335: ...t light is too strong Move the sensor to a place with lower level of ambient light or cover the sensor to minimize the ambient light SpO2 No Pulse Low C The SpO2 sensor failed to obtain pulse signal Check the patient s condition and replace the sensor application site If the alarm persists replace the sensor SpO2 Sensor Incompatible Low C Incompatible or an unspecified SpO2 sensor is used Use spec...

Page 336: ...ts contact your service personnel NIBP Timeout Low A The measurement time exceeds 120 seconds in the adult or pediatric mode or exceeds 90 seconds in the neonatal mode and the BP value cannot be obtained Check the patient s condition and NIBP connections or replace the cuff and measure again NIBP Cuff and Patient Mismatch Low A The cuff type mismatches the patient category Verify the patient categ...

Page 337: ...onnections between the adapter and CO2 transducer Wait till the sensor s temperature becomes stabilized and then perform a zero calibration again For sidestream CO2 module replug the module If the alarm persists contact your service personnel CO2 No Watertrap Low B Check the watertrap connections CO2 High Airway Press Low C 1 Check the airway pressure settings of the ventilator anesthesia machine ...

Page 338: ...e sure that the CO2 transducer is connected CO2 Change Watertrap Low C Replace the watertrap CO2 Watertrap Mismatch Low C Check the patient category and use a correct watertrap CO2 Change O2 Cell Low C The oxygen sesnor is depleted or fails Replace the oxygen sensor Alarm message Default priority Indication on alarm reset Cause and solution Alarm message Default priority Indication on alarm reset ...

Page 339: ...ld Low A Replace the sensor BIS XX Signal Quality Too Low Low A SQI 15 1 Check the patient s condition 2 Check the sensor position and its contact with the patient s skin 3 Check that BISx or BISx4 is away from the electrically radiating equipment BIS XX Low Signal Quality Low A SQI 15 1 Check the patient s condition 2 Check the sensor position and its contact with the patient s skin 3 Check that ...

Page 340: ...or XX V Too Low High C Alarm message Default priority Indication on alarm reset Cause and solution Recorder Init Error Low A An error occurred during the recorder initialization If the alarm persists contact your service personnel Recorder Comm Error Low A Restart the monitor if not solved If the alarm persists contact your service personnel Recorderhead Overheated Low C The recorder has been work...

Page 341: ...e network connection View Bed XX YY ZZ Network Disconnected Low A The network is interrupted when the monitor is viewing the remote device Check the network connection Viewed by Bed XX YY ZZ Network Disconnected Low A The network is interrupted when the monitor is viewed by another remote device Check the network connection WLAN IP Address Conflict Low C Wireless network IP network conflicts Check...

Page 342: ...see 3 11 1 Switching On or Off a Parameter The display setup for XXX is disabled XX refers to the parameter label Prompt The parameter of the newly inserted module is not displayed on the screen Select a desired area to display the parameter numerics and waveforms For more information see 27 11 The Other Settings The patient data storage space is nearly full Please delete some discharged patients ...

Page 343: ...E 1 Power Cord Plug E 2 Device Enclosure and Accessories E 2 1 Visual Inspection E 2 2 Contextual Inspection Test Item Acceptance Criteria The power plug The power plug pins No broken or bent pin No discolored pins The plug body No physical damage to the plug body The strain relief No physical damage to the strain relief No plug warmth for device in use The power plug No loose connections The powe...

Page 344: ... Normal Condition normal polarity with open neutral Single Fault Condition reverse polarity with open neutral Single Fault Condition LIMITS For UL60601 1 300 μA in Normal Condition 1000 μA in Single Fault Condition For IEC60601 1 500 μA in Normal Condition 1000 μA in Single Fault Condition E 6 Patient Leakage Current Patient leakage currents are measured between a selected applied part and mains e...

Page 345: ...y Current Patient Auxiliary currents are 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 performing the Patient Auxiliary Current test normal polarity Normal Condition reverse polarity Normal Condition normal polarity with open neutral Single Fault Condition...

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Page 347: ...gned points are straight averaged F 5 Wave measurement From the 12 average beats first the peak of QRS is determined and then considering the amplitude and the slope the QRS onset and termination are determined In each individual lead the QRS onset is taken as the baseline and hence Q R S R waves are measured with respect to the QRS onset A sorting algorithm is then applied to all 12 onsets to det...

Page 348: ...f measurements against noise MEASUREMENT Mean Difference ms Acceptable standard ms Standard Deviation ms Acceptable standard ms P DURATION 10 10 2 256 SD 8 QRS DURATION 0 143 6 2 413 SD 5 PR INTERVAL 8 286 10 1 729 SD 8 QT INTERVAL 1 385 12 6 501 SD 10 Q DURATION 0 108 6 4 241 SD 5 R DURATION 3 020 6 2 710 SD 5 S DURATION 3 282 6 3 396 SD 5 Measurement Mean Difference ms Acceptable standard ms Sta...

Page 349: ...erval Line Frequency 50Hz 1 4 6 867 QT Interval Line Frequency 60Hz 2 4 3 978 QT Interval Base Line 0 6 3 134 Global Measurement Type of Added Noise Disclosed Differences Mean Difference ms Standard Deviation ms ...

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Page 351: ...r minute bps bit per second C centigrade cc cubic centimeter cm centimeter dB decibel DS dyne second F Fahrenheit g gram GHz gigahertz GTT gutta h hour Hz hertz in inch k kilo kg kilogram kPa kilopascal L litre lb pound m meter mAh milliampere hour Mb mega byte mcg microgram mEq milli equivalents mg milligram min minute ml milliliter mm millimeter ...

Page 352: ...mW milliwatt MΩ megaohm nm nanometer rpm breaths per minute s second V volt VA volt ampere Ω ohm W watt Abbreviation In Full Symbol Explanation minus negative percent per divide or to plus equal to less than greater than less than or equal to greater than or equal to plus or minus multiply copyright ...

Page 353: ...al arterial pressure BC burst count BIS bispectral index BL baseline BoA Balance of Anesthesia BSA body surface area BT blood temperature BTPS body temperature and pressure saturated CAA Clinical Assistive Application CaO2 arterial oxygen content CCF CPR quality index CCI continuous cardiac index CCO continuous cardiac output CCU cardiac coronary care unit CE Conformité Européenne CFI cardiac func...

Page 354: ...gen delivery index ECG electrocardiograph EDV end diastolic volume EE Energy Expenditure EEC European Economic Community EEG electroencephalogram EMC electromagnetic compatibility EMG electromyograph EMI electromagnetic interference Enf enflurane ESU electrosurgical unit Et end tidal EtAA end tidal anesthetic agent EtDes end tidal anesthetic agent EtEnf EtHal EtIso EtSev EtCO2 end tidal carbon dio...

Page 355: ...sgow Coma Scale GEDV global end diastolic volume GEDI global end diastolic volume index GEF global ejection fraction Hal halothane Hb hemoglobin Hct haematocrit HIS hospital information system HR heart rate IABP intra aortic balloon pump IBP invasive blood pressure IBW ideal body weight ICG impedance cardiography ICP intracranial pressure ICT B intracranial catheter tip pressure transducer ICU int...

Page 356: ... MAP mean arterial pressure Mb Myoglobin MetHb methemoglobin MEWS Modified Early Warning Score MLDAP Mindray LDAP Mindray Lightweight Directory Access Protocol MRI magnetic resonance imaging MV minute volume MValv Alveolar Minute Volume MVCO2 CO2 minute production MVe expiratory minute volume MVi inspiratory minute volume MVO2 O2 minute consumption N A not applied N2 nitrogen N2O nitrous oxide Neo...

Page 357: ...re PO2 oxygen supply pressure Pplat plateau pressure PPV pulse pressure variation PR pulse rate PVC premature ventricular contraction PVPI pulmonary vascular permeability index PVR pulmonary vascular resistance PVRI pulmonary vascular resistance index qSOFA quick Sepsis Related Organ Failure Assessment RA right arm RAP right atrial pressure Raw airway resistance Rec record recording Resp respirati...

Page 358: ...saturation Sync synchronization Sys systolic pressure TB Blood Temperature tcpCO2 transcutaneous carbon dioxide partial pressures tcpO2 transcutaneous oxygen partial pressures TD temperature difference Temp temperature TFC thoracic fluid content TFI thoracic fluid index TFT thin film technology TI injectate temperature TP total power TRC tube resistance compensation TVe expiratory tidal volume TVi...

Page 359: ...ume ratio Vdphy physiologic dead space Vd Vt dead space to tidal volume ratio VEPT volume of electrically participating tissue VI velocity index VO2 O2 consumption for one breath VO2I oxygen consumption index VPB ventricular premature beat per minute Vtalv alveolar tidal volume WOB work of breathing Abbreviation In Full ...

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Page 361: ...H 1 H Declaration of Conformity ...

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Page 364: ...P N 046 012607 00 6 0 ...

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