Mindray iPM-9800 Operator'S Manual Download

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FOR YOUR NOTES

Summary of Contents for iPM-9800

Page 1: ...iPM 9800 Patient Monitor Operator s Manual ...

Page 2: ......

Page 4: ...nformation Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden Release amendment reproduction distribution rental adaptation translation or any other derivative work of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden and are the registered trademarks or trademarks ...

Page 5: ... of this product only if all installation operations expansions changes modifications and repairs of this product are conducted by Mindray authorized personnel the electrical installation of the relevant room complies with the applicable national and local requirements and the product is used in accordance with the instructions for use NOTE z This equipment must be operated by skilled trained clin...

Page 6: ...of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel This warranty shall not extend to Malfunction or damage caused by improper use or 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 c...

Page 7: ...Electronics Co Ltd E mail Address service mindray com Tel 86 755 26582479 26582888 Fax 86 755 26582934 26582500 EC Representative Shanghai International Holding Corp GmbH Europe Address Eiffestraβe 80 Hamburg 20537 Germany Tel 0049 40 2513175 Fax 0049 40 255726 ...

Page 8: ...integral part of the product It should always be kept close to the equipment so that it can be obtained conveniently when needed Intended Audience This manual is geared for clinical professionals who 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 e...

Page 9: ... 8 3 Basic Operations 3 1 3 1 Installation 3 1 3 1 1 Unpacking and Checking 3 2 3 1 2 Environmental Requirements 3 2 3 2 Getting Started 3 3 3 2 1 Inspecting the Monitor 3 3 3 2 2 Switching On 3 3 3 2 3 Starting Monitoring 3 3 3 3 Disconnecting from Power 3 4 3 4 Operating and Navigating 3 4 3 4 1 Using the Knob 3 4 3 4 2 Using Keys 3 5 3 4 3 Using the Touchscreen 3 5 3 4 4 Using the On Screen Key...

Page 10: ...duction 5 1 5 2 Entering and Exiting the Configuration Mode 5 2 5 3 Viewing and Changing Configurations 5 3 5 4 Adding a Configuration 5 4 5 5 Deleting a Configuration 5 4 5 6 Loading a Configuration 5 5 5 7 Setting Default Configuration at Startup 5 5 5 8 Loading the Latest Configuration Automatically 5 6 5 9 Transferring a Configuration 5 7 6 User Screens 6 1 6 1 Tailoring Your Screens 6 1 6 1 1...

Page 11: ... 7 6 7 5 1 Alarm Tone Configuration 7 6 7 5 2 Displaying Alarm Limits 7 7 7 5 3 Setting Alarm Delay Time 7 7 7 5 4 Using Alarms 7 7 7 5 5 Mass Alarm Setup 7 9 7 5 6 Adjusting Alarm Limits Automatically 7 9 7 6 Latching Alarms 7 9 7 7 Clearing Technical Alarms 7 10 7 8 Testing Alarms 7 10 7 9 When an Alarm Occurs 7 10 7 10 Using Care Group Alarms 7 11 7 10 1 Care Group Auto Alarms 7 11 7 10 2 Viewi...

Page 12: ...ime 8 14 8 6 7 Adjusting ST Measurement Points 8 14 8 7 About Arrhythmia Monitoring 8 15 8 7 1 Understanding the Arrhythmia Events 8 16 8 7 2 Switching Arrhythmia Analysis On and Off 8 18 8 7 3 Changing Arrhythmia Alarm Settings 8 18 8 7 4 Changing Arrhythmia Threshold Settings For Mortara Only 8 18 8 7 5 Initiating Arrhythmia Relearning Manually 8 19 8 7 6 Automatic Arrhythmia Relearn 8 20 8 7 7 ...

Page 13: ...ously 11 4 11 5 5 Sat Seconds Alarm Management 11 4 11 5 6 Pitch Tone 11 5 11 6 Measurement Limitations 11 6 11 7 Masimo Information 11 6 11 8 Nellcor Information 11 7 12 Monitoring NIBP 12 1 12 1 Introduction 12 1 12 2 Safety 12 2 12 3 Measurement Limitations 12 2 12 4 Setting Up the NIBP Measurement 12 3 12 4 1 Preparing to Measure NIBP 12 3 12 4 2 Starting and Stopping Measurements 12 3 12 4 3 ...

Page 14: ...essure Alarm Source 14 4 14 5 3 Changing Averaging Time 14 5 14 5 4 Setting the Pressure Unit 14 5 14 5 5 Setting Wave Overlapping 14 5 14 5 6 Setting Up the IBP Wave 14 5 14 6 Measuring PAWP 14 6 14 6 1 Preparing to Measure PAWP 14 6 14 6 2 Setting Up the PAWP Measurement 14 8 14 7 Zeroing the Transducer 14 9 15 Monitoring Cardiac Output 15 1 15 1 Introduction 15 1 15 2 Understanding the C O Disp...

Page 15: ...eam CO2 Modules 16 9 16 8 2 For Mainstream CO2 Modules 16 9 16 9 Calibrating the Sensor 16 10 16 10 Oridion Information 16 10 17 Monitoring AG 17 1 17 1 Introduction 17 1 17 2 Preparing to Measure AG 17 2 17 3 Understanding the AG Display 17 4 17 4 MAC Values 17 5 17 5 Changing AG Settings 17 6 17 5 1 Selecting an Anesthetic Gas for Monitoring 17 6 17 5 2 Setting Gas Unit 17 6 17 5 3 Setting the A...

Page 16: ... 20 4 20 4 Ventilation Calculations 20 5 20 4 1 Performing Calculations 20 5 20 4 2 Entered Parameters 20 5 20 4 3 Calculated Parameters 20 6 20 5 Hemodynamic Calculations 20 6 20 5 1 Performing Calculations 20 6 20 5 2 Entered Parameters 20 7 20 5 3 Calculated Parameters 20 7 20 6 Renal Calculations 20 8 20 6 1 Performing Calculations 20 8 20 6 2 Entered Parameters 20 8 20 6 3 Calculated Paramete...

Page 17: ...3 22 6 3 Setting Up Graphic Trends Reports 22 4 22 6 4 Setting Up Realtime Reports 22 4 22 7 End Case Reports 22 4 22 8 Printer Statuses 22 5 22 8 1 Printer Out of Paper 22 5 22 8 2 Printer Status Message 22 5 23 Other Functions 23 1 23 1 Marking Events 23 1 23 2 Analog Output 23 1 23 3 Transferring Data 23 2 23 3 1 Data Export System 23 2 23 3 2 Transferring Data by Different Means 23 2 23 4 Nurs...

Page 18: ...n 26 3 26 6 Calibrating CO2 26 4 26 7 Calibrating AG 26 5 26 8 Setting up IP Address 26 6 26 9 Entering Exiting Demo Mode 26 6 27 Accessories 27 1 27 1 ECG Accessories 27 1 27 2 SpO2 Accessories 27 3 27 3 NIBP Accessories 27 5 27 4 Temp Accessories 27 6 27 5 IBP ICP Accessories 27 6 27 6 C O Accessories 27 8 27 7 CO2 Accessories 27 8 27 8 AG Accessories 27 11 27 9 Others 27 12 ...

Page 19: ...s a potential hazard or unsafe practice that if not avoided could result in death or serious injury CAUTION z Indicates a potential hazard or unsafe practice that if not avoided could result in minor personal injury or product property damage NOTE z Provides application tips or other useful information to ensure that you get the most from your product ...

Page 20: ...el trained and authorized by Mindray only z Do not come into contact with patients during defibrillation Otherwise serious injury or death could result z Do not rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level or off may result in a hazard to the patient Remember that alarm settings should be customized according to different patient sit...

Page 21: ...le source of interference as they may emit higher levels of electromagnetic radiation z Before connecting the equipment to the power line check that the voltage and frequency ratings of the power line are the same as those indicated on the equipment s label or in this manual z Always install or carry the equipment properly to avoid damage caused by drop impact strong vibration or other mechanical ...

Page 22: ...ectric shock Type BF applied part Defibrillator proof protection against electric shock The product bears CE mark indicating its conformity with the provisions of the Council Directive 93 42 EEC concerning medical devices and fulfils the essential requirements of Annex I of this directive The following definition of the WEEE label applies to EU member states only This symbol indicates that this pr...

Page 23: ...eonatal patients This monitor is to be used in healthcare facilities by clinical professionals or under their direction It is not intended for helicopter transport or home use WARNING z This patient monitor is intended for use only by clinical professionals or under their guidance It must only be used by persons who have received adequate training in its use Anyone unauthorized or untrained must n...

Page 24: ...iological or technical alarm occurs this lamp will flash as defined below High level alarms the lamp flashes quickly in red Medium level alarms the lamp flashes slowly in yellow Low level alarms the lamp lights yellow without flashing 2 Handle 3 Display Screen ...

Page 25: ... monitor operates on battery power 6 AC power LED It turns on when AC power is connected 7 Press to silence or restore all alarm sounds or clear alarms 8 Press to pause or restore alarms 9 Press to freeze or unfreeze waveforms 10 Press to start or stop recordings 11 Press to start or stop NIBP measurements 12 If no menu is displayed on the screen pressing it will enter the main menu If there is a ...

Page 26: ...P connector 6 Temp connector double channels 7 Exhaust gas outlet of CO2 module or AG module 8 Watertrap connector sidestream CO2 module or AG module This connector is also optional for microstream or mainstream CO2 module 9 Battery door 10 CF storage card slot cover 11 Recorder 1 2 4 6 5 7 3 9 3 10 11 8 ...

Page 27: ...onnector through which analog signals alarm signals or synchronization signals can be outputted depending on how your monitor is configured 4 RS232 serial port It is a DB9 connector used to connect a PC for data or a compatible device and supports DIAP communication protocol 5 USB Connectors They connect external storage devices 6 AC Power Input 7 Equipotential Grounding Terminal When the patient ...

Page 28: ...e patient information is incomplete indicates that the patient has a pacer If no patient is admitted selecting this area will enter the Patient Setup menu If a patient has been admitted selecting this area will enter the Patient Demographics menu 2 Date and Time This area shows the system time of the patient monitor By selecting this area you can enter the System Time setup menu 3 Alarm Symbols in...

Page 29: ...red parameter has a parameter window and the parameter name is displayed at the upper left corner When this area cannot accommodate all parameters the excess parameters will automatically occupy the waveform area from bottom to top Select this area and the corresponding measurement setup menu will be displayed 8 Prompt Message Area This area shows the prompt messages network status icons battery s...

Page 30: ...you can have four more QuickKeys as shown below By selecting or you can unfold or fold the four QuickKeys When there is no operation on the four QuickKeys for 15 seconds after they are unfolded they will be folded automatically Besides you can set the four QuickKeys in configuration mode 1 Enter the configuration mode Select Others in either configuration 2 In the Select QuickKeys area select your...

Page 31: ...cal electrical systems standard Any personnel who connect devices to the equipment s signal input output port is responsible for providing evidence that the safety certification of the devices has been performed in accordance to the IEC 60601 1 1 If you have any question please contact us z If it is not evident from the equipment specifications whether a particular combination is hazardous for exa...

Page 32: ... of single use accessories In case of any damage do not apply it to patients 3 1 2 Environmental Requirements The operating environment of the equipment must meet the requirements specified in this manual The environment where the equipment is used shall be reasonably free from noises vibration dust corrosive flammable and explosive substances If the equipment is installed in a cabinet sufficient ...

Page 33: ...n the monitor 1 Press the power on off switch on the monitor s front The monitor performs a self test The system gives a beep and at the same time the alarm lamp turns yellow and then red The start up screen is displayed 2 The monitor enters the main screen 3 2 3 Starting Monitoring 1 Check that the patient cables and sensors are correctly connected 2 Check that the patient settings such as Patien...

Page 34: ...switch for 4 seconds to forcibly shut down the monitor when it could not be shut down normally or under some special situations This may cause loss of data of the patient monitor 3 4 Operating and Navigating 3 4 1 Using the Knob Rotate the Knob clockwise or counter clockwise With each click the highlight jumps to the neighboring item When you reach your desired item press the Knob to select it Whe...

Page 35: ...ng device such as the main menu hardkey on the monitor s front Pop Up Keys Pop up keys are task related keys that appear automatically on the monitor screen when required For example the confirm pop up key appears only when you need to confirm a change 3 4 3 Using the Touchscreen Select screen items by pressing them directly on the patient monitor s screen You can enable or disable touchscreen ope...

Page 36: ...the following parts 1 Heading gives a sum up for the current menu 2 Main body displays options buttons prompt messages etc The menu button with enlarges a secondary window to reveal more options or information 3 Online help area displays help information for the highlighted menu item 4 Confirm button area accommodates confirm buttons such as Previous Menu Ok Exit Cancel etc which allows you to con...

Page 37: ...Mode Password protected this is for demonstration purposes only Standby Mode Standby mode can be used when you want to temporarily interrupt monitoring To enter standby mode unfold the QuickKeys area to select the Standby QuickKey or select Standby when you want to discharge a patient The monitor enters the standby mode after discharging the current patient Standby suspends patient monitoring All ...

Page 38: ...ect Unload CF Storage Card 2 Select Ok from the popup menu to unload the CF storage card A status message shown in the prompt message area will report completion of the unloading 3 Press the button until the CF storage card flips out To browse the data saved in the CF storage card follow this procedure 1 In the main menu select Archives If the Archives Access is set as Direct you can directly ente...

Page 39: ...indray 3 7 Using an External Display An external display showing the same screen as the host display can be connected to the monitor through the video output connector for viewing only The recommended specification is as below External display Screen type Medical grade VGA monitor Resolution 800 600 pixels or above EMC MPR II CISPR 11B Third certificate UL C UL TUV CE FCC 3 8 Changing General Meas...

Page 40: ...e related measurement settings such as gain wave speed and so forth You can set each measurement s waveform as required For example by selecting the Art wave you can adjust its wave speed scale and so forth in the Art Waveform setup menu Changing a Wave Speed In waveform setup menu for your desired measurement select Sweep and then select the appropriate setting Lowering the wave speed compresses ...

Page 41: ...e 3 Restart the patient monitor 3 9 3 Setting DIAP Baud Rate 1 In the main menu select Maintenance User Maintenance enter the required password and then select Device Setup 2 Select DIAP Baud Rate and then select the desired baud rate WARNING z When connecting compatible devices to the patient monitor via RS232 serial port make sure the baud rate of the compatible devices is consistent with that o...

Page 42: ...d password and then select Device Setup 2 Select Date Format and toggle between yyyy mm dd mm dd yyyy and dd mm yyyy 3 Select Time Format and toggle between 24h and 12h WARNING z When connecting compatible devices to the patient monitor via RS232 serial port make sure that the baud rate of the compatible devices is consistent with that of the patient monitor Otherwise the compatible devices fail t...

Page 43: ...QRS Volume The QRS tone is derived from either the HR or PR depending on which is currently selected as the alarm source in the ECG setup menu When monitoring SpO2 there is a variable pitch tone which changes as the patient s saturation level changes The pitch of the tone rises as the saturation level increases and falls as the saturation level decreases The volume of this tone is user adjustable ...

Page 44: ...3 14 FOR YOUR NOTES ...

Page 45: ...red into that patient s data To admit a patient 1 In the main menu select Patient Setup 2 Select Admit Patient If there is a patient currently in your monitor select Ok from the popup menu to discharge the current patient Otherwise select either Yes to apply the data in your patient monitor to the new patient or No to clear any previous patient data 3 In the Patient Demographics menu enter the dem...

Page 46: ...s been admitted or when the patient information is incomplete or when you want to change the patient information 1 In the main menu select Patient Setup 2 Select Patient Demographics and then make the required changes 3 Select Ok 4 3 Discharging a Patient To discharge a patient 1 In the main menu select Patient Setup 2 Select Discharge Patient or Clear Patient Data In the popup menu you can Direct...

Page 47: ...t Data You can transfer patient data between monitors with a CF storage card without re entering the patient demographic information Transferring of patient data enables you to understand the patient s history condition The patient data that can be transferred includes patient demographics trend data alarm events and parameters alarm limits To transfer the current patient data from the source moni...

Page 48: ...nsfers the patient data from the CF storage card and loads the configuration according to the patient category Same Patient In the popup dialog box you can Select Yes to merge the patient data in the monitor and CF storage card Select No to erase all the current patient data in the monitor and to transfer the patient data from the CF storage card Please notice that only the patient data in the pas...

Page 49: ...transferred to the CMS 2 All patient information measurement data and settings can be displayed simultaneously on the patient monitor and CMS For some functions such as editing patient information admitting a patient discharging a patient starting stopping NIBP measurements etc bi directional control can be achieved between your patient monitor and the CMS For details refer to the CMS s instructio...

Page 50: ...4 6 FOR YOUR NOTES ...

Page 51: ...r from General OR ICU NICU CCU Each department has three different sets of configurations tailored for adult pediatric and neonatal patients WARNING z The configuration management function is password protected The configuration management tasks must be performed by clinical professionals The system configuration items can be classified as Global configuration items These items can affect all the ...

Page 52: ...ering and Exiting the Configuration Mode To enter the configuration mode 1 Press the hardkey on the monitor s front to enter the main menu 2 Select Manage Configuration Configuration Enter the required password and then select Ok To exit the configuration mode 1 Select Exit in the system configuration main screen 2 Then select Ok from the popup dialog box The monitor will restart and the modified ...

Page 53: ...ory e g ECG then you can view all the related configuration items by selecting Prev Page or Next Page and change them if necessary 5 After the change is done select Save Config to save the changed configuration If you have made some changes when viewing the default configuration of a certain department you can specify a name in the popup name configuration window to save the changed configuration ...

Page 54: ...on as template Defaults factory default configurations for each department user customized configuration already saved user configuration Latest Settings under Monitor Mode If you have changed some settings before entering the configuration mode you can import these settings to your newly added user configuration by selecting Latest Settings under Monitor Mode 3 Enter a name and then select Ok 4 C...

Page 55: ...our patient To load a configuration 1 In monitoring mode select Manage Configuration from the main menu 2 Select the default configuration or a certain user configuration according to the patient s condition 3 Select Ok NOTE z In monitoring mode only the default configuration of the current department or the already saved user configuration can be loaded You can only change the department in confi...

Page 56: ... the monitor starts check the message lasting for about 10 seconds displayed at the bottom of the screen after the main screen comes out 5 8 Loading the Latest Configuration Automatically During operation you may make changes to some settings These changes may not be saved as user configuration To prevent the changes from loss in case of a sudden power failure the monitor stores the configuration ...

Page 57: ... 2 Select Transfer Config in the system configuration main screen 3 Select Export Config in the transfer config menu and then select Ok in the popup dialog box A status message will report completion of the transfer To import the configuration in the card to the monitor 1 Insert the USB storage card into the monitor s USB port 2 Select Transfer Config in the system configuration main screen 3 Sele...

Page 58: ...5 8 FOR YOUR NOTES ...

Page 59: ... 1 In the main menu select Others or select Waveform in configuration mode 2 Select Sweep Mode and toggle between Refresh and Scroll Refresh The waveforms keep stationary being refreshed from left to right by a moving erase bar Scroll The waveforms move from the right to the left with time passing by 6 1 2 Changing the Wave Line Size 1 Select Waveform in configuration mode 2 Select Wave Line and t...

Page 60: ... the screen if needed 1 In the main menu select Others Wave Setup 2 In the Wave Sequence menu you can sequence the waveforms displayed on the screen 3 Select Exit Your change will take effect automatically Select Screens in configuration mode and you can also change the order in which all waveforms are displayed on the all parameters screen 6 1 6 Changing Screen Layout 1 In the main menu select Sc...

Page 61: ...tinuously shows graphic minitrends beside waveforms as shown in the figure below To have a split screen view of minitrends you can In the main menu select Screen Layout Minitrends Ok The split screen view provides minitrends for multiple parameters In each field the label scale and time are respectively displayed at the top left and bottom as shown below Minitrend view ...

Page 62: ... and then select your desired setting 3 Select Exit Your change will take effect automatically 6 2 3 Changing a Parameter for Viewing You can also select your desired parameters to view their minitrends 1 Select either parameter s minitrend field 2 In the Minitrend Setup menu you can select your desired parameter from the select parameter area If you want to select other parameter select Other Par...

Page 63: ... Wave At the bottom there are controls 1 Trend length list box In the trend length list box you can select 1 min 2 min 4 min or 8 min 2 Resp Wave or RR Trend list box From this list box you can select either Resp Wave or RR Trend for display 3 Record Through this button you can print out the currently displayed oxyCRG trends by the recorder 4 Exit You can select it to exit the oxyCRG screen and re...

Page 64: ...t the bottom of the View Other Patient window In the overview bar the department and bed label for any Care Group beds are displayed The color in which a Care Group bed appears matches its status Red indicates the bed is giving high level physiological alarms Yellow indicates the bed is giving medium or low level physiological alarms or medium level technical alarms Blue indicates the bed is givin...

Page 65: ...g your desired waveform area and then selecting Switch to Parameter Area or switch a parameter area to a waveform area by selecting your desired parameter area and then selecting Switch to Waveform Area 3 Care Group Overview Bar 4 Message Area shows physiological and technical messages from the currently viewed bed By selecting this area you can enter the Alarm Information List to view all physiol...

Page 66: ...e parameter window where you want a new parameter to appear and then select the parameter you want from the popup menu 6 5 Understanding the Big Numerics Screen To enter the big numerics screen 1 In the main menu select Screen Layout 2 Select Big Numerics and then Ok You can select your desired parameters to display in this screen select the Para Setup QuickKey and then select the parameters you w...

Page 67: ...l alarms also called patient status alarms are triggered by a monitored parameter value that violates set alarm limits or an abnormal patient condition Physiological alarm messages are displayed in the physiological alarm area 2 Technical alarms Technical alarms also called system status alarms are triggered by a device malfunction or a patient data distortion due to improper operation or mechanic...

Page 68: ...such as ECG SpO2 lead off which may not threaten the patient s life but may compromise the monitoring of vital physiological parameters Low level Indicate that you patient s vital signs appear abnormal and an immediate treatment may be required Indicate a device malfunction or an improper operation which may compromise a certain monitoring function but will not threaten the patient s life The leve...

Page 69: ...ally the alarm message uses different background color to match the alarm level High level alarms red Medium level alarms yellow Low level physiological alarms yellow Low level technical alarms light blue You can view the alarm messages by selecting the physiological or technical alarm area 7 3 3 Flashing Numeric If an alarm triggered by an alarm limit violation occurs the numeric of the measureme...

Page 70: ...off the reminder tone in configuration mode 7 4 Understanding Alarm Statuses You can set your monitor to one of the following four alarm statuses The alarm symbols match the alarm statuses as follows Alarms paused Alarms off Alarm sound silenced Alarm sound off 7 4 1 Pausing Alarms If you want to temporarily prevent alarms from sounding you can pause alarms by pressing the hardkey on the monitor s...

Page 71: ...arm area The alarm off symbol is displayed in the alarm status symbol area You can cancel the alarm off status by pressing the hardkey If a high level technical alarm such as low battery occurs the alarm pause and alarm off statuses are all automatically cancelled WARNING z Pausing or switching off alarms may result in a hazard to the patient Please be very careful 7 4 3 Silencing the Alarm Sound ...

Page 72: ...und is switched off the patient monitor will give no audible alarm tones even if a new alarm occurs Therefore the user should be very careful about whether to switch off the alarm sound or not 7 5 Alarm Configuration 7 5 1 Alarm Tone Configuration Changing the Alarm Volume 1 In the main menu select Alarm Setup 2 Select the appropriate volume from Alm Volume X 10 in which X is the minimum volume de...

Page 73: ...lect Manage Configuration Configuration Enter the required password and then select Ok 3 Select View Config Alarm and set Alarm Delay and ST Alarm Delay NOTE z The alarm delay time can not be set in case of the following physiological alarms Resp Apnea The apnea time needs to be set independently ST Alarm The delay time needs to be set independently Arrh Alarm PVCs Too High ECG Weak Signal Resp Ar...

Page 74: ...rm system to become ineffective For example High oxygen levels may predispose a premature infant to retrolental fibroplasia If this is a consideration do NOT set the high alarm limit to 100 which is equivalent to switching the alarm off Recording Alarms Automatically When a measurement alarm occurs automatic recording of all the measurement numerics and related waveforms is possible when the measu...

Page 75: ...these automatically created alarm limits confirm if they are appropriate for your patient in the mass alarm setup menu If not you can adjust them manually These alarm limits will remain unchanged until you select auto limits again or adjust them manually 7 6 Latching Alarms The alarm latching setting for your patient monitor defines how the alarm indicators behave when you do not acknowledge them ...

Page 76: ...arm status all the alarm indications will continue if the alarm conditions still present 7 8 Testing Alarms When the monitor starts up a self test will be performed automatically The system gives a beep indicating that the visible and audible alarm indicators are functioning correctly In the meantime the alarm lamp turns yellow then red The start up screen is displayed For further testing of indiv...

Page 77: ...he main menu Then select Others and Ok from the popup menu 2 In the view other patient window select the care group setup button Then select Auto Alarm and toggle between On and Off 7 10 2 Viewing Alarm Information You can view the alarm information from the currently viewed bed by selecting the message area in the view other patient window The Care Group overview bar locates at the bottom of the ...

Page 78: ...ence function for other patients is active and the currently viewed bed is in normal alarm status or alarm sound off status press the button in the view other patient window The currently viewed bed will then enter into the alarm silenced status Pressing this button again returns to the normal alarm status Note that this button is disabled when the currently viewed bed is in alarms off or paused s...

Page 79: ... s front 8 2 Safety WARNING z Use only ECG electrodes and cables specified in this manual z When connecting electrodes and or patient cables make sure that the connectors never come into contact with other conductive parts or with earth In particular make sure that all of the ECG electrodes are attached to the patient to prevent them from contacting conductive parts or earth z Periodically inspect...

Page 80: ...stance Dry the skin completely before applying the electrodes 2 Attach the clips or snaps to the electrodes before placing them 3 Place the electrodes on the patient 4 Attach the electrode cable to the patient cable and then plug the patient cable into the ECG connector 8 3 2 Choosing a Lead Set and AHA or IEC Lead Placement 1 Select the ECG parameter window to enter the ECG Setup menu 2 Select Le...

Page 81: ...right shoulder LA placement directly below the clavicle and near the left shoulder LL placement on the left lower abdomen 5 Leadwire Electrode Placement Following is an electrode configuration when using 5 leadwires RA placement directly below the clavicle and near the right shoulder LA placement directly below the clavicle and near the left shoulder RL placement on the right lower abdomen LL plac...

Page 82: ...sterior axillary line in the fifth intercostal space V7R placement on posterior chest at the right posterior axillary line in the fifth intercostal space 12 Leadwire Electrode Placement 12 lead ECG uses 10 electrodes which are placed on the patient s four limbs and chest The limb electrodes should be placed on the soft skin and the chest electrodes placed according to the physician s preference Le...

Page 83: ...an switch from 3 lead ECG to 5 lead ECG or from 5 lead ECG to 12 lead ECG automatically The following table describes the contions of the lead switch Switch from 3 lead to 5 lead RL and any two of limb leads RA LL LA are connected to a patient for 5 seconds Switch from 5 lead to 3 lead RA LA LL and V are all disconnected or RL is disconnected from a patient and the disconnection lasts for 10 secon...

Page 84: ...parameter window and then select Paced from the popup menu and toggle between Yes and No WARNING z For paced patients you must set Paced to Yes If it is incorrectly set to No the patient monitor could mistake a pace pulse for a QRS and fail to alarm when the ECG signal is too weak Do not rely entirely on rate meter alarms when monitoring patients with pacemakers Always keep these patients under cl...

Page 85: ... display may be configured to look slightly different 1 Lead label of the displayed wave 2 ECG gain 3 ECG filter label 4 Notch filter status Besides pace pulse marks are shown above the ECG wave if the Paced is set to Yes and the patient has a paced signal 1 Current heart rate alarm limits 2 Heart beat symbol 3 Current heart rate For 12 lead ECG display screen refer to the section 12 Lead ECG Moni...

Page 86: ...the HR to be the alarm source for HR PR PR if you want the PR to be the alarm source for HR PR Auto If the Alm Source is set to Auto the monitor will use the heart rate from the ECG measurement as the alarm source whenever the ECG measurement is switched on and a valid heart rate is available If the heart rate becomes unavailable for example if leads becomes disconnected and a pulse source is swit...

Page 87: ...equency interference usually results in large amplitude spikes making the ECG signal look irregular Low frequency interference usually leads to wandering or rough baseline In the operating room the surgery filter reduces artifacts and interference from electrosurgical units Under normal measurement conditions selecting Surgery may suppress the QRS complexes too much and then interfere with ECG ana...

Page 88: ...b Sync To switch defibrillator synchronization on or off 1 Select the ECG parameter window and then select Others 2 Select Defib Sync and toggle between On and Off If a defibrillator is connected a defibrillator synchronization pulse 100 ms 5V is outputted through the Defib Sync connector every time when the patient monitor detects an R wave When Defib Sync is set on the message Defib Sync On is d...

Page 89: ...es In the all parameters screen only the selected ECG wave s size is adjusted In other screens all ECG waves size is adjusted simultaneously You can adjust a wave s position by adjusting the or button beside Adjust Wave button You can restore a wave to its original position by selecting Back to Default 8 5 9 Choosing an ECG Lead for HR Computing and Arrh Monitoring For the Basic algorithm to compu...

Page 90: ...fied lead Measurement unit of the ST segment mm or mV A positive value indicates ST segment elevation a negative value indicates ST segment depression Measurement range of the ST segment 2 0 mV to 2 0 mV WARNING z The ST algorithm has been tested for accuracy of the ST segment data The significance of the ST segment changes needs to be determined by a clinician 8 6 1 Switching ST On and Off To swi...

Page 91: ...itor screen may look slightly different from the illustration By selecting the ST parameter window you can enter the ST Analysis menu 8 6 4 Changing the ST Unit In the ST Analysis menu you can select ST Unit menu to toggle between mm and mV You can also change the ST unit in configuration mode 8 6 5 Changing the ST Alarm Limits For 3 lead ECG monitoring you can directly change the ST alarm limits ...

Page 92: ...the patient s heart rate or ECG morphology changes significantly Exceptional QRS complexes are not considered for ST segment analysis WARNING z Always make sure that the positions of ST measurement points are appropriate for your patient Basic algorithm To adjust ST measurement points 1 In the ST Analysis menu select Adjust ST Points In the Adjust ST Points window two vertical lines represent the ...

Page 93: ... point Position the J point at the end of the QRS complex and the beginning of the ST segment The ST point is positioned a fixed distance from the J point Move the J point to position the ST point at the midpoint of the ST segment Position the ST point relative to the J point at either J 60 or J 80 8 7 About Arrhythmia Monitoring Arrhythmia analysis provides information about your patient s condit...

Page 94: ... detected for 300 milliseconds following a pace pulse for paced patients only PVC One PVC detected in normal heartbeats Couplet Paired PVCs detected in normal heartbeats VT 2 More than 2 consecutive PVCs within the last minute 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 R on T R on T detected in normal heartbeats Missed Beats No beat detected for 1 75...

Page 95: ...ms occur in the predefined search window 3 31 Couplet Paired PVCs detected in normal heartbeats VT 2 Ventricular HR is greater than or equal to the preset threshold and the number of PVCs is greater than or equal to 3 but less than the preset threshold Vent Rhythm Ventricular HR is less than the preset threshold and the number of PVCs is greater than or equal to 3 Bigeminy A dominant rhythm of N V...

Page 96: ...lm Rec and PVCs High respectively and then selecting the appropriate settings select Arrh Alarm Setup to change alarm settings for individual arrhythmia events For Mortara algorithm Asystole Vfib and Vtac are exclusively high level alarms and their alarm level is unchangeable Furthermore these alarms will be triggered only if their alarm conditions are active regardless of whether arrhythmia analy...

Page 97: ...lly A change in the ECG template could result in incorrect arrhythmia alarms loss of ST measurement and or inaccurate heart rate Arrhythmia relearning allows the monitor to learn the new ECG template so as to correct arrhythmia alarms and HR value and restore ST measurements To initiate a relearning manually select the ECG parameter window Arrh Analysis Relearn Arrh When the patient monitor is lea...

Page 98: ... In the Arrh Review window you can Select Index and then set a time as the index for finding your desired arrhythmia events Rename an arrhythmia event by selecting the arrhythmia event you want to rename and then selecting Rename to enter a new name for it Delete an arrhythmia event by selecting the one you want to delete and then selecting Delete Event Have more event selections by selecting or A...

Page 99: ... rhythm wave displayed on the screen The rhythm lead is the HR derived lead before entering the 12 lead ECG monitoring screen The ST numerics are displayed in three groups ST Ant anterior V1 V2 V3 V4 ST Inf inferior II III aVF aVR ST Lat lateral I aVL V5 V6 Although aVR is displayed in the ST Inf group it is not an inferior lead Additionally the 12 lead ECG monitoring has the following features Th...

Page 100: ...n Analyze Then the following screen will be displayed In this screen you can Select Record Result to print out the interpretation of resting 12 lead ECG results by the recorder Select Record Wave to print out the interpretation of resting 12 lead ECG results and waves by the recorder Select Print Report to print out the interpretation of resting 12 lead ECG report by the printer Besides after sele...

Page 101: ...esults and Waveforms for review Select or to view more results Select or beside Scroll to navigate through the waveforms Delete the currently displayed interpretation of resting 12 lead ECG results by selecting Delete Select Record to print out the currently displayed interpretation of resting 12 lead ECG results by the recorder Select Print to print out the currently displayed interpretation of r...

Page 102: ...8 24 FOR YOUR NOTES ...

Page 103: ...f apnea z The respiration measurement does not recognize obstructive and mixed apneas It only indicates an alarm when a preset time had elapsed since the last detected breath Therefore it cannot be used for diagnostic purpose 9 3 Placing Resp Electrodes As the skin is a poor conductor of electricity preparing the skin is necessary for a good Respiration signal You can refer to the ECG section for ...

Page 104: ...fects the Resp waveform is called cardiac overlay It happens when the Resp electrodes pick up impedance changes caused by the rhythmic blood flow Correct electrodes placement can help to reduce cardiac overlay avoid the liver area and the ventricles of the heart in the line between the respiratory electrodes This is particularly important for neonates 9 3 3 Abdominal Breathing Some patients with r...

Page 105: ...By selecting the waveform area you can enter the Resp Waveform menu By selecting the Resp parameter window you can enter the Resp Setup menu NOTE z Respiration monitoring is not for use on the patients who are very active as this will cause false alarms 9 5 Changing Resp Settings 9 5 1 Choosing the Respiration Lead In the Resp Waveform menu select Lead and toggle between I and II 9 5 2 Setting the...

Page 106: ...ortant to remember that if the depth of breathing changes you may need to change the detection level Use manual detection mode for situations where The respiration rate and the heart rate are close Patients have intermittent mandatory ventilation Respiration is weak Try repositioning the electrodes to improve the signal In Auto Detection Mode if you are monitoring Resp and ECG is switched off the ...

Page 107: ...e make sure to check the respiration detection level after you have increased or decreased the size of the respiration wave Select the Resp wave to enter the Resp Waveform menu Then you can select Gain and then select an appropriate setting The bigger the gain is the larger the wave amplitude is ...

Page 108: ...9 6 FOR YOUR NOTES ...

Page 109: ...tored in the monitor s database and reviewed in the graphic tabular trends In trend graphs as the PR curve is in the same color with the PR source it is unlikely to distinguish the PR source is sent via the network to the central monitoring system if available To set which pulse rate as PR source 1 Enter the PR Setup menu 2 Select PR Source and then select a label or Auto from the popup menu The p...

Page 110: ...rement as the alarm source whenever the ECG measurement is switched on and a valid heart rate is available If the heart rate becomes unavailable for example if leads becomes disconnected and a pulse source is switch on and available the monitor will automatically switch to Pulse as the alarm source When the Leads Off condition is corrected the monitor will automatically switch back to the heart ra...

Page 111: ... electrical signal and displays a waveform and digital values for SpO2 and pulse rate This device is calibrated to display functional oxygen saturation It provides four measurements 1 Pleth waveform Pleth visual indication of patient s pulse The waveform is normalized 2 Oxygen saturation of arterial blood SpO2 percentage of oxygenated hemoglobin in relation to the sum of oxyhemoglobin and deoxyhem...

Page 112: ...ring may increase the risk of undesirable changes in skin characteristics such as irritation reddening blistering or necrosis 11 3 Identifying SpO2 Modules To identify which SpO2 module is incorporated into your patient monitor see the company logo located at the lower left corner on your monitor s front If it is Mindray SpO2 module there is no logo Masimo SpO2 module there is the Masimo SET logo ...

Page 113: ... set to Normal so that the interference caused by movement can be filtered and therefore the measurement stability can be ensured 11 5 3 Changing Averaging Time The SpO2 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 patient monitor responds to changes in the patient s oxygen saturation level Contraril...

Page 114: ...aused by motion artifacts To set the Sat Seconds limit select Sat Seconds in the SpO2 Setup menu and then select the appropriate setting With Sat Seconds alarm management high and low alarm limits are set in the same way as traditional alarm management A Sat Seconds limit is also set The Sat Seconds limit controls the amount of time that SpO2 saturation may be outside the set limits before an alar...

Page 115: ...ariable pitch of the heart beat tone or pulse beat tone as the patient s saturation level changes This monitor provides 22 levels of pitch tone The pitch of the heart rate tone or pulse rate tone rises as the saturation level increases and falls as the saturation level descreases There are two pitch tone modes Mode 1 and Mode 2 of which you can select either in configuration mode The pitch tone vo...

Page 116: ...mine Inappropriate positioning of the SpO2 sensor or use of incorrect SpO2 Drop of arterial blood flow to unmeaurable level caused by shock anemia low temperature or vasoconstrictor 11 7 Masimo Information Masimo Patents This device is covered under one or more of the following U S A patents 5 758 644 5 823 950 6 011 986 6 157 850 6 263 222 6 501 975 7 469 157 and other applicable patents listed a...

Page 117: ...3 364 5 865 736 6 083 172 6 463 310 6 591 123 6 708 049 Re 35 122 and international equivalents U S A international patents pending No Implied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized replacement parts which would alone or in combination with this device fall within the scope of one or more of the patents relat...

Page 118: ...11 8 FOR YOUR NOTES ...

Page 119: ...th the greatest amplitude is the mean pressure This is the most accurate parameter measured by the oscillometric method Once the mean pressure is determined the systolic and diastolic pressures are calculated with reference to the mean Simply stated auscultation measures systolic and diastolic pressures and the mean pressure is calculated The oscillometric method measures the mean pressure and det...

Page 120: ...catheter in place This could cause tissue damage around the catheter when the infusion is slowed or blocked during cuff inflation z If you doubt the NIBP readings determines the patient s vital signs by alternative means and then verify that the monitor is working correctly 12 3 Measurement Limitations Measurements are impossible with heart rate extremes of less than 40bpm or greater than 240bpm o...

Page 121: ...ng on the cuff matches the artery location Do not wrap the cuff too tightly around the limb It may cause discoloration and ischemia of the extremities Make sure that the cuff edge falls within the marked range If it does not use a larger or smaller cuff that will fit better 5 Connect the cuff to the air tubing and make sure that the bladder inside the cover is not folded and twisted NOTE z The use...

Page 122: ...e set time interval You can also start a measurement by pressing the Auto NIBP QuickKey Then monitor will then automatically repeat NIBP measurements at the set time interval per current settings 12 5 2 Starting a STAT Measurement 1 Select the NIBP parameter window to enter the NIBP Setup menu 2 Select NIBP STAT The STAT mode initiates 5 minutes of continuous sequential automatic NIBP measurements...

Page 123: ... Measurement mode 4 Unit of pressure mmHg or kPa 5 Alarm Limits 6 Prompt message area shows NIBP related prompt messages 7 Systolic pressure 8 Mean pressure 9 Diastolic pressure 10 If you have chosen to display PR from NIBP in configuration mode the PR value will be displayed at this position after each measurement ends During the measurement the cuff pressure is displayed at this position 2 5 7 9...

Page 124: ... are given when the systolic or diastolic pressure violates the alarm limits All alarms are given when the systolic or mean or diastolic pressure violates the alarm limits 12 7 2 Displaying NIBP Measurements You can display one set or multiple sets of NIBP measurements simultaneously In the NIBP Setup menu select Display NIBP and toggle between Single Group and Multi Group Single Group only the la...

Page 125: ...cuff The cuff deflates automatically after a set time if you do not deflate it During measurement the NIBP display shows the inflation pressure of the cuff and the remaining time in venous puncture mode 12 9 Resetting NIBP If the blood pressure pump works incorrectly but the monitor does not alarm for it you can check the pump by resetting it To reset the pump select Reset from NIBP Setup 12 10 NI...

Page 126: ...s that the NIBP airway may have leakages Check the tubing and connections for leakages If you ensure that the tubing and connections are all correct perform a leakage test again If the problem persists contact your service personnel NOTE z The leakage test is intended for use to simply determine whether there are leakages in the NIBP airway It is not the same as that specified in the EN 1060 3 sta...

Page 127: ...layed values should not be greater than 3 mmHg 5 Raise the pressure in the metal vessel to 50 mmHg with the balloon pump Repeat step 3 and 4 6 Raise the pressure in the metal vessel to 200 mmHg with the balloon pump Repeat step 3 and 4 If the difference between the manometer and displayed values is greater than 3 mmHg contact your service personnel 12 12 Calibrating NIBP NIBP is not user calibrate...

Page 128: ...12 10 FOR YOUR NOTES ...

Page 129: ...monitor will trigger a technical alarm and give the alarm message T1 Sensor Off or T2 Sensor Off correctly z The temperature measurement functioning should be calibrated every two years or as indicated by your standard hospital procedure 13 3 Making a Temp Measurement 1 Select an appropriate probe for your patient 2 If you are using a disposable probe connect the probe to the temperature cable 3 P...

Page 130: ... The temperature monitoring is displayed on the monitor as three numerics T1 T2 and TD By selecting this area you can enter the Temp Setup menu 13 5 Setting the Temperature Unit In the Temp Setup menu select Unit and toggle between ºC and ºF ...

Page 131: ...al procedure ensure that the monitor s cables and transducers never come into contact with the high frequency surgical units z When using accessories their operating temperature should be taken into consideration For details refer to instructions for use of accessories 14 3 Setting Up the Pressure Measurement 1 Plug the pressure cable into the IBP connector 2 Prepare the flush solution 3 Flush the...

Page 132: ...cer After a successful zeroing turn off the stopcock to the atmosphere and turn on the stopcock to the patient WARNING z If measuring intracranial pressure ICP with a sitting patient level the transducer with the top of the patient s ear Incorrect leveling may give incorrect values Heparinised fluid bag Flushing set Valve Pressure transduce Stopcock Adapter cable for using disposable transducers M...

Page 133: ...en multiple IBP signals are measured IBP waveforms can be displayed overlappingly in a two channel waveform area All the overlapped waveforms use the same upper middle lower gridline and the same pressure unit The labels and scale of arterial pressures except for PA are displayed at the left side of the waveform area and the labels and scale of venous pressures at the right side of the waveform ar...

Page 134: ...re label 14 5 2 Choosing the Pressure Alarm Source You can monitor for alarm conditions in systolic diastolic and mean pressure either singly or in parallel In the setup menu for the pressure select Alm Source and choose from Sys alarms are given only when the systolic pressure violates the alarm limits Dia alarms are given only when the diastolic pressure violates the alarm limits Mean alarms are...

Page 135: ...ctively 14 5 4 Setting the Pressure Unit In the setup menu for the pressure select Unit and toggle between mmHg cmH2O and kPa 14 5 5 Setting Wave Overlapping When two or more IBP channels are used you can have IBP waves overlapped in the same area for a better view In the waveform menu for the pressure set Wave Overlapping as On 14 5 6 Setting Up the IBP Wave In the waveform menu for the pressure ...

Page 136: ...nd diastolic pressure when the airway pressure and valve function are normal The most accurate PAWP values are obtained at the end of the respiration cycle when the intrathoracic pressure is fairly constant and the artifact caused by respiration is minimal 14 6 1 Preparing to Measure PAWP 1 Prepare the same accessories as in the C O measurement Connect the parts such as catheter syringe etc follow...

Page 137: ...14 7 NOTE z After entering the PAWP measurement window the monitor will turn off the PA alarm automatically ...

Page 138: ...ss the Confirm key to save one PAWP measurement 4 If you need to start a new measurement select Next Measure WARNING z Prolonged inflation can cause pulmonary hemorrhage infarction or both Inflate the balloon for the minimum time necessary to get an accurate measurement z If the PAWP is greater than the PA systolic deflate the balloon and report the incident in accordance with hospital policy Beca...

Page 139: ...o the patient 2 Vent the transducer to the atmospheric pressure by turning on the stopcock to the air 3 In the setup menu for the pressure e g Art select Zero Art Zero During zero calibration the Zero button appears dimmed It recovers after the zero calibration is completed 4 After the zero calibration is completed close the stopcock to the air and open the stopcock to the patient NOTE z Your hosp...

Page 140: ...14 10 FOR YOUR NOTES ...

Page 141: ...e change is displayed as a curve in the C O split screen and the monitor calculates the C O value from this curve The C O value is inversely proportional to the area under the curve 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 monito...

Page 142: ...ile the C O measurement is being performed Followings are some technique suggestions to obtain accurate C O Injectate solution must be cooler than the patient s blood Inject solution rapidly and smoothly Inject at end expiration Wait 1 minute between injections to allow baseline to become stabilized 15 4 Setting Up the C O Measurement WARNING z Use only accessories specified in this manual Make su...

Page 143: ... Const and then enter the correct value When a new catheter is used the computation constant should be adjusted in accordance with the manufacturer s instructions for use Switch Auto Ti on and the injectate temperature is automatically obtained When Auto Ti is switched off you can enter the injectate temperature in the Manual Ti field 5 Select C O Measure to enter the C O measurements window Patie...

Page 144: ... a new measurement 7 Repeat step 6 until you have completed the measurements you want to perform A maximum of 6 measurements can be stored If you perform more than six measurements without rejecting any the oldest will be automatically deleted when a seventh curve is stored After the measurements are completed you can select from the 6 measurement curves Then the system will automatically calculat...

Page 145: ...t out the most recently measured curve and numerics by the recorder Select Setup to access the C O Setup menu Select Calc to access the Hemodynamic Calculation menu NOTE z During the cardiac output measurement blood temperature alarms are inactive 15 5 Measuring the Blood Temperature As shown below the blood temperature is measured with a thermistor at the distal end of the catheter in the pulmona...

Page 146: ...certain period of time should be allowed for the blood temperature to become stable before starting a new measurement To set the interval between two measurements in the C O Setup menu select Interval s and enter an appropriate value Every time when a measurement is completed the monitor will count down the remaining time and give corresponding prompt messages A new measurement will not start unti...

Page 147: ... gas sample is measured with a photodetector From the amount of IR light measured the concentration of CO2 is calculated There are two methods for measuring CO2 in the patient s airway 1 Mainstream measurement uses a CO2 sensor attached to an airway adapter directly inserted into the patient s breathing system 2 Sidestream Microstream measurement samples expired patient gas at a constant sample fl...

Page 148: ...on the screen 3 After start up is finished the CO2 module needs time to warm up to reach the operating temperature The message CO2 Sensor Warmup is displayed If you perform CO2 measurements during warm up the measurement accuracy may be compromised 4 After warm up is finished you can perform CO2 measurements NOTE z To extend the lifetime of the watertrap and module disconnect the watertrap and set...

Page 149: ...omise the performance of the filter or even block the airway In this case replace the watertrap It is recommended to replace the watertrap once every two months or when the watertrap is found leaky damaged or contaminated 16 2 2 Using a Microstream CO2 module 1 Connect the sampling line to the module and then connect the CO2 components as shown below 2 By default the microstream CO2 module is in m...

Page 150: ...r 4 Perform a zero calibration per the Zeroing the Sensor section 5 After the zero calibration is finished connect the airway as shown below 6 Make sure there are no leakages in the airway and then start a measurement NOTE z Always position the sensor with the adapter in an upright position to avoid collection of fluids on the windows of the adapter Large concentrations of fluids at this point wil...

Page 151: ...ime after which the CO2 module enters the standby mode if no breath is detected since the CO2 module is powered on or the CO2 module switches to the measure mode or the automatic standby time is re set To set the standby time in the CO2 Setup menu select Auto Standby min and then select the appropriate setting 16 3 2 Setting the Pressure Unit In the CO2 Setup menu select Press Unit and toggle betw...

Page 152: ... of AG on the readings 16 3 4 Setting up Humidity Compensation Sidestream and microstream CO2 modules are configured to compensate CO2 readings for either Body Temperature and Pressure Saturated Gas BTPS to account for humidity in the patient s breath or Ambient Temperature and Pressure Dry Gas ATPD 1 ATPD 100 2 2 amb co P vol CO mmHg P 2 BTPS 100 47 2 2 amb CO P vol CO mmHg P Where 2 CO P partial...

Page 153: ...alculated for every breath 10 s 20 s or 30 s EtCO2 and FiCO2 are calculated using 10 20 or 30 seconds of data 16 3 7 Setting the Flow Rate For the sidestream CO2 module you can change the sampling rate of respiratory gas in the patient s airway by setting the flow rate To set the flow rate enter the CO2 Setup menu and select an appropriate setting from Flow Rate WARNING z Consider the patient s ac...

Page 154: ...ill result in erroneous CO2 reading NOTE z Both sidestream and microstream CO2 modules are configured with automatic barometric pressure compensation function 16 5 Measurement Limitations The following factors may influence the accuracy of measurement Leaks or internal venting of sampled gas Mechanical shock Cyclic pressure up to 10 kPa 100 cmH2O Other sources of interference if any 16 6 Troublesh...

Page 155: ...eam and Microstream CO2 Modules For sidestream and microstream CO2 modules a zero calibration is carried out automatically when necessary You can also start a manual zero calibration if necessary To manually start a zero calibration select Start Zero Cal in the CO2 Setup menu Disconnecting the patient airway is not required when performing a zero calibration 16 8 2 For Mainstream CO2 Modules For m...

Page 156: ...ormed once every year or when the readings go far beyond the range For maintream CO2 module no calibration is needed For details refer to the chapter Maintenance 16 10 Oridion Information This trademark is registered in Israel Japan German and America Oridion Patents This device and the CO2 sampling consumables designed for use herewith is covered by one or more of the following USA patents 4 755 ...

Page 157: ...eathing 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 uniform magnetic field In the presence of paramagnetic oxygen the glass spheres are pushed further away from the strongest part of the magnetic field The strength...

Page 158: ...nect the gas sample line to the connector of the watertrap 3 Connect the other end of the gas sampling line to the patient via the airway adapter 4 Connect the exhaust tube to the gas outlet on the module to scavenge the sample gas to the waste gas disposal system 5 The patient monitor prompts AG Startup After startup is finished AG Warmup is prompted Then the AG module enters the warm up status A...

Page 159: ...nting bacterium water and secretions from entering the module After a long term use dust or other substances may compromise the performance of the filter or even block the airway In this case replace the watertrap Replacing the watertrap once a month is recommended WARNING z Do not apply adult watertrap to the neonate patient Otherwise patient injury could result z Make sure that the connections a...

Page 160: ...simultaneously which are CO2 AA O2 and N2O When the AG module is AION 03 the AA waveform area displays the primary anesthetic gas s waveform and the parameter area displays end tidal Et and inspired Fi values for two anesthetic gases When O2 module does not exist no O2 waveform will be displayed When O2 module exists the O2 waveform will be displayed only when the O2 waveform is currently switched...

Page 161: ...ates 1 MAC nitrous oxide can only be reached in hyperbaric chamber NOTE z The MAC values shown in the table above are those published by the U S Food and Drug Administration for a healthy 40 year old adult male patient z In actual applications the MAC value may be affected by age weight and other factors The formula to calculate the MAC value is as follows 1 0 N i i i AgentVol EtAgent MAC Where N ...

Page 162: ...ropriate setting The monitor will alarm if the patient has stopped breathing for longer than the preset apnea time 17 5 4 Changing the Sample Flow Rate In the setup menu for any gas select Flow Rate and then choose 200 ml min 150 ml min or 120 ml min for adult and pediatric patients 120 ml min 90 ml min or 70 ml min for neonatal patients 17 5 5 Setting up the O2 Compensation If the AG module does ...

Page 163: ...ndby mode automatically if no breath is detected since the last detected breath To set the standby time in the agent s setup menu select Auto Standby and then select the appropriate setting 17 5 7 Setting up the AG Wave Select a gas waveform area to enter its waveform menu In this menu you can Select Wave Type and toggle between Draw and Fill Draw The CO2 wave is displayed as a curved line Fill Th...

Page 164: ...Gas Inlet is Blocked If the gas inlet including watertrap sampling line and airway adapter is occluded by condensed water the message AG Airway Occluded will appear To remove the occlusion Check the airway adapter for an occlusion and replace if necessary Check the sampling line for an occlusion or kinking and replace if necessary Check the watertrap for a build up of water Empty the watertrap If ...

Page 165: ...atients who are receiving or have recently received anesthetics connect the outlet to a scavenging system or to the anesthesia machine ventilator to avoid exposing medical staff to anesthetics To remove the sample gas to a scavenging system connect an exhaust tube to the gas outlet connector of the module ...

Page 166: ...17 10 FOR YOUR NOTES ...

Page 167: ...rea update as usual The freeze feature exerts no effect on the split screen view of minitrends oxyCRG and other patients 18 2 Viewing Frozen Waveforms To view the frozen waveforms you can either Select the Scroll button and then rotate the Knob clockwise or counter clockwise or Directly select the or beside the Scroll button using a mouse or through the touchscreen The frozen waveforms will scroll...

Page 168: ...on through which the screen will re arrange or a menu will pop up such as plugging in or out a module pressing the hardkey etc 18 4 Recording Frozen Waveforms 1 In the Freeze menu select in turn Wave 1 Wave 2 and Wave 3 and then select your desired waveforms 2 Select the Record button The selected waveforms and all numerics at the freeze time are printed out by the recorder ...

Page 169: ...t Review 2 Select Graphic Trends Tabular Trends NIBP Arrh Events Alarms Full Disclosure or 12 Lead Analysis to access their respective review windows For details about reviewing arrhythmia events and interpretation of resting 12 lead ECG results refer to the chapter Monitoring ECG ...

Page 170: ...xis In this review window To select parameters for viewing you can either Select respective parameter combo boxes and then select your desired parameters or Select Trend Group and then select a group from the popup list or Select Select Parameter and then select your desired parameters from the popup menu You can set the start time of the trends you want to view by selecting Start Time B A E F C D...

Page 171: ...lect or to move the cursor one step to the left or right to navigate through the graphic trends or Select or to move the cursor one page to the left or right to navigate through the graphic trends A time indicating your current position is displayed above the cursor Measurement numerics corresponding to the cursor location appear at the left side of the Graphic Trends window and change as the curs...

Page 172: ...his review window To select parameters for viewing you can either Select Trend Group and then select a group from the popup list or Select the Define Group button and then select the parameters you want to view from the popup menu You can set the start time of the trends you want to view by selecting Start Time ...

Page 173: ...atabase or Select or to scroll left or right to navigate through the trend database Select or beside the vertical scrollbar to drag the scrollbar up or down to view more measurement values or Select or to scroll up or down to view more measurement values By selecting the Record button you can print out the currently displayed tabular trends by the recorder By selecting beside the Record button you...

Page 174: ...ements is displayed at the lower left corner In this review window Up to 6 measurements can be displayed at a time You can select or beside the Scroll button to view more measurements By selecting the Record button you can print out the currently displayed NIBP measurements by the recorder By selecting beside the Record button you can access the Record Setup menu and set the start and end time of ...

Page 175: ...ecalled If you set a time that is too late the last alarm event will be recalled You can view the desired measurement alarms by selecting Event and then selecting the measurement whose alarms you want to view All includes all measurements To select an alarm event for viewing you can either Select the or button or Directly select your desired alarm event on the screen Select an alarm event then Wav...

Page 176: ...ut the currently displayed alarm events by the printer You can select Full Disclosure to access the waveform review window However if you do not save waveforms beforehand the message Searching Data Failed will be displayed 19 6 Reviewing Waveforms In the Review menu select Full Disclosure to access the following window A Parameter combo box B Slider C Parameter value D Full disclosure waveforms E ...

Page 177: ...through the waveforms or Select or to move the cursor one page left or right to navigate through the waveforms A time indicating your current position is displayed above the cursor Measurement numerics corresponding to the cursor location are displayed at the left side of the Waveforms window and change as the cursor is moved You can change the wave gain by selecting Gain and then selecting the ap...

Page 178: ...19 10 FOR YOUR NOTES ...

Page 179: ...on select Calc in the main menu or the Calc QuickKey and then select the calculation you want to perform NOTE z The calculation feature is independent of other monitoring functions and can be therefore used for patients being monitored by other monitors Any operation in a calculation window does not affect the patient monitoring by the local patient monitor WARNING z After the calculation is finis...

Page 180: ...er values following the doctor s instructions and then the calculated values can only be used 4 Enter the patient s weight 5 Enter other values 6 Verify if the calculated values are correct 20 2 2 Selecting the Proper Drug Unit Each drug has its fixed unit or unit series Among a unit series one unit may change to another automatically depending on the entered value The units for each drug are as f...

Page 181: ... Calculate button The system performs a calculation per the current settings and displays the calculated values The values that exceed the range are displayed in yellow background You can select Range to view its normal range in the unit field For those who are within the range their unit fields appear blank Invalid values are displayed as In the Oxygenation Calculation window you can Change the p...

Page 182: ...oxygen content CvO2 ml L venous oxygen content VO2 ml min oxygen consumption RQ None respiratory quotient ATMP mmHg atmospheric pressure Height cm height Weight kg weight 20 3 3 Calculated Parameters Abbreviation Unit Full spelling BSA m2 body surface area VO2 calc ml min oxygen consumption C a v O2 ml L arteriovenous oxygen content difference O2ER oxygen extraction ratio DO2 ml min oxygen transpo...

Page 183: ... you can Change the pressure unit by selecting Press Unit and then selecting the appropriate setting Corresponding pressure values shall convert and update automatically Trigger a recording by selecting the Record button The currently displayed renal calculations are printed out by the recorder Review the previously performed calculations by selecting Review 20 4 2 Entered Parameters Abbreviation ...

Page 184: ...urements C O is the average of multiple thermodilution measurements Height and Weight are the patient s height and weight you have entered If the monitor does not provide these values their fields appear blank For a patient who is not being monitored confirm the values you have entered 3 Select the Calculate button The system performs a calculation per the current settings and displays the calcula...

Page 185: ...n m2 cardiac index BSA m2 body surface area SV ml stroke volume SI ml m2 stroke index SVR DS cm5 systemic vascular resistance SVRI DS m2 cm5 systemic vascular resistance index PVR DS cm5 pulmonary vascular resistance PVRI DS m2 cm5 pulmonary vascular resistance index LCW kg m left cardiac work LCWI kg m m2 left cardiac work index LVSW g m left ventricular stroke work LVSWI g m m2 left ventricular ...

Page 186: ... unit fields appear blank Invalid values are displayed as In the Renal Calculation window you can Trigger a recording by selecting the Record button The currently displayed renal calculations are printed out by the recorder Review the previously performed calculations by selecting Review 20 6 2 Entered Parameters Abbreviation Unit Full spelling URK mmol L urine pstassium URNa mmol L urinary sodium...

Page 187: ...ture you can review oxygenation ventilation hemodynamic and renal calculations The review window for each calculation is similar Take the hemodynamic calculations review window for example you can access it by selecting Review in the Hemodynamic Calculation window In this review window You can select or to view more values The values that exceed the range are displayed in yellow background The Uni...

Page 188: ...20 10 FOR YOUR NOTES ...

Page 189: ...p to three waveforms etc 1 Start Stop key press to start a recording or stop the current recording 2 Indicator On when the recorder works correctly Off when the monitor is switched off Flashes if an error occurred to the recorder e g the recorder runs out of paper 3 Paper outlet 4 Recorder door 5 Latch 3 4 2 1 5 ...

Page 190: ...cording Graphic trends recording Tabular trends recording NIBP measurements Parameter alarms Arrh alarm recording Full disclosure waveforms 12 lead ECG waveforms and analysis results Titration Table Hemodynamic calculations recording Oxygenation calculations recording Ventilation calculations recording Renal calculations recording oxyCRG recording C O curve recording PAWP measurements Monitor info...

Page 191: ...ing you can either Select the hardkey again or Select Clear All Tasks in the Record Setup menu Recordings stop automatically when The runtime is over The recorder runs out of paper When the recorder has an alarm condition 21 4 Setting up the Recorder 21 4 1 Accessing the Record Setup Menu Select Record Setup in the main menu and you can access the Record Setup menu 21 4 2 Selecting Waveforms for R...

Page 192: ...Changing the Recording Speed In the Record Setup menu select Paper Speed and toggle between 25 mm s and 50 mm s This setting is for all recordings containing waveforms 21 4 6 Switching Gridlines On or Off In the Record Setup menu select Gridlines and toggle between On and Off 1 On show gridlines when recording waveforms 2 Off hide gridlines when recording waveforms This setting is for all recordin...

Page 193: ...ess Otherwise it may cause damage to the recorder z Do not leave the recorder door open unless you reload paper or remove troubles 21 6 Removing Paper Jam If the recorder works incorrectly or produces unusual sounds check if there is a paper jam first If a paper jam is detected follow this procedure to remove it 1 Open the recorder door 2 Take out the paper and tear off the draped part 3 Reload th...

Page 194: ...lean the printhead 1 Take measures against the static electricity such as Disposable Wrist Strap for the work 2 Open the recorder door and take out the paper 3 Gently wipe around the printhead using cotton swabs dampened with alcohol 4 After the alcohol has completely been dried reload the paper and close the recorder door CAUTION z Do not use anything that may destroy the thermal element z Do not...

Page 195: ...ing of products the monitor will support more printers and no prior notice will be given If you have any doubt about the printer you have purchased contact our company 22 2 Connecting a Printer To print the reports or the trend data of a patient you can choose either the local printer Connect the printer and the patient monitor using a network cable and then start printing what you want or the Cen...

Page 196: ...on the selected parameter group resolution and time period Select Print Setup Tabular Trends Reports Print in the main menu or select Review Tabular Trends Print Print also in the main menu Graphic trends Depend on the selected parameter group resolution and time period Select Print Setup Graphic Trends Reports Print in the main menu or select Review Graphic Trends Print Print also in the main men...

Page 197: ...ach side and a rhythm waveform will be printed at the bottommost 22 6 2 Setting Up Tabular Trends Reports To set up tabular trends reports select Print Setup Tabular Trends Reports in the main menu Start time You can set a time period whose trend data will be printed out by setting From and Back For example if you set From as 2007 4 2 10 00 00 and Back as 2 h the outputted data will be from 2007 4...

Page 198: ...etails 22 6 4 Setting Up Realtime Reports To set up realtime reports select Print Setup Realtime Reports in the main menu Sweep set the wave print speed Select Wave from the popup menu you can Current select the currently displayed waves for printing Select Wave select the desired waves for printing 22 7 End Case Reports ECG reports tabular trends reports graphic trends reports NIBP review reports...

Page 199: ... you need to install paper and then re send the print request Restart the printer if necessary Therefore you d better ensure that there is enough paper in the printer before sending a print request 22 8 2 Printer Status Message Printer Status Message Possible causes and suggested action Printer unavailable The selected printer is not available Check if the printer is switched on or correctly conne...

Page 200: ...22 6 FOR YOUR NOTES ...

Page 201: ...iggered 23 2 Analog Output The patient monitor provides analog output signals to accessory equipment via the Auxiliary Output connector on the rear of the monitor To obtain analog output signals connect the accessory equipment such as an oscillograph etc to the monitor and then follow this procedure 1 In the main menu Select Maintenance User Maintenance enter the required password 2 Select Device ...

Page 202: ... in normal operation or performs monitoring You must re start the patient monitor to exit the data transfer mode Transfer data via a crossover network cable Before transferring data using a crossover network cable do as follows 1 Connect one end of the crossover network cable to the patient monitor and the other end to the PC 2 Set the IP address of the PC This IP address must be in the same netwo...

Page 203: ...23 4 Nurse Call The patient monitor also provides nurse call signals to a nurse call system connected to the monitor via the Auxiliary Output connector To obtain nurse call signals connect a nurse call system to the monitor and then follow this procedure 1 In the main menu select Maintenance User Maintenance enter the required password 2 Select Device Setup to access the Device Setup menu 3 Select...

Page 204: ...efines the category within which the nurse call triggering alarms fall Alarm conditions are indicated to nurses only when The nurse call system is enabled An alarm that meets your preset requirements occurs and The monitor is not in the alarm paused or silence status NOTE z If no setting is selected from Alm Lev or Alarm Cat no nurse call signal will be triggered whatever alarms occur WARNING z Do...

Page 205: ...n compliance with the essential requirements and other relevant provisions of Directive 1999 5 EC Radio Equipment and Telecommunications Terminal Equipment Directive NOTE z The design installation reconstruction and maintenance of the wireless network s distribution shall be performed by authorized service personnel of our company z The existence of obstacles such as wall will exert impact on data...

Page 206: ...23 6 FOR YOUR NOTES ...

Page 207: ...es that batteries work correctly The solid portion represents the current charge level of the batteries in proportion to its maximum charge level Indicates that the batteries have low charge level and need to be charged In this case the patient monitor provides an alarm message Indicates that the batteries are almost depleted and need to be charged immediately Otherwise the patient monitor will sh...

Page 208: ...nsert a new battery pack before the old one depletes To install or replace a battery follow this procedure 1 Open the battery door 2 Push aside the latch fixing the battery to be replaced and remove the battery 3 Insert a battery into the slot with its face up and its contact point inward Then restore the latch to the original position 4 If necessary repeat the steps above to replace the other bat...

Page 209: ...ansported or will not be used for more than 3 months Remove the battery from the monitor if it is not being used regularly Leaving the battery in a monitor that is not in regular use will shorten the life of the battery The shelf life of a fully charged sealed lead acid battery is about 6 months and in 6 months the battery must be fully charged for storage The shelf life of a Lithium Ion battery i...

Page 210: ...capacity and operating time of this battery can still fulfill battery specifications in the operator s manual When conditioning a battery please replace the battery if its operating time is significantly lower than the specified time To condition a battery follow this procedure 1 Disconnect the monitor from the patient and stop all monitoring or measuring 2 Insert the battery in need of conditioni...

Page 211: ...ttery or contact with the maintenance personnel if its operating time is significantly lower than the specified time NOTE z The battery might be damaged or malfunctioned if its operating time is too short after being fully charged The operating time depends on the configuration and operation For example measuring NIBP more frequently will also shorten the operating time z When a battery has visual...

Page 212: ...24 6 FOR YOUR NOTES ...

Page 213: ...to the equipment follow these rules Always dilute according the manufacturer s instructions or use lowest possible concentration Do not immerse part of the equipment into liquid Do not pour liquid onto the equipment or accessories Do not allow liquid to enter the case Never use abrasive materials such as steel wool or silver polish or erosive cleaners such as acetone or acetone based cleaners WARN...

Page 214: ...ing a soft clean cloth dampened with a glass cleaner 3 Clean the exterior surface of the equipment using a soft cloth dampened with the cleaner 4 Wipe off all the cleaning solution with a dry cloth after cleaning if necessary 5 Dry your equipment in a ventilated cool place If you want to clean the touchscreen during patient monitoring lock the touchscreen first 25 3 Disinfecting Disinfection may c...

Page 215: ...nspection should be performed by qualified service personnel to ensure the reliability Follow these guidelines when inspecting the equipment Make sure that the environment and power supply meet the requirements Inspect the equipment and its accessories for mechanical damage Inspect all power cords for damage and make sure that their insulation is in good condition Make sure that only specified acc...

Page 216: ...cy test At least once every two years or by your hospital policy NIBP calibration At least once every two years or by your hospital policy CO2 calibration and performance test At least once a year or if you doubt the measured values AG calibration At least once a year or if you doubt the measured values AG preventative maintenance pump check internal fan check ambient pressure check and so forth a...

Page 217: ... the wave scale The difference should be within 5 3 After the calibration is completed select Stop Calibrating ECG You can print out the square wave and wave scale and then measure the difference between them if necessary If the difference exceeds 5 contact your service personnel 26 5 Calibrating the Touchscreen 1 In the main menu select Maintenance User Maintenance enter the required password and...

Page 218: ...ct the gas bottle with the tubing using a T shape connector as shown below Check the airway and make sure there are no leaks 5 Open the gas valve and vent CO2 into the tubing 6 In the Calibrate CO2 menu enter the vented CO2 concentration in the CO2 field 7 In the Maintain CO2 menu the measured CO2 concentration barometric pressure sensor temperature and current flowrate are displayed After the mea...

Page 219: ... great it indicates that there is an occlusion in the tubing Check the tubing for an occlusion Block the gas inlet of the tubing The Current FlowRate shall fall rapidly and the system prompts that the tubing is blocked Otherwise it indicates that there are leakages in the tubing Check the tubing for leakages 3 Connect the gas bottle reservoir bag and the tubing using a T shape connector as shown i...

Page 220: ...AN 3 Set the IP Address and subnet mask through IP Address and Subnet Mask If the patient monitor is connected to a CMS its IP address should be set up The user should not change the patient monitor s IP address randomly If you want to know details about IP address setup contact the technical personnel in charge of the CMS 26 9 Entering Exiting Demo Mode To enter the Demo mode 1 In the main menu s...

Page 221: ... ECG Accessories ECG Electrodes Model Quantity Patient Category Part No 210 10 pieces Adult 0010 10 12304 2245 50 pieces Pediatric 9000 10 07469 2258 3 3 pieces Neonate 900E 10 04880 12 Pin Separable Trunk Cables Leadwire supported Compatible with Type Patient Category Length Part No 3 leadwire AHA IEC Defibrillator proof 0010 30 42720 3 leadwire AHA IEC ESU proof Pediatric neonate 0010 30 42724 3...

Page 222: ...tric 0 6 m 0010 30 42900 5 Electrode Cable Sets Type Compatible with Model Patient Category Length Part No Remark EL6502A 0 6 m 0010 30 42728 IEC EL6504A 1 to 1 4 m 0010 30 42730 Long EL6501A 0 6 m 0010 30 42727 Clip AHA EL6503A 1 to 1 4 m 0010 30 42729 Long IEC EL6502B 0 6 m 0010 30 42736 Snap AHA EL6501B Adult pediatric neonate 0 6 m 0010 30 42735 10 Electrode Cable Sets Type Compatible with Mod...

Page 223: ...1 Mindray SpO2 Module Type Model Patient Category Length Part No MAX A Adult 30Kg 0010 10 12202 MAX P Pediatric 10 to 50Kg 0010 10 12203 MAX I Infant 3 to 20Kg 0010 10 12204 Disposable MAX N Neonate 3Kg Adult 40Kg 0010 10 12205 520A Adult 520A 30 64101 520P Pediatric 520P 30 64201 520I Infant 520I 30 64301 Single patient use 520N Neonate 1 m 520N 30 64401 DS 100A Adult 9000 10 05161 OXI P I Pediat...

Page 224: ... 50Kg banding type 0010 10 12203 MAX I Infant 3 to 20Kg banding type 0010 10 12204 Disposable MAX N Neonate 3Kg Adult 40Kg banding type 0010 10 12205 DS 100A Adult 9000 10 05161 OXI P I Pediatric infant finger type 9000 10 07308 Reusable OXI A N Adult neonate finger type 9000 10 07336 Wavelength emiited by the sensors intended for Mindray SpO2 module red right 660 nm infrared light 905 nm Waveleng...

Page 225: ...ry Measurement Site Limb Circumference cm Bladder Width cm Part No CM1500A 3 1 to 5 7 2 2 001B 30 70692 CM1500B 4 3 to 8 0 2 9 001B 30 70693 CM1500C 5 8 to 10 9 3 8 001B 30 70694 CM1500D Neonate 7 1 to 13 1 4 8 001B 30 70695 CM1501 Infant 10 to 19 7 2 001B 30 70697 CM1502 Pediatric 18 to 26 9 8 001B 30 70698 CM1503 Adult 25 to 35 13 1 001B 30 70699 CM1504 Large adult Arm 33 to 47 16 5 001B 30 7070...

Page 226: ...ccessories Accessories Kit No Components Length Part No IM2201 12Pin IBP Cable Kit Hospira 4 6 1 0 m 001C 30 70759 Disposable Pressure Transducer 0010 10 42638 Steady Rest for IBP Transducer and Clamp M90 000133 Steady Rest for IBP Transducer and Clamp M90 000134 IBP accessories instructions for use ABBOTT 0010 20 42913 Bar code printing paper 100 150 mm A30 000010 6800 30 50616 Hospira Packaging ...

Page 227: ...For detailed information contact Medex Braun IBP Reusable Cable REF 5203511 to be used in connection with the Adapter Cable 0010 20 42795 Combitrans Monitoring Set contact Braun for detailed information Combitrans Attachment Plate Holder REF 5215800 Combitrans Attachment Plate contact Braun for detailed information Memscap Truck cable 0010 21 43082 SP844 Physiological Pressure Transducer 844 26 Mo...

Page 228: ...Watertrap Neonate Reusable 9200 10 10574 Sampling Line Adult pediatric 9200 10 10533 Sampling Line 2 5m Neonate 9200 10 10555 Nasal CO2 Sample Cannula Adult M02A 10 25937 Nasal CO2 Sample Cannula Pediatric Disposable M02A 10 25938 DRYLINE Airway Adapter Adult pediatric neonate Straight 9000 10 07486 Mindray CO2 accessories package M02A Adult pediatric Airway adapter 2 Adult pediatric watertrap 2 A...

Page 229: ...10 10 42566 9822 Plus O2 0010 10 42568 9826 Adult intermediate Long plus O2 0010 10 42570 8174 0010 10 42577 8177 Humidified 0010 10 42572 8180 Adult Humidified plus O2 0010 10 42575 7266 0010 10 42567 8175 0010 10 42578 8178 Humidified 0010 10 42573 8181 Humidified plus O2 0010 10 42576 7269 Plus O2 0010 10 42569 7743 Pediatric Long plus O2 0010 10 42571 8179 Infant Neonate Humidified 0010 10 425...

Page 230: ...9960PED Pediatric 0010 10 42669 Cable management straps 0010 10 42667 Sensor holding clips 0010 10 42668 Sensor Capnostat5 Adult pediatric neonate Reusable 6800 30 50760 Mainstream CO2 accessories package Adult pediatric neonate Disposable adult pediatric airway adapter 1 Disposable pediatric neonate airway adapter 1 Mainstream CO2 sensor 1 Mainstream CO2 accessories instructions for use 6800 30 5...

Page 231: ...isposable elbow 9000 10 07487 AG module accessories package domestic Adult pediatric Straight airway adapter 2 Elbow airway adapter 2 Adult pediatric watertrap 5 Adult sampling line 4 AG accessories instructions for use 6800 30 50620 AG module accessories package abroad Adult pediatric neonate Straight airway adapter 2 Elbow airway adapter 2 Adult pediatric watertrap 5 Adult sampling line 4 Adult ...

Page 232: ...903 Grounding cable 1000 21 00122 Defibrillator synchronization cable 6800 20 50781 Nurse call cable 8000 21 10361 CF storage card 023 000067 00 Recorder TR6F 30 67306 Recorder paper 48 mm A30 000001 Recorder for update installed on the device TR6F 30 67317 Wireless network card 6802 30 66686 0010 30 43034 Main unit wall mount bracket 0010 30 42860 0010 30 43033 Trolly bracket 0010 30 42843 ...

Page 233: ...e external protective earth ground or the protective earth conductor switch the equipment to the internal power supply batteries Degree of protection against electric shock CO2 AG ECG RESP SpO2 NIBP TEMP IBP CO BF defibrillation proof CF defibrillation proof Degree of protection against hazards of explosion Not protected ordinary Degree of protection against harmful ingress of water In accordance ...

Page 234: ...3 mmHg 57 0 107 5 kPa 428 to 790mmHg with Sidestream CO2 module 430 to 795mmHg with Microstream CO2 module 400 to 850 mmHg with Mainstream CO2 module 525 to 900 mmHg with AG module Storage conditions Temperature ºC 20 to 60 Relative humidity noncondensing 10 to 95 Altitude 122 6 808 3 mmHg 16 3 107 5 kPa 428 to 790mmHg with Sidestream CO2 module 430 to 795mmHg with Microstream CO2 module 400 to 85...

Page 235: ...nutes or 210 minutes when powered by one or two new fully charged batteries respectively 25 ECG SpO2 Auto NIBP measurements at intervals of 15 minutes Screen brightness is 1 Charge time Shut down nearly 4 h to 90 6 h to 100 Operating nearly 6 h to 90 8 h to 100 Lithium battery Rated voltage 11 1 VDC Capacity 4 4 Ah Minimum operating time 210 minutes or 450 minutes when powered by one or two new fu...

Page 236: ...en Size diagonal 12 1 Resolution 800 600 pixels A 2 3 Recorder Method Thermal dot array Horizontal resolution 16 dots mm 25 mm s paper speed Vertical resolution 8 dots mm Paper width 48 mm Paper length 20 m Paper speed 25 mm s 50 mm s Number of waveform channels 1 2 or 3 optional A 2 4 LEDs Alarm lamp 1 two colour coded yellow and red Operating status indicator 1 green AC power LED 1 yellow green ...

Page 237: ...e Specifications Power 1 AC power input connector Measurements ECG RESP TEMP SpO2 NIBP IBP CO CO2 AG Wire network 1 RJ45 connector 100 Base TX IEEE 802 3 USB optional 2 connectors USB 1 1 CF 50 pin CF revision 2 0 connector Video interface 1 standard colour VGA monitor connector Auxiliary output 1 connector standard BNC the common connector of nurse call signals analog output signals and defibrill...

Page 238: ...requency 1Hz 8 Hz 12 5 Hz and 20 Hz are optional Max transmission delay 60 ms with Notch off Sensitivity 1 V 100 mmHg 5 Nurse Call Signal Output mode Relay Electrical requirements 60W 2A 36VDC 25VAC Conducting impedance 1 Ω Isolation voltage 1500 VAC Contact type Normally open or normally contact optional Defib Sync Pulse Max time delay 35 ms R wave peak to leading edge of pulse Amplitude High lev...

Page 239: ...eform recording length can be 8s 16s or 32s NIBP measurements 1000 sets 12 lead ECG analysis results 10 sets Full disclosure waveforms 48 hours at maximum The specific storage time depends on the waveforms stored and the number of stored waveforms A 4 Wireless Network Standards IEEE 802 11b g Frequency range 2 412 to 2 462 GHz A 5 Measurement Specifications The adjustable range of alarm limits is ...

Page 240: ...cal mode 90 dB 105 dB 105 dB Notch 50 60 Hz Monitor and surgical mode Notch turns on automatically Diagnostic mode Notch is turned on off manually Differential input impedance 5 MΩ Input signal range 8 mV peak to peak value Electrode offset potential tolerance 500 mV Input offset current 0 1 μA except for the driving lead Baseline recovery time 5 s after defibrillation Calibration signal 1mV peak ...

Page 241: ...litude Width Rise time Minimum input slew rate 2 to 700 mV 0 1 to 2 ms 10 to 100 µs 50 V s RTI Alarm limit Range bpm Step bpm HR High Adult Pediatric Neonate low limit 2 to 300 low limit 2 to 350 HR Low 15 to high limit 2 1 Basic algorithm HR 3 5 and 12 lead ECG Neonate Pediatric Adult 15 to 350 bpm 15 to 350 bpm 15 to 300 bpm Measurement range Interpretation of resting 12 lead ECG Adult 30 to 120...

Page 242: ...3c 120 1 bpm Bidirectional systoles 3d 90 2 bpm Response time to heart rate change Meets the requirements of ANSI AAMI EC13 Section 4 1 2 1 f From 80 to 120 bpm less than 12 s From 80 to 40 bpm less than 12 s Meets the requirements of ANSI AAMI EC13 section 4 1 2 1 g Time to alarm for tachycardia Waveform 4ah range 4a range 4ad range Waveform 4bh range 4b range 4bd range 11 s 11 s 11 s 11 s 11 s 1...

Page 243: ...T Multif PVC Irr Rhythm Tachy Brady Missed Beats PNP PNC ST Segment Analysis Refreshing rate per 16 heartbeats A 5 2 Resp Technique Trans thoracic impedance Lead Options are lead I and II The default is lead II Waveform gain X 0 25 X 0 5 X 1 X 2 X 3 X 4 X 5 Excitation current 620 μA RMS Respiration impedance range 0 3 to 5Ω Baseline impedance range 200 to 2500Ω without the 1kΩ resistance of the EC...

Page 244: ... comparing with arterial blood sample reference measured with a CO oximeter Pulse oximeter measurements are statistically distributed and about two thirds of the measurements are expected to come within the specified accuracy range compared to CO oximeter measurements Measurement range 0 to 100 Resolution 1 Accuracy 70 to 100 2 measured in adult pediatric mode 70 to 100 3 measured in neonate mode ...

Page 245: ...ivity is set to Medium 11 s When the sensitivity is set to Low Masimo SpO2 Module SpO2 Standards Meet standards of ISO9919 Measurement range 1 to 100 Resolution 1 Accuracy 70 to 100 2 measured without motion in adult pediatric mode 70 to 100 3 measured without motion in neonate mode 70 to 100 3 measured with motion 1 to 69 Not specified Refreshing rate 1 s SpO2 averaging time 2 4 s 4 6 s 8 s 10 s ...

Page 246: ...effect on oximeter measurements of fetal hemoglobin in neonatal blood A 5 4 PR Alarm limit Range bpm Step bpm PR High low limit 2 to 240 PR Low 25 to high limit 2 1 PR from Mindray SpO2 Module Measurement range 20 to 254 bpm Resolution 1 bpm Accuracy 3 bpm Refreshing rate 2 s SPO2 averaging time 7 s when sensitivity is set to High 9 s when sensitivity is set to Medium 11 s when sensitivity is set ...

Page 247: ...00 bpm Resolution 1 bpm Accuracy 20 to 250 bpm 3 bpm 251 to 300 bpm not specified Refreshing rate 1 s SPO2 averaging time 8 s 16 s PR from IBP Module Measurement range 25 to 350 bpm Resolution 1 bpm Accuracy 1 bpm or 1 whichever is greater Refreshing rate 1 s ...

Page 248: ...0 40 to 200 40 to 135 Diastolic 10 to 210 10 to 150 10 to 100 Measurement ranges mmHg Mean 20 to 230 20 to 165 20 to 110 Accuracy Max mean error 5 mmHg Max standard deviation 8 mmHg Resolution 1mmHg Defaults Range Step Adult 160 mmHg 80 to 280 Pediatric 140 mmHg 80 to 210 Cuff inflation pressure Neonate 90 mmHg 60 to 140 10 mmHg Software overpressure protection Adult Pediatric Neonate 297 3 mmHg 2...

Page 249: ... the American National Standard for Electronic or Automated Sphymomanometers ANSI AAMI SP10 1992 in terms of mean error and stardard deviation by comparing with intra arterial or auscultatory measurements depending on the configuration in a typical patient population For auscultatory reference the 5th Korotkoff sound was used to determine the diastolic pressure In neonatal mode the blood pressure ...

Page 250: ...to 122 F T1 T2 Low 0 to high limit 1 C 32 to high limit 1 8 F TD High 0 to 50 C 0 to 90 F 0 1 C 0 1 F A 5 7 IBP Standards Meet standard of EN60601 2 34 IEC60601 2 34 Technique Direct invasive measurement IBP Measurement range 50 to 300 mmHg Resolution 1 mmHg Accuracy 2 or 1 mmHg whichever is greater without sensor Refreshing rate 1 s Zero adjustment Range Accuracy Drift 200 mmHg 1 mmHg 0 15 mmHg C...

Page 251: ...t 2 1 Mean High low limit 2 to 40 CVP LAP RAP ICP UVP Mean Low 10 to high limit 2 1 Sys High Mean High Dia High low limit 2 to 300 Sys Low Mean Low P1 to P4 Dia Low 50 to high limit 2 1 A 5 8 C O Measurement method Thermodilution method C O 0 1 to 20 L min TB 23 to 43 C Measurement range TI 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 ...

Page 252: ...irement for measurement accuracy within 6 hours Resolution 1 mmHg Sample flowrate 70 ml min 100 ml min 120 ml min 150 ml min Sample flowrate tolerance 15 or 15 ml min whichever is greater Warm up time 1 min Response time Measured with a neonatal watertrap and a 2 5 meter neonatal sampling line 3 s 150 ml min 3 s 120 ml min 3 5 s 100 ml min 4 s 70 ml min Measured with a neonatal watertrap and a 2 5...

Page 253: ...tep EtCO2 High low limit 2 to 99 mmHg EtCO2 Low 0 to high limit 2 mmHg FiCO2 High 0 to 99 mmHg 1 mmHg awRR High low limit 2 to 100 rpm awRR Low 6 to high limit 2 rpm 1 rpm Accuracy applies for the following conditions 1 Measurements begin after the CO2 module warms up 2 Ambient pressure is from 750 to 760 mmHg and ambient temperature from 22 to 28ºC 3 The measured gas is a dry gas and the balance ...

Page 254: ... In the presence of interfering gases the above accuracy is maintained to within 4 Resolution 1 mmHg Sample flow rate 7 5 15 50 ml min Initialization time 30 s typical Response time 4 5 s typical The response time is the sum of the rise time and the delay time when using a FilterLine of standard length Rise time 190 ms 10 to 90 Delay time 2 7 s typical awRR measurement range 0 to 150 rpm awRR meas...

Page 255: ... Alarm limit Range Step EtCO2 High low limit 2 to 150 mmHg EtCO2 Low 0 to high limit 2 mmHg FiCO2 High 0 to 150 mmHg 1 mmHg awRR High low limit 2 to 100 rpm awRR Low 6 to high limit 2 rpm 1 rpm A 5 10 AG Standards Meet standard of ISO 21647 and YY0601 Technique Infrared absorption Warm up time Iso accuracy mode Full accuracy mode 45 s 10 min Sample flow rate Adult pediatric Neonate Accuracy 120 15...

Page 256: ...5 25 to 80 80 to 100 1 2 3 Des 0 to 1 1 to 5 5 to 10 10 to 15 15 to 18 18 0 15 0 2 0 4 0 6 1 Not specified Sev 0 to 1 1 to 5 5 to 8 8 0 15 0 2 0 4 Not specified Enf Iso Hal 0 to 1 1 to 5 5 0 15 0 2 Not specified Full accuracy awRR 2 to 60 rpm 60 rpm 1 rpm Not specified Accuracy drift Meet the requirement for measurement accuracy within 6 hours Apnea alarm time 20 s 25 s 30 s 35 s 40 s Refreshing r...

Page 257: ... anesthetic agent In full accuracy mode 0 15 In ISO accuracy mode 0 4 Anesthetic agent limit type AION 03 Second anesthetic agent In full accuracy mode 0 3 or 5 REL 10 in ISO accuracy mode of primary agent if primary agent is greater than 10 In ISO accuracy mode 0 5 Accuracy applies for the following conditions 1 Measurements begin after the module warms up 2 Ambient pressure is from 750 to 760 mm...

Page 258: ...d 0 5 Methoxyflurane Unspecified Unspecified Unspecified Unspecified 1 Agent represents one of Des Iso Enf Sev and Hal 2 Multiple agent interference on CO2 N2O and O2 is typically the same as single agent interference 3 For CO2 N2O and Agents maximum interference from each gas at concentrations within specified accuracy ranges for each gas The total interference of all gases is never larger than 5...

Page 259: ...h limit 0 3 0 1 EtN2O High low limit 2 to 100 EtN2O Low 0 to high limit 2 FiN2O High low limit 2 to 100 FiN2O Low 0 to high limit 2 1 EtHal Enf Iso High low limit 0 2 to 5 0 EtHal Enf Iso Low 0 to high limit 0 2 FiHal Enf Iso High low limit 0 2 to 5 0 FiHal Enf Iso Low 0 to high limit 0 2 0 1 EtSev High low limit 0 2 to 8 0 EtSev Low 0 to high limit 0 2 FiSev High low limit 0 2 to 8 0 FiSev Low 0 ...

Page 260: ...A 28 FOR YOUR NOTES ...

Page 261: ... be observed to verify normal operation in the configuration in which it will be used z The equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided below z The equipment may be interfered with by other equipment even if that other equipment complies with CISPR emission requirements z Operation of the device in the c...

Page 262: ...p1 The equipment uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class A Harmonic Emissions IEC61000 3 2 Class A Voltage Fluctuations Flicker Emissions IEC 61000 3 3 Compliance Pst Tdt ms Dmax Dc The equipment is suitable for use in all establishments other than d...

Page 263: ...erential mode 2 kV common mode 1 kV different mode 2 kV common mode Mains power quality should be that of a typical commercial or hospital environment Voltage dips Short interruptions and voltage variation on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycle 70 UT 30 dip in UT for 25 cycle 5 UT 95 dip in UT for 5 sec 5 UT 95 dip in UT for 0 5 cy...

Page 264: ...ansmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol Note At 80 MHz and 800 MHz the higher frequency range applies Note These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection fr...

Page 265: ...ter M Meters Rated Maximum Output power of Transmitter W Watts 150kHz 80MHz P d 2 1 80MHz 800MHz P d 2 1 800MHz 2 5GHz P d 3 2 0 01 0 12 0 12 0 23 0 1 0 37 0 37 0 74 1 1 17 1 17 2 34 10 3 69 3 69 7 38 100 11 67 11 67 23 34 For transmitters at a maximum output power not listed above the recommended separation distanced in meters m can be determined using the equation applicable to the frequency of ...

Page 266: ...B 6 FOR YOUR NOTES ...

Page 267: ...n and then save the changed configuration as a user configuration The last column of the following tables is for your notes and review Note In this chapter O M means the monitor s operating mode Column C refers to the settings that can be changed in configuration Mode Column M refers to the settings that can be changed in monitoring mode C 1 Global Configuration Item Name General OR ICU NICU CCU U...

Page 268: ...forms 2 1 3 Alm Source HR Alarm On Alm Lev Med Adu 120 140 120 Ped 160 180 160 HR High Neo 200 200 200 Adu 50 40 50 Ped 75 60 75 HR Low Neo 100 90 100 Sweep 25 mm s Beat Vol 2 1 Paced No Cascade Off Notch Filter On HR Source II Gain X1 Filter Monitor Surgery Monitor Diagnostic ECG Display Normal Smart Lead Off Off Defib Sync Off Pacemaker Rate 60 ...

Page 269: ... Unit mV ST Analysis Off On Alarm Off On Alm Lev Med ST X High when ST Unit is mV when ST Unit is mm 0 20 2 0 ST X Low when ST Unit is mV when ST Unit is mm 0 20 2 0 ISO 78 ms ST Basic 109 ms ISO 80 ms J 48 ms ST Mortara J 60 ms X represents I II III aVR aVL aVF V V1 V2 V3 V4 V5 or V6 ...

Page 270: ...d Neo 100 160 180 Brady Mortara Adu Ped Neo 60 80 90 Arrhythmia Alarm Settings X Alarm On Asystole Alm Lev High VFib VTac Alm Lev High X Alm Lev Med X Alm Rec Basic Off X Alarm On Asystole Alm Lev High VFib Alm Lev High VTac Alm Lev High X Alm Lev Med X Alm Rec Mortara Off All Alm Lev Med X represents a certain arrhythmia event Refer to the Specifications chapter for details The X in X Alm Lev ref...

Page 271: ... X2 Resp High Adu Ped Neo 30 100 Resp Low Adu Ped Neo 8 30 Apnea Time 20 s 15 s 20 s Detection Mode Auto C 2 3 PR O M Item Name C M General OR ICU NICU CCU User Defaults Alarm On Alm Lev Med Adu 120 150 120 Ped 160 180 160 HR High Neo 200 200 200 Adu 50 40 50 Ped 75 60 75 HR Low Neo 100 90 100 PR Source SpO2 Beat Vol 2 1 ...

Page 272: ... 25 mm s NIBP Simul Off Pitch Tone Mode 1 Sensivity Med Sensivity Masimo Normal Averaging Masimo Nellcor 8 s Sat Seconds Nellcor 0 s C 2 5 Temp O M Item Name C M General OR ICU NICU CCU User Defaults Alarm On Alm Lev Med Temp Unit ºC Adu 39 0 Ped 39 0 T1 T2 High ºC Neo 39 0 Adu 36 0 35 0 36 0 Ped 36 0 35 0 36 0 T1 T2 Low ºC Neo 36 0 35 0 36 0 Adu 2 0 Ped 2 0 TD High ºC Neo 2 0 ...

Page 273: ...y NIBP Single group Multi group Single group PR Display Off Adu 80 Ped 60 Cuff Press mmHg Neo 40 Adu 160 Ped 140 Inflation Pressure mmHg Neo 90 Alarm Limits Setup Adu 160 180 160 Ped 120 140 120 Sys High mmHg Neo 90 Adu 90 70 90 Ped 70 60 70 Sys Low mmHg Neo 40 Adu 110 120 110 Ped 90 Mean High mmHg Neo 70 Adu 60 Ped 50 Mean Low mmHg Neo 25 Adu 90 Ped 70 Dia High mmHg Neo 60 Adu 50 Ped 40 Dia Low m...

Page 274: ... Med Sweep 25 mm s Auto Scaling Off Filter 12 5 Hz Wave Overlapping Off Art Ao UAP BAP FAP Setup Upper Scale 150 Middle Scale 75 Lower Scale 0 Adu 160 180 160 Ped 120 140 120 Sys High mmHg Neo 90 Adu 90 70 90 Ped 70 60 70 Sys Low mmHg Neo 55 Adu 110 120 110 Ped 90 Mean High mmHg Neo 70 Adu 70 60 70 Ped 50 Mean Low mmHg Neo 35 Adu 90 Ped 70 Dia High mmHg Neo 60 Adu 50 Ped 40 Dia Low mmHg Neo 20 ...

Page 275: ...0 Ped 24 Sys Low mmHg Neo 24 Adu 20 Ped 26 Mean High mmHg Neo 26 Adu 0 Ped 12 Mean Low mmHg Neo 12 Adu 16 Ped 4 Dia High mmHg Neo 4 Adu 0 Ped 4 Dia Low mmHg Neo 4 CVP LAP RAP ICP UVP Setup Upper Scale 30 Middle Scale 15 Lower Scale 0 Adu 10 Ped 4 Mean High mmHg Neo 4 Adu 0 Ped 0 Mean Low mmHg Neo 0 ...

Page 276: ...ual Ti ºC 2 0 Temp Unit ºC Interval s 30 C 2 9 CO2 O M Item Name C M General OR ICU NICU CCU User Defaults Alarm On Alm Lev Med Press Unit mmHg Operating Mode Sidestream Microstream Mainstream Standby Measure Sweep 6 25 mm s Scale mmHg 50 Sidestream CO2 Setup Flow Rate 100 ml min 70 ml min 100 ml min Humidity Compen Off N2O Compen 0 O2 Compen 0 Des Compen 0 ...

Page 277: ...old 20 s Auto Standby min 0 Mainstream CO2 Setup Max Hold 10 s O2 Compen Off Balance Gas Room Air AG Compen 0 Alarm Limits Setup EtCO2 High mmHg Adu Ped Neo 50 45 EtCO2 Low mmHg Adu Ped Neo 15 20 30 FiCO2 High mmHg Adu Ped Neo 4 awRR High Adu Ped Neo 30 100 awRR Low Adu Ped Neo 8 30 Apnea Time 20 s 15 s 20 s ...

Page 278: ...erating Mode Measure Flow Rate Adu Ped Neo 120 ml min 70 ml min Auto Standby Off Apnea Time 20 s CO2 Setup CO2 Unit mmHg Wave Type Draw Scale when unit is mmHg when unit is or KPa 50 7 0 EtCO2 High Adu Ped Neo 50 45 EtCO2 Low Adu Ped Neo 15 20 30 FiCO2 High 4 FiCO2 Low 0 awRR High Adu Ped Neo 30 100 awRR Low Adu Ped Neo 8 30 ...

Page 279: ...o Scale 2 5 Des Scale 9 Sev Scale 4 EtO2 High 90 EtO2 Low 18 FiO2 High 88 FiO2 Low 18 EtN2O High 55 EtN2O Low 0 FiN2O High 53 FiN2O Low 0 EtHal Enf Iso High 3 EtHal Enf Iso Low 0 FiHal Enf Iso High 2 FiHal Enf Iso Low 0 EtSev High 6 EtSev Low 0 FiSev High 5 FiSev Low 0 EtDes High 8 EtDes Low 0 FiDes High 6 FiDes Low 0 ...

Page 280: ...me 2 min Minimum Alarm Volume 2 1 2 Alm Volume 2 1 2 Reminder Tone Off Reminder Vol Low Reminder Interval 1 min Latching Alarms Off Display Alarm Limits On Alm Lev of ECG Lead Off Low Alm Lev of SpO2 Sensor Off Low Alarm Tone Interval High Level Alarm Med Low Level Alarm 10 s 20 s Alarm Delay 6s ST Alarm Delay 30s ...

Page 281: ...reen 8 AA Parameter 1 ECG Parameter 2 SpO2 Parameter 3 Resp Select Parameters for Big Numerics Screen Parameter 4 NIBP C 3 3 Waveform O M Item Name C M General OR ICU NICU CCU User Defaults Sweep Mode Refresh Wave Line Medium Draw Wave Colour CO2 Wave Type Draw Waveforms X On ECG Green NIBP White SpO2 Cyan TEMP White Art Ao UAP FAP BAP P1 to P4 Red PA Yellow Parameter Wave Colour CVP ICP Blue ...

Page 282: ...orth The ECG waveform cannot be set off C 3 4 Archives O M Item Name C M General OR ICU NICU CCU User Defaults Archives Access Direct Interval 5 min Tabular Trends Trend Group Standard ECG Interval 1 s 5 s Graphic Trends Trend Group Standard Event Wave Length 16 s 32 s Event Modification Right On Minitrend Length 2 h Gain X1 Sweep 12 5 mm s Full Disclosure Save Waves All the waveforms that the mon...

Page 283: ... C M General OR ICU NICU CCU User Defaults Printer None Paper Size A4 Print On Both Sides Off Set as End Case Report Unselected Amplitude 10 mm mV Sweep 25 mm s Auto Interval Off Gridlines Off ECG Reports 12 Lead Format 12X1 Set as End Case Report Unselected Back Auto Interval Auto Report Layout Time Oriented Tabular Trends Reports Select Parameters Currently Displayed Trended Parameters Set as En...

Page 284: ...ser Defaults Brightness 5 Key Volume 2 Modules X On Analog Out Off Analog Out Waveform The first ECG waveform on the screen Signal Type Continuous Contact Type Normally Closed Alm Lev High Med Low Nurse Call Alarm Cat Phys Tech Auto Alarm On View Other Patient Audio Pause On QuickKey 1 Standby Discharge Patient Standby QuickKey 2 Limits QuickKey 3 Screens Select QuickKeys QuickKey 4 Auto NIBP X re...

Page 285: ...ates all alarm indications except the alarm message can be cleared and C indicates only alarm tones can be cleared The L field indicates the alarm level H means high M means medium and L means low means the alarm level is user adjustable XX represents a measurement or parameter label such as ECG NIBP HR ST I PVCs RR SpO2 PR etc In the Cause and Solution column corresponding solutions are given ins...

Page 286: ...hm M Multif PVC M Arrhythmia has occurred to the patient Check the patient s condition and the ECG connections PNP M ECG PNC M The pacer appears abnormal Check the pacer Resp Apnea H The respiration signal was so weak that the monitor cannot perform respiration analysis Check the patient s condition and the Resp connections Resp Resp Artifact H The patient s heartbeat has interfered with his respi...

Page 287: ...rr H C XX Init Err H C XX Comm Err L C XX Comm Stop H C XX XX Comm Abnormal L C An error occurred to the XX module or there is a problem with the communications between the module and the monitor Restart the monitor XX Limit Err L C XX parameter limit is accidentally changed Contact your service personnel XX Overrange L C The measured XX value is not within the specified range for XX measurement C...

Page 288: ...able and electrode ECG Config Err L C ECG configuration is wrongly downloaded Check the downloaded configuration and re download the correct configuration Resp Resp Disturbed L C The respiration circuit is disturbed Restart the monitor Temp Cal Err L C A calibration failed Restart the monitor T1 Sensor Off L A Temp T2 Sensor Off L A The Temp sensor has become detached from the patient or the modul...

Page 289: ...applied mismatches the patient category Verify the patient category and replace the cuff NIBP Air Pressure Err L C An error occurred to the air pressure Verify that the monitor application site meets the environmental requirements and check if there is any source that affects the air pressure NIBP Weak Signal L C The patient s pulse is weak or the cuff is loose Check the patient s condition and ch...

Page 290: ...special sources that affect the ambient pressure Restart the monitor CO2 FilterLine Occluded L C The airway or watertrap was occluded Check the airway and remove the occlusion CO2 No Watertrap L B Check the watertrap connections CO2 Check Adapter L C There is a problem with the airway adapter Check clean or replace the adapter CO2 FilterLine Err L C Check if there is a leak in the CO2 sample line ...

Page 291: ...e measured value has exceeded the specified accuracy range AG Hardware Mulfunction H C Stop using the AG module and contact your service personnel AG Airway Occluded L C Check the airway and remove the occlusion AG Zero Failed L C Restart the monitor and then perform a zero calibration again AG Cal Failed L C Re calibrate the AG module Anesthetic Mixture L C The system has detected more than one a...

Page 292: ...H C Contact your service personnel Recorder SelfTest Err L C Recorder Comm Err L C Stop the recording and restart the monitor Recorder Recorder Head Hot L C The recorder has been working for too long time Stop the recording and resume the recording till the recorder s printhead cools down IP Address Conflict L C Check the monitor s IP address and re set it Loading User Config Failed L C Loading Fa...

Page 293: ...s bit per second ºC centigrade cc cubic centimeter cm centimeter dB decibel DS dyne second ºF fahrenheit g gram GHz gigahertz GTT gutta h hour Hz hertz in inch kg kilogram kPa kilopascal L litre lb pound m meter mAh milliampere hour Mb mega byte mcg microgram mEq milli equivalents mg milligram min minute ml milliliter ...

Page 294: ...ms millisecond mV millivolt mW milliwatt MΩ megaohm nm nanometer rpm breaths per minute s second V volt VA volt ampere Ω ohm W watt minus negative percent per divide or plus equal to less than greater than less than or equal to greater than or equal to plus or minus multiply ...

Page 295: ...ratory rate BAP brachial aterial pressure BP blood pressure BPSK binary phase shift keying BSA body surface area BTPS body temperature and pressure saturated C I cardiac index C O cardiac output CaO2 arterial oxygen content CCO continuous cardiac output CCU cardiac coronary care unit CE Conformité Européenne CIS clinical information system CISPR International Special Committee on Radio Interferenc...

Page 296: ...al Communication Commission FDA Food and Drug Administration Fi fraction of inspired FiCO2 fraction of inspired carbon oxygen FiN2O fraction of inspired nitrous oxide FiO2 fraction of inspired oxygen FPGA field programmable gate array Hal halothane Hb hemoglobin Hb CO carbon mono xide hemoglobin HbO2 oxyhemoglobin HIS hospital information system HR heart rate IBP invasive brood pressure ICP intrac...

Page 297: ... MAP mean arterial pressure MDD Medical Device Directive MetHb methemoglobin MRI magnetic resonance imaging N A not applied N2 nitrogen N2O nitrous oxide Neo neonate NIBP noninvasive blood pressure O2 oxygen O2CI oxygen consumption index O2R oxygen extraction ratio OR operating room oxyCRG oxygen cardio respirogram PA pulmonary artery PAWP pulmonary artery wedge pressure PD photodetector Ped pedia...

Page 298: ...imetry STR systolic time ratio SV stroke volume SVR systemic vascular resistance SVRI systemic vascular resistance index Sync synchronization Sys systolic pressure Taxil axillary temperature TB blood temperature TD temperature difference Temp temperature TFT thin film technology TI injectate temperature Toral oral temperature Trect rectal temperature UAP umbilical arterial pressure UPS uninterrupt...

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