Mindray Passport 12 Operator's Manual
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Mindray Passport 12 Operator's Manual

Patient monitor
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Passport 12/Passport 8
Patient Monitor
Operator's Manual

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  • Page 1 Passport 12/Passport 8 Patient Monitor Operator’s Manual...
  • Page 3 SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others.
  • Page 4 Contents of this manual are subject to changes without prior notice. All information contained in this manual is believed to be correct. Mindray is not liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
  • Page 5 Mindray shall not have any responsibility in the event of loss or damage in transit. Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.
  • Page 6 Company Contact Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Address: Mindray Building, Keji 12th Road South, Hi-tech industrial park, Nanshan, Shenzhen 518057,P.R.China Website: www.mindray.com E-mail Address: service@mindray.com Tel: +86 755 81888998 Fax: +86 755 26582680 Distributor: Mindray DS USA, Inc.
  • Page 7 This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you have any questions, please contact Mindray. This manual is an integral part of the product. It should always be kept close to the equipment so that it can be conveniently referenced when needed.
  • Page 8 FOR YOUR NOTES Passport 12/Passport 8 Operator’s Manual...

  • Page 9: Table Of Contents

    3.11.3 Adjusting the Screen Brightness .............................. 3-9 3.11.4 Showing/Hiding Help Text ................................3-9 3.11.5 Setting the Date and Time ................................3-9 3.11.6 Adjusting Volume ..................................3-10 3.12 Setting Parameters ....................................3-10 3.12.1 Switching the Parameters On/Off ............................3-10 Passport 12/Passport 8 Operator’s Manual...
  • Page 10 6.4 Viewing Other Patients ....................................6-4 6.4.1 Care Group ......................................6-4 6.4.2 Viewing the Care Group Overview Bar ............................. 6-4 6.4.3 Understanding the View Other Patient Window ........................6-5 6.5 Understanding the Big Numerics Screen .............................. 6-6 Passport 12/Passport 8 Operator’s Manual...
  • Page 11 8.5 Changing ECG Settings ....................................8-5 8.5.1 Accessing ECG Menus ..................................8-5 8.5.2 Setting Pacemaker Rate (For Mortara ECG algorithm only) ....................8-5 8.5.3 Choosing the Alarm Source ................................8-6 8.5.4 Changing ECG Wave Settings ............................... 8-6 Passport 12/Passport 8 Operator’s Manual...
  • Page 12 9.1 Introduction ........................................9-1 9.2 Safety Information ......................................9-1 9.3 Understanding the Resp Display ................................9-1 9.4 Placing Resp Electrodes ....................................9-2 9.4.1 Optimizing Lead Placement for Resp ............................9-2 9.4.2 Cardiac Overlay ....................................9-2 Passport 12/Passport 8 Operator’s Manual...
  • Page 13 12.5 Setting Up the NIBP Measurement ..............................12-3 12.5.1 Preparing the Patient ..................................12-3 12.5.2 Preparing to Measure NIBP ...............................12-3 12.5.3 Starting and Stopping Measurements ..........................12-4 12.5.4 Correcting the Measurement if Limb is not at Heart Level ...................12-4 Passport 12/Passport 8 Operator’s Manual...
  • Page 14 15.1 Introduction ......................................... 15-1 15.2 Understanding the C.O. Display ................................15-1 15.3 Influencing Factors ....................................15-2 15.4 Setting Up the C.O. Measurement ............................... 15-2 15.5 Measuring the Blood Temperature ..............................15-5 15.6 Changing C.O. Settings .................................... 15-6 Passport 12/Passport 8 Operator’s Manual...
  • Page 15 17.5.5 Entering the Standby Mode ..............................17-6 17.5.6 Setting up the AG Wave ................................17-6 17.5.7 Setting RR Source ..................................17-6 17.6 Changing the Anesthetic Agent ................................17-6 17.7 Measurement Limitations ..................................17-7 17.8 Troubleshooting ......................................17-7 17.8.1 When the Gas Inlet is Blocked ..............................17-7 Passport 12/Passport 8 Operator’s Manual...
  • Page 16 20.6.2 Entered Parameters ..................................20-8 20.6.3 Calculated Parameters and Formulas ........................... 20-9 20.7 Understanding the Review Window ..............................20-9 21 Recording ..................................21-1 21.1 Using a Recorder ......................................21-1 21.2 Overview of Recording Types ................................21-1 Passport 12/Passport 8 Operator’s Manual...
  • Page 17 23.6.2 Wireless Network Connection ..............................23-4 23.6.3 Certificates Maintenance ................................23-6 23.6.4 Setting the Central Stations..............................23-6 23.6.5 Setting the Network Service Quality Level .........................23-7 23.6.6 Setting the Multicast Parameters ............................23-7 24 Batteries ..................................24-1 24.1 Overview ........................................24-1 Passport 12/Passport 8 Operator’s Manual...
  • Page 18 27.5 IBP/ICP Accessories....................................27-6 27.6 C.O. Accessories ......................................27-7 27.7 CO Accessories......................................27-7 27.8 AG Accessories (for Passport 12 only) ..............................27-8 27.9 Micellaneous Accessories ..................................27-8 A Product Specifications ..............................A-1 A.1 Monitor Safety Specifications ..................................A-1 A.2 Power Supply Specifications ..................................A-2 A.3 Physical Specifications ....................................
  • Page 19 C.3 User Maintenance Items ................................... C-16 D Alarm Messages ................................D-1 D.1 Physiological Alarm Messages ................................. D-1 D.2 Technical Alarm Messages ..................................D-3 E Symbols and Abbreviations ............................. E-1 E.1 Symbols ..........................................E-1 E.2 Abbreviations ........................................E-2 Passport 12/Passport 8 Operator’s Manual...
  • Page 20 FOR YOUR NOTES Passport 12/Passport 8 Operator’s Manual...

  • Page 21: Safety

    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.  Do not open the equipment housings. All servicing or future upgrades must be carried out by Mindray trained and authorized personnel. ...

  • Page 22: Cautions

    This equipment is intended for single patient use.  Store and use the equipment in specified environmental condition. The monitor and accessories may not meet the performance specification due to aging, stored or used outside the specified temperature and humidity range. Passport 12/Passport 8 Operator’s Manual...

  • Page 23: Notes

    At the end of its service life, the equipment, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. If you have any questions concerning disposal of the equipment, please contact Mindray. ...
  • Page 24 80601-2-55, ISO Std 80601-2-56, ISO Std 80601-2-61 Certified to CSA Std C22.2 NO. 60601-1, NO. 60601-6, NO. 60601-1-8, NO. 60601-2-25, NO. 60601-2-26,NO. 60601-2-27, NO. 60601-2-34, NO. 60601-2-49, NO. 80601-2-30, NO. 80601-2-55, NO. 80601-2-56, NO. 80601-2-61 Passport 12/Passport 8 Operator’s Manual...

  • Page 25: The Basics

    The Basics 2.1 Intended Use The Passport Series Patient Monitor ( Passport 8 and Passport 12) are intended to be used for monitoring, displaying, reviewing, storing and alarming of multiple physiological parameters including ECG (3-lead, or 5-lead, or 12-lead selectable), arrhythmia detection and ST Segment analysis, QT analysis, heart rate (HR), respiration (Resp), temperature...

  • Page 26: Applied Parts

     NIBP cuff  Temp probes  IBP transducer  C.O. sensor  sampling line/nasal sampling cannula, and water trap  AG sampling line, water trap, and airway adapter 2.3 Main Unit 2.3.1 Front View Passport 12/Passport 8 Operator’s Manual...
  • Page 27 12. Knob  Rotate the knob clockwise or counter-clockwise to move the cursor.  Press the knob to select one item, such as accessing a menu or confirming the selection. Passport 12/Passport 8 Operator’s Manual...

  • Page 28: Side View

    2.3.2 Side View Passport 12 Handle Battery compartment Recorder Parameter module slot Temp probe 1 connector Temp probe 2 connector IBP cable connector cable connector ECG cable connector NIBP cuff connector Passport 12/Passport 8 Operator’s Manual...

  • Page 29: Passport 12/Passport 8 Operator's Manual

    Passport 8 Handle Battery compartment Recorder Parameter module slot Temp probe 1 connector Temp probe 2 connector cable connector for ECG cable connector NIBP cuff connector Passport 12/Passport 8 Operator’s Manual...

  • Page 30: Rear View

    Connects the monitor to external devices and outputs defibrillator synchronization signals, nurse call signals, analog output signals, measurement numerics, and alarm limits of parameter modules.  Communicates with external devices via Datascope Improved ASCII Protocol (DIAP) protocol. Passport 12/Passport 8 Operator’s Manual...
  • Page 31 Equipotential Grounding Terminal When using the monitor together with other devices, connect their equipotential grounding terminals together to eliminate the potential differences between them. AC Power Input Parameter Module Slot Used for connecting the parameter modules. Passport 12/Passport 8 Operator’s Manual...

  • Page 32: Modules

    IBP+C.O.+AG module (with O contains IBP cable connector, C.O. cable connector, AG watertrap slot, and AG gas outlet. This module is for Passport 12 only. NOTE  The above modules with IBP connectors support two invasive blood pressures through an IBP extended cable (PN: 040-001029-00).

  • Page 33: Display Screen

    [Patient Demographics] menu. Alarm Symbols  indicates alarms are paused.  indicates alarms are reset.  indicates alarm sounds are turned off.  indicates the system is in alarm off status. Passport 12/Passport 8 Operator’s Manual...
  • Page 34 (optional) is working.  indicates the wireless function (optional) is not working.  indicates a USB drive is inserted. QuickKeys Area This area contains QuickKeys that provide quick access to functions. 2-10 Passport 12/Passport 8 Operator’s Manual...

  • Page 35: Quickkeys

    [Screens] Change screen [Patient Setup] QuickKey Enter the [Patient Setup] menu [Manual Event] QuickKey Trigger a manual event [Minitrends] QuickKey Have a split-screen view of minitrends [Volume Setup] QuickKey Enter the [Volume Setup] menu Passport 12/Passport 8 Operator’s Manual 2-11...
  • Page 36 In the pop-up menu, select the desired configuration and then select [Edit]. In the pop-up menu, select [Screen Setup >>]. Select the [Select QuickKeys] tab, and then configure your desired QuickKeys and the order of them. 2-12 Passport 12/Passport 8 Operator’s Manual...

  • Page 37: Basic Operations

    NOTE  The software equipment copyright is solely owned by Mindray. No organization or individual shall resort to modifying, copying, or exchanging it or to any other infringement on it in any form or by any means without due permission.

  • Page 38: Unpacking And Checking

    Mindray. If the packing case is intact, open the package and remove the equipment and accessories carefully. Check all materials against the packing list and check for any mechanical damage. Contact Mindray in case of any problem. CAUTION ...

  • Page 39: Getting Started

    “Loading…” screen, sounds a beep and the alarm lamp simultaneously turns yellow, then red, and then turns off, followed by the start-up screen being shown. Then the start-up screen disappears. The alarm system self-test succeeds. The monitor enters the normal monitoring screen. Passport 12/Passport 8 Operator’s Manual...

  • Page 40: Starting Monitoring

    WARNING  Do not use the monitor on a patient if you suspect it is not working properly, or if it is mechanically damaged. Contact your service personnel or Mindray. 3.2.3 Starting Monitoring Decide which measurements you want to take.

  • Page 41: Using The Knob

     Select to confirm what you have entered and close the on-screen keyboard.  Select to access the symbol keyboard.  Select to exit the symbol keyboard. Passport 12/Passport 8 Operator’s Manual...

  • Page 42: Using The Main Menu

    You can enter the [Screen Setup] window as shown below by selecting [Main Menu] → [Screen Setup] → [Screen Layout >>]. In this window, you can arrange the positions of the parameters and waveforms. Unselected parameters or waveforms will not display. Passport 12/Passport 8 Operator’s Manual...
  • Page 43 Setup] → [Screen Layout >>].  Check that the parameter is turned on in [Parameters Switch] window. CAUTION  Unallocated parameters in the [Screen Setup] window will not display. However, the monitor still sounds alarms for these parameters. Passport 12/Passport 8 Operator’s Manual...

  • Page 44: Displaying The Timer

    In the [User Maintenance] menu, set [Monitor Name], [Department] and [Bed No.], or edit their settings. 3.11.2 Changing Language To change the language: Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password. In the [User Maintenance] menu, select [Language] and then select the desired language. Restart the monitor. Passport 12/Passport 8 Operator’s Manual...

  • Page 45: Adjusting The Screen Brightness

    In that case, you cannot change the date and time settings on your monitor. CAUTION  Changing date and time affects the storage of trends and events and may cause data loss. Save or record any needed data prior to changing the date and time. Passport 12/Passport 8 Operator’s Manual...

  • Page 46: Adjusting Volume

    Switch]. When a parameter is switched off, its corresponding parameter module stops working, and its parameter value and waveform are not shown on the monitor display. NOTE  ECG is always selected, and you can not switch it off. 3-10 Passport 12/Passport 8 Operator’s Manual...

  • Page 47: Accessing The Parameters Menu

    Consider the potential risk when the setting value is low. 3.13.3 Privacy Mode Privacy mode is only available when an admitted patient at a monitor is also monitored by the CMS. To activate the Privacy mode, select [Main Menu]→[Screen Setup >>]→[Privacy Mode]. Passport 12/Passport 8 Operator’s Manual 3-11...

  • Page 48: Standby Mode

    The Privacy mode can be used only when the monitor is connected to a CMS. 3.13.4 Standby Mode In Standby mode, you can temporarily stop patient monitoring without turning off the monitor. To enter the Standby mode, select the [Standby] QuickKey 3-12 Passport 12/Passport 8 Operator’s Manual...

  • Page 49: Managing Patients

    For paced patients, you must set [Paced] to [Yes]. If it is incorrectly set to [No], the monitor could mistake a pace pulse for a QRS and fail to alarm when the ECG signal is too weak.  For non-paced patients, you must set [Paced] to [No]. Passport 12/Passport 8 Operator’s Manual...

  • Page 50: Quick Admitting A Patient

    The option [Obtain Patient Information] is available in the [Patient Setup] menu only when [ADT Query] is set to [On].  When obtaining patient information from the HIS, only patient information is updated on the monitor. The patient’s physiological data is not changed and the patient is not discharged. Passport 12/Passport 8 Operator’s Manual...

  • Page 51: Associating Patient Information

    From the [User Maintenance] menu, select [Others >>]. In the pop-up menu, you can set [Transferred Data Length]. The default is [4 h]. You can also set [Data Transfer Method]. The default is [Off]. Passport 12/Passport 8 Operator’s Manual...

  • Page 52: Transferring Data From The Monitor To A Usb Drive

    Select [No] to erase all the current patient data in the monitor and transfer the patient data from the storage medium. Wait until the message [Transfer from storage medium successful.] appears before removing the USB drive. Passport 12/Passport 8 Operator’s Manual...

  • Page 53: Connecting To A 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 monitor and the CMS. For details, refer to the CMS’s instructions for use (PN: 0070-00-0728-52 for Panorama CMS and 046-005011-00 for DPM CMS). Passport 12/Passport 8 Operator’s Manual...
  • Page 54 FOR YOUR NOTES Passport 12/Passport 8 Operator’s Manual...

  • Page 55: Managing Configurations

    NOTE  The configuration management function is password protected. The configuration management tasks must be performed by authorized personnel. Please contact your department manager or biomedical engineering department for the password used at your facility. Passport 12/Passport 8 Operator’s Manual...

  • Page 56: Entering The [Manage Configuration] Menu

    If the current department configuration is not the one you want to view, you can select [Change Department >>] in the [Manage Configuration] menu and then choose the one you want for viewing as shown below. NOTE  Changing the department will delete all current user configurations. Passport 12/Passport 8 Operator’s Manual...

  • Page 57: Setting Default Configuration

    Select [Save Current Settings As >>] in the [Manage Configuration] menu. In the pop-up dialog box, enter the configuration name and then select [Ok]. The current settings are saved as a user configuration with the name you entered. Passport 12/Passport 8 Operator’s Manual...

  • Page 58: Editing Configurations

    The changed alarm setup items will be marked in red. You can select [Save] or [Save as] to save the changed configuration. Select [Save] to overwrite the original configuration. Select [Save as] to save the changed configuration as another file with another name. Passport 12/Passport 8 Operator’s Manual...

  • Page 59: Deleting A Configuration

    Select [Import Config. >>] in the [Manage Configuration] menu. In the [Import Config.] menu, select the configurations and [User Maintenance Settings] to import. Then select the [Import] button. A status message will report completion of the transfer. Passport 12/Passport 8 Operator’s Manual...

  • Page 60: Loading A Configuration

    120 seconds after the power failure. The monitor loads either the latest configuration or the default configuration if it restarts from 60-120 seconds after the power failure. Passport 12/Passport 8 Operator’s Manual...

  • Page 61: User Screens

    You can select the parameters you want to view on the big numerics screen in the [Big Numerics Screen Setup] window.  You can switch the connected parameter modules on or off in the [Parameters Switch] window. If a parameter module is switched off, parameter values and waveforms will not display on the screen. Passport 12/Passport 8 Operator’s Manual...

  • Page 62: Viewing Minitrends

    The time is displayed at the bottom of the minitrends view as shown below. Time 6.2.2 Setting Minitrends Select the minitrends area. From the pop-up [Minitrend Setup] menu:  Select the parameters to be displayed, or  Select [Minitrend Length] and then select the appropriate setting. Passport 12/Passport 8 Operator’s Manual...

  • Page 63: Viewing Oxycrg

    Select the [Auto Scale] button, and the system automatically adjusts the scaling. Print Select [Print] to print the real-time OxyCRG to a printer. Record Select [Record] to print the currently displayed OxyCRG trends to the recorder. Passport 12/Passport 8 Operator’s Manual...

  • Page 64: Viewing Other Patients

    You can view a Care Group bed’s alarms by selecting it from the Care Group, and you can select the [View This Patient] button to view the bed in the [View Other Patient] window. For more details about Care Group alarms, refer to the chapter 24 Batteries. Passport 12/Passport 8 Operator’s Manual...

  • Page 65: Understanding The View Other Patient Window

     To change a parameter for viewing, select the parameter window where you want a new parameter to appear and then select the parameter you want from the pop-up menu. Passport 12/Passport 8 Operator’s Manual...

  • Page 66: Understanding The Big Numerics Screen

    You can select your desired parameters to display in this screen: select the [Screens] QuickKey→[Big Numerics Screen Setup] and then select the parameters you want to view. For parameters having a waveform, the waveform will also be displayed. Passport 12/Passport 8 Operator’s Manual...

  • Page 67: Alarms

    Some prompt messages that indicate the arrhythmia events are displayed in the physiological alarm area. For some measurements, their related prompt messages are displayed in their respective parameter windows. Passport 12/Passport 8 Operator’s Manual...

  • Page 68: Alarm Levels

    Additionally, the alarm message uses different background color to match the alarm level:  High level alarms:  Medium level alarms: yellow  Low level alarms: yellow You can view the alarm messages by selecting the physiological or technical alarm area. Passport 12/Passport 8 Operator’s Manual...

  • Page 69: Flashing Numeric

    Apart from the aforementioned alarm indicators, the monitor still uses the following symbols telling the alarm status:  indicates alarms are paused.  indicates alarm is reset.  indicates the alarm sound is turned off.  indicates individual measurement alarms are turned off or the system is in alarm off status. Passport 12/Passport 8 Operator’s Manual...

  • Page 70: Alarm Tone Configuration

     Interval between low level alarm tones: 20 s  Mode 2:  Interval between high level alarm tones:  Interval between medium level alarm tones:  Interval between low level alarm tones: 20 s Passport 12/Passport 8 Operator’s Manual...

  • Page 71: Changing The Alarm Tone Pattern

    In addition, you can set the volume of alarm reminder tones. To set the volume of alarm reminder tones, select [Main Menu]→[Alarm Setup >>]→[Others] or the [Alarm Setup] QuickKey→[Others]. Then, select [Reminder Vol] and then select [High], [Medium] or [Low]. Passport 12/Passport 8 Operator’s Manual...

  • Page 72: Understanding The Alarm Setup Menu

    In the [Main Menu], select [Alarm Setup >>]→[Parameters]. You can review and set alarm limits, alarm switches, alarm level and alarm recordings for all parameters. When a measurement alarm occurs, automatic recording of all the measurement numerics and related waveforms is possible when the measurement’s [On/Off] and [Record] are set on. Passport 12/Passport 8 Operator’s Manual...

  • Page 73: Adjusting Alarm Limits Automatically

    (Mean + 15) or 95 Adult: 30 to 245 (Mean × 0.68 + 8) (Mean × 0.86 + NIBP-M mmHg (whichever mmHg (whichever Pediatric: 30 to 180 mmHg 35) mmHg is greater) is smaller) Neonate: 25 to 105 Passport 12/Passport 8 Operator’s Manual...
  • Page 74 (awRR – 10) or 30 awRR × 1.5 or 30 (awRR + 25) or 85 Adult/pediatric: 6 to awRR rpm (whichever is rpm (whichever is rpm (whichever is rpm (whichever is greater) greater) smaller) smaller) Neonate:10 to 90 Passport 12/Passport 8 Operator’s Manual...

  • Page 75: Setting Alarm Delay Time

    Nellcor SpO over alarm limits  Shortage  Measurements of noncontinuous parameters over alarm limits  HR over alarm limits  Anesthetic Mixture's MAC > 3 You can set [Apnea Delay] and [ST Alarm Delay] separately. Passport 12/Passport 8 Operator’s Manual...

  • Page 76: Setting Spo Technical Alarm Delay

    No numerics or alarm limits flash.  No alarm messages are shown.  The remaining pause time is displayed in the physiological alarm area.  The alarms paused symbol is displayed in the sound symbol area. 7-10 Passport 12/Passport 8 Operator’s Manual...

  • Page 77: Switching Off All Alarms

    The alarm sound is silenced.  A √ appears before the alarm message, indicating that the alarm is acknowledged.  The icon appears in the alarm symbol area.  The parameter numeric and alarm limits still flash. Passport 12/Passport 8 Operator’s Manual 7-11...

  • Page 78: Latching Alarms

    Changing of alarm priority may affect the latching status of corresponding alarms. Determine if you need to reset the latching status for the specific alarm after changing its alarm priority.  When the alarm system is reset, the latched physiological alarms are cleared. 7-12 Passport 12/Passport 8 Operator’s Manual...

  • Page 79: Testing Alarms

    In the [Alarm Setup] menu, set [Reset Other Bed’s Alarms] to [On]. When your monitor is viewed by other monitors and [Alarm Reset By Other Bed] is switched on, alarms on your monitor can be reset by other monitors. Passport 12/Passport 8 Operator’s Manual 7-13...
  • Page 80 WARNING  Resetting care group alarms may cause a potential hazard. 7-14 Passport 12/Passport 8 Operator’s Manual...

  • Page 81: Monitoring Ecg

    Do not touch the patient, or table, or instruments during defibrillation.  The neutral electrode of the HF surgical unit shall properly contact the patient. Otherwise, burns may result.  The equipment is not intended for direct cardiac application. Passport 12/Passport 8 Operator’s Manual...

  • Page 82: Preparing To Monitor Ecg

    Select [Others]→[Lead Set] and then select [3-lead], [5-lead], or [Auto] according to the applied electrodes. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password. Select [Others >>]→[ECG Standard] and then select [AHA] or [IEC] according to the hospital standard. Passport 12/Passport 8 Operator’s Manual...

  • Page 83: Ecg Lead Placements

    Do not place the electrodes on the upper arm. Otherwise, the ECG waveform will be very small. Passport 12/Passport 8 Operator’s Manual...

  • Page 84: Checking Paced Status

    Do not rely entirely upon the system’s automated arrhythmia detection algorithm. Keep pacemaker patients under close surveillance.  For non-paced patients, you must set [Paced] to [No].  The auto pacer recognition function is not applicable to pediatric and neonatal patients. Passport 12/Passport 8 Operator’s Manual...

  • Page 85: Understanding The Ecg Display

    HR and failure to detect some arrhythmias. You can set [Pacemaker Rate] to the pacemaker’s rate in the [ECG Setup] menu. In this way, the monitor can calculate HR and detect arrhythmias more accurately. When [Paced] is set to [No], the pacemaker rate cannot be set. Passport 12/Passport 8 Operator’s Manual...

  • Page 86: Choosing The Alarm Source

    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 analysis.  [ST]: Use when ST monitoring is applied. Passport 12/Passport 8 Operator’s Manual...

  • Page 87: Setting Pacemaker Rate (For Mortara Only)

    Select the ECG parameter window or waveform area to enter its setup menu. Then select [Others >>]. Set [Notch Filter] to:  [Strong]: when waveform interference is strong (such as spikes).  [Weak]: when waveform interference is weak.  [Off]: to turn the notch filter off. Passport 12/Passport 8 Operator’s Manual...

  • Page 88: Changing The Pacer Reject Settings

    To adjust the QRS volume, select [Others >>] from the [ECG Setup] menu; select [QRS Volume] from the pop-up menu and select the appropriate setting. When a valid SpO measured value is available, the system adjusts the pitch tone of QRS sound based on the SpO value. Passport 12/Passport 8 Operator’s Manual...

  • Page 89: Adjusting The Minimum Qrs Detection Threshold (For Advanced Ecg Algorithm Only)

    To use the defibrillator synchronization function, connect the monitor and the defibrillator with a synchronization cable. WARNING  Improper use of a defibrillator may cause injury to the patient. The user should determine whether to perform defibrillation or not according to the patient’s condition. Passport 12/Passport 8 Operator’s Manual...

  • Page 90: About St Monitoring

    However, if you switch [Filter] to [Monitor] or [Surgery], ST-segment analysis will turn off automatically. If you change [Monitor] or [Surgery] to [Diagnostic] or [ST], ST-segment analysis remains off, you can turn it on manually. 8-10 Passport 12/Passport 8 Operator’s Manual...

  • Page 91: Understanding The St Display

    Enter the [ST Analysis] menu. Set [ST Analysis] to [On]. Enter the [Screen Setup] window from the [Screens] menu. Set [ST Segment] to be displayed. Select the ST parameter window or ST segment area to enter the [ST Analysis] menu. Passport 12/Passport 8 Operator’s Manual 8-11...

  • Page 92: Saving The Current St Segment As Reference

    8.6.9 Setting the ST Alarm Delay Time To set the ST alarm delay time, Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]. Enter the required password and then select [OK]. Select [Alarm Setup >>]→[ST Alarm Delay]. 8-12 Passport 12/Passport 8 Operator’s Manual...

  • Page 93: Adjusting St Measurement Points

    ST-point at the midpoint of the ST segment. Position the ST-point relative to the J-point at either [J+60/80ms], [J+40ms], [J+60ms] or [J+80ms]. When [J+60/80ms] is selected, the ST-point will be positioned 80 ms (heart rate 120 bpm or less) or 60 ms (heart rate more than 120 bpm) from the J-point. Passport 12/Passport 8 Operator’s Manual 8-13...

  • Page 94: Qt/Qtc Interval Monitoring (For Advanced Ecg Algorithm Only)

    The end of the T-wave is difficult to delineate because of the presence of U-waves  QTc measurements are not stable  In the presence of noise, asystole, ventricular fibrillation, and ECG lead off 8-14 Passport 12/Passport 8 Operator’s Manual...

  • Page 95: Enabling Qt/Qtc Monitoring

    Select the [Screen Setup] tab. Select the parameter area where you want to display the QT parameters and select [QT]. The following picture shows the QT numeric area. Your monitor screen may look slightly different: Passport 12/Passport 8 Operator’s Manual 8-15...

  • Page 96: Accessing The Qt View

    In some conditions, no QT measurement can be calculated. Then the cause of failed QT measurement is shown at the bottom of the QT numerics area. Additionally the message “Cannot Analyze QT” is shown in the technical alarm area. 8-16 Passport 12/Passport 8 Operator’s Manual...

  • Page 97: Changing Qt Settings

    HeartRate  Hodges:   HeartRate ×      Bazett:   HeartRate ×      Fridericia:   × −    HeartRate   Framingham: Passport 12/Passport 8 Operator’s Manual 8-17...

  • Page 98: About Arrhythmia Monitoring

    No beat detected for 1.75x average R-R interval for HR <120, or No beat for 1 second with HR >120 (for non-paced patients only), or No beat detected for more than the set pause threshold. 8-18 Passport 12/Passport 8 Operator’s Manual...
  • Page 99 The consecutive PVCs < the Vtac PVCs limit but > 2, and HR ≥ the Vtac Rate Nonsus. Vtac limit. Pause No QRS detected within the set time threshold of pause. Irr. Rhythm Consistently irregular rhythm. Afib Absence of P-waves and/or variable RR intervals between normal beats. Passport 12/Passport 8 Operator’s Manual 8-19...

  • Page 100: Changing Arrhythmia Alarm Settings

    Multif. PVC 3 to 31 beats Adult: 100 to 300 Adult: 100 Tachy High Pediatric: 160 to 300 Pediatric: 160 Adult: 15 to 60 Adult: 60 Brady Low Pediatric: 15 to 80 Pediatric: 80 8-20 Passport 12/Passport 8 Operator’s Manual...

  • Page 101: Setting The Extended Arrhythmia (For Advanced Ecg Algorithm Only)

    [Alarm Setup >>], and set [Extended Arrh.] to [Enable] or [Disable]. When [Extended Arrh.] is set to [Disable], the monitor does not analyze the extended arrhythmia events, and corresponding alarms are not given. 8.8.5 Reviewing Arrhythmia Events Please refer to section 19.4 Reviewing Events. Passport 12/Passport 8 Operator’s Manual 8-21...

  • Page 102: Ecg Relearning

    After the ECG calibration is completed, and [Stop Calibrating ECG] is selected.  A switch happens between the options of screen type during 5-lead ECG monitoring.  The paced status of the patient is changed. 8-22 Passport 12/Passport 8 Operator’s Manual...

  • Page 103: Troubleshooting

    Electrodes. This could be the patient’s normal QRS Verify with another well-functioning monitor. complex Electrode could be positioned over a Move ECG patches away from the bone or muscle bone or muscle mass mass. Passport 12/Passport 8 Operator’s Manual 8-23...
  • Page 104 Repeat skin preparation as described in section 8.3.1 Preparing the Patient and Placing the Electrodes and apply fresh and moist electrodes. ECG Filter set to ST or Diagnostic Set ECG Filter to “Monitor” mode. mode 8-24 Passport 12/Passport 8 Operator’s Manual...

  • Page 105: Monitoring Respiration (Resp)

    By selecting the waveform area or parameter area, you can enter the [Resp Setup] menu. NOTE  Respiration monitoring is not for use on the patients who are very active, as this will cause false alarms. Passport 12/Passport 8 Operator’s Manual...

  • Page 106: Placing Resp Electrodes

    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. Passport 12/Passport 8 Operator’s Manual...

  • Page 107: Abdominal Breathing

    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. Passport 12/Passport 8 Operator’s Manual...

  • Page 108: Changing Resp Wave Settings

    The RR source options and description are shown in the table below. Option Description Auto RR source is automatically selected according to the priority. RR source is from CO measurement. RR source is from impedance respiration measurement. Passport 12/Passport 8 Operator’s Manual...

  • Page 109: Setting Alarm Properties

    9.10 Setting Alarm Properties Select [Alarm Setup >>] from the [Resp Setup] menu. In the pop-up menu, you can set alarm properties for this parameter. Passport 12/Passport 8 Operator’s Manual...
  • Page 110 FOR YOUR NOTES Passport 12/Passport 8 Operator’s Manual...

  • Page 111: Monitoring Pr

    PR source from the pop-up menu. When the current PR source is unavailable, the system will automatically switch [PR Source] to [Auto]. When you select [IBP], the system will automatically select the first pressure label as the PR source from the pop-up menu. Passport 12/Passport 8 Operator’s Manual 10-1...

  • Page 112: Selecting The Active Alarm Source

    When PR is used as the alarm source, the PR source will be used as a source for the QRS tone. You can change the QRS volume by adjusting [Beat Vol] in the [SpO2 Setup] menu. When a valid SpO value exists, the system will adjust the pitch tone of QRS volume according to the SpO value. 10-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 113: Monitoring Spo

    Pulse rate (derived from the pleth wave): detected pulsations per minute. NOTE  A functional tester or SpO simulator cannot be used to assess the accuracy of a SpO module or a SpO sensor. Passport 12/Passport 8 Operator’s Manual 11-1...

  • Page 114: Safety

    If the sensor is too tight because the application site is too large or becomes too large due to edema, excessive pressure for prolonged periods may result in venous congestion distal from the application site, leading to interstitial edema and tissue ischemia. 11-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 115: Changing Spo Settings

    SpO alarm status until the NIBP measurement ends. If you switch [NIBP Simul] off, low perfusion caused by NIBP measurement may lead to inaccurate SpO readings and therefore cause false physiological alarms. Passport 12/Passport 8 Operator’s Manual 11-3...

  • Page 116: Sat-Seconds Alarm Management

    84% (6 points) for 6 seconds. The resulting Sat-Seconds are: % SpO Seconds Sat-Seconds 2× 4× 6× Total Sat-Seconds= After approximately 10.9 seconds, a Sat-Second alarm would sound, because the limit of 50 Sat-Seconds would have been exceeded. 11-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 117: Changing The Speed Of The Pleth Wave

    Select [Others >>] from the [User Maintenance] menu. In the pop-up menu, you can set [SpO2 Tone] as [Mode 1] or [Mode 2]. WARNING  The same SpO tone mode shall be used for the same monitors in a single area. Passport 12/Passport 8 Operator’s Manual 11-5...

  • Page 118: Measurement Limitations

    Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized sensors or cables which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device. 11-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 119: Nellcor Information

    Ambient light Check if the “SpO2 Too Much Light” alarm is reported. If so, move the sensor to a place with lower level of ambient light or cover the sensor to minimize the ambient light. Passport 12/Passport 8 Operator’s Manual 11-7...
  • Page 120 Low amplitude SpO signal sensor on same limb as cuff Check that the sensor is properly applied. Change the application site if necessary. Patient has poor perfusion Change the application site. 11-8 Passport 12/Passport 8 Operator’s Manual...

  • Page 121: Monitoring Nibp

    Blood pressure measurements determined with this device are equivalent to those obtained by a trained observer using the cuff/stethoscope auscultatory method or an intra-arterial blood pressure measurement device, within the limits prescribed by the American National Standard, Manual, electronic, or automated sphygmomanometers. Passport 12/Passport 8 Operator’s Manual 12-1...

  • Page 122: Safety

    There are three methods of measuring NIBP:  Manual: measurement on demand.  Auto: continually repeated measurements at set intervals.  STAT: continually rapid series of measurements over a five minute period, then return to the previous mode. 12-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 123: Setting Up The Nibp Measurement

    Connect the cuff to the air tubing. Avoid compression or restriction of pressure tubes. Air must pass unrestricted through the tubing. WARNING  Continuous CUFF pressure due to connection tubing kinking may cause blood flow interference and resulting harmful injury to the patient. Passport 12/Passport 8 Operator’s Manual 12-3...

  • Page 124: Starting And Stopping Measurements

    The measurement on clock feature is only available for patient monitors supportingAdvanced ECG algorithm.  Measurement on clock is effective only when NIBP Interval is set to [5min] or an option greater than 5 min. 12-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 125: Starting A Stat Measurement

    Prompt message area: shows NIBP-related prompt messages Systolic pressure Diastolic pressure Mean pressure obtained after the measurement and cuff pressure obtained during the measurement If the NIBP measurement exceeds the measurement range, “---” will be displayed. Passport 12/Passport 8 Operator’s Manual 12-5...

  • Page 126: Changing Nibp Settings

    12.7.5 Switching On NIBP End Tone The monitor can issue a reminder tone at the completion of NIBP measurement. The NIBP End Tone is off by default. You can switch it on by accessing the [NIBP Setup] menu. 12-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 127: Assisting Venous Puncture

    Select the [NIBP] hardkey on the monitor’s front panel, or the [Stop All] QuickKey to deflate the 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. Passport 12/Passport 8 Operator’s Manual 12-7...
  • Page 128 FOR YOUR NOTES 12-8 Passport 12/Passport 8 Operator’s Manual...

  • Page 129: Monitoring Temp

    Check that the alarm settings are appropriate for this patient. 13.4 Understanding the Temp Display The temperature monitoring is displayed on the monitor as three numerics: T1, T2 and TD. By selecting this area, you can enter the [Alarm Setup] menu. Passport 12/Passport 8 Operator’s Manual 13-1...

  • Page 130: Setting The Temperature Unit

    13.5 Setting the Temperature Unit Select [Unit Setup >>] from the [User Maintenance] menu. In the pop-up menu, select [Temp Unit] and then select [ºC] or [ºF]. 13-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 131: Monitoring Ibp

    14.1 Introduction The Passport 12 monitor can monitor up to 4 invasive blood pressures and Passport 8 monitors can monitor up to 2 invasive blood pressures (using an external module). The monitor can display the systolic, diastolic and mean pressures and a waveform for each pressure.

  • Page 132: Setting Up The Pressure Measurement

    Flush the system to exhaust all air from the tubing. Ensure that the transducer and stopcocks are free of air bubbles. WARNING  If air bubbles appear in the tubing system, flush the system with the infusion solution again. Air bubble may lead to wrong pressure reading. 14-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 133: Understanding The Ibp Display

    The IBP measurement is displayed on the monitor as a waveform and numeric pressures. The figure below shows the waveform and numerics for the Art pressure. For different pressures, this display may be slightly different. Pressure label Waveform Systolic pressure Diastolic pressure Mean pressure PPV measurement Passport 12/Passport 8 Operator’s Manual 14-3...

  • Page 134: Changing Ibp Settings

    Arterial blood pressure Left ventricular pressure P1 to P4 Non-specific pressure label NOTE  When two pressures are detected having the same label, the monitor changes one pressure label to a currently unused one. 14-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 135: Setting Alarm Properties

    [mmHg] or [kPa]. Select [CVP Unit] and then select [mmHg], [cmH2O] or [kPa]. 14.6.6 Enabling PPV Measurement and Setting PPV Source PPV indicates pulse pressure variation. To enable PPV measurement, set [PPV Measurement] to [On]. You can select PPV source by enabling the PPV measurement. Passport 12/Passport 8 Operator’s Manual 14-5...

  • Page 136: Overlapping Ibp Waveforms

    In Area A, select [IBP Overlap] from the drop-down list, and then select the IBP waves to be overlapped on the left side of the same line. Area A Select to save the setting and exit the window. The main screen will display the overlapped IBP waves. 14-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 137: Measuring Pawp

    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. WARNING  PAWP monitoring is not intended for neonatal patients. Passport 12/Passport 8 Operator’s Manual 14-7...

  • Page 138: Preparing To Measure Pawp

    14.8.2 Setting Up the PAWP Measurement To setup the PAWP measurement: Wedge the flotation catheter into the pulmonary artery. Then inflate the balloon and pay attention to the PA waveform changes on the screen. 14-8 Passport 12/Passport 8 Operator’s Manual...

  • Page 139: Understanding The Pawp Setup Menu

    If the problem persists, contact your service personnel. CAUTION  Never try to disassemble the equipment or supplied accessories. There are no internal user-serviceable parts. Passport 12/Passport 8 Operator’s Manual 14-9...
  • Page 140 PAWP button disabled One IBP channel must be labeled PA Label an IBP channel as PA. (Also Label an IBP channel as P1/P2/P3/P4, it will automatically change to PA) 14-10 Passport 12/Passport 8 Operator’s Manual...

  • Page 141: Monitoring Cardiac Output

    The C.O. measurement is displayed on the monitor as numeric C.O., C.I. and TB in the C.O. parameter window as shown below. To enter the [C.O. Setup] menu, select the C.O. parameter window. Cardiac output Time at which the C.O. average is calculated Cardiac index Blood temperature Passport 12/Passport 8 Operator’s Manual 15-1...

  • Page 142: Influencing Factors

    Interconnect the C.O. module, catheter and syringe as shown below. Make sure that:  The module is securely inserted.  The PA catheter is in place in the patient.  The C.O. cable is properly connected to the module. 15-2 Passport 12/Passport 8 Operator’s Manual...
  • Page 143 In [Manual] mode, you need to click the [Start] button in the C.O. measurements window when the monitor is ready for new C.O. measurement. Select [Enter C.O. Screen] to enter the C.O. measurements window. Passport 12/Passport 8 Operator’s Manual 15-3...
  • Page 144 When injecting, the stopcock to the PA catheter is open and the stopcock to the injectate solution is closed. After the measurement is completed, turn off the stopcock to the PA catheter and turn on the stopcock to the injectate solution, and then draw the injectate solution into the injectate syringe. 15-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 145: Measuring The Blood Temperature

    During C.O. measurements, blood temperature alarms are suppressed to avoid false alarms. They will automatically recover as soon as the C.O. measurements are completed. Pulmonary artery PA catheter Balloon Right atrium Sensor Right ventricle Passport 12/Passport 8 Operator’s Manual 15-5...

  • Page 146: Changing C.o. Settings

    Select [Unit Setup >>] from the [User Maintenance] menu. In the pop-up menu, select [Temp Unit] and then select [°C] or [°F]. 15.6.2 Setting Alarm Properties Select [Alarm Setup >>] from the [C.O. Setup] menu. You can set alarm properties for this parameter in the pop-up menu. 15-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 147: Monitoring Co

    Fraction of inspired CO (FiCO ): the smallest CO value measured during inspiration. Airway respiration rate (awRR): the number of breaths per minute, calculated from the CO waveform. Passport 12/Passport 8 Operator’s Manual 16-1...

  • Page 148: Co Module

    16.3 Preparing to Measure CO WARNING  Check that the alarm limit settings are appropriate before taking measurement.  Eliminate the exhausted gas before performing the measurement. NOTE  Perform the measurement in a well-ventilated environment. 16-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 149: Making A Sidestream Co

    Do not apply adult watertrap to the neonate patient. Otherwise, patient injury could result. NOTE  To extend the life of the watertrap and module, disconnect the watertrap and set the CO module operating mode to the Standby mode when CO monitoring is not required. Passport 12/Passport 8 Operator’s Manual 16-3...

  • Page 150: Making A Microstream Co

    For the sidestream CO module, you can set a delay time after which, the CO module will enter the Standby mode if no breath is detected. 16-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 151: Setting The Co Unit

    Pressure, Saturated Gas (BTPS), to account for humidity in the patient’s breath, or Ambient Temperature and Pressure, Dry Gas (ATPD). × (mmHg) (vol%) /100 ATPD: × − (mmHg) (vol%) 47)/100 BTPS: vol% Where, = partial pressure, = CO concentration, = ambient pressure, and unit is mmHg. Passport 12/Passport 8 Operator’s Manual 16-5...

  • Page 152: Setting The Apnea Alarm Delay

    To set the flow rate: Select the CO parameter window to access the [CO2 Setup] menu. Select an appropriate setting from [Flow Rate]. 16-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 153: Setting Up The Co Wave

    9.9 Setting Respiration Rate Source. 16.6 Barometric Pressure Compensation Both sidestream and microstream CO modules have the function of automatic barometric pressure compensation (the system automatically measures the barometric pressure which the monitor is exposed to). Passport 12/Passport 8 Operator’s Manual 16-7...

  • Page 154: Measurement Limitations

    Otherwise, the sampling line is blocked and should be replaced with a new one. 16-8 Passport 12/Passport 8 Operator’s Manual...

  • Page 155: Removing Exhaust Gases From The System

    Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password→[Maintain CO2 >>]. Select [Calibrate CO2 >>]→[Start Zero Cal.]. Disconnecting the patient airway is not required when performing a zero calibration. WARNING  Do not rely on the readings during zeroing. Passport 12/Passport 8 Operator’s Manual 16-9...

  • Page 156: Calibrating The Sensor

    Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized CO sampling consumables which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device and/or CO sampling consumable. 16-10 Passport 12/Passport 8 Operator’s Manual...

  • Page 157: Monitoring Ag

    BIS module. The AG measurement is applicable for adult, pediatric and neonatal patients. AG monitoring is for Passport 12 patient monitors only. The AG module determines the concentration of certain gases using the infrared (IR) light absorption measurement. The gases that can be measured by the AG module absorb IR light.

  • Page 158: Understanding The Ag Display

    O waveform will be displayed only when the O waveform is currently switched on. WARNING  To avoid explosion hazard, do not use flammable anesthetic agent such as ether and cyclopropane for this equipment. 17-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 159: Mac Values

    0.88 NOTE  The formula above is only suitable for patients who are older than one year. If the patient is less than one year, the system uses one year to do age correction. Passport 12/Passport 8 Operator’s Manual 17-3...

  • Page 160: Preparing To Measure Ag

    The watertrap has a filter preventing bacterium, water and secretions from entering the module. After 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. 17-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 161: Changing Ag Settings

    At this time, the [O2 Compen] in the setup menu for any gas is fixed to [Off]. WARNING  Make sure to use the appropriate compensations. Inappropriate compensations may cause inaccurate measurement values and result in misdiagnosis. Passport 12/Passport 8 Operator’s Manual 17-5...

  • Page 162: Entering The Standby Mode

    The AG module can identify two anesthetic agents automatically. When the proportion of the primary and secondary anesthetic agents in the mixture changes, the AG module can distinguish between them according to their contributions to the MAC value. Then the primary and secondary anesthetic agents will be exchanged for display. 17-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 163: Measurement Limitations

    To remove the sample gas to a scavenging system, connect an exhaust tube to the gas outlet connector of the module. Passport 12/Passport 8 Operator’s Manual 17-7...
  • Page 164 FOR YOUR NOTES 17-8 Passport 12/Passport 8 Operator’s Manual...

  • Page 165: Freezing Waveforms

    The freeze time displays below the arrow and the initial frozen time is [0 s]. With the waveforms scrolling, the freeze time changes at intervals of 1 second. This change will be applied for all waveforms on the screen. Passport 12/Passport 8 Operator’s Manual 18-1...

  • Page 166: Unfreezing Waveforms

    In the [Freeze] menu, select, in order, [Wave 1], [Wave 2] and [Wave 3] and then select your desired waveforms. Select the [Record] button. The selected waveforms and all numerics at the frozen time are printed out by the recorder. 18-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 167: Review

    [Define Trend Group]. Then you can select the parameters for viewing in the popup menu.  Select [Zoom] to set the time length of the review window.  Select [Waves] to set the number of waves displayed in one page. Passport 12/Passport 8 Operator’s Manual 19-1...

  • Page 168: Reviewing Tabular Trends

    In the [Review] menu, select [Tabular Trends] to access the following window. Events are marked with colors in window’s top area. Red represents high level alarm event. Yellow represents medium/low level alarm event. Green represents manual event. 19-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 169: Reviewing Events

    You can select [Trigger Manual Event] from the [Mark Event] menu or the [Manual Event] QuickKey to trigger a manual event and store it at the same time. When you are reviewing graphic trends, tabular trends or full-disclosure waveforms, the manual event symbol is displayed at the time the event is triggered. Passport 12/Passport 8 Operator’s Manual 19-3...

  • Page 170: Reviewing Events

    NOTE  A total loss of power has no impact on the saved events. 19-4 Passport 12/Passport 8 Operator’s Manual...
  • Page 171 CAUTION  Ensure that you have selected the optimal leads with the best waveform amplitude and the highest signal-to-noise ratio. Selecting the optimal leads is important for beat detection, beat classification, and V-Fib detection. Passport 12/Passport 8 Operator’s Manual 19-5...

  • Page 172: Reviewing Waveforms

     You can change the ECG wave gain by selecting [Gain] and then selecting the appropriate setting.  You can change the waveform sweep speed by selecting [Sweep] and then selecting the appropriate setting. 19-6 Passport 12/Passport 8 Operator’s Manual...
  • Page 173  By selecting the [Record] button, you can print out the first three waveforms and measurement numerics by the recorder.  By selecting beside the [Event] button, you can position the cursor between events. Passport 12/Passport 8 Operator’s Manual 19-7...
  • Page 174 FOR YOUR NOTES 19-8 Passport 12/Passport 8 Operator’s Manual...

  • Page 175: Calculations

    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 monitor. Passport 12/Passport 8 Operator’s Manual 20-1...

  • Page 176: Dose Calculations

    You must select the proper drug name (A, B, C, D or E) according to the units when you define a drug not listed in this library. NOTE  For neonate patients, [Drip Rate] and [Drop Size] are disabled. 20-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 177: Titration Table

    If a calculated value is outside the range, its background will highlight in yellow. You can select [Range] to view its normal range in the unit field.  Invalid values are displayed as [---]. Passport 12/Passport 8 Operator’s Manual 20-3...

  • Page 178: Entered Parameters

    100× [1.34 × Hb × (1－SaO －PaO Qs/Qt (PAO )] / [1.34 × Hb × (1－SvO /100) ＋ 0.031× (PAO － PvO － CvO C.O. calc L/min calculated cardiac output / (CaO 20-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 179: Ventilation Calculations

    CO PaCO mmHg partial pressure of carbon dioxide in the arteries mmHg partial pressure of oxygen in the arteries tidal volume None respiratory quotient ATMP mmHg atmospheric pressure Passport 12/Passport 8 Operator’s Manual 20-5...

  • Page 180: Calculated Parameters And Formulas

    In the [Hemodynamic Calculation] window, you can:  Trigger a recording by selecting the [Record] button. The currently displayed hemodynamic calculations are printed out by the recorder.  Review the previously performed calculations by selecting [Review]. 20-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 181: Entered Parameters

    RCW / BSA RVSW g·m right ventricular stroke work 0.0136 × PAMAP × SV RVSWI g·m/m right ventricular stroke work index RVSW / BSA ejection fraction 100 × SV / EDV Passport 12/Passport 8 Operator’s Manual 20-7...

  • Page 182: Renal Calculations

    URNa mmol/L urinary sodium Urine ml/24h urine Posm mOsm/ kgH plasm osmolality Uosm mOsm/ kgH urine osmolality SerNa mmol/L serum sodium μmol/L creatinine μmol/L urine creatinine mmol/L blood urea nitrogen Height height Weight weight 20-8 Passport 12/Passport 8 Operator’s Manual...

  • Page 183: Calculated Parameters And Formulas

    [Range].  You can review an individual calculation by selecting its corresponding column and then selecting [Original Calc]. You can record the currently displayed calculations or perform another calculation is this window. Passport 12/Passport 8 Operator’s Manual 20-9...
  • Page 184 FOR YOUR NOTES 20-10 Passport 12/Passport 8 Operator’s Manual...

  • Page 185: Recording

    Alarm recordings triggered by an alarm limit violation or an arrhythmia event.  Manually-triggered, task-related recordings. NOTE  For details about alarm recording, refer to the chapter 7 Alarms.  For details about task-related recordings, refer to respective sections of this manual. Passport 12/Passport 8 Operator’s Manual 21-1...

  • Page 186: Starting And Stopping Recordings

    [Waveform 3] in the [Record Setup] menu, and then select the waveforms you want. You can also turn off a waveform recording by selecting [Off]. These settings are intended for realtime and scheduled recordings. 21-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 187: Setting The Realtime Recording Length

    Press the latch in the upper right corner of the recorder door to open it. Insert a new roll into the compartment as shown below. Close the recorder door. Check if paper is loaded correctly and the paper end is feeding from the top. Paper roll Passport 12/Passport 8 Operator’s Manual 21-3...

  • Page 188: Removing Paper Jam

    After the alcohol has completely dried, reload the paper and close the recorder door. CAUTION  Do not use anything that may destroy the thermal element.  Do not add unnecessary force to the thermal head. 21-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 189: Printing

    Connect the printer and the monitor directly with a network cable, and then start printing what you want.  the CMS If your monitor is connected to a CMS, it is recommended to use the CMS for printing. Passport 12/Passport 8 Operator’s Manual 22-1...

  • Page 190: Setting Up The Printer

    Select [Print] in [Arrh. Events] review parameter values Parameter alarm Depends on the selected alarms Select [Main Menu]→[Review >>]→[Alarms]→[Print] review Realtime waves Depends on the selected waveforms Select [Main Menu]→[Print Setup >>]→[Realtime Reports >>] →[Print] 22-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 191: Stopping Report Printouts

    [Currently Displayed Trended Parameters]: print the parameter trend data selected from the [Tabular Trends].  [Standard Parameter Group]: select the standard parameter group for printing.  [Custom]: define a parameter group for printing from the parameters displayed in the lower part of the menu. Passport 12/Passport 8 Operator’s Manual 22-3...

  • Page 192: Setting Up Graphic Trends Reports

    22.8.2 Printer Status Messages Printer Status Message Possible causes and suggested action The selected printer is not available. Check if the printer is switched on or correctly Printer unavailable connected or installed with paper. 22-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 193: Other Functions

    Select [Export Log]. 23.4 Transferring Data You can transfer the patient data saved in the monitor to a PC via a crossover network cable or within a LAN for data management, review or print. Passport 12/Passport 8 Operator’s Manual 23-1...

  • Page 194: Data Export System

    Connect the monitor and the intended PC into the same LAN and acquire the PC’s IP address. Make sure that the data export system is active on the PC. Follow the same procedure as via a crossover network cable to transfer data. 23-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 195: Nurse Call

    NOTE  If no setting is selected from [Alm Lev] or [Alarm Cat.], no nurse call signal will be triggered whatever alarms occur. Passport 12/Passport 8 23-3...

  • Page 196: Network Setup

    Set [Network Type] to [LAN] or [WLAN]. 23.6.2 Wireless Network Connection 23.6.2.1 Requirements for Wireless Network A Mindray proprietary wireless network, installed by approved Mindray service personnel, is required to support wireless networking. This proprietary network will have the following capabilities: ...
  • Page 197 [Specified], you need to enter the desired channel. Select [A Channel] to set the type of A channel. The options are All, Specified, and None. When you select [Specified], you need to enter the desired channel. Passport 12/Passport 8 23-5...

  • Page 198: Certificates Maintenance

    You can configure up to 30 central stations (CMS) for your monitor. To set the CMSs, Select [Main Menu]→[Maintenance>>]→[User Maintenance>>]→enter the required password.→[Network Setup >>]→[Central Station Setup >>]. Set CMS names and corresponding IP addresses. 23-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 199: Setting The Network Service Quality Level

    Multicast parameters must be configured before use on a network. To set the multicast parameters: Select [Main Menu]→[Maintenance>>]→[User Maintenance>>]→enter the required password.→[Network Setup >>]→[Multicast Setup >>]. Set [Multicast Addr] and [TTL]. Select [Ok] to save the setting. Passport 12/Passport 8 23-7...
  • Page 200 FOR YOUR NOTES 23-8 Passport 12/Passport 8 Operator’s Manual...

  • Page 201: Batteries

    If the AC power is interrupted during patient monitoring, the monitor automatically runs from the battery. The Passport 12 patient monitor is capable of storing up to two batteries. The Passport 8 patient monitor is capable of storing one battery.

  • Page 202: Safety

    Then run the monitor on this fully charged battery .When its battery power becomes 50% of the total power, take out the battery from the monitor and store it.  Store batteries properly. For details, refer to 24.8 Storing a Battery. 24-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 203: Installing Or Replacing A Battery

    When the Passport 12 patient monitor uses two battery packs, one battery pack can be easily exchanged while the monitor operates from the other. If the Passport 12 patient monitor uses one battery pack, you should insert a new battery pack before the old one depletes.

  • Page 204: Conditioning A Battery

    This battery is now conditioned and the monitor can be returned to service. CAUTION  Do not use the monitor to monitor the patient during battery conditioning. NOTE  Do not interrupt battery conditioning. 24-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 205: Checking Battery Performance

    Record the battery operating time. The battery operating time directly reflects its performance. If the operating time of a battery is noticeably shorter than that stated in the specifications, replace the battery or contact the Mindray service personnel. NOTE ...

  • Page 206: Recycling A Battery

    Remove the old battery from the monitor and recycle it properly. Follow local laws for proper battery disposal. WARNING  Do not open batteries, heat above 60 °C, incinerate batteries, or short the battery terminals. They may ignite, explode, leak, or heat up, causing personal injury. 24-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 207: Care And Cleaning

    CAUTION  Use only Mindray approved cleaners and disinfectants and methods listed in this chapter to clean or disinfect your equipment. Warranty does not cover damage caused by unapproved substances or methods. ...

  • Page 208: Cleaning

    Clean the exterior surface of the equipment using a soft cloth dampened with a cleaning agent. Wipe off all the cleaning solution with a dry cloth after cleaning if necessary. Dry your equipment in a ventilated, cool place. 25-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 209: Disinfecting

    Never use EtO or formaldehyde for disinfection. 25.4 Sterilization Sterilization is not recommended for this equipment, related products, accessories, or supplies unless otherwise indicated in the Instructions for Use that accompany the products, accessories or supplies. Passport 12/Passport 8 Operator’s Manual 25-3...
  • Page 210 FOR YOUR NOTES 25-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 211: User Maintenance

    Mindray only.  If you discover a problem with any of the equipment, contact your service personnel or Mindray.  The service personnel must be properly qualified and thoroughly familiar with the operation of the equipment.

  • Page 212: Maintenance And Testing Schedule

    1. When the touchscreen appears abnormal. Touchscreen calibration 2. After the touchscreen is replaced. Recorder check Following any repair or replacement of the recorder. 1. When first installed. Battery check Functionality test 2. Whenever a battery is replaced. 26-2 Passport 12/Passport 8 Operator’s Manual...

  • Page 213: Checking Monitor And Module Information

    A correct sized cylinder Follow this procedure to perform the leakage test: Set the patient category to [Adu]. Connect the cuff to the NIBP connector on the monitor. Wrap the cuff around the cylinder as shown below. Passport 12/Passport 8 Operator’s Manual 26-3...

  • Page 214: Leakage Test

    Microstream: The alarm message [CO2 Purging] is displayed on the screen after certain time. Block the gas inlet for another 30s. If alarm message [CO2 FilterLine Err] is shown, it indicates that the module does not leak. 26-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 215: Ag Tests

    The Demo mode is for demonstration purpose only. To avoid the potential risk of the simulated data being mistaken for the monitored patient's data, do not enter the Demo mode while monitoring a patient. Otherwise, improper patient monitoring and delayed treatment could occur. Passport 12/Passport 8 Operator’s Manual 26-5...
  • Page 216 FOR YOUR NOTES 26-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 217: Accessories

    ECG electrode (3M, package of 50) Pediatric 9000-10-07469 Radio Opaque, Pre-wired, 3-lead ECG Neonate 0681-00-0098-01 electrodes, AHA, 18" (45.7 cm), 3 pcs/pack, 100 packs/box Radio Translucent, Pre-wired, 3-lead Neonate 0681-00-0098-02 electrodes, AHA, 18" (45.7 cm), 3 pcs/pack, 100 packs/box Passport 12/Passport 8 Operator’s Manual 27-1...
  • Page 218 Long, disposable 0012-00-1503-05 0.6m 24" 0012-00-1503-06 0.9m 36" Disposable, 20 040-000748-01 0.6m Snap 009-004765-00 New telemetry, EY6316B Adult, pediatric 0.6m 24" 009-004766-00 New telemetry, EY6305B 0.9m 36" New telemetry, EY6310B 009-004777-00 0.6m disposable, 24" 27-2 Passport 12/Passport 8 Operator’s Manual...
  • Page 219 1.4m for RL EL6501B 0010-30-42735 and LL; 1m Long for others Snap 040-000746-01 0.6m Disposable EY6511B 009-004782-00 0.6m New telemetry, 24" EY6512B 009-004783-00 0.9m New telemetry, 36" Adult, pediatric EY6507B 009-004790-00 0.6m telemetry ,disposable, 24" Passport 12/Passport 8 Operator’s Manual 27-3...

  • Page 220: Spo 2 Accessories

    Small adult 18 to 26 12.2 0683-15-0002-01 CM1203 Adult 24 to 35 15.1 0683-15-0003-01 CM1204 Large adult 33 to 47 18.3 0683-15-0004-01 CM1205 Thigh Thigh 46 to 66 22.5 0683-15-0005-01 Child 0 to 19 115-027713-00 27-4 Passport 12/Passport 8 Operator’s Manual...

  • Page 221: Temp Accessories

    Remark Part No. Extension cable (reusable) MR420B Applicable to sensor MR411 and MR412 0011-30-37391 TEMP adapter cable (2-pin to MR421 0010-30-43056 audio) Temperature adapter cable MR420B Applicable for all patient categories 040-001235-00 （2-pin plug） Passport 12/Passport 8 Operator’s Manual 27-5...

  • Page 222: Ibp/Icp Accessories

    Combitrans Monitoring Set (contact Braun for detailed information) Braun Combitrans Attachment Plate Holder (REF:5215800) Combitrans Attachment Plate (contact Braun for detailed information) *Trunk cable (0010-21-43082) SP844 Physiological Pressure Transducer Memscap 844-26 Monitoring Line Set 84X-49 Mounting Bracket 27-6 Passport 12/Passport 8 Operator’s Manual...

  • Page 223: Accessories

    Adult Nasal CO Sample Cannula Adult M02A-10-25937 Disposable Pediatric Nasal CO Sample Cannula Pediatric M02A-10-25938 Infant Nasal CO2 Sample Cannula Neonate M02B-10-64509 Airway adapter Neonate 040-001187-00 DRYLINE Airway Adapter Adult, pediatric Straight, disposable 9000-10-07486 Passport 12/Passport 8 Operator’s Manual 27-7...

  • Page 224: Ag Accessories (For Passport 12 Only)

    Rolling Stand with Quick Release (Passport 8) 045-000924-00 Transport stand for rolling stand (Passport 12) 115-002966-00 Quick Release for wall mount (Passport 8/Passport 12)/Quick release for Passport 12 045-000954-00 rolling stand M series wall mount with Quick Release (Passport 8 and Passport 12)

  • Page 225: Monitor Safety Specifications

    Main unit Item Operating conditions Storage conditions Passport 8: -30 to 70 Temperature (°C) 0 to 40 Passport 12: -20 to 60 Relative humidity (noncondensing) 15% to 95% 10% to 95% Barometric (kPa) 57.0 to 107.4 16.0 to 107.4 Microstream CO...

  • Page 226: Power Supply Specifications

    ≤4.5 kg (10 pound) (12.6 inch × 10.8 inch × 5.1 inch) including touchscreen and recorder, and battery (2 238mm×225mm×128mm Passport 8 ≤3.5 kg (7.8 pound) (9.4 inch × 8.9 inch × 5.1 inch) batteries for Passport 12) Passport 12/Passport 8 Operator’s Manual...

  • Page 227: Hardware Specifications

    IEC60601-1-8. A.4.5 Monitor Interface Specifications Power 1 AC power input connector Wired network 1 RJ45 connector, 100 Base-TX, IEEE 802.3 2 connectors, USB 2.0 Equipotential Grounding Terminal Multifunctional connector VGA connector Passport 12/Passport 8 Operator’s Manual...
  • Page 228 Sensitivity 1V/mV ±5% Pace enhancement Signal amplitude: Voh≥2.5V PACE rejection/enhancement Pulse width: 10ms±5% Signal rising and falling time: ≤100μs IBP Analog Output (For Passport 12 only) Bandwidth (-3dB; reference DC to 40 Hz frequency:1Hz) Max transmission delay 30 ms Sensitivity 1 V/100 mmHg ±5%...

  • Page 229: Data Storage

    The wireless functions of all Passport 8/12 monitors are normal at the same time. Resistance to wireless interference The wireless functions of the monitor are normal when the following conditions Passport 12/Passport 8 Operator’s Manual...

  • Page 230: Measurement Specifications

    Electrode offset potential tolerance ±500 mV Measuring electrode: <0.1 μA Lead-off detection current Drive electrode: <1 μA Measuring electrode: ≤0.1 μA Input offset current Drive electrode: ≤1 μA Baseline recovery time <5 s (after defibrillation) Passport 12/Passport 8 Operator’s Manual...
  • Page 231 48. computed subtracting The HR value displayed on the monitor maximum and minimum ones from the screen is updated every second. most recent 12 RR intervals and then averaging them. Passport 12/Passport 8 Operator’s Manual...
  • Page 232 Measurement range QT-HR: 15 to 150 bpm for adult, 15 to 180 bpm for pediatric and neonate Not supported Accuracy QT: ± 30 ms QT: 4 ms Resolution QTc: 1 ms HR Alarm limit Range Step Passport 12/Passport 8 Operator’s Manual...
  • Page 233 10 s, 15 s, 20 s, 25 s, 30 s, 35 s, 40 s Alarm limit Range (rpm) Step (rpm) Adult, pediatric: (low limit + 2) to 100 RR High Neonate: (low limit + 2) to 150 RR Low 0 to (high limit – 2) Passport 12/Passport 8 Operator’s Manual...
  • Page 234 Masimo's simulator with signal strengths of greater than 0.02% and a % transmission of greater than 5% for saturations ranging from 70 to 100%. This variation equals plus or minus one standard deviation. Plus or minus one standard deviation encompasses 68% of the population. A-10 Passport 12/Passport 8 Operator’s Manual...
  • Page 235 Low perfusion PR accuracy ±3 bpm PR from Nellcor SpO Module Measurement range 20 to 300 bpm Resolution 1 bpm 20 to 250 bpm: ±3 bpm Accuracy 251 to 300 bpm, not specified Refreshing rate Passport 12/Passport 8 Operator’s Manual A-11...
  • Page 236 60 to 140 Adult: Default initial cuff inflation pressure Pediatric: (mmHg) Neonate: Adult: 297±3 mmHg Software overpressure protection Pediatric: 240±3 mmHg Neonate: 147±3 mmHg ≦330 mmHg Adult: ≦330 mmHg Hardware overpressure protection Pediatric: ≦165 mmHg Neonate: A-12 Passport 12/Passport 8 Operator’s Manual...
  • Page 237 Body surface: <100 s measurement Body cavity: <80 s Alarm limit Range Step T1/T2 High (low limit +1) to 50°C T1/T2 Low 0.1 to (high limit -1) °C 0.1 °C TD High 0.1 to 50°C Passport 12/Passport 8 Operator’s Manual A-13...
  • Page 238 ±2% or ±0.1 L/min, whichever is greater Alarm range 23 to 43 °C Alarm limit Range Step TB High (low limit + 1) to 43°C 0.1 °C TB Low 23 to (high limit - 1) °C A-14 Passport 12/Passport 8 Operator’s Manual...
  • Page 239 Concentration (%) Quantitive effect* ≤60 ≤4 ≤5 ±1 mmHg ≤5 ≤5 ≤15 ±2 mmHg *: means an extra error should be added in case of gas interference when CO measurements are performed between 0-40mmHg. Passport 12/Passport 8 Operator’s Manual A-15...
  • Page 240 1 to 99 mmHg Adult, pediatric: (low limit + 2) to 100 rpm awRR High Neonate: (low limit + 2) to 150 rpm 1 rpm awRR Low 0 to (high limit – 2) rpm A-16 Passport 12/Passport 8 Operator’s Manual...
  • Page 241 A.7.10 AG (For Passport 12 only) Standards Meet standard of ISO 21647 Technique Infrared absorption Iso accuracy mode: ≤ 45 s Warm-up time Full accuracy mode: ≤ 10 min Adult, pediatric: 120, 150, 200 ml/min Sample flow rate Neonate: 70, 90, 120 ml/min Accuracy: ±10 ml/min or ±10%, whichever is greater...
  • Page 242 4) Applicable to type A AG module, representing the interference effect of secondary anesthetic agents on primary anesthetic agent. 5) Measurement interference to type M AG module originates from the applied anesthetic agent that is configured manually. A-18 Passport 12/Passport 8 Operator’s Manual...
  • Page 243 EtDes High (low limit + 0.2) to 18.0 % EtDes Low 0 to (high limit - 0.2)% 0.1% FiDes High (low limit + 0.2) to 18.0 % FiDes Low 0 to (high limit - 0.2)% Passport 12/Passport 8 Operator’s Manual A-19...

  • Page 244: Passport 12/Passport 8 Operator's Manual

    FOR YOUR NOTES A-20 Passport 12/Passport 8 Operator’s Manual...

  • Page 245: B Emc And Radio Regulatory Compliance

    This equipment/system is intended for use by healthcare professionals only. This equipment/ system may cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures, such as re-orienting or relocating the [ME EQUIPMENT or ME SYSTEM] or shielding the location. Passport 12/Passport 8 Operator’s Manual...
  • Page 246 (50/60 HZ) magnetic should be at levels characteristic of field IEC 61000-4-8 a typical location in a typical commercial or hospital environment. Note: U is the AC mains voltage prior to application of the test level. Passport 12/Passport 8 Operator’s Manual...
  • Page 247 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than3 V/m. WARNING  The monitor is configured with a wireless network connector to receive wireless signal. Other devices may interfere with this monitor even though they meet the requirements of CISPR. Passport 12/Passport 8 Operator’s Manual...
  • Page 248 Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Passport 12/Passport 8 Operator’s Manual...

  • Page 249: Radio Regulatory Compliance

    (2) this device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications to this equipment not expressly approved by Mindray may cause harmful radio frequency interference and void your authority to operate this equipment.
  • Page 250 FOR YOUR NOTES Passport 12/Passport 8 Operator’s Manual...

  • Page 251: C Default Configurations

    0.16 mV Auto (if auto lead detection is available); Lead Set 5-lead (if auto lead detection is not available) ECG Display Normal Notch Filter Weak Paced Pacer Reject Smart Lead Off Pacemaker Rate (Mortara algorithm only) Passport 12/Passport 8 Operator’s Manual...
  • Page 252 Arrh. Analysis Arrhythmia Threshold Settings (Mindray) Configurable Item Name Default In Config Mode In Monitor Mode PVCs High Asys. Delay Vtac Rate Vtac PVC Multif. PVC’s Window Adu: Tachy High Ped: Adu: Brady Low Ped: Passport 12/Passport 8 Operator’s Manual...
  • Page 253 CCU: On Run PVCs Alm Lev Alarm Couplet Alarm Message Multif. PVC Alarm PVC Alarm Message General, OR, ICU, NICU: Off Bigeminy Alarm CCU: On General, OR, ICU, NICU: Off Trigeminy Alarm CCU: On Tachy Alarm Passport 12/Passport 8 Operator’s Manual...
  • Page 254 Bigeminy Alarm CCU: On General, OR, ICU, NICU: Off Trigeminy Alarm CCU: On Tachy Alarm Brady Alarm Pacer Not Pacing Alarm Message Pacer Not Capture Alarm Message Missed Beats Alarm Multif. PVC Irr. Rhythm Alarm Message Passport 12/Passport 8 Operator’s Manual...
  • Page 255 Item Name Default In Config Mode In Monitor Mode Alarm Alm Lev Adu: HR/PR High Ped: Neo: Adu: HR/PR Low Ped: Neo: PR Source Alm Source General, OR: 2 Beat Vol ICU, NICU, CCU: 1 Passport 12/Passport 8 Operator’s Manual...
  • Page 256 Averaging (Masimo) Sat-Seconds (Nellcor) Sweep 25 mm/s NIBP Simul C.1.5 Temp Configurable Item Name Default In Config Mode In Monitor Mode Alarm Alm Lev T1/T2 High (ºC) 38.0 T1/T2 Low (ºC) 35.0 TD High (ºC) Passport 12/Passport 8 Operator’s Manual...
  • Page 257 NIBP-S High (mmHg) Ped: Neo: Adu: NIBP-S Low (mmHg) Ped: Neo: Adu: NIBP-M High (mmHg) Ped: Neo: Adu: NIBP-M Low (mmHg) Ped: Neo: Adu: NIBP-D High (mmHg) Ped: Neo: Adu: NIBP-D Low (mmHg) Ped: Neo: Passport 12/Passport 8 Operator’s Manual...
  • Page 258 IBP-S High (mmHg) Ped: Neo: Adu: IBP-S Low (mmHg) Ped: Neo: Adu: IBP-M High (mmHg) Ped: Neo: Adu: IBP-M Low (mmHg) Ped: Neo: Adu: IBP-D High (mmHg) Ped: Neo: Adu: IBP-D Low (mmHg) Ped: Neo: Passport 12/Passport 8 Operator’s Manual...
  • Page 259 Scale (mmHg) 0-20 C.1.8 C.O. Configurable Item Name Default In Config Mode In Monitor Mode Alarm Alm Lev 39.0 TB High（ºC） 36.0 TB Low（ºC） Comp. Const 0.542 Auto TI Auto Manual TI（ºC） Measuring mode Manual Passport 12/Passport 8 Operator’s Manual...
  • Page 260 20 s Auto Standby (min) Alarm Limits Adu, Ped: EtCO High (mmHg) Neo: Adu, Ped: EtCO Low (mmHg) Neo: FiCO High (mmHg) Adu, Ped, Neo: Adu, Ped: RR High Neo: Adu, Ped: RR Low Neo: C-10 Passport 12/Passport 8 Operator’s Manual...
  • Page 261 Gas Setup Agent O Scale When unit is mmHg: Scale When unit is % or KPa: AA Scale Hal/Enf/Iso Scale Des Scale Sev Scale High Adu, Ped: High Neo: O High O Low O High Passport 12/Passport 8 Operator’s Manual C-11...

  • Page 262: Routine Configuration

    Default In Config Mode In Monitor Mode General: 2 Alm Volume ICU, NICU, CCU: Reminder Vol Recording Length 16 s Adu, Ped: Apnea Delay Neo: 15 s Alarm Delay ST Alarm Delay 30 s C-12 Passport 12/Passport 8 Operator’s Manual...
  • Page 263 In Config Mode In Monitor Mode Green NIBP White Cyan Purple ΔSpO Yellow Cyan TEMP White Art/Ao/UAP/FAP /BAP/LV/P1~P4 (arterial pressure) Yellow CVP/ICP/P1~P4 (venous pressure) Blue Purple Orange Cyan Yellow RESP Yellow Yellow Blue Green Passport 12/Passport 8 Operator’s Manual C-13...
  • Page 264 Sweep 25 mm/s C.2.5 Event Configurable Item Name Default In Config Mode In Monitor Mode Waveform 1 General, OR, ICU, CCU: Waveform 2 NICU Pleth General, OR, ICU, CCU: Pleth Waveform 3 NICU Resp C-14 Passport 12/Passport 8 Operator’s Manual...
  • Page 265 Auto Set as End Case Report Unselected Realtime Reports Sweep Auto Select Wave Current C.2.8 Others Configurable Item Name Default In Config Mode In Monitor Mode Brightness Key Volume View Other Patient Auto Alarm Passport 12/Passport 8 Operator’s Manual C-15...

  • Page 266: User Maintenance Items

    Lethal Arrh. OFF Disable Extended Arrh. Enable Alarm Light on Alarm Reset Alarm Delay ST Alarm Delay 30 s Wave Line DIAP Baud Rate 9600 ECG Standard Notch Freq. 50 Hz Data Transfer Method Module C-16 Passport 12/Passport 8 Operator’s Manual...
  • Page 267 Transferred Data Length Apply Module Settings Parameter Switch Selected Tone Mode 1 Clear CMS IP at startup Signal Type Continuous Contact Type Normally Closed Nurse Call Setup Alm Lev High, Med, Low Alarm Cat. Phy., Tech. Passport 12/Passport 8 Operator’s Manual C-17...
  • Page 268 FOR YOUR NOTES C-18 Passport 12/Passport 8 Operator’s Manual...

  • Page 269: Alarm Messages

    Check the patient’s condition and the ECG connections. Asystole VFib/VTac Vtac Vent. Brady Extreme Tachy Extreme Brady Arrhythmia has occurred to the patient. Check the patient’s condition and the ECG connections. R on T Run PVCs Couplet PVCs/min Bigeminy Trigeminy Passport 12/Passport 8 Operator’s Manual...
  • Page 270 The patient stops breathing, or the respiration signal was too weak for the monitor to perform respiration analysis. Check the patient’s AG Apnea condition and the RM connections. Check the patient’s condition, the ventilated O content and the AG Too Low connections. Passport 12/Passport 8 Operator’s Manual...
  • Page 271 The ECG amplitude didn’t reach the detected ECG Amplitude Too Small threshold. Check for any possible source of interference around the cable and electrode. ECG configuration is wrongly downloaded. Check the ECG Config. Err downloaded configuration and re-download the correct configuration. Passport 12/Passport 8 Operator’s Manual...
  • Page 272 The patient’s pulse is weak or the cuff is loose. Check NIBP Weak Signal the patient’s condition and change the cuff application site. If the error persists, replace the cuff. The NIBP signal is saturated due to excess motion or NIBP Signal Saturated other sources. Passport 12/Passport 8 Operator’s Manual...
  • Page 273 High Barometric Press. Check the CO connections, make sure that the monitor application site meets the requirements, and check for special sources that affect the ambient Low Barometric Press. pressure. Restart the monitor. Passport 12/Passport 8 Operator’s Manual...
  • Page 274 Remove the AG module. Stop using the module and AG Hardware Err contact your service personnel. AG Airway Occluded Check the airway and remove the occlusion. Re-plug the module or restart the monitor, and then AG Zero Failed perform a zero calibration again. Passport 12/Passport 8 Operator’s Manual...
  • Page 275 Restart the monitor. If the problem persists, there may be an EEPROM failure. Contact your service personnel. Loading Default Config. Restart the monitor. If the problem persists, there may Failed. be an EEPROM failure. Contact your service personnel. Passport 12/Passport 8 Operator’s Manual...
  • Page 276 Restart the monitor. If the problem persists, format the SD card. Storage Card Space Low The storage card has abnormal data. Format the storage card. USB Drive Space Low Delete unnecessary data from the USB memory, or replace the USB memory. Passport 12/Passport 8 Operator’s Manual...

  • Page 277: E Symbols And Abbreviations

    MΩ megaohm nanometer Passport 12/Passport 8 Operator’s Manual...

  • Page 278: Abbreviations

    BPSK binary phase shift keying body surface area blood temperature BTPS body temperature and pressure, saturated C.I. cardiac index Continuous Cardiac Index C.O. cardiac output Passport 12/Passport 8 Operator’s Manual...
  • Page 279 Federal Communication Commission Food and Drug Administration FEV1.0% first second forced expiratory volume ratio fraction of inspired FiCO fraction of inspired carbon dioxide fraction of inspired nitrous oxide Passport 12/Passport 8 Operator’s Manual...
  • Page 280 LVET left ventricular ejection time LVSW left ventricular stroke work LVSWI left ventricular stroke work index minimum alveolar concentration Art mean mean arterial pressure Medical Device Directive MetHb methemoglobin magnetic resonance imaging Passport 12/Passport 8 Operator’s Manual...
  • Page 281 PVPI pulmonary vascular permeability index pArt artery pressure pCVP central venous pressure right right arm random access memory right atrial pressure record, recording Resp respiration reduced hemoglobin right leg respiratory mechanics Passport 12/Passport 8 Operator’s Manual...
  • Page 282 VEPT volume of electrically participating tissue velocity index oxygen consumption oxygen consumption index WLAN wireless local area network Wi-Fi protected access Passport 12/Passport 8 Operator’s Manual...
  • Page 284 P/N: 046-004417-00 (4.0)

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