Page 1 BeneView T8 Patient Monitor Operation Manual...
Page 3: Revision History
Revision 1.0 is the initial release of the document. Revision number: 1.0 Release time: September 2006 © Copyright 2006 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. WARNING Federal Law (USA) restricts this device to sale by or on the order of a physician.
Page 4 Mindray, nor the rights of others. Mindray does not assume any liability arising out of any infringements of patents or other rights of third parties.
Page 5 Manufacturer’s Responsibility All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual. Mindray is responsible for safety, reliability and performance of this product only in the...
Page 6: Contact Information
Return Policy In the event that it becomes necessary to return a unit to Mindray, follow the instructions below. Obtain a return authorization. Contact the Mindray Service Department and obtain a Mindray Customer Service Authorization Number. The Mindray Customer Service Authorization Number must appear on the outside of the shipping container.
Page 7: Intended Audience
Preface Manual Purpose This manual contains the instructions necessary to operate the Patient Monitor safely and in accordance with its function and intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety.
Page 8 FOR YOUR NOTES...
Page 9: Table Of Contents
Contents 1 Safety..........................1-1 1.1 Safety Information ......................1-1 1.1.1 Dangers ......................1-2 1.1.2 Warnings ......................1-2 1.1.3 Cautions ......................1-3 1.1.4 Notes ........................1-3 1.2 Equipment Symbols ......................1-4 1.3 Reference Literature......................1-5 2 The Basics ......................... 2-1 2.1 Monitor Description ......................2-1 2.1.1 Intended Use ......................
Page 10 Contents 3.9 Changing General Settings.................... 3-10 3.9.1 Setting up a Monitor..................3-10 3.9.2 Changing Language ..................3-10 3.9.3 Adjusting the Screen Brightness ..............3-10 3.9.4 Showing/Hiding the Help..................3-11 3.9.5 Setting the Date and Time .................3-11 3.9.6 Adjusting Volume..................... 3-12 3.10 Default Configurations....................3-13 3.10.1 Restoring the Factory Default Configuration..........
Page 11 Contents 6.3.3 Flashing Numeric ....................6-4 6.3.4 Audible Alarm Tones..................6-4 6.3.5 Alarm Status Symbols ..................6-4 6.4 Alarm Tone Configuration ....................6-5 6.4.1 Changing the Alarm Volume ................6-5 6.4.2 Switching the Alarm Sound On/Off ..............6-5 6.4.3 Setting the Interval between Alarm Sounds ............6-5 6.5 Using Alarms........................
Page 12 Contents 7.7.4 Automatic Arrhythmia Relearn ................ 7-15 7.7.5 Reviewing Arrhythmia Events ................. 7-16 7.8 12-Lead ECG Monitoring ..................... 7-17 7.8.1 Entering the 12-lead ECG Analysis Program........... 7-17 7.8.2 12-Lead ECG Analysis..................7-18 7.8.3 Reviewing 12-Lead ECG Analysis Results............7-19 7.9 Monitoring Respiration (Resp) ..................7-20 7.9.1 Understanding the Resp Display ..............
Page 13 Contents 9.7.2 Displaying NIBP Measurements ................ 9-6 9.7.3 Setting the Pressure Unit..................9-7 9.8 Assisting Venous Puncture ....................9-7 9.9 Resetting NIBP ....................... 9-7 9.10 NIBP Leakage Test......................9-7 9.11 NIBP Accuracy Test ...................... 9-8 9.12 Calibrating NIBP......................9-9 10 Monitoring Temp......................10-1 10.1 Introduction.........................
Page 14 Contents 13.3.2 Using a Microstream CO Module..............13-4 13.3.3 Using a Mainstream CO Module ..............13-5 13.4 Changing CO Settings ....................13-6 13.4.1 Accessing CO Menus..................13-6 13.4.2 Changing the Operating Mode ............... 13-6 13.4.3 Setting the Pressure Unit................13-6 13.4.4 Setting up CO Compensations ..............
Page 15 Contents 15.3.2 Calculated Parameters..................15-2 15.4 Understanding the ICG Display .................. 15-3 15.5 ICG Limitations ......................15-4 15.6 Preparing to Monitor ICG ................... 15-4 15.6.1 Preparing the Patient ..................15-4 15.6.2 Placing ICG Sensors ..................15-5 15.6.3 Setting up the Patient Information ..............15-5 15.7 Changing ICG Settings ....................
Page 16 Contents 18.4 Recording Frozen Waveforms..................18-2 19 Review ........................... 19-1 19.1 Accessing Respective Review Windows..............19-1 19.2 Reviewing Graphic Trends..................19-2 19.3 Reviewing Tabular Trends ..................19-4 19.4 Reviewing NIBP Measurements ................. 19-6 19.5 Reviewing Alarms....................... 19-7 19.6 Reviewing Waveforms ....................19-8 20 Calculations ........................
Page 17 Contents 21.4.6 Switching Gridlines On or Off ............... 21-5 21.4.7 Clearing Recording Tasks ................21-5 21.5 Loading Paper ......................21-6 21.6 Removing Paper Jam ....................21-7 21.7 Cleaning the Recorder Printhead ................21-7 22 Other Functions......................22-1 22.1 Marking Events ......................22-1 22.2 Analog Output ......................
Page 18 Contents 26.10 BIS Accessories......................26-9 26.11 RM Accessories......................26-9 26.12 Others........................26-10 A Product Specifications.....................A-1 A.1 Monitor Safety Specifications..................A-1 A.2 Physical Specifications....................A-4 A.3 Hardware Specifications ....................A-5 A.4 Data Storage ........................A-8 A.5 Measurement Specifications ..................A-9 B EMC..........................B-1 C Factory Defaults ......................C-1 C.1 Patient Demographics.....................C-1 C.2 Alarm Setup........................C-1 C.3 Screen Setup ........................C-1...
Page 19: Safety
Safety 1.1 Safety Information DANGER Indicates an imminent hazard that, if not avoided, will result in death or serious injury. WARNING Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury. CAUTION Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or product/property damage.
Page 20: Dangers
Safety 1.1.1 Dangers There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections of this manual. 1.1.2 Warnings WARNINGS Before putting the system into operation, the operator must verify that the equipment, connecting cables and accessories are in correct working order and operating condition.
Page 21: Cautions
Safety 1.1.3 Cautions CAUTIONS To ensure patient safety, use only parts and accessories specified in this manual. 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.
Page 22: Equipment Symbols
Safety 1.2 Equipment Symbols Attention: Consult accompanying documents (this manual). Power ON/OFF Battery indicator Alternating current (AC) Alarms paused System silenced Record Freeze/unfreeze waveforms Main menu Connector for satellite NIBP start/stop key module rack Equipotential grounding Video output USB connector Network connector CIS connector Auxiliary output connector...
Page 23: Reference Literature
Safety 1.3 Reference Literature Medical Device Directive 93/42/EEC IEC 60601-1:1988+A1:1991+A2:1995 or EN 60601-1:1990+A1:1993+A2:1995+A13:1996, Medical Electrical Equipment, Part 1: General Requirements for Safety EN60601-1-1 or IEC60601-1-1, Medical Electrical Equipment- Part 1-1: General Requirements for Safety - Collateral Standard: Safety Requirements for Medical Electrical Systems IEC60601-1-4, Medical Electrical Equipment- Part 1-4: General Requirements for Safety - Collateral Standard: Programmable Electrical Medical Systems...
Page 24 Safety FOR YOUR NOTES...
Page 25: The Basics
The Basics 2.1 Monitor Description 2.1.1 Intended Use This patient monitor is intended to be used for monitoring, displaying, reviewing, storing and transferring of multiple physiological parameters including ECG, heart rate (HR), respiration (Resp), temperature (Temp), SpO , pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), cardiac output (C.O.), carbon dioxide (CO ), oxygen ), anesthetic gas (AG), impedance cardiograph (ICG), bispectral index (BIS) and...
Page 26: Main Unit
The Basics 2.2 Main Unit 2.2.1 Front View Physiological alarm lamp When a physiological alarm occurs, this lamp will flash as defined below. High level alarms: the lamp quickly flashes red. Medium level alarms: the lamp slowly flashes yellow. Low level alarms: the lamp turns yellow without flashing.
Page 27 The Basics Display Screen Power On/Off Switch Press this switch to turn the patient monitor on. Press it again and hold for 2 seconds to turn the patient monitor off. An indicator is built in this switch. It turns on when the patient monitor is on and turns off when the patient monitor is off.
Page 28: Side View
The Basics 2.2.2 Side View 1. Integral Module Racks 2. Compartment for CF storage card slot 3. Recorder 4. Filter 5. Contact WARNING Do not touch the filters and contacts when the patient monitor is on. 2.2.3 Bottom View Battery compartment...
Page 29: Rear View
The Basics 2.2.4 Rear View Ventilation...
Page 30 The Basics AC Power Input USB Connectors They connect such devices as the USB mice, USB keyboard, etc. Auxiliary Output Connector It provides analog signals if an oscilloscope is connected or alarm signals if a nurse call system is connected. Defib Sync Connector It provides synchronization signals if a defibrillator is connected.
Page 31: Satellite Module Rack
The Basics 2.3 Satellite Module Rack The Satellite Module Rack (SMR) provides 8 slots for mounting parameter modules. The number of modules mounted in the SMR depends, as different modules may need different slots. Filter Contact Indicator Handle Slot SMR connector As shown in the figure above, there is an indicator telling the status of the SMR: On: when the SMR works normally.
Page 32: Modules
The Basics 2.4 Modules As shown below, the patient monitor supports the following modules: Multi-parameter module. It can simultaneously monitor ECG, MPM: respiration, SpO , temperature, NIBP and IBP. Invasive blood pressure module. IBP module: Cardiac output module. C.O. module: Carbon dioxide module.
Page 33: Multi-Parameter Module
The Basics 2.4.2 Multi-Parameter Module The multi-parameter module (MPM) incorporates multiple measurement modules. As shown below, the module name is located at the upper left corner, all hardkeys on the upper part, and all measurement connectors on the lower part. Other measurement modules look similar to the MPM.
Page 34: Display Screen
The Basics 2.5 Display Screen This patient monitor adopts a high-resolution TFT LCD to display patient parameters and waveforms. A typical display screen is shown below. Patient Information Area This area shows the patient information such as department, bed number, patient name, patient category and paced status.
Page 35 The Basics 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. Sound Symbols indicates alarms are paused. indicates all system sounds are turned off. indicates alarm sounds are turned off.
Page 36: Quickkeys
The Basics indicates patient monitor is connected to a wire network successfully. indicates the patient monitor has failed to connect a wire network. indicates a CF storage card is inserted. indicates a secondary display is connected. QuickKeys area This area contains QuickKeys that give you fast access to functions. 2.6 QuickKeys A QuickKey is a configurable graphical key, located at the bottom of the main screen.
Page 37 The Basics Freeze waveforms Mark Event Enter standby mode Change screen Start/stop NIBP measurements Start NIBP STAT measurement Zero IBP Start cardiac output procedure View respiratory loops Enter the 12-lead analysis screen Start/stop recordings Print Select parameter setup menu for the Big Numerics screen Have a split-screen view of another patient’s conditions You can also select your desired QuickKeys to display on the screen.
Page 38 The Basics Have a split-screen view of oxyCRG trends Have a split-screen view of minitrends Enter the user maintenance menu Enter the analog output setup menu Change key volume Default configurations Enter the full-screen 7-lead ECG screen Switch on/off ST analysis Calibrate the screen.
Page 39: Basic Operations
Basic Operations 3.1 Installation WARNING The equipment shall be installed by personnel authorized by us. The software copyright of the equipment is solely owned by us. No organization or individual shall resort to juggling, copying, or exchanging it or to any other infringement on it in any form or by any means without due permission.
Page 40: Unpacking And Checking
Basic Operations 3.1.1 Unpacking and Checking Before unpacking, examine the packing case carefully for signs of damage. If any damage is detected, contact the carrier or us. If the packing case is intact, open the package and remove the equipment and accessories carefully.
Page 41: Environmental Requirements
Basic Operations 3.1.2 Environmental Requirements The operating environment of the patient monitor must meet the requirements specified in this manual. The environment where the patient monitor is used shall be reasonably free from noises, vibration, dust, corrosive, flammable and explosive substances. If the patient monitor is installed in a cabinet, sufficient space in front and behind shall be left for convenient operation, maintenance and repair.
Page 42: Getting Started
Basic Operations 3.2 Getting Started 3.2.1 Turning Power On Once the patient monitor is installed, you can get ready for monitoring: Before you start to make measurements, check the patient monitor, SMR and plug-in modules for any mechanical damage and make sure that all external cables, plug-ins and accessories are properly connected.
Page 43: Disconnecting From Power
Basic Operations 3.3 Disconnecting from Power To disconnect the patient monitor from the AC power source, follow this procedure: Confirm that the patient monitoring is finished. Disconnect the patient cables and sensors from the patient monitor. Make sure to save or clear the patient monitoring data as required. Press and hold the power on/off switch for above 2 seconds.
Page 44: Using A Mice
Basic Operations 3.4 Using a Mice You can use the USB mice supplied with the equipment as a monitor input device. The USB mice can be plugged and unplugged with the monitor on. The patient monitor supports two USB mice. One is for controlling the secondary display and must be connected to a dedicated connector, and the other for controlling the primary display and can be connected to any USB connector other than that dedicated one.
Page 45: Using Keyboards
Basic Operations 3.5 Using Keyboards The on-screen keyboard enables you to enter information. Use the [Back] key to delete the previously entered character. Use the [Caps] to toggle between uppercase and lowercase letters. Select [Enter] to confirm what you have entered and close the on-screen keyboard. If a conventional keyboard is connected to the monitor, you can use it instead of or in combination with the on-screen keyboard.
Page 46: Using The Main Menu
Basic Operations 3.7 Using the Main Menu To enter the main menu, select the on-screen QuickKey or the hardkey on the monitor’s front. Most of monitor operations and settings can be performed through the main menu. Other menus are similar to the main menu and contain the following parts: Heading: gives a sum-up for the current menu.
Page 47: Using A Cf Storage Card
Basic Operations 3.8 Using a CF Storage Card A CF storage card is used to prevent data loss in case of a sudden power failure. The patient data such as trend data, waveform data, etc., will be automatically saved into the CF storage card during patient monitoring.
Page 48: Changing General Settings
Basic Operations Do not insert or remove the CF storage card when the patient monitor is on. Otherwise it may cause damage to the CF storage card and the patient monitor. Never apply the CF storage card to those other than the patient monitor. 3.9 Changing General Settings This chapter covers only general settings such as language, brightness, date and time, etc.
Page 49: Showing/Hiding The Help
Basic Operations the use time of the battery. When the patient monitor enters standby mode, the screen brightness will be adjusted to the least bright automatically. 3.9.4 Showing/Hiding the Help The patient monitor provides online help information. The user can display or hide the help as required.
Page 50: Adjusting Volume
Basic Operations 3.9.6 Adjusting Volume Alarm Volume Select the [Alarm Volume] QuickKey, or [Main Menu]→[Alarm Setup >>]. Select [Alarm Volume] and then select the appropriate volume. 1 is the minimum volume, and 10 is the maximum volume. Key Volume Select the [Key Volume] QuickKey, or [Main Menu]→[Screen Setup >>]. Select [Key Volume] and then select the appropriate volume.
Page 51: Default Configurations
Basic Operations 3.10 Default Configurations NOTE When the patient monitor restarts after a power failure, all settings before the power failure will be automatically restored. 3.10.1 Restoring the Factory Default Configuration To restore the factory default configuration, follow this procedure: Select [Main Menu]→[Defaults>>].
Page 52: Loading A User Default Configuration
Basic Operations 3.10.3 Loading a User Default Configuration You can directly recall an already saved user default configuration. Select [Main Menu]→[Defaults >>]→[Load User Default Config >>]. Select a user default configuration you want to apply and then select [Ok]. Select [Yes] from the popup menu. Make sure the configuration is appropriate.
Page 53: Managing Patients
Managing Patients 4.1 Admitting a Patient The patient monitor displays physiological data and stores them in the trends as soon as a patient is connected. This allows you to monitor a patient that is not yet admitted. However, it is recommended that you fully admit a patient so that you can clearly identify your patient, on recordings, reports and networking devices.
Page 54: Quick Admitting A Patient
Managing Patients WARNING [Patient Cat.] and [Paced] will always contain a value, regardless of whether the patient is fully admitted or not. If you do not specify settings for these fields, the patient monitor uses the default settings from the current configuration, which might not be correct for your patient.
Page 55: Editing Patient Information
Managing Patients 4.3 Editing Patient Information To edit the patient information after a patient has been admitted, or when the patient information is incomplete, or when you want to change the patient information: Select the [Patient Setup] QuickKey, or [Main Menu]→[Patient Setup >>]. Select [Patient Demographics] and then make the required changes.
Page 56: Connecting To A Central Monitoring System
Managing Patients 4.5 Connecting to a Central Monitoring System If your patient monitor is connected to a central monitoring system (CMS): All patient information, measurement data and settings on the patient monitor can be transferred to the CMS. All patient information, measurement data and settings can be displayed simultaneously on the patient monitor and CMS.
Page 57: User Screens
User Screens 5.1 Tailoring Your Screens You can tailor your patient monitor’s screens by setting: Waveform sweep mode Wave line size The color in which each measurement’s numerics and waveform are displayed The parameter to be monitored. Changing some settings may be hazardous. Therefore, those setting are password-protected and can be modified by authorized personnel only.
Page 58: Selecting Measurement Parameters
User Screen 5.1.4 Selecting Measurement Parameters Your can select your desired measurement parameters for monitoring by following this procedure: Select the [Measurements] QuickKey. Select the required parameters from the popup menu. Close the popup menu, and your selections will be automatically applied. Additionally, you can close a waveform or turn off a measurement.
Page 59: Viewing Minitrends
User Screen 5.2 Viewing Minitrends 5.2.1 Having a Split-Screen View of Minitrends You can split the normal screen so that one part of the screen, on the left hand side, continuously shows graphic minitrends beside waveforms as shown in the figure below. To have a split-screen view of minitrends, you can: Select [Minitrends] QuickKey, or Select [Screen Layout] QuickKey→[Minitrends]→[Ok], or...
Page 60: Changing Minitrend Length
User Screen 5.2.2 Changing Minitrend Length You can change the minitrend length for individual parameters. Take HR for example: Select the HR field. In the [Minitrend Setup] menu, select [Minitrend Length] and then choose [1 h], [2 h], [4 h] or [8 h]. Select the button.
Page 61: Viewing Oxycrg
User Screen 5.3 Viewing oxyCRG To have a split screen view of oxyCRG, you can: Select [oxyCRG] QuickKey, or Select [Screen Layout] QuickKey→[oxyCRG]→[Ok], or. Select [Main Menu]→[Screen Setup >>]→[Screen Layout >>]→[oxyCRG]→[Ok]. The split-screen view covers the lower part of the waveform area and shows HR trend, trend and RR trend (or Resp wave).
Page 62: Viewing Other Patients
User Screen 5.4 Viewing Other Patients 5.4.1 Care Group If your patient monitor is connected to a central monitoring system, you can select up to 16 bedside monitors into a Care Group. This lets you: View information on the monitor screen from other bed in the same. Be notified of physiological and technical alarm conditions of other beds in the Care Group.
Page 63 User Screen The [View Other Patient] window covers the lower part of the waveform area and consists Information Area: shows the patient information (including department, bed number, patient name, etc.), network status symbol, physiological/technical alarm messages. View Area: shows physiological waveforms and parameters. This area contains four areas, two waveforms areas and two parameter areas.
Page 64: Understanding The Big Numerics Screen
User Screen 5.5 Understanding the Big Numerics Screen To enter the big numerics screen: Select the [Screen Layout] QuickKey, or [Main Menu]→[Screen Setup >>]→ [Screen Layout >>]. Select [Big Numerics] or [Factory Default Big Numerics]→[Ok]. You can select your desired parameters to display in this screen: select the [Para. Setup] QuickKey and then select the parameters you want.
Page 65: Alarms
Alarms Alarms, triggered by a vital sign that appears abnormal or by technical problems of the patient monitor, are indicated to the user by visual and audible alarm indications. 6.1 Alarm Categories By nature, the patient monitor’s alarms can be classified into three categories: physiological alarms, technical alarms and prompt messages.
Page 66: Alarm Levels
Alarms 6.2 Alarm Levels By severity, the patient monitor’s alarms can be classified into three categories: high level alarms, medium level alarms and low level alarms. High level alarms Indicate that your patient is in a life threatening situation and an emergency treatment is demanded.
Page 67: Alarm Indicators
Alarms 6.3 Alarm Indicators When an alarm occurs, the patient monitor will indicate it to the user through visual or audible alarm indications. Alarm lamp Alarm message Flashing numeric Audible alarm tones 6.3.1 Alarm Lamp If a technical alarm occurs, the technical alarm lamp will turn blue. If a physiological alarm occurs, the physiological alarm lamp will flash.
Page 68: Flashing Numeric
Alarms 6.3.3 Flashing Numeric If an alarm triggered by an alarm limit violation occurs, the numeric of the measurement in alarm will flash every second, and the corresponding alarm limit will also flash at the same frequency indicating the high or low alarm limit is violated. 6.3.4 Audible Alarm Tones The patient monitor uses different alarm tone patterns to match the alarm level: High level alarms:...
Page 69: Alarm Tone Configuration
Alarms 6.4 Alarm Tone Configuration 6.4.1 Changing the Alarm Volume Select the [Alarm Setup] QuickKey, or [Main Menu]→[Alarm Setup >>]. Select [Alarm Volume] and then select the appropriate volume. 1 is minimum volume, and 10 the maximum volume. 6.4.2 Switching the Alarm Sound On/Off Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password.
Page 70: Using Alarms
Alarms 6.5 Using Alarms 6.5.1 Switching Individual Measurement Alarms On/Off Select the parameter window for your desired measurement to enter its setup menu. Select [Alarm] and toggle between [On] and [Off]. [On]: The patient monitor gives alarm indications in accordance with the preset alarm level and stores the related waveforms and parameters.
Page 71: Recording Alarms Automatically
Alarms 6.5.4 Recording Alarms Automatically When a measurement alarm occurs, automatic recording of all the measurement numerics and related waveforms is possible when the measurement’s [Alarm] and [Alm Rec] are set on. To switch automatic start of alarm recording on or off for individual measurements, you can either: In the setup menu for your desired measurement, select [Alm Rec] and toggle between [On] and [Off], or...
Page 72: Pausing Alarms
Alarms 6.6 Pausing Alarms If you want to temporarily prevent alarms from sounding, you can pause alarms by pressing hardkey on the monitor’s front. When alarms are paused: No alarm lamps flash and no alarms are sounded. No numeric and alarm limit flash. No alarm messages are shown.
Page 73: Clearing Technical Alarms
Alarms numeric and violated alarm limit stop flashing as soon as the initial alarm condition goes away. To set alarms to latching or non-latching: Select the [Alarm Setup] QuickKey, or [Main Menu]→[Alarm Setup >>]. Select [Latching Alarms] and toggle between [Yes] and [No]. Technical alarms are always non-latching.
Page 74 Alarms FOR YOUR NOTES 6-10...
Page 75: Monitoring Ecg/Resp
Monitoring ECG/Resp 7.1 Introduction The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the patient monitor as a waveform and a numeric. This patient monitor measures ECG using the MPM module. The MPM enables ECG monitoring and ECG analysis, of which ECG monitoring includes 3-, 5- and 12-lead ECG monitoring, and ECG analysis includes 12-lead ECG analysis only.
Page 76: Safety
Monitoring ECG/Resp 7.2 Safety WARNING Use only ECG electrodes and cables specified in this manual. 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.
Page 77: Preparing To Monitor Ecg
Monitoring ECG/Resp 7.3 Preparing to Monitor ECG 7.3.1 Preparing the Patient and Placing the Electrodes Prepare the patient’s skin. Proper skin preparation is necessary for good signal quality at the electrode, as the skin is a poor conductor of electricity. To properly prepare the skin, choose flat, non-muscular areas and then follow this procedure: Shave hair from skin at chosen sites.
Page 78: Choosing Aha Or Iec Lead Placement
Monitoring ECG/Resp 7.3.2 Choosing AHA or IEC Lead Placement Select the ECG parameter window to enter the [ECG Setup] menu. Select [Lead Set] and then select [3-lead], [5-lead] or [12-lead] 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 standard that is applied for your hospital.
Page 79 Monitoring ECG/Resp LL placement: on the left lower abdomen. V placement: on the chest. The chest (V) electrode can be placed on one of the following positions: V1 placement: on the fourth intercostal space at the right sternal border. V2 placement: on the fourth intercostal space at the left sternal border.
Page 80 Monitoring ECG/Resp 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. Lead Placement for Surgical Patients The surgical site should be taken into consideration when placing electrodes on a surgical patient.
Page 81: Checking Paced Status
Monitoring ECG/Resp 7.3.4 Checking Paced Status It is important to set the paced status correctly when you start monitoring ECG. The paced ︱ symbol is displayed when the [Paced] status is set to [Yes]. The pace pulse markers “ ” are shown on the ECG wave when the patient has a paced signal.
Page 82: Understanding The Ecg Display
Monitoring ECG/Resp 7.4 Understanding the ECG Display Below is a 5-lead ECG display screen. Your display may be configured to look slightly different. Lead label of the displayed wave ECG gain ECG filter label Notch filter status Current heart rate alarm limits Current heart rate Heart beat symbol For 12-lead ECG display screen, refer to the section 7.8 12-Lead ECG Monitoring.
Page 83: Changing Ecg Settings
Monitoring ECG/Resp 7.5 Changing ECG Settings 7.5.1 Accessing ECG Menus By selecting the ECG parameter window, you can access the [ECG Setup] menu. By selecting any ECG wave, you can enter its lead menu. 7.5.2 Choosing the Alarm Source In most cases the HR and PR numerics are identical. In order to avoid simultaneous alarms on HR and PR, the monitor uses either HR or PR as its active alarm source.
Page 84: Changing The Ecg Filter Settings
Monitoring ECG/Resp 7.5.4 Changing the ECG Filter Settings The ECG filter setting defines how ECG waves are smoothed. Filter settings do not affect ST measurement. To change the filter setting, select [Filter] from [ECG Setup] and then select the appropriate setting. [Monitor]: Use under normal measurement conditions.
Page 85: Switching Defibrillator Synchronization On/Off
Monitoring ECG/Resp 7.5.6 Switching Defibrillator Synchronization On/Off To switching defibrillator synchronization on or off: Select the ECG parameter window to enter its setup menu. 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.
Page 86: Choosing The Heart Rate Source
Monitoring ECG/Resp 7.5.8 Choosing the Heart Rate Source The patient monitor uses a lead to compute HR and to analyse and detect arrhythmia. You should choose a lead of best quality signals as the HR lead. To select a lead as the HR lead, in [Normal] screen, select the wave corresponding to the HR parameter to enter its lead menu.
Page 87: About St Monitoring
Monitoring ECG/Resp 7.6 About ST Monitoring ST segment analysis is only for use on adult patients. The default setting is off. ST segment analysis calculates ST segment elevations and depressions for individual leads and then displays them as numerics in the ST1 and ST2 areas. A positive value indicates ST segment elevation;...
Page 88: Changing The St Alarm Limits
Monitoring ECG/Resp 7.6.2 Changing the ST Alarm Limits High and low ST alarm limits can be set individually for each ECG lead. Alarm limits can also be set separately for single-lead and multi-lead ST monitoring. For 3-lead ECG monitoring, you can directly change the ST alarm limits in the [ST Analysis] menu. For 5- or 12-lead ECG monitoring, you can select [Adjust ST Limits >>] from [ST Analysis] and then set the ST alarm limits for each lead.
Page 89: About Arrhythmia Monitoring
Monitoring ECG/Resp 7.7 About Arrhythmia Monitoring Arrhythmia analysis provides information about your patient’s condition, including heart rate, PVC rate, rhythm and ectopics. 7.7.1 Switching Arrhythmia Analysis On and Off To switch arrhythmia analysis on or off: In the [ECG Setup] menu, select [Arrh. Analysis >>]. Select [Arrh.
Page 90: Reviewing Arrhythmia Events
Monitoring ECG/Resp 7.7.5 Reviewing Arrhythmia Events To review previously happened arrhythmia events, in the [ECG Setup] menu, select [Arrh. Analysis >>]→[Arrh. Review >>]. In the [Arrh. Review] window, you can: Select [Index] and then set a time as the index for finding your desired arrhythmia events.
Page 91: 12-Lead Ecg Monitoring
Monitoring ECG/Resp 7.8 12-Lead ECG Monitoring 7.8.1 Entering the 12-lead ECG Analysis Program Refer to the section 7.3.3 ECG Lead Placements for placing the electrodes. In the [ECG Setup] menu, select [Lead Set]→[12-Lead], and select [ECG Display]→ [12-Lead]. The ECG numerics are displayed above the ECG wave. There are totally 12 ECG waves and 1 rhythm wave displayed on the screen.
Page 92: 12-Lead Ecg Analysis
Monitoring ECG/Resp Additionally, the 12-lead ECG monitoring has the following features: The [Filter] mode is fixed to [Diagnostic] and cannot be changed. on-screen QuickKey and the hardkey on the monitor’s front are disabled. 7.8.2 12-Lead ECG Analysis You can only start a 12-lead ECG analysis 11 seconds after entering the 12-lead ECG analysis program.
Page 93: Reviewing 12-Lead Ecg Analysis Results
Monitoring ECG/Resp 7.8.3 Reviewing 12-Lead ECG Analysis Results In the 12-lead ECG analysis window, you can review previous 12-lead ECG analyses by selecting [Review]. In this review window, you can: Select a set of 12-lead ECG analysis results for viewing. This window displays a set of 12-lead ECG analysis results only.
Page 94: Monitoring Respiration (Resp)
Monitoring ECG/Resp 7.9 Monitoring Respiration (Resp) 7.9.1 Understanding the Resp Display The Resp measurement is displayed on the patient monitor as a continuous wave and a numeric respiration rate (RR). Gain Resp lead label Respiration rate 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.
Page 95: Choosing The Respiration Lead
Monitoring ECG/Resp area and the ventricles of the heart in the line between the respiratory electrodes. This is particularly important for neonates. Lead I Lead II 7.9.3 Choosing the Respiration Lead In the [Resp Waveform] menu, select [Lead] and toggle between [I] and [II]. 7.9.4 Changing the Apnea Alarm Delay The apnea alarm is a high-level alarm used to detect apneas.
Page 96: Changing Resp Wave Settings
Monitoring ECG/Resp In auto detection mode, the patient monitor adjusts the detection level automatically, depending on the wave height and the presence of cardiac artifact. Note that in auto detection mode, the detection level (a dotted line) is not displayed on the waveform. Use auto detection mode for situations where: The respiration rate is not close to the heart rate.
Page 97: Monitoring Spo
Monitoring SpO 8.1 Introduction monitoring is a non-invasive technique used to measure the amount of oxygenated haemoglobin and pulse rate by measuring the absorption of selected wavelengths of light. The light generated in the probe passes through the tissue and is converted into electrical signals by the photodetector in the probe.
Page 98: Safety
Monitoring SpO 8.2 Safety WARNING Use only SpO sensors specified in this manual. Follow the SpO sensor’s instructions for use and adhere to all warnings and cautions. When a trend toward patient deoxygenation is indicated, blood samples should be analyzed by a laboratory co-oximeter to completely understand the patient’s condition.
Page 99: Identifying Spo Modules
Monitoring SpO 8.3 Identifying SpO Modules To identify which SpO module is incorporated into your MPM, see the company logo located at the right upper corner as shown below: MPM SpO module: no logo. Masimo SpO module: Masimo SET. Nellcor SpO module: Nellcor.
Page 100: Changing Spo Settings
Monitoring SpO 8.5 Changing SpO Settings 8.5.1 Accessing SpO Menus By selecting the SpO parameter window, you can access the [SpO2 Setup] menu. By selecting the PR numeric, you can access the [PR Setup] menu. By selecting the Pleth wave, you can access the [Pleth Waveform] menu. 8.5.2 Adjusting the Desat Alarm Limit The desat alarm is a high level alarm notifying you of potentially life threatening drops in oxygen saturation.
Page 101: Monitoring Spo 2 And Nibp Simultaneously
Monitoring SpO 8.5.4 Monitoring SpO and NIBP Simultaneously When monitoring SpO and NIBP on the same limb simultaneously, you can switch [NIBP Simul] on in the [SpO2 Setup] menu to lock the 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.
Page 102 Monitoring SpO After approximately 10.9 seconds, a Sat-Second alarm would sound, because the limit of 50 Sat-Seconds would have been exceeded. Seconds Saturation levels may fluctuate rather than remaining steady for a period of several seconds. Often, the patient % SpO may fluctuate above and below an alarm limit, re-entering the non-alarm range several times.
Page 103: Setting The Pulse Rate
Monitoring SpO 8.5.6 Setting the Pulse Rate In the [SpO2 Setup] menu, select [PR Setup] to enter the [PR Setup] menu. In the [PR Setup] menu, you can: Select [PR] and then select either: [On] to display the PR parameter window, or [Off] to hide the PR parameter window.
Page 104: Masimo Information
Monitoring SpO 8.6 Masimo Information Masimo Patents This device is covered under one or more the following U.S. Patents: 5,482,036; 5,490,505; 5,632,272; 5,685,299; 5,758,644; 5,769,785; 6,002,952; 6,036,642; 6,067,462; 6,206,830; 6,157,850 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 relating to this device.
Page 105: Monitoring Nibp
Monitoring NIBP 9.1 Introduction The MPM uses the oscillometric method for measuring the non-invasive blood pressure (NIBP). This measurement can be used for adults, pediatrics and neonates. NIBP start/stop key Connector for NIBP cuff Automatic non-invasive blood pressure monitoring uses the oscillometric method of measurement.
Page 106: Safety
Monitoring NIBP 9.2 Safety WARNING Be sure to select the correct patient category setting for your patient before measurement. Do not apply the higher adult settings for pediatric or neonatal patients. Otherwise it may present a safety hazard. Do not measure NIBP on patients with sickle-cell disease or any condition where skin damage has occurred or is expected.
Page 107: Measurement Methods
Monitoring NIBP 9.4 Measurement Methods 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. 9.5 Setting Up the NIBP Measurement 9.5.1 Preparing to Measure NIBP Power on the monitor.
Page 108: Correcting The Measurement If Limb Is Not At Heart Level
Monitoring NIBP 9.5.3 Correcting the Measurement if Limb is not at Heart Level The cuffed limb should be at the same level as the patient’s heart. If the limb is not at the heart level, to the displayed value: Add 0.75mmHg (0.10kPa) for each centimetre higher, or Deduct 0.75mmHg (0.10kPa) for each centimeter lower.
Page 109: Understanding The Nibp Numerics
Monitoring NIBP 9.6 Understanding the NIBP Numerics The NIBP display shows numerics only as below: Time of last measurement Time remaining to next measurement Measurement mode Unit of pressure: mmHg or kPa Prompt message area: shows NIBP-related prompt messages Systolic pressure Mean pressure Diastolic pressure...
Page 110: Changing Nibp Settings
Monitoring NIBP 9.7 Changing NIBP Settings By selecting the NIBP parameter window, you can enter the [NIBP Setup] menu. 9.7.1 Choosing NIBP Alarm Source You can monitor for alarm conditions in systolic, diastolic and measure pressure, either singly or parallel. In the [NIBP Setup], select [Alm Source] and choose from: [Sys]: alarms are given only when the systolic pressure violates the alarm limits.
Page 111: Setting The Pressure Unit
Monitoring NIBP You can not display multiple sets of NIBP measurements in some screens such as the big numerics screen and the 12-lead ECG analysis screen. 9.7.3 Setting the Pressure Unit In the [NIBP Setup] menu, select [Unit] and toggle between [mmHg] and [kPa]. 9.8 Assisting Venous Puncture You can use the NIBP cuff to cause sub-diastolic pressure to block the venous blood vessel and therefore help venous puncture.
Page 112: Nibp Accuracy Test
Monitoring NIBP An air tubing A correct sized cylinder Follow this procedure to perform the leakage test: Set the patient category to [Adult]. Connect the cuff to the NIBP connector on the monitor. Wrap the cuff around the cylinder as shown below. Cylinder Monitor Connector for...
Page 113: Calibrating Nibp
Monitoring NIBP Metal Vessel (volume 500±25 ml) Reference manometer (calibrated with accuracy higher than 1 mmHg) Follow this procedure to perform the accuracy test: Connect the equipment as shown. Monitor Manometer Connector for Tubing NIBP cuff Balloon pump Metal vessel Before inflation, the reading of the manometer should be 0.
Page 114 Monitoring NIBP FOR YOUR NOTES 9-10...
Page 115: Monitoring Temp
Monitoring Temp 10.1 Introduction You can simultaneously monitor two temperature sites using the MPM. The monitor can automatically identify the temperature probe type. Connector for Temp probe 1 Connector for Temp probe 2 10.2 Safety WARNING Verify that the probe detection program works correctly before monitoring. Plug out the temperature probe cable from the T1 or T2 connector, and the monitor can display the message [T1 Sensor Off] or [T2 Sensor Off] and give alarm tones correctly.
Page 116: Making A Temp Measurement
Monitoring Temp 10.3 Making a Temp Measurement Select an appropriate probe for your patient. If you are using a disposable probe, connect the probe to the temperature cable. Plug the probe or temperature cable to the temperature connector. Attach the probe to the patient correctly. Check that the alarm settings are appropriate for this patient.
Page 117: Monitoring Ibp
Monitoring IBP 11.1 Introduction You can measure invasive blood pressure using the MPM, or the pressure plug-in module. The monitor can monitor up to 8 invasive blood pressures and displays the systolic, diastolic and mean pressures and a waveform for each pressure. Connector for IBP cable Zero key 11.2 Safety...
Page 118: Setting Up The Pressure Measurement
Monitoring IBP 11.3 Setting Up the Pressure Measurement Plug the pressure cable into the IBP connector. Prepare the flush solution. 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.
Page 119: Understanding The Ibp Display
Monitoring IBP WARNING 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. 11.4 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.
Page 120: Changing Ibp Settings
Monitoring IBP 11.5 Changing IBP Settings 11.5.1 Changing a Pressure for Monitoring Select the pressure you want to change to enter its setup menu. Select [Label] and then select your desired label from the list. The already displayed labels cannot be selected. Label Description Label...
Page 121: Setting The Pressure Unit
Monitoring IBP [Dia]: alarms are given only when the diastolic pressure violates the alarm limits. [Mean]: alarms are given only when the mean pressure violates the alarm limits. [Sys&Mean]: alarms are given when the systolic or mean pressure violates the alarm limits.
Page 122: Making The Pressure Calibration
Monitoring IBP Pressure transducer 3-way stopcock Pressure adapter cable Monitor Vent the transducer to atmospheric pressure by turning on the stopcock to the air. 3. Press the hardkey on the module, or, in the setup menu for the pressure (e.g. Art), select [Art Zero >>]→[Zero].
Page 123 Monitoring IBP Follow this procedure to perform the pressure calibration: Disconnect the pressure transducer from the patient. Connect the 3-way stopcock, the sphygmomanometer and the balloon pump through a T-shape connector, as shown below. Zero the transducer. After a successful zero, open the stopcock to the manometer. Pressure transducer 3-way stopcock Pressure adapter cable...
Page 124 Monitoring IBP FOR YOUR NOTES 11-8...
Page 125: Monitoring Cardiac Output
Monitoring Cardiac Output 12.1 Introduction The cardiac output (C.O.) measurement invasively measures cardiac output and other hemodynamic parameters using the right heart (atria) thermodilution method. A cold solution of known volume and temperature is injected into the right atrium through the proximal port of a pulmonary artery (PA) catheter.
Page 126: Understanding The C.o. Display
Monitoring Cardiac Output 12.2 Understanding the C.O. Display The C.O. measurement is displayed on the monitor as numeric C.O. and BT in the C.O. parameter window as shown below. To enter the [C.O. Setup] menu, select the C.O. parameter window. Temperature unit Blood temperature Cardiac output...
Page 127: Setting Up The C.o. Measurement
Monitoring Cardiac Output 12.4 Setting Up the C.O. Measurement WARNING Use only accessories specified in this manual. Make sure that the accessories never come into contact with conductive parts. Connect the C.O. cable to the C.O. connector on the monitor. Interconnect the C.O.
Page 128 Monitoring Cardiac Output 4. Select the C.O. parameter window to enter the [C.O. Setup] menu. In the [C.O. Setup] menu: Check that the correct computation constant is entered. To change the computation constant, select [Comp. 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.
Page 129 Monitoring Cardiac Output When you see the message [Ready for New Measurement], select the [Start] button and then inject the solution within 4 seconds. As shown in the figure above, during the measurement, the currently measured thermodilution curve is displayed on the upper part.
Page 130: Measuring The Blood Temperature
Monitoring Cardiac Output 12.5 Measuring the Blood Temperature As shown below, the blood temperature is measured with a temperature sensor at the distal end of the catheter in the pulmonary artery. During C.O. measurements, blood temperature alarms are suppressed to avoid false alarms. They will automatically recover as soon as the C.O.
Page 131: Monitoring Carbon Dioxide
Monitoring Carbon Dioxide 13.1 Introduction monitoring is a continuous, non-invasive technique for determining the concentration of in the patient’ airway by measuring the absorption of infrared (IR) light of specific wavelengths. The CO has its own absorption characteristic and the amount of light passing the gas probe depends on the concentration of the measured CO When a specific band of IR light is passed through respiratory gas samples, some of IR light will be absorbed by the CO...
Page 132: Identifying Co Modules
Monitoring Carbon Dioxide 13.2 Identifying CO Modules From left to right are sidestream CO module, microstream CO module and mainstream CO Setup key to enter the CO setup menu Measure/standby Gas outlet Slot for CO watertrap Connector for sampling line Connector for CO transducer If you measure CO...
Page 133: Preparing To Measure Co
Monitoring Carbon Dioxide 13.3 Preparing to Measure CO 13.3.1 Using a Sidestream CO Module Attach the watertrap to the module and then connect the CO components as shown below. Watertrap fixer Sampling line Watertrap By default, the sidestream CO module is in standby mode. The [CO Standby] message appears on the screen when the CO module is plugged.
Page 134 Monitoring Carbon Dioxide prevents them from entering the module. If the collected water reaches to a certain amount, you should drain it to avoid blocking the airway. The watertrap has a filter preventing 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.
Page 135 Monitoring Carbon Dioxide 13.3.3 Using a Mainstream CO Module Connect the sensor to the module. By default, the mainstream CO module is in standby mode. The message [CO2 Standby] appears on the screen when the CO module is plugged. To set CO module to measure mode, select the hardkey on the module to switch to the [Measure]...
Page 136: Changing The Operating Mode
Monitoring Carbon Dioxide 13.4 Changing CO Settings 13.4.1 Accessing CO Menus By selecting the CO parameter window, you can access the [CO2 Setup] menu. By selecting the CO waveform, you can access the [CO2 Waveform] menu. 13.4.2 Changing the Operating Mode For sidestream or microstream CO modules, the default operating mode is standby when the monitor is switched on.
Page 137 Monitoring Carbon Dioxide 13.4.4 Setting up CO Compensations WARNING Make sure that the appropriate compensations are used. Inappropriate compensations may cause inaccurate measurement values and result in misdiagnosis. For the sidestream CO module, in the [CO2 Setup] menu, respectively select: [O2 Compen] and toggle between [On] and [Off].
Page 138: Setting The Apnea Alarm Delay
Monitoring Carbon Dioxide Select either [Wet] for BTPS or [Dry] for ATPD, depending on which compensation applies. For CO , the humidity compensation can be set to [Wet] or [Dry]: × Dry: mmHg × − Wet: mmHg where, = partial pressure, vol = CO concentration, P = ambient pressure, and...
Page 139: Setting The Automatic Standby Time
Monitoring Carbon Dioxide Select [Sweep] and the select the appropriate setting. The faster the wave sweeps, the wider the wave is. Change the size of the CO waveform by adjusting the wave [Scale]. 13.4.9 Setting the Automatic Standby Time For the microstream CO module, you can set a period of time after which the CO module enters the standby mode if no patient breath is detected.
Page 140: Zeroing The Sensor
Monitoring Carbon Dioxide 13.7 Zeroing the Sensor The zero calibration eliminates the effect of baseline drift during CO measurement exerted on the readings and therefore maintains the accuracy of the CO measurements. 13.7.1 For Sidestream and Microstream CO Modules For sidestream and microstream CO modules, a zero calibration is carried out automatically when necessary.
Page 141: Calibrating The Sensor
Monitoring Carbon Dioxide 13.8 Calibrating the Sensor For sidestream or microstream CO modules, a calibration should be performed once every year or when the readings go far beyond the range. For mainstream CO modules, no calibration is required. For details, refer to the chapter 25 Maintenance. 13.9 Oridion Information This trademark is registered in Israel, Japan, German and America.
Page 142 Monitoring Carbon Dioxide FOR YOUR NOTES 13-12...
Page 143: Monitoring Ag
Monitoring AG 14.1 Introduction The anaesthetic gas (AG) module measures the patient’s anesthetic and respiratory gases, and incorporates the features of the O module and BIS module as well. The AG module determines the concentration of certain gases using the infrared (IR) light absorption measurement.
Page 144: Understanding The Ag Display
Monitoring AG 14.3 Understanding the AG Display The AG module can send waves and numerics for all measured anesthetic gases for display on the monitor, including: O and AA waves awRR: airway respiratory rate MAC: minimal alveolar concentration End tidal (Et) and fraction of inspired (Fi) numerics for CO O and AA Where AA represents Des (desflurane), Iso (isoflurane), Enf (enflurane), Sev (sevoflurane), or Hal (halothane).
Page 145: Connecting Ag Accessories
Monitoring AG 14.4 Connecting AG Accessories Select an appropriate watertrap according to patient category and attach it to the module. Connect the gas sample line to the connector of the watertrap. Connect the other end of the gas sampling line to the patient via the airway adapter. Connect the gas outlet to a scavenging system using an exhaust tube.
Page 146: Changing Ag Settings
Monitoring AG 14.5 Changing AG Settings 14.5.1 Accessing AG Menus By selecting the CO or N O parameter window, you can respectively access the [CO2 Setup], [O2 Setup] or [NO2 Setup] menu. By selecting the CO or N waveform area, you can respectively access the [CO2 Waveform], [O2 Waveform] or [NO2 Waveform] menu.
Page 147: Changing The Operating Mode
Monitoring AG 14.5.5 Setting up the O Compensation If the AG module does not incorporate the O module, you need to manually select [O2 Compen] and then select [Off] or an appropriate setting according to the amount of O in the ventilation gas mixture.
Page 148: Troubleshooting
Monitoring AG 14.6 Troubleshooting 14.6.1 When the 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 appears. 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.
Page 149: Monitoring Icg
Monitoring ICG 15.1 Introduction Impedance cardiography (ICG) measures a patient’s hemodynamic status using a safe, non-invasive method based on thoracic electrical bioimpedance (TEB) technology. ICG uses four pairs of sensors to transmit a small electrical signal through the thorax. As velocity and volume of blood in the aorta change, the ICG measures the changes in impedance from systole to diastole to calculate hemodynamic parameters.
Page 150: Understanding Icg Parameters
Monitoring ICG 15.3 Understanding ICG Parameters By selecting the ICG parameter window→[ICG Setup]→[Hemodynamic Parameters >>], you can view the hemodynamic parameters for evaluation of the patient’s hemodynamic status. 15.3.1 Measured Parameters Abbreviation Unit Full spelling /100s acceleration index /1000s velocity index /kΩ...
Page 151: Understanding The Icg Display
Monitoring ICG Abbreviation Unit Full spelling RCWI kg·m/m Right cardiac work index RVSW g·m Right ventricular stroke work RVSWI g·m/m Right ventricular stroke work index Ejection fraction Ω Thoracic fluid index none Systolic time ratio Pre-ejection period LVET Left ventricular ejection time VEPT Volume of electrically participating tissue 15.4 Understanding the ICG Display...
Page 152: Icg Limitations
Monitoring ICG 15.5 ICG Limitations The measurement accuracy may be compromised when patients present with the following conditions or anomalies: Septic shock. Aortic valve regurgitation. Severe hypertension (MAP>130 mmHg). The patient’s weight and height are out of range. Connection to an intra-aortic balloon pump. With excessive and continuous patient movements such as shivering.
Page 153: Placing Icg Sensors
Monitoring ICG 15.6.2 Placing ICG Sensors Appropriate sensor placement is important for good signal quality and accurate measurements. Attach ICG sensors to the patient as shown below: Two neck sensors placed on each side of the neck, directly below the earlobe. Two thorax sensors placed on each side of the thorax, level with the xyphoid process and in line with the midaxillary line.
Page 154: Changing Icg Settings
Monitoring ICG 15.7 Changing ICG Settings 15.7.1 ICG Averaging The ICG value is the average of multiple measurements. You can select an interval (heart beats) for averaging ICG. Select the ICG parameter window to enter the [ICG Setup] menu. Select [Averaging] and then select the appropriate setting. The greater the averaging interval is, the less the ICG value is affected by human interference.
Page 155: Monitoring Bis
Monitoring BIS 16.1 Introduction Bispectral Index (BIS) monitoring helps to monitor the level of consciousness of a patient under general anesthesia or sedation in the OR and ICU. The BIS sensor is placed on the patient’s forehead to capture electroencephalographic (EEG) signals from which several numerics are derived, including a single BIS between 100 (wide awake) and zero (absence of brain electrical activity) that represents the patient’s level of consciousness.
Page 156: Safety Information
Monitoring BIS 16.2 Safety Information For patients with neurological disorders, patients taking psychoactive medication, and children below the age of 1 year, BIS values should be interpreted cautiously. WARNING The conductive parts of sensors and connectors should not come into contact with other conductive parts, including earth.
Page 157: Understanding The Bis Display
Monitoring BIS 16.3 Understanding the BIS Display The BIS module provides with the monitor an EEG wave and the following numerics: Bispectral Index (BIS) The BIS numeric reflects the patient’s level of consciousness. It ranges from 100 for wide awake to 0 in the absence of brain activity. BIS numeric Description The patient is widely awake.
Page 158: Setting Up The Bis Measurement
Monitoring BIS 16.4 Setting up the BIS Measurement Connect the BISx model to the BIS module. BIS module Patient cable BISx model BIS sensor Use the attachment clip to secure the BISx model near, but not above the level of the patient’s head.
Page 159: Continuous Impedance Check
Monitoring BIS 16.5 Continuous Impedance Check By default, this check is switched on. It checks: The combined impedance of the signal electrodes plus the reference electrode. This is done continuously and does not affect the EEG wave. As long as the impedances are within the valid range, no prompt message about this check is given.
Page 160: Cyclic Impedance Check
Monitoring BIS 16.6 Cyclic Impedance Check This measures the exact impedance of each individual electrode. It causes a disturbed EEG wave, and a prompt message is displayed on the monitor The cyclic impedance check is automatically initiated when a sensor is connected. To manually start a cyclic impedance check manually, you can either: Select [Cyc Imped.
Page 161: Bis Sensor Check Window
Monitoring BIS 16.7 BIS Sensor Check Window To open the sensor check window, select [Sensor Check >>] in the [BIS Setup] menu. The graphic in the BIS sensor check window automatically adapts to show the type of sensor you are using, show three or four electrodes as required. Each symbol in the graphic represents an electrode and illustrates the most recently-measured impedance status of the electrodes: ①...
Page 162: Choosing The Bis Smoothing Rate
Monitoring BIS 16.8 Choosing the BIS Smoothing Rate The smoothing rage defines how the monitor averages the BIS value. To choose the smoothing rate: Select the BIS parameter window to enter the [BIS Setup] menu. Select [Smoothing Rate] and then choose either: [15 s]: this gives increased responsiveness to changes in the patient’s state.
Page 163: Monitoring Rm
Monitoring RM 17.1 Introduction In the respiratory mechanics measurement, the airway pressures are measured, from the part between the patient circuit and intubation tube, using a flow sensor between the Y-piece of patient circuit and the patient connection. The pressure is transferred to the monitor through the tube and measured by a pressure transducer in the RM module.
Page 164 Monitoring RM PIP: peak inspiratory pressure (unit: cmH Pplat: plateau pressure (unit:cmH PEEP: positive end expiratory pressure (unit: cmH Pmean: mean pressure (unit: cmH Flow parameters PIF: peak inspiratory flow (unit: L/min) PEF: peak expiratory flow (unit: L/min) Vol parameters TVi: inspiratory tidal volume (unit: ml) TVe:...
Page 165: Safety Information
Monitoring RM 17.2 Safety Information WARNING Check for leaks in the breathing circuit system, as they may significantly affect respiratory mechanics readings. Verify the Ventilation Mode. Improper settings of this function will cause incorrect calculations of some parameters. Match the airway adapter you select to the appropriate patient category. Improper sensor selection may produce excessive ventilation resistance or introduce excessive airway deadspace, as well as inaccurate scales and alarm limits.
Page 166: Preparing To Monitor Rm
Monitoring RM 17.3 Preparing to Monitor RM Select an appropriate flow sensor in accordance with the patient category. Connect the small tubes of the flow sensor to the RM connector of the module using a color-coded adapter. Insert the flow sensor between the Y-piece of the patient circuit and the patient connection.
Page 167: Understanding The Rm Display
Monitoring RM 17.4 Understanding the RM Display The RM display shows either the Paw and Flow waveforms, or the Paw and Vol waveforms in the waveform area. Paw waveform Flow waveform Paw parameter window Flow parameter window Vol parameter window In the Paw parameter window, “S”...
Page 168: Changing Rm Settings
Monitoring RM 17.5 Changing RM Settings 17.5.1 Accessing RM Menus By selecting the RM parameter window, you can access the [RM Setup] menu. By selecting the Paw wave, you can access the [Paw Waveform] menu. By selecting the Flow wave, you can access the [Flow Waveform] menu. By selecting the Vol wave, you can access the [Vol Waveform] menu.
Page 169: Changing The Wave Scale
Monitoring RM Select [Sweep] and select the appropriate setting. The faster the wave sweeps, the wider the wave is. 17.5.6 Changing the Wave Scale The wave scale changes automatically if [Scaling] is set to [Auto]. Select your desired waveform to enter its waveform menu. Select [Scaling] and then select [Auto].
Page 170: Understanding The Respiratory Loops
Monitoring RM 17.6 Understanding the Respiratory Loops Select [Respiratory Loop] in the [RM Setup] menu. The following window will be displayed. Select to recall a reference loop Respiratory loop Respiratory parameters In this window, you can: Select [Save] to save the respiratory loops in the current respiratory cycle as the reference loops.
Page 171: Zeroing The Rm Module
Monitoring RM 17.7 Zeroing the RM Module A zero calibration is carried out automatically every time when the module is switched on or connected, and then 10 minutes after that. Then, a zero calibration is triggered every 30 minutes. You can also start a manual zero calibration when there is a drift in the zero: in the [RM Setup] menu, select [Zero RM].
Page 172 Monitoring RM FOR YOUR NOTES 17-10...
Page 173: Freezing Waveforms
Freezing Waveforms During patient monitoring, the freeze feature allows you to freeze the currently displayed waveforms on the screen so that you can have a close examination of the patient’s status. Besides, you can select any three frozen waveforms for recording. 18.1 Freezing Waveforms To freeze waveforms, select the hardkey on the monitor’s front, or the...
Page 174: Unfreezing Waveforms
Freez 18.3 Unfreezing Waveforms To unfreeze the frozen waveforms, you can either: Select the button at the upper right corner of the [Freeze] menu, or Select the hardkey on the monitor’s front or the on-screen QuickKey again, or Perform any other action that can cause the screen to be readjusted or open a menu, such as plugging in or out a module, pressing the hardkey, etc.
Page 175: Review
Review 19.1 Accessing Respective Review Windows Select the [Review] QuickKey, or [Main Menu]→[Review >>]. 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 12-lead analysis results, refer to the chapter 7 Monitoring ECG/Resp.
Page 176: Reviewing Graphic Trends
Review 19.2 Reviewing Graphic Trends In the [Review] menu, select [Graphic Trends] to access the following window. A. Parameter combo box B. Slider C. Parameter value D. Parameter scale E. Graphic trends F. Time axis In this review window: To select parameters for viewing, you can either: Select respective parameter combo boxes and then select your desired parameters, Select [Trend Group] and then select a group from the popup list, or Select [Select Parameter>>] and then select your desired parameters from the...
Page 177 Review You can change the resolution of the trend data by selecting [Interval] and then selecting the appropriate setting: [1 s]: select to view up to 1 hour of graphic trends at 1-second resolution. [5 s]: select to view up to 8 hours of graphic trends at 5-second resolution. [1 min], [5 min] or [10 min]: select to view up to 120 hours of graphic trends at 1-, 5, or 10-minute resolution.
Page 178: Reviewing Tabular Trends
Review 19.3 Reviewing Tabular Trends In the [Review] menu, select [Tabular Trends] to access the following window. In this 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.
Page 179 Review Select beside the horizontal scrollbar to drag the scrollbar left or right to navigate through the trend database, or Select to scroll left or right to navigate through the trend database. Select beside the vertical scrollbar to drag the scrollbar up or down to view more measurement values, or Select to scroll up or down to view more measurement values.
Page 180: Reviewing Nibp Measurements
Review 19.4 Reviewing NIBP Measurements In the [Review] menu, select [NIBP] to access the following window. This window displays systolic pressure, diastolic pressure, mean pressure and time for each measurement. Besides, the total number of measurements is displayed at the lower left corner. In this review window: Up to 10 measurements can be displayed at a time.
Page 181: Reviewing Alarms
Review 19.5 Reviewing Alarms When a measurement alarm occurs, all relative measurement numerics at the alarm trigger time and related waveforms 2, 4 or 8 seconds respectively before and after the alarm trigger time are stored. To review the stored alarms, select [Review]→[Alarms] to access the following window.
Page 182: Reviewing Waveforms
Review By selecting the [Record] button, you can print out the currently displayed alarm events by the recorder. 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.
Page 183 Review Select beside the [Scroll] button to move the cursor one step left or right to navigate through the waveforms, or Select 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. Numeric measurement values corresponding to the cursor location are displayed in the left side of the [Waveforms] window, and change as the cursor is moved.
Page 184 Review FOR YOUR NOTES 19-10...
Page 185: Calculations
Calculations 20.1 Introduction The calculation feature is available with your patient monitor. The calculated values, which are not directly measured, are computed based on the values you provide. Your can perform the following calculations: Dose calculations Oxygenation calculations Ventilation calculations Hemodynamic calculations Renal calculations To perform a calculation, select [Main Menu] →...
Page 186: Dose Calculations
Calculations 20.2 Dose Calculations 20.2.1 Performing Calculations By selecting [Main Menu]→[Calculations >>]→[Dose >>], or selecting [Calculations] QuickKey→[Dose >>], you can access the following window. Select, in turn, [Patient Cat.] and [Drug Name] and then select the appropriate settings. The dose calculation program has a library of commonly used drugs, of which Drug A through Drug E are for those not specified in this library.
Page 187: Selecting The Proper Drug Unit
Calculations 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 follows: Drug A, B, C, Aminophylline, Dobutamine, Dopamine, Epinephrine, Isuprel, Lidocaine, Nipride and NItroglycerin use the unit series: g, mg and mcg.
Page 188: Titration Table
Calculations 20.2.3 Titration Table After the dose calculation is finished, select [Titration Table >>] in the [Dose Calculation] window. A titration table will be displayed as follows. In the titration table, when you change: [Reference] [Interval] [Dose Type] The titrated values change accordingly. You can also: Select , or...
Page 189: Oxygenation Calculations
Calculations 20.3 Oxygenation Calculations 20.3.1 Performing Calculations By selecting [Main Menu]→[Calculations >>]→[Oxygenation >>], or selecting [Calculations] QuickKey→[Oxygenation >>], you can access the following window. Enter values for calculation. Select the [Calculate] button. The system performs a calculation per the current settings and displays the calculated values.
Page 190: Entered Parameters
Calculations Switch to other calculation window by selecting [Other Calcs] and then selecting the calculation you want. 20.3.2 Entered Parameters Abbreviation Unit Full spelling C.O. L/min cardiac output FiO2 percentage fraction of inspired oxygen PaO2 mmHg arterial oxygen level PaCO2 mmHg arterial carbon dioxide level SaO2...
Page 191: Ventilation Calculations
Calculations 20.4 Ventilation Calculations 20.4.1 Performing Calculations By selecting [Main Menu]→[Calculations >>]→[Ventilation >>], or selecting [Calculations] QuickKey→[Ventilation >>], you can access the following window. Enter values for calculation. Select the [Calculate] button. The system performs a calculation per the current settings and displays the calculated values.
Page 192: Entered Parameters
Calculations 20.4.2 Entered Parameters Abbreviation Unit Full spelling FiO2 percentage fraction of inspired oxygen respiration rate PeCO2 mmHg mixed expire CO2 pressure PaCO2 mmHg arterial carbon dioxide level PaO2 mmHg arterial oxygen level tidal volume None respiratory quotient ATMP mmHg atmospheric pressure 20.4.3 Calculated Parameters Abbreviation...
Page 193: Hemodynamic Calculations
Calculations 20.5 Hemodynamic Calculations 20.5.1 Performing Calculations By selecting [Main Menu]→[Calculations >>]→[Hemodynamic >>], or selecting [Calculations] QuickKey→[Hemodynamic >>], you can access the following window. Enter values for calculation. For a patient who is being monitored, [HR], [Art mean], [PA mean] and [CVP] are automatically taken from the currently measured values.
Page 194: Entered Parameters
Calculations 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. For those who are within the range, their unit fields appear blank. Invalid values are displayed as [---].
Page 195: Calculated Parameters
Calculations 20.5.3 Calculated Parameters Abbreviation Unit Full spelling C.I. L/min/m cardiac index body surface area stroke volume ml/m stroke index DS/cm systemic vascular resistance SVRI DS·m systemic vascular resistance index DS/cm pulmonary vascular resistance PVRI DS·m pulmonary vascular resistance index kg·m left cardiac work LCWI...
Page 196: Renal Calculations
Calculations 20.6 Renal Calculations 20.6.1 Performing Calculations By selecting [Main Menu]→[Calculations >>]→[Renal >>], or selecting [Calculations] QuickKey→[Renal >>], you can access the following window. Enter values for calculation. Select the [Calculate] button. The system performs a calculation per the current settings and displays the calculated values.
Page 197: Entered Parameters
Calculations 20.6.2 Entered Parameters Abbreviation Unit Full spelling mmol/L urine pstassium URNa mmol/L urinary sodium Urine ml/24h urine Posm mOsm/ kgH2O plasm osmolality Uosm mOsm/ kgH2O urine osmolality SerNa mmol/L serum sodium μmol/L creatinine μmol/L urine creatinine mmol/L blood urea nitrogen Height height Weight...
Page 198: Understanding The Review Window
Calculations 20.7 Understanding the Review Window With the review feature, 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.
Page 199: Recording
Recording 21.1 Using a Recorder The thermal recorder records patient information, measurement numerics, up to three waveforms, etc. Start/Stop key: press to start a recording or stop the current recording. 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.
Page 200: Overview Of Recording Types
Recording 21.2 Overview of Recording Types By the way recordings are triggered, the recordings can be classified into the following categories: Manually-triggered realtime recordings. Timed recordings. Alarm recordings triggered by an alarm limit violation or an arrhythmia event. Manually-triggered, task-related recordings. The task-related recordings include: Frozen wave recording Graphic trends recording...
Page 201: Starting And Stopping Recordings
Recording 21.3 Starting and Stopping Recordings To manually start a recording, you can either: Select the hardkey on the front of either the patient monitor or the recorder module, Select the on-screen [Record] QuickKey, or Select the [Record] button from the current menu or window. Automatic recordings will be triggered in the following conditions: Timed recordings will start automatically at preset intervals.
Page 202: Setting Up The Recorder
Recording 21.4 Setting up the Recorder 21.4.1 Accessing the Record Setup Menu By selecting [Main Menu]→[Record Setup >>], you can access the [Record Setup] menu. 21.4.2 Selecting Waveforms for Recording The recorder can record up to 3 waveforms at a time. You can select, in turn, [Waveform 1], [Waveform 2] and [Waveform 3] in the [Record Setup] menu, and then select the waveforms you want.
Page 203: Switching Gridlines On Or Off
Recording 21.4.6 Switching Gridlines On or Off In the [Record Setup] menu, select [Gridlines] and toggle between [On] and [Off]. [On]: show gridlines when recording waveforms. [Off]: hide gridlines when recording waveforms. This setting is for all recordings containing waveforms. 21.4.7 Clearing Recording Tasks In the [Record Setup] menu, select [Clear All Tasks].
Page 204: Loading Paper
Recording 21.5 Loading Paper Use the latch at the upper right of the recorder door to pull the door open. 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 CAUTION Use only specified thermal paper.
Page 205: Removing Paper Jam
Recording 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: Open the recorder door. Take out the paper and tear off the draped part. Reload the paper and close the recorder door.
Page 206 Recording FOR YOUR NOTES 21-8...
Page 207: Other Functions
Other Functions 22.1 Marking Events During patient monitoring, some events may exert effects on the patient and as a result change the waveforms or numerics displayed on the monitor. To help analysing the waveforms or numerics at that time, you can mark these events. To mark an event: Select [Mark Event] QuickKey, or [Main Menu]→[Mark Event >>].
Page 208: Nurse Call
Other Functions 22.3 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: Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password.
Page 209 Other Functions NOTE If no setting is selected from [Alm Lev] or [Alarm Cat.], no nurse call signal will be triggered whatever alarms occur. WARNING Do not rely exclusively on the nurse call system for alarm notification. Remember that the most reliable alarm notification combines audible and visual alarm indications with the patient’s clinical condition.
Page 210 Other Functions FOR YOUR NOTES 22-4...
Page 211: Batteries
Batteries 23.1 Overview The patient monitor is designed to operate on battery power during transport or whenever AC power becomes interrupted. The battery is charged whenever the patient monitor is connected to an AC power source regardless of whether or not the patient monitor is currently on. Whenever the AC power is interrupted during patient monitoring, the patient monitor will automatically run power from the internal batteries.
Page 212: Conditioning The Batteries
Batteries 23.2 Conditioning the Batteries A battery needs at least two conditioning cycles when it is put into use for the first time. A battery conditioning cycle is one complete, uninterrupted charge of the battery, followed by an uninterrupted discharge of the battery. Batteries should be conditioned regularly to maintain their useful life.
Page 213: Checking The Batteries
Batteries 23.3 Checking the Batteries The performance of the rechargeable batteries may deteriorate over time. To check the performance of the batteries, follow this procedure: Disconnect the patient monitor from the patient and stop all monitoring and measuring procedures. Apply AC power to the patient monitor and allow the batteries to charge uninterruptedly for above 6 hours.
Page 214: Recycling The Batteries
Batteries 23.5 Recycling the Batteries When a battery has visual signs of damage, or no longer holds a charge, it should be replaced. Remove the old battery from the patient monitor and recycle it properly. To dispose of the batteries, follow local laws for proper disposal. WARNING Do not disassemble batteries, or dispose of them in fire, or cause them to short circuit.
Page 215: Care And Cleaning
Care and Cleaning Use only the substances approved by us and methods listed in this chapter to clean or disinfect your equipment. Warranty does not cover damage caused by unapproved substances or methods. We make no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection.
Page 216: Cleaning
Care and Cleaning 24.2 Cleaning Your equipment should be cleaned on a regular basis. If there is heavy pollution or lots of dust and sand in your place, the equipment should be cleaned more frequently. Before cleaning the equipment, consult your hospital’s regulations for cleaning the equipment. Recommended cleaning agents are: mile soap (diluted) ammonia (diluted)
Page 217: Maintenance
Maintenance WARNING Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards. The safety checks or maintenance involving any disassembly of the equipment should be performed by professional servicing personnel.
Page 218: Service Tasks
Maintenance 25.2 Service Tasks The following tasks are for our qualified service professionals only. Contact a qualified service provider if your patient monitor needs the following services. Clean and disinfect equipment to decontaminate it before testing or maintaining it. Maintenance schedule Frequency Safety checks according to At least once every two years, after any repairs where the...
Page 219: Checking Monitor And Module Information
Maintenance 25.3 Checking Monitor and Module Information To view the information about system start time, selftest, etc., select [Main Menu]→ [Maintenance >>]→[Monitor Information >>]. You can print out the information for the convenience of troubleshooting. The information will not be saved during shut down. You can also view the information about the monitor configuration and system software version by selecting [Main Menu]→[Maintenance >>]→[Software Version >>].
Page 220: Calibrating Co 2
Maintenance 25.6 Calibrating CO For sidestream and microstream CO modules, a calibration is needed every year or when the measured values have a great deviation. For maintream CO module, no calibration is needed. Tools required: Gas bottle, with 3%, 4%, 5%, 6% or 7% of CO T-shape connector Tubing Follow this procedure to perform a calibration:...
Page 221: Calibrating Ag
Maintenance 25.7 Calibrating AG Calibrate the AG module every year or when the measured value has a great deviation. Tools required: Gas bottle, with a certain standard gas or mixture gas. Gas concentration should meet the following requirements: AA>1.5%, CO >1.5%, N O>40%, O >40%, of which AA...
Page 222: Setting Up Ip Address
Maintenance If the difference is great, you should perform a calibration. Select [Calibrate >>] to enter the calibrate menu. Enter the vented gas concentration. If you use only one gas for calibration, set other gases’ concentration to 0. Select [Calibrate] to start calibration. If the calibration is finished successfully, the message [Calibration Completed!] is displayed.
Page 223: Accessories
Accessories WARNING Use accessories specified in this chapter. Using other accessories may cause damage to the patient monitor. Single-use accessories are not designed to be reused. Reuse may cause a risk of contamination and affect the measurement accuracy. Check the accessories and their packages for any sign of damage. Do not use them if any damage is detected.
Page 224: Ecg Accessories
Accessories 26.1 ECG Accessories ECG Electrodes Model Quantity Patient Category Part No. 10 pieces 0010-10-12304 Adult 2249 25 pieces 0509-10-00094 2245 25 pieces Pediatric 9000-10-07469 2258-3 3 pieces Neonate 900E-10-04880 12-Pin Trunk Cables Leadwire Compatible with Type Patient Category Part No. supported 3-leadwire AHA, IEC...
Page 225 Accessories 5-Electrode Cable Sets Type Compatible with Model Patient Category Part No. Remark EL6502A 0010-30-42728 EL6504A 0010-30-42730 Long Clip EL6501A 0010-30-42727 Adult, pediatric EL6503A 0010-30-42729 Long EL6502B 0010-30-42736 Snap EL6501B 0010-30-42735 12-Electrode Cable Sets Type Compatible with Model Patient Category Part No.
Page 226 Accessories Sensors MPM SpO2 Module Type Model Patient Category Part No. MAX-A Adult (>30Kg) 0010-10-12202 MAX-P Pediatric (10 to 50Kg) 0010-10-12203 Disposable MAX-I Infant (3 to 20Kg) 0010-10-12204 MAX-N Neonate (<3Kg), Adult (>40Kg) 0010-10-12205 DS-100A Adult 9000-10-05161 OXI-P/I Pediatric, infant 9000-10-07308 OXI-A/N Adult, neonate...
Page 227: Nibp Accessories
Accessories 26.3 NIBP Accessories Tubing Type Patient Category Part No. Adult, pediatric 6200-30-09688 Reusable Neonate 6200-30-11560 Reusable Cuff Patient Measurem Limb Circumference Bladder Model Part No. Category ent Site (cm) Width (cm) CM1301 Infant 10 to 19 0010-30-42745 CM1302 Pediatric 18 to 26 11.5 0010-30-42746...
Page 228: Temp Accessories
Accessories 26.4 Temp Accessories Extension Cable Type Model Temp probe Part No. Reusable MR420B MR411, MR412 0011-30-37391 Temp Probes Measurement Type Model Patient Category Part No. Site MR401B Esophageal/Rectal 0011-30-37392 Adult MR403B Skin 0011-30-37393 Reusable MR402B Esophageal/Rectal 0011-30-37394 Pediatric, neonate MR404B Skin 0011-30-37395...
Page 229: C.o. Accessories
Accessories 26.6 C.O. Accessories Model Material Part No. COC-001-SL 12Pin C.O. cable. 0010-30-42743 SP4042 IT Sensor 6000-10-02079 SP5045 IT Sensor Housing 6000-10-02080 12CC 12CC Control Syringe W/1CC Stop W/Rotator 6000-10-02081 131HF7 Dilution Hose 6000-10-02183 26.7 CO Accessories Sidestream CO module Material Patient Category Remark...
Page 230 Accessories Disposable Nasal Sampling Line Model Patient Category Remark Part No. 008180 Humidified, plus O 0010-10-42575 007266 0010-10-42567 008175 0010-10-42578 008178 Humidified 0010-10-42573 Pediatric 008181 Humidified, plus O 0010-10-42576 007269 Plus O 0010-10-42569 007743 Long, plus O 0010-10-42571 008179 Infant, Neonate Humidified 0010-10-42574 Mainstream CO...
Page 231: Ag Accessories
Accessories 26.8 AG Accessories Material Patient Category Remark Part No. Adult, pediatric 9200-10-10530 Watertrap Reusable Neonate 9200-10-10574 Adult, pediatric 9200-10-10533 Sampling line Disposable Neonate 9200-10-10555 Adult, pediatric, neonate Disposable, straight 9000-10-07486 Airway adapter Adult, pediatric, neonate Disposable, elbow 9000-10-07487 26.9 ICG Accessories Material Part No.
Page 232: Others
Accessories 26.12 Others Material Part No. USB keyboard 0000-10-11060 USB mice 0000-10-11061 Lithium battery M05-010002-06 3-core power cord 509B-10-05996 Grounding cable 1000-21-00122 Defibrillator synchronization cable 6800-20-50781 Nurse call cable 8000-21-10361 26-10...
Page 233: A Product Specifications
Product Specifications A.1 Monitor Safety Specifications A.1.1 Classifications The patient monitor is classified, according to IEC60601-1: Main unit Not marked Secondary display Not marked IBP module C.O. module ICG module Ordinary Not suitable Continuous BIS module AG module module RM module Not marked Class I equipment BF: Type BF applied part...
Page 234 Product Specifications A.1.2 Environmental Specifications Main unit, MPM, IBP module, C.O. module, Recorder Item Operating conditions Storage conditions Temperature (ºC) 5 to 40 -20 to 60 Relative humidity (noncondensing) 15 to 95% 10 to 95% Barometric (kPa) 70.0 to 106.0 22.0 to 107.4 Microstream CO module...
Page 235 Product Specifications RM module Item Operating conditions Storage conditions Temperature (ºC) 5 to 40 -20 to 60 Relative humidity (noncondensing) 15 to 95% 10 to 95% Barometric (kPa) 500 to 800 500 to 800 BIS module Item Operating conditions Storage conditions Temperature (ºC) 0 to 40 -20 to 50...
Page 236: A.2 Physical Specifications
Product Specifications A.2 Physical Specifications Components Weight Size Equipment type Includes a 17" touchscreen, an MPM, an AG module, two Main unit <14.5 kg 400×370×193 mm lithium batteries, a recorder, CF components, but no accessories. <1.8 kg 142×402×151 mm With no module inserted <0.63 kg 136.5×80.5×102 mm IBP module...
Page 237: A.3 Hardware Specifications
Product Specifications A.3 Hardware Specifications A.3.1 Display Host display Screen type Color TFT LCD Screen Size (diagonal) 17" Resolution 1280×1024 pixels External display Screen type Medical-grade TFT LCD Screen Size 15", 17" or above Resolution 1024×768 pixels MPR II, CISPR 11B Third certificate UL, C-UL, TUV, CE, FCC, UL 60601-1 A.3.2 Recorder...
Page 238 Product Specifications A.3.3 Battery Size 147.5×60.4×23.8 mm Weight 350 g Number of batteries Battery Type Chargeable Lithium-Ion Voltage 11.1 VDC Capacity 4500 mAh 2 new, fully charged batteries at 25 C under typical (with SpO Run time sensor but no ECG, Temp and IBP cables connected, and auto NIBP measurements at intervals of 15 minutes) conditions Charge time 6 h at most (in standby mode)
Page 239 Product Specifications A.3.6 Monitor Interface Specifications Power 1 AC power input connector Wire network RJ45 connector, 100-Base-TX, IEEE 802.3 10 connectors, USB 1.1 SMR connector 1 connector, not standard USB 50-pin CF revision 2.0 connector Video interface 1 connector, standard DVI-D 1 connector, standard BNC, the common connector of nurse call Auxiliary output signals and analog output signals...
Page 240: A.4 Data Storage
Product Specifications Output mode Relay Electrical requirements ≤60W, ≤2A, ≤36VDC, ≤25VAC Isolation voltage 1500 VAC Contact type Normally open or normally contact (optional) Defib Sync Pulse Output impedance 50Ω Max time delay 35 ms (R-wave peak to leading edge of pulse) High level: 3.5 to 5 V, providing a maximum of 1 mA output current;...
Page 241: A.5 Measurement Specifications
Product Specifications A.5 Measurement Specifications A.5.1 ECG Meet standards of EC11, EC13, EN60601-2-27/IEC60601-2-27 Standards and IEC60601-2-25 3-lead: I, II, III Lead set 5-lead: I, II, III, aVR, aVL, aVF, V 12-lead: I, II, III, aVR, aVL, aVF, V1 to V6 ECG standard AHA, IEC 1.25 mm/mV (X0.125), 2.5 mm/mV (X0.25), 5 mm/mV (X0.5),...
Page 242 Product Specifications 3-, 5-, and 12-lead ECG: ±1 bpm or ±1%, whichever is greater. Accuracy 12-lead analysis: ±2 bpm Sensitivity 200μV (lead II) Meets the requirements of ANSI/AAMI EC13-2002: Section 4.1.2.1 f). Response time to heart rate change From 80 to 120 bpm: less than 11 s From 80 to 40 bpm: less than 11 s Meets the requirements of ANSI/AAMI EC13-2002: section 4.1.2.1 g).
Page 243 Product Specifications A.5.2 Resp Technique Trans-thoracic impedance Lead Options are lead I and II. The default is lead II. Excitation current <300 µA Respiration impedance range 0.3 to 5Ω Baseline impedance range 200 to 2500Ω (using an ECG cable with 1kΩ resistance) Differential input impedance >2.5 MΩ...
Page 244 Product Specifications A.5.3 SpO MPM SpO Module Standards Meet standards of ISO9919 and ASTM1415 Measurement range 0 to 100% Resolution 70 to 100%: ±2% (measured without motion in adult/pediatric mode) 70 to 100%: ±3% (measured with motion in neonate mode) Accuracy 70 to 100%: ±3% (measured with motion) 0% to 69%: Not specified.
Page 245 Product Specifications ±3 bpm (measured without motion) Accuracy ±5 bpm (measured with motion) Refreshing rate Low Perfusion Pulse amplitude: >0.02% Conditions Light penetration: >5% accuracy ±2% PR accuracy ±3 bpm Nellcor SpO Module Parameter Specifications Sensor Range Precision* MAX-A, MAX-AL, MAX-N 70 to 100% ±2% MAX-P, MAX-I, MAX-FAST...
Page 246 Product Specifications A.5.4 NIBP Meet standards of EN60601-2-30/IEC60601-2-30, EN1060-1, Standards EN1060-3 and SP10 Technique Oscillometric Mode of operation Manual, Auto and STAT Auto mode repetition intervals 1, 2, 3, 4, 5, 10, 15, 30, 60, 90, 120, 180, 240 or 480 min STAT mode cycle time 5 min Adult, pediatric:...
Page 247 Product Specifications A.5.5 Temp Standards Meet standard of EN12470-4 Technique Thermal resistance Measurement range 0 to 50°C (32 to 122°F) Resolution 0.1°C Accuracy ±0.1°C or ±0.2°F (without probe) Refreshing rate Minimum time for accurate Body surface: <100s measurement Body cavity: <80s A-15...
Page 248 Product Specifications A.5.6 IBP Standards Meet standard of EN60601-2-34/IEC60601-2-34. Technique Direct invasive measurement 0 to 300 mmHg -6 to 120 mmHg Measurement range CVP/RAP/LAP/ICP -10 to 40 mmHg P1/P2 -50 to 300 mmHg Resolution 1 mmHg Accuracy ±2% or ±1mmHg, whichever is greater Refreshing rate Pressure transducer Excitement voltage...
Page 249 Product Specifications A.5.8 CO Measurement mode Sidestream, microstream, mainstream Technique Infrared absorption Sidestream CO Module Standard Meet standard of ISO9918, ISO 21647 and F1456 Measurement range 0 to 99 mmHg 0 to 40 mmHg: ±2 mmHg Accuracy* 41 to 76 mmHg: ±5% of the reading 77 to 99 mmHg: ±10% of the reading...
Page 250 Product Specifications Microstream CO Module Standard Meet standard of EN864 and ISO9918 Measurement range 0 to 99 mmHg 0 to 38 mmHg: ±2 mmHg Precision* 39 to 99 mmHg: ±5% of the reading+0.08% of (the reading-38) * Accuracy applies for respiration rate up to 80 rpm. For respiration rate above 80 rpm, the accuracy complies with EN 864/ISO 9918 (4 mmHg or ±12% of the reading, whichever is greater) for EtCO exceeding 18 mmHg.
Page 251 Product Specifications A.5.9 AG Standards Meet standard of ISO 21647 Technique Infrared absorption Warming up status: 45 s Warm-up time Ready-to-measure status: 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 0 to 30% 0 to 100% 0 to 100%...
Page 252 Product Specifications 10 to 15 ±0.6 15 to 18 ±1 >18 Not specified 0 to 1 ±0.15 1 to 5 ±0.2 5 to 8 ±0.4 >8 Not specified 0 to 1 ±0.15 Enf, Iso, Hal 1 to 5 ±0.2 >5 Not specified 2 to 60 rpm ±1 rpm...
Page 253 Product Specifications A.5.10 ICG Technique Thoracic electrical bioimpedance (TEB) 5 to 250 ml/beat Measurement range 44 to 185 bpm C.O.: 1.4 to 15 L/min Not specified. ±2 bpm Accuracy C.O.: Not specified. A.5.11 BIS Standards Meet standard of IEC 60601-2-26 Technique Bispectral index Measured parameters...
Page 254 Product Specifications A.5.12 RM Technique Flow sensor Frequency response ≥30Hz Dead space <11ml Flow Adult/pediatric: ± (2 to 120) L/min Measurement range Neonate: ± (0.5 to 30) L/min Accuracy 25 ml/s or ±10% of the reading, whichever is greater Resolution 0.1 L/min (minimum) Measurement range -20 to 120 cmH...
Page 255 Product Specifications 2 to 120 L/min 2 to 120 L/min 0 to 120 cmH Pplat 0 to 120 cmH Compl 0 to 200 ml/cmH 0 to 100 cmH O/L/s RSBI 0 to 4095 rpm/L 0 to 120 cmH 0 to 640 J A-23...
Page 256 Product Specifications FOR YOUR NOTES A-24...
Page 257 The patient monitor meets the requirements of IEC 60601-1-2:2001 Note Using accessories, transducers and cables other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the patient monitoring equipment. The patient monitor or its components should not be used adjacent to or stacked with other equipment.
Page 258 Guidance and Declaration - Electromagnetic Immunity The patient monitor is suitable for use in the electromagnetic environment specified below. The customer or the user of the patient monitor should assure that it is used in such an environment. Electromagnetic Immunity test IEC60601 test level Compliance level environment - guidance...
Page 259 Guidance and Declaration - Electromagnetic Immunity The patient monitor is suitable for use in the electromagnetic environment specified below. The customer or the user of the patient monitor should assure that it is used in such an environment. Immunity test IEC 60601 Test level Compliance level Conduced RF IEC61000-4-6...
Page 260 Recommended Separation Distances between Portable and Mobile RF Communications Equipment and The patient monitor The patient monitor is suitable for use in an electromagnetic environment in which radiated RF disturbance are controlled. The customer or the user of the patient monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the patient monitor as recommended below, according to the maximum output power of the communication equipment.
Page 261: C Factory Defaults
Factory Defaults This section lists the most important factory default settings. These settings are not user-adjustable. You can restore the factory default settings if necessary. C.1 Patient Demographics Patient Demographics Factory Default Settings Patient Cat. Paced C.2 Alarm Setup Alarm Setup Factory Default Settings Alarm Volume Latching Alarms...
Page 262: C.4 Ecg Setup
Factory Defaults C.4 ECG Setup ECG Setup Adult Pediatric Neonate Alm Source Auto Alarm Alm Lev Alm Rec HR High HR Low Beat Vol Paced Lead Set 5-Lead ECG Display Normal Filter Diagnostic Notch Filter Defib. Sync ST Analysis Adult Pediatric Neonate ST Analysis...
Page 263: C.5 Resp Setup
Factory Defaults Arrh. Alarm Setup Alarm Alm Lev Alm Rec Asystole High VFib/VTac High R on T VT>2 Couplet Bigeminy Trigeminy Tachy Brady Missed Beat Waveform X * Adult Pediatric Neonate HR Source Gain Filter Diagnostic Sweep 25 mm/s Cascade *: X represents (lead) I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, V5 or V6 C.5 Resp Setup Resp Setup...
Page 264 C.6 SpO Setup Setup Adult Pediatric Neonate Alarm Alm Lev Alm Rec SpO2 High SpO2 Low Desat Limit Sensitivity Mindray) Sensitivity (Masimo) Normal Averaging (Masimo, Nellcor) NIBP Simul Sat-Seconds (Nellcor) PR Setup Adult Pediatric Neonate Alarm Alm Lev Alm Rec...
Page 265: C.7 Nibp Setup
Factory Defaults C.7 NIBP Setup NIBP Setup Adult Pediatric Neonate Alarm Alm Lev Alm Rec Alm Source Sys High Sys Low Mean High Mean Low Dia High Dia Low Display NIBP Single-group Press. Unit mmHg Interval Manual Cuff Press. C.8 Temp Setup Temp Setup Adult Pediatric...
Page 266: C.9 Ibp Setup
Factory Defaults C.9 IBP Setup IBP Setup Adult Pediatric Neonate Alarm Alm Lev Alm Rec Alm Source Systolic/Diastolic (Mean) (mmHg) Alarm Limits Adult Pediatric Adult Art, Ao, FAP, High Limit 160/90 (110) 120/70 (90) 90/60 (70) BAP, UAP Low Limit 90/50 (70) 70/40 (50) 55/20 (35)
Page 267: C.10 C.o. Setup
Factory Defaults C.10 C.O. Setup C.O. Setup Factory default settings Alarm Alm Lev Alm Rec BT High 39.0 BT Low 36.0 Comp. Const 0.542 Auto IT Auto Manual IT Temp Unit ºC Interval (s)
Page 268 Factory Defaults C.11 CO Setup Factory default settings Setup Adult Pediatric Adult Alarm Alm Lev Alm Rec Humidity Compen (side/microstream) Press. Unit mmHg Max Hold (microstream) 20 s Max Hold (mainstream) 10 s Operating Mode (side/mainstream) Standby Operating Mode (microstream) Measure O2 Compen (side/mainstream) N2O Compen (sidestream)
Page 269: C.12 Ag Setup
Factory Defaults C.12 AG Setup AG Setup Factory default settings Alarm Alm Lev Alm Rec Apnea Time 20 s Flow Rate O2 Compen Operating Mode Standby Auto Standby Wave Type (CO2) Draw Sweep 12.5 mm/s Alarm Limits Alarm Limits Adult/pediatric/neonate Adult/pediatric/neonate Setup Setup...
Page 270: C.13 Icg Setup
Factory Defaults C.13 ICG Setup Factory default settings ICG Setup Adult Pediatric Neonate Alarm Alm Lev Alm Rec C.I. High C.I. Low TFC High TFC Low Averaging 30 beats Update Rate 10 beats Patient Demographics LV_D PAWP ICG Waveform Sweep 12.5 mm/s C-10...
Page 271: C.14 Bis Setup
Factory Defaults C.14 BIS Setup Factory default settings BIS Setup Adult Pediatric Neonate Alarm Alm Lev Alm Rec BIS High BIS Low Smoothing Rate 30 s BIS EEG Waveform Sweep 25 mm/s C-11...
Page 272: C.15 Rm Setup
Factory Defaults C.15 RM Setup Factory default settings RM Setup Adult Pediatric Neonate Alarm Alm Lev Alm Rec Apnea Time 20 s TV / MV Sensor Type Disposable Ventilation Mode Spontaneous Alarm Limits Setup RR High RR Low PEEP High PEEP Low PIP High PIP Low...
Page 273: D Alarm Messages
Alarm Messages This chapter lists only the most important physiological and technical alarm messages. Some messages appearing on your monitor may not be included. In this chapter: The “A” field indicates whether all alarm indications can be cleared or not, and the “B” field indicates whether all alarm indications except the alarm message can be cleared or not.
Page 274: D.1 Physiological Alarm Messages
Alarm Messages D.1 Physiological Alarm Messages Measurement Alarm messages Cause and solution XX Too High XX value has risen above the high alarm limit or fallen below the low alarm limit. Check the patient’s condition and check if the patient category and alarm limit XX Too Low settings are correct.
Page 275: D.2 Technical Alarm Messages
Alarm Messages D.2 Technical Alarm Messages Measure Alarm message Cause and solution ment XX SelfTest Err An error occurred to the XX module, or there is √ × a problem with the communications between the XX Init Err √ × module and the monitor.
Page 276 Alarm Messages Measure Alarm message Cause and solution ment patient or the module, or there is a fault with the SpO2 Sensor Fault × × sensor, or an unspecified SpO sensor has SpO2 No Sensor √ × been used. Check the sensor application site and SpO2 Unrecognized ×...
Page 277 Alarm Messages Measure Alarm message Cause and solution ment NIBP Overrange √ × The measured NIBP value is not within the specified range. NIBP Excessive Motion √ × Check the patient’s condition and reduce the patient motion. NIBP Cuff Overpress. √...
Page 278 Alarm Messages Measure Alarm message Cause and solution ment Calc. Err √ × Check Adapter √ × There is a problem with the airway adapter. Check, clean or replace the adapter. Zero Required × √ A zero calibration is required. FilterLine Err ×...
Page 279 Alarm Messages Measure Alarm message Cause and solution ment AG Change Watertrap √ × Wait until the change is completed. AG Watertrap Type Wrong √ × Make sure that a correct watertrap has been used. O2 Accuracy Unspecified × √ The measured value has exceeded the specified accuracy range.
Page 280 Alarm Messages Measure Alarm message Cause and solution ment BIS No Cable √ × Check the BIS cables. BIS No Sensor √ × Check the BIS sensor. BIS Sensor Err √ × Check or replace the sensor. BIS Sensor Excessively √...
Page 281 Alarm Messages Measure Alarm message Cause and solution ment Recorder Recorder Init Err N Restart the monitor. × √ N is within 1 to 8. Recorder SelfTest Err × √ Stop the recording and restart the monitor. Recorder Comm Err ×...
Page 282 Alarm Messages Measure Alarm message Cause and solution ment System Not Connected √ × Check the connection of the network cable and contact the network administrator. SMR Unavailable √ × Turn off the monitor and check the connection between the satellite module rack (SMR) and the monitor, and then restart the monitor.
Page 283: E Symbols And Abbreviations
Symbols and Abbreviations E.1 Symbols µA microampere µV microvolt ampere ampere hour beat per minute bit per second ºC centigrade cubic centimeter centimeter decibel dyne second ºF fahrenheit gram gigahertz gutta hour hertz inch kilogram kilopascal litre pound meter microampere hour mega byte microgram milli-equivalents...
Page 284 Symbols and Abbreviations nanometer breath per minute second volt volt ampere Ω watt – minus percent per; divide; or plus equal to < less than > greater than ≤ less than or equal to ≥ greater than or equal to ±...
Page 285: E.2 Abbreviations
Symbols and Abbreviations E.2 Abbreviations AaDO alveolar-arterial oxygen gradient AAMI Association for Advancement of Medical Instrumentation alternating current acceleration index adult anaesthesia gas American Heart Association ANSI American National Standard Institute arterial left foot augmented lead left arm augmented lead right arm augmented lead awRR airway respiratory rate...
Page 286 Symbols and Abbreviations electrocardiograph European Economic Community electroencephalogram ejection fraction electromagnetic compatibility electromyography electromagnetic interference enflurane electrosurgical unit end-tidal EtCO end-tidal carbon dioxide end-tidal nitrous oxide ethylene oxide end-tidal oxygen femoral arterial pressure Federal Communication Commission Food and Drug Administration FEV1.0% first second forced expiratory volume ratio fraction of inspired...
Page 287 Symbols and Abbreviations lateral liquid crystal display left cardiac work LCWI left cardiac work index light emitting diode left leg low voltage directive LV_D left ventricular diameter LVDS low voltage differential signal LVET left ventricular ejection time LVSW left ventricular stroke work LVSWI left ventricular stroke work index minimal alveolar concentration...
Page 288 Symbols and Abbreviations PVCs premature ventricular complex pulmonary vascular resistance PVRI pulmonary vascular resistance index right right arm random access memory right atrial pressure airway resistance right cardiac work RCWI right cardiac work index record, recording RESP respiration reduced hemoglobin right leg respiratory mechanics respiration rate...
Page 289 Symbols and Abbreviations inspiratory tidal volume umbilical arterial pressure uninterruptible power supply universal serial bus umbilical venous pressure volts alternating current VEPT volume of electrically participating tissue velocity index WLAN wireless local area network work of breathing...
Page 290 P/N: 6800-20-50657 (1.0)

Mindray BeneView T8 Operation Manual

1 Safety

2 The Basics

3 Basic Operations

4 Managing Patients

5 User Screens

6 Alarms

7 Monitoring Ecg/Resp

8 Monitoring Spo

9 Monitoring NIBP

10 Monitoring Temp

11 Monitoring IBP

12 Monitoring Cardiac Output

13 Monitoring Carbon Dioxide

14 Monitoring AG

15 Monitoring ICG

16 Monitoring bis

17 Monitoring RM

18 Freezing Waveforms

19 Review

20 Calculations

21 Recording

22 Other Functions

23 Batteries

24 Care and Cleaning

25 Maintenance

26 Accessories

A Product Specifications

C Factory Defaults

Quick Links

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Questions and answers

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Summary of Contents for Mindray BeneView T8