Mindray VS-900 Operator's Manual
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Mindray VS-900 Operator's Manual

Vital signs monitor
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VS-900
Vital Signs Monitor
Operator's Manual

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  • Page 1 VS-900 Vital Signs Monitor Operator’s Manual...
  • Page 3 © Copyright 2013-2016 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. Release date: April 2016. Revision: 7.0...
  • Page 4 , and are the registered trademarks or trademarks owned by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners.
  • Page 5 Mindray or repairs by people other than Mindray authorized personnel.
  • Page 6 Preface Manual Purpose This manual contains the instructions necessary to operate the product 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 7: Table Of Contents

    Contents 1 Safety ............................1-1   1.1 Safety Information............................1-1   1.1.1 Warnings ............................1-1   1.1.2 Cautions ............................. 1-3   1.1.3 Notes ..............................1-4   1.2 Equipment Symbols ........................... 1-5   2 The Basics ..........................2-1   2.1 Intended Use ..............................2-1  ...
  • Page 8   3.5.6 Adjusting Key Volume ........................3-8   3.5.7 Adjusting the Screen Brightness ....................3-8   3.5.8 Setting Screen ..........................3-8   3.5.9 Configuring the Timeout of Measured Value............... 3-8   3.5.10 Configuring Measurement Colors ..................3-9   3.5.11 Setting the Date and Time ......................3-9  ...
  • Page 9   6.6 Pausing Alarms ............................. 6-8   6.7 Switching Off Alarm Sound ........................6-8   6.8 Resetting Alarms ............................6-8   6.9 Setting the Reminder Tone ........................6-9   6.10 Latching Alarms ............................6-10   6.11 Actions for Alarm Occurrence ......................6-10  ...
  • Page 10   9.7.6 Setting NIBP Alarm Properties ....................9-8   9.7.7 Setting the Pressure Unit ......................9-8   9.8 Assisting Venous Puncture ........................9-9   10 Monitoring Temp ....................... 10-1   10.1 Monitoring Temp with SmarTemp™ Module ................10-1   10.1.1 Setting Temp..........................10-2  ...
  • Page 11   12.3 Calculating a Score ..........................12-3   12.4 Clinical Scoring Screen ..........................12-3   12.4.1 Score Tile in the Main Screen ....................12-3   12.4.2 Scoring Screen ..........................12-4   12.5 Obtaining the Total Score ........................12-5   12.6 Managing Scorings ..........................12-7   12.6.1 Importing the Scoring ......................12-7  ...
  • Page 12   15.5.1 Conditioning a Battery ......................15-3   15.5.2 Checking a Battery ........................15-3   15.6 Recycling a Battery ..........................15-4   16 Care and Maintenance ...................... 16-1   16.1 Cleaning and Disinfection ........................16-1   16.1.1 Cleaning ............................16-2   16.1.2 Disinfecting ..........................16-3   16.2 General Inspection ..........................16-3  ...
  • Page 13   D.1 Physiological Alarm Messages ......................D-1   D.2 Technical Alarm Messages ........................D-1   E Electrical Safety Inspection ....................E-1   E.1 Power Cord Plug ............................E-1   E.2 Device Enclosure and Accessories ....................... E-2   E.3 Device Labeling ............................E-2  ...
  • Page 14 FOR YOUR NOTES...

  • Page 15: Safety

    Safety 1.1 Safety Information WARNING  Indicates a potential hazard situation 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 16  Do not open the equipment housings. All servicing and future upgrades must be carried out by the personnel trained and authorized by our company only.  Do not come into contact with patients during defibrillation. Otherwise serious injury or death could result. ...

  • Page 17: Cautions

    At the end of its service life, the equipment, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. If you have any questions concerning disposal of the equipment, please contact Mindray.  Magnetic and electrical fields are capable of interfering with the proper performance of the equipment.

  • Page 18: Notes

    Do not position the equipment in a place difficult to access the mains plug.  Only the central monitoring system with a software version 06.08.00 or greater, or the eGateway with a software version 5.0 or greater, supports VS-900 monitor.

  • Page 19: Equipment Symbols

    1.2 Equipment Symbols Some symbols may not appear on your equipment. ON/OFF for a part of General warning sign equipment Alternating current Battery indicator Alarm Reset NIBP Start/Stop key ALARM PAUSED Graphical recorder Admit patient Insertion Direction DEFIBRILLATION -- - PROOF Input/Output TYPE CF APPLIED PART DEFIBRILLATION-PROOF...
  • Page 20 Network connector The product bears CE mark indicating its conformity with the provisions of the Council Directive 93/42/EEC concerning medical devices and fulfils the essential requirements of Annex I of this directive. Note: The product complies with the Council Directive 2011/65/EU. The following definition of the WEEE label applies to EU member states only.

  • Page 21: The Basics

    The Basics 2.1 Intended Use The Monitor is intended for monitoring physiologic parameters, including SpO , PR, NIBP, TEMP, and CO on adult, pediatric, and neonatal patients in healthcare facilities by clinical physicians or appropriate medical staff under the direction of physicians. WARNING ...

  • Page 22: Main Unit

    2.3 Main unit 2.3.1 Front View (10) (1) Alarm indicator When a physiological alarm or a technical alarm occurs, this indicator will flash as defined below.  High priority alarm: the lamp quickly flashes red.  Medium priority alarm: the lamp slowly flashes yellow. ...
  • Page 23  Press this key to turn the monitor on.  If no parameter is being measured, press this key to enter Standby mode.  When the monitor is on, press and hold this key for above 2 seconds to turn the monitor off.

  • Page 24: Side View

    2.3.2 Side View (10) (1) Handle (2) Recorder indicator (3) Start/stop recording key (4) Paper outlet (5) Recorder door (6) Connector for NIBP cuff (7) Connector for SpO cable (8) CO gas outlet (9) CO sample line connector (10) Recorder latch...

  • Page 25: Rear View

    2.3.3 Rear View (1) Temperature probe well The temperature module varies in appearance. The above figure shows the main unit with the SmarTemp module. (2) Connector for temperature probe The temperature module varies in appearance. The above figure shows the main unit with the SmarTemp module.

  • Page 26: Bottom View

    2.3.4 Bottom View (1) Battery compartment door (2) Hole for installing a support...

  • Page 27: Main Screen

    2.4 Main Screen There are three display modes of main screen. They are all parameter screen, trend screen and NIBP list screen.  All Parameter Screen...
  • Page 28  Trend Screen  NIBP List Screen (10) (1) Patient Information/System Message Area...
  • Page 29 This area normally shows patient information, such as patient medical record number, patient name, patient category, room, bed number, clinician ID. When a system related message is presented, the second line of this area will display the system prompt message for 30 seconds. The patient information there will be covered temporarily.

  • Page 30: Menu

    indicates a U disk is inserted. (7) Battery status: indicates the status of the battery. For details, refer to 15 Battery. (8) System time (9) Tabular trend area. This area displays only in Trend screen mode. (10) NIBP list area. This area displays only in NIBP List screen mode. 2.5 Menu A menu in this monitor is usually composed of: (1) Heading: gives a sum-up for the current menu.

  • Page 31: Spot Check Mode

    common mode for monitoring patient vital signs. NOTE  In Monitor mode, physiological and technical alarms, and prompt messages are supported. 2.6.2 Spot Check Mode The spot mode is intended for on-spot measurement in a short period. When spot mode is ON, the message area on the top of screen will display [Spot Check].

  • Page 32: Demo Mode

    To exit Standby mode, you can take any one of the following ways:  Press the any hardkey on the panel.  Rotate the knob.  Connect SpO sensor, and let the monitor receive SpO signal for more than 5 seconds.

  • Page 33: Basic Operations

    Basic Operations 3.1 Installation WARNING  The equipment shall be installed by personnel authorized by us.  Do not open the equipment housings. All servicing and future upgrades must be carried out by the personnel trained and authorized by our company only. ...

  • Page 34: Unpacking And Checking

    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. Check all materials against the packing list and check for any mechanical damage.

  • Page 35: General Operation

    NOTE  The equipment uses a mains plug as a means of isolation to the mains power supply. Do not position the equipment in a place difficult to access the mains plug. 3.2 General Operation Read this operator's manual carefully before the use of this monitor. Familiarize yourself with the equipment's function and operation, and observe the warnings and cautions included in the manual.

  • Page 36: Connecting Accessories

    screen dynamically displays the charging status when the monitor is powered on. 3.2.3 Connecting Accessories Insert the hose of NIBP cuff into the cuff connector on the side of monitor; insert the SpO cable into the SpO cable connector on the side of monitor; insert the temperature probe cable into the TEMP probe connector on the back of monitor.

  • Page 37: Turning Off The Monitor

    Check that visual and auditory alarm signals are presented correctly when the equipment is powered on. Do not use the equipment for any monitoring procedure on a patient if you suspect it is not working properly, or if it is mechanically damaged. Contact your service personnel or Mindray. NOTE ...

  • Page 38: Using Key, Knob, Touchscreen

    3.4 Using Key, Knob, Touchscreen 3.4.1 Using Keys The monitor has three types of keys:  Softkey: A softkey is a graphic key on the screen, giving you fast access to certain menus or functions. The monitor has two types of softkeys: ...

  • Page 39: Setting Up A Monitor

    3.5.1 Setting up a Monitor To install a monitor or change the monitor’s location, you need to set it as follows: Select [Main]→ [Maintenance >>]→[User Settings >>]→ Enter the required password→ Select [Ok] and then access [User Settings] menu. Set up [Monitor Name], [Department] and [Bed No.]. You can set [Changing Bed No.] to: ...

  • Page 40: Adjusting Key Volume

    Select [Alarm Volume] and then select the appropriate volume: X-10, in which X is the minimum volume, depending on the set minimum alarm volume (refer to 6.5.2 Setting the Minimum Alarm Volume), and 10 the maximum volume. The alarm tone is switched off when the volume is set to [0]. 3.5.6 Adjusting Key Volume The monitor can provide a tone according to the settings in key volume when you press the knob or hard key, or touch the screen.

  • Page 41: Configuring Measurement Colors

    3.5.10 Configuring Measurement Colors You can set the desired color for the parameters. Select [Main]→[General Setup>>]→ [Parameter Color Setup>>] and then the [Color Setup] menu pops up. 3.5.11 Setting the Date and Time Select [Main]→[General Setup>>]→[System Time>>]. Set [Date] and [Time]. Select [Date Format] and toggle between [yyyy-mm-dd], [mm-dd-yyyy] and [dd-mm-yyyy].
  • Page 42 FOR YOUR NOTES 3-10...

  • Page 43: Patient Data Management

    Patient Data Management 4.1 Admitting a Patient The 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 admitted yet. 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 44: Admitting A Patient By Barcode Scanner

    You can self-define the [Patient Demographics] menu. Select [Main]→[Maintenance >>]→[User Settings >>]→enter the required password→select [Ok] to access [User Settings] menu. Select [Patient Demographics>>]. Select the desired items in [Patient Demographics Setup] menu.  [Required Information]: the items that must be entered or selected when you send the data to the eGateway.
  • Page 45 Connect the barcode scanner to the USB connector on the monitor. Aim the scanner at the following barcode to clear the previous data format. Aim the scanner at the 2D image which contains your hospital’s barcode data format. Contact the scanner manufacturer for obtaining this image. Setting the Monitor After you have set up the data format for the 2D scanner, follow this procedure to set up the monitor:...

  • Page 46: Admitting A Patient From [Patient List]

    Aim the scanner at the clinician barcode and press the scan button at the barcode scanner. The clinician ID will populate the [Clinician ID] field in the [Patient Demographics] menu. Aim the scanner at the patient barcode and press the scan button on the barcode scanner.

  • Page 47: Manually Input Patient Data

     Input [Department] name, and then the system will search the patient within the department.  Input [MRN], and then the system will search the patient according to the input medical record number.  Input [Last Name] and/or [First Name], and the system will search patient upon the name.

  • Page 48: Manually Save Patient Data

    After the manual input area is selected, the [Manual Inputs] menu pops up. The displayed items correspond to the settings in [Manual Inputs Setup]. 4.3 Manually Save Patient Data Select [Save] QuickKey to save the demographics, scoring data, measurements and manual input of the current patient.

  • Page 49: Reviewing Patient Data

    4.4 Reviewing Patient Data Select [Review] QuickKey, and you can review the trends. In Monitor mode, you can view:  Spot check trends  Continuous trends  Graphic trends In Spot Check mode, you can view only spot check trends. 4.4.1 Spot Check Trends Select the [Spot Check Trends] tab to access the Spot Check Trends screen.

  • Page 50: Continuous Trends

     Select [ ] to print the trend data of selected patient. Print  Select [ Send ] to transmit the selected patient’s trend data to the EMR through an eGateway. NOTE  The trend data can only be sent out when the monitor is connected to Electronic Medical Record system (EMR).

  • Page 51: Graphic Trends

     Select [ ] or [ ] to select the desired patient. Name  Select [ Interval ] to set the interval for the data to be displayed.  Select the page key (for example ), and then use up or down arrow beside the key to turn the page.

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

     Select [ ] to set the time length of the trend displayed on the screen. Zoom  Select [ ] and control key to move the cursor. Select Scroll to move the cursor to the previous or next page. ...

  • Page 53: Managing Configurations

    Managing Configurations 5.1 Overview When performing continuous monitoring on a patient, the clinical professional often needs to adjust the monitor’s settings according to the patient’s condition. The collection of all these settings is called a configuration. Allowing you to configure the monitor more efficiently, the monitor offers different sets of configuration to suit different patient categories and departments.

  • Page 54: Setting Default Configuration

    5.2.1 Setting Default Configuration The monitor will load the pre-set default configuration in the following cases.  The monitor is restarted after being switched off for above 120 seconds.  A patient is admitted.  A patient is discharged.  Patient category is changed.

  • Page 55: Transferring A Configuration

    5.5 Transferring a Configuration When installing several monitors with identical user configuration it is not necessary to set each unit separately. A USB drive may be used to transfer the configuration from monitor to monitor. To export the current monitor’s configuration: Insert a USB disk to the monitor’s external device connector.

  • Page 56: Restoring The Latest Configuration Automatically

    5.7 Restoring the Latest Configuration Automatically During operation, you may make changes to some settings. However, these changes may not be saved as user configuration. To prevent the changes from losing in case of a sudden power failure, the equipment stores the configuration in real time. The saved configuration is the latest configuration.

  • Page 57: Alarms

    Alarms Alarms, triggered by a vital sign that appears abnormal or by technical problems of the monitor, are indicated to the user by visual and audible alarm indications. WARNING  A potential hazard can exist if different alarm presets are used for the same or similar equipment in any single area, e.g.

  • Page 58: Alarm Levels

    6.2 Alarm Levels By severity, the equipment’s alarms can be classified into three categories: high level, medium level and low level. Physiological Alarms Technical Alarms High level Indicate that your patient is Indicate a severe device malfunction or an in a life threatening situation improper operation, which could make it and an emergency possible that the monitor cannot detect...

  • Page 59: Audible Alarm Tones

    6.3.2 Audible Alarm Tones The monitor uses different alarm tone patterns to match the alarm priority. The alarm tone is distinct from keystroke tone and pulse tone in frequency. The alarm tones identify the alarm levels as follows:  High level alarms: triple+double beeps+triple+double beep.

  • Page 60: Flashing Numerics

    6.3.4 Flashing umerics 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. 6.3.5 Alarm Status Symbols Apart from the aforementioned alarm indicators, the equipment still uses the following symbols telling the alarm status:...

  • Page 61: Selecting Alarm Properties

    WARNING  Make sure that the alarm limits settings are appropriate for your patient before monitoring.  Setting alarm limits to extreme values may cause the alarm system to become ineffective. For example, High oxygen levels may predispose a premature infant to retrolental fibroplasia.

  • Page 62: Adjusting Alarm Limits Automatically

    WARNING  When the alarm sound is switched off, the equipment will give no audible alarm tones even if a new alarm occurs. Therefore the user should be very careful about whether to switch off the alarm sound or not. ...
  • Page 63 Parameter Low alarm Limit High alarm Limit Auto-set alarm limit Adult/ Neonate Adult/ Neonate Range Pediatric Pediatric NIBP-D (Dia-15) or Adult: (Dia×0.68)＋ (Dia×0.86)＋ (Dia＋15) or 20mmHg， 6mmHg 32mmHg 80mmHg， 25 to 225 mmHg whichever is whichever is Pediatric: greater smaller 25 to 150 mmHg Neonate: 20 to 90 mmHg...

  • Page 64: Pausing Alarms

    6.6 Pausing Alarms You can temporarily disable alarm indicators by pressing and holding hardkey on the panel for above 2 seconds. When alarms are paused,  The alarms pause symbol and the remaining alarm pause time is displayed in Alarm Information area. ...

  • Page 65: Setting The Reminder Tone

     The icon appears in the alarm symbol area.  The parameter numeric and alarm limits still flash. The indication of alarm lamp for the physiological alarm depends on the alarm light setting.  When [ ] is set to [ ], the alarm lamp remains Alarm Light on Alarm Reset flashing.

  • Page 66: Latching Alarms

    6.10 Latching Alarms The latching setting for physiological alarms defines how alarm indicators behave when you do not acknowledge them.  If an alarm is latched, alarm indications remain presented even though alarm conditions end, except that:  The parameter reading and violated alarm limit stop flashing. ...

  • Page 67: Nurse Call

    6.12 Nurse Call The monitor also provides a multi-function connector to output nurse call signals when a user-defined alarm occurs. To obtain a nurse call signal, use the nurse call cable (P/N: 009-003116-00) we supply to connect the hospital nurse call system to the multi-function connector of the monitor and then follow this procedure: Select [Main]→[Maintenance >>]→[User Settings >>]→Enter required password→...
  • Page 68 FOR YOUR NOTES 6-12...

  • Page 69: Monitoring Spo

    Reposition the SpO2 sensor or find a better site. If low perfusion persists, choose another method to measure oxygen saturation if possible. PI is available for Mindray SpO module and Masimo SpO module. For Mindray SpO module, PI value can be displayed under the PR value in larger characters if [PI Zoom] is enabled.

  • Page 70: Safety

    The color of the cable connector matches the company as shown below:  Mindray SpO module: a blue connector without logo.  Masimo SpO module: a purple connector with a logo of Masimo SET.

  • Page 71: Applying The Sensor

    7.4 Applying the Sensor WARNING  If the sensor is too tight because the application site is too large or becomes too large due to edema, excessive pressure for prolonged periods may result in venous congestion distal from the application site, leading to interstitial edema and tissue ischemia.

  • Page 72: Setting Spo 2 Sensitivity

    7.5.3 Setting SpO Sensitivity For Mindray SpO module, you can set [Sensitivity] to [High], [Med] or [Low] in the [SpO Setup] menu; for Masimo SpO module, you can set [Sensitivity] to [Maximum] or [Normal] in the [SpO Setup] menu. When the sensitivity is set to [High] or [Maximum], the equipment is more sensitive to minor signals.
  • Page 73 The Sat-Seconds feature is available with the Nellcor SpO module to decrease the likelihood of false alarms caused by motion artifacts. To set the Sat-Seconds limit, select [Sat-Seconds] in the [SpO Setup] menu and then select the appropriate setting. With Sat-Seconds alarm management, high and low alarm limits are set in the same way as traditional alarm management.

  • Page 74: Changing The Speed Of Pleth Wave

    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. During such fluctuation, the monitor integrates the number of %SpO points, both positive and negative, until either the Sat-Seconds limit is reached, or the patient%SpO re-enters the non-alarm range and...

  • Page 75: Masimo Information

    7.7 Masimo Information  Masimo Patents This device is covered under one or more the following U.S.A. patents: 5,758,644, 6,011,986, 6,699,194, 7,215,986, 7,254,433, 7,530,955 and other applicable patents listed at: www.masimo.com/patents.htm.  No Implied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized sensors or cables which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device.
  • Page 76 FOR YOUR NOTES...

  • Page 77: Monitoring Pr

    Monitoring PR 8.1 Overview The pulse numeric counts the arterial pulsations that result from the mechanical activity of the heart. The pulse value can be from SpO or NIBP. The PR parameter area displays its source. (1) PR high limit (2) PR low limit (3) Pulse rate (PR): detected pulsations per minute.
  • Page 78 FOR YOUR NOTES...

  • Page 79: Monitoring Nibp

    Monitoring NIBP 9.1 Overview The monitor uses the oscillometric method for measuring the non-invasive blood pressure (NIBP). This measurement can be used for adults, pediatrics and neonates. Automatic non-invasive blood pressure monitoring uses the oscillometric method of measurement. To understand how this method works, we’ll compare it to the auscultative method.

  • Page 80: Safety

    9.2 Safety WARNING  During NIBP measuring, the inflated cuff will apply pressure on the application site. The clinician shall determine if NIBP measuring is suitable for the patient.  Be sure to select the correct patient category setting for your patient before measurement.

  • Page 81: Measurement Limitations

    9.3 Measurement Limitations Measurements are impossible with heart rate extremes of less than 40 bpm or greater than 240bpm, or if the patient is on a heart-lung machine. The measurement may be inaccurate or impossible:  If arterial pressure pulses are hard to detect ...

  • Page 82: Measuring Nibp

    9.5 Measuring NIBP 9.5.1 Preparing the Patient In order to minimize NIBP measurement errors, whenever possible check that the patient:  Is comfortably seated  Has legs uncrossed  Has feet flat on the floor  Has back and arm supported, and ...

  • Page 83: Starting Nibp Measurement

    WARNING  Sustained cuff pressure due to a kinked hose may interfere with blood flow and could lead to patient injury. NOTE  The use of the equipment is restricted to one patient at a time. 9.5.3 Starting NIBP measurement Start NIBP measurement by one of the following ways: ...

  • Page 84: Understanding The Nibp Numerics

    9.6 Understanding the NIBP Numerics The NIBP display shows numerics only as below. Your display may be configured to look slightly different. (1) Unit of pressure: mmHg or kPa (2) Systolic pressure (3) Diastolic pressure (4) Mean pressure obtained after the measurement and cuff pressure obtained during the measurement (5) Time of last measurement (6) Time remaining to next measurement...

  • Page 85: Setting Nibp End Tone

    Patient Category Range (mmHg) Default (mmHg) Adult 80 - 280 Pediatric 80 - 210 Neonate 60 - 140 NOTE  For known hypertensive patients, you need to set initial cuff pressure to a higher value to reduce the measurement time. 9.7.3 Setting NIBP End Tone The monitor can issue a reminder tone at the completion of NIBP measurement.

  • Page 86: Setting Nibp Alarm Properties

    When the programmed NIBP measurement is in use, the NIBP parameter area displays as follows: (3) (4) (5) (1) Time of last measurement (2) Time remaining to next measurement (3) Program name (4) Cycle name (5) NIBP measurement Interval 9.7.6 Setting NIBP Alarm Properties Select [Alarm Setup>>] from [NIBP Setup] menu.

  • Page 87: Assisting Venous Puncture

    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. Select [VeniPuncture >>] from the [NIBP Setup] menu. In the popup menu, verify that the [Cuff Press.] value is appropriate. Change it if necessary. Select [VeniPuncture] key.
  • Page 88 FOR YOUR NOTES 9-10...

  • Page 89: Monitoring Temp

    Monitoring Temp The monitor can measure temperature with any one of the following temperature modules:  SmarTemp module  THP79JU ear thermometer  Convidien Genius 2 tympanic tethered thermometer 10.1 Monitoring Temp with SmarTemp™ Module The SmarTemp™ Temp module is intended for monitoring oral, axillary and rectal temperature of adult and pediatric patients and axillary temperature of neonatal patients.

  • Page 90: Setting Temp

    WARNING according to your hospital’s policy. Please contact our Customer Service if accuracy verification is needed. NOTE  Patient actions may interfere with oral temperature readings. Ingesting hot or cold liquids, eating food, chewing gum, brushing teeth, smoking, or performing strenuous activities may affect temperature readings for up to 20 minutes after the activity has ended.
  • Page 91  Oral/Axillary probe: This type of probe is intended for taking oral or axillary temperature of adult and pediatric patients, or axillary temperature of neonatal patient.  Rectal probe: This type of probe is intended for taking rectal temperature of adult and pediatric patient.

  • Page 92: Disinfecting Temperature Probe

    In Predictive mode, the monitor automatically enters Monitor mode in the following cases:  Accurate temperature is not reached.  Neither measurement is taken nor is the probe replaced in the probe well in 60 seconds after the probe is withdrawn from the well. The temperature type automatically changes to Predictive mode when the probe returns to the probe well.

  • Page 93: Monitoring Temp With Thp79Ju Infrared Ear Thermometer

    Disinfect the probe with a soft cloth dampened with the recommended disinfectant. Wipe off all the remaining disinfectants from the probe with a soft cloth dampen with water. Dry the probe in a cool place. WARNING  Perform the decontamination or cleaning process with the monitor powered down and power cord removed.
  • Page 94 To connect the ear thermometer to the monitor: With the arrow-marked side of the plug face up, insert the plug into the ear thermometer connector. Lock the plug by turning the plug. Place the ear thermometer on the dock. 10.2.1.2 Installing a Probe Cover Package To install the probe cover package into the temperature dock: Remove the ear thermometer from the dock.
  • Page 95 Place the probe cover package on the loader, and take away the slip to let the probe covers fall into the loader. NOTE  It is recommended to quickly take away the slip to prevent the probe covers from turning over in the loader. Push down the cap.

  • Page 96: Understanding The Numerics

    Press ‘‘ON/MEM’’ button on the thermometer. When the thermometer is ready for measuring, the icon continuously displays on the thermometer LCD and two beeps sound. Gently pull the patient ear back to straighten the ear canal and position the probe into the ear canal towards the membrane of the eardrum.

  • Page 97: Troubleshooting

    10.2.3 Troubleshooting Message Cause Solution The ear thermometer Therm. battery low Replace the battery. battery is low. A measurement is taken Take a measurement until all the Therm. is not ready before the ear thermometer icons stop flashing. stabilizes. Ambient temp The environment Use the thermometer in an changes fast...

  • Page 98: Thermometer Buttons

    WARNING  No alarm is provided for the temperature measurement. CAUTION  Used probe covers must be treated as infectious biological waste and disposed of in accordance with current medical practices and local regulations. 10.3.2 Thermometer Buttons Button Name Functions Eject button Press the eject button to eject the probe cover from the probe.

  • Page 99: Taking An Temperature

    Equivalence Description Mode Oral The temperature is adjusted to display an oral temperature equivalent. Oral Mode = Ear Mode + 0.60°C (33.08°F) Core The temperature is adjusted to display a core temperature equivalent. Core Mode = Ear Mode + 1.04°C (33.87°F) Rectal The temperature is adjusted to display a rectal temperature equivalent.

  • Page 100: Temperature Display

    10.3.5 Temperature Display Display on Monitor (1) Thermometer On: The thermometer is turned on and connected to the monitor. (2) Site (3) Temperature reading (4) Alarm off (5) Unit of measure: °C or °F 10.3.6 Troubleshooting Message Cause Solution The communication Eject and re-install the probe cover.

  • Page 101: Monitoring Co

    Monitoring CO 11.1 Overview monitoring is a continuous, non-invasive technique for determining the concentration of CO in the patient’s airway by measuring the absorption of infrared (IR) light of specific wavelengths. CO has its own absorption characteristic and the amount of light passing the gas probe depends on the concentration of the measured CO .

  • Page 102: Co Display

    Measurement accuracy may be affected by the breath rate and inspiration/expiration ratio (I: E ratio) as follow:  EtCO value is within specification for breath rate ≤ 60 bpm and I/E ratio ≤ 1:1;  EtCO value is within specification for breath rate ≤ 30 bpm and I/E ratio ≤ 2:1. Measurement accuracy is unspecified for breath rate larger than 60 bpm.
  • Page 103 Plug the mini water trap to the CO sampling line connector on the monitor. Mini water trap Sampling line Connect the other end of the sampling line to the patient. Connect the CO gas outlet to the scavenging system with an exhaust tube. can be measured after the start-up is complete.

  • Page 104: Automatic Co Module Zeroing

    NOTE  To extend the lifetime of the mini water trap and module, disconnect the mini water trap from the module and set the operating mode to Standby mode when monitoring is not required. 11.6 Automatic CO Module Zeroing The CO module performs zero calibration automatically when needed.

  • Page 105: Entering The Standby Mode

     Select [Wave Type] and toggle between [Draw] and [Fill]. [Draw]: The CO wave is displayed as a curved line.  [Fill]: The CO wave is displayed as a filled area.  Select [Sweep] and then select the appropriate setting. The faster the wave sweeps, the wider the wave is.

  • Page 106: Setting Gas Compensation

    Set [BTPS Compensation] to [On] or [Off]. 11.7.7 Setting Gas Compensation The presence of interfering gas affects the CO measurement. To get the best possible measuring result, it is needed to set the gas compensation. The configured concentration of the interfering gas should be in accordance with its actual proportion. WARNING ...

  • Page 107: Clinical Scoring

    Clinical Scoring 12.1 Overview The Clinical Scoring function helps a clinician quickly determine the severity of illness of a patient based on a calculated score, so that the clinician can take necessary measures according to the indication provided by the Clinical Scoring function. The monitor supports the following scorings: ...

  • Page 108: Customizable Scoring

     Airway  Three customizable parameters The applicable patient category can be defined with the Mindray Clinical Scoring Config Tool. Refer to Clinical Scoring Config Instruction for Use (P/N: 046-007126-00) for customizable scorings. 12.2 Entering the Calculation Screen You can calculate a score in the scoring screen or in the score tile.

  • Page 109: Score Tile

    12.2.2 Score Tile The score tile is located in the main screen. By default, the scoring tile is not displayed. The scoring tile will activate when you select a default scoring or load a scoring. 12.3 Calculating a Score To calculate a score, follow this procedure: Select the default scoring or load a scoring for the applicable patient category.

  • Page 110: Scoring Screen

    (2) Score Status  Red : indicates that at least one parameter is out of the defined range.  White : indicates that all the parameters are within the normal range. 12.4.2 Scoring Screen The MEWS, NEWS or multi-parameter score screen display as following: (1) Icon for manual input You need to manually input the parameter.

  • Page 111: Obtaining The Total Score

    (1) Icon for manual input You need to manually input the parameter. (2) Icon for real-time monitoring The parameter value is from the monitor (3) Score status for single parameter  Red : indicates that the parameter is out of the defined range. ...
  • Page 112 Clear, Obstruction Customizable parameter The input range depends on the decimal point. The decimal point is customizable in Mindray Clinical Scoring Config Tool. 0 -- - 9999 (decimal point as 1) 0.0 -- - 999.9 (decimal point as 0.1) 0.00 -- - 99.99 (decimal point as 0.01)

  • Page 113: Managing Scorings

    12.6 Managing Scorings 12.6.1 Importing the Scoring You can import MEWS, NEWS and customized scorings into the monitor. Up to five scoring protocols can be imported into the monitor. Connect the USB drive to the USB connector on the monitor. Select [Main] →[Maintenance>>] →[User Settings>>]→Enter the required password→[Manage Scoring>>]→[Import Scoring>>].
  • Page 114 FOR YOUR NOTES 12-8...

  • Page 115: Recording

    Recording 13.1 Using a Recorder The thermal recorder records patient information, parameters numerics (measured value and manual input value), SpO waveforms (if configured), and so on. (1) Start/Stop key: press to start a recording or stop the current recording. (2) Indicator ...

  • Page 116: Setting The Recorder

    Paper roll CAUTION  Use only specified thermal paper. Otherwise, it may cause damage to the recorder’s printhead, the recorder may be unable to print, or poor print quality may result.  Never pull the recorder paper with force when a recording is in process. Otherwise, it may cause damage to the recorder.

  • Page 117: Reports

     The recorder runs out of paper.  When the recorder has an alarm condition. When a recording is stopped, the following markers will be added:  Automatically stopped recording: print two columns of ‘*’ at the end of the printout.

  • Page 118: Spot Check Trends Recording

    13.5.4 Spot Check Trends Recording The spot check trends strip includes patient information, recording time, measured value and measurement complete time. When [Filter] is set to [Manually Saved] or [All], the manual input data can be recorded. To print the spot check trends, Select the patient and filter.

  • Page 119: Network

    Network 14.1 Network Connection The monitor can be connected to the central station through the network.  The monitor transmits waveforms and numerics of parameters (Temp, SpO NIBP, CO ), related alarms and alarm settings, patient information, and operating mode to the central station. The waveforms, numerics, alarms, alarm settings, patient information, and operating mode displayed on central station are consistent with the monitor.

  • Page 120: Wireless Network

    In the Monitor Network Setup menu, you can:  Set [ ] to [ ] or [ Network Type WLAN  Set [ ] to [ ] or [ Address Type DHCP Manual  If [Address Type] is set to [DHCP], the monitor can automatically acquire network parameters.

  • Page 121: Setting Data Send Method

    The total throughput of all the wireless devices connected to the wireless network should be less than the effective transmitting capability of the wireless network. The throughput capacity of a single VS-900 is 700 kbps.  Do not connect non-approved devices to the wireless network.

  • Page 122: Realtime Date Send Interval (For Hl7 Only)

    Select [Network>>]→[NTP Setup>>]. Select [NTP Setup>>] to enter the NTP Setup menu. Set the following properties:  Set IP address and port.  Set the interval.  Set the time zone.  Switch on/off the daylight saving time. Select [Ok] to exit the menu. To manually start one time synchronization with the NTP server, follow this procedure: Select [Main]→[Maintenance >>]→[User Settings >>]→Enter the required password→Select [Ok] to access User Settings menu.

  • Page 123: Setting The Cms

     Admit the monitor on the CMS. Refer to the Hypervisor VI Operator’s Manual (PN: 300B-20-47610) for details of admitting a monitor.  Setting the CMS (refer to section 14.4.1 Setting the CMS for details), and then selecting a CMS (refer to section 14.4.2 Selecting a CMS for details). 14.4.1 Setting the CMS You can configure up to 30 central stations (CMS) for your monitor.

  • Page 124: Setting The Multicast Parameters

    Select [Import certificates >>] or [Delete certificates >>]. 14.6 Setting the Multicast Parameters Whether the equipment is presented by broadcast or multicast is defined before the equipment leaves the factory. If [Multicast] is selected, you need to set the multicast parameters.

  • Page 125: Battery

    Battery 15.1 Overview The monitor is designed to operate from battery power when AC power supply is not available. In case of power failure, the equipment will automatically run power from internal battery. So we recommend you always install a fully charged battery in the equipment.

  • Page 126: Charging A Battery

    15.2 Charging a Battery The battery is charged whenever the monitor is connected to an AC power source regardless of whether or not the monitor is currently on. When battery is charging, the AC power indicator and battery indicator are both On. The battery status symbol on the monitor screen displays when the charging is complete.

  • Page 127: Battery Maintenance

    will significantly shorten the life expectancy of a battery. Do not store the battery at a temperature beyond -20°C- 60°C. WARNING  Keep the battery out of children’s reach.  Use only specified batteries.  If the battery shows signs of damage or signs of leakage, replace it immediately. Do not use a faulty battery in the monitor.

  • Page 128: Recycling A Battery

    Install the battery. Connect the monitor to AC power. Allow the battery to be charged uninterrupted till the battery is full and the battery indicator is off. Remove AC power and allow the monitor to run from the battery until it shuts off. The operating time of a battery reflects their performance directly.

  • Page 129: Care And Maintenance

    Care and Maintenance The monitor should be maintained and cleaned on a regular basis. This chapter describes the basic cleaning, disinfection and test method. WARNING  Failure of the responsible individual, hospital or institution employing this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.

  • Page 130: Cleaning

    WARNING  Be sure to shut down the system and disconnect all power cables from the outlets before cleaning the equipment.  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.

  • Page 131: Disinfecting

    16.1.2 Disinfecting Disinfection may cause damage to the equipment and is therefore not recommended for this monitor unless otherwise indicated in your hospital’s servicing schedule. Cleaning equipment before disinfecting is recommended. The recommended disinfectants include: ethanol 70%, isopropanol 70%, Perform® classic concentrate OXY.
  • Page 132 Check/Maintenance Item Recommended Frequency Preventive Maintenance Visual inspection When first installed or after reinstalled. Pressure check NIBP Tests If the user suspects that the measurement is Leakage Test incorrect. Following any repairs or replacement of the Leakage test module. Test Performance test At least once a year Calibration...

  • Page 133: Checking Monitor Information

    16.4 Checking Monitor Information Select [Main]→[Maintenance >>]→[Monitor Information>>], you can view  system software version  copyright information  system configuration by selecting [ ], or; Monitor Configuration>>  status information, such as start time, self-test error, and so on by selecting Monitor Log>>...

  • Page 134: Nibp Test

    16.5 NIBP Test 16.5.1 NIBP Leakage Test The NIBP leakage test checks the integrity of the system and of the valve. It is required at least once a year or when you doubt the measured NIBP. If the test failed, corresponding prompt messages will be given.

  • Page 135: Nibp Accuracy Test

    16.5.2 NIBP Accuracy Test The NIBP accuracy test is required at least once a year or when you doubt the measured NIBP. Tools required:  T-shape connector  Tubing  Balloon pump  Metal Vessel (volume 500±25 ml)  Reference manometer (calibrated with accuracy equal to or better than 0.75 mmHg) Follow this procedure to perform the accuracy test: Connect the equipment as shown.

  • Page 136: Co Test

    If the difference between the manometer and displayed values is greater than 3 mmHg, contact your service personnel. 16.6 CO Test 16.6.1 CO Leakage Test For low flow rate CO module, leakage test is needed every year or when you suspect the measurement.

  • Page 137: Calibrating Co

    Open to the air Tubing Relief valve Monitor T-shape connector Gas cylinder Open the relief valve to vent standard CO and make sure that there is an excess gas flow through the T-shape connector to air. Check the realtime CO value is within 5.0±0.3% in the [Calibrate CO2] menu.

  • Page 138: Calibrating The Touchscreen

    Flowmeter Tubing Relief valve Monitor T-shape connector Gas cylinder Turn on and adjust the relief valve to make the flowmeter reads within 10-50ml/min and keeps stable as well. In the [Calibrate CO2] menu, enter the vented CO concentration in the [CO2] field. In the [Calibrate CO2] menu, the measured CO concentration is displayed.
  • Page 139 Select [Modify Password>>]. Enter new password and then select [Ok]. 16-11...
  • Page 140 FOR YOUR NOTES 16-12...

  • Page 141: Accessories

    For details about the accessories, refer to the instructions for use provided with the accessory. 17.1 SpO Accessories Extension Cable Module type Remarks Part No. 7 pins, 2.5 m 0010-20-42710 Mindray SpO Module 7 pins, 1.2 m 040-001443-00 Masimo SpO Module 8 pins, 2.1 m 040-000332-00 Nellcor SpO Module 8 pins, 2.5 m...
  • Page 142 Mindray SpO module Type Model Patient Category Part No. 520A Adult (non-adhesive) 520A-30-64101 520P Pediatric (non-adhesive) 520P-30-64201 520I Infant (non-adhesive) 520I-30-64301 520N Neonate (non-adhesive) 520N-30-64401 DS-100A Adult (Finger) 9000-10-05161 OXI-P/I Pediatric, infant 9000-10-07308 OXI-A/N Adult, neonate 9000-10-07336 ES-3212-9 Adult, Neonate (Ear)

  • Page 143: Nibp Accessories

    Nellcor SpO Module Type Model Patient Category Part No. MAX-AI Adult (>30Kg) 0010-10-12202 MAX-PI Pediatric (10 to 50Kg) 0010-10-12203 Disposable MAX-II Infant (3 to 20Kg) 0010-10-12204 MAX-NI Neonate (<3Kg), Adult (>40Kg) 0010-10-12205 DS-100A Adult 9000-10-05161 OXI-P/I Pediatric, infant 9000-10-07308 Reusable OXI-A/N Adult, neonate 9000-10-07336...

  • Page 144: Temp Accessories

    Patient Measurement Limb Model Part No. Category Site Circumference (cm) CM1301 Infant 10 to 19 040-000973-00 CM1302 Pediatric 18 to 26 040-000978-00 CM1303 Adult 24 to 35 040-000983-00 CM1304 Large adult 33 to 47 040-000988-00 CM1305 Adult Thigh 46 to 66 040-000993-00 Disposable Cuff...

  • Page 145: Thp79Ju Ear Thermometer Accessories

    Probe Cover Type Patient Category Description Part No. Adult, Pediatric, Neonate Cover, 20 pcs/pack M09A-20-62124 Disposable Adult, Pediatric, Neonate Cover, 200 pcs/pack M09A-30-62126 Adult, Pediatric, Neonate Cover, 2000 pcs/pack M09A-30-62128 17.3.2 THP79JU Ear Thermometer Accessories Ear Thermometer Type Description Part No. Reusable Infrared ear thermometer 100-000102-00...
  • Page 146 Sampling Line Patient Type Model Description Part No. Category Gas sampling line with Adult, 100-000138-00 airway adapter Pediatric Gas sampling line with Neonate 100-000139-00 DRYLINE airway adapter PRIME Nasal gas sampling line Adult 100-000142-00 Nasal gas sampling line Pediatric 100-000143-00 Nasal gas sampling line Neonate 100-000144-00...

  • Page 147: A Product Specifications

    Product Specifications A.1 Classifications The equipment is classified, according to IEC60601-1: Type of protection against electrical CLASS I EQUIPMENT, equipment energized from an shock external and internal electrical power source. DEFIBRILLATION-PROOF TYPE CF AAPPLIED PART for , NIBP, and TEMP Degree of protection against electrical shock DEFIBRILLATION-PROOF TYPE BF AAPPLIED PART for...

  • Page 148: Power Supply Specifications

    Item Operating conditions Storage conditions Temperature 16ºC to 33 ºC (60.8ºF to 91.4 ºF) -25 to 55ºC (-13ºF to 131ºF) Relative humidity 10% to 95% up to 95% (non-condensing) WARNING  The equipment may not meet the performance specifications if stored or used outside the specified temperature and humidity ranges.

  • Page 149: Physical Specifications

    Shutdown delay At least 20 minutes (after a low battery alarm first occurs) Battery (Optional) Battery Type LI23S002A, Chargeable Lithium-Ion Voltage 11.1 VDC Capacity 4500 mAh At least 8 hours when powered by a new fully-charged Run time battery at 25°C±5°C with SpO cable connected, and auto NIBP measurements at an interval of 15 minutes.

  • Page 150: Measurement Specifications

    AC power LED 1 (green) Battery LED 1 (green) A.5.4 Audio Indicator Give alarm tones (45 to 85 dB), key tones, pulse tone; power-on Speaker self-check tone, support PITCH TONE and multi-level tone modulation; alarm tones comply with IEC 60601-1-8. A.5.5 Monitor Interface Specifications Power 1 AC power input connector...
  • Page 151 Range (%) Step (%) High (low limit + 2) to 100 Mindray, Masimo: Desat to (high limit -- - 2) Nellcor: Desat or 20 (whichever is greater) to (high limit -- - 2) Desat 0 to (high limit -- - 2)
  • Page 152 PI measurement range 0.02% to 20% Resolution 70 to 100%: ±2% (measured without motion in adult/pediatric mode) 70 to 100%: ±3% (measured without motion in neonate mode) Accuracy 70 to 100%: ±3% (measured with motion) 1% to 69%: Not specified. Refreshing rate ≤...
  • Page 153 Module (low limit +2) to 300 20 to (high limit-2) NIBP Module (low limit +2) to 240 40 to (high limit-2) PR from Mindray SpO Module Measurement range 20 to 254 bpm Resolution 1 bpm ≤ 30 s (PI > 0.3, no disturbance, PR value sudden change within...
  • Page 154 Response time ≤ 20 s (PR value sudden change within 25 -- - 240 bpm) ±3 bpm (without motion) Accuracy ±5 bpm (with motion) Refreshing rate PR from Nellcor SpO Module Measurement range 20 to 300 bpm Resolution 1 bpm ≤...
  • Page 155 Max mean error: 5 mmHg Accuracy Max standard deviation: 8 mmHg Static pressure 0mmHg to 300mmHg measurement range Static pressure 3 mmHg measurement accuracy Resolution 1mmHg Adult: 80 to 280 Initial cuff inflation pressure Pediatric: 80 to 210 range (mmHg) Neonate: 60 to 140 Adult:...
  • Page 156 pressure. In neonatal mode, the blood pressure measurements measured with this device are in compliance with the American National Standard for Electronic or Automated Sphymomanometers (ANSI/AAMI SP10) in terms of mean error and standard deviation by comparing with intra-arterial measurements (depending on the configuration) in a typical patient population.
  • Page 157 THP79JU Infrared Ear Thermometer Technique Infrared Measurement range 32°C to 42.2°C (89.6°F to 108°F) Genius 2 Tympanic Tethered Thermometer Operating mode Adjusted mode Response time 2 seconds Ear: 33.0°C to 42.0°C (91.4°F to 107.6°F) Oral: 33.6°C to 42.0°C (92.5°F to 107.6°F) Measurement range Core: 34.0°C to 42.0°C (93.2°F to 107.6°F) Rectal: 34.2°C to 42.0°C (93.6°F to 107.6°F)
  • Page 158 resolution 1 mmHg Sample flow rate 50 ml/min Sample flow rate 15% or 15 ml/min, whichever is greater. tolerance Start-up time < 90 s Response time 5 s @ 50ml/min Rise time < 200 ms @ 50ml/min awRR measurement range 0 to 150 rpm <60 bpm: ±1 awRR measurement...

  • Page 159: Bemc And Radio Regulatory Compliance

    EMC and Radio Regulatory Compliance B.1 EMC The device meets the requirements of IEC 60601-1-2. 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. ...
  • Page 160 Guidance and Declaration - Electromagnetic Emissions The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. Emission tests Compliance Electromagnetic environment - guidance Radio frequency (RF) Group 1 The device uses RF energy only for its...
  • Page 161 Guidance and Declaration - Electromagnetic Immunity The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. Electromagnetic Immunity test IEC60601 test level Compliance level environment - guidance Electrostatic...
  • Page 162 Guidance and Declaration - Electromagnetic Immunity The device is intended for use in the specified electromagnetic environment. The customer or the user of the device should assure that it is used in such an environment as described below. Immunity test IEC60601 test Compliance Electromagnetic environment -...
  • Page 163 telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the [ME EQUIPMENT or ME SYSTEM] is used exceeds the applicable RF compliance level above, the [ME EQUIPMENT or ME SYSTEM] should be observed to verify normal operation.

  • Page 164: Radio Regulatory Compliance

    (2) this device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications to this equipment not expressly approved by Mindray may cause harmful radio frequency interference and void your authority to operate this equipment.
  • Page 165 point-to-point operation, as stated in RSS-210. WARNING  Keep a distance of at least 20cm away from the monitor when Wi-Fi function is in use.
  • Page 166 FOR YOUR NOTES...

  • Page 167: C Default Configurations

    Default Configurations This chapter lists some of the most important factory default settings in configuration management. You cannot change the factory default configuration itself. However, you can make changes to the settings from the factory default configuration and then save the changed configuration as a user configuration.
  • Page 168 Default Config Failure Defaults Alarm On/Off Alarm Priority Adult/pediatric:100 High Neonate: 95 Desat Low Sat-Seconds (Nellcor) NIBP Simultaneous Sweep 25 mm/sec Beat Volume Monitor mode: Low Sensor Off Lev. Spot Check mode: Off Sensitivity (Mindray) Sensitivity (Masimo) Normal Averaging (Masimo)
  • Page 169 C.1.3 PR Saved at Power Affected by Name Default Config Failure Defaults Alarm On/Off Alarm Priority Adult PR High Pediatric Neonate Adult PR Low Pediatric Neonate PR Source Beat Volume C.1.4 Temp Configured with SmarTemp Module Saved at Power Affected by Name Default Config Failure...
  • Page 170 Temp unit °C C.1.5 CO Saved at Power Affected by Name Default Config Failure Defaults Parameter-RR Alarm On/Off Alarm Priority RR High RR Low Parameter-EtCO Alarm On/Off Alarm Priority EtCO High EtCO Parameter-FiO Alarm On/Off Alarm Priority FiCO High Apnea Delay 20 s Operating Mode Measure...

  • Page 171: General Configuration

    C.2 General configuration C.2.1 Alarm Saved at Power Affected by Name Default Config Failure Defaults Latching Alarm Minimum Alarm Volume High Alarm Interval (s) Med Alarm Interval (s) Low Alarm Interval (s) Reminder Tone Alarm Light on Alarm Reset C.2.2 Review Saved at Power Affected by Name...

  • Page 172: User Maintenance Items

    C.2.4 Others Saved at Power Affected by Name Default Config Failure Defaults Brightness Alarm Volume Key Volume Display Setup All Parameters Parameter Time Out 15min Height Weight Pressure mmHg ℃ Temp Glucose mg/dl I/O Fluid Date Current date Time Current time Date Format yyyy-mm-dd Time Format...

  • Page 173: 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 the ‘‘Solution’’ column, corresponding solutions are given instructing you to troubleshoot problems. If the problem persists, contact your service personnel. D.1 Physiological Alarm Messages Alarm Alarm...
  • Page 174 If NIBP-Dia Over NIBP measurement the error remains, contact Upper Limit upper limit. Mindray or your service personnel. NIBP-Mean Over Upper Limit NIBP-Sys Over The measured Check the patient’s...
  • Page 175 Alarm Clearable? Alarm Cause Solution Message Level (Yes/No) Check the air pressure. Restart the monitor and NIBP Air An error occurred to retry. If the error remains, Pressure Err the air pressure. contact your service personnel. Check the patient’s The patient’s pulse is condition and change the NIBP Weak weak or the cuff is...
  • Page 176 D.2.2 SpO Alarm Messages Alarm Clearable? Alarm Cause Solution Message Level (Yes/No) Sensor Low*(Mon itor mode) (Mindray, Off* (Spot Masimo, Check Nellcor) mode) The SpO sensor Sensor has become Fault Check the sensor detached from the application site and the...
  • Page 177 (Masimo) motion. An error occurred to the SpO2 module, or there is Comm a problem with Restart the monitor. If the Err (Mindray, High error remains, contact our Masimo, communications service personnel. Nellcor) between the module and the monitor.
  • Page 178 PR Overrange The measured PR value exceeds the Contact your service (Mindray, measurement personnel. Masimo, range. Nellcor) ‘‘*’’ means the alarm level is user-adjustable. D.2.3 Temperature Alarm Messages Alarm Clearable? Alarm Cause Solution Message Level (Yes/No) An error occurred to...
  • Page 179 Temp The measuring Prediction Retry to measure. operation is improper. An error occurs during Temp High Temp module Replace the module. SelfTest Err initialization. The patient's Reduce the patient's Temp Over temperature is too High temperature, or replace High Limit high, or an error the module.
  • Page 180 Lower the operating temperature. Ambient temperature Sensor If the alarm persists, the is too high or there is a High Temp CO2 module may fail. module failure. Contact your service personnel. Check the CO Zero connections. If the alarm The zeroing failed. Failed persists, contact your service personnel.
  • Page 181 If the Reset problem problem still exists, contact your service personnel. Power supply to Check the measurements interrupted. the monitor was when the monitor restarts. If Check meas. interupted. the problem still exists, State. contact your service personnel or Mindray.
  • Page 182 D.2.7 System Alarm Messages Alarm Clearable? Alarm Cause Solution Message Level (Yes/No) No CMS The monitor is Check network connection. disconnected from the CMS. D-10...

  • Page 183: E Electrical Safety Inspection

    Electrical Safety Inspection The following electrical safety tests are recommended as part of a comprehensive preventive maintenance program. They are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or the operator. Additional tests may be required according to local regulations. All tests can be performed using commercially available safety analyzer test equipment.

  • Page 184: Device Enclosure And Accessories

    E.2 Device Enclosure and Accessories E.2.1 Visual Inspection Test Item Acceptance Criteria No physical damage to the enclosure and accessories. No physical damage to meters, switches, connectors, etc. The enclosure and accessories No residue of fluid spillage (e.g., water, coffee, chemicals, etc.). No loose or missing parts (e.g., knobs, dials, terminals, etc.).

  • Page 185: Earth Leakage Test

    E.5 Earth Leakage Test Run an Earth Leakage test on the device being tested before performing any other leakage tests. The following outlet conditions apply when performing the Earth Leakage test:  normal polarity (Normal Condition),  reverse polarity (Normal Condition), ...

  • Page 186: Mains On Applied Part Leakage

    For BF applied parts  100μA in Normal Condition  500μA in Single Fault Condition E.7 Mains on Applied Part Leakage The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage, through a limiting resistance, to selected applied part terminals. Current measurements are then taken between the selected applied part and earth.

  • Page 187: F Symbols And Abbreviations

    Symbols and Abbreviations F.1 Symbols μA microampere μV microvolt μs Microsecond ampere ampere hour beat per minute bit per second ºC centigrade centimeter decibel dyne second ºF fahrenheit gram gigahertz hour hertz inch kilo kilogram kilopascal litre pound meter milliampere hour mega byte milligram minute...
  • Page 188 mmHg millimeters of mercury millisecond millivolt milliwatt MΩ megaohm nanometer breaths per minute second volt volt ampere Ω watt － minus – negative ％ percent per; divide; or ～ ＋ plus ＝ equal to ＜ less than ＞ greater than ≤...

  • Page 189: Abbreviations

    F.2 Abbreviations AAMI Association for Advancement of Medical Instrumentation alternating current Admit/Discharge/Transfer adult AVPU Alert, Reacting to Voice, Reacting to Pain, and Unresponsive Conformité Européenne CISPR International Special Committee on Radio Interference CMOS complementary metal oxide semiconductor central monitoring system COPD Chronic Obstructive Pulmonary Disease direct current...
  • Page 190 NIBP noninvasive blood pressure NIBP-D NIBP-diastolic pressure NIBP-M NIBP-mean pressure NIBP-S NIBP-systolic pressure power photodetector pediatric Pleth plethysmogram pulse rate random access memory read-only memory arterial oxygen saturation from pulse oximetry temperature difference TEMP temperature...
  • Page 192 P/N: 046-004883-00 (7.0)

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