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Mindray DPM 5 Operator's Manual

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DPM 5 Patient Monitor
Operator's Manual

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  • Page 1 DPM 5 Patient Monitor Operator’s Manual...
  • Page 3 Contents of this manual are subject to change without prior notice. Revision number: 12.0 Release time: 2015-03 © Copyright 2008-2015 Mindray DS USA, Inc. All rights reserved. WARNING Federal Law (USA) restricts this device to sale by or on the order of a physician.
  • Page 4 Mindray DS USA, Inc. (hereinafter called Mindray DS) owns the intellectual property rights to this product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the copyright and patent rights of Mindray DS, nor the rights of others.
  • Page 5 All information contained in this manual is believed to be correct. Shenzhen Mindray Bio-Medical Electronics Co., Ltd. (hereinafter called Mindray) shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing or use of this manual.
  • Page 6 Return Policy In the event that it becomes necessary to return a unit to Mindray DS, follow the instructions below. Return authorization. Contact the Customer Service Department and obtain a Customer Service Authorization number. This number must appear on the outside of the shipping container. Returned shipments will not be accepted if the number is not clearly visible.
  • Page 7 Contact Information Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Address: Mindray Building, Keji 12th Road South,Hi-tech industrial park, Nanshan, Shenzhen 518057,P.R.China Website: www. mindray.com E-mail Address service@mindray.com.cn Tel: +86 755 81888998 Fax: +86 755 26582680 Distributor: Mindray DS USA, Inc.
  • Page 8 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. This manual is based on the maximum configuration and therefore some contents may not apply to your product.

  • 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 ........................1-4 1.2 Equipment Symbols ......................1-5 2 The Basics ......................... 2-1 2.1 Monitor Description ......................2-1 2.1.1 Intended Use ......................
  • Page 10 4 System Menu ........................4-1 4.1 Overview......................... 4-1 4.2 Patient Setup ........................4-2 4.2.1 Admit Patient...................... 4-3 4.2.2 Quick Admit Patient................... 4-5 4.2.3 Modify Patient....................4-5 4.2.4 Clear Patient Data ....................4-5 4.2.5 Discharge Patient ....................4-5 4.3 Configuration Setup ......................4-6 4.4 System Setup........................
  • Page 11 6.2.1 Visual Alarms ..................... 6-2 6.2.2 Audible alarms ....................6-3 6.2.3 Alarm Messages ....................6-3 6.2.4 Parameter Flashes....................6-4 6.2.5 Reminder Tones....................6-4 6.3 Alarm Statuses......................... 6-4 6.3.1 Alarms Disabled ....................6-4 6.3.2 Alarms Paused....................6-5 6.3.3 System Silenced ....................6-5 6.3.4 Alarm Sound Off ....................
  • Page 12 10.8.2 Electrode Placement..................10-34 10.8.3 Respiration Setup ..................10-35 10.9 Maintenance and Cleaning..................10-37 11 SpO Monitoring ......................11-1 11.1 Overview ........................11-1 11.2 Mindray DS SpO Module ...................11-2 11.2.1 Principles of Operation..................11-2 11.2.2 Precautions ......................11-3 11.2.3 Monitoring Procedure ..................11-3 11.2.4 Measurement Limitations................11-6 11.2.5 SpO...
  • Page 13 14.4.1 IBP Setup Menu ..................... 14-8 14.4.2 IBP Pressure Zero Menu ................14-12 14.5 Maintenance and Cleaning..................14-14 15 CO Monitoring......................15-1 15.1 Overview........................15-1 15.2 Mindray DS CO Module.................... 15-2 15.2.1 Principles of Operation .................. 15-2 15.2.2 Preparations for CO Measurement..............15-3 15.2.3 CO Setup Menu ....................
  • Page 14 Accessories ......................18-3 18.3 NIBP Accessories......................18-4 18.4 TEMP Accessories ...................... 18-5 18.5 IBP Accessories......................18-5 18.6 CO Accessories......................18-7 18.6.1 Mindray DS CO Accessories ................ 18-7 18.6.2 Oridion CO Accessories................18-7 18.7 AG Accessories ......................18-7 18.8 Others.......................... 18-8 A Product Specifications.....................A-1...

  • Page 15: Safety

    Safety 1.1 Safety Information The safety statements presented in this chapter refer to the basic safety information that the operator of the patient monitor shall pay attention to and abide by. There are additional safety statements in other chapters or sections, which may be the same as or similar to the followings, or specific to the operations.

  • Page 16: Dangers

    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 operation manual. 1.1.2 Warnings WARNING The device is intended for use by qualified clinical physicians or well-trained nurses in the specified places.

  • Page 17: Cautions

    1.1.3 Cautions CAUTION To ensure patient safety, use only parts and accessories specified in this manual. Remove the battery from the patient monitor if it will not be used or not be connected to the power line for a long period. Disposable devices are intended for single use only.

  • Page 18: Notes

    1.1.4 Notes NOTE Keep this manual close to the patient monitor so that it can be obtained conveniently when necessary. This patient monitor complies with the requirements of CISPR11 (EN55011) class A. The software was developed per IEC601-1-4. The possibility of hazards arising from errors in software program is minimized.

  • Page 19: Equipment Symbols

    1.2 Equipment Symbols NOTE Some symbols may not appear on your equipment. Attention: Consult accompanying documents (this manual). Power ON/OFF Power ON/OFF Alternating current (AC) Battery indicator Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating) patient part providing a high degree of protection against shock, and is suitable for use during defibrillation.
  • Page 20 ESD sensitivity Manufacture date Serial number The following definition of the WEEE label applies to EU member states only. This symbol indicates that this product should not be treated as household waste. By ensuring that this product is disposed of correctly, you will help prevent bringing potential negative consequences to the environment and human health.

  • Page 21: The Basics

    The Basics 2.1 Monitor Description This monitor integrates the functions of parameter measurement, waveform monitoring, freezing, and recording, etc. Its color TFT liquid crystal display is able to show patient parameters and waveforms clearly. The monitor also features compact size, lightweight, easy-to-carry handle and built-in battery, which make it portable, especially in hospital transport.

  • Page 22: Functions

    2.1.4 Functions This monitor is capable of monitoring the following parameters. Heart rate (HR) ECG waveform(s) ST segment analysis Arrhythmia analysis RESP Respiration rate (RR) Respiration waveform Pulse oxygen saturation (SpO Pulse rate (PR) plethysmogram NIBP Systolic pressure (NS), diastolic pressure (ND), mean pressure (NM) Pulse rate (PR) TEMP Temperature of channel 1 (T1), temperature of channel 2 (T2)

  • Page 23: External Appearance

    2.2 External Appearance 2.2.1 Front Panel Handle Alarm indicator Display Control knob Control panel Figure 2-1 Front Panel This monitor is designed to comply with the requirements of relative international safety standards (IEC60601-1, EN60601-2-27 and EN60601-2-30) for medical electrical equipment. This monitor has floating inputs and is protected against the effects of defibrillation and electrosurgery.

  • Page 24: Left Side Panel

    2.2.2 Left Side Panel Your monitor may not have all connectors as shown below. Figure 2-2 Left Side Panel Temperature probe connector (channel 1) Temperature probe connector (channel 2) IBP1: IBP transducer connector (channel 1) IBP2: IBP transducer connector (channel 2) ECG: ECG cable connector CO cable connector (not available in USA)

  • Page 26: Rear Panel

    2.2.4 Rear Panel Figure 2-4 Rear Panel Fan Vent Speaker holes Mounting holes for support bracket. Network Connector: Standard RJ45 connector. Through network connector, this monitor can be connected with the central monitoring system, another monitor, or a PC. It enables the functions of viewbed monitoring, data output and on-line software upgrading.

  • Page 27: Control Panel

    WARNING Accessory equipments connected to this patient monitor must be certified according to the respective IEC standards (e.g. IEC 60950 for information technology equipment and IEC 60601-1 for medical electrical equipment). Furthermore all configurations shall comply with the valid version of the system standard IEC 60601-1-1.

  • Page 28: Display

    10. Control Knob The main operator control is the control knob. The control knob rotates in either direction to highlight parameter labels and menu options. After highlighting the desired selection, press the control knob to execute an operation, make a selection, view a new menu or a small drop-down list.
  • Page 29 System time The system time of the monitor is displayed in two lines. The time format can be set in the TIME SETUP menu. Technical alarms area Technical alarm messages or prompt information are displayed in this area. In case of multiple messages, they will be displayed alternately.

  • Page 30: Batteries

    2.5 Batteries This monitor is designed to operate on battery (sealed lead-acid or Lithium Ion battery) power during intra-hospital patient transfer or whenever the power supply is interrupted. The battery is charged automatically when the monitor is connected to AC power, no matter the monitor is powered on or not.

  • Page 31: Battery Guidelines

    2.5.1 Battery Guidelines Life expectancy of a battery depends on how frequent and how long it is used. For a properly maintained and stored lead-acid or lithium ion battery, its life expectancy is about 2 or 3 years respectively. For more aggressive use models, life expectancy can be less. We recommend replacing lead acid batteries every 2 years and lithium ion batteries every 3 years.

  • Page 32: Battery Maintenance

    2.5.2 Battery Maintenance Conditioning a Battery A battery should be conditioned before it is used for the first time. A battery conditioning cycle is one uninterrupted charge of the battery, followed by an uninterrupted battery discharge and charge. . Batteries should be conditioned regularly to maintain their useful life. NOTE Condition a battery once when it is used or stored for 3 months, or when its operating time becomes noticeably shorter.

  • Page 33: Battery Recycling

    NOTE The battery might be damaged or malfunctioned if its operating time is too short after being fully charged. The operating time depends on the configuration and operation. For example, measuring NIBP more frequently will also shorten the operating time. When a battery has visual signs of damage, or no longer holds a charge, it should be replaced.
  • Page 34 In front of the wireless network card are three indicators that indicating its working status: POWER indicator OFF: The wireless network card is off or the patient monitor is off. Flashing: The wireless network card is resetting to the default. The wireless network card is on and ready.

  • Page 35: Installation

    Installation WARNING The installation of the monitor must be carried out by personnel authorized by us. The software copyright of the monitor is solely owned by our company. Any action to change, copy or exchange the software copyright by any organization or person is regarded as copyright infringement and is not allowed.

  • Page 36: Unpacking And Checking

    3.1 Unpacking and Checking Before unpacking, examine the packing case carefully for signs of damage. If any damage is detected, contact the carrier or our company. If the packing case is intact, open the package and remove the instrument and accessories carefully.

  • Page 37: Power Source Requirements

    3.3 Power Source Requirements The power applied to the monitor must meet the requirements specified in this manual. WARNING Make sure that the operating environment and the power applied to the patient monitor complies with the specified requirements. Otherwise its performance might not meet the specifications claimed in this manual, and unexpected results, such as damages to the patient monitor, may be incurred.

  • Page 38: Installing The Battery

    3.4.3 Installing the Battery If the monitor is to be powered by the internal battery, install the battery following the steps as below: Open the door in the direction as marked on the battery door. Move the battery catch above to one side using one finger. Insert the battery into the battery slot per the “+”...

  • Page 39: Auxiliary Output Port

    3.4.6 Auxiliary Output Port The auxiliary output port can be used to generate analog signals, nurse call signals or defibrillator synchronization signals. Analog output signals can be generated when the monitor is connected to an oscilloscope or a pen recorder. If the monitor is connected with the Nurse Call System of a hospital through a special nurse call cable, the monitor can generate nurse call signals when alarms occur.

  • Page 40: Equipotential Grounding

    3.4.8 Equipotential Grounding When other equipments are used together with the monitor, a grounding cable should be used to connect the equipotential grounding connectors of the monitor and of other equipments. This helps to reduce the potential differences between different pieces of equipment, and ensure the safety of the operator and patient.

  • Page 41: System Menu

    System Menu 4.1 Overview This chapter only gives introduction to the system menu. Other menus will be described in the following chapters. Figure 4-1 System Menu Most menus displayed by the monitor share the same structure. As shown above, a menu is made up of four parts: Menu title: Summarizes the content of the current menu.

  • Page 42: Patient Setup

    4.2 Patient Setup Select PATIENT SETUP>> in SYSTEM MENU. The following menu appears. Figure 4-2 Patient Setup Menu This menu displays the patient’s information, as well as four buttons located below. If no patient is admitted, the buttons are: CLEAR PATIENT DATA QUICK ADMIT PATIENT ADMIT PATIENT MODIFY PATIENT...

  • Page 43: Admit Patient

    4.2.1 Admit Patient To admit a new patient, please follow this procedure: Select ADMIT PATIENT in PATIENT SETUP menu. Select YES in the pop-up CONFIRM TO CLEAR THE DATA menu. The menu as shown below appears. Figure 4-3 Patient Information Setup Enter the patient’s information details.
  • Page 44 NOTE If the PAT NO or NAME has not been input, “PATI. INFO. IMCMP” will be displayed in the patient information area. Select OK button, and the patient is admitted. If the monitor is connected with the central monitoring system, you can monitor the patient through the central monitoring system.

  • Page 45: Quick Admit Patient

    4.2.2 Quick Admit Patient Select QUICK ADMIT PATIENT in PATIENT SETUP menu. Select YES in the pop-up CONFIRM TO CLEAR THE DATA menu. The following menu appears. You can set the PAT TYPE and status of PACE. Figure 4-4 Quick Admit Patient Select OK button, and the patient is admitted.

  • Page 46: Configuration Setup

    4.3 Configuration Setup Select CONFIG >> in the SYSTEM MENU. The following menu appears. Figure 4-5 Configuration menu If you have changed some settings during monitoring a patient and the changed settings are not proper, especially when a new patient is admitted, you can restore the factory configuration. According to the patient category, the monitor provides 3 kinds of factory configurations: factory adult configuration, factory pediatric configuration and factory neonatal configuration.

  • Page 47: System Setup

    4.4 System Setup Select SYSTEM SETUP>> in SYSTEM MENU. The following menu appears. Figure 4-6 System Setup SYSTEM SETUP menu contains the following submenus: FACE SELECT>> ALARM SETUP>> TIME SETUP>> RECORD>> DATA OUTPUT>> ANALOG>> MODULE SETUP>> TRACE SETUP>> MARK EVENT>>...

  • Page 48: Face Select

    4.4.1 Face Select Select FACE SELECT>> in SYSTEM SETUP menu. The following menu appears. Figure 4-7 Face Select In the FACE SELECT menu, options are available as shown above. For detailed information, see chapter Face Selection. 4.4.2 Alarm Setup Select ALARM SETUP>> in SYSTEM SETUP menu. The following menu appears. Figure 4-8 Alarm Setup...
  • Page 49 You can perform the following settings in the menu above: Alarm selection ALM SEL Options: COMMON ALM SETUP, XX ALM SETUP; (XX refers to physiological parameters such as HR, SPO2, etc.). If a parameter alarm setup is selected the corresponding alarm setup items will be displayed in the ALARM SETUP menu Alarm volume...

  • Page 50: Time Setup

    4.4.3 Time Setup Select TIME SETUP>> in SYSTEM SETUP menu. The following menu appears. Figure 4-9 Time Setup With the control knob, you can change the year, month, day, hour, minute and second as well as select the displayed format of the time. YYYY, MM, and DD refer to year, month and day respectively.

  • Page 51: Recorder Setup

    4.4.4 Recorder Setup Select RECORD>> in SYSTEM SETUP menu. The following menu appears. Figure 4-10 Recorder Setup In this menu, you can adjust the following items: Select the first waveform to be recorded. The setting of this item REC WAVE1 should be different with those of REC WAVE 2 and REC WAVE3;...

  • Page 52: Data Output

    Real-time recording time RT REC TIME Options: CONTINUAL and 8s. Timing recording time TIMING REC TIME The interval between automatic recordings. Options: OFF, 10MIN, 20MIN, 30MIN, 40MIN, 50MIN, 1HOUR, 2HOURS, 3HOURS and 4HOURS. The monitor will start recording at the selected interval, record for 8s and stop automatically.

  • Page 53: Analog Output

    Output Procedure Disconnect all patient cables connected to the monitor. Verify the monitor is connected to the PC and the PC is running the Patient Information Recall System software. Select from the data source options. Select OUTPUT in the menu and the prompt “CONNECTING…” is shown aside. If you exit the DATA OUTPUT menu at this time, the prompt will be displayed in prompt information area at the lower left corner of the screen.

  • Page 54: Module Setup

    NOTE If DEFIB. SYN or NURSE CALL is selected from the AUX OUTPTU options in the USER MAINTAIN menu, the ANALOG>> option in the SYSTEM SETUP menu will be inactive, and the monitor will be unable to output analog signals. For details, please refer to 4.7 Maintenance.

  • Page 55: Trace Setup

    4.4.8 Trace Setup Select TRACE SETUP>> in SYSTEM SETUP menu. The following menu appears. Figure 4-14 Trace Setup This menu allows you to select the parameter waveform(s) to be displayed. The mark “√” indicates the parameter waveform will be displayed, and that without the mark will not be displayed.

  • Page 56: Mark Event

    4.4.9 Mark Event Select MARK EVENT>> in SYSTEM SETUP menu. The following menu appears. Figure 4-16 Mark Event This menu allows you to mark four different events, namely event A, B, C and D. The “@” symbol will appear in the frame of the event being selected. If you attempt to unmark an event, press the control knob again on the marked selection.

  • Page 57: Selection Setup

    4.5 Selection Setup Select SELECTION>> in SYSTEM MENU. The following menu appears. Figure 4-17 Selection Setup You can perform the following settings in this menu: Key volume KEY VOL The volume can be set between 0 and 10. 0 indicates the volume is off and 10 indicates the maximum volume.

  • Page 58: Monitor Version

    4.6 Monitor Version You can select VERSION>> in the SYSTEM MENU to check the version information as shown below.. However, the VERSION menu of you monitor may be different. Figure 4-18 Version You can see the monitor’s configuration by selecting DEVICE CONFIG LIST>> as shown below. However, the DEVICE CONFIG LIST menu of you monitor may be different.

  • Page 59: Maintenance

    You can also see the device version by selecting DEVICE VERSION LIST>> as shown below. However, the DEVICE VERSION LIST menu of you monitor may be different. Figure 4-20 Device Version List 4.7 Maintenance Select MAINTAIN>> in SYSTEM MENU. The following menu appears. Figure 4-21 Enter Maintain Password 4-19...
  • Page 60 Enter USER KEY, then select CONFIRM button. The following menu appears. Figure 4-22 User Maintain You can perform the following settings: MONI NAME Monitor’s name. DEPT. The department where the monitor is located. BED NO The bed number where the monitor is located. Network type NET TYPE Options: CMS and CMS+.
  • Page 61 ANALOG OUT (analog output) If this option is selected, the auxiliary output port will be able to output analog signals, and you can perform the settings in the ANALOG menu. For details, see 4.4.6 Analog Output. If this option is not selected, the analog output function will be disabled and the ANALOG >>...

  • Page 62: Alarm Setup

    NOTE If you changed the net type and language, the settings take effect only after you restart the monitor. The setting of the notch frequency can neither be saved as the user configuration nor changed when the factory configuration is selected. Once set by a user, no operation except for manual adjustment can change it.

  • Page 63: Ip Address Setup

    NOTE In the case that alarm volume is set to 0, if you set ALARM SOUND OFF to DISABLE, alarm volume change to the default. WARNING Select the setting of ALARM SOUND OFF with caution. 4.7.2 IP Address Setup When the monitor is connected with the central monitoring system, and the NET TYPE is CMS+, you need to set the IP address of your monitor.

  • Page 64: Self Definition Of Color

    4.7.3 Self Definition of Color Select COLOR SELF-DEFINE >> in USER MAINTAIN menu. The following menu appears. Figure 4-25 Self-definition of color This menu allows you to choose in which color the waveform(s) and parameter(s) of a parameter module are to be displayed. OTHER PARA refers to the parameters, NIBP and TEMP, which do not have waveform.

  • Page 65: Nurse Call Setup

    4.7.4 Nurse Call Setup Select NURSE CALL SETUP >> in USER MAINTAIN menu. The following menu appears. Figure 4-26 Nurse Call Setup You can perform the following settings: SIGNAL DURATION Two options are available: PULSE, and CONTINUUM. PULSE When pulse is selected, a nurse call signal is a pulse signal lasting 1s. When multiple alarms occur simultaneously, only one pulse signal will be output.

  • Page 66: Ibp Pressure Calibration

    Trigger Conditions A nurse call signal will be triggered only if all the following conditions are met: The nurse call function is enabled. An alarm of the preset alarm level and alarm type comes out. The monitor is not in the Alarms Paused or the System Silenced status. NOTE If no option in ALM LEV or ALM TYPE is selected, the nurse call signal will not be triggered in whatever condition.

  • Page 67: Monitor Status

    4.7.8 Monitor Status Select STATUS >> in ENTER MAINTAIN PASSWORD menu. The following menu appears. Figure 4-27 Monitor Status This menu can display a maximum of ten status messages. In UP-DOWN case of more than ten, you can select UP-DOWN to learn other status messages.

  • Page 68: Demo Function

    4.8 DEMO Function Select DEMO >> in SYSTEM MENU. The following menu appears. Figure 4-28 Input Demo Key The monitor enters the demonstration mode when the correct password is input in the menu above. The word DEMO will be displayed on the main screen. The purpose of the demonstration display is to demonstrate the performance of the monitor, and for training purposes.

  • Page 69: Face Selection

    Face Selection 5.1 Standard Screen You can open the FACE SELECT menu by selecting FACE SELECT >> in SYSTEM SETUP menu. Figure 5-1 Face Select The standard screen is the default screen. If the current screen is not the standard screen, you may enter the standard screen by selecting STANDARD SCREEN and then selecting EXIT in FACE SELECT menu.

  • Page 70: Trend Screen

    5.2 Trend Screen To enter the following screen, select TREND SCREEN in FACE SELECT menu and then select EXIT. Figure 5-3 Trend Screen Trend graph Trend graphs locate to the right of the corresponding waveform in the waveform area, and display the trends of one parameter of each module.

  • Page 71: Oxycrg Screen

    5.3 OxyCRG Screen To enter the following screen, select oxyCRG SCREEN in FACE SELECT menu and then select EXIT. Figure 5-4 OxyCRG Screen Oxy CRG screen is located at the lower part of the waveform area, consisting of the HR trend, the SpO trend, and the RR (respiration rate) trend or the compressed respiration waveform.

  • Page 72: Viewbed Screen

    5.4 Viewbed Screen This monitor can view one parameter waveform and measured data from another patient monitor (viewbed monitor) on the same monitoring network. To enter the following screen, open FACE SELECT menu, select VIEWBED SCREEN, and then select EXIT. When connecting by wireless network (if your monitor has this feature), viewbed function is disabled.
  • Page 73 Viewbed monitor label The viewbed monitor lable allows you to select the viewbed monitor you want to view. It displays the bed number and patient name of the viewbed monitor. If they are not entered, the label displays blank. If the host monitor is not connected with any other monitor on the same network, the label displays N/A.

  • Page 74: Large Font Screen

    5.5 Large Font Screen To enter the following screen, open FACE SELECT menu, select LARGE FONT SCREEN, and then select EXIT. Figure 5-6 Large Font Screen As shown above, the HR, SpO and NIBP values (diastolic pressure, mean pressure and systolic pressure) are displayed in large font.

  • Page 75: Standby Mode

    5.6 Standby Mode During patient transport or temporary departure of a patient, the monitor can be set to STANDBY mode. In this mode, the monitor suspends the monitoring and measurement on the patient and shields all alarm indications. Besides the WORK MODE of CO and AG module (if available), which will also be changed to STANDBY, the previous menu settings and patient information keep unchanged.
  • Page 76 FOR YOUR NOTES...

  • Page 77: Alarms

    Alarms 6.1 Overview The monitor gives audible or visual alarms to indicate the medical staff, when a vital sign of the patient appears abnormal, or mechanical or electrical problems occur to the monitor. Upon turning on the monitor, the alarm indicator will flash once in yellow and red. Then, a beep will be heard.

  • Page 78: Alarm Levels

    6.1.2 Alarm Levels The alarms are divided into three priority levels: high level alarms, medium level alarms and low level alarms. High level alarms The patient ‘s life is in danger and requires emergency treatment, or Serious technical problem occurs to the monitor, such as error in ECG module initialization. Medium level alarms Vital signs of the patient become abnormal, and patient requires immediate treatment, or Certain technical problem occurs to the monitor, such as error in temperature calibration.

  • Page 79: Audible Alarms

    6.2.2 Audible alarms The monitor uses different alarm tones to indicate different alarm levels. High level alarm: “DO-DO-DO--DO-DO---DO-DO-DO--DO-DO”. Medium level alarm: “DO-DO-DO”. Low level alarm: “DO”. Different intervals correspond to different alarm levels: High level alarm phonates once every 3 or 8 seconds.

  • Page 80: Parameter Flashes

    6.2.4 Parameter Flashes An alarm is triggered when a patient parameter exceeds the parameter limit. At the same time, the measured parameter value in the parameter window flashes every second. If the ALM LIMIT in the SELECTION menu is turned ON, the exceeded upper or lower alarm limit also flashes every second.

  • Page 81: Alarms Paused

    NOTE When a new parameter module is installed or when a parameter module is turned ON, all the parameter alarms and technical alarms related to this module are disabled in the first 30-second operating time. The other module alarms are not influenced. 6.3.2 Alarms Paused To pause all alarms of the monitor for 1, 2 or 3 minutes, press the SILENCE key on the control panel once (for less than 2 seconds).

  • Page 82: Status Switchover

    6.3.5 Status Switchover In the Normal status, Press the SILENCE key for less than 2 seconds to switch to the Alarms Paused status, or Press the SILENCE key for 2 seconds or more to switch to the System Silenced status. In the Alarms Paused status, Press the SILENCE key for less than 2 seconds to switch to the Normal status, or Press the SILENCE key for 2 seconds or more to switch to the System Silenced status.

  • Page 83: Clearing Alarms

    6.5 Clearing Alarms Generally the alarm indications of an alarm will automatically be cleared when the alarm condition that triggered the alarm ceases. However, you can also clear the alarm indications or the latched alarms by the following ways. Clearing audible and visual alarm indications For some technical alarms, the audible and visual alarm indications will be cleared if the monitor is set to the Alarms Paused status (by pressing the SILENCE key for less than 2 seconds), and the alarm message will be changed to prompt information during and after the alarms paused time.

  • Page 84: Testing Alarms

    6.6 Testing Alarms When the monitor starts up, a selftest will be performed automatically. The alarm indicator will flash once in yellow and red. Then, the system gives a beep indicating that the visible and audible alarm indicators are functioning correctly. The start-up screen is displayed. For further testing of individual measurement alarms, perform the measurement on yourself (for example SpO2 or CO2) or use a simulator.

  • Page 85: Freezing Waveforms

    Freezing Waveforms 7.1 Overview You can freeze the monitored waveforms of a patient as desired and view the waveforms of 40 seconds to gain a clear observation. Besides, the monitor can print three frozen waveforms using the recorder. The freezing function of the monitor has the following features. When the monitor enters the frozen mode, it exits all other menus automatically.

  • Page 86: Frozen Menu

    7.3 FROZEN Menu The FROZEN menu is displayed at the lower left corner. You can perform the following settings in this menu. Waveform 1 WAVE 1 It determines the first frozen waveform to be printed on the recorder paper. The options of waveform 1 include all waveforms displayed on the screen and OFF.

  • Page 87: Waveform Recall

    7.4 Waveform Recall In the frozen mode, select the RECALL option in the FROZEN menu, and the option name changes to L-RIGHT. Rotate the control knob clockwise, and the frozen waveforms move to the right. At the lower right corner of the first waveform is an arrow pointing upward. The time is indicated below the arrow.
  • Page 88 FOR YOUR NOTES...

  • Page 89: Recording

    Recording .1 Overview Start/Stop key: this key has no function for this monitor. 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. Paper outlet Recorder door Latch...

  • Page 90: Recording Types

    .2 Recording Types The monitor supports the following types of recordings:  Real-time recording: continuous real-time recording or 8-second real-time recording.  Automatic recording.  Alarm recording: measured parameter alarm recording.  Frozen waveform recording.  Trend graph/table recording: trend graph, trend table, NIBP measurement, alarm event or arrhythmia recording.
  • Page 91 NOTE  For a parameter alarm recording, you must first set the ALM and ALM REC options to ON. Frozen waveform recording In the frozen mode, the monitor can print the frozen waveforms displayed on the screen and the parameters measured at the moment when the waveforms were frozen. For details, see 7.5 Recording Frozen Waveforms.

  • Page 92: Recorder Operations

    .3 Recorder Operations Continuous real-time recording Press the RECORD key to start recording. Press the RECORD key again to stop the recording. 8-second real-time recording Press the RECORD key to start recording. The recording stops automatically in 8 seconds. Automatic recording The recorder starts recording automatically at the preset interval (RT REC TIME).
  • Page 93 Trend table recording Select TREND TABLE>> in SYSTEM MENU to open the TREND TABLE window. Select the REC option to start recording. When the recording completes, the recorder stops automatically. NIBP measurement recording Select NIBP RECALL>> in SYSTEM MENU to open the NIBP RECALL window. Select the REC option to start recording.
  • Page 94 .4 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 ...

  • Page 95: Recall

    Recall 9.1 Overview The monitor is able to store important patient data so that the user can review and record the data as desired. Trend Graph Recall You can review the latest 1-hour trend graph of a measured parameter displayed every 1 or 5 seconds, or the latest 96-hour trend graph displayed every 1, 5 or 10 minutes.

  • Page 96: Trend Graph Recall

    9.2 Trend Graph Recall Select TREND GRAPH >> in SYSTEM MENU. The following window appears. Trend cursor 2. Cursor time Trend graph Y-axis X-axis Parameters area Figure 9-1 Trend Graph As shown above, PARA1, PARA2 and PARA3 allow you to select a parameter from the options. The trend graph of the selected parameter is displayed.
  • Page 97 When “OFF” is selected for “PARA1”, “PARA2” or “PARA3”, its trend graph will disappear, and then the trend graphs of other parameters will increase in amplitude and evenly occupy Parameters area. You can not select the same option for “PARA1”, “PARA2”...

  • Page 98: Trend Table Recall

    9.3 Trend Table Recall Select TREND TABLE >> in SYSTEM MENU. The following window appears. Figure 9-2 Trend Table The TIME is displayed on the left of the trend table. On the top is the latest time. From the upper to the lower, the interval between two adjacent times depends on the preset resolution.
  • Page 99 UP-DOWN Rotate the control knob to highlight the UP-DOWN option, and press. If the mark is displayed at the lower right of the TIME field, you can rotate the control knob anticlockwise to page down and review the trend data of earlier time. If the mark is displayed at the upper right of the TIME field, you can rotate the control knob clockwise to page up and review the trend data of later time.

  • Page 100: Nibp Recall

    9.4 NIBP Recall Select NIBP RECALL >> in SYSTEM MENU. The following window appears. Figure 9-3 NIBP Recall The NIBP RECALL window shows the non-invasive systolic pressure (NS), non-invasive mean pressure (NM), non-invasive diastolic pressure (ND), puse rate (PR) and the measurement time (TIME).

  • Page 101: Alarm Event Recall

    9.5 Alarm Event Recall Select ALARM RECALL >> in SYSTEM MENU. The following menu appears. Figure 9-4 Alarm Recall Condition Selections In this menu, you may select the conditions of alarm review: ALARM RECALL TIME You can select the desired start time and end time for review. The end time can be set to either CURRENT TIME or SELF-DEFINE.
  • Page 102 Parameter values at the time of the alarm event. Two waveforms at the time of the alarm event. You can set the waveform length by selecting from the ALM REC TIME options in the ALARM SETUP menu. Please refer to 4.4.2 Alarm Setup.

  • Page 103: Non-Volatile Data Storage

    9.6 Non-Volatile Data Storage To avoid losing patient’s data when the monitor is powered off intentionally or accidentally, this monitor can realize the non-volatile data storage function (optional). During monitoring, the patient’s data, including trend data, NIBP measurement results, alarm events, and relative waveforms, will be saved into the monitor.
  • Page 104 FOR YOUR NOTES 9-10...

  • Page 105: Ecg/Resp Monitoring

    ECG/RESP Monitoring 10.1 Overview Two algorithm packages are optional for ECG monitoring: Mindray DS algorithm package This package provides 3/5-lead monitoring. Mortara algorithm package This package provides 3/5/12-lead monitoring, ST-segment analysis and extended ARR analysis. 10.2 ECG Monitoring Procedure 10.2.1 Preparation...

  • Page 106: Electrode Placement

    10.2.2 Electrode Placement WARNING Use only the specified ECG cable for monitoring. When applying electrodes or connecting cables, make sure they are not connected to any conductive part or the ground. Verify that all ECG electrodes, including neutral electrodes, are securely attached to the patient. Skin irritation may result from the continuous application of the ECG electrodes.
  • Page 107 3-Leadwire Electrode Placement Following is the configuration per European standard when using three leadwires: R (right arm) electrode: near the right shoulder, directly below the clavicle. L (left arm) electrode: near the left shoulder, directly below the clavicle. F (left leg) electrode: on the left hypogastrium. Figure 10-1 Positions of 3-Leadwire Electrode Placement The chart below shows the label used to identify each leadwire.
  • Page 108 5-Leadwire Electrode Placement Following is the configuration per American standard when using five leadwires: Figure 10-2 5-Leadwire Electrode Placement RA (right arm) electrode: near the right shoulder, directly below the clavicle. LA (left arm) electrode: near the left shoulder, directly below the clavicle. RL (right leg) electrode: on the right hypogastrium.
  • Page 109 When attaching the chest electrode to the back of a patient, place it at one the following sites: V7: On the 5th intercostal space at the left posterior axillary line of the back. V7R: On the 5th intercostal space at the right posterior axillary line of the back. Figure 10-3 Positions of Chest Electrode The chart below shows the label used to identify each leadwire.
  • Page 110 10-Leadwire Electrode Placement Figure 10-4 10-Leadwire Electrode Placement 12-lead ECG monitoring 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. Electrode Placement for Surgical Patients Electrode placement during surgery is dependent on the type of surgery being performed.

  • Page 111: Characteristics Of Quality Ecg Signal

    WARNING When using Electrosurgery equipment, patient leads should be placed in a position that is equal distance from the Electrosurgery electrotome and the grounding plate to avoid burns to the patient. The Electrosurgery equipment wire and the ECG cable must be kept separated and not allowed to tangle. When using Electrosurgery equipment, never place the ECG electrodes near the grounding plate of the Electrosurgery device.

  • Page 112: Ecg Display

    10.3 ECG Display 10.3.1 ECG Waveform In the standard screen, one or two ECG waveform(s) is (are) displayed at the top of the display when LEAD TYPE is set to 3 LEADS or 5LEADS respectively in the ECG SETUP menu. Figure 10-6 ECG Waveforms As shown above, when 5 LEADS is selected, five labels are located above the ECG waveforms: ECG lead of channel 1 (Primary lead)

  • Page 113: Ecg Parameters

    WARNING Only in the DIAGNOSTIC mode will the monitor provide non-processed real signal waveforms. In the MONITOR or SURGERY mode, the ECG waveforms may have slight distortions and the result of the ST segment analysis may be affected greatly. In the SURGERY mode, the ARR analysis result may be affected to some extent.

  • Page 114: Ecg Setup Menu

    To display the ECG SETUP menu, use the knob to select the ECG label in the parameter windows. The options available in the menu vary with each algorithm package Figure 10-8 ECG SETUP Menu (Mindray DS Algorithm Package) Figure 10-9 ECG SETUP Menu (Mortara Algorithm Package)
  • Page 115 The options of ECG SETUP menu are listed below. However, your algorithm package may not include some of these options. HR ALM Heart rate alarm on/off status ON: When a heart rate alarm occurs, the monitor gives alarm indications and stores the alarm; OFF: When a heart rate alarm occurs, the monitor neither gives alarm indications nor stores the alarm;...
  • Page 116 AUTO: The monitor automatically selects an optimal channel to calculate the heart rate. This option is available in Mindray DS algorithm package only. For Mortara algorithm package, the monitor uses both channels to calculate the heart rate simultaneously. LEAD TYPE Options: 3 LEADS, 5 LEADS and 12LEADS;...
  • Page 117 Select OTHER SETUP >> in the ECG SETUP menu. The following menu appears. The options available in the menu vary with each algorithm package. Figure 10-10 Other ECG Setup (Mindray DS Algorithm Package) Figure 10-11 Other ECG Setup (Mortara Algorithm Package) In this menu, you can select any of the displayed option.
  • Page 118 When ECG is in NORMAL DISPLAY mode, if the SMART LEAD OFF is configured ON and there is a LEAD OFF in the HR-derived channel, the system will automatically switch to another lead to restore the display of the ECG waveform in the HR-derived channel. When the LEAD OFF condition is corrected, the leads are automatically switched back.
  • Page 119 NOTE When monitoring a patient with a pacemaker, PACE must be turned ON. Otherwise, the system will count the pacemaker pulse as QRS complex. Do not completely depend on the alarms of heart rate. The patient with a pacemaker must be nearly monitored.
  • Page 120 NOTE If the filter method of the ECG waveform is set to a non-diagnostic mode, only the NOTCH option ON is active and the monitor filters the signals of the power line frequency. CASCADE ECG cascade ON: The monitor displays the waveform of each channel in two lines.
  • Page 121 ECG CAL Select this option to begin calibrating the ECG. To stop calibration, select this option again, or change the ECG lead selection on the screen. ADJUST WAVE POS This is used to adjust the position of the ECG waveform on >>...

  • Page 122: St Analysis

    10.5 ST Analysis 10.5.1 Overview The function of ST analysis is optional. In the factory configuration, ST analysis is disabled. When turning ST ANALYSIS on, the monitor selects DIAGNOSTIC mode automatically. You can set the monitor to MONITOR or SURGERY mode as required. However, ST analysis will turn off automatically.
  • Page 123 ST ANAL ST analysis ON: Enables the ST analysis; OFF: Disables the ST analysis. NOTE ST analysis can be carried out only when the filter method is set to DIAGNOSTIC. When ST analysis is switched on, the filter method will automatically switch to DIAGNOSTIC if it is not in the diagnostic mode.

  • Page 124: Adjusting St Measurement Point

    10.5.3 Adjusting ST Measurement Point The ST measurement for each beat complex is the ventical difference between two measurement points. The isoelectric point provides the baseline for the measurement and the ST point provides the other measurement point. R wave T wave P wave ST measurement value...
  • Page 125 Mortara algorithm package To adjust the points: Select DEF POINT >> in the ST ANALYSIS menu to open the following window. Three vertical cursors indicate the positions of the ISO, J and ST points. Figure 10-15 ST Measurement Point Select VIEW LEADS option, and then rotate the knob to select a suitable ECG lead for ST measurement, with a visible J-point and a visible P wave.

  • Page 126: Arrhythmia Analysis

    10.6 Arrhythmia Analysis 10.6.1 Overview The monitor uses the user-selected primary or secondary ECG lead for arrhythmia analysis. In clinical application, the medical professionals can use the arrhythmia analysis to evaluate patients’ condition (such as heart rate, PVCs rate, rhythm and ectopic beat) and give proper treatment.

  • Page 127: Arrhythimia Options

    10.6.2 Arrhythimia Options Mortara algorithm package When Mortara algorithm package is configured, your monitor has the following extended arrhythmia analysis option. Arrhythmia Message Description ASYSTOLE No QRS complex within the defined time in absence of ventricular fibrillation or chaotic signals. VFIB Ventricular fibrillation occurs and persists for 6 seconds.

  • Page 128: Arrhythmia Analysis Menu

    10.6.3 Arrhythmia Analysis Menu Select ARR ANALYSIS >> in ECG SETUP menu. The following menu appears. The menu items vary with the algorithm packages. Figure 10-16 Arrhythmia Analysis (Mortara algorithm package) In this menu, you can perform the following settings: ARR ANAL Arrhythmia analysis ON: Enables the arrhythmia analysis;...

  • Page 129: Arrhythimia Relearn

    10.6.4 Arrhythimia Relearn During ECG monitoring, you may need to start an arrhythmia relearn when a dramatic change in the patient’s ECG pattern has occurred. A change in the ECG pattern could result in: Incorrect arrhythmia alarms, Loss of ST measurements, and/or Inaccurate heart rate.
  • Page 130 Figure 10-17 Arrhythmia Alarm Setup (Mortara algorithm package) In the menu, the ALM field indicates the alarm on/off status, REC indicates the alarm recording on/off status and LEV indicates the alarm level. You can change the settings as described below. ALL ALM ON All alarms on Enables all arrhythmia alarms;...

  • Page 131: Arr Threshold

    10.6.6 Arr Threshold Select ARR THRESHOLD >> in the ECG SETUP menu and the following menu appears. You can change the threshold settings in this menu. An alarm will be triggered when a rate exceeds a threshold. Figure 10-18 ARR Threshold Setup ARR Event Range Default...

  • Page 132: Arrhythmia Recall

    10.6.7 Arrhythmia Recall Select ARR RECALL >> in the ARR ANALYSIS menu. The following menu appears. You can review any stored arrhythmia event in this menu. Figure 10-19 Arrhythmia Recall You can perform the following operations: UP-DOWN A maximum of 10 arrhythmia events can be displayed in the window each time.
  • Page 133 Figure 10-20 Arrhythmia waveform Review You can perform the following operations: UP-DOWN This option allows you to page up and down to review the waveform and the parameters of other arrhythmia events. L-RIGHT This option allows you to review 8-second waveform of the currently displayed arrhythmia event.

  • Page 134: 12-Lead

    10.7 12-Lead 10.7.1 12-Lead Monitoring Display You can enter the 12-lead monitoring display if your monitor is configured with the 12-lead monitoring. To enter the ECG 12-Lead monitoring screen: Place the 10 electrodes on the patient. Select the ECG label to enter the ECG SETUP menu. Set LEAD TYPE to 12 LEADS.

  • Page 135: 12-Lead St Analysis Menu

    In the 12-Lead Monitoring Display: Labels except the ECG-related ones (ECG, ST, GAIN, RHYTHM) are all disabled. The REC button on the control panel is disabled. You can press the MAIN and MENU buttons on the control panel to exit the 12-Lead Monitoring Display and return to the normal monitoring display.
  • Page 136 ST ALM ST segment alarm ON: If the measured ST numerics exceed the alarm limit, the monitor gives alarm indications and saves the alarm; OFF: If the measured ST numerics exceed the alarm limit, the monitor does not give alarm indications or save the alarm. When OFF is selected, the icon is displayed on the upper right of the ST data area.

  • Page 137: Resp Monitoring

    10.8 RESP Monitoring 10.8.1 Overview Respiration is detected by measuring thoracic impedance. The monitor measures the change of the impedanec between the RA and LA electrodes of the ECG lead I, or the RA and LL electrodes of the ECG lead II, and produces a respiration waveform as shown below. Figure 10-23 Respiration Waveform and Parameter Waveform name.

  • Page 138: Electrode Placement

    10.8.2 Electrode Placement Since the same electrodes are used for ECG and respiration monitoring, the electrode placement is very important. Some patients, due to their clinical condition, expand their chest laterally, causing a negative intrathoracic pressure. In these cases it is better to place the two electrodes used for respiration monitoring laterally in the right axillary and left lateral chest areas, at the maximum point of the breathing movement, to optimize the respiratory waveform.

  • Page 139: Respiration Setup

    10.8.3 Respiration Setup Selecting the RESP label on the screen opens the following menu. Figure 10-25 RESP Setup Menu In this menu, you can perform the following settings. Alarm on/off ON: When a respiration rate alarm occurs, the monitor gives alarm indications and stores the alarm;...
  • Page 140 For different patient types, the upper/lower limits of the respiration rate alarm may vary in the following range. Patient type Upper Limit Lower Limit Increment (breath/min) Adult (lower limit+2) ~120 0~(upper limit-2) Neonate/pediatric (lower limit+2) ~150 0~(upper limit-2) APNEA ALM Apnea alarm Determines whether the patient’s cessation of breath is an apnea event.

  • Page 141: Maintenance And Cleaning

    10.9 Maintenance and Cleaning WARNING Before cleaning the ECG cable, be sure to disconnect the monitor from the ECG cable, or shut down the system and disconnect all power cords from the outlet. If the ECG cable is damaged or aged, replace with a new one. Cleaning The exterior surfaces of the ECG cable may be cleaned with a soft cloth, dampened with the alcohol, and then be air-dried or dried with a clean dry cloth.
  • Page 142 FOR YOUR NOTES 10-38...

  • Page 143: Spo 2 Monitoring

    Monitoring 11.1 Overview The monitor measures the patients’ SpO (oxygen saturation) and displays: Pulse rate (PR) value in the ECG or SpO2 parameter window. PLETH waveform in the waveforms area. Oxygen saturation (SpO2%) value in the SpO2 parameter window. The PR value is displayed in the ECG parameter window only if: SpO2 is selected from the HR FROM options in the ECG SETUP menu;...

  • Page 144: Mindray Ds Spo Module

    SpO2 and SPO2 are used interchangeably in this chapter. 11.2 Mindray DS SpO Module NOTE This section is only applicable to the monitor equipped with a Mindray DS SpO2 module. 11.2.1 Principles of Operation monitoring is a non-invasive technique used to measure the amount of oxygenated hemoglobin and pulse rate by measuring the absorption of selected wavelengths of light.

  • Page 145: Precautions

    11.2.2 Precautions WARNING The SpO2 value might be overestimated in the presence of Hb-CO, Met-Hb or dye dilution chemicals. Check if the sensor cable is in normal condition before monitoring. Do not use the SpO2 sensor once the package or the sensor is found damaged. Verify sensor cable fault detection before beginning monitoring.
  • Page 146 NOTE Place the SpO2 sensor cable at the backside of the patient hand. Make sure the fingernail is just opposite to the light emitted from the sensor. Neonate Sensor Placement Neonate SpO sensor consists of a Y-shape SpO sensor and its sheath. Insert the LED and PD ends of the Y-shape SpO sensor respectively into the upper and lower grooves on the sheath (Figure 11-3).
  • Page 147 Figure 11-5 Neonate Sensor Placement (3) NOTE If the sensor cannot be positioned accurately to the part to be measured, it may result in inaccurate SpO2 reading, or the SpO2 even cannot be measured because no pulse is detected. In this case, you must position the sensor again. The excessive patient movement may result in inaccurate reading.

  • Page 148: Measurement Limitations

    11.2.4 Measurement Limitations If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs by an alternate method. Then check the instrument for proper function. Inaccurate measurements may be caused by: Improper SpO2 sensor; High-frequency electrical noise, including noise created by the host system, or noise from external sources, such as electrosurgical apparatus connected to the system;...

  • Page 149: Spo 2 Setup Menu

    11.2.5 SpO Setup Menu Selecting the SPO label in the parameter window opens the following menu. Figure 11-6 SpO2 Setup Menu You can perform the following settings in this menu. SpO2 alarm on/off status ON: When a SpO2 alarm occurs, the monitor gives alarm indications and stores the alarm;...
  • Page 150 and PR alarm limits: Parameter Upper Limit Lower Limit Step SpO2 (lower limit+1) ~100 0~(upper limit-1) (lower limit+2) ~254 0~(upper limit-2) The SpO and PR alarm limits in factory configuration: Parameter Patient type Upper limit Lower limit Adult SpO2 Pediatric Neonate Adult Pediatric...

  • Page 151: Nellcor Spo 2 Module

    CONFIG >> You can select this option to access the SPO2 CONFIG menu, in which you may select FACTORY CONFIG or USER CONFIG. After finishing your selection and exiting the menu, the system pops up a dialog box asking for your confirmation.
  • Page 152 Automatic Calibration Because light absorption by hemoglobin is wavelength dependent and because the mean wavelength of LEDs varies, a monitor must know the mean wavelength of the sensor’s red LED to accurately measure SpO . During manufacturing, the mean wavelength of the red LED is encoded in a resistor in the sensor.

  • Page 153: Precautions

    11.3.2 Precautions WARNING Pulse oximeter can overestimate the SpO2 value in the presence of Hb-CO, Met-Hb or dye dilution chemicals. ES (Electrosurgery) equipment wire and SpO2 cable must not be tangled up. Carefully route patient cabling to reduce the possibility of patient entanglement or strangulation.

  • Page 154: Measurement Limitations

    11.3.4 Measurement Limitations If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs by an alternate method. Then check the instrument for proper function. Inaccurate measurements may be caused by: Incorrect sensor application or use; Placement of a sensor on the same extremity with a blood pressure cuff, arterial catheter, or intravascular line;...

  • Page 155: Spo Setup Menu

    11.3.5 SpO Setup Menu Selecting the SPO label in the parameter window opens the following menu. Figure 11-8 SpO2 Setup Menu You can perform the following settings in this menu. SpO2 alarm on/off status ON: When a SpO2 alarm occurs, the monitor gives alarm indications and stores the alarm;...
  • Page 156 and PR alarm limits: Parameter Upper Limit Lower Limit Step SpO2 (lower limit+1) ~100 0~(upper limit-1) (lower limit+2) ~254 0~(upper limit-2) The SpO and PR alarm limits in factory configuration: Parameter Patient type Upper limit Lower limit Adult SpO2 Pediatric Neonate Adult Pediatric...

  • Page 157: Accessories

    11.3.6 Accessories If your monitor is equipped with a Nellcor SpO module, use only Nellcor oximetry sensors for measurements. Other sensors may cause improper pulse oximeter performance. Before use, carefully read the directions for the sensor. When selecting a sensor, consider, the patient’s weight and motion, the adequacy of perfusion, the available sensor sites, and the required disinfection.
  • Page 158 FORYOURNOTES 11-16...

  • Page 159: Nibp Monitoring

    NIBP Monitoring 12.1 Overview The Non-invasive Blood Pressure (NIBP) module measures blood pressure using the oscillometric method. This monitor can be applied to adult, pediatric, and neonatal patients. Three modes of measurement are available: manual, automatic and continuous. Manual: Pressing the NIBP key on the control panel starts a NIBP measurement. Auto: The NIBP measurement is conducted automatically at a preset interval.

  • Page 160: Monitoring Procedure

    If a set of measured results appears in grey, it indicates this measurement is performed at least 1 hour ago. 12.2 Monitoring Procedure WARNING You must not perform NIBP measurements on patients with sickle-cell disease or under any condition in which the skin is damaged or expected to be damaged. For a thrombasthemia patient, it is important to determine whether measurement of the blood pressure shall be done automatically.

  • Page 161: Operation Guides

    Make sure that the cuff edge falls within the range of the <-> mark. If it does not, use a larger or smaller cuff that will fit better. The limb chosen for taking the measurement should be placed at the same level as the patient's heart.

  • Page 162: Measurement Limitations

    To start a continuous NIBP measurement Selecting CONTINUAL in NIBP SETUP menu starts a continuous NIBP measurement. The monitor continues measuring NIBP for five minutes. To stop a NIBP measurement During an auto, manual or continuous measurement, pressing the NIBP key on the control panel stops the ongoing measurement.

  • Page 163: Nibp Setup Menu

    12.4 NIBP Setup Menu Selecting the NIBP label in the parameter area opens the following menu. Figure 12-2 NIBP Setup Menu You can perform the following settings in this menu. NIBP alarm on/off status ON: When a NIBP alarm occurs, the monitor gives alarm indications and stores the alarm;...
  • Page 164 SYS ALM HI Determines the upper limit of the systolic pressure. SYS ALM LO Determines the lower limit of the systolic pressure. MEAN ALM HI Determines the upper limit of the mean pressure. MEAN ALM LO Determines the lower limit of the mean pressure. DIA ALM HI Determines the upper limit of the diastolic pressure.

  • Page 165: Calibration

    DATE TIME 2006-6-12 16:06:00 2006-6-12 16:11:00 2006-6-12 16:16:00 UNIT Options: mmHg, kPa; INTERVAL Select MANUAL to set the monitor to manual NIBP measurement mode, or select from the time options to determine the interval between automatic measurements. Optional intervals: 1, 2, 3, 4, 5, 10, 15, 30, 60, 90, 120, 180, 240, and 480MIN.

  • Page 166: Testing For Air Leakage

    Monitor Reference manometer NIBP cuff Hose connector Ball pump Metal vessel Figure 12-3 NIBP Calibration NOTE The calibration of the NIBP measurement should be performed every two years or performed according to the Hospital Procedure. 12.4.2 Testing for Air Leakage The PNEUMATIC option is used to test air leakage.

  • Page 167: Maintenance And Cleaning

    If no information appears on the bottom of the NIBP parameter area, it indicates the airway is in good condition and an air leak does not exist. However if the information “PNEUMATIC LEAK” appears, it indicates the airway may have an air leak. In this case, check for loose connections.
  • Page 168 Figure 12-5 Replacing the Rubber Bladder To replace the rubber bladder in the cuff: Place the bladder on top of the cuff so the rubber tubes line up with the large opening on the long side of the cuff. Roll the bladder lengthwise and insert it into the opening on the long side of the cuff. Hold the tubes and the cuff and shake the complete cuff until the bladder is in position.

  • Page 169: Temp Monitoring

    TEMP Monitoring 13.1 Overview The monitor is able to use two temperature probes simultaneously, to obtain two temperature values and the difference between them. The measurement values are displayed in the TEMP parameter window as shown below. Figure 13-1 TEMP Parameter Window TEMP label: Selecting this label opens the TEMP SETUP menu.

  • Page 170: Measurement Procedure

    13.2 Measurement Procedure To measure the temperature of a patient, If a disposable temperature probe is used, plug the temperature probe cable in the temperature probe connector on the side panel of the monitor, and then connect the temperature probe with the cable; if a reusable temperature probe is used, connect the temperature probe with the temperature probe connector directly.

  • Page 171: Temp Setup Menu

    13.3 TEMP Setup Menu Selecting the TEMP label in the parameter window opens the following menu. Figure 13-2 TEMP Setup Menu You can perform the following settings in this menu. Temperature alarm on/off status ON: When a temperature alarm occurs, the monitor gives alarm indications and stores the alarm;...

  • Page 172: Maintenance And Cleaning

    between channel 1 and channel 2. TEMP UNIT Options: ℃ and ℉ CONFIG >> You can select this option to access the TEMP CONFIG menu, in which you may select FACTORY CONFIG or USER CONFIG. After finishing your selection and exiting the menu, the system pops up a dialog box asking for your confirmation.

  • Page 173: Ibp Monitoring

    IBP Monitoring 14.1 Overview The monitor provides two channels to measure the invasive blood pressure (IBP, including diastolic, systolic and mean pressures), and displays two waveforms. Figure 14-1 IBP Waveform CH1 label: select the waveform of channel 1 to be displayed. CH2 label: select the waveform of channel 2 to be displayed.

  • Page 174: Precautions

    14.2 Precautions WARNING Use only the IBP transducer specified in this operation manual. Disposable IBP transducers or domes should not be reused. Parts and accessories used must meet the safety requirements of the medical electrical equipment standards. The need for the operator to avoid conductive connection to the applied part likely to degrade safety.

  • Page 175: Monitoring Procedure

    14.3 Monitoring Procedure Plug the pressure cable into the IBP connector on the monitor and power on the monitor. Prepare the pressure line and transducer by flushing the system with normal saline solution. Make sure the tubing and transducer system is free of air bubbles. NOTE In case of any entrapped air in the pressure system, re-fill the system with normal saline.

  • Page 176: Ibp Menu

    14.4 IBP Menu Selecting the IBP (1,2) label in the parameter window opens the following menu. Figure 14-4 IBP (1,2) Select Menu 14.4.1 IBP Setup Menu The IBP SETUP in IBP (1,2) SELECT menu allows you to access the following menu. Figure 14-5 IBP (1,2) Setup Menu 14-8...
  • Page 177 You can perform the following settings in this menu. IBP alarm on/off status ON: When a IBP alarm occurs, the monitor gives alarm indications and stores the alarm; OFF: When a IBP alarm occurs, the monitor neither gives alarm indications nor stores the alarm; When OFF is selected, the icon is displayed on the right of the IBP (1,2) label.
  • Page 178 Figure 14-6 IBP Alarm Setup Menu IBP alarm limits Pressure Label Upper Limit (mmHg) Lower Limit (mmHg) Step (mmHg) (lower limit+2) ~300 0~(upper limit-2) (lower limit+2) ~120 -6~(upper limit-2) (lower limit+2) ~40 -10~(upper limit-2) (lower limit+2) ~40 -10~(upper limit-2) (lower limit+2) ~40 -10~(upper limit-2) (lower limit+2) ~40 -10~(upper limit-2)
  • Page 179 HI: Determines the high scale. The reference scale changes when the high scale is changed. LO: Determines the low scale. The reference scale changes when the low scale is changed. VAL: Determines the reference scale and position. The high and low scales remain unchanged when the reference scale is changed.

  • Page 180: Ibp Pressure Zero Menu

    14.4.2 IBP Pressure Zero Menu You can select IBP PRESURE ZERO in IBP (1,2) SELECT menu to open the following menu. Figure 14-9 IBP Pressure Zero Menu Pressure Transducer Zeroing Procedure Disconnect the transducer from the patient. Pressure transducer 3-way stopcock Pressure transducer interface cable...
  • Page 181 NOTE To ensure correct measurement, zero the transducer before it is used to zero the monitor. Position the transducer at the same level with the patient’s heart, approximately mid-axillary line. Perform the pressure zeroing before monitoring, and at intervals during monitoring (at least once per day).

  • Page 182: Maintenance And Cleaning

    14.5 Maintenance and Cleaning WARNING Before cleaning the transducer, make sure the transducer is disconnected from the monitor, or the monitor is powered off and disconnected from AC power. Cleaning of IBP Transducer After the IBP monitoring operation is completed, remove the tubing and the dome from the transducer and wipe the transducer diaphragm with water.
  • Page 183 Sterilization Chemical Solution Sterilization After finishing the cleaning, select an effective sterilant for chemical solution sterilization of the operating room equipment. Buffered glutaraldehyde (e.g. Cidex or Hospisept) is recommended. Do not use quaternary cationic detergents such as zephiran chloride. If the whole unit is to be sterilized, immerse the transducer but not the electrical connector into the sterilant for the recommended sterilizing period.
  • Page 184 FORYOURNOTES 14-16...

  • Page 185: Co Monitoring

    Monitoring 15.1 Overview The monitor is able to measure the CO pressure of the patient airway, and displays the CO waveform in the waveforms area of the monitor screen. The CO parameter window shows the following parameters: End-tidal CO2 concentration (EtCO2) Inspired Minimum CO2 (InsCO2) Air Way Respiration Rate (AwRR) Waveform Name...

  • Page 186: Mindray Ds Co Module

    15.2 Mindray DS CO Module NOTE This section is only applicable to a monitor equipped with a Mindray DS CO2 module. 15.2.1 Principles of Operation WARNING The CO2 module should be protected against crash and vibration. This CO2 module is applicable to neonate, pediatric as well as adult patients.

  • Page 187: Preparations For Co Measurement

    15.2.2 Preparations for CO Measurement Plug the water trap into its receptacle before the measurement. Open the CO2 SETUP menu and set WORK MODE to MEASURE. The “CO2 START UP” prompt information is displayed on the screen until the startup is finished. After the module start-up, the “CO2 WARM UP”...

  • Page 188: Setup Menu

    The calculation formulas in the above two compensations are as follows: ATPD: PCO (mmHg)= CO (vol%)× Pamp/100 BTPS: PCO (mmHg)= CO (vol%)×(Pamp-47)/100 In the above formulas, PCO refers to the CO partial pressure, vol% is the percentage of the gas concentration, and Pamp is the ambient pressure in the unit of mmHg.
  • Page 189 You can perform the following settings in this menu. Alarm on/off status ON: When a CO2 alarm occurs, the monitor gives alarm indications and stores the alarm; OFF: When a CO2 alarm occurs, the monitor neither gives alarm indications nor stores the alarm; When OFF is selected, the icon is displayed on the right of the CO2 label.
  • Page 190 Alarm limits: Parameter Upper Limit Lower Limit Step (lower limit+2) ~100 0~(upper limit-2) 0~100 AwRR (lower limit+2) ~150 0~(upper limit-2) Default alarm limits: Parameter Patient type Upper limit Lower limit Adult Pediatric Neonate Adult Pediatric Neonate Adult AwRR Pediatric Neonate NOTE The apnea alarm cannot be disabled.
  • Page 191 Other Setup Selecting OTHER SETUP option opens the following menu. Figure 15-4 CO Other Setup Menu You can perform the following settings in this menu. PUMP RATE Determines the sampling rate of the CO2 module pump. N2O COMPEN N2O compensation The presence of nitrous oxide causes the CO value to be higher than the actual value.
  • Page 192 When BTPS is turned ON, the system performs BTPS compensation automatically; when BTPS is turned OFF, the BTPS compensation is disabled. When measuring the CO content inside the patient’s lung, turn ON BTPS. Normally, the lung temperature of the patient is 37℃ and the water vapor is sufficient or regarded as saturated. But the temperature and water vapor content of the sampling line are different from the patient’s exhalation.

  • Page 193: Co User Maintain Menu

    15.2.4 CO User Maintain Menu Select CO2 USER MAINTAIN >> in USER MAINTAIN menu. The following menu appears. Figure 15-5 CO User Maintain Menu The following information is displayed in the menu above. The currently measured CO2 content. Unit: %. In the field at the right of the CO value, you can select a standard gas containing a certain amount of CO...

  • Page 194: Maintenance And Cleaning

    CONFIRM CAL This option allows you to confirm the calibration of the CO2 module. Calibration Procedure Verify the module enters the ready-to-measure status. Connect a gas bottle with the CO2 sensor connector on the monitor as shown below. Tube Decompression valve Monitor T-shape connector opening...

  • Page 195: Oridion Co 2 Module

    15.3 Oridion CO Module NOTE This section is applicable to a monitor equipped with the Oridion CO2 module only. When the sample flow is lower than 42.5 ml/min, alarm message will be displayed, and the CO module will stop work. 15.3.1 Principles of Operation WARNING The CO2 module should be protected against crash and vibration.

  • Page 196: Preparations For Co 2 Measurement

    15.3.2 Preparations for CO Measurement Plug the sampling line into its receptacle before the measurement. Open the CO2 SETUP menu and set WORK MODE to MEASURE. The “CO2 START UP” prompt information is displayed on the screen until the startup is finished.

  • Page 197: Co Setup Menu

    15.3.3 CO Setup Menu Selecting the CO label in the parameter window opens the following menu. Figure 15-8 CO Setup Menu You can perform the following settings in this menu. Alarm on/off status ON: When a CO2 alarm occurs, the monitor gives alarm indications and stores the alarm;...
  • Page 198 Lower alarm limit of AwRR AWRR ALM LO APNEA ALM Determines the apnea alarm delay. If the apnea of the patient exceeds the preset apnea alarm delay, the monitor triggers an alarm and gives the “CO2 APNEA” alarm message. Options: 10S, 15S, 20S, 25S, 30S, 35S and 40S. SWEEP Waveform speed Options: 6.25, 12.5 and 25.0.
  • Page 199 You can perform the following settings in this menu. If Max Hold is configured to 10 sec or 20 sec, the etCO2 MAX HOLD numeric shows the highest CO2 value measured within the previous 10 or 20 seconds. If set to Off the etCO2 numeric shows breath-to-breath value.

  • Page 200: User Maintain Menu

    15.3.4 CO User Maintain Menu Select CO2 USER MAINTAIN >> in USER MAINTAIN menu. The following menu appears. Figure 15-10 CO User Maintain Menu The following information is displayed in the menu above. The currently measured CO2 content. Unit: %. In the field at the right of the CO value, you can select a standard gas containing a certain amount of CO...

  • Page 201: Maintenance And Cleaning

    Calibration Procedure Verify the module enters the Full Accuracy Mode. Connect a gas bottle with the CO2 sensor connector on the monitor as shown below. Tube Decompres sion valve Monitor T-shape connector opening to the atmosphere Gas bottle Figure 15-11 Connections for Calibration Fill the gas bottle with a standard gas of certain CO2 content (4% to 6%), and input the gas to the monitor.

  • Page 202: Oridion Information

    15.3.6 Oridion Information This trademark is registered in Israel, Japan, Germany and US. Oridion Patents This device and the CO sampling consumable designed for use herewith is covered by one or more of the following USA patents: 4,755,675; 5,300,859; 5,657,750; 5,857,461 and international equivalents.

  • Page 203: Anesthesia Gas Monitoring

    Anesthesia Gas Monitoring 16.1 Overview The anesthesia gas (AG) monitoring can be used for measuring the anesthesia gas and respiration gas of the patient in the anesthetic status. This monitor can configure AION 02 AG module or AION 03 AG module. AG module provides the end-tidal numerics and inhaling numerics of the gases mentioned below.
  • Page 204 Parameters: CO2: Carbon dioxide N2O: Nitrous oxide (laughing gas) Oxygen AwRR: Airway respiration rate (respiration per minute, BrPM) HAL: Halothame ISO: Isoflurane ENF: Enflurane SEV: Sevoflurane DES: Desflurane Measured numerics of AGs MAC numeric AG label AwRR numeric Figure 16-2 AG parameters NOTE The AG module is not intended to monitor multiple halogenated anaesthetic gases.

  • Page 205: Measurement Principles And Procedure

    16.2 Measurement Principles and Procedure Measurement principle of AGs The AG concentration is measured based on the rationale that the AGs have the property of absorbing the infrared. The AG module can measure gases that have various properties of absorbing the infrared. To measure the concentration of a gas, send it to the sampling room, select the infrared of a specific wavelength with an optical infrared filter, and transmit it through the gas.
  • Page 206 WARNING Ensure the compactness of the connection when performing gas measurements. Any leakage in the system will lead to incorrect readings because this leakage will make the surrounding environmental air mix up with the patient gas. The water trap is used for collecting water condensates to protect the module from the ingress of water;...

  • Page 207: Mac

    16.3 MAC Minimum alveolar concentration (MAC) is the minimum concentration of the agent in the alveoli. It is a basic index to indicate the depth of anesthesia. The standard ISO 21647 defines MAC as this: alveolar concentration of an inhaled anesthetic agent that, in the absence of other anesthetic agents and at equilibrium, prevents 50% of patients from moving in response to a standard surgical stimulus.

  • Page 208: Ag Setup Menu

    16.4 AG Setup Menu Select the GAS label in the parameter window. The AG SETUP menu appears. Figure 16-4 AG SETUP menu In this menu, you can set the following items. Agent Used to select the name of the anesthetic to be monitored, including AA, HAL, ENF, ISO, SEV and DES.
  • Page 209 O2 COMPEN The options include: OFF, 30%, 40%, 50%, 60%, 70%, 80%, 90%, and 100%. When the O2 concentration exceeds 60% and it is not being monitored, turn on this switch. SWEEP Used to select the speed to scan the screen waveforms. Options: 6.25mm/s and 12.5mm/s.
  • Page 210 EtCO2 ALM LO Set the lower limit of EtCO2 which triggers the alarm FiCO2 ALM HI Set the upper limit of FiCO2 which triggers the alarm FiCO2 ALM LO Set the lower limit of FiCO2 which triggers the alarm EtO2 ALM HI Set the upper limit of EtO2 which triggers the alarm EtO2 ALM LO Set the lower limit of EtO2 which triggers the alarm...
  • Page 211 Adjust Wave Amplitude Menu Select ADJUST WAVE AMP>> in AG SETUP menu. The following menu appears. Figure 16-7 ADJUST WAVE AMP menu In the ADJUST WAVE AMP menu, you can set the following items. CO2 WAVE AMP Used to adjust the display amplitude of CO2 waveform. N2O WAVE AMP Used to adjust the display amplitude of N2O waveform.

  • Page 212: Calibrating Ag

    16.5 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 represents an anesthetic agent.

  • Page 213: Maintenance And Cleaning

    If the calibration is finished successfully, the message CALIBRATION COMPLETED! is displayed. If the calibration failed, the message AG CAL. FAILED is displayed. Perform another calibration. Select EXIT to exit the current menu. 16.6 Maintenance and Cleaning 16.6.1 Occlusion handling If the AG module passage is occluded, the screen will prompt “AG OCCLUSION”.
  • Page 214 FOR YOUR NOTES 16-12...

  • Page 215: Maintenance

    Maintenance WARNING Failure on the part of the responsible hospital or institution employing the use of the monitoring equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazard. The safety inspection or maintenance, which requires opening the monitor housing, must be performed by trained and authorize personnel only.

  • Page 216: Cleaning

    17.2 Cleaning WARNING Be sure to shut down the system and disconnect all power cords from the outlet before cleaning the equipment. 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.

  • Page 217: Disinfection And Sterilization

    17.3 Disinfection and Sterilization Sterilization or disinfection may cause damage to the equipment. We recommend the sterilization and disinfection are contained in the hospital’s servicing schedule only when necessary. The equipment should be cleaned prior to sterilization and disinfection. Recommended sterilization material: Alcohol based (Ethanol 70%, Isopropanol 70%), and aldehyde based.
  • Page 218 FOR YOUR NOTES 17-4...

  • Page 219: Accessories

    Accessories WARNING Use accessories specified in this chapter. Using other accessories may cause damage to the patient monitor or not meet the claimed specifications. The operating and storage conditions of the patient monitor should meet the specifications claimed by respective accessories. For environmental specifications of each accessory, refer to instructions for use of respective accessories.

  • Page 220: Ecg Accessories

    18.1 ECG Accessories ECG Electrodes Model Quantity Patient Category Part No. 10 pieces Adult 0010-10-12304 Separate Trunk Cable Leadwire Compatible Model Type Patient Category Part No. supported with 3-leadwire EV 6122 Neonate, Infant 040-000753-00 Defibrillator 3-leadwire EV 6102 Neonate 0010-30-12377 -proof 3/5-leadwire EV 6101...

  • Page 221: Spo Accessories

    512H-30-79061  The main cable must be used with the matching SpO2 sensor.  Wavelength emiited by the sensors intended for Mindray SpO module: red light: 660 nm, infrared light: 905 nm.  Wavelength emitted by the sensors intended for Nellcor SpO module: red light: 660 nm, infrared light: 890 nm.

  • Page 222: Nibp Accessories

    18.3 NIBP Accessories Tubing Type Patient Category Part No. Adult, pediatric 509B-30-06259 Reusable Neonate 509B-30-06260 Reusable Cuff Limb Circumference Model Patient Category Measurement Site Part No. (cm) 0020-00-0184- Blood Pressure Cuff Starter Kit Single-Patient Cuff Limb Circumference Model Patient Category Measurement Site Part No.

  • Page 223: Temp Accessories

    18.4 TEMP Accessories Extension Cable Type Model Temp probe Part No. Reusable MR420 MR411, MR412 0011-30-90444 Temp Probes Type Model Patient Category Measurement Site Part No. MR401 Esophageal/Rectal 0011-30-90440 Adult MR403 Skin 0011-30-90442 Reusable MR402 Esophageal/Rectal 0011-30-90441 Pediatric, neonate MR404 Skin 0011-30-90443 MR411...
  • Page 224 Manufacturer Accessory Smith Medical (Medex) MX961Z14 trunk cable MX960 transducer MX9605A monitoring kit MX960E6441 transducer seat MX261 single channel transducer holder MX262 dual-channel transducerr holder (More transducer holders are available. refer to Medex for detail) Braun Trunk cable (REF: 5203511) Combitrans series minitoring kit (Refer to Braun for detail) Transducer holder (REF: 5215800) Transducer seat (Refer to Braun for detail)

  • Page 225: Accessories

    18.6 CO Accessories 18.6.1 Mindray DS CO Accessories Material Patient Category Remark Part No. DRYLINE Watertrap Adult, pediatric 9200-10-10530 Reusable DRYLINE Watertrap Neonate 9200-10-10574 Sampling Line, Adult 2.5m Adult, pediatric 9200-10-10533 Sampling Line, Neonate, 2.5m Neonate 9200-10-10555 Disposable Adult Nasal CO...

  • Page 226: Others

    18.8 Others Model Part No. M05-010001-06 (black) Lithium battery 0146-00-0099 (gray) 023-000034-00 CF storage card 0000-10-10798 Data output software package 7000-30-24590 U.S. power cord DA8K-10-14452 Grounding cable 1000-21-00122 Nurse call cable 8000-21-10361 Roll Stand bracket 0010-30-42942 Wall Mount bracket 0010-30-42951 Bedrail Hook 8000-30-90169 Bedrail Clamp...

  • Page 227: A Product Specifications

    Product Specifications A.1 Safety Classifications Class I with internal electric power supply. Type of protection against Where the integrity of the external protective earth (ground) in electric shock the installation or its conductors is in doubt, the equipment shall be operated from its internal electric power supply (batteries) CO2/AG: BF (defibrillation proof) Degree of protection against...

  • Page 228: Power Source Specifications

    A.3 Power Source Specifications AC Power Supply Specifications Input voltage 100 to 240 V～ Current 1.4A to 0.6A Frequency 50/60 Hz Fuse T 3 A, 250 V Internal battery Number of batteries Type Sealed lead-acid battery or lithium-ion battery Time to shutdown >5 min (after the first low-power alarm) Sealed lead-acid battery Nominal voltage...

  • Page 229: Hardware Specifications

    A.4 Hardware Specifications Physical Size 318 × 270 × 137mm (width×height×depth) Different due to different configurations Weight Standard configuration: 4.7kg Maximum weight: ≤ 7.5kg Display Type Color TFT LCD Size 12.1 inches (diagonal) Resolution 800×600 pixels Recorder Type Thermal dot array Horizontal resolution 160 dots/cm (at 25 mm/s recording rate) Vertical resolution...

  • Page 230: Data Storage

    A.5 Data Storage Long trend: 96 hours, resolution 1min, 5 min or 10 min. Trend data Short trend: 1 hour, resolution 1 s or 5 s. 70 alarm events and associated waveforms (with user Alarm events selectable waveform length 8s, 16 or 32). 800 NIBP groups, including systolic pressures, mean pressures, NIBP measurements diastolic pressures and measurement time.

  • Page 231: Ecg Specifications

    Signal RGB: 0.7 Vp-p/75Ω; Horizontal/vertical synchronization: TTL level A.8 ECG Specifications A.8.1 Mindray DS Software Package Lead naming style AHA, EURO The lead resistance is no greater than 51 kΩ and it is in parallel with a 0.047 µF capacitor, it will not cause a lead fault condition.
  • Page 232 Input signal range ±8mV (peak-to-peak value) Accuracy of input signal Methods A and D were used to establish overall system error and reproduction frequency response according to EC11. Active electrode: < 0.1 μA Auxiliary current (Leads off detection) Reference electrode: < 1 μA Patient leakage current <...
  • Page 233 When tested in accordance with ANSI/AAMI EC13 Section 4.1.2.1 g, the response time is as follows: Figure 4ah – range: 15.7 to 19.2s, average: 17.4s 4a – range: 5.7 to 8.5s, average: 7.5s Response time of tachycardia alarm 4ad – range: 3.6 to 5.1s, average: 4.2s Figure 4bh –...
  • Page 234 A.8.2 Mortara Software Package Lead naming style AHA, EURO The lead resistance is no greater than 51 kΩ and it is in parallel with a 0.047 µF capacitor, it will not cause a lead fault condition. For 3/5-lead, differential offsets ≤ ±300 mV, it will not cause a Lead fault lead fault condition.
  • Page 235 The monitor complies with the test method in EC13 Section 5.2.9.14. Neonate: 15 to 350 bpm Measurement range Pediatric: 15 to 350 bpm Adult: 15 to 300 bpm Resolution 1 bpm Precision ±1 bpm or ±1%, whichever is greater. Trigger threshold level 200 μV (lead II) Trigger indication There will be an audible beep on every beat captured.

  • Page 236: Resp Specifications

    Amplitude: ±4 to ±700 mV (3/5-lead) ±2 to ±700 mV (12-lead) Width: 0.1 to 2 ms Rise time: 10 to 100 µs When tested in accordance with the ANSI/AAMI EC13: Sections 4.1.4.1 and 4.1.4.3, the heart rate meter rejects all pulses meeting the following conditions.

  • Page 237: Spo

    A.10 SpO Specifications A.10.1 Mindray DS SpO Module All SpO sensors specified in the section Mindray DS SpO2 Accessories meets the following specifications when used with Mindray DS SpO module. SpO2 Measurement range 0 to 100% Resolution 70 to 100%: ±2 % (adult/pediatric, non-motion conditions)
  • Page 238 A.10.2 Nellcor SpO Module All SpO sensors specified in the section Nellcor SpO2 Accessories meets the following specifications when used with Nellcor SpO module. Sensor Range Precision* 70 to 100% ±2% MAX-A, MAX-AL, MAX-N, MAX-P, MAX-I and MAX-FAST 0% to 69% Undefined 70 to 100% ±2.5%...

  • Page 239: Nibp Specifications

    A.11 NIBP Specifications Measurement technique Auto oscillation Displayed parameters Systolic pressure, diastolic pressure, mean pressure and PR Mode of operation Manual, auto and continuous Measurement interval in 1/2/3/4/5/10/15/30/60/90/120/180/240/480 minutes auto mode Measurement time in 5 minutes continuous mode mmHg Adult Pediatric Neonate Systolic pressure...

  • Page 240: Temp Specifications

    A.12 TEMP Specifications Number of channels Displayed parameters T1, T2 and TD Measurement range 0 to 50°C (32 to 122°F) Resolution 0.1°C ±0.1°C (excluding the sensor) Precision ±0.2°C (including the YSI 400 series sensor) Update period Body surface: < 100s Minimum time for Body cavity: <...

  • Page 241: Co Specifications

    Measurement technique Infrared absorption technique Displayed parameter EtCO2, FiCO2, Respiration Rate Meet the requirements of EN ISO21647/ISO 21647 and CO2 function ISO9918. A.14.1 Mindray DS CO Specifications CO2 measurement range 0 to 99mmHg 0 to 40 mmHg: ±2 mmHg Precision* 41 to 76 mmHg: ±5%...
  • Page 242 <3 s @ 100 ml/min <3.5 s @ 70 ml/min When measured with an adult watertrap and a 2.5m-long adult sampling line: <5 s @ 100 ml/min <6.5 s @ 70 ml/min Apnea alarm delay AwRR: 10 to 40 s * Conditions for measurements in typical precision: The measurement is started after the preheating mode of the module;...

  • Page 243: Ag Specifications

    A.15 AG Specifications Measurement technique Infrared absorption Measurement mode Sidestream Meets requirements of ISO9918, ISO11196, EN12598 and AG functions ISO7767 45 seconds (warming-up status) Warm-up time 10 minutes (ready-to-measure status) Adult/Pediatric 120, 150, 200 ml/minute (user-selectable) Sampling flow (sidestream) Neonatal 70, 90, 120 ml/minute (user-selectable) Gas type CO2, N2O, O2 (optional), Des, Iso, Enf, Sev, Hal...
  • Page 244 > 8 Not specified ±0.15 0 to 1 ±0.2 Enf, Iso, Hal 1 to 5 > 5 Not specified ±1 0 to 25 25 to 80 ±2 O2 (Optional) ±3 80 to 100 ±1 BrPM 2 to 60 BrPM AwRR >...
  • Page 245 Effect of interference gases on AG measurements Quantitive effect(% Concentration(％) Agent 1) 2) Agent Nitrogen ≤78％ Xenon ＜100% Helium ＜50％ Ethanol ＜0.1％ Acetone ＜1％ Methane ＜1％ Saturated Isopropanol vapour Metered dose inhaler Unspecified Unspecified Unspecified 0.5 propellants, Methoxyflurane Unspecified Unspecified Unspecified Unspecified 1) Agent represents one of Des, Iso, Enf, Sev, and Hal.
  • Page 246 FOR YOUR NOTES A-20...
  • Page 247 The equipment meets the requirements of EN 60601-1-2. NOTE Use of accessories, transducers, and cables other than those specified may result in increased emission and/or decreased immunity of the equipment. The equipment should not be used adjacent to or stacked with other equipment, and if adjacent or stacked use is necessary, the equipment should be observed to verify normal operation in the configuration in which it will be used.
  • Page 248 TABLE 2 Guidance and declaration — electromagnetic immunity The equipment is intended for use in the electromagnetic environment specified below. The customer or the user of the equipment should assure that it is used in such an environment. Immunity test IEC 60601 Test Compliance Electromagnetic environment...
  • Page 249 TABLE 3 Guidance and declaration — electromagnetic immunity The equipment is intended for use in the electromagnetic environment specified below. The customer or the user of the equipment should assure that it is used in such an environment Immunity IEC 60601 Compliance Electromagnetic environment —...
  • Page 250 TABLE 4 Recommended separation distances between portable and mobile RF communication and the equipment The equipment is intended for use in an electromagnetic environment in which radiated RF disturbance are controlled. The customer or the user of the equipment can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and the equipment as recommended below, according to the maximum output power of the communication equipment.

  • Page 251: C Alarm Messages And Prompt Information

    Alarm Messages and Prompt Information NOTE Your patient monitor may not include all the information listed in this section. C.1 Physiological Alarm Messages Note: XX represents the parameters being monitored, such as HR, RR, SpO , etc. The “L” field indicates the alarm level, and 1 means high, 2 means medium, 3 mean low, * means the level is user-adjustable.

  • Page 252: Technical Alarm Messages

    The PVC arrhythmia event occurs to the patient. BIGEMINY The bigeminy arrhythmia event occurs to the patient. TRIGEMINY The trigeminy arrhythmia event occurs to the patient. TACHY The patient is suffering from tachycardia. BRADY The patient is suffering from bradycardia. No pacer signal is captured.
  • Page 253 C.2.2 ECG Module Alarm Messages Alarm message Cause Measure ECG LEAD OFF Yes 3 The ECG lead is not Check for correct connected correctly. connection of the ECG X LEAD Yes 3 leadwires. Note: X represents the leadwires, V, LL, RL, LA and RA, as per AHA standard, or C, L, F, R and N as per IEC standard.
  • Page 254 C.2.4 TEMP Module Alarm Messages Alarm message Cause Measure TEMP1 The T1 sensor is not Check for correct SENSOR OFF connected correctly to the connection of the T1 patient or the monitor. sensor. TEMP2 The T2 sensor is not Check for correct SENSOR OFF connected correctly to the connection of the T2...
  • Page 255 Deal with the RESET measurement. blocking and perform the measurement again. If the problem still exists, contact our company for repair. C.2.6 Mindray DS SpO Module Alarm Messages Alarm message Cause Measure SPO2 SENSOR The sensor is disconnected Make sure the sensor is from the patient or the placed on the patient’s...
  • Page 256 C.2.7 Nellcor SpO Module Alarm Messages Alarm message Cause Measure SPO2 SENSOR The sensor is Make sure the sensor is placed disconnected from the on the patient’s finger or other patient or the monitor. parts, and the monitor is connected to cables correctly. SPO2 NO The sensor is Disconnect and reconnect the...
  • Page 257 TB SENSOR Yes 3 The cable for blood pressure Check for proper measurement is disconnected connection of TB cable. from the monitor. C.2.10 Mindray DS CO Module Alarm Messages Alarm message L Cause Measure CO2 NO The water trap is not...
  • Page 258 Alarm message L Cause Measure The barometric pressure is BAROMETRIC too high. TOO HIGH The barometric pressure is BAROMETRIC too low. TOO LOW AD sampling 2.5V error HARDWARE ERROR The pump malfunctions. HARDWARE ERROR The 3-way stopcock HARDWARE malfunctions. ERROR CO2 SAMPLE The sample line is Make sure the airway is not...
  • Page 259 Alarm message L Cause Measure our company for repair. CO2 INIT ERR Yes No The CO2 module is not properly installed, or malfunctions. CO2 COMM CO2 module fault or STOP communication fault. C.2.11 Oridion CO Module Alarm Messages Alarm message Cause Measure CO2 CHECK...
  • Page 260 Alarm message Cause Measure CO2 CALIB Including the error Take measures specific to the ERROR messages displayed at the errors. For instance, in case lower part of the menu of a gas error, check if the gas (like gas error, concentration is wrong.
  • Page 261 exceeds 1 second. AG SELF-TEST ERR AG module fails or Unplug and re-plug the fails to communicate module and then restart with the host. the monitor, or plug the AG module in another monitor to check if it operates properly. AG HARDWARE MALF AG module hardware Remove the AG module...
  • Page 262 C.2.13 Recorder Module Alarm Messages Alarm message Cause Measure RECORDER An error occurs during the Contact the hospital’s INIT ERR N recorder initialization. engineers or our customer Service. Note: N represents the error number. RECORDER An error might occur to the Open the RECORD menu and SELFTEST ERR RAM, ROM and CPU...
  • Page 263 C.2.14 System Alarm Messages Alarm message Cause Measure REAL CLOCK The system time is incorrect. Reset the system time and then NEED SET restart the monitor. REAL CLOCK No button battery, or the Add, or replace with a new NOT EXIST battery power is depleted.
  • Page 264 Wait till the end of the searching. DOMINANT A change happens to the patient’s None. RHYTHM CHANGE dominant rhythm. Mindray DS CO2 module CO2 STANDBY The CO module enters the energy-saving None status when switching from the Normal mode to the Standby mode.

  • Page 265: Prompt Messages

    Prompt messages Cause Measure AG IS STARTING The AG module is starting. Wait for the AG module to finish the startup. AG WARM UP The AG module is warming itself up. Wait for the AG module to finish warming itself up. NIBP module Manual measure...
  • Page 266 FOR YOUR NOTES C-16...

  • Page 267: D Symbols And Abbreviations

    Symbols and Abbreviations Symbols and abbreviations that you may encounter while reading this manual or using the monitor are listed below with their meanings. D.1 Symbols ampere ampere hour beats per minute BrPM breaths per minute centigrade ℃ cubic centimeter centimeter decibel dyne second...
  • Page 268 mmHg millimeters of mercury millisecond millivolt milliwatt nanometer part per million second volt volt ampere Ω µA microampere µm micron µV microvolt watt minus percent per; divide; or power plus equal to < less than > greater than ≤ less than or equal to ≥...

  • Page 269: Abbreviations

    D.2 Abbreviations AAMI Association for Advancement of Medical Instrumentation alternating current adult anaesthesia gas American Heart Association ANSI American National Standard Institute access point arrhythmia arterial left foot augmented lead left arm augmented lead right arm augmented lead AwRR Air way respiratory rate body surface area BTPS body temperature and pressure, saturated...
  • Page 270 error electrosuigical electrosuigical unit end-tidal EtCO2 end-tidal carbon dioxide EtN2O end-tidal nitrous oxide Ethylene Oxide EtO2 end-tidal oxygen EURO European fraction of inspired FiCO2 fraction of inspired carbon oxygen FiN2O fraction of inspired nitrous oxide FiO2 fraction of inspired oxygen fpga Field Programmable Gate Array halothane...
  • Page 271 minimal alveolar concentration mean arterial pressure Medical Device Directive MEAN mean pressure MetHb methemoglobin initialize MII registers fail magnetic resonance imaging nitrous oxide not applied neonate, neonatal NIBP noninvasive blood pressure non-invasive diastolic brood pressure non-invasive mean brood pressure non-invasive systolic brood pressure oxygen oxyCRG Oxygen Cardio-respirogram...
  • Page 272 SYNC synchronization systolic temperature of channel 1 temperature of channel 2 temperature of blood temperature difference TEMP temperature Thin-Film Technology Temperature of Injectate Video Graphic Array weight...
  • Page 274 Mindray DS USA, Inc. 800 MacArthur Blvd. Mahwah, New Jersey 07430 Tel:1.800.288.2121 Tel:1.201.995.8000 www.mindray.com P/N: 046-000182-00(12.0）...

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