Mindray V Series Operating Instructions Manual
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Mindray V Series Operating Instructions Manual

Mindray V Series Operating Instructions Manual

Patient monitors
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Table of Contents

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Operating Instructions
Patient Monitors

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Do you have a question about the V Series and is the answer not in the manual?

Questions and answers

Colleen M Marchand
February 12, 2025

We have no volume

0
1 comments:
Mr. Anderson
February 12, 2025

To fix the volume issue on the Mindray V Series bedside monitor (V12 or V21):

1. Adjust Alarm Volume:
- Select the Setup tab from the Navigation area.
- Select Audio Levels.
- Use the arrows on Alarm Volume to set the volume (range: X–10, where X is the minimum).
- Select Accept to save and return to the main screen.

2. Adjust Beat Tone (QRS Tone) Volume:
- Select the Setup tab from the Navigation area.
- Select Audio Levels.
- Use the arrows on Beep Volume to set the volume (range: 0–10, where 0 is Off and 10 is Max).
- Select Accept to save and return to the main screen.

Note: The minimum volume range is predetermined during installation. The QRS tone is linked to the HR source (ECG, SpO₂, or IBP) and may change pitch based on SpO₂ saturation levels.

This answer is automatically generated

0

Related Manuals for Mindray V Series

Summary of Contents for Mindray V Series

  • Page 1 Operating Instructions Patient Monitors...
  • Page 3 Somanetics and INVOS are registered trademarks of Covidien. Copyright © Mindray DS USA, Inc., 2011-2016. All rights reserved. Contents of this publication may not be reproduced in any form without permission of Mindray DS USA, Inc. V Series Operating Instructions...

  • Page 4: Table Of Contents

    Company Contact ..........................................xxx Symbols and Descriptions......................................... xxxi General Product Description .............................1 - 1 General Product Description ......................................1 - 2 V Series Monitoring Platform ....................................1 - 2 Interfacing............................................1 - 2 Key Features .............................................1 - 3 V 12/V 21 Physical Views ........................................1 - 4 Front View ............................................1 - 4...
  • Page 5 Module Unlocking........................................4 - 19 V Hub Status Indicators ......................................4 - 20 Connecting the V Hub to the V 12/V 21 ................................4 - 21 Rolling Stand............................................4 - 23 Thermal Recorder...........................................4 - 26 Installing the Thermal Recorder Paper ................................4 - 26 V Series Operating Instructions...
  • Page 6 Factory Default Alarm Priorities between Alarm Types..........................8 - 11 Configuring Alarm Levels ......................................8 - 13 Understanding Alarm Response Settings................................8 - 13 Configuring Alarm Response Settings.................................8 - 13 Factory Default Alarm Settings....................................8 - 14 Arrhythmia Alarms..........................................8 - 17 V Series Operating Instructions...
  • Page 7 ECG Filters ............................................9 - 31 12 Lead Interpretation..........................................9 - 32 12 Lead Dialog..........................................9 - 32 12 Lead Report ..........................................9 - 36 ECG-Arrhythmia Troubleshooting ....................................9 - 37 Respiration (Resp) ..............................10 - 1 Introduction ............................................10 - 2 V Series Operating Instructions...
  • Page 8 Configuring the QRS Threshold ..................................12 - 4 Heart Rate Digital Tile Layout ......................................12 - 5 About the HR Tile........................................12 - 5 HR Alarms ............................................ 12 - 5 Message Area..........................................12 - 6 HR Troubleshooting ........................................... 12 - 6 V Series Operating Instructions...
  • Page 9 SpO2 Dialog............................................15 - 3 Navigating to the SpO2 Dialog.................................... 15 - 3 Configuring SpO2 Alarm Limits................................... 15 - 3 Configuring the SpO2 Parameter Setup ................................15 - 3 Configuring the SpO2 Waveform ..................................15 - 6 V Series Operating Instructions...
  • Page 10 Message Area..........................................17 - 9 CO2 Troubleshooting ........................................17 - 9 Cardiac Output (CO) (Optional) ..........................18 - 1 Introduction ............................................18 - 2 Cardiac Output Dialog........................................18 - 3 Navigating to the Cardiac Output Dialog................................ 18 - 3 V Series Operating Instructions...
  • Page 11 Waveform Report ........................................20 - 8 12 Lead Report .......................................... 20 - 10 List Trend Report ........................................20 - 15 Disclosure Overview Report ....................................20 - 17 Disclosure Detail Report......................................20 - 20 Event List Report........................................20 - 23 viii V Series Operating Instructions...
  • Page 12 Configuring Displayed Parameters for the Events - Detail View ......................21 - 12 Printing from the Events - Detail View................................21 - 12 Full Disclosure............................................21 - 13 Navigating to the Full Disclosure - Overview View ............................21 - 13 V Series Operating Instructions...
  • Page 13 Alarm Watch Troubleshooting ....................................... 23 - 8 Remote View ................................24 - 1 Remote View ............................................24 - 2 Remote View Setup at the Host Monitor ................................. 24 - 2 Configuring the Remote View Display Dialog .............................. 24 - 3 V Series Operating Instructions...
  • Page 14 Temperature ............................................28 - 7 Disposable 400 Series Temperature Probes ..............................28 - 7 IBP ................................................28 - 7 CO2 ................................................28 - 8 Oridion Microstream CO2 Module ..................................28 - 8 CO ................................................28 - 9 V Series Operating Instructions...
  • Page 15 Environmental Conditions ....................................... 29 - 60 Power Supply ..........................................29 - 60 Sound............................................... 29 - 60 Communication Protocols ....................................... 29 - 60 Wireless Network..........................................29 - 60 ® Connection to Panorama Central Station................................. 29 - 61 V Series Operating Instructions...
  • Page 16 Table of Contents Operator Position ..........................................29 - 61 Glossary ..................................30 - 1 Terms, Acronyms, and Abbreviations ..................................30 - 2 V Series Operating Instructions xiii...
  • Page 17 This page intentionally left blank. V Series Operating Instructions...

  • Page 18: Foreword

    They will include actions to be taken to avoid effects on patients or users that will not be potentially life threatening or result in serious injury, but about which the user should be aware. A NOTE is provided when additional general information is available. V Series Operating Instructions...

  • Page 19: Warnings

    IEC 60601-1. If you have any questions, please contact Mindray. WARNING: Use of the V 12/V 21 in the vicinity of explosive anesthetics and in the...
  • Page 20 Electrode polarization: some electrodes may be subject to large offset potentials due to polarization. Use only electrodes as recommended by Mindray. Recovery time after application of defibrillator pulses may be especially compromised. Squeeze bulb electrodes commonly used for diagnostic ECG recording may be particularly vulnerable to this effect.
  • Page 21 Connect only V 12/V 21 accessories to the same MPSO as the V 12/V 21. Do not overload the MPSO. WARNING: For safe installation, mount Mindray V Series patient monitoring equipment only to wall mounts identified with the Mindray V Series logo. WARNING: Do not use a damaged or broken unit or accessory.
  • Page 22 The clinician should check that the current alarm settings on the V 12/V 21 monitor are appropriate prior to use on each patient. WARNING: Setting alarm limits to extreme values can render the alarm system useless. V Series Operating Instructions...
  • Page 23 These symptoms may cause a loss in vital sign readings. WARNING: The user will be responsible for ensuring the compatibility between the sensor, the extension cable and other equipment by either referring to the instructions for using this sensor or contacting Mindray before use. WARNING: sensors, SpO accessories, and temperature probes should be disposed of in accordance with local regulations.
  • Page 24 Monitor Interference may occur if the separation distance from the disturbance is less than 20 cm. WARNING: Keep a distance of at least 20cm away from the V 12/V 21 when Wi-Fi function is in use. V Series Operating Instructions...

  • Page 25: Cautions

    Do not touch the internal parts of the recorder because they may be hot. CAUTION: The SB and MR ports are intended for use with specific Mindray accessories only. To avoid possible damage to the V 12/V 21, use approved accessories only.
  • Page 26 CAUTION: Inaccurate SpO measurements may be caused by: • Incorrect sensor application or use • Significant levels of dysfunctional hemoglobins, (e.g., carboxyhemoglobin or methemoglobin) • Intra-vascular dyes such as indocyanine green or methylene blue V Series Operating Instructions xxiii...
  • Page 27 This will assure that there is no leak of gases during measurement at the connection point and that measurement accuracy is not compromised. xxiv V Series Operating Instructions...
  • Page 28 CAUTION: The AC receptacle (or mains plug) is used to disconnect the medical device. Refer to "Back View" on page 1-10 to see where the AC receptacle is located on the device. V Series Operating Instructions...

  • Page 29: Notes

    As specified by IEC80601-2-30/EN60601-2-30, NIBP measurement can be performed during electro-surgery and discharge of defibrillator. NOTE: Pressure transducers are protected against the effects of defibrillation and electro-cautery. NOTE: A VPS is required to monitor any patient parameters. xxvi V Series Operating Instructions...

  • Page 30: Indications For Use

    Introduction Indications for Use The V Series Monitoring System is intended for intra hospital use under the direct supervision of a licensed healthcare practitioner.The Indications for Use for the V 12/V 21 include the continuous monitoring of the following human physiological parameters: •...

  • Page 31: Unpacking Information

    Mindray option, at the factory or at an authorized distributor, for any product which shall under normal use and service appear to Mindray to have been defective in material or workmanship.

  • Page 32: Exemptions

    Mindray or repairs by people other than Mindray authorized personnel.

  • Page 33: Company Contact

    Introduction Company Contact Company Contact Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Address: Mindray Building, Keji 12th Road South, Hi-tech industrial park, Nanshan, Shenzhen 518057, P.R.China Website: www.mindray.com E-mail Address: service@mindray.com Tel: +86 755 81888998 Fax: +86 755 26582680 Distributor: Mindray DS USA, Inc.

  • Page 34: Symbols And Descriptions

    Protection against fluid ingress number European Representative Mindray Medical Netherlands B.V. Manufacturer Drs. W. van Royenstraat 8 P.O. Box 26, 3870 CA Hoevelaken The Netherlands Start button Serial number Check sensor button Zero all IBP V Series Operating Instructions 0070-10-0727-02 xxxi...
  • Page 35 CONFORMS TO UL STD 60601-1, IEC 60601-2-27, IEC 60601-2-25, IEC 60601-2-34, IEC 60601-2- 30, IEC 60601-2-49 CERTIFIED TO CSA STD C22.2 NO 601.1, NO 60601-2-27, NO 60601-2-30, NO 60601-2-34, NO 60601-2-49 xxxii 0070-10-0727-02 V Series Operating Instructions...
  • Page 36 General Product Description General Product Description ........................1-2 Key Features ................................1-3 V 12/V 21 Physical Views ..........................1-4 V Dock Physical Views ............................. 1-10 V Series Operating Instructions 1 - 1...

  • Page 37: General Product Description

    The V 12/V 21 monitoring platform focuses on the philosophy of “Ease of Use” while incorporating traditionally highly complex monitoring parameters. The user interface minimizes menu layers and excessive user interaction to simplify patient care. The V Series monitoring platform maximizes the amount of viewable data through the use of a Portrait display orientation.

  • Page 38: Key Features

    12 hours full disclosure in VPS Module 48 hours full disclosure in V 12/V 21 Monitors Power V Dock/AC Power Li-Ion battery Battery applicable to the V 12 monitor only Printing Internal recorder, Laser Printer V Series Operating Instructions 1 - 3...

  • Page 39: 12/V 21 Physical Views

    Rolling stand - Applicable to V 12 only V 12/V 21 Physical Views 1.3.1 Front View The front view contains: Alarm lights/indicators Display Touch Pad FIGURE 1-1 Example V 12 Front Panel 1 - 4 V Series Operating Instructions...
  • Page 40 General Product Description V 12/V 21 Physical Views FIGURE 1-2 Example V 21 Front Panel V Series Operating Instructions 1 - 5...

  • Page 41: Rear View

    V 12/V 21 Physical Views General Product Description 1.3.2 Rear View Handle Integrated module bays Grips/actuators V Dock connector FIGURE 1-3 Example V 12 Rear Panel 1 - 6 V Series Operating Instructions...
  • Page 42 General Product Description V 12/V 21 Physical Views FIGURE 1-4 Example V 21 Rear Panel V Series Operating Instructions 1 - 7...

  • Page 43: Left Side Panel

    V 12/V 21 Physical Views General Product Description 1.3.3 Left Side Panel Handle Side grip/actuator FIGURE 1-5 Example V 12 Left Side Panel 1 - 8 V Series Operating Instructions...

  • Page 44: Right Side Panel

    General Product Description V 12/V 21 Physical Views 1.3.4 Right Side Panel Handle Diagnostics port MR 1 connectors Side grip/actuator Battery compartment Power button FIGURE 1-6 Example V 12 Right Side Panel V Series Operating Instructions 1 - 9...

  • Page 45: Dock Physical Views

    AC Receptacle (with an integrated cord retention clip) V Hub Connector (MR 2-3) Digital Video Interface (DV 1) Central Station (CS 1) FIGURE 1-7 Example V 12 V Dock Back View 1 - 10 V Series Operating Instructions...

  • Page 46: Right Side View

    V Hub Connector (MR 4) FIGURE 1-8 Example V 12 V Dock Right View 1.4.3 Left Side View Serial Bus (SB 1-2) Nurse Call (NC 1) FIGURE 1-9 Example V 12 V Dock Left Side View V Series Operating Instructions 1 - 11...

  • Page 47: Vps Physical Views

    VPS Physical Views Side View IBP (P1-P2) connector Non-invasive blood pressure (NIBP) connector ECG/EKG connector Temperature (T1) connector Release lever Analog output protective door (2 analog outputs) FIGURE 1-10 Example Nellcor VPS Side View 1 - 12 V Series Operating Instructions...
  • Page 48 V Dock Physical Views FIGURE 1-11 Example VPS Release Lever (Nellcor and Masimo) Front View Pause All alarms audio Zero IBP transducers Start/Stop NIBP Indicator light FIGURE 1-12 Example VPS Front View (Nellcor and Masimo) V Series Operating Instructions 1 - 13...
  • Page 49 V Dock Physical Views General Product Description This page intentionally left blank. 1 - 14 V Series Operating Instructions...
  • Page 50 Main Display................................2-3 Dialogs..................................2-8 Alarm Icons and Messages .......................... 2-10 Keyboard Dialog..............................2-11 Digital Keypad Dialog ............................. 2-12 Message Dialogs ..............................2-12 Audio Levels Dialog............................2-13 Battery Levels Dialog ............................2-14 System Information............................2-15 V Series Operating Instructions 2 - 1...

  • Page 51: Getting Started

    NOTE: Upon power-up, the system will sound a triple-beep tone, display the Mindray logo with the message “starting up...”, and light the alarm indicators in red. After the monitor is powerd on, the Confirmation Dialog (shown in FIGURE 2-1) displays prompting for a response.

  • Page 52: Using The V 21 Touch Pad

    The Main Display shows: Header Bar Message Area Alarm status icon Date and time Module Status shortcut icon Display Presets shortcut icon Battery levels indicator (V 12 only) Digital tiles Navigation Area 10. Waveform tiles V Series Operating Instructions 2 - 3...

  • Page 53: Main Display

    Accesses the respective parameter dialog. For example, selecting the Resp waveform tile opens the Resp dialog. Digital tile Accesses the respective parameter dialog. For example, selecting the Resp digital tile opens the Resp dialog. Navigation button Accesses the respective dialog. 2 - 4 V Series Operating Instructions...

  • Page 54: System Status Message

    Indicates the monitor is in the demonstration mode. Software Download Pending Indicates software was downloaded and is pending installation. Print Request Accepted Indicates the print request is accepted. Printer Error Indicates printer management errors. V Series Operating Instructions 2 - 5...

  • Page 55: Navigation Area

    Alarm Acknowledge/Reset Silences the current alarms for the configured time period. If the configured time period is set to Permanent, the button reads Alarm Reset. Normal Screen Closes all dialogs and returns to the Main Display. QUICK FUNCTIONS TAB 2 - 6 V Series Operating Instructions...
  • Page 56 Tools tab if it is enabled in System Setup. PROCEDURES TAB NOTE: These buttons are only available when using the Adult or Pediatric patient size. C.O. Run Accesses the Cardiac Output Runs dialog. V Series Operating Instructions 2 - 7...

  • Page 57: Dialogs

    Accesses the Alarm Setup dialog. Dialogs Dialogs may include the following components: Active tab Dialog name Inactive tabs Selected radio button Unselected radio button Selected check box Unselected check box Tab specific buttons Dialog specific buttons 2 - 8 V Series Operating Instructions...

  • Page 58: List Box

    FIGURE 2-4 Example Arrhythmia Alarm Dialog 2.5.1 List Box FIGURE 2-5 shows an example of a list box. The list box provides a list of available selections for a particular dialog button or item. V Series Operating Instructions 2 - 9...

  • Page 59: Alarm Icons And Messages

    Parameter Messages As shown in FIGURE 2-6 and FIGURE 2-7, each digital tile and waveform tile contains an area where parameter specific messages display. NOTE: Individual parameter messages are discussed in each respective chapter. 2 - 10 V Series Operating Instructions...

  • Page 60: Keyboard Dialog

    Using the touch screen, enter the desired alphanumeric text. To edit the alphanumeric text: • Select the arrow key to move the cursor to the left. • Select the arrow key to move the cursor to the right. V Series Operating Instructions 2 - 11...

  • Page 61: Digital Keypad Dialog

    As an example, the message dialog in FIGURE 2-11 requires No to cancel the operation or Yes to proceed. Not all message dialogs use No or Yes. Other message dialogs may contain a Cancel or Accept button instead. 2 - 12 V Series Operating Instructions...

  • Page 62: Audio Levels Dialog

    The touch screen sound or mouse click sound are disabled while making adjustments in the Audio Levels dialog. The purpose of this is to be able to hear the adjusted tone without the clicking sound. V Series Operating Instructions 2 - 13...

  • Page 63: Configuring Audio Levels

    (as shown in FIGURE 2-14) indicates which batteries are currently installed; which batteries are currently being charged; and what the charge level is for each battery. FIGURE 2-14 Example Battery Levels Dialog NOTE: icon indicates that the battery is charging. 2 - 14 V Series Operating Instructions...

  • Page 64: Battery Indicator Colors

    To determine the current network configuration and status: Select the Tools tab from the Navigation Area. Select the System Information button. Select the Network tab. The network information dialog displays (as shown in FIGURE 2-16 and FIGURE 2-17). V Series Operating Instructions 2 - 15...
  • Page 65 System Information Getting Started FIGURE 2-16 Example Network Tab for Wired Network FIGURE 2-17 Example Network Tab for Wireless Network 2 - 16 V Series Operating Instructions...

  • Page 66: Display Setup

    Display Setup Introduction ................................3-2 Display Options Dialog ..........................3-2 Display Options Troubleshooting ......................3-20 V Series Operating Instructions 3 - 1...

  • Page 67: Introduction

    Navigating to the Display Options Dialog Select the Setup tab from the Navigation Area. Select the Display button. The Display Options dialog displays (as shown in FIGURE 3-1). FIGURE 3-1 Example Display Options Dialog 3 - 2 V Series Operating Instructions...
  • Page 68 Opens the Lead/Size dialog. NOTE: Refer to "Changing Lead/Size" on page 3-18 for additional information. Touch Screen Calibration Activates touch screen calibration. NOTE: Refer to "Touch Screen Calibration" on page 3-18 for additional information. V Series Operating Instructions 3 - 3...

  • Page 69: Configuring Display Presets

    Preset 1 - V 21 Monitor TABLE 3-3 provides the factory default configuration for Preset 1. TABLE 3-3 WAVEFORM TILE DIGITAL TILE V/Vx/V1 Arrhy IBP1 IBP1 IBP2 IBP2 Resp Resp Pleth NIBP NIBP List Temp 1 3 - 4 V Series Operating Instructions...
  • Page 70 Preset 3 - V 12 Monitor TABLE 3-6 provides the factory default configuration for Preset 3. TABLE 3-6 WAVEFORM TILE DIGITAL TILE V/Vx/V1 Arrhythmia IBP1 IBP1 IBP2 IBP2 Pleth Resp NIBP NIBP List Temp 1 V Series Operating Instructions 3 - 5...
  • Page 71 Preset 4 - V 21 Monitor TABLE 3-9 provides the factory default configuration for Preset 4. TABLE 3-9 WAVEFORM TILE DIGITAL TILE V/Vx/V1 Arrhy Vy/V2 IBP1 IBP1 IBP2 IBP2 IBP3 IBP3 IBP4 IBP4 Pleth Resp Resp 3 - 6 V Series Operating Instructions...
  • Page 72 TABLE 3-10 WAVEFORM TILE DIGITAL TILE Pleth NIBP Resp Preset 5 - V 21 Monitor TABLE 3-11 provides the factory default configuration for Preset 5. TABLE 3-11 WAVEFORM TILE DIGITAL TILE Pleth NIBP Resp V Series Operating Instructions 3 - 7...
  • Page 73 TABLE 3-12 provides the factory default configuration for all Empty Presets. TABLE 3-12 WAVEFORM TILE DIGITAL TILE Empty Preset - V 21 Monitor TABLE 3-13 provides the factory default configuration for the Empty Preset. TABLE 3-13 WAVEFORM TILE DIGITAL TILE 3 - 8 V Series Operating Instructions...

  • Page 74: Editing A Display Preset

    A list of digital or waveform parameters displays to the right of the grid (as shown in FIGURE 3-3). NOTE: The list of available parameters is dependent on whether a waveform tile or a digital tile was selected in the grid. V Series Operating Instructions 3 - 9...

  • Page 75: Locking/Unlocking Presets

    General Tab" on page 26-3 for additional information. • Select the Display Options icon located in the upper right corner of the Header Bar. Select the Setup tab from the Navigation Area. 3 - 10 V Series Operating Instructions...

  • Page 76: Temporarily Editing A Locked Display Preset

    Header Bar. Select the Setup tab from the Navigation Area. Select the Display button, then select the Display Setup button. The Display Setup dialog displays (as shown in FIGURE 3-2). V Series Operating Instructions 3 - 11...

  • Page 77: Restoring A Temporary Preset

    Select the Cancel or Accept button to return to the Main Display. • The Cancel button closes the dialog without saving the settings. 3 - 12 V Series Operating Instructions...

  • Page 78: Renaming A Preset

    The V 12 monitor supports a minimum of three (3) rows in the display setup. The V 21 monitor supports a minimum of four (4) rows in the display setup. Optional - repeat steps 6 and 7 until edits are complete. V Series Operating Instructions 3 - 13...

  • Page 79: Deleting A Preset

    A list of waveform parameters display to the right of the grid (as shown in FIGURE 3-3). If there are currently no IBP waveform channels in the grid, add one. Add a second IBP waveform channel to the grid below the first IBP channel. The Overlap button enables. 3 - 14 V Series Operating Instructions...

  • Page 80: Changing Ibp Waveform Overlap Settings

    Select the Undo Overlap button. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 3 - 15...

  • Page 81: Displaying Nibp Digital Tile In Large Font

    • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. NOTE: For the NIBP digital tile layout, refer to "NIBP Digital Tile Layout" on page 14-10. 3 - 16 V Series Operating Instructions...

  • Page 82: Privacy Mode

    Select the Setup tab from the Navigation Area. Select the Display button, then select the View All ECG button. The Display Options dialog automatically closes and the first six (6) ECG waveforms populate the ECG waveforms tiles. V Series Operating Instructions 3 - 17...

  • Page 83: Changing Lead/Size

    Select the Setup tab from the Navigation Area. Select the Display button, then select the Touch Screen Calibration button. Touch and hold the areas where indicated. Release the area when indicated (as shown in FIGURE 3-7). 3 - 18 V Series Operating Instructions...
  • Page 84 • The Cancel button returns to the monitoring display without recalibrating. • The Accept button returns to the monitoring display and recalibrates the display. NOTE: If the Cancel or Accept button is not selected within 90 seconds, the calibration is automatically cancelled. V Series Operating Instructions 3 - 19...

  • Page 85: Display Options Troubleshooting

    A waveform tile is selected but it Select a waveform tile that is is not directly above or below directly above or below an existing another IBP waveform channel. IBP waveform channel. 3 - 20 V Series Operating Instructions...
  • Page 86 Mechanical Functions Introduction ................................4-2 V 12 ..................................... 4-2 V Dock..................................4-12 V 21 ..................................... 4-15 V Hub..................................4-17 Rolling Stand................................. 4-23 Thermal Recorder .............................. 4-26 Mechanical Functions Troubleshooting....................4-28 V Series Operating Instructions 4 - 1...

  • Page 87: Mechanical Functions

    V Dock. Squeeze your grip so that the V 12 moves backward onto the V Dock (shown in FIGURE 4-2), until the front latching bar moves upward, with a corresponding audible click. 4 - 2 V Series Operating Instructions...

  • Page 88: 12 Undocking

    Close your grip against both actuators (shown in FIGURE 4-3). The latching bar on the V Dock moves downward, then the V 12 pushes forward on the V Dock. Lift the V 12 up and away from the V Dock. FIGURE 4-3 V Series Operating Instructions 4 - 3...

  • Page 89: Battery Installation

    With a finger, grab around the front edge of the door and swing it open (shown in FIGURE 4-5). FIGURE 4-5 Reposition your hand against the inside surface of the door to keep it in the open position (shown in FIGURE 4-6). 4 - 4 V Series Operating Instructions...
  • Page 90 Swing the door toward the closed position, align the three tabs on the front edge of the door with the three slots in the V 12 housing and, while pressing the door flush to the housing, slide it forward, until it latches (shown in FIGURE 4-8). V Series Operating Instructions 4 - 5...

  • Page 91: Battery Removal

    With one finger, press against the finger grip on the battery compartment door (shown in FIGURE 4-9), then slide the door backward. FIGURE 4-9 With a finger, grab around the front edge of the door and swing it open (shown in FIGURE 4-10). 4 - 6 V Series Operating Instructions...
  • Page 92 Press downward against the release button adjacent to the desired battery (shown in FIGURE 4-11). The corresponding battery ejects from the battery bay. Grab it and remove it completely from the V 12 (shown in FIGURE 4-12). FIGURE 4-11 FIGURE 4-12 V Series Operating Instructions 4 - 7...

  • Page 93: Battery Charge Checking

    The charge status LED's on the end of the battery lights according to the amount of charge in the battery, and is visible through the narrow window in the door. FIGURE 4-14 4 - 8 V Series Operating Instructions...

  • Page 94: Module Installation

    (Avoid pressing against any circular buttons on the end of the module, to avoid inadvertent actuation of the button function.) NOTE: A VPS is required to monitor any patient parameters. FIGURE 4-15 FIGURE 4-16 V Series Operating Instructions 4 - 9...

  • Page 95: Module Indicator Lights

    VPS Indicator Light INDICATOR LIGHT COLOR STATUS No light No communication, VPS disconnected Amber Power on but module is not communicating Green Power on and module is communicating 4 - 10 V Series Operating Instructions...

  • Page 96: Module Removal

    (and/or other finger(s)) positioned in the large notch on the back of the module (shown in FIGURE 4-17). Depress the release trigger, and pull the module away from the V 12. FIGURE 4-17 V Series Operating Instructions 4 - 11...

  • Page 97: Dock

    NOTE: The metal mounting plate is already affixed to the V Dock when it ships. Mounting Plate FIGURE 4-18 V Series Mounting Plate FIGURE 4-19 V Series Wall Mount 4 - 12 V Series Operating Instructions...
  • Page 98 V Dock Rolling Stand V Hub FIGURE 4-20 V Series Rolling Stand Pull down on the spring-loaded plunger near the front of the mounting channel, and slide the V Dock sideways, ensuring that the front and back edges remain caught under the flanges of the channel.

  • Page 99: Dock Dismounting

    Pull down on the spring-loaded plunger near the front of the mounting channel. Firmly grip the V Dock with the other hand and carefully slide it sideways until it is free of the mounting channel. 4 - 14 V Series Operating Instructions...

  • Page 100: 21 Docking

    V Dock. FIGURE 4-23 FIGURE 4-24 Push the V 21 backward onto the V Dock, until the latch engages, with a corresponding audible click (shown in FIGURE 4-25). FIGURE 4-25 V Series Operating Instructions 4 - 15...

  • Page 101: 21 Undocking

    Close your grip against both actuators. The latch on the V Dock disengages, then the V 21 pushes forward from the V Dock. Lift the V 21 up and away from the V Dock. FIGURE 4-27 4 - 16 V Series Operating Instructions...

  • Page 102: Hub

    V Hub, with a corresponding audible click. (Avoid pressing against any circular buttons on the end of the module, to avoid inadvertent actuation of the button function.) V Series Operating Instructions 4 - 17...

  • Page 103: Module Removal

    (and/or other finger(s)) positioned in the large notch on the back of the module. FIGURE 4-29 Depress the release trigger, and pull the module away from the V Hub. 4 - 18 V Series Operating Instructions...

  • Page 104: Module Locking

    Insert the edge of a thin coin into the slot on the face of the lock on the bottom of the V Hub, and turn it counterclockwise, until the unlocked indicator (with green background) appears. [This allows modules to be installed in or removed from all bays of the V Hub.] FIGURE 4-32 FIGURE 4-33 V Series Operating Instructions 4 - 19...

  • Page 105: Hub Status Indicators

    V Dock Indicator Light FIGURE 4-34 INDICATOR LIGHT COLOR STATUS No light No communication, V Dock disconnected Amber Power on but V Hub is not communicating Green Power on and V Hub is communicating 4 - 20 V Series Operating Instructions...
  • Page 106 V Dock (shown in FIGURE 4-36). FIGURE 4-36 V Dock Connector Insert the white connector of the interface cable into the MR X (where X represents the port number) port in the V Hub (shown in FIGURE 4-37). V Series Operating Instructions 4 - 21...
  • Page 107 V Hub Mechanical Functions FIGURE 4-37 V Hub Connector NOTE: Refer to the Module Configuration chapter for information regarding module setup. 4 - 22 V Series Operating Instructions...

  • Page 108: Rolling Stand

    The rolling stand is designed specifically for the V 12 monitor and is equipped with the following: Mounting head with pivot Storage bin Locking casters Mounting points for two (2) additional V Hubs Cable routing hole and cable management guides FIGURE 4-38 V Series Operating Instructions 4 - 23...
  • Page 109 Rolling Stand Mechanical Functions FIGURE 4-39 Pivot - Monitor pivots 360 around, forward, and backward ° FIGURE 4-40 4 - 24 V Series Operating Instructions...
  • Page 110 Mechanical Functions Rolling Stand FIGURE 4-41 V Series Operating Instructions 4 - 25...

  • Page 111: Thermal Recorder

    Turn the recorder module upside down. Press the button to open the recorder door (as shown in FIGURE 4-42). FIGURE 4-42 Locate the paper guides inside of the recorder (as shown in FIGURE 4-43). FIGURE 4-43 4 - 26 V Series Operating Instructions...
  • Page 112 Insert the paper with the shiny side facing upwards. FIGURE 4-44 Close the recorder door (as shown in FIGURE 4-45). FIGURE 4-45 Optional - insert the recorder in the V Hub or Integrated V Hub. V Series Operating Instructions 4 - 27...

  • Page 113: Mechanical Functions Troubleshooting

    System Administrator not damaged. or Bio Medical engineer for assistance. Module may not be seated Re-seat module to see if module properly in bay. indicator light illuminates. Display messages are shown in bold text. 4 - 28 V Series Operating Instructions...

  • Page 114: Module Configuration

    Module Configuration Module Status Dialog............................5-2 VPS Synchronization ............................5-6 Module Configuration Troubleshooting..................... 5-8 V Series Operating Instructions 5 - 1...

  • Page 115: Module Status Dialog

    Provides ability to disable and enable a module • Provides ability to view the assigned channel for an IBP and Temperature module. • Provides ability to assign a channel to an IBP and Temperature module. 5 - 2 V Series Operating Instructions...

  • Page 116: Navigating To The Module Status Dialog

    Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 5 - 3...

  • Page 117: Changing Vdi Modes

    Select the desired mode (as shown in FIGURE 5-2). Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 5 - 4 V Series Operating Instructions...

  • Page 118: 12/V 21 V Hub Module Limitations

    Accept, if you attempt to configure the VDI mode of a fourth VDI module, the message, “Warning: Only three VDI modules can be re-configured at a time.” displays. This message occurs whether the module is turned On or Off. V Series Operating Instructions 5 - 5...

  • Page 119: Vps Synchronization

    Selecting this button copies patient settings from the monitor to the VPS, and clears any previous data on VPS. Selecting this button copies 12 hours of patient data and patient settings from the VPS to the monitor, and clears any previous data on the monitor. 5 - 6 V Series Operating Instructions...

  • Page 120: Vps Synchronization: Same Patient Ids

    VPS. Please print out all historical data from the bedside monitor prior to discharging message displays. 5.2.4.3 Import Failure This is a general confirmation message (shown in FIGURE 5-4) to verify the patient data and settings before monitoring begins. V Series Operating Instructions 5 - 7...

  • Page 121: Module Configuration Troubleshooting

    VPS Storage Failure VPS is damaged. Replace VPS. Patient ID Mismatch dialog System identified a patient ID Refer to "VPS Synchronization: displays mismatch. Mismatched Patient IDs" on page 5- 6 for additional information. 5 - 8 V Series Operating Instructions...

  • Page 122: Patient Management

    Patient Management Introduction ................................6-2 Patient Info Dialog............................. 6-2 Patient Management Troubleshooting ....................6-8 V Series Operating Instructions 6 - 1...

  • Page 123: Introduction

    The Patient Info dialog displays (as shown in FIGURE 6-1). Select the Setup tab from the Navigation Area. Select the Patient Info button. The Patient Info dialog displays (as shown in FIGURE 6-1). FIGURE 6-1 Example Patient Info Dialog (Demographics Tab) 6 - 2 V Series Operating Instructions...

  • Page 124: Admitting A Patient

    Factory default is a blank value. First Name None Select to enter or change patient’s first name. Accepts up to 15 alphabetic characters. Factory default is a blank value. Default values display in bold. V Series Operating Instructions 6 - 3...
  • Page 125 Mismatch Dialog displays (as shown in FIGURE 6-2). Click the OK button to enter the Demographics tab to ensure the configured patient size or date of birth is correct. FIGURE 6-2 Patient Size Mismatch Dialog 6 - 4 V Series Operating Instructions...

  • Page 126: Patient Room And Bed

    Factory default is a blank value. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 6 - 5...

  • Page 127: Discharging A Patient

    • Selecting Yes does the following: •Returns to the Discharge dialog •Discharge occurs at the local monitor and the central station (if applicable). •All patient data and trends are cleared. •Default departmental settings are restored. 6 - 6 V Series Operating Instructions...

  • Page 128: Clearing Patient History

    • All the alarms are activated. • The display settings are maintained during the Standby mode. • The monitor notifies the central station and other monitors when back in monitoring mode. V Series Operating Instructions 6 - 7...

  • Page 129: Patient Management Troubleshooting

    An invalid value was entered in The acceptable range displays the keypad. above the text box. Observe the range, then enter a value within the range. Display messages are shown in bold text. 6 - 8 V Series Operating Instructions...

  • Page 130: Alarm Behavior

    Alarm Behavior General Alarm Behavior..........................7-2 Physiological Alarms ............................7-2 Technical Alarms ..............................7-4 V Series Operating Instructions 7 - 1...

  • Page 131: General Alarm Behavior

    The Navigator Area’s Alarm Acknowledge button temporarily silences the alarm condition for the configured time period. However, if that latched alarm is not acknowledged during the configured time period, the alarm indicators resume. 7 - 2 V Series Operating Instructions...

  • Page 132: Physiological Alarm Responses

    A parameters’ alarm limit is configured in the respective parameter dialog’s Alarms tab. V Series Operating Instructions 7 - 3...

  • Page 133: Technical Alarms

    The visual and audio indicators associated with a technical alarm are as follows: Visual Indicators Technical visual indicators display as white text messages in the parameter tile’s message area. Audio Indicators Technical alarm sounds are unique to other alarm types. 7 - 4 V Series Operating Instructions...
  • Page 134 Alarms Alarms ..................................8-2 Alarm Limits ................................8-2 Alarm Responses..............................8-11 Arrhythmia Alarms ............................8-17 Alarm Setup................................8-21 Alarms Troubleshooting..........................8-22 V Series Operating Instructions 8 - 1...

  • Page 135: Alarms

    To access the alarm limits dialog from any parameter tile: Select the respective parameter tile to open the parameter dialog. Select the Alarms tab. An alarm limits dialog displays similar to FIGURE 8-1. FIGURE 8-1 Example HR Alarm Limits Dialog 8 - 2 V Series Operating Instructions...

  • Page 136: Alarm Limits

    • The Accept button saves the settings and closes the dialog. To access the alarm limits dialog from the Navigation Area: Select the Alarms tab from the Navigation Area. Select the Limits button. The Alarm Limits dialog displays (as shown in FIGURE 8-2). V Series Operating Instructions 8 - 3...
  • Page 137 Select the applicable alarm group tab. For example, to change the NIBP alarm limits, select the Pressure tab. Select applicable parameter button to set the alarm limits for the individual parameter. Follow steps 3 through 6 in the "Configuring Alarm Limits" on page 8-2. 8 - 4 V Series Operating Instructions...

  • Page 138: Factory Default Alarm Limits

    Unit of Measure: RPM Default: Off Default: Off Default: Off Resolution: 1RPM Invalid data: “- -” Low Limit Off, 5 to 50 Off, 5 to 50 Off, 5 to 50 Default: Off Default: Off Default: Off V Series Operating Instructions 8 - 5...
  • Page 139 Off, 5 to 200 Off, 5 to 200 Mean Default: Off Default: Off Default: Off Off, 0 to 150 Off, 0 to 150 Off, 0 to 150 Mean Default: Off Default: Off Default: Off 8 - 6 V Series Operating Instructions...
  • Page 140 Unit of Measure: % Default: 101 Default: 101 Default: 101 Resolution: 1% Invalid data: “- -” Low Limit 70 to 99 70 to 99 70 to 99 Default: 88 Default: 90 Default: 92 V Series Operating Instructions 8 - 7...
  • Page 141 Off, 0.2 to 8.0 Unit of Measure: % Default: 5.0 Default: 5.0 Default: 5.0 Resolution: 0.1% Low Limit Off, 0.0 to 7.8 Off, 0.0 to 7.8 Off, 0.0 to 7.8 Default: Off Default: Off Default: Off 8 - 8 V Series Operating Instructions...
  • Page 142 70 to 99 70 to 99 70 to 99 Default: 88 Default: 90 Default: 92 NOTE: For the rSO2 alarm limit ranges, refer to the Addendum to V Series Operating Instructions for additional information. V Series Operating Instructions 8 - 9...

  • Page 143: Auto-Set All Alarms Button

    The systolic, diastolic, and mean NIBP values flash in the corresponding alarm priority color when an alarm is active. 8.2.4 Restore All Defaults Button Restores all alarm limits to the departmental default values. 8 - 10 V Series Operating Instructions...

  • Page 144: Alarm Responses

    100% on 8.3.3 Factory Default Alarm Priorities between Alarm Types The V 12/V 21 prioritizes high priority arrhythmia alarms in the following order: • Asystole • Ventricular Fibrillation • Ventricular Tachycardia • Bradycardia V Series Operating Instructions 8 - 11...
  • Page 145 The V 12/V 21 prioritizes low/technical priority arrhythmia alarms in the following order: • Pause • Ventricular Rhythm • Run • Bigeminy • Trigeminy • Couplet • Irregular HR • Multiform PVC • Failure to Sense • Failure to Capture • Leads Off 8 - 12 V Series Operating Instructions...

  • Page 146: Configuring Alarm Levels

    Alarm, Save to Event, and Nurse Call. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 8 - 13...

  • Page 147: Factory Default Alarm Settings

    ALARM LEVELS HIGH MEDIUM ALARM EVENT CALL BUTTON NIBP — IBP 1- 8 — X indicates available alarm level, — indicates alarm level not available The factory default configuration settings are in bold. 8 - 14 V Series Operating Instructions...
  • Page 148 X indicates available alarm level, — indicates alarm level not available The factory default configuration settings are in bold. 8.3.7.5 CCO/Hemo Tab Refer to the Addendum to V Series Operating Instructions for additional information. V Series Operating Instructions 8 - 15...
  • Page 149 X indicates available alarm level, — indicates alarm level not available The factory default configuration settings are in bold. NOTE: For the rSO alarm responses, refer to the Addendum to V Series Operating Instructions for additional information. 8.3.7.7 Neuro Tab TABLE 8-15 contains the alarm responses for the BIS parameter.

  • Page 150: Arrhythmia Alarms

    Asystole, Ventricular Tachycardia, and Ventricular Fibrillation settings which controls the ability to enable or disable the lethal arrhythmias. Refer to "Configuring the Alarms Tab" on page 26-5 for additional information. FIGURE 8-3 Example Arrhythmia Dialog (Arrhythmia Tab) V Series Operating Instructions 8 - 17...
  • Page 151 Optional - Select the Relearn Arrhythmia button to establish a new base line. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 8 - 18 V Series Operating Instructions...

  • Page 152: Understanding Arrhythmia Alarm Responses

    By default, audio for these lethal alarms is on even though there are no Audio On settings shown. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 8 - 19...

  • Page 153: Configuring Arrhythmia Alarm Setup

    • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 8.4.6 Configuring Advanced Arrhy Setup Refer to "ECG Analysis Leads" on page 9-23 for additional information. 8 - 20 V Series Operating Instructions...

  • Page 154: Alarm Setup

    The choices displayed here are specified Dependent on the System in the System Setup Alarms tab. configuration. Refer to "Configuring the Alarms Tab" on page 26-5 for additional information. The factory default configuration settings are in bold. V Series Operating Instructions 8 - 21...

  • Page 155: Alarms Troubleshooting

    Apnea alarms are disabled. Apnea alarms were disabled in Refer to "Configuring the Alarms the password protected System Tab" on page 26-5 for additional Setup dialog. information. Display messages are shown in bold text. 8 - 22 V Series Operating Instructions...
  • Page 156 Arrhythmia Digital Tile Layout ........................9-9 ECG Waveform Tile Layout........................... 9-10 Preparation and Lead Placement......................9-12 Arrhythmia Algorithm............................. 9-21 Arrhythmia Alarms ............................9-26 ST Segment Analysis............................9-30 12 Lead Interpretation............................ 9-32 ECG-Arrhythmia Troubleshooting......................9-36 V Series Operating Instructions 9 - 1...

  • Page 157: Ecg - Arrhythmia

    Intended patient types for 12 Lead Interpretation: Adult, Pediatric, and Neonate. VPS Connector The VPS module supports one (1) ECG/EKG connector (shown in FIGURE 9-1). ECG Connector FIGURE 9-1 Example VPS ECG Connector (Nellcor) 9 - 2 V Series Operating Instructions...

  • Page 158: Ecg Dialog

    Select the ECG button to display the ECG dialog (as shown in FIGURE 9-2). FIGURE 9-2 Example ECG Dialog (Arrhythmia Tab) 9.2.2 Configuring the Arrhythmia Tab Refer to "Arrhythmia Alarms" on page 8-17 for additional information. V Series Operating Instructions 9 - 3...

  • Page 159: Configuring Pacemakers

    Medium, Low. NOTE: The above two options are enabled after a pacing rate is entered. The factory default configuration settings are in bold. Only available when patient size is Adult or Pediatric. 9 - 4 V Series Operating Instructions...

  • Page 160: Configuring Ecg Setup

    Select the Arrhy digital or ECG waveform tile. Select the ECG Setup tab (as shown in FIGURE 9-4 and FIGURE 9-5). FIGURE 9-4 Example ECG Setup tab Accessed from ECG Waveform Tile V Series Operating Instructions 9 - 5...
  • Page 161 AC line noise from The default is 50 Hz when the the ECG waveform. monitor is not configured for the The factory default configuration settings are in bold. 9 - 6 V Series Operating Instructions...

  • Page 162: Configuring The Arrhy Setup

    • “Learning” occurred during a Leads Off condition Relearning Arrhythmia To relearn arrhythmia: Select the Arrhy digital tile. Select the Relearn Arrhythmia button. The Arrhythmia Learning message displays in the ECG waveform tile. V Series Operating Instructions 9 - 7...

  • Page 163: Viewing All Ecg Waveforms

    Refer to "View All ECG Mode" on page 3-17 for additional information. NOTE: The View All ECG button may also be Quick Function button. Refer to "Configuring the Quick Functions Tab" on page 26-4 for additional information. 9 - 8 V Series Operating Instructions...

  • Page 164: Arrhythmia Digital Tile Layout

    Indicates that the value is either equal to or higher than the set alarm limits. Pauses Per Minute Alarm Indicates that the value is either equal to or higher than the set alarm limits. V Series Operating Instructions 9 - 9...

  • Page 165: Ecg Waveform Tile Layout

    Asystole, V-Tach, and Ventricular Fibrillation, the messages scroll. MESSAGE DETAILS Asystole Indicates that an Asystole alarm condition exists. Ventricular Tachycardia Indicates that a Ventricular Tachycardia alarm condition exists. Ventricular Fibrillation Indicates that a Ventricular Fibrillation alarm condition exists. 9 - 10 V Series Operating Instructions...
  • Page 166 Indicates that Arrhythmia is in the learn mode. ST Learning Indicates that ST is enabled and is in the learn mode. ST On Indicates that ST is enabled and not in the learn mode. V Series Operating Instructions 9 - 11...

  • Page 167: Preparation And Lead Placement

    If using hard gel electrodes, it is recommended that during application, the center of the electrode should be slightly pressed onto the skin to ensure direct contact. Consult the electrode patch manufacturer’s instructions for specific use. Secure the lead wires to the patient according to hospital practice. 9 - 12 V Series Operating Instructions...

  • Page 168: Lead Placement

    This manual presents lead placement according to the guidelines of the American Heart Association (AHA) and the International Electro-Technical Commission (IEC). LEAD NAMING STANDARDS LEAD POSITION CHEST LEFT LEG RIGHT LEG LEFT ARM RIGHT ARM V Series Operating Instructions 9 - 13...
  • Page 169 Place the LL (red) electrode on the patient’s • Place the F (green) electrode on the lower left abdomen within the rib cage patient’s lower left abdomen within the rib frame. cage frame. 9 - 14 V Series Operating Instructions...
  • Page 170 Place the V (brown) electrode in one of the • Place the C (white) electrode in one of the V-lead positions (V1 to V6) depicted in the C-lead (C1 to C6) positions depicted in the following section. following section. V Series Operating Instructions 9 - 15...
  • Page 171 Select ECG Lead II on the monitor. Lead II is the direct electrical line between the RA (white) direct electrical line between the R (red) electrode and the LL (red) electrode. electrode and the F (green) electrode. 9 - 16 V Series Operating Instructions...
  • Page 172 Lead II is the direct electrical line between Lead II is the direct electrical line between the RA (white) electrode and the LL (red) the L (red) electrode and the F (green) electrode. electrode. V Series Operating Instructions 9 - 17...
  • Page 173 • Place V6 (brown) chest lead in the fifth • Place C6 (white) chest lead in the fifth intercostal space, mid-axillary line. intercostal space, mid-axillary line. 9 - 18 V Series Operating Instructions...
  • Page 174 Place the LL (red) electrode on the patient’s • Place the F (green) electrode on the lower left abdomen within the rib cage patient’s lower left abdomen within the rib frame. cage frame. V Series Operating Instructions 9 - 19...
  • Page 175 5 inches away from the pacemaker generator area. For example, if the pacemaker generator is located in the right subclavian area, relocate the Right Arm electrode closer in towards the center of the chest. 9 - 20 V Series Operating Instructions...

  • Page 176: Arrhythmia Algorithm

    If noise levels are too high, the following will occur until the signal quality is re-established: • Beat detection is suspended • All rhythm calls are suspended • An ECG Noise message is displayed V Series Operating Instructions 9 - 21...

  • Page 177: Heart Rate Meter

    If an incoming beat matches a template that has already been classified, it is given the same label as the template. The template parameters are updated with the features from this new beat. The real time ECG analysis library incorporates ventricular ectopic beat detection as a part of arrhythmia analysis. 9 - 22 V Series Operating Instructions...

  • Page 178: Ecg Analysis Leads

    Select one of the ECG waveform tiles or the Arrhy tile. The ECG dialog displays. Select the Advanced Arrhy Setup tab (shown in FIGURE 9-24). FIGURE 9-24 ECG Dialog - Advanced Arrhy Setup Tab Select the buttons described in TABLE 9-3 to configure the tab. V Series Operating Instructions 9 - 23...

  • Page 179: Qt/Qtc Digital Tile Layout

    When QT Monitoring in the Advanced Arrhy Setup tab is configured to On. the QT/QTc digital tile displays: Tile name Message area Unit of measure QTc value QT-HR unit of measure QT-HR value QT value High QTc alarm limit FIGURE 9-25 Example QT/QTc Digital Tile 9 - 24 V Series Operating Instructions...
  • Page 180 The message area provides information about the current state of the QT/QTc parameter. MESSAGE DETAILS QTc High Alarm Violation Indicates that the current value is either equal to or higher than the set alarm limits. V Series Operating Instructions 9 - 25...

  • Page 181: Arrhythmia Alarms

    The V-Fib alarm is a high level alarm that produces: • High level visual and audio alarm indicators. • A Ventricular Fibrillation message above the primary waveform area. 9 - 26 V Series Operating Instructions...

  • Page 182: Non-Lethal Arrhythmia Alarms

    The Bigeminy alarm is activated when three or more cycles of one PVC coupled to one normal beat are detected. The Bigeminy default alarm is a Low level alarm event that produces: • Low level visual and audio alarm indicators. • A Bigeminy text message above the primary waveform area. V Series Operating Instructions 9 - 27...
  • Page 183 V-Tach, V-Rhythm, or V-Fib are detected. The Multiform PVC default alarm is a Low level alarm event that produces: • Low level visual and audio alarm indicators. • A Multiform PVC text message above the primary waveform area. 9 - 28 V Series Operating Instructions...
  • Page 184 V-Tach Rate. The V-Rhythm default alarm is a Medium level alarm event that produces: • Medium level visual and audio alarm indicators. • A Ventricular Rhythm text message above the primary waveform area. V Series Operating Instructions 9 - 29...

  • Page 185: St Segment Analysis

    ST deviation measurement is dependent on the correct location of the ISO and ST points. All available ECG leads are analyzed to measure deviations in the ST segment. The displayed ST data is updated approximately every 10 seconds. 9 - 30 V Series Operating Instructions...

  • Page 186: Learning

    This is the widest bandwidth available. Effective for diagnostic examination of ECG wave when patient is not moving. (Patient movement affects the ECG waveform.) The Diagnostic filter may also be used with the ST analysis feature. V Series Operating Instructions 9 - 31...

  • Page 187: 12 Lead Interpretation

    Select the Setup tab from the Navigation Area. Select the Parameters button. Select the 12 Lead button. The 12 Lead dialog displays (as shown in FIGURE 9-26). FIGURE 9-26 Example 12 Lead Dialog (Patient Tab) 9 - 32 V Series Operating Instructions...
  • Page 188 Default Values for Gender, Race and Age If the patient gender, race or age is not entered, the University of Glasgow 12-lead ECG algorithm uses a set of predefined defaults for each blank value. The details are as follows: V Series Operating Instructions 9 - 33...
  • Page 189 Configure the ECG gain for the chest Full and Half Size lead. Full: the gain is consistent with the lead size. Half: the gain is a half of the lead size. *The factory default configuration settings are in bold. 9 - 34 V Series Operating Instructions...
  • Page 190 Select the 12 Lead button. Select the Advanced tab (as shown in FIGURE 9-28). FIGURE 9-28 Example 12 Lead Dialog (Advanced Tab) Select the buttons described in TABLE 9-7 to configure the tab. V Series Operating Instructions 9 - 35...

  • Page 191: 12 Lead Report

    • The Accept button saves the settings and closes the dialog. 9.9.2 12 Lead Report Select the Print 12 Lead button to print the 12 Lead report. Refer to "12 Lead Report" on page 20-10 for additional information. 9 - 36 V Series Operating Instructions...

  • Page 192: Ecg-Arrhythmia Troubleshooting

    No ECG Waveform Gain set too low. Readjust as required. Lead wires and patient cable not Check for proper insertion. fully or properly inserted. Cable or lead wires damaged. Change cable and lead wires. V Series Operating Instructions 9 - 37...
  • Page 193 Electrodes dry or loose. Re-prep skin and apply fresh, moist electrodes. Static build up around patient. Check with local biomedical personnel. ECG Filter set to ST or Diagnostic Set ECG Filter to “Monitor” mode. mode. 9 - 38 V Series Operating Instructions...
  • Page 194 Respiration (Resp) 10.0 Introduction ................................10-2 Resp Dialog................................10-2 Respiration Tile Layouts ..........................10-7 Respiration Troubleshooting ........................10-9 V Series Operating Instructions 10 - 1...

  • Page 195: Respiration (Resp)

    • Select the Resp digital or waveform tile. Select the Setup tab from the Navigation Area. Select the Parameters button. Select the Resp button. The Resp dialog displays (as shown in FIGURE 10-1). 10 - 2 V Series Operating Instructions...

  • Page 196: Configuring Resp Alarm Limits

    Configuring the Resp Parameter Select the Resp digital or waveform tile. Select the Setup tab (as shown in FIGURE 10-2). NOTE: The current parameter setting displays in bold to the right of the each button. V Series Operating Instructions 10 - 3...
  • Page 197 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 10 - 4 V Series Operating Instructions...

  • Page 198: Configuring The Resp Waveform

    The Apnea alarm options in the Resp dialog are only enabled in the dialog when Apnea Alarms are unlocked in the System Setup Alarms tab. Refer to "Configuring the Alarms Tab" on page 26-5 for additional information. V Series Operating Instructions 10 - 5...
  • Page 199 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 10 - 6 V Series Operating Instructions...

  • Page 200: Respiration Tile Layouts

    Resp Low Alarm Violation Indicates that the current value is either equal to or lower than the set alarm limits. High Impedance - Check Leads Displays when a high impedance conditions exists. V Series Operating Instructions 10 - 7...

  • Page 201: Respiration Waveform Tile Layout

    The Resp waveform tile rails the bottom most value when the waveform exceeds the lower scale limit for real-time waveforms. • The Resp waveform tile displays the waveform at the configured waveform sweep speed. 10 - 8 V Series Operating Instructions...

  • Page 202: Respiration Troubleshooting

    Cable not connected. Check cable. New ECG lead cable in use at the Change ECG Resp Lead in the Setup bedside monitor and ECG Resp lead dialog. needs to be changed. V Series Operating Instructions 10 - 9...
  • Page 203 Respiration Troubleshooting Respiration (Resp) This page intentionally left blank. 10 - 10 V Series Operating Instructions...
  • Page 204 11.0 Introduction ................................11-2 IBP Dialog................................11-3 Measuring IBP ..............................11-7 Measuring ICP..............................11-8 IBP Tile Layouts..............................11-10 Inserting the PA Catheter..........................11-14 Pulmonary Artery Wedge Pressure (PAWP) ..................11-15 IBP Troubleshooting............................11-18 V Series Operating Instructions 11 - 1...

  • Page 205: Invasive Blood Pressure (Ibp)

    The VPS module supports two (2) IBP connectors (as shown in FIGURE 11-1). Refer to "Measuring IBP" on page 11-7 for additional information. Connectors FIGURE 11-1 Example VPS IBP Connectors (VPS on Left, Standalone Module on Right) 11 - 2 V Series Operating Instructions...

  • Page 206: Ibp Dialog

    Select an IBP button. The IBP dialog displays (as shown in FIGURE 11-2). FIGURE 11-2 Example IBP Dialog (Alarms Tab) 11.2.2 Configuring IBP Alarm Limits Refer to "Configuring Alarm Limits" on page 8-2 for additional information. V Series Operating Instructions 11 - 3...

  • Page 207: Configuring The Ibp Parameter

    Channel 5- 8/ICP/LA/IAP: White Filter Configures the IBP filter frequency for 8 Hz, 12 Hz, 16 Hz each channel. The factory default configuration settings are in bold. Refer to glossary for acronym definitions 11 - 4 V Series Operating Instructions...

  • Page 208: Configuring The Ibp Waveform

    • The Accept button saves the settings and closes the dialog. 11.2.4 Configuring the IBP Waveform Select the IBP digital or waveform tile. Select the Waveform tab (as shown in FIGURE 11-4). FIGURE 11-4 Example IBP1 Dialog (Waveform Tab) V Series Operating Instructions 11 - 5...
  • Page 209 0 to 160 mmHg 0 to 80 mmHg 0 to 160 mmHg 0 to 40 mmHg 0 to 20 mmHg 0 to 20 mmHg 0 to 20 mmHg 0 to 20 mmHg 0 to 20 mmHg 11 - 6 V Series Operating Instructions...

  • Page 210: Measuring Ibp

    Select the desired pressure scale in the IBP Menu. NOTE: Zero and flush the pressure line at regular intervals per standard hospital procedure. NOTE: Pressure transducers are protected against the effects of defibrillation and electro-cautery. V Series Operating Instructions 11 - 7...

  • Page 211: Measuring Icp

    FIGURE 11-6 Camino Adapter Kit Connect the ICP waveform bedside monitor connector to the Camino adapter kit (as shown in FIGURE 11-7). Connect the other end of the ICP waveform bedside monitor connector into the Camino device. 11 - 8 V Series Operating Instructions...
  • Page 212 FIGURE 11-8 Camino Adapter Kit Cable Inserted into VPS For Camino operating instructions, including starting the Camino device, zeroing pressure transducers, and calibrating the bedside monitor, refer to the Advanced Monitoring CAM01 Operating Manual. V Series Operating Instructions 11 - 9...

  • Page 213: Ibp Tile Layouts

    (MEAN) (as shown in FIGURE 11-9). When displaying a non-pulsatile pressure, the format will be MEAN (SYS/DIA) (as shown in FIGURE 11- 10). FIGURE 11-9 Example IBP Digital Tile (Pulsatile) FIGURE 11-10 Example IBP Digital Tile (Non-Pulsatile) 11 - 10 V Series Operating Instructions...

  • Page 214: Pa Digital Tile

    ART line. NOTE: To display the APP value in the digital tile, the Display APP button must configured to On. Refer to "Configuring the IBP Parameter" on page 11- 4 for additional information. V Series Operating Instructions 11 - 11...

  • Page 215: About The Ibp Tile

    XXX Sensor/Board Failure (where <XXX> is the Indicates that the IBP sensor or board malfunctioned. IBP label) XXX Sensor Off (where <XXX> is the IBP label) Indicates that the cable wire is opened or the connector is not connected. 11 - 12 V Series Operating Instructions...

  • Page 216: Ibp Waveform Tile Layout

    IBP waveform IBP waveform scale Unit of measure PA waveform FIGURE 11-11 Example IBP2 Waveform Tile FIGURE 11-12 Example ARTPA Overlapping Waveform Tile NOTE: Refer to "Overlapping Waveform" on page 3-14 for additional information. V Series Operating Instructions 11 - 13...

  • Page 217: Inserting The Pa Catheter

    PA catheter progresses during the installation procedure. NOTE: Use the PA Insertion dialog as an adjunct. It is not meant to replace proper clinical technique, fluoroscopy, and other methods used to verify proper insertion criteria. 11 - 14 V Series Operating Instructions...

  • Page 218: Pulmonary Artery Wedge Pressure (Pawp)

    Once a satisfactory wedge waveform is detected, press the Measure button to freeze the waveforms within the PAWP dialog. Adjust the reference line to the estimated wedge measurement by selecting the arrow buttons. V Series Operating Instructions 11 - 15...

  • Page 219: Understanding The Pawp Dialog

    PAWP Setup Dialog Select the PA digital or waveform tile. Select the PAWP button. Select the Setup button. The PAWP Setup dialog displays (as shown in FIGURE 11-15). FIGURE 11-15 Example PAWP Setup Dialog 11 - 16 V Series Operating Instructions...
  • Page 220 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 11 - 17...

  • Page 221: Ibp Troubleshooting

    Transducer too HIGH or to LOW. Check patient, adjust transducer, readings rezero. Unable to Zero Stopcock not open to atmosphere. Check transducer. PAWP button disabled One IBP channel must be labeled PA. Label an IBP channel as PA. 11 - 18 V Series Operating Instructions...
  • Page 222 Heart Rate (HR) 12.0 Introduction ................................12-2 HR Dialog ................................12-2 Heart Rate Digital Tile Layout........................12-5 HR Troubleshooting ............................12-6 V Series Operating Instructions 12 - 1...

  • Page 223: Heart Rate (Hr)

    Select the HR digital tile or waveform tile. Select the Setup tab from the Navigation Area. Select the Parameters button. Select the HR button. The HR dialog displays (as shown in FIGURE 12-1). FIGURE 12-1 Example HR Dialog (Alarms Tab) 12 - 2 V Series Operating Instructions...

  • Page 224: Configuring Heart Rate Alarm Limits

    "Audio Levels Dialog" on page 2- QRS Threshold Configures the minimum QRS threshold. Refer to "Configuring the QRS Threshold" on page 12-4 for additional information. The factory default configuration settings are in bold. V Series Operating Instructions 12 - 3...

  • Page 225: Configuring The Qrs Threshold

    P wave, or select the button to move the threshold line down closer to the P wave. Once the threshold is in the desired position, select the Accept Threshold button. 12 - 4 V Series Operating Instructions...

  • Page 226: Heart Rate Digital Tile Layout

    HR source is SpO • In the NIBP color when the HR source is NIBP. 12.3.2 HR Alarms Refer to "Factory Default Alarm Limits" on page 8-5 for additional information. V Series Operating Instructions 12 - 5...

  • Page 227: Message Area

    The measurement value is Resolve technical issue. font (as shown in FIGURE 4-4). compromised by an ECG Noise or ESU event. Dashes “- -” display in place of The measurement is invalid. Check the patient. numerics. 12 - 6 V Series Operating Instructions...
  • Page 228 Temperature (Temp) 13.0 Introduction ................................13-2 Temperature Dialog ............................13-3 Measuring ICT..............................13-5 Measuring Temperature ..........................13-7 Temperature Digital Tile Layout........................ 13-11 Temperature Troubleshooting ........................13-12 V Series Operating Instructions 13 - 1...

  • Page 229: Temperature (Temp)

    FIGURE 13-1 Example VPS Temp Connectors (Standalone Module on Left, VPS on Right) Display Setup To see the Temp values, Temp must be configured to display on the Main Screen. Refer to "Display Options Dialog" on page 3-2 for additional information. 13 - 2 V Series Operating Instructions...

  • Page 230: Temperature Dialog

    Select the Temperature button. The Temperature dialog displays (as shown in FIGURE 13-2). FIGURE 13-2 Example Temperature Dialog (Alarms Tab) 13.2.2 Configuring Temperature Alarm Limits Refer to "Configuring Alarm Limits" on page 8-2 for additional information. V Series Operating Instructions 13 - 3...

  • Page 231: Configuring The Temperature Parameter

    The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 13 - 4 V Series Operating Instructions...

  • Page 232: Measuring Ict

    One Camino supplied bedside monitor cable (as shown in FIGURE 13-4) and one Camino Adapter Kit (as shown in FIGURE 13-5) are needed to obtain an ICT measurement. Camino Bedside Monitor Cable Camino Temperature Cable FIGURE 13-4 Supplied Camino Cables for ICT Measurement FIGURE 13-5 Camino Adapter Kit V Series Operating Instructions 13 - 5...
  • Page 233 FIGURE 13-7 Camino Adapter Kit Cable Installed into VPS For Camino operating instructions, including starting the Camino device, zeroing pressure transducers, and calibrating the bedside monitor, refer to the Advanced Monitoring CAM01 Operating Manual. 13 - 6 V Series Operating Instructions...

  • Page 234: Measuring Temperature

    Align the sensor’s connector with the monitor cable’s connector and push firmly to assure full contact. Forced mating of the connectors without proper alignment may cause damage to the connectors and interruption in electrical continuity. V Series Operating Instructions 13 - 7...

  • Page 235: Esophageal Stethoscope With 400 Series Thermistor Temperature Sensor

    The sensor is designed for insertion into the esophagus. Contraindications The use of the esophageal stethoscope may be contraindicated in neonates and small infants undergoing tracheostomy or internal jugular artery catheterization or laser surgical procedures. 13 - 8 V Series Operating Instructions...

  • Page 236: Esophageal/Rectal Temperature Probe With 400 Series Thermistor

    The thermistor is placed at the distal end of the tube. The accuracy of the thermistor is ± 0.2°C in the range of 5 - 45°C. The assembly is disposable, single use only, and packaged sterile. It is available in sizes 9 and 12 French. V Series Operating Instructions 13 - 9...
  • Page 237 Temperature probes are sterile unless unit container is opened or damaged. CAUTION: Temperature probes are for single use only. Reuse may cause a risk of contamination and affect the measurement accuracy. Destroy after single use. Do not re-sterilize. 13 - 10 V Series Operating Instructions...

  • Page 238: Temperature Digital Tile Layout

    FIGURE 13-9 Example Digital Temp Tile with two temperatures and delta NOTE: Delta Temperature displays if it is enabled and if at least two temperatures are being monitored. Refer to "Configuring the Temperature Parameter" on page 13-4 for additional information. V Series Operating Instructions 13 - 11...

  • Page 239: About The Temperature Tile

    Check the body surface contact at working the probe tip. Reposition or apply thermoconductive gel. Temperature not displayed Improper display setup. Check Display Setup and change in tile as needed. Cable not plugged in. Check the cable. 13 - 12 V Series Operating Instructions...
  • Page 240 Non-Invasive Blood Pressure (NIBP) 14.0 Introduction ................................14-2 NIBP Dialog................................14-3 Measuring NIBP..............................14-5 General NIBP Information..........................14-10 NIBP Tile Layouts ..............................14-10 NIBP Troubleshooting ............................. 14-13 V Series Operating Instructions 14 - 1...

  • Page 241: Non-Invasive Blood Pressure (Nibp)

    VPS Connector The VPS module supports one (1) NIBP connector (as shown in FIGURE 14-1). Refer to "Measuring NIBP" on page 14-5 for additional information. NIBP Connector FIGURE 14-1 Example Nellcor VPS NIBP Connector 14 - 2 V Series Operating Instructions...

  • Page 242: Nibp Dialog

    Configuring NIBP Alarm Limits Refer to "Configuring Alarm Limits" on page 8-2 for additional information. 14.2.3 Configuring the NIBP Parameter Select the NIBP digital tile. Select the Setup tab (as shown in FIGURE 14-3). V Series Operating Instructions 14 - 3...
  • Page 243 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 14 - 4 V Series Operating Instructions...

  • Page 244: Measuring Nibp

    • To reduce errors, adjust the cuff so that little or no air is present within the cuff. • Ensure that the cuff lies directly against the patient’s skin. No clothing should come between the patient and the cuff. V Series Operating Instructions 14 - 5...

  • Page 245: Measurement Limitations

    BP. Errors in the 10 to 40 mmHg range can occur. Ensure that the cuff is wrapped directly over the patient’s skin. BP measurement could be 10 to 40 mmHg higher or lower than actual when the cuff is applied over clothing. 14 - 6 V Series Operating Instructions...
  • Page 246 Mengden Thomas, Myers Martin, Padfield Paul, Palatini Paolo, Parati Gianfranco, Pickering Thomas, Redon Josep, Staessen Jan, Stergiou George, Verdecchia Paolo. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens 2003; 21: 821-848. V Series Operating Instructions 14 - 7...

  • Page 247: Preparing The Patient

    Attach the cuff hose to the NIBP connector on the VPS (as shown in FIGURE 14-1) Apply the cuff to the patient. If not already selected, choose the patient size through the Patient Info dialogs. If needed, change the starting cuff pressure through the NIBP Setup tab. 14 - 8 V Series Operating Instructions...

  • Page 248: Nibp Interval Measurements

    Once selecting Stop NIBP, the measurement pauses but the interval or clock configuration remains intact until the paused mode is exited. To exit the Paused mode, select the Start NIBP button. The interval or clock measurements resume. V Series Operating Instructions 14 - 9...

  • Page 249: Nibp Stat Measurements

    "Displaying NIBP Digital Tile in Large Font" on page 3-16 for additional information. The NIBP digital tile displays (Single Width as shown in FIGURE 14-4, and Double Width as shown in FIGURE 14-5): Tile name Message area Systolic value Diastolic value 14 - 10 V Series Operating Instructions...

  • Page 250: About The Nibp Tile

    NIBP readings, determine the patient's vital signs by alternative means and then verify that the monitor is working correctly. 14.5.3 NIBP Alarms Refer to the "Pressure Tab" on page 8-6 for additional information. V Series Operating Instructions 14 - 11...

  • Page 251: Heart Rate (Hr) Measurement

    Measurement Failed; Retry The NIBP measurement was unsuccessful and must be retried. NIBP XXX Out of Range The NIBP measurement result exceeds the NIBP measurement range. (where <XXX> is NIBP Systolic/Diastolic/Mean pressure) 14 - 12 V Series Operating Instructions...

  • Page 252: Nibp List Tile Layout

    Check patient and notify physician. Blood pressure is out of range. Check patient and verify BP with manual method. Improper cuff size / brand Measure patient limb. Use only properly sized approved accessories. V Series Operating Instructions 14 - 13...
  • Page 253 There is an NIBP measurement in Wait until the measurement is progress. complete. The NIBP cuff is deflating. Wait until the cuff deflates before attempting to begin another measurement. 14 - 14 V Series Operating Instructions...
  • Page 254 Pulse Oximetry (SpO 15.0 Introduction ................................15-2 SpO2 Dialog ................................15-3 Measuring SpO2..............................15-7 SpO2 Tile Layouts .............................. 15-9 Performance Considerations ........................15-12 SpO2 Troubleshooting ........................... 15-13 V Series Operating Instructions 15 - 1...

  • Page 255: Pulse Oximetry (Spo2)

    FIGURE 15-1 Example Nellcor VPS SpO Connector Display Setup To see the SpO values, SpO must be configured to display on the Main Screen. Refer to "Display Options Dialog" on page 3-2 for additional information. 15 - 2 V Series Operating Instructions...

  • Page 256: Spo2 Dialog

    Parameter Setup Select the SpO digital or waveform tile. Select the Setup tab (as shown in FIGURE 15-3). NOTE: The current parameter setting displays in bold to the right of the each button. V Series Operating Instructions 15 - 3...
  • Page 257 Sat-Seconds limit has not been reached. Avg. Mode Configures how quickly the reported Normal, Fast (Nellcor only) value responds to changes in the patient’s saturation. The factory default configuration settings are in bold. 15 - 4 V Series Operating Instructions...
  • Page 258 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 15 - 5...

  • Page 259: Configuring The Spo2 Waveform

    The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 15 - 6 V Series Operating Instructions...

  • Page 260: Measuring Spo2

    These symptoms may cause a loss in vital sign readings. CAUTION: When cleaning SpO2 sensors, do not use excessive amounts of liquid. Wipe the sensor surface with a soft cloth, dampened with cleaning solution. Do not attempt to sterilize. V Series Operating Instructions 15 - 7...

  • Page 261: Masimo Spo2

    The Adult Reusable Finger Sensors can also be used for spot check applications if needed. All sensors are intended for single-patient use only unless indicated as “reusable. ” 15 - 8 V Series Operating Instructions...

  • Page 262: Spo2 Tile Layouts

    Fills in a clockwise direction when the monitor detects the SpO value is outside the set alarm limits. • Empties in a counter-clockwise direction when the SpO reading falls within the set alarm limits. V Series Operating Instructions 15 - 9...

  • Page 263: Spo2 Alarms

    Sensor Failure Indicates that the sensor failed. Sensor Off Indicates that the sensor is off the patient. Communication Error Indicates that the VPS module is having problems communicating with the board. 15 - 10 V Series Operating Instructions...

  • Page 264: Spo2 Waveform Tile Layout

    15.4.5 Waveform Tile Layout The SpO waveform tile displays: Tile name Pleth waveform Signal Indicator Quality (SIQ) FIGURE 15-7 Example Nellcor SpO Waveform Tile FIGURE 15-8 Example Masimo SpO Waveform Tile (SIQ enabled) V Series Operating Instructions 15 - 11...

  • Page 265: About The Spo2 Waveform Tile

    If power has been completely interrupted, SpO monitoring continues when the supply mains is restored or a fully charged battery is installed, and power has been recycled to the monitor. 15 - 12 V Series Operating Instructions...

  • Page 266: Spo2 Troubleshooting

    Cable or sensor not plugged in. Check cable and sensor. Low amplitude SpO signal sensor on same limb as cuff. Check sensor placement, move as necessary. Patient has poor perfusion. Switch limb/notify physician. V Series Operating Instructions 15 - 13...
  • Page 267 SpO2 Troubleshooting Pulse Oximetry (SpO2) This page intentionally left blank. 15 - 14 V Series Operating Instructions...
  • Page 268 16.0 Introduction ................................16-2 ST Dialog ................................. 16-2 ST Tile Layouts..............................16-8 ST Troubleshooting ............................16-10 V Series Operating Instructions 16 - 1...

  • Page 269: Introduction

    Navigating to the ST Dialog • Select the ST tile. Select the Setup tab from the Navigation Area. Select the Parameters button. Select the ST button. The ST dialog displays (as shown in FIGURE 16-1). 16 - 2 V Series Operating Instructions...

  • Page 270: Configuring St Alarms Limits

    16.2.3 Configuring the ST Parameter Select the ST tile. Select the Setup tab (as shown in FIGURE 16-2). NOTE: The current parameter setting displays in bold to the right of the each button. V Series Operating Instructions 16 - 3...
  • Page 271 Show Markers When displaying the ST Rep Beat tile, this On, Off configures whether or not the ISO, J/ST points are shown in the tile The factory default configuration settings are in bold. 16 - 4 V Series Operating Instructions...

  • Page 272: Adjusting The Iso And J/St Points

    When using a cable type other than 3-lead cable, the ST Adjust dialog displays two (2) valid representative beats as shown in FIGURE 16-3 NOTE: When using a 3-lead cable, only one (1) representative beat displays. V Series Operating Instructions 16 - 5...
  • Page 273 The factory default configuration settings are in bold. Select Accept or Cancel. • The Accept button saves the settings and closes the dialog. • The Cancel button closes the dialog without saving the settings 16 - 6 V Series Operating Instructions...

  • Page 274: Reviewing St Points

    Selecting the Relearn button is recommended after one or more of the following: • ECG electrodes have been repositioned • Eight hours have passed since the last relearn • After significant changes to the patient QRS complex V Series Operating Instructions 16 - 7...

  • Page 275: St Tile Layouts

    Units of measure Lead identifier Current and reference values FIGURE 16-5 Example 5-Lead ST Digital Tile Example 3-Lead Digital Tile FIGURE 16-6 Example 12-Lead Digital Half Tile FIGURE 16-7 Example 12-Lead Digital Full Tile 16 - 8 V Series Operating Instructions...

  • Page 276: About The St Tile

    The ST Rep Beat tile displays: Tile name Representative beat Lead identifier Current and reference values Unit of measure Current and reference labels ST markers (ISO, J/ST) Scale label FIGURE 16-8 Example ST Rep Tile Layout (without Markers) V Series Operating Instructions 16 - 9...

  • Page 277: About The St Rep Beat Tile

    J/ST Points" on page 16-5 for additional information. The ST dialogs Relearn ST ST Analysis is disabled. Enable ST Analysis. Refer to button is disabled. "Configuring the ST Parameter" on page 16-3 for additional information. 16 - 10 V Series Operating Instructions...
  • Page 278 Monitoring (Optional) 17.0 Introduction ................................17-2 CO2 Dialog................................17-3 CO2 Tile Layouts..............................17-7 CO2 Troubleshooting............................17-9 V Series Operating Instructions 17 - 1...

  • Page 279: Co2 Monitoring (Optional)

    FIGURE 17-1 Example CO Module Connector Display Setup To see the CO values, CO must be configured to display on the Main Screen. Refer to "Display Options Dialog" on page 3-2 for additional information. 17 - 2 V Series Operating Instructions...

  • Page 280: Co2 Dialog

    Select the CO2 button. The CO2 dialog displays (as shown in FIGURE 17-2). FIGURE 17-2 Example CO Dialog (Alarms tab) 17.2.2 Configuring CO Alarm Limits Refer to "Configuring Alarm Limits" on page 8-2 for additional information. V Series Operating Instructions 17 - 3...

  • Page 281: Configuring The Co2 Parameter Setup

    The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 17 - 4 V Series Operating Instructions...

  • Page 282: Configuring The Co2 Waveform

    The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 17 - 5...

  • Page 283: Taking A Co2 Measurement

    When monitoring an anesthesized patient in an operating room environment, connection from the exhaust port of the V 12/V 21 to the hospital's waste gas scavenging system is recommended to prevent exposure of hospital personnel to the patient's respiratory sample. 17 - 6 V Series Operating Instructions...

  • Page 284: Co2 Tile Layouts

    Indicates that the current value is either equal to or higher than the set alarm limits. ET CO2 High Alarm Violation Indicates that the current value is either equal to or higher than the set alarm limits. V Series Operating Instructions 17 - 7...

  • Page 285: Co2 Waveform Tile Layout

    CO2 Not Calibrated hardware indicates module is not calibrated. 17.3.5 Waveform Tile Layout The CO waveform tile displays: Tile name waveform Waveform scale Unit of measure FIGURE 17-6 Example CO Waveform Tile 17 - 8 V Series Operating Instructions...

  • Page 286: About The Co2 Waveform Tile

    Parameter not configured to display. Refer to "Display Options Dialog" on tiles in display. page 3-2 for additional information. “- -” displays in place of Measurement is invalid. Filter may be disconnected. Check numerics. patient. V Series Operating Instructions 17 - 9...
  • Page 287 CO2 Troubleshooting CO2 Monitoring (Optional) This page intentionally left blank. 17 - 10 V Series Operating Instructions...
  • Page 288 Cardiac Output (CO) (Optional) 18.0 Introduction ................................18-2 Cardiac Output Dialog............................ 18-3 Measuring CO ..............................18-6 CO Digital Tile Layout............................18-9 CO Troubleshooting............................18-10 V Series Operating Instructions 18 - 1...

  • Page 289: Cardiac Output (Co) (Optional)

    CO measurement when Auto Start is disabled. Display Setup To see the CO/CI values, CO must be configured to display on the Main Screen. Refer to "Display Options Dialog" on page 3-2 for additional information. 18 - 2 V Series Operating Instructions...

  • Page 290: Cardiac Output Dialog

    Configuring TBlood Alarm Limits There are no alarm limits settings for Cardiac Output. The alarm limits are for blood temperature or T Blood. Refer to "Configuring Alarm Limits" on page 8-2 for additional information. V Series Operating Instructions 18 - 3...

  • Page 291: Configuring The Co Parameter

    CO module. Computational Verify the correct computation is used 0.001 to 1.000 in steps of 0.001 Constant based on the PA manufacturers Default: 0.500 instructions. The factory default configuration settings are in bold. 18 - 4 V Series Operating Instructions...
  • Page 292 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 18 - 5...

  • Page 293: Measuring Co

    CO and CCO, and want to take a CO measurement, change the CO Source to Module and then run the measurement. To reengage CCO as the priority measurement, change the CO Source to Auto. 18 - 6 V Series Operating Instructions...
  • Page 294 Runs containing red waveform data and a red in the upper right corner of the run indicate that the measurement was not included in the average. V Series Operating Instructions 18 - 7...
  • Page 295 MESSAGE TYPE Error Signal Under Range Alert Noisy Baseline Irregular Curve Delayed Injection Injectate Temperature Error Procedural Prompts Check Catheter Injectate Temperature Out of Range Please Wait Inject Now Measuring Ready Inject When Ready 18 - 8 V Series Operating Instructions...

  • Page 296: Co Digital Tile Layout

    0.1°C when the unit of measure is Celsius and 0.1°F when the unit of measure is Fahrenheit. • If the TBlood measurement is invalid, “- -” displays in place of digitals. 18.4.2 CO Alarms Refer to the "Temp Tab" on page 8-7 for additional information. V Series Operating Instructions 18 - 9...

  • Page 297: Message Area

    Appears if the CO is out of the measurable Check computation constant and range (0.2 l/min to 20.0 l/min). enter correct data. Rebolus when Computation constant incorrect for PA ready. catheter type, injectate temperature, and injectate volume. 18 - 10 V Series Operating Instructions...
  • Page 298 Inject Now Displays once Start CO has been pressed, Bolus when ready. before bolus is initiated Please Wait Displays after fluid bolus is initiated and Wait until message disappears. Cardiac Output is being calculated V Series Operating Instructions 18 - 11...
  • Page 299 CO Troubleshooting Cardiac Output (CO) (Optional) This page intentionally left blank. 18 - 12 V Series Operating Instructions...
  • Page 300 Bispectral Index (BIS) (Optional) 19.0 Introduction ................................19-1 BIS Dialog................................19-3 Measuring BIS............................... 19-11 BIS Tile Layout ..............................19-12 BIS Troubleshooting............................19-17 V Series Operating Instructions 19 - 1...

  • Page 301: Bispectral Index (Bis) (Optional)

    Press the Check Sensor button to manually start or stop a sensor check in progress. Display Setup To see the BIS values, BIS must be configured to display on the Main Screen. Refer to "Display Options Dialog" on page 3-2 for additional information. 19 - 2 V Series Operating Instructions...

  • Page 302: Bis Dialog

    FIGURE 19-2 Example BIS Dialog (Alarms Tab) 19.2.2 Configuring BIS Alarms For a full explanation about alarm responses and instructions for accessing and using these alarm dialogs, refer to the "Alarms" on page 8-1. V Series Operating Instructions 19 - 3...

  • Page 303: Alarm Responses: Neuro Tab

    Select the Setup tab. The Setup dialog displays (as shown in FIGURE 19-3). NOTE: The current parameter setting displays in bold to the right of each button. FIGURE 19-3 Example BIS Dialog (Setup Tab) 19 - 4 V Series Operating Instructions...

  • Page 304: Configuring The Tile Setup Tab

    To select the parameters displayed in the BIS digital tile: Select the BIS digital tile. Select the Setup tab. Select the Tile Setup button. The Tile Setup dialog displays (as shown in FIGURE 19-4). V Series Operating Instructions 19 - 5...

  • Page 305: Configuring The Eeg Waveform

    • The Accept button saves the settings and closes the dialog. 19.2.6 Configuring the EEG Waveform • Select the BIS digital tile. Select the Setup tab from the Navigation Area. Select the Parameters button. 19 - 6 V Series Operating Instructions...
  • Page 306 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 19 - 7...

  • Page 307: Auto And Manual Sensor Check

    View (as shown in FIGURE 19-6). The First Line Message Area displays the following prompt messages while checking sensor: • Check SQI Level, Check SQI L Level, or Check SQI R Level • Ground Check In Progress 19 - 8 V Series Operating Instructions...
  • Page 308 A Confirmation dialog opens and displays “Do you want to stop the sensor check?”. Select Yes button to manually stop the sensor check and close the dialog. Select No button to return the dialog and continue the sensor check. V Series Operating Instructions 19 - 9...

  • Page 309: Auto Impedance Check

    Select the Setup tab. Select the Impedance Check button. Select Off. CAUTION: Configuring the Impedance Check to Off disables automatic prompts to the user of impedance value changes. Doing this may lead to incorrect BIS values. 19 - 10 V Series Operating Instructions...

  • Page 310: Measuring Bis

    If skin rash or other unusual symptoms develop, stop use and remove. Limited to short-term use (maximum of 24 hours). Do not cut sensor components, as this can result in improper operation. V Series Operating Instructions 19 - 11...

  • Page 311: Bis Tile Layout

    13. Alarm limits 14. BIS value (hollow font) FIGURE 19-7 Example BIS Right Digital Tile for a Bilateral Sensor FIGURE 19-8 Example BIS Left Digital Tile for a Bilateral Sensor (15% ≤ SQI ≤ 50%) 19 - 12 V Series Operating Instructions...

  • Page 312: About The Bis Digital Tile

    SEF, TP, and SR numerics during the last minute. Signal quality is optimal when all five bars of the SQI icon are filled with color. SQI ranges from 0-100%. • 0 to 15%: the numerics cannot be derived. V Series Operating Instructions 19 - 13...

  • Page 313: Bis Alarms

    Indicates that right brain hemisphere equal to or lower than 50%. is either Check SQI L Level Indicates that the current SQI value for left brain hemisphere equal to or lower than 50%. 19 - 14 V Series Operating Instructions...

  • Page 314: Bis Waveform Tile Layout

    When using a unilateral sensor for BIS monitoring of a single side of the brain, the waveforms for EEG 1 and EEG 2 display (as shown in FIGURE 19-10 and FIGURE 19-11): Tile name EEG waveform Waveform scale Unit of measure FIGURE 19-10 Example EEG 1 Waveform Tile V Series Operating Instructions 19 - 15...
  • Page 315 Waveform scale Unit of measure FIGURE 19-12 Example EEG LT Waveform Tile FIGURE 19-13 Example EEG LE Waveform Tile FIGURE 19-14 Example EEG RT Waveform Tile FIGURE 19-15 Example EEG RE Waveform Tile 19 - 16 V Series Operating Instructions...

  • Page 316: About The Eeg Waveform Tile

    “Check PIC” displays in First circuit conditions. Line Message Area of the Sensor dialog. Poor connection between the Disconnect and then reconnect the patient interface cable and the patient interface cable and the sensor. sensor. V Series Operating Instructions 19 - 17...
  • Page 317 BIS Troubleshooting Bispectral Index (BIS) (Optional) This page intentionally left blank. 19 - 18 V Series Operating Instructions...
  • Page 318 Reports 20.0 Introduction ................................20-2 Print Setup................................20-2 Print Queue................................20-6 Internal Recorder (Optional) ........................20-7 Laser Printer Reports............................20-8 Printing Troubleshooting..........................20-46 V Series Operating Instructions 20 - 1...

  • Page 319: Reports

    FIGURE 20-1 Example Print Setup Dialog 20.2.1 Navigating to the Print Setup Dialog Select the Print tab from the Navigation Area. Select the Print Setup button. The Print Setup dialog displays (as shown in FIGURE 20-1). 20 - 2 V Series Operating Instructions...

  • Page 320: Configuring The Print Setup

    The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 20 - 3...

  • Page 321: Configuring The Waveforms To Print

    Moves the selected parameter to the top position in the Selected list. Move Up Moves the selected parameter up one position in the Selected list. Move Down Moves the selected parameter from the Selected list down one position. 20 - 4 V Series Operating Instructions...

  • Page 322: Configuring The Print Destination

    Select the Print tab from the Navigation Area. Select the Print Setup button. Select the Destination tab. The Destination tab displays (shown in FIGURE 20-3) FIGURE 20-3 Example Print Setup Dialog (Destination Tab) V Series Operating Instructions 20 - 5...

  • Page 323: Print Queue

    Navigating to the Print Queue Dialog Select the Print tab from the Navigation Area. Select the Print Queue button. The Print Queue dialog displays (as shown in FIGURE 20-4). FIGURE 20-4 Example Print Queue Dialog 20 - 6 V Series Operating Instructions...

  • Page 324: Deleting All Print Requests

    Internal Recorder (Optional) The V 12/V 21 thermal printer is a strip chart recorder with an integral paper spool. The recorder uses only Mindray thermal paper P/N 0683-00-0422-10 (box of 10) or P/N 0683-00-0422-01 (single roll). NOTE: Refer to "Installing the Thermal Recorder Paper" on page 4-26 for additional information.

  • Page 325: Laser Printer Reports

    A marker (shown as a triangle ) displays above the waveform grid indicating the date and time the data was recorded. This report includes a header, waveform information, digital parameter values, and a footer. 20 - 8 V Series Operating Instructions...
  • Page 326 FIGURE 20-5 Example Waveform Report (Laser Printer Output) 20.5.1.1 Printing a Waveform Report Select the Strip button in the Navigation Area. A pop-up menu displays. Select Waveform to print the Waveform Report. The report prints. V Series Operating Instructions 20 - 9...

  • Page 327: 12 Lead Report

    The ECG Cable Type must be set for 12 Lead. Refer to "Configuring ECG Setup" on page 9-5 for additional information. FIGURE 20-6 Example 12 Lead Standard Report (with Full Chest Lead Size and Interpretation Result) 20 - 10 V Series Operating Instructions...
  • Page 328 Reports Laser Printer Reports FIGURE 20-7 Example 12 Lead Standard Report (with Half Chest Lead Size but without Interpretation Result) V Series Operating Instructions 20 - 11...
  • Page 329 Interpretation, the system displays an error message. 20.5.2.2 Representative Complexes and Matrix Report This report includes three pages: the Standard page, the Representative Complexes page, and the Measurement Matrix page (as shown FIGURE 20-6, FIGURE 20-8, and FIGURE 20-9). 20 - 12 V Series Operating Instructions...
  • Page 330 Reports Laser Printer Reports FIGURE 20-8 Example 12 Lead Representative Complexes and Matrix Report (Representative Complexes page) V Series Operating Instructions 20 - 13...
  • Page 331 Laser Printer Reports Reports FIGURE 20-9 Example 12 Lead Representative Complexes and Matrix Report (Measurement Matrix page) 20 - 14 V Series Operating Instructions...

  • Page 332: List Trend Report

    1, 2, 4, 8, 12 or 24 hour time period. This report includes a header, trend records, and a footer. NOTE: This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. V Series Operating Instructions 20 - 15...
  • Page 333 Laser Printer Reports Reports FIGURE 20-10 Example List Trend Report (Laser Printer Output) 20 - 16 V Series Operating Instructions...

  • Page 334: Disclosure Overview Report

    ECG data on each page. Each waveform is one (1) minute in length. The heart rate prints the averaged heart rate for the last second of each waveform line. This report includes a header, disclosure data, and a footer. V Series Operating Instructions 20 - 17...
  • Page 335 Laser Printer Reports Reports FIGURE 20-11 Example Disclosure Overview Report (Laser Printer Output) 20 - 18 V Series Operating Instructions...
  • Page 336 Select the Print button. Select a time interval. NOTE: Refer to "Printing from the Historical Dialogs" on page 21-22 for additional information. Select the Accept button. The report prints. Select the Done button. V Series Operating Instructions 20 - 19...

  • Page 337: Disclosure Detail Report

    This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. FIGURE 20-12 Example Disclosure Detail Report (Page 1) (Laser Printer Output) 20 - 20 V Series Operating Instructions...
  • Page 338 Reports Laser Printer Reports FIGURE 20-13 Example Disclosure Detail Report (Page 2) (Laser Printer Output) V Series Operating Instructions 20 - 21...
  • Page 339 Select the History button from the Navigation Area. Select the Full Disclosure tab. Navigate to the desired time. Select the Views button. Select Detail. Select the Print button. The report prints. Select the Done button. 20 - 22 V Series Operating Instructions...

  • Page 340: Event List Report

    This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. FIGURE 20-14 Example Event List Report (only Page 1 shown) (Laser Printer Output) V Series Operating Instructions 20 - 23...
  • Page 341 Select the Print button. Select a time interval. NOTE: Refer to "Printing from the Historical Dialogs" on page 21-22 for additional information. Select the Accept button. The report prints. Select the Done button. 20 - 24 V Series Operating Instructions...

  • Page 342: Event Detail Report

    This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. FIGURE 20-15 Example Event Detail Report (Page 1) (Laser Printer Output) V Series Operating Instructions 20 - 25...
  • Page 343 Laser Printer Reports Reports FIGURE 20-16 Example Event Detail Report (Page 2) (Laser Printer Output) 20 - 26 V Series Operating Instructions...
  • Page 344 Navigate to the desired event, then select it. Select the Views button. Select Detail. Select the Print button. The report print. Select the Done button. NOTE: Refer to "Events Tab" on page 21-7 for additional information. V Series Operating Instructions 20 - 27...

  • Page 345: Graphic Trend Report

    This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. FIGURE 20-17 Example Graphic Trend Report (Page 1) (Laser Printer Output) 20 - 28 V Series Operating Instructions...
  • Page 346 Reports Laser Printer Reports FIGURE 20-18 Example Graphic Trend Report (Page 2) (Laser Printer Output) V Series Operating Instructions 20 - 29...
  • Page 347 Select the Print button. Select a time interval. NOTE: Refer to "Printing from the Historical Dialogs" on page 21-22 for additional information. Select the Accept button. The report prints. Select the Done button. 20 - 30 V Series Operating Instructions...

  • Page 348: Print On Alarm Report

    NOTE: This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. FIGURE 20-19 Example Print On Alarm Report (Laser Printer Output) V Series Operating Instructions 20 - 31...
  • Page 349 Laser Printer Reports Reports 20.5.9.1 Printing the Print on Alarm Report Refer to "Understanding Alarm Response Settings" on page 8-13 and "Configuring Alarm Response Settings" on page 8-13 for additional information. 20 - 32 V Series Operating Instructions...

  • Page 350: St Report

    NOTE: This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. FIGURE 20-20 Example ST Report (Page 1) (Laser Printer Output) V Series Operating Instructions 20 - 33...
  • Page 351 Laser Printer Reports Reports FIGURE 20-21 Example ST Report (Page 2) (Laser Printer Output) 20 - 34 V Series Operating Instructions...
  • Page 352 Select the Setup tab from the Navigation Area. Select the Parameters button. Select the ST button. Select the Review tab. Select the Print button. The report prints. NOTE: Refer to "ST" on page 16-1 for additional information. V Series Operating Instructions 20 - 35...

  • Page 353: Pawp Report

    ECG, ART2, PA, CO plus all the other parameters being monitored during the PAWP measurement.This report includes a header, PAWP data, and a footer. FIGURE 20-22 Example PAWP Report (Laser Printer Output) 20 - 36 V Series Operating Instructions...
  • Page 354 Select the PAWP button. Select Accept PAWP button. Select the Print PAWP button. The report prints. Select the Done button. NOTE: Refer to "Pulmonary Artery Wedge Pressure (PAWP)" on page 11-15 for additional information. V Series Operating Instructions 20 - 37...

  • Page 355: Drug Calculations Report

    NOTE: This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. FIGURE 20-23 Example Drug Calculation Report (Laser Printer Output) 20 - 38 V Series Operating Instructions...
  • Page 356 The report prints. NOTE: To enable the Print button, there must be at least one calculation in the table. Select the Done button. NOTE: Refer to "Drug Calculations" on page 22-6 for additional information. V Series Operating Instructions 20 - 39...

  • Page 357: Hemodynamic Calculation Report

    NOTE: This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. FIGURE 20-24 Example Hemodynamic Calculations Report (Laser Printer Output) 20 - 40 V Series Operating Instructions...
  • Page 358 Select the Hemo Calculations button. Select the Print button. The report prints. NOTE: To enable the Print button, there must be at least one calculation in the log. Select the Done button. Select the Done button. V Series Operating Instructions 20 - 41...

  • Page 359: Quick Trend Report

    , NIBP), and a footer. NOTE: This report may also be printed from the thermal printer. Refer to "Configuring the Print Destination" on page 20-5 for additional information. FIGURE 20-25 Example Quick Trend Report (Laser Printer Output) 20 - 42 V Series Operating Instructions...
  • Page 360 Reports Laser Printer Reports 20.5.14.1 Printing the Quick Trend Report Select the History button from the Navigation Area. By default, the Quick Trends tab is selected. Select the Print button. The report prints. V Series Operating Instructions 20 - 43...

  • Page 361: System Settings Report

    In addition, it prints the unit of measure, high and low alarm limits, alarm priority, arrhythmia settings, and the alarm response settings. The report includes a header, system settings information, and a footer. FIGURE 20-26 Example System Settings Report (Page 1) (Laser Printer Output) 20 - 44 V Series Operating Instructions...
  • Page 362 Reports Laser Printer Reports FIGURE 20-27 Example System Settings Report (Page 2) (Laser Printer Output) V Series Operating Instructions 20 - 45...

  • Page 363: Printing Troubleshooting

    Printer has not had ample time to Do not use printer again until recover between print requests. temperature reduces. Printer paper jam Paper is stuck in printer. Try to clear jam. If unable to clear jam, contact service personnel. 20 - 46 V Series Operating Instructions...
  • Page 364 History Dialogs 21.0 Introduction ................................21-2 Trends..................................21-2 Events Tab................................21-7 Full Disclosure ..............................21-13 History Dialog Common Functions......................21-15 Historical Events ..............................21-24 Troubleshooting..............................21-30 V Series Operating Instructions 21 - 1...

  • Page 365: History Dialogs

    Selecting the List Trends tab before the first measurement is taken will display an empty list. An NIBP, CO/CI, or PAWP measurement must be taken before the list will populate. All previously collected parameter data displays, even if the parameter is not currently being monitored. 21 - 2 V Series Operating Instructions...

  • Page 366: Navigating To The List Trends Tab

    The dialog navigation buttons are described in TABLE 21-1. NOTE: When a navigation button becomes disabled, this indicates that there is no more data available or the end of the data range was reached. V Series Operating Instructions 21 - 3...

  • Page 367: Configuring A List Trends Display Interval

    Refer to "Printing from the Historical Dialogs" on page 21-22 for additional information. 21.2.11 Graphic Trends The Graphic Trend display allows the user to view a graphic summary of stored patient vital signs. 21 - 4 V Series Operating Instructions...

  • Page 368: Navigating To The Graphic Trends Tab

    • The event marker line displays in the color corresponding to the priority of the event. • The event marker lines displays the event with the highest priority when multiple events occur at the same time. V Series Operating Instructions 21 - 5...

  • Page 369: Viewing Event Detail From Graphic Trends

    Configuring a Graphic Trends Time Search Refer to "Configuring a Time Search" on page 21-18 for additional information. 21.2.19 Printing from Graphic Trends Refer to "Printing from the Historical Dialogs" on page 21-22 for additional information. 21 - 6 V Series Operating Instructions...

  • Page 370: Events Tab

    • Displays event digital tiles to the right of the grid.The digital tiles correspond to the selected event. • Displays the event waveform above the grid. The waveform corresponds to the selected event. V Series Operating Instructions 21 - 7...

  • Page 371: Navigating In The Events - List View

    NOTE: The arrow beside an event filter button (for example, indicates that there is a submenu with additional choices available. NOTE: After selecting an event filter, it displays in the Selected Filters list. 21 - 8 V Series Operating Instructions...

  • Page 372: Tagging Events In The Events - List View

    Certain events are automatically archived. Refer to "Historical Events" on page 21-24 for additional information. To archive an event: Select the History button from the Navigation Area. Select the Events tab. Select an event record in the list. V Series Operating Instructions 21 - 9...

  • Page 373: Changing Leads In The Events - List View

    Configuring Displayed Parameters for the Events - List View Refer to "Configuring Displayed Parameters" on page 21-21 for additional information. 21.3.12 Printing from the Events - List View Refer to "Printing from the Historical Dialogs" on page 21-22 for additional information. 21 - 10 V Series Operating Instructions...

  • Page 374: Accessing The Events - Detail View

    Moves the cursor one page back from its current position. Moves the cursor one second back from its current position. Moves the cursor one second forward from its current position. Moves the cursor one page forward from its current position. V Series Operating Instructions 21 - 11...

  • Page 375: Configuring Displayed Parameters For The Events - Detail View

    Configuring Displayed Parameters for the Events - Detail View Refer to "Configuring Displayed Parameters" on page 21-21 for additional information. 21.3.17 Printing from the Events - Detail View Refer to "Printing from the Historical Dialogs" on page 21-22 for additional information. 21 - 12 V Series Operating Instructions...

  • Page 376: Full Disclosure

    TABLE 21-5 BUTTON FUNCTION Moves the cursor down to the most current ECG data. Moves the cursor up to the oldest historical ECG data. V Series Operating Instructions 21 - 13...
  • Page 377 Select the Detail option to display the event in the Detail view. 21.4.8 About the Full Disclosure - Detail View Refer to "About the Events - Detail View" on page 21-11 for additional information. 21 - 14 V Series Operating Instructions...

  • Page 378: History Dialog Common Functions

    • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. Optional - select the Done button to close the History dialog. V Series Operating Instructions 21 - 15...
  • Page 379 Select the Display Group button from the applicable History dialog tab The Display Group dialog displays (as shown in FIGURE 21-8). Select the Custom Configuration button, then select the Setup button. The Display Group dialog displays (as shown in FIGURE 21-9). 21 - 16 V Series Operating Instructions...
  • Page 380 Moves a parameter from the Selected list down one position. Move to Bottom Moves the selected parameter to the bottom position in the Selected list. Scrolls up the Choices or Selected lists. Scrolls down the Choices or Selected lists. V Series Operating Instructions 21 - 17...
  • Page 381 • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. Optional - select the Done button to close the History dialog. 21 - 18 V Series Operating Instructions...
  • Page 382 • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. Optional - select the Done button to close the History dialog. V Series Operating Instructions 21 - 19...
  • Page 383 The measurement populates the text box beside the ST interval. • If another horizontal measurement is desired, select another interval button. • To delete the ST measurement, select the ST interval button, then select the Clear button. 21 - 20 V Series Operating Instructions...
  • Page 384 • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. Optional - select the Done button to close the History dialog. V Series Operating Instructions 21 - 21...
  • Page 385 4 hrs Prints four hours of patient data, beginning at two hours before the cursor time and printing up to and including the cursor time. 21 - 22 V Series Operating Instructions...
  • Page 386 • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. Optional - select the Done button to close the History dialog. V Series Operating Instructions 21 - 23...

  • Page 387: Historical Events

    To view a complete list of apnea events that occurred but were not acknowledged, refer to the events log on the central station the monitor is connected to. 21 - 24 V Series Operating Instructions...
  • Page 388 To view a complete list of apnea events that occurred but were not acknowledged, refer to the events log on the central station the monitor is connected to. V Series Operating Instructions 21 - 25...
  • Page 389 To view a complete list of apnea events that occurred but were not acknowledged, refer to the events log on the central station the monitor is connected to. 21 - 26 V Series Operating Instructions...
  • Page 390 To view a complete list of apnea events that occurred but were not acknowledged, refer to the events log on the central station the monitor is connected to. V Series Operating Instructions 21 - 27...
  • Page 391 To view a complete list of apnea events that occurred but were not acknowledged, refer to the events log on the central station the monitor is connected to. 21 - 28 V Series Operating Instructions...
  • Page 392 To view a complete list of apnea events that occurred but were not acknowledged, refer to the events log on the central station the monitor is connected to. V Series Operating Instructions 21 - 29...

  • Page 393: Troubleshooting

    Uncheck some events. Can not set the Archive status To prevent deleting, the selected No solution required. for this event! event cannot be unarchived. Messages are shown in all bold text. 21 - 30 V Series Operating Instructions...
  • Page 394 Calculators 22.0 Hemodynamics Calculations........................22-2 Hemodynamics Dialog........................... 22-2 Hemodynamic Calculations Report....................... 22-5 Hemodynamic Calculations Troubleshooting................. 22-6 Drug Calculations .............................. 22-6 Drug Calculator Dialog........................... 22-6 Drug Calculations Report ..........................22-14 Drug Calculator Troubleshooting......................22-14 V Series Operating Instructions 22 - 1...

  • Page 395: Hemodynamics Calculations

    Select the Procedures tab, then select the Hemo Calculations button. The Hemodynamics dialog displays (as shown in FIGURE 22-1) Select the Tools tab from the Navigation Area. Select the Calculators button, then select the Hemo Calculations button. FIGURE 22-1 Example Hemodynamics Calculator 22 - 2 V Series Operating Instructions...
  • Page 396 This button is only visible if no IBP channel is labeled CVP and an IBP channel is labeled as RA. NOTE: Defaults to the mean RA value. Select the Calculate button. The formulas found in TABLE 22-2 are used to determine the hemodynamic calculations: V Series Operating Instructions 22 - 3...
  • Page 397 End-Systolic Volume End Systolic Volume = EDV - SV ESVI (ml/m²) End-Systolic Volume - End Systolic Volume Index = ESV / BSA Index Dubois’ equation Select the Done button to close the Hemodynamics dialog. 22 - 4 V Series Operating Instructions...

  • Page 398: Hemodynamic Calculations Report

    The most recent calculations data displays in the right most position. • The oldest calculations data displays in the left most position. 22.3 Hemodynamic Calculations Report Refer to "Hemodynamic Calculation Report" on page 20-40 for additional information. V Series Operating Instructions 22 - 5...

  • Page 399: Hemodynamic Calculations Troubleshooting

    22.6.1 Navigating to the Drug Calculator Dialog Select the Tools tab from the Navigation Area. Select the Calculators button. Select the Drug button. The Drug Calculator dialog displays (as shown in FIGURE 22-2). 22 - 6 V Series Operating Instructions...
  • Page 400 If the Weight Based button is enabled, enter the patient’s weight. Accepts entered weight in pounds (lbs) or kilograms (kg). NOTE: Refer to "" on page 22-9 for additional information. The factory default configuration settings are in bold. V Series Operating Instructions 22 - 7...
  • Page 401 Dopamine / Inotropin 400 mg 250 ml Epinephrine HCL / 1 mg 250 ml Adrenalin * Indicates that the drug amounts are programmable for generic drugs. For all other drugs, units are not pro- grammable. 22 - 8 V Series Operating Instructions...
  • Page 402 Unspecifie Unspecified Drug C mcg* Unspecifie Unspecified Drug D mcg* Unspecifie Unspecified * Indicates that the drug amounts are programmable for generic drugs. For all other drugs, units are not pro- grammable. V Series Operating Instructions 22 - 9...
  • Page 403 When calculating the dose, the drug calculation software checks for overflow and underflow and displays the dose as invalid data in either of these cases. • The dose value defaults to Unspecified and remains Unspecified until the value is either calculated or manually entered. 22 - 10 V Series Operating Instructions...
  • Page 404 The dose/kg value defaults to Unspecified and remains Unspecified until the value is either calculated or manually entered. • The dose/kg value is reset to Unspecified if the drug amount units unit family is changed to Drug A, B, C, or D. V Series Operating Instructions 22 - 11...
  • Page 405 • When the cursor is moved through the Previous Calculations list while viewing the Titration table, the titration table updates to the selected drug in the list. 22 - 12 V Series Operating Instructions...
  • Page 406 Select the Tools tab from the Navigation Area. Select the Calculators button. Select the Drug button. Select the Titration Table tab (as shown in FIGURE 22-3). FIGURE 22-3 Example Titration Table Select a drug from the Previous Calculations list. V Series Operating Instructions 22 - 13...

  • Page 407: Drug Calculations Report

    The Delete selected button There are no drugs in the Previous is disabled Calculations list to delete. The Print button is disabled There are no drug calculations. in the Titration table tab 22 - 14 V Series Operating Instructions...
  • Page 408 Alarm Watch 23.0 Alarm Watch ................................. 23-2 Alarm Watch Tile ..............................23-5 Alarm Watch Notification..........................23-6 Alarm Watch Troubleshooting ........................23-8 V Series Operating Instructions 22-1...
  • Page 409 23.1 Alarm Watch The Alarm Watch feature enables a V Series monitor (defined as the Host monitor) to be notified of an alarm condition and observe specified parameters for another networked V Series monitor (defined as the Source monitor) from a remote location. To view the locations or beds, configure the alarm watch tile (shown as A-W) to display on the Host monitor.
  • Page 410 DESCRIPTION Indicates that the location is active on the V Series central network. Indicates that the location is currently inactive on the V Series central network. Indicates that the location is locked. Locked locations are setup by the System Administrator in the System Alarm Watch tab and require a password to modify or remove.
  • Page 411 Continue to select the Cancel or Accept button to return to the Main display. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 23 - 4 V Series Operating Instructions...
  • Page 412 • The Accept button saves the settings and closes the dialog. 23.2 Alarm Watch Tile The Alarm Watch tile displays: Tile name Locked bed Active, unlocked bed FIGURE 23-2 Example Alarm Watch Tile (No Beds in Alarm) V Series Operating Instructions 23 - 5...
  • Page 413 FIGURE 23-3 Example Alarm Watch Tile (One (1) Bed in Alarm) FIGURE 23-4 Example Alarm Watch Tile (Three (3) or More Beds in Alarm) A-W Tile Not-Configured FIGURE 23-5 Example Alarm Watch Notification Strip (Three alarms) 23 - 6 V Series Operating Instructions...
  • Page 414 FIGURE 23-6 Example All Current Alarms Dialog NOTE: The Alarm Watch Overview dialog displays the highest priority most recent alarms for the currently monitored beds. V Series Operating Instructions 23 - 7...
  • Page 415 AW Comm Lost Displays when the A-W tile is not Contact the System Administrator. configured for display and there is a communications loss with the Source monitor. Display messages are shown in bold text. 23 - 8 V Series Operating Instructions...
  • Page 416 Remote View 24.0 Remote View................................. 24-2 Remote View Troubleshooting ......................... 24-5 V Series Operating Instructions 24 - 1...
  • Page 417 The Connecting... message displays in the Remote View dialog until the connection to the selected remote location is established. NOTE: The system automatically remembers and displays the last selected device in the Remote View dialog unless the Remote View feature is turned off. 24 - 2 V Series Operating Instructions...
  • Page 418 The Host monitor can display all data with the exception of the following: NIBP List tile, ST Beat tile, Time tile, overlapped IBP tiles, CCO tile, CCO STAT tile, SvO2 tile, Hemo tile, rSO2 tile and Gas tile. V Series Operating Instructions 24 - 3...
  • Page 419 (which is above the HR) in the Remote View dialog and the Source monitor’s message area. • Manage alarm silencing by using the buttons described in TABLE 24-1. 24 - 4 V Series Operating Instructions...
  • Page 420 Refer to "System Information" on page 2-15 to determine which software versions are installed on the V 12/V 21 monitor. Display messages are shown in bold text. V Series Operating Instructions 24 - 5...
  • Page 421 Remote View Troubleshooting Remote View This page intentionally left blank. 24 - 6 V Series Operating Instructions...
  • Page 422 VAccess 25.0 Introduction ................................25-2 V Series Operating Instructions 25 - 1...
  • Page 423 If there is 10 minutes of inactivity once logged into the remote desktop, the VAccess application automatically times out. The 10 minute time out is controlled by the V Series application and is not user configurable. Optional - to switch to a different connection, select the Select Location button again and choose a different location from the list.
  • Page 424 System Setup 26.0 Introduction ................................26-2 System Dialog ..............................26-2 Configuration Management........................26-23 V Series Operating Instructions 26 - 1...
  • Page 425 System button indicates that a password is required to access the System dialog. Enter the password. Select the Accept button. The System dialog displays (as shown in FIGURE 26-1). 26 - 2 V Series Operating Instructions...
  • Page 426 CO/PAWP measurement is automatically removed from the Main Display. Nurse Call Sends an electronic signal to the Nurse Call Off, One-Shot, Continuous system when an alarm is active. The factory default configuration settings are in bold. V Series Operating Instructions 26 - 3...
  • Page 427 Select the System button, enter the password, then select the Accept button. By default, the General tab selects. Select the Quick Functions button. The Quick Function Keys dialog displays (as shown in FIGURE 26-2). FIGURE 26-2 Example Quick Function Keys Dialog 26 - 4 V Series Operating Instructions...
  • Page 428 Select the Setup tab from the Navigation Area. Select the System button, enter the password, then select the Accept button. Select the Alarms tab. The Alarms tab displays (as shown in FIGURE 26-3). V Series Operating Instructions 26 - 5...
  • Page 429 Alarm Responses dialog tabs. Response Tab Order" on page 26- Mixed Agent Audio Allows an authorized user to enable or disable the Mixed Agent Audio. The factory default configuration settings are in bold. 26 - 6 V Series Operating Instructions...
  • Page 430 Select the System button, enter the password, then select the Accept button. Select the Alarms tab. Select the Alarm/Response Order button. The Alarm Limit/Response Tab Order dialog displays (as shown in FIGURE 26-4). V Series Operating Instructions 26 - 7...
  • Page 431 Moves the cursor up by one in the Selected list. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 26 - 8 V Series Operating Instructions...
  • Page 432 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 26 - 9...
  • Page 433 26-11 for additional information. NOTE: When the IP address of wired network is changed, restart the V 12/ V21 to take the changed IP address into effect. The factory default configuration settings are in bold. 26 - 10 V Series Operating Instructions...
  • Page 434 • The Accept button saves the settings and closes the dialog. 26.2.7.1 Requirements for Setting Up the Wireless Network A Mindray proprietary wireless network, installed by approved Mindray service personnel, is required to support wireless networking. This proprietary network will have the following capabilities: •...
  • Page 435 Select the System button, enter the password, then select the Accept button. Select the Network tab, then select the IP Configuration button.The IP Configuration dialog displays (as shown in FIGURE 26-7 and FIGURE 26-8). FIGURE 26-7 Example IP Configuration Dialog for Wired Network 26 - 12 V Series Operating Instructions...
  • Page 436 Select to enter the name for the desired wireless Accepts up to 30 Name network. alphanumeric characters. Factory defaults to blank. Encryption Type Configures the wireless network Encryption type. TKIP, AES The factory default configuration settings are in bold. V Series Operating Instructions 26 - 13...
  • Page 437 AP. Check for IP address conflicts. If any, set the IP addresses correctly. Check if the Mindray recommended wireless AP is used. If not, verify the AP effective transmission rate meets the throughput requirements of the connected devices.
  • Page 438 TABLE 26-8 SYMPTOMS CORRECTIVE ACTION The V 12/V 21 is Check if the Mindray recommended wireless AP is used. If not, frequently off line or verify the AP effective transmission rate meets the throughput disconnects from the requirements of the connected devices.
  • Page 439 When the 12 Lead Interpretation report is being printed, the 12 Lead interpretation as XML format is exported to the specified file path. ECG Management allows an authorized user to enable ECG Management and configure the file path (as shown in FIGURE 26-10). 26 - 16 V Series Operating Instructions...
  • Page 440 None name. Factory default is a blank value. Network Password Select to enter or change the network None password. Factory default is a blank value. The factory default configuration settings are in bold. V Series Operating Instructions 26 - 17...
  • Page 441 Any changes made (including the initial configuration) to the System Alarm Watch settings do not take effect until the patient is either discharged or the patient size is changed. Any active location on the V Series central network can be added to the watched list.
  • Page 442 Continue to select the Cancel or Accept button to return to the Main display. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. V Series Operating Instructions 26 - 19...
  • Page 443 Select the Setup tab from the Navigation Area. Select the System button, enter the password, then select the Accept button. Select the System tab. The System tab displays (as shown in FIGURE 26-12). 26 - 20 V Series Operating Instructions...
  • Page 444 System password. Service Allows an authorized user access to the password protected Service Diagnostic mode. Export Config Copies the current settings to the external drive. The factory default configuration settings are in bold. V Series Operating Instructions 26 - 21...
  • Page 445 The Create Password keyboard dialog displays. Enter a new password, then select the Accept button. The Verify Password keyboard dialog displays. Enter the new password again, then select the Accept button. A confirmation box dialog displays. 26 - 22 V Series Operating Instructions...
  • Page 446 Configuration Management If the monitor is inadvertently powered down (due to power failure or battery depletion), monitor settings will restore the latest user-settings no matter how long it takes for the monitor to restart. V Series Operating Instructions 26 - 23...
  • Page 447 Configuration Management System Setup This page intentionally left blank. 26 - 24 V Series Operating Instructions...
  • Page 448 Care and Cleaning of Reusable Temperature Probes..............27-3 Care and Cleaning of Reusable Cuffs ....................27-4 Care and Cleaning of Lead ECG Cables and Wires................ 27-5 Battery Maintenance ............................27-5 Care of CO2 Module............................27-6 V Series Operating Instructions 27 - 1...

  • Page 449: Introduction

    After cleaning, dry all areas except the monitor screen with an absorbent paper towel. 27.2.1 Monitor Sterilization Sterilization is not recommended for this monitor, related products, accessories or supplies unless otherwise indicated in the Operating Instructions that accompany the accessories or supplies. 27 - 2 V Series Operating Instructions...

  • Page 450: Care And Cleaning Of Spo2 Sensors

    Clean the probes before and after each new patient. • Wipe the patient contact area using a soft cloth with mild soap and water solution or isopropyl alcohol. • Allow the probe to completely dry before using. V Series Operating Instructions 27 - 3...

  • Page 451: Care And Cleaning Of Reusable Cuffs

    Do not clean with detergent or disinfectant. Disinfect the bladder with 70% isopropanol or ultraviolet. 27.5.2 Reusable Bladderless Cuffs Clean cuffs with warm water and a mild detergent. Do not use a detergent containing hand conditioners, softeners, or fragrances. 27 - 4 V Series Operating Instructions...

  • Page 452: Care And Cleaning Of Lead Ecg Cables And Wires

    NOTE: Replace Li-Ion batteries with P/N 0146-00-0091-01 ONLY. NOTE: Batteries with P/N 0146-00-0069 may fit inside the V 12 monitor but they will not properly report charging status. V Series Operating Instructions 27 - 5...

  • Page 453: Care Of Co2 Module

    V 12 batteries may only be charged within a V 12 monitor. Do not attempt to use commercial rechargers. 27.8 Care of CO Module Refer to "Carbon Dioxide (CO2) Performance" on page 29-42 for additional information. 27 - 6 V Series Operating Instructions...
  • Page 454 ECG ..................................... 28-2 SpO2 ..................................28-4 NIBP .................................... 28-6 Temperature................................28-7 IBP....................................28-7 CO2..................................... 28-8 CO....................................28-9 BIS ....................................28-9 Miscellaneous Accessories........................... 28-10 Mounts & Mounting Accessories......................28-10 Networking Accessories..........................28-11 Manuals..................................28-11 V Series Operating Instructions 28 - 1...

  • Page 455: Ecg

    ECG Leadwires, 5 lead, Pinch, 24" (61.0 cm), AAMI 0012-00-1514-03 ECG Leadwires, 5 lead, Pinch, 36" (101.6 cm), AAMI 0012-00-1514-10 ECG Leadwires, 5 lead, Pinch, 18" (45.7 cm), IEC Not available for sale in the United States 28 - 2 V Series Operating Instructions...
  • Page 456 5-lead extended leadset pinch 24", IEC 0012-00-1820-12 5-lead extended leadset pinch 36", IEC 0010-10-12304 Adult Electrode (Kendall, package of 10)* 9000-10-07469 Pediatric Electrode (3M, package of 50)* Not available for sale in the United States V Series Operating Instructions 28 - 3...
  • Page 457 1 kg. and less than 10 kgs. 0600-00-0096 Adhesive tapes for Neonatal L single patient adhesive sensors 0600-00-0046-01 LNOP® NeoPt-Preterm neonatal Y single patient adhesive sensors- for patients less than 1 kg. Discontinued by manufacturer 28 - 4 V Series Operating Instructions...
  • Page 458 Not available for sale in the United States *** One Nellcor sensor ships with each Nellcor SpO VPS module. Order subsequent Nellcor sensors from Nell- cor (requesting P/N 9000-10-05161) by calling 1-800-NELLCOR or go to www.Nellcor.com. V Series Operating Instructions 28 - 5...
  • Page 459 Bladderless Small Adult Cuff(CM1302 MW) 115-027715-00 Bladderless Adult Cuff(CM1303 MW) 115-027716-00 Bladderless Large Adult Cuff(CM1304 MW) 115-027717-00 Bladderless Thigh Cuff(CM1305 MW) 115-027718-00 Bladderless Adult long Cuff(CM1306 MW) 115-027719-00 Bladderless L-Adult long Cuff(CM1307 MW) 28 - 6 V Series Operating Instructions...

  • Page 460: Temperature

    0010-10-12156 BD, Transducer/manifold mount* M90-000133--- Abbott, Steady rest for IBP Transducer and Clamp* M90-000134--- Abbott, Mounting clamp for IBP transducer (Hospira, send with the cable)* Not available for sale in the United States V Series Operating Instructions 28 - 7...
  • Page 461 0010-10-42570 Oridion Smart CapnoLine Plus O Adult/Intermediate Long* 0010-10-42571 Oridion Smart CapnoLine O Pediatric Long* 040-000027-00 Oridion CO Kit Infant/Neonatal* 040-000027-00 Oridion CO2 Kit Adult/Pediatric* Not available for sale in the United States 28 - 8 V Series Operating Instructions...

  • Page 462: Bis

    Not available for sale in the United States 28.8 PART NUMBER DESCRIPTION 6800-30-50761 BIS Module Cable 115-005707-00 BISx4 Module Cable NOTE: If you need to purchase Quatro, Pediatric XP, Extend, and Bilateral sensors, please contact Covidien. V Series Operating Instructions 28 - 9...

  • Page 463: Miscellaneous Accessories

    0160-00-0126-01 Color flat panel secondary display 023-000288-00 V Series USB Memory Stick, 8GB 023-000287-00 V Series USB Memory Stick, 16GB (for Service use only) 0012-00-1803-15 Cable, mod bus, powered USB, 2F, 4' 0012-00-1803-12 Cable, mod bus, powered USB, 2F, 6'...

  • Page 464: Networking Accessories

    DESCRIPTION 0070-CD-0727-02 V 12/V 21 Operators Manual - International English CD 0070-00-0727-02 V 12/V 21 Operators Manual - International English 046-004985-00 12-Lead ECG Interpretive Program Physician Manual 046-001131-00 V 12/V 21 Service Manual V Series Operating Instructions 28 - 11...
  • Page 465 Manuals Accessories This page intentionally left blank. 28 - 12 V Series Operating Instructions...
  • Page 466 SvO2 Output Performance .......................... 29-51 Analog Output..............................29-51 Drug Calculations .............................. 29-52 Patient Contacting Materials ........................29-52 Power Specifications............................29-53 Recorder Performance Specifications....................29-54 Safety Designations............................29-54 Electromagnetic Capability ......................... 29-55 Environmental Conditions ........................... 29-60 V Series Operating Instructions 29 - 1...
  • Page 467 Product Specifications Sound..................................29-60 Communication Protocols ........................... 29-60 ....................................... 29-60 Operator Position............................... 29-61 29 - 2 V Series Operating Instructions...

  • Page 468: Specifications

    Medical electrical equipment - Part 2-61: Particular requirements for basic safety and essential performance of pulse oximeter equipment IEC 60601-2-26:2002 Medical electrical equipment – Part 2-26: Particular requirements for the basic safety of electroencephalographs V Series Operating Instructions 29 - 3...
  • Page 469 Display resolution is 1024 x 768 pixels Interfaces: 1- Diagnostic Port (DP1) 1- V Dock Interface (D1) 1- V Hub Interface (MR4) 3- Battery Interface (1, 2, 3) 6 - Module bays (M1-M6) 29 - 4 V Series Operating Instructions...
  • Page 470 Minimum +45/-45 degree vertical viewing angle Aspect ratio of 3:4 in portrait mode Display resolution is 1600 x 1200 pixels Interfaces: 1- Diagnostic Port (DP1) 1- V Dock Interface (D1) 1- V Hub Interface (MR4) V Series Operating Instructions 29 - 5...
  • Page 471 1 - V Dock Interface (D1) 3 - V Hub Interface (MR1- MR3) 3 - Serial Bus (SB1-SB3) 1 - Nurse Call (NC1) 1 - Video (DV1) 1 - Ethernet (CS1) 1 - AC Inlet 29 - 6 V Series Operating Instructions...
  • Page 472 Interfaces: 1- Non-Invasive Blood Pressure 1 - Temperature 2- Invasive Blood Pressure 1- ECG 1- Nellcor SpO or Masimo SpO 2 - Analog Output/Defib Sync 2 - Mx & My Module Bay Connectors V Series Operating Instructions 29 - 7...
  • Page 473 Splash Proof (IPX4) Degree of electrical connection between Equipment designed for direct electrical connection to equipment and patient the patient Degree of Mobility: Portable Maximum Size: 1.1"H x 2.6"W x 4.6"D Maximum Weight: 1.02 lbs. 29 - 8 V Series Operating Instructions...
  • Page 474 -20°C to +60°C Storage Humidity: 10% to 95%, non-condensing Storage Altitude: 1060hPa to 570hPa Controls/Indicators: 1- Button, Start CO Run 1- LED, Powered and Communicating Interfaces: 1- CO 1 - Module Bay (Mx) V Series Operating Instructions 29 - 9...
  • Page 475 1060hPa to 700hPa Storage Temperature: -20°C to +60°C Storage Humidity: 10% to 95%, non-condensing Storage Altitude: 1060hPa to 570hPa Controls/Indicators: 1- LED, Powered and Communicating Interfaces: 1- CO Exhaust 1- CO 1- Module Bay (Mx) 29 - 10 V Series Operating Instructions...
  • Page 476 Not protected (Ordinary) Protection Against Ingress of Liquids: Drip-proof (IPX1) Degree of electrical connection between equipment Equipment designed for direct electrical and non- and patient: electrical connection to the patient Degree of Mobility: Portable V Series Operating Instructions 29 - 11...
  • Page 477 1.50 lbs. Operating Temperature: +5°C to +40°C Operating Humidity: 10% to 95%, non-condensing Operating Altitude: 1060hPa to 700hPa Storage Temperature: -20°C to +60°C Storage Humidity: 15% to 95%, non-condensing Storage Altitude: 1060hPa to 570hPa 29 - 12 V Series Operating Instructions...
  • Page 478 Storage Temperature: -20°C to +60°C Storage Humidity: 10% to 95%, non-condensing Storage Altitude: 1060hPa to 570hPa Controls/Indicators: 1- LED, Powered and Communicating Interfaces: 1- Mx Module Bay Connector 1 - DB-9 Male Interface Connector V Series Operating Instructions 29 - 13...
  • Page 479 The V 12/V 21 I/O Processor generates a low priority LED alarm. • The low priority LED alarm is constantly on. • The low priority LED alarm has a duty cycle of 100%. 29 - 14 V Series Operating Instructions...
  • Page 480 Audio alarm can be delayed for a predetermined time period, with the exception of Apnea, ST alarm, lethal Arrhythmia alarms, SpO Desat and Insp O shortage. • When alarm is triggered, the alarm tone will not be presented, but the visual signal will be presented during delay time. V Series Operating Instructions 29 - 15...

  • Page 481: Ecg Performance

    I, II, III, aVR, aVL, aVF, V (n) 3/5 Lead ECG Cable Detection The ECG System has a manual selection for 3 or 5 leads cables when Mindray cables are used. Defibrillator Overload protection The ECG function is in accordance with the applicable requirements of IEC 60601-2-27 and IEC 60601- 2-25.
  • Page 482 11. Electro Surgical Unit Noise Suppression The peak noise during ESU operation for 3 and 5-Lead ECG System is less than ± 2mV from ECG baseline when used with Mindray ESU cables. 12. ESU Withstand 3 and 5-Lead ECG Systems withstand stress from a High Frequency Surgical Unit operating at 300 Watts in cut mode and 100 Watts in coagulate mode.
  • Page 483 For values outside the specified measurement range, the heart rate meter indicates invalid data as (- -). 32. Trigger Indication There is an audible beep on every beat captured, if enabled. 33. Trigger Threshold 29 - 18 V Series Operating Instructions...
  • Page 484 The average heart rate is calculated on the basis of the mean RR-interval of the last 16 beats, unless the heart rate calculated using the last 4 beats is less than or equal to 48, then this rate is used. V Series Operating Instructions 29 - 19...
  • Page 485 The VPS is equipped with QTc High alarm, which is only for Adult and Pediatric patients. The alarm is triggered when the current QTc value is equal to or greater than the alarm setting. 29 - 20 V Series Operating Instructions...
  • Page 486 ST Dual Lead High Alarm: +0.5 to +10.0 mm in steps of 0.1 mm, default: Off ST Dual Lead Low Alarm: -0.5 to -10.0 mm in steps of 0.1 mm, default: Off 51. Arrhythmia Analysis V Series Operating Instructions 29 - 21...
  • Page 487 I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 12 Lead ECG Cable Detection The ECG System has a manual selection for 12 Lead cables when Mindray cables are used. Defibrillator Overload protection The ECG function is in accordance with the applicable requirements of IEC 60601-2-27 and IEC 60601- 2-25.
  • Page 488 ± 10 percent of any available fixed gain setting.. 18. Multichannel Crosstalk Multichannel crosstalk is a maximum of 2%. 19. Frequency Response TABLE 29-22 ECG Type Bandwidth (-3db) Monitor Diagnostic V Series Operating Instructions 29 - 23...
  • Page 489 Accuracy is ± 3 BPM or ± 3% from 30 to 250 BPM, ± 5% in the 251 to 300 BPM range. 31. Out of Range For values outside the specified measurement range, the heart rate meter indicates invalid data as (- -). 32. Trigger Indication 29 - 24 V Series Operating Instructions...
  • Page 490 ± 2.0 mV to ± 700 mV and duration 0.1 msec to 2 msec with tails of less than 2 mV and with time constants from 4ms to 100ms. Pacer pulse detector rejection of fast ECG signals: 50 V/s RTI when measured in accordance with IEC60601-2-27:2011. 45. Heart Rate Average V Series Operating Instructions 29 - 25...
  • Page 491 The VPS is equipped with QTc High alarm, which is only for Adult and Pediatric patients. The alarm is triggered when the current QTc value is equal to or greater than the alarm setting. 29 - 26 V Series Operating Instructions...
  • Page 492 ST Dual Lead High Alarm: +0.5 to +10.0 mm in steps of 0.1 mm, default: Off ST Dual Lead Low Alarm: -0.5 to -10.0 mm in steps of 0.1 mm, default: Off 51. Arrhythmia Analysis V Series Operating Instructions 29 - 27...

  • Page 493: Impedance Respiration Performance

    4 to 150 RPM. ECG Respiration parameter accuracy is ± 4% of the signal value within the range of 151 to 199 RPM. Excitation Frequency: 38.4 kHZ Excitation Current: < 384 μA RMS max 29 - 28 V Series Operating Instructions...
  • Page 494 Linear Signal Range: p-p minimum. Noise: Less than 0.05 at 500 patient impedance, using a Mindray ECG cable. Min. Breath Height Detected: It is function of respiration scale. Waveform needs to be Greater than in order for breathes to be accurately detected.
  • Page 495 Linear Signal Range: p-p minimum. Noise: Less than 0.05 at 500 patient impedance, using a Mindray ECG cable. Min. Breath Height Detected: It is function of respiration scale. Waveform needs to be Greater than in order for breathes to be accurately detected.

  • Page 496: Non-Invasive Blood Pressure (Nibp) Performance

    Mean error ±5 mmHg Standard Deviation: less than 8 mmHg Measurement Range: Adult Mode: 55 to 270 mmHg Pediatric Mode: 55 to 170 mmHg Neonate Mode: 45 to 130 mmHg Resolution: 1 mmHg V Series Operating Instructions 29 - 31...
  • Page 497 NIBP Mean Alarms NIBP system is equipped with High and Low NIBP rate alarms. Alarms can be triggered when measured rate is equal to or greater/lesser than the alarm setting. High Alarm Limits: 29 - 32 V Series Operating Instructions...
  • Page 498 START PRESSURE PATIENT SETTING RANGE INCREMENT SIZE DEFAULT SETTING Adult Mode 100-280 mmHg 1 mmHg 180 mmHg Pediatric Mode 60-180 mmHg 1 mmHg 140 mmHg Neonatal Mode 40-120 mmHg 1 mmHg 100 mmHg V Series Operating Instructions 29 - 33...

  • Page 499: Invasive Blood Pressure (Ibp) Performance

    8Hz ± 1 Hz, 12Hz ± 1 Hz, 16 Hz ± 1 Hz, (-3db Point) Invalid Data: Invalid IBP data displayed as (- -). Transducer not zeroed or Uncalibrated: The blood pressure indication is XX when the transducer is not zeroed or uncalibrated. 29 - 34 V Series Operating Instructions...
  • Page 500 0 to 150 mmHg in steps of 1 mmHg, default: Off Neonate: 0 to 150 mmHg in steps of 1 mmHg, default: Off IBP Heart Rate Range: Adult Mode:30 to 300 BPM Pediatric Mode:30 to 300 BPM Neonate Mode: 30 to 350 BPM V Series Operating Instructions 29 - 35...
  • Page 501 30 s Temperature Alarms The temperature function includes High and Low temperature alarms. Alarms can be triggered when measured temperature is equal to or greater/lesser than the alarm setting. Temperature High Alarm Limits: 29 - 36 V Series Operating Instructions...
  • Page 502 Instructions For Use. For each temperature probe, information about the proper environmental conditions of use, storage, and transport including temperature and humidity should be contained in the probe Instructions For Use. V Series Operating Instructions 29 - 37...

  • Page 503: Pulse Oximetry (Spo2) Performance

    70% to 100% ± 3.5 digits D-YS (Neonate), OXI-A/N (Neonate) 70% to 100% ± 4 digits • parameter minimum range is 70% to 100%. • Invalid SpO parameter displayed as (- -). • parameter display resolution is 1%. 29 - 38 V Series Operating Instructions...
  • Page 504 Fills in a clockwise direction when the monitor detects the SpO value is outside the set alarm limits. • Empties in a counter-clockwise direction when the SpO reading falls within the set alarm limits. V Series Operating Instructions 29 - 39...
  • Page 505 • Maximum optical power output for the LEDs is 4 mW. NOTE: The sensor measurement wavelengths are nominal. NOTE: The information about the wavelength range and maximum photic output consumption can be especially useful to clinicians (for example, when photodynamic therapy is performed). 29 - 40 V Series Operating Instructions...

  • Page 506: Thermodultion Cardiac Output (Co) Performance

    (95.0°F to 110.0°F in steps of 1°F, default Off ) T-blood Low Alarm: 26.0°C to 38.0°C in steps of 1°C, default Off (For Adult and Pediatric) (80.0°F to 100.0°F in steps of 1°F, default Off ) Injectate Temperature Measurement V Series Operating Instructions 29 - 41...

  • Page 507: Carbon Dioxide (Co2) Performance

    50 ml/min -7.5 + 15 ml/min, flow measured by volume Respiration Rate Accuracy: The respiration rate measurement accuracy is: 0 to 70 RPM ± 1 RPM 71 to 120 RPM ± 2 RPM 121 to 150 RPM ± 3 RPM 29 - 42 V Series Operating Instructions...
  • Page 508 (After the 20-second opportunity given to the host to schedule the SFM passes, the module schedules the SFM according to a priority determined by current conditions). Maximum emptying interval during normal use (sample gas 37 °C, 100% RH) V Series Operating Instructions 29 - 43...
  • Page 509 1.0 to 4.0% in steps of 0.1%, default: 1% 1.0 to 4.0 kPa in steps of 0.1 kPa, default: 0.1 kPa Respiration Alarm Limits Refer to the alarms section ‘‘Impedance Respiration Performance’’ on page 29-28, which includes apnea alarms. 29 - 44 V Series Operating Instructions...

  • Page 510: Bispectral Index (Bis) Performance

    Off, 10 to 99 in steps of 1, default Off Low Alarm Limits: Adult: Off, 1 to 90 in steps of 1, default Off Pediatric: Off, 1 to 90 in steps of 1, default Off V Series Operating Instructions 29 - 45...

  • Page 511: Continuous Cardiac Output (Cco) Performance

    Off, 500 to 5000 in steps of 1, default Off Low Alarm Limits: Adult: Off, 0 to 2000 in steps of 1, default Off Pediatric: Off, 0 to 2000 in steps of 1, default Off 29 - 46 V Series Operating Instructions...
  • Page 512 High Alarm Limits: Adult: Off, 20.0 to 200.0 in steps of 0.1, default Off Pediatric: Off, 20.0 to 200.0 in steps of 0.1, default Off V Series Operating Instructions 29 - 47...
  • Page 513 Off, 20.0 to 400.0 in steps of 0.1, default Off Low Alarm Limits: Adult: Off, 0.0 to 200.0 in steps of 0.1, default Off Pediatric: Off, 0.0 to 200.0 in steps of 0.1, default Off 29 - 48 V Series Operating Instructions...
  • Page 514 Gases Performance 29.12 Gases Performance The V 12/V 21 works with Mindray DS Gas Module 3 to measure and monitor inspired and expired , CO O and five (5) anesthetic agents. For the performance specifications of the Gas Module 3, refer to Datascope®...
  • Page 515 ≤ 60 bpm and I/E ratio ≤ 1:1; • etCO is within specification for breath rate ≤ 30 bpm and I/E ratio ≤ 2:1. Measurement accuracy is unspecified for breath rate larger than 60 bpm. 29 - 50 V Series Operating Instructions...
  • Page 516 Maximum delay between the QRS peak and the rising edge 35 msec of the defibrillator sync pulse: Minimum Output Amplitude: 2V into a 5 Kohm load Output Pulse Width: 2 msec to 7 msec V Series Operating Instructions 29 - 51...

  • Page 517: Drug Calculations

    • Titration Table • Drug Dosage • Review Previously Calculated Drug Calculations 29.16 Patient Contacting Materials Following is a listing of patient contacting components of the V Series monitoring platform: PATIENT CONTACTING COMPONENT Handle Front Bezel Rear Housing All patients contacting materials where found to be in compliance with the applicable parts of AAMI ANSI ISO 10993-1:2009/(R) 2013, Biological Evaluations of Medical Devices.

  • Page 518: Power Specifications

    3 traces on thermal strip chart paper ± Printing speed: 5 printing speeds: 3.125, 6.25, 12.5, 25, and 50mm/sec, each within Paper installation: Auto feed ± Sensitivity: 5% on each trace Performance: IEC60601-2-27:2011, and IEC60601-2-25:2011 V Series Operating Instructions 29 - 53...

  • Page 519: Safety Designations

    If power is restored within 30 seconds, the system re-establish all monitoring and connections that were available prior to the power loss. If power is not restored within 30 seconds, the system shuts down. 29 - 54 V Series Operating Instructions...

  • Page 520: Electromagnetic Capability

    Harmonic Class A buildings used for domestic purposes emissions IEC 61000-3-2 Voltage Complies fluctuations/ Flicker emissions IEC 61000-3-3 V Series Operating Instructions 29 - 55...
  • Page 521 (50/60 Hz) be at levels characteristic of a typical magnetic field IEC location in a typical commercial or 61000-4-8 hospital environment. is the A.C. mains voltage prior to application of the test level. 29 - 56 V Series Operating Instructions...
  • Page 522 If abnormal performance is observed, additional measures may be necessary, such as reori- enting or relocating the V 12/V 21. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. V Series Operating Instructions 29 - 57...
  • Page 523 The V 12/V 21 including PD9512ANM FCC Radio Compliance: This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: this device may not cause harmful interference, and 29 - 58 V Series Operating Instructions...
  • Page 524 Any changes or modifications to this equipment not expressly approved by Mindray may cause harmful radio frequency interference and void your authority to operate this equipment.

  • Page 525: Environmental Conditions

    Wi-Fi) and V 12/V 21 is greater than 20 cm, the wireless functions of V 12/V 21 are normal. FCC Approval FCC ID:PD9512ANM 29 - 60 V Series Operating Instructions...
  • Page 526 Central Station, the Panorama Central Station discharges the patient, too. 29.25 Operator Position The operator of the device should be positioned in front of the V 12/V 21 display at a distance of no more than 1 meter. V Series Operating Instructions 29 - 61...
  • Page 527 Operator Position Product Specifications This page intentionally left blank. 29 - 62 V Series Operating Instructions...
  • Page 528 Glossary 30.0 This section provides a glossary of terminology used throughout the V 12/V 21 Operating Instructions. • Terms, Acronyms, and Abbreviations V Series Operating Instructions 30 - 1...
  • Page 529 Data or settings maintained and remain available until purposely edited or deleted Respiration Number of breaths during a one minute time period Level of Oxygen Saturation in the blood The ST portion of the ECG waveform 30 - 2 V Series Operating Instructions...
  • Page 530 Central Venous Pressure Desoflurane Oxygen Delivery dynes-sec/cm5/m2 Dynes per sec per centimeter to the power of 5 per meter squared dynes-sec/cm5 Dynes per sec per centimeter to the power of 5 End Diastolic Volume V Series Operating Instructions 30 - 3...
  • Page 531 Liters per minute l/min/m Liters per minute per meter squared Left Arm when referring to ECG Leads (AHA) Pounds Left Leg when referring to ECG Leads (AHA) Left Ventricle Minimal Alveolar Concentration Mean Arterial Pressure 30 - 4 V Series Operating Instructions...
  • Page 532 Bispectral Index Variability Index ScVO2 Central Venous Oxygen Saturation Spectral Edge Frequency sEMG Electromyograph Variability Index Sevoflurane Skin Oxygen Saturation Signal Quality Index Suppression Ratio SvO2 Saturated Venous Oxygenation Stroke Volume Stroke Volume Index V Series Operating Instructions 30 - 5...
  • Page 533 Terms, Acronyms, and Abbreviations Glossary ACRONYMS/ABBREVIATIONS DEFINITIONS Systemic Vascular Resistance SVRI Systemic Vascular Resistance Index Stroke Volume Variation TEMP Temperature T Blood Blood temperature Total Power Umbilical Artery Chest Lead (AHA) V Device Integrator Oxygen Consumption 30 - 6 V Series Operating Instructions...
  • Page 534 Addendum to erating Instructions Patient Monitors...
  • Page 535 INVOS are registered trademarks of Covidien Copyright © Mindray DS USA, Inc., 2015 -2016. All rights reserved. Contents of this publication may not be reproduced in any form without permission of Mindray DS USA, Inc. Addendum to V Series Operating Instructions...
  • Page 536 Gases Digital Tile Layout......................................2 - 10 About the Gases Digital Tile ....................................2 - 11 Gases Alarms ..........................................2 - 11 Message Area..........................................2 - 11 CO2 Waveform Tile Layout ......................................2 - 12 Gases Troubleshooting ........................................2 - 12 Addendum to V Series Operating Instructions...
  • Page 537 Configuring the Edwards Monitor Serial Port ..............................4 - 6 SvO2 Digital Tile Layout........................................4 - 6 About the SvO2 Tile........................................4 - 7 SvO2 Alarms ..........................................4 - 7 Message Area..........................................4 - 7 SvO2 Troubleshooting..........................................4 - 7 Addendum to V Series Operating Instructions...

  • Page 538: Foreword

    The purpose of this addendum is to describe the parameters which are available through the V Device Integrator (VDI) module. Only use this addendum in tandem with the V Series Operating Instructions . Each chapter contains the parameter alarm limits and alarm responses, instructions for connecting to the third party device (for example, Edwards Vigilance Monitor), digital tile layout, and troubleshooting.

  • Page 539: Indications For Use

    Indications for Use Indications for Use The V Series Monitoring System is intended for intra hospital use under the direct supervision of a licensed healthcare practitioner. The Indications for Use for the V 12/V 21 include the monitoring of the following human physiological parameters: •...
  • Page 540 Continuous Cardiac Output (CCO) & Continuous Hemodynamics (Optional) Introduction ................................1-2 CCO/Hemo Configuration..........................1-2 CCO Setup................................1-8 Digital Tiles................................1-9 CCO Troubleshooting............................1-17 Addendum to V Series Operating Instructions 1 - 1...

  • Page 541: Continuous Cardiac Output (Cco) & Continuous Hemodynamics (Optional)

    Display Setup To see the CCO and Hemo values, CCO and Hemo tiles must be configured to display on the Main Screen. Refer to "Display Options Dialog" on page 3-2 in the V Series Operating Instructions for additional information. CCO/Hemo Configuration The CCO dialog (as shown in FIGURE 1-2) contains an Alarms tab and a Setup tab.
  • Page 542 Continuous Cardiac Output (CCO) & Continuous Hemodynamics (Optional) CCO/Hemo Configuration FIGURE 1-2 Example CCO Dialog (Alarms Tab) FIGURE 1-3 Example Hemo Dialog (Alarms Tab) Addendum to V Series Operating Instructions 1 - 3...

  • Page 543: Configuring Cco/Hemo Alarms

    1.2.2 Configuring CCO/Hemo Alarms For a full explanation about alarm responses and instructions for accessing and using these alarm dialogs, refer to the Alarms chapter in the V Series Operating Instructions. 1.2.2.1 Alarm Limits: CCO/Hemo Tab TABLE 1-1 lists the alarm limit ranges for the CCO parameter, which is contained in the CCO tab and Hemo tab.
  • Page 544 Off, 20 to 100 Unit of Measure: % Resolution: 1% Invalid data: “- -” Low Limit Off, 0 to 60 Off, 0 to 60 The factory default configuration settings are in bold. Addendum to V Series Operating Instructions 1 - 5...

  • Page 545: Alarm Responses: Cco/Hemo Tab

    Select the Parameters button, then select the CCO button. Select the CCO digital tile. Select the Setup tab (as shown in FIGURE 1-4). NOTE: The current parameter setting displays in bold to the right of each button. 1 - 6 Addendum to V Series Operating Instructions...
  • Page 546 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. Addendum to V Series Operating Instructions 1 - 7...

  • Page 547: Cco Setup

    One 1x slot in the V Hub or Integrated V Hub NOTE: Refer to "Module Status Dialog" on page 5-2 in the V Series Operating Instructions for additional information about 1x modules. Connect the serial cable to an available COM port (as shown in FIGURE 1-5) on the back side of an Edwards monitor.

  • Page 548: Configuring The Edwards Monitor Serial Port

    Connect the other end of the serial cable to serial port on the VDI module. Verify the current VDI mode is configured to Vigilance. NOTE: Refer to "Changing VDI Modes" on page 5-4 of the V Series Operating Instructions for additional information. Turn on the Edwards monitor.

  • Page 549: About The Cco Tile

    Indicates there is an error on the Edwards device that is not a physiological alarm. It is a prompt for the clinician to look at the Edwards device for more detailed information. 1 - 10 Addendum to V Series Operating Instructions...

  • Page 550: Cco Stat Digital Tile Layout

    The CCO STAT tile displays all CCO STAT in units of l/min with a resolution of 0.1 l/min. If the CCO STAT measurement is invalid, “- -” displays in place of digits. • 1.4.7 CCO Alarms Refer to the "Configuring CCO/Hemo Alarms" on page 1-4 for additional information. Addendum to V Series Operating Instructions 1 - 11...

  • Page 551: Message Area

    Indicates that the current value is either equal to or lower than the set alarm limits. 1.4.9 Hemo Digital Tile Layout The Hemo digital tile displays: Tile name Message area Parameters (display up to six (6) of the following parameters): 1 - 12 Addendum to V Series Operating Instructions...

  • Page 552: About The Hemo Tile

    The Hemo tile can display up to six (6) parameters in a two column format. • The Hemo tile can display up to three (3) parameters in the one column format. Addendum to V Series Operating Instructions 1 - 13...

  • Page 553: Hemo Tile Setup

    Moves the selected parameter to the top position in the Selected list. Move Up Moves the selected parameter up one position in the Selected list. Move Down Moves a parameter from the Selected list down one position. 1 - 14 Addendum to V Series Operating Instructions...

  • Page 554: Saving Hemo Calculations

    To configure the parameters that display in the Hemo tile: Select the Hemo tile. Verify that there are calculations in the Hemodynamics Parameters table (as shown in FIGURE 1- 11). FIGURE 1-11 Addendum to V Series Operating Instructions 1 - 15...

  • Page 555: Hemo Alarms

    Select the Save to Log button. Optional - select the Hemo Log button to access the Hemodynamics Calculator. Select Accept or Cancel. NOTE: Refer to "Hemodynamics Calculations" on page 22-2 in the V Series Operation Instructions for additional information. 1.4.13 Hemo Alarms Refer to the "Configuring CCO/Hemo Alarms"...

  • Page 556: Cco Troubleshooting

    Change VDI mode to Vigilance. Check Vigilance Indicates there is an error on the Look at the Edwards device for more Edwards device that is not a detailed information. physiological alarm. Addendum to V Series Operating Instructions 1 - 17...
  • Page 557 CCO Troubleshooting Continuous Cardiac Output (CCO) & Continuous Hemodynamics (Optional) This page intentionally left blank. 1 - 18 Addendum to V Series Operating Instructions...

  • Page 558: Gases (Optional)

    Gases (Optional) Introduction ................................2-2 Gas Dialog ................................2-3 Gas Monitoring with Gas Module 3 ....................... 2-9 Gases Tile Layouts.............................. 2-10 Gases Troubleshooting ..........................2-12 Addendum to V Series Operating Instructions 2 - 1...

  • Page 559: Introduction

    Introduction Gases (Optional) Introduction The V 12/V 21 works with Mindray DS Gas Module 3 to measure and monitor inspired and expired , CO O and five (5) anesthetic agents--Isoflurane (ISO), Sevoflurane (Sev), Desflurane (Des), Halothane (Hal), and Enflurane (Enf ).

  • Page 560: Gas Dialog

    When the CO , Des, Enf, Hal, Isp, Sev, O , or N O button is selected, the corresponding alarm dialog is displayed. FIGURE 2-3 displays the CO Alarm dialog. Addendum to V Series Operating Instructions 2 - 3...

  • Page 561: Configuring The Gases Parameter Setup

    NOTE: For the limit ranges of N O, O , and five known anesthetic agents, refer to "Configuring Alarm Limits" on page 8-2 in the V Series Operating Instructions. 2.2.3 Configuring the Gases Parameter Setup Select the Gases digital tile.
  • Page 562 The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. Addendum to V Series Operating Instructions 2 - 5...

  • Page 563: Calibrating Gases

    “Zeroing...” initially displays for each of the gas labels when the Gas Module zeros the gas channels. After successful zeroing, the Gas Module requests the calibration gas. The message “Feed Calibration Gas” displays. 2 - 6 Addendum to V Series Operating Instructions...

  • Page 564: Zeroing Manually

    Error”, “Sampling Error” or “Calibrating Error” displays and the previous calibration data is restored. Repeat the calibration procedure from step 3. If problems persist, contact Mindray for technical support. Attach the calibration gas canister to the regulator and turn it on. Increasing gas values appear in the window when the Gas Module samples the calibration gas.

  • Page 565: Mac Values

    1.01% and 1MAC of N O is 92.4% of the 60-year-old patient based on the above age correction formula. The MAC value is calculated as follows: 0.9% 1.01% 92.4% = 1.4 2 - 8 Addendum to V Series Operating Instructions...
  • Page 566 Configure Gases and CO to display on the Main Screen. Refer to "Display Options Dialog" on page 3-2 in the V Series Operating Instructions for additional information. Set alarms as desired. Refer to "Configuring Gases Alarm Limits" on page 2-3 for additional information.

  • Page 567: Measurement Limitations

    2.5.1 Gases Digital Tile Layout The Gases digital tile displays: Message area Unit of measure Insp Gases value ET Gases value Patient Age MAC Value FIGURE 2-7 Example Gases Digital Tile 2 - 10 Addendum to V Series Operating Instructions...

  • Page 568: About The Gases Digital Tile

    The color of MAC label and value, and the color of Age are same as the color of the primary agent. 2.5.3 Gases Alarms Refer to the "Gases Tab" on page 8-7 in the V Series Operating Instructions for additional information. 2.5.4 Message Area The message area provides information about the current state of the gases parameter.

  • Page 569: Co2 Waveform Tile Layout

    XX indicates O O or AA gases. 2.5.5 Waveform Tile Layout Refer to "CO2 Waveform Tile Layout" on page 17-8 in the V Series Operating Instructions for additional information about CO waveform tile layout. Gases Troubleshooting The Gases tile message area displays messages indicating the current state of the Gases parameter. If there is more than one message to display, the messages scroll.
  • Page 570 Regional Oxygen Saturation (rSO2) (Optional) Introduction ................................3-2 rSO2 Configuration............................3-2 rSO2 Setup ................................3-5 rSO2 Tiles................................. 3-6 rSO2 Troubleshooting............................. 3-8 Addendum to V Series Operating Instructions 3 - 1...

  • Page 571: Regional Oxygen Saturation (Rso2) (Optional)

    Display Setup To see the rSO2, the rSO2 tile must be configured to display on the Main Screen. Refer to "Display Options Dialog" on page 3-2 in the V Series Operating Instructions for additional information. rSO2 Configuration The rSO2 dialog (as shown in FIGURE 3-2) contains an Alarms tab and a Setup tab.

  • Page 572: Configuring Rso2 Alarms

    ALARM LEVELS* DEFAULT ALARM RESPONSES ALARM LEVELS PRINT ON SAVE TO NURSE BUTTON HIGH MEDIUM ALARM EVENT CALL rSO2 X indicates available alarm level. The factory default configuration settings are in bold. Addendum to V Series Operating Instructions 3 - 3...

  • Page 573: Configuring The Rso2 Parameter

    The factory default configuration settings are in bold. Select the Cancel or Accept button. • The Cancel button closes the dialog without saving the settings. • The Accept button saves the settings and closes the dialog. 3 - 4 Addendum to V Series Operating Instructions...

  • Page 574: Rso2 Setup

    One 1x slot in the V Hub or Integrated V Hub NOTE: Refer to "Module Status Dialog" on page 5-2 in the V Series Operating Instructions for additional information about 1x modules. Connect the serial cable to an available COM port (as shown in FIGURE 3-4) on the back side of an INVOS Monitor.

  • Page 575: Configuring The Invos Monitor Serial Port

    Tiles Regional Oxygen Saturation (rSO2) (Optional) NOTE: Refer to "Changing VDI Modes" on page 5-4 of the V Series Operating Instructions for additional information. Turn on the INVOS Monitor. 3.3.3 Configuring the INVOS Monitor Serial Port Before configuring the V 12/V 21 monitor to display rSO2, the INVOS Monitor serial port must be properly configured to communicate bidirectionally with the V 12/V 21.

  • Page 576: About The Rso2 Tile

    Indicates that the current value for channel 1/2/3/4 is either equal to or Alarm Violation lower than the set alarm limits. Check INVOS Indicates the INVOS Monitor should be checked for a technical error. Addendum to V Series Operating Instructions 3 - 7...

  • Page 577: Rso2 Troubleshooting

    INVOS Monitor. Look at the INVOS Monitor for more Check INVOS Indicates there is an error on the INVOS Monitor that is not a detailed information. physiological alarm. 3 - 8 Addendum to V Series Operating Instructions...
  • Page 578 Mixed Venous Oxygen Saturation (SvO2) (Optional) Introduction ................................4-2 SvO2 Configuration............................4-2 SvO2 Setup ................................4-5 SvO2 Digital Tile Layout..........................4-6 SvO2 Troubleshooting............................ 4-7 Addendum to V Series Operating Instructions 4 - 1...

  • Page 579: Mixed Venous Oxygen Saturation (Svo2) (Optional)

    Display Setup To see the SvO2 values, SvO2 must be configured to display on the Main Screen. Refer to "Display Options Dialog" on page 3-2 in the V Series Operating Instructions for additional information. SvO2 Configuration The SvO2 dialog (as shown in FIGURE 4-2) contains an Alarms tab and a Setup tab. A description of each tab follows.

  • Page 580: Configuring Svo2 Alarms

    4.2.2 Configuring SvO2 Alarms For a full explanation about alarm responses and instructions for accessing and using these alarm dialogs, refer to the Alarms chapter in the V Series Operating Instructions. 4.2.2.1 Alarm Limits: CCO/Hemo Tab TABLE 4-1 lists the alarm limit ranges for the SvO2 parameter, which are contained in the CCO/Hemo tab.

  • Page 581: Configuring The Svo2 Parameter

    Select the SvO2 digital tile. Select the Setup tab (as shown in FIGURE 4-3). NOTE: The current parameter setting displays in bold to the right of each button. FIGURE 4-3 Example SvO2 Dialog (Setup Tab) 4 - 4 Addendum to V Series Operating Instructions...

  • Page 582: Svo2 Setup

    One 1x slot in the V Hub or internal module bay NOTE: Refer to "Module Status Dialog" on page 5-2 in the V Series Operating Instructions for additional information about 1x modules. Connect the serial cable to an available COM port (as shown in FIGURE 4-4) on the back side of an Edwards monitor.

  • Page 583: Configuring The Edwards Monitor Serial Port

    Data Bits Flow Control 2 Seconds SvO2 Digital Tile Layout The SvO2 digital tile displays: Tile name Message area SvO2 value Units of measure Alarm limits FIGURE 4-5 Example SvO2 Digital Tile 4 - 6 Addendum to V Series Operating Instructions...

  • Page 584: About The Svo2 Tile

    The SvO2 tile message area displays messages indicating the current state of the SvO2 parameter. If there is more than one message to display, the messages scroll. ISSUE REASON SOLUTION Dashes “- -” display in place Measurement is invalid. Check catheter placement. of numerics. Addendum to V Series Operating Instructions 4 - 7...
  • Page 585 SvO2 Troubleshooting Mixed Venous Oxygen Saturation (SvO2) (Optional) This page intentionally left blank. 4 - 8 Addendum to V Series Operating Instructions...
  • Page 586 H-0070-00-0727-02 Revision 10.0 January 2016 SW Version 2.5.0 X...
  • Page 587 Tel: (31-23) 574-9656 • Fax: (31-23) 574-9442 • Email: info.nl@mindray.com Mindray (UK) Limited • 3 Percy Road • St. John’s Park • Huntingdon • Cambs PE29 6SZ • United Kingdom • Tel: (44-1480) 416-840 • Fax: (44-1480) 436-588 • Email: service@mindray.com Mindray Medical France SARL •...

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