Biolight Meditech P1 Manual

Patient monitor

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Product Model:

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Product Name:



Manufacturer Name: Guangdong Biolight Meditech Co., Ltd.

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After Service Contact Information:

Address: No.2 Innovation First Road, Technical Innovation Coast, Hi-tech

Zone, Zhuhai, P.R. China

Fax: +86-756-3399919

Post code: 519085

Toll-free consultation hot line: +86-400-8818-233

Revision History

This manual has a revision number. This revision number changes whenever the

manual is updated due to software or technical specification change. Contents of this

manual are subject to change without prior notice.

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Document No.: J/PCE-A-014

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Revision number:V1.0

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Release time: 2021.3

CE mark

EC Representative Name:

Shanghai International Holding Corp. GmbH (Europe)

EC Representative Address:

Eiffestraße 80, 20537 Hamburg Germany

Patient monitor

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Summary of Contents for Biolight Meditech P1

Page 1 Document No.: J/PCE-A-014  Revision number:V1.0  Release time: 2021.3 Copyright © 2021 Guangdong Biolight Meditech Co., Ltd. All rights reserved. CE mark EC Representative Name: Shanghai International Holding Corp. GmbH (Europe) EC Representative Address: Eiffestraße 80, 20537 Hamburg Germany...
Page 2 Statement Guangdong Biolight Meditech Co., Ltd. (hereinafter called Biolight) holds the copyright of this manual, and we are also entitled to deal with this manual as confidential files. This manual is only used for operation, maintenance and service of product, someone else can not publish the manual.
Page 3 Warranty and maintenance service The warranty period for the purchased products shall be subject to the sales contract. The consumables means disposable consumables material needed to be replaced after using every time or vulnerable material needed to be replaced regularly. The consumables don’t have warranty service.
Page 4 After service Manufacturer: Guangdong Biolight Meditech Co., Ltd. Address: No.2 Innovation First Road, Technical Innovation Coast, Hi-tech Zone, Zhuhai, P.R. China Fax: +86-756-3399919 Post code: 519085 Toll-free consultation hot line: +86-400-8818-233 About this manual This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use.
Page 5: Table Of Contents
1.5. Appearance ......................1-3 1.6. Applied Parts ....................... 1-9 1.7. Installation ......................1-9 1.8. P1 in Use with a Host Monitor ................1-10 1.9. Input Device ...................... 1-12 1.10. Printing Device ....................1-12 1.11. Screen Display ....................1-12 ...
Page 6 Chapter 6 User Interface ....................6-1 6.1. Interface Style ..................... 6-1 6.2. Dynamic Trend Screen ..................6-2 6.3. OxyCRG screen ....................6-3 6.4. Other Bed Observation ..................6-4 6.5. Big Font Screen ....................6-7 6.6.
Page 7 Chapter 10 SpO ......................10-1 10.1. Introduction ..................... 10-1 10.2. Safety Information ..................10-1 10.3. SpO Measurement Limitations ..............10-2 10.4. SpO Display ....................10-3 10.5. SpO Module ....................10-5 10.6. Monitoring Procedure ..................10-5 ...
Page 8 14.6. Settings CO ....................14-10 14.7. Entering Intubation Status ................14-12 14.8. Zeroing ......................14-13 14.9. Calibration ..................... 14-14 14.10. Exhaust Emission ..................14-14 14.11. Announcements ................... 14-15 14.12. CO Troubleshooting ................... 14-16 Chapter 15 Review ......................
Page 9 21.1. Recommended Accessories ................21-2 Appendix A Product Specifications ..................1 A.1 Safety Specifications ....................1 A.2 Environmental Specifications .................. 2 A.3 Physical Specifications .................... 2 A.4 Power Specifications ....................3 A.5 Hardware Specifications ..................4 ...
Page 10: Chapter 1 General Introduction
Chapter 1 General Introduction 1.1. Intended Use The P1 patient monitors, hereafter called the monitor, are intended to be used for monitoring, displaying, reviewing, storing and alarming of multiple physiological parameters of patients, including ECG, Heart Rate(HR), Respiration Rate(RR),...
Page 11: Contraindications
P1 Patient Monitor User’s Manual 1.3. Contraindications  Do not measure NIBP on patients with sickle-cell disease or any condition where skin damage has occurred or is expected.  Use clinical judgments to decide whether to perform frequent Auto NIBP measurements on patients with severe thromboembolism disease because of the risk of hematoma in the limb fitted with the cuff.
Page 12: Measurement Modules (When Using With Docking Station)
P1 Patient Monitor User’s Manual 1.4. Measurement Modules (when using with Docking Station) The plug-in modules are used to monitor the patient’s physiological parameters. The monitor provides the following modules: Modules Comments module Support SpO monitoring (Nellcor, Masimo) module...
Page 13 Docking station connector: connects the Docking station. CAUTION：  In the case of water spray, dry the Docking station connector of the P1 before connecting the P1 to the Docking station.  In order to prevent poor contact due to dust accumulated, please regularly...
Page 14 P1 Patient Monitor User’s Manual clean the contact point according to actual application condition. Before cleaning, the monitor must be powered off. When cleaning, please wipe the point with medical cotton dipped into medicinal alcohol by use of a nipper.
Page 15 P1 Patient Monitor User’s Manual 1.5.1.4. Bottom View Clip: fastens the P1 when P1 is in use with the host monitor, Transfer Handle or Docking Station. Latch: locks the P1 when the P1 is in use with host monitor, Transfer Handle or Docking Station.
Page 16 P1 Patient Monitor User’s Manual Right side Rear View 1. Handle 2. DC power supply connector: Connect the power adapter 1.5.2.2. Docking Station Front View Left side 1-7 ...
Page 17 Rear View Handle Plug-in module slots Docking station connector: connects the P1 to the Docking Station. Communication connector: connects the host monitor using cable. USB connector: Connect to USB devices such as U disk, barcode scanner, mouse and key board.
Page 18: Applied Parts
1.7. Installation 1.7.1. Installing the P1 or plug-in module into the Docking Station Install the P1, and a plug-in module if needed, to the Docking Station as indicated below: A click is heard when the P1 or plug-in module is pushed into place.
Page 19: P1 In Use With A Host Monitor
Pull the P1 or plug-in module out as indicated. 1.8. P1 in Use with a Host Monitor When the P1 is connected to the P series monitor, the P1 works as the parameter module while P series monitor works as the host monitor. For more information, see 3.6.2 Module Mode.
Page 20 P1 Patient Monitor User’s Manual To remove the P1 from the External parameter module slots of the host monitor, lift the latch (refer to 1.5.1.4 Bottom View) at the bottom of the P1 and pull the P1 out. CAUTION： ...
Page 21: Input Device
P1 Patient Monitor User’s Manual To remove the P1 from the auxiliary module slots, lift the latch (refer to 1.5.1.4 Bottom View) at the bottom of the P1 and pull the P1 out. CAUTION：  To prevent the P1 from falling out, after inserting the P1 into the auxiliary module slots, always check that the P1 properly engaged the auxiliary module slots.
Page 22 P1 Patient Monitor User’s Manual Patient info area Shows the room number, bed number, patient name, patient category and so on. Select this area to enter the【Patient Management】menu and detailed description please to refer Chapter 4 Patient Management. Current configuration Technical alarm area Display technical alarm information and prompt information.
Page 23 P1 Patient Monitor User’s Manual Waveform area Show the waveforms of physiological parameter. Label displays on the top left corner of each waveform area. Select the waveform area of a parameter and enter the corresponding parameter setting menu. Parameter area It consists of various parameter areas, and shows parameter value, unit, alarm limit and alarm status, etc.
Page 24 P1 Patient Monitor User’s Manual Symbol Note Symbol Note be charged immediately, otherwise the monitor will automatically turn off. Indicates that the battery is Indicates that the monitor is being charged. being powered by AC power. No battery is installed.
Page 25 P1 Patient Monitor User’s Manual Symbol Quick key Note Function Zero Start IBP, CO Zero Freeze Freezes Waveforms Alarm Reset Alarm reset Alarm Pause Pause the current alarms Screen Setup Enter the 【Screen Setup】 menu Patient Management Enter the 【Patient Management】 menu...
Page 26 P1 Patient Monitor User’s Manual 1.11.3. Menu The styles of the various menus are basically similar, see the picture below: Menu title：Summary of the current menu. Submenu button：Press this button to enter the corresponding submenu. Main display area of menu: Display menu options.
Page 27: Chapter 2 Safety
P1 Patient Monitor User’s Manual Chapter 2 Safety 2.1. Safety Information WARNING：  The physiological data and alarm messages displayed on the monitor are for reference only and cannot be directly used for diagnostic interpretation.  The monitor can only be used for a single patient at the same time ...
Page 28 P1 Patient Monitor User’s Manual entanglement or suffocated, the cables entangled, or subject to electrical interference.  To avoid danger or environment pollution, the packaging materials must be handled in accordance with local regulations or the hospital's waste disposal system.
Page 29: Equipment Symbols
P1 Patient Monitor User’s Manual may cause high polarization voltages. NOTE：  Put the monitor in a location where you can easily see the screen and access the operating controls.  The equipment use a mains plug as isolation means to the mains power. Do not locate the equipment in a place difficult to operate the mains plug.
Page 30: Packaging Symbols
P1 Patient Monitor U User’s Manual Refer to this us ser’s manual. RESP Abbreviati ion of “Respiration”. Degree of f protection against IP21 Auxilia ary output gress of liquid twork Alternati ing current（AC） Defibrilla ator synchronization VGA displ...
Page 31: Chapter 3 Basic Operations
P1 Patient Monitor User’s Manual Chapter 3 Basic Operations 3.1. Installation WARNING：  The equipment should be installed by personnel designated by the manufacturer.  The copyright of the software of this device belongs to the manufacturer. No organization or individual can tamper with, copy or exchange any infringement by any means or form without permission.
Page 32 P1 Patient Monitor User’s Manual Keep all the packaging materials for future use in transportation or storage. Check the monitor and accessories Check the monitor and its accessories one by one in accordance with the packing list. Check to see if the parts have any mechanical damages. In case of problems, please contact us or our agent.
Page 33: Getting Started
P1 Patient Monitor User’s Manual 3.2. Getting Started 3.2.1. Connecting the Power  Connecting the AC power The monitor can be powered by power supply when it is connected to the AC adapter or Docking Station. Before connecting the equipment to the AC mains, check the voltage and frequency ratings of the AC power are the same as those indicated on the AC adapter or Docking Station.
Page 34: Operation And Browse
P1 Patient Monitor User’s Manual WARNING：  If the monitor is damaged or does not work properly, do not use it for any monitoring procedure on a patient. And then please contact the maintenance personnel or the manufacturer immediately.
Page 35 P1 Patient Monitor U User’s Manual  Slide two fingers  Slide left an nd right on the touch s screen to switch inter rfaces. For example: on the stand dard interfaces, slidi ing the touch screen n left and right can switch to the e Big Font Screen.
Page 36: General Settings
P1 Patient Monitor User’s Manual 3.3.2. Using the Mouse The monitor supports the mouse with USB connector, the mouse can be plugged and unplugged. You can use the mouse to select a screen element by moving the cursor on the ...
Page 37 P1 Patient Monitor User’s Manual 3.4.2. Adjusting the Screen Brightness The steps to set the screen brightness are as follows: Set the brightness in one of the following ways:  Select【Brightness】quick key.  Select【Screen Setup】quick key→select【Other】submenu.  Select 【Main screen】 qick key→from 【Disply】 column to select 【Other】...
Page 38: Measurement Settings
P1 Patient Monitor User’s Manual monitor will be automatically adjusted according to the time of the central monitoring system. CAUTION：  When starting to use the monitor, please modify the date and time of the device according to the local time. Incorrect date and time setting may lead to misjudgment of patient trend data.
Page 39: Operation Mode
P1 Patient Monitor User’s Manual Enter【Screen Layout】interface in one of the following ways:  Select【Screen Setup】quick key→select【Screen Layout】submenu.  Select【Main Menu】quick key→from【Display】column to select 【Screen Layout】. Select a parameter area or waveform. From the pop-up parameter list to select the elements needed to display in the area.
Page 40 Turning on or off the host monitor simultaneously powers on or off the P1. The main screen of the P1 is off. If there is a battery in P1, the battery is in charging state, and the battery status indicator on the front panel of P1 is on.
Page 41 P1 Patient Monitor User’s Manual The monitor behaves as follows after entering the standby mode:  Stops all parameter measurements.  Disables all the alarms and prompt messages, except for the battery low alarm.  Turns screen brightness to the dimmest after entering the standby mode for 30 seconds.
Page 42 P1 Patient Monitor User’s Manual WARNING：  The demonstration function is mainly used to display machine performance and to train users. In the actual clinical use, it is forbidden to use the demonstration function, so as to prevent the medical staff from mistakenly thinking that the monitor displays the waveform and parameters of the monitored patient, thus affecting the patient’s monitoring and delaying the...
Page 43 P1 Patient Monitor User’s Manual WARNING：  Verify the settings of brightness, alarm volume, QRS volume and key tone before entering the night mode. Pay attention to the potential risk if the setting value is low. 3.6.5.2. Exit the Night Mode To exit the night mode, follow this step: Press 【...
Page 44 P1 Patient Monitor User’s Manual light of all other alarms.  The monitor suppresses all system prompt tone, including heart beat tone, pulse tone, etc. WARNING：  In Privacy mode, all audible alarms are suppressed and the alarm light is deactivated at the monitor.
Page 45: Using The Timer
P1 Patient Monitor User’s Manual 3.6.7.2. Exiting the Outdoor Mode The methods of exiting the outdoor mode are as below: Select 【Main Menu】 quick key. Select 【Exit Outdoor Mode】 on the 【Display】 column. When the monitor plugged into another monitor as a parameter module, it will exit the outdoor mode automatically.
Page 46: Using The External Display
3.8. Using the External Display The P1 can be connected to an external display through the VGA connector of the Docking Station. When the external display in connected, you can monitor a patient’s either through the P1 or through the external display. The external display mirrors the content of the P1 main screen.
Page 47: Shutting Off The Monitor
Connect the Docking Station and the external display using the VGA cable. Connect the external display to the AC mains and turn on the display. Connect the P1 to the Docking Station. NOTE：The external display can share the mouse or keyboard with the monitor.
Page 48 P1 Patient Monitor User’s Manual normally or under some special situations. This may cause loss of data of the patient monitor. NOTE：  The AC power supply of the monitor is not cuff off through the power switch. To completely disconnect the power supply, unplug the power cord.
Page 49: Chapter 4 Patient Management
P1 Patient Monitor User’s Manual Chapter 4 Patient Management 4.1. Discharging a Patient Before monitoring a new patient, discharge the previous patient. After the patient is discharged, all patient data, including patient information, trend data, and physiological alarm information is be deleted from the monitor, the technical alarms are reset, and monitor settings returns to their defaults (current configuration or user-specified configuration).
Page 50: Admitting A Patient
P1 Patient Monitor User’s Manual 4.2. Admitting a Patient The monitor admits a new patient in the following situations:  After discharging a patient, the monitor automatically admit a new patient.  From the standby screen, select【Discharge Patient】to admit a new patient.
Page 51: Transferring Patient Data
P1 Patient Monitor User’s Manual To edit patient information, follow this procedure: Enter the 【Patient Management】 menu. For more information, please refer to 4.3.1 Patient Management menu. Select patient type according to the actual situation: 【Adult】 , 【Pediatric】 , 【Neonate】.
Page 52: Connecting To A Central Monitoring System
The monitor can realize the transfer of patient data by connecting with the main monitor. For more information, see the user’s manual of the host monitor. The details of the connection with the host monitor can see 1.8 P1 in Use with a Host Monitor. WARNING：...
Page 53 P1 Patient Monitor User’s Manual For more information on the CMS, refer to the Central Monitoring System’s instructions for use. For more information about connection of monitor and CMS, refer to the 17.2.5 Connecting the Central Monitoring System (CMS) in this manual.
Page 54: Chapter 5 Managing Configurations
P1 Patient Monitor User’s Manual Chapter 5 Managing Configurations 5.1. Introduction When performing continuous monitoring on a patient, the clinical professional often needs to adjust the monitor’s settings according to the patient’s condition. The collection of all these settings is called a configuration. The configuration of the monitor includes: parameter configuration, alarm configuration and monitor configuration.
Page 55: Deleting A Configuration
P1 Patient Monitor User’s Manual name. Select【OK】 . 5.4. Deleting a configuration You can delete the saved user configurations by following these steps: Select【Main Menu】quick key→from【Configuration】column to select 【Delete User Config】→input maintenance password→Enter. Select the configuration you want to remove: In the 【Delete User Config】menu, the currently existing user configuration...
Page 56: Loading Current Configuration
P1 Patient Monitor User’s Manual 5.5.2. Importing a configuration You can import the user configuration to the monitor through a USB drive by following these steps Connect the USB drive to the monitor’s USB port. Select【Main Menu】quick key→from【Configuration】column to select 【Import User Config】→input maintenance password→Enter.
Page 57: Monitor Boot Usage Configuration
P1 Patient Monitor User’s Manual 5.8. Monitor Boot Usage Configuration You can select whether the monitor loads the nearest configuration or the specified configuration. You can set the default configuration by following these steps: Select【Main Menu】quick key→from【Configuration】column to select 【Boot Config】→input maintenance password→Enter.
Page 58: Chapter 6 User Interface
P1 Patient Monitor User’s Manual Chapter 6 User Interface 6.1. Interface Style You can set the style of the interface as needed. 6.1.1. Changing the Screen Layout You can select the parameters and waveforms you want to view in the 【Screen Layout】...
Page 59: Dynamic Trend Screen
P1 Patient Monitor User’s Manual Enter the 【Param Color】 page by any of the following ways:  Select【Screen Setup】quick key→Select【Param Color】submenu.  Select【Main Menu】quick key→from【Parameter】column to select 【Param Color】. Select【Current Select】submenu to set the colors of parameter values and waveforms.
Page 60: Oxycrg Screen
P1 Patient Monitor User’s Manual  Select【Main Menu】quick key→from【Display】column to select【Screen Select】→Select the screen you need to enter. 6.3. OxyCRG screen The OxyCRG screen graphically displays high-resolution trend curves and compressed waveforms of HR, SpO , and RR.
Page 61: Other Bed Observation
P1 Patient Monitor User’s Manual Review Screen. Follow these steps to go to the OxyCRG Review Screen: Enter OxyCRG screen. Select【Review】. 6.4. Other Bed Observation You can check the alarm status and real-time physiological data of patients on other remote monitors in the LAN on the monitor.
Page 62 P1 Patient Monitor User’s Manual 1 Other bed observation area: Display the patient information, alarm status, information, waveform and parameters of the selected bed. You can move the interface down to browse the contents of the interface. Other bed monitoring area ...
Page 63 P1 Patient Monitor User’s Manual 6.4.1.3. Adding Other Bed Only add other bed monitor, the device can monitor alarm of other bed. If you have added other bed monitor, you can up to a choice of 16 beds. Add other bed as follows: Select other bed observation interface area, in the pop-up window 【Bed...
Page 64 P1 Patient Monitor User’s Manual 6.4.1.7. Reset Other Bed Alarm In the 【Bed View Settings (Bed number)】 window→select 【 Reset Remote Alarm】 which in the 【Alarm】submenu, the alarm of the corresponding remote monitor (main bed) is reset. Only when this function is turned on can you reset other bed alarm. For detailed, please refer to 7.13.1 Other Bed Alarm Reset.
Page 65: Big Font Screen
P1 Patient Monitor User’s Manual 【Big Font Screen】.  Select【Main Menu】quick key→from【Display】column to select【Screen Select】→Select【Big Font Screen】. In the setting window of 【Big Font Screen】 , you can select 6 parameters to observe according to your needs. For parameters with waveform, one waveform is displayed at the same time.
Page 66: Spo Screen
P1 Patient Monitor User’s Manual > Down to the next second >> Down to the next page >>| Down to the last page  You can set the speed of the frozen waveform as needed. 6.6.3. Releasing Freezing Under freezing condition, you can select button in the upper right corner of the freezing menu to release the freezing condition.
Page 67 P1 Patient Monitor User’s Manual displayed on your monitor may be slightly different. Trend Table: Display the trend of SpO , PR, PI. statistics area: Display SpO segment statistics data. NIBP parameter area: Display the measurement value and alarm limit of NIBP.
Page 68 P1 Patient Monitor User’s Manual data and SpO statistics time. 6.7.4.1. Selecting SpO parameter When monitoring the patient using two SpO , you can set the SpO parameters you want to display in the following ways: Select to enter the 【SpO Screen Setting】...
Page 69: Chapter 7 Alarm
P1 Patient Monitor User’s Manual Chapter 7 Alarm 7.1. Introduction This chapter introduces the alarm function and the settings of the monitor. 7.2. Safety Information WARNING：  A potential hazard can exist if different alarm presets are used for the same or similar equipment in any single area, e.g.
Page 70: About The Alarm
P1 Patient Monitor User’s Manual NOTE:  When the alarm system is powered off, the monitor will save the alarm information before power interruption, and the stored alarm information will not change. 7.3. About the alarm 7.3.1. Alarm Categories The monitor has two different types of alarms: physiological alarms and technical alarm.
Page 71 P1 Patient Monitor User’s Manual 7.3.3. Alarm Indicators When an alarm occurs, the patient monitor will indicate it to the user through visual or audible alarm indications: High priority Medium priority Low priority Alarm signal Prompt Note alarm alarm...
Page 72: Viewing Physiological Alarms List
P1 Patient Monitor User’s Manual  When there are multiple alarms in the same area at the same time, the alarm messages are displayed circularly on the screen. 7.3.4. Alarm Status Symbols In addition to the alarm methods described in section Alarm Indicators, the following alarm icons will appear on the screen to indicate different alarm states: Indicates an alarm for a parameter is off or the alarm system is off.
Page 73: Setting Alarm
P1 Patient Monitor User’s Manual 7.7. Setting Alarm You can set the alarm properties centrally. Select 【 Alarm Setup】quick key or select the corresponding button from the【Alarm】column, in the main menu to set alarm. 7.7.1. Setting Parameter Alarm The steps to centrally set the properties of the parameter alarm are as follows: Enter【Limit】interface in any of the following ways:...
Page 74 P1 Patient Monitor User’s Manual  Select【Alarm Setup】quick key→Select【Setup】submenu.  Select 【 Main Menu】 quick key→from 【Alarm】 column to select 【Setup】 . Set 【Alarm Volume】. The alarm volume range is X-10, in which X is the minimum volume, depending on the set minimum alarm volume, and 10 is the maximum volume.
Page 75 P1 Patient Monitor User’s Manual 7.7.3.3. Setting Alarm Tone Mode The setting steps are as follows: Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter. Select【Alarm】submenu→【Sound】submenu→【Alarm Sound】, you can select【ISO】. 7.7.3.4. Setting Alarm Tone Interval You can set the alarm tone interval.
Page 76 P1 Patient Monitor User’s Manual  【Off】: The monitor does not provide an alarm tone. Set 【Reminder Interval】 . You can set 【Reminder Interval】 to 【1min】 , 【2min】, 【3min】, 【5min】or【10min】, the default is【5min】 . 7.7.3.6. Setting Alarm Tone Enhancement The monitor provides an alarm tone enhancement function.
Page 77 P1 Patient Monitor User’s Manual Set【Alarm Delay】 . The delay time of the apnea alarm is not affected by the alarm delay time setting. You can set the delay time of the apnea alarm separately. 7.7.4.1. Setting Apnea Alarm Delay Time...
Page 78: Alarm Pause
P1 Patient Monitor User’s Manual When the 【CMS/eGW Disconnected】 switch is turned on, the technical alarm will be generated when the monitor and the CMS/eGateway are disconnected after successful connection. 7.8. Alarm Pause When the alarm is paused, it has the following characteristics: ...
Page 79: Alarm Reset
P1 Patient Monitor User’s Manual background color is red.  Display alarm off icon in status area. To exit the alarm off state, click【Alarm Pause】quick key again. WARNING：  Pausing or off the alarm may cause the patient to be in danger, please handle it carefully.
Page 80: Latching Alarms
P1 Patient Monitor User’s Manual 7.10. Latching Alarms The physiological alarms are classified into “Latching” and “Non-latching”.  Non-latching alarms: After the condition that triggered the alarm of a parameter disappears, the system will not make any prompt for this alarm of this parameter.
Page 81: Nurse Call
P1 Patient Monitor User’s Manual CAUTION：  Changing of alarm priority may affect the latching status of corresponding alarm. Please determine if you need to reset the latching status for the specific alarm when you have changed its alarm priority.
Page 82: Intubation Status
P1 Patient Monitor User’s Manual  【Continuous】: The nurse call signal lasts until the alarm ends. That is to say the duration of a nurse call signal is equal to that of the alarm condition. Select 【Trigger Type】to set the work mode of the nurse call relay.
Page 83: Other Bed Alarm
P1 Patient Monitor User’s Manual 7.12.2. Setting Intubation Status Time The default intubation time is 2 minutes. To change the time, following this procedure: Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter.
Page 84: Detecting Alarm
P1 Patient Monitor User’s Manual button in the 【Alarm】 submenu will be activated. Click on 【Reset Remote Alarm】 button, other bed alarm will be reset. CAUTION：  Only when the “Alarm Reset By Other Bed” function of the remote monitor is enabled, can you reset other bed alarm on this monitor 7.13.2.
Page 85: Actions When An Alarm Occurs
P1 Patient Monitor User’s Manual 7.15. Actions When an Alarm Occurs When an alarm occurs, please refer to the following steps to take proper actions: Check the patient’s condition. Confirm the alarming parameter or alarm category. Identify the source of the alarm.
Page 86: Chapter 8 Ecg
P1 Patient Monitor User’s Manual Chapter 8 ECG 8.1. Introduction The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the monitor as waveforms and parameters. The monitor provides 3-lead, 5-lead, 6-lead, and 12-lead ECG monitoring, arrhythmia analysis, ST segment analysis and QT/QTc measurements.
Page 87: Ecg Display
P1 Patient Monitor User’s Manual  Interference from a non-grounded instrument near the patient and electrosurgery interference can cause problems with the waveform. NOTE  Due to the asynchrony of ECG signal sampling characteristics and sampling rate, the digital system will produce a perceptible modulation effect from one cycle to the next, especially when the electrocardiogram is measured by children.
Page 88: Preparing For Ecg Monitoring
P1 Patient Monitor User’s Manual  Parameter Display Parameter label HR unit HR alarm limit: If the HR alarm is turned off, the alarm close icon is displayed here.
Page 89 P1 Patient Monitor User’s Manual 8.4.2. Applying Electrodes To connect ECG cables, follow this procedure: Check that electrode packages are intact and not expired. Make sure the electrode gel is moist. If you are using snap electrodes, attach the snaps to the electrodes before placing electrodes.
Page 90 P1 Patient Monitor User’s Manual Lead Label Color Label Color Left arm Yellow Black Right leg (neutral) N/RF Black Green Left leg Green Chest 1 White Brown Chest 2 White Brown The following table lists the 12-lead labels and colors for AHA and IEC standards:...
Page 91 P1 Patient Monitor User’s Manual 8.4.4.2. 5-lead and 6-lead Electrode Placement Taking the AHA standard as an example, the 5-lead electrode placement position is as shown:  RA placement: directly below the clavicle and near the right shoulder. ...
Page 92 P1 Patient Monitor User’s Manual shown below: 8.4.4.4. Electrode Placement for Surgical Patients While placing electrodes for a surgical patient, the type of surgery should be considered, for instance, as to a chest surgery, the chest lead electrodes can be placed at sides or backside of chest.
Page 93 P1 Patient Monitor U User’s Manual Set【Lead Type e】according to the le ead type you are goin ng to use. 【Lead Type】 is set as 【Auto】, he monitor automatic cally detects the lead t type. 8.4.6. Checking Paced S...
Page 94: Ecg Settings
P1 Patient Monitor User’s Manual  For non-paced patients, you must set 【Paced】to 【No】. 8.4.7. Enabling Pacer Rejection The pace pulse rejection function is disabled by default. To enable this function, follow this procedure： Select ECG parameter area or waveform area to enter the【ECG】menu.
Page 95 P1 Patient Monitor User’s Manual 【Screen Select】. Select【ECG Screen】. 8.5.2. Setting ECG Alarm To set ECG alarm properties, follow this procedure: Select the ECG parameter area or waveform area to enter the【ECG】menu. Select【Alarm】submenu. If the alarm settings are password protected, enter the password. For details, please refer to 7.7.2 Changing Alarm Setup Protection Mode.
Page 96 P1 Patient Monitor User’s Manual CAUTION：  【ECG 1】 is the key calculation lead; 【ECG 2】is the auxiliary calculation lead. Only when the ECG 【Lead Type】 is 5/6/12 lead can you set 【Multi-lead Analysis】. 8.5.5. Setting ECG Waveform 8.5.5.1. Setting ECG Waveform Gain If the ECG waveform is too small or clipped, you can change its amplitude by selecting an appropriate gain setting.
Page 97 P1 Patient Monitor User’s Manual  【Operation】: Use when the signal is distorted by high frequency or low frequency interference. High frequency interference usually results in large amplitude spikes making the ECG signal look irregular. Low frequency interference usually leads to wandering or rough baseline.
Page 98 P1 Patient Monitor User’s Manual NOTE：  Only the 【Filter Mode】 is set to 【Diagnose Mode】 or 【ST】 can you switch on or off【Notch Filter】, other mode is enabled by default. 8.5.5.5. Setting Notch Filter Frequency According to the mains frequency of your country, you can set the frequency of the notch to【50Hz】...
Page 99 P1 Patient Monitor User’s Manual sounded according to which parameter's rhythm. The volume of QRS sound can be set, the steps are as follows: Select ECG parameter area or waveform area to enter the【ECG】menu. Select【Setup】submenu. Set【QRS Volume】 When valid SpO...
Page 100: Arrhythmia Monitoring
P1 Patient Monitor User’s Manual Set【ECG Standard】to【AHA】or【IEC】. 8.5.11. Multi-parameter joint analysis function The Multi-parameter joint analysis function analyzes the ECG waveform and a Pleth wave signal together to achieve more accurate measurement results through the mutual correction of HR and PR. The source of Pleth wave preferentially uses the Pleth wave, and it also can be derived from the arterial IBP wave.
Page 101 P1 Patient Monitor User’s Manual  Arrhythmia function is applicable for detecting certain ventricular and atrial arrhythmias, not all atrial or supraventricular arrhythmias. Sometimes, it may detect wrong arrhythmia. Therefore, doctors must combine more clinical manifestations to analyze arrhythmia information.
Page 102 P1 Patient Monitor User’s Manual Extreme Brady Non-ventricular rhythm and the heart rate are less than the extreme bradycardia limit. R on T Ventricular premature beats appear on the T wave of the previous cardiac cycle. Tachy Non-ventricular rhythm and the heart rate are greater than the tachycardia limit.
Page 103: St Monitoring
P1 Patient Monitor User’s Manual ECG Noise There is too much noise to analyze the waveform. Irregular Rhythm Always an irregular rhythm. Irregular Rhythm End No irregular rhythm was detected within the delay time after the end of the irregular rhythm.
Page 104 P1 Patient Monitor User’s Manual  The monitor provides ST segment change information, and the clinical opinion of this information should be decided by the doctor. 8.7.2. Enabling ST Monitoring The ST segment analysis function is disabled by default. Please enable ST segment analysis according to the following steps: Select ECG parameter area or waveform area to enter 【ECG】...
Page 105 P1 Patient Monitor User’s Manual  When using 5-lead monitoring, the ST parameter area displays 7 ST parameter values, namely ST-I, ST-II, ST-III, ST-aVR, ST-aVL, ST-aVF and ST-V respectively.  When 6-lead monitoring is used, the ST parameter area shows the same values of 8 ST parameters, namely ST-I, ST-II, ST-III, ST-aVR, ST-aVL, ST-aVF, ST-Va and ST-Vb.
Page 106 P1 Patient Monitor User’s Manual The ST waveform area displays the current ST segment waveform and baseline waveform, the current ST value and baseline value. Generally, the current ST segment and parameter values are displayed in green, while the baseline segment and parameter values are displayed in white.
Page 107 P1 Patient Monitor User’s Manual 8.7.6. Saving the ST Baseline ST analysis requires valid samples. Set an ST baseline when ST values become stable. If you do not set a baseline, the monitor will automatically save a set of baselines about 5 minutes after a valid ST measurement appears.
Page 108 P1 Patient Monitor User’s Manual 8.7.8. ST Setup 8.7.8.1. Setting ST Alarm ST alarm is set as follows: Select ECG parameter area, waveform area or ST parameter area to enter 【ECG】 menu. Select 【ST】 submenu→【Alarm】submenu. Set the properties of ST alarm as required.
Page 109 P1 Patient Monitor User’s Manual (1) ISO Baseline Point (2) J Point (3)ST Measurement Point (4) ST Value 8.7.9.2. Setting ST Point, J Point and ISO Point CAUTION：  When you start monitoring or the patient's heart rate or ECG waveform has obvious changes, it may affect the length of QT interval, thus affecting the position of ST points, so the positions of ISO and ST points need to be adjusted.
Page 110: Qt/Qtc Monitoring
P1 Patient Monitor User’s Manual  The J point position is given relative to the R-wave peak and helps locating the ST point. Position the J point at the end of the QRS complex and the beginning of the ST segment.
Page 111 P1 Patient Monitor User’s Manual normal cardiac beats are not included in the analysis when they are followed by ventricular beats. QT measurement cannot be performed when the heart rate is extremely high (adults over 150bpm, pediatric and neonatal over 180bpm). When the heart rate changes, it can take several minutes for the QT interval to stabilize.
Page 112 P1 Patient Monitor User’s Manual The QT parameter area is displayed as follows. Depending on the settings, the display of your monitor may be different. 4 3 5 1 6 QTc alarm limit (if QTc alarm is off, the alarm off icon is displayed here)
Page 113 P1 Patient Monitor User’s Manual The following figure shows an example of QT View:  The current waveform is displayed at the top of the view, and the color is the same as the ECG waveform, usually green. ...
Page 114 P1 Patient Monitor User’s Manual original baseline will be discarded. The baseline will be cleared when the patient is released. Select 【Show Baseline】 or 【Hide Baseline】 to show or hide QT baseline waveform. CAUTION：  Changing QT baseline will affect ΔQTc value and ΔQT alarm.
Page 115: Isoelectric Segments
P1 Patient Monitor User’s Manual 8.9. Isoelectric Segments Between the global onset and offset of the QRS-complex, signal parts with a duration of more than 6 ms and amplitudes not exceeding 20μV for at least three samples should be defined as isoelectric segments – I-wave before the global QRS-ONSET and K-wave after the global QRS-OFFSET.
Page 116: Defibrillation Synchronization
P1 Patient Monitor User’s Manual calibrate the ECG module. To do so, follow this procedure: Select ECG parameter area or waveform area, set 【 Filter Mode 】 to 【Diagnose】. Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter.
Page 117: Ecg Troubleshooting
P1 Patient Monitor User’s Manual 8.13. ECG Troubleshooting This section lists the problems that might occur. If you encounter problems when using the monitor or accessories, check the table below before requesting for services. If the problem persists after you have taken corrective actions, contact your service personnel.
Page 118 P1 Patient Monitor User’s Manual Problem Corrective Actions information, see 8.4.1 Preparing the Patient Skin. 3. Check electrode application sites. Avoid bone or muscular area. 4. Check that electrodes are not dry or used for a prolonged time. Replace with fresh and moist electrodes if necessary.
Page 119: Chapter 9 Respiration Rate (Resp)
P1 Patient Monitor User’s Manual Chapter 9 Respiration Rate (RESP) 9.1. Introduction Impedance respiration is measured across the thorax. When the patient is breathing, the volume of air changes in the lungs, resulting in impedance changes between the electrodes. Respiration rate (RR) is calculated from these impedance changes, and a respiration waveform appears on the patient monitor screen.
Page 120: Resp Display
P1 Patient Monitor U User’s Manual CAUTION:  Only use parts and a accessories specified in this manual, and d obey all warnings and cautions.  Respiration monitori ing is not for use on n the patients who are very active, as his will cause false a larms.
Page 121 P1 Patient Monitor User’s Manual CAUTION:  Proper skin preparation is necessary for good signal quality at the electrode site, as the skin is a poor conductor of electricity 9.4.2. Placing the Electrodes As the Respiration measurement adopts the standard ECG electrode placement, you can use different ECG cables.
Page 122: Resp Settings
P1 Patient Monitor User’s Manual place the two respiration electrodes in the right midaxillary and the left lateral chest areas at the patient’s maximum point of the breathing movement to optimize the respiratory waveform.  Regularly inspect the electrode application site to ensure skin quality. If there are signals of allergies, replace the electrodes or change the application site.
Page 123 P1 Patient Monitor User’s Manual 9.5.3. Selecting Respiration Lead You can set up respiration lead to get the best respiratory waveform. The steps to set up breathing leads are as follows: Select the RESP parameter area or waveform area to enter the 【RESP】 menu.
Page 124: Resp Troubleshooting
P1 Patient Monitor User’s Manual adjusts the RESP waveform threshold. For more information, see 9.5.7.Manually Adjust the RESP Waveform Detection Threshold. 9.5.7. Manually Adjust the RESP Waveform Detection Threshold Use the manual detection mode in the following situations: ...
Page 125: Chapter 10 Spo
P1 Patient Monitor User’s Manual Chapter 10 SpO 10.1. Introduction Pulse Oxygen Saturation (SpO ) monitoring is a non-invasive technique used to measure the amount of oxygenated haemoglobin and pulse rate by measuring the absorption of selected wavelengths of light. The light generated in the emitter side of the probe is partly absorbed when it passes through the monitored tissue.
Page 126: Spo Measurement Limitations
P1 Patient Monitor User’s Manual site every 4 hours or when the skin changes. Some patients may require more frequent checks, such as neonates, or patients with poor peripheral blood circulation or sensitive skin. Prolonged compression of the limb may increase the likelihood of unexpected skin changes, such as allergies, redness, blistering, or compression necrosis.
Page 127: Spo Display
P1 Patient Monitor User’s Manual brilirubin lamp, or sunlight;  Excessive patient movement;  Diagnostic test;  Low perfusion;  Electromagnetic interference, such as MRI device;  Electrosurgical equipment;  Concentration of nonfunctional hemoglobin, such as carbonyl hemoglobin (COHb) and methemoglobin(MetHb);...
Page 128 P1 Patient Monitor User’s Manual and also partially indicates the signal quality.  Above 1 is optimal;  Between 0.3 and 1 is acceptable;  Below 0.3 indicates low perfusion. When 0.3≤PI<1, the PI values will be displayed in yellow background; PI<0.3, PI values will be displayed in red background, and SpO parameter values are displayed as hollow words.
Page 129: Spo Module
P1 Patient Monitor User’s Manual  Parameters Description Carboxyhemoglobin Saturation (SpCO): SpCO is a value that represents the percentage of carboxyhemoglobin saturation within the blood. Methemoglobin Saturation (SpMet): SpMet is a value that represents the percentage of methemoglobin saturation within the blood.
Page 130: Setting Spo
P1 Patient Monitor User’s Manual  At elevated ambient temperatures be careful with measurement sites that are not well perfused, because this can cause burns after prolonged application.  Avoid placing the sensor on extremities with an arterial catheter, an NIBP cuff or an intravascular venous infusion line.
Page 131 P1 Patient Monitor User’s Manual For example, the figure below demonstrates the alarm response time with a Sat-Seconds limit set at 50 and a low SpO limit set at 90%. In this example, the patient SpO drops to 88% (2 points) and remains there for 2 seconds. Then it drops to 86% (4 points) for 3 seconds, and then to 84% (6 points) for 6 seconds.
Page 132 P1 Patient Monitor User’s Manual Select the SpO parameter area or waveform area to enter the【SpO 】menu. Select【SpO Setup】submenu. Select【Sensitivity】and then toggle between【High】,【Med】or【Low】. 10.7.5. Setting Averaging Time (Only for Masimo SpO and Nellcor SpO The SpO value displayed on the monitor screen is the average of data collected within a specific time.
Page 133 P1 Patient Monitor User’s Manual Set 【Wave Speed】 to the appropriate value. The larger the value, the faster the scanning speed and the wider the waveform. 10.7.8. Setting Pitch Tone The monitor can adjust the QRS tone according to the SpO value.
Page 134 P1 Patient Monitor User’s Manual majority of patients.  【APOD】: This mode is the least sensitive in picking up a reading on patients with low perfusion but has the best detection for probe-off conditions. The mode is useful for patients that are at particular risk of the sensor becoming detached (pediatric, combative, etc.)
Page 135 P1 Patient Monitor User’s Manual Hemoglobin readings can be obtained: arterial and venous. To set the SpHb mode, follow these procedures: Select the SpO parameter area or waveform area to enter the【SpO 】menu. Select【SpO Setup】submenu. Select【Arterial】or【Venous】. 10.7.10.6. Setting SpHb Average...
Page 136: Setting Pr
P1 Patient Monitor User’s Manual 10.8. Setting PR 10.8.1. Setting PR Alarm You can set PR alarm by following these steps: Select the SpO parameter area or waveform area to enter the【SpO 】menu. Select【PR Alarm】submenu. Set alarms as needed.
Page 137: Spo 2 Troubleshooting
P1 Patient Monitor User’s Manual does not exist, the system will automatically switch【PR Source】to【Auto】. When you select 【IBP】, the system will automatically use the first pressure label in the list as the PR source. 10.9. SpO Troubleshooting This section lists the problems that might occur. If you encounter the problems when using the equipment or accessories, check the table below before requesting for services.
Page 138 P1 Patient Monitor User’s Manual sensor, or apply the sensor to the site with better perfusion. 3. Check the sensor and its application site. value is inaccurate 1. Check the patient’s vital signs. 2. Check for conditions that may cause inaccurate SpO readings.
Page 139: Chapter 11 Temperature（Temp
P1 Patient Monitor U User’s Manual pter 11 Temp perature（TE EMP） 11.1. I Introduction he thermistor is applie ed on continuous tem mperature measuremen nt, which is based on the prin nciple that electrical resistance of the ther rmistor changes as te emperature changes.
Page 140: Preparing For Temp Monitoring
P1 Patient Monitor User’s Manual (3) TEMP alarm limits: If TEMP alarm is turned off, the alarm closing icon is displayed here. (4) TEMP value (5) TEMP Difference (ΔT): TEMP Difference between two temperature sites. It displays only when ΔT is switched on.
Page 141: Temp Troubleshooting
P1 Patient Monitor User’s Manual 11.5.3. Displaying the Temperature Difference To display the temperature difference between two measurement sites monitored by the same temperature module, switch on corresponding ΔT. To do so, follow this procedure: Select the TEMP parameter area to enter the 【TEMP】menu.
Page 142 P1 Patient Monitor User’s Manual displayed in the Temp parameter the probe is tightly connected to the extension cable. area. Try using a known good probe in case the sensor is damaged 11-4 ...
Page 143: Chapter 12 Nibp
P1 Patient Monitor User’s Manual Chapter 12 NIBP 12.1. Introduction The monitor uses the oscillometric method for measuring the non-invasive blood pressure (NIBP). NIBP measurement is based on the principle that pulsatile blood flow through an artery creates oscillations of the arterial wall. The oscillometric device uses a blood pressure cuff to sense these oscillations that appear as tiny pulsations in cuff pressure.
Page 144 P1 Patient Monitor User’s Manual  Do not measure NIBP on patients with sickle-cell disease or on the limb where skin damage has occurred or is expected.  Use clinical judgment to determine whether to perform frequent automatic blood pressure measurements on patients with severe blood clotting disorders because of the risk of hematoma in the limb fitted with the cuff.
Page 145: Nibp Measurement Limitations
P1 Patient Monitor User’s Manual CAUTION:  Only use parts and accessories specified in this manual. Follow the instructions for use and adhere to all warnings and cautions.  Accuracy of NIBP measurement depends on using a cuff of proper size. It is essential to measure limb circumference and choose a cuff with proper size.
Page 146: Nibp Display
P1 Patient Monitor User’s Manual  Manual: Manually start a NIBP measurement.  Auto: monitor automatically repeatedly performs NIBP measurements at set intervals.  STAT: With 5 minutes, the measurement is continuously performed, and then the monitor returns to the original mode.
Page 147: Preparing For Nibp Measurements
P1 Patient Monitor User’s Manual NOTE  If NIBP measurement fails, "XX" is displayed; if NIBP measurement is not taken, "--" is displayed  Outlined NIBP numerics indicate that the measurement exceeds the set time. So these NIBP values are not recommended for reference.
Page 148: Starting And Stopping Nibp Measurements
P1 Patient Monitor User’s Manual Connect the airpipe to the NIBP cuff connector of the device. Select an appropriately sized cuff for the patient, and then wrap it around the limb directly over the patient’s skin as follows: Determine the patient’s limb circumference.
Page 149: Viewing The Dynamic Blood Pressure Analysis
P1 Patient Monitor User’s Manual NIBP menu: Task Via quick key Via NIBP menu Select【NIBP Start/Stop】quick key Start a manual Select【Start】 measurement Select【Setup】 NIBP Auto 　 Select 【NIBP Measure】 quick key submenu→set【Interval measurement →Select interval time Time】 Select【Sequence】...
Page 150 P1 Patient Monitor User’s Manual Select the NIBP parameter area to enter the【NIBP】menu. Select【Alarm】submenu. If the alarm setting is protected by password, enter the password. For detail, please refer to 7.7.2 Changing Alarm Setup Protection Mode. Set alarms as needed.
Page 151 P1 Patient Monitor User’s Manual  【Interval】: After the first measurement, the monitor automatically repeats measurements at set interval. For example, if 【Interval】 is set to【30min】, and you start NIBP auto measurement at 10:03, the next measurement will be taken at 10:33, and then at 11:03, 11:33, and so on.
Page 152: Assisting Venous Puncture
P1 Patient Monitor User’s Manual this procedure: Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter. Select【Module】submenu→【Other】submenu. Set【NIBP Invalid Time】. 12.9.9. Displaying the NIBP List To display multiple sets of the latest NIBP measurements, follow this procedure: Enter【Screen Layout】submenu...
Page 153: Nibp Troubleshooting
P1 Patient Monitor User’s Manual leakage test should be performed once every two years or when you doubt the NIBP measurements. The NIBP leakage test should be performed by qualified service personnel only. 12.11.2. NIBP Calibration The NIBP accuracy test should be performed once every two years or when you doubt the NIBP measurements.
Page 154: Chapter 13 Ibp
P1 Patient Monitor User’s Manual Chapter 13 IBP 13.1. Introduction The monitor can provide two channels of IBP measurement results. IBP measurement is applicable for adult, pediatric and neonatal. 13.2. Safety information WARNING:  Use only IBP transducers specified in this manual. Never reuse disposable pressure transducers.
Page 155: Ibp Measurement
P1 Patient Monitor User’s Manual 13.3. IBP measurement 13.3.1. Monitoring Procedure Please make an IBP measurement following below steps: Plug one end of the IBP sensor cable into the monitor's IBP cable connector and the other end link to the IBP sensor.
Page 156 P1 Patient Monitor User’s Manual sensor should be in line with the top of the patient's ear. Incorrect position can result in erroneous pressure readings. 13.3.2. IBP sensor Zero To obtain accurate pressure readings, the monitor requires a valid zero point. Zeroing...
Page 157: Ibp Display
P1 Patient Monitor U User’s Manual 13.4. I IBP Display P measurements disp play the waveforms of pressure and pres ssure values on the screen. For arterial pressur re, IBP parameter ar rea displays systolic c pressure, diastolic pressur re and mean pressure .
Page 158: Setting Ibp
P1 Patient Monitor User’s Manual 13.5. Setting IBP 13.5.1. Setting the IBP alarm You can set the alarm by following the steps below: Select the IBP parameter area or waveform area to enter the IBP menu. Select【Alarm】 submenu. If the alarm setting is protected by password, enter the password. For detail, please refer to 7.7.2 Changing Alarm Setup Protection Mode.
Page 159 P1 Patient Monitor User’s Manual 13.5.3. Setting up display types about Extended Pressure If current pressure label is set to the extended pressure (P1 or P2), you could select the type which displays in the parameter area, following these steps: Select the parameter area or waveform area about the extended pressure for entering the corresponding pressure menu.
Page 160 P1 Patient Monitor User’s Manual Select the IBP parameter area or waveform area to enter the corresponding pressure menu. Select【Setup】submenu. Make the following settings for the IBP waveform:  Set【Speed】.  Set 【Scale Type】: If 【Auto】 is selected, the upper and lower scales of the IBP waveform will be automatically adjusted as the waveform amplitude changes.
Page 161 P1 Patient Monitor U User’s Manual The patient has s acute right ventricu ular dysfunction (i.e e., pulmonary heart disease) PPV measurem ments are only validat ted for adult patient 13.5.7 . Changing the pre essure unit: ou can change the unit...
Page 162: Calculating Cerebral Perfusion Pressure
P1 Patient Monitor User’s Manual  Scale  Set the 【Left Scale】 for arterial pressure.  Set the 【Right Scale】 for venous pressure.  Set the 【Grid】 of the overlapped waveform area.  Set the 【Wave Speed】 of the overlapped display waveform.
Page 163 5. Confirm that the sensor has been zeroed. For details, see 13.3.2 IBP Sensor zero. P1/P2 does not display systolic and Set the displayed pressure to 【All】 . For details, diastolic pressure measurements see 13.5.3 Setting up display types about Extended Pressure.
Page 164: Chapter 14 Carbon Dioxide (Co )
P1 monitor with internal CO module, or by an external CO plug-in module configured by the docking station. The connection of P1 monitor and external CO plug-in module can refer to 1.7.1 Installing the P1 or plug-in module into the Docking Station.
Page 165: Co Measurement Limitations
P1 Patient Monitor User’s Manual CAUTION:  When the patient is being treated with aerosolized drugs, the measured EtCO value may be inaccurate and is not recommended for use in this situation.  The EtCO value measured by the CO...
Page 166 P1 Patient Monitor User’s Manual manufacturer. Airway Adapter Type ET Tube Diameter Pediatric/Adult (Disposable) ＞4.0mm Adult (Reusable) ＞4.0mm Neonatal/Pediatric (Disposable) ≤4.0mm Neonatal (Reusable) ≤4.0mm Attaching the airway adapter to the CO sensor Before attaching the airway adapter to the CO sensor, verify that the airway adapter windows are clean and dry.
Page 167 P1 Patient Monitor U User’s Manual nsor To p patient Ventilator Wye Airway ad dapter Check before use Before connecting g the airway adapter r to the breathing c ircuit, check if the ① ① readings on the m monitor are correct.
Page 168 P1 Patient Monitor User’s Manual Sampling tube port Install another end of the sampling tube to patient. CAUTION:  Pay attention to the water level of water trap. If the highest water level reaches, please replace the water trap in time to prevent the module from entering by water.
Page 169 P1 Patient Monitor User’s Manual Smampling tube Exhaust pipe connector connector Smampling tube NOTE  Inserting the sampling tube into the sampling tube connector will automatically start the sampling pump. After the sampling tube is pulled out, the sampling pump stops.
Page 170 P1 Patient Monitor User’s Manual For intubated patients with an integrated airway adapter in the breathing circuit: Connect the male connector on the straight sample line to the female port on the airway adapter. Shown as follows: For non-intubated patients: Place the nasal cannula onto the patient. Shown as follows: For patients prone to mouth breathing, use an oral-nasal cannula.
Page 171 P1 Patient Monitor User’s Manual CAUTION:  Always connect the airway adapter to the sensor before inserting the airway adapter into the breathing circuit. In reverse, always remove the airway adapter from the breathing circuit before removing the sensor.  Always disconnect the cannula, airway adapter or sampling tube from the CO sensor when not in use.
Page 172: Display
P1 Patient Monitor U User’s Manual Status indicated by LE ED aperture on Nomo line ISA CO module  LED apertu LED apertu The i indicated status Steady green n light Syste em OK Blinking gre een light Zeroi ing in progress...
Page 173: Settings Co
P1 Patient Monitor User’s Manual 14.6. Settings CO 14.6.1. Setting the CO Alarm Select the CO parameter area or waveform area to enter the【CO 】menu. Select【Alarm】submenu.  If the alarm setting is protected by password, enter the password. For detail, please refer to 7.7.2 Changing Alarm Setup Protection Mode.
Page 174 P1 Patient Monitor User’s Manual 14.6.4. Setting the CO Waveform To set the CO waveform, follow this procedure: Select the CO parameter area or waveform area to enter the【CO 】menu. Select【Setup】submenu. Set CO waveform【Wave Mode】, 【Wave Speed】or【Scale】. 14.6.5. Setting CO Corrections Temperature, water vapor in the patient’s breath, barometric pressure, and the...
Page 175: Entering Intubation Status
P1 Patient Monitor User’s Manual mixture is Helium, select【Helium】. The Masimo sidestream CO module supports automatic air pressure compensation and automatic temperature compensation. Manual setting is not required under normal conditions, but other gas interferences may exist in the gas circuit. In order to ensure...
Page 176: Zeroing
P1 Patient Monitor User’s Manual For the details of the intubation mode, see 7.12 Intubation Status. 14.8. Zeroing  Mainstream and Sidestream / Microflow CO Module While zeroing is recommended the first time a CO sensor is connected to the monitor, it is only absolutely necessary when the message “Zero Required”...
Page 177: Calibration
P1 Patient Monitor User’s Manual inaccurate measurement or other error conditions. The time required for zeroing will also increase.  When zeroing, do not rely on gas readings.  Nomoline ISA CO module do not require user to manually zeroing, and the user cannot successfully send the zeroing command to the module.
Page 178: Announcements
P1 Patient Monitor User’s Manual Use an exhaust tube to remove the sample gas to a scavenging system. Attach it to the outlet connector of sensor. 14.11. Announcements WARNING:  Do not position the sensor cables or tubing in any manner that may cause entanglement or strangulation.
Page 179: Co Troubleshooting
P1 Patient Monitor User’s Manual  Do not sterilize or immerse the CO sensor in liquids.  Clean the CO sensor and accessories as directed in this manual.  Do not apply excessive tension to the CO sensor cable.  When aerosol drugs are present, please keep the airway adapter away from the breathing circuit.
Page 180 P1 Patient Monitor User’s Manual NOTE:  For the physiological and technical alarm messages, see D Alarm Message. 14.12.1. The Sidestream/Microflow CO module Troubleshooting Problem Solution EtCO measurement value Judge whether the CO concentration in the use too low environment is too high. If the environmental concentration is too high, the measured value is too low.
Page 181: Chapter 15 Review
P1 Patient Monitor User’s Manual Chapter 15 Review 15.1. Review Overview You can know how the patient's condition is developing through reviewing interface to check the trend data, events, waveforms, and so on. You can also view the trend data through the OxyCRG screen to know the changes in the patient’s condition.
Page 182 P1 Patient Monitor User’s Manual 1 2 5 6 3 7 4 8 Event type indicator: Different color blocks match different types of events. • Red: high priority alarm event • Yellow: medium priority alarm event •...
Page 183 P1 Patient Monitor U User’s Manual 15.2.3 . Symbols on Revi iew Pages he following table list ts the symbols on revi iew pages. Symbol Descripti Slider: in ndicates the position of c current window time in the entire time length.
Page 184 P1 Patient Monitor User’s Manual 15.2.5. Tabular Trends Review Page The trend table review page displays how the patient's physiological parameter trend is developing in a tabular manner. 15.2.5.1. Entering the Tabular Trends Review Page Choose one of the following methods to enter the tabular trends review page: ...
Page 185 P1 Patient Monitor User’s Manual  Delete parameters: select desired parameter from the 【Selected】 column on the right and then select 【Delete】.  Move the position of parameters: select desired parameters from the 【Selected】 column on the right and select 【Move Up】, 【Move Down】, 【Move To Top】...
Page 186 P1 Patient Monitor User’s Manual 15.2.6. Graphics Trends Review Page The graphic trends review page displays trend data in a graphic form. 15.2.6.1. Entering the Graphic Trends Review Page Choose one of the following methods to enter the graphic trends review page: ...
Page 187 P1 Patient Monitor User’s Manual 15.2.7. Events Review Page The monitor stores alarm events and system events in real time. Alarm event types include physiological alarm event. When an alarm event occurs, the monitor will store the values of relevant parameters at the time of occurrence and the relevant waveforms for 16 seconds before and after the time of occurrence.
Page 188 P1 Patient Monitor User’s Manual CAUTION:  If 【Filter】 is not switch on, the relevant setting in 【Filter Setup】 will not take effect. 15.2.7.3. Viewing Event Details To view waveforms and parameter values at the selected event time, follow this procedure: Enter the event review page.
Page 189 P1 Patient Monitor User’s Manual 15.2.8.2. Selecting Compressed waveforms To review compressed waveforms, you must first select which parameters to store and display. Follow these steps: Enter the Full Disclosure review page. Select 【Setup】 submenu to enter 【Full Disclosure Setup】 page.
Page 190 P1 Patient Monitor User’s Manual 15.2.8.4. Viewing Details of Compressed Waveforms To view the full waveforms and numeric values of compressed waveforms, follow this procedure: Enter the holographic waveform review page. Select 【Details】. You can perform the following operations on this page: ...
Page 191: Chapter 16 Calculations
P1 Patient Monitor User’s Manual Chapter 16 Calculations 16.1. Introduction The monitor provides calculation functions. The calculated values, which are not directly measured, are computed based on the data and measurement values you enter. The calculation is independent of other monitoring functions and the object of calculation may not be the patient monitored by this monitor.
Page 192 P1 Patient Monitor User’s Manual  Select 【 Main Menu】 quick key→from 【Calculations】 column to select 【Drug】. Set 【Drug Name】 and 【Patient Type】. If the selected drug is affected by weight, switch on 【Weight Participation】 and enter the patient’s weight.
Page 193 P1 Patient Monitor User’s Manual dose.  【INF Rate】: The titration table is listed in the sequence of increased infusion rate. 16.3.3. Drug calculation Formula Description Unit Formula g series: mcg, mg, g; Dose Amount = Liquid Volume Drug Amount unit series: unit, kU, MU;...
Page 194: Hemodynamic Calculations
P1 Patient Monitor User’s Manual Description Unit Formula Drip rate = infusion Drip rate GTT/min rate*volume per drop/60 Duration Duration = drug amount/dose/h 16.4. Hemodynamic Calculations The monitor provides the hemodynamic calculation function. The monitor can save the results of up to 20 calculations, which are displayed in groups.
Page 195 P1 Patient Monitor User’s Manual Abbreviation Unit Full Name heart rate PAWP mmHg pulmonary artery wedge pressure mmHg artery mean pressure MPAP mmHg mean pulmonary artery pressure mmHg central venous pressure end-diastolic volume Height height Weight weight 16.4.3. Output Parameters and calculation formula...
Page 196: Oxygenation Calculation
P1 Patient Monitor User’s Manual Output Unit Full Name Formula Parameter resistance index kg*m left cardiac work LCW= 0.0136 ×PAMAP × C.O. left cardiac work LCWI kg*m/m LCWI = RCW×BSA index left LVSW ventricularstrok LVSW = 0.0136 ×MAP×SV e work...
Page 197 P1 Patient Monitor User’s Manual select 【Oxygenation】. Enter the correct value for each parameter. For a patient who is being monitored, the monitor takes the current measurements as input values for some parameters, and the height and weight are derived from the patient information entered.
Page 198 P1 Patient Monitor User’s Manual Input Parameter Unit Full Name mL/dL, mL/L arterial oxygen content mL/dL, mL/L venous oxygen content oxygen consumption mL/min Respiratory quotient ATMP mmHg, kPa atmospheric pressure Height cm, inch height Weight kg, lb weight 16.5.3. Output Parameters and calculation formula...
Page 199: Ventilation Calculations
P1 Patient Monitor User’s Manual Output Unit Full Name Formula Parameters mmHg, alveolar-arterial AaDO AaDO =PAO －PaO oxygen difference mL/L, capillary oxygen = Hb ×1.34＋0.031×PAO mL/dL content Qs/Qt= (CcO －CaOV)/( CcO － Qs/Qt venousad mixture 16.6. Ventilation Calculations The monitor provides the ventilation calculation function. The monitor can save the results of up to 20 calculations, which are displayed in groups.
Page 200 P1 Patient Monitor User’s Manual 16.6.2. Input Parameter Input Parameter Unit Full Name percentage fraction of inspired oxygen respiration rate PeCO mmHg, kPa partial pressure of mixed expiratory CO PaCO mmHg, kPa partial pressure of carbon dioxide inthearteries mmHg, kPa...
Page 201: Nephridium Calculation
P1 Patient Monitor User’s Manual volume of Vd=【( PaCO －PeCO ) ×TV】 physiological dead /PaCO space physiologic dead Vd/Vt= (PaCO －PeCO Vd/Vt space in percent of PaCO ×100% tidal volume L/min alveolar volume VA=(TV－Vd) ×RR 16.7. Nephridium Calculation The monitor provides the nephridium calculation function. The monitor can save the results of up to 20 calculations, which are displayed in groups.
Page 202 P1 Patient Monitor User’s Manual 16.7.2. Input Parameter Input Parameters Unit Full Name mmol/L urine pstassium URNa mmol/L urinary sodium Urine mL/24h urine Posm mosm/kg plasm osmolality Uosm mosm/kg urineosmolality SerNa mmol/L serumsodium umol/L creatinine umol/L urinecreatinine mmol/L blood urea nitrogen...
Page 203 P1 Patient Monitor User’s Manual Output Unit Full Name Formula Parameter sodium potassium Na/K Na/K=URNaEx/URKEx ratio urine to plasma U/Posm U/Posm =Uosm/Posm osmolality ratio blood ureanitrogen BUN/Cr BUN/Cr creatinine ratio clearance of CNa(mL/24hrs)=URNa)×Ur mL/24h sodium ine/SerNa Ccr=(140-age) × weight(kg) / [72×Scr(mg/dL)] or Ccr=[(140- age) ×...
Page 204: Chapter 17 Other Functions
P1 Patient Monitor User’s Manual Chapter 17 Other Functions 17.1. Analog Signal Output The monitor has an auxiliary output port that can provide “analog signal output”. Connect the monitor to equipment such as an oscillograph, and then do some associated setup, after that you can output the analog signal to the oscillograph through the port.
Page 205 P1 Patient Monitor User’s Manual Select 【Network Setup】 submenu → 【LAN】 submenu. Select how to get the IP address:  【Obtain IP Address Automatically】 : The monitor automatically gets the IP address.  【Use the Following Address】 : you need to input the 【IP Address】 , 【Subnet mask】...
Page 206 P1 Patient Monitor User’s Manual  【Antenna】: 【Build-in】 or 【External】. Restart the monitor 17.2.5. Connecting the Central Monitoring System (CMS) The monitor can be connected to the central monitoring system via wired network or wireless network. 17.2.5.1. Setting the CMS IP Address To set the IP address of CMS, follow this procedure: Select 【...
Page 207 P1 Patient Monitor User’s Manual 17.2.6. HL7 Settings The real-time data, waveforms, and alarms of the monitor can be transmitted to the hospital’s monitoring system through the HL7 protocol. The operating steps are as follows: Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter.
Page 208: Network Printing
P1 Patient Monitor User’s Manual The steps of setting the ADT gateway are as below: Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter. Select 【Network Setup】 submenu → 【ADT】 submenu. Set the IP address and port of the ADT gateway.
Page 209 P1 Patient Monitor User’s Manual CAUTION:  You can only set the patient information displays on the 【ECG Report】from the ECG Report page. Patient information set in the 【Report Layout】page is not displayed ECG reports. 17.3.2.2. Setting Patient Information on Other Reports You can set the patient information on ECG reports by the following steps: Select 【...
Page 210 P1 Patient Monitor User’s Manual Select【Main Menu】quick key→from【Report】column to select【Report Setup】. Select desired reports. Check the setting. Select 【Print】. 17.3.4. Automatically Printing Report You can start printing automatically when you set parameter alarm. To do so, follow this procedure: Select parameter alarm related menus such as 【Alarm】 submenu in one of the following ways: ...
Page 211 P1 Patient Monitor User’s Manual Menu item Function Description 12-Lead Set the format of 【12×1】：displays 12-lead waveforms on Format 12-Lead waveforms on one page in one column. a printout. 【6×2】： displays 12-lead waveforms on one page in two columns, with 6 lines in each column.
Page 212 P1 Patient Monitor User’s Manual CAUTION:  When ECG lead is set 3 lead, ECG report cannot be printed. 17.3.5.2. Setting the Realtime Reports To set realtime reports, follow this procedure: Select【Main Menu】quick key→from【Report】column to select【Report Setup】. Select 【Realtime Report】.
Page 213 P1 Patient Monitor User’s Manual Interval Select the resolution of the 【NIBP】、【EWS】、【GCS】：at an tabular trends printed on a interval of acquiring the values of selected report. parameter. 【Auto】：using the 【Interval】 setting of the【Tabular Trends】 review page. 17.3.5.4. Setting Graphic Trends Reports Select【Main Menu】quick key→from【Report】column to select【Report...
Page 214: Chapter 18 Battery
P1 Patient Monitor U User’s Manual pter 18 Batte 18.1. I Introduction he monitor can be fi itted with rechargeab ble battery to ensure e the normal use of the mo onitor in case of intra a-hospital patient tra ansfer or whenever t...
Page 215: Charging The Bettery
P1 Patient Monitor User’s Manual 18.3. Charging the Bettery To maintain good performance of battery, a fully discharged or nearly discharged battery must be charged as soon as possible. The battery of the monitor can be charged in the following three ways: ...
Page 216: Battery Maintenance
P1 Patient Monitor User’s Manual WARNING:  Keep the battery out of the reach of children.  Use only batteries specified in the manufacturer.  If the battery shows signs of damage or signs of leakage, replace it immediately. Do not use a faulty battery in the monitor.
Page 217: Battery Recycling
P1 Patient Monitor User’s Manual The optimizing of the battery is over. 18.5.2. Checking Battery Performance The performance of a battery may deteriorate over time. To check the performance of a battery, follow this procedure: Disconnect the monitor from the patient and stop all monitoring and measuring procedures.
Page 218: Chapter 19 Maintenance And Cleaning
P1 Patient Monitor User’s Manual Chapter 19 Maintenance and Cleaning Use only the disinfectants, cleaners and methods listed in this section to clean or disinfect the monitor, plug-in modules, docking station, transfer handle and some accessories. We do not provide any guarantee for damages or accidents caused by the use of other materials or methods.
Page 219: Cleaning The Monitor And Other Mounting Accessories
P1 Patient Monitor User’s Manual CAUTION:  If you accidentally pour liquid on the monitor, plug-in modules or accessories, please contact the maintenance personnel or our company immediately. Please do not use the equipment until it has been detected and confirmed that it can continue to be used.
Page 220: Cleaning And Sterilizing Of Accessories
P1 Patient Monitor User’s Manual Name Type Manufacturer Isopropyl alcohol, 70% Liquid Sodium hypochlorite, 0.5% Liquid Alcohol, 70% Liquid Hydrogen peroxide, 3% Liquid 19.4. Cleaning and Sterilizing of Accessories For cleaning, disinfection and sterilization methods of reusable accessories such as sensors, cables and lead wires, please refer to the instructions of relevant accessories.
Page 221: Sterilization
P1 Patient Monitor User’s Manual Name Type Manufacturer Isopropyl alcohol, 70% Liquid Sodium hypochlorite, 10% Liquid Alcohol, 70% Liquid Hydrogen peroxide, 3% Liquid Glutaraldehyde solution, 2% Liquid 19.5. Sterilization Sterilization of this monitor, related products or accessories is not allowed unless otherwise stated in the accompanying instructions.
Page 222: Chapter 20 Maintenance
P1 Patient Monitor User’s Manual Chapter 20 Maintenance WARNING:  Hospitals or medical institutions that use monitors should establish perfect maintenance plans, otherwise may cause monitor failure and unpredictable consequences, and may endanger personal safety.  The safety checks or maintenance involving any disassembly of the equipment should be performed by professional servicing personnel.
Page 223: Maintenance Schedule
P1 Patient Monitor User’s Manual the company. 20.2. Maintenance Schedule The following tasks, except visual inspection, startup detection, touch screen calibration and battery inspection, can only be completed by professional maintenance personnel. Please contact the maintenance personnel in time when the following maintenance is required.
Page 224: Checking The Version Information
P1 Patient Monitor User’s Manual Defibrillation synchronization test Electrical Safety Tests Select test items based on IEC After repairing or replacing the power 60601-1. module. Or after the monitor falls. At least once every two years or as required. Other Tests Power-on test First installation, or after each reinstallation.
Page 225 P1 Patient Monitor User’s Manual WARNING:  For the disposal of parts and accessories, if there is no corresponding regulation, local regulations on disposal of hospital waste can be followed. 20-4 ...
Page 226: Chapter 21 Accessories
P1 Patient Monitor User’s Manual Chapter 21 Accessories All accessories listed in this chapter meet the requirements of IEC 60601-1-2 when used with monitors. The accessory materials in contact with the patient passed the biocompatibility test and proved to meet the requirements of IEC 60601-1. For details of accessories, please refer to the relevant accessory instructions.
Page 227: Recommended Accessories
P1 Patient Monitor User’s Manual NOTE:  For accessories with safe service life, see the package of accessories for service life.  Please refer to the package of accessories for sterilization accessories. If the package of the accessories of the sterilization package is damaged, please do not use it.
Page 228 P1 Patient Monitor User’s Manual Accessories Specification Model / PN Reusable, integrated, adult finger SRA-A21/15-100-0358 Reusable, integrated, adult finger SRA-A22/15-100-0359 Extension Reusable 15-100-0357 cable The emission wavelength of the pulse oximeter probe is 600-1000nm, and the maximum optical output power is less than 18mW. Information on wavelength range and maximum optical output power is particularly useful to clinicians, for example, for photodynamic therapy.
Page 229 P1 Patient Monitor User’s Manual Nellcor SpO Accessories Specification Model / PN Adult finger,reusable DS-100A/15-100-0017 Neonatal foot,reusable D-YS/15-100-0018 MAX-A Adult finger (patient size>30kg),disposable Pediatric foot/hand (patient size MAX-P sensor 10-50kg),disposable Infant foot/hand (patient size MAX-I 3-20kg),disposable Adult finger or neonatal foot/hand MAX-N (patient size >40 kg or <3 kg),disposable...
Page 230 P1 Patient Monitor User’s Manual Accessories Specification Model / PN Reusable, large adult, 33-47cm M5125/15-100-0120 Reusable, adult thigh, 44-53cm M5126/15-100-0142 NIBP air pipe Reusable 15-031-0008 Suntech NIBP Accessories Specification Model / PN Disposable, neonatal, 3-6cm 98-0400-99 Disposable, neonatal, 4-8cm 98-0400-96...
Page 231 P1 Patient Monitor User’s Manual Accessories Model / PN L-type 3-way stopcock 16-100-0126 L-type 3-way stopcock 15-100-0074 Masimo Microflow CO Accessories Model / PN HH, Airway Adapter Set (adult/pediatric) 3827 HH, Airway Adapter Set (adult/pediatric, 3m) 3828 HH, Airway Adapter Set (neonatal)
Page 232 P1 Patient Monitor User’s Manual  Accessories Model / PN IBP sensor PT-1/15-100-0053 IBP cable 15-100-0029 IBP extension cable (4PIN to 6PIN) 15-031-0023  Mount and Mounting Accessories Accessories Model / PN Transfer Handle 15-091-0001 Docking Station 15-091-0002 Power adapter...
Page 233: Appendix A Product Specifications
P1 Patient Monitor User’s Manual Appendix A Product Specifications A.1 Safety Specifications According to the MDD 93/42/EEC, the monitor is Type IIb equipment. Classified according to the IEC60601-1 is as follows: Classifica Recommen Degree of Degree of Degree of...
Page 234: Environmental Specifications
P1 Patient Monitor User’s Manual A.2 Environmental Specifications Components Item Operating condition Storage condition Temperature (℃) 0～40 -20～+60 Mainframe and Relative humidity 15～95 10～95 other modules (non-condensing) (%) Barometric (kPa) 54.0～107.4 16.0～107.4 Temperature (℃) 5～40 -40～+70 Sidestream Relative humidity 10～90...
Page 235: Power Specifications
ECG cable, and NIBP works in an automatic measurement mode with a time interval of 15 min): P1 monitor (single battery): the continuous working time is not less than 240 minutes. P1 monitor (two batteries): the continuous working time is not be less than 480 minutes.
Page 236: Hardware Specifications
P1 Patient Monitor User’s Manual less than 4 hours when it is turned off. When the monitor is turned on, it is charged to 90% for less than 5 hours and 100% for less than 6 hours. Turn off delay 5 min-15min（after the low battery alarm first occurs）...
Page 237 P1 Patient Monitor User’s Manual Alarm tones meet the requirements of IEC 60601-1-8. A.5.4 Input device Keys Physical keys 1 power switch key Touch screen support Others (use with docking station) Mouse input Support (optional) Keyboard input Support (optional)
Page 238 P1 Patient Monitor User’s Manual Output impedance Rated 50Ω ECG analog signals output Output signal range -10V～+10V Maximum 25 ms transmission delay Sensitivity 1V/mV±5% PACE rejection / Has PACE rejection function strengthen IBP analog signals output Output signal range -1V～+4V...
Page 239: Data Storage
P1 Patient Monitor User’s Manual Indicates the inherent ≤1s delay in determining the alarm status. Alarm delay time The alarm delay time from the monitor to remote equipment is ≤ from the monitor to 2s, measured at the monitor signal output connector.
Page 240: Measurement Specifications
P1 Patient Monitor User’s Manual A.8 Measurement Specifications The product shall meet the following measurement specifications. If there is no special indication, the definition of the index shall preferentially refer to the special standard of the parameter. A.8.1 ECG Specifications A.8.1.1 Standard...
Page 241 P1 Patient Monitor User’s Manual period is: Waveform 3a (Ventricular bigeminy): 80bpm; Waveform 3b (Slow alternating ventricular bigeminy): 60bpm Waveform 3c (Rapid alternating ventricular bigeminy): 120bpm Waveform 3d (Bidirectional systoles): 90bpm Response time HR change from 80bpm to 120bpm: < 10s.
Page 242 P1 Patient Monitor User’s Manual Auto: identify leads automatically Indication of lead-off shall Every electrode be provided abnormal work Every amplification channel shall have an indication of indications abnormal ECG operation (polarization). Diagnostic mode: 0.05~150Hz Monitor mode: 0.5~40Hz Bandwidth (-3dB) Operation mode: 1~25Hz ST mode: 0.05~40Hz...
Page 243 P1 Patient Monitor User’s Manual A.8.1.4 ECG analysis calculation Measurement HR, PVCs, ST, QT, and Arrhythmia analysis parameter Multi-lead Supports synchronous analysis of at least 2 leads, one of which synchronous is the key monitoring lead and the other is the auxiliary lead. It analysis function is on except 3-lead mode.
Page 244 P1 Patient Monitor User’s Manual range QTc: 200ms~700ms ΔQTc: -500ms~500ms QT-HR: Adult: 15bpm~150bpm Pediatric / neonatal: 15bpm~180bpm QT, QTc, ΔQTc: 1ms； Resolution QT-HR: 1bpm Accuracy QT: ±30ms 1000Hz (The time bias among every channels ≤100us) Sampling rate Amplitude ≤1 uV/LSB...
Page 245 P1 Patient Monitor User’s Manual Full Name Prompt information VentricularBigeminy Bigeminy VentricularTrigeminy Trigeminy Frequent PVCs Frequent PVCs Premature ventricular contraction Missed Beat Missed Beat Atrial Fibrillation A-Fib Atrial Fibrillation End A-Fib End ECGNoise ECG Noise Irregular Rhythm Irregular Rhythm...
Page 246 P1 Patient Monitor User’s Manual 200~2500Ω (using defibrillator proof cable with resistance of Baseline impedance 1kΩ) range Measuring impedance 0.3Ω~3Ω range Gain ×0.25, ×0.5, ×1, ×2, ×4 A.8.3 NIBP Specifications A.8.3.1 Standard Meet standard of IEC80601-2-30 A.8.3.2 Measurement Specification ...
Page 247 P1 Patient Monitor User’s Manual Neonatal: 30~135 mmHg (4.0～18.0 kPa) Adult: 10~220 mmHg (1.3～29.3 kPa) Diastolic Pediatric: 10~220 mmHg (1.3～29.3 kPa) Neonatal: 10~110 mmHg (1.3～14.6 kPa) Adult: 20~235 mmHg (2.7～31.3 kPa) Mean Pediatric: 20~225 mmHg (2.7～30.0 kPa) Neonatal: 20~125 mmHg (2.7～16.6 kPa)
Page 248 P1 Patient Monitor User’s Manual Adult (including pediatric): auscultation method clinical accuracy of blood pressure Neonatal: invasive method Systolic and diastolic pressures: mean error: ±5mmHg, standard deviation: ≤8 mmHg Accuracy Mean pressure: not participating in evaluation 20~45s (typical value) Overall measurement time ...
Page 249 P1 Patient Monitor User’s Manual Adult: 120~280mmHg，default 160mmHg Initial inflation Pediatric: 80~170mmHg，default 120mmHg pressure Neonate: 60~140mmHg，default 90mmHg Overpressure Hardware and software double protections Protection <300 mmHg Adult <300 mmHg Pediatric <150 mmHg Neonate Clinical accuracy Systolic and diastolic pressures: mean error: ±5mmHg, standard deviation: ≤8 mmHg...
Page 250 P1 Patient Monitor User’s Manual Mediu ≤11s ≤15s Measurement range 25 bpm ~300 bpm Resolution 1 bpm Accuracy ±3bpm (non-motion conditions) Measurement range At least 0.05~20.00% Resolution 0.01% ±0.1% or ±10% of reading, Accuracy whichever is greater Measurement range...
Page 251 P1 Patient Monitor User’s Manual CO blood gas analyzer, only two thirds of the measurement results are expected to be within the specified accuracy. c) The accuracy of blood oxygen under low perfusion conditions cannot be determined using a simulator. The definition here only refers to the PI index, and does not mean that can reach the claimed accuracy under the low perfusion condition during clinical use.
Page 252 P1 Patient Monitor User’s Manual ±0.1% or ±10% of reading, Accuracy whichever is greater Normal ≤2s Update period maximum ≤25s  Masimo SpO Measurement , SpMet, PVI, SpHb, SpOC, PI and SpCO parameter Measurement range 0% to 100% Resolution 70% to 100%:±2%（adult/pediatric, non-motion conditions）...
Page 253 P1 Patient Monitor User’s Manual >40%, unspecified Resolution Measurement range 0.0% to 100.0% 0% to 15%:±1%(non-motion conditions) Accuracy SpMet >15%，unspecified Resolution 0.1% Measurement range At least 0.05% to 20.00% Resolution 0.01% ±0.1% or ±10% of reading, whichever Accuracy is greater Measurement range 0.0 g/dl to 25.0 g/dl...
Page 254 P1 Patient Monitor User’s Manual Resolution 0.1ºC or 0.1℉ Accuracy ±0.1℃ (±0.2℉) (without sensor) circuit 0.0℃ to 50.0℃ (32.0℉～122.0℉), high/low limit can Alarm range be adjusted continuously. ±0.1℃ or ±0.1℉ Alarm error Every about 1~2s Updated time Minimum measurement Surface: ≤100s...
Page 255 P1 Patient Monitor User’s Manual ±0.3kPa (±2mmHg) or ±2%, whichever is and accuracy Accuracy greater (without sensor) Including sensor 0Hz～10Hz Frequency response Only host 0Hz～12Hz -200mmHg～+200mmHg IBP zero range Measurement 30bpm ~300bpm range Resolution 1bpm Accuracy ±1% or ±1bpm, whichever is greater...
Page 256 P1 Patient Monitor User’s Manual A.8.7.3 Performance Specification EtCO /FiCO 0%～19.7% (0mmHg～150mmHg) measurement range EtCO /FiCO ± (0.43% + 8% of reading) measurement accuracy Meets the requirements for measurement accuracy within 6 Accuracy drift hours. EtCO /FiCO display 0.1% or 1mmHg...
Page 257 P1 Patient Monitor User’s Manual  Masimo ISA Capno Gas level Agents ISA CO ISA AX+ ISA OR+ 60 vol% – – – – 4 vol% – – – – ENF, ISO, SEV 5 vol% +8% of – –...
Page 258: Alarm Specification
P1 Patient Monitor User’s Manual decreases the CO readings by 6%. This means that if measuring on a mixture containing 5.0 vol% CO and 50 vol% Helium, the actual measured CO concentration will typically be (1-0.06) * 5.0 vol% = 4.7 vol% CO Note 4: According to the EN ISO 80601-2-55:2011 standard.
Page 259 P1 Patient Monitor User’s Manual Alarm limit Range Step NIBP-M-High Adult: (low limit+1mmHg) ~235 mmHg Pediatric: (low limit+1 mmHg) ~225 mmHg 1mmHg Neonatal: (low limit+1 mmHg) ~125 mmHg NIBP-M-Low 20 mmHg ~ (high limit-1 mmHg) NIBP-D-High Adult: (low limit+1mmHg) ~220 mmHg...
Page 260 P1 Patient Monitor User’s Manual PR Low 0bpm~ (PR high limit-1bpm) High △SpO (low limit+1％) ~100％ 1％ △SpO 0bpm~ (high limit-1%) RR High (low limit+1％) ~150bpm 1bpm RR Low 0bpm~ (high limit-1bpm) A9.5 TEMP Alarm Specification Alarm limit Range...
Page 261: Appendix B Emc And Radio Regulatory Compliance
P1 Patient Monitor User’s Manual Appendix B EMC and Radio Regulatory Compliance B.1 EMC The monitor complies with IEC 60601-1-2. All accessories listed in the accessories listed in the accessories of this manual meet the requirements of IEC 60601-1-2 when used with this equipment.
Page 262 P1 Patient Monitor User’s Manual  Class A equipment is intended to be used in industrial environment. Due to conduction disturbance and radiation disturbance of this monitor, there may be potential difficulties in ensuring electromagnetic compatibility in other environments.
Page 263 P1 Patient Monitor User’s Manual If the system is operated within the electromagnetic environment listed in Table Guidance and Declaration – Electromagnetic Immunity, the system will remain safe and provide the following essential performance:  Operating mode  Accuracy ...
Page 264 P1 Patient Monitor User’s Manual interruptions 180°, 225°, 270°and 135°, 180°, 225°, environment. If the user of and voltage 315° 270°and 315° monitor requires variations on continued operation during power supply power mains interruptions, it 0 % UT; 1 cycle and 0 % UT;...
Page 265 P1 Patient Monitor User’s Manual      150 KHz to 80 MHz          80 MHz ～ 800 MHz       80MHz～2.7GHz ...
Page 266 P1 Patient Monitor User’s Manual Over the frequency range 0.15 MHz to 80 MHz, field strengths should be less than 3 V/m. Table 4 Recommended separation distances between portable and mobile RF communications equipment and the monitor The monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
Page 267: The Management Compliance Of Radio
P1 Patient Monitor User’s Manual B.2 The management compliance of Radio RF Parameter Radio frequency Operating frequency Modulation Transmission power transmitter WiFi DSSS and <20dBm (average value) 2.4GHz～2.495GHz IEEE802.11a/b/g/n OFDM <30dBm (Peak) 5.15 GHz～5.35GHz 5.47 GHz～5.725GHz 5.725 GHz～5.82GHz The radio module used in the device is complied with the essential requirements and other relevant provisions of The Radio Equipment Directive.
Page 268: Appendix C Default Settings
P1 Patient Monitor User’s Manual Appendix C Default Settings This chapter lists some important factory default settings for monitors. The user cannot change the factory default settings, but the monitor can be restored to the factory default settings when necessary.
Page 269 P1 Patient Monitor User’s Manual C.1.2 Arrhythmia Default Settings Item Alarm switch Alarm priority Alarm print Asystole HIGH Vent Fib/Tach HIGH V-Tach HIGH Vent Brady HIGH Extreme Tachy HIGH Extreme Brady HIGH R on T Tachy Brady Nonsustained V-Tach Vent Rhythm...
Page 270 P1 Patient Monitor User’s Manual C.1.3 ST Default Settings Item Default Setting ST-I, ST-II, ST-III, Alarm switch ST-aVR, ST-aVL, Alarm high limit 0.2 mV ST-aVF, ST-V1, Alarm low limit -0.2 mV ST-V2, ST-V3, Alarm priority ST-V4, ST-V5, Alarm print ST-V6,...
Page 271: Resp Default Settings
P1 Patient Monitor User’s Manual C.2 RESP Default Settings Item Default Setting Alarm switch High limit Adult / Pediatric: 30 Neonatal: 100 Low limit Adult / Pediatric: 8 Neonatal: 30 Alarm priority Alarm print Apnea Alarm switch Alarm priority HIGH, unadjustable...
Page 272: Temp Default Settings
P1 Patient Monitor User’s Manual Item Default Setting Low limit 85％ Alarm priority HIGH Alarm print NIBP Simul Sensitivity Display PI Waveform Speed 25 mm/s Alarm switch High limit Adult: 120 bpm Pediatric: 160 bpm Neonatal: 200 bpm Low limit...
Page 273: Nibp Default Settings
P1 Patient Monitor User’s Manual Item Default Setting Alarm priority Alarm print Unit ºC C.5 NIBP Default Settings Item Default Setting NIBP-S Alarm switch High limit Adult: 160 mmHg Pediatric: 120 mmHg Neonatal: 90 mmHg Low limit Adult: 90 mmHg...
Page 274: Ibp Default Settings
P1 Patient Monitor User’s Manual Item Default Setting Neonatal: 25 mmHg Alarm priority Alarm print NIBP-sdp Alarm switch High limit 60mmHg Low limit 20mmHg Alarm priority Alarm print Initial Pressure Adult: 160 mmHg Pediatric: 130 mmHg Neonatal: 100 mmHg Interval...
Page 275 P1 Patient Monitor User’s Manual Item Default Setting Adult: 90 mmHg Pediatric: 70 mmHg Neonatal: 55 mmHg PA/PAWP: Adult: 10 mmHg Pediatric/Neonatal: 24 mmHg Alarm priority Alarm print IBP-D Alarm switch High limit ART/Ao/UAP/BAP/FAP/LV/P1/P2 arterial pressure Adult: 90mmHg Pediatric: 70 mmHg Neonatal: 60mmHg PA/PAWP：...
Page 276 P1 Patient Monitor User’s Manual Item Default Setting Adult: 20 mmHg Pediatric/Neonatal: 26 mmHg CVP/ICP/RAP/LAP/UVP Venous pressure Adult: 10 mmHg Pediatric/Neonatal: 4 mmHg Low limit ART/Ao/UAP/BAP/FAP/LV/P1/P2 arterial pressure Adult: 70 mmHg Pediatric: 50 mmHg Neonatal: 35 mmHg PA/PAWP Adult: 0 mmHg...
Page 277: Co Default Settings
P1 Patient Monitor User’s Manual Item Default Setting Scale Type Manual Scale Upper scale ART /Ao/UAP/BAP/FAP/LV/P1/P2 arterial pressure: 160mmHg CVP /ICP/RAP/LAP/UVP venous pressure : 20mmHg; PA/PAWP：30mmHg Lower scale 0mmHg High-precision cursor switch High-precision cursor ART/ Ao/ UAP/BAP/FAP/LV/P1/P2 arterial pressure: 80mmHg CVP /ICP/RAP/LAP/UVP venous pressure: 10mmHg PA/PAWP：15mmHg...
Page 278: Alarm Default Settings
P1 Patient Monitor User’s Manual Item Default Setting Alarm print FiCO Alarm switch High limit 4 mmHg Alarm priority Alarm print Apnea delay Adult/Pediatric: 20s; Neonate: 15s Wave Speed 6.25 mm/s Scale 50 mmHg Wave Mode Draw Operation Mode Measurement mode...
Page 279: Screen Setup Default Settings
P1 Patient Monitor User’s Manual C.9 Screen Setup Default Settings Item Default Setting Interface selection Standard screen Screen lock duration 2min Brightness Brightness (when powered by batteries) C.10 Color of parameters Default Settings Item Default Setting Green NIBP White Yellow...
Page 280: Maintenance Item Default Settings
P1 Patient Monitor User’s Manual C.12 Maintenance Item Default Settings Item Default Setting Network Type LAN IP Use the Following Address Frequency 2.4G Device No. Alarm Pause Duration 2min Minimum alarm volume Alarm Sound High Alarm Interval (s) Medium Alarm Interval (s) Low Alarm Interval (s) Reset Remote Bed’s Alarms...
Page 281: Appendix D Alarm Message
P1 Patient Monitor User’s Manual Appendix D Alarm Message This chapter lists some of the most important physiological and technical alarm information, and some alarm information may not be listed. D.1 Physiological alarm D.1.1 General physiological alarm Alarm messages Default priority Cause and solution The measured value of the corresponding parameter is higher than the alarm high limit.
Page 282 P1 Patient Monitor User’s Manual Alarm messages Default priority Alarm messages Default priority Tachy Missed Beat Brady A-Fib Nonsustained V-Tach A-Fib End Vent Rhythm ECG Noise Irregular Rhythm Irregular Rhythm End Pause D.1.3 RESP Physiological Alarm Alarm messages Default priority Cause and solution...
Page 283: Technical Alarm
P1 Patient Monitor User’s Manual Alarm messages Default priority Cause and solution probe. measurement is below the desaturation limit. Please check the patient’s status and Desat High confirm whether the alarm limit setting is applicable to the patient. D.1.5 CO...
Page 284 P1 Patient Monitor User’s Manual D.2.1 General Technical alarm Default Alarm clear Cause and solution Alarm messages priority method XX measurement module failure or Communication Not clearable communication failure. error Note: “XX” represents the module name, such as ECG, SpO , IBP, TEMP, etc.
Page 285 P1 Patient Monitor User’s Manual Default Alarm clear Cause and solution Alarm messages priority method ECG Cable is ECG cable is about to expire. Please Prompt About to Expire replace the cable in time. Pacing signal has been detected by non-pacing patients.
Page 286 P1 Patient Monitor User’s Manual Default Alarm clear Cause and solution Alarm messages priority method connection between the SpO sensor and the SpO main cable falls off. Confirm that SpO main cable and sensor are connected normally. If the alarm still cannot be eliminated, replace the sensor.
Page 287 P1 Patient Monitor User’s Manual D.2.6 NIBP Technical Alarm Default Alarm clear Cause and solution Alarm messages priority method NIBP Self-test Board failure. Please contact the Not clearable Error manufacturer for repair. NIBP System Not clearable System operation failure. Failure...
Page 288 P1 Patient Monitor User’s Manual Default Alarm clear Cause and solution Alarm messages priority method Or irregular pulse rate, such as arrhythmia. NIBP Signal Completely Great movement. Saturated clear The cuff is too loose or the patient’s NIBP Weak Completely pulse is too weak.
Page 289 Please check the connection. Zero Required Prompt The IBP module is zeroing Zero Succeed Prompt successful Note: XX represents IBP labels, such as PA, CVP, FAP, P1, etc. D.2.8 CO Technical Alarm Default Alarm clear Cause and solution...
Page 290 P1 Patient Monitor User’s Manual Default Alarm clear Cause and solution Alarm messages priority method The CO sampling tube is blocked or damaged; The Check Sampling sampling tube is kinked or Not clearable Line compacted; The exhaust pipe is blocked. Check the sampling tube.
Page 291 P1 Patient Monitor User’s Manual Default Alarm clear Cause and solution Alarm messages priority method Out of Range pressure. Span Calibration Contact the after-sales personnel Not clearable Command Failed to check the maintenance. Span Calibration Prompt Disappear after success. in Progress…...
Page 292: Appendix E Cybersecurity
This chapter mainly describes the information related to cybersecurity of the monitor. E.1 Operating environment  Hardware environment  Monitor software is only applicable to P1 patient monitor hardware platform.  Screen: 5.5″LCD screens with resolution 720*1280.  Peripherals: nurse call module.
Page 293: Software Environment
P1 Patient Monitor User’s Manual maintenance menu by entering the hospital maintenance password, and at least have settings for language configuration, automatic clearing of NIBP results, automatic release of waveform freezing time and alarm related contents. 3）Manufacturer’s authority: Enter the maintenance menu by entering the manufacturer’s maintenance password.
Page 294: Appendix F Terminology And Definitions
P1 Patient Monitor User’s Manual Appendix F Terminology and Definitions F.1 List of units Abbreviation Full name µA microampere µV microvolt µs microsecond ampere ampere hour beat per minute bit per second ºC centigrade cubic centimeter centimeter decibel dyne second ºF...
Page 295: Symbol List
P1 Patient Monitor User’s Manual Abbreviation Full name microgram milli-equivalents milligram minute milliliter millimeter mmHg millimetes of mercury centimeters of water millisecond millivolt milliwatt MΩ megaohm nanometer breaths per minute second volt volt ampere Ω watt F.2 Symbol list Symbol Explanation －...
Page 296: Terminology List
P1 Patient Monitor User’s Manual Symbol Explanation Greater than ＞ ≤ Less than or equal to ≥ Greater than or equal to ± Plus or minus × Multiply © Copyright F.3 Terminology list Abbreviation Full name AAMI Association for Advancement of Medical Instrumentation...
Page 297 P1 Patient Monitor User’s Manual Abbreviation Full name CMOS Complementary metal oxide semiconductor Central monitoring system Carbon dioxide COHb Carboxyhemoglobin Central venous pressure Direct current Diastolic Digital video interface Oxygen delivery Electrocardiograph End-diastolic volume European Economic Community Electromagnetic compatibility Electromagnetic interference...
Page 298 P1 Patient Monitor User’s Manual Abbreviation Full name Inspiatory time: expiratory time ratio International Electrotechnical Commission IEEE Institute of Electrical and Electronic Engineers Internet protocol Left arm Left atrial pressure Lateral Liquid crystal display Left cardiac work LCWI Left cardiac work index...
Page 299 P1 Patient Monitor User’s Manual Abbreviation Full name Airway pressure Photodetector Pediatric PEEP Positive end expiratory pressure Peak expiratory flow Peak inspiratory flow Peak inspiratory pressure Pleth Plethysmogram Oxygen supply pressure Pulse pressure variation Pulse rate Premature ventricular contraction Right...
Page 300 P1 Patient Monitor User’s Manual Abbreviation Full name Stroke volume index Venous oxygen saturation Sync Synchronization Systolic pressure Temperature difference TEMP Temperature Thoracic fluid content Thoracic fluid index Trect Rectal temperature Uninterruptible power pressure Uninterruptible power supply Universal serial bus...
Page 301: Appendix G Toxic And Harmful Substances Or Elements
P1 Patient Monitor User’s Manual Appendix G Toxic and Harmful Substances or elements Components Lead Mercury Cadmiu Hexavalent Polybrominat Polybrominat chromium ed biphenyls ed diphenyl Cr(VI) ethers PBDE Host Shell ○ ○ ○ ○ ○ ○ (plastic parts) Label ○...
Page 302 P1 Patient Monitor User’s Manual Components Lead Mercury Cadmiu Hexavalent Polybrominat Polybrominat chromium ed biphenyls ed diphenyl Cr(VI) ethers PBDE accessory Stand Carts stand ○ ○ ○ ○ ○ ○ Wall stand ○ ○ ○ ○ ○ ○ ○: It means that the content of the toxic and harmful substances in all homogeneous materials of the component is below the limit specified in SJ/T11363-2006.
Page 303 Product name: Patient Monitor Product model: P1 Manufacturer: Guangdong Biolight Meditech Co., Ltd. Address: No.2 Innovation First Road, Technical Innovation Coast, Hi-tech Zone, Zhuhai, P.R. China Fax: 0756-3399919 Post code: 519085 Toll-free consultation hot line: 400-8818-233 PN：22-082-0008 ...

Biolight Meditech P1 Manual

Chapter 1 General Introduction

Chapter 2 Safety

Chapter 3 Basic Operations

Chapter 4 Patient Management

Chapter 5 Managing Configurations

Chapter 6 User Interface

Chapter 7 Alarm

Chapter 8 ECG

Chapter 9 Respiration Rate (RESP)

Chapter 10 Spo

Chapter 11 Temperature（Temp

Chapter 12 NIBP

Chapter 13 IBP

Chapter 14 Carbon Dioxide (CO )

Chapter 15 Review

Chapter 16 Calculations

Chapter 17 Other Functions

Chapter 18 Battery

Chapter 19 Maintenance and Cleaning

Chapter 20 Maintenance

Chapter 21 Accessories

Appendix A Product Specifications

Appendix B EMC and Radio Regulatory Compliance

Appendix C Default Settings

Appendix D Alarm Message

Appendix E Cybersecurity

Appendix F Terminology and Definitions

Appendix G Toxic and Harmful Substances or Elements

Quick Links

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Summary of Contents for Biolight Meditech P1