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Biolight Meditech S10 Manual

Patient monitor
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Product Information
Product Model:
Product Name:
Manufacturer Name: Guangdong Biolight Meditech Co., Ltd.
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.
Document No.: J/SCE-A-013
Revision number:V1.1
Release time: 2020.5
Copyright © 2020 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
S10/S12/S10A/S12A
Patient monitor
I

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  • Page 1 Document No.: J/SCE-A-013  Revision number:V1.1  Release time: 2020.5 Copyright © 2020 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

    Content Chapter 1 General Introduction .................. 1-1   1.1. Intended Use ....................... 1-1   1.2. Contraindications ....................1-1   1.3. Product difference ....................1-2   1.4. Main Unit ......................1-3   1.5. Screen Display ....................1-7   Chapter 2 Safety ......................2-1  ...
  • Page 6 6.5. Big Font Screen ....................6-8   6.6. Freezing Waveforms ................... 6-8   Chapter 7 Alarm ......................7-1   7.1. Introduction ......................7-1   7.2. Safety Information ....................7-1   7.3. About the alarm ....................7-2   7.4. Viewing physiological alarms list ............... 7-4  ...
  • Page 7 10.7. SpO2 Measurement Limitations ..............10-7   Chapter 11 Temperature（TEMP） ................ 11-1   11.1. Introduction ..................... 11-1   11.2. Displaying the TEMP Parameter Area ............11-1   11.3. TEMP Display ....................11-1   11.4. Preparing for TEMP Monitoring ..............11-2  ...
  • Page 8 15.8. Zeroing ......................15-11   15.9. Calibration ..................... 15-13   15.10. Exhaust Emission ..................15-13   15.11. Announcements ................... 15-14   15.12. CO Troubleshooting ................... 15-15   Chapter 16 Drip Monitor (DM) ................. 16-1   16.1. Introduction ..................... 16-1   16.2.
  • Page 9 22.1. Introduction ..................... 22-1   22.2. Installing a Battery ..................22-1   22.3. Battery Guidelines ................... 22-2   22.4. Battery Maintenance ..................22-3   22.5. Battery Recycling .................... 22-4   Chapter 23 Maintenance and Cleaning ..............23-1   23.1. Introduction ..................... 23-1  ...
  • Page 10 C.13 Recorder ......................49   C.14 Other ........................49   C.15 Maintenance Item ....................50   Appendix D Alarm Message ..................... 51   D.1 Physiological alarm ....................51   D.2 Technical Alarm ....................53   Appendix E Cybersecurity ....................63  ...

  • Page 11: Chapter 1 General Introduction

    ), Pulse Rate(PR), Non-invasive Blood Pressure(NIBP), Carbon dioxide(CO ), Invasive Blood Pressure(IBP) and Cardiac output(C.O.). S10A and S10 patient monitor do not support CO2, IBP and C.O. measurement. C.O. monitoring is only intended for adult patients. The monitors are to be used in medical facilities by clinical professionals or under their guidance.

  • Page 12: Product Difference

    S10/S12/S10A/S12A Patient Monitor User’s Manual   ——with excessive and continuous patient movement such as shivering or convulsions; ——if a regular arterial pressure pulse is hard to detect; ——with cardiac arrhythmias; ——with rapid blood pressure changes; ——with severe shock or hypothermia that reduces blood flow to the peripheries;...

  • Page 13: Main Unit

    S10/S12/S10A/S12A Patient Monitor User’s Manual   1.4. Main Unit 1.4.1. Front View   Display screen Light induction: For example, when the environment is dark, the display brightness can be automatically adjusted. Alarm lamp Alarm lamp with different color and flashing frequency indicates the level of technical alarm and physiological alarm: ...
  • Page 14 S10/S12/S10A/S12A Patient Monitor User’s Manual   1.4.2. Side View  S10/S10A 2  1-4 ...
  • Page 15 S10/S12/S10A/S12A Patient Monitor User’s Manual    S12/S12A 2  1  10  9  8  Power button Power on: after the monitor is connected to the AC power supply, press the button to open the monitor. Power off: in the startup state, short or long press the power switch button to turn off...
  • Page 16 S10/S12/S10A/S12A Patient Monitor User’s Manual   CO2 connector C.O. connector IBP connector 1.4.3. Rear View 1  2  3  4  VGA connector（optional） Connect secondary display with a standard VGA connector. Auxiliary display and monitoring are performed by connecting a secondary display. The display content of the secondary display is consistent with the monitor display.

  • Page 17: Screen Display

    S10/S12/S10A/S12A Patient Monitor User’s Manual   Equipotential grounding terminal When other devices and monitors are unified used, the wires should be used to connect the equipotential grounding terminal of other devices and monitors to eliminate the potential difference between different devices and ensure safety...
  • Page 18 S10/S12/S10A/S12A Patient Monitor User’s Manual   to refer Chapter 4 Patient Management. Current configuration Technical alarm area Display technical alarm information and prompt information. Cyclic displaying when there are multiple messages. Select this area to open the 【Alarm Informations】 menu to view the current technical alarm.
  • Page 19 S10/S12/S10A/S12A Patient Monitor User’s Manual   1.5.1. Interface Symbols The following table shows the symbols and meanings displayed in the system information area: Symbol Note Symbol Note Wireless network connected. Wireless network not The physical part represents the connected. network signal strength.
  • Page 20 S10/S12/S10A/S12A Patient Monitor User’s Manual   1.5.2.1. Quick keys list The symbols on the quick keys are shown as follows: Symbol Quick key Note Function Previous page Next page Main menu Enter the main menu Standby Enter the Standby mode Alarm Setup Enter the【Alarm Setup】menu...
  • Page 21 S10/S12/S10A/S12A Patient Monitor User’s Manual   Symbol Quick key Note Function Patient Management Enter the 【Patient Management】 menu Discharge the patient Discharge the current patient Volume Enter the【Sound】setting menu Brightness Enter the 【Brightness】 menu Lock screen or Unlock screen Disable/activate touch screen Wireless Setup Enter the【Wireless Setup】menu...
  • Page 22 S10/S12/S10A/S12A Patient Monitor User’s Manual    Select the 【Main Menu】quick key → select 【Quick keys】 from 【Display】 column. Set the required quick keys:  Add quick key: Select desired quick key from the 【Choices】 column on the left, and then select 【Add】.
  • Page 23 S10/S12/S10A/S12A Patient Monitor User’s Manual   Operation button: Click to start an operation. Exit button: Exit the current menu. Function switch:  Green: The function switch is on;  Gray: The function switch is off.   1-13 ...

  • Page 24: Chapter 2 Safety

    S10/S12/S10A/S12A 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 by a single patient at the same time ...
  • Page 25 S10/S12/S10A/S12A Patient Monitor User’s Manual   entanglement or suffocated, the cables entangled, or subject to electrical interference.  To avoid danger or pollute the environment, the packaging materials must be handled in accordance with local regulations or the hospital's waste disposal system.

  • Page 26: Equipment Symbols

    S10/S12/S10A/S12A Patient Monitor User’s Manual   electrodes may result in a large baseline drift or a long baseline recovery time after defibrillation. It is forbidden to use dissimilar metal electrodes, which may cause high polarization voltages. NOTE：  Put the monitor in a location where you can easily see the screen and access the operating controls.

  • Page 27: Packaging Symbols

    S10/S12/S S10A/S12A Patient M Monitor User’s Manua   Abbrevi iation of “Invasive Equipotent tial grounding ood Pressure”. Abbre eviation of “Drip Auxilia ary output Monitor”. twork Alternati ing current（AC） Defibrilla ator synchronization VGA displ lay connector outp put connector Manufacturer...

  • Page 28: Chapter 3 Basic Operations

    S10/S12/S10A/S12A 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 29 S10/S12/S10A/S12A 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 30: Getting Started

    S10/S12/S10A/S12A Patient Monitor User’s Manual   3.2. Getting Started 3.2.1. Connecting the Power  Connecting the AC power When the monitor need to be supplied by AC power, you can plug one end of the AC power cord into the AC power connector on the back of the monitor and the other end plug into the AC power outlet.

  • Page 31: Shutting Off The Monitor

    S10/S12/S10A/S12A 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 32: Operation And Browse

    S10/S12/S10A/S12A Patient Monitor User’s Manual   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.  In case of a temporary power failure, the monitor retains patient data before shutdown, including patient monitoring data and configuration data.

  • Page 33: General Settings

    S10/S12/S10A/S12A Patient Monitor User’s Manual   contact the service personnel.  If you find that the touch screen is loose, stop using the monitor immediately and contact your service personnel. 3.4.2. Using the Mouse The monitor supports the mouse with USB connector, the mouse can be plugged and unplugged.
  • Page 34 S10/S12/S10A/S12A Patient Monitor User’s Manual   →enter the maintenance password. Select【Other】submenu. Select【Language】and then select the desired language. Restart the patient monitor. 3.5.2. Adjusting the Screen Brightness The steps to set the screen brightness are as follows: Set the brightness in one of the following ways: ...

  • Page 35: Measurement Settings

    S10/S12/S10A/S12A Patient Monitor User’s Manual   If the monitor is connected to the central monitoring system, the system time of the 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.
  • Page 36 S10/S12/S10A/S12A Patient Monitor User’s Manual   3.6.2. Setting Display Screen You can set the parameter waveform and its order displayed in the normal interface as required. The steps are as follows: Enter【Screen Layout】interface in one of the following ways: ...

  • Page 37: Operation Mode

    S10/S12/S10A/S12A Patient Monitor User’s Manual   3.7. Operation Mode 3.7.1. Monitor Mode Monitor mode is the most common clinical working mode used to monitor patient. When the monitor is turned on, it automatically enters the monitor mode. 3.7.2. Standby Mode You can temperately stops patient monitoring without switching off the monitor by entering the standby mode.
  • Page 38 S10/S12/S10A/S12A Patient Monitor User’s Manual   3.7.2.2. Exit the Standby Mode To exit the standby mode, choose any of the following ways:  Select 【Resume Monitor】 to exit the standby mode and resume monitoring the current patient.  Select Discharge Patient to discharge the current patient.
  • Page 39 S10/S12/S10A/S12A Patient Monitor User’s Manual   3.7.4. Night Mode Night mode is a special clinical monitoring mode. Under the night mode, the alarm volume, QRS volume and screen brightness turn to be lowest automatically. To avoid disturbing the patient, night mode may be used.
  • Page 40 S10/S12/S10A/S12A Patient Monitor User’s Manual   3.7.5. Privacy Mode The privacy mode is a special monitoring mode. In the privacy mode, the monitor does not display patient information and monitoring data to protect patient information from non-clinicians such as visitors.

  • Page 41: Using The Timer

    S10/S12/S10A/S12A Patient Monitor User’s Manual   3.7.5.2. Exit the Privacy Mode The monitor automatically exits the privacy mode in any of the following situations:  The monitor disconnects from the Central Monitoring System.  The low battery alarm occurs. You can also press 【Exit Privacy Mode】on the screen to manually exit the privacy mode.

  • Page 42: Voice Assistant

    S10/S12/S10A/S12A Patient Monitor User’s Manual   3.8.3. Setting the Timer You can set each timer independently. To set the timer, follow this procedure: Select the timer area to enter the【Timer】menu. Set【Timer Type】:  【Normal】 : The timer is timed according to the present 【Run Time】.
  • Page 43 S10/S12/S S10A/S12A Patient M Monitor User’s Manua   Say the wake-u up words. At this tim me, the top status ba ar will display the "   " icon, in ndicating that the mon nitor is in the state o...

  • Page 44: Chapter 4 Patient Management

    S10/S12/S10A/S12A 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 45: Admitting A Patient

    S10/S12/S10A/S12A Patient Monitor User’s Manual    【Cancel】：Exit the operation of discharging patient data and return to the   main interface. 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.
  • Page 46 S10/S12/S10A/S12A Patient Monitor User’s Manual   4.3.2. Editing Patient Information Edit patient information after a patient has been admitted, or when patient information is incomplete, or when you want to change patient information. To edit patient information, follow this procedure: Enter the 【Patient Management】...

  • Page 47: Connecting To A Central Monitoring System

    S10/S12/S10A/S12A Patient Monitor User’s Manual   4.4. Connecting to a Central Monitoring System If your patient monitor is connected to a central monitoring system (CMS):  The monitor sends patient information, real-time monitoring or measurement data, alarm limits, alarm levels, alarm messages, prompts, and various settings to the central monitoring system.

  • Page 48: Chapter 5 Managing Configurations

    S10/S12/S10A/S12A 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 49: Deleting A Configuration

    S10/S12/S10A/S12A Patient Monitor User’s Manual   【Save User Config】→enter maintenance password→Enter. In the popup dialog box of 【Save User Config】, input the configuration 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...

  • Page 50: Loading Current Configuration

    S10/S12/S10A/S12A Patient Monitor User’s Manual   Select【OK】. 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 51: Monitor Boot Usage Configuration

    S10/S12/S10A/S12A Patient Monitor User’s Manual    【Current】: The monitor loads the nearest configuration when it receives the patient. 5.8. Monitor Boot Usage Configuration When the monitor starts, 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...

  • Page 52: Chapter 6 User Interface

    S10/S12/S10A/S12A 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 53: Dynamic Trend Screen

    S10/S12/S10A/S12A Patient Monitor User’s Manual   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. Select 【All】 submenu to set the colors of all parameter values and waveforms.

  • Page 54: Oxycrg Screen

    S10/S12/S10A/S12A Patient Monitor User’s Manual   6.3. OxyCRG screen The OxyCRG screen graphically displays high-resolution trend curves and compressed waveforms of HR, SpO2, and RR. 6.3.1. Entering OxyCRG screen You can enter the OxyCRG screen by any of the following methods: ...

  • Page 55: Other Bed Observation

    S10/S12/S10A/S12A Patient Monitor User’s Manual   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. A remote monitor (such as a bedside monitor) is also called other bed monitor.
  • Page 56 S10/S12/S10A/S12A 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 57 S10/S12/S10A/S12A 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 58 S10/S12/S10A/S12A Patient Monitor User’s Manual   In【Alarm】submenu to check the current physiological and technical alarm information of the main bed. 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.

  • Page 59: Big Font Screen

    S10/S12/S10A/S12A Patient Monitor User’s Manual   6.5. Big Font Screen You can enter big numerics screen in either of the following ways:  Select【Screen Setup】quick key→Select【Screen Select】submenu→Select 【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】...
  • Page 60 S10/S12/S10A/S12A Patient Monitor User’s Manual   Icon Function |<< Up to the fist page << Up to the previous page < Up to the previous second > Down to the next second >> Down to the next page >>| Down to the last page ...

  • Page 61: Chapter 7 Alarm

    S10/S12/S10A/S12A 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 62: About The Alarm

    S10/S12/S10A/S12A Patient Monitor User’s Manual   NOTE:  When the alarm system is powered off, the monitor will save the alarm information before power interruption. The stored alarm information will not change with the power interruption time. 7.3. About the alarm 7.3.1.
  • Page 63 S10/S12/S10A/S12A 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 64: Viewing Physiological Alarms List

    S10/S12/S10A/S12A Patient Monitor User’s Manual   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 65 S10/S12/S10A/S12A Patient Monitor User’s Manual   7.6.2. Changing Alarm Setup Protection Mode You can change the password protection mode of the alarm settings and arrhythmia settings as follows: Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter.
  • Page 66 S10/S12/S10A/S12A Patient Monitor User’s Manual   7.6.3.2. Setting the minimum alarm volume The minimum alarm volume determines the minimum alarm volume setting. The steps are as follows: Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter.
  • Page 67 S10/S12/S10A/S12A Patient Monitor User’s Manual    【High Alarm Interval】: 3～15s, and the default value is 10s.  【Medium Alarm Interval】: 3～30s, and the default value is 20s.    【Low Alarm Interval】: 16～30s，and the default value is 20s. 7.6.3.5. Setting Reminder Volume...
  • Page 68 S10/S12/S10A/S12A Patient Monitor User’s Manual   automatically increased to level 3, if the set time is not confirmed.  【 2 Steps 】 : After the alarm occurs, the alarm volume will be automatically increased to level 2, if the set time is not confirmed.

  • Page 69: Alarm Pause

    S10/S12/S10A/S12A Patient Monitor User’s Manual   7.6.5. Setting Alarm Waveform Length You can set the length of the waveform needs to be output when an alarm occurs, the setting steps are as follows: Enter【Setup】interface in either of the following ways: ...

  • Page 70: Alarm Reset

    S10/S12/S10A/S12A Patient Monitor User’s Manual   After reaching the alarm pause time, the monitor will automatically exit the alarm pause state. You can also click 【Alarm Pause】quick key to manually cancel the alarm pause. 7.7.1. Setting Alarm Pause Time Alarm pause time can set to :【1min】, 【2min】, 【3min】and【Permanent】, the default is 2 minutes.

  • Page 71: Latching Alarms

    S10/S12/S10A/S12A Patient Monitor User’s Manual   NOTE ：  In the alarm reset state, if a new alarm is generated, the alarm reset icon disappears and the alarm system is reactivated. 7.8.1. Physiological Alarm Reset After the physiological alarm is reset, the sound of the currently existing physiological alarm is shielded, and the other alarm states remain unchanged.

  • Page 72: Nurse Call

    S10/S12/S10A/S12A Patient Monitor User’s Manual   the alarm, including the alarm light, the alarm information and the background color remain unchanged, and the alarm information text is followed by the time of last triggering the alarm.  For audible latching, the system still emits an alarm tone after the alarm condition disappears.
  • Page 73 S10/S12/S10A/S12A Patient Monitor User’s Manual   The nurse call function must be valid only if the following conditions are met:  The nurse call function is turned on.  A user-defined alarm occurs.  The monitor is not alarm paused or off.

  • Page 74: Intubation Status

    S10/S12/S10A/S12A Patient Monitor User’s Manual   7.11. Intubation Status The monitor provides the intubation status function during RESP and CO2 monitoring. In this state, the physiological alarms related to RESP and CO2 are shielded, and the alarm off icon is displayed in the parameter area. During the intubation process of general anesthesia surgery, the intubation status can be selected to shield unnecessary alarms.

  • Page 75: Other Bed Alarm

    S10/S12/S10A/S12A Patient Monitor User’s Manual   7.12. Other Bed Alarm Enter other bed observation interface, and when the monitored bed monitor has an alarm triggered, the alarm light and alarm sound are prompted according to the highest level of all alarms of the current monitor and other bed monitor. You can view and manage other bed alarm.

  • Page 76: Detecting Alarm

    S10/S12/S10A/S12A Patient Monitor User’s Manual   7.12.3. Switching Off the Remote Device Disconnection Alarm The monitor can provide an alarm if remote devices are disconnected. By default, the function is enabled. To disable the alarm, follow this procedure: Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter.

  • Page 77: Chapter 8 Ecg

    S10/S12/S10A/S12A 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 78: Ecg Display

    S10/S12/S10A/S12A 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 79: Preparing For Ecg Monitoring

    S10/S12/S10A/S12A 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 80 S10/S12/S10A/S12A 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 81 S10/S12/S10A/S12A 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 82 S10/S12/S10A/S12A 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 83 S10/S12/S10A/S12A Patient Monitor User’s Manual   electrodes should be placed on the soft skin. The standard electrode placement position is   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 84 S10/S12/S S10A/S12A Patient M Monitor User’s Manua   Select ECG para ameter area or wavefo orm area to enter the【 【ECG】menu.   Select【Setup】 submenu. Set【Lead Type e】according to the le ead type you are goin ng to use.  【Lead Ty ype】...

  • Page 85: Ecg Settings

    S10/S12/S10A/S12A Patient Monitor User’s Manual   pacemakers. Always keep these patients under close surveillance.  The auto pacer recognition function is not applicable to pediatric and neonatal patients.  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.
  • Page 86 S10/S12/S10A/S12A Patient Monitor User’s Manual   To choose the screen type, follow this procedure: 【Screen Select】interface in one of the following ways:  Select【Screen Setup】quick key→Select【Screen Select】submenu.  Select【Main Menu】quick key→from 【Display】 column to select 【Screen Select】. Select【ECG Screen】.  ...
  • Page 87 S10/S12/S10A/S12A 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 88 S10/S12/S10A/S12A Patient Monitor User’s Manual   ST elevation or depression, etc.  Use under normal measurement conditions. 【Monitor】:    【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 89 S10/S12/S10A/S12A Patient Monitor User’s Manual   Select ECG parameter area or waveform area to enter the【ECG】menu. Select【Setup】submenu. Switch on or off【Notch Filter】. 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.
  • Page 90 S10/S12/S10A/S12A Patient Monitor User’s Manual   8.5.8. Adjusting the QRS Volume The QRS volume is determined by【Alarm Source】in the ECG or PR alarm setting menu. Which parameter (HR or PR) is set to【Alarm Source】and the QRS volume is sounded according to which parameter's rhythm.

  • Page 91: Arrhythmia Monitoring

    S10/S12/S10A/S12A Patient Monitor User’s Manual   standard, follow this procedure: Select 【 Main Menu 】 quick key→from 【 System 】 column to select 【Maintenance】→input maintenance password→Enter. Select【Module】submenu→【ECG】submenu. Set【ECG Standard】to【AHA】or【IEC】. 8.6. Arrhythmia Monitoring Arrhythmia monitoring is applicable for adult, pediatric and neonatal patients.
  • Page 92 S10/S12/S10A/S12A Patient Monitor User’s Manual   within a few minutes after completion. 8.6.2. Arrhythmia Events This section lists all arrhythmia events and their criteria. Arrhythmia Events Description Asystole There is no fluctuation or very small and slow waveform for 6 seconds.
  • Page 93 S10/S12/S10A/S12A Patient Monitor User’s Manual   Pauses/min High The number of Pause per minute is greater than the decision limit. Run PVCs For 3 or 4 consecutive ventricular waveforms, the heart rate is less than the ventricular tachycardia heart rate limit and greater than the ventricular bradycardia heart rate limit.

  • Page 94: St Monitoring

    S10/S12/S10A/S12A Patient Monitor User’s Manual   8.7. ST Monitoring ST segment of ECG waveform refers to the phase from the end of ventricular depolarization to the beginning of ventricular repolarization, or from the end of QRS complex (point J) to the beginning of T wave. ST segment analysis is mostly used to monitor the oxygen supply and myocardial viability of patients.
  • Page 95 S10/S12/S10A/S12A Patient Monitor User’s Manual   When these situations exist, you should consider turning off the ST segment analysis function. 8.7.3. Displaying ST parameter The method of displaying ST parameters and waveforms is as follows: Enter the 【Screen Layout】 page in one of the following ways: ...
  • Page 96 S10/S12/S10A/S12A Patient Monitor User’s Manual   Parameter label ST alarm off symbol ST unit Lead label ST numerics: a positive value indicates ST segment elevation, and a negative value indicates ST segment depression. 8.7.4. Displaying ST Segment in Waveform Area The steps for displaying ST segment in waveform area are as follows: Enter the 【Screen Layout】...
  • Page 97 S10/S12/S10A/S12A Patient Monitor User’s Manual   The current ST segment (green) and baseline ST segment (white) ST segment measurement position line Scale 8.7.5. Entering ST View ST View displays a complete QRS segment of each ST lead. You can enter 【ST View】...
  • Page 98 S10/S12/S10A/S12A Patient Monitor User’s Manual   8.7.7. Entering ST Graphic Window The steps to enter the ST Graphic window are as follows: Select ECG parameter area, waveform area, ST parameter area or ST waveform area to enter 【ECG】 menu. Select 【ST】 submenu.
  • Page 99 S10/S12/S10A/S12A Patient Monitor User’s Manual   Select ECG parameter area, waveform area, ST parameter area or ST waveform area to enter 【ECG】 menu. Select 【ST】 submenu→【Setting】submenu. Switch on 【ST Mark】. 8.7.9. Adjusting ST Measurement Point 8.7.9.1. ST Point, ISO Point and J Point The ST value for each beat complex is the vertical difference between the isoelectric (ISO) point and the ST point.

  • Page 100: Qt/Qtc Monitoring

    S10/S12/S10A/S12A Patient Monitor User’s Manual   The steps for setting ST, J and ISO points are as follows: Select ECG parameter area, waveform area, ST parameter area or ST waveform area to enter 【ECG】 menu. Select 【ST】 submenu→【ST Point】submenu. Select 【ST Point】 to set the position of ST Point.
  • Page 101 S10/S12/S10A/S12A Patient Monitor User’s Manual   8.8.1. QT/QTc measurement limitation The following conditions may affect the accuracy of QT measurement:  The amplitude of R wave is too low.  Excessive ventricular heartbeat.  RR interval is unstable.  High heart rate causes P wave to invade the end of the previous T wave.
  • Page 102 S10/S12/S10A/S12A Patient Monitor User’s Manual    Select 【Screen Setup】 quick key→select 【Screen Layout】 submenu.  Select 【Main Menu】 quick key→from 【Display】 column to select 【Screen Layout】. Click on the location in the parameter area where QT parameters need to be displayed and select 【ECG】→【QT】.
  • Page 103 S10/S12/S10A/S12A Patient Monitor User’s Manual   Select the 【QT View】 button at the bottom of the menu. 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 104 S10/S12/S10A/S12A Patient Monitor User’s Manual   as the baseline. The baseline value will be used to calculate the ΔQTc value. After the new QT baseline is set, the original baseline will be discarded. The baseline will be cleared when the patient is released.

  • Page 105: Isoelectric Segments

    S10/S12/S10A/S12A Patient Monitor User’s Manual   Framingham: QTc  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 –...

  • Page 106: Calibrating Ecg

    S10/S12/S10A/S12A Patient Monitor User’s Manual   8.11. Calibrating ECG The ECG signal may be inaccurate due to hardware or software problems. As a result, the ECG waveform amplitude becomes greater or smaller. In that case, you need to calibrate the ECG module. To do so, follow this procedure: Select ECG parameter area or waveform area, set 【...

  • Page 107: Ecg Troubleshooting

    S10/S12/S10A/S12A Patient Monitor User’s Manual   discharge should be delivered within 60 ms of the peak of the R-wave. The signal at the ECG output on the monitors is delayed by maximum of 25ms. 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.
  • Page 108 S10/S12/S10A/S12A Patient Monitor User’s Manual   Problem Corrective Actions 1. Check that the ECG gain is not set too low. Adjust the gain as required. For more information, see 8.5.5 Setting ECG Waveforms. 2. Perform skin preparation again and re-place the electrodes. For more Low Amplitude ECG information, see 8.4.1 Preparing the Patient Skin.

  • Page 109: Chapter 9 Respiration Rate (Resp)

    S10/S12/S10A/S12A 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 110: Resp Display

    S10/S12/S S10A/S12A Patient M Monitor User’s Manua   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...
  • Page 111 S10/S12/S10A/S12A 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 112: Resp Settings

    S10/S12/S10A/S12A 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 113 S10/S12/S10A/S12A 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 114: Resp Troubleshooting

    S10/S12/S10A/S12A 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 115: Chapter 10 Spo2

    S10/S12/S10A/S12A Patient Monitor User’s Manual   Chapter 10 SpO2 10.1. Introduction Pulse Oxygen Saturation (SpO2) 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 116: Safety Information

    S10/S12/S10A/S12A Patient Monitor User’s Manual   SpO2 alarm limits: If the SpO2 alarm is turned off, the alarm off icon is displayed   here. Perfusion index (PI): Applicable for SpO2 module. Gives the numerical value for the pulsatile portion of the measured signal caused by arterial pulsation. PI indicates the signal strength of SpO2 and also partially indicates the signal quality.

  • Page 117: Spo2 Module

    S10/S12/S10A/S12A Patient Monitor User’s Manual   changes. Change the application site every 4 hours. For neonates, or patients with poor peripheral blood circulation or sensitive skin, inspect the sensor site more frequently.  Functional testers cannot be used to evaluate the accuracy of pulse oximetry probes and pulse oximetry monitors.

  • Page 118: Monitoring Procedure

    S10/S12/S10A/S12A Patient Monitor User’s Manual   10.4. Monitoring Procedure Select an appropriate sensor according to the module type, patient category and weight. Clean the contact surface of the reusable sensor. Remove colored nail polish from the application site. Apply the SpO2 sensor to the patient according to the instruction for use of the sensor.
  • Page 119 S10/S12/S10A/S12A Patient Monitor User’s Manual   10.5.2. Setting Sensitivity The SpO2 value displayed on the monitor screen is the average of data collected within a specific time. The shorter the averaging time is, the quicker the monitor responds to changes in the patient’s oxygen saturation level. Contrarily, the longer the averaging time is, the slower the monitor responds to changes in the patient’s oxygen saturation...

  • Page 120: Setting Pr

    S10/S12/S10A/S12A Patient Monitor User’s Manual   are as follows: Select the SpO2 parameter area or waveform area to enter the【SpO2】menu. Select【SpO2 Setup】submenu.   Switch off【Pitch Tone】. 10.5.6. Setting PI Display You can switch on or off PI display by following these steps: Select the SpO2 parameter area or waveform area to enter the【SpO2】menu.

  • Page 121: Spo2 Measurement Limitations

    S10/S12/S10A/S12A Patient Monitor User’s Manual   the active alarm source;  PR is stored in the monitor’s database and reviewed in the graphic/tabular trends; in trend graphs, as the PR curve is in the same color with that of the PR source, it is unlikely to distinguish the PR source.

  • Page 122: Chapter 11 Temperature（Temp

    S10/S12/S S10A/S12A Patient M Monitor User’s Manua   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 123: Preparing For Temp Monitoring

    S10/S12/S10A/S12A 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 124: Temp Troubleshooting

    S10/S12/S10A/S12A 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 or waveform area to enter the 【TEMP】 menu.
  • Page 125 S10/S12/S10A/S12A 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 126: Chapter 12 Nibp

    S10/S12/S10A/S12A 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 127 S10/S12/S10A/S12A Patient Monitor User’s Manual   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 128: Nibp Measurement Limitations

    S10/S12/S10A/S12A Patient Monitor User’s Manual   remove the cuff and windpipe before calibration, which in order to connect the NIBP pressure sensor to the atmosphere. 12.3. NIBP Measurement Limitations Measurements are impossible with heart rate extremes of less than 40bpm or greater than 240bpm, or if the patient is on a heart-lung machine.

  • Page 129: Nibp Display

    S10/S12/S10A/S12A Patient Monitor User’s Manual   12.5. NIBP Display The NIBP display shows only numerics. 3  5  1  2    11  (1) Parameter Label (2) NIBP Unit: mmHg or kPa (3) The last NIBP measurement time (4) Time to the next measurement (for Auto mode and Sequence only).

  • Page 130: Preparing For Nibp Measurements

    S10/S12/S10A/S12A Patient Monitor User’s Manual   12.6. Preparing for NIBP Measurements 12.6.1. Preparing the Patient for NIBP Measurements In normal use, perform NIBP measurement on a patient who is in the following position:  Comfortably seated  Legs uncrossed ...

  • Page 131: Starting And Stopping Nibp Measurements

    S10/S12/S10A/S12A Patient Monitor User’s Manual   50% to 80% of the limb. Apply the cuff to the patient’s upper arm or leg and make sure the Φ marking on the cuff matches the artery location. The cuff should fit snugly, but with enough room for two fingers to be placed between the cuff and the patient’s arm (on adults), and loosely on neonates with little...

  • Page 132: Nibp Settings

    S10/S12/S10A/S12A Patient Monitor User’s Manual   measurement submenu→set NIBP →Select【Sequence】→Select【NIBP Sequence Start/Stop】quick key measurement→Select 【Start】 Start STAT Select【STAT】 Select【NIBP STAT】quick key measurement Select【NIBP Start/Stop】quick key Stop the current NIBP Select【Stop】 measurements End Auto NIBP or Sequence Select【Stop All】 Select 【 NIBP Stop All】quick key measurement Select【NIBP Start/Stop】quick key...
  • Page 133 S10/S12/S10A/S12A Patient Monitor User’s Manual   measurements. To set the NIBP interval, follow this procedure: Select the NIBP parameter area or waveform area to enter the【NIBP】menu. Select【Setup】submenu. Set【Interval Time】. 12.8.4. Selecting NIBP Start Mode Start mode defines how NIBP auto mode works. To set the 【Start Mode】, follow this procedure: Select the NIBP parameter area a to enter the【NIBP】menu...
  • Page 134 S10/S12/S10A/S12A Patient Monitor User’s Manual   D, and E. You can set the measurement duration for each period and the interval between NIBP measurements in each period separately. The steps to set up the NIBP measurement sequence are as follows: Select the NIBP parameter area a to enter the【NIBP】menu.

  • Page 135: Assisting Venous Puncture

    S10/S12/S10A/S12A Patient Monitor User’s Manual   12.9. Assisting Venous Puncture You can use the NIBP cuff to cause sub-diastolic pressure to block the venous blood vessel and therefore help venous puncture. To assist venous puncture, follow this procedure: Select the NIBP parameter area.

  • Page 136: Chapter 13 Ibp

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 13 IBP 13.1. Introduction The monitor can provide up to 2 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 137: Ibp Measurement

    S10/S12/S10A/S12A 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 138 S10/S12/S10A/S12A 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 139: Ibp Display

    S10/S12/S S10A/S12A Patient M Monitor User’s Manua al  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...

  • Page 140: Setting Ibp

    S10/S12/S10A/S12A 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 7.6.2 Changing Alarm Setup Protection Mode.
  • Page 141 S10/S12/S10A/S12A 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 142 S10/S12/S10A/S12A 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 143 S10/S12/S S10A/S12A Patient M Monitor User’s Manua al  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 144: Ibp Troubleshooting

    S10/S12/S10A/S12A 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 145 S10/S12/S10A/S12A Patient Monitor User’s Manual  Extended Pressure. IBP reading is unstable 1. Verify no air bubbles in the IBP sensor system. 2. Check if the sensor is fixed. 3. Perform zero against. 4. Replace the sensor. Zero failure 1. Check if the pipeline of the IBP sensor is open to the atmosphere.

  • Page 146: Chapter 14 Cardiac Output (C.o.)

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 14 Cardiac output (C.O.) 14.1. Introduction C.O. (cardiac output) measurements were performed using right atrial thermodilution to measure cardiac output and other hemodynamic parameters. The method is injecting a cold solution into the blood circulation system and measure the blood temperature drop caused by the cold solution at a location downstream.

  • Page 147: Display

    S10/S12/S10A/S12A Patient Monitor User’s Manual   The proximity of the floating catheter to the lungs  Floating catheter itself  Heart rate and hemodynamic status of paralyzed patients  In the C.O. measurement process, any solution is quickly injected intravenously for obtaining an accurate C.O. value. It is recommended that: ...

  • Page 148: Measurement

    S10/S12/S S10A/S12A Patient M Monitor User’s Manua al  14.5. C C.O. Equipment C Connecting   14.6. C C.O. Measuremen 14.6.1 . Preparation of C C.O. Measurement Connecting the C.O. cable to the C C.O. module or the thermistor interface sensor port, and c confirming that the C C.O.
  • Page 149 S10/S12/S10A/S12A Patient Monitor User’s Manual  Selecting C.O. parameters area for enter the 【C.O.】 menu. Select【Setup】submenu. Make the following settings:  Set up patient information: Enter the patient's 【Height】 and 【Weight】 , which are used for calculate the C.I. value. ...
  • Page 150 S10/S12/S10A/S12A Patient Monitor User’s Manual  1    2    5    3    4    Current measured C.O. curve Prompt information area History measurement window Function button Average of C.O. and C.I. measured multiple times Follow steps for make a C.O. measurement: ...

  • Page 151: Setting

    S10/S12/S10A/S12A Patient Monitor User’s Manual  will be stored and displayed in parameter area. At the time of injection, the 3-way stopcock opens to the floating catheter end and closes to the injection end. At the end of the measurement, close the end to the floating catheter, open to the end of the injection, and then inhale the injection into the syringe.

  • Page 152: Troubleshooting

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Selecting C.O. parameters area for enter the 【C.O.】 menu.   Select the 【Setup】 submenu. Set the body temperature 【Temp Unit】. 14.7.3. Setting the C.O. Measurement Value Invalid Time If the measured value of C.O. is not updated once more within setting time, its measured value is displayed as a hollow number, which indicates the current measured value has expired.
  • Page 153 S10/S12/S10A/S12A Patient Monitor User’s Manual  Problem Solution Cannot find 1. Check if the display of C.O. parameter is set in the C.O. parameter area 【 Screen Layout 】 menu. For details, see 3.6.2 Setting on the interface Display Screen. 2. Check whether the C.O. parameter switch is on or not. For details, see 3.6.1 Setting Parameters.

  • Page 154: Chapter 15 Carbon Dioxide (Co )

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 15 Carbon Dioxide (CO 15.1. Introduction The monitor adopts infrared absorption technology to measure the carbon dioxide ) concentration in the breathing airway of patient. Because CO molecule can absorb infrared light of special wavelength, and the amount of absorbed infrared light directly...

  • Page 155: Co2 Measurement Limitations

    S10/S12/S10A/S12A Patient Monitor User’s Manual   The CO2 module has an automatic alarm suppression function, and the CO2 module performs a physiological alarm only after the respiratory wave is detected. When monitoring the patient with the CO2 module, make sure the device is properly connected to the patient.
  • Page 156 S10/S12/S10A/S12A Patient Monitor User’s Manual  Attaching the airway adapter to the CO sensor Before attaching the airway adapter to the CO2 sensor, verify that the airway adapter windows are clean and dry. Clean or replace the adapter if necessary. Follow these steps: Align the arrow on the bottom of the airway adapter with the arrow on the bottom of the sensor.
  • Page 157 S10/S12/S10A/S12A Patient Monitor User’s Manual  sensor Airway adapter To patient Ventilator Wye Check before use: Before connecting the airway adapter to the breathing circuit, check if the ① readings on the monitor are correct. ② Before connecting the airway adapter to the patient circuit, verify the gas reading and waveform through the display on the monitor.
  • Page 158 S10/S12/S10A/S12A Patient Monitor User’s Manual  Exhaust pipe Sampling tube connection Sampling tube CO2 sensor connector 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 159 S10/S12/S10A/S12A Patient Monitor User’s Manual  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. Can be used as shown below:  Trim the oral sampling tip if necessary to fit the patient. It should extend down past the teeth and be positioned in the mouth opening.
  • Page 160 S10/S12/S10A/S12A 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 161: Display

    S10/S12/S S10A/S12A Patient M Monitor User’s Manua al  LED apertu The i indicated status Steady green n light Syste em OK Blinking gre een light Zeroi ing in progress Steady red li ight Senso or error Blinking red d light...
  • Page 162 S10/S12/S10A/S12A Patient Monitor User’s Manual  Select【Alarm】submenu.  If the alarm setting is protected by password, enter the password. For detail, please refer to 7.6.2 Changing Alarm Setup Protection Mode. Set alarms as needed 15.6.2. Settings Apnea Alarm Time You can set the apnea alarm time by following the steps below. The monitor will trigger the alarm when the patient’s suffocation time exceeds the set time.
  • Page 163 S10/S12/S10A/S12A Patient Monitor User’s Manual  15.6.5. Setting CO Corrections Temperature, water vapor in the patient’s breath, barometric pressure, and the proportions of O2, N O and Helium in the mixture all influence CO absorption. For mainstream and sidestream/microflow CO module, you can set the CO  ...

  • Page 164: Entering Intubation Status

    S10/S12/S10A/S12A Patient Monitor User’s Manual  ——【O Concentration】: Set the oxygen concentration. Can choose 0% ~ 100%, the default value is 16%. —— 【N O Concentration】 : Set the concentration of N O. Can choose 0% ~ 100%, the default value is 0%.
  • Page 165 S10/S12/S10A/S12A Patient Monitor User’s Manual  it is only absolutely necessary when the message “Zero Required” is displayed. Follow these steps: Ensure that the catheter or airway adapter is not connected to the patient or close to any source of CO (including the patient's, your own exhaled breath and ventilator exhaust valves).

  • Page 166: Calibration

    S10/S12/S10A/S12A Patient Monitor User’s Manual  CO2 module will automatically zero when necessary and the sampling tube is not be inserted. 15.9. Calibration The monitor has already been calibrated before leaving factory. User can directly apply it measuring in normal conditions (except for the following three cases). Calibrate the gain of the sidestream CO2 module when the following three conditions occur.

  • Page 167: Announcements

    S10/S12/S10A/S12A Patient Monitor User’s Manual  15.11. Announcements WARNING:  Do not position the sensor cables or tubing in any manner that may cause entanglement or strangulation.  Reuse, disassembly, cleaning, disinfecting or sterilizing the single patient use cannula kits and on-airway adapters may compromise functionality and system performance leading to a user or patient hazard.

  • Page 168: Co Troubleshooting

    S10/S12/S10A/S12A Patient Monitor User’s Manual   Do not apply excessive tension to the CO2 sensor cable.  When aerosol drugs are present, please keep the airway adapter away from the breathing circuit. The viscous substance of the aerosol drug can pollute the window of the airway adapter, and the airway adapter needs to be cleaned or replaced in advance.
  • Page 169 S10/S12/S10A/S12A Patient Monitor User’s Manual  15.12.1. The Sidestream/Microflow CO2 module Troubleshooting Problem Solution EtCO measurement value Judge whether the CO2 concentration in the use too low environment is too high. If the environmental concentration is too high, the measured value is too low.

  • Page 170: Chapter 16 Drip Monitor (Dm)

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 16 Drip Monitor (DM) 16.1. Introduction DM (Drip Monitor) module uses photoelectric non-contact principle to detect the dropping of medical drops in the infusion tube set, trigger the circuit to work, count the dropping frequency of medicine drops, and thus obtains the drip rate of infusion drops.

  • Page 171: Dm Measurement

    S10/S12/S10A/S12A Patient Monitor User’s Manual  CAUTION:  In order to ensure the accuracy of dripping rate measurement, the drip monitor module should be vertically installed or naturally hung on the infusion stand using matching bracket.  This function is an assistive technology implementation method designed for the high-quality infusion nursing services, and cannot replace manual monitoring and speed control operations during infusion.
  • Page 172 S10/S12/S10A/S12A Patient Monitor User’s Manual  16.3.1.3. Install infusion tube set into DM module Push the drip chamber into the slot of the drip chamber of the DM module, and clamp the pipeline which is connected to the lower part of the drip chamber into the clamping groove of DM module, as shown in the figure.
  • Page 173 S10/S12/S10A/S12A Patient Monitor User’s Manual  according to the relevant statement of the infusion set used. For example, the Double-Dove tube declares that 20 drops of distilled water are equivalent to 1 mL±0.1 mL, so enter: 20 in the Drops/mL parameter setup.

  • Page 174: Dm Module Indicator

    S10/S12/S10A/S12A Patient Monitor User’s Manual  If you need to replace the liquid medicine container, please follow the steps as below: When the liquid stop clamp of the DM module is closed, remove the liquid medicine container from the infusion pipeline;...

  • Page 175: Setting Dm

    S10/S12/S10A/S12A Patient Monitor User’s Manual  16.6. Setting DM 16.6.1. Setting main unit You can set the display of the DM main unit by the following steps as below: Select the DM parameter area or waveform area to enter 【DM】 menu.

  • Page 176: Chapter 17 Review

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 17 Review 17.1. 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 177 S10/S12/S10A/S12A 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 178 S10/S12/S S10A/S12A Patient M Monitor User’s Manua al  17.2.3 . 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 179 S10/S12/S10A/S12A Patient Monitor User’s Manual  17.2.5. Tabular Trends Review Page The trend table review page displays how the patient's physiological parameter trend is developing in a tabular manner. 17.2.5.1. Entering the Tabular Trends Review Page Choose one of the following methods to enter the tabular trends review page: ...
  • Page 180 S10/S12/S10A/S12A Patient Monitor User’s Manual  column on the left and select 【Add】.  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】...
  • Page 181 S10/S12/S10A/S12A Patient Monitor User’s Manual   【C.O.】：The tabular trends show the values of each parameter at the measurement time of C.O. parameters. 17.2.6. Graphics Trends Review Page The graphic trends review page displays trend data in a graphic form. 17.2.6.1. Entering the Graphic Trends Review Page Choose one of the following methods to enter the graphic trends review page: ...
  • Page 182 S10/S12/S10A/S12A Patient Monitor User’s Manual  17.2.6.5. Setting the Number of Waveforms Follow these steps to select the number of waveforms to display in the graphic trends: Enter the graphic trends review page. Select 【…】 to enter setup menu. Select 【Wave Number】.
  • Page 183 S10/S12/S10A/S12A Patient Monitor User’s Manual  at the top right corner of the event list. For example, 3/10 indicates that there are a total of 10 selected events, and currently there are 3 events. 17.2.7.2. Configuring the Filter You can filter events by time, alarm priority, parameter category or event type. To configure the filter, follow this procedure: Enter events review page to switch on 【Filter】.
  • Page 184 S10/S12/S10A/S12A Patient Monitor User’s Manual  17.2.8.1. Entering the Full Disclosure Review Page Choose one of the following methods to enter the Full Disclosure review page:  Select【Review】quick key→Select【Full Disclosure】submenu.  Select【Main Menu】quick key→form 【Review】 column select 【Full Disclosure】. 17.2.8.2. Selecting Compressed waveforms To review compressed waveforms, you must first select which parameters to store and display.
  • Page 185 S10/S12/S10A/S12A Patient Monitor User’s Manual  waveform height. Follow these steps: Enter the holographic waveform review page. Select 【…】 to enter setup menu. Select 【Duration】 to set the length of time for each compressed waveform display. Select 【Gain】 to set ECG waveform gain.
  • Page 186 S10/S12/S10A/S12A Patient Monitor User’s Manual  Set 【Zoom】. 17.2.9.3. Setting the Compressed waveform To set the compressed waveform, follow this procedure: Enter the OxyCRG review page. Set 【Waveform】. 17-11   ...

  • Page 187: Chapter 18 Clinical Assistive Applications (Caa)

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 18 Clinical Assistive Applications (CAA) Clinical Assistive Applications (CAA) is the comprehensive analysis and centralized presentation of the existing measurement results of the monitor, and it is the electronic application of common clinical guidelines and tools.
  • Page 188 S10/S12/S10A/S12A Patient Monitor User’s Manual   Early warning scores are not available for pregnant women, those with COPD (chronic obstructive pulmonary disease), and those under 16 years of age. 18.1.1. Parameters participating in the scoring The following table lists parameters used for evaluation by each scoring system:...
  • Page 189 S10/S12/S10A/S12A Patient Monitor User’s Manual  Indicator of scoring grade: increasing from top to bottom according to the degree of early warning danger. The current level is shown in the box. Score interval Countdown to next scoring 18.1.3. Entering EWS Interface In addition to the EWS parameter area, this monitor also provides an independent EWS interface.
  • Page 190 S10/S12/S10A/S12A Patient Monitor User’s Manual  from manual input. Total score. The color of the circle indicates the current score level. Indicator of scoring grade: increasing from top to bottom according to the degree of early warning danger. The current level is shown in the box.
  • Page 191 S10/S12/S10A/S12A Patient Monitor User’s Manual   【NIBP】: The monitor automatically calculates the score after each NIBP measurement is completed.  【Alarm】: Scores are automatically calculated after physiological alarm occurs to scoring parameters. 18.1.6. Setting EWS 18.1.6.1. Select a scoring system The monitor is equipped with a default scoring system.

  • Page 192: Glasgow Coma Scale (Gcs)

    S10/S12/S10A/S12A Patient Monitor User’s Manual  18.2. Glasgow Coma Scale (GCS) The Glasgow Coma Scale (GCS) is based on the content of the Glasgow Coma Index (1974_Lancet_ Teasdale Assessment of Coma and Impaired Consciousness-A Practical Scale). GCS can be used for coma patients caused by various causes to objectively express the state of consciousness of patients.
  • Page 193 S10/S12/S10A/S12A Patient Monitor User’s Manual  GCS parameter area varies depending on the setting. 4  1    2  5  3  Scoring system name The total score (coma index), the color of the circle indicates the current scoring level. This scoring time Indicator of scoring grade: increasing from top to bottom according to the degree of early warning danger.
  • Page 194 S10/S12/S10A/S12A Patient Monitor User’s Manual  3  4  5  The total score, the color of the circle indicates the current scoring level. Indicator of scoring grade: increasing from top to bottom according to the degree of early warning danger. The current level is shown in the box.
  • Page 195 S10/S12/S10A/S12A Patient Monitor User’s Manual  Severe Can be brain death or remain vegetative. 18.2.4. Set GCS score invalid time Select the 【Invalid Time】 button in the GCS menu to set the invalid time of the GCS score. If the set score interval is reached without re-scoring, the original score is invalidated and displayed in a hollow word.

  • Page 196: Chapter 19 Calculations

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 19 Calculations 19.1. 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 197 S10/S12/S10A/S12A 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 198 S10/S12/S10A/S12A Patient Monitor User’s Manual  dose.  【INF Rate】: The titration table is listed in the sequence of increased infusion rate. 19.3.3. Drug calculation Formula Description Unit Formula g series: mcg, mg, g; Dose = solution volume × drug Dose Amount unit series: unit, kU, MU;...

  • Page 199: Hemodynamic Calculations

    S10/S12/S10A/S12A 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 19.4. 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 200 S10/S12/S10A/S12A Patient Monitor User’s Manual  19.4.2. Input Parameters Abbreviation Unit Full Name C.O. L/min cardiac output 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...
  • Page 201 S10/S12/S10A/S12A Patient Monitor User’s Manual  Output Unit Full Name Formula Parameter pulmonary dyn*s /cm vascular MPAP PAWP 79.96 C. O. resistance pulmonary dyn*s*m PVRI vascular PVRI= PVR×BSA resistance index kg*m left cardiac work LCW= 0.0136 × APMAP × C.O. left cardiac work...
  • Page 202 S10/S12/S10A/S12A Patient Monitor User’s Manual  19.5.1. Calculation Step The oxygenation calculation steps are as follows: Access oxygenation calculation page by either of the following ways:  Select【Calculations】quick key→【Oxygenation】submenu.  Select【Main Menu】quick key→from 【Calculations】 column to select 【Oxygenation】. Enter the correct value for each parameter. For a patient who is being monitored, the currently measured values are automatically taken, and the height and weight are derived from the patient information entered.
  • Page 203 S10/S12/S10A/S12A Patient Monitor User’s Manual  Input Parameter Unit Full Name PvO2 mmHg, kPa partial pressure of oxygen in venous blood SvO2 venous oxygen saturation g/L, g/dL, hemoglobin mmol/L mL/dL, CaO2 arterial oxygen content mL/L mL/dL, venous oxygen content CvO2 mL/L...

  • Page 204: Ventilation Calculations

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Output Unit Full Name Formula Parameters arteriovenous mL/L, C(a-v)O2 oxygen content C(a-v)O2=CaO2×CvO2 mL/dL difference oxygen extraction O2ER O2ER=（CaO2－CvO2）/ CaO2 ratio mL/min oxygen transport DO2=C.O.×CaO2 PAO2=【FiO2×(ATMP－water partial pressure of mmHg, pressure) 】－(PaCO2×1.25) PAO2 oxygen in the...
  • Page 205 S10/S12/S10A/S12A Patient Monitor User’s Manual  select 【Ventilation】. Enter the correct value for each parameter. For a patient who is being monitored, the currently measured values are automatically taken. If the anesthesia machine or ventilator is connected, measured values for ventilation calculation are also automatically taken.

  • Page 206: Nephridium Calculation

    S10/S12/S10A/S12A Patient Monitor User’s Manual  19.6.3. Output Parameter and calculation formula Output Unit Full Name Formula Parameter PAO2=【FiO2×(ATMP－water partial pressure of pressure) 】－(PaCO2×1.25) PAO2 mmHg,kPa oxygen in the Wherein the water pressure is alveolar selected to be 47mmHg (6.3kPa) alveolar-arterial AaDO2=PAO2－PaO2...
  • Page 207 S10/S12/S10A/S12A Patient Monitor User’s Manual  select 【Nephridium】. Enter the correct value for each parameter. For a patient who is being monitored, the currently measured values are automatically taken, and the height and weight are derived from the patient information entered.
  • Page 208 S10/S12/S10A/S12A Patient Monitor User’s Manual  19.7.3. Output Parameter and calculation formula Output Unit Full Name Formula Parameter urinesodium URNaEx= Urine × URNaEx mmol/24h excretion URNa/1000 Cosm=Uosm×(Urine/24/60)/ Cosm mL/min osmolar clearance Posm urine potassium URKEx= Urine × URKEx mmol/24h excretion URK/1000 free water CH20=Urine/24×(1－...

  • Page 209: Chapter 20 Recording

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 20 Recording 20.1. Recorder This monitor uses the thermal recorder which supports various record types. It can output the patient information, measurement data, review data and three waveforms at best. 3  4  (1) Power indicator lamp ...

  • Page 210: Starting Recordings

    S10/S12/S10A/S12A Patient Monitor User’s Manual  20.3. Starting Recordings You can start recording by manual way through the following means:  Press 【Real-time Record】 quick key below the monitor interface to start real-time recording.  Select 【Record】 button in the current window or above the menu to start the associated record of the special function.

  • Page 211: Setting The Recorder

    S10/S12/S10A/S12A Patient Monitor User’s Manual  20.6. Setting the Recorder This section describes the definition of the main setting items. Users can refer to these definitions to select other similar setting items in the device according to their needs. Select 【Main Menu】 → from 【Report】 column select 【Record Setup】to enter according corresponding menu.

  • Page 212: Installing Recording Paper

    S10/S12/S10A/S12A Patient Monitor User’s Manual  20.6.4. Setting the duration of period recording You can set the duration of every period recording in the following ways: Open the 【Record Setup】 menu. Set 【Cycle Record Duration】 to:  【8s】: Record the waveform of 4 seconds before and after the current time.

  • Page 213: Clearing Jam Paper

    S10/S12/S10A/S12A Patient Monitor User’s Manual  open the recorder door; Put the recording paper into the recorder with the thermal side which is smoother up. Close the door of the recorder, and pull some recording paper outside of the paper out port.
  • Page 214 S10/S12/S10A/S12A Patient Monitor User’s Manual  Open the recorder door and pull out recording paper; Use a tampon with some alcohol to sweep slightly the surface of thermo-sensitive parts of printing head; After the alcohol entirely vaporizes, load recording paper once again and close the recorder’s door.

  • Page 215: Chapter 21 Other Functions

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 21 Other Functions 21.1. 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 216 S10/S12/S10A/S12A 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 217 S10/S12/S10A/S12A Patient Monitor User’s Manual   【Antenna】: 【Build-in】 or 【External】. Restart the monitor 21.2.5. Connecting the Central Monitoring System (CMS) The monitor can be connected to the central monitoring system via wired network or wireless network. 21.2.5.1. Setting the CMS IP Address To set the IP address of CMS, follow this procedure: Select 【...

  • Page 218: Hl7 Settings

    S10/S12/S10A/S12A Patient Monitor User’s Manual  21.3. 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 219: Chapter 22 Battery

    S10/S12/S S10A/S12A Patient M Monitor User’s Manua al  pter 22 Batte 22.1. 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...

  • Page 220: Battery Guidelines

    S10/S12/S10A/S12A Patient Monitor User’s Manual  22.3. Battery Guidelines The service life of the battery depends on the frequency and time of use. If lithium batteries are properly maintained and stored, their service life is about 3 years. If batteries are used improperly, their life may be shorter. We recommend replacing lithium batteries every 3 years.

  • Page 221: Battery Maintenance

    S10/S12/S10A/S12A Patient Monitor User’s Manual  22.4. Battery Maintenance 22.4.1. Optimizing Battery Performance A battery should be optimized before it is used for the first time. A battery optimizing cycle is one uninterrupted charge of the battery, followed by an uninterrupted battery discharge and charge.

  • Page 222: Battery Recycling

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Connect the monitor to AC power and charge the battery continuously until the battery is full. Disconnect AC mains and allow the monitor to run on the battery until it shuts off. The operating time of a battery reflects its performance directly. If the power...

  • Page 223: Chapter 23 Maintenance And Cleaning

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 23 Maintenance and Cleaning Use only the materials and methods listed in this section to clean or disinfect the monitor and accessories. We do not provide any guarantee for damages or accidents caused by the use of other materials or methods.

  • Page 224: Cleaning Of The Monitor

    S10/S12/S10A/S12A Patient Monitor User’s Manual  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.  To clean or disinfect reusable accessories, please refer to the instructions provided with the accessories.

  • Page 225: Cleaning And Sterilizing Of Accessories

    S10/S12/S10A/S12A Patient Monitor User’s Manual  23.4. 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. Please refer to this section if the attachment does not include instructions.

  • Page 226: Sterilization

    S10/S12/S10A/S12A Patient Monitor User’s Manual  23.5. Sterilization Sterilization of this monitor, related products or accessories is not allowed unless otherwise stated in the accompanying instructions. 23-4   ...

  • Page 227: Chapter 24 Maintenance

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 24 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 228: Maintenance Schedule

    S10/S12/S10A/S12A Patient Monitor User’s Manual  If any damage or abnormal phenomenon is found, please do not use the monitor and immediately contact the medical engineer of the hospital or the maintenance personnel of the company. 24.2. Maintenance Schedule The following tasks, except visual inspection, startup detection, touch screen calibration, battery inspection and recorder inspection, can only be completed by professional maintenance personnel.

  • Page 229: Disposing Of The Monitor

    S10/S12/S10A/S12A Patient Monitor User’s Manual  C.O. test CO 2 test Leakage test Performance test Module Calibration Nurse call function test Analog output performance test When you suspect that the function is not normal. Defibrillation synchronization test Electrical Safety Tests Select test items based on IEC After repairing or replacing the power 60601-1.

  • Page 230: Chapter 25 Accessories

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Chapter 25 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 231: Recommended Accessories

    S10/S12/S10A/S12A 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 232 S10/S12/S10A/S12A Patient Monitor User’s Manual  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 233 S10/S12/S10A/S12A Patient Monitor User’s Manual  Respironics LOFLO C5 Accessories Model / PN CO2 sensor 16-100-0016 CO2 nasal sampling tube 15-100-0044 CO2 sampling tube 15-100-0355 Masimo ISA Capno Accessories Model / PN CO2 sensor 16-100-0116 CO2 sampling tube 108210/15-100-0089 CO2 sampling tube...
  • Page 234 S10/S12/S10A/S12A Patient Monitor User’s Manual  Respironics CAPNOSTA5 Accessories Model / PN CO2 sensor 16-100-0015 Airway adapter 15-100-0042 Masimo IRMA Specification Model / PN CO2 sensor 16-100-0017 Airway adapter 16-100-0068 Extension cable Accessories Model / PN CO2 module extension cable, reusable...

  • Page 235: Appendix A Product Specifications

    S10/S12/S10A/S12A 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 236: Environmental Specifications

    S10/S12/S10A/S12A Patient Monitor User’s Manual   A.2 Environmental Specifications 0℃～40℃ Mainframe Operating temperature 5℃～40℃ CO2 module (external) 15%～95%（non-condensing） Operating humidity 57kPa～107.4kPa Operating Mainframe atmospheric 86 kPa～106 kPa CO2 module (external) pressure Transportation -20℃～+60℃ Mainframe and storage CO2 module (external) -40℃～+70℃...

  • Page 237: Power Specifications

    S10/S12/S10A/S12A Patient Monitor User’s Manual   accessories. Including screen, stationary 175mm * 320mm* parameter module, a lithium S12/S12A <4kg 262mm battery, a recorder, without accessories. A.4 Power Specifications A.4.1 External power supply Input voltage AC (100-240) V(±10%) Frequency 50Hz/60Hz Input power...

  • Page 238: Hardware Specifications

    S10/S12/S10A/S12A Patient Monitor User’s Manual   Operating time In a new and fully charged battery at (25℃) ambient temperature, typical configuration (connected to SpO2; not connected to ECG and TEMP cable, and NIBP works in an automatic measurement mode with a time interval of 30 min; Screen brightness is the factory default value): S10/S10A: ≥8h...
  • Page 239 S10/S12/S10A/S12A Patient Monitor User’s Manual   A.5.3 Mainframe LED Alarm lamp Cyan, yellow and red 1 (Green/Orange) Power indicating lamp When powered with AC, it lights green while turn on and off the monitor. When powered with battery, the orange light is on when the battery is turned on, and no light is on when the battery is turned off.
  • Page 240 S10/S12/S10A/S12A Patient Monitor User’s Manual   1 standard VGA connector (optional) Equipotential grounding point Multifunctional (nurse 1 (optional) call, defibrillation synchronization and analog output) interface A.5.7 Signal Output Auxiliary output interface (optional) Meet the requirements of IEC 60601-1 for short-circuit Standard protection and leakage current.

  • Page 241: Data Storage

    S10/S12/S10A/S12A Patient Monitor User’s Manual   Isolated voltage 1500 VAC Signal type N.C., N.O., Pulse Output (optional); Rise and drop time ≤1ms Defibrillator synchronization signal output Output impedance 50Ω±10% Maximum delay 25 ms (from R wave crest to pulse raise) Amplitude High level: 3.5~5V, providing a maximum of 1 mA output...

  • Page 242: Wireless Network

    S10/S12/S10A/S12A Patient Monitor User’s Manual   S10A/S12A: At least 4800 groups. result Holographic 72 hours at maximum. The specific storage time depends on the waveform waveforms stored and the number of stored waveform.   A.7 Wireless network Conforming IEEE802.11a/b/g/n standards Operating 2.4GHz ～...
  • Page 243 S10/S12/S10A/S12A Patient Monitor User’s Manual   IEC 60601-2-27. Lead-off detection Measuring electrode: <100nA current Driving electrode (RL): <1 uA Tall T-wave 1.5mV rejection capability Under normal circumstances, the 12 most recent RR intervals are averaged to compute the HR. If the last 3 consecutive RR intervals are greater than 1200ms averaging (i.e., HR is less than 50bpm), the 4 most recent RR intervals are...
  • Page 244 S10/S12/S10A/S12A Patient Monitor User’s Manual   Pacing pulse display Suppression method in auxiliary output Pacing function Pace markers function can be switched on and off. switch Defibrillation output 25ms delay ECG Analog Output 25ms Delay A.8.1.3 ECG Measurement 3-lead: I, II, III...
  • Page 245 S10/S12/S10A/S12A Patient Monitor User’s Manual   ≥5.0MΩ Input impedance System noise ≤30μVpp RTI Display 6.25mm/s, 12.5mm/s, 25mm/s, 50mm/s, error ≤±5% Waveform sweep speed 12.5mm/s, 25mm/s, 50mm/s, error ≤±5% Recorder ×0.25, ×0.5, ×1 (10mm/mV), ×2, ×4, error ≤±5%. Display Waveform Auto...
  • Page 246 S10/S12/S10A/S12A Patient Monitor User’s Manual   sensitivity Display 12-lead ST segment values at the same time and support ST Display ST graphic display. Measurement -2.0mV~2.0mV range Resolution ±0.01mV measurement range and accuracy -0.8mV~0.8mV: ±0.02mV ±10%, Accuracy whichever is greater Other: Unspecified...
  • Page 247 S10/S12/S10A/S12A Patient Monitor User’s Manual   Full Name Prompt information Ventricular Tachycardia Ventricular Tachycardia V-Tach Ventricular Bradycardia Vent Brady Extreme Tachycardia Extreme Tachy Extreme Bradycardia Extreme Brady R on T R on T Tachycardia Tachy Bradycardia Brady Nonsustained Ventricular Tachycardia...
  • Page 248 S10/S12/S10A/S12A Patient Monitor User’s Manual   A.8.2 RESP A.8.2.1 Measurement specification Measurement RR and respiration waveform parameter RA-LA, RA-LL (default) Source 64 kHz Excitation waveform Error: ≤±10% Excitation current ≤0.3mA RMS Fixed high priority alarm Respiration Apnea Adjustable delay time: 10~60s, error ±3s or ±10%...
  • Page 249 S10/S12/S10A/S12A Patient Monitor User’s Manual   A.8.3.2 Measurement Specification Measurement SYS, DIA, MAP,PR parameters Mode of operation Manual, Auto, STAT, Sequence 1min, 2 min, 2.5 min, 3 min, 5 min, 10 min, 15 min, 20 min, Intervals for periodic 30 min, 1h, 1.5h, 2h, 3h, 4h, 8h...
  • Page 250 S10/S12/S10A/S12A Patient Monitor User’s Manual   accuracy Pressure resolution 1 mmHg or 0.1kPa Measurement 40 ~ 240 bpm measurement range range and accuracy Accuracy ±3bpm or ±3%, whichever is greater Neonatal: <90s Maximum Adult, Pediatric: <120s measurement time Adult: 297±3 mmHg First overvoltage Neonatal: 147±3 mmHg...
  • Page 251 S10/S12/S10A/S12A Patient Monitor User’s Manual   A.8.4.2 Specification SpO2, PR, PI and RR, SpO2 waveform and respiration Measurement parameter waveform. Sensitivity High, Medium, Low Measurement range 0~100% 70%~100%: ≤3% (SpO2 probe Clinical accuracy included in Appendix); Measurement range and 0~69%: unspecified...
  • Page 252 S10/S12/S10A/S12A Patient Monitor User’s Manual   SRA-P12 10 (female) 208 pts 1.84 SRA-N13 10 (female) 208 pts 1.69 SRA-N15 10 (female) 208 pts 10 (female) 208 pts 2.04 SDA-N14 11 (male 5, female 6) 236 pts 2.15 Remarks: *The accuracy of SpO2 cannot be determined by simulator, but in many conditions, it is...
  • Page 253 S10/S12/S10A/S12A Patient Monitor User’s Manual   Accuracy ±0.1℃ circuit Power supplied to probe <20μW Updated time Every about 1~2s Surface: ≤100s Minimum measurement Coelom: ≤80s time A.8.6 IBP A.8.6.1 Standard Meet the standard of IEC 60601-2-34. A.8.6.2 Functional specification Dual channels IBP parameters (including systolic blood...
  • Page 254 S10/S12/S10A/S12A Patient Monitor User’s Manual   ±2mmHg or ±2% (whichever is greater, and accuracy Accuracy without sensor) Including sensor At least d.c.~10Hz Frequency response Only host At least d.c.~12Hz -200mmHg～+200mmHg IBP zero range Measurement 30bpm ~300bpm range Resolution 1bpm Accuracy ±1% or ±1bpm whichever is greater...
  • Page 255 S10/S12/S10A/S12A Patient Monitor User’s Manual   Unit mmHg, kPa and % A.8.7.3 Performance Specification 0%～19.7% (0mmHg～150mmHg) BLT Capno_S Respironics 0%～19.7% (0mmHg～150mmHg) LOFLO C5 BLT Capno_M 0%～19.7% (0mmHg～150mmHg) EtCO2/FiCO2 Respironics measurement range 0%～19.7% (0mmHg～150mmHg) CAPNOSTA 5 Masimo 0%～25% (0mmHg～190mmHg) Capno Masimo IRMA 0%～25% (0mmHg～190mmHg)
  • Page 256 S10/S12/S10A/S12A Patient Monitor User’s Manual   BLT Capno_S 3～150 bpm Respironics 2～150 bpm LOFLO C5 Masimo 0～150 bpm awRR measurement Capno range 3～150 bpm BLT Capno_M Respironics 0～150 bpm CAPNOSTA 5 Masimo IRMA 0～150 bpm awRR measurement ±1 bpm accuracy BLT Capno_S 50±10mL/min...
  • Page 257 S10/S12/S10A/S12A Patient Monitor User’s Manual   helium and oxygen can reduce the CO2 reading (1%-10%), so in the presence of interfering gas, the user should send relevant command to the module (the instrument’s compensation menu to adjust the interference gas data), so that the module (instrument) can meet the nominal accuracy requirements.
  • Page 258 S10/S12/S10A/S12A Patient Monitor User’s Manual   4 vol% – – – – ENF, ISO, SEV 5 vol% +8% of – – – reading 15 vol% +12% of – – – reading Xe (Xenon) 80 vol% −10% of reading – –...
  • Page 259 S10/S12/S10A/S12A Patient Monitor User’s Manual   Note 5: In addition to the EN ISO 80601-2-55:2011 standard.  Respironics CAPNOSTA 5 Gas or Vapor Gas Level Nitrous oxide Halothane Enflurane Isoflurane Sevoflurane Xenon Helium Metered dose inhaler propellants Unspecified Desflurane Ethanol...
  • Page 260 S10/S12/S10A/S12A Patient Monitor User’s Manual   A.8.8 C.O. Measurement range 0.1 L/min to 20 L/min C.O. Accuracy (simulator) ±5% or ±0.1 L/min, whichever is greater Resolution 0.1 L/min 23.00°C ~ 43.00°C Measurement range ±0.1°C Accuracy 0.01°C Resolution Measurement range -1.0°C ~ 27.0°C Accuracy ±0.1°C...

  • Page 261: Alarm Specification

    S10/S12/S10A/S12A Patient Monitor User’s Manual   A.9 Alarm Specification If no special instructions are given in the following specifications, the adjustable range of the alarm limit is the same as the measuring range of the signal. A.9.1 ECG Alarm limit...
  • Page 262 S10/S12/S10A/S12A Patient Monitor User’s Manual   Alarm limit Range Step Neonatal: (low limit+1 mmHg) ~110 mmHg NIBP-D-Low 10 mmHg ~ (high limit-1 mmHg) A.9.4 SpO2 Alarm limit Range Step SpO2 High (low limit+1％) ~100％ SpO2 Low (SpO2 Desat +1％) ~ (high limit-1％) 1％...
  • Page 263 S10/S12/S10A/S12A Patient Monitor User’s Manual   A.9.7 CO Alarm limit Range Step Apnea delay time 20 s~60 s EtCO2 High (low limit+1mmHg) ~152mmHg 1 mmHg Et CO2 Low 0mmHg~ (high limit-1mmHg) Fi CO2 High 0~152mmHg 1 mmHg awRR High (low limit+1bpm) ~150 bpm...

  • Page 264: Appendix B Emc And Radio Regulatory Compliance

    S10/S12/S10A/S12A 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 265 S10/S12/S10A/S12A 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 266 S10/S12/S10A/S12A 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  Alarm ...
  • Page 267 S10/S12/S10A/S12A Patient Monitor User’s Manual   70 % UT; 25/30 70 % UT; 25/30 is recommended that the cycles cycles monitor be powered from an 61000-4-11 uninterruptible power supply Single phase: at 0° Single phase: at 0° or a battery.
  • Page 268 S10/S12/S10A/S12A Patient Monitor User’s Manual     80MHz～2.7GHz              Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m).

  • Page 269: The Management Compliance Of Radio

    S10/S12/S10A/S12A Patient Monitor User’s Manual   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. The customer or the user of the monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the monitor.
  • Page 270 S10/S12/S10A/S12A Patient Monitor User’s Manual   The radio module used in the device is complied with the essential requirements and other relevant provisions of Directive 2014/53/EU (The Radio Equipment Directive）. WARNING:  Keep a distance of at least 20 cm away from the monitor when WIFI function is...

  • Page 271: Appendix C Default Settings

    S10/S12/S10A/S12A 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 272 S10/S12/S10A/S12A Patient Monitor User’s Manual  C.1.2 Arrhythmia 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 Pause...
  • Page 273 S10/S12/S10A/S12A Patient Monitor User’s Manual  C.1.3 ST Item Default Setting ST-I, ST-II, Alarm switch ST-III, ST-aVR, Alarm high limit 0.2 mV ST-aVL, Alarm low limit -0.2 mV ST-aVF, ST-V1, Alarm priority ST-V2, ST-V3, Alarm print ST-V4, ST-V5, ST-V6, ST-Va, ST-Vb...

  • Page 274: Resp

    S10/S12/S10A/S12A Patient Monitor User’s Manual  C.2 RESP 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 Alarm print...

  • Page 275: Temp

    S10/S12/S10A/S12A 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 276: Nibp

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Item Default Setting temp) ΔT(Only Alarm switch S12/S12A) High limit 2.0 ºC Alarm priority Alarm print Unit ºC C.5 NIBP Item Default Setting NIBP-S Alarm switch High limit Adult: 160 mmHg Pediatric: 120 mmHg Neonatal: 90 mmHg...

  • Page 277: Ibp

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Item Default Setting Neonatal: 70 mmHg Low limit Adult: 70 mmHg Pediatric: 50 mmHg Neonatal: 25 mmHg Alarm priority Alarm print NIBP-sdp Alarm switch High limit 60mmHg Low limit 20mmHg Alarm priority Alarm print Initial pressure...
  • Page 278 S10/S12/S10A/S12A Patient Monitor User’s Manual  Item Default Setting Adult: 35 mmHg Pediatric/Neonatal: 60mmHg Low limit ART/Ao/UAP/BAP/FAP/LV/P1/P2 arterial pressure 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...
  • Page 279 S10/S12/S10A/S12A Patient Monitor User’s Manual  Item Default Setting Pediatric: 90 mmHg Neonatal: 70 mmHg PA/PAWP 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...

  • Page 280: C.o

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Item Default Setting CVP /ICP/CPP: cmH2O Sensitivity Waveform Speed 25 mm/s 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...

  • Page 281: Co2

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Item Default Setting Alarm print Measurement mode Single TI source Manual Injection volume 10cc Catheter coefficient 0.564 Temperature Unit ºC   C.8 CO2 Item Default Setting Et CO2 Alarm switch High limit Adult/Pediatric: 50 mmHg...

  • Page 282: Alarm Default Settings

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Item Default Setting Atmospheric 760mmHg O2 compensation N2O compensation Zero gas Anesthetics Balance Gas   C.9 DM Item Default Setting Unit Drops/min Drops/mL C.10 Alarm Default Settings Item Default Setting Alarm Volume High Priority Alarm Alarm volume＋2...

  • Page 283: Color Of Parameters

    S10/S12/S10A/S12A Patient Monitor User’s Manual  C.12 Color of parameters Item Default Setting Green NIBP White SpO 2 Yellow TEMP Purple RESP Cyan CO 2 White Yellow-green C.O. White C.13 Recorder Item Default Setting Waveform 1 Ⅱ Waveform 2 Pleth Waveform 3...

  • Page 284: Maintenance Item

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Item Default Setting Touch Tone NIBP End Tone C.15 Maintenance Item Item Default Setting Network Type LAN IP Use the following IP address Frequency 2.4G Device No. Alarm Pause Time 2min Minimum alarm volume Alarm sound...

  • Page 285: Appendix D Alarm Message

    S10/S12/S10A/S12A 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 286 S10/S12/S10A/S12A 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 287: Technical Alarm

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Alarm messages Default priority Cause and solution probe. SpO2 measurement is below the desaturation limit. Please check the patient’s status and SpO2 Desat High confirm whether the alarm limit setting is applicable to the patient.
  • Page 288 S10/S12/S10A/S12A 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, SpO2, IBP, TEMP, etc.
  • Page 289 S10/S12/S10A/S12A 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 290 S10/S12/S10A/S12A Patient Monitor User’s Manual  The SpO2 main cable falls off from the module end or the connection between the SpO2 SpO2 Sensor Sound and light sensor and the SpO2 main cable Disconnected can be cleared falls off. Confirm that SpO2 main cable and sensor are connected normally.
  • Page 291 S10/S12/S10A/S12A 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 292 S10/S12/S10A/S12A 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 293 S10/S12/S10A/S12A Patient Monitor User’s Manual  Default Alarm clear Cause and solution Alarm messages priority method sensor is not connected or the pressure is out of range or the pressure is unstable. The catheter is pulled out from the XX Catheter Off...
  • Page 294 S10/S12/S10A/S12A Patient Monitor User’s Manual  D.2.9 CO2 Technical Alarm Default Alarm clear Cause and solution Alarm messages priority method The CO sensor is detached from CO2 Sensor Off Completely clear the patient or monitor. The measured data of CO2 CO2 Out of Range...
  • Page 295 S10/S12/S10A/S12A Patient Monitor User’s Manual  Default Alarm clear Cause and solution Alarm messages priority method check maintenance. Hardware errors, Replace sensor, if the problem cannot be solved, CO2 Self-Test Error Not clearable please contact the after-sales personnel to check the maintenance.
  • Page 296 S10/S12/S10A/S12A Patient Monitor User’s Manual  Default Alarm clear Cause and solution Alarm messages priority method DM Drip Speed Sound and light During infusion, the drip rate Abnormal can be cleared changes by more than 20%. D.2.11 System Alarm Default Alarm clear...

  • Page 297: Appendix E Cybersecurity

    S10/S12/S10A/S12A Patient Monitor User’s Manual  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 S series patient monitor hardware platform. ...

  • Page 298: Software Environment

    S10/S12/S10A/S12A Patient Monitor User’s Manual  2 ） Authority of hospital equipment maintenance personnel: Enter the 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.

  • Page 299: Appendix F Terminology And Definitions

    S10/S12/S10A/S12A 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 300: Symbol List

    S10/S12/S10A/S12A Patient Monitor User’s Manual  Abbreviation Full name microgram milli-equivalents milligram minute milliliter millimeter mmHg millimetes of mercury cmH2O centimeters of water millisecond millivolt milliwatt MΩ megaohm nanometer breaths per minute second volt volt ampere Ω watt F.2 Symbol list...

  • Page 301: Terminology List

    S10/S12/S10A/S12A Patient Monitor User’s Manual  ＞ Greater than ≤ Less than or equal to ≥ Greater than or equal to ± Plus or minus × Multiply © Copyright   F.3 Terminology list Abbreviation Full name Association for Advancement of Medical...
  • Page 302 S10/S12/S10A/S12A Patient Monitor User’s Manual  CMOS Complementary metal oxide semiconductor Central monitoring system COHb Carboxyhemoglobin Cardiopulmonary Direct current Diastolic Dot per inch Digital video interface Electrocardiograph End-diastolic volume European Economic Community Electromagnetic compatibility Electromyograph Electromagnetic interference Electrosurgical unit Federal Communication Commission...
  • Page 303 S10/S12/S10A/S12A Patient Monitor User’s Manual  Lateral Liquid crystal display Left cardiac work LCWI Left cardiac work index Light emitting diode Left leg LVDS Low voltage differential signal Medical Device Directive MetHb Methemoglobin Magnetic resonance imaging Not applied Nitrogen Nitrous oxide...
  • Page 304 S10/S12/S10A/S12A Patient Monitor User’s Manual  Right leg Respiration rate RSBI Rapid shallow breathing index SaO2 Arterial oxygen saturation Spectral edge frequency Self-maintenance SpO2 Arterial oxygen saturation from pulse oximetry Signal quality index Systolic time ratio Sync Synchronization Systolic pressure Taxil...

  • Page 305: Appendix G Toxic And Harmful Substances Or Elements

    S10/S12/S10A/S12A 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 306 S10/S12/S10A/S12A Patient Monitor User’s Manual  CO 2 ○ ○ ○ ○ ○ ○ accessor 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 307   Product name: Patient Monitor Product model: S10/S12/S10A/S12A 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：22-075-0004  ...

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