Page 1 Vet Portable Multi-Parameter Veterinary Monitor Operator’s Manual...
Page 3: Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others.
Page 4: Manufacturer's Responsibility
Contents of this manual are subject to changes without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
Page 5 Company Contact Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Mindray Building, Keji 12th Road South, Hi-tech industrial park, Address: Nanshan,Shenzhen 518057,P.R.China Website: www.mindray.com E-mail Address: service@mindray.com Tel: +86 755 81888998 Fax: +86 755 26582680 Distributor: Mindray DS USA, Inc. Address:...
Page 6: Manual Purpose
This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you have any question, please contact Mindray. This manual is an integral part of the product. It should always be kept close to the equipment so that it can be obtained conveniently when needed.
Page 7: Table Of Contents
Contents 1 Safety....................................1-1 1.1 Safety Information ....................................1-1 1.1.1 Dangers ......................................1-2 1.1.2 Warnings ......................................1-2 1.1.3 Cautions ......................................1-3 1.1.4 Notes ....................................... 1-3 1.2 Equipment Symbols ....................................1-4 2 The Basics ..................................2-1 2.1 Monitor Description ....................................2-1 2.1.1 Intended Use ....................................
Page 8 3.11.2 Accessing the Parameters Menu ............................3-9 3.12 Operating Modes ....................................3-9 3.12.1 Monitoring Mode ..................................3-9 3.12.2 Night Mode ....................................3-9 3.12.3 Privacy Mode ................................... 3-10 3.12.4 Demo Mode ..................................... 3-10 3.12.5 Standby Mode ..................................3-11 4 Managing Patients ................................. 4-1 4.1 Admitting a Patient ....................................
Page 9 7 Alarms..................................... 7-1 7.1 Alarm Categories ....................................... 7-1 7.2 Alarm Levels ....................................... 7-2 7.3 Alarm Indicators ......................................7-2 7.3.1 Alarm Lamp ....................................7-2 7.3.2 Alarm Message ..................................... 7-2 7.3.3 Flashing Numeric ..................................7-3 7.3.4 Audible Alarm Tones ................................... 7-3 7.3.5 Alarm Status Symbols ................................7-4 7.4 Alarm Tone Configuration ..................................
Page 10 8.5.2 Choosing the Alarm Source ..............................8-6 8.5.3 Changing ECG Wave Settings ..............................8-6 8.5.4 Changing the ECG Filter Settings ............................8-7 8.5.5 Setting the ECG Lead Set ................................8-7 8.5.6 Choosing an ECG Display Screen ............................8-7 8.5.7 Setting the Notch Filter................................8-8 8.5.8 Changing the Pacer Reject Settings ............................
Page 11 9.9 Setting RR Source ..................................... 9-4 9.10 Setting alarm properties ..................................9-5 9.11 Switching Resp Measurement On/Off .............................. 9-5 10 Monitoring PR ................................10-1 10.1 Introduction ......................................10-1 10.2 Setting the PR Source ..................................10-1 10.3 Selecting the Active Alarm Source ..............................10-2 10.4 QRS Tone .........................................
Page 12 12.7.5 Switching On NIBP End Tone .............................. 12-6 12.8 Assisting Venous Puncture ................................12-6 13 Monitoring Temp ...............................13-1 13.1 Introduction ......................................13-1 13.2 Safety ........................................13-1 13.3 Making a Temp Measurement ................................. 13-1 13.4 Understanding the Temp Display ..............................13-2 13.5 Setting the Temperature Unit ................................
Page 13 16.3 Changing CO Settings ..................................16-4 16.3.1 Accessing CO Menus ................................16-4 16.3.2 Entering the Standby Mode ..............................16-4 16.3.3 Setting the CO Unit ................................16-4 16.3.4 Setting up Gas Compensations ............................16-5 16.3.5 Setting up Humidity Compensation ..........................16-5 16.3.6 Setting the Apnea Alarm Delay ............................
Page 14 18.4 Recording Frozen Waveforms ................................18-2 19 Review ..................................19-1 19.1 Accessing Respective Review Windows ............................19-1 19.2 Reviewing Graphic Trends ................................19-1 19.3 Reviewing Tabular Trends ................................. 19-2 19.4 Events ........................................19-3 19.4.1 Marking Events ..................................19-3 19.4.2 Reviewing Events ................................... 19-3 19.5 Reviewing Waveforms ..................................
Page 15 21.4.6 Clearing Recording Tasks ..............................21-3 21.5 Loading Paper ....................................... 21-3 21.6 Removing Paper Jam ..................................21-4 21.7 Cleaning the Recorder Printhead ..............................21-4 22 Printing ..................................22-1 22.1 Printer ........................................22-1 22.2 Connecting a printer ................................... 22-1 22.3 Setting Up the Printer ..................................22-1 22.4 Starting Report Printouts ...................................
Page 16 26.1 Regular Inspection ....................................26-1 26.2 Maintenance and Testing Schedule ............................... 26-2 26.3 Checking Monitor and Module Information ..........................26-3 26.4 ECG Verification ....................................26-3 26.5 NIBP Leakage Test ....................................26-3 26.6 NIBP Accuracy Test ....................................26-3 26.7 CO Test ........................................26-3 26.8 AG Leakage Test....................................
Page 17 E.1 Power Cord Plug ......................................E-1 E.2 Device Enclosure and Accessories ............................... E-1 E.3 Device Labelling ......................................E-2 E.4 Protective Earth Resistance ................................... E-2 E.5 Earth Leakage Test ....................................E-2 E.6 Patient Leakage Current ..................................E-3 E.7 Mains on Applied Part Leakage ................................E-3 E.8 Patient Auxiliary Current ..................................
Page 18 FOR YOUR NOTES...
Page 19: Safety
Safety 1.1 Safety Information The safety statements presented in this chapter refer to the basic safety information that the operator of the monitor shall pay attention to and abide by. There are additional safety statements in other chapters or sections, which may be the same as or similar to the followings, or specific to the operations.
Page 20: Dangers
1.1.1 Dangers There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections of this manual. 1.1.2 Warnings WARNING The device is intended for animal monitoring by trained personnel in the specified places. ...
Page 21: Cautions
 with the guidelines regulating the disposal of such products. If you have any questions concerning disposal of the equipment, please contact Mindray. Magnetic and electrical fields are capable of interfering with the proper performance of the equipment. For ...
Page 22: Equipment Symbols
1.2 Equipment Symbols Caution, consult accompanying This mark means that this device is documents fully in conformance with the Council Directive Concerning Medical Devices 84/539/EEC and 2004/108/EC. Power ON/OFF (for a part of the Battery indicator equipment) AUDIO PAUSED ALARM PAUSED Freeze/unfreeze waveforms Main menu NIBP start/stop key...
Page 23: The Basics
The Basics 2.1 Monitor Description 2.1.1 Intended Use This monitor is intended to be used for monitoring, displaying, reviewing, storing and transferring of multiple physiological parameters including ECG, heart rate (HR), respiration (Resp), temperature (Temp), SpO , pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), cardiac output (C.O.), carbon dioxide (CO ), oxygen ), and anesthetic gas (AG).
Page 24: Main Unit
2.2 Main Unit 2.2.1 Front View Alarm lamp When a physiological alarm or technical alarm occurs, this lamp will flash as defined below. High level alarms: the lamp quickly flashes red.  Medium level alarms: the lamp slowly flashes yellow. ...
Page 25 Power On/Off button Pressing this button turns the monitor on.  When the monitor is on, pressing and holding this button turns the monitor off.  An indicator is built in this button. It turns on when the monitor is on and turns off when the monitor is off. Battery LED On: when the battery is installed and the AC source is connected.
Page 26: Side View
2.2.2 Side View Handle Battery compartment Recorder Parameter module slot Connector for Temp probe 1 Connector for Temp probe 2 Connector for IBP cable Connector for SpO cable Connector for ECG cable Connector for NIBP cuff...
Page 27: Rear View
2.2.3 Rear View AC Power Input Equipotential Grounding Terminal When the monitor and other devices are to be used together, their equipotential grounding terminals should be connected together, eliminating the potential difference between them. Parameter Module Slot Used for connecting the parameter modules. USB Connectors It connects a USB drive for data or configuration transfer.
Page 28: Modules
VGA Connector It connects a secondary display, which extends the display capability of your monitor. The contents displayed on the secondary display screen accords with those displayed on the monitor screen. 2.3 Modules IBP module: Contains IBP cable connector Sidestream CO module: Contains CO watertrap connector, and CO...
Page 29: Display Screen
2.4 Display Screen This monitor adopts a high-resolution LED display to display patient parameters and waveforms. A typical display screen is shown below. Patient Information Area This area shows the patient information such as, bed number, patient name and patient category. indicates that no patient is admitted or the patient information is incomplete.
Page 30 Physiological Alarm Area This area shows physiological alarm messages. When multiple alarms occur, they will be displayed circularly. Select this area and the physiological alarm list will be displayed. Waveform Area This area shows measurement waveforms. The waveform name is displayed at the left upper corner of the waveform.
Page 31: Quickkeys
2.5 QuickKeys A QuickKey is a configurable graphical key, located at the bottom of the main screen. They give you fast access to functions. Their availability and the order in which they appear on your screen depend on how your monitor is configured.
Page 32 Start cardiac output procedure Perform calculations Have a split-screen view of another patient’s data Have a split-screen view of OxyCRG trends Enter the interpretation of resting 12-lead ECG screen Enter the full-screen 7-lead ECG screen Enter the [Parameters] menu Start NIBP STAT measurement Enter the [Unit Setup] menu Enter the PAWP measurement screen Enter the CPB mode...
Page 33: Basic Operations
Mindray. If the packing case is intact, open the package and remove the equipment and accessories carefully. Check all materials against the packing list and check for any mechanical damage. Contact Mindray in case of any problem. NOTE Save the packing case and packaging material as they can be used if the equipment must be reshipped.
Page 34: Environmental Requirements
WARNING When disposing of the packaging material, be sure to observe the applicable waste control regulations and  keep it out of children’s reach. Before use, please verify whether the packages are intact, especially the packages of single use accessories. ...
Page 35: Turning Power On
Do not use the monitor for any monitoring procedure on a patient if you suspect it is not working properly,  or if it is mechanically damaged. Contact your service personnel or Mindray. 3.2.3 Starting Monitoring Decide which measurements you want to make.
Page 36: Using Keys
3.4 Using Keys The monitor has three types of keys:  Softkey: A softkey is a graphic key on the screen, giving you fast access to certain menus or functions. The monitor has two types of softkeys: Parameter keys: Each parameter area can be seen as a softkey. You can enter a parameter setup menu by ...
Page 37: Setting The Screen
3.7 Setting the Screen You can enter the [Screen Setup] window as shown below by selecting [Main Menu] → [Screen Setup] → [Screen Layout >>]. In this window, you can allocate the positions of the parameters and waveforms. The parameters or waveforms whose positions are not allocated will not be displayed.
Page 38: Using Timer
3.8 Using Timer To display the timer in the main screen, follow this procedure: Select [Main Menu]→[Screen Setup>>]→[Screen Layout >>] to access the [Screens] window. Select [Screen Setup] tab. In Area C, select [Timer] from the drop-down list of the desired parameter area. Refer to 3.7 Setting the Screen for Area C.
Page 39: Changing General Settings
3.10 Changing General Settings This chapter covers only general settings such as language, brightness, date and time, etc. Measurement settings and other settings can be referred to in respective sections. 3.10.1 Setting up a Monitor In situations where you install a monitor or change the monitor’s application site, you need to setup the monitor as follows: Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password.
Page 40: Adjusting Volume
If your monitor is connected to a central monitoring system (CMS), the date and time are automatically taken from that CMS. In that case, you cannot change the date and time settings on your monitor. CAUTION If you change the date and time, the display time of stored trends and events will be changed accordingly. ...
Page 41: Accessing The Parameters Menu
When a parameter is switched off, its corresponding parameter module stops working, and its parameter value and waveform are not shown on the monitor display. NOTE ECG is always selected, and you cannot switch it off.  3.11.2 Accessing the Parameters Menu Select [Parameters >>] from the main menu or select the corresponding parameter area or waveform area to access a parameter setup menu.
Page 42: Privacy Mode
3.12.3 Privacy Mode Privacy mode is only available when a patient who is admitted at a monitor is also monitored by the central station. To activate the privacy mode, select [Main Menu]→[Screen Setup >>]→[Privacy Mode]. The monitor behaves as follows as soon as the privacy mode is activated: The screen turns blank and [Under monitoring.
Page 43: Standby Mode
3.12.5 Standby Mode In standby mode, you can temporarily stop monitoringwithout turning off the monitor. To enter the standby mode, select the Standby QuickKey 3-11...
Page 44 FOR YOUR NOTES 3-12...
Page 45: Managing Patients
Managing Patients 4.1 Admitting a Patient The monitor displays physiological data and stores it in the trends as soon as a patient is connected. This allows you to monitor a patient that is not admitted yet. However, it is recommended that you fully admit a patient so that you can clearly identify your patient, on recordings, reports and networking devices.
Page 46: Quick Admitting A Patient
4.2 Quick Admitting a Patient Use [Quick Admit] only if you do not have the time or information to fully admit a patient. Complete the rest of the patient demographic details later. Otherwise, the symbol will always be displayed in the patient information area. Select the [Patient Setup] QuickKey, or [Main Menu]→[Patient Setup >>].
Page 47: Associating Patient Information
4.4 Associating Patient Information After associating patient information with HIS, the monitor will automatically update patient information if corresponding information in HIS has been changed. The monitor can associate a patient’s MRN, first name, last name, date of birth, and gender with HIS. NOTE A keyword takes effect only when being defined in eGateway.
Page 48: Transferring A Patient
4.7 Transferring a Patient You can transfer patient data between monitors with a USB drive without re-entering the patient demographic information. Transferring of patient data enables you to understand the patient’s historical condition. The patient data that can be transferred includes: patient demographics, trend data, alarm events and parameters alarm limits. Select [Others >>] from [User Maintenance] menu.
Page 49: Connecting To A Central Monitoring System
Different The monitor erases all the current patient data, transfers the patient data from the storage  Patients: medium, and loads the configuration according to the patient category. Same Patient: In the popup dialog box, you can:  Select [Yes] to merge the patient data in the monitor and storage medium. ...
Page 50 FOR YOUR NOTES...
Page 51: Managing Configurations
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. Allowing you to configure the monitor more efficiently, the monitor offers different sets of configuration to suit different patient categories.
Page 52: Entering The [Manage Configuration] Menu
5.2 Entering the [Manage Configuration] Menu Press the hardkey on the monitor’s front to enter the main menu. Select [Maintenance >>]→[Manage Configuration >>]. Enter the required password and then select [Ok]. 5.3 Setting Default Configuration The monitor will load the pre-set default configuration in the following cases. ...
Page 53: Editing A Configuration
5.5 Editing a Configuration Select [Edit Config. >>] in the [Manage Configuration] menu. The popup menu shows the existing configurations on the monitor. Selecting [Config. on USB drive >>] will show the existing configurations on the USB drive. Select the desired configuration and then select the [Edit] button. Select [Alarm Setup >>], [Screen Setup >>] or [Parameter >>] to enter the corresponding menu in which settings can be changed.
Page 54: Restoring The Latest Configuration Automatically
To load a configuration, Select [Load Configuration >>] from the main menu. The popup menu shows the existing configurations on the monitor. Selecting [Config. on USB drive >>] will show the existing configurations on the USB drive. Select a desired configuration. Select [View] to view the configuration details.
Page 55: User Screens
User Screens 6.1 Tailoring Your Screens You can tailor your monitor’s screens by setting: Wave line size  The color in which each measurement’s numerics and waveform are displayed  The parameter to be monitored.  Changing some settings may be hazardous. Therefore, those settings are password-protected and can be modified by authorized personnel only.
Page 56: Viewing Minitrends
6.2 Viewing Minitrends 6.2.1 Having a Split-Screen View of Minitrends You can split the normal screen so that one part of the screen, on the left hand side, continuously shows graphic minitrends beside waveforms as shown in the figure below. To have a split-screen view of minitrends, you can: ...
Page 57: Viewing Oxycrg
6.3 Viewing OxyCRG To have a split screen view of oxyCRG, you can: Select the [OxyCRG] QuickKey, or  Select the [Screens] QuickKey→[Choose Screen]→ [OxyCRG Screen]→ , or.  Select [Main Menu]→[Screen Setup >>]→[Screen Layout >>]→[Choose Screen]→ [OxyCRG Screen]→  The split-screen view covers the lower part of the waveform area and shows HR trend, SpO trend, RR trend, and a compressed wave (Resp wave or CO...
Page 58: Viewing Other Patients
6.4 Viewing Other Patients 6.4.1 Care Group You can place up to 10 monitors (including telemetry) connected to the same central monitoring system into a Care Group. This lets you: View information on the monitor screen from another bed in the same Care Group. ...
Page 59: Understanding The [View Other Patient] Window
6.4.3 Understanding the [View Other Patient] Window When you first open the [View Other Patient] window, the monitor automatically selects a monitor from the network to display in the [View Other Patient] window. The [View Other Patient] window covers the lower part of the waveform area and consists of: Information Area: shows the patient information (including department, bed number, patient name, etc.), network status symbol.
Page 60: Understanding The Big Numerics Screen
6.5 Understanding the Big Numerics Screen To enter the big numerics screen: Select the [Screens] QuickKey, or [Main Menu]→[Screen Setup >>]→[Screen Layout >>]. Select [Big Numerics]→ You can select your desired parameters to display in this screen: select the [Screens] QuickKey→[Big Numerics Screen Setup] and then select the parameters you want.
Page 61: Alarms
Alarms Alarms, triggered by a vital sign that appears abnormal or by technical problems of the monitor, are indicated to the user by visual and audible alarm indications. WARNING A potential hazard can exist if different alarm presets are used for the same or similar equipment in any ...
Page 62: Alarm Levels
7.2 Alarm Levels By severity, the monitor’s alarms can be classified into three categories: high level, medium level and low level. Physiological alarms Technical alarms High level Indicate that your patient is in a life Indicate a severe device malfunction or an improper operation, threatening situation, such as Asystole, which could make it possible that the monitor cannot detect Vfib/Vtac and so forth, and an...
Page 63: Flashing Numeric
Additionally, the alarm message uses different background colors to match the alarm level: High level alarms:  Medium level alarms: yellow  Low level alarms: yellow  You can view the alarm messages by selecting the physiological or technical alarm area. 7.3.3 Flashing Numeric If an alarm triggered by an alarm limit violation occurs, the numeric of the measurement in alarm will flash every second, and the corresponding alarm limit will also flash at the same frequency indicating the high or low alarm limit is violated.
Page 64: Alarm Status Symbols
7.3.5 Alarm Status Symbols Apart from the aforementioned alarm indicators, the monitor still uses the following symbols telling the alarm status: indicates alarms are paused.  indicates alarm sound is silenced.  indicates the alarm sound is turned off.  indicates individual measurement alarms are turned off or the system is in alarm off status.
Page 65: Setting The Interval Between Alarm Sounds
7.4.3 Setting the Interval between Alarm Sounds You cannot change the interval between alarm tones if you choose mode 1 or 2 as your desired alarm tone pattern. For these two patterns, the interval between alarm tones identifies the alarm levels as follows: ...
Page 66: Setting The Reminder Tones
7.4.5 Setting the Reminder Tones When the alarm volume is set to zero, or the alarm tone is silenced or turned off, the monitor issues a periodical reminder tone. To set the reminder tones: Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.
Page 67: Adjusting Alarm Limits Automatically
7.5.2 Adjusting Alarm Limits Automatically The monitor can automatically adjust alarm limits according to the measured vital signs, using the auto limits function. When auto limits are selected, the monitor calculates safe auto limits based on the latest measured values. To get accurate auto alarm limits, you need to collect a set of measured vital signs as a baseline.
Page 68 Module Parameter Low alarm limit High alarm limit Auto alarm limits range IBP-S SYS × 0.75 SYS × 1.25 IBP-D Dia × 0.75 Dia × 1.25 3 to 120mmHg IBP-M Mean × 0.75 Mean × 1.25 IBP: CVP/ ICP/ LAP/ RAP/ IBP-M Mean ×...
Page 69: Setting Alarm Delay Time
7.5.3 Setting Alarm Delay Time You can set the alarm delay time for over-limit alarms of continuously measured parameters. If the alarm-triggered condition disappears within the delay time, the monitor will not give the alarm. You can set the [Alarm Delay] in the [Others] window of the [Alarm Setup] menu.
Page 70: Intubation Mode
In the CPB mode, all the physiological alarms, technical alarms and prompt messages are switched off. In CPB mode, [CPB Mode] is displayed in the physiological alarm area with red background color. To enter CPB mode, select the [CPB Mode] Quickkey or select [Enter CPB Mode] in the [Others] window of the [Alarm Setup] menu.
Page 71: Silencing The Alarm Sound
 No physiological alarm messages are shown. [Alarm Off] is displayed in the physiological alarm area with a red background.  As for technical alarms, no alarms are sounded.  alarm off symbol is displayed in the sound symbol area. ...
Page 72: Silencing Technical Alarms
7.10 Silencing Technical Alarms For some technical alarms, their alarm lamp flashing and alarm tones are cleared and the alarm messages change to prompt messages after the hardkey is pressed. After the monitor restores the normal status, the monitor can give alarm indications correctly when these alarms are triggered again.
Page 73: Using Care Group Alarms
7.13 Using Care Group Alarms 7.13.1 Care Group Auto Alarms When a Care Group is set up on your monitor, a flashing symbol will appear beside the QuickKeys area if any monitor in your Care Group, which is not currently viewed by your monitor, is alarming. The alarm symbol is shown as below. The background colors of the alarm symbols indicate alarm levels, and are the same as those of the corresponding alarm messages.
Page 74 FOR YOUR NOTES 7-14...
Page 75: Monitoring Ecg
Monitoring ECG 8.1 Introduction The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the monitor as a waveform and a numeric. This section also tells you about ST monitoring, arrhythmia monitoring. and 12-lead monitoring 8.2 Safety WARNING Use only ECG electrodes and cables specified by the manufacturer.
Page 76: Preparing To Monitor Ecg
8.3 Preparing to Monitor ECG 8.3.1 Preparing the Patient and Placing the Electrodes Skin preparation The quality of ECG waveform displayed on the monitor is a direct result of the quality of the electrical signal received at the crocodile clip. Proper skin preparation is necessary for good signal quality at the crocodile clip. A good signal at the crocodile clip provides the monitor with valid information for processing the ECG data.
Page 77 The chart below shows the label used to identify each leadwire. Included also is its associated color code per American (AHA) and European (IEC) standards. American Standard European Standard Label Color Label Color White Black Yellow Green 5-Leadwire Electrode Placement Following is the configuration per the American standard when using five leadwires: : ...
Page 78: Checking Paced Status
12-Leadwire Electrode Placement 12-lead ECG uses 10 electrodes, which are placed on the patient’s four limbs and chest. The limb electrodes should be placed on the soft skin and the chest electrodes placed according to the physician’s preference. Lead Placement for Surgical Patients The surgical site should be taken into consideration when placing electrodes on a surgical patient.
Page 79: Understanding The Ecg Display
WARNING For paced patients, you must set [Paced] to [Yes]. If it is incorrectly set to [No], the monitor could mistake a  pace pulse for a QRS and fail to alarm when the ECG signal is too weak. Do not rely entirely on rate meter alarms when monitoring patients with pacemakers.
Page 80: Changing Ecg Settings
8.5 Changing ECG Settings 8.5.1 Accessing ECG Menus By selecting the ECG parameter window or waveform area, you can access the [ECG Setup] menu. 8.5.2 Choosing the Alarm Source In most cases the HR and PR numerics are identical. In order to avoid simultaneous alarms on HR and PR, the monitor uses either HR or PR as its active alarm source.
Page 81: Changing The Ecg Filter Settings
8.5.4 Changing the ECG Filter Settings The ECG filter setting defines how ECG waves are smoothed. To change the filter setting, select [Filter] from [ECG Setup] and then select the appropriate setting. [Monitor]: Use under normal measurement conditions.  [Diagnostic]: Use when diagnostic quality is required. The unfiltered ECG wave is displayed so that changes such as ...
Page 82: Setting The Notch Filter
8.5.7 Setting the Notch Filter The notch filter removes the line frequency interference. Only when [Filter] is set to [Diagnostic], the [Notch Filter] is adjustable. Select the ECG parameter window or waveform area to enter its setup menu. Then select [Others >>]. Set [Notch Filter] to [Strong] when there is strong interference (such as spikes) with the waveform.
Page 83: Adjusting Qrs Volume
8.5.11 Adjusting QRS Volume QRS sounds are produced based on the alarm source. To adjust the QRS volume, select [Others >>] from the [ECG Setup] menu; select [QRS Volume] from the popup menu and select the appropriate setting. When a valid SpO measured value is available, the system will adjust the pitch tone of QRS sound based on the SpO value.
Page 84: Switching St On And Off
8.6.1 Switching ST On and Off To switch ST monitoring on or off: In the [ECG Setup] menu, select [ST Analysis >>]. Select [ST Analysis] to toggle between [On] and [Off]. Reliable ST monitoring can hardly be ensured if: You are unable to get a lead that is not noisy. ...
Page 85: Changing The Reference Segment
8.6.5 Changing the Reference Segment arrow keys beside the [Change Ref.] to switch between different reference segment groups. Select the 8.6.6 Deleting a Reference Segment To delete the current ST reference segment, select [Delete Ref.] in the [ST Analysis] menu and then select [Ok] in the popup.
Page 86: About Arrhythmia Monitoring
WARNING Always make sure that the positions of ST measurement points are appropriate for your patient.  To adjust the ST measurement points: In the [ST Analysis] menu, select [Adjust ST Point >>]. In the [Adjust ST Point] window, three vertical lines represent the ISO, J and ST point positions respectively.
Page 87: Changing Arrhythmia Alarm Settings
Arrhythmia message Description Category No pace pulse detected for 1.75 x average R-to-R intervals following a arrhythmia Pacer not paced QRS complex (for paced patients only). No QRS complex detected for 300 milliseconds following a pace pulse Pacer not capture (for paced patients only).
Page 88: Changing Arrhythmia Threshold Settings
8.7.3 Changing Arrhythmia Threshold Settings Select the ECG parameter window or waveform area→[Arrh. Analysis >>]→[Arrh. Threshold], and you can then change threshold settings for some arrhythmia alarms. In case an arrhythmia violates its threshold, an alarm will be triggered. The asystole delay time relates to ECG relearning. When HR is less than 30 bpm, it is recommended to set the asystole delay time to 10 seconds.
Page 89: Reviewing Arrhythmia Events
8.7.5 Reviewing Arrhythmia Events Please refer to the Review chapter. 8.8 ECG Relearning 8.8.1 Initiating an ECG Relearning Manually During ECG monitoring, you may need to initiate an ECG relearning when the patient’s ECG template changes dramatically. A change in the ECG template could result in: incorrect arrhythmia alarms ...
Page 90: 12-Lead Ecg Monitoring
8.9 12-Lead ECG Monitoring Refer to the section 8.3.3 ECG Lead Placements for placing the electrodes. 2. In the [ECG Setup] menu, select [Others>>]→[Lead Set]→[12-Lead]. Select [Screens] Quickkey→[Choose Screen] →[ECG 12-Lead Full-Screen]. There are totally 12 ECG waves and 1 rhythm wave displayed on the screen. The rhythm lead is ECGⅠbefore entering the 12-lead ECG monitoring screen.
Page 91: Monitoring Respiration (Resp)
Monitoring Respiration (Resp) 9.1 Introduction Impedance respiration is measured across the thorax. When the patient is breathing or ventilated, 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 monitor screen.
Page 92: Placing Resp Electrodes
9.4 Placing Resp Electrodes Since the same leads are used for ECG and respiration monitoring, the lead placement is very important. Some patients, due to their clinical condition, expand their chest laterally, causing a negative intrathoracic pressure. In these cases it is better to place the two crocodile clips used for respiration monitoring laterally in the right axillary and left lateral chest areas, at the maximum point of the breathing movement, to optimize the respiratory waveform.
Page 93: Abdominal Breathing
9.4.3 Abdominal Breathing Some patients with restricted movement breathe mainly abdominally. In these cases, you may need to place the left leg electrode on the left abdomen at the point of maximum abdominal expansion to optimise the respiratory wave. 9.4.4 Lateral Chest Expansion In clinical applications, some patients expand their chests laterally, causing a negative intrathoracic pressure.
Page 94: Changing Resp Wave Settings
Resp rates to detect cardiac overlay. The respiration detection level is automatically set higher to prevent the detection of cardiac overlay as respiration. In Manual Detection Mode, cardiac overlay can in certain situations trigger the respiration counter. This may lead to a false indication of a high respiration or an undetected apnea condition.
Page 95: Setting Alarm Properties
9.10 Setting alarm properties Select [Alarm Setup >>] from the [Resp Setup] menu. In the popup menu, you can set alarm properties for this parameter. 9.11 Switching Resp Measurement On/Off To switch Resp measurement on, select [Imped. Resp Measure. ON] from the [Resp Setup] menu. To switch Resp measurement off, select [Imped.
Page 96 FOR YOUR NOTES...
Page 97: Monitoring Pr
Monitoring PR 10.1 Introduction The pulse numeric counts the arterial pulsations that result from the mechanical activity of the heart. You can display a pulse from any measured SpO or any arterial pressure (see the IBP section). The displayed pulse numeric is color-coded to match its source.
Page 98: Selecting The Active Alarm Source
10.3 Selecting the Active Alarm Source In most cases the HR and pulse numerics are identical. In order to avoid simultaneous alarms on HR and Pulse, the monitor uses either HR or Pulse as its active alarm source. To change the alarm source, select [Alm Source] in the [ECG Setup] or [SpO2 Setup] menu and then select either: [HR]: The monitor will use the HR as the alarm source for HR/pulse.
Page 99: Monitoring Spo
Above 1 is optimal, between 0.3 and 1 is acceptable. Below 0.3 indicates low perfusion; reposition the SpO sensor or find a better site. If low perfusion persists, choose another method to measure oxygen saturation if possible. PI is available for the Mindray SpO module or the Masimo SpO module.
Page 100: Safety
Nellcor.  The connectors for these three SpO sensors are mutually exclusive. NOTE The Mindray SpO module is not available in North America. The Masimo SpO module is available in North  America only.
Page 101: Setting Spo 2 Sensitivity
The process of SpO plethysmogram measurement is generally the same. But the SpO2 sensor selection and placement depend on the patient type. When choosing a site for a sensor, refer to the directions for that sensor. Tongue Sensor Placement You can easily place the tongue sensor as shown below. NOTE Be sure that the sensor cable is positioned along the side of the animal’s face and body to avoid ...
Page 102: Monitoring Spo And Nibp Simultaneously
To set the averaging time: module, select [Sensitivity] in the [SpO2 Setup] menu and then toggle between [High], For the Mindray SpO  [Med] and [Low], which respectively correspond to 7 s, 9 s and 11 s. For the Masimo SpO module, select [Averaging] in the [SpO2 Setup] menu and then toggle between [2-4 s], [4-6 ...
Page 103: Changing The Speed Of The Pleth Wave
Seconds Saturation levels may fluctuate rather than remaining steady for a period of several seconds. Often, the patient % SpO may fluctuate above and below an alarm limit, re-entering the non-alarm range several times. During such fluctuation, the monitor integrates the number of % SpO points, both positive and negative, until either the Sat-Seconds limit is reached, or the patient % SpO re-enters the non-alarm range and remains there.
Page 104: Masimo Information
Physical movement (patient and imposed motion)  Diagnostic testing  Low perfusion  Electromagnetic interference, such as MRI environment  Electrosurgical units  Dysfunctional hemoglobin, such as carboxyhemoglobin (COHb) and methemoglobin (MetHb)  Presence of certain dyes, such as methylene and indigo carmine ...
Page 105: Monitoring Nibp
Monitoring NIBP 12.1 Introduction The monitor uses the oscillometric method for measuring non-invasive blood pressure (NIBP). This monitor can be applied to felines, canines and other animals. Automatic non-invasive blood pressure monitoring uses the oscillometric method of measurement. To understand how this method works, we’ll compare it to the auscultative method.
Page 106: Safety
12.2 Safety WARNING Be sure to select the correct patient category setting for your patient before measurement. Do not measure  NIBP on patients with sickle-cell disease or any condition where skin damage has occurred or is expected. Use clinical judgement to determine whether to perform frequent unattended blood pressure ...
Page 107: Setting Up The Nibp Measurement
12.5 Setting Up the NIBP Measurement 12.5.1 Preparing to Measure NIBP Power on the monitor. Check the patient information area on the screen. If the cuff type is incorrect, select a correct cuff type in the [NIBP Setup] menu. Plug the air tubing into the NIBP connector on the monitor. Select a correct sized cuff and then apply it as follows: Determine the patient’s limb/tail circumference.
Page 108: Starting And Stopping Measurements
The metacarpus, metatarsus and anterior tibial are recommended for the cuff placement. For anesthetized patients, most surgeries are done on the posterior part of the body so the metacarpal area of the forelimb is most convenient. In situations where this is not possible, place the cuff around the metatarsus just proximal to the tarsal pad or around the hind leg next to the hock.
Page 109: Starting A Stat Measurement
For example, when the clock is enabled, if [Interval] is set to [20min], and then you start NIBP auto measurement at 14: 03, the next measurement will be taken at 14: 20, and the following measurement time will be 14:40, 15:00, and so on. To enable the clock, in the [NIBP Setup] menu, set [Clock] to [On].
Page 110: Changing Nibp Settings
12.7 Changing NIBP Settings By selecting the NIBP parameter window, you can enter the [NIBP Setup] menu. 12.7.1 Setting the Initial Cuff Inflation Pressure You can set the initial cuff inflation pressure manually. In the [NIBP Setup] menu, select [Initial Pressure] and then select the appropriate setting.
Page 111: Monitoring Temp
Monitoring Temp 13.1 Introduction You can simultaneously monitor two temperature sites using the monitor. 13.2 Safety WARNING Verify that the probe detection program works correctly before monitoring. Unplug the temperature probe  cable from the T1 or T2 connector, and the monitor can display the message [T1 Sensor Off] or [T2 Sensor Off] and give alarm tones correctly.
Page 112: Understanding The Temp Display
13.4 Understanding the Temp Display Temperature monitoring is displayed on the monitor as three numerics: T1, T2 and TD. By selecting this area, you can enter the [Alarm Setup] menu. TEMP label: Selecting this label opens the [Temp Setup] menu. Temperature unit: ºC or ºF.
Page 113: Monitoring Ibp
Monitoring IBP 14.1 Introduction The monitor can monitor up to 4 invasive blood pressures. The monitorcan display the systolic, diastolic and mean pressures and a waveform for each pressure. 14.2 Safety WARNING Use only pressure transducers specified in this manual. Never reuse disposable pressure transducers. ...
Page 114: Zeroing The Transducer
14.3 Zeroing the Transducer To avoid inaccurate pressure readings, the monitor requires a valid zero. Zero the transducer in accordance with your hospital policy (at least once per day). Zero whenever: A new transducer or adapter cable is used.  You reconnect the transducer cable to the monitor.
Page 115: Setting Up The Pressure Measurement
14.4 Setting Up the Pressure Measurement Plug the pressure cable into the IBP connector. Prepare the flush solution. Flush the system to exhaust all air from the tubing. Ensure that the transducer and stopcocks are free of air bubbles. WARNING If air bubbles appear in the tubing system, flush the system with the infusion solution again.
Page 116: Understanding The Ibp Display
14.5 Understanding the IBP Display The IBP measurement is displayed on the monitor as a waveform and numeric pressures. The figure below shows the waveform and numerics for the Art pressure. For different pressures, this display may be slightly different. Waveform Pressure unit Systolic pressure...
Page 117: Setting The Pressure Label Order
14.6.2 Setting the Pressure Label Order Select [IBP Label Order Setup >>] from the parameter setup menu to set the display order of the pressure labels. The default display order is: Art, pArt, CVP, pCVP, ICP, PA, AO, UAP, FAP, BAP, LV, LAP, RAP, UVP, P1, P2, P3, P4. To restore the default setting, you can select [Defaults] from the [IBP Label Order Setup] window.
Page 118: Enabling Ppv Measurement And Setting Ppv Source
14.6.6 Enabling PPV Measurement and Setting PPV Source PPV indicates pulse pressure variation. To enable PPV measurement, set [PPV Measurement] to [On]. You can select the PPV source when PPV measurement is enabled. WARNING This monitor can calculate PPV from beat-to-beat values of any arterial pulsatile pressure. The ...
Page 119: Measuring Pawp
Area A Select to save the setting and exit the window. The main screen will display the overlapped IBP waves. Selecting the overlapped IBP waveforms on the main screen pops up the [Overlapping Waveform Setup] menu, where you can: Set [Left Scale] and [Right Scale] and then set the scales for the overlapped waveforms. The left scale is for Art, LV, ...
Page 120: Preparing To Measure Pawp
14.8.1 Preparing to Measure PAWP Prepare the same accessories as in the C.O. measurement. Connect the parts such as catheter, syringe, etc. following the C.O. measurement steps and use the balloon inflation port. Connect the PAWP cable into the IBP connector on the monitor. Since PAWP is measured on PA, selecting [PA] as the IBP label is recommended.
Page 121: Monitoring Cardiac Output (C.o.)
Monitoring Cardiac Output (C.O.) 15.1 Introduction The cardiac output (C.O.) measurement invasively measures cardiac output and other hemodynamic parameters using the right heart (atria) thermodilution method. A cold solution of known volume and temperature is injected into the right atrium through the proximal port of a pulmonary artery (PA) catheter. The cold solution mixes with the blood in the right ventricle and the change in blood temperature is measured with a thermistor at the distal end of the catheter in the pulmonary artery.
Page 122: Setting Up The C.o. Measurement
The following are some technique suggestions to obtain accurate C.O.: Injectate solution must be cooler than the patient’s blood.  Inject solution rapidly and smoothly.  Inject at end expiration.  15.4 Setting Up the C.O. Measurement WARNING Use only accessories specified in this manual. Make sure that the accessories never come into contact with ...
Page 123 Select the C.O. parameter window to enter the [C.O. Setup] menu. Check if the height and weight are appropriate for your patient. Change if necessary. In the [C.O. Setup] menu: Check that the correct computation constant is entered. Refer to the Instruction for Use of the pulmonary ...
Page 124 In [Auto] measure mode, the monitor consecutively takes C.O. measurements automatically without the need  to press the [Start] button between two measurements. A new thermodilution measurement is possible as soon as the message [Inject now!] is displayed on the screen. The monitor automatically detects further thermodilution measurements.
Page 125: Measuring The Blood Temperature
15.5 Measuring the Blood Temperature As shown below, the blood temperature is measured with a temperature sensor at the distal end of the catheter in the pulmonary artery. During C.O. measurements, blood temperature alarms are suppressed to avoid false alarms. They will automatically recover as soon as the C.O.
Page 126 FOR YOUR NOTES 15-6...
Page 127: Monitoring Carbon Dioxide (Co )
Monitoring Carbon Dioxide (CO 16.1 Introduction monitoring is a continuous, non-invasive technique for determining the concentration of CO in the patient’s airway by measuring the absorption of infrared (IR) light of specific wavelengths. The CO has its own absorption characteristic and the amount of light passing the gas probe depends on the concentration of the measured CO When a specific band of IR light is passed through respiratory gas samples, some of the IR light will be absorbed by the CO...
Page 128: Measuring Co
16.2 Measuring CO 16.2.1 Making a Sidestream CO Measurement Attach the watertrap to the module and then connect the CO components as shown below. Watertrap fixer Sampling line Watertrap The CO module needs time to warm up to reach the operating temperature. The message [CO2 Sensor Warmup] is displayed during warm-up.
Page 129: Making A Microstream Co
16.2.2 Making a Microstream CO Measurement Connect the sampling line to the module and then connect the CO components as shown below. After warm-up is finished, you can perform CO measurements. Connector for sampling line Sampling line 16.2.3 Making a Mainstream CO Measurement Connect the sensor to the module.
Page 130: Changing Co Settings
16.3 Changing CO Settings 16.3.1 Accessing CO Menus parameter window, you can access the [CO2 Setup] menu. By selecting the CO 16.3.2 Entering the Standby Mode The standby mode of the CO module relates to the standby mode of the monitor as follows: If the monitor enters the standby mode, the CO module will also enter the standby mode.
Page 131: Setting Up Gas Compensations
16.3.4 Setting up Gas Compensations WARNING Make sure that the appropriate compensations are used. Inappropriate compensations may cause  inaccurate measurement values and result in misdiagnosis. For the sidestream CO module: Select [CO2 Setup]. According to the actual condition, set the concentration required for the following compensations: [O2 Compen] ...
Page 132: Setting The Apnea Alarm Delay
16.3.6 Setting the Apnea Alarm Delay In the [CO2 Setup] menu, select [Apnea Delay] and then select the appropriate setting. The monitor will alarm if the patient has stopped breathing for longer than the preset apnea time. The [Apnea Delay] of Resp, CO , and AG module keeps consistent with each other.
Page 133: Setting Rr Source
16.4 Setting RR Source To set RR source: Enter the [CO2 Setup] menu. Select [RR Source] and then select a source or [Auto] from the dropdown list. The [RR Source] settings of Resp, CO , and AG module are linked. For details, please refer to the section Setting RR Source of chapter 9Monitoring Respiration (Resp).
Page 134: Troubleshooting The Sidestream Co Sampling System
16.8 Troubleshooting the Sidestream CO Sampling System When the sampling system of the sidestream CO module works incorrectly, check if the sampling line is kinked. If not, remove it from the watertrap. If the monitor gives a message indicating the airway still works incorrectly, it indicates that the watertrap must have been blocked, and you should replace with a new one.
Page 135: For Mainstream Co Modules
16.10.2 For Mainstream CO Modules For mainstream CO modules, zero the sensor whenever:  A new adapter is used; You reconnect the sensor to the module;  You see the message [CO2 Zero Required]. In this case, check the airway adapter for any blockage, e.g. mucus, etc. ...
Page 136: Oridion Information
16.12 Oridion Information This trademark is registered in Israel, Japan, German and America. Oridion Patents The capnography component of this product is covered by one or more of the following US patents: 6,428,483; 6,997,880; 6,437,316; 7,488,229; 7,726,954 and their foreign equivalents. Additional patent applications pending. No Implied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized CO...
Page 137: Monitoring Ag
Monitoring AG 17.1 Introduction The anaesthetic gas (AG) module measures the patient’s anesthetic and respiratory gases, and incorporates the features of the O module as well. The AG module determines the concentration of certain gases using the infrared (IR) light absorption measurement. The gases that can be measured by the AG module absorb IR light.
Page 138: Understanding The Ag Display
17.2 Understanding the AG Display The AG module can send waves and numerics for all measured anesthetic gases for display on the monitor, including:  O and AA waves awRR: airway respiratory rate  MAC: minimum alveolar concentration  End tidal (Et) and fraction of inspired (Fi) numerics for CO O and AA ...
Page 139: Mac Values
17.3 MAC Values NOTE MAC value is for your reference only.  Minimum alveolar concentration (MAC) is the minimum concentration of the agent in the alveoli. It is a basic index to indicate the depth of anesthesia. The standard ISO 21647 defines MAC as this: alveolar concentration of an inhaled anesthetic agent that, in the absence of other anesthetic agents and at equilibrium, prevents 50% of patients from moving in response to a standard surgical stimulus.
Page 140: Preparing To Measure Ag
17.4 Preparing to Measure AG Select an appropriate watertrap according to patient category and attach it to the module. Connect the gas sample line to the connector of the watertrap. Connect the other end of the gas sampling line to the patient via the airway adapter. Connect the gas outlet to a scavenging system using an exhaust tube.
Page 141: Changing Ag Settings
17.5 Changing AG Settings 17.5.1 Setting Gas Unit For N2O and AA, the unit of the measured gas is fixed to “%”. Select [Unit Setup >>] from the [User Maintenance] menu. In the popup menu, you can select [CO2 Unit] or [O2 Unit] and toggle between [mmHg], [%] and [kPa].
Page 142: Entering The Standby Mode
17.5.5 Entering the Standby Mode For the AG module, the default operating mode is measure. When you set the AG module to the standby mode, the AG gas sample intake pump automatically sets the sample flow rate to zero. When exiting the standby mode, the AG module continues to work at preset sample flow rate with no need to warm up again.
Page 143: Changing The Anesthetic Agent
17.6 Changing the Anesthetic Agent When the anesthetic agent used on the patient is changed, the AG module can detect the mixed anesthetic gas during the transition of two anesthetic agents. The time required for completing the replacement of anesthetic agent depends on anesthesia type (low flow or high flow) and the characteristics of anesthetic agents (pharmacokinetics).
Page 144: Removing Exhaust Gases From The System
17.9 Removing Exhaust Gases from the System WARNING Anesthetics: When using the AG measurement on patients who are receiving or have recently received  anesthetics, connect the outlet to a scavenging system, or to the anesthesia machine/ventilator, to avoid exposing medical staff to anesthetics. To remove the sample gas to a scavenging system, connect an exhaust tube to the gas outlet connector of the module.
Page 145: Freezing Waveforms
Freezing Waveforms During monitoring, the freeze feature allows you to freeze the currently displayed waveforms on the screen so that you can have a close examination of the patient’s status. Besides, you can select any frozen waveform for recording. 18.1 Freezing Waveforms To freeze waveforms, select the hardkey on the monitor’s front.
Page 146: Unfreezing Waveforms
18.3 Unfreezing Waveforms To unfreeze the frozen waveforms, you can either: Select the button at the upper right corner of the [Freeze] menu,  Select the hardkey on the monitor’s front, or  Perform any other action that causes the screen to be readjusted or opens a menu, such as plugging in or out a ...
Page 147: Review
Review 19.1 Accessing Respective Review Windows Select the [Review] QuickKey, or [Main Menu]→[Review >>]. Select [Graphic Trends], [Tabular Trends], [Events], [Full Disclosure] or [12-lead ECG] to access their respective review windows. 19.2 Reviewing Graphic Trends In the [Review] menu, select [Graphic Trends] to access the following window. Event mark area Time axis Graphic trends area...
Page 148: Reviewing Tabular Trends
To browse the graphic trends, you can either:  Select beside [Scroll] to move the cursor one step to the left or right to navigate through the  graphic trends, or Select to move the cursor one page to the left or right to navigate through the graphic ...
Page 149: Events
19.4 Events 19.4.1 Marking Events During monitoring, some events may exert effects on the patient and as a result change the waveforms or numerics displayed on the monitor. To help analysing the waveforms or numerics at that time, you can mark these events. Select [Main Menu]→[Mark Event >>].
Page 150 1. Waveform area 2. Parameter area In this window: You can select to navigate through the waveforms.  You can select beside the [Event] button to switch between events.  You can set the desired [Gain] for ECG waveform.  You can set the desired [Sweep].
Page 151: Reviewing Waveforms
19.5 Reviewing Waveforms In the [Review] menu, select [Full Disclosure] to access the Full Disclosure window. In this review window: To review full-disclosure waveforms, you need to save waveforms first. Select [Save Waves >>] and then select the  parameters whose waveforms you want to view. To save full-disclosure waveform, your monitor must be equipped with a storage card.
Page 152 FOR YOUR NOTES 19-6...
Page 153: Calculations
Calculations 20.1 Introduction The calculation feature is available with your monitor. The calculated values, which are not directly measured, are computed based on the values you provide. Your can perform the following calculations: Dose calculations  Oxygenation calculations  Ventilation calculations ...
Page 154: Dose Calculations
20.2 Dose Calculations 20.2.1 Performing Calculations To perform a dose calculation: Select [Main Menu]→[Calculations >>]→[Dose >>], or select [Calculations] QuickKey→[Dose >>]. Select, in turn, [Patient Cat.] and [Drug Name] and then select the appropriate settings. The dose calculation program has a library of commonly used drugs, of which Drug A through Drug E are for those not specified in this library.
Page 155: Titration Table
20.2.3 Titration Table To open the titration table, select [Titration Table >>] in the [Dose Calculation] window after the dose calculation is finished. In the titration table, when you change: [Reference]  [Interval]  [Dose Type]  The titrated values change accordingly. You can also: Select , or...
Page 156: Entered Parameters
In the [Oxygenation Calculation] window, you can: Change the pressure unit, Hb unit and oxygen content unit by selecting [Press. Unit], [Hb Unit] and [OxyCont  Unit] and then selecting the appropriate settings. The changes take effect automatically. Trigger a recording by selecting the [Record] button. The currently displayed oxygenation calculations are ...
Page 157: Ventilation Calculations
20.4 Ventilation Calculations 20.4.1 Performing Calculations To perform a ventilation calculation: Select [Main Menu]→[Calculations >>]→[Ventilation >>], or select the [Calculations] QuickKey→ [Ventilation >>]. Enter values for calculation. If the monitor is connected to an anesthesia machine or a ventilator, the system automatically loads the supported parameter values to the [Ventilation Calculation] window.
Page 158: Calculated Parameters And Formulas
20.4.3 Calculated Parameters and Formulas Abbreviation Unit Full spelling Formula partial pressure of oxygen in the (ATMP－47) × FiO /100 －PaCO × [FiO /100 ＋ (1 mmHg alveoli /100) / RQ ] －FiO AaDO mmHg alveolar-arterial oxygen difference － PaO Pa/FiO mmHg oxygenation ratio...
Page 159: Entered Parameters
20.5.2 Entered Parameters Abbreviation Unit Full spelling C.O. L/min cardiac output heart rate PAWP mmHg pulmonary artery wedge pressure Art Mean mmHg artery mean pressure PA Mean mmHg pulmonary artery mean pressure mmHg central venous pressure end-diastolic volume Height height Weight weight 20.5.3 Calculated Parameters and Formulas...
Page 160: Renal Calculations
20.6 Renal Calculations 20.6.1 Performing Calculations To perform a renal calculation: Selecting [Main Menu]→[Calculations >>]→[Renal >>], or select [Calculations] QuickKey→[Renal >>]. Enter values for calculation. Select the [Calculate] button. The system performs a calculation per the current settings and displays the calculated values.
Page 161: Calculated Parameters And Formulas
20.6.3 Calculated Parameters and Formulas Abbreviation Unit Full spelling Formula URNaEx mmol/24h urine sodium excretion Urine × URNa / 1000 URKEx mmol/24h urine potassium excretion Urine × URK / 1000 Na/K sodium potassium ratio 100 × URNa / URK ml/24h clearance of sodium URNa ×...
Page 162 FOR YOUR NOTES 20-10...
Page 163: Recording
Recording 21.1 Using a Recorder The thermal recorder records patient information, measurement numerics, up to three waveforms, etc. Start/Stop key: press to start a recording or stop the current recording. Indicator On: when the recorder works correctly.  Off: when the monitor is switched off. ...
Page 164: Starting And Stopping Recordings
21.3 Starting and Stopping Recordings To manually start a recording, you can either: Select the hardkey on the front of either the monitor or the recorder module, or  Select the [Record] button from the current menu or window.  Automatic recordings will be triggered in the following conditions: Timed recordings will start automatically at preset intervals.
Page 165: Setting The Realtime Recording Length
21.4.3 Setting the Realtime Recording Length After starting a realtime recording, the recording time depends on your monitor’s settings. In the [Record Setup] menu, select [Length] and toggle between [8 s] and [Continuous]. [8 s]: record 4-second waveforms respectively before and after current moment. ...
Page 166: Removing Paper Jam
CAUTION Use only specified thermal paper. Otherwise, it may cause damage to the recorder’s printhead, the recorder  may be unable to print, or poor print quality may result. Never pull the recorder paper with force when a recording is in process. Otherwise, it may cause damage to ...
Page 167: Printing
Printing 22.1 Printer The monitor can output patient reports via a connected printer. So far, the monitor supports the following printer: HP LaserJet 1505n  HP LaserJet P2035n  HP LaserJet P4015n  HP LaserJet Pro 400 M401n  HP LaserJet 600 M602 ...
Page 168: Starting Report Printouts
22.4 Starting Report Printouts Reports Contents Procedures ECG reports ECG waveforms and relevant Select [Main Menu]→[Print Setup >>]→[ECG Reports >>]→[Print] parameter values Tabular trends Depend on the selected parameter Select [Main Menu]→[Print Setup >>]→[Tabular Trends Reports >>]→[Print], or select [Main group, resolution and time period Menu]→[Review >>]→[Tabular Trends]→[Print]→[Print] Graphic trends...
Page 169: Setting Up Tabular Trends Reports
22.6.2 Setting Up Tabular Trends Reports To set up tabular trends reports, select [Main Menu]→[Print Setup >>]→[Tabular Trends Reports >>]. Start time: You can set a time period whose trend data will be printed out by setting [From] and [Back]. For ...
Page 170: End Case Reports
22.7 End Case Reports ECG reports, tabular trends reports, graphic trends reports, NIBP review reports and realtime reports can be set as end case reports. When you discharge a patient, the system will automatically print out all contents that are set as end case reports.
Page 171: Other Functions
Other Functions 23.1 Analog Output The monitor provides analog output signals to accessory equipment via the multifunctional connector on the rear of the monitor. To obtain analog output signals, connect the accessory equipment such as an oscillograph, etc. to the monitor. NOTE The analog output feature is seldom applied in clinical applications.
Page 172: Transferring Data By Different Means
23.3.2 Transferring Data by Different Means NOTE Never enter the data transfer mode when the monitor is in normal operation or performs monitoring. You  must re-start the monitor to exit the data transfer mode. Transfer data via a crossover network cable Before transferring data using a crossover network cable, do as follows: Connect one end of the crossover network cable to the monitor and the other end to the PC.
Page 173: Nurse Call
23.4 Nurse Call The monitor also provides nurse call signals to a nurse call system connected to the monitor via the multifunctional connector. To obtain nurse call signals, connect a nurse call system to the monitor and then follow this procedure: Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password.
Page 174: Network Connection
23.5 Network Connection 23.5.1 Setting the Network Type The monitor supports both wired and wireless network. To set the network type, you can select [Main Menu]→ [Maintenance>>]→[User Maintenance>>]→enter the required password→[Network Setup >>]. 23.5.2 Wireless Network The monitors can be connected to a wireless network via a built-in Wi-Fi module. To set the wireless network: Select [Main Menu]→[Maintenance>>]→[User Maintenance>>]→enter the required password→[Network Setup >>].
Page 175: Batteries
Batteries 24.1 Overview This monitor is designed to operate on rechargeable Lithium-ion battery power during intra-hospital patient transfer or whenever the power supply is interrupted. The battery is charged automatically when the monitor is connected to AC/DC power, no matter the monitor is powered on or not. Whenever the AC/DC power is interrupted during monitoring, the monitor automatically runs power from the internal battery.
Page 176: Replacing A Battery
24.2 Replacing a Battery When the monitor uses two battery packs, one battery pack can be easily exchanged while the monitor operates from the other. If the monitor uses one battery pack, you should insert a new battery pack before the old one depletes. To replace a battery, follow this procedure: Open the battery door.
Page 177: Battery Guidelines
24.3 Battery Guidelines Life expectancy of a battery depends on how frequent and how long it is used. For a properly maintained and stored lithium ion battery, its life expectancy is about 3 years. For more aggressive use models, life expectancy can be less. We recommend replacing lithium ion batteries every 3 years.
Page 178: Battery Maintenance
24.4 Battery Maintenance Conditioning a Battery A battery should be conditioned before it is used for the first time. A battery conditioning cycle is one uninterrupted charge of the battery, followed by an uninterrupted battery discharge and charge. Batteries should be conditioned regularly to maintain their useful life.
Page 179: Battery Recycling
24.5 Battery Recycling When a battery has visual signs of damage, or no longer holds a charge, it should be replaced. Remove the old battery from the monitor and recycle it properly. To dispose of the batteries, follow local laws for proper disposal. WARNING Do not disassemble batteries, or dispose of them in fire, or cause them to short circuit.
Page 180 FOR YOUR NTOES 24-6...
Page 181: Care And Cleaning
Care and Cleaning Use only the substances approved by Mindray and methods listed in this chapter to clean or disinfect your equipment. Warranty does not cover damage caused by unapproved substances or methods. We make no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection. For the method to control infection, consult your hospital’s Infection Control Officer or Epidemiologist.
Page 182: Cleaning
25.2 Cleaning Your equipment should be cleaned on a regular basis. If there is heavy pollution or lots of dust and sand in your place, the equipment should be cleaned more frequently. Before cleaning the equipment, consult your hospital’s regulations for cleaning the equipment.
Page 183: Maintenance
 professional servicing personnel. Otherwise, undue equipment failure and possible health hazards could result. If you discover a problem with any of the equipment, contact your service personnel or Mindray.  26.1 Regular Inspection Before the first use, after your monitor has been used for 6 to 12 months, or whenever your monitor is repaired or upgraded, a thorough inspection should be performed by qualified service personnel to ensure the reliability.
Page 184: Maintenance And Testing Schedule
26.2 Maintenance and Testing Schedule The following maintenance and tests, except for visual inspection, power on test, touchscreen calibration, battery check, and recorder check, shall be carried out by the service personnel only. Contact your service personnel if any maintenance is required. Make sure to clean and disinfect the equipment before any test and maintenance. Check/Maintenance Item Recommended Frequency Preventative Maintenance Tests...
Page 185: Checking Monitor And Module Information
Check/Maintenance Item Recommended Frequency 2. Whenever a battery is replaced. Performance test Once a year or if the battery run time reduced significantly. 26.3 Checking Monitor and Module Information To view the information about system start time, self-test, etc., select [Main Menu]→[Maintenance >>]→[Monitor Information >>].
Page 186: Ag Leakage Test
26.8 AG Leakage Test The AG leakage test is required every time before the AG measurement. Follow this procedure to perform the test: Plug the AG module into the module rack. Wait until the AG module warmup is finished, and then use your hand or other objects to completely block the gas inlet of the AG module.
Page 187: Accessories
Accessories The accessories listed in this chapter comply with the requirements of IEC 60601-1-2 when in use with the monitor. WARNING Use accessories specified in this chapter. Using other accessories may cause damage to the monitor or not  meet the claimed specifications. Single-use accessories are not designed to be reused.
Page 188: Spo Accessories
Cable Sets 3-Electrode Cable Sets Type Compatible with Model Part No. Length Remark EL6303A 0010-30-42731 Long Clip EL6301A 0010-30-42726 0.6m EL6305A 0010-30-42896 Long EL6301B 0010-30-42734 Long Snap EL6311B 040-000146-00 Long 5-Electrode Cable Sets Type Compatible with Model Part No. Length Remark EL6501A 0010-30-42727...
Page 189: Nibp Accessories
27.3 NIBP Accessories Tubing Type Length Part No. Reusable 6200-30-09688 Reusable 6200-30-11560 Reusable Cuff Model Limb Circumference (cm) Bladder Width (cm) Part No. 10 to 19 0683-15-0001-01 18 to 26 12.2 0683-15-0002-01 25 to 35 15.1 0683-15-0003-01 33 to 47 18.3 0683-15-0004-01 46 to 66...
Page 190: Temp Accessories
27.4 Temp Accessories Temp Cable Type Model Remark Part No. Extension cable (reusable) MR420B Applicable to sensor MR411 and MR412 0011-30-37391 TEMP adapter cable (2-pin to MR421 0010-30-43056 audio) Temp Probes Type Model Measurement Site Part No. MR401B Esophageal/Rectal 0011-30-37392 MR403B Skin 0011-30-37393...
Page 191: Accessories
Manufacturer Accessories MX961Z14 Logical Cable, to be used in connection with the Adapter Cable (0010-20-42795) MX960 Reusable Transducer Kit Smith Medical MX261 Logical Clamp For Transducer Bracket (Medex) MX262 Logical Clamp For 2 Transducer Mount Plates MX960E6441 Logical Transducer Mounting Plate (More Logical Clamps are available from Medex.
Page 192: Co Accessories
27.7 CO Accessories Sidestream CO module Material Remark Part No. DRYLINE Watertrap 9200-10-10530 Reusable DRYLINE Watertrap 9200-10-10574 Sampling Line, 2.5m 9200-10-10533 Sampling Line, 2.5m 9200-10-10555 Nasal CO Sample Cannula Disposable M02A-10-25937 Nasal CO Sample Cannula M02A-10-25938 Nasal CO2 Sample Cannula M02B-10-64509 DRYLINE Airway Adapter Straight, disposable...
Page 193: Others
27.9 Others Material Part No. Lithium battery 022-000008-00 U.S. power cord 0012-25-0001 Grounding cable 1000-21-00122 Nurse call cable 009-003116-00 Analog output cable 009-003117-00 Synchronization cable 009-003118-00 LCD display, 17" 0000-10-11284 USB drive, 4G 023-000218-00 Recorder TR6F-30-67306 Thermal paper A30-000001--- Wall mount bracket for external display 045-000936-00 Transport stand for rolling stand 045-003428-00...
Page 194 FOR YOUR NOTES 27-8...
Page 195: Product Specifications
Product Specifications A.1 Monitor Safety Specifications A.1.1 Classifications The monitor is classified, according to IEC60601-1: Class I, equipment energized from an external and internal electrical Type of protection against electrical shock power source. Type BF defibrillation proof for CO and AG monitoring. Degree of protection against electrical shock Type CF defibrillation proof for ECG, RESP, TEMP, SpO , NIBP, IBP and C.O..
Page 196: Power Supply Specifications
20 min (after a low battery alarm first occurs) A.3 Physical Specifications Model Size (Width × Height × Thickness) Weight Remark Standard parameters, including touchscreen and iPM12 Vet 318mm × 274mm × 128mm ≤4.5 kg recorder, and 2 batteries...
Page 197: Hardware Specifications
A.4 Hardware Specifications A.4.1 Display Host display Screen Size (diagonal) Screen type Resolution iPM12 Vet 12.1” color TFT LCD 800×600 pixels External display Screen type Medical-grade TFT LCD A.4.2 Recorder Method Thermal dot array Paper width 50 mm±1 mm Paper speed 25 mm/s or 50 mm/s with accuracy within ±5%...
Page 198: Data Storage
Sensitivity 1V/mV ±5% Pace enhancement Signal amplitude: Voh≥2.5V PACE rejection/enhancement Pulse width: 10ms±5% Signal rising and falling time: ≤100µs IBP Analog Output Bandwidth (-3dB; reference frequency:1Hz) DC to 40 Hz Max transmission delay 30 ms Sensitivity 1 V/100 mmHg ±5% Nurse Call Signal High level: 3.5 to 5 V, providing a maximum of 10 mA output current;...
Page 199: Measurement Specifications
A.7 Measurement Specifications The adjustable range of alarm limits is the same with the measurement range of signals unless otherwise specified. A.7.1 ECG Standards Meet standards of EC11, EC13, EN60601-2-27/IEC60601-2-27 and IEC60601-2-25 3-lead: I, II, III Lead set 5-lead: I, II, III, aVR, aVL, aVF, V 12-lead: I, II, III, aVR, aVL, aVF, V1 to V6 ECG standard AHA, IEC...
Page 200 Pace Pulse Pace pulses meeting the following conditions are labelled with a PACE marker: Amplitude: ±2 to ±700 mV Pace pulse markers Width: 0.1 to 2 ms Rise time: 10 to 100 µs When tested in accordance with the ANSI/AAMI EC13: Sections 4.1.4.1, the heart rate meter rejects all pulses meeting the following conditions.
Page 201: Alarm Limit
Alarm limit Range (%) Step (%) High (low limit + 2) to 100 Mindray, Masimo: Desat to (high limit – 2) Nellcor: Desat or 20 (whichever is greater) to (high limit – 2) Desat 0 to (high limit – 2)
Page 202 A.7.4 PR Alarm limit Range (bpm) Step (bpm) PR High (low limit +2) to 300 PR Low 15 to (high limit-2) PR from Mindray SpO Module Measurement range 20 to 254 bpm Resolution 1 bpm Accuracy ±3 bpm Refreshing rate...
Page 203 PR from Masimo SpO Module Measurement range 25 to 240 bpm Resolution 1 bpm ±3 bpm (measured without motion) Accuracy ±5 bpm (measured with motion) Refreshing rate Pulse amplitude: >0.02% Low perfusion conditions Light penetration: >5% Low perfusion PR accuracy ±3 bpm PR from Nellcor SpO Module...
Page 204 Max mean error: ±5 mmHg Accuracy Max standard deviation: 8 mmHg Resolution 1mmHg Initial cuff inflation pressure range 60 to 140 (mmHg) Default initial cuff inflation pressure (mmHg) Software overpressure protection 147±3 mmHg Hardware overpressure protection ≤165 mmHg Alarm limit Range (mmHg) Step (mmHg) Big: (low limit+5) to 270...
Page 205 A.7.7 IBP Standards Meet standard of EN60601-2-34/IEC60601-2-34. Technique Direct invasive measurement Measurement range -50 to 300 mmHg Resolution 1 mmHg Accuracy ±2% or ±1 mmHg, whichever is greater (without sensor) Refreshing rate Pressure transducer Excitement voltage 5 VDC, ±2% Sensitivity 5 μV/V/mmHg Impedance range 300 to 3000Ω...
Page 206 A.7.9 CO Measurement mode Sidestream, microstream, mainstream Technique Infrared absorption Sidestream CO Module Standard Meet standard of ISO 21647 Measurement range 0 to 99 mmHg 0 to 40 mmHg: ±2 mmHg Accuracy* 41 to 76 mmHg: ±5% of the reading 77 to 99 mmHg: ±10% of the reading Accuracy drift...
Page 207 Alarm limit Range Step EtCO High (low limit + 2) to 99 mmHg EtCO 1 to (high limit - 2)mmHg 1 mmHg FiCO High 1 to 99 mmHg awRR High (low limit + 2) to 150 rpm 1 rpm awRR Low 0 to (high limit - 2) rpm Microstream CO Module...
Page 208 Mainstream CO Module Standard Meet standard of ISO 21647 Measurement range 0 to 150 mmHg 0 to 40 mmHg: ±2 mmHg 41 to 70 mmHg: ±5% of the reading Accuracy 71 to 100 mmHg: ±8% of the reading 101 to 150 mmHg: ±10% of the reading Accuracy drift Meet the requirement for measurement accuracy within 6 hours...
Page 209 A.7.10 AG Standards Meet standard of ISO 21647 Technique Infrared absorption Iso accuracy mode: ≤ 45 s Warm-up time Full accuracy mode: ≤ 10 min 70, 90, 120 ml/min Sample flow rate Accuracy: ±10 ml/min or ±10%, whichever is greater 0 to 30% 0 to 100% 0 to 100%...
Page 210 Accuracy drift Meet the requirement for measurement accuracy within 6 hours Apnea alarm time 10 s, 15 s, 20 s, 25 s, 30 s, 35 s, 40 s Refreshing rate Using the DRYLINE™ water trap and DRYLINE™ sampling line (2.5m): 120 ml/min 90 ml/min 70 ml/min...
Page 211 Alarm limit Range Step EtCO High (low limit + 2) to 99 mmHg EtCO 1to (high limit - 2)mmHg 1 mmHg FiCO High 1 to 99 mmHg awRR High (low limit + 2) to 150 rpm 1 rpm awRR Low 0 to (high limit - 2)rpm High (low limit + 2) to 100 %...
Page 212 FOR YOUR NOTES A-18...
Page 213: B Emc And Radio Regulatory Compliance
EMC and Radio Regulatory Compliance B.1 EMC The device meets the requirements of IEC 60601-1-2. All the accessories listed in 27Accessories also meet the requirements of IEC 60601-1-2 when in use with this device. Note Using accessories, transducers and cables other than those specified may result in increased ...
Page 214: Immunity Test
WARNING This equipment/system is intended for use by healthcare professionals only. This equipment/ system may  cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures, such as re-orienting or relocating the [ME EQUIPMENT or ME SYSTEM] or shielding the location.
Page 215 Guidance and Declaration - Electromagnetic Immunity The device is intended for use in the specified electromagnetic environment. The customer or the user of the device should assure that it is used in such an environment as described below. Immunity test IEC60601 test Compliance Electromagnetic environment - guidance...
Page 216 WARNING The device is configured with a wireless network connector to receive wireless signal. Other devices may  interfere with this device even though they meet the requirements of CISPR. Recommended separation distances between portable and mobile RF communications equipment and the device The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
Page 217: Radio Regulatory Compliance
(1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications to this equipment not expressly approved by Mindray may cause harmful radio frequency interference and void your authority to operate this equipment.
Page 218 FOR YOUR NOTES...
Page 219: C Default Configurations
Default Configurations This chapter lists some of the most important factory default settings in configuration management. You cannot change the factory default configuration itself. However, you can make changes to the settings from the factory default configuration and then save the changed configuration as a user configuration. The last column of the following tables is for your notes and review.
Page 220 ST Analysis Item Name General User Defaults ST Analysis Alarm Alm Lev when ST Unit is mV: ST-X High when ST Unit is mm: when ST Unit is mV: ST-X Low when ST Unit is mm: -80 ms 48 ms J + 60 ms X represents I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, V5 or V6.
Page 221 Item Name Algorithm Genral User Defaults VFib/VTac Alarm Vtac Alarm Vent. Brady Alarm Extreme Tachy Alarm Extreme Brady Alarm X Alarm Asystole Alm Lev High VFib/VTac Alm Lev High Vtac Alm Lev High Vent. Brady Alm Lev High Extreme Tachy Alm Lev High Extreme Brady Alm Lev High...
Page 222 Beat Vol C.1.4 SpO Item Name General User Defaults Alarm Alm Lev High Desat Limit Sweep 25 mm/s NIBP Simul Sensivity (Mindray) Sensivity (Masimo) Normal Averaging (Masimo) Sat-Seconds (Nellcor) PI Zoom C.1.5 Temp Item Name General User Defaults Alarm Alm Lev T1/T2 High (ºC)
Page 223 C.1.6 NIBP Item Name General User Defaults Alarm Alm Lev Interval 15 min NIBP End Tone Clock Cuff Press. (mmHg) Medium Small Initial Pressure (mmHg) Medium Small Alarm Limits NIBP-S High (mmHg) Medium Small NIBP-S Low (mmHg) Medium Small NIBP-M High (mmHg) Medium Small NIBP-M Low (mmHg)
Page 224 Item Name General User Defaults P4 Measure Mean PPV Measurement PPV Source Auto Sensitivity Sweep 25 mm/s Sweep (PAWP measurement window) 12.5 mm/s Filter 12.5 Hz Gridlines Art, pArt, CVP, pCVP, ICP, PA, AO, UAP, FAP, BAP, IBP Label Order Setup LV, LAP, RAP, UVP, P1, P2, P3, P4 Art, Ao, UAP, BAP, FAP, LV, P1-P2 Arterial Pressure Alarm Limits IBP-S High (mmHg)
Page 225 C.1.8 C.O. Item Name General User Defaults Alarm Alm Lev TB High (ºC) 39.0 TB Low (ºC) 36.0 Comp. Const 0.542 Auto TI Auto Manual TI (ºC) Measuring mode Manual C.1.9 CO Item Name General User Defaults Alarm Alm Lev Operating Mode Measure Sweep...
Page 226 C.1.10 AG Item Name General User Defaults Alarm Alm Lev Sweep 6.25 mm/s Compen Operating Mode Measure Flow Rate 70 ml/min Auto Standby Apnea Time 20 s RR Source Auto Setup Wave Type Draw when unit is mmHg: Scale when unit is % or KPa: EtCO High (mmHg) EtCO...
Page 227: Routine Configuration
Item Name General User Defaults FiSev High FiSev Low EtDes High EtDes Low FiDes High FiDes Low C.2 Routine Configuration C.2.1 Alarm Item Name General User Defaults Alm Volume Reminder Vol Recording Length 16 s Apnea Delay 15 s Alarm Delay ST Alarm Delay 30 s C.2.2 Screens...
Page 228 C.2.3 Waveform Item Name General User Defaults Green NIBP White Cyan Cyan TEMP White Art/Ao/UAP/FAP/BAP/L V/P1~P4 (arterial pressure) Yellow CVP/ICP/P1~P4 (venous Blue pressure) Purple Parameter/ Orange Wave Colour Cyan Yellow RESP Yellow Yellow Blue Green Orange Purple Cyan Yellow C.O. White X represents a waveform label, such as ECG, RESP, CO and so forth.
Page 229 C.2.5 Event Item Name General User Defaults Waveform 1 Waveform 2 Waveform 3 Pleth C.2.6 Record Item Name General User Defaults Length Interval Paper Speed 25 mm/s Alm Rec X represents a parameter label. C.2.7 Print Item Name General User Defaults Paper Size Amplitude 10 mm/mV...
Page 230: User Maintenance Items
C.2.8 Others Item Name General User Defaults Brightness Key Volume View Other Auto Alarm Patient C.3 User Maintenance Items Item Name General User Defaults Changing Bed No. Protected Atmospheric Pressure 760 mmHg Height Unit Weight Unit ST Unit Press. Unit mmHg CVP Unit Unit...
Page 231 Item Name General User Defaults When [Para Switch Authority] is set to [Protected]: Parameter Switch Unselected When [Para Switch Authority] is set to [Unprotected]: Selected Tone Mode 1 Signal Type Continuous Contact Type Normally Closed Signal Type Continuous Contact Type Normally Closed Nurse Call Alm Lev...
Page 232 FOR YOUR NOTES C-14...
Page 233: D Alarm Messages
Alarm Messages This chapter lists only the most important physiological and technical alarm messages. Some messages appearing on your monitor may not be included. In this chapter: The “I” field indicates how alarm indications are cleared: “A” means all alarm indications are cleared after the hardkey is pressed, “B”...
Page 234: Technical Alarm Messages
Measurement Alarm messages Cause and solution Brady Missed Beats Irr. Rhythm Vent. Rhythm Multif. PVC Nonsus. Vtac Pause The pacer appears abnormal. Check the pacer. The respiration signal was so weak that the monitor cannot perform Resp Apnea respiration analysis. Check the patient’s condition and the Resp Resp connections.
Page 235 Measurement Alarm message Cause and solution Note: YY represents the leadwires, V Check the connections of the electrodes and leadwires. (V1, V2, V3, V4, V5, V6,), LL, LA, RA, as per AHA standard, or C (C1, C2, C3, C4, C5, C6), F, L and R as per IEC standard.
Page 236 Measurement Alarm message Cause and solution The SpO signal has been interfered. Check for any possible Interference sources of signal noise around the sensor and check the patient for great motion. There is a problem with the SpO measurement board. Do not Board Fault use the module and contact your service personnel.
Page 237 Measurement Alarm message Cause and solution Airway High Press. An error occurred in the airway pressure. Check the patient connection and patient circuit, and then restart the monitor. Airway Low Press. High Barometric Check the CO2 connections, make sure that the monitor Press.
Page 238 Measurement Alarm message Cause and solution Sev Accuracy Unspecified Hal Accuracy Unspecified Des Accuracy Unspecified awRR Accuracy Unspecified Remove the AG module. Stop using the module and contact AG Hardware Err your service personnel. AG Airway Occluded Check the airway and remove the occlusion. Re-plug the module or restart the monitor, and then perform a AG Zero Failed zero calibration again.
Page 239 Measurement Alarm message Cause and solution System CMOS Full System CMOS Err System FPGA Err System Err N N is within 2 to 12.
Page 240 FOR YOUR NOTES...
Page 241: E Electrical Safety Inspection
Electrical Safety Inspection The following electrical safety tests are recommended as part of a comprehensive preventive maintenance program. They are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or the operator. Additional tests may be required according to local regulations. All tests can be performed by using commercially available safety analyzer test equipment.
Page 242: Device Labelling
E.3 Device Labelling Check the labels provided by the manufacturer or the healthcare facilities are present and legible. Main unit label  Integrated warning labels  E.4 Protective Earth Resistance Plug the probes of the analyzer into the device’s protective earth terminal and protective earth terminal of the AC power cord.
Page 243: Patient Leakage Current
E.6 Patient Leakage Current Patient leakage currents are measured between a selected applied part and mains earth. All measurements have a true RMS only The following outlet conditions apply when performing the Patient Leakage Current test. normal polarity( Normal Condition); ...
Page 244: Patient Auxiliary Current
E.8 Patient Auxiliary Current Patient Auxiliary currents are measured between any selected Applied Part connector and the remaining Applied Part connector s. All measurements may have a true RMS only response. The following outlet conditions apply when performing the Patient Auxiliary Current test. normal polarity( Normal Condition);...
Page 245: F Symbols And Abbreviations
Symbols and Abbreviations F.1 Symbols µA microampere µV microvolt µs Microsecond ampere ampere hour beat per minute bit per second ºC centigrade cubic centimeter centimeter decibel dyne second ºF fahrenheit gram gigahertz gutta hour hertz inch kilogram kilopascal litre pound meter milliampere hour mega byte...
Page 246: Abbreviations
breath per minute second volt volt ampere Ω watt – minus, negative percent per; divide; or plus equal to < less than > greater than ≤ less than or equal to ≥ greater than or equal to ± plus or minus ×...
Page 247 Conformité Européenne cardiac function index Clinical Information System CISPR International Special Committee on Radio Interference CMOS complementary metal oxide semiconductor central monitoring system carbon dioxide COHb carboxyhemoglobin cardiopulmonary cardiac power index Cardiac Power Output central venous pressure direct current desflurane diastolic dot per inch dPmx...
Page 248 GEDV global end diastolic volume GEDI global end diastolic volume index global ejection fraction halothane haematocrit hemoglobin Hb-CO carbon mono-oxide hemoglobin oxyhemoglobin heart rate inspiratory-expiratory ratio invasive brood pressure impedance cardiography intracranial pressure ICT/B intracranial catheter tip pressure transducer intensive care unit identification International Electrotechnical Commission IEEE...
Page 249 nitrous oxide NIBP noninvasive blood pressure oxygen oxygen consumption index oxygen extraction ratio operating room OxyCRG oxygen cardio-respirogram pulmonary artery pArt-D diastolic artery pressure pArt-M mean artery pressure pArt-S systolic artery pressure airway pressure PAWP pulmonary artery wedge pressure photodetector PEEP positive end expiratory pressure peak expiratory flow...
Page 250 satellite module rack arterial oxygen saturation from pulse oximetry signal quality index suppression ratio systolic time ratio stroke volume Stroke Volume Index systemic vascular resistance SVRI systemic vascular resistance index stroke volume variation mixed venous oxygen saturation ScvO central venous oxygen saturation Sync synchronization systolic pressure...
Page 252 P/N: 046-008141-00 (3.0)

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