Mindray BeneView T8 User Manual
BeneView T8
Patient Monitor
Operation Manual
CE Marking
The product bears CE mark indicating its conformity with the provisions of the Council
Directive 93/42/EEC concerning medical devices and fulfils the essential requirements of
Annex I of this directive.
The product is in radio-interference protection class A in accordance with EN55011.
The product complies with the requirement of standard EN60601-1-2 “Electromagnetic
Compatibility – Medical Electrical Equipment”.
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. Revision 1.0 is the initial release of the document.
Revision number: 1.0
Release time: September 2006
© Copyright 2006 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
WARNING
z Federal Law (USA) restricts this device to sale by or on the order of a physician.
I
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called
Mindray) owns the intellectual property rights to this product and this manual. This manual
may refer to information protected by copyrights or patents and does not convey any license
under the patent rights of Mindray, nor the rights of others. Mindray does not assume any
liability arising out of any infringements of patents or other rights of third parties.
Mindray intends to maintain the contents of this manual as confidential information.
Disclosure of the information in this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution,
rent, adaption and translation of this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden.
, and are the registered trademarks or trademarks
owned by Mindray in China and other countries. All other trademarks that appear in this
manual are used only for editorial purposes without the intention of improperly using them.
They are the property of their respective owners.
Contents of this manual are subject to changes without prior notice.
II
Manufacturer’s Responsibility
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.
Mindray is responsible for safety, reliability and performance of this product only in the
condition that:
All installation operations, expansions, changes, modifications and repairs of this
product are conducted by Mindray authorized personnel; and
The electrical installation of the relevant room complies with the applicable national
and local requirements; and
This product is operated under strict observance of this manual.
Warranty
This warranty is exclusive and is in lieu of all other warranties, expressed or implied,
including warranties of merchantability or fitness for any particular purpose.
Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or
other charges or liability for direct, indirect or consequential damages or delay resulting
from the improper use or application of the product or the use of parts or accessories not
approved by Mindray or repairs by people other than Mindray authorized personnel.
This warranty shall not extend to
Any Mindray product which has been subjected to misuse, negligence or accident; or
Any Mindray product from which Mindray's original serial number tag or product
identification markings have been altered or removed; or
Any product of any other manufacturer.
III
Return Policy
In the event that it becomes necessary to return a unit to Mindray, follow the instructions
below.
1. Obtain a return authorization.
Contact the Mindray Service Department and obtain a Mindray Customer Service
Authorization Number. The Mindray Customer Service Authorization Number must appear
on the outside of the shipping container. Return shipments will not be accepted if the
Mindray Customer Service Authorization Number is not clearly visible. Please provide the
model number, serial number, and a brief description of the reason for return.
2. Freight policy
The customer is responsible for freight charges when this product is shipped to Mindray for
service (including any relevant customs fees or other freight related charges).
3. Return address
Please send the part(s) or equipment to the address offered by Customer Service
Department.
Contact Information
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address: Mindray Building, Keji 12th Road South, Hi-tech Industrial Park,
Nanshan, Shenzhen 518057 P.R. China
Tel: +86 755 26582479 +86 755 26582888
Fax: +86 755 26582934 +86 755 26582500
Website: www.mindray.com
EC-Representative: Shanghai International Holding Corp. GmbH (Europe)
Address: Eiffestraße 80, 20537 Hamburg Germany
Tel: 0049-40-2513175
Fax: 0049-40-255726
IV
Preface
Manual Purpose
This manual contains the instructions necessary to operate the Patient Monitor safely and in
accordance with its function and intended use. Observance of this manual is a prerequisite
for proper product performance and correct operation and ensures patient and operator
safety.
This manual is based on the maximum configuration and therefore some contents may not
apply to your monitor. If you have any question, please contact us.
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.
Intended Audience
This manual is geared for clinical professionals who are expected to have a working
knowledge of medical procedures, practices and terminology as required for monitoring of
critically ill patients.
Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect
your monitoring setup or data displayed on your patient monitor.
Conventions
Italic text is used in this manual to quote the referenced chapters or sections.
[ ] is used to enclose screen texts.
→ is used to indicate operational procedures.
1
FOR YOUR NOTES
2
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
1.3 Reference Literature........................................................................................................ 1-5
2 The Basics ......................................................................................................................... 2-1
2.1 Monitor Description........................................................................................................ 2-1
2.1.1 Intended Use ...................................................................................................... 2-1
2.1.2 Contraindications ............................................................................................... 2-1
2.1.3 Components ....................................................................................................... 2-1
2.2 Main Unit........................................................................................................................ 2-2
2.2.1 Front View.......................................................................................................... 2-2
2.2.2 Side View ........................................................................................................... 2-4
2.2.3 Bottom View ...................................................................................................... 2-4
2.2.4 Rear View........................................................................................................... 2-5
2.3 Satellite Module Rack..................................................................................................... 2-7
2.4 Modules........................................................................................................................... 2-8
2.4.1 Plug-In Modules................................................................................................. 2-8
2.4.2 Multi-Parameter Module.................................................................................... 2-9
2.5 Display Screen .............................................................................................................. 2-10
2.6 QuickKeys..................................................................................................................... 2-12
3 Basic Operations .............................................................................................................. 3-1
3.1 Installation....................................................................................................................... 3-1
3.1.1 Unpacking and Checking ................................................................................... 3-2
3.1.2 Environmental Requirements............................................................................. 3-3
3.2 Getting Started ................................................................................................................ 3-4
3.2.1 Turning Power On .............................................................................................. 3-4
3.2.2 Starting Monitoring............................................................................................ 3-4
3.3 Disconnecting from Power.............................................................................................. 3-5
3.4 Using a Mice ................................................................................................................... 3-6
3.5 Using Keyboards............................................................................................................. 3-7
3.6 Using the Touchscreen .................................................................................................... 3-7
3.7 Using the Main Menu ..................................................................................................... 3-8
3.8 Using a CF Storage Card................................................................................................. 3-9
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Contents
3.9 Changing General Settings............................................................................................ 3-10
3.9.1 Setting up a Monitor......................................................................................... 3-10
3.9.2 Changing Language ......................................................................................... 3-10
3.9.3 Adjusting the Screen Brightness ...................................................................... 3-10
3.9.4 Showing/Hiding the Help..................................................................................3-11
3.9.5 Setting the Date and Time .................................................................................3-11
3.9.6 Adjusting Volume............................................................................................. 3-12
3.10 Default Configurations................................................................................................ 3-13
3.10.1 Restoring the Factory Default Configuration................................................. 3-13
3.10.2 Saving Current Configuration as User Default Configuration....................... 3-13
3.10.3 Loading a User Default Configuration........................................................... 3-14
3.10.4 Deleting a User Default Configuration .......................................................... 3-14
4 Managing Patients............................................................................................................ 4-1
4.1 Admitting a Patient.......................................................................................................... 4-1
4.2 Quick Admitting a Patient............................................................................................... 4-2
4.3 Editing Patient Information............................................................................................. 4-3
4.4 Discharging a Patient ...................................................................................................... 4-3
4.5 Connecting to a Central Monitoring System................................................................... 4-4
5 User Screens...................................................................................................................... 5-1
5.1 Tailoring Your Screens .................................................................................................... 5-1
5.1.1 Setting the Waveform Sweep Mode ................................................................... 5-1
5.1.2 Changing the Wave Line Size ............................................................................ 5-1
5.1.3 Changing Measurement Colors.......................................................................... 5-1
5.1.4 Selecting Measurement Parameters ................................................................... 5-2
5.1.5 Substituting or Adding a Wave........................................................................... 5-2
5.1.6 Changing Screen Layout.................................................................................... 5-2
5.2 Viewing Minitrends......................................................................................................... 5-3
5.2.1 Having a Split-Screen View of Minitrends ........................................................ 5-3
5.2.2 Changing Minitrend Length............................................................................... 5-4
5.2.3 Changing a Parameter for Viewing .................................................................... 5-4
5.3 Viewing oxyCRG ............................................................................................................ 5-5
5.4 Viewing Other Patients ................................................................................................... 5-6
5.4.1 Care Group......................................................................................................... 5-6
5.4.2 Understanding the View Other Patient Window ................................................ 5-6
5.5 Understanding the Big Numerics Screen ........................................................................ 5-8
6 Alarms...............................................................................................................................6-1
6.1 Alarm Categories............................................................................................................. 6-1
6.2 Alarm Levels ................................................................................................................... 6-2
6.3 Alarm Indicators.............................................................................................................. 6-3
6.3.1 Alarm Lamp ....................................................................................................... 6-3
6.3.2 Alarm Message................................................................................................... 6-3
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Contents
6.3.3 Flashing Numeric............................................................................................... 6-4
6.3.4 Audible Alarm Tones.......................................................................................... 6-4
6.3.5 Alarm Status Symbols........................................................................................ 6-4
6.4 Alarm Tone Configuration .............................................................................................. 6-5
6.4.1 Changing the Alarm Volume .............................................................................. 6-5
6.4.2 Switching the Alarm Sound On/Off................................................................... 6-5
6.4.3 Setting the Interval between Alarm Sounds ....................................................... 6-5
6.5 Using Alarms................................................................................................................... 6-6
6.5.1 Switching Individual Measurement Alarms On/Off........................................... 6-6
6.5.2 Setting the Alarm Level ..................................................................................... 6-6
6.5.3 Adjusting Alarm Limits...................................................................................... 6-6
6.5.4 Recording Alarms Automatically....................................................................... 6-7
6.6 Pausing Alarms ............................................................................................................... 6-8
6.7 Silencing the System....................................................................................................... 6-8
6.8 Latching Alarms.............................................................................................................. 6-8
6.9 Clearing Technical Alarms.............................................................................................. 6-9
6.10 When an Alarm Occurs ................................................................................................. 6-9
7 Monitoring ECG/Resp..................................................................................................... 7-1
7.1 Introduction..................................................................................................................... 7-1
7.2 Safety .............................................................................................................................. 7-2
7.3 Preparing to Monitor ECG .............................................................................................. 7-3
7.3.1 Preparing the Patient and Placing the Electrodes............................................... 7-3
7.3.2 Choosing AHA or IEC Lead Placement ............................................................. 7-4
7.3.3 ECG Lead Placements........................................................................................ 7-4
7.3.4 Checking Paced Status ....................................................................................... 7-7
7.4 Understanding the ECG Display..................................................................................... 7-8
7.5 Changing ECG Settings .................................................................................................. 7-9
7.5.1 Accessing ECG Menus....................................................................................... 7-9
7.5.2 Choosing the Alarm Source ............................................................................... 7-9
7.5.3 Choosing a 5-Lead ECG Display Screen ........................................................... 7-9
7.5.4 Changing the ECG Filter Settings.................................................................... 7-10
7.5.5 Switching the Notch Filter On or Off............................................................... 7-10
7.5.6 Switching Defibrillator Synchronization On/Off..............................................7-11
7.5.7 Changing ECG Wave Settings ..........................................................................7-11
7.5.8 Choosing the Heart Rate Source ...................................................................... 7-12
7.6 About ST Monitoring .................................................................................................... 7-13
7.6.1 Switching ST On and Off................................................................................. 7-13
7.6.2 Changing the ST Alarm Limits ........................................................................ 7-14
7.6.3 Adjusting ST Measurement Points ................................................................... 7-14
7.7 About Arrhythmia Monitoring ...................................................................................... 7-15
7.7.1 Switching Arrhythmia Analysis On and Off .................................................... 7-15
7.7.2 Changing Arrhythmia Alarm Settings .............................................................. 7-15
7.7.3 Initiating Arrhythmia Relearning Manually..................................................... 7-15
3
Contents
7.7.4 Automatic Arrhythmia Relearn ........................................................................ 7-15
7.7.5 Reviewing Arrhythmia Events ......................................................................... 7-16
7.8 12-Lead ECG Monitoring ............................................................................................. 7-17
7.8.1 Entering the 12-lead ECG Analysis Program................................................... 7-17
7.8.2 12-Lead ECG Analysis..................................................................................... 7-18
7.8.3 Reviewing 12-Lead ECG Analysis Results...................................................... 7-19
7.9 Monitoring Respiration (Resp) ..................................................................................... 7-20
7.9.1 Understanding the Resp Display...................................................................... 7-20
7.9.2 Placing Resp Electrodes................................................................................... 7-20
7.9.3 Choosing the Respiration Lead ........................................................................ 7-21
7.9.4 Changing the Apnea Alarm Delay.................................................................... 7-21
7.9.5 Changing Resp Detection Mode ...................................................................... 7-21
7.9.6 Changing Resp Wave Settings ......................................................................... 7-22
8 Monitoring SpO2.............................................................................................................. 8-1
8.1 Introduction..................................................................................................................... 8-1
8.2 Safety .............................................................................................................................. 8-2
8.3 Identifying SpO2 Modules............................................................................................... 8-3
8.4 Applying the Sensor ........................................................................................................ 8-3
8.5 Changing SpO2 Settings.................................................................................................. 8-4
8.5.1 Accessing SpO2 Menus ...................................................................................... 8-4
8.5.2 Adjusting the Desat Alarm Limit ....................................................................... 8-4
8.5.3 Setting SpO2 Sensitivity..................................................................................... 8-4
8.5.4 Monitoring SpO2 and NIBP Simultaneously...................................................... 8-5
8.5.5 Sat-Seconds Alarm Management ....................................................................... 8-5
8.5.6 Setting the Pulse Rate......................................................................................... 8-7
8.5.7 Changing the Speed of the Pleth Wave .............................................................. 8-7
8.6 Masimo Information ....................................................................................................... 8-8
8.7 Nellcor Information......................................................................................................... 8-8
9 Monitoring NIBP.............................................................................................................. 9-1
9.1 Introduction..................................................................................................................... 9-1
9.2 Safety .............................................................................................................................. 9-2
9.3 Measurement Limitations................................................................................................ 9-2
9.4 Measurement Methods.................................................................................................... 9-3
9.5 Setting Up the NIBP Measurement................................................................................. 9-3
9.5.1 Preparing to Measure NIBP ............................................................................... 9-3
9.5.2 Starting and Stopping Measurements................................................................. 9-3
9.5.3 Correcting the Measurement if Limb is not at Heart Level................................ 9-4
9.5.4 Enabling NIBP Auto Cycling and Setting the Interval....................................... 9-4
9.5.5 Starting a STAT Measurement............................................................................ 9-4
9.6 Understanding the NIBP Numerics................................................................................. 9-5
9.7 Changing NIBP Settings ................................................................................................. 9-6
9.7.1 Choosing NIBP Alarm Source ........................................................................... 9-6
4
Contents
9.7.2 Displaying NIBP Measurements ........................................................................ 9-6
9.7.3 Setting the Pressure Unit.................................................................................... 9-7
9.8 Assisting Venous Puncture .............................................................................................. 9-7
9.9 Resetting NIBP ............................................................................................................... 9-7
9.10 NIBP Leakage Test........................................................................................................ 9-7
9.11 NIBP Accuracy Test ...................................................................................................... 9-8
9.12 Calibrating NIBP........................................................................................................... 9-9
10 Monitoring Temp.......................................................................................................... 10-1
10.1 Introduction................................................................................................................. 10-1
10.2 Safety .......................................................................................................................... 10-1
10.3 Making a Temp Measurement..................................................................................... 10-2
10.4 Understanding the Temp Display ................................................................................ 10-2
10.5 Setting the Temperature Unit ...................................................................................... 10-2
11 Monitoring IBP..............................................................................................................11-1
11.1 Introduction..................................................................................................................11-1
11.2 Safety ...........................................................................................................................11-1
11.3 Setting Up the Pressure Measurement..........................................................................11-2
11.4 Understanding the IBP Display....................................................................................11-3
11.5 Changing IBP Settings .................................................................................................11-4
11.5.1 Changing a Pressure for Monitoring ...............................................................11-4
11.5.2 Defining Pressure Labels.................................................................................11-4
11.5.3 Choosing the Pressure Alarm Source ..............................................................11-4
11.5.4 Setting the Pressure Unit.................................................................................11-5
11.5.5 Setting Up the IBP Wave.................................................................................11-5
11.6 Zeroing the Transducer.................................................................................................11-5
11.7 Making the Pressure Calibration..................................................................................11-6
12 Monitoring Cardiac Output........................................................................................ 12-1
12.1 Introduction................................................................................................................. 12-1
12.2 Understanding the C.O. Display ................................................................................. 12-2
12.3 Influencing Factors ..................................................................................................... 12-2
12.4 Setting Up the C.O. Measurement .............................................................................. 12-3
12.5 Measuring the Blood Temperature .............................................................................. 12-6
12.6 Changing C.O. Settings............................................................................................... 12-6
12.6.1 Setting the Temperature Unit ......................................................................... 12-6
12.6.2 Setting the Interval between Measurements................................................... 12-6
13 Monitoring Carbon Dioxide........................................................................................ 13-1
13.1 Introduction................................................................................................................. 13-1
13.2 Identifying CO2 Modules ............................................................................................ 13-2
13.3 Preparing to Measure CO2.......................................................................................... 13-3
13.3.1 Using a Sidestream CO2 Module ................................................................... 13-3
5
Contents
13.3.2 Using a Microstream CO2 Module................................................................. 13-4
13.3.3 Using a Mainstream CO2 Module .................................................................. 13-5
13.4 Changing CO2 Settings ............................................................................................... 13-6
13.4.1 Accessing CO2 Menus.................................................................................... 13-6
13.4.2 Changing the Operating Mode....................................................................... 13-6
13.4.3 Setting the Pressure Unit................................................................................ 13-6
13.4.4 Setting up CO2 Compensations...................................................................... 13-7
13.4.5 Humidity Compensation for Side/Microsctream CO2 Readings.................... 13-7
13.4.6 Setting the Apnea Alarm Delay...................................................................... 13-8
13.4.7 Choosing a Time Interval for Peak-Picking ................................................... 13-8
13.4.8 Setting up the CO2 Wave................................................................................ 13-8
13.4.9 Setting the Automatic Standby Time.............................................................. 13-9
13.5 Troubleshooting the Sidestream CO2 Sampling System ............................................. 13-9
13.6 Removing Exhaust Gases from the System ................................................................ 13-9
13.7 Zeroing the Sensor .................................................................................................... 13-10
13.7.1 For Sidestream and Microstream CO2 Modules........................................... 13-10
13.7.2 For Mainstream CO2 Modules ..................................................................... 13-10
13.8 Calibrating the Sensor................................................................................................13-11
13.9 Oridion Information ...................................................................................................13-11
14 Monitoring AG ............................................................................................................. 14-1
14.1 Introduction................................................................................................................. 14-1
14.2 Identifying AG Modules ............................................................................................. 14-1
14.3 Understanding the AG Display ................................................................................... 14-2
14.4 Connecting AG Accessories ........................................................................................ 14-3
14.5 Changing AG Settings................................................................................................. 14-4
14.5.1 Accessing AG Menus ..................................................................................... 14-4
14.5.2 Selecting an Anesthetic Gas for Monitoring .................................................. 14-4
14.5.3 Setting the Apnea Alarm Delay...................................................................... 14-4
14.5.4 Changing the Sample Flow Rate.................................................................... 14-4
14.5.5 Setting up the O2 Compensation .................................................................... 14-5
14.5.6 Changing the Operating Mode....................................................................... 14-5
14.5.7 Setting the Automatic Standby Time.............................................................. 14-5
14.5.8 Setting up the AG Wave................................................................................. 14-5
14.6 Troubleshooting .......................................................................................................... 14-6
14.6.1 When the Gas Inlet is Blocked....................................................................... 14-6
14.6.2 When Internal Occlusions Occurs.................................................................. 14-6
14.7 Removing Exhaust Gases from the System ................................................................ 14-6
15 Monitoring ICG............................................................................................................ 15-1
15.1 Introduction................................................................................................................. 15-1
15.2 Safety .......................................................................................................................... 15-1
15.3 Understanding ICG Parameters................................................................................... 15-2
15.3.1 Measured Parameters ..................................................................................... 15-2
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Contents
15.3.2 Calculated Parameters.................................................................................... 15-2
15.4 Understanding the ICG Display.................................................................................. 15-3
15.5 ICG Limitations .......................................................................................................... 15-4
15.6 Preparing to Monitor ICG ........................................................................................... 15-4
15.6.1 Preparing the Patient ...................................................................................... 15-4
15.6.2 Placing ICG Sensors ...................................................................................... 15-5
15.6.3 Setting up the Patient Information ................................................................. 15-5
15.7 Changing ICG Settings ............................................................................................... 15-6
15.7.1 ICG Averaging ............................................................................................... 15-6
15.7.2 Selecting Secondary Parameters .................................................................... 15-6
15.7.3 Checking Sensors........................................................................................... 15-6
15.7.4 Changing the ICG Wave Speed...................................................................... 15-6
16 Monitoring BIS............................................................................................................. 16-1
16.1 Introduction................................................................................................................. 16-1
16.2 Safety Information ...................................................................................................... 16-2
16.3 Understanding the BIS Display................................................................................... 16-3
16.4 Setting up the BIS Measurement................................................................................. 16-4
16.5 Continuous Impedance Check..................................................................................... 16-5
16.6 Cyclic Impedance Check............................................................................................. 16-6
16.7 BIS Sensor Check Window......................................................................................... 16-7
16.8 Choosing the BIS Smoothing Rate ............................................................................. 16-8
16.9 Setting up the EEG Wave............................................................................................ 16-8
17 Monitoring RM ............................................................................................................ 17-1
17.1 Introduction................................................................................................................. 17-1
17.2 Safety Information ...................................................................................................... 17-3
17.3 Preparing to Monitor RM............................................................................................ 17-4
17.4 Understanding the RM Display................................................................................... 17-5
17.5 Changing RM Settings ................................................................................................ 17-6
17.5.1 Accessing RM Menus .................................................................................... 17-6
17.5.2 Setting the Apnea Alarm Delay...................................................................... 17-6
17.5.3 Selecting TV or MV for Display.................................................................... 17-6
17.5.4 Selecting Flow or Vol Waveform for Display ................................................ 17-6
17.5.5 Changing the Wave Sweep Speed .................................................................. 17-6
17.5.6 Changing the Wave Scale............................................................................... 17-7
17.6 Understanding the Respiratory Loops......................................................................... 17-8
17.7 Zeroing the RM Module.............................................................................................. 17-9
17.8 Calibrating the Flow Sensor........................................................................................ 17-9
18 Freezing Waveforms .................................................................................................... 18-1
18.1 Freezing Waveforms ................................................................................................... 18-1
18.2 Viewing Frozen Waveforms........................................................................................ 18-1
18.3 Unfreezing Waveforms ............................................................................................... 18-2
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Contents
18.4 Recording Frozen Waveforms..................................................................................... 18-2
19 Review...........................................................................................................................19-1
19.1 Accessing Respective Review Windows..................................................................... 19-1
19.2 Reviewing Graphic Trends.......................................................................................... 19-2
19.3 Reviewing Tabular Trends .......................................................................................... 19-4
19.4 Reviewing NIBP Measurements................................................................................. 19-6
19.5 Reviewing Alarms....................................................................................................... 19-7
19.6 Reviewing Waveforms ................................................................................................ 19-8
20 Calculations.................................................................................................................. 20-1
20.1 Introduction................................................................................................................. 20-1
20.2 Dose Calculations ....................................................................................................... 20-2
20.2.1 Performing Calculations................................................................................. 20-2
20.2.2 Selecting the Proper Drug Unit...................................................................... 20-3
20.2.3 Titration Table ................................................................................................ 20-4
20.3 Oxygenation Calculations........................................................................................... 20-5
20.3.1 Performing Calculations................................................................................. 20-5
20.3.2 Entered Parameters......................................................................................... 20-6
20.3.3 Calculated Parameters.................................................................................... 20-6
20.4 Ventilation Calculations .............................................................................................. 20-7
20.4.1 Performing Calculations................................................................................. 20-7
20.4.2 Entered Parameters......................................................................................... 20-8
20.4.3 Calculated Parameters.................................................................................... 20-8
20.5 Hemodynamic Calculations ........................................................................................ 20-9
20.5.1 Performing Calculations................................................................................. 20-9
20.5.2 Entered Parameters....................................................................................... 20-10
20.5.3 Calculated Parameters...................................................................................20-11
20.6 Renal Calculations .................................................................................................... 20-12
20.6.1 Performing Calculations............................................................................... 20-12
20.6.2 Entered Parameters....................................................................................... 20-13
20.6.3 Calculated Parameters.................................................................................. 20-13
20.7 Understanding the Review Window.......................................................................... 20-14
21 Recording................................................................................................................... ... 21-1
21.1 Using a Recorder......................................................................................................... 21-1
21.2 Overview of Recording Types..................................................................................... 21-2
21.3 Starting and Stopping Recordings............................................................................... 21-3
21.4 Setting up the Recorder............................................................................................... 21-4
21.4.1 Accessing the Record Setup Menu................................................................. 21-4
21.4.2 Selecting Waveforms for Recording .............................................................. 21-4
21.4.3 Setting the Realtime Recording Length ......................................................... 21-4
21.4.4 Setting the Interval between Timed Recordings............................................. 21-4
21.4.5 Changing the Recording Speed...................................................................... 21-4
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Contents
21.4.6 Switching Gridlines On or Off....................................................................... 21-5
21.4.7 Clearing Recording Tasks .............................................................................. 21-5
21.5 Loading Paper ............................................................................................................. 21-6
21.6 Removing Paper Jam .................................................................................................. 21-7
21.7 Cleaning the Recorder Printhead ................................................................................ 21-7
22 Other Functions............................................................................................................ 22-1
22.1 Marking Events........................................................................................................... 22-1
22.2 Analog Output ............................................................................................................. 22-1
22.3 Nurse Call ................................................................................................................... 22-2
23 Batteries........................................................................................................................ 23-1
23.1 Overview..................................................................................................................... 23-1
23.2 Conditioning the Batteries........................................................................................... 23-2
23.3 Checking the Batteries ................................................................................................ 23-3
23.4 Installing the Batteries................................................................................................. 23-3
23.5 Recycling the Batteries ............................................................................................... 23-4
24 Care and Cleaning........................................................................................................ 24-1
24.1 General Points............................................................................................................. 24-1
24.2 Cleaning ...................................................................................................................... 24-2
24.3 Disinfecting................................................................................................................. 24-2
25 Maintenance ................................................................................................................. 25-1
25.1 Safety Checks.............................................................................................................. 25-1
25.2 Service Tasks............................................................................................................... 25-2
25.3 Checking Monitor and Module Information............................................................... 25-3
25.4 Calibrating ECG.......................................................................................................... 25-3
25.5 Calibrating the Touchscreen........................................................................................ 25-3
25.6 Calibrating CO2........................................................................................................... 25-4
25.7 Calibrating AG ............................................................................................................ 25-5
25.8 Setting up IP Address .................................................................................................. 25-6
25.9 Entering/Exiting Demo Mode..................................................................................... 25-6
26 Accessories.................................................................................................................... 26-1
26.1 ECG Accessories......................................................................................................... 26-2
26.2 SpO2 Accessories ........................................................................................................ 26-3
26.3 NIBP Accessories ........................................................................................................ 26-5
26.4 Temp Accessories........................................................................................................ 26-6
26.5 IBP/ICP Accessories ................................................................................................... 26-6
26.6 C.O. Accessories ......................................................................................................... 26-7
26.7 CO2 Accessories.......................................................................................................... 26-7
26.8 AG Accessories ........................................................................................................... 26-9
26.9 ICG Accessories.......................................................................................................... 26-9
9
Contents
26.10 BIS Accessories......................................................................................................... 26-9
26.11 RM Accessories......................................................................................................... 26-9
26.12 Others...................................................................................................................... 26-10
A Product Specifications.....................................................................................................A-1
A.1 Monitor Safety Specifications........................................................................................A-1
A.2 Physical Specifications...................................................................................................A-4
A.3 Hardware Specifications ................................................................................................A-5
A.4 Data Storage...................................................................................................................A-8
A.5 Measurement Specifications ..........................................................................................A-9
B EMC..................................................................................................................................B-1
C Factory Defaults..............................................................................................................C-1
C.1 Patient Demographics.....................................................................................................C-1
C.2 Alarm Setup .................................................................................................................... C-1
C.3 Screen Setup...................................................................................................................C-1
C.4 ECG Setup......................................................................................................................C-2
C.5 Resp Setup......................................................................................................................C-3
C.6 SpO2 Setup......................................................................................................................C-4
C.7 NIBP Setup.....................................................................................................................C-5
C.8 Temp Setup.....................................................................................................................C-5
C.9 IBP Setup........................................................................................................................C-6
C.10 C.O. Setup ....................................................................................................................C-7
C.11 CO2 Setup .....................................................................................................................C-8
C.12 AG Setup ......................................................................................................................C-9
C.13 ICG Setup...................................................................................................................C-10
C.14 BIS Setup.................................................................................................................... C-11
C.15 RM Setup....................................................................................................................C-12
D Alarm Messages...............................................................................................................D-1
D.1 Physiological Alarm Messages.......................................................................................D-2
D.2 Technical Alarm Messages.............................................................................................D-3
E Symbols and Abbreviations............................................................................................E-1
E.1 Symbols ..........................................................................................................................E-1
E.2 Abbreviations.................................................................................................................. E-3
10
1 Safety
1.1 Safety Information
DANGER
z Indicates an imminent hazard that, if not avoided, will result in death or serious
injury.
WARNING
z Indicates a potential hazard or unsafe practice that, if not avoided, could result in
death or serious injury.
CAUTION
z Indicates a potential hazard or unsafe practice that, if not avoided, could result in
minor personal injury or product/property damage.
NOTE
z Provides application tips or other useful information to ensure that you get the
most from your product.
1-1
Safety
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
WARNINGS
z Before putting the system into operation, the operator must verify that the
equipment, connecting cables and accessories are in correct working order and
operating condition.
z The equipment must be connected to a properly installed power outlet with
protective earth contacts only. If the installation does not provide for a protective
earth conductor, disconnect it from the power line and operate it on battery power,
if possible.
z To avoid explosion hazard, do not use the equipment in the presence of flammable
anesthetics, vapors or liquids.
z Do not open the equipment housings. All servicing and future upgrades must be
carried out by the personnel trained and authorized by our company only.
z When using the equipment with electrosurgical units (ESU), make sure the patient
is safe.
z Do not come into contact with patients during defibrillation. Otherwise serious
injury or death could result.
z Do not rely exclusively on the audible alarm system for patient monitoring.
Adjustment of alarm volume to a low level or off may result in a hazard to the
patient. Remember that alarm settings should be customized according to different
patient situations and always keeping the patient under close surveillance is the
most reliable way for safe patient monitoring.
z The physiological data and alarm messages displayed on the equipment are for
reference only and cannot be directly used as the basis for clinical treatment.
z To avoid inadvertent disconnection, route all cables in a way to prevent a
stumbling hazard. Wrap and secure excess cabling to reduce risk of entanglement
or strangulation by patients or personnel.
z Dispose of the package material, observing the applicable waste control regulations
and keeping it out of children’s reach.
1-2
Safety
1.1.3 Cautions
CAUTIONS
z To ensure patient safety, use only parts and accessories specified in this manual.
z At the end o f its service life, the equipment, as well a s its accessories, must be
disposed of in compliance with the guidelines regulating the disposal of such
products. If you have any questions concerning disposal of the equipment, please
contact us.
z Magnetic and electrical fields are capable of interfering with the proper
performance of the equipment. For this reason make sure that all external devices
operated in the vicinity of the equipment comply with the relevant EMC
requirements. Mobile phone, X-ray equipment or MRI devices are a possible
source of interference as they may emit higher levels of electromagnetic radiation.
z Before connecting the equipment to the power line, check that the voltage and
frequency ratings of the power line are the same as those indicated on the
equipment’s label or in this manual.
z Always install or carry the equipment properly to avoid damage caused by drop,
impact, strong vibration or other mechanical force.
1.1.4 Notes
NOTES
z Put the equipment in a location where you can easily see the screen and access the
operating controls.
z Keep this manual in the vicinity of the equipment so that it can be obtained
conveniently when needed.
z The software was developed in compliance with IEC60601-1-4. The possibility of
hazards arising from software errors is minimized.
z This manual describes all features and options. Your equipment may not have all
of them.
1-3
1.2 Equipment Symbols
Safety
Attention: Consult accompanying documents (this manual).
Power ON/OFF
Alternating current (AC)
System silenced
Freeze/unfreeze waveforms
NIBP start/stop key
Equipotential grounding
USB connector
CIS connector
Battery indicator
Alarms paused
Record
Main menu
Connector for satellite
module rack
Video output
Network connector
Auxiliary output connector
Defibrillator connector
Check sensor
Measure/standby
Gas outlet
CE marking
European community representative
ESD warning symbol for electrostatic sensitive devices.
Type CF applied part. Defibrillator-proof protection against electric shock.
Type BF applied part. Defibrillator-proof protection against electric shock.
Zero key
Calibrate key
Serial number
Manufacture date
1-4
The following definition of the WEEE label applies to EU member states
only.
This symbol indicates that this product should not be treated as household
waste. By ensuring that this product is disposed of correctly, you will help
prevent bringing potential negative consequences to the environment and
human health. For more detailed information with regard to returning and
recycling this product, please consult the distributor from whom you
purchased it.
* For system products, this label may be attached to the main unit only.
1.3 Reference Literature
Medical Device Directive 93/42/EEC
IEC 60601-1:1988+A1:1991+A2:1995 or
EN 60601-1:1990+A1:1993+A2:1995+A13:1996,
Medical Electrical Equipment, Part 1: General Requirements for Safety
Safety
EN60601-1-1 or IEC60601-1-1, Medical Electrical Equipment- Part 1-1: General
Requirements for Safety - Collateral Standard: Safety Requirements for Medical
Electrical Systems
IEC60601-1-4, Medical Electrical Equipment- Part 1-4: General Requirements for
Safety - Collateral Standard: Programmable Electrical Medical Systems
IEC60601-2-49 Medical Electrical Equipment-Part 2-49: Particular Requirements for
the Safety of Multifunction Patient Monitoring Equipment
1-5
FOR YOUR NOTES
Safety
1-6
2 The Basics
2.1 Monitor Description
2.1.1 Intended Use
This patient 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
(NIBP), invasive blood pressure (IBP), cardiac output (C.O.), carbon dioxide (CO
), anesthetic gas (AG), impedance cardiograph (ICG), bispectral index (BIS) and
(O
2
respiration mechanics (RM) of single adult, pediatric and neonatal patients.
ST-segment monitoring and C.O. monitoring are restricted to adult patients only. The ICG is
only for use on adult patients who meet the following requirements: height: 122 to 229 cm,
weight: 30 to 159 kg. 12-lead ECG and BIS monitoring are not intended for neonatal
patients.
This monitor is to be used in healthcare facilities by clinical professionals or under their
direction. It is not intended for helicopter transport, hospital ambulance, or home use.
, pulse rate (PR), non-invasive blood pressure
2
), oxygen
2
WARNING
z This patient monitor is intended for use only by clinical professionals or under
their guidance. It must only be used by persons who have received adequate
training in its use. Anyone unauthorized or untrained must not perform any
operation on it.
2.1.2 Contraindications
None.
2.1.3 Components
This patient monitor consists of a main unit, display, parameter module racks, SpO2 sensor,
NIBP cuff, IBP cables, C.O. cables, CO
BIS components, etc.
components, AG components, RM components,
2
2-1
2.2 Main Unit
2.2.1 Front View
The Basics
4 5 6
1
2
3
7 8 9 10 11 12 13
1. Physiological alarm lamp
When a physiological 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.
Low level alarms: the lamp turns yellow without flashing.
2. Technical alarm lamp
This lamp will turn blue when a technical alarm occurs.
2-2
The Basics
3. Display Screen
4. Power On/Off Switch
Press this switch to turn the patient monitor on. Press it again and hold for 2 seconds to
turn the patient monitor off. An indicator is built in this switch. It turns on when the
patient monitor is on and turns off when the patient monitor is off.
5. AC power LED
It turns on when AC power is connected.
6. Battery LED
On: when the battery is being charged or already fully charged.
Off: when no battery is installed or no AC source is connected.
Flash: when the patient monitor operates on battery power.
7.
Press to silence all system sounds.
8.
Press to pause, restore or clear alarms.
9.
Press to freeze or unfreeze waveforms.
10.
Press to start or stop recordings.
11.
Press to start or stop NIBP measurements.
12.
If no menu is displayed on the screen, pressing it will enter the main menu.
If there is a menu displayed on the screen, pressing it will close that menu.
13. Knob
As shown in the figure, you can:
Rotate the knob clockwise or anti-clockwise. With each click, the highlight jumps
to the neighboring screen item, or
When you reach the desired screen item, press the knob to select the item.
2-3
2.2.2 Side View
The Basics
1
2
3
1
1. Integral Module Racks 2. Compartment for CF storage card slot
3. Recorder 4. Filter 5. Contact
WARNING
z Do not touch the filters and contacts when the patient monitor is on.
4
5
2.2.3 Bottom View
Battery compartment
2-4
2.2.4 Rear View
The Basics
Ventilation
10
1
2
9
8
7
6
4
3 5
2-5
The Basics
1. AC Power Input
2. USB Connectors
They connect such devices as the USB mice, USB keyboard, etc.
3. Auxiliary Output Connector
It provides analog signals if an oscilloscope is connected or alarm signals if a nurse
call system is connected.
4. Defib Sync Connector
It provides synchronization signals if a defibrillator is connected.
5. Network Connector
It is a standard RJ45 connector that connects the patient monitor to the CMS.
6. CIS Connector
It is a standard RJ45 connector that connects the patient monitor to the hospital’s
clinical information system (CIS). The CIS feature is available in China only.
7. USB Connectors
They connect the controlling devices (USB mice and USB keyboard) of the secondary
display.
8. Digital Video Interface (DVI)
It connects a standard digital video display.
9. SMR Connector
It connects the satellite module rack (SMR).
10. Equipotential Grounding Terminal
When the patient monitor and other devices are to be used together, their equipotential
grounding terminals should be connected together, eliminating the potential difference
between them.
2-6
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