Mindray BeneVision N22, BeneVision N19 Operator's Manual

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Page 1

BeneVision N22/N19

Patient Monitor

Operator’s Manual

Page 2

Page 3

Release time: December 2015

Revision: 3.0

BeneVision N22/N19 Patient Monitor Operator’s Manual I

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Intellectual Property Statement

WARNING

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.

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, rental, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

is 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.

Responsibility on the Manufacturer Party

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.

Mindray is responsible for the effects on safety, reliability and performance of this product, only if:

■ all installation operations, expansions, changes, modifications and repairs of this product are conducted by

Mindray authorized personnel;

■ the electrical installation of the relevant room complies with the applicable national and local

requirements;

■ the product is used in accordance with the instructions for use.

• This equipment must be operated by skilled/trained clinical professionals.

• It is important for the hospital or organization that employs this equipment to carry out a

reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.

II BeneVision N22/N19 Patient Monitor Operator’s Manual

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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

■ Malfunction or damage caused by improper use or man-made failure.

■ Malfunction or damage caused by unstable or out-of-range power input.

■ Malfunction or damage caused by force majeure such as fire and earthquake.

■ Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service

people.

■ Malfunction of the instrument or part whose serial number is not legible enough.

■ Others not caused by instrument or part itself.

Company Contact

Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address Mindray Building,Keji 12th Road South,Hi-tech industrial park,Nanshan,Shenzhen

518057,P.R.China

Website www.mindray.com

E-mail Address: service@mindray.com.cn

Tel: +86 755 81888998

Fax: +86 755 26582680

EC-Representative: Shanghai International Holding Corp. GmbH (Europe)

Address: Eiffestraβe 80, 20537 Hamburg, Germany

Tel: 0049-40-2513175

Fax: 0049-40-255726

BeneVision N22/N19 Patient Monitor Operator’s Manual III

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Preface

Manual Purpose

This manual contains the instructions necessary to operate the product 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 product. 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 the setup or data displayed on your patient monitor.

Conventions

■ Italic text is used in this manual to quote the referenced manuals, chapters, sections and formulas.

■ Bold text is used to indicate the screen texts and names of hard keys.

■ → is used to indicate operational procedures.

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Contents

1 Safety ..................................................................................................................................................................................1 - 1

1.1 Safety Information ..........................................................................................................................................................................................1 - 2

1.1.1 Warnings ..............................................................................................................................................................................................1 - 2

1.1.2 Cautions ................................................................................................................................................................................................1 - 3

1.1.3 Notes ......................................................................................................................................................................................................1 - 3

1.2 Equipment Symbols .......................................................................................................................................................................................1 - 3

2 Equipment Introduction ...................................................................................................................................................2 - 1

2.1 Intended Use .....................................................................................................................................................................................................2 - 2

2.2 Applied Parts .....................................................................................................................................................................................................2 - 2

2.3 System Components ......................................................................................................................................................................................2 - 3

2.3.1 Main Unit ..............................................................................................................................................................................................2 - 3

2.3.2 Displays .................................................................................................................................................................................................2 - 5

2.3.3 Satellite Module Rack (SMR) ..........................................................................................................................................................2 - 8

2.3.4 External Modules ...............................................................................................................................................................................2 - 8

2.3.5 Cable Management Kit ................................................................................................................................................................. 2 - 10

2.3.6 Input Devices ...................................................................................................................................................................................2 - 11

2.3.7 Printing Devices ..............................................................................................................................................................................2 - 12

3 Getting Started ..................................................................................................................................................................3 - 1

3.1 Equipment Preparation Safety Information ..........................................................................................................................................3 - 2

3.2 Monitor Installation ........................................................................................................................................................................................3 - 2

3.3 Setting Up the Equipment ...........................................................................................................................................................................3 - 3

3.3.1 Connecting the AC Mains ...............................................................................................................................................................3 - 3

3.3.2 Connecting the Input Devices ......................................................................................................................................................3 - 3

3.3.3 Connecting the SMR ........................................................................................................................................................................3 - 3

3.3.4 Connecting Modules to the SMR .................................................................................................................................................3 - 3

3.3.5 Removing Modules from the SMR ..............................................................................................................................................3 - 4

3.4 Turning on the Monitor .................................................................................................................................................................................3 - 4

3.5 Operation and Navigation ...........................................................................................................................................................................3 - 4

3.5.1 Using the Touchscreen ....................................................................................................................................................................3 - 4

3.5.2 Using the Mouse ................................................................................................................................................................................3 - 4

3.5.3 Using the On-Screen Keyboard ....................................................................................................................................................3 - 5

3.5.4 Using the Navigation Knob ............................................................................................................................................................3 - 5

3.6 Screen Display ..................................................................................................................................................................................................3 - 5

3.6.1 On-screen Symbols ...........................................................................................................................................................................3 - 6

3.6.2 Menus ....................................................................................................................................................................................................3 - 7

3.6.3 Quick Keys ............................................................................................................................................................................................3 - 7

3.7 Operating Modes .............................................................................................................................................................................................3 - 9

3.7.1 Monitoring Mode ..............................................................................................................................................................................3 - 9

3.7.2 Privacy Mode .......................................................................................................................................................................................3 - 9

3.7.3 Night Mode ....................................................................................................................................................................................... 3 - 10

3.7.4 Standby Mode .................................................................................................................................................................................3 - 11

3.8 Configuring Your Monitor .........................................................................................................................................................................3 - 12

3.8.1 Selecting the Language ............................................................................................................................................................... 3 - 12

3.8.2 Setting the Screen Orientation .................................................................................................................................................. 3 - 12

3.8.3 Setting the Date and Time ..........................................................................................................................................................3 - 12

3.8.4 Enabling Auto Daylight Saving Time ......................................................................................................................................3 - 13

3.8.5 Adjusting the Screen Brightness ..............................................................................................................................................3 - 13

3.8.6 Adjusting the Volume ................................................................................................................................................................... 3 - 13

3.9 Starting Monitoring a Patient ..................................................................................................................................................................3 - 13

3.10 Stop a Parameter Measurement ........................................................................................................................................................... 3 - 13

3.11 General Operation ..................................................................................................................................................................................... 3 - 13

3.11.1 Switching On or Off a Parameter ...........................................................................................................................................3 - 13

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3.11.2 Displaying Parameter Numerics and Waveforms ............................................................................................................ 3 - 14

3.11.3 Accessing Parameter Setup Menus ...................................................................................................................................... 3 - 14

3.11.4 Choosing a Screen ...................................................................................................................................................................... 3 - 14

3.11.5 Selecting the Big Numerics Screen ....................................................................................................................................... 3 - 14

3.11.6 Changing Measurement Colors ............................................................................................................................................. 3 - 15

3.12 Using the On-Screen Timers .................................................................................................................................................................. 3 - 15

3.12.1 Displaying Timers ........................................................................................................................................................................ 3 - 15

3.12.2 Setting a Timer .............................................................................................................................................................................3 - 15

3.12.3 Controlling a Timer ..................................................................................................................................................................... 3 - 15

3.13 Using the Secondary Display ................................................................................................................................................................. 3 - 16

3.13.1 Connecting the Secondary Display Power Supply .......................................................................................................... 3 - 16

3.13.2 Changing Secondary Display Settings ................................................................................................................................. 3 - 16

3.14 Using the iView System ........................................................................................................................................................................... 3 - 17

3.15 Turning Off the Monitor .......................................................................................................................................................................... 3 - 18

4 Managing Patients ............................................................................................................................................................4 - 1

4.1 Discharging a Patient ....................................................................................................................................................................................4 - 2

4.1.1 Auto Discharging a Patient after Monitor Power Off ...........................................................................................................4 - 2

4.1.2 Manually Discharging a Patient ...................................................................................................................................................4 - 2

4.2 Admitting a Patient ........................................................................................................................................................................................4 - 2

4.3 Managing Patient Information ...................................................................................................................................................................4 - 3

4.3.1 Entering the Patient Management Menu ................................................................................................................................4 - 3

4.3.2 Editing Patient Information ...........................................................................................................................................................4 - 3

4.3.3 Loading Patient Information from the ADT Server ...............................................................................................................4 - 3

4.3.4 Changing Patient Management Settings .................................................................................................................................4 - 4

4.3.5 Setting the Monitor Location .......................................................................................................................................................4 - 4

4.4 Transferring Patient Data .............................................................................................................................................................................4 - 5

4.4.1 Data Storage Introduction ............................................................................................................................................................. 4 - 5

4.4.2 Setting the Data Transfer Strategy .............................................................................................................................................4 - 5

4.4.3 Transferring Patient Data via T1 ..................................................................................................................................................4 - 6

4.4.4 Setting the Length of Data Transferred by T1 ........................................................................................................................4 - 6

4.4.5 Transferring the T1 Settings ..........................................................................................................................................................4 - 7

4.4.6 Transferring Patient Data via MPM ............................................................................................................................................. 4 - 7

5 Managing Configurations .................................................................................................................................................5 - 1

5.1 Configuration Introduction ......................................................................................................................................................................... 5 - 2

5.2 Changing the Department ..........................................................................................................................................................................5 - 2

5.3 Setting Default Configuration ....................................................................................................................................................................5 - 2

5.4 Saving Current Settings ................................................................................................................................................................................5 - 3

5.5 Deleting a Configuration .............................................................................................................................................................................. 5 - 3

5.6 Transferring a Configuration .......................................................................................................................................................................5 - 3

5.6.1 Exporting a Configuration .............................................................................................................................................................5 - 3

5.6.2 Importing a Configuration .............................................................................................................................................................5 - 4

5.6.3 Loading a Configuration ................................................................................................................................................................5 - 4

5.7 Modifying Configuration Password .........................................................................................................................................................5 - 4

6 Networked Monitoring .....................................................................................................................................................6 - 1

6.1 Network Introduction ....................................................................................................................................................................................6 - 2

6.2 Network Safety Information ........................................................................................................................................................................ 6 - 2

6.3 Connecting the CMS ......................................................................................................................................................................................6 - 2

6.4 Connecting the eGateway ...........................................................................................................................................................................6 - 2

6.5 Using the ADT Gateway ................................................................................................................................................................................6 - 3

6.6 Viewing Other Patients .................................................................................................................................................................................6 - 3

6.6.1 Remote View .............................................................................................................

6.6.2 Alarm Watch .......................................................................................................................................................................................6 - 5

6.7 Configuring the Network .............................................................................................................................................................................6 - 6

6.7.1 Selecting a Network Type ..............................................................................................................................................................6 - 6

..........................................................................6 - 3

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6.7.2 Setting the Wired Network ............................................................................................................................................................6 - 7

6.7.3 Setting the Wireless Network .......................................................................................................................................................6 - 7

6.7.4 Selecting WLAN Band and Channels ..........................................................................................................................................6 - 7

6.7.5 Managing Certifications ..................................................................................................................................................................6 - 7

6.7.6 Setting Multicast Parameters ........................................................................................................................................................6 - 8

6.7.7 Setting the CMS IP Address ...........................................................................................................................................................6 - 8

6.7.8 Setting the Network Service Quality Level ...............................................................................................................................6 - 8

7 Using with the TM80 Telemetry Monitor and BP10 NIBP Module .................................................................................7 - 1

7.1 Pairing Introduction .......................................................................................................................................................................................7 - 2

7.2 Pairing and Unpairing Symbols ..................................................................................................................................................................7 - 2

7.3 Pairing a TM80 with the Monitor ...............................................................................................................................................................7 - 3

7.3.1 Pairing Procedure ..............................................................................................................................................................................7 - 3

7.3.2 System Responses after Pairing a TM80 with the Monitor .................................................................................................7 - 4

7.4 Unpairing the TM80 and the Monitor ......................................................................................................................................................7 - 5

7.4.1 Unpairing via the Monitor ..............................................................................................................................................................7 - 5

7.4.2 Unpairing via the TM80 ...................................................................................................................................................................7 - 5

7.4.3 System Responses after Unpairing the TM80 and the Monitor ........................................................................................7 - 6

7.5 Pairing a BP10 with the Monitor ................................................................................................................................................................7 - 6

7.5.1 Pairing Procedure ..............................................................................................................................................................................7 - 6

7.5.2 System Responses after Pairing the BP10 with the Monitor .............................................................................................7 - 7

7.6 Unpairing the BP10 and the Monitor .......................................................................................................................................................7 - 7

7.6.1 Unpairing via the Monitor ..............................................................................................................................................................7 - 7

7.6.2 Unpairing via the BP10 ....................................................................................................................................................................7 - 7

7.6.3 System Responses after Unpairing the BP10 and the Monitor .........................................................................................7 - 7

7.7 NIBP Measurement in Sequence or ABPM Mode .................................................................................................................................7 - 8

7.7.1 Performing NIBP Measurement in Sequence Mode .............................................................................................................7 - 8

7.7.2 Performing NIBP Measurement in ABPM Mode .....................................................................................................................7 - 8

7.8 Troubleshooting ..............................................................................................................................................................................................7 - 9

8 Interfacing with External Devices .................................................................................................................................... 8 - 1

8.1 BeneLink Introduction ...................................................................................................................................................................................8 - 2

8.2 BeneLink Safety Information .......................................................................................................................................................................8 - 2

8.3 Supported Devices ..........................................................................................................................................................................................8 - 3

8.4 Differences in Displayed Values .................................................................................................................................................................8 - 3

8.5 Connecting an External Device ..................................................................................................................................................................8 - 4

8.5.1 Configuring the ID Adapter ...........................................................................................................................................................8 - 5

8.5.2 ID Adapter IDs .....................................................................................................................................................................................8 - 5

8.6 Devices Integrated Window ........................................................................................................................................................................8 - 6

8.7 Monitor System Functions ...........................................................................................................................................................................8 - 7

8.7.1 Alarms ....................................................................................................................................................................................................8 - 7

8.7.2 Data Storage .......................................................................................................................................................................................8 - 7

8.7.3 Recording and Printing ...................................................................................................................................................................8 - 7

9 Alarms ................................................................................................................................................................................9 - 1

9.1 Alarm Introduction .........................................................................................................................................................................................9 - 2

9.2 Alarm Safety Information .............................................................................................................................................................................9 - 2

9.3 Understanding the Alarms ...........................................................................................................................................................................9 - 2

9.3.1 Alarm Categories ...............................................................................................................................................................................9 - 2

9.3.2 Alarm Priorities ...................................................................................................................................................................................9 - 3

9.3.3 Alarm Indicators .................................................................................................................................................................................9 - 3

9.3.4 Alarm Status Symbols ......................................................................................................................................................................9 - 4

9.4 Accessing Help when Occur ................................................................................................

9.5 Checking Physiological Alarm List ............................................................................................................................................................9 - 4

9.6 Changing Alarm Settings ..............................................................................................................................................................................9 - 4

9.6.1 Setting Parameter Alarm Properties ...........................................................................................................................................9 - 4

9.6.2 Setting Alarm Tone Properties .....................................................................................................................................................9 - 5

.......................................................................9 - 4

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9.6.3 Initiating Auto Alarm Limits ..........................................................................................................................................................9 - 7

9.6.4 Setting the Alarm Delay Time .................................................................................................................................................... 9 - 10

9.6.5 Adjusting the Alarm Light Brightness .................................................................................................................................... 9 - 10

9.6.6 Restoring the Default Alarm Settings ..................................................................................................................................... 9 - 10

9.7 Pausing Alarms/Pausing Alarm Tones .................................................................................................................................................. 9 - 11

9.7.1 Defining the Pause Function ..................................................................................................................................................... 9 - 11

9.7.2 Pausing Alarms ............................................................................................................................................................................... 9 - 11

9.7.3 Pausing Alarm Sound ................................................................................................................................................................... 9 - 12

9.8 Resetting Alarms .......................................................................................................................................................................................... 9 - 13

9.8.1 Resetting Physiological Alarms ................................................................................................................................................ 9 - 13

9.8.2 Resetting Technical Alarms ........................................................................................................................................................ 9 - 13

9.8.3 Setting Alarm Light Status on Alarm Reset .......................................................................................................................... 9 - 13

9.9 Latching Alarms ............................................................................................................................................................................................ 9 - 14

9.10 Nurse Call ...................................................................................................................................................................................................... 9 - 14

9.10.1 Changing Nurse Call Settings ................................................................................................................................................. 9 - 14

9.11 CPB Mode ..................................................................................................................................................................................................... 9 - 15

9.11.1 Entering the CPB Mode .............................................................................................................................................................9 - 15

9.11.2 Exiting the CPB Mode ................................................................................................................................................................ 9 - 15

9.12 Intubation Mode ........................................................................................................................................................................................ 9 - 15

9.12.1 Entering the Intubation Mode ................................................................................................................................................ 9 - 15

9.12.2 Setting the Intubation Time .................................................................................................................................................... 9 - 16

9.12.3 Exiting the Intubation Mode ................................................................................................................................................... 9 - 16

9.13 Managing Alarms from Remote Devices .......................................................................................................................................... 9 - 16

9.13.1 Setting the Tone Pattern for Alarms from Remote Devices ......................................................................................... 9 - 16

9.13.2 Selecting the Alarm Reminder for Remote Devices ........................................................................................................ 9 - 16

9.13.3 Presenting Alarm Sound for Remote Devices as per Alarm Priority ......................................................................... 9 - 17

9.13.4 Resetting Alarms for Remote Devices .................................................................................................................................. 9 - 17

9.13.5 Authorizing the Alarm Reset to Other Devices ................................................................................................................. 9 - 17

9.13.6 Switching Off the Remote Device Disconnection Alarm .............................................................................................. 9 - 17

9.14 Testing Alarms ............................................................................................................................................................................................ 9 - 18

9.15 Actions When an Alarm Occurs ............................................................................................................................................................ 9 - 18

10 Monitoring ECG, Arrhythmia, ST and QT .....................................................................................................................10 - 1

10.1 ECG Introduction ....................................................................................................................................................................................... 10 - 2

10.2 ECG Safety Information ........................................................................................................................................................................... 10 - 2

10.3 ECG Display .................................................................................................................................................................................................. 10 - 3

10.4 Preparing for ECG Monitoring .............................................................................................................................................................. 10 - 4

10.4.1 Preparing the Patient Skin ....................................................................................................................................................... 10 - 4

10.4.2 Applying Electrodes ................................................................................................................................................................... 10 - 4

10.4.3 Lead Wire Color Code ................................................................................................................................................................ 10 - 4

10.4.4 ECG Electrode Placements ....................................................................................................................................................... 10 - 5

10.4.5 Selecting the ECG Standard ..................................................................................................................................................... 10 - 6

10.4.6 Choosing the ECG Lead Type .................................................................................................................................................. 10 - 7

10.4.7 Checking Paced Status ..............................................................................................................................................................10 - 7

10.5 Changing ECG Settings ........................................................................................................................................................................... 10 - 8

10.5.1 Choosing an ECG Screen .......................................................................................................................................................... 10 - 8

10.5.2 Setting ECG Alarm Properties ................................................................................................................................................. 10 - 8

10.5.3 Changing ECG Wave Settings ................................................................................................................................................. 10 - 8

10.5.4 Disabling the Smart Lead Off Function .............................................................................................................................10 - 10

10.5.5 Setting the Priority of the ECG Lead Off Alarm .........................................................................

10.5.6 Adjusting the QRS Volume .....................................................................................................................................................10 - 10

10.5.7 Adjusting the QRS Threshold ................................................................................................................................................10 - 11

10.6 Monitoring Arrhythmia .........................................................................................................................................................................10 - 11

10.6.1 Arrhythmia Safety Information .............................................................................................................................................10 - 11

10.6.2 Arrhythmia Events .....................................................................................................................................................................10 - 12

10.6.3 Displaying Arrhythmia Information .................................................................................................................................... 10 - 13

10.6.4 Changing Arrhythmia Settings .............................................................................................................................................10 - 13

10.6.5 Arrhythmia Alarms Timeout .................................................................................................................................................. 10 - 15

10.7 ST Monitoring ...........................................................................................................................................................................................10 - 17

......................................10 - 10

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10.7.1 ST Safety Information ...............................................................................................................................................................10 - 17

10.7.2 Enabling ST Monitoring ...........................................................................................................................................................10 - 17

10.7.3 Displaying ST Numerics and Segments .............................................................................................................................10 - 17

10.7.4 Entering the ST View .................................................................................................................................................................10 - 18

10.7.5 Saving the Current ST as Baseline ........................................................................................................................................10 - 19

10.7.6 Displaying ST Segments in the Waveform Area .............................................................................................................10 - 19

10.7.7 Entering the ST Graphic Window .........................................................................................................................................10 - 19

10.7.8 Displaying ST Graphics in the Waveform Area ................................................................................................................10 - 20

10.7.9 Changing ST Settings ...............................................................................................................................................................10 - 20

10.7.10 Adjusting ST Measurement Points ....................................................................................................................................10 - 21

10.8 QT/QTc Interval Monitoring .................................................................................................................................................................10 - 22

10.8.1 QT/QTc Monitoring Limitations ............................................................................................................................................10 - 22

10.8.2 Enabling QT/QTc Monitoring ................................................................................................................................................10 - 22

10.8.3 Displaying QT Numerics and Segments ............................................................................................................................10 - 23

10.8.4 QT View ..........................................................................................................................................................................................10 - 23

10.8.5 Saving the Current QTc as Baseline .....................................................................................................................................10 - 24

10.8.6 Changing QT Settings ..............................................................................................................................................................10 - 24

10.9 ECG Relearning .........................................................................................................................................................................................10 - 25

10.9.1 Auto ECG Relearning ................................................................................................................................................................10 - 25

10.9.2 Initiating an ECG Relearning Manually ..............................................................................................................................10 - 25

10.10 Calibrating ECG ......................................................................................................................................................................................10 - 26

10.11 Defibrillation Synchronization Pulse Output ..............................................................................................................................10 - 26

10.12 ECG Troubleshooting ...........................................................................................................................................................................10 - 26

11 Resting 12-Lead ECG Analysis ......................................................................................................................................11 - 1

11.1 Resting 12-Lead ECG Analysis Introduction .....................................................................................................................................11 - 2

11.1.1 Entering the 12-Lead Screen ...................................................................................................................................................11 - 2

11.2 Initiating Resting 12-Lead ECG Analysis ............................................................................................................................................ 11 - 2

11.3 Changing 12-Lead ECG Analysis Settings ......................................................................................................................................... 11 - 2

11.3.1 Changing the Filter Mode for 12-Lead ECG Analysis ...................................................................................................... 11 - 2

11.3.2 Setting the Baseline Drift Removal ........................................................................................................................................ 11 - 2

11.3.3 Setting the 12-Lead Waveform Layout ................................................................................................................................11 - 3

11.4 Glasgow Resting 12-lead ECG Analysis Algorithm Settings .......................................................................................................11 - 3

11.4.1 Editing Patient Information (For Glasgow Algorithms Only) .......................................................................................11 - 3

11.4.2 Setting Tachycardia and Bradycardia Thresholds (For Glasgow Algorithms Only) .............................................11 - 3

11.4.3 Setting the 12-Lead Interpretation Report (For Glasgow Algorithms Only) .........................................................11 - 4

11.5 Exiting the ECG 12-Lead Screen ...........................................................................................................................................................11 - 4

12 Monitoring Respiration (Resp) .....................................................................................................................................12 - 1

12.1 Resp Introduction ......................................................................................................................................................................................12 - 2

12.2 Resp Safety Information .......................................................................................................................................................................... 12 - 2

12.3 Resp Display ................................................................................................................................................................................................. 12 - 2

12.4 Preparing for Resp Monitoring .............................................................................................................................................................12 - 3

12.4.1 Preparing the Patient .................................................................................................................................................................12 - 3

12.4.2 Placing the Electrodes ................................................................................................................................................................12 - 3

12.5 Changing Resp Settings ..........................................................................................................................................................................12 - 4

12.5.1 Setting the Resp Alarm Properties ........................................................................................................................................12 - 4

12.5.2 Setting the RR Source .................................................................................................

...............................................................12 - 4

12.5.3 Choosing the Respiration Lead ...............................................................................................................................................12 - 4

12.5.4 Setting the Resp Waveform Size ............................................................................................................................................12 - 5

12.5.5 Setting the Resp Waveform Speed ........................................................................................................................................12 - 5

12.5.6 Setting the Auto Detection Switch ........................................................................................................................................12 - 5

12.5.7 Adjusting the Resp Waveform Detection Threshold ...................................................................................................... 12 - 5

12.6 Resp Troubleshooting ..............................................................................................................................................................................12 - 5

13 Monitoring Pulse Oxygen Saturation (SpO2) ..............................................................................................................13 - 1

13.1 SpO

13.2 SpO

Introduction ...................................................................................................................................................................................... 13 - 2

Safety Information .........................................................................................................................................................................13 - 3

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13.3 SpO2 Measurement Limitations ........................................................................................................................................................... 13 - 3

13.4 SpO2 Display ................................................................................................................................................................................................ 13 - 4

13.5 Preparinging for SpO

13.6 Changing the SpO

Monitoring ...................................................................................................................................................... 13 - 4

Settings .................................................................................................................................................................. 13 - 5

13.6.1 Changing the SpO2 Alarm Settings ...................................................................................................................................... 13 - 5

13.6.2 Nellcor Sat-Seconds Alarm Management ........................................................................................................................... 13 - 5

13.6.3 Setting the Nellcor SpO2 Sat-Seconds ................................................................................................................................. 13 - 6

13.6.4 Changing Averaging Time ....................................................................................................................................................... 13 - 6

13.6.5 Monitoring SpO

and NIBP Simultaneously ......................................................................................................................13 - 6

13.6.6 Changing the Sweep Speed of the Pleth Wave ................................................................................................................ 13 - 7

13.6.7 Setting the Alarm Priority for SpO

Sensor Off Alarm .................................................................................................... 13 - 7

13.6.8 Setting the SpO2 Tone Mode .................................................................................................................................................. 13 - 7

13.7 Changing the PR Settings ....................................................................................................................................................................... 13 - 7

13.7.1 Changing the PR Alarm Settings ............................................................................................................................................ 13 - 7

13.7.2 Changing the QRS Volume ...................................................................................................................................................... 13 - 7

13.7.3 Setting the PR Source ................................................................................................................................................................ 13 - 8

13.8 SpO

Troubleshooting ............................................................................................................................................................................. 13 - 8

13.9 Nellcor Information .................................................................................................................................................................................. 13 - 9

14 Monitoring Temperature (Temp) ..................................................................................................................................14 - 1

14.1 Temperature Introduction ..................................................................................................................................................................... 14 - 2

14.2 Temperature Display ................................................................................................................................................................................ 14 - 2

14.3 Preparing for Temperature Monitoring ............................................................................................................................................. 14 - 3

14.4 Changing Temperature Settings .......................................................................................................................................................... 14 - 3

14.4.1 Setting the Temperature Alarm Properties ........................................................................................................................ 14 - 3

14.4.2 Setting the Temperature Unit ................................................................................................................................................. 14 - 3

14.5 Temperature Troubleshooting ............................................................................................................................................................. 14 - 3

15 Monitoring Noninvasive Blood Pressure (NIBP) .........................................................................................................15 - 1

15.1 NIBP Introduction ...................................................................................................................................................................................... 15 - 2

15.2 NIBP Safety Information .......................................................................................................................................................................... 15 - 2

15.3 NIBP Measurement Limitations ............................................................................................................................................................ 15 - 3

15.4 Measurement Modes ............................................................................................................................................................................... 15 - 3

15.5 NIBP Display ................................................................................................................................................................................................. 15 - 4

15.6 Preparing for NIBP Measurements ...................................................................................................................................................... 15 - 4

15.6.1 Preparing the Patient for NIBP Measurements ................................................................................................................. 15 - 4

15.6.2 Placing the NIBP Cuff ................................................................................................................................................................. 15 - 5

15.7 Starting and Stopping NIBP Measurements .................................................................................................................................... 15 - 5

15.8 Changing NIBP Settings .......................................................................................................................................................................... 15 - 6

15.8.1 Setting the NIBP Alarm Properties ........................................................................................................................................ 15 - 6

15.8.2 Setting the Initial Cuff Inflation Pressure ............................................................................................................................ 15 - 6

15.8.3 Setting the NIBP Interval ........................................................................................................................................................... 15 - 6

15.8.4 Selecting NIBP Start Mode ....................................................................................................................................................... 15 - 6

15.8.5 Enabling the NIBP End Tone .................................................................................................................................................... 15 - 7

15.8.6 Setting NIBP Measurement Timeout .................................................................................................................................... 15 - 7

15.8.7 Displaying the NIBP List ............................................................................................................................................................ 15 - 7

15.8.8 Correcting the NIBP Measurements ..................................................................................................................................... 15 - 7

15.9 Assisting Venous Puncture ..................................................................................................................................................................... 15 - 7

15.10 NIBP Maintenance ................................................................................................................................................................................... 15 - 8

15.10.1 NIBP Leakage Test ..................................................................................................................................................................... 15 - 8

15.10.2 NIBP Accuracy Test ................................................................................................................................................................... 15 - 8

15.11 NIBP Troubleshooting ........................................................................................................................................................................... 15 - 8

16 Monitoring Invasive Blood Pressure (IBP) ...................................................................................................................16 - 1

16.1 IBP Introduction ......................................................................................................................................................................................... 16 - 2

16.2 IBP Safety Information ............................................................................................................................................................................. 16 - 2

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16.3 Preparing for IBP Monitoring ................................................................................................................................................................. 16 - 3

16.3.1 IBP Equipment to Patient Connection .................................................................................................................................16 - 3

16.3.2 Measuring an Invasive Blood Pressure .................................................................................................................................16 - 3

16.3.3 Zeroing the IBP transducer .......................................................................................................................................................16 - 4

16.4 IBP Display .................................................................................................................................................................................................... 16 - 4

16.5 Changing IBP Settings .............................................................................................................................................................................. 16 - 5

16.5.1 Changing the IBP Alarm Settings ........................................................................................................................................... 16 - 5

16.5.2 Changing the Pressure Label ................................................................................................................................................... 16 - 5

16.5.3 Setting the Pressure Type for Display ..................................................................................................................................16 - 5

16.5.4 Changing the Sensitivity ........................................................................................................................................................... 16 - 6

16.5.5 Setting the IBP Waveform .........................................................................................................................................................16 - 6

16.5.6 Enabling PPV Measurement .....................................................................................................................................................16 - 6

16.5.7 Changing the Pressure Unit .....................................................................................................................................................16 - 7

16.5.8 Overlapping IBP Waveforms ....................................................................................................................................................16 - 7

16.6 Measuring PAWP ........................................................................................................................................................................................ 16 - 8

16.6.1 PAWP Equipment to Patient Connection ...........................................................................................................................16 - 8

16.6.2 Preparing to Measure PAWP .................................................................................................................................................... 16 - 9

16.6.3 Measuring PAWP .......................................................................................................................................................................... 16 - 9

16.6.4 Setting the Waveforms of the PAWP Screen ...................................................................................................................16 - 10

16.6.5 Performing Hemodynamic Calculation .............................................................................................................................16 - 10

16.7 Connecting a Camino Device ..............................................................................................................................................................16 - 10

16.8 IBP Troubleshooting ...............................................................................................................................................................................16 - 11

17 Monitoring Cardiac Output (C.O.) ................................................................................................................................17 - 1

17.1 C.O. Introduction ........................................................................................................................................................................................ 17 - 2

17.2 C.O. Safety Information ............................................................................................................................................................................ 17 - 2

17.3 C.O. Measurement Limitations .............................................................................................................................................................. 17 - 2

17.4 C.O. Display ..................................................................................................................................................................................................17 - 3

17.5 C.O. Equipment to Patient Connection ..............................................................................................................................................17 - 3

17.6 Performing C.O. Measurement .............................................................................................................................................................17 - 4

17.6.1 Preparing for C.O. Measurement ............................................................................................................................................ 17 - 4

17.6.2 Setting C.O. Measurement .......................................................................................................................................................17 - 4

17.6.3 Performing C.O. Measurement ...............................................................................................................................................17 - 5

17.7 Changing C.O. Settings ............................................................................................................................................................................17 - 6

17.7.1 Setting C.O. Alarm Properties .................................................................................................................................................. 17 - 6

17.7.2 Setting the Temperature Unit ................................................................................................................................................. 17 - 6

17.7.3 Setting C.O. Measurement Timeout ......................................................................................................................................17 - 6

17.8 C.O. Troubleshooting ...............................................................................................................................................................................17 - 7

18 Monitoring Central Venous Oxygen Saturation (ScvO

18.1 ScvO

18.2 ScvO

18.3 ScvO

18.4 Accessing the On-screen ScvO

18.5 ScvO

18.6 Measuring ScvO

Introduction ....................................................................................................................................................................................18 - 2

Safety Information ........................................................................................................................................................................ 18 - 2

Display ..............................................................................................................................................................................................18 - 2

Guide ...............................................................................................................................................18 - 3

Equipment to Patient Connection ..........................................................................................................................................18 - 3

2 ..........................................................................................................................................................................................................................................18 - 3

) ............................................................................................18 - 1

18.7 ScvO2 Calibration ....................................................................................................................................................................................... 18 - 4

18.8 Accessing the Hemodynamics Menu .................................................................................................................................................18 - 4

18.9 Changing ScvO

18.9.1 Changing ScvO

Settings ........................................................................................................................................................................18 - 4

Alarm Settings ............................................................................................................................................. 18 - 4

18.9.2 Setting Hb/Hct .............................................................................................................................................................................. 18 - 5

18.9.3 Inputting the SaO

Value .........................................................................................................................................................18 - 5

18.9.4 Changing the Hb Unit ................................................................................................................................................................18 - 5

19 Monitoring CCO/SvO

19.1 CCO/SvO2 Introduction ............................................................................................................................................................................19 - 2

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19.2 CCO/SvO2 Safety Information ............................................................................................................................................................... 19 - 2

19.3 CCO Display .................................................................................................................................................................................................19 - 3

19.3.1 When Connected to the Vigilance II Monitor .................................................................................................................... 19 - 3

19.3.2 When connected to the Vigileo monitor ............................................................................................................................ 19 - 3

19.4 SvO

/ScvO2 Display ..................................................................................................................................................................................19 - 4

19.5 Connecting the Device ............................................................................................................................................................................ 19 - 4

19.5.1 Connecting to the Vigilance II Monitor ............................................................................................................................... 19 - 4

19.5.2 Connecting to the Vigileo Monitor ....................................................................................................................................... 19 - 6

19.6 Accessing the Hemodynamics Menu ................................................................................................................................................. 19 - 7

19.7 Changing CCO Settings ........................................................................................................................................................................... 19 - 7

19.7.1 Changing the CCO Alarm Settings ........................................................................................................................................ 19 - 7

19.7.2 Changing the SVR Unit .............................................................................................................................................................. 19 - 7

19.7.3 Setting Parameters for Display ............................................................................................................................................... 19 - 8

19.7.4 Setting the CCO Analog Output Signal ............................................................................................................................... 19 - 8

19.8 Changing SvO

19.8.1 Changing the SvO

19.8.2 Setting the SvO

19.9 CCO/SvO

/ScvO2 Settings ............................................................................................................................................................ 19 - 9

/ScvO2 Alarm Settings ......................................................................................................................... 19 - 9

/ScvO2 Analog Output Signal ................................................................................................................ 19 - 9

Troubleshooting .................................................................................................................................................................19 - 10

20 Monitoring Impedance Cardiography (ICG) ................................................................................................................20 - 1

20.1 ICG Introduction ........................................................................................................................................................................................ 20 - 2

20.2 ICG Safety Information ............................................................................................................................................................................ 20 - 2

20.3 ICG Measurement Limitations .............................................................................................................................................................. 20 - 2

20.4 ICG Parameters ........................................................................................................................................................................................... 20 - 3

20.5 ICG Display ................................................................................................................................................................................................... 20 - 4

20.6 Accessing the On-screen ICG Guide ................................................................................................................................................... 20 - 4

20.7 Preparing for ICG Monitoring ................................................................................................................................................................ 20 - 4

20.7.1 Preparing the Skin ....................................................................................................................................................................... 20 - 5

20.7.2 Placing the ICG Sensors ............................................................................................................................................................. 20 - 5

20.7.3 Connecting the ICG Patient Cable ......................................................................................................................................... 20 - 6

20.8 Changing ICG Settings ............................................................................................................................................................................. 20 - 6

20.8.1 Changing ICG Alarm Settings ................................................................................................................................................. 20 - 6

20.8.2 Changing Patient Information ................................................................................................................................................ 20 - 7

20.8.3 Changing the ICG Wave Sweep Speed ................................................................................................................................ 20 - 7

20.8.4 Selecting ICG Parameters ......................................................................................................................................................... 20 - 7

20.9 ICG Troubleshooting ................................................................................................................................................................................20 - 7

21 Monitoring Continuous Cardiac Output (CCO) ............................................................................................................21 - 1

21.1 CCO Introduction ....................................................................................................................................................................................... 21 - 2

21.2 CCO Safety Information ........................................................................................................................................................................... 21 - 2

21.3 Zeroing the IBP transducer .................................................................................................................................................................... 21 - 3

21.4 PiCCO Display ............................................................................................................................................................................................. 21 - 3

21.4.1 CCO Display ................................................................................................................................................................................... 21 - 3

21.4.2 pArt Display ................................................................................................................................................................................... 21 - 4

21.4.3 pCVP Display ................................................................................................................................................................................. 21 - 4

21.5 Accessing the On-screen CCO Guide ................................................................................................................................................. 21 - 4

21.6 CCO Equipment to Patient Connection ............................................................................................................................................ 21 - 5

21.6.1 Preparing to Monitor C.O. ........................................................................................................................................................ 21 - 5

21.6.2 Performing the CCO Settings .................................................................................................................................................. 21 - 6

21.6.3 Performing C.O. Measurement ............................................................................................................................................... 21 - 7

21.7 Accessing the Hemodynamics Menu ................................................................................................................................................. 21 - 9

21.8 Changing CCO Settings ........................................................................................................................................................................... 21 - 9

21.8.1 Changing CCO and CCI Alarm Settings ............................................................................................................................... 21 - 9

21.8.2 Setting C.O. Measurement Timeout ..................................................................................................................................... 21 - 9

21.8.3 Setting Parameters for Display ............................................................................................................................................... 21 - 9

21.9 PiCCO Troubleshooting .........................................................................................................................................................................21 - 10

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22 Monitoring Carbon Dioxide (CO2) ................................................................................................................................22 - 1

22.1 CO

22.2 CO2 Safety Information ............................................................................................................................................................................ 22 - 3

22.3 CO

22.4 CO

Measurement Limitations .............................................................................................................................................................. 22 - 3

22.5 Measuring CO2 Using Sidestream/Microstream CO2 Module ................................................................................................... 22 - 4

22.5.1 Preparing to Measure CO

Using Sidestream CO2 Module ..........................................................................................22 - 4

22.5.2 Preparing to Measure CO2 Using Microstream CO2 Module .......................................................................................22 - 6

22.5.3 Zeroing the Sidestream/Microstream CO

22.6 Measuring CO

22.6.1 Preparing to Measure CO

Using Mainstream CO2 Module ............................................................................................................................. 22 - 7

Using Mainstream CO2 Module .........................................................................................22 - 7

22.6.2 Zeroing the Mainstream CO

22.7 Changing Settings for All CO

22.7.1 Changing CO

Alarm Settings ................................................................................................................................................. 22 - 8

22.7.2 Changing the CO

22.7.3 Setting the CO

Modules ............................................................................................................................................. 22 - 8

Unit ..............................................................................................................................................................22 - 8

Waveform .......................................................................................................................................................22 - 9

sensor ....................................................................................................................................22 - 8

Module ........................................................................................................22 - 6

22.7.4 Setting the RR Source ................................................................................................................................................................. 22 - 9

22.7.5 Entering the Standby Mode ..................................................................................................................................................... 22 - 9

22.7.6 Entering the Intubation Mode ................................................................................................................................................ 22 - 9

22.8 Changing Settings for Sidestream and Microstream CO

Module) ......................................................................................... 22 - 9

22.8.1 Setting the Auto Standby ......................................................................................................................................................... 22 - 9

22.8.2 Setting Humidity Compensation .........................................................................................................................................22 - 10

22.9 Changing O

Settings (For Sidestream CO2 Module Only) .......................................................................................................22 - 10

22.9.1 Changing O2 Alarm Settings ..................................................................................................................................................22 - 10

22.9.2 Changing the O2 Unit ...............................................................................................................................................................22 - 10

22.9.3 Setting the O2 Waveform .......................................................................................................................................................22 - 10

22.10 Setting the Gas Compensation ........................................................................................................................................................22 - 11

22.11 Choosing a Time Interval for Peak-Picking ...................................................................................................................................22 - 11

22.12 Changing Barometric Pressure .........................................................................................................................................................22 - 12

22.13 Performing the Leakage Test ............................................................................................................................................................22 - 12

22.14 Replacing the Galvanic Oxygen Sensor .........................................................................................................................................22 - 12

22.15 Calibrating the Galvanic Oxygen Sensor ......................................................................................................................................22 - 13

22.16 CO

22.17 CO

Calibration .......................................................................................................................................................................................22 - 13

Troubleshooting ...........................................................................................................................................................................22 - 13

22.17.1 Troubleshooting the Sidestream/Microstream CO2 Module ..................................................................................22 - 13

22.17.2 Troubleshooting the Mainstream CO

Module ............................................................................................................22 - 14

22.18 Oridion Information ..............................................................................................................................................................................22 - 14

23 Monitoring Anesthetic ..................................................................................................................................................23 - 1

23.1 AG Introduction ..........................................................................................................................................................................................23 - 2

23.2 AG Measurement Limitations ................................................................................................................................................................ 23 - 3

23.3 AG Display ....................................................................................................................................................................................................23 - 3

23.4 AG Equipment to Patient Connection ................................................................................................................................................ 23 - 4

23.5 Preparing for AG Monitoring .................................................................................................................................................................23 - 4

23.6 MAC Values ..................................................................................................................................................................................................23 - 5

23.7 Changing AG Settings ..............................................................................................................................................................................23 - 6

23.7.1 Changing AG Alarm Settings ...................................................................................................................................................23 - 6

23.7.2 Setting the O

Compensation .................................................................................................................................................23 - 6

23.7.3 Entering the Standby Mode ..................................................................................................................................................... 23 - 6

23.7.4 Setting Auto Standby .................................................................................................................................................................23 - 7

23.7.5 Setting the AG Waveform .........................................................................................................................................................23 - 7

23.7.6 Setting the RR Source ................................................................................................................................................................. 23 - 7

23.7.7 Entering the Intubation Mode ................................................................................................................................................23 - 7

23.7.8 Changing the Gas Unit ...............................................................................................................................................................23 - 7

23.8 Changing the Anesthetic Agent ........................................................................................................................................................... 23 - 8

23.9 AG Troubleshooting ..................................................................................................................................................................................23 - 8

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24 Monitoring Respiratory Mechanics (RM) .....................................................................................................................24 - 1

24.1 RM Introduction .........................................................................................................................................................................................24 - 2

24.2 RM Safety Information ............................................................................................................................................................................. 24 - 2

24.3 RM Parameters ............................................................................................................................................................................................ 24 - 2

24.4 RM Display .................................................................................................................................................................................................... 24 - 3

24.5 RM Equipment to Patient Connection ............................................................................................................................................... 24 - 4

24.6 Preparing for RM Monitoring ................................................................................................................................................................ 24 - 4

24.7 Respiratory Loops ...................................................................................................................................................................................... 24 - 5

24.7.1 Changing the Loop Type .......................................................................................................................................................... 24 - 5

24.7.2 Saving the Loop as Reference ................................................................................................................................................. 24 - 5

24.7.3 Displaying the Reference Loop .............................................................................................................................................. 24 - 6

24.7.4 Adjusting the Loop Scale .......................................................................................................................................................... 24 - 6

24.7.5 Selecting the Parameters for Display ................................................................................................................................... 24 - 6

24.8 Changing RM Settings ............................................................................................................................................................................. 24 - 6

24.8.1 Changing RM Alarm Settings .................................................................................................................................................. 24 - 6

24.8.2 Setting the Apnea Alarm Delay .............................................................................................................................................. 24 - 6

24.8.3 Setting RR Source ........................................................................................................................................................................ 24 - 7

24.8.4 Changing the Wave Sweep Speed ........................................................................................................................................ 24 - 7

24.8.5 Changing the Wave Scale ......................................................................................................................................................... 24 - 7

24.8.6 Setting the Ambient Humidity ............................................................................................................................................... 24 - 7

24.8.7 Setting the Ambient Temperature ........................................................................................................................................ 24 - 7

24.8.8 Setting Parameters for Display ............................................................................................................................................... 24 - 7

24.8.9 Entering the Intubation Mode ................................................................................................................................................ 24 - 8

24.8.10 Setting the Barometric Pressure .......................................................................................................................................... 24 - 8

24.9 RM Troubleshooting ................................................................................................................................................................................. 24 - 8

25 Monitoring Transcutaneous Blood Gas (tcGas) ..........................................................................................................25 - 1

25.1 tcGas Introduction .................................................................................................................................................................................... 25 - 2

25.2 tcGas Safety Information ........................................................................................................................................................................ 25 - 2

25.3 Connecting a TCM Monitor .................................................................................................................................................................... 25 - 2

25.4 tcGas Parameters ....................................................................................................................................................................................... 25 - 3

25.5 tcGas Display ............................................................................................................................................................................................... 25 - 3

25.6 Changing tcGas Settings ......................................................................................................................................................................... 25 - 4

25.6.1 Activating the tcGas Alarm Sound ........................................................................................................................................ 25 - 4

25.6.2 Changing the tcpCO2/tcpO2 Unit ......................................................................................................................................... 25 - 4

26 Monitoring Electroencephalogram (EEG) ...................................................................................................................26 - 1

26.1 EEG Introduction ........................................................................................................................................................................................ 26 - 2

26.2 EEG Safety Information ............................................................................................................................................................................ 26 - 2

26.3 EEG Parameters .......................................................................................................................................................................................... 26 - 3

26.4 EEG Display .................................................................................................................................................................................................. 26 - 3

26.5 Accessing the On-screen EEG Guide .................................................................................................................................................. 26 - 4

26.6 Prepare for EEG Monitoring ................................................................................................................................................................... 26 - 4

26.6.1 EEG Equipment to Patient Connection ...............................................................................................................................26 - 4

26.6.2 Choosing an EEG Electrode Montage .................................................................................................................................. 26 - 5

26.6.3 Attaching EEG Electrodes ......................................................................................................................................................... 26 - 7

26.7 Performing EEG Sensor Check .............................................................................................................................................................. 26 - 7

26.7.1 Setting the Interval of Auto Sensor Check ......................................................................................................................... 26 - 7

26.7.2 Displaying/Hiding Impedance Value ...................................................................................................................................26 - 8

26.7.3 Manually Starting a Sensor Check ......................................................................................................................................... 26 - 8

26.7.4 Stopping Sensor Check ............................................................................................................................................................. 26 - 9

26.8 Changing EEG Settings ............................................................................................................................................................................ 26 - 9

26.8.1 Changing the EEG Scale ............................................................................................................................................................ 26 - 9

26.8.2 Changing the EEG Sweep Speed ........................................................................................................................................... 26 - 9

26.8.3 Changing the High/Low Filter ................................................................................................................................................ 26 - 9

26.8.4 Switching Off the Notch Filter ................................................................................................................................................ 26 - 9

26.8.5 Changing Displayed EEG Parameters .................................................................................................................................. 26 - 9

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26.9 Displaying the EEG Expand View .......................................................................................................................................................26 - 10

26.9.1 CSA View .......................................................................................................................................................................................26 - 10

26.9.2 DSA View .......................................................................................................................................................................................26 - 11

26.10 EEG Troubleshooting ...........................................................................................................................................................................26 - 12

27 Monitoring Bispectral Index (BIS) ................................................................................................................................27 - 1

27.1 BIS Introduction .......................................................................................................................................................................................... 27 - 2

27.2 BIS Safety Information .............................................................................................................................................................................. 27 - 2

27.3 BIS Parameters ............................................................................................................................................................................................27 - 3

27.4 BIS Display ....................................................................................................................................................................................................27 - 4

27.5 Accessing the On-screen BIS Guide .....................................................................................................................................................27 - 5

27.6 Preparing for BIS Monitoring .................................................................................................................................................................27 - 5

27.7 Changing BIS Settings ..............................................................................................................................................................................27 - 6

27.7.1 Setting BIS Alarm Properties .................................................................................................................................................... 27 - 6

27.7.2 Choosing the BIS Smoothing Rate ........................................................................................................................................27 - 6

27.7.3 Setting the Display of BIS Waveform Area ..........................................................................................................................27 - 6

27.7.4 Switching Off the Filter ..............................................................................................................................................................27 - 7

27.7.5 Setting the Displayed BIS Parameters ..................................................................................................................................27 - 7

27.8 Sensor Check ...............................................................................................................................................................................................27 - 7

27.8.1 Automatic Sensor Check ........................................................................................................................................................... 27 - 7

27.8.2 Manual Sensor Check ................................................................................................................................................................. 27 - 8

27.9 Monitoring Bilateral BIS ........................................................................................................................................................................... 27 - 9

27.9.1 Entering the BIS Expand View ................................................................................................................................................. 27 - 9

27.9.2 Selecting BIS Expand View Display ........................................................................................................................................27 - 9

27.10 Stopping BIS Monitoring ....................................................................................................................................................................27 - 10

27.11 BIS Troubleshooting .............................................................................................................................................................................27 - 10

28 Monitoring Neuromuscular Transmission (NMT) .......................................................................................................28 - 1

28.1 NMT Introduction ......................................................................................................................................................................................28 - 2

28.2 NMT Safety Information ..........................................................................................................................................................................28 - 2

28.3 Stimulation Modes ....................................................................................................................................................................................28 - 3

28.3.1 Train-Of-Four (TOF) .....................................................................................................................................................................28 - 3

28.3.2 Single Twitch (ST) ......................................................................................................................................................................... 28 - 3

28.3.3 Post-Tetanic Count (PTC) .......................................................................................................................................................... 28 - 3

28.3.4 Double Burst Stimulation (DBS) ..............................................................................................................................................28 - 4

28.4 NMT Parameters .........................................................................................................................................................................................28 - 4

28.5 NMT Display ................................................................................................................................................................................................. 28 - 4

28.6 Accessing the On-screen NMT Guide ................................................................................................................................................. 28 - 5

28.7 Preparing for NMT Monitoring ..............................................................................................................................................................28 - 5

28.7.1 NMT Equipment to Patient Connection .............................................................................................................................. 28 - 5

28.7.2 Preparing the Skin .......................................................................................................................................................................28 - 6

28.7.3 Placing the Electrodes and Sensor ........................................................................................................................................ 28 - 6

28.8 Calibrating the NMT Measurement .....................................................................................................................................................28 - 7

28.8.1 Changing the Stimulation Current ........................................................................................................................................ 28 - 7

28.8.2 Starting NMT Calibration ..........................................................................................................................................................28 - 7

28.9 Starting NMT Measurements .................................................................................................................................................................28 - 8

28.10 Stopping NMT Measurements ............................................................................................................................................................ 28 - 8

28.11 Changing NMT Measurement Settings ........................................................................................................................................... 28 - 8

28.11.1 Selecting the NMT Measurement Mode ........................................................................................................................... 28 - 8

28.11.2 Changing the Stimulation Current ......................................................................................................................................28 - 8

28.11.3 Changing the Pulse Width ..................................................................................................................................................... 28 - 8

28.11.4 Enabling Block Recovery Note .............................................................................................................................................. 28 - 9

28.11.5 Adjusting NMT Stimulation Tone Volume .................................................................................

28.12 Recalling Calibration Information .....................................................................................................................................................28 - 9

28.13 NMT Troubleshooting ............................................................................................................................................................................ 28 - 9

......................................28 - 9

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29 Monitoring NMT from TOF-Watch SX Monitor ............................................................................................................29 - 1

29.1 NMT Introduction ......................................................................................................................................................................................29 - 2

29.2 NMT Safety Information .......................................................................................................................................................................... 29 - 2

29.3 Connecting a TOF-Watch SX monitor ................................................................................................................................................ 29 - 2

29.4 NMT Parameters ......................................................................................................................................................................................... 29 - 3

29.5 NMT Display ................................................................................................................................................................................................. 29 - 3

29.6 Changing NMT Settings .......................................................................................................................................................................... 29 - 4

29.6.1 Activating the NMT Alarm Sound .......................................................................................................................................... 29 - 4

29.6.2 Viewing the Measurement Setup .......................................................................................................................................... 29 - 4

30 Monitoring Regional Oxygen Saturation (rSO

) .........................................................................................................30 - 1

30.1 rSO2 Introduction ...................................................................................................................................................................................... 30 - 2

30.2 rSO2 Safety Information .......................................................................................................................................................................... 30 - 3

30.3 rSO

30.4 rSO

Measurement Limitations ............................................................................................................................................................ 30 - 3

30.5 Accessing the On-screen rSO2 Guide ................................................................................................................................................. 30 - 4

30.6 Preparing for rSO

30.6.1 rSO

Monitoring ............................................................................................................................................................. 30 - 4

Sensor Site Selection ........................................................................................................................................................ 30 - 4

30.6.2 Preparing the Skin ....................................................................................................................................................................... 30 - 5

30.6.3 Applying the rSO

Sensor ......................................................................................................................................................... 30 - 5

30.6.4 Connecting the rSO2 Parts ....................................................................................................................................................... 30 - 6

30.7 Changing rSO2 Settings .......................................................................................................................................................................... 30 - 6

30.7.1 Changing rSO

Alarm Settings ............................................................................................................................................... 30 - 6

30.7.2 Setting the rSO2 Auto Low Limit ............................................................................................................................................ 30 - 6

30.7.3 Setting the rSO

Label ............................................................................................................................................................... 30 - 7

30.7.4 Setting the AUC Mode ............................................................................................................................................................... 30 - 7

30.7.5 Setting the Baseline .................................................................................................................................................................... 30 - 7

30.7.6 Selecting rSO

Parameters for Display ................................................................................................................................. 30 - 7

31 Reviewing Trends ..........................................................................................................................................................31 - 1

31.1 Overview ....................................................................................................................................................................................................... 31 - 2

31.2 Review Window .......................................................................................................................................................................................... 31 - 2

31.2.1 Entering the Review Window .................................................................................................................................................. 31 - 2

31.2.2 Sample Review Page .................................................................................................................................................................. 31 - 2

31.2.3 Tabular Trends Review Page ................................................................................................................................................... 31 - 3

31.2.4 Graphics Trends Review Page ................................................................................................................................................. 31 - 5

31.2.5 Events Review Page .................................................................................................................................................................... 31 - 6

31.2.6 Full Disclosure Review Page .................................................................................................................................................... 31 - 7

31.2.7 OxyCRG Review Page ................................................................................................................................................................. 31 - 8

31.2.8 12-Lead ECG Review Page ........................................................................................................................................................ 31 - 9

31.2.9 ST Review Page ..........................................................................................................................................................................31 - 10

31.2.10 Common Operations .............................................................................................................................................................31 - 11

31.3 Minitrends Window ................................................................................................................................................................................31 - 12

31.3.1 Entering the Minitrends Window ........................................................................................................................................31 - 12

31.3.2 Setting Parameters ...................................................................................................................................................................31 - 12

31.3.3 Setting the Minitrend Length ...............................................................................................................................................31 - 12

31.3.4 Exiting the Minitrends Window ............................................................................................................................................31 - 12

31.4 OxyCRG Window ...................................................................................................................................................................................... 31 - 13

31.4.1 Entering the OxyCRG Window ..............................................................................................................................................31 - 13

31.4.2 Setting Parameters ...................................................................................................................................................................31 - 13

31.4.3 Setting Scales ..............................................................................................................................................................................31 - 13

31.4.4 Setting the Resolution of Trend Curves and Compressed Waveform ....................................................................31 - 13

31.4.5 Entering the OxyCRG Review Page ..................................................................................................................................... 31 - 13

32 Hemodynamics ..............................................................................................................................................................32 - 1

32.1 Hemodynamics Introduction ................................................................................................................................................................ 32 - 2

32.2 Hemodynamic Parameters ..................................................................................................................................................................... 32 - 2

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32.2.1 Hemodynamic Parameters from PiCCO module and ScvO2 module ....................................................................... 32 - 2

32.2.2 Hemodynamic Parameters from CCO/SvO

module ...................................................................................................... 32 - 3

32.3 Viewing Hemodynamic Parameters ....................................................................................................................................................32 - 4

32.4 Following Up the Patient Hemodynamic Status ............................................................................................................................ 32 - 4

32.5 Evaluating the Hemodynamic Parameters ....................................................................................................................................... 32 - 5

32.5.1 Spider Vision Diagram ................................................................................................................................................................32 - 5

32.5.2 Viewing Hemodynamic Events ............................................................................................................................................... 32 - 6

32.5.3 Selecting the Spider Vision Pattern ....................................................................................................................................... 32 - 6

32.5.4 Saving Reference Values ...........................................................................................................................................................32 - 6

32.6 Changing Hemodynamic Parameter Settings .................................................................................................................................32 - 7

32.6.1 Setting Hemodynamic Parameter Ranges .........................................................................................................................32 - 7

32.6.2 Restoring Default Values ........................................................................................................................................................... 32 - 7

32.6.3 Setting the Spider Vision Pattern ........................................................................................................................................... 32 - 7

33 Calculation .....................................................................................................................................................................33 - 1

33.1 Calculation Overview ................................................................................................................................................................................33 - 2

33.2 Calculation Safety Information .............................................................................................................................................................33 - 2

33.3 Drug Calculations .......................................................................................................................................................................................33 - 2

33.3.1 Performing Drug Calculations .................................................................................................................................................33 - 2

33.3.2 Checking the Titration Table ...................................................................................................................................................33 - 3

33.3.3 Calculation Formula .................................................................................................................................................................... 33 - 3

33.4 Hemodynamic Calculations ................................................................................................................................................................... 33 - 4

33.4.1 Performing Hemodynamic Calculations ............................................................................................................................. 33 - 4

33.4.2 Input Parameters for Hemodynamic Calculations ........................................................................................................... 33 - 4

33.4.3 Calculated Parameters and Formulas for Hemodynamic Calculations .................................................................... 33 - 5

33.5 Oxygenation Calculations ....................................................................................................................................................................... 33 - 6

33.5.1 Performing Oxygenation Calculations ................................................................................................................................. 33 - 6

33.5.2 Input Parameters for Oxygenation Calculations ..............................................................................................................33 - 6

33.5.3 Calculated Parameters and Formulas for Oxygenation Calculations .......................................................................33 - 7

33.6 Ventilation Calculations ........................................................................................................................................................................... 33 - 7

33.6.1 Performing Ventilation Calculations ..................................................................................................................................... 33 - 7

33.6.2 Input Parameters for Ventilation Calculations .................................................................................................................. 33 - 8

33.6.3 Calculated Parameters and Formulas for Ventilation Calculations ...........................................................................33 - 8

33.7 Renal Calculations ......................................................................................................................................................................................33 - 9

33.7.1 Performing Renal Calculations ................................................................................................................................................33 - 9

33.7.2 Calculated Parameters and Formulas for Renal Calculations ...................................................................................... 33 - 9

33.7.3 Calculated Parameters and Formulas for Renal Calculations ....................................................................................33 - 10

34 Recording .......................................................................................................................................................................34 - 1

34.1 Recorder ........................................................................................................................................................................................................ 34 - 2

34.2 Starting Recordings ................................................................................................................................................................................... 34 - 2

34.2.1 Starting Recordings Manually ................................................................................................................................................. 34 - 2

34.2.2 Starting Recordings Automatically .......................................................................................................................................34 - 2

34.3 Stopping Recordings ................................................................................................................................................................................ 34 - 3

34.3.1 Stopping Recordings Manually ..............................................................................................................................................34 - 3

34.3.2 Stopping Recordings Automatically .....................................................................................................................................34 - 3

34.4 Recording Flags .......................................................................................................................................................................................... 34 - 3

34.5 Setting the Recorder ................................................................................................................................................................................. 34 - 3

34.6 Clearing Recording Tasks ........................................................................................................................................................................34 - 3

34.7 Loading Paper ............................................................................................................................................................................................. 34 - 4

34.8 Removing Paper Jam ................................................................................................................................................................................34 - 4

35 Printing ..........................................................................................................................................................................35 - 1

35.1 Printer ............................................................................................................................................................................................................. 35 - 2

35.2 Setting a Printer .......................................................................................................................................................................................... 35 - 2

35.3 Setting Patient Information on a Printout ........................................................................................................................................35 - 2

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35.3.1 Setting Patient Information on ECG Report Printouts ................................................................................................... 35 - 2

35.3.2 Setting Patient Information on Other Report Printouts ................................................................................................ 35 - 3

35.4 Starting Report Printouts ........................................................................................................................................................................ 35 - 3

35.4.1 Starting Report Printouts Manually ...................................................................................................................................... 35 - 3

35.4.2 Starting Report Printouts Automatically ............................................................................................................................. 35 - 3

35.5 Stopping Report Printouts ..................................................................................................................................................................... 35 - 3

35.6 Setting Reports ........................................................................................................................................................................................... 35 - 3

35.6.1 Setting ECG Reports ................................................................................................................................................................... 35 - 3

35.6.2 Setting Graphic Trends Reports ............................................................................................................................................. 35 - 4

35.6.3 Setting Tabular Trends Reports .............................................................................................................................................. 35 - 5

35.6.4 Setting Realtime Reports .......................................................................................................................................................... 35 - 6

35.7 Setting End Case Reports ........................................................................................................................................................................ 35 - 6

35.8 Viewing Printer Statuses .........................................................................................................................................................................35 - 6

35.9 Printer Out of Paper .................................................................................................................................................................................. 35 - 6

36 Battery ............................................................................................................................................................................36 - 1

36.1 Battery Introduction ................................................................................................................................................................................. 36 - 2

36.2 Battery Safety Information ..................................................................................................................................................................... 36 - 2

36.3 Installing the Battery ................................................................................................................................................................................ 36 - 2

36.4 Battery Indications .................................................................................................................................................................................... 36 - 3

36.4.1 Battery LED .................................................................................................................................................................................... 36 - 3

36.4.2 Battery Power Indicators ........................................................................................................................................................... 36 - 3

36.4.3 Battery-related Alarms ............................................................................................................................................................... 36 - 3

36.4.4 Checking the Battery Information ......................................................................................................................................... 36 - 3

36.5 Charging the Battery ................................................................................................................................................................................ 36 - 4

36.6 Maintaining the Battery .......................................................................................................................................................................... 36 - 4

36.6.1 Conditioning the Battery .......................................................................................................................................................... 36 - 4

36.6.2 Checking Battery Performance ............................................................................................................................................... 36 - 4

36.7 Storing Batteries ......................................................................................................................................................................................... 36 - 5

36.8 Recycling Batteries .................................................................................................................................................................................... 36 - 5

37 Care and Cleaning .........................................................................................................................................................37 - 1

37.1 Care and Cleaning Introduction ........................................................................................................................................................... 37 - 2

37.2 Care and Cleaning Safety Information ............................................................................................................................................... 37 - 2

37.3 Recommended Cleaning Agents ......................................................................................................................................................... 37 - 2

37.4 General Cleaning Methods .................................................................................................................................................................... 37 - 3

37.5 Disinfection .................................................................................................................................................................................................. 37 - 3

37.6 Sterilization .................................................................................................................................................................................................. 37 - 3

37.7 Cleaning the Thermal Print Head ........................................................................................................................................................ 37 - 4

37.8 Cleaning, Disinfecting and Sterilizing Monitoring Accessories ................................................................................................ 37 - 4

37.9 Impact of Improper Cleaning ................................................................................................................................................................ 37 - 4

38 Maintenance ..................................................................................................................................................................38 - 1

38.1 Maintenance Introduction ..................................................................................................................................................................... 38 - 2

38.2 Maintenance Safety Information ......................................................................................................................................................... 38 - 2

38.3 Maintenance and Testing Schedule ................................................................................................................................................... 38 - 2

38.4 Checking Version Information .............................................................................................................................................................. 38 - 3

38.5 Testing Methods and Procedures ........................................................................................................................................................ 38 - 3

38.5.1 Performing Visual Inspection .................................................................................................................................................. 38 - 4

38.5.2 Performing Power-on Test ....................................................................................................................................................... 38 - 4

38.5.3 Checking the NMT Sensor ........................................................................................................................................................ 38 - 4

38.5.4 Calibrating the Touchscreen ................................................................................................................................................... 38 - 4

38.5.5 Testing the Recorder ...................................................................................................

38.5.6 Testing the Network Printer ................................................................................................................................................... 38 - 5

38.5.7 Checking the Battery .................................................................................................................................................................. 38 - 5

38.6 Disposing of the Monitor ........................................................................................................................................................................ 38 - 5

............................................................... 38 - 4

14 BeneVision N22/N19 Patient Monitor Operator’s Manual

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39 Accessories .....................................................................................................................................................................39 - 1

39.1 ECG Accessories .......................................................................................................................................................................................... 39 - 2

39.1.1 ECG Electrodes ............................................................................................................................................................................. 39 - 2

39.1.2 12-Pin Trunk Cables ....................................................................................................................................................................39 - 2

39.1.3 3-lead ECG Leadwires .................................................................................................................................................................39 - 3

39.1.4 5-lead ECG Leadwires .................................................................................................................................................................39 - 3

39.1.5 6-lead ECG Leadwires .................................................................................................................................................................39 - 4

39.1.6 12-lead ECG Leadwires ..............................................................................................................................................................39 - 4

39.2 SpO

Accessories ........................................................................................................................................................................................ 39 - 5

39.2.1 Extension Cables .......................................................................................................................................................................... 39 - 5

39.2.2 Mindray SpO2 Sensors ...............................................................................................................................................................39 - 5

39.2.3 Nellcor SpO2 Sensors ..................................................................................................................................................................39 - 6

39.3 Temp Accessories .....................................................................................................................................................................................39 - 6

39.3.1 Temp Cable .................................................................................................................................................................................... 39 - 6

39.3.2 Temp Probes .................................................................................................................................................................................. 39 - 6

39.4 NIBP Accessories ........................................................................................................................................................................................39 - 7

39.4.1 NIBP Hoses .................................................................................................................................................................................... 39 - 7

39.4.2 Cuffs ..................................................................................................................................................................................................39 - 7

39.5 IBP Accessories ............................................................................................................................................................................................39 - 8

39.6 C.O. Accessories ..........................................................................................................................................................................................39 - 9

39.7 ScvO

39.8 PiCCO Accessories .....................................................................................................................................................................................39 - 9

39.9 ICG Accessories ...........................................................................................................................................................................................39 - 9

39.10 CO

39.10.1 Sidestream CO2 Accessories ................................................................................................................................................39 - 10

39.10.2 Microstream CO2 Accessories .............................................................................................................................................39 - 10

39.10.3 Mainstream CO2 Accessories ...............................................................................................................................................39 - 11

39.11 AG Accessories .......................................................................................................................................................................................39 - 11

39.12 RM Accessories .......................................................................................................................................................................................39 - 11

39.13 EEG Accessories ......................................................................................................................................................................................39 - 12

39.14 BIS Accessories .......................................................................................................................................................................................39 - 12

39.15 NMT Accessories (For Mindray NMT Module) .............................................................................................................................39 - 12

39.16 rSO

Accessories ....................................................................................................................................................................................39 - 12

39.17 BeneLink Accessories ...........................................................................................................................................................................39 - 13

39.18 Mount and Mounting Accessories ..................................................................................................................................................39 - 13

39.19 Miscellaneous Accessories .................................................................................................................................................................39 - 13

A Product Specifications ......................................................................................................................................................A - 1

A.1 Monitor Safety Specifications .................................................................................................................................................................... A - 2

A.2 Physical Specifications .................................................................................................................................................................................A - 2

A.3 Environmental Specifications .................................................................................................................................................................... A - 3

A.4 Power Supply Specifications ...................................................................................................................................................................... A - 5

A.4.1 External Power Supply Specifications ...................................................................................................................................... A - 5

A.4.2 Battery Specifications .....................................................................................................................................................................A - 5

A.5 Display Specifications ...................................................................................................................................................................................A - 5

A.6 Recorder Specifications ...............................................................................................................................................................................A - 5

A.7 LEDs ....................................................................................................................................................................................................................A - 6

A.8 Audio Indicator ............................................................................................................................................................................................... A - 6

A.9 Monitor Interface Specifications ..............................................................................................................................................................A - 6

A.9.1 Interface Specifications of the Main Unit ................................................................................................................................A - 6

A.9.2 Interface Specifications of the Separate Primary Display .................................................................................................. A - 6

A.9.3 Interface Specifications of the Combined Primary Display ..............................................................................................A - 6

A.9.4 Interface Specifications of the Secondary Display ............................................................................................................... A - 6

A.10 Signal Outputs Specifications ................................................................................................................................................................. A - 7

A.11 Data Storage .................................................................................................................................................................................................. A - 7

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A.12 Wi-Fi Specifications .................................................................................................................................................................................... A - 8

A.12.1 Wi-Fi Technical Specifications .................................................................................................................................................. A - 8

A.12.2 Wi-Fi Performance Specifications ........................................................................................................................................... A - 8

A.13 MPAN Specifications .................................................................................................................................................................................. A - 9

A.13.1 MPAN Technical Specifications ................................................................................................................................................ A - 9

A.13.2 MPAN Performance Specifications .......................................................................................................................................A - 10

A.14 Measurement Specifications .................................................................................................................................................................A - 10

A.14.1 ECG Specifications ...................................................................................................................................................................... A - 10

A.14.2 Resp Specifications ..................................................................................................................................................................... A - 13

A.14.3 SpO

Specifications ....................................................................................................................................................................A - 14

A.14.4 PR Specifications ......................................................................................................................................................................... A - 15

A.14.5 Temp Specifications ................................................................................................................................................................... A - 16

A.14.6 NIBP Specifications ..................................................................................................................................................................... A - 16

A.14.7 IBP Specifications ........................................................................................................................................................................A - 18

A.14.8 C.O. Specifications ......................................................................................................................................................................A - 18

A.14.9 ScvO

/SvO2 Specifications .......................................................................................................................................................A - 19

A.14.10 CCO Specifications ...................................................................................................................................................................A - 20

A.14.11 CCO Specifications (From PiCCO Module) ......................................................................................................................A - 22

A.14.12 ScvO

Specifications ................................................................................................................................................................ A - 22

A.14.13 ICG Specifications .....................................................................................................................................................................A - 23

A.14.14 CO

Specifications .................................................................................................................................................................... A - 23

A.14.15 tcGas Specifications .................................................................................................................................................................A - 26

A.14.16 AG Specifications ......................................................................................................................................................................A - 26

A.14.17 RM Specifications .....................................................................................................................................................................A - 30

A.14.18 EEG Specifications .................................................................................................................................................................... A - 32

A.14.19 BIS Specifications ...................................................................................................................................................................... A - 32

A.14.20 NMT Specifications (NMT from Mindray NMT module) .............................................................................................. A - 33

A.14.21 NMT Specifications (From TOF-Watch SX Monitor) ..................................................................................................... A - 33

A.14.22 rSO

Specifications ...................................................................................................................................................................A - 34

B EMC and Radio Regulatory Compliance ..........................................................................................................................B - 1

B.1 EMC ......................................................................................................................................................................................................................B - 2

B.2 Radio Regulatory Compliance ....................................................................................................................................................................B - 5

C Default Settings .................................................................................................................................................................C - 1

C.1 ECG, Arrhythmia, ST and QT Default Settings ......................................................................................................................................C - 2

C.1.1 ECG Default Settings .......................................................................................................................................................................C - 2

C.1.2 Arrhythmia Default Settings .........................................................................................................................................................C - 3

C.1.3 ST Default Settings ...........................................................................................................................................................................C - 4

C.1.4 QT Default Settings ..........................................................................................................................................................................C - 5

C.1.5 Glasgow 12-lead ECG Algorithm Default Settings ...............................................................................................................C - 5

C.2 Respiration Default Settings .......................................................................................................................................................................C - 5

C.3 SpO

/SpO2b Default Settings ....................................................................................................................................................................C - 6

C.4 Temperature Default Settings ....................................................................................................................................................................C - 7

C.5 NIBP Default Settings ....................................................................................................................................................................................C - 7

C.6 IBP Default Settings .......................................................................................................................................................................................C - 9

C.7 C.O. Default Settings ................................................................................................................................................................................... C - 11

C.8 ScvO

Default Settings ............................................................................................................................................................................... C - 11

C.9 CCO Default Settings (PiCCO) .................................................................................................................................................................C - 12

C.10 ICG Default Setting ................................................................................................................................................................................... C - 12

C.11 CCO Default Settings(Vigilance/Vigileo) ........................................................................................................................................... C - 13

C.12 ScvO C.13 CO

/SvO2 Default Settings(Vigilance/Vigileo) ............................................................................................................................ C - 13

Default Settings ................................................................................................................................................................................C - 13

C.13.1 General Settings ..........................................................................................................................................................................C - 13

C.13.2 Sidestream CO2 Default Settings .......................................................................................................................................... C - 14

C.13.3 Microstream CO2 Default Settings ....................................................................................................................................... C - 14

C.13.4 Mainstream CO2 Default Settings .........................................................................................................................................C - 14

C.14 Gas Default Settings .................................................................................................................................................................................C - 15

C.15 RM Default Settings ..................................................................................................................................................................................C - 17

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C.16 EEG Default Settings .................................................................................................................................................................................C - 18

C.17 BIS Default Settings ...................................................................................................................................................................................C - 18

C.18 NMT Default Settings ...............................................................................................................................................................................C - 19

C.19 rSO

Default Settings ...............................................................................................................................................................................C - 19

C.20 Alarm Default Settings .............................................................................................................................................................................C - 20

D Alarm Messages ............................................................................................................................................................... D - 1

D.1 Physiological Alarm Messages ..................................................................................................................................................................D - 2

D.1.1 General Physiological Alarm Messages ...................................................................................................................................D - 2

D.1.2 Arrhythmia Alarm Messages .......................................................................................................................................................D - 2

D.1.3 Resp Physiological Alarm Messages .........................................................................................................................................D - 3

D.1.4 SpO

Physiological Alarm Messages .........................................................................................................................................D - 3

D.1.5 CO2 Physiological Alarm Messages ...........................................................................................................................................D - 3

D.1.6 AG Physiological Alarm Messages .............................................................................................................................................D - 3

D.2 Technical Alarm Messages .........................................................................................................................................................................D - 3

D.2.1 General Technical Alarm Messages ..........................................................................................................................................D - 4

D.2.2 ECG Technical Alarm Messages ..................................................................................................................................................D - 4

D.2.3 Resp Technical Alarm Messages ................................................................................................................................................D - 4

D.2.4 SpO2 Technical Alarm Messages ................................................................................................................................................D - 4

D.2.5 Temp Technical Alarm Messages ...............................................................................................................................................D - 5

D.2.6 NIBP Technical Alarm Messages .................................................................................................................................................D - 5

D.2.7 IBP Technical Alarm Messages ....................................................................................................................................................D - 6

D.2.8 C.O. Technical Alarm Messages ..................................................................................................................................................D - 6

D.2.9 ScvO

Technical Alarm Messages ..............................................................................................................................................D - 7

D.2.10 ICG Technical Alarm Messages .................................................................................................................................................D - 7

D.2.11 CCO

Technical Alarm Messages (From PiCCO Module) ..................................................................................................D - 7

D.2.12 CO2 Technical Alarm Messages ................................................................................................................................................D - 8

D.2.13 AG Technical Alarm Messages ..................................................................................................................................................D - 9

D.2.14 RM Technical Alarm Messages .............................................................................................................................................. D - 10

D.2.15 BIS Technical Alarm Messages ............................................................................................................................................... D - 10

D.2.16 EEG Technical Alarm Messages ............................................................................................................................................. D - 11

D.2.17 NMT Technical Alarm Messages ........................................................................................................................................... D - 11

D.2.18 rSO

Technical Alarm Messages ............................................................................................................................................ D - 11

D.2.19 Battery Technical Alarm Messages ...................................................................................................................................... D - 12

D.2.20 Recorder Technical Alarm Messages ................................................................................................................................... D - 12

D.2.21 Printer Technical Alarm Messages ....................................................................................................................................... D - 13

D.2.22 Technical Alarm Messages Related to External Device ................................................................................................ D - 13

D.2.23 Technical Alarm Messages Related to Networked Monitoring ................................................................................. D - 14

D.2.24 Technical Alarm Messages Related to Telemetry Monitors and BP10 Modules .................................................D - 14

D.2.25 Other System Technical Alarm Messages .........................................................................................................................D - 15

E Electrical Safety Inspection ..............................................................................................................................................E - 1

E.1 Power Cord Plug ..............................................................................................................................................................................................E - 2

E.2 Device Enclosure and Accessories .............................................................................................................................................................E - 2

E.2.1 Visual Inspection ................................................................................................................................................................................E - 2

E.2.2 Contextual Inspection .....................................................................................................................................................................E - 2

E.3 Device Labeling ................................................................................................................................................................................................E - 3

E.4 Protective Earth Resistance ..........................................................................................................................................................................E - 3

E.5 Earth Leakage Test ..........................................................................................................................................................................................E - 3

E.6 Patient Leakage Current ...............................................................................................................................................................................E - 3

E.7 Mains on Applied Part Leakage ..................................................................................................................................................................E - 4

E.8 Patient Auxiliary Current ...............................................................................................................................................................................E - 4

F Units, Symbols and Abbreviations ...................................................................................................................................F - 1

F.1 Units .....................................................................................................................................................................................................................F - 2

F.2 Symbols ...............................................................................................................................................................................................................F - 3

F.3 Abbreviations ....................................................................................................................................................................................................F - 3

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18 BeneVision N22/N19 Patient Monitor Operator’s Manual

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1Safety

Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Equipment Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

BeneVision N22/N19 Patient Monitor Operator’s Manual 1 - 1

Page 26

1.1 Safety Information

WARNING

CAUTION

NOTE

WARNING

• Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious

injury.

• Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal

injury or product/property damage.

• Provides application tips or other useful information to ensure that you get the most from your

product.

1.1.1 Warnings

• This equipment is used for single patient at a time.

• To avoid explosion hazard, do not use the equipment in the presence of oxygen-rich atmospheres,

flammable anesthetics, or other flammable agents.

• 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.

• 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.

• To avoid risk of electric shock, the equipment must only be connected to mains power with

protective earth. If a protective earth conductor is not provided, operate it on battery power, if possible.

• Do not come into contact with the patient during defibrillation. Otherwise serious injury or death

could result.

• Do not open the equipment housings. All servicing and future upgrades must be carried out by

trained and authorized personnel.

• Do not rely exclusively on the audible alarm system for patient monitoring. Turning the 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 patient situations. Always keep the patient under close surveillance.

• The physiological data and alarm messages displayed on the equipment are for reference only and

cannot be directly used for diagnostic interpretation.

• Route, wrap and secure the cables to avoid inadvertent disconnection, stumbling and

entanglement.

• The software equipment copyright is solely owned by Mindray. No organization or individual shall

resort to modifying, copying, or exchanging it or to any other infringement on it in any form or by any means without due permission.

1 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual

Page 27

1.1.2 Cautions

CAUTION

NOTE

• Use only parts and accessories specified in this manual.

• Ensure that the equipment is supplied with continuous electric power during work. Sudden power

failure may cause data loss.

• 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.

• Always install or carry the equipment properly to avoid damage caused by drop, impact, strong

vibration or other mechanical force.

• Dry the equipment immediately in case of rain or water spray.

• Dispose of the package material as per the applicable waste control regulations. Keep it out of

children’s reach.

• At the end of its service life, the equipment, as well as 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.

1.1.3 Notes

• Put the equipment in a location where you can easily view and operate the equipment.

• The equipment use a mains plug as isolation means to the mains power. Do not locate the

equipment in a place difficult to operate the mains plug.

• The typical operator's position is in front of the monitor.

• The software was developed in compliance with IEC60601-1-4. The possibility of hazards arising

from software errors is minimized.

• This manual describes all features and options. Your equipment may not have all of them.

• Keep this manual in the vicinity of the equipment so that it can be obtained conveniently when

needed.

1.2 Equipment Symbols

Symbol Description Symbol Description

General warning sign Refer to instruction manual/booklet

Serial number Catalogue number

Date of manufacture Manufacturer

USB connector Protected against vertically falling water

drops per IEC 60529

BeneVision N22/N19 Patient Monitor Operator’s Manual 1 - 3

Page 28

Symbol Description Symbol Description

Battery indicator Direct current

Equipotentiality Alternating current

DEFIBRILLATION-PROOF TYPE CF APPLIED PAR T

Stop USB Zero key

NIBP start/stop key Calibrate key

Setup menu key Main menu key

Check sensor Graphical record

Gas outlet Input/output

Output Input

DEFIBRILLATION-PROOF TYPE BF APPLIED PA RT

Dispose of in accordance to your country’s requirements

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.

Note: The product complies with the Council Directive 2011/65/EU.

Authorised representative in the European Community

1 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual

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2 Equipment Introduction

Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Applied Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

BeneVision N22/N19 Patient Monitor Operator’s Manual 2 - 1

Page 30

2.1 Intended Use

WARNING

The BeneVision N22 and N19 patient monitors (N22, N19, or the monitor) are intended to be used for monitoring, displaying, reviewing, storing, alarming and transferring of multiple physiological parameters including ECG (3-lead, 5-lead, 6-lead, and 12-lead selectable, arrhythmia detection, ST segment analysis, QT/QTc monitoring, and heart rate (HR)), respiration (Resp), temperature (Temp), pulse oxygen saturation (SpO2), pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), cardiac output (C.O.), carbon dioxide (CO

), oxygen (O2), anesthetic gas (AG), impedance cardiograph (ICG), bispectral index (BIS), respiration

mechanics (RM), continuous cardiac output (CCO), central venous oxygen saturation (ScvO electroencephalograph (EEG), neuromuscular transmission (NMT), and regional oxygen saturation (rSO monitor also provides an interpretation of resting 12-lead ECG.

All the parameters can be monitored on single adult, pediatric, and neonatal patients with the exception of the following:

■ The ST segment analysis, BIS, RM, CCO, ScvO2 and NMT monitoring are intended for adult and pediatric

patients only.

■ C.O.monitoring is only intended for adult patients.

■ ICG monitoring is only intended for use on patients who meet the following requirements: height 122 to

229cm, weight 30 to 155kg.

This monitor is to be used in healthcare facilities by clinical professionals or under their guidance. It is not intended for helicopter transport, hospital ambulance, or home use.

). The

• This 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.

2.2 Applied Parts

The applied parts of the monitor are:

■ ECG electrode and leadwire

■ SpO

■ Tem p probe

■ NIBP cuff

■ IBP transducer

■ C.O. sensor

■ CCO sensor

■ ScvO

■ PiCCO sensor

■ ICG sensor

■ CO

■ AG sampling line, water trap, airway adapter, and mask

sensor

sampling line/nasal sampling cannula, water trap, and mask

■ RM sensor

■ EEG electrode

■ BIS sensor

■ NMT sensor and electrode

■ rSO

sensor

2 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual

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2.3 System Components

NOTE

(1) (2)

(3)

(4)

(5) (6) (7) (8) (9)

(10)

(11)

The monitor consists of the main unit, primary display, secondary displays, external modules, satellite module rack (SMR), input devices, and output devices.

• Your monitor may not include all these components. Contact your local service personnel for the

available components.

2.3.1 Main Unit

The main unit processes data from modules.

2.3.1.1 Main Unit for Combined Installation

If the main unit and the primary display are combinedly installed. It provides the following connectors:

Bottom View:

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Left View:

(12)

(1) Cable retainer

(2) AC Power input

(3) Nurse call connector (NC)

It is a BNC connector. It connects the monitor to the hospital’s nurse call system through the nurse call cable (PN: 8000-21-10361). Alarms from the monitor are sent to the nurse station through the nurse call system, if configured to do so.

(4) Satellite module rack connector (SMR1, 2, 3): connects the SMR and T1 docking station.

(5) Equipotential Grounding Terminal

When using the monitor together with other devices, connect their equipotential grounding terminals together to eliminate the potential difference between them.

(6) Video output connector (VP1): connects the secondary display.

(7) Network Connector (LAN1)

It is a standard RJ45 connector which connects the monitor to the central monitoring system (CMS) or other network devices.

(8) Network Connector (LAN 2)

Reserved for future use.

(9) Serial bus connectors (MSB1, 2, 3): connect USB devices, for example the keyboard, mouse, and barcode reader. If

independent secondary display is connected, the MSB1 connector is connected to the SBH connector at the rear of the secondary display to activate the MSB connector connecting the keyboard and mouse for the independent secondary display.

(10) Network Connector (LAN3)

It is a standard RJ45 connector which connects the iView system to the external network.

(11) Video output connector (VP2): connects the iView display.

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(12) USB connectors: available only when iView module is configured. They connects USB devices for the iView, for

(1) (2) (3)

example keyboard and mouse.

2.3.1.2 Main Unit for Separate Installation

If the main unit and the primary display are separately installed, besides the connectors described in

2.3.1.1 Main Unit for Combined Installation, the main unit also provides connectors at the rear.

(1) Video output connector (VP3): connects the VP connector on the separated primary display.

(2) Serial bus connector (MSB4): connects the serial bus hub connector (SBH) on the separated primary display.

(3) Signal input connector (SIG): connects the SIG1 connector on the separated primary display.

2.3.2 Displays

The displays are used to display system information, alarm messages, parameter numerics, waveforms, and so on. The displays integrate audible and visual alarms and provide USB connectivity. There are two display sizes available: the 22-inch display and the 19-inch display. The monitor supports a primary display, a secondary display, and a iView display.

2.3.2.1 Combined Primary Display

The primary display can be installed with or separately from the main unit, either horizontally or vertically.

The following picture shows the indicators and connectors on the primary display when it is installed with the main unit.

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(2)(3)

(1)

(5)

(4)

(5)

(4)

(6)

(3) (2)

(1)

(5)

(1) Alarm lamp:

When a physiological alarm or technical alarm occurs, this lamp lights and flashes corresponding with the alarm priority:

◆ High priority alarms: the lamp quickly flashes red.

◆ Medium priority alarms: the lamp slowly flashes yellow.

◆ Low priority alarms: the lamp lights in cyan without flashing.

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(2) Battery indicator:

MSB 2MSB 1 SBHSIG 1

12V 4.5A

SIG 1 12V 4.5A

(1) (2) (3) (4) (5)

◆ Yellow: the battery is being charged.

◆ Green: the battery is fully charged.

◆ Flashing green: the monitor operates on battery power.

◆ Off: no battery is installed, or the battery is malfunctioning, or the monitor is powered off and no AC power

is connected.

(3) AC power indicator

◆ On: when AC power is connected.

◆ Off: when AC power is not connected.

(4) Power switch

◆ Pressing this switch turns on the monitor.

◆ When the monitor is on, pressing and holding this switch turns off the monitor.

(5) Serial bus connectors (MSB): connect USB devices, for example keyboard, mouse, and barcode reader.

2.3.2.2 Separated Primary Display/Secondary Display

Besides the indicators and connectors, which are the same as those of the combined primary display, the separated primary display and the secondary display have connectors at the rear.

(1) Serial bus connector (MSB1, MSB2): connect USB devices, for example keyboard, mouse, and barcode reader.

(2) Signal input connector (SIG1): for the separate primary display, it connects the SIG connector at the rear of the

main unit; for the secondary display, it is reserved for future use.

(3) Serial bus hub connector (SBH): connects the MSB1 connector at the bottom of the main unit to activate MSB

connectors for the independent secondary display.

(4) DC-in connector: connects the DC adaptor to run the secondary display.

(5) Video output connector (VP): connects the VP1 connector at the bottom of the main unit.

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2.3.3 Satellite Module Rack (SMR)

(1)

(2) (3)

The SMR provides interface between the monitor and external modules. The SMR has eight module slots. It is connected to the main unit through the SMR connector. You can connect up to three SMRs to the monitor.

The following pictures show the indicator and connectors on the SMR.

(1) SMR status indicator: illuminates when the SMR is powered on.

(2) Monitor connector: connects the BeneView monitor.

(3) Monitor connector: connects the BeneVision monitor.

2.3.4 External Modules

The external modules are used to monitor the patient’s physiological parameters, record patient information and data, and connect external devices. The monitor provides the following modules:

■ Parameter modules: acquires and processes the patient’s data and sends the data to the main unit.

■ Recorder module: prints patient information, parameter measurements and waveforms.

■ BeneLink module: connects external devices. The monitor outputs data from external devices through the

BeneLink module.

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2.3.4.1 Available Modules

The following table lists available modules.

Module label Part Number Comments

MPM 115-024423-00 MPM-1, integrated ECG, Resp, Mindray SpO

MPM 115-024425-00 MPM-3, integrated ECG, Resp, Nellcor SpO

MPM 115-033829-00 MPM-13, integrated ECG, Resp, Mindray SpO

MPM 115-033830-00 MPM-14, integrated ECG, Resp, Nellcor SpO

SpO

115-015008-00 Mindray SpO

115-033641-00 Nellcor SpO

C.O. 115-013335-00 /

IBP 6800-30-50485 /

BIS 6800-30-50486 /

ICG 115-031389-00 Medis ICG

CCO/SvO

115-003480-00 /

PiCCO 115-007270-00 /

ScvO

115-007273-00 /

EEG 115-018152-00 /

NMT 115-018518-00 /

rSO

115-031388-00 /

6800-30-50487 Mainstream CO2, Capnostat

6800-30-50490 Microstream CO2, Oridion

115-027544-00 Sidestream CO2+O2 (paramagnetic), Mindray

115-027545-00 Sidestream CO2+O2 (oxygen sensor), Mindray

RM 115-022808-00 /

, Temp, NIBP

, Temp, NIBP, IBP

AG 115-023945-00 AG+O

AG 115-023943-00 AG+O

+BIS

AG 115-023946-00 AG+BIS

AG 115-023944-00 AG only

BeneLink 115-007276-00 /

/ 115-031386-00 Recorder

You can simultaneously use maximum three IBP modules (besides the IBP of the MPM module) and two rSO2modules. The other modules can only be used one at a time. Otherwise, the monitor will issue a module conflict prompt.

For example, if a CO

module is already loaded and then another CO2 module is inserted, the monitor will then

prompt module conflict. To solve the problem of module conflict, just remove a module.

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2.3.4.2 Example Module

(1) (2) (3)

(4)

(5)

(1)

(2)

The parameter modules have similar structure:

■ The parameter label is marked at the upper left corner.

■ Hard keys are located on the upper part.

■ Patient cable connectors are located at the lower part.

We take the MPM module as an example.

(1) Setup hard key: enters or exits the MPM setup menu.

(2) Zero hard key: enters the Zero IBP menu.

(3) Analog out connector: outputs defibrillation synchronization pulse, ECG, and IBP analog

signal.

(4) Module status indicator

◆ On: the module works properly.

◆ Flashing: the module is initializing.

◆ Off: the module is not connected or the module fails.

(5) Patient cable connectors: the MPM module incorporates multiple measurement modules,

including ECG, Resp, SpO

2.3.5 Cable Management Kit

The cable management kit is installed at the bottom of the SMR.

, NIBP, Temp, and IBP.

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2.3.6 Input Devices

The monitor allows data entry through touchscreen, keyboard, mouse, navigation knob, and barcode reader. The input devices are connected to the monitor, primary and secondary displays through the MSB connector and connected to the iView module through the USB connectors. You can use separate input devices for the primary display and secondary display.

2.3.6.1 Touchscreen

Both the primary display and the secondary display are configured with touchscreen.

2.3.6.2 Mouse

You can use Mindray specified mice, wired or wireless, to operate the monitor.

■ The primary display and the secondary display can have independant mouses.

■ When the secondary display is used as an extend dipslay, you can use one mouse to control both the

primary display and the secondary display.

2.3.6.3 Keyboard

You can use Mindray specified keyboards, wired or wireless, to operate the monitor.

(1) Handle: you can place the NIBP cuff on the handle.

(2) Cable hooks: you can put the cables and leadwires on the hooks.

■ The primary display and the secondary display can have independant keyboards.

■ When the secondary display is used as an extend dipslay, you can use one keyboard to control both the

primary display and the secondary display.

2.3.6.4 Navigation Knob

You can use the navigation knob to operate the monitor. The navigation knob is installed at the bottom of the display.

■ The primary display and the secondary display can have independant navigation knob.

■ When the secondary display is used as an extend dipslay, you can use one navigation knob to control both

the primary display and the secondary display.

There are four keys on the navigation knob:

■ Alarm Reset hard key: acknowledges the on-going alarm.

■ Alarm Pause hard key: pauses the current alarms.

■ Main Menu hard key: enters the main menu.

■ NIBP Start/Stop hard key: starts an NIBP measurement or stops the current NIBP measurement.

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2.3.6.5 Barcode Reader

You can use Mindray specified barcode reader to enter the patient’s medical record number (MRN).

2.3.7 Printing Devices

You can use the printer and/or recorder to output patient information and data.

2.3.7.1 Recorder

The monitor can be equipped with an external recorder module to output patient data, waveforms, and reports. To use the recorder, insert the recorder module into the SMR.

2.3.7.2 Printer

The printer can be connected to the monitor through the network to output patient reports.

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3 Getting Started

Equipment Preparation Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Monitor Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Setting Up the Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Turning on the Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Operation and Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Screen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Configuring Your Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12

Starting Monitoring a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13

Stop a Parameter Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13

Using the On-Screen Timers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15

Using the Secondary Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16

Setting Secondary Display Brightness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17

Turning Off the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

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3.1 Equipment Preparation Safety Information

WARNING

CAUTION

NOTE

• Use only installation accessories specified by Mindray.

• The equipment software copyright is solely owned by Mindray. No organization or individual shall

resort to modifying, copying, or exchanging it or to any other infringement on it in any form or by any means without due permission.

• Connect only approved devices to this equipment. Devices connected to the equipment must meet

the requirements of the applicable IEC standards (e.g. IEC 60950 safety standards for information technology equipment and IEC 60601-1 safety standards for medical electrical equipment). The system configuration must meet the requirements of the IEC 60601-1 medical electrical systems standard. Any personnel who connect devices to the equipment’s signal input/output port are responsible for providing evidence that the safety certification of the devices has been performed in accordance to the IEC 60601-1. If you have any questions, please contact Mindray.

• If it is not evident from the equipment specifications whether a particular combination with other

devices is hazardous, for example, due to summation of leakage currents, please consult the manufacturer or an expert in the field. A determination must be made that the proposed combination will not negatively affect the devices themselves or the patient's safety.

• If the accuracy of any value displayed on the monitor, central station, or printed on a graph strip or

report is questionable, determine the patient’s vital signs by alternative means. Verify that all equipment is working correctly.

• The equipment should be installed by authorized Mindray personnel.

• 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, verify whether the packages are intact, especially the packages of single use accessories.

In case of any damage, do not apply it to patients.

• Make sure that the equipment operating environment meets the specific requirements. Otherwise

unexpected consequences, e.g. damage to the equipment, could result.

• Observance of this manual is a prerequisite for proper product performance and correct operation

and ensures patient and operator safety.

• Put the equipment in a location where you can easily view and operate the equipment.

• Keep this manual in the vicinity of the equipment so that it can be conveniently referenced when

needed.

• Save the packing case and packaging material as they can be used if the equipment must be

reshipped.

3.2 Monitor Installation

The monitor can be installed in various ways as required.

■ Wall mount through GCX channel

■ Installed on the medical supply unit

■ Installed on the anesthesia machine

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3.3 Setting Up the Equipment

WARNING

Observance of this manual is a prerequisite for proper product performance and correct operation. It ensures patient and operator safety.

3.3.1 Connecting the AC Mains

The monitor is powered by AC power supply. Before connecting the equipment to the AC mains, check that the voltage and frequency ratings of the power line are the same as those indicated besides the AC power input.

To use the AC power source, follow this procedure:

1. Connect the female end of the power cord with the AC power input.

2. Connect the male end of the power cord with a wall AC outlet.

3. Check that the AC indicator is on.

The AC indicator is off if the AC mains is not connected. When AC mains is connected, the AC indicator is illuminated in green.

• Always use the accompanying power cord delivered with the monitor.

• Before connecting the equipment to the AC mains, check that the voltage and frequency ratings of

the power line are the same as those indicated besides the AC power input.

• Use the cable retainer to secure the power cord to prevent it from falling off.

• Use the battery if the integrity of the protective earth conductor or the protective earthing system in

the installation is in doubt.

3.3.2 Connecting the Input Devices

Connect the mouse, keyboard, navigation knob, and barcode scanner if necessary.

3.3.3 Connecting the SMR

To connect the SMR, use the SMR cable (PN: 009-005121-00 or 009-005122-00) to connect the monitor connector on the rear of SMR to the SMR connector on the main unit.

3.3.4 Connecting Modules to the SMR

To connect a module to the SMR, follow this procedure:

1. With the module properly oriented, align the module insertion guide slot with the SMR insertion guide. Push the module into the SMR until you hear a click.

2. Push the lock at the bottom of the module inwards to lock the module.

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3.3.5 Removing Modules from the SMR

CAUTION

To remove a module from the SMR, follow this procedure:

1. Pull outwards the lock at the bottom of the module to release the module.

2. Lift the latches at the bottom of the module and slide the module out of the SMR. Hold on the module to make sure it does not drop when it comes out.

• When removing modules, be careful not to drop them. Always support with one hand while pulling

out with the other.

3.4 Turning on the Monitor

Before turn on the monitor, perform the following inspections:

1. Check the monitor, SMR and modules for any mechanical damage. Make sure that all external cables, plugins and accessories are properly connected.

2. Connect the power cord to the AC power source.

To turn on the monitor, press the power switch. If you are using the secondary display, turn it on too.

3.5 Operation and Navigation

Everything you need to operate the monitor is on its screen. Almost every element on the screen is interactive. Screen elements include parameter values, waveforms, quick keys, information fields, alarms fields and menus. Often you can access the same element in different ways. For example, you can access a parameter menu by selecting corresponding numeric area or waveform area, through the Menu hard key on the parameter module, or through the Parameter Setup quick key.

3.5.1 Using the Touchscreen

You can use the touchscreen to select a screen element by pressing directly on the monitor’s screen.

To avoid misuse, you can temporarily disable the touchscreen. To do so, hold and press the Main Menu quick key for five seconds. A padlock symbol displays above the main menu quick key if the touchscreen is disabled.

The touchscreen lock period is configurable. To do so, follow this procedure:

1. Access Display in either of the following ways:

◆ Select the Screen Setup quick key → select the Display tab.

◆ Select the Main Menu quick key → from the Display column select Display

2. Set Screen Lock Duration.

The touchscreen is enabled when the preset time is reached. If you need to manually enable the touchsceen, hold and press the Main Menu quick key again.

• If the touchscreen is loose, immediately stop using the monitor and contact the service personnel.

3.5.2 Using the Mouse

You can use the mouse to select a screen element by moving the cursor on the element and then click on it.

Only the left mouse-button can be used. The right mouse-button is disabled.

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3.5.3 Using the On-Screen Keyboard

(1) (2) (3) (4) (5)

(9)

(6)

(7)

(8)

The on-screen keyboard enables you to enter information:

■ Enter the information by selecting one character after another.

■ Select the Backspace key to delete single characters or select to delete the entire entry.

■ Select the Caps Lock key to access uppercase letters.

■ Select the Enter key to confirm the entry and close the on-screen keyboard.

If a conventional keyboard is connected to the monitor, you can use it instead of or in combination with the onscreen keyboard.

3.5.4 Using the Navigation Knob

You can use the navigation knob to select a menu element by rotating the knob to highlight the element, and then press down the knob.

3.6 Screen Display

The following figure shows the normal screen:

(1)

Patient information area: displays patient information, including patient category, gender, department, room number, bed number, and so on. The displayed patient information is configurable. Selecting this area enters the

Patient Management menu. For more information, see 4.3 Managing Patient Information.

(2) The current configuration

(3) Technical alarm information area: displays prompt messages on the above; displays technical alarm messages at

the bottom.

(4) Physiological alarm information area: displays high priority physiological alarms on the above; displays medium

and low priority physiological alarms at the bottom.

(5) System status information area: displays battery status, network status, storage device status, and system time.

For more information, see 3.6.1 On-screen Symbols.

(6) Parameter waveform area: displays parameter waveforms. Select a waveform enters corresponding parameter

menu. For more information, see • ECG is always switched on. You cannot switched it off..

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(7) Parameter numerics area: displays parameter values, alarm limits, and alarm status. Selecting a parameter

numeric block enters corresponding parameter menu. For more information, see • ECG is always switched on. You cannot switched it off..

(8) Parameter numerics/waveform area: displays parameter values and waveforms.

(9) Quick key area: displays quick keys.

3.6.1 On-screen Symbols

The following table lists the on-screen symbols displayed on the system status information area:

Symbol Description Symbol Description

Adult, male Adult, female

Pediatric, male Pediatric, female

Neonate, male Neonate, female

Wireless network is connected. The solid part indicates network signal strength.

Wired network is connected. Wired network is not connected.

All the alarms are paused. Individual physiological alarms are turned off

Audible alarm tones are paused. Audible alarm tones are turned off

Alarms are acknowledged and the alarm system is reset.

The battery has low power and needs to be charged.

The battery is being charged. No battery is installed.

Wireless network is not connected.

or the monitor is in the alarm off status.

The battery works correctly. The green portion represents the remaining charge.

The battery has critically low charge and needs to be charged immediately. Otherwise, the monitor will soon automatically shut down.

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3.6.2 Menus

(1)

(2)

(3)

(4)

(5)

(6)

All menus have similar style and structure, see the figure below:

(1) Menu heading

3.6.3 Quick Keys

The monitor provides quick keys for you to quickly access some functions. The quick key area is located at the bottom of the screen. Normally the quick key area displays 14 quick keys. The Main Menu key is permanently located the right bottom, and the More key is permanently located at the left bottom. Selecting the More quick key shows more quick keys. The quick keys displayed on the screen are configurable.

3.6.3.1 Available Quick Keys

The following table shows available quick keys.

Symbol Label Function Symbol Label Func tion

Main Menu Enters the main menu. More Shows more quick keys.

(2) Submenu tabs

(3) Operation buttons

(4) Exit button: closes the current menu page.

(5) Main body area: includes menu items and options.

(6) Switch:

◆ Green: the switch is on.

◆ Gray: the switch is off.

Alarm Enters the Alarm menu. Alarm Reset Acknowledges the

ongoing alarms.

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Symbol Label Func tion Symbol Label Func tion

Audio Pause Pauses alarm tone. Alarm Pause Pauses the current alarms.

Review Enters the Review menu. Standby Enters the Standby mode.

Patient Demographics

NIBP Start/ Stop

NIBP STAT Starts a five-minutes

Zero IBP Starts IBP zero calibration. C.O. Measure

PAWP En ters the PAWP screen. Loops Enters the Loops window.

Venipuncture Enters the Venipuncture

Parameters Setup

Enters the Patient Management menu.

Starts an NIBP measurement or stops the current NIBP measurement.

continuous NIBP measurement.

window.

Enters the Parameters Setup menu.

Screen Setup Enters the Screen Setup

menu.

Stop All Stops all NIBP

measurements.

NIBP Measure Enters the NIBP Measure

menu.

Enters the C.O. window.

Start TOF Starts/stops TOF

measurement.

Remote View Enters the Remote View

window.

Measure

Manual Event Manually triggers and

saves an event.

OxyCRG Enters the OxyCRG

window.

Privacy Mode Enters the privacy mode. Night Mode Enters the night mode.

CPB Mode Enters the CPB mode. Intubation

Volume Enters the Volu me menu. Freeze Freezes waveforms.

Calculations Enters the Calculations

menu.

Minitrends Enters the Minitrends

screen.

ECG FullScreen

Mode

Load Configuration

Enters the 12-lead ECG full screen.

Enters the intubation mode.

Enters the Load Config menu.

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Symbol Label Function Symbol Label Func tion

Print Starts printing a real-time

report.

Unit Enters the Unit menu. Rotate Screen Changes the setting of

ECG Lead/Gain Enters the ECG Lead/Gain

menu to select ECG leads and waveform size.

3.6.3.2 Configuring the Displayed Quick Keys

To select the quick keys you want to display, follow this procedure:

1. Access Quick Key in either of the following ways:

◆ Select the Screen Setup quick key → the Select Quick Keys tab.

◆ Select the Main Menu quick key → from the Display column select Quick Keys.

2. Select the Current tab to configure the quick keys you want to display on the screen: From the top of this page, select a block where you want to show a certain quick key, and then select the quick key from the quick key list. For example, if you want to show the Screen Setup quick key at the first block, select the first block, and then select Screen Setup from the list.

Record Starts/Stops a recording.

screen orientation.

3. Select the More tab to configure the quick keys you want to display when the More quick key is selected.

3.7 Operating Modes

The monitor provides different operating modes. This section describes the monitoring mode and the standby mode.

3.7.1 Monitoring Mode

The monitoring mode is the most frequently used clinical mode for patient monitoring. When the monitor is turned on, it automatically enters the monitoring mode.

3.7.2 Privacy Mode

The privacy mode is a special clinical mode. In the privacy mode, the monitor does not display patient information and monitoring data. This provides controlled access to patient data and ensures confidentiality.

The privacy mode is only available when the patient admitted by the monitor is also monitored by the CMS. The monitor continues monitoring the patient, but patient data is only visible at the CMS.

3.7.2.1 Entering the Privacy Mode

To enter the privacy mode, choose either of the following ways:

■ Select the Privacy Mode quick key → select Ok.

■ Select the Main Menu quick key → from the Display column select Privacy Mode → select Ok.

The monitor has the following features after entering the privacy mode:

■ The screen turns blank.

■ Except for the low battery alarm, the monitor inactivate alarm tone and alarm light of all other alarms.

■ The monitor suppresses all system sounds, including heart beat tone, pulse tone, and prompt tone.

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WARNING

NOTE

CAUTION

• In Privacy mode, all audible alarms are suppressed and the alarm light is deactivated at the monitor.

Alarms are presented only at the CMS. Pay attention to potential risk.

• The privacy mode is not available if the Department is set to OR.

• You cannot enter the privacy mode if a low battery alarm occurs.

3.7.2.2 Exiting the Privacy Mode

The monitor automatically exit the privacy mode in any of the following situations:

■ The monitor disconnects from the CMS.

■ The low battery alarm occurs.

You can also operate the touchscreen, mouse, or keyboard to manually exit the privacy mode.

3.7.3 Night Mode

The night mode is a special clinical mode. To avoid disturbing the patient, you can use the night mode.

3.7.3.1 Entering the Night Mode

To enter the night mode, follow this procedure:

1. Select the Night Mode quick key, or select the Main Menu quick key → from the Display column select Night Mode.

2. Change the night mode settings if necessary.

3. Select Enter Night Mode.

The night mode settings are as follows by default:

■ Brightness: 1

■ Alarm Volume: 2

■ QRS Volume: 1

■ Key Volume: 0

■ NIBP End Tone: Off

■ Stop NIBP: Off

• Verify the night mode settings before entering the night mode. Pay attention to the potential risk if

the setting value is low.

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3.7.3.2 Exiting the Night Mode

NOTE

WARNING

To cancel the night mode, follow this procedure:

1. Select the Night Mode quick key, or select the Main Menu quick key → from the Display column select Exit Night Mode.

2. Select Ok.

• If you monitor is connected to the CMS, it automatically exits the night mode when being

disconnected from the CMS.

• The monitor resume the previous settings after exiting the night mode.

3.7.4 Standby Mode

You can temperately stops patient monitoring without switching off the monitor by entering the standby mode.

3.7.4.1 Entering the Standby Mode

1. Select the Standby quick key, or select the Main Menu quick key → from the Patient Management column select Standby.

2. Set Location to define where the patient is when the monitor enters the standby mode.

3. Select Ok.

The monitor behaves as follows after entering the standby mode:

■ Stops all parameter measurements.

■ Disables all the alarms and prompt messages, except for the battery low alarm.

■ Turns screen brightness to the dimmest after entering the standby mode for 30 seconds.

• Pay attention to the potential risk of placing the monitor to standby. In the standby mode, the

monitor stops all parameter measurements and disable all the alarm indications, except for the battery low alarm.

3.7.4.2 Changing the Patient Location at Standby

If you need to change the patient’s location, select Location from the Standby screen.

3.7.4.3 Exiting the Standby Mode

To exit the standby mode, choose any of the following ways:

■ Select Resume Monitor to exit the standby mode and resume monitoring the current patient.

■ Select Discharge Patient to discharge the current patient.

■ Select New Patient to exit the standby mode and admit a new patient.

If the monitor automatically enters the standby mode after a patient is discharged, choose any of the following ways to exit the standby mode:

■ Select New Patient to exit the standby mode and admit a new patient.

■ Select Pre-admit to enter the patient information for preparing to admit a new patient.

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3.8 Configuring Your Monitor

CAUTION

Configure your monitor before putting it in use.

3.8.1 Selecting the Language

To set the user interface (UI) language, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Other tab.

3. Set Language.

3.8.2 Setting the Screen Orientation

Both the primary display and the secondary display can be installed vertically or horizontally. Set the screen orientation accordingly. To do so, follow this procedure:

1. Access Display in either of the following ways:

◆ Select the Screen Setup quick key → select the Display tab.

◆ Select the Main Menu quick key → from the Display column select Display.

2. From the Primary Screen block select Screen Orientation to set the screen orientation of the primary display.

3. If you are using the secondary display, from the Secondary Screen block, select Screen Orientation to set the screen orientation of the secondary display.

◆ Portrait: if your display is vertically installed, set Screen Orientation to Portrait.

◆ Landscape: if your display is horizontally installed, set Screen Orientation to Landscape.

You can select the Rotate Screen quick key to quickly switch the screen orientation.

3.8.3 Setting the Date and Time

To set the system time, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Time.

2. Set Date and Time.

3. Set Date Format.

4. If you want to use the 12-hour mode, switch off 24 Hour Time.

5. If you want to use daylight saving time, switch on Daylight Saving Time. You can manually switch on or off the daylight saving time only when the auto daylight saving time function is disabled. For more information, see 3.8.4 Enabling Auto Daylight Saving Time for details.

If your monitor is connected to a central monitoring system (CMS) or hospital clinical system (HIS), the date and time are automatically taken from the CMS. In this case, you cannot change the date and time from your monitor.

• Changing the date and time affects the storage of trends and events and may result in loss of data.

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3.8.4 Enabling Auto Daylight Saving Time

NOTE

By default, you need to manually enable the daylight saving time. To auto start the daylight saving time, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Time tab.

3. Switch on Auto Daylight Saving Time.

4. Adjust daylight saving time settings as necessary.

• If you enable Auto Daylight Saving Time you cannot manually switch it on or off from the System

Time menu. For more information, see 3.8.3 Setting the Date and Time.

3.8.5 Adjusting the Screen Brightness

The brightness of the primary screen and secondary screen can be adjusted separately. To adjust the screen brightness, follow this procedure:

1. Access Display in either of the following ways:

◆ Select the Screen Setup quick key → select the Display tab.

◆ Select the Main Menu quick key → from the Display column select Display.

2. From the Primary Screen block, set Brightness for the primary display.

3. From the Secondary Screen block, set Brightness for the secondary display if configured.

3.8.6 Adjusting the Volume

Select the Volum e quick key to set Alarm Volume, QRS Volume, and Key Volume.

3.9 Starting Monitoring a Patient

After turning on your monitor, follow this procedure to monitor a patient:

1. Admit the patient.

2. Check patient settings. Make sure that alarm limits, patient category and paced status, and so on, are appropriate for your patient. Change them if necessary.

3. Perform desired measurements. For more information, see corresponding measurement chapters.

3.10 Stop a Parameter Measurement

To stop monitoring a parameter, follow this procedure:

1. Remove corresponding sensor from the patient.

2. Disconnect the sensor from the patient cable.

3. Disconnect the patient cable from the parameter module.

4. If you are using the disposable sensor, discard it.

3.11 General Operation

This section describes the operations that are generally used when monitoring a patient.

3.11.1 Switching On or Off a Parameter

A parameter automatically switches on when you insert its module in the SMR. The parameter is automatically switched off when you remove its module from the SMR. You can also manually switch on or off a parameter when its module is connected. To do so, follow this procedure:

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1. Access Parameters On/Off by any of the following ways:

NOTE

◆ Select the Screen Setup quick key → select the Parameters On/Off tab.

◆ Select the Main Menu quick key → turn to the second page → from the Parameters column select

Parameters On/Off.

2. Switch on or off desired parameters.

When a parameter is switched off, the monitor stops data acquisition and alarming for this measurement.

• ECG is always switched on. You cannot switched it off.

3.11.2 Displaying Parameter Numerics and Waveforms

You can configure the parameter numerics, waveforms, and their sequence displayed on the normal screen. To do so, follow this procedure:

1. Access Tile Layout in either of the following ways:

◆ Select the Screen Setup quick key → select the Tile Layout tab.

◆ Select the Main Menu quick key → from the Display column select Tile Layout.

2. Select a parameter numeric area or waveform area, and then from the popup list select an element you want to display in this area. The parameters and waveforms you did not select will not displayed.

3.11.3 Accessing Parameter Setup Menus

Each parameter has a setup menu in which you can adjust the alarm and parameter settings. You can enter a parameter setup menu by using any of the following methods:

■ Select the parameter numeric area or waveform area.

■ Press the setup hard key on the module front.

■ Select the Parameter Setup quick key, and then select the desired parameter.

■ Select the Main Menu quick key → turn to the second page → from the Parameters column select Setup

→ select the desired parameter

• In this manual, we always use the first method to enter the setup menu. But you can use any method

you prefer.

3.11.4 Choosing a Screen

The monitor enters the normal screen after it is powered on. The normal screen is most frequently used for patient monitoring. You can also select other screens. To do so, follow this procedure:

1. Access Choose screen in either of the following ways:

◆ Select the Screen Setup quick key.

◆ Select the Main Menu quick key → from the Display column select Choose screen.

2. Select the desired screen.

3.11.5 Selecting the Big Numerics Screen

The big numerics screen displays parameter numerics in big font size. The big numerics screen displays measurement values and waveforms of up to six parameters. You can configure the parameters and their layout on the big numeric screen. To do so, follow this procedure:

1. Access Choose screen in either of the following ways:

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◆ Select the Screen Setup quick key.

NOTE

◆ Select the Main Menu quick key → from the Display column select Choose screen.

2. Select Big Numerics.

3. Select a parameter numeric area or waveform area, and then from the popup list select an element you want to display in this area.

If you are using the secondary display which displays independantly, you can select parameters for the big numeric screen of the secondray display.

3.11.6 Changing Measurement Colors

You can set the color of measurement values and waveforms for each parameter. To do so, follow this procedure:

1. Select Main Menu quick key → from the Display column select Param Color.

2. Select the Current tab and set the colors of the currently monitoring measurement values and waveforms.

3. Select the All tab and set the colors of measurement values and waveforms for all parameters.

3.12 Using the On-Screen Timers

The monitor has a Timer function to notify you when a preset time period is expired. You can simultaneously display up to four timers. You can set each timer independently.

3.12.1 Displaying Timers

To display a timers, follow this procedure:

1. Access Tile Layout in either of the following ways:

◆ Select the Screen Setup quick key → select the Tile Layout tab.

◆ Select the Main Menu quick key → from the Display column select Tile Layout.

2. Click the parameter area where you want to display the timer, and then select a timer from the popup list.

3.12.2 Setting a Timer

From the timer area, select Setup to enter the Timer Setup menu, and then select Direction to define the timer type.

There are three types of timer:

■ Down: the timer counts down.

■ Up: the timer counts up.

■ System time: the timer displays the system time.

The default type of timer is countdown. For this type of timer, you can set Run Time and Reminder Volume.

For the countdown timer, a progress bar is shown with the run time. When the remaining time is 10 seconds, the monitor issues a reminder tone and the timer flashes in red, prompting you that the run time is to expire.

• You cannot change timer settings when a timer is running.

3.12.3 Controlling a Timer

The timer provides the following controls:

■ Start/Stop: starts or stops the timer.

■ Clear: clears the timer and end this timer episode.

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WARNING

• Do not use the timers to schedule critical patient-related tasks.

CAUTION

3.13 Using the Secondary Display

You can connect a secondary display to the monitor. The secondary display has the following features:

■ Runs on independent AC mains through a DC adaptor.

■ Be able to connect independent input devices.

■ Displays parameters readings and waveforms.

■ Provides visual and audible alarm indications.

To use the secondary display, turn it on before turning on the monitor. The secondary display does not support hot plug. If the secondary display is disconnected from the main unit, the primary display will present an alarm.

• If the secondary display is accidentally power-off, you need to restart the monitor.

3.13.1 Connecting the Secondary Display Power Supply

You need a power adaptor to convert the AC mains to DC so as to power the secondary display. Before connecting the power adaptor, check that the power adaptor meets the specification.

To connect the power supply, follow this procedure:

1. Connect one end of the power adaptor to the DC-IN connector on the secondary display.

2. Connect the other end of the power adaptor to the AC mains.

3. Check that the AC indicator on the secondary display is on.

• Use only Mindray specified power adaptor.

3.13.2 Changing Secondary Display Settings

You can separately set the orientation, brightness, alarm indications, and the display contents of the secondray display.

3.13.2.1 Configuring Secondary Display Screen Contents

The contents of the secondary display is configurable. To do so, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Display tab.

3. Set Screen Contents.

◆ Mirrored: The contents of the secondary display is exactly the same with the primary display. The

orientation of the secondary display is also the same with the primary display.

◆ Independent: You can separately configure the contents and layout of the primary display and

secondary display. The independent secondary display cannot share the mouse and keyboard with the primary display. Separate mouse and keyboard connected to the display‘s MSB connectors is required.

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◆ Extended: You can separately configure the contents and layout of the primary display and secondary

NOTE

WARNING

display. The extended secondary display shares the mouse and keyboard with the primary display. You cannot use separate mouse and keyboard to operate the extend secondary display.

4. If the Screen Contents is set to Extended, set Secondary Screen Location.

3.13.2.2 Enabling Secondary Display Alarm Indications

The secondary display can provide visual and audible indications. This function is disabled by default. To enable the secondary display to present alarm light and alarm sound, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Display tab.

3. Set Alarm Sound/Light to On.

3.13.2.3 Setting Secondary Display Alarm Light Brightness

The brightness of the secondary display can be set independently. To do so, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Alarm tab→ Others tab.

3. From the Alarm Light Brightness block, set Secondary Display.

3.13.2.4 Setting Secondary Display Orientation

If the secondary display is an independent display or and extend display, you can set its orientation if necessary. See 3.8.2 Setting the Screen Orientation for details.

• If the secondary display is a mirror display, its orientation is the same with the primary display and

cannot be set separately.

3.13.2.5 Setting Secondary Display Brightness.

See 3.8.5 Adjusting the Screen Brightness for details.

3.14 Using the iView System

The iView system provides a means of running clinical applications on a monitor for obtaining other patient data. The application data from the iView can show on the monitor’s display or on the iView display.

The iView is pre-installed with the Windows 7 operating system.

For more information on iView, see iView System Operator’s Manual (PN: 046-008469-00).

• Some clinical applications may show data from another patient. Be aware that some of the data on

your patient monitor display may not always be from your patient.

• Applications running on the iView cannot act as a primary alarming device and cannot be relied upon

for alarm notification. There may be no audible or visible indications apart from what is shown on the screen, and any data shown may be delayed.

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CAUTION

• Always use AC mains to run the monitor if iView is in use.

CAUTION

NOTE

• Ensure that any software you installed on the iView complies with all relevant local regulations.

3.15 Turning Off the Monitor

Before turn off the monitor, perform the following check:

1. Ensure that the monitoring of the patient has been completed.

2. Disconnect the cables and sensors from the patient.

3. Make sure to save or clear the patient monitoring data as required.

To turn off the monitor, press and hold the power switch for 3 seconds.

To completely disconnect the power supply, unplug the power cord.

• Press and hold the power switch for 15 seconds to forcibly shut down the monitor if it could not be

shut down normally. This may cause loss of patient data.

• The monitor that was switched on prior to a power loss automatically switched on when the power is

restored.

• In case of a temporary power failure, if the power is restored within 30 minutes, monitoring will

resume with all active settings unchanged; if the monitor is without power for more than 30 minutes, the monitor behaves the same as it is normally turned off.

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4 Managing Patients

Discharging a Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Admitting a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Managing Patient Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Transferring Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

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4.1 Discharging a Patient

WARNING

NOTE

Before monitoring a new patient, discharge the previous patient. After the patient is discharged, all patient data, including patient information, trend data, and physiological alarm information is be deleted from the monitor. The technical alarms is reset, and monitor settings returns to their defaults. For more information, see 5.3 Setting Default Configuration.

After a patient is discharged, the monitor automatically admit a new patient.

• Always discharge the previous patient before starting monitoring a new patient. Failure to do so can

lead to data being attributed to the wrong patient.

• Discharging a patient deletes all history data from the monitor.

4.1.1 Auto Discharging a Patient after Monitor Power Off

You can let the monitor automatically discharge after the monitor has been switched off for a period of time.

To set the time period of discharging a patient, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Patient Management tab→ select the Discharge tab.

3. Select a time for Auto Discharge When Power Off. The monitor will automatically discharge the patient when it is turned off for the designated period of time. The default is Never. That is to say the monitor will not discharge a patient no matter for how long the monitor has been switched off.

4.1.2 Manually Discharging a Patient

Manually discharge a patient using either of the following methods:

■ Select the Patient Demographics quick key → Discharge Patient.

■ Select the Main Menu quick key → from the Patient Management column select Discharge.

Select an item from the Discharge Patient menu:

■ Selecting Ok: discharges the patient and returns to the normal monitoring screen.

■ Selecting Standby, and then selecting Ok: discharges the patient and goes to the standby screen.

■ Selecting Print End Case Report, and then selecting Ok: discharges the patient and prints the end case

report.

4.2 Admitting a Patient

The monitor admits a new patient in the following situations:

■ After a patient is manually discharged, the monitor automatically admit a new patient.

■ After being switched off for the selected time period, the monitor automatically discharge the previous

patient and admit a new patient at startup.

■ If the monitor has not detected certain patient vital signs (ECG, SpO2, PR, RR, NIBP) for 30 minutes, you will

be prompted whether to start monitoring a new patient if any of the above vital signs are detected again.

■ From the standby screen, select New patient.

Always inputs patient information as soon as the patient is admitted. For more information, see 4.3.2 Editing Patient Information for details.

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WARNING

• The settings of patient category and paced status always contain a default value, regardless of

NOTE

whether the patient is admitted or not. Check if the setting is correct for your patient.

• 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.

• For non-paced patients, you must set Paced to No.

4.3 Managing Patient Information

4.3.1 Entering the Patient Management Menu

Use any of the following methods to enter the Patient Management menu:

■ Select the patient information area at the top left corner of the screen.

■ Select the Patient Demographics quick key.

■ Select the Main Menu quick key → from the Patient Management column select Demographics.

4.3.2 Editing Patient Information

Edit patient information after a patient has been admitted, or when patient information is incomplete, or when you want to change patient information:

To edit patient information, follow this procedure:

1. Enter the Patient Management menu. For more information, see 4.3.1 Entering the Patient Management Menu.

2. Edit patient information as required.

If you connect a barcode reader with your monitor, you can scan the patient’s barcode to enter the patient’s medical record number (MRN).

• The monitor will reload the configuration if you changed the patient category.

4.3.3 Loading Patient Information from the ADT Server

If the monitor is connected with the Admit-Discharge-Transfer (ADT) server through the eGateway. You can load patient information from ADT server to the monitor.

To load patient information from the ADT server, follow this procedure:

1. Enter the Find Patient menuin either of the following ways:

◆ Select the Main Menu quick key → from the Patient Management column select Find Patient.

◆ Select Find Patient from the Patient Management menu.

2. Input query criteria.

3. Select Query. Then a list pops up, including all the patients that meet the query criteria.

4. Select a patient from the patient list, and then select Import. Corresponding patient information in the monitor will be updated.

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NOTE

• You can load patient information from the ADT server only when ADT Query is enabled.

NOTE

• Loading patient information from the ADT server updates only patient information in the monitor.

The patient’s monitoring data is not changed and the patient is not discharged.

4.3.4 Changing Patient Management Settings

You can define which items can be displayed and edited from the Patient Management menu. To do so, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Patient Management tab.

3. Select the fields you want to display in the Patient Management menu.

4. If necessary, select the customized fields and input names for these fields.

If a patient has been admitted, a message Are you sure to discharge the current patient and admit a new patient? pops up. Then select Ok to clear any previous patient data. If you do not erase data from the previous patient, the new patient’s data will be saved into the data of the previous patient. The monitor makes no distinction between the old and the new patient data.

• If the monitor is connected with the CMS, the patient information items and customized fields are

loaded from the CMS.

4.3.5 Setting the Monitor Location

To set the monitor location, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Device Location tab.

3. Set monitor location to Fixed or Unfixed.

4. Input Bed No. and Room No.

◆ If Fixed is selected, the Patient Management menu only displays Bed No. and Room No., but you

cannot change them.

◆ If Unfixed is selected, you can change Bed No. and Room No. from the Patient Management menu.

• If Monitor Location is set to Unfixed, Bed No. and Room No. are cleared each time you discharge a

patient.

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4.4 Transferring Patient Data

WARNING

NOTE

You can transfer a patient with a BeneView T1 (hereafter referred to T1 ) to another monitor without re-entering the patient demographic information or changing the settings. Transferring of patient data enables you to understand the patient’s history condition. The patient data that can be transferred includes: patient demographics, trend data, alarm events and parameters alarm limits. You can also transfer patient demographic information, such as patient ID, height, weight, etc. with the MPM.

• Do not discharge a patient before the patient is successfully transferred.

• After a patient is successfully transferred, check if the patient settings (especially patient category,

paced status, alarm limits settings, and etc) on the monitor are appropriate for this patient.

• The system automatically switches on the HR alarm and lethal arrhythmia alarm after transferring

the patient data.

4.4.1 Data Storage Introduction

Familiarizing yourself with the data respectively stored in the patient monitor, T1 or MPM helps you understand the effects incurred by transferring patients with an MPM or T1.

Type of storage

Data Patient demographics

(Name, Bed No., Gender, etc.)

Trend data Yes No Yes

Calculation data

(Dose calculations, oxygenation calculations, etc.)

Event data

(Marked events, alarm events, etc.)

Settings Monitor settings

(Alarm pause, alarm volume, etc.)

Parameter settings

(Alarm limits, measurement setting, etc.)

Can be stored in the monitor?

Yes Ye s Yes

Yes N o N o

Yes N o Ye s

Yes N o N o

Yes N o Ye s

4.4.2 Setting the Data Transfer Strategy

When T1or MPMis connected to the the monitor, T1 or MPM automatically uploads the data to the monitor if the patient demographic information in the monitor are consistent with those of in T1 or MPM. However, the monitor needs a data transfer strategy if the patient demographic information in the monitor are not consistent with those of in the T1/MPM. To set the data transfer strategy, follow this procedure:

Can be transferred via MPM?

Can be transferred via T1?

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Patient Management tab → select the Transfer tab.

3. Select Data Transfer Strategy.

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◆ Always Ask: always prompts a dialog box to ask for strategy.

NOTE

◆ Continue Patient in Module: continue to use the patient data in T1/MPM. The monitor discharges

the patient, and automatically admits a new patient and copies all data from T1/MPM.

◆ Continue Patient in Monitor: continue to use the patient data in the monitor. The monitor deletes all

patient data in the T1/MPM and copies all data in the monitor to the T1/MPM.

4.4.3 Transferring Patient Data via T1

To transfer the patient data via T1, insert the T1 into the SMR.

■ If the patient demographics in the monitor are consistent with those of in the T1, the T1 automatically

uploads the data to the monitor.

■ If the patient demographics in the monitor are not consistent with those of in the T1, and Data Transfer

Strategy is set to Always Ask (for more information, see 4.4.2 Setting the Data Transfer Strategy), the

monitor prompts the Select Patient menu automatically. In this case, you need to select an operation (see the following table) according to the actual situation.

Operations Operation Description Examples of applications

Continue Patient in Monitor Continue to use the patient data in the

monitor. This deletes all patient data in the T1 and copies all data in the monitor to the T1.

Continue Patient in Module Continue to use the patient data in T1. The

monitor discharges the patient, and automatically admits a new patient and copies all data from T1.

New Patient Select this option if you will not use either

the information in the monitor or that in the T1. This deletes all data in the monitor and T1 and lets you admit a new patient on the monitor. In this case, you need to reenter the patient demographics. The monitor will restore the settings according to the patient category.

Same Patient Select this option if the patient information

in the monitor and T1 are different but you are sure that it is the same patient. This merges the patient’s trend data in the monitor and T1 and copies the settings in T1 to the monitor as well.

1. Replace T1 during patient monitoring.

2. After the patient is admitted, connect the T1.

You are monitoring a patient using T1, and you need to transfer the patient, e.g. from a ward (original monitor) to the operating room (destination monitor).

Connect the T1 before admitting a new patient. However, the monitor and/or T1 have stored the previous patient’s data and settings.

A patient monitored with the T1 is moved to another department and again moved back.

However, the patient information stored in the T1 was altered before connected to the original monitor.

• If you select Apply Module Settings, the T1 settings can be transferred to the monitor along with the

patient data. For more information, see 4.4.5 Transferring the T1 Settings.

4.4.4 Setting the Length of Data Transferred by T1

When using T1 to transfer the patient data, you can set the data transfer length. To do so, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Patient Management tab → select the Tra nsf er tab.

3. Set Data Transfer Length.

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4.4.5 Transferring the T1 Settings

When transferring the T1 data, the T1 settings can also be transferred. To to transfer T1 settings, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Patient Management tab → select the Transfer tab.

3. Select Apply Module Settings.

4.4.6 Transferring Patient Data via MPM

To transfer the patient data via MPM, insert the MPM into the SMR.

■ If the patient demographics in the monitor are consistent with those in the MPM, the MPM automatically

uploads the data to the monitor.

■ If the patient demographics in the monitor are not consistent with those in the MPM, and Data Transfer

Strategy is set to Always Ask (for more information, see 4.4.2 Setting the Data Transfer Strategy, the

monitor prompts the Select Patient menu. In this case, you need to select an operation (see the following table) according to the actual situation.

Operations Operation Description Examples of applications

Continue Patient in Monitor Continue with the patient data in the

monitor. This deletes all patient demographics in the MPM and copies the patient demographics in the monitor to the MPM.

Continue Patient in Module Continue with the patient data in MPM. The

monitor discharges the patient, and automatically admits a patient and copies patient demographics from MPM.

New Patient Select this button if none of the

information is correct. This deletes all data in the monitor and MPM and lets you admit a new patient on the monitor. In this case, you need to re-enter the patient demographics. The monitor will restore the settings according to the patient category.

1. Replace MPM during patient monitoring.

2. After the patient is admitted, connect the MPM.

A patient is monitored using MPM. You need to transfer the patient, e.g. from a ward (original monitor) to the operating room (destination monitor).

Connect the MPM before admitting a new patient. However, the monitor and/or MPM store the previous patient’s data and settings.

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5 Managing Configurations

Configuration Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Changing the Department. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Setting Default Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Saving Current Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Deleting a Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Transferring a Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Modifying Configuration Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

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5.1 Configuration Introduction

WARNING

CAUTION

When performing continuous monitoring on a patient, the clinical professional often needs to adjust the monitor’s settings according to the patient’s condition. The collection of all these settings is called a configuration. The system configuration items can be classified as: parameter configuration items, conventional configuration items, and user maintenance items. Allowing you to configure the monitor more efficiently, the monitor provides different sets of configurations to accommodate the varying patient categories and departments. You can change some settings from a certain set of configuration and then save the changed configuration as a user configuration.

The default configurations provided for your monitor are department-oriented. You can choose either from:

■ General

■ OR

■ ICU

■ NICU

■ CCU

Each department has three different sets of configurations tailored for adult, pediatric and neonatal patients.

• The configuration management function is password protected. The configuration management

tasks must be performed by clinical professionals.

5.2 Changing the Department

If the current department configuration is not the one you want to view, you can change the department by following this procedure:

1. Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok.

2. Select Change Department.

3. Select a department.

4. Select Ok.

• Changing the department will delete all current user configurations.

5.3 Setting Default Configuration

The monitor will load the pre-set default configuration in the following cases:

■ A patient is admitted.

■ A patient is discharged.

■ Patient data is cleared.

■ Patient category is changed.

To set the default configuration, follow this procedure:

1. Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok.

2. Select Select Default Config.

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3. Select Load the Latest Config or Load Specified Config.

NOTE

◆ When you select Load Specified Config, the restored configuration is subject to the patient category

(adult, pediatric or neonate). This configuration can be either factory configuration or a saved user configuration. As an example, select Default Adult Config and then select Factory Default or user configuration(s).

◆ When you select Load the Latest Config, the latest configuration is loaded when the monitor is

started or a patient is admitted.

• To identify which configuration is restored when the monitor starts, enter the main screen to check

the prompt information at the lower part of the screen.

5.4 Saving Current Settings

Current settings can be saved as a user configuration. Up to 10 user configurations can be saved.

To save current settings, follow this procedure:

1. Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok.

2. Select Save Current Settings.

3. Input the configuration name.

4. Select Ok to save current settings as a user configuration.

5.5 Deleting a Configuration

To delete a configuration, follow this procedure:

1. Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok.

2. Select Delete Configuration.

3. Select the configuration you want to delete:

◆ In the Delete Configuration menu, selecting Local tab shows the existing user configurations on the

monitor.

◆ In the Delete Configuration menu, selecting USB Drive tab shows the existing user configurations

on the USB drive.

4. Select Delete.

5. Select Ok.

5.6 Transferring a Configuration

When installing several monitors with identical user configurations, it is not necessary to set each unit separately. Use a USB drive to transfer the configuration from monitor to monitor.

5.6.1 Exporting a Configuration

To export the current monitor’s configuration, follow this procedure:

1. Connect the USB drive to the monitor’s USB port.

2. Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok.

3. Select Export Configuration.

4. Select the configurations and User Maintenance Settings to export.

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5. Select Export.

NOTE

5.6.2 Importing a Configuration

To import the configuration from the USB drive to the monitor, follow this procedure:

1. Connect the USB drive to the monitor’s USB port.

2. Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok.

3. Select Import Configuration.

4. Select the configurations and User Maintenance Settings to import.

5. Select Import.

5.6.3 Loading a Configuration

You may make changes to some settings during operation. However, these changes or the pre-selected configuration may not be appropriate for the newly admitted patient. Therefore, the monitor allows you to load a desired configuration to ensure that all the settings are appropriate for your patient.

To load a configuration, follow this procedure:

1. Select the Main Menu quick key → turn to the second page → from the Configuration column select Load.

2. Select the desired configuration.

◆ Select the configuration on this monitor in the Local page.

◆ Select the configuration on the USB drive in the USB Drive page.

3. Select Load.

• The monitor may configure some settings by default when you load a configuration of different

software version with the current configuration.

5.7 Modifying Configuration Password

To modify the configuration password, follow this procedure:

1. Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok.

2. Select Modify Password.

3. Input a new password.

4. Select Ok.

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6 Networked Monitoring

Network Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Network Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Connecting the CMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Connecting the eGateway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Using the ADT Gateway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Viewing Other Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Configuring the Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

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6.1 Network Introduction

CAUTION

You can connect the monitor to the central monitoring system (CMS), eGateway, and other monitors through wired LAN or wireless LAN.

6.2 Network Safety Information

• Wireless network designing, deploying, debugging, and maintenance should be executed by

Mindray service personnel or authorized technicians.

• Always set the wireless network according to local wireless regulations.

• Keep network authentication information, for example password, safe, protecting the network from

being accessed by unauthorized users.

• Do not connect non-medical devices to the monitor network.

• If wireless network signal is poor, there may be a risk of CMS data loss.

• RF interference may result in wireless network disconnection.

• Disconnecting from the network may result in CMS data loss and function failure. Check the patient

in case of network disconnection and solve the network problem as soon as possible.

• Ensure that the monitor IP address setting is correct. Changing the network settings may result in

network disconnection. Contact your service personnel if you have any problems on setting the IP address.

6.3 Connecting the CMS

You can connect the monitor to the BeneVision CMS through wired LAN or wireless LAN. When connected to the CMS, the system provides the following function.

■ The monitor can transmits parameter values, waveforms, alarm settings, and events to the CMS. From the

CMS, you can check the patient’s monitoring data and alarms.

■ The monitor can transmit parameter values and alarm settings getting from the connected external

devices to the CMS. From the CMS you can check the patient’s monitoring data and alarms obtaining from the connected external devices.

■ Patient information, alarm settings, and alarm status can be synchronized between the monitor and the

CMS.

■ You can start or stop NIBP measurements from the CMS.

■ In case of network disconnection, the monitor can transmit the offline data to the CMS when network is

reconnected.

For more information on the CMS, see BeneVision Central Monitoring System Operator's Manual (PN: 046- 007687-00).

6.4 Connecting the eGateway

You can connect the monitor to the eGateway through wired LAN or wireless LAN to implement interaction between the monitor and external devices. When connected to the eGateway, the system provides the following functions:

■ The monitor can transmit parameter values, waveforms, alarm settings, and events to the eGateway.

■ The monitor can transmit parameter values and alarm settings, getting from the connected external

devices to the eGateway.

■ Clock can be synchronized between the monitor and the eGateway.

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6.5 Using the ADT Gateway

NOTE

The ADT (admit-discharge-transfer) gateway is normally deployed in the eGateway. You can obtain patient information from the hospital ADT server through the ADT gateway.

To configure the ADT gateway, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Network Setup tab → ADT tab.

3. Set IP Address and Port for the ADT gateway.

ADT Query is switched on by default. You can load patient information to the monitor from the ADT server only when this function is enabled.

6.6 Viewing Other Patients

On your monitor, you can observe alarm conditions and view real time physiological data from patients on other networked monitoring devices.

A device from a remote site is called a remote device or bed, for example, a bedside monitor or a telemetry. You can simultaneously watch up to 18 remote devices and view full size screen of one device on your monitor.

• You can also view this monitor from remote devices. This monitor can be viewed by at most four

remote devices at the same time.

You can watch the remote devices in the Remote View window, or the alarm watch tiles on the main screen.

6.6.1 Remote View

In the Remote View window, you can view real time parameters and waveforms from one specific device, and watch the alarms of other monitored devices at the same time.

6.6.1.1 Entering the Remote View Window

To enter the Remote View window, choose one of the following ways:

■ Select the Remote View quick key.

■ Select the bed at the alarm watch tile on the main screen. For more information, see 6.6.2.2 Displaying the

Alarm Watch Tile on the Main Screen for configuring to display the tile on the main screen.

■ Select the Screen Setup quick key → select the Primary Display tab or Secondary Display tab (depends

on which is desirable)→ select the Choose Screen tab → select Remote View.

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6.6.1.2 About the Remote View

(2)

(3)

(1)

The following figure shows the Remote View window..

(1) Alarm watch area

■ Display all the monitored remote beds.

■ Be able to accommodate up to 18 beds.

■ Each bed displays the room number, bed number, connection status and alarm status. The

background color indicates the alarm status on the corresponding bed.

Background Color Description

Green No alarm is occurring to the bed.

Red The remote device is disconnected or a high priority alarm is occurring. The high

priority alarm currently is the highest alarm level on the bed. If the remote device is disconnected, the icon is displayed.

Yellow The medium priority alarm is occurring. The medium priority alarm currently is

the highest alarm level on the bed.

Cyan The low priority alarm is occurring. The low priority alarm currently is the highest

alarm level on the bed.

Grey The bed is in the standby mode.

(2) Main body

Display the patient’s information, alarm status and messages, waveforms, measurements, etc. of the selected bed. This bed is called main bed.

(3)

Up/down arrow

Scroll one step up or down the window to see more measurements that are not in the current view.

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6.6.1.3 Adding a Bed

NOTE

You need to add the desired remote devices, and then the alarms from these devices can be watched on your monitor. To add a remote device, follow this procedure:

1. Enter the Select Bed window. To do so, choose either of the following ways:

◆ In the Remote View window, select Select Bed. For more information, see 6.6.1.1 Entering the

Remote View Window for entering the Remote View window.

◆ Select the icon at the alarm watch tile if the tile is configured to display on the main screen.

2. In the Select Bed window, select a desired department. All the beds under this department will be listed.

3. Select a desired tile at the A-W1, A-W2 or A-W3 areas and then select a bed from the bed list. The selected bed will appear in the tile.

• The added bed is indicated by a √ check mark at the right of the bed list.

6.6.1.4 Removing a Bed

If you do not want to monitor a remote device any longer, you can remove it. To remove a remote device, follow this procedure:

1. Enter the Select Bed window. Choose either of the following ways:

◆ In the Remote View window, select Select Bed. For more information, see 6.6.1.1 Entering the

Remote View Window for entering the Remote View window.

◆ Select the icon in the alarm watch tile if the tile is configured to display on the main screen.

2. In the Select Bed window, select a bed at the A-W1, A-W2 or A-W3 areas, and then select Clear Bed. If you want remove all beds, select Clear All Beds.

6.6.1.5 Displaying the Main Bed

In the Remote View window, you can select a bed at the alarm watch area, then the main body of the Remote View window will display the real time monitoring screen of the device.

6.6.1.6 Saving a Manual Event

You can initiate a manual event by selecting Manual Event in the Remote View window.

The manual event stores in the event review of the corresponding remote device.

6.6.1.7 Resetting Alarms for Remote Devices

You can reset the alarms on the remote devices by selecting Alarm Reset in the Remote View window. This function needs to be enabled. For more information, see 9.13.4 Resetting Alarms for Remote Devices.

6.6.2 Alarm Watch

The alarm watch function provides the alarm notification by color and sound.

■ The monitor sounds the highest priority alarm tone from all the monitored remote devices.

■ The moitor displays the highest priority alarm in corresponding background color for each bed at following

areas:

◆ At the top of the Remote View. For more information, see 6.6.1.2 About the Remote View for details.

◆ On the main screen. For more information, see 6.6.2.1 About Alarm Watch Tile for details.

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6.6.2.1 About Alarm Watch Tile

(1)

(5)

(4)

(3)

(2)

The main screen can display up to three alarm watch tiles, namely A-W1, A-W2 and A-W3. Each tile can accommodate up to six beds.

The following figure shows the alarm watch tiles.

(1) Alarm watch tile label

(2)

Disconnection icon: when the remote device is disconnected, this icon displays at the tile, and the tile background color is red.

(3)

Select bed icon: select it to enter the Select Bed window.

(4)

More than one bed tile: when more than one bed is assigned to a tile, the tile displays the alarm status, connection status, etc.

(5)

One bed tile: when only one bed is assigned to a tile, the tile displays the parameter value and alarm message from this bed, etc.

The alarm watch tile is similar to alarm watch area in the Remote View. For more information, see 6.6.1.2 About the Remote View.

6.6.2.2 Displaying the Alarm Watch Tile on the Main Screen

To configure the alarm watch tile to be displayed on the monitor’s main screen, follow this procedure:

1. Select the Main Menu quick key → from the Display column select Choose Screen to enter the Screen Setup menu.

2. Select the Tile Layout tab.

3. Select the numeric area where you want to display the alarm watch tile, and then in the drop-down list, select Alarm Watch → A-W1, A-W2, or A-W3.

6.7 Configuring the Network

6.7.1 Selecting a Network Type

To select network type, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Network Type tab.

3. Set Monitor to Auto, LAN1, or WLAN according to your network type. The default is Auto, which means the monitor can automatically identify your network type.

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6.7.2 Setting the Wired Network

To set the wired network, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Network tab→LAN1 tab.

3. Select how to get the IP address.

◆ Obtain IP Address Automatically: the monitor automatically gets the IP address.

◆ Use the following Address: you need to input the IP address, Subnet mask, and Gateway.

6.7.3 Setting the Wireless Network

To set the wireless network, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Network Setup tab→WLAN.

3. Input SSID, Security, and Password.

4. Select the More WLAN to select how to get the IP address.

◆ Auto Get IP Address: the monitor automatically gets the IP address.

◆ Use the following Address: you need to input the IP address, Subnet mask, and Gateway.

The monitor supports the following security methods: WEP OFF, WEP ON, WPA PSK, WPA TKIP, WPA2 PSK, WPA2 AES, CCKM TKIP, CCKM AES, WPA PSK AES, WPA AES.

Selecting the security method as desired. You may need to set more parameters for some security methods.

6.7.4 Selecting WLAN Band and Channels

The monitor supports 2.4 G and 5 G WLAN. To select WLAN band rate and channels, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Network Setup tab→WLAN tab.

3. Select WLAN Setup from the bottom left corner of the menu.

4. Set Monitor to Auto, 5G, or 2.4G according to the band you are using. The default is Auto, which means the monitor can automatically identify the WLAN band.

5. Select Auth Server Type to set the type of authentication server.

6. Select BG Channel to set the type of B and G channels.

7. Select A Channel to set the type of A channel.

6.7.5 Managing Certifications

You can delete certifications from the monitor, or import certifications from the USB memory. To do so, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Network Setup tab→WLAN tab.

3. Select Certification Management from the bottom left corner of the menu.

◆ From the Local tab, select certifications you want to delete from the monitor, and then select Delete.

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◆ From the USB Drive tab, select certifications you want to import from the USB memory, and then

select Import.

6.7.6 Setting Multicast Parameters

Multicast helps device discovery between monitors and between monitors and CMS. Devices in the same multicast group can be mutually discovered.

To set multicast parameters, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Network Setup tab→Device Discover tab.

3. Set Multicast TTL.

4. Set Multicast Address.

6.7.7 Setting the CMS IP Address

To set CMS IP address, follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Network Setup tab→Device Discover tab.

3. Set Center Station Address.

◆ The Center Station Address is 0.0.0.0 by default. That is to say that the monitor can be admitted by

any CMS.

◆ If Center Station Address is not 0.0.0.0, the monitor can only be admitted by the specified CMS. The

monitor will send unicast presence message to that CMS. If the CMS cannot discover the monitor via multicast, it can discover the monitor via unicast.

6.7.8 Setting the Network Service Quality Level

To set the quality of service (QoS), follow this procedure:

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select the Network Setup tab→QoS tab.

3. Select QoS Level For Realtime Monitoring to set the service quality of network connection for realtime monitoring, for example parameter measurements and waveforms, alarms, and so on.

4. Select QoS Level For Others to set the service quality of network connection for non-realtime monitoring, for example history data, printing, and as on.

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7 Using with the TM80 Telemetry Monitor and

BP10 NIBP Module

Pairing Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Pairing and Unpairing Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Pairing a TM80 with the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Unpairing the TM80 and the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5

Pairing a BP10 with the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6

Unpairing the BP10 and the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

NIBP Measurement in Sequence or ABPM Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9

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7.1 Pairing Introduction

You can connect a BeneVision TM80 telemetry monitor (hereinafter called TM80) and a BP10 NIBP module (hereinafter called BP10) with the monitor to measure ECG, SpO patients.

The TM80 can be connected with the monitor either via Mindray Patient Area Network (MPAN) or Wi-Fi. The BP10 can be connected with the monitor via MPAN. The process of establishing connection between the TM80 or BP10 and the monitor is called "pairing”. When the TM80 and BP10 are paired with the monitor, you can view the measurement data from these devices on the monitor screen.

You can also pair the TM80 with the monitor at the Central Monitoring System (CMS). For details, see BeneVision Central Monitoring System Operator’s Manual (PN: 046-007687-00). This chapter only describes how to pair a TM80 with the monitor at the monitor side.

For MPAN specifications, see A.13 MPAN Specifications. For detailed information on TM80, see BeneVision

TM80 Telemetry Monitor Operator’s Manual (PN: 046-007479-00). For detailed information on BP10, see BP10 NIBP Module Operator’s Manual (PN: 046-008269-00).

7.2 Pairing and Unpairing Symbols

The following symbols may appear during and after pairing and unpairing.

Symbol Location Description

, and NIBP of ambulating adult and pediatric

■ Monitor’s Wireless Module Menu

■ ECG and SpO

the monitor screen

Monitor’s Wireless Module Menu Indicates that a TM80 or BP10 is paired with the monitor.

■ Monitor’s Wireless Module Menu

■ ECG and SpO

the monitor screen

■ Prompt message area of the TM80

ECG and SpO monitor screen

Prompt message area of the TM80 Indicates that the TM80 is not connected to the Wi-Fi access

Prompt message area of the TM80 or BP10

parameter areas on

parameter areas on the

Indicates that a TM80 or BP10 is found via MPAN or is paired with the monitor via MPAN.

Indicates that a TM80 is found via Wi-Fi or is paired with the monitor via Wi-Fi.

Indicates that the Wi-Fi connection between a TM80 and the monitor is interrupted.

point.

Indicates that the TM80 or BP10 is paired with the monitor via MPAN.

Indicates that the TM80 or BP10 is not paired with the monitor via MPAN. Or the TM80 or BP10 is not connected with the monitor after paring.

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7.3 Pairing a TM80 with the Monitor

WARNING

NOTE

A TM80 can be paired with the monitor via MPAN or via Wi-Fi. For pairing via MPAN, all data from the TM80 arrive with a minimal delay on the monitor screen. For pairing via Wi-Fi, all data from the TM80 arrive with a delay of several seconds on the monitor screen. The system automatically switches MPAN and Wi-Fi to pair the TM80 with the monitor as below:

■ When a BP10 is not paired with the monitor, the TM80 will be paired with the monitor via MPAN

preferentially.

■ When a BP10 is paired with the monitor, the TM80 can be paired with the monitor via Wi-Fi only.

■ When the TM80 is paired with the monitor via MPAN, if the monitor is paired with a BP10, the TM80 will be

paired with the monitor via Wi-Fi automatically.

7.3.1 Pairing Procedure

Before pairing, configure the wireless network at the TM80 and at the monitor. Ensure that the TM80 and the monitor are in the same Wi-Fi network.

To pair the TM80 with the monitor, follow this procedure:

1. Select the Main Menu quick key → turn to the second page → from the Parameters column select Wireless Module. The message Updating... appears, indicating that the wireless module list is being updated.

2. Select the desired TM80 under the Device Name column of the Wireless Module menu. If the desired TM80 is not displayed, select Update List.

3. Select Add on the right of the desired TM80.

4. Select Continue Patient in Monitor or Continue Patient in Telemetry.

◆ Continue Patient in Monitor: uses the patient information and parameters settings in the monitor.

These pieces of information and settings will be synchronized to the TM80.

◆ Continue Patient in Telemetry: uses the patient information and parameters settings at the TM80

and CMS. These pieces of information and settings will be synchronized to the monitor.

Upon completion of pairing, the message Connection Completed appears.

• Make sure that the desired TM80 is paired with the monitor.

• When Patient Category is set to Neo, the Wireless Module option is not available in the Parameters

column.

• When a TM80 is paired with a BP10, the TM80 will automatically disconnect with the BP10 once it is

paired with the monitor.

• If you need to change the name of TM80, see BeneVision TM80 Telemetry Monitor Operator’s Manual

(PN: 046-007479-00).

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7.3.2 System Responses after Pairing a TM80 with the Monitor

CAUTION

NOTE

This section describes system responses at the monitor and at the TM80 after pairing.

7.3.2.1 System Responses at the Monitor after Pairing a TM80 with the Monitor

Once a TM80 is paired successfully with the monitor, the monitor responds as below:

■ In the Wireless Module menu, the Add button on the right of the paired TM80 changes to Remove. The

symbol displays on the left of Remove.

■ If the monitor is configured with a multi-parameter module like MPM and T1 and the ECG and SpO

are valid, ECG and SpO and SpO

■ The system will automatically switch between MPAN or Wi-Fi to make the TM80 stay connected with the

monitor.

labels are suffixed with “-T”, indicating that measurement values come from the TM80. The or

symbol appears above measurement values as shown below.

values from the TM80 are displayed on the monitor screen preferentially. The ECG

values

• When Wi-Fi signals are weak, the monitor may have the risk of data loss. In this case, the HR value

calculated by the ECG algorithm at the monitor may have deviations.

• If the HR values displayed on the TM80 screen and on the monitor screen are inconsistent, both HR

values are reliable. HR trend, alarms, and arrhythmia are based on the HR value calculated at the monitor.

7.3.2.2 System Responses at the TM80 after Pairing a TM80 with the Monitor

Once a TM80 is paired successfully with the monitor, the TM80 responds as below:

■ If the TM80 has communicated with the CMS before pairing, it will not communicate with the CMS after

pairing. But the data measured by the TM80 will be sent to the CMS via the paired monitor. The measurement data from the TM80 will be displayed in the monitor’s patient window at the CMS.

■ If the TM80 is paired with the monitor via MPAN, the symbol will be changed to in the prompt

message area.

■ The TM80 allows you to turn on or off the screen backlight, trigger a nurse call, enter the screen lock

window or the unpair menu. But it does not allow you to change any settings.

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7.4 Unpairing the TM80 and the Monitor

NOTE

If the patient will no longer be monitored with the TM80, or only with the TM80 and no longer with the monitor, you need to end the device pairing. You can unpair the TM80 and the monitor either via the monitor or via the TM80. After unpairing, the CMS will receive data either from the monitor or from the TM80.

7.4.1 Unpairing via the Monitor

To unpair the TM80 and the monitor, follow this procedure:

1. Select the Main Menu quick key → turn to the second page → from the Parameters column select Wire- less Module.

2. Select the desired TM80 under the Device Name column of the Wireless Module menu.

3. Select Remove.

4. Select Continue Patient in Monitor or Continue Patient in Telemetry.

◆ Continue Patient in Monitor: the monitor disconnects with the TM80 and continues patient

monitoring. The monitor is connected to the CMS to continue patient monitoring. The TM80 discharges the patient. Discharged is displayed on the TM80 screen and Disconnection Completed

is displayed on the monitor screen.

◆ Continue Patient in Telemetry: the monitor disconnects with the TM80 and discharges the patient.

The TM80 is connected to the CMS to continue patient monitoring. Discharged is displayed on the monitor screen, indicating completion of unpairing.

• When a TM80 is paired with the monitor, discharging a patient from the monitor automatically

unpairs the TM80 with the monitor.

After you select Continue Patient in Monitor, if a multi-parameter module like MPM and T1 is removed from the monitor, the message Warning: Multi-parameter Module removed. Are you sure you want to enter standby mode? appears. You need to select whether to put the monitor in standby mode.

◆ Select a patient location and then select Ok. The monitor enters standby mode.

◆ Select No. The monitor does not enter standby mode and continues patient monitoring.

7.4.2 Unpairing via the TM80

To unpair the TM80 and the monitor, follow this procedure:

1. Press the main menu button on the front panel of the TM80.

2. Input the password for the screen lock window. When Screen Lock is set to Off, skip this step.

3. Select Ye s or No in the Unpair window.

◆ Ye s : the TM80 disconnects with the monitor but does not discharge the patient. The monitor

discharges the patient. The TM80 is connected to the CMS to continue patient monitoring.

◆ No: the TM80 disconnects with the monitor and discharges the patient. The monitor does not

discharge the patient and continues patient monitoring. The monitor is connected to the CMS to continue patient monitoring.

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7.4.3 System Responses after Unpairing the TM80 and the Monitor

WARNING

NOTE

This section describes system responses at the monitor and at the TM80 after unpairing.

7.4.3.1 System Responses at the Monitor after Unpairing the TM80 and the Monitor

Once the TM80 is unpaired successfully with the monitor, the monitor responds as below:

■ In the Wireless Module menu, the Remove button on the right of the unpaired TM80 changes to Add.

The symbol disappears.

■ The ECG and SpO

measurement values disappears.

labels on the monitor screen are without the“-T”suffix. The or symbol above

7.4.3.2 System Responses at the TM80 after Unpairing the TM80 and the Monitor

Once the TM80 is unpaired successfully with the monitor, the TM80 responds as below:

■ If the TM80 is paired with the monitor via MPAN, the symbol will be changed to in the prompt

message area.

■ The TM80 allows all operations.

7.5 Pairing a BP10 with the Monitor

A BP10 can be paired with the monitor only via MPAN.

7.5.1 Pairing Procedure

To pair a BP10 with the monitor, follow this procedure:

1. Press the MPAN button on the right panel of the BP10. The Pairing... message displays in the message area of the BP10.

2. Select the Main Menu quick key → turn to the second page → select Wireless Module from the Parame- ters column at the monitor.

3. Select the desired BP10 under the Device Name column of the Wireless Module menu. If the desired BP10 is not displayed, select Update List.

4. Select Add on the right of the desired BP10.

Upon completion of pairing, the message Connection Completed appears.

5. Select the NIBP Start/Stop quick key on the monitor screen to start one NIBP measurement. Verify that the NIBP measurement values displayed on the monitor screen and on the BP10 screen are consistent and for the same patient.

• Make sure that the desired BP10 is paired with the monitor.

• When a BP10 is paired with a TM80, the BP10 will automatically disconnect with the TM80 once it is

paired with the monitor.

• If you need to change the name of BP10, see BP10 NIBP Module Operator’s Manual (PN: 046-008269-

00).

• When a BP10 is paired with the monitor, if the BP10 is out of the MPAN coverage area, it will be

disconnected from the monitor automatically. But when it is within the MPAN coverage area again, it will be reconnected with the monitor automatically.

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7.5.2 System Responses after Pairing the BP10 with the Monitor

This section describes system responses at the monitor and at the BP10 after pairing.

7.5.2.1 System Responses at the Monitor after Pairing the BP10 with the Monitor

Once a BP10 is paired successfully with the monitor, the monitor responds as below:

■ In the Wireless Module menu, the Add button on the right of the paired BP10 changes to Remove. The

symbol displays on the left of Remove.

■ The NIBP label on the monitor screen is suffixed with “-T”, indicating that measurement values come from

the BP10 device, as shown below.

■ The Sequence and ABPM tabs are added to the NIBP menu. You can perform NIBP measurement in

sequence or ABPM (Ambulatory Blood Pressure Monitoring) mode.

7.5.2.2 System Responses at the BP10 after Pairing the BP10 and the Monitor

Once a BP10 is paired successfully with the monitor, the BP10 responds as below:

■ The symbol is changed to in the prompt message area.

■ The BP10 allows you to start or stop NIBP measurement by pressing the start or stop NIBP button on the

front panel of the BP10. But it does not allow you to change any settings.

7.6 Unpairing the BP10 and the Monitor

You can unpair the BP10 and the monitor either via the monitor or via the BP10.

7.6.1 Unpairing via the Monitor

To unpair the BP10 and the monitor, follow this procedure:

1. Select the Main Menu quick key → turn to the second page → select Wireless Module from the Parame- ters column.

2. Select the desired BP10.

3. Select Remove.

Upon completion of unpairing, the message Disconnection Completed appears on the monitor screen.

7.6.2 Unpairing via the BP10

To unpair the BP10 and the monitor, press the MPAN button on the right panel of the BP10.

7.6.3 System Responses after Unpairing the BP10 and the Monitor

This section describes system responses at the monitor and at the BP10 after unpairing.

7.6.3.1 System Responses at the Monitor after Unpairing the BP10 and the Monitor

Once a BP10 is unpaired successfully with the monitor, the monitor responds as below:

■ In the Wireless Module menu, the Remove button on the right of the unpaired BP10 changes to Add. The

symbol disappears.

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■ The NIBP label on the monitor screen is without the“-T”suffix.

■ The Sequence and ABPM tabs are removed from the NIBP menu.

7.6.3.2 System Responses at the BP10 after Unpairing the BP10 and the Monitor

Once a BP10 is unpaired successfully with the monitor, the BP10 responds as below:

■ The symbol is changed to in the prompt message area.

■ The BP10 allows all operations.

7.7 NIBP Measurement in Sequence or ABPM Mode

When a BP10 is paired with the monitor, you can perform NIBP measurements in sequence or ABPM mode. For detailed information about NIBP measurement, see BP10 NIBP Module Operator’s Manual (PN:046-008269-00).

7.7.1 Performing NIBP Measurement in Sequence Mode

To perform NIBP measurement in sequence mode, follow this procedure:

1. Select the NIBP parameter area on the monitor screen to enter the NIBP menu.

2. Select the Sequence tab.

3. Set Interval and Duration for the desired measurement phases.

4. Select Start NIBP.

Once NIBP measurement is completed, the sequence mode, current measurement phase, interval, and duration will be displayed on the monitor screen.

7.7.2 Performing NIBP Measurement in ABPM Mode

In ABPM mode, the NIBP measurements are automatically taken according to the configured intervals for the day and the night.

To perform NIBP measurement in ABPM mode, follow this procedure:

1. Select the NIBP parameter area on the monitor screen to enter the NIBP menu.

2. Select the ABPM tab.

3. Set Start Time and Interval for the day and night.

4. Select Start NIBP.

Once NIBP measurement is completed, the ABPM mode and measurement values will be displayed on the monitor screen.

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7.8 Troubleshooting

Problem Possible Cause Corrective Action

Telemetry Disconnected The TM80 is out of the MPAN coverage

area.

The TM80 is out of the Wi-Fi coverage area.

The TM80 has been powered off. Power on the TM80.

A satellite module rack is not connected to the monitor properly.

The monitor is not connected to Wi-Fi network or its wireless network settings are incorrect.

The TM80 is not connected to Wi-Fi network or its wireless network settings are incorrect.

The exchanger network connected by the TM80 and the monitor does not support multicast data transfer.

Tel eme try N IBP Disconnected

The BP10 is out of the MPAN coverage area.

The BP10 has been powered off. Power on the BP10.

A satellite module rack is not connected to the monitor properly.

Put the TM80 in the MPAN coverage area.

Put the TM80 in the Wi-Fi coverage area.

Replug the satellite module rack.

Verify that the monitor’s wireless network settings are correct and the monitor has been connected to Wi-Fi network.

Verify that the TM80’s wireless network settings are correct and the TM80 has been connected to Wi-Fi network.

Contact your service personnel.

Put the BP10 in the MPAN coverage area.

Replug the satellite module rack.

After a TM80 is paired with the monitor, ECG waves and Pleth waveform come from the TM80 are abnormal on the monitor screen.

The desired BP10 is not displayed under the

Device Name column of

the Wireless Module menu.

Wireless signal interference exists.

Wireless signals are weak.

Insufficient network bandwidth or greater network delay leads to data transfer delay.

The BP10 is not found. For the BP10, follow Steps 1 to 3 in

■ Put the TM80 in the MPAN or Wi-Fi

coverage area.

■ Check the interference source and

reduce or eliminate interference.

■ Put the TM80 in the MPAN or Wi-Fi

coverage area with strong signals strength.

■ Remove any metallic obstructs that

stand between the TM80 and the monitor.

Contact your service personnel.

7.5.1 Pairing Procedure.

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Problem Possible Cause Corrective Action

The TM80 is prone to offline occasionally.

The BP10 is prone to offline occasionally.

Telemetry Low Battery, Telemetry Battery Depleted

Wireless signal interference exists. ■ Put the TM80 in the MPAN or Wi-Fi

coverage area.

■ Check the interference source and

reduce or eliminate interference.

Wireless signals are weak.

■ Put the TM80 in the MPAN or Wi-Fi

coverage area with strong signals strength.

■ Remove any metallic obstructs that

stand between the TM80 and the monitor.

Insufficient network bandwidth or

Contact your service personnel. greater network delay leads to data transfer delay.

MPAN signal interference exists.

■ Put the BP10 in the MPAN coverage

area.

■ Check the interference source and

reduce or eliminate interference.

MPAN signals are weak.

■ Put the BP10 in the MPAN coverage

area with strong signals strength.

■ Remove any metallic obstructs that

stand between the BP10 and the monitor.

The battery charge is low. Replace with a known good battery for the

TM80.

Telemetry NIBP Low Battery,

The battery charge is low. Replace with a known good battery for the

Telemetry NIBP Battery Depleted

When the TM80 is out of the MPAN coverage area, it cannot be connected to the monitor by automatically switching to Wi-Fi connection.

The TM80 is not connected to Wi-Fi network or its wireless network settings are incorrect.

The monitor is not connected to Wi-Fi network or its wireless network settings are incorrect.

Device Not Found A satellite module rack is not connected

to the monitor properly.

The monitor is not connected to Wi-Fi network or its wireless network settings are incorrect.

The wireless network does not support multicast data transfer.

BP10.

Verify that the TM80’s wireless network

settings are correct and the TM80 has been

connected to Wi-Fi network.

Verify that the monitor’s wireless network

settings are correct and the monitor has been

connected to Wi-Fi network.

Replug the satellite module rack.

Verify that the monitor’s wireless network

settings are correct and the monitor has been

connected to Wi-Fi network.

The wireless network where the monitor and

the TM80 are connected needs to support

multicast data transfer.

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8 Interfacing with External Devices

BeneLink Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

BeneLink Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Supported Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Differences in Displayed Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Connecting an External Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

Devices Integrated Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

Monitor System Functions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7

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8.1 BeneLink Introduction

WARNING

NOTE

BeneLink module is intended for connecting external devices, such as ventilators and anesthesia machines, to the monitor. It allows information (patient data, alarms, etc.) from external devices to be displayed, saved, recorded, printed, or calculated through the monitor. If the monitor is connected with the CMS or eGateway, information from external devices can also be transmitted to the CMS or eGateway.

8.2 BeneLink Safety Information

• Devices of the same category can not be connected to the BeneLink module simultaneously.

• A patient monitor supports one BeneLink module only.

• The signal labels used on the patient monitor may be different from those given on the external

device.

• The alarms from external devices may be advanced or delayed before transmission to the patient

monitor.

• There can be differences between the alarm priorities displayed on your monitors and the priorities

displayed on external devices interfaced through BeneLink. Please see the list of Output Signals corresponding with each external device for the alarm priorities used by your patient monitor.

• The alarm messages from external devices are derived from the open protocol of corresponding

external device. For more information about these alarms, please see the operator’s manual of corresponding devices.

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8.3 Supported Devices

NOTE

Device Category Model

Anesthesia machine Draeger Fabius GS/Fabius Tiro/Fabius Plus/Primus

Ventilator Carefusion Vela

GE Aestiva 7900/Aestiva 7100/Avance Carestation/Aisys

Mindray A3/A5/A7

Mindray Wato 20/25/30/35/50/55/60/65

Draeger Evita 2

Draeger Evita 4/ Evita2 dura/Evita XL

GE Engström Carestation (Neo), GE Engström Carestation (Pro)

Hamilton G5/C1/C2 /C3/Galileo

Maquet Servo-i/Servo-s

Mindray Syno Vent E3/E5/300

Mindray SV300

Newport E360

Philips Respironics V60

• BeneLink module may support more devices than those listed in the above table. Contact your

service personnel for the most recent information on the supported devices.

8.4 Differences in Displayed Values

In certain cases, there may be differences between the numerics displayed on the monitor and those on external devices. The table below lists some situations and possible reasons.

Situation Possible Reasons

Some parameter values are displayed as invalid values on the monitor.

The monitor and external device display parameter values with different numbers of places of decimals.

Puritan Bennett 840

The patient monitor and the external device may have different parameter configuration or displaying range of values. If the patient monitor displays a parameter not configured in the external device, or a parameter value from the external device exceeds the displaying range of the monitor, corresponding parameter value is displayed on the monitor as an invalid value.

The monitor displays parameter values from the external device based on the monitor displaying rules. Same parameter value is displayed differently when the monitor and the external device adopts different numbers of places of decimals.

Non-continuously measured values and continuously measured values have the same displaying mode in the patient monitor.

Parameter values displayed on the patient monitor and those displayed in the external device are slightly different.

For non-continuously measured values, the monitor displays the latest measured values until a new measurement is taken by the external device.

Some parameter values are converted to different units when transmitted to the monitor for calculations. Sometimes, values from the external device may be advanced or delayed before transmission to the patient monitor.

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NOTE

• When the pressure units are converted among cmH

(5)

(6)

(4)

(3)

(2)

(1)

unchanged, for example, 1cmH2O=1hPa=1mbar, which may differ from some external devices.

8.5 Connecting an External Device

An external device is connected to the BeneLink module through an ID adapter. The ID adapter supports only its matching device.

O, hPa and mbar, the parameter values remain

(1) BeneLink Module (2) Label

(3) RJ45 connecting cable (4) ID Adapter

(5) External device (6) Serial port adapting cable (optional)

To connect an external device, follow this procedure:

1. Insert the BeneLink module into the SMR.

2. Connect the ID adapter that matches the external device to the BeneLink module with an RJ45 connecting cable.

3. Plug the ID adapter into the RS232 port on the external device. Some external devices may have ports incompatible with the ID adapter. In this case, a serial port adapting cable is required.

4. Stick a device name label to the RJ45 connecting cable at the end close to the BeneLink module. When the BeneLink module is connected to several external devices, you can tell devices easily with these labels.

5. Switch on the external device.

After the external device is connected to the monitor, the indicators on both the ID adapter and the BeneLink module illuminate to show that the monitor successfully communicates with the external device.

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CAUTION

• First installation and debugging should be executed by Mindray service personnel or authorized

technician.

• Please check the compatibility of the external device and the ID adapter before connection.

Otherwise, unpredictable system failure may be resulted.

• Ports on the BeneLink module are not conventional network connectors. They are intended for

connecting with the serial port of designated devices only. Do not connect them to public network interfaces.

8.5.1 Configuring the ID Adapter

The ID adapter has already been correctly configured before leaving the factory. If you want to re-configure the ID adapter, follow this procedure.

1. Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok.

2. Select Upgrade ID module.

3. Select Benelink Module Port to define which port the RJ45 connecting cable is connected to. You must connect the RJ45 connecting cable to the selected port when re-configuring the ID adapter. Otherwise, ID adapter re-configuration will fail.

4. Select ID to configure a new ID to the ID adapter.

8.5.2 ID Adapter IDs

External Device ID for ID adapter Type of serial port adapting cable

Anesthesia machine

Draeger Fabius GS/Plus/Tiro 4446BBBA Fabius GS: No need to use the adapting

cable.The ID adapter can be plugged into the serial port of the external device directly.

Fabius Plus: Type C

Fabius Tiro: Type C

GE Avance Carestation /Aisys 4F41B0BF Type D

GE Aestiva 7100/7900 4F37B0C9 Type D

Mindray Wato20/25/30/35/50/55/ 60/65

Mindray A3/A5/A7

Vent ilat or

Carefusion Vela 564ca9b4 Type E

Draeger Evita 2 / Evita 2 dura / Evita 4/ Evita XL

Draeger Primus 4450BBB0 Type C

GE Engström Carestation (Neo), GE Engström Carestation (Pro)

4D52B2AE No need to use the adapting cable: the ID

adapter can be plugged into the serial port of the external device directly.

4434BBCC Type B

4F45B0BB Type B

Hamilton C2 3270CD90 Type B

Hamilton G5 (protocol Block) 3542CABE Type B

Hamilton G5 (protocol Polling) 3550CAB0 Type B

Hamilton Galileo 4750B8B0 Type B

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External Device ID for ID adapter Type of serial port adapting cable

Maquet Flow-i 4D46B2BA Type B

Maquet Servo-i/Servo-s 4D53B2AD Type B

Mindray E3/E5 4D56B2AA No need to use the adapting cable: the ID

Mindray SV300

Newport E360 4E50B1B0 Type B

adapter can be plugged into the serial port of the external device directly.

Philips Respironics V60 VPRT: 5637A9C9

SDNA:5636A9CA

Puritan Bennett 840 SNDF: 5042AFBE(recommended)

SNDA: 5031AFCF(support less parameters than protocol SNDF)

TOF-Watch® SX 5457ABA9 Type C

TCM CombiM/TCM TOSCA 5443ABBD Type C

Serial port adapting cable PN Remark

Type A 009-001767-00 Male to female

Type B 009-001768-00 Male to male

Type C 009-001769-00 Male to male

Type D 009-002943-00 9-pin to 15-pin

Type E 009-004613-00 9-pin to RJ45 connector

8.6 Devices Integrated Window

You can view the information of external devices from the Integrated Devices window. The Integrated Devices window provides information of both individual device and multi devices. In the individual device menu, you can select Select Parameter, Unit and Alarm to set the parameters to be displayed, parameter units and view the alarm list.

Type B

No need to use the adapting cable: the ID adapter can be plugged into the serial port of the external device directly.

The parameters in the Integrated Devices window are displayed in the order of priorities. If the window cannot display all the selected parameters, only parameters with higher priorities are displayed. Please see the following sections for parameter priorities.

■ For the parameters measured by the external device, the measurements display directly after the parameter

labels.

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■ For the parameters controlled by the external device, the settings are enclosed in parenthesis after

NOTE

parameter labels.

■ For the parameters measured and controlled by the external device, measurements and settings are

displayed after parameter labels, and settings are also enclosed in parenthesis. For example, PEEP 18 (20), in which PEEP is parameter label, 18 is the measurement, and (20) is the setting.

8.7 Monitor System Functions

This section describes the monitor system function when external devices are connected.

8.7.1 Alarms

The monitor does not display realtime alarms from external devices. However, you can view the current alarm list of corresponding device by selecting Alarm from the individual device window. The alarm priority is defined by “*” before each alarm message. An alarm list can display up to 100 alarm messages.

8.7.2 Data Storage

The monitor saves parameters trends and alarm events from external devices. You can review these data in the Graphic Trends menu and Events menu, parameters from external devices are displayed in white.

• Parameters from external devices are saved and displayed according to the time of the monitor.

8.7.3 Recording and Printing

You can record and print Information from external devices both in realtime and in graphic and tabular trends from the monitor. Besides, the monitor can also record the frozen parameters of the external device.

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9Alarms

Alarm Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2

Alarm Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2

Understanding the Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2

Accessing Help when Occur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4

Checking Physiological Alarm List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4

Changing Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4

Pausing Alarms/Pausing Alarm Tones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11

Resetting Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-13

Latching Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-14

Nurse Call. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-14

CPB Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-15

Intubation Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-15

Managing Alarms from Remote Devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-16

Testing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-18

Actions When an Alarm Occurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-18

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9.1 Alarm Introduction

WARNING

This chapter descirbes alarm functions and alarm settings.

9.2 Alarm Safety Information

• A potential hazard can exist if different alarm presets and default configuration settings are used for

the same or similar equipment in the same care area, for example an intensive care unit or cardiac operating room.

• If your monitor is connected to the central monitoring system (CMS) or other monitors, alarms can

be presented and controlled remotely. Remote suspension, inhibition, or reset of monitor alarms via the CMS or other monitors may cause a potential hazard. For more information, see the operator’s manuals of the CMS and the other monitors.

• The monitors in your care area may each have different alarm settings to suit different patients.

Always check that the alarm settings are appropriate for your patient before start monitoring. Always make sure that necessary alarm limits are active and set according to the patient's clinical condition.

• Make sure that the alarm limit settings are appropriate for your patient before monitoring a patient.

• Setting alarm limits to extreme values may cause the alarm system to become ineffective. For

example, high oxygen levels may predispose a premature infant to retrolental fibroplasia. If this is a consideration do not set the SpO alarm off.

high alarm limit to 100%, which is equivalent to switching the

• When the alarm sound is switched off, the monitor gives no alarm tones even if a new alarm occurs.

Be careful about whether to switch off the alarm sound or not. When the alarms are off or while alarm audio is paused either temporarily or indefinitely, observe the patient frequently.

• When monitoring patients that are not continuously attended by a clinical operator, properly

configure the alarm system and adjust alarm settings as per the patient's condition.

• Do not rely exclusively on the audible alarm system for monitoring. Adjustment of alarm volume to a

low level may result in a hazard to the patient. Always make sure that the audio alarm volume level is adequate in your care environment. Always keep the patient under close surveillance.

9.3 Understanding the Alarms

9.3.1 Alarm Categories

The monitor has two different types of alarms: physiological alarms and technical alarms.

■ Physiological alarms are triggered by patient measurement exceeding the parameter limits, or by an

abnormal patient conditions.

■ Technical alarms are triggered by an electrical, mechanical, or other monitor failure, or by failure of a

sensors or components. Technical alarm conditions may also be caused when an algorithm cannot classify or interpret the available data.

Apart from the physiological and technical alarms, the monitor can also prompt some messages telling the system status or patient status.

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9.3.2 Alarm Priorities

NOTE

By severity, the alarms are classified into the following priority levels:

■ High priority alarms: indicates a life threatening situation or a severe device malfunction. High priority

alarms require an immediate response.

■ Medium priority alarms: indicates abnormal vital signs or a device malfunction. Medium priority alarms

require a prompt response.

■ Low priority alarms: indicate a discomfort condition, a device malfunction, or an improper operation. Low

priority alarms require you to be aware of this condition.

■ Messages: provides additional information on the patient or the equipment.

9.3.3 Alarm Indicators

When an alarm occurs, the monitor indicates it to you through visual or audible alarm indications. For more information, see the following table.

Alarm Indicator High Priority

Alarm

Alarm lamp Red Yellow Cyan None None

Audibl e tone pattern

Alarm message Black text inside

Alarm priority indicator

ISO Repeat pattern

of 2 × 5 beep tones

Mode 1 Repeat pattern

of high-pitched 3-beep tones

Mode 2 Repeat pattern

of high-pitched 3-beep tones

a red box

*** ** * None The indicator shows in

Medium Priority Alarm

Repeat pattern of 3-beep tones

Repeat pattern of 2-beep tones

Black text inside a yellow box

Low Priority Alarm

1-beep tone None None

Low-pitched 1beep tone

Black text inside a cyan box

Message Comments

None

White text

Alarm messages are displayed in the alarm information area at the top of the screen. You can select the alarm messages to show the alarm list.

front of corresponding alarm message.

Parameter value Black text inside

a flashing red box

Black text inside a flashing yellow box

Black text inside a flashing cyan box

None None

• When multiple alarms of different priority levels occur simultaneously, the monitor select the alarm

of the highest priority to light the alarm lamp andissue the alarm tone.

• When multiple alarms of different priority levels occur simultaneously and should be displayed in

the same area, the monitor only displays the messages of the highest priority alarm.

• When multiple alarms of the same priority levels occur simultaneously and should be displayed in

the same area, all the alarm messages are displayed circularly.

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9.3.4 Alarm Status Symbols

NOTE

Apart from the alarm indicators as described in 9.3.3 Alarm Indicators, the monitor uses the following symbols to indicate the alarm status:

Alarm pause: indicates that all the alarms are paused.

Alarm off: indicates that individual measurement alarms are turned off or the system is in the

alarm off status.

Audio pause: indicates that audible alarm tones are paused.

Audio off: indicates that audible alarm tones are turned off.

Alarm reset: indicates that alarms are acknowledged and the alarm system is reset.

9.4 Accessing Help when Occur

In the technical alarm list, alarm messages followed by Detail include help messages or pictures to help you identify the problem. To access the help, follow this procedure:

1. Select the technical alarm information area to enter the Alarms window.

2. Select the Technical Alarms tab.

3. From the alarm list select the desired alarm.

• You can find help for the alarms whose alarm messages are followed by “Detail”.

9.5 Checking Physiological Alarm List

To check the physiological alarm list, follow this procedure:

1. Select the physiological alarm information area to enter the Alarms window.

2. Select the Physiological Alarms tab.

9.6 Changing Alarm Settings

9.6.1 Setting Parameter Alarm Properties

To set parameter alarm properties, follow this procedure:

1. Access the Limits page in either of the following WAYS:

◆ Select the Alarm quick key.

◆ Select the Main Menu quick key → from the Alarm column select Limits.

2. Select a parameter tab and perform the following settings:

◆ Switch on or off measurement alarms.

◆ Set the upper and lower alarm limits.

◆ Set the alarm priority.

◆ Enable or disable alarm recordings.

You can also change the alarm properties of individual parameter from corresponding parameter menu.

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