Mindray DS USA, Inc. (hereinafter called Mindray DS) owns all rights to this unpublished work
and intends to maintain this work as confidential. Mindray DS may also seek to maintain this
work as an unpublished copyright. This publication is to be used solely for the purposes of
reference, operation, maintenance, or repair of Mindray DS equipment. No part of this can be
disseminated for other purposes.
In the event of inadvertent or deliberate publication, Mindray DS intends to enforce its rights to
this work under copyright laws as a published work. Those having access to this work may not
copy, use, or disclose the information in this work unless expressly authorized by Mindray DS
to do so.
All information contained in this publication is believed to be correct. Mindray DS shall not be
liable for errors contained herein nor for incidental or consequential damages in connection
with the furnishing or use of this material. This publication may refer to information and
protected by copyrights or patents and does not convey any license under the copyright and
patent rights of Mindray DS, nor the rights of others. Mindray DS does not assume any liability
arising out of any infringements of patents or other rights of third parties.
is a trademark or a registered trademark of Shenzhen Mindray
Bio-Medical Electronics Co., Ltd. All third-party trademarks that appear in this manual are used
solely for editorial purposes and are the property of their respective owners.
Content of this manual is subject to changes without prior notice.
PROPERTY OF Mindray DS USA, Inc.ALL RIGHTS RESERVED
Responsibility on the manufacturer party
Mindray will not be liable for the effects on safety, reliability and performance of this product if:
•any installation, expansion, change, modification and repair of this equipment are not
conducted by Mindray DS qualified personnel;
• applied electrical appliance does not comply with relevant National Standards;
• the monitor is not operated under strict observance of this manual.
Warning
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Service Manual (V 3.0)
For continued safe use of this equipment, it is necessary that the listed instructions are
followed. However, instructions listed in this manual in no way supersede established medical
practices concerning patient care.
z Do not rely only on audible alarm system to monitor patient. When monitoring
adjusting the volume to very low or completely muting the sound may result in the
disaster to the patient. The most reliable way of monitoring the patient is at the
same time of using monitoring equipment correctly, manual monitoring should be
carried out.
z This multi-parameter patient monitor is intended for use only by medical
professionals in health care institutions.
z T o avoid elec trical shock, you shall not open any cover by yourself. Service must be
carried out by qualified personnel.
z Use of this device may affect ultrasonic imaging system in the presence of the
interfering signal on the screen of ultrasonic imaging system. Keep the distance
between the monitor and the ultrasonic imaging system as far as possible.
z It is dangerous to expose electrical contact or applicant coupler to normal saline,
other liquid or conductive adhesive. Electrical contact and coupler such as cable
connector, power supply and parameter module socket-inlet and frame must be
kept clean and dry. Once being polluted by liquid, they must be thoroughly dried. If
to further remove the pollution, please contact your biomedical department or
Mindray DS.
It is important for the hospital or organization that employs this equipment to carry out a
reasonable maintenance schedule. Neglect of this may result in machine breakdown or injury
of human health.
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Service Manual (V 3.0)
Warranty
THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES,
EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANT ABILITY OR
FITNESS FOR ANY PARTICULAR PURPOSE.
Exemptions
Mindray DS '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 substitution upon it of parts or accessories
not approved by Mindray DS or repaired by anyone other than a Mindray DS authorized
representative.
This warranty shall not extend to any instrument which has been subjected to misuse,
negligence or accident; any instrument from which Mindray DS 's original serial number tag or
product identification markings have been altered or removed, or any product of any other
manufacturer.
Safety, Reliability and Performance
Mindray DS is not responsible for the effects on safety, reliability and performance of the
DPM5 Patient Monitor if:
■ assembly operations, extensions, re-adjusts, modifications or repairs are carried out
by persons other than those authorized by Mindray DS.
■ the DPM5 is not used in accordance with the instructions for use, or the electrical
installation of the relevant room does not comply with NFPA 70: National Electric
Code or NFPA 99: Standard for Health Care Facilities (Outside the United States, the
relevant room must comply with all electrical installation regulations mandated by the
local and regional bodies of government).
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Service Manual (V 3.0)
Return Policy
Return Procedure
In the event that it becomes necessary to return a unit to Mindray DS, the following procedure
should be followed:
1. Obtain return authorization. Contact the Customerr Service Department and obtain a
Customer Service Authorization (Mindray DS) number. The Mindray DS number must
appear on the outside of the shipping container. Return shipments will not be accepted if
the Mindray DS number is not clearly visible. Please provide the model number, serial
number, and a brief description of the reason for return.
2. Freight policy. The customer is responsible for freight charges when equipment is shipped
to Mindray DS for service (this includes customs charges).
3. Return address: Please send the part(s) or equipment to the address offered by the
Customer Service department
Company Contact
Manufacturer: Mindray DS USA, Inc.
Address: 800 MacArthur Blvd. Mahwah, New Jersey 07430 USA
Tel: 1.800.288.2121 1.201.995.8000
Website: www. mindray.com
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Safety Precautions
1. Meaning of Signal Words
In this manual, the signal wordsWARNINGandCAUTION are used regarding safety
and other important instructions. The signal words and their meanings are defined as follows.
Please understand their meanings clearly before reading this manual.
Signal word Meaning
WARNING
CAUTION
Indicates a potentially hazardous situation which, if not avoided,
could result in death or serious injury.
Indicates a potentially hazardous situation which, if not avoided,
may result in minor or moderate injury.
2. Meaning of Safety Symbols
Symbol Description
Type-BF applied part
"Attention" (Refer to the operation manual.)
Safety Precautions
Please observe the following precautions to ensure the safety of service engineers as well as
operators when using this system.
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Service Manual (V 3.0)
WARNING: Do not connect this system to outlets with the same circuit
breakers an d fuses that co ntrol current to devices such as
life-support systems. If this system malfunctions and
generates an over current , or when there is an instantaneous
current at power ON, the circuit breakers and fuses of the
building’s supply circuit may be tripped.
Do not use flammable gases such as anesthetics, or flammable
liquids such as ethanol, near this product, because there is
danger of explosion.
CAUTION: 1. Malfunctions due to radio waves
(1) Use of radio-wave-emitting devices in the proximity of this
kind of medical electronic system may interfere with its
operation. Do not bring or use devices which generate radio
waves, such as cellular telephones, transceivers, and radio
controlled toys, in the room where the system is installed.
(2) If a user brings a device which generates radio wav es near the
system, they must be instructed to immediately turn OFF the
device. This is necessary to ensure the proper operation of
the system.
2. Do not allow fluids such as water to contact the system or
peripheral devices. Electric shock may result.
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Symbols
Service Manual (V 3.0)
displaying this symbol contains an F-Type isolated (floating) patient applied part providing
a high degree of protection against shock, and is suitable for use during defibrillation.
Equipotential grounding terminal
@ Mark Event 》 Next menu
*** Highest level alarm ** Middle level alarm
* Lowest level alarm
Ð Trend graph cursor u SYS pressure(NIBP trend graph)
t DIA pressure(NIBP trend graph) * MEAN pressure (NIBP trend
graph)
Î Right moving indicator Í Left moving indicator
Be Careful Protective earth ground
Indicates that the instrument is IEC-60601-1 Type CF equipment. The unit
Silence Symbol ! Close all alarm volume
Alarm pause
Heart beat
× Gain magnify √ Confirm
SN Series Number
VII
Pace signal
Page 10
FOR YOUR NOTES
Service Manual (V 3.0)
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Contents
CHAPTER 1 ABOUT THE PRODUCT..............................................................................................1
The DPM5 Patient Monitor, a portable and accessible patient monitor, is supplied by
rechargeable batteries or external AC power, which applies to adults, pediatric and neonates.
You can select different configurations as required. Besides, the
the central monitoring system whereby a monitoring network will be formed. Parameters that
the DPM5 can monitor include: ECG, RESP, SpO
and CO
freezing and recording, is a compact and lightweight patient monitor. Its color TFT LCD is able
to show patient parameters and 8 waveforms clearly. The compact control panel and knob
control, and the easy-to-use menu system enable you to freeze, record, or perform other
operations conveniently.
The DPM5 Patient Monitor measures patient’s ECG, NIBP, SpO
CO
and pressure transducer. During the measurement, the patient monitor does not get energy or
any substance from the human body, and does not release any substance to the human body.
However, it releases sine wave signals to the patient when measuring the respiration rate. The
patient monitor converts the measured physiological signals to the digital signals, waveforms
and values, and then displays them on the screen. You can control the patient monitor through
the control panel. For example, you can set different alarm limits for different patients. Thus,
when the patient monitor detects any physiological parameter exceeding the preset alarm limit,
it will enable the audio and visual alarm.
. It, integrating the functions of parameter measurement, waveform monitoring,
2
physiological signals through the ECG electrode, SpO2 sensor, cuff, temperature sensor
2
, NIBP, 2-channel TEMP, 2-channel IBP, CO
2
DPM5 can be connected with
, TEMP, RESP, IBP, CO and
2
1.2 Application
1.2.1 General
In the treatment processes, it is necessary to monitor important physiological information of
patients. Therefore, the patient monitor has been playing an outstanding role among medical
devices. The development of technology does not only help medical staff get the important
physiological information, but also simplifies the procedures and makes it more effective. For
patients in hospital, the basic and important physiological information is required, including
ECG, SpO
technology helping measure and get important physiological information of patients has made
the patient monitor more comprehensive in performance and better in quality. Today,
multi-parameter patient monitors are widely used.
, RESP, IBP, CO, CO2, TEMP, etc. In recent years, the development of science and
2
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Chapter 1 About the Product
1.2.2 Usage
Parameters that the DPM5 can monitor include: ECG, RESP, SpO2, NIBP, TEMP, IBP, CO
AGand CO
. DPM5 converts these physiological signals to digital signals, processes them and
2
displays them on the screen. You can set the alarm limit as required. When the monitored
parameter exceeds the preset alarm limit, the patient monitor will start the alarm function. In
addition, you can control the patient monitor through the control panel. Usually, patient
monitors are seen in some clinical areas in hospital, such as ICU, CCU, intensive care units for
heart disease patients, operating rooms, emergency departments and observation wards.
They can also be used in clinics. The DPM5 patient monitor should be run under the control of
clinical staff.
DPM5 patient monitor has the following functions:
ECG
Heart Rate (HR)
2-channel ECG waveform
Arrhythmia analysis and S-T analysis (optional)
Respiration Rate (RR) RESP
Respiration waveform
Pulse Oxygen Saturation(SpO
Plethysmogram
SpO
2
), Pulse Rate (PR) SpO2
2
NIBP Systolic pressure (NS), diastolic pressure (ND), mean pressure
(NM)
TEMP T1, T2, TD
IBP CH1: SYS, DIA
CH2: SYS, DIA
IBP waveform
CO Temperature of blood (TB)
Cardiac Output (CO)
End-tidal carbon dioxide (EtCO2)
CO
2
Inspired minimum CO
(InsCO2)
2
Airway Respiration Rate (AwRR)
AG
Inhaled and exhaled CO
2
(FiCO2, EtCO2)
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Chapter 1 About the Product
Inhaled and exhaled N2O (FiN2O, EtN2O)
Inhaled and exhaled O
(FiO2, EtO2)
2
Inhaled and exhaled anesthetic agent (FiAA, EtAA, where AA
refers to any of the following anesthetic agents.)
HAL (Halothane)
ISO (Isoflurane)
ENF (Enflurane)
SEV (Sevoflurane)
DES (desflurane)
Airway Respiration Rate (rpm: Respiration Per Minute): AwRR
Minimum Alveolar Concentration (MAC)
4 AG waveforms (CO
, N2O, O2, AA)
2
The DPM5 provides the functions of audio/visual alarm, trend graphic storage and output,
NIBP measurement, alarm event identification, large font screen, defibrillator synchronization,
oxyCRG recall, drug calculation, etc.
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Chapter 1 About the Product
FOR YOUR NOTES
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Chapter 2 Principles
Chapter 2 Principles
2.1 General
The intended use of the DPM5 patient monitor is to monitor a fixed set of parameters including
ECG, RESP, SpO
of the following functional parts:
Parameter measurement;
Main control part;
Man-machine interface;
Power supply;
Other auxiliary functions;
These functional units are respectively detailed below.
, NIBP, TEMP, IBP, CO and CO2 (IBP, CO and CO2 are optional). It consists
2
Figure 2-1 Structure of the DPM5
2.1.1 Parameter Measurement
The parameter measurement and monitoring are the core functions of the patient monitor. The
parameter measurement part of the DPM5 patient monitor consists of the measurement probe,
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Chapter 2 Principles
parameter input socket assembly, NIBP assembly and the main control board.
This part converts the physiological signals to electric signals, processes the those signals and
conducts the calculation by the preset program or command delivered from the main control
board, and then sends the values, waveforms and alarm information (which will be displayed
by using the man-machine interface) to the main control board.
2.1.2 Main Control Part
In the DPM5 patient monitor, the main control part refers to the main control part of the main
control board. It drives the man-machine interface, manages the parameter measurement and
provides users with other special functions, such as storage, recall of waveforms and data.
(See Figure 2-1)
2.1.3 Man-Machine Interface
The man-machine interface of the DPM5 patient monitor includes the TFT display, recorder,
speaker, indicator, buttons and control knob.
The TFT display is the main output interface. It, with the high resolution, provides users with
abundant real-time and history data and waveforms as well as various information and alarm
information.
The recorder is a subsidiary of the display, which is used for the user to print data.
The speaker provides the auditory alarm function.
The indicator provides additional information about the power supply, batteries, alarms and so
on.
The buttons and control knob are the input interface, which are used for the user to input the
information and commands to the patient monitor.
2.1.4 Power Supply
The power supply part is an important part of the patient monitor. It includes the main power
PCB, backlight board, batteries and fan.
The main power PCB converts the external AC current respectively to the 5V DC and 12V DC
current, which are supplied for the whole system. For the TFT display, there is a special
requirement on the power supply, so a backlight board is used. The batteries supply power for
the system for a short time when there is no external AC current. The fan is used for the heat
sink of the system.
2.1.5 Other Auxiliary Functions
The DPM5 patient monitor also provides the network upgrade function for the service
engineers to upgrade the system software without disassembling the enclosure.
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Chapter 2 Principles
2.2 Hardware Description
The structure of the DPM5 patient monitor is shown in the following figure.
Figure 2-2 Functional structure of the DPM5
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Chapter 2 Principles
The DPM5 PCB connection is shown in the following figure.
Figure 2-3 PCB connection
Basic functions and working principles of modules are described in the following sections.
2.2.1 Main Board
2.2.1.1 General
The main board is the heart of the patient monitor. It implements a series of tasks, including the
system control, system scheduling, system management, data processing, file management,
display processing, printing management, data storage, system diagnosis and alarm.
2.2.1.2 Principle diagram
Figure 2-4 Working principle of the main board
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Chapter 2 Principles
2.2.1.3 Principle
The main board is connected with external ports, including the power input port, multi-way
serial port, TFT display interface, analog VGA interface, network port and analog output port.
Besides, on the main board is also a BDM interface reserved for the software debugging and
software downloading.
CPU System
CPU is the core part of the main board. It, connected with other peripheral modules
through the bus and I/O cable, implements the data communication, data processing,
logical control and other functions.
RTC
RTC provides the calendar information (such as second, minute, hour, day, month and
year). CPU can read and modify the calendar information from RTC.
Ethernet Controller
Ethernet Controller supports the IEEE802.3/IEEE802.3u LAN standard, and supports two
data transmission rate: 10Mbps and 100Mbps. CPU exchanges data with the Ethernet
through the Ethernet Controller.
Analog Output
The D/A converter converts the digital ECG/IBP signals sent from CPU to the analog
signals, which are provided for the external after low-pass filtered by the filter and
amplified by the amplifier.
FPGA and VRAM
VRAM stores the displayed data. CPU stores the displayed data to VRAM through FPGA.
FPGA gets data from VRAM, processes them, and then sends them to the relevant
graphic display device.
In addition, FPGA also extends multiple serial ports, which communicate with peripheral
modules. FPGA transfers the received data to CPU through the bus; CPU delivers data to
FPGA through the bus, and then the FPGA transfers those data to the peripheral
modules.
Watchdog
When powered on, watchdog provides reset signals for CPU, FPGA and Ethernet
Controller.
The patient monitor provides the watchdog timer output and voltage detection functions.
2.2.2 ECG/RESP/TEMP Module
2.2.2.1 General
This module provides the function of measuring three parameters: electrocardiograph (ECG),
respiration (RESP) and temperature (TEMP).
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Chapter 2 Principles
2.2.2.2 Principle diagram
Figure 2-5 Working principle of the ECG/RESP/TEMP module
2.2.2.3 Principle
This module collects the ECG, RESP and TEMP signals through the transducer, processes the
signals, and sends the data to the main board through the serial port.
ECG Signal Input Circuit
The input protection and filtering circuits receive the ECG signal from the transducer, and filter
the high-frequency interference signal to protect the circuit against the damage by defibrillator
high-voltage and ESD.
The right-leg drive circuit gets the 50/60Hz power common-mode signal from the lead cable,
and sends the negative feedback signal to the human body to reject the common-mode
interference signal on the lead cable, which helps the detection of the ECG signal.
The lead-off detecting circuit checks whether the ECG lead is off, and sends the information to
CPU.
ECG Signal Process Circuit
The difference amplifying circuit conducts the primary amplification of the ECG signal and
rejects the common-mode interference signal.
The low-pas filtering circuit filters the high-frequency interference signal beyond the frequency
band of the ECG signal.
The PACE signal refers to the ECG pace signal. It has significant interference to the ECG
signal detection. The PACE rejection circuit can rejects the PACE signal, which helps the ECG
signal detection.
The main amplifying/filtering circuit conducts the secondary amplification of the ECG signal,
filters the signal, and then sends the ECG signal to the A/D conversion part.
Pace Detect
This part detects the PACE signal from the ECG signal and sends it to CPU.
Temperature Detect Circuit
This circuit receives the signal from the temperature transducer, amplifies and filters it, and
then sends it to the A/D conversion part.
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Chapter 2 Principles
Carrier Generate Circuit
The RESP measurement is based on the impedance method. While a man is breathing, the
action of the breast leads to changes of the thoracic impedance, which modulates the
amplitude of the high-frequency carrier signal. Finally, the modulated signal is sent to the
measurement circuit. The purpose of this module is generating the high-frequency carrier.
RESP Signal Input Circuit
This circuit couples the RESP signal to the detecting circuit.
RESP Signal Process Circuit
The pre-amplifying circuit conducts the primary amplification of the RESP signal and filters it.
The detecting circuit detects the RESP wave that has been modulated on the actuating signal.
The level shifting circuit removes the DC component from the RESP signal.
The main amplifying/filtering circuit conducts the secondary amplification of the RESP signal,
filters the signal, and then sends it to the A/D conversion part.
A/D
The A/D conversion part converts the analog signal to the digital signal, and sends the signal
to CPU for further processing.
CPU System
Implementing the logical control of all parameter parts and A/D conversion parts;
Implementing the data processing for all parameters;
Implementing the communication with the main board.
Power & Signal isolate Circuit
Isolating the external circuits to ensure the safety of human body;
Supplying power for all circuits;
Implementing the isolation communication between the CPU System and the main
board.
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Chapter 2 Principles
2.2.3 CO/IBP Module
2.2.3.1 General
This module provides the function of measuring two parameters: Cardiac Output (CO) and
Invasive Blood Pressure (IBP).
2.2.3.2 Principle diagram
Figure 2-6 Working principle of the CO/IBP module
2.2.3.3 Principle
This module collects the CO/IBP signal through the transducers, processes it and sends it
to the main board throgh the serial port.
CO Signal Process Network
The CO parameter is measured with the thermal dilution method. The transducer
sends two signals (TI: Temperature of Injectate; TB: Temperature of Blood) to the CO
Signal Process Network. After that, the signals are amplified and low-pass filtered, and
then sent to the CPU System for processing.
IBP Signal Process Network
The IBP signal is the differential signal. After the common-mode filtering, the difference
signal is amplified by the difference amplifying circuit which changes the dual-end signal
to the single-end signal. After the low-pass filtering, the IBP signal is sent to the CPU
System for processing.
CPU System
Converting the analog signal obtained by the circuit to the digital signal;
Implementing the logical control of all parameter parts;
Implementing the data processing for the two parameters;
Implementing the communication with the main board.
Power & Signal isolate Circuit
Isolating the external circuits to ensure the safety of human body;
Supplying power for all circuits;
Implementing the isolation communication between the CPU System and the main
board.
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Chapter 2 Principles
2.2.4 SpO2 Module
2.2.4.1 General
This module provides the function of measuring the Pulse Oxygen Saturation (SPO2).
2.2.4.2 Principle diagram
Figure2-7 Working principle of the SpO2 module
2.2.4.3 Principle
The SpO
measurement principle
2
1. Collecting the light signal of the red light and infrared transmitting through the finger
or toe which is pulsing;
2. Processing the collected signal to get the measured result.
The drive circuit of the LED and the gain of the amplifying circuit should be controlled
according to the different perfusions and transmittances of the tested object.
Led Drive Circuit
This circuit supplies the LED with the drive current, which can be regulated.
SPO2 Signal Process Network
The pre-amplifying circuit converts the photoelectric signal to the voltage signal and conducts
the primary amplification.
The gain adjusting and amplifying circuit conducts the secondary signal amplification and
adjusts the gain.
The biasing circuit adjusts the dynamic range of the signal, and sends it to the A/D conversion
part.
A/D
The A/D conversion part converts the analog signal to the digital signal, and then sends it to
CPU for further processing.
D/A
The D/A conversion part converts the digital signal received from CPU to the analog signal,
and provides the control signal for the Led Drive Circuit and SPO2 Signal Process Network.
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Chapter 2 Principles
CPU System
Implementing the logical control of all the circuits;
Implementing the data processing for the SpO
parameter;
2
Implementing the communication with the main board.
Power & Signal isolate Circuit
Isolating the external circuits to ensure the safety of human body;
Supplying power for all circuits;
Implementing the isolation communication between the CPU System and the main
board.
2.2.5 NIBP Module
2.2.5.1 General
This module provides the function of measuring the Non-Invasive Blood Pressure (NIBP)
parameter.
2.2.5.2 Principle diagram
Figure 2-8 Working principle of the NIBP module
2.2.5.3 Principle
The NIBP is measured based on the pulse vibration principle. Inflate the cuff which is on the
forearm till the cuff pressure blocks the arterial blood, and then deflate the cuff according to a
specified algorithm. While the cuff pressure is decreasing, the arterial blood has pulses, which
are sensed by the pressure transducer in the cuff. Consequently, the pressure transducer,
connected with the windpipe of the cuff, generates a pulsation signal, which is then processed
by the NIBP module to get the NIBP value.
Valve Drive Circuit
This circuit controls the status (ON/OFF) of valves. It, together with the Motor Drive Circuit,
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Chapter 2 Principles
implements the inflation and deflation of the cuff.
Motor Drive Circuit
This circuit controls the action of the air pump. It, together with the Valve Drive Circuit,
implements the inflation and deflation of the cuff. Besides, it provides the status signal of the
motor for the A/D conversion part.
NIBP Signal Process Network
The NIBP signal is the differential input signal. The difference amplifying circuit amplifies the
dual-end difference signal and converts it to the single-end signal; meanwhile, this circuit
sends a channel of signal to the A/D conversion part, and the other to the DC isolating and
amplifying circuit.
The DC isolating and amplifying circuit removes DC components from the signal, amplifies the
signal, and then sends it to the A/D conversion part.
A/D
The A/D conversion part converts the analog signal to the digital signal, and sends it to the
CPU System for further processing.
Over Pressure Detect
The circuit detects the NIBP pressure signal. Once the pressure value exceeds the protected
pressure value, it will send a message to the CPU System, which asks the Valve Drive Circuit
to open the valve to deflate the cuff.
CPU System
Implementing the logical control of all the circuits;
Implementing the data processing for the NIBP parameter;
Implementing the communication with the main board.
2.2.6 Recorder Module
2.2.6.1 General
This module is used to drive the heat-sensitive printer.
2.2.6.2 Principle diagram
Figure 2-9 Working principle of the recorder module
2.2.6.3 Principle
This module receives the to-be-printed data from the main board, converts them to the dot
matrix data, sends them to the heat-sensitive printer, and drives the printer.
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Chapter 2 Principles
Step Motor Drive Circuit
There is a step motor on the heat-sensitive printer. The step motor drives the paper. This
circuit is used to drive the step motor.
Printer Status Det ect Circuit
This circuit detects the status of the heat-sensitive printer, and sends the status information to
the CPU system. The status information includes the position of the paper roller, status of the
heat-sensitive recorder paper and the temperature of the heat-sensitive head.
CPU System
Processing the data to be printed;
Controlling the heat-sensitive printer and step motor;
Collecting data about the status of the heat-sensitive printer, and controlling the
printer;
Implementing the communication with the main board.
2.2.7 Button Panel
2.2.7.1 General
This module provides a man-machine interactive interface.
2.2.7.2 Principle diagram
Figure 2-10 Working principle of the button panel
2.2.7.3 Principle
This module detects the input signals of the button panel and control knob, converts the
detected input signals to codes and then sends to the main board. The main board sends
commands to the button panel, which, according to the commands, controls the status of the
LED and the audio process circuit to give auditory/visual alarms.
CPU
Detecting the input signal of the button panel and control knob;
Controlling the status of LED;
Controlling the audio process circuit;
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Chapter 2 Principles
Regularly resetting the Watchdog timer;
Communicating with the main board.
Audio Process Circuit
This circuit generates audio signals and drives the speaker.
Watchdog
When powered on, the Watchdog provides the reset signal for CPU.
The patient monitor provides the watchdog timer output and voltage detection functions.
2.2.8 Power PCB
2.2.8.1 General
This module provides DC working current for other boards.
2.2.8.2 Principle diagram
Figure 2-11 Working principle of the power PCB
2.2.8.3 Principle
This module can convert 220V AC or the battery voltage to 5V DC and 12V DC voltages, which
are supplied for other boards. When the AC voltage and batteries coexist, the AC voltage is
supplied for the system and used to charge the batteries.
AC/DC
This part converts the AC voltage to the low DC voltage for the subsequent circuits; besides, it
supplies the power for charging the batteries.
Battery Control Circuit
When the AC voltage and batteries coexist, this circuit controls the process of charging the
batteries with the DC voltage converted by the AC/DC part. When the AC voltage is
unavailable, this circuit controls the batteries to supply power for the subsequent circuits.
5V DC/DC
This part converts the DC voltage to the stable 5V DC voltage and supplies it for the external
boards.
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Chapter 2 Principles
12V DC/DC
This part converts the DC voltage to the stable 12V DC voltage and supplies it for the external
boards.
Power Switch Circuit
This circuit controls the status of the 5V DC/DC part and the 12V DC/DC part, thus to control
the switch of the patient monitor.
Voltage Detect Circuit
This circuit detects the output voltages of the circuits, converts the analog signal to the digital
signal, and sends the digital signal to the main board for processing.
2.3 Software Description
2.3.1 General
Figure 2-12 System function
As shown in Figure 2-12, in the red frame is the software system, on the left to the red
frame are the inputs of the software system, and on the right to the red frame are the
outputs. The parameter measurement module exchanges data with the software through
the serial port, while the user interacts with the system through the button panel. Among
the output devices, the recorder and alarm device receive data through the serial ports,
the analog output component is an MBUS component, and the LCD and network
controller are controlled directly by CPU.
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2.3.2 System Task
NO Task Function Period
System initialization Initializing the system
1
Data processing Analyzing and saving the data 1 second
2
Display of timer
3
information
Switchover of modules
5
and screens
Processing of user
commands and
6
screens
System monitoring
7
Network connection Implementing the network connection 1 second
8
Network data sending Sending the network data 1 second
9
Network data receiving Receiving the network data (viewbed) 1 second
10
ECG analysis
11
Record output Outputting records
12
NIBP processing Implementing NIBP-related processing 1 second
13
WATCHDOG task Managing the system watchdog 1 second
14
Implementing the timed refreshing 1 second
Switching over between waveforms and
parameters on the screen
Processing the user inputs by buttons and
displaying them on the screen.
System monitoring, voltage monitoring and
battery management
Analyzing ECG signal, calculating ECG values
(HR, ARR and ST), and saving the analysis
results.
In case of a
startup
In case of a
screen change
event
In case of a
button event
1 second
1 second
In case of a
record event
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2.3.3 System Function
The system tasks can be classified as follows.
Figure 2-13 System task
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Chapter 2 Principles
2.4 System Parameter
2.4.1 General
For the DPM5 patient monitor, signals are collected by modules, and the results are
transferred to the main board through the adapter board, thus to process and display the data
and waveforms. Commands from the main board, as well as the status information of modules,
are transferred through the adapter board. In addition, the adapter board adapts and changes
the power supply. The structure of the whole system is shown in the following figure.
Figure 2-14 System structure
As shown in Figure 2-14, the five modules and measurement cables monitor and measure
NIBP, SpO
, ECG/RESP/TEMP, IBP/CO and CO2 in real time, and send the results to the main
2
board for processing and displaying. If necessary, the results are sent to the recorder for
printing.
The parameter monitoring functions are described respectively in the following sections.
2.4.2 ECG/RESP
■ ECG
The DPM5 patient monitor has the following ECG functions:
1) Lead type: 3-lead, 5-lead, 12-lead
2) Lead way:
3-lead (1 channel):
5-lead (2 channels):
I, II, III
I, II, III, aVR, aVL, aVF, V
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12-lead (8 channels): I, II, III, aVR, aVL, aVF, V1-V6, CAL
3) Floating input
4) Right-foot drive
5) Lead-off detection
6) 2-channel ECG waveform amplification; processing ECG signals of any two leads
■ The ECG circuit processes the ECG signals. It consists of the following parts:
1) Input circuit: The input circuit protects the ECG input level, and filters the ECG signals
and external interference. The ECG electrode is connected to the input circuit through the
cable.
2) Buffer amplifying circuit: This circuit ensures extremely high input impedance and low
output resistance for ECG.
3) Right-foot drive circuit: The output midpoint of the buffer amplifying circuit is fed to the
RL end of the 5-lead after the inverse amplification, so as to ensure that the human body
is in the equipotential state, decrease the interference, and increase the common-mode
rejection ratio of the circuit.
4) Lead-off detection: The lead-off causes changes in the output level of the buffer
amplifying circuit. Therefore, the lead-off can be detected with a comparator, and the state
of lead-off can be converted TTL level for the Micro Controller Unit (MCU) to detect it.
5) Lead circuit: Under the control of MCU, the lead electrodes should be connected to the
main amplification circuit.
6) Main amplification circuit: The measurement amplifier is composed of 3 standard
operation amplifiers.
7) Subsequent processing circuit: This circuit couples the ECG signals, remotely controls
the gains, filters the waves, shifts the level, amplifies the signal to the specified amplitude,
and sends the signal to the A/D converter.
■ RESP
The DPM5 patient monitor measures the RESP based on the impedance principle. While
a man is breathing, the action of the breast leads to impedance changes between RL and
LL. Change the high-frequency signal passing the RL and LL to amplitude-modulation
high-frequency signal (AM high-frequency signal), which is converted to the electric signal
after being detected and amplified and then sent to the A/D converter. The RESP module
consists of the RESP circuit board and coupling transformer. The circuit has several
functions: vibration, coupling, wave-detection, primary amplification and high-gain
amplification.
2.4.3 NIBP
The NIBP is measured based on the pulse vibration principle. Inflate the cuff which is
on the forearm till the cuff pressure blocks the arterial blood, and then deflate the cuff
according to a specified algorithm. While the cuff pressure is decreasing, the arterial
blood has pulses, which are sensed by the pressure transducer in the cuff.
Consequently, the pressure transducer, connected with the windpipe of the cuff,
generates a pulsation signal. Then, the pulsation signal is filtered by a high-pass filter
(about 1Hz), amplified, converted to the digital signal by the A/D converter, and finally
processed by the MCU. After that, the systolic pressure, diastolic pressure and mean
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Chapter 2 Principles
pressure can be obtained. For neonates, pediatric and adults, it is necessary to select
the cuffs of a proper size to avoid possible measurement errors. In the NIBP
measurement, there is a protection circuit used to protect patient from over-high
pressure.
The NIBP measurement modes include:
1) Adult/pediatric/neonate mode: To be selected according to the build, weight and age
of the patient;
2) Manual/Auto/Continuous mode: The manual measurement is also called single
measurement; in this mode, only one measurement is done after being started. In the
auto measurement mode, the measurement can be done once within the selected
period, with the interval being 1, 2, 3, 4, 5, 10, 15, 30, 60, 90, 120, 180, 240 or 480
minutes. In the continuous measurement mode, quick continuous measurement will be
done within 5 minutes after being started; it detects the changes in blood pressure
effectively.
2.4.4 SpO2
The SpO2 value is obtained through the pulse waves of the finger tips based on specific
algorithm and clinical data. The SpO
probe is the measurement transducer. It has two
2
inbuilt LEDs and an inbuilt light receiver. The two LEDs include one red-light diode and
one infrared diode, which emit light in turns. When the capillaries in the finger tip are
iteratively congested with blood pumped by the heart, the light emitted by the LEDs, after
absorbed by the capillaries and tissue, casts on the light receiver, which can sense, in the
form of electric signal, the light strength changing with the pulsated blood. The DC/AC
ratio of the two photoelectric signals corresponds to the content of the oxygen in the blood.
Therefore, the correct pulse oxygen saturation can be obtained with specific algorithm.
Moreover, the pulse rate can be obtained according to the pulse waveform.
The circuit of the SpO
module is involved in four parts: SpO2 probe, signal processing
2
unit, LED-driven sequencing control part and the MCU.
2.4.5 TEMP
Temperature measurement principle:
1. The transducer converts the body temperature to the electric signal;
2. The amplifier amplifies the electric signal;
3. The CPU processes the data.
The circuit is a proportional amplifier consisting of operation amplifiers. When the
temperature reaches the heat-sensitive probe, the heat-sensitive probe generates the
voltage signal, which is sent to the A/D converter after being amplified. The probe
detecting circuit is a voltage comparator consisting of operation amplifiers. When the
probe is disconnected, the voltage input is lower than the comparing voltage, so the
voltage comparator outputs the low level; when the probe is connected, the voltage input
is higher than the comparing voltage, so the voltage comparator outputs the high level.
2.4.6 IBP
The IBP module can monitor the arterial pressure, central venous pressure and
pulmonary arterial pressure.
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Measurement principle: Introduce a catheter, of which the external end is connected to
the pressure transducer, into the blood vessel under test, inject the physiological saline.
Since the liquid can be transferred by pressure, the pressure inside the blood pressure is
transferred by liquid to the pressure transducer, and the dynamic waveform of the
pressure inside the blood pressure is obtained in real time. Thus, the arterial pressure,
central venous pressure and pulmonary arterial pressure are obtained based on specific
algorithm.
2.4.7 CO
CO measurement principle: The thermal dilution method is widely used in the clinical CO
monitoring. Introduce a floating catheter into the pulmonary artery through the right atrium,
and inject the physiological saline into the right atrium through the catheter whose front
end is connected to the temperature transducer. When the cold liquid mixes with the
blood, there will be a change of temperature. Thus, when the blood mixed with the
physiological saline flows into the pulmonary artery, its temperature will be sensed by the
temperature transducer. According to the injection time and temperature change, the
patient monitor can analyze the CO, and calculate the Cardiac Index (CI), Stroke Volume
Index (SVI), SVIs of the left atrium and right atrium, Pulmonary Vascular Resistance (PVR)
and so on.
2.4.8 CO2
The CO2 module works based on the infrared spectrum absorption principle. According to
different connection methods, the infrared light transducer is classified as sidestream
infrared light transducer. The sidestream CO
module is composed of the circuit board,
2
inbuilt sidestream infrared light transducer, deflation pump and control. When used, this
module requires the external water trap, drying pipe and sampling tube. In the sidestream
mode, the deflation rate can be set to 100ml/min, 150ml/min or 200ml/min according to
the patient situation. In the AG monitoring, multiple compensations can be set, such as
hydrosphere, oxygen, temperature and desflurane (Des). When the CO
measurement is
2
not being conducted, the sidestream deflation pump and the infrared source are expected
to be shut down, thus to extend the service life and reduce the power consumption of the
module. There is no windpipe which is available in the sidestream mode.
2.4.9 AG
The Anesthesia Gas (AG) can be used to measure the AG and respiration gas of the
anesthetized patient. The AG concentration is measured based on the principle that the
AG has the property of absorbing the infrared. All gases that the AG module can measure
have the property of absorbing the infrared, and every gas has their own specific
absorption peculiarity.
AG measurement procedure:
1. Send the gas to be measured to a sampling chamber;
2. Use an optical infrared filter, select a specific band of infrared, and transmit it
through the gas;
3. Measure the infrared that gets through the gas to obtain the gas concentration.
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Chapter 2 Principles
For a given volume, the higher the gas concentration is, the more absorbed infrared is,
and the less the infrared that gets through the gas is. For the measurement of multiple
gases, multiple infrared filters are required in the AG module.
The oxygen does not absorb the infrared within the above-mentioned wave band.
Therefore, the oxygen is measured based on its paramagnetism. Inside the transducer of
the O
module, there are two crystal balls full of nitrogen. They are suspended in the
2
symmetrical magnetic field, and designed to point to the strongest outgoing part of the
magnetic field. Outside the balls is the paramagnetic oxygen. Therefore, the balls are
forced, by the relatively stronger paramagnetic oxygen, out of the magnetic field. The
moment of the force acting on the balls is proportional to the paramagnetic strength as
well as to the concentration of the paramagnetic oxygen.
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Chapter 2 Principles
FOR YOUR NOTES
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Chapter 3 Product Specifications
Chapter 3.Product Specifications
3.1. Safety Classifications
Class I with internal electric power supply.
Type of protection against
electric shock
Degree of protection
against electric shock
Degree of protection
against hazards of ignition
of flammable anesthetic
mixtures
Degree of protection
against harmful ingress of
water
Mode of operation Continuous
Equipment type Portable
Where the integrity of the external protective earth (ground) in
the installation or its conductors is in doubt, the equipment shall
be operated from its internal electric power supply (batteries)
Sidestream, Microstream CO2/AG:
ECG/RESP/TEMP/SpO2/NIBP/IBP/
CO:
Not protected (ordinary)
Not protected (ordinary)
BF (defibrillation proof)
CF (defibrillation proof)
3.2. Environmental Specifications
0 to 40℃
Operating temperature
Operating humidity 15 to 95%, noncondensing
Operating altitude
Storage temperature
Storage humidity 10 to 95%, noncondensing
Storage and transportation
altitude
5 to 35℃
5 to 35℃
10 to 35℃
-500 to 4600 m (-1640 to 15092 feet)
-305 to 3014 m (-1000 to 9889 feet) (with CO2, AG, Masimo or
Nellcor SpO2 module)
-20 to 60℃
-500 to 13100 m (-1640 to 42979 feet)
-305 to 6096 m (-1000 to 20000 feet) (with CO2, AG, Masimo or
Nellcor SpO2 module)
(With Sidestream CO2 module)
(With Microstream CO2 module)
(With AION AG module)
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Chapter 3 Product Specifications
3.3. Power Source Specifications
AC Power Supply Specifications
Input voltage
Current 1.4A to 0.6A
Frequency 50/60 Hz
Fuse T 3 A, 250 V
Internal battery
Number of batteries 2
Type Sealed lead-acid battery or lithium-ion battery
Time to shutdown >5 min (after the first low-power alarm)
Sealed lead-acid battery
Nominal voltage 12 VDC
Capacity 2.3 Ah
Operating time
Charge time
Lithium battery
Rated voltage 11.1 VDC
Capacity 4.4 Ah
Operating time
Charge time A maximum of 6.5h (in the running status or standby mode)
100 to 240 V~
48 minutes or 120 minutes typical when powered by one or two
new fully-charged batteries respectively (25℃, ECG, SpO2,
NIBP measurement per 15 minutes).
A maximum of 6 h for each battery, and a maximum of 12h for
both (in the running status or standby mode)
120 minutes or 300 minutes typical when powered by one or two
new fully-charged batteries respectively (25℃, ECG, SpO2,
In case of faults causing white screen or other abnormal screens,
■ Check whether the LCD connection wires are in good contact;
■ Replace the LCD connection wires, or replace the LCD if necessary;
■ Replace the main control board if the fault still exists.
4.2.3 Encoder Faults
1. If all other functions (indicator, alarm, buttons) of the button panel are normal,
proceed to step 2; otherwise, replace the button panel;
2. Check whether short-circuit or abnormal open-circuit occurs in the encoder pad;
3. Replace the encoder.
4.2.4 No Audio Alarm
1. Check whether the audio alarm function is disabled in the software settings;
2. Replace the speaker;
3. Replace the button panel.
4.2.5 Printing Failure
1. Check whether there is any alarm about the recorder. If any, eliminate it;
2. Check whether the recorder indictor is on;
3. If not, check the connection wire for inputting signals to the recorder;
4. Check whether the recorder module is enabled in the maintenance menu;
5. Check the power cord of the recorder (including the recorder power PCB);
6. Replace the recorder module.
4.2.6 Abnormal Paper Drive
1. Check whether there are blocks on the paper roller of the recorder;
2. Check whether there are blocks in the gear cluster of thermal assembly of the
recorder;
3. Check whether the voltage input of the recorder is larger than 17.6V.
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Chapter 5 Test and Material List
5.1 Test Procedure
5.1.1 Connection and Checking
Connect the simulators, power supply and test fixture properly to the DPM5 patient
monitor, and power it on. Then, the patient monitor displays the start-up screen on the TFT
screen and enters the system screen.
5.1.2 Functions of Buttons
Press every button on the button panel to check their functions as specified in DPM5
Operator’s Manual. Rotate the control knob to check its functions.
5.1.3 ECG/RESP
The TFT screen displays the standard ECG waveform, and the error between the heart
rate and the set value of the simulator is no more than ±1, namely 60±1; the RESP
waveform is smooth, and the respiration rate is 20±1.
1. Select all leads in order, including Cal, select all the four gains and AUTO, ensure
the waveforms are displayed properly, and check whether the 50Hz/60Hz
interference can be filtered.
2. Check, in all the above-mentioned cases, the consistency between the
heartbeats, the flashes of the red heart-like indicator, and the R-wave.
3. The gain has no impact on the message “ECG signal over weak” in the HR
calculation.
4. Verify the range and precision: Suppose that the amplitude of the GCG signal of
the simulator is 1mV, the heart rates are respectively 30, 60, 120, 200, 240 and
300. Check leads I, II and III. The results should meet 29-31, 59-61, 119-121,
198-202, 238-242, and 297-303.
5. PACE pulse test: Set the simulator to PACE. You should be able to view the pace.
Change PACE amplitude to ±8 – 700mv, and pulse width to 0.1ms – 2ms. The
PACE should be legible, and LEAD OFF is displayed properly.
6. RESP measurement: Set the baseline impedance to 1K, the respiration
impedance to 0.5Ω and 3Ω, and the respiration rate to 30 and 120. The
respiration rate should be 29 – 31, 118 –122.
7. PVC test: Set the simulator to the PVC mode, and set the occurrence times. The
relevant PVCS should be obtained.
8. Set the simulator as follows: RR: 40, baseline impedance: 2KΩ, RESP waveform:
3:1. Open the apnea alarm, set the respiration resistance to 0Ω, and set various
alarm time. Alarms should be given.
5.1.4 Temperature
1.
YSI probe
Select YSI probe from the manufacturer menu, select YSI temperature probe as
the test fixture, set the analog resistance to 1.471K, 1.355K and 1.249K. Then
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the TEMP parameter should be 35±0.1 , 37±℃0.1 and 39±0.1 .℃℃
2. CY-F1 probe
Select CY-F1 probe from the manufacturer menu, select CY-F1 temperature
probe as the test fixture, set the analog resistance to 6.534K, 6.018K and
5.548K. Then the TEMP parameter should be 35±0.1 , 37±0.1 and ℃℃
39±0.1 .℃
5.1.5 NIBP
Connect the NIBP simulator, adult cuff and accessories, and then connect the module
CUFF and clockwise screw it tightly.
1. After the simulator self-test, press <ENT> to enter the ADULT analog blood
pressure mode. Set the blood pressure to the 255/195/215 mmHg level, SHIFT
to +15, and the HR to 80BPM. Set DPM5 to the adult mode. Press <START>.
Then the results will be obtained in about 30s. The measured results should be
respectively 270±8mmHg, 210±8mmHg and 230±8mmHg.
2. Press <ESC> and <↓> on the simulator to enter the NEONATE mode. Set the
blood pressure to the 120/80/90 mmHg level, HR to 120bmp, and DPM5 to the
pediatric mode. Press <START>. Then the results will be obtained in about 30s.
The measured results should be respectively 120±8mmHg, 80±8mmHg and
90±8mmHg.
3. Press <ESC> and <↓> on the simulator to enter the NEONATE mode. Set the
blood pressure to the 60/30/40 mmHg level, SHIFT to -20, HR to 120bmp, and
DPM5 to the neonate mode. Change the simulator accessory to the neonatal
cuff. Press <START>. Then the results will be obtained in about 30s. The
measured results should be respectively 40±8mmHg, 10±8mmHg and
20±8mmHg.
5.1.6 SpO2
Select PLETH as the HR source of DPM5, and put the finger into the SpO2 sensor. The
screen should display the PR and SpO
values normally. The normal SpO2 value is
2
above 97%.
5.1.7 IBP
Test fixture
1.
Physiological signal simulator
2. Test procedure
IBP1 test:①
Set the BP sensitivity of the ECG simulator to 5uv/v/mmHg, BP to 0mmHG, and the
IBP channel 1 to ART. Enter the IBP PRESSURE ZERO menu of the DPM5, zero
Channel 1, and then return to the main screen. Set the BP of the simulator to
200mmHg. Enter the IBP PRESSURE CALIBRATE menu of the DPM5, conduct
calibration, and then exit the IBP PRESSURE CALIBRATE menu.
Set the BP value of the simulator respectively to 40mmHg, 100mmHg and
200mmHg. Then the screen of the DPM5 should display 40±1mmHg, 100±2mmHg
and 200±4mmHg.
Set the simulator output to ART wave. Then the screen of the DPM5 should display
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relevant waveform properly.
Unplug the IBP probe. Then the screen should prompt “IBP: Transducer 1 OFF!”
and “IBP: Transducer 2 OFF!”
Plug the OHMEDA cable to the IBP1 channel. Then the prompting message “IBP:
Transducer 1 OFF!” disappears.
IBP2 test:②
Plug the IBP cable to the IBP2 channel, and repeat the procedure in Section .①
5.1.8 CO
Test fixture
1.
Physiological signal simulator
2. Test procedure
Injectate and blood temperature test: Assemble the TB and TI test fixture, output
three TB temperature values: 36 , 37 and 38 . Then TB should be respectively ℃℃℃
36.0±0.1 , 37.0±0.1 and 38.℃℃0±0.1 . Set the injectate switch to ON, output two ℃
TI temperature values: 0 and 2 . Then the screen should display 0±0.1 and ℃℃℃
2.0±0.1 .℃
CO measurement: Set the CO.CONST and T
to the default values: 0.542 and 0 , ℃
I
set the injectate switch to OFF, and then press START. Then the simulator will
output 0 , 2.5L/M and 0 , 5L/M within 2s. The CO values should be 2.5±0.25L/M ℃℃
and 5±0.5L/M.
5.1.9 CO2
Test fixture
1.
CO
steel bottle (containing 10% CO2)
2
2. Test procedure
① Sidestream CO
measurement: Set the calculation compensation of DPM5 to
2
COMMON.
Plug the water trap to the water trap socket, connect the sampling tube with the CO
steel bottle, and open//close the valve of the CO
3s. The CO
value should be the calibration gas pressure value: 76±5%mmHg. When
2
steel bottle based on the interval of
2
the valve is opened permanently, the patient monitor prompts “APNEA ALARM”.
Unplug the water trap. The patient monitor prompts “CO
water trap OFF”. Plug the
2
water trap again. The prompting message disappears.
② When the measured value exceeds the high limit of CO
prompts “CO
than the low limit, the patient monitor prompts “CO
too high” on the main screen. When the measured value is lower
2
too low”.
2
, the patient monitor
2
5.1.10 Water trap
1. Connect the airway and block the inlet of the sampling line with your finger.
Check if the message
CO2 SAMPLE LINE ABNORMAL is displayed and the current
2
pump rate in the CO2 USER MAINTAIN menu drops below 5ml/min. If yes, it
indicates the airway is normal. Otherwise, proceed with step 2.
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2. Remove the sampling line and block the inlet of the water trap with your finger.
Check if the message
CO2 SAMPLE LINE ABNORMAL is displayed and the current
pump rate in the CO2 USER MAINTAIN menu drops below 5ml/min. If yes, it
indicates there may be a problem with the connection between the sampling
line and water trap or a leakage in the sampling line. Otherwise, proceed with
step 3.
3. Remove the water trap and block the two inlets in the receptacle for the water
trap. Check if the message
CO2 SAMPLE LINE ABNORMAL is displayed and the
current pump rate in the CO2 USER MAINTAIN menu drops below 5ml/min. If
yes, it indicates there may be a problem with the connection between the water
trap and its receptacle or a leakage in the water trap. Otherwise, there may be a
problem with the internal airway in the monitor. The internal airway has two
parts, one part in the receptacle and the other part in the module. Block the
small tubes between the water trap receptacle and module with your fingers and
check if the message
CO2 SAMPLE LINE ABNORMAL is displayed and the current
pump rate in the CO2 USER MAINTAIN menu drops below 5ml/min. If yes, it
indicates there is a problem with the airway in the receptacle. Replace the
receptacle. Otherwise, replace the module.
5.1.11 Recorder
1. Print the ECG waveform. The recorder should print it normally and clearly. Set
the recorder to the fault of lack of paper and abnormal clip. There should be relevant
prompting messages on the main screen. When the fault is cleared, the patient
monitor should become normal.
2. Print the alarm messages of all parameters. Set the alarm print switch to ON for
all parameters, and set different alarm limits. Then the recorder should print the
alarm message in case of an alarm
5.1.12 Power Supply
When the patient monitor is supplied with the external AC power, the CHARGE
indicator becomes ON. When it is disconnected from the external AC power, the
CHARGE indicator becomes OFF. After the patient monitor is started without
assembling the batteries, “x” is displayed in the battery indication frame on the main
screen. After the batteries are assembled, the battery electricity is displayed in the
battery indication frame on the main screen. The patient monitor can work normally
with or without batteries. It, however, should give an alarm when the batteries are
exhausted.
.
5.1.13 Clock
Verify the correctness of the clock in the system test, and then set the clock to the current time.
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5.1.14 System Test
Load all parameters, and conduct operations respectively on the loaded parameters.
During the synchronization, no exceptions (for example, mutual interference) occur.
Set all parameter setups in menus to the default values which are those at the time of
software loading, and conduct operations on the menus, for example, managing the
patient information, recalling data, and so on. All the operations should be done
normally, and the corresponding functions should be correct and meet the product
requirements.
5.2 NIBP Calibration
Figure 5-1 NIBP Calibration
Calibration method:
Based on the precision of 50mmHg (6.7kPa), increase the pressure step by step. The
maximum error at any pressure point within the NIBP measurement range of the patient
monitor should be no more than ±3mmHg (±0.4kPa). Decrease the pressure step by step.
The maximum error at any pressure point within the NIBP measurement range of the patient
monitor should be no more than ±3mmHg (±0.4kPa).
5.3 IBP CALIBRATE
5.3.1 IBP Transducer Zero
Press the ZERO button on the IBP module to call up IBP PRESSURE ZERO menu as
shown below:
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Figure 5-2 IBP PRESSURE ZERO
Zero Calibration of Transducer
Select CH1, the system will zero IBP1. Select CH2, the system will zero IBP2.
Cautions:( Use the PM-6000 IBP module as a example)
Turn off patient stopcock before you start the zero procedure.
The transducer must be vented to atmospheric pressure before the zero procedure.
The transducer should be placed at the same height level with the heart, approximately
mid-axially line.
Zero procedure should be performed before starting the monitoring and at least once a
day after each disconnect-and-connect of the cable.
Figure 5-3 IBP Zero
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5.3.2 IBP Calibration
Press CAL button on the IBP module to call up the IBP PRESSURE CALIBRATE menu as
shown below:
Figure 5-4 IBP Calibration Menu
Calibrate the transducer:
Turn the knob to select the item CH1 CAL VALUE, press and turn the knob to select the
pressure value to be calibrated for channel 1. Then turn the knob to select the item
CALIBRATE to start calibrating channel 1.
Turn the knob to select the item CH2 CAL VALUE, press and turn the knob to select the
pressure value to be calibrated for channel 2. Then turn the knob to select the item
CALIBRATE to start calibrating channel 2.
The pressure calibration of DPM5:
Figure 5-5 IBP Calibration
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You will need the following pieces of equipment:
• Standard sphygmomanometer
• 3-way stopcock
• Tubing approximately 25 cm long
The Calibration Procedure:
1. Close the stopcock that was open to atmospheric pressure for the zero calibration.
2. Attach the tubing to the sphygmomanometer.
3. Ensure that connection that would lead to patient is off.
4. Connect the 3-way connector to the 3-way stopcock that is not connected to the patient
catheter.
5. Open the port of the 3-way stopcock to the sphygmomanometer. .
6. Select the channel to be calibrated in the menu and select the pressure value to which the
IBP is to be adjusted.
7. Inflate to make the mercury bar rise to the setup pressure value.
8. Adjust repeatedly until the value in the menu is equal to the pressure value shown by the
mercury calibration.
9. Press the Start button, the device will begin calibrating.
10. Wait for the calibrated result. You should take corresponding measures based on the
prompt information.
11. After calibration, disassemble the blood pressure tubing and the attached 3-way valve.
Calibration completion message:
“SUCCESSFUL CALIBRATE”
5.4 CO2 CHECK
Check procedure for sidestream module only
Via the DPM5’s system and maintain menus you are prompted for a password for entering the
factory key. After entering the password “332888” you get access to the pump rate settings and
to check the accuracy of the CO2 measurement. Using the below test set up to verify the
accuracy of the CO2 module.
Figure 5-6 Sidestream test set up
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Chapter 5 Test and Material List
Note The sidestream module can not be calibrated. Only the overall performance
and accuracy is checked. If the Co2 module fails the tests it should be replaced.
Figure 5-7 Factory Maintain Menu Figure 5-8 CO2 check menu
5.5 AG CALIBRATE
Calibrate the AG module every year or when the measured value has a great deviation.
Tool s requ ired:
Gas bottle, with a certain standard gas or mixture gas. Gas concentration should meet the
following requirements: AA>1.5%, CO
>1.5%, N2O>40%, O2>40%, of which AA
2
represents an anesthetic agent.
T-shape connector
Tubing
Reservoir bag
Follow this procedure to perform a calibration:
1. Select MAINTAIN>> in SYSTEM MENU, enter USER KEY, then select CONFIRM
button. Then selecting GAS CALIBRATE >> in USER MAINTAIN menu opens the
GAS CALIBRATE menu.
2. Select VERIFY ACCURACY to check the airway and make sure that there are no
occlusions or leaks.
Vent the tubing to the air and check if the CUR RATE and SET RATE are
approximately the same. If the deviation is great, it indicates that there is an
occlusion in the tubing. Check the tubing for an occlusion.
The CUR RATE shall fall rapidly and the system prompt that the tubing is blocked.
Otherwise, it indicates that there are leakages in the tubing. Check the tubing for
leakages.
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Chapter 5 Test and Material List
3. Connect the gas bottle, reservoir bag and the tubing using a T-shape connector as shown
in the figure below. Check the airway and make sure there are no leaks.
4. Open the gas valve and vent a certain standard gas or mixture gas into the tubing.
Gas valve
Tubing
AG module
Reservoir bag
Gas bottle
5. In the CALIBRATE menu, the concentration and flowrate of each measured gas are
displayed
If the difference between the measured gas concentration and the actual one is very
small, a calibration is not needed.
If the difference is great, you should perform a calibration. Select START CAL>>
to enter the calibrate menu.
6. Enter the vented gas concentration. If you use only one gas for calibration, set other
gases’ concentration to 0.
7. Select CALIBRATE to start calibration.
8. If the calibration is finished successfully, the message CALIBRATION COMPLETED!
is displayed. If the calibration failed, the message AG CAL. FAILED is displayed.
12 9200-20-10677 Insulating plate of mounting plate 3 1
13 9200-20-10676 SPO2/IBP mounting plate 1
14 9200-20-10678 Insulating plate of mounting plate 4 1
15 M03A-30-26050 IBP/CO module 1
16 630D-30-09121 630D blood pressure pump 1
17 0010-10-12275 MASIMO SpO2 module 1
28 9201-20-36012 Power PCB insulating plate 1
29 9201-30-35901 Lithium battery power PCB 1
20 9210-30-30163 Pinboard assembly 1
21 9201-30-35908 Microstream CO2 adapter board 1
22 9201-30-35955 Microstream CO2 module 1
23 9201-20-35928 Mounting plate of microstream CO2
module
1
1
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Chapter 5 Test and Material List
FOR YOUR NOTES
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Chapter 6 Maintenance and Cleaning
Chapter 6 Maintenance and Cleaning
6.1 Maintena nce
6.1.1Checking Before Using
■ Check the patient monitor for mechanical damages;
■ Check all exposed conductors, connectors and accessories;
■ Check all functions that are possibly enabled for the monitored patient, and
ensure the device is in good working status.
In case of any damage, stop using this patient monitor, and contact biomedical
engineers of the hospital or Mindray DS maintenance engineers.
6.1.2 Regular Checking
An all-around check, including the safety check, should be done by qualified personnel
every 6-12 months or after maintenance each time.
All checks in which the patient monitor should be disassembled should be done by
qualified maintenance personnel. The safety and maintenance checks can be done by
Mindray DS engineers. The local office of Mindray DS at your region will be pleased to
provide you with the information about the maintenance contract.
6.2 Cleaning
Do switch off the patient mon itor and d isconn ect the AC power supply before
cleaning it or the probes.
The DPM5 patient monitor should be dust free. To clean the surface of its enclosure
and screen, use the cleaning agent that is not corrosive, for example, soap and water.
1. Do not use strong solvent, such as acetone;
2. Most cleaning agents must be diluted before being used, so conduct dilution under
the instruction of manufacturers;
3. Do not use any erosive material (such as steel wool or polishing agent);
4. Prevent the ingress of any liquid to the enclosure and any part of the device;
5. Ensure no residue of cleaning liquid on the surface of the device.
6.3 Cleaning Reagent
1. Diluted aqua ammonia
2. Diluted sodium hypochlorite (bleaching powder for washing)
3. Diluted formaldehyde 35 – 37%
4. Hydrogen peroxide 3%
5. Ethanol
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Chapter 6 Maintenance and Cleaning
6. Isopropyl alcohol
6.4 Sterilization
To avoid the long-time damage to the patient monitor, we recommend you
9 To conduct only sterilization which is considered necessary in your maintenance
plan;
9 To clean the patient monitor before the sterilization;
9 To sterilize the patient monitor with specified sterilization agent: Ethylate, and
Acetaldehyde.
For the sterilization agents of the ECG leads and blood pressure cuffs, refer to relevant
chapters in Operation Manual.
Caution
Conduct dilution or use the liquid of the possibly-lowest concentration
under the instructions by the manufacturer.
Prevent the ingress of liquid to the enclosure.
Prevent any part of the system from being dipped.
In sterilization, do not spill the liquid to the patient monitor.
Ensure no residue of sterilization agent on the surface of the patient
monitor. Clean it if any.
6.5 Disinfection
To avoid the long-time damage to the patient monitor, we recommend you
9 To conduct only disinfection which is considered necessary in your maintenance
plan;
9 To clean the patient monitor before the disinfection;
For the disinfections of ECG leads, SpO
sensor, refer to relevant chapters in Operation Manual.
Gas (EtO) or formaldehyde are forbidden for the disinfection of the patient
monitor.
sensor, blood pressure cuffs and temperature
2
66
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Page 82
Mindray DS USA, Inc.
800 MacArthur Blvd.
Mahwah, New Jersey 07430
USA
Tel:1.800.288.2121
Tel:1.201.995.8000
www.mindray.com
P/N: 046-000183-00(3.0)
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