The safety statements presented in this chapter refer to the basic safety information
that the operator of the CMS shall pay attention to and abide by. There are additional
safety statements in other chapters or sections, which may be the same as or similar
to the followings, or specific to the operations.
DANGER
Indicates an imminent hazard situation that, if not avoided, will result in
death or serious injury.
WARNING
Indicates a potential hazard situation or unsafe practice that, if not
avoided, could result in death or serious injury.
CAUTION
Indicates a potential hazard or unsafe practice that, if not avoided, could
result in minor personal injury or product/property damage.
NOTE
Provides application tips or other useful information to ensure that you
get the most from your product.
1-2
Safety
1.1.1 Dangers
There are no dangers that refer to the product in general. Specific “Danger”
statements may be given in the respective sections of this operation manual
1.1.2 Warnings
WARNING
The device is intended for use by qualified clinical physicians or
well-trained nurses in the specified places. Anyone unauthorized or
untrained must not perform any operation on it.
The physiological waveforms, parameters and alarms displayed on the
screen of the CMS are for doctor’s reference only and cannot be directly
used as the basis for clinical treatment. Before giving invasive treatment
to a patient, you must go to the corresponding monitor to confirm the
results you have obtained from the CMS.
If any value displayed on the screen of the CMS is abnormal or
questionable, first determine the patient’s vital signs by alternative
means and then verify that the CMS or monitor is working correctly.
The CMS is a clinical information device. Except for using such
components as the mouse and keyboard to perform normal operations,
do not touch or disassemble any other component, especially the power
component; otherwise, it may result in personnel injury.
The computer running the CMS software must comply with local relevant
regulations. The CMS is intended to connect our monitors only.
Connecting the monitors made by other manufacturers may cause the
values displayed on the CMS inaccurate.
The service life of the CMS depends on its hardware, so violence, drop
or collision should be avoided in the operation on the keyboard, mouse
and computer; otherwise, the service life of the CMS may be shortened.
Components of the CMS, such as the keyboard and mouse, may be
contaminated by microorganism during transport, storage and use.
Before removing them from their packaging, the packaging should be
inspected for damage. In case of any damage, contact the carrier or our
company immediately.
1-3
Safety
WARNING
The CMS can construct a wireless local area network (WLAN) by
connecting monitors. When data is transmitted via wireless radio
frequency (RF) signals, it may impair the environment or the use of other
equipment. Therefore, the wireless RF equipment must comply with
local relevant standards and regulations.
When the CMS is transmitting data via wireless RF signals, loss of
patient data may be caused by the interference of other RF signals.
1.1.3 Cautions
CAUTION
Hospitals without stable power source should use an Uninterruptible
Power Supply (UPS) to power the CMS. When there is a power failure,
the system should be shut down by following the specified shutdown
procedure before the UPS is turned off. If the system has a sudden
power failure, system failure may occur and consequently the system
will not work correctly next time or even have a serious result.
Never start or transport the system under the condition other than that
specified; otherwise, the system may be damaged. We shall assume no
responsibility for such damages.
System time should be setup before the CMS is put into use. If the
system time is modified when the CMS is running, the dat a that has been
stored may get lost or the network may be interrupted.
Be sure to use standard thermal recorder paper only; otherwise, the
recorder may show poor quality on record, or may be unusable, or the
print head of the recorder may be damaged.
The CMS is capable of connecting up to 64 monitors. The cable
connecting the monitor to the hub or exchange shall not exceed 100m;
otherwise, it may result in network overload or w eak network signals
and consequently errors will occur during data transmission or
displaying.
The host of the CMS should be maintained every three to six months. Its
long time continuous operating may lead to failure of the operating
system.
1-4
Safety
CAUTION
The host of the CMS should be installed with the original Microsoft
Windows’s system and standard upgrade program, such as the service
package. Illegal software may lead to abnormal or incorrect system
operating.
When printing data through an external printer, be sure to follow the
printer’s instructions. In case any problem occurs during printing,
consult the printer’s instructions.
1.1.4 Notes
NOTE
Keep this manual close to the CMS so that it can be obtained
conveniently when necessary.
Choose a location that affords an unobstructed view of the CMS’s
screen and easy access to the operating and maintaining.
The central monitoring system (CMS) is intended to conduct centralized monitoring
of vital sign information from multiple monitors and/or telemetry transmitters in
hospitals or medical institutions. It is not intended for home use.
WARNING
The device is intended for use by qualified clinical physicians or
well-trained nurses in the specified places. Anyone unauthorized or
untrained must not perform any operation on it.
The physiological waveforms, parameters and alarms displayed on the
screen of the CMS are for doctor’s reference only and cannot be directly
used as the basis for clinical treatment.
If any value displayed on the screen of the CMS is abnormal or
questionable, first determine the patient’s vital signs by alternative
means and then verify that the CMS, or corresponding monitor or
telemetry transmitter is working correctly.
2.1.2 Contraindications
None.
2.1.3 Functions
The CMS comprises powerful system software and high-performance computer
components. It constructs a monitoring network by connecting monitors and
telemetry transmitters. By collecting, processing, analyzing and outputting the
information coming from monitors and telemetry transmitters, the CMS can achieve
centralized monitoring over multiple patients so as to greatly promote the efficiency
and quality of the monitoring work.
2-2
The Basics
The CMS:
Is capable of connecting up to 64 monitors that supports the CMS or CMS+
network protocol.
Is capable of connecting up to 64 telemetry transmitters.
Supports multi-screen display mode, including two primary displays and
multiple secondary displays.
Is capable of displaying information from 16 monitors in the single-screen mode
and 32 monitors in the dual-screen mode.
Allows you to view a single patient emphatically.
Allows you to review up to 240 hours of trend data for each online patient.
Allows you to review up to 720 alarm events for each online patient.
Allows you to review a 4-hour dynamic short trend for each online patient.
Allows you to review up to 720 CO measurements for each online patient.
Allows you to review up to 72 hours of 64 waveforms.
Allows you to review up to 720 NIBP measurements for each online patient.
Allows you to review up to 720 12-lead analysis results for each online patient.
Allows you to search and review the data of up to 20,000 history patients.
Provides the patient information management function.
Provides audible and visual alarms.
Provides the functions of drug calculation, titration table calculation and
hemodynamics calculation.
Provides the functions to record, print and save data.
Provides comprehensive help information, prompts and operational guide.
Provides 1280×1024 high display resolution.
Provides two waveform display modes: color and mono.
Facilitates the setup of language, waveform and parameter color.
Supports such peripherals as the keyboard, mouse, thermal recorder, laser
printer, speaker, etc.
Supports wire and wireless network.
The CMS has a USB watchdog to protect the copyright. You must plug the
watchdog into the system’s USB interface before starting the system. Otherwise, the
system cannot start.
2-3
2.1.4 Components
The CMS consists of system software, computer (server), USB watchdog, network
devices, recorder, printer and UPS etc. Some of them are optional.
The Basics
1
3
Figure 2-1 CMS
As shown above, a typical computer (server) consists of the following components:
1. Host
2. Display
3. USB watchdog
2
4
5
4. Mouse
5. Keyboard
This manual is written based on the maximum configuration. Some contents may
not apply to your system.
2-4
2.1.5 Networking Mode
A typical networking diagram of the CMS is as follows:
The Basics
Central monitoring system
Wireless network
Wire network
The CMS, exchange and monitors interconnect through network cable.
Wireless network
Through network cable the CMS is connected to an AP (Access Point), which via
wireless RF connects multiple monitors equipped with wireless network cards.
Telemetry network
Telemetry network
Wire network
Figure 2-2 Central Monitoring Network
Through network cable the CMS is connected to the telemetry receiver, which via