Mindray iMEC 5,iMEC 6, iMEC 7, iMEC 10, iMEC 12, iMEC 15 User manual [gb]

iMEC15S/iMEC15/iMEC12
iMEC10/iMEC8/iMEC7
iMEC6/iMEC5

Patient Monitor

Operator’s Manual

© Cop

yright 2014-2018 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights

reserved.

For this Operator’s Manual, the issue date is December 2018.

I

Intellectual Property Statement

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called

Mindray) owns the intellectual property rights to this Mindray product and this manual.

This manual may refer to information protected by copyrights or patents and does not

convey any license under the patent rights of Mindray, nor the rights of others.

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.

, , and are the registered trademarks or trademarks owned

by Mindray in China and other countries. All other trademarks that appear in this manual

are used only for editorial purposes without the intention of improperly using them. They

are the property of their respective owners.

II

WARNING

organization that employs this equipment to carry

out a reasonable service/maintenance plan. Neglect of this may result in machine

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.

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

z It is important for the hospital or

breakdown or personal injury.

III

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.

IV

Manufacturer:

Shenzhen Mindray Bio

Website:

www.mindray.com

E

[e-mail]

Tel :

[phone]

Fax:

[phone]

EC-Representative:

Shanghai International Holding Corp. GmbH(Europe)

Address:

Eiffestraβe

Tel : 0049

Fax: 0049

Customer Service Department

Address:

-mail Address:

Mindray Building, Keji 12th Road South, High-tech Industrial

Park, Nanshan, Shenzhen 518057, P.R.China

80, 20537 Hamburg, Germany

-40-2513175

-40-255726

-Medical Electronics Co., Ltd.

V

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 chapters or sections.

 [ ] is used to enclose screen texts.

 → is used to indicate operational procedures.

VI

Content

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

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

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

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

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

1.2 Equipment Symbols ........................................................................................................ 1-4

2 The Basics ............................................................................................................................... 2-1

2.1 Monitor Description ........................................................................................................ 2-1

2.1.1 Intended Use....................................................................................................... 2-1

2.1.2 Applied Parts ...................................................................................................... 2-1

2.2 Front View ....................................................................................................................... 2-2

2.3 Side View ........................................................................................................................ 2-4

2.3.1 iMEC15S/iMEC15/iMEC12/iMEC10/iMEC7/iMEC6 ...................................... 2-4

2.3.2 iMEC8/iMEC5 ................................................................................................... 2-5

2.4 Rear View ........................................................................................................................ 2-6

2.5 Display Screen ................................................................................................................ 2-7

2.6 QuickKeys ....................................................................................................................... 2-9

3 Basic Operations .................................................................................................................... 3-1

3.1 Installation ....................................................................................................................... 3-1

3.1.1 Unpacking and Checking ................................................................................... 3-1

3.1.2 Environmental Requirements ............................................................................. 3-2

3.2 Getting Started ................................................................................................................ 3-3

3.2.1 Turning Power On .............................................................................................. 3-3

3.2.2 Starting Monitoring ............................................................................................ 3-3

3.3 Disconnecting from Power .............................................................................................. 3-4

3.4 Using Keys ...................................................................................................................... 3-4

3.5 Using the Touchscreen .................................................................................................... 3-5

3.6 Setting the Screen ............................................................................................................ 3-5

3.7 Using the On-screen Keyboard ....................................................................................... 3-6

3.8 Using the Timer ............................................................................................................... 3-7

3.9 Using the Main Menu...................................................................................................... 3-8

3.10 Changing General Settings ............................................................................................ 3-8

3.10.1 Setting up a Monitor ......................................................................................... 3-9

3.10.2 Changing Language ......................................................................................... 3-9

3.10.3 Adjusting the Screen Brightness ...................................................................... 3-9

3.10.4 Showing/Hiding the Help ................................................................................. 3-9

3.10.5 Setting the Date and Time .............................................................................. 3-10

3.10.6 Adjusting Volume ........................................................................................... 3-10

3.11 Setting Parameters ........................................................................................................3-11

1

3.11.1 Switching the Parameters On/Off .................................................................... 3-11

3.11.2 Accessing the Parameters Menu ..................................................................... 3-12

3.12 Operating Modes ......................................................................................................... 3-12

3.12.1 Monitoring Mode ........................................................................................... 3-12

3.12.2 Night Mode .................................................................................................... 3-12

3.12.3 Privacy Mode ................................................................................................. 3-13

3.12.4 Demo Mode .................................................................................................... 3-14

3.12.5 Standby Mode ................................................................................................ 3-14

4 Managing Patients ................................................................................................................................................. 

4.1 Admitting a Patient .................................................................................................................................. 4-1

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

4.3 Setting the Monitor Location (Not Available for iMEC15S/iMEC15)................................... 4-2

4.4 Querying and Obtaining Patient Information .................................................................................. 4-2

4.5 Querying from Local Facility (Not Available for iMEC15S/iMEC15) .................................. 4-3

4.6 Associating Patient Information .......................................................................................................... 4-3

4.7 Editing Patient Information................................................................................................................... 4-3

4.8 Discharging a Patient .............................................................................................................................. 4-4

4.9 Transferring a Patient .............................................................................................................................. 4-4

4.9.1 Transferring Data from the Monitor to a USB Drive ...................................................... 4-5

4.9.2 Transferring Data from the USB Drive to Monitor ......................................................... 4-5

4.10 Connecting to a Central Monitoring System ................................................................................ 4-6

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

5.1 Introduction ..................................................................................................................... 5-1

5.2 Entering the [Manage Configuration] Menu ................................................................... 5-1

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

5.4 Saving Current Settings ................................................................................................... 5-2

5.5 Editing Configuration ...................................................................................................... 5-3

5.6 Deleting a Configuration ................................................................................................. 5-3

5.7 Transferring a Configuration ........................................................................................... 5-3

5.8 Loading a Configuration ................................................................................................. 5-4

5.9 Restoring the Latest Configuration Automatically .......................................................... 5-4

5.10 Modifying Password ..................................................................................................... 5-5

6 User Screens ............................................................................................................................ 6-1

6.1 Tailoring Your Screens .................................................................................................... 6-1

6.1.1 Changing the Wave Line Size ............................................................................ 6-1

6.1.2 Changing Measurement Colors .......................................................................... 6-1

6.1.3 Changing Screen Layout .................................................................................... 6-1

6.2 Viewing Minitrends ......................................................................................................... 6-2

6.2.1 Having a Split-Screen View of Minitrends ........................................................ 6-2

6.2.2 Setting Minitrends .............................................................................................. 6-3

6.3 Viewing OxyCRG ........................................................................................................... 6-3

6.4 Viewing Other Patients.................................................................................................... 6-4

6.4

.1 Care Group ......................................................................................................... 6-4

2

6.4.2 Viewing the Care Group Overview Bar ............................................................. 6-5

6.4.3 Understanding the View Other Patient Window ................................................ 6-5

6.5 Understanding the Big Numerics Screen ........................................................................ 6-7

7 Alarms ..................................................................................................................................... 7-1

7.1 Alarm Categories ............................................................................................................. 7-1

7.2 Alarm Levels ................................................................................................................... 7-2

7.3 Alarm Indicators .............................................................................................................. 7-2

7.3.1 Alarm Lamp ....................................................................................................... 7-2

7.3.2 Alarm Message ................................................................................................... 7-3

7.3.3 Flashing Numeric ............................................................................................... 7-3

7.3.4 Audible Alarm Tones .......................................................................................... 7-3

7.3.5 Alarm Status Symbols ........................................................................................ 7-4

7.4 Alarm Tone Configuration .............................................................................................. 7-5

7.4.1 Setting the Minimum Alarm Volume ................................................................. 7-5

7.4.2 Changing the Alarm Volume .............................................................................. 7-5

7.4.3 Setting the Interval between Alarm Sounds ....................................................... 7-5

7.4.4 Changing the Alarm Tone Pattern ...................................................................... 7-6

7.4.5 Setting the Reminder Tones ............................................................................... 7-6

7.5 Understanding the Alarm Setup Menu ............................................................................ 7-7

7.5.1 Setting Alarm Properties for All Parameters ...................................................... 7-8

7.5.2 Adjusting Alarm Limits Automatically .............................................................. 7-8

7.5.3 Setting Alarm Delay Time ................................................................................ 7-12

7.5.4 Setting SpO

Technical Alarm Delay ............................................................... 7-13

2

7.5.5 Setting Recording Length ................................................................................. 7-13

7.5.6 Intubation Mode ............................................................................................... 7-13

7.6 Pausing Alarms ............................................................................................................. 7-14

7.7 Switching Off All Alarms .............................................................................................. 7-15

7.8 Resetting Alarms ........................................................................................................... 7-15

7.9 Latching Alarms ............................................................................................................ 7-16

7.10 Testing Alarms ............................................................................................................ 7-17

7.11 Using Care Group Alarms ........................................................................................... 7-17

7.11.1 Care Group Auto Alarms ................................................................................ 7-17

7.11.2 Resetting Care Group Alarms ......................................................................... 7-18

7.11.3 Switching Off the Remote Device Disconnection Alarm (not available for

iMEC15S/iMEC15)................................................................................................... 7-18

7.11.4 Setting Care Group Alert Tone (for iMEC12/iMEC10/iMEC8/iMEC7/iMEC6/

iMEC5)...................................................................................................................... 7-19

7.11.5 Setting Care Group Alert Tone (for iMEC15S/iMEC15) ............................... 7-20

7.12 When an Alarm Occurs ............................................................................................... 7-20

8 Monitoring ECG .................................................................................................................... 8-1

8.1 Introduction ..................................................................................................................... 8-1

8.2 Safety .............................................................................................................................. 8-1

3

8.3 Preparing to Monitor ECG .............................................................................................. 8-2

8.3.1 Preparing the Patient and Placing the Electrodes ............................................... 8-2

8.3.2 Choosing AHA or IEC Lead Placement ............................................................. 8-2

8.3.3 ECG Lead Placements ........................................................................................ 8-3

8.3.4 Checking Paced Status ....................................................................................... 8-5

8.4 Understanding the ECG Display ..................................................................................... 8-6

8.5 Changing ECG Settings .................................................................................................. 8-7

8.5.1 Accessing ECG Menus ....................................................................................... 8-7

8.5.2 Choosing the Alarm Source ................................................................................ 8-7

8.5.3 Setting the ECG Lead Set................................................................................... 8-7

8.5.4 Choosing an ECG Display Screen ..................................................................... 8-7

8.5.5 Changing the ECG Filter Settings ...................................................................... 8-8

8.5.6 Setting the Notch Filter ...................................................................................... 8-8

8.5.7 Changing the Pacer Reject Settings ................................................................... 8-9

8.5.8 Adjusting the Minimum QRS Detection Threshold (For Mindray ECG Algorithm,

not available for iMEC15S/iMEC15) ......................................................................... 8-9

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

8.5.10 Enabling Smart Lead Off ................................................................................ 8-11

8.5.11 Setting the Alarm Level for ECG Lead Off Alarms ........................................ 8-11

8.5.12 Adjusting QRS Volume ................................................................................... 8-11

8.5.13 About the Defibrillator Synchronization ......................................................... 8-11

8.6 About ST Monitoring .................................................................................................... 8-12

8.6.1 Switching ST On and Off ................................................................................. 8-12

8.6.2 Changing ST Filter Settings ............................................................................. 8-12

8.6.3 Understanding the ST Display ......................................................................... 8-13

8.6.4 Saving the Current ST Segment as Reference .................................................. 8-14

8.6.5 Changing the Reference Segment .................................................................... 8-14

8.6.6 Deleting a Reference Segment ......................................................................... 8-14

8.6.7 Recording the ST Segment ............................................................................... 8-15

8.6.8 Changing the ST Alarm Limits ........................................................................ 8-15

8.6.9 Setting the ST Alarm Delay Time .................................................................... 8-15

8.6.10 Adjusting ST Measurement Points ................................................................. 8-15

8.7 QT/QTc Interval Monitoring (For Mindray ECG Algorithm, not available for

iMEC15S/iMEC15) ............................................................................................................ 8-16

8.7.1 QT/QTc Monitoring Limitations ...................................................................... 8-17

8.7.2 Enabling QT/QTc Monitoring .......................................................................... 8-18

8.7.3 Displaying QT/QTc Parameters and Waveform ............................................... 8-18

8.7.4 Entering the QT View ....................................................................................... 8-19

8.7.5 Saving the Current QTc as Reference .............................................................. 8-19

8.7.6 Changing QT Settings ...................................................................................... 8-20

8.8 About Arrhythmia Monitoring ...................................................................................... 8-21

8.8.1 Understanding the Arrhythmia Events ............................................................. 8-21

8.8.2 Changing Arrhythmia Alarm Settings .............................................................. 8-22

8.8.3 Changing Arrhythmia Threshold Settings ........................................................ 8-23

4

8.8.4 Setting the Extended Arrhythmia ..................................................................... 8-24

8.8.5 Reviewing Arrhythmia Events ......................................................................... 8-24

8.9 Viewing the ECG Summary (not available for iMEC15S/iMEC15) ............................ 8-24

8.10 ECG Relearning .......................................................................................................... 8-25

8.10.1 Initiating an ECG Relearning Manually ......................................................... 8-25

8.10.2 Automatic ECG Relearning ............................................................................ 8-25

8.11 12-Lead ECG Monitoring (for iMEC15S/iMEC15 only) ........................................... 8-26

8.11.1 Entering the 12-lead ECG Monitoring Screen ............................................... 8-26

8.11.2 Setting ECG Waveform Sequence .................................................................. 8-27

8.11.3 Extending the rhythm lead waveform area ..................................................... 8-27

8.12 Troubleshooting .......................................................................................................... 8-27

9 Monitoring Respiration (Resp) ............................................................................................. 9-1

9.1 Introduction ..................................................................................................................... 9-1

9.2 Safety Information .......................................................................................................... 9-1

9.3 Understanding the Resp Display ..................................................................................... 9-2

9.4 Placing Resp Electrodes .................................................................................................. 9-2

9.4.1 Optimizing Lead Placement for Resp ................................................................ 9-3

9.4.2 Cardiac Overlay ................................................................................................. 9-3

9.4.3 Abdominal Breathing ......................................................................................... 9-3

9.4.4 Lateral Chest Expansion..................................................................................... 9-4

9.5 Choosing the Respiration Lead ....................................................................................... 9-4

9.6 Changing the Apnea Alarm Delay ................................................................................... 9-4

9.7 Changing Resp Detection Mode ..................................................................................... 9-4

9.8 Changing Resp Wave Settings ........................................................................................ 9-5

9.9 Setting RR Source ........................................................................................................... 9-5

9.10 Setting alarm properties ................................................................................................ 9-6

9.11 Switching Resp Measurement On/Off ........................................................................... 9-6

10 Monitoring PR .................................................................................................................... 10-1

10.1 Introduction ................................................................................................................. 10-1

10.2 Setting the PR Source .................................................................................................. 10-1

10.3 Selecting the Active Alarm Source .............................................................................. 10-2

10.4 QRS Tone .................................................................................................................... 10-2

11 Monitoring SpO

................................................................................................................. 11-1

2

11.1 Introduction .................................................................................................................. 11-1

11.2 Safety ............................................................................................................................ 11-2

11.3 Identifying SpO

Modules ............................................................................................ 11-2

2

11.4 Applying the Sensor ..................................................................................................... 11-3

11.5 Changing SpO

11.5.1 Accessing SpO

Settings ............................................................................................... 11-3

2

Menus ................................................................................... 11-3

2

11.5.2 Adjusting the Desat Alarm .............................................................................. 11-3

11.5.3 Setting SpO

Sensitivity .................................................................................. 11-3

2

5

11.5.4 Changing Averaging Time ............................................................................... 11-4

11.5.5 Monitoring SpO

and NIBP Simultaneously ................................................... 11-4

2

11.5.6 Sat-Seconds Alarm Management .................................................................... 11-4

11.5.7 Changing the Speed of the Pleth Wave............................................................ 11-5

11.5.8 Zooming PI Value ............................................................................................ 11-6

11.5.9 Setting the Alarm Level for SpO

11.5.10 Setting the SpO

Tone Mode ......................................................................... 11-6

2

Sensor Off Alarm ...................................... 11-6

2

11.6 Measurement Limitations ............................................................................................. 11-6

11.7 Masimo Information ..................................................................................................... 11-7

11.8 Nellcor Information ...................................................................................................... 11-7

11.9 Troubleshooting ............................................................................................................ 11-8

12 Monitoring NIBP ................................................................................................................ 12-1

12.1 Introduction ................................................................................................................. 12-1

12.2 Safety .......................................................................................................................... 12-2

12.3 Measurement Limitations ............................................................................................ 12-2

12.4 Measurement Methods ................................................................................................ 12-3

12.5 Setting Up the NIBP Measurement ............................................................................. 12-3

12.5.1 Preparing the Patient ...................................................................................... 12-3

12.5.2 Preparing to Measure NIBP ........................................................................... 12-3

12.5.3 Starting and Stopping Measurements ............................................................. 12-4

12.5.4 Correcting the Measurement if Limb is not at Heart Level ............................ 12-4

12.5.5 Enabling NIBP Auto Cycling and Setting the Interval ................................... 12-4

12.5.6 Starting a STAT Measurement ........................................................................ 12-5

12.5.7 Sequence Measurement˄not available for iMEC15S/iMEC15˅ ................ 12-6

12.6 Understanding the NIBP Numerics ............................................................................. 12-7

12.7 Changing NIBP Settings ............................................................................................. 12-7

12.7.1 Setting the Initial Cuff Inflation Pressure ....................................................... 12-7

12.7.2 Setting NIBP Alarm Properties ...................................................................... 12-8

12.7.3 Displaying NIBP List ..................................................................................... 12-8

12.7.4 Setting the Pressure Unit ................................................................................ 12-8

12.7.5 Switching On NIBP End Tone........................................................................ 12-8

12.8 Assisting Venous Puncture .......................................................................................... 12-9

13 Monitoring Temp ................................................................................................................ 13-1

13.1 Introduction ................................................................................................................. 13-1

13.2 Safety .......................................................................................................................... 13-1

13.3 Making a Temp Measurement ..................................................................................... 13-1

13.4 Understanding the Temp Display ................................................................................ 13-2

13.5 Changing Temperature Settings .................................................................................. 13-2

13.5.1 Setting the Temperature Unit ......................................................................... 13-2

13.5.2 Setting the Temperature Label (not available for iMEC15S

/iMEC15) .......... 13-2

14 Monitoring IBP .................................................................................................................. 14-1

6

14.1 Introduction ................................................................................................................. 14-1

14.2 Safety .......................................................................................................................... 14-1

14.3 Measuring an Invasive Blood Pressure ....................................................................... 14-1

14.3.1 Setting Up the Pressure Measurement ............................................................ 14-1

14.3.2 Zeroing the Transducer .................................................................................. 14-2

14.4 Measuring ICP Using the Codman ICP Transducer (not available for iMEC15S/iMEC15)

............................................................................................................................................. 14-3

14.4.1 Zeroing the Codman ICP transducer .............................................................. 14-3

14.4.2 Measuring ICP ............................................................................................... 14-4

14.5 Understanding the IBP Display ................................................................................... 14-5

14.6 Changing IBP Settings ................................................................................................ 14-6

14.6.1 Changing a Pressure for Monitoring .............................................................. 14-6

14.6.2 Setting the Pressure Label Order .................................................................... 14-7

14.6.3 Setting Alarm Properties ................................................................................ 14-7

14.6.4 Changing Averaging Time .............................................................................. 14-7

14.6.5 Setting Up the IBP Wave ................................................................................ 14-7

14.6.6 Enabling PPV Measurement and Setting PPV Source ................................... 14-8

14.6.7 Setting the Pressure Unit ................................................................................ 14-8

14.7 Overlapping IBP Waveforms ...................................................................................... 14-8

14.8 Measuring PAWP ........................................................................................................ 14-9

14.8.1 Preparing to Measure PAWP ........................................................................ 14-10

14.8.2 Setting Up the PAWP Measurement .............................................................. 14-11

14.8.3 Understanding the PAWP Setup Menu ......................................................... 14-12

14.8.4 Performing Hemodynamic Calculation ........................................................ 14-12

14.9 Troubleshooting ........................................................................................................ 14-12

15 Monitoring Cardiac Output .............................................................................................. 15-1

15.1 Introduction ................................................................................................................. 15-1

15.2 Understanding the C.O. Display ................................................................................. 15-1

15.3 Influencing Factors...................................................................................................... 15-2

15.4 Setting Up the C.O. Measurement .............................................................................. 15-2

15.5 Measuring the Blood Temperature .............................................................................. 15-6

15.6 Changing C.O. Settings ............................................................................................... 15-6

15.6.1 Setting the Temperature Unit ......................................................................... 15-6

15.6.2 Setting Alarm Properties ................................................................................ 15-6

16 Monitoring Carbon Dioxide .............................................................................................. 16-1

16.1 Introduction ................................................................................................................. 16-1

16.2 Measuring CO

16.2.1 Making a Sidestream CO

16.2.2 Making a Microstream CO

16.2.3 Making a Mainstream CO

16.3 Changing CO

16.3.1 Accessing CO

............................................................................................................ 16-2

2

Settings ............................................................................................... 16-5

2

Menus .................................................................................... 16-5

2

Measurement ....................................................... 16-2

2

Measurement ..................................................... 16-3

2

Measurement ...................................................... 16-4

2

7

16.3.2 Entering the Standby Mode ............................................................................ 16-5

16.3.3 Setting the CO

Unit ....................................................................................... 16-5

2

16.3.4 Setting up Gas Compensations ....................................................................... 16-6

16.3.5 Setting up Humidity Compensation ............................................................... 16-7

16.3.6 Setting the Apnea Alarm Delay ...................................................................... 16-7

16.3.7 Choosing a Time Interval for Peak-Picking ................................................... 16-8

16.3.8 Setting the Flow Rate ..................................................................................... 16-8

16.3.9 Setting up the CO

Wave ................................................................................ 16-8

2

16.4 Setting RR Source ....................................................................................................... 16-9

16.5 Setting Barometric Pressure Compensation ................................................................ 16-9

16.6 Measurement Limitations ............................................................................................ 16-9

16.7 Leakage test ............................................................................................................... 16-10

16.8 Troubleshooting the Sidestream CO

Sampling System ........................................... 16-10

2

16.9 Removing Exhaust Gases from the System .............................................................. 16-10

16.10 Zeroing the Sensor ................................................................................................... 16-11

16.10.1 For Sidestream and Microstream CO

16.10.2 For Mainstream CO

Modules .................................................................... 16-11

2

Modules .......................................... 16-11

2

16.11 Calibrating the Sensor ............................................................................................. 16-12

16.12 Oridion Information ................................................................................................ 16-12

17 Monitoring AG (for iMEC15S/iMEC15 only) ................................................................. 17-1

17.1 Introduction ................................................................................................................. 17-1

17.2 Identifying AG Module ............................................................................................... 17-2

17.2.1 Introduction of AG module ............................................................................ 17-2

17.2.2 Connection of AG module .............................................................................. 17-3

17.3 Understanding the AG Display ................................................................................... 17-3

17.4 MAC Values ................................................................................................................ 17-4

17.5 Preparing to Measure AG ............................................................................................ 17-5

17.6 Changing AG Settings ................................................................................................. 17-6

17.6.1 Setting Gas Unit ............................................................................................. 17-6

17.6.2 Setting the Apnea Alarm Delay ...................................................................... 17-7

17.6.3 Changing the Sample Flow Rate .................................................................... 17-7

17.6.4 Setting up the O

Compensation .................................................................... 17-7

2

17.6.5 Entering the Standby Mode ............................................................................ 17-8

17.6.6 Setting up the AG Wave ................................................................................. 17-8

17.6.7 Setting RR Source .......................................................................................... 17-8

17.7 Changing the Anesthetic Agent ................................................................................... 17-9

17.8 Measurement Limitations ............................................................................................ 17-9

17.9 Troubleshooting .......................................................................................................... 17-9

17.9.1 When the Gas Inlet is Blocked ....................................................................... 17-9

17.9.2 When an Internal Occlusion Occurs ............................................................. 17-10

17.10 Removing Exhaust Gases from the System ............................................................ 17-10

18 Clinical Score

(not available for iMEC15S/iMEC15)

8

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

18.1 Overview ..................................................................................................................... 18-1

18.1.1 MEWS (Modified Early Warning Score) ....................................................... 18-1

18.1.2 NEWS (National Early Warning Score) ......................................................... 18-2

18.1.3 Customizable Score ........................................................................................ 18-2

18.2 Entering Score ............................................................................................................. 18-3

18.3 Calculating a Score ..................................................................................................... 18-3

18.4 Clinical Score Screen .................................................................................................. 18-4

18.4.1 Score Tile in the Main Screen ........................................................................ 18-4

18.4.2 Score Screen ................................................................................................... 18-5

18.5 Obtaining the Total Score ............................................................................................ 18-6

18.6 Setting the Interval of Calculating a Score .................................................................. 18-7

18.7 Managing Scores ......................................................................................................... 18-7

18.7.1 Importing the Score ........................................................................................ 18-7

18.7.2 Selecting Default Score .................................................................................. 18-7

18.7.3 Deleting the Score .......................................................................................... 18-8

18.7.4 Loading a Score .............................................................................................. 18-8

18.8 Setting Operator ID ..................................................................................................... 18-8

18.8.1 Selecting an Operator ID ................................................................................ 18-8

18.8.2 Adding an Operator ID ................................................................................... 18-9

18.8.3 Deleting Operator ID ...................................................................................... 18-9

18.8.4 Setting Operator ID Timeout .......................................................................... 18-9

18.9 Reviewing ................................................................................................................. 18-10

19 Freezing Waveforms .......................................................................................................... 19-1

19.1 Freezing Waveforms ................................................................................................... 19-1

19.2 Viewing Frozen Waveforms ........................................................................................ 19-1

19.3 Unfreezing Waveforms................................................................................................ 19-2

19.4 Recording Frozen Waveforms ..................................................................................... 19-2

20 Review ................................................................................................................................. 20-1

20.1 Accessing Respective Review Windows ..................................................................... 20-1

20.2 Reviewing Graphic Trends .......................................................................................... 20-1

20.3 Reviewing Tabular Trends .......................................................................................... 20-3

20.4 Events .......................................................................................................................... 20-5

20.4.1 Marking Events .............................................................................................. 20-5

20.4.2 Reviewing Events ........................................................................................... 20-5

20.5 Reviewing Waveforms ................................................................................................ 20-8

20.6 Reviewing OxyCRG ................................................................................................. 20-10

21 Calculations ........................................................................................................................ 21-1

21.1 Introduction ................................................................................................................. 21-1

21.2 Dose Calculations........................................................................................................ 21-2

21.2.1 Performing Calculations ................................................................................. 21-2

21.2.2 Selecting the Proper Drug Unit ...................................................................... 21-2

9

21.2.3 Titration Table ................................................................................................ 21-3

21.2.4 Drug Calculation Formulas ............................................................................ 21-3

21.3 Oxygenation Calculations ........................................................................................... 21-4

21.3.1 Performing Calculations ................................................................................. 21-4

21.3.2 Entered Parameters ......................................................................................... 21-4

21.3.3 Calculated Parameters and Formulas ............................................................. 21-5

21.4 Ventilation Calculations .............................................................................................. 21-5

21.4.1 Performing Calculations ................................................................................. 21-5

21.4.2 Entered Parameters ......................................................................................... 21-6

21.4.3 Calculated Parameters and Formulas ............................................................. 21-6

21.5 Hemodynamic Calculations ........................................................................................ 21-7

21.5.1 Performing Calculations ................................................................................. 21-7

21.5.2 Entered Parameters ......................................................................................... 21-7

21.5.3 Calculated Parameters and Formulas ............................................................. 21-8

21.6 Renal Calculations ...................................................................................................... 21-9

21.6.1 Performing Calculations ................................................................................. 21-9

21.6.2 Entered Parameters ......................................................................................... 21-9

21.6.3 Calculated Parameters and Formulas ........................................................... 21-10

21.7 Understanding the Review Window .......................................................................... 21-10

22 Recording ............................................................................................................................ 22-1

22.1 Using a Recorder ......................................................................................................... 22-1

22.2 Overview of Recording Types ..................................................................................... 22-2

22.3 Starting and Stopping Recordings ............................................................................... 22-2

22.4 Setting up the Recorder ............................................................................................... 22-3

22.4.1 Accessing the Record Setup Menu ................................................................. 22-3

22.4.2 Selecting Waveforms for Recording .............................................................. 22-3

22.4.3 Setting the Realtime Recording Length ......................................................... 22-3

22.4.4 Setting the Interval between Timed Recordings ............................................. 22-3

22.4.5 Changing the Recording Speed ...................................................................... 22-3

22.4.6 Setting the IBP Wave Overlap Recordings ..................................................... 22-4

22.4.7 Clearing Recording Tasks .............................................................................. 22-4

22.5 Loading Paper ............................................................................................................. 22-4

22.6 Removing Paper Jam ................................................................................................... 22-5

22.7 Cleaning the Recorder Printhead ................................................................................. 22-5

23 Printing ............................................................................................................................... 23-1

23.1 Printer .......................................................................................................................... 23-1

23.2 Connecting a printer .................................................................................................... 23-1

23.3 Setting Up the Printer .................................................................................................. 23-1

23.4 Starting Report Printouts ............................................................................................. 23-2

23.5 Stopping Reports Printouts ......................................................................................... 23-2

23.6 Setting Up Reports ...................................................................................................... 23-3

23.6.1 Setting Up ECG Reports ................................................................................ 23-3

10

23.6.2 Setting Up Tabular Trends Reports ................................................................ 23-3

23.6.3 Setting Up Graphic Trends Reports ............................................................... 23-4

23.6.4 Setting Up Realtime Reports .......................................................................... 23-4

23.7 End Case Reports ........................................................................................................ 23-4

23.8 Printer Statuses ............................................................................................................ 23-5

23.8.1 Printer Out of Paper ....................................................................................... 23-5

23.8.2 Printer Status Messages .................................................................................. 23-5

24 Other Functions .................................................................................................................. 24-1

24.1 Analog Output ............................................................................................................. 24-1

24.2 Exporting the Log ....................................................................................................... 24-1

24.3 Transferring Data ........................................................................................................ 24-1

24.3.1 Data Export System ........................................................................................ 24-1

24.3.2 Transferring Data by Different Means ........................................................... 24-2

24.4 Nurse Call ................................................................................................................... 24-2

24.5 Network Connection ................................................................................................... 24-4

24.5.1 Setting the Monitor Network .......................................................................... 24-4

24.5.2 Wireless Network ........................................................................................... 24-4

24.5.3 WLAN Test .................................................................................................... 24-4

24.5.4 WLAN Setup (Not Available for iMEC15S/iMEC15) ................................... 24-5

24.5.5 Viewing the MAC Address (Not Available for iMEC15S/iMEC15) .............. 24-5

24.5.6 Enabling the Data Encryption (Not Available for iMEC15S/iMEC15) ......... 24-5

24.5.7 Settting DNS (Not Available for iMEC15S/iMEC15) ................................... 24-6

24.5.8 Certificates Maintenance (Not Available for iMEC15S/iMEC15) ................. 24-6

24.5.9 Setting the Multicast Parameters .................................................................... 24-7

24.5.10 Connecting the monitor to the CMS ............................................................. 24-7

25 Batteries .............................................................................................................................. 25-1

25.1 Overview ..................................................................................................................... 25-1

25.2 Replacing a Battery ..................................................................................................... 25-2

25.3 Battery Guidelines ....................................................................................................... 25-2

25.4 Battery Maintenance ................................................................................................... 25-3

25.5 Battery Recycling ........................................................................................................ 25-4

26 Care and Cleaning .............................................................................................................. 26-1

26.1 General Points ............................................................................................................. 26-1

26.2 Cleaning ...................................................................................................................... 26-2

26.3 Disinfection ................................................................................................................. 26-3

26.4 Sterilization ................................................................................................................. 26-3

27 Maintenance ....................................................................................................................... 27-1

27.1 Regular Inspection ...................................................................................................... 27-1

27.2 Maintenance and Testing Schedule ............................................................................. 27-2

27.3 Checking Monitor and Module Information ............................................................... 27-3

27.4 Calibrating ECG .......................................................................................................... 27-3

27.5 NIBP Tests ................................................................................................................... 27-4

27.

5.1 NIBP Leakage Test ......................................................................................... 27-4

11

27.6 NIBP Accuracy Test .................................................................................................... 27-5

Tests ..................................................................................................................... 27-6

27.7 CO

2

27.7.1 CO

27.7.2 CO

27.7.3 Calibrating CO

Leakage Test ........................................................................................... 27-6

2

Accuracy Test ......................................................................................... 27-6

2

.............................................................................................. 27-7

2

27.8 AG Tests ...................................................................................................................... 27-9

27.8.1 AG Leakage Test ............................................................................................ 27-9

27.8.2 AG Accuracy Test ........................................................................................... 27-9

27.8.3 AG Calibration ............................................................................................. 27-10

27.9 Calibrating the Touchscreen ...................................................................................... 27-12

27.10 Electrical Safety Tests ............................................................................................. 27-13

28 Accessories .......................................................................................................................... 28-1

28.1 ECG Accessories ......................................................................................................... 28-1

28.2 SpO

Accessories ........................................................................................................ 28-4

2

28.3 NIBP Accessories ........................................................................................................ 28-6

28.4 Temp Accessories ........................................................................................................ 28-7

28.5 IBP/ICP Accessories ................................................................................................... 28-8

28.6 C.O. Accessories ......................................................................................................... 28-9

Accessories ........................................................................................................ 28-10

28.7 CO

2

28.8 AG Accessories(for iMEC15S/iMEC15 only) ........................................................... 28-11

28.9 Others ........................................................................................................................ 28-12

A Product Specifications .......................................................................................................... A-1

A.1 Monitor Safety Specifications ....................................................................................... A-1

A.2 Power Supply Specifications ......................................................................................... A-2

A.3 Physical Specifications .................................................................................................. A-3

A.4 Hardware Specifications ............................................................................................... A-3

A.5 Data Storage .................................................................................................................. A-6

A.6 Wireless Network .......................................................................................................... A-6

A.7 Measurement Specifications ......................................................................................... A-6

B EMC and Radio Regulatory Compliance ............................................................................ B-1

B.1 EMC ............................................................................................................................... B-1

B.2 Radio Regulatory Compliance........................................................................................ B-6

C Default Configurations ........................................................................................................ C-1

C.1 Parameters Configuration ............................................................................................... C-1

C.2 Routine Configuration .................................................................................................. C-14

C.3 User Maintenance Items ............................................................................................... C-18

D Alarm Messages .................................................................................................................... D-1

D.1 Physiological Alarm Messages ...................................................................................... D-1

D.2 Technical Alarm Messages ............................................................................................ D-3

12

E Electrical Safety Inspection .................................................................................................. E-1

E.1 Power Cord Plug ............................................................................................................. E-1

E.2 Device Enclosure and Accessories ................................................................................. E-2

E.3 Device Labelling ............................................................................................................. E-2

E.4 Protective Earth Resistance ............................................................................................ E-3

E.5 Earth Leakage Test .......................................................................................................... E-3

E.6 Patient Leakage Current ................................................................................................. E-4

E.7 Mains on Applied Part Leakage ...................................................................................... E-4

E.8 Patient Auxiliary Current ................................................................................................ E-5

F Symbols and Abbreviations ................................................................................................... F-1

F.1 Symbols ........................................................................................................................... F-1

F.2 Abbreviations .................................................................................................................. F-3

G Declaration of Conformity .................................................................................................. G-1

13

FOR YOUR NOTES

14

WARNING

Indicates a potential hazard or unsafe practice that, if not avoided, could result in

CAUTION

potential hazard or unsafe practice that, if not avoided, could result in

Provides application tips or other useful information to ensure that you get the most

1 Safety

1.1 Safety Information

z

death or serious injury.

z Indicates a

minor personal injury or product/property damage.

NOTE

z

from your product.

1-1

WARNING

ric shock, this equipment must only be connected to a supply

If the installation does not provide for a protective earth

rich

the performance specification due to aging,

patient. Remember that alarm settings should be customized according to different

To avoid inadvertent disconnection, route all cables in a way to prevent a stumbling

Ensure that the patient monitor is supplied with continuous electric power during

s metal parts or connectors when in contact with the

1.1.1 Warnings

z This equipment is used to one patient at a time.

z Before putting the system into operation, the operator must verify that the

equipment, connecting cables and accessories are in correct working order and

operating condition.

z To avoid risk of elect

mains with protective earth.

conductor, disconnect it from the power line and operate it on battery power, if

possible.

z To avoid explosion hazard, do not use the equipment in the presence of oxygen-

atmospheres, flammable anesthetics, or other flammable agents (such as

gasoline).Use and store the equipment in specified environmental condition. The

monitor and accessesories may not meet

stored or used outside the specified temperature and humidity range.

z Do not open the equipment housings. All servicing and future upgrades must be

carried out by the personnel trained and authorized by our company only.

z Do not come into contact with patients during defibrillation. Otherwise serious

injury or death could result.

z Do not rely exclusively on the audible alarm system for patient monitoring.

Adjustment of alarm volume to a low level or off may result in a hazard to the

patient situations and always keeping the patient under close surveillance is the

most reliable way for safe patient monitoring.

z The physiological data and alarm messages displayed on the equipment are for

reference only and cannot be directly used for diagnostic interpretation.

z

hazard. Wrap and secure excess cabling to reduce risk of entanglement or

strangulation by patients or personnel.

z When disposing of the package material, be sure to observe the applicable waste

control regulations and keep it out of children’s reach.

z

work. Sudden power failure leads to the loss of patient data.

z Do not touch the equipment’

patient; otherwise patient injury may result.

z Never mix patient electrode types or brands. Dissimilar metals or other

incompatibilities may cause considerable baseline drift and may increase trace

recovery time after defibrillation.

1-2

CAUTION

, please

. For this reason make sure that all external devices

ray equipment or MRI devices are a possible source

Always install or carry the equipment properly to avoid damage caused by drop,

ns plug as isolation means to the mains power supply. Do

of

This manual describes all features and options. Your equipment may not have all of

1.1.2 Cautions

z To ensure patient safety, use only parts and accessories specified in this manual.

z 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

contact us.

z Magnetic and electrical fields are capable of interfering with the proper

performance of the equipment

operated in the vicinity of the equipment comply with the relevant EMC

requirements. Mobile phone, X-

of interference as they may emit higher levels of electromagnetic radiation.

z Before connecting the equipment to the power line, check that the voltage and

frequency ratings of the power line are the same as those indicated on the

equipment’s label or in this manual.

z

impact, strong vibration or other mechanical force.

z Dry the equipment immediately in case of rain or water spray.

1.1.3 Notes

NOTE

z Put the equipment in a location where you can easily view and operate the

equipment.

z The equipment use a mai

not locate the equipment in a place difficult to operate the mains plug.

z In normal use, the operator shall stand in front of the equipment.

z Keep this manual in the vicinity of the equipment so that it can be obtained

conveniently when needed.

z The software was developed in compliance with IEC60601-1-4. The possibility

hazards arising from software errors is minimized.

z

them.

1-3

General warning sign

Refer to instruction

manual/booklet

Power ON/OFF (for a part

of the equipment)

Battery

A

ALARM PAUSED

Alarm

Graphical recorder

Freeze/unfreeze waveforms

Main menu

NIBP start/stop key

Output

Equipotentiality

VGA output
USB connector

Network connector

Gas outlet

Serial number

Inserted direction

Protection against vertically

falling water drops

Manufacturer

D

The

of

the Council Directive 93/42/EEC concerning medical devices and fulfils the

essential requirement

Note: The

AUTHORISED REPRESENTATIVE IN THE EUROPEAN COMMUNITY

DEFIBRILLATION

1.2 Equipment Symbols

NOTE

z Some symbols may not appear on your equipment.

lternating current

reset

product bears CE mark indicating its conformity with the provisions

s of Annex I of this directive.

product complies with the Council Directive 2011/65/EU.

indicator

ate of manufacture

Non-ionizing electromagnetic radiation

-PROOF TYPE CF APPLIED PART

1-4

DEFIBRILLATION

The following definition of the WEEE label applies to EU member states

only.

This symbol indicates that this product should not be treated as household

waste. By ensuring that this product is disposed of correctly, you will help

prevent bringing potential negative conse

human health. For more detailed information with regard to returning and

recycling this product, please consult the distributor from whom you

purchased it.

* For system products, this label may be attached to the main unit only.

-PROOF TYPE BF APPLIED PART

quences to the environment and

1-5

FOR YOUR NOTES

1-6

WARNING

This patient monitor is intended for use only by clinical professionals or under their

guidance. It must only be used by persons who have received adequate training in its

2 The Basics

2.1 Monitor Description

2.1.1 Intended Use

The iMEC patient monitors are intended to be used for monitoring, displaying, reviewing,

storing and transferring of multiple physiological parameters including ECG, heart rate (HR),

respiration (Resp), temperature (Temp), pulse oxygen saturation (SpO

non-invasive blood pressure (NIBP), invasive blood pressure (IBP), cardiac output (C.O.),

carbon dioxide (CO

The monitors are to be used in healthcare facilities by clinical professionals or under their

direction.

z

use. Anyone unauthorized or untrained must not perform any operation on it.

) and anesthetic gas (AG) (for iMEC15S/iMEC15 only).

2

), pulse rate (PR),

2

2.1.2 Applied Parts

The applied parts of the iMEC series patient monitors are:

 ECG electrodes and leadwires,

 SpO

 NIBP cuff

 Temp probes

 IBP/ICP transducer,

 C.O. sensor

 CO

 AG sampling line, water trap, and airway adapter

sensor

2

sampling line/Nasal sampling cannula, water trap, airway adapter, mainstream

2

sensor, and mask

2-1

2.2 Front View

6

1

7

8

2

3

1. Alarm lamp

When a physiological alarm or technical alarm occurs, this lamp will flash as defined

below.

 High level alarms: the lamp quickly flashes red.

 Medium level alarms: the lamp slowly flashes yellow.

 Low level alarms: the lamp lights yellow without flashing.

2. Display Screen

3. Power On/Off Switch

 Pressing this switch turns the patient monitor on.

 When the monitor is on, pressing and holding this switch turns the monitor off.

An indicator is built in this switch. It turns on when the patient monitor is on and turns

off when the patient monitor is off.

9

10

5

4

11

12

2-2

4. AC power LED

It turns on when AC power is connected.

5. Battery LED

 On: when the battery is installed and the AC source is connected.

 Off: when no battery is installed or the installed battery is malfunction, or no AC

source is connected when the patient monitor is power off.

 Flash:when the patient monitor operates on battery power.

6.

Press to reset alarms.

7.

Press to pause or restore alarms.

8.

Press to freeze or unfreeze waveforms.

9. Knob

Rotate the Knob clockwise or anti-clockwise. With each click, the highlight jumps to the

neighboring item. When you reach your desired item, press the Knob to select it.

10.

If no menu is displayed on the screen, pressing it will enter the main menu. If there is a

menu displayed on the screen, pressing it will close that menu.

Press to start or stop recordings.

11.

12.

Press to start or stop NIBP measurements.

2-3

1

2

3

4

5 6 7

8

9

10

11

2.3 Side View

2.3.1 iMEC15S/iMEC15/iMEC12/iMEC10/iMEC7/iMEC6

1. Recorder 2. Battery compartment

3. Connector for C.O. cable 4. CO

5. Slot for CO

7. Connector for SpO

watertrap (sidestream) 6. Connector for ECG cable

2

cable 8. Connector for NIBP cuff

2

gas outlet

2

9. Connector for Temp probe 1 10. Connector for Temp probe 2

11 Connector for IBP cable

2-4

2.3.2 iMEC8/iMEC5

1

2 3 4

5

6

7

8

9

10

11

1. Recorder 2. Battery compartment

3. Connector for C.O. cable 4. CO

5. Slot for CO

7. Connector for SpO

watertrap (sidestream) 6. Connector for ECG cable

2

cable 8. Connector for NIBP cuff

2

gas outlet

2

9. Connector for Temp probe 1 10. Connector for Temp probe 2

11 Connector for IBP cable

2-5

2.4 Rear View

iMEC15S/iMEC15/iMEC12/iMEC10/iMEC7/iMEC6 iMEC8/iMEC5

1 2

3

4

1. Equipotential Grounding Terminal

When the patient monitor and other devices are to be used together, their equipotential

grounding terminals should be connected together, eliminating the potential difference

between them.

2. AC Power Input

3. Multifunctional Connector

It outputs defibrillator synchronization signals, nurse call signals and analogy output

signals. For iMEC15S/iMEC15, it also can connect the AG module.

4. VGA Connector

It connects a secondary display, which extends the display capability of your monitor.

The contents displayed on the secondary display screen accords with those displayed on

the monitor screen.

5. USB Connector

It connects the USB devices, such as a barcode scanner.

6. Network Connector

1

5

6

2

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 indicates the system is in alarm off status.

3. Technical Alarm Area

This area shows technical alarm messages and prompt messages. When multiple

messages come, they will be displayed circularly. Select this area and the technical

alarm list will be displayed.

4. Physiological Alarm Area

This area shows physiological alarm messages. When multiple alarms occur, they will

be displayed circularly. Select this area and the physiological alarm list will be

displayed.

5. Waveform Area

This area shows measurement waveforms. The waveform name is displayed at the left

upper corner of the waveform. Select this area and the corresponding measurement

setup menu will be displayed.

6. Parameter Area A

This area shows measurement parameters. Each monitored parameter has a parameter

window and the parameter name is displayed at the upper left corner. The corresponding

waveform of each parameter is displayed in the same row in the waveform area. Select

this area and the corresponding measurement setup menu will be displayed.

7. Parameter Area B

For the parameters displayed in this area, their corresponding waveforms are not

displayed.

8. Prompt Message Area

This area shows the current configuration name, prompt messages, network status icons,

battery status icons, etc. For details about battery status symbols, refer to the 25

Batteries.

 indicates patient monitor is connected to a wired network successfully.

 indicates the patient monitor has failed to connect a wired network.

 indicates the wireless function is working.

 indicates the wireless function is not working.

 indicates a USB disk is inserted.

2-8

Scroll left to display more QuickKeys.

Scroll right to display more QuickKeys.

Enter the main menu

Enter standby mode

C

Review the patient’s data

Enter the
Stop all NIBP measurement

Zero IBP

Reset the alarm system

P

Change screen

Enter the patient setup menu

Trigger a manual

Have a split

Enter the

9. QuickKeys Area

This area contains QuickKeys that give you fast access to functions.

2.6 QuickKeys

A QuickKey is a configurable graphical key, located at the bottom of the main screen. They

give you fast access to functions. Their availability and the order in which they appear on

your screen, depend on how your patient monitor is configured.

The following QuickKeys can be displayed on the screen:

hange alarm settings

NIBP measurement menu

ause or restore alarms

event

-screen view of minitrends

volume setup menu

2-9

Default configurations

Start cardiac output procedure

Perform calculations

Have a split

Have a split

Enter the full

Enter the

Start NIBP STAT measurement

Enter the [

Enter the PAWP measurement screen

Enter the privacy mode

Enter the

Enter the intubation mode

-screen view of another patient’s conditions

-screen view of OxyCRG trends

-screen 7-lead ECG screen

[Parameters] menu

Unit Setup] menu

night mode

You can also select your desired QuickKeys to display on the screen.

1. Select [Main Menu]→[Maintenance >>]→[Manage Configuration >>]→enter the

required password→[Ok].

2. In the [Manage Configuration] menu, select [Edit Config.>>].

3. In the pop-up menu, select the desired configuration and then select [Edit].

4. In the pop-up menu, select [Screen Setup >>].

5. In the [Select QuickKeys] screen, select your desired QuickKeys and the order of them.

2-10

WARNING

organization or

Devices connected to the equipment must meet the requirements of the applicable

1 safety standards for medical electrical equipment). The

rsonnel who connect devices to the equipment’s

1. If

leakage currents, please consult the manufacturers or else an expert in the field, to

material as they can be used if the equipment

3 Basic Operations

3.1 Installation

z The equipment shall be installed by personnel authorized by us.

z The software copyright of the equipment is solely owned by us. No

individual shall resort to juggling, copying, or exchanging it or to any other

infringement on it in any form or by any means without due permission.

z

IEC standards (e.g. IEC 60950 safety standards for information technology

equipment and IEC 60601-

system configuration must meet the requirements of the IEC 60601-1 medical

electrical systems standard. Any pe

signal input/output port is responsible for providing evidence that the safety

certification of the devices has been performed in accordance to the IEC 60601-

you have any question, please contact us.

z If it is not evident from the equipment specifications whether a particular

combination with other devices is hazardous, for example, due to summation of

ensure the necessary safety of patients and all devices concerned will not be

impaired by the proposed combination.

3.1.1 Unpacking and Checking

Before unpacking, examine the packing case carefully for signs of damage. If any damage is

detected, contact the carrier or us.

If the packing case is intact, open the package and remove the equipment and accessories

carefully. Check all materials against the packing list and check for any mechanical damage.

Contact us in case of any problem.

NOTE

z Save the packing case and packaging

must be reshipped.

3-1

WARNING

When disposing of the packaging material, be sure to observe the applicable waste

during storage and transport. Before use,

please verify whether the packages are intact, especially the packages of single use

WARNING

requirements. Otherwise unexpected consequences, e.g. damage to the equipment,

The equipment use a mains plug as isolation means to the mains power supply. Do

z

control regulations and keep it out of children’s reach.

z The equipment might be contaminated

accessories. In case of any damage, do not apply it to patients.

3.1.2 Environmental Requirements

The operating environment of the equipment must meet the requirements specified in this

manual.

The environment where the equipment is used shall be reasonably free from noises, vibration,

dust, corrosive, flammable and explosive substances. If the equipment is installed in a cabinet,

sufficient space in front and behind shall be left for convenient operation, maintenance and

repair. Moreover, to maintain good ventilation, the equipment shall be at least 2 inches (5cm)

away from around the cabinet.

When the equipment is moved from one place to another, condensation may occur as a result

of temperature or humidity difference. In this case, never start the system before the

condensation disappears.

z Make sure that the operating environment of the equipment meets the specific

could result.

z

not locate the equipment in a place difficult to operate the mains plug.

3-2

WARNING

Contact your

3.2 Getting Started

3.2.1 Turning Power On

Once the patient monitor is installed, you can get ready for monitoring:

1. Before you start to make measurements, check the patient monitor for any mechanical

damage and make sure that all external cables, plug-ins and accessories are properly

connected.

2. Plug the power cord into the AC power source. If you run the patient monitor on battery

power, ensure that the battery is sufficiently charged.

3. Press the power on/off switch on the monitor’s front.

z Do not use the patient monitor for any monitoring procedure on a patient if you

suspect it is not working properly, or if it is mechanically damaged.

service personnel or us.

NOTE

z Check that visual and auditory alarm signals are presented correctly when the

equipment is powered on. Do not use the patient monitor for any monitoring

procedure on a patient if you suspect it is not working properly, or if it is

mechanically damaged. Contact your service personnel or us.

3.2.2 Starting Monitoring

1. Decide which measurements you want to make.

2. Connect the required patient cables and sensors.

3. Check that the patient cables and sensors are correctly connected.

4. Check that the patient settings such as [Patient Cat.], [Paced], etc, are appropriate for

5. Refer to the appropriate measurement section for details of how to perform the

your patient.

measurements you require.

3-3

CAUTION

for 10

to forcibly shut down the monitor when it could not be shut down normally

of the patient monitor.

3.3 Disconnecting from Power

To disconnect the patient monitor from the AC power source, follow this procedure:

1. Confirm that the patient monitoring is finished.

2. Disconnect patient cables and sensors from the patient.

3. Make sure to save or clear the patient monitoring data as required.

4. Press and hold the power on/off switch. The patient monitor shuts down and you can

unplug the power cable.

z Although not recommended, you can press and hold the power on/off switch

seconds

or under some special situations. This may cause loss of data

NOTE

z To completely disconnect the power supply, unplug the power cord.

3.4 Using Keys

The monitor has three types of keys:

 Softkey: A softkey is a graphic key on the screen, giving you fast access to certain

menus or functions. The monitor has two types of softkeys:

 Parameter keys: Each parameter area or waveform area can be seen as a softkey.

You can enter a parameter setup menu by selecting its corresponding parameter

area or waveform area.

 QuickKeys: QuickKeys are configurable graphical keys, located at the bottom of

the main screen. For details, refer to the section 2.6 .

 Hardkeys: A hardkey is a physical key on a monitoring device, such as the main menu

hardkey on the monitor’s front.

 Pop-Up Keys: Pop-up keys are task-related keys that appear automatically on the

monitor screen when required. For example, the confirm pop-up key appears only when

you need to confirm a change.

3-4

Area C

Area B

Area A

3.5 Using the Touchscreen

Select screen items by pressing them directly on the patient monitor’s screen. You can enable

or disable touchscreen operation by pressing and holding the [Main Menu] QuickKey for 3

seconds. A padlock symbol

is displayed if touchscreen operation is disabled.

3.6 Setting the Screen

You can enter the [Screen Setup] window as shown below by selecting [Main Menu]ė
[Screen Setup]ė[Screen Layout >>]. In this window, you can allocate the positions of the

parameters and waveforms. The parameters or waveforms whose positions are not allocated

will not be displayed.

The ECG parameter and the first ECG waveform always display in the first row. The

configurable areas can be classified as Area A, Area B, and Area C.

 In Area A, you can choose to display the parameters (having waveforms) and their

waveforms. Each parameter and the associated waveform are displayed in the same row.

 In Area B, you can choose to display the parameters and their waveforms. When there is

no parameter displayed in area C, both the parameters and their waveforms will be

displayed in area B. Otherwise, only the parameters will be displayed.

 In Area C, you can choose to display Timer and all the parameters whose associated

waveforms will not be displayed.

The screen can automatically adjust to ensure the best view based on your screen setup.

3-5

WARNING

] window will

If no corresponding parameter or waveform is displayed on the monitor screen, you should

perform the following inspections:

 Check the connection of the lead, cable, or sensor.

 Enter the [Screen Setup] window for the desired display configuration.

 Check that the parameter is switched on in [Parameters Switch] window.

z The parameters whose positions are not allocated in the [Screen Setup

not be displayed. However, the monitor can still give alarms of these parameters.

3.7 Using the On-screen Keyboard

The onscreen keyboard enables you to enter information.

 Use the

 Use the

 Select the

 Select the

 Select the

key to delete the previously entered character.

key to toggle between uppercase and lowercase letters.

key to confirm what you have entered and close the onscreen keyboard.

to access the symbol keyboard.

to exit the symbol keyboard.

3-6

Corresponding events are created when the timer is started, paused or stopped. You

3.8 Using the Timer

To display the timer in the main screen, follow this procedure:

1. Select [Main Menu]ė[Screen Setup>>]ė[Screen Layout >>] to access the [Screens]

window.

2. Select [Screen Setup] tab.

3. In the Area C, select [Timer] from the drop-down list of the desired parameter area.

Refer to 3.6 Setting the Screen.

4. Select

 Select [Start] or [Pause] to start or pause the timing.

 Select [Clear] to clear current timing result.

 Select [Setup] to access the [Timer Setup] window, in which you can set the

to exit the window. The main screen will display the timer.

[Direction] to [Up] or [Down]. If you select [Down], you should set:

 [Run Time(h:min:s)]: The available time range is 0 to 100 hours, and the default

time is 5 minutes.

 [Reminder Vol]: During the last 10 seconds of the countdown, the system issues

reminder tone. The available volume range is 0 to 10. 0 means off, and 10 the

maximum volume.

Note

z

can review these events in the [Events] page of the [Review] window.

3-7

1

2

3

4

3.9 Using the Main Menu

To enter the main menu, select [Main Menu] QuickKey or the hardkey on the monitor’s

front. Most of monitor operations and settings can be performed through the main menu.

Other menus are similar to the main menu and contain the following parts:

1. Heading: gives a sum-up for the current menu.

2. Main body: displays options, buttons, prompt messages, etc. The menu button with “>>’’

enlarges a secondary window to reveal more options or information.

3. Online help area: displays help information for the highlighted menu item.

: select to exit the current menu.

4.

3.10 Changing General Settings

This chapter covers only general settings such as language, brightness, date and time, etc.

Measurement settings and other settings can be referred to in respective sections.

3-8

3.10.1 Setting up a Monitor

In situations where you install a patient monitor or change the patient monitor’s application

site, you need to setup the patient monitor as follows:

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the

required password.

2. In the [User Maintenance] menu, select, in turn, [Monitor Name], [Department] and

[Bed No.], and then change their settings.

3.10.2 Changing Language

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the

required password.

2. In the [User Maintenance] menu, select [Language] and then select the desired

language.

3. Restart the patient monitor.

3.10.3 Adjusting the Screen Brightness

1. Select the [Main Menu]→[Screen Setup >>]→[Brightness].

2. Select the appropriate setting for the screen brightness. 10 is the brightest, and 1 is the

least bright.

If the patient monitor operates on battery power, you can set a less bright screen to prolong

the operating time of the battery. When the patient monitor enters standby mode, the screen

will change to the least brightness automatically.

3.10.4 Showing/Hiding the Help

The patient monitor provides online help information. The user can display or hide the help

as required.

1. Select [Main Menu]→[Screen Setup >>].

2. Select [Help] and toggle between [On] and [Off].

3-9

CAUTION

Changing date and time will affect the storage of trends and events and may cause

3.10.5 Setting the Date and Time

1. Select [Main Menu] →[Maintenance >>]→[System Time >>].

2. Set the date and time.

3. Select [Date Format] and toggle between [yyyy-mm-dd], [mm-dd-yyyy] and

[dd-mm-yyyy].

4. Select [Time Format] and toggle between [24h] and [12h].

If your patient monitor is connected to a central monitoring system (CMS), the date and time

are automatically taken from that CMS. In that case, you cannot change the date and time

settings on your patient monitor.

z

data missing.

3.10.6 Adjusting Volume

Alarm Volume

1. Select the [Alarm Setup] QuickKey→[Others], or [Main Menu]→[Alarm

Setup >>]→[Others].

2. Select [Alm Volume] and then select the appropriate volume: X-10, in which X is the

minimum volume, depending on the set minimum alarm volume (refer to the chapter

Alarms), and 10 the maximum volume.

Key Volume

When you press the navigation knob or the touchscreen, or the hardkeys on the panel, the

patient monitor prompts you by making a sound of the key volume you have set.

1. Select the [Volume Setup] QuickKey, or [Main Menu]→[Screen Setup >>].

2. Select [Key Volume] and then select the appropriate volume. 0 means off, and 10 the

maximum volume.

3-10

QRS Volume

The QRS tone is derived from either the HR or PR, depending on which is currently selected

as the alarm source in [ECG Setup] or [SpO2 Setup]. When monitoring SpO

variable pitch tone which changes as the patient’s saturation level changes. The pitch of the

tone rises as the saturation level increases and falls as the saturation level decreases. The

volume of this tone is user adjustable.

1. Select the [Volume Setup] QuickKey, or the ECG parameter window→[Others >>], or

parameter window.

the SpO

2

2. Select [QRS Volume] or [Beat Vol] and then select the appropriate volume. 0 means

off, and 10 the maximum volume.

, there is a

2

3.11 Setting Parameters

3.11.1 Switching the Parameters On/Off

To switch the parameters on or off,

1. Select [Main Menu]ė[Maintenance >>]ė[User Maintenance >>]ėenter the
required passwordė[Others].

2. Configure the [Para Switch Authority] to [Unprotected] or [Protected].

 If [Para Switch Authority] is configured to [Unprotected], select[Main Menu]ė

[Screen Setup>>]ė[Screen Layout >>]ė[Parameters Switch] to switch the

parameters on or off.

 If [Para Switch Authority] is configured to [Protected], the parameter switch is

password protected. To switch the parameters on or off, select [Main Menu]ė
[Maintenance >>]ė[User Maintenance >>]ėenter the required passwordė
[Others >>]ė[Parameters Switch Setup >>].

When a parameter is switched off, its corresponding parameter module stops working, and its

parameter value and waveform are not shown on the monitor display.

NOTE

z ECG is always selected, and you cannot switch it off.

3-11

WARNING

brightness, alarm volume, QRS

when the setting value is

3.11.2 Accessing the Parameters Menu

Select [Parameters >>] from the main menu or select corresponding parameter area or

waveform area to access a parameter setup menu.

3.12 Operating Modes

Your monitor has different operating modes. Some are password protected. This section lists

the major operating modes.

3.12.1 Monitoring Mode

This is the normal, everyday working mode that you use for monitoring patients. Your

monitor automatically enters the monitoring mode after being turned on.

3.12.2 Night Mode

To avoid disturbing the patient, night mode may be used.

To activate the night mode:

1. Select [Main Menu]→[Screen Setup >>]→[Night Mode >>].

2. In the pop-up menu, set the desired brightness, alarm volume, QRS volume, key volume,

NIBP end tone, or whether to stop NIBP measurement or not. When [Stop NIBP] is

selected, all the NIBP measurements terminate after entering the night mode.

3. Select the [Enter Night Mode] button.

To cancel the night mode:

1. Select [Main Menu]→[Screen Setup >>]→[Night Mode >>].

2. Select [Ok] in the popup.

z Before entering night mode, confirm the settings of

volume, and key volume. Pay attention to the potential risk

a bit low.

3-12

WARNING

3.12.3 Privacy Mode

Privacy mode is only available when a patient who is admitted at a patient monitor is also

monitored by the central station.

To activate the privacy mode, select [Main Menu]→[Screen Setup >>]→[Privacy Mode].

The patient monitor behaves as follows as soon as the privacy mode is activated:

 The screen turns blank and [Under monitoring. Press any key to exit the privacy

mode.] is displayed.

 Monitoring and data storing continue but patient data is only visible at the central

station.

 Alarms can still be triggered. But all audible alarms are suppressed and the alarm light is

deactivated at the patient monitor.

 All system sounds are suppressed, including heart beat tone, pulse tone, all prompt tones,

etc.

To cancel the privacy mode, press any key.

The patient monitor exits the privacy mode automatically in one of the following situations:

 The patient monitor disconnects from central station.

 The alarm [Battery Too Low] or [System will shut down soon. Please replace the

batteries or use the external power.] is presented.

The touchscreen is locked automatically in the privacy mode.

z During privacy mode, all audible alarms are suppressed and the alarm light is

deactivated at the patient monitor. Alarms sound only at the central station.

3-13

WARNING

The Demo mode is for demonstration purpose only. To avoid that the simulated data

are mistaken for the monitored patient’s data, you must not change into Demo mode

Otherwise, improper patient monitoring and delayed treatment

3.12.4 Demo Mode

In Demo mode, the monitor can demonstrate its major functions when patient or patient

simulator is not connected. The Demo mode is password protected.

To enter the Demo mode:

1. Select [Main Menu]→[Maintenance >>].

2. Select [Demo >>]. Enter the required password and then select [Ok].

To exit the Demo mode, select [Main Menu]→[Maintenance >>]→[Exit Demo].

z

during monitoring.

could result.

3.12.5 Standby Mode

In standby mode, you can temperately stops patient monitoring without turning off the

monitor. To enter the standby mode, select the Standby QuickKey

3-14

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4.2 Quick Admitting a Patient

Use [Quick Admit] only if you do not have the time or information to fully admit a patient.

Complete the rest of the patient demographic details later. Otherwise, the

displayed in the patient information area.

1. Select the [Patient Setup] QuickKey, or [Main Menu]ė[Patient Setup >>].

2. Select [Quick Admit]. If a patient has been admitted at present, select [OK]to

discharge the current patient. If .no patient is admitted, you can choose either:

 [Yes] to apply the data in your patient monitor to the new patient, or

 [No] to clear any previous patient data.

3. Enter the patient category and paced status for the new patient, and then select [Ok].

symbol will always be

4.3 Setting the Monitor Location (Not Available for

iMEC15S/iMEC15)

To set the monitor location, follow this procedure:

1. Select [

2. Input the following location of the monitor:

Main Menu]ė[Maintenance >>]ė[User Maintenance >>]ėenter the required

password.

 [Facility]: your facility name.

 [Department]: your department name.

 [Room No.]: room number.

 [Bed No.]: bed number.

4.4 Querying and Obtaining Patient Information

The monitor can obtain patient information from HIS through eGateway. To query or obtain patient

information from HIS,

1. Select [Main Menu]ėaMaintenance >>]aiUser Maintenance >>]aintenance >>obtain
patient ė[Network Setup >>]ė[Gateway Comm Setting >>], and set[IP Address]

and [Port]. Set [ADT Query] to [On].

2. Click patient information area to enter the [Patient Demographics] menu.

3. Select [Obtain Patient Info. >>] to enter the [Obtain Patient Information] menu.

4. Input query condition and then select [Query]. The monitor will display the obtained

patient information.

5. Select a patient and then click [Import]. Then the monitor will update the information

of corresponding patient.

4-2

6. Select to exit the [Obtain Patient Information] menu.

NOTE

z The option [Obtain Patient Information] is available in the [Patient Setup] menu

only when [ADT Query] is set to [On].

z When obtaining patient information from HIS, the monitor only update patient

inforamtion. The patient’s monitoring data is not changed and the patient is not

discharged.

4.5 Querying from Local Facility (Not Available for

iMEC15S/iMEC15)

You can query the patient information from either the local facility or all networked facilities. To set

where to query, follow this procedure:

1. Select [

2. Set [

Main Menu]ė[Maintenance >>]ė[User Maintenance >>]ėenter the required

passwordė[

 Select [Yes] to query only from local facility.

 Select [No] to query from all networked facilities.

Network Setup >>]ė[Gateway Comm Setup >>].

Query From Local Facility].

4.6 Associating Patient Information

After associating patient information with HIS, the monitor will automatically update patient

information if corresponding information in HIS has been changed. The monitor can associate

patient’s MRN, visit number, first name, last name, date of birth, and gender with HIS.

NOTE

z A keyword takes effect only when being defined in eGateway. Refer to eGateway

Integration Manager Installation Guide for details.

z The monitor displays corresponding patient information only when all the keywords

have been inputted.

4.7 Editing Patient Information

To edit the patient information after a patient has been admitted, or when the patient information is

4-3

incomplete, or when you want to change the patient information:

1. Select the [Patient Setup] QuickKey, or [Main Menu]ė[Patient Setup >>].

2. Select [Patient Demographics] and then make the required changes.

3. Select [Ok].

You can also input the patient’s visit number in the [

Number

] option needs to be enabled.

To d i spl ay t h e [

1. Select [

2. Set [

Visit Number] option in the [Patient Demographics] menu:

Main Menu]ė[Maintenance >>]ė[User Maintenance >>]ėenter the required

password.

Visit Number] to [On >>].

Patient Demographics] menu, but the [Visit

4.8 Discharging a Patient

To discharge a patient:

1. Select the [Patient Setup] QuickKey, or [Main Menu]ė[Patient Setup >>].

2. Select [Discharge Patient]. In the popup menu, you can either:

 Directly select [Ok] to discharge the current patient, or

 Select [Standby] then [Ok]. The patient monitor enters the standby mode after

discharging the current patient, or

 Select [Cancel] to exit without discharging the patient.

NOTE

z Discharging a patient clears all history data in the monitor.

4.9 Transferring a Patient

You can transfer patient data between monitors with a USB drive without re-entering the patient

demographic information. Transferring of patient data enables you to understand the patient’s

history condition. The patient data that can be transferred includes: patient demographics, trend data,

alarm events and parameters alarm limits.

Select [Others >>] from [User Maintenance] menu. In the popup menu, you can set [Transferred

Data Length]. The default is [4 h]. You can also set [Data Transfer Method]. The default is [Off].

4-4

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5.3 Setting Default Configuration

The monitor will load the pre-set default configuration in the following cases.

 The patient monitor restarts after quitting over 120 seconds.

 A patient is admitted.

 A patient is discharged.

 Patient data is cleared.

 Patient category is changed.

To set default configuration:

1. Select [Select Default Config. >>] in the [Manage Configuration] menu.

2. In the [Select Default Config.] menu, select [Load the Latest Config.] or [Load

Specified Config.].

When you select [Load Specified Config.], the configuration (adult, pediatric or neonate) to

be restored is subject to the patient category. This configuration can be either factory

configuration or saved user configuration. Take adult as an example, select [Default Adu

Config.] and toggle between [Defaults] or user configuration(s).

NOTE

 To know what configuration is restored when the patient monitor starts, enter the

main screen to check the prompt information at the lower part of the screen

(displayed for about 10 seconds).

5.4 Saving Current Settings

Current settings can be saved as user configuration. Up to 3 user configurations can be saved.

To save current settings:

1. Select [Save Current Settings As >>] in the [Manage Configuration] menu.

2. In the popup dialog box, enter the configuration name and then select [Ok].

5-2

5.5 Editing Configuration

1. Select [Edit Config. >>] in the [Manage Configuration] menu.

2. The popup menu shows the existing configurations on the monitor. Selecting [Config.

on USB drive >>] will show the existing configurations on the USB drive. Select the

desired configuration and then select the [Edit] button.

3. Select [Alarm Setup >>], [Screen Setup >>] or [Parameter >>] to enter the

corresponding menu in which settings can be changed. The changed items of alarm

setup will be marked in red.

4. You can select [Save] or [Save as] to save the changed configuration. Select [Save] to

overwrite the original configuration. Select [Save as] to save the changed configuration

in another name.

5.6 Deleting a Configuration

1. Select [Delete Config. >>] in the [Manage Configuration] menu.

2. The popup menu shows the existing user configurations on the monitor. Selecting

[Config. on USB drive >>] will show the existing user configurations on the USB drive.

Select the user configurations you want to delete and then select [Delete].

3. Select [Yes] in the popup.

5.7 Transferring a Configuration

When installing several monitors with identical user configuration it is not necessary to set

each unit separately. An USB drive may be used to transfer the configuration from monitor to

monitor.

To export the current monitor’s configuration:

1. Connect the USB drive to the monitor’s USB port.

2. Select [Export Config. >>] in the [Manage Configuration] menu.

3. In the [Export Config.] menu, select the configurations and [User Maintenance

Settings] to export. Then select the [Export] button. A status message will report

completion of the transfer.

5-3

To import the configuration on the USB drive to the monitor:

1. Connect the USB drive to the monitor’s USB port.

2. Select [Import Config. >>] in the [Manage Configuration] menu.

3. In the [Import Config.] menu, select the configurations and [User Maintenance

Settings] to import. Then select the [Import] button. A status message will report

completion of the transfer.

5.8 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 so as to ensure that all the settings are

appropriate for your patient.

To load a configuration,

1. Select [Load Configuration >>] from the main menu.

2. The popup menu shows the existing configurations on the monitor. Selecting [Config.

on USB drive >>] will show the existing configurations on the USB drive.

3. Select a desired configuration.

4. Select [View] to view the configuration details. In the popup menu, you can select

[Alarm Setup >>], [Screen Setup >>] or [Parameter >>] to view the corresponding

contents. The alarm setup items which are different than those currently used are marked

in red.

5. Select [Load] to load this configuration.

5.9 Restoring the Latest Configuration Automatically

During operation, you may make changes to some settings. However, these changes may not

be saved as user configuration. To prevent the changes from losing in case of a sudden power

failure, the patient monitor stores the configuration in real time. The saved configuration is

the latest configuration.

The monitor restore the latest configuration if restarts within 60 seconds after the power

failure. And it will restore the default configuration rather than the latest configuration if

restarts 120 seconds later after the power failure. The monitor may load either the latest

configuration or the default configuration if restarts from 60-120 seconds after the power

failure.

5-4

5.10 Modifying Password

To modify the password for accessing the [Manage Configuration] menu,

1. Select [Modify Password >>] in the [Manage Configuration] menu.

2. Input a new password in the popup menu.

3. Select [Ok].

5-5

FOR YOUR NOTES

5-6

6 User Screens

6.1 Tailoring Your Screens

You can tailor your patient monitor’s screens by setting:

 Wave line size

 The color in which each measurement’s numerics and waveform are displayed

 The parameter to be monitored.

Changing some settings may be hazardous. Therefore, those setting are password-protected

and can be modified by authorized personnel only. Once change is made, those who use the

patient monitor should be notified.

6.1.1 Changing the Wave Line Size

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the

required password.

2. Select [Others >>].

3. Select [Wave Line] and toggle between [Thick], [Mediate] and [Thin].

6.1.2 Changing Measurement Colors

1. Select [Main Menu]→[Screen Setup >>]→[Measurement Color Setup >>].

2. Select the color box next to your desired measurement and then select a color from the

popup menu.

6.1.3 Changing Screen Layout

Select the [Screens] QuickKey, or [Main Menu]→[Screen Setup >>]→[Screen Layout >>]

to enter the [Screens] menu.

 You can choose the desired screen type in the [Choose Screen] window.

 You can select the parameters and waveforms you want to view in the [Screen Setup]

window. For details, please refer to the section 3.6 Setting the Screen.

 You can select the parameters you want to view on big numerics screen in the [Big

Numerics Screen Setup] window.

6-1

Minitrend View

 You can switch on or off the connected parameter modules in the [Parameters Switch]

window. If a parameter module is switched off, parameter values and waveforms will

not display on the screen.

6.2 Viewing Minitrends

6.2.1 Having a Split-Screen View of Minitrends

You can split the normal screen so that one part of the screen, on the left hand side,

continuously shows graphic minitrends beside waveforms as shown in the figure below.

To have a split-screen view of minitrends, you can:

 Select [Minitrends] QuickKey, or

 Select [Screens] QuickKey→[Choose Screen]→[Minitrends Screen]→

 Select [Main Menu]→[Screen Setup >>]→[Screen Layout >>]→[Choose

Screen]→[Minitrends Screen]→

.

, or

The split-screen view provides minitrends for multiple parameters. In each field, the label and

scale are respectively displayed at the top and left. The time is displayed at the bottom of the

minitrends shown view.

6-2

2

1

3

4

5

6

6.2.2 Setting Minitrends

Select the minitrends area. From the pop-up [Minitrend Setup] menu, you can:

 Select the parameters to be displayed, or

 Select [Minitrend Length] and then select the appropriate setting.

6.3 Viewing OxyCRG

To have a split screen view of OxyCRG, you can:

 Select [OxyCRG] QuickKey, or

 Select [Screens] QuickKey→[Choose Screen]→[OxyCRG Screen]→

 Select [Main Menu]→[Screen Setup >>]→[Screen Layout >>]→[Choose

Screen]→[OxyCRG Screen]→

.

, or.

The split-screen view covers the lower part of the waveform area and shows HR trend, SpO

trend, RR trend, and a compressed wave (Resp wave or CO

controls:

1. OxyCRG Event

You can enter the [Review] menu by selecting the [OxyCRG Event] button.

2. Trend length list box

In the trend length list box, you can select [1 min], [2 min], [4 min], or [8 min].

3. Setup

Select the [Setup] button to enter the [Setup] menu, in which you can select the

parameters for display, the time length to be saved before and after an event, and the

6-3

wave). At the bottom, there are

2

2

scale of the graphic trends and waveform. The trend area can display two parameter

trends, e.g. HR trend and RR trend, simultaneously.

4. Auto Scale

Select the [Auto Scale] button, and the system automatically adjusts the scaling.

5. Print

Select [Print] to print out the realtime OxyCRG.

6. Record

Through this button, you can print out the currently displayed OxyCRG trends by the

recorder.

6.4 Viewing Other Patients

6.4.1 Care Group

You can select up to 10 patient monitors (including telemetry) connected to the same LAN

into a Care Group. This lets you:

 View information on the monitor screen from another bed in the same Care Group.

 Be notified of physiological and technical alarm conditions at the other beds in the same

Care Group.

To have a Care Group:

1. Open the [View Other Patient] window by:

 Selecting [Others] QuickKey, or

 Selecting [Screens] QuickKey→[Choose Screen]→[View Others Screen]→ ,

or

 Selecting [Main Menu]→[Screen Setup >>]→[Screen Layout >>]→[Choose

Screen >>]→[View Others Screen]→

2. Select [Setup] in the [View Other Patient] window.

3. Select the desired patient monitors from the [Connected Monitor List], and then select

button. The selected patient monitors constitute a Care Group.

the

.

6-4

1

2

3

4

5

6.4.2 Viewing the Care Group Overview Bar

The Care Group overview bar locates at the bottom of the [View Other Patient] window. In

the overview bar, the department and bed label for any Care Group beds are displayed. For

telemetry, # is displayed before the department label. The color in which a Care Group bed

appears matches its status:

 Red: indicates the bed is giving high-level physiological alarms or the telemetry is

giving alarm, such as nurse call or event.

 Yellow: indicates the bed is giving medium- or low-level physiological alarms, or

medium-level technical alarms.

 Blue: indicates the bed is giving low-level technical alarms.

 Grey: indicates the bed fails to be networked or stays in the standby mode.

You c a n view a Care Group bed’s alarms by selecting it from the care group, and as well you

can select the [View This Patient] button to view this bed in the [View Other Patient]

window.

For more details about Care Group alarms, refer to the 7 Alarms chapter.

6.4.3 Understanding the View Other Patient Window

When you first open the [View Other Patient] window, the patient monitor automatically

selects a monitor from the network to display in the [View Other Patient] window.

6-5

WARNING

have delay. Do not rely on

The [View Other Patient] window covers the lower part of the waveform area and consists

of:

1. Information Area: shows the patient information (including department, bed number,

patient name, etc.), network status symbol.

2. View Area: shows physiological waveforms and parameters. You can switch a

waveform area to a parameter area by selecting your desired waveform area and then

selecting [Switch to Parameter Area], or switch a parameter area to a waveform area

by selecting your desired parameter area and then selecting [Switch to Waveform

Area].

3. Care Group Overview Bar.

4. Message Area: shows physiological, technical and prompt messages from the currently

viewed patient monitor. It also shows the alarm given by the telemetry such as nurse call

or event. By selecting this area, you can enter the [Alarm Information List] to view all

physiological, technical and prompt messages coming from the currently viewed patient.

5. [Alarm Reset] button

 When [Reset Other Bed’s Alarms] is set to [On] in [Maintenance]ė[User

Maintenance]ė[Alarm Setup], the [Alarm Reset] button appears on the [View

Other Patient] window. You can reset the alarm system for the selected monitor

by pressing the button. Refer to section 7.11.3 Resetting Care Group Alarms for

details.

 When [Reset Other Bed’s Alarms] is set to [Off], there is no button appearing on

the [View Other Patient] window.

Additionally, you can change a waveform or parameter for viewing

 To change a waveform for viewing, select the waveform segment where you want a new

waveform to appear and then select the waveform you want from the popup menu.

 To change a parameter for viewing, select the parameter window where you want a new

parameter to appear and then select the parameter you want from the popup menu.

z The data presented in the [View Other Patient] window

this window for realtime data.

6-6

6.5 Understanding the Big Numerics Screen

To enter the big numerics screen:

1. Select the [Screens] QuickKey, or [Main Menu]→[Screen Setup >>]→[Screen

Layout >>]→[Choose Screen].

2. Select [Big Numerics]→

.

You can select your desired parameters to display in this screen: select the [Screens]

QuickKey→[Big Numerics Screen Setup] and then select the parameters you want. For

parameters having a waveform, the waveform will also be displayed.

6-7

FOR YOUR NOTES

6-8

WARNING

similar equipment in any single area, e.g. an intensive care unit or cardiac operating

or other monitors

7 Alarms

Alarms, triggered by a vital sign that appears abnormal or by technical problems of the

patient monitor, are indicated to the user by visual and audible alarm indications.

z A potential hazard can exist if different alarm presets are used for the same or

room.

z If your patient monitor is connected to the central monitoring system (CMS) or

other monitors, alarms can be displayed and controlled remotely. Remote

suspension, inhibition, or reset of monitor alarms via the CMS

may cause a potential hazard. For details, refer to the operator’s manual of the

CMS and the other monitors.

7.1 Alarm Categories

By nature, the patient monitor’s alarms can be classified into three categories: physiological

alarms, technical alarms and prompt messages.

1. Physiological alarms

Physiological alarms, also called patient status alarms, are triggered by a monitored

parameter value that violates set alarm limits or an abnormal patient condition.

Physiological alarm messages are displayed in the physiological alarm area.

2. Technical alarms

Technical alarms, also called system status alarms, are triggered by a device

malfunction or a patient data distortion due to improper operation or mechanical

problems. Technical alarm messages are displayed in the technical alarm area.

Apart from the physiological and technical alarm messages, the patient monitor shows some

messages telling the system status or patient status. Messages of this kind are included into

the prompt message category and usually displayed in the prompt information area. Some

prompt messages that indicate the arrhythmia events are displayed in the physiological

alarm area. For some measurements, their related prompt messages are displayed in their

respective parameter windows.

7-1

7.2 Alarm Levels

By severity, the patient monitor’s alarms can be classified into three categories: high level,

medium level and low level.

Physiological alarms Technical alarms

High

level

Medium

level

Low

level

Indicate that your patient is in a

life threatening situation, such

as Asystole, Vfib/Vtac and so

forth, and an emergency

treatment is demanded.

Indicate that your patient’s vital

signs appear abnormal and an

immediate treatment is

required.

Indicate that you patient’s vital

signs appear abnormal and an

immediate treatment may be

required.

Indicate a severe device malfunction or an

improper operation, which could make it possible

that the monitor cannot detect critical patient status

and thus threaten the patient’s life.

Indicate a device malfunction or an improper

operation, which may not threaten the patient’s life

but may compromise the monitoring of vital

physiological parameters.

Indicate a device malfunction or an improper

operation, which may compromise a certain

monitoring function but will not threaten the

patient’s life.

7.3 Alarm Indicators

When an alarm occurs, the patient monitor will indicate it to the user through visual or

audible alarm indications.

 Alarm lamp
 Alarm message
 Flashing numeric
 Audible alarm tones

7.3.1 Alarm Lamp

If a technical alarm or physiological alarm occurs, the alarm lamp will flash. The flashing

color and frequency match the alarm level as follows:

 High level alarms: the lamp quickly flashes red.
 Medium level alarms: the lamp slowly flashes yellow.
 Low level alarms: the lamp turns yellow without flashing.

7-2

7.3.2 Alarm Message

When an alarm occurs, an alarm message will appear in the technical or physiological alarm

area. For physiological alarms, the asterisk symbols (*) before the alarm message match the

alarm level as follows:

 High level alarms: ***
 Medium level alarms: **
 Low level alarms: *

Additionally, the alarm message uses different background color to match the alarm level:

 High level alarms: red
 Medium level alarms: yellow
 Low level alarms: yellow

You can view the alarm messages by selecting the physiological or technical alarm area.

7.3.3 Flashing Numeric

If an alarm triggered by an alarm limit violation occurs, the numeric of the measurement in

alarm will flash every second, and the corresponding alarm limit will also flash at the same

frequency indicating the high or low alarm limit is violated.

7.3.4 Audible Alarm Tones

The alarm tone is distinct from heart beat tone, keystroke tone and pulse tone in frequency.

This monitor has three choices of alarm tones and patterns: ISO, Mode 1 and Mode 2. For

each pattern, the alarm tones identify the alarm levels as follows:

 ISO pattern:

 High level alarms: triple+double+triple+double beep.
 Medium level alarms: triple beep.
 Low level alarms: single beep.

 Mode 1:

 High level alarms: high-pitched single beep.
 Medium level alarms: double beep.
 Low level alarms: low-pitched single beep.

7-3

When multiple alarms of different levels occur simultaneously, the patient monitor

lamp and give alarm sounds

Some physiological alarms, such as asystole, are exclusive. They have identical alarm

gical alarms, but their alarm

say, when an exclusive physiological

simultaneously,

 Mode 2:

 High level alarms: high-pitched triple beep.

 Medium level alarms: double beep.

 Low level alarms: low-pitched single beep.

NOTE

z

will select the alarm of the highest level, light the alarm

accordingly, while all the alarm messages are displayed circularly on the screen.

z

tones and alarm lights with normal high level physiolo

messages are displayed exclusively. That is to

alarm and a normal high level physiological alarm are triggered

only alarm message of the exclusive physiological alarm is displayed.

7.3.5 Alarm Status Symbols

Apart from the aforementioned alarm indicators, the patient monitor still uses the following

symbols telling the alarm status:



indicates alarms are paused.



indicates alarms are reset.



indicates the alarm sound is turned off.



indicates individual measurement alarms are turned off or the system is in alarm

off status.

7-4

7.4 Alarm Tone Configuration

7.4.1 Setting the Minimum Alarm Volume

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the

required password.

2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.

3. Select [Minimum Alarm Volume] and toggle between 0 and 10.

The minimum alarm volume refers to the minimum value you can set for the alarm volume,

which is not affected by user or factory default configurations. The setting of minimum

alarm volume remains unchanged when the patient monitor shuts down and restarts.

7.4.2 Changing the Alarm Volume

1. Select the [Volume Setup] QuickKey or the [Alarm Setup] QuickKeyė[Others], or
[Main Menu]→[Alarm Setup >>]ė[Others].

2. Select the appropriate volume from [Alm Volume]: X-10, in which X is the minimum

volume, depending on the set minimum alarm volume, and 10 the maximum volume.

3. Select [High Alarm Volume] to set the volume of the high priority alarm as [Alm

Volume+0], [Alm Volume+1] or [Alm Volume+2].

4. Select [Reminder Vol] to set the volume of the reminder tone as [High], [Med] or

[Low].

When alarm volume is set to 0, the alarm sound is turned off and a

the screen.

symbol appears on

7.4.3 Setting the Interval between Alarm Sounds

You cannot change the interval between alarm tones if you choose mode 1 or 2 as your

desired alarm tone pattern. For these two patterns, the interval between alarm tones

identifies the alarm levels as follows:

 Mode 1:

 Interval between high level alarm tones: continuously.

 Interval between medium level alarm tones: 5 s.

 Interval between low level alarm tones: 20 s.

 Mode 2:

7-5

WARNING

When the alarm sound is switched off, the patient monitor will give no audible alarm

about

 Interval between high level alarm tones: 1 s.

 Interval between medium level alarm tones: 5 s.

 Interval between low level alarm tones: 20 s.

If you choose the ISO pattern, you can change the interval between alarm tones. To change

the interval between alarm tones:

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the

required password.

2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.

3. Select [High Alarm Interval (s)], [Med Alarm Interval (s)] and [Low Alarm

Interval (s)] in turn and then select the appropriate settings.

z

tones even if a new alarm occurs. Therefore the user should be very careful

whether to switch off the alarm sound or not.

z Do not rely exclusively on the audible alarm system for patient monitoring.

Adjustment of alarm volume to a low level may result in a hazard to the patient.

Always keep the patient under close surveillance.

7.4.4 Changing the Alarm Tone Pattern

To change the alarm tone pattern:

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the

required password.

2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.

3. Select [Alarm Sound] and toggle between [ISO], [Mode 1]and [Mode 2].

User or factory default configurations exert no impact on the setup of alarm tone pattern.

The alarm tone pattern remains unchanged after the monitor restarts.

7.4.5 Setting the Reminder Tones

When the alarm volume is set to zero, or the alarm tone is reset or switched off, the patient

monitor issues a periodical reminder tone. To set the reminder tones:

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the

required password.

7-6

2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.

3. Set the [Reminder Tones] to [On], [Off] or [Re-alarm]. When [Re-alarm] is selected,
the current physiological alarms and technical alarms marked with “Ĝ” will be

re-generated after the [Reminder Interval] if the alarm condition persists.

To set the interval between reminder tones, select [Reminder Interval] and toggle between

[1min], [2min] and [3min].

In addition, you can set the volume of alarm reminder tones. To set the volume of alarm

reminder tones, select [Main Menu]→[Alarm Setup >>]→[Others] or the [Alarm Setup]

QuickKey→[Others]. Then, select [Reminder Vol] and toggle between [High], [Medium]

and [Low].

7.5 Understanding the Alarm Setup Menu

Select the [Alarm Setup] QuickKey or [Main Menu]→[Alarm Setup >>] to enter the

[Alarm Setup], where you can:

 Set alarm properties for all parameters.

 Change ST alarm settings.

 Change arrhythmia alarm settings.

 Set the threshold for some arrhythmia alarms.

 Change other settings.

Please refer to the Monitoring ECG for how to change ST alarm settings, how to change

arrhythmia alarm settings and how to set the threshold for some arrhythmia alarms.

7-7

WARNING

ineffective. For example, High oxygen levels may predispose a premature infant to

retrolental fibroplasia. If this is a consideration do NOT set the high alarm limit to

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

7.5.1 Setting Alarm Properties for All Parameters

In the main menu, select [Alarm Setup >>]→[Parameters]. You can review and set alarm

limits, alarm switches, alarm level and alarm recordings for all parameters.

When a measurement alarm occurs, automatic recording of all the measurement numerics

and related waveforms is possible when the measurement’s [On/Off] and [Record] are set

on.

z Make sure that the alarm limits settings are appropriate for your patient before

monitoring.

z Setting alarm limits to extreme values may cause the alarm system to become

100%, which is equivalent to switching the alarm off.

z

condition.

7.5.2 Adjusting Alarm Limits Automatically

The monitor can automatically adjust alarm limits according to the measured vital signs,

using the auto limits function. When auto limits are selected, the monitor calculates safe

auto limits based on the latest measured values.

To get accurate auto alarm limits, you need to collect a set of measured vital signs as a

baseline. Then, in the main menu, select [Alarm Setup >>]→[Parameters]→[Auto Limits]

→[Ok]. The monitor will create new alarm limits based on the measured values.

Before applying these automatically created alarm limits, confirm if they are appropriate for

your patient in the mass alarm setup menu. If not, you can adjust them manually. These

alarm limits will remain unchanged until you select auto limits again or adjust them

manually.

7-8

Module

Parameter

Low alarm limit

Auto alarm limits

range

Adult

pediatric

Neonate

Adult

pediatric

Neonate

ECG

HR/PR

(HR

0.8)

or

bpm

(whichever

is greater)

(HR

30) or

90

(whichever

is greater)

(HR

1.25)

or

bpm

(whichever

is smalle)

(HR

200bpm (whichever

is smaller)

Adult/pediatric: 35

to

Neonate:

to 225

Resp

RR

(RR

0.5)

or

rpm

(whichever

is greater)

(RR

10) or

30

rpm

(whichever

is greater)

(RR

1.5)

or

rpm

(whichever

is smaller)

(RR

rpm

(whichever is

smaller)

Adult/pediatric: 6

to

Neonate:

to 90

SpO2

SpO

Same as the

default

alarm limit

Same as the

default

alarm limit

Same as the

default

alarm limit

Same as the default

alarm limit

Same as the

measurement range

NIBP

NIBP-S

(SYS × 0.68

+ 10

mmHg

(SYS – 15)

or 45mmHg

(whichever

is greater)

(SYS × 0.86

+ 38

mmHg

(SYS

105mmHg

(whichever is

smaller)

Adult:

270

Pediatric:

to 185

Neonate: 40 to 115

NIBP-D

(Dia

0.68

+ 6

mmHg

(Dia

15)

or 20mmHg

(whichever

is greater)

(Dia

0.86

+ 32

mmHg

(Dia

80mmHg (whichever

is smaller)

Adult:

to 210

Pediatric:

to 150

Neonate:

to 90

NIBP-M

(Mean ×

0.68

)

mmHg

(Mean – 15)

or 35mmHg

(whichever

is greater)

(Mean ×

0.86

35)

mmHg

(Mean

95

mmHg

(whichever is

smaller)

Adult:

to 230

Pediatric:

to 165

Neonate:

to 105

Tem p

T1 (T1 – 0.5)ć

(T1

0.5) ć

(T1 + 0.5)ć

(T1 + 0.5)

1 to 49

T2 (T2 – 0.5)ć

(T2

0.5) ć

(T2 + 0.5)ć

(T2 + 0.5)

1 to 49

TD

Same as the

default

alarm limit

Same as the

default

alarm limit

Same as the

default

alarm limit

Same as the default

alarm limit

Same as the

measurement range

The monitor calculates the auto limits based on the following rules.

High alarm limit

/

/

×

40

×

2

6

)

×

)

+ 8

–

bpm

–

–

–

240

30

×

+ 40) or

240

×

+ 25) or 85

55

55

10

+ 15) or

)

×

+ 15) or

)

+ 15) or

+

ć

45 to

45

25

25

20

30

30

25

ć

–

ć

ć

7-9

Module

Parameter

Low alarm limit

Auto alarm limits

range

Adult

pediatric

Neonate

Adult

pediatric

Neonate

IBP˖

ART/

Ao/

UAP/

BAP/

FAP /

LV/

P1

P4

(Arterial

pressure)

IBP-S

(SYS × 0.68

ˇ

10)

mmHg

(SYS – 15)

or 45mmHg

(whichever

is greater)

(SYS × 0.86

ˇ

mmHg

(SYS

105mmHg

(whichever is

smaller

Adult: 45 to 270

Pediatric

45 to 185

Neonate

35 to 115

IBP-D

(Dia

0.68

+ 6

mmHg

(Dia

15)

or 20mmHg

(whichever

is greater)

(Dia

0.86

+ 32

mmHg

(Dia

80mmHg (whichever

is smaller)

Adult:

225

Pediatric:

to 150

Neonate:

to 90

IBP-M

(Mean ×

0.68

8)mmHg

(Mean – 15)

or 35mmHg

(whichever

is greater)

(Mean ×

0.86

35)mmHg

(Mean

95mmHg (whichever

is smaller)

Adult:

245

Pediatric:

to 180

Neonate:

to 105

IBP:PA

IBP-S

SYS

0.75

SYS

0.75

SYS

1.25

SYS

3 to

IBP-D

Dia

0.75

Dia

0.75

Dia

1.25

Dia

IBP-M

Mean × 0.75

Mean × 0.75

Mean × 1.25

Mean

IBP:

CVP/

ICP/

LAP/

RAP/

UVP/

P1

P4

(Venous

pressur

e

IBP-M

Mean × 0.75

Mean × 0.75

Mean × 1.25

Mean

3 to

IBP:CPP

CPP

CPP

0.68

+ 8mmHg

(CPP – 15)

or 35mmHg

(whichever

is greater)

CPP

0.86

ˇ35mmHg

(CPP

95mmHg (whichever

is

Adult:

235

mmHg

Pediatric:

to 175

mmHg

Neonate:

to 100

mmHg

)

High alarm limit

/

–

×

38)

/

×

)

+ 15) or

)

+ 15) or

:

:

25 to

25

20

-

+

×

×

-

)

×

×

×

+

×

×

×

7-10

+ 15) or

× 1.25

× 1.25

× 1.25

× 1.25

ˇ15) or

smaller)

30 to

30

25

120mmHg

40mmHg

20 to

25

25

Module

Parameter

Low alarm limit

Auto alarm limits

range

Adult

pediatric

Neonate

Adult

pediatric

Neonate

CO2

EtCO2

0 to

32mmHg:

remains the

same

0 to

32mmHg:

remains the

same

0 to

32mmHg:

remains the

same

0 to

remains the same

Same as the

measurement range

32

35mmHg:

29mmHg

32

35mmHg:

29mmHg

32

35mmHg:

41mmHg

32

41mmHg

35

45mmHg:

(etCO

6)

mmHg

35

45mmHg:

(etCO

6)

mmHg

35

45mmHg:

(etCO

+6)

mmHg

35

(etCO

mmHg

45

48mmHg:39

mmHg

45

48mmHg:39

mmHg

45

48mmHg:51

mmHg

45

48mmHg:51

mmHg

>48mmHg:

remains the

same

>48mmHg:

remains the

same

>48mmHg:

remains the

same

>48mmHg: remains

the same

FiCO2

N/A N/A

Same as the

default

alarm limit

Same as the default

alarm limit

Same as the

measurement range

awRR

awRR × 0.5

or

(whichever

is greater)

(awRR –

10

30

rpm

(whichever

is greater)

awRR × 1.5

or

rpm

(whichever

is smaller)

(awRR+25

85

rpm

(whichever is

smaller)

Adult/pediatric: 6

to

Neonate:

to 90

AG

EtCO2

(AG)

Same as CO
FiCO2

(AG)

awRR

awRR × 0.5

or 6

(whichever

is greater)

awRR – 10

or 30

rpm

(whichever

is greater)

awRR × 1.5

or 30

rpm

(whichever

is smaller)

awRR+25 or 85 rpm

(whichever is

smaller)

Adult/pediatric: 6

to 55

Neonate: 10 to 90

FiAA/

EtAA

Same as the

default

alarm limit

Same as the

default

alarm limit

Same as the

default

alarm limit

Same as the default

alarm limit

Same as the

measurement range
FiO

Same as the

Same as the

Same as the

Same as the default

Same as the

High alarm limit

/

/

32mmHg:

to

to

to

to 35mmHg:

to

to

to

to 45mmHg:

-

2

to

6 rpm

to

) or

module

2

-

2

2

to

30

to

+6)

2

) or

55

10

rpm

/

2

7-11

Module

Parameter

Low alarm limit

Auto alarm limits

range

Adult

pediatric

Neonate

Adult

pediatric

Neonate

EtCO2

default

alarm limit

default

alarm limit

default

alarm limit

alarm limit

measurement range

FiN2O/

EtN

Same as the

default

alarm limit

Same as the

default

alarm limit

Same as the

default

alarm limit

Same as the default

alarm limit

Same as the

measurement range

C.O.

BT

Adult˖

(BT

N/A

Adult˖

(BT

N/A

Same as the

measurement range

High alarm limit

/

/

O

2

– 1)ć

– 1)ć

7.5.3 Setting Alarm Delay Time

You can set the alarm delay time for over-limit alarms of continuously measured parameters.

If the alarm-triggered condition disappears within the delay time, the patient monitor will

not give the alarm. You can set the [Alarm Delay] in the [Others] window of [Alarm

Setup] menu.

To set the alarm delay time,

1. Select [Main Menu]→ [Maintenance >>]→ [User Maintenance >>]. Enter the

required password and then select [Ok].

2. Select [Alarm Setup >>]→ [Alarm Delay].

Alarm delay is not applied to the following physiological alarms:

 Apnea

 ST alarms

 Arrhythmia alarms

 ECG Weak Signal

 Resp Artifact

 No Pulse

 Nellcor SpO

 Measurements of noncontinuous parameters over alarm limits

 HR over alarm limits

 Anesthetic Mixture's MAC >3

You can set [Apnea Delay] and [ST Alarm Delay] separately.

over alarm limits

2

7-12

7.5.4 Setting SpO2 Technical Alarm Delay

You can set [Tech. Alarm Delay] in the [Others] tab of the [Alarm Setup] menu. The

options are [Off], [5s], [10s] and [15s]. The delay is effective to the following technical

alarms: SpO

Sensor Off, SpO2 Too Much Light, SpO2 Low Signal and SpO2 Interference.

2

7.5.5 Setting Recording Length

You can change the length of the recorded waveforms. In the [Others] window of the

[Alarm Setup] menu, select [Recording Length] and toggle between [8 s], [16 s] and [32

s]:

 [8 s]: 4 seconds respectively before and after the alarm or manual event trigger

moment.

 [16 s]: 8 seconds respectively before and after the alarm or manual event trigger

moment.

 [32 s]: 16 seconds respectively before and after the alarm or manual event trigger

moment.

7.5.6 Intubation Mode

When performing intubation during general anesthesia, you can set the patient monitor to

enter intubation mode in order to reduce unnecessary alarms. Intubation mode is available

for Resp, CO

[Intubation Mode] button to disable respective physiological alarms.

The default intubation time is 2 minutes. You can also change the time by following this

procedure:

1. Select [Main Menu]ė[Maintenance >>]ė[User Maintenance >>]ėenter the

2. Select [Alarm Setup >>], and set the [Intubation Mode Period] to [1 min], [2 min],

and AG parameters. In the setup menu of these parameters, you can choose

2

required password.

[3 min], or [5 min].

7-13

you

7.6 Pausing Alarms

If you want to temporarily prevent alarms from sounding, you can pause alarms by pressing

hardkey on the monitor’s front. When alarms are paused:

the

 No alarm lamps flash and no alarms are sounded.

 No numeric and alarm limit flash.

 No alarm messages are shown.

 The remaining pause time is displayed in the physiological alarm area.

 The

The patient monitor enters into the alarm paused status as soon as it is turned on. The alarm

pause time is fixed to be 2 minutes.

When the alarm pause time expires, the alarm paused status is automatically cancelled and

the alarm tone will sound. You can also cancel the alarm paused status by pressing the

hardkey.

The alarm pause time can be set to [1 min], [2 min], [3 min], [5 min], [10 min], [15 min]

or [Permanent]. The default alarm pause time is 2 minutes.

1. Select [Main Menu]ė[Maintenance >>]ė[User Maintenance >>]ėenter the

2. Select [Alarm Setup >>]ė[Alarm Pause Time] and then select the appropriate

You can also temporarily prolong the alarm pause time after the monitor entersthe alarm

paused status:

1. Select [Main Menu]ė[Maintenance >>]ė[User Maintenance >>]ėenter the

2. In the [Alarm Setup] menu, set the [Max. Alarm Pause 15min] to [Enable].

3. In the physiological alarm area, select a proper time in the [Alarm Pause Time] menu.

alarms paused symbol is displayed in the alarm symbol area.

required password.

setting from the popup list.

required passwordė[Alarm Setup >>].

NOTE

z [Max. Alarm Pause 15min] is configured to [Disable] by default. In this case,

cannot prolong the pause time.The prolonged pause time is only effective to the

current paused alarms.

7-14

WARNING

Please be very

7.7 Switching Off All Alarms

If [Alarm Pause Time] is set to [Permanent], the patient monitor enters into the alarm off

status after the

 As for physiological alarms, no alarm lamps flash and no alarms are sounded.

 As for physiological alarms, no numeric and alarm limit flash.

 No physiological alarm messages are shown.

 [Alarm Off] is displayed in the physiological alarm area with red background.

 As for technical alarms, no alarms are sounded.

hardkey is pressed. During the alarm off status,

 The

You can cancel the alarm off status by pressing the

z Pausing or switching off alarms may result in a hazard to the patient.

alarm off symbol is displayed in the alarm symbol area.

hardkey.

careful.

7.8 Resetting Alarms

By selecting the QuickKey, you can reset the alarm system to acknowledging the

on-going alarms and enable the alarm system to respond to a subsequent alarm condition.

For physiological alarms, except the NIBP-related alarms, when the alarm system is reset:

 The alarm sound is reset.

 A Ĝ appears before the alarm message, indicating that the alarm is acknowledged.

 The icon

 The parameter numeric and alarm limits still flash.

The indication of alarm lamp for the physiological alarm depends on the alarm light setting.

 When [Alarm Light on Alarm Reset] is set to [On], the alarm lamp remains flashing.

 When [Alarm Light on Alarm Reset] is set to [Off], the alarm lamp stops flashing.

Technical alarms give different alarm indicators when the alarm system is reset:

appears in the alarm symbol area.

7-15

 For some technical alarms, including the NIBP-related alarms, a Ĝ appears before

the alarm message and

is acknowledged.

 Some technical alarms are changed to the prompt messages.

 Some technical alarms are cleared. The monitor gives no alarm indications.

For details about the indications of technical alarms when the alarm system is reset, refer to

D.2 Technical Alarm Messages.

To set [Alarm Light on Alarm Reset]:

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the

required password.

2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.

3. Select [Alarm Light on Alarm Reset], and toggle between [On] and [Off].

The default setting for [Alarm Light on Alarm Reset] is [On].

appears in the alarm symbol area, indicating that the alarm

7.9 Latching Alarms

The alarm latching setting for your patient monitor defines how the indicators of the

physiological alarms behave when you do not acknowledge them:

 If you do not “latch” the physiological alarms, their alarm indications disappear when

the alarm condition ends.

 If you “latch” the physiological alarms, all visual and audible alarm indications last

until you acknowledge the alarms, except that the measurement numeric and violated

alarm limit stop flashing as soon as the initial alarm condition goes away.

You can separately latch the visual indications or simultaneously latch the visual and the

audible indication.

 When the visual indications are latched, the visual indications, including alarm lamp,

alarm message and its background remains when the alarm condition ends.

 When the audible indications are latched, the monitor issues alarm sounds when the

alarm condition ends.

To latch a physiological alarm:

1. Select [Main Menu]ė[Maintenance >>]ė[User Maintenance >>]ėenter the

required password.

2. Select [Alarm Setup >>]ė[Latching Alarms>>].

3. In the [Latching Alarms] menu, select how you want to latch the alarms.

7-16

Changing of alarm priority may affect the latching status of corresponding alarm.

Please determine if you need to reset the latching status for the specific alarm when

The rules for latching the alarms are:

 You can separately select [Latching Visual Signal].

 Selecting [Latching Audible Signal] simultaneously latches the visual signal.

 Selecting alarms of lower priority simultaneously latches the alarms of higher priority.

NOTE

z

you have changed its alarm priority.

z When the alarm system is reset, the latched physiological alarms are cleared.

7.10 Testing Alarms

When the monitor starts up, a selftest is performed. In this case the alarm lamp is lit in

yellow and red respectively, and the system gives a beep. This indicates that the visible and

audible alarm indicators are functioning correctly.

For further testing of individual measurement alarms, perform the measurement on yourself

(for example SpO

appropriate alarm behaviour is observed.

or CO2) or use a simulator. Adjust alarm limits and check that

2

7.11 Using Care Group Alarms

7.11.1 Care Group Auto Alarms

When a Care Group is set up on your monitor, a flashing symbol will appear beside the

QuickKeys area if any monitor in your Care Group, which is not currently viewed by your

monitor, is alarming. The alarm symbol is shown as below.

The background colors of the alarm symbols indicate alarm levels, and are the same as

those of the corresponding alarm messages. If multiple alarms are active in the Care Group,

the background color is the same as that of the highest-level alarm message. For more

information about the alarm message and background color, see7.3.2 Alarm Message.

When a patient monitor in the Care Group is disconnected, the flashing symbol is shown as

below.

7-17

The department and bed label of the alarming monitor appear on the symbol. You can enter

the view other patient window by pressing this symbol.

7.11.2 Resetting Care Group Alarms

You can reset the alarms presented on the viewed bed by pressing the [Alarm Reset] from

the current monitor’s [View Other Patient] window. To enable this function:

1. For iMEC12/iMEC10/iMEC8/iMEC7/iMEC6/iMEC5 monitor, select [Main Menu]→

[Maintenance>>]→[User Maintenance>>]→enter the required password→[Alarm

Setup>>]→[Other Bed Alarm Setup>>]. For iMEC15S/iMEC15 monitor, select

[Main Menu]→[Maintenance>>]→[User Maintenance>>]→enter the required

password→[Alarm Setup>>].

2. Set [Reset Other Bed’s Alarms] to [On].

The alarms presented on the current monitor can also be reset from another monitor viewing

this monitor. To do so, proceed as follows:

1. For iMEC12/iMEC10/iMEC8/iMEC7/iMEC6/iMEC5 monitor, select [Main Menu]→

[Maintenance>>]→[User Maintenance>>]→enter the required password→[Alarm

Setup>>]→[Other Bed Alarm Setup>>] in the current monitor. For

iMEC15S/iMEC15 monitor, select [Main Menu]→[Maintenance>>]→[User

Maintenance>>]→enter the required password→[Alarm Setup>>] in the current

monitor.

2. Set [Alarm Reset By Other Bed] to [On].

3. In the other monitor, select the [Alarm Reset] button from the [View Other Patient]

window.

WARNING



Resetting care group alarms may cause a potential hazard. Please act with caution.

7.11.3 Switching Off the Remote Device Disconnection Alarm

(not available for iMEC15S/iMEC15)

The monitor can provide an alarm if a viewed bed device is disconnected. By default, the

function is enabled. To disable the alarm, follow this procedure:

1. In the current monitor, select [Main Menu]→[Maintenance>>]→[User

Maintenance>>]→enter the required password→[Alarm Setup>>]→[Other Bed

Alarm Setup>>].

2. Set [Other Bed Disconnection Alm] to [Off].

7-18

7.11.4 Setting Care Group Alert Tone (for iMEC12/iMEC10/

iMEC8/iMEC7/iMEC6/iMEC5)

7.11.4.1 Setting the Alarm Reminder

Whena monitor in the Care Group issues an alarm, your patient monitor prompts you by

giving alert tone. To set the alert tone, follow this procedure:

1. In the current monitor, select [Main Menu]ė[Maintenance>>]ė[User

Maintenance>>]ėenter the required passwordė[Alarm Setup>>]ė[Other Bed

Alarm Setup>>].

2. Set the [Alarm Reminder].

 [Repeat]: The monitor gives continuous alert tone when the alarm occurs at the

viewed bed is the same level as the setup level in the monitor. To set which alarm

level applies to continuous alert tone, see section 7.11.4.2Setting the Alarm

Level.

 [Once]: The monitor gives a single alert tone when an alarm occurs at the viewed

bed.

 [Off]: The monitor do not give any alert tone when an alarm occurs at the viewed

bed.

7.11.4.2 Setting the Alarm Level

When [Alarm Reminder] is set to [Repeat], you can set which alarm level of the viewed

bed alarm applies to the continuous alert tone. To set the alarm level of the viewed bed

alarm, follow this procedure:

1. In the current monitor, select [Main Menu]ė[Maintenance>>]ė[User

Maintenance>>]ėenter the required passwordė[Alarm Setup>>]ė[Other Bed

Alarm Setup>>].

2. Set the [Alarm Lev].

 [All]: This monitor gives continous alert tone to all the alarms of the viewed bed

when [Alarm Reminder] is set to [Repeat].

 [High Only]: This monitor gives continous alert tone only to high level alarms of

the viewed bed when [Alarm Reminder] is set to [Repeat].

 [High&Med]: This monitor gives continous alert tone to high level and mediate

level alarms of the viewed bed when [Alarm Reminder] is set to [Repeat].

NOTE

z The setting of the [Alarm Lev] is valid only when [Alarm Reminder] is set to

[Repeat].

7-19

7.11.5 Setting Care Group Alert Tone (for iMEC15S/iMEC15)

When a monitor in the Care Group issues an alarm, your patient monitor prompts you by

giving an alert tone. To set the alert tone:

1. In the main menu, select [Screen Setup >>]ė[Screen Layout >>]ė[Choose Screen].

2. In the [Choose Screen] window, select [View Others Screen].

3. In the view other patient window, select [Setup>>], and set [Alert Tone] to [Repeat],

[Once] or [Off].

7.12 When an Alarm Occurs

When an alarm occurs, observe the following steps and take proper actions:

1. Check the patient’s condition.

2. Confirm the alarming parameter or alarm category.

3. Identify the source of the alarm.

4. Take proper action to eliminate the alarm condition.

5. Make sure the alarm condition is corrected.

For troubleshooting specific alarms, see appendix D Alarm Messages.

7-20

WARNING

Make sure the conductive parts of electrodes and associated connectors for applied

parts, including the neutral electrode, should not contact any other conductive parts

odically inspect the electrode application site to ensure skin quality. If the skin

frequency surgical procedure, ensure

surgery unit (ESU) shall properly contact the

CAUTION

grounded instrument near the patient and electrosurgery

8 Monitoring ECG

8.1 Introduction

The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on

the patient monitor as a waveform and a numeric. For iMEC12, iMEC10, iMEC8, iMEC7,

iMEC6 and iMEC5, ECG monitoring provides 3-, 5-lead ECG monitoring, ST-segment

analysis and arrhythmia analysis. For iMEC15S and iMEC15, ECG monitoring provides 3-,

5- and 12-lead ECG monitoring, ST-segment analysis and arrhythmia analysis.

8.2 Safety

z Use only ECG electrodes and cables specified by the manufacturer.

z

including earth.

z Peri

quality changes, replace the electrodes or change the application site.

z Use defibrillation-proof ECG cables during defibrillation.

z Do not touch the patient, or table, or instruments during defibrillation.

z This equipment is not suitable for direct cardiac application.

z To reduce the hazard of burns during high-

that the monitor’s cables and transducers never come into contact with the

electro-surgery unit (ESU).

z The neutral electrode of the electro-

patient. Otherwise, burns may result.

z Interference from a non-

interference can cause problems with the waveform.

8-1

electrodes are used and applied in accordance with the manufacturer’s instructions

NOTE

z After defibrillation, the screen display recovers within 10 seconds if the correct

for use.

8.3 Preparing to Monitor ECG

8.3.1 Preparing the Patient and Placing the Electrodes

1. Prepare the patient’s skin. Proper skin preparation is necessary for good signal quality at

the electrode, as the skin is a poor conductor of electricity. To properly prepare the skin,

choose flat areas and then follow this procedure:

 Shave hair from skin at chosen sites.

 Gently rub skin surface at sites to remove dead skin cells.

 Thoroughly cleanse the site with a mild soap and water solution. We do not

recommend using ether or pure alcohol, because this dries the skin and increases

the resistance.

 Dry the skin completely before applying the electrodes.

2. Attach the clips or snaps to the electrodes before placing them.

3. Place the electrodes on the patient.

4. Attach the electrode cable to the patient cable and then plug the patient cable into the

ECG connector.

8.3.2 Choosing AHA or IEC Lead Placement

1. Select the ECG parameter window or waveform area to enter the [ECG Setup] menu.

2. Select [Others]→[Lead Set] and then select [3-lead], [5-lead], [12-lead] (for

iMEC15S/iMEC15 only) or [Auto] according to the applied electrodes.

3. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the

required password

4. Select [Others >>]→[ECG Standard] and then select [AHA] or [IEC] according to

the standard that is applied for your hospital.

8-2

8.3.3 ECG Lead Placements

The electrode placement illustrations in this chapter adopt the AHA standard.

3-Leadwire Electrode Placement

Following is an electrode configuration when using 3 leadwires:

 RA placement: directly below the clavicle and near the right shoulder.

 LA placement: directly below the clavicle and near the left shoulder.

 LL placement: on the left lower abdomen.

5-Leadwire Electrode Placement

Following is an electrode configuration when using 5 leadwires:

 RA placement: directly below the clavicle and near the right shoulder.

 LA placement: directly below the clavicle and near the left shoulder.

 RL placement: on the right lower abdomen.

 LL placement: on the left lower abdomen.

 V placement: on the chest.

8-3

The chest (V) electrode can be placed on one of the following positions:

 V1 placement: on the fourth intercostal space at the right sternal border.

 V2 placement: on the fourth intercostal space at the left sternal border.

 V3 placement: midway between the V2 and V4 electrode positions.

 V4 placement: on the fifth intercostal space at the left midclavicular line.

 V5 placement: on the left anterior axillary line, horizontal with the V4 electrode

position.

 V6 placement: on the left midaxillary line, horizontal with the V4 electrode position.

 V3R-V6R placement: on the right side of the chest in positions corresponding to those

on the left.

 VE placement: over the xiphoid process.

 V7 placement: on posterior chest at the left posterior axillary line in the fifth intercostal

space.

 V7R placement: on posterior chest at the right posterior axillary line in the fifth

intercostal space.

12-Leadwire Electrode Placement (for iMC15S/iMC15 only)

12-lead ECG uses 10 electrodes, which are placed on the patient’s four limbs and chest. The

limb electrodes should be placed on the soft skin and the chest electrodes placed according to

the physician’s preference.

8-4

WARNING

When using electrosurgical units (ESU), patient leads should be placed in a position

is equal distance from the Electrosurgery electrotome and the grounding plate

Lead Placement for Surgical Patients

The surgical site should be taken into consideration when placing electrodes on a surgical

patient. e.g. for open-chest surgery, the chest electrodes can be placed on the lateral chest or

back. To reduce artifacts and interference from electrosurgical units, you can place the limb

electrodes close to the shoulders and lower abdomen and the chest electrodes on the left side

of the mid-chest. Do not place the electrodes on the upper arm. Otherwise, the ECG

waveform will be very small.

z

that

to avoid burns to the patient. Never entangle the ESU cable and the ECG cable

together.

z When using electrosurgical units (ESU), never place ECG electrodes near to the

grounding plate of the ESU, as this can cause a lot of interference on the ECG

signal.

8.3.4 Checking Paced Status

It is important to set the paced status correctly when you start monitoring ECG. The paced

symbol

The pace pulse markers “|” are shown on the ECG wave when the patient has a paced signal.

If [Paced] is set to [No] or the patient’s paced status is not selected, the symbol

shown in the ECG waveform area.

To change the paced status, you can select either:

 the patient information area, or

 [Main Menu]→[Patient Setup]→[Patient Demographics], or,

 the ECG parameter window or waveform area→[Others >>],

and then, select [Paced] from the popup menu and toggle between [Ye s] and [No].

If you do not set the paced status, the patient monitor issues a prompt tone when pace pulse is

detected. At the same time, the paced symbol flashes and the message [Please confirm the

pace of patient] appears in the ECG waveform area. Then, please check and set the paced

status of the patient.

is displayed in the ECG waveform area when the [Paced] status is set to [Ye s ].

8-5

will be

WARNING

For paced patients, you must set [Paced] to [Yes]. If it is incorrectly set to [No], the

patient monitor could mistake a pace pulse for a QRS and fail to alarm when the

not rely entirely on rate meter alarms when monitoring

1

1

3

2

3

4

2

z

ECG signal is too weak. Do

patients with pacemakers. Always keep these patients under close surveillance.

z For non-paced patients, you must set [Paced] to [No].

z The auto pacer recognition function is not applicable to pediatric and neonatal

patients.

z False low heart rate indicators or false Asystole calls may result with certain

pacemakers because of pacemaker artifact such as electrical overshoot of the

pacemaker overlapping the true QRS complexes.

8.4 Understanding the ECG Display

Your display may be configured to look slightly different.

1. Lead label of the displayed wave

2. ECG gain

3. ECG filter label

4. Notch filter status

When a paced signal has been detected, the pace pulse marks “|” are shown on the ECG wave

if the [Paced] has been set to [Ye s ].

1. Current heart rate alarm limits

2. Current heart rate

3. Heart beat symbol

8-6

is in use, a question mark (?) may display on the right

NOTE

z When an electro-surgery unit

of the HR value. This indicates that there is high frequency interference

For 12-lead ECG display screen, refer to the section 8.11 12-Lead ECG Monitoring (for

iMEC15S/iMEC15 only).

8.5 Changing ECG Settings

8.5.1 Accessing ECG Menus

By selecting the ECG parameter window or waveform area, you can access the [ECG Setup]

menu.

8.5.2 Choosing the Alarm Source

In most cases the HR and PR numerics are identical. In order to avoid simultaneous alarms

on HR and PR, the monitor uses either HR or PR as its active alarm source. To change the

alarm source, select [Alm Source] in the [ECG Setup] menu and then select either:

 [HR]: if you want the HR to be the alarm source for HR/PR.

 [PR]: if you want the PR to be the alarm source for HR/PR.

 [Auto]: If the [Alm Source] is set to [Auto], the patient monitor will use the heart rate

from the ECG measurements as the alarm source whenever a valid heart rate is available.

If the heart rate becomes unavailable, for example the ECG module is turned off or

becomes disconnected, the patient monitor will automatically switch to PR as the alarm

source.

8.5.3 Setting the ECG Lead Set

You can set the [Lead Set] by selecting [ECG Setup]→[Others>>]. You can set the [Lead

Set] as [Auto] if the auto lead detection function is available.

8.5.4 Choosing an ECG Display Screen

When monitoring with a 5-lead set or 12-lead set, you can select the [Screens] Quickkey. In

the [Choose Screen] window, choose the screen type as:

8-7

WARNING

 [Normal Screen]: The ECG waveform area shows 2 ECG waveforms.

 [ECG 7-Lead Full-Screen]: The whole waveform area shows 7 ECG waveforms only.

 [ECG 7-Lead Half-Screen]: The upper half part of the whole waveform area displays 7

ECG waveforms.

When monitoring with a 12-lead set, you can also choose the screen type as [ECG 12-Lead

Full-Screen].

When the screen type is set to [Normal Screen], cascaded ECG waveforms can be displayed.

To cascade ECG waveforms:

1. Select the [Screens] Quickkey→[Screen Setup].

2. Select [ECG1 Casc.] in the second row. A cascaded waveform is displayed in two

waveform positions.

8.5.5 Changing the ECG Filter Settings

The ECG filter setting defines how ECG waves are smoothed. To change the filter setting,

select [Filter] from [ECG Setup] and then select the appropriate setting.

 [Monitor]: Use under normal measurement conditions.

 [Diagnostic]: Use when diagnostic quality is required. The unfiltered ECG wave is

displayed so that changes such as R-wave notching or discrete elevation or depression of

the ST segment are visible.

 [Surgery]: Use when the signal is distorted by high frequency or low frequency

interference. High frequency interference usually results in large amplitude spikes

making the ECG signal look irregular. Low frequency interference usually leads to

wandering or rough baseline. In the operating room, the surgery filter reduces artifacts

and interference from electrosurgical units. Under normal measurement conditions,

selecting [Surgery] may suppress the QRS complexes too much and then interfere with

ECG analysis.

 [ST]: Use when ST monitoring is applied.

z The [Diagnostic] filter is recommended when monitoring a patient in an

environment with slight interference only.

8.5.6 Setting the Notch Filter

The notch filter removes the line frequency interference. Only when [Filter] is set to

[Diagnostic], the [Notch Filter] is adjustable.

8-8