Mindray iPM-9800 Operator's Manual
iPM-9800 Patient Monitor
Operator’s Manual
I
© Copyright 2009-2010 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights
reserved.
For this Operator’s Manual, the issue date is 2010-06.
II
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 copyright or patents and does not convey any
license under the patent rights or copyright of Mindray, or 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, adaptation, translation or any other derivative work 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.
III
Responsibility on the Manufacturer
Party
Contents of this manual are subject to change without prior notice.
All information contained in this manual is believed to be correct. Mindray shall not be liable
for errors contained herein or 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;and
the product is used in accordance with the instructions for use.
NOTE
z This equipment must be operated by skilled/trained clinical professionals.
WARNING
z It is important for the hospital or organization that employs this equipment to
carry out a reasonable service/maintenance plan. Neglect of this may result in
machine breakdown or personal injury.
IV
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.
V
Company Contact
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
E-mail Address: service@mindray.com
Tel: +86 755 26582479 26582888
Fax: +86 755 26582934 26582500
EC-Representative: Shanghai International Holding Corp. GmbH(Europe)
Address: Eiffestraβe 80, Hamburg 20537, Germany
Tel: 0049-40-2513175
Fax: 0049-40-255726
VI
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.
1
Content
1 Safety................................................................................................................................. 1-1
1.1 Safety Information ..........................................................................................................1-1
1.1.1 Dangers .............................................................................................................. 1-2
1.1.2 Warnings............................................................................................................. 1-2
1.1.3 Cautions ............................................................................................................. 1-3
1.1.4 Notes .................................................................................................................. 1-3
1.2 Equipment Symbols ........................................................................................................ 1-4
2 The Basics ......................................................................................................................... 2-1
2.1 Monitor Description........................................................................................................ 2-1
2.1.1 Intended Use....................................................................................................... 2-1
2.1.2 Contraindications ............................................................................................... 2-1
2.1.3 Components ....................................................................................................... 2-1
2.2 Main unit......................................................................................................................... 2-2
2.2.1 Front View.......................................................................................................... 2-2
2.2.2 Side View ........................................................................................................... 2-4
2.2.3 Rear View........................................................................................................... 2-5
2.3 Display Screen ................................................................................................................ 2-6
2.4 QuickKeys....................................................................................................................... 2-8
3 Basic Operations ..............................................................................................................3-1
3.1 Installation....................................................................................................................... 3-1
3.1.1 Unpacking and Checking ................................................................................... 3-2
3.1.2 Environmental Requirements............................................................................. 3-2
3.2 Getting Started ................................................................................................................ 3-3
3.2.1 Inspecting the Monitor ....................................................................................... 3-3
3.2.2 Switching On...................................................................................................... 3-3
3.2.3 Starting Monitoring............................................................................................ 3-3
3.3 Disconnecting from Power.............................................................................................. 3-4
3.4 Operating and Navigating ............................................................................................... 3-4
3.4.1 Using the Knob .................................................................................................. 3-4
3.4.2 Using Keys......................................................................................................... 3-5
3.4.3 Using the Touchscreen ....................................................................................... 3-5
3.4.4 Using the On-Screen Keyboard.......................................................................... 3-5
3.4.5 Using the Main Menu......................................................................................... 3-6
3.5 Operating Modes.............................................................................................................3-7
3.6 Using an External Storage Device................................................................................... 3-8
3.7 Using an External Display .............................................................................................. 3-9
3.8 Changing General Measurement Settings....................................................................... 3-9
2
3.8.1 Switching On/Off Modules ................................................................................ 3-9
3.8.2 Changing Measurement Settings...................................................................... 3-10
3.8.3 Changing Waveform Settings........................................................................... 3-10
3.9 Changing General Settings............................................................................................ 3-10
3.9.1 Setting up a Monitor..........................................................................................3-11
3.9.2 Changing Language ..........................................................................................3-11
3.9.3 Setting DIAP Baud Rate....................................................................................3-11
3.9.4 Adjusting the Screen Brightness .......................................................................3-11
3.9.5 Setting the Date and Time ................................................................................ 3-12
3.9.6 Adjusting Volume............................................................................................. 3-13
4 Managing Patients............................................................................................................ 4-1
4.1 Admitting a Patient.......................................................................................................... 4-1
4.2 Editing Patient Information............................................................................................. 4-2
4.3 Discharging a Patient ...................................................................................................... 4-2
4.4 Switching between Wire and Wireless Networks............................................................ 4-3
4.5 Transferring Patient Data ................................................................................................ 4-3
4.6 Connecting to a Central Monitoring System................................................................... 4-5
5 Managing Configurations................................................................................................ 5-1
5.1 Introduction..................................................................................................................... 5-1
5.2 Entering and Exiting the Configuration Mode................................................................ 5-2
5.3 Viewing and Changing Configurations........................................................................... 5-3
5.4 Adding a Configuration................................................................................................... 5-4
5.5 Deleting a Configuration................................................................................................. 5-4
5.6 Loading a Configuration ................................................................................................. 5-5
5.7 Setting Default Configuration at Startup......................................................................... 5-5
5.8 Loading the Latest Configuration Automatically............................................................ 5-6
5.9 Transferring a Configuration........................................................................................... 5-7
6 User Screens...................................................................................................................... 6-1
6.1 Tailoring Your Screens .................................................................................................... 6-1
6.1.1 Setting the Waveform Sweep Mode ................................................................... 6-1
6.1.2 Changing the Wave Line Size ............................................................................ 6-1
6.1.3 Choosing the Way to Draw Waves..................................................................... 6-1
6.1.4 Changing Parameter and Waveform Colors ....................................................... 6-2
6.1.5 Selecting Waveforms for Display....................................................................... 6-2
6.1.6 Changing Screen Layout .................................................................................... 6-2
6.2 Viewing Minitrends......................................................................................................... 6-3
6.2.1 Having a Split-Screen View of Minitrends ........................................................ 6-3
6.2.2 Changing Minitrend Length............................................................................... 6-4
6.2.3 Changing a Parameter for Viewing .................................................................... 6-4
6.3 Viewing oxyCRG............................................................................................................ 6-5
6.4 Viewing Other Patients.................................................................................................... 6-6
3
6.4.1 Care Group......................................................................................................... 6-6
6.4.2 Viewing the Care Group Overview Bar ............................................................. 6-6
6.4.3 Understanding the View Other Patient Window ................................................ 6-7
6.5 Understanding the Big Numerics Screen ........................................................................ 6-8
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 ....................................................................................................... 7-3
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 Reminder Tones.................................................................................................. 7-4
7.4 Understanding Alarm Statuses ........................................................................................ 7-4
7.4.1 Pausing Alarms................................................................................................... 7-4
7.4.2 Switching Off Alarms......................................................................................... 7-5
7.4.3 Silencing the Alarm Sound................................................................................. 7-5
7.4.4 Switching off Alarm Sound................................................................................ 7-6
7.5 Alarm Configuration ....................................................................................................... 7-6
7.5.1 Alarm Tone Configuration.................................................................................. 7-6
7.5.2 Displaying Alarm Limits.................................................................................... 7-7
7.5.3 Setting Alarm Delay Time.................................................................................. 7-7
7.5.4 Using Alarms...................................................................................................... 7-7
7.5.5 Mass Alarm Setup .............................................................................................. 7-9
7.5.6 Adjusting Alarm Limits Automatically .............................................................. 7-9
7.6 Latching Alarms .............................................................................................................. 7-9
7.7 Clearing Technical Alarms ............................................................................................ 7-10
7.8 Testing Alarms .............................................................................................................. 7-10
7.9 When an Alarm Occurs ................................................................................................. 7-10
7.10 Using Care Group Alarms............................................................................................7-11
7.10.1 Care Group Auto Alarms.................................................................................7-11
7.10.2 Viewing Alarm Information ............................................................................7-11
7.10.3 Silencing Care Group Alarms ........................................................................ 7-12
8 Monitoring ECG ..............................................................................................................8-1
8.1 Introduction..................................................................................................................... 8-1
8.2 Safety .............................................................................................................................. 8-1
8.3 Preparing to Monitor ECG .............................................................................................. 8-2
8.3.1 Preparing the Patient and Placing the Electrodes............................................... 8-2
8.3.2 Choosing a Lead Set and AHA or IEC Lead Placement .................................... 8-2
8.3.3 ECG Lead Placements........................................................................................ 8-3
8.3.4 Switching ECG Lead Set.................................................................................... 8-5
8.3.5 Checking Paced Status ....................................................................................... 8-6
4
8.4 Understanding the ECG Display..................................................................................... 8-7
8.5 Changing ECG Settings .................................................................................................. 8-8
8.5.1 Setting Pacemaker Rate (For Mortara Only)...................................................... 8-8
8.5.2 Choosing the Alarm Source................................................................................ 8-8
8.5.3 Choosing a 5-Lead ECG Display Screen ........................................................... 8-8
8.5.4 Changing the ECG Filter Settings...................................................................... 8-9
8.5.5 Switching the Notch Filter On or Off................................................................. 8-9
8.5.6 Switching Defibrillator Synchronization On/Off............................................. 8-10
8.5.7 Selecting ECG Waves for Display ....................................................................8-11
8.5.8 Changing ECG Wave Settings ..........................................................................8-11
8.5.9 Choosing an ECG Lead for HR Computing and Arrh. Monitoring...................8-11
8.5.10 Adjusting QRS Volume .................................................................................. 8-12
8.6 About ST Monitoring .................................................................................................... 8-12
8.6.1 Switching ST On and Off................................................................................. 8-12
8.6.2 Changing ST Filter Settings ............................................................................. 8-13
8.6.3 Understanding the ST Display ......................................................................... 8-13
8.6.4 Changing the ST Unit....................................................................................... 8-13
8.6.5 Changing the ST Alarm Limits ........................................................................ 8-13
8.6.6 Setting ST Alarm Delay Time.......................................................................... 8-14
8.6.7 Adjusting ST Measurement Points................................................................... 8-14
8.7 About Arrhythmia Monitoring ...................................................................................... 8-15
8.7.1 Understanding the Arrhythmia Events ............................................................. 8-16
8.7.2 Switching Arrhythmia Analysis On and Off .................................................... 8-18
8.7.3 Changing Arrhythmia Alarm Settings .............................................................. 8-18
8.7.4 Changing Arrhythmia Threshold Settings (For Mortara Only) ........................ 8-18
8.7.5 Initiating Arrhythmia Relearning Manually ..................................................... 8-19
8.7.6 Automatic Arrhythmia Relearn ........................................................................ 8-20
8.7.7 Reviewing Arrhythmia Events ......................................................................... 8-20
8.8 12-Lead ECG Monitoring ............................................................................................. 8-21
8.8.1 Entering the 12-lead ECG Monitoring Screen ................................................. 8-21
8.8.2 Interpretation of resting 12-Lead ECG............................................................. 8-22
8.8.3 Reviewing Interpretation of resting 12-Lead ECG Results.............................. 8-23
9 Monitoring Respiration (Resp)....................................................................................... 9-1
9.1 Introduction..................................................................................................................... 9-1
9.2 Safety .............................................................................................................................. 9-1
9.3 Placing Resp Electrodes.................................................................................................. 9-1
9.3.1 Optimizing Lead Placement for Resp ................................................................ 9-2
9.3.2 Cardiac Overlay ................................................................................................. 9-2
9.3.3 Abdominal Breathing ......................................................................................... 9-2
9.3.4 Lateral Chest Expansion..................................................................................... 9-3
9.4 Understanding the Resp Display..................................................................................... 9-3
9.5 Changing Resp Settings .................................................................................................. 9-3
9.5.1 Choosing the Respiration Lead .......................................................................... 9-3
5
9.5.2 Setting the Apnea Alarm Delay .......................................................................... 9-3
9.5.3 Changing Resp Detection Mode ........................................................................ 9-4
9.5.4 Changing the Size of the Resp Wave ................................................................. 9-5
10 Monitoring PR.............................................................................................................. 10-1
10.1 Introduction................................................................................................................. 10-1
10.2 Changing PR Settings ................................................................................................. 10-1
10.2.1 Setting the PR Source..................................................................................... 10-1
10.2.2 Selecting the Active Alarm Source................................................................. 10-2
10.2.3 Adjusting QRS Volume .................................................................................. 10-2
11 Monitoring SpO
2
...........................................................................................................11-1
11.1 Introduction..................................................................................................................11-1
11.2 Safety............................................................................................................................11-2
11.3 Identifying SpO
2
Modules............................................................................................11-2
11.4 Applying the Sensor .....................................................................................................11-2
11.5 Changing SpO
2
Settings ...............................................................................................11-3
11.5.1 Adjusting the Desat Alarm Limit.....................................................................11-3
11.5.2 Setting SpO
2
Sensitivity ..................................................................................11-3
11.5.3 Changing Averaging Time...............................................................................11-3
11.5.4 Monitoring SpO
2
and NIBP Simultaneously...................................................11-4
11.5.5 Sat-Seconds Alarm Management ....................................................................11-4
11.5.6 Pitch Tone........................................................................................................11-5
11.6 Measurement Limitations.............................................................................................11-6
11.7 Masimo Information.....................................................................................................11-6
11.8 Nellcor Information......................................................................................................11-7
12 Monitoring NIBP.......................................................................................................... 12-1
12.1 Introduction................................................................................................................. 12-1
12.2 Safety .......................................................................................................................... 12-2
12.3 Measurement Limitations............................................................................................ 12-2
12.4 Setting Up the NIBP Measurement ............................................................................. 12-3
12.4.1 Preparing to Measure NIBP ........................................................................... 12-3
12.4.2 Starting and Stopping Measurements............................................................. 12-3
12.4.3 Correcting the Measurement if Limb is not at Heart Level............................ 12-3
12.5 Measurement Methods................................................................................................ 12-4
12.5.1 Enabling NIBP Auto Cycling and Setting the Interval ................................... 12-4
12.5.2 Starting a STAT Measurement........................................................................ 12-4
12.6 Understanding the NIBP Numerics............................................................................. 12-5
12.7 Changing NIBP Settings ............................................................................................. 12-6
12.7.1 Choosing NIBP Alarm Source ....................................................................... 12-6
12.7.2 Displaying NIBP Measurements .................................................................... 12-6
12.7.3 Setting the Pressure Unit................................................................................ 12-6
12.7.4 Setting the cuff inflation pressure .................................................................. 12-7
6
12.8 Assisting Venous Puncture .......................................................................................... 12-7
12.9 Resetting NIBP ........................................................................................................... 12-7
12.10 NIBP Leakage Test.................................................................................................... 12-7
12.11 NIBP Accuracy Test .................................................................................................. 12-8
12.12 Calibrating NIBP....................................................................................................... 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 Setting the Temperature Unit ...................................................................................... 13-2
14 Monitoring IBP ............................................................................................................ 14-1
14.1 Introduction................................................................................................................. 14-1
14.2 Safety .......................................................................................................................... 14-1
14.3 Setting Up the Pressure Measurement ........................................................................ 14-1
14.4 Understanding the IBP Display................................................................................... 14-3
14.5 Changing IBP Settings ................................................................................................ 14-4
14.5.1 Changing a Pressure for Monitoring .............................................................. 14-4
14.5.2 Choosing the Pressure Alarm Source ............................................................. 14-4
14.5.3 Changing Averaging Time.............................................................................. 14-5
14.5.4 Setting the Pressure Unit................................................................................ 14-5
14.5.5 Setting Wave Overlapping.............................................................................. 14-5
14.5.6 Setting Up the IBP Wave................................................................................ 14-5
14.6 Measuring PAWP ........................................................................................................ 14-6
14.6.1 Preparing to Measure PAWP.......................................................................... 14-6
14.6.2 Setting Up the PAWP Measurement............................................................... 14-8
14.7 Zeroing the Transducer ............................................................................................... 14-9
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 .............................................................................. 15-5
15.6 Changing C.O. Settings............................................................................................... 15-6
15.6.1 Setting the Temperature Unit ......................................................................... 15-6
15.6.2 Setting the Interval between Measurements................................................... 15-6
16 Monitoring Carbon Dioxide........................................................................................ 16-1
16.1 Introduction................................................................................................................. 16-1
16.2 Preparing to Measure CO
2
.......................................................................................... 16-2
16.2.1 Using a Sidestream CO
2
Module ................................................................... 16-2
7
16.2.2 Using a Microstream CO2 module ................................................................. 16-3
16.2.3 Using a Mainstream CO
2
module................................................................... 16-4
16.3 Changing CO
2
Settings ............................................................................................... 16-5
16.3.1 Entering the Standby Mode............................................................................ 16-5
16.3.2 Setting the Pressure Unit................................................................................ 16-5
16.3.3 Setting up Gas Compensations....................................................................... 16-5
16.3.4 Setting up Humidity Compensation............................................................... 16-6
16.3.5 Setting the Apnea Alarm Delay ...................................................................... 16-7
16.3.6 Choosing a Time Interval for Peak-Picking ................................................... 16-7
16.3.7 Setting the Flow Rate..................................................................................... 16-7
16.3.8 Setting up the CO
2
Wave................................................................................ 16-7
16.4 Setting Barometric Pressure Compensation................................................................ 16-8
16.5 Measurement Limitations............................................................................................ 16-8
16.6 Troubleshooting the Sidestream CO
2
Sampling System ............................................. 16-8
16.7 Removing Exhaust Gases from the System ................................................................ 16-9
16.8 Zeroing the Sensor ...................................................................................................... 16-9
16.8.1 For Sidestream and Microstream CO
2
Modules............................................. 16-9
16.8.2 For Mainstream CO
2
Modules ....................................................................... 16-9
16.9 Calibrating the Sensor............................................................................................... 16-10
16.10 Oridion Information ................................................................................................ 16-10
17 Monitoring AG ............................................................................................................. 17-1
17.1 Introduction................................................................................................................. 17-1
17.2 Preparing to Measure AG............................................................................................ 17-2
17.3 Understanding the AG Display ................................................................................... 17-4
17.4 MAC Values ................................................................................................................ 17-5
17.5 Changing AG Settings................................................................................................. 17-6
17.5.1 Selecting an Anesthetic Gas for Monitoring .................................................. 17-6
17.5.2 Setting Gas Unit ............................................................................................. 17-6
17.5.3 Setting the Apnea Alarm Delay ...................................................................... 17-6
17.5.4 Changing the Sample Flow Rate.................................................................... 17-6
17.5.5 Setting up the O
2
Compensation .................................................................... 17-6
17.5.6 Entering the Standby Mode............................................................................ 17-7
17.5.7 Setting up the AG Wave ................................................................................. 17-7
17.6 Changing the Anesthetic Agent................................................................................... 17-7
17.7 Measurement Limitations............................................................................................ 17-8
17.8 Troubleshooting .......................................................................................................... 17-8
17.8.1 When the Gas Inlet is Blocked....................................................................... 17-8
17.8.2 When an Internal Occlusion Occurs............................................................... 17-8
17.9 Removing Exhaust Gases from the System ................................................................ 17-9
18 Freezing Waveforms .................................................................................................... 18-1
18.1 Freezing Waveforms ................................................................................................... 18-1
18.2 Viewing Frozen Waveforms ........................................................................................ 18-1
8
18.3 Unfreezing Waveforms................................................................................................ 18-2
18.4 Recording Frozen Waveforms..................................................................................... 18-2
19 Review........................................................................................................................... 19-1
19.1 Accessing Respective Review Windows..................................................................... 19-1
19.2 Reviewing Graphic Trends.......................................................................................... 19-2
19.3 Reviewing Tabular Trends .......................................................................................... 19-4
19.4 Reviewing NIBP Measurements ................................................................................. 19-6
19.5 Reviewing Alarms....................................................................................................... 19-7
19.6 Reviewing Waveforms ................................................................................................ 19-8
20 Calculations .................................................................................................................. 20-1
20.1 Introduction................................................................................................................. 20-1
20.2 Dose Calculations........................................................................................................ 20-2
20.2.1 Performing Calculations................................................................................. 20-2
20.2.2 Selecting the Proper Drug Unit ...................................................................... 20-2
20.2.3 Titration Table ................................................................................................ 20-3
20.3 Oxygenation Calculations ........................................................................................... 20-3
20.3.1 Performing Calculations................................................................................. 20-3
20.3.2 Entered Parameters......................................................................................... 20-4
20.3.3 Calculated Parameters.................................................................................... 20-4
20.4 Ventilation Calculations .............................................................................................. 20-5
20.4.1 Performing Calculations................................................................................. 20-5
20.4.2 Entered Parameters......................................................................................... 20-5
20.4.3 Calculated Parameters.................................................................................... 20-6
20.5 Hemodynamic Calculations ........................................................................................ 20-6
20.5.1 Performing Calculations................................................................................. 20-6
20.5.2 Entered Parameters......................................................................................... 20-7
20.5.3 Calculated Parameters.................................................................................... 20-7
20.6 Renal Calculations ...................................................................................................... 20-8
20.6.1 Performing Calculations................................................................................. 20-8
20.6.2 Entered Parameters......................................................................................... 20-8
20.6.3 Calculated Parameters.................................................................................... 20-9
20.7 Understanding the Review Window............................................................................ 20-9
21 Recording...................................................................................................................... 21-1
21.1 Using a Recorder......................................................................................................... 21-1
21.2 Overview of Recording Types..................................................................................... 21-2
21.3 Starting and Stopping Recordings............................................................................... 21-3
21.4 Setting up the Recorder............................................................................................... 21-3
21.4.1 Accessing the Record Setup Menu................................................................. 21-3
21.4.2 Selecting Waveforms for Recording .............................................................. 21-3
21.4.3 Setting the Realtime Recording Length ......................................................... 21-4
21.4.4 Setting the Interval between Timed Recordings............................................. 21-4
9
21.4.5 Changing the Recording Speed...................................................................... 21-4
21.4.6 Switching Gridlines On or Off....................................................................... 21-4
21.4.7 Clearing Recording Tasks .............................................................................. 21-4
21.5 Loading Paper ............................................................................................................. 21-4
21.6 Removing Paper Jam................................................................................................... 21-5
21.7 Cleaning the Recorder Printhead................................................................................. 21-6
22 Printing ......................................................................................................................... 22-1
22.1 Printer.......................................................................................................................... 22-1
22.2 Connecting a Printer.................................................................................................... 22-1
22.3 Setting Up the Printer.................................................................................................. 22-1
22.4 Starting Report Printouts............................................................................................. 22-2
22.5 Stopping Report Printouts........................................................................................... 22-3
22.6 Setting Up Reports...................................................................................................... 22-3
22.6.1 Setting Up ECG Reports ................................................................................ 22-3
22.6.2 Setting Up Tabular Trends Reports ................................................................ 22-3
22.6.3 Setting Up Graphic Trends Reports ............................................................... 22-4
22.6.4 Setting Up Realtime Reports.......................................................................... 22-4
22.7 End Case Reports........................................................................................................ 22-4
22.8 Printer Statuses............................................................................................................ 22-5
22.8.1 Printer Out of Paper ....................................................................................... 22-5
22.8.2 Printer Status Message ................................................................................... 22-5
23 Other Functions............................................................................................................ 23-1
23.1 Marking Events ........................................................................................................... 23-1
23.2 Analog Output ............................................................................................................. 23-1
23.3 Transferring Data ........................................................................................................ 23-2
23.3.1 Data Export System........................................................................................ 23-2
23.3.2 Transferring Data by Different Means ........................................................... 23-2
23.4 Nurse Call ................................................................................................................... 23-3
23.5 Wireless Network........................................................................................................ 23-5
24 Batteries........................................................................................................................ 24-1
24.1 Overview..................................................................................................................... 24-1
24.2 Installing or Replacing a Battery................................................................................. 24-2
24.3 Battery Guidelines....................................................................................................... 24-3
24.4 Battery Maintenance ................................................................................................... 24-4
24.5 Battery Recycling........................................................................................................ 24-5
25 Care and Cleaning........................................................................................................ 25-1
25.1 Introduction................................................................................................................. 25-1
25.2 Cleaning ...................................................................................................................... 25-2
25.3 Disinfecting................................................................................................................. 25-2
10
26 Maintenance ................................................................................................................. 26-1
26.1 Safety Checks.............................................................................................................. 26-1
26.2 Service Tasks............................................................................................................... 26-2
26.3 Checking Monitor and Module Information ............................................................... 26-2
26.4 Calibrating ECG.......................................................................................................... 26-3
26.5 Calibrating the Touchscreen ........................................................................................ 26-3
26.6 Calibrating CO2 .......................................................................................................... 26-4
26.7 Calibrating AG............................................................................................................ 26-5
26.8 Setting up IP Address .................................................................................................. 26-6
26.9 Entering/Exiting Demo Mode ..................................................................................... 26-6
27 Accessories.................................................................................................................... 27-1
27.1 ECG Accessories......................................................................................................... 27-1
27.2 SpO2 Accessories........................................................................................................ 27-3
27.3 NIBP Accessories........................................................................................................ 27-5
27.4 Temp Accessories........................................................................................................ 27-6
27.5 IBP/ICP Accessories ................................................................................................... 27-6
27.6 C.O. Accessories ......................................................................................................... 27-8
27.7 CO
2
Accessories.......................................................................................................... 27-8
27.8 AG Accessories ..........................................................................................................27-11
27.9 Others........................................................................................................................ 27-12
1-1
1 Safety
1.1 Safety Information
DANGER
z Indicates an imminent hazard that, if not avoided, will result in death or serious
injury.
WARNING
z Indicates a potential hazard or unsafe practice that, if not avoided, could result in
death or serious injury.
CAUTION
z Indicates a potential hazard or unsafe practice that, if not avoided, could result in
minor personal injury or product/property damage.
NOTE
z Provides application tips or other useful information to ensure that you get the
most from your product.
1-2
1.1.1 Dangers
There are no dangers that refer to the product in general. Specific “Danger” statements may
be given in the respective sections of this manual.
1.1.2 Warnings
WARNINGS
z Before putting the system into operation, the operator must verify that the
equipment, connecting cables and accessories are in correct working order and
operating condition.
z The equipment must be connected to a properly installed power outlet with
protective earth contacts only. If the installation does not provide for a protective
earth conductor, disconnect it from the power line and operate it on battery power,
if possible.
z To avoid explosion hazard, do not use the equipment in the presence of flammable
anesthetics, vapors or liquids.
z Do not open the equipment housings. All servicing and future upgrades must be
carried out by the personnel trained and authorized by Mindray 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. Remember that alarm settings should be customized according to different
patient situations and always keeping the patient under close surveillance is the
most reliable way for safe patient monitoring.
z The physiological data and alarm messages displayed on the equipment are for
reference only and cannot be directly used for diagnostic interpretation.
z To avoid inadvertent disconnection, route all cables in a way to prevent a
stumbling hazard. Wrap and secure excess cabling to reduce risk of entanglement
or strangulation by patients or personnel.
z Dispose of the package material, observing the applicable waste control regulations
and keeping it out of children’s reach. Keep the battery out of children’s reach.
1-3
1.1.3 Cautions
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, please
contact us.
z Electromagnetic field is capable of interfering with the proper performance of the
equipment. For this reason make sure that all external devices operated in the
vicinity of the equipment comply with the relevant EMC requirements. Mobile
phone, X-ray equipment or MRI devices are a possible source of interference as
they may emit higher levels of electromagnetic radiation.
z Before connecting the equipment to the power line, check that the voltage and
frequency ratings of the power line are the same as those indicated on the
equipment’s label or in this manual.
z Always install or carry the equipment properly to avoid damage caused by drop,
impact, strong vibration or other mechanical force.
1.1.4 Notes
NOTES
z Put the equipment in a location where you can easily see the screen and access the
operating controls.
z Keep this manual in the vicinity of the equipment so that it can be obtained
conveniently when needed.
z The software was developed in compliance with IEC60601-1-4. The possibility of
hazards arising from software errors is minimized.
z This manual describes all features and options. Your equipment may not have all
of them.
1-4
1.2 Equipment Symbols
Some symbols may not appear on your equipment.
Attention: Consult accompanying documents (this manual).
Power ON/OFF (for a part
of the equipment)
Battery indicator
Alternating current (AC)
Alarm silenced.
Alarms paused
Record
Freeze/unfreeze waveforms
Main menu
NIBP start/stop key
Video output
Equipotential grounding
Network Connector
USB Connector
Auxiliary output connector
Signal input/output
Gas outlet
Serial number
Manufacture date
European community representative
ESD warning symbol for electrostatic sensitive devices.
Type CF applied part. Defibrillator-proof protection against electric shock.
Type BF applied part. Defibrillator-proof protection against electric shock.
The product bears CE mark indicating its conformity with the provisions of the
Council Directive 93/42/EEC concerning medical devices and fulfils the essential
requirements of Annex I of this directive.
The following definition of the WEEE label applies to EU member states only.
This symbol indicates that this product should not be treated as household waste.
By ensuring that this product is disposed of correctly, you will help prevent
bringing potential negative consequences to the environment and human health.
For more detailed information with regard to returning and recycling this product,
please consult the distributor from whom you purchased it.
* For system products, this label may be attached to the main unit only.
2-1
2 The Basics
2.1 Monitor Description
2.1.1 Intended Use
This patient monitor is intended to be used for monitoring, displaying, reviewing, storing
and transferring of multiple physiological parameters including ECG, respiration (Resp),
temperature (Temp), SpO
2
, pulse rate (PR), non-invasive blood pressure (NIBP), invasive
blood pressure (IBP), cardiac output (C.O.), End tidal CO
2
value (EtCO2) and anesthetic gas
(AG) of single adult, pediatric and neonatal patients.
This monitor is to be used in healthcare facilities by clinical professionals or under their
direction. It is not intended for helicopter transport or home use.
WARNING
z This patient monitor is intended for use only by clinical professionals or under
their guidance. It must only be used by persons who have received adequate
training in its use. Anyone unauthorized or untrained must not perform any
operation on it.
2.1.2 Contraindications
None
2.1.3 Components
This patient monitor consists of a main unit, display, ECG cables, SpO2 sensor, NIBP cuff,
Temp sensor, IBP cables, C.O. cables, CO
2
components, AG components, etc.
2-2
2.2 Main unit
2.2.1 Front View
1. Alarm lamp
When a physiological or technical alarm occurs, this lamp will flash as defined below.
High level alarms: the lamp flashes quickly in red.
Medium level alarms: the lamp flashes slowly in yellow.
Low level alarms: the lamp lights yellow without flashing.
2. Handle
3. Display Screen
2-3
4. Power On/Off Switch
Press this switch to turn the patient monitor on. Press it again and hold for 2 seconds to
turn the patient monitor off. An indicator is built in this switch. It turns on when the
patient monitor is on and turns off when the patient monitor is off.
5. Battery LED
On: when the battery is being charged or already fully charged.
Off: when no battery is installed or no AC source is connected.
Flashes: when the patient monitor operates on battery power.
6. AC power LED
It turns on when AC power is connected.
7.
Press to silence or restore all alarm sounds or clear alarms.
8.
Press to pause or restore alarms.
9.
Press to freeze or unfreeze waveforms.
10.
Press to start or stop recordings.
11.
Press to start or stop NIBP measurements.
12.
If no menu is displayed on the screen, pressing it will enter the main menu. If there is a
menu displayed on the screen, pressing it will close that menu.
13. Knob
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.
2-4
2.2.2 Side View
1. SpO
2
connector
2. ECG connector
3. IBP connector (four channels)
4. C.O. connector
5. NIBP connector
6. Temp connector (double channels)
7. Exhaust gas outlet of CO
2
module or AG module
8. Watertrap connector (sidestream CO
2
module or AG module)
This connector is also optional for microstream or mainstream CO
2
module.
9. Battery door
10. CF storage card slot cover
11. Recorder
1
2
4
6
5
7
3
9
3
10
11
8
2-5
2.2.3 Rear View
1. Network Connector
It is a standard RJ45 connector, through which the patient monitor can be networked.
2. Video Connector
It connects a standard VGA color monitor, which extends the display capability of
your monitor. The contents displayed on the secondary display screen accord with
those displayed on the monitor screen.
3. Auxiliary Output
It is a standard BNC connector, through which analog signals, alarm signals or
synchronization signals can be outputted, depending on how your monitor is
configured.
4. RS232 serial port
It is a DB9 connector, used to connect a PC for data or a compatible device, and
supports DIAP communication protocol.
5. USB Connectors
They connect external storage devices.
6. AC Power Input
7. 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.
1
2
3
4
5
6
7
2-6
2.3 Display Screen
This patient monitor adopts a high-resolution TFT LCD to display patient parameters and
waveforms. A typical display screen is shown below.
1. Patient Information Area
This area shows the patient information such as department, bed number, patient name,
patient category and paced status.
: indicates that no patient is admitted or the patient information is incomplete.
: indicates that the patient has a pacer.
If no patient is admitted, selecting this area will enter the [Patient Setup] menu. If a
patient has been admitted, selecting this area will enter the [Patient Demographics]
menu.
2. Date and Time
This area shows the system time of the patient monitor. By selecting this area, you can
enter the [System Time] setup menu.
3.Alarm Symbols
indicates alarms are paused. indicates alarms are turned off.
indicates alarm sounds are silenced. indicates alarm sounds are turned off.
1
3
45
9
2
6
7
8
2-7
4. 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.
5. 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.
6. Waveform Area
This area shows measurement waveforms. The waveform name is displayed at the
upper left corner of the waveform. Select this area and the corresponding waveform
setup menu will be displayed.
7. Parameter Area
This area shows measurement parameters. Each monitored parameter has a parameter
window and the parameter name is displayed at the upper left corner. When this area
cannot accommodate all parameters, the excess parameters will automatically occupy
the waveform area from bottom to top. Select this area and the corresponding
measurement setup menu will be displayed.
8. Prompt Message Area
This area shows the prompt messages, network status icons, battery status icons, etc.
For details about battery status symbols, refer to the chapter Batteries.
indicates the patient monitor is connected to a wired network successfully.
indicates the wireless function is working.
indicates the patient monitor has failed to connect a wired network.
indicates the wireless function is not working.
indicates a CF storage card is inserted.
indicates an USB storage card is inserted.
9. QuickKeys Area
This area contains QuickKeys that give you fast access to functions.
2-8
2.4 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.
By default, there are two QuickKeys that remain on the screen all the time to give you fast
access to functions.
Review tabular trends
Return to the main screen
Besides, you can have four more QuickKeys as shown below.
By selecting
or , you can unfold or fold the four QuickKeys. When there is no
operation on the four QuickKeys for 15 seconds after they are unfolded, they will be folded
automatically. Besides, you can set the four QuickKeys in configuration mode:
1. Enter the configuration mode. Select [Others] in either configuration.
2. In the [Select QuickKeys] area, select your desired QuickKeys 1-4.
3. Save the configuration.
The following QuickKeys can be selected:
Enter standby mode
Alarm Limits Setup
Change screen
Start Auto NIBP measurement
Zero IBP
Perform calculations
Mark Event
Discharge a Patient
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