Mindray Passport 2LT, Passport 2 Operating Instructions Manual
Datascope
Passport
®
Datascope
Passport
®
Operating Instructions
0070-01-0440-01_revD_ops color.indd 1 4/8/10 11:43:13 AM
Datascope
Passport
®
Operating Instructions
Datascope
Passport
®
CapnoLine™ and NIV Line™ are trademarks of Oridion Medical Ltd.
f
DRYLINE™ is a trademark of Artema Medical AB
Masimo SET®, LNCS® and LNOP® are U.S. registered trademarks of Masimo Corporation.
MediCO
®
is a registered trademark of Oridion Medical Ltd.
2
Microstream® and FilterLine® are U.S. registered trademarks of Oridion Medical Ltd.
Navigator™, Auto-Set™, and View 12™ are U.S. trademarks of Mindray DS USA. Inc.,
Nellcor®, Oxismart®, Oxiband®, and Durasensor® are U.S. registered trademarks of Nellcor Puritan Bennett Inc.
OxiMax® and Max-Fast® are U.S. registered trademarks of Nellcor Puritan Bennett Inc.
Oxisensor® is a U.S. registered trademark of Nellcor Puritan Bennett Inc.
Panorama™ is a U.S. trademark of Mindray DS USA. Inc.,
Passport 2® is a U.S. registered trademark of Mindray DS USA. Inc.,
PatientNet® is a U.S. registered trademark of GE Medical Systems Information Technologies.
Velcro® is a registered trademark of Velcro Industries B.V.
Copyright
©
Mindray DS USA. Inc.,, 2005. All rights reserved. Contents of this publication may not be reproduced in any
orm without permission of Mindray DS USA. Inc.,
0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
Table of Contents
Foreword....................................................................................................................................................... vii
Warnings, Precautions And Notes ....................................................................................................................vii
Warnings ......................................................................................................................................................viii
Precautions ....................................................................................................................................................xii
Notes ............................................................................................................................................................ xv
Intended Use ..................................................................................................................................................xvi
Unpacking ..................................................................................................................................................... xvi
Symbols and Descriptions ................................................................................................................................ xvii
General Description .......................................................................................................... 1 - 1
Controls, Indicators and Connectors .................................................................................. 2 - 1
Front Panel..................................................................................................................................................... 2 - 2
Display.......................................................................................................................................................... 2 - 6
Menus ........................................................................................................................................................... 2 - 9
Patient.................................................................................................................................................... 2 - 9
Monitor Setup ......................................................................................................................................... 2 - 11
Print Setup .............................................................................................................................................. 2 - 14
Parameters ............................................................................................................................................. 2 - 15
Functions Menu ....................................................................................................................................... 2 - 16
Left Side Panel................................................................................................................................................ 2 - 17
Right Side Panel ............................................................................................................................................. 2 - 19
Rear Panel ..................................................................................................................................................... 2 - 20
Remote Color Display (Passport 2 Only) ............................................................................................................ 2 - 21
Gas Module (Optional Passport 2).................................................................................................................... 2 - 22
Gas Module II and SE.............................................................................................................................. 2 - 22
Front Panel ..................................................................................................................................... 2 - 22
Rear Panel ...................................................................................................................................... 2 - 23
Gas Module 3 ........................................................................................................................................ 2 - 24
Front Panel ..................................................................................................................................... 2 - 24
Rear Panel ...................................................................................................................................... 2 - 25
Comm-Port (Optional Passport 2) ...................................................................................................................... 2 - 26
Operation......................................................................................................................... 3 - 1
Getting Started ............................................................................................................................................... 3 - 1
Installation Mode ............................................................................................................................................ 3 - 3
Installation Menu ..................................................................................................................................... 3 - 3
System Information Menu.......................................................................................................................... 3 - 6
Non-Invasive Blood Pressure Measurements (NIBP).............................................................................................. 3 - 8
The NIBP Menu ....................................................................................................................................... 3 - 8
Manual NIBP Measurements ..................................................................................................................... 3 - 8
Automatic NIBP Measurements.................................................................................................................. 3 - 10
Automatic Adjustment in the Interval Mode ......................................................................................... 3 - 10
Suspension of NIBP Measurements .................................................................................................... 3 - 11
NIBP Pressure Limit Fail Safe ..................................................................................................................... 3 - 11
Cuff Inflation Time.................................................................................................................................... 3 - 11
START and STOP Functions....................................................................................................................... 3 - 11
NIBP Auto Time Out Functions................................................................................................................... 3 - 12
ECG Measurements ........................................................................................................................................ 3 - 13
Electrocardiogram (ECG) Monitoring ......................................................................................................... 3 - 13
Skin Preparation ............................................................................................................................. 3 - 13
Electrode Patch Location ................................................................................................................... 3 - 14
Lead Placement ............................................................................................................................... 3 - 14
The ECG Menu ....................................................................................................................................... 3 - 22
3 Lead or 5 Lead ECG Measurements ........................................................................................................ 3 - 23
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 i
Table of Contents
“ECG Lead Fault” Message ...................................................................................................................... 3 - 24
12-Lead ECG Monitoring (Optional Passport 2)........................................................................................... 3 - 24
12-lead ECG Analysis (Optional Passport 2) ......................................................................................3-25
Invasive Blood Pressure (IBP1, IBP2) (optional Passport 2) .................................................................................... 3 - 26
Pulse Oximetry ...................................................................................................................................... 3 - 27
SpO
2
Menu ............................................................................................................................................ 3 - 27
SpO
2
Measurements................................................................................................................................ 3 - 27
SpO
2
Performance Considerations ..................................................................................................................... 3 - 29
Calibration ..................................................................................................................................... 3 - 29
Auto Scaling ................................................................................................................................... 3 - 29
®
Masimo
Sensors and Patient Cable.......................................................................................................... 3 - 29
Masimo Sensors and Accessories ...................................................................................................... 3 - 30
Selecting a Sensor ........................................................................................................................... 3 - 30
Cleaning and Re-use ........................................................................................................................ 3 - 31
®
Sensors and Patient Cable........................................................................................................... 3 - 31
Nellcor
Selecting a Sensor ........................................................................................................................... 3 - 31
Cleaning and Re-Use ....................................................................................................................... 3 - 31
ST Monitoring (Optional Passport 2).................................................................................................................. 3 - 32
ST Setup................................................................................................................................................. 3 - 33
Arrhythmia Algorithm (Optional Passport 2) ....................................................................................................... 3 - 34
ST Segment Analysis (Optional Passport 2) ........................................................................................................ 3 - 37
Arrhythmia Alarms (Optional Passport 2) ........................................................................................................... 3 - 38
Lethal Arrhythmia Alarms.......................................................................................................................... 3 - 38
Non-Lethal Arrhythmia Alarms................................................................................................................... 3 - 39
Arrhythmia Analysis (Optional Passport 2) ......................................................................................................... 3 - 42
Temperature Menu .......................................................................................................................................... 3 - 44
List Trends (Passport 2 Only)............................................................................................................................. 3 - 45
Modification of Parameters Displayed ........................................................................................................ 3 - 46
Modification of Trend Entry Conditions....................................................................................................... 3 - 46
Filtering of List Trend Data Displayed ......................................................................................................... 3 - 46
Printing List Trend Data............................................................................................................................. 3 - 47
Transferring List Trend Data Between Different Passport 2 Monitors ................................................................ 3 - 47
Transfer Notes......................................................................................................................................... 3 - 47
Clearing Trend Data ................................................................................................................................ 3 - 47
Removing the List Trend Display................................................................................................................. 3 - 47
Graph Trends (Passport 2 Only)........................................................................................................................ 3 - 48
Modification of Parameters Displayed ........................................................................................................ 3 - 49
Modification of Trend Entry Conditions....................................................................................................... 3 - 49
Printing Graph Trend Data........................................................................................................................ 3 - 49
Transferring Graph Trend Data Between Different Passport 2 Monitors........................................................... 3 - 49
Clearing Trend Data ................................................................................................................................ 3 - 49
Removing the Graph Trend Display............................................................................................................ 3 - 50
OXY CRG Display Menu (Passport 2 only) ......................................................................................................... 3 - 51
Parameters Displayed .............................................................................................................................. 3 - 51
Printing OXY CRG Data ........................................................................................................................... 3 - 51
Transferring OXY CRG Data Between Different Passport 2 Monitors............................................................... 3 - 51
Clearing Trend Data ................................................................................................................................ 3 - 52
Removing the OXY CRG Display ............................................................................................................... 3 - 52
Respiration Monitoring .................................................................................................................................... 3 - 53
Resp Menu ............................................................................................................................................. 3 - 53
Thoracic Impedance................................................................................................................................. 3 - 53
Waveform (Passport 2 only) .............................................................................................................. 3 - 54
CO
2
ii 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
Table of Contents
Respiration Monitoring on the Passport 2.................................................................................................... 3 - 54
Thoracic Impedance ........................................................................................................................ 3 - 54
Waveform (requires optional Microstream® CO2 or Gas Module) (Passport 2 only) ........................ 3 - 54
CO
2
®
Microstream
CO2 Monitoring (Optional Passport 2).......................................................................................... 3 - 55
Microstream CO
Microstream
.................................................................................................................................... 3 - 55
2
®
CO2 Calibration ................................................................................................................. 3 - 56
Gas Module (optional Passport 2)..................................................................................................................... 3 - 59
Sequence for Monitoring Anesthetic Gases, O
, N2O and/or CO2............................................................... 3 - 59
2
Gas Module 3 Pre-use Test ....................................................................................................................... 3 - 61
Gas Monitor Calibration .......................................................................................................................... 3 - 62
Alarms........................................................................................................................................................... 3 - 65
Setting Parameter Alarm Limits .................................................................................................................. 3 - 65
Alarm Limits ............................................................................................................................................ 3 - 66
Auto-Set Alarms....................................................................................................................................... 3 - 67
Alarm Violations...................................................................................................................................... 3 - 68
Beep Tones............................................................................................................................................. 3 - 71
Recorder (Optional) ........................................................................................................................................ 3 - 72
Print Setup Menu ..................................................................................................................................... 3 - 72
Operation of Recorder ............................................................................................................................. 3 - 72
Printer Formats ........................................................................................................................................ 3 - 73
Laser Printing 12 Lead ECG (optional - Passport 2 only)....................................................................................... 3 - 77
Printing 12 Lead to the Laser printer........................................................................................................... 3 - 77
Laser Printing 12 Lead Format: (Passport 2 only).......................................................................................... 3 - 78
Status Messages ............................................................................................................................................. 3 - 79
NIBP Measurement Messages ................................................................................................................... 3 - 79
Messages ...................................................................................................................................... 3 - 80
SpO
2
Recorder Messages (only units equipped with recorder) ............................................................................... 3 - 81
Messages (only units equipped with CO2) .......................................................................................... 3 - 81
CO
2
Passport 2 / Gas Module Messages (only observed when Gas Module is installed)......................................... 3 - 81
Cooling Fan Message .............................................................................................................................. 3 - 84
Monitor Problem Solving.................................................................................................................................. 3 - 85
Connection to Visa or PatientNet Central Stations ............................................................................................... 3 - 88
™
Connection to Panorama
Connection to Panorama
Central Station ......................................................................................................... 3 - 89
™
Gateway ................................................................................................................. 3 - 90
User Maintenance............................................................................................................. 4 - 1
Introduction.................................................................................................................................................... 4 - 1
Care and Cleaning of Monitor ......................................................................................................................... 4 - 1
Decontamination of Monitor............................................................................................................................. 4 - 2
Care and Cleaning of SpO
Sensors................................................................................................................. 4 - 2
2
Sterilization and Cleaning of Reusable Bladderless Cuffs ..................................................................................... 4 - 2
Battery Replacement and Maintenance .............................................................................................................. 4 - 3
Battery Replacement ................................................................................................................................ 4 - 3
Battery Maintenance ................................................................................................................................ 4 - 3
Recorder Paper Replacement............................................................................................................................ 4 - 4
Care and Storage of Thermal Chart Paper ......................................................................................................... 4 - 4
Care and Cleaning of Gas Module................................................................................................................... 4 - 5
Gas Module II and Gas Module SE ........................................................................................................... 4 - 5
Gas Module 3 ........................................................................................................................................ 4 - 6
Care and Cleaning of 3 Lead and 5 Lead ECG Cables and Leadwires.................................................................. 4 - 7
™
Care and Cleaning of View 12
ECG Cables and Leadwires .............................................................................. 4 - 7
Accessories ....................................................................................................................... 5 - 1
Optional Accessories ...................................................................................................................................... 5 - 1
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 iii
Table of Contents
NIBP Accessories..................................................................................................................................... 5 - 1
Oximetry Sensors and Accessories............................................................................................................. 5 - 2
®
Pulse Oximetry-Masimo SET
Pulse Oximetry-Masimo Set
Pulse Oximetry-Nellcor
Oridion CO
Accessories......................................................................................................................... 5 - 4
2
LNOP® SpO2 ....................................................................................... 5 - 2
®
LNCS® SpO2 ......................................................................................... 5 - 3
®
OxiMax® SpO2* ......................................................................................... 5 - 4
Gas Module Accessories .......................................................................................................................... 5 - 5
Gas Module II and Gas Module SE ................................................................................................... 5 - 5
Gas Module 3 ................................................................................................................................ 5 - 5
Reusable Temperature Probes.................................................................................................................... 5 - 6
Disposable Temperature Probes................................................................................................................. 5 - 6
ECG Accessories..................................................................................................................................... 5 - 7
ECG Cables ................................................................................................................................... 5 - 7
ECG Leadwires ............................................................................................................................... 5 - 7
12 Lead ECG Accessories ................................................................................................................ 5 - 8
Electrodes ...................................................................................................................................... 5 - 8
IBP Accessories ....................................................................................................................................... 5 - 8
Comm-Port Accessories ............................................................................................................................ 5 - 9
Base Station Accessories .......................................................................................................................... 5 - 10
Miscellaneous Accessories........................................................................................................................ 5 - 10
Mounting Kits and Accessories .................................................................................................................. 5 - 10
Upgrade Kits........................................................................................................................................... 5 - 11
Central Station Accessories....................................................................................................................... 5 - 11
Appendix ......................................................................................................................... 6 - 1
Safety Designations......................................................................................................................................... 6 - 1
Safety designations per IEC 60601-1 Standard........................................................................................... 6 - 1
Performance Specifications .............................................................................................................................. 6 - 3
ECG ...................................................................................................................................................... 6 - 3
ECG Performance Requirements ........................................................................................................ 6 - 3
Analog Output Specifications.................................................................................................................... 6 - 6
3 Lead and 5 Lead ECG .................................................................................................................. 6 - 6
Arterial Blood Pressure ..................................................................................................................... 6 - 7
Sync Pulse for Cardioversion ............................................................................................................ 6 - 7
Systole Detector and Heart Rate Meter ....................................................................................................... 6 - 7
ECG Derived Heart Rate Meter Performance Requirements ................................................................... 6 - 7
IBP Derived Heart Rate Meter Performance ......................................................................................... 6 - 9
Derived Heart Rate Meter Performance ..................................................................................... 6 - 9
SpO
2
NIBP Derived Heart Rate Meter ......................................................................................................... 6 - 9
S-T Segment Analysis ............................................................................................................................... 6 - 9
S-T Segment Analysis Performance Requirements ................................................................................. 6-9
Arrhythmia Analysis................................................................................................................................. 6 - 10
12-Lead ECG Interpretation .............................................................................................................. 6 - 11
NIBP Sub-System Performance Characteristics ............................................................................................. 6 - 11
Pressure Measurement System ........................................................................................................... 6 - 12
Pulse Rate ....................................................................................................................................... 6 - 12
Maximum Cuff Pressure .................................................................................................................... 6 - 12
Cuff Inflation ................................................................................................................................... 6 - 12
Maximum Leakage .......................................................................................................................... 6 - 13
Vent Rate ....................................................................................................................................... 6 - 13
NIBP Sub-System Functional Requirements .................................................................................................. 6 - 13
Initial Conditions ............................................................................................................................. 6 - 13
NIBP Starting Pressure Settings and Ranges ........................................................................................ 6 - 13
iv 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
Table of Contents
NIBP Measurement Cycle ................................................................................................................. 6 - 13
IBP Parameter Sub-System Performance Characteristics................................................................................. 6 - 14
IBP Performance Requirements .......................................................................................................... 6 - 14
IBP Connector Type ......................................................................................................................... 6 - 14
IBP Transducer Performance .............................................................................................................. 6 - 14
IBP Heart Rate Meter ....................................................................................................................... 6 - 14
Temperature Parameter Performance Characteristics .................................................................................... 6 - 15
Connector Type .............................................................................................................................. 6 - 15
Temperature Performance Requirements ............................................................................................. 6 - 15
Respiration ............................................................................................................................................. 6 - 16
ECG Respiration Performance Requirements .......................................................................................6-16
Respiration Performance Requirements ....................................................................................... 6 - 17
CO
2
..................................................................................................................................................... 6 - 17
SpO
CO
2
2
®
Masimo
Masimo
Nellcor SpO
Nellcor SpO
SpO2 Performance Requirements ........................................................................................ 6 - 17
®
Pulse Rate Performance ...................................................................................................... 6 -19
Performance Requirements ........................................................................................... 6 - 20
2
Pulse Rate Performance Requirements ............................................................................ 6 - 20
2
...................................................................................................................................................... 6 - 21
MediCO
MiniMediCO
Microstream® (Only in monitors with serial numbers below TS10000.) ................................... 6 - 21
2
Microstream® (Only in monitors with serial number TS10000 and higher.) ....................... 6 - 22
2
Physical Characteristics ............................................................................................................................ 6 - 23
Printer .................................................................................................................................................... 6 - 23
Comm-Port.............................................................................................................................................. 6 - 24
Physical Characteristics .................................................................................................................... 6 - 24
Communication Characteristics ......................................................................................................... 6 - 24
Normal Operating Noise ......................................................................................................................... 6 - 25
Battery ................................................................................................................................................... 6 - 26
Sealed Lead Acid Battery (P/N 0146-00-0043) .................................................................................. 6 -26
Lithium-Ion Battery (P/N 0146-00-0069) ............................................................................................ 6 - 26
AC Power............................................................................................................................................... 6 - 27
Real Time Clock ...................................................................................................................................... 6 - 27
Power Selection....................................................................................................................................... 6 - 27
Fan Control............................................................................................................................................. 6 - 27
Trend Storage ......................................................................................................................................... 6 - 27
Transferring Monitor Default Settings.......................................................................................................... 6 - 28
Installation and Use of “Extended Trend” feature ......................................................................................... 6 - 28
Display................................................................................................................................................... 6 - 28
Environmental Conditions................................................................................................................................. 6 - 29
Passport 2/Passport 2 LT .......................................................................................................................... 6 - 29
Gas Module 3 ........................................................................................................................................ 6 - 30
Agency Compliance........................................................................................................................................ 6 - 31
Passport 2/Passport 2 LT .......................................................................................................................... 6 - 31
Gas Module II and Gas Module SE ........................................................................................................... 6 - 31
Gas Module 3 ........................................................................................................................................ 6 - 32
Electromagnetic Capability .............................................................................................................................. 6 - 32
Passport 2/Passport 2 LT .......................................................................................................................... 6 - 32
Gas Module SE and Gas Module 3 ........................................................................................................... 6 - 36
Indirect Blood Pressure Measurements And Associated Errors ............................................................................... 6 - 39
Precautions While Making Automatically Cycled Blood Pressure Measurements...................................................... 6-40
Cuff Size ................................................................................................................................................ 6 - 40
Other Factors .......................................................................................................................................... 6 - 40
User Verification Of Passport 2 Measurements.................................................................................................... 6 - 40
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 v
Table of Contents
Newborn NIBP Technique................................................................................................................................ 6 - 41
How To Get Help............................................................................................................................................ 6 - 41
Warranty....................................................................................................................................................... 6 - 42
USA, Canada, Mexico, and Puerto Rico..................................................................................................... 6 - 42
Mindray DS’s Responsibility ............................................................................................................................. 6 - 43
Extended Warranty......................................................................................................................................... 6 - 43
vi 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
Foreword Introduction
Foreword
The Passport 2/Passport 2 LT Operating Instructions are intended to provide
information for proper operation.
General knowledge of monitoring and an understanding of the features and functions of the
Mindray DS Passport 2/Passport 2 LT Monitor are prerequisites for its proper use.
Do not operate this monitor before reading these instructions.
Information for servicing this instrument is contained in the Passport 2/Passport 2 LT
Service Manual, Part No. 0070-00-0441. For additional information or assistance, please
contact an authorized Mindray DS representative in your area.
CAUTION: U.S. Federal Law restricts this device to sale by or on the
NOTE: Figures in this manual are provided for reference purposes
Patents: This device is covered under one or more of the following U.S. Patents 4,621,643,
4,653,498, 4,700,708, 4,770,179, 4,869,254, 4,911,167, 4,928,692, 4,934,372,
5,078,136, 5,351,685, 5,368,026, 5,368,224, 5,482,036, 5,490,505, 5,533,507,
5,632,272, 5,685,299, 5,758,644, 5,769,785, 5,823,950, 6,002,952, 6,036,642,
6,067,462, 6,157,850, 6,206,830, 6,247,674, 6,377,845, 4,802,486, 4,960,126,
5,485,847, 5,743,263, 5,865,736, 6,011,986, 6,035,223, 6,263,222, 6,298,252,
6,463,310, 6,501,975, 6,591,123, 6,675,031, 6,708,049, 6,801,797, 6,589,028,
6,896,713, Re.35,122 and foreign equivalents. Possession or purchase of this device does
not convey any express or implied license to use the device with replacement parts which
would, alone, or in combination with this device, fall within the scope of one or more of the
patents relating to this device.
order of a physician or other practitioner licensed by state
law to use or order the use of this device.
only. Screens may differ based on the monitoring device
configuration, licenses available, parameters selected and
patient configuration of the Passport 2/ Passport 2 LT
Monitor.
Warnings, Precautions And Notes
Please read and adhere to all warnings, precautions and notes listed here and in the
appropriate areas throughout this manual.
A WARNING is provided to alert the user to potential serious outcomes (death, injury, or
serious adverse events) to the patient or the user.
A CAUTION is provided to alert the user to use special care necessary for the safe and
effective use of the device. They may include actions to be taken to avoid effects on patients
or users that may not be potentially life threatening or result in serious injury, but about which
the user should be aware. Cautions are also provided to alert the user to adverse effects on
this device of use or misuse and the care necessary to avoid such effects.
A NOTE is provided when additional general information is applicable.
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 vii
Introduction Warni ngs
Warnings
WARNING: Internal Electrical Shock Hazard - This unit does not contain
any user-serviceable parts. Do not remove instrument
covers. Refer Servicing to qualified personnel.
WARNING: Trace Gas Hazard - When using the optional Gas Module, a
WARNING: Do not use this monitor during MRI (Magnetic Resonance
WARNING: For continued protection against a fire hazard, replace all
WARNING: Do not clean the monitor while it is on and/or plugged in.
WARNING: This unit uses a common isolation path for the ECG leads
health hazard exists when trace amounts of vaporized
anesthetic agents are chronically inspired by operating
room personnel. See Appendix A in NFPA 56A on Inhalation
Anesthetics. During any procedure where such agents are
employed, the Gas Module exhaust output should be
connected to a medical gas-scavenging system.
Imaging) scanning. Induced current could potentially cause
burns. Accuracy of measurements on this unit and the MRI
unit may also be affected.
fuses with the specified type and rating. See the Passport 2
Service Manual, P/N 0070-00-0513-01.
and the Invasive Pressure Channels. Ensure that conductive
parts of the ECG electrodes do not contact other conductive
parts including earth ground. Do not connect any nonisolated accessories to the Passport 2 or to the ECG or
invasive pressure channel inputs when connected to a
patient. Insure that the total chassis leakage currents of all
connected units does not exceed 300µA. Use an IEC 601-1
approved isolation / separation transformer if required. Do
not simultaneously touch the patient and any piece of
electrical equipment if any cover has been removed from
the equipment.
WARNING: The AC line cord and interface cables (ie non-patient cables)
may utilize the same ground. Therefore, removal of the AC
line cord does not necessarily isolate the Passport 2, if nonpatient interface cables are attached.
WARNING: Observe extreme caution when a defibrillator is used on a
WAR N ING: Mi c rostre a m
WARNING: Do not incinerate battery, possible explosion may occur.
WARNING: Do not put MPSO (Multiple Portable Socket Outlets ie.
viii 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
patient. Do not touch any part of patient, table, or monitor
when a defibrillator is in use.
®
waste material and CO2 filter should be
treated as biohazard material.
Multiple outlet extension cords) used with the Passport 2/
Passport 2 LT or its accessories on the floor. Connect only
Passport 2/Passport 2 LT accessories to the same MPSO as
the Passport 2/Passport 2 LT. Do not overload the MPSO.
War nin gs Introduction
WARNING: Compressed gasses are considered Dangerous Goods/
Hazardous Materials per I.A.T.A. And D.O.T. regulations. It is
a violation of federal and international law to offer any
package or over pack of dangerous goods for
transportation without the package being appropriately
identified, packed, marked, classified, labeled and
documented according to D.O.T. and I.A.T.A. regulations.
Please refer to the applicable I.A.T.A. Dangerous Goods
Regulations and/or the Code of Federal Regulations 49
(Transportation, Parts 171-180) for further information.
WARNING: Pacemaker patients’ rate meters may continue to count the
pacemaker rate during occurrences of cardiac arrest or
some arrhythmias. Do not rely entirely upon rate meter
alarms. Keep pacemaker patients under close surveillance.
See the Appendix section of this manual for disclosure of the
pacemaker pulse rejection capability of this instrument.
WARNING: Computerized ECG Analysis should be reviewed by qualified
medical personnel. It should not be used exclusively for
treatment or non-treatment of patients.
WARNING: ST segment measurements may be affected by one or more
of the following ECG rhythm morphologies: wide complex
QRS such as bundle branch blocks, ventricular pacemaker
rhythm, left ventricular hypertrophy or Wolff-ParkinsonWhite Syndrome. Consult with qualified medical personnel
prior to treatment or non-treatment.
WAR N ING: Th e V i ew 12
™
ECG Analysis Module is not intended for use
during electrosurgery. If the electrosurgical ground
connection is not satisfactory, there exists a possibility of
patient burns at the ECG electrode sites.
WARNING: Route cables neatly. Ensure cables, hoses and wires are
away from a patient’s neck to avoid strangulation. Keep
floors and walkways free of cables to reduce risk to
hospital personnel, patients and visitors.
WARNING: The arrhythmia analysis feature is intended to detect
ventricular rhythms, however, due to physiologic differences
in patient populations, the Passport 2/Passport 2 LT may
occasionally sound a false alarm or may not recognize
some arrhythmia patterns.
WARNING: Operation of the Passport 2/Passport 2 LT below the
minimum amplitude or value of patient physiological signal
may cause inaccurate results.
WARNING: Use of accessories, transducers and cables other than those
specified in the manual may result in increased
Electromagnetic Emissions or decreased Electromagnetic
Immunity of the Passport 2/Passport 2 LT. It can also cause
delayed recovery after the discharge of a cardiac
defibrillator.
WARNING: The use of gas sampling accessories in Gas Module 3 other
than specified by Mindray DS may cause significant
measurement errors and patient risk.
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 ix
Introduction Warni ngs
WARNING: Use of accessories, transducers and cables other than those
specified in the manual may result in increased
Electromagnetic Emissions or decreased Electromagnetic
Immunity of the Gas Module 3.
WARNING: With the exception of stacking on a Gas Module with the
appropriate mounting brackets, the Passport 2/Passport 2
LT should not be used adjacent to or stacked with other
equipment. If adjacent or stacked use is necessary, the
Passport 2/Passport 2 LT should be observed to verify
normal operation in the configuration in which it will be
used.
WARNING: With the exception of stacking under a Passport 2/Passport
2 LT with the appropriate mounting brackets, the Gas
Module 3 should not be used adjacent to or stacked with
other equipment. If adjacent or stacked use is necessary, the
Gas Module 3 should be observed to verify normal
operation in the configuration in which it will be used.
WARNING: Ensure that the conductive parts of ECG electrodes do not
contact other conductive parts, including earth ground.
WARNING: Ensure that the ECG leadwires are neatly secured in a
manner that will prevent them from encircling the patient’s
neck, creating a strangulation hazard.
WARNING: Connection of the Gas Module exhaust port to the hospital’s
waste gas scavenge system is strongly recommended to
prevent exposure of hospital personnel to the patient’s
respiratory sample. Vacuum (negative pressure) should not
exceed 1 mmHg at the Gas Module Pump Exhaust fitting.
Excessive scavenge vacuum may result in damage to the
Gas Module’s internal pump.
WARNING: When using the Gas Module, the maximum sampling rate at
the nasal cannula is 200 ml/min (120 ml/min for Gas
Module 3 with a neonatal water trap). This device should
not be used on patients whose breathing could be impaired
by this vacuum flow rate.
WARNING: If the water trap breaks or becomes damaged during
operation, there is a risk that bacteria and/or mucus may
contaminate the Gas Module.
WARNING: Do not use Adult/Pediatric type water traps and/or
sampling lines with neonates to avoid high sampling flow.
WARNING: When using Microstream
®
CO2 Monitoring, the maximum
sampling rate at the nasal cannula is 50 ml/min. This device
should not be used on patients whose breathing could be
impaired by this vacuum flow rate.
WARNING: Perform the decontamination process with the unit powered
down and power cord removed.
WARNING: The Gas Module must not be used with flammable
anesthetic agents.
WARNING: The Gas Module water trap, sampling line and airway
adapter should be disposed of in accordance with local
regulations for contaminated and biologically hazardous
items.
x 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
War nin gs Introduction
WARNING: Do not clean the Gas Module while it is on and/or plugged
in.
WARNING: Connect only DRYLINE™ gas sampling lines to the water
trap. Note that there may be other compatible tubes present
that must not be used, e.g. IV lines.
WARNING: Do not use DRYLINE™ Neonatal sampling lines (blue Luer
lock nuts) with DRYLINE
™
Adult/Pediatric water traps as this
could result in incorrect measurement data.
WARNING: Do not use DRYLINE™ Adult/Pediatric sampling lines
(colorless Luer lock nuts) with DRYLINE
™
Neonatal water
traps as this could result in incorrect measurement data.
WARNING: The contents of the water trap should be handled as a
potential infection hazard.
WARNING: Do not use other cleaning methods for the DRYLINE™ water
traps. Do not clean or wash the filter housing of the water
trap. Never allow alcohol to enter the filter housing. Never
force air through the water trap.
WARNING: Do not use a damaged or broken unit or accessory.
WARNING: Do not reuse disposable devices.
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 xi
Introduction Precautions
Precautions
CAUTION: Only use the Abbreviated Operating Check List (0070-00-
0493) if you are already familiar with this product. If not,
please use the Detailed Operating Instructions.
CAUTION: Always place the monitor on a rigid, flat surface or on
CAUTION: Never place fluids on top of this monitor. In case of
CAUTION: Do not operate the Passport 2/Passport 2 LT with a frayed
CAUTION: This unit must only be operated with Mindray DS approved
CAUTION: NIBP cuffs must be used with the correct Mindray DS hoses.
CAUTION: Use only Mindray DS accessories with this product.
CAUTION: When cleaning SpO2 sensors, do not use excessive amounts
CAUTION: Dispose of single use items in accordance with hospital
CAUTION: Do not operate the Passport 2/Passport 2 LT with the
CAUTION: To prevent condensation, allow the Passport 2/
approved mounts. Do not block the vents.
accidental wetting, wipe clean immediately and have the
monitor serviced to ensure no hazard exists.
or damaged power cord.
software.
See chapter 5.0 for part numbers.
of liquid. Wipe the sensor surface with a soft cloth,
dampened with the cleaning solution.
policy.
ventilation or speaker vents obstructed.
Passport 2 LT to warm up and dry if it is moved from a cold
area to a warm one.
CAUTION: Please consult a physician for interpretation of blood
pressure measurements.
CAUTION: A blood pressure measurement can be affected by the
position of the patient, and his / her physiological condition
as well as other factors, such as patient movement.
CAUTION: Substitution of a component different from that supplied
might result in measurement error.
CAUTION: The Passport 2/Passport 2 LT may not meet its performance
specifications if stored or operated outside of specified
temperature and humidity ranges.
CAUTION: Prior to use, be sure the rail supporting the bed rail
xii 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
mounting hook can support the weight of the monitor.
Consult the bed manufacturer’s specifications if necessary.
Mindray DS cannot be responsible for injury or damage
resulting from improper or inadequate support of the
monitor.
Precautions Introduction
CAUTION: To assure successful triggering of Intra-Aortic balloon pump
from the Passport 2/Passport 2 LT monitor, set the “ECG
Filter” to “Extended” and set “Pacer Enhancement” to
“On”. Both of these settings are located in the ECG setup
menu of the Passport 2/Passport 2 LT.
CAUTION: The Analog Output on the Passport 2/Passport 2 LT
supports triggering the Intra-Aortic Balloon Pump (IABP) for
3 Lead and 5 Lead ECG cable monitoring only. Invasive
Blood Pressure triggering is not supported. ECG analog
output is disabled when 12 Lead ECG analysis is enabled.
CAUTION: Use only Mindray DS supplied power cords, or if a
substitute is necessary, use only hospital grade power
cords.
CAUTION: Removal of the View 12
™
ECG Analysis Module without first
disabling the 12-Lead ECG card may cause a temporary
disruption in patient monitoring.
CAUTION: The 2.4 GHz radio optionally used in this device must be at
least 20 cm away from the user and/or patient during
normal operating conditions.
CAUTION: Only connect NIBP Luer fittings to Blood Pressure Cuff or
Monitor.
CAUTION: To avoid possible damage to the Passport 2/Passport 2 LT,
use only ECG cables and accessories available from Mindray
DS.
CAUTION: Line Isolation Monitor transients may resemble actual
cardiac waveforms, thus inhibiting heart rate alarms. Check
leadwires for damage and ensure good skin contact prior to
and during use. Always use fresh electrodes and follow
proper skin preparation techniques.
CAUTION: Some pacemakers may contain a respiratory sensor that
may produce artifact on an ECG waveform.
CAUTION: Thoracic impedance monitoring may affect rate responsive
pacemakers.
CAUTION: If the dust filter for the fan cannot be cleaned or is
damaged, replace it with part number 0378-00-0040. Use
of another type of filter may decrease the cooling effectivity
and cause damage to the Gas Module.
CAUTION: Recharge batteries in the Passport 2/Passport 2 LT.
CAUTION: Remove the batteries if the Passport 2/Passport 2 LT is not
likely to be used for an extended period of time.
CAUTION: Replace sealed lead acid batteries with Mindray DS P/N
0146-00-0043 ONLY. Replace lithium-ion batteries with
Mindray DS P/N 0146-00-0069 ONLY.
CAUTION: The internal sampling system of the Gas Module does not
need to be cleaned or sterilized. There is no reverse flow
back to the patient. If the internal sampling system is
suspected to be clogged or dirty, the module should be
serviced by an authorized service person only.
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 xiii
Introduction Precautions
CAUTION: To avoid permanent damage, do not expose metal
components (pins, sockets, snaps) to disinfectants, soaps or
chemicals.
CAUTION: Observe caution on all patients (Neonates, Pediatrics, and
Adults) when NIBP is set to the Continuous Mode and the 1
minute interval. When the NIBP “continuous” interval is
chosen, the Passport 2/Passport 2 LT will continually take
back to back blood pressure readings. As a safety
precaution, a limit is placed on continuous and 1 minute
interval measurements. In continuous mode, after 5
minutes, the NIBP interval will automatically switch to one
measurement taken every 5 minutes. In 1 minute mode,
after 10 minutes the NIBP interval automatically switches to
measurements taken once every 10 minutes. Reports have
been made of nerve injury occurring during use of
automatically cycled blood pressure cuffs. See the
Appendix, “Cautions when Using Automatically Cycled
Blood Pressure Cuffs”.
CAUTION: When equipped with Masimo
®
SpO2, use only Masimo
oxygen transducers including Masimo LNOP® patient
dedicated adhesive sensors and Masimo PC Series Patient
Cable. Use of other oxygen transducers may cause
improper oximeter performance.
CAUTION: When equipped with Nellcor
®
SpO2, use only Nellcor
oxygen transducers including Nellcor Oxisensor® and
OxiMax® patient dedicated adhesive sensors. Use of other
oxygen transducers may cause improper oximeter
performance.
CAUTION: Tissue damage or inaccurate measurements may be caused
by incorrect SpO
sensor application or use, such as
2
wrapping it too tightly, applying supplemental tape, failing
to inspect the sensor site periodically, or failing to position it
appropriately. Carefully read the sensor directions for use,
the Passport 2/Passport 2 LT operating instructions, and all
precautionary information before use.
CAUTION: Excessive ambient light may cause inaccurate
measurements. In such cases, cover the SpO
with opaque material.
sensor site
2
CAUTION: Inaccurate measurements may be caused by incorrect SpO2
sensor application or use; significant levels of dysfunctional
hemoglobins, (e.g., carboxyhemoglobin or methemoglobin);
or intra-vascular dyes such as indocyanine green or
methylene blue; exposure to excessive illumination, such as
surgical lamps (especially ones with a xenon light source),
bilirubin lamps, fluorescent lights, infrared heating lamps,
or direct sunlight; excessive patient movement; venous
pulsations; electro-surgical interference; and placement of a
sensor on an extremity that has a blood pressure cuff,
arterial catheter, or intra-vascular line.
CAUTION: In certain situations in which perfusion and signal strength
are low, such as in patients with thick or pigmented skin,
inaccurately low SpO
oxygenation should be made, especially in preterm infants
readings will result. Verification of
2
and patients with chronic lung disease, before instituting
any therapy or intervention.
xiv 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
Notes Introduction
CAUTION: Many patients suffer from poor peripheral perfusion due to
CAUTION: The site should be checked at least every eight (8) hours
CAUTION: If the SpO
CAUTION: Vacuum (negative pressure) should not exceed 1 mmHg at
CAUTION: During the decontamination process, do not get the LpH SE
CAUTION: Gas Module 3 must be moisture protected whenever
hypothermia, hypovolemia, severe vasoconstriction,
reduced cardiac output, etc. These symptoms may cause an
inability to acquire physiological data.
(every four (4) hours with the Adult re-usable SpO
sensor). Ensure proper adhesion, skin integrity, and proper
alignment. Nail polish and fungus may affect readings.
Exercise extreme caution with poorly perfused patients.
Skin erosion and pressure necrosis can be caused when
sensors are not frequently monitored. Assess the site every
two (2) hours with poorly perfused patients.
sensor or patient cable is damaged in any way,
discontinue use immediately. To prevent damage do not
soak or immerse the sensor in any liquid solution. Do not
attempt to sterilize.
the Passport Pump Exhaust fitting. Excessive scavenge
vacuum may result in an “OCCLUSION” message or
damage to the Passport 2’s internal pump. The scavenge
system must be on during calibration.
Germicidal detergent into any vent openings.
transported. This can be done with a protective plastic bag
in which water-absorbing materials (e.g. silica gel) have
been included.
2
finger
2
CAUTION: Contamination with CO
surrounding the Gas Module 3 may cause significant
measurement errors.
, N2O or Anesthetic Agent in the air
2
Notes
NOTE: This unit is not designed to be used with a peripheral pulse
sensor. SpO
be used to obtain a plethysmograph waveform and heart
rate.
NOTE: The comparison testing conducted via the ausculatory
method used both Phase 4 and Phase 5 Korotkoff sounds.
Reports of study findings for both the auscultatory method
as well as the intra-arterial methods are available by
contacting Mindray DS Technical Support (800) 288-2121,
ext. 8116.
NOTE: Potential hazards due to errors in software or hardware
have been minimized by actions taken in accordance with
IEC 60601-1-4.
is a standard function in this monitor, and may
2
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 xv
Introduction Intended Use
Intended Use
The intended use for the Passport 2® includes the monitoring of the following human
physiological parameters:
• ECG waveform derived from 3, 5 or 12 lead measurements
• Heart Rate derived from selected sources (SpO2, ECG, IBP, NIBP)
• Blood Oxygenation (SpO2) measurement/waveform
• ST Segment Analysis derived from 5 to 12 lead measurements
• Lethal Arrhythmia Detection derived from 5 to 12 lead measurements
• Non Invasive Blood Pressure (NIBP) measurement
• Invasive Blood Pressure (IBP) measurement/waveform measurable at two sites
• Respiration Rate/ waveform derived from ECG or CO
•CO2, Inspired and end tidal microstream/waveform
• Temperature measurement via YSI 400/700 series probes
• Interpretation of Resting 12 lead ECG
The target populations are adult, pediatric and neonate with the exception of the:
2
• Lethal Arrhythmia Detection and ST Segment Analysis for which the target populations
are adult and pediatric only, and
• Interpretation of Resting 12 Lead ECG, for which the target population is adult only.
The monitor is intended for use in the health care facility setting.
The device has the capacity of interfacing with Mindray DS’s Gas Modules, displaying the
measurements of Anesthetic Gases, O
, N2O, and CO2.
2
Unpacking
Remove the instrument from the shipping carton and examine it for signs of shipping
damage. Save all packing materials, invoice, and bill of lading. These may be required to
process a claim with the carrier. Check all materials against the packing list. Contact the
Mindray DS Service Department (800) 288-2121, ext. 8116 for prompt assistance in
resolving shipping problems.
xvi 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
Symbols and Descriptions Introduction
Symbols and Descriptions
SYMBOL DESCRIPTION SYMBOL DESCRIPTION
Attention, Consult
Accompanying Documents /
Refer to Manual
Dangerous Voltage Type BF Equipment
Type B Equipment
Equipotentiality
Alternating Current (AC)
Direct Current (DC) Alarm Off Icon
On (only for a part
of the equipment)
OFF (only for a part
of the equipment)
Data Input Protective Earth (Ground)
Data Output Battery Charging
Data Input / Output Full Battery
Gas Port Input Low Battery
Defibrillator Proof Type BF
Equipment
Defibrillator Proof Type CF
Equipment
Alarm Mute Icon
Earth (Ground)
Gas Port Output No Battery Present
NIBP Connection Latex-free product
Analog ECG and IBP output for
IABP
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 xvii
communication to an IntraAortic Balloon Pump
Crossed out wheelie bin
indicates separate treatment
from general waste at end of
life
For single-patient use only, do
not reuse.
DEFIB
Analog ECG out and Sync Pulse for
connection to a defibrillator
Interference may occur in the
vicinity of equipment marked with
this symbol
Manufacturer’s reference/catalogue
number
Introduction Symbols and Descriptions
For Neonatal use Manufacturer’s batch number
Not for Neonatal use Serial number
Conformité Européenne (CE)
Marking of Conformity to
European Medical Device
Directive. CE
represents the
XXXX
Software Version
Notified Body number
xviii 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
1.0
2
General Description
Passport
LEAD
SIZE
VIEW
NIBPECG
START
INTERVAL
STOP
Passport 2
ZERO
ALARMS DISPLAY
IBP
ALL
LIMITS
MUTE
MUTE
PRINT
STRIP
CONT
ECG
ALL
PRINT
TREND
STANDBY
DISCHARGE
MARK
EVENT
TRENDS
FREEZE
NORMAL
SCREEN
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 1 - 1
General Description
The Mindray DS Passport 2/Passport 2 LT is a vital signs monitor intended for
intrahospital use on human patients. The Passport 2 is a six (6) trace monitor, the
Passport 2 LT is a three (3) trace monitor. The unit has many features and functions, yet is
very easy to use through an integrated keypad, Navigator
™
Control Knob and intuitive menu
system. The patient parameters that can be monitored with the Passport 2/Passport 2 LT
are: ECG, Masimo SET
®
SpO2, Nellcor® Oxismart® or OxiMax® SpO2, Non-invasive
Blood Pressure, Respiration Rate and Temperature. Parameters optional for the Passport 2
are: 3 lead or 12 lead ST analysis with adjustable ISO and J points, Arrhythmia analysis,
Invasive Blood Pressure, Gases, Microstream
®
CO2 and 12 Lead ECG Interpretation.
The Passport 2/Passport 2 LT Monitor can be mounted on a rolling stand, a wall mount
bracket, gas machine arm, Bedrail or operated as a tabletop instrument. The Passport 2
monitor can be mounted to a Gas Module. The keypad contains dedicated primary
functions. The menu buttons provide access to setting up patient information, waveforms, and
parameters.
The Passport 2 comes with a color TFT LCD or a monochrome display. The Passport 2 LT
comes with a passive color or monochrome display. Digital displays are provided for Heart
Rate, Non-invasive Blood Pressure (NIBP), Pulse Oximetry (SpO
), Respiration Rate and
2
Temperature (T1). Additional digital areas present for the Passport 2 are Invasive Blood
Pressure (IBP1 and IBP2) (optional), Anesthetic Agents (optional), O
(optional), and CO
(optional). The optional built-in recorder provides hard copies of all
2
and NO2 (optional), ST
2
digital data and waveforms as well as Tabular Trend information.
The View 12™ ECG Analysis Module for the Passport 2 enables 12-Lead Acquisition,
Continuous 12-Lead ST Analysis and Arrhythmia Analysis with print capability. The View
™
12
ECG Analysis Module consists of a PCMCIA card for insertion into the Passport 2
with 12 Lead software, an M-12 cable and a detachable leadwire set.
The Passport 2 has the capability of interfacing with IABP Systems and Mindray DS’s
Central Stations, Gas Module, Remote Displays and Nurse Call Systems.
The Passport 2 LT has the capability of interfacing with IABP Systems and Mindray
DS's Remote Displays, and Nurse Call Systems.
The optional Gas Module can be used on an anesthesia cart or mounted on a rolling stand
or wall mounted.
The Passport 2/Passport 2 LT monitor is powered from an AC connection or internal
batteries. Batteries can be purchased separately as optional equipment. See Chapter 5.0.
The Passport 2/Passport 2 LT monitor can operate with either battery removed so that
fresh batteries can be installed during monitor operation.
1 - 2 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
General Description
Key features of the Passport 2/Passport 2 LT are:
• 3 or 5 Lead (I, II, III, aVR, aVL, aVF, V) ECG
• 12 Lead (I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6) ECG
(optional Passport 2)
• ECG Cascade
• ESIS Capability (3 or 5 Lead ECG only)
• 2 invasive blood pressure channels (optional Passport 2)
• 3 or 12 Lead ST Analysis with adjustable ISO and ST points
(optional Passport 2)
• Arrhythmia Analysis (optional Passport 2)
• 12 Lead ECG Interpretation (optional Passport 2)
• Non-invasive Blood Pressure (NIBP)
• Lead Selectable Impedance Respiration
•Masimo SET
®
SpO
2
• Nellcor® Oxismart® and OxiMax® SpO2 (optional)
• Microstream® CO2 (optional Passport 2)
• Gas Module Connectivity (optional Passport 2)
• 1 YSI 400/700 temperature channel
• Automatic sensor detection and waveform display
• Automatic Heart Rate source selection
•Auto-Set
™
Alarms
• Dual channel thermal array recorder (optional)
• Color TFT LCD display or Monochrome display (Passport 2)
• Monochrome display (Passport 2 LT)
• Battery operation (optional)
• Tabular 120 entries (500 entries optional)
• Graphic Trend display (Passport 2)
• Extended Trend Display, 500 entries (optional)
• OXY CRG display, 6 minutes (12 hours optional) (Passport 2)
• 6 trace erase bar refresh (Passport 2)
• 3 trace erase bar refresh (Passport 2 LT)
• Navigator
™
Control Knob
• Internal isolated power module
• External Remote Color Display Available with Color TFT LCD Equipped Monitor (optional
Passport 2)
• External Interfaces with IABP Systems and Mindray DS’s Central Stations, Gas Module,
Remote Displays, Nurse Call Systems and Serial Communications (Passport 2)
• External Interfaces with IABP Systems (Passport 2 LT)
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 1 - 3
General Description
• Communication with hospital CIS (Clinical Information Systems) through DIAP (Mindray
DS Improved ASCII Protocol, manual P/N 0070-00-0307) (Passport 2)
• Inter-Monitor Patient Data Transfer (with optional accessories)
• Inter-Monitor System Set-up Transfer (with optional accessories)
• Mounting Kits (optional accessory)
• Soft-Grip Handle
• Comm-Port (optional Passport 2)
• Dual PCMCIA Interface
1 - 4 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
2.0
Controls, Indicators and Connectors
This section of the Operating Instructions identifies and describes each control and display of
the Mindray DS Passport 2/Passport 2 LT Monitor.
Step-by-step instructions for operation of the monitor are provided in Section 3.0
“Operation”.
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 2 - 1
Front Panel Controls, Indicators and Connectors
2.1 Front Panel
The front panel keys are used to access many main functions quickly and easily.
Figure 2-1 below shows the keys and a brief explanation of each key.
5
IBP
ZERO
ALL
11
7
LIMITS
MUTE
MUTE
4
NIBPECG ALARMS PRINT
STARTLEAD
STOP
6
ALL
10
9
8
STRIP
CONT
ECG
PRINT
TREND
14
12
13
15
STANDBY
DISCHARGE
MARK
EVENT
17
16
DISPLAY
TREN DS
FREE ZE
18
21
19
NORMAL
SCREEN
22
20
23
SIZE
VIEW
3
1
2
INTERVAL
FIGURE 2-1 Front Panel Controls
1. (ECG) LEAD
Press this key to select the next ECG lead to display in waveform 1. Each time you press this
key, the next available ECG lead displays.
2. (ECG) SIZE
Press this key to select the next available Size of ECG for Waveform 1. Each time you press
this key, the next available ECG Size displays. When the largest ECG size is displayed, the
next key press displays the smallest size.
3. (ECG) VIEW
Press the VIEW key to see 6 leads of ECG at once when using the View 12™ ECG Analysis
Module or the 5 Lead ECG cable. With a View 12
™
ECG Analysis Module installed, press
the VIEW key once to see the first 6 leads of ECG, press again to view another 6 ECG
leads. Pressing a third time will return to normal display view. With a 5 lead ECG cable,
press the VIEW key once to see 6 leads of ECG, press again to return to normal display
view.
NOTE: Pressing the VIEW key does not affect the waveforms being
transmitted to the Central Station.
4. (NIBP) START
Press this key to begin an NIBP measurement or to begin or re-start automatic interval
measurements.
2 - 2 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
Controls, Indicators and Connectors Front Panel
5. (NIBP) INTERVAL
Press this key to modify the NIBP interval measurement time. The choices are: Off, Cont, 1
min, 2 min, 2.5 min, 3 min, 5 min, 10 min, 15 min, 20 min, 30 min, 1 hr, 2 hrs or 4 hrs. The
“Off” selection means that NIBP measurements can only be initiated manually. The “Cont”
selection means that measurements will be continuous (one right after the other). The
continuous measurement interval will only last for 5 minutes and then automatically change
to a 5 minute interval. The 1 minute interval will last for 10 minutes and then automatically
change to a 5 minute
6. (NIBP) STOP
Press this key to stop any NIBP measurement. If the interval mode is activated, pressing this
key disables the interval mode measurements. An NIBP Idle message displays until the
interval mode is restarted. If a Press STOP to clear. message is displayed, pressing this
key will clear a Cuff Overpressure condition.
7. (IBP) ZERO ALL
Press this key to set the current pressure of all the invasive pressure channels to zero provided
the channel(s) do not have an existing pressure being monitored. During the zeroing process,
the message Zeroing is displayed. The message Zero Complete displays when the
zeroing process is successful. If the zero process is not successful, the message Unable to
Zero is displayed. Available with Passport 2 monitor only.
8. (ALARMS) LIMITS
Press this key to display the Alarm menu. The Alarm menu provides you access to view or
change alarm values.
9. (ALARMS) MUTE ALL
Press this key to suspend audio alarms on all parameters. The alarms remain suspended for a
user selected amount of time. This amount of time is set in the Alarms Setup menu. While the
alarms are suspended, an Alarm Mute icon is displayed next to each silenced parameter.
Also, the message All Alarms Muted for XX:XX mins displays. XX:XX is the time
remaining in minutes and seconds. Press this key again during the suspended alarm time to
re-enable the audio alarm. If the suspend time was set to Permanent, the message All
Alarms Permanently Muted displays.
10. (ALARMS) MUTE
Press this key to suspend audio alarms on all currently alarming parameters. The alarms
remain suspended for a user selected amount of time as set in the Alarms Setup Menu or
when the alarm condition is no longer present. Any new alarms that occur while the alarm
tone is silenced will disable the silence and sound the alarm tone. While the alarms are
suspended, an Alarm Mute icon is displayed next to each silenced parameter.
11. (Alarms) LED Indicators
A set of 2 LED’s used to indicate that an alarm has been tripped. The WARNING (or Priority
1) LED is red and the CAUTION (or Priority 2) LED is yellow.
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 2 - 3
Front Panel Controls, Indicators and Connectors
12. (PRINT) STRIP
Press this key to initiate a 16 second print out of selected waveforms on the internal printer.
Press this key during the printing to stop the printer. With a View 12
™
ECG Analysis Module
installed, press the VIEW key, then press the STRIP key to initiate a 12-lead Interpretative
report that will be printed at either the internal recorder or a laser printer. If the print
destination is a remote Central Station, then pressing this key will initiate a printout at the
Central Station.
13. (PRINT) CONT ECG
Press this key to initiate a continuous ECG 1 and 2 waveform printout on the internal printer.
Press this key during the printing to stop the printer.
14. (PRINT) PRINT TREND
Press this key to initiate the printing of the desired trend. By default, the monitor’s stored trend
information will be printed by the internal printer. Press this key during the printing to stop the
printer.If the print destination is a remote Central Station, then pressing this key will initiate a
trend report at the Central Station.
15. STANDBY
Press this key to place the Passport 2/Passport 2 LT into a STANDBY mode. While in
STANDBY mode, monitoring is discontinued and the alarms are in permanent suspension,
interval NIBP measurements are placed in idle mode, CO
pump is shut off, and the display
2
shuts down. When in the STANDBY mode, the message STANDBY. TO BEGIN
MONITORING, PRESS STANDBY is displayed. Press the STANDBY key again to exit
the STANDBY mode and return to the normal screen.
NOTE: Trend data is not cleared in the STANDBY mode. When the
STANDBY mode is released, NIBP INTERVAL is in IDLE MODE
and requires re-activation via the START key. The CO
automatically reactivates if the Microstream® sensor is in
place.
pump
2
16. DISCHARGE
Press this key to initiate the process of discharging the patient from the monitor. A menu titled
Patient Discharge will be displayed. Depending on the monitor’s configuration, the
Normal Screen menu choice will be provided along with one or more of the following
selections: Discharge From Monitor, Discharge From Central and Discharge
From Both. If any discharge option is selected, a confirmation box will be displayed.
(Discharging a patient from the monitor deletes all patient trend and demographic data and
places the monitor in STANDBY mode.) An onscreen message will display as follows:
• For Main Module Software Versions Y.xx and earlier, the message STANDBY. TO
BEGIN MONITORING, PRESS STANDBY is displayed.
• For Main Module Software Versions AA.xx and later, the message PATIENT
DISCHARGED. MONITOR IN STANDBY MODE - TO BEGIN MONITORING,
PRESS STANDBY is displayed.
Upon exiting STANDBY mode, the monitor configuration reverts to currently saved settings.
Selecting Normal Screen from the menu aborts the discharge.
2 - 4 0070-10-0649-01 Passport 2®/Passport 2 LT™ Operating Instructions
Controls, Indicators and Connectors Front Panel
17. MARK EVENT
Press this key to cause a time stamp event marker to be noted in the trend memory. If
connected to a Panorama Central Station, a time stamp event marker will also be noted in
the Central Station’s trend memory.
18. (DISPLAY) TRENDS
Press this key to display the List Trend screen. Press this key a second time to display the
Graph Trend screen. Press this key a third time to return to the Normal Display. If Neonate or
Pediatric is selected as the patient size, a third press will display the OXY CRG display. A
fourth press will then return the monitor to normal display.
19. (DISPLAY) FREEZE
Press this key to freeze the waveform display. When waves are frozen, the message WAVES
FROZEN is displayed. Digital data will continue to be updated.
20. NORMAL SCREEN
Press this key at any time to return the screen to the normal monitoring mode. All menus are
closed.
21. Battery Charging LED
A green LED located below the battery icon indicates that the battery charger is active. The
charger will not always be active when AC power is present. It is dependent on the battery
type (sealed lead acid vs. lithium-ion) and battery charge condition. The LED is not an
indication of the condition of the batteries or their charge level. Charged batteries must be
installed in the monitor to ensure uninterrupted operation while switching from AC to battery
power.
22. AC Power LED
A green LED beside the Battery Charging LED that is used to indicate that the unit is
connected to the AC Power within the facility.
23. Navigator
™
Control Knob
Rotate this knob to highlight the various menus on the display. Press the center of the knob to
display the highlighted menu. Once a menu is displayed, rotate the knob to highlight the
items within the menu. Press the center of the knob to select a highlighted item.
Passport 2®/Passport 2 LT™ Operating Instructions 0070-10-0649-01 2 - 5
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