Mindray Passport V Operating Instructions Manual

Operating Instructions

Passport

0070-01-0704-02_PPV ops color.indd 1 2/17/11 4:23 PM

Operating Instructions

Passport

0070-02-0704-02_PPV ops b_w.indd 1 2/17/11 4:32 PM

CapnoLine® is a U.S. registered trademark of Oridion Medical Ltd.

DRYLINE

Durasensor

Edwards

FilterLine

LNCS

LNOP

Masimo SET

Max-Fast

miniMediCO

Microstream

Mindray

Navigator

Nellcor

NIV Line

is a trademark of Artema Medical AB

is a U.S. registered trademark of Nellcor Puritan Bennett Inc.

is a U.S. registered trademark of Edwards Lifesciences Corporation.

is a U.S. registered trademark of Oridion Medical Ltd.

is a U.S. registered trademark of Masimo Corp.

is a trademark of Nellcor Puritan Bennett Inc.

is a trademark or registered trademark of Oridion Medical Ltd.

is a U.S. registered trademark of Oridion Medical Ltd.

is a trademark or registered trademark of Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

is a U.S. trademark of Mindray DS USA, Inc.

is a U.S. trademark of Nellcor Puritan Bennett Inc.

is a trademark of Oridion Medical Ltd.

Oxiband

OxiMax

Oxisensor

Passport

Velcro

is a U.S. registered trademark of Nellcor Puritan Bennett Inc.

is a U.S. trademark of Nellcor Puritan Bennett Inc.

is a U.S. registered trademark of Nellcor Puritan Bennett Inc.

is a U.S. registered trademark of Mindray DS USA, Inc.

is a trademark or registered trademark of Velcro Industries B.V.

0070-00-0704-02 Passport V Operating Instructions

Table of Contents

Foreword....................................................................................................................................................... vii

Warnings, Precautions, and Notes.................................................................................................................... vii

Warnings ......................................................................................................................................................viii

Precautions ....................................................................................................................................................xii

Notes ............................................................................................................................................................xvi

Intended Use .........................................................................................................................................xvii

Unpacking .................................................................................................................................................... xvii

Symbols and Descriptions ............................................................................................................................. xviii

General Product Description.............................................................................................. 1 - 1

General Product Description .........................................................................................................................1 - 2

Key Features ..................................................................................................................................................1 - 3

Keys and Front Panel ....................................................................................................................................1 - 4

Display..........................................................................................................................................................1 - 8

Physical Views ..............................................................................................................................................1 - 11

Front View ..............................................................................................................................................1 - 11

Rear View...............................................................................................................................................1 - 12

Left Side Panel.........................................................................................................................................1 - 13

Right Side Panel ......................................................................................................................................1 - 14

Top View................................................................................................................................................1 - 15

System Configuration........................................................................................................ 2 - 1

Installation Menu ............................................................................................................................................2 - 1

Advanced Installation Setup Menu (Network) .....................................................................................................2 - 4

Monitor Setup Menu........................................................................................................................................ 2 - 6

Advanced Setup ............................................................................................................................................. 2 - 7

How to Set the Clock/Date and Time.........................................................................................................2 - 8

Transferring Monitor Default Settings..........................................................................................................2 - 8

Configuration Management .............................................................................................................................2 - 9

Patient Management ........................................................................................................ 3 - 1

Description..................................................................................................................................................... 3 - 1

Setting-up Patients ...........................................................................................................................................3 - 2

Patient Menu ..........................................................................................................................................3 - 2

Discharging a Patient ..................................................................................................................................... 3 - 4

Data Transfer .................................................................................................................................................3 - 5

Transferring User Configuration ................................................................................................................3 - 5

Remote View ................................................................................................................................................3 - 6

Monitor/Display Troubleshooting ....................................................................................................................3 - 11

ECG Monitoring ................................................................................................................ 4-1

Description .................................................................................................................................................... 4 - 1

ECG Screens..................................................................................................................................................4 - 2

Numeric Tile: ECG .................................................................................................................................4 - 2

Waveform: ECG .....................................................................................................................................4 - 3

Front Panel: ECG Keys ....................................................................................................................................4 - 5

Menus: ECG Main and Submenus ....................................................................................................................4 - 6

ECG Menu ............................................................................................................................................4 - 6

Arrhythmia Menu (optional) ......................................................................................................................4 - 8

ST Menu ................................................................................................................................................4 - 10

ECG Sizes Menu .....................................................................................................................................4 - 12

ECG Setup Menu ...................................................................................................................................4 - 12

Preparation and Lead Placement.......................................................................................................................4 - 15

Skin Preparation......................................................................................................................................4 - 15

Electrode Patch Location........................................................................................................................... 4 - 15

Lead Placement ..................................................................................................................................... 4 - 16

Passport V Operating Instructions 0070- 0-0704-02 i

Table of Contents

Description .....................................................................................................................................4 - 16

Setting Lead Naming Standard .........................................................................................................4 - 16

Lead Placement: Standard 3-wire Lead Sets ........................................................................................4 - 17

Lead Placement: Standard 5-wire Lead Sets ........................................................................................4 - 18

Lead Placement: Lead II Monitoring ................................................................................................... 4 - 19

Lead Placement: Modified Chest Lead (MCL) Monitoring ...................................................................... 4 - 20

Lead Placement: Neonates ...............................................................................................................4 - 21

Lead Placement: Pacemaker Patients .................................................................................................. 4 - 22

Arrhythmia Algorithm ...................................................................................................................................... 4 - 23

Noise and Artifact ...................................................................................................................................4 - 23

Heart Rate Average ................................................................................................................................ 4 - 23

Filtering Pacer Signals.............................................................................................................................. 4 - 24

ECG Amplitude .......................................................................................................................................4 - 24

Learning.................................................................................................................................................4 - 24

Beat Detection and Typing........................................................................................................................4 - 24

Arrhythmia Alarms (optional)............................................................................................................................4 - 25

Lethal Arrhythmia Alarms .........................................................................................................................4 - 25

Asystole Alarm ................................................................................................................................4 - 25

Ventricular-Fibrillation (V-FIB) Alarm ...................................................................................................4 - 25

Ventricular Tachycardia (V-TACH) Alarm ...........................................................................................4 - 26

Non-Lethal Arrhythmia Alarms ..................................................................................................................4 - 26

Bigeminy Alarm ..............................................................................................................................4 - 26

Brady (Bradycardia) Alarm ...............................................................................................................4 - 26

Couplet Alarm ................................................................................................................................4 - 26

Irregular Heart Rate Alarm ............................................................................................................... 4 - 27

PVC/minute Alarm ..........................................................................................................................4 - 27

Run Alarm ......................................................................................................................................4 - 27

Trigeminy Alarm ..............................................................................................................................4 - 27

Ventricular Rhythm (V-Rhythm) Alarm .................................................................................................4 - 27

Arrhythmia Analysis (Optional) ........................................................................................................................4 - 28

Arrhythmia Analysis Setup .......................................................................................................................4 - 29

ST Analysis (Optional) ....................................................................................................................................4 - 30

Numeric Tile: ST .....................................................................................................................................4 - 31

ST Analysis Setup .................................................................................................................................... 4 - 31

Adjusting the ISO and J/ST Point ......................................................................................................4 - 32

Adjusting ST Measurement Points .....................................................................................................4 - 32

Relearning ST or Arrhythmia Analysis ................................................................................................................4 - 33

ECG Troubleshooting .....................................................................................................................................4 - 34

Respiration Monitoring ..................................................................................................... 5 - 1

Description ....................................................................................................................................................5 - 1

Resp Screens.................................................................................................................................................. 5 - 2

Numeric Tile: Resp................................................................................................................................... 5 - 2

Waveform: Resp .....................................................................................................................................5 - 2

Resp Menu.....................................................................................................................................................5 - 3

Thoracic Impedance.................................................................................................................................5 - 4

Respiration and CO

Troubleshooting ...............................................................................................................5-5

SpO2 Monitoring............................................................................................................... 6 - 1

Description ....................................................................................................................................................6 - 1

Screens ................................................................................................................................................6 - 2

SpO

Numeric Tile: SpO Waveform: SpO

Menu ..................................................................................................................................................6 - 3

SpO

.................................................................................................................................6 - 2

....................................................................................................................................6 - 2

ii 0070- 0-0704-02 Passport V Operating Instructions

Table of Contents

SpO2 Pulse Oximetry ......................................................................................................................................6 - 5

Masimo SET Nellcor DPM SpO

Troubleshooting and SpO2 Menu Performance Considerations ...................................................................6 - 11

SpO

SpO2.................................................................................................................................6 - 6

SpO2........................................................................................................................................6 - 7

.............................................................................................................................................6 - 9

NIBP Monitoring ............................................................................................................... 7 -1

NIBP Description ............................................................................................................................................7 - 1

Displaying Measured Pressure ............................................................................................................... 7 - 1

Display Time-out for NIBP Measurement ....................................................................................................7 - 1

Measurement Modes ............................................................................................................................. 7 - 2

NIBP Screens .................................................................................................................................................7 - 3

NIBP Numeric Tile ................................................................................................................................... 7 - 3

NIBP List Display ....................................................................................................................................7 - 4

NIBP Menu ...................................................................................................................................................7 - 5

NIBP Measurements ........................................................................................................................................ 7 - 7

Manual NIBP Measurements .....................................................................................................................7 - 7

Automatic Interval NIBP Measurements.......................................................................................................7 - 8

Suspension of NIBP Measurements ............................................................................................................7 - 9

Retry measurement .................................................................................................................................. 7 - 9

Reset .....................................................................................................................................................7 - 9

NIBP Pressure Limit Fail Safe ..................................................................................................................... 7 - 9

Cuff Inflation Timeout ...............................................................................................................................7 - 10

Start and Stop Keys .................................................................................................................................7 - 10

NIBP Auto Time Out Functions...................................................................................................................7 - 10

Indirect BP Measurements and Associated Errors .........................................................................................7 - 10

Recommendations for Automatic Blood Pressure Measurements ..................................................................... 7 -11

Cuff Size ................................................................................................................................................7 - 11

Other Factors..........................................................................................................................................7 - 11

User Verification of Passport V Blood Pressure Measurements ...................................................................7 - 11

Newborn NIBP Technique ........................................................................................................................7 - 11

NIBP List Tile ...........................................................................................................................................7 - 12

Adaptive Inflation Pressure .......................................................................................................................7 - 12

NIBP Troubleshooting ......................................................................................................................................7 - 13

Temperature Monitoring ................................................................................................... 8 - 1

Description ................................................................................................................................................. 8 - 1

Temperature Screens .......................................................................................................................................8 - 2

Numeric Tile: Temp..................................................................................................................................8 - 2

Temperature Probes ........................................................................................................................................8 - 3

Skin Temperature Sensor with 400 Series Thermistor....................................................................................8 - 3

Esophageal Stethoscope with 400 Series Thermistor Temperature Sensor .......................................................8 - 4

Esophageal/Rectal Temperature Probe with 400 Series Thermistor ................................................................8 -6

Reusable DPM Temperature Probes............................................................................................................ 8 - 7

Temperature Troubleshooting ...........................................................................................................................8 - 8

IBP Monitoring (optional) .................................................................................................. 9 - 1

IBP Description ..............................................................................................................................................9 - 1

Pressure Labels........................................................................................................................................ 9 - 1

IBP Screens ...................................................................................................................................................9 - 3

IBP Numeric Tile...................................................................................................................................... 9 - 3

IBP Waveform......................................................................................................................................... 9 - 4

IBP Menu ......................................................................................................................................................9 - 5

Measuring IBP ...............................................................................................................................................9 - 7

IBP Troubleshooting.........................................................................................................................................9 - 8

Passport V Operating Instructions 0070- 0-0704-02 iii

Table of Contents

CO2 Monitoring (optional)............................................................................................... 10 - 1

Description ..................................................................................................................................................10 - 1

Screens ...............................................................................................................................................10 - 2

Numeric Tile: CO

Waveform: CO

Menu .................................................................................................................................................. 10 - 3

Setup Menu (DPM Sidestream Only) ................................................................................................ 10 - 5

Microstream

Troubleshooting ....................................................................................................................................10 - 8

................................................................................................................................10 - 2

...................................................................................................................................10 - 2

CO2 Monitoring (Optional) ................................................................................................10 - 7

Gas Monitoring (optional) ............................................................................................... 11 - 1

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

Gas Screens.................................................................................................................................................11 - 3

Numeric Tile ................................................................................................................................11 - 3

Gas Numeric Tile .................................................................................................................................11 - 3

Gas Waveform .....................................................................................................................................11 - 4

Gas Menu ..................................................................................................................................................11 - 5

Measure Unit .......................................................................................................................................11 - 6

Automatic identification of Anesthetic Agents ...........................................................................................11 - 6

Gas Module 3 Pre-use Test .....................................................................................................................11 - 8

Gas Module Troubleshooting .........................................................................................................................11 - 8

Drug Calculations............................................................................................................ 12 -1

Description................................................................................................................................................... 12 - 1

Drug Calculations..................................................................................................................................12 - 1

Alarms ........................................................................................................................... 13 - 1

Alarms..................................................................................................................................................... 13 - 1

Adjusting Alarms ..................................................................................................................................13 - 1

Alarm Limits ........................................................................................................................................13 - 3

Auto Set Alarms ....................................................................................................................................13 - 5

Alarm Violations ...................................................................................................................................13 - 6

Verifying Alarm Functionality ................................................................................................................13 - 8

Alarm Troubleshooting ...........................................................................................................................13 - 9

Messages ....................................................................................................................... 14 - 1

Physiological Alarm Messages .......................................................................................................................14 - 1

HR....................................................................................................................................................... 14 - 1

Arrhythmia............................................................................................................................................ 14 - 1

RESP ....................................................................................................................................................14 - 2

TEMP ...................................................................................................................................................14 - 2

...................................................................................................................................................14 - 2

SpO

NIBP ....................................................................................................................................................14 - 2

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

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

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

Technical Alarm Messages.............................................................................................................................14 - 4

ECG Alert Message ............................................................................................................................... 14 - 4

RESP Alert Message............................................................................................................................... 14 - 4

TEMP Alert Message ..............................................................................................................................14 - 5

Alert Message..............................................................................................................................14 - 5

SpO

NIBP Alert Message............................................................................................................................... 14 - 5

IBP Alert Message.................................................................................................................................. 14 - 6

Alert Message ...............................................................................................................................14 - 6

GAS Alert Message ...............................................................................................................................14 - 6

iv 0070- 0-0704-02 Passport V Operating Instructions

Table of Contents

System Level .........................................................................................................................................14 - 7

Prompt Messages..........................................................................................................................................14 - 8

ECG Prompt Message ............................................................................................................................14 - 8

Resp Prompt Message ............................................................................................................................14 - 8

Prompt Message .......................................................................................................................... 14 - 9

SpO

Temp Prompt Message ...........................................................................................................................14 - 10

NIBP Prompt Message............................................................................................................................14 - 11

IBP Prompt Message ..............................................................................................................................14 - 13

Prompt Message............................................................................................................................14 - 13

GAS Prompt Message............................................................................................................................14 - 16

Main Control System..............................................................................................................................14 - 18

Power Supply........................................................................................................................................14 - 19

Data Management.................................................................................................................................14 - 19

Configuration Management .................................................................................................................... 14 - 20

Network............................................................................................................................................... 14 - 20

Print..................................................................................................................................................... 14 - 21

Alarm Troubleshooting ...........................................................................................................................14 - 22

Trends ............................................................................................................................ 15 - 1

Description................................................................................................................................................... 15 - 1

Quick Trends................................................................................................................................................15 - 2

List Trends....................................................................................................................................................15 - 3

Graphic Trends............................................................................................................................................. 15 - 5

OxyCRG...................................................................................................................................................... 15 - 7

Trends Troubleshooting.................................................................................................................................. 15 - 10

Printing .......................................................................................................................... 16 - 1

Description................................................................................................................................................... 16 - 1

Print Setup Menu .........................................................................................................................................16 - 1

Local Printer (Optional)...........................................................................................................................16 - 2

Remote/Local Printer Troubleshooting....................................................................................................... 16 - 4

User Maintenance...........................................................................................................17 - 1

Description................................................................................................................................................... 17 - 1

Care and Disinfection of the Passport V Monitor............................................................................................17 - 2

Care and Cleaning of SpO

Sensors............................................................................................................... 17 - 3

Care and Cleaning of Reusable Temperature Probes .........................................................................................17 - 3

Care and Cleaning of Reusable Cuffs..............................................................................................................17 - 4

Reusable Cuffs with Bladders ..................................................................................................................17 - 4

Reusable Bladderless Cuffs .....................................................................................................................17 - 5

Battery Replacement and Maintenance ............................................................................................................17 - 6

Local Printer Paper Replacement .....................................................................................................................17 - 7

Care and Storage of Thermal Chart Paper ....................................................................................................... 17 - 7

Care and Cleaning of 3- and 5-lead ECG Cables and Lead wires ......................................................................17 - 8

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

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

ECG Electrodes .....................................................................................................................................18 - 1

ECG Cables .........................................................................................................................................18 - 1

ECG Leadsets ....................................................................................................................................... 18 - 2

.........................................................................................................................................................18 - 3

SpO

Masimo SpO

Nellcor SpO

DPM SpO

NIBP ...........................................................................................................................................................18 - 6

Temperature ................................................................................................................................................ 18 - 7

Module...........................................................................................................................18 - 3

Module............................................................................................................................ 18 - 5

Module ...............................................................................................................................18 - 5

Passport V Operating Instructions 0070- 0-0704-02 v

Table of Contents

Disposable 400 Series Temperature Probes .............................................................................................. 18 - 7

Reusable DPM Temperature Probes ..........................................................................................................18 - 7

Disposable DPM Temperature Probes .......................................................................................................18 - 7

IBP .............................................................................................................................................................. 18 - 8

............................................................................................................................................................ 18 - 9

Oridion Microstream CO2 Module ..........................................................................................................18 - 9

DPM Sidestream CO

Module and Gas Module 3 ....................................................................................18 - 9

Gas Module 3 Accessories ..................................................................................................................... 18 - 10

Mounting Kits, Rolling Stands, and Accessories ................................................................................................18 - 11

Cables and Networking.................................................................................................................................18 - 12

Battery and Miscellaneous ............................................................................................................................. 18 - 13

Appendix ......................................................................................................................19 - 1

Equipment Environment and Safety Specifications ............................................................................................. 19 - 1

Power Specifications ..................................................................................................................................19 - 3

Clock ..........................................................................................................................................................19 - 4

Weight and Dimension.................................................................................................................................. 19 - 4

Display Specifications ...................................................................................................................................19 - 4

Sound ....................................................................................................................................................... 19 - 5

Marking ......................................................................................................................................................19 - 5

Performance Characteristics ...........................................................................................................................19 - 6

ECG Specifications................................................................................................................................19 - 6

RESP .................................................................................................................................................... 19 - 12

IBP.......................................................................................................................................................19 - 13

NIBP Performance and Functional Characteristics .....................................................................................19 - 14

Masimo SET SpO2 Performance Requirements ......................................................................................... 19 - 16

DPM SpO2 Performance Requirements .....................................................................................................19 - 19

Nellcor SpO2........................................................................................................................................19 - 20

Performance Characteristics ............................................................................................................19 - 21

Temperature Performance Characteristics ...............................................................................................19 - 25

Gas Module Performance Characteristics .................................................................................................19 - 26

Input/Output Communications ......................................................................................................................19 - 28

Communication Protocols...............................................................................................................................19 - 29

Data Storage................................................................................................................................................19 - 29

Printing........................................................................................................................................................ 19 - 30

Agency Compliance......................................................................................................................................19 - 30

Safety Designations ......................................................................................................................................19 - 31

Safety Classification ..............................................................................................................................19 - 31

Safety Performance Index ....................................................................................................................... 19 - 31

Electromagnetic Capability ............................................................................................................................ 19 - 34

EMC Safety .........................................................................................................................................19 - 34

Passport V.........................................................................................................................................19 - 35

Radio Regulatory Compliance..................................................................................................................19 - 39

Gas Module 3 ...................................................................................................................................... 19 - 41

Warranty Statements ....................................................................................................................................19 - 45

Customer Service ..........................................................................................................................................19 - 47

Manufacturer's Responsibility ........................................................................................................................19 - 47

Glossary......................................................................................................................... 20 - 1

Glossary of Terms .......................................................................................................................................20 - 1

vi 0070- 0-0704-02 Passport V Operating Instructions

Foreword Introduction

Foreword

The Passport V Operating Instructions are intended to provide information for proper operation.

General knowledge of monitoring and an understanding of the features and functions of the

Passport V monitor are prerequisites for its proper use.

NOTE: Do not operate this monitor before reading these instructions.

Information for servicing this instrument is contained in the Passport V Service Manual, part number 0070-00-0705. For additional information or assistance, please contact an authorized service representative in your area.

CAUTION: U.S. Federal Law restricts this device to sale by or on the order

of a physician or other practitioner licensed by state law to use or order the use of this device.

NOTE: Figures in this manual are provided for reference purposes

only. Screens will likely differ based on the monitoring device configuration, licenses available, parameters selected and patient configuration of the Passport V monitor.

Patents: This device is covered under one or more of the following U.S. Patents: 5,300,859; 5,485,847; 5,657,750; 5,676,141; 5,743,263; 5,758,644; 5,823,950; 5,857,461; 6,011,986; 6,035,223; 6,157,850; 6,226,539; 6,263,222; 6,411,833; 6,422,240; 6,437,316; 6,463,310; 6,501,975; 6,591,123; 6,708,049; 7,016,715; 7,039,538; 7,120,479; 7,120,480; 7,142,142; 7,162,288; 7,190,985; 7,194,293; 7,209,774; 7,212,847; 7,400,919; foreign equivalents; and Masimo patents (www.masimo.com/ patents.htm). 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.

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 V Operating Instructions 0070- 0-0704-02 vii

Introduction Warn ings

Warnings

WARNING: Use of the Passport V is restricted to one patient at a time.

WARNING: This device is not intended for direct cardiac application.

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: Do not use this monitor during MRI (Magnetic Resonance

Imaging) scanning. Induced current could potentially cause burns. Accuracy of measurements on this unit and the MRI unit may also be affected.

WARNING: To reduce the hazard of burns in the high-frequency surgical

neutral electrode connection, the electrodes should not be located between the surgical site and the electro-surgical unit return electrode.

WARNING: Ensure that conductive parts of the ECG electrodes do not

contact other conductive parts including earth ground. Do not connect any non-isolated accessories to the Passport V or to the ECG or invasive pressure channel inputs when connected to a patient. Ensure that the total chassis leakage currents of all connected units does not exceed 300µA. Use an IEC 60601-1 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: Electrode polarization: some electrodes may be subject to large

offset potentials due to polarization. Use only electrodes as recommended by Mindray. Recovery time after application of defibrillator pulses may be especially compromised. Squeeze bulb electrodes commonly used for diagnostic ECG recording may be particularly vulnerable to this effect. Electrodes of dissimilar metals should not be used unless the amplifier can handle polarization potentials as high as 1 volt (V).

WARNING: The AC line cord and interface cables (i.e. non-patient cables)

may utilize the same ground. Therefore, removal of the AC line cord does not necessarily isolate the Passport V if non-patient interface cables are attached.

WARNING: Observe extreme caution when a defibrillator is used on a

patient. Do not touch any part of patient, table, or monitor when a defibrillator is in use.

WARNING: Do not incinerate battery; possible explosion may occur.

viii 0070- 0-0704-02 Passport V Operating Instructions

War nin gs Introduction

WARNING: To ensure that alarms can sound if the Gas Module/Passport V

loses power, at least one charged battery must be installed in the Passport V at all times.

WARNING: Do not put MPSO (Multiple Portable Socket Outlets, i.e. Multiple

outlet extension cords) used with the Passport V or its accessories on the floor. Connect only Passport V accessories to the same MPSO as the Passport V. Do not overload the MPSO. Do not connect other equipment to the same MPSO with the Passport V, as it may increase system leakage current.

WARNING: Reliably attach Potential Equalization connector to the safety

ground when interconnecting Passport V with other medical or non-medical electrical equipment to minimize the risk of excessive leakage current and/or shock hazard.

WARNING: Do not reuse disposable accessories. Dispose of single use items

in accordance with hospital policy.

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: Route cables neatly. Ensure cables, hoses and wires are kept

away from patient’s neck to avoid strangulation. Keep floors and walkways free of cables to reduce risk to hospital personnel, patients and visitors.

WARNING: Do not use a damaged or broken unit or accessory. Periodically,

check all cables (e.g., AC line cord and patient connection cables) for damage that may occur through normal use. Replace cable if damaged in any way.

WARNING: Ensure that the conductive parts of ECG electrodes do not

contact other conductive parts, including earth ground.

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.

Passport V Operating Instructions 0070- 0-0704-02 ix

Introduction Warn ings

WARNING: Due to physiologic differences in the patient population, the

Passport V may occasionally not alarm or may sound a false alarm for some arrhythmia patterns. The arrhythmia analysis feature is intended to detect ventricular rhythms only. High-risk patients should be kept under close surveillance.

WARNING: Trace Gas Hazard - When using the optional Gas Module, a

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.

WARNING: Connection of the Gas Module exhaust port to the hospital’s

waste gas scavenging 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 monitoring CO

nasal cannula is 150ml/min with the DPM CO

, the maximum sampling rate at the

module. This

device should not be used on patients whose breathing could be impaired by these vacuum flow rates.

WARNING: When monitoring an anesthesized patient in an operating room

environment, connection from the exhaust port of the Passport V to the hospital’s waste gas scavenging system is recommended to prevent exposure of hospital personnel to the patient’s respiratory sample.

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: Operation of the Passport V 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 V. It can also cause delayed recovery of the monitor after the discharge of a cardiac defibrillator.

x 0070- 0-0704-02 Passport V Operating Instructions

War nin gs Introduction

WARNING: Use of the Passport V in the vicinity of explosive anesthetics

and in the presence of electromagnetic interference or power overloads caused by electrosurgical or diathermy instruments could create a potential hazard or could damage the monitor.

WARNING: The use of gas sampling accessories in Gas Module 3 other than

those specified may cause significant measurement errors and patient risk.

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 V should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the Passport V and Gas Module should be observed to verify normal operation in the configuration in which they will be used.

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: The Gas Module must not be used with flammable anesthetic

agents.

WAR N ING: SpO

sensors, SpO2 accessories, and temperature probes

should be disposed of in accordance with local regulations.

WARNING: Shut down the monitor and disconnect all power cords from the

outlet before cleaning.

™

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

nuts) with DRYLINE

™

DRYLINE

Adult/Pediatric sampling lines (colorless Luer lock

nuts) with DRYLINE

Neonatal sampling lines (blue Luer lock

™

Adult/Pediatric water traps. Do not use

™

Neonatal water traps. These

configurations could result in incorrect measurement data.

WARNING: Do not use Adult/Pediatric type water traps and/or sampling

lines with neonates to avoid high sampling flow.

WARNING: The contents of the Gas Module water trap should be handled

as a potential infection hazard. The water trap, sampling line and airway adapter should be disposed of in accordance with local regulations for contaminated and biologically hazardous items.

Passport V Operating Instructions 0070- 0-0704-02 xi

Introduction Precautions

WAR N ING: CO

WARNING: Use the recommended cleaning methods for the DRYLINE

WARNING: A hazard can exist if different alarm presets are used for the

WARNING: The user should check that the current alarm settings on the

FilterLines® should be treated as biohazardous waste and

disposed of in accordance with local regulations for contaminated and biologically hazardous items.

™

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.

same or similar equipment in any single area.

Passport V monitor are appropriate prior to use on each patient.

Precautions

CAUTION: Always place the monitor on a rigid, flat surface or on

approved mounts. Do not block ventilation or speaker vents.

CAUTION: Do not carry the Passport V using the integrated grip handle if

the unit is mounted to another item (e.g., a rolling stand or Gas Module 3).

CAUTION: Never place fluids on top of this monitor. In case of accidental

spillage, wipe clean immediately and have the monitor serviced to ensure no hazard exists.

CAUTION: To avoid possible damage to the Passport V, and to provide

protection against the effect of the discharge of a cardiac defibrillator and against burns, use only approved ECG cables and approved accessories listed in the Accessories chapter.

CAUTION: To prevent condensation, allow the Passport V to warm up and

dry if it is moved from a cold to warm location.

CAUTION: The Passport V 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 mounting

hook can support the weight of the monitor. Consult the bed manufacturer’s specifications if necessary. The Company is not responsible for injury or damage resulting from improper or inadequate support of the monitor.

CAUTION: Use the power cord provided with the product. If a substitute is

necessary, use only hospital grade power cords.

xii 0070- 0-0704-02 Passport V Operating Instructions

Precautions Introduction

CAUTION: Line Isolation Monitor transients may resemble actual cardiac

waveforms, thus inhibiting heart rate alarms. Check lead wires for damage and ensure good skin contact prior to and during use. Always use fresh electrodes and follow proper skin preparation techniques.

CAUTION: Blood pressure cuffs must be used with the manufacturer’s

correct and approved hoses.

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: Observe caution on all patients (Neonates, Pediatrics, and

Adults), when NIBP is set to STAT Mode or the 1-minute interval, to minimize the possibility of nerve injury occurring during use of automatically cycled blood pressure cuffs.

CAUTION: Observe caution when NIBP measurement is performed on

patients suffering from sickle cell disease, or are expected to have skin injuries.

CAUTION: Observe caution when NIBP measurement is performed on a

patient’s limb with venous transfusion or catheters.

CAUTION: Tissue damage or inaccurate measurements may be caused by

incorrect SpO

sensor application or use, such as wrapping too

tightly, applying supplemental tape, failing to inspect the sensor site periodically, or failing to position appropriately. Carefully read the sensor directions for use, the Passport V Operating Instructions, and all precautionary information before use.

CAUTION: Inaccurate SpO

measurements may be caused by:

• Incorrect sensor application or use

• Significant levels of dysfunctional hemoglobins, (e.g.,

carboxyhemoglobin or methemoglobin)

• 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 excessive ambient light. In such cases, cover the sensor site with opaque material

• Excessive patient movement

• Venous pulsations

• Electro-surgical interference

Passport V Operating Instructions 0070- 0-0704-02 xiii

Introduction Precautions

• Placement of a sensor on an extremity that has a blood

pressure cuff, arterial catheter, or intra-vascular line

• Nail polish or fungus

CAUTION: In certain situations in which perfusion and signal strength are

low, such as in patients with thick or pigmented skin, inaccurately low SpO

readings will result. Verification of

oxygenation should be made, especially in preterm infants and patients with chronic lung disease, before instituting any therapy or intervention.

CAUTION: Many patients suffer from poor peripheral perfusion due to

hypothermia, hypovolemia, severe vasoconstriction, reduced cardiac output, etc. These symptoms may cause a loss in vital sign readings.

CAUTION: Prolonged and continuous monitoring may increase the risk of

skin erosion and pressure necrosis at the site of the sensor. Check the SpO

sensor site frequently to ensure proper

positioning, alignment and skin integrity at least every eight (8) hours; with the Adult and Pediatric re-usable finger sensor, check every four (4) hours; for neonates and patients of poor perfusion or with skin sensitive to light, check every 2 - 3 hours; more frequent examinations may be required for different patients. Change the sensor site if signs of circulatory compromise occur.

CAUTION: When equipped with Masimo SET

Oxygen Transducers including Masimo SET LNOP

SpO2, use only Masimo SET

and LNCS® Patient Dedicated Adhesive Sensors and Masimo SET PC Series Patient Cables. Use of other oxygen transducers may cause improper oximeter performance.

CAUTION: When equipped with Nellcor

transducers including Nellcor Oxisensor

SpO2, use only Nellcor oxygen

and OxiMax® patient dedicated adhesive sensors. Use of other oxygen transducers may cause improper oximeter performance.

CAUTION: When equipped with DPM SpO

, use only DPM oxygen sensors

and cables. Use of other oxygen sensors may cause improper oximeter performance.

CAUTION: Vacuum (negative pressure) should not exceed 1 mmHg at the

Passport V Pump Exhaust fitting. Excessive scavenge vacuum may result in an Occlusion message or damage to the Passport V’s internal pump. The scavenging system must be on during calibration.

CAUTION: When cleaning SpO

sensors, do not use excessive amounts of

liquid. Wipe the sensor surface with a soft cloth, dampened with cleaning solution. Do not attempt to sterilize.

xiv 0070- 0-0704-02 Passport V Operating Instructions

Precautions Introduction

CAUTION: Some disinfectants may cause skin irritation. Please rinse cuff

thoroughly with water to remove any residual disinfectants.

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.

CAUTION: To avoid permanent damage, do not expose metal components

(pins, sockets, snaps) to disinfectants, soaps or chemicals.

CAUTION: Do not connect NIBP Luer fittings to Blood Pressure Cuff or

Monitor.

CAUTION: Some pacemakers may contain a respiratory sensor that may

produce artifact on an ECG waveform.

CAUTION: The monitor display provides data and waveform information

over its entire area. Do not cover any part of the monitor display with tape or labels.

CAUTION: A functional tester cannot be used to assess the accuracy of the

pulse oximeter probe or a pulse oximeter monitor.

CAUTION: Replace lithium-ion batteries with part number

M05-010001-06 (Mindray) or 0146-00-0099 ONLY.

CAUTION: Gas Module 3 must be moisture protected whenever

transported. This can be done with a protective plastic bag in which water-absorbing materials (e.g. silica gel) have been included.

CAUTION: Contamination with CO

, N2O or Anesthetic Agent in the air

surrounding the Gas Module may cause significant measurement errors. The Gas Module exhaust output should be connected to a medical gas-scavenging system.

CAUTION: The Passport V monitor is not compatible with 700 Series

temperature probes.

CAUTION: Do not unplug the storage device from any of the SB ports on

the Passport V while transferring data, as indicated on the menu or prompt areas of the monitor. Data may be lost or corrupted and the storage device may become damaged.

Passport V Operating Instructions 0070- 0-0704-02 xv

IntroductionAvoid simultaneous contact with the patient and the SP1 and SP2 ports on the Passport V to avoid excessive leakage current.

CAUTION: Devices connected to the Passport V must meet the

requirements of the applicable IEC standards (e.g., IEC 60950 safety standards for information technology equipment and IEC 60601-1 safety standards for medical electrical equipment). The system configuration must meet the requirements of the IEC 60601-1-1 medical electrical systems standard. Any personnel who connects devices to the signal input/output port of the Passport V is responsible for providing evidence that the safety certification of the devices has been performed in accordance to the IEC 60601-1-1. Please contact Technical Support if you have any questions about connecting devices to the data port.

CAUTION: The Gas Module must be power cycled if the Passport V monitor

is powered off.

Avoid simultaneous contact with the patient and the SP1 and SP2 ports on the Passport V to avoid excessive leakage current.

Notes

NOTE: This unit is not designed to be used with a peripheral pulse

sensor. SpO used to obtain a plethysmograph waveform and heart rate.

NOTE: The comparison testing conducted via the auscultatory 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 Technical Support (800) 288-2121, ext. 8116 or (201) 995-8237.

NOTE: Potential hazards due to errors in software or hardware have

been minimized by actions taken in accordance with IEC 606011-4.

is a standard function in this monitor, and may be

xvi 0070- 0-0704-02 Passport V Operating Instructions

Intended Use Introduction

Intended Use

The Passport V monitor is intended for intra hospital use under the direct supervision of a licensed healthcare practitioner. The indications for use for the Passport V monitor include the monitoring of the following human physiological parameters:

• ECG waveform derived from 3- or 5-lead measurements

• Heart Rate derived from selected sources (ECG, IBP, SpO2)

• Pulse Oximetry (SpO2)

• ST Segment Analysis derived from 3 or 5 ECG lead measurements

• Arrhythmia Detection derived from 3 or 5 ECG lead measurements

• Non Invasive Blood Pressure (NIBP)

• Invasive Blood Pressure (IBP) - up to two (2) channels

• Respiration Rate/waveform derived from ECG or CO

•CO2, inspired and end tidal waveform

• Anesthetic agents, O

•Temperature

• IV Drug Calculations The target populations are adult, pediatric, and neonate; except Arrhythmia Detection and

ST Segment Analysis for which the target populations are adult and pediatric only; and IV Drug Calculations for which the target population is adult only.

(inspired and expired)

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 Service Department at (800) 288-2121 or (201) 995-8237 (U.S.A and Canada), or (201) 265-8800 (outside U.S.A. and Canada) for prompt assistance in resolving shipping problems.

Passport V Operating Instructions 0070- 0-0704-02 xvii

Symbols and Descriptions

SYMBOL DESCRIPTION SYMBOL DESCRIPTION

Attention, Consult Accompanying Documents / Refer to Manual

Electrical Hazard Type BF Equipment

Shock Hazard Defibrillator Proof Type BF Equipment

Equipotentiality Defibrillator Proof Type CF Equipment

Alternating Current (AC)

Direct Current (DC)

Power On/Off

Data Input Earth (Ground)

Data Output Protective Earth (Ground)

Type B Equipment

Alarm Off Icon

Alarm Silence Icon

Alarm Silence Permanently Icon

Data Input/Output Full Battery

Gas Port Input Low Battery

Gas Port Output No Battery Present

Chart Local Printer Output Battery Charging

Video Output

NIBP Connection Manufacturer

Separate treatment from general waste at end of life

xviii 0070- 0-0704-02 Passport V Operating Instructions

Interference may occur in the vicinity of equipment marked with this symbol

For single-patient use only, do not reuse. Manufacturer’s reference/catalogue

number

For Neonatal use Manufacturer’s batch number

Not for Neonatal use Serial number

Classified by Underwriters Laboratories

Inc. with respect to electric shock, fire Conformité Européenne (CE) Marking of Conformity to European Medical Device Directive. CE Body number

represents the Notified

XXXX

and mechanical hazards, only in

accordance with UL 60601-1, CAN/

CSA C22.2 NO.601-1, IEC 60601-1-1,

IEC 60601-2-25, IEC 60601-2-27, IEC

60601-2-30, IEC 60601-2-34, IEC

60601-2-49.

CS1 Port Connection

Wireless Enabled and not communicating

The wireless status icon indicates that the

2.4 GHz radio is activated.

SB Storage Device Connection

Passport V Operating Instructions 0070- 0-0704-02 xix

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xx 0070- 0-0704-02 Passport V Operating Instructions

1.0

General Product Description

FIGURE 1-1 The Passport V Patient Monitor

Passport V Operating Instructions 0070- 0-0704-02 1 - 1

General Product Description General Product Description

1.1 General Product Description

The Passport V is a vital signs monitor intended for intrahospital use on human patients.

The Passport V is a three (3) to eight (8) trace monitor. The unit has many features and functions, yet is easy to use through an integrated keypad, Navigator Knob and an intuitive menu system.

The Passport V has a 12.1 inch color display and comes standard with 3 or 5-lead ECG, Masimo SET IV Drug Calculations, and support for Gas Module 3 connectivity.

The Passport V may be configured to suit your department by adding software and hardware optional features. Optional software features include ST and Arrhythmia analysis. Optional hardware features include up to 2 Invasive Blood Pressure Channels, DPM CO MicroStream Local Printer, and 2.4 GHz wireless networking.

Digital displays are provided for Heart Rate, Non-invasive Blood Pressure (NIBP), Pulse Oximetry (SpO2), Respiration Rate, and Temperature. Optional digital areas provided for Invasive Blood Pressure (up to two), Anesthetic Agents, O The optional local printer provides hard copies of all digital data and waveforms as well as trend information.

SpO2, Non-invasive Blood Pressure, Respiration, Continuous Temperature and

CO2, Anesthetic Gases, DPM SpO2, Nellcor® OxiMax® SpO2, three-trace

and N2O, ST, CO2, and MAC.

When powered on, the self-check feature of the Passport V provides verification of proper operation.

The Passport V monitor can be mounted on a rolling stand, a wall mount bracket, gas machine arm, bedrail, Gas Module or operated as a tabletop instrument.

The Passport V has the capability of interfacing with Gas Modules, Remote Displays, Defibrillators, and Nurse Call Systems.

The Passport V monitor is powered by an AC connection or internal batteries.

The Passport V provides Remote View. This feature enables the user to view the numeric and waveform data of another patient who is being monitored at a remote location.

1 - 2 0070- 0-0704-02 Passport V Operating Instructions

General Product Description Key Features

1.2 Key Features

FEATURES STANDARD OPTIONAL

Display 12.1 inch color liquid crystal

display Automatic Sensor Detection and

Wave form Displ ay 8-trace erase bar refresh

ECG 3 or 5-lead

(I, II, III, aVR, aVL, aVF, V) ECG Cascade Arrhythmia Analysis

ESIS Capability (3 or 5-lead) Blood Pressure Non-Invasive Blood Pressure Up to 2 channels of Invasive Blood Pressure SpO

Temperature One channel for 400 series

Respirations Lead-selectable Impedance DPM CO

Trend Tabular and Graphic trends with

Power Internal isolated power module Second lithium-ion battery

Printing Local Printer, Remote Printer External

Interfaces

Calculation IV drug calculations Other Soft Grip Handle Mounting kits

Masimo SET

probes

6000 trend data entries

Lithium-ion battery

Gas Module, Nurse Call systems,

DIAP communications,

Defibrillator sync, Ethernet

network

Navigator Knob Patient and monitor data transfer

Dedicated keys

External Remote Color Display (SVGA)

ST Analysis

DPM SpO2, Nellcor® OxiMax® SpO

, Microstream® CO

Gas Module with Automatic Agent ID

Wireless network

Multi-language supported interface

Passport V Operating Instructions 0070- 0-0704-02 1 - 3

English, French, German, Italian,

Spanish, Brazilian-Portuguese,

Russian,Dutch

Keys and Front Panel General Product Description

1.3 Keys and Front Panel

The front panel keys are used to access many main functions quickly and easily. The figure below shows the keys and a brief explanation follows.

FIGURE 1-2 Front panel keys and Navigator Knob

1. 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. 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. View

Press this key to see multiple leads of ECG when using the 5-lead ECG cable. Press this key repeatedly to toggle between multi-lead view, large numeric display, and normal screen.

4. Start

Press this key to begin an NIBP measurement or to begin or re-start automatic interval measurements.

5. Interval Press this key to modify the NIBP interval measurement time. The choices are: Off, STAT, 1

min, 2 min, 3 min, 5 min, 10 min, 15 min, 20 min, 30 min, 1 hr, 2 hr, or 4 hr.

If Off is selected, NIBP measurements can be performed manually only. If STAT is selected, measurements will be continuous for a period of 5 minutes. Afterward, the monitor will switch to 5-minute intervals.

6. 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.

1 - 4 0070- 0-0704-02 Passport V Operating Instructions

General Product Description Keys and Front Panel

7. Zero All (with IBP option)

Press this key to set the current pressure for all invasive pressure channels to zero. This key does not affect any channels monitoring pressure. If the zero process is not successful, one of the following messages is displayed: Pulsatile Pressure. Cannot Zero! or Pressure

Overrange. Cannot Zero!

8. Limits

Press this key to display the Alarm Settings Menu. The Alarm Settings Menu provides access to view or change alarm values.

9. Silence 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 Alarm Setup Menu. While the alarms are suspended, an Alarm Silence icon and message All Alarms Silenced For X:XX mins display in the upper area of the screen. X: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 in the Alarm Setup Menu, the message All Alarms Silenced Permanently is displayed. Note that the Permanent selection will be available only if Enable Silence All Permanent Selection is set to “Yes” in the

Installation Menu.

10. Silence

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 Alarm Setup Menu or until 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 Silence icon and message Alarm Silenced For X:XX mins display in the upper area of the screen.

11. Strip

Press this key to initiate a printout to the selected device.

• If the print destination is the local printer, then pressing this key will produce a print strip of up to three (3) waveforms. The print length (16 or 32-seconds) can be set in the Print Setup menu. Pressing this key during a print job will abort the strip printout.

• If the print destination is a remote Central Station, then pressing this key will initiate a printout at the Central Station.

• If the print destination is a remote printer, then pressing this key will initiate a printout at the remote printer.

12. Cont ECG

Press this key to initiate a continuous ECG 1, 2, or 3 waveform printout from the internal printer. Press this key again to abort printing. The first three ECG waveforms displayed on the screen are printed continuously in real-time. If only one or two ECG waveforms are displayed on the screen, they will be printed.

Passport V Operating Instructions 0070- 0-0704-02 1 - 5

Keys and Front Panel General Product Description

13. Print Trend

Press this key to initiate printing of the displayed trend. By default, the monitor’s stored trend information will be printed by the internal printer. Pressing this key during a print job will abort printing.

• If the print destination is a remote Central Station, then pressing this key will initiate a trend report at the Central Station.

• If the print destination is a remote printer, then pressing this key will initiate a trend report at the remote printer.

14. Standby

Press this key to place the Passport V 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 The monitor notifies the central station and other monitors.

pump is shut off, and the display shuts down.

Except for the power on/off switch

and the STANDBY key, all the other hard keys on the front panel are disabled. When in the STANDBY mode, the message To Begin Monitoring, press Standby. is displayed.

NOTE: Trend data is not cleared in the STANDBY mode. When the

STANDBY mode is released, NIBP INTERVAL is in IDLE MODE and requires reactivation via the START key. The CO automatically reactivates if the DPM or Microstream is in place.

pump

sensor

Press the Standby key to exit the STANDBY mode and return to the normal screen. When exiting from the standby mode to the monitoring mode, the monitor responds as follows:

• Restores parameter measurement: Start arrhythmia relearning. Gas modules recover the working status before the standby mode. NIBP measurement will not start automatically.

• Restores normal data storage.

• All the alarms are activated.

• The screen becomes the one displayed before the standby mode.

• The function of auxiliary output is restored.

• The functions of input devices (such as the hard keys on the front panel) are activated.

• The monitor notifies the central station and other monitors.

15. Discharge

Press this key to discharge a patient.

16. Mark Event

Press this key to cause a time stamp event marker to be noted in the trend memory.

17. Trends

Press this key repeatedly to toggle through the following screens: Quick Trend, List Trend, Graphic Trend, and normal screen (or OxyCRG, if the patient size is set to Neonate).

18. Normal Screen

Press this key at any time to return the screen to the normal monitoring mode. All menus are closed.

1 - 6 0070- 0-0704-02 Passport V Operating Instructions

General Product Description Keys and Front Panel

19. Navigator Knob

Rotate this knob to highlight the various menus or functions on the display. Press the center of the knob to select the highlighted item. Selecting the item may open a menu, perform a function, or select an option.

20. Battery Charging LED

A green LED located above 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 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.

21. AC Power LED

A green LED located above the AC present icon is used to indicate that the unit is connected to the AC power.

Passport V Operating Instructions 0070- 0-0704-02 1 - 7

+ 258 hidden pages

Mindray Passport V Operating Instructions Manual

Specifications and Main Features

Frequently Asked Questions

User Manual