Mindray PM-9000 User Manual

PM-9000

Patient Monitor

Operation Manual

Intellectual Property Statement

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others. Mindray does not assume any liability arising out of any infringements of patents or other rights of third parties.

Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution, rent, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

and are the registered trademarks or trademarks owned by

Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners.

Contents of this manual are subject to changes without prior notice.

© 2005 - 2006 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.

I

Manufacturer’s Responsibility

All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

Mindray is responsible for safety, reliability and performance of this product only in the condition that:

All installation operations, expansions, changes, modifications and repairs of this product are conducted by Mindray authorized personnel; and

The electrical installation of the relevant room complies with the applicable national and local requirements; and

This product is operated under strict observance of this manual.

Warranty

This warranty is exclusive and is in lieu of all other warranties, expressed or implied, including warranties of merchantability or fitness for any particular purpose.

Exemptions

Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.

This warranty shall not extend to

Any Mindray product which has been subjected to misuse, negligence or accident; or

Any Mindray product from which Mindray's original serial number tag or product identification markings have been altered or removed; or

Any product of any other manufacturer.

II

Return Policy

In the event that it becomes necessary to return a unit to Mindray, follow the instructions below.

1.Obtain a return authorization.

Contact the Mindray Service Department and obtain a Mindray Customer Service Authorization Number. The Mindray Customer Service Authorization Number must appear on the outside of the shipping container. Return shipments will not be accepted if the Mindray Customer Service Authorization Number is not clearly visible. Please provide the model number, serial number, and a brief description of the reason for return.

2.Freight policy

The customer is responsible for freight charges when this product is shipped to Mindray for service (including any relevant customs fees or other freight related charges).

3.Return address

Please send the part(s) or equipment to the address offered by Customer Service Department.

III

Contact Information

Manufacturer:	Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address:	Mindray Building, Keji 12th Road South, Hi-tech
	Industrial Park, Nanshan, Shenzhen 518057 P.R. China
Tel:	[phone]	[phone]
Fax:	[phone]	[phone]
Website:	www.mindray.com
EC-Representative:	Shanghai International Holding Corp. GmbH (Europe)
Address:	Eiffestraße 80, 20537 Hamburg Germany
Tel:	0049-40-2513175
Fax:	0049-40-255726
Manufacturer:	Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

IV

Contents

1	Safety....................................................................................................................			1-1
	1.1	Safety Information ......................................................................................		1-2
		1.1.1	Dangers ...........................................................................................	1-3
		1.1.2	Warnings..........................................................................................	1-3
		1.1.3	Cautions...........................................................................................	1-4
		1.1.4	Notes ...............................................................................................	1-5
	1.2	Equipment Symbols ....................................................................................		1-6
	1.3	CE Marking.................................................................................................		1-8
	1.4	Reference Literature....................................................................................		1-8

2	The Basics		............................................................................................................	2-1
	2.1	Monitor ....................................................................................Description		2-2
		2.1.1 ....................................................................................	Intended Use	2-2
		2.1.2 ............................................................................	Contraindications	2-3
		2.1.3 .....................................................................................	Components	2-3
		2.1.4 .........................................................................................	Functions	2-3
	2.2	External ...................................................................................Appearance		2-5
		2.2.1 ......................................................................................	Front Panel	2-5
		2.2.2 ........................................................................................	Side Panel	2-6
		2.2.3 .......................................................................................	Rear Panel	2-8
	2.3	Control .............................................................................................Panel		2-10
	2.4	Display ......................................................................................................		2-12
	2.5	Batteries ....................................................................................................		2-15
		2.5.1 .....................................................................	Battery Maintenance	2-16
		2.5.2 ..........................................................................	Battery Recycling	2-17

3	Installation and Maintenance.............................................................................			3-1
	3.1	Installation...................................................................................................		3-2
		3.1.1	Unpacking and Checking ................................................................	3-2
		3.1.2	Environmental Requirements..........................................................	3-3
		3.1.3	Power Source Requirements ...........................................................	3-3
		3.1.4	Bracket Mounting............................................................................	3-3
		3.1.5	Installation Method .........................................................................	3-4
		3.1.6 Powering on the Monitor.................................................................		3-8
		3.1.7 Powering off the Monitor................................................................		3-8
	3.2	Maintenance ................................................................................................		3-9
		3.2.1	Inspection ........................................................................................	3-9

V

Contents

		3.2.2	Cleaning ........................................................................................	3-10
		3.2.3	Disinfection ....................................................................................	3-11
4	System Menu .......................................................................................................			4-1
	4.1	Overview.....................................................................................................		4-2
	4.2	Patient Setup................................................................................................		4-4
		4.2.1	Admit Patient ..................................................................................	4-5
		4.2.2	Quick Admit Patient........................................................................	4-7
		4.2.3	Modify Patient.................................................................................	4-7
		4.2.4	Clear Patient Data............................................................................	4-8
		4.2.5	Discharge Patient.............................................................................	4-8
	4.3	Default Setup...............................................................................................		4-9
	4.4	System Setup.............................................................................................		4-10
		4.4.1	Face Select .....................................................................................	4-11
		4.4.2	Alarm Setup ...................................................................................	4-11
		4.4.3	Time Setup ....................................................................................	4-13
		4.4.4	Recorder Setup ..............................................................................	4-14
		4.4.5	Data Output ...................................................................................	4-16
		4.4.6	Analog Output...............................................................................	4-17
		4.4.7	Module Setup ................................................................................	4-18
		4.4.8	Trace Setup....................................................................................	4-19
		4.4.9	Mark Event....................................................................................	4-20
	4.5	Selection Setup..........................................................................................		4-21
	4.6	Monitor Version ........................................................................................		4-22
	4.7	Maintenance ..............................................................................................		4-24
		4.7.1	IP Address Setup ...........................................................................	4-27
		4.7.2	Wireless Net Setup ........................................................................	4-27
		4.7.3 Self Definition of Color.................................................................		4-28
		4.7.4	Nurse Call Setup ...........................................................................	4-29
		4.7.5	CO2 User Maintain........................................................................	4-31
		4.7.6	Monitor Status ...............................................................................	4-31
	4.8	DEMO Function........................................................................................		4-32
5	Face Selection ......................................................................................................			5-1
	5.1	Standard Screen...........................................................................................		5-2
	5.2	Trend Screen ...............................................................................................		5-3
	5.3	OxyCRG Screen..........................................................................................		5-4
	5.4	Viewbed Screen...........................................................................................		5-5
	5.5	Large Font Screen .......................................................................................		5-7
	5.6	Standby Mode .............................................................................................		5-8
6	Alarms..................................................................................................................			6-1
	6.1	Overview.....................................................................................................		6-2
		6.1.1	Alarm Categories.............................................................................	6-2

VI

Contents

		6.1.2	Alarm Levels ...................................................................................	6-3
	6.2	Alarm Modes...............................................................................................		6-4
		6.2.1	Visual Alarms ..................................................................................	6-4
		6.2.2	Audible alarms ................................................................................	6-4
		6.2.3	Alarm Messages ..............................................................................	6-5
		6.2.4	Parameter Flashes ............................................................................	6-5
	6.3	Alarm Statuses ............................................................................................		6-6
		6.3.1	Alarms Disabled ..............................................................................	6-6
		6.3.2	Alarms Paused .................................................................................	6-7
		6.3.3	System Silenced ..............................................................................	6-7
		6.3.4	Alarms Silenced ..............................................................................	6-7
		6.3.5	Status Switchover ............................................................................	6-8
	6.4	Latching Alarms ..........................................................................................		6-9
	6.5	Clearing Alarms ........................................................................................		6-10
	6.6	When an Alarm Occurs ..............................................................................		6-11
7	Freezing Waveforms ...........................................................................................			7-1
	7.1	Overview.....................................................................................................		7-2
	7.2	Freezing and Unfreezing .............................................................................		7-2
	7.3	FROZEN Menu...........................................................................................		7-3
	7.4	Waveform Recall.........................................................................................		7-4
	7.5	Recording Frozen Waveforms.....................................................................		7-4
8	Recording		.............................................................................................................	8-1
	8.1	Overview.....................................................................................................		8-2
	8.2	Recording ..........................................................................................Types		8-2
	8.3	Recorder ....................................................................................Operations		8-5
	8.4	Installing ............................................................................Recorder Paper		8-9
9	Recall....................................................................................................................			9-1
	9.1	Overview.....................................................................................................		9-2
	9.2	Trend .....................................................................................Graph Recall		9-3
	9.3	Trend ......................................................................................Table Recall		9-5
	9.4	NIBP .................................................................................................Recall		9-7
	9.5	Alarm .....................................................................................Event Recall		9-8
	9.6	Non- .........................................................................Volatile Data Storage		9-10
10	Drug Calculation ...............................................................................................			10-1
	10.1	Drug .......................................................................................Calculation		10-2
	10.2	Titration ...........................................................................................Table		10-5
11	ECG/RESP ....................................................................................Monitoring			11-1
	11.1	Overview....................................................................................................		11-2
		11.1.1 ..............................................................................ECG Waveform		11-2

VII

Contents

		11.1.2	ECG Parameters .............................................................................	11-4
	11.2	ECG Monitoring Procedure .......................................................................		11-5
		11.2.1	Preparation .....................................................................................	11-5
		11.2.2	Electrode Placement.......................................................................	11-6
	11.3	ECG Setup Menu .....................................................................................		11-12
	11.4	ST Analysis ..............................................................................................		11-21
		11.4.1	Overview......................................................................................	11-21
		11.4.2	ST Analysis Menu ........................................................................	11-21
	11.5	Arrhythmia Analysis ................................................................................		11-25
		11.5.1	Overview......................................................................................	11-25
		11.5.2	Arrhythmia Analysis Menu ..........................................................	11-26
		11.5.3	Arrhythmia Alarm Setup ..............................................................	11-27
		11.5.4	Arrhythmia Recall........................................................................	11-28
	11.6	ECG 12-Lead Monitoring ........................................................................		11-30
		11.6.1	General .........................................................................................	11-30
		11.6.2	Monitoring Procedure ..................................................................	11-31
		11.6.3	ECG Setup Menu for 12-Lead Monitoring ..................................	11-34
		11.6.4	Data Review .................................................................................	11-41
	11.7	RESP Monitoring .....................................................................................		11-43
		11.7.1	Overview......................................................................................	11-43
		11.7.2	Electrode Placement.....................................................................	11-44
		11.7.3	Respiration Setup .........................................................................	11-45
	11.8	Maintenance and Cleaning.......................................................................		11-47
12	SpO2 Monitoring ...............................................................................................			12-1
	12.1	Overview...................................................................................................		12-2
	12.2	Mindray SpO2 Module ..............................................................................		12-4
		12.2.1	Principles of Operation..................................................................	12-4
		12.2.2	Precautions ....................................................................................	12-5
		12.2.3	Monitoring Procedure ...................................................................	12-6
		12.2.4	Measurement Limitations..............................................................	12-8
		12.2.5 SpO2 Setup Menu..........................................................................		12-9
	12.3	Masimo SpO2 Module.............................................................................		12-12
		12.3.1	Principles of Operation................................................................	12-12
		12.3.2	Precautions ..................................................................................	12-14
		12.3.3	Monitoring Procedure .................................................................	12-16
		12.3.4	Measurement Limitations............................................................	12-16
		12.3.5 SpO2 Setup Menu........................................................................		12-17
		12.3.6	Sensors and Accessories..............................................................	12-19
		12.3.7 Masimo Information....................................................................		12-22
	12.4	Nellcor SpO2 Module..............................................................................		12-23
		12.4.1	Principles of Operation................................................................	12-23
		12.4.2	Precautions ..................................................................................	12-25
		12.4.3	Monitoring Procedure .................................................................	12-26

VIII

Contents

		12.4.4	Measurement Limitations............................................................	12-27
		12.4.5 SpO2 Setup Menu........................................................................		12-28
		12.4.6	Accessories..................................................................................	12-30
		12.4.7	Nellcor Information.....................................................................	12-31
13	NIBP Monitoring...............................................................................................			13-1
	13.1	Overview...................................................................................................		13-2
	13.2	Monitoring Procedure ...............................................................................		13-3
		13.2.1	Cuff Selection and Placement .......................................................	13-3
		13.2.2	Operation Guides...........................................................................	13-5
	13.3	Measurement Limitations..........................................................................		13-6
	13.4	NIBP Setup Menu .....................................................................................		13-7
		13.4.1	Calibration.....................................................................................	13-9
		13.4.2	Testing for Air Leakage...............................................................	13-10
	13.5	Maintenance and Cleaning.......................................................................		13-11
14	TEMP Monitoring.............................................................................................			14-1
	14.1	Overview...................................................................................................		14-2
	14.2	Measurement Procedure............................................................................		14-3
	14.3	TEMP Setup Menu....................................................................................		14-4
	14.4	Maintenance and Cleaning........................................................................		14-6
15	IBP Monitoring .................................................................................................			15-1
	15.1	Overview...................................................................................................		15-2
	15.2	Precautions ................................................................................................		15-3
	15.3	Monitoring Procedure ...............................................................................		15-4
	15.4	IBP Menu ..................................................................................................		15-5
		15.4.1 IBP Setup Menu ............................................................................		15-5
		15.4.2 IBP Pressure Zero Menu ...............................................................		15-8
		15.4.3	IBP Pressure Calibration ..............................................................	15-11
	15.5	Maintenance and Cleaning......................................................................		15-14
	15.6	ICP Transducer ICT/B.............................................................................		15-16
		15.6.1	Introduction .................................................................................	15-16
		15.6.2	Precautions ..................................................................................	15-17
		15.6.3	Calibration and Zeroing ..............................................................	15-18
		15.6.4	Application of ICT/B ..................................................................	15-20
		15.6.5	Maintenance and Cleaning ..........................................................	15-23
		15.6.6	Frequently Asked Questions........................................................	15-26
16	CO Monitoring ..................................................................................................			16-1
	16.1	Overview...................................................................................................		16-2
	16.2	Measurement Procedure............................................................................		16-3
		16.2.1 Window for CO Measurement ......................................................		16-5
		16.2.2	Blood Temperature Monitoring.....................................................	16-8

IX

Contents

	16.3	CO Setup Menu.........................................................................................		16-9
	16.4	Hemodynamic Calculation.......................................................................		16-11
	16.5	Maintenance and Cleaning......................................................................		16-13
17	CO2 Monitoring.................................................................................................			17-1
	17.1	Overview...................................................................................................		17-2
	17.2	Mindray CO2 Module................................................................................		17-3
		17.2.1	Principles of Operation ..................................................................	17-3
		17.2.2 Preparations for CO2 Measurement...............................................		17-4
		17.2.3 CO2 Setup Menu ...........................................................................		17-6
		17.2.4 CO2 User Maintain Menu............................................................		17-10
		17.2.5	Maintenance and Cleaning ..........................................................	17-12
	17.3	Oridion CO2 Module ...............................................................................		17-13
		17.3.1	Principles of Operation ................................................................	17-13
		17.3.2 Preparations for CO2 Measurement.............................................		17-14
		17.3.3 CO2 Setup Menu .........................................................................		17-15
		17.3.4 CO2 User Maintain Menu............................................................		17-19
		17.3.5	Maintenance and Cleaning ..........................................................	17-21
		17.3.6	Oridion Information ....................................................................	17-21
	17.4	Welch Allyn CO2 Module .......................................................................		17-22
		17.4.1	Principles of Operation ................................................................	17-22
		17.4.2 Preparations for CO2 Measurement.............................................		17-23
		17.4.3 CO2 Setup Menu .........................................................................		17-24
		17.4.4	Maintenance and Cleaning ..........................................................	17-28
18	Anesthesia Gas Monitoring ..............................................................................			18-1
	18.1	Overview...................................................................................................		18-2
	18.2	Measurement Principles and Procedure ....................................................		18-4
	18.3	AG Setup Menu.........................................................................................		18-6
	18.4	Maintenance and Cleaning......................................................................		18-10
19	Accessories		.........................................................................................................	19-1
	19.1	ECG Accessories.......................................................................................		19-2
	19.2	SpO2 Accessories ......................................................................................		19-4
		19.2.1 ............................................................Mindray SpO2 Accessories		19-4
		19.2.2 ............................................................Masimo SpO2 Accessories		19-5
		19.2.3 ..............................................................	Nellcor SpO 2 Accessories	19-5
	19.3	NIBP Accessories......................................................................................		19-6
	19.4	TEMP ....................................................................................Accessories		19-7
	19.5	IBP Accessories.........................................................................................		19-8
	19.6	CO Accessories .........................................................................................		19-9
	19.7	CO2 Accessories......................................................................................		19-10
		19.7.1 ...........................................................Mindray CO2 Accessories		19-10
		19.7.2 .............................................................Oridion CO2 Accessories		19-10

X

Contents

	19.7.3	Welch Allyn CO 2 Accessories ......................................................	19-11
	19.8 AG Accessories .......................................................................................		19-12
20	Appendices	.........................................................................................................	20-1
	Appendix A	Product Specifications .................................................................	20-2
	A.1	Safety Classifications ....................................................................	20-2
	A.2 ........................................................	Environmental Specifications	20-3
	A.3 .........................................................	Power Source Specifications	20-4
	A.4 ...............................................................	Hardware Specifications	20-5
	A.5 ...........................................................................	Wireless network	20-6
	A.6 ..................................................................................	Data Storage	20-6
	A.7 .........................................................	Signal Output Specifications	20-7
	A.8 .......................................................................	ECG Specifications	20-8
	A.9 ....................................................................	RESP Specifications	20-10
	A.10 ......................................................................	SpO 2 Specifications	20-11
	A.11 ....................................................................	NIBP Specifications	20-13
	A.12 ...................................................................	TEMP Specifications	20-14
	A.13 .......................................................................	IBP Specifications	20-15
	A.14 ........................................................................	CO Specifications	20-16
	A.15 ......................................................................	CO 2 Specifications	20-17
	A.16 .......................................................................	AG Specifications	20-20
	Appendix B ..........................................................................................	EMC	20-22
	Appendix C .................................Alarm Messages and Prompt Information		20-27
	C.1 ....................................................	Physiological Alarm Messages	20-27
	C.2 ..........................................................	Technical Alarm Messages	20-28
	C.3 .........................................................................	Prompt Messages	20-40
	Appendix D ....................................................................	Optional Functions	20-43
	Appendix E .......................................................	Symbols and Abbreviations	20-45
	E.1 .......................................................................................	Symbols	20-45
	E.2 ..............................................................................	Abbreviations	20-47

XI

Contents

FOR YOUR NOTES

XII

Preface

Manual Purpose

This manual provides the instructions necessary to operate the PM-9000 Patient Monitor (hereinafter called as this monitor) in accordance with its function and intended use. Observance of this manual is a prerequisite for proper performance and correct operation, and ensures patient and operator safety.

This manual is written based on the maximum configuration. Part of this manual may not apply to your monitor. If you have any question about the configuration of your monitor, please contact our Customer Service.

This manual is an integral part of and should always be kept close to the patient monitor, so that it can be obtained conveniently when necessary.

Intended Audience

This manual is geared for the clinical medical professionals. Clinical medical professionals are expected to have working knowledge of medical procedures, practices and terminology as required for monitoring of critically ill patients.

Version Information

This manual has a version number. This version number changes whenever the manual is updated due to software or technical specification change. Content of this manual is subject to change without prior notice. The version information of this manual is as follows.

Version number	Release date
6.2	December, 2006

1

Preface

Illustrations and Names

All illustrations in this manual are provided as examples only. They may not necessarily accord with the graph, settings or data displayed on your patient monitor.

All names appeared in this manual and illustrations are fictive. It is a mere coincidence if the name is the same with yours.

Conventions

Italic text is used in this manual to quote the referenced chapters or sections.

The terms danger, warning, and caution are used throughout this manual to point out hazards and to designate a degree or level or seriousness.

2

1 Safety

1.1	Safety Information ......................................................................................		1-2
	1.1.1	Dangers ...........................................................................................	1-3
	1.1.2	Warnings..........................................................................................	1-3
	1.1.3	Cautions...........................................................................................	1-4
	1.1.4	Notes ...............................................................................................	1-5
1.2	Equipment Symbols ....................................................................................		1-6
1.3	CE Marking.................................................................................................		1-8
1.4	Reference Literature....................................................................................		1-8

1-1

Safety

1.1Safety Information

The safety statements presented in this chapter refer to the basic safety information that the operator of the patient monitor shall pay attention to and abide by. There are additional safety statements in other chapters or sections, which may be the same as or similar to the followings, or specific to the operations.

DANGER

zIndicates an imminent hazard situation that, if not avoided, will result in death or serious injury.

WARNING

zIndicates a potential hazard situation or unsafe practice that, if not avoided, could result in death or serious injury.

CAUTION

zIndicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or product/property damage.

NOTE

zProvides application tips or other useful information to ensure that you get the most from your product.

1-2

Safety

1.1.1Dangers

There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections of this operation manual.

1.1.2Warnings

WARNING

zThe device is intended for use by qualified clinical physicians or well-trained nurses in the specified places.

zTo ensure patient safety, verify the device and accessories can function safely and normally before use.

zEXPLOSION HAZARD: Do not use this device in the presence of flammable anesthetics, explosive substances, vapors or liquids.

zYou must customize the alarm settings according to the individual patient situation, and make sure the alarm sound is activated when an alarm occurs.

zELECTRIC SHOCK: Do not open the monitor housing. All servicing and future upgrades to this device must be carried out by personnel trained and authorized by our company only.

zDEFIBRILLATION: Do not come into contact with the patient during defibrillation. Otherwise serious injury or death could result.

zWhen used in conjunction with electro-surgery equipment, you must give top priority to the patient safety.

zDISPOSE: Dispose of the package material, observing the applicable waste control regulations and keeping it out of children’s reach.

zThe device must be connected to a properly installed power outlet with protective earth contacts only. If the installation does not provide for a protective earth conductor, disconnect the monitor from the power line and operate it on battery power, if possible.

1-3

Safety

1.1.3Cautions

CAUTION

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

zRemove the battery from the patient monitor if it will not be used or not be connected to the power line for a long period.

zDisposable devices are intended for single use only. They should not be reused as performance could degrade or contamination could occur.

zAt the end of its service life, the product described in this manual, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. If you have any questions concerning disposal of the products, please contact with us.

zMagnetic and electrical fields are capable of interfering with the proper performance of the device. For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation.

zBefore connecting the patient monitor to the power line, check that the voltage and frequency ratings of the power line are the same as those indicated on the label or in this manual.

zInstall or carry the patient monitor properly to avoid damages caused by drop, impact, strong vibration or other mechanical force.

1-4

Safety

1.1.4 Notes

NOTE

zKeep this manual close to the patient monitor so that it can be obtained conveniently when necessary.

zThis patient monitor complies with the requirements of CISPR11 (EN55011) class A.

zThe software was developed per IEC601-1-4. The possibility of hazards arising from errors in software program is minimized.

zPut the patient monitor in a location where you can easily see the screen and access the operating controls.

zThe instructions of this manual are based on the maximum configuration. Some of them may not apply to your patient monitor.

1-5

Safety

1.2Equipment Symbols

NOTE

zSome symbols may not appear on all equipment.

Attention: Consult accompanying documents (this manual).

Power ON/OFF

Alternating current (AC)

Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating) patient part providing a high degree of protection against shock, and is suitable for use during defibrillation.

TYPE BF applied part. Defibrillator-proof protection against electrical shock.

Equipotentiality

Gas inlet

Gas outlet

Auxiliary output

Network connector

VGA connector

Manufacture date

1-6

Safety

Serial number

European community representative

This mark means that this device is fully in conformance with the Council Directive Concerning Medical Devices 93/42/EEC. The number adjacent to the CE marking (0123) is the number of the EU-notified body that certified meeting the requirements of Annex II of the Directive.

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

This symbol indicates that this product should not be treated as household waste. By ensuring that this product is disposed of correctly, you will help prevent bringing potential negative consequences to the environment and human health. For more detailed information with regard to returning and recycling this product, please consult the distributor from whom you purchased it.

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

1-7

Safety

1.3CE Marking

The patient monitor bears CE mark indicating its conformity with the provision of Council Directive 93/42/EEC concerning medical devices, and fulfills the essential requirement of Annex I of this directive.

The patient monitor is in radio-interference protection class A in accordance with EN55011.

The product complies with the requirement of standard EN60601-1-2 “Electromagnetic Compatibility – Medical Electrical Equipment”.

1.4Reference Literature

1.Medical Device Directive 93/42/EEC

2.EN60601-1+A1+A2 or IEC60601-1+A1+A2, Medical Electrical Equipment, Part 1: General Requirements for Safety

3.EN60601-1-1 or IEC60601-1-1, Medical Electrical EquipmentPart 1-1: General Requirements for Safety - Collateral Standard: Safety Requirements for Medical Electrical Systems

4.IEC60601-1-4, Medical Electrical EquipmentPart 1-4: General Requirements for Safety - Collateral Standard: Programmable Electrical Medical Systems

5.IEC60601-2-49 Medical Electrical Equipment-Part 2-49: Particular Requirements for the Safety of Multifunction Patient Monitoring Equipment

1-8

2 The Basics

2.1	Monitor Description ....................................................................................		2-2
	2.1.1	Intended Use....................................................................................	2-2
	2.1.2	Contraindications ............................................................................	2-3
	2.1.3	Components.....................................................................................	2-3
	2.1.4	Functions.........................................................................................	2-3
2.2	External Appearance ...................................................................................		2-5
	2.2.1	Front Panel ......................................................................................	2-5
	2.2.2	Side Panel........................................................................................	2-6
	2.2.3	Rear Panel .......................................................................................	2-8
2.3	Control Panel.............................................................................................		2-10
2.4	Display ......................................................................................................		2-12
2.5	Batteries ....................................................................................................		2-15
	2.5.1	Battery Maintenance .....................................................................	2-16
	2.5.2	Battery Recycling..........................................................................	2-17

2-1

The Basics

2.1Monitor Description

This monitor integrates the functions of parameter measurement, waveform monitoring, freezing, and recording, etc. Its color TFT liquid crystal display is able to show patient parameters and waveforms clearly. The monitor also features compact size, lightweight, easy-to-carry handle and built-in battery, which make it portable, especially in hospital transport. The compact control panel and control knob, and the easy-to-use menu system enable you to freeze, record, or perform other operations conveniently. Besides, this monitor can be connected with the central monitoring system whereby a monitoring network will be formed.

2.1.1Intended Use

The intended use of this monitor is to monitor a fixed set of parameters (see 2.1.4 Functions) for single adult, pediatric and neonatal patient, to display patient data and waveforms, to store patient data in a trend database, and to generate alarms and recordings.

This monitor is to be used in but not restricted to medical institutions such as ICU, CCU, cardiopathy ICU, operating room, emergency room and postoperative observation ward etc. This monitor may also be used during hospital transport or ambulance. This monitor is not intended for helicopter transport or home use.

WARNING

zThis Monitor is to be operated by clinical physicians or appropriate medical staffs under the direction of physicians. The operator of the monitor must be well trained. Any operation by unauthorized or non-trained personnel is forbidden.

zThe physiological waveforms and parameters and the alarm information displayed by the monitor are only for the reference of physicians, but cannot be used directly to determine the clinical treatment.

2-2

The Basics

2.1.2Contraindications

None.

2.1.3Components

This monitor consists of parameter measuring modules, blood pressure cuff, ECG, IBP and CO cables, SpO2 sensors, CO2 and AG measuring components. Some of the components are optional and may not apply to your patient monitor.

2.1.4Functions

This monitor is capable of monitoring the following parameters.

	ECG	Heart rate (HR)
		2 channels of ECG waveforms
		Arrhythmia and ST segment analysis (optional)
		Pace analysis (PACE)
	RESP	Respiration rate (RR)
		Respiration waveform
	SpO2	Oxygen saturation (SpO2)
		Pulse rate (PR)
		SpO2 plethysmogram
	NIBP	Systolic pressure (NS), diastolic pressure (ND), mean pressure (NM)
	TEMP	Temperature of channel 1 (T1), temperature of channel 2 (T2),
		and temperature differential between two channels (TD)
	IBP	2 channels of IBP waveforms
		Systolic (SYS), diastolic (DIA), and mean (MEAN) pressure.
	CO	Temperature of blood (TB)
		Cardiac output (CO)

2-3

The Basics

	CO2	End-tidal carbon dioxide (EtCO2)
		Fractional inspiratory carbon dioxide (FiCO2)
		Air-way Respiration Rate (AwRR)
	AG	Fraction of inspired carbon dioxide, nitrous oxide, oxygen or anesthetic
		gas (FiCO2, FiN2O, FiO2, FiAA), and End-tidal carbon dioxide, nitrous
		oxide or oxygen (EtCO2, EtN2O, EtO2, EtAA)
		AA refers to one of the following anesthetic agents:
		HAL (Halothame)
		ISO (Isoflurane)
		ENF (Enflurane)
		SEV (Sevoflurane)
		DES (esflurane)
		Airway respiration rate (AwRR)
		Minimum alveolar concentration (MAC)
		4 channels of AG waveforms (CO2, N2O, O2 and AA)

This monitor has additional functions including visual & audible alarms, freezing, data storage and output, recall, recording and drug calculation etc. Please refer to the following corresponding chapters for details of each specific function.

2-4

The Basics

2.2External Appearance

2.2.1Front Panel

Handle

Display

Control panel

Control knob

Alarm indicator

Figure 2-1 Front Panel

This monitor is designed to comply with the requirements of relative international safety standards (IEC60601-1, EN60601-2-27 and EN60601-2-30) for medical electrical equipment. This monitor has floating inputs and is protected against the effects of defibrillation and electrosurgery. When proper electrodes are used and applied according to the manufacturer instructions, the screen display will recover within 10 seconds after defibrillation.

The alarm indicator of this monitor complies with the requirement of EN60825-1 A11 Class 1 for LED. The LED indicator varies its flash color and frequency to indicate different alarm levels. For details, please refer to the section of 6.2.1 Visual Alarms.

WARNING

zMove or lift the monitor by the handle only. Do not use the patient cable or the power cord to move or lift the monitor. It might cause the monitor to fall, which might damage the monitor or injure the patient.

2-5

The Basics

2.2.2Side Panel

On the left side of the monitor, you can find the following connectors and the battery compartment.

1						2
						3
4						5
6						7
8						9
						10

Figure 2-2 Left Side Panel

1.CO2: CO2 sensor connector (Welch Allyn CO2 module)

2.	T1:	Temperature probe connector (channel 1)
3.	T2:	Temperature probe connector (channel 2)
4.	IBP1:	IBP transducer connector (channel 1)
5.	IBP2:	IBP transducer connector (channel 2)
6.	ECG:	ECG cable connector
7.	CO:	CO cable connector
8.	NIBP:	NIBP cuff hose connector

9.SpO2: SpO2 sensor connector

10.Battery door

2-6