User's Manual
Table Of Contents
- 1 Safety
- 2 Equipment Introduction
- 3 Getting Started
- 3.1 Equipment Preparation Safety Information
- 3.2 Monitor Installation
- 3.3 Setting Up the Equipment
- 3.4 Turning on the Monitor
- 3.5 Operation and Navigation
- 3.6 Screen Display
- 3.7 Operating Modes
- 3.8 Configuring the Monitor
- 3.9 General Operation
- 3.10 Freezing Waveforms
- 3.11 Checking Software Licenses
- 3.12 Capturing the Screen
- 3.13 Connecting the CMS
- 3.14 Connecting the eGateway
- 3.15 Disconnecting the Wireless Network
- 3.16 Turning Off the Monitor
- 4 User Screens
- 4.1 Choosing a Screen
- 4.2 Normal Screen
- 4.3 The Big Numerics Screen
- 4.4 Minitrends Screen
- 4.4.1 Entering the Minitrends Screen
- 4.4.2 The Display of Minitrends Screen
- 4.4.3 Viewing Trends of Longer Time
- 4.4.4 Setting Minitrends Parameters
- 4.4.5 Setting the Minitrend Length
- 4.4.6 Setting the Alarm Statistics Switch
- 4.4.7 Setting the Alarm Statistics Length
- 4.4.8 Routine Vital/Baseline
- 4.4.9 Aldrete Score
- 4.5 The OxyCRG Screen
- 4.6 The SpO2 Screen
- 4.7 Remote View
- 5 Managing Patients
- 6 Interfacing with External Devices
- 6.1 BeneLink Introduction
- 6.2 BeneLink Safety Information
- 6.3 Differences in Displayed Values
- 6.4 Connecting an External Device
- 6.5 Accessing the Integrated Devices Screen
- 6.6 Displaying Parameters from External Devices
- 6.7 Viewing Alarms from External Devices
- 6.8 Viewing Parameter Trends from External Devices
- 6.9 Recording and Printing Parameter Trends from External Devices
- 7 Alarms
- 7.1 Alarm Introduction
- 7.2 Alarm Safety Information
- 7.3 Understanding the Alarms
- 7.4 Accessing On-screen Help for Technical Alarms (AlarmSight)
- 7.5 Checking the Physiological Alarms List
- 7.6 Changing Alarm Settings
- 7.6.1 Setting Parameter Alarm Properties
- 7.6.2 Setting Alarm Tone Properties
- 7.6.3 Setting the Auto Limits for New Patient Switch
- 7.6.4 Initiating Auto Alarm Limits
- 7.6.5 Setting the Apnea Delay Time
- 7.6.6 Switching on or off V-Tach Latching
- 7.6.7 Restoring the Default Alarm Settings
- 7.6.8 Setting the Length of Printed Waveforms
- 7.7 Pausing Alarms/Pausing Alarm Tones
- 7.8 Resetting Alarms
- 7.9 Latching Alarms
- 7.10 Nurse Call
- 7.11 Calling for Help
- 7.12 CPB Mode
- 7.13 Intubation Mode
- 7.14 Testing Alarms
- 8 Monitoring ECG, Arrhythmia, ST and QT
- 8.1 ECG Introduction
- 8.2 ECG Safety Information
- 8.3 ECG Display
- 8.4 Preparing for ECG Monitoring
- 8.5 Changing ECG Settings
- 8.6 Monitoring Arrhythmia
- 8.7 ST Segment Monitoring
- 8.7.1 ST Safety Information
- 8.7.2 Enabling ST Monitoring
- 8.7.3 Displaying ST Deviation Numerics
- 8.7.4 Displaying ST Segments in the Waveform Area
- 8.7.5 Entering the ST View
- 8.7.6 Saving the Current ST Deviation and Segment as Baseline
- 8.7.7 Entering the ST Graphic
- 8.7.8 Changing ST Settings
- 8.7.9 Adjusting ST Measurement Points
- 8.8 QT/QTc Interval Monitoring
- 8.9 ECG Relearning
- 8.10 Defibrillation Synchronization Pulse Output
- 8.11 ECG Troubleshooting
- 9 Resting 12-Lead ECG Analysis
- 10 Monitoring Impedance Respiration (Resp)
- 11 Monitoring Pulse Oxygen Saturation (SpO2)
- 12 Monitoring Temperature (Temp)
- 13 Monitoring Noninvasive Blood Pressure (NIBP)
- 13.1 NIBP Introduction
- 13.2 NIBP Safety Information
- 13.3 NIBP Measurement Limitations
- 13.4 Measurement Modes
- 13.5 NIBP Display
- 13.6 Preparing for NIBP Measurements
- 13.7 Starting and Stopping NIBP Measurements
- 13.8 Changing NIBP Settings
- 13.8.1 Setting the NIBP Alarm Properties
- 13.8.2 Setting the Initial Cuff Inflation Pressure
- 13.8.3 Setting the NIBP Interval
- 13.8.4 Selecting NIBP Start Mode
- 13.8.5 Enabling the NIBP End Tone
- 13.8.6 Setting NIBP Sequence
- 13.8.7 Setting the NIBP Display Format
- 13.8.8 Setting the NIBP Alarm Limits Display Switch
- 13.8.9 Showing/Hiding PR
- 13.8.10 Correcting the NIBP Measurements
- 13.9 Assisting Venous Puncture
- 13.10 NIBP Troubleshooting
- 14 Monitoring Invasive Blood Pressure (IBP)
- 14.1 IBP Introduction
- 14.2 IBP Safety Information
- 14.3 Preparing for IBP Monitoring
- 14.4 Measuring ICP Using the Codman ICP Transducer
- 14.5 IBP Display
- 14.6 Changing IBP Settings
- 14.6.1 Changing the IBP Alarm Settings
- 14.6.2 Changing the Pressure Label
- 14.6.3 Setting the Pressure Type for Display
- 14.6.4 Changing the Sensitivity
- 14.6.5 Setting the IBP Waveform
- 14.6.6 Setting the Display Format of Artery Pressure
- 14.6.7 Showing/Hiding the Alarm Limits of Artery Pressure
- 14.6.8 Setting the Use PA-D as PAWP Switch
- 14.6.9 Enabling PPV Measurement
- 14.7 PAWP
- 14.8 Connecting a Camino Device
- 14.9 IBP Troubleshooting
- 15 Monitoring Cardiac Output (C.O.)
- 16 Monitoring Carbon Dioxide (CO2)
- 16.1 CO2 Introduction
- 16.2 Identifying CO2 Modules
- 16.3 CO2 Safety Information
- 16.4 CO2 Measurement Limitations
- 16.5 CO2 Display
- 16.6 Measuring CO2 Using the Sidestream/Microstream CO2 Module
- 16.7 Measuring CO2 Using Mainstream CO2 Module
- 16.8 Changing Settings for All CO2 Modules
- 16.9 Changing Settings for Sidestream and Microstream CO2 Module
- 16.10 Changing O2 Settings (For Sidestream CO2 Module Integrating O2)
- 16.11 Setting the Gas Compensation
- 16.12 Choosing a Time Interval for Peak-Picking
- 16.13 Performing the Leakage Test
- 16.14 CO2 Calibration
- 16.15 CO2 Troubleshooting
- 16.16 Oridion Information
- 17 Monitoring Anesthetic Gas (AG)
- 17.1 AG Introduction
- 17.2 AG Safety Information
- 17.3 AG Measurement Limitations
- 17.4 AG Display
- 17.5 AG Equipment to Patient Connection
- 17.6 Preparing for AG Monitoring
- 17.7 MAC Values
- 17.8 Changing AG Settings
- 17.9 Changing the Anesthetic Agent
- 17.10 Performing AG Leakage Test
- 17.11 Calibrating the AG Module
- 17.12 AG Troubleshooting
- 18 Review
- 18.1 Review Overview
- 18.2 Review Dialog
- 18.2.1 Accessing the Review Dialog
- 18.2.2 Example Review Dialog
- 18.2.3 Symbols on Review Pages
- 18.2.4 Common Operations
- 18.2.5 Tabular Trends Review Page
- 18.2.6 Graphics Trends Review Page
- 18.2.7 Events Review Page
- 18.2.8 Full Disclosure Review Page
- 18.2.9 Arrhy Statistics Review Page
- 18.2.10 OxyCRG Review Page
- 18.2.11 12-Lead ECG Review Page
- 18.2.12 ST Review Page
- 18.3 Reviewing Discharged Patients
- 19 Clinical Assistive Applications (CAA)
- 20 Calculation
- 21 Recording
- 22 Printing
- 23 Using the On-Screen Timers
- 24 Managing Configurations
- 25 Password-protected User Settings
- 25.1 Setting the Device Location
- 25.2 Changing Patient Management Settings
- 25.2.1 Selecting Displayed Patient Information
- 25.2.2 Auto Discharging a Patient after Monitor Power Off
- 25.2.3 Selecting Query Criteria for Searching Patients in ADT Server
- 25.2.4 Setting Patient Location Options for the Discharge Screen
- 25.2.5 Hiding Patient Name
- 25.2.6 Select Whether a Prompt is Required When Auto Deleting Discharged Patients
- 25.3 Changing the Alarm Settings
- 25.3.1 Setting Alarm Tone Properties
- 25.3.2 Setting Alarm Pausing and Resetting Properties
- 25.3.3 Defining the Pause Function
- 1. Select the Main Menu quick key → from the System column select Maintenance → input the required password → select .
- 2. Select the Alarm tab → Pause/Reset tab.
- 3. Set Pause to Alarm Pause or Audio Pause. The default setting is Alarm Pause.
- 25.3.3.1 Setting the Alarm Pause Time/Alarm Tone Pause Time
- 25.3.3.2 Setting the Priority of Audio Paused Alarms
- 25.3.3.3 Disabling the Options of Prolonging Alarm Pause Time/Alarm Tone Pause Time
- 25.3.3.4 Setting Alarm Light Status on Alarm Reset
- 25.3.3.5 Setting the Reminder Tones
- 25.3.4 Latching Physiological Alarms
- 25.3.5 Changing Remote Alarm Settings
- 25.3.5.1 Resetting Alarms for Remote Devices
- 25.3.5.2 Authorizing the Alarm Reset to Other Devices
- 25.3.5.3 Selecting the Alarm Reminder for Remote Devices
- 25.3.5.4 Presenting Alarm Sound for Remote Devices as per Alarm Priority
- 25.3.5.5 Setting the Tone Pattern for Alarms from Remote Devices
- 25.3.5.6 Switching Off the Remote Device Disconnection Alarm
- 25.3.6 Setting Nurse Call Properties
- 25.3.7 Changing Alarm Priority Settings
- 25.3.7.1 Setting the Priority of the ECG Lead Off Alarm
- 25.3.7.2 Setting the Priority of the SpO2 Sensor Off Alarm
- 25.3.7.3 Setting the Priority of the IBP No Sensor Alarm
- 25.3.7.4 Setting the Switch of the CMS and eGateway Disconnection Alarm
- 1. Select the Main Menu quick key → from the System column select Maintenance → input the required password → select .
- 2. Select the Alarm tab → Other tab.
- 3. In the Other block, switch on or off CMS/eGW Disconnected Alarm. If CMS/eGW Disconnected Alarm is switched off, the “Offline” alarm is not presented when the monitor is not connected or disconnected from the CMS/eGateway.
- 25.3.7.5 Setting the Priority of the CMS and eGateway Disconnection Alarm
- 25.3.7.6 Setting the Switch of the SpO2 Desat Alarm Off
- 25.3.7.7 Setting the Switch of the Apnea Alarm Off
- 25.3.8 Changing Alarm Delay Settings
- 25.3.9 Changing Other Alarm Settings
- 25.4 Changing CAA Settings
- 25.5 Changing Module Settings
- 25.6 Hiding Undesired Review Tabs
- 25.7 Setting the Printer
- 25.7.1 Setting the Printer Properties
- 25.7.2 Setting Patient Information on General (Non-12-lead) Reports
- 25.7.3 Setting Patient Information on 12-lead ECG Reports
- 1. Select the Main Menu quick key → from the System column select Maintenance → input the required password → select .
- 2. Select the Print tab.
- 3. select the ECG Report tab.
- 4. On the right of the ECG Report page, select the desired patient information items. Patient ID, Patient Name, Age, and Gender are displayed on an ECG report by default.
- 25.7.4 Configuring the Name of PDF Files
- 25.7.5 Showing the Second Mark
- 25.7.6 Setting the Arrhythmia Information to Output by the Recorder
- 25.7.7 Setting Parameter Unit
- 25.8 Enabling Auto Daylight Savings Time
- 25.9 Viewing Version Information
- 25.10 Checking Battery Information
- 25.11 Changing Scanner Settings
- 25.11.1 Establish the Relationship between Patient Demographics and 2D Barcode Fields (for the Mindray Custom 2D Barcode Reader)
- 25.11.2 Setting the Barcode Reader Information
- 25.11.3 Identifying the Barcode Reader (for the non-Mindray Custom 2D Barcode Reader)
- 25.11.4 Selecting Patient Information Read by the Barcode Reader (for the 2D Barcode Reader)
- 25.12 Configuring the Network
- 25.12.1 Network Safety Information
- 25.12.2 Selecting a Network Type
- 25.12.3 Setting the Wired Network
- 25.12.4 Setting the Wireless Network
- 25.12.5 Selecting WLAN Band and Channels
- 25.12.6 Managing Certifications
- 25.12.7 Enabling Selecting a CMS
- 25.12.8 Adding CMSs
- 25.12.9 Setting Multicast Parameters
- 25.12.10 Setting the CMS IP or Gateway Address
- 25.12.11 Setting the Network Service Quality Level
- 25.12.12 Using the ADT Gateway
- 25.12.13 Sending Realtime Data, Waveforms and Alarms via HL7 Protocol
- 25.12.14 Selecting Data Encryption Type
- 25.12.15 Disabling the Broadcasting Patient Demographics Function
- 25.13 MLDAP
- 25.14 Defining Other Functions
- 26 Battery
- 27 Care and Cleaning
- 28 Maintenance
- 29 Accessories
- 29.1 ECG Accessories
- 29.1.1 ECG Electrodes Available for Purchase
- 29.1.2 12-Pin Trunk Cables Available for Purchase
- 29.1.3 12-Pin Trunk Cables Also Compatible
- 29.1.4 3-lead ECG Leadwires Available for Purchase
- 29.1.5 3-lead ECG Leadwires Also Compatible
- 29.1.6 5-lead ECG Leadwires Available for Purchase
- 29.1.7 5-lead ECG Leadwires Also Compatible
- 29.1.8 6-lead ECG Leadwires Available for Purchase
- 29.1.9 12-lead ECG Chest Leadwires Available for Purchase
- 29.1.10 12-lead ECG Leadwires Also Compatible
- 29.2 SpO2 Accessories
- 29.3 Temp Accessories
- 29.4 NIBP Accessories
- 29.5 IBP Accessories
- 29.6 C.O. Accessories Available for Purchase
- 29.7 CO2 Accessories
- 29.8 AG Accessories
- 29.9 BeneLink Accessories
- 29.10 External Modules
- 29.11 Mount and Mounting Accessories
- 29.12 Miscellaneous Accessories
- 29.1 ECG Accessories
- A Product Specifications
- A.1 Monitor Safety Specifications
- A.2 Physical Specifications
- A.3 Environmental Specifications
- A.4 Power Supply Specifications
- A.5 Display Specifications
- A.6 Recorder Specifications
- A.7 LEDs
- A.8 Audio Indicator
- A.9 Monitor Interface Specifications
- A.10 Signal Outputs Specifications
- A.11 Data Storage
- A.12 Wi-Fi Specifications
- A.13 Measurement Specifications
- B EMC and Radio Regulatory Compliance
- C Default Settings
- C.1 ECG, Arrhythmia, ST and QT Default Settings
- C.2 Respiration Default Settings
- C.3 SpO2 Default Settings
- C.4 Temperature Default Settings
- C.5 NIBP Default Settings
- C.6 IBP Default Settings
- C.7 C.O. Default Settings
- C.8 CO2 Default Settings
- C.9 Gas Default Settings
- C.10 Alarm Default Settings
- C.11 Display Default Settings
- D Alarm Messages
- D.1 Physiological Alarm Messages
- D.1.1 General Physiological Alarm Messages
- D.1.2 Arrhythmia Alarm Messages
- D.1.3 Resp Physiological Alarm Messages
- D.1.4 SpO2 Physiological Alarm Messages
- D.1.5 PR Physiological Alarm Messages
- D.1.6 NIBP Physiological Alarm Messages
- D.1.7 IBP Physiological Alarm Messages
- D.1.8 CO2 Physiological Alarm Messages
- D.1.9 AG Physiological Alarm Messages
- D.1.10 EWS Physiological Alarm Messages
- D.2 Technical Alarm Messages
- D.2.1 General Technical Alarm Messages
- D.2.2 ECG Technical Alarm Messages
- D.2.3 Resp Technical Alarm Messages
- D.2.4 SpO2 Technical Alarm Messages
- D.2.5 Temp Technical Alarm Messages
- D.2.6 NIBP Technical Alarm Messages
- D.2.7 IBP Technical Alarm Messages
- D.2.8 C.O. Technical Alarm Messages
- D.2.9 CO2 Technical Alarm Messages
- D.2.10 AG Technical Alarm Messages
- D.2.11 EWS Technical Alarms
- D.2.12 Power Supply Technical Alarm Messages
- D.2.13 Recorder Technical Alarm Messages
- D.2.14 Printer Technical Alarm Messages
- D.2.15 Technical Alarm Messages Related to Networked Monitoring
- D.2.16 Other System Technical Alarm Messages
- D.1 Physiological Alarm Messages
- E SpO2 Sensor Accuracy
- F Units, Symbols and Abbreviations
16 - 5
16.6.2 Preparing to Measure CO
2
Using the Microstream CO
2
Module
To prepare the CO
2
module for measurement, follow this procedure:
1. Connect one end of the sample line to the microstream CO
2
module.
2. Connect the other end of the sample line to the patient.
◆ For intubated patient requiring an airway adapter, install the airway adapter between the patient
circuit and the ventilator Y-piece.
◆ For non-intubated patient, place the nasal cannula onto the patient.
◆ For patient prone to mouth breathing, place the oral-nasal cannula onto the patient.
3. Connect the gas outlet to the a scavenging system using an exhaust tube.
After the CO
2
module is connected to the SMR, it enters measure mode by default and the monitor displays CO2
Sensor Warmup. CO
2
can be measured after the start-up sequence is complete.
WARNING
• Connect the gas outlet to the scavenging system when measuring CO
2
using the microstream CO
2
module.
NOTE
• Disconnect the sample line from the module when CO
2
monitoring is not required.
16.6.3 Zeroing the Sidestream/Microstream CO
2
Module
The sidestream or microstream CO
2
module performs zero calibration automatically when needed.
NOTE
• The CO
2
module temporally stops measuring during zeroing.
(1) Sample line connector (2) Sample line
(2)
(1)