User's Manual

ManualsBrandsMindray ManualsMedical Supplies & EquipmentPatient Monitor

Table Of Contents

1 Safety
- 1.1 Safety Information
- 1.2 Equipment Symbols
2 Equipment Introduction
- 2.1 Indications for Use
- 2.2 Applied Parts
- 2.3 System Components
3 Getting Started
- 3.1 Equipment Preparation Safety Information
- 3.2 Monitor Installation
  - 3.2.1 Unpacking and Checking
  - 3.2.2 Environmental Requirements
- 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
  - 4.2.1 Entering the Normal Screen
  - 4.2.2 Configuring the Normal Screen
- 4.3 The Big Numerics Screen
  - 4.3.1 Entering the Big Numerics Screen
  - 4.3.2 Configuring the Big Numerics Screen
- 4.4 Minitrends Screen
- 4.5 The OxyCRG Screen
- 4.6 The SpO2 Screen
- 4.7 Remote View
5 Managing Patients
- 5.1 Starting Monitoring a Patient
- 5.2 Admitting a Patient
- 5.3 Exporting Patient Data
- 5.4 Deleting Patient Data
- 5.5 Stopping a Parameter Measurement
- 5.6 Discharging a Patient
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
- 7.7 Pausing Alarms/Pausing Alarm Tones
  - 7.7.1 Pausing Alarms
    - 7.7.1.1 Prolonging the Alarm Pause Time
    - 7.7.1.2 Switching Off All Alarms
  - 7.7.2 Pausing Alarm Sound
    - 7.7.2.1 Prolonging the Alarm Tone Pause Time
    - 7.7.2.2 Switching Off Alarm Sound
- 7.8 Resetting Alarms
  - 7.8.1 Resetting Physiological Alarms
  - 7.8.2 Resetting Technical Alarms
- 7.9 Latching Alarms
- 7.10 Nurse Call
- 7.11 Calling for Help
  - 7.11.1 Issuing the Call Help Signal
- 7.12 CPB Mode
  - 7.12.1 Entering the CPB Mode
  - 7.12.2 Exiting the CPB Mode
- 7.13 Intubation Mode
  - 7.13.1 Entering the Intubation Mode
  - 7.13.2 Exiting the 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
- 8.8 QT/QTc Interval Monitoring
- 8.9 ECG Relearning
  - 8.9.1 Auto ECG Relearning
  - 8.9.2 Initiating an ECG Relearning Manually
- 8.10 Defibrillation Synchronization Pulse Output
- 8.11 ECG Troubleshooting
9 Resting 12-Lead ECG Analysis
- 9.1 Resting 12-Lead ECG Analysis Introduction
- 9.2 Entering the 12-Lead Screen
- 9.3 Initiating Resting 12-Lead ECG Analysis
- 9.4 Changing 12-Lead ECG Analysis Settings
- 9.5 Saving the 12-Lead Interpretation Report
- 9.6 Printing the 12-Lead Interpretation Report
- 9.7 Exiting the ECG 12-Lead Screen
10 Monitoring Impedance Respiration (Resp)
- 10.1 Resp Introduction
- 10.2 Impedance Resp Safety Information
- 10.3 Resp Display
- 10.4 Preparing for Impedance Resp Monitoring
  - 10.4.1 Preparing the Patient
  - 10.4.2 Placing the Electrodes
- 10.5 Changing Resp Settings
11 Monitoring Pulse Oxygen Saturation (SpO2)
- 11.1 SpO2 Introduction
- 11.2 SpO2 Safety Information
- 11.3 SpO2 Measurement Limitations
- 11.4 SpO2 Display
- 11.5 Preparing for SpO2 Monitoring
- 11.6 Changing the SpO2 Settings
- 11.7 Changing the PR Settings
- 11.8 SpO2 Troubleshooting
- 11.9 Masimo Information
- 11.10 Nellcor Information
12 Monitoring Temperature (Temp)
- 12.1 Temperature Introduction
- 12.2 Temperature Safety Information
- 12.3 Temperature Display
- 12.4 Preparing for Temperature Monitoring
- 12.5 Changing Temperature Settings
- 12.6 Temperature Troubleshooting
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
  - 13.6.1 Preparing the Patient for NIBP Measurements
  - 13.6.2 Placing the NIBP Cuff
- 13.7 Starting and Stopping NIBP Measurements
- 13.8 Changing NIBP Settings
- 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
  - 14.4.1 Zeroing the Codman ICP transducer
  - 14.4.2 Measuring ICP
- 14.5 IBP Display
  - 14.5.1 Overlapping IBP Waveforms
- 14.6 Changing IBP Settings
- 14.7 PAWP
- 14.8 Connecting a Camino Device
- 14.9 IBP Troubleshooting
15 Monitoring Cardiac Output (C.O.)
- 15.1 C.O. Introduction
- 15.2 C.O. Safety Information
- 15.3 C.O. Measurement Limitations
- 15.4 C.O. Display
- 15.5 C.O. Equipment to Patient Connection
- 15.6 Performing C.O. Measurement
- 15.7 Changing C.O. Settings
  - 15.7.1 Setting C.O. Alarm Properties
- 15.8 C.O. Troubleshooting
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
  - 16.7.1 Preparing to Measure CO2 Using Mainstream CO2 Module
  - 16.7.2 Zeroing the Mainstream CO2 sensor
- 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)
  - 16.10.1 Changing O2 Alarm Settings
  - 16.10.2 Setting the O2 Waveform
- 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
  - 16.15.1 Troubleshooting the Sidestream/Microstream CO2 Module
  - 16.15.2 Troubleshooting the Mainstream CO2 Module
- 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
- 18.3 Reviewing Discharged Patients
  - 18.3.1 Checking the Data of a Discharged Patient
  - 18.3.2 Checking the Information of a Discharged Patient
19 Clinical Assistive Applications (CAA)
- 19.1 Early Warning Score (EWS)
- 19.2 Glasgow Coma Scale (GCS)
- 19.3 ECG 24h Summary (Optional)
20 Calculation
- 20.1 Calculation Overview
- 20.2 Calculation Safety Information
- 20.3 Drug Calculations
- 20.4 Hemodynamic Calculations
- 20.5 Oxygenation Calculations
- 20.6 Ventilation Calculations
- 20.7 Renal Calculations
21 Recording
- 21.1 Recorder
- 21.2 Starting Recordings
  - 21.2.1 Manually Starting Recordings
  - 21.2.2 Automatic Recordings
- 21.3 Stopping Recordings
  - 21.3.1 Stopping Recordings Manually
  - 21.3.2 Stopping Recordings Automatically
- 21.4 Recording Related Flags
- 21.5 Setting up the Recorder
- 21.6 Clearing Recording Tasks
- 21.7 Loading Paper
- 21.8 Removing Paper Jam
- 21.9 List of Recording Reports
22 Printing
- 22.1 Supported Printer
- 22.2 End Case Reports
- 22.3 Manually Starting a Printing Task
- 22.4 Automatically Printing Reports
- 22.5 Stopping a Printing Task
- 22.6 Configuring Reports
- 22.7 Viewing Printer Status
- 22.8 Printer Out of Paper
- 22.9 List of Reports
23 Using the On-Screen Timers
- 23.1 Displaying Timers
- 23.2 Controlling the Timer
- 23.3 Setting the Timer
24 Managing Configurations
- 24.1 Configuration Introduction
- 24.2 Changing the Department
- 24.3 Setting Default Patient Category
- 24.4 Setting Default Configuration
- 24.5 Saving Current Settings
- 24.6 Deleting a Configuration
- 24.7 Transferring a Configuration
- 24.8 Printing Configurations
- 24.9 Modifying Configuration Password
25 Password-protected User Settings
- 25.1 Setting the Device Location
  - 25.1.1 Setting Monitor Information
  - 25.1.2 Setting Monitor Location
    - 3. Set Location.
    - 4. Input the room number and bed number.
- 25.2 Changing Patient Management Settings
- 25.3 Changing the Alarm Settings
- 25.4 Changing CAA Settings
- 25.5 Changing Module Settings
- 25.6 Hiding Undesired Review Tabs
- 25.7 Setting the Printer
- 25.8 Enabling Auto Daylight Savings Time
- 25.9 Viewing Version Information
- 25.10 Checking Battery Information
  - 2. Select the Battery Information tab.
- 25.11 Changing Scanner Settings
- 25.12 Configuring the Network
- 25.13 MLDAP
- 25.14 Defining Other Functions
26 Battery
- 26.1 Battery Introduction
- 26.2 Battery Safety Information
- 26.3 Battery Preparation
- 26.4 Battery Indications
- 26.5 Charging the Battery
- 26.6 Maintaining the Battery
  - 26.6.1 Conditioning the Battery
  - 26.6.2 Checking Battery Performance
- 26.7 Storing Batteries
- 26.8 Recycling Batteries
27 Care and Cleaning
- 27.1 Care and Cleaning Introduction
- 27.2 Care and Cleaning Safety Information
- 27.3 Cleaning and Disinfecting the Equipment and Mounting Kits
- 27.4 Cleaning and Disinfecting the Accessories
- 27.5 Sterilization
28 Maintenance
- 28.1 Maintenance Introduction
- 28.2 Maintenance Safety Information
- 28.3 Maintenance and Testing Schedule
- 28.4 Checking System Software Version
- 28.5 Testing Methods and Procedures
- 28.6 NIBP Maintenance
  - 28.6.1 NIBP Leakage Test
  - 28.6.2 NIBP Accuracy Test
- 28.7 Disposing of the Monitor
29 Accessories
- 29.1 ECG Accessories
- 29.2 SpO2 Accessories
- 29.3 Temp Accessories
  - 29.3.1 Temp Cable Available for Purchase
  - 29.3.2 Temp Probes Available for Purchase
- 29.4 NIBP Accessories
  - 29.4.1 NIBP Hoses Available for Purchase
  - 29.4.2 Cuffs Available for Purchase
- 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
A Product Specifications
- A.1 Monitor Safety Specifications
- A.2 Physical Specifications
- A.3 Environmental Specifications
- A.4 Power Supply Specifications
  - A.4.1 External Power Supply Specifications
  - A.4.2 Battery 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.12.1 Wi-Fi Technical Specifications
  - A.12.2 Wi-Fi Performance Specifications
- A.13 Measurement Specifications
B EMC and Radio Regulatory Compliance
- B.1 EMC
- B.2 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.2 Technical Alarm Messages
E SpO2 Sensor Accuracy
- E.1 The Accuracy of Masimo SpO2 Sensors
- E.2 The Accuracy of Nellcor SpO2 Sensors
F Units, Symbols and Abbreviations
- F.1 Units
- F.2 Symbols
- F.3 Abbreviations

3 - 4

CAUTION

• When removing the module, be careful not to drop it. Always support with one hand while pulling

out with the other.

3.4 Turning on the Monitor

Before beginning measurements, turn on the monitor. Perform the following inspections:

1. Check the monitor and modules for any mechanical damage. Make sure that all external cables, plug-ins

and accessories are properly connected.

2. Connect the power cord to the AC power source.

Pressing the power switch turns on the monitor.

CAUTION

• Check that visual and auditory alarm signals are presented correctly when the equipment is

powered on.

• Do not use the monitor on a patient if you suspect it is not working properly, or if it is mechanically

damaged. Contact the service personnel or Mindray.

3.5 Operation and Navigation

Everything needed to operate the monitor is on its screen. Almost every element on the screen is interactive.

Screen elements include parameter values, waveforms, quick keys, information fields, alarms fields, dialogs, and

menus. Often you can access the same element in different ways. For example, you can access a parameter

dialog by selecting the corresponding numeric area or waveform area, through the Menu hard key on the

parameter module, or through the Parameter Setup quick key.

3.5.1 Using the Touchscreen

You can use the touchscreen to select a screen element by pressing directly on the monitor’s screen.

To avoid accidental use, you can temporarily disable the touchscreen by holding and pressing the Main Menu

quick key and sliding as directed by the arrow. A padlock symbol displays at the top of the main menu quick

key if the touchscreen is disabled.

The touchscreen lock period is configurable. To do so, follow this procedure:

1. Access Display in either of the following ways:

◆ Select the Screen Setup quick key → select the Display tab.

◆ Select the Main Menu quick key → from the Display column select Display.

2. Set Screen Lock Duration.

The touchscreen is enabled when the preset time is reached. To manually enable the touchsceen, hold and press

the Main Menu quick key and slide as directed by the arrow.

CAUTION

• Check that the touchscreen is not damaged.broken, or loose. If there is any sign of damage, stop

using the monitor and contact the service personnel.

3.5.2 Using the On-Screen Keyboard

The on-screen keyboard enables information entry:

■ Enter the information by selecting one character after another.

■ Select the Backspace key to delete single characters or select to delete the entire entry.

■ Select the Caps Lock key to access uppercase letters.