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 - 15

3.11 Checking Software Licenses

To run the following functions in the monitor, software licenses are required:

■ Early Warning Score (EWS)

■ ECG 24H Summary

To check the licenses, select the Main Menu quick key → select License → Local.

To install the licenses, follow this procedure:

1. Connect the USB drive with the licenses in to the monitor’s USB connector.

2. Select the Main Menu quick key →select License → select External.

3. Select Install.

3.12 Capturing the Screen

The monitor provides the function of screen capture. To capture the current screen display, follow this

procedure:

1. Connect the USB drive to the monitor’s USB connector.

2. Press and hold the More quick key. Wait until it turns from blue to grey.

The captured pictures are automatically saved in the USB drive.

3.13 Connecting the CMS

You can connect the monitor to the BeneVision CMS through wired LAN or wireless LAN. When connected to the

CMS, the system provides the following function.

■ The monitor can transmit parameter values, waveforms, alarms, and events to the CMS. From the CMS, you

can check the patient’s monitoring data and alarms.

■ The monitor can transmit parameter values and alarms from the connected external devices to the CMS.

From the CMS you can check the patient’s monitoring data and alarms obtained from the connected

external devices.

■ Patient information, alarm settings, and alarm status can be synchronized between the monitor and the

CMS.

■ You can start or stop NIBP measurements from the CMS.

■ In case of network disconnection, the monitor can transmit the offline data to the CMS when the network is

reconnected.

For more information on the CMS, see BeneVision Central Monitoring System Operator's Manual (PN: 046-010879-

00).

To select a CMS, select the system status information area at the top right corner of the main screen. Select the

desired CMS from the popup CMS list.

NOTE

• You can select CMS only when the Select CMS switch is on. For more information, see

25.12.7Enabling Selecting a CMS.

3.14 Connecting the eGateway

You can connect the monitor to the eGateway through wired LAN or wireless LAN to implement interaction

between the monitor and external devices. When connected to the eGateway, the system provides the following

functions:

■ The monitor can transmit parameter values, waveforms, alarm settings, and events to the eGateway.

■ The monitor can transmit parameter values and alarm settings received from the BeneLink-connected

external devices to the eGateway.

■ Clock can be synchronized between the monitor and the eGateway.