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
8 - 1
8 Monitoring ECG, Arrhythmia, ST and QT
8.1 ECG Introduction
The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the monitor as
waveforms and numerics. ECG monitoring provides 3-, 5-, 6-, and 12-lead ECG monitoring, ST-segment analysis,
arrhythmia analysis, QT/QTc measurements, and optional 12-lead resting analysis via the Glasgow algorithm.
The associated monitor incorporating ST analysis has the ST label.
The associated monitor incorporating 12-lead has the 12-lead label.
8.2 ECG Safety Information
WARNING
• This equipment is not intended for direct cardiac application.
• Ensure that the conductive parts of ECG electrodes and associated connectors, including the neutral
electrode, do not come into contact with any other conductive parts including earth.
• Always use defibrillation-proof ECG cables during defibrillation.
• Do not touch the patient, or metal devices connected to the patient, during defibrillation.
• To minimize the hazard of burns during high-frequency surgical procedures, ensure that the
monitor’s cables and transducers never come into contact with the electrosurgery unit (ESU).
• To minimize the hazard of burns during use of high-frequency surgical unit (ESU), the ECG
electrodes should not be located between the surgical site and the ESU return electrode.
CAUTION
• Only use parts and accessories specified in this manual. Follow the instructions for use and adhere to
all warnings and cautions.
• Periodically inspect the electrode application sites to ensure skin integrity. If the skin quality
changes, replace the electrodes or change the application site.
• Interference from an ungrounded instrument near the patient or electrosurgery usage can induce
noise and artifact into the waveforms.
8.3 ECG Display
The following figures show the ECG waveform and numeric areas. The display may be configured to look slightly
different.
(1) (2) (3) (4) (5) (6)
(7)