Operator's Manual
Table Of Contents
- 1 Safety
- 2 Equipment Introduction
- 2.1 Indications for Use
- 2.2 Applied Parts
- 2.3 Main Unit
- 2.4 Modular Rack
- 2.5 Dock
- 2.6 External Parameter Modules
- 2.7 Installlation
- 2.7.1 Installing the N1 or External Parameter Module into the Modular Rack
- 2.7.2 Removing the N1 or External Parameter Module from the Modular Rack
- 2.7.3 Installing the Modular Rack to the Dock
- 2.7.4 Removing the Modular Rack from the Dock
- 2.7.5 Installing the N1 to the Dock
- 2.7.6 Removing the N1 from the Dock
- 2.8 N1 in Use with the Host Monitor
- 2.9 N1 in Use with the Transport Dock
- 2.10 Input Devices
- 2.11 Printing Devices
- 3 Getting Started
- 3.1 Equipment Preparation Safety Information
- 3.2 Unpacking and Checking
- 3.3 Environmental Requirements
- 3.4 Setting Up the Equipment
- 3.5 Operation and Navigation
- 3.5.1 Using the Touchscreen
- 3.5.2 Using the Mouse
- 3.5.3 Using the On-Screen Keyboard
- 3.5.4 Using the Barcode Reader
- 3.5.4.1 Clearing Old Data Formats (for the Mindray Custom 2D Barcode Reader)
- 3.5.4.2 Establish the Relationship between Patient Demographics and 2D Barcode Fields (for the Mindray Custom 2D Barcode Reader)
- 3.5.4.3 Setting the Barcode Reader Information
- 3.5.4.4 Identifying the Barcode Reader (for the non-Mindray Custom 2D Barcode Reader)
- 3.5.4.5 Selecting Patient Information output by the Barcode Reader (for the Mindray Custom 2D Barcode Reader)
- 3.6 Screen Display
- 3.7 Operating Modes
- 3.8 Configuring Your Monitor
- 3.9 Starting Monitoring a Patient
- 3.10 Stopping a Parameter Measurement
- 3.11 General Operation
- 3.12 Using the On-Screen Timers
- 3.13 Using the External Display
- 3.14 The OxyCRG Screen (only available for the independent external display)
- 3.15 Turning Off the Monitor
- 4 Managing Patients
- 4.1 Discharging a Patient
- 4.2 Admitting a Patient
- 4.3 Managing Patient Information
- 4.3.1 Entering the Patient Management Menu
- 4.3.2 Editing Patient Information
- 4.3.3 Loading Patient Information from the CMS
- 4.3.4 Loading Patient Information from the ADT Server
- 4.3.5 Selecting Query Criteria for Searching Patients in ADT Server
- 4.3.6 Changing Patient Management Settings
- 4.3.7 Setting Monitor Information
- 4.3.8 Setting Monitor Location
- 4.3.9 Setting Patient Location
- 4.3.10 Hiding Patient Name
- 4.4 Transferring Patient Data
- 4.5 Setting the Dock
- 4.6 Connecting the CMS
- 5 Managing Configurations
- 6 Networked Monitoring
- 6.1 Network Introduction
- 6.2 Network Safety Information
- 6.3 Connecting the Monitor to the CMS
- 6.4 Connecting the eGateway
- 6.5 Using the ADT Gateway
- 6.6 Sending Realtime Data, Waveforms and Alarms via HL7 Protocol
- 6.7 Viewing Other Patients (Only available for the independent external display)
- 6.8 Configuring the Network
- 6.8.1 Setting the Wireless Network
- 6.8.2 Disconnecting the Wireless Network
- 6.8.3 Selecting WLAN Band and Channels
- 6.8.4 Managing Certifications
- 6.8.5 Setting Multicast Parameters
- 6.8.6 Setting the Network Service Quality Level
- 6.8.7 Selecting Data Encryption Type
- 6.8.8 Disabling the Broadcasting Patient Demographics Function
- 6.9 MLDAP
- 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 Physiological Alarm List
- 7.6 Changing Alarm Settings
- 7.6.1 Setting Parameter Alarm Properties
- 7.6.2 Setting Alarm Tone Properties
- 7.6.3 Initiating Auto Alarm Limits
- 7.6.4 Setting the Alarm Delay Time
- 7.6.5 Adjusting the Alarm Light Brightness
- 7.6.6 Setting the Length of Printing Duration On Alarm
- 7.6.7 Setting the Switch of the CMS and eGateway Disconnection Alarm
- 7.6.8 Setting the Priority of the CMS and eGateway Disconnection Alarm
- 7.6.9 Setting the Switch of the SpO2 Desat Alarm Off
- 7.6.10 Setting the Switch of the Zero RR Alarm Off
- 7.7 Pausing Alarms/Pausing Alarm Tones
- 7.8 Resetting Alarms
- 7.9 Latching Alarms
- 7.10 CPB Mode
- 7.11 Intubation Mode
- 7.12 Managing Alarms from Remote Devices (only available for the independent external display)
- 7.12.1 Setting the Tone Pattern for Alarms from Remote Devices
- 7.12.2 Selecting the Alarm Reminder for Remote Devices
- 7.12.3 Presenting Alarm Sound for Remote Devices as per Alarm Priority
- 7.12.4 Resetting Alarms for Remote Devices
- 7.12.5 Authorizing the Alarm Reset to Other Devices
- 7.12.6 Switching Off the Remote Device Disconnection Alarm
- 7.13 Testing Alarms
- 7.14 Actions When an Alarm Occurs
- 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
- 8.5.1 Choosing an ECG Screen
- 8.5.2 Setting ECG Alarm Properties
- 8.5.3 Changing ECG Wave Settings
- 8.5.4 Disabling the Smart Lead Off Function
- 8.5.5 Setting the Priority of the ECG Lead Off Alarm
- 8.5.6 Adjusting the QRS Volume
- 8.5.7 Adjusting the Minimum QRS Detection Threshold
- 8.5.8 Selecting the ECG Standard
- 8.6 Monitoring Arrhythmia
- 8.7 ST Segment Monitoring
- 8.8 Changing ST Settings
- 8.9 QT/QTc Interval Monitoring
- 8.10 ECG Relearning
- 8.11 Calibrating ECG
- 8.12 Defibrillation Synchronization Pulse Output
- 8.13 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 Glasgow Resting 12-lead ECG Analysis Algorithm Settings
- 9.6 Saving the 12-Lead Interpretation Report
- 9.7 Printing the 12-Lead Interpretation Report
- 9.8 Exiting the ECG 12-Lead Screen
- 10 Monitoring Respiration (Resp)
- 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
- 11.6.1 Changing the SpO2 Alarm Settings
- 11.6.2 Nellcor Sat-Seconds Alarm Management
- 11.6.3 Setting the Nellcor SpO2 Sat-Seconds
- 11.6.4 Setting SpO2 Sensitivity (for Masimo SpO2 Module)
- 11.6.5 Enabling FastSAT (for Masimo SpO2)
- 11.6.6 Displaying SIQ (for Masimo SpO2)
- 11.6.7 Changing the Sensitivity
- 11.6.8 Monitoring SpO2 and NIBP Simultaneously
- 11.6.9 Changing the Sweep Speed of the Pleth Wave
- 11.6.10 Setting the Alarm Priority for SpO2 Sensor Off Alarm
- 11.6.11 Setting the SpO2 Tone Mode
- 11.7 Changing the PR Settings
- 11.8 SpO2 Troubleshooting
- 11.9 Nellcor Information
- 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 NIBP Measurement Timeout
- 13.8.8 Displaying the NIBP List
- 13.8.9 Correcting the NIBP Measurements
- 13.9 Assisting Venous Puncture
- 13.10 NIBP Maintenance
- 13.11 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 Use PA-D as PAWP Switch (only available for the independent external display)
- 14.6.7 Enabling PPV Measurement
- 14.6.8 Changing the Pressure Unit
- 14.6.9 Overlapping IBP Waveforms
- 14.7 Measuring PAWP (only available for the independent external display)
- 14.8 IBP Troubleshooting
- 15 Monitoring Carbon Dioxide (CO2)
- 15.1 CO2 Introduction
- 15.2 CO2 Safety Information
- 15.3 CO2 Measurement Limitations
- 15.4 CO2 Display
- 15.5 Measuring CO2 Using Sidestream/Microstream CO2 Module
- 15.6 Measuring CO2 Using Mainstream CO2 Module
- 15.7 Changing Settings for All CO2 Modules
- 15.8 Changing Settings for Sidestream and Microstream CO2 Module
- 15.9 Changing O2 Settings (For Sidestream CO2 Module Integrating O2)
- 15.10 Setting the Gas Compensation
- 15.11 Choosing a Time Interval for Peak-Picking
- 15.12 Changing Barometric Pressure
- 15.13 Performing the Leakage Test
- 15.14 CO2 Calibration
- 15.15 Test Method Used to Determine the Respiration Rate Measuring Range
- 15.16 CO2 Troubleshooting
- 15.17 Oridion Information
- 16 Review
- 16.1 Review Overview
- 16.2 Review Page
- 16.2.1 Accessing the Review Page
- 16.2.2 Example Review Page
- 16.2.3 Symbols on Review Pages
- 16.2.4 Common Operations
- 16.2.5 Reviewing the Tabular Trends
- 16.2.6 Reviewing the Graphics Trends
- 16.2.7 Events Review Page
- 16.2.8 Viewing the Full Disclosure
- 16.2.9 OxyCRG Review Page (available for the independent external display)
- 16.2.10 12-Lead ECG Review Page
- 16.3 Minitrends Screen (only available for the independent external display)
- 16.4 Hiding Undesired Review Tabs
- 17 Clinical Assistive Applications (only available for the independent external display)
- 18 Calculation (only available for the independent external display)
- 19 Printing
- 20 Battery
- 21 Care and Cleaning
- 22 Maintenance
- 23 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 Touchscreen Specifications
- A.7 LEDs
- A.8 Audio Indicator
- A.9 Monitor Interface Specifications
- A.10 Signal Outputs Specifications
- A.11 Data Storage
- A.12 Out-Of-Hospital Transport - Standards Compliance
- A.13 Wi-Fi Specifications
- A.14 Measurement Specifications
- B EMC and Radio Regulatory Compliance
- C 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.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 CO2 Technical Alarm Messages
- D.2.9 Power Supply Technical Alarm Messages
- D.2.10 Printer Technical Alarm Messages
- D.2.11 Technical Alarm Messages Related to Networked Monitoring
- D.2.12 Other System Technical Alarm Messages
- D.1 Physiological Alarm Messages
- E Electrical Safety Inspection
- F SpO2 Sensor Accuracy
- G Units, Symbols and Abbreviations
F - 9
F.3 The Accuracy of Nellcor SpO
2
Sensors
Modified Bland-Altman for SpO
2
- MAX-A, MAX-P Sensors (No Motion): SaO
2
vs. (SpO
2
-
SaO
2
)
Sensor Motion # of Data Points A
RMS
(%) SpO
2
Acceptance
Criteria 70% - 100%
(%)
Pass/Fail
MAX-A, MAX-P No 976 1.54 ≤2.0 Pass
MAX-I, MAX-N No 723 1.41 ≤2.0 Pass
DS-100A No 411 2.16 ≤3.0 Pass
D-YS, OXI-P/I, OXI-A/N No 458 1.96 ≤3.5 Pass
1. SpO
2
- SaO
2
(%) 2. SaO
2 (%)
3. Upper 95% LoA 4. Mean Bias 5. Lower 95% LoA