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MEC-1000

Portable Multi-parameter
Patient Monitor

Operation Manual

Intellectual Property Statement

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called
Mindray) owns the intellectual property rights to this product and this manual. This manual
may refer to information protected by copyrights or patents and does not convey any license
under the patent rights of Mindray, nor the rights of others. Mindray does not assume any
liability arising out of any infringements of patents or other rights of third parties.

Mindray intends to maintain the contents of this manual as confidential information.
Disclosure of the information in this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution,
rent, adaption and translation of this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden.

, , , and are the registered
trademarks or trademarks owned by Mindray in China and other countries. All other
trademarks that appear in this manual are used only for editorial purposes without the
intention of improperly using them. They are the property of their respective owners.

Contents of this manual are subject to changes without prior notice.

For this Operation Manual, the issued Date is July 2005 (Version: 1.3).

© 2002-2005 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.

I

the electrical installation of the relevant room complies with the applicable national and local requirements. reliability and performance of this product only in the condition that: all installation operations.Manufacturer’s Responsibility All information contained in this manual is believed to be correct. II . modifications and repairs of this product are conducted by Mindray authorized personnel. or any Mindray product from which Mindray's original serial number tag or product identification markings have been altered or removed. expressed or implied. changes. performance. and. Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct. indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel. including warranties of merchantability or fitness for any particular purpose. this product is operated under strict observance of this manual. or any product of any other manufacturer. expansions. Mindray is responsible for safety. or use of this manual. and. This warranty shall not extend to any Mindray product which has been subjected to misuse. negligence or accident. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing. Warranty This warranty is exclusive and is in lieu of all other warrantyies.

Please provide the model number. Return shipments will not be accepted if the Mindray Customer Service Authorization Number is not clearly visible. Obtain a return authorization. follow the instructions below. Return address Please send the part(s) or equipment to the address offered by Customer Service Department. Freight policy The customer is responsible for freight charges when this product is shipped to Mindray for service (including any relevant customs fees or other freight related charges). 2. 1. and a brief description of the reason for return.Return Policy In the event that it becomes necessary to return a unit to Mindray. III . The Mindray Customer Service Authorization Number must appear on the outside of the shipping container. serial number. 3. Contact the Mindray Service Department and obtain a Mindray Customer Service Authorization Number.

GmbH (Europe) Address: Eiffestraße 80. 20537 Hamburg Germany Tel: 0049-40-2513175 Fax: 0049-40-255726 IV . Address: Mindray Building.R. China Tel: +86 755 26522479 +86 755 26582888 Fax: +86 755 26582500 +86 755 26582501 Website: www. Shenzhen 518057 P. Ltd. Nanshan.cn EC Representative: Shanghai International Holding Corp. Hi-tech Industrial Park..com. Keji 12th Road South.mindray.Contact Information Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co.

and is suitable for use during defibrillation.Equipment Symbols This symbol means 'BE CAREFUL '. The number adjacent to the CE marking (0123) is the number of the EU-notified body that certified meeting the requirements of Annex II of the Directive. Protective earth ground. WARNING: Points to be noted to avoid injury to the patient and the operator. The following definition of the WEEE label applies to EU member states only. Power On/Off This mark means that this device is fully in conformance with the Council Directive Concerning Medical Devices 93/42/EEC. you will help prevent bringing potential negative consequences to the environment and human health. V . please consult the distributor from whom you purchased it. NOTE: Points to be noted. This symbol indicates that the instrument is IEC 60601-1 Type CF equipment. This symbol indicates that this product should not be treated as household waste. CAUTION: Points to be noted to avoid damage to the equipment. this label may be attached to the main unit only. Refer to the manual. Equipotential grounding system. For more detailed information with regard to returning and recycling this product. * For system products. By ensuring that this product is disposed of correctly. The unit displaying this symbol contains an F-Type isolated (floating) patient applied part providing a high degree of protection against shock.

FOR YOUR NOTES VI .

................................................1 Viewbed Screen ..................................................................... 4-2 Chapter 5 Alarm.......................................................... 5-6 Chapter 6 Freeze .......................................4 Recording Frozen Waveform ..........................1 Patient Setup ......................................................................................................... 3-1 3................................................................................................... 7-1 7.................................... 1-7 1............................................... 4-1 4................................................................................................6 Drug Calculation...................1 General Information .........................................2 Default Setup.................4 Connect Sensors/Probes .............................................................. 5-1 5...........................6 When an Alarm Occurs ............................................................................................................................ 6-1 6...........................................................2 Alarm Self-test..... 6-1 6. 3-4 3........................... 6-1 6.............................................................................................................................................................1 General Description .................... 2-1 2................................................................................................................................................................................................................................................................... 6-2 Chapter 7 Recording ..............................4 Interfaces ............................................1 Alarm Modes ................................1 Unpacking and Checking .............................................................3 Alarm Cause.............................. 3-12 3................................................................................... 3-10 3................................... 2-2 2................2 Screen Display ............................................... 1-10 1.......................... 1-4 1.............. 5-6 5....................................................................................... 1-1 1............................................................... 7-1 7..............2 Connect the Power Cables .........1 Standard Screen ........................................................3 Frozen Menu .................................. 3-11 3.............Contents Chapter 1 Introduction........... 5-4 5......................................................... 5-5 5.......................................................................................................................... 5-4 5.................................................................................. 2-2 Chapter 3 System Menu ............... 5-1 5................................................................................................................................8 DEMO Function..................................................................................................4 SILENCE/CLOSE/PAUSE ................................................................................................................................. 2-2 2.................................. 7-1 7....................... 1-12 Chapter 2 Getting Started ................... 7-4 1 ............ 4-1 4............. 3-12 3....................... 3-5 3................................................................................... 2-1 2................ 1-2 1..........................................................................................................5 Parameter Alarm ...............................................................................................................................4 Selection Setup ..2 Recording Type ........................................3 Start Recording .........................................................................................................1 General Description ......................................................................................2 Entering and Exiting Frozen Mode......................................3 Button Functions .................. 3-15 Chapter 4 Face Select .................................7 Maitenance .........5 Built-in battery ...... 2-1 2..............................................3 Power On the Monitor .......................................5 Monitor Version ........................................................................................................5 Check the Recorder ..3 System Setup ......................................................................... 6-2 6................................................................................................................................................................................................................................................. 3-2 3.............

............... 13-8 13.................10 Maintenance and Cleaning ................................................................................................ 13-1 13.......................................................................................................................................6 ECG Alarm Information and Prompt ...........................................3 Monitoring Procedure............................. 12-5 12...................................................................................................................... 8-1 8................................................2 Titration Table ............1 Trend Graph ........................................................ 13-9 Chapter 14 NIBP Monitoring...........2 Precautions ...............................................................................................4 ECG Screen Hot Keys .................................................................. 15-1 15..................................................................... 11-3 Chapter 12 ECG/RESP Monitoring ....... 12-24 Chapter 13 SpO2 Monitoring .. 12-2 12....................................................2 General Cleaning ............... 14-13 Chapter 15 TEMP Monitoring ..............................................................................................5 Disinfection......................................................................7 ST Segment Monitoring (optional) ..3 Cleaning Agents ............ 8-1 8..................... 15-1 15................................................. 11-2 11........................................................5 Maintenance and Cleaning .......................................................................................... 13-6 13................................... 12-6 12...........................................................4 Sterilization ..............................................1 What Is ECG Monitoring .......................................5 SpO2 Menu.........................................................................................4 Recorder Operations and Status Information ....9 Measuring RESP...................................................................... 12-1 12......4 NIBP Alarm Message .................................................................................6 Alarm Description and Prompt ...1 Drug Calculation........................ 13-2 13...........................................................................................2 Precautions .................................................................................................................. 14-1 14.......... 14-11 14................................................................................................................................... 13-1 13.................... Monitoring (optional)......................................4 Alarm Event Recall ....................... 11-1 11..................... 9-1 9................................................... 8-5 Chapter 9 Drug Calculation and Titration Table.........7 Maintenance and Cleaning .............................1 What is SpO2 Monitoring...........................................................................4 Limitations for Measurement......................................................................................1 Introduction .........8 Arr............................................................................... Contents 7.................................................................................................... 11-3 11..................................................................... 9-1 9...... 12-1 12.......................................................................................................................................................................2 NIBP Monitoring ..........................................................3 Monitoring Procedure.......3 NIBP Recall ....................................................................................................................................... 8-5 8............. 10-1 Chapter 11 Maintenance / Cleaning ..............................................2 TEMP SETUP Menu ..................................................................................................................................................................................................... 14-6 14.............................................................................................. 8-3 8...................................................... 12-10 12........... 12-1 12....................................................................................... 7-5 Chapter 8 Trend and Event .................................................. 12-20 12............... 14-1 14......................... 12-11 12............................... 14-1 14.................................................................................................................................................................. 8-4 Chapter 10 Patient Safety.......3 NIBP SETUP menu....................................... 15-2 2 ............................................ 13-5 13................................ 11-1 11.......... 11-1 11.......................... 12-15 12...2 Trend Table.......................... 13-3 13.................................1 System Check ...........................1 TEMP Monitoring ......5 ECG Menu ...............................

................................4 TEMP Accessories ............... 16-1 16.....................................................C-1 Appendix D System Alarm Prompt .......................D-1 3 .................................................4 Maintenance and Cleaning ......................................................................2 SpO2 Accessories ..............................3 NIBP Accessories............................... 16-1 16....................................................................B-1 Appendix C EMC..3 TEMP Alarm message ............................... 16-2 16..............................................................................................................A-1 Appendix B Product Specification ............................................... 15-3 Chapter16 Accessories and Ordering Information ............................................................... 16-3 Appendix A EC Declaration of Conformity........... Contents 15...............................................................................................................1 ECG Accessories ........................................................................... 15-3 15..................................................... 16-2 16..............................................................................................

Contents FOR YOUR NTOES 4 .

3 Button Functions.2 Screen Display. Do not use cellular phone in the vicinity of this device. you (doctor or nurse) must give top priority to the patient safety. table. or the device during defibrillation. For various messages displayed on the screen. You must verify if the device and accessories can function safely and normally before use. Devices connected to the monitor shall form an equipotential system (protectively earthed). For safety precautions of the monitor. please refer to 1. Its operation is to be performed by a physician or appropriate medical staff under the direction of a physician. Possible explosion hazard if used in the presence of flammable anesthetics.1 General Information.4 Interfaces. Dispose of the packaging material. please refer to 1. High level electromagnetic radiation emitted from such devices may greatly affect the monitor performance. When used with Electro-surgery equipment. Do not touch the patient. refer to Chapter 10 Patient Safety. refer to 1. The monitor can monitor single patient once. Opening the monitor housing presents a risk of hazard due to electrical shock. Warning The Monitor is intended for use by qualified clinical Personnel. refer to 1. You must customize the alarm setups according to individual patient situation and make sure that alarm sound can be activated when alarm occurs. All servicing and future upgrades to this equipment must be carried out by personnel trained and authorized by Mindray. refer to 1. For basic operations. For battery recharging procedure. observing the applicable waste control regulations 1-1 .5 Built-in Battery. For allocation of interface sockets.Chapter 1 Introduction For an overview of the monitor.

6A Contraindications: None Note The system may not meet its performance specifications if stored or used outside the specified temperature and humidity range.100m Power Supply 100 ~ 240V. noncondensing Transport and Storage 10% ~ 95%. The software was developed per IEC601-1-4. It integrates parameter measurement. the product described in this manual. display and recorder in one device. lightweight and portability.1 General Information Environmental Specifications Temperature Working 0 ~ 40 °C Transport and Storage -20 ~ 60 °C Humidity Working 15% ~ 95%. 1-2 . Pediatric and Neonate. SpO2. featured by compactness. 50/60Hz Pmax=110VA FUSE T 1. General Instruction The Monitor is applicable for bedside monitoring of Adult. AC. noncondensing Altitude Working -500 ~ 4. must be disposed of in compliance with the guidelines regulation the disposal of such products. Respiratory Rate. Caution At the end of its service life. Introduction and keeping it out of children’s reach. NIBP and TEMP. Its large and high-resolution display can clearly display 4 waveforms and all parameter information. The possibility of hazards arising from errors in the software program is minimized. please contact Mindray Customer Service. 1. If you have questions concerning disposal of the product. as well as its accessories. The Monitor is intended to monitor vital signals such as ECG.600m Transport and Storage -500 ~ 13. Note This equipment complies with the standard CISPR11 (EN55011) class A.

Introduction

Front Panel


① ④
Figure 1-1 Patient Monitor

① POWER Switch: On the bottom left quarter of the front panel.

② CHARGE Indicator: A LED above the POWER Switch.

③ ALARM Indicator: A LED on the upper side of the front panel. The ALARM indicator
flashes or lights when an alarm occurs.

The visible LEDs are CLASS 1 LED PRODUCT according with EN 60825-1 A11 Oct 1996.

④ Control Panel: Refer to 1.3 Button Functions for details.

⑤ Rotary Knob: Refer to 1.3 Button Functions for details.

The sockets of the sensors are at the left side. The recorder socket is at the right side. Other
sockets and power plug-in are at the rear panel.

Monitored Parameters
Heart Rate (HR)
ECG 1-channel ECG waveform
Arrhythmia and S-T segment analysis, Pace analysis
Respiratory Rate (RR)
RESP
Respiration Waveform
Oxygen Saturation (SpO2), Pulse Rate (PR)
SPO2
SpO2 Plethysmogram

NIBP Systolic Pressure (NS), Diastolic Pressure (ND), Mean Pressure (NM)

TEMP Temperature DATA
The monitor has additional functions including visual & audible alarm, trend data storage and
output, NIBP data storage and review, alarm event identification, and drug calculation.

1-3

Introduction

1.2 Screen Display

The display of the monitor is a color TFT, Which can display the collected patient parameters,
waveforms, alarm information as well as bed number, time and monitor status, etc.
As shown in Figure 1-2, the main screen is divided into three areas:


Figure 1-2 Main Screen

① Message Area; ② Waveform Area; ③ Parameter Area.

① Message Area

The Message Area is at top and bottom part of the screen, displaying the current status of
both the monitor and the patient. The top part displays “patient information”, “monitoring
status” and “alarm message” from left to right. The “monitoring status” and “alarm message”
appear or disappear together with the status being reported.

Patient information include:
BED NO Bed numbers of all patients under monitoring
Patient type Three options: Adult, Pediatric, Neonate
“2000-01-08” Current date: “year - month - day”
“00:49:30” Current time: “hour : minute : second”
Patient name This item will display blank if the operator does not input patient name
Patient sex Male of Female

Monitoring status reporting the current status of the monitor or sensor/probe, which
always appears to the right side of the system time. When this information appears, it will
cover patient sex and name.

1-4

Introduction

Alarm message

icon for alarm PAUSE. Press “SILENCE” button once (less than 1 second) to

suspend all alarm sounds for the pause duration. Press the button again to terminate the
PAUSE status. The duration for PAUSE status can be set for 1 minute, 2 minutes, or 3
minutes.

icon for alarm SILENCE. Press and hold the “SILENCE” button for more than 1
second to manually mute the alarm sound and this icon will be displayed. The SILENCE
status terminates when you press “SILENCE” button again or new alarm occurs.

icon for Alarm Volume Off. It appears indicating that you have turned the alarm
sound OFF. To terminate this function, you must turn the Alarm Volume ON.

Note

If the symbol appears, the system will no longer give an audible alarm sound.
You must be very careful in using this function.

② Waveform/Menu Area

This area can display four waveforms under normal operation mode. From the top to the
bottom, there are 2 ECG waveforms (one-channel cascade ECG waveform), SpO2
Plethysmogram waveform, and RESP waveform. You can choose the waveforms for display.
Refer to 3.3.6 Tracing Waveforms Selection for details.

The gain, channel as well as filter way of the ECG waveform are also displayed above the
ECG waveform. A 1mv scale bar is displayed to the right side of the ECG waveform for
reference. The name of other waveform is displayed at the upper left of the waveform.
When the functional menu is accessed during normal monitoring operation, the menu always
occupies a fixed position in the middle part of the waveform area. Therefore, part of the
waveform can’t be viewed. After exiting the menu, the monitor will return to the original
display.

You may select the refresh rate for the waveforms. The method to adjust the refresh rate for
each waveform is discussed in the setup description for each parameter.

③ Parameter Area

Parameters are displayed on the right side of the waveform area, and their positions basically

1-5

For the details of the alarm and alarm message information for the individual measured parameters. Alarm indicator and status During normal monitoring. the alarm indicator lights on or flashes. which is refreshed after each measurement. 1-6 . Diastolic (From left to right) (Unit: mmHg or kPa) SpO2: ⎯ ⑤ SpO2 (Unit: %) RESP: ⎯ ⑥ Respiration Rate (Unit: breath/min) TEMP: ⎯ ⑦ Temperature (Unit:℃ or ℉) The system refreshes each parameter value once per second except NIBP. Refer to Chapter 5 Alarm for detailed information. The measured parameters displayed in this area include: ①HR or PR ②ST Anlysis ③PVC ④NIBP ⑤SPO2 ⑥RESP ⑦TEMP Figure 1-3 Main Screen ECG: ⎯ ① Heart Rate ( Unit: bpm) ⎯ ② ST-segment analysis result (Unit: mV) ⎯ ③ Arrhythmia (PVCs) events (Unit: event/min) NIBP: — ④ Systolic. Mean. Introduction correspond to the waveform. The color of the indicator corresponds to the alarm priority level. When an alarm occurs. the alarm indicator is not on. refer to the chapter for each parameter.

For detailed information. refer to Chapter 6 Freeze. Press this button again or when the pause time runs out. The symbol appears in the information area. Press this button for more than 1 second to access the Silence status. However. the technical alarms such as lead off will not be restored. the “ALARM PAUSE xx s” appears in the parameter alarm information area. the frozen waveform can be printed out. Note When the monitor exits the Alarm Pause status. At this time. ② FREEZE Press this button and the monitor will switch to the FREEZE mode. All the alarm sounds are muted. located at the lower right of the monitor. ③ SILENCE Press this button to access the Alarm Pause status. The system will mute all kinds of sound such as heart beat. ① ② ③ ④ ⑤ ⑥ ⑦ Figure 1-4 Buttons and Knob ① MAIN The screen will return to the main screen when this button is pressed. 1.3 Button Functions The operation of the monitor is performed using a few buttons and a Rotary Knob on the control panel. In FREEZE mode. pulse and button sound and all the current alarm sound will be muted. 1-7 . Introduction Warning Always verify the self-check function of the audible and visual (LED) alarms when the power is turned on. Press the SILENCE once again to restore all kinds of sound and the disappears. whether the alarm sound is restored depends on whether the alarm exists. button sound and pulse sound will still exist. other sounds such as heart beat. then the alarm sound resumes and the prompt “ALARM PAUSE xx s” disappears from the screen. However. That means the user may also close the technical alarms such as lead off through accessing and then exiting the Alarm Pause status. the system terminates the alarm pause status and returns to the normal monitoring status. Press this button again to exit the FREEZE mode.

How to use the Rotary Knob The rectangular mark on the screen that moves with the rotation of the knob is called a “cursor”. in which the user may set up system information and perform review operation. Press during recording to stop the recording. ⑦ Rotary Knob Use the rotary knob to select menu items and modify the monitor setup. ⑥ MENU Press this button to display the SYSTEM MENU. For detailed information. or the current menu is replaced by a new one. ECG menu NIBP menu SpO2 menu RESP menu TEMP menu Highlight any item that you want to operate and press the knob. It can be rotated clockwise or counter-clockwise. the system gives alarm according to the setup alarm sound. Introduction In the Alarm Silence status. Operation can be performed at any position at which the cursor is located. refer to Chapter 3 System Menu and Chapter 8 Trend and Event. The recording time is set in REC TIME of RECORD SETUP submenu. indicating that rotating the knob can change its content. press to cancel the measurement and deflate the cuff. 1-8 . similar to other buttons. refer to related chapter: Alarm. At this time. you may open the setup menu of the corresponding parameter to review or change the menu items. the system will fulfill one of the following three activities: A menu pops up. When measuring. When the cursor is in the waveform area. For detailed information. and pressed to make a desired selection. refer to Chapter 7 Recording. For the detailed rules. the system will terminate the Silent status and restore the normal alarming status. ④ RECORD Press this button to start a real time recording. The solid frame becomes a dotted one. ⑤ START Press this button to inflate the cuff to start a blood pressure measurement. you may immediately modify the current setup by selecting one of the following hot keys: ECG lead name ECG gain ECG filter When the cursor is in the parameter area. if there is new alarm.

Beat volume: Access the ECG SETUP\OTHER SETUPS and select the [BEAT VOL]. Key volume: Press the MENU button to access the SYSTEM MENU \ SELECTION and select the [KEY VOL] item. Refer to 3.6 Tracing Waveforms Selection for details. NIBP Systolic: access the NIBP SETUP menu and select the [SYS ALM HI] or [SYS ALM LO] item. NIBP MEAN: access the NIBP SETUP menu and select the [MEAN ALM HI] or [MEAN ALM LO] item. To adjust volume: Alarm volume: Press the MENU button to access the SYSTEM MENU \ SYSTEM SETUP \ ALARM SETUP and select the [ALARM VOL] item. Introduction The system can immediately execute an operation. ST: access the ECG SETUP menu and select the [ST ANALYSIS]. RESP: access the RESP SETUP menu and select the [ALM HI] or [ALM LO] item. The TRACE SETUP menu will appear. Basic Operations To display desired waveform: Press the MENU button to access the SYSTEM MENU and then select the [TRACE SETUP] item.3. To record real-time waveform: Push RECORD button to start the real-time recording process. 1-9 . PVCs: access the ECG SETUP menu and select the [ARR ANALYSIS]. NIBP Diastolic: access the NIBP SETUP menu and select the [DIA ALM HI] or [DIA ALM LO] item. then select the [ALM HI] or [ALM LO] item. in which you can select the desired waveform. then select the [ALM HI] or [ALM LO] item. PLETH: access the SpO2 SETUP menu and select the [SWEEP] item. TEMP: access the TEMP SETUP menu and select the [ALM HI] or [ALM LO] item. To change Alarm limits: ECG: access the ECG SETUP menu and select the [ALM HI] or [ALM LO] item. PR: access the SPO2 menu and select the [PR HI] or [PR ALM LO] item. RESP: access the RESP SETUP menu and select the [SWEEP] item. Refer to Chapter 7 Recording for details. You can select 0~10. To adjust waveform sweep speed: ECG: access the ECG SETUP menu and select the [SWEEP] item. SpO2: access the SPO2 SETUP menu and select the [SpO2 ALM HI] or [SPO2 ALM LO] item.

we put different interfaces on different positions of the monitor. To restore default settings: Refer to 3. there are: ① Socket for ECG cable ② Socket for NIBP probe ③ Socket for TEMP probe ④ Socket for SpO2 sensor This symbol means “BE CAREFUL". Introduction Pulse volume: Access the SPO2 SETUP Menu and select the [PR SOUND]. The unit displaying this symbol contains an F-Type isolated (floating) patient applied part providing a 1-10 .4 Interfaces For your convenience. As shown in Figure 1-6. ③ ① ② ④ ① Figure 1-5 Right Panel Figure 1-6 Left Panel Patient cable and sensor/probe sockets are on the left side of the monitor. This symbol indicates that the instrument is IEC60601-1 Type CF equipment. 1. To set up system date and time: Press the MENU button to access the SYSTEM MENU \ SYSTEM SETUP and select the [TIME SETUP]. Recorder is on the right side of the monitor. Refer to the accompanying document (this manual).2 Default Setup for details.

as well as online software upgrading function by connecting with a PC. IEC 60950 for data processing equipment and IEC 60601-1 for medical equipment). Network interface is a multi-functional interface. 50/60 (Hz). and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC 60601-1-1. consult Mindray Customer Service. shown in Figure 1-7. 1-11 . ① Network Interface: Standard RJ45 Socket. and is suitable for use during defibrillation. Other symbols in the monitor are explained in Chapter 10 Patient Safety. Everybody who connects additional equipment to the signal input part or signal output part configures a medical system.6A ④ AC Power Input Connector: 100~240 (VAC). ③ Fuse: T 1. Furthermore all configurations shall comply with the valid version of the system standard IEC 60601-1-1. ① ③ ② ④ Figure 1-7 Back Side On the rear panel are the following connectors. ② Equipotential grounding terminal for connection with the hospital’s grounding system.g. and Mindray Hyper III and CMS network protocol. Introduction high degree of protection against shock. Warning Network interface is can be used to upgrade the system. and is only executed by Mindray authorized personnel Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards (e. which support 100 BASE-TX Ethernet communication channel. If in doubt.

1-12 . See Figure 1-8 Battery Slot Cover. When not using the patient monitor for a long time without charging the battery. And. each can hold a battery. battery state will be displayed as “ ” under a cross to indicate that no battery is available. Mindray recommends replace the sealed Lead-Acid battery once per year. the battery must be recharged before use again. the battery capacity will decrease. When the battery is depleted. Battery can be installed into and pulled off from battery slot. Under connectors to patient cables there are battery slots with cover. if no battery is installed. Introduction 1. Connect the patient monitor to appropriate AC mains to charge the battery. When operating on battery. If the monitor continues to operate from the battery. Connect the monitor to AC power at this moment can recharge the battery while operating. and one battery can support the monitor working. The solid part represents the relative electric energy of the battery. the monitor will sound continuous high-level alarm tone and display “BATTERY TOO LOW” in the Message Area. the monitor will sound an alarm and shut off automatically when the energy is low. The battery in the Monitor will automatically recharge when AC power is applied until it is full. A symbol “ ” is displayed on the lower left quarter of the screen to indicate the battery status. There are two battery slots inside the monitor. This symbol will be covered when some information appears. ① Figure 1-8 Battery Slot Cover Warning After the patient monitor has been placed unused for a long time. Dispose or recycle the battery and other parts of the patient monitor by following local government regulations.5 Built-in Battery The Monitor is equipped with rechargeable batteries. Warning Don’t pull off battery when the monitor is working. the monitor will shut off automatically about 5 minutes after alarm.

1 Unpacking and Checking Open the package and remove the monitor and accessories carefully. hospital grade outlet only. Note Connect the power cable to a 3-prong.2 Connect the Power Cable Following these steps to connect the AC power cable: Make sure the AC power supply complies with following specification: 100~240 VAC. Refer to Chapter 10 Patient Safety for details. Save the packing material for possible future transportation or storage. If there is any problem. contact Mindray Customer Service immediately. grounded hospital grade power outlet. Plug the power cable into the “AC Power Input connector” of the monitor. ■ Check for any mechanical damage. ■ Check all the cables and accessories for damage. 2. Use the power cable supplied with the monitor. 2. Check the components by comparing the packing list. 2-1 . Connect the other end of the power cable into a 3-prong.Chapter 2 Getting Started ■ Unpacking and Checking ■ Connect the Power Cable ■ Power On the Monitor ■ Connect Sensors/Probes ■ Check the Recorder Note To ensure the monitor works properly. Connect the equipotential earth line if necessary. 50/60 Hz. please read “Chapter 10 Patient Safety” and follow the steps indicated before using this monitor.

or the system displays some error messages. Warning If any sign of damage is detected. refer to Chapter 12-15. 2-2 . 2. the system will self-test successfully and enter main monitoring screen. IF use it. refer to Chapter 7 Recording for details. please do not place it on the floor. Note You must turn on the monitor at least 1 minute after turning off the monitor. After about 10 seconds. During self-test.3 Power On the Monitor Press POWER Switch to power on the monitor. do not use it on any patient. Mindray advises that every one monitor uses one MULTIPLE PORTABLE SOCKET-OUTLETS. A beep “Du…” will be heard and the alarm indicator will flash once in different color. the system can display machine version number. Getting started Note Mindray does not provide MULTIPLE PORTABLE SOCKET-OUTLETS. If there is no paper. 2. 2. Note Check all usable functions in order to ensure the normal function of the monitor. Note If the system detects any fatal error during self-test.4 Connect Sensors/Probes Connect the necessary patient sensors/probes to the monitor and the patient. You can perform normal operations now.5 Check the Recorder Check if the recorder on the right side of the monitor has paper. Note To know how to correctly connect sensors/probes. it will give alarm. Contact biomedical engineer in the hospital or Mindray Customer Service Center immediately.

You can customize the monitoring presentation. Figure 3-1 SYSTEM MENU In this chapter. Press the “MENU” button on the front panel to display the “SYSTEM MENU” as shown in Figure 3-1. sound volume. except the “TREND GRAPH”. waveform sweep speed. “TREND TABLE”. “NIBP RECALL” and “ALARM RECALL”. the submenus will be described one by one.Chapter 3 System Menu ■ Patient Setup ■ Default Setup ■ System Setup ■ Selection Setup ■ Monitor Version ■ Drug Calculation ■ Demo Function ■ Maintenance The Monitor features flexibility in monitoring configurations. and output interface. 3-1 . which will be described in Chapter 8 Trend and Event.

Repeat the process until all the characters are input. Maximum of 12 characters) SEX Patient gender ("F" for Female. DEPT.1 Patient Setup Note To clear current patient data. 0~9 and space bar. Select [PATIENT SETUP] from the “SYSTEM MENU” to display the following menu. This is done by moving the cursor to [PATIENT SETUP] and pressing on the knob. 4. Input the patient information by pressing the knob and the cursor will jump to select the alphanumeric keypad located at the bottom of the menu. System Menu 3. PAT NO Patient Identification Number. NAME Patient name (Valid characters: A~Z. 2. Select OK and press the knob. Figure 3-2 PATIENT SETUP 1. BED NO Patient bed number (Range: 1~100) DOCTOR Name of the doctor. Once a character is highlighted with the cursor. 3. "M" for Male) 3-2 . refer to “New Patient” for details. The cursor will return to the starting position. Department in which the patient receives treatment. press the knob to enter that character.

BLOOD Patient blood type (Select A. and NEO for Adult. 3-3 .5 cm or inch each time. (kg/Ib) Patient weight (Rotating the knob will increase or decrease the weight in 0. unit in the measured parameter area. Note If you select [YES].) When select the WT. System Menu PAT TYPE Patient type (ADU. unit in the measured parameter area. Pediatric. and Neonate respectively) ADMIT Hospitalization starting date (format: year\month\ day) BIRTH Patient date of birth (format: year\month\day) HT. or N. PED. Select [NO] to exit the menu and the system will keep the information of the patient that was being monitored. AB. "N" represents unknown blood type) NEW PATIENT Admission of new patient When you select [NEW PATIENT]. 2. you access the “CONFIRM TO UPDATE PATIENT” menu as shown below. Figure 3-3 Confirm To Update Patient Menu 1.5 kg or pound each time. the system will delete all information of previously monitored patient. B. O. WT. Select [YES] to delete all information of the patient that was being monitored and exit the menu. the unit of measurement must correspond with the unit you select here. or the patient being currently monitored. This allows you to delete previous patient data and begin monitoring a new patient.) When select the HT. the unit of measurement must correspond with the unit you select here. (cm/inch ) Patient height (Rotating the knob will increase or decrease the height in 0.

Figure 3-4 DEFAULT Menu In this menu. Figure 3-5 CONFIRM DEFAULT CONFIG Warning All configurations will be replaced by “default configurations” if selecting [YES]. the system will automatically save all the setups in the parameter menus as the user-defined default configuration according to the patient type. the selected item will replace the current setup of the system and accordingly become the system default configuration. You can select [YES] to confirm your selection or [NO] to give up your selection. You can also save the current system configuration as the user-defined default configuration. you can select both the factory default and the user-defined default. the “CONFIRM DEFAULT CONFIG” menu will be displayed. At this time. After selecting any item in the DEFAULT menu and exiting that menu. System Menu 3.2 Default Setup Note After selecting any item in this sub-menu. 3-4 .

in which two selections are available: STANDARD SCREEN and VIEWBED SCREEN. 3. please refer to Chapter 4 Face Select.3. System Menu 3.1 Face Select Select “FACE SELECT” item in “SYSTEM SETUP” menu to access “FACE SELECT” dialog box as shown below. Figure 3-7 FACE SELECT For details about STANDARD SCREEN and VIEWBED SCREEN. you can configure the following items. Figure 3-6 System setup In the [SYSTEM SETUP] menu. 3-5 .3 System Setup Select the [system setup] item from the “SYSTEM MENU”. Only one selection can be chosen for each time.

Use the cursor to highlight the item that you want to modify and rotate the knob to select time. 2 Figure 3-8 Alarm Setup 2. minute and second. the system may not display the correct time. There are 10 options: “1~10”. and “10” means the maximum volume. you can change the alarm volume.3. For detailed information. when you review the content with time information. day. “1” means the minimum volume. Note You shall set up the system time upon turning on the monitor (if you need to set up the system time). You can select any of them depending on your specific requirement. and other alarm information.3. The menu as shown below will be displayed. 1.2 Alarm setup The monitor provides ten levels of alarm volume. otherwise. 3-6 . refer to Chapter 5 Alarm. You can select the alarm volume. By moving cursor to [ALARM VOL] and rotating the knob. Then select [EXIT]. month. 3. Select the [ALARM SETUP] item in the “SYSTEM SETUP” menu.3 Time Setup Select the [TIME SETUP] from the “SYSTEM SETUP” menu. hour. System Menu 3. The system time is in the format of year.

The waveforms that can be selected include: ECG If no ECG waveform is displayed on the screen.3. you cannot select this item.4 Recorder setup Select [RECORD] from the “SYSTEM SETUP” menu to display the “RECORD” menu. 3-7 . System Menu Figure 3-9 System Time Setup 3. REC WAVE2 You can select up to two waveforms for recording. you can perform the following setup: Figure 3-10 Record Setup REC WAVE1.

The monitor will start recording at the selected time interval. 40min. REC GRID: You can select ON to print a grid on the paper. “CONTINUAL”: When the recorder is started by pressing the “RECORD” button on the monitor panel. 2hours. System Menu SPO2 SpO2 Plethysmogram.) RESP RESP waveform (If no RESP waveform is displayed. you cannot select this item). TIMING REC TIME: This is used to select a time interval between automatic recordings. RT REC TIME: There are two options. the recorder will continuously print out the waveform or parameter until this button is pressed again. or OFF for no grid. 50min. and automatically shut off. 1hour. record for 8 seconds.0. 10min. Note If two same waveforms are selected. “8s”: When the “RECORD” button is pressed. Ten selections are available: “OFF. Note RT REC TIME takes priority over TIMING REC TIME OFF. CLEAR REC TASK: This is used to clear a recording event that has been waiting for recording. 20min. you cannot select this item.0 mm/s. or 50. the recorder will run for 8 seconds and stops automatically. the system will automatically change one of the waveform to a different one. CONTINUAL and 8s. 3-8 . 3hours and 4hours”. REC RATE: You can select either 25. 30min. OFF Do not select this waveform. (If no SpO2 Plethysmogram is displayed .

Figure 3-12 Tracing Waveforms Selection You can choose the waveform to be displayed in the screen.6 Tracing Waveforms Selection Select the [TRACE SETUP] from the “SYSTEM SETUP” menu. its corresponding waveform will not be displayed. If a module is not selected. If a parameter in this menu is not selected. 3-9 . 3. its corresponding measured parameters will still be displayed. System Menu 3. its corresponding parameters and waveform will not be displayed.3.5 Module Setup Select [MODULE SETUP] from the “SYSTEM SETUP” menu.3. Figure 3-11 Module Setup Select the parameters to be monitored. This will avoid displaying information for parameters that are not being monitored. However.

C or D. The event marking function helps to classify the records into different categories.7 Event Setup The monitor enables you to mark four different events. press the knob on the event again to unmark the selection.4 Selection Setup Select [SELECTION] from the “SYSTEM MENU”. injections. Example: Dose taking. The “@” symbol will appear in the frame of the event being selected. A mark will be displayed on the trend graph/table indicating the time the mark was initiated in relation to the event it represents. such as those having influence on patients versus those having influence on parameter monitoring. If you make an incorrect selection. 3. 3. B. System Menu 3. or therapy. 2 Figure 3-14 Selection Setup 3-10 . Use the knob select event A. 1. Select [EXIT] to exit the menu and the mark function will be effective. Figure 3-13 MARK EVENT Menu 2. Select [MARK EVENT] from the “SYSTEM SETUP”.3.

When it is “OFF”. When it is “OFF”. Highlight [HELP] and rotate the knob to select “ON” or “OFF”. Help Function: The system incorporates On-line Help for the menu operations. 1. you can browse the on-line help information. When it is “ON”.5 Monitor Version Select [VERSION] from the “SYSTEM MENU” to see the software version of the monitor. Rotate the knob to select the level of volume. You can choose any help information as needed. There are 11 options: “0~10”. and “10” means the maximum volume. the alarm limit will not be displayed in the parameter area. the version information of your product may differ from that displayed in this menu. 3. the system will turn off the on-line help function. Select [DEVICE CONFIG LIST] to view the configuration of the monitor. Alarm Limits: The system can display the alarm limits. and set to “ON” or “OFF”. 2. Figure 3-15 Monitor Version Due to continuing product innovation. System Menu Key Volume: Select [KEY VOL] from the “SELECTION” menu. Select [SELECTION] from the “SYSTEM MENU” 2. You can select [ALM LIMIT]. Select [SELECTION] from “SYSTEM MENU”. “0” means the key volume is turned off. When it is “ON”. the alarm limit will be displayed in the parameter area. 3-11 . 1.

Figure 3-17 Enter Maintain Password 3-12 . Enter the password into the frame under the “USER KEY”. 3.7 Maintenance 1. Select [MAINTAIN] from the “SYSTEM MENU”. 2. Refer to Chapter 9 Drug Calculation and Titration Table for detailed information.6 Drug Calculation You can use the drug calculation and titration table function of the monitor to calculate the concentration of 15 kinds of drugs. 3. System Menu Figure 3-16 Device Configuration List 3. Select confirm to enter the “USER MAINTAIN” menu shown in Figure 3-18.

[ALM SOUND]: You can set the alarm volume to “ON” or “OFF”. you must be very careful in using this selection. Warning When the alarm volume is set to “OFF”. which is only available for the service engineers of MINDRAY company. [LEAD NAMING]: You can select “AHA” or “EURO”. you can set up following items: [LANGUAGE]: You can select the screen language you need. To know the difference between two styles. refer to Chapter 12 ECG/RESP Monitoring. the system will automatically discharge Silence or Pause status. Therefore. Warning If setting the alarm volume to “OFF” when the system is in Silence or Pause status. System Menu Warning It is forbidden to execute factory maintenance function. 3-13 . Figure 3-18 User Maintain In the “USER MAINTAIN” menu. you will not hear the alarm sound if new alarm occurs.

Three options are available. [NET TYPE]: You can choose “HYPER III” or “CMS”. “CY-F1” is a kind of TEMP probe made in China. Figure 3-19 Color Self-define 3-14 . COLOR SELF-DEFINE This is used to define the color of the waveform displayed on the screen. a symbol will appear in the Technical Alarm Area. Note After the alarm volume is set to OFF. [LOCAL NET NO]: It refers to the net No. yellow and white. After turning on the monitor next time. Five colors can be chosen from: green. Note Setting Alarm Volume to “OFF” is valid only when the monitor is turned on for this time. red. this setup will restore its value of the previous time when the system is turned on. the system will restore the alarm volume before the alarm volume is set to “OFF” and enter Silence or Pause status. [ALM PAUSE TIME]: You can set up the duration of Alarm Pause status. System Menu Warning If you select “Silence” or “Pause” when the alarm volume is set to “OFF”. cyan. [TEMP SENSOR]: You can choose either “YSI” or “CY-F1”. 1 minute. 2 minutes and 3 minutes.

the system enters DEMO status. After entering the password. In clinical application. Figure 3-20 Input Demo Key 3-15 . System Menu 3. and for training purpose only. 2. this function is forbidden because the DEMO display can mislead the medical staff to treat the DEMO waveform and parameter as the actual data of the patient. 1.8 DEMO Function Warning The purpose of the demonstration display is to demonstrate the performance of the monitor. Select [DEMO] from the “SYSTEM MENU” to display the “ENTER DEMO PASSWORD”.

System Menu FOR YOUR NOTES 3-16 .

Figure 4-2 STANDARD SCREEN 4-1 .Chapter 4 Face Select In the “SYSTEM MENU”. and “VIEWBED SCREEN”. Figure 4-1 FACE SELECT 4. select [FACE SELECT] from the “SYSTEM SETUP” menu to display the figure below. The Standard Screen is the basic operating screen of the monitor. There are two options in this dialog. which are “STANDARD SCREEN”. Only one item can be selected at one time.1 Standard Screen Select the “STANDARD SCREEN” to enter the Standard Screen.

Enter Viewbed Screen Select the “VIEWBED SCREEN” option in the “FACE SELECT” menu. it indicates that the bedside monitor being viewed has no waveforms. Figure 4-3 VIEWBED SCREEN Hot key of Viewbed There are two hot keys in the Viewbed Screen: Select Bed Number and Select Waveform. Face Select 4. The selected waveform is one of those listed in the hot key of Select Waveform. Viewbed Screen window occupies the space of the bottom four waveforms. You can select a monitor to be monitored according to the patient name and bed number. You can use this hot key to select and therefore view different waveforms of the monitor being viewed. If at this time no other monitors are connected on the same LAN of this monitor. the hot key of Bed Number will therefore display “N/A”. 4-2 . After you use this hot key to select a monitor to be viewed. The hot key of Select Bed Number displays the bed numbers and patient names of other monitors currently connected on the LAN.2 Viewbed Screen If another monitor is connected on the same LAN of this monitor. the system will toggle to the display of the selected monitor for your view. If the hot key of Select Waveform displays “N/A”. you can use this monitor to view any measured waveform and information about all measured parameters from another monitor. The hot key of Select Waveform is used to select a waveform generated by the monitor being viewed.

Technical Information area Technical Information area is to the right of patient name in Viewbed Screen. the system will automatically select a networked bedside monitor and a waveform of this monitor for you to view. this alarm indicator illuminates red. Rules for automatically selecting monitor to be viewed and waveform When you turn on the monitor or enter Viewbed Screen. such as due to network failure or network too busy. If the monitor being viewed has no alarm or the alarm is screened. parameters and waveforms. At this time. The activity of this alarm indicator is identical with that of the alarm lamp on the panel of the monitor being viewed. if it occurs high level alarm. The Sweep manner (refreshing or scrolling) of the waveform is identical with that of this monitor. its corresponding waveform will disappear and the waveform in the waveform area will not be refreshed. Sweep speed is also identical with that set up for the same waveform on this monitor. you must select again through using hot keys. you need to select again. However in this situation. clear displays of all alarms. Viewbed is disabled. there is an Alarm Indicator used to tell the alarm status of the monitor being viewed. If the monitor being currently viewed is disconnected. Waveform area of Viewbed Screen Under the hot key of Select Waveform is the Waveform area. Parameter area of Viewbed Screen Under the hot key of Select Bed Number is the Parameter area. Face Select Alarm indicator of Viewbed On the upper right side of the Viewbed Screen. Close Viewbed Screen In the FACE SELECT menu. if you want to view other waveforms of this monitor. if the monitor being viewed occurs medium/low level alarm. the Viewbed Screen still displays. select options of other operating screens to close the Viewbed Screen. this alarm indicator illuminates yellow. the viewed monitor will automatically close. That is to say. the icon for this alarm indicator will not be displayed. If a measure module of the viewed monitor is disconnected or closed. in which parameters of all monitors being viewed are displayed. Instead this waveform area will display empty. 4-3 . This area displays related technical information to Viewbed. The feature description of the displayed waveform is given above the waveform. If you want to view another monitor.

Face Select FOR YOUR NOTES 4-4 .

Technical alarm: Technical alarm is to the left side of the physiological alarm. but still need to have some attention given to them. do not use the monitor on the patient. These are alarms such as heart rate (HR) exceeding alarm limit (parameter alarms). 1. This is the highest level of alarm and is the most serious alarm. a tone “DO-” will be heard. Please contact Mindray Customer Service immediately.Chapter 5 Alarm ■ Alarm Modes ■ Alarm Self-test ■ Alarm Cause ■ SILENCE/CLOSE/PAUSE ■ Parameter Alarm ■ When an Alarm Occurs Warning When the monitor is powered on. 1. either technical or physiological. which could be considered dangerous to his or her life. Upon turning on the monitor.1. the system will test whether the audio and visual alarm function is working normally or not. Each type of alarm. High Level Alarms: A high level alarm indicates the patient’s life is in danger or the monitor has a serious technical problem. has its own priority level. A technical alarm is also called a System Error Message. It refers to a system failure that can make certain monitoring processes technically impossible. 5. It refers to those alarms triggered by the patient’s physiological condition. 3.1. 2. Physiological alarm: Physiological alarm is on the upper right part of the screen. If the audio and visual alarm function is not normal. At the same time the alarm indicator will flash once in different color.1 Alarm Modes 5. or make the monitoring result unreliable. Alarm Level The monitor classifies alarms into three categories. General alarm: General alarms belong to those situations that can not be categorized into the other two types. 5-1 .

Screen Messages For technical alarm. Audio Sound: A beep or tone is generated. the monitor will give a prompt in a more alert way. when an alarm occurs. the monitor indicates the alarm by making the monitored parameter value flash every 1 second. Triple “***” means high-level alarm. the upper and lower alarm limits for the parameter are displayed. Single “*” means low-level alarm. and repeated. The alarm indicator uses the following visual presentation to indicate high. Alarm levels of all technical alarms and general alarms as well as some physiological alarms are pre-set in the system and cannot be changed. or low level alarms. Visual Prompts When the measured value of a monitored parameter exceeds the alarm limit. a physiological alarm will be triggered. Dual “**” means medium-level alarm 3. Medium Level Alarms: A medium level alarm means a serious warning.2. 3. medium. High level: Alarm indicator flashes red with high frequency. 5. Alarm Modes When an alarm occurs. Visual prompts: A flashing or constant alarm lamp. Note The type of presentation for each alarm is dependant on the alarm level. when its value exceeds the alarm limits. The description with asterisk signal will appear on the screen. 1. Low Level Alarms: A low level alarm is a general warning. Usually this consists of a series of short beeps. 2. at this time. the monitor will notify the user in at least three ways. 3. For high priority alarms. Some alarms levels can be changed via the software in the monitor. when they occur. the description will be displayed in the information area without asterisk signal. Alarm 2. This is in addition to the alarm indications described above.1. 1. 2. 5-2 . or tones followed by a pause. Medium level: Alarm indicator flashes yellow with low frequency. If. For a measured parameter. Screen Messages: The description is displayed on the screen. Low level: Alarm indicator lights on yellow. or flashing indication of the measured parameter is generated at the same time as the audio sound. they will flash at the same 1 second intervals.

5. 8s or 16s prior to and after the alarm occurs. 16s. and “10” means the maximum volume.3. DO-DO-DO------DO-DO” once every 8 seconds. the monitor gives the sound of the highest level. UNLATCH refers to the situation where the monitor will stop the alarm once the condition 5-3 . 1.1. There are ten options: 1~10. LATCH refers to the situation where once an alarm occurs. Alarm level Audio prompt High “DO-DO-DO------DO-DO. ALARM VOL: Alarm volume. Note When alarms of different levels occur at the same time. PARA ALM TYPE: Select LATCH or UNLATCH. Select [ALM SEL]. “1”means the minimum volume. you can set the information for “COMMON ALM SETUP” and settings for each parameter. The system can output the waveform of 4s. ALM REC TIME: It refers to the recording duration and has three options: 8s. 32s. Alarm Audio Sound The monitor uses the following audible presentations to indicate high. medium or low level alarms. the monitor will stay in alarm until intervention by the operator (press SILENCE on the panel). Low “DO-” once every 24 seconds. Medium “DO-DO-DO” once every 24 seconds. 2. Select [ALARM SETUP] from the “SYSTEM SETUP” menu. Alarm Setup The setup for alarms is done by using the alarm setup menu. 2 Figure 4-1 ALARM SETUP COMMON ALM SETUP Select [COMMON ALM SETUP] to display following setup items for all parameters.

You can set the alarm information for the monitored parameters. 3. 5.3 Alarm Cause Alarms occur when: 1. and then press the knob and a pull-down list appears for you to make the desired selection. the system will test the audio and visual alarm function. Example: To set the alarm information for HR 1. ST. HR ALM: ON of OFF ALM LEV: Alarm level. the system will give “DO-” alarm sound. The method for setting the alarm information for other parameters is the same as for HR. SPO2. These are HR. 5-4 . Use the rotary knob to select each item. 2. Alarm setup of each parameter 1. and the alarm indicator on the display will flash once in different color. 5. and notify Mindray Customer Service. From the “ALARM SETUP” menu. high. do not use the monitor on patients. PVC. NIBP. An alarm for system error (technical alarm) occurs. Physiological alarms When the measured value of a physiological parameter exceeds the alarm limit and the alarm is set to “ON”. select the [ALM SEL]. 2. No alarm will be activated if the alarm is set to “OFF”. Five items are available for HR alarm settings. Physiological measured parameter alarm limit is violated.2 Alarm Self-test When the monitor is turned on. medium or low ALM REC: Alarm recording ON or OFF ALM HI: Upper limit for the HR alarm ALM LO: Lower limit for HR alarm 3. RESP and TEMP. an alarm will be activated. Select [HR ALM SETUP] from the pull-down list of [ALM SEL] to displays the “ALARM SETUP” menu for heart rate. Alarm causing the alarm is returned to a state that no longer violates the alarm conditions. Each time when the power is turned on. This is done automatically by the monitor. 2. If the system does not give “DO-“ sound and the alarm does not flash. A. A general alert occurs.

You can select in the [ALM PAUSE TIME] item in the “SYSTEM MENU\MAINTAIN”. The other method is to Press the SILENCE button shortly to make the symbol become . the system will exit the PAUSE status and restore the normal alarm status by giving the alarm sound again. such as stop displaying corresponding parameter and waveform and clear the final displayed value to avoid misleading the treatment. C. they are not regarded as patient health related items. The time duration of the PAUSE status can be set to 1min. if patient probe/sensor is not connected when the monitored is turned on. There are two methods to terminate this status. Press the SILENCE button again and the system will restore the normal alarm status again. PAUSE Press the SILENCE button on the panel shortly. The countdown of PAUSE status is displayed in the Physiological Alarm area. the system will give technical alarm such as SENSOR OFF. Besides. 2min or 3min. One is to set the alarm volume to “ON” in the MAINTAIN menu. any new alarm will terminate the SILENCE status and make the system restore the normal alarm status. When the system is in the SILENCE status. Note When the symbol appears indicating the alarm sound is shut off and accordingly the system will not give alarm sound. the system will shut off all sounds. the system can exit the SILENCE status and restore the PAUSE status and accordingly suspend the alarm as per the previously defined time duration.4 SILENCE/CLOSE/PAUSE SILENCE/CLOSE Press the SILENCE button on the panel for more than 1 second. in which area the symbol is also displayed. If more than one error occurs. General alert In some circumstances. Technical alarms When a system error occurs. general alerts will behave similar to a monitored parameter alarm. Alarm B. they will be displayed in order. you must be very careful in using this function. After Pressing the SILENCE button again. For example. 5-5 . and enter the PAUSE status. Press the SILENCE button again. the system will shut off all alarm sound and visual prompt as well as description of physiological alarm. the system initiates an alarm immediately and proceeds to implement a corresponding remedy. the system will restore the normal status. Press the SILENCE button for the third time. Therefore. 5. But in a normal sense.

the system will store the waveform of 4s. If the alarm recording is set to ON. 5. In the menu for a specific parameter. the system can give alarm sound as per the pre-set alarm level and volume. you can check and set the alarm limit or alarm status. The symbol disappears. The following actions take place: 1. a “ ” icon is displayed near the parameter. Identify the alarm and act appropriately. depending on the cause of the alarm.5 Parameter Alarm The settings for parameter alarms are located in the parameter individual menus. An alarm message is displayed on the screen as described in 5. When alarms of more than one parameter occur at the same time. 5. too. After Pressing the SILENCE button. For detailed information. 2. You can set the alarm to ON/OFF for each parameter. the system will give the alarm sound in the highest alarm level.6 When an Alarm Occurs Note When an alarm occurs. The alarm message appears at the top right of the screen. Note After the system goes back to the normal status. The settings for the parameters are isolated from each other. 4. 3. 16s or 32s. If you have set up the alarm volume. the system will temporarily shut off the alarm sound for LEAD OFF/SENSOR OFF alarm. an alarm will be triggered when at least one of the settings is violated. refer to Chapter 7 Recording. If you have set up the alarm recording time in the “ALARM SETUP” menu to 8s. The alarm indicator flashes. 5-6 . the existence of alarm depends on whether the alarm condition is complied with. When a parameter alarm is set to OFF. 5.2 Alarm Modes. you shall always check the patient's situation first. Alarm the occurrence of any new technical alarm will also terminate the PAUSE status and let the system restore the normal status.1. For the parameters whose alarm is set to ON. 8s or 16s prior to and after the alarm. the system will automatically activate the recorder to start alarm recording.

silence the alarm sound. 5. Alarm 1. Check the patient's condition. 4. If necessary. 3. you need to check if the cause for the alarm has been removed. You can find the alarm information and prompt information for parameters in their corresponding chapters of this manual. 2. Identify the alarming parameter or the alarm type. Identify the cause for the alarm. 5-7 . If the alarm status terminates.

Alarm FOR YOUR NOTES 5-8 .

Exiting Frozen Mode When the monitor is in frozen mode. 2. 2. 6. performing any of the following operations will allow the monitor to exit the frozen mode: 1. Press the “MAIN” button on the front panel.2 Entering and Exiting Frozen Mode Entering Frozen Mode 1.1 General Description When monitoring a patient. Press the “FREEZE” button on the front panel again. In the Freeze mode. However. In the normal mode. you may freeze the waveforms of interest so you can view them closely. Select [EXIT] on the “FROZEN” menu. 6-1 . the “FROZEN” menu will pop up. 3. The monitor will enter the Frozen mode. all waveforms are frozen.Chapter 6 Freeze General Description Entering and Exiting Frozen Mode Frozen Menu Recording Frozen Waveform 6. press the “FREEZE” button on the front panel and the menu being displayed (if available) will disappear. At the same time of entering the Freeze status. the system can still refresh the parameters normally. the system exits all other operating menus and freezes all waveforms in the waveform area of the basic screen. 3. you may also use recorder to print out a frozen waveform. You can review and record the frozen waveforms. After exiting the Frozen mode. the system displays real-time waveforms again. At the same time. If necessary. The Freeze function of this monitor has following features: Freeze status can be activated on any operating screen.

6-2 . you may record the frozen waveforms. Note Pressing the “FREEZE” button repeatedly may result in discontinuous waveforms on the screen. Select the “REC” option on the FROZEN menu to record the frozen waveforms. you can only record the waveforms displayed at the time the monitor enters the freeze status. A maximum of 2 waveforms can be recorded simultaneously. REC: select REC and the system will begin recording the frozen waveforms selected in “WAVE 1” and ”WAVE 2”. only the measured parameters are recorded. You may select two. EXIT: select EXIT and the system will close the FROZEN menu and exit the frozen mode. The recording time length is the same as the length of the waveform displayed on the screen. The pull-down list of this item gives you the names of all frozen waveforms displayed on the screen. only the measured parameters and the other waveform are recorded.4 Recording Frozen Waveform In the Frozen mode. the FROZEN menu will appear on the bottom part of the screen and the system enter the frozen mode at the same time. On the FROZEN menu. For recording frozen waveforms. 6. WAVE 2: used to select the second frozen waveform to record. If one of the two selected waveforms is not available. The pull-down list of this item gives you the names of all waveforms displayed on the screen. the pull-down lists for “WAVE 1” and “WAVE 2” give you all names of the frozen waveforms on the screen.3 FROZEN Menu Press the “FREEZE” button on the front panel. Figure 6-1 FROZEN menu WAVE 1: used to select the first frozen waveform to record. Freeze 6. If both selected waveforms are not available.

If the recorder is not installed. Select the “REC” option again to record new selected waveforms. Freeze While recording frozen waveforms. 6-3 . the monitor is still in the Frozen mode. refer to Chapter 7 Recording. For detailed information about recording. selecting the “REC” option will display the message “Recorder does not exist” in the information bar. After completion of recording you may select another waveform to be recorded.

Freeze FOR YOUR NOTES 6-4 .

The waveform is the same as for real time recording. 7. Performance of the Recorder Waveforms are recorded at a speed of 25 or 50 mm/s.1 General Description The monitor uses a thermal dot matrices recorder. Time intervals for automatic recording can be selected. English or Chinese language can be printed. The recording time and waveforms are selectable. The alarm recording waveform is automatically selected by the monitor.Chapter 7 Recording General Description Recording Type Start Recording Recording Operating and Status Information 7. or be on plain paper. The recording can have a printed grid. Up to two waveforms can be recorded.2 Recording Type The monitor provides several recording methods: Continuous real-time recording 8 second real-time recording Auto 8 second recording Parameter alarm recording Frozen waveform recording Trend graph/table recording ARR review recording Alarm review recording NIBP review recording Drug calculation and titration table recording Monitor information recording 7-1 . The record paper is 48mm wide.

If you start recording when two waveforms are closed. the monitor will first store part of them and then record them out later in turn. 3) If many alarms occur at the same time. 16 or 32 seconds) (which can be selected in the SYSTEM MENU).4. 8. or 16 seconds prior to and after the ST alarm (totally 8. 2) If other parameters have alarms when the monitor is recording a parameter alarm. If the alarms are of the same level. the monitor will output the waveform of the parameter with the highest alarm level. Or you can specify the waveforms in the menu.4. or 16 seconds prior to and after the alarm (totally 8. The system automatically select waveforms (usually the first two waveforms displayed on the screen) for continuous real-time recording and continuous 8 second recording.4 Recorder Setup for details. Note When the system is executing a recording task. the monitor will record other alarms after it finishes the current recording process. Arrhythmia Alarm The monitor can record waveforms of 4 seconds prior to and after the alarm (totally 8 seconds) 7-2 . In the “RECORD” menu. Refer to Chapter 3. Refer to Chapter 3. Alarm Recording Parameter Alarm Conditions for alarm recording: The alarm recording switch must be set to ON and there is parameter alarm. Recording Real-time Recording Real-time recording starts as you press the RECORD button. you can choose the function to record two waveforms at the same time or to record only one waveform by closing the other one. the system can start executing next alarm recording task only when the current one is finished. ST Segment Alarm The monitor can record ECG waveforms of 4. Recording length is 4.4 Recorder Setup for details. Auto recording The monitor starts 8-second real-time recording automatically with the interval set up in the [TIMING REC TIME OFF] item of the “RECORDER ” menu. 16. The monitor can output all parameter values when the alarm is happening. Output two waveforms as per following rules: 1) If more than one alarm switch is set to ON and more than one alarm is triggered simultaneously. the recorder only outputs parameters. 8. the monitor will output the waveform of the latest alarm. or 32 seconds) and all parameter values when the alarm is happening.

sex. scale. filter mode. Trend Graph / Table Recording The monitor can output the trend graph/table in the current trend review window. Arrhythmia Review Recording The monitor can output the Arrhythmia alarm event in the current ARR RECALL window. Recording and all parameter values when the alarm is happening. Patient bed number. Parameter name and value Recording time Waveform name Waveform scale (only for ECG waveform) ECG lead. (if having ECG waveforms. date of birth. weight. Alarm Review Recording The monitor can output the parameter alarm event in the current ALARM RECALL window. alarm time and freeze time. As the result. name. you can keep the abnormal waveforms for further study. Titration Table The monitor can output the messages in the current TITRATION window. it will be printed out within the first 7-3 . height. NIBP Review Recording The monitor can output NIBP review event in the current NIBP RECALL window. Notes on Recording Record types: Continuous real-time recording 8 second real-time recording Auto 8 second recording Parameter alarm recording Frozen waveform recording Trend graph/table recording ARR review recording Alarm review recording NIBP review recording Drug calculation and titration table recording Monitor information recording Alarm parameters. the monitor can output the specified screen waveforms. Frozen Waveform Recording In the Freeze status. admission date. Monitor Information The monitor can output messages in the current STATUS window.

the monitor will output the ARR waveform being currently displayed and its relevant parameter value. gain and filter mode during real-time recording. the system will automatically start recording when alarm is happening Frozen waveform recording After accessing the FREEZE menu. the monitor will output the trend graph of the parameters being currently displayed. Auto recording Start recording automatically as per the interval selected in the [TIMING REC TIME OFF] item in the “RECORD” menu. Trend table recording Select [REC] in the “TREND TABLE” menu. If two waveforms are both closed. you can use knob to select two waveforms for output and then select [REC] to output waveforms. The system will automatically stop recording in 8 seconds. Alarm review recording Select [REC] in the “ALARM RECALL CONDITION” sub-menu of the “SYSTEM MENU”. the monitor only outputs parameter values in the FREEZE status.) Date and time Company name 7. the monitor will output the trend table of the parameters being currently displayed. 7-4 . 8 seconds real-time recording Press the “RECORD” button to start recording. Trend graph recording Select [REC] in the “TREND GRAPH” menu.3 Start Recording You can use following ways to start the recording process: Continuous real-time recording Press the “RECORD” button to start/stop recording. The system will automatically stop recording in 8 seconds. Recording second or when changing the lead. Arrhythmia review recording Select [REC] in the “ARR WAVE RECALL” menu. the monitor will output the waveforms of the alarming parameter and relevant parameter value. the monitor will output the NIBP value in the current window. Alarm recording When the alarm recording switch is set to ON. NIBP review recording Select [REC] in the “NIBP RECALL” sub-menu of the “SYSTEM MENU”.

■ When you can see the paper from the other side. ■ Close the recorder catch. the recording quality may be poor. You must load the paper at the proper position with tidy margin. the monitor will output the information in the current titration table. pull it outside. ■ Pull the bail back to the original position. Recording Monitor information recording Select [REC] in the “STATUS” sub-menu. Titration table recording Select [REC] in the “TITRATION” sub-menu of the “DRUG CALCULATION” menu. 7-5 . ■ Feed the paper out from the recorder outlet. Paper Out When the monitor displays the "RECORDER OUT OF PAPER" message in the Information Area. the recorder cannot be started. otherwise the recorder may not function normally. Proper operation ■ When the recorder is working. ■ Lift up the bail on the left axis. At this time.4 Recorder Operating and Status Information Record Paper Requirement You must use the thermal-sensitive record paper in accordance with requirement. You can stop recording process and clear the stored alarm recording tasks by selecting the [CLEAR REC TASK] item in the “RECORD” sub-menu of the “SYSTEM MENU”. the monitor will output status information of the monitor. otherwise the recorder may be damaged. the record paper goes out steadily. you should load the record paper in accordance with the requirement. Note You can Press the RECORD button on the panel to stop the current recording process. and the thermo-sensitive printhead may be damaged. Do not pull the paper outward with force. ■ Do not use the recorder before loading the paper. 7. Procedures to load record paper ■ Open the recorder catch. ■ Load a new roll of record paper into the paper cassette with the printing side facing the printhead.

RECORDER PAPER Recording continuously for low Re-load paper. the monitor. JAM more than 30m RECORDER COMM Operating status error low Reset the recorder. 7-6 . low Load a new roll of record PAPER paper. Removing Paper Jam When the recorder functions abnormally or sounds strange. open the recorder catch to check for paper jam. error still exists. REC HEAD IN The printhead is not in low Press down the bail on WRONG POS. switch RECORDER The recorder is in low Wait for the initialization INITIALIZING initialization process. the left axis of the recorder. ■ Pull the paper out from below. Unless when loading paper or shooting troubles. contact MINDRAY Customer Service Department. Recording Note Be careful when loading record paper. Recorder Status Message (Technical Alarms) Message Cause Alarm Remedy Level RECORDER HEAD The thermal terminal is low Stop using the recorder HOT too hot. ERR RECORDER INIT ERR Error occurs during low Shut down and re-start initialization the monitor TOO MANY REC Too many alarm events low Close alarm recording TASKS take place simultaneously. RECORDER OUT OF Record paper runs out. the monitor RECORDER COMM Serial port low Shut down and re-start ERR communication error. Avoid damaging the printhead. ■ Lift up the bail on the left axis of the recorder. RECORDER BUSY In recording status low Wait for the recording process to end If after shutdown and re-start. ■ Cut off the record paper from the feeding edge. do not leave the recorder catch open. ■ Re-load the paper. recording place. process to end REC NOT AVAILABLE Working status of the low Shut down and re-start recorder is incorrect. You shall obey the following steps to remove the paper jam.

the system displays other trends in continuous curves. “ ” is the cursor of the trend graph. "▲" the diastolic value. In the NIBP trend graph. Select the [TREND GRAPH] item in the “SYSTEM MENU” to call up the following menu: Figure 8-1 TREND GRAPH window In the trend graph. the y-axis refers to the measured value and x-axis time. display the value of the data every 1 or 5 seconds. ■ For the latest 72-hour trend. and "*" the mean value. 8. This chapter tells how to view the data stored by the system. 400 NIBP measurement results and 60 alarm events. the parameter value of the position pointed by the cursor is displayed below the trend graph and the corresponding time is displayed above the trend graph. display the value of the data every 1. 5 or 10 minutes. Except for NIBP trend.1 Trend Graph ■ For the latest 1-hour trend graph.Chapter 8 Trend and Event The monitor can store 72-hour trend data of all parameters. 8-1 . "▼" indicates systolic value.

Select the same item and turn the knob counterclockwise to view earlier trend curve. When " " appears on the right part of the screen. B. Change the display scale You can change the proportion of y-axis by Selecting [ZOOM] item. ■ Stop at the trend time section to be observed. the corresponding event type will be displayed on the axis time of the trend graph. ■ Select the [TREND GRAPH] item in the SYSTEM MENU. The value beyond maximum value will be represented by the maximum value. When " " appears on the left part of the screen. Mark event If an event is marked A. such as . ■ Select the [L-RIGHT] item and turn the knob. Trend and Event Select to display trend graph of a specific parameter: Move cursor to highlight the [PARA] item and turn the knob to view its content and press the knob when the desired parameter appears. C. or . 5min or 10min to view 72-hour trend. ■ Select parameter: Select the [PARA] item and turn the knob until NIBP appears. When " " appears on the left part of the screen. . Obtain trend data of a specific time on the current trend graph The time at which the cursor points will change as the knob is turned. Parameter of the time is displayed below the x-axis. Then the system will display the trend graph of the selected parameter. the trend graph will automatically page up for you to view earlier trend curve as the cursor moves here.] item. Select 1-hour or 72-hour trend graph: Select the [RES] item. If the y-axis proportion is improper such as 8-2 . ■ Select 1S or 5S in the [RES. observe the changes of the trend graph time and the trend curve. Output trend curve Press [REC] button to print out the trend curve of the current selected parameter. or D. Select the [L-RIGHT] item and turn the knob clockwise to view later trend curve. View other trend curves: When " " appears on the right part of the screen. the trend graph will automatically page down for you to view later trend curve as the cursor moves here. The proportion of the trend curve will change accordingly. you can select 1s or 5s to view 1-hour trend or 1min. Operation example View the NIBP trend graph of the latest 1 hour: ■ Select the MENU button in the lower right corner of the screen.

8. or 60 minutes. They correspond to the time of marked event. accordingly time will appear above and the measured value below the curve. ■ To output the trend graph. Select the [TREND TABLE] item in the SYSTEM MENU to call up the following menu: Figure 8-2 TREND TABLE window Time corresponding to each group of trend data is display in the leftmost column with date in brackets. ■ To know the measured value of a certain time. 5min. you can Select [REC] and then the recorder will output the NIBP trend in the current review window. 30min. you can Select the [ZOOM] item to adjust. ■ Select [EXIT] to exit trend graph window. Events that are once marked are listed below the event. Trend and Event some trend values exceed the maximum value in the current y-axis. you can Select the [CURSOR] item and move the cursor to the time. PVCs ST RR 8-3 ..2 Trend Table ■ The system can display the latest 72-hour trend table data with the resolution of 1min. HR. 10min. Trend data of each parameter is divided into 6 groups.

select the same item and turn the knob counterclockwise to view earlier trend data. When " " appears on the lower part of the screen. Trend and Event TEMP SPO2. If there are many NIBP values in a time section. When there is ">" to the right of the rightmost parameter. Except the measured NIBP value. or D. B. ■ Select resolution: Select the [RES] item to select the desired interval. ■ To use recorder to output trend table. PR NIBP (S/M/D) NIBP trend data is displayed in a special way. C. Output the trend table Select [REC] to output the trend data of all parameters displayed in the current time section. Mark event If an event is marked A. it indicates the following page is available. just select [REC] and the recorder will print out the 8-4 . View later or earlier trend curve When " " appears on the upper part of the screen. Operation example View NIBP trend table: ■ Press the MENU button on the front panel. Obtain trend data of different parameter Select the [L-RIGHT] to select one of the 6 parameter groups. When there is "<" to the left of the leftmost parameter. the system can only display one group and also a “*” symbol on the “MORE” to indicate that there are two or more than two measured results. Choose trend table of different resolutions Use the cursor to highlight the [RES] item and turn the knob to change its content so as to change the time interval of the trend data. the system also displays measurement time under the corresponding value. ■ Select parameter: Select the [L-RIGHT] and turn the knob until NIBP data appear in the window. the corresponding event type will be displayed on the time indication of the trend table. it indicates previous page is available. ■ Select the [TREND TABLE] item in the menu. ■ Select the [UP-DOWN] item and turn the knob to view the NIBP trend data of different time. select the [UP-DOWN] item and turn the knob clockwise to view later trend data.

Each screen can display 10 NIBP measurement results. Select [REC] to output all measurement data in the NIBP RECALL window. the window as shown below will appear showing the NIBP results and time of the latest 10 measurements. 8-5 . Select the [ALARM RECALL] item in the SYSTEM MENU to access the ALARM RECALL CONDITION menu as shown below. 8.3 NIBP Recall The monitor allows you to review the latest 400 NIBP measurement data. Figure 8-3 NIBP RECALL Data is listed chronologically from the latest to the earliest.4 Alarm Event Recall The monitor can display the latest 60 alarm events in the ALARM RECALL window. Select the [NIBP RECALL] in the SYSTEM MENU. If there are more than 400 NIBP measurements. Trend and Event NIBP trend data. the system only displays the results of latest 400 NIBP measurements. The system can display up to 400 NIBP measurement results. 8. Select the [UP-DOWN] item to view earlier or later data. ■ Select [EXIT] to exit the TREND TABLE window.

① in figure 8-5. ② in figure 8-5. ECG. you can set up the conditions for alarm review. you can select the parameter that you want to review. You can select ALL (alarm events of all parameters). Parameter value (exclude NIBP) when alarm is occurring. TEMP_H>40℃. ③ in figure 8-5. ALARM RECALL The ALARM RECALL window as shown below displays following: Time span. Serial number (format: NO. Two waveforms. save 8s/16s/32s waveform. You can set up the end time as the current time or user-defined time. press the [ALARM RECALL] item to access the “ALARM RECALL” window. 2) ALARM RECALL EVENT In the pull-down list of the [ALARM RECALL EVENT] item. TEMP_L<34℃. xx of XX ). HR_H>180 (this value is higher than the upper alarm limit). The conditions include: 1) Start and End time of alarm review: You can set up the start time of alarm review in the [START] item and the end time in the [END] item. NIBP. Event type. ⑤ in figure 8-5 8-6 . Trend and Event Figure 8-4 ALARM RECALL CONDITION Menu In this menu. SPO2. ④ in figure 8-5. After setting up all the review conditions. RR_H>40. RR_L<10. HR_L<60(this value is below the lower alarm limit). TEMP. SPO2<90%. RESP.

Record Select [REC] to command the recorder to output all review data in the window. Trend and Event ① ② ③ ④ ⑤ Figure 8-5 ALARM RECALL Menu View all waveforms during the alarming process Select the [L-RIGHT] item and turn the knob to view all 8/16/32-second waveform data stored in the system. Select the [UP-DOWN] item and turn the knob to view later or earlier events. 8-7 . View other alarm events The system can display the data of up to 60 alarm events from the latest to the earliest.

Trend and Event FOR YOUR NOTES 8-8 .

Pick the [DRUG CALC] item in the SYSTEM MENU to call up the “DRUG CALC” window as shown below. NIPRIDE. ISUPREL. Besides. 9. DRUG D and DRUG E are also provided to flexibly replace any of the drugs. you can use recorder to output the content of the titration table. NITROGLYCERIN and PITOCIN. DOPAMINE. LIDOCAINE.1 Drug Calculation The drug calculations that can be performed by the system are AMINOPHYLLINE. Figure 9-1 Drug calculation Following formulas are used for dose calculation: Concentrat = Amount / Volume INF Rate = DOSE / Concentrat Duration = Amount / Dose Dose = INF Rate × Concentrat 9-1 . EPINEPHRINE. HEPARIN. DOBUTAMINE. DRUG C.Chapter 9 Drug Calculation and Titration Table This Monitor can execute calculation for 15 drugs and display corresponding titration table. DRUG B. Besides DRUG A.

The system gives a group of random initial values. NIPRIDE. DOPAMINE. Note Each drug has its fixed unit or unit series. DRIP RATE and DROP SIZE items are disabled. ■ Select the drug name: Highlight the [DRUG NAME] item and turn the knob to select the drug name in the pull-down list. Drug A. the system will display “---”. the system will display “---. the value of the item being calculated will appear in the corresponding position. PITOCIN. Each item has its calculation range. Of the same unit series. you must first enter the patient weight and drug name and then the values of other menu items. The calculated result is reliable only if the entered value is correct. ISUPREL. DOBUTAMINE. Note For drug calculation. you must enter a new group of values as per the doctor’s instruction. After selecting the desired value. If the value exceeds the range allowed by the unit system. Turn the knob to highlight the item to be calculated. NITROGLYCERIN. 9-2 . confirm the patient weight and then enter other known values. Note After entering a value. You can only calculate one drug each time. You must be careful when answering each box.--”. Drug C. Press the knob and then turn it to select the calculation value. Drug B. You cannot use them as the calculation reference. If the result exceeds the range. Note In Neonate mode. EPINEPHRINE. Drug D and Drug E. LIDOCAINE. you should first select the name of the drug to be calculated. HEPARIN. Note The system will display a dialog box for each input value and ask you to confirm the value. Instead. the system will change automatically as per the current input value. You must select the proper unit as per the doctor’s instruction. including AMINOPHYLLINE. Drug Calculation and Titration Table Operating method: In the DRUG CALC window. a conspicuous prompt will appear in the menu reminding you to confirm if all entered values are correct in order to ensure that the calculated results are reliable and safe.

9-3 . It means that the values in the table may not be related to the patient monitored by the current monitor. D and E are only codes for drugs instead of their real names. B and C: g. m unit. If you enter a new patient in the system. “unit” series units are fixedly used for drug D: unit. C. the values in this menu will not be affected. mg. Note This drug calculation function acts only as a calculator. B. “mEq” is fixedly used for drug E. ■ Patient weight After accessing the DRUG CALC window. k unit. Drug Calculation and Titration Table Note A. mcg. The rules for units are: “mg” series units are fixedly used for drug A. The units for these five drugs are fixed. the patient weight in this menu and the patient weight of the system represent two different values. the first you should do is to enter the patient weight. Therefore. which is used solely for calculating the drug concentration. You may select the appropriate unit according to the drug application convention.

5. highlight the [BASIC] item and then press the knob to select the desired item. Highlight the [STEP] item. 3. press and rotate the knob to select the dose unit. 4. 6.2 Titration Table Access titration table: Select the [TITRATION] item in the DRUG CALC menu to enter titration table display. DRIP RATE or INF RATE (Infusion Rate). In the TITRATION table. press the knob to command the recorder to output the data displayed in the titration table. Highlight the [UP-DOWN] item. Figure 9-2 TITRATION Method to operate the titration table: 1. Highlight the [DOSE TYPE] item. press and turn the knob to view previous or later page of the table. 2. 9-4 . Highlight the [REC] item. press and rotate the knob to select step from 1 ~ 10. Highlight the [EXIT] item. and then press the knob to return to the DRUG CALC menu. Drug Calculation and Titration Table 9. The figure below shows the TITRATION table. which can be DOSE.

the screen display will recover within 10 seconds after defibrillation. The minitor operates within specifications at ambient temperatures between 0℃ and 40℃. Installation Environment Follow the instructions below to ensure completely safe electrical installation. Power Source Requirements Refer to Appendix B Production Specification. consult the hospital electrician. extremes of temperature and humidity.Chapter 10 Patient Safety The Monitor is designed to comply with the International National Safety requirements for medical electrical equipment. Grounding the monitor To protect the patient and hospital personnel. allow sufficient room at the front for operation and sufficient room at the rear for servicing with the cabinet access door open. 10-1 . The environment where the Monitor will be used should be free from vibration. dust. and is suitable for use during defibrillation. Warning Do not touch the patient. When proper electrodes are used and applied according to the manufacturer instruction. Accordingly. This symbol indicates that the instrument is IEC60601-1 Type CF equipment. corrosive or explosive gases. For a cabinet mounted installation. EN60601-2-27 and EN60601-2-30. the Monitor is equipped with a detachable 3-wire cable. bed or instrument during defibrillation. This device has floating inputs and is protected against the effects of defibrillation and electrosurgery. Allow at least 2 inches (5cm) clearance around the instrument for proper air circulation. which grounds the instrument to the power line ground (protective earth) when plugged into an appropriate 3-wire receptacle. the enclosure of the Monitor must be grounded. The unit displaying this symbol contains an F-Type isolated (floating) patient applied part providing a high degree of protection against shock. If a 3-wire receptacle is not available. IEC60601-1. Ambient temperatures that exceed these limits may affect the accuracy of the instrument and cause damage to the modules and circuits.

for example due to summation of leakage currents. Warning Possible explosion hazard if used in the presence of flammable anesthetics. Equipotential Grounding Protection class 1 instruments are already included in the protective grounding (protective earth) system of the room by way of grounding contacts in the power plug. Check each time before use that the instrument is in perfect working order. the instrument is free of condensing. One end of the equipotential grounding cable (potential equalization conductor) is connected to the equipotential grounding terminal on the instrument rear panel and the other end to one point of the equipotential grounding system. For internal examinations on the heart or the brain. Warning If the protective grounding (protective earth) system is doubtful. the Monitor must have a separate connection to the equipotential grounding system. thus being exposed to moisture and different temperature environment. to ensure that the necessary safety of all instruments concerned will not be impaired by the proposed combination. If it is not evident from the instrument specifications whether a particular instrument combination is hazardous or not. The cable connecting the patient to the instrument must be free of electrolyte. The equipotential grounding system assumes the safety function of the protective grounding conductor if ever there is a break in the protective grounding system. the user shall consult the manufacturers concerned or else an expert in the field. Condensing Make sure that during operation. Patient Safety Warning Do not use a 3-wire to 2-wire adapter with this instrument. 10-2 . Examinations in or on the heart (or brain) should only be carried out in medically used rooms incorporating an equipotential grounding system. the monitor must be supplied by inner power only. Connect the grounding wire to the equipotential grounding terminal on the main system. Condensing may form when equipment is moved from one room into another.

2 General Cleaning Warning Turn off the power and disconnect the line power before cleaning the monitor or the sensor/probe. turn the power off. or Mindray Customer Service immediately. and accessories for damage. the monitor may become invalid. If any damage is found. All checks that need to open the monitor enclosure must be performed by qualified service personnel. The overall check of the monitor. and each time after repair. Warning Refer the battery replacement only to Mindray service technician. at least once a month. Safety and maintenance check may also be conducted by persons from Mindray. ■ Check for all the cables. it is recommended that.1 System Check Before using the monitor. including the safety check. stop using the monitor on patient and contact the biomedical engineer of the hospital. Note To ensure maximum battery life. Warning If the hospital or agency that is responding to using the monitor does not follow a satisfactory maintenance schedule. ■ Check all functions of the monitor to make sure the monitor is in proper working condition. 11. the monitor be run on battery until it turns itself off and then recharged. should be performed by qualified personnel every 6 or 12 months (depending on the policy of your institution). and the human health may be endangered.Chapter 11 Maintenance / Cleaning 11. 11-1 . perform the following: ■ Check for any mechanical damage.

Most cleaning agents must be diluted before use. Note The diluted sodium hyoichlo from 500ppm (1:100 diluted bleaching agent) to 5000ppm (1:10 bleaching agents) is very effective. Avoid using ammonia-based or acetone-based cleaners such as acetone. Do not allow cleaning agents inside the case of the monitor. Please contact infectious disease experts in your hospital for details. soft cloth. 5. Do not leave cleaning agents on any part of the equipment. The concentration of the diluted sodium hyocihlo depends on how many organisms (blood. Follow the manufacturer's directions carefully to avoid damaging the monitor. Use only non-caustic detergents such as inert soap and water to clean the monitor. ■ Diluted Formaldehyde 35% -. mucus) are left on the surface of the enclosure. 3.37% ■ Hydrogen Peroxide 3% ■ Alcohol ■ Isopropanol Note You can use hospital-grade ethanol to clean the monitor and its sensor/probe and leave it to dry naturally or use clean cloth to dry it. 11-2 . Maintenance /Cleaning The monitor must be kept dust-free. 4. Always wipe them off with a clean. Caution Pay special attention to avoid damaging the monitor: Please pay special attention to the following items: 1. Regular cleaning of the monitor case and the screen is strongly recommended. 11. such as steel wool.3 Cleaning Agents Examples of disinfectants that can be used on the instrument case are listed below: ■ Diluted Ammonia Water ■ Diluted Sodium Hyoichlo (Bleaching agent). Note Mindray has no responsibility for the effectiveness of controlling infectious disease using these chemical agents. Do not use abrasive material. 2.

Caution Do not use EtO gas or formaldehyde to disinfect the monitor. or adopt the lowest possible concentration. Do not let liquid enter the monitor. Caution Follow the manufacturer’s instruction to dilute the solution. blood pressure cuff and TEMP probe are introduced in relevant chapters.5 Disinfection To avoid extended damage to the equipment. Maintenance /Cleaning 11.4 Sterilization To avoid extended damage to the equipment. Appropriate disinfection materials for ECG lead. and Acetaldehyde. 11. SpO2 sensor. Disinfection facilities should be cleaned first. Sterilization facilities must be cleaned first. Do not immerse any part of the monitor into liquid. Recommended sterilization materials: Ethylate. Appropriate sterilization materials for ECG lead and blood pressure cuff are introduced in Chapter 12 ECG/RESP Monitoring and Chapter 14 NIBP Monitoring respectively. 11-3 . sterilization is only recommended when stipulated as necessary in the Hospital Maintenance Schedule. disinfection is only recommended when stipulated as necessary in the Hospital Maintenance Schedule. Do not pour liquid onto the monitor during sterilization. Use a moistened cloth to wipe off any agent remained on the monitor.

Maintenance /Cleaning FOR YOUR NOTES 11-4 .

ECG waveforms are the top two waveforms in the Waveform Area. Warning In the factory setups of the monitor. including neutral electrodes. table. Warning Use only the original ECG cable to monitor the patient. ■ All of the above parameters can be set to be alarm-triggering parameters.2 Precautions Warning Do not touch the patient. and correct connection of the ECG cables will ensure satisfactory measurement. or the monitor during defibrillation. ■ This monitor use 3-lead configuration. make sure no conductive part is in contact with the ground. 12. Verify that all ECG electrodes. The monitor can display 2 lines of cascaded ECG waveforms. Proper preparation of the skin. ■ Parameters that can be displayed by the monitor are HR. ST segment and Arrhythmia analysis result.Chapter 12 ECG/RESP Monitoring 12. are securely attached to the patient but not the conductive part or ground.1 What Is ECG Monitoring ECG monitoring produces a continuous waveform of the patient's cardiac electric activity to enable an accurate assessment the current physiological state. accurate location of the electrodes. 12-1 . ■ The patient cable consists of 2 parts: Cable for connecting the monitor. Lead set for connecting the patient. Warning When connecting electrodes or patient cable.

4. ECG/RESP Monitoring Warning It can’t be applied to defibrillation when apply the ECG cable with no resistances to Mindray patient monitor or other patient monitors. Prepare the patient's skin prior to placing the electrodes. Note EN60601-1-2 (protection against radiation is 3v/m) specifies that the electrical field density exceeding 1v/m may cause measurement error in various frequencies. ■ Shave hair from sites. Attach the electrodes to the patient. ■ The skin is a poor conductor of electricity. 3.3 Monitoring Procedures 12. therefore preparation of the patient's skin is important to facilitate good electrode contact to skin. Before attaching. 2. Note Interference from an unearthed instrument near the patient and ESU interference may result in the distorted waveform. It is accordingly suggested that do not use equipment generating electrical radiation near ECG/RESP monitoring devices.1 Preparation 1. Attach clip or snap to electrodes prior to placing the electrodes. if necessary. because this may increase skin impedance). 12-2 .3. ■ Wash sites thoroughly with soap and water. which themselves with no current limit resistance. 5. ■ Rub the skin briskly to increase capillary blood flow in the tissues and remove skin scurf and grease. Warning Placed the electrode carefully and make sure contact good. Connect the electrode lead to the patient cable. apply some conductive cream on the electrodes if the electrodes are not electrolyte self-supplied. 12. Make sure the monitor is turned on. (Do not use ether or pure alcohol.

Warning To protect the environment.3. ECG/RESP Monitoring Warning Check everyday whether there is skin irritation resulted from the ECG electrodes. Figure 12-1 Electrode placement 12-3 . the system will display “ECG LEAD OFF” and give audible alarm. replace electrodes every 24 hours or change their sites.Be placed on the left hypogastrium. directly below the clavicle. ■ R (right arm) electrode – placed near the right shoulder. After plug off the ECG cable. If so. Warning Check if the lead connection is correct before monitoring.placed near the left shoulder. directly below the clavicle. ■ F (left leg) electrode . 12. ■ L (left arm) electrode .2 Installing ECG lead Placing ECG electrodes Placing 3-lead ECG electrodes according to Figure 12-1 (Europe Standard). the used electrodes must be recovered or disposed properly.

LL. whose corresponding lead names in America are RA. F in Europe. 12-4 . patient leads should be placed in a position that is equal distance from the Electrosurgery electrotome and the grounding plate to avoid burns to the patient. In the operating room. Warning When using Electrosurgery equipment. the right and left sides near abdomen. To reduce the artifacts. otherwise the ECG waveform will be too small. With pacer spike not higher than R-wave height. A good signal shall be: Tall and narrow with no notches. Do not place the electrode on the upper arm. With tall R-wave completely above or below the baseline. L. (Lead names are represented by R. LA. For open chest surgery. you can place the electrodes on the right and left shoulder. The Electrosurgery equipment wire and the ECG cable must be kept separated and not allowed to tangle. The placement of the ECG leads depends on the operation type. and the chest lead on the left side of the mid-chest.) America Euro Lead name Color Lead name Color RA White R Red LA Black L Yellow LL Red F Green Note To ensure patient safety. artifacts may affect the ECG waveform due to the use of ES (Electrosurgery) equipment. This will cause a great deal of interference with the ECG signal. the electrodes can be placed laterally on the chest or on the back. all leads must be attached to the patient. Recommended ECG Lead Placement for Surgical Patients Warning When using Electrosurgery equipment. never place the ECG electrodes near the grounding plate of the Electrosurgery device. ECG/RESP Monitoring Note The following table gives the corresponding lead names used in Europe and America respectively.

can't monitor! ". the lead name selections are I. The system displays a 1mv scale at the right side of the ECG waveform.25. ECG/RESP Monitoring With T-wave less than one-third of the R-wave height. 12-5 .×0. Note When the input signals are too large. With P-wave much smaller than the T-wave. and AUTO. The height of 1mv bar is directly proportional to the waveform amplitude. Figure 12-2 Standard ECG Waveform 12. During the process. To get 1 mv calibrated ECG wave. you shall execute ECG calibration. the system displays "when CAL. ② ECG waveform gain: used to adjust the amplitude of ECG waveform. the peak of the waveform may not be displayed.4 ECG Screen Hot Keys ECG lead name ECG gain Filter mode Figure 12-3 ECG hot keys Figure 12-3 ECG Hotkey ① ECG lead name. You can select the gain for the channel from ×0.×2.×1.5. AUTO means the monitor adjusts the gain automatically. II. and III.

Figure 12-4 ECG SETUP menu 12-6 .5 ECG Menu ECG SETUP Menu Turn the knob to highlight the ECG hot key in the Parameter Area on the main screen and then press the knob to call up the ECG SETUP menu. Therefore. In Monitor or Surgery mode. In SURGERY mode. it is suggested that in the environment having relative small interference. The system displays the filter mode above the ECG waveform. ARR analysis result may be somewhat affected. Note The system will indicate the detected pacemaking signal by displaying " " above the ECG waveform. 12. you can manually change the gain of the ECG waveform according to the actual waveform so as to enable the system to display complete waveform. In Surgery mode. There are three selectable filter modes. ECG/RESP Monitoring In this case. the artifacts that may lead to false alarm can be filtered. the artifacts and interference from the ES equipment can be reduced. In either of the latter two modes. In MONITOR mode. the system displays the ECG waveform that has not been filtered. you’d better monitor a patient in Diagnostic mode. Warning The system displays non-processed real signal only in Diagnostic mode. ③ Filter mode: used to obtain clearer and more accurate waveform. the system can only show the basic ECG and the results of ST analysis may also be greatly affected. In DIAGNOSTIC mode. ECG waveforms may have distortion of different extent.

• Select ECG and the monitor displays HR (heart rate) and activates a beep. "ON": the system will give alarm and save alarm information when HR alarm occurs. ECG takes priority over SPO2. the system will start recording process once HR alarm occurs. which shall not be a very high value. 12-7 . HR is given priority for determining the source of the beep tone. The monitor chooses SPO2 as the HR source only when the ECG signal is too poor to be used for analysis. When BOTH is selected. AUTO and BOTH. ECG alarm is activated when the heart beat exceeds the ALM HI value or falls below the ALM LO value. The monitor will make judgment on PR alarm only. the monitor will automatically switch the HR source back to ECG waveform. If HR is not available. ALM HI Min. "OFF": the system will not give alarm and instead display a beside “ECG”. SpO2. If HR is available. You shall set up the higher HR alarm limit to a value at most 20beats/min higher than the patient’s heart beats. LOW. the beep will be from heart rate. • AUTO determines heart rate source depending on the quality of signal. when ECG signal becomes normal. In the BOTH mode. • ALM REC: Select "ON". ALM LO Step HR ADU 300 15 1 HR PED 350 15 1 HR NEO 350 15 1 Note You shall set up the alarm limits according to the clinical situation of the individual patient. ECG. • ALM HI: Used to set up the upper limit of ECG alarm. • ALM LEV: Three options are available. Level HIGH means the most serious case. MED. • Select SpO2 and the monitor displays PULSE at the right side of ECG hot key and activates a pulse beep. • ALM LO: Used to set up the lower limit of ECG alarm. ■ HR FROM There are four settings that can be selected to determine the detection of heart rate. Moreover. the PR parameter is displayed to the right of SpO2 hot key. ECG alarm limits: Max. ECG/RESP Monitoring ■ ECG alarm setting • HR ALM You can select “ON” or “OFF”. then the sound will be from PR. • Select BOTH and the monitor displays HR and PR (pulse rate) simultaneously and makes judgment on HR and PR alarm at the same time. which are HIGH. The upper HR alarm limit is very important during clinical monitoring.

following functions are available: BEAT VOL Beat Volume. if SPO2 is selected as “HR FROM” in “ECG SETUP”. ECG/RESP Monitoring ■ SWEEP Available options for SWEEP are 12. However. and “10” means the maximum volume. Note PITCH TONE volume is controlled through adjusting the heart beat volume.0 mm/s. PACE "ON" detected signal will be marked by a " " above the ECG waveform. the PITCH TONE volume will accordingly controlled through adjusting “PR SOUND” in “SPO2 SETUP” menu. set “PACE” to “ON”,otherwise. 25. ■ ARR ANALYSIS Select this item to access the ARR ANALYSIS menu. set it to “OFF”. 12-8 . “0”means the beat volume is turned off. Ten options are available: 0~10.7 ST Segment Monitoring for detailed information.0. ■ OTHER SETUP Select this item to access the ECG SETUP menu as shown below: 2 Figure 12-5 ECG SETUP menu In this menu. and 50. Refer to Chapter 13 SPO2 Monitoring to know the detailed information about PITCH TONE. Please refer to 12. Warning If monitoring a patient with pacemaker.5. "OFF" mean the pacemaking analysis function is disabled. ■ ST ANALYSIS Select this item to access the ST ANALYSIS menu.8 Arrhythmia Analysis for detailed information. Please refer to 12.

Selecting this item again or change lead name on the screen can end calibrating process. the system can respectively filter 50HZ or 60HZ industrial frequency interference. 60HZ and OFF. Otherwise. Figure 12-6 ADJUST WAVE POS menu DEFAULT Select the [DEFAULT] item to call up the ECG DEFAULT CONFIG dialog box. the pacing impulse analysis function must be switched on. 12-9 . Three selections are available. ECG/RESP Monitoring For pacemaker patient. After selecting any of the items and exiting the dialog box. the pacing impulse may be counted as normal QRS complex. which are 50HZ. Select the [BACK TO DEFAULT] item to let the waveform go back to the default position on the main screen. the system will pop up a dialog box asking for your confirmation. Select this item to call up the ADJUST WAVE POS dialog box. If you select 50HZ or 60HZ. NOTCH The control switch for 50/60HZ notch waveform of ECG module. When “PACE” is ON. the system will not execute arrhythmia analysis related to PVCs (including PVCs counting) and ST analysis. which results in error or lost detection of waveform and wrong calculation result of heart rate. in which you can select the [FACTORY DEFAULT CONFIG] or the [USER DEFAULT CONFIG] item. ECG CAL Select this item to start ECG calibrating process. ADJUST WAVE POS Used to adjust the position of ECG waveform on the screen. Select the [UP-DOWN] item and turn the knob to adjust the position of the waveform on the screen.

8 Arrhythmia Analysis for details.6 ECG Alarm Information and Prompt Alarm Message Alarms occurring in the process of ECG measurement have two types: physiological alarm and technical alarm. ECG/RESP Monitoring Figure 12-7 ECG DEFAULT CONFIGURE Note If the monitor has functions of ST segment & Arrhythmia analysis. This section does not introduce Arr. refer to 12.7 ST Segment Monitoring and 11. Physiological alarms Message Cause Alarm level ECG LOST No ECG signal of the patient is detected. the physiological alarms caused by the parameter exceeding the alarm limit may possibly trigger the recorder to automatically output alarm information including parameter value and corresponding waveform. 12. For the audio and visual features during the appearance of these alarms and prompt messages in the process of ECG measurement. Prompt message may also appear in the mean time. physiological alarm messages and general prompt messages (general alarms) are all displayed in the Alarm Area while technical alarms and prompt messages unable to trigger alarms are displayed in the Message Area. On the screen. Tables below list out various alarms that may occur during the measurement. please refer to the related description in Chapter Alarm. When the alarm switches are set to ON in relevant menus. and ST analysis. HIGH HR TOO HIGH HR measuring value is above the upper alarm limit User-selectable HR TOO LOW HR measuring value is below the lower alarm limit User-selectable Technical alarms 12-10 .

notifies biomedical ECG INIT ERR5 engineer or Mindray service staff. Make sure the patient is quiet. ECG RA LEAD OFF or ECG R LEAD OFF ECG INIT ERR ECG INIT ERR1 ECG INIT ERR2 Stop using measuring function ECG INIT ERR3 provided by ECG ECG INIT ERR4 ECG module failure HIGH module. the electrodes are ECG measuring signal is ECG NOISE LOW properly connected greatly interfered. ECG/RESP Monitoring Alarm Message Cause Remedy level ECG LEAD OFF ECG LL LEAD OFF or Make sure that all ECG F LEAD OFF ECG electrodes fall off the electrodes. Prompt messages (include general alarms) Message Cause Alarm Level HR measuring value exceeds the HR EXCEED HIGH measurement range. ECG INIT ERR6 ECG INIT ERR7 ECG INIT ERR8 ECG module failure or Same as above ECG COMM STOP HIGH communication failure If failure persists. Stop using HR alarm function. are properly connected. Occasional communication notify biomedical ECG COMM ERR HIGH failure engineer or Mindray service staff. 12-11 . leads ECG LA LEAD OFF or skin or ECG cables fall off the LOW and patient cables ECG L LEAD OFF monitor. HR ALM LMT ERR Functional safety failure HIGH notify biomedical engineer or Mindray service staff. and AC power system is well grounded.

the system will give alarm and save the alarm information once ST alarm occurs. ■ Measurement range of ST segment: -2. ~ + 2. ECG/RESP Monitoring 12.0 mv. But you can switch it to “MONITOR” mode or “SURGERY” mode as required. the system will be in “DIAGNOSTIC” mode. select "OFF". You can switch it to ON when necessary. Set it to ON to activate ST analysis or OFF to disable ST analysis. You can also open the TREND GRAPH or TREND TABLE window to observe the trend data. ST ANALYSIS menu Figure 12-8 ST ANALYSIS menu ST analysis alarm setting ■ ST ANAL: status switch of ST analysis. "-" = depressing. Note If you set ST ANALYSIS to ON. However at this time ST value has been severely distorted. Select the [ST ANALYSIS] item in ECG SETUP menu to access the ST ANALYSIS menu as shown below.7 ST Segment Monitoring ST Segment Monitoring ■ ST segment monitoring function is shutoff by default. ■ Measurement symbol of ST segment: "+" = elevating. the system cannot execute ST analysis. ■ The system can measure the variance of ST segment over the user-specified lead and display the ST result in the Parameter Area. ■ ST ALM: select "ON".0 mv. ■ Measurement unit of ST segment: mv. the system will not give alarm and instead display a 12-12 . In this status.

Default is 109ms. Set the reference point of ST measurement point to be peak point of R-wave (see Figure 12-10).0 mv 0. Both points can be adjusted. ST analysis alarm limits: Max. ECG/RESP Monitoring beside ST in the Parameter Area.0. in which you can set up the position of ISO point and ST point. 12-13 . Figure 12-9 DEF POINT window ISO and ST are two measurement points of ST segment. the recorder will automatically start recording process once alarm occurs.2 larger than the lower limit. The minimum lower limit is –2. ■ ALM REC: select "ON". ■ ALM LOW: used to set up the lower limit of ST alarm.0 mv -2. ST LO Step ST 2. ST alarm is activated when the result exceeds the ST HI value or falls below ST LO value.0. 2) ST (start point): used to set up the measurement point. ■ ALM LEV: used to set up the ST alarm level.1mv ■ DEF POINT: select this item to access the DEF POINT window. The maximum higher limit is 2. Default is 78 ms. The maximum lower limit must be 0. ST HI Min. ■ ALM HI: used to set up the upper limit of ST alarm. The minimum higher limit must be 0. There are three selections: HIGH. 1) ISO (reference point): used to set up the reference point. MED and LOW.2 lower than the higher limit.

the physiological alarms caused by parameter exceeding alarm limit can trigger the recorder to automatically output alarming parameter value and corresponding measuring waveform. Tables below list out possible physiological alarms. ECG/RESP Monitoring R T P ST Value ISO ST Figure 12 -10 DEF Point The ST measurement for each beat complex is the vertical difference between the two measurement points. You can adjust the position of the highlighted line in the window. the system will show the ST Measurement Point window. When setting up the ST measurement point. The method is first select ISO or ST. ST Alarm Message If the alarm recording switches in relevant menus are set to ON. Adjusting ISO and ST Turn the knob to adjust these two points. the system will display message “ST analysis key off!”). The system displays the QRS complex template in the window (If the template is not established. 12-14 . Note You shall adjust ST measurement point if the patient's HR or ECG waveform has obvious change. technical alarms and prompt messages that may occur during ST measurement. Note Abnormal QRS complex is not considered in ST segment analysis. then turn the knob clockwise or counterclockwise to move the highlighted line horizontally so as to define the reference point or the measurement point.

12. ■ The monitor can conduct up to 13 different arrhythmia analyses. and also save arrhythmia events and generate alarming information. ST measuring value is below the lower ST TOO LOW User-selectable alarm limit. Prompt messages (include general alerts) Message Cause Alarm Level ST measuring value exceeds the measurement ST EXCEED HIGH range. notify ST ALM LMT ERR Functional safety failure HIGH biomedical engineer or Mindray service staff. PVCs frequency. Technical alarms Message Cause Alarm Level Remedy Stop using ST alarming function. detect the changing of heart rate and ventricular rhythm. Qualified personnel can use arrhythmia analysis to evaluate patient’s condition (such as heart rate. Monitoring Arrhythmia Analysis The arrhythmia algorithm is used to monitor ECG of neonate and adult patient in clinical. arrhythmia analysis can also monitor patients and give proper alarm for arrhythmia. ■ The arrhythmia monitoring is shutoff by default. Besides detecting changing of ECG. ■ This function can raise the doctor's attention to the patient's heart rate by measuring and classifying the arrhythmia and abnormal heart beat and triggering the alarm. rhythm and ectopic beat) and decide the treatment. Arrhythmia algorithm can monitor paced and non-paced patients.8 Arr. 12-15 . ■ The monitor can store the latest 60 alarm events (4 seconds prior to and after alarm). You can edit these arrhythmia events through using the menu below. ECG/RESP Monitoring Physiological alarms Message Cause Alarm Level ST measuring value is above the upper ST TOO HIGH User-selectable alarm limit. Select the [ARR ANALYSIS] item in the ECG SETUP menu to access the ARR ANALYSIS menu. You can enable it when necessary.

■ ALM REC: select "ON" and the system will command the recorder to output information when PVCs alarm is occurring. ■ ALM LEV: there are three options: HIGH. ECG/RESP Monitoring ARR ANALYSIS Menu Figure 12-11 ARR ANALYSIS Menu ■ ARR ANAL: Select "ON" during monitoring. Select "OFF" and the system will not give PVCs alarm. PVCs alarm upper limits: Max Min Step PVCs 10 1 1 PVCs alarm and prompt message: If the alarm recording switches in relevant menus are set to ON. it will display a beside “PVCs”. ■ PVCs ALM: Select "ON" and the system will give and store alarm information when alarm is occurring. instead. MED and LOW. the physiological alarms caused by parameter exceeding alarm limit can trigger the recorder to automatically output alarming parameter value and corresponding measuring waveform. Tables below list out the possible physiological alarms. ■ ALM HI: the system will give PVCs alarm once PVCs exceed the set PVCs ALM HI value. Default set is "OFF". technical alarms and prompt messages that may occur during PVCs measurement. Level HIGH represents the most serious PVCs alarm. Physiological alarms Message Cause Alarm Level PVCs TOO HIGH PVCs measuring value is above upper alarm limit. User-selectable 12-16 .

ECG/RESP Monitoring

Technical alarms
Message Cause Alarm Level Remedy
Stop using PVCs alarming
PVCs ALM LMT Functional safety function, notify biomedical
HIGH
ERR failure engineer or Mindray service
staff.

■ ARR RELEARN Select this item to start a learning procedure.
■ ARR ALARM Select this item to access the ARR ALARM dialog box to set
arrhythmia alarm parameters.
ALM: alarm switch.
LEV: alarm level.
REC: alarm recording switch.

Figure 12-12 ARR ALARM

You can select the [ALL ALM ON] item to set all alarm switches of Arr. alarms to ON or the
[ALL ALM OFF] to set all alarm switches of Arr. alarms to OFF. Similarly you can select the
[ALL REC ON] item to set all alarm recording switches to ON or the [ALL REC OFF] to set all
alarm recording switches to OFF. Change of the content of the [ALM LEV] item can let the
levels of all Arr. alarms change uniformly.

■ ARR RECALL Select this item to view and edit the ARR analysis information.

12-17

ECG/RESP Monitoring

Figure 12-13 ARR RECALL

The system displays the latest stored Arr. events (10events/page, maximum 6 pages) in the
window.
UP-DOWN Observe other event lists of other page.
CURSOR Move the cursor to select the Arr. event in the list.
DELETE Delete the selected Arr. event. If you do not want to delete it, just
select it again to save it.
RENAME Rename the selected Arr. event. Turn the knob until the desired name
appears and press the knob.
WAVE Select this item and the system will display the waveform of the Arr.
event and its occurring time as well as the parameter value when the
alarm is occurring in the window.
In the ARR RECALL window:
UP-DOWN To observe the waveform of other Arrhythmia event.
L_RIGHT To observe 8-second waveform of Arrhythmia event.
REC To print out the waveform of the displayed Arrhythmia event.
EXIT To return to the ARR RECALL menu of Arrhythmia event.

12-18

ECG/RESP Monitoring

Figure 12-14 ARR WAVE RECALL

Note

If there are more than 60 Arrhythmia events, the system will keep the latest Arr. event
and delete the earliest one. For the monitor with power-off storage function, it can
store information of up to 60 Arr. events upon power-off.

ARR ALARM

The system will give alarm once Arr. event occurs. If the ALM switch is ON, the system will
give alarm sound and the alarm indicator flash at the same time. If the ALM REC switch is ON,
the system will command the recorder to output the alarm information (ECG waveform of 4
seconds prior to and after the alarm of the channel being analyzed).
Tables below list out the alarms or prompt information related to Arr. analysis.
Physiological alarms
Applicable Alarm
Arr. Type Occurring Condition Prompt
Patient Type Level
No QRS is detected for 4 User-sele
ASYSTOLE All patients ASYSTOLE
consecutive seconds ctable
Fibrillatory wave for consecutive 4
seconds; or
Without The number of continuous Vent User-sele
VFIB /VTAC VFIB/VTAC
pacemaker beats is larger than the upper limit of ctable
cluster Vent beats (>5).
The RR interval is less than 600ms.
Without 3 < the number of cluster PVCs < 5 User-sele
VT>2 VT>2
pacemaker ctable

12-19

Analysis only on the patients without pacemakers. ctable 5 consecutive QRS complex.. Without pacemaker: refers to perform Arr.25X the average R-R interval(the next R wave advances onto the previous T wave). With pacemaker: refers to perform Arr. Analysis only on the patients with pacemakers. Note 12-20 . Without User-sele R ON T followed by a compensating pause of R ON T pacemaker ctable 1. Single PVCs not belonging to the Without type of above mentioned PVCs. No QRS complex and pacing pulse appear during the period 1.5s. RR User-sele TACHY All patients TACHY interval is less than 500ms.) Patient type All patients: refers to perform Arr. When pacing pulse is available.. When HR is ctable larger than 100 beats/min. Prompt message: Message Cause Alarm Level The QRS template building required for Arr. RR User-sele BRADY All patients BRADY interval is longer than 1.75 times of the User-sele BEAT MISS BEAT MISS pacemaker average RR interval. analysis on patients either with pacemakers or without pacemakers. no heart beat is tested Without during the period 1.75 times User-sele With ctable PNP of the average R-R interval (only PNP pacemaker considering patients with pacemaker). Analysis ARR LEARNING No alarm is in process. no beat is tested with 1 second. User-sele PVC PVC pacemaker ctable 5 consecutive QRS complex.75 With User-sele PNC times of the average RR interval PNC pacemaker ctable (only considering patients with pacemaker. ECG/RESP Monitoring Without 2 consecutive PVCs User-sele COUPLET COUPLET pacemaker ctable Without VENT BIGEMINY User-sele BIGEMINY BRGEMINY pacemaker ctable Without Vent Trigeminy User-sele TRIGEMINY TRIGEMINY pacemaker ctable A type of single PVC under the condition that HR<100,R-R interval is less than 1/3 the average interval. ctable When HR is less than 100 beats/min. no QRS exists during the period 1.

12. Turn on the monitor.9 Measuring RESP 12. It is very important to attach the electrodes to the correct positions.3. 2.9. (due to the thoracic movement). due to their clinical conditions.9. The change of impedance between two electrodes. produces a respiratory waveform on the screen. it is not necessary to attach additional electrodes. causing a negative intrathoracic pressure. 3. Attach snap or clip to the electrodes and attach the electrodes to the patient as described in 12. 12. expand their chest laterally. Checklist for RESP Monitoring 1. as this can cause error alarms. Note You shall not execute RESP monitoring on the patient who is very active. Some patients.9. 12-21 . In these cases it is better to place the two RESP electrodes laterally in the right axillary and left lateral chest areas at the maximum point of breathing movement to optimize the respiratory waveform. ECG/RESP Monitoring The system displays the Arrhythmia name in the Alarm Message area. Prepare the patient's skin prior to placing the electrodes.1 How to measure RESP? The monitor measures respiration from the amount of thoracic impedance between two ECG electrodes.2 Setting Up RESP measurement For RESP monitoring.

9. press the knob to access the RESP SETUP menu.4 RESP menu RESP SETUP Menu Turn the knob to highlight the [RESP] hot key in the Parameter Area of the screen.9. Avoid the liver area and the ventricles of the heart in the line between the RESP electrodes so as to avoid cardiac overlay or artifacts from pulsating blood flow. This is particularly important for neonates.3 Placing electrode for RESP measurement Figure 12-15 Electrodes placement Note Place the red and green electrodes diagonally to optimize the respiration waveform. ECG/RESP Monitoring 12. 12-22 . Note Application of ECG cable with 1K resistor will result in the attenuation of RESP wave and inaccurate measured value. 12.

• SWEEP: Available options are 6. When it is AUTO mode. 2. • ALM LEV: selectable from HIGH. • ALM HI: used to set up the upper alarm limit. • HOLD TYPE: options are AUTO and MANUAL. 1. MED and LOW. ECG/RESP Monitoring Figure 12-16 RESP SETUP RESP alarm setting • ALM: select "ON". The positions of these two dotted lines are used to calculate the upper and lower RESP alarm limits. Select “OFF”. 4. you can use HOLD HI and HOLD LO items to respectively adjust the two dotted lines in the RESP waveform area. 12-23 . 5. 12. • ALM REC: select "ON".25. the system will give alarm prompt and save alarm information when RESP alarm occurs. the system will command the recorder to output the alarm information when RESP alarm occurs. • WAVE AMP: used to set up the magnified display of RESP waveform. 0. RESP alarm limits Max.0 mm/s. When it is MANUAL. the system will not give alarm and instead display a beside “RESP”. RR HI Min. RR LO Step RESP ADU 120 0 1 RESP NEO/PED 150 0 1 • APNEA ALM: used to set the standard of judging an apnea case. The system will give RESP alarm once the RESP value goes above the upper alarm limit or below the lower alarm limit.25. It ranges from 10 to 40 seconds with each turn of knob being 5s.5. 3. The selections are 0.5 and 25. • ALM LO: used to set up the lower alarm limit. Level HIGH represents the most serious case. HOLD HI and HOLD LO menus cannot be used and the monitor automatically calculates the RESP RATE.

After selecting an item and exiting the dialog box. the physiological alarms caused by parameter exceeding alarm limit can trigger the recorder to automatically output alarming parameter value and corresponding measuring waveform. you can use the knob to select either HOLD HI or HOLD LO and turn the knob to respectively adjust the two dotted lines in the RESP WAVEFORM area. the system will pop up the dialog box asking for the user’s confirmation 12. notify RESP ALM LMT ERR HIGH failure biomedical engineer or Mindray service staff. in which you can select FACTORY DEFAULT CONFIG or USER DEFAULT CONFIG. RESP can not be measured within RESP APNEA HIGH specific time interval.5 RESP Alarm Information and Prompt Information If the alarm recording switches in relevant menus are set to ON.9. • DEFAULT: select this item to access the RESP DEFAULT CONFIG dialog box. Tables below lists out the possible physiological alarms. ECG/RESP Monitoring • HOLD HI and HOLD LO: When the HOLD TYPE is MANUAL. Physiological alarms Message Cause Alarm Level RESP measuring value is above upper RR TOO HIGH User-selectable alarm limit. technical alarms and prompt messages during RESP measurement. The positions of these two dotted lines are used to calculate the upper and lower RESP limits. Technical alarms Message Cause Alarm Level Remedy Stop using RESP Functional safety alarming function. 12-24 . RESP measuring value is below lower RR TOO LOW User-selectable alarm limit. Prompt message (general alarms) Message Cause Alarm Level RR measuring value exceeds the RR EXCEED HIGH measure range.

You must replace the ECG cable with a new one once the cable is found damaged or deteriorated. Sterilization facilities shall be cleaned first. and dry it in air or by using clean and dry cloth.10 Maintenance and Cleaning Care and Cleaning Warning Turn off the power and disconnect the line power before cleaning the monitor or the sensor. Recommended sterilization materials: Ethylate: 70% alcohol. Disinfection facilities should be cleaned first. 70% isopropanol Acetaldehyde ■ Disinfection To avoid extended damage to the equipment. sterilization is only recommended when stipulated as necessary in the Hospital Maintenance Schedule. ■ Cleaning Use ethanol to clean the probe surface. disinfection is only recommended when stipulated as necessary in the Hospital Maintenance Schedule. ■ Sterilization To avoid extended damage to the equipment. 12-25 . ECG/RESP Monitoring 12.

ECG/RESP Monitoring FOR YOUR NOTES 12-26 .

then the blood has a SpO2 oxygen saturation of 97%. The SpO2 numeric on the monitor will read 97% . How the SpO2 / PLETH Parameter Works ■ Arterial oxygen saturation is measured by a method called pulse oximetry.1 What is SpO2 Monitoring SpO2 Plethysmogram measurement is employed to determine the oxygen saturation of hemoglobin in the arterial blood. By measuring the light absorption during a pulsation. However. it is possible to derive the oxygen saturation of the arterial blood. Warning Pulse oximetry can overestimate the SpO2 value in the presence of Hb-CO. non-invasive method based on the different absorption spectra of reduced hemoglobin and oxyhemoglobin. one of these factors. The sensor measurement wavelengths are nominally 660nm for the Red LED and 940nm for Infrared LED. ■ SPO2 is a non-invasive measurement of the functional oxygen saturation. most of which are constant. to a receiver on the other side. for example. 13-1 . ■ The SpO2 value and the PLETH waveform can be displayed on the main screen. Detecting the pulsation gives a PLETH waveform and pulse rate signal. sent from light sources on one side of the sensor. is transmitted through patient tissue (such as a finger or an ear). It is a continuous. 97% hemoglobin molecules in the red blood cells of the arterial blood combine with oxygen. Met-Hb or dye dilution chemicals. ■ The amount of light transmitted depends on many factors. The SpO2/PLETH parameter can also provide a pulse rate signal and a plethysmogram wave.The SpO2 numeric shows the percentage of hemoglobin molecules. which have combined with oxygen molecules to form oxyhemoglobin. varies with time. SpO2 / Pulse Monitoring Warning ES (Electrosurgery) equipment wire and SpO2 cable must not be tangled up. It measures how much light. Maximum optical power output for LED is 4 mW.Chapter 13 SpO2 Monitoring 13. because it is pulsating. If. the blood flow in the arteries.

Warning Do not use the SpO2 sensor once the package or the sensor is found damaged. Note Do not perform SpO2 measuring and NIBP measuring on same arm at one time.2 Precautions Note ■ Make sure the nail covers the light window. you shall return it to the vendor. ◆ Select HR FROM as “AUTO” in the ECG SETUP menu and there is no ECG signal. SpO2 Monitoring Warning Do not put the sensor on extremities with arterial catheter or venous syringe. the system shall display the error message “SPO2 SENSOR OFF” and give the audible alarm. Instead. ■ The wire should be on the backside of the hand. 13. because obstruction of blood flow during NIBP measuring may adversely affect the reading of SpO2 value. Warning Prolonged and continuous monitoring may increase jeopardy of unexpected change of 13-2 . ■ Pulse Rate will be displayed only under following situations: ◆ Select HR FROM as "SPO2" or “BOTH” in the ECG SETUP menu. After unplugging the SpO2 sensor cable from the socket. Note SpO2 waveform is not proportional to the pulse volume. Note ■ SpO2 value is always displayed at the same position. Warning Check if the sensor cable is in normal condition before monitoring.

and so on. repressive putrescence. Figure 13-2 Neonate SpO2 sensor (1) 13-3 .3 Monitoring Procedure SpO2 plethysmogram measurement 1. More frequent examinations may be required for different patients. 2. Insert the LED and PD ends of the Y-form SpO2 sensor respectively into the upper and lower grooves on the sheath (figure 13-2). It is especially important to check the sensor placement of neonate and patient of poor perfusion or immature dermogram by light collimation and proper attaching strictly according to changes of the skin. 1. 13. Below is the description of neonate SpO2 sensor and its installation. Figure 13-3 shows us the neonate SpO2 sensor after insertion. Switch on the monitor. Neonate SpO2 sensor Neonate SpO2 sensor consists of Y-form SpO2 sensor and its sheath. Plug the connector of the sensor extension cable into the SpO2 socket on the SpO2 module. rubescence. Check per 2~3 hours the sensor placement and move it when the skin deteriorates. Attach the sensor to the appropriate site of the patient finger. SpO2 Monitoring dermal condition such as abnormal sensitivity. vesicle. Figure 13-1 Mounting of the sensor ■ Neonate SpO2 Measurement The process of measuring neonate SpO2 is similar to that of measuring adult SpO2. 3.

Warning In the process of extended and continuous monitoring. it may result in inaccurate SpO2 reading. In the mean time. Hold the sensor. You must position the SpO2 sensor in this way so as to make the photoelectric component face the correct position. which may lead to inaccurate measurement and also blocking the blood circulation severely. you must keep the patient quiet or change the part for monitoring to reduce the adverse influence of excessive movement. you should check the 13-4 . or even that the SpO2 cannot be measured because no pulse is detected. If this is true. Attaching Neonate SpO2 sensor Wind the SpO2 sensor around a hand or foot. In this situation. you must position the sensor again. After the “V” edges of the two sides of the belt fit well into the “V” grooves on the two sides of the sheath. pull the belt and fit one of its sides with “V” edge into the “V” groove on the corresponding side of the sheath. See figure 13-4. put the belt into the first lock bar to fasten the belt. If the belt is too much long. The excessive patient movement may result in inaccurate reading. Appropriately elongate the belt (about 20mm) and fit the “V” edge of the other side of the belt into the “V” groove of the other side of the sheath and then loosen the belt. note not to elongate the belt too much. you may put it into the second lock bar. Figure 13-4 mounting of the neonate sensor Note If the sensor cannot be positioned accurately to the part to be measured. SpO2 Monitoring Figure 13-3 Neonate SpO2 sensor (2) 2.

If there exist other objects (carbon hemoglobin. low temperature and application of vasomotor may all cause the arterial blood flow to reduce and hence make the measurement impossible. you should change the measured position in time. such as carboxyhemoglobin and methemoglobin. including noise created by the host system. methemoglobin. Intravascular dye injections Excessive patient movement External light radiation Improper sensor installation or incorrect contact position of the patient Sensor temperature (optimal temperature between 28°C and 42°C) Placement of the sensor on an extremity that has a blood pressure cuff. Warning In the process of extended and continuous monitoring. Significant concentrations of dysfunctional hemoglobin. Induced current could potentially cause burns. press the 13-5 . Do not use oximeters and oximetry sensors during magnetic resonance imaging (MRI) scanning. or noise from external sources. the accuracy of oximetry readings can be affected by: High-frequency electrical noise. SpO2 Monitoring peripheral circulation and the skin every 2 hours. anemia. SpO2 too low Bad circular injection of the part being measured Shock. they may result in false or low SpO2 value. you should periodically check the position of the sensor. The absorption of oxyhemoglobin (HbO2) and deoxyhemoglobin to the light of special wavelength may also affect SpO2 measurement. the measurement accuracy may be affected. It is recommended to use SpO2 sensors described in chapter Accessories and Ordering Information. If any unfavorable changes take place. or intravascular line. 13. arterial catheter.4 Limitations for Measurement Measurement Limitations In operation. methylene blue and indigo carmine) absorbing the light of the same wavelength. 13. In case that the position of the sensor moves during monitoring.5 SPO2 Menu Turn the knob to move the cursor onto the SPO2 hot key in the Parameter area. such as electrosurgical apparatus connected to the system.

■ SPO2 ALM HI and SPO2 ALM LO: SpO2 alarm is activated when the result exceeds set SPO2 ALM HI value or falls below SPO2 ALM LO value. ■ ALM REC: pick "ON". the system will command the recorder to output alarm information when SpO2 alarm occurs. SpO2 alarm setting ■ ALM: pick "ON". Therefore. Upper Limit Min. Lower Limit SpO2 Adult 100 90 13-6 . Upper Limit Min. selectable from HIGH. SpO2 and PR alarm limits: Max. the system will give alarm prompt and store alarm information when SpO2 alarm occurs. ■ PR ALM HI and PR ALM LO: PR alarm is activated when the pulse rate exceeds set PR ALM HI value or falls below PR ALM LO value. the upper alarm limit for oxygen saturation must be carefully selected in accordance with commonly accepted clinical practices. SpO2 Monitoring knob to access the SPO2 SETUP menu. the system will not give alarm and instead display a beside “SpO2”. 2 Figure 13-5 SPO2 SETUP menu Warning Setting the SpO2 upper alarm limit to 100% is equivalent to switching off the alarm on upper limit. ■ ALM LEV: used to set up alarm level. pick "OFF". HIGH represents the most serious case. MED and LOW. Lower Limit Step SpO2 100 0 1 PR 254 0 1 The default SpO2 and PR alarm limits: Parameters Max. High oxygen levels may predispose a premature infant to retrolental fibroplasia.

8s. the system will pop up the dialog box asking for the your confirmation. the volume of PITCH TONE will be consequently controlled by “BEAT SOUND” in “ECG SETUP” MENU. PITCH TONE function will become disabled automatically. If other item than “SPO2” is selected as “HR SOURCE” in “ECG SETUP” menu. “0”means the volume is turned off. the heart beat volume will change automatically according to SPO2 value. SpO2 Monitoring Pediatric 100 90 Neonatal 95 80 Adult 120 50 PR Pediatric 160 75 Neonatal 200 100 ■ SWEEP Available options are 12. ■ AVG TIME 4s. the physiological alarms caused by the parameter exceeding the alarm limit may possibly trigger the recorder to automatically 13-7 . This monitor has 22 kinds of PITCH TONE.6 Alarm Description and Prompt SpO2 Alarm Message When the alarm switches are set to ON in relevant menus. After selecting one item and exiting the dialog box. the volume of PITCH TONE will be controlled by “PR SOUND” in “SPO2 SETUP” menu. For example. if the “BEAT VOL” in “ECG SETUP” menu is set to a value other than “0” (which means “BEAT VOL” is switched ON). 25. 13. ■ PR SOUND Pulse beeps volume.0 mm/s. their volume could be controlled. Although these 22 kinds of PITCH TONE could not be adjusted in menu.5mm/s. Eleven options: 0~10. PITCH TONE Function When SPO2 changes. the higher the SPO2 value is. Note When SPO2 module is switched OFF. when “SPO2” is selected as “HR SOURCE” in “ECG SETUP” menu. and “10” means the maximum volume. ■ DEFAULT: Pick this item to access the SPO2 DEFAULT CONFIG dialog box. 16s represent times that SpO2 average value is counted. the higher the PITCH TONE will be. in which you can select FACTORY DEFAULT CONFIG or USER DEFAULT CONFIG.

SpO2 Monitoring output alarming parameter value and corresponding waveforms. notify communication biomedical engineer or error Mindray service staff. User-selectable Technical alarms Alarm Message Cause Remedy Level Make sure that the SpO2 sensor may monitor and the patient be disconnected SPO2 SENSOR OFF LOW are in correct from the patient or connection with the the monitor. technical alarms and prompt messages occurring during SpO2 measurement. User-selectable PR TOO HIGH PR measuring value is above upper alarm limit. Stop using the measuring function of Functional safety SPO2 ALM LMT ERR HIGH SpO2 module. SPO2 INIT ERR SPO2 INIT ERR 1 SPO2 INIT ERR 2 Stop using the SPO2 INIT ERR 3 measuring function of SpO2 module SPO2 INIT ERR 4 HIGH SpO2 module. User-selectable PR TOO LOW PR measuring value is below lower alarm limit. Tables below describe the possible physiological alarms. notify communication biomedical engineer or error Mindray service staff. User-selectable SpO2 TOO LOW SpO2 measuring value is below lower alarm limit. notify failure biomedical engineer or Mindray service staff. 13-8 . notify failure biomedical engineer or SPO2 INIT ERR 5 Mindray service staff. Stop using the SpO2 module measuring function of failure or SPO2 COMM ERR HIGH SpO2 module. cables. SPO2 INIT ERR 6 SPO2 INIT ERR 7 SPO2 INIT ERR 8 Stop using the SpO2 module measuring function of failure or SPO2 COMM STOP HIGH SpO2 module. Physiological alarm Message Cause Alarm Level SPO2 TOO HIGH SpO2 measuring value is above upper alarm limit.

Use a cotton ball or a soft mull moistened with hospital-grade ethanol to wipe the surface of the sensor. connector of the sensor shall not be subjected to such solution. Do not use any sensor or cable that may be damaged or deteriorated. Prompt message (include general alerts) Message Cause Alarm Level SPO2 EXCEED SpO2 measuring value exceeds the range. 13. The cable can be cleaned with 3% hydrogen dioxide. 13-9 . SpO2 Monitoring Stop using the measuring function of Functional safety PR ALM LMT ERR HIGH SpO2 module. HIGH SEARCH PULSE SpO2 module is searching for pulse. However. and then dry it with a cloth. This cleaning method can also be applied to the luminotron and receiving unit. No alarm SpO2 module cannot detect SpO2 signal for a NO PULSE HIGH long time. notify failure biomedical engineer or Mindray service staff. Do not immerse the sensor into any liquid.7 Maintenance and Cleaning Care and Cleaning Warning Turn of the monitor and disconnect the line power before cleaning the monitor or the sensor Warning Do not subject the sensor to autoclaving. 70% isopropanol. or other active reagent. HIGH PR EXCEED PR measuring value exceeds the range.

SpO2 Monitoring FOR YOUR NOTES 13-10 .

mean and diastolic pressure for each mode. Warning You must select correct mode especially for pediatric and neonate patients (refer to the PATIENT SETUP menu). Warning For a thrombasthemia patient.1 NIBP Measuring Warning Use accessories specified by Mindray only. In CONTINUOUS mode. 14-1 . and neonatal. the system executes NIBP measurement repeatedly with the interval of 1/2/3/4/5/10/15/30/60/90/120/180/240/480 minutes. 14. the system executes one NIBP measurement each time. otherwise.2 NIBP Monitoring 14. you must determine if to run AUTO NIBP measurement according to the clinical evaluation because haematoma may occur at the friction position between extremity and cuff. ■ There are three measurement modes: MANUAL. Warning Do not perform NIBP measurement on a patient of sickle-cell disease or with damaged skin or expected damaged skin.Chapter 14 NIBP Monitoring 14. pediatric.2. AUTO. The system displays systolic. ■ It is applicable for adult. In MANUAL mode. and CONTINUOUS. the system executes NIBP measurement continuously within five minutes. In AUTO mode. Measurement under wrong mode may endanger patient because high adult blood pressure is not suitable for pediatric and neonate.1 Introduction ■ The Non-invasive Blood Pressure (NIBP) module measures the blood pressure using the oscillometric method. the device may not function normally.

2. within the limits prescribed by the ANSI/AAMI SP10. and make sure that the symbol "Φ" is over the appropriate artery. Warning Make sure that the air conduit connecting the blood pressure cuff and the monitor is neither blocked nor tangled. his or her physiologic condition. Blood pressure determined with this device are equivalent to those obtained by a trained observer using the cuff/stethoscope auscultation method and an intra-arterial blood pressure measurement device. Notes The blood pressure of the patient as the basis for establishing therapy may be obtained by using other method such as the cuff/stethoscope auscultation method. Ensure that the cuff is not wrapped too tightly around the limb. verify that you have selected a measurement mode appropriate for your patient (adult. Notes NIBP monitoring uses the oscillometric method of measurement. 14-2 . NIBP Monitoring Warning ■ Before starting a measurement. the clinical doctor must note that the values obtained by using other method and the monitor may be different. ■ Apply the appropriate size cuff to the patient. Plug in the air hose into the NIBP socket on the monitor and turn on the monitor. Excessive tightness may cause discoloration and eventual ischemia of the extremities. This could cause tissue damage around the catheter when infusion is slowed or blocked during cuff inflation. ■ Ensure that the cuff is completely deflated. Accordingly.) ■ Do not apply the cuff to a limb that has an intravenous infusion or catheter in place. Notes Any blood pressure recording can be affected by the position of the subject. Apply the blood pressure cuff to the patient's upper arm or thigh following the instructions below (Figure 14-1). pediatric or neonate. 1. and other factors. Notes This equipment is suitable for use in the presence of electro-surgery.

7 cm 2.5 m or 3 m Adult 2 33 ~ 47 cm 17 cm Thigh 46 ~ 66 cm 21 cm Size of disposable cuff for neonate/children/adult Size No.3 ~ 8. Size of reusable cuff for neonate/children/adult Patient Type Limb perimeter Cuff width Hose Neonate 10 ~19 cm 8 cm Pediatric 18 ~ 26 cm 10.9 cm 4. The maximum pressure is 140mmHg when the cuff is used normally.1 ~ 5. use a larger or smaller cuff that fits better. The initial inflating pressure of the cuff is 70mmHg during measurement. then use a larger cuff. If this is not possible you should apply the following corrections to the measured values: 14-3 . The inflatable part of the cuff should be long enough to encircle 50-80% of the limb. If it does not. Note For Neonate measurement.8 ~ 10. the maximum pressure of the cuff is 147mmHg. NIBP Monitoring Figure 14-1 Applying Cuff Note The width of the cuff should be either 40% of the limb circumference (50% for neonates) or 2/3 of the upper arm length.6 cm Adult 1 25 ~ 35 cm 14 cm 1. 3.3 cm 4 7. The wrong size of cuff can cause erroneous readings.1 ~ 13.5 cm 2 4.0 cm 3. The limb chosen for taking the measurement should be placed at the same level as the patient's heart. If the cuff size is in question.1 cm 5.1 cm ■ Make sure that the cuff edge falls within the range of mark <->.2 cm 1. Limb perimeter Cuff width Hose 1 3. Connect the cuff to the air hose.5 m or 3 m 3 5.

NIBP Monitoring ■ If the cuff is placed higher than the heart level. Select the [MANUAL] option. 14-4 . ■ If it is placed lower than the heart level. 4. 3. ischemia and neuropathy in the limb wearing the cuff.75 mmHg (0. warmth and sensitivity. press the START button on the front panel at any time to start a MANUAL measurement. Then press the START button on the front panel to start a MANUAL measurement. press START button on the front panel to start the first measurement. press the START button on the front panel at any time to stop AUTO measurement. Check if the patient type is correct (displayed at the right side of bed number in the Information area on the screen). If any abnormality is observed. examine the extremities of the limb frequently for normal color. the monitor will automatically carry out the measurement according to the selected time interval. To start a MANUAL measuring: Access the “NIBP SETUP” menu and select the [INTERVAL] item. To start a MANUAL measurement during AUTO measurement process: During the idle period of AUTO measurement process. Warning Prolonged non-invasive blood pressure measurements in Auto mode may be associated with purport. add 0. After that. If to change the patient type. deduct 0. After the measurement. 2.75 mmHg (0. After that. 5. Refer to coming Operation Hints for details 6. To start AUTO measurement: Access the “NIBP SETUP” menu and select the [INTERVAL] item.10 kPa) for each cm of difference.10 kPa) for each cm of difference. Operation Hints 1. stop the blood pressure measurements. When monitoring a patient. you can press the START button again to stop the MANUAL measurement and the system will continue to execute AUTO measurement. 4. in which you may choose the time interval of AUTO measurement. Press the START button on the front panel to start a measurement. Select the measurement mode in the NIBP SETUP menu. To stop AUTO measurement: In the process of AUTO measurement. access the PATIENT SETUP menu from SYSTEM MENU and select the [PAT TYPE] item and turn the knob to select the required patient type.

ischemia and neuropathy in the limb wearing the cuff. These motions may interfere with the detection of the arterial pressure pulses. In addition. The measuring time thus will be prolonged. Note If you doubt accuracy of any reading(s). The measurement is in search of regular arterial pressure pulse. the oscillometric measurement has certain limitations. The CONTINUOUS measurement will last 5 minutes. or may enter the conduit or inside the monitor. In those circumstances when the patient's condition makes it difficult to detect the pulse wave. You should be aware that the following conditions could interfere with the measurement. shivering or having convulsions. To start a CONTINUOUS measurement: Access the “NIBP SETUP” menu and select the [CONTINUAL] item to start a CONTINUOUS measurement. contact local Customer Service Center. Warning If liquid is inadvertently splashed on the equipment or its accessories. the measurement becomes unreliable and measuring time increases. NIBP Monitoring 5. When monitoring a patient. Warning Prolonged non-invasive blood pressure measurements in Continuous mode may be associated with purport. 14-5 . If any abnormality is observed. the measurement time will be prolonged. examine the extremities of the limb frequently for normal color. To stop CONTINUOUS measurement: During CONTINUOUS measurement. the patient's condition will make a measurement impossible. 6. making the measurement unreliable or longer to derive. Patient Movement Measurements will be unreliable or may not be possible if the patient is moving. Measurement Limitations To different patient conditions. Cardiac Arrhythmia's Measurements will be unreliable and may not be possible if the patient's cardiac arrhythmia has caused an irregular heartbeat. In some cases. check the patient's vital signs by an alternative method before checking the functioning of the monitor. warmth and sensitivity. press the START button on the front panel at any time to stop it. stop the blood pressure measurements.

Fat Patient The thick fat under extremity may reduce the measurement accuracy because it may prevent the oscillation generated in the artery from reaching the cuff. measurements will be unreliable since reduced blood flow to the peripheries will cause reduced pulsation of the arteries.2. Heart Rate Extremes Measurements can not be made at a heart rate of less than 40 bpm and greater than 240 bpm. NIBP Monitoring Heart-lung Machine Measurements will not be possible if the patient is connected to a heart-lung machine. 14. Pressure Changes Measurements will be unreliable and may not be possible if the patient's blood pressure is changing rapidly over the period of time during which the arterial pressure pulses are being analyzed to obtain the measurement.3 NIBP SETUP menu Select the [NIBP] hot key on the screen to display the NIBP menu shown as below: 14-6 .2 NIBP monitoring screen NIBP measurement result and corresponding message are displayed as follows: Measurement time NIBP 16: 50 mmHg BP unit NS Measurement value 108 84 70 160 90 NS Alarm limit Measurement mode MANUAL Current cuff pressure Prompt Manual measure …… CUFF:100 14. Severe Shock If the patient is in severe shock or hypothermia.

SYS ALM LO. NIBP Monitoring Figure 14-2 NIBP SETUP Menu ■ NIBP alarm setups • ALM: select "ON". DIA ALM LO are for you to set up the alarm limit for each type of pressure. HIGH represents the most serious case. • ALM REC: select "ON". MEAN ALM HI. NIBP alarm limits: Adult Mode SYS 40-270 mmHg DIA 10-215 mmHg Mean 20-235 mmHg Pediatric Mode SYS 40-200 mmHg DIA 10-150 mmHg Mean 20-165 mmHg Neonatal Mode SYS 40-135 mmHg DIA 10-100 mmHg Mean 20-110 mmHg 14-7 . MEAN ALM LO. DIA ALM HI. the system will not give any alarm information and instead display a beside “NIBP”. NIBP alarm is activated when the pressure exceeds the upper alarm limit or falls below lower alarm limit. the system will give alarm prompt and store alarm information once NIBP alarm occurs. • SYS ALM HI. select "OFF". MED to LOW. the system will command the recorder to output the alarm information once NIBP alarm occurs. • ALM LEV: selectable from HIGH.

At this time. 14-8 . Default initial Options for Initial value in NIBP MANUAL Default value menu (mmHg/kPa) (mmHg/kPa) FACTORY DEFAULT 80/100/120/140/150/160/180/200/220/240 150 ADU CONFIG FACTORY DEFAULT 80/100/120/140/150/160/180/200 100 PED CONFIG FACTORY DEFAULT 60/70/80/100/120 70 NEO CONFIG USER DEFAULT ADU 80/100/120/140/150/160/180/200/220/240 150 CONFIG USER DEFAULT PED 80/100/120/140/150/160/180/200 100 CONFIG USER DEFAULT NEO 60/70/80/100/120 70 CONFIG Press the MENU button on the front panel. the afterward initial pressure during measurement is based on the previous measured SYS value of the same patient. you can press the NIBP button on the front panel to start the first AUTO measurement. Highlight the [INFALTION] item and select it. After selecting the INTERVAL. in which you can select one of the six available configurations. ■ INFLATION Select this item to choose the initial pressure when inflate the cuff next time. the system will access the NIBP SETUP menu. NIBP Monitoring ■ UNIT Options are mmHg and kPa. However. ■ INTERVAL Time Available selections for AUTO measurement. return to the main screen and select the NIBP hot key in the NIBP area on the main screen. After confirming your selection. the system will display the prompt “Please press START button” in the NIBP prompt area. you can see the initial inflation range as shown above. Warning The [INFLATION] item is to help you to select the initial inflation pressure of the cuff for the next time. in which the value shown in the [INFLATION] item is the initial inflating pressure value corresponding to the selected default configuration. There are different selections of the initial pressure. interval are: 1/2/3/4/5/10/15/30/60/90/120/180/240/480 minutes. Select the [MANUAL] item in the list of INTERVAL and the system will end AUTO measurement and restore MANUAL measurement mode. The system will remember this value so that the time required to measure the same patient can be reduced and also the accuracy increased. the system enters the DEAULT menu of SYSTEM MENU.

8 mmHg and a ball pump by means of a T-piece connector and hoses to the pneumatic system. Select this item to restore initial settings of the pressure pump. The difference between the indicated pressure of the reference manometer and the indicated pressure of the monitor will not exceed 3 mmHg. When the pressure does not work properly and the system fails to give message for the problem. the menu will disappear automatically and the CONTINUOUS measurement start immediately. If select this item at this time. 14-9 . the system will automatically make initial setups for the relevant modules as per PTIENT TYPE. Set the monitor in CALIBRATE mode. ■ CONTINUAL Start CONTINUOUS measurement. Also. You shall check the performance according to following information. thus restore the system from abnormal performance. please contact our customer service. any change in the DEFAULT may cause the PATIENT TYPE in PATIENT SETUP to change accordingly. NIBP Monitoring Warning If you only make setup in the [PATIENT TYPE] item of the PATIENT SETUP menu but not choose any option in DEFAULT. When this item is selected. Connect a calibrated reference manometer with an error less than 0. 50 and 200 mmHg by ball pump separately. Procedures to calibrate Pressure Transducer: Replace the cuff of the device with a rigid metal vessel with a capacity of 500 ml ± 5%. Warning You shall calibrate NIBP measurement once every two years (or as required in your hospital’s maintenance regulation). Otherwise. select this item to activate self-test procedure. ■ CALIBRATE It is recommended to use a calibrated pressure meter with the precision higher than 1mmHg to calibrate the device. ■ RESET Restore measurement status of NIBP pump. the system will stop the calibration. Inflate the pneumatic system to 0. Select the [CALIBRATE] item to start the calibration process and this item will display “STOP CAL”.

After connecting NIBP cuff. If the test is successful. please contact 14-10 . 4) Turn the knob to the PNEUMATIC item and press the knob. After confirming secure connections. the system will display corresponding error message in the NIBP information area. you should re-perform the pneumatic test. in which you can choose factory configuration or user configuration. NIBP Monitoring Monitor Figure 14-3 Diagram of NIBP calibration ■ PNEUMATIC This item is used for air leakage test. 7) If no prompt appears on the bottom of the NIBP parameter area. In this case. 2) Wrap the cuff around the cylinder of an appropriate size. the system will automatically open the deflating valve. ■ DEFAULT Select this item to enter the NIBP DEFAULT dialog box. If at the end of the test the system gives the prompt that the NIBP airway has air leaks. please contact the manufacturer for repair. 3) Access the NIBP SETUP menu. the system will not give any prompt. 6) After about 20 seconds. However if the prompt “PNEUMATIC LEAK” appears in the place. you can select this item to start NIBP inflating process so as to find if the NIBP airway is closed and in good condition. it indicates that the airway may have air leaks. Warning This pneumatic test other than being specified in the EN 1060-1 standard is to be used by you to simply determine whether there are air leaks in the NIBP airway. If the failure prompt still appears. you should check for loose connection. the system will display a confirmation box for you to confirm your selection. which marks the completion of a pneumatic measurement. 5) The system will automatically inflate the pneumatic system to about 180mmHg. If the test is failed. Then the prompt “Pneu testing” will appear on the bottom of the NIBP parameter area indicating that the system has started performing pneumatic test. Procedure of the air leakage test: 1) Connect the cuff securely with the socket for NIBP air hole. After choosing one configuration. it indicates that the airway is in good situation and no air leaks exist.

Physiological alarms: Message Cause Alarm Level NIBP SYS measuring value NS TOO HIGH User-selectable is above upper alarm limit. Technical alarms 1: (display in Information area) Alarm Message Cause Remedy Level Stop using NIBP alarm function and NS ALM LMT Functional safety failure HIGH notify biomedical engineer or ERR Mindray service staff. Stop using NIBP alarm function and ND ALM LMT Functional safety failure HIGH notify biomedical engineer or ERR Mindray service staff. Stop using NIBP alarm function and NM ALM LMT Functional safety failure HIGH notify biomedical engineer or ERR Mindray service staff. NIBP Monitoring the manufacturer for repair. NIBP SYS measuring value NS TOO LOW User-selectable is below lower alarm limit. Monitor Figure 14-4 Diagram of NIBP air leakage test 14. NIBP MAP measuring value NM TOO HIGN User-selectable is above upper alarm limit. NIBP DIA measuring value ND TOO LOW User-selectable is below lower alarm limit.4 NIBP Alarm Message Among physiological alarms. 14-11 . technical alarms and prompt messages occurring during NIBP measurement. NIBP MAP measuring value NM TOO LOW User-selectable is below lower alarm limit. those belonging to the type that the parameter has exceeded the limits may activate the recorder to automatically output the parameters and related measured waveforms when the alarms occur under the condition that the alarm record switch in the related menu is ON. Tables below describe the possible physiological alarms. NIBP DIA measuring value ND TOO HIGH User-selectable is above upper alarm limit.

engineer or Mindray service staff. or Mindray service staff. Pressure has Measure again. engineer or Mindray service staff. weak. engineer or Mindray service staff. NIBP Communication with NIBP COMM ERR HIGH measurement.g. Operation of blood Stop using NIBP measurement NIBP SYSTEM pressure pump HIGH function. Measure again. Cuff. e. notify biomedical damaged. if AIR PRESSURE is not available. biomedical engineer or Mindray service staff. Cuff is no properly LOOSE CUFF wrapped or no cuff LOW Properly wrap the cuff exists. Reset NIBP module. seconds (neonatal). During pneumatic PNEUMATIC LEAK LOW if required. NIBP ILLEGALLY Abnormal module HIGH Reset again RESET reset Problem happens when measuring the curve. signal noise is Make sure that the patient under LOW MOTION too large or pulse rate monitoring is motionless. 14-12 . Measuring time has exceeded 120 Measure again or use other NIBP TIME OUT HIGH seconds (adult) or 90 measuring method. Cuff type does not CUFF TYPE ERR comply with the LOW Select appropriate cuff type patient type. stop using NIBP RANGE exceeds the specified HIGH measurement function. notify EXCEEDED upper limit. notify biomedical NIBP module is failed. notify biomedical test. Cuff is too loose or Use other method to measure blood WEAK SIGNAL patient pulse is too LOW pressure. or Mindray service staff. engineer or Mindray service staff. hose or Check and replace the leaking parts. analysis or calculation. if failure persists. Make sure that the MEASURE FAIL cannot perform HIGH patient under monitoring is measurement. Affected by arm EXCESSIVE motion. The system Check the cuff. exceeded the stop using NIBP measurement OVER PRESSURE HIGH specified upper safety function and notify biomedical limit. engineer or Mindray service staff. notify biomedical ERROR hoses are tangled. SIGNAL Excessive motion LOW Stop the patient from moving. notify biomedical engineer FAILURE system is failed. leak is detected. notify biomedical engineer ERR module is incorrect. motionless. is not regular. LOW failure persists. Stable pressure value Check if the hoses are tangled. if failure Measuring range persists. AIR LEAK connector is LOW if required. STURATED Check and replace the leaking parts. If failure persists. NIBP Monitoring Technical alarms 2: (display in the area below the NIBP value) Alarm Message Cause Remedy Level Sensor or other Stop using NIBP measurement NIBP SELFTEST hardware of NIBP HIGH function.

Auto measuring During automatic measuring mode. remove the latex rubber bladder. ■ Do not wipe the inner part of the connector socket when cleaning the monitor. always place the cover on the rubber tube to avoid liquid permeation. The cuff should not be dry-cleaned. or radiation sterilization in hot air ovens or disinfected by immersion in decontamination solutions. 14-13 . and for machine-washing. Before washing. gas. Allow the cuff to dry thoroughly after washing. See figure 14-5. Reusable Blood Pressure Cuff The cuff can be sterilized by means of conventional autoclaving. but remember to remove the rubber bladder if you use this method. Cont measuring During continuous measuring mode.5 Maintenance and Cleaning Warning ■ Do not squeeze the rubber tube on the cuff. 14-6. After selecting interval between Please start measurements in MENU Press START/STOP key during Meas over measuring to stop measurement Calibrating During calibrating No alarm Cal over Calibration over Pneu testing During pneumatic test Pneu test over pneumatic test over Resetting process after NIBP module Resetting is loaded In NIBP resetting process triggered Resetting that you start manufally Reset failed NIBP module reset failed 14. then reinsert the rubber bladder. the latter method may prolong the service life of the cuff. The cuff can also be machine-washed or hand-washed. ■ Do not allow liquid to enter the connector socket at the front of the monitor. NIBP Monitoring Prompt message: (display in the prompt area below NIBP value) Message Cause Alarm Level Manual measue During manual measuring mode. ■ When the reusable cuff is not connected with the monitor. close the Velcro fastening. or being cleaned.

Disposable cuffs can be cleaned using soap solution to prevent infection. Do not use the same cuff on any other patient. Now roll the bladder lengthwise and insert it into the opening on the long side of the cuff. Disposable Blood Pressure Cuffs Disposable cuffs are intended for one-patient use only. first place the bladder on top of the cuff so that the rubber tubes line up with the large opening on the long side of the cuff. the disposable blood pressure cuffs must be recovered or disposed of properly. Hold the tubes and the cuff and shake the complete cuff until the bladder is in position. 14-14 . Thread the rubber tubes from inside the cuff. NIBP Monitoring Figure 14-5 Replace Rubber Bladder in Cuff Figure 14-6 Replace Rubber Bladder in Cuff To replace the rubber bladder in the cuff. Note To protect the environment. and out through the small hole under the internal flap. Do not sterilize or use autoclave on disposable cuffs.

you should coil up the probe and cable into a loose circle. The self-test process will last 1 second. Turn on the system power. Note The TEMP module will perform self-test once every 250 seconds in the monitoring process. With a reusable TEMP probe you can plug the probe directly into the monitor Attach the TEMP probe securely to the patient. contact the manufacture please. When calibration is required. Warning The TEMP module shall be calibrated once every two years (or as required by your hospital’s regulation). the system will display the error message “TEMP SENSOR OFF” and give the audible alarm sound. Unplug the temperature probe cable from the socket. If not use it. Warning Hold the TEMP probe and cable carefully and lightly. If the wire inside the cable is tensely pulled. You can use TEMP probe to measure the body temperature of the patient. TEMP monitoring setup If you are using disposable TEMP probes. Self-test will not affect the normal working of the TEMP module. you need to plug the TEMP cable into the monitor and then connect the probe to the cable. it may cause mechanical damage to the probe and the cable. Note Disposable TEMP probe can only be used once. 15-1 .1 TEMP Monitoring The monitor has only one TEMP measurement channel.Chapter 15 TEMP Monitoring 15. Warning Check if the probe cable is in good condition before start monitoring.

MED or LOW. Pick "ON".1ºC ■ UNIT To set temperature unit (ºC or ºF). ■ ALM REC: used to start/stop recording TEMP alarms. ■ The system gives TEMP alarms according to the preset upper and lower limits. ■ ALM LEV: used to set up the alarm level. pick "OFF". selectable from HIGH. ■ DEFAULT Please refer to “DEFAULT” part in “ECG/TEMP Monitoring” for detailed information. the system will give alarm prompt and store the alarm information once alarm occurs. the system will not give alarm prompt and instead display a symbol beside TEMP. TEMP alarm limits: Max. TEMP Monitoring 15. TEMP HI Min. the system will command the recorder to output the current TEMP alarm information. Once the TEMP value exceeds the upper limit or falls below the lower limit.2 TEMP SETUP Menu Turn the knob to highlight the TEMP hot key and push the knob to access the TEMP SETUP menu. the system will give the alarm. Figure 15-1 TEMP SETUP Menu ■ TEMP alarm setting ■ ALM: pick "ON". TEMP LO Step TEMP 50ºC 0ºC 0. 15-2 .

Reusable TEMP Probes 1 The TEMP probe should not be heated above 100℃ (212℉). technical alarms and prompt messages occurring during TEMP measurement. It should only be subjected briefly to temperatures between 80℃ (176℉) and 100℃ (212℉). Physiological alarms Message Cause Alarm Level Measuring value of sensor is above upper TEMP TOO HIGH User-selectable alarm limit. Measuring value of sensor is below lower TEMP TOO LOW User-selectable alarm limit. 15.4 Maintenance and Cleaning Warning Turn off the monitor and disconnect the line power before cleaning the monitor or the probe. notify biomedical Functional safety failure HIGH ERR engineer or Mindray service staff. Stop using TEMP alarm TEMP ALM LMT function. the monitor.3 TEMP Alarm message When the alarm recording switches are set to ON in relevant menus. NIBP Monitoring 15. Tables below show the possible physiological alarms. those physiological alarms generated because the parameter goes beyond the alarm limit will trigger the recorder to automatically output the alarming parameter value and the corresponding waveforms. 2 The probe must not be sterilized in steam. 15-3 . Technical alarms Alarm Alarm Message Cause Remedy Level Temperature cable may TEMP SENSOR Make sure that the cable is be disconnected from LOW OFF properly connected. Prompt message Message Cause Alarm Level Measuring value of sensor is beyond TEMP EXCEED HIGH measuring range.

4 The rectal probes should be used. 15-4 . Note Do not re-sterilize or reuse the disposable TEMP probe. hold the tip with one hand and hold the moist lint-free cloth with the other hand to clean the probe downward in the direction toward the connector. Note To protect the environment. 5 To clean the probe. TEMP Monitoring 3 Only detergents containing no alcohol can be used for disinfection. in conjunction with a protective rubber cover. the disposable TEMP probe must be recovered or disposed of properly. if possible.

The device will be possibly damaged or lead some harm if any other accessories are used.Chapter 16 Accessories It is recommended to use following accessories on the Monitor. 3 electrodes per pack) 900E-10-04880 3 Lead Leadwires of snap AHA (LL-22363) 9000-10-07445 6 Pin 3 Lead ECG Cable (LL-2325) 0509-10-00093 3 Lead Leadwires of snap IEC 9000-30-07470 6P 3 Lead ECG Cable with no resistance AHA 0010-30-12242 6P 3 Lead ECG Cable IEC with no resistance 0010-30-12243 6P 3 Lead ECG Cable with 1K resistance AHA 0010-30-12246 6P 3 Lead ECG Cable with 1K resistance IEC 0010-30-12247 6P ECG Trunk Cable with no resistance 0010-30-12256 6P ECG Trunk Cable with 1K resistance 0010-30-12257 3 Lead AHA Leadwires of clip 0010-30-12263 3 Lead IEC Leadwires of clip 0010-30-12265 3 Lead AHA Leadwires of snap 0010-30-12267 3 Lead IEC Leadwires of snap 0010-30-12269 6Pin 3-lead separable trunk cable with 1k resistance 0010-30-12377 6Pin 3-lead separable trunk cable with no resistance 0010-30-12378 Neonate 3-lead AHA leadwire of clip 0010-30-12381 Neonate 3-lead IEC leadwire of clip 0010-30-12382 Pediatric 3-lead AHA leadwire of clip 0010-30-12383 Pediatric 3-lead IEC leadwire of clip 0010-30-12384 Pediatric 3-lead AHA leadwire of snap 0010-30-12385 16-1 . 2258-3.1 ECG Accessories Description PN Monitoring Electrode (10 electrodes per pack) 0010-10-12304 Monitoring Electrode (Pediatric. 25 electrodes per pack) 9000-10-07469 Monitoring Electrode (Neonatal. 16. Warning Please use the specified accessories listed below with this patient monitor. 2245.

0cm) 900E-10-04875 M1868A Disposable Cuff (Size #1/3.BAUM Child (Small Size 18-26 cm Arm Circumference) 0010-30-12060 W.3-8.9cm) 900E-10-04874 M1868A Disposable Cuff (Size #2/4. 25-35cm) 0010-10-12146 16-2 .1cm) 900E-10-04873 M1870A Disposable Cuff (Size #3/5.8-10.7cm) 900E-10-04876 W. 512D) 512D-30-90200 Small SPO2 Ear Sensor (ES-3212-9) 0010-10-12392 6Pin SpO2 Cable 512D-30-16752 16. 518A) 518A-30-90226 Finger SpO2 Sensor (Reusable. snap-on 0010-30-12386 Long 3-lead AHA leadwire of clip 0010-30-12388 Long 3-lead IEC leadwire of clip 0010-30-12390 16. CM1203.3 NIBP Accessories Description PN NIBP Hose 509B-30-06259 Neonatal NIBP Hose 509B-30-06260 Infant 10 to 19 cm Arm Circumference (CM1201) 0010-30-12157 Child 18 to 26 cm Arm Circumference (CM1202) 0010-30-12158 Adult 25 to 35 cm Arm Circumference (CM1203) 0010-30-12159 Large Adult 33 to 47 cm Arm Circumference (CM1204) 0010-30-12160 Adult Thigh 46 to 66 cm Arm Circumference (CM1205) 0010-30-12161 M1872A Disposable Cuff (Size #4/7.1-13.1-5.BAUM Adult (Size 25-35cm Arm Circumference) 0010-30-12059 W.BAUM Infant (Size 10-19cm Arm Circumference) 0010-30-12061 Cuff without connector (Adult.2 SpO2 Accessories Description PN DS-100A Adult SpO2 Sensor (Reusable) 9000-10-05161 OXI-P/I Pediatric/Infant Sensor and Sensor Wraps 9000-10-07308 OXI-A/N Adult/Neonatal Sensor and Sensor Wraps 9000-10-07336 Multisite SpO2 Sensor (Reusable. Accessories Description PN Pediatric 3-lead IEC leadwire.A. 512B) 512B-30-90134 Finger SpO2 Sensor (Reusable.A.A.

10-19cm) 0010-10-12147 Cuff without connector (Child. CM1201. 33-47cm) 0010-10-12149 Cuff without connector (Adult Thigh.4 TEMP Accessories Description PN REF 427 Reusable Temperature Probe -Skin (Pediatric) 0010-10-12124 REF 401 Reusable Temperature Probe -Esophagesal /Rectal (Adult) 0509-10-00095 REF 402 Reusable Temperature Probe -Esophagesal /Rectal (Pediatric) 6000-10-01969 REF 409B Reusable Temperature Probe -Skin (Adult) 900E-10-04881 Adult reusable esophageal/rectal temperature probe 0011-30-90440 Pediatric/neonatal reusable esophageal/rectal temperature probe 0011-30-90441 Adult reusable skin-surface temperature probe 0011-30-90442 Pediatric/neonatal reusable skin-surface temperature probe 0011-30-90443 Reusable temperature probe extension cable 0011-30-90444 Disposable esophageal/rectal temperature probe 0011-30-90446 Disposable skin-surface temperature probe 0011-30-90447 16-3 . CM1204. Accessories Description PN Cuff without connector (Infant. 46-66cm) 0010-10-12150 16. CM1205. 18-26cm) 0010-10-12148 Cuff without connector (Large Adult. CM1202.

Accessories FOR YOUR NOTES 16-4 .

. P.Appendix A EC Declaration of Conformity Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co. List of (harmonized) standards for which documented evidence for compliance can be provided as attachment. All supporting documentations are retained under the premises of the manufacturer and the notified body.: 0123 Certificate: G1 05 01 44751 007 A-1 . Nanshan. Notified Body: TüV Product Service GmbH Ridlerstraße 65 D . R. Ltd. Germany Notified Body No. Shenzhen. Keji 12th Road South.80339 Münich.Representative: Shanghai International Holding Corp. Mindray Building. Hi-tech Industrial Park. China EC. Germany Product: Patient Monitor Model: MEC-1000 Classification: IIb (According to Rule 10 of MDD Annex IX) Conformity Assessment Route: MDD Annex II We herewith declare that the above mentioned products meet the provisions of the Council Directive 93/42/EEC for Medical Device. GmbH (Europe) Eiffestraße 80 20537 Hamburg. 518057.

EC Declaration of Conformity FOR YOUR NOTES A-2 .

SpO2.1 Size and Weight Size 318 x 152 x 264 mm Weight 4 kg 2. NIBP. Pmax=110 VA FUSE T 1.100m Power Supply 100 ~ 240 VAC.6A B-1 . Working system Continuous running equipment B. 50/60 Hz.2 Environment Temperature Working 0 ~ 40 °C Transport and Storage -20 ~ 60 °C Humidity Working 15% ~ 95%(noncondensing) Transport and Storage 10% ~ 95%(noncondensing) Altitude Working -500 ~ 4.Appendix B Product Specification B. TEMP CF Harmful liquid proof degree Ordinary equipment (sealed equipment without liquid proof) Disinfection/sterilizing method Refer to Chapter 11 ~ Chapter 15 for details.600m Transport and Storage -500 ~ 13.1 Classification Anti-electroshock type Class I equipment with internal power supply EMC type Class A Anti-electroshock degree ECG (RESP).2 Specifications 2.

Product Specification

2.3 Display

Screen 10.4” Color TFT, 800 x 600 Resolution
Messages
4 Waveforms Maximum
1 Alarm LED (Yellow/Red)
1 Power LED (Green)
1 Charge LED (Green)
3 Sound Modes corresponding to Alarm Modes

2.4 Battery

Rechargeable Lead-Acid 2.3Ah 12V
Operating time under the normal condition 100 minutes (2 batteries)
Operating time after the first alarm of low battery 5 ~ 15 minutes
Maximum charging time of single battery is 4 hours. Maximum charging time of two
batteries is 8 hours.

2.5 Recorder

Record Width 48 mm
Paper Speed 25/50 mm/S
Trace 2
Recording types:
Continuous real-time recording
8 second real-time recording
Auto 8 second recording
Parameter alarm recording
Waveform freeze recording
Trend graph/table recording
ARR events review recording
Alarm event review recording
NIBP review recording
Drug Calculation and titration table recording
Monitor information recording

2.6 Recall

Trend Recall

B-2

Product Specification

Short 1 hour, 1 or 5 second Resolution
Long 72 hours, 1 minute Resolution

Alarm Event Recall
60 alarm events of all parameters and 8/16/32seconds of corresponding waveform.
NIBP Measurement Recall
400 NIBP measurement data
Power-off Storage
72 hours of trend data, 400 NIBP measurement data, 60 alarm events and 60 Arr. events

2.7 ECG

Lead Mode 3 Leads (R, L, F or RA, LA, LL)
Lead selection I, II, III
Waveform 1 channel
Gain ×0.25mm/mV, ×0.5mm/mV, ×1mm/mV, ×2mm/mV, AUTO
HR and Alarm
Range
Adult 15 ~ 300 bpm
Neo/Ped 15 ~ 350 bpm
Accuracy ±1% or ±1bpm, use the greater
Resolution 1 bpm
Sensitivity ≥200uV (Vp-p)
Differential Input Impedance > 5 MΩ
CMRR
Monitor ≥105 dB
Surgery ≥105 dB
Diagnostic ≥90 dB
Electrode offset potential ±300mV
Patient Leakage Current < 10 uA
Baseline Recovery After Defi < 3s
ECG Signal Range ± 5mV (Vp-p )
Frequency Response (Bandwidth)
Surgery 1 ~ 15 Hz
Monitor 0.5 ~ 35 Hz
Diagnostic 0.05 ~ 100 Hz
Calibration Signal 1mV (Vp-p), Accuracy: ±5%
ST Segment Monitoring Range
Measure and Alarm -2.0 ~ +2.0 mV
Accuracy -0.8 ~ +0.8 mV: ±0.02mV or ±10%, use the greater
Others: unspecified
Refresh Cycle 10s

B-3

Product Specification

ARR Detecting
Type ASYSTOLE, VFIB/VTAC, COUPLET, BIGEMINY,
TRIGEMINY, R ON T, VT>2, PVC, TACHY, BRADY,
MISSED BEATS, PNP, PNC
Alarm Available
Review Available

2.8 RESPARATION (RESP)

Method Impedance between R-F (RA-LL)
Measuring Impedance Range: 0.3 ~ 5.0Ω
Base line Impedance Range: 200 ~ 1500Ω
Bandwidth 0.2 ~ 2.0 Hz (-3dB)
Resp. Rate
Measuring and Alarm Range
Adult 0 ~ 120 BrPM
Neo/Ped 0 ~ 150 BrPM
Resolution 1 BrPM
Accuracy 0 ~ 6 BrPM: Unspecified
7 ~ 150 BrPM: ±2 BrPM or ±2% whichever is greater
Apean Alarm 10 ~ 40 s

2.9 NIBP

Method Oscillometric
Mode MANUAL, AUTO, CONTINUOUS
Measuring Interval in AUTO Mode
1, 2, 3, 4, 5, 10, 15, 30, 60, 90, 120, 180, 240,480Min
Measuring Period in CONTINUOUS Mode 5 Min
Measuring range
Adult Mode
SYS 40 ~ 270 mmHg
DIA 10 ~ 210 mmHg
MEAN 20 ~ 230 mmHg
Pediatric Mode
SYS 40 ~ 200 mmHg
DIA 10 ~ 150 mmHg
MEAN 20 ~ 165 mmHg
Neonatal Mode
SYS 40 ~ 135 mmHg
DIA 10 ~ 100 mmHg
MEAN 20 ~ 110 mmHg

B-4

1°C Accuracy ± 0. Product Specification Resolution Pressure 1mmHg Static pressure accuracy ± 3mmHg Accuracy Pressure Maximum Mean error ±5mmHg Maximum Standard deviation 8mmHg Overpressure Protection Adult Mode 297±3 mmHg Pediatric Mode 240±3 mmHg Neonatal Mode 147±3 mmHg 2.1 °C Actualization interval about 1s B-5 .11 TEMPERATURE Channel 1 Measuring and Alarm Range 0 ~ 50 °C Resolution 0.10 SpO2 Measuring Range 0 ~ 100 % Alarm Range 0 ~ 100 % Resolution 1% Accuracy 70% ~ 100%: ±2 % 0% ~ 69%: Unspecified Actualization interval about 1s Alarm Delay 10s Pulse Rate Measuring Range 20 ~ 254bpm Resolution 1bpm Accuracy ± 3bpm Alarm Delay 10s 2.

Product Specification FOR YOUR NOTES B-6 .

Appendix C EMC The monitor meets the requirements of EN 60601-1-2:2001 Note The use of unapproved accessories may diminish the monitor performance. Note Portable and mobile RF communications equipment can affect the monitor. Note The monitor should not be used adjacent to or stacked with other equipment. TABLE 1 Guidance and manufacturer’s declaration — electromagnetic emmissions The monitor is intended for use in the electromagnetic environment specified below.3. RF emissions Class A CISPR 11 The MONITOR is suitable for use in all Harmonic establishments other than domestic and those Class A directly connected to the public low-voltage power Emissions IEC Voltage supply network that supplies buildings used for Fluctuations/ domestic purposes Flicker Compliance Emissions IEC 61000-3-3 C-1 . the monitor should be observed to verify normal operation in the configuration in which it will be used. Note The monitor needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided below. See tables 1. Therefore. its RF emissions are very low Group1 CISPR 11 and are not likely to cause any interference in nearby electronic equipment. If adjacent or tacked use is necessary. and 4 below. The customer or the user of the monitor should assure that it is used in such an environment.2. Emissions test Compliance Electromagnetic environment — guidance The MONITOR uses RF energy only for its internal RF emissions function.

EMC TABLE 2 Guidance and manufacturer’s declaration — electromagnetic immunity The monitor is intended for use in the electromagnetic environment specified below. C-2 . NOTE — UT is the a. ±1 kV differential ±1 kV different Mains power quality should be Surge mode ±2 kV mode ±2 kV that of a typical commercial or IEC 61000-4-5 common mode common mode hospital environment. Electrical fast ±2 kV for power ±2 kV for power Transient/burst supply lines ±1 supply lines ±1 kV Mains power quality should be IEC 61000-4-4 kV for for input/output that of a typical commercial or input/output lines lines (>3m). Short (60% dip in UT ) (60% dip in UT ) power mains interruptions. (>3m). The customer or the user of the monitor should assure that it is used in such an environment.c. mains voltage prior to application of the test level. the relative humidity should be at least 30%. IEC 61000-4-11 for 25 cycle for 25 cycle <5% UT <5% UT (>95% dip in UT ) (>95% dip in UT ) for 5 sec for 5 sec Power frequency magnetic Power frequency fields should be at levels (50/60 HZ) 3 A/m 3 A/m characteristic of a typical magnetic field IEC location in a typical commercial 61000-4-8 of hospital environment. If IEC 61000-4-2 floors are covered with synthetic material. If the user of our product requires 40% UT 40% UT continued operation during Voltage dips. hospital environment. <5% UT <5% UT Mains power quality should be (>95% dip in UT ) (>95% dip in UT ) that of a typical commercial or for 0.5 cycle for 0.5 cycle hospital environment. Discharge (ESD) ±8 kV air ±8 kV air concrete or ceramic tile. IEC 60601 Electromagnetic Immunity test Compliance level Test level environment — guidance Electrostatic ±6 kV contact ±6 kV contact Floors should be wood. it is interruptions and for 5 cycle for 5 cycle recommended that our product voltage variation be powered from an on power supply 70% UT 70% UT uninterruptible power supply or input lines (30% dip in UT ) (30% dip in UT ) a battery.

an electromagnetic site survey should be considered. such as reorienting or relocating the monitor. IEC 60601 Compliance Electromagnetic environment — Immunity test Test level level guidance Conducted RF 3 Vrms 3 Vrms Portable and mobile RF communications IEC 61000-4-6 150kHz to equipment should be used no closer to any 80MHz part of the monitor. a Field strengths from fixed transmitters. than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. such as base stations for radio (cellular/cordless) telephones and land mobile radios. the monitor should be observed to verify normal operation. Recommended separation distance d = 1. If the measured field strength in the location in which the monitor is used exceeds the applicable RF compliance level above.5GHz Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer Radiated RF 3 V/m 80MHz and d is the recommended separation 3 V/m IEC 61000-4-3 to 2. field strengths should be less than 3V/m. b Over the frequency range 150kHz to 80 MHz. Field strengths from fixed RF transmitters. including cables. additional measures may be necessary. the higher frequency range applies. b Interference may occur in the vicinity of equipment marked with the following symbol: NOTE — At 80 MHz and 800 MHz.3 x P 800MHz to 2.5 GHz distance in meters (m). Electromagnetic propagation is affected by absorption and reflection from structures. AM and FM radio broadcast.2 x P d = 1. objects and people. If abnormal performance is observed. NOTE — These guidelines may not apply in all situations. a should be less than the compliance level in each frequency range.2 x P 80MHz to 800MHz d = 2. C-3 . and TV broadcast cannot be predicted theoretically with accuracy. The customer or the user of the monitor should assure that it is used in such an environment. EMC TABLE 3 Guidance and manufacturer’s declaration — electromagnetic immunity The monitor is intended for use in the electromagnetic environment specified below. To assess the electromagnetic environment due to fixed RF transmitters. as determined by an electromagnetic site survey. amateur radio.

EMC

TABLE 4
Recommended separation distances between portable and mobile RF
communications equipment and the monitor
The monitor is intended for user in an electromagnetic environment in which radiated RF
disturbance are controlled. The customer or the user of the monitor can help prevent
electromagnetic interference by maintain a minimum distance between portable and mobile
RF communication equipment (transmitters) and the monitor as recommended below,
according to the maximum output power of the communication equipment.
Separation distance according to frequency of transmitter
Rated maximum output m (meters)
power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5
W (watts) d = 1.2 x P d = 1.2 x P GHz
d = 2.3 x P
0.01 0.12 0.12 0.23
0.1 0.37 0.37 0.74
1 1.17 1.17 2.34
10 3.69 3.69 7.38
100 11.67 11.67 23.34
For transmitters rated at a maximum output power not listed above, the recommended
separation distanced d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer.
NOTE — At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE — These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

C-4

Appendix D System Alarm Prompt

PROMPT CAUSE MEASURE
XX value exceeds the
"XX TOO HIGH"
higher alarm limit. Check if the alarm limits are
appropriate and the current
XX value is below the situation of the patient.
"XX TOO LOW"
lower alarm limit.
XX represents the value of parameter such as HR, ST, RR, SpO2, NIBP, etc in the system.
The ECG signal of the Check if the electrodes and lead
patient is too small so that wires are connected correctly
"ECG WEAK SIGNAL"
the system can not perform and the current situation of the
ECG analysis. patient.
The pulse signal of the
Check the connection of the
patient is too small so that
“NO PULSE” sensor and the current situation
the system can not perform
of the patient.
pulse analysis.
The respiration signal of
Check the connection of the
the patient is too small so
"RESP APNEA" linking wire and the current
that the system cannot
situation of the patient.
perform RESP analysis.
Check the current situation of the
Patient suffers from Arr. Of
"ASYSTOLE" patient. Check the connection of
ASYSTOLE.
the electrodes and lead wires.
Check the current situation of the
Patient suffers from Arr. of
"VFIB/VTAC" patient. Check the connection of
VFIB/VTAC.
the electrodes and lead wires.
Check the current situation of the
Patient suffers from Arr. Of
"BIGEMINY" patient. Check the connection of
BIGEMINY.
the electrodes and lead wires.
Check the current situation of the
Patient suffers from Arr. of
"TRIGEMINY" patient. Check the connection of
TRIGEMINY.
the electrodes and lead wires.
Check the current situation of the
Patient suffers from Arr. of
"R ON T" patient. Check the connection of
R ON T.
the electrodes and lead wires.
Check the current situation of the
Patient suffers from Arr. of
"PVC" patient. Check the connection of
PVC.
the electrodes and lead wires.
Check the current situation of the
Patient suffers from Arr. of
"COUPLET" patient. Check the connection of
COUPLET.
the electrodes and lead wires.
Check the current situation of the
Patient suffers from
"TACHY" patient. Check the connection of
TACHY.
the electrodes and lead wires.
Check the current situation of the
Patient suffers from
" BRADY" patient. Check the connection of
BRADY.
the electrodes and lead wires.
Check the current situation of the
Patient suffers from Arr. of
"VT>2" patient. Check the connection of
VT>2.
the electrodes and lead wires.
“MISSED BEATS” Patient suffers from Arr. of Check the current situation of the

D-1

System Alarm Prompt

MISSED BEATS. patient. Check the connection of
the electrodes and lead wires.
Check the connection of the
pacemaker.
The pacemaker is not Check the connection of
"PNP"
paced. electrodes and lead wires.
Check the current situation of the
patient.
Check the connection of the
pacemaker.
No pacemaker signal is Check the connection of
"PNC"
captured. electrodes and lead wires.
Check the current situation of the
patient.

ECG lead is not connected Check the connection of ECG
"ECG LEAD OFF"
correctly. lead wire.
The LL lead wire of ECG is Check the connection of LL lead
"ECG LL LEAD OFF";
not connected correctly. wire.
The LA lead wire of ECG is Check the connection of LA lead
"ECG LA LEAD OFF";
not connected correctly. wire.
The RA lead wire of ECG is Check the connection of RA lead
"ECG RA LEAD OFF";
not connected correctly. wire.

The F lead wire of ECG is Check the connection of F lead
"ECG F LEAD OFF";
not connected correctly. wire.
The L lead wire of ECG is Check the connection of L lead
"ECG L LEAD OFF";
not connected correctly. wire.
The R lead wire of ECG is Check the connection of R lead
"ECG R LEAD OFF";
not connected correctly. wire.

SPO2 sensor is not Check the connection of SpO2
"SPO2 SENSOR OFF"
connected correctly. sensor.
SPO2 sensor is not Check the connection of SpO2
"SEARCH PULSE" connected correctly or the sensor. Check the current
patient arm moves. situation of the patient.
TEMP sensor is not Check the connection of TEMP
"TEMP SENSOR OFF"
connected correctly. sensor.

Check the connection of ECG
Rather large interference
lead wire. Check the current
"ECG NOISE" signals appear in the ECG
situation of the patient. Check if
signals.
the patient moves a lot.
XX has error X during
"XX INIT ERR X"
initialization.
Re-start up the monitor or
XX cannot communicate
"XX COMM STOP" re-plug in/out the module. If the
with the host.
error still exists, contact the
XX cannot communicate customer service department.
"XX COMM ERR"
normally with the host.
XX represents all the parameter modules in the system such as ECG, NIBP, SpO2, , etc.
The alarm limit of XX
Contact the customer service
"XX ALM LMT ERR" parameter is modified by
department for repair.
chance.
The measured value of XX
parameter has exceeded Contact the customer service
"XX RANGE EXCEEDED"
the measuring range of the department for repair.
system.

D-2

The system has no cell Install or replace the "REAL CLOCK NOT EXIST" battery or the battery has rechargeable battery. NIBP. the system gives the start-up and prior to "REAL CLOCK NEEDSET" this prompt reminding the monitoring the patient. D-3 . If the failure still with the recorder module. exists. run out of the capacity. contact the customer service department for repair. System Alarm Prompt XX represents the parameter name in the system such as HR. contact the customer service department for repair. If the key is not pressed AVAILABLE". contact the "SYSTEM FAILURE5" error. department for repair. "SYSTEM WD FAILURE" "SYSTEM SOFTWARE ERR" "SYSTEM CMOS FULL" "SYSTEM CMOS ERR" "SYSTEM EPGA FAILURE" "SYSTEM FAILURE2" "SYSTEM FAILURE3" Re-start up the system. "KEYBOARD ERR2". RR. customer service department. "RECORDER OUT OF Place the paper into the No paper is in the recorder. department for repair. After the recorder becomes cool. use the recorder for output The continuous recording "RECORDER HEAD HOT" again. contact the customer service department for repair. Contact the customer service "KEYBOARD ERR1". PAPER" recorder. which cannot be used. abnormally. If the "SYSTEM FAILURE4" The system has serious failure still exists. It is When the system displays better to set up the time just after 2000-1-1. "SYSTEM FAILURE6" "SYSTEM FAILURE7" "SYSTEM FAILURE8" "SYSTEM FAILURE9" "SYSTEM FAILURE10" "SYSTEM FAILURE11" "SYSTEM FAILURE12" Check the keys to see whether it is pressed manually or by other "KEYBOARD NOT The keys on the keyboard object. better re-start up the monitor to avoid storing error time. the "RECORDER SELFTEST menu to re-connect the host and system fails connecting ERR" the recorder. "KEBOARD ERROR". time may be too long. the user had system time is not right. Execute ‘Clear Record Task’ function in the recorder setup During the selftest. ST. The keyboard has failure. Re-set up the system time. SpO2. "RECORDER VLT HIGH" The recorder module has Contact the customer service "RECORDER VLT LOW" voltage failure. "KEYBOARD COMM ERR". cannot be used. If the failure still exists. After user that the current modifying the time. etc. POSITION" paper is not pressed down. Press down the recorder handle "REC HEAD IN WRONG The handle for pressing the for pressing the paper.

connect again. execute the function of clearing record task. contact the customer service department for repair. If "RANGE EXCEEDED" system cannot perform the failure still exists. Measure again. repair. Check if the setup of patient type Problem happens when is correct. If the failure still exists. "RECORDER COMM ERR" execute the function of clearing record task. the correction position." recorder is not placed in position. If the failure still "NIBP COMM ERR" part has problem. "NIBP ILLEGALLY RESET" again. repair. contact the measurement. if the failure still D-4 . try again. The part or replace with a new cuff. Check the airway of NIBP to see if there are clogs. Problem happens when Check the connection of each measuring the curve. contact the measurement. If the failure still "RECORDER S. analysis or customer service department for calculation. COMM ERR" exists. connected correctly. part and the patient situation. analysis or customer service department for calculation. contact the customer "NIBP SELFTEST ERR" service department for repair. If the failure still NIBP initialization error exists. Check the connection of each "EXCESSIVE MOTION" The patient arm moves. contact the there are leaks in the customer service department for airway. The function can Cannot communicate with "REC NOT AVAILABLE" make the host and the recorder the recorder. In the recorder setup menu. connect again. contact the customer service department for repair. Check the connection of each The NIBP cuff is not part or replace with a new cuff. If the failure still exists. If connected correctly or "AIR LEAK" the failure still exists. Check the connection measuring the curve. repair. if the failure still exists. Then measure During NIBP measurement. measurement.P. The of each part or replace with a "WEAK SIGNAL" system cannot perform new cuff. illegal reset occurs. Execute the reset program in the The NIBP communication NIBP menu. "NIBP INIT ERR" Execute the reset program in the NIBP menu. contact the customer service department for repair. analysis or contact the customer service calculation. In the recorder setup menu. The part or replace with a new cuff. The NIBP cuff is not "LOOSE CUFF" Re-connect the NIBP cuff. If "AIR PRESSURE ERROR" system cannot perform the failure still exists. The function can The communication of the make the host and the recorder recorder is abnormal. exists. The paper roll of the Place the paper roll in the correct "RECORDER PAPER W. System Alarm Prompt The paper in the recorder Place the recorder correctly and "RECORDER PAPER JAM" is jammed. department for repair Problem happens when Check the connection of each measuring the curve. contact the customer service department for repair.

service department for repair. exists. The part and the patient situation. Check if the patient type is set up correctly. contact the customer calculation. If "PNEUMATIC LEAK" NIBP airway has leaks. contact the customer calculation. contact the customer calculation. Problem happens when Check the connection of each measuring the curve. The part and the patient situation. analysis or exists. "SIGNAL SATURATED" system cannot perform Measure again. The part and the patient situation. service department for repair. Check the Perhaps the used cuff does connection of each part or "CUFF TYPE ERR" not fit the setup patient replace with a new cuff. analysis or exists. the failure still exists. analysis or exists. Problem happens when Check the connection of each measuring the curve. Problem happens when Check the connection of each measuring the curve. D-5 . Check the connection of each part or replace with a new cuff. The part and the patient situation. "NIBP TIME OUT" system cannot perform Measure again. if the failure still measurement. if the failure still airway. System Alarm Prompt exists. failure still exists. Problem happens when Check the connection of each measuring the curve. Check for the smoothness in the airway and patient situation. "MEASURE FAIL" system cannot perform Measure again. if the failure still measurement. analysis or exists. service department for repair. contact the customer service department for repair. contact the customer service department for repair. contact the customer service department for repair. if the failure still measurement. If the type. Perhaps folds exist in the "OVER PRESSURE" Measure again. if the failure still measurement. contact the customer service department for repair. service department for repair. contact the customer calculation. "NIBP SYSTEM FAILURE" system cannot perform Measure again.

System Alarm Prompt FOR YOUR NOTES D-6 .

P/N: M1K1-20-22302 .