Rev. 1.

0 – 07/11

Heyer Medical AG

Central Monitoring System

User Manual
INNOVATION AS A SERVICE TO THE PATIENT

Details of the Manufacturer

Apparatus: Central Monitoring System

Manufacturer: HEYER Medical AG

Carl-Heyer-Straße 1-3
D-56130 Bad Ems
Germany

Tel.: +49 (0) 2603 / 791-3

Fax: +49 (0) 2603 / 70424

E-Mail: info@heyermedical.de
Internet: http://www.heyermedical.de

Subject to alterations, issued July 2011

CE pending
General warnings .............................................................................................................
1. The Basics
1.1. About Central Station ....................................................................................................1-1
1.1.1. Intended Use .......................................................................................................1-1
1.1.2. Contraindications .................................................................................................1-1
1.1.3. Functions .............................................................................................................1-1
1.1.4. Components ........................................................................................................1-2
1.1.5. Networking Mode .................................................................................................1-3
1.2. Main Screen..................................................................................................................1-4
1.3. Other Screens...............................................................................................................1-5
1.3.1. Auxiliary Screen in Single-Screen Mode..............................................................1-5
1.4. Controls.........................................................................................................................1-6
1.4.1. Mouse ..................................................................................................................1-6
1.4.2. Text Boxes ...........................................................................................................1-6
1.4.3. Command Buttons ...............................................................................................1-6
1.4.4. Selection Buttons ................................................................................................1-7

2. Installation
2.1. Unpacking and Inspection.............................................................................................2-1
2.2. Installation.....................................................................................................................2-1
2.2.1. Environmental Requirements...............................................................................2-2
2.2.2. Power Requirements ...........................................................................................2-3
2.3. Starting the system .......................................................................................................2-3
2.4. Shutting down the System ............................................................................................2-4

3. Display screen
3.1. Overview .......................................................................................................................3-1
3.2. Patient Window .............................................................................................................3-1
3.2.1. Spot Patient Window............................................................................................3-2
3.2.2. Patient window in monitoring status.....................................................................3-2
3.2.3. Patient Information Area ......................................................................................3-3
3.2.4. Waveforms Area ..................................................................................................3-3
3.2.5. Parameter Area....................................................................................................3-3
3.2.6. Alarm Area ...........................................................................................................3-3
 3.3. Patient information ........................................................................................................3-3
3.3.1. Modifying Patient Information ..............................................................................3-3
3.3.2. Discharging a patient ...........................................................................................3-4
3.4. Taskbar .........................................................................................................................3-5
3.4.1. Silence .................................................................................................................3-5
3.4.2. Home ...................................................................................................................3-5
3.4.3. Setting..................................................................................................................3-5
3.4.3.1. View tab ....................................................................................................3-6
3.4.3.2. Recorder tab .............................................................................................3-9
3.4.3.3. Setup tab...................................................................................................3-9
3.4.3.4. Admin tab ................................................................................................3-10
3.4.4. History................................................................................................................3-10
3.4.4.1. Recorder list tab ......................................................................................3-10
3.4.4.2. Alarm History...........................................................................................3-12

4. Bed View
4.1. Overview .......................................................................................................................4-1
4.2. Bed view screen............................................................................................................4-2
4.3. Freeze /Unfreeze waveforms ........................................................................................4-3

5. Alarm Control
5.1. Alarm Structure .............................................................................................................5-1
5.1.1. Audio alarms ........................................................................................................5-1
5.1.2. Silence button ......................................................................................................5-2
5.1.3. Visual alarms .......................................................................................................5-2
5.1.4. Parameter flashes................................................................................................5-3

6. Information Review
6.1. Trend Review ................................................................................................................6-1
6.1.1. Overview..............................................................................................................6-1
6.1.2. Trend chart...........................................................................................................6-2
6.1.3. Trend table...........................................................................................................6-4
6.2. NIBP Review.................................................................................................................6-6
6.2.1. Overview..............................................................................................................6-6
6.2.2. Operation .............................................................................................................6-6
 6.3. Disclosure Review ........................................................................................................6-8
6.3.1. Overview..............................................................................................................6-8
6.3.2. Operation .............................................................................................................6-9
6.4. Review ........................................................................................................................6-10
6.4.1. Overview............................................................................................................6-10
6.4.2. Operation ........................................................................................................... 6-11

7. Bed Setup
7.1. Overview .......................................................................................................................7-1

8. Recorder
8.1. Overview .......................................................................................................................8-1
8.1.1. Recorder tab ........................................................................................................8-2
8.2. Recording type..............................................................................................................8-3
8.3. Recorder operations and status messages...................................................................8-3
8.4. Recorder Paper.............................................................................................................8-5
8.5. Recorder Status Messages ...........................................................................................8-7
8.6. Recorder cleaning.........................................................................................................8-7

9. Maintenance
9.1. General Inspection ........................................................................................................9-1
9.2. General Cleaning ..........................................................................................................9-1

10.Troubleshooting ..................................................................................................10-1
11.Technical Specifications ................................................................................ 11-1
12.Accessories ............................................................................................................12-1
13.Alarms and messages ....................................................................................13-1
General warnings
The vital sign Central monitor is intended for use only as an adjunct in patient assessment. It
must be use in conjunction with clinical signs and symptoms.

• Before using the Central system, please read all parts of this user manual. Heyer is
responsible for safety, reliability and performance of this product only if the product be
used according to this user manual.
• All installation operations, expansions, changes, modifications, repairs, transport and
disassembly of this product should be conducted by Heyer trained and authorized
personnel;
• All cleaning operations should be conducted by trained personnel.
• Central software is designed so that the possibility of software error is minimized.
• Observe transport and maintenance notice;
• Before monitoring, check all central components in terms of mechanical damage due to
transport, installation, storage and use;
• Contact customer service of the manufacturer in case of any problem;
• Before monitoring, make sure that the monitor, bedside, NAIS (interface between bedside
and Central), recorder and other equipment related to the Central function properly and
switched on;
• During monitoring, system Time should be set according to the local area Time;
• Check system Time regularly;
• Central system only supports bedsides that are manufactured by Heyer Company;
• Trained personnel should service central System every two years.
1. The Basics
1.1. About Central Station
1.1.1. Intended Use
The Heyer Central Monitoring is intended to conduct centralized monitoring of vital
signs information from multiple monitors in hospital or medical institutions. It is not
intended for home use.
• This device is intended for use by qualified clinical physicians or welltrained
nurses in the specified places.
• Waveforms, parameters and alarms on the screen of the Central Station are
a reference for physicians and cannot be used directly for diagnosis
purposes.
• If any value displayed on the screen of the Central Station is abnormal or
questionable, first determine the patient's vital signs by alternative means
and then verify that the Central Station is working correctly.
• The preferred distance from your eyes to the screen is 1 m.

1.1.2. Contraindications
None.

1.1.3. Functions
The Heyer Central Station comprises powerful system software and high
performance computer components and constructs a monitoring network by
connecting monitors. By collecting, processing, analyzing and displaying
information of monitors, the C.S. can achieve centralized monitoring over multiple
patients that greatly promotes the efficiency and quality of the monitoring.

Some of Heyer Central Station capabilities:

Displays up to 16 bedsides information

Displays information of one patient emphatically in Bed View
(auxiliary screen)

Displays up to 72 hours Trend data for each connected patient.

Displays 720 alarms for each connected patient.

1-1

Displays up to 1000 NIBP measurement for each connected patient.

Displays up to 48 hours of ECG waveforms for each connected patient.

Provides the patient information management.

Provides alarm events and actions taken.

Provides recording events and action taken.

Provides audio and visual alarms.

Provides the function of record.

Supports two display screens with touch screen capability.

Provides 1280*1024 high resolution display.

Provides color waveform according to its parameter color.

Facilitates the setup of Central System.

Supports wired network.

1.1.4. Components
The Heyer C.S. consists of :
1. Display screen
2. Case
3. Mouse
4. Recorder
5. UPS
6. NAIS 1

4 3

5
6

Figure 1-1 Heyer Central Components

1-2
1.1.5. Networking Mode
A typical networking diagram of the C.S. is as follows:

Heyer Central Monitoring

Figure 1-2 network mode of Heyer Central

Wired network
The Heyer Central System exchanges and monitors through network cables and
provides centralized monitoring.

1-3
1.2. Main Screen
The C.S. supports single and dual-screen modes that displays 16 patient windows by
default.
The figure below shows the main screen.

1 2
Figure 1-3 Main Screen

Current date and time and the SILENCE, HOME, SETTING and HISTORY buttons are displayed at
the bottom of the taskbar.

1-4
1.3. Other Screens
1.3.1. Auxiliary Screen in Single-Screen Mode
In Single-screen mode, you can enter an auxiliary screen by touching or clicking
any menu buttons.

Figure 1-4 Auxiliary Screen

1-5
1.4. Controls
1.4.1. Mouse
The Central Monitoring has a touch screen display(s). Using of mouse is optional.
Note: The right button of the mouse is disabled. Therefore, the term “click” in
this manual refers to left-click.

1.4.2. Text Boxes

The textbox provides text entry fields, which can be use to edit and display text.

Figure 1-5 Text box

1.4.3. Command Buttons

Using these buttons, you can execute designated operations.

Figure 1-6 command buttons

Note: When a command button appears dimmed, it indicates that this
command button is currently disabled.

Figure 1-7 dimmed buttons

1-6
1.4.4. Selection Buttons
• Radio buttons can be used to select one of a group of mutually exclusive
options:

Indicates selected

Indicates unselected

Figure 1-8 Radio button

• Checkboxes enable the users to select multiple options.

Selected

Unselected

Figure 1-9 Check box

• Combo boxes enable the users to select items. The left half of combo
boxes displays the previous item and the right half displays the next item.

Previous next
Figure 1-10 Combo Box

1-7
2. Installation
2.1. Unpacking and Inspection
Be careful to remove the host, displays and other components from their packaging and
check that every item on the packing list has been received without any mechanical
damage.

Note: Please save the packaging materials for later transport or storage use.

WARNING
- Be sure to keep the packaging materials from children's reach.
- Disposal of the packaging materials shall comply with your local requirements.
- Components of the C.S., may be contaminated by microorganism during transport,
storage and use.
- Observance of transport and maintenance notice is necessary.
- For removing them from their packaging, the packaging should be inspect for
damage. In the case of any damage, contact the manufacturer immediately.

2.2. Installation

WARNING
- The Central Station should be installed by manufacturer designated personnel. The
copyright of the software is solely owned by Heyer Medical AG. No organization or
individual shall resort to juggling, copying or exchanging it or to any other
infringement on it in any form or by any means without due permission.
- Obtain Central software package only from the manufacturer.
- Manufacturer designated personnel will install the Central for you. Contact the
manufacturer if you need to change the central placement.

WARNING
- The manufacturer will not take any responsibility against damages to people or
assets due to uncertified transport
2-1
 WARNING
- Never place the Central Station within a patient environment;
- Place the Heyer Central Station in an environment that the system can be easily
viewed, operated and maintained;
- Do not expose the Central to a heat source such as sun ray.
- Place C.S. in an appropriate environment and wire cables so that the possibility of
contact with power and network cables is minimize.

Note:
- Make sure that all cables are connected properly.
- Only use standard cables that are approved by the manufacturer.
- In order to reduce human mistakes, affix a label to each cable.

2.2.1. Environmental Requirements

Each component of the C.S. must work under the specified environment. The
environment where the C.S. is installed should be reasonably free from noises,
vibration, dust, corrosive, flammable and explosive substances. If the C.S. is
installed in the cabinet, sufficient space in front and behind should be left for
convenient operation, maintenance and repair. Moreover, to maintain good
ventilation, the C.S. should be at least 5 cm (2 inches) away from around the
cabinet.

WARNING
- do not use central systems near strong noisy fields
- do not place devices that are sensitive to noise near the central.

WARNING
- using central in the presence of flammable gases provides explosion risk.

2-2
 2.2.2. Power Requirements
Each component of the C.S. must be power by the specified power source.
To protect the hospital personnel from electric shock, the host, displays and
recorder must have their casings properly grounded. The host of the C.S. is
providing with a 3-wire power cable, which must be plug into a properly
grounded 3-wire receptacle. If a 3-wire, grounded receptacle is not available,
consult the hospital electrician.

WARNING
- Make sure that the power cable is plugged into the Central properly.
- Make sure that the operating environment and power source of the C.S.
meet the specific requirements; otherwise ,unexpected consequences, e.g.
damage to the equipment , may result.
- Appropriate power supply must be select according to the setup of the
system power voltage; otherwise, serious damage may be caused to the
system.
- Never use a 3-wire to 2-wire adapter with any unit of Central Station.

2.3. Starting the system

Follow this procedure to start your system:
1. Perform safety checks before starting your system (refer to 9.1).
2. Turn on the UPS.
3. Connect the NAIS to the UPS and switch it on.
4. Connect the power cable to the central case.
5. Connect the power cable of Central monitor.
6. Secure VGA cables to the case and fasten its screws. (For second display
screen, Dual adapter is necessary)
7. Connect the touch screen cable to the case. (One cable for each display)
8. Connect the mouse cable to the case. (Optional)
9. Connect the thermal recorder cables and turn it on. (Optional)
10. Press the power switches on the host and display screens to start the
operating system.

2-3
Note: Perform steps 6-9 according to the labels on the case.
There are two cables for connection between bedside and central. One cable for
connection between NAIS and bedside and another for connection between NAIS and
Central. Make sure the NETWORK message is display on the bedside continuously that
indicates the connection is made. After network connection, the bedside Time is set
according to the Central Time.

After network connection and display of information, check bedside on Central and
bedside to be the same.
Note:
- Before using central, make sure the touch screens are calibrated.
- Make sure that the mouse hardware, touch screens and their connections function
properly.
- After turning system on, Central logo appears and alarm level 1 is played to ensure
system sound function. (See chapter 5)
If the Central turns off because of sudden power failure, there is a possibility of
crash in Central database. Next time you turn on the Central, It will take some
minutes that Central repairs crashed database. During this time, system will not
work and the following message will appear:
READING DATABASE PLEASE WAIT … or
REPAIRING DATABASE PLEASE WAIT …

Figure 2-1 Repairing message

WARNING
 To prevent unexpected errors or consequences from a sudden power failure, it is
essentially required that your C.S. be equipped with an ups
 In case of absence of AC power and using an ups, turn off the Central manually
before the ups turns off.

2-3
2.4. Shutting down the System
There are two ways to shut down the system:
1. Press the power switch on the case.
2. Press Shut Down button through SETTING->Admin and enter the password.

2-4
3. Display Screen
3.1. Overview
The Heyer Central Station displays up to 16 patient windows at one time. The number
of patient windows to be displayed depends on the view setting (see 3-4-3) . As
shown in the figure below, the C.S. screen is configured to show up to eight rows and
two columns of patient windows.

Figure 3-1 Display screen

Note:
If a module, that measures a vital sign, does not exist, is disconnected or off,
information will be displayed as follows:
- Parameter value disappears.
- Straight-line signal is displayed.
- Related alarm is displayed, if any.

3.2. Patient Window

Each window on Central represents one bedside that monitors patient vital signs.

3-1
3.2.1. Spot Patient Window
In the process of monitoring, the patient window may stay in “offline” status that
indicates either the patient monitor is switched off or disconnected from the
Central Station.
In case of network disconnection between central and bedside, the alarm level
1 will be played four times in addition to “offline” message. “Bed Disconnect” will
be displayed for 30 s. (see chapter 5)

When the network cable on the back case is unplugged, the message “Network
Cable is Unplugged” will appear in addition to visual alarm, “Bed Disconnect”.

Figure 3-3 Network Cable is Unplugged

3.2.2. Patient Window in Monitoring Status
In the monitoring status, a patient window displays real-time patient data
transmitted from the monitor. The following figure indicates the monitor is
communicating with Heyer Central Station.

1 4

2 3
Figure 3-4 Patient Window in monitoring status

3-2
 3.2.3. Patient Information Area
This area is to display bed number and patient name. It is probable that the
patient full name can not be displayed due to limited space. However, it will be
printed completely.

3.2.4. Waveforms Area

This area is to display waveforms transmitted from bedsides. By
touching/clicking on this area, waveforms will be frozen. By touching/ clicking
again, waveforms will be displayed normally.

3.2.5. Parameter Area

This area is to display parameter values transmitted from bedsides. By
touching/clicking on this area, the following menu will appear. If you touch/click
on "Return" button, the parameters will be displayed again.

Figure 3-5 Menu

3.2.6. Alarm Area

This area is to display alarms.

3.3. Patient information

The C.S. enables you to modify patient information and discharge a patient.
Note: After connection between C.S. and bedside, new patient information will
be saved and displayed automatically.

3.3.1. Modifying Patient Information

1. Open the “PatientInfo” form. To open the patient information form, you can
touch / click on the parameters area to show menu.
2. In this form, you can modify patient information, such as name, gender,
height, blood type, etc.
3. After Modification, touch/click on the “Save” button to save the information

3-3
 4. This sheet will be closed.

Figure 3-6 Patient info form before pressing keyboard button

Note:
To enter data in the text fields of this form, click the Keyboard button. PatientInfo
will become larger and the keyboard will be displayed. You can enter data by
clicking on the keyboard buttons.

3.3.2. Discharging a patient

Discharging a patient is to terminate monitoring a patient. To discharge a
patient:
1. Touch/click on the “PatientInfo” button .
2. Select “discharge” icon and touch/ click on “Save” button to close
the sheet
3. “offline” will be shown on the patient window if necessary.

WARNING
If the bedside is not completely disconnected from the NAIS, the received
values from bedside will still be saved.

3-4
 Figure 3-7 Discharge a patient

Figure 3-8 Keyboard

3.4. Taskbar
There are four buttons on the taskbar as show in figure 3-9.

Figure 3-9 Taskbar items

3.4.1. SILENCE
At the left side of the taskbar, there is ”SILENCE” button. Normally audio alarms
are on. By touching/clicking on this button, you can set the audio alarm on or
off.

3.4.2. HOME
This is used to display main screen. You can close the auxiliary screen
and return to the main screen by pressing this button.

3.4.3. Setting
User can set the display mode of patient windows, recorder, initial set up
and other settings by pressing this button.
3-5
3.4.3.1. View tab
Using this tab, you can specify the number of windows. By pressing “setting”
button, this sheet will be opened at the first tab. Select the display mode and
click on “save” button. Click on “exit” or “home” to apply setting.

Figure 3-10 View setting

3-6
 Figure 3-11, Monitoring 8 Beds + 8 Bed

Figure 3-12, Monitoring Bed 0 to 7 + Bed View

Figure 3-13, Monitoring Bed 8 to 15 + Bed View

Figure 3-14, Monitoring Bed 0 to 4 + BedView

3-6
 Figure 3-15, Monitoring 4 Beds + 4 Beds

Figure 3-16 , Monitoring Bed 0 to 6 + Bed View

Figure 3-17, Monitoring 6 Beds + 6 Beds

During changing mode, the message,” Loading... , Please wait!” is displayed.

Figure 3-18 Loading message

Note:
Do not enter setting menu until all connections are made and information is
displayed.

3-6
3.4.3.2. Recorder tab
For setting the items, which are related to recorder, touch /click the second tab.
For more details, please refer to recorder tab in section 8.1.1.

3.4.3.3. Setup tab

By touching /clicking on the third tab, you can enter this sheet. After
setting, press “save” button to apply setting. It will not close the sheet.
touch /click “EXIT” or “HOME” to close this sheet.

You can set:

• Date and time
• Language
• Screen size
• Alarm sound

Figure 3-19 Setup tab

WARNING
If you set Central Time during monitoring, bedside time will not be affected.

Alarm sound
System alarm sound can be set at 10 levels (1-10) that is set at 2 by default. by
changing sound level, the moderate alarm sound will be played to ensure user of
applied setup. (See chapter 5)

3-9
3.4.3.4. Admin tab
By touching /clicking on the forth tab, you can enter Admin sheet. Enter username
and touch/click “Enter password” button. 5 command buttons will appear as shown
in figure 3-19.

Note:
Admin capability is designated for trained and authorized personnel of the manufacturer.

Button functions:
• Back up button
Click/touch to back up Central database.
• Shut Down button
Click/touch to shut down the system.
• Empty database button
Click/touch to empty Central database
• Calibration button
Click/touch to calibrate screens.
• Stop Central button
Click/touch to stop Central program.

Figure 3-20 Admin Tab

3.4.4. HISTORY
By pressing this button, a sheet will appear which has two tabs:
• Recorder List
• Alarm History

3.4.4.1. Recorder List tab

Using this tab you can view recording information and change
recording priorities. 12 records are displayed on each sheet including
Row, Bed No., Type, Date&Time, priority and Status.

3-10
 • Type- indicates the type of recording, described in 8-2.
Manual, NIBP List, Trend, Disclosure, Automatic Alarm,
Periodic, Freeze, Manual Alarm;
• St, indicates recording request status including:
F: recording is finished or stopped
Q: recording in queue
R: recording in process
• Pr, indicates recording priority. If St of the request is F, the priority is -1.

Recorder List tab functions:

• First page/ Last page

• Page up/ page down
• Priority
• Delete
• Stop
• exit

Figure 3-21 Recorder List tab

First page/ Last page:
First page: the recent data of recording will be displayed.
Last page: the earliest data of recording will be displayed.

Page up/ page down:

Page up: pages which are before current page will be displayed if exist.
Page down: pages which are after current page will be displayed if exist.

Priority +/-: Select a record and press +/- to increase/decrease the priority.
Note:
- Only Q requests priority can be changed.
- R has more priority than Q.
3-10
Delete
1. Click/touch a record from Recorder List.
2. Click/touch “Delete” button.
Note: “R” requests can not be deleted.

Pause
By pressing “Pause” button, its color will change and all recording
requests will be stopped temporarily. Press this button again to return
to the first status and requests will be answered.

Exit
Touch/click this button to close Recorder List.

3.4.4.2. Alarm History

You can view and consider information of Alarms through this sheet. There are
10 records on each sheet including row, time, date of changes related to on/off
status of HR alarm, HR alarm limits of one bed and alarm silence.
Row, Date, Time, Alarm, Limit, Silence
Alarm history tab function

You can:
• Refresh
• Page up/down
• Search
• Exit

Figure 3-22 Alarm History tab

3-12
Refresh
All information of the bedside will be displayed.
Page up/down
Page up: Pages which are before current page will be displayed if exist.
Page down: Pages which are after current page will be displayed if exist
Search
Select the intended bedside, set the time for searching and press Search button.
Exit
Touch/click this button to close Alarm History.

3-12
1. Bed View
4.1. Overview
The Heyer Central Station allows you to view a single patient emphatically in the
second display through the “Bed View” screen.

first screen second screen

Figure 4-1 Bed View on the second screen

Touch/click “Bed View” button under Menu.

Note: In 8 Beds+8 Beds 6 Beds+6 Beds and 4 Beds+4 Beds view modes, Bed
view button is disabled.

4-1
 4.2. Bed view screen
1 4

Figure 4-2 bed view screen

2 3

1) Patient Information Area: This area is to display bed number and patient name.
2) Waveforms Area: This area is to display waveforms transmitted from the bedsides.
3) Parameter Area: This area is to display parameter values transmitted from the
bedsides.
4) Alarm Area: This area is to display visual alarms.

4-2
4.3. Freeze /Unfreeze waveforms
By touching/clicking on the waveform area, you can freeze all dynamic waveforms in the
waveforms area. In this status, the red message,” Frozen”, is displayed at the waveform area,
and by touching/clicking on this area again, "Frozen" situation and message are removed.

Figure 4-3 Frozen message

You can also freeze/unfreeze bed view waveforms by touching/clicking on the second
screen.
Note: freezing Bed view waveforms has no effect on bedside waveforms and vice versa.

4-3
5. Alarm Control
5.1. Alarm Structure
Alarms, triggered by an abnormal vital signs (physiological) or by technical problems of the
bedside and recorder (technical), are sent to the C.S. or it can be related to Central system
(software alarm). Central software alarms are intended to inform users of current status of central
system. Visual and audio alarms are designed according to the standard IEC 60601-1-8 and will
be mentioned in the following.
As mentioned, the alarms are classified into the following categories:
1. Physiological alarms
2. Technical alarms
3. Central software alarms
By severity, the alarms are classified into:
- level 1: High priority alarms
- level 2: Medium priority alarms
- level 3: Low priority alarms
5.1.1. Audio Alarms
The system will use different Alarm tones to indicate different alarm levels:
- High priority alarms: “DO-DO-DO—Do-Do----DO-DO-DO--Do-Do”, every 10 S.
- Medium priority alarms: “DO-DO-DO”, every 25 S.
- Low priority alarms: “DO”, every 50 S.
NOTE
- When multiple alarms of different priorities happen at the same time, the
system will select the alarms of highest priorities and give alarm tones
accordingly.
- Bedside alarms are stored in the central and they are not lost because of
sudden power failure, turning off the system or alarm silence.

5-1
5.1.2. SILENCE button
When pressing silence button, the alarm will be silent. If critical situation such as
“ECG ASYSTOLE”، “HR ALARM” or “RESP APNEA” happens, alarm will be active
automatically. You can also active alarm manually.

Figure 5-1 Alarm area

By pressing “SILENCE” button in normal situation, the color of button will change,
“AUDIO OFF” appears and alarm will be silent. Click again to return to normal
status.

Figure 5-2 Alarm mutation

If you press “SILENCE” button in critical situation, the color of button will change ,
button text will change to ALARM SILENCED and the alarm will be silent for 2 min
(120s).

When alarm is silent in critical situation, icon appears on the taskbar. By

activating the alarm, the button will return to its normal status and the icon will
disappear.

Figure5-3 alarm silence in critical status

5.1.3. Visual alarms
If an alarm condition occurs for a patient, its corresponding patient window will give
an alarm message, with different background colors indicating different alarm levels.

5-2
 Priority of alarm Background color Foreground
color
High (1) “red” “black”

Medium (2) “yellow” “black”

Low (3) “Turquoise” “black”

Visual physiological or technical alarms of bedside and software alarms of central

related to disconnection between central and bedside are displayed at the above the
patient window. Other software alarms of central and recorder technical alarms are
displayed on the taskbar.
Note: When multiple alarms happen in one window, if alarm level 1 happens, the
alarm message will remain until the problem is solved. If alarm level 2 or 3 exists,
they will be displayed circularly.

5.1.4. Parameter flashes

If any physiological parameter of the patient generates an alarm, this parameter will
flash in the parameter area. Alarm happens when the parameters violate alarm
limits and alarm is set to “ON”.
After setting up the Central, alarm limits does not change by central, but HR alarm
limits is determined by sent values via bedside or central user. Changing alarm
limits by central user is explained in chapter 7.

Note: Alarm is transmitted from bedside to Central with 5 S delay.

Note: Technical alarms of each parameter have higher priority than physiological
alarms.
Note: Visual alarms can be seen from 2 m and audio alarms can be heard from 10 m.
When alarm happens it is necessary to identify alarm and its cause.
1. check patient conditions
2. be familiar with alarms related to the modules. (See chapter 13)
3. be familiar with alarm cause
4. Press “SILENCE” button if necessary
5. After removing alarm causes, active the alarm.

5-3
1. Information Review
6.1. Trend Review
6.1.1. Overview
Touching/clicking on the “Trend ” button will enter the following sheet, through
which you can review up to 72 hours of trend information. Trend consists of Graph
and Table. Click/touch the corresponding tab to open the sheet.

Trend Graph area

Cursor

Trend Parameters area

Figure 6-1 Trend sheet

6-1
6.1.2. Trend chart function

Observe trend graph and parameters in domain of 10 minutes or 1
hour

View parameter values at a certain time

Refresh data

Search

record

Exit

Observe trend graph and parameters in the domain of 10 minutes or 1 hour

By touching/clicking on the trend graph area, you can review the parameters
according to the location of cursor.

6-2 Trend time domain

View parameter values at a certain time

Touch/click on the trend graph area to observe parameters values at the time
corresponding to the location of line (Cursor).
Note: When 72 hours of Trend records are saved and new Trend is received, the
earliest record will be deleted.

6-2
The following buttons will help you to search with more flexibility.
Displays the earliest saved trend data

Displays trend data, which were recorded 1 hour

before t1 and t2.

Displays trend data which were recorded 5

minutes before t1 and t2 .

Displays trend data which were recorded 5

minutes after t1 and t2 .

Displays trend data which were recorded 1

hour after t1 and t2.

1. Displays the most recent saved trend data

2. Refreshes trend data manually

Closes the trend sheet.

< moves the cursor 1s backward

> moves the cursor 1s forward

displays trend data for domain of 10 min

displays trend data for domain of 1 hour

records from Trend sheet

Refresh Data
If you want to view up-to-date trend data, you have to refresh them by
pressing following button:

6-2
Search
1. Touch/click on search button to stop refreshing.
2. Set the time for searching and touch/click on search button.
3. T2 is the represent of the specified time.

4. For refreshing trend data press button.

Note:
When Trend information is set for the domain of 1 hour, by pressing any scroll
button, all scroll and search buttons will be inactive for 5 seconds.
Trend recording:
1. Specify the domain.
2. Click/touch Search button to stop refreshing.
3. Choose your parameters from the combo box beside Rec. button.
Selectable parameters are: HR, SPO2, RR, IBP1, IBP2, T1, T2, EtCo2, FiCo2
4. Press Rec. button to start recording. Press again to stop recording.

During recording, besides parameter chart on Trend screen, patient information

including date and time of recording, bed No, patient name, type and name of
recording parameter, patient ID, gender, weight and height, domain, date of birth,
doctor and hospital name are recorded. During recording, “Recording Trend Bed #” is
displayed on the taskbar.

6-3 Trend recording

Note:
Recording starts from t1 and continues to t2.

6.1.3. Trend table

By pressing Trend Table tab, you can review Trend table that includes
following parameters. There are 28 records at each page of Trend table.
Date, Time, HR, SPO2, RR, Dual IBP (S/D/M), ETCO2, FICO2.

6-4
 Figure 6-4 Trend Table tab

In the “Trend ” sheet, you can:

First page/ Last page

Page Up/ Page Down

search

Exit
First page/ Last page:
First page: the recent data of Trend table will be displayed
Last page: the earliest data of Trend table will be displayed
Page up/ page down:
Page up: Pages which are before current page will be displayed if exist.
Page down: Pages which are after current page will be displayed if exist
Search
1. Touch/click “search” button to stop refreshing.
2. Set the searching time and touch/click “Search” button.
Exit
Touch/click this button to close Trend Table.

6-4
6.2. NIBP Review
6.2.1. Overview
Touching/clicking on the “NIBP List” button will enter the following sheet, through
which you can review up to 1000 NIBP measurements of a patient.
(13 records in each sheet)
NIBP List Displays row, date, time, SYS/DIA(MAP), error.

NIBP List

Buttons

Figure 6-5 NIBP List

6.2.2. Operation
In the “NIBP” sheet, you can:

First page/ Last page

Page Up/ Page Down

Delete

Delete all

Exit

Record

First Page / Last Page

First page: The recent data of NIBP list will be displayed.

6-6
Last page: The earliest data of NIBP list will be displayed.
Page Up/ Page Down
If you want to scroll through the NIBP List, touch/click on:
a) Page Up: To observe pages which are before current page if exist.
b) Page Down: To observe next pages which are after current page if exist.

Delete
1. Select an NIBP record from the NIBP list by touching/clicking on that
record.
2. Touch/click on the “Delete” button.
Del All
Press this button to delete all records.
Exit
By touching/clicking on “Exit” button you can close NIBP List page.
Note: When 1000 NIBP records are saved and new record is received, the
earliest record will be deleted upon the new record is saved.
Record
1. click/touch Search button to stop refreshing
2. Choose your intended page using buttons.
3. Press Record button to start recording. Press again to stop recording.
Recording time is upon the time you start recording.
During recording, besides current NIBP List, patient information including date
and time of recording, bed No, type of recording, patient ID, patient name,
date of birth, gender, weight and height, , hospital name, ward and doctor
name are recorded. During recording, “Recording NIBP List Bed#” is
displayed on the taskbar.

6-6 NIBP List recording

6-6
6.3. Disclosure Review
6.3.1. Overview
Touching/clicking on the “Disclosure” button will enter the following sheet,
through which you can review up to 48 hours of disclosure waveform.

Waveform Area

Parameter area

Time

Figure 6–7 Disclosure sheet

Waveform Area
This area is to display ECG waveforms for 30s.

Parameter Area
This area is to display these parameters:
HR, SPO2, RESP, IBP1SYS, IBP1MAP, IBP1DIA, IBP2SYS, IBP2MAP,
IBP2DIA, EtCo2, FiCo2, T1, T2.

6-8
6.3.2. Operation
In the “Disclosure” sheet, you can view parameter values at a certain time.

View parameter values at a certain time

This sheet is to display the disclosure data in domain of 30 seconds. Same as Trend
search, you can search in disclosure data by defining certain time. The following
buttons will help you to search with more flexibility.
Displays the earliest saved disclosure data

Displays disclosure data, which were recorded 5 min before t1

and t2. ( t1 and t2 are shown in figure 6-2)

Displays disclosure data which were recorded 30s seconds

before t1 and t2 .

Displays disclosure data which were recorded 30s seconds after

t1 and t2 .

Displays disclosure data which were recorded 5 min after t1 and

t2.

1. Displays the most recent saved disclosure data

2. Refreshes disclosure data manually

Closes the disclosure sheet.

Records from disclosure

Refresh Data
If you want to view up-to-date disclosure data, you have to refresh them by
pressing following button:
Note:
When 48 hours of disclosure records are saved and new disclosure is
received, the earliest record will be deleted upon the new record is saved.

6-9
 Disclosure recording
1. Touch/click on search button to stop refreshing.
2. Set the time to display Disclosure information.
3. Press Rec. button to start recording. Press again to stop recording.
During recording, besides recording ECG signal, patient information including
date and time of recording, bedside No, type of recording, patient ID, patient
name, date of birth, gender, weight and height, Trace 1, Trace 2 , recording
speed, ECG filter of bedside, hospital name, ward, doctor name, parameters
values are recorded.
Note:
Recording starts from t1 and continues to t2. (30 S recording of ECG waveform)
During recording, “Recording Disclosure Bed #” is displayed on the taskbar.

Figure 6–8 Disclosure recording

6.4. Alarm Review

6.4.1. Overview
Touching/clicking on the “Alarm List” button will enter the following sheet, through
which you can view up to 720 alarm of a patient. (10 records on each page). Alarm
List displays date, time, message and level of each alarm.

Alarm type
Aarm level

Alarm list

Buttons
6-10
Figure 6-9 Alarm List
6.4.2. Operation
In the “Alarm List” sheet, you can:

Select alarm type and alarm level

First Page / Last Page

Page Up / Page Down

View alarm by detail via disclosure sheet

Return to alarm list after observing detail in disclosure sheet

Exit

Record
Select alarm type and alarm level
Above the alarm list, there are two combo boxes to filter alarms: “Alarm Type”
and “Alarm Level”.
Options for alarm type are “All Types”, “ECG”, “SPO2”, “RESP”, “NIBP”,
“IBP”, “Co2”, “ARRHYTHMIA”, “ST”,
Options for alarm level include “ALL”, “ HIGH”, “ MED”, “ LOW”. By defaults,
“All Types” for alarm type and “ALL” for alarm level are selected.
Alarm level 1 has H indicator, Alarm level 2 has M indicator and Alarm level 3
has L indicator.
First page/ Last page:
First page: the recent alarms will be displayed.
Last page: the earliest alarms will be displayed.
Page up/ page down:
Page up: Pages which are before current alarm page will be displayed if exist.
Page down: Pages which are after current alarm page will be displayed if exist.

View alarm by detail via disclosure sheet

By double touching/clicking on each alarm you will view ECG waveforms and
corresponding parameters by indirect referring to disclosure sheet. You can view
parameters value with respect to cursor position and even record.

Return to alarm list

After viewing the detail of alarm, touch/click on “Return” button in the
disclosure window for returning to alarm list again.
6-11
Exit
By touching/clicking on “Exit” button you can close alarm list sheet.
Note: When 720 alarm records are saved and new record is received, the
earliest record will be deleted upon the new record is saved.

Alarm List recording:

1. Click/touch “Search” button.
2. Select ECG recording (Record button is inactive by default).
3. Press Record button to start recording. Press again to stop recording.

During recording, besides ECG waveform, patient information including date and time
of recording, bedside No, type of recording parameter, patient ID, patient name, date
of birth, gender, weight and height, Trace1 and Trace2, recording speed and ECG
filter of bedside, hospital name, ward, doctor name and parameters value are
recorded.
Note: ECG recording starts from 5 S before alarm occurrence for 30 S (recording
from current Disclosure sheet)
During recording, “Recording Manual Alarm Bed #” is displayed on the taskbar.

Figure 6-10 Alarm List recording

6-11
7. Bed Setup
7.1. Overview
To open the “Bed Setup” sheet, you can touch/click on the parameters area to show menu. Then
click on the “Bed Setup” button.
In the bed setup sheet, you can set:

- ECG Lead
- ECG Gain
- ECG Speed
- ON or OFF HR ALARM
- HR ALARM LOW
- HR ALARM HIGH
- Periodic Record
- Alarm Record
- Freeze Record

Figure 7-1 Bed setup

In addition, you can select the waveforms to display on the Central main screen. The
Central Station has 6 Signal for selecting:
− ECG
− SPO2
− IBP1
− IBP2
− CO2
− Resp

NOTE: In 16 beds + Bed View, up to 4 waveform is selectable and for other

graphical modes up to 5 waveforms is selectable.

7-1
 • If Co2 is selected, Resp. can not be selected, and vice versa
• ECG signal is selected by default and can not be changed.

ECG LEAD:
This option has 7 items for selection:
I: Computation for heart beat and get wave form of RA – LA.

II: Computation for heart beat and get wave form of RA –LL.
III: Computation for heart beat and get wave form of LA – LL.
aVR: Computation for heart beat and get wave form of RA – (LA + LL)/2.
aVL: Computation for heart beat and get wave form of LA – (RA – LL )/2.
aVF: Computation for heart beat and get wave form of LL – (RA – LA )/2.
V: Computation for heart beat and get wave form of C – (RA + LL + LA)/3.
NOTE: Leads V, aVF, aVL, aVR are only selectable when there are 5 leads.

ECG Gain:
Set ECG waveform height by selecting Gain value for each lead from X0.25, X0.5, X1,
X2, X4, AUTO leads. In AUTO mode, the best level will be selected automatically.

ECG Speed:
Available options are 12.5 mm/s, 25 mm/s and 50 mm/s.
Note: ECG speeds of Central and bedside do not have effect on each other.

HR Alarm:
By selecting “ON”, all signs of alarm condition such as flash parameters and sound of HR

alarm will be active. By selecting “OFF”, icon will be displayed in HR parameter area to
indicate the alarm is off. This icon will disappear if “on” be selected.

HR ALARM LOW
To set the low limit of HR.

7-1
HR ALARM HIGH
To set the high limit of HR.

Note: In order to change HR alarm limits, HR alarm must be “ON”. (Max: 250, min: 30)
Note: All alarm settings of the Central can be applied only from the Bed Setup sheet.
Periodic record: Recording is performed at intervals of 10s for ECG signal. Available
intervals from the combo box are: (OFF, 15Min, 30Min, 1H, 2H, 4H, 8H, 12H, 24H)
During recording, besides ECG waveform, patient information including date and time
of recording, bedside No, type of recording, patient ID, patient name, date of birth,
gender, weight and height, Trace1 and Trace2, recording speed and ECG filter of
bedside, hospital name, ward, doctor name and parameters value are recorded.
During recording, “Recording Periodic Bed # is displayed on the taskbar.

Figure 7-2 periodic record

Alarm record
By selecting Alarm Record for a patient, recording will be performed upon the alarm
happens. This recording happens when HR parameter value violates the limits or ECG
ASYSTOLE be activated. When ECG alarm happens ECG recording continues for 20 S.

During recording, besides ECG waveform, patient information including date and time of
recording, bedside No, type of recording, patient ID, patient name, date of birth, gender,
weight and height, Trace1 and Trace2, recording speed and ECG filter of bedside, hospital
name, ward, doctor name and parameters values are recorded. During recording,
“Recording Automatic Alarm Bed #” is displayed on the taskbar.

Figure 7-3 automatic record

7-1
Freeze record
By selecting Freeze record for a patient, recording of frozen ECG signal can be
performed for 20 S. you can freeze abnormal ECG signal and record it.
During recording, besides ECG waveform, patient information including date and time
of recording, bedside No, type of recording, patient ID, patient name, date of birth,
gender, weight and height, Trace1 and Trace2, recording speed and ECG filter of
bedside, hospital name, ward, doctor name and parameters values are recorded.
During recording, “Recording Freeze Bed #” is displayed on the taskbar.

Figure 7-4 frozen ECG recording

7-1
8. Recorder
8.1. Overview
The Heyer Central Station has an option of thermal recorder. Depending on
customer's order, GSI or Heyer modules can be installed at Heyer Medical.

LED

OPEN button

Compartmen
t

8-1 Recorder front panel

Connector

On/Off switch Power interface

8-1 Recorder rear panel

Performance of the Recorder

• Recorder speed is selectable among 12.5, 25 and 50 mm/s.
• Selectable delay time (5,6, …, 14, 15)
• The capability of recording ECG waveform
• The capability of recording pace (if exists) during recording.
• Recording via bedside
• Recording Frozen ECG
• Auto-recording of alarm

8-1
8.1.1. Recorder tab
Recorder tab was mentioned in 3.4.3.2, more detail is explained now.

Touch / click “Setting” button on the taskbar.

Touch / click “Recorder” tab.

After setting, touch / click “Save” button.

By pressing “Save” button, the setting is applied, but the sheet is
open. To close the sheet, press “Exit” or “HOME”.

Figure 8-3 Recorder tab

Note:
Trace 1 is ECG waveform.
Trace 2 is off.
Note:
The start time of recording is related to delay time. For example, if
delay is set to 5 s, it means recording starts from 5 seconds before
time of pressing “Rec.” button.

8-2
8.2. Recording type
Recording is possible via bedside or Central. The C.S. provides two recording modes:
• Continuous recording
In this mode, recording will continue until you stop it.
• Manual recording
In this mode, recording will continue until the end of the adjusted intervals
time. Available manual recording intervals are:
10 s, 15 s, 20 s, 25 s, and 30 s, which are set in Recorder tab.

Other recording types:

• Trend recording (see 6-1-2 )
• NIBP List recording (see 6-2-2 )
• Disclosure recording (see 6-3-2 )
• Alarm List Recording (see 6-4-2 )
• Periodic Recording (see 7-1 )
• Alarm auto-recording (see 7-1 )
• Frozen ECG recording (see 7-1 )
By selecting Grid option, you can perform Grid recording. The scale of ECG
waveform is printed before the waveform.

8.3. Recorder operations and status messages

Following items are printed in all manual and continuous recordings:
• Recording mode (manual/continuous)
• Date and Time of recording
• Bedside number, patient ID, patient name, date of birth,
gender, weight, height
• Trace 1 , Trace 2
• ECG lead and gain
• Sweep Speed and type of ECG filter used in bedside
• Hospital ,ward name and Dr Name
• Parameter name and value
During recording, ”Recording Bed # ”, is displayed on the taskbar.
8-3
 Figure 8-4 Recording message

By touching/pressing on the Rec. button, the text on the button will change to “Stop” or “# In
Queue” according to the status. The “Stop” text indicates that recording is in process and “# In
Queue” indicates the recording is in queue. Press “Rec.” button to return to the initial status.

Note:
• Make sure that the recorder is ON and the connections are made properly.
• Please pay attention to adjusted intervals time in “Recorder tab” for recording.

Recording via bedside:

By pressing bedside Rec. button, “Network” message on bedside will change to “In
Queue” and if no recording from another bedside is in process, this message will change
to “Recording” at once. “Network” message will appear again on the bedside as recording
finishes. In manual recording, click/touch “Rec.” button to finish recording, similar to
continuous recording.

Notes:
• When recording is performed via bedside, recording mode on bedside have to be
set to Central, i.e. set INTERNAL RECORDER to “OFF” status.
• If you do not stop recording while continuous recording is in process from bedside,
recording will be stopped by Central after 60s.

8-3
8.4. Recorder paper
You should use paper with the width of 50mm for GSI recorder and 57mm for
Heyer recorder.

NOTE:
• Use only manufacturer recommended white thermosensitive record
paper, otherwise the recording quality may be poor and the
thermosensitive printhead may be damaged.
• Do not use grid paper.
It is recommended to use the paper with colored marks intended to aware
that the paper is near to finish; otherwise, the operator should be sure about
sufficient paper for recording.
NOTE:
• Do not use paper with edges that are pasted at the end of the roll. If
they need to be used unavoidably, replace them with new paper roll as
soon as possible before entire roll is used up.

WARNING
• Do not touch the recorder head while recording and immediately after
recording because it is so hot and may lead to personal injury
including burns.

WARNING
• While the recorder is working, the record paper goes out steadily. By
pulling the paper, the recorder will be damaged.

Note:
If the paper is jammed, open the recorder door and remove the paper. Do not pull
the paper by force.

8-5
Loading the paper:
• Push the button on the recorder case.
• Insert a new roll of paper into the paper compartment.
• Close the recorder door.
NOTE:
• Thermo sensitive surface of paper should be placed facing the head.
Be sure to place the paper correctly.

a. incorrect placement b. correct placement

Figure 8-5 recorder paper placement

NOTE:
• The paper detector may not operate properly if covered with a foreign
matter. Therefore, if you find any foreign matter on the sensor, remove
it and clean the sensor.

NOTE:
• Be careful when inserting paper. Avoid damaging the thermo sensitive
print head. Do not touch thermo sensitive print head.

8-5
8.5. Recorder alarm messages

Message Cause Solution

Turn the recorder off and on. if problem

Software Error Recorder software Fault exists, please contact manufacturer
customer service
Turn the recorder off and on. if problem
Hardware Error Recorder hardware Fault exists, please contact manufacturer
customer service

Door Open The recorder door is open Close the recorder door.

Record paper has been

Out of Paper Insert recorder paper.
finished.

Printhead High Temp The thermal head is too hot. Stop operation for few minutes.

Turn the recorder off and on. if problem

Printhead High Volt Print head voltage is high. exists, please contact manufacturer
customer service.
Turn the recorder off and on. if problem
Printhead Low Volt Print head voltage is low. exists, please contact manufacturer
customer service.

8.6. Recorder cleaning

When foreign matter adheres between the thermal head and platen roller, the
recording quality may be poor. Clean the head elements and platen roller surface
using alcohol and a soft cloth. Wait until the alcohol dries then close the recorder door.

WARNING
Do not clean the recorder immediately after recording because thermal
head and its periphery are hot during and after printing.

NOTE:
Do not use sandpaper, sharp materials, etc when cleaning.

8-7
9. Maintenance
WARNING
- Failure on the part of the responsible hospital or institution employing
the use of the C.S. to implement a satisfactory maintenance schedule
may cause undue equipment failure and possible health hazard.
- The safety checks or servicing involving any disassembly or
decomposition of devices should be performed by professional
servicing personnel; otherwise it may lead to undue equipment failure
and possible health hazard.
- Turn off the C.S. if no patients are to be monitored.

9.1. General Inspection

Central system should be serviced every two years by trained personnel.
Before the C.S. is put into use and when it is in use, follow these guidelines to
inspect it:
- Inspect the equipment and its accessories in terms of mechanical
damage.
- Inspect if the environment and power supply meet the specific
requirements.
- Inspect all power cords and network cables in terms of fraying or other
damages, and if they are properly connected.
- Inspect if the sound system functions normally.
- In the case of any damage, do not use the C.S. Contact the hospital
medical engineers or manufacturer service personnel immediately.

9.2. General Cleaning

Your equipment should be cleaned on a regular basis. If there is heavy pollution in your
environment or your environment is very dusty and sandy, the equipment should be cleaned
more frequently. The equipment to be cleaned includes the host, displays, recorder and
mouse. Before cleaning the equipment, consult your hospital's regulations for cleaning,
disinfecting and sterilizing equipment.

9-1
 WARNING
Be sure to shut down the system and disconnect all power cords from
the outlet before cleaning the equipment.

Cleaning Agents
The exterior surfaces of the equipment may be cleaned with a clean and soft
cloth, sponge or cotton ball, dampened with a non-erosive cleaning solution.
Following are examples of cleaning solutions:
- Diluted soap water
- Diluted ammonia water
- Hydrogen peroxide (3%)
- Ethyl alcohol
- Cleaning solutions for computers

To avoid damage to the equipment, follow these rules:

- ALWAYS dilute the solutions according to the manufacturer's suggestions.
- ALWAYS wipe off all the cleaning solution with a dry cloth after cleaning.
- NEVER SUBMERGE the equipment into water or any cleaning solution, or POUR
or SPRAY water or any cleaning solution on the equipment.
- NEVER permit fluids run into the casing, switches, connectors, or any ventilation
openings in the equipment.
- NEVER use abrasive materials and erosive or acetone-based cleaners.

WARNING
Do not use ETO for disinfection.
Note:
Manufacturer has no responsibility for the effectiveness of controlling
infectious disease using these chemical agents. Please contact infectious
disease experts in your hospital for details.

9-1
10. Trouble shooting
All repair operations should be carried out by the manufacturer authorized personnel,
otherwise the manufacturer will not take any responsibility against eventual hazards
to users and patients.
The purpose of this part is to resolve minor problems due to improper use of central
or, defective accessories. Please follow audio-visual alarms and this troubleshooting
guide before calling after sales service.

Symptom Probable Cause Remedy

No display of - One or more of following
patient’s vital sign on equipment switched off:
the Central main - Bedside monitor
screen - NAIS
- Central monitor
- Central System
Network disconnection
between NAIS and Central
Signal freeze System has been crashed
due to sudden power
failure, or because the UPS
switched off
System resets
repeatedly
Incorrect and Bedside displays
abnormal vital signs information improperly
Touch screen - Touch screen cable is
improper functioning not connected
- Out of calibration
touch screen
No sound alarm - Alarm silence is active
No complete and - Network disconnection
accurate display of
information
Constant line - The module switched
waveform is off or disconnected
displayed and - No module exists
respective
parameter
disappears
- Check the power cable
- Make sure the Central equipment
switched on and connected properly
- Make sure that the contrast and
brightness of the Central monitor are
adjusted.
- Call after sales service
- Pay attention to the message
displayed on the taskbar
- Call after sales service
- call after sales service.
- Evaluate clinical signs and symptoms
by other means and compare with
information of respective bedside. If
there is considerable difference, refer
to Vizor 10, Vizor 12 manual, chapter
of troubleshooting.
- Do not use the device and call after
sales service immediately
- Fasten the touch screen cable in the
back of the Central host
- Call after sales service
- Make sure alarm is not silent.
- Call after sales service
- If central equipment is switched on
and connected properly, call after
sales service
- Maker sure the corresponding module
exists, switched on and is not
disconnected

10-1
Recorder not - Recorder switched off - Pay attention to the message
functioning - Recorder is not displayed on the taskbar
connoted - Make sure the recorder switched on
- Hardware or software and functions properly (the lit green
errors led indicates the recorder is on)
- Recorder out of paper - Make sure the recorder is connected
- Recorder door is open to the Central properly
- Network disconnection - Call after sales service
Recording stops - Recorder out of paper - Pay attention to the recorder alarms
before the adjusted - Recorder door is open displayed on the taskbar
time - Network disconnection - If the recorder and its equipment
switched on, call after sales service
Low quality - unsuitable recorder - Use standard recording papers that
recording paper are approved by the manufacturer
No recording via - Recording mode of - Set the recording mode (INTERNAL
bedside while bedside is not set to RECORDER: off)
communicating with Central.. - Call after sales service
Central - Network disconnection

10-1
11. Technical Specifications

General information
Equipment inside the case PC Compatible, with CE marking
Operating system Linux (Ubuntu 7.04)
Power supply 200-240 VAC,50/60 Hz, Pmax =75 w
Case dimensions 400 (W)* 160 (H)*430 (D)
Case Weight 6 kg (approximately)
UPS Minimum 3 hours stability, AC Output: 220v,
Power rating:1000 VA
Display(s) screens
Screen Color TFT 1280*1024, 17” or 19”, touch
screen, with CE marking
Interface Mouse with CE marking
Touch screen
Selectable waveforms of main screen ECG, SpO2,IBP1, IBP2, Co2, Resp
freeze capability
Signal sweep 12.5, 25, 50 mm/s
Parameters of main screen and their scales HR (bpm), RESP (bpm), SPO2 (%),
NIBP (mmHg), T1 (C), T2 (C), DT (C),
IBP1 (mmHg), IBP2 (mmHg),
EtCo2 (mmHg), FiCo2 (mmHg), AWRR
(BrPM)
Input/output
Wire network Digital, Full Duplex with TCP/IP protocol
10 M/100M Base-T, Ethernet 802.3, RJ45
interface
Connection Up to 16 bedsides are connected to
Central via NAIS

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Recorder (optional)
Dimensions 120 (W)* 95 (H)*165 (D)
Weight 425 g (approximately)
Model Thermal recorder (External)
Support Heyer / General Scanning
Recording speed (selectable) 12.5, 25, 50 mm/s
Speed accuracy ±% 2
Recording command Manual, Continuous
Interface RS232 interface
power cable 12V DC
Recorder paper Heyer: 57 mm width
GSI: 50 mm width
Alarm
Alarm types Physiological, technical, systemic
Alarm levels high (1), moderate (2), low (3)
Alarm delay mean 5 S
Information review
Trend review 72 hours, chart and table

disclosure review 48 hours

ECG waveform display in Disclosure 30s

Display of parameters with respect to cursor HR, RESP, SpO2 , T1, T2, ST,
position in Trend chart or ECG area in EtCo2, FiCo2, Dual IBP(sys,dia,map)
Disclosure
NIBP List Review (SYS, DIA, MAP) 1000 records of NIBP with scrolling and
deleting capabilities
Alarm List review, delete 720 alarm records with scrolling and
filtering capabilities
Environment conditions
Temperature Functional : 5-40°C
Storage: -20 to 60° C
Humidity 10 -90% (non- condensing)
Height -200 to 2000 m

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12. Accessories
This chapter introduces the part number of accessories which are used with Central system.

WARNING
The accessories introduced in this chapter is recommended to be used with Heyer Central
Station. The manufacturer will not take any responsibility against probable hazards if other
accessories have been used.

No. Accessory Part#

1 AC Power Cable 03-018
2 Mouse 11-052
3 VGA to DVI-I(Dual Link) Connection 11-084
4 BACK TO BACK cable -----
5 External Recorder 11-060
6 DC Power cable of recorder 11-065
7 RS232 data cable of recorder 11-066
8 Recorder Paper 09-043
9 NAIS 11-061
10 NAIS cable 11-082
11 UPS 11-055

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13. Alarms and Messages
Alarm messages are categorized into technical, physiological and systemic messages. For more
information about Physiological and Technical alarms of bedsides, please refer to the vital sign
monitoring manual of Vizor 10, Vizor 12. Recorder technical messages are described in 8-5.
Central software messages are as follows:

Description messages
cause visual alarm audio alarm
crashing due to red color READING DATABASE PLEASE
sudden power failure message on the ---- WAIT…
or because taskbar REPAIRING DATABASE PLEASE
UPS is switched off WAIT…
user changes red color
graphical mode message on the ---- Loading …, Please wait!
taskbar
system is recording red color
(manual or blinking ----
Recording Bed #
continuous) message on the
taskbar
network disconnection red color 4 times
between Central and message for alarm level 1
Bed Disconnect
bedside 30s on the
Alarm window
Network cable is not red color
connected to Central. message on the ---- Network Cable Is Unplugged
taskbar
Central is red color
disconnected from blinking alarm level 3
Recorder Is Disconnected
Recorder or recorder message on the
is off. taskbar

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