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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.

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,
permission of Mindray is strictly forbidden. , , , and are the registered trademarks or trademarks

and

permission of Mindray is strictly forbidden. , , , and are the registered trademarks or trademarks

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.

Date is July 2005 (Version: 1.3). © 2002-2005 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights

Manufacturer’s Responsibility

All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

Mindray is responsible for safety, reliability and performance of this product only in the condition that:

all installation operations, expansions, changes, modifications and repairs of this product are conducted by Mindray authorized personnel; and,

the electrical installation of the relevant room complies with the applicable national and local requirements; and,

this product is operated under strict observance of this manual.

Warranty

This warranty is exclusive and is in lieu of all other warrantyies, expressed or implied, including warranties of merchantability or fitness for any particular purpose.

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.

This warranty shall not extend to

any Mindray product which has been subjected to misuse, negligence or accident; or

any Mindray product from which Mindray's original serial number tag or product identification markings have been altered or removed; or

any product of any other manufacturer.

Return Policy

In the event that it becomes necessary to return a unit to Mindray, follow the instructions below.

1. Obtain a return authorization.

Contact the Mindray Service Department and obtain a Mindray Customer Service Authorization Number. The Mindray Customer Service Authorization Number must appear on the outside of the shipping container. Return shipments will not be accepted if the Mindray Customer Service Authorization Number is not clearly visible. Please provide the model number, serial number, and a brief description of the reason for return.

2. 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).

3. Return address

Please send the part(s) or equipment to the address offered by Customer Service Department.

Contact Information

Manufacturer:

Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address:

Mindray Building, Keji 12th Road South, Hi-tech Industrial Park, Nanshan, Shenzhen 518057 P.R. China

Tel:

+86 755 26522479

+86 755 26582888

Fax:

+86 755 26582500

+86 755 26582501

Website:

www.mindray.com.cn

EC Representative:

Shanghai International Holding Corp. GmbH (Europe)

Address:

Eiffestraße 80, 20537 Hamburg Germany

Tel:

0049-40-2513175

Fax:

0049-40-255726

Equipment Symbols

This symbol means 'BE CAREFUL '. Refer to the manual.

This symbol means 'BE CAREFUL '. Refer to the manual.

This symbol indicates that the instrument is IEC 60601-1 Type CF equipment. The unit displaying

This symbol indicates that the instrument is IEC 60601-1 Type CF equipment. The unit displaying this symbol contains an F-Type isolated (floating) patient applied part providing a high degree of protection against shock, and is suitable for use during defibrillation.

Equipotential grounding system.

Equipotential grounding system.

Protective earth ground.

Protective earth ground.

Power On/Off

Power On/Off

This mark means that this device is fully in conformance with the Council Directive Concerning

This mark means that this device is fully in conformance with the Council Directive Concerning Medical Devices 93/42/EEC. 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.

The following definition of the WEEE label applies to EU member states only. This symbol

The following definition of the WEEE label applies to EU member states only. This symbol indicates that this product should not be treated as household waste. By ensuring that this product is disposed of correctly, you will help prevent bringing potential negative consequences to the environment and human health. For more detailed information with regard to returning and recycling this product, please consult the distributor from whom you purchased it. * For system products, this label may be attached to the main unit only.

NOTE: Points to be noted.

NOTE: Points to be noted.

CAUTION: Points to be noted to avoid damage to the equipment.

CAUTION: Points to be noted to avoid damage to the equipment.

WARNING: Points to be noted to avoid injury to the patient and the operator.

WARNING: Points to be noted to avoid injury to the patient and the operator.

FOR YOUR NOTES

Contents

Chapter 1

Introduction

1-1

1.1 General Information

1-2

1.2 Screen Display

1-4

1.3 Button Functions

1-7

1.4 Interfaces

1-10

1.5 Built-in battery

1-12

Chapter 2

Getting Started

2-1

2.1 Unpacking and Checking

2-1

2.2 Connect the Power Cables

2-1

2.3 Power On the Monitor

2-2

2.4 Connect Sensors/Probes

2-2

2.5 Check the Recorder

2-2

Chapter 3

System Menu

3-1

3.1 Patient Setup

3-2

3.2 Default Setup

3-4

3.3 System Setup

3-5

3.4 Selection Setup

3-10

3.5 Monitor Version

3-11

3.6 Drug Calculation

3-12

3.7 Maitenance

3-12

3.8 DEMO Function

3-15

Chapter 4

Face Select

4-1

4.1

Standard Screen

4-1

4.1

Viewbed Screen

4-2

Chapter 5

Alarm

5-1

5.1 Alarm Modes

5-1

5.2 Alarm Self-test

5-4

5.3 Alarm Cause

5-4

5.4 SILENCE/CLOSE/PAUSE

5-5

5.5 Parameter Alarm

5-6

5.6 When an Alarm Occurs

5-6

Chapter 6

Freeze

6-1

6.1 General Description

6-1

6.2 Entering and Exiting Frozen Mode

6-1

6.3 Frozen Menu

6-2

6.4 Recording Frozen Waveform

6-2

Chapter 7

Recording

7-1

7.1 General Description

7-1

7.2 Recording Type

7-1

7.3 Start Recording

7-4

Contents

7.4

Recorder Operations and Status Information

7-5

Chapter 8

Trend and Event

8-1

8.1 Trend Graph

8-1

8.2 Trend Table

8-3

8.3 NIBP Recall

8-5

8.4 Alarm Event Recall

8-5

Chapter 9

Drug Calculation and Titration Table

9-1

9.1 Drug Calculation

9-1

9.2 Titration Table

8-4

Chapter 10

Patient Safety

10-1

Chapter 11

Maintenance / Cleaning

11-1

11.1 System Check

11-1

11.2 General Cleaning

11-1

11.3 Cleaning Agents

11-2

11.4 Sterilization

11-3

11.5 Disinfection

11-3

Chapter 12

ECG/RESP Monitoring

12-1

12.1 What Is ECG Monitoring

12-1

12.2 Precautions

12-1

12.3 Monitoring Procedure

12-2

12.4 ECG Screen Hot Keys

12-5

12.5 ECG Menu

12-6

12.6 ECG Alarm Information and Prompt

12-10

12.7 ST Segment Monitoring (optional)

12-11

12.8 Arr. Monitoring (optional)

12-15

12.9 Measuring RESP

12-20

12.10 Maintenance and Cleaning

12-24

Chapter 13

SpO2 Monitoring

13-1

13.1 What is SpO 2 Monitoring

13-1

13.2 Precautions

13-2

13.3 Monitoring Procedure

13-3

13.4 Limitations for Measurement

13-5

13.5 SpO 2 Menu

13-6

13.6 Alarm Description and Prompt

13-8

13.7 Maintenance and Cleaning

13-9

Chapter 14

NIBP Monitoring

14-1

14.1 Introduction

14-1

14.2 NIBP Monitoring

14-1

14.3 NIBP SETUP menu

14-6

14.4 NIBP Alarm Message

14-11

14.5 Maintenance and Cleaning

14-13

Chapter 15

TEMP Monitoring

15-1

15.1 TEMP Monitoring

15-1

15.2 TEMP SETUP Menu

15-2

Contents

15.3 TEMP Alarm message

Chapter16

15-3

15.4 Maintenance and Cleaning

15-3

Accessories and Ordering Information

16-1

16.1 ECG Accessories

16-1

16.2 SpO2 Accessories

16-2

16.3 NIBP Accessories

16-2

16.4 TEMP Accessories

16-3

Appendix A EC Declaration of Conformity

A-1

Appendix B Product Specification

B-1

Appendix C EMC

C-1

Appendix D System Alarm Prompt

D-1

Contents

FOR YOUR NTOES

Chapter 1 Introduction

For an overview of the monitor, refer to 1.1 General Information.

For various messages displayed on the screen, refer to 1.2 Screen Display.

For basic operations, please refer to 1.3 Button Functions.

For allocation of interface sockets, please refer to 1.4 Interfaces.

For battery recharging procedure, refer to 1.5 Built-in Battery.

For safety precautions of the monitor, refer to Chapter 10 Patient Safety.

of the monitor, refer to Chapter 10 Patient Safety . Warning The Monitor is intended for
of the monitor, refer to Chapter 10 Patient Safety . Warning The Monitor is intended for

Warning The Monitor is intended for use by qualified clinical Personnel. Its operation is to be

performed by a physician or appropriate medical staff under the direction of a

physician.

The monitor can monitor single patient once.

Opening the monitor housing presents a risk of hazard due to electrical shock. All

servicing and future upgrades to this equipment must be carried out by personnel

trained and authorized by Mindray.

Possible explosion hazard if used in the presence of flammable anesthetics.

You must verify if the device and accessories can function safely and normally before

use.

You must customize the alarm setups according to individual patient situation and

make sure that alarm sound can be activated when alarm occurs.

Do not use cellular phone in the vicinity of this device. High level electromagnetic

radiation emitted from such devices may greatly affect the monitor performance.

Do not touch the patient, table, or the device during defibrillation.

Devices connected to the monitor shall form an equipotential system (protectively

earthed).

When used with Electro-surgery equipment, you (doctor or nurse) must give top

priority to the patient safety.

Dispose of the packaging material, observing the applicable waste control regulations

Introduction

and keeping it out of children’s reach.

Introduction and keeping it out of children’s reach. Note This equipment complies with the standard CISPR11
Introduction and keeping it out of children’s reach. Note This equipment complies with the standard CISPR11

Note This equipment complies with the standard CISPR11 (EN55011) class A.

The software was developed per IEC601-1-4. The possibility of hazards arising from

errors in the software program is minimized.

Caution At the end of its service life, the product described in this manual, as well as its

accessories, must be disposed of in compliance with the guidelines regulation the

disposal of such products. If you have questions concerning disposal of the product,

please contact Mindray Customer Service.

of the product, please contact Mindray Customer Service. 1.1 General Information Environmental Specifications
of the product, please contact Mindray Customer Service. 1.1 General Information Environmental Specifications

1.1 General Information

Environmental Specifications

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 ~ 4,600m

Transport and Storage

-500 ~ 13,100m

Power Supply

100 ~ 240V, AC, 50/60Hz

Pmax=110VA

FUSE T 1.6A

Contraindications: None

AC, 50/60Hz Pmax=110VA FUSE T 1.6A Contraindications: None Note The system may not meet its performance
AC, 50/60Hz Pmax=110VA FUSE T 1.6A Contraindications: None Note The system may not meet its performance

Note The system may not meet its performance specifications if stored or used outside the

specified temperature and humidity range.

General Instruction

The Monitor is applicable for bedside monitoring of Adult, Pediatric and Neonate.

The Monitor is intended to monitor vital signals such as ECG, Respiratory Rate, SpO 2 , NIBP

and TEMP. It integrates parameter measurement, display and recorder in one device,

featured by compactness, lightweight and portability. Its large and high-resolution display can

clearly display 4 waveforms and all parameter information.

Introduction

Front Panel

③ ⑤ ① ④ Figure 1-1 Patient Monitor
Figure 1-1
Patient Monitor

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

CHARGE Indicator: A LED above the POWER Switch.

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.

Control Panel: Refer to 1.3 Button Functions for details.

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

RESP

Respiratory Rate (RR)

Respiration Waveform

SPO2

Oxygen Saturation (SpO 2 ), Pulse Rate (PR)

SpO 2 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.

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:

1-2, the main screen is divided into three areas: ② ① ① Figure 1-2 Main Screen
1-2, the main screen is divided into three areas: ② ① ① Figure 1-2 Main Screen

1-2, the main screen is divided into three areas: ② ① ① Figure 1-2 Main Screen
1-2, the main screen is divided into three areas: ② ① ① Figure 1-2 Main Screen
1-2, the main screen is divided into three areas: ② ① ① Figure 1-2 Main Screen

Figure 1-2

Main Screen

Message Area; Waveform Area; Parameter Area.

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.

Introduction

Alarm message

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

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 1status can be set for 1 minute, 2 minutes, or 3 minutes. second to manually mute

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.

you press “SILENCE” button again or new alarm occurs. icon for Alarm Volume Off. It appears

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.

terminate this function, you must turn the Alarm Volume ON. Note If the symbol appears, the

Note

this function, you must turn the Alarm Volume ON. Note If the symbol appears, the system
this function, you must turn the Alarm Volume ON. Note If the symbol appears, the system

If the symbol appears, the system will no longer give an audible alarm sound.

You must be very careful in using this function.

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.

each waveform is discussed in the setup description for each parameter.

The method to adjust the refresh rate for

Parameter Area

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

Introduction

correspond to the waveform. The measured parameters displayed in this area include:

①HR or PR ②ST Anlysis ③PVC ④NIBP ⑤SPO2 ⑥RESP ⑦TEMP
①HR or PR
②ST Anlysis
③PVC
④NIBP
⑤SPO2
⑥RESP
⑦TEMP

Figure 1-3

Main Screen

ECG:

Heart Rate ( Unit: bpm)

ST-segment analysis result (Unit: mV)

Arrhythmia (PVCs) events (Unit: event/min)

NIBP:

Systolic, Mean, Diastolic (From left to right) (Unit: mmHg or kPa) SpO 2 :

SpO 2 (Unit: %)

RESP:

Respiration Rate (Unit: breath/min)

TEMP:

Temperature (Unit:or )

The system refreshes each parameter value once per second except NIBP, which is refreshed after each measurement.

Alarm indicator and status

During normal monitoring, the alarm indicator is not on. When an alarm occurs, the alarm indicator lights on or flashes. The color of the indicator corresponds to the alarm priority level. Refer to Chapter 5 Alarm for detailed information. For the details of the alarm and alarm message information for the individual measured parameters, refer to the chapter for each parameter.

Introduction

Introduction Warning Always verify the self-check function of the audible and visual (LED) alarms when the
Introduction Warning Always verify the self-check function of the audible and visual (LED) alarms when the

Warning Always verify the self-check function of the audible and visual (LED) alarms when the

power is turned on.

1.3 Button Functions

The operation of the monitor is performed using a few buttons and a Rotary Knob on the

control panel, located at the lower right of the monitor.

① ② ③ ④ ⑤ ⑥ ⑦ Figure 1-4 Buttons and Knob
Figure 1-4
Buttons and Knob

MAIN

The screen will return to the main screen when this button is pressed.

FREEZE

Press this button and the monitor will switch to the FREEZE mode. Press this button

again to exit the FREEZE mode. In FREEZE mode, the frozen waveform can be

printed out. For detailed information, refer to Chapter 6 Freeze.

SILENCE

Press this button to access the Alarm Pause status. All the alarm sounds are muted.

However, other sounds such as heart beat, button sound and pulse sound will still

exist. At this time, the “ALARM PAUSE xx s” appears in the parameter alarm

information area. Press this button again or when the pause time runs out, the system

terminates the alarm pause status and returns to the normal monitoring status, then

the alarm sound resumes and the prompt “ALARM PAUSE xx s” disappears from the

screen.

prompt “A LARM PAUSE xx s” disappears from the screen. Note When the monitor exits the
prompt “A LARM PAUSE xx s” disappears from the screen. Note When the monitor exits the

Note When the monitor exits the Alarm Pause status, whether the alarm sound is restored

depends on whether the alarm exists. However, the technical alarms such as lead off

will not be restored. That means the user may also close the technical alarms such as

lead off through accessing and then exiting the Alarm Pause status.

Press this button for more than 1 second to access the Silence status. The system will

mute all kinds of sound such as heart beat, pulse and button sound and all the current

alarm sound will be muted. The symbol

appears in the information area. Press the

SILENCE once again to restore all kinds of sound and the

symbol appears in the information area. Press the SILENCE once again to restore all kinds of
symbol appears in the information area. Press the SILENCE once again to restore all kinds of

disappears.

Introduction

In the Alarm Silence status, if there is new alarm, the system will terminate the Silent status and restore the normal alarming status. At this time, the system gives alarm according to the setup alarm sound. For the detailed rules, refer to related chapter:

Alarm.

RECORD

Press this button to start a real time recording. The recording time is set in REC TIME of RECORD SETUP submenu. Press during recording to stop the recording. For detailed information, refer to Chapter 7 Recording.

START Press this button to inflate the cuff to start a blood pressure measurement. When measuring, press to cancel the measurement and deflate the cuff.

MENU Press this button to display the SYSTEM MENU, in which the user may set up system information and perform review operation. For detailed information, refer to Chapter 3 System Menu and Chapter 8 Trend and Event.

Rotary Knob Use the rotary knob to select menu items and modify the monitor setup. It can be rotated clockwise or counter-clockwise, and pressed to make a desired selection, similar to other buttons.

How to use the Rotary Knob

The rectangular mark on the screen that moves with the rotation of the knob is called a “cursor”. Operation can be performed at any position at which the cursor is located. When the cursor is in the waveform area, 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, you may open the setup menu of the

corresponding parameter to review or change the menu items.

ECG menu

NIBP menu

SpO 2 menu

RESP menu

TEMP menu

Highlight any item that you want to operate and press the knob, the system will fulfill one of the following three activities:

The solid frame becomes a dotted one, indicating that rotating the knob can change its

A menu pops up, or the current menu is replaced by a new one;

content;

Introduction

The system can immediately execute an operation.

Basic Operations

To display desired waveform:

Press the MENU button to access the SYSTEM MENU and then select the [TRACE SETUP] item. The TRACE SETUP menu will appear, in which you can select the desired waveform. Refer to 3.3.6 Tracing Waveforms Selection for details.

To adjust waveform sweep speed:

ECG: access the ECG SETUP menu and select the [SWEEP] item; PLETH: access the SpO2 SETUP menu and select the [SWEEP] item; RESP: access the RESP SETUP menu and select the [SWEEP] item.

To change Alarm limits:

ECG: access the ECG SETUP menu and select the [ALM HI] or [ALM LO] item. ST: access the ECG SETUP menu and select the [ST ANALYSIS], then select the [ALM HI] or [ALM LO] item. PVCs: access the ECG SETUP menu and select the [ARR ANALYSIS], then select the [ALM HI] or [ALM LO] item. SpO 2 : access the SPO2 SETUP menu and select the [SpO2 ALM HI] or [SPO2 ALM LO] item. PR: access the SPO2 menu and select the [PR HI] or [PR ALM LO] item. 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. NIBP Diastolic: access the NIBP SETUP menu and select the [DIA ALM HI] or [DIA ALM LO] item. RESP: access the RESP SETUP menu and select the [ALM HI] or [ALM LO] item. TEMP: access the TEMP SETUP menu and select the [ALM HI] or [ALM LO] item.

To record real-time waveform:

Push RECORD button to start the real-time recording process. Refer to Chapter 7 Recording for details.

To adjust volume:

Alarm volume: Press the MENU button to access the SYSTEM MENU \ SYSTEM SETUP \ ALARM SETUP and select the [ALARM VOL] item. Key volume: Press the MENU button to access the SYSTEM MENU \ SELECTION and select the [KEY VOL] item. Beat volume: Access the ECG SETUP\OTHER SETUPS and select the [BEAT VOL]. You can select 0~10.

Introduction

Pulse volume: Access the SPO2 SETUP Menu and select the [PR SOUND].

To set up system date and time:

Press the MENU button to access the SYSTEM MENU \ SYSTEM SETUP and select the [TIME SETUP].

To restore default settings:

Refer to 3.2 Default Setup for details.

1.4

Interfaces

For your convenience, we put different interfaces on different positions of the monitor.

Recorder is on the right side of the monitor.

the monitor. Recorder is on the right side of the monitor. ① Figure 1-5 Right Panel

Figure 1-5

Right Panel

① ②

Figure 1-6

Left Panel

Patient cable and sensor/probe sockets are on the left side of the monitor. As shown in Figure 1-6, there are:

Socket for ECG cable

Socket for NIBP probe

Socket for TEMP probe

Socket for SpO 2 sensor

③ Socket for TEMP probe ④ Socket for SpO 2 sensor This symbol means “BE CAREFUL".

This symbol means “BE CAREFUL". Refer to the accompanying document (this manual).

Refer to the accompanying document (this manual). This symbol indicates that the instrument is IEC60601-1

This symbol indicates that the instrument is IEC60601-1 Type CF equipment. The unit displaying this symbol contains an F-Type isolated (floating) patient applied part providing a

Introduction

high degree of protection against shock, and is suitable for use during defibrillation.

Other symbols in the monitor are explained in Chapter 10 Patient Safety.

in the monitor are explained in Chapter 10 Patient Safety . ① ② Figure 1-7 Back

Figure 1-7 Back Side Network Interface: Standard RJ45 Socket.
Figure 1-7 Back Side
Network Interface:
Standard RJ45 Socket.

On the rear panel are the following connectors, shown in Figure 1-7.

Equipotential grounding terminal for connection with the hospital’s grounding system.

Fuse:

AC Power Input Connector: 100~240 (VAC), 50/60 (Hz).

T 1.6A

Network interface is a multi-functional interface, which support 100 BASE-TX Ethernet

communication channel, and Mindray Hyper III and CMS network protocol, as well as online

software upgrading function by connecting with a PC.

online software upgrading function by connecting with a PC. Warning Network interface is can be used
online software upgrading function by connecting with a PC. Warning Network interface is can be used

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.g. IEC 60950 for data processing

equipment and IEC 60601-1 for medical equipment). Furthermore all configurations

shall comply with the valid version of the system standard IEC 60601-1-1. Everybody

who connects additional equipment to the signal input part or signal output part

configures a medical system, and is therefore responsible that the system complies

with the requirements of the valid version of the system standard IEC 60601-1-1. If in

doubt, consult Mindray Customer Service.

Introduction

1.5 Built-in Battery

The Monitor is equipped with rechargeable batteries. The battery in the Monitor will

automatically recharge when AC power is applied until it is full. A symbol “

the lower left quarter of the screen to indicate the battery status. The solid part represents the

relative electric energy of the battery. This symbol will be covered when some information

” is displayed on

will be covered when some information ” is displayed on appears. And, if no battery is

appears. And, if no battery is installed, battery state will be displayed as “ ” under a cross to

indicate that no battery is available.

There are two battery slots inside the monitor, each can hold a battery, and one battery can

support the monitor working. Battery can be installed into and pulled off from battery slot.

Under connectors to patient cables there are battery slots with cover. See Figure 1-8 Battery

Slot Cover.

battery slots with cover. See Figure 1-8 Battery Slot Cover. Warning Don’t pull off battery when
battery slots with cover. See Figure 1-8 Battery Slot Cover. Warning Don’t pull off battery when
battery slots with cover. See Figure 1-8 Battery Slot Cover. Warning Don’t pull off battery when

Warning Don’t pull off battery when the monitor is working.

When operating on battery, the monitor will sound an alarm and shut off automatically when

the energy is low. When the battery is depleted, the monitor will sound continuous high-level

alarm tone and display “BATTERY TOO LOW” in the Message Area. Connect the monitor to

AC power at this moment can recharge the battery while operating. If the monitor continues to

operate from the battery, the monitor will shut off automatically about 5 minutes after alarm.

will shut off automatically about 5 minutes after alarm. ① Figure 1-8 Battery Slot Cover Warning

Figure 1-8 Battery Slot Cover

Warning5 minutes after alarm. ① Figure 1-8 Battery Slot Cover After the patient monitor has been

After the patient monitor has been placed unused for a long time, the battery must be

recharged before use again. When not using the patient monitor for a long time without

charging the battery, the battery capacity will decrease. Connect the patient monitor to

appropriate AC mains to charge the battery.

Mindray recommends replace the sealed Lead-Acid battery once per year. Dispose or

recycle the battery and other parts of the patient monitor by following local government

regulations.

Dispose or recycle the battery and other parts of the patient monitor by following local government

Chapter 2

Getting Started

Unpacking and Checking

Connect the Power Cable

Power On the Monitor

Connect Sensors/Probes

Check the Recorder

Monitor ■ Connect Sensors/Probes ■ Check the Recorder Note To ensure the monitor works properly, please
Monitor ■ Connect Sensors/Probes ■ Check the Recorder Note To ensure the monitor works properly, please

Note To ensure the monitor works properly, please read “Chapter 10 Patient Safety” and

follow the steps indicated before using this monitor.

2.1 Unpacking and Checking

Open the package and remove the monitor and accessories carefully. Save the packing

material for possible future transportation or storage. Check the components by comparing

the packing list.

Check for any mechanical damage.

Check all the cables and accessories for damage.

If there is any problem, contact Mindray Customer Service immediately.

2.2 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,

50/60 Hz.

Use the power cable supplied with the monitor. Plug the power cable into the “AC Power

Input connector” of the monitor. Connect the other end of the power cable into a 3-prong,

grounded hospital grade power outlet.

Connect the equipotential earth line if necessary. Refer to Chapter 10 Patient Safety for

details.

necessary. Refer to Chapter 10 Patient Safety for details. Note Connect the power cable to a
necessary. Refer to Chapter 10 Patient Safety for details. Note Connect the power cable to a

Note Connect the power cable to a 3-prong, hospital grade outlet only.

Getting started

Getting started Note Mindray does not provide MULTIPLE PORTABLE SOCKET-OUTLETS. IF use it, please do not
Getting started Note Mindray does not provide MULTIPLE PORTABLE SOCKET-OUTLETS. IF use it, please do not

Note Mindray does not provide MULTIPLE PORTABLE SOCKET-OUTLETS. IF use it, please

do not place it on the floor. Mindray advises that every one monitor uses one

MULTIPLE PORTABLE SOCKET-OUTLETS.

2.3 Power On the Monitor

Press POWER Switch to power on the monitor. A beep “Du…” will be heard and the alarm

indicator will flash once in different color. After about 10 seconds, the system will self-test

successfully and enter main monitoring screen. You can perform normal operations now.

During self-test, the system can display machine version number.

self-test, the system can display machine version number. Note If the system detects any fatal error
self-test, the system can display machine version number. Note If the system detects any fatal error

Note If the system detects any fatal error during self-test, it will give alarm.

any fatal error during self-test, it will give alarm. Note Check all usable functions in order
any fatal error during self-test, it will give alarm. Note Check all usable functions in order

Note Check all usable functions in order to ensure the normal function of the monitor.

in order to ensure the normal function of the monitor. Warning If any sign of damage
in order to ensure the normal function of the monitor. Warning If any sign of damage

Warning If any sign of damage is detected, or the system displays some error messages, do not

use it on any patient. Contact biomedical engineer in the hospital or Mindray Customer

Service Center immediately.

the hospital or Mindray Customer Service Center immediately. Note You must turn on the monitor at
the hospital or Mindray Customer Service Center immediately. Note You must turn on the monitor at

Note You must turn on the monitor at least 1 minute after turning off the monitor.

2.4 Connect Sensors/Probes

Connect the necessary patient sensors/probes to the monitor and the patient.

patient sensors/ probes to the monitor and the patient. Note To know how to correctly connect
patient sensors/ probes to the monitor and the patient. Note To know how to correctly connect

Note To know how to correctly connect sensors/probes, refer to Chapter 12-15.

2.5 Check the Recorder

Check if the recorder on the right side of the monitor has paper. If there is no paper, refer to

Chapter 7 Recording for details.

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. You can customize the monitoring presentation, waveform sweep speed, sound volume, and output interface. Press the “MENU” button on the front panel to display the “SYSTEM MENU” as shown in Figure 3-1.

to display the “SYSTEM MENU” as shown in Figure 3-1. Figure 3-1 SYSTEM MENU In this

Figure 3-1

SYSTEM MENU

In this chapter, the submenus will be described one by one, except the “TREND GRAPH”, “TREND TABLE”, “NIBP RECALL” and “ALARM RECALL”, which will be described in Chapter 8 Trend and Event.

System Menu

3.1 Patient Setup

System Menu 3.1 Patient Setup Note To clear current patient data, refer to “New Patient” for
System Menu 3.1 Patient Setup Note To clear current patient data, refer to “New Patient” for

Note To clear current patient data, refer to “New Patient” for details.

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.

the cursor to [PATIENT SETUP] and pressing on the knob. Figure 3-2 PATIENT SETUP 1. Input

Figure 3-2

PATIENT SETUP

1. 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.

2. Once a character is highlighted with the cursor, press the knob to enter that character.

3. Repeat the process until all the characters are input.

4. Select OK and press the knob. The cursor will return to the starting position.

DEPT.

Department in which the patient receives treatment.

PAT NO

Patient Identification Number.

BED NO

Patient bed number (Range: 1~100)

DOCTOR

Name of the doctor.

NAME

Patient name (Valid characters: A~Z, 0~9 and space bar; Maximum of 12 characters)

SEX

Patient gender ("F" for Female, "M" for Male)

System Menu

PAT TYPE

Patient type (ADU, PED, and NEO for Adult, Pediatric, and Neonate respectively)

ADMIT

Hospitalization starting date (format: year\month\ day)

BIRTH

Patient date of birth (format: year\month\day)

HT. (cm/inch )

Patient height (Rotating the knob will increase or decrease the height in 0.5 cm or inch each time.) When select the HT. unit in the measured parameter area, the unit of measurement must correspond with the unit you select here.

WT. (kg/Ib)

Patient weight (Rotating the knob will increase or decrease the weight in 0.5 kg or pound each time.) When select the WT. unit in the measured parameter area, the unit of measurement must correspond with the unit you select here.

BLOOD

Patient blood type (Select A, B, O, AB, or N. "N" represents unknown blood type)

NEW PATIENT

Admission of new patient

When you select [NEW PATIENT], you access the “CONFIRM TO UPDATE PATIENT” menu

as shown below. This allows you to delete previous patient data and begin monitoring a new

patient.

previous patient data and begin monitoring a new patient. Figure 3-3 Confirm To Update Patient Menu

Figure 3-3

Confirm To Update Patient Menu

1. Select [YES] to delete all information of the patient that was being monitored and exit the

menu.

2. Select [NO] to exit the menu and the system will keep the information of the patient that

was being monitored.

the information of the patient that was being monitored. Note If you select [YES], the system
the information of the patient that was being monitored. Note If you select [YES], the system

Note If you select [YES], the system will delete all information of previously monitored

patient, or the patient being currently monitored.

System Menu

3.2 Default Setup

NoteSystem Menu 3.2 Default Setup After selecting any item in this sub-menu, the selected item will

After selecting any item in this sub-menu, the selected item will replace the current

setup of the system and accordingly become the system default configuration.

and accordingly become the system default configuration. Figure 3-4 DEFAULT Menu In this menu, you can
and accordingly become the system default configuration. Figure 3-4 DEFAULT Menu In this menu, you can

Figure 3-4

DEFAULT Menu

In this menu, you can select both the factory default and the user-defined default. You can

also save the current system configuration as the user-defined default configuration. At this

time, the system will automatically save all the setups in the parameter menus as the

user-defined default configuration according to the patient type.

After selecting any item in the DEFAULT menu and exiting that menu, the “CONFIRM

DEFAULT CONFIG” menu will be displayed. You can select [YES] to confirm your selection or

[NO] to give up your selection.

to confirm your selection or [NO] to give up your selection. Figure 3-5 CONFIRM DEFAULT CONFIG

Figure 3-5

CONFIRM DEFAULT CONFIG

to give up your selection. Figure 3-5 CONFIRM DEFAULT CONFIG Warning All configurations will be replaced
to give up your selection. Figure 3-5 CONFIRM DEFAULT CONFIG Warning All configurations will be replaced

Warning All configurations will be replaced by “default configurations” if selecting [YES].

System Menu

3.3 System Setup

Select the [system setup] item from the “SYSTEM MENU”.

Select the [system setup] item from the “SYSTEM MENU”. Figure 3-6 System setup In the [SYSTEM

Figure 3-6

System setup

In the [SYSTEM SETUP] menu, you can configure the following items.

3.3.1 Face Select

Select “FACE SELECT” item in “SYSTEM SETUP” menu to access “FACE SELECT” dialog box as shown below, in which two selections are available: STANDARD SCREEN and VIEWBED SCREEN. Only one selection can be chosen for each time.

SCREEN. Only one select ion can be chosen for each time. Figure 3-7 FACE SELECT For

Figure 3-7

FACE SELECT

For details about STANDARD SCREEN and VIEWBED SCREEN, please refer to Chapter 4 Face Select.

System Menu

3.3.2 Alarm setup

The monitor provides ten levels of alarm volume. You can select any of them depending on your specific requirement.

1. Select the [ALARM SETUP] item in the “SYSTEM SETUP” menu. You can select the alarm volume, and other alarm information. For detailed information, refer to Chapter 5 Alarm.

2
2

Figure 3-8

Alarm Setup

2. By moving cursor to [ALARM VOL] and rotating the knob, you can change the alarm volume. There are 10 options: “1~10”. “1” means the minimum volume, and “10” means the maximum volume.

3.3.3 Time Setup

Select the [TIME SETUP] from the “SYSTEM SETUP” menu. The menu as shown below will be displayed. The system time is in the format of year, month, day, hour, minute and second. Use the cursor to highlight the item that you want to modify and rotate the knob to select time. Then select [EXIT].

and rotate the knob to select time. Then select [EXIT]. Note You shall set up the

Note

rotate the knob to select time. Then select [EXIT]. Note You shall set up the system

You shall set up the system time upon turning on the monitor (if you need to set up the system time); otherwise, when you review the content with time information, the system may not display the correct time.

System Menu

System Menu Figure 3-9 3.3.4 Recorder setup System Time Setup Select [RECORD] from the “SYSTEM SETUP”

Figure 3-9

3.3.4 Recorder setup

System Time Setup

Select [RECORD] from the “SYSTEM SETUP” menu to display the “RECORD” menu, you can perform the following setup:

the “RECORD” menu, you can perform the following setup: Figure 3-10 Record Setup REC WAVE1; REC

Figure 3-10

Record Setup

REC WAVE1; REC WAVE2 You can select up to two waveforms for recording. The waveforms that can be selected include:

ECG If no ECG waveform is displayed on the screen, you cannot select this item.

System Menu

SPO2

RESP

OFF

SpO 2 Plethysmogram. (If no SpO 2 Plethysmogram is displayed , you cannot select this item.)

RESP waveform (If no RESP waveform is displayed, you cannot select this item).

Do not select this waveform.

RT REC TIME:

There are two options, CONTINUAL and 8s.

“CONTINUAL”: When the recorder is started by pressing the “RECORD” button on the

monitor panel, the recorder will continuously print out the waveform or parameter until

this button is pressed again.

“8s”: When the “RECORD” button is pressed, the recorder will run for 8 seconds and

stops automatically.

TIMING REC TIME: This is used to select a time interval between automatic recordings.

Ten selections are available: “OFF, 10min, 20min, 30min, 40min, 50min, 1hour, 2hours,

3hours and 4hours”. The monitor will start recording at the selected time interval, record

for 8 seconds, and automatically shut off.

Noteinterval, record for 8 seconds, and automatically shut off. RT REC TIME takes priority over TIMING

RT REC TIME takes priority over TIMING REC TIME OFF.

Note RT REC TIME takes priority over TIMING REC TIME OFF. REC RATE: You can select

REC RATE:

You can select either 25.0, or 50.0 mm/s.

REC GRID:

You can select ON to print a grid on the paper, or OFF for no grid.

CLEAR REC TASK: This is used to clear a recording event that has been waiting for

recording.

a recording event that has been waiting for recording. Note If two same waveforms are selected,
a recording event that has been waiting for recording. Note If two same waveforms are selected,

Note If two same waveforms are selected, the system will automatically change one of the

waveform to a different one.

System Menu

3.3.5 Module Setup

Select [MODULE SETUP] from the “SYSTEM SETUP” menu.

Select [MODULE SETUP] from the “SYSTEM SETUP” menu. Figure 3-11 Module Setup Select the parameters to

Figure 3-11

Module Setup

Select the parameters to be monitored. This will avoid displaying information for parameters that are not being monitored. If a module is not selected, its corresponding parameters and waveform will not be displayed.

3.3.6 Tracing Waveforms Selection

Select the [TRACE SETUP] from the “SYSTEM SETUP” menu.

Select the [TRACE SETUP] from the “SYSTEM SETUP” menu. Figure 3-12 Tracing Waveforms Selection You can

Figure 3-12

Tracing Waveforms Selection

You can choose the waveform to be displayed in the screen. If a parameter in this menu is not selected, its corresponding waveform will not be displayed. However, its corresponding measured parameters will still be displayed.

System Menu

3.3.7 Event Setup

The monitor enables you to mark four different events.

1. Select [MARK EVENT] from the “SYSTEM SETUP”.

events. 1. Select [MARK EVENT] from the “SYSTEM SETUP”. Figure 3-13 MARK EVENT Menu 2. Use

Figure 3-13

MARK EVENT Menu

2. Use the knob select event A, B, C or D. The “@” symbol will appear in the frame of the event being selected. If you make an incorrect selection, press the knob on the event again to unmark the selection.

3. Select [EXIT] to exit the menu and the mark function will be effective.

The event marking function helps to classify the records into different categories, such as those having influence on patients versus those having influence on parameter monitoring. Example: Dose taking, injections, or therapy. A mark will be displayed on the trend graph/table indicating the time the mark was initiated in relation to the event it represents.

3.4 Selection Setup

Select [SELECTION] from the “SYSTEM MENU”.

2
2

Figure 3-14 Selection Setup

System Menu

Key Volume:

Select [KEY VOL] from the “SELECTION” menu. Rotate the knob to select the level of volume. There are 11 options: “0~10”. “0” means the key volume is turned off, and “10” means the maximum volume.

Help Function:

The system incorporates On-line Help for the menu operations. You can choose any help information as needed.

1. Select [SELECTION] from the “SYSTEM MENU”

2. Highlight [HELP] and rotate the knob to select “ON” or “OFF”. When it is “ON”, you can browse the on-line help information. When it is “OFF”, the system will turn off the on-line help function.

Alarm Limits:

The system can display the alarm limits.

1. Select [SELECTION] from “SYSTEM MENU”.

2. You can select [ALM LIMIT], and set to “ON” or “OFF”. When it is “ON”, the alarm limit will be displayed in the parameter area. When it is “OFF”, the alarm limit will not be displayed in the parameter area.

3.5 Monitor Version

Select [VERSION] from the “SYSTEM MENU” to see the software version of the monitor.

MENU” to see the software version of the monitor. Figure 3-15 Monitor Version Due to continuing

Figure 3-15

Monitor Version

Due to continuing product innovation, the version information of your product may differ from that displayed in this menu.

Select [DEVICE CONFIG LIST] to view the configuration of the monitor.

System Menu

System Menu Figure 3-16 Device Configuration List 3.6 Drug Calculation You can use the drug calculation

Figure 3-16

Device Configuration List

3.6 Drug Calculation

You can use the drug calculation and titration table function of the monitor to calculate the concentration of 15 kinds of drugs. Refer to Chapter 9 Drug Calculation and Titration Table for detailed information.

3.7 Maintenance

1. Select [MAINTAIN] from the “SYSTEM MENU”.

2. Enter the password into the frame under the “USER KEY”.

3. Select confirm to enter the “USER MAINTAIN” menu shown in Figure 3-18.

3. Select confirm to enter the “USER MAINTAIN” menu shown in Figure 3-18. Figure 3-17 Enter

Figure 3-17

Enter Maintain Password

System Menu

System Menu Warning It is forbidden to execute factory maintenance function, which is only available for
System Menu Warning It is forbidden to execute factory maintenance function, which is only available for

Warning It is forbidden to execute factory maintenance function, which is only available for the

service engineers of MINDRAY company.

only available for the service engineers of MINDRAY company. Figure 3-18 User Maintain In the “USER

Figure 3-18

User Maintain

In the “USER MAINTAIN” menu, you can set up following items:

[LANGUAGE]: You can select the screen language you need.

[LEAD NAMING]: You can select “AHA” or “EURO”. To know the difference between two

styles, refer to Chapter 12 ECG/RESP Monitoring.

[ALM SOUND]: You can set the alarm volume to “ON” or “OFF”.

You can set the alarm volume to “ON” or “OFF”. Warning When the alarm volume is
You can set the alarm volume to “ON” or “OFF”. Warning When the alarm volume is

Warning When the alarm volume is set to “OFF”, you will not hear the alarm sound if new alarm

occurs. Therefore, you must be very careful in using this selection.

Therefore, you must be very careful in using this selection. Warning If setting the alarm volume

Warning

you must be very careful in using this selection. Warning If setting the alarm volume to

If setting the alarm volume to “OFF” when the system is in Silence or Pause status, the

system will automatically discharge Silence or Pause status.

System Menu

System Menu Warning If you select “Silence” or “Pause” when the alarm volume is set to

Warning

System Menu Warning If you select “Silence” or “Pause” when the alarm volume is set to

If you select “Silence” or “Pause” when the alarm volume is set to “OFF”, the system

will restore the alarm volume before the alarm volume is set to “OFF” and enter Silence

or Pause status.

Noteis set to “OFF” and enter Silence or Pause status. After the alarm volume is set

is set to “OFF” and enter Silence or Pause status. Note After the alarm volume is

After the alarm volume is set to OFF, a

Area.

status. Note After the alarm volume is set to OFF, a Area. symbol will appear in

symbol will appear in the Technical Alarm

to OFF, a Area. symbol will appear in the Technical Alarm Note Setting Alarm Volume to
to OFF, a Area. symbol will appear in the Technical Alarm Note Setting Alarm Volume to

Note Setting Alarm Volume to “OFF” is valid only when the monitor is turned on for this time.

After turning on the monitor next time, this setup will restore its value of the previous

time when the system is turned on.

[ALM PAUSE TIME]: You can set up the duration of Alarm Pause status. Three options are

available, 1 minute, 2 minutes and 3 minutes.

[TEMP SENSOR]: You can choose either “YSI” or “CY-F1”. “CY-F1” is a kind of TEMP probe

made in China.

[NET TYPE]: You can choose “HYPER III” or “CMS”.

[LOCAL NET NO]: It refers to the net No.

COLOR SELF-DEFINE

This is used to define the color of the waveform displayed on the screen. Five colors can be

chosen from: green, cyan, red, yellow and white.

on the screen. Five colors can be chosen from: green, cyan, red, yellow and white. Figure

Figure 3-19 Color Self-define

System Menu

3.8 DEMO Function

System Menu 3.8 DEMO Function Warning The purpose of the demonstration display is to demonstrate the

Warning

System Menu 3.8 DEMO Function Warning The purpose of the demonstration display is to demonstrate the

The purpose of the demonstration display is to demonstrate the performance of the monitor, and for training purpose only. In clinical application, 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. Select [DEMO] from the “SYSTEM MENU” to display the “ENTER DEMO PASSWORD”.

2. After entering the password, the system enters DEMO status.

“ENTER DEMO PASSWORD”. 2. After entering the password, the system enters DEMO status. Figure 3-20 Input

Figure 3-20 Input Demo Key

System Menu

FOR YOUR NOTES

Chapter 4

Face Select

In the “SYSTEM MENU”, select [FACE SELECT] from the “SYSTEM SETUP” menu to display the figure below. There are two options in this dialog, which are “STANDARD SCREEN”, and “VIEWBED SCREEN”. Only one item can be selected at one time.

SCREEN”. Only one item can be selected at one time. Figure 4-1 FACE SELECT 4.1 Standard

Figure 4-1

FACE SELECT

4.1 Standard Screen

Select the “STANDARD SCREEN” to enter the Standard Screen. The Standard Screen is the basic operating screen of the monitor.

t he Standard Screen. The Standard Screen is the basic operating screen of the monitor. Figure

Figure 4-2

STANDARD SCREEN

Face Select

4.2 Viewbed Screen

If another monitor is connected on the same LAN of this monitor, you can use this monitor to view any measured waveform and information about all measured parameters from another monitor.

Enter Viewbed Screen

Select the “VIEWBED SCREEN” option in the “FACE SELECT” menu. Viewbed Screen window occupies the space of the bottom four waveforms.

window occupies the space of the bottom four waveforms. Figure 4-3 Hot key of Viewbed VIEWBED

Figure 4-3

Hot key of Viewbed

VIEWBED SCREEN

There are two hot keys in the Viewbed Screen: Select Bed Number and Select Waveform.

The hot key of Select Bed Number displays the bed numbers and patient names of other monitors currently connected on the LAN. You can select a monitor to be monitored according to the patient name and bed number. 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”. After you use this hot key to select a monitor to be viewed, the system will toggle to the display of the selected monitor for your view. The selected waveform is one of those listed in the hot key of Select Waveform.

The hot key of Select Waveform is used to select a waveform generated by the monitor being viewed. If the hot key of Select Waveform displays “N/A”, it indicates that the bedside monitor being viewed has no waveforms. You can use this hot key to select and therefore view different waveforms of the monitor being viewed.

Face Select

Alarm indicator of Viewbed

On the upper right side of the Viewbed Screen, there is an Alarm Indicator used to tell the alarm status of the monitor being viewed. The activity of this alarm indicator is identical with that of the alarm lamp on the panel of the monitor being viewed. That is to say, if the monitor being viewed occurs medium/low level alarm, this alarm indicator illuminates yellow; if it occurs high level alarm, this alarm indicator illuminates red. If the monitor being viewed has no alarm or the alarm is screened, the icon for this alarm indicator will not be displayed.

Parameter area of Viewbed Screen

Under the hot key of Select Bed Number is the Parameter area, in which parameters of all monitors being viewed are displayed.

Waveform area of Viewbed Screen

Under the hot key of Select Waveform is the Waveform area. The Sweep manner (refreshing or scrolling) of the waveform is identical with that of this monitor. The feature description of the displayed waveform is given above the waveform. Sweep speed is also identical with that set up for the same waveform on this monitor.

Technical Information area

Technical Information area is to the right of patient name in Viewbed Screen. This area displays related technical information to Viewbed, such as due to network failure or network too busy, Viewbed is disabled.

Close Viewbed Screen

In the FACE SELECT menu, select options of other operating screens to close the Viewbed Screen.

Rules for automatically selecting monitor to be viewed and waveform

When you turn on the monitor or enter Viewbed Screen, the system will automatically select a networked bedside monitor and a waveform of this monitor for you to view. If the monitor being currently viewed is disconnected, the viewed monitor will automatically close, clear displays of all alarms, parameters and waveforms. However in this situation, the Viewbed Screen still displays. If you want to view another monitor, you must select again through using hot keys.

If a measure module of the viewed monitor is disconnected or closed, its corresponding waveform will disappear and the waveform in the waveform area will not be refreshed. Instead this waveform area will display empty. At this time, if you want to view other waveforms of this monitor, you need to select again.

Face Select

FOR YOUR NOTES

Chapter 5

Alarm

Alarm Modes

Alarm Self-test

Alarm Cause

SILENCE/CLOSE/PAUSE

Parameter Alarm

When an Alarm Occurs

■ Parameter Alarm ■ When an Alarm Occurs Warning When the monitor is powered on, the
■ Parameter Alarm ■ When an Alarm Occurs Warning When the monitor is powered on, the

Warning When the monitor is powered on, the system will test whether the audio and visual

alarm function is working normally or not. Upon turning on the monitor, a tone “DO-”

will be heard. At the same time the alarm indicator will flash once in different color. If

the audio and visual alarm function is not normal, do not use the monitor on the patient.

Please contact Mindray Customer Service immediately.

5.1 Alarm Modes

5.1.1. Alarm Level

The monitor classifies alarms into three categories.

1. Physiological alarm:

Physiological alarm is on the upper right part of the screen. It

refers to those alarms triggered by the patient’s physiological condition, which could

be considered dangerous to his or her life.

exceeding alarm limit (parameter alarms).

These are alarms such as heart rate (HR)

2. Technical alarm:

Technical alarm is to the left side of the physiological alarm. It

refers to a system failure that can make certain monitoring processes technically

impossible, or make the monitoring result unreliable.

a System Error Message.

A technical alarm is also called

3. General alarm:

General alarms belong to those situations that can not be

categorized into the other two types, but still need to have some attention given to

them.

Each type of alarm, either technical or physiological, has its own priority level.

1. High Level Alarms:

A high level alarm indicates the patient’s life is in danger or the

monitor has a serious technical problem. This is the highest level of alarm and is

the most serious alarm.

Alarm

2. Medium Level Alarms:

3. Low Level Alarms: A low level alarm is a general warning.

A medium level alarm means a serious warning.

For high priority alarms, when they occur, the monitor will give a prompt in a more alert way.

Some alarms levels can be changed via the software in the monitor. 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.

5.1.2. Alarm Modes

When an alarm occurs, the monitor will notify the user in at least three ways.

A beep or tone is generated.

1. Audio Sound:

Usually this consists of a series of

short beeps, or tones followed by a pause, and repeated.

2. Visual prompts:

A flashing or constant alarm lamp, or flashing indication of the

measured parameter is generated at the same time as the audio sound.

3. Screen Messages: The description is displayed on the screen.

Screen Messages: The description is displayed on the screen. Note The type of presentation for each
Screen Messages: The description is displayed on the screen. Note The type of presentation for each

Note The type of presentation for each alarm is dependant on the alarm level.

Screen Messages

For technical alarm, when an alarm occurs, the description will be displayed in the information

area without asterisk signal.

For a measured parameter, when its value exceeds the alarm limits, a physiological alarm will

be triggered. The description with asterisk signal will appear on the screen.

1. Triple “***” means high-level alarm.

2. Dual “**” means medium-level alarm

3. Single “*” means low-level alarm.

Visual Prompts

When the measured value of a monitored parameter exceeds the alarm limit, the monitor

indicates the alarm by making the monitored parameter value flash every 1 second. This is

in addition to the alarm indications described above. If, at this time, the upper and lower

alarm limits for the parameter are displayed, they will flash at the same 1 second intervals.

The alarm indicator uses the following visual presentation to indicate high, medium, or low

level alarms.

High level:

Medium level:

Low level:

Alarm indicator flashes red with high frequency.

Alarm indicator flashes yellow with low frequency.

Alarm indicator lights on yellow.

Alarm

Audio Sound

The monitor uses the following audible presentations to indicate high, medium or low level

alarms.

Alarm level

Audio prompt

High

“DO-DO-DO------DO-DO, DO-DO-DO------DO-DO” once every 8 seconds.

Medium

“DO-DO-DO” once every 24 seconds.

Low

“DO-” once every 24 seconds.

24 seconds. Low “DO-” once every 24 seconds. Note When alarms of different levels occur at
24 seconds. Low “DO-” once every 24 seconds. Note When alarms of different levels occur at

Note When alarms of different levels occur at the same time, the monitor gives the sound of

the highest level.

5.1.3. Alarm Setup

The setup for alarms is done by using the alarm setup menu.

1. Select [ALARM SETUP] from the “SYSTEM SETUP” menu.

2. Select [ALM SEL], you can set the information for “COMMON ALM SETUP” and settings

for each parameter.

2
2

Figure 4-1

ALARM SETUP

COMMON ALM SETUP

Select [COMMON ALM SETUP] to display following setup items for all parameters.

ALARM VOL: Alarm volume. There are ten options: 1~10. “1”means the minimum

volume, and “10” means the maximum volume.

ALM REC TIME: It refers to the recording duration and has three options: 8s, 16s, 32s.

The system can output the waveform of 4s, 8s or 16s prior to and after the alarm occurs.

PARA ALM TYPE: Select LATCH or UNLATCH.

LATCH refers to the situation where once an alarm occurs, the monitor will stay in alarm

until intervention by the operator (press SILENCE on the panel).

UNLATCH refers to the situation where the monitor will stop the alarm once the condition

Alarm

causing the alarm is returned to a state that no longer violates the alarm conditions. This is done automatically by the monitor.

Alarm setup of each parameter

1.

From the “ALARM SETUP” menu, select the [ALM SEL].

You can set the alarm information for the monitored parameters. These are HR, ST, PVC, SPO2, NIBP, RESP and TEMP. Example: To set the alarm information for HR

2.

1. Select [HR ALM SETUP] from the pull-down list of [ALM SEL] to displays the “ALARM SETUP” menu for heart rate.

2. Five items are available for HR alarm settings.

HR ALM:

ON of OFF

ALM LEV:

Alarm level, high, 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. Use the rotary knob to select each item, and then press the knob and a pull-down list

appears for you to make the desired selection. The method for setting the alarm information for other parameters is the same as for HR.

5.2 Alarm Self-test

When the monitor is turned on, the system will test the audio and visual alarm function. Each time when the power is turned on, the system will give “DO-” alarm sound, and the alarm indicator on the display will flash once in different color. If the system does not give “DO-“ sound and the alarm does not flash, do not use the monitor on patients, and notify Mindray Customer Service.

5.3 Alarm Cause

Alarms occur when:

1. Physiological measured parameter alarm limit is violated.

2. An alarm for system error (technical alarm) occurs.

3. A general alert occurs.

A. Physiological alarms

When the measured value of a physiological parameter exceeds the alarm limit and the alarm is set to “ON”, an alarm will be activated. No alarm will be activated if the alarm is set to “OFF”.

Alarm

B. Technical alarms

When a system error occurs, the system initiates an alarm immediately and proceeds to

implement a corresponding remedy, such as stop displaying corresponding parameter and

waveform and clear the final displayed value to avoid misleading the treatment. If more than

one error occurs, they will be displayed in order.

C. General alert

In some circumstances, general alerts will behave similar to a monitored parameter alarm. But

in a normal sense, they are not regarded as patient health related items. For example, if

patient probe/sensor is not connected when the monitored is turned on, the system will give

technical alarm such as SENSOR OFF.

5.4

SILENCE/CLOSE/PAUSE

SILENCE/CLOSE

Press the SILENCE button on the panel for more than 1 second, the system will shut off all

sounds. Press the SILENCE button again, the system can exit the SILENCE status and

restore the PAUSE status and accordingly suspend the alarm as per the previously defined

time duration. Press the SILENCE button for the third time, the system will exit the PAUSE

status and restore the normal alarm status by giving the alarm sound again. When the system

is in the SILENCE status, any new alarm will terminate the SILENCE status and make the

system restore the normal alarm status.

Note

Note

Note

When the

When the symbol appears indicating the alarm sound is shut off and accordingly the

symbol appears indicating the alarm sound is shut off and accordingly the

system will not give alarm sound. Therefore, you must be very careful in using this function.

There are two methods to terminate this status. One is to set the alarm volume to “ON” in the

MAINTAIN menu. The other method is to Press the SILENCE button shortly to make the

method is to Press the SILENCE button shortly to make the symbol become alarm status again.
method is to Press the SILENCE button shortly to make the symbol become alarm status again.

symbol become alarm status again.

; Press the SILENCE button again and the system will restore the normal

PAUSE

Press the SILENCE button on the panel shortly, the system will shut off all alarm sound and

visual prompt as well as description of physiological alarm, and enter the PAUSE status. The

countdown of PAUSE status is displayed in the Physiological Alarm area, in which area the

symbol is also displayed.displayed in the Physiological Alarm area, in which area the The time duration of the PAUSE

The time duration of the PAUSE status can be set to 1min, 2min or 3min. You can select in

the [ALM PAUSE TIME] item in the “SYSTEM MENU\MAINTAIN”.

After Pressing the SILENCE button again, the system will restore the normal status. Besides,

Alarm

the occurrence of any new technical alarm will also terminate the PAUSE status and let the

alarm w ill also terminate the PAUSE status and let the system restore the normal status.

system restore the normal status. The symbol disappears, too.

restore the normal status. The symbol disappears, too. Note After the system goes back to the
restore the normal status. The symbol disappears, too. Note After the system goes back to the

Note After the system goes back to the normal status, the existence of alarm depends on

whether the alarm condition is complied with. After Pressing the SILENCE button, the

system will temporarily shut off the alarm sound for LEAD OFF/SENSOR OFF alarm.

5.5 Parameter Alarm

The settings for parameter alarms are located in the parameter individual menus. In the menu

for a specific parameter, you can check and set the alarm limit or alarm status. The settings

for the parameters are isolated from each other.

settings for the parameters are isolated from each other. When a parameter alarm is set to

When a parameter alarm is set to OFF, a “ set the alarm to ON/OFF for each parameter.

” icon is displayed near the parameter. You can

For the parameters whose alarm is set to ON, an alarm will be triggered when at least one of

the settings is violated. The following actions take place:

1. An alarm message is displayed on the screen as described in 5.1.2 Alarm Modes.

2. If you have set up the alarm volume, the system can give alarm sound as per the pre-set

alarm level and volume. When alarms of more than one parameter occur at the same

time, the system will give the alarm sound in the highest alarm level.

3. The alarm indicator flashes.

4. If you have set up the alarm recording time in the “ALARM SETUP” menu to 8s, 16s or

32s, the system will store the waveform of 4s, 8s or 16s prior to and after the alarm;

5. If the alarm recording is set to ON, the system will automatically activate the recorder to

start alarm recording. For detailed information, refer to Chapter 7 Recording.

5.6 When an Alarm Occurs

refer to Chapter 7 Recording . 5.6 When an Alarm Occurs Note When an alarm occurs,
refer to Chapter 7 Recording . 5.6 When an Alarm Occurs Note When an alarm occurs,

Note When an alarm occurs, you shall always check the patient's situation first.

The alarm message appears at the top right of the screen. Identify the alarm and act

appropriately, depending on the cause of the alarm.

Alarm

1. Check the patient's condition.

2. Identify the alarming parameter or the alarm type.

3. Identify the cause for the alarm.

4. If necessary, silence the alarm sound.

5. If the alarm status terminates, 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.

Alarm

FOR YOUR NOTES

Chapter 6

Freeze

General Description

Entering and Exiting Frozen Mode

Frozen Menu

Recording Frozen Waveform

6.1 General Description

When monitoring a patient, you may freeze the waveforms of interest so you can view them closely. If necessary, you may also use recorder to print out a frozen waveform. The Freeze function of this monitor has following features:

Freeze status can be activated on any operating screen;

At the same time of entering the Freeze status, the system exits all other operating menus and freezes all waveforms in the waveform area of the basic screen. However, the system can still refresh the parameters normally.

You can review and record the frozen waveforms.

6.2

Entering and Exiting Frozen Mode

Entering Frozen Mode

1. In the normal mode, press the “FREEZE” button on the front panel and the menu being displayed (if available) will disappear.

2. The monitor will enter the Frozen mode. At the same time, the “FROZEN” menu will pop up.

3. In the Freeze mode, all waveforms are frozen.

Exiting Frozen Mode

When the monitor is in frozen mode, performing any of the following operations will allow the monitor to exit the frozen mode:

1. Select [EXIT] on the “FROZEN” menu.

2. Press the “FREEZE” button on the front panel again.

3. Press the “MAIN” button on the front panel.

After exiting the Frozen mode, the system displays real-time waveforms again.

Freeze

6.3 FROZEN Menu

Press the “FREEZE” button on the front panel, the FROZEN menu will appear on the bottom

part of the screen and the system enter the frozen mode at the same time.

and t he system enter the frozen mode at the same time. Figure 6-1 FROZEN menu
and t he system enter the frozen mode at the same time. Figure 6-1 FROZEN menu

Figure 6-1

FROZEN menu

WAVE 1: used to select the first frozen waveform to record. The pull-down list

of this item gives you the names of all frozen waveforms displayed on the screen.

WAVE 2: used to select the second frozen waveform to record. The pull-down

list of this item gives you the names of all waveforms displayed on the screen.

REC: select REC and the system will begin recording the frozen waveforms

selected in “WAVE 1” and ”WAVE 2”.

EXIT:

select EXIT and the system will close the FROZEN menu and exit the

frozen mode.

Note

Note

Pressing the “FREEZE” button repeatedly may result in discontinuous waveforms on

the screen.

6.4 Recording Frozen Waveform

In the Frozen mode, you may record the frozen waveforms.

be recorded simultaneously.

A maximum of 2 waveforms can

On the FROZEN menu, the pull-down lists for “WAVE 1” and “WAVE 2” give you all

names of the frozen waveforms on the screen.

You may select two.

Select the “REC” option on the FROZEN menu to record the frozen waveforms.

If

one of the two selected waveforms is not available, only the measured parameters

and the other waveform are recorded.

If both selected waveforms are not available,

only the measured parameters are recorded.

For recording frozen waveforms, you can only record the waveforms displayed at the time the monitor enters the freeze status.

The recording time length is the same as the length of the waveform displayed on the screen.

Freeze

While recording frozen waveforms, the monitor is still in the Frozen mode.

After

completion of recording you may select another waveform to be recorded.

Select

the “REC” option again to record new selected waveforms.

If the recorder is not installed, selecting the “REC” option will display the message “Recorder does not exist” in the information bar.

For detailed information about recording, refer to Chapter 7 Recording.

Freeze

FOR YOUR NOTES

Chapter 7

Recording

General Description

Recording Type

Start Recording

Recording Operating and Status Information

7.1 General Description

The monitor uses a thermal dot matrices recorder. The record paper is 48mm wide.

Performance of the Recorder

Waveforms are recorded at a speed of 25 or 50 mm/s.

Up to two waveforms can be recorded.

The recording can have a printed grid, or be on plain paper.

English or Chinese language can be printed.

The recording time and waveforms are selectable.

Time intervals for automatic recording can be selected. The waveform is the same as

for real time recording. The alarm recording waveform is automatically selected by the monitor.

7.2 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

Recording

Real-time Recording

Real-time recording starts as you press the RECORD button.

The system automatically select waveforms (usually the first two waveforms displayed on the

screen) for continuous real-time recording and continuous 8 second recording. Or you can

specify the waveforms in the menu. Refer to Chapter 3.4.4 Recorder Setup for details.

In the “RECORD” menu, you can choose the function to record two waveforms at the same

time or to record only one waveform by closing the other one. If you start recording when two

waveforms are closed, the recorder only outputs parameters.

waveforms are closed, the recorder only outputs parameters. Note When the system is executing a recording
waveforms are closed, the recorder only outputs parameters. Note When the system is executing a recording

Note When the system is executing a recording task, the system can start executing next

alarm recording task only when the current one is finished.

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. Refer to Chapter 3.4.4 Recorder

Setup for details.

Alarm Recording

Parameter Alarm

Conditions for alarm recording: The alarm recording switch must be set to ON and there is

parameter alarm.

Recording length is 4, 8, or 16 seconds prior to and after the alarm (totally 8, 16 or 32

seconds) (which can be selected in the SYSTEM MENU). 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 monitor will output the waveform of the parameter with the

highest alarm level. If the alarms are of the same level, the monitor will output the

waveform of the latest alarm.

2) If other parameters have alarms when the monitor is recording a parameter alarm,

the monitor will record other alarms after it finishes the current recording process.

If many alarms occur at the same time, the monitor will first store part of them and

then record them out later in turn.

3)

ST Segment Alarm

The monitor can record ECG waveforms of 4, 8, or 16 seconds prior to and after the ST alarm

(totally 8, 16, or 32 seconds) and all parameter values when the alarm is happening.

Arrhythmia Alarm

The monitor can record waveforms of 4 seconds prior to and after the alarm (totally 8 seconds)

Recording

and all parameter values when the alarm is happening.

Frozen Waveform Recording

In the Freeze status, the monitor can output the specified screen waveforms. As the result, you can keep the abnormal waveforms for further study.

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.

Alarm Review Recording

The monitor can output the parameter alarm event in the current ALARM RECALL window.

NIBP Review Recording

The monitor can output NIBP review event in the current NIBP RECALL window.

Monitor Information

The monitor can output messages in the current STATUS window.

Titration Table

The monitor can output the messages in the current TITRATION 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, alarm time and freeze time. Patient bed number, name, sex, height, weight, date of birth, admission date. Parameter name and value Recording time Waveform name Waveform scale (only for ECG waveform) ECG lead, scale, filter mode, (if having ECG waveforms, it will be printed out within the first

Recording

second or when changing the lead, gain and filter mode during real-time recording.)

Date and time

Company name

7.3 Start Recording

You can use following ways to start the recording process:

Continuous real-time recording

Press the “RECORD” button to start/stop recording.

8 seconds real-time recording

Auto recording

Alarm recording

Frozen waveform recording

Press the “RECORD” button to start recording. The system will automatically stop recording in 8 seconds.

Start recording automatically as per the interval selected in the [TIMING REC TIME OFF] item in the “RECORD” menu. The system will automatically stop recording in 8 seconds.

When the alarm recording switch is set to ON, the system will automatically start recording when alarm is happening

After accessing the FREEZE menu, you can use knob to select two waveforms for output and then select [REC] to output waveforms.

for output and then select [REC] to output waveforms. If two waveforms are both closed, the

If two waveforms are both closed, the monitor only outputs parameter values in the FREEZE status.

Trend graph recording Select [REC] in the “TREND GRAPH” menu, the monitor will output the trend graph of the parameters being currently displayed.

Trend table recording Select [REC] in the “TREND TABLE” menu, the monitor will output the trend table of the parameters being currently displayed.

Arrhythmia review recording

Select [REC] in the “ARR WAVE RECALL” menu, the monitor will output the ARR waveform being currently displayed and its relevant parameter value.

Alarm review recording Select [REC] in the “ALARM RECALL CONDITION” sub-menu of the “SYSTEM MENU”, the monitor will output the waveforms of the alarming parameter and relevant parameter value.

NIBP review recording Select [REC] in the “NIBP RECALL” sub-menu of the “SYSTEM MENU”, the monitor will output the NIBP value in the current window.

Recording

Monitor information recording

Select [REC] in the “STATUS” sub-menu, the monitor will output status information of the monitor.

Titration table recording Select [REC] in the “TITRATION” sub-menu of the “DRUG CALCULATION” menu, the monitor will output the information in the current titration table.

will output the information in the current titration table. Note You can Press the RECORD button
will output the information in the current titration table. Note You can Press the RECORD button

Note You can Press the RECORD button on the panel to stop the current recording process.

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”.

7.4 Recorder Operating and Status Information

Record Paper Requirement

You must use the thermal-sensitive record paper in accordance with requirement; otherwise