Mindray DPM 1 Manuel de l'opérateur Page 1

DPM 5 Patient Monitor Operator’s Manual

2 4 System Menu ... 4-1 4.1 Overvie

9-6 9.4 NIBP Recall Select NIBP RECALL >> in SYSTEM MENU. The following window appears. Figure 9-3 NIBP Recall The NIBP RECALL window shows

9-7 9.5 Alarm Event Recall Select ALARM RECALL >> in SYSTEM MENU. The following menu appears. Figure 9-4 Alarm Recall Condition Selections

9-8 5. Parameter values at the time of the alarm event. 6. Two waveforms at the time of the alarm event. You can set the waveform length by select

9-9 9.6 Non-Volatile Data Storage To avoid losing patient’s data when the monitor is powered off intentionally or accidentally, this monitor can re

9-10 FOR YOUR NOTES

10-1 10 ECG/RESP Monitoring 10.1 Overview Two algorithm packages are optional for ECG monitoring: 1. Mindray DS algorithm package This package

10-2 10.2.2 Electrode Placement WARNING z Use only the specified ECG cable for monitoring. z When applying electrodes or connecting cables, make

10-3 3-Leadwire Electrode Placement Following is the configuration per European standard when using three leadwires:  R (right arm) electrode: ne

10-4 5-Leadwire Electrode Placement Following is the configuration per American standard when using five leadwires: Figure 10-2 5-Leadwire Electr

10-5 When attaching the chest electrode to the back of a patient, place it at one the following sites:  V7: On the 5th intercostal space at the

3 6.2.1 Visual Alarms ... 6-2 6.2.2 Audible alarms

10-6 10-Leadwire Electrode Placement Figure 10-4 10-Leadwire Electrode Placement 12-lead ECG monitoring uses 10 electrodes which are placed on the

10-7 WARNING z When using Electrosurgery equipment, patient leads should be placed in a position that is equal distance from the Electrosurgery el

10-8 10.3 ECG Display 10.3.1 ECG Waveform In the standard screen, one or two ECG waveform(s) is (are) displayed at the top of the display when LEAD

10-9 WARNING z Only in the DIAGNOSTIC mode will the monitor provide non-processed real signal waveforms. In the MONITOR or SURGERY mode, the ECG w

10-10 10.4 ECG Setup Menu To display the ECG SETUP menu, use the knob to select the ECG label in the parameter windows. The options available in th

10-11 The options of ECG SETUP menu are listed below. However, your algorithm package may not include some of these options.  HR ALM Heart rate

10-12 1. ECG: HR is always calculated from ECG. 2. SpO2: If the ECG signal is seriously interfered, you can select SPO2, which means PR will be der

10-13 Other Setup Select OTHER SETUP >> in the ECG SETUP menu. The following menu appears. The options available in the menu vary with each a

10-14 When ECG is in NORMAL DISPLAY mode, if the SMART LEAD OFF is configured ON and there is a LEAD OFF in the HR-derived channel, the system will

10-15 NOTE z When monitoring a patient with a pacemaker, PACE must be turned ON. Otherwise, the system will count the pacemaker pulse as QRS compl

4 10.4 ECG Setup Menu ... 10-10 10.5 ST Analysis

10-16 NOTE z If the filter method of the ECG waveform is set to a non-diagnostic mode, only the NOTCH option ON is active and the monitor filters

10-17  ECG CAL Select this option to begin calibrating the ECG. To stop calibration, select this option again, or change the ECG lead selection

10-18 10.5 ST Analysis 10.5.1 Overview  The function of ST analysis is optional.  In the factory configuration, ST analysis is disabled.  Whe

10-19  ST ANAL ST analysis ON: Enables the ST analysis; OFF: Disables the ST analysis. NOTE z ST analysis can be carried out only when the filt

10-20 10.5.3 Adjusting ST Measurement Point The ST measurement for each beat complex is the ventical difference between two measurement points. The

10-21 Mortara algorithm package To adjust the points: 1. Select DEF POINT >> in the ST ANALYSIS menu to open the following window. Three ver

10-22 10.6 Arrhythmia Analysis 10.6.1 Overview The monitor uses the user-selected primary or secondary ECG lead for arrhythmia analysis. In clinica

10-23 10.6.2 Arrhythimia Options Mortara algorithm package When Mortara algorithm package is configured, your monitor has the following extended ar

10-24 10.6.3 Arrhythmia Analysis Menu Select ARR ANALYSIS >> in ECG SETUP menu. The following menu appears. The menu items vary with the algo

10-25 10.6.4 Arrhythimia Relearn During ECG monitoring, you may need to start an arrhythmia relearn when a dramatic change in the patient’s ECG pat

5 12.4 NIBP Setup Menu ... 12-5 12.4.1 Calibrati

10-26 Figure 10-17 Arrhythmia Alarm Setup (Mortara algorithm package) In the menu, the ALM field indicates the alarm on/off status, REC indicates t

10-27 10.6.6 Arr Threshold Select ARR THRESHOLD >> in the ECG SETUP menu and the following menu appears. You can change the threshold setting

10-28 10.6.7 Arrhythmia Recall Select ARR RECALL >> in the ARR ANALYSIS menu. The following menu appears. You can review any stored arrhythmi

10-29 Figure 10-20 Arrhythmia waveform Review You can perform the following operations:  UP-DOWN This option allows you to page up and down to r

10-30 10.7 12-Lead 10.7.1 12-Lead Monitoring Display You can enter the 12-lead monitoring display if your monitor is configured with the 12-lead mo

10-31 In the 12-Lead Monitoring Display:  Labels except the ECG-related ones (ECG, ST, GAIN, RHYTHM) are all disabled.  The REC button on the c

10-32  ST ALM ST segment alarm ON: If the measured ST numerics exceed the alarm limit, the monitor gives alarm indications and saves the alarm;

10-33 10.8 RESP Monitoring 10.8.1 Overview Respiration is detected by measuring thoracic impedance. The monitor measures the change of the impedane

10-34 10.8.2 Electrode Placement Since the same electrodes are used for ECG and respiration monitoring, the electrode placement is very important.

10-35 10.8.3 Respiration Setup Selecting the RESP label on the screen opens the following menu. Figure 10-25 RESP Setup Menu In this menu, you can

6 17 Maintenance ... 17-1 17.1 Inspect

10-36 For different patient types, the upper/lower limits of the respiration rate alarm may vary in the following range. Patient type Upper Limit

10-37 10.9 Maintenance and Cleaning WARNING z Before cleaning the ECG cable, be sure to disconnect the monitor from the ECG cable, or shut down th

10-38 FOR YOUR NOTES

11-1 11 SpO2 Monitoring 11.1 Overview The monitor measures the patients’ SpO2 (oxygen saturation) and displays: 1. Pulse rate (PR) value in the E

11-2 PITCH TONE The PITCH TONE function refers to the monitor’s capability to vary the pitch of the heart rate tone or pulse rate tone with the cha

11-3 11.2.2 Precautions WARNING z The SpO2 value might be overestimated in the presence of Hb-CO, Met-Hb or dye dilution chemicals. z Check if th

11-4 NOTE z Place the SpO2 sensor cable at the backside of the patient hand. Make sure the fingernail is just opposite to the light emitted from th

11-5 Figure 11-5 Neonate Sensor Placement (3) NOTE z If the sensor cannot be positioned accurately to the part to be measured, it may result in i

11-6 11.2.4 Measurement Limitations If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs by an altern

11-7 11.2.5 SpO2 Setup Menu Selecting the SPO2 label in the parameter window opens the following menu. Figure 11-6 SpO2 Setup Menu You can perform

1-1 1 Safety 1.1 Safety Information The safety statements presented in this chapter refer to the basic safety information that the operator of the

11-8 SpO2 and PR alarm limits: Parameter Upper Limit Lower Limit Step SpO2 (lower limit+1) ~100 0~(upper limit-1) 1 PR (lower limit+2) ~254 0~

11-9  CONFIG >> You can select this option to access the SPO2 CONFIG menu, in which you may select FACTORY CONFIG or USER CONFIG. After fin

11-10  Automatic Calibration Because light absorption by hemoglobin is wavelength dependent and because the mean wavelength of LEDs varies, a mon

11-11 11.3.2 Precautions WARNING z Pulse oximeter can overestimate the SpO2 value in the presence of Hb-CO, Met-Hb or dye dilution chemicals. z E

11-12 11.3.4 Measurement Limitations If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs by an alter

11-13 11.3.5 SpO2 Setup Menu Selecting the SPO2 label in the parameter window opens the following menu. Figure 11-8 SpO2 Setup Menu You can per

11-14 SpO2 and PR alarm limits: Parameter Upper Limit Lower Limit Step SpO2 (lower limit+1) ~100 0~(upper limit-1) 1 PR (lower limit+2) ~254 0

11-15 11.3.6 Accessories If your monitor is equipped with a Nellcor SpO2 module, use only Nellcor oximetry sensors for SpO2 measurements. Other sen

11-16 FORYOURNOTES

12-1 12 NIBP Monitoring 12.1 Overview The Non-invasive Blood Pressure (NIBP) module measures blood pressure using the oscillometric method. This m

1-2 1.1.1 Dangers There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections o

12-2 If a set of measured results appears in grey, it indicates this measurement is performed at least 1 hour ago. 12.2 Monitoring Procedure WARN

12-3 5. Make sure that the cuff edge falls within the range of the <-> mark. If it does not, use a larger or smaller cuff that will fit bette

12-4 3. To start a continuous NIBP measurement Selecting CONTINUAL in NIBP SETUP menu starts a continuous NIBP measurement. The monitor continue

12-5 12.4 NIBP Setup Menu Selecting the NIBP label in the parameter area opens the following menu. Figure 12-2 NIBP Setup Menu You can perform th

12-6  SYS ALM HI Determines the upper limit of the systolic pressure.  SYS ALM LO Determines the lower limit of the systolic pressure.  MEA

12-7 NS NM ND PR DATE TIME 108 84 70 68 2006-6-12 16:06:00 108 80 70 67 2006-6-12 16:11:00 108 80 70 72 2006-6-12 16:16:00  UNIT Opt

12-8 Figure 12-3 NIBP Calibration NOTE z The calibration of the NIBP measurement should be performed every two years or performed according to t

12-9 5. If no information appears on the bottom of the NIBP parameter area, it indicates the airway is in good condition and an air leak does not e

12-10 Figure 12-5 Replacing the Rubber Bladder To replace the rubber bladder in the cuff: 1. Place the bladder on top of the cuff so the rubber

13-1 13 TEMP Monitoring 13.1 Overview The monitor is able to use two temperature probes simultaneously, to obtain two temperature values and the d

1-3 1.1.3 Cautions CAUTION z To ensure patient safety, use only parts and accessories specified in this manual. z Remove the battery from the pat

13-2 13.2 Measurement Procedure To measure the temperature of a patient, 1. If a disposable temperature probe is used, plug the temperature probe

13-3 13.3 TEMP Setup Menu Selecting the TEMP label in the parameter window opens the following menu. Figure 13-2 TEMP Setup Menu You can perform

13-4 between channel 1 and channel 2.  TEMP UNIT Options: ℃ and ℉  CONFIG >> You can select this option to access the TEMP CONFIG me

14-5 14 IBP Monitoring 14.1 Overview The monitor provides two channels to measure the invasive blood pressure (IBP, including diastolic, systolic

14-6 14.2 Precautions WARNING z Use only the IBP transducer specified in this operation manual. Disposable IBP transducers or domes should not be

14-7 14.3 Monitoring Procedure 1. Plug the pressure cable into the IBP connector on the monitor and power on the monitor. 2. Prepare the pressure

14-8 14.4 IBP Menu Selecting the IBP (1,2) label in the parameter window opens the following menu. Figure 14-4 IBP (1,2) Select Menu 14.4.1 IB

14-9 You can perform the following settings in this menu.  ALM IBP alarm on/off status ON: When a IBP alarm occurs, the monitor gives alarm

14-10 Figure 14-6 IBP Alarm Setup Menu IBP alarm limits Pressure Label Upper Limit (mmHg) Lower Limit (mmHg) Step (mmHg) ART (lower limit+2) ~30

14-11 1. HI: Determines the high scale. The reference scale changes when the high scale is changed. 2. LO: Determines the low scale. The referenc

1-4 1.1.4 Notes NOTE z Keep this manual close to the patient monitor so that it can be obtained conveniently when necessary. z This patient monit

14-12 14.4.2 IBP Pressure Zero Menu You can select IBP PRESURE ZERO in IBP (1,2) SELECT menu to open the following menu. Figure 14-9 IBP Pressure

14-13 NOTE z To ensure correct measurement, zero the transducer before it is used to zero the monitor. z Position the transducer at the same leve

14-14 14.5 Maintenance and Cleaning WARNING z Before cleaning the transducer, make sure the transducer is disconnected from the monitor, or the m

14-15 Sterilization  Chemical Solution Sterilization After finishing the cleaning, select an effective sterilant for chemical solution sterilizat

14-16 FORYOURNOTES

15-1 15 CO2 Monitoring 15.1 Overview The monitor is able to measure the CO2 pressure of the patient airway, and displays the CO2 waveform in the w

15-2 15.2 Mindray DS CO2 Module NOTE z This section is only applicable to a monitor equipped with a Mindray DS CO2 module. 15.2.1 Principles o

15-3 15.2.2 Preparations for CO2 Measurement 1. Plug the water trap into its receptacle before the measurement. 2. Open the CO2 SETUP menu and se

15-4 The calculation formulas in the above two compensations are as follows: ATPD: PCO2 (mmHg)= CO2 (vol%)× Pamp/100 BTPS: PCO2 (mmHg)= CO2 (vol%)×

15-5 You can perform the following settings in this menu.  ALM Alarm on/off status ON: When a CO2 alarm occurs, the monitor gives alarm indicatio

1-5 1.2 Equipment Symbols NOTE z Some symbols may not appear on your equipment. Attention: Consult accompanying documents (this manual). Powe

15-6 Alarm limits: Parameter Upper Limit Lower Limit Step CO2 (lower limit+2) ~100 0~(upper limit-2) 1 INS 0~100 / 1 AwRR (lower limit+2) ~150

15-7 Other Setup Selecting OTHER SETUP option opens the following menu. Figure 15-4 CO2 Other Setup Menu You can perform the following settings i

15-8 When BTPS is turned ON, the system performs BTPS compensation automatically; when BTPS is turned OFF, the BTPS compensation is disabled. When m

15-9 15.2.4 CO2 User Maintain Menu Select CO2 USER MAINTAIN >> in USER MAINTAIN menu. The following menu appears. Figure 15-5 CO2 User Main

15-10  CONFIRM CAL This option allows you to confirm the calibration of the CO2 module. Calibration Procedure 1. Verify the module enters th

15-11 15.3 Oridion CO2 Module NOTE z This section is applicable to a monitor equipped with the Oridion CO2 module only. z When the sample flow i

15-12 15.3.2 Preparations for CO2 Measurement 1. Plug the sampling line into its receptacle before the measurement. 2. Open the CO2 SETUP menu

15-13 15.3.3 CO2 Setup Menu Selecting the CO2 label in the parameter window opens the following menu. Figure 15-8 CO2 Setup Menu You can perform t

15-14  AWRR ALM LO Lower alarm limit of AwRR  APNEA ALM Determines the apnea alarm delay. If the apnea of the patient exceeds the preset apnea

15-15 You can perform the following settings in this menu.  MAX HOLD If Max Hold is configured to 10 sec or 20 sec, the etCO2 numeric shows the

1-6 Gas outlet ESD sensitivity Manufacture date Serial number European community representative This mark means that this device is fully in c

15-16 15.3.4 CO2 User Maintain Menu Select CO2 USER MAINTAIN >> in USER MAINTAIN menu. The following menu appears. Figure 15-10 CO2 User Mai

15-17 Calibration Procedure 1. Verify the module enters the Full Accuracy Mode. 2. Connect a gas bottle with the CO2 sensor connector on the moni

15-18 15.3.6 Oridion Information This trademark is registered in Israel, Japan, Germany and US. Oridion Patents This device and the CO2 sampli

16-1 16 Anesthesia Gas Monitoring 16.1 Overview The anesthesia gas (AG) monitoring can be used for measuring the anesthesia gas and respiration ga

16-2 Parameters:  CO2: Carbon dioxide  N2O: Nitrous oxide (laughing gas)  O2: Oxygen  AwRR: Airway respiration rate (respiration per m

16-3 16.2 Measurement Principles and Procedure Measurement principle of AGs The AG concentration is measured based on the rationale that the AGs h

16-4 WARNING z Ensure the compactness of the connection when performing gas measurements. Any leakage in the system will lead to incorrect reading

16-5 16.3 MAC Minimum alveolar concentration (MAC) is the minimum concentration of the agent in the alveoli. It is a basic index to indicate the de

16-6 16.4 AG Setup Menu Select the GAS label in the parameter window. The AG SETUP menu appears. Figure 16-4 AG SETUP menu In this menu, you can s

16-7  O2 COMPEN The options include: OFF, 30%, 40%, 50%, 60%, 70%, 80%, 90%, and 100%. When the O2 concentration exceeds 60% and it is not being

2-1 2 The Basics 2.1 Monitor Description This monitor integrates the functions of parameter measurement, waveform monitoring, freezing, and record

16-8  EtCO2 ALM LO Set the lower limit of EtCO2 which triggers the alarm  FiCO2 ALM HI Set the upper limit of FiCO2 which triggers the alarm 

16-9 Adjust Wave Amplitude Menu Select ADJUST WAVE AMP>> in AG SETUP menu. The following menu appears. Figure 16-7 ADJUST WAVE AMP menu In t

16-10 16.5 Calibrating AG Calibrate the AG module every year or when the measured value has a great deviation. Tools required:  Gas bottle, with

16-11 8. If the calibration is finished successfully, the message CALIBRATION COMPLETED! is displayed. If the calibration failed, the message AG CA

16-12 FOR YOUR NOTES

17-1 17 Maintenance WARNING z Failure on the part of the responsible hospital or institution employing the use of the monitoring equipment to imp

17-2 17.2 Cleaning WARNING z Be sure to shut down the system and disconnect all power cords from the outlet before cleaning the equipment. Your e

17-3 17.3 Disinfection and Sterilization Sterilization or disinfection may cause damage to the equipment. We recommend the sterilization and disinf

17-4 FOR YOUR NOTES

18-1 18 Accessories WARNING z Use accessories specified in this chapter. Using other accessories may cause damage to the patient monitor or not m

2-2 2.1.4 Functions This monitor is capable of monitoring the following parameters.  ECG  Heart rate (HR)  ECG waveform(s)  ST segment anal

18-2 18.1 ECG Accessories ECG Electrodes Model Quantity Patient Category Part No. 210 10 pieces Adult 0010-10-123042258-3 3 pieces Neonate 900E-

18-3 18.2 SpO2 Accessories Extension Cable Module type Part No. Mindray DS SpO2 Module 0010-20-42594 SpO2 Sensors The SpO2 sensor material that

18-4 18.3 NIBP Accessories Tubing Type Patient Category Part No. Adult, pediatric 509B-30-06259 Reusable Neonate 509B-30-06260 Reusable Cuff Mo

18-5 18.4 TEMP Accessories Extension Cable Type Model Temp probe Part No. Reusable MR420 MR411, MR412 0011-30-90444 Temp Probes Type Model

18-6 Manufacturer Accessory Smith Medical (Medex) MX961Z14 trunk cable MX960 transducer MX9605A monitoring kit MX960E6441 transducer seat MX261

18-7 18.6 CO2 Accessories 18.6.1 Mindray DS CO2 Accessories Material Patient Category Remark Part No. DRYLINE Watertrap Adult, pediatric 9200-

18-8 18.8 Others Model Part No. M05-010001-06 (black) Lithium battery 0146-00-0099 (gray) 023-000034-00 CF storage card 0000-10-10798 Data ou

A-1 A Product Specifications A.1 Safety Classifications Type of protection against electric shock Class I with internal electric power supply. Whe

A-2 A.3 Power Source Specifications AC Power Supply Specifications Input voltage 100 to 240 V～ Current 1.4A to 0.6A Frequency 50/60 Hz Fuse T 3

A-3 A.4 Hardware Specifications Physical Size 318 × 270 × 137mm (width×height×depth) Weight Different due to different configurations Standard con

2-3 2.2 External Appearance 2.2.1 Front Panel Figure 2-1 Front Panel This monitor is designed to comply with the requirements of relative interna

A-4 A.5 Data Storage Trend data Long trend: 96 hours, resolution 1min, 5 min or 10 min. Short trend: 1 hour, resolution 1 s or 5 s. Alarm events 70

A-5 Conducting resistance < 1Ω Isolation voltage > 1500 VAC Signal type Normally open or normally closed, selectable Defibrillator synchron

A-6 Input signal range ±8mV (peak-to-peak value) Accuracy of input signal reproduction Methods A and D were used to establish overall system error

A-7 Response time of tachycardia alarm When tested in accordance with ANSI/AAMI EC13 Section 4.1.2.1 g, the response time is as follows: Figure 4ah

A-8 A.8.2 Mortara Software Package Lead naming style AHA, EURO Lead fault The lead resistance is no greater than 51 kΩ and it is in parallel with

A-9 The monitor complies with the test method in EC13 Section 5.2.9.14. HR Measurement range Neonate: Pediatric: Adult: 15 to 350 bpm 15 to 350 bpm

A-10 Amplitude: Width: Rise time: ±4 to ±700 mV (3/5-lead) ±2 to ±700 mV (12-lead) 0.1 to 2 ms 10 to 100 µs When tested in accordance with the ANSI

A-11 A.10 SpO2 Specifications A.10.1 Mindray DS SpO2 Module All SpO2 sensors specified in the section Mindray DS SpO2 Accessories meets the followi

A-12 A.10.2 Nellcor SpO2 Module All SpO2 sensors specified in the section Nellcor SpO2 Accessories meets the following specifications when used wit

A-13 A.11 NIBP Specifications Measurement technique Auto oscillation Displayed parameters Systolic pressure, diastolic pressure, mean pressure an

2-4 2.2.2 Left Side Panel Your monitor may not have all connectors as shown below. Figure 2-2 Left Side Panel 1. T1: Temperature probe connec

A-14 A.12 TEMP Specifications Number of channels 2 Displayed parameters T1, T2 and TD Measurement range 0 to 50°C (32 to 122°F) Resolution 0

A-15 Resolution 1 bpm Pressure transducer Excitement voltage 5 VDC, ±2% Sensitivity 5 uV/V/mmHg Impedance range 300 to 3000Ω Volume displacement

A-16 <3 s @ 100 ml/min <3.5 s @ 70 ml/min When measured with an adult watertrap and a 2.5m-long adult sampling line: <5 s @ 100 ml/min <

A-17 A.15 AG Specifications Measurement technique Infrared absorption Measurement mode Sidestream AG functions Meets requirements of ISO9918, ISO

A-18 > 8 Not specified 0 to 1 ±0.15 1 to 5 ±0.2 Enf, Iso, Hal > 5 Not specified 0 to 25 ±1 25 to 80 ±2 O2 (Optional) 80 to 100 ±3 2 to 60 Br

A-19 Effect of interference gases on AG measurements Quantitive effect(%ABS)3) Gas Concentration(％)CO2 N2O Agent 1) O2 CO2 / / 0.1 0 0.2 N2O /

A-20 FOR YOUR NOTES

B-1 B EMC The equipment meets the requirements of EN 60601-1-2. NOTE z Use of accessories, transducers, and cables other than those specified ma

B-2 TABLE 2 Guidance and declaration — electromagnetic immunity The equipment is intended for use in the electromagnetic environment specified bel

B-3 TABLE 3 Guidance and declaration — electromagnetic immunity The equipment is intended for use in the electromagnetic environment specified bel

2-5 2.2.3 Right Side Panel The right side panel differs with different configurations as shown below. Figure 2-3 Right Side Pane

B-4 TABLE 4 Recommended separation distances between portable and mobile RF communication and the equipment The equipment is intended for use in an

C-1 C Alarm Messages and Prompt Information NOTE z Your patient monitor may not include all the information listed in this section. C.1 Physi

C-2 PVC 2* The PVC arrhythmia event occurs to the patient. BIGEMINY 2* The bigeminy arrhythmia event occurs to the patient. TRIGEMINY 2* The t

C-3 C.2.2 ECG Module Alarm Messages Alarm message A B L Cause Measure ECG LEAD OFF No Yes 3 ECG X LEAD OFF No Yes 3 The ECG lead is not con

C-4 C.2.4 TEMP Module Alarm Messages Alarm message A B L Cause Measure TEMP1 SENSOR OFF No Yes 3 The T1 sensor is not connected correctly t

C-5 Alarm message A B L Cause Measure NIBP SYSTEM FAILURE No Yes 2 NIBP TIME OUT No Yes 2 MEASURE FAIL No Yes 2 Failure occurs in the pulse mea

C-6 C.2.7 Nellcor SpO2 Module Alarm Messages Alarm message A B L Cause Measure SPO2 SENSOR OFF No Yes 3 The sensor is disconnected from the pa

C-7 C.2.8 IBP Module Alarm Messages Alarm message A B L Cause Measure IBP1 SENSOR OFF No Yes 3 The invasive blood pressure cable of channel

C-8 Alarm message A B L Cause Measure CO2 BAROMETRIC TOO HIGH No No 2 The barometric pressure is too high. CO2 BAROMETRIC TOO LOW No No

C-9 Alarm message A B L Cause Measure CO2 INIT ERR Yes No 1 The CO2 module is not properly installed, or malfunctions. CO2 COMM STOP No N

2-6 2.2.4 Rear Panel Figure 2-4 Rear Panel 1. Fan Vent 2. Speaker holes 3. Mounting holes for support bracket. 4. Network Connector: Standard R

C-10 Alarm message A B L Cause Measure CO2 CALIB ERROR No No 2 Including the error messages displayed at the lower part of the menu (like gas e

C-11 exceeds 1 second. AG SELF-TEST ERR Yes No 1 AG module fails or fails to communicate with the host. Unplug and re-plug the module and th

C-12 C.2.13 Recorder Module Alarm Messages Alarm message A B L Cause Measure RECORDER INIT ERR N Yes No 2 An error occurs during the record

C-13 C.2.14 System Alarm Messages Alarm message A B L Cause Measure REAL CLOCK NEED SET No No 1 The system time is incorrect. Reset the sy

C-14 C.3 Prompt Messages Prompt messages Cause Measure ECG1 SIGNAL SATURATION ECG2 SIGNAL SATURATION Signals of abrupt change interfere with the

C-15 Prompt messages Cause Measure AG IS STARTING The AG module is starting. Wait for the AG module to finish the startup. AG WARM UP The A

C-16 FOR YOUR NOTES

D-1 D Symbols and Abbreviations Symbols and abbreviations that you may encounter while reading this manual or using the monitor are listed below w

D-2 mmHg millimeters of mercury ms millisecond mV millivolt mW milliwatt nm nanometer ppm part per million s second V volt VA volt amper

D-3 D.2 Abbreviations AAMI Association for Advancement of Medical Instrumentation AC alternating current ADT adult AG anaesthesia gas AHA Amer

2-7 WARNING z Accessory equipments connected to this patient monitor must be certified according to the respective IEC standards (e.g. IEC 60950 f

D-4 ERR error ES electrosuigical ESU electrosuigical unit Et end-tidal EtCO2 end-tidal carbon dioxide EtN2O end-tidal nitrous oxide EtO Et

D-5 MAC minimal alveolar concentration MAP mean arterial pressure MDD Medical Device Directive MEAN mean pressure MetHb methemoglobin Mii init

D-6 SYNC synchronization SYS systolic T1 temperature of channel 1 T2 temperature of channel 2 TB temperature of blood TD temperature differenc

Mindray DS USA, Inc.800 MacArthur Blvd.Mahwah, New Jersey 07430USATel:1.800.288.2121Tel:1.201.995.8000www.mindray.comP/

2-8 10. Control Knob The main operator control is the control knob. The control knob rotates in either direction to highlight parameter labels an

2-9 2. System time The system time of the monitor is displayed in two lines. The time format can be set in the TIME SETUP menu. 3. Technical ala

I Revision History This manual has a revision number. This revision number changes whenever the manual is updated due to software or technical spec

2-10 2.5 Batteries This monitor is designed to operate on battery (sealed lead-acid or Lithium Ion battery) power during intra-hospital patient tra

2-11 2.5.1 Battery Guidelines Life expectancy of a battery depends on how frequent and how long it is used. For a properly maintained and stored le

2-12 2.5.2 Battery Maintenance Conditioning a Battery A battery should be conditioned before it is used for the first time. A battery conditioning

2-13 NOTE z The battery might be damaged or malfunctioned if its operating time is too short after being fully charged. The operating time depends

2-14 In front of the wireless network card are three indicators that indicating its working status:  POWER indicator  OFF: The wireless network

3-1 3 Installation WARNING z The installation of the monitor must be carried out by personnel authorized by us. The software copyright of the mon

3-2 3.1 Unpacking and Checking Before unpacking, examine the packing case carefully for signs of damage. If any damage is detected, contact the car

3-3 3.3 Power Source Requirements The power applied to the monitor must meet the requirements specified in this manual. WARNING z Make sure that

3-4 3.4.3 Installing the Battery If the monitor is to be powered by the internal battery, install the battery following the steps as below: 1. Ope

3-5 3.4.6 Auxiliary Output Port The auxiliary output port can be used to generate analog signals, nurse call signals or defibrillator synchronizati

II Intellectual Property Statement Mindray DS USA, Inc. (hereinafter called Mindray DS) owns the intellectual property rights to this product and t

3-6 3.4.8 Equipotential Grounding When other equipments are used together with the monitor, a grounding cable should be used to connect the equipot

4-1 4 System Menu 4.1 Overview This chapter only gives introduction to the system menu. Other menus will be described in the following chapters.

4-2 4.2 Patient Setup Select PATIENT SETUP>> in SYSTEM MENU. The following menu appears. Figure 4-2 Patient Setup Menu This menu displays th

4-3 4.2.1 Admit Patient To admit a new patient, please follow this procedure: 1. Select ADMIT PATIENT in PATIENT SETUP menu. 2. Select YES in the

4-4 NOTE z If the PAT NO or NAME has not been input, “PATI. INFO. IMCMP” will be displayed in the patient information area. 4. Select OK button,

4-5 4.2.2 Quick Admit Patient 1. Select QUICK ADMIT PATIENT in PATIENT SETUP menu. 2. Select YES in the pop-up CONFIRM TO CLEAR THE DATA menu. 3.

4-6 4.3 Configuration Setup Select CONFIG >> in the SYSTEM MENU. The following menu appears. Figure 4-5 Configuration menu If you have chang

4-7 4.4 System Setup Select SYSTEM SETUP>> in SYSTEM MENU. The following menu appears. Figure 4-6 System Setup SYSTEM SETUP menu contains t

4-8 4.4.1 Face Select Select FACE SELECT>> in SYSTEM SETUP menu. The following menu appears. Figure 4-7 Face Select In the FACE SELECT menu

4-9 You can perform the following settings in the menu above:  ALM SEL Alarm selection Options: COMMON ALM SETUP, XX ALM SETUP; (XX refers to phy

III Manufacturer’s Responsibility All information contained in this manual is believed to be correct. Mindray DS shall not be liable for errors con

4-10 4.4.3 Time Setup Select TIME SETUP>> in SYSTEM SETUP menu. The following menu appears. Figure 4-9 Time Setup With the control knob, y

4-11 4.4.4 Recorder Setup Select RECORD>> in SYSTEM SETUP menu. The following menu appears. Figure 4-10 Recorder Setup In this menu, you ca

4-12  RT REC TIME Real-time recording time Options: CONTINUAL and 8s.  TIMING REC TIME Timing recording time The interval between automatic rec

4-13 Output Procedure 1. Disconnect all patient cables connected to the monitor. 2. Verify the monitor is connected to the PC and the PC is runni

4-14 NOTE z If DEFIB. SYN or NURSE CALL is selected from the AUX OUTPTU options in the USER MAINTAIN menu, the ANALOG>> option in the SYSTEM

4-15 4.4.8 Trace Setup Select TRACE SETUP>> in SYSTEM SETUP menu. The following menu appears. Figure 4-14 Trace Setup This menu allows you t

4-16 4.4.9 Mark Event Select MARK EVENT>> in SYSTEM SETUP menu. The following menu appears. Figure 4-16 Mark Event This menu allows you to

4-17 4.5 Selection Setup Select SELECTION>> in SYSTEM MENU. The following menu appears. Figure 4-17 Selection Setup You can perform the foll

4-18 4.6 Monitor Version You can select VERSION>> in the SYSTEM MENU to check the version information as shown below.. However, the VERSION m

4-19 You can also see the device version by selecting DEVICE VERSION LIST>> as shown below. However, the DEVICE VERSION LIST menu of you moni

IV Return Policy In the event that it becomes necessary to return a unit to Mindray DS, follow the instructions below. 1. Return authorization. Co

4-20 Enter USER KEY, then select CONFIRM button. The following menu appears. Figure 4-22 User Maintain You can perform the following settings:

4-21 1. ANALOG OUT (analog output)  If this option is selected, the auxiliary output port will be able to output analog signals, and you can per

4-22 NOTE z If you changed the net type and language, the settings take effect only after you restart the monitor. z The setting of the notch fre

4-23 NOTE z In the case that alarm volume is set to 0, if you set ALARM SOUND OFF to DISABLE, alarm volume change to the default. WARNING z S

4-24 4.7.3 Self Definition of Color Select COLOR SELF-DEFINE >> in USER MAINTAIN menu. The following menu appears. Figure 4-25 Self-definiti

4-25 4.7.4 Nurse Call Setup Select NURSE CALL SETUP >> in USER MAINTAIN menu. The following menu appears. Figure 4-26 Nurse Call Setup You

4-26 Trigger Conditions A nurse call signal will be triggered only if all the following conditions are met: 1. The nurse call function is enable

4-27 4.7.8 Monitor Status Select STATUS >> in ENTER MAINTAIN PASSWORD menu. The following menu appears. Figure 4-27 Monitor Status  UP-D

4-28 4.8 DEMO Function Select DEMO >> in SYSTEM MENU. The following menu appears. Figure 4-28 Input Demo Key The monitor enters the demonst

5-1 5 Face Selection 5.1 Standard Screen You can open the FACE SELECT menu by selecting FACE SELECT >> in SYSTEM SETUP menu. Figure 5-1 Fac

V Contact Information Manufacturer: Mindray DS USA, Inc. Address: 800 MacArthur Blvd.Mahwah, New Jersey 07430 USA Tel: 1.800.288.2121 1.201.

5-2 5.2 Trend Screen To enter the following screen, select TREND SCREEN in FACE SELECT menu and then select EXIT. Figure 5-3 Trend Screen  Trend

5-3 5.3 OxyCRG Screen To enter the following screen, select oxyCRG SCREEN in FACE SELECT menu and then select EXIT. Figure 5-4 OxyCRG Screen Oxy

5-4 5.4 Viewbed Screen This monitor can view one parameter waveform and measured data from another patient monitor (viewbed monitor) on the same mo

5-5 1. Viewbed monitor label The viewbed monitor lable allows you to select the viewbed monitor you want to view. It displays the bed number and

5-6 5.5 Large Font Screen To enter the following screen, open FACE SELECT menu, select LARGE FONT SCREEN, and then select EXIT. Figure 5-6 Large F

5-7 5.6 Standby Mode During patient transport or temporary departure of a patient, the monitor can be set to STANDBY mode. In this mode, the monito

5-8 FOR YOUR NOTES

6-1 6 Alarms 6.1 Overview The monitor gives audible or visual alarms to indicate the medical staff, when a vital sign of the patient appears abnor

6-2 6.1.2 Alarm Levels The alarms are divided into three priority levels: high level alarms, medium level alarms and low level alarms. 1. High le

6-3 6.2.2 Audible alarms The monitor uses different alarm tones to indicate different alarm levels.  High level alarm: “DO-DO-DO--DO-DO---

VI Preface Manual Purpose This manual contains the instructions necessary to operate the product safely and in accordance with its function and int

6-4 6.2.4 Parameter Flashes An alarm is triggered when a patient parameter exceeds the parameter limit. At the same time, the measured parameter va

6-5 NOTE z When a new parameter module is installed or when a parameter module is turned ON, all the parameter alarms and technical alarms related

6-6 6.3.5 Status Switchover 1. In the Normal status,  Press the SILENCE key for less than 2 seconds to switch to the Alarms Paused status, or 

6-7 6.5 Clearing Alarms Generally the alarm indications of an alarm will automatically be cleared when the alarm condition that triggered the alarm

6-8 6.6 Testing Alarms When the monitor starts up, a selftest will be performed automatically. The alarm indicator will flash once in yellow and re

7-1 7 Freezing Waveforms 7.1 Overview You can freeze the monitored waveforms of a patient as desired and view the waveforms of 40 seconds to gain

7-2 7.3 FROZEN Menu The FROZEN menu is displayed at the lower left corner. You can perform the following settings in this menu.  WAVE 1 Waveform

7-3 7.4 Waveform Recall 1. In the frozen mode, select the RECALL option in the FROZEN menu, and the option name changes to L-RIGHT. 2. Rotate the

7-4 FOR YOUR NOTES

8-1 8 Recording 8.1 Overview A thermal recorder can be equipped with the monitor. The performance of the recorder is described as below.  Record

1 Contents 1 Safety...

8-2 Alarm recording Alarm recording is measured parameter recording. When a parameter alarm occurs, the recorder automatically records two waveform

8-3 8.3 Recorder Operations Continuous real-time recording 1. Press the RECORD key to start recording. 2. Press the RECORD key again to stop the

8-4 Trend table recording 1. Select TREND TABLE>> in SYSTEM MENU to open the TREND TABLE window. 2. Select the REC option to start recordin

8-5 8.4 Installing Recorder Paper Installing Procedure 1. Press the latch at the upper right of the paper compartment door to releases the door. 2

8-6 Removing the Paper Jam If the recorder does not function properly or produces unusual sound, open the recorder door to check for a paper jam. Y

9-1 9 Recall 9.1 Overview The monitor is able to store important patient data so that the user can review and record the data as desired.  Tren

9-2 9.2 Trend Graph Recall Select TREND GRAPH >> in SYSTEM MENU. The following window appears. 1. Trend cursor 2. Cursor time 3. Trend gra

9-3 When “OFF” is selected for “PARA1”, “PARA2” or “PARA3”, its trend graph will disappear, and then the trend graphs of other parameters will in

9-4 9.3 Trend Table Recall Select TREND TABLE >> in SYSTEM MENU. The following window appears. Figure 9-2 Trend Table The TIME is displayed

9-5  UP-DOWN 1. Rotate the control knob to highlight the UP-DOWN option, and press. 2. If the mark is displayed at the lower right of the TIME