Manual Monitor Contec 6000 PDF

Gima S.p.A.
Via Marconi, 1 - 20060 Gessate (MI) Italy

gima@gimaitaly.com - export@gimaitaly.com
www.gimaitaly.com
PROFESSIONAL MEDICAL PRODUC TS
PATIENT MONITOR CMS8000
User manual
ATTENTION: The operators must carefully read and completely

understand the present manual before using the product.
35151 / CMS8000
0123
M-35151-GB-Rev.1.03.19
CONTEC MEDICAL SYSTEMS CO., LTD

No.112 Qinhuang West Street, Economic & Technical Development Zone,
Qinhuangdao, Hebei Province, PEOPLE’S REPUBLIC OF CHINA
Made in China
Shanghai International Holding Corp. GmbH (Europe)
Eiffestrasse 80, 20537 Hamburg, Germany
2
Copyright
Statement
Our company owns all rights to this unpublished work and intends to maintain this work as confidential.
We may also seek to maintain this work as an unpublished copyright. This publication is to be used solely
for the purposes of reference, operation, maintenance, or repair of our equipment. No part of this can be
disseminated for other purposes.
In the event of inadvertent or deliberate publication, our company intends to enforce its rights to this work
under copyright laws as a published work. Those having access to this work may not copy, use, or disclose
the information in this work unless expressly authorized by us to do so.
All information contained in this publication is believed to be correct. Our company shall not be liable
for errors contained herein nor for incidental or consequential damages in connection with the furnishing,
performance, or use of this material. This publication may refer to information and protected by copyrights
or patents and does not convey any license under the patent rights of our company, nor the rights of others.
Our company does not assume any liability arising out of any infringements of patents or other rights of third
parties.
Content of this manual is subject to changes without prior notice.
Responsibility on the manufacturer party

Our company is responsible for safety, reliability and performance of this equipment only in the condition
that:
• all installation, expansion, change, modification and repair of this equipment are conducted by our
qualified personnel; and,
• applied electrical appliance is in compliance with relevant National Standards; and,
• the monitor is operated under strict observance of this manual.
Note
This equipment is not intended for family usage.
Warning
This monitor is not a device for treatment purpose.
It is important for the hospital or organization that employs this equipment to carry out a reasonable
maintenance schedule. Neglect of this may result in machine breakdown or injury of human health.
Upon request, our company may provide, with compensation, necessary circuit diagrams, calibration illu-
stration list and other information to help qualified technician to maintain and repair some parts, which our
company may define as user serviceable.
Warranty
Workmanship & Materials
Our company’s guarantees new equipment other than accessories to be free from defects in workmanship
and materials for a period of 18 months (six months for multi-site probes and SpO2 sensor) from date of
shipment under normal use and service. Our company’s obligation under this warranty is limited to repairing,
at our company’s option, any part which upon our company’s examination proves defective.
this warranty is exclusive and is in lieu of all other warranties, expressed or implied, including warranties of
merchant ability or fitness for any particular purpose.
Exemptions
Our company’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 appli-
cation of the product or the substitution upon it of parts or accessories not approved by us or repaired by
anyone other than a our company authorized representative.
This warranty shall not extend to any instrument which has been subjected to misuse, negligence or acci-
dent; any instrument from which our company’s original serial number tag or product identification markings
have been altered or removed, or any product of any other manufacturer.
Safety, Reliability and Performance

Our company is not responsible for the effects on safety, reliability and performance of the Monitor if:
• assembly operations, extensions, re-adjusts, modifications or repairs are carried out by persons other than
those authorized by us.
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• the Monitor is not used in accordance with the instructions for use, or the electrical installation of the re-
levant room does not comply with NFPA 70: National Electric Code or NFPA 99: Standard for Health Care
Facilities (Outside the United States, the relevant room must comply with all electrical installation
regulations mandated by the local and regional bodies of government).
Preface
This manual gives detailed description to the Monitor concerning its performance, operation, and other
safety information. Reading through this manual is the first step for the user to get familiar with the
equipment and make the best out of it.
Following symbols indicates some important facts that you have to pay special attention to:
Warning Points to be noted to avoid injury to the patient and the operator.
Caution Points to be noted to avoid damage to the equipment.
Note Points to be noted.
This manual is intended for persons who are trained in the use of this field and have adequate experience in
operation of monitoring equipment.
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Index
Chapter 1 Introduction................................................................................................................................ 6
1.1 General Information................................................................................................................... 7
1.2 Screen Display.......................................................................................................................... 8
1.3 Button Functions..................................................................................................................... 10
1.4 Interfaces................................................................................................................................ 11
1.5 Built-in Battery........................................................................................................................ 13
Chapter 2 Getting Started......................................................................................................................... 13
2.1 Open the Package and Check................................................................................................ 13
2.2 Connect the Power Cables..................................................................................................... 13
2.3 Power on the Monitor.............................................................................................................. 14
2.4 Connect Patient Sensors........................................................................................................ 14
2.5 Check the Recorder................................................................................................................ 14
Chapter 3 System Menu............................................................................................................................ 14
3.1 Patient Information Setup....................................................................................................... 15
3.2 Default Setup.......................................................................................................................... 15
3.3 Recall...................................................................................................................................... 16
3.4 System Setup.......................................................................................................................... 16
3.5 Monitor Version....................................................................................................................... 23
3.6 Drug Calculation...................................................................................................................... 23
3.7 Maintenance............................................................................................................................ 23
3.8 DEMO Function....................................................................................................................... 26
Chapter 4 Alarm......................................................................................................................................... 26
4.1 Alarm Modes........................................................................................................................... 26
4.2 Alarm Verification during Power On........................................................................................ 28
4.3 Alarm Cause............................................................................................................................ 28
4.4 SILENCE and PAUSE.............................................................................................................. 28
4.5 Parameter Alarm..................................................................................................................... 29
4.6 When an Alarm Occurs........................................................................................................... 29
Chapter 5 Freeze........................................................................................................................................ 29
5.1 General.................................................................................................................................... 29
5.2 Enter/Exit Freeze Status.......................................................................................................... 29
5.3 FREEZE Menu......................................................................................................................... 30
5.4 Reviewing Frozen Waveform .................................................................................................. 30
5.5 Recording Frozen Waveform................................................................................................... 30
Chapter 6 Recording.................................................................................................................................. 31
6.1 General Information on Recording.......................................................................................... 31
6.2 Recording Type....................................................................................................................... 31
6.3 Recording Startup.................................................................................................................. 33
6.4 Recorder Operations and Status Messages........................................................................... 33
Chapter 7 Recall......................................................................................................................................... 35
7.1 Trend Graph............................................................................................................................ 35
7.2 Trend Table.............................................................................................................................. 36
7.3 NIBP Recall............................................................................................................................. 37
7.4 Alarm Event Recall.................................................................................................................. 37
7.5 SD Operate ............................................................................................................................ 38
Chapter 8 Drug Calculation and Titration Table...................................................................................... 44
8.1 Drug Calculation...................................................................................................................... 44
8.2 Titration Table.......................................................................................................................... 45
Chapter 9 Patient Safety........................................................................................................................... 46
Chapter 10 Care / Cleaning....................................................................................................................... 48
10.1 System Check....................................................................................................................... 48
10.2 General Cleaning................................................................................................................... 48
10.3 Cleaning Agents.................................................................................................................... 49
10.4 Disinfection........................................................................................................................... 49
Chapter 11 ECG/RESP Monitoring........................................................................................................... 49
11.1 What is ECG Monitoring........................................................................................................ 49
11.2 Precautions during ECG Monitoring.................................................................................... 50
11.3 Monitoring Procedure........................................................................................................... 50
11.4 ECG Screen Hot Keys........................................................................................................... 53
11.5 ECG Menu............................................................................................................................. 54
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11.6 ECG Alarm Information and Prompt..................................................................................... 56

11.7 ST Segment Monitoring ....................................................................................................... 57
11.8 Arr. Monitoring ...................................................................................................................... 59
11.9 Measuring RESP................................................................................................................... 63
11.10 Maintenance and Cleaning................................................................................................. 65
Chapter 12 SpO2 Monitoring.................................................................................................................... 65
12.1 What is SpO2 Monitoring...................................................................................................... 65
12.2 Precautions during SpO2/Pulse Monitoring.......................................................................... 66
12.4 Limitations for Measurement................................................................................................ 68
12.5 SpO2 Menu........................................................................................................................... 68
12.6 Alarm Description and Prompt............................................................................................. 69
12.7 Maintenance and Cleaning................................................................................................... 70
Chapter 13 NIBP Monitoring..................................................................................................................... 70
13.1 Introduction........................................................................................................................... 70
13.2 NIBP Monitoring.................................................................................................................... 71
13.3 NIBP SETUP Menu............................................................................................................... 73
13.4 NIBP Alarm Message............................................................................................................ 75
Chapter 14 TEMP Monitoring................................................................................................................... 78
14.1 TEMP Monitoring.................................................................................................................. 78
14.2 TEMP SETUP Menu.............................................................................................................. 78
14.3 TEMP Alarm message........................................................................................................... 79
14.4 Care and Cleaning................................................................................................................. 80
Chapter 15 IBP Monitoring(optional)........................................................................................................ 80
15.1 Introduction........................................................................................................................... 80
15.2 Precautions during IBP Monitoring....................................................................................... 80
15.4 IBP Menu............................................................................................................................... 81
15.5 Alarm Information and Prompts............................................................................................ 85
Chapter 16 CO2 Measuring(optional)....................................................................................................... 88
16.1General................................................................................................................................... 88
16.3 CO2 Menu............................................................................................................................. 90
16.4 Alarm Information and Prompt.............................................................................................. 92
Chapter 17 Accessories and Ordering Information ............................................................................... 94
17.1 ECG Accessories.................................................................................................................. 94
17.2 SpO2 Accessories................................................................................................................. 94
17.3 NIBP Accessories................................................................................................................. 95
17.4 TEMP Accessories................................................................................................................ 95
17.5 IBP Accessories.................................................................................................................... 95
17.6 CO2 Accessories................................................................................................................. 95
Chapter 18 Default Settings Appendix .................................................................................................... 96
18.1 Alarm and Measurement Default Settings ........................................................................... 96
Appendix I ...................................................................................................................................................... 98
Appendix II.................................................................................................................................................... 104
Appendix III................................................................................................................................................... 111
Appendix IV .................................................................................................................................................. 113
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Chapter 1
Introduction
• For an overall introduction to the monitor, please refer to General Information.
• For various messages displayed on the screen, please refer to Screen Display.
• For basic operating instructions, please refer to Button Function.
• For allocation of interface sockets, please refer to Interfaces.
• For important facts to be noted during the battery recharging procedure, please refer to Built-in Battery.
Warning
• The Monitor is intended for clinical monitoring application with operation only granted to appropriate
medical staff.
• The monitor can be used on only one patient at a time.
• There could be hazard of electrical shock by opening the monitor casing. All servicing and future upgrading
to this equipment must be carried out by personnel trained and authorized by our company.
• To avoid the risk of electric shock, this equipment must only be connected to a supply mains with
protective earth.
• Possible explosion hazard if used in the presence of flammable anesthetics or other flammable substance
in combination with air, oxygen-enriched environments, or nitrous oxide.
• 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.
• Do not place the monitor or external power supply in any position that might cause it to fall on the patient.
Do not lift the monitor by the power supply cord or patient cable, use only the handle on the monitor.
• Consult IEC60601-1-1 for system interconnection guidance. The specific requirements for system
interconnection are dependent upon the device connected to the monitor and the relative locations of each
device from the patient, and the relative location of the connected device to the medically used room
containing the monitor. In all circumstance the monitor must be connected to a grounded AC power
supply. The monitor is referred to as an IEC 601/F device in the summary of situations table contained in
IEC 60601-1-1.
• Dispose of the packaging material, observing the applicable waste control regulations and keeping it out
of children’s reach.
• Grounding:Connect the monitor only to a three-wire, grounded, hospital-grade receptacle. The three-
conductor plug must be inserted into a properly wired three-wire receptacle; if a three-wire receptacle is
not available, a qualified electrician must install one in accordance with the governing electrical code.
Do not under any circumstances remove the grounding conductor from the power plug.
Do not use extension cords or adapters of any type. The power cord and plug must be intact and
undamaged.
If there is any doubt about the integrity of the protective earth conductor arrangement, operate the
monitor on internal battery power until the AC power supply protective conductor is fully functional.
Note
• The software was developed per IEC62304. The possibility of hazards arising from errors in the software
program is minimized.
Caution
• The monitor’s service life is 5 years.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 us or its
representatives.
• If you have any doubt to the grounding layout and its performance, you must use the built-in battery to
power the monitor.
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1.1 General Information

Environment:
Temperature
Working +5°C ~ +40°C
Transport and Storage -40°C ~ +55°C
Humidity
Working 30% ~ 75%
Transport and Storage ≤ 95 %(no coagulate)
Barometric
Working 700hPa ~ 1060hPa
Transport and Storage 500hPa ~ 1060hPa
Power Supply 100-240V~ 50/60Hz
Pmax = 150VA
FUSE T1.6AL250V
General instruction:
The monitor has abundant monitoring functions and is used for the clinical monitoring of adult, pediatric and
neonate (SpO2 function is inapplicable on neonate in American). In addition, the user may select the different
parameter configuration according to different requirements.
The monitor can be connected to the central monitoring system via our network so as to form a network
monitoring system.
This machine can monitor vital signals as ECG, Respiratory Rate, SpO2, NIBP, and Dual-TEMP, Dual-
IBP,CO2. It integrates parameter measuring modules, display and recorder in one device, featuring in
compactness, lightweight and portability. Replaceable built-in battery facilitates transportation of patient.
Large high-resolution display provides clear view of 8 waveforms and full monitoring parameters.
The POWER switch is on the front panel. The POWER switch lights when the device is powered on.
The ALARM indicator is on the front panel. The ALARM indicator flashes or lights when alarm occurs.
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.
This monitor is a user-friendly device with operations conducted by a few buttons and a rotary knob
on the front panel. Refer to 1.3 Button Functions for details.
The Monitor performs monitoring of:
ECG Heart Rate (HR)

2-channel ECG waveforms
Arrhythmia and S-T segment analysis(optional)
RESP Respiratory Rate (RR)
Respiration Waveform
SpO2 Oxygen Saturation (SpO2), Pulse Rate (PR)
SpO2 Plethysmogram
NIBP Systolic Pressure (SYS),
Diastolic Pressure (DIA),
Mean Pressure (MEAN)
TEMP Channel-1 Temperature (T1), Channel-2 Temperature (T2),
Temperature Difference between two channels (TD)
IBP Channel-1 SYS, DIA, MAP
Channel-2 SYS, DIA, MAP
Dual-IBP waveforms
CO2 End Tidal CO2 EtCO2
Inspried Minimum CO2 (InsCO2)
Air Way Respriation Rate (AwRR)
The monitor provides extensive functions as visual & audible alarm, storage and report printout for trend
data, NIBP measurements, and alarm events, oxyCRG, ViewBed,and drug dose calculation function
is provided too.
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1.2 Screen Display

The display of the multi-parameter monitor is a color LCD, which can display the collected patient
parameters, waveforms, alarm information as well as bed number, time and monitor status, etc.
The screen is divided into three areas (Figure 1-1): Information area 1, 4; waveform area 2; parameter area 3.
2 3
Figure 1-1 Main Display
Information Area
The Message Area is at the top and bottom part of the screen, displaying the current status of both the
monitor and the patient.
At the top (1)

Information will appear and disappear together with the reported status. According to the content, the
information is divided into:
• Battery indicator
• Filter way
• Prompt information, reporting the current status of the monitor or sensor/probe.
• flag for alarm PAUSE. Press “SILENCE” button once (less than 1 second) to mute all alarm sounds
and the flag appears at the same time. Press the button again to terminate the PAUSE status. The duration
for PAUSE status can be 1 minute, 2 minutes or 3 minutes.
• flag for alarm SILENCE. Press “SILENCE” button once (more than 1 second) to manually mute all
the sounds and this flag appears at the same time. The SILENCE status terminates when you discharge
the status or new alarm occurs.
• flag for Alarm Volume Off. It appears indicating that you have closed the alarm sound permanently.
This status terminates when you discharges the status.
Note
• If symbol appears, the system will no longer give audible alarm sound. You must be very careful
in using this function. Two ways can be used to discharge this status. One is to set the alarm volume to
an option other than OFF in the USER MAINTAIN menu. The other method is to press SILENCE button to
make the flag turn to . And then press SILENCE again and the system will restore the normal alarm
status.
• Parameter alarm information is displayed always in the upper right corner of the screen.
• When the waveforms on the screen are frozen, the FREEZE prompt will appear in the bottom part of the
screen.
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At the bottom (4)

• Patient information include:
BED NO Bed number of patient under monitoring
Patient type Three options: Adult, Pediatric, Neonate
“01-01-2005” Current date
“07:11:17” Current time
M Patient sex, Male or Female
BLOOD Patient blood type
Waveform / Menu Area (2)

The waveform area can maximally display 8 waveforms. The displaying order of the waveforms on the
screen can be adjusted. For the maximum configuration, the waveforms provided by the system for selection
are: 2 ECG waveforms, SpO2 waveform, 2IBP waveforms,RESP waveform, CO2 waveform.
All the waveforms in the system are listed out in the “WAVE SETUP” menu. The user may adjust their
displaying positions. The specific method is illustrated in the part: WAVE SETUP.
The name of the waveform is displayed on the upper left part of the waveform. The user may choose ECG
lead based on the requirements. The gain of the channel are also displayed on each ECG waveform. A 1mV
scale bar is also displayed to one side of ECG waveform. The IBP waveform scale can also be selected
according to the actual requirement. In the IBP waveform area, the waveform scale is displayed. The three
dotted lines for each IBP waveform form up to down represent respectively the upper limit scale, reference
scale and lower limit scale. The values of these three scales can be set. The specific method is given in the
part: Measure IBP.
When menu is wanted during screen operation, the menu always occupies the fixed position in the middle
part of the waveform area, therefore part of waveform can not be viewed temporarily. After exiting the menu,
the system will restore the original screen.
The user may set up the rate to refresh the waveform. The method to adjust the refreshing rate of each
waveform is discussed in the setup description of each parameter.
Parameter Area (3)

The parameter area lies to the right side of the waveform area, whose position basically corresponds to the
waveform. The parameters displayed in the parameter area include:
ECG
- Heart rate or pulse rate (unit: beats/minute)
- The ST analyzing result of channel 1 and 2: ST1, ST2 (unit: mV)
- PVCs (unit: times/minute)
NIBP
- From left to right, there are Systolic pressure, Mean pressure and Diastolic pressure (unit: mmHg or kPa)
SpO2
- SpO2 (unit: %)
- Pulse Rate (unit: beats/minute) (When “BOTH” item is selected)
IBP
- The blood pressure of channel 1 and 2. From left to right, there are Systolic pressure, Mean pressure and
Diastolic Pressure (unit: mmHg / kPa / cmH2O)
CO2
- EtCO2 (unit: mmHg or kPa)
- INS CO2 (unit: mmHg or kPa)
- AwRR (times/minute)
RESP
- Respiration Rate (unit: times/minute)
TEMP
- Temperature of channel 1 and 2: T1, T2 and the difference between them TD. (unit: °C or °F)
10
Alarm lamp and alarm status:

In normal status: the alarm lamp is not on.
When alarm exists, the alarm lamp flashes or lights on. The color of the lamp corresponds to the alarm level.
Refer to related chapter: Alarm.
For the details of alarm information and prompt information, refer to the related content of each parameter in
related chapter.
Warning
Always verify the self-check function of audible and visual (LED) alarms when powers on.
1.3 Button Functions

All the operations to the monitor are through the buttons and a knob at the bottom of the screen. The names of
the buttons are below them. They are:
• MAIN
Whatever levels of menu the system is in, press the button and the system will always return to the main
screen.
• FREEZE
Press this button and the system will access the FREEZE status. In this status the user may review the
waveform of 34 seconds. Also, the frozen waveform can be printed out. In the FREEZE status, press this
button again to discharge the FREEZE status. For detailed information, refer to related chapter: Freeze.
• SILENCE
Push this button for less than 1 second to suspend alarm for maximum 3 minutes (with 1 minute, 2 minutes
and 3 minutes selectable). In Alarm PAUSE status, a symbol appears in the Message Area. Push this
button for more than 1 second to mute all kinds of sounds (including alarm sound, heart beat, pulse tone, key
sound). At the same time, a symbol appears in the Message Area. Push this button again to restore all
kinds of sounds and the symbol disappears from the screen.
Note
• If new alarm occurs in Alarm Silence status, the system will discharge Pause/Silence status automatically.
For specific rules, see Chapter Alarm.
• The system will begin to give alarm information again once there exist alarm-triggering event. Nevertheless,
remember pushing SILENCE button can permanently shut off audible alarm sound of ECG LEAD OFF and
SpO2 SENSOR OFF alarms.
• START
Press to inflate the cuff to start a blood pressure measurement. When measuring, press to cancel the
measurement and deflate the cuff.
• REC/STOP
Press to start a real time recording. The recording time is set in RECORD SETUP. Press during recording to
stop the recording. For detailed information, refer to related chapter.
• MENU
Press this button to call up the SYSTEM MENU, in which the user may set up system information and perform
review operation. For detailed information, refer to related chapter: System Menu and related chapter: Trend
and Event.
• Rotary knob
The user may use the rotary knob to select the menu item and modify the setup. It can be rotated clockwise
or counter-clockwise and pressed like other buttons. The user may use the knob to realize the operations
on the screen and in the system menu and parameter menu.
Method to use the knob to operate on the screen:

The rectangular mark on the screen that moves with the rotation of the knob is called “cursor”. Operation can
be performed at any position at which the cursor can stay.
11
When the cursor is in the waveform area, the user may immediately modify the current setup. When the cursor
is in the parameter area, the user may open the setup menu of the corresponding parameter module so as to
set up the menu items of the module.
Operating method:
• Move the cursor to the item where the operation is wanted
• Press the knob
• One of the following four situations may appear:
1. The cursor with yellow frame becomes into the one with cyan frame, which implies that the content in the
frame can change with the rotation of the knob.
2. Menu or measuring window may appear on the screen, or the original menu is replaced by the new menu.
3. A check mark “√” appears at the position, indicating that the item is confirmed.
4. The system immediately executes a certain function.
1.4 Interfaces
For the convenience of operation, the different kinds of interfaces are in different parts of the monitor.
• Front view
1 5
Figure 1-2 Front View

23 4
1 ON/OFF button
ON: press this button to turn on the device
OFF: under device on state, press this button for 3 seconds to turn it off
2 AC indicator: the device has connected to external AC power
3 Running indicator: the device is running
4 Refer to Chapter 1.3 Button Functions for details
5 Rotary knob: refer to Chapter 1.3 Button Functions for details
6 Alarm indicator: indicating different alarm level with different color and flicking frequency
• Right side view
Figure 1-3 Right Side 1
1 Recorder
12
• Left side view
4
1
5
6
2
3 7
Figure 1-4 Left Side
1 Socket for SpO2 Sensor

2 Socket for IBP module
3 Socket for CO2 module
4 Socket for channel 1 TEMP probe
5 Socket for channel 2 TEMP probe
6 Socket for ECG cable
7 Socket for NIBP cuff
8 Battery cover
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.
• Rear view
4
2
3 5
Figure 1-5 Rear Panel
1 Network Interfaces, Standard RJ45 Socket, connecting with other beds or central monitoring system
through standard network cable
2 USB, used for program upgrading, SD card data storage, connecting with central monitoring system by
wireless mode
3 Equipotential grounding terminal for connection with the hospital’s grounding system
4 Fuse T1.6AL250V
5 Power Supply,100-240V~ 50/60Hz
13
Warning
Through network interface only our company’s Central Monitoring System can be connected in.
1.5 Built-in Battery

The Monitor is equipped with rechargeable batteries. The battery in the monitor can automatically recharge
when connected to AC INPUT until it is full. A symbol is displayed on the upper left quarter of the
screen to indicate the status of recharging, in which the YELLOW part represents the relative electric energy
of the battery. And, if the battery is not installed in the monitor, battery state will be displayed as
to indicate that no battery is available.
Under connectors to patient cables there are battery slots with cover. See Figure 1-4 Battery Slot Cover.
Warning
• Don’t pull off battery during monitoring.
• Remove the battery if the ME EQUIPMENT is not likely to be used for long time.
• The battery shall be only applied on this device. Any maintenance or replacement upon the battery should
be processed by the service personnel trained and authorized by our company.
• When operating on battery, the monitor will prompt alarm and shut off automatically when the energy
is low. When the electric energy is going out, the monitor will sound continuous level 1 alarm beeping
and display “BATTERY LOW” in the Message Area. Connect the monitor to AC power at this moment
can recharge the battery while operating. If keep operating on the battery, the monitor will shut off
automatically (about 5 minutes since alarming) upon exhaustion of the battery.
Chapter 2
Getting Started
• Open the package and check
• Connect the power cables
• Power on the monitor
• Connect patient sensors
• Check the recorder
Note
To ensure that the monitor works properly, please read Chapter Patient Safety, and follow the steps before
using the monitor.
2.1 Open the Package and Check

Open the package and take out the monitor and accessories carefully. Keep the package for possible future
transportation or storage. Check the components according to the packing list.
• Check for any mechanical damage.

• Check all the cables, modules and accessories.
If there is any problem, contact the distributor immediately.
2.2 Connect the Power Cables

Connection procedure of the AC power line:
• Make sure the AC power supply complies with following specification: 100-240V~ 50/60Hz.
• Apply the power line provided with the monitor. Plug the power line to INPUT interface of the monitor
(Socket 3 in Figure 1-4). Connect the other end of the power line to a grounded 3-phase power output.
Note
• Connect the power line to the jack special for hospital usage.
• Connect to the ground line if necessary. Refer to Chapter Patient Safety for details.
• Make sure that the POWER lamp now lights. If it does not light, check your local power supply.
If the problem still exists, contact the local Customer Service Center.
14
• If the power supply is not properly connected before turning on the monitor, it may not work properly
because of insufficient power. Connect the power supply to charge the battery.
2.3 Power on the Monitor

Press POWER to power on the monitor. Then a beep will be heard and at the same time the indicator will
flash once in orange. After 10 seconds or so, the system will enter monitoring screen after self-test, and you
can perform normal monitoring now.
Note
• If the monitor finds any fatal error during self-test, it will alarm.
• Check all the functions that may be used to monitor and make sure that the monitor is in good status.
• When the supply mains is interrupted ,the monitor will work with battery.
• The battery must be recharged to the full electricity after each use to ensure adequate electricity reserve.
• The interval between twice press of POWER should be more than 1 minute.
Warning
• If any sign of damage is detected, or the monitor displays some error messages, do not use it on any
patient. Contact biomedical engineer in the hospital or our Customer Service Center immediately.
2.4 Connect Patient Sensors

Connect all the necessary patient sensors between the monitor and the patient.
Note
For information on correct connection, refer to related chapter 11-16.
2.5 Check the Recorder

If your monitor is equipped with a recorder, open the recorder door to check if paper is properly installed
in the output slot. If no paper present, refer to Chapter Recording for details.
Chapter 3
System Menu
This monitor features flexible configurations. You can customize monitoring content, waveform sweep
speed, sound volume, and output content.
Press the MENU button on the front panel of the monitor to call up the “SYSTEM MENU”. You can perform
following operations in this menu.
Figure 3-1 SYSTEM MENU
Trend graph/table review, NIBP review and alarm review are discussed in Chapter 7 Recall.
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3.1 Patient Information Setup

Pick the [PAT SETUP] item in the “SYSTEM MENU” to call up the following menu.
Figure 3-2 Patient Setup
You can setup following patient information:

DEPT. Department in which the patient receives treatment.
PAT NO. Patient No.
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; Max. length: 12 characters)
SEX Patient gender (Available options: “F” for Female, “M” for Male)
PAT TYPE Patient type (Available options: ADU, PED, and NEO)
ADMIT Hospitalization starting date (format: year\month\ day)
BIRTH Patient date of birth (format: year\month\day)
HEIGHT. Patient height (turning the knob with the increase/decrease of 0.5 cm/inch each time)
(cm/inch) The other HT. unit in the other menus accord with the unit which you choosed here.
WEIGHT. Patient weight (turning the knob with the increase/decrease of 0.5 kg/Ib each time)
(kg/Ib) The other WT. unit in the other menus accord with the unit which you choosed here.
BLOOD Patient blood type (Pick A, B, O, AB, or N. “N” represents unknown blood type)
SAVE To change the patient’s information you must click this button to save.
DELETE To initialize the Patient Setup menu.
Also in this menu, you may select the [DELETE] item to access the “CONFIRM TO DELETE” dialog box as
show bellow, in which you can decide whether to clear current patient information.
Figure 3-3 Confirm to Delete
Pick [YES] to initialize the previous menu and exit the menu.
Pick [NO] to give up updating the patient and the system will keep the information of the currently patient
and exit the menu.
3.2 Default Setup

Note
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.
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Figure 3-4 Default Menu
In this sub-menu, you can select both the factory default and the user-defined default. Also in this sub-menu,
you can save the current system configuration as the user-defined default configuration. But at this time, the
system will automatically save all the setups in the parameter menu, ECG gain and filter way as the user-
defined default configuration according to the patient type. Also, the dialog box as shown below will pop up.
Figure 3-5 Confirm Default Config
Note
After selecting any item in the DEFAULT menu and exiting the box, the “CONFIRM TO SAVE” Dialog box will
pop up, in which you can select [YES] to confirm your selection or [NO] to give up your selection.
Warning
All configurations in the system will be replaced by “default configurations”.
3.3 Recall
In the “SYSTEM MENU”, there are [TREND GRAPH], [TREND TABLE], [NIBP RECALL] and [ALARM RECALL]
items. Please refer to Chapter 7 Recall for detailed information.
3.4 System Setup

Select the [SYS SETUP] item in the [SYSTEM MENU]:
Figure 3-6 System Setup
In the [SYSTEM SETUP] menu,

users can setup the following items.
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3.4.1 Face Select

Select the [FACE SELECT] item in the “SYSTEM SETUP” menu to call up the following menu:
Figure 3-7 Face Select
There are five available options:
1.STANDARD SCREEN
The standard screen is the default screen. If the current screen is not the standard screen, you may enter the
standard screen by selecting STANDARD SCREEN and then selecting EXIT in FACE SELECT menu.
Figure 3-8 Standard
2.OxyCRG SCREEN
OxyCRG screen is located at the lower part of the waveform area, consisting of the HR trend, the SpO2
trend, and the RR (respiration rate) trend or the compressed respiration waveform. Below the RR trend
or the compressed respiration waveform is the scale of the trend time. In addition, three labels are displayed
beneath the time scale. The labels are detailed as below.
1. Trend length
This label allows you to select the time duration of the trend graphs displayed. You can select either
1 MIN, 2 MIN or 4 MIN.
2. Compressed respiration waveform/RR trend
With this label, you can select to display the compressed respiration waveform or the RR trend beneath
the SpO2 trend.
3. Recording
You can select the REC label to print out the the trends or the waveform displayed in the oxyCRG screen
using the recorder.
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Figure 3-9 oxyCRG
3.TREND SCREEN
• Trend graph
Trend graphs locate to the right of the corresponding waveforms in the waveform area, and display
the trends of one parameter of each module. The parameter labels,as well as their scales, are displayed
to the left of the trend graph.
• Trend length
The trend length, located below the trend graph, is 2 hours.
• Selecting a trend parameter
If a module has multiple trend parameters, you can select one from the parameter label options of
the corresponding trend graph. The trend graph of the selected parameter will be displayed. For example,
in the ECG trend graph, you can select either from the parameter lable options: HR, ST and PVCs.
Figure 3-10 Trend
4.BIG CHAR
It can make you view parameter
values more clear in a long
distance.
Figure 3-11 BigChar

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5.VIEWBED SCREEN
This monitor can view one parameter waveform and measured data from another patient monitor (viewbed
monitor) on the same monitoring network. To enter the following screen, open FACE SELECT menu, select
VIEWBED SCREEN, and then select EXIT.
Figure 3-12 ViewBed Screen
The monitor you are viewing from is called “host monitor”. The monitor being viewed is called “viewbed
monitor”. The viewbed screen is always displayed at the lower part of the host monitor’s waveform area.
It consists of the following parts.
1. Viewbed monitor label
The viewbed monitor lable allows you to select the viewbed monitor you want to view. It displays the bed
number of the viewbed monitor. If the host monitor is not connected with any other monitor on the same
network, the label displays N/A.
2. Viewbed parameter area
All parameter data of the viewbed monitor is displayed in this area.
3. Viewbed waveform label
The viewbed waveform label allows you to select a waveform of the viewbed monitor. If the viewbed
monitor does not dispaly any waveform, this label displays N/A.
4. Viewbed waveform area
The viewbed waveform area is located beneath the viewbed waveform label. It displays the waveform
selected through the viewbed waveform label. Information relating to the viewbed waveform is shown above
the waveform.
3.4.2 Wave Setup

Select the [WAVE SETUP] item in the
“SYSTEM SETUP” menu to call up
the following menu:
Figure 3-13 Wave Setup
You can change the waveforms position.

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3.4.3 Wave Select

Select the [WAVE SELECT] in the “SYSTEM SETUP” menu to call up the following menu.
Figure 3-14 Waveform Select
3.4.4 Param Setup

Select the [PARAM SET] item in the “SYSTEM SETUP” menu to call up the following menu:
Figure 3-15 Param Setup
You can change the parameters position

and display color.
3.4.5 Param Select

Select the [PARAM SELECT] item in the “SYSTEM SETUP” menu to call up the following menu:
Figure 3-16 Param Select

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You can choose the parameters to be monitored in this menu. This can avoid the interference from the
parameters that need not attention. This function can be select only when you have ordered the
corresponding optional module.
3.4.6 Time Setup

Select the [TIME SETUP] item in the “SYSTEM SETUP” menu. The menu as shown below will pop up.
System time is in the format of year, month, day, hour, minute and second. Use cursor to highlight the item
that you want to modify and turn the knob to select time. Then select [SAVE SET].
Note
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.
Figure 3-17 System Time Setup
3.4.7 Alarm setup

The system provides 7 levels of alarm volume. You can select any of them as per the clinical requirement.
The procedures are:
Select the [ALARM SETUP] item in the “SYSTEM SETUP” sub-menu of the “SYSTEM MENU” menu.
The menu as shown below will pop up, in which you can set up the alarm volume and other alarm
information. For detailed information, refer to Chapter Alarm.
Figure 3-18 Alarm Setup
You can highlight the [ALARM VOL] item and then turn the knob to set up the alarm volume. There are 7
options:1~7.
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3.4.8 Record setup

Select the [RECORD] in the “SYSTEM SETUP” menu to call up the following menu:
Figure 3-19 Record Setup
In this menu, the user can set up to output two waveforms. The waveforms that can be selected include:
ECG1-ECG2 Two ECG waveforms on the screen (If no ECG waveform is currently displayed on the screen,
this item cannot be picked).
SpO2 SpO2 Plethysmogram.(If no SpO2 waveform is currently displayed on the screen, this item
cannot be picked).
RESP RESP waveform (If no RESP waveform is currently displayed on the screen, this item cannot
be picked).
CO2 Displayed waveform either of anesthetic or gas or generated by CO2 module.
IBP1 The first IBP waveform on the screen.(If no IBP waveform is currently displayed on the
screen, this item cannont be picked)
IBP2 The second IBP waveform on the screen(If less than two IBP waveforms)
OFF No display for this waveform.
• RT REC TIME this item has two options, CONTINUAL and 8s. “CONTINUAL” means once pushing the
“REC/STOP” button on the recorder panel or the monitor panel, the recorder will continuously print out the
waveform or parameter until this button is pushed again.
• TIMING REC TIME OFF used to set up the time interval between two recordings. 10 selections are availa-
ble: “OFF, 10min, 20min, 30min, 40min, 50min, 1hour, 2hours, 3hours and 4hours”. The system will start
the recording process according to the selected time interval. The recording time is always 8 seconds.
Note
• RT REC takes priority over TIMING REC.
• REC RATE: this item has two options, 25.0 and 50.0 mm/s.
• REC GRID: used to decide output format: OFF is without grid, and ON is with grid.
• CLEAR REC TASK: used to clear the alarm event that has been generated and is waiting for recording out.
• If two same waveforms are selected, the system will automatically change one of the waveform to a
different one.
3.4.9 Event Setup

The monitor has four types of events. You can specify their representations by yourself.
Select the [MARK EVENT] item in the “SYSTEM SETUP” to call up the following menu:
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Figure 3-20 MARK EVENT Menu
How to mark the event: Use the rotary knob to select one from event A, B, C and D. The @ symbol will
appear in the frame of the event being selected. Once making a wrong selection, you can push the knob
on the event again to give up the selection. Select [EXIT] to exit the menu and consequently the selection
will come into effect.
Event function has following significance:
To classify the records into different categories, such as those having influence on patients and those having
influence on parameter monitoring including dose taking, injection, therapy status. Event will be displayed on
the trend graph/table in order to assist the analysis on the patient parameters when the event happens.
3.4.10 SD OPERATE
Please refer to chapter 7 Recall.
3.5 Monitor Version

Select the [VERSION] item in the “SYSTEM MENU” to know the software version of the monitor.
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: Drug Calculation and Titration Table for detailed information.
3.7 Maintenance
Select the [MAINTAIN] item in the “SYSTEM MENU” to call up the “SYSTEM MAINTAIN” dialog box as
shown below, in which you can enter password and then customize maintenance settings. You cannot
execute factory maintenance function, which is only available for the service engineers of our company.
Figure 3-21 Enter Maintain Password
Input the password into the “SYSTEM MAINTAIN” box and press [CONFIRM], the “USER MAINTAIN” menu
will pop up, in which you can set up following items.
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Figure 3-22 User Maintain Menu
• LANGUAGE :language choice.

• LEAD NAMING:AHA/EURO
• ALM SOUND:ON/OFF
• HELP SETUP:ON/OFF
• NIBP OBSTRUCT SETUP: 1/2/3/4
This function is used to detect whether the patient moves during the blood pressure measurement. If the pa-
tient moves, the monitor will give an alarm message and stop the current measuring, or the measurement
will be taken as usual.
1) This function is set "1" as default.
2) "1" represents the sensitivity is reduced to the minimum, "4" represents the sensitivity is increased to the
maximum. The higher level the sensitivity is set and the easier to detect the interference of movement.
• "NETWORK CONFIGURATION": see Section 3.7.1 Network Configuration for details.
HL7 server configuration:
IP: 202.114.4.120. Input the IP address of the server.
Port: 511. Input the server port.
Sending interval: 1. Set the frequency of data sending, unit is “second”.
• ALARM SET PASSWORD MODIFICATION: it is used to change the login password of "ALARM SETUP".
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.
• 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.
• 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.
Note
• After the alarm volume is set to OFF, a symbol will appear in the Technical Alarm Area.
• 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.
3.7.1 NET CONFIG

Press “NET CONFIG” to pop the following menu:
Figure 3-23 NET CONFIG
• NET TYPE:CMS/CUSTOM
CMS: the Server IP is fixed, “202.114.4.119”, “LOCAL IP CONFIG” is unavailable.
CUSTOM: when this item is selected, CMS and machine’s IP can be changed as you need.The following is
“LOCAL IP SETUP” menu.
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Figure 3-24 LOCAL IP SETUP
• CARD TYPE: 3G, wireless and wire

3G
It is strongly required to use the accompanying 3G bracket provided by manufacturer. CDMA2000 is
appointed network, but WCDMA can be ordered.
After selecting 3G network, restart the device, then the device will obtain WAN (dynamic ip, DNS, etc.)
from 3G card and its driver.
Only when the net type is “CUSTOM” 3G is available.
Wireless
It is strongly required to use the accompanying wireless network card provided by manufacturer. Link router
complied with IEEE802.11(ordinary or household wireless network router). Support the certification mode for
WPA, WPA2 or WEP. Wireless network router links to Internet by WAN.
After selecting wireless network card, press “WIRELESS CONFIG” in “NET CONFIG” menu.
“WIRELESS CONFIG” menu appears,press “SEARCH ROUTES”, the following menu appears.
Figure 3-25 SEARCH ROUTE
Select corresponding router for connecting according to actual requirement, and then press “CONNECT”.
If connecting with safe router,enter correct password, the equipment will link to network automatically.
Wire
Wire network mode links to wire LAN complied with IEEE802.3 by RJ45 mode.LAN links to Internet by WAN.
• LOCAL NET NO:the physical Bed No.
• SERVER IP:when net type is CUSTOM ,you can change Central Monitoring System’s IP.
• LOCAL IP CONFIG:only when the net type is “CUSTOM”this item is available.You can set the current
machine’s IP.Press this button to pop out “LOCAL IP SETUP”menu.
• SELECT ROUTE:press this item to pop “WIRELESS CONFIG”menu.
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3.8 DEMO Function

Select the [DEMO] item in the “SYSTEM MENU” to call up the “INPUT DEMO KEY”. After entering
the password “2088”, the system enters DEMO status.
The purpose of waveform demonstration is only to demonstrate the machine performance, and for training
purpose. In clinical application, this function is forbidden because the DEMO will mislead the medical staff to
treat the DEMO waveform and parameter as the actual data of the patient, which may result in the delay of
treatment or mistreatment. Therefore before entering this menu, you shall enter password.
Figure 3-26 Input Demo Key
Chapter 4
Alarm
This chapter gives general information about the alarm and corresponding remedies.
Alarm setup and prompt messages are provided in respective parameter setup sections.
Warning
• When the monitor is powered on, the system may verify the audio and visual alarm function.
• Upon turning on the monitor, a “Do” will be heard and at the same time the indicator will flash once in
orange. This is used to verify the audio and visual alarm function of the system. Therefore, the user should
be carefully observe the status. If the audio and visual alarm function is not normal, it indicates that the
monitor cannot be used to monitor a patient. Please contact our company or service center.
4.1 Alarm Modes

4.1.1 Alarm Level
Each alarm, either technical or physiological, has its own level. For alarm of higher level, when it occurs, the
system will give prompt in a more alert way. Some alarm’s level can be set by the user via software. Others
can not by changed once defined by the system. Alarms in the monitor are divided into 7 levels, that is, high,
medium and low.
High-level alarm indicates the patient’s life is in danger or the monitor under using has serious problem in
technical respect. It is the most serious alarm.
Medium-level alarm means serious warning.
Low-level alarm is a general warning.
Alarms are classified into three categories, which are physiological alarm, technical alarm and general alarm.
Physiological alarm refer to those alarms triggered by patient’s physiological situation which could be
considered dangerous to his or her life, such as heart rate (HR) exceeding alarm limit (parameter alarms).
Technical alarm refer to system failure which can make certain monitoring process technically impossible
or make monitoring result unbelievable. Technical alarm is also called System Error Message. General alarm
belongs to those situations that can not be categorized into these two cases but still need to pay some
attention.
The monitor has preset the alarm level for the parameters. You can also modify the alarm level using the
method described in this chapter.
Alarm level of the System Error Message (technical alarm) is pre-set in the system.
All technical alarm level and general alarm level, some of the physiological alarm level are pre-set in the
system and can not be changed by user.
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4.1.2 Alarm Modes

When alarm occurs, the monitor may raise the user’s attention in at least three ways, which are audio
Prompt, visual prompt and description. Audio and visual prompt is given by TFT display device,the speaker
on the display device and the alarm indicator. Description is displayed on the screen. Physiological alarm is
displayed in the Physiological Alarm area. Most of technical alarms are displayed in the Technical Alarm area.
Technical alarms related to NIBP measurement are displayed in the NIBP Technical Alarm area at the bottom
of NIBP parameter area.
Note
• The Physiological Alarm area is on the upper right part of the screen. The Technical Alarm area is to the left
side of the Physiological Alarm area.
• The concrete presentation of each alarm prompt is related to the alarm level.
Screen Display
When an alarm occurs,the parameter value triggering the alarm will become red. “*” signal appears on
the screen indicating the occurrence of alarm. Red “***” indicates high-level alarm, yellow “**” indicates
medium-level alarm, and yellow “*” indicates low-level alarm. Technical alarm will not prompts “*” signal.
Lamp light
The high/medium/low-level alarms are indicated by the system in following different visual ways:
Alarm level Visual prompt

High Alarm indicator flashes in red with high frequency.
Medium Alarm indicator flashes in yellow with low frequency.
Low Alarm indicator lights on in yellow.
Alarm Sound
The high/medium/low-level alarms are indicated by the system in following different audio ways:
Alarm level Audio prompt
High Mode is “DO-DO-DO------DO-DO, DO-DO-DO------DO-DO”, which is triggered once
every 8 seconds.
Medium Mode is “DO-DO-DO”, which is triggered once every 8 seconds.
Low Mode is “DO-”, which is triggered once every 8 seconds.
Note
When alarms of different levels occur at the same time, the monitor prompts the one of the highest level.
Alarm Setup
The setup of the alarms can be realized in the alarm menu.

Press the “ALARM SETUP” button on the SYSTEM SETUP menu to call up “ALARM SETUP” menu (default
menu) as shown below.
Figure 4-1 Alarm Setup

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• ALARM VOL: which has 7 selections: 1~7.

• ALM REC TIME: which has three selections: 8S, 16S, 32S.
• ALM PAUSE TIME: refers to the alarm suspension time span, which has three selections: 1MIN, 2MIN,
3MIN.
• ALM TYPE:UNLATCH.UNLATCH refers to the situation that once the alarm condition is discharged, the
alarm will disappear automatically.
• KEY VOL:there are 8 options:off,1~7.
4.2 Alarm Verification during Power On

During the monitor power on, audible and visual alarm capability will be tested by the system.
Every time when the monitor powers on, alarm beeps “DO-”, and the LED indicator on the display device
flashes orange once. If no beeps heard or no alarm indicator flashing viewed, do not use this device to
monitor any patient, and notify Customer Service Center.
4.3 Alarm Cause

Alarm occurs when:
1.Physiological alarm is evoked;
2. Alarm for error of the system (technical alarm) is evoked;
3. General alert occurs.
• A. Conditions that activate the parameter alarms:

When the measurement value exceeds the alarm limit and the alarm is set to“ON”. Alarm will not activate if
the alarm is set to “OFF”.
• B. Conditions that activate the system alarms (technical alarm):

Upon the system error, the monitor prompts alarm immediately and proceeds corresponding remedy, stops
all monitoring and eliminates the final results in order to avoid faulted treatment. If more than one error
occur, they will be displayed by turns.
• C. General alert
In some circumstances, alerts will behave as physiological alarm but in normal sense, we don’t regard
them as real patient health related items.
Note
When the sensor or probes are disconnected with the monitor, the monitor will give general prompt
information. When the sensors or probes are intentionally disconnected by the operator because of
inappropriate operation, the monitor will alarm with the mode of low alarm. Temporality the operator could
press the button of “SILENCE”, the mode of low alarm will turn to general prompt information.
4.4 SILENCE and PAUSE

• SILENCE
Press the SILENCE button on the panel for more than 1 seconds can shut off all kinds of sounds until the
SILENCE button is pressed again. When the system is in SILENCE status, any newly generated alarm will
discharge the SILENCE status and make the system give normal status giving audio and visual alarm.
• PAUSE
Press the SILENCE button on the panel once to close all audio and visual prompt and description about all
the physiological alarms and to make the system enter ALARM PAUSE status. The rest seconds for alarm
pause is displayed in the Physiological Alarm area. And the symbol is displayed in the System Prompt
area.
The user may set up the time for Alarm Pause in the ALARM SETUP menu. Three selections are available:
1min, 2min and 3min.
When in the PAUSE status, press the SILENCE button to restore the normal alarm status. Besides, during
PAUSE status, newly occurring technical alarm will discharge the PAUSE status and the system will access
the normal alarm status. The symbol disappears, too.
Note
Whether an alarm will be reset depends on the status of the alarm cause. But by pressing SILENCE button
can permanently shut off audio sound of Lead Off/Sensor Off alarms.
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4.5 Parameter Alarm

The setup for parameter alarms is in their menus. In the menu for a specific parameter, you can check
and set the alarm limit, alarm status. The setup is isolated from each other.
When a parameter alarm is off, a symbol displays near the parameter. If the alarms are turned off
individually, they must be turned on individually.
For the parameters whose alarm is set to ON, the alarm will be triggered when at least one of them exceeds
alarm limit. The following actions take place:
1. Alarm message displays on the screen as described in alarm mode;
2. The monitor beeps in its corresponding alarm class and volume;
3. Alarm lamp flashes;
4. Store all parameter values during the alarm and 4,8 or 16 second waveform prior to and after alarm.
5. If alarm recording is on, the recorder starts alarm recording. For further information on alarm recording,
please refer to Chapter Recording.
4.6 When an Alarm Occurs

Note
When an alarm occurs, you should always check the patient’s condition first.
The alarm message appears at the top of the screen on the right side. It is needed to identify the alarm and
act appropriately, according to the cause of the alarm.
1. Check the patient’s condition.
2. Identify the cause of the alarm.
3. Silence the alarm, if necessary.
4. When cause of alarm has been over, check that the alarm is working properly.
You will find the alarm messages for the individual parameter in their appropriate parameter chapters of this
manual.
Chapter 5
Freeze
• General
• Freeze & Unfreeze
• Review & Record Frozen Waveforms
5.1 General
When monitoring a patient, you may freeze the waveforms of interest so as to view them carefully. Generally
you can review maximally 34 seconds of a frozen waveform. If required, 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. Besides,
the system freezes all waveforms in the Waveform area of the Basic Screen, or Full-lead ECG waveforms
and the extra waveform (if available) on the Full-lead ECG screen. Nevertheless the Parameter area
refreshes normally.
• In the Freeze status, it does not affect the display and refresh of the Trend Graph area on the trend
screen, the display and refresh of oxyCRG on the Dynamic Refresh screen, or the display and refresh
of the ViewBed window on the ViewBed screen.
• The frozen waveforms can be reviewed or recorded.
5.2 Enter/Exit Freeze Status

Enter Freeze Status
In the Non-Freeze status, press the “FREEZE” button on the front panel of the monitor to let the system
exit the Menu being currently displayed (if available), then enter the Freeze status and display the popup
“FREEZE” menu. In the Freeze status, except ViewBed waveforms, all other waveforms are frozen. In other
words, the system will no longer refresh all other waveforms.
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Exit Freeze Status

In the Freeze status, executing any of the following operations will command the system to exit the Freeze
status:
• Select the “EXIT” option on the “FREEZE” menu;
• Press the “FREEZE” button on the front panel again;
• Press the non-immediate-to-execute button (such as a button once pressed, a menu will pop up for you to
further select an option )on the front panel and system buttons of MAIN and MENU;
• Execute any operation that may trigger the adjustment of the screen or display of a new menu.
• After exiting the Freeze status, the system will discharge the Freeze status, clear screen waveforms and
resume to display real-time waveforms.
5.3 FREEZE Menu

Press the “FREEZE” button on the panel, the FREEZE menu will appear on the bottom part of the screen.
At the same time, the system enters the Freeze status.
Figure 5-1 FREEZE 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.
• RECALL: used to review frozen waveforms.
• REC: after selected, the system begins recording the frozen waveforms selected in “WAVE 1” and “WAVE
2”.
• EXIT: after pressed, the system closes the FREEZE menu and exits the Freeze status.
Note
Pressing the “FREEZE” button repeatedly in a short time may result in discontinuous waveforms on the screen.
5.4 Reviewing Frozen Waveform

By moving the waveform, you may review a waveform of 34 seconds before the moment when it is frozen.
For a waveform less than 34 seconds, the remaining part is displayed as a straight line. Use the rotary knob
on the front panel to move the cursor to the “REVIEW” option on the FREEZE menu. Press the knob, the
option displays “L-RIGHT”. By turning the knob left or right, frozen waveforms on the screen will move left or
right correspondingly. There is an arrow indicating upward under the right side of the last waveform. There
is also a time scale beside the arrow. “0S” is used to mark the moment when waveforms are frozen. With
waveforms moving right, this time mark will in turn change into -1S, -2S, -3S… These time marks are applied
to all waveforms on the screen.
5.5 Recording Frozen Waveform

In the Freeze status, you may output displayed frozen waveforms via the recorder. Maximum 2 waveforms
can be output at one time. On the FREEZE menu, the pull-down lists of both “WAVE 1” and “WAVE 2”
give you all names of frozen waveforms on the screen, from which you may select two. Select the “REC”
option on the FREEZE menu to output parameters generated upon the freezing moment and the two
selected frozen waveforms. If one of the two selected waveforms is closed or not available, only parameters
and the other waveform are recorded. If these two selected waveforms are all closed or not available, only
parameters are recorded. As for the function of recording frozen waveforms, you can only record the
waveforms displayed upon the freezing moment. The recording time length is the same as the length of the
waveform displayed on the screen. For example, if the speed of a waveform is relatively fast, then it needs
shorter time to record it. When recording frozen waveforms, the system is still in the Freeze status. After
completion of recording, if required, you may select once more the waveform to be output and select “REC”
option again to record the whole selected waveforms. You may also record frozen waveforms by pressing
31
the “REC/STOP” button on the front panel. If the recorder does not exist, selecting the “REC” option can
only call out the prompt “Recorder does not exist” in the STATUS bar. For more detailed information about
recording, please refer to the chapter “Recording”.
Chapter 6
Recording
• General information on recording
• Instructions for configuring and recording
• Recording messages
6.1 General Information on Recording

A thermal dot matrices recorder with 48mm wide printout paper is used for the Monitor.
Performance of the Recorder

• Waveform record is printed out at a rate of 25 or 50 mm/s.
• It can record up to 2 waveforms.
• Output with grid selectable.
• English / Chinese printout.
• The real time recording time and waveform are user-configurable.
• Auto recording interval is set by the user, the waveform is in accordance with the real time recording.
• The alarm recording waveform is automatically selected by the monitor.
6.2 Recording Type

The monitor provides several stripe recording types:
• Continuous real-time recording
• 8 second real-time recording
• Auto 8 second recording
• Alarm recording
• Waveform freeze recording
• Trend graph/table recording
• ARR events review recording
• Alarm event recording
• NIBP review recording
• Monitor information recording
• Drug calculation titration recording
Real-time Recording
Real-time recording starts as you press the REC/STOP button on the recorder.
The waveforms for continuous real-time recording and continuous 8 second recording are automatically set
by the monitor (usually the first two waveforms displayed on the screen). You can also configure it through
the menu. Refer to related section for details.
In RECORD SETUP menu, the user can choose two waveforms to be printed out. The User can setup one
waveform off. Thus, the real time record will print out one waveform. If two waveforms are off, the real time
record will print out measure parameters only.
Note
If certain recording is in process, and another parameter demands alarm recording, it will only be executed
after the earlier recording is finished.
Auto recording
The monitor starts the recorder for 8 seconds according to interval time set in the “TIMING REC TIME” of the
“RECORD SETUP ” menu. Refer to Chapter 3.4.8 Recorder Setup for details.
Alarm Recording
Parameter Alarm
The monitor records waveforms 4, 8, or 16 seconds prior to and after the alarm (totally 8, 16 or 32 seconds)
(which can be selected in System Menu). All parameter values during the alarm will also be recorded.
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When parameter alarm occurs, two recorded waveforms can be printed out.
In order to avoid repeated printout of alarm waveforms:
• If more than two parameter alarms are switched on and triggered simultaneously, the recorder will print out
those of the highest level. If of the same alarm level, the latest alarm will be printed out.
• If an alarm occurs during the alarm of another parameter, it will be printed out after the current recording is
finished.
• If many alarms occur at the same time, some of waveforms will be stored for printout in turn.
ST Segment Alarm
The monitor records 2-channel ECG waveforms 4, 8, or 16 seconds prior to and after the alarm (totally 8, 16,
or 32 seconds) (which can be selected in the ECG SETUP menu). All parameter values during the alarm will
also be recorded.
Arrhythmia Alarm
The monitor records 2-channel ECG waveforms 4 seconds prior to and after the alarm (totally 8 seconds).
All measurement results during the alarm will also be recorded.
Freeze Waveform Recording

The monitor prints out the selected waveforms under the FREEZE mode. In this way you can snap the
abnormal waveforms on the screen and record it.
Trend Graph / Table Recording

The monitor can print out the trend graph and table in the current TREND GRAPH or TREND TABLE window.
Arrhythmia Review Recording

The monitor can print out the alarm Arrhythmia event in the current ARR RECALL window.
Alarm Review Recording

The monitor can print out the alarm events include waves and parameters in the current ALARM RECALL
window.
NIBP Review Recording

The monitor can print out all the NIBP review events in NIBP RECALL window.
Titration Table
The monitor can print out the messages in the current TITRATION window.
Notes on Recording
• Recording texts:
Real time Report
Periodic Report
Para Alarm Report: XXX (name of the alarm parameter)
Arrhythmia Report: XXX (Arrhythmia type)
Freeze Wave Report
Trend Graph
Trend Table
Para Alarm Review
NIBP Test Review
Titration Table
• Alarm parameters, alarm time and freeze time
• Patient bed number,sex, height, weight, date of birth, admission date
• Parameter name and value
• Recording time
• Waveform name
• Waveform scale (for ECG waveform)
• ECG lead, scale, filter mode, (if having ECG waveforms, it will be printed out within the first second
or when changing the lead, gain and filter mode during real-time recording.)
• Date and time
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6.3 Recording Startup

You can start the recording in the following ways:
Continuous real-time recording Press REC/STOP to start/stop the recording.
8 second real-time recording Press REC/STOP to start recording. It will automatically stop
in 8 seconds.
Auto recording Record the two waveforms selected in RECORD menu according to
the setup time interval in RECORD menu.
Alarm recording When alarm recording is set ON, it automatically starts when alarm
occurs.
Frozen waveform recording ---After accessing FREEZE menu, use knob to select two waveforms
to be output. Then press REC button in the menu to print out the
waveforms.
If two waveforms are off, the measure parameters in frozen are printed
out only.
Trend graph recording Pick ”REC” button in the “TREND GRAPH” menu when viewing
the trend graph to print out the currently displayed tr-end graph.
Trend table recording Pick ”REC” button in the “TREND TABLE” menu when viewing
the trend table to printout the currently displayed trend table.
Arrhythmia review recording Access ARR RECALL window from ARR ANALYSIS of ECG SETUP
menu and Pick ”WAVE” button to access “ARR WAVE RECALL” menu.
Then press “REC” button to output the Arr. Waveform and related
information currently displayed on the screen.
Alarm review recording Access the “ALM RECALL” window from “ALARM RECALL TIME”
menu from “SYSTEM MENU” and pick “REC” button to print out
the alarm review waveform and related information currently displayed
in the “ALARM RECALL” window.
NIBP review recording Access the “NIBP RECALL” window from “SYSTEM MENU” and pick
“REC” button to print out the NIBP information currently displayed
in the window.
Titration table recording Access the “DRUG CALC” menu from the “SYSTEM MENU” menu.
Pick the “TITRATION” button in the menu to access the “TITRATION”
window. Pick the “REC” button to print out the titration currently
displayed in the window.
Note
• You can press REC/STOP button on the recorder to stop the current recording process.
• Access the “RECORD” menu from the “SYSTEM SETUP” menu. Then pick the “CLEAR REC TASK” button
to stop all recording tasks, and clear all store of alarm.
6.4 Recorder Operations and Status Messages

Record Paper Requirement
Only standard 50 (+0/-1) mm thermosensitive record paper can be used, otherwise the recorder may not
function, the recording quality may be poor, and the thermosensitive printhead may be damaged.
Function Properly
• When the recorder is working, the record paper goes out steadily. Do not pull the paper, or the recorder
will be damaged.
• Do not operate the recorder without record paper.
Paper Out
When “RECORDER OUT OF PAPER” alarm is displayed, the recorder cannot start. Please insert record
paper properly.
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Inserting Paper
• Open the recorder catch.
• Insert a new roll of paper into the paper cassette, printing side facing the thermosensitive printhead.
• Give out the paper from the recorder outlet.
• Close the recorder catch.
Note
• Be careful when inserting paper. Avoid damaging the thermosensitive printhead. Unless when inserting
paper or shooting troubles, do not leave the recorder catch open.
• Removing Paper Jam.
• When the recorder functions or sounds improperly, open the recorder catch to check for a paper jam. If the
paper jam only re-insert the paper.
a) Recorder Status Message (Technical Alarms)

Message Cause Alarm Remedy
Level
RECORDER HEAD HOT The thermal terminal is too hot. Low Stop operation
REC HEAD IN WRONG POS. The thermal head is not in recor- Low Push down the switch on the
ding place. left axis of the recorder.
RECORDER OUT OF PAPER Record paper runs out. Low Insert a new roll of record
paper.
RECORDER COMM ERR Operating status error Low Reset the recorder.
RECORDER PAPER JAM Recording continuously for more Low Re-insert paper.
than 30m.
RECORDER INITIALIZING The recorder is in initialization Low Wait for the completion
process. of initialization
TOO MANY REC TASKS Too many alarm events take pla- Low Send recording order after
ce simultaneously. a while.
RECORDER PAPER W.P. The paper is in wrong position. Low Insert the record paper again.
RECORDER BUSY In the status of printing out Low Wait for the completion
of printing out
REC NOT AVAILABLE Recorder stops working. Low Give recording order after
the recorder restores to
the normal status or the failure
is removed.
RECORDER VLT HIGH The voltage of the recorder Low Stop recording until the
is too high. recorder restores normal
status.
RECORDER VLT LOW The voltage of the recorder Low Stop recording until the
is too low. recorder restores normal
status.
RECORDER S. COMM ERR Unrecoverable serial port Low Shut down the monitor
communication error. and re-start it again.
RECORDER SELFTEST ERR Possibly caused by the RAM, Low Reset the recorder.
ROM, CPU or WATCHDOG.
RECORDER INIT ERR Error occurs during initialization Low Shutdown and re-start
RECORDER INIT ERR1 Error occurs during initialization Low Shutdown and re-start
After shutdown and re-start, if error still exists, contact out service engineers.
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Chapter 7
Recall
The monitor provides 480-hour trend data of all parameters, storage of 4800 NIBP measurement results and
72 alarm events. This chapter gives detailed instruction for review of all data.
7.1 Trend Graph

• The latest 1-hour trend is displayed every 1 or 5 seconds;
• The latest 480-hour trend is displayed every 1, 5 or 10 minutes;
Pick “TREND GRAPH” in the SYSTEM MENU to call up the following menu:
Figure 7-1 Trend Graph Menu
The uppermost part is the name of the parameter, in which y-axis stands for value and x-axis time.
Indicates the value of the parameter, which it points to, is below the x-axis, with corresponding time
displayed beyond the trend graph. Other trends except NIBP trend are displayed as continuous curves. three
symbols “*” indicate the position of the NIBP value ,including systolic value, diastolic value, mean value.
To select trend graph of a specific parameter:

Pick PARAM SELECT item (the first selection of the upper line) and select a requested parameter name by
turning the knob.
To select 1-hour or 480-hour trend graph:

Pick RESOLUTION item (the latter selection of the upper line), choose 1 or 5 sec for 1-hour trend graph and
1, 5 or 10 min for 480-hour trend graph.
To view other trend curves:

When appears on the right part of the screen, pick “L-RIGHT” (the button at the extreme left of the lower
line), turn the knob clockwise to view later trend curves. When appears on the left part of the screen,
pick the same item, turn the knob counterclockwise to view earlier trend curve.
To change the display scale

Pick the “ZOOM” button in the lower line to adjust the y-axis scale and thus change the trend curve in
proportion. The value beyond maximum value will be represented by the maximum value.
To obtain trend data of a specific time

The time to which the cursor points will change as the knob is turned. Parameter at this time is displayed
below the x-axis. When appears on the right part of the screen, the trend graph pages down for later
trend curve as the cursor moves here. When appears on the left part of the screen, the trend graph pages
up for earlier trend curve as the cursor moves here.
To print out the trend curve

Press REC button to print out the trend curve of current selected parameter.
Mark event
If an event is marked A, B, C, or D, then the corresponding event type will display on the axis time of the
trend graph. The event sign (A, B, C or D) is displayed in a frame.
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Operation example
To view the NIBP trend graph of the last 1 hour:
• Pick the MENU hot key lower right of the screen.
• Pick TREND GRAPH item.
• Pick the first item and switch to NIBP by turning the knob.
• Adjust the second item to be 1 or 5 sec.
• Pick the ZOOM button and turn the knob to view changes of the trend graph time and trend curve.
• Stop at requested trend time section for careful review. Pick the ZOOM button to adjust the display scale if
necessary.
• For measurement result of a specific time, pick CURSOR to move the cursor to the point, corresponding
time and value will display on above and below respectively.
• For printout of trend graph, pick REC to start report printing of NIBP trend of this hour.
• Pick EXIT to return to trend graph display.
7.2 Trend Table

• The latest 480-trend table data can be displayed at every 1, 5, 10, 30, or 60 minutes.
Pick TREND TABLE in the SYSTEM MENU to call up the following menu:
Figure 7-2 Trend Table Menu
Time in response to each group of trend data is displayed at the leftmost list with date in bracket. Marked
event corresponds to marking time. Trend data of each parameter is divided into 8 groups.
HR, PVCS
ST1, ST2
RR
T1, T2, TD
SpO2, PR
IBP1(S/D/M), IBP2(S/D/M)
CO2, INS, AwRR
NIBP (S/M/D)
NIBP trend data presents different specificity. A certain NIBP measuring time is displayed below the TEST AT
item, as well as the measurement value. For more than one measurement in one time, it can display only one
group, and mark a “*” on the MORE to indicate two and above measurement results.
To choose trend table of different resolution

Pick the leftmost item and change the time interval of trend data.
To view other trend data:

When appears on the upper part of the screen, pick UP-DOWN button and turn the knob clockwise to
view later trend data. When appears on the lower part of the screen, pick the same item and turn the knob
counterclockwise to view earlier trend data.
To obtain trend data of different parameter

Pick L-RIGHT to select one from the 8 groups of parameters. A “>” by the rightmost item indicates following
page available. And “<” by the leftmost item indicated previous page available.
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To print out the trend data

Pick REC CUR to print out the trend data of current displayed parameter.
Mark event
If an event is marked A, B, C, or D, the corresponding event type will display on the axis time of the trend
table.
Operation example
To view a NIBP trend table:
• Pick MENU button on the front panel of the monitor to access “SYSTEM MENU”.
• Pick TREND TABLE.
• Pick L-RIGHT and switch to NIBP by turning the knob.
• Pick the first item from the left and select requested time interval.
• Pick UP-DOWN and turn the knob to view NIBP trend data of different time.
• For printout of trend table, pick REC ALL to start report printing of all NIBP
• Pick EXIT to return to SYSTEM MENU.
7.3 NIBP Recall

The monitor can review the latest 4800 NIBP measurement data.
Pick NIBP RECALL in the SYSTEM MENU to invoke the result and time of the latest 9 measurements, as
shown in the figure below.
Figure 7-3 NIBP Recall
Data is listed chronologically from the latest to the earliest. 9 measurements can be displayed in one screen.
Pick UP-DOWN to view other trend curve up to 4800 results. Pick REC to print out all measurement data of
NIBP RECALL.
7.4 Alarm Event Recall

The monitor can display the latest 71 alarm events.
• Select “ALARM RECALL” in the SYSTEM MENU to access ALARM RECALL CONDITION menu as shown
below.
Figure 7-4 Alarm Recall Condition Menu

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In this menu, the user may select the conditions for alarm review, including:
1. Start and End time of review

The user may select the start time of review in the item of START.
Then the user may select the end time of review. Two selections are available: current time and the
user-defined time. For user-defined end time, the user can use the knob to select.
2. ALARM RECALL EVENT

In the pull-down list of ALARM RECALL EVENT, the user can select the parameter whose alarm events
he wants to review. The selections include ALL(alarm events of all parameters), ECG, RESP, SpO2, NIBP,
IBP,TEMP,CO2.
After setting up all the review conditions, press the “ALARM RECALL” button to access “ALARM RECALL”
window.
• ALARM RECALL
The ALARM RECALL window is as shown below, in which following data are displayed:
1. Time span (Format: month-day-year hour: minute- month-day-year hour: minute).
2. Event type.
3. Serial number (Format: NO. xx of XX ).
4. The value at the time of alarm. NIBP result is with time.
5. Two 8/16/32-second waveforms.

1
2
3
4
Figure 7-5 Alarm Recall Menu
To view all waveforms during the alarming process

Pick L-RIGHT and turn the knob to view all 8/16/32-second waveforms stored.
To view other alarm events

Events of up to 71 are listed chronologically from the latest to the earliest. Pick UP-DOWN button and turn the
knob to view later or earlier events.
Recording
Pick REC to print our all data and waveform of this event.
7.5 SD Operate
The user can review patient data on the monitor or on PC by SD card. Here only introduce reviewing method
on the monitor.
Prepare an empty SD card which capacity is at least 2G. The SD card mounted on the monitor can savetrend
data respectively for HR,PVCs,ST1,SpO2,PR,RR,T1,T2 ,TD and 72-hour waveform of ECG. The trend data’s
resolution is 1 minute.
39
Note
• Please first set the patient’s information correctly before inserting SD CARD.
• Need to save different patient’s data in one SD CARD, you should unmount SD CARD successfully, and
then modify patient’s information. Make sure that Patient No. is different.
1. Enter SD CARD OPERATE menu.

Press the key “MENU” on front panel to call up “SYSTEM MENU”.
Figure 7-6 SYSTEM MENU
Select “SYS SETUP>>” in “SYSTEM MENU” to call up “SYSTEM SETUP” menu .
Figure 7-7 System Setup
Select “SD OPERATE>>” in the menu, “SD CARD OPERATE” menu pops up.
2. Insert SD CARD
If SD CARD has been inserted and works normal, the prompt “SD is found,please mount” appears.
40
Figure 7-8 SD Card Operate
Note
If information “SD device wasn’t found,please enter SD card” will prompts, you should exit “SD CARD
OPERATE”menu, check if SD CARD or USB interface is normal. If condition still exists, reboot the monitor.
3. Mount SD CARD
If the monitor has found SD CARD,press”MOUNT DEVICE”,the system will display SD CARD state that if the
SD CARD has been mounted successfully.
Note
You can review trend or ECG waveform when SD CARD has been mounted successfully for 90 seconds .
Otherwise the two button “REVIEW TREND” and “REVIEW ECGWAVE” are invalid.
4. Review trend
Select “REVIEW TREND” in SD OPERATE menu to call up the following menu. In this menu, you can select
which patient you want to review.
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Figure 7-11 Patient Number Review
From left to right is :list no /patient No. /patient name /admission date /birth date.
• PAGE UP/DOWN: Observe patient lists of other page
• LEFT/RIGHT:move the cursor to observe a specified patient’s information
• REVIEW: press this button to call up the following menu.
5. Reading trend data’s information

The menu displays the trend data’s information according to the selected patient.
The first row, from left to right is:
• The current reviewed patient No.
• The patient’s name
• Admission date
• Birth date
The second row,from left to right is:

• The list number
• The time that the patient data was reviewed.
• The size of data having been saved to the time that the patient data was reviewed.
Figure 7-12 SD Card Information

42
6. Review trend data

Press “REVIEW” in the upper menu, the trend reviewing window pop up as Figure 7-13, you can review trend
data in table way. The resolution is 1 minute.
Figure 7-13 Trend Data Review
The table head is: Patient no. / Patient name /date of last reviewing SD card / (current page /sum page)
• Page UP-DOWN: press to view trend data of different time.
• L-RIGHT: press to view trend data of different parameter.
• REC (invalid).
7. REVIEW ECG WAVE

Need to review full-disclosure waveform of ECG, press “REVIEW ECG WAVE >>” in Figure 7-14, the fol-
lowing menu displays. In this menu, select a specified patient to review.
Figure 7-14 Patient Number Review
8. Select time span you want to review.

ECG data is saved in many different files.It need save ECG data in a new file per half an hour. “2010-12-27
13:51” represents ECG file name, it also indicates the starting time that the file is saved.
Operating to select time span:

• Want to review the ECG waveform about 2010-12-27 14:10
• By pressing cursor ,select the first row “1 2010-12-27 13:51”
• Press “REVIEW”.
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Figure 7-15 Select Time Span
9. Review ECG waveform

• The time span of one window is 5s.
• The window can display 3 channels ECG. When the lead type is 5, it displays I/II/V.
Figure 7-16 ECG Review For 5-lead
• When the lead type is 3, it can displays only one channel. The ECG lead name is the same to the one
displaying on the main interface.
Figure 7-17 ECG Review For 3-lead

44
10. Unmount SD card

Enter “SD OPERATE” menu, press “UMOUNT DEVICE”. You can take out SD card only when the window
displays the prompt “unmount SD card successfully,you can take out the card now.”
Figure 7-18 SD OPERATE
Chapter 8
Drug Calculation and Titration Table
This Portable Patient Monitor provides Drug calculation and titration table display functions for fifteen drugs
and outputs the content of titration table on the recorder.
8.1 Drug Calculation

The drug calculations that can be performed by the system are AMINOPHYLLINE, DOBUTAMINE,
DOPAMINE, EPINEPHRINE, HEPARIN, ISUPREL, LIDOCAINE, NIPRIDE, NITROGLYCERIN and PITOCIN.
Besides DRUG A, DRUG B, DRUG C, DRUG D and DRUG E are also provided to flexibly replace any
of the drugs.
Select “DRUG CALC” in SYSTEM MENU, the following “DRUG CALC” display appears:
Figure 8-1 Drug CALC
The following formulas are applied for dose calculation:

Concentrat = Amount / Volume
INF Rate = DOSE/Concentrat
Duration = Amount / Dose
Dose = Rate × Concentrat
Operating method:
In the Drug Calculation window, the operator should first select the name of the drug to be calculated, and
then confirm the patient weight. Afterwards, the operator should also enter other known values.
Turn the knob to select the value of the item to be calculated. Turn the knob to change the value. When it is
the required value, press the knob to view the calculation result. Each item has its calculation range. If the
result exceeds the range, display “---.--”
45
Note
• For the drug calculation, the prerequisite is that the operator must first of all enter the patient weight and
drug name. The system first gives a group of random initial values, which cannot be used by the operator
as the calculation reference. Instead, he should enter a new group of values at the doctor’s instruction.
• Each drug has its fixed unit or unit series. Operator must select the proper unit at the doctor’s instruction.
If the result exceeds the system-defined range, it will display “---”.
• After entering a value, a conspicuous prompt will appear in the menu warning the operator to confirm
the correctness of the entered value. The correct value is the guarantee for the reliability and safety of the
calculated results.
• In neonate mode, Drip Rate and Drop Size items are disabled.
• For each entered value, the system will always give a dialog box asking for the user’s confirmation.
You must be careful when answering each box. The calculated result is reliable only after the entered value
is confirmed to be correct.
Select the drug name:

Turn the knob to pick the DRUG NAME item in DRUG CALC menu. The user may select the drug name in the
pull-down list, including AMINOPHYLLINE, DOBUTAMINE, DOPAMINE, EPINEPHRINE, HEPARIN, ISUPREL,
LIDOCAINE, NIPRIDE, NITROGLYCERIN, PITOCIN, Drug A, Drug B, Drug C, Drug D and Drug E. Calculation
for only one type can be generated each time.
Note
A,B,C,D,E are only codes for drugs instead of their real names. The units for these five drugs are fixed.
The operator may select the appropriate units according to the convention of using these drugs. The rules
for expressing the units are:
“mg” series units are fixedly used for drug A, B and C: g, mg, mcg.
“unit” series units are fixedly used for drug D: unit, k unit, m unit.
“mEq” is fixedly used for drug E.
Patient weight:
After accessing the DRUG CALC window, the operator should enter the patient weight into the first or the
second item. The entered weight will be used as the independent data only for the calculation of drug
concentration.
Note
This drug calculation function acts only as a calculator. That means the patient weight in Drug Calculation
menu and the patient weight in Patient Information menu are independent from each other. Therefore if the
Weight in Drug Calculation changes, the Weight in Patient Information does not change. In this way, we can
say, the Drug Calculation menu is independent from other menus in the system. Any change of it will not
affect other information about the patient being currently monitored.
8.2 Titration Table

Access titration table:
Select TITRATION item in DRUG CALC menu to enter titration table display.
Titration table display for drug is as following:
Figure 8-2 Titration

46
• Method to operate the titration table:

1. In the TITRATION table, turn the knob to pick BASIC item. Press and turn the knob to select either INF
RATE or DOSE or DRIP RATE.
2. Then turn the knob to pick STEP item. Press and turn the knob to select step. 1 ~ 10 are available for
selection with the increment being 1.
3. Turn the knob to pick DOSE TYPE item. Press and turn the knob to select the unit in the pull-down list.
4. Use UP-DOWN item in the table to view the data in previous or following pages.
5. Turn the knob to pick REC item. After pressing the knob, the recorder prints out the data displayed in the
current titration table.
6. Turn the knob to pick EXIT to return to DRUG CALC menu.
Total amount, dose, volume, flow-rate, drop rate and patient weight and drug name are displayed on the top
of the titration table. Meaning of each English identifier is:
AMOUNT: drug amount

VOLUME: liquid volume
DOSE/min: drug dose
INF RATE: inf rate
DRIP RATE: drip rate
WEIGHT: patient weight
Chapter 9
Patient Safety
This Portable Patient Monitor is designed to comply with the International National Safety requirements
for medical electrical equipment. This device has floating inputs and is protected against the effects of
defibrillation and electrosurgery. If the correct electrodes are used and applied in accordance with the
manufacturer instructions, the screen display will recover within 5 seconds after defibrillation.
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.
Warning
• Do not touch the patient, bed or instrument during defibrillation.
• Please use anti-defibrillation ECG cable during defibrillation.
Environment
Follow the instructions below to ensure a completely safe electrical installation. The environment where the
Monitor will be used should be reasonably free from vibration, dust, corrosive or explosive gases, extremes
of temperature, humidity, and so on. For a cabinet mounted installation, allow sufficient room at the front
for operation and sufficient room at the rear for servicing with the cabinet access door open.
The Monitor operates within specifications at ambient temperatures between 5°C and 40°C. Ambient
temperatures that exceed these limits could affect the accuracy of the instrument and cause damage
to the modules and circuits. Allow at least 2 inches (5cms) clearance around the instrument for proper air
circulation.
Power Source Requirements

Refer to chapter Production Specification.
Grounding the Monitor

To protect the patient and hospital personnel, the cabinet of the Monitor must be grounded. Accordingly, the
Monitor is equipped with a detachable 3-wire cable which grounds the instrument to the power line ground
(protective earth) when plugged into an appropriate 3-wire receptacle. If a 3-wire receptacle is not available,
consult the hospital electrician. If completeness of the protective grounding wire is in doubt, the equipment
must be operated with internal power supply.
Warning
Do not use a 3-wire to 2-wire adapter with this instrument.
47
Connect the grounding wire to the equipotential grounding terminal on the main system. If it is not evident
from the instrument specifications whether a particular instrument combination is hazardous or not,
for example due to summation of leakage currents, the user should consult the manufacturers concerned
or else an expert in the field, to ensure that the necessary safety of all instruments concerned will not be
impaired by the proposed combination.
Equipotential Grounding
Protection class 1 instruments are already included in the protective grounding (protective earth) system
of the room by way of grounding contacts in the power plug. For internal examinations on the heart or the
brain, the Monitor must have a separate connection to the equipotential grounding system. One end of the
equipotential grounding cable (potential equalization conductor) is connected to the equipotential grounding
terminal on the instrument rear panel and the other end to one point of the equipotential grounding system.
The equipotential grounding system assumes the safety function of the protective grounding conductor if
ever there is a break in the protective grounding system. Examinations in or on the heart (or brain) should
only be carried out in medically used rooms incorporating an equipotential grounding system. Check each
time before use that the instrument is in perfect working order. The cable connecting the patient to the
instrument must be free of electrolyte.
Warning
If the protective grounding (protective earth) system is doubtful, the monitor must be supplied by inner
power only.
Condensation
Make sure that during operation, the instrument is free of condensation. Condensation can form when equip-
ment is moved from one building to another, thus being exposed to moisture and differences in
temperature.
Warning
Possible explosion hazard if used in the presence of flammable anesthetics.
Explanation of Symbols in the Monitor

This symbol means Refer to instruction manual/booklet
Hazard or Warning - pay close attention
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.
Alternating current
Stand-by
USB interface
Equipotential grounding system
Serial number
Date of manufacture
Manufacturer
WEEE (2002/96/EC)
This way up
Fragile, handle with care

48
Keep dry
5
The same packing stacked up to 5-layers
106kPa
Atmospheric pressure limitation.
50kPa
30°C
Temperature limitation
2°C
%
95%
Humidity limitation.
0%
European Representative.
This item is compliant with Medical Device Directive 93/42/EEC of June 14, 1993,
a directive of the European Economic Community.
Chapter 10
Care / Cleaning
10.1 System Check
Before using the monitor, do the following:
• check if there is any mechanical damage;

• check all the outer cables, inserted modules and accessories;
• check all the functions of the monitor to make sure that the monitor is in good condition.
If you find any damage on the monitor, stop using the monitor on patient, and contact the biomedical
engineer of the hospital or our Customer Service immediately.
The overall check of the monitor, including the safety check, should be performed only by qualified
personnel once every 6 to 12 month, and each time after fix up.
You should check the synchronism of the defibrillator in the frequency described in the hospital regulations.
At least every 3 months, it should be checked by a qualified customer service technician.
All the checks that need to open the monitor should be performed by qualified customer service technician.
The safety and maintenance check can be conducted by persons from our company. You can obtain the
material about the customer service contract from the local office.
The circuits diagrams, parts lists and calibration instructions of the monitor can be provided by the
manufacturer.
Note
To ensure maximum battery life, it is recommended that, at least once a month, the monitor be run on
battery until it turns itself off and then recharged.
Warning
• If the hospital or agency that is responding to using the monitor does not follow a satisfactory maintenance
schedule, the monitor may become invalid, and the human health may be endangered.
• Refer the battery replacement only to our service technician.
10.2 General Cleaning

Warning
• Before cleaning the monitor or the sensor, make sure that the equipment is switched off and disconnected
from the power line.
49
The Monitor must be kept dust-free.

Regular cleaning of the monitor shell and the screen is strongly recommended. Use only non-caustic deter-
gents such as soap and water to clean the monitor shell.
Note
• Please pay special attention to the following items:
1. Avoid using ammonia-based or acetone-based cleaners such as acetone.
2. Most cleaning agents must be diluted before use. Follow the manufacturer’s directions carefully to avoid
damaging the monitor.
3. Don’t use the grinding material, such as steel wool etc.
4. Don’t let the cleaning agent enter into the chassis of the system.
5. Don’t leave the cleaning agents at any part of the equipment.
10.3 Cleaning Agents

Examples of disinfectants that can be used on the instrument casing are listed below:
• Diluted Ammonia Water
• Diluted Sodium Hyoichlo (Bleaching agent).
Note
• The diluted sodium hyoichlo from 500ppm(1:100 diluted bleaching agent) to 5000ppm (1:10 bleaching
agents) is very effective. The concentration of the diluted sodium hyocihlo depends on how many
organisms (blood, mucus) on the surface of the chassis to be cleaned.
1. Diluted Formaldehyde 35% -- 37%
2. Hydrogen Peroxide 3%
3. Alcohol
4. Isopropanol
• The monitor and sensor surface can be cleaned with hospital-grade ethanol and dried in air or with crisp
and clean cloth.
• Our company has no responsibility for the effectiveness of controlling infectious disease using these
chemical agents. Please contact infectious disease experts in your hospital for details.
10.4 Disinfection
To avoid long-term damage to the device, we suggest to disinfect the device only necessary during the
maintenance plan. And we suggest to clean the device first before disinfection.
Advised disinfection material: ethanol group, aldehyde group
Please refer to relative chapters for the disinfection of ECG lead, SpO2 sensor, NIBP cuff and TEMP probe.
Caution
• Do not use EtO gas or formaldehyde to disinfect the monitor.
• Dilute the disinfectant according to manufacture’s instruction or adopt the disinfectant with concentration
as low as possible.
• Do not let any liquid ingress into the device.
• Do not immerse any part of the device in any liquid.
• During disinfection, do not pour any liquid on the device.
• Do not leave any disinfectant on the surface of device, wipe it up immediately with a wet cloth.
Chapter 11
ECG/RESP Monitoring
11.1 What is ECG Monitoring
Monitoring the ECG produces a continuous waveform of the patient’s cardiac electric activity to enable
an accurate assessment of his current physiological state. Only proper connection of the ECG cables can
ensure satisfactory measurement. On the Normal Display, the monitor provides display of 2-channel ECG
waveforms.
• The patient cable consists of 2 parts;
The cable that connects to the monitor;
The lead set that connects to the patient.
50
• Using a 5-lead set, the ECG can derive up to two waveforms from two different leads. For requested lead,
you may choose from the left side of ECG waveform.
• The monitor displays the Heart Rate (HR), ST segment and Arrhythmia analysis.
• All of the parameters above can be set as alarm parameters.
Note
• In the default settings of the monitor, the ECG waveforms are the first two waveforms from top in the
Waveform Area.
11.2 Precautions during ECG Monitoring

Warning
• Do not touch the patient, table nearby, or the equipment during defibrillation.
• Please use anti-defibrillation ECG cable during defibrillation.
• Use only the original ECG cable for monitoring.
• When connecting the cables and electrodes, make sure no conductive part is in contact with the ground.
Verify that all ECG electrodes, including neutral electrodes, are securely attached to the patient.
Note
Interference from a non-grounded instrument near the patient and ESU interference can cause inaccuracy of
the waveform.
11.3 Monitoring Procedure

11.3.1 Preparation
1. Prepare the patient’s skin prior to placing the electrodes.
• The skin is a poor conductor of electricity, therefore preparation of the patient’s skin is important
to facilitate good electrode contact to skin.
• Shave hair from sites, if necessary.
• Wash sites thoroughly with soap and water. (Never use ether or pure alcohol, because this increases
skin impedance).
• Rub the skin briskly to increase capillary blood flow in the tissues and remove skin scurf and grease.
2. Attach clip or snap to electrodes prior to placement.
3. Put the electrodes on the patient. Before attaching, apply some conductive jelly on the electrodes if the
electrodes are not electrolyte self-supplied.
4. Connect the electrode lead to the patient’s cable.
5. Make sure the monitor is ready with power supply.
Note
For protecting environment, the electrodes must be recycled or disposed of properly.
Warning
• Check everyday whether there is skin irritation resulted from the ECG electrodes. If so, replace electrodes
every 24 hours or change their sites.
• Verify lead fault detection prior to the start of monitoring phase. Unplug the ECG cable from the socket,
the screen will display the error message “ECG LEAD OFF” and the audible alarm is activated.
11.3.2 Installing ECG lead

Placing the Electrodes for ECG Monitoring
Electrode placement for 5-lead set (Figure11-1)
• Red (R) electrode - Be placed near the right shoulder, directly below the clavicle.
• Yellow (L) electrode - Be placed near the left shoulder, directly below the clavicle.
• Black (N) electrode - Be placed on the right hypogastrium.
• Green (F) electrode - Be placed on the left hypogastrium.
• White (C) electrode - Be placed on the chest as illustrated in the F Figure 11-2.
Note
The following table gives the corresponding Electrode names used in Europe and America respectively.
(Electrode names are represented by R, L, N, F and C respectively in Europe, whose corresponding Electro-
de names in America are RA, LA, RL, LL and V.)
51
America Euro
Electrode names Color Electrode names Color
RA White R Red
LA Black L Yellow
LL Red F Green
RL Green N Black
V Brown C White
Figure 11-1 Electrode Placement for 5-lead Set
Note
To ensure patient safety, all leads must be attached to the patient.
For 5-lead set, attach the C-electrode to one of the indicated positions as below (Figure 11-2):
• V1 On the 4th intercostal space at the right sterna margin.

• V2 On the 4th intercostal space at the left sterna margin.
• V3 Midway between V2 and V4 electrodes.
• V4 On the 5th intercostal space at the left clavicular line.
• V5 On the left anterior axillary line, horizontal with V4 electrode.
• V6 On the left middle axillary line, horizontal with V4 electrode.
• V3R-V7R On the right side of the chest in positions corresponding to those on the left.
• VE Over the xiphoid position.
• V7 On the 5th intercostal space at the left posterior axillary line of back.
• V7R On the 5th intercostal space at the right posterior axillary line of back.
Figure 11-2 C-electrode Placement For 5-lead Set

52
Recommended ECG Lead Placement for Surgical Patients
The placing of the ECG leads will depend on the type of surgery that is being performed. For example, with
open chest surgery the electrodes may be placed laterally on the chest or on the back. In the operating
room, artifacts can sometimes affect the ECG waveform due to the use of ES (Electrosurgery) equipment. To
help reduce this you can place the electrodes on the right and left shoulders, the right and left sides near the
stomach, and the chest lead on the left side at mid-chest. Avoid placing the electrodes on the upper arms,
otherwise the ECG waveform will be too small.
Warning
• When using Electrosurgery equipment, leads should be placed in a position in equal distance from
Electrosurgery electrotome and the grounding plate to avoid cautery. Electrosurgery equipment wire
and ECG cable must not be tangled up.
• ECG cables can be damaged when connected to a patient during defibrillation. Check cables for
functionality before using them again.
• Pacemaker failure: During complete heart block or pacemaker failure to pace/capture, tall P-waves (greater
than 1/5 of the average R-wave height) may be erroneously counted by the monitor, resulting in missed
detection of cardiac arrest.
• External pacing electrodes: When a pacemaker with external pacing electrodes is being used on a patient,
arrhythmia monitoring is severely compromised due to the high energy level in the pacer pulse.This may
result in the arrhythmia algorithm’s failure to detect pacemaker non-capture or asystole.
• During surgery: Use the special electrode ECG safety cable, for measuring ECG in the operating room.
These cables have extra circuitry to protect the patient from burn and decrease electrical interference.
This also reduces the hazard of burn in case of a defective neutral electrode at the HF device. These
cables cannot be used for measuring respiration.
• When using Electrosurgery equipment, never place an electrode near the grounding plate of the
Electrosurgery device, otherwise there will be a great deal of interference with the ECG signal.
• Using 5-lead ECG set

The default setting is ECG CH1 corresponding to Channel II, and ECG CH2 to Channel I, you can modify
the setting to meet your needs. You can set them to correspond to any two from I, II, III, aVR, aVL, aVF.,
V. If you set both to the same value, one of them will be adjusted to another option automatically.
(Figure 11-3)
Figure 11-3 ECG Lead
Note
• If a ECG waveform is not accurate, while the electrodes are tightly attached, try to change the lead.
• Interference from a non-grounded instrument near the patient and ESU interference can cause inaccuracy
of the waveform.
Normal QRS complex should be:

• Tall and narrow with no notches.
• With tall R-wave completely above or below the baseline.
• With pacer spike no higher than R-wave height.
• With T-wave less than one-third of the R-wave height.
• With P-wave much smaller than the T-wave.
53
For getting 1 mv calibrated ECG wave, choose ECG CAL button in ECG SETUP menu. A message “when
CAL, can’t monitor! “ prompts on the screen.
R

P T
Q S
Figure 11-4 Standard ECG Waveform
Warning
Do not touch the patient, table nearby, or the equipment during defibrillation.
11.4 ECG Screen Hot Keys

3
2
4
Figure 11-5 The Hot Key For ECG
1 Leads of channel 1:
1) The selectable leads are I, II, III, aVR, aVL,aVF, V.
2) When the ECG is 5-lead, the selectable leads are: I, II, III, aVR, aVL, aVF; V. when ECG is 3-lead,
the selectable leads are: I,II,III.
3) Leads on the ECG wave must not have the same name. Otherwise, the system will automatically
change the ECG waveform name that has the same name as the waveform being currently adjusted
to another name.
2 Waveform gain of channel 1: used to adjust the size of ECG waveforms
Select gain value for each channel from ×0.25,×0.5,×1,×2,×4. A 1mv scale displays on each ECG channel’s
one side. The height of 1mV bar is directly proportional to the waveform amplitude.
Note
When the input signals are too large, the peak of the waveform may be not able to be displayed. In this case
the user may manually change the setup method of ECG waveform according to the actual waveform so as
to avoid the occurrence of the unfavorable phenomena.
3 Filter method: used for displaying clearer and more detailed waveform
There are three filter modes for selection. DIAGNOSTI, MONITOR and SURGERY modes may reduce per
turbance and interference from Electrosurgery equipment. The filter method is the item applicable for both
channels, which is always displayed at the waveform place of the channel 1 ECG waveform.
Note
Only in Diagnosis mode, the system can provide non-processed real signals. In Monitor or Surgery mode,
54
ECG waveforms may have distortion of different extent. In either of the latter two modes, the system can
only show the basic ECG and the results of ST analysis may also be greatly affected. In Surgery mode,
results of ARR analysis may be somewhat affected. Therefore, it is suggested that in the environment having
relative small interference, you’d better monitor a patient in Diagnosis mode.
4 Leads of channel 2: refer to  for detailed information.

5 Waveform gain of channel 2: refer to  for detailed information.
Note
Pacemaking signal detected is marked by a “|” above the ECG waveform.
11.5 ECG Menu

11.5.1 ECG SETUP Menu
Pick the ECG hot key on the screen, and the following menu will popup.
Figure 11-6 ECG Setup Menu
ECG alarm setting

• HR ALM: pick “ON” to enable prompt message and data record during the ECG alarm; pick “OFF”
to disable the alarm function, and there will be a beside “ECG”.
• ALM LEV: selectable from HIGH, MED,LOW. Level HIGH represents the most serious case.
• ALM REC: pick “ON” to enable report printing upon ECG alarm.
• ALM HI: used to set up the upper limit of ECG alarm.
• ALM LO: used to set up the lower limit of ECG alarm.
ECG alarm is activated when the heart beat exceeds set ALM HI value or falls below ALM LO value.
HR alarm range:
Patient Type MAX. ALM HI MIN. ALM LO Step

ADU 300 15 1
PED/NEO 350 15 1
Note
Please set the alarm limits according to clinical condition of individual patient. The upper limit shall not
exceed 20 beat/min higher than the patient’s heart rate.
• HR FROM
ECG, SpO2, AUTO and BOTH may detect heart rate. AUTO distinguishes heart rate source according to
the quality of signal. By picking ECG, the monitor prompts HR and activates HR beep. By picking SpO2,
the monitor prompts PULSE and activates pulse beep. BOTH mode displays HR and PR simultaneously,
when this item is picked, PR parameter is displayed to the right side of SpO2. As for the sound of HR or PR
in BOTH mode, HR is given the priority, i.e., if HR is available, whose sound will be sent out, but if HR is not
available, then the sound will be for PR.
• HR CHANNEL
“CH1” to count the heart rate by CH 1 waveform
“CH2” to count the heart rate by CH 2 waveform
“AUTO” the monitor selects a channel automatically
55
• LEAD TYPE: used to select either 5 LEADS or 3 LEADS.

• SWEEP
Available options for ECG SWEEP are 12.5, 25.0, and 50.0 mm/s.
• ST ANALYSIS
Pick this item to access ST ANALYSIS menu, the detailed information about the menu is to be discussed in
the following section.
• ARR ANALYSIS
Pick this item to access ARR ANALYSIS menu, the detailed information about the menu is to be discussed
in the following section.
• OTHER SETUP
Pick this item to access ECG SETUP menu as shown below:
Figure 11-7 ECG Setup Menu
In the sub-menu, following functions are available:

• BEAT VOL
8 selections are available: OFF, 1~7. 7 indicates maximum volume. OFF indicates no sound.
• PACE
“ON” detected signal will be marked by a “|” above the ECG waveform
“OFF” for non-pacemaking patient
Note
• If monitoring a patient with the pacemaker, set “PACE” to On. If monitoring a patient without pacemaker,
set “PACE” to Off.
• If “PACE” is on, the system will not perform some types of ARR analysis. For detailed information, please
refer to the section: ARR ALARM. In the table, the ARR type marked by All types applies to the analysis in
all situations, marked by Non-paced applies only to the analysis in the situation when the patient does not
use pacemaker.
• NOTCH:ON/OFF.
• PITCH TONE:ON/OFF.
• ECG CAL: pick this item to start calibrating ECG. The method to end CAL: re-select the CAL key in the
menu or re-select the lead name on the screen.
• DEFAULT: pick this item to access the ECG DEFAULT CONFIG dialog box, in which the user may select
whether the FACTORY DEFAULT CONFIG or the USER DEFAULT CONFIG is to be used. After selecting
any of the items and exiting the dialog box, the system will pop up the dialog box asking for the user’s
confirmation.
Warning
For pacemaker patient, the pacing impulse analysis function must be switched on, otherwise, the pacing
impulse may be counted as normal QRS complex, which results in failure of “ECG LOST” error detection.
Do not rely entirely upon rate meter alarms. Keep pacemaker patients under close surveillance.
Note
• When calibrating ,Please set the filter way to “Diagnosis”.
• For monitor with ST segment & Arrhythmia analysis software, refer to ST Segment Monitoring and
Arrhythmia Analysis for details.
• When Pacer Switch is On, the Arrhythmia events related to PVCs will not be monitored. At the same time,
the ST analysis will not be performed either.
56
11.6 ECG Alarm Information and Prompt

11.6.1 Alarm Message
Alarms occurring in the process of ECG measurement contain two types: physiological alarm and technical
alarm. Prompt message may also appear in the mean time. For the audio and visual features during the
appearance of these alarms and prompt messages in the process of ECG measurement, please refer to the
related description in Chapter Alarm. In the screen, physiological alarm messages and the prompt messages
able to trigger alarms (general alerts) all displayed in the alarm area of the monitor while technical alarms and
prompt messages unable to trigger alarms are then displayed in the information area of the monitor.
This section does not describe the content about Arr. and ST analysis.
Among physiological alarms, those belonging to the type that the parameter has exceeded the limits may
activate the recorder to automatically output the parameters and related measured waveforms when the
alarms occur on the condition that the alarm record switch in the related menu is On.
Tables below describe respectively the possible various alarms those may occur during the measurement.
Physiological alarms:
Message Cause Alarm level
ECG LOST No ECG signal of the patient is detected. HIGH
HR TOO HIGH HR measuring value is above the upper alarm limit User-selectable
HR TOO LOW HR measuring value is below the lower alarm limit User-selectable
Technical alarms:
Message Cause Alarm level Remedy
ECG LEAD OFF
ECG V LEAD OFF or
ECG C LEAD OFF
ECG electrodes fall off the LOW Make sure that all electrodes, leads
ECG LL LEAD OFF or skin or ECG cables fall and patient cables are properly
ECG F LEAD OFF off the monitor. connected.
ECG LA LEAD OFF or
ECG L LEAD OFF
ECG RA LEAD OFF or
ECG R LEAD OFF
ECG INIT ERR
ECG INIT ERR1
ECG INIT ERR2
ECG INIT ERR3 Stop using measuring function
ECG INIT ERR4 ECG module failure HIGH provided by ECG module, notifies
biomedical engineer or Our service
ECG INIT ERR5 staff.
ECG INIT ERR6
ECG INIT ERR7
ECG INIT ERR8
ECG COMM STOP Occasional communication HIGH If failure persists, notify biomedical
failure engineer or Our service staff.
ECG COMM ERR Occasional communication HIGH If failure persists, notify biomedical
failure engineer or Our service staff.
HR ALM LMT ERR Functional safety failure HIGH Stop using HR alarm function, notify
biomedical engineer or
Our service staff.
ECG NOISE ECG measuring signal LOW Make sure the patient is quiet,
is greatly interfered. the electrodes are properly
connected and AC power system
is well grounded.
57
Prompt messages (include general alerts):
Message Cause Alarm Level

HR EXCEED HR measuring value exceeds the measurement range. HIGH
11.7 ST Segment Monitoring

11.7.1 ST Segment Monitoring
• The ST algorithm has been tested for accuracy of the ST segment data. The significance of the ST
segment changes needs to be determined by a clinician.
• ST segment monitoring function is shutoff by default. You can switch it to ON when necessary.
Note
When setting ST ANALYSIS on, the monitor will select “DIAGNOSTIC” mode. You can set it to “MONITOR”
mode or “OPERATE” mode as required. However at this time ST value has been severely distorted.
• It is available to measure the variance of ST segment with ST analysis at the waveform tracks for selected
lead. The corresponding ST measurement result displays numerically at ST1 and ST2 in the Parameter
Area. The trend can be viewed with table or graphic form.
• Measurement unit of ST segment: mV.
• Measurement symbol of ST segment: “+” = elevating, “-” = depressing.
• Measurement range of ST segment: -2.0 mV, ~ + 2.0 mV.
Pick the ST ANALYSIS item in the ECG SETUP menu to access the ST ANALYSIS sub-menu as shown
below.
ST ANALYSIS menu
Figure 11-8 ST Analysis Menu
ST analysis alarm setting

• ST ANAL: the switch for ST analysis. Set it to ON to activate the ST analysis or OFF to disable the ST
analysis.
• ST ALM: pick “ON” to enable prompt message and data record during the ST analysis alarm; pick “OFF”
to disable the alarm function, and there will be a beside ST. ST alarm is activated when the result
exceeds set ST HI value or falls below ST LO value.
• ALM LEV: used to set up the ST alarm level. There are three selections: HIGH, MED and LOW.
• ALM REC: pick “ON” to enable report printing upon ST analysis alarm.
• ALM HI: used to set up the upper limit of ST alarm. The max. higher limit is 2.0. The minimum higher limit is
0.1 larger than the set lower limit.
• ALM LOW: used to set up the lower limit of ST alarm. The minimum lower limit is –2.0. The max. lower limit
is 0.1 lower than the set higher limit.
ST analysis alarm limits:

Max. ST HI Min. ST LO Step
ST 2.0 mv -2.0 mv 0.1
58
• DEF POINT pick this item to access the DEF POINT window, in which the position of ISO and ST point can
be set up.
- ISO Base point.
- ST Measurement point.
Figure 11-9 DEF Point Window
The operator can adjust the position of both ISO and ST measurement points.
The reference point is the position where the peak of R-wave locates (see Figure 11-10).
R Wave

T
P
} ST Value
Q
S
ISO -78 ms ST +109 ms
Figure 11-10 DEF Point
The ST measurement for each beat complex is the vertical difference between the two measurement points.
Note
The ST measurement point should be adjusted if the patient’s HR or ECG morphology changes significantly.
• Adjusting ISO, ST
These two points can be adjusted turning the knob.
When adjusting ST measurement point, the system will show the ST Measurement Point Window. The QRS
complex template displays in the window (If the template is not established, a horizontal line will display.
If the channel is not at ON position, a horizontal line will also display). It is adjustable of the highlight bar in
the window. You may select ISO or ST, then switch the knob left or right to move the cursor line. When the
cursor is at the required position, you may select the base point or the measurement point.
Note
• Abnormal QRS complex is not considered in ST segment analysis.
• ST Alarm Message
• The alarm limits for two ST measurements are identical. No setting of alarm limits can be made only for
one channel.
59
Tables below describe the possible physiological alarms, technical alarms and prompt messages during ST
measurement.

ST1 TOO HIGH ST measuring value of channel 1 is above the upper alarm limit. User-selectable
STI TOO LOW ST measuring value of channel 1 is below the lower alarm limit. User-selectable
ST2 TOO HIGH ST measuring value of channel 2 is above the upper alarm limit. User-selectable
ST2 TOO LOW ST measuring value of channel 2 is below the lower alarm limit. User-selectable
Technical alarms:
Message Cause Alarm Level Remedy
ST ALM LMT ERR Functional safety failure HIGH Stop using ST alarming
function, notify biomedical
engineer or Our service staff.
Prompt messages (include general alerts):

ST1 EXCEED ST measuring value of channel 1 exceeds HIGH
the measurement range.
ST2 EXCEED ST measuring value of channel 2 exceeds HIGH
the measurement range.
11.8 Arr. Monitoring

11.8.1 Arrhythmia Analysis
The arrhythmia algorithm is used to monitor ECG of neonate and adult patient in clinical, detect the changing
of heart rate and ventricular rhythm, and also save arrhythmia events and generate alarming information.
Arrhythmia algorithm can monitor paced and non-paced patients. Qualified personnel can use arrhythmia
analysis to evaluate patient’s condition (such as heart rate, PVCs frequency, rhythm and ectopic beat) and
decide the treatment. Besides detecting changing of ECG, arrhythmia algorithm can also monitor patients
and give proper alarm for arrhythmia.
• The arrhythmia monitoring is shutoff by default. You can enable it when necessary.
• This function can call up the doctor’s attention to the patient’s heart rate by measuring and classifying
the arrhythmia and abnormal heart beat and triggering the alarm.
• The monitor can conduct up to 13 different arrhythmia analyses.
• The monitor can store the latest 60 alarm events when taking arrhythmia analysis to a peculiar buffer.
The operator can edit these arrhythmia events through the menu below.
Pick the item ARR ANALYSIS in ECG SETUP menu to access the ARR ANALYSIS sub-menu.
ARR ANALYSIS Menu
Figure 11-11 ARR Analysis Menu

60
• ARR ANAL:Pick “ON” during monitoring. Default set is “OFF”.

• PVCs ALM: pick “ON” to enable prompt message and data record when alarm occurs; pick “OFF”
to disable the alarm function, and there will be a beside “PVCs”.
• ALM LEV: selectable from HI, MED, LO. Level HIGH represents the most serious case.
• ALM REC: pick “ON” to enable report printing upon PVCs alarm.
PVCs alarm is activated when the PVCs exceeds set PVCs ALM HI value.
PVCs alarm upper limits:

Max Min Step
PVCs 30 1 1
PVCs alarm and prompt message:

Tables below describe the possible physiological alarms, technical alarms and prompt messages occurring
during pvcs measurement.
PVCs TOO HIGH PVCs measuring value is above upper alarm limit. User-selectable
Technical alarms:
PVCs ALM LMT ERR Functional safety failure HIGH Stop using PVCs alarming
• ARR RELEARN Pick this item to start a learning procedure.(unusable)

• ARR ALARM Pick this item to access the ARR ALARM dialog box to set arrhythmia alarm parameters.
Set ALM to ON/OFF to enable/disable the alarm function; Set REC to ON/OFF to enable/disable alarm
record function, turn the knob under LEV column to set alarm level to HIGH, MED or LOW.
Figure 11-12 ARR Alarm Menu
You can pick ALL ALM ON to enable alarm function of all arrhythmia types and pick ALL ALM OFF to disable
this function. Likewise, you can pick ALL REC ON to enable recording function for all arrhythmia types and
pick ALL REC OFF to disable this function. Changing the ALM LEV can reset alarm level of all arrhythmia
types to the same value.
• ARR RECALL Pick this item to review and edit the ARR analysis result.
The latest arrhythmia events (up to 60) are displayed.
61
Figure 11-13 ARR Recall Menu
• UP-DOWN Observe other event lists of other page.

• CURSOR Select the Arr. event, whose name is displayed in a protruding frame.
• RENAME Rename the selected Arr. event, whose name is displayed in a sunken frame.
Switch the knob until the name you want appears.
• WAVE To display the Arrhythmia waveform, time and parameter value.
• UP-DOWN To observe waveforms of other Arrhythmia events.
• RECORD To print out displayed Arrhythmia event.
• EXIT To return to ARR RECALL menu of Arrhythmia event.
Figure 11-14 ARR Wave Recall Menu
Note
If there are more than 60 Arrhythmia events, the latest will be retained.
ARR ALARM
The alarm is triggered when an Arrhythmia occurs. If the ALM is ON, the alarm sounds and the alarm indica-
tor flashes. If the REC is ON, the alarm record will be printed out (4 seconds prior to and after the alarm, with
the ECG waveforms of analysis channel).
62
Prompt Applicable Occurring Condition Alarm Level
Patient Type
ASYSTOLE All patients No QRS is detected for 4 consecutive User-selectable
seconds
VFIB /VTAC Without Fibrillatory wave for consecutive 4 seconds; User-selectable
pacemaker or The number of continuous Vent beats
is larger than the upper limit of cluster Vent
beats (>5). The RR interval is less than 600ms.
VT>2 Without 3 < the number of cluster PVCs < 5 User-selectable
pacemaker
COUPLET Without 2 consecutive PVCs User-selectable
pacemaker
BIGEMINY Without Vent Bigeminy User-selectable
pacemaker
TRIGEMINY Without Vent Trigeminy User-selectable
pacemaker
R ON T Without A type of single PVC under the condition User-selectable
pacemaker that HR<100,R-R interval is less than 1/3
the average interval, followed by a
compensating pause of 1.25X the average
R-R interval(the next R wave advances
onto the previous T wave).
PVC Without Single PVCs not belonging to the type User-selectable
pacemaker of above mentioned PVCs.
TACHY All patients 5 consecutive QRS complex , RR interval User-selectable
is less than 500ms.
BRADY All patients 5 consecutive QRS complex, RR interval User-selectable
is longer than 1.5s.
MISSED BEATS Without When HR is less than 100 beats/min., no heart User-selectable
pacemaker beat is tested during the period 1.75 times
of the average RR interval; or When HR is
larger than 100 beats/min., no beat is tested
with 1 second.
PNP With pacemaker No QRS complex and pacing pulse are User-selectable
availabe during the period 1.75 times
of the average R-R interval (only considering
patients with pacemaker.)
PNC With pacemaker When pacing pulse is available, no QRS User-selectable
exists during the period 1.75 times
of the average RR interval (only considering
patients with pacemaker.)
Patient type:
All patients: refers to perform Arr.analysis on patients either with pacemakers or without pacemakers.
Without pacemaker: refers to perform Arr. Analysis only on the patients without pacemakers.
With pacemaker: refers to perform Arr. Analysis only on the patients with pacemakers.
Prompt message:
ARR LEARNING The QRS template building required for Arr. Analysis is in No alarm
process.

63
Note
Arrhythmia name displays in the Alarm Message Area.
11.9 Measuring RESP

11.9.1 How to measure RESP?
The monitor measures respiration from the amount of thoracic impedance between two ECG electrodes.
The change of impedance between the two electrodes, (due to the thoracic movement), produces
a respiratory waveform on the screen.
11.9.2 Setting Up RESP measurement

For RESP monitoring, it is not necessary for additional electrodes, however, the placing of electrodes
is important.
Some patients, due to their clinical condition, expand their chest laterally, causing a negative intrathoracic
pressure. In these cases it is better to place the two RESP electrodes laterally in the right axillary and left
lateral chest areas at the maximum point of breathing movement to optimize the respiratory waveform.
Note
The RESP monitoring is not recommended to be used on patients who are very active, as this can cause
false alarms.
Checklist for RESP Monitoring

1. Prepare the patient’s skin prior to placing the electrodes.
2. Attach snap or clip to the electrodes and attach the electrodes to the patient as described below.
3. Switch on the monitor.
11.9.3 Installing electrode for RESP measurement

Placing the Electrodes for Respiratory Monitoring:

Figure 11-15 Electrodes Placement (5-lead)
Note
Place the red and green electrodes diagonally to optimize the respiration waveform. Avoid the liver area and
the ventricles of the heart in the line between the RESP electrodes so as to avoid cardiac overlay or artifacts
from pulsating blood flow. This is particularly important for neonates.
11.9.4 RESP menu

RESP SETUP Menu
Pick RESP hot key on the screen to call up the following menu:
64
Figure 11-16 RESP Setup Menu
RESP alarm setting

• ALM: pick “ON” to enable prompt message and data record during the RESP alarm; pick “OFF” to disable
the alarm function, and there will be a beside “RESP”.
• ALM REC: pick “ON” to enable report printing upon RESP alarm.
• ALM LEV: selectable from HI, MED and LO. Level HIGH represents the most serious case.
• ALM HI: used to set up the upper alarm limit.
• ALM LO: used to set up the lower alarm limit.
RESP alarm is activated when the respiration rate exceeds set ALM HI value or falls below ALM LO value.
RESP alarm limits:
Max. RR HI Min. RR LO Step
RESP ADU 120 0 1
RESP NEO/PED 150 0 1
• APNEA ALM: to set the standard of judging an apnea case. It ranges from 10 to 40 seconds, increases /
decreases by 5.
• SWEEP: Available options for RESP SWEEP are 6.25, 12.5 and 25.0 mm/s.
• WAVE AMP: The user may set up the displaying amplitude of the RESP waveform. The selections are×
0.25,× 0.5,× 1,× 2,× 4.
• DEFAULT: pick this item to access the RESP DEFAULT CONFIG dialog box, in which the user may select
confirmation
RESP Alarm Message

during resp measurement.
RR TOO HIGH RESP measuring value is above upper alarm limit. User-selectable
RR TOO LOW RESP measuring value is below lower alarm limit. User-selectable
RESP APNEA RESP can not be measured within specific time interval. HIGH
Technical alarms:
RESP ALM LMT ERR Functional safety failure HIGH Stop using RESP alarming
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Prompt message (general alerts):

RR EXCEED RR measuring value exceeds the measure range. HIGH
11.10 Maintenance and Cleaning

11.10.1 Care and Cleaning
Warning
Before cleaning the monitor or the sensor, make sure that the equipment is switched off and disconnected
If there is any sign that the ECG cable may be damaged or deteriorated, replace it with a new one instead of
continuing its application on the patient.
• Cleaning:
Use fine-hair cloth moistened in mild soap liquid or cleaning agent containing 70% ethanol to clean the
equipment.
• Disinfection
To avoid long-term damage to the device, we suggest to disinfect the device only necessary during the
maintenance plan. And we suggest to clean the device first before disinfection.
Advised disinfection material:
1. Ethanol group: 70% alcohol, 70% isopropanol
2. Aldehyde group
Chapter 12
SpO2 Monitoring
12.1 What is SpO2 Monitoring
SpO2 Plethysmogram measurement is employed to determine the oxygen saturation of hemoglobin in the
arterial blood. If, for example, 97% hemoglobin molecules in the red blood cells of the arterial blood combine
with oxygen, then the blood has a SpO2 oxygen saturation of 97%. The SpO2 numeric on the monitor will
read 97%. The SpO2 numeric shows the percentage of hemoglobin molecules which have combined with
oxygen molecules to form oxyhemoglobin. The SpO2/PLETH parameter can also provide a pulse rate signal
and a plethysmogram wave.
How the SpO2 / PLETH Parameter Works

• Arterial oxygen saturation is measured by a method called pulse oximeter. It is a continuous, non-invasive
method based on the different absorption spectra of reduced hemoglobin and oxyhemoglobin.
It measures how much light, sent from light sources on one side of the sensor, is transmitted through
patient tissue (such as a finger or an ear), to a receiver on the other side.
• The sensor measurement wavelengths are nominally 660nm for the Red LED and 880nm for Infrared LED.
Maximum optical power output for the Red LED is 6.65 mW and the Infrared LED is 6.75 mW.
• The amount of light transmitted depends on many factors, most of which are constant. However, one of
these factors, the blood flow in the arteries, varies with time, because it is pulsating. By measuring the light
absorption during a pulsation, it is possible to derive the oxygen saturation of the arterial blood. Detecting
the pulsation gives a PLETH waveform and pulse rate signal.
• The SpO2 value and the PLETH waveform can be displayed on the main screen.
• SpO2 is a non-invasive measurement of the functional oxygen saturation.
Warning
• Pulse oximeter can overestimate the SpO2 value in the presence of Hb-CO, Met-Hb or dye dilution chemi-
cals.
• ES (Electrosurgery) equipment wire and SpO2 cable must not be tangled up.
• Do not put the sensor on extremities with arterial catheter or venous syringe.
SpO2 / Pulse Monitoring

66
Note
Do not perform SpO2 measuring and NIBP measuring on same arm at one time, because obstruction of
blood flow during NIBP measuring may adversely affect the reading of SpO2 value.
12.2 Precautions during SpO2/Pulse Monitoring

Note
• Make sure the nail covers the light window;
• The wire should be on the backside of the hand.
• SpO2 value is always displayed at the same position.
• SpO2 waveform is not proportional to the pulse volume.
• Please read the measured value when the waveform on screen is equably and steady-going,
This measured value is optimal value. And the waveform at the moment is the standard one.
• Pulse Rate will be displayed only under following situations:

- Select HR FROM as “SpO2” or “BOTH” in the ECG SETUP menu.
- Select HR FROM as “AUTO” in the ECG SETUP menu and there is no ECG signal.
Warning
• Check if the sensor cable is in normal condition before monitoring. After unplugging the SpO2 sensor cable
from the socket, the system shall display the error message “SpO2 SENSOR OFF” and give the audible
alarm.
• When operating at the beginning, the operator inserts his finger, and setup the SpO2 ALM HI lower than
the current measured value, then the machine will start alarm. The pulse rate alarm test is the same with
the above.
• Do not use the SpO2 sensor once the package or the sensor is found damaged. Instead, you shall return it
to the vendor.
• Prolonged and continuous monitoring may increase jeopardy of unexpected change of dermal condition
such as abnormal sensitivity, rubescence, vesicle, repressive putrescence, and so on. It is especially
important to check the sensor placement of neonate and patient of poor perfusion or immature dermogram
by light collimation and proper attaching strictly according to changes of the skin. Check per 2~3 hours the
sensor placement and move it when the skin deteriorates. More frequent examinations may be required for
different patients.

SpO2 plethysmogram measurement
1. Switch on the monitor.
2. Attach the sensor to the appropriate site of the patient finger.
3. Plug the connector of the sensor extension cable into the SpO2 socket on the SpO2 module.
Figure 12-1 Mounting of the Sensor
• Neonate SpO2 Measurement

The process of measuring neonate SpO2 is similar to that of measuring adult SpO2. Below is the description
of neonate SpO2 sensor and its installation.
1. Neonate SpO2 sensor

Neonate SpO2 sensor consists of Y-form SpO2 sensor and its sheath. Insert the LED and PD ends of the
Y-form SpO2 sensor respectively into the upper and lower grooves on the sheath (figure 12-2). Figure 12-3
shows us the neonate SpO2 sensor after insertion.
67
Figure 12-2 Neonate SpO2 Sensor (1)
Figure 12-3 Neonate SpO2 Sensor (2)
2. Attaching Neonate SpO2 sensor

Wind the SpO2 sensor around a hand or foot. Hold the sensor, pull the belt and fit one of its sides with “V”
edge into the “V” groove on the corresponding side of the sheath. Appropriately elongate the belt (about
20mm) and fit the “V” edge of the other side of the belt into the “V” groove of the other side of the sheath
and then loosen the belt. After the “V” edges of the two sides of the belt fit well into the “V” grooves on the
two sides of the sheath, put the belt into the first lock bar to fasten the belt. See figure 12-4. If the belt is too
much long, you may put it into the second lock bar. You must position the SpO2 sensor in this way so as to
make the photoelectric component face the correct position. In the mean time, note not to elongate the belt
too much, which may lead to inaccurate measurement and also blocking the blood circulation severely.
Figure 12-4
Note
• If the sensor cannot be positioned accurately to the part to be measured, it may result in inaccurate SpO2
reading, or even that the SpO2 cannot be measured because no pulse is detected. If this is true, you must
position the sensor again.
• The excessive patient movement may result in inaccurate reading. In this situation, you must keep the
patient quiet or change the part for monitoring to reduce the adverse influence of excessive movement.
Warning
• In the process of extended and continuous monitoring, you should check the peripheral circulation and the
skin every 2 hours. If any unfavorable changes take place, you should change the measured position in
time.
• In the process of extended and continuous monitoring, you should periodically check the position of the
sensor. In case that the position of the sensor moves during monitoring, the measurement accuracy may
be affected.
68
12.4 Limitations for Measurement

Measurement Limitations
In operation, the accuracy of oximeter readings can be affected by:
• High-frequency electrical noise, including noise created by the host system, or noise from external
sources, such as electrosurgical apparatus connected to the system.
• Do not use oximeters and oximeter sensors during magnetic resonance imaging (MRI) scanning. Induced
current could potentially cause burns.
• Intravascular dye injections
• Excessive patient movement
• External light radiation
• Improper sensor installation or incorrect contact position of the patient
• Sensor temperature (optimal temperature between 28°C and 42°C)
• Placement of the sensor on an extremity that has a blood pressure cuff, arterial catheter, or intravascular line.
• Significant concentrations of dysfunctional hemoglobin, such as carboxyhemoglobin and methemoglobin.
• SpO2 too low
• Bad circular injection of the part being measured
• Shock, anemia, low temperature and application of vasomotor may all cause the arterial blood flow to
reduce and hence make the measurement impossible.
• The absorption of oxyhemoglobin (HbO2) and deoxyhemoglobin to the light of special wavelength may
also affect SpO2 measurement. If there exist other objects (carbon hemoglobin, methemoglobin, methylene
blue and indigo carmine) absorbing the light of the same wavelength, they may result in false or low SpO2
value.
• It is recommended to use SpO2 sensors described in chapter Accessories and Ordering Information.
12.5 SpO2 Menu

SpO2 SETUP Menu
Turn the knob to move the cursor onto the SpO2 hot key in the Parameter area, push the knob to access the
SpO2 SETUP menu.
Figure 12-5 SpO2 SETUP menu
Warning
• Setting the SpO2 upper alarm limit to 100% is equivalent to switching off the alarm on upper limit. High
oxygen levels may predispose a premature infant to retrolental fibroplasia. Therefore, the upper alarm limit
for oxygen saturation must be carefully selected in accordance with commonly accepted clinical practices.
• The upper and lower limit of SpO2 alarm will be displayed continuously in the SpO2 parameter area.
SpO2 alarm setting

• ALM: pick “ON”, the system will give alarm prompt and store alarm information when SpO2 alarm occurs;
pick “OFF”, the system will not give alarm and instead display a beside “SpO2”.
• ALM REC: pick “ON”, the system will command the recorder to output alarm information when SpO2 alarm
occurs.
• ALM LEV: used to set up alarm level, selectable from HI, MED and LO. HIGH represents the most serious
case.
• SpO2 ALM HI and SpO2 ALM LO: SpO2 alarm is activated when the result exceeds set SpO2 ALM HI value
or falls below SpO2 ALM LO value.
• PR ALM HI and PR ALM LO: PR alarm is activated when the pulse rate exceeds set PR ALM HI value or
falls below PR ALM LO value.
69
SpO2 and PR alarm limits:

Max. Upper Limit Min. Lower Limit Step
SpO2 100 0 1
PR 250 30 1
The default SpO2 and PR alarm limits:

Parameters Max. Upper Limit Min. Lower Limit
SpO2 Adult 100 90
Pediatric 100 90
Neonatal 95 85
PR Adult 120 50
Pediatric 160 75
Neonatal 200 100
• SWEEP
Available options are 12.5mm/s, 25.0 mm/s.
• AVG TIME
4s, 8s, 16s represent times that SpO2 average value is counted.
• DEFAULT
Pick this item to access the SpO2 DEFAULT CONFIG dialog box, in which you can select FACTORY
DEFAULT CONFIG or USER DEFAULT CONFIG. After selecting one item and exiting the dialog box,
the system will pop up the dialog box asking for the your confirmation.
12.6 Alarm Description and Prompt

SpO2 Alarm Message
When the alarm switches are set to ON in relevant menus, the physiological alarms caused by the parameter
exceeding the alarm limit may possibly trigger the recorder to automatically output alarming parameter value
and corresponding waveforms.
during SpO2 measurement.
Physiological alarm:
SpO2 TOO HIGH SpO2 measuring value is above upper alarm limit. User-selectable
SpO2 TOO LOW SpO2 measuring value is below lower alarm limit. User-selectable
PR TOO HIGH PR measuring value is above upper alarm limit. User-selectable
PR TOO LOW PR measuring value is below lower alarm limit. User-selectable
Technical alarms:
SpO2 SENSOR OFF SpO2 sensor may be di- LOW Make sure that the monitor and
sconnected from the patient the patient are in correct connec-
or the monitor. tion with the cables.
SpO2 INIT ERR SpO2 module failure HIGH Stop using the measuring fun-
SpO2 INIT ERR 1 ction of SpO2 module, notify bio-
medical engineer or our service
SpO2 INIT ERR 2 staff.
SpO2 INIT ERR 3
SpO2 INIT ERR 4
SpO2 INIT ERR 5
SpO2 INIT ERR 6
SpO2 INIT ERR 7
SpO2 INIT ERR 8
70
SpO2 COMM STOP SpO2 module failure or com- HIGH Stop using the measuring
munication error function of SpO2 module, notify
biomedical engineer or our
service staff.
SpO2 COMM ERR SpO2 module failure or com- HIGH Stop using the measuring
munication error function of SpO2 module, notify
service staff.
SpO2 ALM LMT ERR Functional safety failure HIGH Stop using the measuring
function of SpO2 module, notify
service staff.
PR ALM LMT ERR Functional safety failure HIGH Stop using the measuring
function of SpO2 module, notify
service staff.
Prompt message (include general alerts):

SpO2 EXCEED SpO2 measuring value exceeds the range. HIGH
PR EXCEED PR measuring value exceeds the range. HIGH

SEARCH PULSE SpO2 module is searching for pulse. No alarm
NO PULSE SpO2 module cannot detect SpO2 signal HIGH

for a long time.

Care and Cleaning
Warning
• Turn off the monitor and disconnect the line power before cleaning the monitor or the sensor
• Do not subject the sensor to autoclaving.
• Do not immerse the sensor into any liquid.
• Do not use any sensor or cable that may be damaged or deteriorated.
Cleaning:
• Use a cotton ball or a soft mull moistened with hospital-grade ethanol to wipe the surface of the sensor,
and then dry it with a cloth. This cleaning method can also be applied to the luminotron and receiving unit.
• The cable can be cleaned with 3% hydrogen dioxide, 7% isopropanol, or other active reagent. However,
connector of the sensor shall not be subjected to such solution.
Chapter 13
NIBP Monitoring
13.1 Introduction
• Reference to the European standard EN 1060-1: Specification for Non-invasive sphygmomanometers
Part 1, General requirements.
• The Non-invasive Blood Pressure (NIBP) module measures the blood pressure using the oscillometric
method.
• It is applicable for adult, pediatric, and neonatal usage.
• There are three modes of measurement available: manual, automatic and continuous. Each mode displays
the diastolic, systolic and mean blood pressure.
71
• In the MANUAL mode, only one measurement is conducted for each time.
• In the AUTO mode, the measurement is cycled; you can set the interval time to 1/ 2/ 3/ 4/ 5/ 10/
15/30/60/90/120/240/480/960 minutes.
• In the continuous mode, the monitor measures the blood pressure as many times as possible in five
minutes.
Warning
• You must not perform NIBP measurements on patients with sickle-cell disease or under any condition
which the skin is damaged or expected to be damaged.
• For a thrombasthemia patient, it is important to determine whether measurement of the blood pressure
shall be done automatically. The determination should be based on the clinical evaluation.
• Ensure that the correct setting is selected when performing measurements on children. It may be dange-
rous for the children to use an over pressure level.
13.2 NIBP Monitoring

13.2.1 NIBP Measuring
Warning
• Before starting a measurement, verify that you have selected a setting appropriate for your patient
(adult, pediatric or neonate.)
• Do not apply the cuff to a limb that has an intravenous infusion or catheter in place. This could cause
tissue damage around the catheter when infusion is slowed or blocked during cuff inflation.
• Make sure that the air conduit connecting the blood pressure cuff and the monitor is neither blocked nor
tangled.
1. Plug in the air hose and switch on the system.

2. Apply the blood pressure cuff to the patient’s arm or leg following the instructions below (Figure 13-1).
• Ensure that the cuff is completely deflated.
• Apply the appropriate size cuff to the patient, and make sure that the symbol “Φ” is over the appropriate
artery. Ensure that the cuff is not wrapped too tightly around the limb. Excessive tightness may cause
discoloration and eventual ischemia of the extremities.
Figure 13-1 Applying Cuff
Note
The width of the cuff should be either 40% of the limb circumference (50% for neonates) or 2/3 of the upper
arm length. The inflatable part of the cuff should be long enough to encircle 50-80% of the limb. The wrong
size of cuff can cause erroneous readings. If the cuff size is in question, then use a larger cuff.
Size of reusable cuff for neonate/children/adult

Patient Type Limb perimeter Cuff width Hose
Neonate 6~11cm 4.5cm
Infant 10 ~19 cm 8 cm
3m
Child 18 ~ 26 cm 10.6 cm
Adult 25 ~ 35 cm 14 cm
Large Adult 33 ~ 47 cm 17 cm
Thigh 46 ~ 66 cm 21 cm
72
• Make sure that the cuff edge falls within the range of mark <->. If it does not, use a larger or smaller cuff
that fits better.
3. Connect the cuff to the air hose. The limb chosen for taking the measurement should be placed at the
same level as the patient’s heart. If this is not possible you should apply the following corrections to the
measured values:
• If the cuff is placed higher than the heart level, add 0.75 mmHg (0.10 kPa) for each inch of difference.
• If it is placed lower than the heart level, deduct 0.75 mmHg (0.10 kPa) for each inch of difference.
4. Check whether the patient mode is appropriately selected. Access PATIENT SETUP menu from SYSTEM
MENU and pick PAT TYPE item and turn the knob to select the required patient type.
5. Select a measurement mode in the NIBP SETUP menu. Refer to the following paragraphs Operation Hints
for details
6. Press the START button on the front panel to start a measurement.
Operation Hints
1. To start auto measuring:
Access NIBP SETUP menu and pick the INTERVAL item, in which the user may choose the selections
other than MANUAL to set up the time interval for auto measurement. After that, press START button on
the front panel to start the auto measuring according to the selected time interval.
2. To stop auto measuring:
During auto measuring press START button on the front panel at any time to stop auto measurement.
3. To start a manual measuring:
• Access NIBP SETUP menu and pick the INTERVAL item. Select the MANUAL selection. Then press
the START button on the front panel to start a manual measurement.
• During the idle period of auto measuring process, press the START button on the front panel at any time
to start a manual measurement. Then press the START button on the front panel to stop manual
measurement and the system continues executes auto-measuring program according to selected time
interval.
4. To start a manual measuring during the AUTO mode
Press START button on the front panel.
5. To stop a manual measuring
Repress the START button on the front panel again.
6. To perform continuous measuring
Access NIBP SETUP menu and pick the CONTINUAL item to start the continuous measurement. The mo-
nitor will measure as many times of NIBP as possible within 5 minutes.
7. To stop continuous measuring
During continuous measuring press START button on the front panel at any time to stop continuous
measurement.
Warning
• Prolonged non-invasive blood pressure measurements in Auto mode may be associated with purport,
ischemia and neuropathy in the limb wearing the cuff. When monitoring a patient, examine the extremities
of the limb frequently for normal color, warmth and sensitivity. If any abnormality is observed, stop the
blood pressure measurements.
• Prolonged non-invasive blood pressure measurements in Continuous mode may be associated with
purport, ischemia and neuropathy in the limb wearing the cuff. When monitoring a patient, examine the
extremities of the limb frequently for normal color, warmth and sensitivity. If any abnormality is observed,
stop the blood pressure measurements.
• If liquid is inadvertently splashed on the equipment or its accessories, or may enter the conduit or inside
the monitor, contact local Customer Service Center.
Note
If you are in doubt about the accuracy of any reading(s), check the patient’s vital signs by an alternative
method before checking the functioning of the monitor.
Measurement Limitations
To different patient conditions, the oscillometric measurement has certain limitations. The measurement is
in search of regular arterial pressure pulse. In those circumstances when the patient’s condition makes it
difficult to detect, the measurement becomes unreliable and measuring time increases. The user should be
aware that the following conditions could interfere with the measurement, making the measurement unrelia-
ble or longer to derive. In some cases, the patient’s condition will make a measurement impossible.
73
• Patient Movement
Measurements will be unreliable or may not be possible if the patient is moving, shivering or having
convulsions. These motions may interfere with the detection of the arterial pressure pulses. In addition,
the measurement time will be prolonged.
• Cardiac Arrhythmia’s
Measurements will be unreliable and may not be possible if the patient’s cardiac arrhythmia has caused
an irregular heartbeat. The measuring time thus will be prolonged.
• Heart-lung Machine
Measurements will not be possible if the patient is connected to a heart-lung machine.
• Pressure Changes
Measurements will be unreliable and may not be possible if the patient’s blood pressure is changing rapidly
over the period of time during which the arterial pressure pulses are being analyzed to obtain the
measurement.
• Severe Shock
If the patient is in severe shock or hypothermia, measurements will be unreliable since reduced blood flow
to the peripheries will cause reduced pulsation of the arteries.
• Heart Rate Extremes
Measurements can not be made at a heart rate of less than 40 bpm and greater than 240 bpm.
13.2.2 NIBP monitoring screen

NIBP measurement result and corresponding message are displayed as follows:
Time of measurement
NIBP 16: 50 mmHg BP unit

Measurement value 108 84 70
Measurement mode MANUAL Current cuff pressure
Messagge Manual measure …… CUFF:100
13.3 NIBP SETUP Menu

Pick the NIBP hot key on the screen to call up the NIBP menu shown as below:
Figure 13-2 NIBP SETUP Menu
NIBP alarm setting

• ALM: pick “ON” to enable prompt message and data record during the NIBP alarm; pick “OFF” to disable
the alarm function, and there will be a beside “NIBP”.
• ALM LEV: selectable from HIGH, MED to LOW. HIGH represents the most serious case.
• ALM REC: pick “ON” to enable report printing upon NIBP alarm.
74
• SYS ALM HI, SYS ALM LOW, MEAN ALM HI, MEAN ALM LO, DIA ALM HI, DIA ALM LO are for the user
to set up the alarm limit for each type of pressure. NIBP alarm is activated when the pressure exceeds set
upper alarm limits or falls below lower alarm limits.
NIBP alarm limits

Adult Mode
SYS 40-270 mmHg
DIA 10-215 mmHg
Mean 20-235 mmHg
Pediatric Mode
SYS 40-200 mmHg
DIA 10-150 mmHg
Mean 20-165 mmHg
Neonatal Mode
SYS 40-135 mmHg
DIA 10-100 mmHg
Mean 20-110 mmHg
• UNIT
Pick this item to set measurement unit. (Option: mmHg or kPa)
• INTERVAL
Interval time for automatic measuring. Available selections: 1/2/3/4/5/10/15/30/60/90/120/240/480/960
minutes. Press START/STOP button on the NIBP module to start the first auto measuring.
Pick MANUAL selection in INTERVAL item to set up the measuring mode to MANUAL.
• INFLATION
Can be set only for some customized module.
• RESET
Restore measurement status.
Pick this item to restore initial settings of the pressure pump.
When the pressure does not work properly and the system fails to give message for the problem, pick this
item to activate self-test procedure, thus restore the system from abnormal performance.
• CONTINUAL
Start continuous measuring.
When this item is picked, the menu will disappear automatically.
• CALIBRATE
Calibrate the cuff pressure reading with a calibrated reference manometer. Pick the CALIBRATE item
to start the calibration and the item will change into STOP CAL, which if picked, the system will stop
calibration.
Warning
The calibration of the NIBP measurement is necessary for every two years (or as frequently as dictated by
your Hospital Procedures Policy). The performance should be checked according to the following details.
Procedure of the Pressure Transducer Calibration:

Replace the cuff of the device with a rigid metal vessel with a capacity of 500 ml ± 5%. Connect a calibrated
reference manometer with an error less than 0.8 mmHg and a ball pump by means of a T-piece connector
and hoses to the pneumatic system. Set the monitor in CALIBRATE mode. Inflate the pneumatic system to 0,
50 and 200 mmHg by ball pump separately. The difference between the indicated pressure of the reference
manometer and the indicated pressure of the monitor will not exceed 3 mmHg. Otherwise, please contact
our customer service.
Figure 13-3 Diagram of NIBP Calibration

75
• PNEUMATIC
This item is used for air leakage test. Turn the knob to pick the item to start the air leakage test. Then the
item will change into STOP PENUM, which if picked, the system will stop air leakage test.
Warning
• This pneumatic test other than being specified in the EN 1060-1 standard is to be used by the user to sim-
ply determine whether there are air leaks in the NIBP airway. If at the end of the test the system gives the
prompt that the NIBP airway has air leaks, please contact the manufacturer for repair.
Procedure of the air leakage test:

1) Connect the cuff securely with the socket for NIBP air hole.
2) Wrap the cuff around the cylinder of an appropriate size.
3) Access the NIBP SETUP menu.
4) Turn the knob to the PNEUMATIC item and press the knob. Then the prompt “Pneum testing…” will
appear on the bottom of the NIBP parameter area indicating that the system has started performing
pneumatic test.
5) The system will automatically Inflate the pneumatic system to about 180mmHg.
6) After 20 seconds or so, the system will automatically open the deflating valve, which marks the
completion of a pneumatic measurement.
7) If no prompt appears on the bottom of the NIBP parameter area, it indicates that the airway is in good
situation and no air leaks exist. However if the prompt “PNEUMATIC LEAK” appears in the place,
it indicates that the airway may have air leaks. In this case, the user should check for loose connection.
After confirming secure connections, the user should re-perform the pneumatic test. If the failure prompt
still appears, please contact the manufacturer for repair.
Figure 13-4 Diagram of NIBP Air Leakage Test
• DEFAULT
Pick this item to access the NIBP DEFAULT CONFIG dialog box, in which the user may select whether
the FACTORY DEFAULT CONFIG or the USER DEFAULT CONFIG is to be used. After selecting any of the
items and exiting the dialog box, the system will pop up the dialog box asking for the user’s confirmation.
13.4 NIBP Alarm Message

during NIBP measurement.
SYS TOO HIGH NIBP SYS measuring value is above upper alarm limit. User-selectable
SYS TOO LOW NIBP SYS measuring value is below lower alarm limit. User-selectable
DIA TOO HIGH NIBP DIA measuring value is above upper alarm limit. User-selectable
DIA TOO LOW NIBP DIA measuring value is below lower alarm limit. User-selectable
MEAN TOO HIGN NIBP MAP measuring value is above upper alarm limit. User-selectable
MEAN TOO LOW NIBP MAP measuring value is below lower alarm limit. User-selectable
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Technical alarms 1: (display in information area)

SYS ALM LMT ERR Functional safety failure HIGH Stop using alarming functions
MEAN ALM LMT ERR Functional safety failure HIGH of NIBP module and notify
biomedical engineer or Our
DIA ALM LMT ERR Functional safety failure HIGH service staff.
Technical alarms 2: (display in the area below the NIBP value)

Level
NIBP SELF TEST Sensor or other hardware of HIGH Stop using measuring function of NIBP
ERR NIBP module is incorrect. module, notify biomedical engineer
or Our service staff.
NIBP COMM ERR Communication with NIBP HIGH If failure persists, stop using measuring
module is failed. function of NIBP module, notify biome-
dical engineer or Our service staff.
LOOSE CUFF Cuff is no properly wrapped LOW Properly wrap the cuff
or no cuff exists.
AIR LEAK Cuff, hose or connector is dama- LOW Check and replace the leaking parts,
ged. if required, notify biomedical engineer
AIR PRESSURE Stable pressure value is not avai- LOW Check if the hoses are tangled, if failure
ERROR lable. e.g. hoses are persists, notify biomedical engineer
tangled. or Our service staff.
WEAK SIGNAL Cuff is too loose or patient pulse LOW Use other method to measure blood
is too weak. pressure.
RANGE EXCEEDED Measuring range exceeds the HIGH Reset NIBP module, if failure persists,
specified upper limit. stop using measuring function of NIBP
module, notify biomedical engineer
EXCESSIVE Affected by arm motion, signal LOW Make sure that the patient under
MOTION noise is too large or pulse rate is monitoring is motionless.
not regular.
OVER PRESSURE Pressure has exceeded the HIGH Measure again, if failure persists, stop
specified upper safety limit. using measuring function of NIBP
module and notify biomedical engineer
SIGNAL STURATED Excessive motion LOW Stop the patient from moving.
PNEUMATIC LEAK During pneumatic test, leak LOW Check and replace the leaking parts,
is detected. if required, notify biomedical engineer
NIBP SYSTEM Operation of blood pressure HIGH Stop using measuring function of NIBP
FAILURE pump system is failed. module, notify biomedical engineer or
Our service staff.
CUFF TYPE ERR Cuff type does not comply LOW Select appropriate cuff type
with the patient type.
NIBP TIME OUT Measuring time has exceeded HIGH Measure again or use other measuring
120 seconds (adult) or 90 method.
seconds (neonatal).
NIBP ILLEGALLY Abnormal module reset HIGH Reset again
RESET
MEASURE FAIL Problem happens when HIGH Check the cuff. Make sure that the
measuring the curve. The system patient under monitoring is motionless.
cannot perform measurement, Measure again.
analysis or calculation.
77
Prompt message: (display in the prompt area below NIBP value)

Manual measure… During manual measuring mode.
Cont measuring… During continuous measuring mode.
Auto measuring… During automatic measuring mode.
Please start After selecting interval between measurements in MENU
Measurement over Press START/STOP key during measuring to stop measurement
Calibrating… During calibrating No alarm
Calibration over Calibration over
Pneum testing… During pneumatic test
Pneum test over pneumatic test over
Resetting... NIBP module in resetting
Reset failed NIBP module reset failed

Warning
• Do not squeeze the rubber tube on the cuff.
• Do not allow liquid to enter the connector socket at the front of the monitor.
• Do not wipe the inner part of the connector socket when cleaning the monitor.
• When the reusable cuff is not connected with the monitor, or being cleaned, always place the cover on the
rubber tube to avoid liquid permeation.
Reusable Blood Pressure Cuff

The cuff can be sterilized by means of conventional autoclaving, gas, or radiation sterilization in hot air ovens
or disinfected by immersion in decontamination solutions, but remember to remove the rubber bag if you use
this method. The cuff should not be dry-cleaned.
The cuff can also be machine-washed or hand-washed, the latter method may prolong the service life of the
cuff. Before washing, remove the latex rubber bag, and for machine-washing, close the Velcro fastening.
Allow the cuff to dry thoroughly after washing, then reinsert the rubber bag.
Figure 13-5 Replace Rubber Bag in Cuff
To replace the rubber bag in the cuff, first place the bag on top of the cuff so that the rubber tubes line up
with the large opening on the long side of the cuff. Now roll the bag lengthwise and insert it into the opening
on the long side of the cuff. Hold the tubes and the cuff and shake the complete cuff until the bag is in
position. Thread the rubber tubes from inside the cuff, and out through the small hole under the internal flap.
Disposable Blood Pressure Cuffs

Disposable cuffs are intended for one-patient use only. Do not use the same cuff on any other patient.
Do not sterilize or use autoclave on disposable cuffs. Disposable cuffs can be cleaned using soap solution
to prevent infection.
Note
For protecting environment, the disposable blood pressure cuffs must be recycled or disposed of properly.
78
Chapter 14
TEMP Monitoring
14.1 TEMP Monitoring
Two TEMP probes can be used together to obtain 2 temperature data and compare them to work out the
temperature difference.
TEMP monitoring setup

• If you are using disposable TEMP probes you need to plug the TEMP cable into the monitor and then
connect the probe to the cable. With a reusable TEMP probe you can plug the probe directly into the
monitor.
• Apply the TEMP probe(s) securely to the patient.
• Switch on the system.
Warning
• Verify probe cables fault detection before beginning of monitoring phase. Unplug the temperature probe
cable of the channel 1 from the socket, the screen will display the error message “TEMP SENSOR1 OFF”
and the audible alarm is activated. The other channel is the same.
The calibration of the temperature measurement is necessary for every two years (or as frequently as
dictated by your Hospital Procedures Policy). When you need calibrate the temperature measurement,
contact the manufacture please.
Note
• Disposable TEMP probe can only be used once for one patient.
• The self-test of the temperature measurement is performed automatically once per hour during the
monitoring. The test procedure lasts about 2 seconds and does not affect the normal measurement of the
temperature monitoring.
14.2 TEMP SETUP Menu

Pick the TEMP hot key on the screen to call up the TEMP SETUP menu shown as below:
Figure 14-1 TEMP Setup Menu
TEMP alarm setting

• ALM: pick “ON” to enable prompt message and data record during the TEMP alarm; pick “OFF” to disable
the alarm function, and prompt the symbol beside TEMP numeric.
• ALM LEV: used to set up the alarm level, selectable from HIGH, MED or LOW.
• ALM REC: used to start/stop recording TEMP alarms. Pick “ON” to enable report printing upon TEMP
alarm.
• Alarm for T1, T2 and TD occurs when the measured temperature exceeds set alarm high limit or falls below
alarm low limit.
T1 is Channel-1 temperature, T2 is Channel-2 temperature, TD is the temperature difference between the
above two.
79
TEMP alarm limits:

Max. TEMP HI Min. TEMP LO Step
T1, T2 50 0 0.1
TD 50 0 0.1
• UNIT To set temperature unit (ºC or ºF).

• DEFAULT Pick this item to access the TEMP DEFAULT CONFIG dialog box, in which the user may
select whether the FACTORY DEFAULT CONFIG or the USER DEFAULT CONFIG is to be
used. After selecting any of the items and exiting the dialog box, the system will pop up the
dialog box asking for the user’s confirmation.
14.3 TEMP Alarm message

during TEMP measurement.
T1 TOO HIGH Measuring value of channel 1 is above upper alarm limit.
TI TOO LOW Measuring value of channel 1 is below lower alarm limit.
User-selectable
T2 TOO HIGH Measuring value of channel 2 is above upper alarm limit.
T2 TOO LOW Measuring value of channel 2 is below lower alarm limit.
TD TOO HIGH Difference between two channels is larger than upper limit.
Technical alarms:
Alarm Message Cause Alarm Remedy
Level
T1 SENSOR OFF Temperature cable of channel 1 LOW Make sure that the cable is properly
may be disconnected from the connected.
monitor.
T2 SENSOR OFF Temperature cable of channel 2 LOW Make sure that the cable is properly
may be disconnected from the connected.
monitor.
T1 ALM LMT ERR Functional safety failure HIGH Stop using alarming function of TEMP
module, notify biomedical engineer or
Our service staff.
T2 ALM LMT ERR Functional safety failure HIGH Stop using alarming function of TEMP
Our service staff.
TD ALM LMT ERR Functional safety failure HIGH Stop using alarming function of TEMP
Our service staff.
Prompt message:
T1 EXCEED Measuring value of channel 1 is beyond measuring range. HIGH
T2 EXCEED Measuring value of channel 2 is beyond measuring range. HIGH
80
14.4 Care and Cleaning

Warning
Before cleaning the monitor or the probe, make sure that the equipment is switched off and disconnected
Reusable TEMP Probes

1 The TEMP probe should not be heated above 100°C (212°F). It should only be subjected briefly to
temperatures between 80°C (176°F) and 100°C (212°F).
2 The probe must not be sterilized in steam.
3 Only detergents containing no alcohol can be used for disaffection.
4 The rectal probes should be used, if possible, in conjunction with a protective rubber cover.
5 To clean the probe, hold the tip with one hand and with the other hand rubbing the probe down in the
direction of the connector using a moist lint-free cloth.
Note
• Disposable TEMP probe must not be re-sterilized or reused.
• For protecting environment, the disposable TEMP probe must be recycled or disposed of properly.
Chapter 15
IBP Monitoring(optional)
15.1 Introduction
The Monitor measures direct blood pressure (SYS, DIA and MAP) of one selected blood vessel through two
channels, and displays two BP waveforms measures direct blood pressure (SYS, DIA and MAP).
The available pressure labels are:
Label Definition
ART Arterial Blood Pressure
PA Pulmonary Arterial Pressure
CVP Center Venous Pressure
RAP Right Atrial Pressure
LAP Left Atrial Pressure
ICP Intracranium Pressure
P1-P2 Expand Pressure
15.2 Precautions during IBP Monitoring

Warning
• The operator should avoid contact with the conductive parts of the appurtenance when being connected
or applied.
• When the monitor is used with HF surgical equipment, the transducer and the cables must be avoided
conductive connection to the HF equipment to protect against burns to the patient.
• Disposable IBP transducer or domes should not be reused.
• Verify transducer cables fault detection before beginning of monitoring phase. Unplug the transducer of
the channel 1 from the socket, the screen will display the error message “IBP: SENSOR 1 OFF” and the
audible alarm is activated. The other channel is the same.
• If any kind of liquid, other than solution to be infused in pressure line or transducer, is splashed on the
equipment or its accessories, or may enter the transducer or the monitor, contact the Hospital Service
Center immediately.
Note
• Use only the pressure transducer listed in the Chapter Accessories and Ordering Information.
• The specified transducer is designed to have the special ability to protect against the electricity shock
(especially for the leak current allowed), and it is protected against the effects of a discharge of a cardiac
defibrillator. It can be used in the surgical operation. When the patient is in the defibrillation, the waveform
81
of the pressure maybe distorted temporarily. After the defibrillation, the monitoring will go on normally, the
operation mode and the user configuration are not affected.
• Calibrate the instrument either whenever a new transducer is used, or as frequently as dictated by your
Hospital Procedures Policy.

Preparatory steps for IBP measurement:
1. Plug the pressure cable into corresponding socket and check that the monitor is switched on.
2. Prepare the pressure line and transducer by flushing through the system with normal saline solution.
Ensure that the system is free of air bubbles.
3. Connect the patient catheter to the pressure line, making sure that there is no air present in the catheter
or pressure line.
Warning
• If there are air bubbles in the pressure line or the transducer, you should flush the system with the solution
to be infused.
4. Position the transducer so that it is at the same level with the patient’s heart, approximately mid-axillary
line.
5. Check if you have selected the correct label name. See the next section for details.
6. Zero the transducer. See the next section for details.
Figure 15-1 IBP Monitoring
15.4 IBP Menu

Pick the IBP hot key on the screen to access the IBP SELECT menu shown as following:
Figure 15-2 IBP SELECT Menu
Pick the IBP SETUP item to call up the IBP SETUP menu as following:
82
Figure 15-3 IBP SETUP Menu
The items to be set up in the menu include:

• ALM: Select “ON” to enable alarm prompt and data storage during IBP alarm. Select “OFF” to disable
audio alarm and prompt the symbol beside “IBP” numeric.
• ALM LEV: used to set up the alarm level. Three levels are available: HI, MED, LO.
• ALM REC: Select “ON” to enable recording during the IBP alarm or to OFF to disable the alarm recording
function.
• SWEEP: used to select the scanning speed of the IBP wave. Two selections are available: 12.5 mm/s
or 25 mm/s.
• IBP1 UNIT/IBP2 UNIT: used to select the pressure unit (mmHg / kPa / cmH2O).
• FILTER:non filter,smooth,normal.
• ALM LIMIT SET: used to access the sub-menu of IBP ALM LIMIT SET, in which the user may set up the
upper and lower alarm limit of systolic pressure, diastolic pressure and mean pressure respectively for
channel 1 and channel 2.
• SCALE ADJUST: used to access the sub-menu of IBP PRESS RULER ADJUST, in which the user may
adjust the position of the high, reference and low scales for the two waveforms displayed on the screen.
• EXPAND PRESSURE: used to access the sub-menu of IBP EXPAND PRESS SET, in which the user may
select the pressure name to be represented by P1, P2.
• DEFAULT: pick this item to access the IBP DEFAULT CONFIG dialog box, in which the user may select
confirmation.
• EXIT: used to exit the menu and return to the main screen.
Warning
• Before set the alarm limits, confirm to choose the correct label.
Figure 15-4 IBP ALM LIMIT SETUP

83
The alarm occurs when the value exceeds the set limits.
IBP alarm limits:

Pressure Label Max. Alarm High (mmHg) Min. Alarm Low (mmHg) Step (mmHg)
ART 300 -10 1
PA 300 -10 1
CVP 300 -10 1
RAP 300 -10 1
LAP 300 -10 1
ICP 300 -10 1
P1 300 -10 1
P2 300 -10 1
IBP Transducer Zero
Press the IBP PRESSURE ZERO button on the IBP SELECT menu to call up IBP PRESSURE ZERO menu as
shown below:
Figure 15-5 IBP PRESSURE ZERO
Note
It is the responsibility of the user to ensure that a zero procedure has recently been done on the transducer,
otherwise there will be no recent, valid zero value for the instrument to use, which may result in inaccurate
measurement results.
Zero Calibration of Transducer

Select CH1, the system will zero IBP1. Select CH2, the system will zero IBP2.
Caution
• Turn off patient stopcock before you start the zero procedure.
• The transducer must be vented to atmospheric pressure before the zero procedure.
• The transducer should be placed at the same height level with the heart, approximately mid-axially line.
• Zero procedure should be performed before starting the monitoring and at least once a day after each
disconnect-and-connect of the cable.
The prompt information related to zero, take CH1 for example.

• “SENSOR OFF, FAIL”
Make sure that transducer is not off, then proceed zeroing.
• “IN DEMO FAIL”
Make sure that the monitor is not in DEMO mode. Contact service technician if necessary.
• “PRESSURE OVER RANGE, FAIL”
Make sure that the stopcock is vented to atmosphere. If the problem persists, contact service technician.
• “PULSATILE PRESSURE, FAIL”
Make sure that the transducer is not attached to the patient and that the stopcock is vented to
atmosphere. If the problem persists, contact service technician.
IBP Calibration
Press the IBP PRESSURE CALIBRATION button on the IBP SELECT menu to call up the IBP PRESSURE
CALIBRATE menu as shown below:
84
Figure 15-6 IBP Calibration Menu
Calibrate the transducer:

Turn the knob to select the item CH1 CAL VALUE, press and turn the knob to select the pressure value to be
calibrated for channel 1. Then turn the knob to select the item CALIBRATE to start calibrating channel 1.
Turn the knob to select the item CH2 CAL VALUE, press and turn the knob to select the pressure value to be
calibrated for channel 2. Then turn the knob to select the item CALIBRATE to start calibrating channel 2.
• The pressure calibration of the monitor
Figure 15-7 IBP Calibration
Caution
• Mercury calibration should be performed by the biomedical engineering department either whenever a new
transducer is used, or as frequently as dictated by your Hospital Procedures Policy.
• The purpose of the calibration is to ensure that the system gives you accurate measurements.
• Before starting a mercury calibration, a zero procedure must be performed.
• If you need to perform this procedure yourself you will need the following pieces of equipment:
1. Standard sphygmomanometer
2. 3-way stopcock
3. Tubing approximately 25 cm long
• The Calibration Procedure: (SEE Figure Errore. L’origine riferimento non è stata trovata.-10)
Warning
• You must never perform this procedure while patient is being monitored.
1. Close the stopcock that was open to atmospheric pressure for the zero calibration.
2. Attach the tubing to the sphygmomanometer.
3. Ensure that connection that would lead to patient is off.
4. Connect the 3-way connector to the 3-way stopcock that is not connected to the patient catheter.
5. Open the port of the 3-way stopcock to the sphygmomanometer.
85
6. Select the channel to be calibrated in the menu and select the pressure value to which the IBP is to be
adjusted.
7. Inflate to make the mercury bar rise to the setup pressure value.
8. Adjust repeatedly until the value in the menu is equal to the pressure value shown by the mercury
calibration.
9. Press the Start button, the device will begin calibrating.
10. Wait for the calibrated result. You should take corresponding measures based on the prompt information.
11. After calibration, disassemble the blood pressure tubing and the attached 3-way valve.
If the following messages prompt up, refer to relevant instructions (take channel-1 for instance):
• “SENSOR OFF, FALL”
Make sure that sensor is not off, then proceed calibration.
• “IN DEMO, FAIL”
Make sure that the monitor is not in DEMO mode. Contact service technician if necessary.
• “PRESSURE OVER RANGE, FAIL”
Make sure that you have selected transducer value in IBP CAL, then proceed calibration.
Changing the Label

• IBP SCALE ADJUST submenu:
Figure 15-8 IBP SCALE ADJUST Menu
The waveform and corresponding scale appears in the IBP Waveform Area with 3 dotted lines representing
High Limit Scale, Reference Scale, and Low Limit Scale from the top to the bottom. Values of the three
scales can be user-set according to the instruction given below.
• IBP label: selectable from ART, PA, CVP, RAP, LAP, ICP, P1, P2;
• HI: IBP value of High Limit scale, the range is the measuring range of the current pressure.
Note
• The HI value must be higher than the LO value.
LO: IBP value of Low Limit scale, the range is the measuring range of the current pressure.
• The LO value must be lower than the HI value.
VAL: IBP value of Reference scale (between HI and LO).
• When change HI scale, Low scale or Reference scale of IBP waveform and the corresponding IBP
waveforms are displayed under the menu window, the waveform will come penetratingly through the menu
window for observing.
15.5 Alarm Information and Prompts

Alarm Messages
during IBP measurement.
86
IS1 TOO HIGH SYS measuring value of channel 1 is above User-selectable
upper alarm limit.
IS1 TOO LOW SYS measuring value of channel 1 is below User-selectable
lower alarm limit.
ID1 TOO HIGH DIA measuring value of channel 1 is above User-selectable
upper alarm limit.
ID1 TOO LOW DIA measuring value of channel 1 is below User-selectable
lower alarm limit.
IM1 TOO HIGH MAP measuring value of channel 1 is above User-selectable
upper alarm limit.
IM1 TOO LOW MAP measuring value of channel 1 is below User-selectable
lower alarm limit.
IS2 TOO HIGH SYS measuring value of channel 2 is above User-selectable
upper alarm limit.
IS2 TOO LOW SYS measuring value of channel 2 is below User-selectable
lower alarm limit.
ID2 TOO HIGH DIA measuring value of channel 2 is above User-selectable
upper alarm limit.
ID2 TOO LOW DIA measuring value of channel 2 is below User-selectable
lower alarm limit.
IM2 TOO HIGH MAP measuring value of channel 2 is above User-selectable
upper alarm limit.
IM2 TOO LOW MAP measuring value of channel 2 is below User-selectable
lower alarm limit.
Technical alarms:
Level
IBP1 SENSOR OFF IBP cable of channel 1 falis LOW Make sure that cable is properly con-
off from monitor. nected.
IBP2 SENSOR OFF IBP cable of channel 2 fails LOW Make sure that cable is properly con-
off from monitor. nected.
IBP (1,2) INIT ERR
IBP (1,2) INIT ERR1
IBP (1,2) INIT ERR2
IBP (1,2) INIT ERR3 Stop using measuring function of IBP
IBP (1,2) INIT ERR4 IBP module failure HIGH module, notify biomedical engineer or
Our service staff.
IBP (1,2) INIT ERR5
IBP (1,2) INIT ERR6
IBP (1,2) INIT ERR7
IBP (1,2) INIT ERR8
IBP (1,2) COMM STOP IBP(1,2) module failure or HIGH Stop using measuring function of IBP
communication failure module, notify biomedical engineer or
Our service staff.
IBP (1,2) COMM ERR IBP(1,2) communication HIGH Stop using measuring function of IBP
error module, notify biomedical engineer or
Our service staff.
87
IBP1 ALM LMT ERR Functional safety failure HIGH Stop using measuring function of IBP
Our service staff.
IBP2 ALM LMT ERR Functional safety failure HIGH Stop using measuring function of IBP
Our service staff.
Prompt message (general alerts):

BP1 SYS EXCEED Systolic measuring value of channel 1 is HIGH
beyond measurement range.
IBP1 DIA EXCEED Diastolic measuring value of channel 1 is HIGH
IBP1 MEAN EXCEED Mean measuring value of channel 1 is beyond HIGH
measurement range.
IBP2 SYS EXCEED Systolic measuring value of channel 2 is HIGH
IBP2 DIA EXCEED Diastolic measuring value of channel 2 is HIGH
IBP2 MEAN EXCEED Mean measuring value of channel 2 is beyond HIGH
measurement range.
IBP1 NEED ZERO-CAL Zero calibrating must be done before measu- LOW
ring in IBP channel 1.
IBP2 NEED ZERO-CAL Zero calibrating must be done before measu- LOW
ring in IBP channel2.

15.6.1 Care and Cleaning
Warning
• Before cleaning the monitor or the transducer, make sure that the equipment is switched off and
disconnected from the power line.
Cleaning of IBP Transducer (Reusable)

After the IBP monitoring operation is completed, remove the tubing and the dome from the transducer
and wipe the transducer diaphragm with water. Soaking and/or wiping with soap can clean the transducer
and cable and water or cleaning agents such as those listed below:
Cetylcide
Wavicide-01
Wescodyne
Cidex
Lysol
Vesphene
Do not immerse the connector in any liquid. After cleaning, dry the transducer thoroughly before storing.
Slight discoloration or temporary increase of surface stickiness of the cable should not be considered
abnormal If adhesive tape residue must be removed from the transducer cable, double seal tape remover
is effective and will cause a minimum of damage to the cable if used sparingly. Acetone, Alcohol, Ammonia
and Chloroform, or other strong solvents are not recommended because over time the vinyl cabling will be
damaged by these agents.
Note
• The disposable transducers or domes must not be re-sterilized or re-used.
• For protecting environment, the disposable transducers or domes must be recycled or disposed of pro-
perly.
88
Sterilization
• Liquid Chemical Sterilization

Remove obvious contamination by using the cleaning procedure described previously. Select a sterilant
that your hospital or institution has found to be effective for liquid chemical sterilization of operating room
equipment. Buffered gluteraldehyed (e.g. Cidex or Hospisept) has been found to be effective. Do not use
quaternary cationic detergents such as zephiran chloride. If the whole unit is to be sterilized, immerse the
transducer but not the electrical connector into the sterilant for the recommended sterilizing period.
Be sure that the dome is removed. Then rinse all transducer parts except the electrical connector with
sterilized water or saline. The transducer must be thoroughly dried before storing.
• Gas Sterilization
For more complete asepsis, use gas sterilization.
Remove obvious contamination by using the cleaning procedure described previously. To inhibit the
formation of ethylene glycol when ethylene oxide gas is used as the disinfectant, the transducer should be
completely dry.
Follow the operating instructions provided by the manufacturer of the gas disinfectant.
Warning
• The sterilize temperature must not exceed 70°C (158°F). Plastics in the pressure transducer may deform or
melt above this temperature.
Chapter 16
CO2 Measuring(optional)
16.1General
This chapter offers some relevant data concerning CO2 monitoring.
The monitor provides two kinds of CO2 measuring methods as per the requirements of users,which are
MainStream and SideStream.
The module is used to monitor continuous carbon dioxide and report the End Tidal carbon dioxide (ETCO2),
Inspired CO2 (InsCO2) and Air Way Respiratory Rate(AWRR) values of the intubated and non-intubated
adult, pediatric ,infant and neonatal patient.
CO2: EtCO2
INS: Inspired Minimum CO2(InsCO2).
AWRR: Air Way Respiration (AwRR)(Resp. times/MIN).
Note
• Before use, if the measurement is MainStream,you must set the “work mode” to “measure”in the submenu
“OTHER SET” of “CO2 SETUP”,otherwise the module will not work correctly.
• Don’t use the device in the environment with flammable anesthetic gas.
• The device can only be operated by personnel having taken professional training and familiar with this
manual.
Warning
• CO2 module shall be avoided from crash and vibration.
• Do not operate the CO2 Module when it is wet or has exterior condensation.
• Do not connect the exhaust tube to the ventilator circuit.
• This product and its accessories are latex free.
• DO NOT use device on patients that can not tolerate the withdrawal of 50 ml/min +/- 10 ml/min from the
airway or patients that can not tolerate the added dead space to the airway.

16.2.1 Principle of operation
The measurement of this module is based on the feature that the CO2 molecule absorbs 4.3um infrared ray.
The measurement procedure is as follows : send the CO2 to a measurement chamber inside the module
through the airway system, and then irradiate infrared ray at one side of the chamber and use the sensor to
measure the attenuation degree of the received infrared ray at the other side. Since the attenuation degree of
the infrared ray is proportional to the concentration of CO2, the CO2 concentration is calculated.
89
The relation between the partial pressure and the CO2 concentration is given below:
CO2 partial pressure (mmHg) =CO2 concentration (%) × Pamp (ambient pressure, mmHg)
Of CO2 MainStream and CO2 SideStream modules, whichever is selected by the user, autorun measuring
mode is adopted.
16.2.2 Operation for CO2 Measurement

• Sidestream

Figure 16-1 Sample Canula
Figure 16-2 SideStream Module
1. The Sidestream module can be used for intubated and non-intubated patient.
2. Insert LEMO interface to socket( CO2) of the monitor
3. Connect the sample cell to the module,the sampling pump automatically turns on.Perform sample cell
zero.
4. Place the sampling line on the patient. Removal the sample cell automatically turns sampling pump off.
5. Capnogram displayed in less than 20 seconds, at an ambient temperature of 25°C, full specifications
within 2 minutes.
• Mainstream
Figure 16-3 MainStream Module
1. The mainstream module can only be used for intubated patient.

2. Set the “WORK MODE” to “MEASUREMENT”in the submenu “OTHER SET” of “CO2 MENU”.
3. Connect the module to the monitor.
4. Place the module above on the adapter.
5. Perform airway adapter zero.
6. Connect the airway adapter into the patient’s airway.
7. Capnogram, displayed in less than 15 seconds at an ambient temperature of 25ºC, full specifications
within 2 minutes.
90
Warning
• Do not use the accessory if the packaging or the internal accessory is damaged. Return it to the
manufacturer.
• The sidestream sampling line is disposable. It should not be disinfected for reuse or cross-used
by different patients.
• In the long-term use, dust or other substances may lower the air permeability of the filter material in the
sample cell and may block the airway. In this situation, the sampling line must be replaced.
• No routine user calibration required. For mainstream,an airway adapter zero is required when changing to
a different style of airway adapter.
16.3 CO2 Menu

16.3.1 Parameter Setup and Adjustment
Turn the knob to select and press CO2 hot key on the screen to activate “CO2 Setup” menu as shown
below:
Figure 16-4 CO2 Setup Menu
Following functions can be realized via CO2 SETUP menu.

• ALM: select “ON” to enable and store alarm prompt when CO2 parameters have alarms. Select “OFF”
to disable alarm and display beside CO2. The default is “ON”.
• ALM LEV: select from HI, MED and LO. Level HIGH represents the most serious alarm, followed by Level
MED and Level LOW with a decrease of seriousness. Change in “ALM LEV” can only affect the
physiological alarm levels of CO2 parameters including EtCO2 upper limit, EtCO2 lower limit, InsCO2
upper limit, AwRR upper limit and AwRR lower limit. The default alarm level is “MED”.
• ALM REC: select “ON” to generate output from the recorder ever since CO2 parameter alarm occurs.
The default is “OFF”.
• CO2 ALM HI: to adjust the upper alarm limit of EtCO2. If the measuring value is larger than CO2 upper
alarm limit, “CO2 TOO HIGH” appears on the screen. After the measuring value returns to the normal one,
the information disappears.
• CO2 ALM LO: to adjust the lower alarm limit of EtCO2. If the measuring value is smaller than CO2 lower
alarm limit, “CO2 TOO LOW” appears on the screen. After the measuring value returns to the normal one,
• INS ALM HI: to adjust the upper alarm limit of InsCO2. If the measuring value is larger than InsCO2 upper
alarm limit, “INS TOO HIGH” appears on the screen. After the measuring value returns to the normal one,
• AWRR ALM HI: to adjust the upper alarm limit of AwRR. If the measuring value is larger than the upper
alarm limit of AwRR, “AWRR TOO HIGH” appears on the screen. After the measuring value returns to the
normal one, the information disappears.
• AWRR ALM LO: to adjust the lower alarm limit of AwRR. If the measuring value is smaller than the lower
alarm limit of AwRR, “AWRR TOO LOW” appears on the screen. After the measuring value returns to the
normal one, the information disappears.
• APNEA ALM: After selecting the alarm time for APNEA alarm (having 7 levels, which are 10S, 15S, 20S,
25S, 30S, 35S, and 40S), the “CO2 APNEA” information will appear on the screen after the corresponding
selected time. The alarm level is HIGH.
• SWEEP: to adjust the display rate of CO2 waveforms with “6.25 mm/s”, “12.5 mm/s”, or “25.0 mm/s”
selectable.
91
• UNIT: to change the display units of CO2 and InsCO2 parameters. “mmHg” and “kPa” are available for
selection.
• Exit: to close CO2 SETUP menu.
Note
“APNEA ALM” cannot be closed.
• OTHER SET: pick this item in the menu to call up CO2 more setup sub-menu.
Figure 16-5 CO2 More Setups Menu
Now we introduce you to the functions of each item in CO2 SETUP submenu.
• WAVE SCALE: to adjust full scale size of CO2 waveform display area with “LO” or “HI” selectable.
The default value is “LO”.
• WORK MODE: in the MainStream measurement ,you must set the work mode to “MEASUREMENT”.
• ATMOS:This setting is used to set current Barometric Pressure.
Resolution: 1 mmHg (400mmHg~850mmHg), Default:760mmHg.
• O2 COMPENSATE:Use this setting to correct for the compensation of the gas mixture administered to the
patient. Resolution: 1% (0~100%), Default: 16%.
• BALANCE GAS: Use this setting to correct for the compensation of the gas mixture administered to the
patient. “room air”, “N2O”, “Helium” Will be selected. Default: “room air”.
• ANEA: Use this setting to correct for the compensation of the gas mixture administered to patient.
Resolution: 0.1% (0.0~20.0%), Default: 0.0%.
Note
• Anesthetic agent is ignored when the balance gas is set to helium.
• Zero: A “Sample Cell Zero “is a quick process that allows the module to accommodate the optical
characteristics of each of the different adapter type ..A Sample Cell Zero should be performed whenever
the type of adapter being used with the module is changed. For optimal accuracy , a Sample Cell Zero
should also be performed whenever the module is connected to the host system.
Note
• No routine calibration required.An airway adapter zero is required when changing to a different style of
airway adapter.
• To perform a Sample Cell Zero:
1. Set the Host to the zeroing function.
2. Connect the CO2 Module and, if necessary, wait for the sensor warm-up message to clear.
3. Connect a Sampling accessory to the module ,and make certain that the accessory is exposed to room
air and away from all sources of CO2,including the ventilator ,the patient’s breath and your own.
4. Start the Sample Cell Zero .The maximum time is 40 seconds .The typical time for a zero is 15-20
seconds.
• When not using CO2 monitoring function, it is suggested that the “ WORK MODE” should be adjusted to
“STANDBY” .
• DEFAULT: pick this item to access the CO2 DEFAULT CONFIG dialog box, in which the user may select
confirmation.
EtCO2 upper alarm limit: when parameter value exceeds this limit, there will be alarm for exceeding the
upper limit.
92
Default:
Adult: 50 mmHg
Pediatric: 50 mmHg
Neonatal: 45 mmHg
EtCO2 lower alarm limit: when parameter value is smaller than the lower limit, there will be alarm for excee-
ding lower limit.
Default:
Adult: 15 mmHg
Pediatric: 20 mmHg
Neonatal: 30 mmHg
InsCO2 upper alarm limit: when parameter value exceeds this limit, there will be alarm for exceeding upper
limit.
Default:
Adult: 4 mmHg
Pediatric: 4 mmHg
Neonatal: 4 mmHg
AwRR upper alarm limit: when parameter value exceeds this limit, there will be alarm for exceeding upper
limit.
Default:
Adult: 30 rpm
Pediatric: 30 rpm
Neonatal: 100 rpm
AwRR lower alarm limit: when parameter value is smaller than the limit, there will be alarm for exceeding
lower limit.
Default:
Adult: 8 rpm
Pediatric: 8 rpm
Neonatal: 30 rpm
APNEA Time: Selections are 10S to 40S,

Default: 20S.
Work Mode: Standby, Measurement.

Unit: mmHg/kPa.
Default: mmHg
Waveform Sweep: 25.0/12.5/6.25 (mm/s)

Default: 25.0 mm/s
Waveform Scale: LOW/HIGH

Default: LOW
Besides, for alarm function of CO2 module, refer to Chapter Alarm, for its recording function, refer to
Chapter Recording, and for information about alarm event review, graphic and tabular trend of CO2
parameters, refer to Chapter Trend and Event.
16.4 Alarm Information and Prompt

during CO2 measurement.
93
CO2 TOO HIGH EtCO2 measuring value is above upper alarm limit. User-selectable
CO2 TOO LOW EtCO2 measuring value is below lower alarm limit. User-selectable
INS TOO HIGH InsCO2 measuring value is above alarm limits. User-selectable
AWRR TOO HIGH AwRR measuring value is above upper alarm limit. User-selectable
AWRR TOO LOW AwRR measuring value is below lower alarm limit. User-selectable
CO2 APNEA In specific time interval, no RESP can be detected HIGH
using CO2 module.
Technical alarms:
Level
CO2 Sensor Faulty The Sensor Source Current HIGH Check that the sensor is properly
Failure plugged in. Reinsert or reseat the
sensor if necessary. If error persists,
return sensor to factory for servicing.
CO2 Sensor Over The sensor temperature HIGH Make sure sensor is not exposed to
temp is greater than 40°C extreme heat. If error persists, return
sensor to factory for servicing.
CO2 Check Sam- This error occurs whenever the LOW Check that the sampling line is not
pling Line pneumatic pressure is outside occluded or kinked.
the expected rang
CO2 Zero Error An error was found during Zero LOW To clear, check airway adapter and clean
if necessary. If this does not correct the
error, perform an adapter zero.
CO2 Out of Range The value being calculated is LOW If error persists, perform a zero.
greater than the upper CO2
limit.
CO2 Check Airway Usually caused when the LOW To clear, clean airway adapter if mucus or
Adapter airway adapter is removed moisture is seen. If the adapter is clean,
from the sensor or when there perform a Zero.
is an optical blockage on the
windows of the airway adapter.
May also be caused by failure
to perform Zero to When
adapter type is changed.
CO2 not initialized Barometric Pressure or gas LOW Set the Barometric Pressure and gas
compensations have not been compensations to clear this error.
set since power on.
Prompt message:
CO2 Zero in Progress A Zero is currently in progress No alarm
CO2 Sensor Warm Up Shows that the sensor is in warming-up stage. No alarm
CO2 Check Adapter No alarm
CO2 Zero Required No alarm
CO2 Sample Line This is no sidestream sampling set connected No alarm
Disconnected to the CO2 sensor
94

Care and Maintenance
1. Sample line is for one-off use in SideStream module.Do not sterilize or clean for reuse on another patient.
2. Airway adapter is for one-off use in MainStream module..Do not sterilize or clean for reuse on another
patient.
3. When the sample system of SideStream module occurring occlusion,first check kinks for sampling line.
If no kinks are found,then check water trap after disconnecting sample line from the Watertrap. If the
occlusion message on the screen disappears,the sampling line must be replaced.If the occlusion message
on the screen remains,the Watertrap must be replaced.
4. No routine calibration required in both MainStream and SideStream CO2 module.
Chapter 17
Accessories and Ordering Information
This chapter lists the recommendation accessories used in this device.
Warning
• The accessories list below are specified to be used in this device of our company. The device will be
possibly damaged or lead some harm if any other accessories are used.
17.1 ECG Accessories

Part Number Accessories Type Remark
1.4.07.00002 ECG electrodes, adult, 20 pieces Disposable /
1.4.07.00003 ECG electrodes, child, 20 pieces
2.3.04.00213 Integrated 5-lead, type B, AHA, TPU, snap Reusable /
2.3.04.00214 Integrated 5-lead, type B, ICU, TPU, snap
2.3.04.00240 Integrated 5-lead, type B, AHA, Defib, PVC, snap
2.3.04.00241 Integrated 5-lead, type B, ICU, Defib, PVC, snap
2.3.04.00211 Integrated 5-lead, type B, AHA, PVC, child, clip
2.3.04.00212 Integrated 5-lead, type B, ICU, PVC, child, clip
2.3.04.00225 Integrated 3-lead, type B, AHA, PVC, snap
2.3.04.00226 Integrated 3-lead, type B, ICU, PVC, snap
2.3.04.00227 Integrated 3-lead, type B, AHA, PVC, child, clip
2.3.04.00228 Integrated 3-lead, type B, ICU, PVC, child, clip
17.2 SpO2 Accessories

2.3.08.00004 Digital 5-pin adult finger-clip SpO2 sensor (3M) Reusable /
2.3.08.00007 Digital 5-pin child finger-clip SpO2 sensor (3M)
2.3.08.00020 Digital 5-pin adult fingertip SpO2 sensor (3M)
2.3.08.00025 Digital 5-pin old fashion adult finger-clip SpO2
sensor (3M)
2.3.09.00001 Digital SpO2 extension cable (2M)
2.3.08.00003 Digital DB7 adult finger-clip SpO2 sensor (1M) Reusable
2.3.08.00016 Digital DB7 child finger-clip SpO2 sensor (1M) (equipped
with extension
2.3.08.00017 Digital DB7 adult fingertip SpO2 sensor (1M) cable)
2.3.08.00029 Digital DB7 adult integrated bundled SpO2 sensor (1M)
95
17.3 NIBP Accessories

2.3.11.00001 Neonate capsule single tube repeatable cuff (6-11CM) Reusable /
2.3.11.00002 Infant capsule single tube repeatable cuff (10-19CM)
2.3.11.00003 Child capsule single tube repeatable cuff (18-26C)
2.3.11.00004 Adult capsule single tube repeatable cuff (25-35C)
2.3.11.00005 Adult Plus capsule single tube repeatable cuff (33-47CM)
2.3.11.00006 Adult leg capsule single tube repeatable cuff (46-66CM)
2.3.11.00007 NIBP extension tube, 85A Grey, TPU, quick connector
(negative) at both ends
17.4 TEMP Accessories
2.3.06.00001 R25=2.252K TEMP probe, skin type, 6.3 single positive, Reusable /
PVC, L=3M
2.3.06.00002 R25=2.252K TEMP probe, intracavitary type, 6.3 single
positive, PVC, L=3M
2.3.06.00017 R25=2.252K TEMP probe, skin type, 6.3 single positive,
PVC, L=3M
2.3.06.00018 R25=2.252K TEMP probe, intracavitary type, 6.3 single
positive, PVC, L=3M
17.5 IBP Accessories

Part Number Accessories Reusable Ancillary use
2.3.02.00001 IBP integrated module
2.3.07.00026 Spacelabs and ABBOTT Transducer Adapter Cable
1.4.11.00007 IBP sensor/PT-01 Disposable
17.6 CO2 Accessories

2.3.02.00031 CO2 module/CO2-M02, mainstream Reusable /
2.3.02.00068 CO2 module/CO2-M01, sidestream , Green,
2.3.02.00069 CO2 module/import sidestream (1022054), Green
2.3.02.00070 CO2 module/import mainstream (1015928) Green,
2.3.02.00072 CO2 module/home mainstream (C500), Green,
1.4.11.00019 Single patient use adult airway adapter Mainstream / Disposable Mainstream
P/N-6063-00
1.4.11.00020 Single patient use neonatal airway adapter Mainstream /
P/N-6312-00
1.4.11.00006 Adult nasal sampling cannula / 3468ADU-00 Disposable Sidestream
1.4.11.00013 Pediatric/Adult airway adapter kit /3472ADU-00
1.4.11.00014 Pediatric/Adult airway adapter kit with dehumidification
tubing / 3473ADU-00
1.4.11.00021 Pediatric nasal sampling cannula / 3468PED-00
1.4.11.00022 Infant nasal sampling cannula / 3468INF-00
1.4.11.00024 Adult nasal sampling cannula with dehumidification Disposable Mainstream
tubing / DM-3100-LT
1.4.11.00025 Adult airway adapter kitwith dehumidification tubing /
DM7700-LT
96
Chapter 18
Default Settings Appendix
This appendix documents the most important default settings of your monitor as it is delivered from the
factory. For a comprehensive list and explanation of default settings, see the Configuration Guide supplied
with your monitor. The monitor’s default settings can be permanently changed in Configuration Mode.
Note
If your monitor has been ordered preconfigured to your requirements, the settings at delivery will be different
from those listed here.
18.1 Alarm and Measurement Default Settings

Settings are only entered once per table row if they are the same for all patient categories1.
18.1.1 Alarm Default Settings

Alarm Settings Factory Default
ALARM VOL 1
ALM REC TIME 32 S
ALM PAUSE TIME 2 MIN
ALM TYPE UNLATCH
KEYVOL 1
18.1.2 ECG, Arrhythmia, ST Default Settings

ECG Settings Factory Defaults
Adult Pedi Neo
HR ALM ON
ALM LEV MED
ALM REC OFF
ALM HI 120 bpm 160 bpm 200 bpm
ALM LO 50 bpm 75 bpm 100 bpm
HR FROM AUTO
HR CHANNEL CH1
LEAD TYPE 5 LEADS
SWEEP 25.0mm/s
Arrhythmia Factory Defaults

Settings Adult Pedi Neo
ARR ANAL OFF
PVCS ALM OFF
ALM LEV MED
ALM REC OFF
ALM HI 10
Lead-independent Factory Defaults

ST Settings Adult Pedi Neo
ST ANAL OFF
ST ALM OFF
ST ALM LEV MED
ST ALM SEC OFF
ST ALM HI 0.20
ST ALM LO -0.20
97
18.1.3 Pulse Default Settings

Pulse Settings Factory Defaults
Adult Pedi Neo
PR ALM ON
PR ALM HI 120 bpm 160 bpm 200 bpm
PR ALM LO 50 bpm 75 bpm 100 bpm
SWEEP 25mm/s
AVG TIME 4S
18.1.4 Respiration Default Settings

Respiration Factory Defaults
ALM ON
ALM LEV MED
ALM REC OFF
ALM HI 30 rpm 100 rpm
ALM LO 8 rpm 30 rpm
SWEEP 25mm/s
APENA ALM 20 s
WAVE AMP X1
18.1.5 SpO2 Default Settings

SpO2 Default Factory Defaults
SpO2 ALM ON
ALM LEV HI
SpO2 REC OFF
SpO2 ALM HI 100 100 95
SpO2 ALM LOW 90 90 80
18.1.6 NIBP Default Settings

NIBP Settings Factory Defaults
Adult Pedi Neo
ALM ON
ALM LEV MED
ALM REC OFF
SYS ALM HI 160mmHg 120mmHg 90mmHg
SYS ALM LO 90mmHg 70mmHg 40mmHg
MEAN ALM HI 110mmHg 90mmHg 70mmHg
MEAN ALM LO 60mmHg 50mmHg 25mmHg
DIA ALM HI 90mmHg 70mmHg 60mmHg
DIA ALM LO 50mmHg 40mmHg 20mmHg
UNIT mmHg
INTERVAL MANUAL
INFLATION 150mmHg 100mmHg 70mmHg
98
18.1.7 Temperature Default Settings

Temp Settings Factory Default
ALM ON
ALM LEV MED
ALM REC OFF
T1 HI 39.0
T1 LO 36.0
T2 HI 39.0
T2 LO 36.0
TD 2.0
UNIT °C
18.1.8 IBP Default Settings

IBP Settings Factory Default
ALM ON
ALM LEV MED
ALM REC OFF
SWEEP 25.0mm/s
IBP1 UNIT mmHg
IBP2 UNIT mmHg
18.1.9 CO2 Default Settings
CO2 Settings Factory Default

ALM ON
ALM LEV MED
ALM REC OFF
CO2 ALM HI 45
CO2 ALM LO 30
INS ALM HI 4
AWRR ALM HI 100
AWRR ALM LO 30
APNEA ALM(S) 20
SWEEP 25.0mm/s
UNIT mmHg
Appendix I
Product Specification
1 Classification
Anti-electroshock type Class I equipment and internal powered equipment
EMC type Class A
Anti-electroshock degree ECG(RESP), SpO2, NIBP, IBP,TEMP,CO2 CF
Harmful liquid proof degree Ordinary equipment (sealed equipment without liquid proof)
Disinfection/sterilizing method Refer to Chapter 11 ~ Chapter 16 for details.
Working system Continuous running equipment
99
2 Specifications
2.1 Size and Weight
Size Monitor 314 x 145 x 264 mm
Weight Monitor 3.9 kg
2.2 Environment
Temperature
Working +5°C ~ +40 °C
Transport and Storage -40°C ~ +55 °C
Humidity
Working 30%~75%
Transport and Storage ≤95 %(no coagulate)
Barometric
Working 700hPa ~ 1060hPa
Transport and Storage 500hPa ~ 1060hPa
Power Supply 100-240V~ 50/60Hz

Pmax=150VA FUSE T1.6AL250V
2.3 Display
Device 12.1 in. Color TFT, 3 LED
Resolution: 800x600
Messages 8 Waveforms Maximum
1 Alarm LED (Orange/Red)
1 Power LED (Green)
1 Battery Charge LED (Yellow)
3 Sound Mode corresponding Alarm Mode
2.4 Battery
Rechargeable 3500mAh 7.4V Li battery
Operating time under the normal use and full charge greater than 90 minutes
Operating time after the first alarm of low battery will be about 5 minutes
Charging: up to 90% after charging 4 hours, fully charged after 5 hours
2.5 Recorder (Optional)

Record Width 48 mm
Paper Speed 25/50 mm/s
Trace 2
Recording types: Continuous real-time recording
8 second real-time recording
Auto 8 second recording
Parameter alarm recording
Waveform freeze recording
Trend graph/table recording
ARR events review recording
Alarm event review recording
NIBP review recording
Drug Calculation and titration table recording
2.6 Recall
Trend Recall
Short 1 hrs, 1 Second Resolution
Long 480 hrs, 1 Min. Resolution
100
Alarm Event Recall

72 alarm events of all parameters and 8/16/32seconds of corresponding waveform.
NIBP Measurement Recall

At least 4800 NIBP measurement data.
SD card
72 hrs ECG waveform
TREND review
2.7 ECG
Lead Mode 5 Leads (R, L, F, N, C or RA, LA, LL, RL, V)
Lead selection I, II, III, aVR, aVL, aVF, V,
Waveform 2 ch
Lead mode 3 Leads ( R, L, F or RA, LA, LL)
Lead selection I, II, III,
Waveform 1 ch
Gain 2.5mm/mV, 5.0mm/mV, 10mm/mV, 20mm/mV, 40mm/mV
Scan speed 12.5mm/s, 25mm/s, 50mm/s
HR
Measure and Alarm Range
Adult 15 ~ 300 bpm
Neonate/Pediatric 15 ~ 350 bpm
Accuracy ±1% or ±1bpm, which great
Resolution 1 bpm
Sensitivity > 200 uV P-P
Differential Input Impedance > 5 MΩ
CMRR
Monitor ≥ 100dB
Operation ≥ 100 dB
Diagnosis ≥60dB
Electrode offset potential ±300mV
Leakage Current < 10 μA
Baseline Recovery ≤ 5 s After Defi.
Input bias current (lead off detection) ≤ 0.1 μA（driver lead ≤ 1 μA）
ECG Signal Range ±8 mV (Vp-p)
Notch 50Hz/60Hz(Notch filter can be turned on or off manually)
Bandwidth
Surgery 1 ~ 20 Hz(+0.4dB,-3dB)
Monitor 0.5Hz～40Hz(+0.4dB,-3dB)
Diagnostic 0.05Hz~75Hz(+0.4dB,-3dB);76Hz~150Hz(+0.4dB,-4.5dB)
Calibration Signal ST Segment Monitoring Range Measure and Alarm
-2.0 ~ +2.0 mV
Accuracy -0.8 ~ +0.8mV ±0.04mV or ±10% which is greater
Other unspecified
ARR Detecting
Type ASYSTOLE, VFIB/VTAC, COUPLET, BIGEMINY, TRIGEMINY,
RONT, VT>2, PVC, TACHY, BRADY, MISSED BEATS, PNP, PNC
Alarm Available
Review Available
Tall T-wave rejection capability 1.2mV
Heart rate averaging the average value of the latest 6 R-R intervals which
have ignored the maximum and minimum
Updating rate of the display 1s
Heart rate meter accuracy and response to irregular rhythm:
Bigeminy ventricular 80±1bpm
Bigeminy ventricular alternative lente 60±1bpm
Bigeminy ventricular alternative rapid 120±1bpm
Systoles bidirectional 90±1bpm
101
Response time to heart rate meter to change in heart rate

80 to 120bpm < 8s
80 to 40bpm < 8s
Time to ALARM for tachycardia
Tachycardia ventricular:amplitude =1mV(p-v),heart rate = 206bpm

Ampitude Average(s) Range (s)
×1 2.7 2.2~ 2.9
×0.5 3.8 3.5~4.0
×2 3.8 3.5~4.0
Tachycardia ventricular :amplitude =2mV(p-v),heart rate = 195bpm

Ampitude Average(s) Range (s)
×1 2.3 2.0~3.0
×0.5 3.3 3.0~4.0
×2 2.2 2.0~3.0
Pace Pulse
Pulse indicator Pulse is marked if the requirements of ANSI/AAMI EC13:2002,Sect.4.1.4.1 are met:
Amplitude: ±2mV ~ ±700mV
Width: 0.1ms ~ 2ms
Pulse Rejection Pulse is rejected if the requirements of ANSI/AAMI EC13-2002:Sect.4.1.4.1 are met:
Amplitude: ±2mV ~ ±700mV
Width: 0.1ms ~ 2ms
2.8 RESPIRATION
Method Impedance between R-F(RA-LL)
Differential Input Impedance >2.5 MΩ
Measuring Impedance Range: 0.3~5.0Ω
Base line Impedance Range: 0.1 KΩ– 2.5 KΩ
Bandwidth 0.3 ~ 2.5 Hz
Scan speed 6.25mm/s, 12.5mm/s, 25mm/s
Resp Rate
Measuring and Alarm Range
Adult 0 ~ 120 rpm
Neonate/Pediatric 0 ~ 150 rpm
Resolution 1 rpm
Accuracy ±2 rpm
Apnea Alarm 10 ~ 40 s
Alarm limit range (rpm)
Alarm high limit (low limit+1)~150
Alarm low limit Adult: 0~(high limit-1) - Pediatric and neonate: 0~(high limit-1)
Alarm limit range Step (rpm) 1
2.9 NIBP
Method Oscillometric
Mode Manual, Auto, STAT
Measuring Interval in AUTO Mode 1, 2, 3, 4, 5, 10, 15, 30, 60, 90,120,240,480,960 Min
Measuring Period in STAT Mode 5 Min
Alarm Type SYS, DIA, MEAN
Measuring and alarm Range

Adult Mode
SYS 40 ~ 270 mmHg
DIA 10 ~ 215 mmHg
MEAN 20 ~ 235 mmHg
Pediatric Mode
SYS 40 ~ 200 mmHg
DIA 10 ~ 150 mmHg
MEAN 20 ~ 165 mmHg
102
Neonatal Mode
SYS 40 ~ 135 mmHg
DIA 10 ~ 100 mmHg
MEAN 20 ~ 110 mmHg
Resolution
Pressure 1mmHg
Accuracy
Pressure
Mean error ±5mmHg
Maximum Standard deviation 8mmHg
Software Overpressure Protection
Adult Mode 297±3 mmHg
Pediatric Mode 240±3 mmHg
Neonatal Mode 147±3 mmHg
2.10 SpO2
Measuring Range 0 ~ 100%
Alarm Range 0 ~ 100 %
Resolution 1%
Accuracy 70% ~ 100% ±2 %
0% ~ 69% unspecified
Actualization interval about 1Sec.
Alarm Delay 10 Sec.
Scan speed 12.5mm/s, 25mm/s
Pulse Rate
Measuring and Alarm Range 30~250bpm
Resolution 1bpm
Accuracy ±2bpm
2.11 TEMPERATURE
Channel 2
Measuring and Alarm Range 0 ~ 50 ℃
Resolution 0.1℃
Accuracy ±0.1℃
Actualization interval about 1 Sec.
Average Time Constant < 10 Sec.
2.12 IBP
Channel 2
Label ART, PA, CVP, RAP, LAP, ICP, P1, P2
Measuring and alarm range -10~300mmHg
Press Sensor
Sensitivity 5 uV/V/mmHg
Impedance 300-3000Ω
Resolution 1mmHg
Accuracy ±2% or 1mmHg which great
Actualization Interval about 1 Sec
2.13 CO2
Method Infra-red Absorption Technique
Measuring mode MainStream and Sidestream
Side-stream mode sampling gas flow rate 50ml/Min±10ml/Min
Measuring range
CO2 0~150mmHg
INSCO2 0~150mmHg
103
AwRR 2~150 BPM

Resolution
CO2 0.1mmHg(0~69mmHg)
0.25mmHg(70~150mmHg)
INSCO2 0.1mmHg(0~69mmHg)
0.25mmHg(70~150mmHg)
Accuracy
CO2 ±2mmHg 0~40mmHg
±5% of reading 41~70mmHg
AwRR ±1 rpm
Initialization Time
Mainstream Capnogram displayed in less than 15 seconds at an ambient
temperature of 25℃, full specifications within 2 minutes.
Sidestream Capnogram displayed in less than 20 seconds at an ambient
temperature of 25℃, full specifications within 2 minutes.
Mainstream Rise Time Less than 60ms-Adult Reusable or Single-Patient-Use Airway Adapter
Less than 60ms-Infant Reusable or Single-Patient-Use Airway Adapter
Actualization interval about 1 Sec
Sidestream Delay Time: 2~3Sec
Alarm range
CO2 0~150 mmHg
InsCO2 0~150 mmHg
AwRR 2 ~ 150 BPM
Suffocation Alarm Delay
AwRR 10~60 Sec.
104
Appendix II
System Alarm Prompt
PROMPT CAUSE MEASURE

XX value exceeds the higher alarm
“XX TOO HIGH”
limit. Check if the alarm limits are appropriate
XX value is below the lower alarm and the current situation of the patient.
“XX TOO LOW”
limit.
XX represents the value of parameter such as HR, ST1, ST2, RR, SpO2, IBP, NIBP, etc in the system.
The ECG signal of the patient is too Check if the electrodes and lead wires
"ECG WEAK SIGNAL" small so that the system can not per- are connected correctly and the current
form ECG analysis. situation of the patient.
The pulse signal of the patient is too
Check the connection of the sensor and
“NO PULSE” small so that the system can not per-
the current situation of the patient.
form pulse analysis.
The respiration signal of the patient is
Check the connection of the linking wire
"RESP APNEA" too small so that the system cannot
and the current situation of the patient.
perform RESP analysis.
The respiration signal of the patient is
Check the connection of CO2 sensor and
"CO2 APNEA" too small so that the system cannot
the current situation of the patient.
perform RESP analysis.
Check the current situation of the patient.
Patient suffers from Arr. Of ASYSTO-
"ASYSTOLE" Check the connection of the electrodes
LE.
and lead wires.
"VFIB/VTAC" Patient suffers from Arr. of VFIB/VTAC. Check the connection of the electrodes
and lead wires.
"COUPLET" Patient suffers from Arr. of COUPLET. Check the connection of the electrodes
and lead wires.
"BIGEMINY" Patient suffers from Arr. Of BIGEMINY. Check the connection of the electrodes
and lead wires.
Patient suffers from Arr. of TRIGE-
"TRIGEMINY" Check the connection of the electrodes
MINY.
and lead wires.
"R ON T" Patient suffers from Arr. of R ON T. Check the connection of the electrodes
and lead wires.
"PVC" Patient suffers from Arr. of PVC. Check the connection of the electrodes
and lead wires.
"TACHY" Patient suffers from TACHY. Check the connection of the electrodes
and lead wires.
" BRADY" Patient suffers from BRADY. Check the connection of the electrodes
and lead wires.
"VT>2" Patient suffers from Arr. of VT>2. Check the connection of the electrodes
and lead wires.
Patient suffers from Arr. of MISSED
“MISSED BEATS” Check the connection of the electrodes
BEATS.
and lead wires.
105
Check the connection of the pacemaker.

Check the connection of electrodes and
"PNP" The pacemaker is not paced.
lead wires. Check the current situation of
the patient.
Check the connection of the pacemaker.
Check the connection of electrodes and
"PNC" No pacemaker signal is captured.
lead wires. Check the current situation of
the patient.
"ECG LEAD OFF" ECG lead is not connected correctly. Check the connection of ECG lead wire.
The V lead wire of ECG is not con-
"ECG V LEAD OFF"; Check the connection of V lead wire.
nected correctly.
The LL lead wire of ECG is not con-
"ECG LL LEAD OFF"; Check the connection of LL lead wire.
nected correctly.
The LA lead wire of ECG is not con-
"ECG LA LEAD OFF"; Check the connection of LA lead wire.
nected correctly.
The RA lead wire of ECG is not con-
"ECG RA LEAD OFF"; Check the connection of RA lead wire.
nected correctly.
The C lead wire of ECG is not con-

"ECG C LEAD OFF"; Check the connection of C lead wire.
nected correctly.
The F lead wire of ECG is not con-
"ECG F LEAD OFF"; Check the connection of F lead wire.
nected correctly.
The L lead wire of ECG is not con-
"ECG L LEAD OFF"; Check the connection of L lead wire.
nected correctly.
The R lead wire of ECG is not con-
"ECG R LEAD OFF"; Check the connection of R lead wire.
nected correctly.
Make sure that the monitor and the

SpO2 sensor may be disconnected
SpO2 SENSOR OFF patient are in correct connection with the
from the patient or the monitor.
cables.
SpO2 INIT ERR
SpO2 INIT ERR 1
SpO2 INIT ERR 2
SpO2 INIT ERR 3 Stop using the measuring function of
SpO2 INIT ERR 4 SpO2 module failure SpO2 module, notify biomedical engineer
SpO2 INIT ERR 5 or our service staff.
SpO2 INIT ERR 6
SpO2 INIT ERR 7
SpO2 INIT ERR 8
Stop using the measuring function of
SpO2 module failure or communica-
SpO2 COMM STOP SpO2 module, notify biomedical engineer
tion error
or our service staff.
SpO2 module failure or communica-
SpO2 COMM ERR SpO2 module, notify biomedical engineer
tion error
SpO2 ALM LMT ERR Functional safety failure SpO2 module, notify biomedical engineer
PR ALM LMT ERR Functional safety failure SpO2 module, notify biomedical engineer
106
Alarm information:
May be an incorrect sensor, or a
defective sensor or cable. Insert sensor
Sensor not fully inserted into
into the connector. Disconnect and
the connector.
SpO2 NO SENSOR reconnect sensor. Refer to the
instructions for the sensor being used.
Disconnect and reconnect he sensor
Sensor inserted upside down.
with the logos matching.
SpO2 sensor may be disconnected
SpO2 SENSOR OFF Disconnect and reconnect the sensor.
from the patient or the monitor.
This message appears when the sen-
SpO2 SENSOR FAULT Reattach sensor.
sor is faulty
SpO2 UNRECOGNI-
board does not recognize the sensor. SpO2 module, notify biomedical engineer
ZED SENSOR
Make sure that the monitor and the
SpO2 INCOMPATIBLE This message is displayed when the
patient are in correct connection with
SENSOR sensor is finding incompatible sensor.
the cables.
Outside signal or energy preventing Make sure that the monitor use
SpO2 INTERFERENCE
reading. incompatible sensor.
SpO2 PULSE Unit is searching for the patients
Remove outside interference.
SEARCH pulse.
If values are not displayed within 30
seconds, disconnect and reconnect
SpO2 LOW
Signal too small. sensor. If pulse search continues, remove
PERFUSTION
sensor and replace on a better perfused
site.
Too much light on patient(sensor).
SpO2 TOO MUCH
Inadequate tissue covering sensor Move sensor to better perfused site.
LIGHT
detector.
SpO2 LOW SIGNAL Remove or reduce lighting. Cover sensor
Low signal quality.
IQ from light.
This message appears when the Set
SpO2 BOARD FAULT Reposition sensor.
board malfunctions.
This message is displayed when the
SpO2
front end module is having problems Ensure proper sensor application. Mover
COMMUNICATION
communicating ( ie: framing errors sensor to a better perfused site.
ERROR
or bad checksums) with the board.
SpO2 This message is displayed when Stop using the measuring function of
COMMUNICATION the host can not receive the data from SpO2 module, notify biomedical engineer
STOP board for 5 seconds or our service staff.
This message is displayed when Stop using the measuring function of
SpO2 INIT ERR the SpO2 module initialization error SpO2 module, notify biomedical engineer
happened. or our service staff.
"TEMP1 SENSOR TEMP1 sensor is not connected

Check the connection of TEMP1 sensor.
OFF" correctly.
"TEMP2 SENSOR TEMP2 sensor is not connected
Check the connection of TEMP2 sensor.
OFF" correctly.
IBP1 sensor is not connected
"IBP1 LEAD OFF" Check the connection of IBP1 sensor.
correctly.
IBP2 sensor is not connected
"IBP2 LEAD OFF" Check the connection of IBP2 sensor.
correctly.
107
"IBP1 NEED Zero calibrating must be done

Do zero calibrating for IBP1
ZERO-CAL" before measuring in IBP1
"IBP2 NEED Zero calibrating must be done
Do zero calibrating for IBP2
ZERO-CAL" before measuring in IBP2
"TB SENSOR OFF" TB sensor is not connected correctly. Check the connection of TB sensor.
Check the connection of ECG lead wire.
Rather large interference signals ap-
"ECG NOISE" Check the current situation of the patient.
pear in the ECG signals.
Check if the patient moves a lot.
"XX INIT ERR X" XX has error X during initialization.
Re-start up the monitor or re-plug in/out
"XX COMM STOP" XX cannot communicate with the host.
the module. If the error still exists, contact
XX cannot communicate normally with the manufacturer.
"XX COMM ERR"
the host.
XX represents all the parameter modules in the system such as ECG, NIBP, SpO2, IBP module, etc.
The alarm limit of XX parameter is
"XX ALM LMT ERR" Contact the manufacturer for repair.
modified by chance.
The measured value of XX parameter
"XX RANGE
has exceeded the measuring range of Contact the manufacturer for repair.
EXCEEDED"
the system.
XX represents the parameter name in the system such as HR, ST1, ST2, RR, SpO2, IBP, NIBP, etc.
Check that the sensor is properly
plugged in. Reinsert or reseat the sensor
"CO2 Sensor Faulty" The Sensor Source Current Failure
if necessary. If error persists,return sensor
to factory for servicing.
Make sure sensor is not exposed to
"CO2 Sensor Over The sensor temperature is greater
extreme heat. If error persists, return
temp" than 40°C
sensor to factory for servicing.
This error occurs whenever the pneu-
"CO2 Check Sampling Check that the sampling line is not
matic pressure is outside the ex-
Line" occluded or kinked.
pected rang
To clear, check airway adapter and clean
"CO2 Zero Error" An error was found during Zero if necessary. If this does not correct the
error, perform an adapter zero.
The value being calculated is greater
"CO2 Out of Range" If error persists, perform a zero.
than the upper CO2 limit.
Usually caused when the airway
adapter is removed from the sensor
or when there is an optical blockage To clear, clean airway adapter if mucus or
"CO2 Check Airway
on the windows of the airway adap- moisture is seen. If the adapter is clean,
Adapter"
ter. May also be caused by failure to perform a Zero.
perform Zero to When adapter type is
changed.
Barometric Pressure or gas compen-
Set the Barometric Pressure and gas
"CO2 not initialized" satins have not been set since power
compensations to clear this error.
on.
Re-set up the system time. It is better
When the system displays 2000-1-1, to set up the time just after the start-up
"REAL CLOCK the system gives this prompt remin- and prior to monitoring the patient. After
NEEDSET" ding the user that the current system modifying the time, the user had better
time is not right. re-start up the monitor to avoid storing
error time.
"REAL CLOCK NOT The system has no cell battery or the
Install or replace the rechargeable battery.
EXIST" battery has run out of the capacity.
108
"SYSTEM WD
FAILURE"
"SYSTEM SOFTWARE
ERR"
"SYSTEM CMOS
FULL"
"SYSTEM CMOS
ERR"
"SYSTEMEPGA
FAILURE"
"SYSTEM FAILURE2" Re-start up the system. If the failure still
The system has serious error.
"SYSTEM FAILURE3" exists, contact the manufacturer.
"SYSTEM FAILURE4"
"SYSTEM FAILURE5"
"SYSTEM FAILURE6"
"SYSTEM FAILURE7"
"SYSTEM FAILURE8"
"SYSTEM FAILURE9"
"SYSTEM FAILURE10"
"SYSTEM FAILURE11"
"SYSTEM FAILURE12"
Check the keys to see whether it is

"KEYBOARD NOT The keys on the keyboard cannot pressed manually or by other object.
AVAILABLE"; be used. If the key is not pressed abnormally,
contact the manufacturer for repair.
"KEYBOARD COMM
ERR"
"KEBOARD ERROR" The keyboard has failure, which
Contact the manufacturer for repair.
cannot be used.
"KEYBOARD ERR1"
"KEYBOARD ERR2"
"NET INIT ERR (G.)"

"NET INIT ERR (Ram)"
"NET INIT ERR (Reg)"
"NET INIT ERR (Mii)" The network part in the system has
failure. The system cannot be linked Contact the manufacturer for repair.
"NET INIT ERR (Loop)" to the net.
"NET ERR (Run1)"
"NET ERR (Run2)"
"NET ERR (Run3)"
109
"5V TOO HIGH"

"5V TOO LOW"
"POWER ERR3"
"POWER ERR4"
"12V TOO HIGH" The power part of the system has If the prompt appears repeatedly, contact
"12V TOO LOW" failure. the manufacturer for repair.
"POWER ERR7"
"POWER ERR8"
"3.3V TOO HIGH"
"3.3V TOO LOW"
"CELL BAT TOO
Cell battery has problem.
HIGH"
Replace the battery. If the failure still
The cell battery has low capacity or exists, contact the manufacturer.
"CELL BAT TOO LOW" the cell battery is not installed or the
connection is loose.
Execute ‘Clear Record Task’ function

in the recorder setup menu to re-connect
"RECORDER During the selftest, the system fails
the host and the recorder. If the failure
SELFTEST ERR" connecting with the recorder module.
still exists, contact the manufacturer
for repair.
"RECORDER VLT
HIGH" The recorder module has voltage
Contact the manufacturer for repair.
"RECORDER VLT failure.
LOW"
After the recorder becomes cool, use
"RECORDER HEAD The continuous recording time may be the recorder for output again. If the failure
HOT" too long. still exists, contact the manufacturer
for repair.
"REC HEAD IN The handle for pressing the paper is Press down the recorder handle for
WRONG POSITION" not pressed down. pressing the paper.
"RECORDER OUT OF
No paper is in the recorder. Place the paper into the recorder.
PAPER"
"RECORDER PAPER
The paper in the recorder is jammed. Place the recorder correctly and try again.
JAM"
"RECORDER COMM In the recorder setup menu, execute
ERR" the function of clearing record task.
The communication of the recorder The function can make the host and
"RECORDER S. is abnormal. the recorder connect again. If the failure
COMM ERR" still exists, contact the manufacturer
for repair.
"RECORDER PAPER The paper roll of the recorder is not Place the paper roll in the correct
W.P." placed in the correction position. position.
In the recorder setup menu, execute
the function of clearing record task.
"REC NOT Cannot communicate with The function can make the host and
AVAILABLE" the recorder. the recorder connect again. If the failure
for repair.
"NIBP INIT ERR" Execute the reset program in the NIBP

"NIBP SELFTEST NIBP initialization error menu. If the failure still exists, contact the
ERR" manufacturer for repair.
110
Check the airway of NIBP to see if there

"NIBP ILLEGALLY During NIBP measurement, illegal are clogs. Then measure again, if the
RESET" reset occurs. failure still exists, contact the
manufacturer for repair.
Execute the reset program in the NIBP
The NIBP communication part has
"NIBP COMM ERR" menu. If the failure still exists, contact
problem.
the manufacturer for repair.
The NIBP cuff is not connected cor-
"LOOSE CUFF" Re-connect the NIBP cuff.
rectly.
Check the connection of each part
The NIBP cuff is not connected cor- or replace with a new cuff. If the failure
"AIR LEAK"
rectly or there are leaks in the airway. still exists, contact the manufacturer
for repair.
Problem happens when measuring
"AIR PRESSURE or replace with a new cuff. If the failure
the curve. The system cannot perform
ERROR" still exists, contact the manufacturer
measurement, analysis or calculation.
for repair.
Check if the setup of patient type is
Problem happens when measuring correct. Check the connection of each
"WEAK SIGNAL" the curve. The system cannot perform part or replace with a new cuff. If the
measurement, analysis or calculation. failure still exists, contact the
manufacturer for repair
or replace with a new cuff. If the failure
"RANGE EXCEEDED" the curve. The system cannot perform
for repair.
"EXCESSIVE and the patient situation. Measure again,
The patient arm moves.
MOTION" if the failure still exists, contact the
Check for the smoothness in the airway
and patient situation. Measure again,
"OVER PRESSURE" Perhaps folds exist in the airway.
if the failure still exists, contact the
"SIGNAL and the patient situation. Measure again,
SATURATED" if the failure still exists, contact the
and the patient situation. Measure again,
"NIBP TIME OUT" the curve. The system cannot perform
Check if the patient type is set up
correctly. Check the connection of each
Perhaps the used cuff does not fit the
"CUFF TYPE ERR" part or replace with a new cuff. If the
setup patient type.
failure still exists, contact the
or replace with a new cuff. If the failure
"PNEUMATIC LEAK" NIBP airway has leaks.
for repair.
and the patient situation. Measure again,
"MEASURE FAIL" the curve. The system cannot perform
111

"NIBP SYSTEM and the patient situation. Measure again,
FAILURE" if the failure still exists, contact the
Appendix III
Guidance and manufacture’s declaration-electromagnetic emission
Guidance and manufacture’s declaration – electromagnetic emission

The device is intended for use in the electromagnetic environment specified below. The customer or the
user should assure that it is used in such an environment.
Emission test Compliance Electromagnetic environment-guidance
RF emissions Group 1 The device uses RF energy only for its internal fun-
CISPR 11 ction. Therefore, its RF emissions are very low and
are not likely to cause any interference in nearby
electronic equipment.
RF emissions Class A The Patient Monitor is suitable for use in all esta-
CISPR 11 blishments, other than domestic establishments
Harmonic emissions Class A and those directly connected to the public low-
IEC 61000-3-2 voltage power supply network that supplies buil-
dings used for domestic purposes.
Voltage fluctuations/ Complies
flicker emission
IEC 61000-3-3
Electromagnetic immunity 1
Guidance and manufacture’s declaration-electromagnetic immunity

user should assure that it is used in such an environment.
Immunity test IEC60601 Compliance Electromagnetic environment-guidan-
test level level ce
Electrostatic dischar- ±6kV contact ±6kV contact Floors should be wood, concrete or cera-
ge (ESD) ±8kV air ±8kV air mic tile. If floor are covered with synthetic
IEC 61000-4-2 material, the relative humidity should be
at least 30%.
Electrical fast tran- ±2kV for power ±0.5kV for power Mains power quality should be that of
sient/burst supply lines supply lines a typical commercial or hospital envi-
IEC 61000-4-4 ±1kV for input / ±1 kV for input / ronment.
output signal output signal
Surge ±1kV differential ±1kV differential Mains power quality should be that of
IEC 61000-4-5 mode mode ±2kV a typical commercial or hospital envi-
±2kV common common mode ronment.
mode
Voltage dips,short <5%UT(>95%dip <5%UT(>95%dip Mains power quality should be that of
interruptions and in UT) for 0.5 cycle in UT) for 0.5 cycle a typical commercial or hospital envi-
voltage vatiations on 40% UT(60%dip 40% UT(60%dip ronment. If the user requires continued
power supply input in UT) for 5 cycle in UT) for 5 cycle operation during power mains interrup-
lines 70%UT(30%dip in 70%UT(30%dip in tions, it is recommended that the devi-
IEC 61000-4-11 UT) for 25 cycle UT) for 25 cycle ce be powered from an uninterruptible
<5%UT(>95%dip <5%UT(>95%dip power supply or a battery.
in UT) for 5 sec in UT) for 5 sec
112
Power frequency 3A/m 3A/m Power frequency magnetic fields should

(50/60Hz) magnetic be at levels characteristic of a typical lo-
field IEC 61000-4-8 cation in a typical commercial or hospital
environment.
NOTE: UT is the a.c. mains voltage prior to application of the test level.
Electromagnetic immunity 2
Guidance and manufacture’s declaration-electromagnetic immunity

user should assure that it is used in such an environment
Immunity test IEC60601 test Compliance level Electromagnetic environment -
level guidance
Conducted RF 3Vrms 1Vrms Portable and mobile RF communications
IEC61000-4-6 150KHz to 80MHz equipment should be used no closer to
any part of the CMS8000 Patient Monitor,
including cables, than the recommended
separation distance calculated from the
equation applicable to the frequency
Radiated RF 3V/m 1V/m of the transmitter.
IEC61000-4-3 80MHz to 2.5GHz (80-800MHz) Recommended separation distance
3V/m d= 3.5 √P
V1
(800-2500MHz)
d= 3.5 √P 80MHz to 800MHz
E1
d= 71 √P 800MHz to 2.5GHz
E
Where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter
manufacturer and d is the recommended
separation distance in meters (m).
Field strengths from fixed RF transmitters,
as determined by an electromagnetic
site survey,a should be less than the
compliance level in each frequency range.b
Interference may occur in
the vicinity of equipment
marked with the following
symbol:
NOTE 1 At 80MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which
the Patient Monitor is used exceeds the applicable RF compliance level above, the Patient Monitor should
be observed to verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the Patient Monitor.
b Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 1V/m(80-800MHz)
&3V/m(800-2500MHz).
113
Recommended separation distances
Recommended separation distances between portable and mobile RF communications equipment

and the Patient Monitor
The Patient Monitor is intended for use in the electromagnetic environment in which radiated RF disturban-
ces are controlled. The customer or the user of the Patient Monitor can help prevent electromagnetic inter-
ference by maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and the Patient Monitor as recommended below, according to the maximum output power of
the communications equipment.
Rated maximum Separation distance according to frequency of transmitter (m)
output power of
transmitter (W) 150KHz to 80MHz 80MHz to 800MHz 800MHz to 2.5GHz
d= 3.5 √P d= 3.5 √P d= 2.3 √P
0.01 0.3500 0.3500 0.2334

0.1 1.1068 1.1068 0.7378
1 3.5000 3.5000 2.3334
10 11.0860 11.0860 7.3786
100 35.0000 35.0000 23.3334
For transmitters rated at a maximum output power not listed above, the recommended separation
distanced in meters (m) can be estimated using the equation applicable to the frequency of the transmitter,
where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter
manufacturer.
NOTE 1 At 80MHz and 800MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.
Appendix IV
SpO2 Clinical Information
Clinical Result information for each sensor
The table below shows ARMS values measured using SpO2 sensor (S5RCH300) with CMS8000 Patient
Monitor in a clinical study.
114
The table below shows ARMS values measured using SpO2 sensor (S5RCS300) with CMS8000 Patient
Monitor in a clinical study.
115
Symbols
Please read instructions carefully This way up
Caution/ Read instructions carefully Fragile, handle with care
CF type applied part

Keep in a cool, dry place
with defibrillation-proof
Alternating current 5 The same packing stacked up to 5-layers
106kPa
Stand-by 50kPa
Atmospheric pressure limitation
30°C
USB interface 2°C Temperature limitation
95%
Equipotential grounding system 0%
%
Humidity limitation
Authorized representative
Serial number
in the European community
Date of manufacture Product complies with European Directive
Manufacturer Product code
WEEE Keep away from sunlight
Disposal: The product must not be disposed of along with other domestic waste.
The users must dispose of this equipment by bringing it to a specific recycling point for electric
and electronic equipment. For further information on recycling points contact the local
authorities, the local recycling center or the shop where the product was purchased.
If the equipment is not disposed of correctly, fines or penalties may be applied in accordance
with the national legislation and regulations.
GIMA WARRANTY CONDITIONS

Congratulations for purchasing a GIMA product. This product meets high qualitative standards both as
regards the material and the production. The warranty is valid for 12 months from the date of supply of
GIMA. During the period of validity of the warranty, GIMA will repair and/or replace free of charge all the
defected parts due to production reasons. Labor costs and personnel traveling expenses and packaging not
included. All components subject to wear are not included in the warranty.
The repair or replacement performed during the warranty period shall not extend the warranty. The warranty
is void in the following cases: repairs performed by unauthorized personnel or with non-original spare
parts, defects caused by negligence or incorrect use. GIMA cannot be held responsible for malfunctioning
on electronic devices or software due to outside agents such as: voltage changes, electro-magnetic fields,
radio interferences, etc. The warranty is void if the above regulations are not observed and if the serial code
(if available) has been removed, cancelled or changed.
The defected products must be returned only to the dealer the product was purchased from. Products sent
to GIMA will be rejected.

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Gima S.p.A.

Via Marconi, 1 - 20060 Gessate (MI) Italy

PATIENT MONITOR CMS8000

ATTENTION: The operators must carefully read and completely

CONTEC MEDICAL SYSTEMS CO., LTD

Responsibility on the manufacturer party

Safety, Reliability and Performance

Caution Points to be noted to avoid damage to the equipment.

Note Points to be noted.

11.6 ECG Alarm Information and Prompt..................................................................................... 56

1.1 General Information

The Monitor performs monitoring of:

ECG Heart Rate (HR)

1.2 Screen Display

Figure 1-1 Main Display

At the top (1)

At the bottom (4)

Waveform / Menu Area (2)

Parameter Area (3)

Alarm lamp and alarm status:

1.3 Button Functions

kinds of sounds and the symbol disappears from the screen.

Method to use the knob to operate on the screen:

Figure 1-2 Front View

• Right side view

Figure 1-3 Right Side 1

• Left side view

Figure 1-4 Left Side

1 Socket for SpO2 Sensor

Figure 1-5 Rear Panel

1.5 Built-in Battery

2.1 Open the Package and Check

• Check for any mechanical damage.

2.2 Connect the Power Cables

2.3 Power on the Monitor

2.4 Connect Patient Sensors

2.5 Check the Recorder

Figure 3-1 SYSTEM MENU

3.1 Patient Information Setup

Figure 3-2 Patient Setup

You can setup following patient information:

Figure 3-3 Confirm to Delete

3.2 Default Setup

Figure 3-4 Default Menu

Figure 3-5 Confirm Default Config

3.4 System Setup

Figure 3-6 System Setup

In the [SYSTEM SETUP] menu,

3.4.1 Face Select

Figure 3-7 Face Select

There are five available options:

Figure 3-8 Standard

Figure 3-9 oxyCRG

Figure 3-10 Trend

Figure 3-11 BigChar

Figure 3-12 ViewBed Screen

3.4.2 Wave Setup

Figure 3-13 Wave Setup

You can change the waveforms position.