ePM 10 and 12 series Operators Manual Rev 2.0 Dec 2018

© Copyright 2018 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. Release time: December 2018 Revision: 2.0

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Intellectual Property Statement SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others. Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution, rental, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. is the registered trademarks or trademarks owned by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners.

Responsibility on the Manufacturer Party Contents of this manual are subject to changes without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual. Mindray is responsible for the effects on safety, reliability and performance of this product, only if: ■

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

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

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the product is used in accordance with the instructions for use.

WARNING

• This equipment must be operated by skilled/trained clinical professionals. • It is important for the hospital or organization that employs this equipment to carry out a reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.

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Warranty THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE.

Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel. This warranty shall not extend to ■

Malfunction or damage caused by improper use or man-made failure.

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Malfunction or damage caused by unstable or out-of-range power input.

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Malfunction or damage caused by force majeure such as fire and earthquake.

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Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people.

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Malfunction of the instrument or part whose serial number is not legible enough.

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Others not caused by instrument or part itself.

Company Contact Manufacturer:

Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address

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

Website

www.mindray.com

E-mail Address:

[email protected]

Tel:

+86 755 81888998

Fax:

+86 755 26582680

EC-Representative:

Shanghai International Holding Corp. GmbH (Europe)

Address:

Eiffestraβe 80, 20537 Hamburg, Germany

Tel:

0049-40-2513175

Fax:

0049-40-255726

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Preface Manual Purpose This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety. This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you have any question, please contact us. This manual is an integral part of the product. It should always be kept close to the equipment so that it can be obtained conveniently when needed.

Intended Audience This manual is geared for clinical professionals who are expected to have a working knowledge of medical procedures, practices and terminology as required for monitoring of critically ill patients.

Illustrations All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on your patient monitor.

Conventions

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Italic text is used in this manual to quote the referenced manuals, chapters, sections and formulas.

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Bold text is used to indicate the screen texts and names of hard keys.

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→ is used to indicate operational procedures.

Contents 1 Safety ... 1 - 1 1.1 Safety Information ...1 - 1 1.1.1 Warnings ...1 - 1 1.1.2 Cautions ...1 - 2 1.1.3 Notes ...1 - 2 1.2 Equipment Symbols ...1 - 3 2 Equipment Introduction ... 2 - 1 2.1 Intended Use ...2 - 1 2.2 Applied Parts ...2 - 1 2.3 System Components ...2 - 2 2.3.1 Main Unit ...2 - 2 2.3.2 External Modules ...2 - 5 2.3.3 Input Devices ...2 - 6 2.3.4 Printing Devices ...2 - 6 3 Getting Started ... 3 - 1 3.1 Equipment Preparation Safety Information ...3 - 1 3.2 Monitor Installation ...3 - 2 3.2.1 Unpacking and Checking ...3 - 2 3.2.2 Environmental Requirements ...3 - 2 3.3 Setting Up the Equipment ...3 - 2 3.3.1 Connecting the AC Mains ...3 - 2 3.3.2 Connecting the Input Devices ...3 - 3 3.3.3 Connecting the Parameter Module ...3 - 3 3.3.4 Removing the Parameter Module ...3 - 3 3.4 Turning on the Monitor ...3 - 4 3.5 Operation and Navigation ...3 - 4 3.5.1 Using the Touchscreen ...3 - 4 3.5.2 Using the On-Screen Keyboard ...3 - 4 3.5.3 Using the Barcode Reader ...3 - 5 3.5.4 Using the Remote Controller ...3 - 5 3.6 Screen Display ...3 - 5 3.6.1 On-screen Symbols ...3 - 6 3.6.2 Menus ...3 - 7 3.6.3 Quick Keys ...3 - 7 3.7 Operating Modes ...3 - 9 3.7.1 Monitoring Mode ...3 - 9 3.7.2 Privacy Mode ... 3 - 10 3.7.3 Night Mode ... 3 - 10 3.7.4 Standby Mode ... 3 - 11 3.8 Configuring Your Monitor ... 3 - 12 3.8.1 Setting the Date and Time ... 3 - 12 3.8.2 Adjusting the Screen Brightness ... 3 - 12 3.8.3 Adjusting the Volume ... 3 - 12

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3.9 Starting Monitoring a Patient ... 3 - 12 3.10 Stopping a Parameter Measurement ... 3 - 13 3.11 General Operation ... 3 - 13 3.11.1 Switching On or Off a Parameter ... 3 - 13 3.11.2 Displaying Parameter Numerics and Waveforms ... 3 - 13 3.11.3 Displaying the Parameter List ... 3 - 13 3.11.4 Accessing Parameter Setup Menus ... 3 - 14 3.11.5 Changing Measurement Colors ... 3 - 14 3.12 Freezing Waveforms ... 3 - 14 3.12.1 Freezing Waveforms ... 3 - 14 3.12.2 Viewing Frozen Waveforms ... 3 - 14 3.12.3 Unfreezing Waveforms ... 3 - 14 3.12.4 Printing Frozen Waveforms ... 3 - 15 3.13 Capturing the Screen ... 3 - 15 3.14 Checking Software Licenses ... 3 - 15 3.15 Turning Off the Monitor ... 3 - 15 4 User Screens ...4 - 1 4.1 Choosing a Screen ...4 - 1 4.2 Normal Screen ...4 - 1 4.2.1 Entering the Normal Screen ...4 - 1 4.2.2 Configuring the Normal Screen ...4 - 1 4.3 The Big Numerics Screen ...4 - 2 4.3.1 Entering the Big Numerics Screen ...4 - 2 4.3.2 Configuring the Big Numerics Screen ...4 - 2 4.4 Minitrends Screen ...4 - 2 4.4.1 Entering the Minitrends Screen ...4 - 2 4.4.2 The Display of Minitrends Screen ...4 - 3 4.4.3 Viewing Trends of Longer Time ...4 - 3 4.4.4 Setting Minitrends Parameters ...4 - 3 4.4.5 Setting the Minitrend Length ...4 - 4 4.4.6 Setting the Alarm Statistics Switch ...4 - 4 4.4.7 Setting the Alarm Statistics Duration ...4 - 4 4.4.8 Routine Vital/Baseline ...4 - 4 4.4.9 Aldrete Score ...4 - 5 4.5 The OxyCRG Screen ...4 - 5 4.5.1 Entering the OxyCRG Screen ...4 - 5 4.5.2 OxyCRG Events ...4 - 5 4.5.3 The Display of the ABD Event Area ...4 - 6 4.5.4 Setting OxyCRG Parameters ...4 - 6 4.5.5 Setting the Threshold of ABD Events ...4 - 6 4.5.6 Editing ABD Events ...4 - 6 4.6 The SpO2 Screen ...4 - 6 4.6.1 Entering the SpO2 Screen ...4 - 6 4.6.2 The Display of SpO2 Screen ...4 - 7 4.6.3 Operating the SpO2 Screen ...4 - 7 5 Managing Patients ...5 - 1

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5.1 Discharging a Patient ...5 - 1 5.1.1 Manually Discharging a Patient ...5 - 1 5.2 Admitting a Patient ...5 - 1 5.3 Managing Patient Information ...5 - 2 5.3.1 Entering the Patient Management Menu ...5 - 2 5.3.2 Editing Patient Information ...5 - 2 5.3.3 Loading Patient Information from the CMS ...5 - 2 5.3.4 Loading Patient Information from the ADT Server ...5 - 3 5.4 Exporting Patient Data ...5 - 3 5.5 Deleting Patient Data ...5 - 3 6 Managing Configurations ... 6 - 1 6.1 Configuration Introduction ...6 - 1 6.2 Changing the Department ...6 - 1 6.3 Setting Default Patient Category ...6 - 1 6.4 Setting Default Configuration ...6 - 2 6.5 Saving Current Settings ...6 - 2 6.6 Deleting a Configuration ...6 - 2 6.7 Transferring a Configuration ...6 - 3 6.7.1 Exporting a Configuration ...6 - 3 6.7.2 Importing a Configuration ...6 - 3 6.8 Printing Configurations ...6 - 3 6.9 Loading a Configuration ...6 - 3 6.10 Modifying Configuration Password ...6 - 4 7 Networked Monitoring ... 7 - 1 7.1 Network Introduction ...7 - 1 7.2 Network Safety Information ...7 - 1 7.3 Connecting the Monitor to the CMS ...7 - 1 7.4 Connecting the eGateway ...7 - 2 7.5 Viewing Other Patients ...7 - 2 7.5.1 Remote View ...7 - 2 7.5.2 Alarm Watch ...7 - 4 7.6 MLDAP ...7 - 5 7.7 Disconnecting the Wireless Network ...7 - 5 8 Alarms ... 8 - 1 8.1 Alarm Introduction ...8 - 1 8.2 Alarm Safety Information ...8 - 1 8.3 Understanding the Alarms ...8 - 1 8.3.1 Alarm Categories ...8 - 1 8.3.2 Alarm Priorities ...8 - 2 8.3.3 Alarm Indicators ...8 - 2 8.3.4 Alarm Status Symbols ...8 - 3 8.4 Accessing On-screen Help for Technical Alarms (AlarmSight) ...8 - 3 8.5 Checking Physiological Alarm List ...8 - 3

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8.6 Changing Alarm Settings ...8 - 3 8.6.1 Setting Parameter Alarm Properties ...8 - 3 8.6.2 Setting Alarm Tone Properties ...8 - 3 8.6.3 Setting the Auto Limits for New Patient Switch ...8 - 4 8.6.4 Initiating Auto Alarm Limits ...8 - 4 8.6.5 Setting the Alarm Delay Time ...8 - 7 8.6.6 Adjusting the Alarm Light Brightness ...8 - 7 8.6.7 Restoring the Default Alarm Settings ...8 - 7 8.6.8 Setting the Length of Printed Waveforms ...8 - 7 8.6.9 Setting the Switch of the SpO2 Desat Alarm Off ...8 - 7 8.6.10 Setting the Switch of the Apnea Alarm Off ...8 - 8 8.7 Pausing Alarms/Pausing Alarm Tones ...8 - 8 8.7.1 Defining the Pause Function ...8 - 8 8.7.2 Pausing Alarms ...8 - 8 8.7.3 Pausing Alarm Sound ...8 - 9 8.8 Resetting Alarms ...8 - 9 8.8.1 Resetting Physiological Alarms ...8 - 9 8.8.2 Resetting Technical Alarms ... 8 - 10 8.9 Latching Alarms ... 8 - 10 8.10 Nurse Call ... 8 - 10 8.11 Calling for Help ... 8 - 11 8.12 CPB Mode ... 8 - 11 8.12.1 Entering the CPB Mode ... 8 - 11 8.12.2 Exiting the CPB Mode ... 8 - 11 8.13 Intubation Mode ... 8 - 11 8.13.1 Entering the Intubation Mode ... 8 - 11 8.13.2 Exiting the Intubation Mode ... 8 - 12 8.14 Testing Alarms ... 8 - 12 8.15 Actions When an Alarm Occurs ... 8 - 12 9 Monitoring ECG, Arrhythmia, ST and QT ... 9 - 1 9.1 ECG Introduction ...9 - 1 9.2 ECG Safety Information ...9 - 1 9.3 ECG Display ...9 - 1 9.4 Preparing for ECG Monitoring ...9 - 3 9.4.1 Preparing the Patient Skin ...9 - 3 9.4.2 Applying Electrodes ...9 - 3 9.4.3 Lead Wire Color Code ...9 - 3 9.4.4 ECG Electrode Placements ...9 - 4 9.4.5 Choosing the ECG Lead Type ...9 - 5 9.4.6 Checking Paced Status ...9 - 6 9.4.7 Enabling Pacer Rejection ...9 - 6 9.5 Using 6-lead Placement to Derive 12-lead ECG (D12L) ...9 - 7 9.6 Changing ECG Settings ...9 - 7 9.6.1 Choosing an ECG Screen ...9 - 7 9.6.2 Setting ECG Alarm Properties ...9 - 8 9.6.3 Setting the Analysis Mode ...9 - 8

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9.6.4 Changing ECG Wave Settings ...9 - 8 9.6.5 Disabling the Smart Lead Off Function ... 9 - 10 9.6.6 Disabling the CrozFusionTM Function ... 9 - 10 9.6.7 Adjusting the QRS Volume ... 9 - 10 9.6.8 Adjusting the Minimum QRS Detection Threshold ... 9 - 11 9.7 Monitoring Arrhythmia ... 9 - 11 9.7.1 Arrhythmia Safety Information ... 9 - 11 9.7.2 Arrhythmia Events ... 9 - 12 9.7.3 Displaying Arrhythmia Information ... 9 - 13 9.7.4 Changing Arrhythmia Settings ... 9 - 13 9.7.5 Arrhythmia Alarms Timeout ... 9 - 15 9.8 ST Segment Monitoring ... 9 - 17 9.8.1 ST Safety Information ... 9 - 17 9.8.2 Enabling ST Monitoring ... 9 - 17 9.8.3 Displaying ST Numerics ... 9 - 18 9.8.4 Displaying ST Segments in the Waveform Area ... 9 - 18 9.8.5 Entering the ST View ... 9 - 19 9.8.6 Saving the Current ST as Baseline ... 9 - 19 9.8.7 Entering the ST Graphic Window ... 9 - 20 9.8.8 Changing ST Settings ... 9 - 20 9.8.9 Adjusting ST Measurement Points ... 9 - 21 9.9 QT/QTc Interval Monitoring ... 9 - 22 9.9.1 QT/QTc Monitoring Limitations ... 9 - 22 9.9.2 Enabling QT/QTc Monitoring ... 9 - 23 9.9.3 Displaying QT/QTc Numerics and Segments ... 9 - 23 9.9.4 Entering the QT View ... 9 - 23 9.9.5 Saving the Current QTc as Baseline ... 9 - 24 9.9.6 Changing QT Settings ... 9 - 24 9.10 ECG Relearning ... 9 - 25 9.10.1 Auto ECG Relearning ... 9 - 25 9.10.2 Initiating an ECG Relearning Manually ... 9 - 25 9.11 Calibrating ECG ... 9 - 25 9.12 Defibrillation Synchronization Pulse Output ... 9 - 25 9.13 ECG Troubleshooting ... 9 - 26 10 Resting 12-Lead ECG Analysis ...10 - 1 10.1 Resting 12-Lead ECG Analysis Introduction ... 10 - 1 10.2 Entering the 12-Lead Screen ... 10 - 1 10.3 Initiating Resting 12-Lead ECG Analysis ... 10 - 1 10.4 Changing 12-Lead ECG Analysis Settings ... 10 - 1 10.4.1 Setting the High Frequency Filter ... 10 - 1 10.4.2 Setting the Baseline Drift Removal ... 10 - 2 10.5 Glasgow Resting 12-lead ECG Analysis Algorithm Settings ... 10 - 2 10.5.1 Editing Patient Information (For Glasgow Algorithms) ... 10 - 2 10.5.2 Setting Tachycardia and Bradycardia Thresholds (For Glasgow Algorithms) ... 10 - 2 10.5.3 Setting the 12-Lead Interpretation Report (For Glasgow Algorithms) ... 10 - 3 10.6 Saving the 12-Lead Interpretation Report ... 10 - 3 10.7 Printing the 12-Lead Interpretation Report ... 10 - 3

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10.8 Exiting the ECG 12-Lead Screen ... 10 - 3 11 Monitoring Respiration (Resp) ...11 - 1 11.1 Resp Introduction ... 11 - 1 11.2 Resp Safety Information ... 11 - 1 11.3 Resp Display ... 11 - 1 11.4 Preparing for Resp Monitoring ... 11 - 2 11.4.1 Preparing the Patient ... 11 - 2 11.4.2 Placing the Electrodes ... 11 - 2 11.5 Changing Resp Settings ... 11 - 3 11.5.1 Setting the Resp Alarm Properties ... 11 - 3 11.5.2 Setting the RR Source ... 11 - 3 11.5.3 Choosing the Respiration Lead ... 11 - 3 11.5.4 Setting the Resp Waveform Size ... 11 - 4 11.5.5 Setting the Resp Waveform Speed ... 11 - 4 11.5.6 Setting the Auto Detection Switch ... 11 - 4 11.5.7 Adjusting the Resp Waveform Detection Threshold ... 11 - 4 11.6 Resp Troubleshooting ... 11 - 4 12 Monitoring Pulse Oxygen Saturation (SpO2) ...12 - 1 12.1 SpO2 Introduction ... 12 - 1 12.2 SpO2 Safety Information ... 12 - 1 12.3 SpO2 Measurement Limitations ... 12 - 2 12.4 SpO2 Display ... 12 - 2 12.5 Preparing for SpO2 Monitoring ... 12 - 3 12.6 Changing the SpO2 Settings ... 12 - 3 12.6.1 Changing the SpO2 Alarm Settings ... 12 - 3 12.6.2 Nellcor Sat-Seconds Alarm Management ... 12 - 3 12.6.3 Setting the Nellcor SpO2 Sat-Seconds ... 12 - 4 12.6.4 Changing Sensitivity ... 12 - 5 12.6.5 Showing/Hiding PI ... 12 - 5 12.6.6 Monitoring SpO2 and NIBP Simultaneously ... 12 - 5 12.6.7 Changing the Sweep Speed of the Pleth Wave ... 12 - 5 12.7 Changing the PR Settings ... 12 - 5 12.7.1 Changing the PR Alarm Settings ... 12 - 5 12.7.2 Changing the QRS Volume ... 12 - 6 12.7.3 Setting the PR Source ... 12 - 6 12.7.4 Showing/Hiding PR ... 12 - 6 12.8 SpO2 Troubleshooting ... 12 - 6 12.9 Nellcor Information ... 12 - 7 13 Monitoring Temperature (Temp) ...13 - 1 13.1 Temperature Introduction ... 13 - 1 13.2 Displaying the Temp Numerics Area ... 13 - 1 13.3 Temperature Display ... 13 - 1 13.4 Preparing for Temperature Monitoring ... 13 - 1 13.5 Changing Temperature Settings ... 13 - 2

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13.5.1 Setting the Temperature Alarm Properties ... 13 - 2 13.5.2 Selecting the Temperature Label ... 13 - 2 13.5.3 Displaying the Temperature Difference ... 13 - 2 13.6 Temperature Troubleshooting ... 13 - 2 14 Monitoring Noninvasive Blood Pressure (NIBP) ...14 - 1 14.1 NIBP Introduction ... 14 - 1 14.2 NIBP Safety Information ... 14 - 1 14.3 NIBP Measurement Limitations ... 14 - 2 14.4 Measurement Modes ... 14 - 2 14.5 NIBP Display ... 14 - 2 14.6 Preparing for NIBP Measurements ... 14 - 3 14.6.1 Preparing the Patient for NIBP Measurements ... 14 - 3 14.6.2 Placing the NIBP Cuff ... 14 - 3 14.7 Starting and Stopping NIBP Measurements ... 14 - 4 14.8 Viewing NIBP Analysis ... 14 - 4 14.9 Changing NIBP Settings ... 14 - 5 14.9.1 Setting the NIBP Alarm Properties ... 14 - 5 14.9.2 Setting the Initial Cuff Inflation Pressure ... 14 - 5 14.9.3 Setting the NIBP Interval ... 14 - 5 14.9.4 Selecting NIBP Start Mode ... 14 - 5 14.9.5 Enabling the NIBP End Tone ... 14 - 5 14.9.6 Setting NIBP Sequence ... 14 - 6 14.9.7 Setting the NIBP Display Format ... 14 - 6 14.9.8 Setting the NIBP Alarm Limits Display Switch ... 14 - 6 14.9.9 Showing/Hiding PR ... 14 - 6 14.9.10 Correcting the NIBP Measurements ... 14 - 6 14.10 Assisting Venous Puncture ... 14 - 6 14.11 NIBP Maintenance ... 14 - 7 14.11.1 NIBP Leakage Test ... 14 - 7 14.11.2 NIBP Accuracy Test ... 14 - 7 14.12 NIBP Troubleshooting ... 14 - 7 15 Monitoring Invasive Blood Pressure (IBP) ...15 - 1 15.1 IBP Introduction ... 15 - 1 15.2 IBP Safety Information ... 15 - 1 15.3 Preparing for IBP Monitoring ... 15 - 2 15.3.1 IBP Equipment to Patient Connection ... 15 - 2 15.3.2 Measuring an Invasive Blood Pressure ... 15 - 2 15.3.3 Zeroing the IBP transducer ... 15 - 3 15.4 Measuring ICP Using the Codman ICP Transducer ... 15 - 3 15.4.1 Zeroing the Codman ICP transducer ... 15 - 3 15.4.2 Measuring ICP ... 15 - 3 15.5 IBP Display ... 15 - 4 15.6 Changing IBP Settings ... 15 - 4 15.6.1 Changing the IBP Alarm Settings ... 15 - 4 15.6.2 Changing the Pressure Label ... 15 - 5

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15.6.3 Setting the Pressure Type for Display ... 15 - 5 15.6.4 Changing the Sensitivity ... 15 - 5 15.6.5 Setting the IBP Waveform ... 15 - 6 15.6.6 Setting the Display Format of Artery Pressure ... 15 - 6 15.6.7 Showing/Hiding the Alarm Limits of Artery Pressure ... 15 - 6 15.6.8 Setting the Use PA-D as PAWP Switch ... 15 - 6 15.6.9 Enabling PPV Measurement ... 15 - 6 15.6.10 Overlapping IBP Waveforms ... 15 - 7 15.7 Measuring PAWP ... 15 - 7 15.7.1 PAWP Equipment to Patient Connection ... 15 - 8 15.7.2 Preparing to Measure PAWP ... 15 - 8 15.7.3 Measuring PAWP ... 15 - 8 15.7.4 Setting the Waveforms of the PAWP Screen ... 15 - 9 15.7.5 Performing Hemodynamic Calculation ...15 - 10 15.8 Connecting a Camino Device ...15 - 10 15.9 IBP Troubleshooting ...15 - 10 16 Monitoring Cardiac Output (C.O.) ...16 - 1 16.1 C.O. Introduction ... 16 - 1 16.2 C.O. Safety Information ... 16 - 1 16.3 C.O. Measurement Limitations ... 16 - 2 16.4 C.O. Display ... 16 - 2 16.5 C.O. Equipment to Patient Connection ... 16 - 2 16.6 Performing C.O. Measurement ... 16 - 3 16.6.1 Preparing for C.O. Measurement ... 16 - 3 16.6.2 Setting C.O. Measurement ... 16 - 3 16.6.3 Performing C.O. Measurement ... 16 - 4 16.7 Changing C.O. Settings ... 16 - 5 16.7.1 Setting C.O. Alarm Properties ... 16 - 5 16.7.2 Selecting the Primary C.O. Parameter ... 16 - 5 16.8 C.O. Troubleshooting ... 16 - 5 17 Monitoring Carbon Dioxide (CO2) ...17 - 1 17.1 CO2 Introduction ... 17 - 1 17.2 CO2 Safety Information ... 17 - 2 17.3 CO2 Measurement Limitations ... 17 - 2 17.4 CO2 Display ... 17 - 2 17.5 Measuring CO2 Using Sidestream/Microstream CO2 Module ... 17 - 3 17.5.1 Preparing to Measure CO2 Using Sidestream CO2 Module ... 17 - 3 17.5.2 Preparing to Measure CO2 Using Microstream CO2 Module ... 17 - 5 17.5.3 Zeroing the Sidestream/Microstream CO2 Module ... 17 - 5 17.6 Measuring CO2 Using Mainstream CO2 Module ... 17 - 6 17.6.1 Preparing to Measure CO2 Using Mainstream CO2 Module ... 17 - 6 17.6.2 Zeroing the Mainstream CO2 sensor ... 17 - 7 17.7 Changing Settings for All CO2 Modules ... 17 - 7 17.7.1 Changing CO2 Alarm Settings ... 17 - 7 17.7.2 Setting the CO2 Waveform ... 17 - 7

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17.7.3 Setting the RR Source ... 17 - 7 17.7.4 Entering the Standby Mode ... 17 - 8 17.7.5 Entering the Intubation Mode ... 17 - 8 17.8 Changing Settings for Sidestream and Microstream CO2 Module ... 17 - 8 17.8.1 Setting the Auto Standby ... 17 - 8 17.8.2 Setting Humidity Compensation ... 17 - 8 17.9 Changing O2 Settings (For Sidestream CO2 Module Integrating O2) ... 17 - 9 17.9.1 Changing O2 Alarm Settings ... 17 - 9 17.9.2 Setting the O2 Waveform ... 17 - 9 17.10 Setting the Gas Compensation ... 17 - 9 17.11 Choosing a Time Interval for Peak-Picking ...17 - 10 17.12 Changing Barometric Pressure ...17 - 10 17.13 Performing the Leakage Test ...17 - 10 17.14 CO2 Calibration ...17 - 10 17.15 CO2 Troubleshooting ...17 - 10 17.15.1 Troubleshooting the Sidestream/Microstream CO2 Module ...17 - 11 17.15.2 Troubleshooting the Mainstream CO2 Module ...17 - 11 17.16 Oridion Information ...17 - 11 18 Monitoring Anesthetic Gas (AG) ...18 - 1 18.1 AG Introduction ... 18 - 1 18.2 AG Safety Information ... 18 - 2 18.3 AG Measurement Limitations ... 18 - 2 18.4 AG Display ... 18 - 2 18.5 AG Equipment to Patient Connection ... 18 - 3 18.6 Preparing for AG Monitoring ... 18 - 3 18.7 MAC Values ... 18 - 4 18.8 Changing AG Settings ... 18 - 5 18.8.1 Changing AG Alarm Settings ... 18 - 5 18.8.2 Setting the O2 Compensation ... 18 - 5 18.8.3 Entering the Standby Mode ... 18 - 5 18.8.4 Setting Auto Standby ... 18 - 5 18.8.5 Setting the Gas Waveform ... 18 - 5 18.8.6 Setting the RR Source ... 18 - 6 18.8.7 Entering the Intubation Mode ... 18 - 6 18.8.8 Enabling or Disabling MAC Display ... 18 - 6 18.9 Changing the Anesthetic Agent ... 18 - 6 18.10 Performing AG Leakage Test ... 18 - 6 18.11 Calibrating the AG Module ... 18 - 7 18.12 AG Troubleshooting ... 18 - 7 19 Monitoring Bispectral Index (BIS) ...19 - 1 19.1 BIS Introduction ... 19 - 1 19.2 BIS Safety Information ... 19 - 2 19.3 BIS Parameters ... 19 - 3 19.4 BIS Display ... 19 - 3

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19.5 Accessing the On-screen BIS Guide ... 19 - 4 19.6 Preparing for BIS Monitoring ... 19 - 4 19.7 Changing BIS Settings ... 19 - 5 19.7.1 Setting BIS Alarm Properties ... 19 - 5 19.7.2 Choosing the BIS Smoothing Rate ... 19 - 5 19.7.3 Setting the Display of BIS Waveform Area ... 19 - 5 19.7.4 Switching Off the Filter ... 19 - 6 19.7.5 Setting the Displayed BIS Parameters ... 19 - 6 19.8 Sensor Check ... 19 - 6 19.8.1 Automatic Sensor Check ... 19 - 6 19.8.2 Disabling Automatic Sensor check ... 19 - 6 19.8.3 Manual Sensor Check ... 19 - 7 19.8.4 BIS Sensor Status ... 19 - 7 19.9 Monitoring Bilateral BIS ... 19 - 7 19.9.1 Entering the BIS Expand View ... 19 - 8 19.9.2 Selecting BIS Expand View Display ... 19 - 8 19.10 BIS Troubleshooting ... 19 - 9 20 Review ...20 - 1 20.1 Review Overview ... 20 - 1 20.2 Review Page ... 20 - 1 20.2.1 Accessing the Review Page ... 20 - 1 20.2.2 Example Review Page ... 20 - 1 20.2.3 Symbols on Review Pages ... 20 - 2 20.2.4 Common Operations ... 20 - 2 20.2.5 Tabular Trends Review Page ... 20 - 3 20.2.6 Graphics Trends Review Page ... 20 - 4 20.2.7 Events Review Page ... 20 - 5 20.2.8 Full Disclosure Review Page ... 20 - 6 20.2.9 OxyCRG Review Page ... 20 - 7 20.2.10 12-Lead ECG Review Page ... 20 - 8 20.2.11 ST Review Page ... 20 - 9 20.3 Reviewing Discharged Patients ...20 - 10 20.3.1 Checking the Data of a Discharged Patient ...20 - 10 20.3.2 Checking the Information of a Discharged Patient ...20 - 10 21 Clinical Assistive Applications (CAA) ...21 - 1 21.1 Early Warning Score (EWS) ... 21 - 1 21.1.1 Displaying the EWS Numerics Area ... 21 - 2 21.1.2 Accessing the EWS Screen ... 21 - 2 21.1.3 Performing EWS Scoring ... 21 - 3 21.1.4 Auto Scoring ... 21 - 4 21.1.5 EWS Alarm ... 21 - 4 21.1.6 Changing EWS Settings ... 21 - 5 21.1.7 Reviewing EWS Trend Data ... 21 - 5 21.2 Glasgow Coma Scale (GCS) ... 21 - 5 21.2.1 Displaying the GCS Parameter Area ... 21 - 6 21.2.2 Accessing the GCS Menu ... 21 - 6 21.2.3 Performing GCS Scoring ... 21 - 7

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21.2.4 Setting GCS Scoring Interval ... 21 - 7 21.2.5 Reviewing GCS Trend Data ... 21 - 7 21.3 ECG 24h Summary ... 21 - 7 21.3.1 Viewing the ECG 24h Summary ... 21 - 8 21.3.2 Selecting Typical ECG Strips ... 21 - 8 21.3.3 Reviewing ECG Summary ... 21 - 8 22 Calculation ...22 - 1 22.1 Calculation Overview ... 22 - 1 22.2 Calculation Safety Information ... 22 - 1 22.3 Drug Calculations ... 22 - 1 22.3.1 Performing Drug Calculations ... 22 - 1 22.3.2 Checking the Titration Table ... 22 - 2 22.3.3 Drug Calculation Formula ... 22 - 2 22.3.4 Titration Table Calculation Formula ... 22 - 2 22.4 Hemodynamic Calculations ... 22 - 3 22.4.1 Performing Hemodynamic Calculations ... 22 - 3 22.4.2 Input Parameters for Hemodynamic Calculations ... 22 - 3 22.4.3 Calculated Parameters and Formulas for Hemodynamic Calculations ... 22 - 3 22.5 Oxygenation Calculations ... 22 - 4 22.5.1 Performing Oxygenation Calculations ... 22 - 4 22.5.2 Input Parameters for Oxygenation Calculations ... 22 - 5 22.5.3 Calculated Parameters and Formulas for Oxygenation Calculations ... 22 - 5 22.6 Ventilation Calculations ... 22 - 6 22.6.1 Performing Ventilation Calculations ... 22 - 6 22.6.2 Input Parameters for Ventilation Calculations ... 22 - 6 22.6.3 Calculated Parameters and Formulas for Ventilation Calculations ... 22 - 6 22.7 Renal Calculations ... 22 - 7 22.7.1 Performing Renal Calculations ... 22 - 7 22.7.2 Calculated Parameters and Formulas for Renal Calculations ... 22 - 7 22.7.3 Calculated Parameters and Formulas for Renal Calculations ... 22 - 8 23 Recording ...23 - 1 23.1 Recorder ... 23 - 1 23.2 Starting Recordings ... 23 - 1 23.2.1 Manually Starting Recordings ... 23 - 1 23.2.2 Automatic Recordings ... 23 - 1 23.3 Stopping Recordings ... 23 - 2 23.3.1 Stopping Recordings Manually ... 23 - 2 23.3.2 Stopping Recordings Automatically ... 23 - 2 23.4 Recording Related Flags ... 23 - 2 23.5 Setting the Recorder ... 23 - 2 23.6 Enabling Auto Recording on Alarm ... 23 - 2 23.7 Clearing Recording Tasks ... 23 - 3 23.8 Loading Paper ... 23 - 3 23.9 Removing Paper Jam ... 23 - 3

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24 Printing ...24 - 1 24.1 Supported Printer ... 24 - 1 24.2 End Case Reports ... 24 - 1 24.2.1 Printing the End Case Report ... 24 - 1 24.2.2 Setting a Report as An End Case Report ... 24 - 1 24.2.3 Setting the End Case Report ... 24 - 2 24.2.4 Setting the End Case Report Period ... 24 - 2 24.3 Manually Starting a Printing Task ... 24 - 2 24.3.1 Starting Printing from the Current Page ... 24 - 2 24.3.2 Printing Realtime Reports ... 24 - 2 24.3.3 Printing Normal Reports ... 24 - 2 24.4 Automatically Printing Reports ... 24 - 3 24.5 Stopping a Printing Task ... 24 - 3 24.6 Setting Reports ... 24 - 3 24.6.1 Setting ECG Reports ... 24 - 3 24.6.2 Setting Realtime Reports ... 24 - 4 24.6.3 Setting Tabular Trends Reports ... 24 - 4 24.6.4 Setting Graphic Trends Reports ... 24 - 5 24.7 Viewing Printer Status ... 24 - 5 24.8 Printer Out of Paper ... 24 - 5 25 Using the On-Screen Timers ...25 - 1 25.0.1 Displaying Timers ... 25 - 1 25.0.2 Controlling the Timer ... 25 - 1 25.0.3 Setting the Timer ... 25 - 1 26 User Maintenance Settings ...26 - 1 26.1 Accessing the Maintenance Menu ... 26 - 1 26.2 The Device Location Settings ... 26 - 1 26.3 The Patient Management Settings ... 26 - 2 26.3.1 The Field Tab ... 26 - 2 26.3.2 The ADT Query Tab ... 26 - 2 26.3.3 The Discharge Tab ... 26 - 2 26.3.4 The Location Tab ... 26 - 3 26.3.5 The Display Tab ... 26 - 3 26.4 The Alarm Settings ... 26 - 3 26.4.1 The Audio Tab ... 26 - 3 26.4.2 The Pause/Reset Tab ... 26 - 4 26.4.3 The Latching Tab ... 26 - 5 26.4.4 The Remote View Tab ... 26 - 5 26.4.5 The Nurse Call Tab ... 26 - 6 26.4.6 The Other Tab ... 26 - 6 26.5 The CAA Settings ... 26 - 7 26.5.1 The EWS Tab ... 26 - 7 26.5.2 The GCS Tab ... 26 - 8 26.6 The Module Settings ... 26 - 8 26.6.1 The ECG Tab ... 26 - 8 26.6.2 The Other Tab ... 26 - 8

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26.7 The Review Settings ... 26 - 9 26.7.1 The Tabs Tab ... 26 - 9 26.7.2 The Event Tab ... 26 - 9 26.7.3 The Arrhy Mark Tab ... 26 - 9 26.8 The Print Settings ...26 - 10 26.8.1 The Printer Tab ...26 - 10 26.8.2 The Report Layout Tab ...26 - 10 26.8.3 The ECG Report Tab ...26 - 11 26.8.4 The PDF File Name Tab ...26 - 11 26.8.5 The Other Tab ...26 - 11 26.9 The Unit Settings ...26 - 12 26.10 The Time Settings ...26 - 12 26.11 The Other Settings ...26 - 12 26.12 The Authorization Setup Settings ...26 - 13 26.13 The Version Settings ...26 - 13 26.14 The Battery Information Settings ...26 - 14 26.15 The Scanner Settings ...26 - 14 26.15.1 The 2D Barcode Tab (for the Mindray Custom 2D Barcode Reader) ...26 - 14 26.15.2 The 1D Barcode Tab ...26 - 14 26.15.3 The Scanner Information Tab ...26 - 14 26.15.4 The Identify Scanner Tab (for the non-Mindray Custom 2D Barcode Reader) ...26 - 14 26.15.5 The Field Tab (for the Mindray Custom 2D Barcode Reader) ...26 - 15 26.16 The Network Setup Settings ...26 - 15 26.16.1 The Network Type Tab ...26 - 15 26.16.2 The LAN1 IP Tab ...26 - 15 26.16.3 The WLAN Tab ...26 - 16 26.16.4 The WLAN IP Tab ...26 - 16 26.16.5 The Central Station Setup Tab ...26 - 16 26.16.6 The Device Discover Tab ...26 - 16 26.16.7 The QoS Tab ...26 - 17 26.16.8 The ADT Tab ...26 - 17 26.16.9 The HL7 Configuration Tab ...26 - 17 26.16.10 The Information Security Tab ...26 - 18 26.16.11 The MLDAP Tab ...26 - 18 27 Battery ...27 - 1 27.1 Battery Introduction ... 27 - 1 27.2 Battery Safety Information ... 27 - 1 27.3 Battery Preparation ... 27 - 1 27.3.1 Identifying the Battery Type ... 27 - 2 27.3.2 Installing the Battery in a Built-in Battery Compartment ... 27 - 2 27.3.3 Installing the Battery in a External Battery Compartment ... 27 - 3 27.4 Battery Indications ... 27 - 3 27.4.1 Battery LED ... 27 - 3 27.4.2 Battery Power Indicators ... 27 - 3 27.4.3 Battery-related Alarms ... 27 - 4 27.5 Charging the Battery ... 27 - 4 27.6 Maintaining the Battery ... 27 - 4

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27.6.1 Conditioning the Battery ... 27 - 4 27.6.2 Checking Battery Performance ... 27 - 4 27.7 Storing Batteries ... 27 - 4 27.8 Recycling Batteries ... 27 - 5 28 Care and Cleaning ...28 - 1 28.1 Care and Cleaning Introduction ... 28 - 1 28.2 Care and Cleaning Safety Information ... 28 - 1 28.3 Cleaning the Monitor/Module ... 28 - 1 28.4 Disinfecting the Monitor/Module ... 28 - 2 28.5 Cleaning and Disinfecting the Accessories ... 28 - 4 28.5.1 Cleaning the Accessories ... 28 - 4 28.5.2 Disinfecting the Accessories ... 28 - 4 28.6 Sterilization ... 28 - 6 28.7 Cleaning the Thermal Print Head ... 28 - 6 28.8 Impact of Improper Cleaning ... 28 - 7 29 Maintenance ...29 - 1 29.1 Maintenance Introduction ... 29 - 1 29.2 Maintenance Safety Information ... 29 - 1 29.3 Maintenance and Testing Schedule ... 29 - 2 29.4 Testing Methods and Procedures ... 29 - 2 29.4.1 Performing Visual Inspection ... 29 - 2 29.4.2 Performing Power-on Test ... 29 - 3 29.4.3 Testing the Recorder ... 29 - 3 29.4.4 Testing the Network Printer ... 29 - 3 29.4.5 Checking the Battery ... 29 - 3 29.5 Disposing of the Equipment ... 29 - 3 30 Accessories ...30 - 1 30.1 ECG Accessories ... 30 - 1 30.1.1 ECG Electrodes ... 30 - 1 30.1.2 12-Pin Separable Trunk Cables ... 30 - 2 30.1.3 12-Pin Integrative Trunk Cables ... 30 - 2 30.1.4 3-lead ECG Leadwires ... 30 - 2 30.1.5 5-lead ECG Leadwires ... 30 - 3 30.1.6 6-lead ECG Leadwires ... 30 - 3 30.1.7 12-lead ECG Leadwires ... 30 - 3 30.2 SpO2 Accessories ... 30 - 4 30.2.1 Extension Cables ... 30 - 4 30.2.2 Mindray SpO2 Sensors ... 30 - 4 30.2.3 Nellcor SpO2 Sensors ... 30 - 5 30.3 Temp Accessories ... 30 - 5 30.3.1 Temp Cable ... 30 - 5 30.3.2 Temp Probes ... 30 - 5 30.4 NIBP Accessories ... 30 - 6 30.4.1 NIBP Hoses ... 30 - 6

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30.4.2 Cuffs ... 30 - 6 30.5 IBP Accessories ... 30 - 7 30.5.1 IBP Accessories ... 30 - 7 30.5.2 ICP Accessories ... 30 - 8 30.6 C.O. Accessories ... 30 - 8 30.7 CO2 Accessories ... 30 - 8 30.7.1 Sidestream CO2 Accessories ... 30 - 8 30.7.2 Microstream CO2 Accessories ... 30 - 8 30.7.3 Mainstream CO2 Accessories ... 30 - 9 30.8 AG Accessories ... 30 - 9 30.9 BIS Accessories ...30 - 10 30.10 Mount and Mounting Accessories ...30 - 10 30.11 Miscellaneous Accessories ...30 - 10 30.12 External Modules ...30 - 11 A Product Specifications ...A - 1 A.1 Monitor Safety Specifications ... A - 1 A.2 Physical Specifications ... A - 1 A.3 Environmental Specifications ... A - 1 A.4 Power Supply Specifications ... A - 3 A.4.1 External Power Supply Specifications ... A - 3 A.4.2 Battery Specifications ... A - 3 A.5 Display Specifications ... A - 4 A.6 Recorder Specifications ... A - 4 A.7 LEDs ... A - 4 A.8 Audio Indicator ... A - 5 A.9 Monitor Interface Specifications ... A - 5 A.10 Signal Outputs Specifications ... A - 5 A.11 Data Storage ... A - 6 A.12 Wi-Fi Specifications ... A - 6 A.12.1 Wi-Fi Technical Specifications ... A - 6 A.12.2 Wi-Fi Performance Specifications ... A - 7 A.13 Measurement Specifications ... A - 8 A.13.1 ECG Specifications ... A - 8 A.13.2 Resp Specifications ...A - 10 A.13.3 SpO2 Specifications ...A - 11 A.13.4 PR Specifications ...A - 12 A.13.5 Temp Specifications ...A - 13 A.13.6 NIBP Specifications ...A - 13 A.13.7 IBP Specifications ...A - 15 A.13.8 C.O. Specifications ...A - 16 A.13.9 CO2 Specifications ...A - 16 A.13.10 AG Specifications ...A - 20 A.13.11 BIS Specifications ...A - 23 B EMC and Radio Regulatory Compliance ...B - 1 B.1 EMC ... B - 1

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