MINDRAY
iPM-9800 Operation Manual Rev 7.0
Operation Manual
300 Pages
Preview
Page 1
iPM-9800
Patient Monitor
Operator’s Manual
© Copyright 2009-2010 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. For this Operator’s Manual, the issue date is 2010-06.
I
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 copyright or patents and does not convey any license under the patent rights or copyright of Mindray, or 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, adaptation, translation or any other derivative work of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.
,
and
are the registered trademarks or trademarks owned
by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners.
II
Responsibility on the Manufacturer Party Contents of this manual are subject to change without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or 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;
the electrical installation of the relevant room complies with the applicable national and local requirements;and
the product is used in accordance with the instructions for use.
NOTE z
This equipment must be operated by skilled/trained clinical professionals.
WARNING z
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.
III
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.
Malfunction or damage caused by unstable or out-of-range power input.
Malfunction or damage caused by force majeure such as fire and earthquake.
Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people.
Malfunction of the instrument or part whose serial number is not legible enough.
Others not caused by instrument or part itself.
IV
Company Contact Manufacturer:
Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
E-mail Address:
Tel:
+86 755 26582479 26582888
Fax:
+86 755 26582934 26582500
EC-Representative:
Shanghai International Holding Corp. GmbH(Europe)
Address:
Eiffestraβe 80, Hamburg 20537, Germany
Tel:
0049-40-2513175
Fax:
0049-40-255726
V
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
Italic text is used in this manual to quote the referenced chapters or sections.
[ ] is used to enclose screen texts.
→ is used to indicate operational procedures.
VI
Content 1 Safety ... 1-1 1.1 Safety Information ... 1-1 1.1.1 Dangers ... 1-2 1.1.2 Warnings... 1-2 1.1.3 Cautions ... 1-3 1.1.4 Notes ... 1-3 1.2 Equipment Symbols ... 1-4 2 The Basics ... 2-1 2.1 Monitor Description ... 2-1 2.1.1 Intended Use... 2-1 2.1.2 Contraindications ... 2-1 2.1.3 Components ... 2-1 2.2 Main unit ... 2-2 2.2.1 Front View... 2-2 2.2.2 Side View ... 2-4 2.2.3 Rear View... 2-5 2.3 Display Screen ... 2-6 2.4 QuickKeys... 2-8 3 Basic Operations ... 3-1 3.1 Installation... 3-1 3.1.1 Unpacking and Checking ... 3-2 3.1.2 Environmental Requirements... 3-2 3.2 Getting Started ... 3-3 3.2.1 Inspecting the Monitor ... 3-3 3.2.2 Switching On... 3-3 3.2.3 Starting Monitoring ... 3-3 3.3 Disconnecting from Power... 3-4 3.4 Operating and Navigating ... 3-4 3.4.1 Using the Knob ... 3-4 3.4.2 Using Keys ... 3-5 3.4.3 Using the Touchscreen ... 3-5 3.4.4 Using the On-Screen Keyboard... 3-5 3.4.5 Using the Main Menu... 3-6 3.5 Operating Modes... 3-7 3.6 Using an External Storage Device... 3-8 3.7 Using an External Display ... 3-9 3.8 Changing General Measurement Settings ... 3-9 1
3.8.1 Switching On/Off Modules ... 3-9 3.8.2 Changing Measurement Settings... 3-10 3.8.3 Changing Waveform Settings... 3-10 3.9 Changing General Settings... 3-10 3.9.1 Setting up a Monitor...3-11 3.9.2 Changing Language ...3-11 3.9.3 Setting DIAP Baud Rate...3-11 3.9.4 Adjusting the Screen Brightness ...3-11 3.9.5 Setting the Date and Time ... 3-12 3.9.6 Adjusting Volume ... 3-13 4 Managing Patients... 4-1 4.1 Admitting a Patient... 4-1 4.2 Editing Patient Information... 4-2 4.3 Discharging a Patient ... 4-2 4.4 Switching between Wire and Wireless Networks... 4-3 4.5 Transferring Patient Data ... 4-3 4.6 Connecting to a Central Monitoring System... 4-5 5 Managing Configurations... 5-1 5.1 Introduction... 5-1 5.2 Entering and Exiting the Configuration Mode ... 5-2 5.3 Viewing and Changing Configurations ... 5-3 5.4 Adding a Configuration... 5-4 5.5 Deleting a Configuration... 5-4 5.6 Loading a Configuration ... 5-5 5.7 Setting Default Configuration at Startup... 5-5 5.8 Loading the Latest Configuration Automatically... 5-6 5.9 Transferring a Configuration... 5-7 6 User Screens... 6-1 6.1 Tailoring Your Screens ... 6-1 6.1.1 Setting the Waveform Sweep Mode ... 6-1 6.1.2 Changing the Wave Line Size ... 6-1 6.1.3 Choosing the Way to Draw Waves ... 6-1 6.1.4 Changing Parameter and Waveform Colors ... 6-2 6.1.5 Selecting Waveforms for Display... 6-2 6.1.6 Changing Screen Layout ... 6-2 6.2 Viewing Minitrends... 6-3 6.2.1 Having a Split-Screen View of Minitrends ... 6-3 6.2.2 Changing Minitrend Length ... 6-4 6.2.3 Changing a Parameter for Viewing ... 6-4 6.3 Viewing oxyCRG ... 6-5 6.4 Viewing Other Patients... 6-6 2
6.4.1 Care Group ... 6-6 6.4.2 Viewing the Care Group Overview Bar ... 6-6 6.4.3 Understanding the View Other Patient Window ... 6-7 6.5 Understanding the Big Numerics Screen ... 6-8 7 Alarms ... 7-1 7.1 Alarm Categories... 7-1 7.2 Alarm Levels ... 7-2 7.3 Alarm Indicators... 7-2 7.3.1 Alarm Lamp ... 7-3 7.3.2 Alarm Message... 7-3 7.3.3 Flashing Numeric ... 7-3 7.3.4 Audible Alarm Tones... 7-3 7.3.5 Reminder Tones... 7-4 7.4 Understanding Alarm Statuses ... 7-4 7.4.1 Pausing Alarms... 7-4 7.4.2 Switching Off Alarms... 7-5 7.4.3 Silencing the Alarm Sound... 7-5 7.4.4 Switching off Alarm Sound... 7-6 7.5 Alarm Configuration ... 7-6 7.5.1 Alarm Tone Configuration... 7-6 7.5.2 Displaying Alarm Limits... 7-7 7.5.3 Setting Alarm Delay Time... 7-7 7.5.4 Using Alarms... 7-7 7.5.5 Mass Alarm Setup ... 7-9 7.5.6 Adjusting Alarm Limits Automatically ... 7-9 7.6 Latching Alarms ... 7-9 7.7 Clearing Technical Alarms ... 7-10 7.8 Testing Alarms ... 7-10 7.9 When an Alarm Occurs ... 7-10 7.10 Using Care Group Alarms ...7-11 7.10.1 Care Group Auto Alarms...7-11 7.10.2 Viewing Alarm Information ...7-11 7.10.3 Silencing Care Group Alarms ... 7-12 8 Monitoring ECG ... 8-1 8.1 Introduction... 8-1 8.2 Safety ... 8-1 8.3 Preparing to Monitor ECG ... 8-2 8.3.1 Preparing the Patient and Placing the Electrodes ... 8-2 8.3.2 Choosing a Lead Set and AHA or IEC Lead Placement ... 8-2 8.3.3 ECG Lead Placements... 8-3 8.3.4 Switching ECG Lead Set... 8-5 8.3.5 Checking Paced Status ... 8-6 3
8.4 Understanding the ECG Display ... 8-7 8.5 Changing ECG Settings ... 8-8 8.5.1 Setting Pacemaker Rate (For Mortara Only)... 8-8 8.5.2 Choosing the Alarm Source... 8-8 8.5.3 Choosing a 5-Lead ECG Display Screen ... 8-8 8.5.4 Changing the ECG Filter Settings... 8-9 8.5.5 Switching the Notch Filter On or Off... 8-9 8.5.6 Switching Defibrillator Synchronization On/Off ... 8-10 8.5.7 Selecting ECG Waves for Display ...8-11 8.5.8 Changing ECG Wave Settings ...8-11 8.5.9 Choosing an ECG Lead for HR Computing and Arrh. Monitoring...8-11 8.5.10 Adjusting QRS Volume ... 8-12 8.6 About ST Monitoring ... 8-12 8.6.1 Switching ST On and Off... 8-12 8.6.2 Changing ST Filter Settings ... 8-13 8.6.3 Understanding the ST Display ... 8-13 8.6.4 Changing the ST Unit... 8-13 8.6.5 Changing the ST Alarm Limits ... 8-13 8.6.6 Setting ST Alarm Delay Time ... 8-14 8.6.7 Adjusting ST Measurement Points ... 8-14 8.7 About Arrhythmia Monitoring ... 8-15 8.7.1 Understanding the Arrhythmia Events ... 8-16 8.7.2 Switching Arrhythmia Analysis On and Off ... 8-18 8.7.3 Changing Arrhythmia Alarm Settings ... 8-18 8.7.4 Changing Arrhythmia Threshold Settings (For Mortara Only) ... 8-18 8.7.5 Initiating Arrhythmia Relearning Manually ... 8-19 8.7.6 Automatic Arrhythmia Relearn ... 8-20 8.7.7 Reviewing Arrhythmia Events ... 8-20 8.8 12-Lead ECG Monitoring ... 8-21 8.8.1 Entering the 12-lead ECG Monitoring Screen ... 8-21 8.8.2 Interpretation of resting 12-Lead ECG... 8-22 8.8.3 Reviewing Interpretation of resting 12-Lead ECG Results... 8-23 9 Monitoring Respiration (Resp) ... 9-1 9.1 Introduction... 9-1 9.2 Safety ... 9-1 9.3 Placing Resp Electrodes... 9-1 9.3.1 Optimizing Lead Placement for Resp ... 9-2 9.3.2 Cardiac Overlay ... 9-2 9.3.3 Abdominal Breathing ... 9-2 9.3.4 Lateral Chest Expansion... 9-3 9.4 Understanding the Resp Display ... 9-3 9.5 Changing Resp Settings ... 9-3 9.5.1 Choosing the Respiration Lead ... 9-3 4
9.5.2 Setting the Apnea Alarm Delay ... 9-3 9.5.3 Changing Resp Detection Mode ... 9-4 9.5.4 Changing the Size of the Resp Wave ... 9-5 10 Monitoring PR... 10-1 10.1 Introduction... 10-1 10.2 Changing PR Settings ... 10-1 10.2.1 Setting the PR Source... 10-1 10.2.2 Selecting the Active Alarm Source... 10-2 10.2.3 Adjusting QRS Volume ... 10-2 11 Monitoring SpO2 ...11-1 11.1 Introduction ...11-1 11.2 Safety...11-2 11.3 Identifying SpO2 Modules...11-2 11.4 Applying the Sensor ...11-2 11.5 Changing SpO2 Settings ...11-3 11.5.1 Adjusting the Desat Alarm Limit...11-3 11.5.2 Setting SpO2 Sensitivity ...11-3 11.5.3 Changing Averaging Time...11-3 11.5.4 Monitoring SpO2 and NIBP Simultaneously...11-4 11.5.5 Sat-Seconds Alarm Management ...11-4 11.5.6 Pitch Tone...11-5 11.6 Measurement Limitations...11-6 11.7 Masimo Information...11-6 11.8 Nellcor Information...11-7 12 Monitoring NIBP... 12-1 12.1 Introduction... 12-1 12.2 Safety ... 12-2 12.3 Measurement Limitations... 12-2 12.4 Setting Up the NIBP Measurement ... 12-3 12.4.1 Preparing to Measure NIBP ... 12-3 12.4.2 Starting and Stopping Measurements... 12-3 12.4.3 Correcting the Measurement if Limb is not at Heart Level... 12-3 12.5 Measurement Methods ... 12-4 12.5.1 Enabling NIBP Auto Cycling and Setting the Interval... 12-4 12.5.2 Starting a STAT Measurement... 12-4 12.6 Understanding the NIBP Numerics ... 12-5 12.7 Changing NIBP Settings ... 12-6 12.7.1 Choosing NIBP Alarm Source ... 12-6 12.7.2 Displaying NIBP Measurements ... 12-6 12.7.3 Setting the Pressure Unit ... 12-6 12.7.4 Setting the cuff inflation pressure ... 12-7 5
12.8 Assisting Venous Puncture ... 12-7 12.9 Resetting NIBP ... 12-7 12.10 NIBP Leakage Test... 12-7 12.11 NIBP Accuracy Test ... 12-8 12.12 Calibrating NIBP... 12-9 13 Monitoring Temp... 13-1 13.1 Introduction... 13-1 13.2 Safety ... 13-1 13.3 Making a Temp Measurement... 13-1 13.4 Understanding the Temp Display ... 13-2 13.5 Setting the Temperature Unit ... 13-2 14 Monitoring IBP ... 14-1 14.1 Introduction... 14-1 14.2 Safety ... 14-1 14.3 Setting Up the Pressure Measurement ... 14-1 14.4 Understanding the IBP Display... 14-3 14.5 Changing IBP Settings ... 14-4 14.5.1 Changing a Pressure for Monitoring ... 14-4 14.5.2 Choosing the Pressure Alarm Source ... 14-4 14.5.3 Changing Averaging Time... 14-5 14.5.4 Setting the Pressure Unit ... 14-5 14.5.5 Setting Wave Overlapping... 14-5 14.5.6 Setting Up the IBP Wave... 14-5 14.6 Measuring PAWP ... 14-6 14.6.1 Preparing to Measure PAWP ... 14-6 14.6.2 Setting Up the PAWP Measurement... 14-8 14.7 Zeroing the Transducer ... 14-9 15 Monitoring Cardiac Output ... 15-1 15.1 Introduction... 15-1 15.2 Understanding the C.O. Display ... 15-1 15.3 Influencing Factors... 15-2 15.4 Setting Up the C.O. Measurement ... 15-2 15.5 Measuring the Blood Temperature ... 15-5 15.6 Changing C.O. Settings... 15-6 15.6.1 Setting the Temperature Unit ... 15-6 15.6.2 Setting the Interval between Measurements... 15-6 16 Monitoring Carbon Dioxide ... 16-1 16.1 Introduction... 16-1 16.2 Preparing to Measure CO2 ... 16-2 16.2.1 Using a Sidestream CO2 Module ... 16-2 6
16.2.2 Using a Microstream CO2 module ... 16-3 16.2.3 Using a Mainstream CO2 module... 16-4 16.3 Changing CO2 Settings ... 16-5 16.3.1 Entering the Standby Mode... 16-5 16.3.2 Setting the Pressure Unit ... 16-5 16.3.3 Setting up Gas Compensations... 16-5 16.3.4 Setting up Humidity Compensation ... 16-6 16.3.5 Setting the Apnea Alarm Delay ... 16-7 16.3.6 Choosing a Time Interval for Peak-Picking ... 16-7 16.3.7 Setting the Flow Rate ... 16-7 16.3.8 Setting up the CO2 Wave... 16-7 16.4 Setting Barometric Pressure Compensation ... 16-8 16.5 Measurement Limitations... 16-8 16.6 Troubleshooting the Sidestream CO2 Sampling System ... 16-8 16.7 Removing Exhaust Gases from the System ... 16-9 16.8 Zeroing the Sensor ... 16-9 16.8.1 For Sidestream and Microstream CO2 Modules... 16-9 16.8.2 For Mainstream CO2 Modules ... 16-9 16.9 Calibrating the Sensor ... 16-10 16.10 Oridion Information ... 16-10 17 Monitoring AG ... 17-1 17.1 Introduction... 17-1 17.2 Preparing to Measure AG... 17-2 17.3 Understanding the AG Display ... 17-4 17.4 MAC Values ... 17-5 17.5 Changing AG Settings... 17-6 17.5.1 Selecting an Anesthetic Gas for Monitoring ... 17-6 17.5.2 Setting Gas Unit ... 17-6 17.5.3 Setting the Apnea Alarm Delay ... 17-6 17.5.4 Changing the Sample Flow Rate... 17-6 17.5.5 Setting up the O2 Compensation ... 17-6 17.5.6 Entering the Standby Mode... 17-7 17.5.7 Setting up the AG Wave ... 17-7 17.6 Changing the Anesthetic Agent ... 17-7 17.7 Measurement Limitations... 17-8 17.8 Troubleshooting ... 17-8 17.8.1 When the Gas Inlet is Blocked ... 17-8 17.8.2 When an Internal Occlusion Occurs... 17-8 17.9 Removing Exhaust Gases from the System ... 17-9 18 Freezing Waveforms ... 18-1 18.1 Freezing Waveforms ... 18-1 18.2 Viewing Frozen Waveforms ... 18-1 7
18.3 Unfreezing Waveforms... 18-2 18.4 Recording Frozen Waveforms... 18-2 19 Review ... 19-1 19.1 Accessing Respective Review Windows... 19-1 19.2 Reviewing Graphic Trends... 19-2 19.3 Reviewing Tabular Trends ... 19-4 19.4 Reviewing NIBP Measurements ... 19-6 19.5 Reviewing Alarms... 19-7 19.6 Reviewing Waveforms ... 19-8 20 Calculations ... 20-1 20.1 Introduction... 20-1 20.2 Dose Calculations... 20-2 20.2.1 Performing Calculations... 20-2 20.2.2 Selecting the Proper Drug Unit ... 20-2 20.2.3 Titration Table ... 20-3 20.3 Oxygenation Calculations ... 20-3 20.3.1 Performing Calculations... 20-3 20.3.2 Entered Parameters... 20-4 20.3.3 Calculated Parameters ... 20-4 20.4 Ventilation Calculations ... 20-5 20.4.1 Performing Calculations... 20-5 20.4.2 Entered Parameters... 20-5 20.4.3 Calculated Parameters ... 20-6 20.5 Hemodynamic Calculations ... 20-6 20.5.1 Performing Calculations... 20-6 20.5.2 Entered Parameters... 20-7 20.5.3 Calculated Parameters ... 20-7 20.6 Renal Calculations ... 20-8 20.6.1 Performing Calculations... 20-8 20.6.2 Entered Parameters... 20-8 20.6.3 Calculated Parameters ... 20-9 20.7 Understanding the Review Window... 20-9 21 Recording... 21-1 21.1 Using a Recorder... 21-1 21.2 Overview of Recording Types... 21-2 21.3 Starting and Stopping Recordings... 21-3 21.4 Setting up the Recorder... 21-3 21.4.1 Accessing the Record Setup Menu... 21-3 21.4.2 Selecting Waveforms for Recording ... 21-3 21.4.3 Setting the Realtime Recording Length ... 21-4 21.4.4 Setting the Interval between Timed Recordings... 21-4 8
21.4.5 Changing the Recording Speed ... 21-4 21.4.6 Switching Gridlines On or Off ... 21-4 21.4.7 Clearing Recording Tasks ... 21-4 21.5 Loading Paper ... 21-4 21.6 Removing Paper Jam... 21-5 21.7 Cleaning the Recorder Printhead... 21-6 22 Printing ... 22-1 22.1 Printer... 22-1 22.2 Connecting a Printer... 22-1 22.3 Setting Up the Printer... 22-1 22.4 Starting Report Printouts... 22-2 22.5 Stopping Report Printouts ... 22-3 22.6 Setting Up Reports ... 22-3 22.6.1 Setting Up ECG Reports ... 22-3 22.6.2 Setting Up Tabular Trends Reports ... 22-3 22.6.3 Setting Up Graphic Trends Reports ... 22-4 22.6.4 Setting Up Realtime Reports... 22-4 22.7 End Case Reports ... 22-4 22.8 Printer Statuses... 22-5 22.8.1 Printer Out of Paper ... 22-5 22.8.2 Printer Status Message ... 22-5 23 Other Functions... 23-1 23.1 Marking Events ... 23-1 23.2 Analog Output ... 23-1 23.3 Transferring Data ... 23-2 23.3.1 Data Export System... 23-2 23.3.2 Transferring Data by Different Means ... 23-2 23.4 Nurse Call ... 23-3 23.5 Wireless Network ... 23-5 24 Batteries ... 24-1 24.1 Overview... 24-1 24.2 Installing or Replacing a Battery... 24-2 24.3 Battery Guidelines... 24-3 24.4 Battery Maintenance ... 24-4 24.5 Battery Recycling... 24-5 25 Care and Cleaning... 25-1 25.1 Introduction... 25-1 25.2 Cleaning ... 25-2 25.3 Disinfecting... 25-2
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26 Maintenance ... 26-1 26.1 Safety Checks... 26-1 26.2 Service Tasks... 26-2 26.3 Checking Monitor and Module Information ... 26-2 26.4 Calibrating ECG... 26-3 26.5 Calibrating the Touchscreen... 26-3 26.6 Calibrating CO2 ... 26-4 26.7 Calibrating AG ... 26-5 26.8 Setting up IP Address ... 26-6 26.9 Entering/Exiting Demo Mode ... 26-6 27 Accessories ... 27-1 27.1 ECG Accessories... 27-1 27.2 SpO2 Accessories... 27-3 27.3 NIBP Accessories... 27-5 27.4 Temp Accessories... 27-6 27.5 IBP/ICP Accessories ... 27-6 27.6 C.O. Accessories ... 27-8 27.7 CO2 Accessories ... 27-8 27.8 AG Accessories ...27-11 27.9 Others ... 27-12
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1 Safety 1.1 Safety Information DANGER z
Indicates an imminent hazard that, if not avoided, will result in death or serious injury.
WARNING z
Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury.
CAUTION z
Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or product/property damage.
NOTE z
Provides application tips or other useful information to ensure that you get the most from your product.
1-1
1.1.1 Dangers There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections of this manual.
1.1.2 Warnings WARNINGS z
Before putting the system into operation, the operator must verify that the equipment, connecting cables and accessories are in correct working order and operating condition.
z
The equipment must be connected to a properly installed power outlet with protective earth contacts only. If the installation does not provide for a protective earth conductor, disconnect it from the power line and operate it on battery power, if possible.
z
To avoid explosion hazard, do not use the equipment in the presence of flammable anesthetics, vapors or liquids.
z
Do not open the equipment housings. All servicing and future upgrades must be carried out by the personnel trained and authorized by Mindray only.
z
Do not come into contact with patients during defibrillation. Otherwise serious injury or death could result.
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Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level or off may result in a hazard to the patient. Remember that alarm settings should be customized according to different patient situations and always keeping the patient under close surveillance is the most reliable way for safe patient monitoring.
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The physiological data and alarm messages displayed on the equipment are for reference only and cannot be directly used for diagnostic interpretation.
z
To avoid inadvertent disconnection, route all cables in a way to prevent a stumbling hazard. Wrap and secure excess cabling to reduce risk of entanglement or strangulation by patients or personnel.
z
Dispose of the package material, observing the applicable waste control regulations and keeping it out of children’s reach. Keep the battery out of children’s reach.
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1.1.3 Cautions CAUTIONS z
To ensure patient safety, use only parts and accessories specified in this manual.
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At the end of its service life, the equipment, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. If you have any questions concerning disposal of the equipment, please contact us.
z
Electromagnetic field is capable of interfering with the proper performance of the equipment. For this reason make sure that all external devices operated in the vicinity of the equipment comply with the relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation.
z
Before connecting the equipment to the power line, check that the voltage and frequency ratings of the power line are the same as those indicated on the equipment’s label or in this manual.
z
Always install or carry the equipment properly to avoid damage caused by drop, impact, strong vibration or other mechanical force.
1.1.4 Notes NOTES z
Put the equipment in a location where you can easily see the screen and access the operating controls.
z
Keep this manual in the vicinity of the equipment so that it can be obtained conveniently when needed.
z
The software was developed in compliance with IEC60601-1-4. The possibility of hazards arising from software errors is minimized.
z
This manual describes all features and options. Your equipment may not have all of them.
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