VS9-9A-9C and VS8-8A-8C Vital Signs Monitor Operators Manual Rev 4.0 April 2021

© Copyright 2020-2021 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. Release time: 2021-04 Revision: 4.0

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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 trademark 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.

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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

Notification of Adverse Events As a health care provider, you may report the occurrence of certain events to SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD., and possibly to the competent authority of the Member state in which the user and / or patient is established. These events, include device-related death and serious injury or illness. In addition, as part of our Quality Assurance Program, SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. requests to be notified of device failures or malfunctions. This information is required to ensure that SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. provides only the highest quality products.

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Preface Manual Purpose The pulse oximeter is to be operated by, or under the supervision of, qualified personnel only. The manual, accessories, directions for use, all precautionary information, and specifications should be read before use. 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 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.

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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 - 3 1.2 Equipment Symbols ...1 - 4 2 Equipment Introduction ...2 - 1 2.1 Intended Use ...2 - 1 2.2 Intended Users ...2 - 1 2.3 Intended patient population ...2 - 1 2.4 Intended Medical conditions ...2 - 1 2.5 Contra-indications ...2 - 2 2.6 Applied Parts ...2 - 2 2.7 Main Unit ...2 - 2 2.7.1 Front View (VS 9 Series) ...2 - 2 2.7.2 Front View (VS 8 Series) ...2 - 3 2.7.3 Side View (VS 9 Series) ...2 - 5 2.7.4 Side View (VS 8 Series) ...2 - 6 2.7.5 Rear View (VS 9 Series) ...2 - 7 2.7.6 Rear View (VS 8 Series) ...2 - 8 3 Getting Started ...3 - 1 3.1 Equipment Preparation Safety Information ...3 - 1 3.2 Unpacking and Checking ...3 - 2 3.3 Environmental Requirements ...3 - 2 3.4 Setting Up the Equipment ...3 - 3 3.4.1 Installing a Battery ...3 - 3 3.4.2 Connecting the AC Mains ...3 - 4 3.4.3 Connecting a Barcode Reader ...3 - 5 3.4.4 Connecting a Digital Scale ...3 - 5 3.5 Turning on the Monitor ...3 - 5 3.6 Start Wizard ...3 - 5 3.7 Operation and Navigation ...3 - 6 3.7.1 Using the Touchscreen ...3 - 6 3.7.2 Using the Knob (For VS 8 Series) ...3 - 7 3.7.3 Using the On-Screen Keyboard ...3 - 7 3.7.4 Using the Barcode Reader ...3 - 7 3.8 Screen Display ...3 - 8 3.8.1 Main Screen ...3 - 8 3.8.2 Menus ...3 - 9

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3.8.3 Quick Keys ... 3 - 10 3.8.4 On-screen Symbols ... 3 - 10 3.9 Configuring Your Monitor ... 3 - 11 3.9.1 Setting Device Location ... 3 - 11 3.9.2 Setting the Workflow ... 3 - 12 3.9.3 Adjusting Screen Brightness ... 3 - 18 3.9.4 Adjusting the Volume ... 3 - 18 3.9.5 Changing Measurement Colors ... 3 - 18 3.9.6 Setting System Language ... 3 - 18 3.9.7 Setting the Date and Time ... 3 - 19 3.9.8 Setting Parameter Units ... 3 - 19 3.9.9 Checking Software Licenses ... 3 - 20 3.10 Start Working ... 3 - 20 3.10.1 Selecting a Work Mode ... 3 - 20 3.10.2 Inputting Patient Information ... 3 - 22 3.10.3 Accessing Parameter Setup Menus ... 3 - 22 3.10.4 Checking the Alarm Settings ... 3 - 22 3.11 Stopping a Parameter Measurement ... 3 - 23 3.12 Turning Off the Monitor ... 3 - 23 4 Managing Patients ...4 - 1 4.1 Admitting a Patient ...4 - 1 4.1.1 Automatically Admitting a Patient ...4 - 1 4.1.2 Manually Admitting a Patient ...4 - 1 4.2 Managing Patient Information ...4 - 2 4.2.1 Entering the Patient Management Menu ...4 - 2 4.2.2 Editing Patient Information ...4 - 2 4.3 Discharging a Patient ...4 - 2 4.3.1 Manually Discharging a Patient ...4 - 3 4.3.2 Auto Discharging a Patient after Monitor Power Off ...4 - 3 4.3.3 Changing Patient Management Settings ...4 - 3 4.3.4 Setting Monitor Information ...4 - 4 4.3.5 Setting Patient Location ...4 - 4 4.4 Deleting Patient Data ...4 - 4 5 Managing Configurations ...5 - 1 5.1 Configuration Introduction ...5 - 1 5.2 Changing the Department ...5 - 1 5.3 Setting Default Patient Category ...5 - 2 5.4 Setting Workflows ...5 - 2 5.5 Transferring a Configuration ...5 - 2 5.5.1 Exporting a Configuration ...5 - 2 5.5.2 Importing a Configuration ...5 - 2 5.6 Modifying Configuration Password ...5 - 3 5.7 Restoring the Latest Configuration Automatically ...5 - 3

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6 Networked Monitoring ...6 - 1 6.1 Network Introduction ...6 - 1 6.2 Network Safety Information ...6 - 1 6.3 Connecting the Monitor to the CMS ...6 - 2 6.4 Connecting the eGateway ...6 - 2 6.5 MLDAP ...6 - 2 6.6 Connecting the Wireless Network ...6 - 3 7 Alarms ...7 - 1 7.1 Alarm Introduction ...7 - 1 7.2 Alarm Safety Information ...7 - 1 7.3 Understanding the Alarms ...7 - 2 7.3.1 Alarm Categories ...7 - 2 7.3.2 Alarm Priorities ...7 - 2 7.3.3 Alarm Indicators ...7 - 2 7.3.4 Alarm Status Symbols ...7 - 4 7.4 Checking Alarm List ...7 - 4 7.5 Accessing On-screen Help for Technical Alarms (AlarmSight) ...7 - 4 7.6 Changing Alarm Settings ...7 - 4 7.6.1 Setting Parameter Alarm Properties (Continuous Monitoring Mode) ...7 - 4 7.6.2 Setting Alarm Tone Properties ...7 - 5 7.6.3 Setting the Alarm Delay Time ...7 - 6 7.6.4 Setting the Apnea Delay Time ...7 - 6 7.6.5 Restoring the Default Alarm Settings ...7 - 6 7.6.6 Setting the CMS and eGateway Disconnection Alarm ...7 - 7 7.6.7 Setting the Switch of the SpO2 Desat Alarm Off ...7 - 7 7.6.8 Setting the Switch of the Apnea Alarm Off ...7 - 7 7.7 Pausing Alarms/Pausing Alarm Tones ...7 - 7 7.7.1 Defining the Pause Function ...7 - 7 7.7.2 Pausing Alarms ...7 - 8 7.7.3 Pausing Alarm Sound ...7 - 9 7.8 Resetting Alarms ... 7 - 10 7.8.1 Resetting Physiological Alarms ... 7 - 10 7.8.2 Resetting Technical Alarms ... 7 - 11 7.8.3 Setting Alarm Light Status on Alarm Reset ... 7 - 11 7.9 Latching Alarms ... 7 - 11 7.10 Nurse Call ... 7 - 12 7.11 Testing Alarms ... 7 - 12 7.12 Actions When an Alarm Occurs ... 7 - 12 8 Monitoring Pulse Oxygen Saturation (SpO2) ...8 - 1 8.1 SpO2 Introduction ...8 - 1 8.2 SpO2 Safety Information ...8 - 2 8.3 SpO2 Measurement Limitations ...8 - 3

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8.4 SpO2 Display ...8 - 5 8.5 Preparing for SpO2 Monitoring ...8 - 5 8.6 Changing the SpO2 Settings ...8 - 6 8.6.1 Changing the SpO2 Alarm Settings ...8 - 6 8.6.2 Nellcor Sat-SecondsTM Alarm Management ...8 - 7 8.6.3 Setting the Nellcor SpO2 Sat-Seconds ...8 - 8 8.6.4 Setting SpO2 Sensitivity (for Masimo SpO2) ...8 - 9 8.6.5 Enabling FastSAT (for Masimo SpO2) ...8 - 9 8.6.6 Displaying SIQ (for Masimo SpO2) ... 8 - 10 8.6.7 Changing Averaging Time (for Masimo SpO2) ... 8 - 10 8.6.8 Changing the Sensitivity (for Mindray SpO2) ... 8 - 11 8.6.9 Showing/Hiding PI ... 8 - 11 8.6.10 Monitoring SpO2 and NIBP Simultaneously ... 8 - 11 8.6.11 Changing the Sweep Speed of the Pleth Wave ... 8 - 12 8.6.12 Setting the Alarm Priority for SpO2 Sensor Off Alarm ... 8 - 12 8.6.13 Setting the SpO2 Tone Mode ... 8 - 12 8.7 SpO2 Troubleshooting ... 8 - 12 8.8 Nellcor Information ... 8 - 13 8.9 Masimo Information ... 8 - 14 9 Monitoring PR ...9 - 1 9.1 PR Introduction ...9 - 1 9.2 PR Display ...9 - 1 9.3 Changing the PR Settings ...9 - 1 9.3.1 Changing the PR Alarm Settings ...9 - 1 9.3.2 Changing the Pulse Volume ...9 - 2 9.3.3 Enabling Irregular PR ...9 - 2 10 Measuring Temperature (Temp) ...10 - 1 10.1 Temp Introduction ... 10 - 1 10.2 Temp Display ... 10 - 1 10.3 Monitoring Temp with SmarTemp™ Module ... 10 - 2 10.3.1 Measuring Temp ... 10 - 3 10.3.2 Disinfecting Temperature Probe ... 10 - 5 10.4 Monitoring Temp with Genius™ 3 Tethered Tympanic Thermometer ... 10 - 6 10.4.1 Safety Information ... 10 - 6 10.4.2 Thermometer Buttons ... 10 - 6 10.4.3 Equivalence Mode Temperature ... 10 - 7 10.4.4 Taking a Temperature ... 10 - 7 10.4.5 Troubleshooting ... 10 - 8 10.4.6 Cleaning and Disinfecting the Tympanic Thermometer ... 10 - 8 10.5 Monitoring Temp with Exergen TemporalScanner™ Thermometer ... 10 - 8 10.5.1 Safety Information ... 10 - 9 10.5.2 Taking a Temperature with the TemporalScanner™ ... 10 - 9 10.5.3 Understanding the TemporalScanner™ Thermometer LED Display ...10 - 11 10.5.4 Fahrenheit or Celsius Conversion ...10 - 11

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10.5.5 Replacing the Battery ...10 - 12 10.5.6 Troubleshooting ...10 - 12 10.5.7 Cleaning the TemporalScanner™ Thermometer ...10 - 13 10.6 Monitoring Temp with HeTaida Thermometer ...10 - 13 10.6.1 Overview of HeTaida Thermometer ...10 - 13 10.6.2 Taking a Temperature with HeTaida Thermometer ...10 - 14 10.7 Manually Inputting Temp ...10 - 14 11 Measuring Noninvasive Blood Pressure (NIBP) ...11 - 1 11.1 NIBP Introduction ... 11 - 1 11.2 NIBP Safety Information ... 11 - 2 11.3 NIBP Measurement Limitations ... 11 - 3 11.4 Measurement Modes ... 11 - 3 11.5 NIBP Display ... 11 - 3 11.6 Preparing for NIBP Measurement ... 11 - 5 11.6.1 Preparing the Patient for NIBP Measurement ... 11 - 5 11.6.2 Placing the NIBP Cuff ... 11 - 6 11.7 Performing Measurement ... 11 - 7 11.7.1 Performing Manual Measurement ... 11 - 7 11.7.2 Performing Auto Measurement ... 11 - 7 11.7.3 Performing STAT Measurement ... 11 - 8 11.7.4 Performing Sequence Measurement ... 11 - 8 11.8 Changing NIBP Settings ... 11 - 9 11.8.1 Setting the NIBP Alarm Properties ... 11 - 9 11.8.2 Setting the NIBP Interval ... 11 - 9 11.8.3 Enabling the NIBP End Tone ... 11 - 9 11.8.4 Setting NIBP Sequence ... 11 - 9 11.8.5 Setting the NIBP Display Format ...11 - 10 11.8.6 Setting the NIBP Alarm Limits Display Switch ...11 - 10 11.8.7 Selecting NIBP Measurement Algorithm ...11 - 10 11.8.8 Setting Measurement Times ...11 - 11 11.8.9 Correcting the NIBP Measurements ...11 - 11 11.9 BP Averaging ...11 - 11 11.9.1 Enabling BP Averaging ...11 - 11 11.9.2 BP Averaging Display ...11 - 12 11.9.3 Performing BP Averaging ...11 - 12 11.9.4 Changing BP Averaging Settings ...11 - 13 11.10 Orthostatic BP Measurement ...11 - 14 11.10.1 Enabling Orthostatic BP Measurement ...11 - 14 11.10.2 Orthostatic BP Measurement Display ...11 - 14 11.10.3 Performing Orthostatic BP Measurement ...11 - 15 11.10.4 Changing Orthostatic BP Measurement Settings ...11 - 15 11.11 Assisting Venous Puncture ...11 - 17 11.12 NIBP Maintenance ...11 - 17 11.12.1 NIBP Leakage Test ...11 - 17

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11.12.2 NIBP Accuracy Test ...11 - 18 11.13 NIBP Troubleshooting ...11 - 18 12 Monitoring CO2 ...12 - 1 12.1 Overview ... 12 - 1 12.2 Safety ... 12 - 1 12.3 Measurement Limitations ... 12 - 2 12.4 CO2 Display ... 12 - 2 12.5 Measuring CO2 ... 12 - 3 12.6 Automatic CO2 Module Zeroing ... 12 - 4 12.7 Changing CO2 Settings ... 12 - 4 12.7.1 Changing CO2 Alarm Settings ... 12 - 4 12.7.2 Setting the CO2 Waveform ... 12 - 5 12.7.3 Entering the Standby Mode ... 12 - 5 12.7.4 Setting the Auto Standby ... 12 - 5 12.7.5 Setting Humidity Compensation ... 12 - 5 12.7.6 Setting Gas Compensation ... 12 - 6 12.7.7 Automatic Barometric Pressure ... 12 - 6 12.7.8 Calibrating the CO2 Module ... 12 - 6 13 Monitoring Respiration ...13 - 1 13.1 Resp Safety Information ... 13 - 1 13.2 RR Display ... 13 - 1 13.3 Measurement Limitations of SpO2-Sourced RR ... 13 - 2 13.4 Manually Inputting RR Value ... 13 - 2 13.5 Changing the RR Settings ... 13 - 2 13.5.1 Enabling SpO2 Source for RR Measurement ... 13 - 2 13.5.2 Enabling RR Alarms ... 13 - 2 13.5.3 Setting RR Alarms ... 13 - 3 13.5.4 Setting the Apnea Alarm Delay ... 13 - 3 13.5.5 Setting Timer Interval ... 13 - 3 14 Manual Parameters ...14 - 1 14.1 Manual Input Parameters ... 14 - 1 14.2 The Manual Input Display ... 14 - 1 14.3 Inputting/Editing Parameter Information ... 14 - 2 14.4 Changing Manual Input Settings ... 14 - 3 14.4.1 Changing the Display of Manual Parameters ... 14 - 3 14.4.2 Adding a New Parameter ... 14 - 3 15 Clinical Assistive Applications (CAA) ...15 - 1 15.1 Early Warning Score (EWS) ... 15 - 1 15.1.1 The EWS Display ... 15 - 2 15.1.2 Accessing the EWS Screen ... 15 - 3 15.1.3 EWS Scoring in Spot Check Mode ... 15 - 4 6

15.1.4 EWS Scoring in Continuous Monitoring Mode ... 15 - 4 15.1.5 EWS Alarm ... 15 - 5 15.1.6 Changing EWS Settings ... 15 - 6 15.1.7 Viewing History Scores ... 15 - 7 15.2 Glasgow Coma Scale (GCS) ... 15 - 8 15.2.1 GCS Display ... 15 - 9 15.2.2 Accessing the GCS Menu ...15 - 10 15.2.3 Performing GCS Scoring ...15 - 10 15.2.4 Setting Threshold for Each Consciousness Level ...15 - 11 15.2.5 Reviewing GCS Data ...15 - 11 15.3 Pain Score ...15 - 11 15.3.1 The Pain Score Display ...15 - 12 15.3.2 Performing Pain Score ...15 - 12 15.3.3 Adding a Custom Pain Scale ...15 - 12 15.3.4 Adding a Pain Description ...15 - 13 15.4 Targeted Goal ...15 - 13 15.4.1 Entering the Targeted Goal Screen ...15 - 13 15.4.2 The Display of the Targeted Goal Screen ...15 - 14 15.4.3 Operating the Targeted Goal Screen ...15 - 14 16 Recording ...16 - 1 16.1 Recorder ... 16 - 1 16.2 Starting Recordings ... 16 - 1 16.3 Stopping Recordings ... 16 - 2 16.3.1 Stopping Recordings Manually ... 16 - 2 16.3.2 Stopping Recordings Automatically ... 16 - 2 16.4 Recording Related Flags ... 16 - 2 16.5 Setting the Recorder ... 16 - 2 16.6 Loading Paper ... 16 - 3 16.7 Removing Paper Jam ... 16 - 3 17 Review ...17 - 1 17.1 Review Overview ... 17 - 1 17.2 Review Page ... 17 - 1 17.2.1 Accessing the Review Page ... 17 - 1 17.2.2 Example Review Page ... 17 - 1 17.2.3 Reviewing the Tabular Trends ... 17 - 2 17.2.4 Reviewing Scores ... 17 - 2 17.2.5 Reviewing the Graphics Trends ... 17 - 3 17.2.6 Reviewing Events ... 17 - 3 18 User Maintenance Settings ...18 - 1 18.1 Accessing the Maintenance Menu ... 18 - 1 18.2 The Device Location Settings ... 18 - 1 18.3 The Patient Management Settings ... 18 - 2

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18.3.1 The Patient Field Tab ... 18 - 2 18.3.2 The ADT Query Tab ... 18 - 3 18.3.3 The Discharge Tab ... 18 - 3 18.3.4 The Location Tab ... 18 - 3 18.4 The Authorization Setup Tab ... 18 - 3 18.4.1 The Clinician Login Tab ... 18 - 3 18.4.2 The Authorization Setup Tab ... 18 - 4 18.5 The Save&Send Tab ... 18 - 5 18.6 The Alarm Tab ... 18 - 6 18.6.1 The Audio Tab ... 18 - 6 18.6.2 The Pause/Reset Tab ... 18 - 7 18.6.3 The Latching Tab ... 18 - 9 18.6.4 The Nurse Call Tab ... 18 - 9 18.6.5 The Other Tab ...18 - 10 18.7 The Standby Settings ...18 - 11 18.8 The CAA Settings ...18 - 11 18.8.1 The EWS Tab ...18 - 11 18.8.2 The GCS Tab ...18 - 12 18.9 The Module Settings ...18 - 12 18.9.1 The NIBP Tab ...18 - 12 18.9.2 The CO2 Tab ...18 - 13 18.9.3 The Temp Tab ...18 - 14 18.9.4 The Manual Input Tab ...18 - 14 18.9.5 The Pain Score Tab ...18 - 14 18.9.6 The Other Tab ...18 - 14 18.10 The Unit Settings ...18 - 15 18.11 The Time Settings ...18 - 15 18.11.1 The Time Synchronization Tab ...18 - 15 18.11.2 The Daylight Savings Time Tab ...18 - 16 18.12 The Version Tab ...18 - 16 18.13 The Battery Information Settings ...18 - 16 18.14 The Scanner Settings ...18 - 16 18.14.1 The Scanner Info. Tab ...18 - 16 18.14.2 The JADAK Barcode Tab ...18 - 17 18.14.3 The Identify Scanner Tab (for the non-Mindray Custom 2D Barcode Reader) ...18 17 18.14.4 The Field Tab (for the Mindray Custom 2D Barcode Reader) ...18 - 18 18.15 The Record Settings ...18 - 18 18.16 The Network Setup Settings ...18 - 18 18.16.1 The Network Type Tab ...18 - 18 18.16.2 The LAN1 IP Tab ...18 - 18 18.16.3 The WLAN Tab ...18 - 19 18.16.4 The WLAN IP Tab ...18 - 19 18.16.5 The Transfer Setup Tab ...18 - 20 18.16.6 The Device Discover Tab ...18 - 21 18.16.7 The QoS Tab ...18 - 22

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18.16.8 The MLDAP Tab ...18 - 22 18.16.9 The VitalsLink Tab ...18 - 22 18.17 The Bluetooth Tab ...18 - 23 18.18 The Other Tab ...18 - 24 19 Battery ...19 - 1 19.1 Overview ... 19 - 1 19.2 Battery Safety Information ... 19 - 1 19.3 Battery Indications ... 19 - 2 19.3.1 Battery LED ... 19 - 2 19.3.2 Battery Symbols ... 19 - 2 19.3.3 Battery-related Alarms ... 19 - 3 19.4 Replacing the Battery (for VS 9 Series) ... 19 - 3 19.5 Replacing the Battery (For VS 8 Series) ... 19 - 4 19.6 Connecting an External Battery ... 19 - 5 19.7 Charging a Battery ... 19 - 5 19.8 Maintaining the Battery ... 19 - 5 19.8.1 Conditioning the Battery ... 19 - 5 19.8.2 Checking Battery Performance ... 19 - 6 19.9 Storing Batteries ... 19 - 6 19.10 Recycling Batteries ... 19 - 7 20 Care and Cleaning ...20 - 1 20.1 Care and Cleaning Introduction ... 20 - 1 20.2 Care and Cleaning Safety Information ... 20 - 1 20.3 Cleaning and Disinfecting the Main Unit ... 20 - 2 20.3.1 Cleaning the Main Unit ... 20 - 2 20.3.2 Disinfecting the Main Unit ... 20 - 2 20.3.3 Approved Cleaning and Disinfecting Agents for Main Unit ... 20 - 2 20.4 Cleaning and Disinfecting the Accessories ... 20 - 5 20.4.1 Cleaning and Disinfecting Agents for the NIBP Air Hose ... 20 - 6 20.4.2 Cleaning and Disinfecting Agents for the SpO2 Cable ... 20 - 7 20.4.3 Cleaning the Accessories ... 20 - 8 20.4.4 Disinfecting the Accessories ... 20 - 8 20.5 Sterilization ... 20 - 8 20.6 Impact of Improper Cleaning ... 20 - 8 21 Maintenance ...21 - 1 21.1 Maintenance Introduction ... 21 - 1 21.2 Maintenance Safety Information ... 21 - 1 21.3 Maintenance and Testing Schedule ... 21 - 2 21.4 Checking Version Information ... 21 - 3 21.5 Testing Methods and Procedures ... 21 - 3 21.5.1 Performing Visual Inspection ... 21 - 4 9

21.5.2 Performing Power-on Test ... 21 - 4 21.5.3 Testing the Recorder ... 21 - 4 21.5.4 Checking the Battery ... 21 - 4 21.6 Disposing of the Monitor ... 21 - 4 22 Accessories ...22 - 1 22.1 SpO2 Accessories ... 22 - 1 22.1.1 SpO2 Extension Cable ... 22 - 2 22.1.2 Mindray SpO2 Sensors ... 22 - 2 22.1.3 Masimo SpO2 Sensors ... 22 - 3 22.1.4 Nellcor SpO2 Sensors ... 22 - 3 22.2 NIBP Accessories ... 22 - 4 22.2.1 NIBP Hoses ... 22 - 4 22.2.2 Reusable NIBP Cuffs ... 22 - 4 22.2.3 Disposable NIBP Cuffs ... 22 - 5 22.3 Temp Accessories ... 22 - 5 22.3.1 SmarTemp™ Accessories ... 22 - 5 22.3.2 Genius™ 3 Tympanic Thermometer Accessories ... 22 - 6 22.3.3 Exergen TemporalScanner™ Thermometer Accessories ... 22 - 6 22.3.4 HeTaida Thermometer ... 22 - 7 22.4 CO2 Accessories ... 22 - 7 22.5 Others ... 22 - 9 A Product Specifications ... A - 1 A.1 Classifications ... A - 1 A.2 Environmental Specifications ... A - 1 A.2.1 Main Unit ... A - 1 A.2.2 SmarTemp™ Temperature Module ... A - 2 A.2.3 Genius™ 3 Temperature Module ... A - 2 A.2.4 Exergen TemporalScanner Thermometer ... A - 2 A.2.5 HeTaiDa Infrared Thermometer ... A - 2 A.3 Power Supply Specifications ... A - 3 A.3.1 AC Power Supply Specifications ... A - 3 A.3.2 Battery Specifications of VS 9 Series ... A - 3 A.3.3 Battery Supply Specifications of VS 8 Series ... A - 4 A.4 Physical Specifications ... A - 4 A.5 Hardware Specifications ... A - 4 A.5.1 Display Specifications of VS 9 Series ... A - 4 A.5.2 Display Specifications of VS 8 Series ... A - 4 A.5.3 Recorder Specifications ... A - 5 A.5.4 LEDs ... A - 5 A.5.5 Audio Indicator ... A - 5 A.5.6 Monitor Interface Specifications ... A - 5 A.5.7 Outputs Specifications ... A - 5 A.5.8 Wi-Fi Technical Specifications ... A - 6 A.5.9 Wi-Fi Performance Specifications ... A - 6

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A.5.10 Blue Tooth Specification ... A - 7 A.5.11 Bluetooth Performance Specifications ... A - 7 A.6 Measurement Specifications ... A - 8 A.6.1 SpO2 Specifications ... A - 8 A.6.2 PR ...A - 11 A.6.3 NIBP ...A - 12 A.6.4 Temp Specifications ...A - 14 A.6.5 CO2 Specifications ...A - 16 A.6.6 RR Specifications ...A - 17 A.7 Operating Environment ...A - 18 B EMC and Radio Regulatory Compliance ...B - 1 B.1 EMC ...B - 1 B.2 Radio Regulatory Compliance ...B - 7 C Default Settings ...C - 1 C.1 Parameters Default Settings ... C - 1 C.1.1 SpO2 Default Settings ... C - 1 C.1.2 PR ... C - 2 C.1.3 Temp Default Settings (SmarTemp) ... C - 2 C.1.4 NIBP Default Settings ... C - 2 C.1.5 CO2 Default Settings ... C - 5 C.1.6 EWS Default Settings ... C - 6 C.2 Routine Default Settings ... C - 7 C.2.1 Alarm Default Settings ... C - 7 C.2.2 Parameter Color Default Settings ... C - 7 C.2.3 Display Default Settings ... C - 8 C.2.4 Volume Default Settings ... C - 8 C.2.5 Record Setup ... C - 8 C.2.6 System Time Default Settings ... C - 9 D Alarm Messages ... D - 1 D.1 Physiological Alarm Messages ... D - 1 D.1.1 General Physiological Alarm Messages ... D - 1 D.1.2 SpO2 Physiological Alarm Messages ... D - 1 D.1.3 PR Physiological Alarm Messages ... D - 1 D.1.4 NIBP Physiological Alarm Messages ... D - 2 D.1.5 EWS Physiological Alarm Messages ... D - 2 D.2 Technical Alarm Messages ... D - 2 D.2.1 General Technical Alarm Messages ... D - 3 D.2.2 SpO2 Technical Alarm Messages ... D - 3 D.2.3 Temp Technical Alarm Messages ... D - 5 D.2.4 NIBP Technical Alarm Messages ... D - 6 D.2.5 CO2 Technical Alarm Messages ... D - 8 D.2.6 EWS Technical Alarms ... D - 8 D.2.7 Power Supply Technical Alarm Messages ... D - 9 D.2.8 Technical Alarm Messages Related to Networked Monitoring ...D - 10 11

D.2.9 Other System Technical Alarm Messages ...D - 10 E Abbreviations ... E - 1 F Declaration of Conformity ... F - 1

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1 Safety 1.1

Safety Information WARNING

• Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury.

CAUTION

• Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or product/property damage.

NOTE

• Provides application tips or other useful information to ensure that you get the most from your product.

1.1.1

Warnings

WARNING

• This equipment is used for single patient at a time. • To avoid explosion hazard, do not use the equipment in the presence of oxygen-rich atmospheres, flammable anesthetics, or other flammable agents.

• The equipment is not intended to be used within the Magnetic Resonance (MR) environment. • 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.

• 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.

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