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Standard Monitor Manual (English)
Standard Monitor Manual (English)
Operating nstruction
This manual applies to the following models:PM12B、PM12D
Thank you for using the latest multiparameter monitor (hereinafter referred to
as the monitor)
In order to enable you to operate this monitor skillfully as soon as possible, we
are incidentally equipped with detailed instructions.When you first install and use
this instrument, be sure to read all random data carefully.
Due to the need to improve the performance and reliability of components and
instruments, we sometimes make some changes to the instruments (including
hardware and software). In the meanwhile,we will try to change or add
information,but the manual may still do not account with physical truth,please
understanding.If there is any mistake or omission in the instruction manual,you are
welcome to correct it.
Warning
1) There are no components which can be repaired by customers. Please do
not disassemble them when failure occurs.
2) This instrument is not a therapeutic device and may not be used in
families.
3) Defibrillation is not accessible to patients, beds and this instrument.
4) Before cleaning this instrument, the power supply of the net must be cut
off.
5) The instrument shall not be used in places with high temperature , high
humidity , inflammable , excessive dust and electromagnetic radiation .
6) Ensure the safety and stability of the power grid and grounding
environment of this instrument.
7) (Other details are provided in the manual)
statement
The manufacturer owns the copyright of the unpublished instruction book,and
have the right to treat it as confidential information.This instruction is only
provided as a reference for the operation,maintenance and repair of products.
This instruction manual contains unpublished information protected by
copyright law.No part of this instruction shall be photocopied,copied or translated
into any other language without the written consent of the manufacturer.
The content and version number in this instruction may be upgraded at any
time as a result of changes in software or technical specifications without prior
notice.
The version number of this instruction :1.0
Responsibility of manufacturer
The manufacturer is responsible for safety, reliability and performance of this
equipment only in the condition that:
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8.5Monitor setting .......................................................................................... 35
8.6Monitor maintenance .................................................................................. 38
8.7Demonstration function ........................................................................... 39
Chapter 9 Patient safety .................................................................................40
9.1Power requirement ...................................................................................... 40
9.2Grounding of a monitor ........................................................................... 41
9.3Equipotential grounding ......................................................................... 41
9.4Condensation ................................................................................................. 42
9.5The interpretation of symbols used on a monitor ...................... 42
Chapter 10 Alarm .................................................................................................. 42
10.1 Statement ................................................................................................... 42
10.2Alarm attribute ........................................................................................ 43
10.3Alarm prompt form .................................................................................... 44
10.4Alarm statement ........................................................................................ 46
10.5Alarm mode ................................................................................................... 47
10.6Alarm setting ............................................................................................ 48
10.7Parameter alarm ........................................................................................ 50
10.8Measures to be taken when alarm occurs ....................................... 50
Chapter 11 ECG/RESP ........................................................................................... 51
11.1ECG monitoring instructions ...............................................................51
11.2ECG monitoring operation method ...................................................... 52
11.3ECG menu ....................................................................................................... 57
11.4ECG alarm information and prompt information .......................... 61
11.5Respiratory measurement ....................................................................... 64
11.6 RESP Warning message And prompt information ........................ 67
Chapter 12 Degree of blood oxygen saturation(SPO2) .....................68
12.1Monitoring of blood oxygen saturation ......................................... 68
12.2Operational method of oxygen saturation monitoring ..............70
12.3Limit of blood oxygen saturation monitoring ............................ 72
12.4Oxygen saturation menu ......................................................................... 72
12.5Oxygen saturation alarm message ...................................................... 74
Chapter 13 Temperature(TEMP) .................................................................... 77
13.1Temperature monitoring instructions ..............................................77
13.2Temperature menu ...................................................................................... 78
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13.3Body temperature alarm information and warning information79
Chapter 14 Non-invasive blood pressure (NIBP) ............................... 81
14.1Noninvasive blood pressure monitoring instructions ..............81
14.2Noninvasive methods of blood pressure monitoring .................. 82
14.3Noninvasive blood pressure menu ...................................................... 86
14.4 NIBP Alarm information and prompt information ...................... 91
Chapter 15 Maintenance and cleaning of systems ................................. 96
15.1 Cleaning of monitor ..............................................................................96
15.2 Battery maintenance ..............................................................................97
15.3 Cleaning and disinfection of accessories ................................. 98
Chapter 16 Accessory ....................................................................................... 100
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Website:http://www.le-dream.com
1.3Else information
Production date: see the instrument nameplate for details
Service life: The service life of the instrument is 5 years from the date of
production (No more than 8 hours of continuous working time per day)
Establishment: ShenZhen LE Medical Technology Co.,Ltd.
Date of preparation or revision of the manual: August 7th 2017
Version number of this manual: 1.0
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2.1Electrocardiogram specification
2.1.1Heart rate range:Adult 15 ~ 300bpm (beats/minte);
Children 15 ~ 350 bpm(beats/minte);
Accuracy ±1% or ±1 bpm,Takes the bigger
resolution ratio1 bpm(beats/minte)
2.1.2Sensitivity:> 150 uV (Peak value)
2.1.3Pacing pulse detection
For pacing pulses that meet the following conditions, they can be detected:
Range:±2 mV ~ ±700mV;Width:0.2ms ~ 2ms; Rise time:10us~100µs
2.1.4Pacemaker pulse suppression
When the pacemaker switch is turned on, the pacing pulse can be suppressed
without affecting the heart rate calculation if the following conditions are met:
Range: ±2 mV ~ ±700mV;Width:0.2ms ~ 2ms;Rise time: 10us ~
100µs
2.2Respiratory specification
2.2.1Rate of respiration:
Range:Adult10~120BrPM;Children10~150 BrPM
Resolution ratio:1 BrPM
Precision:2 BrPM
2.3NIBP specifications
2.3.1Measuring interval time of automatic Measurement Mode:1,2,3,4,
5,10,15,30,60,90,120,180,240,480 minute
2.3.2Measuring range :
Adult:Systolic pressure 40~260mmHg;Diastolic pressure 10 ~
215mmHg;Mean pressure 20~235mmHg.
Children:Systolic pressure 40~200mmHg;Diastolic pressure 10 ~
150mmHg; Mean pressure 20~165mmHg.
2.3.3Overvoltage Protection
Adult model:30010 mmHg
Child model:240 10 mmHg
2.4 S PO 2 specifications
2.4.1Degree of blood oxygen saturation : Measuring range 50% ~ 100% ;
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structure
Suitable for monitoring and measurement of heart rate / pulse rate, noninvasive
blood pressure (systolic blood pressure, diastolic blood pressure, mean pressure), respiratory
rate, ECG, oxygen saturation, body temperature and end-breath carbon dioxide in adults and
children.
5.1Contraindications
This instrument is not a therapeutic device.This product has no contraindication.
5.2Precautions
Warning:
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The multi-parameter monitor is used for clinical patient monitoring and only
allows doctors and nurses to use the monitor.
Do not open the casing of the instrument to avoid possible electrical
hazard.Any maintenance and upgrading of the monitor must be performed by our
trained and authorized service personnel.
Do not use this instrument in place of flammable articles such as narcotics, in
case of explosion.
Electrosurgical interference caused by electromagnetic equipment or grid
overload will damage or affect the operation of the monitor.
Before using, the user should check that the instrument and its accessories
work properly and safely.
To prevent delay in treatment, each patient should be adequately alerted.
Do not use mobile phones near the detector, which can cause excessive
radiation and thus interfere with the function of the detector.
Do not touch patients, tables and instruments during defibrillation.
The interconnecting equipment with the detector should form an isopotential
body (the potential equalization wire is effectively connected).
This equipment is not suitable for the use of electrosurgical equipment.
Packaging must be handled in accordance with current waste control codes and
placed out of reach of children.
It is suggested that the equipment should be checked every other year, and the
verification should be submitted to a qualified third party organization for
verification in accordance with the verification regulations prescribed by the state
organs.
The accessories provided by this monitor can not be changed at will.If there is
any damage, please contact with us or purchase the attachment type specified by
our department.We shall not be responsible for any problems caused by the use of
accessories not specified by us.
This instrument may not be used in conjunction with high-frequency surgical
equipment.
When the defibrillator is used on the patient, the monitor may have a transient
waveform display disorder, and if the electrode is used and placed correctly, the
display of the tester will be restored within 10 seconds.During defibrillation,
remove the chest lead electrode and move the limb lead electrode to the limb
end.Defibrillator electrodes should not be directly contact with the monitoring
electrode .Ensure that the instrument is reliably grounded and the reused electrodes
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Warning:
When the products and accessories described in this manual are about to expire,
they must be processed in accordance with the relevant product processing
specifications.If you want further information, please contact our company or
agency.
This product battery does not support the user to replace, if need to replace the
battery, please contact our after-sales service personnel to replace. Replacement of
the battery by the user may bring safety risks or affect the performance of the
product.
When there is doubt about the perfection and arrangement of the external
grounding of the monitor, It must operate by the internal battery.
This instrument can be directly connected to the public grid defined in GB
4824 without other conversion or processing.
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most reliable way is to closely monitor the patient with the correct
operation of the monitoring equipment.The alarm function of the monitor
system should be checked regularly.
Before use
The cables should be carefully observed before the monitor is
put into operation. The damaged cables and connectors should be
replaced immediately.
Cable
The cable should avoid the neck of the patient in case of
wound .
Emptying patient data
When the monitor is used with another patient, the previous
patient data must be removed from the system.Turn off the machine and
then start the device to clear the patient data; or select the patient
Information Management option in the main menu and confirm the
previous patient data.
Packaging treatment
For packaging materials, according to local applicable waste
treatment regulations to prevent contact with children.
Explosion danger
Do not use this instrument in the presence of flammable
anesthetics, flammable vapors and liquids.
Leakage current test
When interfacing with other instruments, the leakage current
must be tested by a professional technician to ensure safety before it can
be applied to patients.
Battery
The instrument is equipped with batteries that discharge even
after the instrument has ceased to be in use.The battery should be fully
filled before storage, and then removed to avoid shortening the battery
life.
Treatment of accessories and instruments
The service life of the monitor is 5 years.After the end of
service life, the monitor and its accessories should be processed
according to the relevant regulations of such products.For any doubt ,
please contact the manufacturer or agency .
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EMC
The electromagnetic field may interfere with the normal
operation of the instrument.Therefore, please ensure that the adjacent
working external instruments comply with the EMC requirements.X-ray
machines or MRI instruments are possible sources of interference
because they produce high-intensity electromagnetic radiation.At the
same time, be careful to stay away from mobile phones or other
communications equipment.
Operating instruction
To ensure the continuous and safe use of this tester, the listed
instructions must be followed.However, these use guidelines must not
replace the recognized medical practice of patient care.
Data missed
The monitor has the possibility of losing data at any
time .Before it returns to normal, observe the patient closely or use
alternative equipment.If the instrument cannot automatically return to
normal work within 60 seconds, restart the machine using the power
switch.After the monitor function is restored, check the monitor status
and alarm function.
Chapter 6 Summary
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noninvasive blood pressure (systolic blood pressure, diastolic blood pressure, mean
pressure, respiratory rate, electrocardiogram, oxygen saturation, end-breath carbon
dioxide and body temperature) can be monitored and measured in adults and
children.
Working environment:
Temperature:Work temperature 5 ~ 40 (C)
Transport and Storage -20 ~ 60 (C)
Warning:
Do not use this monitor outside the temperature and humidity range specified
by the manufacturer, otherwise the performance specifications stated in Appendix II
will not be met.
Warning:
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the machine.Other sockets and power sockets are located on the back panel.
The monitor has a friendly interface, through the front panel keys and encoders
can complete all operations, please refer to the functional keystroke section.
Definition acronym:
Name Definition Name Definition
ECG electrocardiogram HR Rate of heart
RESP respiration RR Rate of respiration
Warning : The AC power input socket on the rear panel of the monitor is
parts of the monitor.On the left side of the monitor is the sensor Jack.
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TEMP1;TEMP2:Body surface
temperature probe socket.
Spo2:Oxygen probe socket.
ECG:ECG socket.
NIBP:Blood pressure socket.
IBP1 ; IBP2 : Invasive blood
pressure (not available in this
wen monitor).
Warning:
All analog, digital devices connected to this monitor must be provided by
specifying the IEC standard ( For example, IEC 60950 data processing
equipment standard and IEC 60601-1 medical equipment standard ) Certified
products.And all configurations shall comply with the contents of the valid
version of the IEC 60601-1-1 system standard.Otherwise, the additional
equipment is connected to the input / output signal port of the staffing medical
system, and is responsible for the system compliance with IEC 601-1-1
standard.If in doubt, please contact the supplier.
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Warning:
If the fuse breaks, replace the fuse with the same nominal value.
When replacing, you only need to pull the cover out, take out the damaged fuse,
install the fuse with the nominal value, and push the cover lightly.
D9706.1-2007)
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Nonionizing radiation
Dangerous voltage
Alternating Current(AC)
Network port
ECG Electrocardiogram
RESP Respiration
TEMP Temperature
①
②
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Mark
Mark Function keystroke operation instruction
instruction
Power
When the monitor is connected to AC power
AC switch
through power supply, the indicator light is yellow.
indicator lamp
Battery When the monitor has no alternating
POWER power supply current and is powered by a built-in battery,
indication the indicator lights are yellow.
Switch
button Press this button once and the monitor is turned on.
Power Press this button again and the monitor shuts down.
swich
Alarm
Can turn off all sounds.
silence
SILENCE
Switch
button Press this button: start (or stop) the air pump, start
(or end) non-invasive blood pressure measurement.
Start (stop)
NIBP
measuring
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blood pressure
/quick
measurement
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The information area is at the top of the screen, showing the monitor and the
patient's current state.The contents of the information area are as follows:
"bed number": the number of beds under the guardianship of a patient.
“Adult ": means the type of patient under guardianship。
"2016-12-01": means the current date.
12:04:57: the current time.
Other hints in the information area appear and disappear at the same time as
the reported status.Divided according to content:
Monitor prompts, reports the status of the monitor or sensor, fixed the area
behind "adult";
Monitor alarm information ( See the "alarm" section for specific setting
methods);
It is a stop time sign for the police.This flag appears when you press the
"PAUSE" key (less than 1 second).It indicates that all alarm sounds have been
temporarily shut down. , The system does not recover until the PAUSE button is
pressed again, or the alarm pause is over.Alarm pause time can choose "1 minute",
"2 minutes" and "3 minutes".
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It's a silent alarm sign.。This flag appears when the "SILENCE" button is
pressed for more than 1 second, indicating that all alarm sounds have been
manually turned off。The voice prompt is not restored until the operator presses the
"SILENCE" button again to remove the mute state, or a new alarm event occurs in
the system.
Warning:
When the alarm volume is set to 0, the system will not be able to give
alarm sound prompt, so the operator should use this function very carefully.
When the screen waveform is frozen, the corresponding "freeze" window
appears below the monitor screen.
Patient parameter alarm information, fixed in the far right area.
The waveform area shows 5 waveforms , and the waveform display order can
be adjusted .Under the maximum configuration, the system can display three ECG
waveforms, SPO 2 volumetric waves and respiratory waveforms in the waveform
area.
The name of the waveform is displayed on the upper left of each channel, and
ECG leads can be selected as required.The gain of the channel and the filtering
method of the cardiac wave are also shown on each channel.The left side of the
ECG waveform has a 1 millivolt bar.When a menu pops up in a screen operation,
the menu always occupies a fixed position in the middle of the waveform area,
making a part of the waveform invisible for the time being.After exiting from the
menu, restore the original screen display.
The waveform is refreshed at the set rate, and the adjustment of the refresh
rate of each waveform is shown in the setting of each parameter.
The parameter area is located on the right side of the waveform area and is
basically placed in accordance with the waveform.The parameters displayed in the
parameter area are:
ECG
—Heart rate or pulse rate(Unit: beats / minutes)
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—channe1
SPO2
— degree of blood oxygen saturation SPO2(Unit:%)
— pulse rate(Unit: beats / minutes)(Display when heart rate source selects
simultaneous option)
NIBP
— Systolic blood pressure, diastolic blood pressure, mean pressure in order
from left to right (in mmHg or KPA units of mmHg)
TEMP
—Temperature (degrees Celsius or Fahrenheit Fahrenheit)
RESP
—Respiratory rate ( Unit : time / minute )
End-respiratory carbon dioxide CO2
—Carbon dioxide concentration(Unit:%、kPa、mmHg)
Warning:
If a new alarm occurs in the alarm pending / mute state, the alarm pending /
mute will be automatically released. See the alarm section for details.
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Warning:
Whether the alarm can recover depends on whether the cause of the alarm
still exists.But pressing the mute button can permanently turn off the alarm
sound of ECG lead shedding and SPO2 sensor shedding.
Alarm pause(PAUSE)
Press this button to suspend the alarm for 3 minutes (1 minute, 2 min, 3 min optional.
Blood pressure(NIBP)
Press this button and start inflating the cuff to measure blood pressure. During
measurement, press this key to stop the measurement and vent air.
FREEZE
Press this key to enter the frozen state (temporarily static, at this time you can observe
better the screen, and then press this key, the system thawed, the screen back to the
monitoring state.
PRINT
Press this key to start a real-time recording.
MENU
Press this key to pop up the system menu, where users can set system information and
perform reviews.
Rotate control button instead of rotary encoder(abbreviate to encoder)
The user can rotate the encoder, select the menu item, and modify the settings.The
encoder can rotate clockwise or counterclockwise, or press.Users can use the encoder to
complete all operations on the home screen, in the system menu, and in the parameters
menu.
The rectangular logo on the screen that moves along with the encoder is called
the cursor. Where the cursor can stay can be operated.
When the cursor is in the waveform area, the user can modify the current
setting.When the cursor is in the parameter area, the user can open the menu of the
related parameters and set the relevant information of the parameters.
The procedure is as follows:
Moves the cursor to the item you want to operate on.
Press the encoder.
One of the following situations occurs in the system:
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Warning:
Waste batteries should be treated in accordance with the relevant laws of the local
government, or handed over to the environmental protection department for recycling.
Warning:
Battery charging state will not cause the performance of this equipment degradation.
Warning:
If you don't use this device for a long time, remove the battery.
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Warning:
Special precautions should be taken when defibrillators are used in patients and when
defibrillators discharge on equipment.
Warning :
This device is not suitable for patients with cardiac pacemaker and
electrical stimulator.
7.2Electrical connection
Connect AC power cord steps:
■ Make sure the AC power supply conforms to the following specifications:
AC220V, 50Hz;
■ Use the power cord attached to the monitor.Plug the power cord into the
monitor's power interface, and put the other end of the cable into a three-core power
outlet in the ground.
Warning:
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Manual for multiparameter monitor
Warning:
In case of battery configuration, the battery must be recharged after the instrument is
transported or stored.Therefore, if the AC power supply is not connected, it may not
work properly because the battery power is insufficient.The battery can be recharged
whether or not the monitor is turned on.
7.3Power on
About 1 minute after the power switch is turned on, the system enters the main
monitor screen successfully and the user can operate.
Do not use this monitor if you find signs of damage to the function of the
monitor or an error prompt.Please contact the biomedical engineer in the
hospital or the maintenance engineer in our company.
Warning:
Warning:
Check all the monitoring functions that can be used to ensure that the monitor
function is normal.
Warning:
If batteries are available, the battery must be recharged after each use to ensure
adequate power reserves.
Warning:
Shut down the machine for one minute before it can be turned on again.
Warning:
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7.5Inspection of recorders
If the monitor is equipped with a tape recorder, check that the recorder on the
right side of the monitor has a paper outlet.
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Warning:
Clear the current patient data Refer to the " Clear Patient Records Data "
section of this chapter .
Select patient Information Management from the system menu and pop up as
shown in figure 8-2.
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confirm Update patient dialog box to determine whether to clear the data.As shown
in figure 8-3:
Warning:
If yes is selected, all information about the currently monitored patient is deleted.
8.2Default configuration
In the menu, the user can set the current system configuration to the user
default configuration , At this point, the system automatically saves the settings of
the current parameter menu, such as ECG lead, gain and filter, as the default
configuration of the corresponding type of user based on the patient type, and pops
up the dialog box shown in the following figure:
Warning:
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When any item is selected in the default configuration menu, the “Confirm
default configuration” dialog box pops up and the user can choose Yes to determine
the selection or No to abort.
Warning:
All the configurations in the system are replaced by the Default Configuration .
8.3Retrospective function
Select the Review features option in the system menu, and the following menu
appears:
The monitor can display the latest 400 NIBP measurements in a NIBP review.
In the System Menu , select the NIBP Review item , which shows up to 10 of
the most recent measurement results and measurement time in the window .
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With the adjust amplitude button, you can change the proportion of the
ordinate and the proportion of the trend curve.Values in the data that are greater
than the maximum coordinates are represented by the maximum.
Get trend data at a time on the current trend map
Select move cursor and turn the encoder to the left or right, and the cursor
moves with it.The time it refers to changes, and the parameter values of the moment
are displayed under the transverse coordinates.If the right side of the window has
an indication , When the cursor moves to this position, the trend chart
automatically flips to show a later trend curve.If the right side of the window has an
indication ,When the cursor moves to this position, the trend chart automatically
flips to show a later trend curve.
Operation example
Observe the NIBP trend chart for the last 1 hour:
■ Press the “menu” button on the control panel and pop up the “system
menu”;
■ Select the “Review feature” item on the menu, and then select “trend
Chart Review”;
■ Select parameters: in the “Parameter selection” item, turn the encoder
until "NIBP" appears in the box:
■ In the “Resolution item”, select 1 second or 5 seconds;
■ Select "left and right", turn the encoder, and observe the change of the
time of the trend chart and the change of the trend curve at the same time;
■ Stop in the time period that needs careful observation, if the ordinate ratio
is not suitable, for example, some trend value exceeds the maximum value of the
current vertical coordinate, select "adjust amplitude" to adjust;
■ To know the measured value at a certain time, select the move cursor and
move the cursor there.The time is displayed at the top, and the measurement value
is shown below the curve;
■ Press exit button to observe the exit trend chart.
■ The latest 96 hours of trend data can be shown at the following resolution:
1 minute / 5 minutes / 10 minutes / 30 minutes / 60 minutes
From the system menu, select “Trend Table Review”, and the following trend
table pops up:
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8.4Monitor information
In the system menu, you can select Monitor Information to view monitor
information.As shown in figure8-9.
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8.5Monitor setting
Select the “Monitor Settings” option in the system menu, and the following
menu appears as the figure 8-11
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In the monitor setup menu, select the alarm limit display item to select "OFF"
and "ON".When "ON" is selected, the upper and lower limits of the alarm are
displayed in the data display area of the parameter.Conversely.when the "OFF"
status is selected, the upper and lower limits of the alarm are not displayed.
Select alarm recording time on the monitor setup menu and turn the encoder to
record the output time when setting alarm. The options are 8 seconds, 16 seconds
and 32 seconds.
On the monitor setup menu, select alarm pause time and turn the encoder to set
the short stop time of the alarm.No alarm will be processed during this period.The
optional alarm to suspend is 1 minute ,2 minutes or 3 minutes.
Select "parameter alarm form" in "Monitor setup" menu, turn encoder to set
alarm bolt lock, not bolt lock.
Select Alarm Volume from the Monitor Settings menu , and turn the encoder to
set the size of the alarm volume .The options are "0", "1", "2", "3" and "4".The "0"
is turned off for all volume. The higher the number, the higher the volume.
Warning:
When the alarm volume of the system is turned off (select "0"), if any alarm occurs,
the monitor cannot give an alarm.Therefore, the operator should use this function
carefully.
If in mute or alarm pause state, select alarm volume to turn off, then the system will
automatically end mute state or alarm pause state.
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Warning:
The "0 to 4" status in "alarm volume" is still valid for the next time. The
operator should check the function carefully before using it to avoid delay of
treatment due to low alarm sound.Select "Default Set" in "System Settings" to
restore the default setting to "2" automatically.
In Monitor Settings, select the system time Settings item and pop up the menu
as shown in the figure 8-12 :
Warning:
System time settings should be selected at boot time (if the user needs to
set up), otherwise when reviewing the content with time prompt information or
others, it may provide incorrect time information!
If installed monitor with a recorder function, check the monitor of the recorder
on the right side exit paper. (Only PM13 / PM10B provides this functionality)
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8.6Monitor maintenance
In the system menu, select the “monitor maintenance” and pop up the enter
maintenance password dialog box, as shown in figure 8-13.
Users can enter the user password in the user maintenance menu for user
maintenance. Users can not perform factory maintenance functions.This is only
open to the company's designated maintenance staff.
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8.7Demonstration function
On the system menu, select the “demo features” and pop up the enter demo
password dialog box.After entering the correct password(101),The system enters
the demonstration waveform state.The presentation waveform is the simulation
presentation waveform set by the manufacturer to show the performance of the
machine and assist the user in training.In actual clinical use, the function of
demonstrating waveform may be disabled because it may make the medical staff
think it is the waveform and parameters of monitored patient, which will affect
patient monitoring and delay the diagnosis and treatment of the disease.Therefore,
this menu has a password, as shown in the figure8-16.
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Manual for multiparameter monitor
Warning :
Environment:
Follow the following instructions to ensure the absolute safety of electrical
installations.The monitoring system should be properly protected from vibration,
dust, corrosive or explosive gases, extreme temperatures, humidity, etc.When
installed in the cabinet, there should be enough space in front to facilitate
operation.In the case of cabinet doors open, there should be enough space in the
back to facilitate maintenance.The circulation of air in the cabinet should be
guaranteed.
The monitoring system can meet the technical requirements when the ambient
temperature is below 5 ℃ and 40 ℃.Ambient temperatures beyond this range may
affect the accuracy of the instrument and cause damage to components and
circuits.At least 2 inches(5 cm) of space should be set aside around the instrument
to ensure air circulation.
9.1Power requirement
Please refer to the section on product specifications.
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9.2Grounding of a monitor
In order to protect patients and medical personnel, the casing of the detector
must be grounded, so the detector is equipped with a detachable three-wire
cable.When inserted into a matching three-wire socket, the instrument is grounded
through the ground wire in the power line.If there is no three-wire socket, consult
the hospital's electrical administrator.
Warning :
Do not connect the three-wire cable of this instrument to the 2-wire plug.
Connect the earth wire to the equipotential grounding terminal of the
instrument.f you don't know in terms of instrument specifications whether a
particular combination of instruments is dangerous,for example, as a result of the
accumulation of leakage current,The user shall consult the relevant manufacturer or
other expert in this field to ensure that the necessary safety of all such instruments
is not compromised by the suggested combination.
9.3Equipotential grounding
Primary protection of instruments have been included in the system of
protective grounding of buildings by grounding from power plug . For the internal
examination of the heart or brain, the examination system must be separately
connected to the equipotential grounding system.One end of the equipotential
grounding wire (potential equalization wire) is connected to the equipotential
grounding terminal on the back panel of the instrument, while the other end is
connected to a connector of the equipotential systemIf the protective grounding
system is damaged, the equipotential grounding system can take on the safety
function of the grounding wire protection.The examination of the heart (or brain)
should be carried out only in the medical house equipped with protective grounding
systems.Check that the instrument is in good working condition before each
use.Cables connecting patients and instruments must be free from electrolyte
contamination.
Warning:
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9.4Condensation
Ensure that the instrument is free of condensation during work.Condensation
can occur when the instrument moves from room to room.This is because the
instrument is exposed to moist air and different temperatures.
Warning:
This marker indicates that the application unit is CF type and is designed with a
special anti-shock device (especially for allowable leakage current, equipped with an
F-type floatation isolator).
This marker indicates that the application unit is BF type and is designed with a
special anti-shock device (especially for allowable leakage current, equipped with
an F-type floatation isolator).
Chapter 10 Alarm
This chapter describes the general information about the alarm and
the measures that should be taken when the alarm occurs .
You can get alarm and prompt information about each parameter in
the section about parameter setting.
10.1 Statement
The so-called alarm refers to the indication made by the monitor to the user
when the patient being monitored has a change of vital signs sufficient to arouse the
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attention of the user or when the monitoring of the patient cannot proceed smoothly
due to the malfunction of the machine itself.
10.2Alarm attribute
10.2.1Alarm type
The alarm is divided into two categories:If the alarm originates from the
change of the patient's vital signs, that is, the physiological parameters of the
monitored patient exceed a specific range or the patient has physiological
abnormalities which cannot be measured by a single physiological parameter, it is
called physiological alarm; If the alarm originates from the machine itself, that is,
the alarm that can not be accurately carried out when the patient is monitored
because of the technical obstacle in the use of the monitor or the failure of the
machine itself, it is called the technical alarm.
The heart rate of the patient was 89 BPM, which exceeded the alarm Physiological
range set by the user.。 alarm
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RESP Interference;
RESP Respiratory asphyxia;
Others belongs to the former.
10.2.1.2Alarm level
10.2.1.3Removable acousto-optic
10.2.1.4Completely cleared
It can be completely cleared: refers to the "mute" key when the pause state.The
alarm will be cleared, that is, no more alarm warning.This alarm is not performed in
a pause state ; After the pause is over, the alarm will not be alerted unless it is
re-triggered.The main technical alarm module communication errors and module
initialization errors.
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10.3.1Acoustooptic characteristics
Medium The mode is "du-du-du", sounding every The alarm light flashes in
25 seconds (the interval count is from the yellow and flashes slowly
beginning of this sound to the beginning of
the next sound)
Low The mode is "du", sounding every 25 The alarm light is bright
seconds (the interval count is from the yellow
beginning of this sound to the beginning of
the next sound)
10.3.2Character characteristics
Background: high alarm background is red, intermediate alarm and low alarm
background is yellow.
String color: except NIBP technology alarm warning area, regardless of alarm
level, the string color displayed for black.NIBPNIBP technology alarm prompt is
related to the alarm level.The advanced alarm display is red,The intermediate and
low level alarm display is yellow.When the measured parameters exceed the set
alarm limit to induce physiological alarm, the trigger alarm parameters flicker.On
the upper right hand side of the screen, the symbol "***" in the information area of
the monitor indicates that the alarm appears, and the color is red.If it is a technical
alarm, the information area of the monitor is marked with a sign“****”.
10.3.3Else
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sound and light alerts are prompted at the highest level of the current alarm.
10.4Alarm statement
10.4.1Summary
For each alarm , in both states : trigger state and clear status . Each time can
only be in one state .
Trigger status: the state in which the alarm exists.
Scavenging state: the state that the alarm does not exist.
When the alarm condition is satisfied in the following time the alarm enters
into the trigger state and each inherent delay time of the alarm state is determined
to be within 10 seconds.
For the entire alarm system (that is, for all alarm units), there are the following
states:
Normal state: a state in which an alarm is capable of all prompts
(including sound, light, and text) in the triggered state.
Alarm pause: a state in which the alarm is triggered, but no
acousto-optic prompt is appeared for the time being.
Alarm mute state : a state in which the alarm is triggered by light,
text, but not sound.
Alarm sound off: a state in which the alarm volume is 0.
At every moment, the whole alarm system can only be in one state.
Alarm mute means that any sound prompt (including alarm, keystroke, pulse,
etc.) of the monitor is turned off.
Alarm sound off state means that other sound will not be closed except the
alarm sound.
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Manual for multiparameter monitor
In any state:
In the user setting, set the alarm sound switch to turn off, enter the alarm sound
closed state.
In the user setting, set the alarm sound switch to open, enter the normal state.
10.5Alarm mode
10.5.1statements
There are two kinds of alarm modes: bolt-lock mode and Non-bolt lock mode.
Bolt-lock mode : When the alarm condition does not exist, the characteristic
that the system still carries out the alarm is called bolt lock mode.Only after the
alarm system has been reset can no longer be prompted that the alarm does not
exist.
Non-bolt lock mode : When the alarm condition does not exist,the alarm stop
which is called bolt lock mode.
10.5.2Scope of application
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When an alarm is locked (that is, this alarm has occurred but the alarm is not
triggered by the alarm), the following changes will occur in the alert related to the
alert:
1. Measurement parameters and associated alarm limits are no longer flashing.
2. The last system time to enter the trigger state after the alarm description
prompt entry.
Lock clearance is also called alarm reset.Users can use alarm pause function to
reset the alarm.When the lock alarm is cleared, the alarm that has occurred before
but which is still alerting under the condition that the alarm condition no longer
exists will be cleared.
When working in non-lock alarm mode, the alarm pause key on the keyboard
module has only the function of pause alarm and no reset function.
10.6Alarm setting
You can set the alarm parameter values in the alarm menu.
In the monitor settings menu, you can see the alarm settings for each parameter
module of the alarm as shown in the picture.
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Alarm closing is the failure of the whole alarm function.Even if the alarm
condition is satisfied, the system does not do any alarm warning, alarm printing,
nor alarm storage.
When a new measurement module is added or the measurement module has
just started to work, within 30 seconds from the start of the module, all the alarms
associated with the module will also be automatically closed, and the other alarms
will not be affected.
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When boot, if the open parameter module does not have a connection lead,
then do the following:
1. For ECG or SPO2 module, change the lead shedding alarm prompt to
prompt message (that is, the acoustooptic device is cleared automatically)and then
the user is prompted.
2. No lead off alarm for other modules.
10.7Parameter alarm
Warning : Do not set alarm limits beyond the limit, which can cause alarm
system failure.
In each parameter menu can set its alarm parameters independently, and the
user can set alarm limit and alarm state.
When a parameter alarm is turned off, display a " " prompt next to the
parameter display area.The alarm switch of each parameter can be set
independently.
For setting alarm parameters, when the value of one or more parameters
exceeds the alarm limit, the monitor automatically alerts the alarm and carries out
the following processing:
1) A prompt appears on the screen, as described in the alarm mode;
2) If the alarm volume is set, the alarm sound is issued according to the
set alarm level and alarm volume;
3) Alarm lights flashing (if the machine has alarm lights);
Warning:
When an alarm occurs , you should first check the patient ' s condition .
The alarm information is displayed in the system information area or the
system alarm information area. It is necessary to identify the alarm and take
corresponding measures according to the alarm reason.
Check the patient's condition.
2) Identify which parameter is alarming or which alarm is occurring.
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Chapter 11 ECG/RESP
Warning:
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Warning:
ECG cables provided by the company must be used for ECG signal monitoring using
the monitor.
Warning:
When connecting electrodes or patient cables, you should ensure that there is
absolutely no contact with any other conductive parts or with the earth.In particular, make
sure that all ECG electrodes, including neutral electrodes, are attached to the patient to
prevent their contact with conductive components or ground.
Warning:
Use of non-resistive ECG cable, not used in the monitor for defibrillation;In other
monitors, the monitor cannot be used for defibrillation if it does not have a defibrillator
current limiting resistance.
Warning:
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Manual for multiparameter monitor
Warning:
Be careful to stick the discharge electrode and make sure it is in good contact.
Warning:
Check whether the ECG electrode patch stimulate the skin every day . If there are any
signs of allergy, change the electrode or change the position every 24 hours.
Warning:
Warning:
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Warning:
The lead names in European and American standards are listed in the table below.(In
European standards, use of R、L、N、F、C for each lead,in the American standard for RA、
LA、RL、LL、V)
America Europe
Lead
Lead name Colour Colour
name
RA white R red
LA black L yellow
LL red F green
RL green N black
V brown C white
Warning:
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Manual for multiparameter monitor
■ V4 is in the fifth intercostal area of the left middle line of the clavicle.
■ V5 in the front line of left axillary, horizontal position is the same as V4.
■ V6 in left axillary midline, horizontal position is the same as V4.
■ V3R-V7R is located on the right side of the chest wall, corresponding to
the left side.
■ VE is located in the bulge of the xiphoid process, "V" will lead to "V"
placed electrodes on one of the following locations.
■ V7 is on the fifth rib of the posterior left axillary line .
■ V7R was at the 5th intercostal of the right posterior axillary line on the
abaxial surface.
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Manual for multiparameter monitor
Warning :
To ensure patient safety, all leads must be connected to the patient.
ECG leads are recommended for surgical patients to connect a good signal
feature:
Tall and narrow without a notch.
The R wave is tall and completely above or below the baseline.
The pacing signal is no greater than the height of the R wave.
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P T
Q
S
Figure 11-4 Standard ECG Waveform
After a steady time of 20s, the error between the heart rate and the input heart
rate of the ECG wave shown in figure 2 is not more than ±2.
Figure 2
Warning:
If the electrode is pasted correctly and the ECG waveform is inaccurate, replace the
lead.
Warning:
Interference from ungrounded instruments near the patient and ESU interference may
cause waveform problems.
11.3ECG menu
ECG setting menu
Turn the encoder, move the cursor on the home screen to the parameter area
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"ECG", then press the encoder to confirm, and pop up the ECG settings menu, as
shown in the figure11-5:
"off" to not alarm, and prompt“ ” next to ECG in screen parameter area.
● Alarm level : Optional "high", "medium", "low" three values, "high" for
the most serious alarm.
● Alarm record : Select "open" to record the output when the heart rate
alarm occurs.
● Alarm high limit:It is used to set the high limit of heart rate.
● Alarm low limit:It is used to set the low limit of heart rate.
Alarm when heart rate exceed the high limit or the low limit.
Warning :
The upper and lower limits of the alarm should be set according to the
clinical condition of each patient.
It is important to set the upper limit of heart rate alarm in monitoring.
The upper limit should not be set too high, considering the changing factors,
the upper limit of the heart rate alarm should not be 20 beats / min higher than
the patient's heart rate.
■ Heart rate source
Heart rate can be detected by ECG or SpO2.select“voluntarily”
The heart rate source is determined by the monitor according to the signal
quality.If you select simultaneous, the monitor displays both heart rate and pulse
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Warning:
When the input signal is too large, the peak may be truncated.Users can
manually change the ECG according to the actual waveform.
Waveform gain file to avoid waveform display incomplete.
The gain of each channel can be selected. The gain is × 0.25 × 0.5, × 1,
× 2.A 1 millivolt scale is given on the left side of each cardiac wave shape.The
height of a 1 millivolt scale is proportional to the amplitude of the wave.
Mode of monitoring
When the heart rate increases from 80bpm to 100bpm or decreases from
80bpm to 40bpm,the equipment indicates that the maximum response time
of the new heart rate is not longer than 10 S.
Two types of ventricular tachycardia following 80bpm's normal heart rate,
Set the alarm limit to 100bpm or the nearest value.The lower alarm limit is
60bpm or the nearest value. The alarm time is not longer than 10S.When
the amplitude of these waveforms is half or twice the indicated amplitude,
the device indicates that the maximum response time for the new heart rate
is not longer than 10s.
Waring:
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Three filtering methods can be chosen. The unfiltered ECG wave is displayed
in the diagnostic mode, and the false difference which may lead to false alarm is
filtered out by the monitoring mode.
Technical alarm:
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ECG Lead
shedding
ECG LL Lead
shedding or ECG F
Electrocardiogra Make sure
Lead shedding
m (ECG) electrode the electrodes,
Lo
shedding from patient leads and cables
ECG LA Lead w
or ECG cable from are all connected
shedding or ECG L
monitor properly.
Lead shedding
ECG RA Lead
shedding or ECG R
Lead shedding
ECG Module
initialization error
ECG Module
initialization error
1
Stop using
ECG Module the measurement
initialization error function
2 provided by
ECG measurement Hi ECG module
ECG Module module fault gh and notify
initialization error biomedical
3 engineer or our
maintenance
ECG Module
staff.
initialization error
4
ECG Module
initialization error
5
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ECG Module
initialization error
6
ECG Module
initialization
error 7
ECG Module
initialization
error 8
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electrode
connection and
good grounding
of AC power
supply system.
11.5Respiratory measurement
How is breathing measured?
The monitor measures the respiration from the chest impedance of the two
electrodes, and the impedance changes between the two electrodes(due to chest
movement)
A breath wave is generated on the screen .
Setting of respiratory monitoring
Monitoring breathing does not require additional electrodes, but the placement
of electrodes is important.Some patients, due to their clinical conditions, have a
lateral expansion of the chest resulting in negative thoracic pressure.In this case, it
is better to place the two breathing electrodes in the region with the greatest activity
of the right axillary midline and the left chest to obtain the best breathing wave.
Warning:
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Waring:
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main screen, and press the encoder to enter "RESP".As shown in figure 11-9.
● Alarm level : Optional "high", "medium", "low" three values, "high" for
the most serious alarm.
● Alarm record : Select "open" to record the output when the heart rate
alarm occurs.
● Alarm high limit:It is used to set the high limit of heart rate.
● Alarm low limit:It is used to set the low limit of heart rate.
Breathing rate alarm is based on the set high limit and low limit as the standard,
when the breathing rate exceeds the high limit or below the low limit, alarm occurs.
The range of adjustments to the upper and lower limits of the RESP alert is as
follows:
Max upper limit Min lower limit Single regulation quantity
RR Adult 100 6 1
RR Child 160 6 1
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Technical alarm:
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message
saturation(SPO2)
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The SPO2 value and the Sketch Waveform can be displayed on the main
screen.
The SPO2 in this manual refers to the oxygen saturation of the human body
measured by a noninvasive method.
Warning:
Warning:
Warning:
Warning:
Do not put the blood oxygen probe on the same limb as the blood pressure
cuff because the blood flow is occluded during the blood pressure measurement
will affect the oxygen saturation reading.
Warning:
Warning:
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Manual for multiparameter monitor
2) Set Heart rate Source to automatic in the ECG menu and no ECG signal
at this time.
Warning:
Warning:
Warning:
If the sensor is packaged or the sensor has a damaged sign, do not use this
Sp02 preach and return it to the manufacturer.
Warning:
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Manual for multiparameter monitor
Warning:
If the testing site and probe can not be accurately located, it may lead to
inaccurate oxygen saturation readings, or even to search for pulse waves, so
that blood oxygen monitoring can not be carried out, and the location should
be relocated at this time.
Excessive movement of the measuring site may result in inaccurate
measurement. The patient should be quieted or replaced at this time in order to
reduce the impact of excessive movement on the measurement.
Warning:
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Warning:
Alarm level:To set alarm levels, the options are high, medium
and low. High represents the most serious alarm.
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SPO2 100 0 1
PR 250 0 1
Adult 100 90
SPO2
Child 95 80
Adult 120 50
PR
Child 160 75
Waveform speed
SPO2 Sketch Waveform scan speed 10.5 and 25.0mm/s two options.
Pulse volume:You can select the volume level 0, 1, 2, 2, 3, 4.
Computational sensitivity:Select the average time for calculating the SPO2
value。Select "high", "medium" or "low" to indicate the average SPO2 value
in 4 seconds, 8 seconds or 14 seconds.
Default configuration : Select to enter the SPO2 default configuration dialog
box,Hint: the default configuration will be adopted! The original configuration will
be overwritten!Users can choose Yes or No.
When the alarm record switch in the relative menu is turned on, the
physiological alarm caused by the parameter exceeding the alarm limit will trigger
the recorder to automatically output the alarm parameter value and the relevant
measurement waveform.
The physiological alarm, technical alarm and prompt information that may
occur in the SPO2 module measurement are listed in the table below.
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physiological alarm:
Technical alarm:
Prompt Alar
Cause Countermeasure
information m level
SPO 2 Module
initialization
error
Stop using SPO 2
S PO 2 Module module and notify
SPO 2 Hig
initialization biomedical engineer or
Module error h
error 1 customer service
department.
S PO 2 Module
initialization
error 2
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S PO 2 Module
initialization
error 3
S PO2 Module
initialization
error 4
S PO2 Module
initialization
error 5
S PO2 Module
initialization
error 6
S PO2 Module
initialization
error 7
S PO2 Module
initialization
error 8
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Prompt
Cause Alarm level
information
SPO2
Measurement Measurement of SpO 2 out of range. High
superbound
PR
Measurement Measurement of PR out of range. High
superbound
Chapter 13 Temperature(TEMP)
Warning:
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Manual for multiparameter monitor
Warning:
Warning:
Carefully hold the temperature probe and cable, when not used, the probe
and cable should be pulled into a loose ring. If the wire inside is too tight, it
will cause mechanical damage.
Warning:
Warning:
13.2Temperature menu
The user can use the encoder to move the cursor to the parameter area TEMP
in the main screen and press the encoder to enter the TEMP settings menu, as shown
in the figure13-1.
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Manual for multiparameter monitor
◆ Alarm level:For setting alarm levels, options are High, medium, and low.
The range of adjustments to the upper and lower limits of the alert is as follows:
T1 50 0 0.1
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physiological alarm caused by the parameter exceeding the alarm limit will trigger
the recorder to automatically output the alarm parameter value and the relevant
measurement waveform.
The physiological alarm, technical alarm and warning information that may
occur in TEMP measurements are listed in the table below.
Physiological alarm:
Technical alarm:
Prompt information:
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(NIBP)
Warning:
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department.
The monitor measures the blood pressure during the exhalation time of the cuff.
When the first inflation can not measure the blood pressure, the monitor
automatically carries out the second and third inflatable measurements, and gives
the failure information of the measurement.
When the measuring time exceeds 120 s, the cuff is off, or the cuff pressure
exceeds the hardware and software overvoltage protection setting point, the cuff
automatically releases the air.
The inflatable tube connected to the blood pressure sleeve and monitor
should be smooth and untangled.
1. Plug the inflatable tube into the blood pressure cuff interface of the
monitor and connect the power supply to the instrument.
2. Tie the blood pressure cuff on the patient's upper arm or thigh, as shown
below Figure 14-1.
Warning:
The width of the cuff should be 40 parts of the circumference of the limb,
or 2 / 3 of the length of the upper arm. The inflatable part of the cuff should be
long enough to encircle the 50 / 80 length of the limb.The wrong size of the
sleeve tape will produce the wrong reading.
If there is a problem with the size of the cuff, use a larger band to reduce
errors.
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3. The cuff and the inflatable tube are connected. The limbs used for
manometry should be at the same level as the patient's heart.If this is not possible,
the following correction methods should be used to correct the measurement
results:
◆ Check that the edge of the cuff falls within the range marked <->.如 If not,
switch to a larger or smaller sleeve band.
◆ If the cuff is higher than the heart level, the difference per centimeter
should be added to the display value of 0.75mm HgG (0.10kPa).
◆ If the cuff band is below the heart level, the difference per centimeter
should be reduced by 0.75mm HgG (0.10kPa).
4. Verify that the monitoring method is correct (the monitor is displayed in
the information area of the monitor interface, right behind the bed number),If you
need to change care, go to patient Information Settings on the system menu and
change patient Type.
5. Select the measurement mode in the NIBP menu, as shown in the Action
Tip below.
6 . Press the "blood pressure" (start) button on the front panel to start the
pressure measurement.
Operation prompt
1. Carry out an automatic measurement
Enter the NIBP settings menu, check the interval time, and the user can choose
the time interval value to automatically measure.Then press the "blood pressure"
button on the front panel and the system automatically inflates according to the
interval.
Warning:
If the automatic noninvasive manometry takes too long, the limb with cuff
friction may be accompanied by purpura, ischemia, and nerve damage.Always
check the color, warmth, and sensitivity of the distal extremity when
monitoring the patient.Once any abnormalities are observed, place the cuff in
another place or immediately stop blood pressure measurements.
2.Stop automatic measurement
Pressing the "blood pressure" button at any time during automatic measurement
can stops automatic measurement.
3.Make a manual measurement
◆ Go to the NIBP Settings menu, select interval, set to Manual, and press
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the Blood pressure ammonium button on the front panel to start a manual
measurement.
◆ During the free time of automatic measurement, press the Blood pressure
button and a manual measurement will begin. If you press the Blood pressure button
again, the manual measurement will stop and continue with the automatic
measurement.
4 . Carry out a manual measurement in the course of automatic
measurement
Press the Blood pressure button on the control panel.
5.Stop a manual measurement midway
Press the Blood pressure button on the control panel again.
6.Continuous measurement
Go to the NIBP Settings menu, select the continuous Measurement tab, and start
continuous Measurement. This process will last 5 minutes.
Warning:
Warning:
If there is doubt about reading accuracy, examine the patient's vital signs
in a possible way before examining the monitor's function.
Warning:
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Manual for multiparameter monitor
■ Patient movement
If the patient is moving, shaking or spasmodic, the measurements will be
unreliable or even impossible, as these conditions may interfere with the detection
of arterial pressure pulsation, and the blood pressure measurement time will be
prolonged.
■ Arhythmia
If the patient shows arrhythmia and causes irregular cardiac beats, the
measurement will be unreliable or impossible, and the manometry time will be
prolonged.
■ Heart-lung machine
If the patient is connected with an artificial Heart-lung machine, it will not be
measured.
■ Pressure variation
If, at a certain time, the arterial pressure pulsation is being analyzed to
obtain the measured value, and the patient's blood pressure changes rapidly, the
measurement will be unreliable or impossible.
■ Severe shock
If the patient is in severe shock or hypothermia, the manometry will not
be reliable.Because a decrease in blood flow to the periphery leads to a decrease in
arterial pulsation.
■ Limiting heart rate
Blood pressure could not be measured when heart rate was lower than 40 bpm
(heart beat /mins) or higher than 240 bpm (heart beat/mins).
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The results of the NIBP measurements and the corresponding information are
displayed on the screen as follows:
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Manual for multiparameter monitor
◆ Alarm level: high, medium and low options. "High" means the most
serious alarm.
◆ Alarm record: select "open" to output the recorder when the pressure
alarm occurs.
◆ The pressure alarm is carried out according to the set high limit and low
limit, when the pressure exceeds the high limit or below the low limit, the alarm is
carried out.Systolic blood pressure, diastolic blood pressure and mean pressure can
be processed separately.
The range of adjustments to the upper and lower limits of the alert is as
follows:
Adult
Systolic pressure 40~260 mmHg
Diastolic pressure 10~215 mmHg
Mean pressure 20~235 mmHg
Children
Systolic pressure 40~200 mmHg
Diastolic pressure 10~150 mmHg
Mean pressure 20~165 mmHg
■ Reset
Blood pressure pump measurement state reset.
Press this button to restore the inflation value of the blood pressure pump to its
initial setting.
This key is recommended when the blood pressure pump is not working
properly but the monitor cannot indicate the cause of the problem.This allows the
blood pressure pump to self-check, thus automatically recovering when the pump is
abnormal due to accidental causes.
■ Continuous measurement
Initiate continuous measurement.
When elected, the menu will automatically disappear and be continuously
measured immediately.
■ Interval
Automatic measurement of interval time (in minutes),It can be selected at 1: 1,
2, 2, 3, 5, 5, 10, 10, 30, 30, 60, 90,100, 180, 240, 480 minutes.After the interval is
selected, a prompt will appear in the NIBP parameter area, "Please press the blood
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pressure button (start) key."Then press the "blood pressure" button to start the first
automatic measurement of inflation.To end automatic measurement, select Manual
to return to manual mode during measurement intervals.
Preinflatable value
Press this key to select the initial pressure value for the next time the cuff is
inflated, and for different default configurations, there are different ranges of
preinflatable values, as shown in the following table:
Default
Default preinflatable Manually selected preinflatable values
configuration value in the NIBP menu (mmHg/kPa)
(mmHg/kPa)
Once the user presses the Menu key on the front shell , enter the Default
Configuration menu in the System MenuAfter confirming the default configuration,
return to the NIBP menu hotkey of the main interface to select the NIBP parameter
area and go to "NIBP Settings."You can see that the initial value corresponding to
the "preinflatable value" is the initial inflatable pressure corresponding to the
selected default configuration, as shown in the table above.Move the cursor to the
preinflatable value option and press to see the range of preinflatable values that can
be manually adjusted as shown in the above table.
Warning:
The "preinflatable value" option is designed to help the user select the next
cuff inflatable pressure, but the preinflatable value for subsequent measurements
will be based on the same patient's previous systolic blood pressure
measurement.Systematic memory can shorten the measurement time and increase
the accuracy of measurement in the same patient.
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Warning:
When the user only sets the "patient type" in "patient Information Settings"
and does not make any choices in the "default configuration", the system will make
the initial setting of the relevant module parameters according to the "Patient
Type".And changes to default type settings in default configuration will also change
patient types in patient Information Settings.
■ Pressure unit
Options : mmHg or kPa。
■ Pressure calibration
Warning:
Pressure calibration
The manufacturer recommends using a calibrated gauge ( or mercury
sphygmomanometer ) with a calibrated accuracy of more than 1 mmHg .Select
Calibration to begin calibration, and this becomes stop Calibration. If the encoder is
pressed at this time, the system will stop calibrating.
Warning:
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Manual for multiparameter monitor
"calibrate" mode, and the pressure in the metal container is inflated to 0, 50 and 200
mmHg, respectively, using a spherical air pump.The difference between the
standard pressure gauge and the pressure indicated by the monitor should be within
3 mmHg.Otherwise, please contact our maintenance engineer.
Warning:
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Manual for multiparameter monitor
4) Turn the encoder, move the cursor to "leak detection", and press the
encoder.At this point on the screen below the NIBP parameter area will appear
"leak detection.", indicating that the system began to perform leak detection.
5) The system automatically inflates to a pressure of 180 mm Hg.
6) After about 20 seconds, the system automatically opens the valve and
marks the leak measurement complete.
7) For example, if there is no hint in the NIBP parameter region, there is
no air leakage in the system.If you show "pump leak.", the gas path may have a
leak fault.The operator should check if the connection is loose. After
confirming that the connection is correct, the operator should do a new air leak
test.If there is still a fault prompt, please contact the manufacturer for
maintenance.
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Prompt Alarm
Cause Counterplan
information level
Sensor or
Stop using NIBP
NIBP other hardware
measurement function and notify
self-checking errors in NIBP High
biomedical engineer or our
error measurement
maintenance staff.
module
Cuff too
The cuff is not
loose or not Low Tie up the cuff.
tied or has no cuff
connected
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The
Loose cuff or Use other methods to
signal is too Low
weak pulse measure blood pressure.
weak
Signal noise is
Arm too loud or pulse Make sure the patient is
Low
movement rate is irregular due quiet and motionless.
to arm movement
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Manual for multiparameter monitor
Measurement
Measure time exceeding 100 Measure or use other
ment seconds (adult / High methods of pressure
overtime child) or 90 measurement again.
seconds
When
measuring, the
system cannot Check the cuff to make sure
Measure
perform High the patient stays motionless and
ment error
measurement measures it again.
analysis or
calculation
Tip information (the prompt area below the NIBP pressure value):
Prompt
Cause Alarm level
message
Measure
In the course of manual measurement
manually…
Continuous
measurement Continuous measurement process
…
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termination measurement
Calibration
Calibration process
…
Leak
Gas leak detection is in progress
detection...
Leakage
detection Gas leak detection terminated
termination
Manual
NIBP reset (user-triggered) process
Reset . .
Reset
Reset action failed
failure
systems
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disinfect the product only if the hospital regulations you follow deem
necessary.
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Chapter 16 Accessory
Warning:
The attachment models specified by the manufacturer are listed below.The use
of other models of accessories may damage this monitor.Every time a new
attachment is replaced, it is necessary to check the integrity of its appearance,
without damage. Secondly, it needs to connect the monitor to test its use function
and maintain its normal function.
Nu Accessory Model Manufacturer
mber name
1 5 lead ECG CK-SMD-780A1-0 Shenzhen Chanke Connect
line 5AN7 Electron Co.,Ltd
2 Blood TJS2011J8
oxygen probe Shenzhen Taijia Electronics
3 Temperatur TJW0031B2 Co., Ltd
e probe
4 Blood 1.5m~3m Blood Shenzhen LFEMED
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Electromagnetic compatibility
Warning:
The PM series multi parameter monitor accords with the requirements of
YY0505 standard electromagnetic compatibility.
Users should install and use EMC information provided by random files.
Portable and mobile RF communication equipment may affect the
performance of PM series multi-parameter monitor, avoid strong
electromagnetic interference, such as near mobile phone, microwave oven,
etc.
The guidelines and manufacturer's statement are attached.
Warning:
The PM series of multiparameter monitors should not be used close to or
superimposed with other devices, and if they must be approached or
superimposed, they should be observed and verified to work properly in the
configuration in which they are used.
Class A equipment is intended to be used in industrial environment. Due to the
conduction disturbance and radiation disturbance of PM series multi-parameter
monitor, it may be potentially difficult to ensure EMC in other environments.
In addition to cables sold by manufacturers of equipment or systems as spare
parts for internal components, the use of additional accessories and cables may
result in increased emission or reduced immunity to PM series multiparameter
monitors.
Running PM series multiparameter monitors below the minimum amplitude or
minimum specified in the specification may result in inaccurate consequences.
The minimum amplitude or minimum value of the patient's physiological signal
is: 30bpm
Power line length table
Number Name Cable length (m) Whether to shield
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Manual for multiparameter monitor
Acessory:
GB4824
Class A
RF launch
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d = 1 .2 P 80 MHz to 800
MHz
d = 2.3 P 800 MHz to 2.5
GHz
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RF transmitter is determined by
surveying the electromagnetic field
a
, In each frequency range b should
be lower than the conformance level.
Interference may occur near the
device marked with the following
symbols.
Note 1: At 80MHz and 800MHz, the formula of higher frequency band is used.
Note 2: These guidelines may not be applicable in all cases, electromagnetic
transmission is affected by the absorption and reflection of buildings, objects and
bodies.
a Fixed launch airport strong , Such as: base stations for wireless (cellular /
cordless) phones and terrestrial mobile radios, amateur radio / AM (AM) and FM
(FM) radio broadcasts, as well as television broadcasts.The field strength can not be
predicted accurately in theory.To assess the electromagnetic environment of a fixed
RF transmitter , the investigation of the electromagnetic field should be examined .If
the field intensity of PM series multiparameter monitor is higher than the RF
coincidence level of the above application, the PM series multiparameter monitor
should be observed to verify its normal operation.If abnormal performance is
observed, additional measures may be necessary, such as redirecting or positioning
the PM series of multiparameter monitors.
b For the entire frequency range of 150kHz 80MHz, the field strength should
be less than 3 V / m.
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100 12 12 23
For the rated maximum output power of the transmitter not listed in the
above table, the recommended isolation distance d, in meters (m), can be determined
by the formula in the corresponding transmitter frequency field,This P is the
maximum output rated power of the transmitter provided by the transmitter
manufacturer in watts (W).
Note 1: At the frequencies of 80 MHz and 800 MHz, the formula of higher
frequency range is used.
Note 2: These guidelines may not be applicable in all cases, electromagnetic
transmission is affected by the absorption and reflection of buildings, objects and
bodies.
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