Gima PC-900PLUS SNET User manual

VITAL SIGNS MONITOR
0123
M35132-GB-Rev.0-06.20
35132 / PC-900PLUS SNET
Shenzhen Creative Industry Co., Ltd.
Floor 5, BLD 9, BaiWangxin High-Tech Industrial Park,
Songbai Road, Xili Street, Nanshan District,
518110 Shenzhen, P.R. China
Made in China
Shanghai International Holding Corp. GmbH (Europe)
Eiffestrasse 80, 20537 Hamburg - Germany
User Manual
PROFESSIONAL MEDICAL PRODUCTS

User Manual for Vital Signs Monitor
I
This Manual is written and compiled in accordance with the IEC 60601-1（Medical electrical equipment Part1:
General requirements for safety）and MDD 93/42/EEC. It complies with both international and enterprise standards
and is also approved by State Technological Supervision Bureau. The Manual is written for the current Vital Signs
Monitor.
The Manual describes, in accordance with the Vital Signs Monitor’s features and requirements, main structure,
functions, specifications, correct methods for transportation, installation, usage, operation, repair, maintenance and
storage, etc. as well as the safety procedures to protect both the user and equipment. Refer to the respective
chapters for details.
The Manual is published in English and we have the ultimate right to explain the Manual. No part of this manual
may be photocopied, reproduced or translated into another language without the prior written consent. We
reserve the right to improve and amend it any time without prior notice. Amendments will however be published in
a new edition of this manual.
Version of This Manual: Ver 1.1
Revised Date: November 12th , 2019
Manufactured date: See label on device
Service life: 5 years
All rights reserved.
Marks in the Manual:
M Caution: must be followed to avoid endangering the operator and the patient.
% Attention: must be followed to avoid causing damage to the monitor.
☞ Note: some important information and tips about operations and application.
3502-2530012

User Manual for Vital Signs Monitor
II
Instructions to User
Dear Users,
Thank you very much for purchasing our product. Please read the following information very
carefully before using this device.
Read these instructions carefully before using this monitor. These instructions describe the
operating procedures to be followed strictly. Failure to follow these instructions can cause
monitoring abnormity, equipment damage and personal injury. The manufacturer is NOT
responsible for the safety, reliability and performance issues and any monitoring abnormality,
personal injury and equipment damage due to user’s negligence of the operation instructions. The
manufacturer’s warranty service does not cover such faults.
M WARNING-PACEMAKER PATIENTS. This monitor may continue to count the pacemaker
rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely
upon this monitor ALARMS. Keep pacemaker patients under close surveillance.
M Monitoring a single person at a time.
M The monitor is defibrillator proof. Verify that the accessories can function safely and
normally and the monitor is grounded properly before conducting defibrillation.
M Disconnect the monitor and sensors before MRI scanning. Use during MRI could cause
burns or adversely affect the MRI image or the monitor’s accuracy.
M If you have any doubt to the grounding layout and its performance, you must use the
built-in battery to power the monitor.
M All combinations of equipment must be in compliance with standard of IEC 60601-1-1
for medical electric system requirements.
M Check SpO2 probe application site periodically (every 30 minutes) to determine
circulation, positioning and skin sensitivity.
M The SpO2 measurement of this monitor may not work for all testees. If stable readings
can not be obtained at any time, discontinue use.
M Do not immerse the monitor or its accessories in liquid to clean.
M Do not use accessories other than those provided/recommended by the manufacturer.
M Each time the monitor is used, check the alarm limits to ensure that they are
appropriate for the patient being monitored.
M The monitor is intended only as an adjunct in patient assessment. It must be used in
conjunction with clinical signs and symptoms.
M When taking the measure of an pediatric or neonate’s (less than 10 years old) blood pressure, do
NOT operate in the adult mode. The high inflation pressure may cause lesion or even body
putrescence.
M The monitor is prohibited from applying to those who have severe hemorrhagic tendency or who are
with sickle cell disease for they may develop partial bleeding when this monitor is used to take the
blood pressure measurement.

User Manual for Vital Signs Monitor
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M DO NOT take blood pressure measurement from a limb receiving ongoing transfusion or intubation or
skin lesion area, otherwise, damages may be caused to the limb.
M Continuous use of SpO2 sensor may result in discomfort or pain, especially for those with
micro-circulatory problem. It is recommended that the sensor should NOT be applied to the same
place for over two hours, change the measuring site periodically if necessary.
M SpO2 measuring position must be examined more carefully for some special patient. Do NOT install
the SpO2 sensor on the finger with edema or vulnerable tissue.
M To prevent the risk of the s hort circuit and to ensure the ECG s ignal quality, the equip ment must be
properly grounded.
M Although biocompatibility tests have been performed on all the applied parts, some exceptional
allergic patients may still have anaphylaxis. Do NOT apply to those who have anaphylaxis.
M All the connecting cables and rubber tubes of the applying parts should be kept away from the
patient’ s cervix to prevent any possible suffocation of the patient.
M All the parts of the monitor should NOT be replaced at will. If necessary, please use the components
provided by the manufacturer or those that are of the same model and standards as the accessories
along with the monitor which are provided by the same factory, otherwise, negative effects
concerning safety and biocompatibility etc. may be caused. No modification of this device is
allowed.
M If any operator requests more information such as circuit diagrams, parts list and product
descriptions, for repairs carried out by qualified technical personal, please contact us.
M DO NOT stare at the infrared light of SpO2 sensor when switch it on, for the infrared may do harm to
the eye.
M If the monitor falls off accidentally, please do NOT operate it before its safety and technical indexes
have been tested minutely and positive testing results obtained.
M It is recommended to take the blood pressure measurement manually. The automatic or continuous
mode should be used at the presence of a doctor/nurse.
M Please peruse the relative content about the clinical restrictions and contraindication.
M When disposing of the monitor and its accessories, the local law should be followed.
M Substitution of a component different from that supplied might result in measurement error.
M It is recommended that the clinical operator regularly test device and accessories. And the visual
and auditory alarm signals can be checked by intentionally disconnect accessories.
M Do not allow service or maintenance the device while used in patient.
M Please do not to position the device so that it is difficult to operate mains plug.

User Manual for Vital Signs Monitor
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Table of Contents
Chapter 1 Overview........................................................................................................................................................... 1
1.1 Features ............................................................................................................................................................... 1
1.2 Product Name and Model.................................................................................................................................... 1
1.3 Intended Use........................................................................................................................................................ 1
1.4 Safety ................................................................................................................................................................... 1
Chapter 2 Operating Principle ........................................................................................................................................... 3
2.1 Conformation....................................................................................................................................................... 3
Chapter 3 Installation and Connection.............................................................................................................................. 4
3.1 Appearance.......................................................................................................................................................... 4
3.1.1 Front Panel................................................................................................................................................ 4
3.1.2 Side Panel.................................................................................................................................................. 9
3.1.3 Rear Panel............................................................................................................................................... 10
3.1.4 Underside of the Monitor....................................................................................................................... 11
3.2 Battery Installation ............................................................................................................................................ 11
3.3 Installation ....................................................................................................................................................... 123
3.3.1 Opening the Package and Check............................................................................................................. 13
3.3.2 Connecting the Power Supply................................................................................................................. 13
3.3.3 Starting the Monitor............................................................................................................................... 13
3.4 Sensor Placement and Connection.................................................................................................................... 14
3.4.1 ECG Cable Connection ............................................................................................................................ 14
3.4.2 Blood Pressure Cuff Connection............................................................................................................. 16
3.4.3 SpO2 Sensor Connection......................................................................................................................... 19
3.4.4 TEMP Transducer Connection................................................................................................................. 21
3.4.5 Loading printer paper (if printer is installed).......................................................................................... 22
Chapter 4 Operations ...................................................................................................................................................... 25
4.1 Initial Monitoring Screen ................................................................................................................................... 25
4.2 Default Screen.................................................................................................................................................... 25
4.3 Screen for Real-time ECG waveform (Optional)................................................................................................. 29
4.4 Screen Display for ECG Waveform Recall (Optional).......................................................................................... 30
4.5 NIBP List Screen (Optional)................................................................................................................................ 31
4.6 SpO2 Data List Screen (Optional)........................................................................................................................ 32
4.7 Alarm Event List Screen ..................................................................................................................................... 32
4.8 Trend Graph Display (for HR Option) ................................................................................................................. 33
4.9 Setup Menu Screen............................................................................................................................................ 34
4.9.1 ECG Setup (Optional).............................................................................................................................. 35

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4.9.2 SpO2 Setup (Optional)............................................................................................................................. 37
4.9.3 NIBP Setup (Optional)............................................................................................................................. 37
4.9.4 TEMP Setup (Optional)........................................................................................................................... 41
4.9.5 Patient Info ............................................................................................................................................. 42
4.9.6 Nurse Call Setup ..................................................................................................................................... 42
4.9.7 Network Setup........................................................................................................................................ 43
4.9.8 System Setup .......................................................................................................................................... 44
4.10 Alarm Settings ................................................................................................................................................. 45
Chapter 5 Alarm .............................................................................................................................................................. 46
5.1 Alarm Priority .................................................................................................................................................... 46
5.2 Alarm Signal Generation.................................................................................................................................... 46
5.3 Alarm Reset and Silence.................................................................................................................................... 47
5.4 Alarm Settings ................................................................................................................................................... 47
5.5 Verifying Alarm Function................................................................................................................................... 48
Chapter 6 Technical Specifications .................................................................................................................................. 49
6.1 NIBP Monitoring................................................................................................................................................ 49
6.2 SpO2 Monitoring................................................................................................................................................ 49
6.3 Pulse Rate monitoring ....................................................................................................................................... 49
6.4 TEMP Monitoring .............................................................................................................................................. 49
6.5 Data Recording .................................................................................................................................................. 50
6.6 Other Technical Specifications........................................................................................................................... 50
6.7 Operating Environment..................................................................................................................................... 50
6.8 Classification...................................................................................................................................................... 50
6.9 ECG Monitoring ................................................................................................................................................. 50
6.10 Guidance and manufacturer’s declaration-Electromagnetic compatibility..................................................... 52
Chapter 7 Packaging and Accessories.............................................................................................................................. 56
7.1 Packaging........................................................................................................................................................... 56
7.2 Accessories ........................................................................................................................................................ 56
Chapter 8 Monitoring Parameter.................................................................................................................................... 57
8.1 NIBP Monitoring................................................................................................................................................ 57
8.1.1 Measuring Principle................................................................................................................................ 57
8.1.2 Factors affecting NIBP measuring........................................................................................................... 58
8.1.3 Clinical Limitations.................................................................................................................................. 58
8.2 SpO2 Monitoring................................................................................................................................................ 59
8.2.1 Measuring Principle................................................................................................................................ 59
8.2.2 SpO2 Measurement Restrictions (interference reason).......................................................................... 59
8.2.3 Low SpO2 measuring value caused by pathology reason ....................................................................... 60

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8.2.4 Clinical Limitations.................................................................................................................................. 60
8.2.5 Points to be noted in SpO2 and Pulse Measuring ................................................................................... 60
Chapter 9 Troubleshooting.............................................................................................................................................. 62
9.1 No Display on the Screen................................................................................................................................... 62
9.2 No Blood Pressure and Pulse Oxygen Measures ............................................................................................... 62
9.3 Blank Printing Paper .......................................................................................................................................... 62
9.4 System Alarm..................................................................................................................................................... 62
Chapter 10 Maintenance................................................................................................................................................. 63
10.1 Service and Examination.................................................................................................................................. 63
10.1.1 Daily Examination ................................................................................................................................. 63
10.1.2 Routine Maintenance ........................................................................................................................... 63
10.1.3 Battery Maintenance ............................................................................................................................ 63
10.1.4 Service................................................................................................................................................... 64
10.2 Cleaning and Disinfection ................................................................................................................................ 64
10.3 Cleaning and Disinfection of Accessories ........................................................................................................ 65
10.4 Storage............................................................................................................................................................. 65
10.5 Transportation ................................................................................................................................................. 65
Chapter 11 Appendix....................................................................................................................................................... 66
11.1 Prompt information explanations.................................................................................................................... 66
11.2 Default Alarming Values and Setup Range ...................................................................................................... 67
11.3 Accessories List................................................................................................................................................ 68
11.4 Instructions for SpO2 Probe ............................................................................................................................. 69

Chapter 1 Overview
1.1 Features
This Vital signs monitor can be used to monitor patient’s physiological parameters including ECG, heart rate (HR),
non-invasive blood pressure (NIBP), oxygen saturation (SpO2), Pulse rate (PR) and temperature. It has the
following features:
² All parameters are displayed on big, bright color LCD;
² Touc hsc re e n ope rat ion and ke y ope ra ti on are ava ila bl e;
² Accurate NIBP measurement with hardware and software over-pressure protection, hemostat
function is also available by cuff;
² Unique oximetry technique ensures sensitive and accurate SpO2 and pulse rate measurement, pitch
tone function is also available;
² Up to 12000 groups of BP measurements can be stored in non-volatile memory and reviewed by list;
² Up to 2000 groups of SpO2, 30 hours of ECG waveform, and 2000 events can be stored;
² History data records can be reviewed in waveform, list or trend graph;
² All stored data can be uploaded to computer;
² Multi-level audible & visible alarm function, nurse call output is available;
² Network function for connecting to Central Monitoring System;
² Built-in printer is optional to print out waveform, and text information.
Note: The monitor you purchased may not cover all the mentioned functions according to its
configuration.
1.2 Product Name and Model
Name: Vital Signs Monitor
Model: See label on page I
1.3 Intended Use
This Monitor is a multi-functional instrument designed for monitoring the vital physiological signs of adult and
pediatric patients. With the functions of real-time recording and displaying parameters, such as ECG, non-invasive
blood pressure, body temperature, functional oxygen saturation and so on, it allows comprehensive analysis of
patient’s physiological conditions.
This instrument is applicable for use in hospitals and clinical institutions. The operation should be performed by
qualified personnel only.
Contraindication: please see chapter 8.
1.4 Safety
a) This device conforms to the standard IEC 60601-1, with electric safety classification of Class I, BF and CF
type of applied parts.

User Manual for Vital Signs Monitor
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b) This device can protect against the discharge of defibrillator and resist against the interference from
electro-surgical unit.
c) This device has the cardiac pace-maker pulse inhibition function.
d) DO NOT use this device while the patient is under MRI or CT scanning.

User Manual for Vital Signs Monitor
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Chapter 2 Operating Principle
2.1 Conformation
The Vital Signs Monitor is a product with modular design, it consists of ECG/TEMP module, NIBP module, SpO2
module, main control unit, printer module (Optional), display panel, and power supply module etc. and the
related accessories for ECG, NIBP and SpO2 measurement.
☞ According to different configuration, you can order the device with necessary functions. Therefore, your
monitor may not have all the monitoring functions and accessories.
1. The ECG/TEMP module detects the ECG signal through ECG cable/lead wires via electrodes, the heart
rate is calculated from the ECG waveform data. The temperature is measured through the temperature
probe.
2. The SpO2 module detects and calculates pulse rate and functional oxygen saturation (SpO2), and provides
plethysmogram and perfusion index as well.
2. The NIBP module performs the measurement of blood pressure by non-invasive way of oscillometric
technique, including the diastolic, systolic and mean arterial pressure. The cuffs are designed for adult,
pediatric and neonate respectively.
3. The main control unit is in charge of LCD screen display, keyboard input, data storage, printing and
networking function.

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Chapter 3 Installation and Connection
3.1 Appearance
3.1.1 Front Panel
Model A: the Vital Signs Monitor without ECG function
Figure 3.1A Front panel illustration for monitor (without ECG function)
Description:
1 ""Alarm indicator
Indicator Color
Alarm Level
Red flashing
High priority alarm
Yellow flashing
Medium priority alarm
2 3 4 5 6 7
8
9
10
11
12
13
14
15
16
1
17

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Yellow light
Low priority alarm
Green light
Normal
2 "": Power button: Long pressing power button to start or shut off the monitor; Short pressing to
enter into or exit from power saving mode.
3
～
: AC Power indicator.
4 : DC Power indicator.
Description to AC, DC Power indicator：
AC Power indicator
DC Power indicator
Descriptions
Status
ON
ON
this device is on and using AC power supply
OFF
ON
the device is on and using built-in battery
ON
OFF
the device is off and battery is being
charged while the AC power is connected.
5 SpO2: SpO2 sensor connector
6 NIBP: NIBP hose connector
7 TEMP: TEMP probe connector (optional)
8 " "NIBP Setup key: A shortcut key to change NIBP measuring mode and cycle time for Auto mode.
9 " "Auxiliary key: Holding this key and NIBP setup key (8) to lock or un-lock key operation. Short
pressing this key can also enter into or exit from "Power Saving Mode".
10 "" Alarm silence key.
11 "" Print.
12 " " NIBP Operation key: Press it to start/cancel NIBP measurement.
13 " " Up: Shift cursor forward/upward.
14 " " OK: When in setting menu, press it to confirm selection or modification; On history record
screen, long pressing this key, then a deleting dialog pops up; On monitoring screen, short pressing to
freeze/unfreeze ECG waveform.
15 " "Down: Shift cursor backward/downward.
16 " " Display View key: Short pressing to shift LCD display views or return to the upper level screen;
long pressing to enter into root setting menu display screen.
17 "": LCD panel
Note: 1). " ": Type BF Applied Part with Defibrillation-proof
2). Long pressing means press and hold for 2 seconds.
3) BP value can be displayed in two units, “×××” mmHg” or “××.×” kPa, refer to section “4.7.2 NIBP
Setup” to set the display unit of BP value. The conversion between two units is: 1kPa=7.5mmHg,
1mmHg=0.133kPa.

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Model B: the Vital Signs Monitor with ECG function
Figure 3.1B Front panel illustration for monitor (with ECG function)
Description:
1 " "Alarm indicator
Indicator Color
Alarm Level
Red flashing
High priority alarm
Yellow flashing
Medium priority alarm
Yellow light
Low priority alarm
Green light
Normal
2."": Power button: Long pressing power button to start or shut off the monitor; Short pressing to
enter into or exit from power saving mode.
3.
～
: AC Power indicator.
4. : DC Power indicator.
Description to AC, DC Power indicator：
8
9
10
11
12
13
14
15
16
2 3 4 5 6 7
1
17

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AC Power indicator
DC Power indicator
Descriptions
Status
ON
ON
this device is on and using AC power supply
OFF
ON
the device is on and using built-in battery
ON
OFF
the device is off and battery is being
charged while the AC power is connected.
5. SpO2: SpO2 sensor connector
6. NIBP: NIBP hose connector
7. TEMP: TEMP probe connector (optional)
8. " "NIBP Setup key: A shortcut key to change NIBP measuring mode and cycle time for Auto mode.
9. " "ECG lead selection key: A short press of this key to shift ECG lead, holding this key and pressing
NIBP setup key (8) will lock or un-lock the key operation.
10. "" Alarm silence key.
11. "" Print.
12. " " NIBP Operation key: Press it to start/cancel NIBP measurement.
13. " " Up: Shift cursor forward/upward.
14. " " OK: When in setting menu, press it to confirm selection or modification; On history record
screen, long pressing this key, then a deleting dialog pops up; On monitoring screen, short pressing to
freeze/unfreeze ECG waveform.
15. " "Down: Shift cursor backward/downward.
16. " " Display View key: Short pressing to shift LCD display views or return to the upper level screen;
long pressing to enter into root setting menu display screen.
17. "": LCD panel
Note: 1). " ": Type BF Applied Part with Defibrillation-proof
2). Long pressing means press and hold for 2 seconds.
BP value can be displayed in two units, “×××” mmHg” or “××.×” kPa, refer to section “4.7.2 NIBP Setup” to
set the display unit of BP value. The conversion between two units is: 1kPa=7.5mmHg. 1mmHg=0.133kPa.

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3.1.2 Side Panel
Figure 3.2 Right side of the monitor Figure 3.3 Left side of the monitor
The right panel of the monitor is as shown in figure 3.2.
² Symbol for CF type applied part with defibrillation-proof.
² ECG: ECG cable connector (Optional)
² "○": reserved port for future use.
The left panel of the monitor is as shown in figure 3.3.
The built-in thermal printer is in the left panel. It is easy for user to print waveform and data.
² " ": printer status indicator. One is for power indication of the printer, the green light
shows the power is on, while the monitor is shut down, the green light is off. The other is for error indication,
when the paper is empty or the printer is out of order, the red light is on.
Fan
Built-in
thermal printer
ECG cable
connector
Printer status
indicator

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3.1.3 Rear Panel
Figure 3.4 Rear Panel
The rear panel of the monitor is as shown in figure 3.4.
Form 3-1 Real panel Symbols and its descriptions
Symbol
Description
Symbol
Description
Warning-- Refer to User Manual
FUSE 2XT1.0AL
Fuse holder
USB connector
Equipotential terminal
Network connector
Nurse-call connector
Fuse specification: T1.0AL/250V φ5*20mm

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3.1.4 Underside of the Monitor
Figure 3.5 Underside of the monitor
3.2 Battery Installation
1. Ensure that the monitor is not connected to AC power supply and the monitor is turned off.
2. Open the battery cover and move the locking bar aside.
3. Put the battery into the box and move the locking bar back. Please note that the battery cables
should be outward.
4. Connect the battery cable plug to the battery power socket in right direction, as shown in figure 3.6.
5. Arrange the wires and close the battery cover.
Battery cover

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Figure 3.6 Battery Installation
Warning
：
1. To avoid battery damage always remove battery(s) before shipping or storage.
2. It is recommended to use the battery specified by the manufacturer.
3. The battery service life depends on how frequent and how long it is used. For a properly maintained and
stored lead-acid or lithium battery, its service life is about 2 or 3 years respectively. For more aggressive
use models, service life can be less. We recommend replacing lead-acid battery every 2 years and lithium
battery every 3 years.
Caution:
1. Keep the battery out of the reach of children.
2. Do not disassemble battery.
3. Do not dispose of them in fire.
4. Do not cause them to short circuit.
Battery cable
Battery cable plug
Battery power socket
Battery power cable
Batter
y
Locking bar
Battery cover
tether
Battery cover

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3.3 Installation
3.3.1 Opening the Package and Check
1. Open the package, take out the monitor accessories from the box carefully and place it in a safe stable
and easy to watch position.
2. Open the accompanying document to sort the accessories according to the packing list.
u Inspect the monitor for any mechanical damages
u Check all the accessories for any scratch or deformity, especially on connector, wire and probe
parts
☞ You can customize the module configuration by choosing necessary modules to meet your own needs.
Therefore, your monitor may not have all the monitoring functions and accessories.
If in doubt, please contact the local dealer or our company in case of any problems. We are to offer you
the best solution for your satisfaction.
3.3.2 Connecting the Power Supply
1. When powered by AC mains power supply:
u Make sure that the AC power supply is 100-240VAC, 50/60Hz.
u Use the power cable prepared by the manufacturer. Insert one end of it to the power port of the
monitor and the other end to the grounded three-phase power jack.
u To eliminate potential differences, the monitor has a separate connection to the equipotential
grounding system. Connect one end of the provided ground cable to equipotential grounding port
on the rear of the monitor, and connect the other end to one point of the equipotential
grounding system.
Caution: ensure that the monitor is grounded correctly.
% After the supply mains has been interrupted when power switch remains in the “on” position and is
restored after a period of time that is longer than 30 seconds, the monitor will run by the last settings
when restarting the monitor.
2. When powered by built-in battery
uCaution: it’s better to recharge the battery after it is used up, the charging time should be 13~15
hours long.
uThe provided battery of the monitor must be recharged after transportation or storage. So if the
monitor is switch on without being connected to the AC power socket, it may not work properly
due to insufficient power supply.
3.3.3 Starting the Monitor
The system performs self-test and enters initial display after switching on the monitor, and the orange alarm
indicator blinks to inform that the user can begin operating it.
u Check all the applicable functions to make sure that the monitor works normally.
u If the battery is applied please recharge it after using the monitor to ensure sufficient power
storage. It will take minimal 8 hours to charge battery from depletion to 90% charge.
% Do not use the device to monitor the patient if there are indications of damage or reminders of error.
Please contact the local dealer or our company.