Gima VITAL PRO-SNET PC-900PRO User manual

PROFESSIONAL MEDICAL PRODUCTS
GIMA VITAL SIGNS MONITORS
VITAL PRO-SNET
User manual
Gima S.p.A.
Via Marconi, 1 - 20060 Gessate (MI) Italy
[e-mail] - [e-mail]
www.gimaitaly.com
M-35124-GB-Rev.0.04.18
0123
Shenzhen Creative Industry Co., Ltd.
2/F Block 3 Nanyou Tian’an Industry Town
518054 Shenzhen, GD - P.R.C.
Made in China (P.R.C.)
Shanghai International Holding Corp. GmbH (Europe)
Eiffestrasse 80, 20537 Hamburg - Germany
ATTENTION: The operators must
carefully read and completely understand
the present manual before using the product.
35124 / PC-900PRO(SNET)

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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 stan-
dards and is also approved by State Technological Supervision Bureau. The Manual is written for the current
Gima Vital Signs Monitor.
The Manual describes, in accordance with the Gima Vital Signs Monitor’s features and requirements, main
structure, functions, specications, 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 re-
serve 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 1.7
Revised Date: May 4th , 2017
Manufactured date: See label on device
All rights reserved.
Marks in the Manual:
Caution: must be followed to avoid endangering the operator and the patient.
Attention: must be followed to avoid causing damage to the Gima Vital Signs Monitor.
☞Note: some important information and tips about operations and application.

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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 Gima Vital Signs Monitor. These instructions describe the
operating procedures to be followed strictly. Failure to follow these instructions can cause monitoring abnor-
mity, 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.
WARNING-PACEMAKER PATIENTS. This Gima Vital Signs Monitor may continue to count the pacema-
ker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon this monitor
ALARMS. Keep pacemaker patients under close surveillance.
Monitoring a single person at a time.
The Gima Vital Signs Monitor is debrillator proof. Verify that the accessories can function safely and nor-
mally and the monitor is grounded properly before conducting debrillation.
Disconnect the Gima Vital Signs Monitor and sensors before MRI scanning. Use during MRI could cause
burns or adversely affect the MRI image or the monitor’s accuracy.
If you have any doubt to the grounding layout and its performance, you must use the built-in battery to
power the Gima Vital Signs Monitor.
All combinations of equipment must be in compliance with standard of IEC 60601-1-1 for medical electric
system requirements.
Check SpO2probe application site periodically (every 30 minutes) to determine circulation, positioning and
skin sensitivity.
The SpO2probe of this Gima Vital Signs Monitor may not work for all testees. If stable readings can not be
obtained at any time, change appropriate probe or discontinue use of SpO2monitoring.
Do not immerse the Gima Vital Signs Monitor or its accessories in liquid to clean.
Do not use accessories other than those provided/recommended by the manufacturer.
Each time the Gima Vital Signs Monitor is used, check the alarm limits to ensure that they are appropriate
for the patient being monitored.
The Gima Vital Signs Monitor is intended only as an adjunct in patient assessment. It must be used in con-
junction with clinical signs and symptoms.
When taking the measure of an pediatric or neonate’s (less than 10 years old) blood pressure, do NOT ope-
rate in the adult mode. The high ination pressure may cause lesion or even body putrescence.
The Gima Vital Signs 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.
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.
Continuous use of SpO2sensor 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.

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SpO2measuring position must be examined more carefully for some special patient. Do NOT install the
SpO2sensor on the nger with edema or vulnerable tissue.
To prevent the risk of the short circuit and to ensure the ECG signal quality, the equipment must be properly
grounded.
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.
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.
All the parts of the Gima Vital Signs 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 ac-
cessories along with the monitor which are provided by the same factory, otherwise, negative effects con-
cerning safety and biocompatibility etc. may be caused.
DO NOT stare at the infrared light of SpO2sensor when switch it on, for the infrared may do harm to the
eye.
If the Gima Vital Signs Monitor falls off accidentally, please do NOT operate it before its safety and technical
indexes have been tested minutely and positive testing results obtained.
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.
Alarm limits should not be set to exceed the measuring range, or the alarm system will not generate alarm
signals because of no alarm condition. Refer to the Technical Specication for detailed measuring range.
Please peruse the relative content about the clinical restrictions and contraindication.
When disposing of the Gima Vital Signs Monitor and its accessories, the local law should be followed.
Do not replace the built-in battery when the device is at working state.

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Table of Contents
Chapter 1 Overview ...................................................................................................................................... 7
1.1 Features .................................................................................................................................. 7
1.2 Product Name and Model....................................................................................................... 7
1.3 Intended Use .......................................................................................................................... 7
1.4 Safety...................................................................................................................................... 7
Chapter 2 Operating Principle..................................................................................................................... 8
2.1 Overall Structure..................................................................................................................... 8
2.2 Conformation.......................................................................................................................... 8
Chapter 3 Installation and Connection....................................................................................................... 9
3.1 Appearance............................................................................................................................. 9
3.1.1 Front Panel................................................................................................................... 9
3.1.2 Side Panel.................................................................................................................. 11
3.1.3 Rear Panel ................................................................................................................. 12
3.1.4 Underside of the Monitor........................................................................................... 12
3.2 Battery Installation ................................................................................................................ 13
3.3 Installation............................................................................................................................. 13
3.3.1 Opening the Package and Check.............................................................................. 13
3.3.2 Connecting the Power Supply ................................................................................... 14
3.3.3 Starting the Monitor ................................................................................................... 14
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 SpO2Sensor Connection .......................................................................................... 19
3.4.4 TEMP Transducer Connection ................................................................................... 20
3.4.5 Loading printer paper (if printer is installed) .............................................................. 21
Chapter 4 Operations ................................................................................................................................. 22
4.1 Initial Monitoring Screen ....................................................................................................... 22
4.2 Default Screen ...................................................................................................................... 22
4.3 Screen for Real-time ECG waveform Only ........................................................................... 25
4.4 Screen Display for ECG Waveform Recall ............................................................................ 25
4.5 NIBP List Screen................................................................................................................... 27
4.6 SpO2Data List Screen ......................................................................................................... 27
4.7 Alarm Event List Screen........................................................................................................ 28
4.8 Trend Graph Display (for SpO2Option) ................................................................................ 28
4.9 Setup Menu Screen .............................................................................................................. 29
4.9.1 ECG Setup ................................................................................................................. 30
4.9.2 SpO2Setup ............................................................................................................... 31
4.9.3 NIBP Setup ................................................................................................................ 32
4.9.4 TEMP Setup............................................................................................................... 34
4.9.5 Hemostat Setup (Optional) ........................................................................................ 34
4.9.6 Patient Info................................................................................................................. 35
4.9.7 Date/Time Setup........................................................................................................ 36
4.9.8 Nurse Call Setup........................................................................................................ 36
4.9.9 Network Setup (Optional)........................................................................................... 37
4.9.10 System Setup........................................................................................................... 37
4.9.11 Reset to Factory Default Settings............................................................................ 38
4.9.12 About ....................................................................................................................... 38
4.10 Alarm Settings .................................................................................................................... 38
4.11 Data Uploading................................................................................................................... 39
Chapter 5 Alarms........................................................................................................................................ 39
5.1 Alarm Priority ........................................................................................................................ 39
5.2 Alarm Signal Generation ....................................................................................................... 40
5.3 Alarm Reset and Silence....................................................................................................... 40
5.4 Alarm Settings ...................................................................................................................... 40
5.5 Verifying Alarm Function ....................................................................................................... 41
Chapter 6 Technical Specifications .......................................................................................................... 41
6.1 ECG Monitoring .................................................................................................................... 41
6.2 TEMP Monitoring.................................................................................................................. 42
6.3 NIBP Monitoring ................................................................................................................... 42

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6.4 SpO2Monitoring................................................................................................................... 42
6.5 Pulse Rate monitoring .......................................................................................................... 43
6.6 Data Recording..................................................................................................................... 43
6.7 Other Technical Specications ............................................................................................. 43
6.8 Operating Environment......................................................................................................... 43
6.9 Classication......................................................................................................................... 43
6.10 Other Technical Information
6.10.1 Additional description for ECG monitoring .............................................................. 43
6.10.2 Additional description for SpO2monitoring ............................................................ 44
6.10.3 Additional description for NIBP measurement ........................................................ 44
6.10.4 Additional description for temperature measurement ............................................. 44
6.10.5 Additional description for alarm system .................................................................. 44
6.10.6 Additional description for power supply, network and display................................ 45
6.11 Guidance and manufacturer’s declaration-Electromagnetic compatibility......................... 45
Chapter 7 Packaging and Accessories .................................................................................................... 48
7.1 Packaging ............................................................................................................................. 48
7.2 Accessories Supplied ........................................................................................................... 48
Chapter 8 Monitoring Parameter .............................................................................................................. 49
8.1 ECG Monitoring .................................................................................................................... 49
8.1.1 How to Obtain High Quality ECG and Accurate Heart Rate Value ............................ 49
8.1.2 Factors affecting ECG signal ..................................................................................... 49
8.2 NIBP Monitoring ................................................................................................................... 50
8.2.1 Measuring Principle ................................................................................................... 50
8.2.2 Factors affecting NIBP measuring............................................................................. 51
8.2.3 Clinical Limitations and Contraindications................................................................. 51
8.3 SpO2Monitoring................................................................................................................... 51
8.3.1 Measuring Principle ................................................................................................... 51
8.3.2 Sources of interference for SpO2Measurement ....................................................... 51
8.3.3 Pathological reasons for low SpO2measurements................................................... 52
8.3.4 Clinical Limitations..................................................................................................... 52
8.3.5 Points to be noted in SpO2and Pulse Measuring..................................................... 52
8.4 Temperature Monitoring........................................................................................................ 52
Chapter 9 Troubleshooting ........................................................................................................................ 53
9.1 No Display on the Screen ..................................................................................................... 53
9.2 Excessive ECG Signal Interference or Too Thick Baseline................................................... 53
9.3 No Blood Pressure and Pulse Oxygen Readings ................................................................. 53
9.4 Blank Print-out...................................................................................................................... 53
9.5 System Alarm........................................................................................................................ 53
Chapter 10 Maintenance.............................................................................................................................. 54
10.1 Service and Examination .................................................................................................... 54
10.1.1 Daily Examination .................................................................................................... 54
10.1.2 Routine Maintenance............................................................................................... 54
10.1.3 Battery Maintenance................................................................................................ 54
10.1.4 Service ..................................................................................................................... 54
10.2 Cleaning and Disinfection................................................................................................... 55
10.3 Cleaning and Disinfection of Accessories .......................................................................... 55
10.4 Storage ............................................................................................................................... 55
10.5 Transportation..................................................................................................................... 55
Chapter 11 Appendix.................................................................................................................................... 56
11.1 Prompt information explanations........................................................................................ 56
11.2 Factory Default Alarming Values and Setup Range............................................................ 57
11.3 Abbreviation of arrhythmia.................................................................................................. 58
11.4 Instructions for SpO2Probe ............................................................................................... 58

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Chapter 1
OVERVIEW
1.1 Features
• Blood Pressure, SpO2, and Pulse Rate or Heart Rate on large, bright LED display.
• Color LCD to display ECG waveform and plethysmogram.
• Accurate NIBP measurement with hardware and software over-pressure protection, hemostat function is
also available by cuff.
• Unique oximetry technique ensures sensitive and accurate SpO2and pulse rate measurement, pitch tone
function is also available.
• Up to 12000 groups of BP measurements can be stored in non-volatile memory and reviewed by list, the
stored data can be uploaded to computer.
• Historic data records can be reviewed in waveform, list or trend graph.
• Multi-level audible & visible alarm function, nurse call output is available.
• Network function for connecting to Central Monitoring System.
• Option of built-in printer to print out waveform, and text information.
Note: The Gima Vital Signs Monitor you purchased may not cover all the mentioned functions according to its
conguration.
1.2 Product Name and Model
Name: GIMA VITAL SIGNS MONITOR - VITAL PRO-SNET
1.3 Intended Use
This Gima Vital Signs 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 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 and should be operated by qualied
personnel only.
1.4 Safety
a) This device conforms to the standard IEC 60601-1, with electric safety classication of Class I, BF and CF
type of applied parts.
b) This device is debrillator proof and resistant to interference from electro-surgical units.
c) This device has a cardiac pace-maker pulse inhibition function.
d) DO NOT use this device while the patient is under MRI or CT scanning.

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Chapter 2
OPERATING PRINCIPLE
2.1 Overall Structure
The overall structure of the Gima Vital Signs Monitor is shown in Fig. 2.1
Figure 2.1
2.2 Conformation
The Gima Vital Signs Monitor is a product with modular design, consisting of an ECG module, NIBP module,
SpO2module, temperature module, main control unit, printer module (Optional), display panel, and power
supply module etc. and the related accessories for ECG, NIBP, SpO2and temperature measurement.
According to user requirement, you can order the device with different conguration to include the neces-
sary 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 tempe-
rature is measured through the temperature probe.
2. The SpO2module detects and calculates pulse rate and functional oxygen saturation (SpO2), and provides
plethysmogram and perfusion index.
3. The NIBP module measures blood pressure non-invasively with way of oscillometric technology, including
the diastolic, systolic and mean arterial pressure. The cuffs are designed for adult, pediatric and neonate
respectively.
4. The main control unit is in charge of LED and LCD display, keyboard input, data storage, printing and net-
working function.
Operation buttons
(buttons,
navigation konb)
LCD
display
Networking
communication
Power supply
(including battery)
supports each
part's power
Non invasive
blood pressure
module (NIBP)
Pulse oxygen
saturation module
(SpO2, PR)
NIBP
cuff
Built-in
printer
Central processing
SpO2
Sensor
AC100-240V
Electrocardiogram
Module
(ECG, TEMP)
ECG
leads & TEMP
probe

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Chapter 3
INSTALLATION AND CONNECTION
3.1 Appearance
3.1.1 Front Panel
Figure 3.1 Front panel illustration for monitor
Description:
1Alarm indicator.
2 SYS: display of systolic pressure value.
3 DIA: display of diastolic pressure value.
4 : heart beat indicator.
5. HR/PR: display of heart rate / pulse rate; unit: bpm. Heart rate is priority to be displayed.
6 SpO2:display of SpO2 value; Unit: “%”.
7 LCD panel.
8. Power button: Long pressing power button to start or shut off the Gima Vital Signs Monitor; Short
pressing to enter into or exit form power saving mode.
9 ~: AC Power indicator.
10 : DC Power indicator.
Indicator Alarm Level
Red ashing High priority alarm
Yellow ashing Medium priority alarm
Yellow light Low priority alarm
Green light Normal

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Description to AC, DC Power indicator:
11 MAP/Time: display mean arterial pressure at the end of a successful measurement and end time (in Ma-
nual) or STAT mode) or counting down time (in Auto mode) alternatively. Cuff pressure is displayed during
BP measurement or the hemostat function is in use.
There are 2 situations of display when the NIBP measurement nishes:
1) When NIBP measurement mode is set to “Manual” or “STAT”, the mean arterial pressure or measuring time
will be displayed alternately, the time format is “hh:mm”.
2) When NIBP measurement mode is set to “AUTO”, the counting down time will be displayed, the time format
is “mm:ss”. If the counting down time is over 1 hour, then it displays “hh:mm”.
Note: BP value can be displayed in two units, “×××” mmHg” or “××.×” kPa, refer to section “4.9.3 NIBP Setup”
to set the unit of BP value. The conversion between two units is: 1kPa=7.5 mmHg, 1mmHg=0.133kPa.
12 NIBP Setup key: A shortcut key to change the NIBP measuring mode and cycle time for Auto mode.
13 ECG lead selection key: A short press of this key to shift ECG lead, holding this key and pressing
NIBP setup key (12) will lock or un-lock the key operation.
14 Patient category indicator: for adult; for pediatric; for neonate.
15 Alarm silence key.
16 Print: The built-in printer is optional. If installed, press this key to print the current measured data.
17 : Alarm silence indicator. When it is on, it indicates that the alarm is silenced.
18 NIBP: press to start/cancel NIBP measurement.
19 : Bar-graph of pulse intensity.
20 Up: shifts cursor forward/upward.
21 OK: In setting menu, press it to conrm selection or modication; On history record screen, long pressing
this key to open up delete data dialogue box; On monitoring screen, short press to freeze/unfreeze ECG
waveform.
22 Down: shifts cursor backward/downward.
23 Display View key: short press to scroll through LCD display views or return to the upper level screen;
long press to enter into root setting menu display screen.
24 TEMP: TEMP probe connector.
25 NIBP: NIBP hose connector.
26 SpO2:SpO2sensor connector.
Note: A long press would mean press and hold for 2 seconds.
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.