Mindray DPM 6 User manual

Quick Reference Guide

Note: The DPM 6 and DPM 7 Quick Reference Guide
is not intended as a replacement to the Operating
Instructions. Prior to operating equipment, the user
must be familiar with the Operating Instructions
Manual contents. This document is a guideline only to
be used as an aid to comprehensive Inservice Training.

Patient Setup ..................................................1
Enter Demographics ............................................1
Adjust Patient Size ..............................................1
Discharge a Patient ............................................. 2
Standby .......................................................2
Enter Standby ..................................................2
Resume Monitoring.............................................2
Record.........................................................3
Real-Time Waveforms ...........................................3
Adjust Recorder’s Waveforms.................................... 3
Print ...........................................................3
Real-Time Waveforms ...........................................3
ECG............................................................4
Adjust ECG Lead ................................................4
Enable Pacemaker Detection And Set Pacemaker Rate ...........4
Initiate Relearn ................................................. 5
Initiate ST Analysis ..............................................5
NIBP ...........................................................5
Initiate a Non-Invasive Blood Pressure Measurement (NIBP) ..............5
Set a Non-Invasive Blood Pressure Measurement Interval ...............5
Invasive Blood Pressures........................................6
Adjust Invasive Blood Pressure Label ............................ 6
Zero Invasive Blood Pressure .................................... 7
Alarms.........................................................7
Adjust Alarm Limits ............................................. 7
Adjust Alarm Responses ........................................ 8
Adjust Arrhythmia Alarms....................................... 9
Disable Non-Lethal Arrhythmias.................................9
Table of Contents

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Silence Alarms ............................................... 10
Silence All Alarms ............................................ 10
Transfer...................................................... 10
Hemodynamic Monitoring.................................... 11
Initiate a Cardiac Output Measurement.........................11
Initiate Pulmonary Artery Wedge Pressure (PAWP) ..............12
Initiate Hemodynamic Calculations.............................13
Screen Display ............................................... 14
History ...................................................... 15
Tabular Trends .................................................15
Arrhythmia And Alarm Events ..................................16
Full Disclosure .................................................16
Volumes ..................................................... 17
Key Volume....................................................17
Beat Tone......................................................18
Date And Time ............................................... 18
Parameter Colors............................................. 19
Default (Preset) Settings ...................................... 19
Table of Contents (cont'd)

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Quick Key Description
Scroll left to display more
QuickKeys
Scroll right to display more
QuickKeys
Enter the main menu
Enter standby mode
Change alarm settings
Review the patient's data
Enter the NIBP measurement
menu
Stop all NIBP measurement
Start NIBP STAT measurement
Zero IBP
Change screen
Enter the patient setup menu
Trigger a manual event
Default configurations
Start cardiac output
procedure
Blank
Start the real-time print
Print Setup
Have a split-screen view of
minitrend
Enter the volume setup
menu
View respiratory loops
Perform calculations
Have a split-screen view of
another patient's conditions
Have a split-screen view of
OxyCRG trends
Enter the CPB mode
Enter the PAWP
measurement screen
Enter the full-screen 7-lead
ECG screen
Enter the [Parameters] menu

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PATIENT SETUP
Enter Demographics
The Patient Setup menu allows the clinician to enter and modify patient
demographics.
To enter demographics at DPM 6 or DPM 7 bedside monitor:
a. Access Patient Setup menu using Patient Setup (quick key) or
Main Menu (quick key)
b. Select Patient Demographics
c. Select white edit box to open field and enter patient information
d. Enter patient’s information using onscreen keyboard
e. Select ENTER to accept the information
f. Select OK to return to main display
Panorama® Central Station Interface: Entering demographic information at
the Panorama® Central Station or WorkStation automatically enters it at the
bedside monitor. Entering demographic information at the bedside monitor
automatically enters it at the Panorama® Central Station and WorkStation.
Admit is not required for patient information to be displayed or stored.
Adjust Patient Size
The Patient Setup menu allows the clinician to adjust patient size. To adjust
patient size on the DPM 6 or DPM 7 bedside monitor:
a. Access Patient Setup menu using Patient Setup (quick key) or
Main Menu (quick key)
b. Select Patient Demographics
c. Select Patient Cat.
d. Select current size and adjust to Adu (adult), Ped (pediatric), or Neo
(Neonate)
e. Select OK to return to main display
Note: Adjusting patient size restores the monitor to the default
(preconfigured) settings but does not clear patient information or data.
Panorama® Central Station: Patient size cannot be changed from the
Panorama® Central Station

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Discharge A Patient
The Discharge function clears all patient information and restores default
(preconfigured) settings.
To Discharge a patient from the DPM 6 or DPM 7 bedside monitor:
a. Access Patient Setup menu using Patient Setup (quick key) or
Main Menu (quick key)
b. Select Discharge Patient
c. Select OK to confirm
Note: After the patient is discharged, default (preconfigured) settings are
restored, and the monitor is placed in Standby.
Panorama® Central Station Interface: Discharging a patient from the DPM 6
or DPM 7 bedside monitor will automatically discharge the patient from the
Panorama® Central Station, WorkStation, and ViewStation. Discharging the
patient on the Panorama® Central Station will discharge the patient from the
WorkStation, ViewStation, and DPM 6 or DPM 7 bedside monitor (optional).
STANDBY
Enter Standby
The Standby function allows the clinician to suspend monitoring on a patient.
While in standby, the patient is not monitored; however, all data and settings
are preserved.
To place a patient into Standby on the DPM 6 or DPM 7 bedside monitor:
a. Select the STANDBY (quick key)
b. Select Yes to confirm
Resume Monitoring
To remove a patient from Standby and resume monitoring on the DPM 6 or
DPM 7 bedside monitor:
a. Select any key on the DPM 6 or DPM 7 bedside monitor
Panorama® Central Station Interface: Placing a patient in standby at the
DPM 6 or DPM 7 bedside monitor will automatically place the Panorama®
Central Station, WorkStation, and ViewStation in standby. Selecting Bedside
and Panorama® Standby on the Panorama® Central Station or WorkStation

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automatically places the bedside monitor and ViewStation in standby. Select
any key on the front panel or select the display to remove patient from
Standby on the DPM 6 or DPM 7 bedside monitor.
Note: A patient cannot be removed from Standby from the Central Station.
The patient must be removed from Standby at the DPM 6 or DPM 7 bedside
monitor.
RECORD
Real-Time Waveforms
To record a strip on a patient at the DPM 6 or DPM 7 bedside monitor's
integrated recorder:
a. Select REC on the monitor’s front keypad
Adjust Recorder’s Waveforms
To adjust the waveforms recorded on a patient at the DPM 6 or DPM 7 bedside
monitor's integrated recorder:
a. Main Menu (quick key)
b. Select Record Setup menu
c. Select Waveform 1, Waveform 2, or Waveform 3
d. Select the waveforms for recording from drop down list or select off to
turn off waveform recording
e. Select Main Menu (quick key) or to return to the main display
PRINT
Real-Time Waveforms
To print a strip on a patient at the DPM 6 or DPM 7 bedside monitor to a
predetermined laser printer:
a. Select Real-Time Print (quick key)
Panorama® Central Station interface: Selecting Real-Time Print at the DPM 6 or
DPM 7 bedside monitor will print a 10-second, All Strips Report on the Panorama®
Central Station. The waveforms printed are determined by the Print Setup tab
at the Panorama® Central Station. Waveform print selection on the Panorama®
Central Station, WorkStation, and ViewStation are independent.

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ECG
Adjust ECG Lead
The DPM 6 and DPM 7 allow the clinician to adjust the leads being viewed on
the main display. To adjust the ECG Lead:
a. Select ECG waveform or ECG numeric tile to enter the ECG Setup menu
Or
a. Select ECG setup>> from the Parameters menu in Main Menu
(quick key) to enter the ECG Setup menu
b. Select ECG1 current lead to adjust the first lead or ECG2 current lead to
adjust the second lead
c. Scroll and select lead
d. Select Main Menu (quick key) or to return to the main display
Panorama® Central Station Interface: Adjusting ECG leads on the DPM 6
or DPM 7 bedside monitor, Panorama® Central Station, WorkStation, and
ViewStation are independent.
Enable Pacemaker Detection And Set Pacemaker Rate
The DPM 6 and DPM 7 allow the clinician to enable pacemaker detection.
The symbol is displayed when the pacemaker detection is enabled.
To enable the pacemaker detection on the DPM 6 or DPM 7 bedside monitor:
a. Select ECG waveform or ECG numeric tile to enter the ECG Setup menu
Or
a. Select ECG setup>> from the Parameter menu in Main Menu
(quick key) to enter the ECG Setup menu
b. Select Others >>
c. Select Paced to Yes
d. Select Pacemaker Rate value and adjust using the up and down arrows
e. Select Main Menu (quick key) or to return to the main display
Panorama® Central Station Interface: Pacemaker detection on the DPM 6 or
DPM 7 monitor, Panorama® Central Station, WorkStation, and ViewStation are
independent.

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Initiate Relearn
To initiate relearning manually on the DPM 6 or DPM 7 bedside monitor:
a. Select ECG Setup menu by selecting ECG waveform/HR numeric tile or
from Parameters menu ( or Main Menu quick keys)
b. Select Relearn
c. Select Main Menu (quick key) or to return to the main display
Initiate ST Analysis
To initiate ST analysis on the DPM 6 or DPM 7 bedside monitor:
a. Select ECG Setup menu by selecting ECG waveform/HR numeric tile or
from Parameters menu ( or Main Menu quick keys)
b. Select ST Analysis >>
c. Select ON for ST analysis value
d. Select Main Menu (quick key) or to return to the main display
NIBP
Initiate a Non-Invasive Blood Pressure Measurement (NIBP)
To initiate a NIBP measurement on a patient on the DPM 6 or DPM 7 bedside
monitor:
a. Select on the front panel of the monitor or the Multi-Parameter
Module (MPM)
Or
a. Select NIBP numeric tile, or enter the NIBP Setup >> from the Parameters
menu in Main Menu (quick key) to enter the NIBP Setup menu
b. Select Start NIBP
c. Select Main Menu (quick key) or to return to the main display
Set a Non-Invasive Blood Pressure Measurement Interval
The DPM 6 and DPM 7 allow the clinician to set an interval for a NIBP
measurement to be obtained automatically.
To set an automatic interval on the DPM 6 or DPM 7 bedside monitor:
a. Select NIBP measurement (quick key) and Select interval

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Or
a. Select NIBP numeric tile, or enter the NIBP Setup >> from the Parameters
menu in Main Menu (quick key) to enter the NIBP Setup menu
b. Select Interval and adjust value using up and down arrows
c. Select Main Menu (quick key) or to return to the main display
To stop the current NIBP measurements on a patient on the DPM 6 or DPM 7
bedside monitor:
a. Select on the front panel of the monitor or the Multi-Parameter
Module (MPM) during the NIBP measurement
To stop all NIBP measurements on a patient on the DPM 6 or DPM 7 bedside
monitor:
a. Select Stop all measurements (quick key)
Or
a. Select NIBP numeric tile, or select NIBP Setup>> from the Parameters
menu in Main Menu (quick key) to enter the NIBP Setup menu
b. Select Stop All
c. Select Main Menu (quick key) or to return to the main display
INVASIVE BLOOD PRESSURES
The DPM 6 and DPM 7 monitors allow a clinician to monitor up to 8 invasive
blood pressures (IBP) simultaneously.
Adjust Invasive Blood Pressure Label
To adjust the label on an invasive blood pressure on the DPM 6 or DPM 7
bedside monitor:
a. Select displayed invasive blood pressure waveform or IBP numeric tile to
enter the Invasive blood pressure’s Setup menu
Or
a. Select the invasive blood pressure (ART, CVP, etc.) from the Parameters
menu in Main Menu (quick key) to enter the invasive blood
pressure’s Setup menu
b. Select label and adjust the label using the use the up and down arrow
keys

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c. Select Main Menu (quick key) or to return to the main display
Zero Invasive Blood Pressure
To zero an invasive blood pressure transducer on the DPM 6 and DPM 7
monitor:
a. Connect the invasive blood pressure cable to the invasive blood pressure
transducer set
b. Position transducer and open the invasive line in accordance with
hospital policy
c. Select key on the invasive blood pressure module, the zero IBP
(quick key), or Zero in the specific invasive blood pressure setup
menu
ALARMS
Adjust Alarm Limits
The Alarm Setup tab allows the clinician to configure alarm limits and alarm
responses on the DPM 6 or DPM 7 bedside monitor.
To adjust a patient’s alarm limit on the DPM 6 or DPM 7 bedside monitor:
a. Select parameter’s waveform or numeric tile to open parameters Setup
menu
b. Select Alarm Setup >>
c. Select High or Low limit value and adjust using the up and down arrows
d. Select Off in the limit value area to disable the parameter’s alarm limit(s)
e. Select Main Menu (quick key) or to return to the main display
Or
a. Select Alarm Setup from (quick key) or Main Menu (quick
key)
b. Select Parameters tab to change parameters or ST tab to change ST
c. Scroll and select the parameter
d. Select High or Low limit value and adjust using the up and down arrows
e. Select Off in the limit value area to disable the parameter’s alarm limit(s)
f. Select Main Menu (quick key) or to return to the main display

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Panorama® Central Station interface: Changing alarm limits at the Panorama®
Central Station or WorkStation will automatically change alarm limits on the
DPM 6 or DPM 7 bedside monitor. Changing alarm limits at the DPM 6 or
DPM 7 bedside monitor will automatically change alarm limits on the
Panorama® Central Station and WorkStation.
Adjust Alarm Responses
To adjust a patient’s alarm responses on the DPM 6 or DPM 7 bedside monitor:
a. Select parameter’s waveform or numeric tile to open parameters Setup
menu
b. Select Alarm Setup >>
c. Select
•Level – to adjust the audio and visual alarm indicators. Level options include
High (Red - flashing), Medium (Yellow - flashing), and Low (Yellow - no flashing)
•Record – to activate an automatic recording when the alarm occurs
•Default – to restore preset settings
d. Select Main Menu (quick key) or to return to the main display
Or
a. Select Alarm Setup from (quick key) or Main Menu (quick
key)
b. Select Parameters tab to change parameters or ST tab to change ST
c. Scroll and select parameter
d. Select
•Level – to adjust the audio and visual alarm indicators. Level options include
High (Red - flashing), Medium (Yellow - flashing), and Low (Yellow - no flashing)
•Record – to activate an automatic recording when the alarm occurs
•Default – to restore preset settings
e. Select Main Menu (quick key) or to return to the main display
Panorama® Central Station interface: Changing alarm responses at the
Panorama® Central Station or WorkStation will not change alarm responses on
the DPM 6 or DPM 7 bedside monitor. Changing alarm responses at the DPM 6
or DPM 7 bedside monitor will not change alarm responses on the Panorama®
Central Station and WorkStation.

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Adjust Arrhythmia Alarms
To adjust a patient’s arrhythmia alarm on the DPM 6 or DPM 7 bedside
monitor:
a. Select Alarm Setup from (quick key) or Main Menu (quick
key)
b. Select Arrh. Analysis tab
c. Scroll and select individual arrhythmia
d. Select
•Alarm – to enable or disable arrhythmia alarm notification
•Level – to adjust the audio and visual alarm indicators. Level options include
High (Red - flashing), Medium (Yellow - flashing), and Low (Yellow - no flashing)
•Record – to activate an automatic recording when the alarm occurs
e. Select Main Menu (quick key) or to return to the main display
Panorama® Central Station interface: Adjusting arrhythmia alarms at the
Panorama® Central Station or WorkStation will not change arrhythmia alarms
on the DPM 6 or DPM 7 bedside monitor. Adjusting arrhythmia alarms at the
DPM 6 or DPM 7 bedside monitor will affect the arrhythmia alarm on the
Panorama® Central Station and WorkStation.
Disable Non-Lethal Arrhythmias
To disable all arrhythmia alarms except lethal arrhythmias on the DPM 6 or
DPM 7 bedside monitor:
a. Select Alarm Setup from (quick key) or Main Menu (quick
key)
b. Select Arrh. Analysis tab
c. Select Lethals Only
d. Select Main Menu (quick key) or to return to the main display
To adjust a patient arrhythmia threshold setting on the DPM 6 or DPM 7
bedside monitor:
a. Select Alarm Setup from (quick key) or Main Menu (quick
key)
b. Select Arrh. Threshold tab

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c. Scroll and select individual arrhythmia threshold
d. Adjust value using the up and down arrows
e. Select Main Menu (quick key) or to return to the main display
SILENCE ALARMS
To silence an alarm at the DPM 6 and DPM 7 bedside monitor select Silence
key on front panel of bedside monitor
Panorama® Central Station interface: Selecting Silence at the DPM 6 or
DPM 7 bedside monitor will silence an alarm on the Panorama® Central
Station, WorkStation, and ViewStation for a preconfigured amount of time.
Selecting Mute at the Panorama® Central Station will not silence an alarm at
the DPM 6 or DPM 7 bedside monitor.
SILENCE ALL ALARMS
To silence all alarms at the DPM 6 or DPM 7 bedside monitor for a
preconfigured amount of time, select Alarm Pause key on front panel of
bedside monitor
Panorama® Central Station interface: Selecting Alarm Pause at the DPM 6 or
DPM 7 bedside monitor will silence active alarms on the Panorama® Central
Station, WorkStation, and ViewStation for a preconfigured amount of time.
Selecting Mute at the Panorama® Central Station will not silence alarms at the
DPM 6 or DPM 7 bedside monitor.
TRANSFER (if enabled - 2.13 software or greater)
The DPM 6 or DPM 7 bedside monitor has the ability to transfer patient data
through the MPM (Multi-Parameter Module).
To transfer patient data from one DPM 6 or DPM 7 bedside monitor to another
DPM 6 and DPM bedside monitor:
a. Remove MPM from original DPM 6 or DPM 7 bedside monitor
b. Insert MPM into new DPM 6 or DPM 7 bedside monitor
c. Select from the Select Patient menu:
1. Continue Monitor to continue with the patient data and settings in
the new monitor and delete all patient data and settings in the original
MPM. All patient data in the new monitor will copy to the original MPM.

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2. Continue MPM to continue with the patient data and settings in the
original MPM and clears all patient data in the new monitor. All patient
data in the original MPM will copy to the new monitor.
3. New Patient to delete all patient data in the original MPM and all
patient data in the new monitor. Default settings for the patient
category are applied to the new patient. All patient data in the
original MPM and in the new monitor will be deleted.
4. Same Patient to merge the patient data from the original MPM with
the patient data in the new monitor.
Panorama® Central Station Interface: Transferring patient data from one
DPM 6 or DPM 7 bedside monitor to another DPM 6 or DPM 7 bedside monitor
will not transfer data within the Panorama® Central Station. Transferring data
within a Panorama® Central Station or to a different Panorama® Central Station
may affect the DPM 6 or DPM 7 bedside monitor.
HEMODYNAMIC MONITORING
Initiate A Cardiac Output Measurement
Cardiac Output (CO) is the amount of blood ejected from the left ventricle
each minute, expressed in liters per minute (l/min). Cardiac Index (CI) is the
Cardiac Output divided by the patient's body surface area.
To initiate a Cardiac Output measurement on the DPM 6 or DPM 7 bedside
monitor:
a. Connect the C.O. cable to the C.O. connector on the monitor
interconnecting the C.O. Module, PA Catheter, and injectate.
b. Select C.O. Setup menu by selecting C.O. tile, (quick key), or from
Parameters menu ( or Main Menu quick keys)
c. Verify the computation constant or adjust the computation constant in
the Setup menu
d. Inject solution when “Inject Now” message is displayed (Auto measure
mode is enabled in Setup menu)
Or
d. Select Start and inject solution within 4 seconds to perform a cardiac
output measurement (Manual measure mode is enabled in Setup menu)

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Note: Cardiac index is calculated if height/weight have been entered in the
Patient Setup menu
e. Wait 1 minute between injections to allow baseline stabilization
f. Perform additional Cardiac Output measurements as needed
g. Select measurement to include/exclude in the Cardiac Output average
(A in the box indicates cardiac output measurement is selected)
h. Select
a. Stop to stop the current measurement
b. Cancel to delete most recent cardiac output measurement as needed
c. Record to print the most recent cardiac output measurement and
numeric data
i. Select Main Menu (quick key) or to return to the main display
or select Calc>> to access the Hemodynamic Calculations menu
Note: Blood temperature alarms are inactive when a cardiac output
measurement is initiated.
Initiate Pulmonary Artery Wedge Pressure (PAWP)
Pulmonary Artery Wedge Pressure (PAWP) is a pressure measurement derived
from a PA catheter when the PA distal balloon is inflated and the catheter
advances and occludes a distal pulmonary artery. PAWP pressure is a reflection
of the pressure in the left ventricle at end-diastole.
To initiate a PAWP measurement on the DPM 6 or DPM 7 bedside monitor:
a. Select PAWP menu by selecting PA invasive blood pressure tile or from
Parameters menu ( or Main Menu quick keys)
Or
a. Select PAWP (quick key)
b. Select Setup to adjust PA sweep speed, PA scale, or reference waveforms
(as needed)
c. Inflate balloon and watch PA waveform for wedge waveform
d. Select Freeze to freeze the waveform once a satisfactory wedge
waveform is detected

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e. Select Adjust to adjust the PAWP reference line to the desired position
f. Select Confirm to enter the PAWP measurement
g. Select
1. Next Measurement to start a new measurement as needed
2. Exit to return to normal screen
h. Select Main Menu (quick key) or to return to the main display
or select Calc>> to access the Hemodynamic Calculations menu
Note: PA alarms are inactive when a PAWP measurement is initiated.
Note: Follow manufacturer’s suggested procedures and hospital policy for
PAWP balloon inflation.
Initiate Hemodynamic Calculations
Hemodynamic calculations are a set of values that are used to determine the
hemodynamic status of the patient.
To initiate hemodynamic calculations on the DPM 6 or DPM 7 bedside
monitor:
a. Select CALC>> from the C.O. menu or PAWP menu or HEMODYNAMIC
from CALCULATIONS menu ( or Main Menu quick keys)
b. HR, Art (Mean), PA (Mean), CVP, and average CO measurements are
automatically entered from the current values
c. Select remaining parameter and manually enter
d. Select Calculate to complete calculation
e. Select Record to print the currently displayed Hemodynamic Calculations
f. Select Main Menu (quick key) or to return to the main display
Note: Hemodynamic Calculations are printed at the DPM 6 and DPM 7 bedside
monitor only.

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SCREEN DISPLAY
The DPM 6 and DPM 7 allow the clinician to adjust the main display based on
patient acuity.
To enter the screen selection menu and adjust the main screen’s layout on the
DPM 6 or DPM 7 bedside monitor:
a. Select Screens (quick key) on main display
Or
a. Select on main display and Screen Setup menu
b. Select
  • Normal Screen: Real time waveforms and numeric parameters on the
main display (Configurable)
  • Big Numerics: Up to 4 waveforms and numeric parameters in an
expandable view on the main display
  • Minitrends Screen: Split screen with continuously displayed graphic
minitrends on left side besides real time waveforms and numeric
parameters (Configurable) on the main display
  • OxyCRG Screen: Split screen with OxyCRG (HR trend, SpO2trend, and
RR trend/RR waveform) on the lower portion of the display with real
time waveforms and numeric parameters on the main display
  • View Others Screen (optional): Split screen with viewing information
from another bed(s) on the lower portion of the display with real time
waveforms and numeric parameters on the host monitoring device
  • ECG 7-Lead Half-Screen (5 lead wire set): 7 Leads of ECG on the upper
portion with real time waveforms and numeric parameters on the
main display
  • ECG 7-Lead Full Screen (5 lead wire set): 7 leads of ECG with numeric
parameters on the main display
  • PAWP Screen (Optional): Split screen with PAWP measurement
window on the lower portion of the main display with real time
waveforms and numeric parameters on the main display