Mindray Passport 12 User manual

Passport 12/Passport 8
Patient Monitor
Operator’s Manual

Passport12/Passport8Operator’sManual I
© Copyright 2014 - 2016 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
Release time: 2016-10
Revision: 4.0
WARNING
Federal Law (USA) restricts this device to sale by or on the order of a physician or other practitioner
licensed by U.S. state law to use or order the use of this device.
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property
rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or patents
and does not convey any license under the patent rights of Mindray, nor the rights of others.
Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in
this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.
Release, amendment, reproduction, distribution, rental, adaption and translation of this manual in any manner
whatsoever without the written permission of Mindray is strictly forbidden.
, , and are the registered trademarks or trademarks owned by Mindray in China
and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the
intention of improperly using them. They are the property of their respective owners.
Please refer to www.mindrayna.com/patents/ for a complete list of applicable patents and trademarks.

II Passport12/Passport8Operator’sManual
Manufacturer’s Responsibility
Contents of this manual are subject to changes without prior notice.
All information contained in this manual is believed to be correct. Mindray is not liable for errors contained herein nor for
incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
Mindray is responsible for the effects on safety, reliability and performance of this product, only if:
all installation operations, expansions, changes, modifications and repairs of this product are conducted by Mindray
authorized personnel;
the electrical installation of the relevant room complies with the applicable national and local requirements;
the product is used in accordance with the instructions for use.
WARNING
Only skilled/trained clinical professionals should operate this equipment.
It is important for the hospital or organization that uses this equipment to perform a recommended
service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.
Warranty
Mindray warrants that components within its products will be free from defects in workmanship and materials for a
period of one year from the date of purchase except that disposable or one-time use products are warranted to be free
from defects in workmanship and materials up to a date one year from the date of purchase or the date of first use,
whichever is sooner.
This warranty does not cover consumable items such as, but not limited to, batteries, external cables, and sensors.
Mindray shall not be liable for any incidental, special, or consequential loss, damage, or expense directly or indirectly
arising from the use of its products. Liability under this warranty and the buyer’s exclusive remedy under this warranty is
limited to servicing or replacing the affected products, at Mindray option, at the factory or at an authorized distributor,
for any product which shall under normal use and service appear to Mindray to have been defective in material or
workmanship. Recommended preventative maintenance, as prescribed in the service manual, is the responsibility of the
user and is not covered by this warranty.
No agent, employee, or representative of Mindray has any authority to bind Mindray to any affirmation, representation,
or warranty concerning its products, and any affirmation, representation or warranty made by any agent, employee, or
representative shall not be enforceable by buyer or user.
THIS WARRANTY IS EXPRESSLY IN LIEU OF, AND MINDRAY EXPRESSLY DISCLAIMS, ANY OTHER EXPRESS OR IMPLIED
WARRANTIES, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY, NON-INFRINGEMENT, OR FITNESS FOR A
PARTICULAR PURPOSE, AND OF ANY OTHER OBLIGATION ON THE PART OF MINDRAY.

Passport 12/Passport 8 Operator’s Manual III
Damage to any product or parts through misuse, neglect, accident, or by affixing any non-standard accessory
attachments, or by any customer modification voids this warranty. Mindray makes no warranty whatsoever in regard to
trade accessories, such being subject to the warranty of their respective manufacturers.
A condition of this warranty is that the equipment or accessories which are claimed to be defective be returned when
authorized, freight prepaid to Mindray DS USA, Inc., Mahwah, New Jersey 07430 or its authorized representative.
Mindray shall not have any responsibility in the event of loss or damage in transit.
Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for
direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the
use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.
This warranty does not extend to
Malfunction or damage caused by improper use or man-made failure.
Malfunction or damage caused by unstable or out-of-range power input.
Malfunction or damage caused by force majeure events, such as (i) flood, fire and earthquake or other similar
elements of nature or acts of God; (ii) riots, war, civil disorders, rebellions, or revolutions in any country; or (iii) any
other cause beyond the reasonable control of Mindray.
Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people.
Malfunction of the instrument or part whose serial number is not legible.
Others not caused by instrument or part itself.
Service
Mindray maintains a network of service representatives and factory-trained distributors. Prior to requesting service,
perform a complete operational check of the instrument to verify proper control settings. If operational problems
continue to exist,
In North America contact the Service Department at [phone], ext: 8116 for Technical Support or [phone]
for assistance in determining the nearest field service location.
Please include the instrument model number, the serial number, and a description of the problem with all requests for
service.
Any questions regarding the warranty should be directed to your local sales or service representative.
NOTE
Upon request, Mindray provides circuit diagrams, component part lists, descriptions, calibration
instructions, or other information which assist the user’s appropriately qualified technical personnel to
repair those parts of the equipment which are designated by Mindray DS USA, Inc. as repairable.

IV Passport12/Passport8Operator’sManual
Company Contact
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address: Mindray Building, Keji 12th Road South, Hi-tech industrial park, Nanshan,
Shenzhen 518057,P.R.China
Website: www.mindray.com
E-mail Address: [email protected]om
Tel: [phone]
Fax: [phone]
Distributor: Mindray DS USA, Inc.
Address: 800 MacArthur Boulevard, Mahwah, New Jersey, 07430 USA
Tel: [phone]
Website: www.mindray.com

Passport12/Passport8Operator’sManual V
Preface
Manual Purpose
This manual contains the instructions necessary to operate the product safely and in accordance with its function and
intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and
ensures patient and operator safety.
This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you
have any questions, please contact Mindray.
This manual is an integral part of the product. It should always be kept close to the equipment so that it can be
conveniently referenced when needed.
Intended Audience
This manual is intended for clinical professionals who are expected to have a working knowledge of medical procedures,
practices and terminology as required for monitoring of patients.
Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on
your monitor.
Manual Conventions
Italic text is used to quote the referenced chapters or sections.
[ ] is used to enclose screen text.
→is used to indicate operational procedures.

VI Passport12/Passport8Operator’sManual
FOR YOUR NOTES

Passport12/Passport8Operator’sManual 1
Contents
1 Safety ................................................................................................................................................................................. 1-1
1.1 Safety Information..........................................................................................................................................................................................1-1
1.1.1 Warnings ..............................................................................................................................................................................................1-1
1.1.2 Cautions ...............................................................................................................................................................................................1-2
1.1.3 Notes .....................................................................................................................................................................................................1-3
1.2 Equipment Symbols.......................................................................................................................................................................................1-3
2 The Basics ........................................................................................................................................................................... 2-1
2.1 Intended Use ....................................................................................................................................................................................................2-1
2.2 Applied Parts ....................................................................................................................................................................................................2-2
2.3 Main Unit ...........................................................................................................................................................................................................2-2
2.3.1 Front View............................................................................................................................................................................................2-2
2.3.2 Side View..............................................................................................................................................................................................2-4
2.3.3 Rear View..............................................................................................................................................................................................2-6
2.4 Modules..............................................................................................................................................................................................................2-8
2.5 Display Screen..................................................................................................................................................................................................2-9
2.6 QuickKeys ........................................................................................................................................................................................................2-11
3 Basic Operations................................................................................................................................................................ 3-1
3.1 Installation.........................................................................................................................................................................................................3-1
3.1.1 Unpacking and Checking ..............................................................................................................................................................3-2
3.1.2 Environmental Requirements ......................................................................................................................................................3-2
3.2 Getting Started................................................................................................................................................................................................3-3
3.2.1 Connecting to Power Source........................................................................................................................................................3-3
3.2.2 Turning Power On.............................................................................................................................................................................3-3
3.2.3 Starting Monitoring .........................................................................................................................................................................3-4
3.3 Turning Off the Monitor ...............................................................................................................................................................................3-4
3.4 Using the Knob................................................................................................................................................................................................3-5
3.5 Using Keys .........................................................................................................................................................................................................3-5
3.6 Using the Touchscreen..................................................................................................................................................................................3-5
3.7 Using the On-screen Keyboard..................................................................................................................................................................3-5
3.8 Using the Main Menu....................................................................................................................................................................................3-6
3.9 Setting the Screen..........................................................................................................................................................................................3-6
3.10 Displaying the Timer ...................................................................................................................................................................................3-8
3.11 Changing General Settings.......................................................................................................................................................................3-8
3.11.1 Setting up a Monitor.....................................................................................................................................................................3-8
3.11.2 Changing Language......................................................................................................................................................................3-8
3.11.3 Adjusting the Screen Brightness ..............................................................................................................................................3-9
3.11.4 Showing/Hiding Help Text..........................................................................................................................................................3-9
3.11.5 Setting the Date and Time ..........................................................................................................................................................3-9
3.11.6 Adjusting Volume.........................................................................................................................................................................3-10
3.12 Setting Parameters ....................................................................................................................................................................................3-10
3.12.1 Switching the Parameters On/Off ..........................................................................................................................................3-10

2 Passport12/Passport8Operator’sManual
3.12.2 Accessing the Parameters Menu ............................................................................................................................................3-11
3.13 Operating Modes.......................................................................................................................................................................................3-11
3.13.1 Monitoring Mode.........................................................................................................................................................................3-11
3.13.2 Night Mode ....................................................................................................................................................................................3-11
3.13.3 Privacy Mode .................................................................................................................................................................................3-11
3.13.4 Standby Mode...............................................................................................................................................................................3-12
4 Managing Patients ............................................................................................................................................................ 4-1
4.1 Admitting a Patient........................................................................................................................................................................................ 4-1
4.2 Quick Admitting a Patient........................................................................................................................................................................... 4-2
4.3 Querying and Obtaining Patient Information ..................................................................................................................................... 4-2
4.4 Associating Patient Information ............................................................................................................................................................... 4-3
4.5 Editing Patient Information ........................................................................................................................................................................ 4-3
4.6 Discharging a Patient.................................................................................................................................................................................... 4-3
4.7 Transferring Patient Data............................................................................................................................................................................. 4-3
4.7.1 Transferring Data from the Monitor to a USB Drive ............................................................................................................. 4-4
4.7.2 Transferring Data from a USB Drive to the Monitor ............................................................................................................. 4-4
4.8 Connecting to a CMS .................................................................................................................................................................................... 4-5
5 Managing Configurations................................................................................................................................................. 5-1
5.1 Introduction ..................................................................................................................................................................................................... 5-1
5.2 Entering the [Manage Configuration] Menu........................................................................................................................................ 5-2
5.3 Changing Department ................................................................................................................................................................................. 5-2
5.4 Setting Default Configuration ................................................................................................................................................................... 5-3
5.5 Saving Current Settings ............................................................................................................................................................................... 5-3
5.6 Editing Configurations.................................................................................................................................................................................. 5-4
5.7 Deleting a Configuration............................................................................................................................................................................. 5-5
5.8 Transferring a Configuration ...................................................................................................................................................................... 5-5
5.9 Loading a Configuration.............................................................................................................................................................................. 5-6
5.10 Restoring the Latest Configuration Automatically .......................................................................................................................... 5-6
6 User Screens....................................................................................................................................................................... 6-1
6.1 Configuring Your Screens............................................................................................................................................................................ 6-1
6.1.1 Changing the Waveform Line Size ............................................................................................................................................. 6-1
6.1.2 Changing Measurement Colors .................................................................................................................................................. 6-1
6.1.3 Changing Screen Layout................................................................................................................................................................ 6-1
6.2 Viewing Minitrends........................................................................................................................................................................................ 6-2
6.2.1 Having a Split-Screen View of Minitrends ............................................................................................................................... 6-2
6.2.2 Setting Minitrends ........................................................................................................................................................................... 6-2
6.3 Viewing OxyCRG ............................................................................................................................................................................................. 6-3
6.4 Viewing Other Patients................................................................................................................................................................................. 6-4
6.4.1 Care Group.......................................................................................................................................................................................... 6-4
6.4.2 Viewing the Care Group Overview Bar ..................................................................................................................................... 6-4
6.4.3 Understanding the View Other Patient Window................................................................................................................... 6-5
6.5 Understanding the Big Numerics Screen .............................................................................................................................................. 6-6

Passport12/Passport8Operator’sManual 3
7 Alarms ................................................................................................................................................................................ 7-1
7.1 Alarm Categories ............................................................................................................................................................................................7-1
7.2 Alarm Levels......................................................................................................................................................................................................7-2
7.3 Alarm Indicators..............................................................................................................................................................................................7-2
7.3.1 Alarm Lamp.........................................................................................................................................................................................7-2
7.3.2 Alarm Messages ................................................................................................................................................................................7-2
7.3.3 Flashing Numeric..............................................................................................................................................................................7-3
7.3.4 Audible Alarm Tones........................................................................................................................................................................7-3
7.3.5 Alarm Status Symbols .....................................................................................................................................................................7-3
7.4 Alarm Tone Configuration ...........................................................................................................................................................................7-4
7.4.1 Setting the Minimum Alarm Volume.........................................................................................................................................7-4
7.4.2 Changing the Alarm Volume ........................................................................................................................................................7-4
7.4.3 Setting the Interval Between Alarm Sounds ..........................................................................................................................7-4
7.4.4 Changing the Alarm Tone Pattern ..............................................................................................................................................7-5
7.4.5 Setting the Reminder Tones..........................................................................................................................................................7-5
7.5 Understanding the Alarm Setup Menu ..................................................................................................................................................7-6
7.5.1 Setting Alarm Properties for All Parameters ...........................................................................................................................7-6
7.5.2 Adjusting Alarm Limits Automatically ......................................................................................................................................7-7
7.5.3 Setting Alarm Delay Time ..............................................................................................................................................................7-9
7.5.4 Setting SpO2Technical Alarm Delay ........................................................................................................................................7-10
7.5.5 Setting Recording Length............................................................................................................................................................7-10
7.5.6 Entering CPB Mode (Cardiopulmonary Bypass Mode) .....................................................................................................7-10
7.6 Pausing Alarms..............................................................................................................................................................................................7-10
7.7 Switching Off All Alarms.............................................................................................................................................................................7-11
7.8 Resetting Alarms...........................................................................................................................................................................................7-11
7.9 Latching Alarms.............................................................................................................................................................................................7-12
7.10 Testing Alarms .............................................................................................................................................................................................7-13
7.11 Using Care Group Alarms ........................................................................................................................................................................7-13
7.11.1 Care Group Auto Alarms............................................................................................................................................................7-13
7.11.2 Setting Care Group Alert Tone.................................................................................................................................................7-13
7.11.3 Resetting Care Group Alarms...................................................................................................................................................7-13
8 Monitoring ECG ................................................................................................................................................................. 8-1
8.1 Introduction......................................................................................................................................................................................................8-1
8.2 Safety...................................................................................................................................................................................................................8-1
8.3 Preparing to Monitor ECG............................................................................................................................................................................8-2
8.3.1 Preparing the Patient and Placing the Electrodes ................................................................................................................8-2
8.3.2 Choosing AHA or IEC Lead Placement......................................................................................................................................8-2
8.3.3 ECG Lead Placements......................................................................................................................................................................8-3
8.3.4 Checking Paced Status....................................................................................................................................................................8-4
8.4 Understanding the ECG Display................................................................................................................................................................8-5
8.5 Changing ECG Settings.................................................................................................................................................................................8-5
8.5.1 Accessing ECG Menus .....................................................................................................................................................................8-5
8.5.2 Setting Pacemaker Rate (For Mortara ECG algorithm only) ..............................................................................................8-5
8.5.3 Choosing the Alarm Source ..........................................................................................................................................................8-6
8.5.4 Changing ECG Wave Settings.......................................................................................................................................................8-6

4 Passport12/Passport8Operator’sManual
8.5.5 Changing the ECG Filter Settings ............................................................................................................................................... 8-6
8.5.6 Setting Pacemaker Rate (For Mortara only)............................................................................................................................ 8-7
8.5.7 Setting the ECG Lead Set............................................................................................................................................................... 8-7
8.5.8 Choosing an ECG Display Screen................................................................................................................................................ 8-7
8.5.9 Setting the Notch Filter.................................................................................................................................................................. 8-7
8.5.10 Changing the Pacer Reject Settings........................................................................................................................................ 8-8
8.5.11 Enabling Smart Lead Off ............................................................................................................................................................. 8-8
8.5.12 Setting the Alarm Level for ECG Lead Off Alarms............................................................................................................... 8-8
8.5.13 Adjusting QRS Volume................................................................................................................................................................. 8-8
8.5.14 Adjusting the Minimum QRS Detection Threshold (For Advanced ECG Algorithm Only) .................................. 8-9
8.5.15 About the Defibrillator Synchronization............................................................................................................................... 8-9
8.6 About ST Monitoring...................................................................................................................................................................................8-10
8.6.1 Switching ST Monitoring On and Off ......................................................................................................................................8-10
8.6.2 Changing ST Filter Settings.........................................................................................................................................................8-10
8.6.3 Understanding the ST Display...................................................................................................................................................8-11
8.6.4 Saving the Current ST Segment as Reference......................................................................................................................8-12
8.6.5 Changing the Reference Segment...........................................................................................................................................8-12
8.6.6 Deleting a Reference Segment..................................................................................................................................................8-12
8.6.7 Recording the ST Segment .........................................................................................................................................................8-12
8.6.8 Changing the ST Alarm Limits ...................................................................................................................................................8-12
8.6.9 Setting the ST Alarm Delay Time ..............................................................................................................................................8-12
8.6.10 Adjusting ST Measurement Points.........................................................................................................................................8-13
8.7 QT/QTc Interval Monitoring (For Advanced ECG Algorithm Only).............................................................................................8-14
8.7.1 QT/QTc Monitoring Limitations.................................................................................................................................................8-14
8.7.2 Enabling QT/QTc Monitoring .....................................................................................................................................................8-15
8.7.3 Displaying QT/QTc Parameters and Waveform....................................................................................................................8-15
8.7.4 Accessing the QT View..................................................................................................................................................................8-16
8.7.5 Changing QT Settings...................................................................................................................................................................8-17
8.8 About Arrhythmia Monitoring ................................................................................................................................................................8-18
8.8.1 Understanding the Arrhythmia Events...................................................................................................................................8-18
8.8.2 Changing Arrhythmia Alarm Settings.....................................................................................................................................8-20
8.8.3 Changing Arrhythmia Threshold Settings.............................................................................................................................8-20
8.8.4 Setting the Extended Arrhythmia (For Advanced ECG Algorithm Only)....................................................................8-21
8.8.5 Reviewing Arrhythmia Events....................................................................................................................................................8-21
8.9 ECG Relearning..............................................................................................................................................................................................8-22
8.9.1 Initiating an ECG Relearning Manually...................................................................................................................................8-22
8.9.2 Automatic ECG Relearning..........................................................................................................................................................8-22
8.10 Troubleshooting.........................................................................................................................................................................................8-23
9 Monitoring Respiration (Resp)......................................................................................................................................... 9-1
9.1 Introduction ..................................................................................................................................................................................................... 9-1
9.2 Safety Information ......................................................................................................................................................................................... 9-1
9.3 Understanding the Resp Display .............................................................................................................................................................. 9-1
9.4 Placing Resp Electrodes ............................................................................................................................................................................... 9-2
9.4.1 Optimizing Lead Placement for Resp........................................................................................................................................ 9-2
9.4.2 Cardiac Overlay ................................................................................................................................................................................. 9-2

Passport12/Passport8Operator’sManual 5
9.4.3 Abdominal Breathing......................................................................................................................................................................9-3
9.4.4 Lateral Chest Expansion .................................................................................................................................................................9-3
9.5 Choosing the Respiration Lead..................................................................................................................................................................9-3
9.6 Changing the Apnea Alarm Delay............................................................................................................................................................9-3
9.7 Changing Resp Detection Mode...............................................................................................................................................................9-3
9.8 Changing Resp Wave Settings ...................................................................................................................................................................9-4
9.9 Setting Respiration Rate Source................................................................................................................................................................9-4
9.10 Setting Alarm Properties ...........................................................................................................................................................................9-5
10 Monitoring PR ...............................................................................................................................................................10-1
10.1 Introduction .................................................................................................................................................................................................10-1
10.2 Setting the PR Source...............................................................................................................................................................................10-1
10.3 Selecting the Active Alarm Source.......................................................................................................................................................10-2
10.4 QRS Tone........................................................................................................................................................................................................10-2
11 Monitoring SpO2............................................................................................................................................................11-1
11.1 Introduction .................................................................................................................................................................................................11-1
11.2 Safety ..............................................................................................................................................................................................................11-2
11.3 Identifying SpO2Modules .......................................................................................................................................................................11-2
11.4 Applying the Sensor..................................................................................................................................................................................11-2
11.5 Changing SpO2Settings ..........................................................................................................................................................................11-3
11.5.1 Accessing SpO2Menus...............................................................................................................................................................11-3
11.5.2 Adjusting the Desat Alarm........................................................................................................................................................11-3
11.5.3 Setting SpO2Sensitivity .............................................................................................................................................................11-3
11.5.4 Changing Averaging Time ........................................................................................................................................................11-3
11.5.5 Monitoring SpO2and NIBP Simultaneously .......................................................................................................................11-3
11.5.6 Sat-Seconds Alarm Management...........................................................................................................................................11-4
11.5.7 Changing the Speed of the Pleth Wave ...............................................................................................................................11-5
11.5.8 Zooming PI Value .........................................................................................................................................................................11-5
11.5.9 Setting the Alarm Level for SpO2Sensor Off Alarm.........................................................................................................11-5
11.5.10 Setting the SpO2Tone Mode .................................................................................................................................................11-5
11.6 Measurement Limitations.......................................................................................................................................................................11-6
11.7 Masimo Information..................................................................................................................................................................................11-6
11.8 Nellcor Information ...................................................................................................................................................................................11-7
11.9 Troubleshooting .........................................................................................................................................................................................11-7
12 Monitoring NIBP............................................................................................................................................................12-1
12.1 Introduction .................................................................................................................................................................................................12-1
12.2 Safety ..............................................................................................................................................................................................................12-2
12.3 Measurement Limitations.......................................................................................................................................................................12-2
12.4 Measurement Methods............................................................................................................................................................................12-2
12.5 Setting Up the NIBP Measurement......................................................................................................................................................12-3
12.5.1 Preparing the Patient..................................................................................................................................................................12-3
12.5.2 Preparing to Measure NIBP.......................................................................................................................................................12-3
12.5.3 Starting and Stopping Measurements .................................................................................................................................12-4
12.5.4 Correcting the Measurement if Limb is not at Heart Level...........................................................................................12-4

6 Passport12/Passport8Operator’sManual
12.5.5 Enabling NIBP Auto Cycling and Setting the Interval.....................................................................................................12-4
12.5.6 Enabling Measurement on Clock...........................................................................................................................................12-4
12.5.7 Starting a STAT Measurement .................................................................................................................................................12-5
12.6 Understanding the NIBP Numerics .....................................................................................................................................................12-5
12.7 Changing NIBP Settings...........................................................................................................................................................................12-6
12.7.1 Setting the Initial Cuff Inflation Pressure.............................................................................................................................12-6
12.7.2 Setting NIBP Alarm Properties ................................................................................................................................................12-6
12.7.3 Displaying NIBP List.....................................................................................................................................................................12-6
12.7.4 Setting the Pressure Unit ..........................................................................................................................................................12-6
12.7.5 Switching On NIBP End Tone ...................................................................................................................................................12-6
12.8 Assisting Venous Puncture .....................................................................................................................................................................12-7
13 Monitoring Temp........................................................................................................................................................... 13-1
13.1 Introduction.................................................................................................................................................................................................13-1
13.2 Safety..............................................................................................................................................................................................................13-1
13.3 Making a Temp Measurement...............................................................................................................................................................13-1
13.4 Understanding the Temp Display ........................................................................................................................................................13-1
13.5 Setting the Temperature Unit................................................................................................................................................................13-2
14 Monitoring IBP .............................................................................................................................................................. 14-1
14.1 Introduction.................................................................................................................................................................................................14-1
14.2 Safety..............................................................................................................................................................................................................14-1
14.3 Zeroing the Transducer............................................................................................................................................................................14-1
14.4 Setting Up the Pressure Measurement ..............................................................................................................................................14-2
14.5 Understanding the IBP Display.............................................................................................................................................................14-3
14.6 Changing IBP Settings..............................................................................................................................................................................14-4
14.6.1 Changing a Pressure for Monitoring.....................................................................................................................................14-4
14.6.2 Setting Alarm Properties...........................................................................................................................................................14-5
14.6.3 Changing Averaging Time ........................................................................................................................................................14-5
14.6.4 Setting Up the IBP Wave............................................................................................................................................................14-5
14.6.5 Setting the Pressure Unit ..........................................................................................................................................................14-5
14.6.6 Enabling PPV Measurement and Setting PPV Source.....................................................................................................14-5
14.7 Overlapping IBP Waveforms ..................................................................................................................................................................14-6
14.8 Measuring PAWP ........................................................................................................................................................................................14-7
14.8.1 Preparing to Measure PAWP.....................................................................................................................................................14-8
14.8.2 Setting Up the PAWP Measurement......................................................................................................................................14-8
14.8.3 Understanding the PAWP Setup Menu................................................................................................................................14-9
14.9 Troubleshooting.........................................................................................................................................................................................14-9
15 Monitoring Cardiac Output ..........................................................................................................................................15-1
15.1 Introduction.................................................................................................................................................................................................15-1
15.2 Understanding the C.O. Display ...........................................................................................................................................................15-1
15.3 Influencing Factors....................................................................................................................................................................................15-2
15.4 Setting Up the C.O. Measurement.......................................................................................................................................................15-2
15.5 Measuring the Blood Temperature......................................................................................................................................................15-5
15.6 Changing C.O. Settings............................................................................................................................................................................15-6

Passport12/Passport8Operator’sManual 7
15.6.1 Setting the Temperature Unit..................................................................................................................................................15-6
15.6.2 Setting Alarm Properties ...........................................................................................................................................................15-6
16 Monitoring CO2.............................................................................................................................................................. 16-1
16.1 Introduction .................................................................................................................................................................................................16-1
16.2 CO2Module...................................................................................................................................................................................................16-2
16.3 Preparing to Measure CO2.......................................................................................................................................................................16-2
16.3.1 Making a Sidestream CO2Measurement.............................................................................................................................16-3
16.3.2 Making a Microstream CO2Measurement ..........................................................................................................................16-4
16.4 Changing CO2Settings.............................................................................................................................................................................16-4
16.4.1 Accessing CO2Menus .................................................................................................................................................................16-4
16.4.2 Entering the Standby Mode .....................................................................................................................................................16-4
16.4.3 Setting the CO2Unit ....................................................................................................................................................................16-5
16.4.4 Setting up Gas Compensations...............................................................................................................................................16-5
16.4.5 Setting up Humidity Compensation .....................................................................................................................................16-5
16.4.6 Setting the Apnea Alarm Delay...............................................................................................................................................16-6
16.4.7 Choosing a Time Interval for Peak-Picking..........................................................................................................................16-6
16.4.8 Setting the Flow Rate..................................................................................................................................................................16-6
16.4.9 Setting up the CO2Wave............................................................................................................................................................16-7
16.5 Setting RR Source.......................................................................................................................................................................................16-7
16.6 Barometric Pressure Compensation....................................................................................................................................................16-7
16.7 Measurement Limitations.......................................................................................................................................................................16-8
16.8 Leakage test .................................................................................................................................................................................................16-8
16.9 Troubleshooting the Sidestream CO2Sampling System..............................................................................................................16-8
16.10 Removing Exhaust Gases from the System....................................................................................................................................16-9
16.11 Zeroing the Sensor..................................................................................................................................................................................16-9
16.12 Calibrating the Sensor.........................................................................................................................................................................16-10
16.13 Oridion Information.............................................................................................................................................................................16-10
17 Monitoring AG ...............................................................................................................................................................17-1
17.1 Introduction .................................................................................................................................................................................................17-1
17.2 Understanding the AG Display..............................................................................................................................................................17-2
17.3 MAC Values ...................................................................................................................................................................................................17-3
17.4 Preparing to Measure AG ........................................................................................................................................................................17-4
17.5 Changing AG Settings ..............................................................................................................................................................................17-5
17.5.1 Setting Gas Unit............................................................................................................................................................................17-5
17.5.2 Setting the Apnea Alarm Delay...............................................................................................................................................17-5
17.5.3 Changing the Sample Flow Rate ............................................................................................................................................17-5
17.5.4 Setting up the O2Compensation ...........................................................................................................................................17-5
17.5.5 Entering the Standby Mode .....................................................................................................................................................17-6
17.5.6 Setting up the AG Wave.............................................................................................................................................................17-6
17.5.7 Setting RR Source.........................................................................................................................................................................17-6
17.6 Changing the Anesthetic Agent...........................................................................................................................................................17-6
17.7 Measurement Limitations.......................................................................................................................................................................17-7
17.8 Troubleshooting .........................................................................................................................................................................................17-7
17.8.1 When the Gas Inlet is Blocked..................................................................................................................................................17-7

8 Passport12/Passport8Operator’sManual
17.8.2 When an Internal Occlusion Occurs......................................................................................................................................17-7
17.9 Removing Exhaust Gases from the System......................................................................................................................................17-7
18 Freezing Waveforms......................................................................................................................................................18-1
18.1 Freezing Waveforms..................................................................................................................................................................................18-1
18.2 Viewing Frozen Waveforms ....................................................................................................................................................................18-1
18.3 Unfreezing Waveforms.............................................................................................................................................................................18-2
18.4 Recording Frozen Waveforms................................................................................................................................................................18-2
19 Review............................................................................................................................................................................19-1
19.1 Accessing Respective Review Windows ............................................................................................................................................19-1
19.2 Reviewing Graphic Trends ......................................................................................................................................................................19-1
19.3 Reviewing Tabular Trends .......................................................................................................................................................................19-2
19.4 Reviewing Events.......................................................................................................................................................................................19-3
19.4.1 Marking Events .............................................................................................................................................................................19-3
19.4.2 Reviewing Events.........................................................................................................................................................................19-4
19.5 Reviewing Waveforms..............................................................................................................................................................................19-6
20 Calculations ...................................................................................................................................................................20-1
20.1 Introduction.................................................................................................................................................................................................20-1
20.2 Dose Calculations ......................................................................................................................................................................................20-2
20.2.1 Performing Calculations............................................................................................................................................................20-2
20.2.2 Selecting the Proper Drug Unit...............................................................................................................................................20-2
20.2.3 Titration Table................................................................................................................................................................................20-3
20.2.4 Drug Calculation Formulas.......................................................................................................................................................20-3
20.3 Oxygenation Calculations.......................................................................................................................................................................20-3
20.3.1 Performing Calculations............................................................................................................................................................20-3
20.3.2 Entered Parameters.....................................................................................................................................................................20-4
20.3.3 Calculated Parameters and Formulas...................................................................................................................................20-4
20.4 Ventilation Calculations...........................................................................................................................................................................20-5
20.4.1 Performing Calculations............................................................................................................................................................20-5
20.4.2 Entered Parameters.....................................................................................................................................................................20-5
20.4.3 Calculated Parameters and Formulas...................................................................................................................................20-6
20.5 Hemodynamic Calculations...................................................................................................................................................................20-6
20.5.1 Performing Calculations............................................................................................................................................................20-6
20.5.2 Entered Parameters.....................................................................................................................................................................20-7
20.5.3 Calculated Parameters and Formulas...................................................................................................................................20-7
20.6 Renal Calculations......................................................................................................................................................................................20-8
20.6.1 Performing Calculations............................................................................................................................................................20-8
20.6.2 Entered Parameters.....................................................................................................................................................................20-8
20.6.3 Calculated Parameters and Formulas...................................................................................................................................20-9
20.7 Understanding the Review Window...................................................................................................................................................20-9
21 Recording.......................................................................................................................................................................21-1
21.1 Using a Recorder........................................................................................................................................................................................21-1
21.2 Overview of Recording Types................................................................................................................................................................21-1

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21.3 Starting and Stopping Recordings ......................................................................................................................................................21-2
21.4 Setting up the Recorder...........................................................................................................................................................................21-2
21.4.1 Accessing the Record Setup Menu ........................................................................................................................................21-2
21.4.2 Selecting Waveforms for Recording ......................................................................................................................................21-2
21.4.3 Setting the Realtime Recording Length...............................................................................................................................21-3
21.4.4 Setting the Interval between Timed Recordings..............................................................................................................21-3
21.4.5 Changing the Recording Speed..............................................................................................................................................21-3
21.4.6 Clearing Recording Tasks...........................................................................................................................................................21-3
21.5 Loading Paper..............................................................................................................................................................................................21-3
21.6 Removing Paper Jam ................................................................................................................................................................................21-4
21.7 Cleaning the Recorder Printhead.........................................................................................................................................................21-4
22 Printing ..........................................................................................................................................................................22-1
22.1 Printer.............................................................................................................................................................................................................22-1
22.2 Connecting a printer.................................................................................................................................................................................22-1
22.3 Setting Up the Printer...............................................................................................................................................................................22-2
22.4 Starting Report Printouts ........................................................................................................................................................................22-2
22.5 Stopping Report Printouts......................................................................................................................................................................22-3
22.6 Setting Up Reports ....................................................................................................................................................................................22-3
22.6.1 Setting Up ECG Reports .............................................................................................................................................................22-3
22.6.2 Setting Up Tabular Trends Reports ........................................................................................................................................22-3
22.6.3 Setting Up Graphic Trends Reports .......................................................................................................................................22-4
22.6.4 Setting Up Realtime Reports....................................................................................................................................................22-4
22.7 End Case Reports........................................................................................................................................................................................22-4
22.8 Printer Statuses ...........................................................................................................................................................................................22-4
22.8.1 Printer Out of Paper.....................................................................................................................................................................22-4
22.8.2 Printer Status Messages.............................................................................................................................................................22-4
23 Other Functions............................................................................................................................................................. 23-1
23.1 Analog Output.............................................................................................................................................................................................23-1
23.2 Setting DIAP Baud Rate............................................................................................................................................................................23-1
23.3 Exporting the Log ......................................................................................................................................................................................23-1
23.4 Transferring Data........................................................................................................................................................................................23-1
23.4.1 Data Export System .....................................................................................................................................................................23-2
23.4.2 Transferring Data by Different Means...................................................................................................................................23-2
23.5 Nurse Call ......................................................................................................................................................................................................23-3
23.6 Network Setup ............................................................................................................................................................................................23-4
23.6.1 Setting the Network Type..........................................................................................................................................................23-4
23.6.2 Wireless Network Connection .................................................................................................................................................23-4
23.6.3 Certificates Maintenance...........................................................................................................................................................23-6
23.6.4 Setting the Central Stations......................................................................................................................................................23-6
23.6.5 Setting the Network Service Quality Level .........................................................................................................................23-7
23.6.6 Setting the Multicast Parameters ...........................................................................................................................................23-7
24 Batteries......................................................................................................................................................................... 24-1
24.1 Overview .......................................................................................................................................................................................................24-1

10 Passport12/Passport8Operator’sManual
24.2 Safety..............................................................................................................................................................................................................24-2
24.3 Battery Guidelines .....................................................................................................................................................................................24-2
24.4 Installing or Replacing a Battery...........................................................................................................................................................24-3
24.5 Charging a Battery.....................................................................................................................................................................................24-3
24.6 Conditioning a Battery.............................................................................................................................................................................24-4
24.7 Checking Battery Performance.............................................................................................................................................................24-5
24.8 Storing a Battery.........................................................................................................................................................................................24-5
24.9 Recycling a Battery....................................................................................................................................................................................24-6
25 Care and Cleaning .........................................................................................................................................................25-1
25.1 General Points .............................................................................................................................................................................................25-1
25.2 Cleaning ........................................................................................................................................................................................................25-2
25.3 Disinfecting..................................................................................................................................................................................................25-3
25.4 Sterilization ..................................................................................................................................................................................................25-3
26 User Maintenance .........................................................................................................................................................26-1
26.1 General Inspection ....................................................................................................................................................................................26-1
26.2 Maintenance and Testing Schedule ....................................................................................................................................................26-2
26.3 Checking Monitor and Module Information....................................................................................................................................26-3
26.4 ECG Verification ..........................................................................................................................................................................................26-3
26.5 NIBP Leakage Test......................................................................................................................................................................................26-3
26.6 CO2Leakage Test........................................................................................................................................................................................26-4
26.7 AG Tests..........................................................................................................................................................................................................26-5
26.7.1 AG Leakage Test............................................................................................................................................................................26-5
26.8 Calibrating the Touchscreen ..................................................................................................................................................................26-5
26.9 Entering/Exiting Demo Mode ...............................................................................................................................................................26-5
27 Accessories.....................................................................................................................................................................27-1
27.1 ECG Accessories..........................................................................................................................................................................................27-1
27.2 SpO2Accessories ........................................................................................................................................................................................27-4
27.3 NIBP Accessories.........................................................................................................................................................................................27-4
27.4 Temp Accessories.......................................................................................................................................................................................27-5
27.5 IBP/ICP Accessories....................................................................................................................................................................................27-6
27.6 C.O. Accessories..........................................................................................................................................................................................27-7
27.7 CO2Accessories...........................................................................................................................................................................................27-7
27.8 AG Accessories (for Passport 12 only).................................................................................................................................................27-8
27.9 Micellaneous Accessories .......................................................................................................................................................................27-8
A Product Specifications......................................................................................................................................................A-1
A.1 Monitor Safety Specifications....................................................................................................................................................................A-1
A.2 Power Supply Specifications......................................................................................................................................................................A-2
A.3 Physical Specifications .................................................................................................................................................................................A-2
A.4 Hardware Specifications..............................................................................................................................................................................A-3
A.5 Data Storage....................................................................................................................................................................................................A-5
A.6 Wireless Network............................................................................................................................................................................................A-5
A.7 Measurement Specifications .....................................................................................................................................................................A-6

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B EMC and Radio Regulatory Compliance..........................................................................................................................B-1
B.1 EMC......................................................................................................................................................................................................................B-1
B.2 Radio Regulatory Compliance ...................................................................................................................................................................B-5
C Default Configurations .....................................................................................................................................................C-1
C.1 Parameters Configuration ...........................................................................................................................................................................C-1
C.2 Routine Configuration............................................................................................................................................................................... C-12
C.3 User Maintenance Items ........................................................................................................................................................................... C-16
D Alarm Messages ............................................................................................................................................................... D-1
D.1 Physiological Alarm Messages ................................................................................................................................................................. D-1
D.2 Technical Alarm Messages ......................................................................................................................................................................... D-3
E Symbols and Abbreviations ............................................................................................................................................. E-1
E.1 Symbols..............................................................................................................................................................................................................E-1
E.2 Abbreviations................................................................................................................................................................................................... E-2

12 Passport12/Passport8Operator’sManual
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