Mindray BeneView T8 User manual

BeneView T8
Patient Monitor
Operation Manual

I
CE Marking
The product bears CE mark indicating its conformity with the provisions of the Council
Directive 93/42/EEC concerning medical devices and fulfils the essential requirements of
Annex I of this directive.
The product is in radio-interference protection class A in accordance with EN55011.
The product complies with the requirement of standard EN60601-1-2 “Electromagnetic
Compatibility – Medical Electrical Equipment”.
Revision History
This manual has a revision number. This revision number changes whenever the manual is
updated due to software or technical specification change. Contents of this manual are
subject to change without prior notice. Revision 1.0 is the initial release of the document.
Revision number: 1.0
Release time: September 2006
© Copyright 2006 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
WARNING
zFederal Law (USA) restricts this device to sale by or on the order of a physician.

II
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called
Mindray) owns the intellectual property rights to this 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 does not assume any
liability arising out of any infringements of patents or other rights of third parties.
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,
rent, 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.
Contents of this manual are subject to changes without prior notice.

III
Manufacturer’s Responsibility
All information contained in this manual is believed to be correct. Mindray shall not be
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 safety, reliability and performance of this product only in the
condition that:
All installation operations, expansions, changes, modifications and repairs of this
product are conducted by Mindray authorized personnel; and
The electrical installation of the relevant room complies with the applicable national
and local requirements; and
This product is operated under strict observance of this manual.
Warranty
This warranty is exclusive and is in lieu of all other warranties, expressed or implied,
including warranties of merchantability or fitness for any particular purpose.
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 shall not extend to
Any Mindray product which has been subjected to misuse, negligence or accident; or
Any Mindray product from which Mindray's original serial number tag or product
identification markings have been altered or removed; or
Any product of any other manufacturer.

IV
Return Policy
In the event that it becomes necessary to return a unit to Mindray, follow the instructions
below.
1. Obtain a return authorization.
Contact the Mindray Service Department and obtain a Mindray Customer Service
Authorization Number. The Mindray Customer Service Authorization Number must appear
on the outside of the shipping container. Return shipments will not be accepted if the
Mindray Customer Service Authorization Number is not clearly visible. Please provide the
model number, serial number, and a brief description of the reason for return.
2. Freight policy
The customer is responsible for freight charges when this product is shipped to Mindray for
service (including any relevant customs fees or other freight related charges).
3. Return address
Please send the part(s) or equipment to the address offered by Customer Service
Department.
Contact Information
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
Tel: [phone] [phone]
Fax: [phone] [phone]
Website: www.mindray.com
EC-Representative: Shanghai International Holding Corp. GmbH (Europe)
Address: Eiffestraße 80, 20537 Hamburg Germany
Tel: [phone]
Fax: [phone]

1
Preface
Manual Purpose
This manual contains the instructions necessary to operate the Patient Monitor 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 monitor. If you have any question, please contact us.
This manual is an integral part of the product. It should always be kept close to the
equipment so that it can be obtained conveniently when needed.
Intended Audience
This manual is geared for clinical professionals who are expected to have a working
knowledge of medical procedures, practices and terminology as required for monitoring of
critically ill patients.
Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect
your monitoring setup or data displayed on your patient monitor.
Conventions
Italic text is used in this manual to quote the referenced chapters or sections.
[ ] is used to enclose screen texts.
→is used to indicate operational procedures.

2
FOR YOUR NOTES

1
Contents
1 Safety................................................................................................................................. 1-1
1.1 Safety Information ..........................................................................................................1-1
1.1.1 Dangers .............................................................................................................. 1-2
1.1.2 Warnings ............................................................................................................ 1-2
1.1.3 Cautions ............................................................................................................. 1-3
1.1.4 Notes .................................................................................................................. 1-3
1.2 Equipment Symbols ........................................................................................................ 1-4
1.3 Reference Literature........................................................................................................1-5
2 The Basics ......................................................................................................................... 2-1
2.1 Monitor Description........................................................................................................ 2-1
2.1.1 Intended Use ...................................................................................................... 2-1
2.1.2 Contraindications ............................................................................................... 2-1
2.1.3 Components ....................................................................................................... 2-1
2.2 Main Unit........................................................................................................................ 2-2
2.2.1 Front View.......................................................................................................... 2-2
2.2.2 Side View ........................................................................................................... 2-4
2.2.3 Bottom View ...................................................................................................... 2-4
2.2.4 Rear View........................................................................................................... 2-5
2.3 Satellite Module Rack..................................................................................................... 2-7
2.4 Modules........................................................................................................................... 2-8
2.4.1 Plug-In Modules................................................................................................. 2-8
2.4.2 Multi-Parameter Module.................................................................................... 2-9
2.5 Display Screen ..............................................................................................................2-10
2.6 QuickKeys..................................................................................................................... 2-12
3 Basic Operations ..............................................................................................................3-1
3.1 Installation....................................................................................................................... 3-1
3.1.1 Unpacking and Checking ................................................................................... 3-2
3.1.2 Environmental Requirements............................................................................. 3-3
3.2 Getting Started ................................................................................................................ 3-4
3.2.1 Turning Power On .............................................................................................. 3-4
3.2.2 Starting Monitoring............................................................................................ 3-4
3.3 Disconnecting from Power.............................................................................................. 3-5
3.4 Using a Mice ................................................................................................................... 3-6
3.5 Using Keyboards.............................................................................................................3-7
3.6 Using the Touchscreen .................................................................................................... 3-7
3.7 Using the Main Menu ..................................................................................................... 3-8
3.8 Using a CF Storage Card................................................................................................. 3-9

Contents
2
3.9 Changing General Settings............................................................................................ 3-10
3.9.1 Setting up a Monitor......................................................................................... 3-10
3.9.2 Changing Language ......................................................................................... 3-10
3.9.3 Adjusting the Screen Brightness ...................................................................... 3-10
3.9.4 Showing/Hiding the Help..................................................................................3-11
3.9.5 Setting the Date and Time .................................................................................3-11
3.9.6 Adjusting Volume............................................................................................. 3-12
3.10 Default Configurations................................................................................................ 3-13
3.10.1 Restoring the Factory Default Configuration................................................. 3-13
3.10.2 Saving Current Configuration as User Default Configuration....................... 3-13
3.10.3 Loading a User Default Configuration........................................................... 3-14
3.10.4 Deleting a User Default Configuration .......................................................... 3-14
4 Managing Patients............................................................................................................ 4-1
4.1 Admitting a Patient.......................................................................................................... 4-1
4.2 Quick Admitting a Patient............................................................................................... 4-2
4.3 Editing Patient Information............................................................................................. 4-3
4.4 Discharging a Patient ...................................................................................................... 4-3
4.5 Connecting to a Central Monitoring System................................................................... 4-4
5 User Screens...................................................................................................................... 5-1
5.1 Tailoring Your Screens .................................................................................................... 5-1
5.1.1 Setting the Waveform Sweep Mode................................................................... 5-1
5.1.2 Changing the Wave Line Size ............................................................................ 5-1
5.1.3 Changing Measurement Colors.......................................................................... 5-1
5.1.4 Selecting Measurement Parameters ................................................................... 5-2
5.1.5 Substituting or Adding a Wave........................................................................... 5-2
5.1.6 Changing Screen Layout .................................................................................... 5-2
5.2 Viewing Minitrends......................................................................................................... 5-3
5.2.1 Having a Split-Screen View of Minitrends ........................................................ 5-3
5.2.2 Changing Minitrend Length............................................................................... 5-4
5.2.3 Changing a Parameter for Viewing .................................................................... 5-4
5.3 Viewing oxyCRG ............................................................................................................ 5-5
5.4 Viewing Other Patients ................................................................................................... 5-6
5.4.1 Care Group......................................................................................................... 5-6
5.4.2 Understanding the View Other Patient Window ................................................ 5-6
5.5 Understanding the Big Numerics Screen ........................................................................ 5-8
6 Alarms............................................................................................................................... 6-1
6.1 Alarm Categories............................................................................................................. 6-1
6.2 Alarm Levels ................................................................................................................... 6-2
6.3 Alarm Indicators.............................................................................................................. 6-3
6.3.1 Alarm Lamp ....................................................................................................... 6-3
6.3.2 Alarm Message................................................................................................... 6-3

Contents
3
6.3.3 Flashing Numeric............................................................................................... 6-4
6.3.4 Audible Alarm Tones.......................................................................................... 6-4
6.3.5 Alarm Status Symbols ........................................................................................ 6-4
6.4 Alarm Tone Configuration .............................................................................................. 6-5
6.4.1 Changing the Alarm Volume .............................................................................. 6-5
6.4.2 Switching the Alarm Sound On/Off ................................................................... 6-5
6.4.3 Setting the Interval between Alarm Sounds ....................................................... 6-5
6.5 Using Alarms................................................................................................................... 6-6
6.5.1 Switching Individual Measurement Alarms On/Off........................................... 6-6
6.5.2 Setting the Alarm Level ..................................................................................... 6-6
6.5.3 Adjusting Alarm Limits...................................................................................... 6-6
6.5.4 Recording Alarms Automatically ....................................................................... 6-7
6.6 Pausing Alarms ............................................................................................................... 6-8
6.7 Silencing the System ....................................................................................................... 6-8
6.8 Latching Alarms.............................................................................................................. 6-8
6.9 Clearing Technical Alarms .............................................................................................. 6-9
6.10 When an Alarm Occurs ................................................................................................. 6-9
7 Monitoring ECG/Resp..................................................................................................... 7-1
7.1 Introduction..................................................................................................................... 7-1
7.2 Safety .............................................................................................................................. 7-2
7.3 Preparing to Monitor ECG .............................................................................................. 7-3
7.3.1 Preparing the Patient and Placing the Electrodes............................................... 7-3
7.3.2 Choosing AHA or IEC Lead Placement ............................................................. 7-4
7.3.3 ECG Lead Placements........................................................................................ 7-4
7.3.4 Checking Paced Status ....................................................................................... 7-7
7.4 Understanding the ECG Display..................................................................................... 7-8
7.5 Changing ECG Settings .................................................................................................. 7-9
7.5.1 Accessing ECG Menus....................................................................................... 7-9
7.5.2 Choosing the Alarm Source ............................................................................... 7-9
7.5.3 Choosing a 5-Lead ECG Display Screen ........................................................... 7-9
7.5.4 Changing the ECG Filter Settings.................................................................... 7-10
7.5.5 Switching the Notch Filter On or Off............................................................... 7-10
7.5.6 Switching Defibrillator Synchronization On/Off ..............................................7-11
7.5.7 Changing ECG Wave Settings ..........................................................................7-11
7.5.8 Choosing the Heart Rate Source ...................................................................... 7-12
7.6 About ST Monitoring .................................................................................................... 7-13
7.6.1 Switching ST On and Off................................................................................. 7-13
7.6.2 Changing the ST Alarm Limits ........................................................................ 7-14
7.6.3 Adjusting ST Measurement Points................................................................... 7-14
7.7 About Arrhythmia Monitoring ...................................................................................... 7-15
7.7.1 Switching Arrhythmia Analysis On and Off .................................................... 7-15
7.7.2 Changing Arrhythmia Alarm Settings .............................................................. 7-15
7.7.3 Initiating Arrhythmia Relearning Manually..................................................... 7-15

Contents
4
7.7.4 Automatic Arrhythmia Relearn ........................................................................ 7-15
7.7.5 Reviewing Arrhythmia Events ......................................................................... 7-16
7.8 12-Lead ECG Monitoring ............................................................................................. 7-17
7.8.1 Entering the 12-lead ECG Analysis Program................................................... 7-17
7.8.2 12-Lead ECG Analysis..................................................................................... 7-18
7.8.3 Reviewing 12-Lead ECG Analysis Results...................................................... 7-19
7.9 Monitoring Respiration (Resp) ..................................................................................... 7-20
7.9.1 Understanding the Resp Display...................................................................... 7-20
7.9.2 Placing Resp Electrodes................................................................................... 7-20
7.9.3 Choosing the Respiration Lead ........................................................................ 7-21
7.9.4 Changing the Apnea Alarm Delay.................................................................... 7-21
7.9.5 Changing Resp Detection Mode ...................................................................... 7-21
7.9.6 Changing Resp Wave Settings ......................................................................... 7-22
8 Monitoring SpO2.............................................................................................................. 8-1
8.1 Introduction..................................................................................................................... 8-1
8.2 Safety .............................................................................................................................. 8-2
8.3 Identifying SpO2Modules............................................................................................... 8-3
8.4 Applying the Sensor ........................................................................................................ 8-3
8.5 Changing SpO2Settings.................................................................................................. 8-4
8.5.1 Accessing SpO2Menus ...................................................................................... 8-4
8.5.2 Adjusting the Desat Alarm Limit ....................................................................... 8-4
8.5.3 Setting SpO2Sensitivity..................................................................................... 8-4
8.5.4 Monitoring SpO2and NIBP Simultaneously...................................................... 8-5
8.5.5 Sat-Seconds Alarm Management ....................................................................... 8-5
8.5.6 Setting the Pulse Rate......................................................................................... 8-7
8.5.7 Changing the Speed of the Pleth Wave .............................................................. 8-7
8.6 Masimo Information ....................................................................................................... 8-8
8.7 Nellcor Information.........................................................................................................8-8
9 Monitoring NIBP.............................................................................................................. 9-1
9.1 Introduction..................................................................................................................... 9-1
9.2 Safety .............................................................................................................................. 9-2
9.3 Measurement Limitations................................................................................................ 9-2
9.4 Measurement Methods.................................................................................................... 9-3
9.5 Setting Up the NIBP Measurement ................................................................................. 9-3
9.5.1 Preparing to Measure NIBP ............................................................................... 9-3
9.5.2 Starting and Stopping Measurements................................................................. 9-3
9.5.3 Correcting the Measurement if Limb is not at Heart Level................................ 9-4
9.5.4 Enabling NIBP Auto Cycling and Setting the Interval....................................... 9-4
9.5.5 Starting a STAT Measurement............................................................................ 9-4
9.6 Understanding the NIBP Numerics................................................................................. 9-5
9.7 Changing NIBP Settings ................................................................................................. 9-6
9.7.1 Choosing NIBP Alarm Source ........................................................................... 9-6

Contents
5
9.7.2 Displaying NIBP Measurements........................................................................ 9-6
9.7.3 Setting the Pressure Unit.................................................................................... 9-7
9.8 Assisting Venous Puncture .............................................................................................. 9-7
9.9 Resetting NIBP ............................................................................................................... 9-7
9.10 NIBP Leakage Test........................................................................................................ 9-7
9.11 NIBP Accuracy Test ...................................................................................................... 9-8
9.12 Calibrating NIBP...........................................................................................................9-9
10 Monitoring Temp.......................................................................................................... 10-1
10.1 Introduction................................................................................................................. 10-1
10.2 Safety .......................................................................................................................... 10-1
10.3 Making a Temp Measurement..................................................................................... 10-2
10.4 Understanding the Temp Display................................................................................ 10-2
10.5 Setting the Temperature Unit ...................................................................................... 10-2
11 Monitoring IBP..............................................................................................................11-1
11.1 Introduction ..................................................................................................................11-1
11.2 Safety ...........................................................................................................................11-1
11.3 Setting Up the Pressure Measurement..........................................................................11-2
11.4 Understanding the IBP Display ....................................................................................11-3
11.5 Changing IBP Settings .................................................................................................11-4
11.5.1 Changing a Pressure for Monitoring ...............................................................11-4
11.5.2 Defining Pressure Labels.................................................................................11-4
11.5.3 Choosing the Pressure Alarm Source ..............................................................11-4
11.5.4 Setting the Pressure Unit .................................................................................11-5
11.5.5 Setting Up the IBP Wave.................................................................................11-5
11.6 Zeroing the Transducer.................................................................................................11-5
11.7 Making the Pressure Calibration ..................................................................................11-6
12 Monitoring Cardiac Output........................................................................................ 12-1
12.1 Introduction................................................................................................................. 12-1
12.2 Understanding the C.O. Display ................................................................................. 12-2
12.3 Influencing Factors ..................................................................................................... 12-2
12.4 Setting Up the C.O. Measurement .............................................................................. 12-3
12.5 Measuring the Blood Temperature.............................................................................. 12-6
12.6 Changing C.O. Settings............................................................................................... 12-6
12.6.1 Setting the Temperature Unit ......................................................................... 12-6
12.6.2 Setting the Interval between Measurements................................................... 12-6
13 Monitoring Carbon Dioxide........................................................................................ 13-1
13.1 Introduction................................................................................................................. 13-1
13.2 Identifying CO2Modules ............................................................................................ 13-2
13.3 Preparing to Measure CO2.......................................................................................... 13-3
13.3.1 Using a Sidestream CO2Module ................................................................... 13-3

Contents
6
13.3.2 Using a Microstream CO2Module................................................................. 13-4
13.3.3 Using a Mainstream CO2Module .................................................................. 13-5
13.4 Changing CO2Settings ............................................................................................... 13-6
13.4.1 Accessing CO2Menus.................................................................................... 13-6
13.4.2 Changing the Operating Mode ....................................................................... 13-6
13.4.3 Setting the Pressure Unit ................................................................................ 13-6
13.4.4 Setting up CO2Compensations ...................................................................... 13-7
13.4.5 Humidity Compensation for Side/Microsctream CO2Readings.................... 13-7
13.4.6 Setting the Apnea Alarm Delay...................................................................... 13-8
13.4.7 Choosing a Time Interval for Peak-Picking ................................................... 13-8
13.4.8 Setting up the CO2Wave................................................................................ 13-8
13.4.9 Setting the Automatic Standby Time.............................................................. 13-9
13.5 Troubleshooting the Sidestream CO2Sampling System ............................................. 13-9
13.6 Removing Exhaust Gases from the System ................................................................ 13-9
13.7 Zeroing the Sensor .................................................................................................... 13-10
13.7.1 For Sidestream and Microstream CO2Modules........................................... 13-10
13.7.2 For Mainstream CO2Modules ..................................................................... 13-10
13.8 Calibrating the Sensor................................................................................................13-11
13.9 Oridion Information ...................................................................................................13-11
14 Monitoring AG ............................................................................................................. 14-1
14.1 Introduction................................................................................................................. 14-1
14.2 Identifying AG Modules ............................................................................................. 14-1
14.3 Understanding the AG Display ................................................................................... 14-2
14.4 Connecting AG Accessories........................................................................................ 14-3
14.5 Changing AG Settings................................................................................................. 14-4
14.5.1 Accessing AG Menus ..................................................................................... 14-4
14.5.2 Selecting an Anesthetic Gas for Monitoring .................................................. 14-4
14.5.3 Setting the Apnea Alarm Delay...................................................................... 14-4
14.5.4 Changing the Sample Flow Rate.................................................................... 14-4
14.5.5 Setting up the O2Compensation .................................................................... 14-5
14.5.6 Changing the Operating Mode ....................................................................... 14-5
14.5.7 Setting the Automatic Standby Time.............................................................. 14-5
14.5.8 Setting up the AG Wave ................................................................................. 14-5
14.6 Troubleshooting .......................................................................................................... 14-6
14.6.1 When the Gas Inlet is Blocked....................................................................... 14-6
14.6.2 When Internal Occlusions Occurs.................................................................. 14-6
14.7 Removing Exhaust Gases from the System ................................................................ 14-6
15 Monitoring ICG............................................................................................................ 15-1
15.1 Introduction................................................................................................................. 15-1
15.2 Safety .......................................................................................................................... 15-1
15.3 Understanding ICG Parameters................................................................................... 15-2
15.3.1 Measured Parameters ..................................................................................... 15-2

Contents
7
15.3.2 Calculated Parameters.................................................................................... 15-2
15.4 Understanding the ICG Display.................................................................................. 15-3
15.5 ICG Limitations .......................................................................................................... 15-4
15.6 Preparing to Monitor ICG ........................................................................................... 15-4
15.6.1 Preparing the Patient ...................................................................................... 15-4
15.6.2 Placing ICG Sensors ...................................................................................... 15-5
15.6.3 Setting up the Patient Information ................................................................. 15-5
15.7 Changing ICG Settings ............................................................................................... 15-6
15.7.1 ICG Averaging ............................................................................................... 15-6
15.7.2 Selecting Secondary Parameters .................................................................... 15-6
15.7.3 Checking Sensors ........................................................................................... 15-6
15.7.4 Changing the ICG Wave Speed...................................................................... 15-6
16 Monitoring BIS............................................................................................................. 16-1
16.1 Introduction................................................................................................................. 16-1
16.2 Safety Information ...................................................................................................... 16-2
16.3 Understanding the BIS Display................................................................................... 16-3
16.4 Setting up the BIS Measurement................................................................................. 16-4
16.5 Continuous Impedance Check..................................................................................... 16-5
16.6 Cyclic Impedance Check............................................................................................. 16-6
16.7 BIS Sensor Check Window......................................................................................... 16-7
16.8 Choosing the BIS Smoothing Rate ............................................................................. 16-8
16.9 Setting up the EEG Wave............................................................................................ 16-8
17 Monitoring RM ............................................................................................................ 17-1
17.1 Introduction................................................................................................................. 17-1
17.2 Safety Information ...................................................................................................... 17-3
17.3 Preparing to Monitor RM............................................................................................ 17-4
17.4 Understanding the RM Display................................................................................... 17-5
17.5 Changing RM Settings ................................................................................................ 17-6
17.5.1 Accessing RM Menus .................................................................................... 17-6
17.5.2 Setting the Apnea Alarm Delay...................................................................... 17-6
17.5.3 Selecting TV or MV for Display.................................................................... 17-6
17.5.4 Selecting Flow or Vol Waveform for Display ................................................ 17-6
17.5.5 Changing the Wave Sweep Speed .................................................................. 17-6
17.5.6 Changing the Wave Scale............................................................................... 17-7
17.6 Understanding the Respiratory Loops......................................................................... 17-8
17.7 Zeroing the RM Module.............................................................................................. 17-9
17.8 Calibrating the Flow Sensor........................................................................................ 17-9
18 Freezing Waveforms .................................................................................................... 18-1
18.1 Freezing Waveforms ................................................................................................... 18-1
18.2 Viewing Frozen Waveforms........................................................................................ 18-1
18.3 Unfreezing Waveforms ............................................................................................... 18-2

Contents
8
18.4 Recording Frozen Waveforms..................................................................................... 18-2
19 Review........................................................................................................................... 19-1
19.1 Accessing Respective Review Windows..................................................................... 19-1
19.2 Reviewing Graphic Trends.......................................................................................... 19-2
19.3 Reviewing Tabular Trends .......................................................................................... 19-4
19.4 Reviewing NIBP Measurements ................................................................................. 19-6
19.5 Reviewing Alarms....................................................................................................... 19-7
19.6 Reviewing Waveforms ................................................................................................ 19-8
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 ...................................................................... 20-3
20.2.3 Titration Table ................................................................................................ 20-4
20.3 Oxygenation Calculations ........................................................................................... 20-5
20.3.1 Performing Calculations................................................................................. 20-5
20.3.2 Entered Parameters......................................................................................... 20-6
20.3.3 Calculated Parameters.................................................................................... 20-6
20.4 Ventilation Calculations .............................................................................................. 20-7
20.4.1 Performing Calculations................................................................................. 20-7
20.4.2 Entered Parameters......................................................................................... 20-8
20.4.3 Calculated Parameters.................................................................................... 20-8
20.5 Hemodynamic Calculations ........................................................................................ 20-9
20.5.1 Performing Calculations................................................................................. 20-9
20.5.2 Entered Parameters....................................................................................... 20-10
20.5.3 Calculated Parameters...................................................................................20-11
20.6 Renal Calculations .................................................................................................... 20-12
20.6.1 Performing Calculations............................................................................... 20-12
20.6.2 Entered Parameters....................................................................................... 20-13
20.6.3 Calculated Parameters.................................................................................. 20-13
20.7 Understanding the Review Window.......................................................................... 20-14
21 Recording...................................................................................................................... 21-1
21.1 Using a Recorder......................................................................................................... 21-1
21.2 Overview of Recording Types..................................................................................... 21-2
21.3 Starting and Stopping Recordings............................................................................... 21-3
21.4 Setting up the Recorder............................................................................................... 21-4
21.4.1 Accessing the Record Setup Menu................................................................. 21-4
21.4.2 Selecting Waveforms for Recording .............................................................. 21-4
21.4.3 Setting the Realtime Recording Length ......................................................... 21-4
21.4.4 Setting the Interval between Timed Recordings............................................. 21-4
21.4.5 Changing the Recording Speed...................................................................... 21-4

Contents
9
21.4.6 Switching Gridlines On or Off ....................................................................... 21-5
21.4.7 Clearing Recording Tasks .............................................................................. 21-5
21.5 Loading Paper ............................................................................................................. 21-6
21.6 Removing Paper Jam .................................................................................................. 21-7
21.7 Cleaning the Recorder Printhead ................................................................................ 21-7
22 Other Functions............................................................................................................ 22-1
22.1 Marking Events ........................................................................................................... 22-1
22.2 Analog Output ............................................................................................................. 22-1
22.3 Nurse Call ................................................................................................................... 22-2
23 Batteries........................................................................................................................ 23-1
23.1 Overview..................................................................................................................... 23-1
23.2 Conditioning the Batteries........................................................................................... 23-2
23.3 Checking the Batteries ................................................................................................ 23-3
23.4 Installing the Batteries................................................................................................. 23-3
23.5 Recycling the Batteries ............................................................................................... 23-4
24 Care and Cleaning........................................................................................................ 24-1
24.1 General Points.............................................................................................................24-1
24.2 Cleaning ...................................................................................................................... 24-2
24.3 Disinfecting................................................................................................................. 24-2
25 Maintenance ................................................................................................................. 25-1
25.1 Safety Checks..............................................................................................................25-1
25.2 Service Tasks............................................................................................................... 25-2
25.3 Checking Monitor and Module Information ............................................................... 25-3
25.4 Calibrating ECG.......................................................................................................... 25-3
25.5 Calibrating the Touchscreen........................................................................................ 25-3
25.6 Calibrating CO2........................................................................................................... 25-4
25.7 Calibrating AG ............................................................................................................ 25-5
25.8 Setting up IP Address .................................................................................................. 25-6
25.9 Entering/Exiting Demo Mode..................................................................................... 25-6
26 Accessories .................................................................................................................... 26-1
26.1 ECG Accessories......................................................................................................... 26-2
26.2 SpO2Accessories ........................................................................................................ 26-3
26.3 NIBP Accessories........................................................................................................ 26-5
26.4 Temp Accessories........................................................................................................ 26-6
26.5 IBP/ICP Accessories ................................................................................................... 26-6
26.6 C.O. Accessories ......................................................................................................... 26-7
26.7 CO2Accessories.......................................................................................................... 26-7
26.8 AG Accessories ........................................................................................................... 26-9
26.9 ICG Accessories.......................................................................................................... 26-9

Contents
10
26.10 BIS Accessories......................................................................................................... 26-9
26.11 RM Accessories......................................................................................................... 26-9
26.12 Others...................................................................................................................... 26-10
A Product Specifications.....................................................................................................A-1
A.1 Monitor Safety Specifications........................................................................................A-1
A.2 Physical Specifications...................................................................................................A-4
A.3 Hardware Specifications ................................................................................................A-5
A.4 Data Storage ...................................................................................................................A-8
A.5 Measurement Specifications ..........................................................................................A-9
B EMC..................................................................................................................................B-1
C Factory Defaults..............................................................................................................C-1
C.1 Patient Demographics.....................................................................................................C-1
C.2 Alarm Setup....................................................................................................................C-1
C.3 Screen Setup...................................................................................................................C-1
C.4 ECG Setup......................................................................................................................C-2
C.5 Resp Setup......................................................................................................................C-3
C.6 SpO2 Setup......................................................................................................................C-4
C.7 NIBP Setup.....................................................................................................................C-5
C.8 Temp Setup.....................................................................................................................C-5
C.9 IBP Setup........................................................................................................................C-6
C.10 C.O. Setup ....................................................................................................................C-7
C.11 CO2 Setup .....................................................................................................................C-8
C.12 AG Setup ......................................................................................................................C-9
C.13 ICG Setup...................................................................................................................C-10
C.14 BIS Setup....................................................................................................................C-11
C.15 RM Setup....................................................................................................................C-12
D Alarm Messages...............................................................................................................D-1
D.1 Physiological Alarm Messages.......................................................................................D-2
D.2 Technical Alarm Messages.............................................................................................D-3
E Symbols andAbbreviations............................................................................................E-1
E.1 Symbols .......................................................................................................................... E-1
E.2 Abbreviations.................................................................................................................. E-3

1-1
1 Safety
1.1 Safety Information
DANGER
zIndicates an imminent hazard that, if not avoided, will result in death or serious
injury.
WARNING
zIndicates a potential hazard or unsafe practice that, if not avoided, could result in
death or serious injury.
CAUTION
zIndicates a potential hazard or unsafe practice that, if not avoided, could result in
minor personal injury or product/property damage.
NOTE
zProvides application tips or other useful information to ensure that you get the
most from your product.

Safety
1-2
1.1.1 Dangers
There are no dangers that refer to the product in general. Specific “Danger” statements may
be given in the respective sections of this manual.
1.1.2 Warnings
WARNINGS
zBefore putting the system into operation, the operator must verify that the
equipment, connecting cables and accessories are in correct working order and
operating condition.
zThe equipment must be connected to a properly installed power outlet with
protective earth contacts only. If the installation does not provide for a protective
earth conductor, disconnect it from the power line and operate it on battery power,
if possible.
zTo avoid explosion hazard, do not use the equipment in the presence of flammable
anesthetics, vapors or liquids.
zDo not open the equipment housings. All servicing and future upgrades must be
carried out by the personnel trained and authorized by our company only.
zWhen using the equipment with electrosurgical units (ESU), make sure the patient
is safe.
zDo not come into contact with patients during defibrillation. Otherwise serious
injury or death could result.
zDo not rely exclusively on the audible alarm system for patient monitoring.
Adjustment of alarm volume to a low level or off may result in a hazard to the
patient. Remember that alarm settings should be customized according to different
patient situations and always keeping the patient under close surveillance is the
most reliable way for safe patient monitoring.
zThe physiological data and alarm messages displayed on the equipment are for
reference only and cannot be directly used as the basis for clinical treatment.
zTo avoid inadvertent disconnection, route all cables in a way to prevent a
stumbling hazard. Wrap and secure excess cabling to reduce risk of entanglement
or strangulation by patients or personnel.
zDispose of the package material, observing the applicable waste control regulations
and keeping it out of children’s reach.