Shenzhen Mindray Bio-Medical Electronics BeneHeart D6 User manual

BeneHeart D6/BeneHeart D5
Defibrillator/Monitor
Operator’s Manual

Defibrillator/Monitor Operator’s Manual I
© Copyright 2017-2020 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
■Release time: 2020-09
■Revision: 9.0

II Defibrillator/Monitor Operator’s Manual
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.
Responsibility on the Manufacturer Party
Contents of this manual are subject to changes without prior notice.
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 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
•This equipment must be operated by skilled/trained clinical professionals.
•It is important for the hospital or organization that employs this equipment to carry out a
reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal
injury.

Defibrillator/Monitor Operator’s Manual III
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:
■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 such as fire and earthquake.
■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 enough.
■Others not caused by instrument or part itself.
Company Contact
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address: Mindray Building, Keji 12th Road South, High-tech industrial park, Nanshan,
Shenzhen 518057, P.R.China
Website: www.mindray.com
E-mail Address: [e-mail]
Tel: [phone]
Fax: [phone]
EC-Representative: Shanghai International Holding Corp. GmbH (Europe)
Address: Eiffestraβe 80, 20537 Hamburg, Germany
Tel: [phone]
Fax: [phone]

IV Defibrillator/Monitor Operator’s Manual
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 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 the setup or data
displayed on your equipment.
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.

Defibrillator/Monitor Operator’s Manual 1
Contents
1 Safety ..................................................................................................................................................................................1 - 1
1.1 Safety Information ..........................................................................................................................................................................................1 - 1
1.1.1 Dangers .................................................................................................................................................................................................1 - 1
1.1.2 Warnings ..............................................................................................................................................................................................1 - 1
1.1.3 Cautions ................................................................................................................................................................................................1 - 2
1.1.4 Notes ......................................................................................................................................................................................................1 - 3
1.2 Equipment Symbols .......................................................................................................................................................................................1 - 3
2 The Basics ...........................................................................................................................................................................2 - 1
2.1 Equipment Introduction ...............................................................................................................................................................................2 - 1
2.2 Intended Use .....................................................................................................................................................................................................2 - 1
2.2.1 AED .........................................................................................................................................................................................................2 - 2
2.2.2 Manual Defibrillation .......................................................................................................................................................................2 - 2
2.2.3 Noninvasive Pacing ..........................................................................................................................................................................2 - 2
2.2.4 ECG .........................................................................................................................................................................................................2 - 2
2.2.5 Resp ........................................................................................................................................................................................................2 - 2
2.2.7SpO2........................................................................................................................................................................................................................................................ 2- 2
2.2.8NIBP ........................................................................................................................................................................................................2 - 2
2.2.9Temp ......................................................................................................................................................................................................2 - 2
2.2.10 IBP ........................................................................................................................................................................................................2 - 2
2.2.11CO2........................................................................................................................................................................................................................................................ 2- 2
2.2.12CPR Feedback ...................................................................................................................................................................................2 - 2
2.3 Applied Parts .....................................................................................................................................................................................................2 - 3
2.4 Main Unit ............................................................................................................................................................................................................2 - 3
2.4.1 Front View ............................................................................................................................................................................................2 - 3
2.4.2 Left View ...............................................................................................................................................................................................2 - 7
2.4.3 Right View ............................................................................................................................................................................................2 - 8
2.4.4 Rear View ..............................................................................................................................................................................................2 - 9
2.5 External Paddles ............................................................................................................................................................................................2 - 10
2.6 Display Views .................................................................................................................................................................................................2 - 11
3 Basic Operations and Settings .........................................................................................................................................3 - 1
3.1 Equipment Installation ..................................................................................................................................................................................3 - 1
3.1.1 Unpacking and Checking ...............................................................................................................................................................3 - 1
3.1.2 Environmental Requirements .......................................................................................................................................................3 - 1
3.2 Basic Operation ................................................................................................................................................................................................3 - 2
3.2.1 Connecting the AC Mains ...............................................................................................................................................................3 - 2
3.2.2 Installing the Battery ........................................................................................................................................................................3 - 2
3.2.3 Turning On the Equipment ............................................................................................................................................................3 - 2
3.2.4 Starting Monitoring or Therapy ...................................................................................................................................................3 - 3
3.2.5 Using the Main Menu .......................................................................................................................................................................3 - 3
3.2.6 Using the Navigation knob ............................................................................................................................................................3 - 3
3.2.8Turning Off the Equipment ..........................................................................................................................................................3 - 4
3.2.9Auto Restoring to Last Configuration ........................................................................................................................................3 - 4
3.3 Changing General Settings ..........................................................................................................................................................................3 - 5
2.2.6PR.............................................................................................................................................................................................................2 - 2
3.2.7 Editing Current Patient Informaiton............................................................................................................................................3 - 4

2Defibrillator/Monitor Operator’s Manual
3.3.1 Setting the Date and Time .............................................................................................................................................................3 - 5
3.3.3 Changing Key Volume .....................................................................................................................................................................3 - 5
3.3.4 Selecting High Contrast Display ..................................................................................................................................................3 - 5
3.3.5 Adjusting Waveform Position ......................................................................................................................................................3 - 6
3.4 Analog Output .................................................................................................................................................................................................3 - 6
4 Alarms .................................................................................................................................................................................4 - 1
4.1 Alarm Categories .............................................................................................................................................................................................4 - 1
4.2 Alarm Levels ......................................................................................................................................................................................................4 - 1
4.3 Alarm Indicators ..............................................................................................................................................................................................4 - 2
4.3.1 Alarm Lamps .......................................................................................................................................................................................4 - 2
4.3.2 Audible Alarms ..................................................................................................................................................................................4 - 2
4.3.3 Alarm Messages .................................................................................................................................................................................4 - 2
4.3.4 Flashing Numerics ............................................................................................................................................................................4 - 3
4.3.5 Alarm Status Symbols ......................................................................................................................................................................4 - 3
4.4 Alarm Tone Configuration ...........................................................................................................................................................................4 - 3
4.4.1 Changing the Alarm Volume ........................................................................................................................................................4 - 3
4.4.2 Setting the Reminder Tones .........................................................................................................................................................4 - 3
4.4.3 Setting the Interval between Alarm Sounds ...........................................................................................................................4 - 3
4.5 Understanding the Alarm Setup Menu ...................................................................................................................................................4 - 4
4.5.1 Setting Alarm Properties for All Parameters ...........................................................................................................................4 - 4
4.5.2 Adjusting Alarm Limits Automatically ......................................................................................................................................4 - 4
4.6 Pausing Alarms ................................................................................................................................................................................................4 - 6
4.7 Switching Alarms Off .....................................................................................................................................................................................4 - 6
4.8 Switching Off Alarm Sounds .......................................................................................................................................................................4 - 7
4.9 Resetting Alarms .............................................................................................................................................................................................4 - 7
4.10 Latching Alarms ............................................................................................................................................................................................4 - 7
4.11 Clearing Technical Alarms .........................................................................................................................................................................4 - 8
4.12 Testing Alarms ...............................................................................................................................................................................................4 - 8
4.13 Actions When an Alarm Occurs ...............................................................................................................................................................4 - 8
5 Monitoring ECG .................................................................................................................................................................5 - 1
5.1 ECG Introduction .............................................................................................................................................................................................5 - 1
5.2 ECG Safety Information .................................................................................................................................................................................5 - 1
5.3 Monitoring View ..............................................................................................................................................................................................5 - 2
5.4 Preparing for ECG Monitoring and Measurement ..............................................................................................................................5 - 2
5.4.1 Preparing the Patient Skin .............................................................................................................................................................5 - 2
5.4.2 ECG Monitoring with Electrodes .................................................................................................................................................5 - 2
5.4.3 ECG Measurement with Electrode Pads ...................................................................................................................................5 - 4
5.4.4 ECG Measurement with External Paddles ................................................................................................................................5 - 5
5.4.5 Checking Paced Status ....................................................................................................................................................................5 - 5
5.5 ECG Display .......................................................................................................................................................................................................5 - 6
5.6 Changing ECG Settings .................................................................................................................................................................................5 - 6
5.6.1 Selecting the Lead Type .................................................................................................................................................................5 - 6
5.6.2 Choosing the ECG Standard ..........................................................................................................................................................5 - 6
5.6.3 Selecting the Lead of Displayed ECG Waveform ...................................................................................................................5 - 6
5.6.4 Setting the ECG Waveform Layout .............................................................................................................................................5 - 7
3.3.2 Adjusting the Screen Brightness .................................................................................................................................................3 - 5

Defibrillator/Monitor Operator’s Manual 3
5.6.5 Changing ECG Waveform Size ......................................................................................................................................................5 - 7
5.6.6 Changing ECG Waveform Speed .................................................................................................................................................5 - 7
5.6.7 Setting the ECG Filter .......................................................................................................................................................................5 - 7
5.6.8 Switching On or Off the Notch Filter ..........................................................................................................................................5 - 7
5.6.9 Adjusting the QRS Volume ............................................................................................................................................................5 - 8
5.7 Arrhythmia Analysis ........................................................................................................................................................................................5 - 8
5.7.1 Understanding the Arrhythmia Events .....................................................................................................................................5 - 8
5.7.2 Switching Arrhythmia Analysis On and Off .............................................................................................................................5 - 9
5.7.3 Changing Arrhythmia Alarm Settings ........................................................................................................................................5 - 9
5.7.4 Changing Arrhythmia Threshold Settings ............................................................................................................................5 - 10
5.7.5 Initiating Arrhythmia Relearning Manually ..........................................................................................................................5 - 10
5.7.6 Automatic Arrhythmia Relearn .................................................................................................................................................5 - 11
5.8 Calibrating ECG .............................................................................................................................................................................................5 - 11
5.9 ECG Troubleshooting ..................................................................................................................................................................................5 - 11
6 Resting 12-Lead ECG Analysis ..........................................................................................................................................6 - 1
6.1 Resting 12-Lead ECG Analysis Introduction ..........................................................................................................................................6 - 1
6.2 Placing 10-leadwire Electrodes ..................................................................................................................................................................6 - 1
6.3 Entering the 12-lead ECG Screen ...............................................................................................................................................................6 - 2
6.4 Changing 12-Lead ECG Analysis Settings ...............................................................................................................................................6 - 2
6.4.1 Selecting Patient Information Options ......................................................................................................................................6 - 2
6.4.2 Enabling Patient Information Input Prompt ...........................................................................................................................6 - 3
6.4.3 Changing the Filter Mode ..............................................................................................................................................................6 - 3
6.4.4 Setting the Baseline Drift Removal .............................................................................................................................................6 - 3
6.4.5 Setting Tachy and Brady Threshold ............................................................................................................................................6 - 3
6.4.6 Setting V3 Placement .......................................................................................................................................................................6 - 4
6.4.7 Selecting QTc Formula ....................................................................................................................................................................6 - 4
6.4.8 Setting 12-Lead ECG Report Content ........................................................................................................................................6 - 4
6.4.9 Setting 12-Lead ECG Format .........................................................................................................................................................6 - 4
6.5 Initiating Resting 12-lead ECG Analysis ...................................................................................................................................................6 - 5
6.6 Reviewing the12-Lead ECG Report ...........................................................................................................................................................6 - 5
6.7 Recording the 12-Lead ECG Report ..........................................................................................................................................................6 - 6
6.7.1 Recording Realtime 12-Lead ECG ................................................................................................................................................6 - 6
6.7.2 Recording the Stored 12-Lead ECG ............................................................................................................................................6 - 6
6.8 Transmitting the 12-Lead ECG Report .....................................................................................................................................................6 - 6
6.9 Exiting the 12-lead ECG Screen ..................................................................................................................................................................6 - 7
7 AED .....................................................................................................................................................................................7 - 1
7.1 AED Introduction .............................................................................................................................................................................................7 - 1
7.2 AED Safety Information .................................................................................................................................................................................7 - 1
7.3 AED View ............................................................................................................................................................................................................7 - 2
7.4 AED Procedure .................................................................................................................................................................................................7 - 2
7.5 Shock Advised ..................................................................................................................................................................................................7 - 3
7.6 No Shock Advised (NSA) ...............................................................................................................................................................................7 - 4
7.7 CPR ........................................................................................................................................................................................................................7 - 4
7.7.1 CPR Metronome .................................................................................................................................................................................7 - 4
7.8 AED Sound Recording ...................................................................................................................................................................................7 - 5

4Defibrillator/Monitor Operator’s Manual
7.9 AED Setup ..........................................................................................................................................................................................................7 - 5
8 Manual Defibrillation ........................................................................................................................................................8 - 1
8.1 Manual Defibrillation Introduction ...........................................................................................................................................................8 - 1
8.2 Manual Defibrillation Safety Information ...............................................................................................................................................8 - 1
8.3 Manual Defibrillation View ..........................................................................................................................................................................8 - 2
8.4 Manual Defibrillation Procedure ...............................................................................................................................................................8 - 3
8.4.1 Using Pediatric Paddles ..................................................................................................................................................................8 - 5
8.4.2 Using Internal Paddles ....................................................................................................................................................................8 - 5
8.5 Synchronized Cardioversion .......................................................................................................................................................................8 - 6
8.5.1 Performing Synchronized Cardioversion .................................................................................................................................8 - 7
8.5.2 Delivering Additional Synchronized Shocks ...........................................................................................................................8 - 7
8.5.3 Disabling the Sync Function .........................................................................................................................................................8 - 7
8.6 Remote Synchronized Cardioversion ......................................................................................................................................................8 - 8
8.7 Contact Impedance Indicator .....................................................................................................................................................................8 - 9
9 CPR Feedback .....................................................................................................................................................................9 - 1
9.1 CPR Feedback Introduction .........................................................................................................................................................................9 - 1
9.2 Operations with the CPR Sensor ................................................................................................................................................................9 - 1
9.2.1 Connecting the CPR Sensor ..........................................................................................................................................................9 - 1
9.2.2 Using CPR Filter .................................................................................................................................................................................9 - 2
9.2.3 Viewing CPR Feedback ...................................................................................................................................................................9 - 3
9.2.4 Reviewing CPR Events .....................................................................................................................................................................9 - 3
9.2.5 Uploading CPR Data ........................................................................................................................................................................9 - 4
10 Noninvasive Pacing .......................................................................................................................................................10 - 1
10.1 Pacing Introduction .................................................................................................................................................................................. 10 - 1
10.2 Pacing Safety Information ...................................................................................................................................................................... 10 - 1
10.3 Pacing View ................................................................................................................................................................................................. 10 - 2
10.4 Pacer Mode .................................................................................................................................................................................................. 10 - 2
10.5 Preparing for Pacing ................................................................................................................................................................................. 10 - 3
10.5.1 Demand Mode Pacing ............................................................................................................................................................... 10 - 3
10.5.2 Fixed Mode Pacing ...................................................................................................................................................................... 10 - 4
11 Monitoring Resp ............................................................................................................................................................11 - 1
11.1 Resp Introduction ...................................................................................................................................................................................... 11 - 1
11.2 Resp Safety Information .......................................................................................................................................................................... 11 - 1
11.3 Resp Display ................................................................................................................................................................................................ 11 - 1
11.4 Placing Resp Electrodes .......................................................................................................................................................................... 11 - 1
11.4.1 Optimizing Lead Placement for Resp ................................................................................................................................... 11 - 2
11.4.2 Changing Resp Settings ............................................................................................................................................................ 11 - 3
11.5 Resp Troubleshooting .............................................................................................................................................................................. 11 - 3
12 Monitoring PR ................................................................................................................................................................12 - 1
12.1 PR Introduction .......................................................................................................................................................................................... 12 - 1
12.2 Setting the PR Source ............................................................................................................................................................................... 12 - 1
12.3 Adjusting Pulse Tone Volume ............................................................................................................................................................... 12 - 1

Defibrillator/Monitor Operator’s Manual 5
13 Monitoring SpO2 .....................................................................................................................................................................................................13 - 1
13.1 SpO2Introduction .....................................................................................................................................................................................13 - 1
13.2 Identifying SpO2Modules ......................................................................................................................................................................13 - 1
13.3 SpO2Safety Information .........................................................................................................................................................................13 - 1
13.4 SpO2Measurement Limitations ...........................................................................................................................................................13 - 2
13.5 SpO2Display ...............................................................................................................................................................................................13 - 3
13.6 SpO2Monitoring Procedure ..................................................................................................................................................................13 - 4
13.7 Changing SpO2Settings ..........................................................................................................................................................................13 - 4
13.7.1 Changing the Speed of the Pleth Wave ...............................................................................................................................13 - 4
13.7.2 Monitoring SpO2and NIBP on the Same Limb ................................................................................................................13 - 4
13.7.3 Sat-Seconds Alarm Management (for Nellcor SpO2) ......................................................................................................13 - 4
13.7.4 Setting SpO2Sensitivity (for Mindray SpO2) ...................................................................................................................... 13 - 5
13.7.5 Setting SpO2Sensitivity (for Masimo SpO2) ....................................................................................................................... 13 - 5
13.7.6 Changing Averaging Time (for Masimo SpO2) ..................................................................................................................13 - 5
13.7.7 Enabling FastSAT (for Masimo SpO2) ....................................................................................................................................13 - 5
13.7.8 Displaying SIQ (for Masimo SpO2) .........................................................................................................................................13 - 5
13.7.9 Displaying PI (for Masimo SpO2) ............................................................................................................................................13 - 6
13.7.10 Setting the Alarm Delay Time (for Masimo SpO2) .........................................................................................................13 - 6
13.8 SpO2Desat Alarm ......................................................................................................................................................................................13 - 6
13.9 Pitch Tone .....................................................................................................................................................................................................13 - 6
13.10 SpO2Troubleshooting ...........................................................................................................................................................................13 - 6
13.11 Nellcor Information ................................................................................................................................................................................. 13 - 7
13.12 Masimo Information ...............................................................................................................................................................................13 - 7
13.13 Masimo End-User License Agreement .............................................................................................................................................13 - 8
14 Monitoring NIBP ............................................................................................................................................................14 - 1
14.1 NIBP Introduction ......................................................................................................................................................................................14 - 1
14.2 NIBP Safety Information ..........................................................................................................................................................................14 - 1
14.3 NIBP Measurement Limitations ............................................................................................................................................................14 - 2
14.4 Measurement Modes ................................................................................................................................................................................14 - 2
14.5 NIBP Display .................................................................................................................................................................................................14 - 2
14.6 NIBP Measurement Procedure .............................................................................................................................................................. 14 - 3
14.6.1 Preparing the Patient .................................................................................................................................................................14 - 3
14.6.2 Preparing for NIBP Measurement .......................................................................................................................................... 14 - 3
14.6.3 Starting and Stopping NIBP Measurements ......................................................................................................................14 - 3
14.6.4 Correcting the Measurement ..................................................................................................................................................14 - 3
14.6.5 Starting Auto NIBP Measurements ........................................................................................................................................ 14 - 3
14.6.6 Starting a STAT Measurement .................................................................................................................................................14 - 4
14.7 Setting Initial Cuff Inflation Pressure ..................................................................................................................................................14 - 4
14.8 Setting Pressure Unit ................................................................................................................................................................................14 - 4
14.9 NIBP Troubleshooting ..............................................................................................................................................................................14 - 4
15 Monitoring Temp ...........................................................................................................................................................15 - 1
15.1 Temperature Introduction ......................................................................................................................................................................15 - 1
15.2 Temperature Display ................................................................................................................................................................................15 - 1
15.3 Temp Measurement Procedure ............................................................................................................................................................15 - 1

6Defibrillator/Monitor Operator’s Manual
15.4 Setting the Temperature Unit ............................................................................................................................................................... 15 - 1
15.5 Temperature Troubleshooting ............................................................................................................................................................. 15 - 2
16 Monitoring IBP ...............................................................................................................................................................16 - 1
16.1 IBP Introduction ......................................................................................................................................................................................... 16 - 1
16.2 IBP Safety Information ............................................................................................................................................................................. 16 - 1
16.3 Zeroing IBP Transducer ........................................................................................................................................................................... 16 - 1
16.4 IBP Measurement Procedure ................................................................................................................................................................. 16 - 2
16.5 Understanding the IBP Display ............................................................................................................................................................. 16 - 3
16.6 Changing IBP Settings ............................................................................................................................................................................. 16 - 4
16.6.1 Changing a Pressure for Monitoring .................................................................................................................................... 16 - 4
16.6.2 Changing IBP Wave Settings ................................................................................................................................................... 16 - 4
16.6.3 Setting Pressure Unit .................................................................................................................................................................. 16 - 4
16.6.4 Setting IBP Filter ........................................................................................................................................................................... 16 - 4
16.7 IBP Troubleshooting ................................................................................................................................................................................. 16 - 4
17 Monitoring CO2 ........................................................................................................................................................................................................ 17 - 1
17.1 CO2Introduction ....................................................................................................................................................................................... 17 - 1
17.2 Identifying CO2Modules ........................................................................................................................................................................ 17 - 1
17.3 CO2Safety Information ........................................................................................................................................................................... 17 - 1
17.4 CO2Measurement Limitations ............................................................................................................................................................. 17 - 2
17.5 CO2Display .................................................................................................................................................................................................. 17 - 2
17.6 Preparing for Measuring CO2 ............................................................................................................................................................................................................17 - 3
17.6.1 Measuring CO2Using the Sidestream CO2Module ........................................................................................................ 17 - 3
17.6.2 Measuring CO2Using the Microstream CO2Module ..................................................................................................... 17 - 5
17.6.3 Zeroing the CO2 Sensor ............................................................................................................................................................. 17 - 5
17.7 Changing CO2Settings ............................................................................................................................................................................ 17 - 6
17.7.1 Changing CO2Alarm Settings ................................................................................................................................................ 17 - 6
17.7.2 Setting Pressure Unit .................................................................................................................................................................. 17 - 6
17.7.3 Changing CO2Wave Settings ................................................................................................................................................. 17 - 6
17.7.4 Changing CO2Operating Mode ............................................................................................................................................. 17 - 6
17.7.5 Setting the Auto Standby Time .............................................................................................................................................. 17 - 7
17.7.6 Setting the Apnea Alarm Delay .............................................................................................................................................. 17 - 7
17.7.7 Choosing a Time Interval for Peak-Picking ......................................................................................................................... 17 - 7
17.7.8 Selecting Gas Compensations ................................................................................................................................................ 17 - 7
17.7.9 Setting Humidity Compensation ........................................................................................................................................... 17 - 7
17.7.10 Barometric Pressure Compensation .................................................................................................................................. 17 - 8
17.8 Removing the Exhaust Gases from the System .............................................................................................................................. 17 - 8
17.9 CO2 Calibration ........................................................................................................................................................................................... 17 - 8
17.10 CO2Troubleshooting ............................................................................................................................................................................. 17 - 8
17.11 Oridion Information ............................................................................................................................................................................... 17 - 9
18 Marking Events ..............................................................................................................................................................18 - 1
19 Freezing Waveforms ......................................................................................................................................................19 - 1
19.1 Freezing Waveforms ................................................................................................................................................................................. 19 - 1
19.2 Reviewing Frozen Waveforms .............................................................................................................................................................. 19 - 1
19.3 Unfreezing Waveforms ............................................................................................................................................................................ 19 - 1

Defibrillator/Monitor Operator’s Manual 7
19.4 Recording Frozen Waveforms ...............................................................................................................................................................19 - 1
20 Review ............................................................................................................................................................................20 - 1
20.1 Reviewing Events .......................................................................................................................................................................................20 - 1
20.2 Reviewing Tabular Trends ......................................................................................................................................................................20 - 1
20.3 Reviewing 12-Lead Reports ....................................................................................................................................................................20 - 2
20.4 Reviewing CPR Events ..............................................................................................................................................................................20 - 2
21 Data Management .........................................................................................................................................................21 - 1
21.1 Data Management Overview .................................................................................................................................................................21 - 1
21.2 Generating Patient Data .......................................................................................................................................................................... 21 - 1
21.3Editing Archived Patient Information................................................................................................................................................. 21 - 1
21.4Reviewing Patient Events ........................................................................................................................................................................ 21 - 1
21.5Exporting Patient Data............................................................................................................................................................................. 21 - 1
22 Recording .......................................................................................................................................................................22 - 1
22.1 Using a Recorder ........................................................................................................................................................................................22 - 1
22.2 Recording Types ......................................................................................................................................................................................... 22 - 1
22.3 Starting Recordings ...................................................................................................................................................................................22 - 2
22.3.1 Manually Starting Recordings ................................................................................................................................................. 22 - 2
22.3.2 Automatic Recordings ............................................................................................................................................................... 22 - 2
22.4 Stopping Recordings ................................................................................................................................................................................ 22 - 2
22.4.1 Stopping Recordings Manually .............................................................................................................................................. 22 - 2
22.4.2 Stopping Recordings Automatically .....................................................................................................................................22 - 2
22.5 Setting the Recorder ................................................................................................................................................................................. 22 - 3
22.5.1 Selecting Waveforms for Recording .....................................................................................................................................22 - 3
22.5.2 Setting the Realtime Recording Length ..............................................................................................................................22 - 3
22.5.3 Changing the Recording Speed .............................................................................................................................................22 - 3
22.5.4 Switching Gridlines On or Off ..................................................................................................................................................22 - 3
22.6 Loading Paper .............................................................................................................................................................................................22 - 3
22.7 Removing Paper Jam ................................................................................................................................................................................22 - 4
22.8 Cleaning the Recorder Print Head .......................................................................................................................................................22 - 4
23 Network Connection .....................................................................................................................................................23 - 1
23.1 Network Introduction ...............................................................................................................................................................................23 - 1
23.2 General Network Settings .......................................................................................................................................................................23 - 1
23.2.1 Selecting a Network Type .........................................................................................................................................................23 - 1
23.2.2 Storing Preset Sites ..................................................................................................................................................................... 23 - 1
23.2.3 Setting DNS ....................................................................................................................................................................................23 - 1
23.3 Connecting the CMS .................................................................................................................................................................................23 - 2
23.4 Connecting the HL7 Server ....................................................................................................................................................................23 - 2
23.5 Connecting the FTP Server .....................................................................................................................................................................23 - 3
24 Configuration Management .........................................................................................................................................24 - 1
24.1 Configuration Management Introduction ........................................................................................................................................24 - 1
24.2 Modifying Configuration Management Password ........................................................................................................................24 - 1

8Defibrillator/Monitor Operator’s Manual
24.3 Viewing Configurations ........................................................................................................................................................................... 24 - 1
24.4 Exporting Configurations ....................................................................................................................................................................... 24 - 2
24.5 Importing Configurations ....................................................................................................................................................................... 24 - 2
24.6 Changing Configurations ....................................................................................................................................................................... 24 - 2
24.6.1 General Setup Menu ................................................................................................................................................................... 24 - 2
24.6.2 Manual Defib Setup Menu ....................................................................................................................................................... 24 - 3
24.6.3 AED Setup Menu .......................................................................................................................................................................... 24 - 4
24.6.4 Pacer Setup Menu ....................................................................................................................................................................... 24 - 5
24.6.5 CPR Setup Menu .......................................................................................................................................................................... 24 - 5
24.6.6 ECG Setup Menu .......................................................................................................................................................................... 24 - 6
24.6.7 12-Lead Setup Menu .................................................................................................................................................................. 24 - 8
24.6.8 Resp Setup Menu ......................................................................................................................................................................... 24 - 8
24.6.9 SpO2Setup Menu ........................................................................................................................................................................ 24 - 9
24.6.10 PR Setup Menu ...........................................................................................................................................................................24 - 9
24.6.11 NIBP Setup Menu ....................................................................................................................................................................24 - 10
24.6.12 CO2Setup Menu ......................................................................................................................................................................24 - 11
24.6.13 IBP Setup Menu .......................................................................................................................................................................24 - 12
24.6.14 Temp Setup Menu ..................................................................................................................................................................24 - 16
24.6.15 Alarm Setup Menu ..................................................................................................................................................................24 - 16
24.6.16 Waveform Setup Menu .........................................................................................................................................................24 - 17
24.6.17 Mark Event Setup Menu .......................................................................................................................................................24 - 18
24.6.18 Record Setup Menu ................................................................................................................................................................24 - 18
24.6.19 Data Management Setup Menu ........................................................................................................................................24 - 19
24.6.20 Test Setup Menu .....................................................................................................................................................................24 - 20
24.6.21 Network Setup .........................................................................................................................................................................24 - 20
24.6.22 Others Menu .............................................................................................................................................................................24 - 21
25 Battery ............................................................................................................................................................................25 - 1
25.1 Battery Introduction ................................................................................................................................................................................. 25 - 1
25.2 Battery Safety Information ..................................................................................................................................................................... 25 - 1
25.3 Installing the Battery ................................................................................................................................................................................ 25 - 2
25.4 Battery Alarms ............................................................................................................................................................................................ 25 - 2
25.4.1 No Battery Alarm ......................................................................................................................................................................... 25 - 2
25.4.2 Low Battery Alarm ....................................................................................................................................................................... 25 - 2
25.4.3 Battery Aged Alarm .................................................................................................................................................................... 25 - 2
25.4.4 Battery Error Alarm ..................................................................................................................................................................... 25 - 2
25.5 Conditioning the Battery ........................................................................................................................................................................ 25 - 3
25.6 Checking Battery Performance ............................................................................................................................................................. 25 - 3
25.7 Charging the Battery ................................................................................................................................................................................ 25 - 3
25.8 Storing Batteries ......................................................................................................................................................................................... 25 - 3
25.9 Recycling the Batteries ............................................................................................................................................................................ 25 - 4
26 Care and Cleaning .........................................................................................................................................................26 - 1
26.1 General Points ............................................................................................................................................................................................. 26 - 1
26.2 Cleaning ........................................................................................................................................................................................................ 26 - 2
26.3 Disinfecting .................................................................................................................................................................................................. 26 - 2
26.4 Sterilization .................................................................................................................................................................................................. 26 - 2
27 Maintenance ..................................................................................................................................................................27 - 1

Defibrillator/Monitor Operator’s Manual 9
27.1 Maintenance Introduction ......................................................................................................................................................................27 - 1
27.2 Maintenance Safety Information ..........................................................................................................................................................27 - 1
27.3 Routine Maintenance ...............................................................................................................................................................................27 - 1
27.3.1 Auto Test .........................................................................................................................................................................................27 - 2
27.3.2 User Test ..........................................................................................................................................................................................27 - 3
27.4 Function Checks .........................................................................................................................................................................................27 - 5
27.4.1 Recorder Check .............................................................................................................................................................................27 - 5
27.4.2 ECG Cable Test ..............................................................................................................................................................................27 - 5
27.4.3 Manual Defibrillation Test ........................................................................................................................................................27 - 5
27.4.4 Pacing Test ..................................................................................................................................................................................... 27 - 6
27.5 Preventive Maintenance .........................................................................................................................................................................27 - 7
27.5.1 Performing Tests in the Installation Mode .........................................................................................................................27 - 7
27.5.2 Electrical Safety Tests ................................................................................................................................................................. 27 - 7
28 Accessories .....................................................................................................................................................................28 - 1
28.1 ECG Accessories ..........................................................................................................................................................................................28 - 1
28.1.1 ECG Electrodes ..............................................................................................................................................................................28 - 1
28.1.2 12-pin Trunk Cable ...................................................................................................................................................................... 28 - 1
28.1.3 Lead Sets .........................................................................................................................................................................................28 - 2
28.1.4 Adapting Cable .............................................................................................................................................................................28 - 3
28.2 SpO2Accessories ........................................................................................................................................................................................28 - 3
28.2.1 Extension Cables ..........................................................................................................................................................................28 - 3
28.2.2 SpO2Sensors ................................................................................................................................................................................. 28 - 3
28.3 NIBP Accessories ........................................................................................................................................................................................28 - 4
28.3.1 NIBP Hoses ......................................................................................................................................................................................28 - 4
28.3.2 Cuffs ..................................................................................................................................................................................................28 - 5
28.4 Temp Accessories ......................................................................................................................................................................................28 - 5
28.4.1 Extension Cable ............................................................................................................................................................................28 - 5
28.4.2 Temp Probes ..................................................................................................................................................................................28 - 5
28.4.3 Adapting Cable .............................................................................................................................................................................28 - 5
28.5 IBP Accessories ............................................................................................................................................................................................28 - 6
28.6 CO2Accessories ..........................................................................................................................................................................................28 - 6
28.6.1 Microstream CO2Module .........................................................................................................................................................28 - 6
28.6.2 Sidestream CO2Module ............................................................................................................................................................28 - 7
28.7 Therapy Accessories ..................................................................................................................................................................................28 - 7
28.8 Miscellaneous ..............................................................................................................................................................................................28 - 8
A Specifications ....................................................................................................................................................................A - 1
A.1 General Specifications ..................................................................................................................................................................................A - 1
A.1.1 Safety Specifications .......................................................................................................................................................................A - 1
A.1.2 Physical Specifications ................................................................................................................................................................... A - 1
A.1.3 Display Specifications .................................................................................................................................................................... A - 1
A.1.4 Audio Indicators ...............................................................................................................................................................................A - 1
A.1.5 Interface Specifications ................................................................................................................................................................. A - 2
A.1.6 Signal Outputs Specifications .....................................................................................................................................................A - 2
A.2 Defibrillator Specifications .........................................................................................................................................................................A - 2
A.3 CPR Compression Specifications .............................................................................................................................................................. A - 5

10 Defibrillator/Monitor Operator’s Manual
A.4 Pacer Specifications ...................................................................................................................................................................................... A - 5
A.5 Monitor Specifications ................................................................................................................................................................................. A - 5
A.5.1 ECG Specifications (from ECG Lead Set) .................................................................................................................................. A - 5
A.5.2 ECG Specifications (from Defibrillation Electrodes) ............................................................................................................ A - 7
A.5.3 Resp Specifications ......................................................................................................................................................................... A - 9
A.5.4 SpO2Specifications ........................................................................................................................................................................ A - 9
A.5.5 PR Specifications ............................................................................................................................................................................A - 10
A.5.6 Temp Specifications .....................................................................................................................................................................A - 11
A.5.7 NIBP Specifications .......................................................................................................................................................................A - 11
A.5.8 IBP Specifications ...........................................................................................................................................................................A - 12
A.5.9 CO2Specifications .........................................................................................................................................................................A - 12
A.6 Power Supply Specifications ...................................................................................................................................................................A - 14
A.6.1 External Power Supply Specifications ....................................................................................................................................A - 14
A.6.2 Battery Specifications ..................................................................................................................................................................A - 14
A.7 Recorder Specifications .............................................................................................................................................................................A - 16
A.8 Alarm Specifications ...................................................................................................................................................................................A - 16
A.9 Data Storage ..................................................................................................................................................................................................A - 16
A.10 Wi-Fi Specifications ..................................................................................................................................................................................A - 17
A.11 Environmental Specifications ...............................................................................................................................................................A - 17
B Mindray Shockable Rhythm Analysis Algorithm ............................................................................................................B - 1
B.1 Rhythm Recognition and Annotation Methodology .........................................................................................................................B - 1
B.1.1 Database for Evaluation of Mindray Algorithm Performance ..........................................................................................B - 1
B.1.2 Rhythm Categories ...........................................................................................................................................................................B - 1
B.2 Mindray Shockable Rhythm Analysis Algorithm Performance ......................................................................................................B - 2
C EMC and Radio Regulatory Compliance ..........................................................................................................................C - 1
C.1 EMC ......................................................................................................................................................................................................................C - 1
C.2 Radio Regulatory Compliance ...................................................................................................................................................................C - 4
D Defibrillator Shift Checklist ............................................................................................................................................. D - 1
E Alarm Messages ................................................................................................................................................................. E - 1
E.1 Physiological Alarm Messages ...................................................................................................................................................................E - 1
E.2 Technical Alarm Messages ...........................................................................................................................................................................E - 2
F Electrical Safety Inspection .............................................................................................................................................. F - 1
F.1 Power Cord Plug ..............................................................................................................................................................................................F - 1
F.2 Device Enclosure and Accessories ............................................................................................................................................................F - 1
F.2.1 Visual Inspection ...............................................................................................................................................................................F - 1
F.2.2 Contextual Inspection .....................................................................................................................................................................F - 1
F.3 Device Labeling ...............................................................................................................................................................................................F - 2
F.4 Protective Earth Resistance .........................................................................................................................................................................F - 2
F.5 Earth Leakage Test ..........................................................................................................................................................................................F - 2
F.6 Patient Leakage Current ...............................................................................................................................................................................F - 2
F.7 Mains on Applied Part Leakage .................................................................................................................................................................F - 3
F.8 Patient Auxiliary Current ..............................................................................................................................................................................F - 3

Defibrillator/Monitor Operator’s Manual 11
G Symbols and Abbreviations ............................................................................................................................................ G - 1
G.1 Units ....................................................................................................................................................................................................................G - 1
G.2 Symbols .............................................................................................................................................................................................................G - 2
G.3 Abbreviations and Acronyms ....................................................................................................................................................................G - 2
H Device Tracking ................................................................................................................................................................ H - 1
I Declaration of Conformity ..................................................................................................................................................I - 1

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Defibrillator/Monitor Operator’s Manual 1 - 1
1Safety
1.1 Safety Information
DANGER
•Indicates an imminent hazard that, if not avoided, will result in death or serious injury.
WARNING
•Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious
injury.
CAUTION
•Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal
injury or product/property damage.
NOTE
•Provides application tips or other useful information to ensure that you get the most from your
product.
1.1.1 Dangers
DANGER
•The equipment delivers up to 360 J of electrical energy. Unless properly used as described in these
Operating Instructions, this electrical energy may cause serious injury or death. Do not attempt to
operate this defibrillator unless thoroughly familiar with these operating instructions and the
function of all controls, indicators, connectors, and accessories.
•Defibrillation current can cause operator or bystander severe injury or even death. Keep distance
from the patient or metal devices connected to the patient during defibrillation.
•Do not disassemble the defibrillator. It contains no operator serviceable components and
dangerous high voltages may be present. Contact authorized service personnel for repair.
•To avoid explosion hazard, do not use the equipment in the presence of oxygen-rich atmospheres,
flammable anesthetics, or other flammable agents (such as gasoline). Keep the equipment and the
operating environment dry and clean.
1.1.2 Warnings
WARNING
•Before putting the system into operation, the operator must verify that the equipment, connecting
cables and accessories are in correct working order and operating condition.
•Make sure the synchronous input system is applied to this equipment and the input signal is correct
if necessary.
•To avoid risk of electric shock, this equipment must only be connected to a supply mains with
protective earth. If the installation does not provide for a protective earth conductor, disconnect it
from the power line and operate it on smart lithium-ion batteries.

1 - 2 Defibrillator/Monitor Operator’s Manual
•Ensure that the equipment is supplied with continuous electric power during work. Sudden power
failure leads to the loss of patient data.
•Use and store the equipment in specified environmental condition. The equipment and accessories
may not meet the performance specification due to aging, stored or used outside the specified
temperature and humidity range.
•This equipment is used for single patient at a time.
•The equipment is not intended to be used within the Magnetic Resonance (MR) environment.
•Before each use, the operator must check the equipment condition to ensure that the equipment is
ready for operation.
•Medical electrical equipment which does not incorporate defibrillator protection should be
disconnected during defibrillation.
•Do not defibrillate a patient who lies on the wet ground.
•Do not touch the patient and live parts simultaneously.
•Do not touch the patient when connecting the peripheral equipment via the I/O signal ports to
prevent patient leakage current from exceeding the requirements specified by the standard.
•Do 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.
•Do not perform any functional check if the equipment is connected with a patient; otherwise the
patient might be shocked.
•Remain attentive to the patient during applying therapy. Delay in delivering a shock may result in a
rhythm that was analyzed as shockable converting spontaneously to non-shockable and could
result in inappropriate delivery of a shock.
•For the treatment of patients with implantable pacemakers, place electrode pads or paddles away
from internal pacemaker generator if possible to help prevent damage to the pacemaker.
•Do not place the equipment or accessories in any position that might cause it to fall on the patient.
•Do not start or operate the equipment unless the setup was verified to be correct.
•To 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.
•If any measurement seems questionable, first check the patient’s vital signs by alternate means and
then check the equipment for proper functioning.
•Physiological data and alarm messages provided by the equipment should not be used as the sole
basis for diagnosis or therapy decisions. They must be used in conjunction with clinical signs and
symptoms. Misinterpretation of the measured values or other parameters can endanger the patient.
•Do not touch device connectors, recorder print head, battery connector or other live equipment if in
contact with the patient; otherwise patient injury may result.
•To ensure patient safety, use only parts and accessories specified in this manual.
•When disposing of the packaging material, be sure to observe the applicable waste control
regulations and keep it out of children’s reach.
1.1.3 Cautions
CAUTION
N•Use of Manual Therapy security password requires the clinician to know and remember the
password. Failure to enter correct password will prevent the delivery of manual defibrillation,
synchronized cardioversion and pacing therapy.
•At the end of its service life, the equipment, as well as its accessories, must be disposed of in
compliance with the guidelines regulating the disposal of such products to avoid contaminating the
environment.
•Magnetic and electrical fields are capable of interfering with the proper performance of the
equipment. For this reason make sure that all external devices operated in the vicinity of the
equipment comply with the relevant EMC requirements. Mobile phones, X-ray equipment or MRI