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G3 Patient Monitor

Service Manual

GENERAL MEDITECH, INC.


Revision
Revision Date Changes
1.0 5/2009 First Issue

All Rights Reserved


This publication is protected by copyright and all rights are reserved. No part of this manual may
be reproduced or transmitted in any form or by any means, electronic or mechanical, for any
purpose, without the express written permission of GENERAL MEDITECH, INC. (hereinafter
called GMI).

Restrictions and Liabilities


Information in this document is subject to change and does not represent a commitment by GMI.
Changes made to the information in this document will be incorporated in new editions of the
publication. No responsibility is assumed by GMI for the use or reliability of software or
equipment that is not supplied by GMI or its affiliated dealers.

Warranty
G3 Multi-Parameter Patient Monitor is warranted by GMI for 1.5 years of free charge from the date
of the purchase, while the SpO2 sensor, blood pressure cuff, ECG cable and body temperature
sensor is warranted for 1 year. The consumables are excluded from the scope of this warranty.
The following situations are not included in the scope of the warranty:
The serial number of the monitor was ripped off or unreadable; or
The monitor was damaged due to improper connection with other equipment; or
The monitor was damaged due to accident; or
The user modified the monitor without GMIs written authorization.

Contact
Manufacturer: GENERAL MEDITECH, INC.
Add: South Office 4/F, Kezhi Rd.W.No. 1, Science Park, Nanshan District, Shenzhen, Guangdong
P.R.China
Tel: 86-755-26500832
Fax: 86-755-26546285
Zip: 518057
Internet: http://www.szmedtech.com
E-mail: office@szmedtech.com

EC Authorized Representative: Peretti Service S.A.S


Add: P.Le Tecchio 49/F 80125 Napoli Italy P.Iva 04552071211
Tel: 081 195 73 824
Fax: 081 195 73 827
Contents

CHAPTER 1: OVERVIEW .................................................................................................................. 6

BRIEF INTRODUCTION .......................................................................................................................... 6


SAFETY INFORMATION ......................................................................................................................... 6
CLASSIFICATION ....................................................................................................................... 6
PROHIBITION .............................................................................................................................. 7
CAUTIONS ................................................................................................................................... 7
CONTRAINDICATIONS........................................................................................................................... 8
FUNCTION ................................................................................................................................................ 8

CHAPTER 2: INTRODUCTION .......................................................................................................... 9

EXTERNAL APPEARANCE .................................................................................................................... 9


G3C ................................................................................................................................................ 9
G3D.............................................................................................................................................. 12
G3F .............................................................................................................................................. 16
G3G.............................................................................................................................................. 19
DISPLAY .................................................................................................................................................. 23
BATTERIES ............................................................................................................................................. 29
BATTERY MAINTENANCE...................................................................................................... 30
BATTERY RECYCLING ............................................................................................................ 31

CHAPTER 3: INSTALLATION .......................................................................................................... 31

UNPACKING AND CHECKING ............................................................................................................ 32


ENVIRONMENTAL REQUIREMENTS ................................................................................................ 32
INSTALLATION METHOD .................................................................................................................... 33
CONNECTING TO AC POWER SUPPLY ................................................................................. 33
INSTALLING THE BATTERY................................................................................................... 33
EQUIPOTENTIAL GROUNDING ............................................................................................. 33
CONNECTING PATIENT SENSORS AND PROBES ............................................................... 34
CONNECTING THE NETWORK CABLE ................................................................................ 34
CONNECTING TO VGA MONITOR ........................................................................................ 34
REPLACE THE FUSE ................................................................................................................ 34
POWERING ON THE MONITOR .......................................................................................................... 34
POWERING OFF THE MONITOR......................................................................................................... 35

CHAPTER 4: MENU ......................................................................................................................... 35

MENU OPERATION ............................................................................................................................... 35


POPUP MENU ............................................................................................................................ 36
BROWSE MENU ........................................................................................................................ 36
EXIT MENU................................................................................................................................ 36
DISPLAY .................................................................................................................................................. 36
FIXED FORMAT ........................................................................................................................ 36
USER FORMAT .......................................................................................................................... 38

i
FORMAT SETUP ........................................................................................................................ 38
OXYCRG .................................................................................................................................... 39
ALARM LIMIT ........................................................................................................................... 39
WAVEFORM SPEED .................................................................................................................. 39
OTHER SETTINGS .................................................................................................................... 40
TOOLS ..................................................................................................................................................... 41
REVIEW ................................................................................................................................................... 41
PATIENT .................................................................................................................................................. 42
SYSTEM SETUP ..................................................................................................................................... 42
SET TIME.................................................................................................................................... 42
REGION SETTINGS .................................................................................................................. 43
NETWORK SETTINGS.............................................................................................................. 44
MAINTENANCE ........................................................................................................................ 45
DEFAULT SETTINGS ................................................................................................................ 47
RECORDER SETUP ................................................................................................................................ 47

CHAPTER 5: ALARMS..................................................................................................................... 48

ALARM CATEGORIES .......................................................................................................................... 49


ALARM MODES ..................................................................................................................................... 49
ALARM SETTINGS ................................................................................................................................ 49
SETTING ALARM VIA ALARM KEY ..................................................................................... 49
SETTING ALARM VIA PARAMETER LABEL ....................................................................... 51
WHEN AN ALARM OCCURS ............................................................................................................... 51

CHAPTER 6: WAVEFORM FREEZING AND RECALLING ............................................................ 52

OVERVIEW ............................................................................................................................................. 52
FREEZING AND UNFREEZING ........................................................................................................... 53
WAVEFORM FREEZING ........................................................................................................... 53
WAVEFORM UNFREEZING ..................................................................................................... 53
WAVEFORM RECALLING .................................................................................................................... 53

CHAPTER 7: PRINTING................................................................................................................... 54

OVERVIEW ............................................................................................................................................. 54
PRINTING TYPES................................................................................................................................... 55
REAL-TIME PRINTING ............................................................................................................ 55
TIMER PRINTING ..................................................................................................................... 55
ALARM PRINTING ................................................................................................................... 55
WAVEFORM AND PARAMETER PRINTING ...................................................................................... 55
INSTALLING PRINTER PAPER ............................................................................................................ 55

CHAPTER 8: TRENDS ..................................................................................................................... 56

OVERVIEW ............................................................................................................................................. 56
TREND CHANNELS ............................................................................................................................... 57
TREND GRAPH CHANNEL...................................................................................................... 57
TREND TABLE CHANNEL....................................................................................................... 58
TREND WINDOWS ................................................................................................................................ 59
ii
TREND GRAPH WINDOW ....................................................................................................... 60
TREND TABLE WINDOW ........................................................................................................ 62

CHAPTER 9: EVENTS ..................................................................................................................... 63

RECORD EVENTS .................................................................................................................................. 63


BROWSE EVENTS ................................................................................................................................. 63

CHAPTER 10: DRUG CALCULATOR ............................................................................................. 64

ENTER DRUG CALCULATOR .............................................................................................................. 64


UNIT ......................................................................................................................................................... 64
TERMS ..................................................................................................................................................... 65
DRUG CALCULATOR ............................................................................................................................ 65
NUMERIC INPUT BLOCK ........................................................................................................ 65
CALCULATION FORMULA ..................................................................................................... 65
KNOWN ITEM AND CALCULATION RESULTS ................................................................... 66
CALCULATION FOR ANY DRUG ........................................................................................... 66
CALCULATION FOR EXACT DRUG ...................................................................................... 66
DRIP TABLE ............................................................................................................................................ 67
TITRATION TABLE ................................................................................................................................ 68
RESET ...................................................................................................................................................... 68

CHAPTER 11: OTHER PATIENT VIEWING..................................................................................... 69

OVERVIEW ............................................................................................................................................. 69
SELECT MONITOR ................................................................................................................................ 69
OTHER PATIENT .................................................................................................................................... 70

CHAPTER 12: ECG MONITORING ................................................................................................. 71

OVERVIEW ............................................................................................................................................. 71
ECG MONITORING ................................................................................................................................ 73
PREPARATION........................................................................................................................... 73
ELECTRODE PLACEMENT ..................................................................................................... 73
ECG CHANNEL ...................................................................................................................................... 76
MAIN LEAD CHANNEL ........................................................................................................... 76
OTHER LEAD CHANNELS ...................................................................................................... 77
ECG PARAMETER ................................................................................................................................. 78
HEART RATE ............................................................................................................................. 78
ST SEGMENT ............................................................................................................................. 80
MAINTENANCE AND CLEANING ...................................................................................................... 80
TROUBLE SHOOTING .......................................................................................................................... 81

CHAPTER 13: RESP MONITORING................................................................................................ 81

OVERVIEW ............................................................................................................................................. 81
ELECTRODE PLACEMENT .................................................................................................................. 81
MONITORING INTERFACE .................................................................................................................. 82
RESP CHANNEL ........................................................................................................................ 82
RESPIRATION RATE ................................................................................................................. 84
iii
PROMPT MESSAGES............................................................................................................................. 85

CHAPTER 14: T-RESP MONITORING ............................................................................................ 85

T-RESP CHANNEL ................................................................................................................................. 85


T-RESP MENU ......................................................................................................................................... 86
MAINTENANCE AND CLEANING ...................................................................................................... 86

CHAPTER 15: NIBP MONITORING ................................................................................................. 86

OVERVIEW ............................................................................................................................................. 86
MONITORING PROCEDURE ................................................................................................................ 88
CUFF SELECTION AND PLACEMENT ............................................................................................... 88
MEASUREMENT LIMITATIONS .......................................................................................................... 90
MONITORING INTERFACE .................................................................................................................. 90
FUNCTIONS ............................................................................................................................................ 92
NIBP MEASUREMENT ............................................................................................................. 92
VENIPUNCTURE ....................................................................................................................... 93
MAINTENANCE AND CLEANING ...................................................................................................... 93
TROUBLE SHOOTING .......................................................................................................................... 94

CHAPTER 16: TEMP MONITORING ............................................................................................... 95

TEMPERATURE PROBE INSTALLATION ........................................................................................... 96


TEMP PARAMETER ............................................................................................................................... 97
TEMP MENU ........................................................................................................................................... 97
MAINTENANCE AND CLEANING ...................................................................................................... 98

CHAPTER 17: SPO2 MONITORING.............................................................................................. 100

OVERVIEW ........................................................................................................................................... 100


PRECAUTIONS ..................................................................................................................................... 102
MONITORING PROCEDURE .............................................................................................................. 102
MEASUREMENT LIMITATIONS ........................................................................................................ 102
MENU .................................................................................................................................................... 103
SpO2 MENU ............................................................................................................................. 103
PLETH MENU .......................................................................................................................... 104
MAINTENANCE AND CLEANING .................................................................................................... 104

CHAPTER 18: IBP MONITORING................................................................................................ 104

IBP CHANNELS .................................................................................................................................... 105


IBP PARAMETER ................................................................................................................................. 107
PRECAUTIONS ..................................................................................................................................... 108
MONITORING PROCEDURE .............................................................................................................. 108
IBP MENU ............................................................................................................................................. 108
IBP PARAMETER MENU ........................................................................................................ 108
IBP CHANNEL MENU ............................................................................................................. 109
MAINTENANCE AND CLEANING .................................................................................................... 110
CLEANING OF IBP TRANSDUCER ...................................................................................... 110
STERILIZATION .......................................................................................................................111
iv
CHAPTER 19: CO2 MONITORING .................................................................................................112

INTRODUCTION .................................................................................................................................. 112


MONITORING PROCEDURE .............................................................................................................. 112
MONITORING INTERFACE ................................................................................................................ 113
CO2 CHANNEL ........................................................................................................................ 113
CO2 PARAMETER .................................................................................................................... 114
MAINTENANCE AND CLEANING .................................................................................................... 115

CHAPTER 20: MAINTENANCE ......................................................................................................116

INSPECTION ......................................................................................................................................... 116


CLEANING ............................................................................................................................................ 116
DISINFECTION AND STERILIZATION ............................................................................................. 117

CHAPTER 21: LABELS, PACKAGING, TRANSPORT AND STORING ........................................118

LABELS ................................................................................................................................................. 118


PACKAGING ......................................................................................................................................... 119
TRANSPORT ......................................................................................................................................... 119
STORING ............................................................................................................................................... 119

APPENDIX A: PPRODUCT SPECIFICATIONS ................................................................................. 8

ENVIRONMENTAL SPECIFICATIONS .................................................................................................. 8


POWER SOURCE SPECIFICATIONS ..................................................................................................... 9
HARDWARE SPECIFICATIONS ............................................................................................................. 9
DATA STORAGE ..................................................................................................................................... 10
ECG SPECIFICATIONS .......................................................................................................................... 10
RESP SPECIFICATIONS ......................................................................................................................... 11
NIBP SPECIFICATIONS ......................................................................................................................... 11
TEMP SPECIFICATIONS........................................................................................................................ 11
SpO2 SPECIFICATIONS ......................................................................................................................... 12
PR SPECIFICATIONS ............................................................................................................................. 12
IBP SPECIFICATIONS ............................................................................................................................ 12
CO2 SPECIFICATIONS .......................................................................................................................... 12

APPENDIX B: EMC .......................................................................................................................... 12

v
CHAPTER 1:
OVERVIEW

Welcome to use G3 Multi-Parameter Patient MonitorThe main purpose of this manual is to provide
operating guide, instrument repair and maintenance information to users. The detailed performance
indexes, routine installation, operation and maintenance method as well as safety information are
illustrated in this manual. Before use, the serviceman shall carefully read this manual in order to
properly and correctly operate this monitor, so that it can reach specified safety standards and
performance indexes.

BRIEF INTRODUCTION
The G3 Multi-Parameter Patient Monitor is a multifunctional overall physiologic index monitor,
which is applicable to monitor the ECG, NIBP, SpO2, PR, RESP, TEMP, IBP and CO2 in hospitals.
This product has the multi-parameter function which can be selected, combined and configured by
the user according to his requirements (but the G3 Multi-Parameter Patient Monitor which you are
using probably only had part parameters and corresponding accessories selected by you when you
bought it).
This product is composed of main machine and corresponding functional accessories such as ECG
cable, blood pressure cuff, SpO2 sensor, body temperature sensor, BP hose, IBP sensor, dehydration
vase and sampling line.
This product has three input/output connectors for printer, network communication and external
VGA monitor.

SAFETY INFORMATION
CLASSIFICATION
According to the type of protection against electric shock:
----- CLASS I, INTERNALLY POWERED EQUIPMENT.
According to the degree of protection against electric shock:
----- TYPE BF APPLIED PART or TYPE CF APPLIED PART. The connector with a symbol
beside is TYPE BF APPLIED PART, the connector with a symbol beside is TYPE CF
APPLIED PART.
According to the degree of protection against ingress of water:
----- Not protected (ordinary).
According to the method(s) of sterilisation or disinfection recommended by the manufacturer.
----- Equipment with method(s) of sterilisation or disinfection recommended by the manufacturer.
According to the degree of safety of application in the presence of a FLAMMABLE
ANAESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE:
----- EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANAESTHETIC
MIXTURE.
According to the mode of operation:
----- CONTINUOUS OPERATION.

6
PROHIBITION
The marked symbol on the Monitor means: Attention, consult accompanying documents (this
manual).
Anywhere marked with in the manual, means when you using this equipment, you shall pay
more attention on it in order to guarantee the safety of the patient, operator or equipment.

WARNING
Do not use the G3 Multi-Parameter Patient Monitor for asphyxiation monitoring.
Do not use the G3 Multi-Parameter Patient Monitor during the magnetic resonance
imaging (MRI) or CT inspection process.
Do not use this monitor in the presence of inflammable anesthetics or gases.

CAUTIONS

WARNING
In order to make the monitor safe grounding, the hospital must provide the power
socket with complete wire under voltage, zero line and protective grounding in
accordance with national standard. Or the hospital bears all consequences.
To ensure patient safty, verify the divice and accessories can function safely and normally
before use.
Only qualified accessories can be used for the monitor.
The ECG cable uses five-lead or three-lead cable, and cannot be connected to other signal
terminals.
In order to avoid losing time for diagnosis and treatment, please configure adequate
alarm settings according to different conditions of each patient (for detailed setting
methods, refer to ALARM SETTINGS in CHAPTER 5).
When using this monitor, the F-type application section cannot be connected to other
conductivity or ground.
When using the electrosurgery unit during the monitoring, the loop of the electrosurgery
unit shall be properly connected to prevent from burning, even the life risk.
The monitor must be operated on battery power if the external wiring is in doubt.
When various equipments are connected to the same patient, pay attention to the danger
of leakage current overlap.
The Monitor has no defibrillation synchronization, so it cannot be connected to the
synchronization defibrillation instrument.
Magnetic and electrical fields are capable of interfering with the proper performance of
the device. For this reason make sure that all external devices operated in the vicinity of
the monitor comply with the relevant EMC requirements. Mobile phone, X-ray
equipment or MRI devices are a possible source of interference as they may emit higher
levels of electromagnetic radiation.
EXPLOSION HAZARD: Do not use this device in the presence of flammable anesthetics,
explosive substances, vapors or liquids.

7
WARNING
Keep the monitor dry, prevent it from water and humidity, and avoid strong collision.
Once subject to accidental wetting, immediately clean the water off using dishcloth.
ELECTRIC SHOCK: Do not open the monitor housing. All servicing and future
upgrades to this device must be carried out by personnel trained and authorized by our
company only.
Do not put the monitor in environments such as high temperature and high pressure, gas
fumigation or liquid immersion. Before clean or sterilize the monitor, cut off the general
power please.
At the end of its service life, the product described in this manual, as well as its accessories,
must be disposed of in compliance with the guidelines regulating the disposal of such
products. If you have any questions concerning disposal of the products, please contact
with us.

CONTRAINDICATIONS
None.

FUNCTION
The G3 Multi-Parameter Patient Monitor can be used to monitor the major parameters such as
electrocardiogram (ECG), body temperature (TEMP), impedance respiration (RESP), oxygen
saturation (SpO2), invasive blood pressure (IBP), noninvasive blood pressure (NIBP) and CO2
(EtCO2 and FiCO2). It integrates the parameter measurement, display and record export as a whole,
which forms a compact and portable monitor.
The monitor is capable of monitoring the following parameters:
Electrocardiogram (ECG): heart rate (HR), 7 (or 3) leads ECG waveforms and ST segment
analysis.
Noninvasive blood pressure (NIBP): systolic pressure (SYS), diastolic pressure (DIA) and
mean arterial pressure (MAP).
Body temperature (TEMP): temperature of channel 1 (T1), temperature of channel 2 (T2)
and temperature difference between the two channels (T).
Pulse oxygen saturation (SpO2): SpO2, pulse rate (PR) and SpO2 plethysmogram.
Respiration: respiration rate (RR) and respiration (impedance respiration or nasal tube
respiration) waveform.
Invasive blood pressure (IBP): 2 channels of IBP waveforms, systolic pressure (SYS),
diastolic pressure (DIA) and mean pressure (MEAN).
Carbon dioxide (CO2): end-tidal carbon dioxide (EtCO2), fractional inspiratory carbon
dioxide (FiCO2) and CO2 waveform.

8
CHAPTER 2:
INTRODUCTION

EXTERNAL APPEARANCE

G3C
G3C Front Panel
The front panel of the G3C Multi-Parameter Patient Monitor is shown as Figure 2-1:

(2)
(3)
(4)
(1) (5)
(6)
(7)

(8)

(12) (11) (10) (9)


Figure 2-1
(1) Display
Waveforms, menu, alarms and measuring parameters are displayed here.
(2) Silence key
Press this key to start or stop the monitor tones, including heart beat tones, pulse tones and
prompt tones for wrong operation.
Pressing this key consecutively will silence the system for 30 seconds, 60 seconds, 120 seconds
or until the next time the tones started. At this time, the silence status icon displayed in the
status bar changes from to with the time to start the monitor tones again displayed on
the right side, such as . When the time counts backwards to zero, or the silence key is
pressed when the monitor is silenced, the monitor tones will be started again.
(3) Alarm key
Press this key to enter Alarm menu. See CHAPTER 5: ALARMS for detailed information.
(4) Freeze key
This key is pressed to freeze and unfreeze the waveforms. See CHAPTER 6: WAVEFORM
FREEZING AND RECALLING for detailed information.
(5) NIBP key
Press this key to start or stop the non-invasive blood pressure measurement. See CHAPTER 15:
NIBP MONITORING for detailed information.
(6) Print key
Press this key to start or stop the waveforms and measured parameter values printing. See
CHAPTER 7: PRINTING for detailed information.
9
(7) Main menu key
Press this key to popup the Main menu or exit the menu currently displayed. See CHAPTER 4:
MENU for detailed information.
(8) Rotating mouse
Turn the rotating mouse in either direction to highlight labels and menu options. After
highlighting the desired selection, press the mouse to execute an operation, make a selection
and view a new menu or a dialog box. This procedure is referred to as select through out the
manual. Remember rotate to highlight, and then press to select.
(9) Brightness adjusting knob
Turn this knob to adjust the brightness of the monitor screen. Turn clockwise to brighter the
screen; turn counterclockwise to darker the screen.
(10) Volume adjusting knob
Turn this knob to adjust the volume of the monitor. Turn clockwise to higher the volume; turn
counterclockwise to lower the volume.
(11) Power indicator
ON: The monitor power is turned on.
OFF: The monitor power is turned off.
(12) Charge indicator
ON: AC power is applied to the monitor.
OFF: AC power is not applied to the monitor.

G3C Side Panel


The side panel of the G3C Multi-Parameter Patient Monitor is shown as Figure 2-2:

(1) (2)

(3) (4)

(5) (6)

(7) (8)

Figure 2-2

There are eight connectors on this panel:


(1) TEMP1 Temperature probe connector (channel 1).
(2) TEMP2 Temperature probe connector (channel 2).
(3) RESP Respiration pipe connector.
(4) NIBP NIBP cuff hose connector.
(5) IBP1 IBP transducer connector (channel 1).
(6) IBP2 IBP transducer connector (channel 2).
(7) SpO2 SpO2 probe connector.
(8) ECG/RESP ECG cable connector.

10
Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating)
patient part providing a high degree of protection against shock.

Type BF applied part.

Attention: Consult accompanying documents (this manual).

G3C Rear Panel


The rear panel of the G3C Multi-Parameter Patient Monitor is shown as Figure 2-3:
(11)

(1)

(2)

(3)

(4)

(5) (6) (7) (8) (9) (10)

Figure 2-3

(1) Power switch


The key turns on or off the monitor.
(2) Speaker holes
(3) Dispersion holes
(4) AC power input connector
A three-wire power cord can be connected to this receptacle to provide AC power supply to the
patient monitor.
(5) Fuse socket

(6) Equipotential ground


When the monitor is used with other equipment, it can be connected to equal the potentials.
(7) Network connector: Standard RJ45 connector.
Through network connector, this monitor can be connected with the central monitoring system,
another monitor, or a PC. It enables the functions of other patient viewing, data output and
software upgrading.

(8) Printer connector


(9) VGA monitor connector
A standard colour VGA monitor can be connected to the patient monitor through this connector.
(10) Battery cover
(11) Handle

11
G3C Mechanics Plan

G3D
G3D Front Panel
The front panel of the G3D Multi-Parameter Patient Monitor is shown as Figure 2-4:

(20)

(2)
(3)
(4)

(1) (5)
(6)
(7)

(8)

(9)

(10) (11) (12) (13) (14) (15) (16) (17) (18) (19)

Figure 2-4
12
(1) Display
Waveforms, menu, alarms and measuring parameters are displayed here.

(2) Silence key


Press this key to start or stop the monitor tones, including heart beat tones, pulse tones and
prompt tones for wrong operation.
Pressing this key consecutively will silence the system for 30 seconds, 60 seconds, 120 seconds
or until the next time the tones started. At this time, the silence status icon displayed in the
status bar changes from to with the time to start the monitor tones again displayed on
the right side, such as . When the time counts backwards to zero, or the silence key is
pressed when the monitor is silenced, the monitor tones will be started again.

(3) Alarm key


Press this key to enter Alarm menu. See CHAPTER 5: ALARMS for detailed information.

(4) Freeze key


This key is pressed to freeze and unfreeze the waveforms. See CHAPTER 6: WAVEFORM
FREEZING AND RECALLING for detailed information.

(5) NIBP key


Press this key to start or stop the non-invasive blood pressure measurement. See CHAPTER 15:
NIBP MONITORING for detailed information.

(6) Print key


Press this key to start or stop the waveforms and measured parameter values printing. See
CHAPTER 7: PRINTING for detailed information.

(7) Main menu key


Press this key to popup the Main menu or exit the menu currently displayed. See CHAPTER 4:
MENU for detailed information.
(8) Rotating mouse
Turn the rotating mouse in either direction to highlight labels and menu options. After
highlighting the desired selection, press the mouse to execute an operation, make a selection
and view a new menu or a dialog box. This procedure is referred to as select through out the
manual. Remember rotate to highlight, and then press to select.

(9) Power switch


Press this key and hold for more than two seconds to turn on or off the monitor.
(10) TEMP1 Temperature probe connector (channel 1)
(11) TEMP2 Temperature probe connector (channel 2)
(12) NIBP NIBP cuff hose connector
(13) RESP Respiration pipe connector
(14) SpO2 SpO2 probe connector
(15) ECG/RESP ECG cable connector

13
(16) IBP1 IBP transducer connector (channel 1)
(17) IBP2 IBP transducer connector (channel 2)
(18) POWER Power indicator
ON: The monitor power is turned on.
OFF: The monitor power is turned off.
(19) CHARGE Charge indicator
ON: AC power is applied to the monitor.
OFF: AC power is not applied to the monitor.
(20) Alarm indicator
When a parameter value exceeds its alarm limit, this indicator flashes in red once a second.

Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating)
patient part providing a high degree of protection against shock.

Type BF applied part.

Attention: Consult accompanying documents (this manual).

G3D Rear Panel


The rear panel of the G3D Multi-Parameter Patient Monitor is shown as Figure 2-5:

(9)

(1)

(2) (8)

(3)

(4) (5) (6) (7)

Figure 2-5

(1) Dispersion holes

14
(2) Brightness adjusting knob
Turn this knob to adjust the brightness of the monitor screen. Turn clockwise to brighter the
screen; turn counterclockwise to darker the screen.
(3) Volume adjusting knob
Turn this knob to adjust the volume of the monitor. Turn clockwise to higher the volume; turn
counterclockwise to lower the volume.
(4) Fuse socket

(5) Equipotential ground


When the monitor is used with other equipment, it can be connected to equal the potentials.
(6) Network connector: Standard RJ45 connector
Through network connector, this monitor can be connected with the central monitoring system,
another monitor, or a PC. It enables the functions of other patient viewing, data output and
software upgrading.
(7) Battery cover
(8) AC power input connector
A three-wire power cord can be connected to this receptacle to provide AC power supply to the
patient monitor.
(9) Handle

15
G3F
G3F Front Panel
The front panel of the G3F Multi-Parameter Patient Monitor is shown as Figure 2-6:

(2)
(3)
(4)
(5)
(6)
(1)
(7)

(8)

(9)

(11) (10)
Figure 2-6

(1) Display
Waveforms, menu, alarms and measuring parameters are displayed here.
(2) Alarm indicator
When a parameter value exceeds its alarm limit, this indicator flashes in red once a second.
(3) Silence key
Press this key to start or stop the monitor tones, including heart beat tones, pulse tones and
prompt tones for wrong operation.
Pressing this key consecutively will silence the system for 30 seconds, 60 seconds, 120 seconds
or until the next time the tones started. At this time, the silence status icon displayed in the
status bar changes from to with the time to start the monitor tones again displayed on
the right side, such as . When the time counts backwards to zero, or the silence key is
pressed when the monitor is silenced, the monitor tones will be started again.
(4) Alarm key
Press this key to enter Alarm menu. See CHAPTER 5: ALARMS for detailed information.
(5) Freeze key
This key is pressed to freeze and unfreeze the waveforms. See CHAPTER 6: WAVEFORM
FREEZING AND RECALLING for detailed information.
(6) NIBP key
Press this key to start or stop the non-invasive blood pressure measurement. See CHAPTER 15:
NIBP MONITORING for detailed information.
(7) Print key
Press this key to start or stop the waveforms and measured parameter values printing. See
CHAPTER 7: PRINTING for detailed information.
(8) Rotating mouse
Turn the rotating mouse in either direction to highlight labels and menu options. After
highlighting the desired selection, press the mouse to execute an operation, make a selection
16
and view a new menu or a dialog box. This procedure is referred to as select through out the
manual. Remember rotate to highlight, and then press to select.
(9) Main menu key
Press this key to popup the Main menu or exit the menu currently displayed. See CHAPTER 4:
MENU for detailed information.
(10) Charge indicator
ON: AC power is applied to the monitor.
OFF: AC power is not applied to the monitor.
(11) Power indicator
ON: The monitor power is turned on.
OFF: The monitor power is turned off.

G3F Side Panel


The side panel of the G3F Multi-Parameter Patient Monitor is shown as Figure 2-7:

(1) (2)

(3)

(4)

(5)

(6)

Figure 2-7

There are six connectors on this panel:


(1) T1 Temperature probe connector (channel 1)
(2) T2 Temperature probe connector (channel 2)
(3) SpO2 SpO2 probe connector
(4) RESP Respiration pipe connector
(5) NIBP NIBP cuff hose connector
(6) ECG/RESP ECG cable connector

Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating)
patient part providing a high degree of protection against shock.

Type BF applied part.

Attention: Consult accompanying documents (this manual).

17
G3F Rear Panel
The rear panel of the G3F Multi-Parameter Patient Monitor is shown as Figure 2-8:

(1)

(2)
(3)
(4)
(9)

(5) (6) (7) (8)


Figure 2-8

(1) Dispersion holes


(2) Power switch
The key turns on or off the monitor.
(3) AC power input connector
A three-wire power cord can be connected to this receptacle to provide AC power supply to the
patient monitor.
(4) Fuse socket

(5) Equipotential ground


When the monitor is used with other equipment, it can be connected to equal the potentials.
(6) Network connector: Standard RJ45 connector
Through network connector, this monitor can be connected with the central monitoring system,
another monitor, or a PC. It enables the functions of other patient viewing, data output and
on-line software upgrading.
(7) Brightness adjusting knob
Turn this knob to adjust the brightness of the monitor screen. Turn clockwise to brighter the
screen; turn counterclockwise to darker the screen.
(8) Volume adjusting knob
Turn this knob to adjust the volume of the monitor. Turn clockwise to higher the volume; turn
counterclockwise to lower the volume.
(9) Speaker holes

18
G3G
G3G Front Panel
The front panel of the G3G Multi-Parameter Patient Monitor is shown as Figure 2-9:

(2)

(3)
(4)
(5)
(6)
(1) (7)
(8)
(9)
(10)

(11)

Figure 2-9

19
(1) Display
Waveforms, menu, alarms and measuring parameters are displayed here.
(2) Alarm indicator
When a parameter value exceeds its alarm limit, this indicator flashes in red once a second.
(3) Power indicator
ON: The monitor power is turned on.
OFF: The monitor power is turned off.
(4) Charge indicator
ON: AC power is applied to the monitor.
OFF: AC power is not applied to the monitor.
(5) Silence key
Press this key to start or stop the monitor tones, including heart beat tones, pulse tones and
prompt tones for wrong operation.
Pressing this key consecutively will silence the system for 30 seconds, 60 seconds, 120 seconds
or until the next time the tones started. At this time, the silence status icon displayed in the
status bar changes from to with the time to start the monitor tones again displayed on
the right side, such as . When the time counts backwards to zero, or the silence key is
pressed when the monitor is silenced, the monitor tones will be started again.
(6) Alarm key
Press this key to enter Alarm menu. See CHAPTER 5: ALARMS for detailed information.
(7) Freeze key
This key is pressed to freeze and unfreeze the waveforms. See CHAPTER 6: WAVEFORM
FREEZING AND RECALLING for detailed information.
(8) NIBP key
Press this key to start or stop the non-invasive blood pressure measurement. See CHAPTER 15:
NIBP MONITORING for detailed information.
(9) Print key
Press this key to start or stop the waveforms and measured parameter values printing. See
CHAPTER 7: PRINTING for detailed information.
(10) Main menu key
Press this key to popup the Main menu or exit the menu currently displayed. See CHAPTER 4:
MENU for detailed information.
(11) Rotating mouse
Turn the rotating mouse in either direction to highlight labels and menu options. After
highlighting the desired selection, press the mouse to execute an operation, make a selection
and view a new menu or a dialog box. This procedure is referred to as select through out the
manual. Remember rotate to highlight, and then press to select.

G3G Side Panel


The side panel of the G3G Multi-Parameter Patient Monitor is shown as Figure 2-10:

20
(1) (5)

(2) (6)

(3) (7)

(4) (8)

Figure 2-10

There are eight connectors on this panel:


(1) NIBP NIBP cuff hose connector
(2) TEMP1 Temperature probe connector (channel 1)
(3) TEMP2 Temperature probe connector (channel 2)
(4) RESP Respiration pipe connector
(5) ECG/RESP ECG cable connector
(6) SpO2 SpO2 probe connector
(7) IBP1 IBP transducer connector (channel 1)
(8) IBP2 IBP transducer connector (channel 2)

Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating)
patient part providing a high degree of protection against shock.

Type BF applied part.

Attention: Consult accompanying documents (this manual).


G3G Rear Panel
The rear panel of the G3G Multi-Parameter Patient Monitor is shown as Figure 2-11:

21
(12)

(1)
(11)

(2) (10)

(9)

(3) (4) (5) (6) (7) (8)

Figure 2-11
(1) Dispersion holes
(2) Power switch
The key turns on or off the monitor.

(3) Equipotential ground


When the monitor is used with other equipment, it can be connected to equal the potentials.
(4) Printer connector
(5) VGA monitor connector
A standard colour VGA monitor can be connected to the patient monitor through this connector.
(6) Network connector: Standard RJ45 connector
Through network connector, this monitor can be connected with the central monitoring system,
another monitor, or a PC. It enables the functions of other patient viewing, data output and
software upgrading.
(7) Brightness adjusting knob
Turn this knob to adjust the brightness of the monitor screen. Turn clockwise to brighter the
screen; turn counterclockwise to darker the screen.
(8) Volume adjusting knob
Turn this knob to adjust the volume of the monitor. Turn clockwise to higher the volume; turn
counterclockwise to lower the volume.
(9) AC power input connector
A three-wire power cord can be connected to this receptacle to provide AC power supply to the
patient monitor.
(10) Fuze socket
(11) Speaker holes
(12) Handle

22
G3H Part

FRONT PANEL
The front panel of the G3H Multi-Parameter Patient Monitor is shown as Figure 2-1:

(1)

(2)

(3) (4) (5) (6) (7) (8) (9) (10) (11)

Figure 2-1

(13) Alarm Indicator


When a parameter value exceeds its alarm limit, this indicator flashes in red once a second.
(14) Display
Waveforms, menu, alarms and measuring parameters are displayed here.
(15) Silence key
Press this key to start or stop the monitor tones, including heart beat tones, pulse tones and
prompt tones for wrong operation.
Pressing this key consecutively will silence the system for 30 seconds, 60 seconds, 120 seconds
23
or until the next time the tones started. At this time, the silence status icon displayed in the
status bar changes from to with the time to start the monitor tones again displayed on
the right side, such as . When the time counts backwards to zero, or the silence key is
pressed when the monitor is silenced, the monitor tones will be started again.
(16) Alarm key
Press this key to enter Alarm menu. See CHAPTER 5: ALARMS for detailed information.
(17) Freeze key
This key is pressed to freeze and unfreeze the waveforms. See CHAPTER 6: WAVEFORM
FREEZING AND RECALLING for detailed information.
(18) Charge indicator
ON: AC power is applied to the monitor.
OFF: AC power is not applied to the monitor.
(19) Rotating mouse
Turn the rotating mouse in either direction to highlight labels and menu options. After
highlighting the desired selection, press the mouse to execute an operation, make a selection
and view a new menu or a dialog box. This procedure is referred to as select through out the
manual. Remember rotate to highlight, and then press to select.
(20) Power indicator
ON: The monitor power is turned on.
OFF: The monitor power is turned off.
(21) NIBP key
Press this key to start or stop the non-invasive blood pressure measurement. See CHAPTER 15:
NIBP MONITORING for detailed information.
(22) Print key
Press this key to start or stop the waveforms and measured parameter values printing. See
CHAPTER 7: PRINTING for detailed information.
(23) Main menu key
Press this key to popup the Main menu or exit the menu currently displayed. See CHAPTER 4:
MENU for detailed information.

SIDE PANEL
The left side panel of the G3H Multi-Parameter Patient Monitor is shown as Figure 2-2:

(1)

(2) (8)
(3)
(4) (9)
(5)
(6) (10)
(7)

24
Figure 2-2

There are eight connectors on this panel:


(1) Handle.
(2) NIBP NIBP cuff hose connector.
(3) TEMP1 Temperature probe connector (channel 1).
(4) TEMP2 Temperature probe connector (channel 2).
(5) SpO2 SpO2 probe connector.
(6) RESP Respiration pipe connector.
(7) Battery cover.
(8) IBP1 IBP transducer connector (channel 1).
(9) IBP2 IBP transducer connector (channel 2).
(10) ECG/RESP ECG cable connector.

Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating)
patient part providing a high degree of protection against shock.

Type BF applied part.

Attention: Consult accompanying documents (this manual).

The right side panel of the G3H Multi-Parameter Patient Monitor is shown as Figure 2-3:

(7)

(1)

(2) (6)

(3) (4) (5)

Figure 2-3

There are eight connectors on this panel:


(9) Printer.
(10) AC power input connector
A three-wire power cord can be connected to this receptacle to provide AC power supply to the
patient monitor.
(11) Fuse socket

(12) Equipotential ground


25
When the monitor is used with other equipment, it can be connected to equal the potentials.
(13) VGA monitor connector
A standard colour VGA monitor can be connected to the patient monitor through this connector.
(14) Network connector: Standard RJ45 connector.
Through network connector, this monitor can be connected with the central monitoring system,
another monitor, or a PC. It enables the functions of other patient viewing, data output and
software upgrading.
(15) Handle.

REAR PANEL
The rear panel of the G3H Multi-Parameter Patient Monitor is shown as Figure 2-4:

(1) (3)

(2)

Figure 2-4

(12) Handle.
(13) Battery cover.

(14) Power switch.

26
Mechanics Plan

DISPLAY
The display of this monitor is divided into four major areas, such as channels area, parameters area,
status bar and menu bar. The status bar is on the top part of the screen, the channels area is under the
status bar, on the left part of the screen, while the menu bar is at the lower part of the screen. The
parameters are always displayed on the right part of the screen. The menu pops up and shuts out part
of the channels area and parameters area. The standard display interface is as the following:

(4)

27
(3)
(1)

(2)

The monitor provides a channels area configuration function to configurate the channels area.
Through channels setting, the monitor displays an interface as below, where the parameters are
displayed on the right and lower parts. See DISPLAY in CHAPTER 4 for more information about
channels setting.

(3)

(1) Channels area


The channels area is divided into several channels, and can be selected from the ECG waveform,
RESP waveform, PLETH waveform, IBP waveform, CO2 waveform, trend graph and trend table.
The label of the channel is usually displayed on the upper left corner of the channel. Selecting the
label will enter the corresponding menu. What is displayed at the same row of the label is the status
information concerning this channel.
(2) Menu bar
The menu bar automatically pops up and disappears. Pressing the Main menu key, Alarm key, Freeze
28
key or the parameter/channel labels can activate the corresponding menu to display.
(3) Parameters area
The heart rate (HR), pulse oxygen saturation (SpO2), respiration rate (RR), body temperature (T1/T2),
non-invasive blood pressure (NIBP), invasive blood pressure (IBP), end-tidal carbon dioxide (EtCO2)
and fractional inspiratory carbon dioxide (FiCO2) are displayed in this area. Every parameter has a
corresponding label with an alarm prohibition icon on the left side. Selecting the label will enter the
corresponding menu.
(4) Status bar
Displays the monitor status information and patients information.

Patient name: It can be set in the Patient Information dialog box. If the patient isnt named, it
displays No named patient. See PATIENT in CHAPTER 4 for setting method.
Patient type: ADULT, PEDIATRIC or NEONATE. See PATIENT in CHAPTER 4 for setting
method.
System date. The system date and its display format can be set. See SET TIME and REGION
SETTINGS in CHAPTER 4 for setting method.
System time. It can be set. See SET TIME in CHAPTER 4 for setting method.
The alarm status icon
Physiological alarms enabled
Physiological alarms disabled.
The battery symbol: Denotes the capacity in the battery. See BATTERIES in CHAPTER 2 for
more information.
Status icon of the central monitoring system network
Red icon The monitor is disconnected from the central monitoring system.
Blue icon The monitor is connected to the central monitoring system.
The silence status icon
System not silenced
System silenced.

WARNING
The system doesnt generate physiological alarms if the icon shows.

BATTERIES
This monitor designed to operate on baterry power during intra-hosipital patient transfer or
whenever the power supply is interrupted. The battery is charged automatically when the monitor is
connected to AC power, no matter the monitor is powered on or not.
The battery symbol displayed on the main screen tells the status of the battery.
( or ) The battery is installed in the battery slot.The grid part indicates its
capacity.
(red and flashing) No battery is installed in the battery slot or the electrical volume is to
29
be exhausted.
Besides, the charge indicator also indicates the status of the battery.
ON The battery is being charged or the battery is fully charged.
OFF No battery is installed or the battery is installed but the monitor is not connected to AC
power.
The capacity of the battery is limited. When the battery capacity is too low, a flashing red symbol
shows in the status bar. At this moment, the AC power shall be applied to the monitor.

NOTE
Take out the battery before the monitor is transported or will not be used for a long time.

WARNING
Keep the battery out of the reach of children.
Only use the battery specified by the manufacturer.

BATTERY MAINTENANCE
Conditioning a Battery
A battery should be conditioned before it is used for the first time. A battery conditioning cycle is
one uninterrupted discharge of the battery. Batteries should be conditioned regularly to maintain
their useful life. Condition a battery once when it is used or stored for two months, or when its run
time becomes noticeably shorter.
To condition a battery, follow this procedure:
1. Disconnect the monitor from the patient and stop all monitoring or measuring.
2. Insert the battery in need of conditioning in the battery slot of the monitor.
3. Apply AC power to the monitor and allow the battery to charge uninterrupted for 10 hours.
4. Remove AC power and allow the monitor to run from the battery until it shuts off.
5. Apply AC power again to the monitor and allow the battery to charge uninterrupted for 10
hours.
6. This battery is now conditioned and the monitor can be returned to work.

Checking a Battery
The performance of a rechargeable battery may deteriorate over time. To check the performance of a
battery, follow this procedure:
1. Disconnect the monitor from the patient and stop all monitoring or measuring.
2. Apply AC power to the monitor and allow the battery to charge uninterrupted for 10 hours.
3. Remove AC power and allow the monitor to run from the battery until it shuts off.
4. The operating time of battery reflects its performance directly.
Please replace the battery or contact with the maintenance personnel if its operating time is
significantly lower than the specified time.

NOTE
30
Life expectancy of a battery depends on how frequent and how long it is used. For a
properly maintained and stored lead-acid or lithium ion battery, its life expectancy is
about 2 or 3 years respectively. For more aggressive use models, life expectancy can be
less. We recommend replacing lead acid batteries every 2 years and lithium ion batteries
every 3 years.
The battery might be damaged or malfunctioned if its operating time is too short after
being fully charged. The operating time depends on the configuration and operation. For
example, measuring NIBP more frequently will also shorten the operating time.

BATTERY RECYCLING
When a battery has visual signs of damage, or no longer holds a charge, it should be replaced.
Remove the old battery from the monitor and recycle it properly. To dispose of the batteries, follow
local laws for proper disposal.

WARNING
Do not disassemble batteries, or dispose of them in fire, or cause them to short circuit.
They may ignite, explode, leak or heat up, causing personal injury.

CHAPTER 3:
INSTALLATION

WARNING
The installation of the monitor must be carried out by personnel authorized by us. The
software copyright of the monitor is solely owned by our company. Any action to change,
copy or exchange the software copyright by any organization or person is regarded as
copyright infringement and is not allowed.
If the monitor is connected to another electrical instrument and the instrument
specifications cannot tell whether the instrument combination is hazardous (e.g. due to
31
summation of leakage currents), you should consult us or experts in the field to ensure the
required safety of all instruments concerned.

NOTE
The operations in this section are not all required. User-customized installation by
authorized personnel is provided.

UNPACKING AND CHECKING


Please open the package according to the positions marked on the packing case, and take out the
monitor and accessories carefully.
Check the accessories against the packing list.
Check the monitor and accessories for any mechanical damage.
Contact the distributor immediately in case of any problem.
Friendly remind: Please save the packing case and packaging material for further transport
and storage.

WARNING
Be sure to keep the packaging materials from childrens reach.
Disposal of the packaging materials shall comply with your local requirements.
The equipment might be contaminated in storage, transport or when used. Verify the
package and the single use accessories are intact. In case of any damage, do not apply it to
patients.

ENVIRONMENTAL REQUIREMENTS
The operating environment of the monitor must meet the requirements specified in
ENVIRONMENTAL SPECIFICATIONS in APPENDIX A.
The environment where this monitor is to be used should be free from noise, vibration, dust, and
corrosive or explosive and inflammable substances. Do not place the monitor against the wall, and
do not plug up the dispersion holes on the back and two sides of the monitor for proper air
circulation.
Condensation can form when the monitor is moved from one location to another, and being exposed
to differences in humidity or temperature. Make sure that during operation the instrument is free
from condensation.

32
INSTALLATION METHOD

CONNECTING TO AC POWER SUPPLY


1. Use the original three-wire AC power cord.
2. Connect the power cord to the receptacle for AC power cord on the rear panel of the monitor.
3. Connect the other end of the power cord to a compatible 3-prong hospital grade AC power
outlet.
The 3-prong power outlet must be grounded. If it is doubted, contact related personnel of the
hospital.

WARNING
Confirm the AC power supply is in conformity with the requirements of this equipment:
(100240)V a.c., 50/60Hz.
Do not use three-wire to two-wire adapter with this instrument.
To avoid unexpected power interruption, do no use power outlet with a wall-mounted
switch control.

INSTALLING THE BATTERY


If the monitor is to be powered by the internal battery, install the battery following the steps as
below:
1. Slide the battery door in the indicated direction (G3C/G3D), or screw off the screws and open
the rear panel.
2. Insert the battery into the battery slot per the + and - indications.
3. Fix the battery with screws (for G3D, cover it with the plate first).
4. Close the battery door (G3C/G3D), or fix the rear panel with screws (G3F/G3G).

WARNING
Make sure the monitor has been disconnected with AC power supply before battery
installation.
Make sure the battery door or the rear panel is securely latched. Falling batteries could
seriously or fatally injure a patient.

EQUIPOTENTIAL GROUNDING
When other equipments are used together with the monitor, the grounding cable should be used to
connect the equipotential ground of the monitor and of other equipments. This helps to reduce the
potential differences between different pieces of equipment, and ensure the safety of the operator
and patient.

WARNING
If the grounding system is in doubt, the monitor must be supplied from its internal
battery.
Accessory equipments connected to this patient monitor must be certified according to the
respective IEC standards (e.g. IEC 60950 for information technology equipment and IEC
33
60601-1 for medical electrical equipment). Furthermore all configurations shall comply
with the valid version of the system standard IEC 60601-1-1. Any person who connects
additional equipment to the signal input or signal output is responsible to ensure the
system complies with the requirements of the valid version of the system standard IEC
60601-1-1. If in doubt, contact our company or customer service.

CONNECTING PATIENT SENSORS AND PROBES


Connect the necessary patient sensors or probes to the monitor. For details, see the chapters for
specific parameter monitoring in the following pages, or corresponding instructions for sensors and
probes.

CONNECTING THE NETWORK CABLE


The network connector of the monitor is a standard RJ45 connector. It connects the monitor with the
central monitoring system, or with a PC for upgrading or data output. It can also connect with
another patient monitor for other patient viewing.
1. Connect one end of the network cable with the network connector of the monitor.
2. Connect the other end of the network cable with the hub or switch of the central monitoring
system, or with the network connector of a PC, or with the network connector of another
patient monitor.

WARNING
Different network cable may be used for different connections. Please consult our
customer service personnel for details.
The system upgrading through the network connector is to be executed by our authorized
personnel only.

CONNECTING TO VGA MONITOR


This monitor can be connected with a standard color VGA monitor. The VGA monitor will display
the patient waveforms and parameters measured by the patient monitor. To connect the patient
monitor with the VGA monitor, follow the steps as below.
1. Install the VGA monitor at a distance of more than 1.5 meters from the patient.
2. Power off the patient monitor.
3. Connect the signal cable of the VGA monitor to the VGA connector on the rear panel of the
patient monitor.
4. Power on the VGA monitor and then the patient monitor.

REPLACE THE FUSE


1. Pull out the fuse socket (G3C/G3D/G3F), or screw off the fuse socket (G3G).
2. Push up the fuse and replace it with a new one.
3. Push the fuse socket back (G3C/G3D/G3F), or screw back the fuse socket (G3G).

POWERING ON THE MONITOR


After installing the monitor, please follow the procedures described below to power on the monitor:
1. Before using the monitor, please carry out corresponding safety inspection as given in
34
INSPECTION in CHAPTER 20.
2. Press the Power switch and the Power indicator is lighted on.
3. The boot-strap picture and pace-bar are displayed on the screen.
4. When the pace-bar reaches 100%, the system displays the main screen.
5. At this time, you can operate the monitor using the keys and rotating mouse.

POWERING OFF THE MONITOR


To power off the monitor, please follow the procedures below:
1. Confirm the patient monitoring is to be finished.
2. Disconnect the cables and sensors between the monitor and the patient.
3. Press the Power switch, and the monitor will be powered off.

CHAPTER 4:
MENU

MENU OPERATION
The basic format of menu is as the following (Main menu):

35
POPUP MENU
The monitor has four methods to popup the menu:
Press the Main menu key on the front panel to popup the Main menu.
Press the Alarm key on the front panel to popup the Alarm menu.
Press the Freeze key on the front panel to popup the Freeze menu.
Select a parameter/channel label to popup the corresponding menu.

BROWSE MENU
The inverse black button in the menu bar is the button selected by the cursor. Select the desired
button to popup the corresponding submenu or dialog, or carry out the selected function. Please refer
to the relevant part in this manual for detailed information.

EXIT MENU
The monitor has three methods to exit from the menu:
Select the Exit button in the right-end of menu bar to return to the previous menu.
When a menu is displayed, press the Main menu key on the front panel to exit the menu.
No operation for more than one minute, the monitor automatically exits the menu.

DISPLAY
Pressing the Main menu key on the front panel pops up the following Main menu:

Display: Sets the display interface.


Tools: Sets the practical tools.
Review: Checks/reviews the history trend or data.
Patient: Sets the patients information.
System Setup: Sets the system information.
Recorder Setup: Sets the recorder/ built-in printer parameters.
Selecting Display in the Main menu pops up the following Display menu.

FIXED FORMAT
Selecting Fixed Format in the Display menu pops up the following menu.

In this Fixed Format menu, the user can select display format from five existed formats. Select a
button, the main interface will display accordingly.
1 ECG: One ECG (main lead) waveform is displayed in the channels area.

36
2 ECGs: Two ECG (main lead and another lead) waveforms are displayed in the channels area.

3 ECGs: Three ECG wavforms, a PLETH wavform and a RESP waveform are displayed in the
channels area. It is the default display fomat.

7 ECGs: Seven ECG (IIIIIIaVRaVLaVF and V leads) waveforms are displayed in the
channels area.

37
Huge Digit: HR and SpO2 are displayed in huge digit, while the main lead ECG waveform is
displayed on the top part of the screen.

USER FORMAT
Selecting User Format in the Display menu pops up the following menu.

In this User Format menu, the display format of main interface can be set as the user format. The
system supports 5 user formats. The current display format can be saved as a user format via Format
Setup button. See the following FORMAT SETUP for detailed information.

FORMAT SETUP
Selecting Format Setup in the Display menu pops up the following dialog box.

The Setup Display Channel dialog box displays the label of channel that is displayed in the channels

38
area currently.
Save as: Not Save or User Format 1~5 could be selected. If Not Save is selected, the channels
area displays the channels selected in this dialog box. If User Format 1~5 is selected, not only the
channels area displays the channels selected in this dialog box, the current display format will be
saved as a user format also.
Select a desired channel, the Select Channel menu as figure above pops up. All channels are listed in
this menu. Select the desired channel label to add it into the Setup Display Channel dialog box.

NOTE
Cannot display the same channel.
If channel is Blank, it means no channel to be displayed at this position.
If select the ECG channel, the system will match the relevant ECG lead automatically.

OXYCRG
Select oxyCRG in the Display menu, the following oxyCRG graph will be displayed in the channels
area.

The oxyCRG is formed by HR, SpO2 and RESP trend graphs. On the right side of the RESP label, its
relevant information is displayed, and at the bottom of the RESP trend graph, the time scale is
displayed, such as 1min, 2min, 3min or 4min. OxyCRG only shows the trend graph for the last 3 or
4 minutes.

ALARM LIMIT
Select Alarm Limit in the Display menu to display or hide the alarm limit in parameters area, shown
as below.

Alarm limit

WAVEFORM SPEED
Select Waveform Speed in the Display menu, the following Waveform Speed Setting dialog box
pops up, where the waveform speed of the ECG/PLETH/IBP and RESP/CO2 can be adjusted.

39
Options: 6.25mm/s, 12.5mm/s, 25mm/s and 50mm/s. The default waveform speed is 25mm/s.

OTHER SETTINGS
Selecting Other Settings in the Display menu pops up the following menu:

NIBP Size
Select NIBP Size in the Other Settings menu, the NIBP value display format switches among three
formats, shown as below.

or or

IBP1 Size
Select IBP1 Size in the Other Settings menu, the display format of channel 1 IBP value switches
among three formats, shown as below.

or or

IBP2 Size
Select IBP2 Size in the Other Settings menu, the display format of channel 2 IBP value switches
among three formats, shown as below.

or or

IBP Overlap
Select IBP Overlap in the Other Settings menu, the IBP waveforms of two channels are displayed in
a channel, shown as below.

40
Menu Font
Select Menu Font in the Other Settings menu, the menu font switches between large font and small
font, shown as below.

Screen Font
Select Screen Font in the Other Settings menu, the screen font switches between large font and small
font, shown as below.

Pleth Fill
Select Pleth Fill in the Other Settings menu, the PLETH waveform will be filled or be blank, shown
as below.

CO2 Fill
Select CO2 Fill in the Other Settings menu, the CO2 waveform will be filled or be blank, shown as
below.

TOOLS
Selecting Tools in the Main menu pops up the following menu:

Event: Sets the event. See CHAPTER 9: EVENTS for detailed information.
Drug Calculator: Calls the drug calculator. See CHAPTER 10: DRUG CALCULATOR for
detailed information.
Other Patient: Views waveforms and parameter values of another monitor in the same LAN.
See CHAPTER 11: OTHER PATIENT VIEWING for detailed information.
Standby: Enters standby mode. In this mode, the monitor shows standby interface instead of the
main interface and gives the audible alarms if an alarm occurs. Press the Main menu key on the
front panel to return to the normal mode.

REVIEW
Selecting Review in the Main menu pops up the following menu.

Trend: Reviews/checks the trend data. See CHAPTER 8: TRENDS for detailed information.
Recall: Recalls the saved waveform. See CHAPTER 6: WAVEFORM FREEZING AND
RECALLING for detailed information.
41
PATIENT
Select Patient in the Main menu, and the following Patient information dialog box pops up.

No: Patient identification number, set via soft keyboard.


Name: Patient name, set via soft keyboard. If no name is set, it shows No named patient.
Sex: Patient gender. Male or Female, while Male is the default.
Age: Patient age. The default age is 25. Rotating the mouse clockwise increases the age, while
counterclockwise decreases the age.
Patient type: ADULT, PEDIATRIC or NEONATE, while ADULT is the default.

Soft Keyboard
Select the input field on the right side of No as the figure above, the soft keyboard pops up, shown as
below.

Consecutively select this button, the Characters field shows the capital, lowercase,
numeral and punctuation in sequence.
Pages down or pages up the characters in the Characters field.
Characters field: Press and turn the rotating mouse to select the desired character,
then press the mouse again to add it into the input field.
Moves the cursor in the Characters field. Select this button then turn the rotating
mouse to move the cursor forward or backward.
Deletes the character before the cursor.
Confirms the input.

SYSTEM SETUP
Seleting System Setup in the Main menu pops up the following menu.

In this menu, Calibration is used by the manufacturer, while the others are used by the user.

SET TIME
Selecting Set Time in the System Setup menu pops up the Set Date dialog box, shown as below.

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The Year, Month, Day, Hour, Minute and Second of the system time can be set in this dialog box.

NOTE
Reseting the system time will clear the stored trend data.

REGION SETTINGS
Selecting Region Settings in the System Setup menu pops up the following menu.

Select Units
Selecting Select Units in the Region Settings menu pops up the Parameter Unit dialog box, shown as
below.

The pressure unit and temperature unit can be set in this dialog box. The options of pressure unit:
kPa and mmHg. The options of temperature unit: Cent and Frnt. Click Ok to confirm the selection,
and the corresponding value will be displayed with the selected unit.
Date Format
Selecting Date Format in the Region Settings menu pops up the Set Date Format dialog box to set
the date format, shown as below.

Power Frequency
Selecting Power Frequency in the Region Settings menu pops up the Set Power Frequency dialog
box, shown as below.

The power frequency can be set as 50Hz or 60Hz.

NOTE
Please set the proper power frequency, or the ECG signal noise will be loud.

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Language
Select Laguage in the Region Settings menu, and the system language changes.

NETWORK SETTINGS
Selecting Network Settings in the System Setup menu pops up the following menu.

IP Address
Selecting IP Address in the Network Settings menu pops up the Network setting dialog box to set the
IP address, shown as below.

If Use dynamic IP configuration (DHCP) is selected, the monitor is distributed an IP address


automatically when it is turned on to prevent from the IP address conflict.
Set the IP address manually: Remove the selection of Use dynamic IP configuration (DHCP), and
then select the input field on the right side of IP address to set it manually. Select Ok button to
confirm the selection, the monitor IP address will not change.
Server
Selecting Server in the Network Settings menu pops up the Server Setup dialog box where the
address of the central monitoring system server can be set, shown as below.

Auto: The monitor searches the address of the server automatically.


IP address: Input the IP address of the server manually.
Domain Name: Input the domain name of the server via soft keyboard, such as
http://szmedtech.com.

Device Name
Selecting Device Name in the Network Settings menu pops up the Edit Device Name dialog box,
shown as below.

The device name of the monitor can be set in this dialog box. If the monitor is not named, it shows
No Name.

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MAINTENANCE
Selecting Maintenance in the System Setup menu pops up the following menu.

Reserved 1 and Reserved 2 are the manufacturer maintenance buttons, which the user dosent need
to use.

System Status
Selecting System Status in the Maintenance menu pops up the following menu to view and check the
relevant information of the system.

Main Settings
Selecting Main Settings in the System Status menu pops up the following Settings List information
box where all the parameters and patient setting information can be viewed and checked.

Alarm Limits
Selecting Alarm Limits in the System Status menu pops up the following Alarm Settings information
box where the upper alarm limits, lower alarm limits and alarm switches of all the parameters can be
viewed and checked.

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Software Version
Selecting Software Version in the System Status menu pops up the following Software Information
box.

In this information box, the Serial NO., GBA440 (ARM) board software version, GAA718 board
software version, KERNEL software version, GBA440 start time and Oximeter board software
version can be checked.

Remote Maintenance

WARNING
The remote maintenance must be carried out by personnel trained and authorized by our
company only.

This button is used for software upgrade.


New software version to improve the performance or add new function is subject to issued without
prior notice. If you need to upgrade the software, please follow the procedure specified below.
1. Install the software upgrading program Monitor Maintenance.
2. Connect the network connectors of the monitor and of the PC with TIA/EIA568B network
cable.
3. Power on the monitor, press Remote Maintenance button in the Maintenance menu and hold for
5 seconds, the Remote Maintenance Service interface appears, shown as below.

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DHCP: Select this button, the server distributes an IP address to the monitor automatically.
Set NET: Select this button to set the IP address manually.
Connect Server: Select this button to connect the monitor to the server. If connect
successfully, the lower left part of the interface shows a green field with word Connected
on it, while unsuccessfully, shows a red field with word Connecting on it.
Return MonitorSelect this button to return to the monitoring mode.
Disconnect: Select this button to disconnect the monitor with the server, and the lower left
part of the interface shows a yellow field with word Disconnect on it.
CONNECT INFORMATION area at the lower right part of the interface displays the operation
information, where you can check whether an operation is successful.
4. Run Monitor Maintenance program, and follow the procedure specified in the Software
Upgrade Manual to upgrade.
5. After finishing the upgrade, exit the Monitor Maintenance program and select the Return
Monitor button to return to the monitoring mode.
Please contact the Customer Service Department for the Monitor Maintenance program (with
Software Upgrade Manual).

Demo
Select DEMO in the Maintenance menu, the system enters the demonstration mode. In this mode,
the monitor simulates the wavforms and parameters in real use, and displays word DEMO on the
screen. The purpose of the demonstration mode is to demonstrate the performance of the monitor,
and for training purposes.

WARNING
In clinical applications, this function is forbidden because the DEMO status can mislead
the medical staff to treat the DEMO waveforms and parameters as the actual data of the
patient. This may result in serious injury to the patient, or a delay of treatment or
improper treatment.

DEFAULT SETTINGS
Selecting Default Settings in the System Setup menu pops up the Set Default Settings dialog box,
shown as below.

Select Ok, the system reverts to the default settings.

RECORDER SETUP
Selecting Recorder Setup in the Main menu pops up the Set Printer Parameters dialog box, shown as
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below.

Curve Mode: Printing mode of the curve.


Mode 1: Print an electrocardiogram waveform, namely the main lead ECG waveform.
Mode 2: Print two waveforms, namely the main lead ECG and PLETH waveforms.
Curve Speed: Printing speed. Options: 12.5mm/s and 25mm/s.
Total (Seconds): Waveform printing time. It can be selected in the range from 5 to 30 seconds.
Alarm Print: Alarm printing switch.
Open: The printer automatically prints all the measured parameter values when the
physiological alarms occur.
Close: The printer doesnt print any measured parameter value when the physiological alarms
occur.
Timer Print: Timer printing switch.
Open: The printer automatically prints all the measured parameter values at the preset interval.
Close: The printer dosent print any measured parameter value automatically.
Interval: The interval time between two printings, which can be selected in the range from 1 to
60 minutes.
The default settings for the Alarm Print and Timer Print both are Close.
Refer to CHAPTER 7: PRINTING for detailed information.

CHAPTER 5:
ALARMS

The monitor gives audible or visual alarms to indicate the medical staff, when a vital sign of the

48
patient appears abnormal, or mechanical or electrical problems occur to the monitor.

ALARM CATEGORIES
The alarms are divided into two categories:
Physiological alarms
A physiological alarm either indicates that a monitored physiological parameter is out of specified
limit or indicates an abnormal patient condition.
Prompt information
Besides the physiological alarm, the monitor also displays the information related to the system. For
example, if a parameter module is turned on but the required leads or sensor are not connected, the
monitor will prompt accordingly, such as Lead Off in the ECG and RESP channels, Sensor Off
in the PLETH channel, or No Cuff under the NIBP parameter, etc. Prompt information is usually
displayed in the channels area. But the prompt information relating to NIBP is displayed under the
NIBP value in the parameters area.

ALARM MODES
When an alarm occurs, the monitor raises the users attention by the following audible or visual
indications.
Visual alarms
When a measured physiological parameter value exceeds the preset alarm limit, the alarm indicator
on the front panel flashes in red once a second.
Audible alarms
When a measured physiological parameter value exceeds the preset alarm limit, the monitor
phonates a triple-beep tone each three seconds to prompt users.
Character flashes
When a measured physiological parameter value exceeds the preset alarm limit, or a lead or sensor is
disconnected to the monitor, this parameter value in parameters area or the prompt information in the
corresponding channel flashes once a second.

ALARM SETTINGS
SETTING ALARM VIA ALARM KEY
Press the Alarm key on the front panel of the monitor, the following Alarm menu pops up:

Alarm On/Off
Enables or disables the physiological alarms.
Alarms enabled: Icon is displayed in the status bar, the physiological alarms are turned on, and
the monitor alarms when a measured paratmeter value exceeds the preset alarm limit.
Alarms disabled: Icon is displayed in the status bar, the physiological alarms are turned off,
and the monitor does not generate alarms even if the measured parameter value exceeds the
preset alarm limit.
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Alarm Settings
Select Alarm Settings in the Alarm menu, the following Set Alarm Limits dialog box pops up:

The upper alarm limit, lower alarm limit, alarm switch and alarm printing switch of each pararmeter
in different patient type can be set in this dialog box.
Patient Type: ADULT, PEDIATRIC or NEONATE.
Params: HR, SpO2, NIBP, RESP, TEMP, ST, IBP1, IBP2, FiCO2 or EtCO2.
High: Upper alarm limit.
Low: Lower alarm limit.
The input field on the right side of the lower alarm limit: Enables or disables the alarm of this
parameter and doesnt affect the alarms of other parameters.
On: The alarm of this parameter is turned on, and the monitor alarms when this measured
parameter value exceeds its preset alarm limit.
Off: Icon is displayed on the left side of this parameter label, the alarm of this parameter
is turned off, and the monitor does not generate alarms when the measuared value of this
parameter exceeds its preset alarm limit.
Print: Enables or disables the alarm printing of this parameter.
On: The alarm printing of this parameter is turned on, and the printer prints all the measured
parameter values automatically when this parameter alarm occurs.
Off: The alarm printing of this parameter is turned off, and the printer dosent print any
measured parameter values when this parameter alarm occurs.

Alarm Tone
Select Alarm Tone in the Alarm menu, the following Set Pulse & Alarm Tone dialog box pops up.

The pulse tone and alarm tone can be set separately in this dialog box. Input the tone value and
select Test, the monitor will phonate the corresponding test tone. Select Ok to confirm the setting.

Default Limit
Select Default Limit in the Alarm menu, the following Set Alarm Default Settings dialog box pops
up:

Selecting Ok in this dialog box sets all the alarm limits as their default values and enables the alarm
of each parameter, but doesnt change the status of the physiological alarms.

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SETTING ALARM VIA PARAMETER LABEL
Selecting a parameter label pops up the corresponding menu. Although the menu of each parameter
is different, all the menus have the same Alarm On/Off and Alarm Settings buttons to set the alarm
limits separately.
For example, select the HR label in the parameters area to pop up the HR menu, shown as below.

Alarm On/Off: Enables or disables the HR alarm.


Alarm enabled: The HR alarm is turned on and the monitor alarms when the measured HR
value exceeds its preset alarm limit.
Alarm disabled: Icon (red) is displayed on the left side of the HR label. The HR alarm is
turned off, and the monitor does not generate alarms when the measured HR value exceeds its
preset alarm limit.
Alarm Setting: Select this button, the following Set Alarm Limits dialog box pops up:

The Patient Type and Params cannot be changed in this dialog box.
High: Upper alarm limit. Determines the upper HR alarm limit.
Low: Lower alarm limit. Determines the lower HR alarm limit.
The input field on the right side of the lower alarm limit: Enables or disables the HR
alarm.
On: The HR alarm is turned on, and the monitor alarms when the measured HR value
exceeds its preset alarm limit.
Off: Icon is displayed on the left side of HR label, the HR alarm is turned off, and the
monitor does not generate alarms when the measured HR value exceeds its preset
alarm limit.
Print: Enables or disables the HR alarm printing.
On: The HR alarm printing is turned on, and the printer prints all the measured parameter
values automatically when a HR alarm occurs.
Off: The HR alarm printing is turned off, and the printer dosent print the measured
parameter values when a HR alarm occurs.
The functions of other buttons in the HR menu are specified in CHAPTER 12: ECG MONITORING.

WHEN AN ALARM OCCURS

WARNING
When an alarm occurs, always check the patients condition first.

When an alarm occurs to the monitor, refer to the following steps and take action properly.
1. Check the patients condition.
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2. Identify the alarming parameter and the alarm category.
3. Identify the cause of the alarm.
4. Take action to remedy the alarm cause.
5. Check if the alarm is cleared.

Chapter 6:

WAVEFORM FREEZING AND RECALLING

OVERVIEW
You can freeze the monitored waveforms of a patient as desired and view the waveforms of 15
seconds to gain a clear observation.
The freezing and recalling function of the monitor have the following features.
When the monitor enters the frozen mode, it exits all other menus automatically.
The system freezes all waveforms displayed in the channels area.
At most, the frozen waveforms saved in the last 8 times can be recalled.
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FREEZING AND UNFREEZING

WAVEFORM FREEZING
Press the Freeze key on the front panel, all the waveforms displayed on the screen are frozen,
the system exits all displayed menus (if displayed), and the following menu pops up.

Last Page, Next Page: Turns the waveforms forward or backward to view the waveforms of 15
seconds before freezing.
Save: Select this button to save the frozen waveforms. If the waveforms are successfully saved,
the following menu appears.

WAVEFORM UNFREEZING
To exit the frozen mode,
Select Exit in the Freeze menu
Press the Freeze or Main menu key on the front panel.
After exiting the frozen mode, all waveforms on the screen are cleared and new real-time waveforms
are displayed.

WAVEFORM RECALLING
Enter the Recall menu via the Review button, the waveforms saved at the last time and the following
menu are displayed on the screen.

Select File: Select this button, the following Please select files dialog box pops up:

The start time of the selected file;


The selectable saved files.
Move the cursor to position and select the desired file by turning the rotating mouse, then
select Ok, the corresponding waveforms will be displayed on the screen.
Last Page, Next Page: Turn the waveforms forward or backward to view the waveforms of 15
seconds before freezing.
Select Exit in the Recall menu or press the Main menu key on the front panel to exit the recalling
mode.

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CHAPTER 7:
PRINTING

OVERVIEW
The printer is an optional constitution for this monitor. If the monitor equipped with a printer, there
is a Recorder Setup button in the Main menu for setting printer parameters.
The performance of the printer is described as below.
Prints patient information and parameters.
Prints a maximum of two waveforms.
The optional printing rates: 25mm/s and 50mm/s.
Multiple printing types are supported.
For details about the printer setup, please refer to RECORDER SETUP in CHAPTER 4.

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PRINTING TYPES
The monitor supports the following types of printings:
Real-time printing.
Timer printing.
Alarm printing.
Trend graph printing (refer to TREND GRAPH WINDOW in CHAPTER 8).

REAL-TIME PRINTING
Press the Print key on the front panel, the real-time printing starts and the current waveforms are
printed until the preset printing time is over or the Print key is pressed again, and then the measured
parameter values at this moment are printed. As described in RECORDER SETUP in CHAPTER 4,
you can set the Curve Mode, Curve Speed and Total in the Set Printer Parameters dialog box.

TIMER PRINTING
The monitor starts printing all the measured parameter values at the preset interval.

ALARM PRINTING
The monitor starts printing all the measured parameter values when the monitor generates
physiological alarms.

NOTE
To realize the alarm printing of a parameter, the Alarm Print in Set Printer Parameters
dialog box, physiological alarms, and alarm and alarm printing of this parameter should
be enabled.
In working status, the printer cannot be configured.
If the interval arrives but the printer is in work, the monitor will give up the parameter
printing this time.

WAVEFORM AND PARAMETER PRINTING


Press the Print key on the front panel, the printer prints waveforms until the preset printing time is
over, then prints all the parameter values measured at this moment, and then stops.
Press the Print key to stop the current printing.

INSTALLING PRINTER PAPER


The printer used for this monitor is a special thermal printer that is installed on the side panel of the
monitor in embedded mode, shown as the following.

Error indicator

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Power indicator
Latch Error Power

If the printer is properly installed, only the Power indicator lights on. If the Error indicator lights on,
it indicates that the printer is in paper lack status or the paper has not been installed properly. Do not
print at this time, or it will damage the printer. Follow the procedure below to install the printer
paper.
1. Press the latch above the paper compartment door to release the door.
2. The printer paper is a single side thermal paper, and the smoother side that has temperature
sensitive coating on it shall be installed upside.
3. Pull the end of the paper out of the compartment and close the printer door. If the Error
indicator lights off, the printer paper has been installed properly; if not, repeat the procedure
specified above.

NOTE
Use the specified printer paper only. Other printer paper may cause the printer to print
with poor quality, function improperly or not at all, or bring damage to the thermal print
head.
If the printer is not properly connected, the information Printer is not probed correctly!
will be displayed at the lower left part of the Set Printer Parameters dialog box.
Do not open the printer door when the printer is in work.
Do not install any other types of printer to this monitor, otherwise the monitor will be
damaged. If you have any doubt, please contact the manufacturer in time.

CHAPTER 8:
TRENDS

OVERVIEW
The trend data is the patients data collected along with the time accumulation. The trends function
displays the patients status graph (trend graph) and status table (trend table) according to the trend
data and can be used for reviewing the waveforms and parameter values at a certain time to judge
and dispose about the patients status properly. If the monitor is equipped with a printer, the trend
graph can be printed.

56
This monitor has two methods to display trend graph (table), one is to display it in channels area,
and the other is to display it in trend window.

TREND CHANNELS
The trend graph (table) can be displayed in channels area, so that the waveforms, measured
parameter values and their trend can be viewed at the same time. The trend graph (table) channel
displays the latest real-time trend data distribution, and the parameters can be selected. Turn to the
time concerned and adjust the time zoom spans.
Press the Main menu key to enter the Main menu, select Display, and then select Format Setup to
pop up the Setup Display Channel diaglog box. In this dialog box, select the Graph (Table), then
select Ok, the trend graph (table) will be displayed in the channels area, shown as below.

Trend graph
channel

Trend table
channel

TREND GRAPH CHANNEL


Distribution

Parameter label: Select this label to enter the trend graph channel menu.
Measure scale: Mark the value scale on the trend graph.
Trend graph area: The trend graph is displayed in the upper part, while the time scale in the
lower.
In the ordinary status, the trend graph of the latest time quantumn is displayed in this area. When the
data is more than one screen, the graph automatically rolls left. Select Last Page to review the earlier
trend graph, and Next Page to review the later trend graph. The graph color is determined by the
parameter. When the parameter value is void, its graph is grey.

57
Menu
Selecting the parameter label in trend graph channel pops up the following trend graph channel
menu.

Select Param
Selecting Select Param pops up the following menu. Select the desired parameter in this menu,
the corresponding trend graph will be displayed in the trend graph area.

Last Page and Next Page


Turns the trend graph backward or forward.
Step
Selecting Step pops up the following menu. The graph will be compressed and the new graph
will be added according to the selected step.

Range
Selecting Range pops up the following menu.

The ordinate value range of the trend graph can be set in this menu. When the range is set, the
trend data takes it as the upper limit/lower limit, and the value exceeds the limit is void.
Alarm Limit: Take the values about the default alarm limits as the range. It is the default
ordinate range.
Max Range: Take the default maximum and minimum values as the range.
Manual Adjust: Adjusts the range by turning the rotating mouse manually. But this range
is confined by the Max Range.

TREND TABLE CHANNEL


Distribution

Table label: Select this label to enter the trend table channel menu.
Data area: In the ordinary status, the trend data of the latest time quantum is displayed in this
area. When the data is more than one screen, it automatically rolls up. The Last Page, Line Up,
Line Down and Next Page buttons can be used to review the trend data of the time concerned.

58
Menu
Selecting the table label pops up the following trend table channel menu.

Line Up, Line Down, Last Page and Next Page


Adjusts the time of trend data forward or backward.
Step
Selecting Step pops up the following menu. The data will be compressed and the new data will
be added according to the selected step.

TREND WINDOWS
Select Review in the Main menu, then select Trend, the trend graph window pops up. It can be
changed to trend table window via the Table button in the displayed menu.

59
TREND GRAPH WINDOW
Distribution

Parameter mark: The corresponding parameters of the three graphs displayed in the trend
graphs area.
Scale: Marks the value range of the trend graph.
Cursor: Move this cursor via the Cursor button.
Parameters table: The parameter values at the current time are displayed in this table. The
inverse black text is the selected parameter, and the lower part of the list is the event and step. If
there is a recorded event at the current time, the event number will be displayed on the right
side of Event. The current step is displayed on the right side of Step. See CHAPTER 9:
EVENTS for detailed information about the event.
Trend graphs area: Displays the trend graph of the selected time quantum. The graph color is
determined by the parameter. When the parameter value is void, its graph is grey.
Starting time of the trend data: The time that the monitor starts to record the trend data.
Current time: The corresponding time of the cursor positon.
End time of the trend data: The time that the monitor stops recording the trend data.
The mark of the current time in the trend data record time: Marks the positon of the
current time in the whole trend data record time with red point.
Event mark: Marks the event recorded in the current page with point in different color. Yellow
point marks event 1, green point marks event 2, blue point marks event 3 and pink point marks
event 4. See CHAPTER 9: EVENTS for detailed information.
Time scale: Marks the time scale of the current page.

Menu
The trend graph window menu is displayed as the following:

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Select Param
Selecting Select Param pops up the following menu. One to three desired parameters could be
selected in this menu. The selected parameter is displayed with inverse figure in the parameters
table. Selecting a parameter again will cancel the selection. Select OK to confirm the selection,
and the corresponding trend graph will be displayed.

Last Page and Next Page


Turns the trend graph backward or forward.
Cursor
Select Cursor and rotate the mouse, the cursor on the trend graph will move in accordance with
the rotating direction, and the parameter values and events will be displayed in the parameters
table. Pressing the rotating mouse again will exit the cursor moving status.
Step
Selecting Step pops up the following menu. The graph will be compressed and the new graph
will be added according to the selected step.

Range
Selecting Range pops up the following menu.

The ordinate value range of the trend graph can be set in this menu. When the range is set, the
trend data takes it as the upper limit/lower limit, and the value exceeds the limit is void.
Alarm Limit: Take the values about the default alarm limits as the range. It is the default
ordinate range.
Max Range: Take the default maximum and minimum values as the range.
Manual Adjust: Adjusts the range by turning the rotating mouse manually. But this range
is confined by the Max Range.
Print
Selecting Print pops up the following menu.

In this menu, you can select to print the trend graph of current page, last 8 hours, last 12 hours
or last 24 hours. Only the trend graph displayed on the top part of the trend graphs area is
printed.

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TREND TABLE WINDOW
Distribution

The DAY-TIME is displayed on the left part of the trend table. On the top is the latest time. From
the upper to the lower, the interval between two adjacent times depends on the preset step. The
central time of the table is the current time of the trend graph. The right of the DAY-TIME is the
parameter names and parameter day-time values (except NIBP which is the first value in the current
step). The symbol "---" means the parameter is not measured at the corresponding time.

Menu
The trend table window menu is displayed as the following:

Line Up, Line Down, Last Page and Next Page


Adjusts the time of the trend data forward or backward.
Step
Selecting Step pops up the following menu. The data will be compressed and the new data will
be added according to the selected step.

Graph
Selecting Graph enters the trend graph window.

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CHAPTER 9:
EVENTS

This monitor provides events to define the situations, such as dose taking, injections or therapy,
which have influence on patients and parameter monitoring. A mark will be displayed on the trend
graph window indicating the time the mark was initiated in relation to the event it represents.

RECORD EVENTS
Selecting Event in Tools menu pops up the following Events dialog box.

The events to be recorded.


Prompt information.
This dialog box allows you to mark four different events. Select Event 1, Event 2, Event 3 or Event
4, the monitor will record corresponding events.
For example, if the injection is defined as event 1, when taking an injection, select Event 1, the
monitor will record the current time and display prompt information Set Event 1 OK at the lower
left part of the dialog box if records successfully.

BROWSE EVENTS
There is event point under the time scale on the trend graph window in different color to mark event.
Yellow point marks event 1, green point marks event 2, blue point marks event 3 and pink point
marks event 4. The Last Page, Next Page and Cursor buttons can be used for reviewing the time and
parameter values when an event happens. For detailed information, see TREND GRAPH WINDOW
in CHAPTER 8.

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CHAPTER 10:
DRUG CALCULATOR

The drug mixture used for intravenous transfusion involves the information such as the drug dosage,
infusion speed, amount, volume, and concentration. The drug calculator can calculate the unknown
value via the known items to help you to control the drug infusion.

WARNING
Before using any drug, you shall check whether the correct calculation unit or patient
weight have been selected, if have problems, please consult the dispensary in your
hospital.
It must be the doctor to determine the drug and its dosage. The drug calculator calculates
the dosage based on the input values and cannot verify the validity of the calculated data.

ENTER DRUG CALCULATOR


Select Tools in Main menu, and then select Drug Calculator, the following Drug Calculator window
pops up.

UNIT
Drug unit
When the drug is Any Drug, g, mg, mcg, unit, k unit, m unit or mEq can be selected.
When the drug is selected, the drug unit is set by the drug calculator automatically, and the user
cannot modify it.
When the drug unit is selected, the units relating to the weight in the Drug Calculator, Drip Table and
Titration Table will change correspondingly.
Time unit
Options: min (minute) or hr (hour).
When the time unit is selected, the units relating to the time in the Drug Calculator, Drip Table and
Titration Table will change correspondingly.

64
TERMS
Amount
The total weight of the drug used within certain time.
Volume
The volume of the mixture is formed by drug diluents and drugs.
Dose/min (Dose/hr)
The drug quantity injected in a minute or an hour.
Dose/(kg*min), dose/(kg*hr)
The drug quantity injected into 1kg of patient weight in a minute or an hour.
Dose/(kg*min) Weight Dose/min
Dose/(kg*hr) Weight Dose/hr
Rate
The volume of the mixture injected in a minute or an hour. The unit is ml/min or ml/hr.
Rate/kg
The volume of the mixture injected into 1kg of patient weight in a minute or an hour. The unit
is ml/min or ml/hr.
Rate/kg Weight Rate
Time
The consumed time for drug transfusion. The unit is min or hr.
Concentration
The concentration of the mixture formed by the drug diluents and drug.
Concentration Amount / Volume
Drip/min (Drip/hr)
The gutta of the mixture transfused in a minute or an hour.
Drip/ml
The volume of each gutta dropped form the transfusion device. The unit is GTT.

DRUG CALCULATOR

NUMERIC INPUT BLOCK


The number is inputted according to the digit. When entering the numeric input block, the
numeric input block selects the first digit at left, turn the rotating mouse, the numeric input
block selects each digit consecutively from left to right, when it reaches the last, it jumps to the
next input block.
The selection range for each digit is 0~9.
When the digit is greater than the display value, it displays ---.--, and when it less than the
display value, it displays 0.00.
When it cannot display all digits, the round is adopted.

CALCULATION FORMULA
The relational formula of the drug weight
Amount = Dose/min Time
Dose/min = Dose/(kg*min) Weight
The relational formula of liquid volume
Volume = Rate Time

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Rate = Rate/kg Weight
Concentration = Amount / Volume

KNOWN ITEM AND CALCULATION RESULTS


Amount, Dose/min, Dose/(kg*min), Volume, Rate, Rate/kg, Time and Concentration can be
inputted as the known items or be outputted as the calculation results.
At least three known items should be inputted according to the calculation requirements, and
the drug calculator automatically calculates the item that has computation relationship with
them.
The known item is expressed with digit in blue background, and the calculation result is
expressed with digit in gray background.
When enters this window, all items are displayed as 0.00 and can be inputted. When a known
item is inputted, the result will be displayed in real-time and locked, the user only can modify
the known item. Modifying the input item as 0.00 means canceling this input.
The Reset button restores all the items to the initial status.

CALCULATION FOR ANY DRUG


When the Drug selection is Any Drug, the Drug Calculator only provides the calculation with
no application range prompt for the dose, concentration etc.
Input the Weight, Drug Unit and Time Unit.
Input the kown item, and the drug calculator will calculate relevant item.

CALCULATION FOR EXACT DRUG


The drug calculator has been preset more than ten general drugs calculation, including
Aminophylline and Amrinone Lactate (refer to Drug dosage range limitation table). When
select the drug, the Concentration, Amount and Dose/min (or Dose/(kg*min)) have range
limitations. If the input item or calculation result is out of the range, it will be expressed in
yellow digit.
The drug dosage over range prompt only prompts the user to pay attention to use appropriate
dose of the current drug, the final transfusion dose and transfusion process are determined by
the doctor.

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Drug dosage range limitation table

English name Concentration Dose/min (Dose/(kg*min)) Amount


Aminophylline 1mg/ml 25mg/min 250~500mg
Amrinone Lactate 1~3mg/ml 5~10ug/kg/min 250~500mg
Bretylium Tosilate 10mg/ml 1~50mg/min 5~10mg
Dobutamine 5mg/ml 2.5~40ug/kg/min 250mg
Dopamine 3mg/ml 1~30ug/kg/min 10~20mg
Epinephrine <64ug/ml 1~4ug/min 0.025~1mg
Heparin Sodium 20~40U/ml 15~20U/kg/h10% 6000~20000U
Isuprel 2~4mcg/ml 2~20mcg/min 500~1000mcg
Lidocaine 8mg/ml 1~4mg/min 50~100mg
Morphine
5mg/ml 2mg/min 5~15mg
hydrochloride
Nitroprusside 1mg/ml 0.5~10ug/kg/min 50mg
Nitroglycerin 50~400ug/ml 5~200ug/min 5~10mg
Oxytocin 0.01U/ml 0.001~0.04U/min 2.5~5U
Procainamide 2~4mg/ml 1~6mg/min 500~750mg

DRIP TABLE
Select Drip Table in the Drug Calculator window, the following information window appears that
shows how much liquid is transfused and how much time remains.
The Drip Table displays the residual quantities of the drug and liquor at each time quantum
when the user inputs the data into the Drug Calculator window.
The left side of the widow shows the data inputted by the user (and calculation result) in the
Drug Calculator window, the right side lists the amount and volume at 15 time quantums that
are equally divided from the Time.
All items in this window cannot be modified.
In the table, the unit relating to the weight is the same as the unit in the Drug Calculator window,
and the volume unit is ml.
Select Ok to exit the Drip Table window and return to the Drug Calculator widow.

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TITRATION TABLE
Select Titration Table in the Drug Calculator window, the following information window appears
that displays the dosage at different rates. The higher the rate is, the greater the steps between the
items are.
The Titration Table shows the dose (Dose/min or Dose/hr) at different rates with the same
concentration.
The left side of the widow shows the data inputted by the user (and calculation result) in the
Drug Calculator window, the right side shows the dose (Dose/min or Dose/hr) at 30 rates,
which are equally divided from the range in the benchmark item.
In the list the user has two items such as Dose and Rate.
The range of Dose/min (Dose/hr) is the one to two times as the dosage inputted in the Drug
Calculator window.
Select Ok to exit the Titration Table window and return to the Drug Calculator window.

RESET
Exit the Drug Calculator window or turn off the monitor, the drug calculator data inputted by the
user and the calculation result are still saved. When the user enters the Drug Calculator window
again, the latest calculator dada shows. Selecting Reset in the Drug Calculator window clears the
inputted data and starts a new calculation.

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CHAPTER 11:
OTHER PATIENT VIEWING

OVERVIEW
This monitor is able to view waveforms and measured parameter data from another patient monitor
on the same monitoring network.
The other patient viewing function has the following features:
The other patient viewing function must be realized by the LAN, so the viewing and viewed
monitors should both be connected to the LAN.
The LAN connection could be wire or wireless.
The other patient viewing function doesnt depend on the central monitoring system. Whether
the central monitoring system exists in the LAN doesnt influence this function.
A monitor only can view one monitor and at the same time, only can be viewed by one monitor.

SELECT MONITOR
Select Tools in the Main menu, and then select Other Patient, the following Other Patient--Select
Monitor dialog box pops up.

All the device names of the monitors connected to the LAN are listed in this dialog box, such as
101 displayed in the figure above. The device name is set in the Edit Device Name dialog
box and its detailed setting method refers to NETWORK SETTINGS in CHAPTER 4.
One page of this information box can list 12 device names. When the connecting monitors
exceed 12 sets, the device names will be displayed in divided pages and can be checked via the
Prev. and Next buttons that arent displayed if the connecting monitors are less than 12 sets.
When the viewed monitor alarms, its device name is in red background, and the button restores
to blue background when the viewed monitor no longer has physiological alarms.
If the same device names exist in a LAN, they will be listed as device name * serial No. in
this dialog box.
Turn the rotating mouse to select the desired device name, and then press the rotating mouse to
check the waveforms and parameter values of the corresponding monitor.
This information box cant exit automatically, you can select the Ok button or press the Main
menu key on the front panel to exit.
A monitor only can be viewed by another monitor, if select a monitor viewed by another, the
Other Patient information box will pop up, shown as below (101 is the selected device name).

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OTHER PATIENT
Select the desired device name in the Other PatientSelect Monitor dialog box, the following
window pops up.

All the real-time parameter values of the viewed monitor are displayed in the lower part of this
window. If a parameter value exceeds the alarm limit of the viewed monitor, it will be
displayed in red.
The parameter alarm doesnt change the audible alarms status of viewing monitor. The
parameter alarm is related with the alarm limit of the viewed monitor, and has no relation with
the alarm switch, alarm tone of the viewed monitor and the relevant alarm settings of the
viewing monitor.
A real-time waveform of the viewed monitor is displayed in the waveform area. There is a
waveform selection field at the top left conner, select it, and the displayed waveform will
switch among all the parameter waveforms.
This window cant exit automatically, you can select the Ok button or press the Main menu key
on the front panel to exit.

70
CHAPTER 12: ECG
MONITORING

OVERVIEW
This Monitor adopts 5-lead (or 3-lead) ECG cable to collect the ECG signal from the patient, and it
can simultaneously display seven (or three) leads of ECG signal. ECG channel displayed on the top
part of the screen is the major channel of the ECG signal, and its lead is called the major lead. The
Monitor calculates the heart rate value and controls the gain (if set in automatic mode) according to
the data of the main lead. All leads adopt the same gain and same measurement mode. The Monitor
can separately check whether the connection of a lead has fallen off, and display the promt
information in corresponding channel.
1.Measurement of ECG
The electro-chemical activity of Excitable cell will produce physiological current
to cardiac muscle before the mechanical shrinkage of heart, the close movement current
produced by the process of heart exciting will flow within the human body and transport
to all parts, it results in the different voltage on the different surface of body. The clinic
Electrocardiography is to record the voltage difference real time.
Figure 2.1 is the Electrocardiography

R
P

T u
QS

2.1 Figure
1.1Electrode of ECG
Current within human body is conducted by hydronium, while its by electron in
metal conductor, so there should be a conversion medium to convert the hydronium
current to electron current, which will help realize the necessary connection between the
human body and patient monitor, electrode is to play the role to realize the
transformation. The widely used electrode for clinic monitoring is AgAg.Cl disposable
electrode.

1.2. ECG leads


The definition of lead is the periodically changing waveform with heart beating
caused by the voltage between two or more than two surface parts of human body.
One lead waveform can only reflect one aspect of the heart movement since the
heart is solid, so its necessary to record several leads waveforms to reflect the complete
movement of heart from different respects during the process of diagnosing. Below table
is the definition for the different leads of ECG:
Table 2.1: Definition for different leads of ECG
Name of leads Definition of leads Nominate of leads
=LA-RA Standard double poles limb lead
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=LL-RA Standard double poles limb lead
=LL-LA Standard double poles limb lead
aVR Pressure single pole limb lead
aVR=RA-(LA+LL)/2

aVL aVL=LA-(LL+RA)/2 Pressure single pole limb lead


aVF aVF=LL-(LA+RA)/2 Pressure single pole limb lead
V=V-(LA+RA+LL)/3 Pressure single pole limb lead

Our patient monitor adopts five leads ECG cable to collect signal of patients ECG. It
displays synchronously seven ECG waveforms. The fixed channel of ECG displayed on
the upper position is the main one of ECG signal, we call the ECG lead which the main
channel choose main lead, patient monitor calculate the value of heart rate and control
the gain based on it (if them monitor is set to model of Auto gain). We have the same
gain control and test mode to all leads, the patient monitor is able to check whether the
corresponding electrode of leads is fall off and display it on screen.

2.Monitoring of ECG electrode


It can get mostly twelve selectable ECG leads if use five leads ECG cable to monitor patients
ECG, the ECG waveform of this lead of patient will be displayed when the leads is set as valid.

The ECG cable includes two parts: main stem cable which connected to patient monitor and
Lead cable electrode which connected to patients, usually the ECG cable has five electrodes, please
note below items when place the electrodes to patients:

1 How to choose and use electrodes

It usually chooses Ag-AgCL one-off electrode, please make sure the electrodes are during the
period of validity. It will result in inaccurate data if use the incompetent electrodes.

2 Pretreatment of skin

Its necessary to pre-treat the skin of patient to ensure the good touch between electrode and
patient since the skin is not a good conductor.

(1) Clean the skin with soap and water instead of aether and alcohol since the later two will
increase the resistance of skin.

(2) Shave off the fur of body where to place the electrode if necessary.

(3) Rub skin to increase the blood floor of capillary vessel of organization and get ride of the horn
and grease.

(4) Place the electrode to patient, please apply conductive cream before the electrode is put to
patient if the electrode do not have conductive cream.

(5) Connect the electrode and ECG cable.

(6) Make sure the connection of patient monitor power.

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ECG MONITORING
In order to monitor the patients ECG, we use a five-electrode ECG cable by which we can get more
than 12 selective ECG leads. If a lead is effective, the corresponding waveform will be displayed in
the channels area.
The ECG cable includes two parts: the main cable connecting the Monitor and the electrode lead line
connecting the patient.

PREPARATION
1. Select electrode
Generally, the electrode for monitoring is disposable electrode made from Ag-AgCl (silver -
silver chloride). But before use, you shall confirm that the electrode is within the valid date. If
the unqualified electrode is used, it will lead to inaccurate monitoring result.
2. Skin pretreatment
Because the skin is not a good conductor, if you want to gain good contact between the skin
and the electrode, before installing the electrode, you shall carry out skin pretreatment at first.
(1) If necessary, shave hair from skin at choosen site.
(2) Rub the skin to accelerate the blood flow in the blood capillary of organs and remove the
horny layer and greases of the skin.
(3) Thoroughly cleanse the site with mild soap and water solution, but do not use the aether
or pure alcohol, because it will increase skin resistance.
(4) Dry the skin completely before applying the electrodes.
3. Attach the ECG lead to the electrodes prior to placement.
4. Place the electrode on the patient. If the conductive ointment is not applied to the electrodes,
apply it before the placement.
5. Connect the electrode lead to the patient cable.
6. Confirm the Monitor is powered on and is ready for monitoring.

ELECTRODE PLACEMENT
(1) For the placement of the fivelead ECG electrode, refer to the figure as shown in Figure 12-1.

Figure 12-1 Positions of 5-Lead Electrode Placement

NOTE
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The sign name and color of the electrode shown above is American standard, while inside
the brackets ( ) is European standard.

White (right arm or RA) electrode: near the right shoulder, directly below the clavicle.
Black (left arm or LA) electrode: near the left shoulder, directly below the clavicle.
Green (right leg or RL) electrode: on the right abdomen.
Red (left leg or LL) electrode: on the left abdomen.
Brown (chest or V) electrode: on the chest.
(2) When using five leads, attach the chest (V) electrode to one of the following positions
indicated in Figure 12-2:

Figure 12-2 Positions of Chest Electrode


In order to accurately install and monitor the "V" lead, it is very important to determine the
fourth rib position, which is determined according to the first rib position. Because of the
patients different bodily forms, it is difficult to accurately feel out the first rib position. At
first, feel out the small protruding body called the "Lewis angle", where the breastbone
diaphysis and manubrium sterni joint. Then determine the second rib position, the protuberant
section of the breastbone indicates the joint of the second rib, right under here is the position
of the second rib position, from the chest to feel down until the fourth rib position is
determined.
Attach the chest (V) electrode to one of the following positions indicated in Figure 12-2:
V1: On the 4th intercostal space at the right sterna margin.
V2: On the 4th intercostal space at the left sterna margin.
V3: Midway between V2 and V4 electrodes.
V4: On the 5th intercostal space at the left clavicular line.
V5: On the left anterior axillary line, horizontal with V4 electrode.
V6: On the left middle axillary line, horizontal with V4 electrode.
V3R-V7R: On the right side of the chest in positions corresponding to those on the left.
VE: Over the xiphoid.
When attaching the chest electrode to the back of a patient, place it at one of the following
sites:
V7: On the 5th intercostal space at the left posterior axillary line of the back.
V7R: On the 5th intercostal space at the right posterior axillary line of the back.

(3) Electrode placement for pacemaker patient

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The pacemaker lead can pick up the best ECG waveform from the pacemaker patient. At this
time, the electrode is usually placed on the mammillary line, the white and black electrodes
are placed as shown in Figure 12-3.

Red (green)

White (red) Black (yellow)

Figure 12-3 Positions of Pacemaker Patients Electrode

(4) Electrode placement for surgical patient


Electrode placement during surgery is dependent on the type of surgery being performed. For
example, with open chest surgery, the electrodes might be placed laterally on the chest or on
the back. In the operating room, artifact can sometimes affect the ECG waveform due to the
use of electrosurgery equipment. To help reduce this, place the electrodes on the right and left
shoulders, the right and left sides near the stomach, and place the chest lead on the left side at
mid-chest. Avoid placing the electrodes on the upper arms. This will cause the ECG
waveform to be too small.

NOTE
Select the place with stable ECG signal or little inference of skeleton activities to place the
electrodes.

WARNING
In order to ensure the patients safety, all leads shall be connected to the patient.
The electrode shall be fixed properly to ensure the reliable contact of the conductor with
skin.
Interference from a non-grounded instrument near the patient and ESU interference can
cause inaccuracy of the ECG waveform.
When using Electrosurgery equipment, never place the ECG electrodes near the
grounding plate of the Electrosurgery device. This will cause a great deal of interference
with the ECG signal. The patient leads should be placed in a position that is equal
distance from the Electrosurgery electrotome and the grounding plate to avoid burns to
the patient.
Always dispose of, or recycle electrodes properly to prevent from environment
contamination.
Verify the lead fault detection prior to the start of monitoring. Unplug the ECG cable
from the ECG connector, the flashing error message Lead Off will be displayed in the
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corresponding ECG channel.
Skin irritation may result from the continuous application of the ECG electrodes. These
should be checked each day. If there is an indication of excess skin irritation, replace the
electrodes or change the location of the electrodes every 24 hours.

ECG CHANNEL
MAIN LEAD CHANNEL
The top part of the channels area that cannot be changed to any other channels is called as the main
lead channel, shown as below:

Main lead label gain mode gain measurement mode


Waveform speed ECG waveform scale range scale
Select the main lead label, the ECG channel menu shows as the following.

Lead
Select this button, the main lead switches among I, II, III, aVR, aVL, aVF and V. In order to
get accurate heart rate and gain control performance, the doctor shall select the lead of large
range and little noise as the main lead.
In order to avoid emerging leads repeatedly, when the lead in the current channel is switched,
the leads in the other channels will be changed automatically.
Gain Mode
Select this button, the gain mode switches between AUTO and MANUAL modes.
Gain means the magnification times for the ECG waveform signal. This monitor has five
magnification times that are 1/4, 1/2, 1, 2 and 4. The 1 is one time magnification, under
which the range of the scale at the left side of the ECG waveform is 1mV. Then under
the condition of 2 magnification, the range of the scale is 0.5mV, and so on. Detailed
data refers to the following table:

Gain factor AUTO MANUAL Scale range


1/4 Adopted Applicable 4 mV
1/2 Adopted Applicable 2 mV
1 Adopted Applicable 1 mV
2 Adopted Applicable 0.5 mV
4 Adopted Applicable 0.25 mV

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Under 1 ECG and Huge Digit display format, the length of the scale is 10mm. The
waveform of 10mm diaplayed under 1 magnification times means the ECG signal is 1mV,
under 2 means 0.5mV.

NOTE
All leads including the main lead and other leads adopt the same gain.

This Monitor provides two methods to regulate the ECG waveform range:
AUTO mode: Under the AUTO mode, according to the main lead waveform data, the
Monitor will automatically regulate the gain to amplify the ECG waveform of the main
lead without the distortion as possible. The defect of this mode is slow regulation speed.
MANUAL mode: Under this mode, the Monitor doesnt regulate the ECG gain
automatically. At this time, the ECG gain is regulated via the Adjust Gain button. The
feature of this mode is fast response that the waveform will change immediately after the
gain is regulated, and the waveform can be amplified to a distortion status to display.
Adjust Gain
Manually regulates the ECG gain. After selecting this button, regulate the gain via the rotating
mouse. Rotate counterclockwise, the gain and waveform range become smaller, while rotate
clockwise, the gain and waveform range become larger. After the accomplishment of the
regulation, press down the rotating mouse again to exit the gain adjusting mode.
Mode
The Mode means the filter bandwidth of the ECG channel. The monitor has three modes:
diagnosis (DIA), monitoring (MON) and operation (OPR). Under the DIA mode, the filter
bandwidth is the widest, and the detailed information of the ECG signal can be got. The more
detailed information is helpful to more accurately judge the status of the ECG signal. But when
the importation of the detailed information, the environmental noise, such as HF electrotome,
may be imported too. The noise mixes with the real ECG signal, so that the ECG signal cannot
be distinguished. In order to adapt to the noise interference situation, the Monitor also provides
two measurement modes, namely the MON mode and the OPR mode. Under these two modes,
narrower bandwidth is adopted to measure and gain smoother signal. The user can make
choices according to the exact situations, and the comparing data are as followings:

Mode Bandwidth Details Noise


DIA 0.05Hz~100Hz Most Most
MON 0.5Hz~40Hz Medium Medium
OPR 1.0Hz~25Hz Least Least

NOTE
All leads including the main lead and other leads adopt the same mode.

Waveform Speed
Select this button to regulate the waveform speed for parameters relating to ECG, including all
ECG channels and PLETH channel. It has four speeds such as 6.25 mm/s, 12.5 mm/s, 25 mm/s
and 50 mm/s.

OTHER LEAD CHANNELS

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Other lead label scale lead off icon ECG waveform
Select the position , the current lead label switches among 6 leads (except the main lead). Labels
in different channels are different, when the lead label in the current channel is switched, the lead
label in other channels will be changed automatically.
When the ECG electrode has fallen off from the ECG cable or from the monitor, the flashing prompt
information Lead Off is displayed in corresponding ECG channel.

ECG PARAMETER
HEART RATE
Except in Huge Digit mode, the heart rate is displayed on the top part of the parameters area, shown
as below.

Lower alarm limit Upper alarm limit alarm off icon heart rate label heart rate
source sign Measured heart rate value
Select the heart rate label (HR), the HR menu pops up, as shown in the figure below:

Alarm On/Off
Enables or disables the HR alarm.
Alarms enabled: The HR alarm is turned on and the monitor alarms when the measured HR
value exceeds the preset alarm limit.
Alarms disabled: Icon is displayed on the left side of the HR label, the HR alarm is turned
off, and the monitor does not generate alarms when the measured HR value exceeds the
preset alarm limit.

Alarm Setting
Select this button, the Set Alarm Limits dialog box pops up, shown as bellow:

The upper alarm limit, lower alarm limit, alarm switch and alarm printing switch of HR can be
set in this dialog box. See ALARM SETTINGS in CHAPTER 5 for detailed information.
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HR Source

Auto: The monitor determines the heart rate source depending on the signal quality. ECG
takes priority of SpO2. Only when the ECG signal is bad and cannot be analyzed, the heart
rate source is SpO2. If the ECG signal becomes normal, the HR source changes to ECG
automatically.
ECG: HR is always calculated from ECG.
SpO2: If the ECG signal is seriously interfered, you can select SpO2, which means PR will
be derived from PLETH waveform. In this case, PR (SpO2) is displayed instead of
ECG (I, II, etc.) while the PR reading is displayed below. The monitor activates pulse
beeps instead of heartbeat beeps.
The heart rate source mark and heart rate label clearly show the current heart rate source. The
list is as the following:

Label Color of the heart rate value Heart rate source mark Source
HR Green I, II, III, aVR, aVL, aVF, V ECG
PR Red SpO2 SpO2

NOTE
The pulse rate and heart rate use the same alarm limit and alarm switch. No matter
where the heart rate value comes from, the alarm systems adopted are totally the same.

AVRG.
Select this button, the following menu pops up.

The average period for heart rate (pulse rate) and ST segment calculation can be set in this
menu.
BT.BT.: The average period is 1 heartbeat period.
4 Beats: The average period is 4 heartbeat periods.
8 Beats: The average period is 8 heartbeat periods.
16 Beats: The average period is 16 heartbeat periods.

ST On/Off
Select this button, the Set ST Switch dialog box pops up, shown as the following:

Auto: The monitor selects to display the ST segment or not automatically according to the
ECG mode. In DIA mode, displays the ST segment, and in MON and OPR mode, hides
ST segment.
Always On: Always displays ST segment in the parameters area.
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Always Off: Doesnt display ST segment.

ST SEGMENT
In the default settings, the ST segment is always displayed. In MON or OPR mode, the ST numerics
might be severely distorted. The variance of the ST segment at the waveform tracks can be measured
and the result is displayed numerically in the parameters area. Measurement symbols of the ST
segment: + means positive elevation, - means negative elevation.
The ST segment is displayed as the following:

Lower alarm limit of the main lead ST segment


Upper alarm limit of the main lead ST segment label of the main lead ST segment
Measured value of the main lead ST segment measured values of other lead ST segments
Select the label of main lead ST segment, such as ST (II) displayed above, the following menu
appears.

Alarm On/Off
Enables or disables all the ST segment alarms.
Alarms enabled: The ST segment alarms are turned on, the monitor alarms when the measured
ST segment value exceeds the preset alarm limit.
Alarms disabled: Icon is displayed on the left side of the main lead ST segment label, the
ST segment alarms are turned off, and the monitor does not generate alarms when the
measured ST segment value exceeds the preset alarm limit.

Alarm Setting
Select this button, the Set Alarm Limits dialog box pops up, shown as bellow.

The upper alarm limits, lower alarm limits, alarm switches and alarm printing switches of the
ST segments can be set in this dialog box. See ALARM SETTINGS in CHAPTER 5 for
detailed information.

MAINTENANCE AND CLEANING


The exterior surfaces of the ECG cable may be cleaned with a soft cloth, dampened with the
alcohol, and then be air-dried or dried with a clean dry cloth.

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WARNING
If the ECG cable is damaged or aging, it shall be replaced by a new one.
Before cleaning the ECG cable, be sure to disconnect the monitor from the ECG cable, or
shut down the system and disconnect all power cords from the outlet.

TROUBLE SHOOTING

Problem Possible reasons Suggestions and way out


The ECG electrode has fallen off
Ensure the electrode, lead and cable are
Lead off from the patient or from the
properly connected.
Monitor.
The mode is not correctly set Change the mode.
according to the environment.
The power frequency is not set in Set the power frequency properly. Refer to
ECG signal
accordance with the local power REGION SETTINGS in CHAPTER 4 for
noise is too
frequency. detailed information.
loud
The Monitor is bad grounding. Check the grounding system of the Monitor.
The electrode is badly connected to Keep the patient quiet, and guarantee the
the patient. reliable connection of the electrode.
The ECG signal is very weak. Check the connection between the electrode
(<0.25mV) and patient, ensure the reliable touch of the
No heart rate
The electrode is badly connected to electrode and patients skin.
is displayed;
the patient.
No heartbeat
The patient type is not correctly set. Correctly set the patient type.
beeps
The gain is not enough. If it is in the MANUAL mode, please turn
the gain to a right magnification.

CHAPTER 13:
RESP MONITORING

OVERVIEW
This Monitor measures out the respiration movement waveform by the ECG cable with the
impedance method. This respiration movement waveform is used to calculate the respiration rate and
analyse the respiration status.
The Monitor can measure three lead respiratory waveforms such as I, II or III lead, of which, the II
lead is generally used. Because of the different signal strength, the Monitor provides AUTO and
MANUAL modes to adjust the gain. The respiratory waveform will be clear and without distortion if
an appropriate gain is adopted.

ELECTRODE PLACEMENT
The impedance respiration method of this Monitor is to monitor the patients respiration by the

81
impedance variation between the two electrocardiogram electrodes of I, II or III lead. Since the same
electrodes are used for ECG and RESP monitoring, the electrode placement is very important. Some
patients, due to their clinical condition, expand their chest laterally, causing a negative intrathoracic
pressure. In these cases it is better to place the two electrodes used for RESP monitoring laterally in
the right axillary and left lateral chest areas, at the maximum point of the breathing movement, to
optimize the respiratory waveform.

NOTE
RESP monitoring is not recommended on very active patients, because it will cause false
alarms.
Place the red and white electrodes diagonally to optimize the respiration waveform.
Try to avoid placing the electrodes so the liver area and the ventricles of the heart are in
path between the electrodes used for respiration, to avoid cardiac artifact to overlay on
the ECG. This is particularly important when monitoring neonate patients.

White (red)
White (red)

Red (green)

Red (green)

The electrode placement procedure refers to PREPARATION in CHAPTER 12.

MONITORING INTERFACE
The RESP monitoring displays a RESP waveform in channels area and the measured respiration rate
value in parameters area.

RESP CHANNEL

Principal of impedance respiration monitoring

The movement of the thorax in the moment of the respiration will cause the variation
of the human bodys impedance, the range of the variation is about 0.13, G3 Monitor
immits the human body a safe electric current which is 0.55mA by using two electrode
of the ECGlead with the 20K100KHZ carrier frequency sinusoidal constant current,
and then mesures out the difference of respiration impendace from electrode LLRA .
This difference of the respiration impedance shows the dynamic waveform of respiration
Using the impedance respiration method, G3 Monitor can measure out the human body
respiration movement waveform by using the electrocardiogram lead line, and this
respiration movement waveform can be used to the calculation of the human body
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respiration rate and the analyse of the human body respiration status.

The G3 Monitor measure three lead respiration waveforms according to the selection
such as I, II, III, the II lead is generally used. Because of the different signal strength, the
Monitor provides two kinds of gain adjustment functions : automatic adjustment and
manual adjustment, it can make the respiration waveform clear and without distortion by
adopting appropriate gain.

The electrode connection

The impedance respiration method of this Monitor is to monitor the patients respiration
by the impedance variation between the two electrocardiogram electrodes. The
respiration monitoring is realized via the electrocardiogram I, II or III lead and their
corresponding electrodes, so no additional electrodes are required, and the installation
of the electrode is very important. For some patient, because of their clinical situation,
the horizontal expansion of the thoracic cage leads to the negativity thoracic cage
internal pressure, under this situation, it is better to put the two respiration electrodes at
the central line of the right armpit or the most active area on the left side of the thoracic
cage when breathing, so that the optimum respiration wave is gained.

We suggest installing five lead electrodes for the respiration monitoring, as shown in
Figure 3.4
Notice
The respiration monitoring is not recommended to be used on the patient
who will move or be moved a lot, because it will lead to mis-alarm.
In order to obtain optimum respiration wave, the white and the red
electrodes shall be installled catercorner. Avoid putting the liver and the
ventricle on connecting line, which can avoid the false difference produced
by the heart coverage or pulsation blood flow, this is very important in the
using for neonate.

RESP channel is shown as the figure below:

RESP channel label. Select this label, the menu as the following figure shows pops up.
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Lead type: I, II or III.
Gain mode: AUTO or MANUAL.
Gain: Four grades are available: 1/2, 1, 2 and 4. If the gain is too great, the top part of the
waveform may be displayed as a straight line.
Status prompt bar.
Waveform speed. Four grades are available: 6.25mm/s, 12.5mm/s, 25mm/s and 50mm/s.
RESP waveform.
Scale.
Scale range. The unit is Ohm, and the length and range are different from time to time along
with different gains.
Select the RESP channel label, the following RESP menu appears:

RESP mode: Select this button, the channel switches to T-RESP channel.
Gain Mode: Select this button, the gain mode switches between AUTO and MANUAL modes.
Adjust Gain: This button is available only in manual mode. Select this button then turn the
rotating mouse to adjust the gain. Four grades are available: 1/2, 1, 2 and 4. Press the
mouse to exit the gain adjustment, and the RESP waveform will be displayed in chosen gain.
Lead: Select this button, the waveform switches among the waveforms of I, II and III leads.
Waveform Speed: Select this button, the waveform speed switches among 6.25mm/s, 12.5mm/s,
25mm/s and 50mm/s. Decrease it, the waveform is compressed, and you will see longer time
quantum; increase it, the waveform is expanded, and you will get more detailed view.
The Waveform Speed button in the Display menu also can be used to change the RESP
waveform speed. No matter which method is used, it will change both the waveform speed of
the RESP and T-RESP simultaneously.

RESPIRATION RATE
The respiration rate is displayed in the parameters area, shown as below:

Lower alarm limit. The monitor generates alarms when the measured respiration rate value is
less than it.
Upper alarm limit. The monitor generates alarms when the measured respiration rate value is
greater than it.
Respiration rate label. Select this label, the following menu appears.
Measured respiration rate value.
Select the respiration rate label (RR), the following menu pops up:

Alarm On/Off: Enables or disables the RR alarm.


Alarms enabled: The RR alarm is turned on and the monitor alarms when the measured RR
value exceeds the preset alarm limit.
Alarms disabled: Icon is displayed on the left side of the RR label, the RR alarm is turned
84
off, and the monitor does not generate alarms when the measured RR value exceeds the
preset alarm limit.
Alarm Setting: Select this button, the following Set Alarm Limits dialog box pops up.

The upper alarm limit, lower alarm limit, alarm switch and alarm printing switch of RR can be
set in this dialog box. See ALARM SETTINGS in CHAPTER 5 for detailed information.
RR Source: Select this button, the following menu pops up.

The respiration rate source can be viewed and selected in this menu. There are four options:
Auto, RESP, T-RESP and CO2. The monitor will display the RR value calculated from the
chosen source. If it is set as Auto, the RR source is in accordance with the current channel,
which is RESP when RESP channel is displayed or T-RESP when T-RESP channel is displayed.

PROMPT MESSAGES
In the status prompt bar of the RESP channel, the current respiration status message is displayed at
the position .
Lead Off: The current lead is not properly connected. When the lead is not inserted on the
Monitor or connected to the patient, this message shows.
Running: Except the abovementioned condition, the system prompts Running.

CHAPTER 14:
T-RESP MONITORING

T-RESP CHANNEL

Principal of the nasal tube respiration monitoring


The respiration will cause the flow of the air in the nasal tube, this flow cause the variation of the
thermistances value. By obtaining this variation, the nasal tube respiration monitoring works.

T-RESP monitoring is the nasal tube respiration monitoring. In the default settings, the RESP
channel is displayed, and it can be switched to the following T-RESP channel via RESP mode button
in the RESP menu.

85

T-RESP channel label. Select this label, the T-RESP menu pops up.
Status prompt message. Always shows Running.
Waveform speed. Four grades are available: 6.25mm/s, 12.5mm/s, 25mm/s and 50mm/s.
T-RESP waveform.

T-RESP MENU
Select the T-RESP channel label, the following menu appears:

RESP mode: Select this button, the channel switches to RESP channel.
Waveform Speed: Select this button, the waveform speed switches among 6.25mm/s, 12.5mm/s,
25mm/s and 50mm/s.
The Waveform Speed button in the Display menu also can be used to change the T-RESP
waveform speed. No matter which method is used, it will change both the waveform speed of
the RESP and T-RESP simultaneously.

NOTE
The T-RESP respiration rate is displayed at the same positon of the RESP respiration rate.
To display it, you can set the RR Source as T-RESP or Auto. Detailed information refers to
RESPIRATION RATE in CHAPTER 13.

MAINTENANCE AND CLEANING


In case of an exception in the sampling system, check for entanglement of the tube. If the tube is not
entangled, the tube has been blocked, you should replace it with a new one.

WARNING
The nasal tube is disposable, must not re-sterilize or reuse it.
Do not press or limit the nasal tube.
The nasal tube should be recycled or disposed of, complying with the local laws.

CHAPTER 15:
NIBP MONITORING

OVERVIEW
The non-invasive blood pressure (NIBP) module measures blood pressure using the oscillometric
method. This monitor can be applied to adult, pediatric and neonate patients. Three measurements
are available: manual, auto and continuous. Each mode displays the systolic pressure (SYS), mean
arterial pressure (MAP) and diastolic pressure (DIA).

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Manual: Pressing the NIBP key on the front panel starts a NIBP measurement.
Auto: The NIBP measurement is conducted automatically at a preset interval.
Continuous: The NIBP measurement is performed as many times as possible in five minutes.

Blood Pressure Measurement Principle

NIBP measurement adopts vibration method. The principle is to charge air to blood
pressure cuff to the degree that arteries are pressed completely and the blood flowing is
blocked. And while the cuff is deflated gradually, the arteries are in the process of utter
blocking, gradual loosing and unobstructing. In this process the artery pressure pulsation
will generate air oscillating waves in the cuff. Theoretic arithmetic and experiments
indicates that oscillating waves have defined correspondence with artery systolic blood
pressure, mean blood pressure, and diastolic blood pressure. Hence systolic blood
pressure, mean blood pressure, and diastolic blood pressure can be measured by
analyzing measurement results and pressure oscillating waves in the cuff.

When the blood pressure measurement process starts up, the Monitor charges the air
into the blood pressure cuff, the human body blood pressure, including the systolic blood
pressure, diastolic blood pressure and mean pressure are measured out via the sensors,
a measurement process is about 40 seconds.
There are three start-up methods for blood pressure measurement, one is manual

measurement mode, the other is automatic measurement mode, and the third is

consecutive measurement mode.


mmHg
Pulse waveform

200

165mmHg
2.0 cuff
pressure
100
1.0
PS Outline of
0 pulse
0 Tim
e
Pulse oscillation
waveform

Notices of NIBP Measurement


1. Korotkoff Sound Method, widely-adopted in clinics, is similar to vibration method. But there are
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many coherent defects in Korotkoff Sound Method. It primarily relies on the coordination between
mans vision and hearing, thus the method is rather subjective and unduplicated. Therefore the
results by Korotkoff Sound Method can not be applied to evaluate the results by vibration method.
2. Human arterial blood pressure is a changeable physiological parameter, related
with the patients emotion, psychological change, posture and position during the
measurement. So it should be considered in measurement and evaluation.
3. The vibration measurement bases on the oscillating waves in cuff, so the
oscillation from the outside and the movement of the patients arm will affect the
measurement results. The serious consequence is the failure in the measurement. It
needs measuring again.
The noninvasive blood pressure (NIBP) measurement adopts the succussion;
It is applicable to adult, pediatric and neonate.
The measurement mode: manual, automatic and consecutive. Each mode displays
systolic blood pressure, mean pressure and diastolic blood pressure.

MONITORING PROCEDURE
To perform NIBP measurement on a patient, follow the procedure as below:
1. Power on the monitor.
2. Check the patient type. If the patient type is incorrect, select a correct patient type in Patient
Information dialog box.
3. Plug the air hose in the NIBP cuff connector of the monitor.
4. Apply a cuff of proper size to the upper arm or the leg of the patient.
5. Connect the cuff with the air hose.
6. Press the NIBP key on the front panel to start the NIBP measurement.

CUFF SELECTION AND PLACEMENT


1. Identify the patient limb circumference.
2. Select appropriate cuff; limb circumference is identified on each cuff.
3. Verify the cuff is completely deflated; place cuff around extremity being used and make sure
the marking matches artery location.
4. Verify the cuff is not wrapped too tightly around the limb. Excessive tightness may cause
discoloration or ischemia of the extremities.
5. Make sure that the cuff edge falls within the range of the <-> mark. If it does not, use a larger
or smaller cuff that will fit better.

88
NOTE
The width of the cuff should be either 40% of the limb circumference (50% for neonates)
or 2/3 of the upper arm length. The inflatable part of the cuff should be long enough to
circle 50-80% of the limb. The wrong size cuff can cause erroneous readings. If the cuff
size is in question, use a larger cuff.
The limb chosen for taking the measurement should be placed at the same level as the
patient's heart. If this is not possible, use the following method to correct the
measurement result:
If the cuff is placed higher than the heart level, add 0.75mmHg (0.10 kPa) for each
centimeter of difference, or 1.9mmHg (0.25kPa) for each inch of difference.
If it is placed lower than the heart level, deduct 0.75 mmHg (0.10 kPa) for each
centimeter of difference, or 1.9mmHg (0.25kPa) for each inch of difference.
If you are in doubt about the accuracy of any reading(s), check the patient's vital signs by
an alternative method before checking the function of the monitor.

WARNING
Use only the specified accessories for monitoring, or it will lead to the malfunction of the
Monitor.
You must not perform NIBP measurements on patients with sickle-cell disease or under
any condition where the skin is damaged or expected to be damaged.
For a thrombasthemia patient, it is important to determine whether measurement of the
blood pressure shall be done automatically.
Ensure that the setting is correctly made when performing measurements on children.
Incorrect patient type setting may cause a danger to the patient because adult blood
pressure level is higher than children.
Before the measurement, you shall confirm your configuration is suitable to the patient
(adult, pediatric or neonate).
Do not apply the cuff to a limb that has an intravenous infusion or catheter in place. This
could cause tissue damage around the catheter when infusion is slowed or blocked during
cuff inflation.
Auto non-invasive blood pressure measurements performed in long intervals may incur
ischemia and neuropathy in the limb wearing the cuff. When monitoring a patient,
examine the extremities of the limb frequently for normal color, warmth and sensitivity.
If any abnormality is observed, change the position of the cuff on the patient or stop the
blood pressure measurements immediately.
Make sure the air tubing connecting the blood pressure monitor is not blocked, twisted,
or tangled.

89
MEASUREMENT LIMITATIONS
Non-invasive blood pressure measurement uses the oscillometric method of measurement. The
monitor detects the regular arterial pressure pulse. In some circumstances when the patient's
condition makes it difficult to detect this pulse, the measurement becomes unreliable and the
measurement time increases. You should be aware that the following conditions could interfere with
the measurement, make the measurement unreliable, prolong the measurement, or even make a
measurement impossible.
Patient movement: E.g.The patient is moving, shivering or jerking.
Cardiac arrhythmia: E.g.The patient's cardiac arrhythmia has caused an irregular heartbeat.
Heart-lung machine: E.g. Measurements will be impossible if the patient is connected to a
heart-lung machine.
Pressure changes: E.g.The patient's blood pressure is changing rapidly over the period of
time during which the arterial pressure pulses are being analyzed to obtain the measurement.
Severe shock: E.g.If the patient is in severe shock or hypothermia, reduced blood flow to the
peripheries will cause reduced pulsation of the arteries.
Heart rate extremes: The monitor is unable to perform pressure measurements at a heart rate
of less than 15 bpm and greater than 300 bpm.

MONITORING INTERFACE
The NIBP measurement does not produce any waveform. Instead, it displays the measurement result
in the parameters area as shown below.


Alarm limit of the diastolic pressure. When the measured diastolic pressure value exceeds this
limit, the monitor generates alarms.
Alarm limit of the systolic pressure. When the measured systolic pressure value exceeds this
limit, the monitor generates alarms.
NIBP alarm off icon. When the alarms for systolic pressure, diastolic pressure and mean arterial
pressure are disabled, this icon is displayed, if one of them is enabled, this icon will disappear.
NIBP label. Select this label to access the NIBP menu.
NIBP unit: mmHg or kPa. Refer to REGION SETTINGS in CHAPTER 4 for setting method.
Measured systolic pressure and diastolic pressure values. The left side of / is systolic pressure
value, while the right side is diastolic pressure value.
Measured mean arterial pressure value.
Information prompt bar. Different information is displayed on it for different situations.

90
Selecting the NIBP label pops up the following NIBP menu:

Alarm On/Off: Enables or disables the alarms for SYS, DIA and MAP simultaneously.
Alarms enabled: The NIBP alarm is turned on and the monitor alarms when the measured NIBP
value exceeds the preset alarm limit.
Alarms disabled: Icon is displayed on the left side of the NIBP label, the NIBP alarm is
turned off, and the monitor does not generate alarms when the measured NIBP value
exceeds the preset alarm limit.
Alarm Setting: Select this button, the following Set Alarm Limits dialog box pops up.

The upper alarm limits, lower alarm limits, alarm switches and alarm printing switches for SYS,
DIA and MAP can be set in this dialog box. See ALARM SETTINGS in CHAPTER 5 for
detailed information.
Auto Manual: Switches between the auto and manual modes. In manual mode, word MANUAL
is displayed at position ; while in auto mode, word AUTO is displayed at positon with
the clock format time at position .
Test Interval: Selecting this button in auto mode accesses the following Set NIBP Auto Test
Interval dialog box.

In this dialog box, the NIBP automatic measurement interval time, which is set as 5 minutes in
default settings, can be set in the range from 2 minutes to 8 hours and displayed in the
information prompt bar.
Venous Puncture: Sets the venipuncture.
Stat Test: Selecting this button starts a continuous measurement for five minutes.
Inflate Pressure: Selecting this button in manual mode accesses the following dialog box.

The max cuff pressure can be set in this dialog. The default max cuff pressure is 165mmHg for
adult, 145mmHg for pediatric and 125mmHg for neonate.

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FUNCTIONS
The NIBP monitoring has two functions, one is NIBP measurement, and the other is the
venipuncture function.

NIBP MEASUREMENT
When the NIBP measurement starts, the Monitor inflates the air into the cuff, and the SYS, DIA and
MAP are measured out via the sensor. A measurement process lasts about 40 seconds.
There are three NIBP measurement modes, one is manual mode, the other is auto mode, and the third
is continuous mode.

Manual mode
Select the Auto Manual button in the NIBP menu, if word MANUAL is displayed at the position ,
the manual mode is selected. In this mode, a NIBP measurement shall be started manually by
pressing the NIBP key on the front panel. Before manual NIBP measurement, the max cuff pressure
should be set to a proper value.

Auto mode
Select the Auto Manual button in the NIBP menu, if word AUTO is displayed at the position , the
auto mode is selected. In this mode, the monitor periodically starts the NIBP measurement
automatically at the preset time interval.
The auto mode has two statuses, one is the stay status. In this status, the clock at position stays,
and the auto measurement has not been started yet. The other status is the running status. In this
status, the clock at position runs, and the auto measurement has been started. The clock at
position indicates how much time still remains for the next measurement.
In the stay status, press the NIBP key to start the auto measurement. At this time, the clock at
position begins to run. Switching to the manual mode, then switching back to the auto mode can
stop the auto measurement. Pressing the NIBP key during the NIBP measurement can stop the
measurement and switch the running status to stay status.

Continuous mode
Selecting the Stat Test button in the NIBP menu starts a continuous measurement which is provided
for surgical or emergent patient. Its feature is that it continuously measures NIBP for five minutes
once it is started, and the measurement mode adopted is simpler than other modes. After five
minutes, the monitor restores to the status (auto or manual) before the continuous measurement.

NOTE
Whether in the auto or manual mode, pressing the NIBP key on the front panel will start
a NIBP measurement.
Pressing the NIBP key during the NIBP measurement stops the ongoing measurement and
deflates the cuff.

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VENIPUNCTURE
Under the venipuncture mode, the monitor inflates the air into the cuff to a preset pressure, and
keeps the pressure during the preset time, then deflates.
Select the Venous Puncture button in the NIBP menu, the following dialog box pops up.

Venipuncture switch: Enables or disables the venipuncture.


Open: The venipuncture is turned on, the word VENOUS and the preset preasure are displayed
in the information prompt bar, shown as the figure below.
Close: The venipuncture is disabled.
Keeping pressure: The air inflating pressure.
Keeping time: From the air inflating time, until the air is deflated.

Patient type Pressure setting range Default pressure Maximum keeping time
Adult 20-120 mmHg 60 mmHg 170 s
Pediatric 20-80 mmHg 40 mmHg 170 s
Neonate 20-50 mmHg 30 mmHg 85 s

Select this key to confirm the setting.

Under the venipuncture mode, press the NIBP key to start and stop the air inflating.

MAINTENANCE AND CLEANING


Reusable blood pressure cuffs
The cuff is not suitable for dry-cleaned. Instead, it should be machine or hand washed. Hand
washing, may prolong the service life of the cuff. Before washing, remove the latex rubber bladder.
Allow the cuff to dry thoroughly after washing, and then reinsert the rubber bladder. The cuff can be
disinfected by means of conventional autoclaving, gas, or radiation disinfection in hot air ovens, or
sterilized by immersion in decontamination solutions. Remember to remove the rubber bladder if
you use this method.

93
To replace the rubber bladder in the cuff:
1. Place the bladder on top of the cuff so the rubber tubes line up with the large opening on the
long side of the cuff.
2. Roll the bladder lengthwise and insert it into the opening on the long side of the cuff.
3. Hold the tubes and the cuff and shake the complete cuff until the bladder is in position.
4. Thread the rubber tubes from inside the cuff, and out through the small hole under the internal
flap.
Disposable blood pressure cuffs
Disposable cuffs are intended for single patient use only. Do not sterilize or use autoclave
sterilization for disposable cuffs. But they can be washed with a mild soap and water solution to
control the infection.

NOTE
Disposable blood pressure cuffs must be recycled or disposed of properly, complying with
the local laws.

WARNING
Do not press or limit the rubber tube on the cuff.
Do not allow the water or detergent liquid get inside the NIBP connection, otherwise the
monitor may be damaged.
When a reusable cuff is not connected to the monitor or is being cleaned, avoid splashing
liquid into the rubber tube or the monitor inadvertently.
When cleaning the Monitor, only clean the connector external part, and do not clean its
internal part.

TROUBLE SHOOTING
The NIBP current status is displayed at the positon , please adopt the following disposals if the
messages shown as below appear.

Problems Possible reasons Suggestions and way out


Stop the NIBP measurement, and inform the
Startup Fail Monitor hardware error qualified maintenance personnel specified by
the supplier to repair.
The cuff is not properly tied
No Cuff Tie up the cuff
up or no cuff
Check and replace the air leakage part, if
The cuff, rubber tube or
Cuff Leak necessary, inform the qualified maintenance
connector is damaged
personnel specified by the supplier to repair.
The cuff is too loose or the
Pulse too weak Use other method to measure the NIBP.
patients pulse is too weak.
Remeasure it, if the failure continues, stop the
The pressure exceeds the NIBP measurement, and inform the qualified
Over Pressure
specified safety upper limit maintenance personnel specified by the
supplier to repair.
94
NIBP Compensate

1. Press the menu key and enter the system setup item

2. Press the system setup menu key and enter the maintenance setup item

3. Press the function maintenance menu key and enter the Reserved 1

4. Input the password 1231 and enter the function compensate menu item ,you will do
it for Temperature NIBP and SPO2

The service man compensate the function such as Temperature NIBP and SPO2,and
so on. according to the monitoring the parameter result so as to measuring the
real result,the other function parameter is the same as to the NIBP

The NIBP compensate range is from 75% to 125%which is some times than measuring
data.The detailed compensate windows of SYS\DIA\Map as follows:

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CHAPTER 16:
TEMP MONITORING

TEMPERATURE PROBE INSTALLATION


The monitor is able to use two temperature probes simultaneously. Attach the temperature probe to
the patients body where ought to be measured, to abtain two temperature values and the difference
between them.
If a disposable temperature probe is used, plug the temperature probe cable in the temperature probe

96
connector, and then connect the temperature probe with the cable; if a reusable temperature probe is
used, connect the temperature probe with the temperature probe connector directly.

NOTE
The disposable temperature probe is for single patient use only.

WARNING
Be careful to avoid damaging the temperature probe and cable. When the temperature
probe and cable are not in use, shape them into a loose round. If the cable is tangled too
tightly or over-bent, mechanical damage may occur.
The calibration of the temperature measurement function is desired every year (or as
dictated by your Hospital Procedures Policy). If you need to calibrate the temperature
measurement function, contact the manufacturer.

TEMP PARAMETER
The temperature measurement result is displayed in the parameters area, as shown in the figure
below:

Temperature lower alarm limit. When the measured temperature value is less than it, the
monitor generates alams.
Temperature upper alarm limit. When the measured temperature value is greater than it, the
monitor generates alams.
Temperature alarm off icon. When the temperature alarm is disabled, it is displayed.
Temperature label: Select this label, and the menu shown as below pops up.
Temperature unit: or . See REGION SETTINGS in CHAPTER 4 for the setting method.
Temperature difference: It is the absolute value of the difference between the temperature
values of two channels.
Measured temperature value of channel 1: Measurement range: (25.0-45.0).
Measured temperature value of channel 2: Measurement range: (25.0-45.0).

TEMP MENU
Selecting the temperature label in the parameters area pops up the following menu.

Alarm On/Off: Enables or disables the TEMP alarm.


97
Alarms enabled: The TEMP alarm is turned on and the monitor alarms when the measured
TEMP value exceeds the preset alarm limit.
Alarms disabled: Icon is displayed on the left side of the TEMP label, the TEMP alarm is
turned off, and the monitor does not generate alarms when the measured TEMP value
exceeds the preset alarm limit.
Alarm Setting: Select this button, and the following Set Alarm Limits dialog box pops up.

The upper alarm limit, lower alarm limit, alarm switch and alarm printing switch of TEMP can
be set in this dialog box. See ALARM SETTINGS in CHAPTER 5 for detailed information.
The temperature difference has no alarm function.
Mode: Select this button, the TEMP display mode switches among three modes. One is
displaying the temperatures of two channels and the temperature difference, another is
displaying the temperatures of two channels, and the third is displaying the temeperature of
channel 1 and the temperature difference. The mode can be selected according to the
requirement, shown as below.

MAINTENANCE AND CLEANING

WARNING
Before cleaning the monitor or the probe, make sure the monitor is turned off and
disconnected from AC power.

Reusable temperature probes


The temperature probe should not be heated to a temperature over 100 (212). It is only
able to bear the temperature between 80 and 100 (176 to 212) for a short time.
The probe must not be disinfected in steam.
Only detergents containing alcohol can be used for disinfection.
98
The rectal probes should be used, if possible, in conjunction with a protective rubber cover.
To clean the probe, hold the tip with one hand and with the other hand rub the probe down in
the direction of the connector using a moist lint-free cloth.

NOTE
Disposable temperature probes must not be re-sterilized or reused.
Disposable temperature probes must be recycled or disposed of properly, complying with
the local laws.

Temperature Compensate

During the monitoring the patient Temperature parameter,you will compensate the
temperature if you find that the temperature departure some range of the real result as
follows:

1.Press the menu key and enter the system setup item

2.Press the system setup menu key and enter the maintenance setup item

3.Press the function maintenance menu key and enter the Reserved 1

4.Input the password 1231 and enter the function compensate menu item ,you will do it
for Temperature NIBP and SPO2

Temperature compensate range is from +1.5 to -1.5,Both T1 channel and T2


channel compensate windows as follows:

99
CHAPTER 17:
SpO2 MONITORING

OVERVIEW
SpO2 measurement is based on two principles: Firstly, oxyhemoglobin and deoxyhemoglobin differ
in their absorption of red and infrared light. Secondly, the volume of arterial blood in tissue changes
during the pulse. A monitor determines SpO2 (oxygen saturation) by passing red and infrared light
into an arteriolar bed and measuring changes in light absorption during the pulsatile cycle. Red and
infrared low-voltage light-emitting diodes (LEDs) in the sensor serve as light sources, a photodiode
100
serves as the photo detector.
Because oxyhemoglobin and deoxyhemoglobin differ in light absorption, the amount of red and
infrared light absorbed by blood is related to hemoglobin oxygen saturation. To identify the oxygen
saturation of arterial hemoglobin, the monitor uses the pulsatile nature of arterial flow. During
systole, a new pulse of arterial blood enters the vascular bed, and the blood volume and light
absorption increase. During diastole, the blood volume and light absorption reach their lowest point.
The monitor bases its SpO2 measurements on the difference between maximum and minimum
absorption (i.e., measurements at systole and diastole). By doing so, it focuses on light absorption by
pulsatile arterial blood, eliminating the effects of nonpulsatile absorbers such as tissue, bone, and
venous blood.
The monitor determines SpO2 and pulse rate by passing two wavelengths of light, one red and one
infrared, through body tissue to a photodetector. During measurement, the signal strength resulting
from each light source depends on the color and thickness of the body tissue, the probe placement,
the intensity of the light sources, and the absorption of the arterial and venous blood (including the
time varying effects of the pulse) in the body tissue (Refer to Figure 17-1).

RED LED AND INFRARED LED



MONITOR
LIGHT SOURCES

9 6 % S p O 2
72 PULSE

PERFUSION

INDICATOR

DETECTOR

8THETORY
FIGURE 17-1 SpO2 S p O 2
OFOPERATION

The monitor processes these signals, separating the time invariant parameters (tissue thickness, skin
color, light intensity, and venous blood) from the time variant parameters (arterial volume and SpO2)
to identify the pulse rate and calculate oxygen saturation. Oxygen saturation calculations can be
performed because oxygen saturated blood predictably absorbs less red light than oxygen depleted
blood.
The monitor can be used under low perfusion with same accuracy as normal condition.

The monitor measures the patients SpO2 and displays:


Pulse rate (PR) value in the parameters area.
PLETH waveform and pulse intensity (perfusion indicator) in the channels area.
Oxygen saturation (SpO2 %) value in the parameters area.
As the following figure shows, the perfusion indicator (prorate with the pulse intensity) is located on
the left side of the PLETH waveform while the measured SpO2 value on the right. The SpO2 value is
displayed by percentage. Besides, the SpO2 label in the parameters area allows you to access the
SpO2 menu.

Perfusion indicator PLETH waveform 101 SpO2 alarm limit SpO2 label SpO2 value
The PR value is displayed in the parameters area only if:
1. SpO2 is selected in the HR Source menu; or
2. Auto is selected in the HR Source menu and the received ECG signal is bad.

PRECAUTIONS

WARNING
The monitor can overestimate the SpO2 value in the presence of Hb-CO, Met-Hb or dye
dilution chemicals.
ES (Electrosurgery) equipment wire and SpO2 cable must not be tangled up. Carefully
route patient cabling to reduce the possibility of patient entanglement or strangulation.
Do not use this instrument and the sensors during magnetic resonance imaging (MRI).
Induced current could potentially cause burns. The monitor may affect the MRI image,
and the MRI unit may affect the accuracy of the oximetry measurements.
Do not put the SpO2 sensor on the limb with arterial catheter or venous syringe.
Do not perform SpO2 monitoring and NIBP measurements on the same arm
simultaneously. Obstruction of blood flow during NIBP measurements may adversely
affect the reading of the SpO2 value.
Before performing the testing, check the sensor cable. After unplugging the SpO2 sensor
cable from the socket, the system shall display the flashing prompt information "Sensor
Off" above the PLETH waveform.
Prolonged and continuous monitoring may increase the risk of burns at the site of the
sensor. It is especially important to check the sensor placement, and ensure proper
attachment on neonates and patients of poor perfusion or skin sensitive to light. Check the
sensor location every 23 hours and move to another location if the skin deteriorates.
More frequent examinations may be required for different patients.

NOTE
Place the SpO2 sensor cable at the backside of the patient hand. Make sure the fingernail
is just opposite to the light emitted from the sensor.

MONITORING PROCEDURE
Follow the procedure as below:
1. Power on the monitor.
2. Attach the sensor to the proper site on the patient.
3. Plug the connector of the sensor extension cable into the SpO2 connector on monitor.
The process of SpO2 plethysmogram measurement is generally the same. But the SpO2 sensor
selection and placement depend on the patient type. When choosing a site for a sensor, refer to the
directions for that sensor.

MEASUREMENT LIMITATIONS
If the accuracy of any measurement does not seem reasonable, first check the patients vital signs by
102
an alternate method. Then check the instrument for proper function. Inaccurate measurements may
be caused by:
Incorrect sensor application or use;
Placement of a sensor on the same extremity with a blood pressure cuff, arterial catheter, or
intravascular line;
Exposure to excessive illumination, such as surgical lamps (especially ones with a xenon light
source), bilirubin lamps, fluorescent lights, infrared heating lamps, or direct sunlight (exposure
to excessive illumination can be corrected by covering the sensor with a dark material);
Excessive patient motion;
Venous pulsations;
Intravascular dyes such as indocyanine green or methylene blue;
Defibrillation;
Other physiological conditions or medical procedures that may interfere with the monitors
measurements include significant levels of dysfunctional hemoglobin, low perfusion, and dark
pigment.
Loss of pulse signal can occur in the following situations:
The sensor is too tight;
A blood pressure cuff is inflated on the same extremity as the one with a SpO2 sensor attached;
There is arterial occlusion proximal to the sensor.
Select an appropriate sensor, apply it as directed, and observe all warnings and cautions presented in
the directions for use accompanying the sensor. Clean and remove any substances such as nail polish
from the application site. Periodically check to ensure that the sensor remains properly positioned on
the patient.
If patient movement presents a problem, try one or more of the following remedies to correct the
problem.
Verify that the sensor is properly and securely applied.
Move the sensor to a less active site.

MENU
SpO2 MENU
Selecting the SpO2 label in the parameters area pops up the following menu:

Alarm On/Off: Enables or disables the SpO2 alarm.


Alarms enabled: The SpO2 alarm is turned on and the monitor alarms when the measured SpO2
value exceeds the preset alarm limit.
Alarms disabled: Icon is displayed on the left side of the SpO2 label, the SpO2 alarm is
turned off, and the monitor does not generate alarms when the measured SpO2 value
exceeds the preset alarm limit.
Alarm Setting: Selecting this button pops up the following Set Alarm Limits dialog box.

103
The upper alarm limit, lower alarm limit, alarm switch and alarm printing switch of SpO2 can
be set in this dialog box. See ALARM SETTINGS in CHAPTER 5 for detailed information.
AVRG.: Select this button, the following menu pops up:

The average period for SpO2 calculation can be set in this menu.
5. 4 Beats: The average period is 4 SpO2 periods.
6. 8 Beats: The average period is 8 SpO2 periods.
7. 16 Beats: The average period is 16 SpO2 periods.

WARNING
Setting the SpO2 upper alarm limit to 100% will disable the upper alarm limit. High
oxygen levels may predispose a premature infant to retrolental fibroplasia. Therefore, the
upper alarm limit for oxygen saturation must be carefully selected in accordance with the
commonly accepted clinical practices.

PLETH MENU
Selecting the PLETH channel label pops up the following menu:

Fill Waveform: Fills or unfills the PLETH waveform. It has the same function as the Pleth Fill
button in the Display menu.

MAINTENANCE AND CLEANING


NOTE
Clean the sensor and the surface of the probe before and after each use. You can wipe
surfaces with 70% Isopropylic Alcohol or soak the clip for five minutes in Isopropylic
alcohol. After soaking the clip, it must be rinsed with water and air-dried prior its use.
SpO2 sensor must be recycled or disposed of properly, complying with the local laws.

Spo2 compensate

During the monitoring the patient Temperature parameter,you will compensate the
temperature if you find that the temperature departure some range of the real result as follows:

The spo2 compensate range is from 30% to +30%,the detailed windows as follows:
104
1.Press the menu key and enter the system setup item

2.Press the system setup menu key and enter the maintenance setup item

3.Press the function maintenance menu key and enter the Reserved 1

4.Input the password 1231 and enter the function compensate menu item ,you will do it
for Temperature NIBP and SPO2

CHAPTER 18: IBP


MONITORING

IBP CHANNELS
The monitor provides two channels to measure the invasive blood pressure (IBP, including systolic,

105
diastolic and mean pressures), and displays two channels of waveforms and two parameters. The two
channels of waveforms are displayed in a same or different waveform area, differentiated by color.
When the two curves overlapped, the curve color will be the color of channel 2. The figure below is
the channels displayed in different waveform area:

Label of channel 1: Selecting this label pops up the menu of channel 1.


Label of channel 2: Selecting this label pops up the menu of channel 2.
Pressure axis: It is the pressure axis of the waveform displayed on its right side, shown as
below:

Maximum

0 mmHg

The bottom horizontal line indicates the location of zero pressure. If a curve dot is displayed higher
than this line, it means the pressure of this dot is positive; accordingly, the pressure of the dot, which
is lower than this line, is negative.
The top horizontal line indicates the maximum pressure of current display gain. The curve line
where its pressure is higher than the maximum pressure will be clipped and becomes a section of
horizontal line.
The height of the waveforms relates to the pressure. And the ratio between height and pressure is
specified. Maximum value and Minimum value are listed in the following table:

Maximum value on screen Minimum value on screen


6 mmHg -1 mmHg
10 mmHg -1 mmHg
18 mmHg -2 mmHg
30 mmHg -3 mmHg
60mmHg -6mmHg
80mmHg -8mmHg
100mmHg -11mmHg
120mmHg -13mmHg
180mmHg -20mmHg
240mmHg -26mmHg
300mmHg -33mmHg

The monitor can automatically select a proper ratio according to the phase of the waveform. It also
provides a function to adjust the ratio manually. Here we call it two gain modes: Auto mode and
Manual mode.
106
Status message: Displayed above the waveform. All the possible status messages are listed in
the following table:

Message string Meaning Possible causation


When the monitor is restarting, this
message indicates that the channel has
The monitor can not get data not been started yet, but this message
No Response
from this channel will disappear in 5 seconds.
Or the hardware of IBP module does not
work properly and needs to be fixed.
The pressure sensor cable has fallen off
The pressure sensor isnt
Sensor Off from the monitor or from the pressure
connectted to the monitor.
sensor.
Operator has to zero the monitor after it
NOT Zero The channel wasnt zeroed is started. If not, the measured pressure
is unusable.
This is a normal working
Auto/Manual message. It tells the current The channel works properly.
gain mode and gain ratio.

Waveform of channel 1.
Waveform of channel 2.

IBP PARAMETER
The measured IBP values of two channels are displayed in the parameters area, the right side of the
IBP channels, shown as below:

IBP label of channel 1


Systolic blood pressure (SYS)
Mean pressure (MEAN)
Indicates that this area displays the measured IBP values of channel 1.
Diastolic blood pressure (DIA)
IBP values can vary in the range from 60mmHg to 300mmHg. Values not in this range will be
displayed as invalid pressure, in the form of --- or --.-.
But there are more reasons if these pressure values are displayed as invalid values, they are:
1. The actual pressure is not in the range from -60 mmHg to 300 mmHg.
2. The channel wasnt zeroed.
3. The cable is disconnected or not connected firmly.
4. The channel is not calibrated properly.
5. In zero processing.
6. Monitor is starting.
The IBP unit is the same as the NIBP unit. See REGION SETTINGS in CHAPTER 4 for detailed
information.
107
PRECAUTIONS

WARNING
Use only the IBP transducer specified in this manual. Disposable IBP transducers should
not be reused.
Parts and accessories used must meet the safety requirements of the medical electrical
equipment standards.
Avoid conductive connection to the applied part likely to degrade safety.
When the monitor is used with high frequency surgical equipment, do not allow the
transducer and the cable contact the high frequency surgical equipment to prevent the
patient from burning caused by leakage current.

MONITORING PROCEDURE
1. Plug the pressure cable into the IBP connector on the monitor and power on the monitor.
2. Prepare the pressure line and transducer by flushing the system with normal saline solution.
Make sure the tubing and transducer system is free of air bubbles.

NOTE
In case of any entrapped air in the pressure system, re-fill the system with normal saline.

3. Connect the catheter to the pressure line, making sure there is no air present in the catheter or
pressure line.
4. Position the transducer so it is at the same level with the patients heart, approximately
mid-axillary line.
5. Verify the correct label is selected.
6. Zero the transducer.

Normal salin
with heparin Pressure
transducer
Drip chamber
Monitor
3-way
stopcock
Pressure line

Pessure transducer cable

IBP MENU
IBP PARAMETER MENU
Select the IBP parameter label in the parameters area, the following menu pops up:

108
Alarm On/Off: Enables or disables the IBP alarm (including the systolic, diastolic and mean
pressure alarms).
Alarm enabled: The IBP alarm is turned on, the monitor alarms when the measured IBP value
exceeds the preset alarm limit.
Alarm disabled: Icon is displayed on the left side of the IBP parameter label, the IBP alarm
is turned off, and the monitor does not generate alarms when the measured IBP value
exceeds the preset alarm limit.
Alarm Setting: Selecting this button pops up the following Set Alarm Limits dialog box.

The upper alarm limits, lower alarm limits, alarm switches and alarm printing switches of SYS,
DIA and MEAN can be set in this dialog box. See ALARM SETTINGS in CHAPTER 5 for
detailed information.
Label: Selecting this botton switches the label of this channel. The label recycles in the order
listed below:
Label Definition
ART Arterial Blood Pressure
CVP Center Venous Pressure
RVP Right Ventricle Pressure
LAP Left Atria Pressure
RAP Right Atria Pressure
PAP Pulmonary Arterial Pressure
ICP Intracranial Pressure
LVP Left Ventricle Pressure

The selected label will be saved in 5 seconds and displayed in the corresponding channel. It
does not take any other effect other than displaying.

IBP CHANNEL MENU


Select the label of a target IBP channel, and the menu of this channel pops up, shown as below. In
this menu, we can change the label of the channel, zero the transducer and select the display gain.

Label
It has the same function as the Label button in the IBP parameter menu. Selecting this button
switches the label of this channel.
Zero
In the first time we select this button, the corresponding channel will perform zero process. And
selecting this button again will terminate the zeroing. The system will treat the detected absolute
pressure value as the relative zero point. This zero point affects both the pressure values and the
waveforms of the channel.
Zeroing procedure:
1. Disconnect the transducer from the patient.
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2. Adjust the 3-way stopcock to close the channel leading to the patient. The transducer is open to
the atmosphere through the stopcock.
3. Select the Zero button in the IBP channel menu to start zeroing.
NOTE
The zeroing funciton is noneffective in sensor off status, it is effective only when the sensor
is connected to the monitor.
Position the transducer at the same level with the patients heart, approximately
mid-axillary line.
Perform the pressure zeroing when the monitor is powered on and at measuring intervals
(at least once per day). The zeroing should also be conducted once the transducer cable or
catheter is changed.
Ensure the catheter is static. In the catheter static status, the zeroing will be completed
soon.

Gain Mode
This button is to select the display gain mode for the channel. The gain mode switches between Auto
and Manual when selecting this button. This function is disabled if the channel wasnt zeroed.
Adjust Gain
If the gain mode of the channel is Manual, we can use this button to increase/decrease display gain.
The clockwise for decrease, whereas for increase. This operation zooms in the waveform in vertical
direction. This function is also disabled if the channel wasnt zeroed.

MAINTENANCE AND CLEANING

WARNING
Before cleaning the transducer, make sure the transducer is disconnected from the
monitor, or the monitor is powered off and disconnected from AC power.

CLEANING OF IBP TRANSDUCER


After the IBP monitoring operation is completed, remove the tubing and the dome from the
transducer and wipe the transducer diaphragm with water. To clean the transducer and the cable,
wipe them using soap or the detergents listed below:
Cetylcide
Wavicide-01
Wescodyne
Cidex
Lysol
Vesphene
Do not immerse the connector in any liquid. After cleaning, dry the transducer thoroughly before
storing. Slight discoloration or temporary increase of surface stickiness of the cable should not be
considered abnormal. If it is necessary to remove the adhesive tape residue from the transducer cable,
the double seal tape remover is recommended; use the remover with special caution to minimize the
damage to the cable. Acetone, Alcohol, Ammonia and Chloroform, or other strong solvents are not
recommended because they are harmful to the vinyl cabling if used for a long time.

NOTE
110
The disposable transducers or domes must not be reused.
To avoid contamination, the disposable transducers or domes must be reclaimed or
disposed of properly, complying with the local laws.

STERILIZATION
Chemical Solution Sterilization
After finishing the cleaning, select an effective sterilant for chemical solution sterilization of the
operating room equipment. Buffered glutaraldehyde (e.g. Cidex or Hospisept) is recommended. Do
not use quaternary cationic detergents such as zephiran chloride. If the whole unit is to be sterilized,
immerse the transducer but not the electrical connector into the sterilant for the recommended
sterilizing period. Ensure that the dome has been removed. Then rinse all transducer parts except the
electrical connector with sterilized water or saline. The transducer must be thoroughly dried before
storing.

Gas Sterilization
For more complete asepsis, use gas sterilization. The transducer should be completely dry after
cleaning. When ethylene oxide gas is used as the gas disinfectant, follow the operating instructions
provided by the manufacturer of the gas disinfectant.

NOTE
The disinfectant temperature must not exceed 70C (158F). Plastics in the pressure
transducer may deform or melt above this temperature.

111
CHAPTER 19:
CO2 MONITORING

INTRODUCTION
CO2 monitoring is to monitor the respiration of patient by detecting the concentration of CO2
generated during respiration. The maximum concentration of CO2 at the end of exhalation is called
End-Tidal CO2 (EtCO2). The minimum concentration of CO2 at the end of inspiration is called
Fractional Inspiratory CO2 (FiCO2). CO2 is generated by cells in the body during metabolizing, and
is breathed out via breath system. The concentration of CO2 breathed out from lung reflects directly
the situation of metabolizing and breathe system. If the concentration of CO2 is high, it means that
metabolizing is excited, such as blood poisoning or acute fever. If the concentration of CO2 is low, it
is commonly because the output ability of heart is weak, or the heart stop beating, or the lung soak
for the flux of blood is low or oxygen it carried is not enough. Monitoring CO2 is used to warn the
doctor of the abnormal of breathe and metabolizing for hocused patient.
The concentration of CO2 is represented as a pressure level, with mmHg, kPa or % as its unit.
Generally, the acceptable value is 38mmHg (5.1kPa or 5%) when air pressure is 760mmHg. The
concentration of CO2 varies very fast from 0% to 5% normally. To detect the concentration of CO2
accurately, the monitor has to be very sensitive.

MONITORING PROCEDURE
Follow the procedure specified below to monitor the CO2.
1. Plug the dehydration vase into its receptacle, then push its bottom carefully to its position,
shown as the figure below:

Water trap receptacle

Sampling line

Water trap

2. Connect one end of the sampling line to the dehydration vase.


3. Connect the other end of the sampling line to the patient.
4. Power on the monitor.
5. Enables the displaying of CO2 channel via the Format Setup button in the Display menu.
6. Select the Start Pump button in the CO2 channel menu to start air pump.
7. The CO2 monitoring starts.
112
NOTE
To monitor the CO2, the CO2 channel and the air pump must be enabled. If the monitor is
in default settings, these two items must be reset.
When there is no CO2 monitoring, disables the CO2 channel or air pump to prolong its
service life.

MONITORING INTERFACE
The CO2 monitoring displays a CO2 waveform in the channels area and the measured EtCO2 and
FiCO2 values in the parameters area.

CO2 CHANNEL
The CO2 channel is displayed as below:

CO2 channel label concentration unit gain mode gain


Prompt information flow rate scale CO2 waveform

Selecting the CO2 channel label pops up the following menu:

Gain Mode: Select this button, the gain mode of the CO2 waveform switches between AUTO
and MANUAL modes.
Adjust Gain: This button is only available in MANUAL mode. Select this button then turn the
rotating mouse to adjust the gain. Five grades are available: 1/2, 1, 2, 4 and 8. Press the
mouse to exit the gain adjustment status when the gain has been chosen, and the CO2 waveform
will be displayed in chosen gain.
Flow Rate: Select this button to adjust the flow rate of the CO2. Three grades are available:
65cc/min, 100cc/min and 150cc/min.
Waveform Speed: Select this button, the waveform speed switches among 6.25mm/s, 12.5mm/s,
25mm/s and 50mm/s. It is the same as the RESP waveform speed, and switches it will swithes
the other one simultaneously. The current CO2 waveform speed can be viewed in the prompt
information bar of the RESP channel.
Concent. Unit: Select this button, and the concentration unit switches among mmHg, kPa
and %.
Start Pump: Starts or stops the air pump. If the air pump is disabled, this button is displayed as
Start Pump, select it to start the air pump; if the air pump is enabled, this button is displayed as
Stop Pump, select it to stop the air pump.

113
CO2 PARAMETER
The measured CO2 values are displayed as below:


Upper alarm limit of EtCO2.
Lower alarm limit of EtCO2.
Measured EtCO2 value.
Measured FiCO2 value.
Label of EtCO2.
Selecting the EtCO2 label pops up the following menu:

Alarm On/Off: Enables or disables the CO2 (EtCO2 and FiCO2) alarm.
Alarm enabled: The CO2 alarm is turned on, the monitor alarms when the measured EtCO2 or
FiCO2 value exceeds the preset alarm limit.
Alarm disabled: Icon is displayed on the left side of the EtCO2 label, the CO2 alarm is
turned off, and the monitor does not generate alarms when the measured EtCO2 or FiCO2
value exceeds the preset alarm limit.
Alarm Setting: Selecting this button pops up the following Set Alarm Limits dialog box.

The upper alarm limits, lower alarm limits, alarm switches and alarm printing switches of
EtCO2 and FiCO2 can be set in this dialog box. See ALARM SETTINGS in CHAPTER 5 for
detailed information.
Concent. Unit: Select this button, the concentration unit switches among mmHg, kPa and %.

114
MAINTENANCE AND CLEANING
In case of an exception in the sampling system of the CO2 module, check for entanglement of the
sampling line. If the sampling line is not entangled, remove the dehydration vase. In this situation, if
the dehydration vase is not blocked, the sampling line must have been blocked, and you must replace
it with a new one. If the dehydration vase has been blocked, you should replace it with a new
dehydration vase.

WARNING
The sampling line is disposable, must not re-sterilize or reuse it.
Do not press or limit the sampling line.
The dehydration vase is used to collect water drops condensed in the sampling airway and
prevent water drops from entering the module. When the collected water reaches to a
certain amount, remove the water to avoid blocking the airway.
In the long-term use, dust or other substances may lower the air permeability of the filter
material in the dehydration vase and may block the airway. In this situation, the
dehydration vase must be replaced.

NOTE
The sampling line must be recycled or disposed of properly, complying with the local
laws.

115
CHAPTER 20:
MAINTENANCE

WARNING
The safety inspection or maintenance, which requires opening the monitor housing, must
be performed by trained and authorized personnel only. Otherwise, equipment failure
and possible health hazard may be caused.

INSPECTION
Make sure the qualified service personnel have implemented a complete inspection before putting
the monitor into operation, after monitor servicing or system upgrading, or after the monitor has
been used for 6-12 consecutive months. This is to ensure the normal operation of the system.
Follow these guidelines when inspecting the equipment:
The environment and the power supply meet the specified requirements.
Inspect the keys, control knob, connectors and accessories for damage.
Inspect the power cords for fraying or other damage and check the insulation.
The grounding cables are correctly connected.
Only specified accessories like electrodes, sensors and probes are applied.
The monitor clock is correct.
The audible and visual alarms functions normally.
The printer functions normally and the printer paper meets the requirement.
In case of any damage or exception, do not use the monitor. Contact the technician in your hospital
or our Customer Service immediately.

CLEANING

WARNING
Be sure to shut down the system and disconnect all power cords from the outlet before
cleaning the equipment.

Your equipment should be cleaned on a regular basis. If there is heavy pollution or lots of dust and
sand in your place, the equipment should be cleaned more frequently. Before cleaning the equipment,
consult your hospitals regulations for cleaning, disinfecting and sterilizing equipment.
The exterior surfaces of the equipment may be cleaned with a clean and soft cloth, sponge or cotton
ball, dampened with a non-erosive cleaning solution. Drying off excess cleaning solution before
cleaning the equipment is recommended. Following are examples of cleaning solutions:
Diluted soap water
Diluted ammonia water
Diluted sodium hyoichlo (bleaching agent)
Diluted formaldehyde (35 to 37%)
Hydrogen peroxide (3%)
116
Ethanol (70%), or Isopropanol (70%)

To avoid damage to the equipment, follow these rules:


ALWAYS dilute the solutions according to the manufacturers suggestions.
ALWAYS wipe off all the cleaning solution with a dry cloth after cleaning.
NEVER submerge the equipment into water or any cleaning solution, or pour or spray water or
any cleaning solution on the equipment.
NEVER permit fluids run into the casing, switches, connectors, or any ventilation openings in
the equipment.
NEVER use abrasive, erosive cleaners, or cleaners containing acetone.

Failure to follow these rules may erode or fray the casing, or blur lettering on the labels, or cause
equipment failures.
For cleaning information of accessories, please refer to the chapters for specific patient parameters
and the instructions for use of the accessories.

DISINFECTION AND STERILIZATION


Sterilization or disinfection may cause damage to the equipment. We recommend the sterilization
and disinfection are contained in the hospitals servicing schedule only when necessary. The
equipment should be cleaned prior to sterilization and disinfection.
Recommended sterilization material: Alcohol based (Ethanol 70%, Isopropanol 70%), and aldehyde
based.

WARNING
Disinfection or sterilization may cause damage to the equipment; therefore, when
preparing to disinfect or sterilize the equipment, consult your hospitals infection
controllers or professionals.
The cleaning solutions above can only be used for general cleaning. If you use them to
control infections, we shall assume no responsible for the effectiveness.

NOTE
ALWAYS dilute the solutions according to the manufacturers suggestions and adopt
lower concentration if possible.
NEVER submerge the equipment into water or any solution, or pour water or any
solution on the equipment.
ALWAYS wipe off all the excess liquids on the equipment surface and accessory surface
with a dry cloth.
Never use EtO and formaldehyde to disinfect.
Never permit high-pressure and high-temperature disinfection of the equipment and
accessories.

117
CHAPTER 21:
LABELS, PACKAGING, TRANSPORT AND STORING

LABELS
PRODUCT LABELS
G3C label

G3D label

G3F label

G3G label

118
PACKAGING LABELS

There are four symbols on the packing case. Their meanings are shown as below:

Upward

Fragile, handle with care

Keep dry

Stacked not more than four layers

PACKAGING
The monitor is sealed in a plastic bag and then put in the packing case that is filled with sponge or
foam.

TRANSPORT
The monitor can be transported by the aircraft, train or automobile. It has to prevent from strong
collision and being placed with corrosive substance.

STORING
The packed monitor should be stored in the temperature from -20 to +50, relative humidity not
greater than 85%, non-corrosive gas and well-ventilated room.

Introduction on the inside module structure and each function module

Basal inside system composition


The monitor is composed by the multi-function module (ECG, BP SPO2, TEMP, and
RESP), operation keyboard, driver Port, network Port ,Intelligent power, AC/DC power,

119
the Central Monitor system, TFT display, and correlative as follows:

Operating
keyboard
Printing
Port GAA230/134/126
ARM main board
multi -function board
Network
Port
Display Intelligent power baoard

AC/DC AC power input


Accumulator

Introductions about the main module function.

1 Intelligent power board

The intelligent power board acts as automatic transforming voltage from the 15v to 12v
and 5v and so on. on the other hand, it also manages the battery automatic
charge-discharge and the overload protection

2 Operation keyboard

Operation keyboard carries out three parts function as follows:

. Mouse function,similarly to the PC mouse by turning the rotator and let the cursor place
some position and then click it to enter the corresponding menu.

. Execute the measurement of every function parameter by pressing the the corresponding
key

. Provide current pulse to speakerlouder and let it make sound

3 ARM main board

It perform some parts function as follows:


. To communicate and the function board e.g.GAA134,GAA230 etc. and LCD or LED and so on
afer downloaded the Linux program
. To connect the central system by the internet port on it with the net cable
3.To connect printer and perform the printing work.

120
4 GAA230GAA134 multi-function module

To implement the function of collection, enlarging, controlling, and switching all kinds of

function parameters e.g ECG, TEMP, BP, RESP, and SPO2 and so on.

Troubleshooting

G3 monitor trouble, reason and action


Problem Reason Action
1. The outside receptacle is not 1. Check the connection of
connected well power or change
No signal on
2. The fuse inside the monitor is
display and no 2. Change the fuse or power
bad, or the power is bad
power light when
3. Thhe intelligent power board 3. Change the intelligent
turning on the
has some problem power board or repair it
Monitor
4. AC/DC power doesnt work 4. Repair it or change it if it
normally wont be repaired to be good
No signal on the 1. The inverter and 12v power is
1. Check inverter connection
led display but connected incorrectly
power indication 2.The inverter doesnt work 2. Repair the inverter or
led is light when normally or has some problem change it
turning on the 3. LED doesnt work normally or
3. Change LED
Monitor has some problem
1.There isnt 5v output in the 1.Change intelligent power
intelligent power board board
2.The ARM main board displays 2.Repair the main board or
No signal on led unsuccessfully change it with one OK one
display 3.The cable of display is not very
3. Replace the display cable
tight with the display socket
3. LED doesnt work normally or
4. Change LED
has some problem
1.The ECG electrode is used for
1. Change with a new ECG
long time or over the warranty
electrode
ECG signal noise period
level is bigger 2.The ECG electrode is not 2. Place the ECG electrode
than the standard placed correctly according to operation manual
value or appears 3. ECG cable itself has quality
3. Change another ECG cable
leading off on the problem
display screen 4. Repair the GAA134 board
4. GAA134 module doesnt work
or change another one that
normally
the function is good.
No ECG Both GAA230 and GAA134 Repair them or change
waveform and function board dont work another one that the function
121
pump doesnt normally is good.
work
1.The cuff and tube are barraged 1.Check or change the cuff or
or air leaks tube
2.The NIBP cuff is disturbed 2.Keep the patient calm so as
during the measuring process to outside interfering
The blood 3.Place the NIBP cuff the
pressure value is 3. The NIBP cuff position isnt correct position according to
not correct correct
the operation manual
4.Repair the GAA230 board or
4. The GAA230 board doesnt
change it if it cant be repaired
work normally
to be good
5.The valve leaks 5. Change the valve
The SPO2 probe 1. The SPO2 probe itself has 1.Repair the spo2 probe or
led isnt glow and quality problem change it
there is no
waveform and
valu or the
2. The SPO2 board has some 2.Repair the spo2 board or
measuring value
problem change it
isnt correct

3. There is strong light around 2.Cover the probe(for example


the spo2 probe with towel)
3.The blood circulation by
3.Help patient recover blood
nipped by spo2 probe nail is
circulation
blocked
The blood 1.The cuff and tube are barraged1.Check or change the cuff or
pressure value is or air leaks tube
not correct 2.The NIBP cuff is disturbed 2.Keep the patient calm so as
during the measuring process to outside interfering
3.Place the NIBP cuff the
3. The NIBP cuff position isnt
correct position according to
correct
the operation manual
1.ECG electrode is placed
1.Place the ECG electrode
RESP rate is not incorrectly
correctly
correct
2. Repair the GAA134 OR
2.GAA134 doesnt work
change it if it can't be repaired
normally
to be good
1.The loudspeaker is connected 1.Reconnect the loudspeaker
incorrectly power cable
No sound 2. Repair the keyboard or
2. The keyboard has some
change it if it cant be repaired
mistake
to be good

122
Electric draw

ECG PART

IRESP PART

123
NIBP PART

SPO2 PART

124
TEMP PART

TRESP PART
125
BOM of Function module

S.N. Main-Sub Part


Mark QTY. Item Specification
material number
SMT Porcelain
1 C807,C808,C809 3 Main material 10pF,50V,10%,0603,X7R 12110021
capacitor
SMT Porcelain
2 C7,C8,C805,C806,C811,C812 6 Main material 15pF,50V,5%,0603,COG 12115022
capacitor
SMT Porcelain
3 C128,C129,C130,C131 4 Main material 100pF,50V,5%,0603,COG 12110122
capacitor
SMT Porcelain
4 C124,C125,C126,C127 4 Main material 200pF,50V,5%,0603,COG 12120122
capacitor
SMT Porcelain
5 C415,C416 2 Main material 330pF,50V,5%,0603,COG 12133122
capacitor
SMT Porcelain
6 C403,C404,C941,C942,C423 5 Main material 470pF,50V,5%,0603,COG 12147122
capacitor
C112,C113,C114,C115,C116,C1
SMT Porcelain
7 17,C132,C133,C136,C208,C209 21 Main material 4700pF,50V,10%,0603,X7R 12147221
capacitor
,

126
C210,C211,C212,C400,C401,C
402,C710,C711,C712,C713
C121,C122,C123,C219,C220,C
SMT Porcelain
8 221,C422,C505,C608,C714, 15 Main material 0.01uF,50V,10%,0603,X7R 12110321
capacitor
C715,C914,C915,C916,C1108

SMT Porcelain
9 C134,C135,C137 3 Main material 0.022uF,50V,10%,0603,X7R 12122321
capacitor
C1,C2,C3,C4,C5,C100,C101,C1
02,C103,C104,C105,
C106,C107,C108,C109,C110,C
200,C201,C202,C203,
C204,C205,C213,C214,C215,C
216,C405,C406,C407,
SMT Porcelain
10 C408,C409,C410,C411,C412,C 56 Main material 0.1uF,50V,10%,0603,X7R 12110421
capacitor
500,C501,C604,C605,
C700,C701,C702,C703,C800,C
801,C802,
C803,C804,C947,C1100,C110
1,C1102,C1103,C1104,

C1105,C1106,C1107

SMT Porcelain
11 C706,C707,C708,C709 4 Main material 0.22uF,16V,10%,0603, X7R 12122421
capacitor
SMT Porcelain
12 C420,C421,C948,C949 4 Main material 0.33uF,10V,10%,0603,X7R 12133421
capacitor
C217,C218,C419,C504,C506,C
507,C600,C601,
SMT Porcelain 1uF,16V,+80%,-20%,0603,Y5
13 C810,C900,C901,C902,C906,C 18 Main material 12110526
capacitor V
609

C909,C911,C912,C929

DIP porcelain
14 C118,C119,C120 3 Main material 1uF,63V,5% 12410501
chip capacitor
Al- electrolytic
15 C950 1 Main material 220uF,20%,25V,-40~105 12622712
capacitor
SMT Ta
16 C922,C923 2 Main material 2.2uF,10V,A,16%,-55~125 12222412
capacitor
SMT Ta
17 C944,C945 2 Main material 2.2uF,35V,C,20%,-55~125 12222435
capacitor
C6,C502,C606,C607,C704,C7 SMT Ta
18 7 Main material 4.7uF,16V,A,20%,-55~125 12247512
05,C933 capacitor
SMT Ta
19 C503 1 Main material 4.7uF,16V,B,20%,-55~125 12247527
capacitor
SMT Ta
20 C413,C414,C938,C940 4 Main material 4.7uF,25V,C,20%,-55~125 12247534
capacitor
SMT Ta
21 C206,C207,C937 3 Main material 10uF,16V,B,10%,-55~125 12210622
capacitor
127
SMT Ta
22 C111,C417,C418 3 Main material 10UF,25V,D,20%,-55~125 12210644
capacitor
SMT Ta
23 C602,C603 2 Main material 47uF,16V,D,10%,-55~125 12247642
capacitor
R814,R815,R816,R817,R818,R
24 9 SMT resistor Main material 10,5%,0603,1/10W 11110021
819,R820,R821,R822

25 R176 1 SMT resistor Main material 49.9,1%,0603,1/10W 11150020

26 R800,R801,R802 3 SMT resistor Main material 200,1%,0603,1/10W 11120120

27 R724,R725 2 SMT resistor Main material 220,1%,0603,1/10W 11122120

R716,R717,R824,R825,R826,R
28 6 SMT resistor Main material 412,1%,0603,1/10W 11141120
827

29 R812,R813 2 SMT resistor Main material 620,5%,0603,1/10W 11162121

30 R411,R412,R413,R414,R600 5 SMT resistor Main material 680,1%,0603,1/10W 11168120

R180,R224,R225,R226,R506,R
507,R508,R828,R829,R830,
R1100,R1101,R1102,R1103,R11
31 28 SMT resistor Main material 1K,1%,0603,1/10W 11110220
04,R1105,R1106,R1107,R1108,
R1109,R1110,R1111,R1112,R11
13,R1114,R1115,R1116,R1117

32 R823 1 SMT resistor Main material 1.5K,1%,0603,1/10W 11115220

R410,R505,R603,R803,R804,R
805,
33 13 SMT resistor Main material 2K,1%,0603,1/10W 11120220
R806,R807,R808,R809,R810,R
811,R428

34 R912,R1127 2 SMT resistor Main material 2.2K,5%,0603,1/10W 11122221

35 R118,R119,R120,R440 4 SMT resistor Main material 3K,1%,0603,1/10W 11130220

36 R422 1 SMT resistor Main material 3.57K,1%,0603,1/10W 11136220

37 R512,R513,R108,R109,R110 5 SMT resistor Main material 3.74K,1%,0603,1/10W 11137220

38 R606,R607,R1126 3 SMT resistor Main material 4.7K,1%,0603,1/10W 11147220

39 R415,R416,R417,R418,R504 5 SMT resistor Main material 4.99K,1%,0603,1/10W 11150220

40 R441 1 SMT resistor Main material 6.8K,1%,0603,1/10W 11168220

41 R127,R128,R129 3 SMT resistor Main material 8.45K,1%,0603,1/10W 11185220

42 R419 1 SMT resistor Main material 9.1K,1%,0603,1/10W 11191220

R161,R163,R165,R166,R167,R
168,R169,R170,R204,R205,R20
6,
43 33 SMT resistor Main material 10K,1%,0603,1/10W 11110320
R207,R208,R209,R210,R211,R
212,R423,R424,R425,R426,R42
7,

128
R435,R445,R500,R501,R502,R
509,R610,R1122,R1123,R1124,
R1125

44 R1131 1 SMT resistor Main material 11K,1%,0603,1/10W 11111320

45 R242,R728 2 SMT resistor Main material 15K,1%,0603,1/10W 11115323

R177,R178,R200,R201,R202,R
46 6 SMT resistor Main material 20K,1%,0603,1/10W 11120320
203

47 R514 1 SMT resistor Main material 25.5K,1%,0603,1/10W 11126320

R121,R122,R123,R124,R125,R
126,R227,R228,R229,
48 18 SMT resistor Main material 27K,1%,0603,1/10W 11127320
R230,R231,R232,R718,R719,R
720,R721,R722,R723
R130,R131,R132,R133,R134,R
135,R136,R137,R138,R139,
R140,R141,R142,R143,R144,R
213,R214,R215,R216,R217,
R218,R219,R220,R221,R222,R
49 49 SMT resistor Main material 30K,1%,0603,1/10W 11130320
223,R400,R401,R402,R403,
R404,R405,R406,R407,R408,R
409,R511,R704,R705,R706,
R707,R708,R709,R710,R711,R
712,R713,R714,R715

50 R913 1 SMT resistor Main material 7.5K,1%,0603,1/10W 11175220

51 R510 1 SMT resistor Main material 40.2K,1%,0603,1/10W 11140320

52 R503 1 SMT resistor Main material 44.2K,1%,0603,1/10W 11144320

R429,R430,R431,R432,R433,R
53 7 SMT resistor Main material 47K,1%,0603,1/10W 11147320
434,R601
R243,R244,R245,R246,R247,R

54 436,R437,R438, 13 SMT resistor Main material 49.9K,1%,0603,1/10W 11150320


R439,R900,R901,R902,R903

R145,R146,R148,R150,R151,R
153,R160,R162,
55 16 SMT resistor Main material 62K,1%,0603,1/10W 11162320
R164,R233,R234,R235,R236,R
602,R726,R727

56 R147,R149,R152 3 SMT resistor Main material 95.3K,1%,0603,1/10W 11195320

R237,R238,R605,R608,R609,R
57 8 SMT resistor Main material 100K,1%,0603,1/10W 11110420
831,R1120,R1121

58 R442,R1118,R1119 3 SMT resistor Main material 130K,1%,0603,1/10W 11113420

R100,R101,R102,R103,R104,R
105,
59 15 SMT resistor Main material 220K,1%,0603,1/10W 11122320
R106,R107,R111,R179

R112,R113,R114,R116,R117

129
60 R1134 1 SMT resistor Main material 237K,1%,0603,1/10W 11124423

61 R171 1 SMT resistor Main material 240K,1%,0603,1/10W 11124420

62 R909,R910 2 SMT resistor Main material 432K,1%,0603,1/10W 11143420

63 R906,R908 2 SMT resistor Main material 453K,1%,0603,1/10W 11145420

64 R1128,R1129,R1130 3 SMT resistor Main material 464K,1%,0603,1/10W 11146420

65 R239,R443 2 SMT resistor Main material 470K,1%,0603,1/10W 11147420

66 R420,R421,R604,R1132,R1133 5 SMT resistor Main material 1M,1%,0603,1/10W 11110520

R154,R155,R156,R157,R158,R
67 6 SMT resistor Main material 3.3M,5%,0603,1/10W 11133521
159

68 R700,R701,R702,R703 4 SMT resistor Main material 10M,5%,0603,1/10W 11110621

69 R172,R173,R174,R175 4 SMT resistor Main material 30M,5%,0603,1/10W 11130521

Thermal-sensitive
70 NTC800 1 Main material 5,4A 11805020
resistor

71 VR400,VR600 2 ceramic glaze VR Main material 3266-W-10K,10% 11710303

VR100,VR101,VR102,VR200 ceramic glaze


72 8 Main material 3266-W-100K,10% 11710405
,VR201,VR401,VR700,VR701 VR
SMT
73 L907 1 Main material 100uH,CR75-101KC 13210122
inductance
L900,L901,L902,L903,L904,L90 SMT magnetic
74 7 Main material 100@100MHz,0805,400mA 13010103
5,L906 bead
L1,L2,L3,L4,L100,L101,L102
,L103,L104,L105,L300,
L301,L302,L303,L304,L305,L30
6,L307,L308,L309,L310,L311,
L500,L501,L502,L503,L504,L60 SMT magnetic
75 55 Main material 100@100MHz,0603,200mA 13010112
0,L601,L700,L701,L702,L703, bead
L704,L705,L706,L707,L708,L70
9,L800,L801,L802,L803,L804,
L805,L806,L807,L808,L809,L81
0,L811,L812,L813,L814,L815
D100,D101,D102,D103,D10
4,D105,D106,D107,D200,D400,D
401,

76 D402,D403,D404,D405,D40 25 SMT diode Main material LL4148,MiniMELF, 15414811


6,D407,D408,D409,D800,D801,D
802,

D803,D804,D805

77 D414 1 SMT diode Main material 1N5817 15581711

78 D900 1 SMT diode Main material 1N5822 15582211

79 D412,D413,D600 3 SMT diode Main material ZMM9V1,MiniMELF, Column 15282031

80 D410,D411 2 SMT diode Main material ZMM8V2,MiniMELF, Column 15291031

130
81 Q200 1 SMT diode Main material TL431,SOT-23-3 15043131

SMBJ20CA,DO-2144AA,
82 D114,D115,D116,D117,D118 5 SMT diode Main material 15020021
square

83 Q800,Q801,Q802 3 SMT triode Main material 2SA812,PNP,Mini MOLD 15281211

84 Q806 1 SMT triode Main material BCX5616,NPN,SOT89 15561611

85 Q803,Q804,Q805 3 SMT triode Main material MMBT2222ALT1,NPN,SOT-23 15222221

86 U803,U804,U805 3 SMT OC Main material PS2501L-1,Gull Wing 14250111

87 U800,U801 2 DIP OC Main material HCPL-4504#020,Gull Wing 14450402

88 Y1,Y800 2 DIP Xtal Main material 11.0592MHz,HC-49S,30PPM 1D110591

89 U100,U101,U102,U103,U200 5 SMT IC Main material DG412DY,SOIC-16 14041202

90 U501 1 SMT IC Main material ADG608BR,SOIC-16 14060801

91 U802 1 SMT IC Main material AT89C2051-12S,SOIC-20 14020513

D108,D109,D110,D111,D112,D11
3,D201,
92 13 SMT IC Main material BAT54RSLT1,SOT-23 15054022
D202,D415,D500,D601,D700,D7
01

93 U2 1 SMT IC Main material C8051F020,TQFP-100 14805102

CY62128DV30LL-55ZI,TSOP1-3
94 U1 1 SMT IC Main material 14621281
2

95 U921 1 SMT IC Main material LM2577S-ADJ,TO-263 14257701

U108,U109,U201,U202,U20
3,U400,U401,
96 13 SMT IC Main material TL074CPW,TSSOP-14 14007404
U500,U600,U700,U701,U702,U11
01

97 U110,U111,U112 3 SMT IC Main material OP4177ARU,TSSOP-14 14417701

98 U104,U105,U106 3 SMT IC Main material OPA237NA,SOT-23-5 14023701

99 U107 1 SMT IC Main material ADG801BRT,SOT-23-6 14080101

100 U900,U901 2 SMT IC Main material MIC5205-3.3BM5,SOT-23-5 14520501

101 U906 1 SMT IC Main material MIC5205-5.0BM5,SOT-23-5 14520502

102 U918,U919 2 SMT IC Main material MIC5205BM5,SOT-23-5 14520503

103 U911 1 SMT IC Main material MIC5270-5.0BM5,SOT-23-5 14527001

104 U915,U916 2 SMT IC Main material MIC5270BM5,SOT-23-5 14527002

105 U205 1 Pressure sensor Main material MPXM2053GS,1320A-02 14205300

106 U904 1 DC/DC module Main material DCM5D6HV-100,DIP16-8 52061001

107 U905 1 DC/DC module Main material DCM5D15HV-100,DIP16-8 52151001

108 U903 1 DC/DC module Main material DCM5S6HV-1W,DIP16-8 52561001

109 J600,J802 2 Electric outlet Main material PH-2A(2.00 Interval ) 19202011

110 J800 1 Electric outlet Main material PH-3A(2.00 Interval ) 19203011

131
111 J900 1 Electric outlet Main material PH-4A(2.00 Interval ) 19204011

112 J700,J701 2 Electric outlet Main material PH-5A(2.00 Interval ) 19205011

113 J1,J100,J801 3 Electric outlet Main material PH-6A(2.00 Interval ) 19206011

114 J302 1 Electric outlet Main material PH-2*5P(2.0mm Interval ) 19225010

115 J301A 1 Electric outlet Main material 1*5PIN,1.27mm Interval 19205001

116 J301B 1 Electric outlet Main material 1*8PIN,1.27mm Interval 19208001

117 J300 1 Electric outlet Main material 2*7PIN,2.54mm Interval 19214022

General Meditech,Inc. GAA718


118 PCB 1 PCB Main material 51718001
V1.0
R904,R905,R907,R911,R915,R
119 916,R917,R918,R919,R920,R18 12 SMT resistor Main material 0,5%,0603,1/10W 11100021
1,R182

120 R914 1 SMT resistor Main material 1.8K,1%,0603,1/10W 11118220

121 J500 1 Electric outlet Main material 2*4PIN,2.00mm Interval 1922401P

122 R444 1 SMT resistor Main material 30K,5%,0603,1/10W 11130321

TOTAL 686

Layout of Circuit Board of Function Board

ECG BOARD PART


BOTTOM PART

132
Middle1etch

Middle3etch

1
Power part

Topetch

2
NIBP+RESP PART
Bottom PART

GNDETCH PART

3
Poweretch Part

Topetch part

4
Internal pictures

NIBP+RESP FUNTION BOARD

5
ECG FUNTION BOARD

6
MAINARM BOARD

7
APPENDIX A:
PPRODUCT SPECIFICATIONS

ENVIRONMENTAL SPECIFICATIONS
Operating
Temperature (5 to 40) C
Relative humidity 80 %
Air pressure (70 to 106) kPa
Transport and storage
Temperature (20 to 55) C
Relative humidity 93 %
Air pressure (50 to 106) kPa

8
POWER SOURCE SPECIFICATIONS
AC mains
Input voltage (100 to 240) V
Frequency 50/60 Hz
Power 80 VA
Fuse T1.6AL, 250V, 205
Operating time 8 hours
Internal battery
Number of battery 1
Type Lead-acid battery or lithium-ion battery
lithium-ion battery (G3C)
Nominal voltage 11.1 V
Capacity 4000 mAh
1 hour (when the battery is fully charged and the monitor
Operating time
measures the blood pressure every ten minutes)
Charge time 6 hours
Lead-acid battery (G3D/G3F)
Nominal voltage 12 V
Capacity 2400 mAh
1 hour (when the battery is fully charged and the monitor
Operating time
measures the blood pressure every ten minutes)
Charge time 6 hours
Lead-acid battery (G3G)
Nominal voltage 12 V
Capacity 2800 mAh
1 hour (when the battery is fully charged and the monitor
Operating time
measures the blood pressure every ten minutes)
Charge time 6 hours

HARDWARE SPECIFICATIONS
Display
Type Color TFT LCD
10.4 inches (diagonal, G3C/G3F/G3G)
Size
12.1 inches (diagonal, G3D)
640480 pixels (G3C/G3F/G3G)
Resolution
800600 pixels (G3D)
LED indicator
Alarm indicator 1 (red, G3D/G3F/G3G)
Power indicator 1 (green)
Charge indicator 1 (green)
Audio indicator
Giving audio alarms, heart beat tones, pulse tones and prompt
Speaker
tones for wrong operation

9
Controll
3 (rotating mouse, brightness adjusting knob and volume
knobs
adjusting knob)
7 (power switch, silence key, alarm key, freeze key, NIBP key,
keys
print key and main menu key)
Connectors
Power supply 1 AC power connector
Parameter measurement ECG, RESP, NIBP, SpO2, TEMP1, TEMP2, IBP1, IBP2, CO2
1 standard RJ45 network connector
1 standard color VGA monitor connector
1 printer connector
1 equipotential grounding connector

DATA STORAGE
Trend data 24 hours
Waveform freezing All the waveforms displayed in the channels area can be stored

ECG SPECIFICATIONS
3-lead: I, II and III
Lead type
5-lead: I, II, III, aVR, aVL, aVF and V
Lead naming style AHA
Noise level 30 V
Filter mode: (1 to 25) Hz
Frequency response
Non-filter mode: (0.5 to 75) Hz
Input offset current 0.1 A
2.5mm/mV (1/4), 5mm/mV (1/2), 10mm/mV (1), 20
Sensitivity selection
mm/mV (2), 40mm/mV (4) and AUTO
Sweep speed 6.25mm/s, 12.5mm/s, 25mm/s and 50mm/s
Corresponding to 15 mm of the vertical axis center, the error
Display linearity
should be less than 10 %
Input impedance 5 M
Common mode rejection 60 dB
monitoring lead: 0.3 s
Time constant
standard ECG lead: 3.2 s
Accuracy of standard signal 1 mV 5 %
Display stability
The excursion after electrified for 60min is not greater than
Time excursion 5mm from the initial position which is the baseline position after
electrified for 15min.
The average baseline excursion is not greater than 0.5mm/ in
Temperature excursion
the range from 5 to 40
The baseline excursion is not greater than 1mm and the display
Voltage excursion sensitivity changes not greater than 10% when the supply
voltage fluctuates transiently

10
Corresponding to 300mV polarized DC voltage, the display
Polarized voltage
sensitivity changes not greater than 5 %
Hart rate (HR)
Measurement range (15 to 300) bpm
Measurement precision 1 bpm or 1 %, whichever is greater
ST segment measurement
Measurement range (0.8 to 0.8) mV
Measurement precision 0.02 mV or 5 %, whichever is greater

RESP SPECIFICATIONS
Measurement technique Thoracic impedance
Lead Optional: lead I, lead II and lead III; default lead II
RR
Measurement range (0 to 120) bpm
Measurement precision 1 bpm or 5 %, whichever is greater
Alarm allowable deviation 2 bpm or 10 %, whichever is greater

NIBP SPECIFICATIONS
Measurement technique Oscillation
Displayed parameters Systolic pressure, diastolic pressure, mean arterial pressure
Mode of operation Manual, auto and continuous
Measurement interval in auto 2/3/4/5/6/7/8/9/10/15/20/25/30/35/40/45/50/55 minutes and
mode 1/1.5/2/2.5/3/3.5/4/4.5/5/5.5/6/6.5/7/7.5/8 hours
Measurement time in
5 minutes
continuous mode
Systolic pressure (SYS): (4.0 to 36.0) kPa, or (30 to 270) mmHg
Diastolic pressure (DIA): (1.3 to 26.7) kPa, or (10 to 200)
Measurement range mmHg
Mean arterial pressure (MAP): (2.7 to 29.3) kPa, or (20 to 220)
mmHg
Measurement precision 0.4 kPa (3 mmHg) or 2 %, whichever is greater
Alarm allowable deviation 5 %
Maximum standard deviation 5 mmHg

TEMP SPECIFICATIONS
Number of channels 2
Displayed parameters T1, T2 and T
Measurement range (25.0 to 45.0)
Measurement precision 0.2
Response time 2.5 min
Alarm allowable deviation 0.2

11
SpO2 SPECIFICATIONS
Measurement range (0 to 100) %
(70 to 100) %: 2 %
Measurement precision (50 to 69) %: 3 %
(0 to 49) %: Unspecified
Alarm allowable deviation 2 %

PR SPECIFICATIONS
Measurement range (30 to 250) bpm
Measurement precision 1 bpm or 2 %, whichever is greater
Alarm allowable deviation 10 %

IBP SPECIFICATIONS
Number of channels 2
Pressure readings Systolic pressure, diastolic pressure and mean pressure
Pressure labels ART, CVP, RVP, LAP, RAP, PAP, ICP and LVP
Measurement range (-10 to 300) mmHg
Measurement precision 0.133 kPa (1 mmHg) or 2 %, whichever is greater

CO2 SPECIFICATIONS
Measurement technique Infrared absorption technique
Displayed parameter EtCO2, FiCO2, RR
Measurement range (0 to 10.0) %
5.0 %: 0.28 kPa (2 mmHg)
Precision
5.0 %: 10 % of the read value

APPENDIX B:
EMC

The equipment meets the requirements of IEC 60601-1-2:2007.

NOTE
Use of accessories, transducers, and cables other than those specified may result in
increased emission and/or decreased immunity of the equipment.
The equipment should not be used adjacent to or stacked with other equipment, and if
adjacent or stacked use is necessary, the equipment should be observed to verify normal
operation in the configuration in which it will be used.
The equipment needs special precautions regarding EMC and needs to be installed and
put into service according to the EMC information provided below.
The equipment may be interfered with by other equipment, even if that other
equipment complies with CISPR emission requirements.

12
Operation of the device, in the case that the patient physiological signal is lower than the
minimum amplitude and/or value specified in the product specifications, may cause
inaccurate results.

Table 1

Guidance and declaration electromagnetic emissions


The equipment is intended for use in the electromagnetic environment specified below.
The customer or the user of the equipment should assure that it is used in such an environment.
Emission test Compliance Electromagnetic environment guidance
The equipment uses RF energy only for its internal
RF emissions function. Therefore, its RF emissions are very low and are
Group 1
CISPR 11 not likely to cause any interference in nearby electronic
equipment.
RF emission
Class A
CISPR 11
Harmonic The equipment is suitable for use in all establishments other
emissions Class A than domestic and those directly connected to the public
IEC 61000-3-2 low-voltage power supply network that supplies buildings
Voltage Compliance used for domestic purposes.
Fluctuations/flicker Pst, dt (s)
Emissions IEC dmax(%)
61000-3-3 dc (%)

Table 2

Guidance and declaration electromagnetic immunity


The equipment is intended for use in the electromagnetic environment specified below.
The customer or the user of the equipment should assure that it is used in such an environment.
IEC 60601 test Electromagnetic environment
Immunity test Compliance level
level guidance
Floors should be wood, concrete
Electrostatic
or ceramic tile. If floor are
Discharge 6 kV contact 6 kV contact
covered with synthetic material,
(ESD) 8 kV air 8 kV air
the relative humidity should be at
IEC 61000-4-2
least 30%.
Electrical fast 2 kV for Mains power quality should be
2 kV for power
Transient/burst power supply that of a typical commercial or
supply lines
IEC 61000-4-4 lines hospital environment.
Surge 1 kV differential 1 kV differential Mains power quality should be
IEC 61000-4-5 mode mode that of a typical commercial or

13
2 kV common 2 kV common hospital environment.
mode mode
5 % Ut 5 % Ut
(95 % dip in Ut) (95 % dip in Ut)
for 0.5 cycle for 0.5 cycle Mains power quality should be
Voltage dips, that of a typical commercial or
short 40 % Ut 40 % Ut hospital environment. If the user
interruptions (60 % dip in Ut) (60 % dip in Ut) of the Model 004 Image
and voltage for 5 cycles for 5 cycles Intensifier requires continued
variations on operation during power mains
power supply 70 % Ut 70 % Ut interruptions. It is recommended
input lines (30 % dip in Ut) (30 % dip in Ut) that the Model 004 Image
IEC for 25 cycles for 25 cycles intensifier be powered from an
61000-4-11 uninterruptible power supply or a
5 % Ut 5 % Ut battery.
(95 % dip in Ut) (95 % dip in Ut)
for 250 S for 250 S
Power Power frequency magnetic fields
frequency should be at levels characteristic
(50Hz) 3 A/m 3 A/m of a typical location in a typical
magnetic field commercial or hospital
IEC 61000-4-8 environment.
NOTE: Ut is the A.C. mains voltage prior to application of the test level.

Table 3

Guidance and declaration electromagnetic immunity


The equipment is intended for use in the electromagnetic environment specified below.
The customer or the user of the equipment should assure that it is used in such an environment.
IEC 60601 Compliance
Immunity test Electromagnetic environment guidance
test level level

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Portable and mobile RF communications
equipment should be used no closer to any
part of the equipment, including cables, than
the recommended separation distance
calculated from the equation applicable to the
frequency of the transmitter. Recommended
separation distance

d 1 .2 P

d 1 .2 P 80 MHz to 800 MHz


Conducted RF 3 Vrms 3 Vrms
IEC 61000-4-6 150 kHz to
d 2 .3 P 800 MHz to 2.5 GHz
80 MHz
Where p is the maximum output power rating
of the transmitter in watts (W) according to
Radiated RF 3 V/m 3 V/m the transmitter manufacturer and d is the
IEC 61000-4-3 80 MHz to recommended separation distance in metres
2.5 GHz (m).
Field strengths from fixed RF transmitter as
determined by an electromagnetic site survey
a
should be less than the compliance level in
each frequency range b Interference may
occur in the vicinity of equipment marked
with the following symbol:

Note At 80 MHz and 800 MHz, the higher frequency range applies.
Note These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV
broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be considered.
If the measured field strength in the location in which the equipment is used exceeds the
applicable RF compliance level above, the equipment should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary, such as
reorienting or relocating the equipment.
b. Over the frequency ranges 150kHz to 80MHz, field strengths should be less than 3V/m.

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Table 4
Recommended separation distances between portable and mobile RF communication and
the equipment
The equipment is intended for use in an electromagnetic environment in which radiated RF
disturbance are controlled. The customer or the user of the equipment can help prevent
electromagnetic interference by maintaining a minimum distance between portable and mobile
RF communication equipment (transmitters) and the equipment as recommended below,
according to the maximum output power of the communication equipment.
Separation Distance According to Frequency of Transmitter
Rated Maximum output
M (Meters)
power of
150 kHz - 80 MHz 80 MHz - 800 MHz 800 MHz - 2.5 GHz
Transmitter W
(Watts) d 1 .2 P d 1 .2 P d 2 .3 P

0.01 0.12 0.12 0.23


0.1 0.37 0.37 0.74
1 1.17 1.17 2.34
10 3.69 3.69 7.38
100 11.67 11.67 23.34
For transmitters at a maximum output power not listed above, the recommended separation
distanced in meters (m) can be determined using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer.
NOTE: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE: These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.

16