Service Manual
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
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
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
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
OVERVIEW ............................................................................................................................................. 69
SELECT MONITOR ................................................................................................................................ 69
OTHER PATIENT .................................................................................................................................... 70
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
OVERVIEW ............................................................................................................................................. 81
ELECTRODE PLACEMENT .................................................................................................................. 81
MONITORING INTERFACE .................................................................................................................. 82
RESP CHANNEL ........................................................................................................................ 82
RESPIRATION RATE ................................................................................................................. 84
iii
PROMPT MESSAGES............................................................................................................................. 85
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
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)
(1) (2)
(3) (4)
(5) (6)
(7) (8)
Figure 2-2
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.
(1)
(2)
(3)
(4)
Figure 2-3
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.
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.
(9)
(1)
(2) (8)
(3)
Figure 2-5
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
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.
(1) (2)
(3)
(4)
(5)
(6)
Figure 2-7
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.
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)
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.
20
(1) (5)
(2) (6)
(3) (7)
(4) (8)
Figure 2-10
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.
21
(12)
(1)
(11)
(2) (10)
(9)
Figure 2-11
(1) Dispersion holes
(2) Power switch
The key turns on or off the monitor.
22
G3H Part
FRONT PANEL
The front panel of the G3H Multi-Parameter Patient Monitor is shown as Figure 2-1:
(1)
(2)
Figure 2-1
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
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.
The right side panel of the G3H Multi-Parameter Patient Monitor is shown as Figure 2-3:
(7)
(1)
(2) (6)
Figure 2-3
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.
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)
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.
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
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.
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.
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.
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:
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.
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.
42
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.
NOTE
Please set the proper power frequency, or the ECG signal noise will be loud.
43
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.
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.
44
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.
45
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.
46
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.
RECORDER SETUP
Selecting Recorder Setup in the Main menu pops up the Set Printer Parameters dialog box, shown as
47
below.
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.
49
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.
50
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.
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.
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.
51
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:
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.
52
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:
53
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.
54
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.
Error indicator
55
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
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.
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.
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.
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:
60
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.
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.
61
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:
Graph
Selecting Graph enters the trend graph window.
62
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.
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.
63
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.
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
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
65
Rate = Rate/kg Weight
Concentration = Amount / Volume
66
Drug dosage range limitation table
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.
67
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.
68
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).
69
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.
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.
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:
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.
72
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.
NOTE
73
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:
74
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)
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
75
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:
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:
76
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:
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.
77
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.
78
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.
79
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:
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.
80
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
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)
MONITORING INTERFACE
The RESP monitoring displays a RESP waveform in channels area and the measured respiration rate
value in parameters area.
RESP CHANNEL
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
82
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 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 label. Select this label, the menu as the following figure shows pops up.
83
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:
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
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.
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).
86
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.
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
200
165mmHg
2.0 cuff
pressure
100
1.0
PS Outline of
0 pulse
0 Tim
e
Pulse oscillation
waveform
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.
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.
91
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.
92
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.
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
Under the venipuncture mode, press the NIBP key to start and stop the air inflating.
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.
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:
95
CHAPTER 16:
TEMP MONITORING
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.
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.
WARNING
Before cleaning the monitor or the probe, make sure the monitor is turned off and
disconnected from AC power.
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
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).
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.
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:
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.
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
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:
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:
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:
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:
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
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.
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.
109
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.
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.
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:
Sampling line
Water trap
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:
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%)
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.
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
Keep dry
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.
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
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
. 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
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
122
Electric draw
ECG PART
IRESP PART
123
NIBP PART
SPO2 PART
124
TEMP PART
TRESP PART
125
BOM of Function module
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
R716,R717,R824,R825,R826,R
28 6 SMT resistor Main material 412,1%,0603,1/10W 11141120
827
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
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
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
R177,R178,R200,R201,R202,R
46 6 SMT resistor Main material 20K,1%,0603,1/10W 11120320
203
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
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
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
R237,R238,R605,R608,R609,R
57 8 SMT resistor Main material 100K,1%,0603,1/10W 11110420
831,R1120,R1121
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
R154,R155,R156,R157,R158,R
67 6 SMT resistor Main material 3.3M,5%,0603,1/10W 11133521
159
Thermal-sensitive
70 NTC800 1 Main material 5,4A 11805020
resistor
D803,D804,D805
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
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
CY62128DV30LL-55ZI,TSOP1-3
94 U1 1 SMT IC Main material 14621281
2
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
131
111 J900 1 Electric outlet Main material PH-4A(2.00 Interval ) 19204011
TOTAL 686
132
Middle1etch
Middle3etch
1
Power part
Topetch
2
NIBP+RESP PART
Bottom PART
GNDETCH PART
3
Poweretch Part
Topetch part
4
Internal pictures
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
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
Table 2
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
14
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
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.
15
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
16