Monitor G3 Manual Service V0.1

G3 Patient Monitor Service Manual

GENERAL MEDITECH, INC.

Revision Revision 1.0

Date 5/2009

Changes First Issue

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

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

Warranty G3 Multi-Parameter Patient Monitor is warranted by GMI for 1.5 years of free charge from the date of the purchase, while the SpO 2 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 GMI’s 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: [email protected] EC Authorized Representative: Peretti Service S.A.S Add: P.Le Tecchio 49/F 80125 Napoli – Italy P.Iva 04552071211 Tel: 081 195 73 824 Fax: 081 195 73 827

Contents CHAPTER 1: OVERVIEW..................................................................................................................1 BRIEF INTRODUCTION............................................................................................................................1 SAFETY INFORMATION...........................................................................................................................1 CLASSIFICATION..........................................................................................................................1 PROHIBITION................................................................................................................................2 CAUTIONS......................................................................................................................................2 CONTRAINDICATIONS.............................................................................................................................3 FUNCTION...................................................................................................................................................3 CHAPTER 2: INTRODUCTION..........................................................................................................4 EXTERNAL APPEARANCE.......................................................................................................................4 G3C...................................................................................................................................................4 G3D..................................................................................................................................................7 G3F.................................................................................................................................................10 G3G................................................................................................................................................13 DISPLAY.....................................................................................................................................................16 BATTERIES................................................................................................................................................18 BATTERY MAINTENANCE........................................................................................................18 BATTERY RECYCLING..............................................................................................................19 CHAPTER 3: INSTALLATION..........................................................................................................20 UNPACKING AND CHECKING...............................................................................................................20 ENVIRONMENTAL REQUIREMENTS...................................................................................................21 INSTALLATION METHOD......................................................................................................................21 CONNECTING TO AC POWER SUPPLY...................................................................................21 INSTALLING THE BATTERY.....................................................................................................21 EQUIPOTENTIAL GROUNDING...............................................................................................22 CONNECTING PATIENT SENSORS AND PROBES.................................................................22 CONNECTING THE NETWORK CABLE..................................................................................22 CONNECTING TO VGA MONITOR...........................................................................................22 REPLACE THE FUSE...................................................................................................................23 POWERING ON THE MONITOR.............................................................................................................23 POWERING OFF THE MONITOR...........................................................................................................23 CHAPTER 4: MENU.........................................................................................................................24 MENU OPERATION..................................................................................................................................24 POPUP MENU...............................................................................................................................24 BROWSE MENU...........................................................................................................................24 EXIT MENU..................................................................................................................................24 DISPLAY.....................................................................................................................................................24 FIXED FORMAT...........................................................................................................................25 i

USER FORMAT.............................................................................................................................26 FORMAT SETUP...........................................................................................................................26 OXYCRG.......................................................................................................................................27 ALARM LIMIT.............................................................................................................................27 WAVEFORM SPEED....................................................................................................................27 OTHER SETTINGS.......................................................................................................................28 TOOLS........................................................................................................................................................29 REVIEW......................................................................................................................................................29 PATIENT.....................................................................................................................................................30 SYSTEM SETUP........................................................................................................................................30 SET TIME......................................................................................................................................30 REGION SETTINGS.....................................................................................................................31 NETWORK SETTINGS................................................................................................................32 MAINTENANCE...........................................................................................................................33 DEFAULT SETTINGS...................................................................................................................35 RECORDER SETUP..................................................................................................................................36 CHAPTER 5: ALARMS....................................................................................................................37 ALARM CATEGORIES.............................................................................................................................37 ALARM MODES........................................................................................................................................37 ALARM SETTINGS...................................................................................................................................37 SETTING ALARM VIA ALARM KEY........................................................................................37 SETTING ALARM VIA PARAMETER LABEL.........................................................................39 WHEN AN ALARM OCCURS..................................................................................................................40 CHAPTER 6: WAVEFORM FREEZING AND RECALLING............................................................41 OVERVIEW................................................................................................................................................41 FREEZING AND UNFREEZING..............................................................................................................41 WAVEFORM FREEZING.............................................................................................................41 WAVEFORM UNFREEZING.......................................................................................................41 WAVEFORM RECALLING.......................................................................................................................41 CHAPTER 7: PRINTING..................................................................................................................43 OVERVIEW................................................................................................................................................43 PRINTING TYPES.....................................................................................................................................43 REAL-TIME PRINTING...............................................................................................................43 TIMER PRINTING........................................................................................................................43 ALARM PRINTING......................................................................................................................43 WAVEFORM AND PARAMETER PRINTING........................................................................................44 INSTALLING PRINTER PAPER...............................................................................................................44 CHAPTER 8: TRENDS.....................................................................................................................45 OVERVIEW................................................................................................................................................45 TREND CHANNELS.................................................................................................................................45 TREND GRAPH CHANNEL........................................................................................................46 ii

TREND TABLE CHANNEL.........................................................................................................47 TREND WINDOWS...................................................................................................................................48 TREND GRAPH WINDOW.........................................................................................................48 TREND TABLE WINDOW...........................................................................................................50 CHAPTER 9: EVENTS.....................................................................................................................51 RECORD EVENTS....................................................................................................................................51 BROWSE EVENTS....................................................................................................................................51 CHAPTER 10: DRUG CALCULATOR.............................................................................................52 ENTER DRUG CALCULATOR................................................................................................................52 UNIT............................................................................................................................................................52 TERMS........................................................................................................................................................53 DRUG CALCULATOR..............................................................................................................................53 NUMERIC INPUT BLOCK..........................................................................................................53 CALCULATION FORMULA.......................................................................................................53 KNOWN ITEM AND CALCULATION RESULTS.....................................................................54 CALCULATION FOR ANY DRUG.............................................................................................54 CALCULATION FOR EXACT DRUG........................................................................................54 DRIP TABLE...............................................................................................................................................55 TITRATION TABLE...................................................................................................................................56 RESET.........................................................................................................................................................56 CHAPTER 11: OTHER PATIENT VIEWING....................................................................................57 OVERVIEW................................................................................................................................................57 SELECT MONITOR...................................................................................................................................57 OTHER PATIENT.......................................................................................................................................58 CHAPTER 12: ECG MONITORING.................................................................................................59 OVERVIEW................................................................................................................................................59 ECG MONITORING..................................................................................................................................59 PREPARATION.............................................................................................................................59 ELECTRODE PLACEMENT.......................................................................................................60 ECG CHANNEL.........................................................................................................................................62 MAIN LEAD CHANNEL.............................................................................................................62 OTHER LEAD CHANNELS........................................................................................................64 ECG PARAMETER....................................................................................................................................64 HEART RATE................................................................................................................................64 ST SEGMENT................................................................................................................................66 MAINTENANCE AND CLEANING.........................................................................................................67 TROUBLE SHOOTING.............................................................................................................................67 CHAPTER 13: RESP MONITORING...............................................................................................68 OVERVIEW................................................................................................................................................68 ELECTRODE PLACEMENT.....................................................................................................................68 iii

MONITORING INTERFACE....................................................................................................................69 RESP CHANNEL..........................................................................................................................69 RESPIRATION RATE...................................................................................................................70 PROMPT MESSAGES...............................................................................................................................70 CHAPTER 14: T-RESP MONITORING............................................................................................71 T-RESP CHANNEL....................................................................................................................................71 T-RESP MENU............................................................................................................................................71 MAINTENANCE AND CLEANING.........................................................................................................71 CHAPTER 15: NIBP MONITORING.................................................................................................72 OVERVIEW................................................................................................................................................72 MONITORING PROCEDURE..................................................................................................................72 CUFF SELECTION AND PLACEMENT.................................................................................................72 MEASUREMENT LIMITATIONS............................................................................................................74 MONITORING INTERFACE....................................................................................................................74 FUNCTIONS...............................................................................................................................................76 NIBP MEASUREMENT...............................................................................................................76 VENIPUNCTURE.........................................................................................................................77 MAINTENANCE AND CLEANING.........................................................................................................77 TROUBLE SHOOTING.............................................................................................................................78 CHAPTER 16: TEMP MONITORING...............................................................................................79 TEMPERATURE PROBE INSTALLATION.............................................................................................79 TEMP PARAMETER..................................................................................................................................79 TEMP MENU..............................................................................................................................................80 MAINTENANCE AND CLEANING.........................................................................................................81 CHAPTER 17: SPO2 MONITORING...............................................................................................82 OVERVIEW................................................................................................................................................82 PRECAUTIONS..........................................................................................................................................83 MONITORING PROCEDURE..................................................................................................................84 MEASUREMENT LIMITATIONS............................................................................................................84 MENU.........................................................................................................................................................84 SpO2 MENU..................................................................................................................................84 PLETH MENU...............................................................................................................................85 MAINTENANCE AND CLEANING.........................................................................................................85 CHAPTER 18: IBP MONITORING..................................................................................................86 IBP CHANNELS.........................................................................................................................................86 IBP PARAMETER......................................................................................................................................87 PRECAUTIONS..........................................................................................................................................88 MONITORING PROCEDURE..................................................................................................................88 IBP MENU..................................................................................................................................................89 IBP PARAMETER MENU............................................................................................................89 iv

IBP CHANNEL MENU.................................................................................................................90 MAINTENANCE AND CLEANING.........................................................................................................90 CLEANING OF IBP TRANSDUCER..........................................................................................91 STERILIZATION...........................................................................................................................91 CHAPTER 19: CO2 MONITORING..................................................................................................92 INTRODUCTION.......................................................................................................................................92 MONITORING PROCEDURE..................................................................................................................92 MONITORING INTERFACE....................................................................................................................93 CO2 CHANNEL.............................................................................................................................93 CO2 PARAMETER........................................................................................................................94 MAINTENANCE AND CLEANING.........................................................................................................95 CHAPTER 20: MAINTENANCE.......................................................................................................96 INSPECTION..............................................................................................................................................96 CLEANING.................................................................................................................................................96 DISINFECTION AND STERILIZATION.................................................................................................97 CHAPTER 21: LABELS, PACKAGING, TRANSPORT AND STORING.........................................98 LABELS......................................................................................................................................................98 PACKAGING..............................................................................................................................................99 TRANSPORT..............................................................................................................................................99 STORING....................................................................................................................................................99 APPENDIX A: PPRODUCT SPECIFICATIONS.............................................................................100 ENVIRONMENTAL SPECIFICATIONS................................................................................................100 POWER SOURCE SPECIFICATIONS....................................................................................................100 HARDWARE SPECIFICATIONS............................................................................................................101 DATA STORAGE......................................................................................................................................101 ECG SPECIFICATIONS...........................................................................................................................101 RESP SPECIFICATIONS.........................................................................................................................102 NIBP SPECIFICATIONS..........................................................................................................................102 TEMP SPECIFICATIONS........................................................................................................................103 SpO2 SPECIFICATIONS.........................................................................................................................103 PR SPECIFICATIONS..............................................................................................................................103 IBP SPECIFICATIONS.............................................................................................................................103 CO2 SPECIFICATIONS...........................................................................................................................103 APPENDIX B: EMC........................................................................................................................104

v

CHAPTER 1:

OVERVIEW Welcome to use G3 Multi-Parameter Patient Monitor ！ The 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 ●

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● ●

●

●

●

● ●

●

●

●

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 ●

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●

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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) (5) (6) (7)

(1)

(8)

(12) (11)

(10)

(9)

Figure 2-1 (1) Display Waveforms, menu, alarms and measuring parameters are displayed here. (2) —— Silence key Press this key to start or stop the monitor tones, including heart beat tones, pulse tones and prompt tones for wrong operation. Pressing this key consecutively will silence the system for 30 seconds, 60 seconds, 120 seconds or until the next time the tones started. At this time, the silence status icon displayed in the status bar changes from to with the time to start the monitor tones again displayed on the right side, such as . When the time counts backwards to zero, or the silence key is pressed when the monitor is silenced, the monitor tones will be started again. (3) —— Alarm key Press this key to enter Alarm menu. See CHAPTER 5: ALARMS for detailed information. (4) —— Freeze key This key is pressed to freeze and unfreeze the waveforms. See CHAPTER 6: WAVEFORM FREEZING AND RECALLING for detailed information. (5) —— NIBP key Press this key to start or stop the non-invasive blood pressure measurement. See CHAPTER 15: NIBP MONITORING for detailed information. 9

(6)

—— Print key Press this key to start or stop the waveforms and measured parameter values printing. See CHAPTER 7: PRINTING for detailed information. (7) —— Main menu key Press this key to popup the Main menu or exit the menu currently displayed. See CHAPTER 4: MENU for detailed information. (8) Rotating mouse Turn the rotating mouse in either direction to highlight labels and menu options. After highlighting the desired selection, press the mouse to execute an operation, make a selection and view a new menu or a dialog box. This procedure is referred to as “select” through out the manual. Remember rotate to highlight, and then press to select. (9) —— Brightness adjusting knob Turn this knob to adjust the brightness of the monitor screen. Turn clockwise to brighter the screen; turn counterclockwise to darker the screen. (10)

—— Volume adjusting knob

Turn this knob to adjust the volume of the monitor. Turn clockwise to higher the volume; turn counterclockwise to lower the volume. (11) —— Power indicator ON: The monitor power is turned on. OFF: The monitor power is turned off. (12) —— Charge indicator ON: AC power is applied to the monitor. OFF: AC power is not applied to the monitor.

G3C Side Panel The side panel of the G3C Multi-Parameter Patient Monitor is shown as Figure 2-2: (1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

Figure 2-2 There are eight connectors on this panel: (1) TEMP1 —— Temperature probe connector (channel 1). (2) TEMP2 —— Temperature probe connector (channel 2). (3) RESP —— Respiration pipe connector. (4) NIBP —— NIBP cuff hose connector. 10

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

IBP1 —— IBP transducer connector (channel 1). IBP2 —— IBP transducer connector (channel 2). SpO2 —— SpO2 probe connector. ECG/RESP —— ECG cable connector. Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating) patient part providing a high degree of protection against shock. Type BF applied part. Attention: Consult accompanying documents (this manual).

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

(1) (2)

(3) (4)

(5) (6)

(7)

(9)

(8)

(10)

Figure 2-3 (1)

—— Power switch The key turns on or off the monitor.

(2) Speaker holes (3) Dispersion holes (4) AC power input connector A three-wire power cord can be connected to this receptacle to provide AC power supply to the patient monitor. (5) Fuse socket (6)

—— Equipotential ground

When the monitor is used with other equipment, it can be connected to equal the potentials. (7) —— Network connector: Standard RJ45 connector. Through network connector, this monitor can be connected with the central monitoring system, another monitor, or a PC. It enables the functions of other patient viewing, data output and 11

software upgrading. (8) (9)

—— Printer connector —— VGA monitor connector A standard colour VGA monitor can be connected to the patient monitor through this connector.

(10) Battery cover (11) Handle G3C Mechanics Plan

G3D G3D Front Panel The front panel of the G3D Multi-Parameter Patient Monitor is shown as Figure 2-4: (20)

12

(2) (3) (4) (5) (6)

(1)

(7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)

(18)

(19)

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

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

(3)

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

(4)

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

(5)

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

(6)

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

(7)

—— Main menu key Press this key to popup the Main menu or exit the menu currently displayed. See CHAPTER 4: 13

MENU for detailed information. (8) Rotating mouse Turn the rotating mouse in either direction to highlight labels and menu options. After highlighting the desired selection, press the mouse to execute an operation, make a selection and view a new menu or a dialog box. This procedure is referred to as “select” through out the manual. Remember rotate to highlight, and then press to select. (9)

—— Power switch Press this key and hold for more than two seconds to turn on or off the monitor.

(10) TEMP1 —— Temperature probe connector (channel 1) (11) TEMP2 —— Temperature probe connector (channel 2) (12) NIBP —— NIBP cuff hose connector (13) RESP —— Respiration pipe connector (14) SpO2 —— SpO2 probe connector (15) ECG/RESP —— ECG cable connector (16) IBP1 —— IBP transducer connector (channel 1) (17) IBP2 —— IBP transducer connector (channel 2) (18) POWER —— Power indicator ON: The monitor power is turned on. OFF: The monitor power is turned off. (19) CHARGE —— Charge indicator ON: AC power is applied to the monitor. OFF: AC power is not applied to the monitor. (20) Alarm indicator When a parameter value exceeds its alarm limit, this indicator flashes in red once a second. Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating) patient part providing a high degree of protection against shock. Type BF applied part. Attention: Consult accompanying documents (this manual).

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

14

(9)

(1)

(8)

(2) (3)

(4)

(5)

(6)

(7) Figure 2-5

(1) Dispersion holes (2) —— Brightness adjusting knob Turn this knob to adjust the brightness of the monitor screen. Turn clockwise to brighter the screen; turn counterclockwise to darker the screen. (3)

—— Volume adjusting knob

Turn this knob to adjust the volume of the monitor. Turn clockwise to higher the volume; turn counterclockwise to lower the volume. (4) Fuse socket (5)

(6)

(7) (8)

(9)

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

15

G3F G3F Front Panel The front panel of the G3F Multi-Parameter Patient Monitor is shown as Figure 2-6: (2) (3) (4) (5) (6) (7)

(1)

(8) (9)

(11) (10) Figure 2-6 (1) Display 16

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 and view a new menu or a dialog box. This procedure is referred to as “select” through out the manual. Remember rotate to highlight, and then press to select. (9)

—— Main menu key Press this key to popup the Main menu or exit the menu currently displayed. See CHAPTER 4: MENU for detailed information.

(10)

—— Charge indicator ON: AC power is applied to the monitor. OFF: AC power is not applied to the monitor.

(11)

—— Power indicator ON: The monitor power is turned on. OFF: The monitor power is turned off.

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

17

(2)

(1) (3)

(4) (5)

(6)

Figure 2-7 There are six connectors on this panel: (1) T1 —— Temperature probe connector (channel 1) (2) T2 —— Temperature probe connector (channel 2) (3) SpO2 —— SpO2 probe connector (4) RESP —— Respiration pipe connector (5) NIBP —— NIBP cuff hose connector (6) ECG/RESP —— ECG cable connector Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating) patient part providing a high degree of protection against shock. Type BF applied part. Attention: Consult accompanying documents (this manual).

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

(1)

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

(5)

(6) (7) (8) 18

Figure 2-8 (1) Dispersion holes (2)

—— Power switch

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

—— Equipotential ground

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

—— Volume adjusting knob

Turn this knob to adjust the volume of the monitor. Turn clockwise to higher the volume; turn counterclockwise to lower the volume. (9) Speaker holes

19

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) (7) (8) (9) (10)

(1)

(11)

Figure 2-9

20

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

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

21

(1)

(5)

(2)

(6)

(3)

(7)

(4)

(8)

Figure 2-10 There are eight connectors on this panel: (1) NIBP —— NIBP cuff hose connector (2) TEMP1 —— Temperature probe connector (channel 1) (3) TEMP2 —— Temperature probe connector (channel 2) (4) RESP —— Respiration pipe connector (5) ECG/RESP —— ECG cable connector (6) SpO2 —— SpO2 probe connector (7) IBP1 —— IBP transducer connector (channel 1) (8) IBP2 —— IBP transducer connector (channel 2) Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating) patient part providing a high degree of protection against shock. Type BF applied part. Attention: Consult accompanying documents (this manual).

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

22

(12)

(1) (11) (10)

(2)

(9) (3)

(4)

(5)

(6)

(7)

(8)

Figure 2-11 (1) Dispersion holes (2)

—— Power switch The key turns on or off the monitor.

(3)

—— Equipotential ground When the monitor is used with other equipment, it can be connected to equal the potentials.

(4)

—— Printer connector

(5)

—— VGA monitor connector A standard colour VGA monitor can be connected to the patient monitor through this connector. (6) —— Network connector: Standard RJ45 connector Through network connector, this monitor can be connected with the central monitoring system, another monitor, or a PC. It enables the functions of other patient viewing, data output and software upgrading. (7) —— Brightness adjusting knob Turn this knob to adjust the brightness of the monitor screen. Turn clockwise to brighter the screen; turn counterclockwise to darker the screen. (8)

—— Volume adjusting knob

Turn this knob to adjust the volume of the monitor. Turn clockwise to higher the volume; turn counterclockwise to lower the volume. (9) AC power input connector A three-wire power cord can be connected to this receptacle to provide AC power supply to the patient monitor. (10) Fuze socket (11) Speaker holes 23

(12) Handle

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

(2)

(3) (4) (5) (6) (7) (8) (9) (10) (11) Figure 2-1 (13) Alarm Indicator When a parameter value exceeds its alarm limit, this indicator flashes in red once a second. (14) Display Waveforms, menu, alarms and measuring parameters are displayed here. (15)

—— Silence key Press this key to start or stop the monitor tones, including heart beat tones, pulse tones and 24

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. (16)

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

(17)

—— Freeze key

This key is pressed to freeze and unfreeze the waveforms. See CHAPTER 6: WAVEFORM FREEZING AND RECALLING for detailed information. (18) —— Charge indicator ON: AC power is applied to the monitor. OFF: AC power is not applied to the monitor. (19) Rotating mouse Turn the rotating mouse in either direction to highlight labels and menu options. After highlighting the desired selection, press the mouse to execute an operation, make a selection and view a new menu or a dialog box. This procedure is referred to as “select” through out the manual. Remember rotate to highlight, and then press to select. (20) —— Power indicator ON: The monitor power is turned on. OFF: The monitor power is turned off. (21)

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

(22)

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

(23)

—— Main menu key Press this key to popup the Main menu or exit the menu currently displayed. See CHAPTER 4: MENU for detailed information.

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

25

(1) (2) (3)

(8)

(4)

(9)

(5) (10)

(6) (7)

Figure 2-2 There are eight connectors on this panel: (1) Handle. (2) NIBP —— NIBP cuff hose connector. (3) TEMP1 —— Temperature probe connector (channel 1). (4) TEMP2 —— Temperature probe connector (channel 2). (5) SpO2 —— SpO2 probe connector. (6) RESP —— Respiration pipe connector. (7) Battery cover. (8) IBP1 —— IBP transducer connector (channel 1). (9) IBP2 —— IBP transducer connector (channel 2). (10)ECG/RESP —— ECG cable connector. Type CF applied part. The unit displaying this symbol contains an F-type isolated (floating) patient part providing a high degree of protection against shock. Type BF applied part. Attention: Consult accompanying documents (this manual).

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

26

(7) (1)

(6)

(2)

(3)

(4)

(5)

Figure 2-3 There are eight connectors on this panel: (9) Printer. (10) AC power input connector A three-wire power cord can be connected to this receptacle to provide AC power supply to the patient monitor. (11) Fuse socket (12)

—— Equipotential ground

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

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

27

(1)

(3)

(2)

Figure 2-4 (12) Handle. (13) Battery cover. (14)

—— Power switch.

Mechanics Plan

28

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)

29

(3)

(1)

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

(3)

(1) Channels area The channels area is divided into several channels, and can be selected from the ECG waveform, RESP waveform, PLETH waveform, IBP waveform, CO2 waveform, trend graph and trend table. The label of the channel is usually displayed on the upper left corner of the channel. Selecting the label will enter the corresponding menu. What is displayed at the same row of the label is the status information concerning this channel.

(2) Menu bar The menu bar automatically pops up and disappears. Pressing the Main menu key, Alarm key, Freeze 30

key or the parameter/channel labels can activate the corresponding menu to display.

(3) Parameters area The heart rate (HR), pulse oxygen saturation (SpO 2), respiration rate (RR), body temperature (T1/T2), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), end-tidal carbon dioxide (EtCO2) and fractional inspiratory carbon dioxide (FiCO2) are displayed in this area. Every parameter has a corresponding label with an alarm prohibition icon on the left side. Selecting the label will enter the corresponding menu.

(4) Status bar Displays the monitor status information and patient’s information. ① ② ④ ③

1 2 3 4 5

⑤

⑥

⑦

⑧

Patient name: It can be set in the Patient Information dialog box. If the patient isn’t 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.

6 7

8

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 doesn’t 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. 31

( 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 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. 32

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 ●

●

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.

33

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 summation of leakage currents), you should consult us or experts in the field to ensure the required safety of all instruments concerned.

NOTE ●

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

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

WARNING ● ● ●

Be sure to keep the packaging materials from children’s 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.

34

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.

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

WARNING ●

● ●

Confirm the AC power supply is in conformity with the requirements of this equipment: (100～240)V a.c., 50/60Hz. Do not use three-wire to two-wire adapter with this instrument. To avoid unexpected power interruption, do no use power outlet with a wall-mounted switch control.

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

WARNING 35

●

●

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 60601-1 for medical electrical equipment). Furthermore all configurations shall comply with the valid version of the system standard IEC 60601-1-1. Any person who connects additional equipment to the signal input or signal output is responsible to ensure the system complies with the requirements of the valid version of the system standard IEC 60601-1-1. If in doubt, contact our company or customer service.

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

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

WARNING ●

●

Different network cable may be used for different connections. Please consult our customer service personnel for details. The system upgrading through the network connector is to be executed by our authorized 36

personnel only.

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

REPLACE THE FUSE 1. 2. 3.

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

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

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

37

CHAPTER 4:

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

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:

38

■ ■ ■ ■ ■ ■

Display: Sets the display interface. Tools: Sets the practical tools. Review: Checks/reviews the history trend or data. Patient: Sets the patient’s information. System Setup: Sets the system information. Recorder Setup: Sets the recorder/ built-in printer parameters.

Selecting Display in the Main menu pops up the following Display menu.

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

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



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. 39



7 ECGs: Seven ECG (II、I、III、aVR、aVL、aVF and V leads) waveforms are displayed in the channels area.



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. 40

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 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. 41

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.

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.

42

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.

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 CO 2 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. 43

■

■

■

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.

PATIENT Select Patient in the Main menu, and the following Patient information dialog box pops up.

■ ■ ■ ■

■

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

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

Consecutively select this button, the Characters field shows the capital, lowercase, numeral and punctuation in sequence. Pages down or pages up the characters in the Characters field. Characters field: Press and turn the rotating mouse to select the desired character, then press the mouse again to add it into the input field. 44

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.

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.

45

Date Format Selecting Date Format in the Region Settings menu pops up the Set Date Format dialog box to set the date format, shown as below.

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

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

NOTE ●

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

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

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

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

If “Use dynamic IP configuration (DHCP)” is selected, the monitor is distributed an IP address automatically when it is turned on to prevent from the IP address conflict. 46

Set the IP address manually: Remove the selection of “Use dynamic IP configuration (DHCP)”, and then select the input field on the right side of “IP address” to set it manually. Select Ok button to confirm the selection, the monitor IP address will not change.

Server Selecting Server in the Network Settings menu pops up the Server Setup dialog box where the address of the central monitoring system server can be set, shown as below.

■ ■ ■

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

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

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

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 dosen’t 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.

47

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.

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. 48

Remote Maintenance

WARNING ●

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

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

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 Monitor：Select 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). ■ ■

49

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

WARNING ●

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

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

Select Ok, the system reverts to the default settings.

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

■

■

Curve Mode: Printing mode of the curve. “Mode 1”: Print an electrocardiogram waveform, namely the main lead ECG waveform. “Mode 2”: Print two waveforms, namely the main lead ECG and PLETH waveforms. Curve Speed: Printing speed. Options: 12.5mm/s and 25mm/s. 50

Total (Seconds): Waveform printing time. It can be selected in the range from 5 to 30 seconds. ■ Alarm Print: Alarm printing switch. Open: The printer automatically prints all the measured parameter values when the physiological alarms occur. Close: The printer doesn’t print any measured parameter value when the physiological alarms occur. ■ Timer Print: Timer printing switch. Open: The printer automatically prints all the measured parameter values at the preset interval. Close: The printer dosen’t print any measured parameter value automatically. ■ Interval: The interval time between two printings, which can be selected in the range from 1 to 60 minutes. The default settings for the “Alarm Print” and “Timer Print” both are “Close”. Refer to CHAPTER 7: PRINTING for detailed information. ■

CHAPTER 5:

ALARMS The monitor gives audible or visual alarms to indicate the medical staff, when a vital sign of the 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 51

the NIBP value in the parameters area.

ALARM MODES When an alarm occurs, the monitor raises the user’s 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.

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. 52

■ ■ ■ ■

■

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 doesn’t 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 dosen’t 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 doesn’t change the status of the physiological alarms.

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

■

Alarm On/Off: Enables or disables the HR alarm. Alarm enabled: The HR alarm is turned on and the monitor alarms when the measured HR value exceeds its preset alarm limit. Alarm disabled: Icon “ ” (red) is displayed on the left side of the HR label. The HR alarm is 53

■

turned off, and the monitor does not generate alarms when the measured HR value exceeds its preset alarm limit. Alarm Setting: Select this button, the following Set Alarm Limits dialog box pops up:

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

WHEN AN ALARM OCCURS

WARNING ●

When an alarm occurs, always check the patient’s condition first.

When an alarm occurs to the monitor, refer to the following steps and take action properly. 1. Check the patient’s condition. 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.

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Chapter 6:

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

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.

55

■

■

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:

① The start time of the selected file; ② The selectable saved files. Move the cursor to position ② and select the desired file by turning the rotating mouse, then select Ok, the corresponding waveforms will be displayed on the screen. ■ Last Page, Next Page: Turn the waveforms forward or backward to view the waveforms of 15 seconds before freezing. Select Exit in the Recall menu or press the Main menu key on the front panel to exit the recalling mode.

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CHAPTER 7:

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

PRINTING TYPES The monitor supports the following types of printings: ■ Real-time printing. ■ Timer printing. ■ Alarm printing. 57

■

Trend graph printing (refer to TREND GRAPH WINDOW in CHAPTER 8).

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

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

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

NOTE ●

● ●

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

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

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

58

Latch

Error Power

Power indicator

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 patient’s data collected along with the time accumulation. The trends function displays the patient’s 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 patient’s status properly. If the monitor is equipped with a printer, the trend graph can be printed. 59

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

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

Trend graph channel

Trend table channel

TREND GRAPH CHANNEL Distribution

① Parameter label: Select this label to enter the trend graph channel menu. ② Measure scale: Mark the value scale on the trend graph. ③ 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.

60

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

■

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

■

Last Page and Next Page Turns the trend graph backward or forward.

■

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

■

Range Selecting Range pops up the following menu.

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

TREND TABLE CHANNEL Distribution

① Table label: Select this label to enter the trend table channel menu. ② 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. 61

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

■

Line Up, Line Down, Last Page and Next Page Adjusts the time of trend data forward or backward.

■

Step Selecting Step pops up the following menu. The data will be compressed and the new data will be added according to the selected step.

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

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TREND GRAPH WINDOW Distribution

1

Parameter mark: The corresponding parameters of the three graphs displayed in the trend graphs area.

2

Scale: Marks the value range of the trend graph.

3

Cursor: Move this cursor via the Cursor button.

4

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.

5

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.

6

Starting time of the trend data: The time that the monitor starts to record the trend data.

7

Current time: The corresponding time of the cursor positon.

8

End time of the trend data: The time that the monitor stops recording the trend data.

9

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.

10 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. ⑾ Time scale: Marks the time scale of the current page.

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

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

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Last Page and Next Page Turns the trend graph backward or forward.

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Cursor Select Cursor and rotate the mouse, the cursor on the trend graph will move in accordance with the rotating direction, and the parameter values and events will be displayed in the parameters table. Pressing the rotating mouse again will exit the cursor moving status.

■

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

■

Range Selecting Range pops up the following menu.

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

Print Selecting Print pops up the following menu.

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

64

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 daytime values (except NIBP which is the first value in the current step). The symbol "---" means the parameter is not measured at the corresponding time.

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

■

Line Up, Line Down, Last Page and Next Page Adjusts the time of the trend data forward or backward.

■

Step Selecting Step pops up the following menu. The data will be compressed and the new data will be added according to the selected step.

■

Graph Selecting Graph enters the trend graph window.

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CHAPTER 9:

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

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

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

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

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CHAPTER 10:

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

WARNING ●

●

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

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

UNIT Drug unit When the drug is “Any Drug”, g, mg, mcg, unit, k unit, m unit or mEq can be selected. When the drug is selected, the drug unit is set by the drug calculator automatically, and the user cannot modify it. When the drug unit is selected, the units relating to the weight in the Drug Calculator, Drip Table and Titration Table will change correspondingly. 67

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.

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

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

CALCULATION FORMULA  The relational formula of the drug weight 68

Amount = Dose/min × Time Dose/min = Dose/(kg*min) × Weight  The relational formula of liquid volume Volume = Rate × Time Rate = Rate/kg × Weight  Concentration = Amount / Volume

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

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

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

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Drug dosage range limitation table English name

Concentration

Dose/min (Dose/(kg*min))

Amount

Aminophylline

≤25mg/min 5~10ug/kg/min

250~500mg

Amrinone Lactate

≤1mg/ml 1~3mg/ml

Bretylium Tosilate

≤10mg/ml

1~50mg/min

5~10mg

Dobutamine

≤5mg/ml

2.5~40ug/kg/min

Dopamine

1~30ug/kg/min

Epinephrine

≤3mg/ml