uMEC10 Vet/uMEC12 Vet

Portable Multi-Parameter Veterinary

Monitor

Operator’s Manual
© Copyright 2019-2020 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
Release time: 2020-11
Revision: 5.0

I
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual
property rights to this Mindray product and this manual. This manual may refer to information protected by
copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of
others.
Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the
information in this manual in any manner whatsoever without the written permission of Mindray is strictly
forbidden.
Release, amendment, reproduction, distribution, rental, adaption and translation of this manual in any manner
whatsoever without the written permission of Mindray is strictly forbidden.
is the registered trademarks or trademarks owned by Mindray in China and other countries. All
other trademarks that appear in this manual are used only for editorial purposes without the intention of
improperly using them. They are the property of their respective owners.

Responsibility on the Manufacturer Party

Contents of this manual are subject to changes without prior notice.
All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained
herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of
this manual.
Mindray is responsible for the effects on safety, reliability and performance of this product, only if:
■ all installation operations, expansions, changes, modifications and repairs of this product are conducted by
Mindray authorized personnel;
■ the electrical installation of the relevant room complies with the applicable national and local
requirements;
■ the product is used in accordance with the instructions for use.

WARNING
• This equipment must be operated by skilled/trained clinical professionals or qualified veterinarians.
• It is important for the hospital or organization that employs this equipment to carry out a
reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal
injury.
• If there is any inconstancy or ambiguity between the latest English version and this manual, the
English version shall prevail.

II
Warranty
THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE.

Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or other charges or
liability for direct, indirect or consequential damages or delay resulting from the improper use or application of
the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray
authorized personnel.
This warranty shall not extend to
■ Malfunction or damage caused by improper use or man-made failure.
■ Malfunction or damage caused by unstable or out-of-range power input.
■ Malfunction or damage caused by force majeure such as fire and earthquake.
■ Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service
people.
■ Malfunction of the instrument or part whose serial number is not legible enough.
■ Others not caused by instrument or part itself.

Company Contact
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address Mindray Building, Keji 12th Road South, High-tech Industrial Park, Nanshan, Shenzhen 518057,
P.R.China

Website www.mindray.com

E-mail Address: [email protected]

Tel: +86 755 81888998

Fax: +86 755 26582680

EC-Representative: Shanghai International Holding Corp. GmbH (Europe)

Address: Eiffestraβe 80, 20537 Hamburg, Germany

Tel: 0049-40-2513175

Fax: 0049-40-255726

III
Preface
Manual Purpose
This manual contains the instructions necessary to operate the product safely and in accordance with its
function and intended use. Observance of this manual is a prerequisite for proper product performance and
correct operation and ensures patient and operator safety.
This manual is based on the maximum configuration and therefore some contents may not apply to your
product. If you have any question, please contact us.
This manual is an integral part of the product. It should always be kept close to the equipment so that it can be
obtained conveniently when needed.

NOTE
• If your equipment has any function that is not included in this manual, refer to the latest English
version.

Intended Audience
This manual is geared for clinical professionals or qualified veterinarians who are expected to have a working
knowledge of medical procedures, practices and terminology as required for monitoring of critically ill patients.

Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data
displayed on your monitor.

Conventions
■ Italic text is used in this manual to quote the referenced manuals, chapters, sections and formulas.
■ Bold text is used to indicate the screen texts and names of hard keys.
■ → is used to indicate operational procedures.

IV
Contents
1 Safety .................................................................................................................................................................................. 1 - 1

1.1 Safety Information ..........................................................................................................................................................................................1 - 1

1.1.1 Warnings .............................................................................................................................................................................................1 - 1
1.1.2 Cautions ................................................................................................................................................................................................1 - 2
1.1.3 Notes ......................................................................................................................................................................................................1 - 2
1.2 Equipment Symbols .......................................................................................................................................................................................1 - 3

2 The Basics ........................................................................................................................................................................... 2 - 1

2.1 Monitor Description .......................................................................................................................................................................................2 - 1

2.1.1 Intended Use .......................................................................................................................................................................................2 - 1
2.1.2 Product Difference ............................................................................................................................................................................2 - 1
2.1.3 System Components ........................................................................................................................................................................2 - 1
2.2 Front View ..........................................................................................................................................................................................................2 - 2
2.3 Side View ............................................................................................................................................................................................................2 - 3
2.3.1 uMEC10 Vet ........................................................................................................................................................................................2 - 3
2.3.2 uMEC12 Vet .........................................................................................................................................................................................2 - 4
2.4 Rear View ............................................................................................................................................................................................................2 - 5
2.5 Display Screen ..................................................................................................................................................................................................2 - 5
2.6 QuickKeys ...........................................................................................................................................................................................................2 - 7

3 Basic Operations ................................................................................................................................................................ 3 - 1

3.1 Installation .........................................................................................................................................................................................................3 - 1

3.1.1 Unpacking and Checking ...............................................................................................................................................................3 - 1
3.1.2 Environmental Requirements .......................................................................................................................................................3 - 1
3.2 Getting Started .................................................................................................................................................................................................3 - 2
3.2.1 Turning Power On .............................................................................................................................................................................3 - 2
3.2.2 Starting Monitoring ..........................................................................................................................................................................3 - 2
3.3 Disconnecting from Power ..........................................................................................................................................................................3 - 2
3.4 Using Keys ..........................................................................................................................................................................................................3 - 3
3.5 Using the Touchscreen ..................................................................................................................................................................................3 - 3
3.6 Setting the Screen ...........................................................................................................................................................................................3 - 3
3.7 Using the On-screen Keyboard ..................................................................................................................................................................3 - 4
3.8 Using the Main Menu .....................................................................................................................................................................................3 - 4
3.9 Changing General Settings ..........................................................................................................................................................................3 - 5
3.9.1 Setting up a Monitor ........................................................................................................................................................................3 - 5
3.9.2 Changing Language .........................................................................................................................................................................3 - 5
3.9.3 Adjusting the Screen Brightness .................................................................................................................................................3 - 5
3.9.4 Showing/Hiding the Help ..............................................................................................................................................................3 - 5
3.9.5 Setting the Date and Time .............................................................................................................................................................3 - 5
3.9.6 Adjusting Volume .............................................................................................................................................................................3 - 5
3.10 Setting Parameters .......................................................................................................................................................................................3 - 6
3.10.1 Switching the Parameters On/Off .............................................................................................................................................3 - 6
3.10.2 Accessing the Parameters Menu ...............................................................................................................................................3 - 6
3.11 Operating Modes ..........................................................................................................................................................................................3 - 6

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 3.11.1 Monitoring Mode ...........................................................................................................................................................................3 - 6
3.11.2 Night Mode .......................................................................................................................................................................................3 - 6
3.11.3 Privacy Mode ....................................................................................................................................................................................3 - 7
3.11.4 Standby Mode .................................................................................................................................................................................3 - 7

4 Managing Patients ............................................................................................................................................................4 - 1

4.1 Discharging a Patient ....................................................................................................................................................................................4 - 1

4.1.1 Auto Discharging a Patient after Monitor Power Off ...........................................................................................................4 - 1
4.1.2 Manually Discharging a Patient ...................................................................................................................................................4 - 1
4.2 Admitting a Patient ........................................................................................................................................................................................4 - 1
4.2.1 Auto Admitting a Patient ...............................................................................................................................................................4 - 1
4.2.2 Manually Admitting a Patient ......................................................................................................................................................4 - 2
4.3 Managing Patient Information ...................................................................................................................................................................4 - 2
4.4 Transferring Patient Data via USB Drive .................................................................................................................................................4 - 2
4.4.1 Transferring Data from the Monitor to a USB Drive .............................................................................................................4 - 3
4.4.2 Viewing Data on the Monitor via USB Drive ...........................................................................................................................4 - 3
4.4.3 Transferring Data from the USB Drive to Monitor .................................................................................................................4 - 3
4.5 Connecting to a Central Monitoring System ........................................................................................................................................4 - 4

5 Managing Configurations ................................................................................................................................................. 5 - 1

5.1 Introduction ......................................................................................................................................................................................................5 - 1

5.2 Entering the [Manage Configuration] Menu .........................................................................................................................................5 - 1
5.3 Setting Default Configuration ....................................................................................................................................................................5 - 1
5.4 Saving Current Settings ................................................................................................................................................................................5 - 2
5.5 Editing Configuration ....................................................................................................................................................................................5 - 2
5.6 Deleting a Configuration ..............................................................................................................................................................................5 - 2
5.7 Transferring a Configuration .......................................................................................................................................................................5 - 2
5.8 Loading a Configuration ..............................................................................................................................................................................5 - 2
5.9 Restoring the Latest Configuration Automatically .............................................................................................................................5 - 3
5.10 Modifying Configuration Password .......................................................................................................................................................5 - 3

6 User Screens .......................................................................................................................................................................6 - 1

6.1 Tailoring Your Screens ..................................................................................................................................................................................6 - 1

6.1.1 Changing the Wave Line Size .......................................................................................................................................................6 - 1
6.1.2 Changing Measurement Colors ...................................................................................................................................................6 - 1
6.1.3 Changing Screen Layout ................................................................................................................................................................6 - 1
6.2 Viewing Minitrends ........................................................................................................................................................................................6 - 1
6.2.1 Having a Split-Screen View of Minitrends ................................................................................................................................6 - 1
6.2.2 Setting Minitrends ............................................................................................................................................................................6 - 2
6.3 Viewing OxyCRG ..............................................................................................................................................................................................6 - 2
6.4 Viewing Other Patients .................................................................................................................................................................................6 - 3
6.4.1 Care Group ..........................................................................................................................................................................................6 - 3
6.4.2 Viewing the Care Group Overview Bar ......................................................................................................................................6 - 3
6.4.3 Understanding the View Other Patient Window ...................................................................................................................6 - 4
6.5 Understanding the Big Numerics Screen ...............................................................................................................................................6 - 4

7 Alarms .................................................................................................................................................................................7 - 1

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 7.1 Alarm Categories .............................................................................................................................................................................................7 - 1
7.2 Alarm Levels ......................................................................................................................................................................................................7 - 1
7.3 Alarm Indicators ...............................................................................................................................................................................................7 - 2
7.3.1 Alarm Lamp .........................................................................................................................................................................................7 - 2
7.3.2 Alarm Message ...................................................................................................................................................................................7 - 2
7.3.3 Flashing Numeric ..............................................................................................................................................................................7 - 2
7.3.4 Audible Alarm Tones ........................................................................................................................................................................7 - 2
7.3.5 Alarm Status Symbols ......................................................................................................................................................................7 - 3
7.4 Alarm Tone Configuration ...........................................................................................................................................................................7 - 3
7.4.1 Setting the Minimum Alarm Volume .........................................................................................................................................7 - 3
7.4.2 Changing the Alarm Volume ........................................................................................................................................................7 - 3
7.4.3 Setting the Interval between Alarm Sounds ...........................................................................................................................7 - 4
7.4.4 Changing the Alarm Tone Pattern ..............................................................................................................................................7 - 4
7.4.5 Setting the Reminder Tones ..........................................................................................................................................................7 - 4
7.5 Understanding the Alarm Setup Menu ...................................................................................................................................................7 - 5
7.5.1 Setting Alarm Properties for All Parameters ............................................................................................................................7 - 5
7.5.2 Adjusting Alarm Limits Automatically .......................................................................................................................................7 - 5
7.5.3 Setting Alarm Delay Time ...............................................................................................................................................................7 - 7
7.5.4 Setting SpO2 Technical Alarm Delay ..........................................................................................................................................7 - 7
7.5.5 Setting Recording Length ..............................................................................................................................................................7 - 7
7.6 Pausing Alarms .................................................................................................................................................................................................7 - 8
7.7 Switching Off All Alarms ...............................................................................................................................................................................7 - 8
7.8 Resetting Alarms ..............................................................................................................................................................................................7 - 9
7.9 Latching Alarms ...............................................................................................................................................................................................7 - 9
7.10 Testing Alarms ............................................................................................................................................................................................ 7 - 10
7.11 Using Care Group Alarms ........................................................................................................................................................................ 7 - 10
7.11.1 Care Group Auto Alarms ........................................................................................................................................................... 7 - 10
7.11.2 Setting Care Group Alert Tone ................................................................................................................................................ 7 - 10
7.11.3 Resetting Care Group Alarms .................................................................................................................................................. 7 - 10
7.12 When an Alarm Occurs ............................................................................................................................................................................ 7 - 11

8 Monitoring ECG ................................................................................................................................................................. 8 - 1

8.1 Introduction ......................................................................................................................................................................................................8 - 1

8.2 Safety ...................................................................................................................................................................................................................8 - 1
8.3 Preparing to Monitor ECG ............................................................................................................................................................................8 - 1
8.3.1 Preparing the Patient and Placing the Electrodes .................................................................................................................8 - 1
8.3.2 Choosing AHA or IEC Lead Placement .......................................................................................................................................8 - 2
8.3.3 ECG Lead Placements ......................................................................................................................................................................8 - 2
8.3.4 Checking Paced Status ....................................................................................................................................................................8 - 3
8.4 Understanding the ECG Display .................................................................................................................................................................8 - 4
8.5 Changing ECG Settings .................................................................................................................................................................................8 - 4
8.5.1 Accessing ECG Menus ......................................................................................................................................................................8 - 4
8.5.2 Choosing the Alarm Source ...........................................................................................................................................................8 - 4
8.5.3 Setting the ECG Lead Set ................................................................................................................................................................8 - 5
8.5.4 Choosing an ECG Display Screen .................................................................................................................................................8 - 5
8.5.5 Changing the ECG Filter Settings ................................................................................................................................................8 - 5
8.5.6 Setting the Notch Filter ...................................................................................................................................................................8 - 5

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 8.5.7 Changing the Pacer Reject Settings ...........................................................................................................................................8 - 6
8.5.8 Changing ECG Wave Settings .......................................................................................................................................................8 - 6
8.5.9 Enabling Smart Lead Off ................................................................................................................................................................8 - 6
8.5.10 Setting the Alarm Level for ECG Lead Off Alarms ...............................................................................................................8 - 6
8.5.11 Adjusting QRS Volume .................................................................................................................................................................8 - 6
8.5.12 About the Defibrillator Synchronization ...............................................................................................................................8 - 6
8.6 About ST Monitoring .....................................................................................................................................................................................8 - 7
8.6.1 Switching ST On and Off ................................................................................................................................................................8 - 7
8.6.2 Changing ST Filter Settings ...........................................................................................................................................................8 - 7
8.6.3 Understanding the ST Display ......................................................................................................................................................8 - 7
8.6.4 Saving the Current ST Segment as Reference ........................................................................................................................8 - 8
8.6.5 Changing the Reference Segment .............................................................................................................................................8 - 8
8.6.6 Deleting a Reference Segment ....................................................................................................................................................8 - 8
8.6.7 Recording the ST Segment ............................................................................................................................................................8 - 8
8.6.8 Changing the ST Alarm Limits ......................................................................................................................................................8 - 8
8.6.9 Setting the ST Alarm Delay Time .................................................................................................................................................8 - 8
8.6.10 Adjusting ST Measurement Points ...........................................................................................................................................8 - 8
8.7 About Arrhythmia Monitoring ...................................................................................................................................................................8 - 9
8.7.1 Understanding the Arrhythmia Events .................................................................................................................................. 8 - 10
8.7.2 Changing Arrhythmia Alarm Settings .................................................................................................................................... 8 - 10
8.7.3 Changing Arrhythmia Threshold Settings ............................................................................................................................ 8 - 11
8.7.4 Reviewing Arrhythmia Events ................................................................................................................................................... 8 - 11
8.8 About QT/QTc Interval Monitoring ...................................................................................................................................................... 8 - 11
8.8.1 QT/QTc Monitoring Limitations ................................................................................................................................................ 8 - 11
8.8.2 Enabling QT/QTc Monitoring .................................................................................................................................................... 8 - 12
8.8.3 Displaying QT Numerics and Segments ................................................................................................................................ 8 - 12
8.8.4 Saving the Current QTc as Reference .................................................................................................................................... 8 - 12
8.8.5 Changing QT Settings .................................................................................................................................................................. 8 - 13
8.9 About HR Analysis ........................................................................................................................................................................................ 8 - 13
8.10 ECG Relearning ........................................................................................................................................................................................... 8 - 14
8.10.1 Initiating an ECG Relearning Manually ................................................................................................................................ 8 - 14
8.10.2 Automatic ECG Relearning ....................................................................................................................................................... 8 - 14
8.11 Calibrating ECG .......................................................................................................................................................................................... 8 - 14
8.12 Troubleshooting ....................................................................................................................................................................................... 8 - 15

9 Monitoring Respiration (Resp) ......................................................................................................................................... 9 - 1

9.1 Introduction ......................................................................................................................................................................................................9 - 1

9.2 Safety Information ..........................................................................................................................................................................................9 - 1
9.3 Understanding the Resp Display ...............................................................................................................................................................9 - 1
9.4 Placing Resp Electrodes ................................................................................................................................................................................9 - 2
9.4.1 Optimizing Lead Placement for Resp ........................................................................................................................................9 - 2
9.4.2 Cardiac Overlay ..................................................................................................................................................................................9 - 2
9.4.3 Abdominal Breathing ......................................................................................................................................................................9 - 2
9.4.4 Lateral Chest Expansion .................................................................................................................................................................9 - 2
9.5 Choosing the Respiration Lead ..................................................................................................................................................................9 - 2
9.6 Changing the Apnea Alarm Delay ............................................................................................................................................................9 - 3
9.7 Changing Resp Detection Mode ...............................................................................................................................................................9 - 3
9.8 Changing Resp Wave Settings ...................................................................................................................................................................9 - 3

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 9.9 Setting RR Source ............................................................................................................................................................................................9 - 3
9.10 Setting Alarm Properties ............................................................................................................................................................................9 - 4

10 Monitoring PR ................................................................................................................................................................10 - 1

10.1 Introduction ................................................................................................................................................................................................. 10 - 1

10.2 Setting the PR Source ............................................................................................................................................................................... 10 - 1
10.3 Selecting the Active Alarm Source ...................................................................................................................................................... 10 - 1
10.4 QRS Tone ....................................................................................................................................................................................................... 10 - 2

11 Monitoring SpO2 ...........................................................................................................................................................11 - 1

11.1 Introduction ................................................................................................................................................................................................. 11 - 1

11.2 Safety .............................................................................................................................................................................................................. 11 - 1
11.3 Applying the Sensor .................................................................................................................................................................................. 11 - 2
11.4 Changing SpO2 Settings ......................................................................................................................................................................... 11 - 2
11.4.1 Accessing SpO2 Menus .............................................................................................................................................................. 11 - 2
11.4.2 Adjusting the Desat Alarm ....................................................................................................................................................... 11 - 2
11.4.3 Changing Averaging Time ........................................................................................................................................................ 11 - 2
11.4.4 Monitoring SpO2 and NIBP Simultaneously ...................................................................................................................... 11 - 2
11.4.5 Changing the Speed of the Pleth Wave ............................................................................................................................... 11 - 3
11.4.6 Zooming PI Value ......................................................................................................................................................................... 11 - 3
11.4.7 Setting the Alarm Level for SpO2 Sensor Off Alarm ........................................................................................................ 11 - 3
11.4.8 Setting the SpO2 Tone Mode .................................................................................................................................................. 11 - 3
11.4.9 Setting the Low Perfusion Status Indicator ........................................................................................................................ 11 - 3
11.5 Measurement Limitations ....................................................................................................................................................................... 11 - 3
11.6 Troubleshooting ......................................................................................................................................................................................... 11 - 4

12 Monitoring NIBP ............................................................................................................................................................12 - 1

12.1 Introduction ................................................................................................................................................................................................. 12 - 1

12.2 Safety .............................................................................................................................................................................................................. 12 - 1
12.3 Measurement Limitations ....................................................................................................................................................................... 12 - 1
12.4 Measurement Methods ........................................................................................................................................................................... 12 - 2
12.5 Setting Up the NIBP Measurement ...................................................................................................................................................... 12 - 2
12.5.1 Preparing the Patient ................................................................................................................................................................. 12 - 2
12.5.2 Preparing to Measure NIBP ...................................................................................................................................................... 12 - 2
12.5.3 Starting and Stopping Measurements ................................................................................................................................. 12 - 3
12.5.4 Correcting the Measurement if Limb is not at Heart Level ........................................................................................... 12 - 3
12.5.5 Enabling NIBP Auto Cycling and Setting the Interval ..................................................................................................... 12 - 3
12.5.6 Starting a STAT Measurement ................................................................................................................................................. 12 - 3
12.5.7 Sequence Measurement ........................................................................................................................................................... 12 - 4
12.6 Understanding the NIBP Numerics ...................................................................................................................................................... 12 - 4
12.7 Making NIBP Analysis ............................................................................................................................................................................... 12 - 5
12.8 Changing NIBP Settings ........................................................................................................................................................................... 12 - 5
12.8.1 Setting the Initial Cuff Inflation Pressure ............................................................................................................................ 12 - 5
12.8.2 Setting NIBP Weitht Range ....................................................................................................................................................... 12 - 5
12.8.3 Setting NIBP Alarm Properties ................................................................................................................................................ 12 - 5
12.8.4 Displaying NIBP List .................................................................................................................................................................... 12 - 5
12.8.5 Setting the Pressure Unit .......................................................................................................................................................... 12 - 5
12.8.6 Switching On NIBP End Tone ................................................................................................................................................... 12 - 6

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 12.9 NIBP Leakage Test ..................................................................................................................................................................................... 12 - 6
12.10 NIBP Accuracy Test ................................................................................................................................................................................. 12 - 6

13 Monitoring Temp ...........................................................................................................................................................13 - 1

13.1 Introduction ................................................................................................................................................................................................. 13 - 1

13.2 Making a Temp Measurement .............................................................................................................................................................. 13 - 1
13.3 Understanding the Temp Display ....................................................................................................................................................... 13 - 1
13.4 Setting the Temperature Unit ............................................................................................................................................................... 13 - 1

14 Monitoring IBP (for uMEC12 Vet) .................................................................................................................................14 - 1

14.1 Introduction ................................................................................................................................................................................................. 14 - 1

14.2 Safety ............................................................................................................................................................................................................. 14 - 1
14.3 Zeroing the Transducer ........................................................................................................................................................................... 14 - 1
14.4 Setting Up the Pressure Measurement .............................................................................................................................................. 14 - 2
14.5 Understanding the IBP Display ............................................................................................................................................................. 14 - 3
14.6 Changing IBP Settings ............................................................................................................................................................................. 14 - 3
14.6.1 Changing a Pressure for Monitoring .................................................................................................................................... 14 - 3
14.6.2 Setting the Pressure Label Order ........................................................................................................................................... 14 - 3
14.6.3 Setting Alarm Properties ........................................................................................................................................................... 14 - 4
14.6.4 Changing Averaging Time ....................................................................................................................................................... 14 - 4
14.6.5 Setting Up the IBP Wave ........................................................................................................................................................... 14 - 4
14.6.6 Setting the Pressure Unit .......................................................................................................................................................... 14 - 4
14.7 Troubleshooting ........................................................................................................................................................................................ 14 - 4

15 Monitoring Cardiac Output (for uMEC12 Vet) .............................................................................................................15 - 1

15.1 Introduction ................................................................................................................................................................................................. 15 - 1

15.2 Understanding the C.O. Display ........................................................................................................................................................... 15 - 1
15.3 Influencing Factors ................................................................................................................................................................................... 15 - 1
15.4 Setting Up the C.O. Measurement ....................................................................................................................................................... 15 - 1
15.5 Measuring the Blood Temperature ..................................................................................................................................................... 15 - 4
15.6 Changing C.O. Settings ............................................................................................................................................................................ 15 - 4
15.6.1 Setting the Temperature Unit ................................................................................................................................................. 15 - 4
15.6.2 Setting Alarm Properties ........................................................................................................................................................... 15 - 4

16 Monitoring Carbon Dioxide (for uMEC12 Vet) ............................................................................................................16 - 1

16.1 Introduction ................................................................................................................................................................................................. 16 - 1

16.2 Safety ............................................................................................................................................................................................................. 16 - 1
16.3 Measurement Limitations ...................................................................................................................................................................... 16 - 1
16.4 Understanding CO2 Display .................................................................................................................................................................. 16 - 2
16.5 Measuring CO2 ........................................................................................................................................................................................... 16 - 2
16.5.1 Making a CO2 Measurement ................................................................................................................................................... 16 - 2
16.5.2 Zeroing the CO2 Module .......................................................................................................................................................... 16 - 3
16.6 Changing CO2 Settings ........................................................................................................................................................................... 16 - 3
16.6.1 Changing CO2 Alarm Settings ................................................................................................................................................ 16 - 3
16.6.2 Changing the CO2 Unit ............................................................................................................................................................. 16 - 3
16.6.3 Setting the CO2 Waveform ...................................................................................................................................................... 16 - 3
16.6.4 Setting the RR Source ................................................................................................................................................................ 16 - 4

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 16.6.5 Entering the Standby Mode ..................................................................................................................................................... 16 - 4
16.6.6 Setting the Auto Standby ......................................................................................................................................................... 16 - 4
16.6.7 Setting the Gas Compensations ............................................................................................................................................. 16 - 4
16.6.8 Setting Humidity Compensation ........................................................................................................................................... 16 - 4
16.7 Setting Barometric Pressure Compensation .................................................................................................................................... 16 - 5
16.8 Calibrating the CO2 Module .................................................................................................................................................................. 16 - 5

17 Freezing Waveforms ......................................................................................................................................................17 - 1

17.1 Freezing Waveforms ................................................................................................................................................................................. 17 - 1

17.2 Viewing Frozen Waveforms ................................................................................................................................................................... 17 - 1
17.3 Unfreezing Waveforms ............................................................................................................................................................................ 17 - 1
17.4 Recording Frozen Waveforms ............................................................................................................................................................... 17 - 1

18 Review ............................................................................................................................................................................18 - 1

18.1 Accessing Respective Review Windows ............................................................................................................................................ 18 - 1

18.2 Reviewing Graphic Trends ...................................................................................................................................................................... 18 - 1
18.3 Reviewing Tabular Trends ...................................................................................................................................................................... 18 - 2
18.4 Reviewing Events ....................................................................................................................................................................................... 18 - 2
18.5 Reviewing Waveforms .............................................................................................................................................................................. 18 - 3

19 Calculations ...................................................................................................................................................................19 - 1

19.1 Introduction ................................................................................................................................................................................................. 19 - 1

19.2 Dose Calculations ...................................................................................................................................................................................... 19 - 1
19.2.1 Performing Calculations ............................................................................................................................................................ 19 - 1
19.2.2 Selecting the Proper Drug Unit .............................................................................................................................................. 19 - 1
19.2.3 Titration Table ............................................................................................................................................................................... 19 - 2
19.2.4 Drug Calculation Formulas ....................................................................................................................................................... 19 - 2
19.3 Hemodynamic Calculations ................................................................................................................................................................... 19 - 2
19.3.1 Performing Calculations ............................................................................................................................................................ 19 - 2
19.3.2 Entered Parameters ..................................................................................................................................................................... 19 - 3
19.3.3 Calculated Parameters and Formulas ................................................................................................................................... 19 - 3
19.4 Understanding the Review Window ................................................................................................................................................... 19 - 4

20 Recording .......................................................................................................................................................................20 - 1

20.1 Using a Recorder ........................................................................................................................................................................................ 20 - 1

20.2 Overview of Recording Types ................................................................................................................................................................ 20 - 1
20.3 Starting and Stopping Recordings ...................................................................................................................................................... 20 - 2
20.4 Setting Up the Recorder .......................................................................................................................................................................... 20 - 2
20.4.1 Accessing the Record Setup Menu ........................................................................................................................................ 20 - 2
20.4.2 Selecting Waveforms for Recording ..................................................................................................................................... 20 - 2
20.4.3 Setting the Realtime Recording Length .............................................................................................................................. 20 - 2
20.4.4 Setting the Interval between Timed Recordings ............................................................................................................. 20 - 2
20.4.5 Changing the Recording Speed ............................................................................................................................................. 20 - 2
20.4.6 Clearing Recording Tasks .......................................................................................................................................................... 20 - 3
20.5 Loading Paper ............................................................................................................................................................................................. 20 - 3
20.6 Removing Paper Jam ................................................................................................................................................................................ 20 - 3
20.7 Cleaning the Recorder Printhead ......................................................................................................................................................... 20 - 3

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21 Printing ..........................................................................................................................................................................21 - 1

21.1 Printer ............................................................................................................................................................................................................ 21 - 1

21.2 Connecting a printer ................................................................................................................................................................................ 21 - 1
21.3 Setting Up the Printer ............................................................................................................................................................................. 21 - 1
21.4 Starting Report Printouts ........................................................................................................................................................................ 21 - 2
21.5 Stopping Reports Printouts ................................................................................................................................................................... 21 - 2
21.6 Setting Up Reports .................................................................................................................................................................................... 21 - 2
21.6.1 Setting Up ECG Reports ............................................................................................................................................................ 21 - 2
21.6.2 Setting Up Tabular Trends Reports ....................................................................................................................................... 21 - 2
21.6.3 Setting Up Graphic Trends Reports ...................................................................................................................................... 21 - 3
21.6.4 Setting Up Realtime Reports ................................................................................................................................................... 21 - 3
21.7 Printer Statuses .......................................................................................................................................................................................... 21 - 3
21.7.1 Printer Out of Paper .................................................................................................................................................................... 21 - 3
21.7.2 Printer Status Messages ............................................................................................................................................................ 21 - 3

22 Other Functions .............................................................................................................................................................22 - 1

22.1 Analog Output ............................................................................................................................................................................................ 22 - 1

22.2 Exporting the Log ...................................................................................................................................................................................... 22 - 1
22.3 Transferring Data ....................................................................................................................................................................................... 22 - 1
22.3.1 Data Export System .................................................................................................................................................................... 22 - 1
22.3.2 Transferring Data by Different Means .................................................................................................................................. 22 - 1
22.4 Nurse Call ...................................................................................................................................................................................................... 22 - 2
22.5 Network Connection ................................................................................................................................................................................ 22 - 3
22.5.1 Selecting a Network Type ......................................................................................................................................................... 22 - 3
22.5.2 Setting the Wired Network ...................................................................................................................................................... 22 - 3
22.5.3 Setting the Wireless Network .................................................................................................................................................. 22 - 3
22.5.4 Testing the Wireless Network ................................................................................................................................................. 22 - 3
22.5.5 Setting the Multicast Parameters .......................................................................................................................................... 22 - 4
22.5.6 Connecting the monitor to the CMS .................................................................................................................................... 22 - 4

23 Batteries .........................................................................................................................................................................23 - 1

23.1 Overview ...................................................................................................................................................................................................... 23 - 1

23.2 Battery Guidelines ..................................................................................................................................................................................... 23 - 1
23.3 Battery Maintenance ................................................................................................................................................................................ 23 - 2
23.4 Battery Recycling ....................................................................................................................................................................................... 23 - 2

24 Care and Cleaning .........................................................................................................................................................24 - 1

24.1 General Points ............................................................................................................................................................................................. 24 - 1

24.2 Cleaning ........................................................................................................................................................................................................ 24 - 1
24.3 Disinfection .................................................................................................................................................................................................. 24 - 2
24.4 Sterilization .................................................................................................................................................................................................. 24 - 2

25 Maintenance ..................................................................................................................................................................25 - 1

25.1 Regular Inspection .................................................................................................................................................................................... 25 - 1

25.2 Maintenance and Testing Schedule ................................................................................................................................................... 25 - 1
25.3 Checking Monitor and Module Information .................................................................................................................................... 25 - 3
25.4 .Calibrating the Touchscreen ................................................................................................................................................................ 25 - 3

8
 25.5 Electrical Safety Tests ................................................................................................................................................................................ 25 - 3

26 Accessories .....................................................................................................................................................................26 - 1

26.1 ECG Accessories .......................................................................................................................................................................................... 26 - 1

26.2 SpO2 Accessories ....................................................................................................................................................................................... 26 - 2
26.3 NIBP Accessories ........................................................................................................................................................................................ 26 - 3
26.4 Temp Accessories ...................................................................................................................................................................................... 26 - 4
26.5 IBP Accessories (for uMEC12 Vet) ......................................................................................................................................................... 26 - 4
26.6 C.O. Accessories (for uMEC12 Vet) ............................................................ 26 - 5
26.7 CO2 Accessories (for uMEC12 Vet) ...................................................................................................................................................... 26 - 5
26.8 Others ............................................................................................................................................................................................................. 26 - 6

A Product Specifications ......................................................................................................................................................A - 1

A.1 Monitor Safety Specifications .................................................................................................................................................................... A - 1

A.1.1 Classifications .................................................................................................................................................................................... A - 1
A.1.2 Environmental Specifications ...................................................................................................................................................... A - 1
A.2 Power Supply Specifications ...................................................................................................................................................................... A - 2
A.3 Physical Specifications ................................................................................................................................................................................. A - 2
A.4 Hardware Specifications .............................................................................................................................................................................. A - 3
A.4.1 Display ................................................................................................................................................................................................. A - 3
A.4.2 Recorder .............................................................................................................................................................................................. A - 3
A.4.3 LEDs ...................................................................................................................................................................................................... A - 3
A.4.4 Audio Indicator ................................................................................................................................................................................. A - 3
A.4.5 Monitor Interface Specifications ................................................................................................................................................ A - 3
A.4.6 Outputs ................................................................................................................................................................................................ A - 4
A.5 Data Storage .................................................................................................................................................................................................... A - 4
A.6 Wireless Network ........................................................................................................................................................................................... A - 5
A.7 Measurement Specifications ..................................................................................................................................................................... A - 5
A.7.1 ECG ........................................................................................................................................................................................................ A - 5
A.7.2 Resp ...................................................................................................................................................................................................... A - 7
A.7.3 SpO2 ..................................................................................................................................................................................................... A - 8
A.7.4 PR ........................................................................................................................................................................................................... A - 8
A.7.5 NIBP ....................................................................................................................................................................................................... A - 9
A.7.6 Temp ...................................................................................................................................................................................................A - 10
A.7.7 IBP (for uMEC12 Vet) .....................................................................................................................................................................A - 10
A.7.8 C.O. (for uMEC12 Vet) ...................................................................................................................................................................A - 11
A.7.9 CO2 (for uMEC12 Vet) ...................................................................................................................................................................A - 11

B EMC and Radio Regulatory Compliance ..........................................................................................................................B - 1

B.1 EMC ...................................................................................................................................................................................................................... B - 1

B.2 Radio Regulatory Compliance ................................................................................................................................................................... B - 4

C Default Configurations .....................................................................................................................................................C - 1

C.1 Parameters Configuration ........................................................................................................................................................................... C - 1

C.1.1 ECG ........................................................................................................................................................................................................ C - 1
C.1.2 RESP ...................................................................................................................................................................................................... C - 3
C.1.3 PR ........................................................................................................................................................................................................... C - 4
C.1.4 SpO2 ..................................................................................................................................................................................................... C - 4

1-9
 C.1.5 Temp .....................................................................................................................................................................................................C - 4
C.1.6 NIBP .......................................................................................................................................................................................................C - 5
C.1.7 IBP (for uMEC12 Vet) ........................................................................................................................................................................C - 6
C.1.8 C.O. (for uMEC12 Vet) ......................................................................................................................................................................C - 8
C.1.9 CO2 (for uMEC12 Vet) .....................................................................................................................................................................C - 9
C.2 Routine Configuration ............................................................................................................................................................................... C - 10
C.2.1 Alarm .................................................................................................................................................................................................. C - 10
C.2.2 Screens .............................................................................................................................................................................................. C - 10
C.2.3 Parameter/Wave Color ................................................................................................................................................................ C - 11
C.2.4 Review ............................................................................................................................................................................................... C - 11
C.2.5 Record ................................................................................................................................................................................................ C - 11
C.2.6 Print .................................................................................................................................................................................................... C - 12
C.2.7 Others ................................................................................................................................................................................................ C - 12
C.3 User Maintenance Items ............................................................................................................................................................................ C - 13

D Alarm Messages ............................................................................................................................................................... D - 1

D.1 Physiological Alarm Messages .................................................................................................................................................................. D - 2

D.2 Technical Alarm Messages ......................................................................................................................................................................... D - 3

E Electrical Safety Inspection .............................................................................................................................................. E - 1

E.1 Power Cord Plug .............................................................................................................................................................................................E - 1

E.2 Device Enclosure and Accessories ............................................................................................................................................................ E - 1
E.2.1 Visual Inspection .............................................................................................................................................................................. E - 1
E.2.2 Contextual Inspection ..................................................................................................................................................................... E - 2
E.3 Device Labelling ..............................................................................................................................................................................................E - 2
E.4 Protective Earth Resistance ........................................................................................................................................................................ E - 2
E.5 Earth Leakage Test ..........................................................................................................................................................................................E - 2
E.6 Patient Leakage Current ............................................................................................................................................................................... E - 2
E.7 Mains on Applied Part Leakage ................................................................................................................................................................. E - 3
E.8 Patient Auxiliary Current ............................................................................................................................................................................. E - 3

F Symbols and Abbreviations .............................................................................................................................................. F - 1

F.1 Symbols ..............................................................................................................................................................................................................F - 1

F.2 Abbreviations ...................................................................................................................................................................................................F - 2

G Declaration of Conformity ............................................................................................................................................... G - 1

1 - 10
1 Safety

1.1 Safety Information

WARNING
• Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious
injury.

CAUTION
• Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal
injury or product/property damage.

NOTE
• Provides application tips or other useful information to ensure that you get the most from your
product.

1.1.1 Warnings

WARNING
• This equipment is used to one patient at a time.
• Before putting the system into operation, the operator must verify that the equipment, connecting
cables and accessories are in correct working order and operating condition.
• To avoid risk of electric shock, this equipment must only be connected to a supply mains with
protective earth.If the installation does not provide for a protective earth conductor, disconnect it
from the power line and operate it on battery power, if possible.
• To avoid explosion hazard, do not use the equipment in the presence of oxygen-rich atmospheres,
flammable anesthetics, or other flammable agents (such as gasoline).Use and store the equipment
in specified environmental condition. The monitor and accessesories may not meet the performance
specification due to aging, stored or used outside the specified temperature and humidity range.
• Do not open the equipment housings. All servicing and future upgrades must be carried out by the
personnel trained and authorized by our company only.
• Do not come into contact with patients during defibrillation. Otherwise serious injury or death could
result.
• Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm
volume to a low level or off may result in a hazard to the patient. Remember that alarm settings
should be customized according to different patient situations and always keeping the patient
under close surveillance is the most reliable way for safe patient monitoring.
• The physiological data and alarm messages displayed on the equipment are for reference only and
cannot be directly used for diagnostic interpretation.
• To avoid inadvertent disconnection, route all cables in a way to prevent a stumbling hazard. Wrap
and secure excess cabling to reduce risk of entanglement or strangulation by patients or personnel.
• When disposing of the package material, be sure to observe the applicable waste control
regulations and keep it out of children’s reach.
• Ensure that the monitor is supplied with continuous electric power during work. Sudden power
failure might lead to the loss of patient data.

1-1
 • Do not touch the equipment’s metal parts or connectors when in contact with the patient; otherwise
patient injury may result.
• Never mix patient electrode types or brands. Dissimilar metals or other incompatibilities may cause
considerable baseline drift and may increase trace recovery time after defibrillation.

1.1.2 Cautions
CAUTION
• To ensure patient safety, use only parts and accessories specified in this manual.
• At the end of its service life, the equipment, as well as its accessories, must be disposed of in
compliance with the guidelines regulating the disposal of such products. If you have any questions
concerning disposal of the equipment, please contact us.
• Magnetic and electrical fields are capable of interfering with the proper performance of the
equipment. For this reason make sure that all external devices operated in the vicinity of the
equipment comply with the relevant EMC requirements. Mobile phone, X-ray equipment or MRI
devices are a possible source of interference as they may emit higher levels of electromagnetic
radiation.
• Before connecting the equipment to the power line, check that the voltage and frequency ratings of
the power line are the same as those indicated on the equipment’s label or in this manual.
• Always install or carry the equipment properly to avoid damage caused by drop, impact, strong
vibration or other mechanical force.
• Dry the equipment immediately in case of rain or water spray.

1.1.3 Notes
NOTE
• Put the equipment in a location where you can easily view and operate the equipment.
• The equipment use a mains plug as isolation means to the mains power supply. Do not locate the
equipment in a place difficult to operate the mains plug.
• In normal use, the operator shall stand in front of the equipment.
• Keep this manual in the vicinity of the equipment so that it can be obtained conveniently when
needed.
• The software was developed in compliance with IEC60601-1. The possibility of hazards arising from
software errors is minimized.
• This manual describes all features and options. Your equipment may not have all of them.

1-2
1.2 Equipment Symbols
NOTE
• Some symbols may not appear on your equipment.

Symbol Description Symbol Description

General warning sign Refer to instruction manual/booklet

Power ON/OFF (for a part of the equipment) Battery indicator

Alternating current ALARM PAUSED

Alarm reset Graphical record

Freeze/unfreeze waveforms Menu

NIBP start/stop Output

Equipotentiality VGA output

USB connector Computer network

Gas outlet Serial number

Calibration Protected against vertically falling water

drops per IEC 60529

Manufacturer Date of manufacture

Humidity limitations Atmospheric pressure limitations

Temperature limitations Non-ionizing electromagnetic radiation

1-3
 Symbol Description Symbol Description

DEFIBRILLATION-PROOF TYPE CF APPLIED DEFIBRILLATION-PROOF TYPE BF APPLIED

PART PART

Authorised representative in the European Dispose of in accordance to your country’s

Community requirements

This mark means that this device is in confor- defibrilation synchronization

mance with the provisions of the EU.

1-4
2 The Basics

2.1 Monitor Description

2.1.1 Intended Use

The uMEC12 Vet monitor is intended to be used for monitoring, displaying, reviewing, storing and transferring of
multiple physiological parameters including ECG, heart rate (HR), respiration (Resp), temperature (Temp), pulse
oxygen saturation (SpO2), pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP),
cardiac output (C.O.) and carbon dioxide (CO2).
The uMEC10 Vet monitor is intended to be used for monitoring, displaying, reviewing, storing and transferring of
multiple physiological parameters including ECG, heart rate (HR), respiration (Resp), temperature (Temp), pulse
oxygen saturation (SpO2), pulse rate (PR), non-invasive blood pressure (NIBP).
The monitors are to be used in animal hospitals by clinical professionals or qualified veterinarians or under their
direction.

WARNING
• This monitor is intended for use only by clinical professionals or qualified veterinarians or under
their guidance. It must only be used by persons who have received adequate training in its use.
Anyone unauthorized or untrained must not perform any operation on it.

2.1.2 Product Difference

Model Screen Size Function Difference

uMEC10 Vet 10 inches Supporting one temperature site

uMEC12 Vet 12 inches • Supporting two temperature sites

• Supporting optional IBP, C.O., CO2
modules

2.1.3 System Components

The uMEC10 Vet/uMEC12 Vet consists of the main unit, battery and accessories.

2-1
2.2 Front View

(2)

(3)
(4)
(1)
(5)
(6)
(7)
(8)
(9)
(10)
(11)

(1) Display Screen

(2) Alarm lamp

When a physiological alarm or technical alarm occurs, this lamp will flash as defined below.

◆ High level alarms: the lamp quickly flashes red.

◆ Medium level alarms: the lamp slowly flashes yellow.
◆ Low level physiological alarms: the lamp lights yellow without flashing.
◆ Low level technical alarms: the lamp does not light.

(3) Press to reset alarms.

(4) Press to pause or restore alarms.

(5) Press to start or stop NIBP measurements.

(6) Press to freeze or unfreeze waveforms.

(7) If no menu is displayed on the screen, pressing it will enter the main menu. If there is a menu
displayed on the screen, pressing it will close that menu.

(8) Battery LED

◆ On: when the battery is installed and the AC source is connected.

◆ Off: when no battery is installed or the installed battery is malfunction, or no AC
source is connected when the monitor is power off.
◆ Flash: when the monitor operates on battery power.

(9) AC power LED

It turns on when AC power is connected.

(10) Power On/Off LED

It turns on when the monitor is on and turns off when the monitor is off.

(11) Knob
Rotate the Knob clockwise or anti-clockwise. With each click, the highlight jumps to the
neighboring item. When you reach your desired item, press the Knob to select it.

2-2
2.3 Side View

2.3.1 uMEC10 Vet

(1)

(2)

(3)

(4)

(5)

(6)

(1) Recorder

(2) Power On/Off switch

◆ Pressing this switch turns the monitor on.

◆ When the monitor is on, pressing and holding this switch turns the monitor off.

(3) Connector for Temp probe (4) Connector for SpO2 cable

(5) Connector for ECG cable (6) Connector for NIBP cuff

2-3
2.3.2 uMEC12 Vet

(1)

(2)

(6)

(3)

(4) (7)

(5)

(8)

(9)

(10)

(1) Recorder (2) Slot for CO2 watertrap

(3) Connector for C.O. cable (4) CO2 gas outlet

(5) Connector for IBP cable

(6) Power On/Off switch

◆ Pressing this switch turns the monitor on.

◆ When the monitor is on, pressing and holding this switch turns the monitor off.

(7) Connector for Temp probe (8) Connector for SpO2 cable

(9) Connector for ECG cable (10) Connector for NIBP cuff

2-4
2.4 Rear View

(1)

(2)

(3)

(4)

(5) (6) (7)

(1) VGA Connector

It connects a secondary display, which extends the display capability of your monitor. The
contents displayed on the secondary display screen accords with those displayed on the monitor
screen.

(2) Multifunctional Connector

It outputs defibrillator synchronization signals, nurse call signals and analogy output signals.

(3) USB Connector

It connects the USB devices, such as a barcode scanner.

(4) Network Connector

It is a standard RJ45 connector which connects the monitor to CMS or other monitor for remote
view. It also connects the monitor to PC for system upgrade.

(5) Equipotential Grounding Terminal

When the monitor and other devices are to be used together, their equipotential grounding
terminals should be connected together, eliminating the potential difference between them.

(6) AC Power Input

(7) Power mousing- hook

2.5 Display Screen

This monitor adopts a high-resolution TFT LCD to display patient parameters and waveforms. A typical display
screen is shown below.

2-5
 (1) (2) (3) (4)

(6)
(5)

(7)

(8)

(9)

(1) Patient Information Area

This area shows the patient information such as patient weight range,patient name and patient
category, indicates that no patient is admitted or the patient information is incomplete. If no
patient is admitted, selecting this area will enter the [Patient Setup] menu. If a patient has been
admitted, selecting this area will enter the [Patient Demographics] menu.

(2) Alarm Symbols

◆ indicates alarms are paused.

◆ indicates alarm are reset.
◆ indicates alarm sounds are turned off.
◆ indicates the system is in alarm off status.

(3) Technical Alarm Area

This area shows technical alarm messages and prompt messages. When multiple messages come,
they will be displayed circularly. Select this area and the technical alarm list will be displayed.

(4) Physiological Alarm Area

This area shows physiological alarm messages. When multiple alarms occur, they will be displayed
circularly. Select this area and the physiological alarm list will be displayed.

(5) Waveform Area

This area shows measurement waveforms. The waveform name is displayed at the left upper
corner of the waveform. Select this area and the corresponding measurement setup menu will be
displayed.

(6) Parameter Area A

This area shows measurement parameters. Each monitored parameter has a parameter window
and the parameter name is displayed at the upper left corner. The corresponding waveform of
each parameter is displayed in the same row in the waveform area. Select this area and the
corresponding measurement setup menu will be displayed.

2-6
 (7) Parameter Area B
For the parameters displayed in this area, their corresponding waveforms are not displayed.

(8) Prompt Message Area

This area shows the current configuration name, prompt messages, network status icons, battery
status icons, etc. For details about battery status symbols, refer to the 23 Batteries.

◆ indicates monitor is connected to a wired network successfully.

◆ indicates the monitor has failed to connect a wired network
◆ indicates the wireless function is working.
◆ indicates the wireless function is not working.
◆ indicates a USB disk is inserted.

(9) QuickKeys Area

This area contains QuickKeys that give you fast access to functions.

2.6 QuickKeys
A QuickKey is a configurable graphical key, located at the bottom of the main screen. They give you fast access to
functions. Their availability and the order in which they appear on your screen, depend on how your monitor is
configured.
The following QuickKeys can be displayed on the screen:

Symbol Label Function Symbol Label Function

/ Scrolls left to display more Volume Setup Enters the [Volume

QuickKeys. Setup] menu.

/ Scrolls right to display Load Config. Enters the [Load

more QuickKeys. Configuration] menu.

Main Menu Enters the main menu. Start C.O. Starts cardiac output
procedure.

Standby Enters the Standby mode. Calculations Performs calculations.

Alarm Setup Enters the [Alarm Setup] Others Has a split-screen view of
menu. another patient’s
conditions.

Review Enters the [Review] oxyCRG Has a split-screen view of

window. OxyCRG trends.

NIBP Measure Enters the [NIBP Measure] 7-lead ECG Enters the full-screen 7-
menu. lead ECG screen.

Stop All Stops all NIBP Parameters Enters the [Parameters]

measurements. menu.

2-7
 Symbol Label Function Symbol Label Function

Zero IBP Starts IBP zero calibration. NIBP STAT Starts NIBP STAT
measurement.

Alarm Reset Resets the alarm system. Print Setup Enters the [Print Setup]
menu.

Alarm Pause Pauses or restores alarms. Unit Setup Enters the [Unit Setup]
menu.

Screens Changes screen. Privacy Mode Enters the privacy mode.

Patient Setup Enters the [Patient Setup] Night Mode Enters the night mode.
menu.

Minitrends Has a split-screen view of minitrends

You can also select your desired QuickKeys to display on the screen.
1. Select [Main Menu] → [Maintenance >>] → [Manage Configuration >>] → enter the required password
→ [Ok].
2. Select [Edit Config.>>] → [Edit] → [Screen Setup >>].
3. In the [Select QuickKeys] screen, select your desired QuickKeys and arrange them.

2-8
3 Basic Operations

3.1 Installation

WARNING
• The equipment shall be installed by personnel authorized by us.
• The software copyright of the equipment is solely owned by us. No organization or individual shall
resort to juggling, copying, or exchanging it or to any other infringement on it in any form or by any
means without due permission.
• Devices connected to the equipment must meet the requirements of the applicable IEC standards
(e.g. IEC 60950 safety standards for information technology equipment and IEC 60601-1 safety
standards for medical electrical equipment). The system configuration must meet the requirements
of the IEC 60601-1 medical electrical systems standard. Any personnel who connect devices to the
equipment’s signal input/output port is responsible for providing evidence that the safety
certification of the devices has been performed in accordance to the IEC 60601-1. If you have any
question, please contact us.
• If it is not evident from the equipment specifications whether a particular combination with other
devices is hazardous, for example, due to summation of leakage currents, please consult the
manufacturers or else an expert in the field, to ensure the necessary safety of patients and all
devices concerned will not be impaired by the proposed combination.

3.1.1 Unpacking and Checking

Before unpacking, examine the packing case carefully for signs of damage. If any damage is detected, contact
the carrier or us.
If the packing case is intact, open the package and remove the equipment and accessories carefully. Check all
materials against the packing list and check for any mechanical damage. Contact us in case of any problem.

NOTE
• Save the packing case and packaging material as they can be used if the equipment must be
reshipped.

WARNING
• When disposing of the packaging material, be sure to observe the applicable waste control
regulations and keep it out of children’s reach.
• The equipment might be contaminated during storage and transport. Before use, please verify
whether the packages are intact, especially the packages of single use accessories. In case of any
damage, do not apply it to patients.

3.1.2 Environmental Requirements

The operating environment of the equipment must meet the requirements specified in this manual.
The environment where the equipment is used shall be reasonably free from noises, vibration, dust, corrosive,
flammable and explosive substances. If the equipment is installed in a cabinet, sufficient space in front and
behind shall be left for convenient operation, maintenance and repair. Moreover, to maintain good ventilation,
the equipment shall be at least 2 inches (5cm) away from around the cabinet.
When the equipment is moved from one place to another, condensation may occur as a result of temperature or
humidity difference. In this case, never start the system before the condensation disappears.

3-1
 WARNING
• Make sure that the operating environment of the equipment meets the specific requirements.
Otherwise unexpected consequences, e.g. damage to the equipment, could result.
• The equipment use a mains plug as isolation means to the mains power supply. Do not locate the
equipment in a place difficult to operate the mains plug.

3.2 Getting Started

3.2.1 Turning Power On

Once the monitor is installed, you can get ready for monitoring:
1. Before you start to make measurements, check the monitor for any mechanical damage and make sure that
all external cables, plug-ins and accessories are properly connected.
2. Plug the power cord into the AC power source. If you run the monitor on battery power, ensure that the
battery is sufficiently charged.
3. Press the power on/off switch on the monitor’s front. The start-up screens are displayed, and the alarm
lamp is lit in yellow. Then, the alarm lamp turns into red, and turns off after the system gives a beep.

WARNING
• Check that visual and auditory alarm signals are presented correctly when the equipment is
powered on. Do not use the monitor for any monitoring procedure on a patient if you suspect it is
not working properly, or if it is mechanically damaged. Contact your service personnel or us.

3.2.2 Starting Monitoring

1. Decide which measurements you want to make.
2. Connect the required patient cables and sensors.
3. Check that the patient cables and sensors are correctly connected.
4. Check that the patient settings such as [Patient Cat.], [Paced], etc, are appropriate for your patient.
5. Refer to the appropriate measurement section for details of how to perform the measurements you
require.

3.3 Disconnecting from Power

To disconnect the monitor from the AC power source, follow this procedure:
1. Confirm that the monitoring is finished.
2. Disconnect patient cables and sensors from the patient.
3. Make sure to save or clear the monitoring data as required.
4. Press and hold the power on/off switch. The monitor shuts down and you can unplug the power cable.

CAUTION
• Although not recommended, you can press and hold the power on/off switch for 10 seconds to
forcibly shut down the monitor when it could not be shut down normally or under some special
situations. This may cause loss of data of the monitor.

NOTE
• To completely disconnect the power supply, unplug the power cord.

3-2
3.4 Using Keys
The monitor has three types of keys:
■ Softkey: A softkey is a graphic key on the screen, giving you fast access to certain menus or functions. The
monitor has two types of softkeys:
◆ Parameter keys: Each parameter area or waveform area can be seen as a softkey. You can enter a
parameter setup menu by selecting its corresponding parameter area or waveform area.
◆ QuickKeys: QuickKeys are configurable graphical keys, located at the bottom of the main screen. For
details, refer to the section 2.6 QuickKeys.
■ Hardkeys: A hardkey is a physical key on a monitoring device, such as the main menu hardkey on the
monitor’s front.
■ Pop-Up Keys: Pop-up keys are task-related keys that appear automatically on the monitor screen when
required. For example, the confirm pop-up key appears only when you need to confirm a change.

3.5 Using the Touchscreen

Select screen items by pressing them directly on the monitor’s screen.

3.6 Setting the Screen

You can enter the [Screen Setup] window as shown below by selecting [Main Menu] → [Screen Setup] →
[Screen Layout >>]. In this window, you can allocate the positions of the parameters and waveforms. The
parameters or waveforms whose positions are not allocated will not be displayed.

Area A

Area C Area B

The ECG parameter and the first ECG waveform always display in the first row. The configurable areas can be
classified as Area A, Area B, and Area C.
■ In Area A, you can choose to display the parameters (having waveforms) and their waveforms. Each
parameter and the associated waveform are displayed in the same row.
■ In Area B, you can choose to display the parameters and their waveforms. When there is no parameter
displayed in area C, both the parameters and their waveforms will be displayed in area B. Otherwise, only
the parameters will be displayed.
■ In Area C, you can choose to display all the parameters whose associated waveforms will not be displayed.
The screen can automatically adjust to ensure the best view based on your screen setup.
If no corresponding parameter or waveform is displayed on the monitor screen, you should perform the
following inspections:
■ Check the connection of the lead, cable, or sensor.
■ Enter the [Screen Setup] window for the desired display configuration.

3-3
 ■ Check that the parameter is switched on in [Parameters Switch] window.

WARNING
• The parameters whose positions are not allocated in the [Screen Setup] window will not be
displayed. However, the monitor can still give alarms of these parameters.

3.7 Using the On-screen Keyboard

The onscreen keyboard enables you to enter information.
■ Use the key to delete the previously entered character.

■ Use the key to toggle between uppercase and lowercase letters.

■ Select the key to confirm what you have entered and close the onscreen keyboard.

■ Select the to access the symbol keyboard.

■ Select the to exit the symbol keyboard.

3.8 Using the Main Menu

To enter the main menu, select [Main Menu] QuickKey or the hardkey on the monitor’s front. Most of
monitor operations and settings can be performed through the main menu.

(1) (4)

(2)

(3)

Other menus are similar to the main menu and contain the following parts:
(1) Heading: gives a sum-up for the current menu.
(2) Main body: displays options, buttons, prompt messages, etc. The menu button with “>>’’ enlarges a
secondary window to reveal more options or information.
(3) Help information: displays help information for the highlighted menu item.
(4) : select to exit the current menu.

3-4
3.9 Changing General Settings
This chapter covers only general settings such as language, brightness, date and time, etc. Measurement
settings and other settings can be referred to in respective sections.

3.9.1 Setting up a Monitor

In situations where you install a monitor or change the monitor’s application site, you need to setup the monitor
as follows:
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. In the [User Maintenance] menu, select, in turn, [Monitor Name], [Department] and [Bed No.], and then
change their settings.

3.9.2 Changing Language

1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. In the [User Maintenance] menu, select [Language] and then select the desired language.
3. Restart the monitor.

3.9.3 Adjusting the Screen Brightness

1. Select the [Main Menu] → [Screen Setup >>] → [Brightness].
2. Select the appropriate setting for the screen brightness. 10 is the brightest, and 1 is the least bright.
If the monitor operates on battery power, you can set a less bright screen to prolong the operating time of the
battery. When the monitor enters standby mode, the screen will change to the least brightness automatically.

3.9.4 Showing/Hiding the Help

The monitor provides online help information. The user can display or hide the help as required.
1. Select [Main Menu] → [Screen Setup >>].
2. Select [Help] and toggle between [On] and [Off].

3.9.5 Setting the Date and Time

1. Select [Main Menu] → [Maintenance >>] → [System Time >>].
2. Set the date and time.
3. Select [Date Format] and toggle between [yyyy-mm-dd], [mm-dd-yyyy] and [dd-mm-yyyy].
4. Select [Time Format] and toggle between [24h] and [12h].
If your monitor is connected to a central monitoring system (CMS), the date and time are automatically taken
from that CMS. In that case, you cannot change the date and time settings on your monitor.

CAUTION
• Changing date and time will affect the storage of trends and events and may cause data missing.

3.9.6 Adjusting Volume

Alarm Volume

1. Select the [Alarm Setup] QuickKey → [Others], or [Main Menu] → [Alarm Setup >>] → [Others].
2. Select [Alm Volume] and then select the appropriate volume: X-10, in which X is the minimum volume,
depending on the set minimum alarm volume (refer to 7 Alarms), and 10 the maximum volume.

3-5
 Key Volume

When you press the navigation knob or the touchscreen, or the hardkeys on the panel, the monitor prompts you
by making a sound of the key volume you have set.
1. Select the [Volume Setup] QuickKey, or [Main Menu] → [Screen Setup >>].
2. Select [Key Volume] and then select the appropriate volume. 0 means off, and 10 the maximum volume.

QRS Volume

The QRS tone is derived from either the HR or PR, depending on which is currently selected as the alarm source
in [ECG Setup] or [SpO2 Setup]. When monitoring SpO2, there is a variable pitch tone which changes as the
patient’s saturation level changes. The pitch of the tone rises as the saturation level increases and falls as the
saturation level decreases. The volume of this tone is user adjustable.
1. Select the [Volume Setup] QuickKey, or the ECG parameter window → [Others >>], or the SpO2 parameter
window.
2. Select [QRS Volume] or [Beat Vol] and then select the appropriate volume. 0 means off, and 10 the
maximum volume.

3.10 Setting Parameters

3.10.1 Switching the Parameters On/Off

To switch the parameters on or off,
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password →
[Others].
2. Configure the [Para Switch Authority] to [Unprotected] or [Protected].
◆ If [Para Switch Authority] is configured to [Unprotected], select [Main Menu] → [Screen Setup>>]
→ [Screen Layout >>] → [Parameters Switch] to switch the parameters on or off.
◆ If [Para Switch Authority] is configured to [Protected], the parameter switch is password protected.
To switch the parameters on or off, select [Main Menu] → [Maintenance >>] → [User Maintenance
>>] → enter the required password → [Others >>] → [Parameters Switch Setup >>].
When a parameter is switched off, its corresponding parameter module stops working, and its parameter value
and waveform are not shown on the monitor display.

NOTE
• ECG is always selected, and you cannot switch it off.

3.10.2 Accessing the Parameters Menu

Select [Parameters >>] from the main menu or select corresponding parameter area or waveform area to access
a parameter setup menu.

3.11 Operating Modes

Your monitor has different operating modes. Some are password protected. This section lists the major
operating modes.

3.11.1 Monitoring Mode

This is the normal, everyday working mode that you use for monitoring patients. Your monitor automatically
enters the monitoring mode after being turned on.

3.11.2 Night Mode

To avoid disturbing the patient, night mode may be used.
To activate the night mode:

3-6
 1. Select [Main Menu] → [Screen Setup >>] → [Night Mode >>].
2. In the pop-up menu, set the desired brightness, alarm volume, QRS volume, key volume, NIBP end tone, or
whether to stop NIBP measurement or not. When [Stop NIBP] is selected, all the NIBP measurements
terminate after entering the night mode.
3. Select the [Enter Night Mode] button.
To cancel the night mode:
1. Select [Main Menu] → [Screen Setup >>] → [Night Mode >>].
2. Select [Ok] in the popup.

WARNING
• Before entering night mode, confirm the settings of brightness, alarm volume, QRS volume, and key
volume. Pay attention to the potential risk when the setting value is a bit low.

3.11.3 Privacy Mode

Privacy mode is only available when a patient who is admitted at a monitor is also monitored by the central
station.
To activate the privacy mode, select [Main Menu] → [Screen Setup >>] → [Privacy Mode].
The monitor behaves as follows as soon as the privacy mode is activated:
■ The screen turns blank and [Under monitoring. Press any key to exit the privacy mode.] is displayed.
■ Monitoring and data storing continue but patient data is only visible at the central station.
■ Alarms can still be triggered. But all audible alarms are suppressed and the alarm light is deactivated at the
monitor.
■ All system sounds are suppressed, including heart beat tone, pulse tone, all prompt tones, etc.
To cancel the privacy mode, press any key.
The monitor exits the privacy mode automatically in one of the following situations:
■ The monitor disconnects from central station.
■ The alarm [Battery Too Low] or [System will shut down soon. Please replace the batteries or use the
external power.] is presented.
The touchscreen is locked automatically in the privacy mode.

WARNING
• During privacy mode, all audible alarms are suppressed and the alarm light is deactivated at the
monitor. Alarms sound only at the central station.

3.11.4 Standby Mode

In standby mode, you can temperately stops monitoring without turning off the monitor. To enter the standby
mode, select the Standby QuickKey .

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3-8
4 Managing Patients

4.1 Discharging a Patient

Before monitoring a new patient, discharge the previous patient. After the patient is discharged, all patient data,
including patient information, trend data, and physiological alarm information is deleted from the monitor. The
technical alarms are reset, and monitor settings return to their defaults. For details, refer to 5.3 Setting Default
Configuration.
After a patient is discharged, the monitor automatically admits a new patient.

WARNING
• Always discharge the previous patient before starting monitoring a new patient. Failure to do so can
lead to data being attributed to the wrong patient.

NOTE
• Discharging a patient clears the current patient data from the monitor.

4.1.1 Auto Discharging a Patient after Monitor Power Off

You can let the monitor automatically discharge after the monitor has been switched off for a period of time.
To set the time period of discharging a patient:
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password →
[OK].
2. Select a time for [Auto Discharge Pat.]. The monitor will automatically discharge the patient when the
selected time period is reached. The default is Never. That is to say the monitor will not discharge a patient
no matter for how long the monitor has been switched off.

4.1.2 Manually Discharging a Patient

To manually discharge a patient:
1. Select the [Patient Setup] QuickKey, or [Main Menu] → [Patient Setup >>].
2. Select [Discharge Patient]. In the popup menu, you can either:
◆ Directly select [Ok] to discharge the current patient, or
◆ Select [Standby] then [Ok]. The monitor enters the standby mode after discharging the current
patient, or
◆ Select [Cancel] to exit without discharging the patient.

4.2 Admitting a Patient

4.2.1 Auto Admitting a Patient

The monitor automatically admits a new patient in the following situations:
■ After a patient is manually discharged, the monitor automatically admits a new patient.
■ After being switched off for the selected time period, the monitor automatically discharges the previous
patient and admits a new patient at startup.
Always input patient information as soon as the patient is admitted. For details, refer to 4.3 Managing Patient
Information.

4-1
 WARNING
• The settings of patient category and paced status always contain a default value, regardless of
whether the patient is admitted or not. Check if the setting is correct for your patient.
• For paced patients, you must set [Paced] to [Yes]. If it is incorrectly set to [No], the monitor could
mistake a pace pulse for a QRS and fail to alarm when the ECG signal is too weak.
• For non-paced patients, you must set [Paced] to [No].

4.2.2 Manually Admitting a Patient

To manually admit a patient:
1. Select the [Patient Setup] QuickKey, or [Main Menu] → [Patient Setup >>].
2. Select [Admit Patient] or [Quick Admit].
◆ [Admit Patient] to fully admit a patient so that you can clearly identify your patient, on recordings,
reports and networking devices.
◆ [Quick Admit] if you do not have the time or information to fully admit a patient. Complete the rest of
the patient demographic details later. Otherwise, the symbol will always be displayed in the
patient information area.
3. If a patient has been admitted at present, select [OK] to discharge the current patient. If .no patient is
admitted, you can choose either:
◆ [Yes] to apply the data in your monitor to the new patient, or
◆ [No] to clear any previous patient data.

4.3 Managing Patient Information

To edit the patient information after a patient has been admitted, or when the patient information is incomplete,
or when you want to change the patient information:
1. Select the [Patient Setup] QuickKey, or [Main Menu] → [Patient Setup >>].
2. Select [Patient Demographics] and then make the required changes.
3. Select [Ok].

4.4 Transferring Patient Data via USB Drive

You can transfer patient data between monitors with a USB drive without re-entering the patient demographic
information. Transferring of patient data enables you to understand the patient’s history condition. The patient
data that can be transferred includes: patient demographics, trend data, alarm events and parameters alarm
limits.
Select [Others >>] from [User Maintenance] menu. In the popup menu, you can set [Transferred Data
Length]. The default is [4 h]. You can also set [Data Transfer Method]. The default is [Off].

WARNING
• Do not discharge a patient before the patient is successfully transferred.
• After a patient is successfully transferred, check if the patient settings (especially patient category,
paced status and alarm limits settings, etc) on the monitor are appropriate for this patient.

NOTE
• The system automatically switches on the HR alarm and lethal arrhythmia alarm after transferring
the patient data.l
• Tranisferring data via USB drive is only avaiable for the monitor configured with a storage card.

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4.4.1 Transferring Data from the Monitor to a USB Drive
1. Select [Main Menu] → [Patient Setup >>].
2. Select [Transfer to Storage Medium]. In the popup menu, select [Ok].
3. Wait until the following message appears: [Transfer to storage medium successful. Please remove the
USB drive.].
4. Remove the USB drive from monitor.

4.4.2 Viewing Data on the Monitor via USB Drive

You can view patient data on the monitor via USB drive without transferring data.
1. Connect the USB drive to the destination monitor.
2. Select [Main Menu] → [Patient Data >>] → [Historical Data >>].
You can also select [History data in Udisk] to view history data if the monitor is configured with a storage card.

4.4.3 Transferring Data from the USB Drive to Monitor

1. Connect the USB drive to the destination monitor.
2. In the popup menu, you can:
◆ Select [Transfer] to transfer the patient data to the monitor, or
◆ Select [Cancel Transfer] to cancel the operation of transferring patient data.
◆ Select [Unload USB Drive] to not transfer the patient data and to unload the USB drive.
3. After you select [Transfer], in the popup menu you can further select the patient data contents that need
to be transferred. [Patient Demographics] must be selected. After [Ok] is selected, the monitor compares
the patient information stored in both the storage medium and monitor and deals with the patient data
based on the following.
◆ Different Patients: The monitor erases all the current patient data, transfers the patient data from the
storage medium, and loads the configuration according to the patient category.
◆ Same Patient: In the popup dialog box, you can:
◆ Select [Yes] to merge the patient data in the monitor and storage medium.
◆ Select [No] to erase all the current patient data in the monitor and to transfer the patient
data from the storage medium.
4. Wait until the following message appears: [Transfer from storage medium successful.].

WARNING
• The USB drive you use may have write-protect function. In this case, please make sure the USB drive
for data transfer is in read/write mode.
• Do not discharge a patient before the patient is successfully transferred.
• Do not remove the storage medium during data transfer process. Otherwise, data files may be
damaged.
• After a patient is successfully transferred, check if the patient settings (especially patient category,
paced status and alarm limits settings, etc) on the monitor are appropriate for this patient.

NOTE
• The system automatically switches on the HR alarm and lethal arrhythmia alarm after transferring
the patient data.

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4.5 Connecting to a Central Monitoring System
If your monitor is connected to a central monitoring system (CMS):
■ All patient information, measurement data and settings on the monitor can be transferred to the CMS.
■ All patient information, measurement data and settings can be displayed simultaneously on the monitor
and CMS. For some functions such as editing patient information, admitting a patient, discharging a
patient, starting/stopping NIBP measurements, etc., bi-directional control can be achieved between your
monitor and the CMS.
For details, refer to the CMS’s instructions for use.

4-4
5 Managing Configurations

5.1 Introduction
When performing continuous monitoring on a patient, the clinical professional often needs to adjust the
monitor’s settings according to the patient’s condition. The collection of all these settings is called a
configuration. Allowing you to configure the monitor more efficiently, the monitor offers different sets of
configuration to suit different patient categories. You can change some settings from a certain set of
configuration and then save the changed configuration as a user configuration.

WARNING
• The configuration management function is password protected. The configuration management
tasks must be performed by clinical professionals.

The system configuration items can be classified as:

■ Parameter configuration items:These items relates to parameters, e.g., waveform gain, alarm switch, alarm
limits..
■ Conventional configuration items:These items define how the monitor works, e.g., screen layout, record,
print and alarm settings.
■ User maintenance items:These items relates to user maintenance settings, e.g., unit setup, time format and
data format.
For the important configuration items and their default values and user maintenance items, see appendix
Configuration Default Information.

5.2 Entering the [Manage Configuration] Menu

1. Press the hardkey on the monitor’s front to enter the main menu.
2. Select [Maintenance >>] → [Manage Configuration >>]. Enter the required password and then select
[Ok].

5.3 Setting Default Configuration

The monitor will load the pre-set default configuration in the following cases.
■ The monitor restarts after quitting over 120 seconds.
■ A patient is admitted.
■ A patient is discharged.
■ Patient data is cleared.
■ Patient category is changed.
To set default configuration:
1. Select [Select Default Config. >>] in the [Manage Configuration] menu.
2. In the [Select Default Config.] menu, select [Load the Latest Config.] or [Load Specified Config.].
When you select [Load Specified Config.], the configuration (canine, feline or other) to be restored is subject to
the patient category. This configuration can be either factory configuration or saved user configuration. Take
canine as an example, select [Default Canine Config.] and toggle between [Defaults] or user configuration(s).

NOTE
• To know what configuration is restored when the monitor starts, enter the main screen to check the
prompt information at the lower part of the screen (displayed for about 10 seconds).

5-1
5.4 Saving Current Settings
Current settings can be saved as user configuration. Up to 3 user configurations can be saved.
To save current settings:
1. Select [Save Current Settings As >>] in the [Manage Configuration] menu.
2. In the popup dialog box, enter the configuration name and then select [Ok].

5.5 Editing Configuration

1. Select [Edit Config. >>] in the [Manage Configuration] menu. The following menu appears.
2. The popup menu shows the existing configurations on the monitor. Selecting [Config. on USB drive >>]
will show the existing configurations on the USB drive. Select the desired configuration and then select the
[Edit] button. The following menu appears.
3. Select [Alarm Setup >>], [Screen Setup >>] or [Parameter >>] to enter the corresponding menu in which
settings can be changed. The changed items of alarm setup will be marked in red.
4. You can select [Save] or [Save as] to save the changed configuration. Select [Save] to overwrite the original
configuration. Select [Save as] to save the changed configuration in another name.

5.6 Deleting a Configuration

1. Select [Delete Config. >>] in the [Manage Configuration] menu.
2. The popup menu shows the existing user configurations on the monitor. Selecting [Config. on USB drive
>>] will show the existing user configurations on the USB drive. Select the user configurations you want to
delete and then select [Delete].
3. Select [Yes] in the popup.

5.7 Transferring a Configuration

When installing several monitors with identical user configuration it is not necessary to set each unit separately.
An USB drive may be used to transfer the configuration from monitor to monitor.
To export the current monitor’s configuration:
1. Connect the USB drive to the monitor’s USB port.
2. Select [Export Config. >>] in the [Manage Configuration] menu.
3. In the [Export Config.] menu, select the configurations and [User Maintenance Settings] to export. Then
select the [Export] button. A status message will report completion of the transfer.
To import the configuration on the USB drive to the monitor:
1. Connect the USB drive to the monitor’s USB port.
2. Select [Import Config. >>] in the [Manage Configuration] menu.
3. In the [Import Config.] menu, select the configurations and [User Maintenance Settings] to import. Then
select the [Import] button. A status message will report completion of the transfer.

5.8 Loading a Configuration

You may make changes to some settings during operation. However, these changes or the pre-selected
configuration may not be appropriate for the newly admitted patient. Therefore, the monitor allows you to load
a desired configuration so as to ensure that all the settings are appropriate for your patient.
To load a configuration,
1. Select [Load Configuration >>] from the main menu.
2. The popup menu shows the existing configurations on the monitor. Selecting [Config. on USB drive >>]
will show the existing configurations on the USB drive.
3. Select a desired configuration.

5-2
 4. Select [View] to view the configuration details. In the popup menu, you can select [Alarm Setup >>],
[Screen Setup >>] or [Parameter >>] to view the corresponding contents. The alarm setup items which
are different than those currently used are marked in red.
5. Select [Load] to load this configuration.

5.9 Restoring the Latest Configuration Automatically

During operation, you may make changes to some settings. However, these changes may not be saved as user
configuration. To prevent the changes from losing in case of a sudden power failure, the monitor stores the
configuration in real time. The saved configuration is the latest configuration.
The monitor restore the latest configuration if restarts within 60 seconds after the power failure. And it will
restore the default configuration rather than the latest configuration if restarts 120 seconds later after the power
failure. The monitor may load either the latest configuration or the default configuration if restarts from 60-120
seconds after the power failure.

5.10 Modifying Configuration Password

To modify the password for accessing the [Manage Configuration] menu,
1. Select [Modify Password >>] in the [Manage Configuration] menu.
2. Input a new password in the popup menu.
3. Select [Ok].

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5-4
6 User Screens

6.1 Tailoring Your Screens

You can tailor your monitor’s screens by setting:
■ Wave line size
■ The color in which each measurement’s numerics and waveform are displayed
■ The parameter to be monitored.
Changing some settings may be hazardous. Therefore, those setting are password-protected and can be
modified by authorized personnel only. Once change is made, those who use the monitor should be notified.

6.1.1 Changing the Wave Line Size

1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. Select [Others >>].
3. Select [Wave Line] and toggle between [Thick], [Mediate] and [Thin].

6.1.2 Changing Measurement Colors

1. Select [Main Menu] → [Screen Setup >>] → [Measurement Color Setup >>].
2. Select the color box next to your desired measurement and then select a color from the popup menu.

6.1.3 Changing Screen Layout

Select the [Screens] QuickKey, or [Main Menu] → [Screen Setup >>] → [Screen Layout >>] to enter the
[Screens] menu.
■ You can choose the desired screen type in the [Choose Screen] window.
■ You can select the parameters and waveforms you want to view in the [Screen Setup] window. For details,
please refer to the section 3.6 Setting the Screen.
■ You can select the parameters you want to view on big numerics screen in the [Big Numerics Screen
Setup] window.
■ You can switch on or off the connected parameter modules in the [Parameters Switch] window. If a
parameter module is switched off, parameter values and waveforms will not display on the screen.

6.2 Viewing Minitrends

6.2.1 Having a Split-Screen View of Minitrends

You can split the normal screen so that one part of the screen, on the left hand side, continuously shows graphic
minitrends beside waveforms as shown in the figure below.
To have a split-screen view of minitrends, you can:
■ Select [Minitrends] QuickKey, or
■ Select [Screens] QuickKey → [Choose Screen] → [Minitrends Screen] → , or
■ Select [Main Menu] → [Screen Setup >>] → [Screen Layout >>] → [Choose Screen] → [Minitrends
Screen] → .

6-1
 (1)
(1)Minitrends View: The split-screen view provides minitrends for multiple parameters. In each field, the label
and scale are respectively displayed at the top and left. The time is displayed at the bottom of the minitrends
shown view.

6.2.2 Setting Minitrends

Select the minitrends area. From the pop-up [Minitrend Setup] menu, you can:
■ Select the parameters to be displayed, or
■ Select [Minitrend Length] and then select the appropriate setting.

6.3 Viewing OxyCRG

To have a split screen view of OxyCRG, you can:
■ Select [OxyCRG] QuickKey, or
■ Select [Screens] QuickKey → [Choose Screen] → [OxyCRG Screen] → , or.
■ Select [Main Menu] → [Screen Setup >>] → [Screen Layout >>] → [Choose Screen] → [OxyCRG Screen]
→ .

(1) (2) (3) (4) (5)

6-2
 The split-screen view covers the lower part of the waveform area and shows HR trend, SpO2 trend, RR trend, and
a compressed wave (Resp wave or CO2 wave). At the bottom, there are controls:
(1) Trend length list box
(2) Setup
Select the [Setup] button to enter the [Setup] menu, in which you can select the parameters for display,
the time length to be saved before and after an event, and the scale of the graphic trends and waveform.
The trend area can display two parameter trends, e.g. HR trend and RR trend, simultaneously.
(3) Auto Scale
Select the [Auto Scale] button, and the system automatically adjusts the scaling.
(4) Print
Select [Print] to print out the realtime OxyCRG.
(5) Record
Through this button, you can print out the currently displayed OxyCRG trends by the recorder.

6.4 Viewing Other Patients

6.4.1 Care Group

You can select up to 10 monitors connected to the same LAN into a Care Group. This lets you:
■ View information on the monitor screen from another bed in the same Care Group.
■ Be notified of physiological and technical alarm conditions at the other beds in the same Care Group.
To have a Care Group:
1. Open the [View Other Patient] window by:
◆ Selecting [Others] QuickKey, or
◆ Selecting [Screens] QuickKey → [Choose Screen] → [View Others Screen] → , or
◆ Selecting [Main Menu] → [Screen Setup >>] → [Screen Layout >>] → [Choose Screen >>] →
[View Others Screen] → .
2. Select [Setup] in the [View Other Patient] window.
3. Select the desired monitors from the [Connected Monitor List], and then select the button. The
selected monitors constitute a Care Group.

6.4.2 Viewing the Care Group Overview Bar

The Care Group overview bar locates at the bottom of the [View Other Patient] window. In the overview bar,
the bed label for any Care Group beds are displayed. The color in which a Care Group bed appears matches its
status:
■ Red: indicates the bed is giving high-level physiological alarms, such as nurse call or event.
■ Yellow: indicates the bed is giving medium- or low-level physiological alarms, or medium-level technical
alarms.
■ Blue: indicates the bed is giving low-level technical alarms.
■ Grey: indicates the bed fails to be networked or stays in the standby mode.
You can view a Care Group bed’s alarms by selecting it from the care group, and as well you can select the [View
This Patient] button to view this bed in the [View Other Patient] window.
For more details about Care Group alarms, refer to 7 Alarms.

6-3
6.4.3 Understanding the View Other Patient Window
When you first open the [View Other Patient] window, the monitor automatically selects a monitor from the
network to display in the [View Other Patient] window.

(4)

(1) (5)

(2)

(3)

The [View Other Patient] window covers the lower part of the waveform area and consists of:
(1) Information Area: shows the patient information (including bed number, patient name, etc.), network
status symbol.
(2) View Area: shows physiological waveforms and parameters. You can switch a waveform area to a parameter
area by selecting your desired waveform area and then selecting [Switch to Parameter Area], or switch a
parameter area to a waveform area by selecting your desired parameter area and then selecting [Switch to
Waveform Area].
(3) Care Group Overview Bar.
(4) Message Area: shows physiological, technical and prompt messages from the currently viewed monitor. By
selecting this area, you can enter the [Alarm Information List] to view all physiological, technical and
prompt messages coming from the currently viewed patient.
(5) [Alarm Reset] button
◆ When [Reset Other Bed’s Alarms] is set to [On] in [Maintenance] → [User Maintenance] → [Alarm
Setup], the [Alarm Reset] button appears on the [View Other Patient] window. You can reset the
alarm system for the selected monitor by pressing the button. Refer to 7.11.3 Resetting Care Group
Alarms for details.
◆ When [Reset Other Bed’s Alarms] is set to [Off ], there is no button appearing on the [View Other
Patient] window.
Additionally, you can change a waveform or parameter for viewing
■ To change a waveform for viewing, select the waveform segment where you want a new waveform to
appear and then select the waveform you want from the popup menu.
■ To change a parameter for viewing, select the parameter window where you want a new parameter to
appear and then select the parameter you want from the popup menu.

WARNING
• The data presented in the [View Other Patient] window have delay. Do not rely on this window for
realtime data.

6.5 Understanding the Big Numerics Screen

To enter the big numerics screen:

6-4
1. Select the [Screens] QuickKey, or [Main Menu] → [Screen Setup >>] → [Screen Layout >>] → [Choose
Screen].
2. Select [Big Numerics] → .

You can select your desired parameters to display in this screen: select the [Screens] QuickKey → [Big Numerics
Screen Setup] and then select the parameters you want. For parameters having a waveform, the waveform will
also be displayed.

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6-6
7 Alarms

Alarms, triggered by a vital sign that appears abnormal or by technical problems of the monitor, are indicated to
the user by visual and audible alarm indications.

WARNING
• A potential hazard can exist if different alarm presets are used for the same or similar equipment in
any single area, e.g. an intensive care unit or cardiac operating room.
• If your monitor is connected to the central monitoring system (CMS) or other monitors, alarms can
be displayed and controlled remotely. Remote suspension, inhibition, or reset of monitor alarms via
the CMS or other monitors may cause a potential hazard. For details, refer to the operator’s manual
of the CMS and the other monitors.

7.1 Alarm Categories

By nature, the monitor’s alarms can be classified into three categories: physiological alarms, technical alarms and
prompt messages.
1. Physiological alarms
Physiological alarms, also called patient status alarms, are triggered by a monitored parameter value that
violates set alarm limits or an abnormal patient condition. Physiological alarm messages are displayed in
the physiological alarm area.
2. Technical alarms
Technical alarms, also called system status alarms, are triggered by a device malfunction or a patient data
distortion due to improper operation or mechanical problems. Technical alarm messages are displayed in
the technical alarm area.
Apart from the physiological and technical alarm messages, the monitor shows some messages telling the
system status or patient status. Messages of this kind are included into the prompt message category and
usually displayed in the technical alarm area and prompt information area. Some prompt messages that indicate
the arrhythmia events are displayed in the physiological alarm area. For some measurements, their related
prompt messages are displayed in their respective parameter windows.

7.2 Alarm Levels

By severity, the monitor’s alarms can be classified into three categories: high level, medium level and low level.

Physiological alarms Technical alarms

Indicate that your patient is in a life Indicate a severe device malfunction or an

threatening situation, such as improper operation, which could make it possible
High level Asystole, Vfib/Vtac and so forth, and that the monitor cannot detect critical patient
an emergency treatment is status and thus threaten the patient’s life.
demanded.

Indicate that your patient’s vital Indicate a device malfunction or an improper

signs appear abnormal and an operation, which may not threaten the patient’s
Medium level
immediate treatment is required. life but may compromise the monitoring of vital
physiological parameters.

Indicate that you patient’s vital signs Indicate a device malfunction or an improper
appear abnormal and an immediate operation, which may compromise a certain
Low level
treatment may be required. monitoring function but will not threaten the
patient’s life.

7-1
7.3 Alarm Indicators
When an alarm occurs, the monitor will indicate it to the user through visual or audible alarm indications.
■ Alarm lamp
■ Alarm message
■ Flashing numeric
■ Audible alarm tones

7.3.1 Alarm Lamp

If a technical alarm or physiological alarm occurs, the alarm lamp will flash. The flashing color and frequency
match the alarm level as follows:
■ High level alarms: the lamp quickly flashes red.
■ Medium level alarms: the lamp slowly flashes yellow.
■ Low level alarms: the lamp turns yellow without flashing.

7.3.2 Alarm Message

When an alarm occurs, an alarm message will appear in the technical or physiological alarm area. For
physiological alarms, the asterisk symbols (*) before the alarm message match the alarm level as follows:
■ High level alarms: ***
■ Medium level alarms: **
■ Low level alarms: *
Additionally, the alarm message uses different background color to match the alarm level:
■ High level alarms: red
■ Medium level alarms: yellow
■ Low level alarms: yellow

You can view the alarm messages by selecting the physiological or technical alarm area.

7.3.3 Flashing Numeric

If an alarm triggered by an alarm limit violation occurs, the numeric of the measurement in alarm will flash every
second, and the corresponding alarm limit will also flash at the same frequency indicating the high or low alarm
limit is violated.

7.3.4 Audible Alarm Tones

The alarm tone is distinct from heart beat tone, keystroke tone and pulse tone in frequency. This monitor has
three choices of alarm tones and patterns: ISO, Mode 1 and Mode 2. For each pattern, the alarm tones identify
the alarm levels as follows:
■ ISO pattern:
◆ High level alarms: triple + double + triple + double beep.
◆ Medium level alarms: triple beep.
◆ Low level alarms: single beep.
■ Mode 1:
◆ High level alarms: high-pitched single beep.
◆ Medium level alarms: double beep.
◆ Low level alarms: low-pitched single beep.
■ Mode 2:
◆ High level alarms: high-pitched triple beep.

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 ◆ Medium level alarms: double beep.
◆ Low level alarms: ow-pitched single beep.

NOTE
• When multiple alarms of different levels occur simultaneously, the monitor will select the alarm of
the highest level, light the alarm lamp and give alarm sounds accordingly, while all the alarm
messages are displayed circularly on the screen.
• Some physiological alarms, such as asystole, are exclusive. They have identical alarm tones and
alarm lights with normal high level physiological alarms, but their alarm messages are displayed
exclusively. That is to say, when an exclusive physiological alarm and a normal high level
physiological alarm are triggered simultaneously, only alarm message of the exclusive physiological
alarm is displayed.

7.3.5 Alarm Status Symbols

Apart from the aforementioned alarm indicators, the monitor still uses the following symbols telling the alarm
status:
■ indicates alarms are paused.

■ indicates alarms are reset.

■ indicates the alarm sound is turned off.

■ indicates individual measurement alarms are turned off or the system is in alarm off status.

7.4 Alarm Tone Configuration

7.4.1 Setting the Minimum Alarm Volume

1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.
3. Select [Minimum Alarm Volume] and toggle between 0 and 10.
The minimum alarm volume refers to the minimum value you can set for the alarm volume, which is not affected
by user or factory default configurations. The setting of minimum alarm volume remains unchanged when the
monitor shuts down and restarts.

7.4.2 Changing the Alarm Volume

1. Select the [Volume Setup] QuickKey or the [Alarm Setup] QuickKey → [Others], or [Main Menu] →
[Alarm Setup >>] → [Others].
2. Select the appropriate volume from [Alm Volume]: X-10, in which X is the minimum volume, depending on
the set minimum alarm volume, and 10 the maximum volume.
3. Select [High Alarm Volume] to set the volume of the high priority alarm as [Alm Volume+0], [Alm
Volume+1] or [Alm Volume+2].
4. Select [Reminder Vol] to set the volume of the reminder tone as [High], [Med] or [Low].

When alarm volume is set to 0, the alarm sound is turned off and a symbol appears on the screen.

7-3
7.4.3 Setting the Interval between Alarm Sounds
You cannot change the interval between alarm tones if you choose mode 1 or 2 as your desired alarm tone
pattern. For these two patterns, the interval between alarm tones identifies the alarm levels as follows:
■ Mode 1:
◆ Interval between high level alarm tones: continuously.
◆ Interval between medium level alarm tones: 5 s.
◆ Interval between low level alarm tones: 20 s.
■ Mode 2:
◆ Interval between high level alarm tones: 1 s.
◆ Interval between medium level alarm tones: 5 s.
◆ Interval between low level alarm tones: 20 s.
If you choose the ISO pattern, you can change the interval between alarm tones. To change the interval between
alarm tones:
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.
3. Select [High Alarm Interval (s)], [Med Alarm Interval (s)] and [Low Alarm Interval (s)] in turn and then
select the appropriate settings.

WARNING
• When the alarm sound is switched off, the monitor will give no audible alarm tones even if a new
alarm occurs. Therefore the user should be very careful about whether to switch off the alarm sound
or not.
• Do not rely exclusively on the audible alarm system for monitoring. Adjustment of alarm volume to a
low level may result in a hazard to the patient. Always keep the patient under close surveillance.

7.4.4 Changing the Alarm Tone Pattern

To change the alarm tone pattern:
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.
3. Select [Alarm Sound] and toggle between [ISO], [Mode 1] and [Mode 2].
User or factory default configurations exert no impact on the setup of alarm tone pattern. The alarm tone
pattern remains unchanged after the monitor restarts.

7.4.5 Setting the Reminder Tones

When the alarm volume is set to zero, or the alarm tone is reset or switched off, the monitor issues a periodical
reminder tone. To set the reminder tones:
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.
3. Set the [Reminder Tones] to [On], [Off] or [Re-alarm]. When [Re-alarm] is selected, the current
physiological alarms and technical alarms marked with “?” will be re-generated after the [Reminder
Interval] if the alarm condition persists.
To set the interval between reminder tones, select [Reminder Interval] and toggle between [1min], [2min] and
[3min].
In addition, you can set the volume of alarm reminder tones. To set the volume of alarm reminder tones, select
[Main Menu] → [Alarm Setup >>] → [Others] or the [Alarm Setup] QuickKey → [Others]. Then, select
[Reminder Vol] and toggle between [High], [Medium] and [Low].

7-4
7.5 Understanding the Alarm Setup Menu
Select the [Alarm Setup] QuickKey or [Main Menu] → [Alarm Setup >>] to enter the [Alarm Setup], where you
can:
■ Set alarm properties for all parameters.
■ Change ST alarm settings.
■ Change arrhythmia alarm settings.
■ Set the threshold for some arrhythmia alarms.
■ Change other settings.

Please refer to 8 Monitoring ECG for how to change ST alarm settings, how to change arrhythmia alarm settings
and how to set the threshold for some arrhythmia alarms.

7.5.1 Setting Alarm Properties for All Parameters

In the main menu, select [Alarm Setup >>] → [Parameters]. You can review and set alarm limits, alarm
switches, alarm level and alarm recordings for all parameters.
When a measurement alarm occurs, automatic recording of all the measurement numerics and related
waveforms is possible when the measurement’s [On/Off] and [Record] are set on.

WARNING
• Make sure that the alarm limits settings are appropriate for your patient before monitoring.
• Setting alarm limits to extreme values may cause the alarm system to become ineffective.
• When monitoring patients that are not continuously attended by a clinical operator, properly
configure the alarm system and adjust alarm settings as per the patient's condition.

7.5.2 Adjusting Alarm Limits Automatically

The monitor can automatically adjust alarm limits according to the measured vital signs, using the auto limits
function. When auto limits are selected, the monitor calculates safe auto limits based on the latest measured
values.
To get accurate auto alarm limits, you need to collect a set of measured vital signs as a baseline. Then, in the
main menu, select [Alarm Setup >>] → [Parameters] → [Auto Limits] → [Ok]. The monitor will create new
alarm limits based on the measured values.
Before applying these automatically created alarm limits, confirm if they are appropriate for your patient in the
mass alarm setup menu. If not, you can adjust them manually. These alarm limits will remain unchanged until
you select auto limits again or adjust them manually.
The monitor calculates the auto limits based on the following rules.

Module Parameter Low alarm limit High alarm limit Auto alarm limits range

ECG HR/PR (HR – 30) or 90bpm (HR + 40) or 200bpm 55 to 225bpm

(whichever is greater) (whichever is smaller)

Resp RR (RR – 10) or 30 rpm (RR + 25) or 85 rpm 10 to 90 rpm

(whichever is greater) (whichever is smaller)

7-5
 Module Parameter Low alarm limit High alarm limit Auto alarm limits range

SpO2 SpO2 Same as the default Same as the default Same as the measurement
alarm limit alarm limit range

NIBP NIBP-S (SYS – 15) or (SYS + 15) or 105mmHg • NIBP (Weight Range <21lb
45mmHg (whichever (whichever is smaller) or <10kg) : 45 to 185mmHg
is greater) • NIBP (Weight
Range((21lb~50lb or
10kg~23kg)) : 45 to
185mmHg
• NIBP(Weight Range >50lb
or 23kg):45 to 270mmHg

NIBP-D (Dia – 15) or 20mmHg (Dia + 15) or 80mmHg • NIBP (Weight Range <21lb
(whichever is greater) (whichever is smaller) or <10kg) : 25 to 150mmHg
• NIBP (Weight
Range((21lb~50lb or
10kg~23kg)) : 25 to
150mmHg
• NIBP(Weight Range >50lb
or 23kg): 25 to 225mmHg

NIBP-M (Mean – 15) or (Mean + 15) or 95 • NIBP (Weight Range <21lb

35mmHg (whichever mmHg (whichever is or <10kg) : 30 to 180mmHg
is greater) smaller) • NIBP (Weight
Range((21lb~50lb or
10kg~23kg)) : 30 to
180mmHg
• NIBP(Weight Range >50lb
or 23kg):30 to 245mmHg

Temp T1 (T1 – 0.5) °C (T1 + 0.5) °C 1 to 49 °C

T2 (T2 – 0.5) °C (T2 + 0.5) °C 1 to 49 °C

TD Same as the default Same as the default Same as the measurement

alarm limit alarm limit range

IBP: IBP-S (SYS – 15) or (SYS + 15) or 105mmHg 35 to 115 mmHg

ART/Ao UAP/ 45mmHg (whichever (whichever is smaller)
BAP AP/LV/ is greater)
P1-P4 (Arterial
IBP-D (Dia – 15) or 20mmHg (Dia + 15) or 80mmHg 20 to 90 mmHg
pressure)
(whichever is greater) (whichever is smaller)

IBP-M (Mean – 15) or (Mean + 15) or 25 to 105 mmHg

35mmHg (whichever 95mmHg (whichever is
is greater) smaller)

IBP: PA IBP-S SYS × 0.75 SYS × 1.25 3 to 120mmHg

IBP-D Dia × 0.75 Dia × 1.25

IBP-M Mean × 0.75 Mean × 1.25

IBP: IBP-M Mean × 0.75 Mean × 1.25 3 to 40mmHg

CVP/ICP/
LAP/RAP/
UVP/
P1-P4 (Venous
pressure)

IBP: CPP CPP (CPP – 15) or (CPP + 15) or 95mmHg 25 to 100 mmHg
35mmHg (whichever (whichever is smaller)
is greater)

7-6
 Module Parameter Low alarm limit High alarm limit Auto alarm limits range

CO2 EtCO2 0 to 32mmHg: 0 to 32mmHg: Same as the measurement

remains the same remains the same range

32 to 35mmHg: 32 to 35mmHg:
29mmHg 41mmHg

35 to 45mmHg: 35 to 45mmHg:
(etCO2-6) mmHg (etCO2+6) mmHg

45 to 48mmHg: 39 45 to 48mmHg: 51
mmHg mmHg

>48mmHg: remains >48mmHg: remains the

the same same

FiCO2 N/A Same as the default Same as the measurement

alarm limit range

awRR (awRR – 10) or 30 rpm (awRR+25) or 85 rpm 10 to 90 rpm

(whichever is greater) (whichever is smaller)

C.O. TB (TB-1)°C (TB+1)°C Same as the measurement

range

7.5.3 Setting Alarm Delay Time

You can set the alarm delay time for over-limit alarms of continuously measured parameters. If the alarm-
triggered condition disappears within the delay time, the monitor will not give the alarm. You can set the [Alarm
Delay] in the [Others] window of [Alarm Setup] menu.
To set the alarm delay time,
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>]. Enter the required password and
then select [Ok].
2. Select [Alarm Setup >>] → [Alarm Delay].
Alarm delay is not applied to the following physiological alarms:
■ Apnea
■ ST alarms
■ Arrhythmia alarms
■ ECG Weak Signal
■ Resp Artifact
■ No Pulse
■ Measurements of noncontinuous parameters over alarm limits
■ HR over alarm limits
You can set [Apnea Delay] and [ST Alarm Delay] separately.

7.5.4 Setting SpO2 Technical Alarm Delay

You can set [Tech. Alarm Delay] in the [Others] tab of the [Alarm Setup] menu. The options are [Off], [5s], [10s]
and [15s]. The delay is effective to the following technical alarms: SpO2 Sensor Off, SpO2 Too Much Light, SpO2
Low Signal and SpO2 Interference.

7.5.5 Setting Recording Length

You can change the length of the recorded waveforms. In the [Others] window of the [Alarm Setup] menu,
select [Recording Length] and toggle between [8 s], [16 s] and [32s]:

7-7
 ■ [8 s]: 4 seconds respectively before and after the alarm trigger moment.
■ [16 s]: 8 seconds respectively before and after the alarm trigger moment.
■ [32 s]: 16 seconds respectively before and after the alarm trigger moment.

7.6 Pausing Alarms

If you want to temporarily prevent alarms from sounding, you can pause alarms by pressing the hardkey on
the monitor’s front. When alarms are paused:
■ No alarm lamps flash and no alarms are sounded.
■ No numeric and alarm limit flash.
■ No alarm messages are shown.
■ The remaining pause time is displayed in the physiological alarm area.
■ The alarms paused symbol is displayed in the alarm symbol area.
The monitor enters into the alarm paused status as soon as it is turned on. The alarm pause time is fixed to be 2
minutes.
When the alarm pause time expires, the alarm paused status is automatically cancelled and the alarm tone will
sound. You can also cancel the alarm paused status by pressing the hardkey.
The alarm pause time can be set to [1 min], [2 min], [3 min], [5 min], [10 min], [15 min] or [Permanent]. The
default alarm pause time is 2 minutes.
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. Select [Alarm Setup >>] → [Alarm Pause Time] and then select the appropriate setting from the popup
list.
You can also temporarily prolong the alarm pause time after the monitor enters the alarm paused status:
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password →
[Alarm Setup >>].
2. In the [Alarm Setup] menu, set the [Max. Alarm Pause 15min] to [Enable].
3. In the physiological alarm area, select a proper time in the [Alarm Pause Time] menu.

NOTE
• [Max. Alarm Pause 15min] is configured to [Disable] by default. In this case, you cannot prolong the
pause time.The prolonged pause time is only effective to the current paused alarms.

7.7 Switching Off All Alarms

If [Alarm Pause Time] is set to [Permanent], the monitor enters into the alarm off status after the hardkey is
pressed. During the alarm off status,
■ As for physiological alarms, no alarm lamps flash and no alarms are sounded.
■ As for physiological alarms, no numeric and alarm limit flash.
■ No physiological alarm messages are shown.
■ [Alarm Off ] is displayed in the physiological alarm area with red background.
■ As for technical alarms, no alarms are sounded.
■ The alarm off symbol is displayed in the alarm symbol area.
You can cancel the alarm off status by pressing the hardkey.

WARNING
• Pausing or switching off alarms may result in a hazard to the patient. Please be very careful.

7-8
7.8 Resetting Alarms
By selecting the QuickKey, you can reset the alarm system to acknowledging the on-going alarms and
enable the alarm system to respond to a subsequent alarm condition.
For physiological alarms, except the NIBP-related alarms, when the alarm system is reset:
■ The alarm sound is reset.
■ A ? appears before the alarm message, indicating that the alarm is acknowledged.
■ The icon appears in the alarm symbol area.
■ The parameter numeric and alarm limits still flash.
The indication of alarm lamp for the physiological alarm depends on the alarm light setting.
■ When [Alarm Light on Alarm Reset] is set to [On], the alarm lamp remains flashing.
■ When [Alarm Light on Alarm Reset] is set to [Off ], the alarm lamp stops flashing.
Technical alarms give different alarm indicators when the alarm system is reset:
■ For some technical alarms, including the NIBP-related alarms, a ? appears before the alarm message and
appears in the alarm symbol area, indicating that the alarm is acknowledged.
■ Some technical alarms are changed to the prompt messages.
■ Some technical alarms are cleared. The monitor gives no alarm indications.
For details about the indications of technical alarms when the alarm system is reset, refer to D.2 Technical Alarm
Messages.
To set [Alarm Light on Alarm Reset]:
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. Select [Alarm Setup >>] to enter the [Alarm Setup] menu.
3. Select [Alarm Light on Alarm Reset], and toggle between [On] and [Off]. The default setting for [Alarm
Light on Alarm Reset] is [On].

7.9 Latching Alarms

The alarm latching setting for your monitor defines how the indicators of the physiological alarms behave when
you do not acknowledge them:
■ If you do not “latch” the physiological alarms, their alarm indications disappear when the alarm condition
ends.
■ If you “latch” the physiological alarms, all visual and audible alarm indications last until you acknowledge
the alarms, except that the measurement numeric and violated alarm limit stop flashing as soon as the
initial alarm condition goes away.
You can separately latch the visual indications or simultaneously latch the visual and the audible indication.
■ When the visual indications are latched, the visual indications, including alarm lamp, alarm message and its
background remains when the alarm condition ends.
■ When the audible indications are latched, the monitor issues alarm sounds when the alarm condition ends.
To latch a physiological alarm:
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. Select [Alarm Setup >>] → [Latching Alarms>>].
3. In the [Latching Alarms] menu, select how you want to latch the alarms.
The rules for latching the alarms are:
■ You can separately select [Latching Visual Signal].
■ Selecting [Latching Audible Signal] simultaneously latches the visual signal.
■ Selecting alarms of lower priority simultaneously latches the alarms of higher priority.

7-9
 NOTE
• Changing of alarm priority may affect the latching status of corresponding alarm. Please determine
if you need to reset the latching status for the specific alarm when you have changed its alarm
priority.
• When the alarm system is reset, the latched physiological alarms are cleared.

7.10 Testing Alarms

When the monitor starts up, a selftest is performed. In this case the alarm lamp is lit in yellow and red
respectively, and the system gives a beep. This indicates that the visible and audible alarm indicators are
functioning correctly.
For further testing of individual measurement alarms, perform the measurement on yourself (for example SpO2
or CO2) or use a simulator. Adjust alarm limits and check that appropriate alarm behaviour is observed.

7.11 Using Care Group Alarms

7.11.1 Care Group Auto Alarms

When a Care Group is set up on your monitor, a flashing symbol will appear beside the QuickKeys area if any
monitor in your Care Group, which is not currently viewed by your monitor, is alarming.The background colors of
the alarm symbols indicate alarm levels, and are the same as those of the corresponding alarm messages. If
multiple alarms are active in the Care Group, the background color is the same as that of the highest-level alarm
message. For more information about the alarm message and background color, see 7.3.2 Alarm Message.
When a monitor in the Care Group is disconnected, the flashing symbol is shown.

7.11.2 Setting Care Group Alert Tone

When a monitor in the Care Group issues an alarm, your monitor prompts you by giving an alert tone. To set the
alert tone:
1. In the main menu, select [Screen Setup >>] → [Screen Layout >>] → [Choose Screen].
2. In the [Choose Screen] window, select [View Others Screen].
3. In the view other patient window, select [Setup>>], and set [Alert Tone] to [Repeat], [Once] or [Off].

7.11.3 Resetting Care Group Alarms

You can reset the alarms presented on the viewed bed by pressing the [Alarm Reset] from the current monitor’s
[View Other Patient] window. To enable this function:
1. Select [Main Menu]→ [Maintenance>>] → [User Maintenance>>] → enter the required password →
[Alarm Setup>>].
2. In the [Alarm Setup] menu, set [Reset Other Bed’s Alarms] to [On].
The alarms presented on the current monitor can also be reset from another monitor viewing this monitor. To do
so, proceed as follows:
1. In the current monitor, select [Main Menu] → [Maintenance>>] → [User Maintenance>>] → enter the
required password → [Alarm Setup>>].
2. In the [Alarm Setup] menu, set [Alarm Reset By Other Bed] to [On].
3. In the other monitor, select the [Alarm Reset] button from the [View Other Patient] window.

WARNING
• Resetting care group alarms may cause a potential hazard. Please act with caution.

7 - 10
7.12 When an Alarm Occurs
When an alarm occurs, observe the following steps and take proper actions:
1. Check the patient’s condition.
2. Confirm the alarming parameter or alarm category.
3. Identify the source of the alarm.
4. Take proper action to eliminate the alarm condition.
5. Make sure the alarm condition is corrected.
For troubleshooting specific alarms, see appendix D Alarm Messages.

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7 - 12
8 Monitoring ECG

8.1 Introduction
The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the monitor as a
waveform and a numeric. This monitor provides 3-, 5-lead ECG monitoring, ST-segment analysis,arrhythmia
analysis, and QT/QTc measurements etc.

8.2 Safety

WARNING
• Use only ECG electrodes and cables specified by the manufacturer.
• Make sure the conductive parts of electrodes and associated connectors for applied parts, including
the neutral electrode, should not contact any other conductive parts including earth.
• Periodically inspect the electrode application site to ensure skin quality. If the skin quality changes,
replace the electrodes or change the application site.
• Use defibrillation-proof ECG cables during defibrillation.
• Do not touch the patient, or table, or instruments during defibrillation.
• This equipment is not suitable for direct cardiac application.
• To reduce the hazard of burns during high-frequency surgical procedure, ensure that the monitor’s
cables and transducers never come into contact with the electro-surgery unit (ESU).
• The neutral electrode of the electro-surgery unit (ESU) shall properly contact the patient. Otherwise,
burns may result.

CAUTION
• Interference from a non-grounded instrument near the patient and electrosurgery interference can
cause problems with the waveform.

NOTE
• After defibrillation, the screen display recovers within 10 seconds if the correct electrodes are used
and applied in accordance with the manufacturer’s instructions for use.

8.3 Preparing to Monitor ECG

8.3.1 Preparing the Patient and Placing the Electrodes

1. Prepare the patient’s skin. Proper skin preparation is necessary for good signal quality at the electrode, as
the skin is a poor conductor of electricity. To properly prepare the skin, choose flat areas and then follow
this procedure:
◆ Shave hair from skin at chosen sites.
◆ Gently rub skin surface at sites to remove dead skin cells.
◆ Thoroughly cleanse the site with a mild soap and water solution. We do not recommend using ether
or pure alcohol, because this dries the skin and increases the resistance.
◆ Dry the skin completely before applying the electrodes.

8-1
 2. Attach the clips or snaps to the electrodes before placing them.
3. Place the electrodes on the patient.
4. Attach the electrode cable to the patient cable and then plug the patient cable into the ECG connector.

8.3.2 Choosing AHA or IEC Lead Placement

1. Select the ECG parameter window or waveform area to enter the [ECG Setup] menu.
2. Select [Others] → [Lead Set] and then select [3-lead], [5-lead]or [Auto] according to the applied
electrodes.
3. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
4. Select [Others >>] → [ECG Standard] and then select [AHA] or [IEC] according to the standard that is
applied for your hospital.

8.3.3 ECG Lead Placements

The electrode placement illustrations in this chapter adopt the AHA standard.

3-Leadwire Electrode Placement

The following is an electrode configuration when using 3 leadwires:
■ RA(right arm) lead: on the right foreleg.
■ LA(left arm) lead: on the left foreleg.
■ LL(left leg) lead: on the left hind leg.

The chart below shows the label used to identify each leadwire. Included also is its associated color code
per American (AHA) and European (IEC) standards.
American Standard European Standard
Label Color Label Color
RA White R Red
LA Black L Yellow
LL Red F Green

5-Leadwire Electrode Placement

Following is an electrode configuration when using 5 leadwires:
■ RA (right arm) lead:on the right foreleg.
■ LA (left arm) lead:on the left foreleg.
■ RL (right leg) lead:on the right hind leg.
■ LL (left leg) lead:on the left hind leg.
■ V (precordial) lead:exploring lead.

8-2
 Lead Placement for Surgical Patients
The surgical site should be taken into consideration when placing electrodes on a surgical patient. e.g. for open-
chest surgery, the chest electrodes can be placed on the lateral chest or back. To reduce artifacts and
interference from electrosurgical units, you can place the limb electrodes close to the shoulders and lower
abdomen and the chest electrodes on the left side of the mid-chest. Do not place the electrodes on the upper
arm. Otherwise, the ECG waveform will be very small.

WARNING
• When using electrosurgical units (ESU), patient leads should be placed in a position that is equal
distance from the Electrosurgery electrotome and the grounding plate to avoid burns to the patient.
Never entangle the ESU cable and the ECG cable together.
• When using electrosurgical units (ESU), never place ECG electrodes near to the grounding plate of
the ESU, as this can cause a lot of interference on the ECG signal.

8.3.4 Checking Paced Status

It is important to set the paced status correctly when you start monitoring ECG. The paced symbol is
displayed in the ECG waveform area when the [Paced] status is set to [Yes]. The pace pulse markers “|” are shown
on the ECG wave when the patient has a paced signal. If [Paced] is set to [No] or the patient’s paced status is not
selected, the symbol will be shown in the ECG waveform area.

To change the paced status, you can select either:

■ the patient information area, or
■ [Main Menu] → [Patient Setup] → [Patient Demographics], or,
■ the ECG parameter window or waveform area → [Others >>],
and then, select [Paced] from the popup menu and toggle between [Yes] and [No].
If you do not set the paced status, the monitor issues a prompt tone when pace pulse is detected. At the same
time, the paced symbol flashes and the message [Please confirm the pace of patient] appears in the ECG
waveform area. Then, please check and set the paced status of the patient.

WARNING
• For paced patients, you must set [Paced] to [Yes]. If it is incorrectly set to [No], the monitor could
mistake a pace pulse for a QRS and fail to alarm when the ECG signal is too weak. Do not rely entirely
on rate meter alarms when monitoring patients with pacemakers. Always keep these patients under
close surveillance.
• For non-paced patients, you must set [Paced] to [No].

8-3
 • False low heart rate indicators or false Asystole calls may result with certain pacemakers because of
pacemaker artifact such as electrical overshoot of the pacemaker overlapping the true QRS
complexes.

8.4 Understanding the ECG Display

Your display may be configured to look slightly different.

(1) (2) (3) (4)

(1) Lead label of the displayed wave (2) ECG gain

(3) ECG filter label (4) Notch filter status

When a paced signal has been detected, the pace pulse marks “|” are shown on the ECG wave if the [Paced] has
been set to [Yes].

(3)

(1)

(2)

(1) Current heart rate alarm limits (2) Current heart rate (3) Heart beat symbol

8.5 Changing ECG Settings

8.5.1 Accessing ECG Menus

By selecting the ECG parameter window or waveform area, you can access the [ECG Setup] menu.

8.5.2 Choosing the Alarm Source

In most cases the HR and PR numerics are identical. In order to avoid simultaneous alarms on HR and PR, the
monitor uses either HR or PR as its active alarm source. To change the alarm source, select [Alm Source] in the
[ECG Setup] menu and then select either:
■ [HR]: if you want the HR to be the alarm source for HR/PR.
■ [PR]: if you want the PR to be the alarm source for HR/PR.
■ [Auto]: If the [Alm Source] is set to [Auto], the monitor will use the heart rate from the ECG measurements
as the alarm source whenever a valid heart rate is available. If the heart rate becomes unavailable, for
example the ECG module is turned off or becomes disconnected, the monitor will automatically switch to
PR as the alarm source.

8-4
8.5.3 Setting the ECG Lead Set
You can set the [Lead Set] by selecting [ECG Setup] → [Others>>]. You can set the [Lead Set] as [Auto] if the
auto lead detection function is available.

8.5.4 Choosing an ECG Display Screen

When monitoring with a 5-lead set, you can select the [Screens] Quickkey. In the [Choose Screen] window,
choose the screen type as:
■ [Normal Screen]: The ECG waveform area shows 2 ECG waveforms.
■ [ECG 7-Lead Full-Screen]: The whole waveform area shows 7 ECG waveforms only.
■ [ECG 7-Lead Half-Screen]: The upper half part of the whole waveform area displays 7 ECG waveforms.

When the screen type is set to [Normal Screen], cascaded ECG waveforms can be displayed. To cascade ECG
waveforms:
1. Select the [Screens] Quickkey → [Screen Setup].
2. Select [ECG1 Casc.] in the second row. A cascaded waveform is displayed in two waveform positions.

8.5.5 Changing the ECG Filter Settings

The ECG filter setting defines how ECG waves are smoothed. To change the filter setting, select [Filter] from [ECG
Setup] and then select the appropriate setting.
■ [Monitor]: Use under normal measurement conditions.
■ [Diagnostic]: Use when diagnostic quality is required. The unfiltered ECG wave is displayed so that
changes such as R-wave notching or discrete elevation or depression of the ST segment are visible.
■ [Surgery]: Use when the signal is distorted by high frequency or low frequency interference. High
frequency interference usually results in large amplitude spikes making the ECG signal look irregular. Low
frequency interference usually leads to wandering or rough baseline. In the operating room, the surgery
filter reduces artifacts and interference from electrosurgical units. Under normal measurement conditions,
selecting [Surgery] may suppress the QRS complexes too much and then interfere with ECG analysis.
■ [ST]: Use when ST monioring is applied.

WARNING
• The [Diagnostic] filter is recommended when monitoring a patient in an environment with slight
interference only.

8.5.6 Setting the Notch Filter

The notch filter removes the line frequency interference. Only when [Filter] is set to [Diagnostic], the [Notch
Filter] is adjustable.
1. Select the ECG parameter window or waveform area to enter its setup menu. Then select [Others >>].
2. Set [Notch Filter] to [On] or [Off].
Set notch frequency according to the electric power frequency of your country. Follow this procedure:
1. When [Notch Filter] is set on, select [Main Menu] → [Maintenance >>] → [User Maintenance >>] →
enter the required password.
2. Select [Others >>] → [Notch Freq.] and then select [50Hz] or [60Hz] according to the power line
frequency.

8-5
8.5.7 Changing the Pacer Reject Settings
Select [ECG Setup] → [Others>>] → [Pacer Reject], and toggle between [On] and [Off].
When [Paced] is set to [Yes]:
■ When [Pacer Reject] is switched on, the pace pulses are not counted as extra QRS complexes.
■ The pace pulse marks “|” are shown on the ECG wave when pace pulses are detected.
When [Paced] is set to [No], the pace markers are not shown on the ECG wave, and the options of [Pacer Reject]
are invalid.

8.5.8 Changing ECG Wave Settings

In the [ECG Setup] menu:
■ You can select [ECG], [ECG1], or [ECG2] to select a lead to view. The waveform of selected lead should have
the following characteristics:
◆ The QRS should be either completely above or below the baseline and it should not be biphasic.
◆ The QRS should be tall and narrow.
◆ The P-waves and T-waves should be less than 0.2mV.
■ If the wave is too small or clipped, you can change its size by selecting an appropriate [Gain] setting. If you
select [Auto] from [Gain], the monitor will automatically adjust the size of the ECG waves. In normal screen,
only the selected ECG wave’s size is adjusted. In other screens, all ECG waves’ size is adjusted
simultaneously.
■ You can change the wave sweep speed by selecting [Sweep] and then selecting the appropriate setting.

8.5.9 Enabling Smart Lead Off

When the smart lead off function is set on and there is a “lead off” in the lead that has an ECG waveform in filter
mode and notch status, if another lead is available, this available lead automatically becomes that lead. The
system will re-calculate HR and analyze and detect arrhythmia. When the “lead off” condition is corrected, the
leads are automatically switched back.
To switch on/off the smart lead off function, select [Others >>] from the [ECG Setup] menu; select [Smart Lead
Off] and toggle between [On] and [Off] from the popup menu.

8.5.10 Setting the Alarm Level for ECG Lead Off Alarms
Select [Alarm Setup >>] from the [User Maintenance] menu. You can set [ECGLeadOff Lev.] from the popup
menu.

8.5.11 Adjusting QRS Volume

QRS sounds are produced based on the alarm source. To adjust the QRS volume, select [Others >>] from the
[ECG Setup] menu; select [QRS Volume] from the popup menu and select the appropriate setting. When valid
SpO2 measured value is available, the system adjusts the pitch tone of QRS sound based on the SpO2 value.

8.5.12 About the Defibrillator Synchronization

If a defibrillator is connected, a defibrillator synchronization pulse (100 ms, +5V) is outputted through the
Multifunctional Connector every time when the monitor detects an R-wave.

WARNING
• Improper use of a defibrillator may cause injury to the patient. The user should determine whether
to perform defibrillation or not according to the patient’s condition.
• Before defibrillation, the user must ensure both defibrillator and monitor has passed the system test
and can be safely used jointly.

8-6
8.6 About ST Monitoring
■ ST segment analysis calculates ST segment elevations and depressions for individual leads and then
displays them as numerics in the ST1 and ST2 areas.
■ A positive value indicates ST segment elevation; a negative value indicates ST segment depression.
■ Measurement unit of the ST segment: mV or mm. You can set the unit in the [Unit Setup] menu from the
[User Maintenance] menu.
■ Measurement range of the ST segment: -2.0 mV to +2.0 mV.

WARNING
• The ST algorithm has been tested for accuracy of the ST segment data. The significance of the ST
segment changes need to be determined by a clinician.

8.6.1 Switching ST On and Off

To switch ST monitoring on or off:
1. In the [ECG Setup] menu, select [ST Analysis >>].
2. Select [ST Analysis] to toggle between [On] and [Off].
Reliable ST monitoring can hardly be ensured if:
■ You are unable to get a lead that is not noisy.
■ Arrhythmias such as atrial fib/flutter cause irregular baseline.
■ The patient is continuously ventricularly paced.
■ The patient has left bundle branch block.
In these cases, you may consider switching ST monitoring off.

8.6.2 Changing ST Filter Settings

ST-segment analysis can be carried out only when the filter mode is set to [Diagnostic] or [ST]. When ST-
segment analysis is switched on, [Filter] will automatically switch to [ST] if it is not [Diagnostic] or [ST]. When
ST-segment analysis is switched off, the filter mode automatically switches to previous manual setting.
However, if you switch [Filter] to [Monitor] or [Surgery], ST-segment analysis will turn off automatically. In case
that you change [Monitor] or [Surgery] to [Diagnostic] or [ST], ST-segment analysis keeps off, you can turn it on
manually.

NOTE
• When the filter mode is switched to [Diagnostic], the notch filter automatically switches to [Off]. In
this case, you can still set the notch filter to [On] manually.
• When the filter mode is [Monitor], [Surgery] or [ST], the notch filter is fixed to [On], and can not be
changed.

8.6.3 Understanding the ST Display

8.6.3.1 ST Numerics
This example shows ST numerics with 5-lead ECG. Your monitor screen may look slightly different from the
illustration.

8-7
8.6.3.2 ST Segment
ST segment shows a QRS complex segment for each measured ST lead. The current ST segment is drawn in the
same color as the ECG wave, usually green, superimposed over the stored reference segment, drawn in a
different color. The information is updated once every ten seconds.
To display the ST segment on normal screen:
1. Enter the [ST Analysis] menu. Set [ST Analysis] to [On].
2. Enter the [Screen Setup] window of [Screens] menu. Set [ST Segment] to be displayed.

Select the ST parameter window or ST segment area and you can enter the [ST Analysis] menu.

8.6.4 Saving the Current ST Segment as Reference

Select [Save Ref.] in the [ST Analysis] menu to save the current segment as reference. Up to 20 reference
segment groups can be saved.

NOTE
• If the memory is full and you do not delete a group before saving a new one, the oldest saved group
is deleted automatically.

8.6.5 Changing the Reference Segment

Select the and arrow keys beside the [Change Ref.] to switch between different reference segment
groups.

8.6.6 Deleting a Reference Segment

To delete the current ST reference segment, select [Delete Ref.] in the [ST Analysis] menu and then select [Ok]
in the popup.

8.6.7 Recording the ST Segment

To record the current ST segment and reference segment, select [Record] in the [ST Analysis] menu.

8.6.8 Changing the ST Alarm Limits

High and low ST alarm limits can be set individually for each ECG lead. Alarm limits can also be set separately for
single-lead and multi-lead ST monitoring. You can select [ST Alarm Setup >>] from [ST Analysis] menu and
then change ST alarm settings for each lead.

8.6.9 Setting the ST Alarm Delay Time

To set the ST alarm delay time,
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>]. Enter the required password and
then select [OK].
2. Select [Alarm Setup >>] → [ST Alarm Delay].

8.6.10 Adjusting ST Measurement Points

As shown in the figure below, the ST measured for each beat complex is the vertical difference between two
measurement points with the R-wave peak as the baseline for the measurement.

8-8
 (1)

T
P (2)

(5)
Q S

(3) (4)

(1) R-wave peak (2) J point (3)Isoelectric point (4)ST measurement point (5)Difference=ST value

The ISO and ST points need to be adjusted when you start monitoring and if the patient’s heart rate or ECG
morphology changes significantly. Exceptional QRS complexes are not considered for ST-segment analysis.

WARNING
• Always make sure that the positions of ST measurement points are appropriate for your patient.

To adjust the ST measurement points:

1. In the [ST Analysis] menu, select [Adjust ST Point >>]. In the [Adjust ST Point] window, three vertical lines
represent the ISO, J and ST point positions respectively.
2. Select [View Leads] and use the Knob to select an ECG lead with obvious J point and R wave.
3. Select [ISO], [J] or [ST Point] and then use the Knob to adjust the position of each point.
◆ The ISO-point (isoelectric) position is given relative to the R-wave peak. Position the ISO-point in the
middle of the flattest part of the baseline (between the P and Q waves).
◆ The J-point position is given relative to the R-wave peak and helps locating the ST-point. Position the
J-point at the end of the QRS complex and the beginning of the ST segment.
◆ The ST-point is positioned a fixed distance from the J-point. Move the J-point to position the ST-point
at the midpoint of the ST segment. Position the ST-point relative to the J-point at either [J+60/80ms],
[J+40ms], [J+60ms] or [J+80ms]. When [J+60/80ms] is selected, the ST-point will be positioned 80
ms (heart rate 120 bpm or less) or 60 ms (heart rate more than 120 bpm) from the J-point.

8.7 About Arrhythmia Monitoring

Arrhythmia analysis provides information about your patient’s condition, including heart rate, PVC rate, rhythm
and ectopics.

WARNING
• Arrhythmia analysis program is intended to detect ventriculararrhymias and atrial fibrillation. It is
not designed to detect all the atrial or supraventricular arrhythmias. It may incorrectly identify the
presence or absence of an arrhythmia. Therefore, a veterinarian must analyze the arrhythmia
information with other clinical findings.
• Heart-rate reading may be affected by cardiac arrhythmias. Do not rely entirely on heart rate alarms
when monitoring patients with arrhythmia. Always keep these patients under close surveillance.

8-9
8.7.1 Understanding the Arrhythmia Events

Arrhythmia message Description Category

Asystole No QRS detected within the set time threshold in absence of Lethal arrhythmia
ventricular fibrillation or chaotic signal.

VFib/VTac A fibrillatory wave for 6 consecutive seconds.

A dominant rhythm of adjacent Vs and a HR > the V-Tac HR limit.

Vtac The consecutive PVCs ≥ Vtac PVCs limit, and the HR ≥ the Vtac rate
limit.

Vent. Brady The consecutive PVCs ≥ the Vbrd threshold and the ventricular HR
< the Vbrd Rate threshold.

Extreme Tachy The heart rate is greater than the extreme tachycardia limit.

Extreme Brady The heart rate is less than the extreme bradycardia limit.

PVCs PVCs/min exceeds high limit Nonlethal

arrhythmia
Pacer Not Pacing No pace pulse detected for 1.75 x average R-to-R intervals
following a QRS complex (for paced patients only).

Pacer Not Capture No QRS complex detected for 300 ms following a pace pulse (for
paced patients only).

PVC One PVC detected in normal heartbeats. Nonlethal

arrhythmia
Couplet Paired PVCs detected in normal heartbeats.

Run PVCs More than two consecutive PVCs, lower than Vent. Brady PVCs
threshold, and HR lower than Vent Rate threshold.

Bigeminy A dominant rhythm of N, V, N, V, N, V.

Trigeminy A dominant rhythm of N, N, V,N, N, V, N, N, V.

R on T R on T detected in normal heartbeats.

Missed Beats At least 3 consecutive Ns, andThe current RR interval is greater

than 1.5 x previous RR interval, andThe next RR interval is lower
than 1.5 x average RR interval, andHR greater than 100 and the
current RR interval is greater than 1.75 x average RR interval, or HR
is greater than or equal to 100 and the current RR interval is
greater than 1000 ms.

Brady The average heart rate is lower than the bradycardia limit.

Tachy The average heart rate is greater than the tachycardia limit.

Vent. Rhythm The consecutive PVCs is greater or equal to Vbrd PVCs limit, and
HR is greater or equal to Vbrd Rate limit but lower than Vtac Rate
limit.

Multif. PVC Multiform PVCs detected in Multif. PVC's Window (which is

adjustable).

Nonsus. Vtac Consecutive PVCs (V) is lower than Vtac PVCs limit but greater
than 2, and HR is greater or equal to the Vtac Rate limit.

Pause No QRS is detected within the set time threshold of pause.

Irr. Rhythm Consistently irregular rhythm (N, irregular RR interval change is

greater than 12.5%)

8.7.2 Changing Arrhythmia Alarm Settings

To change arrhythmia alarm settings, select the ECG parameter area or waveform area → [ECG Setup] → [Arrh.
Analysis >>]. In the pop-up menu, you can set the [Alm Lev] to [High], [Med], [Low] or [Message], or switch on
lethal arrhythmia analysis alarms only or switch on/off all arrhythmia analysis alarms. In the [Alarm Setup] menu
from the [User Maintenance] menu, you can enable/disable turning off lethal arrhythmia analysis alarms.

8 - 10
 WARNING
• If you switch off all arrhythmia analysis alarms, the monitor cannot give any arrhythmia analysis
alarm. Always keep the patient under close surveillance.
• The priority of lethal arrhythmia alarms is always high. It is unchangeable.

8.7.3 Changing Arrhythmia Threshold Settings

Select the ECG parameter window or waveform area → [Arrh. Analysis >>] → [Arrh. Threshold], and you can
then change threshold settings for some arrhythmia alarms. In case an arrhythmia violates its threshold, an
alarm will be triggered. The asystole delay time relates to ECG relearning. When HR is less than 30 bpm, it is
recommended to set the asystole delay time to 10 seconds.

Arrh. event Range Default Step Unit

PVCs High 1 to 100 10 1 /min

Asys. Delay 3 to 10 5 1 s

Tachy High 60 to 300 120 5 bpm

Brady Low 15 to 120 50 5 bpm

Extreme Tachy 60 to 300 160 5 bpm

Extreme Brady 15 to 120 35 5 bpm

Multif. PVC's 3 to 31 15 1 /min

Vtac Rate 100 to 200 130 5 bpm

Vtac PVCs 3 to 99 6 1 /min

Pause Time 1.5, 2.0, 2.5 2 / s

Vbrd PVCs 3 to 99 5 1 /min

Vbrd Rate 15 to 60 40 5 bpm

8.7.4 Reviewing Arrhythmia Events

Please refer to 18 Review.

8.8 About QT/QTc Interval Monitoring

The QT interval is defined as the time between the beginning of the Q-wave and the end of the T-wave. It
measures the total duration of the depolarization (QRS duration) and repolarization (ST-T) phases of the
ventricular action potential. QT interval monitoring can assist in the detection of prolonged QT interval
syndrome.
The QT interval has an inverse relationship to heart rate. Faster heart rates shorten the QT interval and slower
heart rates prolong the QT interval. Therefore, several formulas can be used to correct the QT interval for heart
rate. The heart rate corrected QT interval is abbreviated as QTc.

8.8.1 QT/QTc Monitoring Limitations

Some conditions may make it difficult to achieve reliable QT/QTc monitoring, for example:
■ R-wave amplitudes are too low
■ Too many ventricular beats
■ RR intervals are not stable

8 - 11
 ■ A high heart rate causes the P-wave to encroach on the end of the previous T-wave
■ The T-wave is very flat or T-wave are not well defined
■ The end of the T-wave is difficult to define because of the presence of U-waves
■ QTc measurements are not stable
■ In the presence of noise, asystole, ventricular fibrillation, and ECG lead off
For these cases you should select a lead with good T-wave amplitude and no visible flutter activity, and without
a predominant U-wave or P-wave.
Some conditions such as left or right bundle branch block or hypertrophy can lead to a widened QRS complex. If
a long QTc is observed you should verify it to ensure that it is not caused by QRS widening.
Because normal beats followed by ventricular beats are not included in the analysis, no QT measurement will be
generated in the presence of a bigeminy rhythm.
If the heart rate is extremely high , QT will not be measured. When the heart rate changes, it can take several
minutes for the QT interval to stabilize. For reliable QTc calculation it is important to avoid the region where the
heart rate is changing.

8.8.2 Enabling QT/QTc Monitoring

The QT monitoring function is disabled by default.
To enable the QT function:
1. Select the ECG parameter window or waveform area to enter the [ECG Setup] menu.
2. Select the [QT Analysis >>] tab.
3. Set [QT Analysis] to [On].

8.8.3 Displaying QT Numerics and Segments

To display QT numerics and Segments:
1. Select [Main Menu] → [Screen Setup >>] → [Screen Layout >>].
2. Select the parameter area where you want to display the QT numerics, and then select [QT].

The following picture shows the QT parameter area.

(3)

(2)
(4)

(1)
(5)

(1) QTc alarm limit (if QTc alarm is off, the alarm off symbol is displayed)
(2) Parameter label
(3) QTc value
(4) ΔQTc value (the difference between the current and baseline QTc values)
(5) QT value

NOTE
• The display of the QT numeric area differs as related settings change.

8.8.4 Saving the Current QTc as Reference

In order to quantify changes in the QTc value, you can set a QTc reference.

8 - 12
 To set the current values as reference:
1. Select the ECG parameter window or waveform area to enter the [ECG Setup] menu.
2. Select the [QT Analysis >>] tab.
3. Select [Save Ref.]. This QTc will then be used to calculate ΔQTc.

8.8.5 Changing QT Settings

8.8.5.1 Setting QT Alarm Properties

To set QT alarm properties:
1. Select the ECG parameter window or waveform area to enter the [ECG Setup] menu.
2. Select the [QT Analysis >>] tab.
3. Set QTc and ΔQTc alarm properties.

8.8.5.2 Selecting Leads for QT Calculation

You can select one lead or all leads for QT calculation.
To select leads:
1. Select the ECG parameter window or waveform area to enter the [ECG Setup] menu.
2. Select the [QT Analysis >>] tab.
3. Set [Analysis Lead]. [All] is selected by default. This means all leads are used for QT calculation.

8.8.5.3 Selecting the QTc Formula

The monitor uses the Hodges correction formula by default to correct the QT interval for heart rate.
To select the QTc formula:
1. Select the ECG parameter window or waveform area to enter the [ECG Setup] menu.
2. Select the [QT Analysis >>] tab.
3. Set [QTc Formula].
◆ Hodges:

◆ Bazett:

◆ Fridericia:

◆ Framingham:

8.9 About HR Analysis

HR analysis provides the user a dynamic analysis of heart rate changes and distribution over the time scale. It
allows you to know the patient’s condition of the latest 24 hours before you entering the [HR Analysis] window.
To make HR analysis:
1. Select the ECG parameter window or waveform area to enter the [ECG Setup] menu.
2. Select the [HR Analysis >>] tab.
◆ Analysis area: The area provides information including time duration, average HR, daytime average
HR, nighttime avearge HR, maximum HR, minimum HR and normal HR ratio. The normal HR range is
set based on HR limits.

8 - 13
 ◆ [Nighttime]: Set the period for HR analysis at night time. The minimum period can be set to 30
minutes.
◆ [Print]: Select it to print out HR analysis report which includes patient information, information in the
[HR Analysis] window and heart rate distribution chart.
You can also click anywhere in the [HR Analysis] window to enter the [Review] window. For details, refer to 18
Review.

8.10 ECG Relearning

8.10.1 Initiating an ECG Relearning Manually

During ECG monitoring, you may need to initiate an ECG relearning when the patient’s ECG template changes
dramatically. A change in the ECG template could result in:
◆ incorrect arrhythmia alarms
◆ loss of ST measurement, and/or
◆ inaccurate heart rate
ECG relearning allows the monitor to learn the new ECG template so as to correct arrhythmia alarms and HR
value, and restore ST measurements. To initiate relearning manually, select the ECG parameter window or
waveform area → [Relearn]. When the monitor is learning, the message [ECG Learning] is displayed in the
technical alarm area.

CAUTION
• Take care to initiate ECG relearning only during periods of normal rhythm and when the ECG signal
is relatively noise-free. If ECG learning takes place during ventricular rhythm, the ectopics may be
incorrectly learned as the normal QRS complex. This may result in missed detection of subsequent
events of V-Tach and V-Fib.

8.10.2 Automatic ECG Relearning

ECG relearning is initiated automatically whenever:
■ The ECG lead or lead label is changed
■ The ECG lead is re-connected
■ A new patient is admitted
■ After the calibration is completed, select [Stop Calibrating ECG]
■ A switch happens between the options of screen type during 3/5-lead ECG monitoring.
■ The paced status of the patient is changed.

8.11 Calibrating ECG

The ECG signal may be inaccurate due to hardware or software problems. As a result, the ECG wave amplitude
becomes greater or smaller. In that case, you need to calibrate the ECG module.
1. Select the ECG parameter window or waveform area → [Filter] → [Diagnostic].
2. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password →
[Module Maintenance >>] → [Calibrate ECG]. A square wave appears on the screen and the message [ECG
Calibrating] is displayed.
3. Compare the amplitude of the square wave with the wave scale. The difference should be within 5%.
4. After the calibration is completed, select [Stop Calibrating ECG]
You can print out the square wave and wave scale and then measure the difference between them if necessary. If
the difference exceeds 5%, contact your service personnel.

8 - 14
8.12 Troubleshooting
This section lists the problems that might occur. If you encounter the problems when using the equipment or
accessories, check the table below before requesting for services. If the problem persists, contact your service
personnel.

CAUTION
• Never try to disassemble the equipment or supplied accessories. There are no internal user-
serviceable parts.

Symptoms Possible Cause Correction Action

Noisy ECG traces Loose or dry electrodes Apply fresh and moist electrodes.

Defective electrode wires Replace wires if necessary.

Patient cable or leads are routed Move the patient cable or leads away
too close to other electrical from the electrical device.
devices

Excessive Electro-surgical Wrong ECG cable used Use ESU-proof ECG cables. For details,
Interference refer to 26.1 ECG Accessories.

Muscle Noise Inadequate skin preparation Repeat skin preparation as described in

prior to application of electrode, 8.3.1 Preparing the Patient and Placing
tremors, tense subject, and/or the Electrodes and re-place the
poor electrode placement electrodes.
Apply fresh, moist electrodes.
Avoid muscular areas.

Intermittent Signal Connections not tight and/or Check that the cables are properly
properly secured connected.

Electrodes dry or loose Repeat skin preparation as described in

8.3.1 Preparing the Patient and Placing
the Electrodes and apply fresh and
moist electrodes.

Cable or lead wires damaged Change cable and lead wires.

Excessive alarms: heart rate, Electrodes dry Repeat skin preparation as described in
lead fault 8.3.1 Preparing the Patient and Placing
the Electrodes and apply fresh, moist
electrodes.

Excessive patient movement or Reposition the electrodes.

muscle tremor Replace fresh and moist electrodes if
necessary.

Low Amplitude ECG Signal Gain set too low Set the gain as required. For details, refer
to 8.5.8 Changing ECG Wave Settings.

Electrodes dry / old Apply fresh and moist electrodes.

Skin improperly prepared Repeat skin preparation as described in

8.3.1 Preparing the Patient and Placing
the Electrodes.

This could be the patient’s Verify with another well-functioning

normal QRS complex monitor.

Electrode could be positioned Move ECG patches away from the bone
over a bone or muscle mass or muscle mass.

8 - 15
 Symptoms Possible Cause Correction Action

No ECG Waveform Gain set too low Set the gain as required. For details, refer
to 8.5.8 Changing ECG Wave Settings.

Lead wires and patient cable not Check that the leadwires and patient
fully or properly inserted cables are properly connected.

Cable or lead wires damaged Change cable and lead wires.

Base Line Wander Patient moving excessively Secure leadwires and cable to patient.

Electrodes dry or loose Repeat skin preparation as described in

8.3.1 Preparing the Patient and Placing
the Electrodes and apply fresh and
moist electrodes.

ECG Filter set to ST or Diagnostic Set ECG Filter to “Monitor” mode.

mode

8 - 16
9 Monitoring Respiration (Resp)

9.1 Introduction
Impedance respiration is measured across the thorax. When the patient is breathing or ventilated, the volume of
air changes in the lungs, resulting in impedance changes between the electrodes. Respiration rate (RR) is
calculated from these impedance changes, and a respiration waveform appears on the monitor screen.

9.2 Safety Information

WARNING
• When monitoring the patient’s respiration, do not use ESU-proof ECG cables.
• If you do not set the detection level for the respiration correctly in manual detection mode, it may
not be possible for the monitor to detect apnea. If you set the detection level too low, the monitor is
more likely to detect cardiac activity, and to falsely interpret cardiac activity as respiratory activity
in the case of apnea.
• The respiration measurement does not recognize the cause of apneas. It only indicates an alarm if no
breath is detected when a pre-adjusted time has elapsed since the last detected breath. Therefore, it
cannot be used for diagnostic purpose.
• If operating under conditions according to the EMC Standard IEC 60601-1-2 (Radiated Immunity 3V/
m), field strengths above 1V/m may cause erroneous measurements at various frequencies.
Therefore it is recommended to avoid the use of electrically radiating equipment in close proximity
to the respiration measurement unit.

9.3 Understanding the Resp Display

(1) (2) (3) (4)

(1) Gain (2) Resp lead label

(3) Respiration rate (4) RR source

By selecting the waveform area or parameter area, you can enter the [Resp Waveform] menu. By selecting the
Resp parameter window, you can enter the [Resp Setup] menu.

NOTE
• Respiration monitoring is not for use on the patients who are very active, as this will cause false
alarms.

9-1
9.4 Placing Resp Electrodes
As the skin is a poor conductor of electricity, preparing the skin is necessary for a good Respiration signal. You
can refer to 8 Monitoring ECG for how to prepare the skin.
As the Respiration measurement adopts the standard ECG electrode placement, you can use different ECG
cables (3-lead, 5-lead ). Since the respiration signal is measured between two ECG electrodes, if a standard ECG
electrode placement is applied, the two electrodes should be RA and LA of ECG Lead I, or RA and LL of ECG Lead
II.

NOTE
• To optimize the respiration waveform, place the RA and LA electrodes horizontally when monitoring
respiration with ECG Lead I; place the RA and LL electrodes diagonally when monitoring respiration
with ECG Lead II.

Lead placement(5-lead)

9.4.1 Optimizing Lead Placement for Resp

If you want to measure Resp and you are already measuring ECG, you may need to optimize the placement of
the two electrodes between which Resp will be measured. Repositioning ECG electrodes from standard
positions results in changes in the ECG waveform and may influence ST and arrhythmia interpretation.

9.4.2 Cardiac Overlay

Cardiac activity that affects the Resp waveform is called cardiac overlay. It happens when the Resp electrodes
pick up impedance changes caused by the rhythmic blood flow. Correct electrodes placement can help to
reduce cardiac overlay: avoid the liver area and the ventricles of the heart in the line between the respiratory
electrodes.

9.4.3 Abdominal Breathing

Some patients with restricted movement breathe mainly abdominally. In these cases, you may need to place the
left leg electrode on the left abdomen at the point of maximum abdominal expansion to optimise the
respiratory wave.

9.4.4 Lateral Chest Expansion

Some patients expand their chests laterally, causing a negative intrathoracic pressure. In these cases, it is better
to place the two respiration electrodes in the right midaxillary and the left lateral chest areas at the patient’s
maximum point of the breathing movement to optimise the respiratory waveform.

9.5 Choosing the Respiration Lead

In the [Resp Setup] menu, set [Resp Lead] to [I], [II] or [Auto].

9-2
9.6 Changing the Apnea Alarm Delay
The apnea alarm is a high-level alarm used to detect apneas. You can set the apnea alarm delay time after which
the monitor alarms if the patient stops breathing. In the [Resp Setup] menu, select [Apnea Delay] and then
select the appropriate setting. The [Apnea Delay] of Resp and CO2, module keeps consistent with each other.

9.7 Changing Resp Detection Mode

In the [Resp Setup] menu, select [Detection Mode] and toggle between [Auto] and [Manual].
■ In auto detection mode, the monitor adjusts the detection level automatically, depending on the wave
height and the presence of cardiac artifact. Note that in auto detection mode, the detection level (a dotted
line) is not displayed on the waveform.
■ Use auto detection mode for situations where:
The respiration rate is not close to the heart rate.
Breathing is spontaneous, with or without continuous positive airway pressure (CPAP).
Patients are ventilated, except patients with intermittent mandatory ventilation (IMV).
■ In manual detection mode, you adjust the dotted detection level line to the desired level by selecting
[Upper Line] or [Lower Line] and then selecting or beside them. Once set, the detection level will
not adapt automatically to different respiration depths. It is important to remember that if the depth of
breathing changes, you may need to change the detection level.
■ Use manual detection mode for situations where:
◆ The respiration rate and the heart rate are close.
◆ Patients have intermittent mandatory ventilation.
◆ Respiration is weak. Try repositioning the electrodes to improve the signal.
In Auto Detection Mode, if you are monitoring Resp and ECG is switched off, the monitor cannot compare the
ECG and Resp rates to detect cardiac overlay. The respiration detection level is automatically set higher to
prevent the detection of cardiac overlay as respiration.
In Manual Detection Mode, cardiac overlay can in certain situations trigger the respiration counter. This may lead
to a false indication of a high respiration or an undetected apnea condition. If you suspect that cardiac overlay is
being registered as breathing activity, raise the detection level above the zone of cardiac overlay. If the Resp
wave is so small that raising the detection level is not possible, you may need to optimize the electrode
placement as described in the section "Lateral Chest Expansion".

9.8 Changing Resp Wave Settings

WARNING
• When monitoring in manual detection mode, make sure to check the respiration detection level
after you have increased or decreased the size of the respiration wave.

■ In the [Resp Setup] menu, you can:

■ Select [Gain] and then select an appropriate setting. The bigger the gain is, the larger the wave amplitude is.
■ Select [Sweep] and then select an appropriate setting. The faster the wave sweeps, the wider the wave is.

9.9 Setting RR Source

To set RR source:
1. Enter the [Resp Setup] menu.
2. Select [RR Source] and then select a source or [Auto] from the dropdown list.
The dropdown list displays the currently available RR source. When you select [Auto], the system will
automatically select the RR source according to the priority. When the current RR source does not have valid
measurement, the system will automatically switch the [RR Source] to [Auto]. RR source switches back to the
valid source if you press the hardkey on the monitor’s front during an apnea alarm.
The priority of RR source is (from high to low): CO2 measurement and impedance respiration measurement.

9-3
 The [RR Source] settings of Resp and CO2 are linked.
The RR source options and description are shown in the table below.

Option Description

Auto RR source is automatically selected according to the priority.

CO2 RR source is from CO2 measurement.

ECG RR source is from impedance respiration measurement.

9.10 Setting Alarm Properties

Select [Alarm Setup >>] from the [Resp Setup] menu. In the popup menu, you can set alarm properties for this
parameter.

9-4
10 Monitoring PR

10.1 Introduction
The pulse numeric counts the arterial pulsations that result from the mechanical activity of the heart. You can
display a pulse from any measured SpO2 or any arterial pressure (see the IBP section). The displayed pulse
numeric is color-coded to match its source.

(2)

(1)

(1) PR Source (2) PR: detected beats per minute.

10.2 Setting the PR Source

The current pulse source is displayed in the PR parameter area. The pulse rate chosen as pulse source:
■ is monitored as system pulse and generates alarms when you select PR as the active alarm source;
■ is stored in the monitor’s database and reviewed in the graphic/tabular trends; in trend graphs, as the PR
curve is in the same color with the PR source, it is unlikely to distinguish the PR source ;
■ is sent via the network to the central monitoring system, if available.
To set which pulse rate as PR source:
1. Enter the [SpO2 Setup] menu.
2. Select [PR Source] and then select a label or [Auto] from the popup menu.
The popup menu displays the currently available PR sources from top to bottom by priority. When you select
[Auto], the system will automatically select the first option as the PR source from the popup menu. When the
current PR source is unavailable, the system will automatically switch [PR Source] to [Auto]. When you select
[IBP], the system will automatically select the first pressure label as the PR source from the popup menu.

10.3 Selecting the Active Alarm Source

In most cases the HR and pulse numerics are identical. In order to avoid simultaneous alarms on HR and Pulse,
the monitor uses either HR or Pulse as its active alarm source. To change the alarm source, select [Alm Source] in
the [ECG Setup] or [SpO2 Setup] menu and then select either:
■ [HR]: The monitor will use the HR as the alarm source for HR/pulse.
■ [PR]: The monitor will use the PR as the alarm source for HR/pulse.
■ [Auto]: If the [Alm Source] is set to [Auto], the monitor will use the heart rate from the ECG measurement
as the alarm source whenever the ECG measurement is switched on and a valid heart rate is available. If the
heart rate becomes unavailable, for example if leads becomes disconnected, and a pulse source is switch
on and available, the monitor will automatically switch to Pulse as the alarm source. When the Leads Off
condition is corrected, the monitor will automatically switch back to the heart rate as the alarm source.

10 - 1
10.4 QRS Tone
When PR is used as the alarm source, the PR source will be used as a source for the QRS tone. You can change the
QRS volume by adjusting [Beat Vol] in the [SpO2 Setup] menu. When a valid SpO2 value exists, the system will
adjust the pitch tone of QRS volume according to the SpO2 value.

10 - 2
11 Monitoring SpO2

11.1 Introduction
SpO2 monitoring is a non-invasive technique used to measure the amount of oxygenated haemoglobin and
pulse rate by measuring the absorption of selected wavelengths of light. The light generated in the probe passes
through the tissue and is converted into electrical signals by the photodetector in the probe. The SpO2 module
processes the electrical signal and displays a waveform and digital values for SpO2 and pulse rate.
This device is calibrated to display functional oxygen saturation. It provides four measurements:

(5)

(1) (2) (3) (4)

(1) Pleth waveform (Pleth): visual indication of patient’s pulse. The waveform is not normalized.

(2) Oxygen saturation of arterial blood (SpO2): percentage of oxygenated hemoglobin in relation to
the sum of oxyhemoglobin and deoxyhemoglobin.

(3) Perfusion index (PI): gives the numerical value for the pulsatile portion of the measured signal
caused by arterial pulsation. PI is an indicator of the pulsatile strength. You can also use it to assess
the quality of SpO2 measurement.

◆ Above 1 is optimal,
◆ Between 0.3 and 1 is acceptable.
◆ Below 0.3 indicates low perfusion. When PI is below 0.3, the low perfusion status
indicator (a question mark) is displayed to the right of the SpO2 value, indicating
that the SpO2 value may be inaccurate. Reposition the SpO2 sensor or find a better
site. If low perfusion persists, choose another method to measure oxygen
saturation if possible. You can also disable the display of the the low perfusion
status indicator by refering to Setting the Low Perfusion Status Indicator 11.4.9
Setting the Low Perfusion Status Indicator.

(4) Perfusion indicator: the pulsatile portion of the measured signal caused by arterial pulsation.

(5) Pulse rate (derived from pleth wave): detected pulsations per minute.

NOTE
• A functional tester or SpO2 simulator cannot be used to assess the accuracy of a SpO2 module or a
SpO2 sensor.
• A functional tester or SpO2 simulator can be used to determine the pulse rate accuracy.

11.2 Safety

WARNING
• Use only SpO2 sensors specified in this manual. Follow the SpO2 sensor’s instructions for use and
adhere to all warnings and cautions.
• When a trend toward patient deoxygenation is indicated, blood samples should be analyzed by a
laboratory co-oximeter to completely understand the patient’s condition.

11 - 1
 • Do not use SpO2 sensors during magnetic resonance imaging (MRI). Induced current could
potentially cause burns. The sensor may affect the MRI image, and the MRI unit may affect the
accuracy of the oximetry measurements.
• Prolonged continuous monitoring may increase the risk of undesirable changes in skin
characteristics, such as irritation, reddening, blistering or burns. Inspect the sensor site every two
hours and move the sensor if the skin quality changes. Change the application site every four hours.

11.3 Applying the Sensor

1. Select an appropriate sensor according to the module type, patient category and weight.
2. Remove colored nail polish from the application site.
3. Apply the sensor to the patient.
4. Select an appropriate adapter cable according to the connector type and plug this cable into the SpO2
connector.
5. Connect the sensor cable to the adapter cable.

WARNING
• If the sensor is too tight because the application site is too large or becomes too large due to edema,
excessive pressure for prolonged periods may result in venous congestion distal from the
application site, leading to interstitial edema and tissue ischemia.

11.4 Changing SpO2 Settings

11.4.1 Accessing SpO2 Menus

By selecting the SpO2 parameter window or waveform area, you can access the [SpO2 Setup] menu.

11.4.2 Adjusting the Desat Alarm

The desat alarm is a high level alarm notifying you of potentially life threatening drops in oxygen saturation.
Select [Alarm Setup >>] from the [SpO2 Setup] menu. From the popup menu, you can set low alarm limit,
alarm switch, and alarm recording for [Desat]. When the SpO2 value is below the desat alarm limit and desat
alarm switch is set on, the message [SpO2 Desat] is displayed.

11.4.3 Changing Averaging Time

The SpO2 value displayed on the monitor screen is the average of data collected within a specific time. The
shorter the averaging time is, the quicker the monitor responds to changes in the patient’s oxygen saturation
level. Contrarily, the longer the averaging time is, the slower the monitor responds to changes in the patient’s
oxygen saturation level, but the measurement accuracy will be improved. For critically ill patients, selecting
shorter averaging time will help understanding the patient’s state.
To set the averaging time:
1. Enter the [SpO2 Setup] menu.
2. Select [Sensitivity] and then toggle between [High], [Med] and [Low], which respectively correspond to 7
s, 9 s and 11 s.

11.4.4 Monitoring SpO2 and NIBP Simultaneously

When monitoring SpO2 and NIBP on the same limb simultaneously, you can switch [NIBP Simul] on in the
[SpO2 Setup] menu to lock the SpO2 alarm status until the NIBP measurement ends. If you switch [NIBP Simul]
off, low perfusion caused by NIBP measurement may lead to inaccurate SpO2 readings and therefore cause false
physiological alarms.

11 - 2
11.4.5 Changing the Speed of the Pleth Wave
In the [SpO2 Setup] menu, select [Sweep] and then select the appropriate setting. The faster the waveform
sweeps, the wider the waveform is.

11.4.6 Zooming PI Value

For Mindray SpO2 module, you can display PI value in larger characters for better view. To zoom in the display of
PI value, set [PI Zoom] to [Yes] from the [SpO2 Setup] menu.

PI value can be displayed under the PR value in larger characters if [PI Zoom] is enabled.

11.4.7 Setting the Alarm Level for SpO2 Sensor Off Alarm
Select [Alarm Setup >>] from the [User Maintenance] menu. You can set the [SpO2SensorOff Lev.] in the
popup menu.

11.4.8 Setting the SpO2 Tone Mode

Select [Others >>] from the [User Maintenance] menu. In the popup menu, you can set [SpO2 Tone] as [Mode
1] or [Mode 2].

WARNING
• The same SpO2 tone mode shall be used for the same monitors in a single area.

11.4.9 Setting the Low Perfusion Status Indicator

Select [Others >>] from the [User Maintenance] menu. In the popup menu, you can set [Low Perf Status
Indicator] as [On] or [Off].

11.5 Measurement Limitations

If you doubt the measured SpO2, check patient vital signs first. Then check the monitor and SpO2 sensor. The
following factors may influence the accuracy of measurement:
■ Ambient light
■ Physical movement (patient and imposed motion)
■ Diagnostic testing
■ Low perfusion
■ Electromagnetic interference, such as MRI environment
■ Electrosurgical units
■ Dysfunctional haemoglobin, such as carboxyhemoglobin (COHb)and methemoglobin (MetHb)
■ Presence of certain dyes, such as methylene and indigo carmine
■ Inappropriate positioning of the SpO2 sensor, or use of incorrect SpO2 sensor
■ Drop of arterial blood flow to immeaurable level caused by shock, anemia, low temperature or
vasoconstrictor.

11 - 3
11.6 Troubleshooting
This section lists the problems that might occur. If you encounter the problems when using the equipment or
accessories, check the table below before requesting for services. If the problem persists, contact your service
personnel.

CAUTION
• Never try to disassemble the equipment or supplied accessories. There are no internal user-
serviceable parts.

Symptoms Possible Cause Correction Action

Dashes “- -” display in place Measurement is invalid. Check that the sensor is properly applied.
of numerics. Change the application site if necessary.

Do not see SpO2 parameter Parameter not configured to display. Switch the SpO2 monitoring function on as
tiles in display. described in 3.10.1 Switching the Parameters
On/Off.

Unable to obtain SpO2 Patient has poor perfusion Switch limbs/notify physician
reading
Sensor not on patient Check if the “SPO2 Sensor Off” alarm is reported.
If so, reapply the sensor.
If not, contact the service personnel.

Cables loose/not connected Check connections, switch cable

Ambient light Check if the “SpO2 Too Much Light” alarm is

reported. If so, move the sensor to a place with
lower level of ambient light or cover the sensor to
minimize the ambient light.

No SpO2 waveform Waveform not selected to display Switch the SpO2 monitoring function on as
described in 3.10.1 Switching the Parameters
On/Off.

Cable or sensor not plugged in Check that the cable is properly connected and
sensor securely applied.

Low amplitude SpO2 signal SpO2 sensor on same limb as cuff Check that the sensor is properly applied.
Change the application site if necessary.

Patient has poor perfusion Change the application site.

11 - 4
12 Monitoring NIBP

12.1 Introduction
The monitor uses the oscillometric method for measuring the non-invasive blood pressure (NIBP).
Automatic non-invasive blood pressure monitoring uses the oscillometric method of measurement. To
understand how this method works, we’ll compare it to the auscultative method. With auscultation, the clinician
listens to the blood pressure and determines the systolic and diastolic pressures. The mean pressure can then be
calculated with reference to these pressures as long as the arterial pressure curve is normal.
Since the monitor cannot hear the blood pressure, it measures cuff pressure oscillation amplitudes. Oscillations
are caused by blood pressure pulses against the cuff. The oscillation with the greatest amplitude is the mean
pressure. This is the most accurate parameter measured by the oscillometric method. Once the mean pressure is
determined, the systolic and diastolic pressures are calculated with reference to the mean.
Simply stated, auscultation measures systolic and diastolic pressures and the mean pressure is calculated. The
oscillometric method measures the mean pressure and determines the systolic and diastolic pressures.
NIBP measurement can be performed during electro-surgery and discharge of defibrillator.
NIBP diagnostic significance must be decided by the doctor who performs the measurement.

NOTE
• Blood pressure measurements determined with this device are equivalent to those obtained by a
trained observer using the cuff/stethoscope auscultatory method or an intra-arterial blood pressure
measurement device, within the limits prescribed by the American National Standard, Manual,
electronic, or automated sphygmomanometers.

12.2 Safety
NOTE
• Be sure to select the correct weight range setting for your patient before measurement. Do not
apply the higher weight range settings for low weight patients. Otherwise it may present a safety
hazard.
• Do not measure NIBP on patients with sickle-cell disease or on the limb where skin damage has
occurred or is expected.
• Use clinical judgement to determine whether to perform frequent unattended blood pressure
measurements on patients with severe blood clotting disorders because of the risk of hematoma in
the limb fitted with the cuff.
• Do not use the NIBP cuff on a limb with an intravenous infusion or arterial catheter in place. This
could cause tissue damage around the catheter when the infusion is slowed or blocked during cuff
inflation.
• Do not use the NIBP cuff on the arm on the side of a mastectomy.
• NIBP reading can be affected by the measurement site, the position of the PATIENT, exercise, or the
patient's physiologic condition. If you doubt the NIBP measurements, determine the patient’s vital
signs by alternative means and then verify that the monitor is working correctly.
• Continuous CUFF pressure due to connection tubing kinking may cause blood flow interference and
resulting harmful injury to the patient.

12.3 Measurement Limitations

Measurements are impossible with heart rate extremes of less than 40bpm or greater than 240bpm, or if the
patient is on a heart-lung machine.

12 - 1
 The measurement may be inaccurate or impossible:
■ If a regular arterial pressure pulse is hard to detect
■ With excessive and continuous patient movement such as shivering or convulsions
■ With cardiac arrhythmias
■ Rapid blood pressure changes
■ Severe shock or hypothermia that reduces blood flow to the peripheries
■ Obesity, where a thick layer of fat surrounding a limb dampens the oscillations coming from the artery

12.4 Measurement Methods

There are four methods of measuring NIBP:
■ Manual: measurement on demand.
■ Auto: continually repeated measurements at set intervals.
■ STAT: continually rapid series of measurements over a five minute period, then return to the previous
mode.
■ Sequence: continually automatic measurement at set durations and intervals.

12.5 Setting Up the NIBP Measurement

12.5.1 Preparing the Patient

In normal use, perform NIBP measurement on a patient who is in the following position:
■ Comfortably seated
■ Legs uncrossed
■ Feet flat on the floor
■ Back and arm supported
■ Middle of the cuff at the level of the right atrium of the heart

NOTE
• It is recommended that the patient relaxes as much as possible before performing measurement
and that the patient does not talk during NIBP measurement.
• It is recommended that 5 min should elapse before the first reading is taken.
• The operator should not touch the cuff or tubing during NIBP measurement.

12.5.2 Preparing to Measure NIBP

1. Power on the monitor.
2. Verify that the weight range is correct. If not, refer to 12.8.2 Setting NIBP Weitht Range to change it.
3. Plug the air tubing into the NIBP connector on the monitor.
4. Select a correct sized cuff and then apply it as follows:
◆ Determine the patient’s limb circumference.
◆ Select an appropriate cuff by referring to the limb circumference marked on the cuff. The width of the
cuff should be 40% of the limb circumference, or 2/3 of the upper arm’s length. The inflatable part of
the cuff should be long enough to encircle at least 50% to 80% of the limb.
◆ Apply the cuff to an upper arm or leg of the patient and make sure the Φ marking on the cuff matches
the artery location. Do not wrap the cuff too tightly around the limb. It may cause discoloration, and
ischemia of the extremities. Make sure that the cuff edge falls within the marked range. If it does not,
use a larger or smaller cuff that will fit better.
5. Connect the cuff to the air tubing and make sure that the air tubing is not compressed or twisted. Air must
pass unrestricted through the tubing.

12 - 2
 NOTE
• The use of the equipment is restricted to one patient at a time.

12.5.3 Starting and Stopping Measurements

Select the [NIBP Measure] QuickKey and you can start the desired measurement from the popup menu. You can
select [Stop All] QuickKey to stop all NIBP measurements. You can also start and stop measurements by using
the hardkey on the monitor’s front panel.

12.5.4 Correcting the Measurement if Limb is not at Heart Level

The cuff should be applied to a limb at the same level as the patient’s heart. If the limb is not at the heart level, to
the displayed value:
■ Add 0.75 mmHg (0.10 kPa) for each centimetre higher, or
■ Deduct 0.75 mmHg (0.10 kPa) for each centimeter lower.

12.5.5 Enabling NIBP Auto Cycling and Setting the Interval

1. Select the NIBP parameter window to enter the [NIBP Setup] menu.
2. Select [Interval] and then select a desired time interval. Selecting [Manual] switches to manual mode.
3. Start a measurement manually. The monitor will then automatically repeat NIBP measurements at the set
time interval.
Or
1. Select [NIBP Measure] QuickKey .
2. Select a proper interval.
3. Start a measurement manually. The monitor will then automatically repeat NIBP measurements at the set
time interval.
In auto mode, you can enable the clock function to synchronize the NIBP automatic measurements with the real
time clock.
For example, when the clock is enabled, if Interval is [20min], and then you start NIBP auto measurement at 14:
03, the next measurement will be taken at 14: 20, and the following measurement time will be 14:40, 15:00, and
so on.
To enable the clock, in the [NIBP Setup] menu, set [Clock] to [On].

NOTE
• The clock function is available only when the auto measurement interval is 5 minutes or more.

12.5.6 Starting a STAT Measurement

1. Select the NIBP parameter window to enter the [NIBP Setup] menu.
2. Select [NIBP STAT].
Or
1. Select [NIBP Measure] QuickKey .
2. Select [STAT].
The STAT mode initiates 5 minutes of continuous, sequential, automatic NIBP measurements.

WARNING
• Continuous non-invasive blood pressure measurements may cause purpura, ischemia and
neuropathy in the limb with the cuff. Inspect the application site regularly to ensure skin quality and
inspect the extremity of the cuffed limb for normal color, warmth and sensitivity. If any abnormity
occurs, move the cuff to another site or stop the blood pressure measurements immediately.

12 - 3
12.5.7 Sequence Measurement
NIBP sequence measurement can include up to five cycles: A, B, C, D and E. You can individually set the duration
and interval for each cycle.
To set the sequence measurement, follow this procedure:
1. Select the NIBP parameter window to enter the [NIBP Setup] menu.
2. Select [Sequence Setup>>].
3. Set up [Duration] and [Interval] for each cycle.
To start the sequence measurement, follow this procedure:
1. Select the NIBP parameter window to enter the [NIBP Setup] menu.
2. Set [Interval] to [Sequence].
3. Select [Start NIBP], or select [NIBP Measure] Quickkey in the main screen.
When the NIBP sequence measurement is in use, the NIBP parameter area displays as follows:

(1) (2) (3) (4)

(1) Time of last measurement (2) Time remaining to next measurement

(3) Cycle name (4) NIBP measurement Interval

12.6 Understanding the NIBP Numerics

The NIBP display shows numerics only as below. Your display may be configured to look slightly different.

(1) (2) (3)

(4)
(6)

(5) (7)

(1) Time of last measurement (2) Time remaining to next measurement

(3) Measurement mode (4) Unit of pressure: mmHg or kPa

(5) Systolic pressure (6) Diastolic pressure

12 - 4
 (7) Mean pressure obtained after the measurement and cuff pressure obtained during the
measurement

If the NIBP measurement exceeds the measurement range, “---” will be displayed.

12.7 Making NIBP Analysis

NIBP analysis provides the user a dynamic analysis of NIBP changes and distribution over the time scale. It allows
you to know the patient’s condition of the latest 24 hours before you entering the [NIBP Analysis] window.
To make NIBP analysis:
1. Select the ECG parameter window or waveform area to enter the [ECG Setup] menu.
2. Select the [NIBP Analysis >>] tab.
◆ Analysis area: The area provides information including time duration, average NIBP, daytime average
NIBP, nighttime average NIBP, maximum NIBP, daytime maximum NIBP, nighttime maximum
NIBP,minimum NIBP, daytime minimum NIBP, night time minimum NIBP and normal NIBP ratio. The
normal NIBP range is set based on NIBP limits.
◆ [Nighttime]: Set the period for NIBP analysis at night time. The minimum period can be set to 30
minutes.
◆ [Print]: Select it to print out the NIBP analysis report.
You can also click anywhere in the [NIBP Analysis] window to enter the [Review] window. For details, refer to 18
Review.

12.8 Changing NIBP Settings

By selecting the NIBP parameter window, you can enter the [NIBP Setup] menu.

12.8.1 Setting the Initial Cuff Inflation Pressure

You can set the initial cuff inflation pressure manually. In the [NIBP Setup] menu, select [Initial Pressure] and
then select the appropriate setting.

NOTE
• For known hypertensive patients, you need to set initial cuff pressure to a higher value to reduce the
measurement time.

12.8.2 Setting NIBP Weitht Range

Select [Weight Range] from the [NIBP Setup] menu. You can set the weight range according to the actual
weight of the patient.

12.8.3 Setting NIBP Alarm Properties

Select [Alarm Setup >>] from the [NIBP Setup] menu. You can set the alarm properties for this parameter in the
popup menu.

12.8.4 Displaying NIBP List

Select [Screens] QuickKey → [Screen Setup]. You can set [NIBP List] to be displayed at the bottom area of the
screen. Then, multiple sets of most recent NIBP measurements will be displayed. And PR displayed is derived
from NIBP. You can not display NIBP list in some screens such as the big numerics screen.

12.8.5 Setting the Pressure Unit

Select [Unit Setup >>] from the [User Maintenance] menu. In the popup menu, select [Press. Unit] and toggle
between [mmHg] and [kPa].

12 - 5
12.8.6 Switching On NIBP End Tone
The monitor can issue a reminder tone at the completion of NIBP measurement. The NIBP End Tone is off by
default. You can switch it on by accessing the [NIBP Setup] menu.

12.9 NIBP Leakage Test

The NIBP leakage test checks the integrity of the system and of the valve. The NIBP leakage test should be
performed once every two years or when you doubt the NIBP measurements. The NIBP leakage test should be
performed by Mindray-qualified service personnel only.

12.10 NIBP Accuracy Test

The NIBP accuracy test should be performed once every two years or when you doubt the NIBP measurements.
The NIBP accuracy test should be performed by Mindray-qualified service personnel only.

12 - 6
13 Monitoring Temp

13.1 Introduction
The equipment is used to monitor skin temperature and core temperature. You can monitor one temperature
site using the uMEC10 Vet, and simultaneously monitor two temperature sites using the uMEC12Vet.

13.2 Making a Temp Measurement

1. Select an appropriate probe for your patient according to the patient type and measuring site.
2. If you are using a disposable probe, connect the probe to the temperature cable.
3. Plug the probe or temperature cable to the temperature connector.
4. Attach the probe to the patient correctly.
5. Check that the alarm settings are appropriate for this patient.

13.3 Understanding the Temp Display

The temperature monitoring is displayed on the monitor as three numerics: T1, T2 and TD. By selecting this area,
you can enter the [Alarm Setup] menu.

13.4 Setting the Temperature Unit

Select [Unit Setup >>] from the [User Maintenance] menu. In the popup menu, select [Temp Unit] and toggle
between [ºC] and [ºF]

13 - 1
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13 - 2
14 Monitoring IBP (for uMEC12 Vet)

14.1 Introduction
The monitor can monitor up to 2 invasive blood pressures and displays the systolic, diastolic and mean pressures
and a waveform for each pressure.

14.2 Safety

WARNING
• Use only pressure transducers specified in this manual. Never reuse disposable pressure
transducers.
• Make sure that the applied parts never contact other conductive parts.
• To reduce the hazard of burns during high-frequency surgical procedure, ensure that the monitor’s
cables and transducers never come into contact with the high-frequency surgical units.
• When using accessories, their operating temperature should be taken into consideration. For
details, refer to instructions for use of accessories.
• The neutral electrode of the electro-surgery unit (ESU) shall properly contact the patient. Otherwise,
burns may result.

14.3 Zeroing the Transducer

To avoid inaccurate pressure readings, the monitor requires a valid zero. Zero the transducer in accordance with
your hospital policy (at least once per day). Zero whenever:
■ A new transducer or adapter cable is used.
■ You reconnect the transducer cable to the monitor.
■ The monitor restarts.
■ You doubt the readings.
1. Turn off the stopcock to the patient.

(1)

(2)

(3)

(4)

(1) pressure transducer (2) 3-way stopcock (3) pressure adapter cable (4) monitor

14 - 1
 2. Vent the transducer to the atmospheric pressure by turning on the stopcock to the air.
3. In the setup menu for the pressure (e.g. Art), select [Art Zero >>] → [Zero]. During zero calibration, the
[Zero] button appears dimmed. It recovers after the zero calibration is completed. To zero all IBP channels,
select [Zero IBP] QuickKey, and then select [Zero All Channels] in the popup menu.
4. After the zero calibration is completed, close the stopcock to the air and open the stopcock to the patient.

NOTE
• Your hospital policy may recommend that the ICP transducer is zeroed less frequently than other
transducers.

14.4 Setting Up the Pressure Measurement

1. Plug the pressure cable into the IBP connector.
2. Prepare the flush solution.
3. Flush the system to exhaust all air from the tubing. Ensure that the transducer and stopcocks are free of air
bubbles.

WARNING
• If air bubbles appear in the tubing system, flush the system with the infusion solution again. Air
bubble may lead to wrong pressure reading.

4. Connect the pressure line to the patient catheter.

5. Position the transducer so that it is level with the heart, approximately at the level of the midaxillary line.
6. Select the appropriate label.
7. Zero the transducer. After a successful zeroing, turn off the stopcock to the atmosphere and turn on the
stopcock to the patient.

(1) (4)
Pressure
transducer

(6)
(3)

(2)
(7)

(5)

(8)

(1) Heparinized fluid bag (2) Flushing set (3) Valve (4) pressure transducer
(5) Pressure line (6) Stopcock (7)Adapter cable for using disposable transducers (8) Monitor

14 - 2
 WARNING
• If measuring intracranial pressure (ICP) with a sitting patient, level the transducer with the top of the
patient’s ear. Incorrect leveling may give incorrect values.

14.5 Understanding the IBP Display

The IBP measurement is displayed on the monitor as a waveform and numeric pressures. The figure below shows
the waveform and numerics for the Art pressure. For different pressures, this display may be slightly different.

(1) (2) (3) (4) (5)

(1) Waveform (2) Pressure unit (3) Systolic pressure

(4) Diastolic pressure (5) Mean pressure

For some pressures, the parameter window may show the mean pressure only. For different pressures, their
defaults unit may be different. If the Art and ICP pressures are measured simultaneously, the ICP parameter area
will display numeric CPP, which is obtained by subtracting ICP from the Art mean.

14.6 Changing IBP Settings

14.6.1 Changing a Pressure for Monitoring

1. Select the pressure you want to change to enter its setup menu.
2. Select [Label] and then select your desired label from the list. The already displayed labels cannot be
selected.

Label Description Label Description

PA Pulmonary artery pressure CVP Central venous pressure

Ao Aortic pressure LAP Left atrial pressure

UAP Umbilical arterial pressure RAP Right atrial pressure

BAP Brachial arterial pressure ICP Intracranial pressure

FAP Femoral arterial pressure UVP Umbilical venous pressure

Art Arterial blood pressure LV Left ventricular pressure

P1 to P4 Non-specific pressure label

NOTE
• When two pressures are deteted having the same label, the monitor changes one pressure label to a
currently unused one.

14.6.2 Setting the Pressure Label Order

Select [IBP Label Order Setup >>] from the parameter setup menu to set the display order of the pressure
labels. The default display order is: Art, CVP, ICP, PA, Ao, UAP, FAP, BAP, LV, LAP, RAP, UVP, P1, P2, P3, P4. To restore
the default setting, you can select [Defaults] from the [IBP Label Order Setup] window.

14 - 3
14.6.3 Setting Alarm Properties
Select [Alarm Setup >>] from the parameter setup menu. You can set alarm properties for this parameter in the
popup menu.

14.6.4 Changing Averaging Time

The IBP value displayed on the monitor screen is the average of data collected within a specific time. The shorter
the averaging time is, the quicker the monitor responds to changes in the patient’s blood pressure. Contrarily,
the longer the averaging time is, the slower the monitor responds to changes in the patient’s blood pressure, but
the measurement accuracy will be improved. For critically ill patients, selecting shorter averaging time will help
understanding the patient’s state.
To set the averaging time, in the parameter setup menu, select [Sensitivity] and toggle between [High], [Med]
and [Low], the corresponding averaging time is about 1 s, 8 s and 12 s respectively.

14.6.5 Setting Up the IBP Wave

In the setup menu for the pressure, you can:
■ Select [Sweep] and then select the appropriate setting. The faster the wave sweeps, the wider the wave is.
■ Select [Scale] and then select the appropriate setting. If [Auto] is selected, the size of the pressure’s
waveform will be adjusted automatically.
■ Select [Filter] and then select the desired option.

14.6.6 Setting the Pressure Unit

Select [Unit Setup >>] from the [User Maintenance] menu. In the popup menu, select [Press. Unit] and toggle
between [mmHg] and [kPa]. Select [CVP Unit] and toggle between [mmHg], [cmH2O] and [kPa].

14.7 Troubleshooting
This section lists the problems that might occur. If you encounter the problems when using the equipment or
accessories, check the table below before requesting for services. If the problem persists, contact your service
personnel.

CAUTION
• Never try to disassemble the equipment or supplied accessories. There are no internal user-
serviceable parts.

14 - 4
Symptoms Possible Cause Correction Action

Damped invasive Air bubbles in tubing Eliminate air from tubing as described in 14.4
waveform Setting Up the Pressure Measurement.

Kinked catheter Change the position of catheter.

Blood in tubing Pressurize the solution bag to 300 mmHg. For

details, refer to the instructions for use of the
solution bag.

IBP not displayed/no IBP Improper setup Check display setup in monitor setup.
waveform
Cable not plugged in Check that the cables are properly connected.

Transducer not connected. Check that the transducer is properly

connected.

Stopcock turned improperly. Check that the stopcock is turned to the correct
position.

Transducer not zeroed Check and zero the transducer as described in

14.3 Zeroing the Transducer.

Dashes “- -” display in place The measured result is invalid or out of Change to a pulsatile label.
of numerics. range.
IBP might be set to non-pulsatile labels
like CVP, LA, RA, and ICP.

Abnormally high or low Transducer too High or too Low. Adjust the position of the transducer and make
readings sure that it is level with the heart, approximately
at the level of the midaxillary line.
Zero the transducer as described in 14.3
Zeroing the Transducer.

Unable to Zero Stopcock not open to atmosphere. Check the transducer and make sure the
stopcock is turned to the air.

14 - 5
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14 - 6
15 Monitoring Cardiac Output (for uMEC12 Vet)

15.1 Introduction
The cardiac output (C.O.) measurement invasively measures cardiac output and other hemodynamic parameters
using the right heart (atria) thermodilution method. A cold solution of known volume and temperature is
injected into the right atrium through the proximal port of a pulmonary artery (PA) catheter. The cold solution
mixes with the blood in the right ventricle and the change in blood temperature is measured with a thermistor
at the distal end of the catheter in the pulmonary artery. The temperature change is displayed as a curve in the
C.O. split screen, and the monitor calculates the C.O. value from this curve. The C.O. value is inversely
proportional to the area under the curve. As cardiac output varies continuously, a series of measurements must
be carried out to achieve a reliable C.O. average value. Always use the average of multiple thermodilution
measurements for therapy decisions. The monitor is capable of storing 6 measurements.

15.2 Understanding the C.O. Display

The C.O. measurement is displayed on the monitor as numeric C.O., C.I. and TB in the C.O. parameter window as
shown below. To enter the [C.O. Setup] menu, select the C.O. parameter window.

(2)

(1) (3)

(4)

(1) Cardiac output (2) Time at which the C.O. average is calculated

(3) Cardiac index (4) Blood temperature

15.3 Influencing Factors

The factors that affect cardiac output are:
■ temperature of injectate solution,
■ volume of injectate solution,
■ patient’s baseline blood temperature,
■ patient’s inspiratory/expiratory cycle,
■ placement of catheter with relation to proximity of lung field,
■ the catheter itself,
■ the patient rhythm and hemodynamic status, and
■ any other rapid IV solutions which are infused while the C.O. measurement is being performed.
Followings are some technique suggestions to obtain accurate C.O.:
■ Injectate solution must be cooler than the patient’s blood.
■ Inject solution rapidly and smoothly.
■ Inject at end expiration.

15.4 Setting Up the C.O. Measurement

15 - 1
 WARNING
• Use only accessories specified in this manual. Make sure that the accessories never come into
contact with conductive parts.

1. Connect the C.O. cable to the C.O. connector on the monitor.

2. Interconnect the monitor, catheter and syringe as shown below. Make sure that:
◆ The PA catheter is in place in the patient.
◆ The C.O. cable is properly connected to the monitor.

(9)

(1) (5)

(7)

(2)

(8)
(3)

(6)

(4) (10)

(1) Monitor (2) PA catheter (3) Hole (4) Balloon inflation port (5)C.O. cable
(6) In-line probe (7) Syringe (8) Stopcock (9) Injectate (10) Ice water

NOTE
• The above picture is connecting illustration when TI sensor PN 6000-10-02079 is used. The
connection may be different if other TI sensors are used.

3. Select the C.O. parameter window to enter the [C.O. Setup] menu. Check if the height and weight are
appropriate for your patient. Change if necessary.
4. In the [C.O. Setup] menu:
◆ Check that the correct computation constant is entered. Refer to the Instruction for Use of pulmonary
artery catheter to determine the [Comp. Const] according to the entered injectate volume and
temperature. To change the computation constant, select [Comp. Const] and then enter the correct
value. When a new catheter is used, the computation constant should be adjusted in accordance with
the manufacturer’s instructions for use.

15 - 2
 ◆ Set the [Auto TI] to [Manual] or [Auto]. If you select [Auto], the system automatically detects the
injectate temperature, and the [Manual TI] is disabled. If you select [Manual], you need to enter the
injectate temperature at [Manual TI] manually.
◆ Set the [Measuring Mode] to [Manual] or [Auto]. In [Auto] mode, the monitor automatically takes
C.O. measurement after establishing a baseline blood temperature. In [Manual] mode, you need to
click the [Start] button in the C.O. measurements window when the monitor is ready for new C.O.
measurement.
5. Select [Enter C.O. Screen] to enter the C.O. measurements window.

(1)

(6)
(2)

(5)
(3)

(4)

(1) Currently measured numeric (2) Currently measured C.O. curve

(3) Prompt message area (4) Buttons

(5) Averaged values (6) Measurement windows

6. Proceed as follows.
◆ In [Manual] measure mode, select the [Start] button and then inject the solution quickly when you
see the message [Ready for new set of measurement]. As shown in the figure above, during the
measurement, the currently measured thermodilution curve is displayed. At the end of the
measurement, the thermodilution curve is transferred to one of the 6 measurement windows and the
monitor prompts you to wait for a certain period of time before starting a new measurement.
◆ In [Auto] measure mode, the monitor consecutively takes C.O. measurements automatically without
the need for pressing the [Start] button between two measurements. A new thermodilution
measurement is possible as soon as the message [Inject now!] is displayed on the screen. The
monitor automatically detects further thermodilution measurements.
7. Consecutively take 3 to 5 single measurements as instructed by Step 6.
A maximum of 6 measurements can be stored. If you perform more than six measurements without rejecting
any, the oldest will automatically be deleted when a seventh curve is stored. Select from the 6 measurement
curves and the system will automatically calculate and display the averaged C.O. and C.I. values. Then select the
[Accept Average] button to accept and store the averaged values.
When injecting, the stopcock to the PA catheter is open and the stopcock to the injectate solution is closed. After
the measurement is completed, turn off the stopcock to the PA catheter and turn on the stopcock to the
injectate solution, and then draw the injectate solution into the injectate syringe.
In the buttons area, you can:
■ Select [Start] to start a C.O. measurement.
■ Select [Cancel] during a measurement to cancel the measurement. Selecting it after a measurement
deletes the measured results.
■ Select [Record] to print out the curves selected for average calculation, numerics and averaged values by
the recorder.

15 - 3
 ■ Select [Setup >>] to access the [C.O. Setup] menu.
■ Select [Calc >>] → [Hemodynamic >>] to access the [Hemodynamic Calculation] menu.
The system can automatically adjust the X-axis scale range to 30 s or 60 s and Y-axis scale range to 0.5°C, 1.0°C, or
2.0°C.

NOTE
• Starting measuring without blood temperature being stable yet may cause measuring failure.
• During the cardiac output measurement, blood temperature alarms are inactive.
• Please refer to the Instructions for Use of pulmonary artery catheter delivered with the monitor to
determine the [Comp. Const] and the volume of injectate.

15.5 Measuring the Blood Temperature

As shown below, the blood temperature is measured with a temperature sensor at the distal end of the catheter
in the pulmonary artery. During C.O. measurements, blood temperature alarms are suppressed to avoid false
alarms. They will automatically recover as soon as the C.O. measurements are completed.

(4)

(1) (5)

(2) (6)

(3)

(1) PA catheter (2) Right atrium (3) Right ventricle (4) Pulmonary artery (5) Baloon (6) Sensor

15.6 Changing C.O. Settings

15.6.1 Setting the Temperature Unit

Select [Unit Setup >>] from the [User Maintenance] menu. In the popup menu, select [Temp Unit] to toggle
between [°C] and [°F].

15.6.2 Setting Alarm Properties

Select [Alarm Setup >>] from the [C.O. Setup] menu. You can set alarm properties for this parameter in the
popup menu.

15 - 4
16 Monitoring Carbon Dioxide (for uMEC12 Vet)

16.1 Introduction
CO2 monitoring is a continuous, non-invasive technique for determining the concentration of CO2 in the patient’
airway by measuring the absorption of infrared (IR) light of specific wavelengths. CO2 has its own absorption
characteristic and the amount of light passing the gas probe depends on the concentration of the measured
CO2. When a specific band of IR light is passed through respiratory gas samples, some of IR light will be absorbed
by the CO2 molecules. The amount of IR light transmitted after it has been passed through the respiratory gas
sample is measured with a photodetector. From the amount of IR light measured, the concentration of CO2 is
calculated.
CO2 measurements are used to monitor the patient’s respiratory status.

16.2 Safety

WARNING
• Remove the airway sampling line from the patient’s airway while nebulized medications are being
delivered.
• Leakage in the breathing or sampling system may cause the displayed EtCO2 values to be
significantly low. Always make sure that all components are securely connected.
• EtCO2 values measured from the CO2 module may differ from those of from the blood gas analysis.
• Route all tubing away from the patient’s throat to avoid strangulation.
• Inspect the airway adapter for a tight connection and proper operation before attaching it to the
patient.
• Squeezing or bending the sampling line during the CO2 measurement may cause inaccurate CO2
reading or no reading.

16.3 Measurement Limitations

The following factors may influence the measurement accuracy:
■ Leaks or internal venting of sampled gas
■ Mechanical shock
■ Cyclic pressure up to 10 kPa (100 cmH2O)
■ Other sources of interference, if any
Measurement accuracy may be affected by the breath rate and inspiration/expiration (I/E) ratio as follow:
■ EtCO2 value is within specification for breath rate ≤ 60 bpm and I/E ratio ≤ 1: 1;
■ EtCO2 value is within specification for breath rate ≤ 30 bpm and I/E ratio ≤ 2: 1.
Measurement accuracy is unspecified for breath rate larger than 60 bpm.

16 - 1
16.4 Understanding CO2 Display
The CO2 parameter and waveform areas provide FiCO2 measurement, EtCO2 measurement, awRR measurement,
and a CO2 waveform.

(3)

(4)

(1) (2)

(1) CO2 waveform (2) End tidal CO2 value (EtCO2)

(3) Airway respiration rate (awRR) (4) Fraction of inspired CO2 (FiCO2)

16.5 Measuring CO2

WARNING
• Check that the alarm limit settings are appropriate before taking measurement.

16.5.1 Making a CO2 Measurement

1. Select the appropriate watertrap and sampling line according to the patient category.
2. Connect the watertrap to the watertrap receptacle, and then connect the sampling line to the watertrap as
shown below.

(1)

(2) (3)

(1) Watertrap fixer (2) Watertrap (3) Sampling line

3. Connect the other end of the sampling line to the patient.
4. Connect the gas outlet to the scavenging system using an exhaust tube.
After the CO2 module is connected to the SMR, it enters measure mode by default and the monitor displays CO2
Starting. CO2 can be measured after the start-up is complete.

CAUTION
• Connect the gas outlet to the scavenging system when measuring CO2.

16 - 2
 • The watertrap collects water drops condensed in the sampling line and therefore prevents them
from entering the module. If the collected water reaches a certain amount , you should drain it to
avoid blocking the airway. Dispose of accumulated fluids in accordance with the hospital policy or
your local regulations.
• To avoid blocking the airway, empty the DRYLINE II watertrap container whenever half full.
Replacing the DRYLINE II watertrap once a month is recommended.
• The watertrap has a filter preventing bacterium, water and secretions from entering the module.
Extended use could destroy the filter in watertrap and fail to stop the bacterium, water and
secretions entering the module, result in damaging the gas module and having infection risk.

NOTE
• Choose proper watertrap and module according to the patient category and patient weight.
Otherwise, patient injury could result.
• To extend the lifetime of the watertrap and module, disconnect the watertrap from the module and
set the operating mode to Standby mode when CO2 monitoring is not required.
• The emptying interval of the DRYLINE II adult/pediatric watertrap is 26 hours @ 120 ml/min, 37 °C,
and 100% RH.
• The emptying interval of the DRYLINE II neonatal watertrap is 35 hours @ 90 ml/min, 37 °C, and
100% RH.

16.5.2 Zeroing the CO2 Module

The CO2 module performs zero calibration automatically when needed.

NOTE
• The CO2 module temporally stops measuring during zeroing.

16.6 Changing CO2 Settings

16.6.1 Changing CO2 Alarm Settings

1. Select the CO2 parameter area or waveform area to enter the [CO2 Setup] menu.
2. Select the [Alarm Setup] tab.
3. Set the following alarm properties:
◆ Switch on or switch off the alarms or alarm recording.
◆ Adjust the alarm limits or alarm priority.
◆ Select [Apnea Delay] to set the delay time of the apnea alarm.

16.6.2 Changing the CO2 Unit

1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password and
then select [Ok].
2. Select the [Unit Setup >>] tab.
3. Set [CO2 Unit].

16.6.3 Setting the CO2 Waveform

In the [CO2 Setup] menu, you can:
■ Select [Wave Type] and toggle between [Draw] and [Fill]:
◆ [Draw]: The CO2 wave is displayed as a curved line.
◆ [Fill]: The CO2 wave is displayed as a filled area.

16 - 3
 ■ Select [Sweep] and then select the appropriate setting. The faster the wave sweeps, the wider the wave is.
■ Change the size of the CO2 waveform by adjusting the wave [Scale].

16.6.4 Setting the RR Source

1. Select the CO2 parameter area or waveform area to enter the [CO2 Setup] menu.
2. Set [RR Source].
When the current RR source does not have valid measurement, the system will automatically switch [RR Source]
to [Auto].
The [RR Source] settings of Resp and CO2 module are linked. For details, please refer to 9.9 Setting RR Source.

16.6.5 Entering the Standby Mode

You can set the CO2 module to one of the following modes according to the module status:
■ Select [Measure] mode when you use the CO2 modue for monitoring.
■ Select [Standby] mode when you does not use the CO2 module to prolong the serviec life of the CO2
module.
The default operating mode is [Measure]. If you are not using the CO2 module, you can proceed as follows to
enter the standy mode:
1. Select the CO2 parameter area or waveform area to enter the [CO2 Setup] menu.
2. Set [Operating Mode] to [Standby].

16.6.6 Setting the Auto Standby

The monitor enters the standby mode automatically after the configured period of time if no breath is detected
since the last detected breath. To set the auto standby, follow this procedure:
1. Select the CO2 parameter area or waveform area to enter the [CO2 Setup] menu.
2. Set [Auto Standby].

16.6.7 Setting the Gas Compensations

The presence of interfering gas affects the CO2 measurement. To get the best possible measuring result, it is
needed to set the gas compensation. The configured concentration of the interfering gas should be in
accordance with its actual proportion.

WARNING
• Make sure to use the appropriate compensations. Inappropriate compensations may cause
inaccurate measurement values and result in misdiagnosis.

1. Select the CO2 parameter area or waveform area to enter the [CO2 Setup] menu.
2. Set the compensation according to the actual condition.

16.6.8 Setting Humidity Compensation

The CO2 modules is configured to compensate CO2 readings for either Body Temperature and Pressure,
Saturated Gas (BTPS), to account for humidity in the patient’s breath, or Ambient Temperature and Pressure, Dry
Gas (ATPD).

ATPD: Pco2 (mmHg) = CO2 (vol%) × Pamb / 100

BTPS: PCO 2 (mmHg) = CO2 (vol %) × ( Pamb − 47) / 100

Where, PCO2 = partial pressure, vol %= CO2 concentration, Pamb = ambient pressure, and unit is mmHg.
To set the humidity compensation:

16 - 4
 1. Select the CO2 parameter area or waveform area to enter the [CO2 Setup] menu.
2. Select [BTPS Compen] and then toggle between [On] and [Off].
◆ Switch on for BTPS.
◆ Switch off for ATPD.

16.7 Setting Barometric Pressure Compensation

The CO2 module has the function of automatic barometric pressure compensation (the system automatically
measures the barometric pressure which the monitor is exposed to).

16.8 Calibrating the CO2 Module

A calibration should be performed once a year or when the readings go far beyond the range. To calibrate the CO2
module, contact your service personnel.

16 - 5
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16 - 6
17 Freezing Waveforms

During monitoring, the freeze feature allows you to freeze the currently displayed waveforms on the screen so
that you can have a close examination of the patient’s status. Besides, you can select any frozen waveform for
recording.

17.1 Freezing Waveforms

1. To freeze waveforms, select the hardkey on the monitor’s front.
2. The system closes the displayed menu (if any), and opens the [Freeze] menu.
3. All displayed waveforms are frozen, i.e. the waveforms stop being refreshed or scrolling.

The freeze feature exerts no effect on the split-screen view of minitrends, OxyCRG and other patients.

17.2 Viewing Frozen Waveforms

To view the frozen waveforms, you can either:
■ Select the [Scroll] button and then rotate the Knob clockwise or counter-clockwise, or
■ Directly select the or beside the [Scroll] button using a mouse or through the touchscreen.
The frozen waveforms will scroll left or right accordingly. And meanwhile, at the lower right corner of the
bottommost waveform, there is an upward arrow. The freeze time is displayed below the arrow and the initial
frozen time is [0 s]. With the waveforms scrolling, the freeze time changes at intervals of 1 second. This change
will be applied for all waveforms on the screen.

17.3 Unfreezing Waveforms

To unfreeze the frozen waveforms, you can either:
■ Select the button at the upper right corner of the [Freeze] menu,
■ Select the hardkey on the monitor’s front, or
■ Perform any other action that causes the screen to be readjusted or opens a menu, such as plugging in or
out a module, pressing the hardkey, etc.

17.4 Recording Frozen Waveforms

1. In the [Freeze] menu, select, in turn, [Wave 1], [Wave 2] and [Wave 3] and then select your desired
waveforms.
2. Select the [Record] button. The selected waveforms and all numerics at the frozen time are printed out by
the recorder.

17 - 1
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17 - 2
18 Review

18.1 Accessing Respective Review Windows

1. Select the [Review] QuickKey, or [Main Menu] → [Review >>].
2. Select [Graphic Trends], [Tabular Trends], [Events], or [Full Disclosure] to access their respective review
windows.

18.2 Reviewing Graphic Trends

In the [Review] menu, select [Graphic Trends] to access the following window.

(1)
(2)

(4)
(3)

(5)

(1) Event mark area (2) Time axis (3) Graphic trends area

(4) Parameter area (5) Cursor

Events are marked with colors in the event mark area. Red represents high level alarm event. Yellow represents
medium/low level alarm event.
In this review window:
■ Select [Trend Group] and you can select a trend group for viewing in the popup menu. If [Custom 1] or
[Custom 2] is selected, you can further select [Define Trend Group]. Then you can select the parameters
for viewing in the popup menu.
■ You can set the time length of the review window by selecting [Zoom].
■ You can set the number of waves displayed in one page by selecting [Waves].
■ To browse the graphic trends, you can either:
◆ Select or beside [Scroll] to move the cursor one step to the left or right to navigate through
the graphic trends, or
◆ Select or to move the cursor one page to the left or right to navigate through the graphic
trends.

18 - 1
 A time indicating your current position is displayed above the parameter area. Numeric measurement values
corresponding to the cursor location change as the cursor is moved. The measurement value that triggered high
level alarm has red background. The one that triggered medium/low level alarm has yellow background.
■ By selecting or beside [Event], you can position the cursor to different event time.
■ By selecting the [Record] button, you can print out the currently displayed graphic trends by the recorder.
■ By selecting the [Print] button, you can set and print out the graphic trends report by the printer. For how
to set the graphic trends report, please refer to chapter 21 Printing.

18.3 Reviewing Tabular Trends

In the [Review] menu, select [Tabular Trends] to access the tabular trendswindow.

Events are marked with colors in window’s top area. Red represents high level alarm event. Yellow represents
medium/low level alarm event.
In this review window:
■ Select [Trend Group] and you can select a trend group for viewing in the popup menu. If [Custom 1] or
[Custom 2] is selected, you can further select [Define Trend Group]. Then you can select the parameters
for viewing in the popup menu.
■ You can change the resolution of the trend data by selecting [Interval] and then selecting the appropriate
setting:
◆ [5 s] or [30 s]: select to view up to 4 hours of tabular trends at 5- or 30-second resolution.
◆ [1 min], [5 min], [10 min], [15 min], [30 min], [1 h], [2 h] or [3 h]: select to view up to 120 hours of
tabular trends at your selected resolution.
◆ [NIBP]: select to view the tabular trends when NIBP measurements were acquired.
■ To browse the tabular trends, you can either:
◆ Select or beside [Scroll] to drag the scrollbar left or right to navigate through the trend
database, or
◆ Select or to scroll left or right to navigate through the trend database.
The measurement value that triggered high level alarm has red background. The one that triggered medium/
low level alarm has yellow background.
■ By selecting or beside [Event], you can position the cursor to different event time.
■ By selecting the [Record] button, you can access the [Record Setup] menu and set the start and end time
of the tabular trends you want to record. This feature is not available when reviewing a history patient. By
further selecting [Record], you can print out the currently displayed tabular trends by the recorder.
■ By selecting the [Print] button, you can set and print out the tabular trends report by the printer. For how
to set the tabular trends report, please refer to 21 Printing.

18.4 Reviewing Events

The monitor saves the events in real time. You can review these events.
In the [Review] menu, select [Events] to access the following window.
The events that can be reviewed include parameter alarm events and arrhythmia alarm events. When an event
occurs, all the measurement numerics at the event trigger time and related waveforms 4 seconds, 8 seconds, or
16 seconds, as per the setting of recording length, respectively before and after the event trigger time are stored.

In this window:
■ You can view the desired events by selecting [Event].
■ You can view the desired events according to the level by selecting [Level].
After selecting the desired event, you can select [Details] to access the details window. In this window, the
waveform area displays the waveforms related to the event, and the parameter area displays the parameter
values happened at the event trigger time.

18 - 2
 NOTE
• Pausing or switching off alarms will not be recorded as events. The time of these operations will not
be recorded in the system log.
• A total loss of power has no impact on the saved events.
• Earlier-recorded events might be overwritten by later ones if it reaches capacity.

In this window:
■ You can select or to navigate through the waveforms.
■ You can select or beside the [Event] button to switch between events.
■ You can set the desired [Gain] for ECG waveform.
■ You can set the desired [Sweep].
■ By selecting the [Record] button, you can print out the currently displayed alarm events by the recorder.
■ By selecting the [Events List] button, you can view the events list.
■ By selecting the [Print] button, you can print out the currently displayed alarm events by the printer, please
refer to 21 Printing.

18.5 Reviewing Waveforms

In the [Review] menu, select [Full Disclosure] to access the full disclosure window.

In this review window:

■ To review full-disclosure waveforms, you need to save waveforms first. Select [Save Waves >>] and then
select the parameters whose waveforms you want to view. To save full-disclosure waveform, your monitor
must be equipped with a storage card.
■ To view the waveforms, you can either:
◆ Select or beside the [Scroll] button to move the cursor one step left or right to navigate
through the waveforms, or
◆ Select or to move the cursor one page left or right to navigate through the waveforms.
A time indicating your current position is displayed at the top of the waveform area. Numeric measurement
values corresponding to the cursor location are displayed in the parameter area, and change as the cursor
is moved.
■ You can change the ECG wave gain by selecting [Gain] and then selecting the appropriate setting.
■ You can change the waveform sweep speed by selecting [Sweep] and then selecting the appropriate
setting.
■ By selecting the [Record] button, you can print out the first three waveforms and measurement numerics
by the recorder.
■ By selecting or beside the [Event] button, you can position the cursor between events.

18 - 3
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18 - 4
19 Calculations

19.1 Introduction
The calculation feature is available with your monitor. The calculated values, which are not directly measured,
are computed based on the values you provide.
Your can perform the following calculations:
■ Dose calculations
■ Hemodynamic calculations
To perform a calculation, select [Main Menu] → [Calc >>], or the [Calculations] QuickKey and then select the
calculation you want to perform.

NOTE
• The calculation feature is independent of other monitoring functions and can be therefore used for
patients being monitored by other monitors. Any operation in a calculation window does not affect
the monitoring by the local monitor.

WARNING
• After the calculation is finished, verify the entered values are correct and the calculated values are
appropriate. We assume no responsibility for any consequences caused by wrong entries and
improper operations.

19.2 Dose Calculations

19.2.1 Performing Calculations

To perform a dose calculation:
1. Select [Main Menu] → [Calculations >>] → [Dose >>], or select [Calculations] QuickKey → [Dose >>].
2. Select, in turn, [Patient Cat.] and [Drug Name] and then select the appropriate settings. Drug A through
Drug E are for those not specified in this library.
3. The system gives a set of default values when the above steps are finished. However, these values cannot
be used as the calculated values. The user must enter values following the doctor’s instructions, and then
the calculated values can only be used
4. Enter the patient’s weight.
5. Enter other values.
6. Verify if the calculated values are correct.

19.2.2 Selecting the Proper Drug Unit

Each drug has its fixed unit or unit series. Among a unit series, one unit may change to another automatically
depending on the entered value.
The units for each drug are as follows:
■ Drug A, B, C, Aminophylline, Dobutamine, Dopamine, Epinephrine, Isuprel, Lidocaine, Nipride and
NItroglycerin use the unit series: g, mg and mcg.
■ Drug D, Heparin and Pitocin use the unit series: Unit, KU (kilo units) and MU (million units).
■ Drug E uses the unit: mEq (milli-equivalents).
You must select the proper drug name (A, B, C, D or E) according to the units when you define a drug not listed in
this library.

19 - 1
 NOTE
• [Drip Rate] and [Drop Size] are disabled.

19.2.3 Titration Table

To open the titration table, select [Titration Table >>] in the [Dose Calculation] window after the dose
calculation is finished.
In the titration table, when you change:
■ [Reference]
■ [Interval]
■ [Dose Type]
The titrated values change accordingly.
You can also:
■ Select or , or or beside the vertical scrollbar to view more values.
■ Select [Record] to print out the currently displayed titrated values by the recorder.

19.2.4 Drug Calculation Formulas

Abbreviation Unit Formula

Conc. g/ml, unit/ml or mEq/ml Amount / Volume

Dose Dose/hr, Dose/kg/min Rate × Conc.

Volume ml Rate × Duration

Amount g, unit, mEq Rate × Duration

Duration h Amount/Dose

19.3 Hemodynamic Calculations

19.3.1 Performing Calculations

To perform a hemodynamic calculation:
1. Select [Main Menu] → [Calculations >>] → [Hemodynamic >>], or select [Calculations] QuickKey →
[Hemodynamic >>].
2. Enter values for calculation.
◆ For a patient who is being monitored, [HR], [Art mean], [PA mean] and [CVP] are automatically taken
from the currently measured values. If you just have performed C.O. measurements, [C.O.] is the
average of multiple thermodilution measurements. [Height] and [Weight] are the patient’s height
and weight you have entered. If the monitor does not provide these values, their fields appear blank.
◆ For a patient who is not being monitored, confirm the values you have entered.
3. Select the [Calculate] button. The system performs a calculation per the current settings and displays the
calculated values.
◆ If a calculated value is outside the range, its background will highlight in yellow. You can select
[Range] to view its normal range in the unit field.
◆ Invalid values are displayed as [---].
In the [Hemodynamic Calculation] window, you can:
■ Trigger a recording by selecting the [Record] button. The currently displayed hemodynamic calculation is
printed out by the recorder.

19 - 2
 ■ Review the previously performed calculations by selecting [Review].

19.3.2 Entered Parameters

Abbreviation Unit Full Spelling

C.O. L/min cardiac output

HR bpm heart rate

PAWP mmHg pulmonary artery wedge pressure

Art Mean mmHg artery mean pressure

PA Mean mmHg pulmonary artery mean pressure

CVP mmHg central venous pressure

EDV ml end-diastolic volume

Height cm height

Weight kg weight

19.3.3 Calculated Parameters and Formulas

Abbreviation Unit Full spelling Formula

BSA m2 body surface area Wt 0.425 × Ht 0.725 × 0.007184

C.I. L/min/m2 cardiac index C.O. / BSA

SV ml stroke volume C.O. / HR × 1000

SI ml/m2 stroke index SV/ BSA

SVR DS/cm5 systemic vascular resistance 79.96 × (AP MAP × CVP) / C.O.

SVRI DS·m2/cm5 systemic vascular resistance SVR × BSA

index

PVR DS/cm5 pulmonary vascular resistance 79.96 × (PAMAP × PAWP) / C.O.

PVRI DS·m2 /cm 5

pulmonary vascular resistance PVR × BSA
index

LCW kg·m left cardiac work 0.0136 × APMAP × C.O.

LCWI kg·m/m2 left cardiac work index LCW / BSA

LVSW g·m left ventricular stroke work 0.0136 × APMAP × SV

LVSWI g·m/m2 left ventricular stroke work LVSW / BSA

index

RCW kg·m right cardiac work 0.0136 × PAMAP × C.O.

2
RCWI kg·m/m right cardiac work index RCW / BSA

RVSW g·m right ventricular stroke work 0.0136 × PAMAP × SV

RVSWI g·m/m2 right ventricular stroke work RVSW / BSA

index

EF % ejection fraction 100 × SV / EDV

19 - 3
19.4 Understanding the Review Window
With the review feature, you can review oxygenation, ventilation, hemodynamic and renal calculations. The
review window for each calculation is similar. Take the hemodynamic calculations review window for example,
you can access it by selecting [Review] in the [Hemodynamic Calculation] window.
In this review window:
■ You can select , or to view more values.
■ The values that exceed the range are displayed in yellow background. The [Unit] field displays parameter
units. If some parameter values are outside of their normal ranges, you can view their normal range in the
[Unit] field by selecting [Range].
■ You can review an individual calculation by selecting its corresponding column and then selecting
[Original Calc]. You can record the currently displayed calculations or perform another calculation is this
window.

19 - 4
20 Recording

20.1 Using a Recorder

The thermal recorder records patient information, measurement numerics, up to three waveforms, etc.

(1) (2)

(4)
(3)

(5)

(1) Start/Stop key: press to start a recording or stop the current recording.

(2) Indicator

◆ On: when the recorder works correctly.

◆ Off: when the monitor is switched off.
◆ Flashes: if an error occurred to the recorder, e.g., the recorder runs out of paper.

(3) Paper outlet

(4) Latch

(5) Recorder door

20.2 Overview of Recording Types

By the way recordings are triggered, the recordings can be classified into the following categories:
■ Manually-triggered realtime recordings.
■ Timed recordings.
■ Alarm recordings triggered by an alarm limit violation or an arrhythmia event.
■ Manually-triggered, task-related recordings.

NOTE
• For details about alarm recording, refer to 7 Alarms.
• For details about task-related recordings, refer to respective sections of this manual.

20 - 1
20.3 Starting and Stopping Recordings
To manually start a recording, you can either:
■ Select the hardkey on the recorder module, or
■ Select the [Record] button from the current menu or window.
Automatic recordings will be triggered in the following conditions:
■ Timed recordings will start automatically at preset intervals.
■ If both [Alarm] and [Alm Rec] for a measurement are set on, an alarm recording will be triggered
automatically as alarms occur.
To manually stop a recording, you can either:
■ Select the hardkey again, or
■ Select [Clear All Tasks] in the [Record Setup] menu.
Recordings stop automatically when:
■ A recording is completed.
■ The recorder runs out of paper.
■ When the recorder has an alarm condition.
When a recording is stopped, the following markers will be added:
■ Automatically stopped recording: print two columns of ‘*’ at the end of the report.
■ Manually or abnormally stopped recording: print one column of ‘*’ at the end of the report.

20.4 Setting Up the Recorder

20.4.1 Accessing the Record Setup Menu

By selecting [Main Menu] → [Record Setup >>], you can access the [Record Setup] menu.

20.4.2 Selecting Waveforms for Recording

The recorder can record up to 3 waveforms at a time. You can select, in turn, [Waveform 1], [Waveform 2] and
[Waveform 3] in the [Record Setup] menu, and then select the waveforms you want. You can also turn off a
waveform recording by selecting [Off]. These settings are intended for realtime and scheduled recordings.

20.4.3 Setting the Realtime Recording Length

After starting a realtime recording, the recording time depends on your monitor’s settings. In the [Record Setup]
menu, select [Length] and toggle between [8 s] and [Continuous].
■ [8 s]: record 4-second waveforms respectively before and after current moment.
■ [Continuous]: record the waveforms from the current moment until stopped manually.

20.4.4 Setting the Interval between Timed Recordings

Timed recordings start automatically at preset intervals. Each recording lasts 8 seconds. To set the interval
between timed recordings: in the [Record Setup] menu, select [Interval] and then select the appropriate
setting.

20.4.5 Changing the Recording Speed

In the [Record Setup] menu, select [Paper Speed] and toggle among [12.5 mm/s], [25 mm/s] and [50 mm/s].
This setting is for all recordings containing waveforms.

20 - 2
20.4.6 Clearing Recording Tasks
In the [Record Setup] menu, select [Clear All Tasks]. All queued recording tasks are cleared and the current
recording is stopped.

20.5 Loading Paper

1. Use the latch at the upper right of the recorder door to pull the door open.
2. Insert a new roll into the compartment as shown below.
3. Close the recorder door.
4. Check if paper is loaded correctly and the paper end is feeding from the top.

(1)

(1) Paper roll

CAUTION
• Use only specified thermal paper. Otherwise, it may cause damage to the recorder’s printhead, the
recorder may be unable to print, or poor print quality may result.
• Never pull the recorder paper with force when a recording is in process. Otherwise, it may cause
damage to the recorder.
• Do not leave the recorder door open unless you reload paper or remove troubles.

20.6 Removing Paper Jam

If the recorder works incorrectly or produces unusual sounds, check if there is a paper jam first. If a paper jam is
detected, follow this procedure to remove it:
1. Open the recorder door.
2. Take out the paper and tear off the draped part.
3. Reload the paper and close the recorder door.

20.7 Cleaning the Recorder Printhead

If the recorder has been used for a long time, deposits of paper debris may collect on the printhead
compromising the print quality and shortening the lifetime of the roller. Follow this procedure to clean the
printhead:
1. Take measures against the static electricity such as Disposable Wrist Strap for the work.
2. Open the recorder door and take out the paper.
3. Gently wipe around the printhead using cotton swabs dampened with alcohol.

20 - 3
 4. After the alcohol has completely been dried, reload the paper and close the recorder door.

CAUTION
• Do not use anything that may destroy the thermal element.
• Do not add unnecessary force to the thermal head.

20 - 4
21 Printing

21.1 Printer
The monitor can output patient reports via a connected printer. So far, the monitor supports the following
printer:
■ HP LaserJet Pro 400 M401n
■ HP LaserJet 600 M602
■ HP LaserJet Pro M203DN
■ HP LaserJet Pro M203DW
■ HP LaserJet Pro M403DN
The specifications of the reports the monitor prints are:
■ Paper: A4, Letter
■ Resolution: 300 dpi
For more details about the printer, see the document accompanying the printer. With the upgrading of products,
the monitor will support more printers and no prior notice will be given. If you have any doubt about the printer
you have purchased, contact our company.

21.2 Connecting a printer

To print the reports or the trend data of a patient, you can choose either:
■ the local printer:Connect the printer and the patient monitor through the network, and then start printing
what you want,
■ the Central Monitoring System:If your monitor is connected to a central monitoring system, it is
recommended to use the central monitoring system for printing.

21.3 Setting Up the Printer

To set the printer’s properties, select [Main Menu] → [Print Setup >>] → [Printer Setup >>]. In the [Printer
Setup] menu, you can:
■ Select a connected printer
Select [Printer] and then select a connected printer as the monitor’s printer.
■ Search for a printer
If your selected printer is not in the list or a new printer is added into the network, you can select the
[Search Printer] to re-search for all printers in the network.
■ Set up the paper
Select [Paper Size] and toggle between [A4] and [Letter].
■ Enable printing on both sides
Set [Print on Both Sides] to [On].

21 - 1
21.4 Starting Report Printouts

Reports Contents Procedures

ECG reports ECG waveforms and relevant Select [Main Menu] → [Print Setup >>] → [ECG Reports
parameter values >>] → [Print]

Tabular trends Depend on the selected parameter Select [Main Menu] → [Print Setup >>] → [Tabular
group, resolution and time period Trends Reports >>] → [Print], or select [Main Menu] →
[Review >>] → [Tabular Trends] → [Print] → [Print]

Graphic trends Depend on the selected parameter Select [Main Menu] → [Print Setup >>] → [Graphic
group, resolution and time period Trends Reports >>] → [Print], or select [Main Menu] →
[Review >>] → [Graphic Trends] → [Print] → [Print]

Parameter alarm Depend on the selected alarms Select [Main Menu] → [Review >>] → [Alarms] → [Print]
review

Realtime waves Depend on the selected waveforms Select [Main Menu] → [Print Setup >>] → [Realtime
Reports >>] → [Print]

21.5 Stopping Reports Printouts

To stop report printouts, select [Main Menu] → [Print Setup >>] → [Stop All Reports].

21.6 Setting Up Reports

21.6.1 Setting Up ECG Reports

You can print out ECG reports only under full-screen, half-screen or 12-lead monitoring screen. To set up ECG
reports, select [Main Menu] → [Print Setup >>] → [ECG Reports >>].
■ [Amplitude]: set the amplitude of the ECG waveforms.
■ [Sweep]: set the wave print speed to 25 mm/s or 50 mm/s.
■ [Auto Interval]: If [Auto Interval] is set to [On], the system will automatically adjust the space between
waveforms to avoid overlapping.

21.6.2 Setting Up Tabular Trends Reports

To set up tabular trends reports, select [Main Menu] → [Print Setup >>] → [Tabular Trends Reports >>].
■ Date: Select the desired date on which a tabular trends report is recorded for printing.
■ Start time: You can set a time period whose trend data will be printed out by setting [From] and [Back]. For
example, if you set [From] as 2007-4-2 10: 00: 00 and [Back] as [2 h], the outputted data will be from 2007-
4-2 08: 00: 00 to 2007-4-2 10: 00: 00. In addition, the [Back] can be set to either:
◆ [Auto]: If [Report Format] is set to [Time Oriented], the report will be printed by time. If [Report
Format] is set to [Parameter Oriented], the report will be printed by parameters.
◆ [All]: If you select [All], all trend data will be printed out. In this case, it is no need to set [From].
■ [Spacing]: choose the resolution of the tabular trends printed on the report.
◆ [NIBP]: prints a tabular trends report when NIBP measurements were acquired. Each NIBP
measurement will generate a column in the tabular trends review window. The values for the other
measurements are added to the column to provide a complete dataset for the NIBP measurement
time.
◆ [Auto]: prints a tabular trends report during the period selected and at the interval set in the [Interval]
option. The [Interval] option is located at the bottom the [Tabular Trends] tab of the [Review] window.
■ [Report Format]: If you select [Time Oriented], the report will be printed by time. If you select [Parameter
Oriented], the report will be printed by parameters.
■ [Select Parameter >>]: from the popup menu, you can:

21 - 2
 ◆ [Currently Displayed Trended Parameters]: print the parameter trend data selected from the
[Tabular Trends].
◆ [Standard Parameter Group]: select the standard parameter group for printing.
◆ [Custom]: You can define a parameter group for printing from the parameters displayed in the low
part of the menu.

21.6.3 Setting Up Graphic Trends Reports

To set up graphic trends reports, select [Main Menu] → [Print Setup >>] → [Graphic Trends Reports >>]. As
setting up graphic trends reports is similar with tabular trends reports, you can refer to the 21.6.2 Setting Up
Tabular Trends Reports for details.

21.6.4 Setting Up Realtime Reports

To set up realtime reports, select [Main Menu] → [Print Setup >>] → [Realtime Reports >>].
■ [Sweep]: set the wave print speed to 12.5 mm/s, 25 mm/s, 50 mm/s, or Auto.
■ [Select Wave >>]: from the popup menu, you can:
◆ [Current]: select the currently displayed waves for printing.
◆ [Select Wave]: select the desired waves for printing.

21.7 Printer Statuses

21.7.1 Printer Out of Paper

When the printer runs out of paper, the print request will not be responded. If there are too many print jobs that
are not responded, a printer error may occur. In these cases, you need to install paper and then re-send the print
request. Restart the printer if necessary.
Therefore, you’d better ensure that there is enough paper in the printer before sending a print request.

21.7.2 Printer Status Messages

Printer Status Message Possible causes and suggested action

Printer unavailable The selected printer is not available. Check if the printer is switched on or correctly
connected or installed with paper.

21 - 3
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21 - 4
22 Other Functions

22.1 Analog Output

The monitor provides analog output signals to accessory equipment via the multifunctional connector on the
rear of the monitor. To obtain analog output signals, connect the accessory equipment such as an oscillograph,
etc. to the monitor.

NOTE
• The analog output feature is seldom applied in clinical applications. You can contact your service
personnel for more details.

22.2 Exporting the Log

The monitor stores system status information, including failures, abnormity, and technical alarms, into the log.
You can export the log to a USB drive.
To export the log,
1. Connect a USB drive to the monitor’s USB connector. See 2.2.3 Rear View for the proper location of the USB
connector.
2. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password →
[Others >>].
3. Select [Export Log].

22.3 Transferring Data

You can transfer the patient data saved in the monitor to a PC via a crossover network cable or within a LAN for
data management, review or print.

22.3.1 Data Export System

You must install the data export system on the intended PC before performing the data transfer operation. Refer
to the document accompanying the installation CD-ROM for installation instructions.
The data transfer feature supports patient management, data review, data format conversion, print, etc. in
addition to data transfer. Refer to the help file of the system software for more details.

22.3.2 Transferring Data by Different Means

NOTE
• Never enter the data transfer mode when the monitor is in normal operation or performs
monitoring. You must re-start the monitor to exit the data transfer mode.

Transfer data via a crossover network cable

Before transferring data using a crossover network cable, do as follows:

1. Connect one end of the crossover network cable to the monitor and the other end to the PC.
2. Set the IP address of the PC. This IP address must be in the same network segment with that of the monitor.
3. Make sure that the data export system is active on the PC.

22 - 1
 Then, follow this procedure to transfer data:
1. Select [Main Menu] → [Patient Data >>] → [Transfer Data].
2. Select [Yes] from the popup message box.
3. Input the IP address already set on the PC.
4. Select [Start] to start transferring data.

Transfer data within a LAN

Before transferring data within a LAN, do as follows:

1. Connect the monitor and the intended PC into the same LAN and acquire the PC’s IP address.
2. Make sure that the data export system is active on the PC.
Follow the same procedure as via a crossover network cable to transfer data.

22.4 Nurse Call

The monitor provides a nurse call connector to output nurse call signal when a userdefined alarm occurs. To
obtain nurse call signal, use the nurse call cable (PN: 009-003116-00) we supply to connect the hospital nurse
call system to the nurse call connector of the monitor and then follow this procedure:
1. Select [Main Menu] → [Maintenance >>] → [User Maintenance >>] → enter the required password.
2. Select [Others >>] to access the [Others] menu.
3. Select [Nurse Call Setup >>] to change the nurse call settings as follows:
■ Select [Signal Type] and toggle between [Pulse] and [Continuous].
◆ [Pulse]: the nurse call signals are pulse signals and each pulse lasts 1 second. When multiple alarms
occur simultaneously, only one pulse signal is outputted. If an alarm occurs but the previous one is
not cleared yet, a new pulse signal will also be outputted.
◆ [Continuous]: the nurse call signal lasts until the alarm ends, i.e. the duration of a nurse call signal
equals to that of the alarm condition.
■ Select [Contact Type] and toggle between [Normally Open] and [Normally Closed].
◆ [Normally Open]: select if your hospital’s nurse call relay contact is normally open.
◆ [Normally Closed]: select if your hospital’s nurse call relay contact is normally closed.
■ Select [Alm Lev] and set the alarm level for nurse call-triggering alarms.
■ Select [Alarm Cat.] and then select the category to which the nurse call-triggering alarms belong.
Alarm conditions are indicated to nurses only when:
■ The nurse call system is enabled,
■ An alarm that meets your preset requirements occurs, and
■ The monitor is not in the alarm paused or reset status.

WARNING
• To obtain the nurse call signal, use the nurse call cable (PN: 009-003116-00) we supply. Otherwise the
nurse call function will not work and the monitor may be damaged.
• Do not rely exclusively on the nurse call system for alarm notification. Remember that the most
reliable alarm notification combines audible and visual alarm indications with the patient’s clinical
condition.

NOTE
• If no setting is selected from [Alm Lev] or [Alarm Cat.], no nurse call signal will be triggered whatever
alarms occur.

22 - 2
22.5 Network Connection

22.5.1 Selecting a Network Type

The monitor supports both wired and wireless network. To set the monitor network:
1. Select [Main Menu] → [Maintenance>>] → [User Maintenance>>] → enter the required password →
[Network Setup >>] → [Monitor Network Setup >>].
2. Set [Network Type] to [LAN] or [WLAN].

22.5.2 Setting the Wired Network

1. Select [Main Menu] → [Maintenance>>] → [User Maintenance>>] → enter the required password →
[Network Setup >>] → [Monitor Network Setup >>].
2. Set [Network Type] to [LAN].
3. Set [Address Type].
◆ [DHCP]: the monitor can automatically acquire network parameters.
◆ [Manual]: you need to manually input the monitor IP address, subnet mask and gateway address.

22.5.3 Setting the Wireless Network

The monitors can be connected to a wireless network via a built-in Wi-Fi module.
To set the wireless network:
1. Select [Main Menu] → [Maintenance>>] → [User Maintenance>>] → enter the required password →
[Network Setup >>] → [Monitor Network Setup >>].
2. Set [Network Type] to [WLAN].
3. Select [Ok] → [WLAN Setup >>] to access the [WLAN Setup] menu.
◆ Select [WLAN Band] to [5G] or [2.4G] according to the band you are using. The deault is [Auto],
which means the monitor can automatically identify the WLAN band.
◆ Select [BG Channel] to set the type of B and G channels.
◆ Select [A Channel] to set the type of A channels.

22.5.4 Testing the Wireless Network

To test the availability of the wireless network:
1. Select [Main Menu] → [Maintenance>>] → [User Maintenance>>] → enter the required password →
[Network Setup >>] → [WLAN Test].
2. Enter the [IP Address] of WLAN.
3. Click [Connection Test].
The Wi-Fi device used in the monitor is in compliance with IEEE 802.11a/b/g/n.
You should not change the monitor’s IP address randomly. If you want to know details about IP address setup,
contact the technical personnel in charge of the CMS.

NOTE
• The design, installation, restruction and maintenance of the wireless network’s distribution shall be
performed by authorized service personnel of our company.
• The existence of obstacles (such as wall) will exert impact on data transferring or even cause
network interruption.
• The Central Monitoring System is capable of connecting up to 32 bedside monitors via the wireless
network.

22 - 3
22.5.5 Setting the Multicast Parameters
Whether the equipment is presented by broadcast or multicast is defined before the equipment leaves the
factory. If [Multicast] is selected, you need to set the multicast parameters.
To set the multicast parameters:
1. elect [Main Menu] → [Maintenance>>] → [User Maintenance>>] → enter the required password →
[Network Setup >>] → [Multicast Setup >>].
2. Set [Multicast Addr] and [TTL].

22.5.6 Connecting the monitor to the CMS

To connect the monitor to the CMS, proceed as follows:
1. Select [Main Menu] → [Maintenance>>] → [User Maintenance>>] → enter the required password →
[Network Setup >>] → [Monitor Network Setup >>].
2. Set [Network Type] and [Address Type].
3. Input the monitor IP address, subnet mask and gateway address if the [Address Type] is set to [Manual]
4. Connect the monitor to the CMS through either of the following methods:
◆ Admit the monitor on the CMS. Refer to the operator’s manual of the central monitoring systemfor
details of admitting a monitor.
◆ Setting the CMS (refer to 22.5.6.1 Setting the CMS for details), and then selecting a CMS (refer to
22.5.6.2 Selecting a CMS for details).

22.5.6.1 Setting the CMS

You can configure up to 30 central stations (CMS) for your monitor. To set the CMSs,
1. Select [Main Menu] → [Maintenance>>] → [User Maintenance>>] → enter the required password →
[Network Setup >>].
2. Set [Select CMS] to [On].
3. Select [Central Station Setup >>].
4. Set CMS names and corresponding IP addresses.

22.5.6.2 Selecting a CMS

If [Select CMS] is enabled, you can select the CMS for the current monitoring.
To select the CMS, select the prompt message area at the bottom of the screen. Then the selected CMS name will
display.
If the CMS you select does not have a name, this area displays “???”.

22 - 4
23 Batteries

23.1 Overview
This monitor is designed to operate on rechargeable Lithium-ion battery power during intra-hospital 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. Whenever the AC power is interrupted
during patient monitoring, the monitor will automatically run power from the internal batteries.
On-screen battery symbols indicate the battery status as follows:
■ Indicates that the battery works correctly. The solid portion represents the current charge level of
the battery in proportion to its maximum charge level.

■ Indicates that the battery has low charge level and needs to be charged. In this case, the monitor
provides an alarm message.

■ Indicates that the battery is almost depleted and needs to be charged immediately. Otherwise, the
monitor shuts down automatically.

■ Indicates that no battery is installed.

The capacity of the internal battery is limited. If the battery charge is too low, a technical alarm will be triggered
and the message [Low Battery] or [Battery Depleted] displayed. At this moment, apply AC power to the
monitor. Otherwise, the monitor will power off automatically before the battery is completely depleted.

23.2 Battery Guidelines

Life expectancy of a battery depends on how frequent and how long it is used. For a properly maintained and
stored lithium ion battery, its life expectancy is about 3 years. For more aggressive use models, life expectancy
can be less. We recommend replacing lithium ion batteries every 3 years.
To get the most out of the battery, observe the following guidelines:
■ The battery performance test must be performed every two years, before monitor repairs, or whenever the
battery is suspected as being the source of the problems.
■ Condition a battery once when it is used or stored for 2 months, or when its operating time becomes
noticeably shorter.
■ Take out the battery before the monitor is transported or will not be used for more than 2 months.
■ Remove the battery from the monitor if it is not being used regularly. (Leaving the battery in a monitor that
is not in regular use will shorten the life of the battery).
■ The shelf life of a Lithium Ion battery is about 6 months when the battery is stored with the battery power
being 50% of the total power. In 6 months the battery power must be depleted before the Lithium Ion
battery is fully charged. Then run the monitor on this fully charged battery .When its battery power
becomes 50% of the total power, take out the battery from the monitor and store it.

WARNING
• Keep the battery out of the reach of children.
• Use only the battery specified by the manufacturer.
• If the battery shows signs of damage or signs of leakage, replace it immediately. Do not use a faulty
battery in the monitor.

23 - 1
23.3 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 charge of the battery, followed by an uninterrupted battery discharge and charge. Batteries
should be conditioned regularly to maintain their useful life.

NOTE
• The actual battery capacity will decrease over time with use of batteries. When a monitor operates
on batteries that have been used before, the full capacity battery symbol does not indicate the
capacity and operating time of this battery can still fulfill battery specifications in the operator’s
manual. When conditioning a battery, please replace the battery if its operating time is significantly
lower than the specified time.

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/DC power to the monitor and allow the battery to charge uninterrupted for 10 hours.
4. Remove AC/DC power and allow the monitor to run from the battery until it shuts off.
5. Apply AC/DC 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 service.

Checking a Battery

The battery performance test must be performed every two years, before monitor repairs, or whenever the
battery is suspected as being the source of the problems. 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/DC power to the monitor and allow the battery to charge uninterrupted for 10 hours.
3. Remove AC/DC 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
• 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.
• 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.

23.4 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.

23 - 2
24 Care and Cleaning

Use only the substances approved by us and methods listed in this chapter to clean or disinfect your equipment.
Warranty does not cover damage caused by unapproved substances or methods.
We make no claims regarding the efficacy of the listed chemicals or methods as a means for controlling
infection. For the method to control infection, consult your hospital’s Infection Control Officer or Epidemiologist.
In this chapter we only describe cleaning and disinfection of the main unit. For the cleaning and disinfection of
other reusable accessories, refer to instructions for use of corresponding accessories.

24.1 General Points

Keep you equipment and accessories free of dust and dirt. To avoid damage to the equipment, follow these
rules:
■ Always dilute according the manufacturer’s instructions or use lowest possible concentration.
■ Do not immerse part of the equipment into liquid.
■ Do not pour liquid onto the equipment or accessories.
■ Do not allow liquid to enter the case.
■ Never use abrasive materials (such as steel wool or silver polish), or erosive cleaners (such as acetone or
acetone-based cleaners).

WARNING
• The responsible hospital or institution shall carry out all cleaning and disinfection procedure
specified in this chapter.
• Be sure to disconnect all power cables from the outlets before cleaning the equipment.

CAUTION
• If you spill liquid on the equipment or accessories, contact us or your service personnel.

NOTE
• To clean or disinfect reusable accessories, refer to the instructions delivered with the accessories.
• Avoid the external connectors and thermovent during cleaning or disinfection procedures.

24.2 Cleaning
Your equipment should be cleaned on a regular basis. If there is heavy pollution or lots of dust and sand in your
place, the equipment should be cleaned more frequently. Before cleaning the equipment, consult your hospital’s
regulations for cleaning the equipment.
Recommended cleaning agents are:

Product Name Product Type Ingredient

Water Liquid /

Ethanol Liquid Ethanol 70%

Isopropyl alcohol Liquid Isopropyl alcohol 70%

Sodium hypochlorite bleach Liquid Sodium hypochlorite bleach 10%

24 - 1
 Product Name Product Type Ingredient

Hydrogen peroxide Liquid Hydrogen peroxide 3%

1-Propanol Liquid 1-Propanol 50%

Rely+OnTM ®
Virkon Powder Used as 1% solution (prepared the concentration directed
by the accompanying instructions for use)
Biocidal active:
• Pentapotassium bis (peroxymonosulphate) bis
(sulphate) (500g/kg)
• Contains dipotassium peroxodisulphate

Super Sani-cloth® Germicidal Wipe Quaternary ammonium chloride 0.5%

Disposable Wipe Isopropyl alcohol 55%

To clean your equipment, follow these rules:

1. Clean the display screen using a soft, clean cloth dampened with a glass cleaner, making sure that no
cleanser is dripping from the cloth.
2. Clean the exterior surface of the equipment using a soft cloth dampened with the cleaner, making sure
that no cleanser is dripping from the cloth.
3. Wipe off all the cleaning solution with a dry cloth after cleaning if necessary.
4. Dry your equipment in a ventilated, cool place.

24.3 Disinfection
Disinfect the equipment as required in your hospital’s servicing schedule. Cleaning equipment before
disinfecting is recommended.

24.4 Sterilization
Sterilization is not recommended for this monitor, related products, accessories, or supplies unless otherwise
indicated in the Instructions for Use that accompany the products, accessories or supplies.

24 - 2
25 Maintenance

WARNING
• Failure on the part of the responsible individual hospital or institution employing the use of this
equipment to implement a satisfactory maintenance schedule may cause undue equipment failure
and possible health hazards.
• The safety checks or maintenance involving any disassembly of the equipment should be performed
by professional servicing personnel. Otherwise, undue equipment failure and possible health
hazards could result.
• No modification of this equipment is allowed.
• Do not open the equipment housings. All servicing and future upgrades must be carried out by the
service personnel.
• If you discover a problem with any of the equipment, contact your service personnel or us.
• The service personnel must be properly qualified and thoroughly familiar with the operation of the
equipment.

25.1 Regular Inspection

Before the first use, after your monitor has been used for 6 to 12 months, or whenever your monitor is repaired or
upgraded, a thorough inspection should be performed by qualified service personnel to ensure the reliability.
Follow these guidelines when inspecting the equipment:
■ Make sure that the environment and power supply meet the requirements.
■ Inspect the equipment and its accessories for mechanical damage.
■ Inspect all power cords for damage, and make sure that their insulation is in good condition.
■ Make sure that only specified accessories are applied.
■ Inspect if the alarm system functions correctly.
■ Make sure that the recorder functions correctly and the recorder paper meets the requirements.
■ Make sure that the batteries meet the performance requirements.
■ Make sure that the monitor is in good working condition.
In case of any damage or abnormity, do not use the monitor. Contact the hospital’s biomedical engineers or your
service personnel immediately.

25.2 Maintenance and Testing Schedule

The following maintenance and tests, except for visual inspection, power on test, touchscreen calibration,
battery check, and recorder check, shall be carried out by the service personnel only. Contact your service
personnel if any maintenance is required. Make sure to clean and disinfect the equipment before any test and
maintenance.

25 - 1
 Check/Maintenance Item Recommended Frequency

Preventative Maintenance Tests

Visual inspection When first installed or reinstalled.

NIBP test Pressure check 1. If the user suspects that the measurement is incorrect.
2. Following any repairs or replacement of relevant module.
Leakage test
3. At least once a year.
CO2 tests Leakage test

Performance
test

Calibration

Performance Tests

ECG test and Performance Test 1. If the user suspects that the measurement is incorrect.
calibration 2. Following any repairs or replacement of relevant module.
Calibration
3. At least once every two years. At least once a year is
Resp performance test recommended for NIBP and CO2.

SpO2 test

NIBP test Pressure check

Leakage test

Temp test

IBP test and Performance test

calibration
Pressure calibration

C.O. test

CO2 tests and Leakage test

calibration
Performance test

Calibration

Nurse call function test If the user suspects that the function does not work well.

Analog output performance test

Defibrillation synchronization test

Electrical Safety Tests

Electrical Safety Tests At least once every two years.

Other Tests

Power-on test 1. When first installed or reinstalled.

2. Following any repairs or replacement of any main unit parts.

Touchscreen calibration 1. When the touchscreen appears abnormal.

2. After the touchscreen is replaced.

Recorder check Following any repair or replacement of the recorder.

Network print test 1. When first installed.

2. Whenever the printer is serviced or replaced.

Battery check Functionality test 1. When first installed.

2. Whenever a battery is replaced.

Performance test Once every six months or if the battery run time reduced
significantly.

25 - 2
25.3 Checking Monitor and Module Information
To view the information about system start time, selftest, etc., select [Main Menu] → [Maintenance >>] →
[Monitor Information >>]. You can print out the information for the convenience of troubleshooting. The
information will not be saved during shut down.
You can also view the information about the monitor configuration and system software version by selecting
[Main Menu] → [Maintenance >>] → [Software Version >>].

25.4 .Calibrating the Touchscreen

1. Select [Main Menu] → [Maintenance >>] → [Cal. Touchscreen].
2. will, in turn, appear at different positions of the screen.
3. Select each as it appears on the screen.
4. After the calibration is completed, the message [Screen Calibration Completed!] is displayed. Select [Ok]
to confirm the completion of the calibration.

25.5 Electrical Safety Tests

Refer to E Electrical Safety Inspection.

25 - 3
25 - 4
26 Accessories

The accessories listed in this chapter comply with the requirements of IEC 60601-1-2 when in use with the
monitor. The accessory material that contacts the patients has undertaken the bio-compatibility test and is
verified to be in compliance with ISO 10993-1. For details about the accessories, refer to the instructions for use
provided with the accessory.

WARNING
• Use accessories specified in this chapter. Using other accessories may cause damage to the monitor
or not meet the claimed specifications.
• Single-use accessories are not designed to be reused. Reuse may cause a risk of contamination and
affect the measurement accuracy.
• Check the accessories and their packages for any sign of damage. Do not use them if any damage is
detected.
• Use the accessories before the expiry date if their expiry date is indicated.
• The disposable accessories shall be disposed of according to hospital's regulations.

26.1 ECG Accessories

ECG Electrodes

Part Description Model Part No. Remark

Crocodile clip EB6903 9101-20-58104 Reusable

12-Pin Integrative Trunk Cables

Part Description Model Part No. Remark

12Pin 5-Lead ECG Cable, AHA, Snap EA6251B 040-000961-00 Reusable

12Pin 5-Lead ECG Cable, IEC, Snap EA6252B 040-000963-00

12Pin 3-Lead ECG Cable, AHA, Snap EA6231B 040-000965-00

12Pin 3-Lead ECG Cable, IEC, Snap EA6232B 040-000967-00

12Pin 5-Lead ECG Cable, AHA, Clip EA6251A 040-000960-00

12Pin 5-Lead ECG Cable, IEC, Clip EA6252A 040-000962-00

12Pin 3-Lead ECG Cable, AHA, Clip EA6231A 040-000964-00

12Pin 3-Lead ECG Cable, IEC, Clip EA6232A 040-000966-00

26 - 1
 12-Pin Separable Trunk Cables

Part Description Model Part No. Remark

12Pin 3-Lead ECG Host Cable, Def-P EV6202 0010-30-42720 Reusable

12Pin 3-Lead ECG Host Cable, ESU-P EV6212 0010-30-42724

12Pin 3/5-Lead ECG Host Cable, ESU-P EV6211 0010-30-42723

12Pin 3/5-Lead ECG Host Cable, Def-P EV6201 0010-30-42719

12Pin 3-Lead Host Cable, Def-P,DIN Conn EV6222 040-000754-00

Cable Sets

Part Description Model Part No. Remark

3-Lead Leadset,Neo,AHA,Clip EL6305A 0010-30-42896 Reusable

3-Lead Leadset,Neo,IEC,Clip EL6306A 0010-30-42897

3-Lead Leadset,Adt/Ped,AHA,Clip,Long EL6303A 0010-30-42731

3-Lead Leadset,Adt/Ped,IEC,Clip,Long EL6304A 0010-30-42732

3-Lead Leadset,Adt/Ped,AHA,Snap EL6301B 0010-30-42734

3-Lead Leadset,Adt/Ped,IEC,Snap EL6302B 0010-30-42733

3-Lead Leadset,Disposable,AHA,Snap EL6311B 040-000146-00 Disposable

3-Lead Leadset,Disposable,IEC,Snap EL6312B 040-000147-00

3-Lead Leadset,Disposable,AHA,Clip EL6311A 040-000148-00

3-Lead Leadset,Disposable,IEC,Clip EL6312A 040-000149-00

Part Description Model Part No. Remark

5-Lead Leadset,Adt/Ped,AHA,Clip,Long EL6503A 0010-30-42729 Reusable

5-Lead Leadset,Adt/Ped,IEC,Clip,Long EL6504A 0010-30-42730

5-Lead Leadset,Adt/Ped,AHA,Snap EL6501B 0010-30-42735

5-Lead Leadset,Adt/Ped,IEC,Snap EL6502B 0010-30-42736

26.2 SpO2 Accessories

Extension Cable

Part Description Model Part No. Remark

7pin SpO2 Cable 562A 0010-20-42710 Reusable

26 - 2
 SpO2 Sensors

Part Description Model Part No. Remark

Veterinary SpO2 Sensor(Reusable,2-Clips) 551B 115-036221-00 Reusable

26.3 NIBP Accessories

Tubing

Part Description Model Part No. Remark

NIBP Hose, Inbuilt connector(3m) CM1903 6200-30-09688 Reusable

Neonatal NIBP Hose, Inbuilt connector(3m) CM1901 6200-30-11560

Reusable Cuff

Part Description Model Part No.

Small Infant Blood Pressure Cuff CM1200 115-002480-00

Cuff with connector (Infant, CM1201, 10-19cm) CM1201 0010-30-12157

Cuff with connector (Child, CM1202, 18-26cm) CM1202 0010-30-12158

Cuff with connector (Adult, CM1203, 25-35cm) CM1203 0010-30-12159

Cuff with connector (Large Adult, CM1204, 33-47cm) CM1204 0010-30-12160

Cuff with connector (Adult Thigh, CM1205, 46-66cm) CM1205 0010-30-12161

Bladderless Small Infant Cuff(CM1300) CM1300 040-000968-00

Bladderless Infant Cuff(CM1301) CM1301 040-000973-00

Bladderless Child Cuff(CM1302) CM1302 040-000978-00

Bladderless Adult Cuff(CM1303) CM1303 040-000983-00

Bladderless Large Adult Cuff(CM1304) CM1304 040-000988-00

Bladderless Adult Thigh Cuff(CM1305? CM1305 040-000993-00

Bladderless Adult long Cuff (CM1306) CM1306 115-015930-00

Bladderless L-Adult long Cuff(CM1307) CM1307 115-015931-00

Disposable Cuff

Part Description Model Part No.

Disposable infant blood cuff (CM1501) CM1501 001B-30-70697

Disposable child blood cuff(CM1502) CM1502 001B-30-70698

Disposable adult blood cuff(CM1503) CM1503 001B-30-70699

Disposable large adult blood cuff(CM1504) CM1504 001B-30-70700

Disposable adult thigh blood cuff(CM1505) CM1505 001B-30-70701

Disposable Bladderless Adult Long Cuff CM1506 115-016969-00

Disposable Bladderless L-Adult Long Cuff CM1507 115-016970-00

26 - 3
 CM1500A Disposable use cuff, Neonatal, 3.1-5.7 cm (1) CM1500A 001B-30-70692

M1500B Disposable use cuff, Neonatal, 4.3-8.0cm (1) CM1500B 001B-30-70693

CM1500C Disposable use cuff, Neonatal, 5.8-10.9 cm (1) CM1500C 001B-30-70694

CM1500D Disposable use cuff, Neonatal, 7.1-13.1cm (1) CM1500D 001B-30-70695

Disposable neonate blood cuff 5#(CM1500E) CM1500E 001B-30-70696

CM1500A Disposable use cuff, Neonatal, 3.1-5.7 cm (1) CM1500A 001B-30-70677

CM1500B Disposable use cuff, Neonatal,4.3-8.0cm (1) CM1500B 001B-30-70678

CM1500C Disposable use cuff, Neonatal, 5.8-10.9 cm (1) CM1500C 001B-30-70679

CM1500D Disposable use cuff, Neonatal, 7.1-13.1cm (1) CM1500D 001B-30-70680

Disposable neonate blood cuff 5#(CM1500E) CM1500E 001B-30-70681

Disposable infant blood cuff (CM1501) CM1501 001B-30-70682

Disposable infant blood cuff (CM1502) CM1502 001B-30-70683

Disposable infant blood cuff (CM1503) CM1503 001B-30-70684

Disposable infant blood cuff (CM1504) CM1504 001B-30-70685

Disposable infant blood cuff (CM1505) CM1505 001B-30-70686

Disposable infant blood cuff (CM1506) CM1506 115-015940-00

Disposable infant blood cuff (CM1507) CM1507 115-015941-00

26.4 Temp Accessories

Temp Cable

Part Description Model Part No. Remark

TEMP adapter cable (2-pin to audio) MR421 0010-30-43056 Reusable

Temperature adapter cable(2Pin plug) MR420B 040-001235-00

Temp Probes

Part Description Model Part No. Remark

Adult reusable temperature probe (endocavity) MR401B 0011-30-37392 Reusable

Pediatric/Neonatal reusable temperature probe (endocavity) MR402B 0011-30-37394

Adult reusable temperature probe (skin surface) MR403B 0011-30-37393

Pediatric/Neonatal reusable temperature probe (skin surface) MR404B 0011-30-37395

Temp probe(esophageal/rectal Disp 9FR) MR411 040-003292-00 Disposable

Temp probe(Disp skin) MR412 040-003293-00

26.5 IBP Accessories (for uMEC12 Vet)

26 - 4
 Part Description Model Part No. Remark

12 Pin IBP cable (for BD) IM2202 001C-30-70757 Reusable

Disposable transducer kit (BD P/N: DT-4812) DT-4812 6000-10-02107 Disposable

Mounting background and accessory for IBP transducer (BD) 682275 0010-10-12156 Reusable

12 Pin IBP cable (for ICU Med) IM2201 001C-30-70759 Reusable

Disposable transducer 42584 0010-10-42638 Disposable

Mounting background and accessory for IBP transducer 42602 M90-000133--- Reusable

Mounting clamp for IBP transducer (send with the cable) 42394 M90-000134--- Reusable

Edward: IBP Truwave Reusable Cable IM2211 0010-21-12179 Reusable

Memscap: 12Pin Truck cable IM2207 0010-21-43082 Reusable

12-pin UTAH IBP cable IM2206 115-017849-00 Reusable

IBP adapter cable (12-pin to 6-pin) IM2213 0010-30-43055 Reusable

IBP extended cable with dual-receptacle IM2204 040-001029-00 Reusable

26.6 C.O. Accessories (for uMEC12 Vet)

Part Description Model Part No. Remark

Cardiac Output Cable (12Pin) CO7702 0010-30-42743 Reusable

In-line injection Temperature sensor (BD P/N: SP4042) SP4042 6000-10-02079 Reusable

In-line injection Temperature sensor Housing (BD P/N: SP5045) SP5045 6000-10-02080 Disposable

SYRINGE,CONTROL,12CC,W/ROT MX387 6000-10-02081 Disposable

26.7 CO2 Accessories (for uMEC12 Vet)

Part Description Model Part No. Remark

CO2 Nasal sample cannula, Adu, with 7' line 4000 M02A-10-25937 Disposable

CO2 Nasal sample cannula, Ped, with 7' line 4100 M02A-10-25938

Sample Cannula,InfantNasal CO2,7'line 4200 M02B-10-64509

Sampling line, Adu/Ped, 2.5 m 60-15200-00 9200-10-10533

Sampling Line,Neonate,2.5m 60-15300-00 9200-10-10555

Dryline airway adapter, straight 60-14100-00 9000-10-07486

Airway Adapter 040-001187-00 040-001187-00

Dryline airway adapter, elbow 60-14200-00 9000-10-07487

DRYLINE II Water Trap, Adult 100-000080-00 100-000080-00 Reusable

DRYLINE II Water Trap, Neonate 100-000081-00 100-000081-00

26 - 5
26.8 Others

Part Description Part No.

cable protecting tube,20cm&40cm 009-003648-00

Cable Management Staps (package of 5) 0010-10-42667

Accessories Management tape 009-003903-00

26 - 6
A Product Specifications

A.1 Monitor Safety Specifications

A.1.1 Classifications
The monitor is classified, according to IEC60601-1:

Class I, equipment energized from an external and internal electrical

Type of protection against electrical shock
power source.

Type BF defibrillation proof for CO2 monitoring.

Degree of protection against electrical shock Type CF defibrillation proof for ECG, RESP, TEMP, SpO2, NIBP, IBP and
C.O.

Mode of operation Continuous

Degree of protection against harmful ingress IPX1 (Protected against vertically falling water drops)
of water

A.1.2 Environmental Specifications

WARNING
• The equipment may not meet the performance specifications if stored or used outside the specified
temperature and humidity ranges.

Main unit

Item Operating conditions Storage conditions

Temperature (°C) 0 to 40 -20 to 60

Relative humidity (noncondensing) 15% to 95% 10% to 95%

Barometric (mmHg) 427.5 to 805.5 120 to 805.5

CO2 module

Item Operating conditions Storage conditions

Temperature (°C) 5 to 40 -20 to 60

Relative humidity (noncondensing) 15% to 95% 10% to 95%

Barometric (mmHg) 430 to 790 430 to 790

NOTE
• The environmental specifications of unspecified parameters are the same as those of the main unit.

A-1
A.2 Power Supply Specifications

AC power

Line voltage 100 to 240 VAC (±10%)

Current 1.5 A

Frequency 50/60 Hz (±3Hz)

Battery (standard configuration)

Battery Type Chargeable Lithium-Ion, 10.95VDC, 2500mAh

Run time ≥4h

when powered by a new fully-charged battery (25?, display
brightness set to default value, SpO2 cable connected, ECG
cable and Temp cable not connected, auto NIBP
measurements at an interval of 15 minutes)

Charge time When the monitor is powered off,

less than 3.5 hours to 90%
less than 4 hours to 100%
When the monitor is in use,
less than 5.5 hours to 90%
less than 6 hours to 100%

Shutdown delay at least 5 min (after a low battery alarm first occurs)

Battery (optional configuration)

Battery Type Chargeable Lithium-Ion, 10.95VDC, 5000mAh

Run time ≥8h

when powered by a new fully-charged battery (25?, display
brightness set to default value, SpO2 cable connected, ECG
cable and Temp cable not connected, auto NIBP
measurements at an interval of 15 minutes)

Charge time When the monitor is powered off,

Less than 7 hours to 90%
Less than 8 hours to 100%
When the monitor is in use,
less than 11 hours to 90%
less than 12 hours to 100%

Shutdown delay at least 5 min (after a low battery alarm first occurs)

A.3 Physical Specifications

Model Size (W×H×D) Weight Remark

uMEC12 Vet 345×255×160 mm ≤4.0 kg Standard configuration, standard bat-

tery, without accessories, recorder, and
uMEC10 Vet 315×220×155 mm ≤3.5 kg
other modules

A-2
A.4 Hardware Specifications

A.4.1 Display

Host display

Model Screen Size (diagonal) Screen type Resolution

uMEC12 Vet 12.1 inches color LED backlight LCD at least 800×600 pixels

uMEC10 Vet 10.4 inches

External display

Screen type Medical-grade LED backlight LCD

A.4.2 Recorder

Method Thermal dot array

Paper width 50 mm±1 mm

Paper speed 12.5 mm/s, 25 mm/s, 50 mm/s with accuracy within ±5%

Number of waveform channels Maximum 3

A.4.3 LEDs

Alarm lamp 1 (two color coded: yellow and red)

Power on LED 1 (green)

AC power LED 1 (green)

Battery LED 1 (green)

A.4.4 Audio Indicator

Speaker Give alarm tones (45 to 85 dB), key tones, QRS tones; support PITCH TONE and
multi-level tone modulation; alarm tones comply with IEC60601-1-8.

A.4.5 Monitor Interface Specifications

Power 1 AC power input connector

Wired network 1 RJ45 connector, 100 Base-TX,IEEE 802.3

USB 2 connector, USB 2.0

Equipotential Grounding Terminal 1

Multifunctional connector 1

VGA connector 1

A-3
A.4.6 Outputs

Analog Output

Standard Meets the requirements of IEC60601-1 for short-circuit protection and leakage
current

ECG Analog Output

Bandwidth Diagnostic mode: 0.05 to 150 Hz

(-3dB; reference frequency: 10Hz) Monitor mode: 0.5 to 40 Hz
Surgical mode: 1 to 20 Hz
ST mode: 0.05 to 40 Hz

QRS delay ≤ 25 ms (in diagnostic mode, and with Paced off)

Sensitivity 1V/mV ±5%

PACE rejection/enhancement Pace enhancement

Signal amplitude: Voh≥2.5V
Pulse width: 10ms±5%
Signal rising and falling time: ≤100μs

Nurse Call Signal

Amplitude High level: 3.5 to 5 V, ±5%, providing a maximum of 10 mA output current;

Low level: < 0.5 V, receiving a maximum of 5 mA input current.

Rising and falling time ≤1 ms

Defib Sync Pulse

Output impedance ≤100 Ω

Max time delay 35 ms (R-wave peak to leading edge of pulse)

Amplitude High level: 3.5 to 5 V, ±5%, providing a maximum of 10 mA output current;

Low level: < 0.5 V, receiving a maximum of 5 mA input current.

Pulse width 100 ms ±10%

Rising and falling time ≤1 ms

Alarm output (Network connector)

Alarm delay time from the monitor to The alarm delay time from the monitor to remote equipment is ≤2 seconds,
remote equipment measured at the monitor’s signal output connector.

A.5 Data Storage

Trends Trends: 120 hours, at 1 min resolution

Mid-length trends: 4 hours, at 5 s resolution
Long-trends: 1200 hours, at 10 min resolution

Parameter alarms 1800 alarms and related parameter waveforms.

Arrh. events 128 arrhythmia events and related waveforms and parameters.

NIBP measurements 1600 sets

Full-disclosure waveforms 48 hours at maximum. The specific storage time depends on the waveforms
stored and the number of stored waveforms.

A-4
A.6 Wireless Network

Standards MSD45N Wireless Module: IEEE 802.11a/b/g/n, support Wi-Fi

A.7 Measurement Specifications

The adjustable range of alarm limits is the same with the measurement range of signals unless otherwise
specified.

A.7.1 ECG

ECG

Lead set 3-lead: I, II, III

5-lead: I, II, III, aVR, aVL, aVF, V

ECG standard AHA, IEC

Display sensitivity 1.25 mm/mV (X0.125), 2.5 mm/mV (X0.25), 5 mm/mV (X0.5), 10 mm/mV (X1), 20 mm/mV (X2),
40 mm/mV (X4), Auto
Accuracy: ±5%

Sweep speed 6.25 mm/s, 12.5 mm/s, 25 mm/s, 50 mm/s

Accuracy: ±5%

Bandwidth (-3dB) Diagnostic mode: 0.05 to 150 Hz

Monitor mode: 0.5 to 40 Hz
Surgical mode: 1 to 20 Hz
ST mode: 0.05 to 40 Hz

Common mode Diagnostic mode: ≥90 dB (with Notch off)

rejection ratio Monitor mode: ≥105 dB
(with Notch on) Surgical mode: ≥105 dB
ST mode: >105 dB

Notch 50/60 Hz
Monitor, surgical and ST modes: Notch turns on automatically. Diagnostic mode: Notch is
turned on/off manually

Differential input ≥5 MΩ
impedance

Input signal range ±8 mV (peak-to-peak value)

Electrode offset ±500 mV

potential tolerance

Lead-off detection Measuring electrode: ≤0.1 μA

current Drive electrode: ≤1 μA

Defibrillation Protection Enduring 5000V (360 J) charge without data loss or corruption
Baseline recovery time: <5 s (after defibrillation)
Polarization recovery time: <10 s
Defibrillation energy absorption: <10% (100Ω load)

Calibration signal 1mV (peak-to-peak value)

Accuracy: ±5%

ESU protection Cut mode: 300 W

Coagulate mode: 100 W
Recovery time: ≤10 s
In compliance with the requirements in clause 202.6.2.101 of IEC 60601-2-27

Pace Pulse

A-5
 Pace pulse markers Pace pulses meeting the following conditions are labelled with a PACE marker:

Amplitude: ±2 to ±700 mV
Width: 0.1 to 2 ms
Rise time: 10 to 100 μs

Pace pulse rejection When tested in accordance with the IEC60601-2-27: 201.12.1.101.13, the heart rate meter
rejects all pulses meeting the following conditions.

Amplitude: ±2 to ±700 mV
Width: 0.1 to 2 ms
Rise time: 10 to 100 μs

HR

Measurement range 15 to 350 bpm

Resolution 1 bpm

Accuracy ±1 bpm or ±1%, whichever is greater.

Sensitivity 200μV±100μV (lead II)

HR averaging method In compliance with the requirements in Clause 201.7.9.2.9.101 b) 3) of IEC60601-2-27, the
following method is used:
If the last 3 consecutive RR intervals are greater than 1200 ms, the 4 most recent RR intervals
are averaged to compute the HR. Otherwise, heart rate is computed by subtracting the
maximum and minimum ones from the most recent 12 RR intervals and then averaging them.
The HR value displayed on the monitor screen is updated every second.

Response to irregular In compliance with the requirements in Clause 201.7.9.2.9.101 b) 4) of IEC60601-2-27, the
rhythm heart rate after 20 seconds of stabilization is displayed as follows:
Ventricular bigeminy (3a): 80±1 bpm
Slow alternating ventricular bigeminy (3b): 60±1 bpm
Rapid alternating ventricular bigeminy (3c): 120±1 bpm
Bidirectional systoles (3d): 90±2 bpm

Response time to heart Meets the requirements of IEC60601-2-27: Clause 201.7.9.2.9.101 b) 5).
rate change From 80 to 120 bpm: less than 11 s
From 80 to 40 bpm: less than 11 s

Time to alarm for Meets the requirements of IEC60601-2-27: Clause 201.7.9.2.9.101 b) 6).
tachycardia
Waveform
4ah - range: < 11 s
4a - range: < 11 s
4ad - range: < 11 s
Waveform 4bh - range: < 11 s
4b - range: < 11 s
4bd - range: < 11 s

Tall T-wave rejection When the test is performed based on Clause 201.7.9.2.9.101 b) 2)of IEC60601-2-27, the heart
capability rate meter will reject all 100 ms QRS complexes with less than 1.2 mV of amplitude, and T
waves with T-wave interval of 180 ms and those with Q-T interval of 350 ms.

Arrhythmia Analysis Asystole, VFib/VTac, Vtac, Vent. Brady, Extreme Tachy, Extreme Brady, PVC, PNP, PNC, PVCs,
Classifications Couplet, Run PVCs, Bigeminy, Trigeminy, R on T, Missed Beats, Brady, Tachy, Vent. Rhythm,
Multif. PVC, Nonsus. Vtac, Pause, Irr. Rhythm. .

ST Segment Analysis

Measurement range -2.0 to 2.0 mV RTI

Accuracy -0.8 to 0.8 mV: ±0.02 mV or ±10%, whichever is greater.

Beyond this Not specified.
range:

Refreshing rate 10 s

Resolution 0.01 mV

A-6
 QT/QTc Analysis

Measurement range QT: 200 to 800 ms

QTc: 200 to 800 ms

QT accuracy ±30 ms

Resolution QT: 4 ms
QTc: 1 ms

Alarn limit Range Step

HR High (low limit + 2) to 300 bpm

1 bpm
HR Low 15 to (high limit - 2) bpm

ST High (low limit + 0.2 mV) to 2.0 mV

0.1 mV
ST Low -2.0 mV to (high limit - 0.2 mV)

QTc High 200 to 800 ms

10 ms
ΔQTc High 30 to 200 ms

A.7.2 Resp

Technique Trans-thoracic impedance

Lead Options are lead I and II. The default is lead II.

Respiration excitation waveform <300 μA RMS, 64 kHz (±10%)

Baseline impedance range 200 to 2500Ω (using an ECG cable with 1kΩ resistance)

Bandwidth 0.2 to 2.5 Hz (-3 dB)

Sweep speed 3 mm/s, 6.25 mm/s, 12.5 mm/s, 25 mm/s, or 50 mm/s

Accuracy: ±5%

Respiration Rate

Measurement range 0 to 150 rpm

Resolution 1 rpm

Accuracy 7 to 150 rpm: ±2 rpm or ±2%, whichever is greater

0 to 6 rpm: Not specified.

Apnea alarm time 10 s, 15 s, 20 s, 25 s, 30 s, 35 s, 40 s

Alarm limit Range (rpm) Step (rpm)

RR High (low limit + 2) to 150 1

RR Low 0 to (high limit – 2)

A-7
A.7.3 SpO2

SpO2 measurement range 0 to 100%

Resolution 1%

Response time < 30 s (PI > 0.3, no disturbance, SpO2 value sudden change within 70% - 100%)

Accuracy 70 to 100%: ±3%

0% to 69%: Not specified.

Refreshing rate ≤2 s

PI measurement range 0.05% to 20%

Alarm limit Range (%) Step (%)

SpO2 High (low limit + 2) to 100

SpO2 Low Desat to (high limit – 2) 1

Desat 0 to (high limit – 2)

Information of the Test Subjects of the Clinical Study Report:

Skin color Gender Number Age (years) Health

Male 1 28.2±9.19 Healthy

Black
Female 1

Male 3
yellow
Female 9

A.7.4 PR

Alarm limit Range (bpm) Step (bpm)

PR High (low limit +2) to 300 1

PR Low 15 to (high limit-2)

PR from SpO2 Module

Measurement range 20 to 254 bpm

Resolution 1 bpm

Response time < 30 s (PI > 0.3, no disturbance, PR value sudden change within 25 – 240 bpm)

Accuracy ±3 bpm

Refreshing rate ≤2 s

SpO2 averaging time 7 s (when sensitivity is set to High)

9 s (when sensitivity is set to Medium)
11 s (when sensitivity is set to Low)

PR from NIBP Module

Measurement range 30 to 300 bpm

A-8
 Resolution 1 bpm

Accuracy ±3 bpm or ±3%, whichever is greater

Refreshing rate ≤2 s

PR from IBP Module

Measurement range 25 to 350 bpm

Resolution 1 bpm

Accuracy ±1 bpm or ±1%, whichever is greater

Refreshing rate ≤2 s

A.7.5 NIBP

Technique Oscillometry

Mode of operation Manual, Auto, STAT, Sequence

Auto mode 1 min, 2 min, 2.5 min, 3 min, 5 min, 10 min, 15 min, 20 min, 30 min, 1 h, 1.5 h, 2 h, 3 h, 4 h, 8 h
repetition intervals

STAT mode cycle 5 min

time

Max measurement 120 s

time

Measurement Weight Range Weight Range Weight

ranges (>50lb or (21lb~50lb or Range
(mmHg) 23kg) 10kg~23kg) (<21lb or
<10kg)

Systolic: 25 to 290 25 to 240 25 to 240

Diastolic: 10 to 250 10 to 200 10 to 200

Mean: 15 to 260 15 to 215 15 to 215

Accuracy Max mean error: ±5 mmHg

Max standard deviation: 8 mmHg

Resolution 1mmHg

Initial cuff inflation Weight Range (>50lb or >23kg): 80 to 280

pressure range Weight Range(21lb~50lb or 10kg~23kg): 80 to 210
(mmHg)
Weight Range (<21lb or <10kg): 80 to 210

Default initial cuff Weight Range (>50lb or >23kg): 160

inflation pressure Weight Range(21lb~50lb or 10kg~23kg): 140
(mmHg)
Weight Range (<21lb or <10kg): 140

Software 297±3 mmHg

overpressure
protection

Static pressure 0 mmHg to 300 mmHg

measurement
range

Static pressure ±3 mmHg

measurement
accuracy

Alarm limit Range (mmHg) Step (mmHg)

A-9
 Sys High Weight Range (>50lb or >23kg): (low limit+5) to 290
Weight Range (21lb~50lb or 10kg~23kg): (low limit+5) to 240
Weight Range (<21lb or <10kg):(low limit+5) to 240

Sys Low 25 to (high limit-5)

Mean High Weight Range (>50lb or >23kg): (low limit+5) to 260

Weight Range (21lb~50lb or 10kg~23kg): (low limit+5) to 215 NIBP ≤ 50: 1
Weight Range (<21lb or <10kg): (low limit+5) to 215 NIBP > 50: 5
Mean Low 15 to (high limit-5)

Dia High Weight Range (>50lb or >23kg): (low limit+5) to 250

Weight Range (21lb~50lb or 10kg~23kg): (low limit+5) to 200
Weight Range (<21lb or <10kg): (low limit+5) to 200

Dia Low 10 to (high limit-5)

The blood pressure measurements measured with this device are in compliance with the American National
Standard for Non-invasive sphygmomanometers (ISO 81060-2) in terms of mean error and stardard deviation by
comparing with intra-arterial measurements (depending on the configuration) in a typical patient population.

A.7.6 Temp

Technique Thermal resistance

Operating mode Direct mode

Measurement range 0 to 50 °C (32 to 122 °F)

Resolution 0.1 °C

Accuracy ±0.1 °C (without probe)

Refreshing rate ≤2 s

Minimum time for accurate Body surface: <100 s

measurement Body cavity: <80 s

Transient response time Body surface probe : <45 s

Body cavity probe: <45 s

Alarm limit Range Step

T1/T2 High (low limit +1) to 50 °C 0.1 °C

T1/T2 Low 0.1 to (high limit -1) °C

TD High 0.1 to 50 ?

A.7.7 IBP (for uMEC12 Vet)

Technique Direct invasive measurement

IBP

Measurement range -50 to 300 mmHg

Resolution 1 mmHg

Accuracy ±2% or ±1 mmHg, whichever is greater (without sensor)

Refreshing rate ≤2s

Pressure transducer

A - 10
 Excitement voltage 5 VDC, ±2%

Sensitivity 5 μV/V/mmHg

Zero adjustment range ±200 mmHg

Impedance range 300 to 3000Ω

Alarm limit Range (mmHg) Step (mmHg)

Sys High

Mean High (low limit + 2) to 300

Dia High
1
Sys Low

Mean Low -50 to (high limit – 2)

Dia Low

A.7.8 C.O. (for uMEC12 Vet)

Measurement method Thermodilution method

Measurement range C.O.: 0.1 to 20 L/min

TB: 23 to 43 °C

TI: 0 to 27 °C

Resolution C.O.: 0.1 L/min

TB, TI: 0.1 ?

Accuracy C.O.: ±5% or ±0.1 L /min, whichever is greater

TB, TI: ±0.1 °C (without sensor)

Repeatability C.O.: ±2% or ±0.1 L/min, whichever is greater

Alarm range TB: 23 to 43 °C

Alarm limit Range Step

TB High (low limit + 1) to 43 °C 0.1 °C

TB Low 23 to (high limit - 1) °C

A.7.9 CO2 (for uMEC12 Vet)

Technique Infrared absorption

Standard Meet standard of ISO 80601-2-55

CO2 Measurement range 0 to 20%

Accuracy CO2 concentration<1%: ±0.1%

1%≤CO2 concentration<5% ±0.2%
5%≤CO2 concentration<7% ±0.3%
7%≤CO2 concentration<12% ±0.4%
12%≤CO2 concentration≤13% ±0.5%
13%<CO2 concentration≤20% ±(0.43%+8%rel)
20%<CO2 concentration unspecified

±0.3%ABS increase in error for ISO accuracy mode

A - 11
 Accuracy drift Meet the requirement for measurement accuracy within 6 hours

Resolution 1 mmHg

Sample flowrate 120 ml/min

90 ml/min

Sample flowrate tolerance ±15% or ±15 ml/min, whichever is greater.

Start-up time <90 s

Rise time Measured with a DRYLINE II neonatal watertrap and a 2.5-meter neonatal sampling
line: <330 ms @ 90 ml/min
Measured with a DRYLINE II adult watertrap and a 2.5-meter adult sampling line:
<300 ms @ 120 ml/min

Response time Measured with a neonatal watertrap and a 2.5-meter neonatal sampling line: <4.5
s @ 90 ml/min
Measured with an adult watertrap and a 2.5-meter adult sampling line: <5.5 s @
120 ml/min

awRR measurement range 0 to 150 rpm

awRR measurement precision <60 rpm: ±1 rpm

60 to 150 rpm: ±2 rpm

Apnea time 10 s, 15 s, 20 s, 25 s, 30 s, 35 s, 40 s

Note: The response time is the sum of the rise time and the delay time.

Effect of interference gases on CO2 measurements

Gas Concentration (%) Quantitive effect*

N2O ≤60 ±1 mmHg

Hal ≤4

Sev ≤5

Iso ≤5

Enf ≤5

O2 ≤100

Des ≤15 ±2 mmHg

*: means an extra error should be added in case of gas interference when CO2 measurements are performed between 0-
40mmHg.
Inaccuracy specifications are affected by the breath rate and I: E change. The EtCO2 accuracy is within specification for
breath rate ≤60rpm and I/E ratio ≤1:1, or breath rate ≤30rpm and I/E ratio ≤2:1.

Alarm limit Range Step

EtCO2 High (low limit + 2) to 99 mmHg

EtCO2 Low 1 to (high limit - 2) mmHg 1 mmHg

FiCO2 High 1 to 99 mmHg

awRR High (low limit + 2) to 150 rpm (low limit + 2) to 150 rpm
1 rpm
awRR Low 0 to (high limit - 2) rpm

A - 12
B EMC and Radio Regulatory Compliance

B.1 EMC
The device meets the requirements of IEC 60601-1-2: 2014.

WARNING
• Use of accessories, transducers and cables other than those specified or provided by the
manufacturer of this device could result in increased electromagnetic emissions or decreased
electromagnetic immunity of this device and result in improper operation.
• Use of this device adjacent to or stacked with other device should be avoided because it could result
in improper operation. If such use is necessary, this device and the other device should be observed
to verify that they are operating normally.
• Portable RF communications equipment (including peripherals such as antenna cables and external
antennas) should be used no closer than 30 cm (12 inches) to any part of the this device, including
cables specified by the manufacturer. Otherwise, degradation of the performance of this device
could result.
• The non-ME EQUIPMENT (e.g. ITE) that is a part of an ME SYSTEM may be disrupted by the
electromagnetic interference of nearby equipment. It may be necessary to take mitigation
measures, such as re-orienting or relocating the non-ME EQUIPMENT or shielding the location.
• This device is intended for use in professional healthcare facility environment. If it is used in special
environment, such as magnetic resonance imaging environment, the equipment/system may be
disrupted by the operation of nearby equipment.

Guidance and Declaration - Electromagnetic Emissions

The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device
should assure that it is used in such an environment.

Emission test Compliance Electromagnetic environment - guidance

Conducted and radiated RF EMISSIONS Group 1 The device uses RF energy only for its internal
CISPR 11 function. Therefore, its RF emissions are very
low and are not likely to cause any
interference in nearby electronic device.

Conducted and radiated RF EMISSIONS Class A The device is suitable for use in all
CISPR 11 establishments other than domestic and those
directly connected to the public low-voltage
power supply network that supplies buildings
used for domestic purposes.

Harmonic distortion Class A The device is suitable for use in all

IEC 61000-3-2 establishments, including domestic
establishments and those directly connected
Voltage fluctuations Complies to the public low-voltage power supply
and flicker network that supplies buildings used for
domestic purposes.
IEC 61000-3-3

NOTE
• The device needs special precautions regarding EMC and needs to be installed and put into service
according to the EMC information provided above.
• Other devices may affect this device even though they meet the requirements of CISPR.
• When the inputted signal is below the minimum amplitude provided in technical specifications,
erroneous measurements could result.

B-1
 • The EMISSIONS characteristics of this device make it suitable for use in industrial areas and hospitals
(CISPR 11 class A). If it is used in a residential environment (for which CISPR 11 class B is normally
required) this device might not offer adequate protection to radio-frequency communication
services. The user might need to take mitigation measures, such as relocating or re-orienting the
device.
• If the essential performance is lost or degraded, it may be necessary to take mitigation measures,
such as re-orienting or relocating the ME EQUIPMENT or ME SYSTEM or shielding the location or
stopping using the monitor and contact the service personnel.

If the device is operated within the electromagnetic environment listed in Table Guidance and Declaration —
Electromagnetic Immunity, the system will remain safe and provide the following essential performance:
■ Operating mode
■ Accuracy
■ Function
■ Accessories identification
■ Data stored
■ Alarm
■ Detect for connection

Guidance and Declaration - Electromagnetic Immunity

The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device
should assure that it is used in such an environment.

Electromagnetic
Immunity test IEC 60601 test level Compliance level
environment - guidance

Electrostatic discharge (ESD) ±8 kV contact ±8 kV contact Floors should be wood,

IEC 61000-4-2 ±15kV air ±15kV air concrete or ceramic tile. If
floors are covered with
synthetic material, the
relative humidity should
be at least 30%.

Electrical fast transient/burst ±2 kV for power supply ±2 kV for power supply lines Mains power quality
IEC 61000-4-4 lines ±1 kV for input/output lines should be that of a typical
±1 kV for input/output lines (length greater than 3 m) commercial or hospital
environment.
(length greater than 3 m)

Surge ±1 kV line(s) to line(s) ±1 kV line(s) to line(s)

IEC 61000-4-5 ±2 kV line(s) to earth ±2 kV line(s) to earth

Voltage dips and Voltage 0 % UT for 0,5 cycle 0 % UT for 0,5 cycle Mains power quality
interruptions should be that of a typical
IEC 61000-4-11 commercial or hospital
0 % UT for 1 cycle and 70 % 0 % UT for 1 cycle and 70 %
environment. If the user
UT for 25/30 cycles UT for 25/30 cycles
of our product requires
continued operation
0 % UT for 250/300 cycle 0 % UT for 250/300 cycle during power mains
interruptions, it is
recommended that our
product be powered from
an uninterruptible power
supply or a battery.

RATED power frequency 30 A/m 30 A/m Power frequency

magnetic fields 50 Hz / 60 Hz 50 Hz / 60 Hz magnetic fields should be
IEC 61000-4-8 at levels characteristic of
a typical location in a
typical commercial or
hospital environment.

Note: UT is the A.C. mains voltage prior to application of the test level.

B-2
Guidance and Declaration - Electromagnetic Immunity

The device is intended for use in the specified electromagnetic environment. The customer or the user of the device should
assure that it is used in such an environment as described below.

Electromagnetic environment -
Immunity test IEC 60601 Test level Compliance level
guidance

Conducted 3 Vrms 3 Vrms Portable and mobile RF communications

disturbances induced 150 kHz to 80 MHz equipment should be used no closer to
by RF fields any part of the device, including cables,
IEC61000-4-6 than the recommended separation
distance calculated from the equation
applicable to the frequency of the
6 Vrms 6 Vrms transmitter. Recommended separation
in ISM bandsa between distance:
0,15 MHz and 80 MHz
150k to 80 MHz

Radiated RF EM fields 3V/m 3V/m

IEC61000-4-3 80 MHz to 2.7 GHz 80 MHz to 800 MHz

Proximity fields from 27 V/m 27 V/m

800 MHz to 2.7 GHz
RF wireless 380–390 MHz
communications
equipment
28 V/m 28 V/m where P is the maximum output power
IEC61000-4-3
rating of the transmitter in watts (W)
430–470 MHz, 800–
according to the transmitter manufacturer
960 MHz, 1700–1990
and d is the recommended separation
MHz, 2400–2570 MHz
distance in meters (m).
Field strengths from fixed RF transmitters,
as determined by an electromagnetic site
surveyb, should be less than the
9 V/m 9 V/m compliance level in each frequency
rangec.
704–787 MHz, 5100–
5800 MHz Interference may occur in the vicinity of
equipment marked with the following
symbol:

Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
a
The ISM (industrial, scientific, and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHz
to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz. The amateur radio bands between 0,15 MHz and
80 MHz are 1,8 MHz to 2,0 MHz, 3,5 MHz to 4,0 MHz, 5,3 MHz to 5,4 MHz, 7 MHz to 7,3 MHz, 10,1 MHz to 10,15 MHz, 14 MHz
to 14,2 MHz, 18,07 MHz to 18,17 MHz, 21,0 MHz to 21,4 MHz, 24,89 MHz to 24,99 MHz, 28,0 MHz to 29,7 MHz and 50,0 MHz
to 54,0 MHz.
b
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To
assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the device is used exceeds the applicable RF compliance
level above, the device should be observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the device.
c
Over the frequency ranges 150 kHz to 80 MHz, field strengths should be less than 3V/m.

Recommended Separation Distances between Portable and Mobile RF, Communications Equipment and This
Equipment

The equipment is intended for use in an electromagnetic environment in which radiated RF disturbance are controlled. The
customer or the user of the device can help prevent electromagnetic interference by maintaining a minimum distance
between portable and mobile RF communications equipment (transmitters) and the device as recommended below,
according to the maximum output power of the communication equipment.

B-3
 Separation Distance According to Frequency of Transmitter (m)

Rated Maximum Output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.7 GHz
power of Transmitter
Watts (W)

0.01 0.12 0.12 0.23

0.1 0.38 0.38 0.73

1 1.2 1.2 2.3

10 3.8 3.8 7.3

100 12 12 23

For transmitters at a maximum output power not listed above, the recommended separation distanced in meters (m) can
be determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power
rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.

B.2 Radio Regulatory Compliance

RF parameters (MSD45N Module)

Type of Radio IEEE 802.11b/g/n (2.4G) IEEE 802.11a/n (5G)

Modulation mode DSSS and OFDM OFDM

ETSI: 2.4 GHz - 2.483 GHz ETSI: 5.15 GHz - 5.35 GHz, 5.47 GHz -
FCC: 2.4 GHz - 2.483GHz 5.725 GHz
MIC: 2.4 GHz - 2.495GHz FCC: 5.15 GHz - 5.35 GHz, 5.725 GHz -
Operating frequency KC: 2.4 GHz - 2.483 GHz 5.82 GHz
MIC: 5.15 GHz - 5.35GH
KC: 5.15 GHz - 5.35 GHz, 5.47~5.725 GHz, 5.725
GHz - 5.82 GHz

< 30 dBm (peak power)

Output power
< 20 dBm (average power)

The radio device used in this product is in compliance with the essential requirements and other relevant
provisions of Directive 2014/53/EU.
This device complies with part 15 of the FCC Rules and with RSS-210 of Industry Canada. Operation is subject to
the condition that this device does not cause harmful interference.
This device must accept any interference received, including interference that may cause undesired operation.

WARNING
• Changes or modifications not expressly approved by the party responsible compliance could void
the user’s authority to operate theequipment.

B-4
C Default Configurations

This chapter lists some of the most important factory default settings in configuration management. You cannot
change the factory default configuration itself. However, you can make changes to the settings from the factory
default configuration and then save the changed configuration as a user configuration. The last column of the
following tables is for your notes and review.

C.1 Parameters Configuration

C.1.1 ECG
ECG Setup

Item Name General

Lead Set Auto

Alm Source HR

Alarm On

Alm Lev Med

Feline 180

HR/PR High Canine 180

Other 180

Feline 90

HR/PR Low Canine 50

Other 50

Sweep 25 mm/s

Beat Vol 2

Paced No

Notch Filter On

Gain X2

Filter Monitor

ECG Display Normal

Smart Lead Off On

C-1
 ST Analysis

Item Name General

ST Analysis Off

Alarm Off

Alm Lev Med

ST-X High 0.20 when ST Unit is mV: 2.0

when ST Unit is mm: 2.0

ST-X Low when ST Unit is mV: -0.20

when ST Unit is mm: -2.0

ISO -80 ms

J 48 ms

ST J + 60 ms

X represents I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, V5 or V6.

Arrh. Analysis

Item Name General

Arrhythmia Threshold Settings

PVCs/min 10

Asys. Delay 5

Vtac Rate 130

Vtac PVCs 6

Multif. PVC’s Window 15

Tachy 120

Brady 50

Extreme Tachy 160

Extreme Brady 35

Vbrd Rate 40

Vbrd PVCs 5

Pause Time 2

Arrhythmia Alarm Settings

Asystole Alarm On

VFib/VTac Alarm On

Vtac Alarm On

Vent. Brady Alarm On

Extreme Tachy Alarm On

Extreme Brady Alarm On

Asystole Alm Lev High

VFib/VTac High
Alm Lev

C-2
 Item Name General

Vtac Alm Lev High

Vent. Brady Alm Lev High

Extreme Tachy Alm Lev High

Extreme Brady Alm Lev High

PVCs/min Alarm Off

R on T Alarm Off

Nonsus. Vtac Alarm Off

Vent. Rhythm Alarm Off

Bigeminy Alarm Off

Trigeminy Alarm Off

Multif.PVC Alarm Off

Tachy Alarm Off

Brady Alarm Off

Pause Alarm Lev Low

Run PVCs Low

Couplet Alm Lev Prompt

PVC Alm Lev Prompt

Irr. Rhythm Alm Lev Prompt

PNP Alm Lev Prompt

PNC Alm Lev Prompt

Missed Beats Alm Lev Prompt

X Alarm Off

X Alm Lev Med

X Alm Rec Off

X represents a certain arrhythmia event. Refer to A Product Specifications for details. The X in “X Alm Lev” refers
to all arrhythmia events except for those specially marked ones.

C.1.2 RESP

Item Name General

Alarm On

Alm Lev Med

Sweep 6.25 mm/s

Lead II

Gain X2

RR High 55

RR Low 5

Apnea Delay 15

Detection Mode Auto

C-3
 RR Source Auto

C.1.3 PR

Item Name General

Alarm On

Alm Lev Med

HR/PR High Feline 180

Canine 180

Other 180

HR/PR Low Feline 90

Canine 50

Other 50

PR Source SpO2

Beat Vol 2

C.1.4 SpO2

Item Name General

Alarm On

Alm Lev Med

SpO2 High 100

SpO2 Low 90

Desat Limit 80

Sweep 25 mm/s

NIBP Simul Off

Sensivity Med

Alarm Source Auto

PI Zoom No

C.1.5 Temp

Item Name General

Alarm On

Alm Lev Med

T1/T2 High (ºC) 40.0

T1/T2 Low (ºC) 36.0

TD High (ºC) 2.0

C-4
C.1.6 NIBP

Item Name General

Alarm On

Alm Lev Med

Interval 15 min

NIBP End Tone Off

Clock On

Initial Pressure (mmHg) Weight Range (>50lb 160

or >23kg)

Weight 140
Range(21lb~50lb or
10kg~23kg):

Weight Range (<21lb 140

or <10kg)

Alarm Limits

NIBP-S High (mmHg) Weight Range (>50lb 160

or >23kg)

Weight 120
Range(21lb~50lb or
10kg~23kg):

Weight Range (<21lb 120

or <10kg)

NIBP-S Low (mmHg) Weight Range (>50lb 90

or >23kg)

Weight 70
Range(21lb~50lb or
10kg~23kg):

Weight Range (<21lb 70

or <10kg)

C-5
 Item Name General

NIBP-M High (mmHg) Weight Range (>50lb 110

or >23kg)

Weight 90
Range(21lb~50lb or
10kg~23kg):

Weight Range (<21lb 90

or <10kg)

NIBP-M Low (mmHg) Weight Range (>50lb 60

or >23kg)

Weight 50
Range(21lb~50lb or
10kg~23kg):

Weight Range (<21lb 50

or <10kg)

NIBP-D High (mmHg) Weight Range (>50lb 90

or >23kg)

Weight 70
Range(21lb~50lb or
10kg~23kg):

Weight Range (<21lb 70

or <10kg)

NIBP-D Low (mmHg) Weight Range (>50lb 50

or >23kg)

Weight 40
Range(21lb~50lb or
10kg~23kg):

Weight Range (<21lb 40

or <10kg)

C.1.7 IBP (for uMEC12 Vet)

Item Name General

M

IBP 1 Label PA

IBP 2 Label ICP

Alarm On

Alm Lev Med

P1 Measure All

P2 Measure All

P3 Measure Mean

P4 Measure Mean

Sensitivity Med

Sweep 25 mm/s

Filter 12.5 Hz

IBP Label Order Setup Art, CVP, ICP, PA, Ao, UAP, FAP, BAP, LV, LAP, RAP, UVP, P1, P2, P3, P4

Art, Ao, UAP, BAP, FAP, LV, P1-P2 Arterial Pressure Alarm Limits

C-6
Item Name General
M

IBP-S High (mmHg) Feline 160

Canine 160

Other 160

IBP-S Low (mmHg) Feline 100

Canine 100

Other 100

IBP-M High (mmHg) Feline 120

Canine 130

Other 130

IBP-M Low (mmHg) Feline 60

Canine 70

Other 70

IBP-D High (mmHg) Feline 90

Canine 90

Other 90

IBP-D Low (mmHg) Feline 50

Canine 50

Other 50

PA Alarm Limits

PA-S High (mmHg) Feline 38

Canine 38

Other 38

PA-S Low (mmHg) Feline 5

Canine 5

Other 5

PA-M High (mmHg) Feline 16

Canine 16

Other 16

PA-M Low (mmHg) Feline 12

Canine 12

Other 12

PA-D High (mmHg) Feline 4

Canine 4

Other 4

PA-D Low (mmHg) Feline -4

Canine -4

Other -4

CVP, LAP, RAP, UVP, P3-P4 Venous Pressure Alarm Limits

C-7
 Item Name General
M

IBP-M High (mmHg) Feline 7

Canine 7

Other 7

IBP-M Low (mmHg) Feline 0

Canine 0

Other 0

CPP Alarm Limits

CPP High (mmHg) Feline 130

Canine 130

Other 130

CPP Low (mmHg) Feline 50

Canine 50

Other 50

ICP Alarm Limits

IBP-M High (mmHg) Feline 4

Canine 4

Other 4

IBP-M Low (mmHg) Feline 0

Canine 0

Other 0

Art, Ao, BAP, FAP, LV, P1-P2 Arterial Pressure Scale

Scale (mmHg) 0-160

PA Scale

Scale (mmHg) 0-30

CVP, LAP, RAP, ICP, UVP Scale

Scale (mmHg) 0-20

UAP, P3-P4 Venous Pressure Scale

Scale (mmHg) 0-80

C.1.8 C.O. (for uMEC12 Vet)

Item Name General

Alarm On

Alm Lev Med

TB High (ºC) 40.0

TB Low (ºC) 36.0

C-8
 Comp. Const 0.542

Auto TI Auto

Manual TI (ºC) 2.0

Measuring mode Manual

C.1.9 CO2 (for uMEC12 Vet)

Item Name General

M

Alarm On

Alm Lev Med

Operating Mode Measure

Sweep 6.25 mm/s

Wave Type Draw

Scale (mmHg) 50

Apnea Delay 15

RR Source Auto

BTPS Compen Off

N2O Compen 0

O2 Compen 21

Des Compen 0

Auto Standby 60 min

Alarm Limits

EtCO2 High (mmHg) 60

EtCO2 Low (mmHg) 20

FiCO2 High (mmHg) 10

awRR High 55

awRR Low 5

C-9
C.2 Routine Configuration

C.2.1 Alarm

Item Name General

Alm Volume 2

Reminder Vol Low

Recording Length 16 s

Apnea Delay 15 s

Alarm Delay 6s

ST Alarm Delay 30 s

C.2.2 Screens

Item Name General

Choose Screen Normal Screen

Display the ST segments on ECG screen Unselected

Select QuickKeys NIBP Measure → Stop All → Review → Standby

Select Wave 1 ECG1

Sequence for
Normal Screen 2 ECG2

3 SpO2+PR

4 Any IBP

5 Any IBP

6 CO2

7 Resp

Select Parameters Parameter 1 ECG

for Big Numerics
Screen Parameter 2 SpO2+PR

Parameter 3 Resp

Parameter 4 NIBP

C - 10
C.2.3 Parameter/Wave Color

Item Name General

Parameter/ Wave ECG Green

Color
NIBP White

SpO2 Cyan

PR Cyan

TEMP White

Art/Ao/UAP/FAP Red
/BAP/LV/P1~P4 (arterial pressure)

PA Yellow

CVP/ICP/P1~P4 (venous Blue

pressure)

LAP Purple

RAP Orange

UVP Cyan

CO2 Yellow

RESP Yellow

C.O. White

X represents a waveform label, such as ECG, RESP, CO2 and so forth. The ECG waveform cannot be set off.

C.2.4 Review

Item Name General

Tabular Trends Interval 30 min

Trend Group Standard

Graphic Trends Trend Group Standard

Zoom 3h

Waves 4

Full Disclosure Save Waves Save ECG1 by default.

C.2.5 Record

Item Name General

Waveform 1 II

Waveform 2 Off

Waveform 3 Off

Length 8s

Interval Off

Paper Speed 25 mm/s

Alm Rec X Off

C - 11
 X represents a parameter label.

C.2.6 Print

Item Name General

Paper Size A4

Print On Both Sides Off

ECG Reports Amplitude 10 mm/mV

Sweep 25 mm/s

Auto Interval Off

Tabular Trends Back Auto

Reports
Spacing Auto

Not Print Blank Pages Selected

Report Format Parameter Oriented

Currently Displayed Trended Selected

Parameters

Standard Parameter Group Unselected

Custom Unselected

Graphic Trends Back Auto

Reports
Not Print Blank Pages Selected

Currently Displayed Trended Selected

Parameters

Standard Parameter Group Unselected

Custom Unselected

Paginal Time All

Realtime Report Sweep Auto

Select Wave Current

C.2.7 Others

Item Name General

Help On

Brightness 5

Key Volume 2

View Other Patient Auto Alarm On

Night Mode Setup Brightness 1

Alarm Volume 2

QRS Volume 1

Key Volume 0

NIBP End Tone Off

Stop NIBP Unselected

C - 12
C.3 User Maintenance Items

Item Name General

Changing Bed No. Protected

Auto Discharge Patient 5 min After Poweroff

Atmospheric Pressure 760 mmHg

Height Unit cm

Weight Unit kg

ST Unit mV

Press. Unit mmHg

CVP Unit cmH2O

CO2 Unit mmHg

Temp Unit °C

Network Type LAN

Address Type Manual

Select CMS On

Latching Alarms No

Alarm Pause Time 2 min

Minimum Alarm Volume 2

Max. Alarm Pause 15min Disable

Alarm Sound ISO

High Alarm Interval (s) 10

Med Alarm Interval (s) 20

Low Alarm Interval (s) 20

Reset Other Bed's Alarms Off

Alarm Reset By Other Bed On

Other Bed Disconnection Alm On

Reminder Tone On

Reminder Interval 1 min

ECGLeadOff Lev. Low

SpO2SensorOff Lev. Low

IBPSensorOff Lev. Med

Lethal Arrh. OFF Disable

Alarm Light on Alarm Reset On

Alarm Delay 6s

ST Alarm Delay 30 s

Wave Line Med

ECG Standard AHA

Notch Freq. 50 Hz

Data Transfer Method USB Drive

C - 13
 Item Name General

Transferred Data Length 4h

Para Switch Authority Unprotected

Clear CMS IP at startup Off

Parameter Switch ■ When [Para Switch Authority] is set to [Protected]: Unselected

■ When [Para Switch Authority] is set to [Unprotected]: Selected

SpO2 Tone Mode 1

Low Perf Status Indicator On

Nurse Call Signal Type Continuous

Contact Type Normally Closed

Alm Lev High, Med, Low

Alarm Cat. Phys., Tech.

C - 14
D Alarm Messages

This chapter lists only the most important physiological and technical alarm messages. Some messages
appearing on your monitor may not be included.
In this chapter:
■ The “I” column indicates how indications of technical alarms perform after the alarm system is reset: “A”
means that some technical alarms are cleared; “B” indicates that some technical alarms are changed to the
prompt messages; and “C” indicates that a “√” appears before the alarm message, appears in the alarm
symbol area, and the indication of the alarm lamp depends on the alarm light setting. Refer to 7.8
Resetting Alarms for details.
■ The “L” field indicates the alarm level: H means high, M means medium and L means low. “*” means the
alarm level is user-adjustable.
■ XX represents a measurement or parameter label, such as ECG, NIBP, HR, ST-I, PVCs, RR, SpO2, PR, etc.
In the “Cause and Solution” column, corresponding solutions are given instructing you to troubleshoot
problems. If the problem persists, contact your service personnel.

D-1
D.1 Physiological Alarm Messages

Measurement Alarm messages L Cause and solution

XX XX Too High M* XX value has risen above the high alarm limit or fallen
below the low alarm limit. Check the patient’s condition
XX Too Low M* and check if the patient category and alarm limit settings
are correct.

ECG ECG Weak Signal H The ECG signal is so weak that the monitor can’t perform
ECG analysis. Check the patient’s condition and the ECG
connections.

Asystole H Arrhythmia has occurred to the patient. Check the

patient’s condition and the ECG connections.
VFib/VTac H

Vtac H

Vent. Brady H

Extreme Tachy H

Extreme Brady H

R on T M*

Run PVCs L*

PVCs M*

Multif.PVC M*

Bigeminy M*

Trigeminy M*

Tachy M*

Brady M*

Vent. Rhythm M*

Nonsus. Vtac M*

Pause L*

Resp Resp Apnea H The respiration signal was so weak that the monitor
cannot perform respiration analysis. Check the patient’s
condition and the Resp connections.

Resp Artifact H The patient’s heartbeat has interfered with his

respiration. Check the patient’s condition and the Resp
connections.

SpO2 SpO2 Desat H The SpO2 value has fallen below the desaturation alarm
limit. Check the patient’s condition and check if the alarm
limit settings are correct.

No Pulse H The pulse signal was so weak that the monitor cannot
perform pulse analysis. Check the patient’s condition,
SpO2 sensor and measurement site.

CO2 CO2 Apnea H The patient stops breathing, or the respiration signal was
so weak that the monitor cannot perform respiration
analysis. Check the patient’s condition and the RM
connections.

D-2
D.2 Technical Alarm Messages

Measurement Alarm message L I Cause and solution

XX XX SelfTest Err H C An error occurred to the XX module, or there is a

problem with the communications between the module
XX Init Err H A and the monitor. Re-plug the module and restart the
monitor, or plug the module into another monitor.
XX Init Err N H A

N is within 1 to 8

XX Comm Err H A

XX Comm Stop H C

XX Limit Err L C XX parameter limit is accidentally changed. Contact your

service personnel.

XX Overrange L C The measured XX value is not within the specified range

for XX measurement. Contact your service personnel.

ECG ECG Lead Off L* B The electrode has become detached from the patient or
the lead wire has become disconnected from the
ECG YY Lead Off L* B adapter cable. Check the connections of the electrodes
and leadwires.
Note: YY represents the leadwires, V, LL,
LA, RA, as per AHA standard, or C, F, L
and R as per IEC standard.

ECG Noisy L A The ECG signal is noisy. Check for any possible sources of
signal noise around the cable and electrode, and check
the patient for great motion.

ECG Artifact L A Artifacts are detected on the ECG analysis lead and as a
result heart rate cannot be calculated and Asystole, Vfib
and Vtac cannot be analyzed. Check the connections of
the electrodes and leadwires and check for any possible
source of interference around the cable and electrode.
Check the patient’s condition and check the patient for
great motion.

ECG High Freq. Noise L A High frequency signals are detected on the ECG analysis
lead. Check for any possible source of interference
around the cable and electrode.

ECG Low Freq. Noise L A Low frequency signals are detected on the ECG analysis
lead. Check for any possible source of interference
around the cable and electrode.

ECG Amplitude Too Small L C The ECG amplitude didn’t reach the detected threshold.
Check for any possible source of interference around the
cable and electrode.

ECG Config. Err L C ECG configuration is wrongly downloaded. Check the

downloaded configuration and re-download the correct
configuration.

Resp Resp Disturbed L A The respiration circuit is disturbed. Restart the monitor.

Temp Temp Cal. Err H C A calibration failed. Restart the monitor.

T1 Sensor Off L A The Temp sensor has become detached from the patient
or the module. Check the sensor connections.
T2 Sensor Off L A

D-3
 Measurement Alarm message L I Cause and solution

SpO2 SpO2 Sensor Off L* B The SpO2 sensor has become detached from the patient
or the module, or there is a fault with the SpO2 sensor, or
SpO2 Sensor Fault L C an unspecified SpO2 sensor has been used. Check the
sensor application site and the sensor type, and make
SpO2 No Sensor L B
sure if the sensor is damaged. Reconnect the sensor or
use a new sensor.
SpO2 Unknown Sensor L C

SpO2 Sensor L C
Incompatible

SpO2 Too Much Light L C There is too much light on the SpO2 sensor. Move the
sensor to a place with lower level of ambient light or
cover the sensor to minimize the ambient light.

SpO2 Low Signal L C The SpO2 signal is too low or too weak. Check the
patient’s condition and change the sensor application
SpO2 Weak Pulse L C site. If the error persists, replace the sensor.

SpO2 Interference L C The SpO2 signal has been interfered. Check for any
possible sources of signal noise around the sensor and
check the patient for great motion.

SpO2 Board Fault L C There is a problem with the SpO2 measurement board.
Do not use the module and contact your service
personnel.

NIBP NIBP Loose Cuff L A The NIBP cuff is not properly connected, or there is a leak
in the airway.
NIBP Air Leak L A

NIBP Pneumatic Leak L A Check the NIBP cuff and pump for leakages.

NIBP Air Pressure Err L A An error occurred to the air pressure. Verify that the
monitor application site meets the environmental
requirements and check if there is any source that affects
the air pressure.

NIBP Weak Signal L A The patient’s pulse is weak or the cuff is loose. Check the
patient’s condition and change the cuff application site.
If the error persists, replace the cuff.

NIBP Signal Saturated L A The NIBP signal is saturated due to excess motion or
other sources.

NIBP Overrange L A The measured NIBP value exceeds the module

measurement range.

NIBP Excessive Motion L A Check the patient’s condition and reduce the patient
motion.

NIBP Cuff Overpress. L A The NIBP airway may be occluded. Check the airway and
measure again.

NIBP Equip Err H A An error occurred during NIBP measurement and

therefore the monitor cannot perform analysis correctly.
NIBP Timeout L A Check the patient’s condition and NIBP connections, or
replace the cuff.
NIBP Measure Failed L A

NIBP Illegally Reset L A An illegal reset occurred during NIBP measurement.

Check if the airway is occluded.

D-4
Measurement Alarm message L I Cause and solution

IBP YY Sensor Off L* A Check the sensor connection and reconnect the sensor.

YY Disconnected H C The liquid way is disconneted from the patient, or the

three-way valve is open to the air. Check the connection
of the liquid way, or check the valve is open to the
patient. If the problem remains, contact the Customer
Services Dept. for help.

YY Non-Pulsatile L A The catheter may be occluded. Please flush the catheter.

YY represents an IBP label.

C.O. TB Sensor Off L A Check the sensor connection and reconnect the sensor.

CO2 CO2 Sensor High Temp L C Check, stop using or replace the sensor.

CO2 Sensor Low Temp L C

CO2 FilterLine Occluded L C The airway or watertrap was occluded. Check the airway
and remove the occlusion.

CO2 No Watertrap L B Check the watertrap connections.

CO2 Zero Failed L A Check the CO2 connections. After the sensor’s
temperature becomes stabilized, perform a zero
calibration again.

CO2 System Err L A Re-plug the module or restart the monitor.

CO2: Change Watertrap L C Replace the watertrap.

CO2: Watertrap and L C Check the patient category and use a correct watertrap.
Patient Mismatch

Power 12V Too High H C There is a problem with the system power supply.
Restart the monitor.
12V Too Low H C

5V Too High H C

5V Too Low H C

3.3V Too High H C

3.3V Too Low H C

Battery Too Low H C Connect the monitor to an AC power source and allow
the batteries to charge.

Battery Overload H C The power consumption of the equipment is too high.

Power the monitor using an AC power source.

RT Clock Not Exist H C Contact your service personnel.

D-5
 Measurement Alarm message L I Cause and solution

Recorder Recorder Init Err N L A Restart the monitor.

N is within 1 to 8.

Recorder SelfTest Err L A Stop the recording and restart the monitor.

Recorder Comm Err L A

Recorder S. Comm Err L A

Recorder Unavailable L A

Recorder Vlt High L C An error occurred to the system power supply. Restart
the monitor.
Recorder Vlt Low L C

Recorder Head Hot L C The recorder has been working for too long time. Stop
the recording and resume the recording till the
recorder’s printhead cools down.

Rec Paper Wrong Pos. L A Re-load the recorder paper.

System System Watchdog Err H C An error occurred to the system. Restart the monitor.

System Software Err H C

System CMOS Full H C

System CMOS Err H C

System FPGA Err H C

System Err N H C

N is within 2 to 12.

Other Bed Disconnected L A Check network connection.

PWR interrupted. Check L A Power supply failed accidently. Check the measurements
meas. state when the monitor restarts.

No CMS L A The monitor is disconnected from the CMS. Check

network connection.

D-6
E Electrical Safety Inspection

The following electrical safety tests are recommended as part of a comprehensive preventive maintenance
program. They are a proven means of detecting abnormalities that, if undetected, could prove dangerous to
either the patient or the operator. Additional tests may be required according to local regulations.
All tests can be performed by using commercially available safety analyzer test equipment. These procedures
assume the use of a 601PROXL International Safety Analyzer or equivalent safety analyzer. Other popular testers
complying with IEC 60601-1 used in Europe, such as Fluke, Metron, or Gerb, may require modifications to the
procedure. Please follow the instructions of the analyzer manufacturer.
The electrical safety inspection should be periodically performed every two years .The safety analyzer also
proves to be an excellent troubleshooting tool to detect abnormalities of line voltage and grounding, as well as
total current loads.

E.1 Power Cord Plug

Test Item Acceptance Criteria

The power plug The power plug pins No broken or bent pin. No discolored pins.

The plug body No physical damage to the plug body.

The strain relief No physical damage to the strain relief. No plug warmth
for device in use.

The power plug No loose connections.

The power cord No physical damage to the cord. No deterioration to the

cord.

For devices with detachable power cords, inspect the

connection at the device.

For devices with non-detachable power cords, inspect

the strain relief at the device.

E.2 Device Enclosure and Accessories

E.2.1 Visual Inspection

Test Item Acceptance Criteria

The enclosure and accessories No physical damage to the enclosure and accessories.

No physical damage to meters, switches, connectors, etc.

No residue of fluid spillage (e.g., water, coffee, chemicals, etc.).

No loose or missing parts (e.g., knobs, dials, terminals, etc.).

E-1
E.2.2 Contextual Inspection

Test Item Acceptance Criteria

The enclosure and accessories No unusual noises (e.g., a rattle inside the case).

No unusual smells (e.g., burning or smoky smells, particularly from ventilation

holes).

No taped notes that may suggest device deficiencies or operator concerns.

E.3 Device Labelling

Check the labels provided by the manufacturer or the healthcare facilities are present and legible.
■ Main unit label
■ Integrated warning labels

E.4 Protective Earth Resistance

1. Plug the probes of the analyzer into the device’s protective earth terminal and protective earth terminal of
the AC power cord.
2. Test the earth resistance with a current of 25 A.
3. Verify the resistance is less than limits.

LIMITS
For all countries, R = 0.2 Ω Maximum

E.5 Earth Leakage Test

Run an Earth Leakage test on the device being tested before performing any other leakage tests.
The following outlet conditions apply when performing the Earth Leakage test:
■ normal polarity (Normal Condition)
■ reverse polarity (Normal Condition)
■ normal polarity with open neutral (Single Fault Condition)
■ reverse polarity with open neutral (Single Fault Condition)

LIMITS
For UL60601-1,
◆ 300 μA in Normal Condition
◆ 1000 μA in Single Fault Condition
For IEC60601-1,
◆ 500 μA in Normal Condition
◆ 1000 μA in Single Fault Condition

E.6 Patient Leakage Current

Patient leakage currents are measured between a selected applied part and mains earth. All measurements have
a true RMS only
The following outlet conditions apply when performing the Patient Leakage Current test.
■ normal polarity (Normal Condition)
■ reverse polarity (Normal Condition),
■ normal polarity with open neutral (Single Fault Condition)

E-2
 ■ reverse polarity with open neutral (Single Fault Condition)
■ normal polarity with open earth (Single Fault Condition)
■ reverse polarity with open earth (Single Fault Condition)

LIMITS
For CF applied parts
◆ 10μA in Normal Condition
◆ 50μA in Single Fault Condition
For BF applied parts
◆ 100μA in Normal Condition
◆ 500μA in Single Fault Condition

E.7 Mains on Applied Part Leakage

The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage, through a limiting
resistance, to selected applied part terminals. Current measurements are then taken between the selected
applied part and earth. Measurements are taken with the test voltage (110% of mains) to applied parts in the
normal and reverse polarity conditions
The following outlet conditions apply when performing the Mains on Applied Part test.
■ Normal Polarity
■ Reversed Polarity

LIMITS
■ For CF applied parts: 50 μA
■ For BF applied parts: 5000 μA

E.8 Patient Auxiliary Current

Patient Auxiliary currents are measured between any selected Applied Part connector and the remaining
Applied Part connector s. All measurements may have a true RMS only response.
The following outlet conditions apply when performing the Patient Auxiliary Current test.
■ normal polarity (Normal Condition)
■ reverse polarity (Normal Condition)
■ normal polarity with open neutral (Single Fault Condition)
■ reverse polarity with open neutral (Single Fault Condition)
■ normal polarity with open earth (Single Fault Condition)
■ reverse polarity with open earth (Single Fault Condition)
LIMITS
For CF applied parts,
◆ 10μA in Normal Condition
◆ 50μA in Single Fault Condition
For BF applied parts,
◆ 100μA in Normal Condition
◆ 500μA in Single Fault Condition

NOTE
• Make sure the safety analyzer is authorized comply with requirement of IEC60601-1.
• Follow the instructions of the analyzer manufacturer.

E-3
 This page intentionally left blank.

E-4
F Symbols and Abbreviations

Symbols and abbreviations that you may encounter while reading this manual or using the monitor are listed
below with their meanings.

F.1 Symbols

A ampere

Ah ampere hour

bpm beats per minute

BrPM breaths per minute

°C centigrade

cc cubic centimeter

cm centimeter

dB decibel

°F fahrenheit

g gram

GTT gutta

hr hour

hPa hundred pascal

Hz hertz

inch inch

kg kilogram

kPa kilopascal

l litre

lb pound

m meter

mcg micrograms

mEq milli-equivalents

mg milligrams

min minute

ml milliliter

mm millimeters

mmHg millimeters of mercury

ms millisecond

mV millivolt

mW milliwatt

F-1
 nm nanometer

ppm part per million

s second

V volt

VA volt ampere

Ω ohm

μA microampere

μm micron

μV microvolt

W watt

- minus

% percent

/ per; divide; or

^ power

+ plus

= equal to

< less than

> greater than

≤ less than or equal to

≥ greater than or equal to

± plus or minus

× multiply

© copyright

F.2 Abbreviations

AAMI Association for Advancement of Medical Instrumentation

AC altenating current

ADT adult

AHA American Heart Association

ANSI American National Standard Institue

AP access point

ARR arrhythmia

ART arterial

AUX Auxiliary output

AwRR Air way respiratory rate

BTPS body temperature and pressure, saturated

CCU critical care unit

F-2
CH channel

CISPR International Special Commmittee on Radio Interferennce

CMS central monitoring system

cmos Complementary Metal Oxide Semiconductor

CPU central processing unit

CVP central venous pressure

D diastolic

DC direct current

DIA diastolic

e.g. for example

ECG electrocardiograph

EEC European Economic Community

EMC electromagnetic compatibility

ERR error

ES electrosuigical

ESU electrosuigical unit

Et end-tidal

EURO European

Fi fraction of inspired

FiCO2 fraction of inspired carbon oxygen

FiN2O fraction of inspired nitrous oxide

FiO2 fraction of inspired oxygen

fpga Field Programmable Gate Array

Hb-CO Carbonmono-xide hemoglobin

HR heart rate

HT height

IEC International Electrotechnical Commission

ID invasive diastolic brood pressure

IM invasive mean brood pressure
IS invasive systolic brood pressure

Ins, INS Inspired Minimum

InsCO2 Inspired Minimum carbon dioxide

ISO International organization for standardization

LA (L) left arm

LAP left artria pressure

LCD liquid crystal display

LED light emitting diode

LL (F) left leg

F-3
 Loop loop read-write test fail

M mean

MAC minimal alveolar concentration

MAP mean arterial pressure

MDD Medical Device Directive

MEAN mean pressure

MetHb methemoglobin

Mii initialize MII registers fail

MRI magnetic resonance imaging

N/A not applied

NEO neonate, neonatal

NIBP noninvasive blood pressure

ND non-invasive diastolic brood pressure

NM non-invasive mean brood pressure
NS non-invasive systolic brood pressure

O2 oxygen

OxyCRG Oxygen Cardio-respirogram

P power

PA pulmonary artery

PD photodetector

PED pediatric

PLETH plethysmogram

PM Patient Monitor

PPV Pulse Pressure Variation

PR pulse rate

PVC premature ventricular complex

QRS interval of ventricular depolarization

RA (R) right arm

RAM random access memory

RAP right atrial pressure

Reg test NE2000 registers fail

RESP respiration

RL (N) right leg

ROM read-only memory

RR respiration rate

S systolic

SpO2 arterial oxygen saturation from pulse oximetry

SYNC synchronization

F-4
SYS systolic

TEMP temperature

TFT Thin-Film Technology

V (C) precordial lead (chest)

VGA Video Graphice Array

F-5
F-6
G Declaration of Conformity

G-1
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G-2
P/N: 046-018172-00 (5.0)