PM50 User Manual
Contents
1. EET mi Press shortcut key Help will pop up help document Meanwhile you will find Help in operation interface click this button can also active the help document 44 Chapter 8 Troubleshooting guide Check position of cuff tighten cuff Overreach movement Remain still during BP reading E Check air hose connections and make Measurement timeout certain cuff is tight Check air hose connections and make Airway obstructed DN oer E certain air tubing is not crimped Push START STOP button to start Measurement cancelled reading Cuff leak Check air hose and cuff Retry reading push START STOP button If problem persists return monitor for servicing Check for blocked or kinked air hose Replace batteries If problem persists return for servicing Retry again if problen persists return for servicing safety time out 45 Appendix Guidance and manufacture declaration electromagnetic emission for all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic emission The PM50 Patient Monitor is intended for use in the electromagnetic environment specified below The customer of the user of the PM50 Patient Monitor should assure that it is used in such and environment RF emissions The PM50 Patient Monitor uses RF energy only for CISPR 11 its internal function Therefore its RF emissions are Group 1 very low and are not likely to cause any interference in nearby2. 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 PM50 Patient Monitor is used exceeds the applicable RF compliance level above the PM50 Patient Monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the PM50 Patient Monitor Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 247 Recommended separation distances between portable and mobile RF communications equipment and the EQUIPMENT or SYSTEM for EQUIPMENT or SYSTEM that are not LIFE SUPPORTING portable and mobile RF communications equipment and the PM50 Patient Monitor The PM50 Patient Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the PM50 Patient Monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the PM50 Patient Monitor as recommended below according to the maximum output power
3. Open Bp trend Spo2 Edit Histo Pie c Corre Print Stati Devic Help Exit Num date Time Sys Dia Heart Rate Comment 26 7 2008 2 00 101 55 130 120 110 100 90 70 50 40 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BP Trend vs Time Time Patient YL ID 6 Test date 25 7 2008 14 40 Figure7 10 5 Stretch BP Trend y axis File Download Upload Report Edit Help Language INSCMEABOMEY SEO GA Wear Upload Download Open Bp trend Spo2 Edit Histo Pie c Corre Print Stati Devic Help Exit Num date Time Sys Dia Heart Rate Comment mmHg BPM 106 26 7 2008 7 15 101 65 54 180 170 160 150 140 130 120 110 100 90 80 70 60 50 40 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BP Trend vs Time Time Patient YL ID G Test date 25 7 2008 14 40 Figure7 10 6 Shrink BP Trend y axis SpO Trend Edit 36 press the short cut key will appear the SpO trend interface Wo Cet ARE 91 0 LETECI 13229500 PRU 13 24 09 13 25 00 EZEN EEA E20 Figure 7 10 7 SpO Trend The following picture show different parts of the data area Move the mouse in the data area you will see a yellow line and on top of the data area is the Selected data info where you will see the exact SpO and pulse value according to the time Along with the mouse move the value will change accordingly The SpO and pulse
4. UENIT Bis MILITE 20 J TEAMS pon ato and SOTA AAA ASA suoni uasa ola een benc he Ue usas 21 LLANO A A O da ab i ea ert tg tne danas 21 Chapter Gl nstallationoithesoltw are wa sossciccccesiscsswesssesscccsscdseccecestunsceasessecvecdcuscecceessesestaesussuevsecees aan iS 23 o T D emiandoredifoE sioe a RA AD DS 23 6 2Installa tonos OH Water di 23 Chapter7Introductiontothesoftware sinnini A E E S 24 TMV a O15 e ANENE A AI RO 24 IAN A TOT TUE 24 pc E E ET E E E ER 25 7 ADesignthemeasurementpIlan ccccccsseccccccccceeeeeaeaeessessesseeeeceeeeeeeeeeeeeseeeeeesseeeeeeeeeeeeeeeeeeeaaaeeaeeesees 26 225 1990 CIO A O o O II fus aene Eqs 28 T c hioosepatienbdatat OG IL A DRE denas Uds cte bue F ge cose n ERAN DHA A DUM 20 ABS A A A 30 IS o KU oido iaa etae a ibadersaaad datitiad ecbieeacunsaeas 30 T EGItD IOOdDIeSs Utd E EE 92 AAA A A eh Sr A A devon baste 32 17 11Displaythestatistic infomati N ra A t Ra bed Cute bil e A a is 38 TIAZEGIO LA OS OEA OA A A A A A EAE 39 TM SOIC DDerlOdeliallBe ia di 40 A A E A E PTOS 40 A A ster teat ee esse faa Mta ot atus tn onan tern Ai sence MdL MM T ODE aD STEAM SU Md DL D ICE DUE 4 Nerei H 4 CRI COTS INO IAS TE Tes 42 CS ai A A A A S E ubl cau A A 43 A AM A II II II II II II A 44 Chapters Troubleshoo tino Oude iii ita 45 RL 46 VI Chapter1 Introduction B For an overall introduction to the monitor please refer to General Informa
5. higher than the high limit or lower than the low limit the alarm will occur SYS ALM MEAN ALM and DIA ALM can be processed separately The adjustable ranges of the high and low limits of the alarm are as follows DIA ALM 40 270 mmHg SYS ALM 10 215 mmHg MEAN ALM 20 235 mmHg 10 3 2 3 SpO SETUP Select PM SpO SETUP in the SYSTEM MENU The following menu will pop up SP02 SETUP PULSE SOUND EN SPO2 ALM HI 9 100 SP02 ALM LO i _ 90 PR AM HI BPM __ 120 PR ALM LO BPM 50 EXIT A to the upper menu Figure 3 2 3 SpO SETUP For the PULSE SOUND item you can choose its state When it is ON pulse sound plays while the monitor measure the ambulatory blood pressure When it is OFF pulse sound dosen t play while the monitor measure the ambulatory blood pressure For the SpO ALM HI LO item you can set up SpO ALM H and SpO ALM LO Alarm occurs when SpO value overflows For the PR ALM HI LO item you can set up PRALM HI and SpO ALM LO Alarm occurs when PR value overflows SpO and PR ALARM analysis alarm limits PARAMETERS Patient Information Pick the ABPM INFO item in the SYSTEM MENU to call up the following menu Figure 3 2 4 ABPM INFOR ad The information in this interface can t be changed until reinstall the parameter in software 3 2 5 BP TABLE Pick the BP TABLE item in the SYSTEM MENU to call up the following menu NIBP TABL
6. stop using it and contact the biomedical engineer of the hospital or ads our CustomerService immediately In addition the overall check of monitor including the safety check such as the leakage current should be performed only by qualified personnel once every 12 months AN N ote Please choose the computer which should be ensured compliance with the requirements of IEC 60950 or else it may damage the device AN Note AN The software was developed per IEC60601 1 4 The possibility of hazards arising from errors in the software program is minimized A Caution A At the end of its service life the product described in this manual as well as its accessories must be disposed of in compliance with the guidelines regulation the disposal of such products If you have questions concerning disposal of the product please contact us or its representatives 1 1 General Information Environment Temperature Working 5 40 C Transport and Storage 20 60 C Humidity Working lt 80 Transport and Storage lt 95 Altitude Working 500 to 4 600m 1 600 to 15 000ft Transport and Storage 500 to 13 100m 1 600 to 43 000ft Power Supply 3 V DC Pmax 2 56VA General instruction The monitor not only measure the ambulatory blood pressure but also monitor the parameters of NIBP and SpO But it is applicable for adult only It integrates parameter measuring modules funcion and display function in one device featuring in co
7. AN In clinical application this function is forbidden because the DEMO will mislead the medical staff to treat the DEMO waveform and parameter as the actual data of the patient which may result in the delay of treatment or mistreatment When it is ambulatory blood pressure state PM BP SETUP PM SpO SETUP and SpO TABLE can t be changed in the MAIN MENU 14 Chapter 4 SpO Monitoring 4 1 What is the SpO Monitoring SpO Plethysmogram measurement is employed to determine the oxygen saturation of hemoglobin in the arterial blood If for example 97 hemoglobin molecules in the red blood cells of the arterial blood combine with oxygen then the blood has a SpO oxygen saturation of 97 The SpO numeric on the monitor will read 97 The SpO numeric shows the percentage of hemoglobin molecules which have combined with oxygen molecules to form oxyhemoglobin The SpO PLETH parameter can also provide a pulse rate signal and a plethysmogram wave How the SpO PLETH Parameter Works M Arterial oxygen saturation is measured by a method called pulse oximeter It is a continuous non invasive method based on the different absorption spectra of reduced hemoglobin and oxyhemoglobin It measures how much light sent from light sources on one side of the sensor is transmitted through patient tissue such as a finger or an ear to a receiver on the other side The sensor measurement wavelengths are nominally 660nm for the Red LED and 940nm
8. conduit connecting the blood pressure cuff and the monitor is neither blocked nor tangled Plug in the air hose and switch on the system Apply the blood pressure cuff to the patient s arm or leg following the instructions below Figure 5 2 Ensure that the cuff is completely deflated EH Apply the appropriate size cuff to the patient and make sure that the symbol is over the appropriate artery Ensure that the cuff is not wrapped too tightly around the limb Excessive tightness may cause discoloration and eventual ischemia of the extremities 248 Figure 5 2 Applying Cuff A Note A Don t let the cuff contact with skin directly but the thickness of clothes shoudn t be more than 3 cm AN Note AN The width of the cuff should be either 40 of the limb circumference 50 for neonates or 2 3 of the upper arm length The inflatable part of the cuff should be long enough to encircle 50 80 of the limb The wrong size of cuff can cause erroneous readings If the cuff size is in question then use a larger cuff Size of reusable cuff for neonate children adult Patient Type Limb perimeter Cuff width Hose Adult 25 35 cm 14cm 1 5 mor Large Adult 33 47 cm 17 cm 3m Thigh 46 66 cm 21 cm MW Make sure that the cuff edge falls within the range of mark lt gt If it does not use a larger or smaller cuff that fits better 3 Connect the cuff to the air hose The limb chosen for taking the measurement should be placed
9. electronic equipment The PM50 Patient Monitor is suitable for use in all CISPR 11 establishments including domestic establishments and those directly connected to the public low voltage IEC 61000 3 2 power supply network that supplies buildings used for Voltage fluctuations domestic purposes flicker emissions Not applicable IEC 61000 3 3 Guidance and manufacture s declaration electromagnetic immunity for all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic immunity The PM50 Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of PM50 Patient Monitor should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete or discharge ESD 8 KV air 8 KV air ceramic tile If floor are covered IEC 61000 4 2 with synthetic material the relative humidity should be at least 30 the manufacturer may recommend the ESD precautionary procedures to user Power frequency Power frequency magnetic fields SOHz magnetic field should be at levels characteristic of IEC 61000 4 8 a typical location in a typical commercial or hospital environment 46 Guidance and manufacture s declaration electromagnetic immunity for EQUIPMENT and SYSTEMS that are not LIFE SUPPORTING Guidan
10. front of the monitor Do not wipe the inner part of the connector socket when cleaning the monitor Reusable Blood Pressure Cuff The cuff can be sterilized by means of conventional autoclaving gas or radiation sterilization in hot air ovens or disinfected by immersion in decontamination solutions but remember to remove the rubber bag if you use this method The cuff should not be dry cleaned The cuff can also be machine washed or hand washed the latter method may prolong the service life of the cuff Before washing remove the latex rubber bag and for machine washing close the Velcro fastening Allow the cuff to dry thoroughly after washing then reinsert the rubber bag 20 o E j JE A Figure 5 3 Replace Rubber Bag in Cuff To replace the rubber bag in the cuff first place the bag on top of the cuff so that the rubber tubes line up with the large opening on the long side of the cuff Now roll the bag lengthwise and insert it into the opening on the long side of the cuff Hold the tubes and the cuff and shake the complete cuff until the bag is in position Thread the rubber tubes from inside the cuff and out through the small hole under the internal flap Disposable Blood Pressure Cuffs Disposable cuffs are intended for one patient use only Do not use the same cuff on any other patient Do not sterilize or use autoclave on disposable cuffs Disposable cuffs can be cleaned using soap solution to prevent infection
11. of the communications equipment Separation distance according to frequency of transmitter Rated maximum output m power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz W pele eme 1 E 1 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmitter where P 1s 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 separation distance for 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 48
12. or from the menu select Upload the following dialoga box will appear Select the status of the device Ed Please Select the status ofthe device ABPM Patient Monitor Cancel Figure 7 4 1 Select the status of the device 26 2 If the item you choosed is ABPM the following dialog box will appear Upload Parameters Patient Mame Patient ID FDSAF Current Time Study Start Time Time Periods Time Interval Awake To vw mins w 18 00 Asleep 2200 30 mins Special Start None y None Special End None v cen te Figure 7 4 2 Upload test parameters Patient Name Patient ID mark the patient Current Time That is the time of beginning to collect the parameter Study Start Time Collecting start time It defaulted in the 5 minutes after setting the collecting parameter Start key Whether supporting the manual collecting Time Periods Among that Awake refers to the patient in the un sleeping situation and Asleep refers to the sleeping situation Special Start and Special End are optional items You can set the fixed time to collect the data Interval setting refers to the intervals of the collecting time To reduce the impact of the patient s sleep settings of the general collecting intervals are longer Take the above picture as an example the range of un sleeping time is 7 00 22 00 the range of sleeping time is 22 00 7 00 the intervals of the un sleeping time are 5 minute
13. ruler lines show the exact value of the horizontal lines You can reset these lines by keeping the mouse right button clicked on the SpO ruler area or Pulse ruler area and move the mouse This 10 eos 4 buttons are used to set the page length that is how long data will be visible at the same time in the window area from left to right 1 1 minute 10 10 minute 60 one hour ol manual set click this button will pop up a dialog box and you can set the length you want This K lt gt gt buttons are used to move the data offset that 1s what time is at the left of the window lt lt and gt gt buttons move the offset back or forth by page length If you select 1 as the page length gt gt will move data time forward by 1 hour lt and gt buttons move the offset back or forth by step length Step length 1s smaller than page size 237 l page often contains several steps the steps are marked in the time area and the time mark is marked each step length Click the Parameters set button will appear the following dialog box Analysis Parameters Spo Parameters Drop for Event 963 E Minimum Event Duration sec 10 Desaturation Criteria Level 9 88 Pulse Rate Parameters Rate Change For Event bpm 6 Minimum Event Curation sec Cancel Figure 7 10 8 Analysis parameters settings The setup in the dialog box above indicates SpO desaturation event the SpO value r
14. AN Note AN For protecting environment the disposable blood pressure cuffs must be recycled or disposed properly 5 5 Transportation and storage A The packed device can be transported by ordinary conveyance or according to transport contract The device can not be transported mixed with toxic harmful corrosive material B The packed device should be stored in room with no corrosive gases and good ventilation Temperature 20 C 60 C Humidity lt 95 5 6 Key of Symbols Signal Description Warning See User Manual SYS Systolic pressure MEAN MEAN pressure 2 01 The pulse oxygen saturation Spo Type BF 1 the finger clip falls off no finger inserted 2 Probe error 3 Signal inadequacy indicator Ingress of liquids rank 22 Chapter 6 Installation of the software ai Demand of editor ip Installation of software 6 1 Demand of editor Processor Pentium IV 1 8G or more Operation System XP EMS memory 256M and up Hard Disk 40G or more Display 17 inch or more CD ROM Serial port Resolution of printer 600 DPI 6 2 Installation of software Place the CD ROM in the CD ROM compartment located on your computer 2 If Auto Play for CDs is enabled place CD in reader and follow instructions when they appear in the screen otherwise follow install instructions below Open Windows Explorer Click on the root CD ROM directory Double click file PM50 Patient Monitor V1 1 Setup
15. Chapter 5 NIBP Monitoring 5 1 Introduction MW The Non invasive Blood Pressure NIBP module measures the blood pressure using the oscillometric method M There are two modes of measurement available manual and automatic Each mode displays the diastolic systolic and mean blood pressure O Inthe MANUAL mode only one measurement is conducted for each time O In the AUTO mode the measurement is cycled you can set the interval time to 5 10 15 20 30 45 60 90 minutes AN Warning AN Prolonged non invasive blood pressure measurements in Auto mode may be associated with purport ischemia and neuropathy in the limb wearing the cuff When monitoring a patient examine the extremities of the limb frequently for normal color warmth and sensitivity If any abnormality is observed stop the blood pressure measurements AN Warning AN 1 You must not perform NIBP measurements on patients with sickle cell disease or under any condition which the skin is damaged or expected to be damaged 2 For a thrombasthemia patient it is important to determine whether measurement of the blood pressure shall be done automatically The determination should be based on the clinical evaluation 5 2 NIBP Monitoring AN Warning AN Do not apply the cuff to a limb that has an intravenous infusion or catheter in place This could cause tissue damage around the catheter when infusion is slowed or blocked during cuff inflation AN Warning AN Make sure that the air
16. Contents ChapterLIintrodu cOn a 1 IUE IS VI TAN OTT VA NIU a Omm 2 1 2B ttoD Po OE a A A A o 3 e AA nr CO os duas iue a E une 4 AN A r A A EE teu uio en qaod cad 4 C hapter2Get negStarted aia 6 2 T OpenthePackaeeandC De6k sidera arial UR oe Ioa NOR DHUR IURE UUER dd DauEs 6 2 2Drvbattervilst A ON AA AAA A AAA AOS 6 2 SOW CLO MENS MONON atene ansaa e ct asda ii eran when dad ass ha Wael 6 ZACONMCCIO X me error oe 6 PAR COMENTE CIA cc Tm 7 hapter3Eunctonliterlace isso EE He E icon OIE CU ALIENI IR SSH ERN EE NEAN AE tU DIEI NIE 8 Sl A tete ideas A E teat Gn A A iau Aud edd 8 SS DU ese ete O Sa SUE hers Boh Scrat 9 SS AA M 9 SUNL VISIT 10 SPURS 1010 ed e Ol AA e Tr er cr c HS 11 2 2 AAA A toan nachts 11 SLIDE TABLE A A A AN A M 12 32 OSPOZTAB ILE is 12 2 2 DEMORA nacida 13 hplnrag NyOPA Tina 15 4 LI What sthe 5pO2MOoBIOEIDE oio ade onus eos ias alice qo nU e NOE Oe 15 4 2PrecautionsduringSpO2 PulseMonitoring scessssseeeecccceccececeeeseessessssseecceceeeeeeeesauaaasssseseeseeeeess 15 4 Montornes Procedure asen ede ac Seles sabi ror rear Abs dees re Sent odd ent td ronda rac och 16 44MaintenanceandC caida 16 irri esdudlid uiti gli mm id 18 S LIBEFOQUCUOLD alada data 18 A o MAA A RO A pu apunto toad upto AO 18 SS NIBP Mess SE MIERDA AOS A A A A In 19
17. E mmm change Number sys dia map Figure 3 2 5 1 NIBP TABLE total the number is the total of all data have been measured from accessing this interface the first time The sequence number of the current first line will be displayed when changing the data or turning over pages Every page can contain 10 data at most Select the change item to enter the Change The Number menu 000030 E 8 Figure 3 2 5 2 CHANGE When the number which you input is more than the total it will prompt gt total Blood preasuremeasure one time per 5 minutes and the most number of times 1s 4896 3 2 6 SpO TABLE Pick the SpO TABLE item in the SYSTEM MENU to call up the following menu 12 Figure 3 2 6 1 SpO TABLE total the number is the total of all data have been measured while accessing this interface for the first time The sequence number of the first line currently will be displayed while changing the data or turning over page Every page can contain 10 data at most Select the change 1tem to enter the Change The Number menu 0000 30 Figure 3 2 6 2 CHANGE When the number which you input is more than the total it will prompt gt total The blood preasure is measured once per s and the most number of times is 183000 3 2 7 DEMO function Select the DEMO item to enter DEMO status In the DEMO status press the MENU KEY and system returns to the MAIN MENU s s Figure 3 2 7 DEMO AN Note
18. a you want to download ABPM data or Patient Monitor data 28 Select the status of the device Please Select the status ofthe device ABP hi Patient Monitor Cancel Figure 7 5 1 Select the status of the device The following dialog box will appear to show the progress as the data is transferred Dovmloading Figure 7 5 2 Downloading progress bar After completion a dialog box will prompt for where the data file was saved 7 6 Choose patient data to edit Press shortcut keyUpen box will appear Select file to open Current Path elcase file Okay or from the menu select File and select Open data Start Time 24 0 2007 11 43 2 0 2007 9 07 2T 0 2007 9 30 2T 0 2007 10 02 2T 0 2007 10 23 2T 0 2007 12 03 27 0 2007 13 18 27 0 2007 13 24 2T 0 2007 13 28 27 0 2007 13 32 27 0 2007 13 37 2T 0 2007 15 20 SOA 012007 8 08 SOM 012007 8 57 SOA 012007 8 05 SOM 012007 9 07 3150 2007 10 11 3150 2007 11 34 Figure 7 6 Patient file select File Mame 0710241143 awp 0710270907 awp 0710270930 awp 0710277002 awp 0710277023 awp 0710271203 awp 0710271319 awep 0710271324 awp 0710271320 awp 0710271332 awp 0710271337 awp 0710271520 awp 0710300609 awp 0710300857 awp 0710300905 awp 0770500907 awep 0710311011 2 p amp the following dialog The above dialog box lists the data files found in your current directory You may use the drive and directory boxes to s
19. at the same level as the patient s heart If this 1s not possible you should apply the following corrections to the measured values B If the cuff is placed higher than the heart level add 0 75 mmHg 0 10 kPa for each inch of difference B If itis placed lower than the heart level deduct 0 75 mmHg 0 10 kPa for each inch of difference 4 Press the NIBP button on the front panel to start a measurement 5 3 NIBP Message and Explanations Messa Explanation Cause ge PAL UE Probe or A D sampling error og Pa Caffis not connected correctly Air leakage Air leakage in the valve or airway re Atmospheric pressure error Vale conor oe open m Signal is too weak Object measuring the pulse is too weak or the cuff is 19 It 1s over the range Object measuring blood pressure is over the measurement range Excessive movement When measuring signal the presence of excessive movement or pseudo differential interference Saturated signal Movement or other factors lead to too big signal amplitude B Hem ete System failure There is something wrong with NIBP module A D sampling or soft of system after turning on the device It spends too much time Measuring is over certain specified time When pressure of adult cuff is 200mmHg it may spend 120s If not it may spend 90s 5 4 Maintenance and Cleaning A Warning AN Do not squeeze the rubber tube on the cuff Do not allow liquid to enter the connector socket at the
20. ce and so on It is especially important to check the sensor placement of neonate and patient of poor perfusion or immature dermogram by light collimation and proper attaching strictly according to changes of the skin Check per 2 3 hours the sensor placement and move it when the skin deteriorates More frequent examinations may be required for different patients 4 3 Monitoring Procedure SpO plethysmogram measurement 1 Switch on the monitor 2 Attach the sensor to the appropriate site of the patient finger 3 Plug the connector of the sensor extension cable into the SpO socket please pay attention to the direction of the sensor 4 Please pull out the sensor When measure is over Figure 4 3 Mounting of the sensor 4 4 Maintenance and Cleaning Care and Cleaning AN Warning AN Turn off the monitor before cleaning the monitor or the sensor AN Warning AN Do not subject the sensor to autoclaving Do not immerse the sensor into any liquid Do not use any sensor or cable that may be damaged or deteriorated 16 Cleaning B Use a cotton ball or a soft mull moistened with hospital grade ethanol to wipe the surface of the sensor and then dry 1t with a cloth This cleaning method can also be applied to the luminotron and receiving unit B The cable can be cleaned with 3 hydrogen dioxide 70 isopropanol or other active reagent However connector of the sensor shall not be subjected to such solution 47s
21. ce and manufacture s declaration electromagnetic immunity The PM50 Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of PM50 Patient Monitor should assure that it is used in such an environment Immunity test IEC 60601 test level bro Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the PM50 Patient Monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vous a IEC 61000 4 6 150 kHz to 80 MHz d WP 80 MHz to 800 MHz 1 Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz d 1hr 800 MHz to 2 5 GHz 1 Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d 1s the recommended separation distance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Co 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
22. educes at least 4 while the time keeps at least 10 seconds Pulse Rate event the pulse rate fluctuates at least 6bpm while the time keeps at least 8 seconds 7 11 Display the statistics infomation 2 Press the shortcut key tati or from the menu select Report and the select View Statistics will pop up the following dialog box 38 Statistics BF mmH HET BFM PP mmH d SERTEL tH PES 420 0 00 0 0 0 SERTEL tN PES BP Load Threshold 140 90 120150 Help Figure 7 11 BP statistics information 7 12 Edit of diagnose information Diagnose information including following items Patient information Interpretation Current Medication and Physician information From the menu select Edit and then select Patient Data will pop up the following dialog box melon 111 222 335 257172008 14 40 Interpretation Physician Info Patient Into Current Medications Patient II Patient Hame melon Qinghuangdao Address Telephone 113723388689 Race c ex Birthday Height Weight Figure7 12 1 Edit patient s information 99 click Current Medications switch to Current Medications interface then you can modify the medications for the patient click Interpretation switch to Interpretation interface click Physician Info switch to the page of doctor s advice 7 13 Sleep period change Sleep period includes Awake time and asleep time Because when collecting patient paramete
23. elect a different drive or directory to search for patient files Select a data file by highlighting the patient s name and then press the Okay button You may now edit the data 7 7 Delete data file If you feel some patient data are not necessary you can delete them From menu select File and then select Delete Data to show patient data delete interface which is similar to patient data select interface showed as below Select file to delete E H 27H 0 2007 12 03 27m 02007 13 18 24002007 13 24 24002007 13 28 2n rz 007 13 32 27 0 2007 13 37 2741102007 15 20 SO 02007 8 08 304 0 2007 8 57 SOM 02007 3 05 3071 02007 3 07 31 10 2007 10 11 2140 2007 11 34 071027 ar1027 OF1O2F OFTO2F OFTO2 071027 ar1027 07171030 0771030 071030 071030 071031 071031 262006 10 43 0 6 2008 13 24 lihangba 05000058590 20 6 2008 14 35 x HAZ 20 6 2008 14 56 h 20 6 2008 16 47 050603 050620 050620 050620 h Ss Current Path el case file Okay Cancel Figure7 7 Data file delete You are able to delete one single file or some files at the same time to delete some files at the same time you could push Ctrl and click the file you want to delete at the same time After selection click Okay button the sure to delete Dialog will appear Click YES to complete the delete operation If you want to cancel please click NO 7 8 Data file backup Sometimes you may want to save o
24. exe Follow the instructions in the screen e Chapter 7 Introduction to the software 7 1 User register Each time you open the software will appear the following dialog box for the user s name Type in user s name To change user go to File then click on Change User This feature is available to allow each user to store his or her own configurations such as thresholds Enter user name melon Okay Delete Delete all Figure 7 1 1 User Register Click Delete button will delete the current selected user info and configuration Click Delete all Button will delete all users info and their configurations If you are a new user click Okay Button will appear the following dialog box Configuration i Threshold Patient File Path em Hed ataf abecrc ir lE w Always Use default path Okay Cancel Help Figure 7 1 2 Set file path Patient File Path Choose the downloading route of your case As soon as the data are downloaded in computer the case document will save this path If you check the Always use default path checkbox then data searches will always begin at the default path If the checkbox 1s not checked then data searches will always begin at the last path used 7 2 The main interface When the settings of the user s configuration information are finished the main interface is 24 entered as the following pictured displayed D 15 Download Up
25. for Infrared LED Maximum optical power output for LED is 4 mW MW The amount of light transmitted depends on many factors most of which are constant However one of these factors the blood flow in the arteries varies with time because it is pulsating By measuring the light absorption during a pulsation it 1s possible to derive the oxygen saturation of the arterial blood Detecting the pulsation gives a PLETH waveform and pulse rate signal B The SpO value and the PLETH waveform can be displayed in the main screen AN Warning AN ES Electrosurgery equipment wire and SpO cable must not be tangled up AN Warning AN Do not put the sensor on extremities with arterial catheter or venous syringe AN Note AN Do not perform SpO measuring and NIBP measuring on same arm at one time because obstruction of blood flow during NIBP measuring may adversely affect the reading of SpO value 4 2 Precautions during SpO Pulse Monitoring A Note A m Make sure the nail covers the light window m The wire should be on the backside of the hand AN Note AN SpO waveform is not proportional to the pulse volume 15 AN Warning AN Do not use the SpO sensor once the package or the sensor is found damaged Instead you shall return it to the vendor AN Warning AN Prolonged and continuous monitoring may increase jeopardy of unexpected change of dermal condition such as abnormal sensitivity rubescence vesicle repressive putrescen
26. ient data y 7 9 Edit Blood pressure data Press the shortcut key ieu dialog box will pop up Edit BP Data or from the menu select Edit and then select Bp Data the following 7 182 3 8 BP mmHg HRPM MAP mmHg PP mmHg TC Comment 87 98 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 25 2 2007 OO w Co Cn A CO MN 124 87 120 84 118 86 117 84 136 92 120 79 124 81 124 80 128 71 122 82 119 75 124177 121 83 132 84 124 83 113 69 115 72 117 82 131 94 119 85 120 84 118 75 Cancel Help H Figure 7 9 Data edit page All the BP readings are shown in the above dialog box 6 60 C 10 096 60 represents the total data sum 6 represents the data amount deleted 10 0 stands for data present deleted Number stands for data collection serial number Time stands for collection time Date stands for collection date BP number before stands for high blood pressure number back stands for low blood pressure HR Heart rate MAP Mean pressure PP Pressure difference between high and low blood pressure TC error code refer to chapter 9 Comment comment 7 10 Trend Edit BP Trend Edit When you selected the data file the BP trend will be shown in the screen automatical
27. ing The information of your selection can be saved as default print page for next time From menu select Report and then select Configure Report Will appear the following dialog box Configuration AA Edit Report Add Report Delete Report Okay Cancel Help Figure 7 18 1 Configure Report You can select an already exist report for print you may also click Edit Report edit the selected report SAGs Demographics Frequency Histograms Page Statistics Page MAPIPP Histograms Page BP Summary Page Edit Data Page Colorized Graph Page capaz Report Bar Graph Page Histograms Page Pie Chart Page Correlation Page Cancel Help Figure 7 18 2 Edit Report You can select all pages or some of them for printing Only when the data file include SpO data and you checked the SpO Report could print SpO report Click Title button you may enter the title to print at the top of the printed report Of course you can also click Add Report add a new report If you don t need the current report you can also click Delete Report to delete it The default paper size is A4 from the menu select Report and then select Select printer you can select a printer From the menu select Report and then select Print preview you can preview the page you selected When you sure you want to print the reprot press shortcut key FJ or from menu select Report and then select Print 7 19 Help
28. interface On the other hand when users select OFF the loudspeaker turns off turns up In the NEW PATIENT item if users select OFF the Clear the last value dialog box will appear Select YES again will delete the measure record of the last patient then select NO back to the SYSTEM SETUP MENU Else selecting NO at first the monitor will do nothing Please pay attention to this function Users can select PM or ABPM in the FUNCTION SELECT item and correspond measures will be taken In the BACKLIGHT TIME item users can make it from 5 to 120 seconds with 5 seconds per step Its funtion is to control the backlight time of the main interface in ABPM Under the ABPM DEFAULT ALARM and NEW PATIENT can not be set up 3 2 2 BP SETUP Select PM BP SETUP in the SYSTEM MENU The following menu will pop up min mmHg 160 mmHg 80 mmHg 110 mmHg 60 mmHg B0 mmHg 50 Figure 3 2 2 BP SETUP When users select ON in the AUTO MEASURE item the Monitor will measure blood pressure according to the time selected in the INTERVAL item When OFF is selected manual measure is needed simultaneously INTERVAL item turns gray and can not be set up The interval time Uint minute setup in the INTERVAL item can be selected from the following options 5 10 15 20 30 45 60 90 The alarm is on or off according to the high and low limits which have been set up When the pressure
29. ions to the monitor are through the buttons at the bottom of the panel The names of the buttons are above them They are O e POWER Press the button and the system will start AN Note AN When the baterry is low the alarm occurs e MENU Whatever levels of menu the system is in press the button and The system immediately executes a certain function Press the button to select the menu item and modify the setup e v NN Press the button to select the menu item and modify the setup In the main interface press this button less than I second to enter alarm pause status Press DOWN for 1 second to enter the silence status and a BY symbol appears at main screen When the system is in silence status any newly generated alarm will discharge the silence status and make the system give normal alarm status AN Note AN Pulse tone will be heard in Silence status If new alarm occurs in Alarm Silence status the system will oe discharge Silence status automatically or the silence status will be discharged automatically 1 minute later e lt Press to inflate the cuff to start a blood pressure measurement When measuring press to cancel the measurement and deflate the cuff Method to use the button to operate in the screen The rectangular mark in the screen that moves with the UP button or DOWN button is called cursor Operation can be performed at any position at which the cursor can stay When the item is not t
30. load Report Edit Help Language 2 44 Wear Upload Download Open Help Exit a s HONDO INSTRUMENTS 4 Patient ID Test date Figure 7 2 the main operating interface 1 Menu bar The main operating menu of this software 2 Toolbar Shortcut keys for functions of frequent use 3 Displaying areas of the trending pictures After choosing the case which 1s edited it is used for displaying date of the trending picture 4 Status bar Display the name ID and the data collecting date of the patient 7 3 Wear Press the shortcut key 8 will pop up the following dialog box 25 Lead PlaceMent 2 The blood pressure will be taken automatically at the programmed time intervals y 1 Only the PM50 have a Spo2 sensor PO2 Sensor 3 The results will be saved automatically and dont need to be noted down 4 During the taking of the blood pressure the arm should be held in a relaxed position 5 The cuff shouldnt slip In case that it should happen anyway please reattach the cuff as the left 6 The recorder has to be kept Figure 7 3 Wear You can wear the device accroding to the picture above Please read the Note Carefully before use 7 4 Design the measurement plan Note Before you upload the test parameters to the device make certain 1 The device is connected to the computer via the serial port 2 The device 1s turned on Steps Y Upload 1 Press the shortcut key
31. ly In other Dia interfaces you can press shortcut key PP trend enter the BP trend interface The Bp Trend has two garph types color filler type dotted line type You can switch from one graph type to another by push the Graph Type button File Download Upload Report Edit Help Language g s Mzaa E 3 Wear Upload Download Open Bp trend Spo2 a Edit Histo Pie c Corre Print Stati u Q Help Exit Devic Patient Sample3 Lug b nra tO P Test date 25 2 200T 16 33 Figure 7 10 1 Color filler type BP trend Q3 File Download Upload Report Edit Help Language ues pen Bp trend Spo2 2j Edit Histo Pie c Corre Print Stati Devic JA Wear Upload Download Help Exit Graph Type Patient Sample3 ae ll Test date 25 2 2007 16 33 Figure 7 10 2 Dotted line type BP trend When you move the mouse on the trend area on the top of the trend area the detail data information about the mouse points will show including the data serial number collection time and collection date high low blood pressure value heart rate comment etc Press mouse left button to delete or add the data point to be shown If the distance between the two data points is too short to move the mouse to one of the points move the mouse to the time axis area press the mouse left button down dragging the mouse to the right stretch the BP Trend Of course
32. mpactness lightweight The POWER switch is on the front panel The RUN indicator and the ALARM indicator flash one time when the device is powered on The ALARM indicator flashes when alarm occurs The sockets of the sensors are at the top USB is at the bottom of monitor This monitor is a user friendly device with operations conducted by a few buttons on the front panel Refer to Button Functions for details Measureing the ambulatory blood pressure function ee In this mode the monitor can work 24 hours continuously The monitor have the capable of recording up to 4800 measurements the stored readings in the monitor are downloaded into the computer to proceed the function including Editing the data Editing the trend graph statistic displaying the information Editing the diagnostic information setting the parameters and printing and so on However this monitor can not transmit data real time in the process of measuring Monitoring fuction NIBP From left to right there are Systolic pressure Mean pressure and Diastolic pressure unit mmHg or kPa SpO SpO Cunit Pulse Rate unit beats minute When BOTH item is selected AN Note AN In this mode the length of working time continuously is decided by the interval of measurement set by the user It is useful that the software at the state of monitoring as the ambulatory blood pressure Refer to Software Functions for details 1 2 Button Functions All the operat
33. ne original copy before you edit a file under this situation you should do patient data backup From the menu select File and then select Copy data will appear the following dialog box permiting you to select which data files to copy 30 Select file to copy Patient Mame Patient ID Start Time File Ma B Samples 112 275 112 2 5 22007 15 33 070225 Sample 111 22 333 Br3rzn007 10 01 D7 0305 Sample 111 22 331 arrz dy 14 55 0705305 melon B45 248 02007 10 25 071024 ac ac 2470 2007 10 57 071024 min rim 24n 072007 11 43 071024 f f 27002007 9 07 Dr1027 qq qq 2710 2007 9 30 071027 EC CC 27102007 10 027 071027 abe abe 27072007 10 23 071027 5 5 27102007 1203 071047 A A 22 102007 1319 071027 f f 2100 2007 1324 071027 XXX XXX 2 102007 13 28 071027 111 111 27002007 1332 071027 y y 2 020071332 071027 WE Voy 270 2007 15 20 071027 ann 0 2007 8 n8 0771050 s Current Path a case file Okay Cancel Help Figure7 8 1 Data file copy Select or deselect items by clicking on the rows using the mouse When all desired selections have been made select Okay The following dialog box will appear permiting you to select the disk drive or directoy to copy to Select destination directory es case file e e Figure 7 8 2 Backup path settings Once you have selected the destination drive or directory select Okay You may also select Cancel to end the dialog without copying pat
34. ng Mode BACKLIGHT TIME item setup is of no effect The backlight is bright all the time The 04 will be displayed in the middle of the speaker and battery When the power is low The main interface 1s shown as the follow Figure 3 1 1 ABPM main menu Figure 3 1 2 MONITORING main menu n AN Note AN When the register is full Awil be appearanced at the top of screen The note of the last value needs to be cleared 3 2 System Menu Press the MENU button on the panel to call up the SYSTEM MENU You can perform option operations by using UP and DOWN buttons SYSTEM MENU SYSTEM SETUP PM BP SETUP PM SP02 SETUP ABPM INFO BP TABLI SPO2 TABLE DEMO 0 Figure 3 2 SYSTEM MENU PM BP SETUP PM SpO SETUP and SpO TABLE are gray in the mode of ABPM They can not be set up 3 2 1 System Setup Select the SYSTEM SETUP item in the SYSTEM MENU The following menu will pop up SYSTEM SETUP IME 26 18 26 LANGUAGE En DEFAULT ALARM NEW PATIENI FUNCTION SELECT BACKLIGHT TIME Ks Figure 3 2 1 SYSTEM SETUP Users can set up the system time by selecting the TIME item If users select YES in the DEFAULT item the Monitor will come back to factory default 9 In the LANGUAGE item users can select the words shown in Chinese or English in the screen T If users select ON in the ALARM item the loudspeaker turns on will be appeared in the main monitoring
35. o select the cursor is white when press MENU to select the item the cursor become red 1 3 Interfaces For the convenience of operation the different kinds of interfaces are in different parts of the monitor At the top is the Socket for SpO Sensor and socket for NIBP cuff Figure 1 1 1 the Socket for NIBP cuff the Socket for SpO Sensor Figure 1 1 top At the bottom is the socket for USB as shown in Figure 1 2 ihe Socket for USB Figure 1 2 bottom 1 4 Accessories A a cuff for adult B a usb data line C a oximeter probe Model SpO 01 DR D a disk PC software E a pouch F a user manual AN Warning AN Please use the accessories supplied by the manufacturer or replace the accessories according to the requirements of the manufacturer in order to avoid making harms to patients Chapter 2 Getting Started Open the package and check Dry battery installation Power on the monitor Connect patient sensors 2 1 Open the Package and Check Open the package and take out the monitor and accessories carefully Keep the package for possible future transportation or storage Check the components according to the packing list MW Check for any mechanical damage M Check all the cables modules and accessories If there is any problem contact the distributor immediately 2 2 Dry battery installation The monitor will be supplied with two AA alkaline batteries or high capacity Before using the monitor you shall put
36. r patient not always fall asleep and awake according to collection data protocol strictly you may need change your sleep period After setup of sleep period the software will calculate the data automatically update the BP Trend and recalculate the statistic data Sleep Period Awake Aslee 7 00 22 00 Cancel Help Figure 7 13 Sleep period dialog box 7 14 BP Thresholds After BP Thresholds being set up the trend graph will renew automaticly statistic data will be recalculated From the view select Edit and then select Thresholds will appear the following dialog box Configuration AA Systolic Diastolic Asleep 120 Bu Factory defaults Okay Cancel Help Figure 7 14 thesholds dialog box The default recommended thresholds for calculating Blood Pressure Load are 140 90 for awke 40 periods and 120 80 for sleep periods These are the defaults used when you select the Factory Defaults button 7 15 Histogram Y Press the shortcut key 415 will appear the following interface File Download Upload Report Edit Help Language S E ass VOS mm NE d 8 i 5 2H m oga HAC Choo Bari B Wear Upload Download Open Bp trend Spo2 son Webs CO e Print Stati Devic Male Exit Figure 7 15 Histogram All Show all BP data statistics Day Show only daytime statistics Night Show only nighttime statistics Press the shortcut key 1 will appea
37. r the following interface 7 16 Pie chart 41 File Download Upload Report Edit Help Language IND SMEREaEOMEBHS Wear Upload Download Open Bp trend Spo oe Edit Histo Pie c Corre Print Stati Devic THIS Exit Device Configuration zx Figure 7 16 Pie chart You can adjust to show the percentage of above normal value normal value and below normal value On the left some statistics can be displayed such as BP value HR maximum minimum and average value etc All Show all BP data statistics Day Show only daytime statistics Night Show only nighttime statistics 7 17 Correlation line Corre Press the shortcut key will appear the following interface 42 Eile baloni flot foort Edit ly Lines If M amp Few Welsed Dewelesd Oyen By towed Spt But Siete Pioo x Edd VE Ii cilii tiii AA EA ce Bs Bee E A leben ds Hii A ee A a A A NN ee O A O LEN O A EA OU EAS O O LEE JU TA a uw A SES Figure 7 17 Correlation line Red line represents systolic blue line represents diastolic White small circle represents day time BP value black small circle represents night time BP value Histogram Pie chart and Correlation line are usefull for your observation about the data 7 18 Print report After previous data edit diagnose information edit trend edit and so on the software will create a series of diagnose reports you can select these pages or some of them for print
38. s and the intervals of the sleeping time are 30 minutes The range of sleeping time the range of un sleeping time the range special testing time are displayed by the picture forms in the right corner of the screen Thus it is convenient to design the parameter 207 If the item you choosed is Patient Monitor the following dialog box will appear Upload Parameters Patient Name Patient ID Current Time 2008 8 20 10 38 08 Figure 7 4 3 Upload test parameters 3 Select the OK button will appear the following dialog box show the progress as the data is transferred Uploading IE Figure 7 4 4 Uploading progress bar 7 5 Data download Before you download the measurement data from device make certain 1 The device is connected to the computer via the serial port 2 The device 1s turned on 3 Disconnect the device from patient before you connecting it to any piece of hardware such as your personal computer to avoid electric shock The downloaded patient data will be saved in your default computer path If you want to change the storage path from the menu select Download and the select Set file path and then the dialogue box Figure 7 1 2 referred before will be showed up operators can change the path Dowrl oad Press the shortcut key or from the menu select Download and then select Do Download will appear the following dialog box Permiting you select what dat
39. the battery in the box of battery A Note A When you don t use the monitor you will take out the dry battery 2 3 Power on the Monitor Press POWER to power on the monitor The indicator will flash the system will enter monitoring screen of monitoring or ABPM and you can perform normal monitoring now Refer to System Menu for details AN Warning AN If any sign of damage is detected or the monitor displays some error messages do not use it on any patient Contact biomedical engineer in the hospital or our Customer Service Center immediately AN Note AN Check all the functions that may be used to monitor and make sure that the monitor is in good status 2 4 Connect Oximeter Probe AN Note AN For information on correct connection refer to figure 2 4 1 The SpO2 Probe Figure 2 4 1 vis 2 5 Connect NIBP Cuff Connect NIBP extension conduit between the monitor and the patient AN Note AN For information on correct connection refer to figure 2 5 1 The Cutt Figure 2 5 1 Chapter3 Function Interface B Main Interface Ba System Menu 3 1 Main Inferface Press POWER to power on the monitor The indicator will flash the system will enter the main interface successfully ABPM If there is no key press operation within the time set in the BACKLIGHT TIME item the monitor will enter standby mode RUN indicatorlight flashes once every other 2 seconds indicating the monitor is under working mode Monitori
40. tion B For basic operating instructions please refer to Button Function B For allocation of interface sockets please refer to Interfaces AN Warning AN Possible explosion hazard if used in the presence of flammable anesthetics or other flammable substance in combination with air oxygen enriched environments or nitrous oxide AN Warning AN You must verify if the device and accessories can function safely and normally before use AN Warning AN Ensure that the environment in which the device is operated is not subject to any sources of strong electromagnetic interference such as radio transmitters mobile telephones etc Keep them far away High level electromagnetic radiation emitted from such devices may greatly affect the monitor performance AN Warning AN The disposal of scrap instrument and its accessories and packings including battery plastic bags foams and paper boxes should follow the local laws and regulations AN Warning AN Please choose the accessories and probe which are approved or manufactured by the manufacturer or else it may damage the device AN Warning AN Dispose of the packaging material observing the applicable waste control regulations and keeping it out of children s reach AN Warning AN The monitor is only for use on one patient at a time AN Warning AN It is recommended that you check if there is any damage on the monitor or the accessories regularly if you find any damage
41. you can also dragging the mouse to the left shrink the BP Trend When you stretching the BP Trend if the trend length beyond the trend show area will appear a horizontial scroll bar you can see any part of the trend by changing the scroll bar s pos Move the mouse to the y axis area press the mouse left button down dragging the mouse to the top stretch the BP Trend Of course you can also dragging the mouse to the bottom shrink the BP Trend 234 x File Download Upload Report Edit Help Language JA H Zagier oog Wear Upload Download Open Bp trend Spo2 Edit Histo Pie c Corre Print Stati Devic Help R Num date Time Sys Dia Heart Rate Comment 89 26 7 2008 0 00 101 59 51 mmHg BPM 17 18 19 20 21 22 23 0 1 2 3 4 BP Trend vs Time Time Patient YL ID G Test date 25 7 2008 14 40 Figure7 10 3 Stretch BP Trend time axis File Download Upload Report Edit Help Language JA 8 iM 5 ex 0 Qu Wear Upload Download Open Bp trend Spo Edit Histo Pie c Corre Print Stati Devic Help R Num date Time Sys Dia Heart Rate Comment Eu 121 26 7 20088 30 94 59 88 15 16 17 18 19 20 21 22230 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BP Trend vs Time Time Graph Type Patient YL ID G Test date 25 7 2008 14 40 Figure7 10 4 Shrink BP Trend time axis 35 File Download Upload Report Edit Help Language J 8 Year Upload Download ii ages FO GB
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