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MMED6000DP M7

1. 6 1 3 zs qr leriioieg dico A ido 7 T4 Description Of ADD VIO ERE 7 CHAPTER 2 OVERVIEW OF MONITOR coiciiiprrtn iaa a 8 2 1 General Infor miall D ucc e a bc e A enc a ch eee E EE D EE DE EIE 8 2 2 SPECIA Feature sia cased ce ect sacasateesscsee ccd a cauaiacey tc E a a 8 ACC uires M A 8 231 Front Panel m ii A aaa AA A A caw oe 8 23 2 0108 Panel nara a AAA 9 2 3 3 GF Card and Records ETE 10 A A O erate E E aS 10 2 3 9 DISPlay IMUOGUCION Bt m 11 ro Ae Meere ERE S 12 Mu TT T 12 D2 go O 12 2 4 3 Displayed Parameters a 12 2AA ECO c 12 2540 91 A de 13 SA 13 2 4 7 Pulse Rate sii alado RR voy Used nu ar a va E AT 13 pix nor s 13 2A O RESP A RO 14 DATO TEMP generet E A E E E E a aE EA A AEE 14 2 4 11 POWER R gulirementS oris oiiiuucin Eh 14 2 4 12 DIMEMSION and Weight sssrin aa aaa a a Ea 14 2 4 13 Alarm Rang Me M 14 24 14 Default Alarm vett 14 CHAPTER S PATIENT SAFETY iyide aa a aa 15 Se ENVIO MON 15 3 2
2. Fig 11 3 NOTE It only sets SpO alarm individually the alarms of other parameters will not be affected 45 MMED6000DP M7 Portable Patient Monitor Operator s Manual Audible and visual alarm will be activated when alarm events occur Five items are available for the user to set up which are PRALARM Alarm setup of PR HIGH high limit of S5pO2596 LOW low limit of SpO2 and ALARM OFF HIGH MEDIUM and LOW and When use the knob to select each item and press the knob a pull down list appears for the user to choose his desired selection 11 5 4 PR SOUND The PR SOU item is for setting sound on off of pulse beep 11 5 5 WAVEFORM The WAVE item is for setting the mode of displaying SpO2 waveform Pick the FILL item in WAVE menu SpO waveforms displaying on the screen is filled as Fig 11 4 Me Mo 4 A A A i Fig 11 4 Select LINE item in WAVE menu SpO waveform is in line as Fig 11 5 11 6 Maintenance and Cleaning WARNING e Cut off and disconnect the AC power before cleaning the monitor or sensor e Do not immerse sensor completely in water solvents or cleaning solutions because the sensor and connector are not waterproof e Do not sterilize SpO sensors by irradiation steam or ethylene oxide e Do not soak the sensor in the detergent liquid if any abnormity of the sensor or cable is detected stop using it immediately Cleaning Moisten the soft
3. M 26 mH eiii O 26 CHAPTER 7 TRENDS 5 erue ar EE s eia suck o aae ave cob eee eese uisa ES EE o aee oc A eo oa Sa aoo Edu cin 28 y e t rrt 28 Neg Us TREND nice er m tomo de e venari TNI oM MEI VM MI I C EVE EE 28 ra Wi T tasted 28 rao e ir M 29 rd e PU A E E E E E E E E 29 TiS NIBP AA PPP a E paa Eae 30 A O 30 A A NC Np Tt 91 TO ERASE e 31 CHAPTER 6 ALARMS AND SILENCE 5 5 nani ilatina cone aepo eee doi aaaea aaia 32 81 Alarm MOGGS AAA eeueeuasuac eia aaa ea aeea adarei eiia aAa 32 9 2 Alarm SO UD T M M 32 8 3 Common Method of Alarm Setllp san de lo 92 9 4 Silente ioo Ede eI I E 32 CHAP VERO ECG SETUP reto eevee 33 9 1 What iS ECG MONITORING iiio eco Dedi a A el ete eee e aes 33 9 2 Precautions during ECG MONItOrING uscar 33 9 3 MONITOKING Procedure PPP REE o UE Oo odo Uca o va 0c cos Suave Eo aua senccasdadietecesustneteauaa o a DEDERE caue ruc Esa Iud EDI ONES 93 9 3 1 deagle li die p trc A M den oons 33 9 3 2 Placing the electrodes for ECG monitoring cereo era mun t cena no snnesssessnvencuewavansasavascessevensesenwanensaissonvandcevandeceos
4. Toma 1 CSP VER 7 7 05 lt PAGE UP PAGE DOWN gt PAGE l 4 Fig 7 3 7 1 2 ALARM Pick the ALARM item to enter the setup of alarm event storage shown as Fig 7 3 100 alarm events can be totally recorded in the system BED 2 09 19 2005 18 11 43 TOTAL ALARMS PAGE UP PAGE DOWK gt CSN6DBVER 3 4 0 Fig 7 4 28 Portable Patient Monitor Operator s Manual MMED6000DP M7 7 1 3 OXYCRG Pick OXYCRG in the TABLE menu to call up the following chart as Fig 7 5 OxyCRG show HR trend SpOs trend RR trend in one screen The first one is HR trend the second one is SpO trend and the third one is RR trend BED 2 12 24 2007 18 45 23 300 200 100 Cn UL TT 3 25 0 125 80 0 3min 2min 1min 47 18 1min 2min 3min 7 2 HR Pick HR in the TREND MENU to call up the following chart as Fig 7 6 BED 4 12 24 2007 16 44 38 20 MMED6000DP M7 Portable Patient Monitor Operator s Manual 7 3 NIBP Pick NIBP in the TREND MENU to call up the following chart as Fig 7 7 BED Z 12 24 2007 18 45 47 2 56 2 24 1 92 1 60 1 28 0 96 0 64 0 32 0 00 0 32 0 64 0 96 1 28 1 60 1 92 2 24 13 00 14 00 15 00 16 00 17 00 18 00 19 00 12 24 12 24 12 24 12 24 12 24 12 24 12 24 ST PAGE 1 Fig 7 7 7 4 SpO Pick SpO in the TREND MENU to call up the following chart as Fig 7 8 BED 2 12 24 2007 18 45 17 13 00 14 00 15 00 16 00 17
5. How to stop the BP Measurements If a measurement is in process press the NIBP button whenever that you wish to cancel the current measurement If an automatic measurement is underway the interval time will be reset The measurement values will be displayed after normally measurement Alarm will be activated if those values out of limit Only visible alarm can be seen when the audible alarm be disabled Refer to the ALARM chapter for information 10 4 5 NON S If you set the NON S item ON the monitor measures the blood pressure continuously in 5 minutes After completion of the last measurement it waits 5 seconds and then measures the pressure again NOTE Ensure that the correct setting is selected when performing measurements on infant It may be dangerous for the infant to use an over pressure level WARNING e This monitor displays results of the last blood pressure measurement until another measurement is completed If a patient s condition changes during the time interval between measurements it will not detect the change or indicate an alarm condition e Prolonged non invasive blood pressure measurement in AUTO mode may be associated with purpuric 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 e The blood pressure cuff should not be appli
6. V1 On the 4 intercostal space at the right sterna margin V2 On the 4 intercostal space at the left sterna margin V3 Midway between V2 and V4 electrodes V4 On the 5 intercostal space at the left sterna margin V5 On the left anterior axillary line horizontal with V4 electrodes V6 On the left middle axillary line horizontal with V4 electrode V3R V7R On the right side of the chest in positions corresponding to those on the left VE Over the xiphoid position V7 On the 5 intercostal space at the left posterior axillary line of back V7R On the 5 intercostal space at the right posterior axillary line of back WARNING lt gt When using electrosurgery equipment leads should be placed in a position in equal distance from electrosurgery electrotome and the grounding plate in order to avoid cautery Electrosurgery equipment wire and ECG cable must not be tangled up lt gt The placing of ECG electrodes placement is depended on the type of operation For example electrode can be placed in back or flank of chest for operation of opening chest Sometime ECG wave can be influenced with artificial because of using ES in operation room In this case place electrodes at left and right shoulder close with left and right side of abdomen and chest lead at left side of internal in chest to avoid placing in upper arm which will lead ECG wave smaller lt P When using electrosurgery equipment never place an electrode near the groundin
7. A MALE 1 A OFF SECTION NAME_S RETURN Fig 6 8 6 OTHER rotate the knob and select OTHER item to access the sub menu as shown in Fig 6 9 In MODESET item there are three options standard cascaded and BigMode cascaded MODESET RETURN Fig 6 9 Cascaded If you select cascaded two traces of ECG waveform will be shown in the graphic displaying area as below These two traces of ECG waveform only show one lead status In another word the two frames form a cascaded waveform effectively presenting a sample over twice the time interval of one frame BED OFF DEMO 03 27 2008 17 17 32 HR 6 II ECG STmm v OG 3 ADU MANUAL NIBP s M D 117 93 77 p02 PR 98 64 RESP 11 35 6 T2 36 7 o Fig 6 10 01 BigMode The BigMode is big font mode only ECG SpO and NIBP parameters will be displayed on the screen under this mode BED OFF DEMO 03 27 2008 17 37 32 Fig 6 10 02 NOTE The item EXTEND is useful to the engineers and technicians to adjust the monitor s configurations But for the doctors we do not suggest that those lack of the electronic professional knowledge use this item As for the details of the item s usage please refer to the SERVICE MANUAL correspondingly 2 MMED6000DP M7 Portable Patient Monitor Operator s Manual CHAPTER 7 TRENDS Trend data in graphical or tabular format can be presented on the screen 240 hours trend data in tabular format a
8. M 49 13 3 Operation of TEMP MONItOTING i iaces ioco ias o Ioan pape e ce cE ce coc ca aao soirs Pe use pex IIA 49 13 3 T ALARM pec M 49 A O O 49 13 4 Maintenance and Cleanilig 5255 Fits SEE a aa 49 CHAPTER 14 MAINTENANCE AND TROUBLESHOOTING e ceeeeeeeeeee eene nennen nnn 50 IMS De em 50 14 2 TIOUDIESNOOUING tem 51 t43 Warranty ANG FO D all geben 51 TARANTINO TENA ea 51 14 3 2 EXEempton and TESMICUON ii 51 TAI US ME MS a aia 51 14 3 4 Non warranty and Non replacement POliCY 00i c0ccccnstssesssssecesneccosnssasnsrsreececenscosnacsnssssuedesensesunasnsnnasesevedsestesenscosnsnnedendeessesenscoons 52 14 3 5 GUstomer special warranty Der OQ road aran a RYE E Ev e eee AAA AA 52 14 4 Storage and TranSDOrtatlOn e 52 cr E E E E E E 53 LISWON AC COSSOM CS nidi iiie EDU ains Ein UE IDEE ED MEME 53 MMED6000DP M7 Portable Patient Monitor Operator s Manual CHAPTER 1 INTRODUCTION 1 1 About the Manual This manual explains how to set up and use the patient monitor Important safety information relating to general use of the monitor appears in front of this manual Other important safety information is located throughout the text where appropriate Before using the patient monitor read this manual carefully so that
9. MIDDLE LOWER LOWEST TIME RETURN Fig 9 13 The menu defines the speed and length of replaying waveform HIGHEST replay the ECG waveform in the fastest speed HIGHER replay the ECG waveform in the faster speed MIDDLE replay the ECG waveform in the medium speed LOWER replay the ECG waveform in the slower speed LOWEST replay the ECG waveform in the slowest speed TIME 10 options are available for the length of replaying waveform 30s 60s 90s 120s 150s 180s 210s 240s 270s 300s The ECG graphic area will replay the previous ECG waveform shown as Fig 9 14 in a selected speed during a selected time Fig 9 14 38 Portable Patient Monitor Operator s Manual MMED6000DP M7 9 5 4 LEAD This monitor adopts the standard 5 lead to detect the patient s electrocardiogram The selectable leads are Il I avL avF avR V1 V2 V3 V4 V5 V6 AUTO PROMPT e Lead II is default which can get the best view of ECG waveform e AUTO the ECG waveforms of various lead will be displayed circularly on the screen when the item is selected 9 5 5 SWEEP SPEED The menu is used to define the sweep speed of ECG waveform the available options are 12 5mm s 25mm s and 50mm s please select the proper sweep speed according the clinical requirement 9 5 6 MODE Filter method used for displaying clearer and more detailed waveform There are three filter modes for selection DIA MODE MON MODE OPR MODE may reduce interfere
10. 7 PRINT PRINT button Pressing this button will motivate the recorder to output the results if the monitor is equipped with them 8 REFRESH Pressing the button will exit the submenu and refresh the screen If the CF card is inserted you can store the changed parameters setting as configuration files in a CF card only by pressing the REFRESH button Any setting is not refreshed in a CF card before you press the REFRESH button 9 Rotary Knob The operator uses the rotary knob to select the menu item and modify the setup lt can be rotated clockwise or counter clockwise and pressed like other buttons The operator uses the knob to realize the operations The method of using the knob to execute the operation Rotary knob is just like the cursor of computer When operator rotates the knob on the icon where the operation is wanted the icon will be automatically highlighted Then pressing the knob operator will open the setup menu of the corresponding parameter so as to set up the menu 10 ALARM Indicator If there is physiological alarm it demonstrates that some parameters measurement is beyond alarm limitation in the meantime the indicator begin flashing There are three alarm levels in all for selection High level when alarm occurs the color of the indicator becomes red and starts flashing once every one second Mid level when alarm occurs the color of the indicator becomes orange and starts flashing once every one second Lo
11. En O T m ALARM O MEDIUM HIGH LEADA ANA ST SET POSI Z Olo T f ON XPASM ON S O OFF HR V Z Z CHART ON ANUS EON o HR A E FAST E SLOW p ANA CHART D STOP REPLAY E HIEST highest AUTO Zz HIGHER a as ENTER SPEED i25mmis pee aVL mem DIA M v2 TIME diagnosis MODE MON M 7 monitoring operation OFF M 21 MMED6000DP M7 Portable Patient Monitor Operator s Manual 5 6 NIBP Menu Pick NIBP area in the display to access to the NIBP menu LOW MEAN HIGH LOW DIAS HIGH LOW ALARM LOW MEDIUM HIGH Hg To O MANUAL CLE 1 240min AUTO MBE AUTO NON S NON STOP OFF 5 7 SpO Menu Pick SpO area in the display to access to the SpO menu AMPL Amplitude HR FROM SpO HIGH m EN B m ALARM PRAL LOW HIGH LOW N N Portable Patient Monitor Operator s Manual MMED6000DP M7 5 8 RESP Menu Pick RESP area in the display to access to the RESP menu RESP AMPL ALARM HIGH EN x NO LOW T MEDIUM HIGH OFFSET 5 9 TEMP Menu Pick TEMP area in the display to access to the TEMP menu UNIT cel Fah ALARM HIGH TEMP LOW ARN MEDIUM HIGH DI LMT TEMPDI Portable Patient Monitor Operators Manual CHAPTER 6 SYSTEM MENU This Portable Patient Monitor features flexible configurations You can configure various aspects of the monitor including TIME PRINTER COLOR DISPLAY WAVEFORM and other extending functions NOTE BE S
12. MIT Low BEEP ALARM LEADA RETURM Fig 9 6 NOTE It only sets ECG alarm the alarms of other parameters will not be affected Six items are available for the user to set up which are HIGH high limit LOW low limit BEEP the sound of heart beep on or off ALARM OFF HIGH MEDIUM LOW LEADOFF When you use the knob to select each item and press the knob a pull down list appears for the user to choose his desired selection About the detailed operation please refer to Chapter 8 Alarm and Silence 9 5 3 ECG ANALYSE NOTE Doctor should not only use the information offered by the monitor to make diagnosis the accurate result must be combined with doctor s experience and knowledge Select ANA item in ECG setup menu to access the sub menu of ANA shown as below Fig 9 7 OFF ST SET HRV ANAS HRA REPLAY RETURN Fig 9 7 ST Segment The information of ST segment is useful for physician s diagnosis Normally the doctor observes its graph carefully to judge whether the patient s heart work orderly 3h MMED6000DP M7 Portable Patient Monitor Operator s Manual NOTE This menu is available on the condition that you select DIA MODE for MODE About the relevant operation of MODE please refer to 9 5 6 instruction 1 ST segment Unit mm or mm The program of monitor calculates ST segment from ST R peak 109 ms ISO R peak 78 ms id a a E T a 7 a E T
13. please check the connector of lead cable and electrodes connection PROMPT By picking ECG the monitor prompts HR and activates HR beep By picking SpO the monitor prompts PULSE and activates pulse beep Both mode display HR and PR simultaneously when this item is picked PR parameter is displayed to the right side of SpO As for the sound of HR or PR HR is given the priority i e if HR is available whose sound will be sent out but if HR is not available then the sound will be for PR 9 4 2 ECG Waveform The ECG waveform shows on the left of the ECG numeric display area whose color matches with the color of ECG parameter A scale bar is displayed on the left side of ECG waveform as Fig 9 4 WM em E D Fig 9 4 9 5 ECG Menu In monitoring status rotate the knob to highlight the ECG icon in the ECG displaying area and then press the knob the menu of ECG setup appears on the bottom of screen as shown below Fig 9 5 9 5 1 AMPL Pick this item to access the amplitudes setup of ECG waveform 6 options are available 5mm mV 7mm mV 10mm mV 15mm mV 20mm mV and 25mm mV As adjusting the scale bar will change accordingly 10mm mv II 25 DIA M ALARM ANA LEAD SPEED MODE RETURN Fig 9 5 9 5 2 ALARM Prompt The operation and function are the same as the ECG sub menu when pressing alarm icon A in the frame of menu status Select ALARM in ECG menu to call up the sub menu shown as below Fig 9 6 125 50 ON MEDIUM ON
14. 00 18 00 19 00 12 24 12 24 12 24 12 24 12 24 12 24 12 24 SPO2 PAGE 1 Fig 7 8 30 Portable Patient Monitor Operator s Manual MMED6000DP M7 7 5 ST Pick ST in the TREND MENU to call up the following chart as Fig 7 9 BED 2 12 24 2007 18 45 47 2 56 2 24 1 92 1 60 1 28 0 96 0 64 0 32 0 00 0 32 0 64 0 96 1 28 1 60 1 92 2 24 13 00 14 00 15 00 16 00 17 00 18 00 19 00 12 24 12 24 12 24 12 24 12 24 12 24 12 24 ST PAGE 1 Fig 7 9 7 6 ERASE Pick ERASE in the TREND MENU and select ON then pick RETURN to confirm removing all the data saved in the CF card NOTE The data will not be removed if not picking RETURN Portable Patient Monitor Operator s Manual CHAPTER 8 ALARMS and SILENCE This chapter gives the general information about alarm function and silence function Alarm setup and prompt messages are provided in respective parameter setup sections 8 1 Alarm Modes When alarm occurs the monitor may draw the user s attention in two ways which are audible prompt and visual prompt Physiological and technical alarms are displayed in the displaying areas of the relative parameters You can control audible alarms by pressing ALARM function button SILENCE button on the front panel of the monitor When pressing the button the icon in menu status is shown as Which indicates all the audible alarms have been shut off Once a new alarm event occurs the audible alarm function will be activat
15. 10 4 3 Cycle 6 Press the NIBP button on the front panel to start a measurement 40 Portable Patient Monitor Operator s Manual MMED6000DP M7 10 3 NIBP Displaying Area NIBP measurement result and corresponding message are displayed as follows Fig 10 1 MANUAL NIBP mmHg MANUAL NIBP M D S M D 93 11 116 93 TT Fig 10 1 S Systolic 116 D Diastolic 93 M Mean arterial 77 ADU The type of current measuring patient two selections are available INFANT and ADULT About the detailed operation please refer to Section 10 4 4 MODE mmHg Two units are available mmHg and KPa MANUAL The present measurement mode MANUAL CYCLE and STAT not stop modes are available the detailed operation please refer to Section 10 4 3 CYCLE 10 4 Operation of NIBP Monitoring In monitoring status rotate the knob to highlight the NIBP icon in the NIBP displaying area and then press the knob the menu of NIBP setup will be shown as Fig 10 2 mmHg MANUAL X AUTO OFF ALARM UNIT CYCLE MODE NON S RETURN Fig 10 2 10 4 1 ALARM PROMPT The operation and function are the same as the ECG sub menu when pressing alarm icon in the frame of menu status Select ALARM in NIBP menu to call up the sub menu shown as Fig 10 3 OFF MEAN DIAS ALARM RETURN Fig 10 3 NOTE It only sets NIBP alarm solely the alarms of other parameters will not be affected Four items are available for the user to set up which are SYS
16. 4 Auto recording interval is set by the user the waveform is in accordance with the real time recording 5 The alarm recording waveform is automatically selected by the monitor 6 3 2 Printing paper 1 Record paper requirement Only standard 50 0 1 mm thermosensitive record paper can be used otherwise the recorder may not function the recording quality may be poor and the thermosensitive print head may be damaged NOTE e When the recorder is working the record paper goes out steadily Do not pull the paper or the recorder will be damaged e Do not operate the recorder without record paper 2 Paper replacement From the position with Open Mark pull the paper cassette door towards you until it is completely open Refer to Fig 6 3 2 Remove the spent paper core 3 Place a new roll of paper into the paper cassette with a few inches of paper being unrolled Ensure proper orientation of paper roll 4 Close the paper cassette door with a few inches of paper being kept outside of the door 24 Portable Patient Monitor Operator s Manual MMED6000DP M7 No Paper Indicator Power Indicator Paper Roll Paper X2 Cassette Door S Loose Edge Fig 6 3 6 3 3 Operation of the recorder menu Select PRINT in SYSTEM SETUP menu to call up the following menus SPRT_B6J ON 5sec OFF imin SPO2 TYPE GRID TIME ALARM CYCLE WAVE RETURN Fig 6 4 1 TYPE set the type of thermal recorder
17. C Ndensati i ii A A A aE 15 33 GEOUNCINO sesi n S 15 CHAPTER 4 GETTING STARTED otra 16 4 1 Unpacking ana InSDec OH audis ee eacus A A tends 16 4 2 Install the Battery 8 Connect the Power Cable eee eeieeeeeeee eee iieeee eene enhn nnn nanus nn nana nana nnns 16 43 Power On Ni N Dlrgmgeec 16 44 Connecting Patient Sensors rebut td 17 4 5 Check the Record eri o a a eee Eat ta ei et tet ee eek tid 17 CHAPTER 5 MENU TREE OF OPERATION soara ae ie c cece ine sar Eua a 18 Portable Patient Monitor Operator s Manual MMED6000DP M7 0 1 System menu ooo A Du vu dee ceu A ID Las 18 maire 19 5 3 ALARM SEL MOM nn 19 nx ENu mee 20 a a ecm imet TE 21 5 0 NIBP 1 y LO A batten cennadisndvesiecedsssveadbedcbaatenJevecdicuc sini dancacbansteiadasvaeeacaadesgedeeecbestengereececncd 22 5 7 eI me 22 5 8 RESP lr pee 23 Emudesc 23 CHAPTEH SYSTEM MENO coito A A A Ta 24 61 TIME Sel a O a 24 6 2 ONG O o nU 24 0 SIPHINU SOU e OOOO e no aa aa EN Sa 24 6 3 1 PEMONManCe OF the TECORGER un a rd 24 A AA E a adapapennes R O eA Aaa e uss ex esuenseunee ae Ea SNEER 24 6 3 2 Operation ot the TeCcOrder Men en e na aAa a 25 6 3 4 Printed content by the build in TECOS 26 SR Mer Cm 26 60 FAN a
18. E E TEEL TETEMET CET ad mu ISO SE Fig 9 8 ST Segment 2 ST Point limit can be adjusted among followings 3 The operation of ST analysis Pick ST setup item to call up the sub menu as below Fig 9 9 1 00 0 50 OFF POSI MEG ALARM RETURM Fig 9 9 It defines the alarm setup of ST segment There are three items are available for the user which are POSI positive NEG negative and ALARM When using the knob to select each item and press the knob a pull down list appears for the user to choose NOTE If you select OFF for alarm item the alarm will not be activated when alarm event occurs 1 Pick HR V item to call up the analyzing chart of heart rate variation as Fig 9 10 BED 2 08 06 2004 15 45 01 EnTime 15 44 58 Aver 897 0ms SD 3 80ms SD 380 00 StTime 15 39 58 Min 9800 0ms SD MSD 0 80ms HRUC MSD 20 80 Beats 335 Max 988 68ms MSDD 8 8ms MSDD 8 80 RR n s ms Lorenze BEATS RR Graph 2000 1800 1600 1400 1200 1000 800 600 400 200 0 500 1000 1500 2000 500 1000 1500 2000 RR n ms Portable Patient Monitor Operator s Manual MMED6000DP M7 Lorenze chart Lorenze chart is a kind of way to analyze HR V by statistical method The X axis of the Lorenze chart is the n times RR interphase value RR interphase is another way to denote the HR value it represents the time between the twice of R wave if the HR value is 60 times min then the RR Interphase should be 1000ms The Y axis is
19. RESP menu to call up the sub menu shown as below Fig 12 3 20 5 HIGH MICA ow ALARM RETURN Fig 12 3 A MMED6000DP M7 Portable Patient Monitor Operator s Manual NOTE It can only set RESP alarm individually the alarms of other parameters will not be affected Three items are available for the user to set up which are HIGH upper limit LOW low limit ALARM OFF HIGH MEDIUM LOW When use the knob to select each item and press the knob a pull down list appears for the user to choose his desired selection 12 5 3 APNEA Set the standard of judging an apnea case it ranges from 10 to 120 seconds 15sec ON 60 TIME ALARM OFFSET RETURN Fig 12 4 Time Apnea alarm is triggered according to the time which was set by user 10s 120s Alarm set the Apnea alarm on off Offset Apnea alarm is triggered in terms of the passed wave crest which was set by user 1 60 12 6 Maintenance and Cleaning For the detailed information refer to Section 9 6 ECG Maintenance and Cleaning 48 Portable Patient Monitor Operators Manual CHAPTER 13 TEMP MONITORING 13 1 Procedure of TEMP Measurement 1 Plug a reusable TEMP probe into monitor directly 2 Apply the TEMP probe securely to the patient 3 Switch on the system 13 2 TEMP Displaying Area TEMP measured result and corresponding message are displayed as follows in the displaying area as Fig 13 1 T1 Temperature 1 the value is 35 7 here T2 Tempe
20. SPRT_B6J or TR 60 Default according to the factory setting 2 GRID Select whether the grid is shown on printing paper or not Pressing ON item the grid will appear on the paper which is for doctor to have more facility for observe the patient s status Pressing OFF there will be only printed waveforms on the paper 3 TIME Represents the length of the printing time 6 options are available 5s 10s 15s 20s 25s 30s It means that the recorder will last to print the waveform for the length of time you chosen 4 ALARM Select ON for this item the printer will print alarm event when it occurs 5 CYCLE Represents time interval between two times of timing recording OFF or 1Min 480Min is available to select It means the system will activate the recording operation according to the selected time interval The length of printing time is in accordance with the setup in TIME item NOTE If you select OFF item in this menu the real time recording will be performed 6 WAVE The waveforms displayed on the screen can be selected The options are available ECG SpO2 ECG SpO2 RESP ECG RESP SpO2 RESP 3 CHANNEL None ECG The ECG waveform can be printed on the recording paper If no ECG waveform is currently displayed on the screen the waveform will be printed as a beeline on the paper 2 SpO The SpO plethysmogram can be printed on the recording paper If there is
21. each parameter setup 8 3 Common Method of Alarm Setup In ALARM SETUP menu you can set the alarm information of following parameters ECG HR NIBP SpO RESP and TEMP For example the method to set up alarm information of HR 1 Select ECG HR in alarm menu to call up the sub menu shown as below Fig 8 2 120 50 ON MEDIUM ON LOW BEEP ALARM LEADA RETURN Fig 8 2 2 Five items are available for the user to set up which are HIGH high limit LOW low limit BEEP Sound of heart beep on or off ALARM OFF HIGH MEDIUM LOW LEADA alarm of the leadoff When pressing the knob to select each item a pull down list appears for the user to choose his desired selection NOTE e Selecting ON OFF item for OFF in sub menu of the parameter only prohibits the alarm of the relevant parameter individually e If you select ON OFF item in sub menu for OFF even if the ALARM icon is on shown ast the alarm will not still be activated Triggering the alarm function should simultaneously satisfy the three requests 1 Rotate knob and highlight A in the frame of menu status to call up alarm sub menu of each parameter keep ON OFF items be ON Or enter the each parameter menu to keep ON OFF tem to be ON to open the alarm function of the monitor 2 Make SILENCE icon in the frame of menu status showing as XE 3 Make ALARM icon in the frame of menu status showing as 8 4 Silence In monitoring status
22. eene seen n nennen nhan nana anna ananas 44 11 3 Monitoring POCO UNC TREE C L Me 44 11 4Sp02 Displaying Area ee 45 11 5 Operation Of SOO MONNOMO 5 iio 45 PE LAMPEITUDE teinte dd cio ne erent cere 45 1152 HR PROM eec 45 11 53 AEARM Renner eet SN ee hotte ats TMD tacos N Ta e hada 45 A A ac Oe eH E E 46 TUS SWAVERORM Me 46 11 6 Maintenance and Gleanitg toii raaa iota en cc coe oo Ee ooo podia De Dose adar poc Eoo ace casia tabu ec eaaa 46 CHAPTER 12 RESP MONITORING coa 47 12 1 HOW tO Measure m ut 47 12 2 Setting up RESP MeasutremaenhL iioi eo siano cio ec nasa Ue cusan ci 47 12 3 Procedures of RESP Measuremen dui da 47 12 4 RESP Displaying AEG ii A A durae Pe ico eeso do uns aea Cog uas eoe eee 47 12 5 Operation of RESP MORItOF Ig oco deco i cocus oo rana ist cuo es dsase ii 47 125 AMPLITUDE 3o dence rt et abe orbita ei ga ere 47 E A E a a eL 47 A cid utate ect INSULE E DE 48 Portable Patient Monitor Operator s Manual MMED6000DP M7 12 6 Maintenance and Cle anaiinG etc c XS 48 CHAPTER 13 TEMP MONITORING oucomiiraicanias at 49 13 1 Procedure of TEMP Measurement 49 132 TEMP Displaying Al nme
23. interval is less than 300 ms 2 SLOW The alarm is for bradycardia As Fig 9 11 shown the alarm will be activated if RR interval is more than 3000 ms 3 STOP The alarm is for cardiac arrest As Fig 9 11 shown the alarm will be activated if RR interval is more than 4000 ms 4 JFrmR The point is help doctor to judge the location of ST segment whether it is positive negative or normal Analysis The menu is used for setting the standard of judging arrhythmia Pick ANA item to enter the analyzed results shown as below screen Fig 9 12 Arrhythmia is disorders of the regular rhythmic beating of the heart The monitor offers 20 kinds of arrhythmia symptom for reference When arrhythmia occurs alarm messages will be displayed in the ECG display screen and the audible and visual alarms will be activated if the parameter value exceeds the limit BED 2 08 06 2004 15 45 45 NO RECORD CA BC 8 e 0 e 0 8 0 e e 8 e CO C CO CO CO O o O 04 Fig 9 12 The monitor can judge the ECG abnormal events including CA CA BC TC SPB VPB APB BR TR IVPB RonT FVPB VF 1 AVB Noise AF BVPB MVTD CTVPB CMVPB e CA Cardiac Arrest or Asystole ASY e CA Misystole e BC Bradycardia e TC Tachyrhythmia e SPB Supraventricular Premature Beat e VPB Ventricular Premature Beat APB Atrial Premature Beat 3 MMED6000DP M7 Portable Patient Monitor Operator s Manual BR Bigeminy Rhythm e TR Trig
24. mmHg mmHg mmHg CE Range 90 255 60 220 35 220 17 9 113 Range 60 220 30 180 30 200 71 112 1 2 4 14 Default Alarm Setup Parameter HR bpm Systolic Diastolic Mean Arterial kPa kPa kPa mmHg mmHg mmHg 14 Portable Patient Monitor Operator s Manual CHAPTER 3 PATIENT SAFETY The portable patient monitor is designed to comply with the International Safety requirements for medical electrical equipment This device has floating inputs and is protected against the effects of defibrillation and electrosurgery If the correct electrodes and ECG cable are used and applied in accordance with the manufacturer instructions the screen display will recover within 10 seconds after defibrillation 3 1 Environment Follow the instructions below to ensure a completely sage electrical installation The environment where the patient monitor will be used should be reasonably free from vibration dust corrosive or explosive gases extremes of temperature humidity and so on For a cabinet mounted installation allow sufficient room at the front for operation and sufficient room at the rear for servicing with the cabinet access door open The Patient Monitor must be operated within specifications at ambient temperatures between 5 C and 40 C Ambient temperatures that exceed these limits could affect the accuracy of the instrument and cause damage to the modules and circuits Allow at least 2 inches 5cms space around the instrume
25. not hear the audible alarm of AT If you select ON the audible and visual alarm will be activated when alarm occurs 13 3 2 UNIT Pick this item to set measurement unit Centigrade C or Fahrenheit F 13 4 Maintenance and Cleaning WARNING Before cleaning the monitor or the probe make sure that the equipment has already been switched off and disconnected from the power line Cleaning D The TEMP probe should not be heated above 100 C 212 F It should only be subjected briefly to temperatures between 80 C 176 F and 100 C 212 2 The probe must not be sterilized in steam 3 Only detergents containing no alcohol can be used for disaffection 4 The rectal probes should be used if possible in conjunction with a protective rubber cover 5 To clean the probe hold the tip with one hand and the other hand rubbing the probe down in the direction of the connector with a moist line free cloth 49 MMED6000DP M7 Portable Patient Monitor Operator s Manual CHAPTER 14 MAINTENANCE AND TROUBLESHOOTING 14 1 Maintenance Customers should responsible for periodic maintaining of the product and its accessories It is very important for our company to warrant the service and repairs We reserve the rights to change the time limit of warranty and replacement if the following steps are non implemented D An effective maintenance plan should be designed for the product and its reusable accessories It includes periodic in
26. 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 D Arterial oxygen saturation is measured by a method called pulse oximetry 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 2 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 is possible to derive the oxygen saturation of the arterial blood Detecting the pulsation gives a PLETH waveform and pulse rate signal 11 2 Precautions during SpO2 Pulse Monitoring WARNING e ES Electrosurgery equipment wire and SpO cable must not be tangled up e Do not put the sensor on extremities with arterial catheter or venous syringe Verify sensor cable fault detection before beginning of monitoring phase Unplug the SpO sensor cable from the socket the screen will display the error message SENSOR OFF and the alarm is activated If the messag
27. provide this service e Fittings replacement if necessary we will replace the damaged fittings according to contract The damaged fittings should be returned to us except for special reason 3 Spare machine for repair it is used to replace the damaged machine for customer and customer should send the damaged machine to us to repair 4 Repair for sponsoring and contributing machine Customers should send the machine back to us to repair 5 Updating software is free 14 3 2 Exemption and restriction D Warranty does not apply to the damage or loss sustained due to force majeure such as fire earthquake flood thunder cyclone hail electrical storm blast building collapse commotion etc 2 Non service items D The cost and insurance of dismantling and testing overhauling reinstall transfer moving the instrument or parts 2 Damage or loss sustained due to inspected or repaired by other institute that is not certified 3 Damage or alteration by anyone else who is not our company authorized service personnel 3 The damage or lose sustained due to connection to peripheral equipment such as printer computer etc that are not provided by our company are not covered by the warranty 4 Obligation restriction In the duration of warranty if the operators use other fittings that are not provided by us we reserve the right to cancel warranty 14 3 3 Customer guarantees D It is required that every operator read this manua
28. 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 NOTE e The width of the cuff should be either 40 of the limb circumference 50 for infants or 2 3 of the upper arm length The inflatable part of the cuff should be long enough to encircle 50 8096 of the limb The wrong size of cuff can cause erroneous readings If the cuff size is in question then use a larger cuff oize of reusable cuff for infant infantren adult Infant 6 11cm Infant 10 19cm Infant 18 26cm Adult 25 35cm Outsize 33 47cm e 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 at the same level as the patient s heart If this is not possible you should apply the following corrections to the measured values QD If the cuff is placed higher than the heart level add 0 9 mmHg 0 10kPa for each inch of different 2 If itis placed lower than the heart level deduct 0 9 mmHg 0 10kPa for each inch of different 4 Check whether the patient mode is appropriately selected Abut the detailed operation please refers to Section 10 4 4 MODE 5 Select a measurement mode in the NIBP SETUP menu About the detailed operation please refers to Section
29. the system are from up to down ECG waveform SpO2 waveform and RESP waveform 4 ECG waveform ECG waveform only shows one lead status it is continuous and ceaseless waveform The lead status of showing waveform displays on the right of ECG frame 2 A scale bar is displayed to the left side of ECG waveform 5 SpO waveform 6 RESP waveform e Numeric displaying area The numeric area lies on the right side of the graphic area which includes 7 ECG Heart rate unit beats minute 8 NIBP From left to right there are Systolic pressure Mean pressure and Diastolic pressure unit mmHg or kPa 9 SpO2 SpOz unit 96 Pulse rate unit beats minute 10 RESP Respiration rate unit breaths minute 11 TEMP temperature of channel 1 and 2 unit or F e others 12 System setup you can configure various aspects of the monitor including system time simulation print setup color display wave language color etc the detailed operation please refer to Chapter 6 System Menu 13 Trend the function is for operator to observe the patient s latest change including historical data table HR NIBP SpO ST segment Trend data in graphical or tabular format can be presented on the screen About the detailed operation please refer to Chapter 7 Trends 14 Alarm on off and alarm setup shows the status of alarm on or oft about the detailed operation please refer to Chapter 8 Alarm and Silence 15 Sound on
30. the system is in correct working state and operating condition As with all medical equipment carefully route patient cabling to reduce the possibility of patient entanglement or strangulation To avoid monitor fall secure monitor on the shelf or bracket prior to use Be sure to use anti defibrillation electrodes and ECG cable if the monitor is used with defibrillation equipment If any parameter displayed on monitor and working station are not accurate adopt the other methods to diagnosis patient The medical equipment must be manipulated by professional personnel who have already got relative training of operation For safe and accurate operation use only our company recommended patient cable lead wires cuffs hose sensors tubing etc Request for the special accessories infantren or infant when monitor infant Single use devices should never be reused Do not use the monitor in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide The system may not conform to all performance specifications if stored or used outside the environmental specification identified in specification If you are uncertain about the accuracy of any measurement first check the patient s vital signs by alternate means and then make sure the monitor is functioning correctly Alarm must be set up according to different situation of individual patient Make sure that audio sound can be activated when alarm occurs When an X ap
31. the user can operate the patient monitor properly and make it reach the specific safety standard and performance index Note The illustrations used in this manual may differ slightly from the appearance of the actual product 1 2 Safety Information This patient monitor only can be operated by qualified personnel Before use carefully read this manual directions for use of any accessories all precautions and all specifications And then check out that the equipment functions are safe and ensure that the monitor is in proper working condition This monitor is intended to be used only as an adjunct in patient assessment It must be used in conjunction with clinical signs and symptoms To avoid an electrical hazard never immerse the unit in any fluid or attempt to clean it with liquid cleaning agents Always disconnect monitor from AC Main Power before performing cleaning of maintenance If monitor becomes accidentally wet during use discontinue operation of the monitor until all affected components have been cleaned and permitted to dry completely Contact our local representative if additional information is required Connect the monitor to a three wire grounded hospital grade receptacle By replacing the fuse please use the safety device of the same type and rated fuse Before using the equipment check out whether all the cables are in good condition the damaged cables and connectors must be replaced Operator should examine whether
32. this product and used batteries in accordance with the local ordinances and regulations for the disposal of electronic products 50 Portable Patient Monitor Operator s Manual MMED6000DP M7 14 2 Troubleshooting No display after power on Check the power connections or the power adapter ECG wave is not correct when monitoring the patient Check the LEAD wires and the electrodes position No SpO wave and pulse rate display when monitoring Check the probe connection and the finger temperature Cuff inflation lacked when measuring blood pressure Cuff too loose or leak Check the connections of tube No ECG analysis function Check whether this function open or not in ECG menu Can not printing Check the print cable print power printer setup and the printer type 14 3 Warranty and Repair 14 3 1 Warranty and repair content DRepair response time AM9 00 to PM17 30 on Monday to Friday except legal holiday Repair time AM9 00 to PM17 30 on Monday to Friday except legal holiday 2 Repair service Including telephone support field inspecting fittings replacement e Telephone support we can give guidance to customer s engineer to inspecting the instrument when you dial our service line Professional repair engineer online provides technical support e Field inspecting we will send engineers to repair the instrument if necessary Certified engineers of our company or local repair team trained by our company
33. FF CIGLE 1 480MIN NONE din NIBP ECG SpO NIBP RESP ECG RESP TEMP SpO RESP 3 CHANNELS BACKGROUD ii AUTO EXTEND VER608 SEND RESET SEND BED mh 00 Portable Patient Monitor Operator s Manual SYSTEM NAME MESSAGE SECTION NAME S BigMode Standard 5 2 Trend menu Pick Trend icon pci to access the trend menu TREND gt gt CHART TREND TABLE ALARM gt gt CHART OXYCRG CHART gt gt gt gt NIBP a CHART es gt gt Dan 5 3 ALARM Set menu Pick ALARM icon to access the ALARM menu ALARM ECG HR HIGH LOW ON CON mee OFF ALARM sOFR O MEDIUM HIGH ON m OON 1 NIBP SYS systolic MEAN DIAS diastolic h de HIGH LOW HIGH LOW HIGH MMED6000DP M7 MMED6000DP M7 Portable Patient Monitor Operator s Manual LOW OFF O MEDIUM HIGH ALARM HIGH SpO O Z PR AL LOW ALARM diis HIGH LOW india MEDIUM HIGH RESP HIGH LOW indi MEDIUM HIGH TEMP HIGH LOW yrs LOW MEDIUM HIGH DI LMT TEMPDI m OFF 5 4 Sound menu Press SOUND icon the icon is turn to xi The icon El indicates the sound is on the icon xi indicates the sound is off Portable Patient Monitor Operator s Manual MMED6000DP M7 5 5 ECG Menu Pick ECG area in the display to access to the ECG menu 5mm mV 7mm mV 10mm mV 15mm mV 20mm mV ECG A MPL 25mm mV ALARM HIGH LOW Z BEEP O
34. MMED6000DP M7 VER 2 0M7 608 Copyright Our company owns all right to this unpublished work and intends to maintain this work as confidential Our company may also seek to maintain this work as an unpublished copyright This publication is to be used solely for the purpose of reference operation maintenance or repair of our equipment No part of this can be disseminated for other purposes In the event of inadvertent or deliberate publication Our Company intends to enforce its right to this work under copyright laws as a published work Those having access to this work may not copy use or disclose the information in this work unless expressly authorized by our company to do so All information contained in this publication is believed to be correct Our shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing performance or use of this material This publication may refer to information and protected by copyrights or patents and does not convey any license under the patent rights of Our Company nor the rights of others Our company does not assume any liability arising out of any infringements of patents or other rights of third parties Content of the manual is subject to changes without prior notice ALL RIGHTS RESERVED MMED6000DP M7 Portable Patient Monitor Operator s Manual CONTENT CHAPTER T INTRODUCTIO NN ocio 6 PLADOUL tHe Manual scs E 6 perpe
35. URE that pressing the REFRESH button after any setting Otherwise the settings will not be active and saved in a CF card In monitoring status rotate the knob to highlight the ER MENU icon and then press the knob the menu bar of system setup appears on the bottom of screen 4 OFF VOLUME PRINT COLOR FAN EXTEND RETURN Fig 6 1 The system setup menu includes 6 items Rotating and pressing the knob to select the menu to be set Having finished the setup just press RETURN the system will return to the previous menu All the settings will be stored automatically when powering off the monitor 6 1 Time Setup Select TIME item in SYSTEM SETUP menu to access the sub menu of TIME as shown below Fig 6 2 9 8 2004 15 30 17 DAY MONTH YEAR HOUR MINUT E SECOND RETURN Fig 6 2 System time is in the format of day month year hour minute second Pick the item you want to modify and turn the knob the number will increase or decrease by 1 degree Then select RETURN to the previous menu and press REFRESH button 6 2 Volume Volume user may select different level of volume according to different clinical requirement There are 7 levels for you to select Along with the level number increasing the volume will be loud 6 3 Print Setup 6 3 1 Performance of the recorder D It can record up to 3 waveforms 2 Output with selectable grid 3 The real time recording and waveform are user configurable
36. ace the red and green electrodes diagonally to optimize the respiration waveform Avoid the liver area and the ventricles of the heart in the line between the RESP electrodes so as to avoid cardiac overlay or artifacts from pulsating blood flow This is particularly important for infants 3 Switch on the monitor WARNING e The respiration signal is acquired using the ECG Refer to the ECG Monitoring section for information regarding patient connection e Respiration signals are relatively more sensitive than any other physiological signals It can cause inaccurate respiration measurements by the interference of patient activity and electrical surgery equipments Do not rely entirely on the respiration measurements of this monitor for patient assessment 12 4 RESP Displaying Area RESP measured result and corresponding message are displayed as follows Fig 12 1 Fig 12 1 RESP Respiration Rate 12 5 Operation of RESP Monitoring In monitoring status rotate the knob to highlight the RESP icon in the RESP displaying area and then press the knob the menu of RESP setup will appear on the bottom of screen as shown below as Fig 12 2 1 AMPL ALARM APNEA RETURN Fig 12 2 12 5 1 AMPLITUDE Pick this item to access the amplitudes setup of RESP waveform 12 selections are available 1 2 3 4 5 6 7 8 9 10 11 and 12 The amplitude of RESP waveform will be corresponding changed as setting 12 5 2 ALARM Select ALARM in
37. als as you set Access NIBP SETUP menu and pick the CYCLE item to set measuring mode Select the CYCLE selection Then press NIBP button on the front panel to start the first auto measuring Selected interval indicates you have set AUTO Monitoring Mode the device will successively measure patient s BP after taking break for the time you set in CYCLE item If you press NIBP button during AUTO mode the measurement in progress will stop to another manual measurement After this manual measurement the device will enter AUTO monitoring mode again You want to get the patient s NIBP value by manual operation just pick MANUAL in CYCLE item 10 4 4 MODE Access NIBP SETUP menu and pick the MODE item to set the type of monitoring patient The options include Auto 70 100 120 140 150 160 and 180 You can select AUTO mode or set inflated pressure The AUTO mode is adult When measuring infant please ensure to select the lower inflated pressure 10 kPa 7Z0mmHg or 13 3kPa 100mmHg is the infant mode When setting the AUTO adult mode inflated pressure is 24 kPa 180 mmHg Normally due to the oscillometric technic the setup of inflated pressure greatly affects the result of the monitored NIBP value The highest inflated pressure is 4 kPa 30 mmHg more than the Systolic pressure NOTE Ensure that the correct setting is selected when performing measurements on infant It may be dangerous for the infant to use an over pressure level
38. angyuanB1127 1128 Fuxing R A36 100039 Beijing PEOPLE S REPUBLIC OF CHINA EiffestraBe 80 20537 EC REP Hamburg GERMANY C C Shanghai International Holding Corp GmbH Europe 0123 53 Issue date 12 November 2009
39. anty period you should consider whether it is reasonable Because electronic product quickly replace as to the warranty period over three years purchased accessories may be out of stock In this case we will adopt to entirely upgrade or replace the old you should pay the minimum acceptable cost of renewed device 14 4 Storage and Transportation Storage Temperature 20 C 55 C Humidity lt 93 Transportation Transportation via road rail or aviation after properly insured and packaged B2 Portable Patient Monitor Operator s Manual MMED6000DP M7 Appendix List of Accessories The accessories list below is specified to be used in this device The user can order the various accessories according to the hospital requirements The standard accessories No accessories amy ECG cable standard 1 piece Electrode 1 pack MN NIBP cuff and extension tube for adult MN SpO finger clip probe and extension cable for adult TEMP probe Skin or rectal YSI 400 1 piece Power cable 1 piece Grounding wire 1 piece Operator s manual 1 piece Ni MH rechargeable battery 1 piece The optional accessories No accessories amy Defi protected ECG cable NIBP cuff for Infants and infant NM AN SpO probe and extension cable for Infants and infant Thermal array recorder Paper for recorder 1 piece 1 piece 1 piece 1 piece ud Beijing Choice Electronic Technology Co Ltd Bail
40. art Rate range Sweep Speed 12 5mm s 25mm s 50mm s Rel Accuracy lt 100 bpm i196 100bpm 2 Alarm Heart rate high and low limits alarm delay lt 12s Lead Off condition Detected and displayed Portable Patient Monitor Operator s Manual MMED6000DP M7 2 4 5 ST segment ST segment range 0 8mV to 0 8mV TEN 2 4 6 SpO2 Display range 0 9995 8096 9996 2digits 7096 7996 3 3digits 0 69 Unspecified LED Specifications PE Wavelength Radiant Power 660 3 2nm 1 8mW RED o R 90810nm Alarm delay SpOz high and low limits alarm delay lt 7s Display Update 2 4 7 Pulse Rate Pulse rate high and low limits alarm delay 7s 2 4 8 NIBP Technique Oscillometric method with inflatable cuff Determines systolic diastolic and mean arterial pressures Patient Types Adult and Infant Cuff Inflation Time 3 15 seconds depending on cuff size Cuff Inflation Pressure Initially 180 mmHg for Adult auto mode Manual Immediate upon operator command Measurement Modes AUTO Determinations automatically made with selectable intervals STAT Determinations continues in 5 minutes Manual 9 3kPa 70 mmHg 13 3kPa 100 mmHg 16 0kPa 120 mmHg 18 6kPa First Inflation Measurement 140 mmHg 20 0kPa 150 mmHg 21 3kPa 160 mmHg 24 0kPa 180 mmHg AUTO 24kPa 180 mmHg Measurement Interval Time 1 240min Step 1 min 1 10min 5 min 10 30min 10 min 30 90min 30 min 90 240min Measurement Range AT Meas
41. ase check whether the sensor has been well connected 11 5 Operation of SpO Monitoring In monitoring status rotate the knob to highlight the SpOs icon in the SpO displaying area and then press the knob the menu of SpO setup appears on the bottom of screen as shown below Fig 11 2 3 ECG OFF LINE AMPL HR FROM ALARM PR sou WAVE RETURN Fig 11 2 11 5 1 AMPLITUDE The amplitude indicates the status of the patient s blood circulation Pick this item to access the amplitudes setup of SpOs waveform 5 options are available 1 2 3 4 5 Amplitude of SpOs waveform will be changed as setting 11 5 2 HR FROM The monitor can use ECG to get the value of HR and use SpO to get the value of PR Normally When we setup this item to ECG which means we select to use ECG to get the value of HR On the other side if we setup this item to SpO which means we select use SpO to get the value of HR and the item indicator in the ECG numeric display area will be shown as PR not HR such as the following two pictures Normally we use ECG to get the value of HR and there is a little difference between the HR and PR But if we select SpO in this item then the value in ECG HR position and the PR value in SpO area are same HR from ECG PR from SpOs 11 5 3 ALARM Select ALARM in SpO menu to call up the sub menu shown as below Fig 11 3 OFF 100 80 MEDIUM PRAL PROBE HIGH Low ALARM SON
42. ation it always shows on the top left corner in the monitor status frame 5 MESSAGE Rotate the knob and select MESSAGE item to access the picture shown as below Fig 6 8 MESSAGE sub menu will be indicated in the bottom of the picture NAME You can select A Z DELETE DELETE ALL or CANCEL In the A Z mode you can input the name of the patient one by one character by rotating and pressing the knob the name will be indicated on the right side of the NAME item The number of the characters is 20 at the most DELETE can delete the last character DELETE ALL can delete all characters inputted CANCEL means this setup will be cancelled 2 SEX You can set it FEMALE or MALE It will be shown on the right side of the SEX item S AGE In the item input the age of the patient The range of age is 1 200 The value will be indicated on the right side of AGE item 4 SECTION The selected items are A Z DELETE DELETE ALL or CANCEL The same as NAME setup you can input the name of the section office You can cancel this setup by selecting CANCEL 26 Portable Patient Monitor Operator s Manual MMED6000DP M7 NAME S If you set it ON the name of the patient will be shown in the middle of status frame If OFF the name won t be shown BED 2 03 30 2008 13 24 32 PATIENT INFORMATION NAME ALICE SEX MALE AGE 1 SECTION OFFICE
43. celed Patient can press the NIBP button to start cancel whenever it is necessary 10 6 Maintenance and Cleaning WARNING e Do not squeeze the hose of cuff e Do not allow liquid to enter the connector socket when cleaning the monitor e Do not wipe the inner part of the connector socket when cleaning the monitor e When the reusable cuff is not connected with the monitor or being cleaned always place the cover on the rubber tube to avoid liquid permeation NIBP cuff disinfection 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 and 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 and then reinsert the rubber bag 43 Portable Patient Monitor Operators Manual CHAPTER 11 SpO MONITORING 11 1 What is SpO Monitoring SpO plethysmogram measurement is used 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
44. cloth or gauze with alcohol and use it to wipe the surface of sensor and then use the clean cloth to dry it The same method can be used to clean the light source and photo detector Cables can be disinfected by 396 of hydrogen peroxide or 796 of isopropyl alcohol Do not immerse the connector into the liquid 46 Portable Patient Monitor Operator s Manual CHAPTER 12 RESP MONITORING 12 1 How to Measure RESP The monitor measures respiration from the amount of thoracic impedance between two ECG electrodes The change of impedance between the two electrodes due to the thoracic movement produces a respiratory waveform on the screen 12 2 Setting up RESP Measurement For RESP monitoring it is not necessary for additional electrodes however the place of electrodes is important Some patients due to their clinical condition expand their chest laterally causing a negative intrathoracic pressure In these cases it is better to place the two RESP electrodes laterally in the right axillary and left lateral chest areas at the maximum point of breathing movement to optimize the respiratory waveform NOTE The RESP monitoring is not recommended to be used on patients who are very activate as this can cause false alarm 12 3 Procedures of RESP Measurement D Prepare the patient s skin prior to place the electrodes 2 Attach snap or clip to the electrodes and attach the electrodes to the patient as described as Fig 9 1 NOTE Pl
45. ding noise created by the host system or noise from external source such as electrosurgical apparatus which is admitted by the host system e Do not use oximeters and oximetry sensors during magnetic resonance imaging MRI scanning Induced current could potentially cause burns e Intravascular dye injections e Excessive patient movement e Improper sensor application e Sensor temperature maintain between 28 C and 42 Cfor the best operation 44 Portable Patient Monitor Operator s Manual MMED6000DP M7 e Placement of the sensor on an extremity that has a blood pressure cuff arterial catheter or intravascular line e Significant concentration of dysfunctional hemoglobin such as carboxyhemoglobin and methemoglobin e External illumination more than 5 000 lumens square meter typical office lighting e Venous pulsations e It is recommended to use SpO sensor provided by our company 11 4 SpO2 Displaying Area 1 SpO numeric display area SpO measurement result and corresponding message are displayed as follows Fig 11 1 SPO2 PR 65 Fig 11 1 SPO2 Measured value of SpO2 the value is 99 here PR Pulse rate value the value is 65 here 2 SpO graphic display area The following information is shown on the top of SpO graphic display area when certain condition ERROR A technical alarm It means that the module is in trouble PROBE OFF A technical alarm It indicates the sensor cannot detect the finger or ple
46. e PLETH ERROR displays on the displaying area it means the SpO board with trouble e Do not use the sterile supplied SpO sensor if the packaging or the sensor is damaged and return them to the vendor e Prolonged and continuous monitoring may increase jeopardy of unexpected change of dermal condition such as abnormal sensitivity rubescence vesicle repressive putrescence and so on It is especially important to check the sensor placement of infant and patient of poor perfusion or immature dermogram by light collimation and proper attaching strictly according to changes of the skin Check the sensor placement every 2 3 hours and move it if the skin deteriorates More frequent examinations may be required for different patient NOTE e Do not perform SpO measuring and NIBP measuring in same limb because obstruction of blood flow during NIBP measuring may adversely affect the reading of SpO value e Make sure the nail covers the light window e The wire should be on the backside of the hand 11 3 Monitoring Procedure D Switch on the monitor 2 Plug the connector of sensor into SpO socket on the side panel of the monitor 3 Attach the sensor to the appropriate site of the patient finger NOTE Ensure the finger insert the sensor completely the finger has touched the bottom of the sensor Limitation for measurement In operation the accuracy of oximetry readings can be affected by e High frequency electrical noise inclu
47. e monitor by the power supply cord or patient connections The monitor can monitor only one patient synchronously DO NOT put the batteries together with metal objects such as keys pens knives etc As these may cause short circuit 69 Portable Patient Monitor Operator s Manual MMED6000DP M7 e BE SURE TO USE the batteries supplied by our company e Charge the batteries about two months if the batteries will not be used for a long time because of the battery self discharge e Please carefully read the relevant chapter in this instruction for more attention 1 3 Explanation of Symbols According to the type of protection against electrical Attention Refer to the relevant prompt shock Class I Equipment Resistant defibrillator HeartBeat Detected Beat Detected BF type equipment Manufacture date MIR Manufacture address pm Rotated knob aL somo Aea o o _ ssten setup menu Y ewm ewm Equipotential grounding terminal E AC 50 60 HZ This symbol indicates that the instrument is EP 60601 1 Type CF equipment The unit displaying this symbol contains an F type isolated floating patient applied part providing a high degree of protection against shock and is suitable for use during defibrillation This item is compliant with Medical Device Directive 93 42 EEC of 14 June 1993 a directive of the European Economic Community 1 4 Description of Abbreviation arterial oxygen saturation mean blood pressure so me P
48. easures the blood pressure using the oscillometric method 2 It is applicable for adult infant to use 3 There are three modes of measurement available Manual Cycle and STAT Not stop each mode displays the diastolic systolic and mean blood pressure WARNING e 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 For a thrombasthemia patient it is important to determine whether measurement of the blood pressure shall be done automatically The determination should base on the clinical evaluation Ensure that the correct setting is selected when performing measurements on infantren It may be dangerous for infantren to use an over pressure level 10 2 Preparation for Cuff WARNING e Before starting a measurement verify that you have selected a setting appropriate for your patient adult or infant e 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 e Make sure that the air conduit which connects the blood pressure cuff with the monitor is neither blocked nor tangled 1 Plug in the air hose and switch on the system 2 Apply the blood pressure cuff to the patient s arm e Ensure that the cuff is completely deflated e Apply the appropriate size cuff to the patient and make sure
49. ed automatically Or the audible alarm will be restarted automatically if the alarm event still exists after 3 minutes You can also restore the audible alarm by pressing the button again The icon shown as which indicates the audible alarm function is restored Alarm level and different prompt The high medium low level alarms can be set according to the user s setup in following different audio ways High Level is the most serious warning Medium Level is the serious warning and Low Level is the general warning Alarm level Audio prompt Visual prompt Mode is DODODO DODC the audible alarm is The relevant data is displayed highlighted The alarm sent out continuously indicator light flashes in red Mode is DO DO DO which is triggered once The relevant data is displayed highlighted The alarm every 24 seconds indicator light flashes in orange low Mode is DODO DODO which is triggered once The relevant data is displayed highlighted The alarm every 12 seconds indicator light flashes in green 8 2 Alarm Setup In monitoring status rotate the knob to highlight thes icon and then press the knob the menu of alarm setup appears on the bottom of screen as shown below Fig 8 1 NIBP SPO2 RESP TEMP RETURN Fig 8 1 PROMPT There are two methods to set the alarm of each parameter one of which is setting all alarms of every parameter when you press the icon another is setting ALARM in the individual menu of
50. ed by the adequate technician 2 3 4 Rear Panel 4 Fig 2 5 1 Power socket AC Power supply 100 240 VAC 47 63 Hz Fuse standard T 2 0A 250 VAC 2 DC power supply reserved 3 Equivalent electric ground access for connecting with the hospital s grounding system 4 NET access point connecting with the central monitoring system through the standard RJ 45 10 Portable Patient Monitor Operator s Manual MMED6000DP M7 2 3 5 Display Introduction The screen display of the portable patient monitor is shown as the following picture 1 2 3 BED OFF DEMO 03 27 2008 17 17 32 4 5 6 12 14 15 13 16 17 Fig 2 6 e Monitoring status frame 1 Bed No indicates the bed number of the patient who is being monitored when the patient monitor is connected with the workstation 2 DEMO Indicates the device is in DEMO monitoring mode now In clinical application this function is not recommended because the DEMO will mislead the hospital workers to treat the waveform and parameter as actual data of the patient which may cause the delay of treatment or mistreatment 3 Current time Indicates the date and the current time it shows in such format as 03 27 2008 17 17 32 e Graphic displaying area The graphic area can maximally display 3 waveforms The colour of waveforms matches with the parameter s on the right of the screen The waveforms provided by
51. ed to the limb attaching the SpO sensor since cuff inflation will disrupt SpO monitoring e Do not place the cuff on an extremity being used for intravenous infusion or any area where circulation is compromised or has the potential to be compromised e When the measurement be performed on infant and infant Make sure that correct mode setting has been selected refer to NIBP menu setting section For higher adult NIBP doesn t fit for infant and infant wrong selection of patient mode may be dangerous to them e Inaccurate measurements may result from such causes a Limb s twitch and tremble will cause inaccuracy or prolonged the cycling of measurement serious tremble will lead to the failure of measure b Placing the cuff too loosely or tightly on the patient c Leaky cuff or hose d Insure the NIBP and pulse rate within the range of this monitor e Excessive patient motion will cause the inaccuracy patient should be relax and avoid movement 42 Portable Patient Monitor Operator s Manual MMED6000DP M7 10 5 Pressure Safety Protection Automatic deflation will be activated when the cuff pressure exceed 280 mmHg under the adult mode and exceed 150 mmHg under the infant mode Automatic deflation will be activated when the continuous inflation last more than 30 seconds If there is no value when measurement time exceeds 120 seconds under the adult mode and 90 seconds under the infant mode the measurement will be can
52. eminy Rhythm e VPB Invasive Ventricular Premature Beat e FVPB Frequent Ventricular Premature Beat e RONT RonT e VF Ventricular Fibrillation e 1 AVB 1 AtrioVenicular Block e AF Atrial Fibrillation Noise Noise BVPB Bi Ventricular Premature Beat e MVTD Multi Veetor CTVPB Chained Triple Ventricular Premature Beat CMVPB Chained Multi Ventricular Premature Beat NOTE Doctors should not just use the information offered by this monitor to make diagnosis the accurate result must be combined with doctor s experience and knowledge e How to define arrhythmia Tachyrhythmia TC AR lt 0 5s Bradycardia BC RR gt 1 5s AR gt 1 2s Cardiac Arrest CA Consecutive RR Interval gt 3s Ventricular Premature RR4 0 9 AR 2 Beat VPB RR RRU 2 AR rate 10 min RR 4 0 9 AR 4 RRi1 lt 0 9 AR 4 Bigeminy Rhythm BR EDS RRiotRRio 2 ARta RRa RR S2 ARL RR 4 lt 0 9 AR 5 RRi1 lt 0 9 ARts Trigeminy Rhythm TR enya RRiatRR 3 2 ARts RRiitRRi 2 ARts RR is RR interphase AR is the average time of 8 RR intervals and the suffixes indicate time sequence for example RR means the latest RR interval and RR 4 refers the previous RR interphase of RR PROMPT NOTE We don t recommend you use this function while monitoring the patient The analysis results are only references helping doctor to make diagnosis 5 Press REPLAY item to call up the sub menu shown as below Fig 9 13 30sec HIGHER
53. erly installed in the output slot If no papers present do not press PRINT function button 17 Portable Patient Monitor Operator s Manual CHAPTER 5 MENU TREE OF OPERATION In order to give operators a succinct direction about operations the followng MENU TREES shows the overview of all the settings which can guide you to operate the system simply To get more information for each setting you can refer to each Chapter For the monitor working properly you should pay attention to the following NOTE PROMPT e Color there are 15 colors for each parameters the clockwise sequence is red purple brown light blue blue peak green aqua rosiness pink yellow white black sky blue green cyan You d better keep the background color to black for getting the better view e SYSTEM SETUP EXTEND SYSTEM the function is set by manufacturer please keep it constant e SOUND OFF the function prohibits all the sound including sound of heart beat sound of pressing operation and audible alarms e NIBP mode if the inflating pressure is selected between 70 120mmdHg the monitoring patient should be infant if the inflating pressure is selected between 140 180mmHg the monitoring patient is adult 5 1 System menu Pick System icon E to access the system menu SYSTEM MONTH SETUP TIME YEAR HOUR MINUTE VOLUME SECOND SPRT B6J PRINT TYPE TR60 die 5SECONDS HME 10SECONDS 15SECONDS 20SECONDS 25SECONDS 30SECONDS delas O
54. g plate of the electrosurgery device otherwise there will be a great deal of interference with the ECG signal ATTENTION E For the movement of the lead cable will result in the inaccurate HR value try to avoid the interference E This monitor can detect ECG signal when at least standard three ECG leads are properly attached to the patient Should one or more of the leads come off or lose good electrical contact after the monitor has established that all related leads are attached a low priority Lead Off alarm will be issued to alert the caregiver to remedy the problem er When the leads are unattached from patient s skin LDOFF technical alarm will be displayed in the ECG displaying area ee ECG ERROR indicates ECG board with trouble Please stop ECG monitoring at once and contact with the distributor or Customer Service Dept of our company 9 4 ECG Screen 9 4 1 ECG Displaying Area 1 ECG numeric display area ECG lead Heart rate ST segment HR Heart rate value the value is 83 here Portable Patient Monitor Operator s Manual MMED6000DP M7 ST mm The height of ST segment the height is 0 02 here LEAD The lead of showing ECG waveform the lead is II here 2 ECG graphic display area The following information is shown on the top of ECG graphic display area when certain condition ECG ERROR Technical alarm of ECG module It means that the module is in trouble LEAD OFF Technical alarm means lead off
55. he knob to select the COLOR item to access the sub menu shown in the Fig 6 6 There are 15 colors for each parameters clockwise rotating the knob the sequence is red purple brown light blue blue peak green aqua rosiness pink yellow white black sky blue green cyan You d better keep the background color as black for getting the better view SPO2 RESP TEMP ECG BGROU RETURN Fig 6 6 6 5 FAN By this menu you can select ON OFF or AUTO In AUTO mode the fan will automatically be opened when the monitor inner temperature is higher than the temperature upper limit the default setting is 62 C and will automatically be closed when the monitor inner temperature reaches the fan off limit the default setting is 58 C NOTE The monitor inner temperature limits for fan on or fan off can be set by entering SYSTEM sub menu in EXTEND menu of SYSTEM main menu through password 6 6 Extend Rotate the knob and select EXTEND item to access the sub menu shown as below Fig 6 7 2 MLN RESET SYSTEM BED MESSAGE OTHER RETURN Fig 6 7 1 VER608 when you set it send it will get the version of the CSN608 module 2 RESET when HR value is not activated press this item will refresh the value and make it work orderly 3 SYSTEM this function is set by the distributor please keep them unchanged 4 BED Indicates the bed number of the patient being monitored when the patient monitor is connected with the workst
56. l completely before attempting to operate the monitor 27 Operation and maintenance according to the user manual and guarantee the requests of power and environment B1 MMED6000DP M7 Portable Patient Monitor Operator s Manual 14 3 4 Non warranty and Non replacement Policy The work environment is not eligible For example if the relative humidity exceeds 70 circuit boards of the instrument may be damaged due to condensate If voltage of power supply is fluctuant and exceeds 240V AC the power adapter may be damaged There is smear or marks that are not belong to the instrument and cannot be removed from the outside surface of the instrument The instrument or its fittings are mechanically damaged The circuit is short and damaged due to liquor or other stuff flow in the instrument or its fittings All probes and accessories are not free replacement Leakage of air cell of blood pressure sleeve due to improper storage or operation is not free replacement The malfunction with result form improper repair by anyone other than our company authorized service personnel The malfunction with result from improper use 14 3 5 Customer special warranty period Due to our warranty period according to the relevant electronic regulation of country which we stipulate is one year on this product other than its accesories and the warranty is made for a period of three months on accessories When customer requires to extending the warr
57. lethysmogram temperature channel 1 temperature channel 2 pulse rate Temperature Difference between two channels TD systolic respiration rate y Respiration Waveform Portable Patient Monitor Operator s Manual CHAPTER 2 OVERVIEW OF MONITOR 2 1 General Information This instrument is a portable patient monitor that has abundant monitoring functions and is used for the clinical monitoring of adult infant and infant In addition the user could select the different parameter configuration according to different requirements This patient monitor can be connected to the central monitoring system via our company network so as to form a network monitoring system 2 2 Special Feature Portable compact AC power and internal rechargeable battery New design of NIBP module support rapid and continuous measurement higher precision and consistency Multi bandwidth design of ECG module adapt to various conditions Resistant high frequency electrosurgical generator design reliable and special module is used in operation room Inner printer recorder with 3 channels wave Adjust volume more accurately by digital system Menu design adopts Huffman decode operating more effectively Support Ethernet wireless LAN and could be connected with Central monitoring system 2 3 General Introduction 2 3 1 Front Panel 10 XLI COLI 3 4 5 6 7 8 Fig 2 1 1 Indicator light Indicating the power supplying state
58. n 1 times namely the previous time interphase value according to the n time in the X axis Thus if supposing the ideal situation the HR is steady and does not vary the Lorenze chart should be a line whose slope is 1 namely the bevel is 45 degree If the HR varies Lorenze chart is the figure composed by the dots upper or lower than the line whose bevel is 45 degree The different statistic chart has different analysis and diagnosis meaning in the clinic situation The data in the Lorenze chart are selected from the data table one dot per minute totally 24 hours for a complete chart 2 Select ANA S item to startup the analyzing software of the monitor Rotate the knob to pick ON the analyzed result will be shown on the right of ECG display area in time NOTE We don t recommend use this function while monitoring the patient The analysis results are only references helping doctor to make diagnosis 4 Select HR A item to enter into the submenu shown as Fig 9 11 300ms 3000ms 4000ms 90ms SLOW ANA STOP JFrmR RETURN Fig 9 11 The items in this menu are used for setting the alarm of arrhythmia The numerical options are the period of RR interval The monitor calculates the patient s heart rate through reckoning the times of RR interval Therefore in the fixed time shorter the period of RR interval is faster the heartbeat is D FAST The alarm is for tachyrhythmia As Fig 9 11 shown the alarm will be activated if RR
59. nce from other electrosurgery equipment You can also select OFF M to cancel filter The difference of every mode is the corresponding bandwidth DIA MODE Diagnosis mode bandwidth 0 05 100 Hz MON MODE Monitor mode bandwidth 0 5 75 Hz OPR MODE Operation mode bandwidth 1 25 Hz OFF MODE the signals are not filtered 9 6 Maintenance and Cleaning WARNINGS e Power must be shut off and main supply plug must be pulled out before cleaning monitor or sensor e Do not use damaged ECG leads Do not immerse ECG leads completely in water solvents or cleaning solutions because the connectors are not waterproof Do not sterilize ECG leads by irradiation steam or ethylene oxide Clean Clean the monitor or sensor using a wet no floss cloth which should be washed in 7096 alcohol or neutral soap Sterilization t is suggested sterilization on instrument is going only when it is required by hospital regulation in order to avoid long term damage on instrument We also suggest that the product used to sterilize our instrument is cleaned first Disinfection It is suggested disinfection on instrument is going only when it is required by hospital regulation in order to avoid long term damage on instrument We also suggest that the product used to disinfect our instrument is cleaned first 39 Portable Patient Monitor Operator s Manual CHAPTER 10 NIBP MONITORING 10 1 Introduction D The Non invasive Blood Pressure NIBP module m
60. nd 216 hours trend data in graphical format can be stored in a CF card A date time annotation is included at the start of each new record so that the record can be correlated with the patient whose signs are monitored NOTE If there is no CF card in the monitor the trend or tabular data will not be saved Trend Setup screen OFF TABLE HR NIBP SPO2 ST ERASE RETURN Fig 7 1 7 1 Table 7 1 1 TREND Please select the TABLE to enter into the sub menu shown as Fig 7 2 TREND ALARM OXYCRG RETURN Fig 7 2 The latest 240 hours data table can be displayed at every 1 minute The first column shows the items of the parameters The first and the second line of the table indicate the date and time of measurement respectively The left column of the table always shows the latest measurement Rotate the knob to turn pages The page number is displayed on the bottom right corner When END appears it indicates this is the last page of records When the interface is shown as Fig 7 3 press FREEZE function button to enter the set page screen Rotate the knob to set the passing pages at each switch Press FREEZE button again to exit the page set and then rotate the knob to turn the pages you want BED 03 31 2008 14 59 55 DATE 03 31 03 31 03 84 03 34 03 31 05 31 03 31 03 31 03 31 03 31 Prime 14 50 14 46 14 47 14 46 14 45 14 44 44 43 14 42 14 41 14 40 sm
61. no SpOzwaveform being currently displayed on the screen the waveform will be printed as a beeline on the paper 8 ECG4SpO The ECG waveform and SpO plethysmogram can be printed on the recording paper RESP The Respiration waveform can be printed on the recording paper If no RESP waveform is currently displayed on the screen the waveform will be printed as a beeline on the paper If Et CO2 module is working CO2 waveform will be printed instead of RESP waveform ECG RESP The ECG waveform and Respiration waveform can be printed on the recording paper SpO RESP The SpO plethysmogram and Respiration waveform can be printed on the recording paper 3 CHANNEL Three channels including ECG waveform SpO2 waveform RESP waveform will be entirely printed None None waveforms will be printed on the paper 2h MMED6000DP M7 Portable Patient Monitor Operator s Manual 6 3 4 Printed content by the build in recorder 5 The printed paper is shown as Fig 6 5 D Bed No The printed data and time they are shown as 07 28 2004 15 17 36 8 Waveforms Waveforms will be printed according to your settings When recorder prints 3 waveforms they will overlap 4 Parameters Parameters are recorded on the bottom of the printing paper the contents are RR HR SpO2 ECG lead sweep speed PR TEMP 6 4 Color The item is used to define the color of the waveform and parameters displayed on the screen Rotate t
62. nt for proper air circulation 3 2 Condensation Make sure that during operation the instrument is free of condensation Condensation can form when equipment is moved from one building to another thus being exposed to moisture and differences in temperature 3 3 Grounding To protect the patient and hospital personnel the cabinet of the patient monitor must be grounded Accordingly the patient monitor is equipped with a detachable 3 wire cable which grounds the instrument to the power line ground protective earth when plugged into an appropriate 3 wire receptacle If a 3 wire receptacle is not available consult the hospital electrician If the capacity of the protective grounding wires is in doubt the equipment must be operated with internal power supply 15 Portable Patient Monitor Operator s Manual CHAPTER 4 GETTING STARTED NOTE To ensure that the monitor works properly please read Chapter 3 and follow the steps before using the monitor 4 1 Unpacking and Inspection 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 e Check the monitor for any mechanical damage e Check out all the cables modules and accessories If there is any problem contact the distributor immediately 4 2 Install the Battery amp Connect the Power Cable 9 Installation of battery Front Panel Batter
63. of the monitor Green power supplying 1 2 9 2 Power switch Press the button for about 3 4 seconds to power on off 3 Indicator light Indicating battery charging status Orange and flash the battery is in the process of quick charging Orange the battery is slowly being charged or the charge is finished 4 FREEZE Pressing the button will freeze the waveform of ECG Pressing FREEZE button again will restore the normal monitor status 5 SILENCE ALARM function button When pressing the button the icon in menu status is shown as x which indicates all the audible alarms have been shut off Once a new alarm event occurs the audible alarm function will be activated automatically Or the audible alarm will be restarted automatically if the alarm event still exists after 3 minutes You can also restore the audible alarm by pressing the button again The icon shown as which indicates the audible alarm function is restored 8 Portable Patient Monitor Operator s Manual MMED6000DP M7 NOTE When Bo mark appears the system can not give the audible alarm prompt Therefore the operator should use this function carefully 6 NIBP Start Cancel NIBP measuring button Pressing the button will inflate the cuff to start a new NIBP measurement During the measurement press this button to cancel the measurement and deflate the cuff including the CYCLE and STAT NOT STOP measuring mode
64. off shows the status of sound on or of about the detailed operation please refer to Chapter 8 Alarm and Silence 16 The Monitor Inner Temperature Indicator The indicator s color will turn red when the monitor inner temperature is higher than the upper limit the default setting is 62 C 11 MMED6000DP M7 Portable Patient Monitor Operator s Manual 17 Remaining Battery Power Indicator Battery Status Icon The icon is dynamic It is in the form of a gauge providing a graphic indication of remaining battery power There are four shapes of the indicator the centre with 3 bars full 2 bars 1 bar empty and the frame in red The frame of indicator turns red when low battery power is detected by the monitor At this time you should immediately plug the AC power supply cable into the socket Or else the indicator displays with a red frame constantly when battery capacity reaches critical condition at which time the monitor shuts down 2 4 Specification 2 4 1 Environment 2 4 2 Display 480X234 pixel color TFT 2 4 3 Displayed Parameters Battery backed quartz crystal clock 2 4 4 ECG Protected against defibrillator and electrosurgery potentials Standard Lead 11 HI avL avR avF V1 V2 V3 V4 V5 V6 Display Gain Scales 5mm mV 7mm mV 10mm mV 15mm mV 20mm mV 25mm mV Input Resistance Frequency Response Common Mode Rejection Ratio Electrode Offset Potential Baseline Recovery He
65. pears in the Alarm Bell symbol the audible alarm tone will not sound for any reason Do not only depend on the alarm system the doctor and nurse should draw more attention when a alarm turn down or turn off When connecting the monitor to any instrument verify proper operation before clinical use Refer to the other device s manual for full instructions Accessory equipment connected to the monitors data interface must be certified according to IEC Standard 60601 1 for electro medical equipment All combinations of equipment must be in compliance with IEC Standard 61601 1 1 systems requirements To avoid potentially hazardous leakage currents always check the summation of leakage currents when several items of equipment are interconnected For proper equipment maintenance perform the service procedures at the recommended intervals as described in the manual If the patient monitor needs to be used continuously chronically please note to connect the patient monitor with the main power supply by the alarm of battery otherwise the patient monitor will automatically shut down which leads to the break off of the monitoring Do not use the patient monitor during Magnetic Resonance Imaging MRI scanning Induced current could potentially cause burns The monitor may affect the MRI image and the MRI unit may affect the accuracy of monitor measurements Do not place the monitor in any position that might cause it to fall on the patient Do not lift th
66. rature 2 the value is 36 8 here Dt The difference between T1 and T2 the value is 1 1 here It will not be shown if TEMPDI item in ALARM sub menu is set to OFF as Fig 13 3 13 3 Operation of TEMP Monitoring In monitoring status rotate the knob to highlight the TEMP icon in the TEMP displaying area and then press the knob the menu of TEMP setup will appear on the bottom of screen as shown below Fig 13 2 Cel ALARM RETURN Fig 13 2 13 3 1 ALARM Select ALARM in TEMP menu to call up the sub menu shown as below Fig 13 3 39 5 36 0 HIGH 20 OFF METI cow ALARM DIFF LMT TEMPDI RETURN Fig 13 3 NOTE lt can only set TEMP alarm individually the alarms of other parameters are not affected Five items are available for the user to set up which are HIGH upper limit LOW lower limit DIFF_LMT TEMPDI and ALARM OFF HIGH MEDIUM and LOW When use the knob to select each item and press the knob a pull down list appears for the user to choose his desired selection Rotate and press the knob to enter the submenu and proceed to the relevant setup 1 DIFF LMT it indicates the difference of TEMP AT This monitor offers two channels of TEMP one of the channels can connect with the skin probe the other can connect with the rectal probe which would induce the difference of TEMP The clients are able to set the value of difference of TEMP to trigger the alarm 2 TEMPDI If you set OFF to this item you can
67. res Recommendation Do not power on off frequently Take down and safekeeping probes lead wires gluey tube after using product Please keep the product in package if the product would not work for a long time Do not make the product contact with chemical medicine and reagent Battery Maintenance If the monitor has not been used for a long period of time you should charge the battery fully before storage To charge the battery connect the monitor to an AC outlet Usually a complete battery recharge requires 6 hours After completion of charging take out the battery and store it properly The battery should be stored in the temperature of 20 C to 55 C Note Storing the battery for a long period more than one year without charging the battery may degrade the battery capacity The remaining capacity reaches 65 at most after 12 months self discharge Please use the battery in temperature range from 5 C to 40 C Note If the monitor equipped with the battery is always operated beyond normal temperature range the useful life of the battery may be shortened If there is any abnormity stop working It can be reused after inspecting and repairing by technician Notes O Specifications may be changed without prior notice The circuit diagrams the list of components the illustration of diagrams and the detailed rules of calibration are provided exclusively to professional personnel authorized by our company O Dispose of
68. rotate and press the knob on the icon it will change into x indicating that all kinds of sound including the audible alarm and heart beep have been manually silenced until the icon has been pressed again the system will immediately restore the normal status and the icon shows 32 Portable Patient Monitor Operator s Manual CHAPTER 9 ECG SETUP 9 1 What is ECG MONITORING Monitoring the ECG produces a continuous waveform of the patient s cardiac electric activity to enable an accurate assessment of his current physiological state Only proper connection of the ECG cables can ensure satisfactory measurement The monitor can display the Heart Rate HR ST segment and Arrhythmia analysis The ECG waveforms are showing on the top of graphic area 9 2 Precautions during ECG Monitoring WARNING e Do not touch the patient table nearby or the equipment during defibrillation e Use only the original ECG cable of the monitor for monitoring e When connecting the cables and electrodes make sure no conductive part is in contact with the ground Verify that all ECG electrodes including neutral electrodes are securely attached to the patient 9 3 Monitoring Procedure 9 3 1 Precondition D For patient s skin is not in a good condition which need to be preconditioned before placing electrode in order to make the leads connect to skin tightly a Washing skin completely using soap and water Ether and pure alcohol is prohibited becau
69. se they can increase skin s impedance b Shave body hair on where electrodes are placed if necessary C Rub skin briskly to increase capillary flood flow in the tissues and remove skin scurf and grease d If electrodes without conducting cream are used conducting cream should be smeared on skin before placement 2 Attach clip or snap to electrodes prior to placement 3 Put the electrodes on the patient Before attaching apply some conductive jelly on the electrodes if the electrodes are not self supplied electrolyte 4 Connect the electrode lead to the patient s cable 5 Make sure the monitor is ready with power supply WARNING e Check everyday whether there is skin irritation resulted from the ECG electrodes If so replace electrodes every 24 hours or change their sites e Verify lead fault detection prior to the start of monitoring phase Unplug the ECG cable from the socket the screen will display the error message LEAD OFF and the audible alarm is activated 9 3 2 Placing the electrodes for ECG monitoring For 5 lead set attach the electrodes to the positions as below Fig 9 1 Electrodes Position on body surface Identifier code Re ReMam Right leg neutral electrode MMED6000DP M7 Portable Patient Monitor Operator s Manual NOTE To ensure patient safety all leads must be attached to the patient For 5 lead set attach the C V electrode to one of the indicated positions as below Fig 9 2
70. spections and cleaning It should accord with the policy of local infection control department or health institution 2 Ww 3 wN Be sure to disconnect power line to the product before cleaning and inspecting Periodic cleaning accordance with the policy of local infection control department or health institution Dampen a cloth with a commercial nonabrasive cleaner and wipe the tip bottom and front surfaces lightly The following admissive liquor can be used Ammonia diluted Glutaraldehyde Sodium hypochlorite bleacher diluted Mildness suds diluted Please abide by the following rules to prevent from damaging the product Always using diluted liquor recommend by the manufacture Always wipe up cleaning liquor after cleaning Never use cleaning matter containing wax Never spray water or cleaning liquor over the product neither allows any liquid to flow into power switcher connector or other intake Never use the following cleanser O any kinds of abrasive cleaner and menstruum acetone ketone spirituous cleanser Q OUO X9 lycine In order to clean the display screen please use clean flexible cloth and make it wet with cleanser in the glass Never spray cleanser in the glass on the screen neither use alcohol nor medical disinfector such as glutaraldehyde or lycine Please use warm wet cloth and mildness suds to clean cables and lead wires Other cleaning ways may reduce the life of cables and lead wi
71. ssapnersx ivwanendersssaphevesy 93 94 ECG SCION nnnm 34 MMED6000DP M7 Portable Patient Monitor Operator s Manual GAT EGG DISPIAyINd Alea a i EI ic 94 9 4 2 ECG Waveform Mee ete RUIN 35 em ECG 0 ge 35 95 TANP eR POCHI MEC DEEP DOMO do aliada 35 A e 35 9 5 ECO ANALYSE alados 35 9 54 LEAD na A a 39 95 5 SWEEP SPEED 5 55 ntes e oderit anida 39 95 6 MODE A al 39 9 6 Maintenance and Clan vacbeatausvatannceudeusmeadecmaceants 39 CHAPTER 10 NIBP MONIT ORIN G cusco p EUER ar Fassa Eros qus 40 10 1 INTOQUCIUON c 40 10 2 Preparation for CUM er PP A 40 10 3 NIBP DisSDlaving Area mem 41 10 4 Operation ot NIBP MonltorlHig icone ctu oe ia oe a 41 10AT ALAR e Ad aia 41 10 9 UNIT dcn dto O cio 41 a AA Mat tikes reto eile ooi scopi orfe uera doct oso tubas bee coco reef ct adu cs 41 A E HP 42 jue de rm ios 42 10 5 Pressure Safety Protection siciliana 43 10 6 Maintenance e Le Clean e o 43 CHAPTER 11 SPO MONITORINQG diii idu o 44 L1 Whatis SDOSMOFIOFIFIQ ets o cee el eo Ee to e acia 44 11 2 Precautions during SpO Pulse Monitoring 1111111 eeeeee eee i eeeeeeee
72. systolic limit MEAN the limit of mean arterial pressure DIAS diastolic limit and ALARM OFF HIGH MEDIUM and LOW When use the knob to select each item and press the knob a pull down list appears for the user to choose his desired selection 10 4 2 UNIT Pick this item to set measurement unit Selection mmHg or kPa 10 4 3 CYCLE NIBP Measurement Modes There are three methods to conduct NIBP measurement Manual Cycle and STAT Not stop In manual mode only one measurement is conducted for each time In the AUTO mode the measurement will cycle you can set the interval time to 1 2 3 4 5 6 7 8 9 10 15 20 25 30 40 50 60 70 80 90 120 150 180 210 240 minutes E Manual Each of the three blood pressure measurements Systolic Mean Arterial Pressure Diastolic is made and displayed in the numeric frame Press NIBP button on the front panel A single blood pressure measurement will be made Press NIBP button again to cancel this measurement The measurements remain in the numeric frame as long as what you set up As soon as an NIBP measurement begins any existing NIBP values in the numeric frame are removed and the current variable value of the cuff pressure is shown Systolic diastolic and MAP values are presented when the measurement is completed If fail to measure the numeric frame displays 41 MMED6000DP M7 Portable Patient Monitor Operator s Manual e Automatic NIBP measurements are performed at the interv
73. tatus after POST completion 16 Portable Patient Monitor Operator s Manual MMED6000DP M7 NOTE e Check all the functions that may be used to monitor and make sure that the monitor is in good status e The battery must be recharged to the full electricity after each use of monitoring so as to reserve sufficient power in battery e If the CF card has been inserted when power on the patient s name data stored in CF card will be read When the system enters monitoring status the name of a patient will be shown highlightly with red background color in the centre of the status frame for about three minutes which prompt you should check accordance between the informations of the current patient and those of the patient stored in CF card After confirming that you can perform normal monitoring e The interval between twice presses of POWER switch should be more than 1 minute WARNING If any sign of damage is detected or any system failure occurs e g some error messages or an unexplained continuous audible alarm remove the monitor from use and contact the biomedical engineer in the hospital or the distributor immediately 4 4 Connecting Patient Sensors Connect all the necessary patient sensors between the monitor and the patient About the detailed information please refer to corresponding chapters 4 5 Check the Recorder If your monitor is equipped with a recorder open the recorder door to check out whether the paper is prop
74. urementRange mat III Acouracy Determination Time Typically 25 seconds Varies with patients pulse rate pulse pressure and amount of artifact present Overpressure Valve Adult Infant Automatically releases cuff pressure if inflation pressure exceeds 280mmHg 150mmHg Overtime Protection Adult Infant Stop determinates if the measurement time exceeds 120s 90s Alarm delay Pressure high and low limits alarm delay 7s MMED6000DP M7 Portable Patient Monitor Operator s Manual 2 4 9 RESP Technique Trans thoracic impedance RA LL Range 0 100 rpm Resolution 1 rpm Accuracy 2 rem 0 60 rpm Alarm delay Respiration rate high and low limits alarm delay lt 7s 2 4 10 TEMP Technique Channel 2 T1 and T2 Scales F Or CC Probes Range 20 0 C 45 0 C Revolution 0 1 Accuracy 0 1 C Alarm delay Body temperature high and low limits alarm delay 7s 2 4 11 Power Requirements Power Supply 100 240VAC 47 63Hz 2 0A max Internal Battery 12V Ni MH rechargeable battery Capacity 2400 mAH Operating Time 2 hours typical at 25 C no printing one NIBP measurement per 15 min fully charged battery The cycle life of the battery is more than 500 cycles while with capacity 270 after 300 cycles 2 4 12 Dimension and Weight Dimension 268mmXiT mmX212mm 3 3kg including a CF card 2 4 13 Alarm Range Parameter HR Systolic Diastolic Mean Arterial RR TEMP PR bpm kPa kPa kPa rpm CE bpm
75. w level when alarm occurs the color of the indicator becomes green and starts flashing once every one second 2 3 2 Side Panel x Y f 6 1 NIBP socket connect NIBP cuff with extension tube 2 Temperature socket1 connecting the TEMP probe 3 Temperature socket2 connecting the TEMP probe 4 ECG socket Connect ECG 5 lead wire with 6 PIN connector 5 SpO socket Connect the SpO sensor with extension cable 6 Battery cover 9 MMED6000DP M7 Portable Patient Monitor Operator s Manual 2 3 3 CF card and Recorder Fig 2 4 1 CF card interface CF card is a memory Plug a CF card in this interface If the CF card has been inserted before power on the configuration files including all the set parameters and the measurement data stored in the CF card will be read after power on During the operation the measured data will be automatically stored in the CF card You can store the changed parameters setting as configuration files in the CF card only by pressing the REFRESH button NOTE DO NOT plug and insert the CF card when the monitor is working e Anysetting is not refreshed in a CF card before you press the REFRESH button 2 A thermal array recorder with standard 50mm 1 1 wide printout paper is used for the portable patient monitor About the detailed information please refer to Section 6 3 Print Setup NOTE The thermal array recorder should be install
76. y Battery Box I Arrow Mark pU Fig 4 1 1 Open the battery cover with a nail 2 Keep the battery side with arrow mark upward and poke the baffle from one side with the battery coner near to the arrow mark refer to the direction indicated by the arrow line in Fig 4 1 then plug the battery into the battery box until the baffle return to original position 3 Close the battery cover Caution If you want to take out the battery first poke the baffle and push the rear of the battery to flick out the battery Connection of the AC power line Make sure the AC power supply complies with the following specification 100 240 VAC 50 60 Hz D Apply the power line provided with the monitor Plug the power line into the power socket on the rear panel 2 Connect the other end of the power line to a grounded 3 phase power output NOTE e Connect the power line to the jack special for hospital usage e The battery needs to be charged after transportation or storage If the power supply is not properly connected before turning on the monitor it may not work properly because of insufficient power Connect the power supply to charge the battery 4 3 Power on the Monitor Press the POWER button on the front panel for about 4 seconds to turn on the monitor Then the monitor speaker sounds a one second tone The verification procedure Power On Self Test POST takes approximately 5 seconds to complete The system enters monitoring s

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